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HomeMy WebLinkAbout218 15TH ST - Building Permits CITY OF COSTA MESA o AN6 BUILDING DIVISION µ �lgg 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714)754-5626 . ! PERMIT NUMBER: P10-00077 PERMIT TYPE PLUM STATUS: ISSUED APN: 42533104 DATE ISSUED: 06/16/2010 ISSUED BY: BJZ JOB ADDRESS: 218 E 15TH ST CM Suite/Unit: Vicinity: PATIO CLOSET AREA SCOPE OF WORK: WATER HEATER REPLACEMENT FOR APARTMENT UNIT A, LOCATED IN PATIO CLOSET AREA, COMPLIANCE FORM ATTACHED TO PERMIT. OWNER: HEFNER,MICHAEL ANTHONY Address: TR NEWPORT BEACH,CA PHONE: City/State/Zip: 422 FULLERTON AVE APPLICANT: ZARATE, SIXTO Address: PHONE: 949-646-1125 City/State/zZip: CONTRACTOR: EVANS PLUMBING INC License No. 498867 Address: 1720 WHITTIER PHONE: 949-646-1185 City/State: COSTA MESA,CA ZipCode: 92627 CELL: ARCHITECT: License No. PHONE: ENGINEER: License No. PHONE: PLUMBING PERMIT FEE SUMMARY PLAN CHECK FEE: $0.00 PERMIT FEE: $35.80 TOTAL FEES: $35.80 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE/. INSPECPON TYPE DATE INITIALS COOS I INSPECTION rypF, DATE INIIIIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing C a Y—Jo 44, /in(br?) 200 Final Re-Roof 210 Final Electrical 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 Building/Occupancy WORKERS'COMPENSATION.DECLARATIONi Owner ID verified by drivers license. 0 Yes 0 No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: ❑MF%ave and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): 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 DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized CGarriert $4144 fin /Z,5c/fla ti&i'' by this permit,and that no building structure,scaffolding.falsework.or demolition d perms* valued at one hunched dollars fstao)wtessl or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This sed�need not be completed2,Art 2,Sec 341,Title 8.California Administrative Code). Policy yy Numember: A 0/ 0 q-I TSG ❑ As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should becomesubj s to the workers' compensation provisions of Section 3700 of Applicant's Signature Dale the Labor ,I shall rth omply • these provisions. • 62— / / / D Division of Industrial Safety Permit Number: ((YY! /7 7 p hlr nl'S 5' yore' HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST,AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 CLICENSED CONTRACTORS•DECCARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a s d �7 a registration form for acutely hazardous materials? ❑Yes ❑ No Lim-05 •. CC ""J _ (Section 25533 of the California Health and Safety Code, with some airrIJ 0 / ���/ exceptions, requires registration with the Costa Mesa Fire Department by (O /O each business which at any one time has on hand a quantity of acutely -- one,••.s Sina Dale 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: 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. Signature Dale 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑ No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE L.AW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). 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 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑No applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by Califomia License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own 8 (If"yes",attach certificate of compliance from the appropriate air pollution employees. provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and 0 I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that 0 I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: 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. yof Le r s ///� DaleSgnatme Date ^ // /6-io]oe)<61]ro)I fignater a�ry fff / s a Ue V ArMlor:Aulhomz phcaMJ t--Delete ,?rescri)itive Certificate of Compliance: Residential CF-IR-AL,T Residential Alterations (Page 1 of 5) Project Name: m/ tiff �� Climate "Looe 1t IJ of Stories General In lornut lion c.-- ri it Site Address: / C9 /5 (/ r Enforcement Agency: hate: / _76 IO \••-•" Building Type 0 SingleFatuity61 Multi Family Circle the Prone Orientation:(fj,E,S,Qh or degrees LJ Conditioned Floor Area(CFA): Project Type: 0 Alterations 0 Envelope 0 Fenestration 0 Roof 0 HVAC J ab Replacement or Change Out 0 Duct Replacement Water Heater NO%'E: This rosin is not a tensest fir Newly constructed Bitilr(in),•.c nr Atlrlition.s \\__, "Jmvnl tion Values For Opaque Sur/aces(/or Furring use the Mass and Furring Strips Construction table fielow) ` Assembly Alteration • 0 Opening of framed cavity alone-Aherationr Ilett involve the opening o/the framed cavity of wall, ceiling, orf oar Inst install the mandatory minimum insulation value per§150 for the altered assembly. Fill in Columns A-C rind enter mandatory insulation value in Column H. D Replacement of entire assembly-Replacement of an entire wall, ceiling, or friar assembly requires the installation of Componet Package-D.in.sulatian values in Table 151-C. Fill in Columns A-.1. Opaque Surface Details For the lurred portioned of Mass Walls see'Furring Strips Construction Table below. - - A I •B - C I D E F I C ,. .H. 1. ...]_. 'p .1 Proposed S"mO1f Standard Values From JA4 Table ' Framing Thickness, Framed I Continuous ' 1A4 Proposed Tag/ Assembly Name Material Spacing, U- M4 Table Cavity Insulation Assembly Assembly ID' I or Type' - and Size or Others factor4 , Numbers R-values R-Value Cell Values U-factor9 .Note Far furred assemblies,accounting far Continuous Insulation R-value,see Page JA4-3 and Equation 4-1. For calculating furred walls use the Mass and ;Fairing Cmtsuucrim,table below. I.For Tag/1D indicate the identification name that matches the building plans. 2.Indicate the Assembly Name or type:Roof/Ceiling, Walls,Float's,Slabs, Crawl Space,Doors and etc...Indicate the Frame type and Size:For Wood, Metal, Metal Buildings,Mass,enter 2x4, 2x6, or etc.,. see JA4 for other possible frame type assemblies. 3. Enter the thickness for mass in inches or Spacing between firming members enter; 16"or 24"0C;or Other for all other assembly description such as Concrete Sandwich Panel,Spandrel Panel,Logs,Straw Bale Panel and etc.... 4.Based on the Climate Zone;enter the Standard U factor ft'onr Table 151-B, C or D for each different assembly Name or type. 5.Enter the Table number that closely resembles the proposed assembly. 6. Enter the R-value that is being installed in the wall cavity or between the framing: otherwise, enter "0". 7. Enter the Continuous Insulation R-value for the proposed assembly; otherwise, enter "0". 8.Enter the row and cnittom of the U-factor value based on Column F Table Number and enter the Assembly U-factor in Column J 9.The Proposed Assembly 11-factor, Column.1,must be equal to or less than dee Standard LI-factor in Colum E to comply. Turfing Strips Construction Table for Mass Walls Only A I II 1 C D I E F I_ c H j I I J 1< L M Proposed Properties of Masoud'and Concrete Added Interior or Exterior Insulation Walls From Reference in Furring Space front Reference Joint Appendix Table 4.3.5,4.3.6.4.3.7 Joint Appendix Table 4.3.13 c u u TS is. rt 1 ts u 0 c u c4 U Assembly G- ,J z .e �., h o,' <a _ Final Mas:. NOME:Di JA4'BIM: , alit o = E rt o •'t iv u, Assembly Thickne& Type' Bomber = - e di E �. et ne w ck S :p w dt U-factorf" Comment I Itegisorrion Number: Registration Date/Time: HERS Provider: 201M Residential Compliance Forms August 2009 _Prescriptive Certificate of Compliance: Residential CF-1R-ALT _Residential Aiteratirnrs (Page 4 of 5) YrgjieecNnnie:-= Clir c."Lorry i!