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Home My WebLink About1380 VILLAGE WAY - Building Permits • "ostp MF9 CITY OF COSTA MESA �'�^ CALIFORNIA 92628-1200 P.O.BOX 1200 , • et f1 m; art `.J 4, DEVELOPMENT SERVICES DEPARTMENT AMENDED CHANGE OF ADDRESS October 14 , 1988 To: Building Safety Division Pacific Bell (2) Code Enforcement Police Dept. - Ping. & Research Communications Santa Ana Heights Water Company County Administration Office Sanitary District Engineer County Clerk/Bd. of Supervisors Southern California Edison Co. County Registrar of Voters Southern California Gas Co. County Tax Assessor State Board of Equalization Engineering Division (2) Street Division Fire Prevention U.S. Post Office, Adams Avenue Manager, MIS U.S. Post Office, Santa Ana Mesa Consolidated Water Dist. Zip 4 - Santa Ana Newport-Mesa Unified School Dist. File (2) The City of Costa Mesa wishes to advise you that the following addresses have been changed or added: OED ADDRESS NEW ADDRESS A. P. NO. 2900 College Avenue 1380 Village Way 141-351-19 Buildings A, B,C,D,E, Building "A" 141-192-03 F,G,H A-101 A-102 A-104 A-105 A-201 A-202 A-203 A-204 A-205 A-206 Building "B" B-101 B-102 B-104 ) 11/.-- 357-Z1 B-105 B-201 B-202 B-203 77 FAIR DRIVE Building Division(714)754-5626 • Code Enforcement/Business License(714)754-5234 • Planning Division(714)754-5245 OLD ADDRESS NEW ADDRESS A.P. NO. B-204 B-205 B-206 Building "C" C-101 C-102 C-104 C-105 C-201 C-202 C-203 C-204 C-205 C-206 Building "D" D-101 D-102 D-104 D-105 D-201 D-202 D-203 D-204 D-205 D-206 Building "E" E-101 E-102 E-104 E-105 E-201 E-202 E-203 E-204 E-205 E-206 Building "F" F-101 F-102 F-104 F-105 F-201 F-202 F-203 F-204 F-205 F-206 OLD ADDRESS NEW ADDRESS A.P. NO. Building "G" G-101 G-103 G-201 G-202 G-203 G-204 Building "H" H-101 H-103 H-201 H-202 H-203 H-204 For your convenience we are listing the agencies above that we have notified of the change. In addition to those listed, you are advised to notify your correspondents of the change in order to avoid any possible interruption of mail service. Your cooperation in this matter is appreciated. Sincerely, I PA % 71a GLEN S. ETHERINGTON Planning Intern GSE:j1 (ADDCHNGE.4) cc: C. J. Segerstrom & Sons 3315 Fairview Road Costa Mesa, CA 92626 Michael Lawler, Jr. 4665 MacArthur Court, #275 Newport Beach, CA 92660 yta MF CITY OF COSTA MESA LO S� 0 _L CALIFORNIA CALIFORNIA 92628-1200 P.O. BOX 1200 47 DEVELOPMENT SERVICES DEPARTMENT \"OAPORRTFO�9. AXEND GE OF ADDRESS October 14 , 1988 To: Building Safety Division Pacific Bell (2) Code Enforcement Police Dept. - Ping. & Research Communications Santa Ana Heights Water-Company County Administration Office Sanitary District Engineer County Clerk/Bd. of Supervisors Southern California Edison Co. County Registrar of Voters Southern California Gas Co. County Tax Assessor State Board of Equalization Engineering Division (2) Street Division Fire Prevention U.S. Post Office, Adams 'Avenue Manager, MIS U.S. Post Office, Santa Ana Mesa Consolidated Water Dist. Zip 4 - Santa Ana Newport-Mesa Unified School Dist. File (2) The City of Costa Mesa wishes to advise you that the following addresses have been changed or added: OLD ADDRESS NEW ADDRESS A. P. NO. 2900 College Avenue 1380 Village Way 141-351-19 Buildings A, B, C, D,E, Building "A" 141-192-03 F,G,H A-101 A-102 A-104 A-105 A-201 A-202 A-203 A-204 A-205 A-206 Building "B" B-101 B-102 B-104 B-105 B-201 B-202 B-203 77 FAIR DRIVE Building Division(714)754-5526 • Code Enforcement/Business License(714)754-5234 • Planning Division(714)754-5245 • d/ . ,q • OLD ADDRESS `' JIEW 4DDRI SS A..P. NO. Building "G" G-101 G-103 G=201 n•G-202 G-203 r Building "H" "H-101 H-103 H-201 H-202 H-203 H-204 For your convenience we are listing the agencies above that we have notified of the change. In ' addition to those listed, you are advised to notify your correspondents of the change in order to avoid any possible interruption cif. mail service. Your cooperation in this matter 's appreciated. Sincerely, - GLEN S. ETHERINGTON y.. Planning Intern GSE:jl (ADDCHNGE. 4) C. J. Segerstrom & Sons irview Road costa Mesa, CA 92626 • Michael Lawler, Jr. 4665 MacArthur Court, #275,_ Newport Beach, CA 92660 ;.y • �. �;i1.1,!/ CITY OF COSTA.MESA is I. rt.'''. BUILDING DIVISION ti ' DEVELOPMENT SERVICES DEPARTMENT o F9R-Df1R99 PERMIT_ PERMIT NUMBER w (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAI_'-PERMIT Job Address: 1380 VILLAGE WY d Status: ISSUEDOk w Suite No Applied: 06/24/1998 Vicinity: Issued: 06/24/1998 Parcel Nunmber: 14135121 Applicant: MAIRELLA, SHARON • Address: Phone: 714-545-5852- • Zip Owner: LOS ALISOS DEVELOPMENT CO Address SUITE/820,-,- v V • ' - IRVINE;CAS ,," r ! - Phone .-- - -,`,‘v, /19800 MAC f/ ARTHURB'LV-O '�/ N ,. ice Zip:92612 �`�/ / \ - Contractor:/ \ /2/ �j/ \,\ \� , Address:/) /, .. . .,,11„/ / ' i / �' ,,;;;;;/' 7 Phone:' •-„ „/„2.7„/ Zip: -Y • r - •License:r• I , 4--•. '?'" - - SCOPE OF PERMIT - ' STATE HEALTH AND SAFETY CODE SECTION 116049.1 PUBLIC POOL GFCI INSPECTION. , ,1" i n FEE-SUMMARY = i" Quantity _ • Quantity ISSUE FEE $22.00 Temp Dist System/.Lighting $0.00 0 • Temp service test ' $0.00 • r Busway/100 ft j,;', $0.00 0 Res.a/c package $0.00 _ -r Standing Section' :. 7: , - • $0.00 0 New Res(1-2 units) 1 ' - $0.00 0 -- - •-- , `"Misc Electrical Equipment - $0.00 0 New Res'(3+units) $0.00 0 -- --_ Transformers up to 1 kva/kw $0.00 0 , Pool/Spa • ' - $0.00 0 tip talo kva/kw $0.00 0 Lighting Fixts' $0.00 0 -up.lo 50 kva/kw - $0.00 0, , • Recept Outlets - $2.00 2 = up to-100 kva/kw $0.00 . 0 ` ' Switches."- . i$0.00 0 - over 100 kva/kw $0.00 ,/". 0 • Non Res Appy, ' ` `'; $0.00 1 0 (.Low Voltage Equipment '$0.00 C' 0 - ' Res Appl \- •- xy`$0.00 0 . O/ , Low Volt Wiring System/Ckt $0.00 ' 0 ,. Service to 200a • •$0.00 0 , - ' Misc.Conduit- $0.00 / 0 , Service to 1000a - $0.00.•-:‘,„, 0 ‘ ,i,c, ;rt ' Misc.Conductor ,'$0:00 0 Service over 1000a • ,00.60*-,:;„ 0 , r, 'Circus(gen or ride) $0.00 ' 0 Motors to 1 hp $0.00 \:0 , . - -Circus(mech ride or lights)- '$0.00 0 -/ Motors to 10hp - 1 i$0.00 . 0' , °"'-` Christmas Tree Stand / $0.00 1 /0 Motors to 50hp $0.00 0 - _'Fireworks Stand- -, $0;00 0; Motors to 100hp $0.00 0 ' . ' _'• _Th- .Other Electrical Fee - -$0.00 Motors over 100hp $0.00., ' , )0 - Communication drops $0.00 Q- Investigation Fee• $0.00 - Sub panel to 200a $0.00 -- '0 ',- Plan Check Fee• . . -$0.00 Pole Light Pkg $0.00. - .. 0 .Reinspection Fee . ' , $0.00 Sign Circuits $0.00 ,0 , ' - . . - Temp Pwr Pole • $0.00 ' 0 - TOTAL CALCULATED FEES $24.00 Intermed Pole $0.00 0 - COMMENTS/SPECIAL CONDITIONS • • EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections end final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5628 DECLARATIONS ( ) fl WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit Is issued. ❑ I have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier end policy number are: Carrier: Policy Number (This section need not be completed II the permit Is valued at one hundred dollars($100)or less.) ❑ I certify that In the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,end agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: 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 DOLLARE(SI C0,000),IN ADDMON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: - I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of DMsion 3 of the Business and Professions Code,and my license Is In full force and effect.Lic.# Class# Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: • o I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued.(Sec.3097,CMI Code). Lenders Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requIres a permit to construct,alter,Improve,demolish,or repair any structure,prior to Its Issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the properly,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to en owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such Improvements are not Intended or offered for sale.If,however,the building or Improvement is /sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.), r, as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code:The contractors License Law does not apply to en owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). 0 I em exempt under sec. Business and Professions Code for this reason: /S�ignature: C/j ..r n /27 ...train. Date: '7`-7 V.� \'UVYner ID verified by drivers license. Yes 0 No Driver's License No. Expires: • Verification of Ownership by(type ofd men(,i.e.-property tax bill or deed): • DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet In depth Into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the DMsicn of Industrial Safety,as noted above,unless such person has a permit to do such work from the divLsion. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No . (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP Is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes I�No (Section 65850.2 of the California Government Cade requires that the requested information be furnished on applications for non-residential building permits). 8 Will any pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). • 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which Is the subject of this appl cation,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No B (If yes',attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above Is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the Information given is correct.I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature Of> Legal Owner(S) /1 !� cif De �(�c� �&& C, Y /vIFNiFCOF Authoriz�Applicant Date CODE I, INSPECTION TYPE DATE II®ALS CODE/ DI$pECDON TYPE DATE . INDDAL4 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1286 Pool Spa Final 208 Final Plumbing pO 78 //A 200 Final Re-Roof 210 Final Electrical 6—7.5 /,c a 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Bullding/Occupancy 2446-46 Pr, / 5Rto V74-4-/-/-6 y• fill in all spaces except those within heavy border lines and sign all appropriate declarations. 521 Jr- . 'go\6-AA.' Ci '2 ` i ,CITY.9F COSTA MESA STRUCTI ON PERMIT RMIT NO. TRACT NO. LOT NO. UNIT NO. - 6" 33-515---2---c Cn•(C-f17's.2.•lxd('V' Ith A.P.# I -0 • 41- 51 -. Zone Ri f Project Address S Main Building: Accessory Building: 2755 Bristol te. 275 CM TYPE OF CONSTRUCTION L6 NEW H ADD U ALTERATION REPAIR Applicant's Mailing Address / ' Owner's Name Hoelscher/Guggenheim 6`51-2116 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER (/ttr•) ' T Front IL,/ O Phone DESCRIPTION OF WORK/USE OF BLDG. Apartment and garage 8 Rear i N Address 4665 MacArthur Crt. Newport Beach 92660 lfik '' A 20 I b I 1 • Arch/Eng. KPI-Mit Dorms License No. TYPE OF PERMIT LJ GRADING U FOUNDATION !J STRUCTURAL C Right Z� N Address 1 550 Bayside Dr. , Corona Del Mar ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ Left 25'G I b I .�� / R ❑ OTHER lent' . . -, s _ Contractor's Name T,uCa5 Deve10171➢ent CO - •- e' •I• i Ping. Ref.# /`tt Paring Req./Provided I33'-to-fa) E Address(mailing) 2755 Bristol, Ste. 275 Costa Mesa PROJECT DESCRIPTION SQ. FT. -yam s•=• OCCUPANCY R-1 M- g p�_ S _O5 n PlanningNotes: City License No. 030749 CONSTRUCTION TYPE V-1hY '� •�ALUATION $S�)q QOi/\ F�D;nrm � M L LL T ZONE GRADING CU.YDS. ACRES $LICENSED CONTRACTOR DECLARATION • t I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: �� s----2,___,_13- A I r•�, s with section 7000) of Division 3 of the Business and Professions Code,and ^I Q� my license is in full force and effect. ELEB�RICA L',� FEES License .ss e- ka License NoArs . 757064 I� Date -, - ii 1 Signature PLUMBING FEES Automatic Washer 1 Ti ns�or/tier 0 15-50 KW WOR ER 'COMPENSATION DETION Construction Pole Sub. x` 0 50+KW I hereby affirm that I have a cerci of consent to self-insure or a certificate Bar Sink Showers �`� N f Workers' Compensation In a 2'254r a certified copy thereof (Section Cooking Unit Meter ❑up to 100 amps .800, Lab. C.) Backflow Preventer Service Sink 46-88 unit \ Policy No. Company $1-Ate Farm Backflow Irrigation Sewer Cap p Dishwasher Meter over 100 amps Cerci f' d c py is hereby futhehed. 1-1-89 Dryers ❑Gas ❑Electric Sub Panel C t' d o y is filed with the city,B/��{{{••• rsion. Bathtubs Sewer Connection \ Date-/ Applicant � Fan Motors❑01 HP ❑11A-8 EXE PT ON FROM WORKERS/COM' v•SATION DECLARATION Clarifiers Solar Collectors (Thissection need not be comp ted i •e permit is for one hundred ($100)or F.A.U. Inc.Solar ❑9.15 HP 016-15+ less). Dishwasher Solar Piping I ,l certify,that in the parlor• anc• • the work for which this permit is issued, I - - Fixtures 'shall not employ'any p' o any manner so as to become subject to the Drinking Fountains Solar Tank Microwave ' r Workers' Compensytio A • s of California, Date Signature ! • ' Device Boxes Pole Light g Floor Drains Swimming Pool w/Spa 9 NOTICE: If,after making this declaration, you should become subject to the Outlets - Range Workers',Compensation provisions of the Labor Code, you must forthwith' Floor Sinks Urinal 9 comply with such provisions or this permit shall be deemed revoked. CO NSTRUCTIONI LENDING AGENCYGas Service Outlets Water Closet • SwitcFleS Sign I' I hereby affirm that'there is a construction lending agency for the performance - ••-• of the work for which this permit Is issued (Section 3097 Civ. C.) Interceptors Water Heater - Garbage Disposal. Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator'00.5-KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code; Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Tracts IA , any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law (Chapter 9 (commencing with Section 7000)of ,Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Feel' $15 Issue Fee $ 3 `;• 15om and the basiscfor the alleged txsmey violation ofa Section 4.:•)31.5 t any re aant forh a permit subjects the applicant to a civil ii:''-e,nalty of not more than five hundred dollars($500). I 3 DEVELOPMENT SERVICES REQUIREM Tcccyyy /��{ ,�J • LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ /' y 9-‘30-88 compensation, will do the work,and the structure is not intended or offered Zoning Approved8y `/ VVV Data for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By- 'x= Date � ^ License Law does not apply to an owner of a property who builds or improves - -d thereon, and who does such work himself/herself or through his or her own Applicationissued By ' �i-��L��/� _ eat: �t employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I ❑ - �� sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 ^ - SUMMARY OF EES 0 l pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground - p ove for the purpose of sale). BUILDING PERMIT $ Via-•3- SMIP $ 3q .2--) LJ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System .CHECK 36I 13 tractors to construct the project (Section 7044,Business and Professions Code: PLAN $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU ISSUANCE $ _ builds or improves thereon, and who contracts for such oroiects with a con- PLUMBING 1 $ tract or(s1 license pursuant to the Contractors License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I PLAN CHECK ' 25% $ ENERGY P.C. $ proof o// their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ GRADING $ 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit.ICBG# Fire Dampers MICROFILM $ PLAN CHECK 50% $ Date Owner Heating System& Ducting Registers MECHANICAL $ 2(.PZZ-.1.5 I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL TOTAL FEE $ information is correct. I agree to comply with all city and county ordinances , PLAN CHECK 25% $ and state laws relating to b ilding construction,and hereby authorize repre- sentatives of this cl •<enter upon the above-mentioned • oper y for n inspection pure ' Signature �/ Oat * 'le? r Drivers•'$5# � �� Reinspection Fee $15 Issue Fee $ 3 086 .6 ev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor r , CONSTRUCT ! I.D PLANNING . . . POG SPA •• or Date Inspector APPROVALS Permit# - APPROVALS Permit# 'i 1. Temporary Electrical Service or Pole . 52. Pool & Equipment Location iv 2. Soil Pipe-Undrgrnd. '1 53. Steel Reinforcement -" , 3. Electrical Conduit Utility-Undrgrnd. 54. Forms t 4. Electrical Conduit-Undrgrnd. -' 55. Electrical Bonding ,2 r5. Steel Reinforcement 56. Rough Plumbing & Pressure Test ) -6. Electrical UF ER Grnd. • 57. APPROVAL TO COVER-GUNITE , T. Footings e,' , n, 58. Electrical Conduit-Undrgrnd. 8. Foundation v- 59. Gas Pipe, 0 Undrgrnd.,Test . 1 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final . 12. Sewer Cap • 63. Heater & Vent-Final • 13. Roof Drains 64. Plumbing System - Final � :' • 14. Rough Plumbing 65. Electrical-Final " 15. Rough Electrical-Conduit 66. Solar System-Final 6:" Rough Electric Wiring 67. Fencing & Access Approval _ 1.71. Rough Wiring Sign 68. APPROVED FOR PLASTERING 181. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ' M. Rough Factory Fireplace ),I APPROVALS Permit# 21. Ducts, in Structure if 70. Underground Hydro 22. Ducts, Ventilating , 4 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough &ITest • 72. Underground Flush 24. Roof Framing "' 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing •' ' 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing ' 76. Dry Standpipe . 28! Lathing & Siding •�� 77. FIXED SYSTEM FINAL 29. Insulation IA - 78. FIRE PREV. FINAL 30:?Drywall Nailing c HEALTH DEPT. REQUIREMENT 31'. Planer Brown Coat .^ 79. FINAL INSPECTION i 32. Ele-ctrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED n 33. Final Electric Notes:A44: Ae yap/ a._57- ,4 c2". 7&r cit 34. Final Heating & Air Conditioning -&' y - •42-r�J Pratt.t 4'35-Star 35. Final Gas Pipe-Test . HOLD FOR SPECIAL REQUIREMENTS 36.,Hood or Canopy // :it: S-QI/v .,, �d /r •iu• 37. Final Factory Fireplace tM J�'�tr-er gar % meco u wAct-s o% 38. Final PlLmbing ,�c uer&�o±OK i7 /CQ ��,/ 39. Water Service-Final v`-c-C1 (, n/ �" 40. Gas Service-Final .•i t` • : 41. Solar Domestic:Final - '-- '. •• a.:,... 42. Backflow Preventer ' ;,- L1 • 43. Backflow Irrigation • - - -f j• I '• /,;,V 44. Landscape Irrigation System -1_ 45. Sound Attenuation ''I ii •: 46. Handicap Regulations ` '_ 47. FINAL STRUCTURE & BUILDING rA4f ,--(7 � 48. Special Requirements Completed -7/L7:31 y, �,, - 49. Electric Release to Edison �-�" }.I V ' _ 50. Gas Release to Southern California Gas Co • I,, ; ..+1 `• 51. CERTIFICATE OF OCCUPANCY - r No. Date - 'A `! . tr•: a-, , rITY OF COSTA MES .-AIIFORNIA 92628-1200 - P.O.BOX 1200 Insulation Certificate 1380 Village Way • " - Costa Mesa CA Numbs and Street - City Orange - B County Subdivision Lot Number Description of Installation ROOF Material Composition Brand Name Prestique Plus Thickness(inches) CI DSSA Thermal Resistance(R-Value) EXTERIOR WALL Material Stucco Brand Name Portland Cement Thickness(inches) 7/8" Thermal Resistance(R-Value) R-11 Batt 3-1/2" .- . Manville CEILING • Batt or Blanket Type Batt Brand Name Manville Thickness(inches) 6-3/4" Thermal Resistance(R-Value) R-19 Loose Fill Type Brand Name Contractor's minimum installed weight/ft1 lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance(R-Value) RAISED FLOOR Material N/A Brand Name Thickness(inches) Thermal Resistance(R-Value) SLAB FLOOR Material Concrete Brand Name Portland Thickness(inches) 4" w/6x6x10x10 Thermal Resistance(R-Value) Width(inches) varies FOUNDATION WALL Material Concrete Brand Name Portland Thickness(inches) 8"—12" Thermal Resistance(R-Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. Lucks ,D�ev ///��/// dtMa Co.2 / jS - 1 2S7o6V neral�¢t�tr for = . der) License Number Signature and Title \ Date Sub-Contractor(Insulation Installer) License Number Signature and Title Dale K M / THE KEITH C -J M PAN I E S l 9.mnurg.(aril Jiii im•r•n PW 1(rrrirurrmrnml.Srrrirrs•Ardrihaun••Lnud'r npr Anlrihh nvr lurvl Si,n,•l•Ing July 18, 1989 87-0125 Engineering Department City of Costa Mesa 77 Fair Drive Costa Mesa, CA. 92628 ATTN: Brian Haught /2E30 ✓L ii!9-rec toe' RE: PA 88-31 - 2900 College Avenuo, Costa Mesa, California Dear Mr. Haught: As the civil engineer, I certify that the precise grading has been completed in substantial conformance with the approved precise grading plan for the above referenced project. Sincerely, • Robert Schneider RCE 42912 cry j' r/car ,.. . .42: No.42912 A s�l cc Exp.33192 ' \ * of CIVI1�a� FOF CAt - R870125-9826-L-RS 1796!Cowan.Irvine,California 92714 f 7)4)863.93')') G5 R y �- v`6/s"s Ica t t ty$7gli spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA • v ! s/IT -- PERMIT- NO.OTRACT NO. LOT NO. UNIT NO d, - Na RUCTI�` PERMIT3(, 122 i(B `1. A.P.# Zone Project Address �«�1 ' ,WIt I • g� - I S Main Building: Accessory Building: _ F/j,rf.bL Z7 TYPE OF CONSTRUCTION U NEW ADD U ALTERATION U REPAIR E Z Applicant's-Mailing A.dres / o215107•�f ❑ CONVERSION ❑ DEM GUFront SH THER I' T O • Owner's Name • • - �i.�1 onne DESCRIPTION OF WORK/USE OF BLDG. • A Rear N Address �,(�L// S /�s �� Arch/Eng. _JeTy t 6 vY!- License No. 36 L3 C TYPE OF PERMIT 1J GRADING FOUNDATION U STRUCTURAL I C Right N Address _./ 746( ref olakci //''r ❑ TENANT ❑ ELECTRICAL LUMBING ❑ MECHANICAL B • LeftR G Contractor's Name h}+(/y5 Elk° 8S07fs I ❑ OTHER I Ping. Ref. # Parking Req./Provided E PROJECT DESCRIPTION SQ. FT. _OCCUPANCY Q Address(mailing) 7 S r7 ( 5 11S 2-7 5- - - Planning Notes: -City License No. G 7M6'j C O N ST RUCTION TYPE VALUATION$ / ZONE GRADING CU.YDS. ACRES T LICENSED CONTRACT R DECL,ARATION ,/s S. I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: rL 3 f••'[--z_c ` a with section 7000) of Division 3 of the Business and Professions Code, arRRyGGA /� 7 ✓ �P my license is in full t.L/e an. effect. -/ 706 d{' ELECTRICAL FEES License lass / _' ass JGens• r 7 r (1� Date ar 'gnat gPwa 4r _ __� PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW WORKERS' COMPENSATION •E RATION ` Construction Pole Sub. • 0 50+ KW I hereby affirm that I have a1q if/ to of consent to self-insure or a certificate Bar Sink Showers If Workers' Compen tion•'frTs e, or a ...tified copy thereof (Section Cooking Unit Meter Clop to 100 amps 1800, Lab. / r/ Trrr •,'„�- eniD • Backflow Preventer Service- Sink 'Th.,„ Policy No. '6 -0- _y _ ny`"'-7 ( Backflow Irrigation Sewer CapDishwasher - Meter Dover 100 amps • Certified copy is hereby furnished.6prtif ietl copy is tiled with the city Building Division. Bathtubs Sewer Connection Dryers ❑Gas• ❑Electric Sub Panel Date Applicant Fan EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Motors 00-1 HP 0111/4-8 (This section need not be completed if the permit is fo one l jndred $100) or F.A.U. Inc.Solar 09-15 HP ❑16-15+ less). Dishwasher Solar Piping. _ _ I certify that in the performance .f t ork for hi h thi --- m I. Issued, I Fixtures Microwave shall not Fppqrrypplgy ar( rson in any her , b. ..Ties ` eat to the Drinking Fountains Solar Tank Workers' L1 sa Laws o- Cali i. I - • ( • . Date L 1 / Signa ure Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE:II,after making this de • • on,you should becomes .�yl to the Outlets Workers' Compensation provisions of the Labor Code, you mus •rthwith Floor Sinks Urinal Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service OutletsSwitches Water Closet Sign I hereby affirmk that there is a construction mtue agencyc for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Generator ❑0.5 KW 05-15 KW Trash Compactor Lender's Address Kitchen Sink Water Service OWNER BUILDER DECLARATION `^ I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Treys any structure, prior to its issuance, also requires the applicant for such permit p to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains Sadler--h r` /e'xi.. I — $"O 7 the Contractor's License Law (Chapter 9(commencing with Section 7000)of _f Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 lerefrom and the basis for the alleged exemption. Any violation of Section )31.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). I DEVELOPMENT SERVICES REQUIREMENTS: ❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,end the structure is not intended or offered 1 Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or Improves __ ______ —_ ___ _ _ - _____ __ - itict let thereon, and who does such work himself/herself or through his or her own ' Application Issued By Date u employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II 0 pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground SUMMARY OF FEES prove for the purpose of sale). BUILDING PERMIT $ SMIP $ 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System tractors to construct the project (5ectlon 7044,Business and Professions Code: . PLAN CHECK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU $ d • ISSUANCE $ builds or Improves thereon-and who contracts for such oroiects with a con- tractor(s) license pursuant to me Contractor's License Law). I am aware that Exhaust System 0 Multiple D System Repair/Alteration I PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ l am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers MICROFILM $ PLAN CHECK 50% $ Date Owner Heating System& Ducting Registers MECHANICAL $ Oa I hereby certify that I have read t is application and state that the above DO-100,000 BTU 0100,000 BTL— TOTAL FEE $ �• informatio Is correct. I ree to co ply ith all city and county ordinances PLAN CHECK 25% $ and stat a rating Udine onstr f tion, and hereby authorize repre- sentativ of city t nter 7•on t e above-mentioned property f inspects n pu s. ••••••• • Date L Signatur ` Reinspection Fee $15 Issue Fee $ 3 Drivers' License or SS a), 01 00019144-00019144 TOT 8.00 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink - Accounting; Goldenrod - Assessor DATE: 11/09/88 TIDE: 15=09 N` ` ;; `\t'' _ CONSTRUCTION AND PLANNING .1 POOL IPA -APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole -• • 52. Pool & Equipment Location ) 2. Soil Pipe:Undrgrnd. , p ,b- 53. Steel Reinforcement -Li? .9(EIecVical Conduit Utility-Und grhd' T j54. Forms �f 4Y Electrical Conduit-I_ _&_grnd. I ' 55. Electrical Bonding i -tr -t r a :` .i _ .) r5)SteeI Re frrorcerit '7 , --i 11a.% 56. Rough Plumbing & Pressure Test J�7 ..i -6--.ElectticalUF4R,Grnd.• .1 h--` ,: , ) 57. APPROVAL TO COVE R-GUNITE ,c-j'� .2 j� �7r�Footings I --••; [ D vl4446 t to fill in all spaces except those within heavy border tines and sign all appropriate declarations. PER T O. TRACT NO. LOT NO. UNI Nps 4/ •-....)1A MESA CONSTRUCTIOI PERMIT 35C , 9 l�-,C3 Project Address• a• •�rirw'e+s.a.�+f...�fY�C TYPE OF CONSTRUCTION rJ NEW U ADD U ALTERATION u REPAIR Applicant's Mailing Address 9371 Folkstone. Hunt. Beach ❑ CONVERSION 1111 DEMOLISH ❑ OTHER Owner's Name Hopi crhor ringgPnheirti Phone 851-2116 A.P.# Zone DESCRIPTION OF WORK/USE OF BLDG. Address 4669 Mararthur Court, Newport Beach S Main Building: Accessory Building: Arch/Eng. Dorius Architects License No. TYPE OF PERMIT El GRADING ❑ FOUNDATION U STRUCTURAL E Front ZZ Address 1550 Bayside Dr. , Corona del Mar ❑ TENANT ❑ ELECTRICAL ® PLUMBING ❑ MECHANICAL B Rear N Contractor's Name Coastline Plumbing Phone 963-3800 ❑ OTHER C Right N Address(mailing) 9371 Fn1 kstnne, Huot Beach PROJECT DESCRIPTION SQ. FT. OCCUPANCY K - G 023390 CONSTRUCTION TYPE VALUATION$ S Left • R City License No. ZONE GRADING CU.YOS. ACRES Ping. Ref../k Parking Req./Provided E LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 13_35-6> / Q ' Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code,and l'� my license is in fe II ce and effect. T Licensens 's &– g 94635 It Date I i Di 00 Signature �l�lr - �1'� " PLUMBING FEES S WORKERS'COMPENSATION D CLA •N I hereby affirm that I nave a certificate f c• sent to self-insure or a certificate Bar Sink Showers /oQ. 0 ELECTRICAL FEES u Workers' Compensation Insurance, • a certified copy thereof (Section — Backflow Preventer Service Sink 3800, Lab. Automatic Washer Transformer ❑ 15-50 KW Policy No. 583678-87 Company5tate Coma. Backflow Irrigation Sewer Cap2�./ ❑ 50+ KW \ d/ I� Construction Pole Sub. ` ❑ Certified copy is hereby furnished. Da Cert16 o is filed with the city IFgell na iziiirion'Phmibin f* Bathtubs / Sewer Connection Cooking Unit Meter ❑up to 100 amps Date I�/ 8 Applicant Oa Cl EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100) or - - less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is Issued, I — shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Workers' Compensation Laws of California. • Motors 00.1 HP 0111-8 — Date Signature Floor Drains Swimming Pool w/Spa F.A.U.NOTICE: If,after making this declaration, you should become subject to the Inc.Solar 09-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. ^ G � Microwave CONSTRUCTION LENDING AGENCY )4V Gas Service 4 Outlets 10 Water Closet �((/ `_ Device Boxes Pole Light I hereby affirm that there is a construction lending agency for the performance 9 of the work for which this permit is Issued (Section 3097 Civ. C.) Lender's Name Interceptors )n Water Heater -20 (A Outlets Range Lender's Address 10 Kitchen Sink Water Service 48 11Cf�L� Switches Sign OWNER BUILDER DECLARATION q� g I hereby affirm that I am exempt from the Contractor's License Law for the .+V/ Lavatories /D Auto-Wash ,4(1 /t! Garbo e,DiS oral - following.reason (Section 7031.5 Business and Professional Code: Any city or 9 P , Standing Sections county which requires a permit to construct,altenr improve,demolish or repair , P–Trap Laundry Trays Generator ❑0-5 KW❑5.15 KW , any structure, prior to its issuance, also requires the applicant for such permit - Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of - - • Division- 3 of the Business and Professions Code) or that he/she is exempt • lerefrom and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil - - LIenalty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL Reinspection Fee $15 Issue Fee $ 3 FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself Or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). Building Approved By Date �.�./ ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By /a/7 W1S tractors to construct the project (Section 7044,Business and Professions Code: Date The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU SUMMARY OF FEES builds'or improves thereon, and who contracts for such projects with a con- , tractor(s) license pursuant to the Contractor's License Law). I am aware thatBUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. ExhaU$t System ❑ Multiple 0 System Repair/Alteration 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers PLAN CHECK $ PERMIT PLUMBING S. _aO• ISSUANCE $ Date owner Heating System& Ducting Registers PLAN CHECK 25% $ Jr ENERGY P.C. $ I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100,000 BTU – –=""��'�' GRADING $ information is correct. I agree to comply with all city and county ordinances ELECTRICAL S and state laws g to building c•nstruction, and hereby authorize repre- sentatives his city ent •u•j the above-mentioned property for PLAN CHECK 50% $ MICROFILM $ ,.]� inspect' n pu p•ses, y 1 10/5/88 MECHANICAL $ TOTAL FEE $ a�°`"•' Signature y s Date Drivers' Licensor # Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev. /84 White . Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor DATE:V 10/07/88• TIKE: 15�J9 •– CONSTRUCTION AND PLANNING POOL &SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1:. Temporary Electrical•Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. • id44/syr 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. Elecifical'UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water:Pipe=Undrgrnd. /0/4ir ji�� 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System �T� 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection $8499 Lc) 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing y tri l to 65. Electrical-Final 15. Rough Electrical-Conduit (_ 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping CGas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED r ., 33. Final Electric Notes: - �1 34. Final Heating & Air Conditioning ! - 35. Final Gas Pipe-Test 74,e(a9 LCD 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backf low 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 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. - P RMIT NO. TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA CONSTRUCTION PERMIT �I A3715,5-____3 A.P.# 141-192-03•,141-351-09 Zone R-4 1380 VILLAGE WAY "B" /V� GRIFFITH SUBDIVISIOh� ,. B Project Address _ rYl • 2755 BRISTOL ST. , #275 TYPE OF CONSTRUCTION U NEW U ADD U ALTERATIO , LI REPAIR S Main Building: Accessory Building: . Applicant's Mailing Address E I '' is,HOELSCHER/GUGGENHEIMPAFjiS ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front Owner's Name DESCRIPTION O ORK/USE OF BLDGB RearAddress 4665 MACARTHUR COURT t rte r`L/ t 1��- QC e � �� I 'q --KERMIT DORIUS 6 I4 3'I. C Right Arch/Eng. License No. TYPE OF PERMIT ❑ GRA IrvG ❑ FOVNDATIO STRUCTURAL K Address 1550 BAYSIDER, CORONA DEL MAR ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ® MECHANICAL $ LeftLUCAS DEVEL. CORP. 850-1551 ❑ OTHER •Pin Ref. # Parkin Req./Provided Addrractor's Namr• Phone PROJECT DESCRIPTION SO. FT. OCCUPANCY Rte/ g g Address Imailingl 2755 BRISTOT+ ST. , #275, CM •-t�--.� Planning Notes:030749 CONSTRUCTION TYPE �r VALUATION$City License No. ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 5 _ 3 5-5-,,....6with section 7000) of Division 3 of the Business and Professions Code,and • itrmy license is in full torte and et t ELECTRICAL FEES Licen Class B-1 SA 445 al '7064 ,— V • �—__ . r PLUMBING Automatic Washer Transformer 0 15-50 KW ok Date Sign. i FEES v 1 WOR ER�ATI•. CLARATI• -� . • Construction Pole Sub. 050+KW 'hereby affirm that I have a certificate of consent to self-insure ertiflcate Bar Sink Showers Workers' Compensation Insurance, or a certified copy the (Section Cooking Unit Meter ❑up to 100 amps i Backflow Preventer Service Sink - 00, Lab. C.) Policy No. 46-88 UNIT 27.5 ompany ST' I E ARM 1-1-89 Dishwasher Meter [Dover 100 amps 4C I Backflow Irrigation Sewer Cap Certified copy is hereby furnish y - Cert�fi-dp�py�yjued with me iltling .ivisi• Bathtubs Sewer Connection Dryers ❑Gas ❑Electric Sub Panel Date J / G7 APPIi•. sail / Fan • EXEMPTION FROM WORKERS • . SATION D-.awn.-- Clarifiers Solar Collectors Motors❑Q7 HP ❑1'h-8 (This section need not be complete• l the permit is for one undred�' 00) or . F,A.U. Inc.Solar ❑9.15 HP ❑16-15+ less). Dishwasher _ Solar Piping I certify that in the performance of the work for which this permit Is Issued I - Fixtures snail not employ any person in any manner so as to become subject to the Drinking Fountains ; Solar Tank - Micr ve Workers' Compensation Laws of California. - Date Signature _ - Floor Drains t ' Swimming Pool w/Spa Device Boxes Pole Light NOTICE:If,after making this declaration,you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks final Outlets Range comply with such provisions or this permit shall be deemed revoked. - , _,-_ Gas Service Outlets Water Closet Sign LENDING AGENCY Switches Si n I hereby affirm that there is a construction lending agency for the performance - of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name -- - - - --- Generator ❑O5 KW ❑5-15 KW Trash Compactor Lender's Address Kitchen Sink Wate;Service OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains - the Contractor's License Law(Chapter 9(commencing with Section 7000) of - 7,vision 3 of the Business and Professions Code) or that he/she Is exempt Reinspection Fee $15 Issue Fee $ 3 ;:1).-t;1.5om and the basiscfor the alleged txsmAey pinof Section 1.5 any re aant for a permit subjects the applicant to a civil �1F-= ally of not more than five hundred dollars ($500). -- DEVELOPMENT SERVICES REQUIREMENTS: L I I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 Zoning Approved By Date compensation, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Data License Law does not apply to an owner of a property who builds or improves _ ._—__-- _— thereon, and who does such work himself/herself or through his or her own 1 {nT/� employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 Application Issued By Dat sale. If, however, the building or improvement is sold within one year of coin- - Canopy Type II ❑ SUMMARY OF FEE pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System • PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or Improves thereon,and who Contracts for such oroiects with a con- tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration I PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ./•��. ELECTRICAL $ • GRADING $ ❑ I am exempt under Section B. & P.C.for this reason 10 Firepl/Fact.Blt. ICBG# 2301 Fire Dampers //yO it _ MICROFILM $ HeatingS I r PLAN CHECK 50% $ Date Owner System& Ducting Registers OfZ. G I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTU MECHANICAL $ ��.�` TOTAL FEE $ !O•S information orrecl. I agre. to co•iply wit all city and county ordinances PLAN CHECK 25% $ and state .ws •lating to •Sing 8 nstru •n, and hereby authorize repre- sentativ•. of as t - toll' -...% , - above-mentDOOeed proper for inspectl•n puny, - •ddC( 14 -_ Drivers'Signet ur �- Reinspection Fee $15 Issue Fee $ Cob• 01 BQ'�Zc-6?-0002A467 TO 'r License or SS 9 / i 5.0: 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 03/16/B9 TIME: 11v.: CONSTRUCTION AND PLANNING - POOSPA -APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool,& Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd: 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings i 58. Electrical Conduit-Undrgrnd. 8. Foundation I 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. . ' 60. Backwash Lines, P-Trap, ❑ Undrgrnd. 10. Structural Floor System -_i . 61. APPROVAL TO DECK 11. Property Sewer Line& House Connectioni 62. Backwash& Receptor-Final 12. Sewer Cap • -• 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 1 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 CeilinO 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough-Factory Fireplace _ S'/i&/'j4 Lcu APPROVALS Permit# 21. Ducts, in Structure 1"; 70. Underground Hydro 22. Ducts, Ventilating 1,-+ • 71.- Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test '✓ ,72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster prown Cow 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 q(y! p 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final •' .1 41. Solar Domestic-Final .- 42. Backflow Preventer ' 43. Backflow Irrigation I • - 1 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations •e- 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 • • / 32'0 -1/.- ',I_., /A2 Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTnCTIOyN�PjE/t MIT - PERMIT NO. TRACT NO. LOT NO. UNIT NO. t A P qp Zone Project Address =�00 C�aCir EG.0 (�W g " `%l J !j ,� S Main Building: Accessory Building: • Applicant's nailing Address �p� TYPE OF CONSTRUCTION L"J NEW U ADD U ALTERATION REPAIR E JZ • Owner's Name /.0 ChD D�/A-ctot'+f L'Jr Phones-fs.0/ ❑ CONVERSION ❑ DEMOLISH Ell OTHER T Front Address 2755 s DESCRIPTION OF WORK/USE OF BLDG. B Rear�fr—art-- 3TLr 27S c>th /Hrej4 A Arch/Eng. License No. TYPE OF PERMIT U GRADING U FOUNDATION STRUCTURAL K Right Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING MECHANICAL S LeftContractor's Name L4"a' µt4'V7vt. PhoneI-5+4S`/ 0 0 'OTHER Ping. Ref.SW Parking Req./Provided PROJECT DESCRIPTION SO. FT. OCCUPANCY Address(mailing) /SLP t^4Yas.vsf,fi.-Q. STY (apr„p_..42/n 2.0 Planning Notes:03S r! CONSTRUCTION TYPE VALUATIONSCity License No. ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION tr I hereby affirm that I am licensed under provisions of Charter 9 (commencing 6w� -'Z PC/bvflf7�g�3A ZOO • with section 7000) of Division 3 of the Business and Professions Code, and Remarks: •V my license is in full force And effect. ELECTRICAL FEES License Class G-2-0 irense No!1W t3't? Automatic Washer Transformer ❑ 15-50 KW Date%a.-f -00 Signature --------APLUMBINGI FEES WORKERS'COMPENSATION DECLARATION Pole Sub. • 0 50+KW ,hereby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink Showers ' Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter Duo to 100 amps d00, Lab. C) N. t.o.V44..+ Policy No W�'Pi1127* Compan iJPf�DA"' Dishwasher Meter Dover 100 amps YS Backflow Irrigation Sewer Capp rtif ietl copy is hereby furnished. �7 Dryers ❑Gas ['Electric Sub Panel Ce{t if led copy is filed with the city BujRfing j� on. Bathtubs Sewer Connection Date 2-/ t e' Applicant AL) v, — -- -6•. Fan Motors 00-1 HP ❑1X-B EXEMPTION FROM WORKERS'COMPENSA ION DECLARATION Clarifiers - Solar Collectors (This section need not be completed if the permit is for one hundred ($100) or - - F.A.U. Inc.Solar 09-15 HP 016-15+ less). Dishwasher • Solar Piping rs I certify that in the performance of the work for which this permit is issued, I . - r - hall not employ any poison in any manner so as to become subject to the Drinking Fountains Solar Tank •,• Fixtures Microwave Workers' Compensation Laws of California. Device Boxes Date Signature Floor Drains Swimming Pool w/Spa C% Pole Light NOTICE:If,after making this declaration,you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range comply with- such provisions or this permit shall be deemed revoked. Switches 9 1 CONSTRUCTION LENDING AGENCY Gas Service OutletsSign 1 hereby affirm that there Is a construction tending agency for the performance Water Closet of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit _ to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains -the Contractor's License t_aw(Chapter 9(commencing with Section 7000)of -•ivision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Foe ! $15 Issue Fee $ 3 ".'�t•rofrom and the basis for the alleged exemption. Any violation of Section 731.5 by any applicant_ for a permit subjects the applicant to a civil - 3nalty of not more than five hundred dollars($500). I DEVELOPMENT SERVICES REQUIREMENTS: LI I, as owner of the property or my employees with wages as their solo Reinspection Fee $15 Issue Fee S 3 Compensation, will do the work,and the structure is not intended or offeredZoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves _ thereon, and who does such work himself/herself or through his or her own Application Issued By Dat I employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or Improvement Is sold within one year of com- Canopy Type II 0 pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground SUMMARY OF FEES prove for the purpose of sale). BUILDING PERMIT $ SMIP $ 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: ,/ _ The Contractor's License Law does not apply to an owner of property who Duct-VentilatingI �IU-100,000 BTU 0100,000 BTU p builds or Improves thereon. and who contracts for such Projects with a con- -/� PLUMBING $ ISSUANCE $ tractors license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of' their worker's Compensation insurance should be provided to me. _ ELECTRICAL $ GRADING $ 0 I am exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers GICROFILM $ PLAN CHECK 50% $ J., r Date Owner Heating System& Ducting Registers MECHANICAL $ VI n `, I hereby certify that I rave read this application and state that the above 00-100,000 BTU 0100,000 BTU TOTAL FEE $ 1 information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws rel. 'ng ld uilding construction,and hereby authorize repre- sentatives of chi •icy t upon the above-mentioned property for 'O Ant- NANDe314— toy inspection purpo - Signature ��'��' Date / 2-'-/ -@>6 • Drivers' License or SS . Reinspection Fee $15 Issue Fee $O — 01 00020977-00020977 TOT :7(1.00 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 12/02/2 TIME: 09:07 ' CONSTRUCTION AND PLANNING POO WA 'APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - t 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 41'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 l 58. Electrical Conduit-Undrgrnd. 8.'Foundation • I 59. Gas Pipe, 0 Undrgrnd.,Test i 9.1 Water pipe-Undrgrnd: I 60. Backwash Lines, P-Trap, 0 Undrgrnd. -10}Structural Floor System � 61. APPROVAL TO DECK -11..Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12.)Sewer Cap 63. Heater & Vent-Final 13 Roof Drains • 64. Plumbing System - Final 14. Rough Plumbing. - 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17: Rough Wiring Sign 68. APPROVED FOR PLASTERING 18; Rough Electrical-T Bar Ceiling / 69. POOL/SPA SYSTEMS FINAL 4 19; Rough Heating & Air Conditioning 7/89 LW FIRE DEPT. REQUIREMENT • 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts,in Structure j 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil 23.1Gas 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 f(•/O-n e-zo 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation • 44. Landscape Irrigation System 45. Sound Attenuation .. 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison -- 50. Gas Release to Southern California Gas Co • - 51. CERTIFICATE OF OCCUPANCY No. Date /3 fey Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MEA CONSTRUCTIO PERMIPERMIT NO. TRACT NO. LOT NO. UNIT NO. A P # Zone Project Address 2 00 EOLLCGL' F' 3 7 7 cc-J H BLDG.B 4701 E. HUNTER AVENUE TYPE OF CONSTRUCTION NEW ❑ ADD ❑ ALTERATION H REPAIR S Main Building: Accessory Building: wn Applicant's Ntailing OELS ❑ CONVERSION ❑ DEMOLISH ❑ OT T Front O Owner's Name HOELSCHER/GUGGENHEIM PA IRS 'AC'S. W/A'TTACHED GARAGEb DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address 4665 MAC ARTHUR COURT, #275 N.B. A I C Right N Arch/Eng. License No. TYPE OF PERMITU GRADING ElFOUNDATION IDSTRUCTURAL K- C Address ❑ TENANT 'ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S Left R Contractor's Name LAZER ELECTRIC, INC. Phone 777-4233 ❑ 'OTHER Ping. Ref.# Parking Req./Provided E Address(mailing) 4701 E. HUNTER AVE. , ANAHEIM 92807 PROJECT DESCRIPTION SG.FT. 9884. OCCUPANCY RS/MS Planning Notes: M 032847 CONSTRUCTION TYPE VALUATION$ T City License No. ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION S. I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: BLDG. TYPE I (10 UNITS) - with section 7000) of Division 3 of the Business and Professions Code, and ELECTRICAL FEES my license is in fuildirpe and effect. 440682 BLDG. PERMIT # B35526 License Class CIU % is No. • Date 01-18 89 Signature PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW WORKERS'COMPENSATION DECL ATIONConstruction Pole Sub. 050+ KW I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers f Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter ❑up to 100 amps e0 Lab. Backflow Preventer Service Sink �LC100291640 CNA INS. Dishwasher Meter Dover 100 amps Pol' y No. Company Backflow Irrigation Sewer Cap _ Certified copy is hereby furnished. Dryers ❑Gas DElectric I0 Sub Panel @ $11.00 EA 110.00 \ Qrtif' c i fled with the city Buildin�y Diy,�3i Bathtubs Sewer Connection Date �p-40-07 Applicant LAZ.LK ELECTRIC. INC. Fan Motors ❑0-1HP ❑1'/S-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors • (This section need not be completed if the permit Is for one hundred($100) orF.A.U. Inc.Solar ❑9-15 HP 016-15+ less). Dishwasher Solar Pi "ng I certify that in the performance of the work for which this permit is issued,I 6 Fixtures @ .75 EA Microwave 4.50 shall not employ any person in any manner so as to become subject to the Drinking Fountains Sol ank Workers' Compensation Laws of California. Date Signature Floor Drains imming Pool w/Spa Device Boxes Pole Light NOTICE:If,after making this declaration,you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks / Urinal • 6 Outlets @ .75 EA Range 4 ,5( comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY - 6 Switches @ .75 ❑EA Si Gas Service Outlets Water Closet -19 4.50 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Clv. CJ - Garbage Disposal Standing Sections Lender's Name Interceptors Water Heater Lender's Address Kitchen Sink Water Service Generator ❑0.5 KW ❑5-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash 9884 SQ.FT. @ 3c 296.52 following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains 15.(0 ns the Contractor's License Law(Chapter 9(commencing with Section 7000)of -. - is Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee ! $15 Issue Fee ierefrom and the basis for the alleged exemption. Any violation of Section 131.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). 3 DEVELOPMENT SERVICES REQUIREMENTS: 6l, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ Zoning Approved By Date •compensation, will do the work,and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By E /� j/ Date License Law does not apply to an owner of a property who builds or improves - _ r sI/� thereon, and who does such work himself/herself or through his or her own AppliotiOn Issued By /��/,� �:_ _ Dat employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement is sold within one year of com- — Canopy ype II 0 ES ` SUMMAR OF'" pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ 0 I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrig ation System tractorsto construct the project (Section 7044,Business and Professions Code: PLAN CHECK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑ 00,000 BTU 10100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon.and who contracts for such oroiects with tractor(s) acon- ENERGY P.C. $ ❑license pursuant to the Contractor's License Law). I am aware that Exhaust System D Multiple System Repair/Alteration I PLAN CHECK 25% $ a.-- proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ y.�J �� GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers HeatingSystemPLAN CHECK 50% $ MICROFILM $ Date Owner & Ducting Registers MECHANICAL $ XXXXXXX I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100,0 0 BTL TOTAL FEE $ 435.02 Information is correct. I agree to comply with all city and county ordinances - PLAN CHECK 25% $ and state laws relating to building construction, and hereby authorize repre- sentatives of this city to enter upon the above-mentioned property for Inspection pub s. 01-18-89 DSirivers'eLi Date Reinspection Fee $15 Issue Fee $ 300024914-000249142 Drivers' Lien e r ss 01 TOT �35.Q2 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting: Goldenrod - Assessor DATE: 01/24/89 INF: 11:12 CONSTRUCTION AND PLANNING POO. WA •APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location • • 2. Soil Pipe-Undrgrnd: - 53. Steel Reinforcement " 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER-Grnd. !r 57. APPROVAL TO COVER-GUNITE 7. Footings f� 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, D Undrgrnd.,Test 9. Water Pipe-Undrgrnd. ` 60. Backwash Lines, P-Trap, D 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 r 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final • 15. Rough Electrical-Conduit 66. Solar System-Final 'lei! 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 9;. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21: Ducts, in Structure 70. Underground Hydro 22\Ducts, Ventilating 71/Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test '72. Underground Flush 24. Roof Framing / 73. Undergrnd.Storage Tank 0Gas 0 Oil .� 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final / / . ,� /� 80. FOOD CERTIFICATE ISSUED 33. Final Electric 77 6 Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory•F ireplace • 38. Final Plumbing . . 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 1^, • 42. Backflow Preventer .J 'r •" 43. Backflow Irrigation ,,% ! i 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 / 3 8o 'V • � J awe'' Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRU ION P Rf ,ll� PEFj➢GIT'y W� TRACT NO. LOT NO. BLDGO�B A P.# I Zone Prdjgct Address 2900 COLLEGE _ C •7�/ 1IcpS Main Building: Accessory Building: Applicant's Mailing Aelress 4701 E. HUNTER AVENUE TYPE OF CONSTRUCTION . ..KNEW U ADD U ALTERATION U REPAIR E Z CI CONVERSION ❑ DEMOLISH ❑ OTHER T Front 0 Owner's Name • • L • IS • ' (• ``F•RS DESCRIPTION OF WORK/USE OF BLDG. ! Rear Address 466,5 MAC ARTHUR COURT #275 N.B. AREA LIGHTING/CARPORT LIGHTING B _ N Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL C Right N PERMIT G Address ❑ TENANT L'J'ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ •A Left R Contractor's Name LAZER ELECTRIC, INC, Phone 777-4233 ❑ 'OTHER I Ping. Ref.# Parking Req./Provided E Address(mailing) 4701 E. HUNTER AVENUE ANAHEIM 92807 PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: 0 M City License No. 032847 CONSTRUCTION TYPE VALUATION$ T ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION / I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: ' ') u with section 7000) of Division 3 of the Busines d 1' Professions Code, and Imy license is in full force 4nd effect. — /�'� 7t•7Z,lI ELECTRICAL FEES License Class 1, lU �7 ; >✓po, X' G J Date 06-13-89 Signature/ ,��tS�(l"' - PLUMBING FEES Automatic Washer Transformer 0 15-50 KW EEE G�D� RRR 0• 50+K W WORKERS'COMPENSATION O ATION Construction Pole Sub. I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers • Workers' Compensation Insurance, or a certified copy thereof (SectionCooking Unit / Meter If p to 100 amps 18'10 100, Lab. Backflow Preventer Service Sink V Policy No. SWC 100291640 Company CNA INS. Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps certified copy is hereby furnished. r certifies/cggy i i led with the city Buil in pwi ion Bathtubs Sewer Connection Dryers ❑Gas DElectric / Sub Panel /1 7515. Date U0-1.1-0Y Applicant LAZER ELECTRIC, INC, Fan �' Motors��HP ❑1%-B �p EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred ($100)or Dishwasher Solar Piping F.A.U. less). Inc.Solar 09-15 HP 016-15+ 1 certify that in the performance of the work for which this permit is issued, I Microwave shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank f 3/ Fixtures .D3. Workers' Compensation Laws of California. - Date Signature Floor Drains / Swimming Pool w/Spa Device Boxes Pole Light NOTICE:If,after making this declaration,you should become subject to the Outlets Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYGas Service Outlets Water Closet Switches Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION / .� T I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash / // _/(J .3 pd following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains I the Contractor's License Law(Chapter 9(commencing with Section 7000)of (/ SD Division 3 of the Business and Professions Code) or that he/she is exempt - Reinspection Fee $15 Issue Fee 7 $y erefrom and the basis for the alleged exemption. Any violation of Section • 31.5 by any applicant for a permit subjects the applicant to a civil nalty of not more than five hundred dollars($500). I DEVELOPMENT SERVICES REQUIREMENTS: • O I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 1 Zoning Approved By Date compensation, will do the work,and the structure is not intended or-offered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves _ _ /1 arm thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I ❑ • Application Issued By Dat:Dat: f/ L•1 • ' employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of cons- Canopy Type II ❑ SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). BUI LDING PERMIT $ SMIP $ o I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractorsto construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who puct-Ventilating ❑0-100,000BTU ❑100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- uENERGY P.C. $ tractor(s) license pursuant to the Contractor's License Law). I am aware that xhast System ❑ Multiple ❑ System Repair/Alteration I PLAN CHECK 25% $proof of their worker's Compensation insurance should be provided to me. ELECTRICAL $ 0•• s- GRADING $ ❑ Iam exempt under Section B.& P.C.for this reason irepl/Fact.Blt. ICBG# Fire Dampers PLAN CHECK 50% $ MICROFILM $ /- (� Date Owner Heating System &Ducting Registers MECHANICAL $ _ �p�•�J I hereby certify that I have read this application and state that the above DO-100,000 BTU 0100,000 BT -- TOTAL FEE $ information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relatin• to building construction,and hereby authorize repre- sentatives of this " to enter - the above-mentioned proper[ for e/ Inspection pursr• Signature ��I _�.� ._-_-,. '' Ob-1 —$9 5 Reinspection Fee $15 Issue Fee $ 3 01 0003:'3334-00035334 TOT '''' '71.-, Drivers' License �T' DATE: 0 4-E9 TIME: 0791 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor • CONSTRUCTION AND PLANNING POO, OR PPPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement . 3, Electrical Conduit Utility-Undrgrnd. 54. Forms .� 4). Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test • '6. Electrical OF ER Grnd. • 6- 57. APPROVAL TO COVER-GUNITE 7'. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test „9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK • -11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 1 63. Heater& Vent-Final 13. Roof Drains ),4 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final r16. Rough Electric Wiring 67. Fencing &Access Approval .il 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT -20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts;-Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough &Test . 1 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Finl / 80. FOOD CERTIFICATE ISSUED 33. Final Electric ?28/� '� Notes: 34. Final Heating & Air Conditioning f/ 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace r 38. Final Plumbing . ' .39. Water Service-Final ri 40. Gas Service-Final I 41. Solar Domestic-Final 42. Backflow Preventer i' /7,( 43. Backflow Irrigation - -i) 44. Landscape Irrigation System !1' 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING )11 • 48. Special Requirements Completed 49. Electric Release to Edison . 50. Gas Release to Southern California Gas Co_ _ - -" 51. CERTIFICATE OF OCCUPANCY - "` No. Date ` ' t ;_• r Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.l` CITY OF COSTA M ' ONS ' U" •N P R IT PERMIT NO. T A T NO. laT NO. UNIT NO. A P # Zone r ':�/ � �9 I4( - 1 2.—O'i �— 51 -- fA Project Address ♦ Jy, � - �� S y S Main Building: Accessory Building: R� Applicant's Mai(44Lyg�Acddress 2. 4S3 V.x/.44_ �3 Cir / TYPE OF CONSTRUCTION 'WEW U ADD U ALTERATION REPAIR i. �i Owner's Name/ He i �6 �T11,�nap RJ�s7/ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER . T Front ^60 N Address "766f NA"-� bee, DESCRIPTIOfy OF ,W—'(�/{�-(�lJtSf�0y8 �. O ti IC IA Rear J I Arch/Eng. Lic No.�/�r 1 TYPE PERMIT/ LJ GRADING UNDATION (�'[`q UCTU RAL I C Right N �� lfi wit III ❑ ELECTRICAL ❑ PLUMBING ❑ ECHANICAL S . Left 0r R Address _ 1 Pin Ref.# Parkin Re /Provided E _pee,: Phone Ara ,` ❑ 'OTHER Contractor's Name n V i "'a sv'�� PROJECT DESCRIPTION SQ. FT. OCCUPANCY �� 9 g Req Q Address(mailing) �'7 s7 (ice! s��Z C PI ning Notes: M /' CONSTRUCTION TYPE VALUATION$ ar�.c�O ' - �1ls� �1 City License No. • 30 9 ZONE GRADING CU.YDS. ACRES •-VGR.96ktra*d ‘cr.rx 64 ear ii'.w1--e �# 41;11h.;1) a� LICENSED CONTRACTOR DECLARATION n^ S. {!N� 1 herby affirm that I am licensetl under provisions of Charter 9 (commencing Remarks: r ��`.�.Q`�' d with section 7000) • Division 3 of the Business and -rofesslons Code, an. a CJ 4.. my Ilcen se is in full ce an effect. '' ELECTRICAL FEES Licen las III ' en--.{i•o�I 1 " d NDate �' 1 /ir1_ , PLUMBING FEES Automatic Washer Transformer 0 15-50 KW \l 1 Signature �i - `•'ORKERS'COMPENSATION DECLARATION - .� COn$treCtlOn Pole$Ub. 050+KW t ` Bar Sink Showers •eby affirm that I have a certificate of onsent to self-insure or a cern .te Norkers' C@@@@@@ Insulan a certified copy thereo (Section Cooking Unit Meter Duo to 100 amps - .,.,00, Lab: c l P _Backflow Preventer Service Sink m s - Policy No. ompany5gy Dishwasher Meter Clover 100 a Backflow Irrigation Sewer Cap P _ • ertified copy is hh rr by furnishedDryers OGas ❑Electric Sub Panel .r letl Lppy g vlv .40444 1 / —Bathtubs Sewer Connection - - atef {. Applican �� Fan Motors 00-1 HP 01%-S EXEMPTION FROM WORKERS'COMPENSATION DECLA-A •N 'T Clarifiers Solar Collectors — (This section need not be completed if the permit is for one hundred ($l0�or F.A.U. Inc.Solar ❑9.15 HP ❑16-15+ less). Dishwasher Solar Piping I certify that in the performance of the work for which this permit Is issued, I Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave - Workers' Compensation Laws of California- Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light , •r NOTICE:If,after making this declaration,you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range , , comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYSwitches Gas Service Outlets Water Closet Sign I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ, C.) Interceptors Water Heater Garbage Disposal Standing Sections - Lender's Name Lender's Address Kitchen Sink Water Service Generator 1:10-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION -- I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains - the Contractor's License Law(Chapter 9(commencing with Section 7000)of ( L.412ivision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 ' ,.;7herefrom and the basis for the alleged exemption. Any violation of Section - 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). I $15 Issue Fee $ 3 VT.� DEVELOPMENT SERVICES REQUIREMENTS: ^� /2..z.�2 I, as owner of the property or my employees with wages as their sole . Reinspection Fee compensation, will do the work,and the structure is not intended or offered _ Zoning Approved By j� DetO for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Y Date License Law does not apply to an owner of a property who builds or Improves _ _ - k- thereon, and who does such work himself/herself or through his or her own Application Issued By Date/2- employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 - sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II ❑ SUMMARY OF S „y pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground ��yy prove for the purpose of sale). BUI LDING PERMIT $ St•CSi'/ SMIP $ - .7L/ ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK r3.r-� tractors to construct the project (Section 7044,Business and Professions Code: $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU • builds or improves thereon. and who contracts for such oroiects with a con- - PLUMBING $ ISSUANCE $ tractor(s) license pursuant to sne Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ IDI am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers — PLAN CHECK 50% $ MICROFILM $ Date ' Owner- Heating System&Ducting , Registers MECHANICAL $ I hereby certify that I have read his app! ation f d state that the above C10100,000 BTU 0100,000 BTL - TOTAL FEE $ •60information i rect. I agree to c mply - all c - and county ordinances PLAN CHECK 25% $ and state la • 3 ting'to build' I -ns •:on o hereby authorize repre- sentatives • 1 city enter loon a1 J—.3 entioned prin to inspection Signature Reinspection Fee $15 Issue Fee $ 3 Lice or SS# �" 01 0002/033-00021035 TOT W.6(1 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor SATE. 12/02/8 $ TIME: 13:25 E, I CONSTRUCTION AND PLANNING POI, &SPA • Dale Inspector Date Inspector APPROVALS Permit # APPROVALS Permit # ti - I 1. Temporary Electrical Service or Pole I 52. Pool & Equipment Location --� 2. Soil ape-Undrgrnd. ,I, - ,} i 53. Steel Reinforcement --, i 3. Elect}i al Conti uit Utility-Undrgrntl. ' .054. Forms t/4.%Electr'ca1 Condui? t'fndrgrnd. _ :.'' 55. Electrical Bonding .%f A it ✓ rt't • - -1Reinfotcemert.t,; ✓, 56. Rough Plumbing & Pressure Test ,•1 i ,. e • 6. (ElectricalUF. R'Grnd. r ' '1 t +� 57. APPROVAL TO COVER-GUNITE '-�-•��'fl -1 r 27 /otmgs (� �,' � ) . '-y if / 58. Electrical Conduit-Undrgrnd. �8,'F,ounffation , ip • /// if 59. Gas Pipe, O Undrgrnd.,Test Ty) t-y g!.Water Pipe-Ugdrgrnd. /i 60. Backwash Lines, P-Trap, 0 Undrgrnd. ,J/ f - y. 10. S`[rugtural FlooriSystem " ' ' ��,15'j 61. APPROVAL TO DECK kVj 1.1 Property Sev r Liner& House Connection I t, 62. Backwash & Receptor-Finaltt, ; 12; SevWer.Cap''l kJ • ^--'I' r�J -•1 11:',1 -/ .) y - 1? A) 63. Heater & Vent-Final 1,3:'Roo5pra#4 `'12 ./ ;: -‘ 64. Plumbing System - Final / 14. Rough Plumbing i ! 65. Electrical-Final _t✓ 15. Rough Electrical-Conduit i 66. Solar System-Final %' 06r Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wir. g 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 ;r 22. Ducts,'V1 ntilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe'=Rough & Test it' 72. Underground Flush 24. Roof Framing73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar-Q fling (Structural) SidNonocoat 75. Dry Chemical X27. Frameand Flashing 76. Dry Standpipe 28: LathinOt1Siding 77. FIXED SYSTEM FINAL 29. Insulation ' 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ' 79. FINAL INSPECTION r 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace' 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final • - / 41. Solar Domestic-Final • " a 42. Backflow Preventer ,', , 43. Backflow Irrigation - 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations [` L'%y��"' r. 47. FINAL STRUCTURE BUILDING �/ L.& 48. Special Requirements Completed H 49. Electric Release to Edison 50.,Gas Release to Southern California Gas Co ' • r 51. CERTIFICATE OF OCCUPANCY No. Date t i. / 3 s7 ` � /� / Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CI Y OFXCOSTA MESA l CONSTRUCTION PERMITPERMIT NO. TRACT NO. LOT NO. UNIT NO. A'B'ily Zone ` 7. „ 13FAlq 2Z� f4I- 112-03 I /al b P1.eject Address�l L� �.�`-V✓t- - - S Main Building: krovi ding: Applicant's Mailing Address 39/a C. Cotor✓R$v i Ar/Afr(:,l� ' TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION U REPAIR I E 2 4 � A SO-iS$ 0 CONVERSION ❑ DEMOLISH ❑ OTHER T Front 0 /v�ner's Name �tw•-� 1\[1/L.1-OP^I"�I L/✓r Phone D CRIPTI eN OF OR /USED BLD . A Rear N /Address •1755 GR,S T OL -1,7.:78- Co 67-,i m.in • e / - �- '�'" IC Right N Arch/Eng. License No. TYPE OF4 RMIT I♦ GRADING . FOUNDATION IN STRUCTURAL Address ACCESS r / / ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S Left R Contractor's Name /tC.CCSS COr✓712.0LI Phoneht3 G Il.D ❑ OTHER I Ping. Ref.# ded E g �j/0 L (Dflo,4fh10 1t)"/RFIcim g2_r07 PROJECT DESCRIPTION SQ. FT. OCCUPANF Planning Notes: Sec .� M Address lnseN It ( C ON STRUCTI ON TYPE VALUATIONS �„ Crrn ILP• r 94 T City License No. */O J- ZONE GRADING CU.YDS. ACRE•S/.CT��^ S. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: • with section 7000) of Division 3 of the Business nd Professions Code, and my license is in f II • ce a. - tett. f CI O ELECTRICAL FEES License las . s S 18 • I 4 LI• nse •. ,'r _/ J • PLUMBING FEES Automatic Washer Transformer 0 15-50 KW Date V Signature -.Ir.LL�i Art.... c - - WORK RS'COMPENSATION DE. R•.�� N Construction Pole Sub. 0 50+ KW •-ereby affirm that I have a certificate o` ent • self-insure or a certificate Bar Sink Showers Workers' Compensation Insurance, or a certified copy thereof (SectionCooking Unit Meter ❑up to 100 amps 30, Lab. C.1� / �/' Backflow Preventer Service Sink Policy Nob.../Y-1, o. ./ I -(JI i07- o T Co pany i C ' C- 0 - Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps I] Certified copy is hereby furnished. , - Dryers OGas ❑Electric `— Sub Panel , S.Certifiey y,4Wiled wit the city Oil•i wit . Bathtubs Sewer Connection Date `7/'>/ '( / pplicant �._ •/'I !I/i Al Fan L (( M /II Clarifiers Solar Collectors Motors�P7 HP ❑1 h-8 Z t. EXEMPT ON eWORKERS'd ' p• O L• RATION -- -- (This section need not be completed if the p Is( e hundred ($100) or Dishwasher Solar Piping F.A.U. less). Inc.Solar 09-15 HP ❑16-15+ I all-no thatm in the performance in of the work for as this permit is issued, I Fixtures shall-not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Compensation Laws of California- - • Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE: If,after making this declaration, you should become subject to the Outlets Range 1 Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal - comply with such provisions or this permit shall be deemed revoked. Switches CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Sign 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Garbage Disposal Standing Sections Interceptors Water Heater • Lender's Name - Generator ❑0.5 KW ❑5-15 KW Trash Compactor Lender's Address Kitchen Sink Water Service OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000) of 'Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee I $15 Issue Fee C 3 i erefrom and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500)- DEVELOPMENT SERVICES REQUIREMENTS: �` • I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 O 9 Zoning Approved By flate�r 1 corr,,)ensation, will do the work,and the structure Is not intended or offered - for ale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date 44q License Law does not apply to an owner of a property who builds or improves -�-U thereon, and who does such work himself/herself or through his or her own Hood or Type I ❑ Application Issued By Date employees, provided that such improvements are not intended or offered for Boiler sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II ❑ SU MA Y OF FEES ' OS' pletiori, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground ^ Ce prove for the purpose of sale). . BUILDING PERMIT $ . SMIP $— ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon-and who contracts for such oroiects with a con- __ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ s� GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers PLAN CHECK 50% $ MICROFILM $ , Date owner Heating System&Ducting Registers $ q I hereby certify that I have read this application and state that the above ❑O-100,000 BTU ❑100,000BT - TOTAL FEE $ 1 information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction, and hereby authorize repre- sentatives of this city to enter upon the above-mentioned property for inspection purposes, ignature a. e f? S113377/.4-00037347 TOT � Reinspection Fee $15 Issue Fee $ 3 E: 'vers' License or SS# - _ _ Y�;,'y1 n :7 n�iu�is9 rm�• 0865-46,rev. 5/88 White - Building; Canary - :••lic• t;'Plnk - Accounting: Goldenrod - Assessor . _ . . - ..CONSTRUCTION AND PLANNING POO- --SPA r` APPROVALS Permit# Date Inspector APPROVALS Permit#�'--. _ Date Inspector .1. Temporary Electrical Service or Pole 52. Pool & Equipment Location -• 2: Soil.Pipe-Undrgrnd. • - 53. Steel Reinforcement 3: Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 5. Steel Reinforcement' •-' 56. Rough Plumbing & Pressure Test 6: Elect1ical UFER Grnd- - '1 ,r 57. APPROVAL TO COVER-GUNITE 7: Footings 58. Electrical Conduit-Undrgrnd. 8: Foundation - •- 59. Gas Pipe, 0 Undrgrnd.,Test • 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, ❑ 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. Root 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 17t. Rough�Wiring Sign 68. APPROVED FOR PLASTERING •18, Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19: Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe=Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74: 'Ove?head: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 �t -40. Gas Service-Final 41. Solar Domestic-Final' 42. Backflow Preventer , - 1 , i 43. Backflow Irrigation 44. Landscape Irrigation System _ 45. Sound Attenuation - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 0 ///7� 48. Special Requirements Completed / ,49. Electric Release to Edison • - - - 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY 'I No. I Date t ) 0 Access Controls. July 7 , 1989 City of Costa Mesa 77 Fair Dr . Costa Mesa , CA 92627 Attn: Dennis Johnson Dear Dennis , We ' ve been contracted to install the automated gates at Village Creek Apts . , 2900 College Ave . by Lucas Development . The gates will meet the following criteria : 1 . The gates will be constructed of 6 ' high wrought iron and will be sliding or rolling. The gates will completely cycle open out of the driveways to preserve the full 25 ' opening. 2 . Residents will use a hand held radio transmitter to enter the project and visitors wil be able to park in any of the 11 parking stalls provided outside the Village Way gates . Pedestrians will have free access through the project since the gates will cont.rol�vehicurlar access only . 3 . All gates will be eq led with a Knox key switch for Fire Dept . acces Enclosed please find asset. t 'plans showing the gate locations . If you have any ques.tjons Please feel free to call me at (714) 630-6120 . NsmusTb• .1( Y ! .'S WITHOL i l,1 SIPLA' �5 Sincerel ' 74T1 (2— J AN L. rni. V r o� S S vaI OolAzae3 ,,,, - , .., 136? ACCO OLS INC . I Q_� �li‘cFI /+�'r�1+2 + c Jin ✓ ..r - �7•i° . � , �7f� ,, iI1l Ft P� :rters & Manufacturing_ _ _ Offices in: ' Boulevard Anaheim San Francisco a 91502 Palm Springs Baltimore, MD tion - Number 286088 0 Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. MIT NO. TRACT NO. LOT NO. UNIT NO env of COSTA qy g�O T' CTION PER�pIT Y A.P.# zone }• aU j��;�, IC U2pc 3L5 3 , < -� �" -3 ��fl—Kiz -03141 - 351— off 12Cf Project Address S Main Building: Accessory Building: Applicant's Mailing ••dr•ss i M/ /4(• TYPE OF CONSTRUCTION EW U ADD ALTERATION LJ REPAIR / Z f - SENV . A-s // / ❑ CONVERSION 0-DE LISH ❑ OTHER T Front 525 O Owner's Name •. .vf� !! DESCRIPTION OF'WORK/USE OF BLDG. IB Rear N Address • • �� min l: :�1, �+ �� '� �y A I Arch/Eng. / �." • License No. �Ll_ _ Tie OF fIERMIT U GRADING NDATION •SLG-LRUCTURAL K Right G Address 17 �� ✓/ _LJ TENANT ❑ ELECTRe ,�s` 'P MBif�G �❑ HANICAL s Left �O1 • R (w Contractor's Name L 11Gi'% 47 • Phone 9 -iC-c, ❑ 'OTHER 1 ?{�'�(. ✓!� tI�o A,} I Ping. Ref.# p„ --e'a •9r Parking Req./Provided E "\ Address(mailing)��SS ate s' 'L 'L7S C,^ PROJECT DESCRIPTION SQ. FT. OCCUPANCY "1' et planning Notes: _(� 1 M ^ �� Il - ZONSTRUCTION TYPE VALUATION $ a-3•'OQ• / Qts � �q /' �\s.rt A- ._ 45 �, T Q City License No. a�ry/ ZONE GRADING CU.VOS. ACRES m4- s M C, I_ T^� LICENSED CONTRALTO D CL RAT ON �-s G S. % I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 1:7( ss--2_`6 with section 7000) of Division 3 yyy f the Business and Professions Code,and • — \ my license is in full for .nd effep[. �a 6 / �� ELECTRICAL FEES Licen - Class ' 1 Lice. a N•r f 0 15-50 KW I �J% 4 e 'y PLUMBING FEES Automatic Washer Transformer \ Date , ignaturD _ • 0 50+KW WORKERS' COMPENSATION DECLARATION . Bar Sink Showers _r Construction Pole Sub. . 'hereby affirm that I have a certificate of consent to self-insure or a certific. - — Workers' Compensapn Insure a certified copy thereof ( -ction Cooking Unit Meter ❑up to 100 amps ;00, Lab. y/ Y— z • ` Backflow Preventer Service Sink 76 Dishwasher Meter Dover 100 amps Policy rvo, o pony 1�J - A. .� Backflow Irrigation Sewer Cap art ifietl copy is her rn ishe• , Dryers ❑Gas DElectric Sub Panel ifed cop sJjl th the ci i•• • ilio .•R 4rq/ . Bathtubs Sewer Connection • ate 12/, Applican��a� ; AI,LAI Fan Motors 00-1 HP 01%-8 EXEMPTION FROM WORKERS'COMPENSATION DECLAR Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred($1116 or Dishwasher Solar Piping F.A.U. Inc.Solar❑9-15 HP ❑• 16-15+ less). 1 certify that in the performance of the work for which this permit Is issued, I Fixtures v' shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE:If,after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign , I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Clv. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address - Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law (Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee ! $15 Issue Fee $ 3 ,therefrom and the basis for the alleged exemption. Any violation of Section - 7031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). 3 DEVELOPMENT SERVICES REQUIREMENTS: LiI, as owner of the' property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee. $ Zoning Approved By Date 11--2.-Cgg compensation, will do the work,and the structure is not Intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves __ _ ___ ,___.__ __ t q thereon, and who does such work himself/herself or through his or her own Application Issued By Date /f-'".-•-- , employees, provided that such improvements are not intended or offered for Boiler ' Hood or Type I ❑ sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FE S pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground prove for the purpose of sale). BUI LDING PERMIT $ i-y d0 SMIP $ r ❑ I, as owner of the property,am exclusively Contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ 'S}• (� PERMIT tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or Improves thereon. and who contracts for such projects with a con- tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ GRADING $ 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact. Bit. ICBO# Fire Dampers PLAN CHECK 50% $ MICROFILM $ _ Date Owner Heating System& Ducting . Registers MECHANICAL $ U /. ba I hereby certif that I have rea•a this •licatio ' and state that the above 00-100,000 BTU 0100,000 BTI.— TOTAL FEE $ in/ormatio• or act. I agree to •mp/ Ith all/Ity and county ordinances PLAN CHECK 25% $ and stale aws +,,,t[[[ting t• buil.'•�c•.s�� It •n end hereby authorize repr sentative of Nj it • er% '/•i e-mentioned property inspectio pur•• f —fit Slgnatur: • - .��_ 01 00021039-00021041 TOT 3 DATE: 12/02/88 TIME: 9.60 Ifa� '-n6,rev.5/88 White - :ui ding; Canary - Applica Pink -Accounting:Goldenrod - Assessor .S:c(. • Zt \ \ - CONSTRUCTION AND PLANNING ti" r,• POOL-8, SPA 'APPROVALS Permit # Date Inspector APPROVALS Permit# Date Inspector " 1. Tempdrary Electrical Service or Pole L; 52. Pool & Equipment Location - � ) r do 2. Soil,Pie-UnUrgrnd. 53. Steel Reinforcement ---7.,r"_/- .3:-Electrical Conduit Utility-Undrgrndr ;c ! 54. Forms ✓2 ry Electrical Conduit;Undrgrnd. " •r 55. Electrical Bonding -» '�) b ;5! Steell Reinfvrte»ent !) a 56. Rough Plumbing & Pressure Test .6a ElecjriCal-UFF'R u fid • °j� --� 57. APPROVAL TO COVER-GUNITE Yn r 7., 1 :7.:fgip .'7":Foot gs � -, r t �o„ 58. Electrical Conduit-Undrgrnd. _-_ I r l l , ft,.E,oun`dation'� `� i 59. Gas Pipe, ❑ Undrgrnd.,Test I 9:7Wte Pipe-Undrgrnd. t) ) t"� 60. Backwash Lines, P-Trap, 0 Undrgrnd. • -�‘1{1 10. Structural Floor System fir°��J 61. APPROVAL TO DECK I r.:' 11.'Property Sewer Lirie.'