`- - I it ofLBturies. til ik 9 Iffir flr'-x" /FA- NVAC SYSTEMS-HEATING _ Minimum Duct or Piping Configuration Heating Equipment Efficiency Distribution Insulation Thermostat (Central, Split, Type and Capacity'"' _(AFUE or HSPP) Type and Location' R-Value Type Space,Package or Hydronic) • • /.Indicate Heating Type(Central Furnace, Wall garrotes,Heal pump, Boiler; Electric Resistance, etc.) 2.Electric resistance heating is allowed only in Component Package C, or except where electric heating is supplemental(i.e., if total capacity < 2£0'or 7,000 Btu/hr electric healing is controlled by a lime-limiting device not exceeding 30 minutes). See§J5I(b)3 exception. 3.Refer to the HERS Verification section on Page 4 of the CF-IR-ALT Form,for additional requirements and check applicable boxes. 4. Indicate Type or Location(Ducts,Hydronie in Floor, Radiators, etc.) HVAC SYSTEMS- COOLING . . Minimum -. - - .— . - Efficiency .Duct or Piping Configuration Cooling Equipment (SEEIUEER or 'Distribution Insulation Thermostat (Central,Split, Type and Capacityla COP) Type and Location' • R-Value Type Space,Package or Hydronic) 1.Indicate Cooling Type(A/C,Heat pump,Evap. Cooling, etc) 2.Refer to the HERS Verification section on Page 4 of the CF-IR-ALT Form for additional requirements and check applicable boxes. 3.Indicate Type or Location(Ducts,Hvdronic in Floor,Radiators, etc.) MATER HEATING . 'List water heaters and boilers for both domestic hot water(DEW)heaters and hydronic space heating. Individual dwelling DHW heaters must be gas or propane fired, and may not exceed 50 gallons. Hot water pipe insulation from the DEN'heater to the kitchen(s) and on all underground • hot water pipes is required in all component packages in all climate zones. External Tank Water Heater Type/Fuel Distribution Type Number In Tank Energy Factor or Insulation • Type' • (Standard,Recirculating? System Capacity(gal) Thermal Efficiency R-Value SAS S7n/vfnfr! / SO • 62 • /6 I.Indicate Type(Stooge Gas.Heat Pump,Instantaneous, etc.) 2.Recirculating p'slenn''serving multiple dwelling unity shall meet the recirculation requirements gf,¢J50(n). The Prescripthye-requirements do not allot the installation of a recirculating water heating system for single dwelling units. 3_The external water healing tank and pipes shall he insulated to'meet the requirements of 0.500). SI'ECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below. These items may require written justification and documentation and special verification. NEW ROOF ASSEMBLY-Radiant Bar rim' The radiant barrier requirement of 3jI51(1)2 does not apply to roof alterations. Slab Edge(Perimeter)Insulation 0 YES ❑ NO YES: In Climate Zone 16 in Component Packages 0,R-7 insulation is required. Heated Slab Insulation ❑ YES ❑ NO YES:Slob edge insulation required for all heated slabs in all Climate Zones. See details in Table 11 X-A of the standards. Raised Stn),Insulation D YRS ❑NO YES:In Climate Zones 1,2, If 13, 14& 16,R-}I insulation is required; in Climate Zones 12& 15,It-4 is required under component Package D. Thermal Mass To obtain Compliance Credit for the installation of II ernml mass.use the Performance Approach. Registration Number: Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF-1R-ALTResidential Alterations. (Pale 5 of 5) �rujcct-Nanie; (-Cline !1 uuLonc t!oC]StJries /6(1 1-t1Y6F CIF HERS VERIFICATION SUMMARY The enforcement agency should pay special Cittenlion to the HERS Meas to er specified itr this checklist below A completed and signed CF-4R Form,for all the measures specified shall be submitted to the building inspector before find _inspection. Duct Scaling & Testing HERS verification is requiredfor this measure. _ O YES 0 NO YES:In Climate Zones 2 and 9-16,if more than 40 linear feet of new or replacement ducts are installed in unconditioned space,the ducts are to be sealed per§152())1 Dii and the newly installed ducts are to be insulated per§151(010. 0 EXCEPTION: Existing duct systems that are extended,which are constructed,insulated or sealed with asbestos. ❑ YES 0 NO YES:hi Climate Zones 2 and 9-16, if the existing space-conditioning system (HVAC equipment and ducting)is replaced,the ducts arc to he sealed per§152(6)1 Di. 0 YES 0 NO YES:In Climate Zones 2 and 9-16,if the existing HVAC equipment is replaced (including the replacement of the air handler, outdoor condensing unit of a split system,cooling or heating coil,or the furnace heat exchanger)the ducts are to be sealed per§I52(b)1E. 0 EXCEPTION:Duct systems that are documented to have been previously sealed confirmed through HERS veYitictition in accordance with procedures in the Reference Residential Appendix ILA3. D EXCEPTION':Duct systems with less than 40 linear feet in unconditioned space. . __ ❑ EXCEPTION: Existing duet systems constructed,insulated or sealed with asbestos, Refrigerant Charge- Split System HERS verification is requires for this measure. ❑ YES 0 NO YES:hi Climate Zones 2 and 8-15,when the existing HVAC equipment is replaced(including the replacement of the air handler,outdoor condensing unit of a split system A/C or heat pump,cooling or heating coil,or the furnace heat _ exchanger)a refrigerant charge measurement shall be verified per§152(b)IF. Central Fan Integrated (CFI)Ventilation System and Fan Watt Draw The ventilation requirements of§150(o)do not apply to existing residential homes. Ducted Split Systems-Air Conditioners and Heat-Pumps: Airflow HERS verification is required for this measure. - 0 YES 0 NO YES:In Climate Zones 10 through 15,when the existing space-conditioning system(HVAC equipment and ducting)is replaced,the airflow and fan watt draw shall be verified per§152(611 Ci to meet the requirements of§151(078. J Documentation Author's Declaration Statement • 1 certify that this Certificate of Compliance documentation is accurate 211(1 cont eta. ,/ Al �--•Orn z�©^A rq Signature: Company: ii V/✓x/J P4 ,e/f/] r/ti'((�J Date: /��D �� Address: If Applicable❑ CEA or CEPS • 72 0 wyirT/P� /Cj',e (Certification Il): City/State/Zip: Phone: ro .STA 41Rs 1 CI - 9'2 �o 7 9Y2 GYG ll�S K.: Respousiblc Building Designer's Declaration Statement • 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Ccrtiicate of Compliance;. • 1 certify that the energy fettttues and performance specifications for the building design identified on this Certificate of Compliance conform to the requirements of Title 24,1'arts I and 6 of the California Code of Regulations. • • The huilcling design features identified on this Certificate of Compliance arc consistent with the inhumation provided to dor:omen( this building design on the other applicable compliance forms,worksheets,calculations,plans and sped'Minions submitted to the enforcement . agency for approval with this building permit application. Name: ' Signature: Company: Date: Address: License: City/State/Zip: I'hone: For ass{stancc or qucslians regrading the Energy Standards, contact the Energp hotline at: I-8110-772-3300. Registration Number: Registration Date/Time: HERS Provider: nn,ur• n...,:d•..,,:-.t '',,,,,.•u,,,,,,, c,w,,,,. August 2009 Mandatory Measures Summary MF-IR Residential (Paige 7 of 3) • Site Address:. &4tl T Enforcement Agency: • (� JSr* .� rDS7� mss \r"—"/ -/O • NOTE: Low-rise residential buildings subject to the Standards tnatSi cotnnplp with all applicable mandatory Measures listed, regardless of the compliance approach used More stringent energy measures listed on the Certificate of Compliance (CF-Ill, CF-/lt-ADD, or CF-IR-AL7'Form)shall supersede the items marked with cm asterisk (") below. This Mandatory Measures • Summary shall he incorporated into the permit documents and the applicable features shall be considered by al/parties as mininamm? component performance specifications' whether they are shown elsewhere in the documents or inn-this stmmmay, Submit all applicable sections of/he ME-Ut Form with plans. . DESCRIPTION • -Building Envelope Measures: • §I 16(a)l: Doors and windows between conditioned and unconditioned spaces are manufactured to limit air leakage. • *1/60)4: Fenestration products(except field-fabricated windows)have a label listing the certified U-Factor, certified Solar Heal Gain Coefficient • (SHGC),and infiltration that meets the requirements of§1(1-111(a). §I 17: Exterior doors and windows are weather-siripped;all joints and penetrations are caulked and sealed. §118(n): insulation specified or installed meets Standards for Insulating Material. Indicate type and include on CF-6R Form. - §118(i): The thermal eminence.and solar reflectance values of the cool roofing material meets the requirements of §118(i)when the installation of a Cool Roof is specified on the CF-1R Form. *§150(a): Minimum R-19 insulation in wood-frame ceiling or equivalent U-factor. §150(b): Loose fill insulation shall conform with manufacturer's installed design labeled R-Value. §150(c): Minimum R-13 insulation in wood-frame wall or equivalent U-factor. • *§l50(d): Minimum R-13 insulation-in raised wood-frame floor or equivalent U-factor. §150(f): Air retarding wrap is tested,labeled,and installed according to ASTM El 677-95(2000)when specified on the CF-1R Form. ` §150(g): Mandatory Vapor barrier installed in Climate Zones 14 or 16. §150(1): Water absorption rate for slab edge insulation material alone without facings is no greater than 0.3%;water vapor permeance rate is no greater than 2.0 perm/inch and shall he protected from physical damage and UV light deterioration. Fireplaces,Decorative Gas Appliances and Gas Log Measures: • §150(e)IA: Masonry or factory-built fireplaces have a closable metal or glass door covering the entire opening of the firebox. §1 50(e)IB: Masonry or factory-built fireplaces have a combustion outside air intake,which is at least six square inches in area and is equipped with a with a readily accessible,operable,and tight-fitting damper and or a combustion-air control device. §150(e)2: Continuous burning pilot lights and the use of indoor air for cooling a f rebox.jacket,when that indoor air is vented to the outside of the building,are prohibited. a Space Conditioning,Water hlcating-and 7_lumbitg_Systern Measures: §1101113: HVAC equipment,water heaters,showerheads,faucets and all other regulated appliances arc certified by the Energy Commission. .§113(c)5: Water heating recirculation loops serving multiple dwelling units and High-Rise residential occupancies meet the air release valve, I backllow prevention,pump isolation valve,and recirculation loop connection recpiirements of§l 13(c)5. §I I5: Continuously burning pilot lights are prohibited for natural gas: fan-type central furnaces, It ouseh01 el cooking appliances(appliances with an electrical supply voltage connection with pilot lights that consume less than ISO Btu/hr are exempt), and pool and spa heaters. §150(h): 1-hating and/or cooling loads are calculated in accordance with ASHRAE,SMACNA or ACCA. §I 50(i): Heating systems are equipped with thermostats Him meet the setback requirements of Section 1 I 2(e). §I 50(01A: Storage gas water Icaters rated with an Energy Factor no greater than the federal minimal standard are externally wrapped with insulation having an installed thermal resistance of B-12 or greater. ' 1• §I SOQ)IB: Unfired storage undo;,such as storage tanks or baclwp tanks for solar wales-hcatin@,system, or other indirect hot water tanks haveR-12 1 external insulation or R-Iinternal insulation where the internal insulation 12-value is indicated on the exterior of the tank. II §I 50(1)2: First 5 feet of hot and cold water pipes closest to water heater tank,non-recirculating systems,and entire length of recirculating sections j of bot water pipes are insulated per Standards Table 150-B. §15(1(j)2: Cooling system piping(suction,chilled water,or brine llncs),and piping insulated between heating source and indirect hot water tank shall be insulated to Table. 150-11 and Equation 150-A. • §IS0(j)2: Pipe insulation for steam hydronie heating systems or hot water systems>15 psi,nicets the requirements of Standards Table 123-A. §I S00)3A: Insulation is protected from damage,including that clue lir sunlight,moisture,equipment maintenance;and wind. §I.50(j)3A: Insulation for chilled wales piping and refrigerant suction Imes Includes a vapor retardant or is enclosed entirely in conditioned space • 2008 Residential Compliance Forms Augu.st,2009 • Mandatory Measures Summary MT-1R Residential (Page 2 of 3) Site Address: Enforcement-Agency: Date: 2(e /r6 rJ 026 T A `f`�-//e "VC §150(1)4: Solar water-heating systems and/or collectors are certified by the Solar Rating and Certification Corporation, /r) �• Ducts and Fans Measures: §150(m)1:All ;fir-distribution system ducts and plenums installed,are sealed and insulated to meet the requirements of CIBC Sections 601, 602, • 603, 604,605 and Standard 6-5; supply-air and return-air ducts and plenums are insulated to a minimum installed level of R-4.2 or enclosed entirely in conditioned space. Openings shall he sealed with mastic,tape or other duct-closure system that meets the applicable requirements of UL 181,UL 181 A,or UL 18IB or aerosol sealant that meets the requirements of UL 723, If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall he used §150(m)1:Building cavities,support platforms for air handlers,and plenums defined or constructed with materials other than sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air. Building cavities and support platforms may contain ducts. Ducts installed in cavities and support platforms shall not be compressed to cause reductions in the cross-sectional area of the ducts. §150(m)2D:joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and draw bands. - - ' • §I50(m)7:Exhaust fan systems have hack draft or automatic dampers.. . —§150(m)8:Gravity ventilating systems sewing conditioned space have either.automatic or readily accessible,manually operated dampers. §I50(m)9:Insulation shall be protected from damage,including that due to