& House Connection (q 62. Backwash & Receptor-Final + -!. ., v t:'� f .J-.+•• ,, 'i' _ --4 12i Sewer Cep'1 I Al u ✓ / r�-°=Yti 63. Heater & Vent-Final vJ eT ca 13. Rock Drains' `t r: - i i + tr." t 1 64. Plumbing System - Final '-; 14. Rough P1Gfnbing.• ''; %•'' 0 65. Electrical-Final Ca 15. Rough Electrical CJriduit j 66. Solar System-Final / ,1.67 Rough Electric Wiring 67. Fencing & Access Approval i 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, Ventilatiii'g 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough,'& Test 72. Underground Flush 24. Roof Framing �,4. 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical • 27"'Frame and Flashing 76. Dry Standpipe 28. Lathing &^Siding , 77. FIXED SYSTEM FINAL 29. Insulation ' • • 78: FIRE PREV. FINAL 30. Drywall Nailing5 HEALTH DEPT. REQUIREMENT x,...---- 1 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 c I. " .+ 41. Solar Domestic'Final i '1 42. Backflow Preventer - l•, 43. Backflow Irrigation is 44. Landscape Irrigation System 45. Sound Attenuation t 46. Handicap Regulations 47. FINAL STRUCTURE& BUILDING ‘.48. Special Requirements Completed r'd7 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY ', .If /'; iNo. Date • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO. TRACT NO. LOT NO. UNIT NO. CITUOACOSTA MESACONSCc' l"i�N PERMIT C 3154,0 r] A.P.# I Zone Project Address q{�Q / ri 41 - S Main Building: Accessory Building: Applicant's f`eiling Address TYPE OF CONSTRUCTION KNEW U ADD Li ALTERATION U REPAIR E Z �o MCh/.y CI CONVERSION CI DEMOLISH ❑ OTHER T Front - 0 Owner'• ame ' I UCAS ��'✓� P r Phone DESCRIPTION OF WORK/USE OF BLDG. A Rear N Address I--� Arch/Eng- License No. TYPE OF PERMITj�{' ❑ GRADING IE FOUNDATION ❑ STRUCTURAL • I C Right N Address ❑ TENANT ll ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S • Left Contractor's Name`rem? Fb(.�t,� 5 y5Yrn Rhone 63Z-1Pf1 El OTHER / Ping. Ref.#' Parking Req./Provided E Address(mailing) 1/11 AJ. 1 U`7T Is f7/�1�'/te,M PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: M CONSTRUCTION TYPE VALUATION$ City License No. 9 f 2� ZONE GRADING CU.YDS. ACRES T LICENSED CONTRACTOR DECLARATION S' I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: with section 7000) of Division 3 of the Business and Professions Code,and my license is in full foe a cbfect. (J�7 U - ELECTRICAL FEES License Class �. G� CJ Linse No. LIC3 Automatic Washer Transformer ❑ 15-50 KW Date '- al- Signature , ! r•�• 4. .i• WNs. PLUMBING FEES WORKERS'COMPENSATION DECLARATIO ( Construction Pole Sub.' 0 50+ KW I hereby affirm that I have a certificate of conse to self-insure or a certificate _Bar Sink Showers 7 SO of Workers' Compensation Insurance, or a certified copy thereof (Section - Cooking Unit Meter gip to 100 amps ' 7800, Lab. C.) Backflow Preventer Service Sink Policy No. Company Backflow Irrigation Sewer Ca Dishwasher Meter Dover 100 amps .❑ Certified.copy is hereby furnished P , (R§,Ce 3ti op 'lied with the Cit t`uildin• D',�, , �_i_ a Bathtubs Sewer Connection Dryers DGas ❑Electric Sub Panel Ozte wa Applicant r `• - EXEMPTION FROM WORKERS'COMPENSAT[.1:'r EC ON Clarifiers Solar Collectors Fan Motors Do-i HP 01%-8 (This section need not be completed if the permitl�' r one hundred ($100)or less). Dishwasher Solar Piping F.A.U.FAUinc.Solar ❑9-15 HP ❑16-15+ I certify that in the performance of the work for which this permit is issued I Fixtures shall not employ any person in any�p([nnanner so as to become b ect tq t{te Drinking Fountains Solar Tank Microwave I WorkDate. GiiO ns Si af Caliyhpia. , Date L-4-‘ "n{-asignature 1L�J ,�/• A1_ \ Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTIC :If,after making this declaration,you shpt''become subject to the Outlets Workers' Compensation provisions of the Labor •de, you must forthwith Floor Sinks Urinal Range comply with such provisions or this permit shall be deemed revoked. • CONSTRUCTION LENDING AGENCYGas Service Outlets Water Closet • Switches Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor ' OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Traces • any structure, prior to its issuance, also requires the applicant for such permit - to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains 1 the Contractor's License Law(Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section Reinspection Fee $15 Issue Fee `7031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). I - DEVELOPMENT SERVICES REQUIREMENTS: LII, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or-offered _- Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By License Law does not apply to an owner of a property who builds or Improves Date�� thereon, and who does such work himself/herself or through his or her own Application Issued By Dete employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement is sold within One year of com- Canopy Type II 0 pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground SUMMARY OF FEES prove for the purpose of sale). - BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: _ The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑o-100,000 BTU ❑100,000 BTU builds or improves thereon-and who contracts for such orolects with a con- PLUMBING $ ISSUANCE $ tractor(s1 license pursuant to the Contractor's License Law). 1 am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof o their Worker's Compensation Insurance should be provided to me. - Sv GRADING $ 0 lam exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers ELECTRICAL $ ZZ PLAN CHECK 50% $ MICROFILM $ Date Owner Heating System& Ducting Registers \-bl I hereby certify that 1 have read this application and state that the above 00-100,000 BTU ❑100,000 BM— MECHANICAL $ TOTAL FEE $ 2 Z , Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ land state laws relating to building construction, and hereby authorize repre- sentatives of this city to enter upon the abov; entionedQproperty for � I • Signattio u a `r S. - aye — �A Date (`u- vZ Drivers' Li : - or SS gie Reinspection Fee $15 Issue Fee $ 3 01 00015170-00015170 TOT 22.50 - BATE: 09/22/82 TINE: 12:08 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor • CONSTRUCTION AND PLANNING POOL&SPA Date Inspector Date Inspector APPR,O�VALS Permit# • APPROVALS Permit # 1. Temporary Electrical Service or Pole rta.4 / //. 52. Pool & Equipment Location " 2. Soli Pipe-Undrgrnd. 53. Steel Reinforcement 3.1 Electrical Conduit Utility-Undrgrnd. 54. Forms 4.'Electrical Conduit-Undrgrnd. - 55. Electrical Bonding 5.ISteel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd., 57. APPROVAL TO COVER-GUNITE 7. Footings 1 58. Electrical Conduit-Undrgrnd. I ' 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9.,Water Pipe-Undrgrnd. - '1 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor-System f 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13.IRoof 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 .1,71. 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 y 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank O Gas 0 Oil 25. Roof Sheathing � 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL -- 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final q4 ) FOOD CERTIFICATE ISSUED d `r 33. Final Electric { L3/S6 ana otes: 34. Final Heating & Air Conditioning -- 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation , 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUI LDING 48. Special Requirements Completed 49. Electric Release to Edison -. 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY . • , No. Date - � . Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • PRIT NO. T CTWaa LpTNO. y U I O. I I., L4 /in 09 51 CITU OF COSTA MESA C! I/S7R' /I a1 PERM .1� 3 6s3 .� I 11 / �� A.P.m c� /y l _ Zona Project Address �- S. - Li - x'11 Q` (L/j / ( S Main Building: Accessory Building: - 2 �„1 TYPE OF CONSTRUCTION ADD ALTERATION REPAIR E Front '• ��a � 4i.��R✓'I- O Applicant's Mai i•g Addresses �^M ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Owner's Name 1 4 Ar '�� T4' • Gr--4v/y��S� DESCRIPTION O�LNOR jrA DG. IA Rear Iha •� try* N Address Q•�p ^ /_ ti 1.•� - / �y D ��t�(�/ V'1 Arch/Eng. I-1401-0 ✓` ._License No. 4.M = TYPE OF PERMIT ❑ GRADING L%DUNDATION RUCTURAL K Right • 2.5 s �la �� G • Address - • er • _ - Sr ❑ TENANT ❑ ELECTRICAL CI PLUMBING ❑ MECHANICAL $ Left �• -' •rj ❑ OTHER Pln Ref. $ I� Parkin Re /Provided / E Contractor's Name l�I�3�jy]1�>�' Phone / l 9 (//\ VD'b� 9 q' �� ; o Address(mailing) c7`75 "Zen r -t.' eC .c , PROJECT DESCRIPTION SQ. FT. OCCUPq�y[C Planning Nates: - 0 t� CONSTRUCTION TYPE VALUATION$/-.C7nU1,U F01t SPppC,�lr T City License No. Q 79,9 ZONE GRADING CU.YDS. ACRES Y ++s4 REQII�I jlgFll�y S. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: (7c - 3 f L.—st�4— with section 7000) of Division 3 of the Business and Professions Code,an. k my license is in full for• and eff-ct. S i ELECTRICAL FEES License Class 4 — e License No of a' •6 6 — Date - anature Vn La'Jarr/ PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WO• K RS'C•MPE ATION DECLA� OBar Sink Showers Construction Pole Sub. 0 50+ KW .;=hereby affirm that I have a certificate of Consent to self-Insure or a cert;/I --4 t,-,::•.,Workers' Compe i n Insurance or certifle• cop thereof :coon Cooking Unit Meter ❑up to 100 amps ' .`fa'00, Lab. i, _74+ r Backflow Preventer Service Sink C• 7� ! Dishwasher Meter Dover 100 amps • "`Policy No. Co pony I �/i Backflow Irrigation Sewer Cap . Certified copy is hereby furnished. r• Certified copy Is filed with the city - g v'.'f . fn' Bathtubs Sewer Connection Dryers ❑Gas ❑Electric Sub Panel a Applicant a- -a - �._;.— EXEMPTION FROM WORKERS'CO ATION D CLA- - �-'.' Clarifiers Solar Collectors Fan Motors 00-1 HP 01%-B (This section need not be completed if the permit is for one hundred ($100)o Dishwasher F.A.U. • Inc.Solar 09-15 HP-01615+ less). Solar Piping I certify that in the performance of the work for which this permit Is Issued I Fixtures ' shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave • Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE: If,after making this declaration, you should become subject to thee , Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range .. comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION'LENDING AGENCY Switches Sign • Gas Service Outlets Water Closet 9 I hereby affirm that there is a permit lending agency for the performance C.) of the work for which this permit 15 issued (Section 3097 Civ. G.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's' Name • Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW - Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed'pursuant to the provisions of Roof Drains - • the Contractor's License Law (Chapter'9,(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 lerefrom and the basis for the alleged exemption. Any violation of Section )31.5 by any applicant for a permit subjects the applicant to a civil - eenaity of not more than five hundred dollars($500). I - 3 DEVELOPMENT SERVICES REQUIREMENTS: /(�,s�(/� �� 1 LJ I, as owner of the property or my employees with wages as their sole Reinspection-Fee $15 Issue Fee $ /1-� 12-zs compensation, will do the work, and the structure Is not intended or offered Zoning Approved By (Vf Dale for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By' Date License Law does not apply to an owner of a property who builds or Improves , __-____ _ _-. ____.__ __ _--________. _. .-. __ f thereon, and who does such work himself/herself or through his or her own Application Issued By ate �•�i-r�"b Ts employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or Improvement Is sold within one year of corn- Canopy Type II ❑ SUMMARY OF FEE pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground • prove for the purpose of sale). - • - .. BUILDING PERMIT $ 511'"" SMIP $ ,,S00 1,as owner of the property, am exclusifely contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ 3 S-�fl tractors to construct the project (Section 7044,Business and Professions Code: PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑o-100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon. and who contracts for such orolects with aeon- - - , tractor(s) license pursuant to tne Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration • PLAN CHECK 25% $ ENERGY P.C. $ proof oftheir Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.8 P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers MICROFILM $ • PLAN CHECK 50% $ /�� Date Owner ,,,111 Heating System& Ducting Registers MECHANICAL $ ,W I hereby certif that I have read thl •ppli •n and ' ate that the above 00.100,000 BTU 0100,000 BTL - TOTAL FEE $ Information - , •ct. I agree to corn I Ity . d county ordinances PLAN CHECK 25% $ and state la s r: g to b Itling r ct Ld .1 reby authorize repre- sentatives •/'chi t• inter IT •P-.IE Paned •ropertj, I ' Inspection • rpm:. , -•� �� _ Signature _A �L A � ��—�� Date Reinspection Fee $15 Issue Fee Drivers' License or SS 3F '�- e 0865-46,rev. 5/88 White - :uil:ing; Canary - •pplicant; Pink -Accounting; Goldenrod - Assessor CI 00021054-00021056 TOT rj,tiD DATE: 12/02/33 TIlIF: 1':E4 _; e, \ CONSTRUCTION AND PLANNING %\ POO' SPA APPROVALS Permit Date\ Inspector APPROVALS Permit # Date Inspector _ �r P 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ,,_ 2. Soil•PipQ-Undrgrnd. l! %' 53. Steel ReinforcementII 3. Elec-fu"cal Co d it Wtility-Undr9rnds•1 t-y 54. Forms (.� 1 4.•-Electrical Conduit-UrSdrgrnd. •••:„.• ' 55. Electrical Bonding :fir 57Steel Reiryfof cement ,r �/ 56. Rough Plumbing & Pressure Test L. ' n I 6tElectricalrFERGlid? 1 57. APPROVAL TO COVER-GUNITE S,ri (. ,\j 7.^fdoting >;t/ ;r L ) 2.- ),_ 58. Electrical Conduit-Undrgrnd. j J -8.'Foundationv .;rl - 7 -l1 59. Gas Pipe, 0 Undrgrnd.,Test C!II t'• r. . . , , -:------rf •-g.-WIer P pe-Undrgrnd. tri. , r !* 60. Backwash Lines, P-Trap, 0 Undrgrnd. ,C.) f /L, •• Li 't ., r v -t t � i i . .I" ,,-• n• ., a' h ral rpt 10,1StrAtuFloor System r •.,( 61. APPROVAL TO DECK i-- I l , 1i. Pr9perty mower Line11& House CdPnection f"a' •1 62. Backwash & Receptor-Final I t.A' -I , 1 f u • -- 4 1244i.SeirGap iI "•' c %�- }!1 ' 4t1 63. Heater & Vent-Final �t 137 Root'jDrains' t' .tt ;5 f .; t tii 64. Plumbing System - Final 14. Rough•ePkirribing/ ,ice I "i, 65. Electrical-Final , 15. Rough Electrical-Conduit }66. Solar System-Final y (416. Rough Electric Wiring i 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 CoridT)ioning FIRE DEPT. REQUIREMENT 20. Roughr••Factory Fireplace ir APPROVALS Permit# 211. Ducts, int Structure 1 70. Underground Hydro 22.vDucts,Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas PipeRough & Test ..i 72. Underground Flush ,24. Roof Frlarn)ng f 73. Undergrnd.Storage Tank 0 Gas 0 Oil -25. Roof Sheathing .),r 74. Overhead Hydro 26. T-Bar1C:fling (Structural) &•Monocoat 75. Dry Chemical 27i Framereiid Flashing ~? 76. Dry Standpipe 28. Lathing&Siding 77. FIXED SYSTEM FINAL l 29. Insulation 78. FIRE PREY. FINAL 30)DrywaII Nailing 'i HEALTH DEPT. REQUIREMENT X31. Plaster Brown Coat'1 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED •I /33t. Final Electric Notes: 34. Final Heating & Air Conditioning HOLD FOR SPECIAL REQUIREMENTS 35. Final Gas Pipe-Test 36. Hood or Canopy '37. Final Factory Fireplace 38. Final Plumbing" 39. Water Service-Final 40. Gas Service-Final • --t• r 4V. Solar Domestic-Final -: 42. Backflow Preventer - t r 43. Backflow Irrigation t 1 . n 44. Landscape Irrigation System 45. Sound "Attenuation 46. Handicap Regulations ') 47. FINAL STRUCTURE & BUILDING Ø'/p a48. Special-Requirements Completed I, I LJ r t1L. 44 9. Electric Release to Edison 1/`-lY • ' tin '50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY , i r_;, No. Date - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTAF}•/ ON T�� PER/� T I PERMIT NO. T ACT LOj�NO. U q.p.# Zone lll//y�1 � � y""� 113 3 6,5-3 �'C� Ll L% /� y ` � /S/lding: 0 /4J/— �/— c'�9 �2 � Project Address S Main Building: Accessory Building: Applicant's ..1.29 A•dress re /. TYPE OF CONSTRUCTION ADD ALTERATION ❑ REPAIR E Z ! D CONVERSION ❑ DEMOLISH ❑ OTHER I T Front Z0 O Owner's Na e a - -a ,.-.. . _ - -�! ' �rt� DESCRIPTIO WO / A B Rear N Address ( �6 S QUI,- �j 3G I C Right 2 •.� pQQyl Pf�r, N Arch/Eng. 42.44A-Cs---- ��(Q/ , License Ng-re* ai TYPE OF PERMIT ❑ GRADING FO ATIDry STRUCTURAL K Oe �Jf G `�]A Address 1796( cats) �` s_Jde- ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL S . Left /- /� 1 R lse L,r 'j .. ,e-,...e. tS3r LI OTHER I Ping. Ref.# / 1 //v �(,�— Parking Req./Provided ) 33 E Contractor's Name Phone (y— Spm/ YVS (fl\ Q / p" PROJECT DESCRIPTION SQ. FT. OCCUP Address(mailing) ��7 ,�n�s'�U (��L � Planning Note : bI M p. CON$T RUCTION TYPE VAWATION "( rA' mama= T City License No. '3O ay 7 ZONE GRADING CU.YDS. ACRES - HOLD FOR SPFCatyy S. LICENSED irm that I liRcensed DECLARATION cc_ - f Z _ I hereby affirm that I am li6ion 3 under provisions Charter 9 (commencing Remarks: ($/(w( with section 7000) of Divlsi of 3 of the Business and rofessions Code, an• \ my license is in f ce'and eff ct. , d b �� ' ELECTRICAL FEES 1 • \ License Class1 - Date --. a Signature Mr..�/� Licer�= o ,-'� PLUMBING FEES Automatic Washer Transformer 0 15.50 KW WORKERS'COMPENSATION D —ATIO ' ..---1Showers Construction Pole Sub. " ❑ 50+KW hereby affirm that I have a certificate of cons'nt to self-Insure or a dIP if h Workers' Compensation Insurance, o . ertlfied copy thereoCooking Unit Meter Dui)to 100 amps • c Lao ?tji ry(i / Service Sink __ . �-6 ��•, C p Dishwasher Meter Dover 100 amps Policy No. p y Sewer Ca — ertified opy Is her b f the ci I - — fpryif' c �s f • n the ci 1. • �!isio•,4 �� Sewer Connection Dryers ❑Gas ❑Electric Sub Panel Dale (/ao��/pp'y/� APplican EXEMP IOT N FROM WORKERS'C• ENSA/•' D CLAR• --'t�'� Solar Collectors Fan Motors❑0.1 HP COA--8 — (This section need not be completed II the permit is for one hundred ($10• orr— less). Dishwasher Solar Piping F.A.U. Inc.Solar 09-15 HP ❑16-15+ I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the a Solar Tank Fixtures Microwave ,y Workers' Compensation Laws of California. . Date signature a Swimming Pool w/Spa Device Boxes Pole Light . . NOTICE: If,after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Urinal Outlets Range • • comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance Outlets Water Closet Sign of the work for which this permit is issued (Section 3097 Civ. C.) Water Heater Garbage Disposal Standing Sections tors Lender's Name Generator DO-5 KW ❑5-15 KW Trash Compactor Lender's Address Water Service P OWNER BUILDER DECLARATION ' I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories • Auto-Wash • following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Tra9s any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement trial he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000) of !,livision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee ! $15 Issue Fee $ 3 ;lrrefrom and the basis for the alleged exemption. Any violation of Section kna 31.5 by any applicant for a permit subjects the applicant to a civil "`trnaity of not more than five hundred dollars($500). 3 .-DEVELOPMENT SERVICES REQUIREMENTS: '❑ I, as owner of the property or my employees with wages as their solo Reinspection Fee I $15 Issue Fee $ / compensation, will do the work,and the structure is not intended or offered • Zoning Approved By r 4. Dat! L�2—a for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL • FEES Building Approved By pir Lam# I,/// Date License Law does not apply to an owner of a property who builds or Improves /) /'' thereon, and who does such work himself/herself or through his or her own Application Issued By I feralr��. 0.•-a...`-- employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I D - _ � �aDate sale. If, however, the building or improvement is sold within one year of com- Canopy Type II D SUMMARY OF FEES �' pletion, the owner will have the burden of proving he/She did not build or int- Duct-Under Ground prove for the purpose of sale). - BUILDING PERMIT $ ,5' " tea SM IP $ ' -y73 0 I,as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System tractors to construct the project (Section 7044,Business and Professions Code: PLAN CHECK $ 3S' (c) PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑O-100,000 BTU ❑100,000 BTU bPLUMBING $ ISSUANCE $ or Improves thereon,and who contracts for such w).I with a tractor(s) cnn- license pursuant to tne Contractor's License Law). am aware thatExhaust System ❑ Multiple❑ System Repair/Alteration I PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation Insurance should be provided to me. • ❑ I am exempt under Section _ B. & P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers • ELECTRICAL $ GRADING $ PLAN CHECK 50% $ ,MICROFILM $ . Date Owner Heating System& Ducting Registers MECHANICAL $ �9• 60 I hereby certify that I have re.. thi- TOTAL FEE $.pplicati•- and state that the above ❑0-100,000 BTU ❑100,000BT informatio s orrect. I agree [4om,y, wit al!city and county ordinances PLAN CHECK 25% $ and state .ws) dating 0 build,.. co rutin and hereby authorize repre- • sentatives of city to e' •%� t / •f• mentioned Property fI� Inspection purp ,- is - 7.'1 �J Signature a�. • 4/ i /- a��_ Date / `-4 A r Reinspection Fee .$15 Issue Fee $ 3 r Drivers' LL se or SS _ 01 00021060-00021062 T�'aT. 8?.u0 0865,46,rev. 5/a8 White - B di 9: Canary - Applicant; Pink - Accounting; Goldenrod - Assessor DATE: 12/02/83 TIME: 13:49 CONSTRUCTION AND PLANNING /; POO iPA APPROVALS Permit 4 Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole r _ Li 52. Pool & Equipment Location 2. Soil2Pipg-'Utnd grnd. 9'' r'4 53. Steel Reinforcement j 33. Elect idal Conduit Utility-Undrgrnd.. ,v r( 54. Forms • i ,4.LElectcical Conduit-Untl rnd. 1 �- � 55. Electrical Bonding .(5'Steell Reinfor'cremeq�:/ �. A 56. Rough Plumbing & Pressure Test t(t3-" I . 6..,ElectricalrUFER• �Grndt/ r ) 4 57. APPROVAL TO COVER-GUNITE 7�Fobtinr�s' 1 rpt J1.. 58. Electrical Conduit-Undrgrnd. �t�ji,- i., /w "-$ ou of ./ �) :•, FoLndation ij j c� r 59. Gas Pipe, 0 Undrgrnd.,Test r1 / j. 9�3Wat r pe-Un'c)rgr rd!. Re �3 ' y' 60. Backwash Lines, P-Trap, 0 Undrgrnd. 1 )1'7;• 10. StruCtuial Floor System ---•'t:::-6 i,P 1t' 61. APPROVAL TO DECK I • 1't• 1.1+.Prop rt i Sew�'r Line'& House Connection I`^ ,T?1 62. Backwash &1 Receptor-Final I• r 121Sewer Cap,, P 45.• '�f r / ( iJ 63. Heater & Vent-Final -' ;. I ,,• H -.:` r- - , ' f 13/Roof•/Drai n '( -. li1tjl"-'1, re 1:1. . 64. Plumbing System - Final /4 14. RoughPlumbingf 74- i _/ ti" ,1 65. Electrical-Final 15. Rough Electrical-Conduit I I 66. Solar System-Final T6.' Rough Electric Wiring i + 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# 21i.'Ductsrin.Structure 4' 70. Underground Hydro 22. Ducts! Ventilating t't.+ 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe;Rough & Test r' 72. Underground Flush (24. Roof Fra ing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing !V 74. Overhead Hydro 26. T-Bar,Ce)ling (Structural) 0Monocoat 75. Dry Chemical 27rFrame•and Flashing �' 76. Dry Standpipe 28, Lathing.'&"Siding 77. FIXED SYSTEM FINAL 29. Insulation ' 78. FIRE PREY. FINAL I301 DrywaliQNailing �l HEALTH DEPT. REQUIREMENT 31. Plaste Brown Coat •L 79. FINAL INSPECTION LS?. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 133. Final Electric Notes: 34. Final Heating & Air Conditioning HOLD FOR SPECIAL REQUIREMENIS 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing , . 39. Water Service-FiriMI 40. Gas Service-Final 'l; ' ''-'%1 41. Solar Domestic-Final ' 42. Backflow Preventer 43. Backflow Irrigation •- , 4 4 . Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING / ( / 48. Special Requirements Completed ui'bv 49. Electric Release'to Edison U ' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY • -' No. Date /, J• Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO. Qcfriat-c LOT NO. - D3 j -&5--i_ Zone CITY OF COSTA E ON TION EFj__ - 7 ?� as - /l�I'IT yr9A.P.# 411 ,r� IQpct JQC�. rt '/"'1'71L-t,H/' - J�� v � (� �( / , S Main Building: Accessory Building: Project Address ' u uApplicant's Ma7g A•dress - � f S �j - ��PE OF CONSTRUCTIONEW U ADD ALTERATION REPAIR E Front p 7 -� �il/�at t Z Owner's Name J =7xligeter •' . tC 7"' n CONVERSION ❑ DEMOLISH ❑ OTHER T T O '��1�I� + �` DESCRIPTION OF WORK/USE OF BLDG. I B Rear `D r ar pr l N Address (sA ['�•r- ry o f� p` I l Arch/Eng. License No. TYPE OF PERMIT U GRADING DATION L�-t`ST.BVCTU RAL C Right ZS 1- _ G Address / 77 ( -awn) er /N ❑ TENANT ❑ EL TRICAL ID PLUMBINGMECHA ICAAL�--� S - Left b , V R Contractor's Name C.4.�� V 6^7/" Phone 'tics/ ID -OTHER 55 /e 'CL- 2 �•+tel ping. Ref.# n� beg_a Parking Req./Provided iv, ,3'� Q /s PROJECT DESCRIPTION SQ. FT. OCCUPA Y Planningi`� FOR • M (((V��\ Address(mailing) SS /sows'"t' �(/ cps-, CONSTRUCTION TYPE VALUATION$ I Notes: no SPECIAL REQU�h 3 T City License No. ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARA ON f� I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: hi S.L —b'F' -- �+ I with section 7000) of Division 3 of the Business and Prof�Ssi• ode, . • L, my license is in full for d effec/. �/ /l • ELECTRICAL FEES 1 a ,2. V " Licens Class "� • Lb"nsa Automatic Washer Transformer 0 15-50 KW - Date ��Signature _Mr . -4 iIw� PLUMBING FEES WOR ERS'COMPENSATION DEC ATION \ ' hereby affirm that I have a certificate of c• sent to self-Insure or a certif' .,- Bar Sink Showers Construction Pole Sub. ❑ 50+ KW Workers' Compe t' n Insurance •r/j certified copy thereof ect •- _^ Cooking Unit Meter ❑up to 100 amps ,00, Lab.(, i Backflow Preventer Service Sink • Policy No. J� `vr •any rtr J •� Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps entified copy is hereby ur ished. I J— Dryers ❑Gas DElectric Sub Panel Datef" copy is£ed the city'- eI ton. „ ' / Bathtubs Sewer Connection __ Date `.��LL plicant �� A► -- - • / EXEMPT ON FROM WORKERS'COM- SATION DECLARAT • Clarifiers Solar Collectors Fan Motors❑0.1 HP ❑1 K-8 (This section need not be completed if the permit is for one hundred ($10• - - F.A.U. less). Dishwasher Solar Piping Inc.Solar 09.15 HP 016-15+ I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fixtures • Microwave , Workers' Compensation Laws of California. Device Boxes Signature Floor Drains Swimming Pool w/Spa Pole Light NOTICE:If,after making this declaration, you should become subject to the Outlets Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Range • comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY ' Switches Sign Gas Service Outlets Water Closet 9 , I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater ' Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator ❑0-5 KW❑5-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or -- - county which requires a permit to construct,alter,Improve,demolish or repair P—Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions ofRoof ,Drains • - - the Contractor's License Law(Chapter 9 (commencing with Section 7000) of 'ivision 3 of the Business and Professions Code) or that he/she Is exempt • Reinspection Fee $15 Issue Fee $ 3 erefrom and the basis for the alleged exemption. Any violation of Section 131.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). 3 Date DEVELOPMENT SERVICES REQUIREMENTS: ^_ LiI, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ (�✓ Date/2- sQ compensation, will do the work,and the structure Is not intended or offered - Zoning Approved By ll// for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By YY �/ / Date License Law does not apply to an owner of a property who builds or improves __. -• .��/ / thereon, and who does such work himself/herself or through his or her own Application Issued By 4•L, i Date —r1-�V 7 employees, provided that such improvements are not Intended or offered for i Boiler Hood or Type I ❑ sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ SUMMARY 0 FEE r-�-� pletion, the owner will have the burden 01 proving he/she did not build or im- Duct-Under Ground r� . 4V prove for the purpose of sale). • ' BUILDING PERMIT $ 7 -`t' SMIP $ ' ❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ �S:tG PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 0o-100,000 BTU 0100,000 BTU PLUMBING 'builds or improves thereon.and who contracts for such orolects with a con- $ ISSUANCE $ tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System D Multiple❑ System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ _ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ _ ❑ 1 am exempt under section B.& P.C.for this reason Firepl/Fact.Blt. ICBG dk Fire Dampers PLAN CHECK 50% $ MICROFILM $ /'� Date Owner Heating System& Ducting Registers MECHANICAL $ CJSJ I hereby certify that I have read this app!cation and state that the above - ❑o-100,000 BTU ❑100,000 BTU TOTAL FEE $ Information is c•rr-ct. I agree to co ply w,h all cit and county ordinances PLAN CHECK 25% $ and state laws e ti • to bulltlin c n5tr 1lon, an• ereby authorize repre- — a. sentatives of hist to nter n ,e4 aa:/y.:4;11:910:.••• . .. tyfor ISignatturen Pur•ose -/ - Ala Da / 2 - Drivers' License or SS 4fFr Reinspection Fee $15 Issue Fee $ 3 • 0100021048-00021050 TOT 84.60 0865-46,rev. 5/88 White - B.ilding; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 12/02/88 TIME: 13:46 1/ . 'k'L- _ CONSTRUCTION AND PLANNING �>` POG SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole _i, �1 52. Pool & Equipment Location 1 . 7 �� 2. Soil;PipUpdrgrnd. / 53. Steel Reinforcement 97r Elecfncal Coriduit thility-Undrgrriii -" ,'. 54. Forms -21) / "' VJ 'e- 4. Electrical Conduit;Un��grnd. ' 55. Electrical Bonding 5,Steel1Reinf„,,1 cament 3 4 56. Rough Plumbing & Pressure Test r/ -6,erectdrical-el F R'�Gmd' �' 57. APPROVAL TO COVER-GUNITE foil, 7.F.o iing521a ....-, (--/ -y,.., ) 58. Electrical Conduit-Undrgrnd. /•. S�Found�tion '/ >i(.1 %; 59. Gas Pipe, 0 Undrgrnd.,Test 9'.IWatep P}pe-Und grnd. r 1_, �j 60. Backwash Lines, P-Trap, Undrgrnd. M 1�,� 10. Stu turaI Floor System t„3, sal 61. APPROVAL TO DECK j e ]-1..13�{P opIr;y$gwer Line/& House.COOnnection 7---1 62. Backwash & Receptor-Final i 7 1.2! Sewei Cap'/ •/•' ' • '(/<_"---1;-"r ' •�;C 63. Heater & Vent-Final '-1 TI 1'3. ROOf;`D?a in51 77 •J t ei �7 ci ,1 64. Plumbing System - Final 1:1 -7.✓ .r1 'T\ 5' ,1 14. f?oiughiP-umbing" '- I '•1 21 - t` ) 65. Electrical-Final J 15. Rough Electrical=Conduit ` 1 66. Solar System-Final a 1,6.7Rough Electric Wiring 1 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 JP APPROVALS Permit# 21 Ducts, in Structure 70. Underground Hydro • 22. Ducts, Ventilating ;'r 71. Product Piping 0 Gas 0 Oil 23. dm Pipe-Rough.& Test �+ 72. Underground Flush 24 Roof Framing.6I 73. Undergrnd.Storage Tank 0 Gas 0 Oil 1-1 25f Roof Sheathing) r 74. Overhead Hydro 26. T-Bar Ceiling (Structural) �Monocoat 75. Dry Chemical 271 Frame and Fla ing 76. Dry Standpipe af 28' Lathing&<Siding 77. FIXED SYSTEM FINAL 29. Insulation ) 19,1 78. FIRE PREY. FINAL 300)Drywall Nailing- HEALTH DEPT. REQUIREMENT 3b Plaster Brown Coat:r• 79. FINAL INSPECTION Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric 17 Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test HOLD FOR SPECIAL REQUIREMENTS 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing ' 39. Water Service-Final 7 .t 40. Gas Service-Final - } ,j 41. Solar Domestic-Final j1 1, '" 1 r' . 1 42. Backflow Preventer • / 43. Backflow Irrigation 44. Landscape Irrigation.System r- 7 - 45. Sound Attenuation ere,, ` 46. Handicap'Regulations , r 47. FINAL STRUCTURE & BUILDING e� er /it: c 48. Special.•Requirements Completed 1/ ,� -nt. 49. Electric Release to)Edison ,1 I -50. Gas Release to'Sojithern California Gas Co f 51. CERTIFICATE OF OCCUPANCY No. Date ' .r- r- r • _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • 'CITY OF COSTA M(E$.Q ��(�Q)Q�N T ' f ION lrr PERMIT} NO.�•� /\p AC 4O. LOT NO. UNIT O. A P # Zona /' Project Address 1 / r+� C I.- I.J 3& d-T s�L i •'Fw s q z c - � - i 9 Z -d -]� )y 35/- -' 1 TYPE OF CONSTRUCTION IIfKr-Tp1 +EW U ADD ALTERATION LEPAIR S Main Building: Accessory Building: Applicant's Mails • Addr-ss v L� -r �JL E Front �p ,,,rrr��5,,, T- Z Owner's Name df' rl C•_'.p i - / � ,�.. n/ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER -_ T app SLY�M 1 O ' s ._ .w_� �/ ��' � DESCRIPTION QE WOR FBLDGc IA Rear ' It car 04- N Address r►•T/�i�j ��, fff?JJJ/ Sf l/I�� [1 — Arch/Eng. License a�b TYPE OF PERMIT U GRADING kRTeUNDATIONRUCTURAL K Right �A� �-p hi G Address l 7f4 r aOV e t ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S Left 0 S R Contractor's Nam • Phone SI ,.cr? ❑ 'OTHER I Ping. Ref.#Oa.— o�,, 0S Parking Req./Provided /3 /33 U PROJECT DESCRIPTION SQ. FT. OCCUPAN Y Planning 'U Address(mailing/ �.�� 5reC/ e/ a Sj 7 Notes: r�ss1� n M � ^ CONSTRUCTION TYPE VALUATION$ /`` / BULLI agi bP1`i& r T City License No. Jf"r 7'V? ZONE GRADING CU.YDS. ACRES 4 aH4 QUIREh'(F� 1/43 LICENSED CONTRACTOR DECLARATION wi __ - "p S I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: G Sz �nl1 ,�� W ' with section 7000) of division 3 of the Business and Professions Code an. my license is in full f. and of ct. ] / ELECTRICAL FEES — Date(Licer s• Class / • Lie .e r . iv r , _ Signature / �t Jr,/ PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW - WORKERS' COMPENSATION DEC to RATI• Construction Pole Sub. 0 50+ KW 'hereby affirm that I have a certificate /consent to self-insure or iflcate Bar Sink Showers • f Worker ' om ioryjI OSur or a certified copy thereo ection Cooking Unit Meter Dup to 100 amps 3800, La .) q��(P L.- {�) ,/ Backflow Preventer Service Sink /Policy - No. v Co an J/! L V P. p Dishwasher Meter Dover 100 amps Y Backflow Irrigation Sewer Ca ertified copy is furnished. Dryers ❑Gas DElectric Sub Panel ertifi�tl ipet 1S with the cit Bu I 5 n. /' / ARP Bathtubs Sewer Connection a e 11 /� Y Applicant �• Fan Motors 00-1 HP 01•'/x-8 EXEMPTION FROM WORKERS'CO NSATION DECLARATIONClarifiers Solar Collectors E.A.U.(This section need not be completed if the permit is for one hundred ($100)onc.Solar 1:19-15 HP 016-15+ - less). Dishwasher Solar Piping AU I certify that in the performance of the work for which this permit is issued,I Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave • Workers' Compensation Laws of California. Date signature Floor Drains Swimming Pool w/Spa • Device Boxes Pole Light NOTICE:If,after making this declaration,you should become subject to the e i.Outlets Ran Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal 9 comply with such provisions or this permit shall be deemed revoked. • Switches CONSTRUCTION LENDING AGENCY Gas Servide Outlet$ Sign _ I hereby affirm that there is a construction lending agency for the performance Water Closet of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00-5 KW❑5-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash • following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its Issuance, also requires the applicant for such permit - to file a signed statement,that he/she Is licensed pursuant to the provisions ofRoof .Drains - the Contractor's License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 .herefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: 0 I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 %I /2-2_ p p compensation, will do the work,and the structure Is not intended or offeretl Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By �f.��--f..• / Date License Law does not apply to an owner of a property who builds or improves - 1__--�7�1'jam) thereon, and'who does such work himself/herself or through his or her own Application Issued By +7 sate /. -D--•--S-15. employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ - SUMMARY OF FEESif pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ -Ct/- VU SMIP $ ' --.`) ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration SystemPLAN CHECK G': 10 tractors to construct the project (Section 7044,Business and Professions Code: $ SPERMIT i The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0100,000 BTU ❑100,000 BTU ISSUANCE $ ;PLUMBING $ builds or improves rs nt end woo contractsfor such o ).I as with e t a- ENERGY P.C. $ tractor(s) licenseeapursuantrk 'stope Contractor'stioninsurance License be I provided aware that Exhaust System 0 Multiple 0 System Repair/Alteration I PLAN CHECK 25% $ DIproof oftheir worker's Compensation insurance should.& P.C.for this to me. ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.& . .for this reason Firepl/Fact BIL ICBO# Fire Dampers PLAN CHECK 50% $ MICROFILM $ Date Owner Heating System& Ducting Registers MECHANICAL $ . 60 I hereby certify that I have rea. this .pplicat'•n and state that the above 00-100,000 BTU 0100,00067E TOTAL FEE $ I Information orrect. I agree to comp: with / city and county ordinances PLAN CHECK 25% $ and state I 5 •' ting to buil.'s g c• ructio 1, and hereby authorize repre- sentatives .t t ci o eyrA1 til t ,,, •ove-mentions propeltylo ' Signature euro;JL / r —_ pint 7 rr ' SignatureL � e GI 00021045-00021047 T O T 89.60 0865-46,rev. 5/88 Whit- - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 12/02/88 TIME: 13:45 CONSTRUCTION AND PLANNING /).la POG. 1 SPA - APPROVALS Permit# Datej Inspector APPROVALS Permit# Date Inspector -, 1. Temporary Electrical Service or Pole -^ 52. Pool & Equipment Location 2. Soil,,eipe-Undrgrnd. + •. ,• 53. Steel Reinforcement 4..._Elec rib l •Conduit Utility-Undrgrner, , .. tot; 54. Forms C/Electrical Conduit-Und`r§rnd. 1 55. Electrical Bonding /7 .4.9I Ir 's ., SFee R ilnfor"crement :r /' 56. Rough Plumbing & Pressure Test A", -i + Q Electrical LIFER GrridK (1 I r' 57. APPROVAL TO COVER-GUNITE ;ICI _-_--g • 1 r I • _ -. _ ..r7!�Fooii� (' �. ) 58. Electrical Conduit-Undrgrnd. "'-1.n,' �, A.;Fouodation ) V - !, - �1 59. Gas Pipe, 0 Undrgrnd.,Test e1' 91.4/Vatei 1'`pe-Undrgrnd. n+/ 60. Backwash Lines,P-Trap, 0 Undrgrnd. ' I . 'r -b 7a ' 1 ' -1- !-q : i 111 10. Struc▪ tural Floor System /l o , 61. APPROVAL TO DECK „i.1,-•Pi''operty)Sewe'r Line & House Connection / ' _ .'• 62. Backwash & Receptor-Final - I I ' -.1,I' L ' _, ii, i ' ^i!" t. � 1- we /Can) g .! ;f7 1 , %i 1�,1 63. Heater & Vent-Final �°TT 1ji7 1 1,37"Ropt Drams t r (1 . - I U J i I 64. Plumbing System - Final U, 11 14. Rough- umbing/ y 1 7.„-'-/ ;,) 65. Electrical-Final C'' 15. Ro&gh Electrica'hConduit 166. 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 Condi iioning FIRE DEPT. REQUIREMENT 20. Rough.Factory Fireplace % APPROVALS Permit# 21. Ducts(irJ'Structure r +I" 70. Underground Hydro 22!\Ducts,t,V.entilating (A) 71. Product Piping 0 Gas 0 Oil 23. as Pipe-Rough & Test IV 72. Underground Flush 24. Roof Frartiing 1.11 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Slieathing 1 74. Overhead Hydro 26. T-Bar Ceiling (Structural)WMonocoat 75. Dry Chemical 27. Frame,/and Flashing '�, 76.•Dry Standpipe 28r Lathing&\Siding ' 77. FIXED SYSTEM FINAL 29. Insulation i 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 01. Plaster Brown Coat✓,. 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 13. Final Electric /1 Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test HOLD FOR SPECIAL REOiI►RFMFMre 36. Hood or Canopy 37. Final Factory Fireplace • 38. Final Plumbing - - - 39. Water Service-Final -. • 40. Gas Service-Final '41. Solar Domestic-Final • •42. Backflow Preventer I /1 . ' 1 I 43. Backflow Irrigation i ,�. 44. Landscape Irrigation System ' '45. So'uyd" Attenuation 46. Handicap Regulations Al r • 47: FIN4L STRUCTURE & BUILDING F/6 gyy ,, 48. Special Requirements Completed • /q$/'oi 7DgC / I1. 49. Electric I1elease to Edison - - :50'. Gas Release to Southern California Gas Co !' 51. CERTIFICATE OF OCCUPANCY • No. Date • /3go a,L46E_ �/A/-(1/ Applicant to fill in all spaces except those within heavy border tines and sign all appropriate declarations. CITY OF COSTA SA CONSTRUCTION PERMIT • 1 WIT Ni. TRAC NO. LOT NO. UNIT NO. A.P.# - 36 /62_ �' -r,i-on /S1l-3Sl-lq /lvi- /1'-t Zone g� Project Address S Main Building: Accessory Building: Applicant's Mailing Ad r TYPE OF CONSTRUCTION NEW LJ ADD H ALTERATION H REPAIR E 2 _ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' T Front 0 Owner's Name 1 I.(hd1 aF..Li t Phone DESCRIPTION OF WORK/USE OF BLDG. Rear Address 1 i N N Arch/Eng. License No. No. -.TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION LJ STRUCTURAL K Right •�f11 G Address �(jY �,J (� in J ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL s- Left ei, R `fi•J�LQ• 1 �� ,!'tfn i,.^1'1{ ❑ OTHER Ping. Ref.# �,(-p � I Contractor's Name RR (✓> ' Phon -X-/yParking Req./Provide E NCI Address(mailing) +� •Bt'v�/ q PROJECT DESCRIPTION SQ. FT. OCCUPA cY �I 6 PlanningNotes: f I City License No. '�I•I ' T�+� {? � CON STRUCTION TYPE VALUATION $ t zoo 6f1f.\c wg,l,( (6• � %5 1;) M \ ZONE GRADING CU.VOS. ACRES S. 1 LICENSED CONTRACTOR DECLARATION t`7 1 hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: LL 4l I CJS w • SA- I''4, �}• "j 8� f ® 17,j 01614"with section 7000) of Division 3 of the Business nd Professions Code, and I"11 / my license is in fylI force and etre J Sqt v 1 I �f ELECTRICAL FEES License Class G I LI - e No�1�LS O tO1 NIS°µ • SOI ea • w 8 4j 6 -O H"16� Date/l '6 '7 Signat •a, • % - PLUMBING .FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION • CLA f ION Construction Pole Sub. 0 50+KW hereby affirm that I have a cer ficate • r onsent.to self-insure or a certificate Bar Sink Showers 'Workers' compensation In uranc. or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter pup to 100 amps .300, Lab.,,,C..1 Policy No.(,a!1'3 9074 ••- Company I ' J%/ . as ' —•► '' Backflow Irrigation Sewer Cap Dishwasher Meter "p Clover 100 am s aCertified copy is hereby furnished. Dryers ❑Goa ❑Electric Sub Panel Certifi copy is filed with the city 1 it OD vis'•l. Bathtubs Sewer Connection Date]/ '-, WORKERS' i- ' I 4J - -- Fan Motors❑01 HP ❑- -8 (EX ThisMPTION ROM WORKERS'COMPS Tr TION DECLARATION Clarifiers Solar Collectors (This section need not be completed if e •ermit is for one hundred ($100)or F.A.U.less). Dishwasher Solar Piping Inc.Solar 09-15 HP,❑16-15+ I certify that in the performance of the work for which this permit is issued I Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave ,• Workers' Compensation Laws of California. I DCVC¢Boxes Date Signature Floor Drains Swimming Pool w/Spa Pole Light , , NOTICE: If,after making this declaration,you should become subject to the e Outlets Ran Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks - Urinal g comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service OutletsWater Closet Switches Sign I hereby affirmk that therewhiis a permit ssue (Section for the performance Civ. Ce of the work for which this permit is issued (Section 309] C.) Interceptors Water Heater Garbage Disposal Standing Sections • Lender's Name - Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash • following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee ! $15 Issue Fee $ 3 lerelrom and the basis for the alleged exemption. Any violation of Section Dna tfany applicant for a permit l subjects the applicant to a civil � v 'UV penalty by not more licn five hundredrmit (e500). 3 DEVELOPMENT SERVICES REQUIREMENTS: ❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 1 - compensation, will do the work,and the structure is not intended or-offered Zoning Approved By �/� Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By /l. Date (Q- ' -et License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own Application Issued By Date employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ sale- If, however, the building or improvement is sold within one year of com- - Canopy,. Type II 0 SUMMARY OF FEES pietion, the owner will have the burden of proving he/she aid not build or im- Duct- Under Ground p prove for the purpose of sale). - - BUILDING PERMIT $ 385, a0 SMIP $ J. /3 ❑ I, as owner-of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System _ PLAN CHECK 2,4 • 30 tractors to construct the project (Section 7044, Business and Professions Code: $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- _ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# • Fire Dampers MICROFILM $ HeatingSystem . PLAN CHECK 50% $ / 77 77 Date Owner &Ducting Registers MECHANICAL $ TOTAL FEE $ fOJJ•�3 I hereby certify that have read this application and state that the above 00-100,000 BTU 0100,000 BTU - information i corr- t. I agr to comply with all city and county ordinances PLAN CHECK 25% $ and state larel I g to (ding construction, and hereby authorize repre- sentatives o• , i ' y to nter upon the above-mentioned property for inspection p p� /, lli Signature 4 WW •/ Date/1'R r'J ' Drivers' L '=nse r ... _ .2-• Reinspection Fee $15 Issue Fee $ 3 01. 00019333-00014335 TOT 833.43 0865-46,ref. 5 :8 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 11/14/88 TIME: 08:22 • • CONSTRUCTION AND PLANNING , POC .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 t3: Electrical Conc(uiu U{ility-Undrgrnd. - 54. Forms . I 4.,Electrical Conduit,-Undrgrnd. 55. Electrical Bonding Steel Reinforcement 56. Rough Plumbing & Pressure Test e1 6ilElectrical UFOR.Grnd.• - 57. APPROVAL TO COVER-GUNITE 7;1Footings 'lr ".I 58. Electrical Conduit-Undrgrnd. 8• Foundation .'• - ' :'' ' 59. Gas Pipe, 0 Undrgrnd., Test • ..e• 9. Water Pipe-Undrgrndt .• l• ' 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection . 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains l 64. Plumbing System -Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final a6! 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.i Rough Factory Fireplace APPROVALS Permit# 21i. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 'c 72. Underground Flush 24: Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) &-Monocoat 75. Dry Chemical 27. Frame and Flashing - 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation ' ` - 78. FIRE PREV. FINAL 30. Drywall Nailing '?' • HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat , 79. FINAL INSPECTION 32. Electrical Power Meter-Final- 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy -37. Fina4Factory Fireplace 38. Final Plumbing- 39. Water Service-Final 40.'Gas Service-Final X41! Solar Domesticinal 42. Backflow Preventer -. 43. Backflow Irrigation- ' I( 44. .Landscape Irrigation,System 45. Sound Attenuation 46. Handicap Regulations e� 47. FINAL STRUCTURE & BUILDING ,,4 o 48. Special Requirements'Completed O 49. Electric Release to Edison - . ' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date i • Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. MIT NO. ACT O. LOT N•. UNIT N0. CITY OF COSTA I/�I�� 401 CO T ��lU��sCTI•NJPEtRMIT �� T� _ ( A.P.# - ''�.-D�t — 5 (- o' Zone / Project Address / !7ro � &Jay - r I [--C-141/4. 1 S Main Building: Accessory Building: Applicant's Maili•g Address L S L TYPE OF CONSTRUCTION I74 NEW n ADD IN ALTERATION NI REPAIR L E Front a [�o.t+ P 1. a • ❑ CONVERSION El DEMOLISH ❑ OTHER T ID 7Y I r .,[ Owner's Name . K . . - .�—. Phone ' .,v�eF$CFjyjJOy QF WOR Lid.E •F :LD B Rear La' ± t C4rpor/ N Address Yq f /L./Cl-• •�1✓IL GI/ a�N^/5 Z•/ CC/fogr. ?/a(i(i rT ' -a.. A g bid/__ /Q#*IG G ." License NO. N LJ b TYPE OF PERMIT U GRADIN FOUNDATION 11/0 TRUCTURAL i C RI htN Arch/Eng._ c/ie r K Left ' 1 3 C -j.z2�/ CGwdu El TENANT El ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ R Address � Contractor's Nam' - ..' .rtn ' .-' --'• 'Nanette. Mr/ ❑ OTHER O I ping. Ref.sih DR-5%.03 Parking Req./Provided 133)/3� EO g �� `SPROJECT DESCRIPTION SQ. FT. OCCUPA C Address(mailing) J ars ' L C �-Ca Planning Notes: M I CONSTRUCTION TYPE VALUATION§ / HOLD FOR SPECIAL R£QUJREMEIC1� T City License No. so Z ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION ( raj �{/�` [[//�� (�y/.� S. I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: I �J ura try e~, 4 I kr Ors `• oft•+) with section 7000) of Division 3 of the Business and Professions Code, and - my license is in full -rce a • effect. /- / 'T� u ELE TRICAL FEES License Class -•� Li se N.. LL 1 Daten-- 2•••-� ' Signatur-��-� '� PLUMBING I FEES Automatic Washer Transformer D 15-50 KW WORKERS'COMPENSATION DECLARATION Pole Sub. 0 50+ KW \ Bar Sink Showers hereby affirm that I have a certificate of Consent to self-insure or - ertificate Workers' Compensation Insurance Or a certified copy thereof (Section 300, Lab. y Backflow Preventer Service Sink Cooking Unit Meter (pup Kr 100 amps (/Q Policy No. v--Q/ Y2.5" company Arlt 'aBackflowlrriation g Sewer Cap Dishwasher Meter Dover 100amps'Certified copy is here furnishes r / / Dryers DGas OEI¢ttric Sub Panel Cer/if.,((etl 5 gyjy with the c d' • •.ivisi•.,,r 41 x Bathtubs Sewer Connection Date ( // APPlica ....I- 4.....:41 - EXEMPTION FROM WORKERS'C• PENSATION DECLARATI• Clarifiers Solar Collectors Fan Motors DO-1 HP 01w-8 (This section need not be completed If the permit is for one hundred 00) or F,A.U. Inc.Sol g-15 HP 018-15+ less Dishwasher Solar Piping I certify that in the performance of the work for which this permit is issued, 1 Fixtures shall not employ any person in any manner so as to become Subject to the Drinking Fountains Solar . crowave Workers' Compensation Laws of California. Device Boxes Pole Date - Signature — Floor Drains = immin9 Pool w/Spa Light . NOTICE:Compensation making this ionlaratl tn.you ShouldCod ,becomesubject to the comply previsions sn¢ Labor Cade, you et forthwith Outlets Range p Floor Sinks Urinal 9 - comply with such provisions or this permit snail be deemed revoked. _ _ CONSTRUCTION LENDING AGENCY Gas Service • 5Switches Sign I hereby affirm that there is a construction lending agency for the performance Water Closet 9 of the work for which this permit is Issued (Section 3097 Civ. C.) Garbage Disposal Standing Sections Lender's Name Interceptors Water Heater Lender's Address Kitchen Sink Water Service Generator 005 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains • the Contractor's License Law(Chapter 9,(commencing with Section 7000)of "ivlsion 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 erefrom and the basis for the alleged exemption. Any violation of Section P J31.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: D LII, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 /Z--Z-9D compensation, will do the work,and the structure is not Intended or offered _ _-_ - Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By X57— Date L?sa License Law does not apply to an owner of a property who builds or Improves __.___-_ i thereon, and who does such work himself/herself or through his or her own Application Issued By - -- POI /�i�.. aata� a employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I O / sale. 1f, however, the building or improvement is sold within one year of corm Canopy Type II SUMMARY F F ES pietinn, the owner will have the burden of proving he/she did not build or im• Duct- Under Ground prove for the purpose of sale). - BUILDING PERMIT $ Sit 67° SMTP $ c---50 LJ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Ref( ration System • �•ff� /LJ tractors to construct the project (Section 7044,Business and Professions Code: PLAN CHECK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 0100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ 'builds or Improves thereon. and who contracts for such oroiects with a con- _ tractor(s) license pursuant to tne Contractor's License Law). I am aware that Exhaust System 0 Multiple System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ - - proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ GRADING $ 17 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG Fire Dampers MICROFILM $ PLAN CHECK 50% $ Date owner Heating System& Ducting Registers MECHANICAL $ ' I hereby certify that I have read this •pplica`'on and state that the above 00-100,000 BTU 0100,000 BTL TOTAL FEE $ 60 information Is correct. I agree • com•y wit / I city and county ordinances PLAN CHECK 25% $ and state . lating to b ing - -S: ructi• ,and hereby authorize rep - sentativ• of cit/ o 17' r u• 0;4 above-mentioned property Inspecti•n Pur. . A e ice= (/ L SIgnatu - All ..� Reinspection Fee $15 Issue Fee $ 3 01 00021041-00021044 Tl•1T E4,G� 0865-46,rev. 5/88 White - Building: Canary -Applicant; Pink -Accounting: Goldenrod - Assessor LATE% IZ/02/8s TIHE: 13:44 `� \ _ \_ CONSTRUCTION AND PLANNING �c POC SPA APPROVALS Permit # Date Inspector APPROVALS Permit# Date Inspector ..( 1. TempcQ&ryrElectrical Service or Pole y 52. Pool & Equipment Location 2. SoillPi'pe-Undrgrnd. Jv 'sr 53. Steel Reinforcement (' . 3:'Ele6trical' o&duit Lttility-Undrgrnd 7o '' 54. Forms ii t 44)Elecctrrical Conduyt-Up6_rgrnd. p / 55. Electrical Bonding '5?St!'ehR,einfor emerft1, .4 56. Rough Plumbing & Pressure Test ,_-•i n. ;65:Electiidal UFERiGrnd- !) - --1 57. APPROVAL TO COVE R-GUNITE , .! err.' , _ ! ��•�oo[yg� 7.4." 7 �, 58. Electrical Conduit-Undrgrnd. „1 8.;'F6urjdation 1.P 1 �' -1 n' 59. Gas Pipe, 0 Undrgrnd.,Test -"'>• j 9. Water Pipe-UndrgcFlH. -141c j 60. Backwash Lines, P-Trap, 0 Undrgrnd. I ',f 10 Stfuct(lral Floor System f ,i - 61. APPROVAL TO DECK p 11 9 fsro Pert Sewer Lida & House Co n rction I l i_„ 1' g. 4..--....,-"4 t 62. Backwash & Receptor-Final 12aSe 1;, nep,� �,1 Y ��'> 63. Heater & Vent-Final 1 r - 13. Roof,,Dta� s �1 ;�� 64. Plumbing System - Final 14. Rough Plumbing4 - 65. Electrical-Final _! 15. Rough(Electrical-Conduit 66. Solar System-Final !16. Roug tBilectric Wiring 67. Fencing & Access Approval 17.1 Rough Wiring Sign 68. APPROVED FOR PLASTERING 18! Rought,E:riectrical-T Bar Ceiling ' 69. POOL/SPA SYSTEMS FINAL 19'. Rough Heating & Air Conditi&nieng FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace' APPROVALS Permit# 2f. Ducts,lin)Structurela 70. Underground Hydro ,` 22.1 Ducts,-6entilating �% '71. Product Piping 0 Gas ❑Oil 23. Gas PipylRough & Test ✓, • 72. Underground Flush 24. Roof Fr ming I 73. Undergrnd.Storage Tank D Gas D Oil 25. Roof Sheathing •,K 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Mo coat 75, Dry Chemical 27: Frame and Flashing 76. Dry Standpipe 28. Lathing&Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30a Drywall Nailing `A HEALTH DEPT. REQUIREMENT V-.-Plaster Brown Coat•.. 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating& Air Conditioning BOLD FOR SPECIAL REQUIREMENT'S 35:Final Gas Pipe-Test .. 36. Hood or Canopy 37. Final Factory Fifeplace 38. Final Plumbing _ 39. Water Service-Final 40. Gas Service-Final .e r.,' 41. Solar Domestic-Final , , a 42. Backf low Preventer . • 43. Backflow Irrigation • 'j • 44. Landscape Irrigation System • / 45. Sound Attenuation ' • • I , 46. Handicap,Regulations• ; r 47. FINA(_STRUCTURE & BUILDING �./�q a48. Special•Requirements Completed flu 's5 -7A-S-1,- 49. 9ev- -49. Electric Release to Edison 50.'Gas Release to Southern California Gas Co •- 51. CERTIFICATE OF OCCUPANCY r' i ( No. Date -\ &' 1650hXD VILLAGS fA/�-yApplicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA OCA NSTRUCTION PERMIT��I VVV P RMIT NOet-6-7 L TRACT NO. LOT�L+OT NO. UNIT NO, A.P..* �/ , 35/ - /9 /U la�' b 3 s et s/ rh`,,J- ori // (6g� / -/9.2-O , zone Project Address 4 S Main Building: Accessory Building: Applicant's Mailing Address tt,�� TYPE OF CONSTRUCTION be NEW U ADD U ALTERATION U REPAIR Owner's Name /40 etecker (OV en'sevrPhone�l-Z)I6 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front - O 11II -- �''ll DESCRIPTION OF WORK/USE OF BLDG. B Rear IF IN 4'�S Msgt��Y1'1•tGr '8\vq r� ry/ A / I Arch/Eng. 12%Wao1 tent naf'znq License No. TYPE OF PERMIT U GRADING LJ FOUNDATION IL STRUCTURAL I K Right G Address 115(\ Cis .p0'' 1 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S • Left R . Contractor's Name Luca be rab ftnerv1' Phone &SO -1651 ❑ OTHER Ping. Ref.4p • Parking Req./Provided E PROJECT DESCRIPTION SB.-PT. 1060 OCCUPANCY Q Address(mailing) 1155' 'gr�4ia1 -• 1t5? Planning Notes: M i / -(,�tt(�(/7ysQ�{ 0)-L M CONSTRUCTION TYPE VALUATIONS_ 54nab"LJ� n' ;^ - j City License No. ZONE GRADING CU.YDS. ACRES 14.4“.0 .�M�1t/Ltl,. II/ n'/ S. LICENSED CONTRACTOR DECLARATION .�{ 6p► Q I hereby affirm that I am licensed under provisions of Charter 9 (commencingkr Remarks: P.�• +s pit- t/8 A with section 7000) of Division 3 of the Business and Professions Code and rY my license is In full force and effect. •�v� • \ n ELECTRICAL FEES \ License Class €-1 1-51 0 to tense No.25-7-°6 14-2/A.A.M \-1--al Y 1 Date y'ofo'&8 Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS' COMPENSATION DEC ON Construction Pole Sub. 0 50+KW i hereby affirm that I have a certif Ica consent to self-Insure or a certificate Bar Sink Showers o f Workers' Compensation Insure oro certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter Dup to 100 amps 3800, Lab. C.) 00022`•�T �,1j Dishwasher Meter Policy No. ore-.Z5 Company L �u/1a Backflow Irrigation Sewer Cap Dover 100 amps I��I,Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel • )O Cer cried opy is filed with the city Buil g D on. Bathtubs Sewer Connection -- Date9 1q $9 Applicant Fan Clarifiers Solar Collectors Motors❑0.1 HP ❑1'/s-8 EXEM TION FROM WORKERS'COMP ION DECLARATION (This section need not be completed if a rmit Is for one hundred ($100)or - F.A.U. Inc.Solar ❑9.15 HP❑16-15+ .less). • Dishwasher Solar Piping I certify that in the performance o e work for which this permit is issued, I shall not employ any person in y manner so as to become subject to the Drinking Fountains Soler Tank Fixtures Microwave Workers' Compensation Laws o California. Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light • NOTICE: If,after making this declaration, you should become subject to the workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal • Outlets Range - comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet ir' Switches / Sign • I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors • Water Heater . - Garbage Disposal' Standing Sections • Lender's Name Lender's Address Kitchen Sink Water Service • Generator ❑0-5 KW❑5.15 KW Trash Compactor OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash f' • following reason (Section 7031.5 Business and Professional Code: Any city or - county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit 'to file a signed statement that he/she Is licensed pursuant to the provisions of • Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt • - ' Reinspection Fee $15 Issue Fee $ 3 -therefrom and the basis for the alleged exemption. Any violation of Section ; .7031.5 by any applicant for a permit subjects the applicant to a civil yesnalty of not more than five hundred dollars($500). 3 DEVELOPMENT SERVICES REQUIREMENTS: _Op U I, at owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ //////��yy//// /j DD xemcompensation, Contractor's • • gved nate (Set dof ap ly to an ane f aProfessional Code: The mroves • MECHANICAL FEES 'Building Approved By Date ereon Law does not apply to owner if a propertylfwho builds or Improves '©tvj thereon,empland who does such work ove himself/herself Troll or intended his or err own - Application ISSUBd By Dat- L// employees,Cho, ever,provided that suchngor improv Improvements are not within r of d for Boiler Hood oy Type I ❑ sale, If, thethe owner building improvement of pro i sold within one yeard com- Canopy Type II 0 SUMMARY OEFEES .1 p • prove r th will have the burden of proving he/she did not build or im- Duct-Under Ground .. - - GTT/ _yam prove for the purpose the o -'BUILDING PERMIT $ SMIP $ ❑ I,as owner of the property, amSe exclusively contracting with con- Duct-Structural Refrigeration System ,PLAN CHECK' $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU - ISSUANCE $ builds or improves thereon. and who contracts for such projects with a con- PLUMBING •- $ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK ' 25% $ ENERGY P.C. $ proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ GRADING $ IDI am exempt under Section -' - B.6 P.C.for this reason Firepl/Fact.BIL ICBG dk Fire Dampers — PLAN CHECK 50% $ MICROFILM $ Date Owner Heating System& Ducting Registers ik I hereby certify that I have read this application and state-that the above ❑o-100,000 BTU 0100,000 BTL 'MECHANICAL $ TOTAL FEE $ SOL.Information is correct. I agree to comply with all city and county ordinances .PLAN CHECK 25% $ and state laws relating to bulling construction,and hereby authorize repre- sentatives of this city, to - er upon the above-mentioned rop rty for Inspection purp. -s Signature Date S r Drivers' Lice. • o * W4e1SS'SO Reinspection Issue Fee $ 3 01 00C15441-03015443 TOT PC6.56 .till ` DATE: 04/26/8E TIME: 16:43 0865-46, r/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 1 • - CONSTRUCTION AND PLANNING k POOL& SPA APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location if 2. Soil Pir e'Undrgrnd. . t'. 53. Steel Reinforcement t/ 3f'Electrical Coriduit Utility-Undrgrnd. 54. Forms '1 1 F N' ¢. Electrical Conduit-Undrgrnd. `,/, 55. Electrical Bonding i 5. Steel Reinforcement t. 56. Rough Plumbing & Pressure Test / • • '.6; Electrical UFER Grnd .� 57. APPROVAL TO COVER-GUNITE - s i •7:•••Footings •j 1 �� ' 58. Electrical Conduit-Undrgrnd. 8. Foundation .' / P 59. Gas Pipe, O Undrgrnd., Test ' 9. Water Pipe-Undrgrid. • / 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System ., i• 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection ,r 62. Backwash & Receptor-Final 12. Sewer Cap +. 63. Heater & Vent-Final 13. Roof.Drains •• �_ 64. Plumbing System - Final 1. ' • 14. Rough Plumbing' 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final r16. 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) (r.• 71. Product Piping 0 Gas 0 Oil 23. 'Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing •� • - 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro • 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical . 27. Frame and Flashing t • 76. Dry Standpipe 28. Lathing 83-Siding -- 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing •1, HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED n / 33. Final Electric Notes: Se i4 p�OUQG� Ft nO" - g F;re._ 34. Final Heating & Air Conditioning Z- ott_ a ' t ecinl Air _ 35. Final Gas Pipe-Test AZ' a /,IAF /Cx1 ere, ,, ft' 36. Hood or Canopy i / 1 C j' 37. Final Factory Fireplace Vile 0J* 77D GI LIT- o irbaJ 38. Final Plumbing ; . Con-7-re-e• ` 0h.4t e C 4..A, 39. Water Service-Final - 40. Gas Service-Final 41. Solar Domestic-Final . 42. Backflow Preventer - _ 43. Backflow Irrigation 44. Landscape Irrigation System •� 45. Sound Attenuation i 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 74/4 a' 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co • ;' • 51. CERTIFICATE OF OCCUPANCY - • No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • CITY OF COSTA M A a •_= •N PE' MI PE IT NO. CA �;4 � LOT NO. UNIT s O. A.P.# 3 -- t ' Project Address I Slip* _ _ e e ; - Y rO 7 ' $ - g: 4. • �, Accessory Building: Applicant's Mallin• •ddre • a.% i TYPE OF CONSTRUCTION Wa EW M ADD ALTERATION . REPAIR E 0 Z Owner's Nam" _ _ Z ❑ CONVERSION CI DEMOLISH El OTHER T Frolic) ^- -' �''� -i O %'oYffl ) syr f i DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address - - L✓. I'- _t A I Arch/Eng. na. e7..)9. License No. 3ezz6 ' TYPE OF PERMIT ❑ GRADING pp�1 __ C Right N n �h+OUNDATION STRUCTURAL a Address 11'6! W0%) ,CQ✓ie•1a- ❑ TENANT LECTTR�I,CCA�L p❑ LUMBING ❑ ECH'ANNIC�AL $ Left O G �G ljf 0 -OTHER (4 ' eA'SR 9/do Se.OS Ping. Ref.# 41 p R Contractor's Nam • Phone �S 0� 4't .OS Parking Req./Provided E PROJECT DESCRIPTION SQ. FT. OCCUPANCY ,"/ Q Address(mailing) as s g Ce stat- �f C.At • , dA Planning Notes: /• I �1_ /� rs r �• j M City License No. 307 7� ZONE ST RUCTION TYPE GRADING CU.YDS.VALUATION ACRES 6/..1•- v. ea V Q g-fern CL}o_•3 SL 42 .. IS 1 .'0411 T LICENSED CONTRACTOR DECLARATION o- C KA�M yam( KTy- C1 $' I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: _s-O'er Q ' I with section 7000) of Division 3 of the Business and Professions Code, . d 5..� /1 ^' my license is in ful/ •rce nd effect. /4 / ELECTfl ICAL FEES Licen Class r/ • b 1 Date - t.1#Signature ea.?, Li masse d'.' PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION D LARATIO Construction Pole Sub. ❑ 50+KW •ereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers .Workers' Compensation Insurance or a certified copy they of (Section Cooking Unit Meter ❑up to 100 amps, .\ 3800, Lab. })/ `Q,b_. a ( S Backflow i Preventer r Service Sink Policy No. jIi v ��ompany -Carr •PD Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps - Certified Copy is hereby furnish¢• / Dryers ❑Gas ❑Electric — . Sub Panel Cer "1jetico is 14T with the :0 I•I•g rivif . I' r Bathtubs Sewer Connection - ate !L� C Applica Fan Motors❑0-1HP ❑1%-8 EXEMPTION FROM WORKERS' PENSATION DECLARAT Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred -'•••13) or F.A.U. Inc.Solar 09-15 HP 016-15+ less). Dishwasher Solar Piping I certify that in the performance of the work for which this permit is issued, IFixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave - Workers' Compensation Laws of California. Device Boxes Date Signature Floor Drains Swimming Pool w/Spa Pole Light NOTICE: If,after making this declaration,you should become subject to the - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets , , Range comply with such provisions or this permit shall be deemed revoked. --, $in CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches g I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Clv. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name - Lender's Address - Kitchen Sink Water Service Generator 00-5 KW 05.15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to itS issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains •he Contractor's License Law(Chapter 9 (commencing with Section 7000)of vision 3 of the Business and Professions Code) or that he/she is exempt Fee Reinspection erefrom and the basis for the alleged exemption. Any violation of Section P $15 Issue Fee $ 3 .031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). 3 DEVELOPMENT SERVICES REQUIREMENTS: •1 • I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 4 compensation, will do the work, and the structure Is not intended or offered Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By _ L7S Date License Law does not apply to an owner of a property who builds or improves f(+( thereon, and who does such work himself/horsclf or through his or her own - I Application Issued By ; employees, provided that such Improvements are not Intended or offered for Boiler Hood or Type I ❑ {late L ��---- employees, If, however, the building or Improvement Is sold within one year of com- Canopy Type II 0 pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground SUMMARY OF FE S prove for the purpose of sale). - - BUILDING PERMIT $ SV.-C70 SMTP $ F�eJ O I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System tractors to construct the project (Section 7044,Business and Professions Code: PLAN CHECK $ 3 te.P.7 PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- PLUMBING $ tractor(s) license pursuant to me contractor's License Law). I am aware that PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation Insurance should beExhaust System ❑ Multiple❑ System Repair/Alteration P.C.providedr his reason me. ELECTRICAL $ GRADING $ ❑ I am exempt under Section - - B. & .for this Firepl/Fart.Blt. ICBG dk Fire Dampers — PLAN CHECK 50% $ MICROFILM $ Cy Date Owner Heating System& Ducting Registers MECHANICAL $ TOTAL FEE $ g-/ s 60 I hereby certify that I have read this applic ion and state that the above ❑0100,000 BTU ❑100,000BTL information is correct. I agree to co .ly wit ii city and county ordinances - PLAN CHECK 25% $ and state I .ting to b ing •�}} trot ,and hereby authorize rept sentatives of city/o er u1• t," •hove-mentioned property inspectlo Pur•• " • Signature - � Data Drivers' License or 55# Reinspection Fee :$15 Issue Fee $ 3 - al 00021036-000210338 TOT 29.6'J • DATE: 12/02/28 TIME! 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 13:26 ' CONSTRUCTION AND PLANNING Y PO. . SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector .n -• 1. Temporary Electrical Service or Pole �'•' 52. Pool & Equipment Location 1 •-- 'i_. t r t 2. Soil wipe-Ubdtgrnd.• ....•-• 14 53. Steel Reinforcement •Elect ical,Cionduigleility-Undrgrnd' {1 ..`. 54. Forms fl 14./Electri%1 Ctodtlu -Ondigrnd. ' 1 i 55. Electrical Bonding ' ^1, .5.:Steej ReVor6err nt- ;' �� 56. Rough Plumbing & Pressure Test c6(tElec[ IUFER��rgd11 "a_/ y.. i 57. APPROVAL TO COVER-GUNITE c:>-1"/1. -4t.°pti s t� -�r tL • ,' 58. Electrical Conduit-Undrgrnd. %� " 8 oudda'Gon 7 - 11 59. Gas Pipe, 0 Undrgrnd.,Test C...-•i j� Y 9 E,Wate:r;Pi�e-U,pdrgr�T'' .ai'� !ter -4�t� 60. Backwash Lines, P-Trap, ❑ Undrgrnd. I t.i 10f1S4r`,ustural Floor;Sy em .Ert e 1 tr ^...- 61. APPROVAL TO DECK • ('', 1i. P`rpperty Sewer Lin" '& House Connection "-AI 62. Backwash & Receptor-Final i/ n/ '}1 rt C4 4 1 ,e it .. - W u r'l �!1 IN '.1 Gc�\ 63. Heater & Vent-Final 13Rodf%D'rain••••'s /' ,; '2 I I v I> I i 64. Plumbing System - Final 14. Rough Plumbing t 1 65. Electrical-Final T' N. t. 15. Rough Electrical-Conduit 66. Solar System-Final 16:! Rough-Electric Wiring 67. Fencing & Access Approval t17: 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 FactorOireplace 1, 1 APPROVALS Permit# . .- 21'. Ducts, in Stru cure 70. Underground Hydro .- , 22. Ducts, Ventilating I 71. Product Piping 0 Gas 0 Oil t ^ 2313as Pipe-Rough & Test ✓ 72. Underground Flush 24. Roof Framing-eke - 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathin§�r c., 74. Overhead Hydro i 26. T-Bar Ceiling (Structural) &1Vlonocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing&'Sidirig 77. FIXED SYSTEM FINAL 29. Insulation 1'1 78. FIRE PREV. FINAL 30. Drywall Nailingl" '1 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 38.1Fin0 Plumbing • 39. Water Service-Final . . 40. Gas'Service-Final � ' 41. Solar' Domestic-Final r . 42. Backflow Preventer ' 43. Backflow Irrigation - . 44. Landscape Irrigation System . . / 45. Sound Attenuation , 46. Handicap Regulations i , s 47. FINAL STRUCTURE & BUILDING ,,fr 4 48. Special Requirements Completed .f/ ��11 49. Electric Release to Edison - 1 i1 _ 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY , No. Date , S . Os 79) B 373-5-C Type of Sign 2 4_711Veo SV 4... City of Costa Mesa t6(� C tlL�i�L� Abe. 1310 V ❑Electric Q?Non-electric SIGN PERMIT Project Address /j �l R gy'''p-�/�",',, Applicant's Mailing Address lb 14 N• o' A hkLL �'-�ry • Description Programs owner's Name 4' E L SCH6 R . G-LIG-GEN h I gone VVU ❑ Cano py ❑ Shopping Center/Integrated dev. Address 41°65 RC PIMA. 'pL.J D #2'75. NutAcii a ❑ Attraction Board ❑ By Owner/or y ' --q f ❑h City :'OC.�_n nn„ Arch/Eng. License No. Advertising Statuary Date letter sent: --- u -��., j r__ -�� Address Other Office Use Only (7untractor's Name kg1L4- �p •1 ❑ Tract Sign (Security& Right of 8R1lCl^r`rl SIBS �tJC- Phone 11(1��•627• ❑ Variance Property (r I� Entry Agreement ,Address(mailing) I b T� O• 1-�N�L 1 J6 , ❑ Special Event (Request form submitted) CIPlanned Signing A.P.No.I44 1 — to 2'_n -- Zoning Im (� p l' City License No. / O f).2-0 ❑/Change of Copy C.U.P. No "-UAW Q , � � I�,�r .'LICENSED CONTRACTOR DECLARATION [� Sign Dist. /,1' Date Received l —I Ground Illumination /� I hereby affirm that I am licensed under provisions of Charter 9 (commencing ❑ Wall with section 7000) of Division 3 of the Business and Professions Code, and Non-Illuminated Received by my license Is in full fgicp a•• effect. ❑ RoofInterior Illumination License as / acense No. �� ❑ Projecting 0 Street frontage: / __ AlSignature �.�I ❑ Exterior Illumination Wl 62.02p Date .. �. Front: I D�f Ft. Street: ❑ Construction WORKER 'CO PENSATION have ON D'CL' R • ION CO nvenience Right: Ft. Street: reby affirm that I have a certi a : O onsent to self-Insure or a certificate `/ // ' O^ vorkers' Compensation Insurance, or a certified copy there f (Section Super Graphic Left: ' 1 Ft. Street: -1 ° r' _u0, Lab. p ,�/ r�{1./ 060570 © Rear' Ft. Street: Policy No. -, •"� Company Certified copy is h reby furnished. Certified c coy �dy�ith the city Building Div s' I Building set back from ultimate right-of-way ft. Date � �/ [17 Applicant ELECTRICAL I FEES INSPECTION APPROVALS \ EXEMP 10 Fri WORKERS'COMPENSA 0 D CLARATIONSign Location (This section need not be Completed If the per tis or ne hundred ($100) or Fi%tures Sign Date less). Front Rear Right I certify that in the performance of the work fo can ch this permit is issued, Device Boxes Underground Conduit 9 t Left shall not employ any person In any manner so as to become subject to the , Workers' Compensation Laws of California. Outlets Date SignatureSign Description NOTICE: If,after making this declaration,you should become subject to the Switches Sign Dimensions Area Letter Height Workers' Compensation provisions Of the Labor Code, you must forthwith Comply with such provisions or this permit shall be deemed revoked. Foundations // i /�_ / 9 CONSTRUCTION LENDING AGENCY Sign4-1. C 0 (7Jt(h C• Z I hereby affirm that there is a construction lending agency for the performance T (1) S x _ �' J sq,fL of the work for which this permit is issued (Section 3097 Civ. C.) Standing Sections i r/ // Lender's Name 2 '.{ Lender's Address (2) ' x _ _ `-' sq.ft. OWNER BUILDER DECLARATION Rough Wiring I hereby affirm that I am exempt from the Contractor's License Law for the (3) x = sq.ft. following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair - any structure, prior to its issuance, also requires the applicant for such permit l 'A^ n to file a signed statement that he/she Is licensed pursuant to the provisions of Items of Information: 11) IJT 12) N� (3) the Contractor's License Law (Chapter 9 (commencing with Section 7000)of vision 3 of the Business and Professions Code) or that he/she is exempt Framing A erefrom and the basis for the alleged exemption. Any violation of section - Total for Activity �T J31.5 by any applicant for a permit subjects the applicant to a civil Issue Fee $3 p penalty of not more than five hundred dollars($500). _ - W,64 y 7 (() PJr{ ( O D ❑ I, as owner of the property or my employees with wages as their sole Cop Verbage 1JM-6 Compensation, will do the work, and the structure Is not intended or offered Valuation $ /00 • �v for sale (Section 7044, Business and Professional Code: The Contractor's VW Final Electric // QQ _ t - / License Law does not apply to an owner of a property who builds or improves / CZ �1'oST � �e�'t QC.�Yt.:l �PMG! thereon, and who does such work himself/herself or through his or her own l O. SO employees, provided that such improvements are not intended or offered for Planning Fee $ sale. If, however, the building or improvement is sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or im- Building Permit $ '2= ~0 V / prove for the purpose of sale). Ground Sign: Overall Height 5 MMO;/' Planter Area a- x ❑ I, as owner of the property, am exclusively contracting with licensed con- Plan Check $ /6. �— as inal Planning / tractors to construct the project (Section 7044,Business and Professions Code: Electrical $ 'aired Ground Clearance �+ The Contractor's License Law does not apply to an owner of property who /^/ builds or improves thereon, and who contracts for such projects with a con- Plan Check 50% $ /� -y /�' tractor(s) license pursuant to the Contractor's License Law). I am aware that i—` proof of their Worker's Compensation insurance should be provided to me. SMIP $ ' S0 Total Sq.Ft.of All Signage �+� Art O/ r-s/ ❑ am exempt under Section B.& P.C.for this reason TOTAL FEE $ `� • o'�— 1{ /� 10, s pT.Z y0 Date Owner 9- ) r4 This activity Total Site I hereby certify that I have read this application and state that the above II vN Notes: information is correct. I agree to comply with all city and county ordinances DEVELOPMENT SERVICES REQUI'� ENT$: and state laws relating to building construction,and hereby authorize repre- - sentatives of this c,- •mss ter upon the above-mentioned pro r[ r PlanningApproved By: �'/ _ Inspection purpose ` y pP _ Date /4/�/ Signature V colV Date / Building Approved By: i wi�%% Date �il ( -- "ari vers' License Application Issued By: �WirifI�/ril. - - Date •-- IP i 8/86 White-Building;Green-Cotle Enforcement;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor I3-b'O —1721-124-1—..e..> e7/ S QS`790t B a 3°735—' Type of Sign ( f,pCity of Costa Mesa Project Address I I -`i''IA/Ay� Electric IJ�Non-electr SIGN PERMIT Applicant's MailingAAdtdress__,!(9_V �••0 Description Programs Owner's Name - RK l3 Address ii 610.5 tt_ Artkor act 4 ii ��j ��{ Canopy ❑ Shopping Center/Integrated dev. y IV CW11.1n1 Attraction Board �i ❑ By Owner/or 0 b City li .5 _.z. n-_ Arch/Eng. License No. AdvertisingStatuary .„ ..Lf�J_��_. .. J6' il- ��tl - ❑ Date letter sent: - -- -- - - - - .._ ` Address ❑ Other Office Use Only 6RIL ,I I�r_ ❑ Tract Sign (Security& Right of Contractor's Name "I�'1 � �]�h ne ❑ Variance Property s 1 W 9 titEntry Agreement 1`+ I t�2_©% PPR Address(mailing) �v'i"U N. D L�Ot�lt,c�-� �' f IKI U/7 ❑ Planned Signing `S ❑ Special Event(Request form submitted) A.P.No. zoning City License No. 42,0920 ❑ Change of opy mortization) C.U.P.No ;y,_ , - ` LICENSED CONTRACTOR DECLARATION Ground IPX Illumination Sign Dist. -+PIV///yyyyL�[��,Qi /^��rt� ^pate Received 8)1 I hufeby affirm that I am licensed under provisions of Charter 9 (commencing Wall Received b CT [ /�", with section 7000) of Division 3 of the Business and Professions Code, and ` Non-Illuminated y my license is in-��I fuly.fo e�antl effect. Fy-y_CU - ❑ Roof ❑ Interior Illumination ) Gfu(+— j 611:6-Cal Street frontage: t License C a License No. ❑ Projecting .