sunlight,moisture,equipment maintenance,and wind.Cellular foam " •. insulation shall be protected as above or painted with a coating that is water retardant and provides shielding from solar radiation that can cause degradation of the material. §150(m)10:Flexible ducts cannot have porous inner cores. §150(o): All dwelling units shall meet the requirements of ANSI/ASHRAE Standard 62.2-2007 Ventilation and Acceptable indoor Air Quality in Low-Rise Residential Buildings.Window operation is not a permissible method of providing the Whole Building Ventilation required in Section 4 of that Standard. Pool and Spa Heating Systems and Equipment Measures: §114(a): Any pool or spa heating system shall be certified to have:a thermal efficiency that complies with the Appliance Efficiency Regulations; an on-off switch mounted outside of the heater;a permanent weatherproof plate or card with operating instructions;and shall noLuse electric resistance heating or a pilot light. §114(b)):Any pool or spa heating equipment shall be installed with at least 36"of pipe between filter and heater,or dedicated suction and return lines,or built-up connections for future solar heating §114(b)2:Outdoor pools or spas that have a heat pump or gas heater shall have a cover. §114(6)3: Pools shall have directional inlets that adequately mix the pool water,and a time switch that will allow all pumps to be set or programmed to run only during off-peak electric demand periods. §150(p): Residential pool systems or equipment meet the pump sizing,flow rate,piping,filters,and valve requirements of§150(p). Residential Lighting Measures: §150(k)I: High efficacy luminaires or LED Light Engine with Integral Heat Sink has an efficacy that is no lower than the efficacies contained in Table 150-C midis not n low efficacy luminaire as specified by §150(k)2. • §150(k)3: The wattage of permanently installed luminaires shall be determined as specified by §130(d). §I50(k)4: Ballasts for fluorescent lamps rated 13 Watts or greater shall he electronic and shall have an output frequency no less than 20 kHz, §150(k)5: Permanently installed night lights and night lights integral to a permanently installed luminaire or exhaust fan shall contain only high efficacy lamps meeting the minimum efficacies contained in Table 150-0 and shall not contain:i line-voltage socket or line-voltage lamp holder;OR shall to rated to consume no more than five watts of power as determined by §I 30(d),and shall not contain a medium screw-hast socket. I50(k)6: Lighting integral to exhaust fans, in rooms other than kitchens,shall meal the applicable requirements or§150(k). §150(k)7: All switching devices and controls shall meet the requirements of§1.50(107. 1050008: A minimum of 50 percent of the total rated wattage of permanently installed lighting in kitchens shall be high efficacy. EXCEPTION: Up to 50 watts for dwelling units less than or equal to 2,50(1 ft2 or IOU watts for dwelling units larger than 2,500 tt'may he exempt from the 50%high efficacy requirement when:all low efficacy luminaires in the kitchen are controlled by a manual on oncupam sensor,dimmer,energy management system(EIviCS), or a multi-scene pro gm ntmnble control system; and all permauen lly installed luminaries in garages,laundry rooms,closets greater than 70 square Feet,and utility rooms are high efficacy and controlled by a manual-on occupant sensor. §150(109: Permanently installed lighting that is Internal to cabinet::shall use no more than 20 watts of power per linear foot of illuminated cabinet. §I50(Is)I0: Permaacall)'installed luminaires in bathrooms,attached and detaelted garages, laundry rooms,closets and utility rooms shall he high efficacy. 200E Residenlial Compliance Forms Angus/2009 I FEE RECEIVED • 4c sr 14838 JUL 111961 COSTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEPT. P. O. BOX 817 COSTA MESA. CALIFORNIA CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT eT TYPE L } OR PRINT BUILDING ADDRESS J, ✓J! e-/r S/, 1 COSTA MESA. CALIFORNIA j For Office Use Only OWNER r/ O A /1 ler� 1v —k /1"..e.:. `r I RECEIPT NO. I /PERir 3No�. MAIL G_ c R8C81VED BY DATE RECEIVED DATE ISSUED ADDREtSS .7, I ✓yy 4 �.< c3 // // �� z� F� ,'�f/ ' 40 • CITY /. /,.c-tCI AA P S )i Ca/• NO.`19046/7 ADDRESS ARCHITECT TEL. COSTA MESA. CALIFORNIA OR ENGINEER . NO. 4111 ADDRESS FIRE ZONE ZONE TYPE / ' GROUP CONTRACTOR / A P APPROVED n BY / DATE /- I—‘ / ADDRESS I. r9 E I S Seryl- / • ZONING USE OP N CITY C� Fes' ) r(-i Nt ,;--c-; .y /C-S '-.) j�'II )r/'/ ZONE I PLANS2I SUILD NO�QCt, - LATE G.NO. T�/ !� NO.I�(Ji/ /, IC/�- J) / DESCRIPTION for. '�.#6: re- c - !3 SIZE / n ^ i �S . St I NNOW OON LOT 2. A.P.NO. /I/ — I Y/ -- O� OF LOT (ri _l USE OFDS EXISTING BLDG. Alr•G I P M7 1 G -P. APPROVED ALLOWED CENTER2SETBACK OINE STREEOM p 7.4 REAR YARD (CENTER R NT NTER LINE ST.) a FT. C IN. SIDE YARD I LEFT I RIGHT R.SIDE 9FtT�. —' IN. fn-e.G DESCRIPTION OF WORK L.SIDE 2 ✓ FT. IN. NEW I X II ALTERATION I II ADDITION I REAR FT. IN. • REPAIR I II MOVING I II DEMOLISH APPROVED LUBYA,.I.1 �J DATE • /n/'ON. BUILDING A el NO. OF iPQQ SIZE 7. /-/U`/-c ROOMS / STORIES EXTERIOR WA L ROOF / COVERING *, rnFr.n I COVERING I. (1 hil pp , USE OF BUILDING AND WOR TO BE PRE RMED , 1,/ A .7Y .:1 C p. ua t4 1'uu/ —74 /YUl !GoT Gs I-6-1-- 1 dv 1 !! /-uT1J(4 aiA S72 R?1 • I HERESY 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 SIGNATTEF CONSTRUCTION. / • VALUATION Q /`/f I�j�'/ LLL/��/tel-K,./ O SIGNATURE O/F/ d-a PERMIT FEE $ L'�/ N I / $ I�/3• PLAN CHECK $ / S AUTHORIZED AGENT ¢ TOTAL FEE // — 0 / r 36502 r . PAIL ;'ir i.l! COSTA MESA BUILDING-SAFETY DEPARTMENT ''R 17-7.7-5,-- OO1 11-!5'} ESO P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill inCompletely RECEI V BY ATE RECEIVED D E ISSUED BUILDING 1/ V � ( 5/ / J (• • /���/� - - ''' I/' '- ADORES r,..- JJ�� s�/r�a ry OWNER �1 P/?211113 1i-if/in P A.P. NO. /17—/q/-03 P {B • T MAILt' L qqq BUILDING �/ (� ,/� , ADDRESS S} l e O4l�IO y 'TePe Ic MA, ADDRESS �` �L6/�'. dZ �r / TE D J-I' S / O CITY --i---/-2 L./ / /✓() NO. .027 W`RAC •/LOOT L I BLOCK H Z CONSTRUCTION /O�� NEW ADD ALTER REPAIR MOVING nFmnt ISH O'4( LENDER /tom am J r BRANCH / ,�' -1N / OWNER v -11 m J ADDRESS c7 %Tt ._-y y' � ,<f VALUE Q .J< OR ENGINEER evo NR.ARCHITECT — OwNP#CNG!-8 -,2-7-)y USE 1 I / IC $ V FIRE J T U to y w cc ADDRESS �D(J y ZONE 4TYPE GROUP G'IL APPROVE r/ •• JZ CONTRACTOR 4 WGU'e BY �{G DATE 4-/7'.. CO Z �€ a/� r J Q ADDRESS W w TEL. Z NO.OF USE NEW • rel / zH CITY NO. 0E IPLANS BUILDING M.2. -tan.•n W O STATE CITY YARDS APPROVED YARDS APPROVED K4�� � to CC LIC. NO. LIC.NO. MAI BUILDING ACCESSORY BUILDING 0 (F ROM /L/STREET/ / OF LOT 6 Oke' 2 7• I NOW ON LO / FRONT C7,76r j'LP.Tit/LZA'L _ FT. USE OF •/ lA' al BLDG.S/, /f' 'f al/ / v k kJ R.SIDE h FT. FT. F SIZE OF / flaps q NO.OF6 ZZ NEW BLDG. ((JJ ROOMS STORIES L.SIDE FT. FT., / U EXTERIOR WALL ROOF /Ls.0 L/C�..t4'T. 6 COVERING ICOVERING REAR /0 FT. !if_ _44,,,,0,60.4n. U11 J USE OF BUILDING AND WORK TO BE PERF RMED CL 4'/C/r✓6 FNr`, SN DISTANCE BET. / r - BET. MAINS. _ S T MAIN SLOGS. S7 ACCESS.BLOCS. /' - VAR.+ DATE O U f //D� l O c n C.U.P.# APPROVED r // r „ _) gin. APPROVED / /-7 N Li (.�/ /l,l4 ///vvv rr,rrr ttt""" RV ii.C�/.I () DATE Y1 /! / 3 Z i 1 / UI hereby acknowledge that have read this application and state 7 / r_ '" /j- - p that the above information is correct and agree to comply with l r t CC all laws regulating building construction, and I shall not employ /� -yyr �0 F any person In violation of the workman's compensation laws of ,2/ 2I �./tf/l�,p/yfyf • . % . N the State of California. e., 1m z I hereby certify that I am properly licensed as a contractor under SO. FT. TM O the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0 am exempt from the provisions of the State of California Business R VALUATION and Professions Cone, Division 3,C. %er" J ,. �7 N aC PERMIT FEE $ gar A- D Signature ofJ co Permittee //%� .. ,e /'�- $i_OPLAN CHECK $ ( (fir f/ ✓ E 2/e<2-61 �� o Authorized Agent u TOTAL FEE $ I 29111 COSTA MESA BUILDING-SAFETY DEPARTMENT SEP 11_68PAID 1p p P.O. BOX 1200 COSTA MESA, CALIFORNIA 92620 CNSA OO 319* *$i'•*10.OU For Applicant to Fill In Completely APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING c2/1 5 /5 for ONlce U» Only ' ADDRESS , :x' REEKIFT NO. • REIT NO. COSTA MESA, CALIFORNIA `• OWNER r •0I /- AL I A I MAIL P Cr /I FIREnal ZONE TYP !� . APPROVED fIJ/�.�,I �'T / ARCHITECT TEL_ ' BY' /r/' (< DATE 9/ / F i . :II OR ENGINEER ^— Ny*-. NING ' ADDRESS ZONEI NO.Or USE OF NEW n.i _Z PLANS Z Humping ^ • CONTRACTOR & CO . ° Z/ LEGAL 'K cc% ti /IF-//-Tl 7/(. ADDRES{ •k DEECRIPT ON �/ �� A.P.NO. '/ ! _ /V/ — 03 CITY NOTE: NO SAVE OVERHANG SHALL BE LESS THAN - STATE TEL SO'TO HIDE B REAR P.L r LIC.NO. NO. F EAVES SIZE I NO.OF SLOGS. ' ALLOWED (U.B.C.REQUIREMENT/ P OF LOT NOW ON LOT YARDS APPROVED YARDS APPROVED USE OF MAIN BUILDING ACCESSORY BUILDING EXISTING BLDG. (FROM C/LSTREETI/- - .4_ SETBACK LINE FROM FR•�: /71 •' C4 r- (J FT F CENTER OP STREET REAR YARD G a + I Pt SID- Y LEFT RIGHT Q� I • • • LHID (/ FT. /" ice_ : NEW ALTERAT ON ADDITION DISTANCE BET. BLT.MAINS 716 r DATE ` " APPROVEDy EXTERIOR WALLL(,,, ROOT n/^ APPROVED4/44 / �/z �D COVERING ,ING AND ON•GOVERIN �OD /./�ih ST ✓✓[yrlti DATE OO USE OF BUILDING AND WOR ' `, et, RM[D �`�Y E .�C oR. SQ.FT. 1 I HEREBY ACKNOWLEDGE THAT./ HAVE READ THIS APPLICATION • THE AMOUNT SHOWN UNDER VALUATION IS FOR THE C AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CON. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. FLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING • VALUATION "�� BUILDING CONSTRUCTION. p N SIGNATUREO�FF'''jjl///,, J�//�//� � , PERMIT FEE PERM1TTE1" l-I{/'�•RfI i /[1.Cie�"er-n '� 6 A•Oii E /i// b `" PLAN CHECK S W .` AUTHORIZ •AGENT l'' J V P/LO•U .. .::::;...S c. ..�.... -.: .;r...1.._ ..:-•r ..�:rv;`yA TOTAL FEE S`s PROJECT ADDRESS: 218 E 15tH ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 06980( OWNER'S NAME: HEFNER MICHAEL A ADDRESS: COSTA MESA,CA 92627 • PERMIT NO; M 069800 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: NEW 631-1680 • ARCH/ENGINEER: ' REG.NO.: JOB DESCRIPTION : FAU SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / PERMITTEE: SANTIAGO A/C, INC . ( 714 ) 998-1600 ADDRESS: 231 W. BLUERIDGE AVE. COMMENTS : NO OTHER WORK AUTHORIZED BY THIS PERMIT ORANGE CA 92665 *******************kr******+Fdr******+E+E•dE*+F*******+c****dr**+Fr*****************dc+F+k**x LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 0l the Business and Professions Code and my license is in full force and effect. SETBACKS CITYLIC.: 07,52 4 STATEuc.: 269496 uss: C-20 XP: 08/95 Irl �� a MAIN BUILDING ACCESSORY BUILDING !! signature FRNT; FT IN REAR: ' FT IN FRNT: FT IN REAR: FT IN KERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN ompensation'goggle.o .,cejik2djc&othereof(Section 3800,Lab.b 7/01 /9 5 POLICY COMPANY: CALIFORNIA COMP ERP.DATE: PARKING REQ: PROV: PARCEL: 42519119 ZNE: REF NO: COMPANY: PLANNING NOTES> 3 Certified copy is hereby furnished. 1-7-Certified copy is filed with the city Building Division. > Xi( /7/ ******* *************** ************�F****************************************** t �O y Applicant:�� D E V E L O P M N T SERVICES REQUIREMENTS EXEMPTION FROM WORKERS'COMPENSATION DECLARATION; (This section need not be completed if the permit is for one hundred(8100)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 • ZONING APPROVED BY r. r subject to the Workers'Compensation Laws of California. DATE: Date: Signature: BUILDING APPROVED BY ; • NOTICE:If.alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor DATE Code.you must DINGwG compI ith suchprovisionsthat or tms permnrucshall nedeemed gency o. APPLICATION ISSUED BY: -- DATE CONSTRUCTION LENDING AGENCY: hereby( affirm that there isaconstruction lending agency for the performance of the work for ************************************* * ** © 7� which this permit is issued(Section 3097.Civ.C). LENDER: ******************************************'********************************* *** ADDRESS: LEGALIZATION:N F E E S U. F1 M A R Y STRUCTURAL SEGMENT;N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC ' FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 9 .00 repair any structure_prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed - 25% SM I P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN . • - • and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE 15 .00 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(3500). BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 9 . 00 15 . 00 ' 0 . 00 24 . 00 24 . 00 . 00 ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State 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 employees.provided that such improvements are not intended or offered for sale.If,however the budding or REVENUE DIVISION TOTALS--> COLLECTED: 24 . 00 OVER/SHORT: 00 improvement is sold within one year of completion_the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK for the purpose 01 sale). 24 . 00 I,as owner of the property,am icontracting with licensed apply to an to construct the project iSection Business - ❑ and Professions Code: The Contractors'Slate License Law does not apply to an owner of property who builds or improves thereon **.*.****,M.*********,**,*******.*-**.*.*,***,*,******4**********dc*********,I6**************** and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N- UNIT COST TOTAL COST Date, Owner MEC 1 INST FORC—AIR/GRAV FURN <= '100 K BTU 9 . 00 9 . 00 / I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END. OF FEES 25534 and that I or any future building occupant will/will nol(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Ouality Management District.Residential construction applications are exempt from . these provisions. . Date: Applicant: I hereby certily that I have read this application and stale that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned _ 4 properly for ins eclion p gooses. 