• rl r ❑ Exterior Illumination f 4 Date Signature l Front: • Ft. Street: r� Construction t _ -�— I\` WORKERS' OMPENSATION C A ATION rf'(N Convenience eta Right: I, hereby affirm that I have a cert icate f consent to self-insure or a certificate ��)/j��I CI, Workers' Compensation Insurance, or a certified cop. thereof (Section Super Graphic Left: LS510 Ft. Street: P , . .gg'f" ,00, Lab. Polio No. WI,�Ob0612 Compan . t �6th= Rear' Ft. Street' \\ edified copy is hereby furnished. Certifi co yxf�led with the city Buil.' x Building set back from ultimate right-of-way ft. N. Date 7] '7/ Applicant - /6. ELECTRICAL FEES INSPECTION APPROVALS diI ^ EXEM ON FRO WORKERS'COMP- S•- ION DECLARATION Fixtures Sign I Date 7'' Sign Location �r Atp !r (This section need not be completed if t•e perm t is for one hundred ($100) or 7'r less). FrontRear Right I certify that in the performance of th or which this permit is issued, Device Boxes Underground ConduitLeft shall not employ any person In any manner so as to become subject to the - Workers' Compensation Laws of California. Outlets Date Signature Sign Description NOTICE: If,after making this declaration, you should become subje o the Switches Sign Dimensions Area Letter Height Workers' Compensation provisions of the Labor Code, you mus orthwith comply with such provisions or this permit shall be deet -d revoked. yQ Foundations �/ 3h �j r� CONSTRUCTION LENDING AGENCY ', Sign ✓ 00 O _ V L. ' I hereby affirm that there is a construction lending agency fort e performance CO x - sq.ft. of the work for which this permit is issued (Section '097 Civ. C.) Standing Sections r /� /% Lender's Name - /� r7 Lender's Address (2) t.' x I2 11 = / sq.ft. OWNER BUILDER DECLARATION _ "ough Wiring (3) it fy =// -I" �,.r // I hereby affirm that I am exempt from the Contractor's Licens• Law for the L _ following reason (Section 7031.5 Business and Professional Code. Any city or O xsq.ft. /� county which requires a permit to construct,alter,improve,demo -h or repair — any structure, prior to its issuance, also requires the applicant for s h permit II to file a signed statement that he/she is licensed pursuant to the prov 'ons of Items of Information: (1) 1 (2) (3) the Contractor's License Law (Chapter 9(commencing with Section 700: of Framing y vl i ct A for I - Division 3 of the Business and Professions Code) or that he/she is exe •t Total � herefrom and the basis for the alleged exemption. Any violation of Sectio I :031.5 by any applicant for a permit subjects the applicant to a civil Issue Fee t�/ (' 1 penalty of not more than five hundred dollars ($500). �- ( ) G ❑ I, as owner of the property or my employees with wages as their sole - 10 Al- Copy Verbeg¢�I�✓e ` fm to t I Q1 6 compensation, will do the work,and the structure is not intended or offered Valuation 4- c- ;e3 t for sale (Section 7044, Business and Professional Code: The Contractor's r CO�U Final Electric (2) Qa ,'-e \Arl I�g kms( , cli�Qe pSgaF, License Law does not apply to an owner Of a property who builds or improves ^ a l t thereon, and who does such work oven himself/herself or through his or her own / y--ft'$q (3)_ !1 t 'Q � 110 c'(�-, 11. _ 4- Tel �} employees, provided that such improvements are not intended or offered for Planning Fee $ 7S, 10 O \ �lY)_I( dA.iNr- tJr�l{.� t'YUJU t•t sale. If, however, the building or improvement is sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or im- Building Permit 6.3 •�$ i r-• -e "�� 5./yyu� Z$ rove for the purpose of sale). W. p� Ground Sign: Overall Height • ' " I•Planter Area lap t-I, as owner of the property, am exclusively contracting with licensed con- Plan Check W s'�.�5 . n V— Fie I Planning ' tractorsto construct the project (Section 7044, Business and Professions Code: Electrical Ub t) $ The Contractor's License Law does not apply to an owner of property who tic.—• Q ±3C7 ,-p/ Ground Clearance builds or improves thereon,and who contracts for such projects with aeon- Plan Check 50% $ ' Ala Q Baa V I tractor(s) license pursuant to the Contractor's License Law). I am aware that ♦tsy • 6 Total Sq.Ft.of All Signage proof of their Worker's Compensation insurance should be provided to me. SMIP $ 0 I am exempt under Section B.& P.C.for this reason +� me F f /J TOTAL FEE This activity X34 1 � Total Site 0T• � Date • Owner 22 • G� / r 99—S-97 w //jj I hereby certify that I have read this application and state that the above '` aegplatso-ei /vt -t o information is correct. ee to comply with all city and county ordinances Notes: and state laws relatin••5 uiIding construction, and hereby authorize repre- DEVELOPMENT SERVICES REQUI NTS: ^ �`1� 0.2" /'�a yr • /� y sentatives of this ciA nter upon the above-mentioned pro•-rt for PlanningApproved �� /-`rJ�/ 1 /�, !d/! l inspection purpose I co �„ V. ri By: Date 4. y J Signature /� �. • Date / ' Building Approved By: & t // j'� Date 7- / 'R'�/7 /t, „__ _ -'-, Drivers' Licen Application Issued By: . - . s;� ` ��.-I_i �_ Date 7....4.77__ _____—9 ,\ 0068-30,rev.8/86 White-Building;Green-Code Enforcement;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor .1 /376 -1/.aLai. !l ii, i Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. �r PE MIT NO. ' TRACT LOT NO. UNIT NO. • CITY OF COSTA A CONSTRU ION PER A.P. 1�I - Iq„. -03 Zone V 01 Bi E 31183( er`-IPS o� 33f- `f-71 Project Address I oar, ,�1'!t - u S Main Building: Accessory Building: i . TYPE OF CONSTRUCTION KNEW U ADD ALTERATION LI REPAIR E f Z ApplicaC_ 's MailingAddress H • .-,. . .i I I�'. •.- - yz / - ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front 1 bI 0 Owner s NaAme' ' �� ' .. -' •� •�> Jf� •• v Phone �' 7 DESCRIPTION OF WORK/USE OF BLDG. A Rear G _ N Address tj U A-f2[HUn- Gov¢'( Ms • 'ice 1 Arch/Eng. • 7�' L TYPE OF PERMIT U GRADING U FOUNDATION U STRUCTURAL I C Right 8 C b) N �Yfl� y156 License No. Q I K Let r.v G Address Alen., ,l�aPe4A' IG5.1J ❑ TENANT El ELECTRICAL ❑ PLUMBING ❑ MECHANICAL 001 C! b1 MA1 N IA -567.. 3%/ ❑ OTHER / O a 1 g9 R Contractor's Name D Q7 Phone it L Pin Ref. # Parkin Re (Provided E PROJECT DESCRIPTION SQ. FT. OCCUPANCY PlanningN O Address(mailing) 2� 0 �+4Q 741 � $ .�� ores: pool Ire p_- M Z(o0 3(p 1 CONSTRUCTION TYPE ALUATION$ eh") 000x 1�- / I~ T City License No. ZONE GRADING CU.YDS. All S. LICENSED CONTRACTOR DECLARATION y5 (' ///��1 P ` �r� v I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: ( - C. -'�.i l } 13�SS 1 n..+ Pv 2� kr -e 1 with section 7000) of Division 3 of the Business and Professions Code, and 1 my license's in full •rce -•• fleet. rj� ELECTRICAL FEES License I.ss r Gl Date Signature _� I•• a N . 324.1 PLUMBING 1 S FEES Automatic Washer Transformer 0 15-50 KW WORKE-5'Cr MP NSATION DEC'• RATION COgstrllctlOn Pole Sub. 0 50+KW I reby affirm tha I have a certificate of consent to self-Insure or a certificate Bar Sink Showers i Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter 0up to 100 amps _.00, lab. C -�^ Backflow Preventer Service Sink , Policy No. C-iv p00n0 Company AP) 5• ts.ssc e$F t.0. Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps ❑ Certified copy is hereby furnished. - �61 Certi i y i f d with the city : .�iy fe . / •• Bathtubs Sewer Connection Dryers ❑Gas ❑Electric Sub Pan I Date Applicant a.•-.•.:-� __ .� , Fan ii. Motors Q7 HP�y,--8 13 rj0 EXEMPTi NF M ORKERS'CO 'ENSATIO DE LARATION Clarifiers $plat C011ectorS(This section nee not a completed if a permit is for one hundred ($100)or F.A.U. Inc.Solar -15 HP 016-15+ So less); Dishwasher Solar Piping 0 I certify that in the performance of the work for which this permit is issued I Z` O '71 Fixtures Microwave 2 S shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank / Workers' Compensation Laws of California. , Q-' Date Signature Floor Drains 2 Swimming Poole 1317_, Device Boxes Pole Light INOTICE:If,after making this declaration,you should become subject to the Outlets Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. • CONSTRUCTION LENDING AGENCYI Switches Sign Gas Service Outlets Water Closet O 7ST _ 1 I hereby affirm that there is a construction lending agency for the performance (NI of the work for which this permit Is issued (Section 3097 Civ. C.) Garbage Disposal Standing Sections Lender's Name Interceptors Water Heater Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION r I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair 1a P-Trap Laundry Trays 1 _.i any structure, prior to Its Issuance, also requires the applicant for such permit r to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains I w, the Contractor's License Law(Chapter,9(commencing with Section 7000)of 'i,5'?ivision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee 1 $15 Issue Fee .4-9-- ) ;d:erefrom and the basis for the alleged exemption. Any violation of Section - +.-031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS:. / U I, as owner of the property or my employees with wages as their solo Reinspection Fee $15 Issue Fee $ 3 Zoning Approved By L Date ®1� compensation, will do the work,and the structure Is not Intended or offered - .S;Dit`i.. for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date ill License Law does not apply to an owner of a property who builds or Improves therCOn, and who does such work himself/herself or through his or her own Hood or Type I ID Issued By 2f PT Oat: y- - :dremployees, provided that such Improvements are not Intended or offered for Boiler sale If, however, the building or Improvement is sold within one year of com- Canopy Type II ❑ Motion, SUMMAR V�F FF ES Motion, the owner will have the burden Of proving he/she did not build or im- Duct-Under Ground er prove for the purpose of sale). BUILDING PERMIT $ 2n -- SMIP $ 1 q O /, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU 0100,000 BTUPLUMBING $ t t DO ISSUANCE $ builds or Improves thereon.and who contracts for such or sects with aeon- PLAN CHECK 25% $ ENERGY P.C. $ tractors) license pursuant to me Contractor's License Law). I am aware that , Exhaust System 0 Multiple 0 System Repair/Alteration proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ O 1 am exempt under Section - - ' ' B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers MICROFILM $ Date Owner Heating System& Ducting Registers PLAN CHECK 50% $ .p I hereby certify the I have read this application and state that the above 00-100,000 BTU 0100,00087E MECHANICAL $ TOTAL FEE $ Information is ern I agree - com• y with all city and county ordinances PLAN CHECK 25% $ and state laws e to buil•i - co tr ction and hereby-authorize repre- . nsteos pofu t to n e ab�lve-mentionetl prof inspection put•• PSir V- a [e�,5 ent Signature ves �� /II 17 sate 1 Drivers' Licensf'Crr 55 Reinspection Fee ( $15 Issue Fee $ 3 02 00022366-A025369 TOT _ 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING � . �, POI_ .SPA APPROVALS Permit# Date Inspector APPROVALS Permit# ', - Date/ Inspector t: Se poraryElectrical Service or-Pole - 52. Pool & Equipment Location [�/Zf/� I 7 . _ 91/ - (( if , t. Soil-Pipe-Undr•grnd. •• ;r - - 53. Steel Reinforcement - 3' Electrical Con6uit.Utility-Undr6rhd. _ 54. Forms / 49 • Elecvical Conduit-U'ndigrnd. C/ 't, 55. Electrical Bonding 7 j 51 Steel Retinfyement, r . W 56. Rough Plumbing & Pressure Test t q bt'✓ • 6k EIeFi ical IJFER Grn(1. it 57. APPROVAL TO COVER-GUNITE t TA Ootings• 74 7 58. Electrical Conduit-Undrgrnd. .err .,, 81-Foundation n `i i t`' _ - 59. Gas Pipe, Undrgrnd.,Test 74/144dile 9TMWateitPipe-Uridrgrnil- 60. Backwash Lines, P-Trap,%Undrgrnd. Ill ,i 3_ . 10!7Sfructufal Floor System -1 - - - . 61. APPROVAL TO DECK 1• � • 11):Pi,operty Sewer. Line_& House Connection .i. j• 62. Backwash & Receptor-Final- 74449 a5 72. 'Sewer Clot d �• $ j 63. Heater & Vent-Final yt7 13. Roof Drains it b U ( 64. Plumbing-System - Final rir 14. Ro gh,PlLmbingvi j 0 I 65. Electrical-Final rt 15. Rough Electrical-Conduit 66. Solar System-Final 167 Rough Electric Wiring 67. Fencing & Access Approval 7l .5* pa17. Rough Wiring Sign 68. APPROVED FOR PLASTERING It 1,3,t • 18. Rough Electrical-T Bar Ceili g 69. POOL/SPA SYSTEMS FINAL Oefte s•'�" -1.I Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20: Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure "• r. - 70. Underground Hydro I 22. Ducts, Ventilating (._-•S:- 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough Test W72. Underground Flush •24. 'Roof Framing ^O 1 - 73. Undergrnd.Storage Tank.0 Gas ❑Oil •25,. Root Sheathing/H"- _ r r • 74? Overhead Hydro I - 26. T-Bar Ceiling (Strusturagr&;Monocoat 75. Dry Chemical - 27. Frame and Flashing.. _ I L 76. Dry Standpipe 28. Lathing & Siding fJ h 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 3p'. Drywall Nailing G,( 1r HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat to 79. FINAL INSPECTION 32. Electrical Power Meter-Final' 80. FOOD CERTIFICATE ISSUED 1 33. Final Electric - 1 Notes: ,• 34. Final Heating & Air Conditioning il -. 35. Final Gas Pipg-Test I 36. Hood or Canopy -L / a-7. Final Factory Fireplace r i38. Final Plumbing 39. Watci Service-Finale - r r 't "t. - -- - -" 440. Gas'Service-Final "41. Solar Domestic-FinaCl I • 42. Backflow Preventer' r . - - 43. Backflow Irrigation 44. Landscape Irrigation System ' 45. Sound Attenuation . 46. Handicap Regulations / / ....•-"'"---7 47. C( � V/ 47. FINAL STRUCTURE & BUILDING , �/rt70t- 48. Special Requirements Completed 49. Electric Release to Edison 7 50. Gas Release to Southern California Gas Co - - 51. CERTIFICATE OF OCCUPANCY / • No Date / ` - A , --�_ i - : . • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA ME$I NSTR PERMIT PERMIT NO. TACT NO. T NO. U A P # ' Zone /CV , 36s�3j /- 9v —1 /yl— /fZ-o3j/q)_ oc I K�1 Project Address • 6 I�0 <'� �� Lad- - 1�F —�/•{,c�r ' l/ff/Q� S Main Building: Accessory Building: TYPE OF CONSTRUCTION ytW l� ADD ALTERATION LJ REPAIR Applicant's Mai g Address /�� S v e� 5 E l l� - Z Owner's Name L"-:-Z�/ 7J' ( t •,'L - /❑ CONVERSION ❑ DEM LISH ❑ OTHER T Front '7" Car V t 0 �� S _ !i - 1. a DESCRIPTION eF WO: . SE OF BLDG - Rear a. • A ''• Ja» Ian/. • Jr • A'�•.f•i air %� - A Qs '�'e rt 01'/— Address N Arch/Eng,_P / - • License No. 3o 23 eir TYPE OF PERMIT II. GRADING NDATION r4 RUCTURAL C Right 7-5-' -Le. 6lG N Address :iv -- . i El TENANT ❑ ELECTRICAL El PLUMBING 0 MECHANICAL ' S Left q ' S / ❑ OTHER It.-'8/ R Contractor's Name 2 J(ln!7 � Phone_� a Ping. Ref.#f�}lC Z70,b�� Parking Req./Provided /3�33 E F Address(mailing) 7 L rnv PROJECT DESCRIPTION SQ. FT. OCCVPA V 'G Notes.... Q _,v CONSTRUCTION TYPE V.ALUATION$ �� PlanningHOLD FOR SPECIALM City License No. ssla' ZONE GRADING CU.YDS. ACRES RtQVI MS T kLICENyED Cm th t I T LAtATION35' SI hereby affirm that I am Iicensetl under provisions of Charter 9(commencingRemarks: PCIet with section n full Of Division 3 Of [he Business antl Professions Cotle,an. 1my license is in full ce and . tett. - O / / ELECTRICAL FEES License Class a icense o Vie. b • \ Date Signature �� ! 1� PLUMBING FEES Automatic Washer Transformer ❑ 15.50 KW 1 WORKERS'COMP Ihavea N DECLARATION Bar Sink Showers jConstruction Pole Sub. 0 50+ KW k, 'hereby affirm that have a certificate of cot ent to self-insure or a cerwa-ate Workers' Compensati Ins a certified copy thereof ection Cooking Unit Meter Cup to 100 amps, ��qqOO�� Uq�7{ Backflow Preventer Service Sink 00, Lab. C!��j _ �/1( i i (i Sj ./ �_ I Policy No. l'" �((JJ /�l•any 6D� Backflow Irrigation Sewer Cap Dishwasher Meter Cover 100 amps .Certified copy is h b furnish ■ _ . Dryers ❑Gas ❑Electric — Sub Panel Cerlif" co is ith the , �int", Isio. .1 , . Bathtubs Sewer Connection D APpliea -L �' -, EXEMPTION FROM WORKERS'C• 'P NSATI• DECLAR•' r ` Clarifiers Solar Collectors — Fan Motors 00.1 HP 01%-8 (This section need not be completed if the permit is for one hundred ($100) F,A.U. less). - Dishwasher Solar Piping Inc.Solar 09-15 HP 016-15+ I certify that in the performance of the work for which this permit is issued, I - Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave . Workers' Compensation Laws Of California. Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE:if,after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets . Range comply with such provisions or this permit shall be deemed revoked, CONSTRUCTION LENDING AGENCYGas Service Outlets Water Closet Switches Sign I hereby affirm that there is a construction lending agency for the performance Garbage Disposal of the work for which this permit Is Issued (Section 3097 Civ. C.) Interceptors Water Heater 9Standing Sections- — Lender's Name - Lender's Address Kitchen Sink Water Service • Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash • following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000) of ^vision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 refrom and the basis for the alleged exemption. Any violation of Section 11.5 by any applicant for a permit subjects the applicant to a civil nasty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: /��s ❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 VJJ fZ-Z�O compensation, will do the work,and the structure is not intended or-offered Zoning Approved By (/ Dat for sale (SectionBusiness and Professional Code: The Contractor's MECHANICAL FEES Building Approved By License Law does notof apply to an owner of a property who builds or improves Date �f thereon, and who does such work himself/herself or through his or her own Hood or Type I ❑ -Application Issued By i ' ��t+•Dete 1�+��-'� employees, provided that such improvements are not Intended or offered for BoilerU sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEE pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground ,�j� prove for the purpose of sale). BUILDING PERMIT $ • --�� SMTP $ • u O O I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK S. /O tractors to construct the project (Section 7044,Business and Professions Code: _ $ �' PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- tractor(s) license pursuant to tete Contractor's License Law). I am aware that Exhaust System ❑ Multiple CISystem Repair/Alteration I PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation Insurance should be provided to me. ❑ I am exempt under Section -- B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ /•� Date Owner Heating System& Ducting Registers MECHANICAL / I hereby certify that I have red this ap lication as • state that the above ❑0.100,000 BTU 0100,000 BTU $ TOTAL FEE $ information Is c• ct. I agree to mply 1 th all cit and county ordinances PLAN CHECK 25% $ and state law el., i t buildi con lo•�.�ssr� out - e re- 1 — sentatives of his 1'/g ' • ent po• I• Bid'- ws 'roper y fo Inspection psi pose- A- _,► tea Z-- Signature J {� / Date /.27. Drivers' Licen - .r•S / Reinspection Fee $15 Issue Fee $ 3 r n �.� Qt 00021051 00021C.,3 TOT C9 60 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 12/02/88 TINE: 13:4' -.MI1111 l': I CONSTRUCTION AND PLANNING /\ POO IPA APPROVALS Permit Date1 Inspector APPROVALS Permit Date Inspector 1. T/mporary Electrical Service or Pole 41 52. Pool & Equipment Location 2. Soil Pipe-Ud�grnd. (.4r) of 53. Steel Reinforcement 3. Eledtiical conduit Utilityi-Undrgrpd 7 f., 54. Forms =' 4'Electric•"al Conduit-Undrgrnd. : f-' 55. Electrical Bonding '27 ✓i -1 .I 5:jSjekRetn rcerrientt t". ••••""- r 56. Rough Plumbing & Pressure Test 9/. n slit' 6'`ElectricalUF•ER1Grp4_ -;/ "--h 57. APPROVAL TO COVER-GUNITE X. /J 7,.Jb6ting5 • 54 o 1 y4_/) 58. Electrical Conduit-Undrgrnd. ter RL ( Foundation %`,f �l 59. Gas Pipe, 0 Undrgrnd.,Test 'c ✓' L i 9: Watee.Pipe-Undrgirid. �Iw i• yt 60. Backwash Lines, P-Trap, 0 Undrgrnd. .21 /? - 1r 10.rStructural Flodr System <) 1<_ifr 61. APPROVAL TO DECK - •A (y y ewG Line & House Conn ztion 11.. PropertZ I✓ I .. I .l-,_- I7_j1 62. Backwash & Receptor-Final �,� I 121SewerlCaR7 f'.11 j , ,,t2 " `11 63. Heater & Vent-Final , V 1378 v /5 I , 'r4- cPI 64. Plumbing System - Final I ,f 14. Rough•Plumbing� �'-- 'iTh 65. Electrical-Final 15. Ro�ggu ElectricalP onduit I 66. Solar System-Final / 161 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,n Structure 70. Underground Hydro I .. . 221, Dycts, Ventilating 'It 71. Product Piping 0 Gas 0 Oil 23.,Gas Pipe-Rough & Test 'i 72. Underground Flush 24:.Roof Frani ng 73. Undergrnd.Storage Tank 0 Gas 0 Oil - ;25: Roof SheatHing r.'„ 74. Overhead Hydro 26.1T-Bar Ceiling (Structural) &iMonocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28r Lathing/&.Siding 77. FIXED SYSTEM FINAL 29. Insulation 1 78. FIRE PREV. FINAL 30.1 Drywall Nailing I_) HEALTH DEPT. REQUIREMENT f37� Plaster Brown Coati. 79. FINAL INSPECTION '_i 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED -'33. Final Electric Notes: 34. Final Heating & Air Conditioning HOLD FOR SPECIAL REQUIREMENTS 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing•. 39. .Water Service-Final . ' - I 40. Gas Service-Final ' -? \' I. 4. 41 Solar Domestic-Final - 'I .t , 42. Backflow Preventer Imo, S "1 at 43. Backflow Irrigation ' . 1 44. Landscape Irrin. gation System i 45. So-unci-Attenuation �. ,r 46. Handicap Regulations vo, /47. FINAL'STRUCTURE & BUILDING t 48. Spebial•Requirements Completed //V5 Zl/bA •49. Electric Release to Edison •50. Gas Release to Southern California Gas Co •1 , ' 51. CERTIFICATE OF OCCUPANCY i, No. Date 0 • Applicant to fill in all spaces except those within heavy border lines and sign all appropriatel�( declarations. 'I •� ( {� ` , . , - PERMITNO.S� Eals.i_rLt if NO./r N �U t 11-1- moo' �� ; Si �bQ ( Zona ley CPTYoACOSTAMES• N .R TIONP S F3 Y UNWO. AP # Project Address • • it ..tea/ - TYPE OF CONSTRUCTIONwDD ALTERATION U REPAIR S Main Building: Accessory Building: Applicant's Mallin• Addr: s a-7%S / / •yam"-tomE I t Z 1 i J,! ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front . Vo + - O Owner's Name//`' ... e �� -L�� DESCRIPTION O�.(yDRK DG. B Rear a N Address 100 7 �� ' 'il rfl lrater Ails I Arch/Eng. �� License No. ' �__jy -� TYPE OF PERMIT GRADING (�GOUNDATIONVCTV RAL C Right ZS f � N Address 17116 ! 17.7,4"""ta ❑ TENANT ❑ ELECTRICAL LJ PLUMBING ❑ MECHANICAL $ Left p •± i R Contractor's Name—Ly - Phone0 OTHER •.�-- s` ��- s-/J3 • Ping. Ref.# OK Wig- o's Parking Re/q./Provider S in E PROJECT DESCRIPTION SQ. FT. OCCUPANCY a Address(mailing) 7.']S ea. S >rd L7-724.- - Planning Notes: M CONSTRUCTION TYPE VALUATION§ City License No. 3o 79� ZONE GRADING CU.Y/D,S. A RES Ho1.D EOR SPECIAL REQ01RkM � T �` LICENSED CONTRACTORttI DELLA e 10 �$ 1 (`\�V I hereby section affirm t0) I am licensed under provisions of Charter er l9 (commencing Remarks: pc#'3 sZ� \ with section 7000) 'f aDivisionn3 of the Business and Pro esslo Code,an- mylicenseisinfull •ice an. •ffect. ' Oic ELECTRICAL FEES \ Licen • lass-- - "' • License r Date ,"ignature �. •-I Ar PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATION Construction Pola Sub. 0 50+ KW 'tereby affirm that I have a certificate o onsent to self-insure or a cert ate Bar Sink Showers — Workers' C�o[npen action Insurer) or a certified cop thereof Section Cooking Unit Meter ❑up to 100 amps oe00, Lab.6'/y (,4 •y Backflow I Preventer r Service Sink ��( j}Q Dishwasher Meter Policy No. Com.any �. /C' /t Backflow Irrigation Sewer Cap ❑over 100 amps Certified copy is he urnish d. [1�7--certrfied_cop is ' ith the city t uildi Divi in. Any, Bathtubs Sewer Connection Dryers ❑Gas DElectric Sub Panel . JX EM I N Applicant 7 . . _ Fan Motors 00-1 HP 01%-8 EXEMPTION FROM WORKERS'COM Ma. • ION • C ' - - •Nt..:rifiers Solar Collectors — (This section need not be completed if the permit is for one hundred ($10i VW U A. . less). Dishwasher Solar Piping F. Inc.Solar 09-15 HP 016-15+ I certify that in the performance of the work for which this permit is issued, I Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Compensation Laws of California. • Date _Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light ' NOTICE: If,after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal • Outlets ,Range ' comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYGas Service Outlets Water Closet Switches Sign t I hereby affirm that there is a construction lending agency for the performance •of the work for which this permit is issued (Section 3097 Civ. C.) - interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05.15 KW Trash Compactor OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License lbw(Chapter 9(commencing with Section 7000)of ';vision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 Mrefrom and the basis for the alleged exemption. Any violation of Section .031.5 by any applicantfor a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). I DEVELOPMENT SERVICES REQUIREMENTS: _ LU I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 compensation, will do the work,and the structure Is not intended or offered _ Zoning Approved By hate for for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL License Law does not apply to an owner of a property who builds or improves _ FEE$ Building Approved By Date thereon, and who does such work himself/herself or through his or her own • - Application Issued By ate LP--a^-7i employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 • pletlon, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground SUMMARY OF FE prove for the purpose of sale). BUILDING PERMIT $ St"CV SMTP $ • S-.6 ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System tractors to construct the project(Section 7044,Business and Professions Code: PLAN CHECK $ 3s.r o PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $ builds or improves rurnand who contractsiorce such orw),i I am with a con-hPLAN CHECK 25% $ tractor licenseheipursuantkto the Contractor'stioninsurance License be Iov aware that Exhaust System 0 Multiple 0 System Repair/Alteration I ENERGY P.C. $ proof of their Worker's Compensation should be provided to me. ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.8 P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers MICROFILM $ PLAN CHECK 50% $ DateOwner Heating System&Ducting Registers MECHANICAL 89. I hereby • i fy that I have re'••this ap•Iication a-• state that the above ❑O-100,000 BTU ❑100,0008T . • $ TOTAL FEE $ c, anformat'•n is direct. I agree to imply t ith all CI . and county ordinances PLAN CHECK 25% $ and stat la loci r t. buil.'•• co tio7 a• hereby authorize repro- a sentatirs of s'1s c' ,• e i (t p•-• - •• : •ed •ro•erty f- (Q/ Inspects npu - s v �� L/1 Signatu• r/ LL a Dab + • Reinspection Fee $15 Issue Fee $ 3 01 00021057-0002.059 TOT. $Q.SD Drivers' ensu or SS1 0865-46,rev. 5/88 White - minding; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor DATE: 12/D2/63 TITS: 13'0 Sr CONSTRUCTION AND PLANNING PO,. t SPA _ - - /4PPROVALS Permit # Dg Inspector APPROVALS Permit # Date Inspector I. 1.1Temporary Elptrical Service or Pole 52. Pool & Equipment Location .. ) w 2. Soil PiefTndigrnd. 53. Steel Reinforcement . 3. Elec&icta1 eo duit Utility-Undrgrd! „' ,/ 54. Forms ,4�..lElectr,ical'Conduit-,41, l 1 i-'' 55. Electrical Bonding "/I r 5.:1 Sleef)REinfdiriement V If 56. Rough Plumbing & Pressure Test / /r/^ t , r :, ill +1 r, 1,..-', /1 - 6. Electfical,UFtR'Grnd. , •'1 , V' 57. APPROVAL TO COVER-GUNITE .�� --4 ::Fp9 t V it;y r ' / �n 58. Electrical Conduit-Undrgrnd. r5 -'^. n 1_ ,It ti Y rN ' 1 59. Gas Pipe, 0 Undrgrnd.,Test ;1 tki 9�Water P' e-Ukdr'rnd. t r1 / 1 ' {1 r�, . 9 r V �I 60. Backwash Lines, P-Trap, 0 Undrgrnd. ��-.f� 10. StruGturjl Floor Syctem Yt 1 {• /t 61. APPROVAL TO DECK (; . f-11 Propgrtf e er Linei& House'C6nnection lt-•2+'� 1 { , I 62. Backwash & Receptor-Final 12r,Sew%r Cap° 11.. ' "• '1 v +1 n /1 dl, l r i 63. Heater & Vent-Final 1,.; vl _/ 0 j . , / 1 n I 13. Rooflprains I 1{� �- 64. Plumbing System ;oFinal 4 14. Rou,p.PJuThbing% 71 1 cd `b. ) 65. Electrical-Final ��% 15. Rough ElectriciIVConduit 1 66. Solar System-Final • 56/ Rough Electric Wiring '; 67. Fencing & Access Approval 17,E Rough Wiring Sign 68. APPROVED FOR PLASTERING 581 Rough Electrical-T Bar Ceding 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20.' Rough"Factory Fireplace ' APPROVALS Permit# Viiv Jn 21. Ducts, in Structure r 70. Underground Hydro .22. Ducts, �d 71. Product Piping 0 Gas 0 Oil 23. Gps Pipe=Rough & Test I1 72. Underground Flush '24. Roof F'arting1 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25: Roof Sheathing r'•.; 74. Overhead Hydro 26. T-Bar Ceiling (Structural)'&-Monocoat 75. Dry Chemical :-a. X27. Frame and Flashin-Ig 76. Dry Standpipe 28. Lathing/& Siding 77. FIXED SYSTEM FINAL 29. Insulation 1• 78. FIRE PREV. FINAL r 30.-Drywall-Nailing `i' HEALTH DEPT. REQUIREMENT :3i� Plaster •Brown Coat •-•". 79. FINAL INSPECTION 32. Electrical Power MetdrFinal 80. FOOD CERTIFICATE ISSUED Hit'. Final Electric 9/ Notes: HOLD FOR SPECIAL REQUfxtIVIENTS 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing . 39. Water Service-Firial I . 40. Gas Service-Final 41. Solar Domestic-Final ; - n 1• 47. Backf low Preventer - r:! 43. Backflow Irrigation r. - 44. Landscape Irrigation System ..-I, 45. Sound„Attenuation •I,- .- lg. .46. Handicap Regulations' 47. FIIfALSTRUCTURE & BUILDING 4/i, �� ,_ 48. Spetial Requirements Completed '9 f49. Electric-Release to Edison 50. Gas Release to Southern California Gas Co i� 51. CERTIFICATE OF OCCUPANCY ' err • �. No, Date „ / D IWI /� J /i' !leant to fill in all spaces except those within heavy border lines and sign an „9(......p6--4.13appropriate declarations. ��WWW '��' I PERMIT NO. TRACT NO. LOT NO. UNIT NO. CITKOF•COSTAMESA CONSTRUCTION PERMIT A,P.# /14/— 35/ - 11 MI—In-calzona le Lis 4 Project'Address e ^ js mal a'sl 5 3 s-SS 7 / I�/1 g't i rr ❑ CJ S Main Building: Accessory Building: Applicant's Mailing Address 21 rtJ Sr ake.1 .tdtre ZnC TYPE OF CONSTRUCTION NEW LJ ADD ALTERATION REPAIR E J Z ' ,t `- - 1 - p ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front 2Q O 1-Ibe1ec• Ter garnet.'" p5\'21 Owner's Name ' ` Phone lIo R Y-Fr.+al1} bar e g / N 4'W.5 MAC (icr�'�G-r• e Wyse • DESCRIPTION OF WORK/USE OF BLOC. '� $ A Rear a/q Address R Arch/Eng. �.Grt`'1� Dnnsss License No.' " 7 TYPE OF PERMIT U GRADING ❑ FOUNDATION 11 STRUCTURAL C Right G SSo 130. lye b�J-e tO C ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S Left 25' orae.s Address oro nb- a nth ��n��iii 1 R Contractor's Name Ls�''`� tar\b Phone 7"I�( ❑ 'OTHER G4t�-�e 121,7tJ 4F' IPing. Ref.# D12, J �-b�,,,)" Parking Req,/Provided / �r2j E PROJECT DESCRIPTION SG. FT. ID 33B OCCUPANCY L'1 ;011 ' /fJ s� /• Q Address(mailing) nce N gl 27. Si tab �.�'}- l Planning Notes: n City License NO. o � CONSTRUCTION TYPE V - 1 hr• VALUATIONS LfZ/y��0 D C,rJ.• {0 M ZONE GRADING CU.YDS. ACRES _ HOLD FOR SPECIAL RE i r1_ N1E�1S T LICENSED CONTRACTOR DECLARATION S. I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. ZSR v�,t 1s S Z--4D� ELECTRICAL FEES License lass • " 'cense No. 7 J Date Signature �7 PLUMBING I FEES Automatic Washer Transformer 0 15.50 KW WORK RS'COMPENSATION D ' IONDOn$LrpetlDn Pole Sub. • 0 50+ KW Bar Sink Showers 'hereby affirm that I have a cern • consent to self-insure or a certificate ' of Workers' Compensation Ins. or a certified copy t ereot (Section Cooking Unit Meter Opp to 100 amps Backflow Irrigation Sewer Cap \ 3800, Lab. C Company Backflow Preventer Service Sink Policy No • ... 4Ip"aB - G ~✓ --fe at �'rio Dishwasher Meter ❑over 100 amps . /Certified copy Is hereby furnished.- I = Dryers ❑Gas ❑Electric Sub Panel `' Certifi��dd c p ��rtlied with the city a �•nR ton, Bathtubs Sewer Connection _ \ Date e1/Z� ..ri Applicant �� Fan EXEMPT ON ROM WORKERS'C'•M-ENS' ION DECLARATION Clarifiers Solar Collectors Motor$❑0-1HP ❑1X-6 (This section need not be complete. if the • mit is for one hundred ($100) or F.A.U. InC.$Olaf ❑g-15 HP ❑16-15+ less). Dishwasher Solar Piping I certify that in the performanc oft work for which this permit Is Issued, I Fixtures shall not employ any person i •a manner so as to become subject to the Drinking Fountains Solar Tank - - Microwave Workers' Compensation Laws •f -.lifornia. Date Si.'.ture Floor Drains • ,_ Swimming Pool w/Spa Device Boxes Pole Light • NOTICE:If,after making this declaration,you should become subject to the • Outlets Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal • comply with such provisions or this permit shall be deemed revoked. Switches CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Sign I hereby affirm that there IS a construction lending agency for the performance of the work for which this permit Is Issued (Section 3097 Civ. C.) Interceptors Water Heater . Garbage Disposal Standing Sections ' Lender's Name - Generator 00-5 KW❑5-15 KW Trash Compactor Lender's Address Kitchen Sink Water Service OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or - county which requires a permit to construct,alter improve,demolish or repair P-Trap Laundry Treys - .. any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 therefrom and the basis for the alleged exemption. Any violation of Section • 7031.5 by any applicant for a permit subjects the applicant to a civil - sseD uanceof not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: q }� 0 I, as owner of the property Or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 • /�4p� ta compensation, will do the work,and the structure Is not intended or offered Zoning Approved By Da for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or Improves _ thereon, and who does such work himself/herself or through his or her own Application Issued By • Date t 5.5 employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 SUMMARY OF EES Motion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground $ •�• p } prove for the purpose of sale). BUILDING PERMIT $ 2', 378- � SMIP /S O 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK �� c' al' tractors to construct the project (Section 7044,Business and Professions Code: .- $ V PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0.100,000 BTU ❑100,000 BTU • .' PLUMBING $ ISSUANCE $ builds or improves thereon.and who contracts for such oroiect5 with aeon- — e - tractor(st license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration r PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers Heating SystemPLAN CHECK 50% $ MICROFILM $ Hi9 Oate Owner & Ducting Registers a� I hereby certify that I have read this application and state that the above DO-100,000 BTU 0100,00087E MECHANICAL $ TOTAL FEE $ Y DC17 CI information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction,and hereby authorize repre- , sentatives of this city enter upon the above-mentioned p opert for Inspection pur.• q [[�� , Signature / Date I Z c7 Drivers' Lice. • 0 S er Reinspection Fee $15 Issue Fee $ 3 01 D0016363-01016:165 TOT 2°07.48 0865-46,r,88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor GATE: 10/06R;[- TIME: CR:17 ,� CONSTRUCTION AND PLANNING , POGO.& SPA APPROVALS Permit - Date Inspector APPROVALS Permit# Date Inspector 1..Temporary Electrical Service or POI 52. Pool & Equipment Location - t . 2.rSoil Pipe-Undrgrnd. r-'•� - 53. Steel Reinforcement Per 3 Electrical Conduit Utility-Undrgrnd. r 54. Forms r ` ' 4: Electtical Conduit-Undrgrnd. 55. Electrical Bonding • y 5_Steel-Reinforcement 56. Rough Plumbing & Pressure Test .•r . • 6.•.El'ectrical UFER•Grnd." 0,• * .. 57. APPROVAL TO COVER-GUNITE 1' 7. Footings 58. Electrical Conduit-Undrgrnd. 1 1 8 Foundation' fR. t';!� 59. Gas Pipe, ❑ Undrgrnd.,Test 9..Wate1 Pipe-Undrgrnd. - I/ 60. Backwash Lines, P-Trap, 0 Undrgrnd. r 10. Structu?al FloorSystem 61. APPROVAL TO DECK ., • 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12: Sewer Cap 63. Heater & Vent-Final 13. Roof:D•rains . 7 64. Plumbing System - Final 71 14. Rough Plumbing.. ' 65. Electrical-Final - ' 15. Rough Elect ical-Conduit 66. Solar System-Final 1:61Rough Electric Wiring 67. Fencing & Access Approval 17! 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 20: Rough Factory Fireplace r, APPROVALS Permit# . 21. Ducts,in Structuref 4 • 70. Underground Hydro 22.1D,ucts, Ventilating ✓ I - - 71. Product Piping U Gas 0 Oil :.Gas Pipe-Rough & Te;t 2372. Underground Flush 24. Roof Framing .. ,r,ro 73. Undergrnd.Storage Tank 0 Gas ❑Oil 251 Roof•Sheathing :.if •i !!//��// 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 22 Frame and Flashing 76. Dry Standpipe . 22-8. Lathing &7Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31: Plaster-Brown Coat 79. FINAL INSPECTION 32. Electrical Power Metef-Final 80. FOOD CERTIFICATE ISSUED 331. Final Electric -. S Notes:1i /?/srr smite,., r4-G. err.N 34. Final Heating & Air Conditioning- 5k-V Cta bk ,e' 7/1q/ST35. Final Gas Pipe-Test , (� . 36.:Hood or Canopy - HOLD FOR SPECIAL REQUIREMENTS 37. FinaltFactoryrFireplace ' rY ) - 38. Finalzlumbing- . If -39. Water Service-Final'! - j '� 40. Gas Service-Final . y ,i41. Solar Domest'i'c-Final. ,;' (t - 42. Backflow Preventer 4 I:i 1 - ,43. Backflow Irrigation : . r 1 '• • ; . ••44. Landscape Irrigation System -•.• ., it 'V ' 45. Sound Attenuation �'i C • 46. Handicap Regulations r 47. FINAL STRUCTURE & BUILDING 7L7 "/ cCid _v - 48. Special Requirements Completed 727.8'/ •fir 0.i, ' A - 49. Electric Release to Edison �`�t/�^ •.50. Gas Release to Southern California Gas Co ; -i„ L+- i 51. CERTIFICATE OF OCCUPANCY No. _ Date - .• - r TY OF COSTA MES[ CALIFORNIA 92628.1200 P.O.BOX 1200 Insulation Certificate • 1380 Village Way Costa Mesa CA Number and Street City Orange C County Subdivision Lot Number Description of Installation ROOF Material Composition Brand Name Prestique Plus Thickness(inches) CIDSSA Thermal Resistance(R-Value) EXTERIOR WALL Material Stucco Brand Name Portland Cement Thickness(inches) 7/8" Thermal Resistance(R-Value) R-11 Batt 3-1/2" Manville CEILING Batt or Blanket Type Batt BrandNamc Manville Thickness(inches) 6-3/4" Thermal Resistance(R-Value) R-19 Loose Fill Type Brand Name Contractor's minimum installed weight/ft2 lb Minimum thickness inches Manufacturer's installed weight per square foot to achciveThernal Resistance(R-Value) RAISED FLOOR Material N/A Brand Name Thickness(inches) Thermal Resistance(R-Value) SLAB FLOOR Material Concrete Brand Name Portland Thickness(inches) 4" w/6x6x10x10 Thermal Resistance(R-Value) Width(inches) varies FOUNDATION WALL Material Concrete Brand Name Portland Thickness(inches) 8"-12" Thermal Resistance(R-Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. _ /�-V cg-s -�N pAN-r ?Lir L a - l ZS706v (1/� n Gcne n t Idcr) r- License Number Signature and Title Dale Sub-Contractor(Insulation Inst eller) License Number Signature and Title Date • JRMG / THE KEITH COMPANIES • /'/nruung•(iril /.l!l'inrrriM.linrvrnnnir•n/ul Srrritu•Arr)rile.$n•r•LmW.rn/x•.vdu/r,hor.land burr ra ng July 18, 1989 87-0125 Engineering Department City of Costa Mesa 77 Fair Drive Costa Mesa, CA. 92628 ATTN: Brian Naught /3 V///Aye- wAT RE: PA 88-31 - , Costa Mesa, California Dear Mr. Haught: As the civil engineer, I certify that the precise grading has been completed in substantial conformance with the approved precise grading plan for the above referenced project. Sincerely, 014- Robert Schneider RCE 42912 Fo No.42912 ;di Iw ` Exp.33192 4 r !Tr FOF CAUL R870125-9826-L-Rs /7%I Cnrrnn,lain.,California 02714 (7/4)86 3 9.100 x ` /3 ia) /1-1.- nt to fill in all spaces except those within heavy border lines and sign all appropriate declarations. , CITY.OF COSTA MESA CyO�N.STRUCTIOI I P IT V' ' PELT NO. &3 ^ TRACT NO. LOT NO. UNIT Project Address G��£ ]C "'�—' c?J�7� U / ' s Applicant's Mailing Address 9371 Folkstone, Hunt. Beach TYPE OF CONSTRUCTION H NEW H ADD H ALTERATION Li REPAI R Owner's Name Hoelscher Guggenheim Phone 851-2116 CI CONVERSION ❑ DEMOLISH ❑ OTHER A-P.# Zone DESCRIPTION OF WORK/USE OF BLDG. Address 4665 Macarthur Court, Newport Beach S Main Building: Accessory Building: Arch/Eng. Dorius Architects License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front ZO Address 1550 Bayside Dr. , Corona del Mar ❑ TENANT ❑ ELECTRICAL ❑O PLUMBING ❑ MECHANICAL B Rear N Contractor's Name Coastline Plumbing Phone 963-3800 ❑ OTHER A - I Address(mailing) 9371 Folkstone, Hunt. Beach PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N CONSTRUCTION TYPE VALUATION$ _ $ Left /---• i G City License No. 023390 ZONE GRADING CU.YDS. ACRES —�. R LICENSED CONTRACTOR DECLARATION a- Ping. Ref.# Parking Req./Provided E 1 hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Q r SSS J 7 Planning Notes: Cl with section 7000) of Division 3 of the Business and Professions Code, and lJ V -- my license is in full force and effect. :, T License Cla s C— •• ....r. Dns° $ •a • • e S Date 1 •w Signature ligli . -., ...�i .. PLUMBING FEES WORKERS' COMPENSATION DECLAR"TI•N /{ Bar Sink Showers /� J/j ELECTRICAL I hereby affirm that I have a certificate of _: sent to self-insure or a certificate •Th (P1 �� FEES v of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink �;. 3800, Lab. C Automatic Washer • Transformer 0 15-50 KW 583678-87 State Comp. g Sewer Cap Construction Pole Sub. • 0 50+KW �. Policy No. Company Backflow Irrigation ❑ Certified copy is hereby furnished. a�./ - • ® Certifi c 4 is filed with the city Building,Qivision itBathtubsBathtubs / Sewer Connection , a / en Cooking Unit Meter 0u to 100 amps Date 10,7') Applicant Coast]3 ne Plumbing 1 _ EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher 4 Meter ❑over 100 amps (This section need not be completed if the permit is for one hundred ($100)or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel ' I certify that in the performance of the work for which this permit is issued, I - shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank . Fan Motors❑0-1 HP ❑1%-8 Workers' Compensation Laws of California. - — — Date Signature Floor Drains Swimming Pool w/Spa F.A.U. NOTICE: If,after making this-declaration, you should become subject to the - Inc.Solar ❑9=15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave comply with such provisions or this permit shall be deemed revoked. , CONSTRUCTION LENDING AGENCY /v Gas Service Outlets nnA� /� p Water Closet r/� iv I hereby affirm that there is a construction lending agency for the performance .V" �n J^(p Device Boxes Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors • /6 Water Heater d� s. Range Lender's Name - - - Outlets g Lender's Address 1n Kitchen Sink Water Service 4) Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the yr Lavatories /i Auto-Wash 6c9 Garbage Disposal Standing Sections following reason (Section 7031.5 Business and Professional Code:.Any city or t county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator ❑0-5 KW ❑5-15 KW. any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions ofRoof Drains the Contractor's License Law(Chapter 9 (commencing with Section'7000)of e ' Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031,5 by any applicant for a permit subjects the applicant to a civil ' penalty of not more than five hundred dollars($500). ❑ I, as owner of the property or my employees with wages as their sole Reinspection'Fee I $15 Issue Fee $ 3 v , • • compensation, will do the work, and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL • FEES License Law does not apply to an owner of a property who builds or improves - -- , _ _� thereon, and who does such work himself/herself or through his or her own - DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). _ . Building Approved By (1)" //�/ ) Date // ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Y " Date 7L 8S tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU builds or improves thereon, and who contracts for such projects with a con- SUMMARY OF FEES tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $ • proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT- ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# -Fire Dampers • PLUMBING $ 0208 .Ob ISSUANCE $ Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ dS ENERGY P.C. $ I hereby certify that I have-read this application and state that the above ❑0-100,000 BTU 0100,000 BTL GRADING $ information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ and state laws rel. O buil g constr ction,and hereby authorize repre- sentatives of city • n e above-mentioned property for PLAN CHECK 50% $- inspectio .urp.s-s. f —• Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ Drivers' Licen e orit" -- CMF 0865-46,rev.10/t4 White - Building; Canary -ATR130016597-00016598 1 2_79,24 / Applicant; Pink -Accounting; Goldenrod - Assessor n l (4[fT:.: f0.'f1+/9^ IMF, 1Se64 CONSTRUCTION AND PLANNING POOL &SPA APPROVALS Permit-4# APPROVALS Inspector APPROVALS Permit Date Inspector 1.-Temporary Electrical:Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. /Ql/a•c/Fr1�� 2 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. %%��//yy 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 f-; 59. Gas Pipe, O Undrgrnd.,Test • 9. Water Pipe:Undrgrnd. /074 t 60. Backwash Lines, P-Trap, 0 Undrgrnd. • 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line& House Connection 12-y ee LCD 62. Backwash & Receptor-Final • • 12. Sewer Cap 63. Heater & Vent-Final • 13. Roof Drains ��/�� 64. Plumbing System - Final 14. Rough Plumbing ,V47/11 ../O�- 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 liar 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 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank ❑Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL . ' 29. Insulation 78. FIRE PREV. FINAL • 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION • • 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED • 33. Final Electric Notes: 34. Final Heating'& Air Conditioning _ 35. Final Gas Pipe-Test 7/tda(cc tEp 36. Hood or Canopy t , 37. Final Factory Fireplace 38. Final Plumbing (J9 7740 / �,4O r 39. Water Service-Final t �K • 40. Gas Service-Final • • 41. Solar Domestic-Final • 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation ., 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING n 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No Date 3 r° v 7 6/Iii t 4C,$6--)' Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. �, ' P MIT NO. TRACT NO. LOT NO. UNIT NO. 4 CITY OAddress ME$' i t "e;CON ' 2TI ON PE➢IMI 3 47 12-3 t C A.P.# Zone Project Address // (f QQ >CS Main Building: ' .Accessory Building: Applicant's Mailing A•dfes �' G L / 5 TYPE OF CONSTRUCTION LJ NEW Li ADD H ALTERATION _ I REPAIR E Z gr-6 7 [/ ❑ CONVERSION ❑ DEMOLISH ,OTHER T Front 0 'Owner's Name,/ .s,S 7 DESCRIPTION OF WORK/USE OF BLDG. B Rear • N Address �(�6S ✓f.� . L� 2 // Arch/Eng. Co' L$Cit' ' License�en �No. 302-3 6 TYPE OF PERMIT LJ GRADING ❑ FOUNDATION ❑ STRUCTURAL I C Right N Address 776 asc i✓� 1t✓k/er ❑ TENANT ❑ ELECTRICAL �'1'LUMBING ❑ MECHANICAL i S. Left O ' Contractor's Name LI —S 4)LK/ ' Phone ❑ 'OTHER Ping. Ref.# Parking Req./Provided E Address(mailing) 55 [i /�ifiks nic-- PROJECT DESCRIPTION SQ. FT. OCCUPANCY Q ••z YY CONSTRUCTION TYPE VALUATION$ Planning Notes: M City License No. L ZONE GRADING CU.YDS. ACRES T S. LICENSED CONTRACTOR DECLARATION if I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: 1� 3 c'r-8 , ^ imm � S. with section 7000) of Division 3 of the Business and Profes • Co•-, a•d (y`O� my license is in full ce-n• effect. z ••j� ELECTRICAL FEES Licens. las , /Li - o i� ' Date — _ -' Signatur: t LL` PLUMBING FEES Automatic Washer Transformer D 15-50 KW • • WORKERS'COMPENSATION P RATION Construction Pole Sub. 0 50+KW I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers of Workers' Compensation Insurance, or a certified co Ihereo5 � Cooking Unit Meter ❑up to 100 amps 1 3800, Lab/pear PaC) Backflow Preventer Service Sink Policy o —yy� Com n •- Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps Wiled copy is hereb with thehetl � Dryers ❑Gas IDElectric Sub Panel Certifi tl cop is with c •in. r vista .1/ i/ Bathtubs Sewer Connection Date — Applica EXEMPTION FROM WORKERS' • 'ENSATION DELL'R' J a Clarifiers Solar Collectors ' Motors❑0-1 HP ❑1%-B (This section need not be completed the permit Is for one hundredFan)or less). Dishwasher Solar Piping F.A.U. Inc.Solar 09-15 HP ❑16-15+ I certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fixtures Microwave Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE: If,after making this declaration,you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range comply with such provisions or this permit shall be deemed revoked. . CONSTRUCTION LENDING AGENCY Gas Service OutletsWater Closet Sign Si n I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator ❑05 KW❑5-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or • ' county which requires a permit to construct,alter,Improve,demolish or repair P—Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains / SEWER-- f r J/� Go the Contractor's License Law(Chapter 9 (commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee ! $15 Issue Fee - $ 3 therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). I DEVELOPMENT SERVICES REQUIREMENTS: U I, as owner of the property or my employees with wages as their sole Reinspection Fee 1 $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offeretlZoning Approved By nate for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves __ _ �� 11 Ip g✓ thereon, and who does such work himself/herself or through his or her own Application Issued By Date 'I g employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement Is sold within one year of corn- Canopy Type II 0 pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground SUMMARY OF FEES prove for the purpose of sale). BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU builds or imoroves thereon. and who contracts for such oroiects with a con- PLUMBING $ • tl... ISSUANCE ' $ tractor(s) license pursuant to the contractor's License Law). I am aware that Exhaust System IDI Multiple ❑ System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers MICROFILM $ PLAN CHECK 50% $ p Date Owner Heating System& Ducting Registers MECHANICAL $ $ 8.0D I hereby cert'fy that I have r-ad th' apPlic. ion and state that the above ID 0-100,000 BTU 0100,00013T TOTAL FEE informati•• rect. I agree o�s�s . y wit: :11 city and county ordinances _ PLAN CHECK 25% $ and stat: la atin• t• • 14, .. .nstricta , and hereby authorize repr - sentativ-s of . CO to.4: -r 11/11 n he F.bove-mentione pr pejrj,ty or In gnat .n par. ill '/./ _ Da/I "ra Signal e ,..,S,_ Drivers' se or SS# Reinspection Fee $15 Issue Fee $ 3 01 00019145-00019145 TOT 8•00 0865-46,rev.5/88 Ite - Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor DATE: 11/09/83 TIME: 15:10 CONSTRUCTION AND PLANNING POt,. &SPA ' ,APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector '• 1, Temporary Electrical Service or Pole - 52. Pool & Equipment Location 4n... 2. Soil Pipe=Undrgrnd. r -",J i_ 53. Steel Reinforcement =. :4r 3. ElectricalJCond It Utility-Undrmjrnd. : • • AISIO - /_ /i 'r/ ^ Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. - ll -vazar_.. t� PERMIT NO. TRACT NO. LOT NO. UNIT NO. CITV)OF'COSTA MESA CONSTR U_ IONpPER IT M .b�co G A.P.# I Zone Project Address 010P C.,"1.-' Cr Lbw C� - �,,� S Main Building: Accessory Building: Applicant's Mailing Address TYPE OF CONSTRUCTION IJ NEW U ADD U ALTERATION EPAIR LU�J 175N -QphR ❑ CONVERSION .❑ DEMOLISH ❑ OTHER ' T Front O Owner's Name Phoneme-ISSI DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address 2.1S1C- 38-1S.70L Ste L7f 63174- Mil 4- A I Arch/Eng. License No. TYPE OF PERMIT LJ GRADING ❑ FOUNDATION STRUCTURAL C Right G Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING MECHANICAL S ' Left R Contractor's Name 1.141.4v /44111/#1. Phone•13H-HS'y 0 ❑ OTHER Ping. Ref.# Parking Req./ProvidedE Address(mailing)/69(v CO..m«-c-ft- ST e.0^1& ?nzo PROJECT DESCRIPTION SQ. FT. OCCUPANCY ' Planning Notes: M City License No. 03.5,S 1 CONSTRUCTION TYPE VALUATION$ T ZONE GRADING CU.YDS. ACRES_ $, LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: L�� c.....3. P IT �f_ ?lam 4...m.with section 7000) of Division 3 of the Business and Professions Code, andio rJ my license is In full force and effect. „ ELECTRICAL FEES License Class C---7--0 ^ ”'----- ^•- Ff$3-{ `1 Date 12-1-aO Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS' COMPENSATION DECLARATION Construction Pole Sub. 0 50+KW I hereby affirm that I have a certifi Gate of consent to self-insure or a certificate Bar Sink Showers of Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter Clop to 100 amps 3800, Lab. C) _ Backflow Preventer Service Sink (.P i Z"7 SJplu f Di NAT a,14 L. Cap Dishwasher Meter Dover 100 amps Policy No. II Company Backflow Irrigation Sewer -- BCertified copy is lied furnished.hcitD- Dryers ❑Gas ❑Electric Sub Panel Cert11i�ffied cop I here with the Bui i g D Bathtubs Sewer Connection Date 74'i-�� Applicant -- EXEMPTION Fan EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Motors 00-1 HP 01%-8 (This section need not be completed if the permit is for one hundred($100) or F.A.U. Inc.Solar ❑9-15 HP ❑16-15+ less). Dishwasher Solar Piping - I certify that in the performance Of the work for which this permit is issued, IFixtures Cr' shall not employ any person in any manner so as to become subject to the ' Drinking Fountains Solar Tank Microwave Workers' Compensation Laws of California. - Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE: If,after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYSwitches Sign Gas Service Outlets Water Closet 9 I hereby affirm that there is a construction lendingagency for the performance Issued Of the work for which this permit IS issuetl (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lenders Name .✓ Lender's Address Kitchen Sink - Water Service Generator 00.5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or - county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Tracts any structure, prior to its issuance, also requires the applicant for such permit ' to file a signed Statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9.(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she Is exempt therefrom and the basis for the alleged exemption. Any violation of Section Reinspection Fee $15 Issue Fee $ 3 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). I DEVELOPMENT SERVICES REQUIREMENTS: O I, as owner of the property or my employees with wages as their sole Reinspection Fee ` $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offeredZoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By C � License Law does not apply to an owner of a property who builds or improves Y /� Date 1p� thereon, and who does such won( himself/herself or through his or her own Application Issued By Date Z ,L employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or Improvement Is sold within one year of corn- Canopy Type II 0 SUMMARY OF FEES pletlon, the owner will nave the burden of proving he/she did not build or Int- Duct-Under Ground prove for the purpose of sale). - - - BUILDING PERMIT $ SMIP $ 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System tractors to construct the project (Section 7044,Business and Professions Code: - // _ PLAN CHECK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 10 1.n-100,000 BTU ❑100,000 BTU 90 PLUMBING $ ISSUANCE $ builds or improves thereon.and who contracts for such oroiects with a r-on — - tractor(s) license pursuant to Ine Contractor's License Law). I am aware that Exhaust System 0 Multiple❑ System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. - ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers MICROFILM $ PLAN CHECK 50% $ Date Owner Heating System& Ducting Registers �-1 �0 �_ ❑0.100,000 BTU ❑100,000BT - MECHANICAL $ , _O ._. TOTAL FEE $ ‘.1� I hereby certify that have read thismapplication hytl state that the above $ Information is correct. ogre dtoi g nwith all city and y countyh rite repre- sentatives PLAN CHECK 25% and state laws rel. g to ✓ sterna construction, and hereby authorize yfor ...-- Inspection of thi c y �^ er upon the above-mentioned property for iQ q,�Hq„�� Inspection purpo. sSi - _ Date/2-, '94 - Drivers' �' i�� Reinspection $�S" 01 00020976-00020976 TOT 170.00 Drivers' License or SS 9f _ Fee $15 Issue Fee DATE: 12/02/83 1111E: 09:36 0865-46,rev. 5/88 White - Building: Canary - Applicant; Pink -Accounting; Goldenrod -Assessor 'CONSTRUCTION AND PLANNING POOL& SPA -: APPROVALS Permit - Date Inspector APPROVALS Permit# Date Inspector 1.. Temporary Electrical Service or Pole - 52. Pool & Equipment Location • 2. Soil Pipe-Undrgrnd. „ 53. Steel Reinforcement •�. 3*Electrical Conduit Utility-Undrgrnd. - 54. Forms 4.�,Electii�al Conduit-Undrgrnd. 55. Electrical Bonding 5J Steel!Reinforcement _ 56. Rough Plumbing & Pressure Test . 6., Electrical UFER Grnd.. ,' 57. APPROVAL TO COVER-GUNITE 7:SFootings' 58. Electrical Conduit-Undrgrnd. •.8.:1Foundation , I 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. l0YStructural Floor Systbm • 61. APPROVAL TO DECK 11.-,Properly Sewer Line,& House Connection 62. Backwash & Receptor-Final • ' 12. Sewer Cap • 63. Heater & Vent-Final 13.E RoofDrains - - - 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 18. Rough Electrical-T Bar Ceiling' 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT • 20: Rough Factory Fireplace APPROVALS Permit# 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil • 23./Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing &,Siding 77. FIXED SYSTEM FINAL • 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 7/24vC( L� 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation • 44. -Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY y `1 No. Date Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. i PERMIT NO. TRACT NO. LOT NO. UNIT NO. # c1TYOFCOSTAMESA CONSTRUCTION PERMIT •'7_ GRIFFITHSUBDIVISION C A.P. 141 , 351-19 , 141-192-03 Zone R4 Project Address 1380 VILLAGE WAY II C" 3 1\i‘_ "�7'�� S Main Building: Accessory Building: Applicant's Mailing Address 2755 BRISTOL ST., #273 TYPE OF CONSTRUCTION L`S NEW Li ADD U ALTERATION LI REPAIR E — Z Owner's Name HOFISMER/GUGGENHEIM PA WRS ❑ CONVERSION ❑ DEMOLISH ❑ OTHER Front TN Address 4665 MACARTHUR C'T.,NB DESCRIPT 0 OF AOR K/USE OF BLD re eaA Rear f' Arch/Eng. SIT DORIUS License No. TYPE OF PERMIT I. GR •DING ❑ FOUNDAT IN N STRUCTURAL C Right G Address 1550 BAYSIDER, CORNOA DEL MAR ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING 431 MECHANICAL $ Left R ❑ OTHER Contractor's Name LUCAS DEVELOPMENT CORPphpn¢ I Ping. Ref.4 � Parking Req./Provided EQ f. �•� /� c PROJECT DESCRIPTION SQ. FT. OCCUPANCY 1-2.-1 Address(mailing) f7-- Q��S/u/ •27.5 �' Planning Notes: M CONSTRUCTION TYPE�` Ik) VALUATION$ T `O City License No. 3 7 ZONE GRADING CU.YDS. ACRES S. K LICENSED CONTRACTTOOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 13 .. 3 C51/� with section 7000) of3•ivislon 3 of the Business and Professions Code, and / o my license is in full fo/and effect. ELECTRICAL FEES License Class / �. Lic•' • N. / 1 Date R it '.99 Signatu �_l_ r 7_ ,�,i PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW •€ 0 50+KW • WOR E S' COMP I have a N • ATI•N Bar Sink Showers ` Construction Pole Sub. I hereby affirm that I have a certi 'cafe of consent to self-insure or a ce s•,ate of Workers' Compensation Insurance, or a certified copy thereof (Section —Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps 3800, Lab. �I __ Policy No. `+�—$$ UNIT 2zpany S IATr1 FARM 1-1—$9 Backflow l rrigation Sewer Cap Dishwasher Meter Dover 100 amps ECertified copy is hereby furnis• • • , ,PA ,, / - -� Dryers OGas DElectric ^ Sub Panel C die gy Iled with t - ait9auu g • 0.— .' Bathtubs Sewer Connection Date J %1� App ice - ' EXEMPTION FROM WORKER OMPENSATION DECLARNjk.•N Clarifiers Solar Collectors Fan - Motors 00-1 HP 01'F,-8 (This section need not be completed if the permit is for one hund -• ($100 less). ($100) or Dishwasher • Solar Piping F.A.U. ., C.Solar 09-15 HP 016-15+ I certify that in the performance of the work for which this permit is Issued, I Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Compensation Laws of California. Date Signature Floor Drains - Swimmin of w/Spa Device Boxes Pole Light NOTICE: If,after making this declaration, you should become subject to the e Outlets Ran Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks ' al 9 comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYSwitches $i n Gas Service Outlets Water Closet 9 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097 Civ. C.) Intero¢ptor5 Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW I Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P—Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit , *to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee therefrom and the basis for the alleged exemption. Any violation of Section $ 3 7031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: LII, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered Zoning Approved By Date for salese (Section. apply ly Business and Professional Code: The Contractor'smroves MECHANICAL FEES Building Approved By 1 - Dat License Law does not apply to es owner of a property who builds or improves _ �, thereon, and who does such work himself/herself or through his or her own Application Issued By Dat employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however,the building or Improvement Is sold within one year of corn- Canopy Type II ❑ SUMM Y OF EES Oletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ ❑ 1, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System 1 PLAN CHECK tractors to construct the project (Section 7044,Business and Professions Code: $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon.and who contracts for such oroiects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. I ❑ I am exempt under Section B. & P.C.for this reason 10 Firepl/Fact.Blt. ICBG# 2301 Fire Dampers �� 9 0 ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ Date Owner Heating System& Ducting Registers MECHANICAL $ t$P• TOTAL FEE $ (OS" Q I hereby certify that I :ve re.• this :•plication and state that the above ❑0-100,000 BTU 0100,000 BTU information is correct. I hree .. .•m• with all city and county ordinances PLAN CHECK 25% $ and sta • a �. relatin• o ruction,and hereby authorize repre- sentati es •til his i . •g J•• the above-mentioned propertlt.fpr inspe Ion • •0er _ OOYy SIJ Signa•ure �• a Da2ye / �— _- I 0112E468-00028468 T 0 T 105,00 0865-46,rev. 5/88 White . Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor DATE: 03/16/39 TIME: 11:43 . ,. 'CONSTRUCTION AND PLANNING POut.&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-Undrgrpd.' 54. Forms r' 4. Electrical Conduit-Un&1grnd. 55. Electrical Bonding •- 5. Steel Reinforcement V -- 56. Rough Plumbing & Pressure Test 6. Electrical UFER Gr,ngr •., ,% 57. APPROVAL TO COVER-GUNITE 7. Footings 1 • 58. Electrical Conduit-Undrgrnd. - t, 8. Foundation '� 59. Gas Pipe, D Undrgrnd.,Test 9. Water Pipe-Undrgrnd. ti- ..._j 60. Backwash Lines, P-Trap, 0 Undrgrnd. • -r' 10. Structural Floor System " 61. APPROVAL TO DECK 11. Property Sewer Line & House Cohn&tion -1!, 62. Backwash & Receptor-Final / 12. Sewer Cap r" ✓ 1, • 63. Heater & Vent-Final it - 13: Roof Drains ') I 64. Plumbing System - Final , 14. Rough Plumbing ;..!_, 65. Electrical-Final ,t 15. Rough Electrical-Conduit • 66. Solar System-Final •16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING v .18. Rough,Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 1.9. Rough'Heating& Air Conditioning vr4/gq Lei) FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace ( APPROVALS Permit# 21. Ducts, in-Structure �' 70. Underground Hydro 22. Ducts, Ventilating ll , -J 71.:Product Piping 0 Gas 0 Oil 23. 'Gas Pipe-Rough &Test .v 72. Underground Flush 24. Roof Framing ! /73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing ' 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing76. 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 •i ,- .. \ 33. Final Electric Notes: 4 �'7 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 772,56K Leo 38. Final Plumbing 39. Water Service-Final r40. Gas Service-Final v . . - - �� '. , 41. Solar Domestic-Final / 1 -1• 42. Backflow Preventerfr :\ 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation J 22 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison iV' 50. Gas Release to Southern California Gas Co ' ria 51. CERTIFICATE OF OCCUPANCY ;� ` - No. Date 9 /376 -1621.4-72.-.) 61.11/ ' Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO. TRACT NO. LOT NO. UNIT NO. CITY OF'COSTA ME�ggqq C N T U ION PERIVT C A.P.# I Zone �9@ ,�.- 7Z,S BLDG. fiojeit Address S Main Building: Accessory Building: Applicant's Mailing Address 4701 E. HUNTER AVENUE TYPE OF CONSTRUCTION LJ NEW H ADD U ALTERATION U REPAIRE •Owner's Name HOELSCHER/GUGGENHEIM PAIMRS RS ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' T Front p "'Prtd1N DESCRIPTION OF WORK/USE OF BLDG. AFP�'S. w/ATTACHED GARAGES 13 Rear N 4 Address 4665 MAC ARTHUR COURT, 1/275 N.B. , A 1 C Right N Arch/Eng. License No. TYPE OF PERMIT IlWW U GRADING 0 FOUNDATION El STRUCTURAL ' K - G X • Address ❑ TENANT ' ELECTRICAL ❑ PLUMBING ❑ MECHANICAL . $ Left ❑ OTHER R Contractor's Name LAZER ELECTRIC, INC. phone 777-4233 Ping. Ref.# Parking Req./Provided E Address(mailing) 4701 E. HUNTER AVE. , ANAHEIM 92807 PROJECT DESCRIPTION SQ. FT. 9884 OCCUPANCY R./M• Planning Notes: M 032847 CONSTRUCTION TYPE -V _ VALUATION$ T City License No. ZONE GRADING CU.YDS. ACRES $- LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: BLDG. TYPE I (T0 UNITS) with section 7000) of Division 3 of the Business and Professions Code,and my license is In full force and effect. B35587 ELECTRICAL FEES License Class C10 5s0. 440682 BLDG. PERMIT #r� Date 01-18-89 Signature �/-u"— _ PLUMBING FEES Automatic Washer Transformer 0 15-50 KW / WORKERS' COMPENSATION DEC TION Construction Pole Sub. 0 50+ KW I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers — ` of Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter Oup to 100 amps ' 3800, Lab. Backflow Preventer Service Sink Dry No. fC100291640 Company CNA INS. Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps \fi �Certifietl copy is hereby furnished. Dryers OGas ❑Electric 10 Sub Panel @ $11.00 EA 110. 70 LLL Rert lif,ttCp cQQqy ',Ailed with the city Building Division. Bathtubs Sewer Connection Date U1-To-67 Applicant LAZER RT.FCTRTC INC Fan ,� EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors - Motors❑0-1 HP ❑1%'8 (This section need not be completed if the permit Is for one hundred($100) or Dishwasher F.A.U. Inc.Solar 09-15 HP 016-15+ less). Solar Piping I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the - Drinking Fountains Solar Tank 6Fixtures @ .75 EA Microwave 4. 50 Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE:If,after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal 6 Outlets @ .75 EA Range 4.50 comply with such provisions or tnis permit snail be deemed revoked. @ .]5 EA - CONSTRUCTION LENDING AGENCY Gas Service Outlets �fJeter Closet 6 Switches Sign 4.50 I hereby affirm that there a construction agency for the performance // of the work for which this permit is Issued (Section 3097 Civ. C.) Garbage Disposal Standing Sections Interceptors Water Heater Lender's Name - Lender's Address Kitchen Sink Water Service Generator 00-5 KW ❑5-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash 9884 SQ. FT. 296.5 ' following reason (Section 7031.5 Business and Professional Code: Any city or I county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit . to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains 15.0 the Contractor's License Law(Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she Is exempt Fee $15 Issue Fee l_ therefrom and the basis for the alleged exemption. Any violation of Section }(}{} 7031.5 by any applicant for a permit subjects the applicant to a civil malty of not more than five hundred dollars($500). I DEVELOPMENT SERVICES REQUIREMENTS: LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 compensation, will do the work,and the structure Is not intended or offered Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL i FEES Building Approved By Date thereon Law does not apply to owner if a property who builds or improves s thereon, and who does such work himself arelf or intended his or her own Boiler Hood or TypeApplication Issued By Dat employees,le. if, o provided that such improvements are not intentletl or year ered of c for I ❑ sale. If, however, the have improvement is sold within one year of Im- - Canopy Type II 0 pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground SUMMARY OF FEE prove for the purpose of sale). - BUILDING PERMIT $ SMIP ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System $ tractors to construct the project (Section 7044, Business and Professions Code: _ PLAN CHECK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $ builds or improves [Hereon. and who contracts for such oro lefts with aren- PLAN CHECK 25% tractor(s) license pursuant to the Contractor's License Law). I am aware that —Exhaust System 0 Multiple❑ System Repair/Alteration $ ENERGY P.C. $ proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ �,�� r r-b`� GRADING $ ❑ I am exempt under Section B. & P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers MICROFILM $ PLAN CHECK 50% $ Date Owner Heating System& Ducting Registers MECHANICAL $ 435.02 I hereby certify that I have read this application and state that the above '❑0-100,000 BTU 0100,000 BTU TOTAL FEE $ information is correct. I agree to comply with all city and county ordinancesPLAN CHECK 25% $ and state laws relating to building construction,and hereby authorize repre- - sentatives of thi city to en -r .on the above-mentioned property for inspection P (s. � ` 01-18-89 - - . Signature Date • Reinspection Fee $15 Issue Fee $ 3 01 00024515-00024915 TOT 435.02 Drivers' LI ss ' • • _ DATE: 01/24/89 TIME: 11:18 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 'CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location • 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement • 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings ' ' ' 58. Electrical Conduit-Undrgrnd. 8. Foundation r 59. Gas Pipe, 0 Undrgrnd., Test • n 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System `A7 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 Solar System-Final 16! Rough Electric Wiring 7,444 . Fencing & Access Approval 07. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL i id. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 211. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil • 23. Gas Pipe-Rough & Test 72. Underground Flush • 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 747k ( . FOOD CERTIFICATE ISSUED 33. Final Electric 7/2.115/ Notes: 34. Final Heating & Air Conditioning (� 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing - 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final ./t 42. Backflow Preventer i 9 • 43. Backflow Irrigation • 44. Landscape Irrigation System r � 45. Sound Attenuation ' • Y 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 - / 20 -1/fi //�,„� OD 4e," Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • "N'N"xY7J( PE IT NO. TRACT NO. LOT NO. UNIT NO. CITY.OF COSTA MESA CONSTR CTION PER IT Project Address 2900 COLLEGE ` 38-RBC BLDG. -3C A.P.# Zone Applicant's Mailing Address 4701 E. HUNTER AVENUE N TYPE OF CONSTRUCTIONEW U ADD U ALTERATION U REPAIR S Main Building: Accessory Building: E 2 •Owner's Na.ne HOELSCHER/GUGGENHEIM 1:144',NERS ❑ CONVERSION ❑ DEMOLISH C OTHER T Front 0 DESCR I PT ION OF WORK/USE OF BLDG. I B Rear N Address 4665 MAC ARTHUR COURT #275 N.B. AREA LIG TING/CARP RT LTGHTTNf A 1 Arch/Eng. License No. TYPE OF PERMITrr''v[ivv L.GRADING LJ FOUNDATION STRUCTURAL K Right G Address ❑ TENANT LH)ELECTRICAL ❑ PLUMBING ❑ MECHANICAL f, $ . Left R Contractor's Name LAZER ELECTRIC, INC, Phone 777-4233 ❑ OTHER I Ping. Ref.# Parking Req./Provided E I Address(mailing) 4701 E. HUNTER AVENUE ANAHEIM 92807 PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: Q City License No. 032847 CONSTRUCTION TYPE VALUATION $ M T ZONE — GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: ��. with section 7000) of Division 3 of the Business a0d/Pr fessions Code,and 13 r`tww my license is in full fosse pod effect. /U7rL/.at O�1 - �_ �j Z� _ ELECTRICAL FEES `� License Class 1. lU Licen 0. ^'"'" Date 06-13-8Q Signature —_-------' PLUMBING FEES Automatic Washer Transformer 0 15-50 KW / WORKERS'COMPENSATION D C ATIONConstruction Pole Sub. 0 50+ KW I hereby affirm that I have a cerci ' e of consent to self-insure or a certificate Be!Sink Showers d of Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit / Meter ?a:to 100 amps rL ?O V 3800Lab. C.1.-- Backflow Preventer Service Sink v , WC 100291640 CNA INS. Dishwasher Meter Dover 100 amps Policy No. Company _ Backflow Irrigation Sewer Cap — ❑ Certified copy is hereby furnished. Dryers ❑Gas ❑Electric / Sub Panel 'L CO ertifi d co is d with the city Bu'�JItl"rr��g_ppl�viu Bathtubs Sewer Connection Date 56-f -� Applicant L�Ll:K 6� CTRIC+ INC. Fan Motors❑0-1HP ❑1%-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred($100) or Dishwasher F.A.U. Inc.Solar 09-15 HP 016-15+ less). Solar Piping I certify that in the performance of the work for which this permit is issued I — — - n 1D�' }o(/, shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank A i x t u res Microwave Workers' Compensation Laws of California. Device Boxes Date Signature Floor Drains Swimming Pool w/Spa - Pole Light NOTICE: If,after making this declaration, you should become subject to the Outlets Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYGas Service Outlets Water Closet Switches Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name - Lender's Address Kitchen Sink Water Service Generator 00.5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION ala u �7. I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash / /7, c-e 1...,Cpe.�-- 3 .,t,�/ following reason (Section 7031.5 Business and Professional Code: Any city or ' county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law (Chapter 9(commencing with Section 7000) of T “Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee 4.5-D $4 therefrom and the basis for the alleged exemption. Any violation of Section P $15 Issue Fee 7031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars ($500). DEVELOPMENT SERVICES REQUIREMENTS: LI I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or Improves �7I� thereon, and who does such work himself/herself or through his or her own Application Issued By LLU Dat employees, provided that such Improvements are not Intended or offered for Boiler Hood or Type I El ) - _ sale. If, however, the building or improvement Is sold within one year of com- Canopy Type 11 0 SUMMARY OF FEES pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- ,-- ENERGY P.C. $ tractor(sl license pursuant to me Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ proof of' their Worker's Compensation Insurance should be provided to me. ❑ 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers ELECTRICAL $ 00GRADING $ PLAN CHECK 50% $ MICROFILM $ Date - Owner Heating System & Ducting Registers I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BT - MECHANICAL $ TOTAL FEE $ SJr information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building onstruction,and hereby authorize repre- sentatives of t + y to en • l the above-mentioned pr DertY foh Inspection pu/ys w ®01309 Signature L �i L_!/ Reinspection Fee $15 Issue Fee $ 3v - Drivers' L ce - or a # 01 00035335-00035335 TOT ti I.r:IU 0865-46,rev. 5/88 white - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 0L/14/39 TitlE: 0749 \ � "CONSTRUCTION AND PLANNING POOL &SPA ' APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location '2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test :9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains ; 64. Plumbing System - Final 14. Rough Plumbing I 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final /16. Rough Electric Wiring 67. Fencing & Access Approval 17-. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19.' Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21.'Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23.JGas Pipe-Rough&Test 72. Underground Flush 24. Roof Framing • 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Moriocoat 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-Finall /� , 80. FOOD CERTIFICATE ISSUED 33. Final Electric / Notes: 34. Final Heating & Air Conditioning is- 4 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 141 38. Final Plumbing 39. Water Service-Final • n • 40. Gas Service-Final ,} 41. Solar Domestic-Final 42. Backflow Preventer �.' � ; ) 43. Backflow Irrigation ' 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison - ' , 1 50. Gas Release to Southern California Gas Co ;- I. I 51. CERTIFICATE OF OCCUPANCY . .r if No. Date L ,- ;1 CITY OF COSTA ' 'A 32. Electrical Po Neter-Final ScBUILDING SAFETY L SION33. Final ElectricPOST IN CONSPICUOUS PLACE 34. Final Heating & Air Conditioning 44 --9 1 , ON THE JOB 35. Final Gas Pipe-Test Van r NOTICE 36. Hood or Canopy You must furnish PERMIT NUMBER and the JOB ADDRESS �jq FOR EACH RESPECTIVE INSPECTION. CALL 754-5627. 37. Final Factory Fireplace 74,G/9 ( ee-- APPROVED PLANS SHALL BE ON JOB AT ALL TIMES. GG" ( ti�s- 38. Final Plumbing A. P. N0.1 ^ 1 DINE I5 ED 39. Water Service-Final //! fry a TYPE 1_11 GROUP PERMIT NO. 40. Gas Service-Final V!J Q 3 h, 33S 41. Solar Domestic-Final BUILDING ADORES ZZ t2 I quAAJCLA p C 42. Backf low Preventer TRACT R n Ea-) / kpN �b BLOCK J • !!' /lJ 43. Backflow Irrigation NEW ADO ALTER REPAIR MOVING DEMOLISH 44. Landscape Irrigation System 45. Sound Attenuation OWNER 46. Handicap Regulations USE et '� 47. FINAL STRUCTURE & BUILDING 77749 Int1 �T 1 48. Special Requirements Completed • POOL & SPA SETBACKS APPROVALS Permit# Front Yd. Side Yd. L R Rear 49. Pool & Equipment Location Side Yd. L R Rear 50. Steel Reinforcement CONSTRUCTION AND PLANNING 51. Forms APPROVALS Permit# Date Inspector 52. Electrical Bonding 1. Temporary Electrical Service or Pole 53. Rough Plumbing & Pressure Test 2. Soil Pipe-Undrgrnd. 72/20y a 54. APPROVAL TO COVER-GUNITE 3. Electrical Conduit Utility-Undrgrnd. 55. Electrical Conduit-Undrgrnd. 4. Electrical Conduit-Undrgrnd. /// 56. Gas Pipe, 0 Undrgrnd.,Test 5. Steel Reinforcement 9 -4.27/7 l9'A/ 57. Backwash Lines, P-Trap, 0 Undrgrnd. 6. Electrical UFER Grnd. / "J66++ 58. APPROVAL TO DECK 7. Footings / I 59. Backwash& Receptor-Final 8. Foundation 60. Heater & Vent-Final 9. Water Pipe-Undrgrnd. 