01 60171302-00171302 TOT 2c.00 a /p7 /f' CDATE: W07 tic, TIME: 14:42 �I ( 1. / L y Signature: � �/ Ca' x. ' rivet's License or Social Security a: 1641-46 White—Building;Green—Code Enforcement:Canary—Applicant;Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING PO. Y SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Tempotary 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 rj 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 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 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 Ceiling1 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning 11 �A/ .a 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 ❑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: 4-$ :',>^ 34. Final Heating& Air Conditioning -� /1 `CC-C4 tz,�"n t Z2T f 'w2 / 35. Final Gas Pipe-Test • 36. Hood or Canopy -__ 'AIMS/ ,f 37. Final Factory Fireplace - can err eite 38. Final Plumbing 39. Water Service•Final 40. Gas Service-Final ,3 ,S. -9 (-"inn cz-t-/Len - , ,. 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. FINAL PLANNING 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 218 E 15TH ST UNIT. CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 068262 OWNER'S NAME: HEFNERj MICHAEL A _ - ADDRESS: 218 E 15TH STPERMIT NO: E 068262 ._- . PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA,CA 92627 CONSTRUCTION TYPE: ' V—N PERMIT TYPE: ELE PURPOSE: NEW ( 714 ) 631-1680 ARCH/ENGINEER: REG.NO.: ADDRESS: UNIT: JOB DESCRIPTION ; TEMPORARY POWER POLE SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 PERMITTEE: NATIONAL CONST. RENTAL ( 800) 352-5675 ADDRESS: 10403 GLENOAKS BL COMMENTS: TEM POWER POLE 14 PACOIMA . CA 91331 *�r;r*EHRr***********kr**REEr�r*�r*****Rr�r1E+tar*�k*�H*+E*�r**;r*err**�r�r�r�H�E*REx*******+r+r�rx�H*�r�6�H+r�r*�r LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS • 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. • SETBACKS CITY tic.: 05 g STATE uc.: 687160 s:� EXP: 00/00 Date:2--- —7� signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have a certificate of consent to self-insure or a certificate of Workers' - FRNT; FT IN REAR; FT IN FRNT: FT IN REAR; FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POucY No.: P0059678 EXP. DATE: 02/01 /95 'COMPANY: THE ZENITH INS PARKING RE -_ ___ PROV; PARCEL; 42533104 ZNE; REF NO: LX Certified copy is hereby furnished. 0 Certified copy is filed wi the city ilding Div n. PLANNING. N TES> Date: 1-9--q—1 y Applicant: *fE*********iE*ik*iE*if*******i!********!Fi(•1E iE iEMiF***ff ik**iF****if**iE iE*!t*!!**iF**iF*iE**1t****iE iF EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: This section need not be completed if the permit is for one hundred($100)or less). D E V E L O P M E N T ' S E R V I C E S R E Q U I R E M E . N T S I certify That in the pert ormance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY • DATE; Date: Signature: ode.NOTICE:If,alter making this declaration,ywith you should become t i subjectemithe Workers' empensation provisions of the Labor BUILDING APPROVED .BY ; DATE: Code.you mull forthwith comply with such provisions or this permit shall be deemed revoked. . CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: -' DATE; which Ibis permit is issued(Section 3097.Civ.C). ******************************************* ***************** ** LENDER: ********************************************** k!F**!f**!f********f!****IE****!E*** ADDRESS: LEGALIZATION;N _ F . E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter.improve,demolish,orPERMIT 15. 00 repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed - . - __ - - pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 50 Z SMI P/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE ___ ,1 5.00 I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE -PLAN-CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> . . . 15_00. 15.00 . . 0 .00 30.00 30 . 00 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or hen own employees.provided that such improvements are not intended or offered for sate.If,however the building or improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED; 30.00 OVER/SHORT; 00 for the purpose of sale). . BLDG PMT PLUMBING . ELECTRIC. MECHANIC FIRE . SMIP/TOT GRADING PLAN—CHECK I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 30 .00,❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).lam aware ************************************************************************,******* that proof of their Worker's Compensation insurance should be provided to me. - - --- - ❑ I am exempt under Section: B. a P.C. - I N D I .V I D U A L. F E E BREAKDOWN for this reason: TYPE._- __QTY. -- DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: ELE 1 TEMP SERV PWR POLE W/OUTLETS EA. 15.00 15 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. Date, Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Da„. —'c t Signature: 15001.. _�� 01T0: 49 01 16300TIME: 1q 3- 16TOT 30.00 Driver's License or Social Security a: 1641-46 White—Budding:Green—Code Enforcement;Canary—Applicant:Pink—Revenue:Goldenrod—Assessor N•• CONSTRUCTION AND PLANNING ;c PG __ & SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Servulle or Poll, 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. om 53. Steel Reinforcement .•,.- _ 'f ,.' .'lctr al Cond ityllyility-t ndrgrnc%m 54. Forms x. ;.E1,;ctrial Condgt-tndrgrnd. m>. 55. Electrical Bonding •-t . T r4-, �. al5'St2el Reinforce.S. 56. Rough Plumbing & Pressure Test : n 44-41 . 1 nj ctrcal UFER.Lrnd. •-;a57. APPROVAL TO COVER-GUNITE :J ,y,1 I �r•Fdt tie s S C 58. Electrical Condurt-Undrgrnd. ' _:C�•S Y_ nt- .1 Foundation `, 59. Gas Pipe, 0 Undrgrnd., Test `' & Water Pipe-Und>* nd. 60, Backwash Lines. P-Trap, 0 Undrgrnd. m _ o 10. Structural FlooSystem • 61. APPROVAL TO DECK 11. PUrJpertY Sewerinn8r Haase ConnSFtion 62. Backwash & Receptor-Final 12. Secrer Cap 63. Heater &Vent-Final -r------a, 13. Roof Drains r.. tr! 64. Plumbing System - Final 14- Rough Plumbing; " 65. Electrical-Final 15. Rough ElectricgConduit O 66. Solar System-Final 16. Rough Electric. firing 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING .c 18. Rough Electric6%.T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 1 , n .* i ,. L . ^1 c' o' C,F C r i- R7 20.o7iou h tory Fitreplace ' mai C`7 x 0 D IT* x ,APPROWACS'SO'ernlit # x r -1 re <- - r" c ' "r•+ XQ r rr r. C•r A C nJHi' Y . , Zn tm 21.E u tr to I Fr -05 ' 1 ] K •.^ C '4. I •• r•+S ±• C r K 0. dergre,.oeyHV 'o £ ;7 S* I =, 1--1,-..c) r.t.. * 1 r - 22.•Ducts, V31ttitating-* #' S r.^Xex x c 1- ProductrPipiig C s ❑'yy�it ^, ' s :'i l ^ K C' U u 4A RI� Yld l i 23. as Pipe•:£,.ouJh &-Test I rXr' ' "' ""t :. 2. Under ro ALFA * i0 I ,S * m c' t p o 9 "rJd W-t-J * F h It'll' 0 . c-. Cry;".R'O r-3w-t+ e---+' 24.Moth Framing. + I E•E- ••E• * '. 0 c x * .93.r=Undergrnc'StorarrIPTank ii]Gas 0 On r * r v1 < * •- h I CO S * 25. Ro "Sh•'thin + r'.1 x .�f ?7 :J :v* S C . '-''' g, 9 � ,� y y . y * r /4..jpverhead HydroO- tr '* r-I S •f J 41 S # i 444 20. -B{ej Ceiling IStrt cturall &konecoat © ,;x If 75.C1)ry Chemical _-7 x :-I a E•• 27.tiramea d Flashirig. ` .3.'," ?' x 7 ,-- J£ : S 01 �- cXX * m ra# 6.`bry Standi'pp r�.a J "'I S t r•m r J '?' * >•r t ., 8. Lathing r Siding 0• v -.<2 * i' ••X x 77.b'FIXED SYSFEM1RTNAL* .'IJ ' f 44f�rr t "1 4'4`l '1 t••l T: '--• n m%29. Insulatidr� D " • • lc rn } Ir .K ',_ S * I I x 78. IRE PREY. FIINiAth * > et _ O. Drywall ailing « r• f I x ,-i HEAUI „1. Plaster B5pwn..Coat, s i ;rr:' x 779. INAL Ir 'r' CTI � d °' f. I r.E.. #. 