61. Plumbing System - Final 10. Structural Floor System 62. Electrical-Final 11. Property Sewer Line&House Connection 63. Solar System-Final 12. Sewer Cap 64. Fencing& Access Approval 13. Roof Drains 65. APPROVED FOR PLASTERING 14. Rough Plumbing i41/p + /Off 66. POOL/SPA SYSTEMS FINAL 15. Rough Electrical-Conduit ✓% FIRE DEPT. REQUIREMENT 16. Rough Electric Wiring 049 ly�i 'c'C APPROVALS Permit# 17. Rough Wiring Sign 67. Underground Hydro • 18. Rough Electrical-T Bar Ceiling 68. Product Piping ❑Gas ❑Oil 19. Rough Heating & Air Conditioning x 69. Underground Flush 20. Rough Factory Fireplace //c/27 70. Undergrnd. Storage Tank O Gas ❑Oil 21. Ducts, in Structure [ 71. Overhead Hydro 22. Ducts, Ventilating 72. Dry Chemical 23. Gas Pipe-Rough &Test 73. Dry Standpipe • 24. Roof Framing 74. FIXED SYSTEM FINAL �� 25. Roof Sheathing 75. FIRE PREV. FINALtc 7///2/67 ti' 1� 26. T-Bar Ceiling (Structural) & Monot Notes: „afyt4,, pSR ,ry�N-J 27: Frame and Flashing 2142111 C4p !/- I8/' v c. 9-0 were 4,- �7 ` 28. Lathing& Siding 24/;;IIL 29. Insulation ' a.' ,1 30. Drywall Nailing31. Plaster Plaster Brown Coat ,�/'�Je,rte' ,4 (see reverse for additional notes) CMF 0559-46,rev. 12/82 666 - Applicant to till in all spaces except those within heavy border lines and sign all appropriate declarations. - P MIT NO. TRACT NO. LOT NO. UNIT NO. 141-351-19 CIT•OFCOSTAMESA CONSTRUCTION PERMIT A.P.;Is Zone R4 �jZ� (o GRIFFITI�S 91-92 _ (141-199—na Prorect Address 1980 VTT,T,AAF. WAY • _ RR(' RT,DC; `.J, �J S Main Building: Accessory Building: •Applicant's Mailing Address TYPE OF CONSTRUCTION W,J{NEw L ADD LI ALTERATION REPAIR ✓ 2755 BRISTOL COSTA MESA• ❑ CONVERSION LI DEMOLISH ❑ OTHER T Front I C I i O Owner's Name BOi�Lr•Ckii kgi/ t�77G IAIHCr IIIPhone 850 1551 DESCRIPTION OF WORK/USE OF BLDG. II Rear ✓ Ci' .�/ N Address 4665 l7AC A TH�R �T. N.r Or'B WA AT PQQT. A - I KERMIT DORIUS (q' CK R' y N Arch/Eng. License No. TYPE OF PERMIT L GRADING FOUNDATION ® STRUCTURAL K) C Address 1550 BAYSIDE DR. CORONA DEL MAR ❑ TENANT ❑ ELECTRICAL 0 PLUMBING ❑ MECHANICAL S Left L44 ie ' C I 101 R Contractor's Name LUCAS DEV. CORP . Phone 850-1551 0 OTHER I Ping. Ref.# Parking Req./Provided E Address ImailingP 755 BRISTOL #275 , COSTA MESA PROJECT DESCRIPTION SQ. FT. OCCUPANCY A3 B20 CONSTRUCTION TYPE VALUATIONS 7 t 500 . 00 Planning Notes: PA 88-31 M rvi City License No. 30749 ZONE GRADING CU.YDS. ACRES I. -%sir.'• w'ee'., V+ s L.. ..: i�--e' .1_' an T (�, LICENSED CONTRACTOR DECLARATION lock -Gun /� n rt• 1 M /ls S. I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: q o- v1 9� IUL.{� W(A r s/W�/• `^^ •y^wn-c...�' ' I OLF, Co'with section 7000) of Division 3 of the Busines an Prof sslons Code,and B-35593 V••C_,4(,Q16O9 Y. [ W-0. M Lk-24-81 1 `my license is in full force and effect. p �1 ^s •��y�s� ELECTRICAL FEE Ween aG asys - s `c # ``3 —.els, t vote - b Signature PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW .JNORKERS'COMPENSATION D RATION Construction Pole Sub. 0 50+ KW .I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers 'f Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink • Cooking Unit Meter ❑up to 100 amps ' .800, Lab. C.) Policy No.46-88 UNIT 22�itriPany_ • _ ,t 'u Backflow Irrigation Sewer Cap Dishwasher • Meter Dover 100 amps lg Certified cop is h ruby furnished A / Dryers DGas DElectric Sub Panel PO Certglea v.is Fogy the c.40:0 Idin• •lvisi'* Bathtubs Sewer Connection Date �-'I1 CCC 1 Applica . �. ■ Fan EXEMPTION FROM WORKERS' PENSATION DECLARATI.'x, Clarifiers Solar Collectors Motors 00-1 HP ❑1'h-8 (This section need not be completed if the permit Is for one hundred( 00) or F.A.U. Inc $Ola! ❑975 HP ❑16-15+ - less). Dishwasher Solar Piping Inc. Solar certify that in the performance of the work for which this permit is issued,I Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave - workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE:If,after making this declaration, you should become subject to the Outlets - workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Range f • comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service OutletsSwitches Sign I hereby affirm that there is a construction lending agency for the performance Weser Closet - of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or - - county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law (Chapter 9(commencing with Section 7000)of . Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee ! $15 Issue Fee $ 3 'erefrom and the basis for the alleged exemption. Any violation of Section • )31.5 by any applicant for a permit Subjects the applicant to a civil enalty of not more than five hundred dollars($500). - - DEVELOPMENT SERVICES REQUIREMENTS: 1❑ 3 c/� I, as owner of the property or my employees with wages as their sole Reinspection-Fee $15 Issue Fee $ K -4-c267 compensation, will do the work, and the structure is not intended or offered Zoning Approved By --1� i Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves • s - y �]� s1� ` �/ thereon, and who does such work himself/herself or through his or her own Application Issued By /i r s Date '-2b``�D employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0 sale. if, however, the building or improvement is sold within one year of com- Canopy Type II 0 ' pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground SUMMARY OE FEES S3 prove for the purpose of sale). - BUILDING PERMIT $ 9-1' IA SMTP $ Q ' 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System _ PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: • The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU ISSUANCE builds or improves thereon, and who contracts for such oroiects with a con- - PLUMBING $ $ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation Insurance should be provided to me. GRADING $ ❑ I am exempt under Section B.&'P,C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers ELECTRICAL $ PLAN CHECK 50% $ MICROFILM $ Date Owner Heating System& Ducting Registers _ MECHANICAL $ TOTAL FEE $ tiln I hereby certify that I have read thi application and state that the above 00-100,000 BTU 0100,000 BTL information is orrect. I agree to corn•ly wit all city and county ordinances PLAN CHECK 25% $ and.state I. . elating to bui c•s tructlf n, and hereby authorize repre- ' sentatives of city r u--frj^, •,,,above-mentioned. roperty inspectlo pure, s ' jJp _ - /gip •zl • Signature � ( - Date-I k Drivers' License or SS 7, Reinspection Fee $15 Issue Fee $ 3 •0865-46,rev. 5/8B white - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor f11 Cr:::1r't lI"1T`i, - CONSTRUCTION AND PLANNING POO, V SPA i"'APPROVALS Permit# Date Inspector APPROVALS 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 UF ER Grnd. ' 57. APPROVAL TO COVER-GUNITE • 7. Footings i 58. Electrical Conduit-Undrgrnd. 8. Foundation • 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. ;•• 10. Structural Floor System , 4 - 61. APPROVAL TO DECK • 11. Property Sewer Line & House Connection 1I 62. Backwash & Receptor-Final' 4 12. Sewer Cap _ 63. Heater & Vent-Final 13. Roof Drains • 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final . ,. 15. Rough Electrical-Conduit • 66. Solar System-Final '16: Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20'. Rough Factory Fireplace APPROVALS Permit# - - 21. Ducts, in Structure • 70. Underground Hydro 22. Ducts, Ventilating • 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑011 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing _ 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL • 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation k-f 46. Handicap Regulations • 47. FINAL STRUCTURE & BUILDING 7/7/aY/ 48. Special Requirements Completed �7 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY , No. Date ?ITY OF COSTA MEV- ,ALIFORNIA 92628-1200 P.O.BOX 12uu Insulation Certificate ' 1380 Village Way Costa Mesa CA Number and Street City Orange Rec. County Subdivision Lot Number Description of Installation ROOF Material Composition Brand Name Prestique Plus Thickness(inches) CIDSSA Thermal Resistance(K-Value) EXTERIOR WALL Material Stucco Brand Name Portland Cement Thickness(inches) • 7/8" Thermal Resistance(R-Value) R-11 Batt 3-1/2" Manville CEILING Batt or Blanket Type Batt Brand Name Manville Thickness(inches) 6-3/4" Thermal Resistance(R-Value) R-19 Loose Fill Type Brand Name Contractor's minimum installed weight/ft2 - lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance(R-Value) RAISED FLOOR Material N/A Brand Name Thickness(inches) Thermal Resistance(R-Value) SLAB FLOOR Material Concrete Brand Name Portland Thickness(inches) 4" w/6x6x10x10 Thermal Resistance(R-Value) Width(inches) varies FOUNDATION WALL Material Concrete Brand Name Portland Thickness(inches) 8"—12" Thermal Resistance(R-Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. CA , uc .�,�...�,;/rte � 7- • !.� -/ zS�6 Cdsii: Co a(U 'rdcr) License Number Signature and Till% Date Sub-Contractor(Insulation Installer) License Number Signature and Title Date '• r9)Y lilt t�y/6 cant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 1 I O YY /!I ./ PERMIT NO. RATT NO. LOTNO.c�1-t0_. UNIT �1, � � 15 �� ,y� � 1— ��2 3 ,/1 •-} CiTYOFCOS7AMESA CONSTRUCTION PERMIT pp q {'T(�( * (� rf A.P.# It O L -D Zone K Project Address '�JsC _ _ D 3 55 /3 1"YY"YY '\•+O SGG TYPE OF CONSTRUCTION M NEW H ADD H ALTERATIONS Main Buildinggt Accessory Building: • •Applicaht•s Mailing!{dote - 15t0 t 275 r _ H REPAIR E i f f Z Oe sc er a gg- e e- 6 ❑ CONVERSION ❑ DEMOLISH El OTHER T Front ID_} -io Glts< O Ovinef's Nam Ph DESCRIPTION OF W /USE OF BLDG. B Rear f -� J N 4665 MacArthur Crt. Newport a 92fE0 blaq• A _ 12 ip �� 1 Address - Recreation Kermit Dorms C Right 2.0 } N Arch/Eng. License.No _ TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ® STRUCTURAL K G 1550 Bayside Dr. , corona Del Mar ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S Left 3r ±*o pcot Address R Lucas DeveiopI[Ient, corp. ❑ OTHER Ping. Ref.# �j a ParkingE Contractor's Name Phone�51 'v�— X95 Req./Provided 1 '1.��'1tt.t 2755 Bristol, Ste. 2/5, WS PROJECT DESCRIPTION SQ. FT. 1132 sf OCCUPANCY4A-3 B-2 �� _ 3 la M Address(mailing) 030/49 CONSTRUCTION TYPE V-1 hr VALUATION$ t /1 vos•( 0 Planning Notes: City License No. ZONE GRADING CU.YDS. ACRES QQ �T (� ■�� p ■��• t. ( LICENSED-CONTRACTOR DECLARATION . BOLD FOR SPECIAL Rl)QV1A15ME1'IiH S. I hereby affirm that am licensed under provisions of Charter 9 (commencing - Remarks: —_ • with section 7000) of Division 3 of the Business and Professions Code, and ��(1 _,f1 (1 my license is in full force apo effect. • - 257064 .-- COROI. ELECTRICAL • FEES License gass t5 1 �-Icense No. Date 7/29 Signatu /� PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WOR ER COMPENSATI• DE • RATION' - CpnStructiOn Pole Sub. 050+KW I hereby a irm that I have certif''.te of consent to self-insure or a certificate Bar Sink Showers • .f Workers' Compensate• In .rance, or a certified copy thereof (Section Cooking Unit Meter ❑up to 100 amps ei 800, Lab. C,1 Backflow Preventer Service Sink - 46-88 •-. it 225 • State B}{KF4 Farm Dishwasher Meter Dover 100 amps Jolicy No. 4ompany Backflow Irrigation Sewer Cap p \ ❑ Certif ie top is hereby furnishetle r p1 1-1-$9Dryers ❑Gas ❑Electric Sub Panel - Certifio filed with the city'-�,.d •.2ivisiori. Bathtubs Sewer Connection Date 9 -I Applicant .i —-- „\ • N Clarifiers Solar Collectors Fan Motors ❑0-1 HP ❑1'h-8 EXEM sectio FROM not WORKERS:• i p permit isN for oDEn (This sectio need be completl e one hundred ($100) or Inc.Solar ❑9-15 HP ❑16-15+ less). Dishwasher Solar Piping F.A.U. I certify that in the perform. c- .f the work for,whlch this permit is issued, shall not employ any pers. ' 'any manner so as tot become subject to the Drinking Fountains Solar Tank - - Fixtures Microwave • Workers' Compensation of California. • - Date Signature - I Floor Drains Swimming Pool w/SpaDevice Boxes Pole Light ' NOTICE: If,after making this declaration, you should become subject to the ,..__NOTICE: Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range comply with such provisions or this permit shall be deemed revoked. Switches CONSTRUCTION LENDING AGENCY - Gas Service Outlets Water Closet Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service „ Generator 00.5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION ' I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash - ..- - following reason (Section 7031.5 Business and Professional Code: Any city or 'county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays • any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains . the Contractor's License Law(Chapter 9(commencing with Section 7000) of _ ' Division 3 of the Business and Professions Code) or that he/she is exempt ' Reins Reinspection ' erefrom and the basis for the alleged exemption. Any violation of Section - P Fee $15 Issue Fee $ 3 h • 131.5 by any applicant for a permit subjects the applicant to-a civil -.natty of not more than five hundred dollars($500). _ DEVELOPMENT SERVICES REQUIREMENTS: L] I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 ' compensation, will do the work, and the structure is not intended or offered Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By ". Date -cense Law does not apply to an owner of a property who builds or improves _ _ - -_.-_ - - - _. thereon, and who does such work himself/herself or through his or her own Application Issued By "�_��.�//��=i.{r__ Dat- •aril. employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 �• _ sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 - SUMMARY OF F, pletlon, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground rove for the purpose of sale). ' ' BUILDING PERMIT $ "2'4" SMIP $ Y'sh • CI,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System tractors to construct the project (Section 7044, Business and Professions Code: _ -77PLAN CHECK $ 4 r•33 PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- t tractor(s) Ilcense pursuant to the Contractor's License Law). I am aware that •PLAN�CHECK 25% $ _ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. Exhaust System 0 Multiple 0 System Repair/Alteration _ - _ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIL ICBO# Fire Dampers ELECTRICAL $ GRADING $MICROFILM $ System - PLAN CHECK 50% $" -y Date __ Owner Heating & Ducting Registers MECHANICAL $ (D[J $7 I hereby certify that I have read this application and state that the above 00_100,000 BTU 0100,000 BTL TOTAL FEE $ 3 (r Information is correct. I agree to comply with all city and county ordinances - - PLAN CHECK 25% $ and state laws relatin• to buil.' g construction, and hereby authorize repre- , inspection lve5 of this ter upon the above-mentioned pr•per y for pu Signature Date I _i ' # ►- Reinspection Fee $15 Issue Fee $ 3 01 00016381-00016383 TOT I3�•.ui - Drivers' Lice. se . SS � .► • 1 1 5 •l DATE: 10/06/88 TIME: O9:23 0865-46��5/fib White - Building; Canary - Applicant; Pink -Accounting; Goltlenrotl - Assessor . 1 ' CONSTRUCTION AND PLANNING . POOL ,PA Date Inspector Date Inspector APPROVALS Permit# APPROVALS Permit#- 1. Temporary Electrical Service or Pole; 52. Pool & Equipment Location 2. Soil-Pipe-Undrgrnd. 'J ''dill 53. Steel Reinforcement :te L 8;-Electrical Conduit Utility-Undrgrnd. 54. Forms • 4. Electrical Conduit-Undrgrnd. . 55. Electrical Bonding 1;' 5' Steel Reinforcement liv56. Rough Plumbing & Pressure Test ., • , 6..Electrical UFER Grnd. !RV,,' 7.0.:74,2,6„,... 57. APPROVAL TO COVER-GUNITE `' 7. Footings !, �'•' � 4N. 58. Electrical Conduit-Undrgrnd. 8. Foundation/ .6 !1/3 &iv•f .3 ir,�fl' N. 59. Gas Pipe, 0 Undrgrnd., Test 9: Water Pipe-Undrgrnd. WI 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10.'Structural Floor.System 61. APPROVAL TO DECK 114Property Sewer Line & House Connection 62. Backwash & Receptor-Final - 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains64. 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 . 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning l FIRE DEPT. REQUIREMENT 20. Rough Factory'Fireplace APPROVALS Permit# 21. Ducts, inStructure ' I '70: Underground Hydro '22. Ducts, Ventilating 15,--, 71. Product Piping 0Gas 0Oil - 23. Gas Pipe-Rough & Test '' ' 72. Underground Flush 24. Roof Framing - 7 4 /��-lfJ/ 73. Undergrnd.Storage Tank 0 Gas 0 Oil / • • 25. Roof,Sheathing • • - �' 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat -' .75: bDry Chemical'» e 27. Frame and Flashing 76. Dry Standpipe I L28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL . a 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 312 Plaster:Brown Coat i't' 79. FINAL INSPECTION ,, 1 . 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33: Final Electric ' 0 Notes: 11/9/4-v slc•024...4y r�,. 4/S C',u . ' 34. Final Heating & Air Conditioning /HOLD FOR SPECIAL RFrq/u!RFp •g 35. Final Gas Pipe-Test / 36. Hood or Canopy ' /I `&43 %1 2/1/I, 37. FiMl'Fa,, rty-Fireplace-T t - 38. Final-Plumbling - Lr 39. Wafer Service=Finale-a •.:••;z-t tf._, , r �40. Gas.Service-Final I , I';I 41. Solar Domestic-Final -42. Backflow Preventer J7•� V 43. Backflow Irrigation - . r 44. Landscape Irrigation System i 1i••' "' '45. Sound Attenuation - • � 46. Handicap Regulations . 47. FINAL STRUCTURE & BUILDING Ø,%v48. Special Requirements Completed //a'8 11 ,- 49. Electric Release-to Edison 50. Gas Release to Southern California Gas Co `- - • 51. CERTIFICATE OF OCCUPANCY C. No. Date I : • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. P RMIT NO. TRACT NO. LOT NO. UNIT CITY OF COSTA MESA CT'',OI�I1S�'. CTION PR/M"—I'ITf J s can, A.P.# I Zone Project Address (f V t---- yl/�YY 1 a/ U S Main Building: Accessory Building: , Applicant's Mai 'ng Address 9-7 £ i - �./ / TYPE OF CONSTRUCTION U NEW ADD U ALTERATION REPAIR E Z I 4' /5 / ❑ CONVERSION ❑ DEMOLISH THER i T Front D Owner's Nam: n!a 5 dt r airer r� 'hone JJ l7 DESCRIPTION OF WORK/USE OF BLDG. A Rear N Address Al- 61j . rn :y,,, gni,. Z 1 Arch/Eng. ��7N1�- /��v' ,.,,,- 'License No. 3.--10 44-3‘ TYPE OF PERMIT ❑ GRADING�❑ FOUNDATION U STRUCTURAL I CK G Right N Address /f6 ( ( ,-t.P11 -/�/av r� ��11�/weer ! ❑ TENANT ❑ ELECTRICAL /G1 PLUMBING ❑ MECHANICAL $ Left R Contractor's Name (iYY'-' .✓11-1-1 9Pho a �O-IS-j� ❑ OTHER I Ping. Ref.# Parking Req./Provided ((�� E / // PROJECT DESCRIPTION SQ. FT. OCCUPANCY Q Address(mailing) ��77�� 's/I! �r CONST RUCTION TYPE VALUATION$ Planning Notes: T City License No. YV 9 ZONE GRADING CU.YDS. ACRES S, LICENSED CONTRACTOR DECLARATION �-s ..p I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: t( es 5-.t —/ 3 ci\ with section 7000) et DI Ilion 3 of the Business and Professions Code, a • U L/ J kicl my license is In f tree • d eHe — ELECTRICALFEE$ License ass _ I 1 Li •��.j N•�� O �� Date - �I� �r PLUMBING Automatic Washer Transformer 0 15-50 KW �,r signatu FEES �� 0 50+ KW WORKERS' COMPENSATION ti C • RATION Bar Sink Showers Construction Pole Sub. I hereby affirm that I nave a certificate of consent to self-ins re or a cert to �i Workers' Compensation I �cg�or yce Hied y;her f edlpryJ Cooking Unit Meter pup to 100 amps 800, Lab. C o�(p/ F/y �(�t,_S• Backflow Preventer Service Sink \ policy No. Com any • —Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps Certified copy is her furnish :. t�` Dryers ❑Gas (]Electric Sub Panel ]yam,.ertif1' d cgpy 6 with the Ity B 0 'm iIvisiOq. % Bathtubs Sewer Connection _ G alv /�7 APPIi<. t _�< VVVVVV / • EXEMPTION FROM WORKERS' • -ENSATION DECLARA -' Clarifiers Solar Collectors Fan • Motors 00-1 HP 01%-8 - (This section need not be completed if the permit is for one hundred (Si sit. orF.A.U. less). Dishwasher Solar Piping Inc.Solar 09-15 HP 016-15+ I certify that in the performance of the work for which this permit Is issued, I Fixtures shall not employ any person in any manner so as to become subject to te Drinking Fountains Solar Tank - Microwave Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE: If,after making this declaration,you should become subject to the Workers' CompensationOutlets Range P provisions of the permittr Code, you deemedet forthwithked. Floor Sinks Urinal 9 comply with such LENDING or this shall be revoked. CONSTRUCTION LENDING AGENCYSwitches Gas Service Outlets Water Closet Sign I hereby affirmk that there is a erion lending (Section for the performanceCiv. C. of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink ' Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish Or repair P-Trap Laundry TraVs any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that ne/she Is licensed pursuant to the provisions of Roof Drains oar,- y�� Tom. O� the Contractor's License Law(Chapter 9 (commencing with Section 7000) of / 9 /G/'+•r-! Division 3 of the Business and Professions Code) or that he/she is exempt 'herefrom and the basis for the alleged exemption. Any violation of Section Reinspection Fee $15 Issue Fee $ 3 031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). • I DEVELOPMENT SERVICES REQUIREMENTS: ❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 Zoning Approved By Date compensation, will do the work,and the structure is not Intended or-offered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date r License Law does not apply to an owner of a property who builds or improves _ _ p.9 I i� 1+ y thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I 0 Application Issued By /�/ Date 1 tl O employees, provided that such improvements are not intended or offered foryP sale. if, however, the building or improvement is sold within one year of com- Canopy Type II ❑ SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System tractors to construct the project (Section 7044,Business and Professions Code: PLAN CHECK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑o-100,000 BTU ❑100,000 BTU UMBING , OJ ISSUANCE $ PL builds or improves thereon,and who contracts for such oroiects with a con- $ tractor(s) license pursuant to toe Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ I am exempt under Section- B.& P.C.for this reason Firepi/Fact.BIt. ICBO# Fire Dampers Heatin PLAN CHECK 50% $ MICROFILM $ Date Owner 9 S st y em& Ducting Registers I hereby cert' that I have r((,ad thl applic.jon and state that the above 00-100,000 BTU 0100,000 BTL MECHANICAL $ TOTAL FEE $ 8 OJ Informatio s rect. I agree,p c•••I with ,lI city and county ordinances PLAN CHECK 25% $ and state ws tin o b n•u 1 ru o ,•ndhereby authorizer p sentatives of t c' to u• -••entionetl Wt i Signature for purp /�''— _. Signature 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink - Accounting; Goldenrod - Assessor 01 00017151-00019151 TOT 8,00 . MTC• •• inn MO Thin ae..a, \ �\ .. .. .CONSTRUCTION AND PLANNING POOL ,PA APPROVALS Permit# Dat Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole =� 52. Pool & Equipment Location - - i' :`. 2. Sgil.Aipe,,Uridr1. grnd. -n 53. Steel Reinforcement 77-'_..5 „Electrical Conduit Utility-Und grnd. .11;77 7.J 54. Forms - /-- 4='ElectfibaDtonfduiVUridrgrnd. , -- �' 55. Electrical Bonding e\o -, --v. . .1 I,••v 5) Sjeel(Reinfor rnr7 56. Rough Plumbing & Pressure Test +� . a-n. i •ent T _ ..0- -&. dv'Electii❑aI:l1FEF4'G lid: r V /^ 57. APPROVAL TO COVER-GUNITE Footings' 1,r`S.. % i `. .../ 58. Electrical Conduit-Undrgrnd. ; 8 �F.oupdation j 7 z) jf� '!�, .i 59. Gas Pipe, ❑ Undrgrnd.,Test eL,7 i/- 9'Watei Pipe-UndtJrnd. .i • 1 60. Backwash Lines, P-Trap, 0 Undrgrnd. i:\Lri 10 1. r • .' . i •. . 10. Structural FlooiSystem ,--.- .,` `•--� 61. APPROVAL TO DECK 11" P7operty Sewer Line& House Coilneciion /(t2i2,ei Lep 62. Backwash & Receptor-Final •� 1-z."Sewer Cap) j ' `T V ' -' 7 !� 63. Heater & Vent-Final i h l 13. Roof breis[ Iy,.7: his 7 :��),• 64. Plumbing System - Final ` •14. Roi h Plumbin - 1 65. Electrical-Final r 15. RoOdh Electrical-Conduit ) 9 r 66. Solar System-Final 76 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 it i '1v9'---Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace O APPROVALS Permit# 21. Ducts, in Structure ;N- 70. Underground Hydro 22. Ducts, VentilatingLI 71. Product Piping 0 Gas 0 Oil - 23. Gas Pipe-Rough & Test v 72. UndergroundFlush _ 24. Fleet Framing, 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roth Sheathing 74. Overhead HydYo 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemicah 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 •. '7 . .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 /L'/L_ 1( l 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer r., 43. Backflow Irrigation • 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations i's- 47. Y{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 L--- No. Date r I vi 3 go k•� �/"R( WAY Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. ,•-t,9 CITY OF COSTA MESA CONSTRUCTION PEF4\IIT p' I T PEIMIT NO. TRACT NO. LOT NO. '� 'T Nc� • ' KED OldC 1 r .sJ�lo3e0 d' . D ' • Project Address - � ' . Applicant's Mailing Address 9371 Folkstone, hunt. Beach TYPEOFOF CONSTRUCTION K NEW LI ADD LI ALTERATION REPAI • • Owner's Name Hoelscher Guggenheim Phone 851-2116 El CONVERSION El DEMOLISH El OTHER A.P. \ Zone DESCRIPTION OF WORK/USE OF BLDG. S Main Building: Accessory Building: Address 4665 Macarthur Court, Newport Beach Arch/Eng. Darius Architects License No. TYPE OF PERMIT El GRADING�p❑7 FOUNDATION 0 STRUCTURAL T Front 0 Address 1550 Bayside Dr. , Corona del mar 0 TENANT 0 ELECTRICAL PJ PLUMBING ❑ MECHANICAL B Rear - - . N Coastline Plumbing phone 963-3800 0 OTHER I Contractor's Name - C Right • N Address(mailing) 9371 Folkstone, Hunt. Beach PROJECT DESCRIPTION SQ. FT. OCCUPANCY - K Left ' G CityLicense No. 023390 CON ST RUCTION TYPE VALUATION$ $ - ZONE GRADING CU.YDS. ACRES E LICENSED CONTRACTOR DECLARATION �-s• _ Ping. Ref.dk Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: sl 3559 3, Planning Notes: - - M with.section 7000)-of Division 3 of the Business and Professions Code, and �,,J - ' • my license is in fi414 •and effect. T • JO � \ 394638 S Da License Al •: rflle +�"'¢% 7 PLUMBING FEES i Date I U Signature • WORKERS'COMPENSATION DE LAR•TI' N Bar Sink J Showers � a. ELECTRICAL FEES I hereby affirm that I have a certificate o co, ant to self-insure or a certificate at Workers' Compensation Insurance, or . certified copy,thereof (Section - Backflow Preventer • - Service Sink - 3800, Lab. C.)- Automatic Washer Transformer ❑ 15-50 KtN • ./83678-87 State Comp. ❑ 50+ KW .� Policy No. Company Backflow Irrigation Sewer'Cap Construction Pole Sub. " Certified copy is hereby furnished. fl CertiqerJ cq{�`�,Is filed with the city Building Division. Bathtubs 1 Sewer Connection •3Z 'Cooking Unit ! Meter pup to 100 amps Date IV/G/ISY) Applicant Coastline Plumbina EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dove 100 amps (This section need not be completed if the permit is for one hundred ($100)or less). .•- Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel • I certify that in;lhe performance of the work for which this permit is issued,-I shall not employ any person in any manner so as to become subject to the / Drinking Fountains Solar Tank �^ Fan , Motors❑Q1 HP 01A-8 Workers' Compensation Laws of California. • 1 4Date Signature Floor Drains Swimming Pool w/Spa F,.A.U. • Inc.Solar 09.15 HP 016-15+ 1 "NOTICE:If,after making this declaration, you should become subject to the q Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks - - / Urinal / 'Fixtures • Microwave comply with such provisions Or this permit shall be deemed revoked. , CONSTRUCTION LENDING• AGENCY ' I Gas Service /D OutletsA. Water Closet Device Boxes Pole Light r I hereby elfin that there Is a construction lending agency for the performance / - of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors . - / Water Heater c 0 —• Outlets Range Lender's Name Lender's Address Kitchen Sink Water Service Switches Sign ' A - /1 OWNER BUILDER DECLARATION '- _ /� I hereby affirm that I am exempt from the Contractor's License Law for the a Lavatories 7 Auto-Wash ii/V —. Garbage Disposal Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P—Trap • - LaundryTrays 00-5 KW 05-15 KW, Trash Compactor • any structure, prior to its issuance, also requires the applicant for such permit - y _ Generator to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of - Division 3 of the Business and Professions Code) or that he/she is exempt -I - r- - therefrom and the basis for the alleged exemption. Any violation of Section - . 7031.5 by any applicantfor a permit subjects the applicant to a civil • ' enalty of not more than five hundred dollars($500). '• ' • U I, as owner of the property or my employees with wages asp their sole Reinspection Fee, , $15 Issue Fee $ 3 - - compensation, will do the work,and the structure is not intended or offered ' Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and-Professional Code: The Contractor's MECHANICAL , FEES License Law docs not apply to an owner of a property who builds or improves - SERVICES REQUIREMENTS: thereon, and who does such work himself/herself or through his or her,own • . employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 - Zoning ApprovedDEVELOPMENT By Date sale. If, however,the building or improvement is sold within one year of corn- 'Canopy Type II ❑ pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground , Building Approved BY Date /O/7 1,Ij prove for the purpose of sale). / SG ❑ I,as owner of the property,em exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By 21. Date tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct:Ventilating 00-100,000 BTU ❑100,000 BTU SUMMARY OF FEES builds,or improves thereon, and who contracts for such protects with a con- - . , tractor(s) • license,pursuant'to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration i BUILDING PERMIT $ SMTP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT ❑ I am exempt under Section B.6 P.C.for this reason — Firepl/Fact.Blt. ICBG 4.‘ Fire Dampers PLUMBING $ ISSUANCE $ Date _ Owner - Heating System&Ducting - Registers PLAN CHECK 25% $ .OD ENERGY P.C. $• I I hereby certify that 1 h read-this application Ind state that the above 00-100,000 BTU 0100,000 BTL __ ELECTRICAL $ GAADING $ information.is correc gree to comply with all city and county ordinances - I and state laws r ng to buildin c.- tr tion, and hereby authorize repre- PLAN CHECK 50% $ 1 0/5/82MICROFILM $ sentatives o i- city to e t • t above-mentioned property for • inspect! urpo is, i I� - - MECHANICAL $ TOTAL FEE $ v "•D"1 Signature _-�/ �_i__ Reinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $ - I CMF 0865-46,rev. 10/84- hite -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor DI 0016609-00016016 TOT 558 _ _ DATE: ID/07/88 TIDE: !bans _ •CON$TRUCTION AND PLANNING POOL SPA ,APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector _ter 1. Tetnporary Electrical Service or Pole 52. Pool & Equipment Location 2. Sail Pipe-Undrgrnd. �Q/��fr 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. ! 54. Forms 4..Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing& Pressure Test 6: Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings - 58. Electrical Conduit-Undrgrnd. • 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. ; ' 60. Backwash Lines,P-Trap, ❑ 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 340/ LED 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16,-Rough Electric Wiring 67. Fencing & Access Approval '17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling. 69. POOL/SPA SYSTEMS FINAL 19.. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20;' Rough Factory Fireplace APPROVALS Permit# 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough &Test 72.. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank ❑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 PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Piaster 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 WW1, _ - i 36. Hood or Canopy • 37. Final Factory Fireplace 38. Final Plumbing -.Jl2d9.A%J__" 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer _ 43. Backflow Irrigation 44. ,Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY - No Date • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. -i s.y.- CITY OF COSTA MESA CONSTRUCTION PERMIT - PX, 1-1(310. Q © TRACT NO. LOT NO. UNIT NO. A P 5W Project Address 1380 VILLAGE WAY REC.BLDG. 786. GIR�II//IFFITH SUBDIVISI N REC.BLD a-r 141-351-19 , 141-192-03 Zone R-4 2755 BRISTOL ST., #2/5 TYPE OF CONSTRUCTION LITNEW LJ ADD L I ALTERATION L I REPAIR S Main Building: Accessory Building: Z ApplicaMP Mail'Al •OdLTdress ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T 0 IAF T SCHER/GUGGENHEIM PARTNERS Front Ogvner's Name one, • . DESCR}KF1ON O . e R K/USE OF BLD - I B Rear Oa' N 4665 MACARTHUR CTNB 1/� Address (/" Oran C`Q a r A KERMIT RMIT DORIUS License No. TYPE OF PERMIT . GR• •ING I♦ FOUNDATI.N • STRUCTURAL C Right N Address 1550 BAYSIDER, CORNOA DEL MAR ❑ TENANT 0 ELECTRICAL ❑ PLUMBING ® MECHANICAL g Left R LUCAS DEVELOPMENT SRP 850-1551 ❑ OTHER Pin Ref. /k .• R Contractor's NamP Phone g" Parking eq./Provided E l� 2755 BRISTOL #275 CM PROJECT DESCRIPTION SQ. T. OCCUPANCY Q Address(mailing) r �'--' L _' Planning Notes: M 030749 CONSTRUCTION TYPES VALUATION$ T City License No. ZONE GRADING CU.YDS. ACRES $, LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: S 1\ with section 7000) of Division 3 of the Business and Professions Code, and my license is In full f-,•a an• effect. )) a •ELECTRICAL FEES License Class 7 A Lic-A( Noi- . Date • Signatur= ! -. . OWN' PLUMBING 1 FEES Automatic Washer - Transformer 0 15-50 KW WORKERS' COMPENSATION ••- RATIO Construction Pole Sub. 0 50+ KW I hereby affirm that I have a certificate of consent to self-Insure or ace tlficate Bar Sink Showers Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink - Cooking Unit Meter Dun to 100 amps 00, Lab. ��>> F1b-88 UNIT 22�� STAT FP. Dishwasher'- Meter Dover 100 amps Policy No. pony Backflow Irrigation Sewer Cap _ ❑ Certified copy Is hereby furnish ( . • —1-89— L. / Dryers ❑Gas ❑Electric Sub Panel }.'f a ifiey py ivica with the Ildin•�•ivisi.-4 I-= Bathtubs Sewer Connection , Date/ 7 1 APPIic � • ;— Fan Motors 00.1 HP O1`f,-8 EXEMPTION FROM WORKERS' NSAT ••N DECL• - - •N' Clarifiers Solar Collectors (This section need not be completed If the permit is for one hundred ($1.• or F.A.U. Inc.Solar ❑9.15 HP 16.15+ less). Dishwasher Solar Piping . I certify that in the performance of the work for which this permit is issued, I _ -- - -- - shall not employ any person In any manner so as to become subject to the Drinking Fountains• Solar Tank Fixtures ,t- Microwave Workers' Compensation Laws of California. ' Date Signature Floor Drains - Swimming Pool w/Spa Device Bgxes a Light NOTICE: If,after making this declaration, you should become subject to the .. - — - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Zia! Outlets Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Switches Sign Gas Service Outlets Water Closet 9 I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Garbage Disposal Standing Sections Lender's Name Interceptors Water Heater Lender's Address Kitchen Sink Water Service • Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash 5... , following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Treys any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000) of - fivision 3 of the Business and Professions Code) or that he/she is exemptReinspection Fee 1$15 Issue Fee $ 3 •refrom and the basis for the alleged exemption. Any violation of Section - 31.5 by any applicant for a permit subjects the applicant to a civil nalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: I 0I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 - compensation, will do the work, and the structure is not intended or offered J Zoning Approved By Date for salese (Section e oBusiness and f aProfessional Code: The Contractor's es MECHANICAL FEES - Building Approved By Date / License Law does not apply to an owner if a property who builds or improves - thereon, and who does such work himself/herself or through his or her own Application Issued By at employees, provided that such Improvements are not intended or offered for ■ sale. If, however,the building or Improvement Is sold within one year of com- ■ • SUMMARY OF FEES pianos, the owner will have the burden of proving he/she did not build or im- It rove for the purpose of sale). BUILDING PERMIT $ SMIP $ uct-Under Ground oI, as owner of the property, am exclusively contracting with licensed con- Refrigerationtractorsto construct the project (Section 7044,Business and Professions Code: • PLAN CHECK $1 PERMIT The Contractor's License Law does not apply to an owner of property who ■I 11III ■ e1III BTU "builds or improves thereon.and who contracts for such oroiects with a con. PLUMBING $ • ISSUANCE $ tractor($? license pursuant to the Contractor's License Law). I am aware thatExhaust System PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ . GRADING $ ❑ I am exempt under Section B.& P.C.for this reason e. OB MICROFILM $PLAN CHECK 50% $ (,(Date Owner MECHANICAL $ .Z ( 97— 1 ♦C0I hereby certify that I have rea• this ap• ication nd state that the above �• TOTAL FEE $ /- information is correct. I agree to omply th all dy and county ordinances PLAN CHECK 25% $ information.•• - aline to buil .is •tion,l d hereby authorize repre- sentatives of t • city/.. •J upo • •/b e-mentioned property inspectlo pure • Signature ails. ..a-. DATE: 03/16/E9 Tin: 1'" 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor •CONSTRUCTION AND PLANNING POO' .PA APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole, 52. Pool & Equipment Location 2. S9iI Pipe-Undrgrnd. 53. Steel Reinforcement / 3. Electrical Conduit Utility-Undrgrnd. `.. 54. Forms 4. Electrical,Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel,Reinforcement _ 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE el.: 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation .:) 59. Gas Pipe, 0 Undrgrnd., Test /I ;t 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System ' - ' 1 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection s,S 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 i 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17: Rough Wiring Sign 68. APPROVED FOR PLASTERING i 18: Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19: Rough Heating & Air Condi{inning FIRE DEPT. REQUIREMENT 20. Rough:FactoryFireplace 3/221v 1_4W APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating r.) r -' 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test f 72.' Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame arid-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 321 Electrical Power Meter-Final .80. FOOD CERTIFICATE ISSUED , t 33. Final Electric Notes:Men, tear /Zu9o4.• L.ao. • . 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace '7/j�1a 38. Final Plumbing / 7 3.9. Water Servlc(hFinai - s 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer >-'•- 43. Backflow Irrigation � /) 44. Landscape Irrigation System 45. Sound Attenuation , 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date /5.24' (,4//d p& �i NT/1 y Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. [/T ' PERMIT NO. TRACT NO. LOT NO. UNIT N CITY OF COSTA MESA -CeCCt nC�ONStes_a ON P,F,RMI eLp M .5GS I C'> C Vci, A P # Zone Project Address 3q-G&— t4. �w�K.C/ F+- �� / S Main Building: Accessory Building: • Applic ri Maili,ng',MAd-d``ress TYPE OF CONSTRUCTION L�TNEW ❑ ADD LJ ALTERATION REPAIR E Z Ow%ner's Name Awt) t ie'Lk9.<PWIrrNC Phone 85'D_4SS/ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' T Front O DESCRIPTION OF WORK/USE OF BLDG. ' B Rear N Address 275V �&aroL £.TE Vir CPsT/t m&. ��II A I Arch/Eng. License No. TYPE OF PERMIT 171GRADING U FOUNDATIor STRUCTURAL C Right -• G Address CI TENANT CIELECTRICAL CI PLUMBING MECHANICAL S - Left R ❑OTHER Contractor's Name .y•Y'�BUD Y a-pen 7f" Phone-n*'K.YO Ping. Ref.# Parking Req./Provided E Address Imailing)lb`I1p C.O n�-e- �t �d'.V�4 9 I,2-0 PROJECT DESCRIPTION SQ. FT._ - OCCUPANCY O CONSTRUCTION TYPE VALUATION$ Planning Notes: M City License No. 0b! 9S-L T ZONE GRADING CU.VDS. ACRES S. LICENSED CONTRACTOR DECLARATION • _ I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Rt-C-- 6LO(azx Pea-nit t 13 .3 r16 3 with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect ELECTRICAL FEES License Class Cr-2.11 e-gp'y�7/8 340 Date 17---.1-'3% Signature -J PLUMBING FEES Automatic Washer Transformer D 15-50 KW WORKERS' COMPENSATION DECLARATIONBar Sink Showers Construction Pole Sub. ❑ 50+ KW 'hereby affirm that I have a certificate of consent to self-insure or a certificate Workers' Compensation Insurance. or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter 0 u to 100 amps .00, Lab. C.) Polic No- 11/C.fl�(Z7''� - Company-V oti.• Ankar, 1t�'1' p Dishwasher Meter [Dover 100 amps • v Backflow Irrigation Sewer Ca — ry'I��yrtified copy is hereby furnished. Dryers ❑Gas DElectric Sub Panel L4 CerYfietl cop Is tiled with the Gity Bathtubs Sewer Connection Date('—/ 6 Applicant —r EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar CollectorsFan Motors❑0-1HP ❑1%-B (This section need not be completed if the permit is for one hundred ($100) or ' less). Dishwasher Solar Piping F.A.U. Inc.Solar 09-15 HP 016-15+ I certify that in the performance of the work for which this permit is Issued I - • Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Compensation Laws of California. ate Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE:If,after making this declaration, you should become subject to the 1 - 00 Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal • Outlets Range comply with such provisions or this permit shall be deemed revoked. 1 CONSTRUCTION LENDING AGENCY e -Outlets Water Closet _ Switches Sign I hereby affirm that there is a construction lending agency for the performance Gas Servic of the work for which this permit is Issued (Section 3097 'Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections 1 Lender's Name Lender's Address Kitchen Sink Water Service Generator ❑O-5 KW 05.15 KW Trash Compactor OWNER BUILDER DECLARATION , I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories - Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or _ - county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000) Of nivision 3 of the Business and Professions Code) or that he/she is exempt ,refrom and the basis for the alleged exemption. Any violation of Section Reinspection Fee $15 Issue Fee $ 3 31.5 by any applicant for a permit subjects the applicant to a civil canalty of not more than five hundred dollars($500). I DEVELOPMENT SERVICES REQUIREMENTS: LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 Compensation, will do the work, and the structure is not Intended or offeredZoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEESBuilding Approved By License Law does not apply to an owner of a property who builds or improves Date thereon, and who does such work himself/herself or through his or her own Application Issued By �j (T Date employees, provided that such improvements are not Intended or offered for Boiler • Hood or Type I ❑ sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground SUMMARY OF FEES prove for the purpose of sale). BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrjgeration System tractors to construct the project (Section 7044, Business and Professions Code: 1�Q _ PLAN CHECK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating r 0.100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $ builds or Improves thereon. and who contracts for such oroiects with a con- tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. - ELECTRICAL $ GRADING $ ❑ I am exempt under Section— B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers MICROFILM $ • PLAN CHECK 50% $ Date Owner Head System&Ducting Registers [a¢ MECHANICAL $ 33 —' TOTAL FEE $ . % ~ I hereby certify that I have read this application and state that the above ' 100,000 BTU 0100,000 BT , information is correct. I agree comply with all city antl county ordinances 9 PLAN CHECK 25% $ and state laws relatin• • buil 'n tion, and hereby authorize repre- sentatives of this c to e er n th above-mentioned property for Inspection purposes / Signature "�'-'0 Date (2 ----/ -,5 es i Renspection Fee $15 Issue Fee Syj0020970-00020970 TOT 33. Drivers' License or 55 - � 'I� 01 0 �" DATE° 12/02/83 TIME; 09134 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor • • • _ .CONSTRUCTION AND PLANNING POO TA Date Inspector Date Inspector APPROVALS Permit# APPROVALS Permit# . 1. TeMporary Electrical Service or Pole 52. Pool & Equipment Location 2. Sail Pipe-Undrgrnri. - 53. Steel Reinforcement 3.'Electrical Conduitl Utility-Undrgrnd. 54. Forms `'4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5-Steel Reinforcement: . 56. Rough Plumbing & Pressure Test I • 6. 'Electrical UFERGrrid.'. 57. APPROVAL TO COVER-GUNITE 7.''Footings _ I 58. Electrical Conduit-Undrgrnd. 8. Foundation I.1 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd. 10 Structural Floor System 61. APPROVAL TO DECK 11!Property Sewer Line.& House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater &.Vent-Final -r • 13JRoof Drains , ' - 64. Plumbing System - Final v 1472Rough Plumbing. I 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 • it 18., Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace • APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil 23.Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil.. 25. Roof Sheathing • 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL • 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 7 / 80. FOOD CERTIFICATE ISSUED _ - 33. Final Electric / 1/5177n Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test • 36. Hood or Canopy 37. Final Factory Fireplace 38!Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation . 44. .Landscape Irrigation System . 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - ' ;1 51. CERTIFICATE OF OCCUPANCY -" ' No. Date Applicant to fill id all spaces except those within heavy border lines and sign all appropriate declarations. - PERMIT NO. TRACT NO. LOT NO. UNIT NO. C!•TY OF COSTA MESA CONSTRUCTION PERMIT ��„p SS/ A.P.iI6 Zone Project Address AGE s. ' REC. BLDG. 1' y - S Main Building: Accessory Building: • Applin pt'S Mailing Address 4701 E. HUNTER AVENUE TYPE OF CONSTRUCTION ,NEW U ADD LI ALTERATION U REPAIR Owner's Name HOELSCHER/GUGGENHEIM PAIARet,pRS ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front O DESCRIPTION OF WORK/USE OF BLDG. EA LIGHTING B Rear N Address 4665 MAC ARTHUR COURT #275 N.B. A I Arch/Eng. License No. TYPE OF PERMITU I GRADING LI FOUNDATION ❑ STRUCTURAL I C Right NG MC Address 0 TENANT t"J'ELECTRICAL ❑ PLUMBING ❑ MECHANICAL i S • Left LAZER ELECTRIC, INC, 777-4233 ❑ OTHER Pl ng. Ref.# Parking Req./Provided E R Contractor's Name Phone E Address(mailing) 4701 E. HUNTER AVENUE ANAHEIM 92807 PROJECT DESCRIPTION SG. FT. OCCUPANCY Planning Notes: CIM CONSTRUCTION TYPE VALUATION$ City License No. 032847 ZONE GRADING CU.YDS. ACRES _ ttt��_ T LICENSED CONTRACTOR DECLARATION S. 1 hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: tQ i! C �f, with section 7000) of Division 3 of the Business and Professions Code, and s , 1 fV!/y 1 my license is in full or and effect. `.{ 77�j ELECTRICAL FEES 1� c' fb 440682 1 License Class ce o. - r 0 Date Of.-1 l—R9 Signature — PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DEC TION - Construction Pole Sub. 0 50+ KW ' I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers - xof Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter ❑up to 100 amps 3800, Lab. Backflow Preventer Service Sink Policy No. ;4WC 100291640 Company CNA INS. Backflow Irrigation Sewer Cap Dishwasher Meter ID over 100 amps /t Certified copy is hereby furnished. II D' _J Dryers ❑Gas ❑Electric Sub Panel i1 , 'oL Certified copy is filed with the city z Bathtubs Sewer Connection Date 06-13-89 Applicant Li LEcTRIC, INC. Fan �� EXEMPTION FROM WORKERS'COMPENSATION DECLARATION '.Clarifiers Solar Collectors Motors LrflYl HP ❑1R-R • 00 (This section need not be completed if the permit is for one hundred ($100)or - F.A.U.less). Dishwasher Solar Piping Inc.Solar ❑9-15 HP ❑16-15+ I certify that in the performance of the work for which this permit is Issued I - - - Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank ft Microwave jS oO Workers' Compensation Laws of California. 1 Date Signature " Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE:If,after making this declaration, you should become subject to the ' Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets - Range , • -• comply with such provisions or this permit shall be deemed revoked. - CONSTRUCTION LENDING AGENCY Gas Service Outlets Switches Sign I hereby affirm that there is a construction lending agency for the performance Water Closet • g of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name - -- - Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor . OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash / Tjk-G Ciro at- 3. W following reason (Section 7031.5 Business and Professional Code: Any city or -- __i county which requires a permit to construct,alter,improve,demolish or repair P—Trap - Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement-that he/she is licensed pursuant to the provisions of Roof Drains •• -the Contractor's License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she Is exempt Reinspection Fee $15 Issue Fee �. $09 therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil enalty of,not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: . I,• •as I 3 owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ ' compensation, will do the work,and the structure is not Intended or offered _� Zoning Approved By • Date /nom for sale (Section.7044, Business and Professional Code: The Contractor's ' MECHANICAL FEES Building Approved By Date______ 7! V7 License Law does not apply to an owner of a property who builds or improves - ® - thereon, and who does such work himself/herself or through his or her own Boiler Hood or TypeApplication Issued By Date employees, provided that such improvements are not intended or offered for I ❑ sale. If,'however, the building or improvement Is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $' ❑ I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System tractors to construct the project (Section 7044,Business and Professions Code: PLAN CHECK $ - PERMIT The Contractor's License Law does not apply to an owner of'property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU ISSUANCE builds or improves thereon. and who contracts for such oroiects with a con- - PLUMBING $ $ tractor(s) license pursuant to sne Contractor's License Law). I am aware thatPLAN CHECK 25% $ ENERGY P.C. $ of toExhaust System 0 Multiple 0 System Repair/Alteration $ �/] �� IProof their Wunder Compensation insurance should.& P.C.pfor thised me. ELECTRICAL 7 GRADING $ ❑ 1 am exempt under Section B.& . .for reason Firepl/Fart.BI t. ICBO# Fire Dampers Heating PLAN CHECK 50% $ MICROFILM $ • Date owner & Ducting Registers MECHANICAL COI hereby certify that I have read this application and state that the above ❑0-100,000 BTU ❑100,000 BTL $ TOTAL FEE $ q. information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction,and hereby authorize repre- sentatives of, t•' ity to en r •on the above-mentioned property for • - Inspection p •1' 06-13-89 Signature �i _./La ate Drivers' Licen e • �- . Reinspection Fee '$15 Issue Fee $ 3 f•1 0003 j=40-8[035360 Tj O O.;TE: S6/14.5iw IMP C7:+0 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor t • 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-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7: Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation , 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap • 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 11 • X17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 1.9. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20: Rough Factory Fireplace t. APPROVALS Permit#. 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilatingy'r • 71. Product Piping 0 Gas 0 Oil 23.ld'as Pipe-Rough& Test - 72. Underground Flush • 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final �+ /9 FOOD CERTIFICATE ISSUED 33. Final Electric 24//f,y /A�, l�•J Notes: 34. Final Heating & Air Conditioning L 35. Final Gas Pipe-Test I 36. Hood or Canopy I 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 41 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer .� 43. Backflow Irrigation I 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 /_39D I J//7,9-JiC' a) L. V Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERM T NO. TRACT NO. LOT NO. UNIT N CdajeOACOSTA /E • Co el R; TIONPE' MIT 37778 a�.w". A.P.SW IZone • Project Address,_, �� S Main Building: I Accessory Building: • Applicanis-Ma' Address 'r 0 i C!� / `_ TYPE OF CONSTRUCTION SKEW U ADD U ALTERATION U REPAIR E - Z tz.�• �E� t.S ❑ CONVERSION ❑ DEMOLISH ❑ O-r T Front 0 Owner's Name/• A�j..c�&,�� ,¢�.-��s- E DESCRIPTION OF WORK/USE OF BLDG. me-73M,- IA Rear • N Address ICOi�JC' /le« <"arC1�` "�.�- _ Arch/Eng. License No. TYPE OF PERMIT U GRADING LI FOUNDATION U STRUCTURAL I C Right N G Address / �/.� �� 0 TENANT ELECTRICAL 0 PLUMBING 0 MECHANICAL $ Left R t-/ 2.ae_ LPhone 742`x/ ID OTHER I Ping. Ref.# Parking- Req./Provided E Contractor's Name Notes: Q Address(mailing) M fffljjr - PROJECT DESCRIPTION SQ. FT. /r•3 S3 OCCUPANCY PlanningN� •��7-SLJ L/� l�� - CONSTRUCTION TYPE VALUATION$ T City License No. ler? ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION �.. ` r I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: ,t h r�le'�f`.( 43- •s-7� with section 7000) of Division 3 of the Business and Professions Code, and7 . my license is In full rce effect. ELECTRICAL FEES Li can C s leg No. �� Lice tura �,C eg_al j�.��- PLUMBING I FEES j Automatic Washer Transformer 0• 15-50 5 KW �•3 /� 0 KW WORKERS•COMPENSATION DEC fe 0f consent to self-insure or a certificate Bar Sink Showers workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter Cup to 100 amps JO, La C _� �j t�' 1oa t9/�56 �� fl.J4' Dishwasher Meter over 100 amps ' Policy NO Company Backflow Irrigation Sewer Cap r O..S0 Certified copy is hereby furnished- % Dryers �GdS ❑Electric Sub panel //z o0 fiq� o�M filed with the city B Inq i(m Bathtubs Sewer Connection T l Date .I/376 Applicant '1 Fan Motors 00-1 HP RQ1% 8 �L oO EXEMPTION FROM WORKERS'COMPS ATION DECLARATION - Clarifiers Solar Collectors 7� (Ths section need not be completed If the permit is for one hundred (§100)or I / F.A.U. �SC IS D Inc.$alar 09-15 HP ❑16-15+ less). Dishwasher Solar Piping • ` ♦ e�z CC I certify that in the performance of the work for which this permit is issued, I �+ Fixtures shall not employ any person in any manner so as to become subject to te _Drinking Fountains Solar Tank O > Sb its_. itrowave 30. 1r Workers' Compensation Laws of California. 3+ 1'� �Q• I Pole Light Date Signature Floor Drains Swimming Pool w/Spa • Device Boxes .y]�/,� a On NOTICE:If,after making this declaration,you should become subject to the �� Outlets yrs`V'7J�(T O Range //1{ "O Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal la— I••/,o comply with such provisions or this permit shall be deemed revoked. 0m, 5 CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet /� Switches A ° Sign I hereby affirm that there is a construction lending agency for the performance PPM1M1 of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service ) Generatorerqat� ❑0-55 KW 05-15 KW Trash Compactor !7 OWNER BUILDER DECLARATION / i"J�/'Ci V�i9vn)4 /. SC I R affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays - any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of .(/ -livision 3 of the Business and Professions Code) or that he/she is exempt v�Reinspection Fee $15 Issue Fee !S $/` prefrom and the basis for the alleged exemption. Any violation of Section J31.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: oenI, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered — Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or Improves thereon, and who does such work himself/herself or through his or her own Application Issued By lJ ll� Data 3/1t� 0 Q ' employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I 0 L sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES / pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System tractors to construct the project(Section 7044,Business and Professions Code: PLAN CHECK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct- Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon.and who contracts for such oroiects with a con- I ENERGY P.C. $ tractorme license pursuant to e Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ Q proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ 11 . 9r 1GRADING $ 0 I am exempt under Section B. & P.C.for this reason Firepl/Fact.Bit. ICBG d6 Fire Dampers PLAN CHECK 50% $HeatingMICROFILM $ & DuctingRe Date Owner SystemMECHANICAL $ I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100, Registers 000 BT TOTAL FEE $ /'1 9.rim information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction,and hereby authorize repre- sentatives of t s city to e r upon the above-mentioned p/rooy/part for iSignationP ses /�/, Date3r'Q 010002E105-00028105 TOT 179, Drivers'riverure Le/ Reinspection Fee $15 Issue Fee $ 3 DATE: 03/10/89 TIME: 14:15 Licens 55 9F - 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting;Goldenrod -Assessor .,CONSTRUCTION AND PLANNING AS POC SPA • • Date Inspector Date Inspector - - ' APPROVALS Permit# APPROVALS Permit# ' 1. Y4?nporra.ry Electrical Service or Pole Lr• 52. Pool & Equipment Location 2. -Soil Pipc-Undrgrnd. • � r • .: 53. Steel Reinforcement w___:_,_,' -,3.1•6'Electriral Conddit Ctility-Undrrnd. 54. Forms 11 4 Electrical Conduit-Undrgrnd. ti ! ' 55. Electrical Bonding - - 51,St�e1 Reinforceme t 56. Rough Plumbing & Pressure Test •6:1 Electrical UFER Grnd., . r 57. APPROVAL TO COVER-GUNITE 7:,.Fobtings ; • 58. Electrical Conduit-Undrgrnd. , 1 8.- Foundation ' ,, 1 59. Gas Pipe, 0 Undrgrnd.,Test L, •9. Waters Pipe-Undrgrnd. i ' ' , 60. Backwash Lines, P-Trap, ❑ Undrgrnd. r ) i. 10q Str,itural Floor System I � 61. APPROVAL TO DECK �' i 11. P9oeky"".Sewer Li House Corin action I P ,g 62. Backwash & Receptor-Final 12. Sewer Cap +' I 63. Heater & Vent-Final 13. Roof Drains y . -�:r• - 4 64. Plumbing System - Final 14. Rough Plumbirig' 1 ! I 65. Electrical-Final i 15. Rough Electrical-Conduit 66. Solar System-Final 1'6. Rough Electric Wiring d 1 .ff9 ?14Yy`� Fencing & Access Approval 'il. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18., Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL i.19. Rough Heatinvq & Air Conditioning FIRE DEPT. REQUIREMENT •20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure • 70. Underground Hydro 22. Ducts, Ventilating .r 71. Product Piping 0 Gas 0 Oil 23.i Gas Pipe-Rough & Test ' 72.. Underground Flush . 24. Roof Framing ,• 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing ' 74. Overhead Hydro 26. T-Bkr Ceiling (Structural) &.Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lattiirig & Siding 77. FIXED SYSTEM FINAL 29. Insulation ' 78. FIRE PREV. FINAL 3r0. Drywall Nailing ,I i HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ,�// 79. FINAL INSPECTION '32. Electrical Power Meter-Final Cl�/�,�yS FOOD CERTIFICATE ISSUED 33'Final Electric 4/ �V otes: 34. Final Heating& Air ConditioningL, ! •4.��'�`• : I •` ` .4. C. "44, + 35. Final Gas Pipe-Test / t . 36. Hood or Canopy .; U 37. Final Factory Fireplace .:41 ',r 38. Final Plumbing �y 39. Water Service-Final i -I - -; 40. Gas Service-Final '� / -," ii 41. Solar Domestic-Final - 42. Backflow Preventer /; ( f ' h: ,i,1•' , - 43. Backflow Irrigation r I 44. Landscape Irrigation System - I 45. Sound AttenuationI 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING I 48. Special Requirements Completed 49. Electric Release to Edison ,,) 50. Gas Release to Southern California Gas Co - J. In] Jy 51. CERTIFICATE OF OCCUPANCY _- •r• ? ",•: y re' _ No. - Date 1 /- / U / / L` `.- dam /'.ant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. f 2�' •CITY OF COSTA MESA ONSTRUCTION PERMIT PERMIT� NO. TRACT NO. LOT NO.UUNITap1O. . P .icldress - 'we ' co awe = :. - - r p R ? S.� C fp. I 15 ,e-A, Mi.vi 5171�1 /T ,E.P.# I�I — � �0_ �y � - �� Zone / _ Z �X 27 5 Bristol Ste . TYPE OF CONSTRUCTION NEW ADD L ALTERATION Li REPAIR $ Main Building: Acc ory�uilding: • Applicant's Mailing Address `1 - Owner'sName• Hoelscher/Guggenheilphggirtners 111 CONVERSION El DEMOLISH ❑ OTHER T Front I•Dl ��J� O Address 4665 MacArthur Crt. NPB851-2116 DESCRIPTION OFrWOIIRK/USE OF BLDG. A �-trmnt/garage *) IA Year 201 oL bi ` / N Arch/Eng. Kermit DoriuS License No. TYPE OF PERMIT u GRADING 1R1 FOUNDATION ICI STRUCTURAL CK Right a5 / // N Address 1 550 Bayside Drive , Corona Del Mar ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING 0 MMEECHH 1Nlf, m s • Left a51 c b I / G C79 p p `(7 R Contractor's Name Lucas DEveloPment Cp p• ID OTHER }. _ e �r� 'PIng. Ref.#DR -p8-O5 'Prking Req]/Provided I33�Iz:J E Address(mailing/ 2755 Bristol , Ste . Costa Mesa PROJECT DESCRIPTION SQ. FT. '/` 'O'CCUPANCV rrr Cl CONSTRUCTION TYPE 1SOq �$g"20 Planning Notes: nnl.n FOR CPFCIA•1' RF IITRPANTS M City License No. 0"i0749 92660 p- CU.Y VALUATION$ r " JC. T • ZONE GRADI NG YDS. ACRES /\- %, S. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: G• 3 �-O��t� S_G� ' with section 7000) of Division 3 of the Business and Professions Code,and O O �7 my license is in full force,indrffect. ELECTRICAL FEES Licenselassllaasss /_ icense No. 257064 Automatic Washer Transformer 0 75-50 KW pateei R Signature /7+� PLUMBING I FEES WO E S'COMPENSATION DEC ,�7- •TION I Construction Pole Sub. ❑ 50+ KW ' hereby affirm that I have a certifir. of consent to self-insure or a certificate Bar Sink I I Showers Workers' Compensation Insu� ce, or a certified copy thereof (Section 1� Cooking Unit Meter ❑up to 100 amps do0, Lab. GG}} Backflow Preventer Service Sink S.„,... •� 4b-88 unit 254 State Farm Dishwasher Meter Dover 100 am s V Policy No. Company 1-1-�9 Backflow Irrigation Sewer Cap _ wp \� Certified copy is hereby furnished. Dryers ❑Gei ❑Electric Sub Panel ` Cylt ifjpy S6{jy is filed with the city Sion. Bathtubs Sewer Connection i Date 1.1-.1 TFR Applicant Fan Motors❑0-1HP ❑1%-8 EXE PT.I N FROM WORKERS'CO SATION DECLARATION Clarifiers Solar Collectors (This section need not be completed ' a permit is for one hundred ($100) or - - - - F.A.U. Inc.Solar ❑9-15 HP.016-15+ P less). Dishwasher Solar Piping I certify that in the performanc the work for which this permit is Issued, I Fixtures U(¢$ha11 not employ any person any manner so as to become subject to the Drinking Fountains Solar Tank Microwave • Workers' Compensation Laws of California. - Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light it NOTICE: If,after making this declaration, you should become subject to the - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks - Urinal Outlets Range - comply with such provisions or this permit shall be deemed revoked. _ CONSTRUCTION LENDING AGENCY Gas Service Outlets Switches. N.' / P • Water Closet Sign I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Garbage.Disposal Standing Sections Lender's Name Interceptors Water Heater Lender's Address Kitchen Sink Water Service Generatbr 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION — - • I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash • following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays i any structure, prior to its issuance, also requires the applicant for such permit .. - to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains �, / •- - ' the Contractor's License Law(Chapter 9(commencing with Section 7000)of -_ ivision 3 of the Business and Professions Code) or that he/she is exempt • Reinspection Fee $15 -, lune Fee $ 3 -1` 7 refrom and the basis for the alleged exemption. Any violation of Section p' 131.5 by any applicant for a permit subjects the applicant to a civil nalty of not more than five hundred dollars($500). e . I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 DEVELOPMENT SERVICES REOUIREME Zoning Appioved By � Data�'�(� q-30-3a compensation, will do the work,and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By 1 '� Date License Law does not apply to an owner of a property who builds or improves S^- '%/ thereon, and who does such work himself/herself or through his or her own App Beition;lssued By ,� m�-- _ •at �0' employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 _ sale- If, however, the building or Improvement is sold within one year of com- Canopy Type II 0 - 'r • ' SUMMARY OF EllY • pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground 1 prove for the purpose of sale). BUILDING PERMIT $ '2.O(OQi•S(O SMIP $ 35.6 _ 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK 31J�p (,y, tractors to construct the project (Section 7044,Business and Professions Code: $, • t . PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-700,000 BTU ❑100,000 BTU ' , builds or improves thereon. and who contracts for such orpiects with a con — - - .PLUMBING $ ISSUANCE $ tractor(s) license pursuant to me Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration - PLANJCHE CK 25% $ ENERGY P.C. $ proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ - GRADING $ ❑ I am exempt under Section 13.8 P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers MICROFILM $ PLAN CHECK 50% $ Date owner Heating System& Ducting Registers MECHANICAL .�,s,s,. p • I hereby certify that I have read this application and state that the above 00-700,000 BTU 0100,000 BT - S,, TOTAL FEE $ 44c ;8 Information Is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% S,- and state laws relating to building construction,and hereby authorize repre- - sentatives of this c to enter upon the above-mentioned pr pe ty for •w • • Inspection pur• q-�� _ ) /+ f, ' Drivers' �� Date �y�l'i Drivers' LicArr SS# / Reinspection Fee $15 Issue Fee $ 3 • • 0865-46 -v.5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor ---...-- • • . : - • •I ' CONSTRUCTION AND PLANNING PO( SPA PROVALS Permit - Date _ Inspector APPROVALS Permit# Date Inspector • .1 L'Temporary Electrical Service or Pole- %:" 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. dl 53. Steel Reinforcement ;: 3, Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd, 55. Electrical Bonding . 5; Steel Reinforcement ' r 56. Rough Plumbing & Pressure Test • 6 Electrical UFER Grnd. 1 57. APPROVAL TO COVER-GUNITE • 7: Footings P7; 58. Electrical Conduit-Undrgrnd. 8: Foundation 4 59. Gas Pipe, E3 Undrgrnd.,Test 9: Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. • 10: Structural Floor System , 61. APPROVAL TO DECK 1,1. 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 1-7'1 Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL v 1,9. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT r 20. Rough Factory Fireplace APPROVALS Permit# . 21. Ducts, in Structure 70. Underground Hydro 22., Ducts, Ventilating ' , r I. i 71. Product Piping 0 Gas El 23. Gas Pipe-Rough'&Test ` - 72. Underground Flush • , 24: Roof Framing i f/VA7 - 73. Undergrnd.Storage Tank 0 Gas 0 Oil • 25. Roof Sheathing l Ci Pi ii 74. Overhead Hydro 26.1 T-Bar'Ceiling (Structural) &jMonocoat 75. Dry Chemical 27: Frame and Flashing f„ 'I_ a 76. Dry Standpipe 28. Lathing& Siding: .'1) ,1 77. FIXED SYSTEM FINAL 29! Insulation ." II:1 6-1.. y 78. FIRE PREV. FINAL I 4 '` h HEALTH DEPT. REQUIREMENT 30. Drywall Nailir,R}' 2 -'t 31. r. Plaster •riit. }' 79. FINAL INSPECTION 32. Electrical Power Meier-Final 80. FOOD CERTIFICATE ISSUED /� 33. Final6lectric j _ Notes: :Rasr-elciu Sc %oo( Dyer /C•eceryrf- 34. Final Heating & Air Conditioning - .y-g n �/ g .I- 38l ` to 35. Final Gas Pipe-Test tr - ? p!;„rri. `t .- `(fin/ . 36. Hood or Canopy �P/ AI'�riy' 't ..pW1+dA4.1. IrGEGTRabin totional>WIFLLd 0!L 7 37. Final Factory Fireplace / 38. Final Plumbing . 39.• Water service-Final • HOLD FUR SPECIAL REWARE/EW]S 40. Gas Service-Final ` , ut 1 41. Solar Domestic-Final. ` • 42. Backflow Preventer "- u� 43. Backflow Irrigationr-i .,t,, i r• 44. Landscape'lrrigation System „cro./ S{- g-/E--eq c ,�) 9 45. Sound Attenuation • 46. Handicap Regulations ii tt ii 47. FINAL STRUCTURE & BUILDING - ! r a 4 ,' X11 't__ 48. Special Requirements Completed UG iqC3 49. Electric Release to Edison 7I '`U-� r,. '•7 Iii _. 50. Gas Release to Southern California Gas Co ,,•v `.t; p , 51. CERTIFICATE OF OCCUPANCY ' p;; ?r, No. Date .- t`</ "'I 1 rITY OF COSTA MES • CALIFORNIA 92628-1200 P.O.BOX 1200 Insulation Certificate 1380 Village Way Costa Mesa CA Number end Street City Orange A County Subdivision Lot Number Description of Installation ROOF Material Composition Brand Name Prestique Plus Thickness(inches) CIDS SA Thermal Resistance(R-Value) EXTERIOR WALL Material Stucco Brand Name Portland Cement Thickness(inches) - 7/8" Thermal Resistance(R-Value) R-11 Batt 3-1/2" Manville CEILING Batt or Blanket Type Batt Brand Name Manville Thickness(inches) 6-3/4" Thermal Resistance(R-Value) R-19 Loose Fill Type Brand Name Contractor's minimum installed weight/ft/ lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance(R-Value) RAISED FLOOR Material N/A Brand Name Thickness(inches) Thermal Resistance(R-Value) SLAB FLOOR Material Concrete Brand Name Portland Thickness(inches) 4" w/6x 6x 10 x 10 Thermal Resistance(R-Value) Width(inches) varies FOUNDATION WALL Material Concrete Brand Name Portland Thickness(inches) 8"—12" Thermal Resistance(R-Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. ncr. ttractor 'der) / License Number '►�. 'nom. 6 ignature and Title Date Sub-Contractor(Insulation Installer) License Number Signature and Title Date jRMU / THE KEITH COMPANIES • • l'lurrnang•tiril l:nl'imrring.liar-irnn.vnmd Srfl IC •A.drih ctin-. 1.rurd•in/r An/rupr Ii, . Lund Sv'n•Prnl July 18, 1989 87-0125 Engineering Department City of Costa Mesa 77 Fair Drive Costa Mesa, CA. 92628 ATTN: Brian Naught RE: PA 88-31 - 29.0 College Avonuo, 'Costa Mesa, California Dear Mr. Haught: As the civil engineer, I certify that the precise grading has been completed in substantial conformance with the approved precise grading plan for the above referenced project. Sincerely, /7041/ 62..-- Robert Schneider RCE 42912 c s CC No.42912 Jl Exp.3-31-92 * ; lFOF CO • 070125.9826.1-RS 17961 Cowan.Iain..Califurnit,92714 (7/41 S6.3 9309 • CERTIFICATE OF COMPLIANCE 7%6 PAYMENT OF SCHOOL FACILITY FEES NEWPORT-MESA UNIFIED SCHOOL DISTRICT Developer/Applicant : Dt�SL� / 1477 {g Q, �vj {�gzT1crr7 /J 1 Address : ¶at ec i A-CA w11Z Ccq?T 4 Z 7� h1 Air. &-sLH Telephone Number : 7/47cZ-514-8 I� Tract/Parcel and Lot Number(s) : ` Location of Project : tJ•E •( Z/i114U1t tik r�tID 6o1�t4E 14-.ac' r �n ,1 r t aO S-l- ' colt- r' r Number of Square Feet of // / c1 Residential Space 73,I t33x $1 . 50 Total l 09,7n3'� • • ' Number of Square Feet of \j. T Commercial and \ Industrial Space x $0 . 25 Total The provisions of Government Code Section 53080 are not applicable . This certifies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and 65995''', ' f Checks are to be made payable to Newport-Mesa Unified School District . / /' // • „ Buiness Manager - _ Newpo'rt-Mesa Unified School District , • The above representation as to square footage is true . Developer/Applicant agrees that if it is later determined that such representations are not true then this certificate shall automatically terminate and the appropriate City/County shall be notified . �/ r, R;tz I IscUcrt l /Yl wl GN9anti e, Date : '/Z/8 8 Developer Applicant t optica nt to fill In all spaces except those within heavy border;nes and sign all appropriate declarations. ICIT��OFCOSTAMESA-. CONSTRUCTIOf�,PE$MIT PERMIAN 64S7 TRACT NO. LOT NO. UI)VIiTN Vi N P•roject Address rr•�O� •1 Applicant's Mailing Address 9371 Folkstone, Hunt. Beach TYPE OF CONSTRUCTION I2I NEW LI ADD LI ALTERATION REPAIR Owner's Name Hoelscher Guggenheim Phone 851-2116 F-] CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# I Zone 4665 Macarthur Court, Newport BeachDESCRIPTION OF WORK/USE OF BLDG. Address S Main Building: Accessory Building: Dorius Architects E Z Arch/Eng. License No. TYPE OF PERMIT U GRADING L FOUNDATION U STRUCTURAL T Front o Address 1550 Bayside Dr. , Corona del Mar ❑ TENANT ❑ ELECTRICAL ❑X PLUMBING ❑ MECHANICAL BBI Rear- N • I Contractor's Name Coastline Plumbing p de 963-3800 ❑ 'OTHER C Right N • PROJECT DESCRIPTION SQ. FT. OCCUPANCY Address(mailing) 9371 FolkstoneG CityLicense No. 023390 CONSTRUCTION TYPE VALUATION$ - S LP-ft ZONE GRADING CU.YIDS. ACRESE LICENSED CONTRACTOR DECLARATION p • Ping. Ref.# Parking Req./Provided • 1 herebyaffirm that I am licensed underprovisions of Charter 9(commencingI\ — �✓Q5-'Z� Q Remarks: V Jvr�-� Planning Notes: M .with section 7000) of Division 3 of the Business and Professions Code, and 1 my license s in fig!!.tpj[e and effect. T License s L. 3b 'Al se • 4 • $ Date •• Signature " - I PLUMBING I FEES �• WORKERS'COMPENSATION DECLARAT•N gar Sink Showers N7 ELECTRICAL FEESL. '` .....c.... i hereby affirm that I have a certificate O •nsent to self-insure or a certificate % v Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink- - + 100, Lab. C Automatic Washer Transformer-❑ 15-50 KW .� Policy No. 83678-87 Company State-Comp Backflow Irrigation Sewer Ca - - ❑ 50+KW P 'Construction'Pole5ub. icertified copy is hereby furnished. : ss. / j�/ - Cer{ e/hcp �x1is filed with the city B}'Mine Division- a • /f0 Bathtubs / Sewer Connection _57' (6 Cooking Unit ' Meter ❑up to 100 amps Date 1 LI/J/•u6 Applicant `-oastllne Plumbing EXEMPTION FROM WORKERS'COMPENSATION DECLARATION -s" Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps • (This section need not be completed if the permit is for one hundred ($100) or less). . - '1 1 Dishwasher' Solar Piping 1 Dryers OGas DElectric Sub Panel I certify that in the performance of the work for which this,permlt is issued I shall not employ any person in any manner so'as to become subject to the Drinking Fountains Solar Tank I Fan Motors 00.1 HP 011/2-8 Workers' Compensation Laws of California. ,- ._ .- Date Signature - V Floor Drains Swimming Pool w/Spa F.A.U. - 09.15 HP 016-15+ 'NOTICE: If,after making this declaration, you should become subject to the - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks ' Urinal • - Fixtures '- - comply with such provisions or this permit shall be deemed revoked. / Microwave CONSTRUCTION LENDING AGENCY 1D Gas Service Outlets v o Water Closet �� ! Device Boxes Pole Light I hereby affirm that there is a construction lending agency for the performance w an A5 _ of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Q- Water Heater an Outlets Range Lender's Name - ^/��{ Lender's Address 1D Kitchen Sink Water Service OICI ? 1 Switches Sign OWNER BUILDER DECLARATION hereby affirm that I am exempt from the Contractor's License Law for the /6 Lavatories ii Auto-Wash ...5.7„2 /fry Garbage Disposal ;Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or `�-I county which requires a permit to construct,alter,Improve,demolish or repair - P—Trap Laundry Trays Generator ❑0-5 KW 05-15 KW any structure, prior to Its Issuance, also requires the applicant for such permitTrash Compactor , to file a signed statement that he/she is licensed pursuant to the provisions Of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of . Division 3 of the Business and Professions Code) or that he/she is exempt . 'herefrom and the basis for the alleged exemption. Any violation of Section . - ' 031.5 by any applicant for a permit subjects the applicant to a civil — .enalty of not more than five hundred dollars($500). - ' IJ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 • compensation, will do the work, and the structure Is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's , MECHANICAL . FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her ownDEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not Intended or offered for Boiler I Hood or Type I 0 ZoningApproved ByDate sale. If, however, the u den opro i sold within one year d com- Canopy Type II 0 pp proven, the owner will have the burden of proving hC/she did not build or im- Duct-Under Ground, • Building Approved By Date. prove for the purpose of sale). - El I,as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date tractors to construct the project (Section 7044,Business and Professions Code: - The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100.000 BTU 0100,000 BTU SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con- - , tractor(s) license pursuant to the Contractor's License Law). I am aware thatExhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP • $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ �7'(��,x/� PERMIT ❑ I am exempt under Section e.& P.C.far this reason Firepl/Fact.BIt. ICBO# Fire Dampers PLUMBING $ _L 1121 U(J ISSUANCE $ • Date owner Heating System&Ducting Registers • -- ��44•--��llll-- '��11 -GG'' ENERGY P.C. $ PLAN CHECK 25% $ I hereby certify that I haverread thismapplication all and state that rdi the-above ee ❑Q100,000 BTU 0100,00OBTL ELECTRICAL $ - GRADING $ Information Is cot t. I agree to comply with all city and county ordinances and state law at ng to nt construction and hereby authorize repre- PLAN CHECK 50°h $ MICROFILM $ sentatives this city t enc`:pi the above-mentioned property for • ^^�1z?(4j inspec p.r.oses. MECHANICAL $ TOTAL FEE $ e(e7 (.C� ' Signature ie - . Date�1 0/5/88 Drivers' Li erase AU. Reinspection Fee $15 Issue Fee $ 3, • PLAN CHECK 25% $' a us UUU C, 70—uUULOJ7Y 1 ,J i 147.14 CMF 0865.46,rev.10 :4 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor DTE: 10/07/88 TIME: 15:58 ;c CONSTRUCTION AND PLANNING t POOI PA "'APPROVALS. Permit# Date Inspector APPROVALS Permit# Date Inspector .1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. rQ fr/se--,41 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 OF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. . 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. • ,�i/� 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System �� 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection J2.9-88 LE'D 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains • ,-• 64. Plumbing System - Final 14. Rough Plumbing 1107y9 Zjgp 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring I 67. Fencing & Access Approval Rough Wiring Sign 68. APPROVED FOR PLASTERING 18: Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 194 Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# ' zit Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas El Oil 23. Gas Pipe-Rough& Test - 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank OGas OOil 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 7/24Art Is" 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 9f3/gq (40 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation • 44. .Landscape Irrigation System 4' 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 -C ,• No Date r" , �• / 35&0 1/1G,4y c 4� Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. •_/ PE MIT NO. TRACT NO. LOT NO. UNIT O. cPTY oA dr COSTA ML$g CON U ION PERMIT/G-- ( 3 (- I 2) A.P.# Zone Project Address "`�'*� C ✓ e�� t S Main Building: Accessory Building: Applicant's Mai ' • Address A i 'It-' "• Z7l TYPE OF CONSTRUCTION U NEW L i ADD U ALTERATION REPAIR E Z ,� El CONVERSION El DEMOLISH THER T Front O Owner's Name - ��:� - -- ferver• ' 'hont re A,(rJ, 57• DESCRIPTION OF WORK/USE OF B DG. B Rear N Address 165 I s"tl ✓K� ` 7 'z / A I I'1n 302-3 6 TYPE OF PERMIT ❑ GRADING LI FOUNDATION LI STRUCTURAL I C Right N Arch/Eng. _ ense No. K G Address '?�� via ' V«� ❑ TENANT ❑ ELECTRICAL .PLUMBING ❑ MECHANICAL S Left R ' /o /w- . ❑ OTHER I Pin Ref.# ParkingRe /Provided E Contractor's Nam- '� � �. - �' neX�O r�7 r� g� q� Address(mailing) 2-755' 4 . Sr-a-c-- 0e2--7-10e2--7-1M PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: Q • CONSTRUCTION TYPE VALUATION$ T City License No. 30/ y'% ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION ( I hereby affirm that 1 am licensed under provisions of Charter 9 (commencing Remarks: A 3 SJ_/�`t� a • with section 7000) of Ivisio 3 of the Business and Professions Code, and my license is in full(arid nd e�fect. ELECTRICAL FEES tLIN License lass • Licen No. S'� Date Signature ui _ - i PLUMBING FEES Automatic Washer Transformer 0 15-50 KW 1 WORKERS' COMPENSATION DECLARATION ` Construction Pole Sub. ❑ 50+KW l hereby affirm that I hav rtificate of consent to self-Insure or a ter I icate Bar Sink Showers (IIF'-- Al I Workers' Compensation surance, •r a certif -d copy thereof (Section Cooking Unit Meter ❑up to 100 amps \ 4800, Lab.Id �C, r Backflow Preventer Service Sink Policy No. —g8 ZZ` 7 -• TV �9 Backflow Irrigation Sewer Cap Dishwasher -_ Meter Dover 100 amps —_ Certified copy is�"ejep furnishes. / —�— Dryers ❑Gas °❑Electric Sub Panel J`7� Certifiep o Is�ga with the ci y B.it '• lsion Bathtubs Sewer Connection Da ( / Applican _ - .•�I _ . EXEM ON FROM WORKERS'C. PE NSATION DECLA'ATION Clarifiers Solar Collectors Fan Motors❑0.1 HP El 1%-8 (This section need not be completed if the permit is for on- hundr:• (51till:r less). Dishwasher Solar Piping F.A.U. Inc.Solar 09-15 HP 016.15+ I certify that in the pert mance of e for which is perm t is is-rdI Fixtures shall not p a rson in a ma r so to ome Ibje • the Drinking Fountains Solar Tank Microwave Workers' �jn o Laws of C liforn . I_. Pf `Ir Device Boxes - Pole Light Date thisidee - �=.. �" Floor Drains Swimming Pool w/Spa 9 NOT E It,after making tletl. you should become •• - '— Workers' Compensation provisions o the LaborOutlets Code, you must forthwith Floor Sinks Urinal Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Switches Sign I hereby affirm that there is a construction lending agency for the performance ureter DIO$et 9 of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name ' Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit C�.,,. ' pp�� _ to file a Signed statement that he/she Is licensed pursuant to the provisions of Roof Drains / .X"`� /o'-«f-7 55-60 .the Contractor's License Law(Chapter 9(commencing with Section 7000) of 'ivision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 erefrom and the basis for the alleged exemption. Any violation of Section J31.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). I DEVELOPMENT SERVICES REQUIREMENTS: $15 Issue Fee $ 3 I, as owner of the property or my employees with wages as their sole Reinspection Fee compensation, will do the work, and the structure is not intended or offeredZoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By License Law does not apply to an owner of a Property who builds or improves • Date �1 /y�1' thereon, and who does such work himself/herself or through his or her own - Application Issued By s Date L/ `f employees, provided that such improvements are not intended or offered for Boiler Hood or- Type I 0 sale. If, however, the building or improvement is sold within one year of corn- Canopy Type II 0 pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground SUMMARY OF FEES prove for the purpose of sale). BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU s� PLUMBING $ O•Dram ISSUANCE $ builds or improves thereon.and who contracts for such oroiects with a con- tractor(s) license pursuant to toe Contractor's License Law). I am aware that Exhaust System D Multiple ❑ System Repair/Alteration I Ir PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. GRADING $ & ❑ I am exempt under Section B. P.C.for this reason Firepl/Fact.Blt. (CRO# Fire Dampers ELECTRICAL $ PLAN CHECK 50% $ MICROFILM $ —\ Date Owne a Heating System& Ducting Registers Sr t, I hereby •-rtif 1 hat I have re�yl� thi •plic.V•n and state that the above ❑o-100,000 BTU 0100,000 BTL MECHANICAL $ TOTAL FEE $ Inla is I act. I .gree�t"Qygo it I city and ycounty irePfes / PLAN CHECK 25% $ and state laws ‘Patin. bu' g co c I1.,and hereby authorize repr Inspection Of i' �O ant pon 2-e-m¢nf sone er o Inspection pun• e- Signature d • t Reinspection Fee $15 Issue Fee $ 3 01 00019143-00019143 TOT Drivers' License or SS eo 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor DAT • 11/09/83 TIltEa 15:09 _ . •(? • -- - 1 \ CONSTRUCTION AND PLANNING - •'' PO( SPA APPROVALS Permit# Date'. Inspector APPROVALS Permit# _ Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Spil._Bipg-U{tdrgrnd. r -7 r! 53. Steel Reinforcement ? •j 3. Elect,cal Conduit't 7tility-Undrgrnd. ;u -'' -r'' 54. Forms - ` i f ,4..Elect?ical donduit-Undrgrnd.-t' 'is ! 55. Electrical Bonding _-'t y I . 5_`StFehRelriforc'emerit .-- ): 56. Rough Plumbing & Pressure Test • 6'Electqal UF.ER Gr Sr" ) 57. APPROVAL TO COVER-GUNITE i'• i" 7.1 Footipas " 7 ./ v• 1 - .6 _ •i 58. Electrical Conduit-Undrgrnd. y.__• � i .8- Fourid'atidn ) ,1,1- -' �%' 59. Gas Pipe, 0 Undrgrnd.,Test . 9i,Wete"r. Pipe Unyirgrnd. ,, ) %t -' t 60. Backwash Lines, P-Trap, 0 Undrgrnd, i 11... III 10 Structural Floor System �� ' _ �e. 61. APPROVAL TO DECK L:' '1 "2: Property Sewgr.Line & House Connection •f l-'( y iib 62. Backwash & Receptor-Final 12! Sewer Cap/, r' ! J J IQ 2! '/ .-?•Iti• , -- ->I, 63. Heater & Vent-Final 4 1'3. Roof Qrains ,� ,� �; , ;1f. 64. Plumbing System - Final • -' 14. Rnygh Plumbing j .' i ; 65. Electrical-Final y 15. Rough Electrical-Conduit • 66. Solar System-Final 46: Rough Electric Wiring 67. Fencing & Access Approval V 1,7. Rough Wiring Sign 68. APPROVED FOR PLASTERING V 18'. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20: Rough Factory Fireplace N) APPROVALS Permit# 21. Ducts, in Structure I^:, 70. Underground Hydro 1 ' 22. Ducts, Ventilating t 1i -71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough&Test ; 72. Underground Flush . 24. Roof•Framing • i 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat I 75.: Dry Chemical; 27. Frame and Flashing i - 767 Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation . ' 78. FIRE PREV'FINAL 30. Drywall Nailing t HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat f 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 7 ; 37. Final Factory Fireplace • 38. Final Plumbing f (L-'-f (.Ii0 , 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer -.- 43. Backflow Irrigation - 44. Landscape Irrigation System 45. Sound Attenuation ' 46. Handicap Regulations 47. FINAL. STRUCTURE & BUILDING r•' 48. Snecial Requirements Completed 49. Electric Release to Edison / i 50. Gas Release to Southern California Gas Co / 51. CERTIFICATE OF OCCUPANCY / No. Date '� (\ # P., Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PE MIT NO. TRACT NO. LOT NO. UNIT NO. Project Address 1380 VILLAGE WAY "A" .37 CITY OF COSTA MESA CONSTRUCTION PERMIT 2 A.P.* 141-192-03-141-351-09 ( zona R-4 5 S GRI�FFITH SUBDIVISION A S Main Building: Accessory Building: 2755 BRISTOL ST #275 TYPE OF CONSTRUCTION NEW ❑ ADD U ALTERATION u REPAIR E L z ns Mailing Address' El CONVERSION ❑ DEMOLISH ❑ OTHER T Front O Owner's Name HOELSCHER/GUGGENHEIM PA$�• RS DESCRIPTU s OF ORK/USE OF B aG. I B Rear N Address 4665 MACARTHUR CT, NB awe.- re •r.e. a. - , A I Arch/Eng. KERMIT DORIUS License No. TYPE OF PERMITr GRATING FOUND•TIaO�N STRUCTURAL K Right 6 Address 1550 BAYSIDER, CORONA DEL MAR ❑ TENANT ❑ ELECTRICAL El PLUMBING PLUMBING MECHANICAL : Left Al_ Contractor's Name LUCAS DEVELOPMENT COR$hone850-1551 ❑ OTHER Ping. Ref.# R Parking Req./Provided E PROJECT DESCRIPTION SO. FT OCCUPANCY Cl AddressiryLicense(mailing) No.g) 2755 BRISTOL #275, CM CON ST RUCTION TYPE VALUATION$ Planning Notes: Ni, �, City 030749 ZONE GRADING CU.YDS. ACRES T eiso LICENSED CONTRACTOR DECLARATION S. I hereby affirm that I am licensed under provisions of Chart- 9 (commencing Remarks: K 3 SSL 3 with section 7000) of Division 3 of the Business an Prof slons C•de,and t/ my license is In full force and 1 ELECTRICAL FEES \ License lass B-1 1� / Lie 1 N. :570.4 — \11. Date '�.igna VA�.. �_ PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORK RS'COMPENSATIO LARATI• ��_ 050+KW N Bar Sink Showers Construction Pole Sub. I hereby affirm that I have a cer flute of consent to self-insure or a certi� e ' Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter Dula to 100 amps 0, Lab. C.) ,Icy No. 46-88 UNIT 2254 Company STAE F• • A 1-89 Backflow Irrigation' - Sewer Cap Dishwasher• Meter Dover 100 amps Id Certified copy is hereby furnis [`iLl-XJ{`\\ 1 �- ,r Dryers OGas ❑Electric Sub Panel Certif'ed c p I filed with the din•,! n. 4 Bathtubs Sewer Connection Date Applic EXEMP ION FR M WORKERS' • �NSATION DECLA Clarifiers Solar Collectors Fan Motors '1 HP ❑1%-B (This section need not be completed if the permit Is for one hundred 00) or F.A.U. olar ❑9-15 HP ❑16.15+ less). Dishwasher Solar Piping I certify that in the performance of the work for which this permit is Issued I - Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains••' Solar Tank Microwave Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE:If,after making this declaration,you should become subject to the - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outletsg Ran e comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYGas Service Outlets ater Closet $Wltehe5 Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Garbage Disposal Standing Sections Interceptors Water Heater Lender's Name ❑0-5 KW ❑5-15 KW Lender's Address Kitchen Sink / Water Service Generator Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash followidg reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains • the Contractor's License Law(Chapter 9(Commencing with Section 7000)Of • Division 3 of the Business and Professions Code) or that he/she is exempt ^refrom and the basis for the alleged exemption. Any violation of Section Reinspection Fee $15 Issue Fee $ 3 •' 1.5 by any applicant for a permit subjects the applicant to a civil arty of not more than five hundred dollars($500). I $ 3 DEVELOPMENT SERVICES REQUIREMENTS: u I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee Zoning Approved By Date compensation, will do the work,and the structure is not intended or offered - ...a. for salese (Sectione a ly Business and Professional Code: The Contractor'smroves MECHANICAL FEES Building Approved By �� i Date License Law not apply to es owner of a property who builds or improves _ - _ _ _ ___ __ � �� _- __. .—.. .___. _. Qs6 thereon, and who does such work himself/herself or through his or her own Application Issued By -��.A- ��..- - Dat Z1_L employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0 // sale. If, however, the building or Improvement Is sold within one year of com- Canopy Type II 0 SUM • -V OF FEES p , the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground proverove for the purpose of sale), - BUILDING PERMIT $ SMIP $ ❑ t, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU builds or improves thereon. and who contracts for such oroiects with aeon- PLUMBING $ ISSUANCE $ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.& P.C.for this reason 10 Firepl/Fact.Blt. ICBG dk 2301 Fire Dampers (, db MICROFILM $ I PLAN CHECK 50% $ Date Owner Heating System& Ducting Registers MECHANICAL $ PDS' Ca I here. .: tify that I have read this 'pwiic. on and state that the above ❑0-100,000 BTU❑100,000 BTL TOTAL FEE $ fQ �• infor• at on is correct. I agre i ...m•Q wit , I city and county ordinances - PLAN CHECK 25% $ and .tate relatin• to • pytli • co•snsll ucti• ,and hereby authorize repre- sent lives • •his cis to•4e = °L' �.bove-mentions pro er[y/fbr insp •Z'-. 7,/(� Sig :ture LI A .moi Date 100 Driv. ' cense or SS 9/ / Reinspection Fee $15 Issue Fee $ 01 00028466-00023466 TOT 10S,le, 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor UWNE' 03/16/25 \Wit LL142 • • tl\ i • CONSTRUCTION AND PLANNING POOL 'A APPROVALS - Permit# Date Inspector. APPROVALS 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. - -- y 8. Foundation /.! 59. Gas Pipe, 0 Undrgrnd.,Test -. - 9. Water Pipe-Undrgrnd. / . ' 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System - 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection • 62. Backwash & Receptor-Final 12. Sewer Cap / ' ` 63. Heater & Vent-Final 13. Roof Drains • 64. Plumbing System - Final 14. Rough Plumbing i 65. Electrical-Final 15. Rough Electrical-Conduit 1 i 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 ! 6-1/467y I.,Igo APPROVALS Permit# 21. Ducts,in Structure t:., 70. Underground Hydro 22. Ducts, Ventilating ' .., 71. Product Piping 0 Gas 0 Oil 23.'Gas Pipe-Rough & T,est 72. Underground Flush 24. Roof Framing . 73: Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat I 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing'& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing - HEALTH DEPT. REQUIREMENT 31. Plaster &own Coat 79. FINAL INSPECTION 32. Electrical Power M•eter-Final 80. FOOD CERTIFICATE ISSUED :. 1 33. Final Electric- v1 Notes: ' T; 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 9(y(ic( Can 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final i - 41. Solar Domestic-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 50s Release to Southern California Gas Co 1 51. CERTIFICATE OF OCCUPANCY ' • _ No: Date .•I • I3*O - //isi i Watt �r/9 Applicant to fill Wall spaces except those within heavy border lines and sign all appropriate declarations. �'�`•Y'7Nry�� - PERMIT NO. TRACT NO. LOT NO. NIT NO. CITY,OF COSTA MESA , CONST UCTION 1 RMIT M A A.P.# I Zone , Project Address " ��5� • I S Main Building: I Accessory Building: Applicant's Mailing Address TYPE OF CONSTRUCTION <rl NEW U ADD U ALTERATION EPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ; T Front O Owner's Name Lai CAS De,/eLm9nntert Phone atH SS( DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address 275S' g ?O� 3T8 Z7 Con4 niti&A- r ' , A I Arch/Eng. License No. TYPE OF PERMIT U GRADING U FOUNDATIOJ STRUCTURAL K Right G Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING MECHANICAL $ • Left R Contractor's Name ) p�� ❑ 'OTHER INLAND Han" �Phone7 -N�y� Ping. Ref.# Parking Req./Provided E Address(mailing) /b9(o Cos1'vreee.t- ST WCJ✓A q(72.0 PROJECT DESCRIPTION SQ. FT. OCCUPANCY ' Planning Notes: M CONSTRUCTION TYPE VALUATION$ City License No. O'yri 9 % f ZONE GRADING CU.YDS. ACRES T LICENSED CONTRACTOR DECLARATION S' I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: ih_b� 4-i - Pim�„r jL �'35�ZS ' with section 7000) of Division 3 of the Business and Professions Code,and my license is In full force and effect. ELECTRICAL FEES License Class C -2-0 nt ;PI 6"Sj•r9 Date/2--I-04 Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW •)RKERS'COMPENSATION DECLARATIONConstruction Pole Sub. 0 50+KW rreby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink Showers Workers' Compensation Insurance, of a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps 3800, bC. �nQRIO C.. /V Policy LaNo.b( 111 27A- Company.+_r AT;D"IA'L Backflow Irrigation Sewer Cap • - Dishwasher Meter Dover 100 amps Certified copy Is hereby furnished. — Dry¢fs ❑Gat ❑Electric Sub Panel kr Certs1 fieri coppyy.�is filed with the city Bu ng D ' Bathtubs • Sewer Connection - Date ' Applicant Fan Motors❑0-1 HP ❑i%-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors �� (This section need not be completed if the permit Is for one hundred ($100) orF.A.U. Inc.Solar ❑9-15 HP ❑16-15+ less). Dishwasher Solar Piping I certify that in the performance of the work for which this permit is Issued I shall not employ any person in any mariner so as to become subject to the Drinking Fountains Solar Tank Fixtures Microwave Workers' Compensation Laws of California. . Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE:If,after making this declaration, You Should become subject to the Outlets Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks - Urinal Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name 1 Lender's Address Kitchen Sink Water Service Generator 0o-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION - 1 I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trats any structure, prior to Its issuance, also requires the applicant for such permit S4 file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains ;Pe Contractor's License LawCharter 9(commencing with Section 7000) of 'aision 3 of the Business and Professins Code) or that he/she is exempt ""'Y,erefrom and the basis for the alleged exemption. Any violation of Section Reinspection Fee $15 Issue Fee $ 3 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure Is not intended or offered Zoning Approved By nate for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner Of a property who builds or improves _ 1 _ �� _�p thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I ❑ Application Issued By Date 1'L t'!LJ employees, provided that such improvements are not intended or offered foryP sale. If, however, the building or improvement Is sold within one year of com- Canopy Type 11 0 pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground SUMMARY OF FEES prove for the purpose of sale). BUILDING PERMIT $ SMTP $ /p ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Ref geration System tractors to construct the project (Section 7044,Business and Professions Code: ,-, PLAN CHECK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating i 0 r 0.100,000 BTU 0100,000 BTU q0 -+ PLUMBING $ ISSUANCE $ builds or improves thereon,and who contracts for such projects with aeon- tractor(s) license pursuant to me Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 , System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof oftheir Worker's Compensation Insurance should be provided to me. G $ PLAN CHECK 50% $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG Heatingdk Fire Dampers ELECTRICAL $ GRADINRADIN MICROFILM $ S Date - Owner System em& Ducting 'Registers MECHANICAL $ 11 0 TOTAL FEE $ I, 0 N I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction, and hereby authorize repre- sentatives of fifty user upon the above-mentioned property for 10 AIR 44�1Jtwmt 7/ — Inspection our fG� Signature '•••III _ Date/2-/--8 15Reinspection Fee $15 Issue Fee $,�� Drivers' Licenseor55# (S 01 00020978-00020978nnTOT 170.00 0865-46.rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor • DATE: 12/02/88 TIME: 09:37 PC Si SPA CONSTRUCTION AND PLANNING • . 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:JElectrical Conduit:Utility-Undrgrnd. I 54. Forms 4: Electrical ConduitrUndrgrnd. - 55. Electrical Bonding •5: Steel Reinforcement ) 56. Rough Plumbing & Pressure Test ; 6� ElectiicalUFER:Grnd: l 57. APPROVAL TO COVER-GUNITE 7. Footings - - `) 58. Electrical Conduit-Undrgrnd. • 8!'Foundation ; , I 59. Gas Pipe, O Undrgrnd.,Test 9: Water Pipe-Undrgrnd. • i ;• i 60. Backwash Lines, P-Trap, O Undrgrnd. 10(,�Structural Floor System \ I 61. APPROVAL TO DECK 11/Property Sewer Line& House Connection 62. Backwash & Receptor-Final 12. Sewer Cap • 63. Heater & Vent-Final •• 13: Roof Drains 64. Plumbing System - Final 14: Rough Plumbing; - 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 191 Rough Heating & Air Conditioning 147/q c10 FIRE DEPT. REQUIREMENT • 20). Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating • 71. Product Piping O Gas 0 Oil 23../Gas Pipe-Rough &.Test 72. Underground Flush 24. Roof Framing ' 73. Undergrnd.Storage Tank 0 Gas ❑Oil,• 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding : 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 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 V/ohrlt 14/4) 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40: Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 1 ' 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 /323 'y",• oe, W -• Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO. TRACT NO. LOT NO. UNIT NO. CITY OF COSTA M 900 CONSTRUCT! PERMIT I E 375 0 BLDG. A A.P.# Zone Project Address - S Main Building: Accessory Building: Applicant's Mallin Address• 4701 E. HUNTER AVENUE TYPE OF CONSTRUCTION U NEW LI ADD U ALTERATION U REPAIRE EOELSCHER/GUGGENHEIM PTTNERS CI CONVERSION CI DEMOLISH 0 OTHER T Front 0 PAR Owner 's Name ""'rnone DESCRIPTION OF WORK/USE OF BLDG. A TS, W/ATTACHED GARAGES IA Rear N Address 4665 MAC ARTHUR COURT, #275 N.B. A I N Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING H FOUNDATION CI STRUCTURAL ' K Right GG Address ❑ TENANT N.ELECTRICAL ❑ PLUMBING ❑ MECHANICAL i $ Left R Contractor's Name LAZER ELECTRIC, INC. Phone 777-4233 ❑ 'OTHER Ping. Ref.# Parking Req./Provided E Address(mailing) 4701 E. HUNTER AVE. , ANAHEIM 92807 PROJECT DESCRIPTION SQ.V T. 9020 OCCUPANCY R,/h,Planning Notes: NQ7 032847 CON ST RUCTION TYPE VALUATION$ T City License No. ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9(commencing 'Remarks: BLDG. TYPE 2 (10 UNITS) with section 7000) of Division 3 of the Business and Professions Code,and my license is in full force and effect. BLDG. PERMIT 11 B35525 ELECTRICAL FEES License class C10 L�'ca,��o. 440682 Date U1—r89 Signature Q�.T�CQ�i.� PLUMBING f FEES Automatic Washer Transformer 0 15-50 KW mORKERS'COMPENSATION DEC RR--��TIONGOn$trUCtiOn Pole Sub. 0 50+KW 'relay affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps ado°, Lab. _. . iC100291640 CNA INS. / Dishwasher Meter (Dover 100 amps Poliicy No. Company Backflow Irrigation Sewer Cap _ /Certifietl copy is hereby furnished. �— Dryers ❑Gas ❑Electric 10 Sub Panel @ $11.00 EA 110 00 ►►//,'�ertiJ{'ed ccpppy" lied with the city B w' Bathtubs Sewer Connection / Date - bi-18-6� Applicant Bio E`�CTRIC, INC. EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors {� Fan Motors D0.1 HP 01%-8 (This section need not be completed if the permit Is for one hundred ($100)or Dishwasher F.A.U. Inc.Solar ❑9-15 HP ❑16-15+ less). Solar Piping I certify that in the performance of the work for which this permit is issued - i Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar nk 6 @ .75 EA —• Microwave 4. 30 Workers' Compensation Laws of California. • Date Signature Floor Drains S i ming Pool w/Spa Device Boxes Pole Light NOTICE:If,after making this declaration,you should become subject to the Outlets Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal - 6 @ .75 EA -� 9 4.50 comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYGas Service Outlets Water Closet 6 Switches @ .75 EA y Sign 4.50 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name _ Lender's Address Kitchen Sink Water Service Generator 00-5 KW D5-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash 9020 Sq.FT. @ 3c 270 60 following reason (Section 7031.5 Business and Professional Code: Any city or - county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains 15,00 Contractor's License Law(Chapter 9(commencing with Section 7000) of ision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee refrom and the basis for the alleged exemption. Any violation of Section '�X; ..x31.5 by any applicant for a permit subjects the applicant to a civil - i enalty of not more than five hundred dollars($500). I 3 DEVELOPMENT SERVICES REQUIREMENTS: O I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ compensation, will do the work,and the structure is not intended or offered I Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL ,,' FEES Building Approved By Date /yam License Law does not apply to an owner of a property who builds or improves _ / thereon, and who does such work himself/herself or through his or her own Boiler Hood or ■ Application Issued By Dat employees, provided that such improvements are not intended or offered forTyp- sale. If, however,the building or improvement is sold within one year of com- Canopy T pe II ■ pletion, the owner will nave the burden of proving he/she did not build or Un- Duct-Under Ground SUMMARY OF F prove for the purpose of sale). BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrig--stion System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating D• 00,000 0100,000 ISSUANCE $ builds or improves thereon.and who contracts for such oroiects with a con- PLUMBING $ tractor(s) (,cense pursuant to the Contractor's License Law). I am aware that Exhaust System D Multiple 0 PLAN CHECK 25% $ _ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me, ELECTRICAL $ yo 9s/'Q GRADING $ D I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# e. MICROFILM $ PLAN CHECK 50% $ Date Owner Heating System& Ducting RegistersMECHANICAL $ 409. 10 I hereby certify that I have read this application and state that the above ❑0-100,000 BTU D10(.,000 BT TOTAL FEE $ Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction, and hereby authorize repre- sentatives of this city to e -r pon the above-mentioned property for inspection Aur..”--,s. ii' Date 01-18-89 Signature . . • • Reinspection Fee I $15 Issue Fee $ 3 Drivers' Licen- • sy,t 0100024913-00024913 TOT 409.10 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 01/24/89 TIME: 11:17 • ,CONSTRUCTION AND PLANNING s PO 't 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 3P 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. i/' - 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 Connction 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 1'6. 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# 21.`Ducts, in Structure 70. Underground Hydro 22: Ducts, Ventilating • 71..Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough &Test - 72. Underground Flush 24. Roof Framing • �' 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro ' 26:T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL. 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Fina �,(O 80. FOOD CERTIFICATE ISSUED 33. Final Electric 7413?�yGNotes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace • 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer I ` 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 51. CERTIFICATE OF OCCUPANCY - i No. Date ! 3 in -i/ .4..> #A.... Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • / f PERMIT O TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA CONSTR TION PER IT E .�3 BLDG. -Yf} AP. P # Zone Project Address 2900 COLLEGE Applicant's Mailing Address 4701 E. HUNTER AVENUE TYPE OF CONSTRUCTION SINEW LJ ADD H ALTERATION ❑ REPAIR S Main Building: Accessory Budding: Owner's Name HOELSCHER/GUGGENHEIM PSNoTWERS ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' T Front O DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address 4665 MAC ARTHUR COURT #275 N.B. AREA LIGHTING/CARPORT LTGHTTNG A I Arch/Eng. License No. TYPE OF PERMIT E GRADING El FOUNDATION El STRUCTURAL C Right G Address ❑ TENANT nELECTRICAL ❑ PLUMBING ❑ MECHANICAL , S • Left R Contractor's Name LAZER ELECTRICS INC, Phone 777-4233 El OTHER Ping. Ref. # Parking Req./Provided E 4701 E. HUNTER AVENUE ANAHEIM 92807 PROJECT DESCRIPTION SQ. FT. OCCUPANCY PlanningNotes: Q Address(mailing/ 032847 CON ST RUCTION TYPE _ VALUATION$ T City License No. ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION .Y I hereby affirm tht I am licensed under provisions of Charter 9 (commencing Remarks: ` \ '7 y 3��D with section 7000) of Division 3 of the Business and'/Professions Code,and 15 3 my license is in full ferciond effect. 17�T//G ELECTRICAL FEES License Class V i % se No. tDate Oh-13—S9 signature l��/.4PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW WORKERS'COMPENSATION D=fiter•ATIONConstruction Pole Sub. ❑ 50+ KW r1V�_yl •eby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers - Yorkers' Compensation Insurance, or a certified copy thereof (SectionCooking Unit Meter up to 100 amps gQ' -.J0, Lab. C Backflow Preventer Service Sink � -� 13WC100291640 CNA INS. Dishwasher Meter Dover 100 amps Policy No. Company Backflow Irrigation Sewer Cap _ V Certified copy is hereby furnished. Dryers ❑Gas ❑Electric / Sub Panel I '_ Certibept cow i$Aled with the city By i ldjpgAivein CTRIC INC. Bathtubs Sewer Connection DO Date Ub J Applicant Lk1LC,1C S ' Fan Motors 03-1 HP 01% B EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors I___ (This section need not be completed if the permit is for one hundred ($100) or F.A.U. Inc.Solar ❑9-15 HP ❑10-15+ less). Dishwasher Solar Piping I certify that in the performance of the work for which this permit is issued, _11/4C-Fixtures I shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave I/ Workers' Compensation Laws of California. • - Date Signature Floor Drains Swimming Pool w/Spa Device Boxes. Pole Light NOTICE: If,after making this declaration, you should become subject to the - Outlets Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal g comply with such provisions or this permit shall be deemed revoked. _Switches CONSTRUCTION LENDING AGENCY Gas Service Outlets - Water Closet Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION • I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash / 7At Ce/ocic -3. oc following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains a / She Contractor's License Law(Chapter 9 (commencing with Section 7000) of , 'sion 3 of the Business and Professions Code) or that he/she is exempt .� $.1t efrom and the basis for the alleged exemption. Any violation of Section Reinspection Fee ! $15 Issue Fee ''l1 k1.5 by any applicant for a permit subjects the applicant to a civil eenalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: LI I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves _ thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type0 Application Issued By Ui Dat employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $' ❑ I, as owner of the property, am exclusively contracting with licensed con-. Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU 0100,000 BTU $ builds or improves thereon. and who contracts for such oroiects with a con- PLUMBING $ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ''1�+ GRADING $ENERGY P.C. $ proof of their worker's Compensation insurance should be provided to me. ❑ I am exempt under Section B. & LECTRICAL $ y$. aeZ P.P.C.C.for this reason Firepl/Fact.BIt, ICBG# Fire Dampers MICROFILM $ PLAN CHECK 50% $ Date Owner Heating System & Ducting Registers MECHANICAL $ - JJ�� -s Thereby certify that I have read this application and state that the above ❑O-100,000 BTU 0100,000 BTU TOTAL FEE $ 7�.e.s information is correct. I agree to co ply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building 'onstruction, and hereby authorize repre- sentatives of this to ent-r p• the above-mentioned property for inspection purp•-y- 06-13-89 L %/> L i4 Signature . t •. e I Drivers' Licens:or S - Reinspection Fee $15 Issue Fee $ 3 01 00037,33-00033533j Tn t' 15 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor ��'r" 34/14/ TRW;a 1]�i+•rS • CONSTRUCTION AND PLANNING POC SPA ':APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector .1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2./Soil Pipe-Undrgrnd. 53. Steel Reinforcement . .?3.(Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5! Steel Reinforcement 56. Rough Plumbing & Pressure Test ' 6. Electrical UFER Grnd. 57. APPROVAL TO COVE R-GUNITE . 7:. Footings ; 58. Electrical Conduit-Undrgrnd. 8! Foundation 59. Gas Pipe, 0 Undrgrnd.,Test „.9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System • I 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap i 63. Heater & Vent-Final 13. Roof Drains '! l 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 '18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT •c( 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22 Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 241 11 Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding • 77. FIXED SYSTEM FINAL 29.E 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 c t9 I Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test i f 36. Hood or Canopy I -' 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer / 43. Backflow Irrigation . 1 44. Landscape Irrigation System ! ✓ 45. Sound Attenuation , 46. Handicap Regulations '' `1 . . 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed tJ 49. Electric Release to Edison � t• 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY - ' No. Date V J N L; /f) Jd7L,/_ll�rlf Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. (,JCPr� ��'S ///III T!!! ION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. I •C1T_Y.oF COSTA MESA O STRUCTION A.P.# { Zone 17 a , a IJ " V'1 (3 3ssg8 i S? U cI -`IZ f34• `( 1 - X51 - Ir1/WL- Iq2 03 ,�� •. Project Address ' S Main Building: Accessory Building: P • • Applicant's Mailing Address 2755 Bristol, Stt 2755 L.�1 TYPE OF CONSTRUCTION �� EW U ADO ALTERATION REPAIR E e — Z Hoelscher/Glz enheun $51-2116 ❑ CONVERSION ❑ DEMOLISH ❑ OT ER T Front 0 Owner's Name gC Phone ipart ment with garage g ♦ N Address 4665 MacArthur Crt. NPB 9266 DESCRIPTION OF WORK/USE OF BLDG. pp�� A Rear a O I • N 'Arch/Eng. KerRllt I)Or1U5 License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION &dCSTRUCTURAL 11 C Right 3 S G Address 1550 Bayside Drive, Corona Del Mar ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING 0 MECHANICAL S • Left .25 'eve FA88-•�) R Contractor's Name Lucas D velOpIOent CO phone 850-15!1 ❑ OTHER garage 1200 s.f• ' Ping. Ref.# g //L --OS- Parking Req./Provided i 3�/ E Address(mailing) 2755 Bristol, Ste.. 275, CM 92626 PROJECT DESCRIPTION SQ. FT. 9475 OCCUPANCY RM 1, 1 Y/ ,(.� 0 CONSTRUCTION TYPE V 1Clr VALUATION$ �Z 9�/J'�, Planning Notes: /V uA�')< T City License No. 030749 ZONE GRADING CU.YDS. ACRES / • HOLD FOR SPECIAL REQ -Yth T. LICENSED CONTRACTOR DECLARATION . I I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: /,with section 7000) of Division 3 of the Business and Professions Code, and 7251- my license is in full force and effect. J ELECTRICAL FEES License ass — License No. 257064 - Dale Z Signature " PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW WOR E ' COMPENSATION . •• RATION Construction Pole Sub. • 0 50+ KW I hereby affirm that I have a c- ate of consent to self-insure or a certificate Bar Sink $hOWerS tf Workers' Compensation • rance, or a certified copy thereof (Section Cooking Unit Meter ❑Up to 100 amps IBoO , Lab. C Backflow Preventer Service Sink - • - dW4)6-$$ 2254 State Farm Dishwasher Meter ❑over 100 amps - Policy No. Company e•r Backflow Irrigation Sewer Cap • ❑ Certified copy is hereby furnished. 1-1-$J g] Dryers ❑Gas ❑Electric Sub Panel Cerci gi.; cop is filed with the city B 11•" g_D ' ion. Bathtubs Sewer Connection Date j4te?$ Appli -• - Fan Motors❑0.1 HP 01%:8 EXEM TION FROM WOR --5'C• s'- SATION DECLARATION Clarifiers Solar Collectors (This section need not be .mplete• ' he permit is for one hundred($100)or F.A.U. Inc.Solar ❑9.15 HP 016-15+ \less). Dishwasher Solar Piping - I certify that In the p. for •- ce of the work for which this permit is issued, I Fixtures Y shall not employ an •• on in any manner so as to become subject to the Drinking Fountains Solar Tank -- - ` Microwave x. Workers' Compensat •- Laws of California. Date Signature ._ _ _ Floor Drains Swimming Pool vv/Spa Device Boxes / Pole Light NOTICE: If,after making this declaration,you should become subject to the s,, Outlets /// Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. $witl:he5 CONSTRUCTION LENDING AGENCY Gas Service Outlets / Water Closet Sign I hereby affirm that there is a construction lending agency for the performance / Garbage Disposal of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors / Water Heater - 9 p Standing Sections Lender's Name Lender's Address Kitchen Sink .. Water Service Generator 00.5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the Lavatories Auto-Wash •' following reason (Section 7031.5 Business and Professional Code: Any city or • , county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays - . ~ any structure, prior to its issuance, also requires the applicant for such permit . to file a signed statement that he/she is licensed pursuant to the provisions of - Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt ., Reinspection Fee $15 Issue Fee $ 3 `herefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil 1.1. penalty of not more than five hundred dollars($500). • 3 IJ DEVELOPMENT SERVICES REQUIREMENTS: 7( 1, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee . $ • /V compensation, will do the work, and the structure is not Intended or offered Zoning Approved By Date for sale (Section Business and f aProfessional Code: The Contractor'smroves MECHANICAL FEES Building Approved By _ ,p• Date License Law does not apply to eans owner Of a property who builds or improves JI , thereon, and who does such work himself/herself or through his or her own s Application Issued By y�a -T� Date 1111110*- employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement is sold within one year of com- Canopy Type It 0 SUMMARY O FEES prove , the owner will have the burden of proving he/she did not build or im- Duct- Under Ground q, /t/ prove for the purpose of sale). BUILDING PERMIT $ aaeZ�$ SMIP $ 3 /' `/ ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System �• - PLAN CHECK $ .340._.1 T PERMIT tractors to construct the project (Section 7044,Business and Professions Code: ' ' The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon.and who contracts for such oroiects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration - PLAN CHECK 25% $ ENERGY P.C. $ _ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.& P.C.for this reason — Firepl/Fact.BIt. ICBG* Fire Dampers PLAN CHECK 50% $ MICROFILM $ Date Owner Heating System& Ducting Registers 304 I hereby certify that I have read this application and state that the above 00-100,000 BTU•❑100,000BTL • MECHANICAL $ TOTAL FEE $ 6 Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to b "Iding construction,and hereby authorize repre- sentatives of thi enter upon the above-mentioned property for Inspection pur.• , s/• Date- SY 00t143Gd-"� 1✓%_Vl' TOT 6 13.0n Signature �/ Reinspection Fee $15 Issue Fee $ 3 01 n 168 (,1 7 2l Drivers' �� ss ' 5So 10/06/38 TINE: 09:11 0865 ., . 5/88 White - Building; Canary -Applicant; Pink -Accounting; Ggldenrod - Assessor - CONSTRUCTION AND PLANNING POOL.,,r SPA Date Inspector Date Inspector / APPROVALS Permit# - APPROVALS Permit# • 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location . 2, Soil Pipe-Undrgrnd. 'r 53. Steel Reinforcement 1'i • 3. Electrical Conduit Utility-Undrgrnd. 'r 54. Forms 4. Electrical Conduit-Undrgrnd. /// 55. Electrical Bonding 1 5. Steel Reinforcement //✓ 56. Rough Plumbing & Pressure Test ; =6: Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7,2 Footings ! , r77 58. Electrical Conduit-Undrgrnd. "• 8. Foundation StQ b 11//t2 i/l2 Gym,, I /: 59. Gas Pipe, 0 Undrgrnd.,Test 94 Water Pipe-Undrgrnd. • / • 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10`-Structural Floor System 61. APPROVAL TO DECK 11;'Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12: Sewer Cap . 63. Heater & Vent-Final �' 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 161 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 r. 20. Rough Factory Fireplace APPROVALS Permit# . 21. Ducts, in Structure 70. Underground Hydro • 22._Ducts, Ventilating I. 71. Product Piping ❑Gas 0 Oil 23! Gas Pipe-Rough &Test I . �/� 72. Underground Flush . •24. Roof Framing ' /L0r g 9 AJ/ 73. Undergrnd.Storage Tank 0 Gas 0 Oil ',25. Roof Sheathing ,y 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Mbnocoat I 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 11-, HEALTH DEPT. REQUIREMENT 31...Plaster Brown Coat ` r V 79. FINAL INSPECTION 32i' Electrical Power Metel.-Final 80. FOOD CERTIFICATE ISSUED • 33. Final Electric I',I Notes: "eft/ s- 55-T/vasy 4.7a, 6, AJ. 34. Final Heating& Air Conditioning Si4_bel-fl/ OK p E /*AY �7 35. Final Gas Pipe-Test (� HOLD FOR SPECIAL REQUIREMENTS 36. Hood or Canopy g n P��t) O (?ave `t " '37. Final F,actbry Fireplace 38. Final Plumbing . -. . .1.M. Water Service-Final .1 40. Gas Service:Final 41. Solar Domestic-Finalt ; J ,42. Backflow Prevehter - - _1 . •A3. Backflow Irrigations-` °r 44. Landscape Irrigation System '412 1 -45. Sound Attenuation '' . '.,I i X46. Handicap Regulations ,47. FINAL STRUCTURE & BUILDING 017 (/L ` . 48. Special Requirements Completed /oZQ t89 y r �,Y.t 49. Electric Release to Edison / "`"IS . 50. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY No. Date "ITY OF COSTA MES . CALIFORNIA 92628-1200 P.O.BOX 1200 Insulation Certificate 1380 Village Way Costa Mesa CA Number and Street City Orange D County Subdivision Lot Number Description of Installation ROOF Material Composition BrandName Prestique Plus Thickness(inches) C IDSSA Mental Resistance(R-Value) EXTERIOR WALL Material Stucco Brand Name Portland Cement Thickness(inches) ' 7/8" Thermal Resistance(R-Value) R-11 Batt 3-1/2" Manville CEILING Batt or Blanket Type Batt Brand Name Manville Thickness(inches) 6-3/4" Thermal Resistance(R-Value) R-19 Loose Fill Type Brand Name Contractor's minimum installed weight/ftr lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance(R-Value) RAISED FLOOR Material N/A Brand Name Thickness(inches) Thermal Resistance(R-Value) SLAB FLOOR Material Concrete Brand Name Portland Thickness(inches) 4" w/6x 6 x10 x 10 Thermal Resistance(R-Value) Width(inches) varies FOUNDATION WALL Material Concrete Brand Name Portland Thickness(inches) 8"-12" Thermal Resistance(R-Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Tide 24 of the California Administrativer( Code. • v c/Yj •�G vda Ili a Alt % ' '• " 2..S7a 6 ener Con`4 (Rua' 1'i/ License Number r Ih -30 Signature and Title ' I Date Sub-Contractor(Insulation Installer) License Number Signature and Title Date jRM / THE KEITH COMPANIES��l?uvnmg•Crrd n, iurrnn/;./hn—nnl?m.i,•An hi/rnuq .Lnndai,,. /lm•nuri •Laud Furh,,l,ug July 18, 1989 87-0125 Engineering Department City of Costa Mesa 77 Fair Drive Costa Mesa, CA. 92628 ATTN: Brian Haught /243a ✓,Iti -pc SAT" RE: PA 88-31 - 2900 Collcgc Avcnuo, Costa Mesa, California Dear Mr. Haught: As the civil engineer, I certify that the precise grading has been completed in substantial conformance with the approved precise grading plan for the above referenced project. SS/inccee/rely, • 11-7 Robert Schneider RCE 42912 •F, (Ili No.42912 s 1j l a Exp.3-3192 \ fACMI t. �TFOF cAL0- / . R670125-9026-t-RS 17961 Cowan.Irvine.Cal:furnin 027/4 (7141 N63 9300 I0 Ul�l44C—� ll/�4 DDlicantatofffill In all spaces except those within heavy border lines and sign all appropriate declarations.WFAddress MESA �CONSTR UCTIpI�PERMIT PERJ,7�T / 3/, _ TRACT NO. LOT NO. UNI7�N0. // T -1i 'L j'1/( IIA/ .35 Go /Yl L AppProlicant's Mailing �/- U ADD H ALTERATION U REPAIR 9371 Folkstone, Hunt. Beach TYPE OF CONSTRUCTION LI NEW Applicant's Mailing Address ❑ CONVERSION ❑ DEMOLISH ❑ OTHER '.Owner's Name Hoelscher Guggenheim Phone 851-2116 A.P.# Zone DESCRIPTION OF WORK/USE OF BLDG. Address 4665 Macarthur Court, Newport Beach I S Main Building: Accessory Building: Arch/Eng. Dorlus ArchitectsLicense No. TYPE OF PERMIT H GRADING ❑ FOUNDATION H STRUCTURAL T Front Z0 'Address 1550 Bayside Dr. , Corona del Mar ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL BA Rear ' N Coastline Plumbing963-3800 ❑•OTHER I Contractor's Name Phone C Right N Address(mailing) 9371 Folkstone, Hunt. P=ach PROJECT DESCRIPTION SQ. FT. OCCUPANCY K G 023390 CONSTRUCTION TYPE VALUATIONS S LeftR City License No. __ - - ZONE GRADING CU.YDS. ACRES' E LICENSED CONTRACTOR DECLARATION • n Ping. Ref.# • Parking Req./Provided I herebyaffirm that I am licensed under provisions of Charter 9 (commencing B� 3S 3 y - M ( 9 Remarks: V �s Planning Notes: M with section 7000) of Division of 3 of the Business and Professions Code,and T my license is in tut o and effect. ` License C'a s g 'ins o! 394638 - _ • S QUoO L+ nenr %, _ PLUMBING FEES Date �•l •• Signature v� ti y WORKERS' COMPENSATION DEC LARA�ON Bar Sink Showers - g ELECTRICAL FEES • I hereby affirm that I have a certificate of consent to self-insure or a certificate T if Workers' Compensation Insurance, or certified copy thereof (Section Backflow Preventer Service Sink - - 3800, Lab. C. "' - Automatic Washer - Transformer 0 15-50 KW' \ 583678-87 State C. 0 50+KW Policy No. company Backflow Irrigation Sewer Cap • Construction Pole Sub. ® Certified copy is hereby furnished. ✓ -• �j /}�f , Cert'fy�d�ropp,yy,(s filed with the city BuLle �I�'I l • f/ Bathtubs / Sewer Connection _ 7 AI ,Cooking Unit ,•,,:' Meter ❑up to 100 amps Date iU�7/i}t5 Applicant L-11$i',+.L ' PLUMBING - _ Y - - EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors' Dishwasher Meter Dover 100 amps (This section need not be completed if the permit it for one hundred ($100) or ' less). A' - , • e Dishwasher Solar Piping Dryers ❑Gas/SElectric Sub Panel I certify that in‘the performance of the work for which this permit is issued-,I • shall not employ any person in any manner so as to become subject to the • Drinking Fountains Solar Tank Fan i /, Motors 00-1 HP 011/2-8 Workers' Compensation Laws of California. Date Signature . Floor Drains • Swimming Pool vv/Spa - F.A.U. — Inc.Solar 09-15 HP 016-15+ 'NOTICE: If,after making this declaration,you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal' Fixtures comply with such provisions or this permit shall be deemed' revoked. / Microwave CONSTRUCTION LENDING AGENCY ' /// Gas Service 40utletski // Water Closet �� 0 Device Boxes Pole Light I hereby affirm that there is a construction lending agency for the performance Q _ of the work for which this permit is issued( (Section 3097 Civ. C.) /0 Water Heater ,Ad 45 9 Lender's Name InterceptorsOutlets Range Lender's Address /4 Kitchen Sink • ' Water Service 2O 0 Switches Sign OWNER BUILDER DECLARATION 1_ I hereby affirm that I am exempt from the Contractor's License Law for the )4 Lavatories • /0 'Auto-Wash +3 /� Garbage Disposal ;Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or • county which requires a permit to construct,alter,Improve,demolish or repair P—Trap Laundry Trays Generator ❑0-5 KW ❑5-15 KW Trash Compactor any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains . - • the Contractor's License Law(Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Coda) or that he/she is exempt _ . herefrom and the basis-for the alleged exemption. Any violation of Section . '031.5 by any applicant.for a permit subjects the applicant to a' civil - Dpenalty of not more than five hundred dollars(5500). I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure Is not Intended or offered Reinspection Fee $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: -The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves __ thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I 0 • DEVELOPMENT SERVICES REQUIREMENTS: , employees, provided that such Improvements aro not intended or offered forZoning Approved By Date sale, If, however, the building or Improvement I5 sold within one year of com' Canopy Type II 0 • pletion, the owner will have the burden of proving he/she did not build or im- i Duct- Under Ground Building Approved ByDatef��y prove for the purpose of sale). ' • - ��/ ❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By - Dat tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct 2 Ventilating 00-100,000 BTU ❑100,000 BTU SUMMARY OF FEES builds or Improves thereon,and who contracts for such projects with a con- ' tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 • System Repair/Alteration BUILDING PERMIT $, ' SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT , 0 I am exempt under Section B.81 P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date Owner • Heating System& Ducting , Registers J 1 PLAN CHECK 25% $' ENERGY P.C. $' I hereby-certify that I have read this application and state that the above ❑0-100,000 BTU ❑100,000BTL - . - ELECTRICAL $ 1 GRADING $ Information is correct. I agree to comely with all city and county ordinances . and state laws g to building c. tr ion, and hereby authorize repre- PLAN CHECK 50% $� MICROFILM $ • sentatives • is c ty to - , up• t above-mentioned property for — inspectl. pur••ses. L` - 10/5/88 MECHANICAL $, ' TOTA •L FEE $ �/ / Signature Dat", Drivers' License or S' # i Fee $15 Issue Fee $ 3 - PLAN CHECK 25% $1 - • OI 00016599-D00I6600 TOT -- ?3;.2'.' CMF 0065-46,rev. 10/84 White - Building; Canary 'Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 1D/r,7/u¢ TTNct 1.:errn - CONSTRUCTION AND PLANNING -. POO SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1.. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. /a/274-,J7?C.- 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 COVE R-GUNITE i 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. /0 40 1`4 ��+ r 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10...Structural Floor System `/J 61. APPROVAL TO DECK , 11. Property Sewer Line & House Connection ai,ee tea 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final , 14. Rough Plumbing £(!/q'et LCP 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.t 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 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush . 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. ,Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION • 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED If 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test �>/7/ In 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing latert laterOe 39. Water Service-Final . 40. Gas Service-Final 41. Solar Domestic-Final ' 42. Backflow Preventer 43. Backflow Irrigation - 44. Landscape Irrigation System - ' '! 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co ...- 51. 51. CERTIFICATE OF OCCUPANCY No. Date .Y Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. P IT NO. TRACT NO. LOT NO. UNIT NO. •CPTY OF COSTA ME,A..., VR p. r PE M ✓ r r3 G 1 Z 1yA.) A.P.# I Zone Project Address' !!// Uu �V/ 14,-4-7 l �J"REPAIR S Main Building: Accessory Building: • Applicant's Mailing • .dr. 2"7S L TYPE OF CONSTRUCTION U NEW ADD U ALTERATION E Z -%�� yry�.. rd ❑ CONVERSION ❑ DEMOLISH LEkL+4ER T Front O Owners Name �U �. ual`�a•► �r L'hone ? fi • DESCRIPTION OF WORK/USE OF BLDG. I B Rear N Address ��Q� - JII/ - A I �' / oz. TYPE OF PERMIT 0 GRADING y� FOUNDATION LI STRUCTURAL C Right N Arch/Eng. &C C/ License No. ^— T_' Rig Address e ` e. i/ 'I�1� / ❑ TENANT ❑ ELECTRICAL UMBING ❑ MECHANICAL S R 0 ' 5; ❑ OTHER Contractor's Nam. .Ia one aI Ping. Ref.# Parking Req./Provided E 5 r PROJECT DESCRIPTION SQ. FT. OCCUPANCY D Address(mailing) �O 5 LIll ?Sf ° V CONSTRUCTION TYPE VALUATION$ Planning Notes: M City License No. -19's`�� -7 T ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: j,, 3 cc-85 with section 7000) of Division 3 of the Business an• Professions Code,and my license is in full orce a.d effect. ELECTRICAL FEES Licen a Clama. i4• - -! / (f� — — as. —rt I %r_ %�� PLUMBING FEES Automatic Washer Transformer 0 15.50 KW _ \ Date Signature --� -� ^�_ (� WORKERS'COMPENSATION DECLARATION ` Construction Pole Sub. 050+KW `�II hereby affirm that I have a certificate of consent to self-insure or a ter tate Bar Sink Showers \ f Workers' Compen iorryI a'nce, or a ertifletl copy thereof (S: Ion Cooking Unit I Meter Duo to 100 amps 800, Lab. s{p7{ f/"� /�l� Backflow Preventer Service Sink T6 �a (Q �� Dishwasher - Meter Dover 100 amps Policy No. p y ! Backflow Irrigation Sewer Cap 1" Certified copy is reby furnis d. ! / r.— Dryers ❑Gas -DElectrjc Sub Panel 1 (Cert'fi��y_ep fled with the icy I•i nisi. _ Bathtubs Sewer Connection ate / 7 APplic.nt �� EXEMPTION FROM WORKERS' •MPENSATION •ECLAhundred Clarifiers Solar Collectors Fan Motors 00-1 HP ❑115-8 less),section need not be completed if the permit is for one hundred(t►�0)or F.A.U. inc.Solar ❑9.75 HP ❑16-15+ less). Dishwasher Solar Piping I certify that in the performance of the work for which this permit Is issued I shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fixtures Microwave Workers' Compensation Laws of California. , Date Signature Floor Drains Swimming Pool w/Spa Device Boxes ' Pole Light NOTICE:If,after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal • Outlets Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Switches Sign I hereby affirm that there is a construction lending agency for the performance Water DlOset g of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator D0-5 KW D5-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or , county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays any structure, prior to Its issuance, also requires the applicant for such permit �• O'v /� a to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains / J��/— P�}'l.a-- J VJ the Contractor's License Law (Chapter 9(commencing with Section 7000) of - Division 3 of the Business and Professions Code) or that he/she is exempt •erefrom and the basis for the alleged exemption. Any violation of Section Reinspection Fee $15 Issue Fee $ 3 131.5 by any applicantfor a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). I $ 3 DEVELOPMENT SERVICES REQUIREMENTS: 0 1, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee compensation, will do the work, and the structure is not Intended or offered Zoning Approved By Date for sale (Section 7044, business and Professional Code: The Contractor's MECHANICAL I FEES Building Approved By License Law does not apply to an owner of a property who builds or improves QL�� thereon, and who does such work himself/herself or through his or her own Application Issued By ' DateDate 14/1((( �f 3 le employees, provided that Such improvements are not Intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground rove for the purpose of sale). BUILDING PERMIT $ SMIP $ U I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System tractors to construct the project (Section 7044,Business and Professions Code: PLAN CHECK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0.100,000 BTU ❑100,000 BTU p La ISSUANCE $ builds or improves thereon. and who contracts for such projects with a con- PLUMBING $ 6 tractor(s) license pursuant to the Contractor's License Law). i am aware that Exhaust System ❑ Multiple D System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ D I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers PLAN CHECK 50% $ MICROFILM $ Date Owner Heating System&Ducting Registers Q I hereby certify that I haverreadtot'Is y p pit .all and state that the above Do-100,000 BTU 0100,000 BTL MECHANICAL $ TOTAL FEE $ �� information is correct. agree di c•I' ply wit all city and county r ordinances PLAN CHECK 25% $ and state •lating ildin•t•nstruct"�n,and hereby authorize re ' sentativ• of . cit •An •o th,•bove-mentlon-d WWp y inspect' pu -s / ��- . Signatu - f� �"� Reinspection Fee — $15 Issue Fee $ 3 01 00019146-00019146 TOT 5.00 0865-46,rev. 5/88 WM e - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor PLATE: 11/09/85 TIME: 15:11 CONSTRUCTION AND PLANNING ;.r P00 WA APPROVALS Permit # Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2,. Soil Pipe -.Undrgrnd. i 53. Steel Reinforcement 3. Electrical Condbit Utility-Undrgrnd. I. .'y>: 54. Forms A. 'C Electrical.donddit1Urfdrgrnd. . . ' 55. Electrical Bonding ,7 ,5?Steel-Reinforcement !) 56. Rough Plumbing & Pressure Test _ S. IElectr I UFER,G;rd: o ) I ;' 1 , 57. APPROVAL TO COVER-GUNITE _'��1.-;';', 7. 'Footings ' 9 - -..'". -'-, ',Cr) 58. Electrical Conduit-Undrgrnd. t 1 j/ %8: Foundation 1,1 r, C;'1 - ✓ 1l 59. Gas Pipe, 0 Undrgrnd.,Test ;7vl'. ' - �: Water P^pe-Und - r . p.rgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. � I 10. StructuralFloor/S5.ystem "at 61. APPROVAL TO DECK . '\t' i% 11'! PioQ , r _eriy Sewer;LC ine & House oriiiection ,t ,N"i (Zi--dr' (iF/� 62. Backwash & Receptor-Final ! --....17--.1. 12. Sewed Gap/ tt v � 63. Heater & Vent-Final r".. 3. Roof Drains '.i A-1::: e .,".4:.:7-r-:) 64. Plumbing System - Final (t •'L • 14. Rqugh":Phimbing e. I +i 1 65. Electrical-Final .'.' 15. Rough Electrical-Conduit - ! 66. Solar System-Final •-1 6. Rough Electric Wiring 67. Fencing & Access Approval ,- t17..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 I'' 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test -- 72. Underground Flush 24. Roof Framirig 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead HVdro 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.1FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT r, .31. Plaster Brown Coat 79. FINAL INSPECTION X32. 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 (14-Cs t,' '° 39. Water Service-Final - 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer r.. 43. Backflow Irrigation , 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations :1' 47. FINAL STRUCTURE & BUILDING 48. Snecial Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY '-A No. Date / to r- Applicant to filhin all spaces except those within heavy border lines and sign all appropriate declarations. P RMI N TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA CONSTR� CTION PE IT g' S A.P.# Zone Project Address - (o ,/ S Main Building: Accessory Building: TYPE OF CONSTRUCTION NEW U ADD U ALTERATION EPAIR • Applicant'sMailing/ Adye55VeVa��' J Phon 0 1st, El CONVERSION ❑ DEMOLISH ❑ OTHER . T Front 0 Qwner's Name s.Ws- rw` e� DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address ZTSW ' rDLL -s127.r Ca.)74 h104 A 1 ��r��r yyyyyy1 C Right N Arch/Eng. License No. TYPE OF PERMIT U GRADING ❑ FOUNDATION K G Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING MECHANICAL s Left xVL.444.) He1� Phone-1541-411'2i C ❑ OTHER IPing. Ref.# Parking Req./Provided E Contractor's Namp Phone Address(mailing) I bgto COr^tft C t xt' t PROJECT DESCRIPTION SQ. FT. OCCUPANCY G T �� g1'T 2.0 Planning Notes: M City License No. 403.5-11 rI CON STRUCTION TYPE VALUATION$ • T ZONE GRADI NG CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: •�� with section 7000) of Division 3 of the Business and Professions Code, and aped D-y earner a._ 3s""' 66 my license is in full force and effect. ELECTRICAL FEES Ucensg Class �� C- n t n itiaYB . . Si? Date/N-I-e t Signature PLUMBING FEES Automatic Washer Transformer 0 15.50 KW WORKERS'COMPENSATION DECLARATION COnStructiOn Pole Sub. 050+KW hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking.Unit Meter ❑up to 100 amps .d00, Lab. C.) ,/ Polic No.WOpy PIII 2_7-1 Company -We'40 P' A ktiO./4 L Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps //ferrtified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel Y Certified cotithed with the city Bui i g D' Bathtubs Sewer Connection • Date/2-/-BES Applicant ' Fan Motors❑0-1HP ❑1X-B EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (This section need not be completed If the permit is for one hundred ($100) or F.A.U. Inc.Solar ❑9.15 HP ❑16-15+ less). Dishwasher , Solar Piping I certify that in the performance of the work for which this permit is Issued, IFixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank• Microwave Workers' Compensation Laws of California. •t Device Boxes Date Signature Floor Drains •, Swimming Pool w/SpaPole Light NOTICE: If,after making this declaration, you should become subject to the ' 93 Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYGService Outlets Switches as Sign I hereby affirm that there is a construction lending agency for the performance Water Closet 9 of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION -..., I hereby affirm that t am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any City or county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Traits any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law (Chapter 9(commencing with Section 7000) of vision 3 of the Business and Professions Code) or that he/she is exempt refrom and the basis for the alleged exemption. Any violation of Section Reinspection Fee $15 Issue Fee $ 3 31.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). I DEVELOPMENT SERVICES REQUIREMENTS: U I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee. $ 3 compensation, will do the work, and the structure Is not intended or offered Zoning Approved By Date for sale (Secion 7044, Business and Professional Code: The Contractor's MECHANICAL FEESBuilding Approved By Date License Law does not apply to an owner of a property who builds or improves - thereon, and who does such work himself/herself or through his Or her own Application Issued By Date�rr'''')t,b�2- employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ sale. It, however, the building or improvement Is sold within one year of corn- Canopy Type II 0 SUMMARY OF FEES pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ 0 I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Re(yigeration System tractors to construct the project (Section 7044,Business and Professions Code: PLAN CHECK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating jo CJ0-100,000 BTU 0100,000 BTU 7 PLUMBING $ ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. GRADING $ - 0 1 am exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers ELECTRICAL $ PLAN CHECK 50% $ MICROFILM $ Date owner Heating System&Ducting RegistersMECHANICAL $ Irl tf.NIn c.:•. *I hereby certify that I have read this application and state that the above 00.100,000 BTU 0100,000 BTL TOTAL FEE $ information is correct. I agr to comply with all city and county ordinances PLAN CHECK 25% $ and state laws rela ng to Iltling construction, and hereby authorize repre- sentatives of tit y t pen the above-mentioned property for ID AIR.. {IANDLAL2 �� Inspection Purpo /2--(-96 Signature Date Drivers' License or SS# Reinspection Fee $15 Issue Fee SIC —, 01 00020975-00020975 TOT ;?,,cicl 0865-46,rev.5/88 White - Building; Canary - Applicant: Pink -Accounting; Goldenrod - Assessor CAFE: 12/02.' TIr9F: 041:6 _I CONSTRUCTION AND PLANNING - POC SPA APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector -r 1.. Temporary Electrical Service or Pole 52. Pool & Equipment Location • 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 71 • 3. Electrical Conduit Utility-Undrgrnd. 54. Forms eh'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 - - I 59. Gas Pipe, 0 Undrgrnd., Test , J" 1 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System - 61. APPROVAL TO DECK • 11.;Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12 'Sewer Cap • 63. Heater & Vent-Final • " 13: Roof Drains - 64. Plumbing System - Final 14. Rough Plumbing, r 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 /y4 4pC FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace t APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating - 71. Product Piping 0 Gas ❑Oil 23.4as Pipe-Rough& Test 72. Underground Flush • 24. Roof Framing , 73- Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing . It 74, Overhead Hydro 26. T-Bar Ceiling (Structural) &•Monocoat 75. Dry Chemical 27. Frame and Flashing - •I 76. Dry Standpipe 28. Lathing &Siding 77. FIXED SYSTEM FINAL 29. Insulation - 78. FIRE PREV. FINAL 30 pDrywall Nailing HEALTH DEPT. REQUIREMENT 31•:,Plaster Brown Coat 79. FINAL INSPECTION 32, Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33.E Final Electric Notes: 34. Final Heating & Air Conditioning 7/v/81 LEO 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING • 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. P IT NO TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA CONSTRUCTION PDRMIT L/ yI A.P.# 141-351-19 141-192-03 ZoneR-4 Project Address ' 1380 VILLAGE WAY / 3 ! D GRIFFITH SUBDIVISION D 2755 BRISTOL ST. #275 TYPE OF CONSTRUCTION KNEW U ADD U ALTERATION S Main Building: — Accessory Building: • Applicant's Mailing Address r U REPAIRE HDEISQ'�/GJGGENHEIM El CONVERSION 1:7 DEMOLISH DEMOLISH OTHER T Front Owners Name t N DESCRIPTION OF WRK/USE OF BLa Rear Address 4665 MACaItTHUR CT.,NB _ �J t J ��fj A I Arch/Eng. ' SIT DORIUS License No. TYPE OF PERM! IIII GRA. NG II FOUND• ION N STRUCTURAL I C Right G N Address 1550 BAYSIDER, OORNOA DEL7�MpAR ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ® MECHANICAL i s Left R Contractor's Name LUCAS DEVELOPMENT COWdhe 850-1551 ❑ OTHER I Ping. Ref.# Parking Req./Provided E PROJECT DESCRIPTION S . FT. OCCUPANCY 2- 0 Address(mailing) 2755 BRISTOL #275, al / Planning Notes: 030749 CONSTRUCTION TYPE VALUATION$ M T City License No. ZONE GRADIpIG CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION // S. (� I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: _ OY _ V\ with section 7000 of Division 3 of the Business and Professions Code, and my license is in fu�J..{orce nd eff ELECTRICAL FEES Licens las '/ — at - LI /-s-e N�a 0 15-50 KW I Date 's CZ Signet rm. C .en PLUMBING FEES Automatic Washer Transformer { WORKERS'COMPENSATION LARATION ��' Construction POIe$Ub. 0 50+KW 'hereby affirm that I have a certificate of consent to self-insure or . tificate Bar Sink Showers Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter ❑up to 100 amps 400, Lab. Cl., d Backflow Preventer , Service Sink Policy No. 46-88 UNIT .' any STATE FA" Backflow Irrigation'' Sewer Cap I- � Dishwasher` Meter Clover 100 amps ❑ Certified cQ py isj1aJ eby furni ed/ •' ��ar' 1-1-89 Dryers ❑Gas ❑Electric r Sub Panel Ce no{Wy}s d with e Cit u .ilig . Bathtubs Sewer Connection Date./ `bb '' II Ap lican - u_ Fan EXEMPTION FROM WORKE • OMPENSATION .f --Clarifiers Solar Collectors MOt Ho-1 HP ❑1X-8 (This section need not be completed If the permit is for one hun'($100)or Dishwasher F.A.U. Inc.Solar 09-15 HP ❑16-15+ less). `t Solar Piping 1 certify that in the performance of the work for which this permit is issued, Fixtures shall not employ any person In any manner so as to become subject to the Drinking Fountains Solar Tank • Microwave Workers' Compensation Laws of California. - Date Signature Floor Drains Swlmmi Pool w/Spa ,,r Device Boxes' Light Pole Li NOTICE:Compensation makingthisisof declaration, you r becomesubject h ite • Outlets comply Cpm ipprovisions she Labor Code, you et forthwith h Floor Sinks U al Range with such provisions or this permit shall DB deemed revoked. Switches CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Sign I hereby affirmk that therewhiis a construction lending (Section for tae performance Garbage Disposal Standing of the work for which this permit is issued (Section 3097 Clv. CJ Interceptors / Water Heater • 9 p Sections Lender's Name Lender's Address Kitchen Sink :Water Servic • Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law (Chapter 9(commencing with Section 7000)of ^ivision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 irefrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to a civil K-dnalty of not more than five hundred dollars ($500). DEVELOPMENT SERVICES REQUIREMENTS: Ll I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work, and the structure Is not intended or offered _ - Zoning Approved By ,/ Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved BY sr Date License Law does not apply to an owner of a property who builds or Improves __ _._ __.__—.- _ __ � ;�/�/�, , thereon, and who does such work himself/herself or through his or her own Application Issued By /1/ / s... •ate employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 —__� sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ SUMMA•Y OF FEES pletion, the owner will have the burden of proving he/she did not build or MI- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ 0 I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon.and who contracts for such oroiects with a con- _ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple❑ System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section B. &P.C.for this reason 10 Firepl/Fact.Blt. ICBG#2301 Fire Dampers ELECTRICAL $ GRADING $ �� U PLAN CHECK 50% $ MICROFILM $ Date Owner Heating System& Ducting Registers /� p� •ce, here• c- 'fy tha hav> oMECHANICAL $ a r TOTAL FEE $ I dad th, anon and state that the above ❑0-100,000 BTU ❑100,000 BTL PLAN CHECK 25% Infer• atio• corse)'. I ag�}r o �' J.s. n all city and county authorize r nces $ . and tate r r-la)' 9 to • . •i Teflon, and hereby repre- sen lives is ity t• er phi.77777 a above-mentiold pr e r Ins retur• `�•• i� / .0 _ __� Si. acus fes_ �-� Reinspection Fee $15 Issue Fee O 2 y02�2izi- 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor '_-� CONSTRUCTION AND PLANNING POO 313A APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector, 1.•Temporary Electrical Service or Pole 52. Pool & Equipment Location 2; Soil Pipe-Undrgrnd. 53. Steel Reinforcement ' 3. Electrical Conduit Utility-Undrgrnd. _ 54. Forms • 4. Electrical Conduit-Undrgrnri. - 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. -� 57. APPROVAL TO COVER-GUNITE . •' 7. Footings �� ,, 58. Electrical Conduit-Undrgrnd. 8. Foundation . ` ` 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System • • 61. APPROVAL TO DECK .� 11. Property Sewer Line & House Copnebtion 62. Backwash & Receptor-Final f 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 416. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING r• : i18. Rough .iectrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough`Heating & Air Conditioning FIRE DEPT. REQUIREMENT '20. Rough Factory Fireplace " • 3/Q`a.c! `to APPROVALS Permit# 21. Ducts,in'Structure f ,f I 70. Underground Hydro 22. Ducts, Ventilating -, 71. eroduct Piping 0 Gas 0 Oil 23. 'Gas Pipe-Rough& Test 72:'Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry:Standpipe 28. Lathing'& Siding 77: FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. 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 71P,/F9��/L 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 7 y/r,�/,jf� 38. Final Plumbing ! I 39. Water Service-Final 40. Gas Service-Final , I 41. Solar Domestic-Final 42. Backf low Preventer f • 43. Backflow Irrigation '" .7 44. Landscape Irrigation System •.e 45. Sound Attenuation 46. Handicap Regulations '• ./ 47. FINAL STRUCTURE & BUI LDI NG 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co %� • 51. CERTIFICATE OF OCCUPANCY .r. • No Date 1 /3.96 —1,1a114— 1,1 L/a ,.� Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. ��s-i•is�si`Q7 I CITY OF COSTA MESA CONSTR U TION P MIT I P IT NO. TRACT NO. LOT NO. UNIT NO. A P 4/2 Zone Project address• 2900 ('QZT 1_aT' 3 7 �S3 BLDG. D LI ' S Main Building: Accessory Building: ' Applicant's Mailing Address 4701 E. HUNTER AVENUE TYPE OF CONSTRUCTION U NEW ADD U ALTERATION U REPAIR Z • HOELSCHER/GUGGENHEIM PA{i'f,J gRS ❑ CONVERSION ❑ DEMOLISH El OTHER T Front Owner's Name DESCRIPTION OF WORK/USE OF BLDG. APTS. W/ATTACHED GARAGES I B Rear N Address 4665 MAC ARTHUR COURT, #275 N.B. A I Arch/Eng. License No. TYPE OF PERMITi LI GRADING El FOUNDATION El STRUCTURAL i C Right G Address ❑ TENANT A- ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ Left R LAZER ELECTRIC, INC. - Phone 777-4233 ❑ 'OTHER I Ping. Ref.# ParkingRe /Provided E Contractor's Name 9020 Req 4701 E. HUNTER AVE. , ANAHEIM 92807 PROJECT DESCRIPTION SG T. OCCV PANCVR,/M. PlanningNotes: Q Address(mailing) CONSTRUCTION TYPE V VALUATION$ M City License No. 032847 ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: L with section 7000) of Division 3 of the Business and Professions Code, and BLDG. TYPE 2 (10 UNITS) my license is in full force and effect. ELECTRICAL FEES License class C10 ycln o. 440682 BLDG. PERMIT # B35588 n Date 0�—18-89 Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW ,.[9�? WORKERS' COMPENSATION DELL RATION Construction POIe Sub. 0 50+KW hereby affirm that I have a Insurance of consent to dal copy re or a certificate Bar Sink Showers - ' Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter ❑up to 100 amps - 400, lab. Backflow Preventer Service Sink Po icyNo @ lc 100291640 com an CNA INS. Dishwasher Meter ❑over 100 amps rI p Y Backflow Irrigation • Sewer Cap P L./Certified copy is hereby furnished. Dr ars ❑Gas ❑Electr iC \ 111...000 �Ertif ie5i away Is Wed with the city Bullppft lv" Bathtubs Sewer Connection y to Sub Panel @ $11.00 EA 110,00 ,^ Date 01—/6-89 Applicant LAL C.K ELECTRIC, INC. Fan Motors❑0-1HP ❑1'f.-8 W EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred ($100) or • - Inc.Solar ❑9-15 HP 016-15+ less). Dishwasher Solar Piping F.A.U. I certify that in the performance of the work for which this permit is Issued I - ' shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank • 6 Fixtures @ .75 EA Microwave 4.5C Workers' Compensation Laws of California. Device Boxes Date Signature Floor Drains Swimming Pool w/Spa Pole Light NOTICE:It,after making this declaration,you should become subject to the Workers' Compensation provisions Of the Labor Code, you must forthwith Floor Sinks Urinal 6 Outlets @ .75 EA Range comply with such provisions or this permit shall be deemed revoked. /1.50 CONSTRUCTION LENDING AGENCY Switches L SO Gas Service Outlets Wat loset 6 @ .75 EA Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section ,3097 Civ. C.) Garbage Disposal Standing Sections Lender's Name Interceptors afar Heater Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION ' I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P—Trap . Laundry Trays 9020 SQ. FT. @ 3C 270.60 any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains 15.00 the Contractor's License Law (Chapter 9(commencing with Section 7000)of vision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee g}[3(}0}[ refrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to a civil • enalty of not more than five hundred dollars ($500). I DEVELOPMENT SERVICES REQUIREMENTS: LI `I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves - - thereon, and who does such work himself/herself or through his or her own . Application Issued By Dat employees, provided that such Improvements are not Intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMAR O ES pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Ref ' eration System PLAN CHECK tractors to construct the project (Section 7044,Business and Professions Code: $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 0-100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- _— tractor(s) license pursuant to the Contractor's License Law). I am aware that (Exhaust System ❑ Multiple❑ System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. _JI ID ELECTRICAL $ ‘7012,./0 GRADING $ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers GICROFILM $ PLAN CHECK 50% $ Date Owner Heating System& Ducting Registers MECHANICAL $ 409.10 I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BT TOTAL FEE $ Information is correct. I agree to comply with all city and county ordinances • PLAN CHECK 25% $ and state laws relating to building construction; and hereby authorize repre- , sentatives of th` y to en - n the above-mentioned property for inspection pu Sr Signature _' _ .a - Date 01-18-89 Drivers' Li 4 9'SS 7? - . / • •: Reinspection Fee $15 Issue Fee $ 3 01 00024916-0!?024916 TOT 'u0.1i7 0865-46,rev. 5/88 white - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 01/24/87 TIME: 11;1.3 .CONSTRUCTION AND PLANNING p POC SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1, Temporary Electrical Service or Pole 52. Pool & Equipment Location i ' 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms f 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 1 57. APPROVAL TO COVE R-GUNITE 7: Footings ` 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. • 60. Backwash Lines, P-Trap, ❑ Undrgrnd. 10. Structural Floor System • 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 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 {'r. Rough Electric Wiring 67. Fencing & Access Approval • 117. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 9. 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 0 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 / 4 80. FOOD CERTIFICATE ISSUED 33. Final Electrics Notes: 34. Final Heating & Air Conditioning ffff 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing - 39. Water Service-Final '. l i 40. Gas Service-Final 41. Solar Domestic-Final :. lr 42. Backflow Preventer %0 a 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 51. CERTIFICATE OF OCCUPANCY - ,• No. Date - I MESA C �/RUCuI PERr4T D IP r "r - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PCITY OF COSTA MESA CONSTRUE ION PER T PER�v IT NO. / TRACT NO. LOT NO. UNIT NO.el A P 5Y I Zone II. Projed'rriddress 2900 COLLEGE ` I E_ 3 916“0 Itpp[(�� BLDG.