1 I x . a % .� J e f.....42.c€Iectrica ?ow r Meteo=inal , , lenail •dt :$0.tfi0OD CERTIFIOnS ISSUED o .33.kg _ "-, i 4 .x ' n�Jo _c -tL sy ?1T m I a IxR -m r v 4.,FIna Hepjingryg Air o'iltljtior iNis r-t / x I k x CQ •S nz * s �'✓ 35.CP-in�� ai Gat"PicialTest* l "t nQ•+ ^C ZS * o' CO * r 4 r • -C1 T •-1 I 46.Flood,or Canopy . = 1 rr.y e_ r n f r E E n0 * ?err' }- m -- T n * n1 -fir' ,7. Pinaf?Factory Firepl%Cr_ i :c'. "J t rrt ' I e * £ r * 'l rr• �: _ w t ! 11r r * 0.1 _. .18. FinatlPlumbin9 :J I `• •• c I a S" -r M C -Urt -: r *. .39. Water,Service-Final t -• I a {I •'t' Y r n Lir: s rS .. 7 I " * T ',0. Gas Service-Final c' x r : ' . : . 1 i. M •ETIs' S d .TI i !' i. :Jt C:L• x 3: : .'•J rr ; r- -,.,_-__..ax____as. 81. Solar Domestic-Finale S n * a I`. 7 -•-• C,,0 H * E32. backflow Preventer P7 r It, , --E, e n I-.. •2 .. O t K t7 El) * E, -• 43. Backflow Irrigation-.a; • 'xtS >• _ s * fir•^ x 0 i1 �+ x > tel i is (l • :. I•C r 4 -4 ;O J * S V A4. Landscape Ir&gatiorgSystem:,;,m.111:5; G r 7 ors 9 ..t ::r0 x to _ �. &5. Sound Attenuation 11 imF T E- r+ I-04 i n r-r C'0 C:Q s -t, r3- .. z LT! m .T,T x c, Cl C • ;-•t7 x y S I, 1 •• •• r J / _• r-i. •• .. .-1 F A6. EFlandicap•!4 iery�latioris G * , r tr, az S CO S x; 47. FINfyL STRUCTURE & BUILDING K + I .4s t 1 t S .4----k •r• , * * ;-. I rx - I C 48. INAL PLAtNING;. I E•r- 7 N I : 4 • m rn v4 x .49. -Elecjiic Release to Edison i * I I - r E •f: x "a ,5V. .Gas Release td,Souttlern Califorgil1Gas Co .' I ::.• x - O • p=ry .• j'• Al. CER41FICATE OF OCCUPANCY' i S S s 0 x x i- No. Date • 1 TOTECI ADDRESS: UNIT: • (rOWNER'SNAME: 218 E 15TH ST CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 065742 • ADDRESS; HEFNER, MICHAEL A 1,• 218 E 15TH ST PERMIT NO: B 065742 PLAN CHECK NO: 04826-93 A GOVT: N SUPP : N COSTA MESA,CA 92627 CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: NEW (714 ) 631-1680 ARCH/ENGINEER: JOSEPH P . KELLEY REG.NO.: C—b7171 JOB DESCRIPTION : BUILD NEW SFD OVER EXISTING GARAGE SQFT; 2, 344 ADDRESS: P .O. BOX 86 3 N T. WILDOMAR CA 92525 CLAIM VALUE: CALC—VALUE: 105, 092 . 40 GROUP OCC: R-3 /M-1 PERMITTEE: ADDRESS: MICHAEL HEFNER ( 714 ) 631-1680 221 PALMER A COMMENTS: SOME EXPANSION OF EXIST.GARAGE & CONV.SOME AREA TO STOR. &LAUNDRY C.M. CA 92595 +rst*****sEx+t** * ****+t***+E*+6*FF*******+tit***+r********+ +EaE*+E*******+r+r*********sr****** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING R EQU I R EMENTS 7000)0l Division 3 of the Business and Professions Code.and my license is in fell force and effect. CITY LIC.: STATE LIC.: CLASS: S E T B ACK S H� tPR SPECIAL REQUIREMENTS Dale: Signature: MAIN BUILDING E ORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: 5 FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 38W.Lab.CI. LEFT: 7 FT 3 IN RGHT: 9 FT 9 IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: 5 PROV: 5 PARCEL : 42533104 ZNE: R2 REF NO: DR-93-18 Certified copy ishereby furnished, 0 Cenified copy is filed with the city Building Division. PLANNING NOTES> DEMOLISH EXISTING GARAGE & CONSTRUCT SECOND UNIT OVER GARAGE > AT .REAR. ' P " &: E Date: Applicant: *************************** *************************************************** EXEMPTION FROM WORKER 'COMPEN •TION DECLARATION: (This section,eed be comple tithe it is for one hundred(S100)or less). D E V E L O P M E. N T . S E R V I C E S R E Q U I R E M E N: T S I cerWy that in the pert or,ante of t w work for which this permit is is .1 II no pl any p on in any manner so as to become , '.. . sol: eWorkers' �mpen mnLaws osignatornia. ZONING APPROVED BY w�N/` DATE: ZZZ � iSignature:/: / �_ NOTICE:It.a er making this declaration..you should beco e subject to the W ers' pensation provisions of the Labor BUILDING APPROVED BY, : . . Q Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. (/E DATE: 1� 1 CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction tending agency for the performance of the work for APPLICATION ISSUED,B Y: • .` ' ' which this permit is issued(Section 3097.Civ.C). DATE: _ 1 LENDER: *****************Il*************************************************iF** ******** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the blowing reason BLDG PMT PLUMBING ELECTRIC MECHANIC' FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve.demolish.or PERMIT 660 0 , 50 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 10 . 51 • pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7010)of Division 3 of the Business • SM I P/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 107. 33 . any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars(SSW). ISSUE FEE 1 • • I. as owner of the property or my employees with wages as their sole compensation. wig do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 671 . 01 0 , 0 0 ^• 10 7 , 3 3 . 778 . 34 778 , 34 00 does not apply to an owner of a properly who builds or improves thereon,and who does such work himselUhersell or through i 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 will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED• 671 . 01 OVER/SHORT: 00 for the purpose ol sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE• SMIP/TOT GRADING PLAN—CHECK 't1 I.as owner al the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 660 . 50 • • •, 10 . 51 and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware *,**,*,**,**.**.*****.************.********_**•**********.******************************** that proof of their Worker's Compensation insurance should be provided to me. I am exempt un er Secti n. 6.6 P.C. j I N D I V I D U A L F E E • BREAKDOWN r real/aye/4 //�/�q,{ TYPE QTY DESCRIPTION , '' UNIT COST TOTAL COST 0 _ IL It/ "R Owner. . d'e/ere�by'cn/eertify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533.and SFR 1110 DWE—TYPE V—WOOD FRAME —GOOD 74 . 00 $2, 14 0 . 0 0 25534 and that I or any future building occupant will/will not(circle one)need to comply with said stale codes and the requirements for a SFR 1234 RES—GARAGES TYPE V 18 . 60 22, 952 , 40 permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from END OF FEES , • these provisions. • . Date: Applicant: SMOKE DETECTOR1 -Ix I hereby certify that I have read this application and state that the above inform.on is co ed.I agree to comply with all city and county U 1 RE D '� ordinances and sta• laws relating to building construction and hereby a e r..resenl. •es his city to enter upon the above-mentioned . y Ipr insp tion pr ss. `. „ _ .• ' - • - 4 A ' `/B R4 Signature: / �J''_''3 Q / Q�� —`, (. it tr •I'c.f 41116 License or Social Security<: �.r/Q nW 4r /4 95 -34 �� 7 . „ 1641-46 While—Building:Green— J • ” • / it. t g. Code Enforcement:Canary—Applicant;Pmk—Revenue:Goldenrod—Assessor 1 r r -�. r_- - -- PG 9 SPA - - - -- prrCONSTRUCTION AND PLANNING i w APPROVALS Permit#k 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 Ut-lity-Undrgrnd. . 54. Forms I -~. 4: Electrical Conduit•Undrgrnd. 55. Electrical Bonding - 5. Steel Reinforcement _�_ 56. Rough Plumbing & Prescure Test -~ • 6. Electrical UF ER Grnd 0 e Aer 57. APPROVAL TO COVER-GUNrTE li 7: Footings 1,24 1( 58. Electrical Conduit Lind,or T i 8. Foundation 59. Gas Pipe, E Urd•grrid., Test I 9. Water Pipe•Undrgrnd. 