* D — Pppli ant's Mailing Address 4701 E, HUNTER AVENUE TYPE OF CONSTRUCTION p�NEW U ADD U ALTERATION U REPAIR S Main Building: Accessory Building: ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front O Owner's Name HOEL4665 HER/GUGGENHEIM PQ ERS DESCRIPTION OF WORK/USE OF BLDG. • Address 4665 MAC ARTHUR COURT #275 N.B. 4 :: . ( ,•( t I B Rear N Arch/Eng, License No. TYPE OF PERMITIPpvp GRADING III FOUNDATION STRUCTURAL I C Right Address C TENANT vin ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ • Left R LAZER ELECTRIC, INC, 777-4233 ❑ OTHER Ping. Ref.# Parking Req./Provided E Contractor's Namn PhoneQ Address(mailing) 4701 E. HUNTER AVENUE ANAHEIM 92807 PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: M 032847 CONSTRUCTION TYPE VALUATION$ T City License No. ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: f 3"3lel`^ �,9 _ with section 7000) of Division 3 of the Business and Professions Code,and 1(J l� ct my license is in full f rc d effect. 7�7 LC'? ELECTRICAL FEES • L° 1t1 440682 /r:_3 / s License Class ' Licen / Date�6-13–R9 Signature air,....._„,- w� __ PLUMBING _ FEES Automatic Washer Transformer 0 15.50 KW I - WORKERS'COMPENSATION D-grrTION _ Construction Pole SUb. 050+KW v ',hereby affirm that I have a certi of consent to self-insure or a certificate Ber Sink Showers If Workers' Compensation Insurance, or a certified copy thereof (Section COOking Unit / Meter Lip t0 100 amps / 3800, Lab. C Backflow Preventer Service Sink - a L�WC100291640 CNA INS. Dishwasher Meter !Dover 100 amps SO _ Policy No. Company Backflow Irrigation Sewer Cap p Certified copy is hereby furnished. Dryers OGas ❑Electric / Sub Panel '' . at Cerci{{e�cow I ,❑1led with the city B it,j�py?i Bathtubs Sewer Connection Date Vb–LJ–bY Applicant �A4�'x C'L�CTRIC, INC. EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Fan • Motors 001 HP 01%-8 • (This section need not be completed if the permit is for one hundred ($100) or less). Dishwasher Solar Piping F.A.U. Inc.Solar 09.15 HP 016-15+ I certify.that in the performance of the work for which this permit is Issued I ,en shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank 2 Fixtures Microwave )(a.r50 Workers' Compensation Laws of California. Device Boxes Pole Light Date Signature Floor Drains Swimming Pool w/Spa g NOTICE: If,after making this declaration, you should become subject to the – Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks - Urinal Outlets Range _ comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYGas Service Outlets Water Closet Switches Sign I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097 Cly. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water ServiceGenerator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION � I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash / , "c.c Ci(�` 3. oO following reason (Section 7031.5 BusIness and Professional Code: Any city or • county which requires a permit to construct,alter,improve,demolish or repair P–Trap Laundry Trays any structure, prior to its Issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of 'vision 3 of the Business and Professions Code) or that he/she is exempt erefrom and the basis for the alleged exemption. Any violation of Section 0 Reinspection Fee $15 Issue Fee �.S $a$, ' 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). I DEVELOPMENT SERVICES REQUIREMENTS: .LI I, as owner of the property or my employees with wages as their sole Reinspection Fee ` $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered - Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License.Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own Application Issued By lirM Dat: a .11 employees, provided that such improvements are not intended or offered for Boiler Hood or Type 1 0 ay sale. If, however, the building or Improvement is sold within ono year of corn- - Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT- $ SMIP $ 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: - The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0100,000 BTU ❑100,000 BTU PLUMBING ISSUANCE $ builds or Improves thereon.and who contracts for such oroiects with a con- $ tractor(s) meExhaustRepair/Alteration pursuant to Contractor's License Law). I am aware that System0 Multiple 0 System PLAN CHECK 25% $ T ENERGY P.C. $ proof oftheir Worker's Compensation Insurance should be provided to me. ELECTRICAL $ S3,.SV GRADING $ 0 I-am exempt under Section B. & P.C.for this reason Firepl/Fats.Bit. ICBO'4 Fire Dampers MICROFILM $ Date Owner Heating System& Ducting Registers PLAN CHECK 50% $ I hereby certify that I have read this application and state that the above ❑0100000 BTU 0100,000 BTU - MECHANICAL $ TOTAL FEE $ 53.5-0 Information is correct. I agree to comply with all city and county ordinances _ PLAN CHECK 25% $ and state laws relating.to building construction, and hereby authorize repre- sentatives of this city to enter upon the above-mentioned property for Inspection purposes. 06-13-89 • Signature Date Drivers' License or SS Vt Reinspection Fee $15 Issue Fee $ 3rj __-1 _ _ "Tr' _ -, 0865-46,rev-5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor J *" ` + CONSTRUCTION AND PLANNING - POc .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 c 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding I 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test i 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE . Footings I 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 -• 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 li •17. Rough Wiring Sign 68. APPROVED FOR PLASTERING . 1 • 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL r• 1.9'. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20`. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. •Ducts, Ventilating • 71. Product Piping 0 Gas 0 Oil 23.'Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing • 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL ' 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 7‘e ,Levi 80. FOOD CERTIFICATE ISSUED /33. Final Electric f6 ' Notes: 34. Final Heating & Air Conditioning • I 35. Final Gas Pipe-Test 36. Hood or Canopy • 37- Final Factory Fireplace • 38. Final Plumbing 39. Water Service-Final • 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer • ' ' r 43. Backf low Irrigation 44. Landscape Irrigation System 45. Sound Attenuation - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48.•Special Requirements Completed 49. Rlectric Release to Edison 50. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY • J No. Date _ i /3'o 04.L/f- Applicant to fill In alt spaces except those within heavy border tines and sign all appropriate declarations. 5{,//Cr`•05— PERMIT NO. ACT NO. LOT NO. UNIT NO. CITY 0,A COSTA MESA ONSTRUCTION PERMIT • - p.3_ Z5 '7 _ 2 I „� �� ( A•P.# ��,�— SI — ly/cress 192-0.3 zone 12�- Projedt Address vS /gyp S Main Building: Accessory Building:' Applicant's Mailing Address 275 Bristol, 5 • 215 TYPE OF CONSTRUCTION NEW LJ ADD ALTERATION LJ REPAIR EZ Owner's Name Hoelscher/cuggenhelm Pj�yy9,¢ 851-2116 CI CONVERSION ❑ DEMOLISH ❑ OTHER ' T Front ..2o 0 Address 4665 MacArthur Crt. NPB 920bU DESCRIPTION OF WORK/USE OF BLDG. Apartment with garage B Rear ;2..."S N Arch/Eng. Kermit Dories License No. TYPE OF PERMIT U GRADING ❑ FOUNDATION ® STRUCTURAL K Right �; N Address 1550 Bayside Drive , Corona Del Mar 111 TENANT ❑ ELECTRICAL n MBI ❑ MECHANICAL $ Left 2 S PA 88.31 85U-1551 ❑ . garage4200 s. ^� �r � / R Contractor's Name Lucas Development Col-Shone OTHER I Ping. Ref.# Parking Req./Provided/9 L//I S E Address(mailing) 2755 Bristol, $t2. 275, Costa Mesa PROJECT DESCRIPTION SQ. FT. 10,338 s•t• R-1M-1 OCCUPANCY r Planning Notes: /t) 4 h • f e M Q nn _ CONSTRUCTION TYPE V lhr VALUATION$.62/2r44)74/.12_ T LICENCity ISED CONTRACTO RR DEC LA RATION ZONE GRADING CU.YDS. ACRES T � IIOLD. FOR SPECIAL QU(BFMPITS S. I hereby affirm that I am licensed under provisions Of Charter 9 (commencing Remarks: with section 7000) of Division 3 of the Business and Professions Code, and 1 ELECTRICAL FEES my license is in full force and effect. ..J _ V p r—License�Cll�a,sss ,t,- !Dense No. 257064 -Date T/_47 _ PLUMBING Automatic Washer Transformer 0 15-50 KW ^' - �� Signature ./ FEES ta~ WORKER COMPENSATION Dr • • •TION Construction Pole Sub. 0 50+KW hereby affirm that I have a ce . r of consent to self-insure or a certificate Bar Sink Showers \ ,f�Workers' Compensation .nce, or a Certified copy thereof (Section Cooking Unit Meter ❑up to 100 amps 3800, Lab. C.) ..s it 2254 State Farm Backflow Preventer Service Sink 46-88Dishwasher Meter ❑over 100 amps Policy No. Company - _ Backflow Irrigation Sewer Cap Certified copy is hereby furnis netl. _a• Cer f'ed c s is filed with the city B y, -Vision. Bathtubs Sewer Connection Dryers ❑Gas ❑Electric Sub Panel \ Date TIGM $g Applicant � ' Fan Motors Do-i HP 01 .--13 b G.(a -SATION DECLARATION Clarifiers EXEM TI FROM WORKERS'C• Solar Collectors (This section need not be complete• aper mitis for one hundred ($100)or - F,A.U. Inc.Solar 09-15 HP❑16-15+ less). Dishwasher Solar Piping I certify that in the mann • the work for which this permit is issued, shall not employ anyy person any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Compensation Law of California. Device Boxes Date Signature Floor Drains 'Swimming Pool w/Spa Pole Light NOTICE: If,after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks - Urinal Outlets Range comply with such provisions Or this permit shall be deemed revoked. Switches CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name - Lender's Address Kitchen Sink Water Service - Generator 005 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays : I J any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains rT - The Contractor's License Law(Chapter 9(commencing with Section 7000)of ivision 3 of the Business and Professions Code) or that he/she is exempt ''. Reinspection Fee $15 Issue Fee $ 3 ierefrom and the basis for the alleged exemption. Any violation of Section ' 4031.5 by any applicant for a permit subjects the applicant to a civil -.7 penalty of not more than five hundred dollars($500). I DEVELOPMENT SERVICES REQUIREMENTS: lye $ 3 F Zoning Approved By ❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee y(/A/ Date/7"2-9; compensation, will do the work,and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES' `' Building Approved By Date License Law does not apply to an owner of a property who builds or improvesE. thereon, and who does such work himself/herself or through his or her own 1 Application Issued By J / _s• • Dat employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 i sale. If, however, the building or improvement is sold within one year of corn- Canopy Type II 0 - SUMMARY OF ES p , the owner will have the burden of proving he/she did not build or im- Duct-Under Ground - ^' proverove for the purpose of sale). BUILDING PERMIT $ 2. 3 760-0 SMTP $ 40,T'7 ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System • tractors to construct the project (Section 7044,Business and Professions Code: PLAN CHECK $ "re :s/ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU 0100,800 BTU PLUMBING $ ISSUANCE $ builds or Improves thereon. and who contracts for such protects with a con- tractor(s) license pursuant to me Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ I am exempt under Section B. 8 P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers MICROFILM $ PLAN CHECK 50% $ -��pp• Date owner Heating System& Ducting Registers - 7 MECHANICAL $ r7 vp I hereby certify that I have read this application and state that the above 00-100,000 BTU ❑100,000 BTL TOTAL FEE $ O/nJL/� /• information is correct. I agree to comply with all city and county ordinances • -' PLAN CHECK 25% $ and state laws relating to building construction, and hereby authorize repre- sentatives of this -• enter upon the above-mentioned proper y for inspection purr•• 1/ ' .. • Signature Date /a 3R . 01 00016369-00016371 TOT :SOLE'S • - Reinspection Fee $15 Issue Fee $ 3 AI 10/06%.,8 i IhE: 05:19 Drivers' Lich r SS 4. .. DATE: 0 0865-46A'.5/88 White - Building; Canary - Applicant; Pink -Accountings: Goldenrod - Assessor V \ - - CONSTRUCTION AND PLANNING PO & SPA Date Inspector Date Inspector , APPROVALS Permit # y:. APPROVALS Permit# _! .1. Temporary Electrical Service or Pole- 't•,...i 52., Pool at Equipment Location 2. Soil Pipe-Undrgrnd. 53.' Steel Reinforcement 3: Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. ' • 55. Electrical Bonding I e •5: Steel Reinforcement //lit/ G� 56. Rough Plumbing & Pressure Test . • 6. Electrical UFER Grnd. .71 (' F+� 57. APPROVAL TO COVER-GUNITE 7 " ' 7: Footings 58. Electrical Conduit-Undrgrnd. 8, Foundation SLAG 11Ma`/6.''..., . - 59. Gas Pipe, 0 Undrgrnd.,Test --1 1. 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection . - 62. Backwash & Receptor-Final 1:2,. Sewer Cap 63. Heater & Vent-Final s 13. Roof Drains . 64. Plumbing System - Final ' 14. Rough Plumbing 65. Electrical-Final ,. 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval _ 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ?0: Rough Factory Fireplace APPROVALS Permit# 21..Ducts, in Structure 70. Underground Hydro 122.,Ducts, Ventilating ,t 71. Product Piping 0 Gas 0 Oil 23.' Gas Pipe-Rough & Test ' . 1 '72. Underground Flush ,� . . 24.•Roof Framing 7 to/8�/ 73. Undergrnd.Storage Tank O Gas 0 Oil •`25. Roof Sheathing 1.<" / /7 74. Overhead Hydro 26: T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame,and Flashing -' o-- ti 76. Dry Standpipe 28. Lathing& Siding ,._ 77. FIXED SYSTEM FINAL 29. Insulation •- t/ 78. FIRE PREV. FINAL 30 t Drywall Nailing fi" K • / HEALTH DEPT. REQUIREMENT . 31:-'Plaster Brown Coat �,. .z 4 79. FINAL INSPECTION . 32, Electrical Power Mete?-Final 80. FOOD CERTIFICATE ISSUED Q _/ 33. Final Electric t" Notes:f� 9 f Sd/ 1R!✓�tA /�K 4. /�, 34. Final Heating & Air Conditioning ��!,.p� / l IXi'L��h/A��•L��C-1. RGLN7 Omni Ow-) c�q�(.d O(L 35. Final Gas Pipe-Test - k�GI.VLlA•t� OK. 11140 r 36. Hood or Canopy • 37. Final Factory` Fireplace ' HOLD FOR SPECIAL REQUIREMENTS 38. Final Plumbing 'I. _ 39. Water Service-Final - , (-,p '40. Gas Service-Final 11 41. Solar Domestic=Final "'-' Li - 42. Backflow Preventer •.. .4 . . r - 43. Backflow Irrigation). ' - It/; r %: 44. Landscape Irrigation System 1,-, ;, :� 45. Sound Attenuation i..1.- I , '46. Handicap Regulations / '•, •47. FINAL STRUCTURE & BUILDING iverf 9/740.,=, 48. Special Requirements Completed 7,25/ 49. Electric Ref se.tOEdison I ---.• •t 50. Gas Release to Southern California Gas Co i " �'. 51. CERTIFICATE OF OCCUPANCY . . i No. Date • R M `. / T H E KEITH COMPANIES /Zrnrrmg.Cud 16rcinrrring•Enri rnvxrn)al A rune•Ar.Irileuurr•Ln urhnpr.irrlrii, pnr•Lend can eprng • July 18, 1989 87-0125 Engineering Department City of Costa Mesa 77 Fair Drive Costa Mesa, CA. 92628 ATTN: Brian Naught /2 a0, Val iffE 42411r RE: PA 88-31 - 2900 College 7lvenuo, Costa Mesa, California Dear Mr. Haught: As the civil engineer, I certify that the precise grading has been completed in substantial conformance with the approved precise grading plan for the above referenced project. Sincerely, Ek:// Robert Schneider RCE 42912 No.42912 s )1 `cif Exp.331.92 * A CIVIL • lF • OF CAtw°� • • R870125-9826-L•RS 17961 Cowan.hrinv.California 9.2714 (7141 X63.9390 .TY OF COSTA MESE. CALIFORNIA 92628.1200 P.O.BOX 1200 Insulation Certificate 1380 Village Way Costa Mesa CA Number and Street City Orange E County Subdivision Lot Number Description of Installation ROOF Material Composition Brand Name Prestique Plus Thickness(inches) CI DSSA Thermal Resistance(R-Value) EXTERIOR WALL Material Stucco Brand Name Portland Cement Thickness(inches) ' 7/8" 'Thermal Resistance(R-Value) R-11 Batt 3-1/2" Manville CEILING Batt or Blanket Type Batt Brand Name Manville Thickness(inches) 6-3/4" Thermal Resistance(R-Value) R-19 Loose Fill Type Brand Name Contractor's minimum installed weight/ft2 lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance(R-Value) RAISED FLOOR Material N/A Brand Name Thickness(inches) Thermal Resistance(R-Value) SLAB FLOOR Material Concrete Brand Name Portland Thickness(inches) 4" w/6x6x10x10 Thermal Resistance(R-Value) Width(inches) varies FOUNDATION WALL Material Concrete Brand Name Portland Thickness(inches) 8"-12" Thermal Resistance(R-Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. u C/A-S ,{7J(��c/�nJc=—r/ 619 f c'"r Cx � 6— / zS7D S Y -�%V nal tree = �. . � L' aNum Signature and Title ' ` Date Sub-Contractor(Insulation Installer) License Number Signature and Title Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO. TRACT NO. LOT NO. UNI CITY t OF COSTA-,) Cp�$�/�iUCT�N IT r 3 6 i 2� � A.P.# I Zone Project Address (�33 v !/!XCI�j' C, - r S Main Building: Accessory Building: Applicant's Mailing��AlQpidiffeeJ55� 17,7(4 2 0 V �j .1_,F TYPE OF CONSTRUCTION U NE(Yyy.-�D ADD U ALTERATION Li REPAIR E Z Owner's Name `•s.' •!/`-' V� ET - •ne Q �1 If❑ CONVERSION ❑ DEMOLISH 2i-GSLIER T Front O l�6 n uS t - DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address t-/f' 1 C Arch/Eng. L N^ /f License No. .I•�3 6:2--'34. TYPE OF PERMIT ❑ GRADING A FOUNDATION LI STRUCTURALC Right N Address 1 76 / -Ow , I/ r CI TENANT IE ELECTRICAL P.� •LUMBING ❑ MECHANICAL g• Left G 4L. O' f/ ❑ OTHER Ping. Ref.# ParkingR Contractor's Name �1'f �� -- Phone �S Req./Provided E Address(mailing) ,2-9 S S /7/G GS V r'2� PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: M �� CONSTRUCTION TYPE VALUATION $ _ T City License No. . ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION I I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: with section 7000) of Division 3 of the Business and Pro essions Code an• my license is in fu orce a•d effee 9/tb ' ELECTRICAL FEES License ass L _-" a0. Li - se No ' /V �9 ' PLUMBING Automatic Washer Transformer 0 15-50 KW Date iM ,.19natur. �� A 1 FEES WORKERS' OMPENSATION D LARATION ` Construction Pole Sub. ❑ 50+KW I hereby affirm that I have a certificate of consent to self-Insure o R-rtificate Bar Sink Showers -f Workers' Compensation Insure, or a certified copy thereof (S tion Cooking Unit Meter ❑up to 100 amps 300, Lab. cis _ !� (` �' // Backflow Preventer Service Sink •'olicy No. U �� •mpany/ rYlt'gY U�2 Backflow Irrigation Sewer Cap Dishwasher r,; Meter p Certified copy i ereby furnis -d. (� Clover 100 amps IJ L Certjf�ed Epp I filed with th>city '7 Heap• Di4 bn. ' Bathtubs Sewer Connection - Dryers ❑Gas iDElectric Sub Panel a 1 ! Appli int a-�_� ///JJJ In I Fan EXEMPTION FROM WORKERS' •MPENSATION DECLAR• 'r•� Clarifiers Solar Collectors Motors❑0.1 HP ❑1'f.-8 (This section need not be completed if the permit is for one huntlre• 00) or F.A.U. Inc.Solar 09-15 HP ❑16-15+ less). Dishwasher Solar Piping I certify that in the performance of the work for which this permit is Issued I shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fixtures Microwave Workers' Compensation Laws of California. Device Boxes Pole Light Date Signature Floor Drains Swimming Pool w/Spa 9 NOTICE: If,after making this declaration, you should become subject to the Outlets Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Range comply with such provisions or this permit shall be deemed revoked. Switches CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Sign I hereby affirm that there is a construction lending agency for the performance Of the work for which this permit is issued (Section 3097 Civ. C.) Int¢rgeptOf$ Water Heater Garbage Disposal Standing Sections Lender's Name ._ - ' Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit �f��.. /�/ \ to file a signed statement that he/she is licensed pursuant to the provisions of Roof DrainsI ) C tAltS Cr" r 1 the Contractor's License Law (Chapter 9 (commencing with Section 7000)of - Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 -erefrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to a civil natty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: li I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved Byyam.( tai Date (�� p!� License Law does not apply to an owner of a property who builds or improves -- F.4.- -- thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type•I 0 Application Issued By Date l fl employees, provided that such improvements are not intended or offered foryP sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ o I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: ,�j ` The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU PLUMBING $ 3 •`�. ISSUANCE $ builds or improves thereon. and who contracts for such projects with a con- ENERGY P.C. $ tractor(s) license pursuant to mContractor's Contractos License Law). I am aware that Exhaust System 0 Multiple❑ II System Reir/Alteration I — PLAN CHECK 25% $ proof of their Worker's Compensation Insurance should be provided to me. Ir ELECTRICAL $ GRADING $ 0 I am exempt under Section B. & P.C.for this reason Firepl/Fact.Bit. ICBO# Fire Dampers PLAN CHECK 50% $ MICROFILM $ Date Owner Heating System& Ducting Registers MECHANICAL $ (y'vJ I hereby c- i • that I have re.. this .•plicatio• and state that the above ❑0100,000 BTU 0100,000 BTL TOTAL FEE $ b informatio is c -y-ct. I agree t. comp) with all city and county ordinances PLAN CHECK 25% $ and state aws 1. ing build, g con ruction,..nd hereby authorize re r sentative' of t F71 cit F. -q' 4 th'•: e-mentionedproperty inspectio purp•, s / Signatur s a.s - /1a�t�_ a.te Drivers' L': se or S5 9f � `Reinspection Fee $15 Issue Fee $ 3 01 00019147-00019147 TOT LOU„ 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor GATE: 1109/08 7.0E: 15:12 CONSTRUCTION AND PLANNING POOI PA 'APPROVALS Permit# Date', Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location -- - 2. Soil Pipe=Uddrgrnd. '� 53. Steel Reinforcement '3.:Electrical'Conduit Utility-Undrgrnd: J• % 54. Forms 4'Electrical Conduit-Untlrgrnd. 55. Electrical Bonding ... '� 5. Steel Reinforcement 'J 56. Rough Plumbing & Pressure Test - 6" Electrical�UFER,Gynd. '* �- 57. APPROVAL TO COVER-GUNITE i71Footings /1 %. ' 58. Electrical Conduit-Undrgrnd. - - rr•r', 8:l Fdundation it Al i %� 59. Gas Pipe, 0 Undrgrnd.,Test 9. Watyilipe-Undrgrnd. -'� L1;; `;� 60. Backwash Lines, P-Trap, O Undrgrnd. -107 Structural Floor System ' . I ^ 61. APPROVAL TO DECK --;. , r 11: Prgperty.Sewer Line & House`Cdn4iction ; r •('ZYd'Aistrc (..-0) 62. Backwash & Receptor-Final 1,2'Sewer Cap- ; ,1 n 63. Heater & Vent-Final 13. Roof'Drains 7/ ^ 1 ;:rte / "� 64: Plumbing System - Final 14. Rough Plumbing :- ( "! 65. Electrical-Final ,� 15. Rough Electrical-Conduit .1. 66. Solar System-Final 16. Rough Electric Wiring r 67. Fencing & Access Approval i'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 10. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ID Gas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. RobfFraming 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roaf Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical' 27. Frame and Flashing 76. Dry Standpipe r 28. Lathing & Siding 77. FIXED SYSTEM FINAL i 29. Insulation 78. FIRE PREV;:FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 01. Plaster Brown Coat 79. FINAL INSPECTION • Ih //32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34- Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation.System 45. Sound Attenuation 46. Handicap Regulations •ry- 47. FINAL STRUCTURE & BUILDING 48. Special Renuirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ibt W , V!4.44 -- Vv rn/ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. Y OF,COSTA MESA _CO NSTRUCTIO PERMIT PER O. (/n TRACT NO. LOT NO. UN/T1.._ Project Address nIRQ.g'T 'ev'�' i .35( 3� �� v Applicant's Mailing Address 9371 Folkstone, Hunt. Beach TYPE OF CONSTRUCTION LJ NEW U ADD U ALTERATION U REPAIR f Owner's Name HOal ar^hPr G erJhaim Phone 851-2116 ❑ CONVERSION ❑ DEMOLISH CI OTHER A.P.# Zone DESCRIPTION OF WORK/USE OF BLDG. Address 4665 Mncarthnr Conrt, Newrxlrt Reach S Main Building: Accessory Building: Dorms Architects E Z Arch/Eng. _License No, TYPE OF PERMIT U GRADING U FOUNDATION U STRUCTURAL T Front G Address 1.550 Bayside Dr. , Corona del /Aar CI❑ TENANT ❑ ELECTRICAL N PLUMBING El MECHANICAL OTHER B Rearr N Contractor's flame Coastline Plumbing Phone 963-3800 Address(mailing) C Right N 9371 Folkstone, Hunt. Beach PROJECT DESCRIPTION SQ. FT. OCCUPANCY K G City License No, 023390 CONSTRUCTION TYPE VALUATION$ $ Left R ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E n may, 0 I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarksi.K._3SG e Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code,and ��-/// r../ 7 T my license is in full force and effect. • License Cla s C-36 re-n•- t e a r . : • S t'o Date 11 se Signature / PLUMBING FEES Up WORKERS' COMPENSATION DECLA• ON l/ Bar Sink q Showers I hereby affirm that I have a certificate ••onsent to self-insure or a certificate 7 1-2 ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.) Backflow Preventer . Service Sink • Automatic Washer Transformer 0 15-50 KW Policy No. 583678-87 Company State Cr np Backflow Irrigation . Sewer Cap0 50+ KW ❑ Certified copy Construction Pole Sub. - ® is hereby furnished. Division. / Ceript cggy,is filed with the city Bitpcli1 Stlne Plumbing /4 Bathtubs J Sewer Connection ,5ry J'd Cooking Unit Meter pup to 100 amps Date I u c OD Applicant L- EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100)or less). Dishwasher Solar Piping Dryers ❑Gas DElectric Sub Panel I certify that in the performance of the work for which this permit is issued, I - shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors❑0-1 HP 011,-8 Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa — F.A.U. Inc.Solar 09-15 HP 016-15+ NOTICE: If,after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks comply with such provisions or this permit shall be deemed revoked. V Urinal Fixtures Microwave CONSTRUCTION LENDING AGENCY /4 Gas Service 4/Outletsj,, 1/l Water Closet _5-4 t Device Boxes I hereby affirm that there is a construction lending agency for the performance SCA/ ♦• Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors JO Water Heater an Outlets - Ran e Lender's Name .. 9 Lender's Address JQ Kitchen Sink Water Service 7 D /� OWNER BUILDER DECLARATION ^ Switches Sign I hereby affirm that I am exempt from the Contractor's License Law for the a!/ Lavatories /6 Auto-Wash 4// 40 following reason (Section 7031,5 Business and Professional Code:'Any city or Garbage Disposal Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for Generator0-5 KW P. KW such permit ❑ Trash Compactor to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains - - the Contractor's License Law (Chapter 9 (commencing with Section 7000)of , Division 3 of the Business and Professions Code) or that he/she is exempt • 'terefrom and the basis for the alleged exemption. Any violation of Section )31,5 by any applicant for a permit subjects the applicant to a civil — enalty of not more than five hundred dollars($500). • O I, as owner of the property or my employees with wages as their sole Reinspection Fee 1 $15 Issue Fee $ 3 compensation, will do the work,and the structure Is not intended or offered - - Reinspection Fee $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner Of a Property who builds or improves thereon, and who does such work himself/Herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date prove for the purpose of sale). ❑ I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Applicatiori.lssued By (g). Date /0/7 /ed tractorsto construct the project (Section 7(144,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU builds or Improves thereon, and who contracts for such projects with a con- SUMMARY OF FEES tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ proof p their Worker's Compensation insurance should be provided to me, _ ❑ 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ Date Owner Heating System & Ducting Registers PLAN CHECK 25% $ S ENERGY P.C. $ I hereby certify that I have read this application and state that the above 0o-100,000 BTU ❑100,000BTL— information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ and state laws r- Ing to buildin construction,and hereby authorize repre- MICROFILM $ sentatives o Is cit te. epter, o the above-mentioned property for PLAN CHECK 50% $ ingnature• . rposes. �� 10/5/88 MECHANICAL $ TOTAL FEE $ as9'ar Signature �/ Date Drivers' Li -nse or• Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK - 25% $ CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor Ot 00016601-00016602 TOT 257.25 CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit# Date Inspector APPROVALS Permit#_ Date Inspector 1 ,Temporary Electrical-Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical,UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings - '� 58. Electrical Conduit-Undrgrnd. 8. Foundation' 59. Gas Pipe, O Undrgrnd.,Test • 9. Water Pipe-Undrgrnd. /0i/v ' £40 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK • 11. Property Sewer Line & House Connection /2.14r at 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing Stitt ea* 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-I Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. 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: 'J 74"( Q01454. 01C„ goaVECT To '' ' 34. Final Heating & Air Conditioning S ae.Wlvt Tv Fts'r. 35. Final Gas Pipe-Test '/ n 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 741c 7 39. Water Service-Final �7 40. Gas Service-Final • 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed • 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. - CJTY OF COSTA MESA CONSTRUCTION PERMIT N' A.P.# 141-351-19 141-192-03 - I Zone R-4 - 1380 VILLAGE WAY "Err Project Address S PMIT NO. TRACT NO. LOT NO. UNIT NO.fIk 3755-47 GRIFFITH SUBDIVISION E Main Building: Accessory Building: - , Applicant's Mailing Address 2755 BRISTOL ST., #275 TYPE OF CONSTRUCTION IgCsIEW LJ ADD U ALTERATION LI REPAIR E — ir Owner's Name HOFTSCHER/GUGGENHEIM PPygENLE2S ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front 4665 MACARTPHUR or. NB DESCRI'TION eF WORK/USE O. ' DG. i B Rear Address I�RI7IT DORIUS am / G . -�L�'�iI Osgi C RightArch/Eng. _ License No. TYPE OF PERMI t ADING FOVNaATION STRUCTURAL KAddress 1550 BAYSIDER, CORNOA DEL MAR ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ® MECHANICAL ' S Left LUCAS DEVELOPMENT CORP 850-1551 ❑ OTHER Contractor's Name phone Ping. Ref.# Parking Req./Provided 2755 BRISTOL #275, CM PROJECT DESCRIPTION SQ. FT....y, OCCUPANCY /Q I Address(meiling) 030749 CONSTRUCTION TYPE �-/rsU VALUATION$ Planning Notes: T OCity License No. - _ _ - ---- ZONE GRADING CU.YDS. ACRES V \ LICENSED CONTRACTOR DECLARATION O ryp S I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: /� - 3 ss')[ 7 with section 7000 of Division 3 of the Business and Prole sions Code,a-d 5 V ` 1 my license is in f 'force a-d effect. / a - ELECTRICAL FEES \ Licen - Clas _� tse • J __ Date —' — a Signet .�I�w)A� '� PLUMBING FEES Automatic Washer Transformer 0 15-50 KW �� - at ❑ 50+KW yWORKERS'COMPS SATION CAROTI• Bar Sink Showers Construction Pole Sub. I hereby affirm that I have a certificate of consent to self-Insure or a ce icate 4 Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter Dup to 100 amps 00, Lab. , rolicy No. —88 UNIT 2 y,4pany S IAT: F'j Backflow Irrigation'-' Sewer Cap t Dishwasher'. Meter Dover 100 amps ❑ Certified copy is hereby furni• ed, eI .��r 1-1-89 — $ /— Dryers ❑Gas ❑Electric Sub Panel }�J Cerrr fled Fppy/51�1ed with t e cit ' ' :.g A,p i.•. / Bathtubs Sewer Connection Date -5 rb 1 ( App can -as_ Fan • EXEMPTION FROM WORKER OMPENSATIO 41r•AT •N Clarifiers ,j. Solar Collectors MO70r$ 0-1 HP ❑1'h-B (This section need not be completed if the permit is for one h dre- ($100)or less). Dishwasher Solar Pi ' F.A.U. no.Solar 9-15 HP 016-15+ I certify that in the performance of the work for which this permit is issued I - shall not employ any person in any manner so as to become subject to the Drinking Fountain .-1. r Tank Fixtures Microwave Workers' Compensation Laws of California. Date _Signature Floor Drains - Swimming Pool w/Spa • Device Boxes Pole Light NOTICE: If,after making this declaration, you should become subject to the Workers' Compensation provisionsof the Labor Code, yOu must_forthwith oFloor Sinks Urinal , Outlets Rangee comply with such provisions or this permit shall be deemed revoked. Switches' CONSTRUCTION LENDING AGENCYio Gas Service Outlets Water Closet Sign I hereby wormk that there is a construction rmit ue agencyc for performance C.) Garbage Disposal of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater 8 p Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION -• I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays any structure, prior to Its issuance, also requires the applicant for such permit - to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9 (commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 •refrom and the basis for the alleged exemption. Any violation of Section 1.5 by any applicant for a permit subjects the applicant to a civil ,arty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: Li I, as owner of the property or my employees with wages as their sole I Reinspection Fee $15 Issue Fee $ 3 I Zoning Approved By Date compensation, will do the work,and the structure Is not Intended or offered AA- for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By __ C/7I Data / License Law does not apply to an owner of a property who builds or Improves thereon, and who does such work himself/herself or through his or her own Application Issued By /��/i/ i� Dat employees,however, ed that such improvements are not Intended or offered for Boiler Hood or Type I 0 silli sale. If, hever, the building or improvement Is sold within one year of com- Canopy Type II 0 SUMMARY 0 FE p , the owner will have the burden of proving he/she did not build or im- Duct- Under Ground proverove for the purpose of sale). BUILDING PERMIT $ SMIP $ 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ • PERMIT tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon-and who contracts for such oroiects with a con- , tractor(s) license pursuant to me Contractor's License Law). I am aware thatExhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ 0 1 am exempt under Section B.& P.C.for this reason 13 Firepl/Fact.Blt. ICBG# 230]. Fire Dampers 70 00 PLAN CHECK 50% $ MICROFILM $ Date owner Heating System& Ducting Registers a , BU I hereby certify that I hay. read t Is app ❑4100000 BTU ❑100,000 BTL • Op , MECHANICAL $� TOTAL FEE $ 71w 'cation and state that the above PLAN CHECK 25% informat'•- is correc . I 9,,. t. ply h all city and county ordinances $ and sta - la rela y'• G1' i • ' .nstr • ion, and hereby authorize repre- sentati as o ji his i y ate On e above-mentioned propyrty,,t ingn t ion pff i. f F a� D.tJ /66�fl (.] Drivert re — Reinspection Fee $15 Issue Fee $ '9� OV 01 000?8f70-Op01g47Q TOT 1'JS 0 0 Driver ' cense or SS ! ‘ _ DATEI 6:!25/339 TInE: 11:44 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNING POO! 'PA 'APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. , 53. Steel Reinforcement ;i 3. Electrical Conduit Utifity-Undrgrnd. - 54. Forms 4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding '-- 5. Steel Reinforcement _ 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. / 57. APPROVAL TO COVER-GUNITE - I ~ • 7. Footings /, #.1 58.58. Electrical Conduit-Undrgrnd. 8. Foundation - 't 59. Gas Pipe, O Undrgrnd., Test - 'f 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 j 62. Backwash & Receptor-Final 12. Sewer Cap • 63. Heater & Vent-Final 13. Roof Drains j 64. Plumbing System - Final , w .14- Rough Plumbing 0 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 120. Rough Factory Fireplace ii/24/2 GE,0 APPROVALS Permit# X21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating )' 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe=Rough& Test !• 72. Underground Flush 24. Roof Framing 73. Undergrnd-StorageTank OGas ❑Oil r 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 Biown Coat- X79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric - Notes: ' 34. Final Heating & Air Conditioning d/1 `,* ' 35. Final Gas Pipe-Test '��L[ 36. Hood or Canopy 37. Final Factory Fireplace 7//P/ �/f�C 38. Final Plumbing t '/ ` 39. Water Service-Final S 40. Gas Service-Final • 41. Solar Domestic-Final 42. Backflow Preventer / 43. Backflow Irrigation 44. Landscape Irrigation System ••' or- 45. Sound Attenuation :y ) 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 1 • 51. CERTIFICATE OF OCCUPANCY + • No. Date 380 "E''Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. ` , CITY OF COSTA MESA CONSTRUCTION PERM PERMITNO. TRACT NO. LOT NO. ,,,UUNIIT��JNO. A.P.e Zone \ Projea Address at6Es—Ea bCie6C '�-->� M "'Co•� J Yj/ . t - t � LI ALTERATION EPA E Z u S Main Building: . Accessory Building: • Applicant's Mailing Address TYPE OF CONSTRUCTION NEW LJ ADD I'Vel'Ote"ewer. Phone eSD-15l� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER . T Front Owner's Name LAKits D' Q Addressr DESCRIPTION OF WORK/USE OF BLDG. Rear Z'1 SrSS N12a57oL- Si Z7r MC-111- A Arch/Eng. License No. TYPE OF PERMIT U GRADING ❑ FOUNDATION/A STRUCTURAL C Right G Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBINGMECHANICAL ' s• Left ❑ RR Contractor's Name S" � l 'a9 H�P7/./� PhoneTOTHER Ping. Ref.4 Parking Req./Provided E Address(mailing) 1(o' Is CArvss+'sqt•-k-- 4- St 002G,%k%' 71-7 2.0 PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: M 0� cP 1 CONSTRUCTION TYPE VALUATION$ T City License No. ! ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION O�J I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Aro E-.S rl /Il(T .' IS.-, ,S S/'9 with section 7000) of Division 3 of the Business and Professions Code,and my license is In full force and effect. ELECTRICAL FEES License Class G--Z,7 p444/87N9 Date iZx•-/--40 Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATION Bar Sink Showers Construction Pole Sub. 0 50+ KW I hereby affirm that I have a certificate of consent to self-insure or a certificate , ' Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter ❑up to 100 amps 100, Lab.,S Backflow Preventer Service Sink Folic No.W`CPat z7`' Company 50fi SAA AIAT:0^/hl+ Backf low IrrigationDishwasher Meter Dover 100 amps ertified copy is hereby furnished. . . Sewer Cap , IIIIII]]]�NCCC Certified co ytfiled with the city t1[ ing st,-. Bathtubs • Sewer Connection '. Dryers ❑Gas ❑Electric Sub Panel Dale/?^'/�� Applicant II Fan EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers - Solar Collectors Motors 00.1 HP Dm-8 • (This section need not be completed if the permit Is for one hundred($100)or 'Inc.Solar 09-15 HP 016-15+ less). Dishwasher Solar Piping • I certify that In the performance of the work for which this permit Is Issued I Fixtures shall not employ any person In any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Compensation Laws of California, Date Signature Floor Drains`" Swimming Pool vv/Spa ' - Device Boxes Pole Light M NOTICE: If,after making this declaration,you should become subject to the w Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range comply with such provisions or this permit shall be deemed revoked. - CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00.5 KW 05-15 KW Trash Compactor -,. OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of , division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 •refrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to a civil - natty of not more than five hundred dollars($500). I DEVELOPMENT SERVICES REQUIREMENTS: ❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offeredZoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEESBuilding Approved By Date License Law does not apply to an owner of a property who builds or improves /�� thereon, and who does such work himself/herself or through his or her Own Boiler Hood or TypeApplication Issued By Det� r� ��LT['1 employees, provided that such improvements are not intended or offered foryP I 0 sale- If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 pletion, the owner will have the burden of proving he/she did not build or lm- Duct-Under Ground SUMMARY OF FEES lOove for the purpose of sale). BUILDING PERMIT $ SMIP - $ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refr eration System tractors to construct the project (Section 7044,Business and Professions Code: ,,� PLAN CHECK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating iQ E 100,000 BTU ❑100,000 BTU 90 PLUMBING $ builds or improves thereon. and who contracts for such oroiects with a con- ISSUANCE $ tractor(s) license pursuant to the contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation Insurance should be provided to me. ❑ I em exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBO# Fire Dampers $ ELECTRICAL $ GRADINGGLM $ - PLAN CHECK 50% $ Date Owner Heating System& Ducting Registerse ..-" MECHANICAL $ VI O— I hereby certify that I have read this application and state that the above ❑0-100,000BTU❑100,000 BTU - TOTAL FEE $ nb Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to buil ng construction,and hereby authorize lepra- - inspe sentatives of this c to e er upon the above-mentioned property for 10 Al�'{q z,�j � / e• Inspection purposesSiM f�.J Drivers' Date/2—f '�JB Reinspection Fee $15 Issue Fee $15-- 01 00020974-00020474 TOT 170.00 Drivers' License or SS# _ 0865-46,rev.5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 12/02/S2 TIME: 09:36 .. CONSTRUCTION AND PLANNING POO' :PA APPROVALS Permit # Date : Inspector APPROVALS Permit# Date Inspector ,1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3.tElectrical Conduit Utility-Undrgrnd. 54. Forms • 4:Electrical Conduit-Und?grnd. • 55. Electrical Bonding • 5.,Steel Reinforcement: 56. Rough Plumbing& Pressure Test 6:,Electiical UFER Grnd.; 57. APPROVAL TO COVER-GUNITE 7.•Footingsr • -, • ; 58. Electrical Conduit-Undrgrnd. •. 8; Foundation ' ' ' • 59. Gas Pipe, 0 Undrgrnd.,Test • 9. Water-Pipe-Undrgrnd. • ? I • 60. Backwash Lines, P-Trap, ❑ Undrgrnd. - • 10.-)Structural Floor System ' ' - 61. APPROVAL TO DECK '112Property-Sewer Line•& House Connection 62. Backwash & Receptor-Final • 12:1Sewe"r Cap .. 63. Heater & Vent-Final 1 .IRoof Drains - 64. Plumbing System - Final r • 14. Rough Plumbing- ' 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18: Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning / / �/ 1 FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace , %�� APPROVALS Permit# 21. Ducts, in Structure I 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23./Gas Pipe-Rough & Test _ 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank CI 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 71 '/ c. /✓ 35. Final Gas Pipe-Test • 77� 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. !Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. tElectric Release to Edison • 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY • No, Date /3 n Y 1 i � Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF CQSTA MESA CONSTRUCTION PERMIT 6 PERMIT NO. TRACT NO. LOT NO. UNIT NO. A P # Zone 2900 COLLEGE 37 2S 1- R rr. Proje!f Address _ L. 4701 E. HUNTER AVENUETYPE OF CONSTRUCTION Li NEW U ADD LI ALTERATION L REPAIR S Main Building: Accessory Building: Ap�licanl's Mailing Address E 2 • ❑ CONVERSION ❑ DEMOLISH ❑ OTH T Front 0 Owner's Name HOELSCHER/GUGGENHEIM PERS DESCRIPTION OF WORK/USE OF BLDG. ITS. W/ALIACHEll GARAGES 1 BA Rear N Address 4665 MAC ARTHUR COURT, #275 N.B. Arch/Eng. License No. TYPE OF PERMIT��pp H GRADING ❑ FOUNDATION ❑ STRUCTURAL C Right G Address ❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S Left 0 OTHER R Contractor's Namr• LAZER ELECTRIC, INC. Phone 777-4733 9884 Ping. Ref.# Parking Req./Provided E PROJECT DESCRIPTION SQ. FT. OCCUPANCY R./1�lannin N Q Address(mailing) 4701 E. HUNTER AVE. . ANAHEIM 92807 V g Notes: M City License No. 032847 CON ST RUCTION TYPE - VALUATION$ T ZONE GRADI NG CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: BLDG. TYPE I (10 UNITS) with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. BLDG. PERMIT # B35589 ELECTRICAL FEES License Class Ea•c o. 440687 Date O1-18-89 Signature / PLUMBING FEES Automatic Washer Transformer 0 15.50 KW 4DOn$WORKERS'COMPENSATION DE ATION trUCtldn Pole Sub. • 0 50+KW I hereby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink Showers f Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps 100, Lab. Dishwasher Meter Dover 100 amps _ojity No. C100291640 company CNA IN$. _ Backflow Irrigation Sewer Cap _ Da Certified copy is hereby furnished. —�— Dryers ❑Gas ❑Electric 10 Sub Panel cytrtiflRRyy copy is filed with the city o s Bathtubs Sewer Connection@ •$11.00 EA 110 00 Date ed copy—8Y Applicant �ig � {i.oct IC, INC. Fan ri EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors ' Motors 00-1 HP 0115.8 (This section need not be completed if the permit is for one hundred($100) or - _ - - - F.A.U. less). Dishwasher Solar Piping Inc.Solar ❑9-15 HP 016-15+ I certify that in the performance of the work for which this permit Is Issued, I shall not employ any person In any manner so as to become subject to the Drinking Fountains Solar Tank 6 Fixtures @ .75 EA Microwave 4 50 Workers' Compensation Laws of California. Device Boxes Pole Light Date Signature Floor Drains Swimming Pool w/Spa9 NOTICE:11,after making this declaration,you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks rival 6 Outlets @ .75 EA Range 4.50 comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Switches 4,50 Gas Service Outlets Water Closet 6 @ .75 EA Sign I hereby affirm that there is a erion ssue (Sec for the 97rfCiv. me of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's NameLender's Address Kitchen Sink Water Service Generator 00.5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash 9884 SQ.FT. @ 3C following reason (Section 7031.5 Business and Professional Code: Any city or 296.;2 county which requires a permit to construct,alter,Improve,demolish or repair P—Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License taw(Chapter 9 (commencing with Section 7000) of y15, 00 )yp{)t� Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee , $15 Issue Fee $ XX refrom and the basis for the alleged exemption. Any violation of Section x,"1.5 by any applicant for a permit subjects the applicant to a civil ^alty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: L'1 I, as owner of the property or my employees with wages as their sole Reinspection Fee 1 $15 Issue Fee $ 3 compensation, will do the work,and the structure is not Intended or offered Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By. ' VA .11/ Date License Law does not apply to an owner of a property who builds or Improves _ %%/ thereon, and who does such work himself/herself or through his or her own Application Issued By •A �intrfft.t..•..,... Dar AW r employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I ❑ __ sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II ❑ SUMMA-V OF FES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ _ ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refriger tion System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00,000 BTU ❑100,000 BTU ISSUANCE $ builds or improves thereon.and who contracts for such oroietts with a con- _ PLUMBING $ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System terat Repair/Alteration I PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. 1 ELECTRICAL $ ��d.Z GRADING $ 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers MICROFILM $ PLAN CHECK 50% $ Date Owner Heating System& Ducting Registers MECHANICAL $ 435.02 I hereby certify that I have read this application and state that the above DO-100,000 BTU 0100,00067E TOTAL FEE $ _ Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction, and hereby authorize repre- sentatives of this city to ent- .-on the above-mentioned ppr(oper y W Inspection Pur,•.•r. U1-16- 7 Signature `- _ '' .•1� sate Drivers' Lic 5 7F Reinspection Fee $15 Issue Fee $ 3 01 00024917-00024917 TOT 435.02 DATE: 01/24/89 TIME: /1:19 0865-46,rev. 5/88 White - Building; Canary - Applicant: Pink -Accounting; Goldenrod - Assessor 1 • • .? • CONSTRUCTION AND PLANNING POOL PA :APPhkOVALS Permit# Date Inspector APPROVALS Permit# Date Inspector d. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. '. 57. APPROVAL TO COVER-GUNITE 7. Footings ., 58. Electrical Conduit-Undrgrnd. 8. Foundation /' 59. Gas Pipe, 0 Undrgrnd.,Test 9.. Water Pipe-Undrgrnd. -" 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System ' ' 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 1.6. 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# -21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71:' Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough &Test 72. Underground Flush 24. Roof Framing , 73. Undergrnd.Storage Tank 0 Gas 0 Oil , 25. Roof Sheathing 74. Overhead Hydro ' 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. bathing & 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 04 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 y� 40. Gas Service-Final ', 41. Solar Domestic-Final • ?f 42. Backflow Preventer i ) 43. Backflow Irrigation • 44. Landscape Irrigation System ' 45. Sound Attenuation ' ;}2 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 /390 y .C, / ) ''sW" Applicant to fill in all spaces except those within heavy bordAoes and sign all appropriate declarations. CITYOF COSTA MESA CONSTR TION PERIT PERMIT NOL TRACT TRACT NO. �- LOT NO. UNIT- BLDG. 2 lj-- A.P.# Zone , • P�dject Address 2900 COLLECE E ee<<JJfrypIl S Main Building: Accessory Building: • ' Applicant's /e�. Mailing Address 4701 E. HUNTER AVENUE TYPE OF CONSTRUCTION NEW LI ADO LI ALTERATION 'U REPAIR E - - - Z ❑ CONVERSION ❑ DEMOLISH ❑ OTHERT Front 0 Owner's Name HOELSCHER/GUGGENHEIM PACERS DESCRIPTION OF ywrs� [[SS1�$$ oof BLDG. _ _ i B Rear N Address 4665 MAC ARTHUR COURT #275 N.B. A4REA LIG'HTNG/ ARPORT LIGHTING - 1A • I C Right N Arch/Eng. License No. TYPE OF PERMITvv, LI GRADING LI FOUNDATION ❑ STRUCTURAL Address ❑ TENANT "CJ ELECTRICAL ❑ PLUMBING ElMECHANICAL S- Left R Contractor's Name LAZER ELECTRIC, INC, _ Phone 777-4233 ❑ OTHER ,Ping. Ref.# Parking Req./Provided E 4701 E. HUNTER AVENUE ANAHEIM 92807 PROJECT DESCRIPTION SQ. FT. OCCUPANCY PlanningNotes: O Address(mailing) CONSTRUCTION TYPE VALUATION$ M City License No. 032847 ZONE GRADING CU.YDS. ACRES • S. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: R -77 Cc 1 c with section 7000) of Division 3 of the Business and Professions Code,andt 1 ELECTRICAL FEES my license is in full or ntl effect. ` L-f¢Oa 440682 E-3 7ZS `f V License Class ce o. d Date 06-13—R9 Signature • PLUMBIN I FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION D ATIONConstruction Pole Sub. • 0 50+ KW I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit / Meter p to 100 amps . ,/g• CO b. 3800, Lab. P*C100291640 CNA INS. Dishwasher Meter Clover 100 amps • Policy No. -.. Company Backflow Irrigation Sewer Cap • Certified copy is hereby furnished. / _Dryers OGas ❑Electric Sub Panel Certified ppy ' filed with the city gu pg1ppD' Bathtubs Sewer Connection / 1 Date U0—1.3-13 Applicant 1. LLtt Elision. INC. Fan • Motors DO-1 HP ❑1'h-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors •(This section need not be completed if the permit Is for one hundred ($100) orF.A.U. Inc.Solar ❑9-15 HP 016-15+ Dishwasher less). Solar Piping . I certify that in the performance of the work for which this permit is issued, I t �1/t Fixtures S shall not employ any person In any manner so as to become subject to the Drinking Fountains Solar Tank �V Microwave Ott Workers' Compensation Laws of California. - Date Signature Floor Drains Swimming Pool w/Spa Device Boxes' Pole Light NOTICE:If,after making this declaration, you should become subject to the Outlets Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks . Urinal . ' . an g . :. . comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY - Switches Sign ' Gas Service Outlets Water Closet 9 I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator ❑05 KW 05.15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash / T;f;'—t° Cr=f ._ 3. C following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit - - to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains - the Contractor's License Law (Chapter 9 (commencing with Section 7000)of Division 3.of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee �,• via,., $ 'ierefrom and the basis for the alleged exemption. Any violation of Section ' :31.5 by any applicant for a permit subjects the applicant to a civil malty of not more than five hundred dollars($500). . DEVELOPMENT SERVICES REQUIREMENTS: LII I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 Zoning Approved By Date compensation, will do the work,and the structure is not intended or offered for sale (Section.7044, Business and Professional Code: The Contractor's • MECHANICAL I FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves a thereon, and who does such work himself/herself or through his or her own Application tion Issued By s A 1 Date employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0 �'1J sale. If, however, the building or Improvement is sold within one year of com- • Canopy Type II 0 SUMMARY OF FEES pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ D I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0.100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $ builds or improves'thereon.and who contracts for such oroiects with a con-- - tractor(s) license pursuant to the Contractor's License Law). I'am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I PLAN CHECK 25% $ ENERGY P.C. $ proof oftheir Worker's Compensation insurance should be provided to me. ELECTRICAL $ -� GRADING $ IDI am exempt under Section B.& P.C.for this reason Firepl/Fact BIt. ICBO# Fire Dampers PLAN CHECK 50% $ MICROFILM $ yy Date ' Owner Heating System& Ducting Registers MECHANICAL $ TOTAL FEE $ •®V I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100,000 BTL Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction, and hereby authorize repre- sentatives of this • to enter n the above-mentioned property for inspection our•: ` • Signature �_ �a!- Bete--06-13-;89 Drivers' License , Reinspection Fee $15 Issue Fee $ 3 'LI. :ur-cJ::_:-;- _ oGe35332 y C17 . :•. l:. 0865-46,rev, 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 2-.`ti Q!li;1!u' ^''C^ i"!_ . \,ri , << ' CONSTRUCTION AND PLANNING POOL ?A APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector '1. Temporary Electrical Service or Pole 52. Pool & Equipment Location . 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4i'. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 51. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 6 I 58. Electrical Conduit-Undrgrnd. 8. Foundation 14 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. • 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ' 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval '17. Rough Wiring Sign 68. APPROVED FOR PLASTERING •18'. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro • 22. Ducts, Ventilating ' j 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil .A 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 PREY. 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 7�4 ' L Notes: • 34. Final Heating & Air Conditioning / 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace n 38. Final Plumbing '^ 39. Water Service-Final - r^ 40. Gas Service-Final �1 41. Solar Domestic-Final 42. Backflow Preventer - / 41- 43. Backflow Irrigation �1 n 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Snecial Requirements Completed 49. Electric Release to Edison • '.t 50. Gas Release to Southern California Gas Co r3 51. CERTIFICATE OF OCCUPANCY - !'1- i' No. Date r 1 ,•".� -, J / A� 7, )_�� I J"LA Applicant to fill In all spaces except those within heavy border lines and sign all appropriate tleclarations.(ft- PERMIT NO. TRACT NO. LOT NO. UNIT NO. `� /_ 351 _ 1 /y/_ Iff Z' 3 I �1F- cIT :oF COSTA MESA ONSTR UCTION ERMIT /��q C/A A.P.# L zone • •.P. t Address "• J3 JlJ L7 l�� 1 l�•-a'r C1 �-��• g� .U X f I O f •1 g-F] L' S Main Building: Accessory Building: • i Applicaht's Mailing Address 2755 Bristol, Ste. 275 CM TYPE OF CONSTRUCTION L NEW LI ADD LI ALTERATION REPAIR Et 7 850-2116 ❑ CONVERSION ❑ DEMOLISH El OTHER T Front 2 0 • •Owner's NamelloPl$Cher/C 1 e17he].ifl Phone DESCRIPTION OF WORK/USE OF BLDG. Anarf-nt nt aria garar3P I B Rear e)• N ' Address 4 • ,. ' ur Crt. Ne ..rt Bch. 92660 A I Arch/Eng.-KPTIDit Darius License No. TYPE OF PERMIT ❑ GRADING 0 FOUNDATION EXSTRUCTURAL i C Right 5 • N K • G Address 1550 BayslcIe Dr. , Corona Del Mar ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ryQ;MECHANICAL S Left 3/J R ❑ OTHER UY1 120 Q Contractor's Name Tn[`aC I]2Ve101Z[IeIlt COL'�hone 'J S 12 l� S f IPIng. Ref.# D�, -�05 Parking Req./Provided/32//33 E Address(mailing) 27 S5 Bristol , Ste:- 275 Costa Mesa 926E0 PROJECT DESCRIPTION SQ. FT. • OCCUPANCY u- Planning Notes: ys� CONSTRUCTION TYPE 17±t ] VALUATION$3.)s /� •_ • e. M City License Na 030749 ZONE GRADING CU.YDS. ACRES HOLD FOR SPECIAL ' QUIREMYNIS s LICENSED CONTRACTOR DECLARATION • I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: la with section 7000) of Division 3 of the Business and Professions Code, and YpM� /^� (�,, my license is In full r and effect. • 257064 �^ •�'�' ,fes ELECTRICAL FEES -" License lass 1 �i License No. — oato Signature ..erfr .. PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WO E COMPENSATION • • RATION: Construction Pole Sub050+ KW I hereby affirm that I have a ate of consent to self-insure or a certificate Bar Sink Showers . •of Workers' Compensation I' urance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps X3800, Lab. c416-88 unit 225State Farm No. company Backflow Irrigation Sewer Cap - p Dishwasher Meter Dover 100 amps aCertified copy is hereby furnisbed: • 1-1-89 Ce ti}1ey yip is filed with tri /- _e vision. • - Bathtubs Sewer,Connection Dryers ❑Gas ❑Electric Sub Panel Date�/"L7/r'?R A•• icant -• Fan Motors❑0-1 HP O Y,-8 EXE PTI N FROM WORKERS' ENSATION DECLARATION Clarifiers Solar Collectors • (This section need not be c•mPlet-d' the permit is for one hundred IE100)or F.A.U. Inc.Solar 09-15 HP ❑16-15+ less). Dishwasher Solar Piping I certify that in the pert• nia ---of the work far which this permit is issued, I shall not employ any per-. in,any manner so as to become subject to the DrinkingFountains Fixtures Microwave Workers' Compensation Laws of.California. , Solar Tank •- - Date Signature • Floor Drains Swimming Pool w/Spa - Device Boxes Pole Light - NOTICE:it,after making this declaration, you should-become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks • Urinal Outlets Range . comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY • Switches, Si n Gas Service Outlets Water Closet 9 1 1 hereby affirm that there is a construction lending agency for the performance - • e:D of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbagisposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water ServiceGenerator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION • - - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash '1 - - following reason (Section 7031.5 Business and Professional Code: Any city or ' county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays • . any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains - ./ the Contractor's License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee I $15 Issue Fee $ 3 therefrom and the basis for the alleged exemption. Any violation of Section - I 7031.5 by any applicant for a permit subjects the applicant to a civil - enalty of not more than rive hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: (//(I^��u 7 0 I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 V D L °p compensation, will do the work,and the structure Is not intended or offered Zoning Approved'By • �✓ Date p for sale (Section 7044, Business and Professional Code; The Contractor's MECHANICAL FEES t Building Approved By License Law does not apply to an owner of a property who builds or improves Date thereon, and who does such work himself/herself or through his or her own Application`Issaed By b q� � Dat 4141 employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 ; sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 ' pletlon, the owner will have the burden of proving he/she did not build or iyinn. Duct-Under Ground , S. SUMMARY OF F prove for the purpose of sale). BUILDING PERMIT $ /,b Os ',477 SMIP $ 76 '2J ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System .. • tractors to construct the project (Section 7044,Business and Professions Code: PLAN CHECK $ 2 fro .89 PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU builds or improves thereon. and who contracts for such oroiects with a con- PLUMBING $ ISSUANCE $ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration • • PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ o 1 am exempt under Section B.8 P.C.for this reason Firepl/Fact.Bit.ICBG* Fire Damperssr • PLAN CHECK 50% $ MICROFILM $ Date Owner Heating System&Ducting Registers QO I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BT MECHANICAL $ TOTAL FEE $ / C7 /iZ• `r Information is correct. I agree to comply with all city and county ordinances v PLAN CHECK 25% $ and state laws relating to but • construction, and hereby authorize repre- sentatives of this city t. rerr upon the above-mentioned p op-rty for inspection purpo � ; - ' :/— D Licens` •�Signature Date Reins ction Fee $15 Issue Fee $ 3 OI OU016375-000163$0 Ti fT 12-2.64 Drivers' 0865-46,r-"in White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor DATE; 1O/O6E8, TIME: Oc;22 j .dONSTRUCTION AND PLANNING POOL SPA &APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole' 52. Pool & Equipment Location • 2. Soil Pilie-Undrgrnd. ) _ . 53. Steel Reinforcement .. 3. Electrical Conduit Utility-Undrgrnd. I 54. Forms .r 4: Electrical Conduit-Undrgrnd. "1 55. Electrical Bonding . 1 •5. Steel Reinforcement • (009 41.4,- 56 V- 56. Rough Plumbing & Pressure Test r; ' '6: Electrical UFER Grnd. 11 ' /0*/`4B4N, 57. APPROVAL TO COVER-GUNITE '• l .l .- 7:'Footings ;o/ss�rr'ort--1 58. Electrical Conduit-Undrgrnd. 1 8. Foundation SZ4L. • /E/;g (,/V•' zea4k6 iolY 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. - ' - 60. Backwash Lines, P-Trap, 0 Undrgrnd. • 10: Structural Floor System - /S/e, 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 ' L. 0.7. Rough Wiring Sign 68. APPROVED FOR PLASTERING ,181 Rough Elecirical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 091 Rough Heating & Air Conditionirig FIRE DEPT. REQUIREMENT '20; Rough Factory Fireplace APPROVALS Permit# t .. 21`. Ducts, in Structure 70. Underground Hydro 22, Ducts, Ventilating ,i 71. Product Piping 0 Gas 0 Oil • 23. Gas Pipe-Rough & Test 4 , 72. Underground Flush 24. Roof Framing ,/ • 74/2g 49, 73. Undergrnd.Storage Tank O Gas ❑Oil ' 25. Roof Sheathing ' , . , _ h 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & 141onocoat •• 75. Dry Chemical 27. Frame'and Flashing • / 4- r( 76. Dry Standpipe 28. Lathing & Siding IL t• 77. FIXED SYSTEM FINAL 29. Insulation ' r 78. FIRE PREV. FINAL 30: Drywall Nailing i'1 t i r if HEALTH DEPT. REQUIREMENT 31t.IPlaster.Brown Coat.l'• to ei 79. FINAL INSPECTION 32-. Electrical Power MeteF-Final - 80. FOOD CERTIFICATE ISSUED 33' Final Electric �} • Notes: /0/Fr .57741/dGL....q� vs 6, /e.. 34. Final Heating & Air Conditioning �. / / Sm e.�.-- �.tu! 17127?.: de-Ctia✓ „Trus--. 3 ' 35. Final Gas Pipe-Test • /� O J-"I 36. Hood or Canopy IX/SNS a-ar QAC ccoei'i0N aor ate- . 37. Final Factory Fireplace S'4,&et.tZ OK 7//.IV f_c, 38. Final Plumbing', .(1 Q "' 39. Water Service-Final I t 40. Gas Service-Final .. MUD FOR SPCCIAL RCQU UMCNTS { 41. Solar Domestic'Final 64V 42. Backflow Preventer ' i ..43. Backflow Irrigation U i 44. Landscape Irrigation System ,>', 45. Sound Attenuation r 46. Handicap Regulations / rs / • '47. FINAL STRUCTURE & BUILDING 744/4' 48. Special Requirements Completed !!��/I/B.a 1 49. Electric Release to Edison ' 90. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY r • .1 t i No. Date r ( "' • LYMG / THE KEITH COMPANIES • uunug•Ciril IWgineering-Iinuironrnenml.A•rrices•Archintlnre•lar'/cca/n•ArelnWiu rr••/surd can vTing July 18, 1989 87-0125 Engineering Department City of Costa Mesa 77 Fair Drive Costa Mesa, CA. 92628 ATTN: Brian Naught 2Gtot/di i-yE 1041 • RE: PA 88-31 - -29-00 College Avonuo, Costa Mesa, California Dear Mr. Naught: As the civil engineer, I certify that the precise grading has been completed in substantial conformance with the approved precise grading plan for the above referenced project. Sincerely, Robert Schneider RCE 42912 t) :42 Hu a• _- No.42912 ;,Tp Exp.331.92 *eN cOFcrO"v R870125-9826-L-Rs /7961 Cowan.Imine.California 92714 (7141 X6.3.990 PIPING PRODUCTS PLUS 2050 S. STATE COLLEGE BLVD. • ANAHEIM, CALIFORNIA 92806 (71 4) 937-1 01 2 (71 4) 937-0407 (ADM.) • ' -d P/P/NS'PHOOUCTSMPLUS ' • • December 28, 1987 Dear Mr. Contractor: In keeping with the new inovative direction of Piping Products Plus, we are pleased to announce the new Metal Ice Maker Connection Box. Some of you have stated that one or more out of every fifteen units built, backs up to a fire wall. The only previous solution was to stub up or fabricate something that would work, now you have a better way. Part # List Price MIB-2 $40.00 MIB-2LV Less Valve $31.00 Piping Products Plus will continue listing for and designing new labor saving products to help you in your work place. Please call if more information is needed. Thank you for your help and support. Sincerely,_ ., .tion Hoisington Sales Manager JH/mw •11Pr r • PIPING PRODUCTS PLUS •2050 S. STATE COLLEGE BLVD. ANAHEIM, CALIFORNIA 92806 (71 4] 937-1 01 2 (7143937-0407 (ADM.) A 1=r1 P/P/NSMPROOUCTSEPLUS New METAL ICE MAKER OX =IL= • Ideal for fire rated walls PaCIPNOLLCISAIRMS e 0 • Box made of 20 gauge steel • Frame made of 16 gauge steel a � , e • Box and frame can be painted Piping Products Plus New Metal Ice Maker Box is a perfect solution for fire rated walls and for those jobs that specify metal ice maker boxes. Zinc plated coating gives added protection. Comes with factory-installed valve with 1/4" O.D. outlet, tested 100 lb. MODEL DESCRIPTION CTN. QTY. LIST PRICE MIB-2 • Metal Ice Maker Connection Box 6 40.00 Metal Ice Maker Connection Box MIB-2-LV 6 31.00 Less Valve A°'t °i`IM8• 4 RECEIVED DEC 2 7 1988 •CER IFICATE OF tlroan CONFORMANCE • HE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the products Identified below and on attached sheets Nosare marked with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC) • and were manufactured in conformance with applicable provisions of American National Standard ANSI/AITC A190.1-1983, Structural Glued Laminated Timber, and-that such manufacture has been at our plant in Sutherlin, OR , which plant has a quality control system approved by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION end inspected periodically by such Bureau. ' The manufacture of these members complies with the manufacturing and fabricating provisions of • Chapter 25 of the Uniform Building Code. • JOS NAME: Village Creek Apartments • JOS LOCATION: Costa/Mesa, CA / p • I CUSTOMER'S ORDERNO. - 1333 . DATE 11/6/88 AVOWS ORDER NO. 8f1419q . SIGNATURE 4L7.43& l D eedn • COMPANY kw_ Tinhorn, C� vitt Quality Control ADDRESS Suthea lno OR DATE PP AM • • AITC HEREBY CERTIFIES that the said company at its said plant is licensed by.the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect of products which comply with applicable provisions of said Standard, that the adequacy of the quality control system in effect at said plant is periodically inspected and verified by the Inspection Bureau of • the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of AITC, said company Is capable of complying with applicable manufacturing and testing provisions of said • Standard in respect of products manufactured at said plant. Conformance with the Standard In respect of any specific or particular product is the sole responsibility of the manufacturer;AITC's guarantee hereunder being that the said company is qualified to produce a product meeting the said Standard • end that Its plant Is periodically Inspected end verified by the AITC Inspection Bureau. • tt ll ile=_ AITC Certificate No. 46082 A Nn 111 a . , AMERICAN INSTITUTE OF TIMBER CONSTRUCTION EAL :1`''. • �g5� 1) u, n/ • 1 1 �� . btlAalAAt ?` .. • C 1983 AMERICAN INSTITUTE OF TIMBER CONSTRUCTION AMC FORM IBCA - • !is{,O U/L ,gpApplicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - PERMI, o1/4� C� -551 TRACT NO. LOT NO. UNI NO.z7 CITY OF COSTA MESA CONSTR UCTIONIT I Y .J 3 J �/H '` . 'Project Address. r�rl - Applicant's Mailing Address 9371 Folkstone, Hunt. Beach TYPE OF CONSTRUCTION £ I NEW U ADD U ALTERATION U REPAIR l Owner's Name Hoelscher Guggenheim _Phone 851-2116 ❑ CONVERSION El DEMOLISH ❑ OTHER A.P.# Zone DESCRIPTION OF WORK/USE OF BLDG. Address 4665 Macarthur Court., Newport Beach S Main Building: Accessory Building: Dorlus Architects E Z Arch/Eng. License No. TYPE OF PERMIT U GRADING U FOUNDATION U STRUCTURAL T Front O Address 1550 Bayside Dr. , Corona del mar ❑ TENANT ❑ ELECTRICAL X❑ PLUMBING ❑ MECHANICAL B Rear N Contractor's Name Coastline plumbing phone 963-3800 El OTHER A PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N Address(mailing) 9371 Folkstone, Hunt. Beach - -- K G 023390 CONSTRUCTION TYPE VALUATION$ S Left . City License No. ZONE GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION ///+++,,, ` _ Ping. Rel.# Parking Req,/Provided E 1 hereby affirm that I am licensed under provisions of Cna iter 9 (commencing Remarks: {��1 ��s'� > Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code,and �,J J C� . my license is in f I f r e and effect. - T License I s —� se 394638 S 'k /Dare �� a• Signature i V'� PLUMBING FEES rI ' \/ WORKERS'COMPENSATION 0 CLA-ATI••N Bar Sink 9 Showers .41 �/1 hereby affirm that I have a certificate o co sent to self-insure or a certificate .Ov !r" ELECTRICAL • FEES �- Workers' Compensation Insurance, o ,a certified Copy thereof (Section - Backflow Preventer Service Sink 0 15-50 KW I � 0800, Lab. C.)'_- -� - -A-utomatic Washer � Transformer � \ PolicyNo. .D83678-87 CompanyState Como. - - 0 50+ KW Backflow Irrigation Sewer Cap :Construction Pole Sub. Certified copy is hereby furnished. 1 y��1 ' v .N Certjf' s filed with the city B din iaion. g Bathtubs / Sewer Connection ?/ W Cookin Unit Meter I�j 7(o� Bear Plumbing - g pup to 100 amps Date Applicant ' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not lair completed if the permit is•for one hundred ($100) or Dishwasher less). Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan �- Motors 00-1 HP 01%-8 Workers' Compensation Laws of California. - • Date `1• Signature Floor Drains Swimming Pool w/Spa -F,A.U. NOTICE:If,after making this declaration, you should become subject to the r Inc.SOlar 09-15 HP 016-1E4- Workers' 16-15+Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures - ' ' comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY bGas Service 4 Outlets )f) Water Closet Device 80%e5 I hereby affirm that there is a construction lending agency for the performance Pole Light of the work for which this permit is issued. (Section 3097 Civ. C.) Interceptors 4 Water Heater /a Outlets Lender's Name �y�1 Range , Lender's Address k Kitchen Sink - Water Service la 74 Switches Sign BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law-for the / Lavatories4 .rs1 following reason (Section 7031.5 Business and Professional Code: Any city or � Auto-Wash - Yv Garbage Disposal ;Standing Sections county which requires a permit to construct,alter,improve,demolish or repair any structure, prior to its issuance, also requires the applicant for such permit • P—Trap Laundry Trays Generator ❑0-5 KW ❑5.15 KW Trash Compactor ' to the a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains' - the Contractor's License Law(Chapter 9-(Commencing with Section 7000) of ' "IIvision 3 of:the Business and Professions Code) or that he/she is exempt , ierefrom and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil - LJenalty of not more than five hundred dollars ($500). ' • I, as owner of the property or my employees with wages as their sole Reinspection' Fee I $15 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered - Reinspection Fee $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own -�- - DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such Improvements are not intended or offered for Boiler Hood or Type 1 0 - sale. If, however, the building or Improvement is sold within ono year of com- Canopy Type II 0 ' Zoning Approved By • Date diction, the the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground Building Approved By Date prove for the purpose of sale). - 0 I, as owner of the property, am exclusively contracting with licensed conr Duct-Structural Refrigeration System - Application Issued ByQ. Date_L4G tractors to construct the proiect (Section 7044,Business and Professions Code: ' The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑4100,000 BTU 0100,000 BTU ' builds or improves thereon, and who contracts for such projects with a con- -- ' SUMMARY OF FEES tractor(s) license pursuabt'to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ • proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact. Blt. ICBG# Fire Dampers PLUMBING $ - 0II ISSUANCE $ Date Owner Heating System& Ducting I Registers PLAN CHECK 25% $ d ENERGY P.C. $. I hereby certify that I have read this application and state that the above 00.108,000 BTU 0100.000 BTL. GRADING $ information Is correct. i agree to comply with all city and county ordinances ELECTRICAL $ and state laws r ating to b ildin• n ruction,and hereby authorize repre- - MICROFILM $ sentatives is city to ter u•y. the above-mentioned property for PLAN CHECK 50% $ if u p.r es. _• • 10 5 R: MECHANICAL $ ,TOTALFEE $ Signature _a�� %v CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 0t 00016607-00016608 TOT . 149.25 1 � 1 •CONSTRUCTION AND PLANNING POC SPA ••APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector ' 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. We ar 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. i' 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test •, 6. 'Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. 'Footings 58. Electrical Conduit-Undrgrnd. 8.'Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9:-;'.Water Pipe-Undrgrnd. iq'&/BB c.40 60. Backwash Lines, P-Trap, ❑ Undrgrnd. • 10k Structural Floor System 61. APPROVAL TO DECK 11".:Property Sewer Line & House Connection 18-8.88 LEG 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 1.7.-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 2d. Rough Factory Fireplace APPROVALS Permit# 2:l. Ducts, in Structure 70. Underground Hydro • k2. Ducts, Ventilating 71. Product Piping El 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 (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 ,47,9./rifr 36. Flood or Canopy 37. Final Factory Fireplace 38. Final Plumbing y -/it�� 39. Water Service-Final n 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer - 1 43. Backflow Irrigation ',/ 44. ,Landscape Irrigation System . rI 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 - - Applicant to fill in all spaces except those within heavy.border lines and sign all appropriate declarations. CITY,OF COSTA M ?NST/R�j�I(�`( 3N� MIT PERMIT NO. Z� TRACT NO. LOT NO. UNN TT�IO.,q A P # Zone Project Address 1✓ LJ v 17 �� ' 1 r 310 LI 'tel, S Main Building: Accessory Building: • Applicapt'S Maili .g Address i (� TYPE OF CONSTRUCTION NEW ADD ❑ ALTERATION u REPAIR E Front Z /� i ❑ CONVERSION ❑ DEMOLISH OTHER ' T O Owner's Name :' • /a'''n- 4/�n, r�� IP11[TneN r 5/ DESCRIPTION OF WORK/USE OF BL G. B Rear N Address - 6 S Y yl v SIN rf��'v L I Arch/Eng. G /�5 • LicenseJNo. Z3 TYPE OF PERMIT U GRADING FOUNDATION❑ U STRUCTURAL C Right N Address 77/9/ C 671.42J,nc `SLK/er! LI TENANT ❑ ELECTRICAL-�ctuMBING ❑ MECHANICAL S • Left G 9 /,�pd LI OTHER R Contractor's Name ��'f SYS/ one if Ping. Ref.# Parking Req./Provided E y� PROJECT DESCRIPTION SQ. FT. OCCUPANCY Q Address(mailing) 2.755 ,3�S's vPlanning Notes: M City License No. e j U 7 ,c CONSTRUCTION TYPE VALUATION$ • T ZONE GRADING CU.YDS ACRES - S. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 6 3 S5' Z with section 7000) of Division 3 of the Business and Profess ns Code,/f s+ ELECTRICAL FEES my license is in full f. c• a • effect. 7o License ass / �.j1 r Automatic Washer Transformer 0 15-50 KW Date r �� Signature aim %t'/�r� PLUMBING FEES pr WORKERS'COMPENSATION DECLARATION Bar Sink Showers Construction Pole Sub. �\ 0 50+KW ss "rereby affirm that I have a certificate of consent to self-Insure or tlflcate i • Workers' Comp}n}ation Insure e, oo jgrtiya cqet_ne�of/($ecjiyr�� Cooking Unit Meter ❑up to 100 amps JO La? -{�ji-22.... � If.QYQ"� �Gi/"f/ Backflow Preventer r Service Sink Policy No..6�_��7__ U D Co any - Backf low Irrigation Sewer Cap Dishwasher Meter Dover 100 amps — yRCertitie copy Is here turnishe.ill - Dryers ❑Gas •❑Electric Sub Panel �`�e�rtitig1-0/I fwith the uildi • Df�}1i �o Bathtubs Sewer Connection DetT 6 r / Applic � Y't Fan EXEMPTION FROM WORKERS' • DELL TION Clarifiers Solar Collectors Motors❑0.1 HP ❑1'f,-8 (Thisleshsection need not be completed if the permit is for one hun d ($100)or Dishwasher Solar Piping F.A.U. Inc.Solar 09.15 HP❑16-15+ I certify that in the performance of the work for which this permit is Issued I Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank - Microwave Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa Device Boxes .-• • Pole Light • NOTICE:If,after making this declaration, you should become subject to the Outlets Ran e Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal 9 comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYGas Service Outlets Water Closet Switches Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00.5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Tracts any structure, prior to its issuance, also requires the applicant for such permit ��,...,,"- 1 wws� ' to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains f 3GWe-� Po -T Cso the Contractor's License Law(Chapter 9(commencing with Section 7000) of / "'vision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 refrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to a civil - nalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: LIproperty or my employees with wages as their soleIssue 9 I, as owner of the Reinspection Fee $15 Fee $ 3 Zoning Approved By Date compensation, will do the work, and the structure Is not Intended or offered - for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By yr1- Date I�� License Law does not apply to an owner of a property who builds or improves _ //'/^l,�_ thereon, and who does such work himself/herself or through his or her own Hood or Type I ❑ Application Issued By Date employees, provided that such improvements are not intended or offered for Boiler sale. If, however, the building or Improvement is sold within one year of com- Canopy Type 11 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System _ PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License LaW does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU E1100,000 BTU PLUMBING $ 5"•0J ISSUANCE $ builds or improves thereon.and who contracts for such oroiects with a con- ENERGY P.C. $ tractor(s) license pursuant to e Contractor's License Law). I am aware that Exhaust System 0 Multiple❑ System Repair/Alteration I PLAN CHECK 25% $ proof oth their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG'ik Fire Dampers MICROFILM $ PLAN CHECK 50% $ Date Owner Heating System&Ducting Registers MECHANICAL $ I hereby certify that I have ad [hi applicat� and state that the above ❑0.10D,000 BTU ❑180,890 BTL TOTAL FEE $ •� C) informatio correct. I agre ly with city and county ordinances _ PLAN CHECK 25% $ and state aw toting to i n• ``stru• and hereby authorize rept@ sentative of is 't to r • ['. ( ,••Ove-mentioned PropyrtyO�! — inspectiosentative our s Vis` / 7 Q p Signatur Reinspection Fee $15 Issue Fee $ 3 �---- -- 01 00019150-00019150 TOT 8.00 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 11/09/88 TIME: 15:15 - . CONSTRUCTION AND PLANNING POO SPA APPROVALS Permit# Dates IInspector APPROVALS Permit# Date Inspector ' 1. Temporary Electrical Service or Pole : 52. Pool & Equipment Location "• 2. Soil.Pipe-Undrgrnd. 53. Steel Reinforcement ,,_1 ) 3. Electncal:Conduit Utility-Undrgrnd. , 1'- ^r 54. Forms _ 411Eleetrical Conduit-Undrgrnd. r 55. Electrical Bonding '5) Steel Reinforcement' t 56. Rough Plumbing & Pressure Test .7±1..' p ' - n ...L.' 6. 1Electrical�UFER'G'rnd-' ;!� / r q.- / 57. APPROVAL TO COVER-GUNITE i ' ' -77Footi gs'" :;li, y'�• - 7 58. Electrical Conduit-Undrgrnd. "'!-7-,;-- ;.8;,F,oundation ;',' • -V) ''l II.M `'I 59. Gas Pipe, 0 Undrgrnd.,Test _�;'Lk/ C9. Nate Pipe-Undrgfn 1. J. 60. Backwash Lines,P-Trap, 0 Undrgrnd. n ' -10..St}uctural Floor System L'/ , ry/ 61. APPROVAL TO DECK r11 Y •'1,17 Property(Sewel Line & House Conn}ction r ,,, . iZ-(Z 6E4 62. Backwash & Receptor-Final 12.'Sewet Capes d y..c.:.�, : L-..._.--` I ', 63. Heater & Vent-Final r 13.'Roof�Drain's�' / :7 -./i.,!: 64. Plumbing System - Final / ' ri 14. Rnugh P(umtiing' 'r : 65. Electrical-Final > r , 15. Rough Electrical-Conduit 66. Solar System-Final r t,16. Rough Electric Wiring 67. Fencing & Access Approval t1t7. 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 '.20. Rough Factory Fireplace I,, APPROVALS Permit# 21. Ducts, in Structure !ice. 70. Underground Hydro 22. Ducts, Ventilating '1 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough&Test 72. Underground-Flush 24. Roof Fran- 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25, Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical, ' 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL ' 29. Insulation • 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT x 41'. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: t 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing ti-(Z-t LED _ 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final • 42. Backflow Preventer 1--- 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Snecial Reouirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY , No. Date • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT — PERM' TRACT NO. LOT NO. UNIT NO. A,p,qii 141-351-19 , 141-192-03 I zone R-4 Project Address , 1380 VILLAGE WAY "H" M �� GRI,FFITH SUBDIVISION H ,� S Main Building:; Accessory Building: Applicant's Wailing Address 2755 BRISTOL ST.. #275 TYPE OF CONSTRUCTION NEW U ADD U ALTERATION U REPAIR E Z ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front • D Owner's Name HOFIRCHER/GUGGENHEIM P� DES PTIO • WORK/USE 0- :LiDG. i B Rear N Address 4665 MACARTHUR CT.,NB at �� a �f� -Pdan A . I Arch/Eng. KCRMIT DORIUS License No. /TYPE OF PERMIT G• ADING FOUNATI9,,y STRUCTURAL C Right N Address 1550 BAYSIDER, CORNOA DEL MAR ❑ TENANT C7 ELECTRICAL ❑ PLUMBING U MECHANICAL $i Left R O Contractor's Name LUCAS DEVELOPMENT C17R1hl,one 850-1551 CI OTHER I Ping. Ref.# 6 Parking Req./Provided cl,s., E PROJECT DESCRIPTION SO. F OCCUPANCY p'�) Planning Notes: Q —Address(mailing) 2755 $RIS"iUL #275, Q`7 030749 CONSTRUCTION TYPE YV/ M YVALUATION$ • - T City License No. ZONE GRADING CU.YDS. ACRES • S. LICENSED CONTRACTOR DECLARATION q \ I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: S �S 5-�i 2..„with section 7000) o Division 3 of the Business and Professions Code,an• / /// ` my license is in lull f e an• effect. • ELECTRICAL FEES Licen Cla s ' a6 Licit/ - Ne . � • r—' Date - -cm a.Signatur a . ,..."J� PLUMBING FEES Automatic Waihei"- Transformer 0 15-50 KW 0 50+KW WORKERS'COMPENSATION • LA RATION Bar Sink Showers Construction Pole Sub. ,reby al firm that I have a certificate of consent to self-Insure or ace rnicete Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit; - Meter Duo to 100 amps ..00, Lab. yy _ _ _ _ - - Policy No. 0-88 UNIT 2?cd`r�pany STATE FARM 1-1-89 Backflow Irrigation : Sewer Cap Dishwasher'. Meter Dover 100 amps friCertified copy is hereby furnishes , Da Cet fled ytpyy9iq with the c' Siding ';:vis. �`,� Bathtubs ' _ Sewer Connection Pryers OGas ❑Electric Sub Panel Date /' 1 7 APPlica ..L ' Le��na� 'Fan EXEMPTION FROM WORKERS'Ce 'PENSATION DECLARATI MD Clarifiers sl-. Solar Collectors Motors❑0.1 HP O1'h-8 (This section need not be completed if the permit is for one hundred 00)or • F.A.U. Inc.Solar 09-15 HP ❑16-15+ less). Dishwasher ; Solar Piping I certify that In the performance of the work for which this permit is issued I - - • F ixt Ur¢5 shall not employ any person In any manner so as to become subject to the Drinking Fou ntainsr%) Solar Tank __Mit('owave Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa Device Bodes Pole Light NOTICE: If,after making this declaration,you should become subject to the - - - — - Workers' Compensationprovisions of the Labor Code, you must forthwith Outlets CO complywith such Floor Sinks nal Sign provisions or this permit shah be deemed revoked. // Switches• CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Sign I hereby affirm that therewhiis a permit lending agencyc for the 97rfCimance of the work for which this permit is issued (Section 3097 Civ. C.) Garbage Disposal Standing Sections Lender's Name Interceptors Water Heater Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of 'vision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 frefrom and the basis for the alleged exemption. Any violation of Section J31.5 by any applicant for a permit subjects the applicant to a civil pnalty of not more than five hundred dollars($500). I $ 3 DEVELOPMENT SERVICES REQUIREMENTS: U I, as owner of the property or my employees with wages as their sole Reinspection Fee ` $15 Issue Fee Zoning Approved By Data compensation, will do the work, and the structure Is not Intended or offered . . for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By A I Date License Law does not apply to an owner of a property who builds or Improves ®__ / thereon, and who does such work himself/herself or through his or her own Application Issued By ��oU.•�. Dat employees, provided that such Improvements are not Intended or offered for Boiler Hood or Type I 0 I T sale. If, however, the building or improvement is sold within one year of com- — Canopy Type II 0 pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground SUMMARY • FEES , prove for the purpose of sale). - . — BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑O-100,000 BTU ❑100,000 BTU builds or Improves thereon. and who contracts for such orolects with a con- PLUMBING $ ISSUANCE $ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ 1 am exempt under Section B.8, P.C.for this reason 6 Firepl/Fact.Blt.ICBG'lb 2301 Fire Dampers MICROFILM $ PLAN CHECK 50% $ Date owner Heating System & Ducting Registers MECHANICAL $ /' 00 I hereby rtify that I have r ad thi applicat'•it and state that the above ❑0-100,000 BTU 0100,000 BTL— TOTAL FEE $ 6 9• informati•I's correct. I agree o co 'ly with II city and county ordinances PLAN CHECK 25% $ and state s relating to mg �structs• , and hereby authorize repre- Ilk sentative this it ter ! ve-mentioned propertyf• Inspects. • ...• y ! :ti�J'�� D1 00028473-00028473 TOT 69.00 Signatur S—_ •ate --Drivers' License or SS# / � Reinspection Fee $15 Issue Fee $-S-DU DATE: 03/16/89 TInE: 11:45 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING PO( SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector • • 1. Temporary Electrical Service or Pole _ 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - - t 6. Electrical UFER Grnd. - -' 57. APPROVAL TO COVER-GUNITE 7. Footings _ 58. Electrical Conduit-Undrgrnd. 't' 8. Foundation '10 59. Gas Pipe, E Undrgrnd.,Test 9. Water Pipe-Undrgrnd. r' 60. Backwash Lines, P-Trap, E Undrgrnd. • ,Y '10. Structural Floor System 61. APPROVAL TO DECK - 11. Property Sewer Line & House Connection . j- 62. Backwash & Receptor-Final 12. Sewer Cap '1 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit I 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 4145M Lu) APPROVALS Permit# - - 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating : - 71. Product Piping 0 Gas 0 Oil 23.-Gas Pipe=Rough & Test 72, Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. pry Chemical 27. Frame and Flashing X76. Dry Standpipe 28. Lathingt& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78: FIRE PREV. FINAL • 30. Drywall Nailing • HEALTH DEPT. REQUIREMENT 31. Plaster.Brown Coar 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED I '33. Final Electric Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test 11L4� 36. Hood or Canopy 37. Final Factory Fireplace 7/G/F99 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final t 42. Backflow Preventer f ' 43. Backflow Irrigation 44. Landscape Irrigation System '- -/• 45. Sound Attenuation ` 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING I, 48. Special Requirements Completed 49. Electric Release to Edison '•t • T 50. Gas Release to Southern California Gas Co /•: 51. CERTIFICATE OF OCCUPANCY No. Date •' ./ 5 ,1P27 V,//1pom-� /de )/ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. NO. TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT- M 3C, 5 d H A.P.# I Zone Project Address y/ S Main Building: - Accessory Building: Applicant's Mailing Address TYPE OF CONSTRUCTION l_ NEW 0 ADD ❑ ALTERATION L.I REPAIR E Z El CONVERSION 117 DEMOLISH 111 OTHER ' T Front 0 _Owner's Name LUCA-y DLo?M U�r Phone��-/�% DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address rl$-r BA-sx?dL STE air Ga`04'r71 ASA - A I Arch/Eng. License No. TYPE OF PERMIT U GRADING El FOUNDATION ❑ STRUCTURAL C Right G Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING MECHANICAL 1 S Left ❑ OTHER R Contractor's Name �lA^p I��Tr,mg- phone-724-4r"/GPing. Ref.# Parking Req./Provided E PROJECT DESCRIPTION SQ. FT. OCCUPANCY Q Address(mailing) IbglO 'CC"t+es'x�.CL.(E it m�'�A 9iTZ'-P CONSTRUCTION TYPE VALUATION Planning Notes: M City License No. S�S� ZONE GRADING CU.YDS. ACRES $, LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9(Commencing Remarks: Ll po H-2 PQQ__'T r 2 3s- 7- with section 7000) of Division 3 of the Business and Professions Code,and 1'sr-' �-"vt L> �/ my license is In full force and effect. / ��8,3y� ELECTRICAL FEES lam License Class G— _ .. Automatic Washer Transformer 0 15-50 KW Date%7--e—$b signature PLUMBING FEES WORKERS' COMPENSATION DECLARATION Pole Sub. • 0 50+KW 'reby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers Norkers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter Dup to 100 amps _..00, Lab. C.) Policy No. ode III 2]y' Company"SJ44 -a's" IV41 o44-L Backflow Irrigation - . Sewer Cap Dishwasher Meter Dover 100 amps ❑zertifietl copy is hereby furnished. -� Dryers ❑Gas ❑Electric `- Sub Panel Cert ifled copy is filed with the city Bu tl ng Di Bathtubs i Sewer Connection • Date%a"—/ -"A;^a Applicant it Fan Motors 00-1 % 1 HP 01'A- — EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers / - Solar Collectors (This section need not be completed if the permit is for one hundred ($100) or - F.A.U. Inc.Solar 09-15 HP ❑16-15+ less). Dishwasher , _ ' r Solar Piping I certify that in the performance of the work for which this permit Is issued I Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank r: Microwave �'WOrkers' Compensation Laws of California. ' cpDate Signature Floor Drains - Swimming Pool w/Spa r' Device Boxes Pole Light NOTICE:If,after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks - Urinal Outlets Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Switches Sign 1 hereby affirm that there is a construction lending agency for the performance Water Closet g of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address - Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays any structure, prior to Its issuance, also requires the applicant for such permit . to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains 'he Contractor's License Law(Chapter 9(commencing with Section 7000)of •ision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee ! $15 Issue Fee $ 3 refrom and the basis for the alleged exemption. Any violation of Section .31.5 by any applicant for a permit subjects the applicant to a civil es/laity of not more than five hundred dollars($500). I DEVELOPMENT SERVICES REQUIREMENTS: LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee- $ 3 compensation, will do the work,and the structure is not intended or.offeredZoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL J FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves ,/�� thereon, and who does such work himself/herself or through his or her own Application Issued By Datfl �off' employees, provided that such improvements are not Intended or offered for Boiler Hood or Type 1 ❑ sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II ❑ pletion, the owner will have the burden of proving he/she did not build or lin- Duct-Under Ground SUMMARY OF FEES prove for the purpose of sale). BUILDING PERMIT $ SMIP $ 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refr eration System tractors to construct the project (Section 7044,Business and Professions Code: ,-,/fig PLAN CHECK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating G zeal00,000 BTU ❑100,000 BTU S.L� builds or improves thereon.and who contracts for such oroiects with a con- PLUMBING $ ISSUANCE $ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust SstemPLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. Y ❑ Multiple 0 System Repair/Alteration ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO dk Fire Dampers ELECTRICAL $ GRADING $MICROFILM $ PLAN CHECK 50% $ p Owner Heating System& Ducting Registers MECHANICAL $ (05 °�' TOTAL FEE $ i 0 $� I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100,000 BTL Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relati.• to 'Ming construction,and hereby authorize repro- n sentatives of this teen the above-mentioned property for / I(� �,�•ANJ�L��/ 39 Inspection purpos-� el� to /s Signature -� Date(Z-I "4`b Drivers' License or SS ...� Reinspection Fee $15 Issue Fee $)t 01 00020971-00020971 TOT 105.00 0865.46,rev. 5/5B white - Building: Canary - Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 12/02/38 TIME: 09:34 CONStRUCTION AND PLANNING . POC SPA APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector • 1. Temporary Electrical Service or Pole52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. I 53. Steel Reinforcement I ,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.' r 57. APPROVAL TO COVER-GUNITE t 7. Footings . , -- 58. Electrical Conduit-Undrgrnd. 8..Foundation -i 59. Gas Pipe, 0 Undrgrnd.,Test ; • 9. Water Pipe-Undrgrnd. ' 7,:i. I 60. Backwash Lines, P-Trap, 0 Undrgrnd. • " 10. Structural Floor System 61. APPROVAL TO DECK 111 Property Sewer Line & House Connection I 62. Backwash & Receptor-Final . 12."Sewer Cap _ 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final • e r 14. Rough Plumbing' ' 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval - 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 1B2 Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL - 19. Rough Heating & Air Conditioning f� J¢y'`�� FIRE DEPT. REQUIREMENT 20.+ Rough Factory Fireplace r // APPROVALS Permit# 21-Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating filet( L SO 71. Product Piping O Gas 0 Oil 23. Cas Pipe-Rough & Test - 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank O Gas DOH 2 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding • 77. FIXED SYSTEM FINAL 29. Insulation I 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: i • 34. Final Heating & Air Conditioning 7�/may /lir • 35. Final Gas Pipe-Test L,_ / 7/!� 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water-Service-Final 40. Gas Service:Final 41. Solar Domestic-Final 42. Backflow Preventer " I 43. Backflow Irrigation '1 1 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 -% � • ' Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • PE IT TRACT NO. LOT NO. UNIT NO. CITY OF COSTA TRUCTION`/PERMIT 9 A.P.# Zone k. Project Address /3PO Y ///4y trJA1 " O BLDG. fj. �j LI S Main Building: Accessory Building: Applicant's Mailing Address 4701 E. HUNTER AVENUE TYPE OF CONSTRUCTION NEW ADD H ALTERATION H REPAIR HOELSCHER/GUGGENHEIM PARS ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front jolZ Owher's Name n DESCRIPTION OF WORK/USE OF BLDG. B Rear • Address 4665 MAC ARTHUR COURT #275 N.B. * ; r L • L A Arch/Eng. License No. TYPE OF PERMI • GRADING ❑ FOUNDATION ❑ STRUCTURAL I K Right •Address ❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S . Left - LAL@R ELEUER1C, INC, 777 4z33 ❑ BOTHER Contractor's Name Phone Ping. Ref.# Parking Req./Provided PROJECT DESCRIPTION SQ. FT. OCCUPANCY Address(mailing) 4701 E. HUNTER AVENUE ANAHEIM 92807 Planning Notes:032847 CONSTRUCTION TYPE • VALUATIONS City Licence No. ZONE GRADING CU.YDS. ACRESLICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 'IZ 3 !'-tj v1 with section 7000) of Division 3 of the Business and Professions Code, and 5 l 1 i_ mylicense is in full largerand effect. 440682 �7 Zr-7 ELECTRICAL FEES License Class 1l,• 1lI ce s o. v Date_06-13—R9 Signature PLUMBING FEES Automatic Washer Transformer 0 15.50 KW WORKERS'COMPENSATION DEC ATION • Construction Pole Sub. ❑ 50+KW hereby affirm that I have a certificate.of consent to self-insure or a certificate Bar Sink Showers � � Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter yup to 100 amps W \ .e00, Lab. �WBackflow Preventer Service Sink I . ro C1OO29164U CNA INS. DishwasherMeterDover 100 ....3 Policy amps Policy No. Company Backflow Irrigation Sewer Cap IiilCertified copy is hereby furnished. Dryers OGas DElectric Sub Panel 1 DT Cert'II{{iggtl G y Oiled with the city D i Bathtubs Sewer Connection / IL oV Date "01� Applicant INC. Fan EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Motors 00-1 HP 01'h-R (This section need not be completed If the permit Is for one hundred ($100)or F.A.U. Inc.Solar 09-15'HP ❑16-15+ less). Dishwasher Solar Piping �nya I certify that in the performance of the work for which this permit is Issued I — Microwave 1_ Fixtures 1 15 shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Workers' Compensation Laws of California. Date Signature Floor Drains ' Swimming Pool w/Spa Device Boxes Pole Light NOTICE: If,after making this declaration, you should become subject to the Outlets Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Range . Urinal comply with such provisions or this permit shall be deemed revoked. - -- - - -- CONSTRUCTION LENDING AGENCYSwitches Gas Service Outlets Water Closet Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name' Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION / TA. cC� G� 3. OD I n affirm that am 7031.5 from the Contractor'sLicense Law for the Lavatories Auto-Wash -// 6 following which e (Section permit to Businessnstruand, Professionalprove Code: Any citye or ' countyr ouch requiresriota issuance, al oraIle t I mpsuc or rrmit P—Trap - ' Laundry Trays toy le a gee, p rtar m its also requiresicesthe to applicant for rovi permit Stohe file a signed statement that(Chapter is licensed pursuant to the provisions of Roof Drains the siontr3c oft License Law e 9Co n)ing with Section 7is x) of 'w--erefro 3 of the Business and Professions Code) or that latshe is exempt Reinspection Fee $15 Issue Fee %refrdm and the basis for the alleged exemption. Any violation of Section - 4, $4 ,`'ye'i31 5 by any applicant for a permit subjects the applicant to a civil ' nalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: UI, I I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves - �f� thereon, and who does such work himself/herself or through his or her own Application Issued By (\/Lf( Dat employees, provided that such Improvements are not intended or offered for Boiler I Hood or Type I 0 sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $ builds or Improves thereon.and who contracts for such oroiects with a Con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I PLAN CHECK 25% $ ENERGY P.C. $ - proof of their Worker's Compensation insurance should be provided to me. q(9.75-� ELECTRICAL $ � .� GRADING $ 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG dk Fire Dampers MICROFILM $ PLAN CHECK 50% $ Date Owner Heating System& Ducting Registers MECHANICAL (� I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTU $ TOTAL FEE $ r Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relatin• to buildi••-construction,and hereby authorize repre- - sentatives of this 'r o ent r u•- the above-mentioned property for Inspection pur••. Signature / _ —� �i� Date 06—)3-89 . Drivers' Lim se or 4F. Reinspection Fee $15 Issue Fee $ 3 01 00035339-00035339 TOT . 6.75 0865-46,rev. /88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor DATE: 06/14/89 TIME: 09:43 �, `t\ „ t•j CONSTRUCTION AND PLANNING PO( SPA • APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement �. 3. Electrical Conduit Utility-Undrgrnd. 54. Forms -,4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding " 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test • 6. Electrical UFER Grnd. •,) 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. _•10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 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 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING '18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL %19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25., Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ! 79. FINAL INSPECTION 32. Electrical Power Meter-Final 7/ /f�� /�_ A 80. FOOD CERTIFICATE ISSUED 33. Final Electric / //S ?yEG Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation / 11 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Snecial Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co ./ 51. CERTIFICATE OF OCCUPANCY ? • ' No. Date • /3 SO I/�// A y.� /,) y Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. SO l[�� T /Y P IT NO. TRACT NO. LOT NO. UNIT NO. ICIT'iOFCOSTAMESA CONSTaUCTIONPERMIT A.P.# Zone II t. 37257 BLDG. H Project Address S Main Building: Accessory Building: Applicant's Wailing Address 4701 E. HUNTER AVENUE TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION U REPAIR �IOELSCHER/GUGGENHEIM PARTNERS ❑ CONVERSION ❑ DEMOLISH ❑ OTHER_ T Front - 0 QwnEr's Name -Phone DESCRIPTION OF WORK/USE OF BLDG. APTS. W/ATTACHED GARAGES B Rear • N Address 4665 MAC ARTHUR COURT, 11275 N.B. q I Arch/Eng. License No. TYPE OF PERM! 1:1 GRADING ❑ FOUNDATION U STRUCTURAL : C Right G Address ❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL I $ • Left _ R Contractor's Name LAZER ELECTRIC, INC. Phone 777-4233 ❑ OTHER • Ping. Ref.# Parking Req./Provided E Address(mailing) 4701 E. HUNTER AVE. , ANAHEIM 92807 PROJECT DESCRIPTION SQ. `T. 5748 OCCUPANCY R,/M• Planning Notes: M 032847 CONSTRUCTION TYPE VALUATION$ T City License No. ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION I hereby)ffirm that I am licensed under provisions of Charter 9 (commencing Remarks: BLDG. TYPE 3 (6 UNITS) with section 7000) of Division 3 of the Business and Professions Code,and ELECTRICAL FEES my license is in full f r£e and effect. BLDG. PERMIT 11 835592 License Cass C 1 u i Lic- o. 440682 • • Automatic Washer Transformer 0 15-50 KW Date 1- `-• • Signature /�-_ ✓� _ PLUMBING FEES WORKERS'COMPENSATION DErATIONConstruction Pole Sub. ❑ 50+ KW Ai reby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers s: Yorkers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter Dub to 100 amps aa °' `ab' PWC10O291640 CNA INS. Dishwasher Meter licy No. Company Backflow Irrigation Sewer Cap Dover 100 amps — LeJ Certified copy is hereby furnished. Dryers ❑Gas DElectric 6 Sub Panel @ $11.00 EA 66.00 ¢�rtif a c t'ed with the city Builtl' ppL� io Bathtubs Sewer Connection Date U1-10-�y Applicant � 1Gh ELECTRIC, INC. Fan Motors 00-1 HP 01%-8 ,n EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors c — W (This section need not be completed If the permit is for one hundred ($100) or Dishwasher • F.A.U. Inc.Solar 09.15 HP ❑16-15+ less). Solar Piping , I certify that in the performance of the work for which this permit is issued, I - + Fixtures -� shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank 6@ .75 EA Microwave 4.50 Workers' Compensation Laws of California. Device Boxes Date Signature Floor Drains Swimming Pool w/Spa r' - Pole Light NOTICE: It,after making this declaration,you should become subject to the Outlets Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal 6 @ .75 EA -+ Range 4, 50 comply with such provisions or this permit shall be deemed revoked. - CONSTRUCTION LENDING AGENCY Gas •Service Outlets Water Closet 6 Switches@ .75 EA -• Sign 4 50 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00.5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash 5748 SQ.PT.@ 3c 171 .4w following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains 15.00 the Contractor's License Law(Chapter 9 (commencing with Section 7000) of 'sign 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee ! $15 Issue Fee XEXXIXXl{ efrom and the basis for the alleged exemption. Any violation of Section ,1.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars ($500). DEVELOPMENT SERVICES REQUIREMENTS: LJI, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 Zoning Approved By Date compensation, will do the work, and the structure is not intended or offered - - for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES Building Approved By • —'Z/r, Date License Law does not apply to an owner of a property who builds or improves i�//�" thereon, and who does such work himself/herself or through his or her own • Hood or Type I 0 Application Issued By A Date j '2- .� employees, provided that such improvements are not intended or offered for BoilerYP - sale. It, however, the building or improvement is sold within one year of com- — -- -- — Canopy Type II ❑ S.• MA- OF F'., pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). - BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System tractors to construct the project (Section 7044,Business and Professions Code: PLAN CHEgK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- _ tractor(s) license pursuant to tne Contractor's License Law). I am aware that —Exhaust System ❑ Multiple ❑ System Repair/Alteration PLAN CHECK 25% $ ✓ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. • - ELECTRICAL $ n `�--�IJ .9[�� GRADING $ D I am exempt under Section B. & P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers MICROFILM $ PLAN CHECK 50% $ Date Owner Heating System& Ducting Registers MECHANICAL $ 266.94 I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL TOTAL FEE $ Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building c• struction, and hereby authorize repre- sentatives of this ' y to enter •p•• the above-mentioned property for inspection pu/'_,•••••-_, &.41_ _ - 01-18-89 Drivers' Licensetor . - - Reinspection Fee $15, Issue Fee $ 3 0.1 00024920-00024920 TOT 266.94 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 01/24/89 TIME: 11:20 S. r c . . .i CQNST'RUCTION AND PLANNING -_ • POC " SPA • •APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector es 1. Te-mporary Electrical Service or Pole 52. Pool & Equipment Location r - -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. 1 57. APPROVAL TO COVER-GUNITE 7. Footings ✓ .V 58. Electrical Conduit-Undrgrnd. • . 8. Foundation / 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. .4' 60. Backwash Lines, P-Trap, 0 Undrgrnd. • . 10. Structural Floor System rI 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection ' 62. Backwash & Receptor-Final 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 ,176. 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 Heat'nc,& 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 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical • 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL • 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT,REQUIREMENT 31. Plaster Brown Coat • '. J79. FINAL INSPECTION 32. Electrical Power Meter-Final Zia . FOOD CERTIFICATE ISSUED 33. Final Electric �� /�otes: 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 -9•a, 41. Solar Domestic-Final ". • • 42. Backflow Preventer • c' •- 43. Backflow Irrigation • ' in/i k 'r y- 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 j No. Date • 13S0 y"4!ct W�y Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OAdd'r s MESA CONSTRUCTIO�IN•C/ERMIT PERMIT NO. TRACT_ N NO. LOT N71- UNITNO A.P. Y, I Zone .7Ta�I5�.,C61+a�5 b• Sal i Fob -T —52 b d .110_0 - 35I - I� Ay1-112-Od I 2t{- Plbject Address S Main Building: I Accessory Building: .Applicant's Mailing Address 27 Bristol, S e• 2/5 GM ' TYPE OF CONSTRUCTION NEW•U ADD U ALTERATION REPAIR E f 1 1 ' Z Owner's Name Hoelscher/Guggenheim Phone 851-2116 0 CONVERSION 0 DEMOLISH 0 OTHER • T Front 4o' t -ID y I<) - o Address 4665 MacArthur Crt. Newport Beach 92660 DESCRIPTION OF WORK/USE OF BLDG. Apartment and garage B Rear az N Arch/Eng. Kermit Dorius License Nip TYPE OF PERMIT LJ GRADING 0 FOUNDATION IA(STRUCTURAL I C Right S • G Address 1550 Bayside Dr. Corona Del Mar ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S Left "Dot R Contractor's Name Lucas Developtent COY' hone 850-1551 ❑ OTHER garaae6b729I3ez• �_.Y 1 Ping. Ref.# �''�� —O 1 Parking Req./Provided /3 I) E Addresslmailing) 2755 Bristol, Ste. 275 CM 92660 PROJECT DESCRIPTION SQ. FT. 1 OCCUPANCY tt T Planning Notes: 141.N1 + ./, J_ NI 030749 CONSTRUCTION TYPE V-1hr VALUATION$37J,D/af JO _ _- _ 1 T City License No. ZONE GRADING CU.YDS. ACRES `BOLD FOR SPFAI. REQUIRE':EN1TS S. LICENSED CONTRACTOR DECLARATION" _ _ I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: with sectionis 7000) of a and f 3 of the Business• - and Professions Code,and 3--q- � ELECTRICAL FEES my license is in full force and effect. 257064 License C 55 B-1 LlCense No. Date Signature - PLUMBING FEES Automatic Washer Transformer 0 15.50 KW s� WORK R COMPENSATION Dilor RATION Construction Pole Sub. ❑ 50+ KW jV" 'thereby affirm that I have a cerj tate of consent to self-insure or a certificate Bar Sink Showers 1 Workers' Compensation I;, rance, or a certified copy thereof (SectionCooking Unit Meter Cup to 100 amps \ 4800, Lab. C.) Backflow Preventer Service Sink Policy No.No. 46-88 9- t 225&ompany State- Farm Backflow Irrigation Sewer Cap Dishwasher Meter Cover 100 amps Certified copy is hereby furnis0ed. ' - .)(Cert' jog oly is filed with the city Buil•r on. Bathtubs _Sewer Connection Dryers ❑Gas ❑Electric _)Sub Panel • Date 9• 9 eg Applicant' ' /• - - • Fan EXE PTI N FROM WORKERSIC• • ATION DECLARATION Clarifiers Solar Collectors Motors 001 HP 01%-8 (This section need not be Complete• •• permit is for one hundred($100)or F.A.U. less). Dishwasher Solar Piping Inc.Solar 09-15 HP 016-15+ I certify that in the performan•- • the work forlwhich this permit is Issued, I shall not employ any porso • any manner sol as to become subject to the Drinking Fountains Solar Tank Fixtures Microwave Workers' compensation Lad •I'California., Device Boxes Pole Light Date ignature Floor Drains Swimming Pool w/Spa9 NOTICE:If,after making this dbclaration, you should become subject to the Outlets Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet - Switches Sign . I hereby affirm that there is a construction lending agency for the performance - - of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Gaitiage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION - • I hereby affirm that 1 am exempt from the Contractor's License Law for the Lavatories Auto-Wash . following reason (Section 7031.5 Business and Professional Code: Any city or ' county which requires a permit to Construct,alter,Improve,demolish or repair P—Trap Laundry Trays . . any structure, prior to its Issuance, also requires the applicant for such permit . • to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains di the Contractor's License Law(Chapter 9(commencing with Section 7000)of • Division 3 of the Business and Professions Code) or that he/she is exempt ' Reinspection Fee therefrom and the basis for the alleged exemption. Any violation of Section f P $15Issue Fee 3 7031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). I DEVELOPMENT SERVICES REQUIREMENTS: //y1�� /� Z,{ U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 Zoning AppiO Ved By T Date i nil compensation, will do the work,and the Structure Is not intended or offered 1111 - �— V for sale (Section 7044, to an and Professional Code:who The Contractor's MECHANICAL FEES Building'Approved By '1'-'�— Date License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own • Application Issued By Date employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 - -•'- SU MARY QF„,FEE pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground s prove for the purpose of sale). - BUILDING PERMIT $ �y 02'ts-VSMTP $ 2%‘•..2.5— ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK .$ �60 •. R9\PERMIT tractorsto construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU '1, \ISSUANCE $ builds or improves thereon.and who contracts for such oroiects with a con- PLUMBING $ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% '$ eNERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. s • ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIL ICBG# Fire Dampers MICROFILM $ PLAN CHECK 50% $ Date Owner Heating System&Ducting Registers MECHANICAL $ I hereby certify that I have read this application and state that the above 1110-100,000 BTU 0100,000 EatTOTAL FEE $ q_52L'41 information is correct. I agree to comply with au city and county ordinances . - PLAN CHECK 25% $ and state laws relating to b . •ing construction, and hereby authorize repre • - sentatives of this L. - enter upon the above-mentioned ro rty for _ inspection -• �� / Date • D? !?D0.116,313765/111"1b:7J TC1T' '.b,; Signature p / ��, y/ Reinspection Fee $15 Issue Fee $ 3 / 1 y' Drivers' Li ss r� ORTE: TIME: 0?:?1 0865-4.-' 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor \ 1 ./CONSTRUCTION AND PLANNING -Iti POOL &SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector • 0 1, Temporary Electrical Service or Pole- - 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement . 3! Electrical Conduit Utility-Undrgrnd. . , . - 54. Forms I. Electrical Conduit-Undrgrnd. - ri 55. Electrical Bonding - '5. Steel Reinforcement ..: 56. Rough Plumbing & Pressure Test LQ�18f< �r/ 6. Electrical UFER Grnd. I' • 57. APPROVAL TO COVER-GUNITE • ,i - . F Footings • . C f 58. Electrical Conduit-Undrgrnd.s 8. Foundation c - L 7 -7(/• 7�' , 59. Gas Pipe, O Undrgrnd.,Test . • 9. Water Pipe-Undrgrnd. / 60. Backwash Lines, P-Trap, 0 Undrgrnd. • 10: Structural Floor System Z,$S/y 61. APPROVAL TO DECK • r 11''Property Sewer Line & House Connection 1 62. Backwash & Receptor-Final 13. 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 '. 1'7. Rough Wiring Sign 68. APPROVED FOR PLASTERING i8. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL • '9. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT • 20: Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil '23. Gas Pipe-Rough & Test / 72. Underground Flush 24. Roof Framing ' I ' 1 z4/-75 /^ 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing ;. t t(((( If 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing_ ' 7,, y icy 76. Dry Standpipe , 28, Lathing & Siding Rif if 77. FIXED SYSTEM FINAL 29. Insulation t1/4- 11 78. FIRE PREV. FINAL ,-.; 30: Drywall Nailing L, it ll HEALTH DEPT. REQUIREMENT 31..)Plaster Brown Coat 1.,;',. C1/4_ 79. FINAL INSPECTION 32. Electrical Power Meierr-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric ;•l -- Notes: „/ ' eery-S-i1 ..7 Rs; C. 4" 34. Final Heating& Air Conditioning / � S!`..- tend t Agns` �ov✓ Mm,v Pe 5 35. Final Gas Pipe-Test _,_-,e/y,�./�, a-/.�- ? cer 36. Hood or Canopy +T^`rl 0�•3 /'+>e9 37. Final Factory;Fireplace SG".t OK 7/iy/pp 38. Final Plumbing 'S ,) ' ( O 39. Water Service-Final HOLD FOR SPECIAL RF�UII•iTS ;40. Gas Service-Final 41. Solaf Domestic-Final •I 42. Backflow Preventer •-- i/' .---; I' • 43. Backflow Irrigation . . • 44. Landscape Irrigation System $ r' 45. Sound Attenuation •46. Handicap Regulations {/ 1 '47. FINAL STRUCTURE & BUILDING %y/D ��'e�^ • 48. Special Requirements Completed /fig 1M:7fr1.. t ,-r19. Electric Release to Edison ' 30. Gas Release to Southern California Gas Co , •i 51. CERTIFICATE OF OCCUPANCY ' .. No. Date . , r. I. 1 From the Desk of . . . KLAUS STRASCHIL 3/so/89 a. KI LACI meet A/,2p-/EMrs ,Q0.444 . LocvrA , CAt'S,4 rbu7r4/ sQ 4dr re-a/ n ,_e_40-Gtt� � f r €, test � 464144-e- 1t- �� ° `e 74., SQAjtvelfrel • . iet 4.77 gee, 7-41:1) 6 40- :et <a Ctn./ ire-Q- j3 "ITY OF COSTA MES CALIFORNIA 92628-1200 P.O.BOX 1200 • Insulation Certificate 1380 Village Way Costa Mesa CA Number and Street City Orange H County Subdivision Lot Number Description of Installation ROOF Material Composition Brand Name Prestique Plus Thickness(inches) CIDSSA Thermal Resistance(k-Value) EXTERIOR WALL Material Stucco Brand Name Portland Cement Thickness(inches) ' 7/8" Thermal Resistance(R-Value) R-11 Batt 3-1/2" Manville CEILING Batt or Blanket Type Batt Brand Name Manville Thickness(inches) 6-3/4" Thermal Resistance(R-Value) R 19 Loose Fill Type Brand Name Contractor's minimum installed weight/f2 lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance(R-Value) RAISED FLOOR Material N/A Brand Name Thickness(inches) Thermal Resistance(R-Value) SLAB FLOOR Material Concrete Brand Name Portland • Thickness(inches) 4" w/6x6x10x10 Thermal Resistance(R-Value) Width(inches) varies FOUNDATION WALL Material Concrete Brand Name Portland Thickness(inches) 8"-12" Thermal Resistance(R-Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. / �Q/� e- / 271 11f6 �n Gener ntract. )der) Y License Number l�� 4 r �l5 3to Signature and rile ` Date Sub-Contractor(Insulation Installer) License Number Signature and Title Date • R A4 u, / THE KEITH C M PAN I E S /''lurrn mg•Cird Ggl'in•rring•F,ru iron m,,ta(Srrnn'.•drdrilvu urn•/and•rnp,•.4'dri/rrhnr /u ml curl rl iaR • • July 18 , 1989 87-0125 Engineering Department City of Costa Mesa 77 Fair Drive Costa Mesa, CA. 92628 ATTN: Brian Haught 36 Po v/it ALIS 1-62A7 RE: PA 88-31 - 2400 College Avonuo, Costa Mesa, California Dear Mr. Haught: As the civil engineer, I certify that the precise grading has been completed in substantial conformance with the approved precise grading plan for the above referenced project. Sincerely, Robert Schneider RCE 42912 C ,., o C.; No.42912 s II Exp.331�92 � CNI��, lFOF CAI-C)r R870125-9826-L-RS 17961 Cowan,Irvine.California 02714 /714)R63 9 90 i3Vo _ n174/ 1139 " Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. \` CITY OF COSTA MESA CONSTRUCTION PERMI PER TRACT NO. LOT NO. UNI `, • Project Address�� /[f/NT�p • Applicant's Mailing Address 9371 Folkstone, Hunt. Beach TYPE OF CONSTRUCTION IM NEW CJ ADD LI ALTERATION L) REPAI R Owner's Name Hoelscher Guggenheim Phone 851-2116 0 CONVERSION ❑ DEMOLISH ❑ OTHER - A.P. 0 Zone I 4665 Macarthur Court, Newport Beach DESCRIPTION OF WORK/USE OF BLDG. Address S Main Building: Accessory Building: Dorius Architects �t Z Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING LJ FOUNDATION ❑ STRUCTURAL E Front O Address 1550 Bayside Dr. , Corona del mar 0 TENANT ❑ ELECTRICAL 0 PLUMBING ❑ MECHANICAL B Rear • N Contractor's Name Coastline Plumbing Phone 963-3800 0 OTHER A - 1 Address(mailing) 9371 Folkstone, Hunt. Beach PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N K G 023390 CON ST RUCTION TYPE VALUATION$ $ LeftR City License No. ZONE GRADING CU.YDS. ACRES - - E LICENSED CONTRACTOR DECLARATION Ping. Ref. # Parking Req./Provided I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: R ,� 3s-5-9/ Planning Notes: - M with section 7000) of Division 3 of the Business and Professions Code, and T. 'my license is in f�'II puce and effect. Ucenseilin `" �`v - -/niso.I394638 S Date U/ 78-8 Signature r�� _ PLUMBING I FEES WORKERS'COMPENSATION DECLA ON Bar Sink �2 Showers .i ELECTRICAL FEES hereby affirm that I have a certificate nsent to self-Insure or a certificate f Workers' Compensation Insurance, • a certified copy thereof (Section ' Backflow Preventer Service Sink - Automatic Washer Transfoimer 0 15.50 KW 3800, Lab. x)583678-87 • State e 0 50+ KW Policy No. Company Comp. Backflow Irrigation Sewer Cip P Construction Pole Sub. 18 Certified copy is hereby furnished. 2 ,1. Cer 'Irlteq oqy is filed with the city Ildin Lvision g Bathtubs / Sewer Connection p2i d) Cooking Unit Our,. Meter ❑uto 100 amps Date v/ (t)8 Applicant boast.Line Plti nbing - EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher ter Clover 100 amps . (This section need not be completed if the permit is for one hundred ($100) or less). '- Dishwasher Solar Piping g Dryers ❑Gas Electric ub Panel I certify that in the performance of the work for which this permit Is Issued I - shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motor's 00-1 HP 01%-8 Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa , •F.A.U. Inc.Solar ❑9-15 HP 016-15+ NOTICE:If,after making this declaration,you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks • Urinal Fixtures • - - • Microwave comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 4 Gas Service 90utlets n� 1A Water Closet �f I hereby affirm that there is a construction lending agency for the performance .0 .[l /,V Device Boxes Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors G Water Heater • 7r Outlets Range Lender's Name _ Lender's Address / Kitchen Sink Water Service //�1 OWNER BUILDER DECLARATIO•N `� /ph Switches Sign I hereby affirm that I am exempt from the Contractor's License Law for the /a Lavatories 4, Auto-Wash �� following reason (Section 7031.5 Business and Professional Code: Any city ors Garbage Disposal ;Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P—Trap • LaundryTrays any structure, prior to its issuance, also requires the applicant for such permit - y . Generator 00-5 KW 05-15 KW Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt - herefrom and-the basis for the alleged exemption. Any violation of Section , 1031.5 by'any applicant for a permit subjects the applicant to a civil malty of not more than five hundred dollars($500). • 1 ' U I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 luue Fee $ 3 , _ . compensation, will do the work,and the structure is not Intended or offered • - Reinspection Fee I $15 Issue Fee • $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES-.' License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not Intended or offered for Boiler . Hood or Type I ❑ sale. If, however, the building or improvement is sold within one year of corn- Canopy Type II ❑ Zoning Approved By Date pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground Building Approved By Date prove for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System . _ Application Issued By Date'! tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct:Ventilating . ❑0-100,000 BTU ❑100,000 BTU SUMMARY OF FEES builds or improves thereon, and who contracts for such projects with a con- - - - tractor(s) license pursuant to the Contractor's License Law). I am aware that - BUILDING PERMIT $. SMIP $ f Exhaust System ❑ Multiple ❑ System Repair/Alteration • proof o their Worker's Compensation insurance should be provided to me. - PLAN CHECK $ PERMIT 0 I am exempt under Section ' B. & P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ 0osC ISSUANCE $ Date Owner Heating System& Ducting ' Registers PLAN CHECK 25% $ .pcs I ENERGY P.C. $ OZ i•hereby certify that I have read this application and state that the above 00.100,000 BTU 0100,000 BTL•— . - ELECTRICAL $ GRADING $ in ion% correct. I agree to comply with all city and county ordinances andd state laws relati to building onstruction, and hereby authorize repre- sentatives of this sty to e - then a above-mentioned property for I PLAN CHECK ' 50% $ inspection pure ' ` s : , 1 0/5/88 • - TOTAL FEE $' /q 9' Signature _ • ; Date Reinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $ Drivers' License or 55 - ' CMF 0865-46,rev, 10/84 hite - Building; Canary -Applicant; Plnk -Accounting; Goldenrod - Assessor as- Ail 00016605-ODOIbfiOS TOT 149.25 , DATE: 10/07/RR TTMF: UenT 1 • CONSTRUCTION AND PLANNING POC SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2.'Soil Pipe-Undrgrnd. etain/py lj pe 53. Steel Reinforcement 3.,Electrical Conduit Utility-Undrgrnd. ...ope Forms 4:,Electrical Conduit-Undrgrnd. 55. Electrical Bonding - 5._Steel Reinforcement 56. Rough Plumbing & Pressure Test 6..Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7: Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, D Undrgrnd.,Test 9.-Water Pipe-Undrgrnd. Wa//ir taco 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10:•-Structural Floor System - 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection it-sea La) 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing Wfriliftic.OP 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 1 .'Rough Electrical-T Bar Ceiling, 69. POOL/SPA SYSTEMS F I NAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 201 Rough Factory Fireplace APPROVALS Permit# 21:Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas D Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0Gas ❑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 PREY. 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:31'cy tJJla r€. > (,I17- o f t-EQ 34. Final Heating & Air Conditioning 1 35. Final Gas Pipe-Test 7%/If ,_ 36. Hood or Canopy 37. Final Factory Fireplace 4/rte o� 38. Final Plumbing !7 �c 39. Water Service-Final 7,/ 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation • 44. ,Landscape Irrigation System - ) •� 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF,OCCUPANCY No. Date :-+ - •• G.� Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. P MIT NO. TRACT NO. LOT NO. UN NO CITY OF COST• __� .,SN; �'�,�- IONPE•MI � ' ,Z � �j amir A.P.# zone • • Project Address at-J.4 /� treat✓/ �/ S Main Building: Accessory Building: 7 a TYPE OF CONSTRUCTION U NEW ADD H ALTERATION U REPAIR E Z Applicant's Mails, Ad. •ss �jf_i y,' Owner's Name J. S •' Ma ' e P r 0 7517 ❑ CONVERSION ❑ DEMOLISH THER 1 j T Front 0 6 24 ,;` /� ?' • DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address fir ' r_' Hn G r` 7 - Licen a No. 3O z36 TYPE OF PERMIT ❑ GRADING FOUNDATION U STRUCTURAL IC Right N Arch/Eng. /� / 1rQ K G Address 1 7 '4I ( eIt er--' Ll 1 L6'C ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL $. Left R Contractor's Name Lc. en" - ' oneaKU/��, ❑ 'OTHER I Ping. Ref.# Parking Req./Provided E q (Aix-- PROJECT DESCRIPTION SQ. FT. OCCUPANCY Cl Address(mailing) �" •f<� 04.5 CONSTRUCTION TYPE VALUATION$ Planning Notes: M City License No. 3 ZONE GRADING CU.YDS. ACRES T LICENSED CONTRACTOR DECLARATION ..••.!S S. hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: B 2 L G 1 / • with section 7000) of Division 3 of the Business and •rofessi.ns Code,a U L7 I my license is in lull f�•e and ffect. I , ELECTRICAL FEES Licens• Clas •/ �i �, I 0 15-50 KW Date iL Signature Ica�rp�=:'�' PLUMBING FEES Automatic Washer Transformer WORKERS'COMPENSATION DECLARATION cE Se Construction P012 Sub. 0 50+KW C ` ' hereby affirm that I have a certificate of consent to self-insure or a cuficate Bar Sink Showers Workers' Compan ion Insur ce, orrtif ietl c••y ther tion Cooking Unit Meter p p ,00, Lab. 4. �— •1 'y e?f' Backflow Preventer Service Sink u to 100 amps Policy No. /� 9,: .,,,i,,,,,y2 r / Backflow Irrigation Sewer Cap Dishwasher Meter Clover 100 amps N. art if led copy Is h r furnish¢ I/ / /I I Dryers ❑Gas ❑Electric Sub Panel I Certlfit�lcopyrl;,C with the cl �i�! • !si. 1� / Bathtubs Sewer Connection 1 a 1� [ Applican 4� Fan Motors 00-1 HP ❑1%-8 EXEMPTION FROM WORKERS'C• 'E ATION •ECL• •nifl . Clarifiers Solar Collectors • (This section need not be completed if the permit is for one hundre• .00)or less). Dishwasher Solar Piping F.A.U. Inc.Solar 09-15 HP 016-15+ I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fixtures Microwave Workers' Compensation Laws of California. _ Device Boxes Pole Light Date Signature Floor Drains Swimming Pool w/Spa 9 NOTICE: If,after making this declaration,you should become subject to the Outlets Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYSwitches Gas Service Outlets Water Closet Sign I hereby affirm that therewhiis a permit lending Sefor the performance C.) of the work' for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name - Generator 00-5 KW 05-15 KW Trash Compactor OWNER Kitchen Sink Water Service O WNEy BUILDER DECLARATION -1-- I f hereby affirm that Iexempt from the Contractor's License Law for the Lavatories Auto-Wash followingreason (Section 7031.5 Businessand Professional Code: Any city or ' county which requires a permit t anstruct,alter,Improve,demolish or repairP—Trap Laundry Trays any structure, prior to its issunce, alsorequires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains / S&Zoer- term,,,-- s e •.+ the Contractor's License Law(Chapter Professions g with Section 7000) of z:pivision 3 of the Business and Professions Code) Or that he/she Is exempt Reinspection Fee ! $15 Issue Fee $ 3 !-,�terefrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to a civil ¢natty of not more than five hundred dollars(5500). I 3 DEVELOPMENT SERVICES REQUIREMENTS: I, as owner Of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ Zoning Approved By Date compensation, will do the work,and the structure is not intended oroffered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL ' FEES Building Approved By License Law does not apply to an owner of a property who builds or Improves ��E Date 11/�� Boiler Hood or Type and who does such work himself/herself or through his or her own Application Issued By • Date Il/7 employees, provided that such improvements are not intended or offered for I ❑ sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II ❑ SUMMARY OF FEES pietion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ ❑ i, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System tractors to construct the project (Section 7044,Business and Professions Code: - PLAN CHECK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU b .G. J ISSUANCE $ builds or Imoroves thereon. and who contracts for such oroiects with a con- PLUMBING $ tractor(s) license pursuant to ane Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation Insurance should be provided to me. I ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.&P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers MICROFILM $ PLAN CHECK 50% $ p Date Owner Heating System& Ducting Registers MECHANICAL $ - -- TOTAL FEE $ O• oa I hereby certify that I have rea• this a piicati• and state that the above ❑0.100,000 BTU 0100,000 BTL. informatio •rrect. I agree t. ornply ith al•ity and county ordinan s - PLAN CHECK 25% $ and state aws ting to u ,.ar1 cal•;s., d hereby authorize rGrlcry tentative of t 1 city d L cm"! - • • e-mentioned pt o Rx tyy r Inspectio aur p. s. E 1 a. �. IIIrF'/ Signature • tel.• �—��Je ate Drivers' License or 55# 01 00019149-00019149 TOT 8.00 0865-46,rev. 5/88 W ite - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor DATE: 11/09/88 TIME: 15:13 , CONSTRUCTION AND PLANNING POC SPA • APPROVALS Permit# Dai•1 Inspector APPROVALS Permit # Date Inspector • 1. Temporary Electrical Service or Pole -- 52'. Pool & Equipment Location 2. 'Soil Pipe-.Undigrnd. •� 53. Steel Reinforcement , it Elecirieal'Conduit4Utility-Undrgrnd. � ,,0 54. Forms •f' ' ACI Electrical Conduit'Undrgrnd. 1 ' % s 55. Electrical Bonding 1/ I y5.� Steel-ReTnfdrCe-entL. ? 56.-Rough Plumbing & Pressure Test i 1' >.- 'j v ' 57. APPROVAL TO COVER-GUNITE 6. Eleciiical'UFSR&cid'` r _--.� �� /7.•IFVdoyin s / i V-::'...:, r!1 -- 7 58. Electrical Conduit-Undrgrnd. L A fit, %'8: Foundation •'j, :: li )C C-/ 59. Gas Pipe, 0 Undrgrnd., Test ....,;ii 1/ 9:.Water Pipe-Undrgrnd. /rg ,.1 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor;System 1 , 3-,,�'� 61. APPROVAL TO DECK :,o, "ProPerty SeweriLine & House Connection i 11 D 62. Backwash& Receptor-Final i-" (Z GZ G� f 12; Sewer.CaAi" :,*" '' ,1 ',,i' ' 63. Heater & Vent-Final 13: Roof Drains ....:1.-/ i •,„; �''r1 \ 64. Plumbing System - Final I• ,- 14. Rough Plumbing, l I 65. Electrical-Final -2- 15. Roygh Electrical-Conduit i 66. Solar System-Final ;;16. Rough Electric Wiring 67. Fencing & Access Approval '1L7'• 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 . I 20..Rough Factory Fireplace `v APPROVALS Permit # 21. Ducts, in Structure ‘., 70. Underground Hydro 22. Ducts, Ventilating ) . 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test - 72. Underground-Flush 24. Roi f Framing, 73. Undergrnd.Storage Tank O Gas ❑Oil 25. Rodf 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 If n' 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 (Z1LSy LCo 39. Water Service-Final . 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation ? 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations • _ 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Q - 51. CERTIFICATE OF OCCUPANCY No. Date • • • Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT PM IT N TRACT NO. LOT NO. UNIT NO. A.P.#141-351-19f 141-192-03 I Zone R-4 Project Address1380 VILLAGE WAY nGn GRIF�ITH SUBDIVISIQN G ' S Main Building: Accessory Building: Applicant's Mailing Address 2755 BRISTOL ST.. #275 TYPE OF CONSTRUCTION NEW U ADD LJ ALTERATION U REPAIR E Z Owners Name HOFSCHER/GUGGENHEIM eRT ERS ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front 0 DESC' •TIO. OF WORK/US. • BLDG. B Rear N ^ Address 4665 MACARTHUR CT.,NB ..,- c' _..' •2-., '��;� V Arch/Eng. KERMIT DDRIUS License No. TYPE OF PERMIT U RADING MI F•UNDATIOOr�ppN a STRUCTURAL I C Right G ON... Address 1550 BAYSIDER. CORNOA DF, MAR ❑ TENANT El ELECTRICAL ❑ PLUMBING L:3 MECHANICAL $• Left 5 OTHERE Contractor's Name LUCAS DEVELOPMENT CQRPpone 850-1 SS' I Ping. Ref.4 Parking Req./Provided E PROJECT DESCRIPTION SQ. FT. OCCUPANCY --I 0 Address(mailing) 2755 BRISTOL #275 �'S1 Planning Notes: a M a CONSTRUCTION TYPE �,ry' VALUATION$ T City License No. 030749 ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION �� ..� ` I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: with section 7000) of Division 3 of the Business and Professions Code,a d my license is in full for f and ea • / •�/ ELECTRICAL FEES Licens- Cies �.► / L7 se N•- ' f� ❑ 7550 KW _eta �fw, PLUMBING FEES Automatic Washer Transformer Date .v Signal M. _ WORKER COMPENSATION•LARATIO Conslluction Pole Sub. ❑ 50+KW '•-ereby affirm that I have a certificate of consent to self-insure or ertificate Bar Sink Showers Norkers'SCompensation Insurance, or a certified copy thereof (Section Backf low Preventer Service Sink Cooking Unit Meter Duo to 100 amps , Lab.Policy No. 46-88 UNIT 2 2panyST'TE F'RM 1-1-89 Backflow Irrigation:" Sewer crap Dishwasher Meter Clover 100 amps �}-.I� Certified copy is hereby furnish:• a •� . • ,— Dryers ❑Gas ❑Electric Sub Panel ICI Ce lif ie�copy 1ST with the P union;e a•110 / Bathtubs j_ $ewe!COnneCliOn Date 6 l Applic. Aa -�=�- Fan Clarifiers Solar Collectors Mo ❑0.1 HP ❑1h-8 EKE PTion FROM WORKERS' I Mhe pSATION DE e.ARA 10 — ___.- (This section need not be completed If the permit is for one hundrd($1•0) or F.A.U. less). Dishwasher Solar Piping Inc.Solar 09-15 HP 016-15+ I certify that in the performance of the work for winch this permit ued, I - Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains;' Solar Tank i Microwave Workers' Compensation Laws of California. Device Box2S Pole Light Date Signature Floor Drains •- ZHeater g Pool w/Spa 9 NOTICE:If,after making this declaration,you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks rinal Outlets . Range comply with such provisions or this permit snail be deemed revoked. Switches CONSTRUCTION LENDING AGENCY Gas Service Outlets Sign I hereby affirm that there is a construction lending agency for the performance Closetor the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER ER DECLARATION I n affirm that I am exempt31.5from the Contractor'sofiol License Law for the Lavatories Auto-Wash following e (Section to Business and, Professional Code: Any cityear which — anyntyrequires a permitc ,construct,alter,improve,applicant suc or rrmit P—Trap Laundry Trays oy structure,, Astor to ifs he/, also requiresicethesuanto for such perions of to file a Tactor' statement that(Chapter apte is (comm pursuant to the provisions of Roof Drains the siontr3c of the LicenseiLaw and r fe s ons Cod )Ing with Section 7is x)of i:fro 3 of Business Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 • :from and the basis for the alleged exemption. Any violation of Section 1.5 by any applicant for a permit subjects the applicant to a civil , rally of not more than five hundred dollars($500)- DEVELOPMENT SERVICES REQUIREMENTS: Li I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 compensation, will do the work,and the structure Is not intended or offered I _ Zoning Approved By Date- for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved B Date License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own Application Issued By Dat: 6, employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement Is sold within one year of corn- — Canopy Type II 0 SUMMARY O FE pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $ builds or Improves thereon.and who contracts for such orojects with a con- tractors) license pursuant to the contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I PLAN CHECK 25% . $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. GRADING $ ❑ I am exempt under Section -B.& P.C.for this reason 6 Firepl/Fact.Bit. ICBG 42301 Fire Dampers [�`j/ pO ELECTRICAL $ 7 PLAN CHECK 50% $ MICROFILM $ Date Owner Heating System& Ducting Registers MECHANICAL $ 6 9• too6 7. do I hereby certify that I have read th application and state that the above 00-100,000 BTU D100,000 BTL TOTAL FEE $ information is correct. I afire to co •ly w, ,all city and county ordinances PLAN CHECK 25% $ and state elatin• to di . stru•�s,,'r•n,and hereby authorize repre- sentative / ,s c',•' to r•e'•l9 a / - above-mentioned pro erty f N. Inspect'. .•i , rte .. /� 01 00028472-00028472 TOT 69.00 Drivers' �� Pink - Accounting; Goldenrod - Assessor C i • . CONSTRUCTION AND PLANNING • POOSPA • APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector • 11. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. 'Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd: ,Y 54. Forms r 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ,• 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test • 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE __,L141/ 7. Footings 58. Electrical Conduit-Undrgrnd. /; 8. Foundation + 59. Gas Pipe, 0 Undrgrnd.,Test .7 a 9. Water Pipe-Undrgrnd. _ 60. Backwash Lines, P-Trap, O Undrgrnd. • 10. Structural Floor System i 61. APPROVAL TO DECK _j 11. Property Sewer Line & House Connection f 62. Backwash & Receptor-Final 12. Sewer Cap i' - -'f 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 i • 68. APPROVED FOR PLASTERING 118. Rough •Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough.Heating & Air Conditioning FIRE DEPT. REQUIREMENT 120. Rough Factory Fireplace /4.26M Lco APPROVALS Permit# f'21: Ducts, in Structure �.t•, 70. Underground Hydro 22. Ducts, Ventilating • 71.-Product Piping 0 Gas 0 Oil 23./Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulatiorn .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 71Z/fre 38. Final Plumbing 39. Water Service-Final •,1 40. Gas Service-Final • 1 41. Solar Domestic-Final 42. Backflow Preventer lI 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 1 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date '• . !3e1O I)t//q-6- I7)A-,Y Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO. TRACT NO. LOT NO. UNIT NO. CIYv OF COSTA MESA A CONSTRUCTION SO ,NSI TR UCTION PERMIT -7 NA.P.5p I Zone Project Address --+�'�' "'^-� '7� D 1 - - 3 5 b a R q 6 Tit- �� I y/ / S Main Building: Accessory Building: ' -Applicant's Mailing Address TYPE OF CONSTRUCTION LJ NEW U ADD U ALTERATION REPAIR Owner's Name Wt� L•Pma"R Phone15,S) ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front 0 • DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address ZIfl Ilibi'te L-- .Sre ant CGSDR- Masa A I Arch/Eng. License No. TYPE OF PERMIT U GRADING U FOUNDATION i❑ STRUCTURAL I C Right G Address 7 fie" III TENANT ❑ ELECTRICAL ID PLUMBING 'MECHANICAL $ Left Contractor's Namp �//L4'v4tt•gfO Phone72,1-g nen ❑ 'OTHER E _ Ping. Ref. Parking Req.IProvided E Address(mailing) 1 WI(0 G.nir,ecctt- St COC.-'4 1/17-0 PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: 0 f72Ansr! CON STRUCTION TYPE VALUATIONS T City License No. Ca ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION /��,. �� }� ��p I hereby affirm that I am licensed untler provisions of Charter 9 (commencing Remarks: /34,..0 co G—"'' fir+^S7 /''-J,..a� with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. ELECTRICAL FEES License Class G- /� • pse rvo.4�12 3 17 Lice/ �1 -'13t Signature ��1w�+C-1 � PLUMBING FEES Automatic Washer Transformer 0 15-50 KW • WORKERS'COMPENSATION DECLARATIONConstruction Pole Sub. 0 50+KW I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers V Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps 800, Lab. C.) /1 Policy No. IAKIl�J 1127N Company 5Jemit'1D'L A('b0hL Backflow Irrigation . Sewer Cap . Dishwasher Meter Dover 100 amps B❑ lyertified copy Is hereby furnished. - Dryers ❑Gas ❑Electric Sub Panel /Certified cony is filed with the city B��BIL•m _yq[j.®•. Bathtubs . Sewer Connection Date (2.---&-al. Applicant -41/_ _iFan Motors 00-1 HP 01%-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred($100)or less). Dishwasher p, Solar Piping F.A.U. Inc.Solar 09-15 HP 016.15+ I certify that in the performance of the work for which this permit is Issued I / Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave 0) . Workers' Compensation Laws of California. � n Device Boxes c8Date Signature Floor Drains` r Swimming Pool w/Spa Pole Light NOTICE:If,after making this declaration, you Should become subject to the Workers' Compensation provisions.of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Switches Si n _ Gas Service Outlets Water Closet 9 I hereby affirm that there is a Construction lendingagency for the performance j of the work for which this permit Is issued Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00.5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7091.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt erefrom and the basis for the alleged exemption. Any violation of Section Reinspection Fee $15 Issue Fee $ 3 31.5 by any applicant for a permit subjects the applicant to a civil - nalty of not more than five hundred dollars($500), DEVELOPMENT SERVICES REQUIREMENTS: 0 I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved ByDate License Law does not apply to an owner of a property who builds or improves - thereon, and who does Such work himself/herself or through his or her own Application Issued By Date 17--/..—e6 employees, provided that such Improvements are not Intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II ❑ SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground prove for the purpose of sale), BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Reli igeration System tractors to construct the project (Section 7044,Business and Professions Code: PLAN CHECK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating (D 0-100,000 BTU ❑100,000 BTU .544 PLUMBING $ ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. 0 I am exempt under Section B. & P.C.for this reason Firepl/Fact.Bit. ICBG# . Fire Dampers ELECTRICAL $ J GRADING $ PLAN CHECK 50°.. $ t1 B V MICROFILM $ Date Owner Heating System& Ducting Registers sr' .r akt I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100,000 BT MECHANICAL TOTAL FEE $ �� Information is correct. I agree t comply with all city and county ordinances PLAN CHECK 25% $ 1 O A N and state laws relating to bull g construction, and hereby authorize repre- sentatives of this cit to e on the above-mentioned property for e K r. t_ IRiAM.t_k_A-- inspection purposes, Signature Date 11----/-.0C Drivers' License or 55$ < Reinspection Fee $15 Issue Fee $'5 _ 0100020972-00020972 TOT 108.00 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 12/02/88 TIME: 0934 CONSTRUCTION AND PLANNING POOL PA APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3, .Electrical Conduit Utility-Undrgrnd. 54. Forms / 4. Electrical Conduit-UndFgrnd. 55. Electrical Bonding 5. Steel Reinforcement " - 56. Rough Plumbing & Pressure Test 6. -ElectticalUFER'Grnd: 57. APPROVAL TO COVER-GUNITE ' 7.. Footings �' 58. Electrical Conduit-Undrgrnd. 8! 'Foundation i 59. Gas Pipe, 0 Undrgrnd.,Test r: ,.9. Water Pipe-Undrgrnd. ( 60. Backwash Lines, P-Trap, D Undrgrnd. 10. Structural Floor System ( - 61. APPROVAL TO DECK 11. Property Sewer Line& House Conhection 62. Backwash & Receptor-Final 12. Sewer.Cap _i . -.� 63. Heater& Vent-Final 1311-Roof Drains 64. Plumbing System - Final 14r 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 7/76/(cp i ? ' FIRE DEPT. REQUIREMENT • 20., Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating L(kilyct C_-W 71. Product Piping 0 Gas 0 Oil 23..+Gas Pipe-Rough& Test - 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil; 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) &;Monocoat 75. Dry Chemical 27. Frame and Flashing - 76. Dry Standpipe 28. Lathing& Siding -.� 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION • 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED -. 33. Final Electric Notes: i r 34. Final Heating & Air Conditioning 774/69 S- 35. Final Gas Pipe-Test ! 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer t.f... 43. Backflow Irrigation ~' •�l 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 1.11.- 51. CERTIFICATE OF OCCUPANCY t No. Date s , Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. _ CITY OF COSTA MESA CONSTRUCTION PERMIT PEIT f�OgR• /p�. TRACT NO. LOT NO. UNIT NO. 4.P. I Zone Project Addcess LEGE IJfib::'///�,4 3N " `�i BLDG. G 1 ' Y �•(J�"y- OLNEW Main Building: Accessory Building: OL Applicant's Mailing Address 4701 E. HUNTER AVENUE TYPE OF CONSTRUCTION NEW U ADD U ALTERATION U REPAIR E 2 HOELSCHER/GUGGENHEIM PA jgRS D CONVERSION ❑ DEMOLISH ❑ OTHER I T Front N Owner's Name DESCRIPTION OF WORK/USE OF BLDG. Rear Address 4665 MAC ARTHUR COURT #275 N.B. AREA LI H : re: • t - A C Right - • N Arch/Eng. License No. TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL K G Address ❑ TENANT 'CJ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ • Left R Contractor's Name LAZER ELECTRIC, s Phone 777-4233 . ❑ OTHER Ping. Ref.# Parking Req./Provided E 4701 E. HUNTER AVENUE ANAHEIM 92807 PROJECT DESCRIPTION SQ. FT. OCCUPANCY PlanningNotes: Q Address(mailing) M City License No. 032847 CONSTRUCTION TYPF VALUATION$ ZONE GRADING CU.YDS. ACRES $, LICENSED CONTRACTOR DECLARATION h - - ' {� 1 hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: li•. S.-C f t9 t lb` with section 7000) of Division 3 of the Business and Professions Code, and 1 J J\ \ 1 sT my license is in full or and effect. ELECTRICAL FEES -/U 440682 .g7-77z...5-4 License Class Li _ Date Ll6-13-89 Signature ....0_____ _att — PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORbEaSi •COMPENSATION • CL• •oION Bar Sink I Showers Construction Pole Sub. •❑ 50+KW hereby affirm that I have a tern e of consent tofi d self-insure re or a certificate r� I Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit / Meter vop to 100 amps • A J800 Lab. p*C100291640 CNA INS. Backflow Prr Service Sink Policy No. - Company Backflow Irrigation Sewer CapDishwasher Meter Dover 100 amps , ❑❑ Certified copy is hereby furnished. —• }{ 1 Certjfg d y filed with the city gut D s Bathtubs Sewer Connection Dryers ❑Gas ❑Electric / Sub Panel ii- 0 Date U0-f3°07 Applicant LA��k g EuTRIC. INC. - Fan EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Motors❑Ol HP ❑1 h-B (This section need not be completed if the permit is for one hundred($100) or F,A.U. less). Dishwasher Solar Piping Inc.Solar 09-15 HP 016-15+ I certify that in the performance of the work for which this permit is issued, I �J Fixtures /„ shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank / Microwave `G Workers' Compensation Laws of California. Device Boxes Pole Light Date Signature Floor Drains Swimming Pool w/Spa9 . • NOTICE:If,after making this declaration, you should become subject to the - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks • Urinal -. Outlets Range .- comply with such provisions or this permit shall be deemed revoked. - • CONSTRUCTION LENDING AGENCY •- Switches Si n . Gas Service Outlets Water Closet g I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ, C.) Interceptors Water Heater, ' Garbage Disposal Standing Sections Lender's Name ' Lender's Address • Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor , OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash, 1 T�C"C C'l�K 3 PO following reason (Section 7031.5 Business and Professional Code: Any city or - county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays - any structure, prior to its issuance, also requires the applicant for such permit - - to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains • the Contractor's License Law(Chapter 9(commencing with Section 7000) of - 'Division 3 of the Business and Professions Code) or that he/she Is exempt 4.� $9 herefrom and the basis for the alleged exemption. Any violation of Section Reinspection Fee $15 Issue Fee • /031.5 by any applicant for a permit subjects the applicant to a civil . enalty of not more than five hundred dollars ($500). - DEVELOPMENT SERVICES REQUIREMENTS: O I, as owner of the property or my employees with wages as their.sole Reinspection Fee I $15 Issue Fee .. $ 3 Zoning Approved By (late - compensation, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License.Law does not apply toan owner of a property who builds or improves - - e �!� � thereon, and who does such work himself/herself or through his or her own Application Issued By Dat_ an, employees, provided that such Improvements are not Intended or offered for Boiler • Hood or Type I ❑ _ sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she dId not build or Im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ -. (3I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK tractors to construct the project (Section 7044,Business and Professions Code: $ PERMIT- The Contractor's License Law does not apply to an owner of property who • Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU ISSUANCE $ PLUMBING $ builds or improves thereon. and who contracts for such oroiects with a con- tractor(s) license pursuant to Ine Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I PLAN CHECK 25% $ �7 ENERGY P.C. $ proof oftheir Worker's Compensation insurance should be provided to me. ELECTRICAL $ /TJ• 7S GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBO+Ik Fire Dampers MICROFILM $ PLAN CHECK 50% $ Z Date - Owner. Heating System& Ducting Registers MECHANICAL �•�• 7C I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL $ TOTAL FEE $ Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction, and hereby authorize repre- sentatives of chi to enter u••n_ he above-mentioned property for inspection purr • . �`/ 06-13-89 - • Signature ism •a' •. • : Reinspection Fee $15 Issue Fee $ 3 01 N0335338-0035338 TOT - 'p Drivers' Licensed¢ "d.f.. DATE: 06/14/89 TIME: 09:43 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor . CONSTRUCTION AND PLANNING POC A 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 I 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test • 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE • .7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ 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 1 64. Plumbing System - Final 14. Rough Plumbing II 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval f. • 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING t18. 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 D Gas 0 Oil 23./Gas Pipe-Rough & Test - 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing - 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Moriocoat 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 7 / , a 80. FOOD CERTIFICATE ISSUED G� ' '. 33. Final Electric ,! ` Notes: 34. Final Heating & Air Conditioning / `r 35. Final Gas Pipe-Test 36. Hood or Canopy I � 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final r 41. Solar Domestic-Final r 1 42. Backflow Preventer / r.) 43. Backflow Irrigation .. I 44. Landscape Irrigation System 45. Sound Attenuation j 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Snecial Requirements Completed V. 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY �., -! No. Date • 1 ' ' r. I ' , • / 3262 f////�j� ,-)�> Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. — CITS OF COSTA MESAONSTTER- RUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. A P * Zone a V----C—a, BLDG. G ect Address S Main Building: Accessory Building: IRant's Mailing Address 4701 E. HUNTER AVENUE TYPE OF CONSTRUCTION U NEW III ADD . ALTERATION U REPAIR E Z - ❑ CONVERSION ❑ DEMOLISH ❑ OTI-tER, • T Front o Owner's Name 4665 MAC ARTHURGUGGENHEIM PARS DESCRIPTION OF WORK/USE OF BLDG. HEIS• W/ATTACHED GARAGES BA Rear N Address MAC COURT, #275 N.B. I Arch/Eng. License No. TYPE OF PERMIT CIGRADING ElFOUNDATION U STRUCTURAL , C Right N Address Ill TENANT $ELECTRICAL III PLUMBING ❑ MECHANICAL S. Left G LAZER ELECTRIC, OTHER ' Ref. R Contractor's Name INC.INC• Phone 777-42"}3 Ping. # Parking Req./Provided E Address(mailing) 4701 E. HUNTER AVE. , ANAHEIM 92807 PROJECT DESCRIPTION SQ. FT. 5748 OCCUPANCY R,/M' ' planning Notes: M 032847 CONSTRUCTION TYPE V VALUATION$ I T City License No. ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: BLDG. TYPE 3 (6 UNITS) ' with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. B35591 ELECTRICAL FEES - License class C10 c o 440687 BLDG. PERMIT �/ Date V 1' 89 Signature S ._ PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DEC ATION Construction Pole Sub. 0 50+ KW 'hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter ❑up to 100 amps a Lab Backflow Preventer Service Sink I �4}C100291640 CNA INS. , ' �, Dishwasher Meter Dover 100 amps Poi�Py No. Company Backflow Irrigation Sewer Cap p 801. kerb lied copy is hereby furnished.a Dryers ❑Gas ❑Electric 6 Sub Panel @ $11.00 EA 66. 0 LDate!! (ertl c I led with the cityBuilding Division. Bathtubs Sewer Connection Date UL—/ 0Y Applicant LAZER ELECTRIC. INC. \, EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Fan MOt Ors❑Ol HP ❑1'/h-B �y (Thissection need not be completed if the permit is for one hundred($100)or F.A.U. Inc.Solar ❑9.15 HP 016-15+ less). Dishwasher Solar Piping I certify that in the performance of the work for which this permit is issued, I6 Fixtures @ .75 EA Microwave 4. .0 shall not employ any person in any manner so as to become subject to the Drinking Fountains ' Solar Tank Workers' Compensation Laws of California. Device Boxes Date Signature Floor Drains Swimming Pool w/Spa Pole Light NOTICE: If,after making this declaration,you should become subject to the Workers' Compensation provisionsionsof the Labor Code, you must forthwith Floor Sinks Urinal 6 Outlets @ •75 EA Range 4. .0 comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYGas Service Outlets Water Closet 6 Switches @ .75 EA Sign 4. .0 I hereby affirm that there is a construction lendingagency for the performance issued the work for which this permit is issued (Section 3097 Clv. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name • Lender's Address Kitchen Sink Water Service Generator 00.5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash 5748 SQ.FT. @ 3C 172 4 following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of )S n nivision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee • I trefrom and the basis for the alleged exemption. Any violation of Section .31.5 by any applicant for a permit subjects the applicant to a civil flenalty of not more than five hundred dollars($500). I $15 Issue Fee $ 3 DEVELOPMENT SERVICES REQUIREMENTS: I, as owner of the property or my employees with wages as their sole Reinspection Fee compensation, will do the work, and the structure is not intended or offered Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves _ __ __ thereon, and who does such work himself/herself or through his or her own - - Application Issued By Date/W. cmployoos, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale. II, however, the building or improvement is sold within one year of com- Canopy Type II ❑ SUMMARY O F pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK tractors to construct the project (Section 7044,Business and Professions Code: $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100 000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon.and who contracts for such oroiects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that ,Exhaust System ❑ Multiple 0 tem Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ Proof of their Worker's Compensation insurance should be provided to me. IDELECTRICAL $ 12-6166 GRADING $I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBO# ' Fire Dampers MICROFILM $ PLAN CHECK 50% $ Date Owner Heating System& Ducting Registers MECHANICAL266.94 I hereby certify that I have read this application and state that the above 00100,000 BTU 0100,000 BT $ TOTAL FEE $ -. information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction, and hereby authorize repre- sentatives of this city to enter upon the above-mentioned property for inspection purvt. _ 01-18-89 L Reinspection Fee I $15 Issue Fee $ 3 01 00024919-00024919 TOT 266.94 08po-4n_re`. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 01/24/89 TINE: 11:20 Vm1STRUCTION AND PLANNING ' POO SPA i 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 , t • 3. Electrical Conduit Utility-Undrgrnd. 54. Forms I L, i! •v4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 9 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test -. 6. Electrical UF ER Grnd. ,•i • 57. APPROVAL TO COVER-GUNITE 7: Footings .f 1 58. Electrical Conduit-Undrgrnd, • 8. Foundation T, 59. Gas Pipe, 0 Undrgrnd.,Test 1 9. Water Pipe-Undrgrnd. '7%, 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 . 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'& Rough Electric Wiring 67. Fencing& Access Approval 1,7. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-7 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71'' Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 172. Underground Flush ' 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑Oil -' 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30.i Drywall Nailing HEALTH DEPT. REQUIREMENT 31, Plaster Brown Coat /JJ9. FINAL INSPECTION 32. Electrical Power Meter-Final /l . FOOD CERTIFICATE ISSUED 33. Final Electric bill/it /Motes: •) 34. Final Heating & Air Conditioning bill/it 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing / 39. Water Service-Final 40. Gas Service-Final ( ' • 2 41. Solar Domestic-Final `i. I 42. Backflow Preventer 'f-ti. 43. Backflow Irrigation . • / I 44. Landscape Irrigation System �" r' 45. Sound Attenuation 46. Handicap Regulations 4 47. FINAL STRUCTURE& BUILDING ,- 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Ca �•; I 51. CERTIFICATE OF OCCUPANCY No. Date O.hgO VI/_,L.4- ear pr licant to fit)in all spaces except those within heavy border lines and sign all apcprlate declarations.`tY" , CITY OF CQSTA MESA CONSTRUCTION PERMIT �/�/ PERMIT NO. TRACT NO. LOT NO. UNIT NO. A P qlt Zone • tt 3 .3SS90 TA9G1 q/92 eI4p F l�1 - 35I —l9� 1�1- 1�2-03 I l2� Project Address Tfrj+',.��',1L r' - LIL,f' S Main Building: Accessory Building: , .Applicant's Marling Address 2755 Bristol, SLC. 275 TYPE OF CONSTRUCTION NEW Li ADD U ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHE _ T From O ,Owne-S's Name Hoelscher/Guggenheim Phone 851-2116 DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address 4665 MarArthur C'rt. NPR 92660 garage L A 60 • 4 (/¢� I Arch/Eng. Kermit Doris License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION IAl STRUCTURAL I C Right a S G Address 1550 Ra--4ide Drive, ('nm ❑ TENANT ❑ ELECTRICAL ❑ pLUMEING ❑ MECHANICAL S _Left .�5 /� P,j B8.3) Y1�i[IP ❑ OTHER garage 1200 S.T. Ping. Ref. # e T�l��b� Parking / R Contractor's Namp TA-Iraq fThvPl(-1 nt Phone 850-1551 9Req./Provided •134,43 E PROJECT DESCRIPTION SQ. FT. 9475 s.f. OCCUPANCY x-1,M-1 /" 1°Address(mailing) 7755 Rri stol Rte f (nsta MP.sa 92626 nn Planning Notes: O U w •- q rj M C ON ST RUCTION TYPEy-1}lr VALUATION$3, 42 4nfx QI pp r T City License No. 113 749 ZONE GRADING CU.YDS. ACRES , HOLD FOR SPECIAL REQUIREMENTS S' LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: with section 7000) of Division 3 of the Business and Professions Code, and 55'2 - QO e my license is in IullyrT and effect. 257064 V G.. U ( ELECTRICAL FEES License las tI3S .L License No. Date Signature PLUMBING FEES 0 15-50 KW Automatic Washer Transformer 0 50+ KW WOR ERS'COMPENSATION E ARATION Construction Pole Sub. I hereby affirm that I have a rt' tate of consent to self-Insure or a certificate Bar Sink Showers IID -f Workers' Compensation urance nr a certified copy thereof (Section Backflow Preventer Service Sink 46-88 Unit Cooking Unit Meter ❑up to 100 amps 300, Lab. C.) LL 77 State Farm roilcy No. Company Backf low Irrigation Sewer Cap Dishwasher Meter Dover 100 amps Certified cop is hereby furnished. 189 '• y ,� . Dryers ❑Gas ❑Electric — Sub Panel Cert f' gg o Is filed with the city - inion. Bathtubs Sewer Connection Date G� Applicant ' y� Fan Motors 00.1 HP 01%-8 EXEM TIO FROM WORKERS'C• , ATION DECLARATION Clarifiers Solar Collectors (This section need not be complete• • permit is for one hundred ($100) or F.A.U. Inc.Solar❑9.15 HP ❑16-15+ less). Dishwasher Solar Piping I certify that in the performan • he work for which this permit is issued, I Fixtures shall not employ any person le ny'manner"so.as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Compensation Law/.f•California. Date gnature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light - - NOTICE: If,after making this declaration, you should become subject to the -Ringo ' Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal _. 9 comply with such provisions or this permit shall be deemed revoked. �: Switches?CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet I Sign I hereby affirm that there Is a construction lending agency for the performance • of the work for which this permit Is issued (Section 3097 Civ. C.) Interceptors Water Heater -, . Garbage Disposal Standing Sections ' Lender's Namet Lender's Address _ Kitchen Sink Water Service - t y, Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash ... following reason (Section 7031.5 Business and Professional Code: Any city or - • county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays / : - any structure, prior to Its issuance, also requires the applicant for such permit l to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains '' 1 the Contractor's License Law(Chapter 9 (commencing with Section 7000)of I Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 :erefrom and the basis for the alleged exemption. Any violation of Section • 31.5 by any applicant for a permit subjects the applicant to a civil - ' `' salty of not more than five hundred dollars($500). • DEVELOPMENT SERVICES REQUIREMENTS: //^/,�� !' 'JD i-J I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 it Zoning Approved By V Dat V r� O e compensation, will do the work,and the structure is not Intended or offered - V for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building,Approved By Date License Law does not apply to an owner of a property who builds or improves r 11111151-._ , y'�� p. thereon, and who does such work himself/herself or through his or her own Applisation'.Issued By -=-4.4.--w O �r �.__ _ Datn In/.$'"�g0 employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 • - �_ sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II 0 f + •- S MMARV OF FEES pletlon, the owner will have the burden of proving he/sne did not build or Im- Duct-Under Ground .j • "r..•. oS prove for the purpose of sale). - BUILDING PERMIT $ O()2 so SMTP $ Z 9' y/ 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System tractors to construct the project (Section 7044,Business and Professions Code: _ .� 3/PLAN CHECK $ 'N •f z PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑x100,000 BTU ❑100,000 BTU builds or improves thereon-and who contracts for such oroiects with a con- ` Y PLUMBING $ ISSUANCE $ tractor(s) license pursuant to the Contractor's License Law). I am aware that - Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ GRADING $ _ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers MICROFILM $ — PLAN CHECK 50% $ Date Owner Heating System&Ducting Registers $ TOTAL FEE $ (o3o.df I hereby certify that I have read this application and state that the above 1:10-100,000 BTU 0100,000 BTL ) Information Is correct. I agree to comply with all city and county ordinances ' PLAN CHECK 25% $ and state laws relating to buildi • construction, and hereby authorize repre- -' sentatives of this city to en - upon the above-mentioned pr•perty for Inspection purpose Signature ✓ Date 7 Z 4i Reinspection Fee $15 Issue Fee $ 3 01 O[101E3�- ❑_016374 TOT 2630.04 Drivers' License or = ki� 0865.46,rev. :8 white - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor DATE; 1G/Dei 88 TWP+E; 09:20 . . . , .- CONSTRUCTION AND PLANNING POOL PA A'PPRQVALS 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: Electhcal Conduit-Undrgrnd. 55. Electrical Bonding • ; 5'. Steel•Reinforcement Gr • '/ol2-fi , /C7' A) 56. Rough Plumbing & Pressure Test .r 6. Electrical UFER id. j r - 57. APPROVAL TO COVER-GUNITE 7 Footings . Y • - r 58. Electrical Conduit-Undrgrnd. , 8: Foundation f I_e 11/y/i,rY • c,......-/ `I '59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. ( Y - 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10:•Structural Floor System • 61. APPROVAL TO DECK 11, Property Sewer Line & House Connection ' 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains - 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 • iv 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT • 20. Rough Factory Fireplace r, APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro ,22:;Ducts, Ventilating •1 / 71. Product Piping 0 Gas 0 Oil 23: Gas Pipe-Rough & Test r^ 72. Underground Flush 24. Roof Framing ,` 7,6 9 73. Undergrnd.Storage Tank 0 Gas 0 Oil ' 25. Roof Sheathing { /c N 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat -75. Dry Chemical _ 27. Frame and Flashing .--e_ Li 76. Dry Standpipe 28: Lathing & Siding k U 77. FIXED SYSTEM'FINAL 291. Insulation -7 N 78. FIRE PREV. FINAI\ L 30. Drywall Nailing ij 4 v.. HEALTH DEPT. REQUIREMENT LA. 31: Plaster Brown Coat -. n % 79. FINAL INSPECTION 32 Electrical Power Meter- Final 80. FOOD CERTIFICATE ISSUED 11 . 33. Final Electric Notes: 34. Final Heating& Air•Conditioning 35. Final Gas Pipe-Test Na 36. Hood or Canopy • - ,S�-b,Q, _.t- lt/U-luKLhOK, 74/JQq .1-• 37. Filia!factory?Fireplace HOLD FOR SPECIAL ll'lEN7S 38. Final •PltimbinJ '39. Water Service-Final . ti. 40. Gas Service-Final , 41. Solar Domestic-Final - ;T\ U ,-42. Backflow Preventers • '• 1 i --43. Backflow Irrigation �•- .44. Landscape Irrigation System is L... . 1 45. Sound Attenuation : "�•� i� 46. Handicap Regulations , 47. FINAL STRUCTURE & BUILDING 7//L,,/;q /,2.5 48. Special Requirements Completed Y r 7 -(-u .L � 49. Electric Release to Edison 2 if . t , 50. Gas Release to'Southern California Gas Co �" 51. CERTIFICATE OF OCCUPANCY :, No. • Date , CITY OF COSTA MES.' L..LIFORNIA 92628-1200 P.O.BOX 1200 Insulation Certificate 1380 Village Way Costa Mesa CA Number and Street City Orange F County Subdivision Lot Number Description of Installation ROOF • Material Composition Brand Name Prestigue Plus Thickness(inches) CIDSSA Thermal Resistance(R-Value) EXTERIOR WALL Material Stucco Brand Name Portland Cement Thickness(inches) ' 7/8" Thermal Resistance(R-Value) R-11 Batt 3-1/2" Manville CEILING Batt or Blanket Type Batt Brand Name Manville Thickness(inches) 6-3/4" Thermal Resistance(R-Value) R-19 Loose Fill Type Brand Name Contractor's minimum installed weight/ft2 lb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance(R-Value) RAISED FLOOR Material N/A Brand Name Thickness(inches) Thermal Resistance(R-Value) SLAB FLOOR Material Concrete Brand Name Portland Thickness(inches) 4" w/6x6x 10x 10 Thermal Resistance(R-Value) Width(inches) varies FOUNDATION WALL Material Concrete Brand Name Portland Thickness(inches) 8"—12" Thermal Resistance(R-Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. A r �'�1, /1 .„ tract ..,,der) ,y License Number %l,</ �'("/� / !'/ — 3o - &c, Signature and 'it Date Sub-Contractor(Insulation Installer) License Number Signature and Title Date * RMC / THE KEITH C u'M PAN I E S • P(urrrrmF'coil Urgmry rirtR-I:rrrvr•rmrcrua/Srn irrs•Arrbilei lrnr. apr Ardri,,lurr•Gurd Aor rvigC • July 18 , 1989 87-0125 Engineering Department City of Costa Mesa 77 Fair Drive Costa Mesa, CA. 92628 ATTN: Brian Naught /349e0 ✓,� *16 4043T RE: PA 88-31 - 2900 College Avenue, Costa Mesa, California Dear Mr. Haught: As the civil engineer, I certify that the precise grading has been completed in substantial conformance with the approved precise grading plan for the above referenced project. Sincerely, Robert Schneider RCE 42912 ti CP- c_ r0 No.42912 A I w ^, tI Q Exp.3-31-92 Vit ; �jJl• CMt • STC OF CAI-(3 • • R870125-9826-L-RS 1796/Cowan,Irrirrr.Ca(ifnrrria 92714 (7141x(3 9300 ICii,t()F `. s7l D UILL,¢� to Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. J - • . ; COSTA-MES/sA. CONSTRUCTION'Q I PEFy19T fyQ.s.z TRACT NO. LOT NO. UNI !/ /�0{`I. D� , . Prpject Address I IJ/ s7J ��.�,�� • Applicant's Mailing Address 9171 .Folkstone, Hunt. Beach TYPE OF CONSTRUCTION 1J NEW U ADD U ALTERATION REPAIR Owner's Name Hoelscher Guggenheim Phone 851-2116 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# I Zone Address 4665 Maacar-thur Court. Newport Beach DESCRIPTION OF WORK/USE OF BLDG. — S Main Building: • Accessory Building: Arch/Eng. Darius Architects License No. TYPE OF PERMIT U GRADING U FOUNDATION U STRUCTURAL E Front 0 Address 1550 Bayside Dr. , Corona del Mar ❑ TENANT El ELECTRICAL ® PLUMBING ❑ MECHANICAL BB Rear N C • ontractor's Name Coastline Plumbing Phone 963-3800 ❑ OTHER PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N Address(mailing) 9371 Folkstone, Hunt. Beach K - G 023390 CO N ST RUCTION TYPE VALUATION$ S Left - R City License No. - ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION Png. Ref. # Parking Req./Provided • E I hereby affirm that I am licensed under provisions of Charter 9 (commencing ,Remarks: �ss : Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code,and T 7 0 my license is In WIl-tprce and effect. I.� T License Slpss .. Ilen.� v 394638 . �p Date IU Signature rtt1'r 1 PLUMBING FEES 'YORKERS'COMPENSATION DELL• R• ION a hereby affirm that I have a certificate o consent to self-insure or a certificate Bar Sink Showers TO ELECTRICAL FEES _if Workers' Compensation Insurance, or a certified copy thereof (Section - Backflow Preventer Service Sink - - 3800, Lab. C.)-' .. Automatic Washer Transformer ❑ 15-50 KW PolicyNo. 583678-87 Company State Comp. Backflow Irrigation Sewer Ca - 0 50+KW yn� 9 P Construction Pole Sub. S' RCertified copy is hereby furnished. yy qg q� • a' Cer�i.f.ie,¢coRy,is filed with the city Smile/Ina 1,i0a tim e.Plumbing g• Bathtubs • i' Sewer Connection .47 $' ,Cooking Unit Meter 0u to 100 amps • Date ll))//D//00 Applicant L- 4 • EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwashef ••i9 Meter ❑over 100 amps - (This section need not be completed if the permit is.for one hundred ($100)or less). - Dishwasher Solar Piping ' .Dryers ❑Gas ❑Electric Sub Panel I certify that In the performance of the work for Which this permit Is issued; - shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank ' Fan • Motors 00-1 HP 01%-B Workers' Compensation Laws of California. - Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP 016-15+ 'NOTICE: If,after making this declaration, you should become subject to the - ' Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks • Urinal - Fixtures - ' - Microwave comply with such provisions or this permit shall be deemed revoked. ) CONSTRUCTION LENDING AGENCY /�� Gas Service 4OutletsM )/ Water Closet / Device Boxes Pole Liht I hereby affirm that there is a construction lending agency for the performance (f(^' 9 of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors �/! Water Heater C Outlets Range Lender's Name 9 Lender's Address - jp Kitchen Sink Water Service /}� Switches OWNER BUILDER DECLARATION /��J Sign I hereby affirm that I am exempt from the Contractor's License Law for the /{. Lavatories //1 Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or ((��// !L Garbage Disposal Standing Sections county which requires a permit to construct,alter,Improve,demolish or repair P—Trap Laundry Trays Generator ❑0.5 KW ❑5-15 KW Trash Compactor any structure, prior to Its issuance, also requires the applicant for such permit P to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains - • 'he Contractor's License Law (Chapter 9(commencing with Section 7000) of - iivision 3 of the Business and Professions Code) or that he/she is exempt , nerefrom and the basis for the alleged exemption. Any violation of Section • 7031.5 by any applicant for a permit subjects the applicant to a civil - penalty of not more than five hundred dollars ($500). OI, as'owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee • - $ 3 compensation, will do the work,and the structure is not Intended or offered - Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and,Processional Code: The Contractor's • • MECHANICAL FEES - License Law does not•apply to an owner of a property who builds or Improves thereon, and who does such work himself/herself or through his or her own — — DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0 ZoningApproved ByDate sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II ❑ pP p , the owner will have the burden of proving he/she did not build Or im- Duct- Under Ground proverove for the purpose of sale). Building Approved By Date• �D/� /� I El I, as owner of the property, am exclusively'contracting with licensed con- Duct-Structural • - Refrigeration System _ - Application Issued By - Date 6 tractors to construct the project (Section 7044,Business and Professions Code: _ ' The Contractor's License Law does not apply to an owner of property who Duct-Ventilating - ❑0-100,000 BTU 0100,000-BTU SUMMARY OF FEES • builds or Improves thereon, and who contracts for such projects with a con- tractors) license pursuant•to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation Insurance should- be provided to me. PLAN CHECK $ PERMIT ❑ I am exempt under Section B. & P.C.for this reason Firepl/Fact.BIt. ICBO# Fire Dampers PLUMBING $ ISSUANCE $ Date owner Heating System &Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ . I hereby certify that I have read this application and state that the above " 00-100,000 BTU 0100,000 BT ELECTRICAL $ , GRADING $ information is correct. I agree to comply with all city and county ordinances and state laws ing to ildi con truction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $, sentatives his city t6 ante the above-mentioned property for 1 Q ��/ Inspect p r oes. `t �' MECHANICAL $ a3 9,OC,� Signature h Reinspection Fee , $15 - Issue Fee $ 3 el PLAN CHECK 25% $ CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink.-Accounting;Goldenrod - Assessor 01 00016603-00016604 TOT 239.25 • CONSTRUCTION AND PLANNING PC i SPA < APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector . r 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2: Soil Pipe-Undrgrnd. �4( � („SD 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4:'Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. :Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7.,Footings 58. Electrical Conduit-Undrgrnd. 8.-Foundation ' 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. a•u-at LCD 60. Backwash Lines, P-Trap, O Undrgrnd. 10: Structural Floor System 61. APPROVAL TO DECK Property Sewer Line & House Connection ,Z.y„yy LEO 62. Backwash & Receptor-Final 12. Sewer Cap '83. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 3/21/fl LWcD 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 Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20, Rough Factory Fireplace APPROVALS Permit# - 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush • 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 17-7_. �'/l' "`' L u.�.i�'o I cR�icc�c-- 34. Final Heating & Air Conditioning 35. Final'Gas Pipe-Test 7b-Orie 36. Hood or Canopy ✓�'� 37. Final Factory Fireplace 38. Final Plumbing /i747_47i� 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer •� _ 43. Backflow Irrigation 44. ,Landscape Irrigation System - I 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 • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. P RMIT NO. TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA QfS}S,TRI I 1 N PERMIT 4-1• P 3 Ce 12(p A.P.# I Zone Project Address �� llll IywV I/ S Main Building: Accessory Building: O(/ TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION REPAIR Applicant's Mails • Ad. ess �___ _- ��'^ G! E Z 'Wive cel 5.- T,��7 ❑ CONVERSION ❑ DEMOLISH OTHER i T Front O Owner's Nam/ �� ¢ DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address 1665 , y k-- �� C� 1-/ G TYPE OF PERMIT ❑ GRADING U FOUNDATION U STRUCTURAL I C Right N Arch/Eng. �- License No. 3 KG Address ' / -i 111TENANT IIIELECTRICAL .4"—LUMBING ❑ MECHANICAL S ' Left R Contractor's Name ` /41-9 ac•-•••/' p Phone RSO / 5/ ❑ OTHER Ping. Ref.4 Parking Req./Provided E 7 G PROJECT DESCRIPTION SQ. FT. OCCUPANCY Q Address(mailing) �` SS /LG/ �� Planning Notes: M �• CONSTRUCTION TYPE VALUATIONS T City License No. 3 4 C 7 ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION �q I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: / 3 S / U with section 7000) of Divisio 3 of the Business and Professions Code, d L my license is in full `f•e and ffect /'/ a / ELECTRICAL FEES License lass a! --' ash te T — Date . signet ur:tow lc `1V 7_A _ PLUMBING FEES Automatic Washer Transformer 0 15.50 KW WORKERS'COMPENSATION D LA ATION \ Bar Sink Showers Construction Pole Sub. 0 50+ KW l hereby affirm that I have a certificate of consent to self-insure or a certi .te f Workers' Compensation Insurance, o led .•y there Section Cooking Unit Meter ❑up to 100 amps 3800, Lab. • " Backflow Preventer Service Sink Policy No.'•" 4 �� - pa y / Backflow Irrigation Sewer Cap Dishwasher ; Meter Dover 100 amps Certified copy is here turn .hed. q 411111,115/ Dryers ❑Gas ❑Electric — Sub Panel Certiti cq$v is • with tre cit 'I•' TDlvi ' g Bathtubs Sewer Connection _ at m/ Appl ant / , EXEMPTION FROM WORKERS •MPENSATION DEC ARA Clarifiers Solar Collectors — Fan Motors❑Q7 HP ❑1 h-8 (This section need not be completed if the permit is for One hundred'41,00)or F.A.U. Inc.Solar 09-15 HP 016-15+ less). Dishwasher Solar Piping I certify that in the performance of the work for which this permit is issued, I Fixtures shall not employ any person In any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Compensation Laws of California. Devic¢Boxes Date Signature - Floor Drains Swimming Pool w/Spa Pole Light NOTICE: If,after making this declaration, you should become subject to the Outlets Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Range comply with such provisions or this permit shall be deemed revoked. - Switches CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P—Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit ..."1 may/ - ..nom to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains c we,— Peer-t ( S c. the Contractor's License Law(Chapter 9(commencing with Section 7000) of ' S •ivision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 ierefrom and the basis for the alleged exemption. Any violation of Section .031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or-offered Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By M Date License Law does not apply to an owner of a property who builds or improves JI�`'rs I� I Fa thereon, and who does such work himself/herself or through his or her own • Application Issued By /�"/ Date R l employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ sale. if, however, the building or improvement Is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilatin ❑0-100,000 BTU ❑100,000 BTU 90 ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- 9 PLUMBING $ tractors license pursuant to me Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.8 P.C.for this reason Firepl/Fact.Bit. ICBO# Fire Dampers PLAN CHECK 50% $ MICROFILM $ n Date Owner Heating System&Ducting Registers MECHANICAL $ jS • 00 I hereby certify that I have read this appl -anon a • state that the above 00-100,000 BTU 0100,000 BTL TOTAL FEE $ information Is correct. I agree to c•mpl w . all cit and county Ordinances / PLAN CHECK 25% $ and state la . , . 'ng to buildin•1 o a on A n• ereby authorize repre- sentatives • thi i •sty t� en -•,t•on ' r•, '•• • - -` inspection urpos s i t- �- DSriverureNor " • a Reinspection Fee $15 Issue Fee $ 3 01 00019148-00019148 TOT 8.00 Drivers' Lice or 55 1,t DATE: 11/09/88 TIME: 15:12 0865-46,rev. 5/88 White - :uilding; Canary -Applicant; Plnk -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING PO. `SPA APPROVALS Permit# Date. Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole --'^%' 52. Pool & Equipment Location 2., Soil Pip9GUgdrgrnd. - ' ra- 53. Steel Reinforcement !I . 3. Electrice!'conduit Utility-Undrind. i 1 54. Forms -- 4. Electrical Conduit-tfndrgrnd. ' �/ 55. Electrical Bonding L f 5. Steel:Reinforcement •'r - fri 56. Rough Plumbing & Pressure Test 6' Electfic'et6F,ER'Grrnd.. mss' i 1 • 57. APPROVAL TO COVER-GUNITE ----4.----4.."--Ti,4. i 7. Footings- r.-1 - L 1 �9 58. Electrical Conduit-Undrgrnd. , _8.'.Found ion.a."1 ! !/. :�! ! 59. Gas Pipe, 0 Undrgrnd.,Test •••` , 19" Water,Fipe-Undrgrnd. ; , „ 60. Backwash Lines, P-Trap, 0 Undrgrnd. `') 10'.' Structural Floor SystemTi- f, ,, 61. APPROVAL TO DECK • �yN 1'1. Property Sewer Line & House Conviction .i24*y i.....(„0i.....(„0 - 62, Backwash & Receptor-Final i '\ 12' Sewer Cap' .. ] i •11rr• 63. Heater & Vent-Final 13. Roof Drains f • � •� r� 64. Plumbing System - Final { X14. Rqugh Plumbipg f 1 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final (It. Rough Electric Wiring 67. Fencing & Access Approval '1'7. 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 7- 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test -' 72. Underground.Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical; . 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL - 29. Insulation 78. FIRE PREV..FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT '31. Plaster Brown Coat 79. FINAL INSPECTION 132: Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED . t .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 l,Z-d•'t(r Lt") 39. Water Service-Final 40. Gas Service-Final - • 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation . 44. Landscape Irrigation System 45. Sound Attenuation 46:Handicap Regulations 0- 47. FINAL STRUCTURE & BUILDING •- 48. Snecial Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT to P RMIT NO. ¢ TRACT NO. LOT NO. UNIT NO. A.P. 141-351-19 , 141-192-03 Zone R-4 • ProjeciAddress. 1380 VILLAGE WAY "F" .17 V5 7 GRIFFITH SUBDIVISION F • q 2755 BRISTOL ST., #275 TYPE OF CONSTRUCTION LJ NEW U ADD U ALTERATION LI REPAIR S Main Building: Accessory Building: .Applicant's Mailing Address E z Owner's Name HOFTSC[-IER/GUGGENHEIM PARS ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front 0 4665 MACARTHUR GT.,NB DESC' • ION I WORK/USE I :LOG B Rear N Address ft.✓ •r x ,Ml_ i' 2) A A Right N Arch/Eng. KERMIT DORIUS License No. TYPE OF PERMIT III G •ADING IN F• NDATION • STRUCTURAL Address 1550 BAYSIDER, CORNOA DEL MAR ❑ TENANT ❑ ELECTRICAL El PLUMBING ® MECHANICAL S . Left R LUCAS DEVELOPMENT CORP 850-1551 ❑ OTHER n !Ping. Ref.# ParkingRe /Provided E Contractor's Name Phone /`—/ g q 0 PROJECT DESCRIPTION SD. FT. OCCUPANCY Address(mailing) 2755 BRISTOL #275, CM J Planning Notes: M CONSTRUCTION TYPEy VALUATION$ T N. City License No. 030749 ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION 0 - 3 Sj9 0 \ I hereby affirm that) I am licensedion under provisions of Charter 9 (commencing Remarkf: mwy sectionis 7full O Division 3 of the Business a0• Professions Code, an my license is in full f-e an• effect. ELECTRICAL FEES Lice a Class a• • Li,.4 N••. / ' Date •_ — Signatu�r�' Vel • PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WOR ERS'COMPENSATION F� 'T •N Construction Pole Sub. 0 50+ KW lereby affirm that I have a cer tate of consent to self-insure orNe•rtificate Bar Sink Showers Workers' Compensation Insurance, or a certified copy thereo (Section Backflow Preventer Service Sink Cooking Unit Meter 0 u to 100 amps _d00, Lab. L Policy No. 90-88 UNIT 27c5,4pap STA E F RMIrrigation —" - Dishwasher Meter Dover 100 amps Sewer Capp ❑ Certified copy is hereby furnished —1-89 - Dryers ❑Gas ❑Electric Sub Panel Da Cert' 'etl y isr��etl with the ci in �v Bathtubs Sewer Connection Date — —ff) gpplica YA.t.IC,, - Fan Motors 00-1 HP ❑1h-S EXEMPTION FROM ORKE RS'C• NSATI N DEC LARATI --Clarifiers y. Solar Collectors (This section need not be completed if the permit Is for one hundred 00)or F.A.U. Inc.Solar 9-15 HP 016-15+ less). Dishwasher •- Solar Piping - I certify that in the performance of the work for which this permit is issued I Fixtures - shall not employ any person In any manner so as to become subject to the Drinking Fountains' Solar Tank / • wave Workers' Compensation Laws of California. Device BOxYS Date Signature Floor Drains • S . ming Pool w/SpaPole Light NOTICE:If,after making this declaration, you should become subject to the - Workers' Compensation provisions of the Labor Code, you must forthwith Outlets Range comply with suchprovisions or thisFloor Sinks Urinal 9 permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Sign Water Closet Switches I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097 Clv. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name - Lender's Address Kitchen Sink Water Service Generator 00.5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION — 1 hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays any structure, prior to its issuance, also requires te applicant for such permit to file a signed statement that he/She is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000) of vision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 refrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 Zoning Approved By Date compensation, will do the work,and the structure Is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICALFEES Building Approved By Date License Law does not apply to an owner of a property who builds or Improves thereon, and who does such work himself/herself or through his or her own Application Issued By Dat employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ S MMARY OF EES pletion, the owner will have the burden of proving he/she did not build or imDuct-Under Ground - prove for the purpose of sale). BUILDING PERMIT $ SMIP $ 0 I, as owner of the property, am exclusively contracting with licensed con- • Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who • 00-100,000 BTU ❑100,000 B7U PLUMBING $ ISSUANCE $ builds or Improves thereon. and who contracts for such oroiects with aeon- Ventilating _ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof oftheir Worker's Compensation Insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.& P.C.for this reason 1 Firepl/Fact.Blt. ICBG# 2301 Fire Dampers 40 dp MICROFILM $ PLAN CHECK 50% $ Date Owner Heating System& Ducting Registers MECHANICAL $ `QS • co TOTAL FEE $ / an Cer, I hereby certify that I ha, read his appy anon and state that the above ❑o-100,000 BTU 0100,000 BTL Informal . correct. t. ply w'. all city and county ordinances PLAN CHECK 25% $ and sta relati• to �1 „Q ,co ru Ion, and herebyauthorize repre- sentati Chi j y �� '1 7 above-mentioned propertyp inspect If/f•• ��—� o /� ..... �y 01 00028471-03023471 TOT 105„00 SIgnatDrivers' 'cense or 55# 90 - 0865-46,rev. 5/88 Wh' e - Building; Canary -Applicant; Pink - Accounting; Goldenrod - Assessor • CONSTRUCTION AND PLANNING • P01 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-Undrgfnd. 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 I" i 7. Footings r 58. Electrical Conduit-Undrgrnd. - 8. Foundation 1 -? 59. Gas Pipe, O Undrgrnd., Test 9. Water pipe-Undrgrnd. 60. Backwash Lines,P-Trap, O Undrgrnd. 10. Structural Floor Systeme . 61. APPROVAL TO DECK . 11. Property Sewer Line & House Connection /<I 62. Backwash & Receptor-Final 12. Sewer Cap ' '.7 J-g-- 63. Heater & Vent-Final 13. Roof Drains . ' , I 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final f • 15. Rough Electrical-Conduit 1 66. Solar System-Final ,16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 118. Rought.Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 1,20. Rough Factory Fireplace • `ilL6/dv ED APPROVALS Permit# L 41. Ducts, in Structure t!./I 70. Underground Hydro 22. Ducts, Ventilating 7; /t.) 714/Product Piping OGas ❑Oil 23. Gas Pip Rough & Tas,t r' ,72. Underground Flush 24. Roof Framing ✓ 73. Undergrnd.Storage Tank D Gas ❑Oil 25. Roof Sheaihing `r/ 74. Overhead Hydro 26. T-Bar Ceiiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing.& Siding •77. FIXED SYSTEM FINAL 29. Insulation - 78. FIRE PREY. FINAL 30. Drywall'Nailing • HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Mpter-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 //, r 38. Final Plumbing 39. Water Service-Final ; 40. Gas Service-Final 41. Solar Domestic-Final ,' - 1� •;� 42. Backflow Preventer • 43. Backflow Irrigation 44. Landscape Irrigation System �' �,.• 45. Sound Attenuation ✓;'�� 46. Handicap Regulations f,.• 47. FINAL STRUCTURE & BUILDING 4„ 48. Special Requirements Completed 49. Electric Release to Edison '•L 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date r✓ I310 ✓-s�s.1aj,J ioG/ , •,F, Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTR UC lO{�N PE IT I PERMIT NO. TRACT NO. LOT NO. UNIT NO.•F q.P-# ( Zone ' Project Address 34C'O nOda-XLH RD` F-te - `1 M 34coI r.,// f21 E Main Building: [Accessory Building: Z • Applicant's Mailing Address TYPE OF CONSTRUCTION L7 NEW U ADD U ALTERATION EPAIR ❑ CONVERSION 0 DEMOLISH ❑ OTHER I T Front O Owner's Name LVt•-A0 -6e8/t3LA4"filie r Phone RSO-I-M DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address PSC 13444 not- a 27c LDa'r4)71‘,,q. A I ' C Right N Arch/Eng. License No. TYPE OF PERMIT 0 GRADING 0 FOUNDATION STRUCTURAL ' K G Address 0 TENANT ❑ ELECTRICAL 0 PLUMBING /MECHANICAL $• Left ❑ E Contractor's Name� 'O N IAefal'T'i�� Phone7�J'/^1/SOTHER y C - ,Ping. Ref.# Parking Req./Provided E Address(mailing) ii Io 0.001n•-4.4(41 ST �2.n4 9 I7ZD PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: M C3Si SI CONSTRUCTION TYPE VALUATIONS T City License No. ZONE GRADING CU.YDS. - ACRES S. LICENSED CONTRACTOR DECLARATION p I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: S V� b rt.�R+v11T D �21�.s�O • with section 7000) of Division 3 of the Business and Professions Code,and D .7 my license is in full force and effect. n ,, ELECTRICAL FEES License Class ' -e.C) �wo`•i1€.14i? — Date /2-1-1133 y Signature PLUMBING 1 FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATION Bar Sink Showers Construction Pole Sub. ❑ 50+KW •hereby affirm that I nave a certificate of consent to self-Insure or a certificate I Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps - 3800, Lab. C.) Policy No. INC', 4214 Company sSJPets at, .✓R'1i DNA L Backflow Irrigation Sewer Cap .. Dishwasher Meter Dover 100 amps /��(-ertified copy is hereby furnished. Dryers ❑Gas ❑Electric `— Sub Panel Y Certified copy 13s,��Iled with the city B in Bathtubs 4 Sewer Connection Date I / fee Applicant - Fan Motors❑0-1 HP ❑1'h-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors , (This section need not be completed if the permit Is for one hundred ($100) or F.A,U. Inc.Solar 09.15 HP 0336-15+ less). Dishwasher Solar Piping I certify that in the performance of the work for which this permit is issued, I • Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains • Solar Tank Microwave 0— Workers' Compensation Laws of California. . Date Signature Device Boxes Pole Light 03 9 Floor Drains Swimming Pool w/Spa 9 NOTICE:Compensation makingthis odeclaration: you should become subject to te Workers' provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range comply with such provisions or this permit Snail be deemed revoked. CONSTRUCTION LENDING AGENCYSwitches Gas Service Outlets Water Closet Sign I hereby affirm that there is a construction lending agency for the performance . , of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name -- Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor --- OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or - county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to Its issuance, also requires the applicant for such permit - to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of [vision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 erefrom and the basis for the alleged exemption. Any violation of Section ' .331.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). I DEVELOPMENT SERVICES REQUIREMENTS: U I. as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 compensation, will do the work,and the structure Is not Intended or offered Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By _ Date License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I 0 Application Issued By 'T Datet 9 2 iSif employees, provided that such improvements are not Intended or offered for yP sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refr eration System tractors to construct the project (Section 7044,Business and Professions Code: �,(Jg PLAN CHECK $ PERMIT 0Isd6 The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 100,000 BTU 0100,000 BTU 90 ISSUANCE $ PLUMBING $ builds or improves thereon.and who contracts for such oroiects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware thatPLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation Insurance should be provided to me. Exhaust System 0 Multiple❑ System Repair/Alteration ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.BI[. ICBG# Fire Dampers PLAN CHECK 50% $ MICROFILM $,,)fir^ Date Owner Heating System& Ducting Registers MECHANICAL $ nlnow. I hereby certify that I have read this application and state that the above 0o-100,000 BTU 0100,000 BTL TOTAL FEE $ 1�1` d Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to b (ding construction, and hereby authorize repre- sentatives of this,CltY to n the above-mentioned property for 'O AIt fiA� r Ips 4C �., inspection pufpos Y tt F-"�- Signature Date�l�/"8 • Drivers' License or SS# Reinspection Fee $15 Issue Fee SIC 01 00020973-00020973 TGT 170.00 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 12/02/88 TIME: 09:35 • CONSTRUCTION AND PLANNING POC SPA 'APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location • 2.+Soil Pipe-Undrgrnd. r 53. Steel Reinforcement 3.:Electrical Conduit Utility-Undrgrnd. 54. Forms 4.I Electrical ConduitUndrgrnd. 55. Electrical Bonding 5..Steel Reinforcement., 56. Rough Plumbing & Pressure Test 6. Electrical UFERGrrid.• ,• , 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 • I 61. APPROVAL TO DECK • 11. Property Sewer Line& House Connection 62. Backwash & Receptor-Final • 12. Sewer'Cap . • 63. Heater & Vent-Final 13: Roof Drains • - 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 188 Rough Electrical-I Bar Ceiling 69. POOL/SPA SYSTEMS FINAL • 19? Rough Heating & Air Conditioning ilfit/ (�� 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.iGas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing _ 73. Undergrnd.Storage Tank ❑Gas O Oil 25. Roof Sheathing 74. Overhead Hydro • 26. T-Bar Ceiling (Structural) &,Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding '' 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32.. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning thilJa A� 35. Final Gas Pipe-Test ••vtl 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. .Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison , 1 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY No. Date '1,11 ' /3('6 '1/214/aike /0 3 �f F" Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION P MIT PERMIT�^ NO.. pp�pr TRACT NO. LOT NO. A P #• - - Zone • Project Addrese ZiCIG LULLLbL E 3 3313-3 0 O . BY.g17 NQ,� I �ggII i E , S Main Building: Accessory Building: Applicant's Mailing Address 4701 E. HUNTER AVENUE TYPE OF CONSTRUCTION x�NEW LJ ADD L7 ALTERATION LJ REPAIR E _ Z Owner's Name HOELSCHER/GUGGENHEIM PAT �kpRS ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front O DESCRIPTION OF /USE OF BLDG. A Rear N Address 4665 MAC ARTHUR COURT #275 N.B. AREA LIGHTING/CARPORT LIGHTING AI Arch/Eng. License No. • TYPE OF PERMIT LJ GRADING CI FOUNDATION CI STRUCTURAL C C' Right N Address - • ❑ TENANT"L'Jyyyy--�� ELECTRICAL 1111PLUMBING 0 MECHANICAL - $' Left R Contractor's Name LAZER ELECTRIC, INC, Phone7/7-4233 0 OTHER • Ping- Ref. # Parking Req./Provided E Address(mailing) 4701 E. HUNTER AVENUE ANAHEIM 92807 PROJECT DESCRIPTION SQ. FT- OCCUPANCY Planning Notes: M 032847 CONST RUCTION TYPE VALUATION$ T City License No. ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION - 2 I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 2 Cr9 a leekwithsection 7000) of •Division 3 of the Business and Professions Code, and 1/ my license is in fulLfo`ce and effect. 440682 : �,j — ELECTRICAL FEES • Litense Class G 1U Li n "'� Date '06-13-89 Signature /L�!all_ PLUMBING FEES ■ Automatic Washer - Transformer 0 15-50 KW WORKERS'COMPENSATION D- TION Construction Pole Sub. III 50+ KW I hereby affirm that I have a cern of consent to self-insure or a certificate Bar Sink Showers of Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink • _■C Cooking Unit le Meter Li up to 100 amps MUM 3600, Lab. 100291640 CNA INS, �. Dishwasher - Meter Dover 100 ampsEU Policy No. Company Backflow Irrigation Sewer Cap • Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel Certifiecopy�is filed with the city iHki [ s1.RIGs INC. Bathtubs Sewer Connection ' • Date VO 1J o7 Applicant LG Fan Motors❑0-1HP ❑1'h-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors ' -(This section need not be completed if the permit is for one-hundred($100) or - F.A.U. Inc.Solar ❑9-15 HP ❑16-15+ less). Dishwasher Solar Piping I certify.that in the performance of the work for which this permit is Issued, I II shall'not employ any person in any manner so as to become subject to the 5 Drinking Fountains 1. Solar Tank /'.� /.Fixtures Microwave Workers' Compensation Laws of California. - Device Boxes Pole Li ht Date Signature .Floor Drains • . Swimming Pool vv/Spa -:' .,,. 9 ■ NOTICE: If,after making this declaration,you should become subject to the Workers' Compensation provisions of the Labor IlCode, you must forthwith Floor Sinks. Urinal ■ DUtets Range S comply with such provisions or this permit shall be deemed revoked. Switches CONSTRUCTION LENDING AGENCY - Gas Servige Outlets Water Closet ' Sign • I hereby.affirm that there is a permit lending agency for the Cimdn Garbo a Dis osa Standing Sections of the •work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater g p g Lender's Name - Lender's Address Kitchen Sink Water Service Generator ❑0-5 KW❑5-15 KW Trash Compactor OWNER BUILDER DECLARATION . s� I hereby affirm that I am exempt from the Contractor's License Law for the . Lavatories - Auto-Wash . • 7' r-ec £-COCL� M 3 R following reason (Section 7031.5 Business and Professional Code: Any city or , county which requires a permit to construct,alter,Improve,demolish or repair 5 P-Trap • . Laundry Trays _■ . any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of ■ Roof Drains .11 ■ 1.1.the Contractor's License Law(Chapter 9 (commencing with Section 7000) of ��J C`y Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee 7`" - $$, ■ therefrom and the basis for the alleged exemption. Any violation of Section -7031.5 by any applicant for a permit subjects the applicant to a civil ' penalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: LJ ll as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 Zoning Approved By Date compensation, will do the work,and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves ._.___. _ _. -.___- __ _. _- _ - __. thereon, and who does such work himself/herself or through his or her own Application Issued ByQt i Dat employees, provided that such improvements are not intended or offered for Boiler Hood or Type i ❑ sale. If, however,the building or improvement is sold within one year of com- Canopy Type II 0 • pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground SUMMARY OF FEES prove for the purpose of sale). BUILDING PERMIT $ SM IP $ LI I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System • PLAN CHECK $ PERMIT tractors to construct the project(Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an:owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware thatPLAN CHECK 25% $ ENERGY P.C. $ ofExhaust System 0 Multiple 0 System Repair/Alteration I- 7� ' GRADING $ Proof their Worker's Compensation insurance should be provided to me. ELECTRICAL $ S(o•Sa 0 1 am exempt under Section B.& P.C. this reason Firepl/Fact.Bit. ICBG# Fire Dampers MICROFILM $ ' PLAN CHECK 50% $ Date Owner Heating System& Ducting Registers MECHANICAL $ TOTAL FEE $ 5T I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100,000 BT PLAN CHECK 25% - Information is correct- I agree to comply with all city and county ordinances $ and state laws relati • o building construction, and hereby authorize repre- sentatives of thi 'ilpto enter the above-mentioned property for Inspection our . 06-13-89 06-13-89 Signature L moi.. • . te Reinspection Fee $15 Issue Fee $ 3 01 00035337-00035337 TOT 53,50 Driver:' License .�' •• I DATE: 06/14/89 TIME: 09:42 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor i ; `+ = tit CONSTRUCTION AND PLANNING POI._ & SPA . ..APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 1 ~ 21 Soil Pipe-Undrgrnd. 53. Steel Reinforcement n 3. Electrical Conduit Utility-Undrgrnd. 54. Forms ' -4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test h . 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE ' 7. Footings ./ I 58. Electrical Conduit-Undrgrnd. ' 8. Foundation 7 59. Gas Pipe, 0 Undrgrnd., Test ' 19.,Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK ' ' 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap ' 63. Heater &Vent-Final 13. Roof Drains I 64. Plumbing System - Final k 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 1' 20. Rough Factory Fireplace • APPROVALS Permit# 21. Ducts, in Structure _• 1 70. Underground Hydro 22.`Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 2E, Roof Sheathing 74. Overhead Hydro I26. 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 � j 80. FOOD CERTIFICATE ISSUED IF 33. Final Electric s Notes: 34. Final Heating & Air Conditioning yt -I • 35. Final Gas Pipe-Test ,/ .36. Hood or Canopy 37. Final Factory Fireplace !• 38. Final Plumbing 39. Water Service-Final , n 40. Gas Service-Final ,� 41. Solar Domestic-Final 42. Backflow Preventer • � I 1 -, 2 43. Backflow Irrigation "( I 1 44. Landscape Irrigation System • 1 45. Sound Attenuation , 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 1 48. Soecial Requirements Completed ,/~• 49. Electric Release to Edison ;3 ; 50. Gas Release to Southern California Gas Co - > -, 51. CERTIFICATE OF OCCUPANCY "-- .•14.: 'ti N No. - Date J '} -- 3 V-e-elv ,7Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. Jy — PERMIT NO. TRACT O. - LOT NO. ^ UNIT NO. CITY OF COSTA MESA CONSTRUCTIO PERMIT v BLDG. F A.P.qW ( Zone • Project Address 2900 COLLEGE E-- 3 7. 5-5 S Main Building: Accessory Building: 4701 E. HUNTER AVENUE TYPE OF CONSTRUCTION U NEW Li ADD U ALTERATION U REPAIR , .Applicant's Mailing Address EZ Owner's Nam e~ HOELSCHER/GUGGENHEIM PAWRIRS CI CONVERSION ❑ DEMOLISH ❑ oTA�1S. W/ATTACHED GARAGES T Front N Address 4665 MAC ARTHUR COURT, 11275 N.B. DESCRIPTION OF WORK/USE OF BLDG. A Rear I Arch/Eng. License No. TYPE OF PERMIT LI GRADING LI FOUNDATION U STRUCTURAL 1 C Right G Address ❑ TENANT %ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ LeftRef.# ParkingRR Contractor's Name LAZER ELECTRIC, INC. Phone 777-4233 Ping.❑ OTHER eq./Provided E 12 Address(mailing) 4701 E. HUNTER AVE. , ANAHEIM 92807 PROJECT DESCRIPTION SQ. FT. 9020 OCCUPANCY R,/M. Planning Notes: M 032847 CON ST RUCTION TYPE v VALUATION$ T City License No. ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION S. I hereby affirm that I am licensed under provisions of Charter 9 (commencingRemarks: BLDG. TYPE 2 (10 UNITS) with section 7000) of Division 3 of the Business and Professions Code,and my license is in full force and effect. ELECTRICAL FEES License cfassC10 Li 440682 BLDG. PERMIT # B35590 Date 01-159 Signature /f/.T� PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW (►, WORKERS' COMPENSATION DE TIONI Construction Pole Sub. ID 50+ KW s' 'hereby affirm that I have a certifica a of consent to self-Insure ora certificate Bar Sink ShOw¢rs 1 \ if Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink ) Cooking Unit Meter ❑up to 100 amps l 3800, Lab. - PwC100291640 CNA INS, Dishwasher Meter Dover 100 amps Pili cy No. _ Company Backflow Irrigation Sewer Cap _ Certified copy is hereby furnished. y 10 Sub Panel @ $11.00 EA _ 110. )0 \\, Xerti copy fled with the city BWI I Iv' Bathtubs Sewer Connection Dryers ❑Gas ❑Electric 'c• Date `�i-1V_�J Applicant LAL 6K ELECTRIC, INC. Fan Motors 00-1 HP 01%-6 \4 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred ($100) F.A.U.orinc.Solar 09-15 HP 016-15+ less). Dishwasher Solar Piping AU I certify that in the performance of the work for which this permit is Issued, I — • shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank 6 Fixtures @ .75 EA Microwave 4. 50 Workers' Compensation Laws of California. Device Boxes Date Signature Floor Drains Swimming Pool w/SpaPole Light NOTICE: If,after making this declaration, you should become subject to the — — - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal 6 Outlets @ .75 EA Range 4. 70 comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet 6 Switches @ .75 EA Sign 4. 50 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Clv. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash 9020 SQ.FT. @ 3C 270. 50 following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains 15.)0 the Contractor's License Law(Chapter 9(commencing with Section 7000)of - `ivision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee X.t)C XXX erefrom and the basis for the alleged exemption. Any violation of Section J31.5 by any applicant for a permit subjects the applicant to a civil_ - enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ P P Y Y 3 Zoning Approved By Date compensation, will do the work, and the structure is not intended or offered — for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL License Law does not apply to an owner of a property who builds or Improves _ FEES Building Approved BY • /' / Date thereon, and who does such work himself/herself or through his or her own Application Issued By ••%AAv/,�� ... Dat_ employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 - , sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY O'F pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- _ tractor(s) license pursuant to one Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I PLAN CHECK 25% $ ,,,,,,///,,'''•/OENERGY P.C. $ - proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL PLAN CHECK 50% $ ' GRADING $ $ `��/ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire DampersMICROFILM $ Date Owner Heating System& Ducting Registers MECHANICAL $ 409.10 I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BT TOTAL FEE $ information is correct. I agree to comply with all city and county ordinances - PLAN CHECK 25% $ and state laws relating to building construction, and hereby authorize repre- sentatives of this city to en .-•on the above-mentioned property for inspection pure. ` _ 01-18-89 01 00024918-00024918 TOT 409.10 Signature /_�"' Date DATE: 01/24/89 TIME: 11:19 Drivers' Lic nse . SS • : Reinspection Fee $15 Issue Fee $ 3 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor , CONSTRUCTION AND PLANNING •- POC SPA • APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector •1. Temporary Electrical Service or Pole 52. Pool & Equipment Location - 2.'Soi$Pipe-Undrgrnd. 53. Steel Reinforcement 3. .Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings '( 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, E 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 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 161. 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 i 20. Rough Factory Fireplace APPROVALS Permit# 21'. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush '• 24. Roof Framing 73. Undergrnd.Storage Tank E Gas E 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-Final7 J / 2�T 80. FOOD CERTIFICATE ISSUED 33. Final Electric /�/ • Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing • 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final •t. - 42. Backflow Preventer !' 43. Backflow Irrigation •. 44. Landscape Irrigation System , 45. Sound Attenuation 1 ••1/ 16. 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 I BUILfING SA V DEPARTMENT N? 1611 P. O. Boz No. 31. Costa Mesa, California Date fD—/4 / Z. CITY OF COSTA MESA CERTIFICATE OF OCCUPANCY Building Permit No/7115/Electrical Permit No Plumbing Permit No Use of Building te9. 1l%,. ' .( l_ t�.., r F -11 • • , A The building located at T ©e) Legal Description (See reverse side for Metes and Bounds) has been inspected and found to comply with the provisions of all City of Costa Mesa Ordin- ances applicable thereto for a Group -7.— Zr Occupancy. ISSUED TO: C. City Bull Official ` (Owner of Bulking) BL CC: 0 Original—Owner ❑ Ist copy—Gas Co. 0 2nd copy—Edison Co. ❑ 3rd copy—File Form 206 S-B P 1M 1-60 r I - A _. . I. THIS IS TO CERT?"Y THAT INSULATION HAS BEET' INSTALLED IN • ' ' CONFORMANCE WIT. 'HE CURRENT ENERGY REGULA'. JNS , CALIFORNIA ADMINISTRATIVE CODE, TITLE 24 , STATE OF CALIFORNIA, IN THE • • • BUILDING LOCATED AT: SITE ADDRESS : 1380 VILLAGE WAY BLDG. F COSTA Mrck. rA Number Street City/State AIR INFILTRATION : MANUFACTURER: EXTERIOR WALLS • Manufacturer MANVILLE Thickness/Type 3;" R/Value R-11 CEILINGS • Batts : Manufacturer MANVILLE Thickness/Type 6 3/4" R/Value R-19 (ceiling roof over living area. GENERAL CONTRACTOR: LUCAS DEVELOPMENT Lic . # Garage ceiling to living area above. By • Title Date Overhangs. WITH FOAM SEALANT. INSU��NCONTR• OR : WESTERN INSULATION, INC. Lic. # 481278 By n. / Title Authorized Ag-nr Date 6-22-89 Form 106 •� 3/89 THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN - CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS , CALIFORNIA ADMINISTRATIVE CODE, TITLE 24 , STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: SITE ADDRESS : 1380 VILLAGE WAY BLDG.G COSTA MESA_ rA Number Street City/State AIR INFILTRATION: MANUFACTURER: EXTERIOR WALLS Manufacturer MANVILLE Thickness/Type 3;" R/Value R-11 CEILINGS Batts : Manufacturer MANVILLE Thickness/Type 6 3/4" R/Value R-19 (ceiling roof over living area. GENERAL CONTRACTOR: LUCAS DEVELOPMENT Lie . # Garage ceiling to living area above. By Title Date Overhangs. WITH FOAM SEALANT. INSUL ON CONTR,. OR : WESTERN INSULATION , INC. Lic. # 481278 By �! �' / Title Authorized Agent Date 6-22-89 - -Form -106 -. . 3/89 _ . . THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE , TITLE 24 , STATE OF CALIFORNIA , IN THE BUILDING LOCATED AT: SITE ADDRESS: 1380 VILLAGE WAY BLDG. _/T COSTA MPSA_ rA Number Street City/State AIR INFILTRATION : MANUFACTURER: EXTERIOR WALLS Manufacturer MANVILLE Thickness/Type 3;"" R/ValueR-11 CEILINGS • Batts : Manufacturer. MANVILLE Thickness/Type 6 3/4" R/Value R-19 (ceiling roof over living area. GENERAL CONTRACTOR: LUCAS DEVELOPMENT Lic . # Garage ceiling to living area above. By • Title Date Overhangs. WITH FOAM SEALANT. INSUONCONTR' OR : WESTERN INSULATION, INC. Lic. # 481278 By � /5, Title Authorized Agpnr Date 6-22-89 Form 106 6 • 8/89 CITY OF ;TA MESA . PARK FEES --�1�ry Fee Payment Receipt� 1 'q 001156 Project Address �-. II"C O qj • 331- U1.CX.k�.� � A.P. Number 14 '3's I — Act Building Permit Number 01 00014467-00014467 TOT 60164.16 -'.T: ; T:ri:. ,:.r:;. Owner's Name Mailing Address FEE: Single Family * Number of Units 2-Bedrooms or Less @ $ 861.76 = 3-Bedrooms @ 1,205.67 = 4-Bedrooms @ 1,545.62 = 5-Bedrooms+ @ 1,810.50 = Multiple Family ** •Bachelor or Studio @ 474.37 = 1-Bedroom �y'D^ @ 573.18 = I26oq. (O 2-Bedroom /1•�0 @ 881.51 = 1521,0 Z . O • 3-Bedrooms+ )C/ @ 1,229.38 = 12 3,. 0 I / Total Fee *** &0� tb4. 'do 4-I1{-SS t Planning Department Approval Date By i ` , , Applicant's Signature • City Ordinance 72-44 •• City Ordinance 72-45 ••• City Resolution 78-116 �j l� fxr CMF 0174-30,rev.7/851 White-Planning;Canary—Planning;Pink—Finance;Goldenrod—Applicant -i1� -IIN • • THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN • CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS , CALIFORNIA ADMINISTRATIVE CODE , TITLE 24 , STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: ' SITE ADDRESS : 1380 VILLAGE WAY BLDG.. COSTA MESA, rA Number Street City/State AIR INFILTRATION : MANUFACTURER : EXTERIOR WALLS Manufacturer MANVILLE Thickness/Type 3i" R/Value R-11 CEILINGS Batts : Manufacturer MANVILLE Thickness/Type 6 3/4" R/ValueR-19 (ceiling roof over living area. GENERAL CONTRACTOR: LUCAS DEVELOPMENT Lic . # Garage ceiling to living area above. By Title Date Overhangs. WITH FOAM SEALANT. INSU�ONTR OR : WESTERN INSULATION, INC. Lic. # 481278 By Title Authorized Agent Date 6-22-89 Form 106 3/89 THIS IS TO CERTTVY THAT INSULATION HAS BEE" INSTALLED IN CONFORMANCE WI1 THE CURRENT ENERGY REGULA JNS , CALIFORNIA • ADMINISTRATIVE CODE , TITLE 24 , STATE OF CALIFORNIA , IN THE BUILDING LOCATED AT: SITE ADDRESS : 1380 VILLAGE WAY BLDG.) COSTA MESA, rA Number Street City/State AIR INFILTRATION : MANUFACTURER: EXTERIOR WALLS Manufacturer MANVILLE Thickness/Type 33" R/Value R-11 CEILINGS Batts : Manufacturer MANVILLE Thickness/Type 6 3/4" R/ValueR-19 (ceiling roof over living area. GENERAL CONTRACTOR: LUCAS DEVELOPMENT Lic . # Garage ceiling to living area above. By • Title Date Overhangs. WITH FOAM SEALANT. INSUL ON CONTR• OR : WESTERN INSULATION, INC. Lic. # 481278 By ! �' /..' J Title Authorized Agent- Date 6-22-89 Form 106 3/89 THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS , CALIFORNIA ADMINISTRATIVE CODE , TITLE 24 , STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: SITE ADDRESS : 1380 VILLAGE WAY BLDG.A COSTA MESA, CA Number Street City/State AIR INFILTRATION: MANUFACTURER: EXTERIOR WALLS Manufacturer MANVILLE Thickness/Type 3;" R/Value R-11 CEILINGS Batts : Manufacturer MANVILLE Thickness/Type 6 3/4" R/ValueR-19 (ceiling roof over living area. GENERAL CONTRACTOR: LUCAS DEVELOPMENT Lic . # Garage ceiling to living area above. By • Title Date Overhangs. ON � DateWITH FOAM SEALANT. INSUL —`P ONTR, OR : WESTERN INSULATION, INC. Lic. # 481278 By / �i ex, Title Authorized Agent 6-22-89 Form 106 3/89 • THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS , CALIFORNIA ADMINISTRATIVE CODE , TITLE 24 , STATE OF CALIFORNIA, IN THE • ,, ` BUILDING LOCATED AT: SITE ADDRESS : 1380 VILLAGE WAY BLDG. COSTA MESA_ CA Number Street City/State • AIR INFILTRATION: MANUFACTURER: EXTERIOR WALLS Manufacturer MANVILLE Thickness/Type 3}" R/Value R-11 CEILINGS Batts : Manufacturer MANVILLE Thickness/Type 6 3/4" R/Value R-19 (ceiling roof • over living area. GENERAL CONTRACTOR : LUCAS DEVELOPMENT Lic . # Garage ceiling to living area above. By Title Date Overhangs. WITH FOAM SEALANT. INSUL ON CONTR OR : WESTERN INSULATION, INC. Lic . # 481278 • By� Title Authorized Agent Date 6-22-89 •:.._._...._4'orm-106. 3/89 •THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS , CALIFORNIA • ADMINISTRATIVE CODE, TITLE 24 , STATE OF CALIFORNIA, IN THE • • BUILDING LOCATED AT : SITE ADDRESS : 1380 VILLAGE WAY MDG.°, COSTA MFS& rA Number Street City/State AIR INFILTRATION : MANUFACTURER: EXTERIOR WALLS • Manufacturer MANVILLE Thickness/Type 3i" R/Value R-11 CEILINGS Batts : Manufacturer MANVILLE Thickness/Type 6 3/4" R/ValueR-19 (ceiling roof over living area. GENERAL CONTRACTOR: LUCAS DEVELOPMENT Lic . # Garage ceiling to living area above. By Title Date Overhangs. WITH FOAM SEALANT. INSUL ON CONTR OR : WESTERN INSULATION, INC. Lic. # 481278 By Title Authorized Agent Date 6-22-89 Form 106 3/89 City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY N°: 007°539 • Building Safety Division . • P.0.Box 1200 Costa Mesa,California' The Building located at 1'44f1 Vii vill.ina W w. Dn41 Ai nn P has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group R1441 Occupancy. Use of Building Apartments `. Legal Description 141-351-19/141-192-03 (See reverse side for Metes and Bounds) \ ' Building Perm it No B 35590 Electrical Permit N 0.E38888,E37255 Plumbing Permit No.P35633'P36126 N Mechanical Permit No. M 37857, M36507 Number of apartments 10 and/or guest rooms ' ISSUED TO: Building Official William T. Howard • . Hoelscher/Guggenheim L /` • 4665 MacArthur Court by = .r--c-T r,��y�-..-- Newport Beach, CA 92660 • Date July 28, 1989 1 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 City of Costa Mesa under Sec. 307 (e) U.B.C. CMF 1015-46 rev.1/a3 White-Owner;CanAry-Numerical File;Pink-Bldg. Permit File • \ Y • City of Costa Mesa • Development Services Department • `C E R T I F I C A T E OF OCCUPANCY No. ((�� • Building Safety Division, Lia<. ,. l� ••• P.O.Box 1200 • • - C • Costa Mesa,California The•Bhilding located at . ' 11A0 Vi Tlams i3i�. s111rliaia D has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group a1 /r.;•i Occupancy. Use of Building AnarhmanPq Legal Description 141-351-14/141-197-113 (See reverse side for Metes and Bounds) Building Permit No B 35588 Electrical Permit NoE37253,E38886 Plumbing Permit No124,P35631_ Mechanical Permit No. M36505,M37855 Number of apartments 1D _ and/or guest rooms - ISSUED TO: Building Official William T. Howard Holscher/Guggenheim � .4665 MacArthur Court bynn _,/d Newoort Beach, CA k 92660 Date July 31, 1989 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 City of Costa Mesa under Sec. 307 lel U.B.C. \ CMF 1015-46 rev. 1/83 White Owner;CanP•.-Numerical File:Pink -Bldg.Permit File City Of Costa Mesa Devel uidengSafetyDnt Services Depaonment CERTIFICATE OF OCCUPANCY No. 003 `C 1J P.0.Box 1200 -- Costa Mesa,California The Building located at 1380 Village Way. Building A has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto fora Group Rt/Ml Occupancy. Use of Building Akarttnants Legal Description 141-192-03/141-351-09 (See reverse side for Metes and Bounds) Building Permit No H 35525 Electrical Permit NoE37250,E38883 Plumbing Permit NoR35628.P36121 Mechanical Permit No. M37852, M36502 Number of apartments 10 and/or guest rooms ISSUED TO: Building Official Gorge Edmiston Hoelscher/Guocenhoim Partners 4665 MacArthur Court by L' t -• G%� �--- Nawport Beach, CA 85-2116 Date August 17, 1989 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 City 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 City of Costa Mesa DevelBotpi deng Safety Divisiont Services Deparnment CERTIFICATE OF OCCUPANCY No. C C,, -.CO P.O.Box 1200 Costa Mesa,California q The Building located at 1380 Village Way, Recreation Building has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group R2/A'3 Occupancy. Use of Building Roc-rent inn Rulldi no Legal Description l41-351-19/141-192-03 (See reverse side for Metes and Bounds) Building Permit No B 35593 Electrical Permit No. E38891,E37778PIumbing Permit N o.P36129,P35636 Mechanical Permit No. M37850, M36510 Number of apartments and/or guest rooms ISSUED TO: Building Official William T. Howard Noel scher/Gucaenheim / • 4665 MacArthur Court by i. . Nnwrx)rt Ruch, CA 92660 Date July 20, 1989 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 City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1(115.46 rev. 1/83 White-Owner;Canary.Numerical File;Pink-Bldg.Permit File • City of Costa Mesa • Development Services Department CERTIFICATE OF OCCUPANCY No. 00351)7 Building Safety Division P.O.Box 1200 Costa Mesa.California The Building located at 1380 Vi 11,2100 Was". Anil einn C• has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group fit /i41 Occupancy. ' • Use of Building Anartmr4nts Legal Description 141-351-19/141-192-03 N (See reverse side for Metes and Bounds) Building Permit No B 35587 Electrical Permit No.E37252.E38885 Plumbing Permit No.P15610•P36121 Mechanical Permit No. 1(36504, M37854 Number of apartments 10 and/or guest rooms ISSUED TO: Building Official George Edmiston Hoelscher/Guggenheim 4665 MacArthur Crt., Ste. 275 by -. . Newport Beach, CA 92669 _ Date August 2, 1989 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 City 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 • i • City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. 0 0 3 5 5 Building Safety Division P.O.Box 1200 Costa Mesa,California The Building located at 1380 Village Way, Building B has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group 01 /Ml Occupancy. Use of Building Anartments/Garage Legal Description 141-102-03/141-351-09 (See reverse side for Metes and Bounds) Building Permit No R 35526 Electrical Permit No. E37251,E38884Plumbing Permit Nop36122,P35629 Mechanical Permit No. M 37853, 1436503 Number of apartments 10 — and/or guest rooms ISSUED TO: Building Official George Edmiston ra„Alachnr/Guaaenheim � /J 4665 MacArthur Court by •//i ., %��it-7 Mawffrt Bsach, CA 92660 Date Artrmat 16, 1989 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 City of Costa Mesa under Sec. 307 lel U.B.C. • CMF 1015-46 rev.1/63 White-Owner;Canary-Numerical File;Pink-Bldg.Permit File \� City of Costa Mesa Development Services Department • Building Safety Division CERTIFICATE OF OCCUPANCY No. 3C, ..-02 . P.0.Box 1200 Costa Mesa,California The Building located at 1380 Village Way, Building G has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto fora Group R1/M1 Occupancy. Use of Building Apartments • Legal Description 141-352419/141-192-03 (See reverse side for Metes and Bounds) • . N Building Permit No B 35591 Electrical Permit No. PARRRQ.Rf71cAPlumbing Permit Nok35634.P36127 Mechanical Permit No. _-1137858, M36508 Number of apartments 6 and/or guest rooms ISSUED TO: Building Official William T. 8ot:arA Hoelscher/Guggenheim 4665 MacArthur Court by • Newport Beach, CA 92660 Date July 20, 1989 \ 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 City of Costa Mesa under Sec. 307 lel U.B.C. !.\ CMF 1015-46 rev. 1/83 White-Owner;Canary-Numerical File;Pink-Bldg.Permit File • • r � City of Costa Mesa n n Development Services Department CERTIFICATE OF OCCUPANCY No. Q Ei v•,r+7 Building Safety Division P.O.Box 1200 Costa Mesa,California • • The Building located at 14Rr1 Viiinnn Wax,. Ruildino H has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group vtY1a4 Occupancy. • Use of Building Anarhnent and Garage - • Legal Description 1441-351-19/141-192-03 • • (See reverse side for Metes and Bounds) Building Permit No B 35592Electrical Permit No.E37257, E3889Cplumbing Permit No P35635. 936128 Mechanical Permit No. M17R59. M36509 Number of apartments 6 and/or guest rooms ISSUED TO: Building Official William T. HOward RoelScher/Guggenheim /- 4665 MacArthur Court by - ..•, K'nsjn Beach, CA 92660 .i ' Date .Tule 20, 1989 • 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 City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev.1/8 3 White-Owner;Canary-Numerical File;Pink •Bldg.Permit File :r 3 'r I/ City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. Building Safety Division OO �'y P.O.Box 1200 Costa Mesa,California The Building located at 11PO Vii lana WW.,, tm.i lA4nn to has been inspected and found to comply with the provisions of gall City of Costa Mesa Ordinances applicable thereto fora Group P1 /M1 Occupancy. Use of Building An p-I-rrarrt-q Legal Description 141_351_1Q/1a1_l07_n7 (See reverse side for Metes and Bounds) Building Permit No._ R 155119 Electrical Permit No9'l79 A,r?vPRa7 Plumbing Permit NotlFi17C•01CA'37 Mechanical Permit No. M37856, M36506 Number of apartments 10 and/or guest rooms ISSUED TO: Building Official William m_ wnvar•A Hoelscher/Guggenheim ' -- ' 4665 MacArthur Court by - - - n:awoort Beach, CA 92660 Date July 28, 1989 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 City of Costa Mesa under Sec. 307 le) U.B.C. •CMF 1015-46 rev. 1/83 White-Owner;Canant..;;Numerical File;Pink-Bldg.Permit File ^%, • adivaxiss r. ✓ F 21549 rtt KEULIVED . FEB 6 1384 COSTA MESA ,.,,ILDING-SAFETY DEPARTMENT FINANCE DEPT. P.O.BOX 917 COSTA MESA.CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT &Q,Lt BUILDING BUILDING Z•7 For Office Use Only BU ADDRESS .9Oat COLLEGE --AaLF-5 , y RECEIPT NO. PERMIT NO. COSTA MESA. CALIFORNIA - RECEIVED-BY DATE REC51VED / TE I/'map OWNER NARRY i0�Lees a r° 1/O- , /YJ� MAIL UILDING ` / . ,/r r ADDRESS ZQOZ COLLEGE_ AVE . DDRESS �__ / ` �. �� IRE '/ CITY CosTA MES1• GAL , No..54;557i ONE TYPE GROUP 1`lRa FLEur L.� "� PPROVED G �/ ^' '' "MARK LEUTZII.IctER Ng'z4ec03gv / ATE -, ZO INC ADDRESS lc 40 NEWPORT Si.VP, C. M. 1.:6y DUE_ I NO.OF USE OF NEW J I y� PUNS BUILDING CONTRACTOR CAPE A1tee Ba ILDCIZS 1140 ,•I ADDRESS ic40 MESA- B1.-V�, �CRIPTION t�/OR ()L/k�///' '114-3g J Tel Lw CITY CoS1A MESA. CA.L-I . ..pP.NO. ! a —( / .J` • U STATE TEL OT TO BIDE 8 REAR p LNG SHALL BE LESS THAN LIC.NO.I/Z 14.42501 is-S ND.- AI 6so38 ES MSIZE I r S 1 ^ z S 0, I NO.or NOW ON BLDOS 2 LOWED (U.B.C.REQUIREMENT/ OT YARDS APPROVED YARDS APPROVED USE OF CO LLECE. LuMBE2 Co. IMC.. MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. _ ROM C/L STREET) SETBACK LINE FROM ' CENTER OP STREET REAR YARD 44 30NT L'1 FT. FT. SIDE .� FT. HIDE YARD/ LEFT c0 RIGHT 4, DESCRIPTION OF WORK gSIDE�j 4TPr./�/L�f,///j FT. NEW ALTERATION _ ADDITION /AR ll' al FT " FT. STANCE BET. BET.MAIN B REPAIR MOVING DEMOLISH AIN BLOCS. ACCESS.BUDGE!. l k SIZELL /f ING-Zx6o ROOMS OS STORIES I U.P. ,,,{{{ -/I APPROVED EXTERIOR WALL I ROOF Oa COVERING uP Com Pp, 'PROVED7A/' ... .T COVERING COVERING/S PDIU? KOGG r `,I/ `� y ^/, byE USE�7OF BUILDING AND WORK TO BE PERFORMED I jV1plf / R 60 ADPITIoi.1 Fol woop .1"'02Acra I ?gilU SQ.Fr. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT PEE ONLY. D PLY WITH ALL CITY ORDINANCES AND STA 8 LAWS REGULATING A.UATIO� PA' p BUILDING CONSTRUCT N. 7 C- N SIGNATURE O /�Q, ,. / 0�F PERMIT FEE 5� PERMITTEE__ ✓rL 024 e iclJ LA It /'��D 13 , U /j V^Y % , PLAN CHECK S ��, /// AUTHORIZED AGENT V �D/� 8 TOTAL FEE $ . JUf414 iritb2 a1WILLL1 11C diL lltIlL Nl�rLlxJtalaVl�l rvav ai P. O. Box 3!7 30®'' BUILDING CCA MESA, CALIFORNIA /�� FOR OFFICL_US FOR ArPLICANT TO FILL IN . • Receipt No Building / //� Address „ ive l e, i_Lcrd e We(iK/ Costa Mesa, California Received by Date Rec'd.`/ Nearest r ✓`� r \J'1/4 Cross St. ,A K6ve 57. Building � Address n Owner < c-1 1.'C-6- la/✓l#)F/1 LO /arc Mail Costa Mesa, California Address ;20/1 .1 6.,4.ci 4cr Set, Nearest Tel. Cross St. City C.;'STif //Cy/a. No. ZoneNo.of Type '/ Group Architect or Lic. �I I Plans I v ,;7 Engineer No. Approved by Date Address CORRECTIONS /City Lic. / Contractore2JAy/Y ? Es ycr (eNo. 40e6 / Address gig 5/ Eh?Wkbmho r. I APPROVED Legal I Lot 'l'' I I Description No. ; 1 Block Tract 99F OSTA�IA l 0 p�Q fi✓iz: (Attach Metes and Bounds) _- ��- � � .— .) fe{. I No.of B dos. Size of Lot /F o R Sr o a Now on Lot 0 o se of No.of No.of By Dat 9 Existing Bldg. O'/-',o/ C 4, I Families I Rooms PLatti-i,LQ1.1. I l i - "'\` 5 Setbackntr from , Rear Yard / ,/ C---_ter 4Jt D Center of Street .J-S Side Yard 5 i J DESCRIPTIONOFWORK o y " r New IX I Alteration I I Addition I ,!yJxe/,!</."I I ` 1j --ter Repair .--I I Moving I I Demolish I �,�{ /��n�' ��pp�1�`},�,' Building S , No.of ��' �y*`��`!/YleiWLL�: Size /99( Kip Rooms ( Stories `j T VVv.$� -- ' Exterior Wall I Roof Covering ?irk)o p A I Covering /hic.•r. _ APPROVALS Use of New • Foundation Location Inspector - Date Building p"Ct.?/c L l Forms,Materials, rF7. 'r'V' - Under-Pinning . 1 v- Frame: Fire Stops, Bracing,Bolts I hereby acknowledge that I have read this Application and state that the above is correct and agree to comply Lath. Int. with all City Ordinances and State Laws regulating building construction. Lath.Ext. Signature o� Permittee C ertc:6G9 Zc. : c'e Cc: Plaster, Int. Authorized Agt. Plaster,Ext Valuat ne Permit Fee $ Masonry Reinforced 7V,Q l) Plan Check$ �- Bond Beam $ / I'I Total Fee $ /R — FINAL i - I FORM 204 10.55 0.P.&s. d _ c 5TH. "AY -4�5POH60ES.�. -?3i A':f Zro Street PLOT PLAN Show location and distances from property line and between buildings. 1 - 111005 . • COSTA MESA BUILDING-SAFETYMENT • P.O. • RE�EiVED P.O.BOX 317 COSTA MESA. CALIFORNIA ilk t( (91S-5 FIANCE DEPT. / FOR APPLICANT TO ALL IN COMPLETELY APPLI8ftT titow wreP?MIT TYPE OR PRINT ms(/ BUILDING BUILDING oP 90 a 6---,,, ,---6.5-S, , ADDRESS �r COSTA MESA. CALIFORNIA`CALIFORNIA FOR ... FOR OFFICE USE ONLY OWNER COLI-ESE L v M a a `.l • RECEIPT NO. /PJERMIT NO. ..- //a MAIL �{ REC IV Y DATE ftECEI ED OA/USSU'ED ADDRESS c .9e a yIo�LG-G E //_ /V-5-7 /1,3.57 COST �c 5F} TEL.LBUILDING CITY /�J nnnn ADDRESS ARCHITECT A LIC.MLLS/2/ COSTA MESA. CALIFORNIA OR ARCHITECT >L/"T"-� ��/L- L�� NO.//I //(b� ADDRESS /D r9 6 J/ I C 2R /4/y/9 A/g/? FIRE / .---Rel-R/4/01/ J ATE / M _ J ZONE TYPE I GROUP CONTRACTOR C- >W.�T�p L.t LIC.NO. f-i /Y-✓[4 APPROVED 7 �-1 > �c/� ^T/�f/ (T/ BY ��// t4_DATE " 7'J/I/ ADDRESS 97TO R �� EL.-t,Fl-bwE f ZDNING LEGALI LOT I ZONE .. I PLANS PLANS ^ I USE OF NGI(J%V 441 DESCRIPTION NO. BLOCK TRACT BUILDING/ �j A.P.NO. / /3r /? O rd f BYPROVED - DATE l/r/1/nn/'11 ( 7 SIZE I NO.OF SLOGS. / YARDS -•ES u OF LOT NOW ON LOT REQUIRED ALLOWED USE , 1 Us BLDG. /0//' G t- FRONT LINE ST./ FRONT /4 0 FT. -e IN. SETBACK LINE FROM ,ten CENTER OF STREET REAR YARD R.SIDE `I 1/ FT. IN. SIDE YARD I LEFT I RIGHT L.SIDE ItO FT. r IN. DESCRIPTION OF WORK REAR FT. IN. NEW I b...--II ALTERATION I II ADDITION I REPAIR I II MOVING I II DEMOLISH I SUILOING9// O� /s-ROOMS STORIES SIZE /J O O EXTERIOR WALL I ROOF /` C COVERING COVERING`O/cg.✓—rct - I USE OF BUILDING AND RK TO BE PERFORMED Lo M ' ER / oR A9o-i -SF-f61 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION SIGNATU E OF ��` �- 0 PERMIT FEE $ �� /`j — $ 'J �� PLAN CHECK $ 7, AUTHORIZED AGENT TOTAL FEE $ 3o , ►�s2� FEE RECEIVED. 2 COSTA MESA BUILDING-SAFETY DEPARTMENT 'V AUG 1 IDEPT. P. O. BOX 917 COSTA MESA. CALIFORNIA �" FINANCE DE CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE��O+++R PRINT at-A--e----- COSTA ("� BUILDING BUILDING 9002 / /%e,gp l[s/-I A Q ADDRESS 'C V 1. Gv5 tbt t t COSTA MESA. CALIFORNIA For Office Use Only � RECEIPT NO. P9RMITNO. OWNER CI -Ce i r.w7(BHT p"S'hs ,P-76,9- MAIL /j RECBIV BY O REG IVE DATE SSU ADDRESS 3'3 ts- 0di'rvieiv Rd—(/ r_ t ��l- -.� CITY 6>Sd 1-/GJCY No./f/•i_t��Q BUILDING ADDRESS ARCHITECT p l TEL. OR ENGINEER pld193 4N I No. COSTA MESA. CALIFORNIA ADDRESS FIRE(aq;Jdcry/J` �} y ZONE TYPE V GROUP / 1 CONTRACTOR-100//{�� just wls/ruitz0,6 APPROVEDfrik DATE O/� - 4/ ADDRESS //// fa//1 erS2 ZONING 6357z-fa /(yam ( Z ¢ NO.OF USE OF NEW LM CITY S V / /9Sd2 W/1Y —/ I PLANS a I BUILDING � t STATE I �? TEL. • / n 38 t .._e" ,„ 4,fr LIC.NO.• 20 O G NO. DLeGALESCRIPTION�?I .Y'� 3�. -- ->^c,' DESCRIPTION la a•a.--.1 SIZE NAL?/ !�f1 NO. OF BILGE. n p� O� OF LO'[ / S� X�J` / NOW ON LOT L� A.P.NO. /9/ USE OF L.v/aber sd(PS i/rt YARDS EVES EXISTING BLDG / �J/ APPROVED ALLOWED SETBACK CENTER OFI LINEFROM '� `D 1 REAR ,ARD ,t (CENTERRONTLINE eT.�O C FT. IN. Q Iy�y// / FRONT '.yn T- /�/�/ SIDE YARD I LEFT ‘i RIL14 R.SIDE 97 FT. `� IN. DESCRIPTION OF WORK L.SIDE 6` -e_FT. /// N. NEW I I ALTERATION I II ADDITION I REAR .470 '- FT. L-erce.y. /IN. J REPAIR I MOVING I DEMOLISH I B?PROVED _Is DATE�4/b 2- BUILDING/DO BUILDING/ O Aryal ROOMS 3 STORIES / �-U f' SIZE WW 77 �� EXTERIOR WALL+S ive-coROOF j, COVERING V.-Stehfiq.� I COVERING OrneWiR.1� USE OF BUILDING AND WORK TO BE -ERFORM D '// Aa . I Sr I ^ Jr" . - • I.f _ i ./kW IAZil n,Aer- y-Office TMS/94 'to ,urff herdr4 1 HEREBY ACKNOWLEDGE FHAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN U AND STATE THAT THE ABOVE IE CORRECT AND AGREE TO COM- HING VALUATION IS FOR THE PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. - CONSTRUCT' N. g y / VALUATION SIGNATURE OFN PERMIT FEE $ PERMITTEEFy /� �-�L/_ X C� _ n- Soa74 C acts WY.1Tf UG'/ ( Co. $ 00D.00 PLAN CHECK $ 3 / • 'S D ¢ AUTHORIZED AGENT �n1 E '� TOTAL FEE v, D 6