60. Backwash Linea,P-Tr an O t','•dr..rnd. - - I - -4 10. Structural Floor System 61. APPROVAL TO DECK t 11. Property Sewer Line & House Connection 62. Bae vaso & Receptu Eivid! i 12. Sewer Cap nc ------I - 63. Heater & Vent- il Fna 13. Roof Drains 64. Plumbing System - F -•al -y 14. Rough Plumbing - 65. Electrical-Anal 15 Rough Electrical-Conduit 66. Solar S n-Fina r: 16. Rough Electric Wiring 67. Fencing & Access Approval I 17. Rough Wring Sign 68. APPROVED FOR PLASTERING ! I_ 18. Rough Electricai-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Cur tilt:on ng ARE DEPT. REGUIREMERRT 20. Rough Factory Fireplace APPROVAL S Y runt -tr _i ; 21. Ducts, in Structure 70. Unci ergrc ^d lydrn �--- - 22. Ducts, Ventilating 71. Product Piping ITS Gas ,i Oji = • 23. Gas Pipe.Rojgh & Test -72. Ui•, ergroun.. Plus': -- -..-.�__I__ - I --a-- TY 24. hoof Framing - - _�-- 73. Undergrnd. >rcrage-r. ik Gds .-:0 ( : : ill-rt 2h. Rno Sheathing G! 74. O^erlinad ro,-.-o ' 26. 7•Bar Ceiling IStruct.aal; & htococodt . ' 75. Dry Chemi::a- ' 27. Fame and FlashingP.:5-W ' /b. Dry Sta:tduqsz we, i 'r -..v 28. g&ding -(`Q-L/-fy " 77. FIXED SYSTE?: FINAL 1 - 111 29. Insulation • 1061*•� 78. FIRE PREY. niNAI. , : I 30. 0,y..al! Malhrg )- - - -- HEALTH DEPT. REQUIREMENT 31 Pasie• Brown Coat yap e9 79.. i,._ L I?_"I:L'1.7 _ - -- -- - - I . . 32. C circa': Po er .icier-Sna /_, - 180. FOOD CER` . 'iaTL ISSUED r �33. Find Electric -j - - _I Nates: HOLD• FOR SPECIAL REQUIREMENTS 34. Fnal Heating & Ptr Co: Lit-C.1 “5 _ I I - - - - - -- ---I.�P_`i3 e Mr SY710 / -TeX' 4 - I 35. Final Gas Pipe-Test --- - N4ry -_ /t /7gs: I 36. Hoa? or Cr.ra PY - • L37. F nal Factory Fvepic c. . 39. Final Plumbing ---- -' fs-/ A / G4-7•1 a /C 7 - -- ---- ` I 39. Water Service-Final I/Z2Z-Q nr, I 90. Go. Service-Final • r I F4. 1. Solar Domestic-Finan re. '2. 3�cr1!o:v "reverter ;T 43. Backflow litigation -gII ...4. L..r,dscepe Irrioatio- S'-ste.' i i45. Sound Attenuation -�' _- - - -__I- - --- _-- ---_ _--, 46. F'ai Regulations _. I -- - ---- - -- -, 47. FINALSTRUCTURE & 51 :LDING �0- j.. - 48. FINALPLANNING j 49. Electric Release to Edson rrt r^A 5O. Gas Release to Southern (Tfornia Gastn - 51. CERTIFICATE OF GCCL=INCY No. - Date-v.1; NEWPORT-MESA UNIFIED SCHOOL DISTRICT 1142 CERTIFICATE OF COMPLIANCE OF DEVELOPMENT FEES PURSUANT TO AB 1600 AND AB 181 • TO: (v,X City of Costa Mesa District Receipt No. l ) City of Newport Beach • ( ) County of Orange Plan Check No. al`a2(Q — claA • Applicant: tikA kLCtA£x_, 1k r 1'! F £2 "• Address: � C•• tJ T✓I +-� r. ��i Telephone Number: Q\4' (031— \ ("as0 Tract/Parcel and Lot Number(s): Location of Project: \( ,. E. lc- S Number of Square Feet of ✓ Residential Space ‘ 10 x $1.65 Total / 6�i3// / 0 Residential/ Sr. Citizen Space x$ .27 Total Commercial and Industrial Space x$ .27 Total R & D Space x$ .2652 Total Warehouse Space x$ .2253 Total Commercial/ Industrial Project is: (Check One) Warehouses Motel Preschool R & D Bank Auto Repair Movie Theater Neighborhood Shops Hospital Mini-storage Racquet/Health Large Office Heavy Industrial Hotel Office Bldg. Regional Shops Medical Office Restaurant Light Industrial Office Park Fast Food This project is exempt because This certifies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and 65995. The Building Permits for this square footage in this proposed development may now be issued by your jurisdiction. Checks are to be made payable to Newport-Mesa Unifie. .ch.. District. • • //se By: �,, • orized Representa"ye • The above representation as to square footage is true. 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. Date: Applicant Jity of Costa Mesa California 92628-1200 P.O.Box 1200 Insulation Certificate • Permit Number \b6C I A2_ tie, c. \�TiA si- Co->.18b. MiCp., - ��''w�_N`uu'mbebbeer and Street City unty v Subdivision Lot Number Description of Installation • ROOF c "t 1 Material B€11I .isf=S Brand Name 6-9T•I-.\w�C 0 Thickness (inches) Thermal Resistance (R-Value)—gam_ EXTERIOR WALL -- ( t Material � i-4 `0-' Brand Name • Thickness (inches) •3 1/fit Thermal Resistance (R-Value) ___Ei3 CEILING Batt or Blanket Type l _e. Brand Name l Thickness (inches) to' Lk J Thermal Resistance (R-Value) V-Ick Loose Fill Type Brand Name Contractor's minimum installed weight/ft2_ lb. Minimum thickness inches Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value) RAISED FLOOR ) ( Material 'i 11_lJ�>~cr Brand Name n 19 Thickness (inches) ( `! L Thermal Resistance (R-Value) 1� SLAB FLOOR Material Brand Name Thickness (inches) Thermal Resistance (R-Value) Width (inches) FOUNDATION WALL • Material Brand Name Thickness (inches) 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�Adminstra a Code. CAM-4i-7 G ne ICC ntractor(Builder) License Number Sign ure and Title • Date r Sub- ntractor(Insulation Installer) License Number Signature and Title Date 1907-46 I 'P�JECPao Ess: 218 E 15TH ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 06603; \�1 OWNER'S NAME: HEFNER, MICHAEL A ADDRESS: 218 E 15TH ST • PERMIT NO: P 066037 PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA, �A ' . 92627 • CONSTRUCTION TYPE; V—N PERMIT TYPE : PLU PURPOSE: NEW • (-7.14 ) 631—1680 ARCH/ENGINEER: JOSEPH P. KELLEY REG.NO.: C7171 JOB DESCRIPTION • : BUILD NEW SFD OVER EXIST. GARAGE #B65742 SQ FT ; a- ADDRESS: P .O. BOX 863 UNIT: WILDOMAR CA 92525 CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 PERMITTEE: JOHN JANIS PLUMBING ( 714 ) 642-7764 ADDRESS: 1539 MONROVIA 8 COMMENTS ; SOME EXPANSION OF EXIST , GARAGE 6 CONV. SOME AREA TO STOR, LLAUNDRY NB CA 92663 ******** *****aE+E****�E�Ear�tkE+ *****k6*a6* ****+rx-�6*****ie-**�ts6#±t�6,r->E****x-** *********+Eac** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my tic nse is' full fore- and effect. SETBACKS CYL : 0528?0 STATE LIC.: 55 D : / 64 y Date: 2yL/ i, Signature:_ /i . MAIN BUILDING ACCESSORY BUILDING WORK RS' C MPENSATION DECLARATION: Ihereby aftir at I have a Genic/.e of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT : FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Sec' 3800.Lab.C). LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN MUNI): 1091393-94 EXP.DATE: 12 /01 /95 c certNeeppPTATeEfoFUN PARKING REQ; PROV: PARCEL ; 42533104 ZNE; REF NO; 0 certniedcopy filed/ the cit ildingoiv n. PLANNING NOTES> iOale; �Y Applicant: I ******************************************************************************* EXEMPTIO FRO M'WORKERS'COMPENSATION DECLARATION: ' • ecti"n need not be pleted if the permit is for one hundred($100)"r less). DEVELOPMENT SERVICES REQUIREMENTS I certify that in the performance of the work for which this I o is issued.I shall employ any person in any manner so as to become subject to the Workers'Compensation Laws of Califord. ZONING APPROVED BY , DATE: Date- • Signature: NOTICE:II.afteCmaking this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY , DATE; Code,you must forthwith comply with such provisions or this permit shall be•deemed revoked. /( CONSTRUCTION LENDING'AGENCY: I hereby affirm that there is a:construction lending agency for the performance of the work for APPLICATION ISSUED BY: DATE: 7....1(4(C1 which this permit is issued(Section 3097,Civ.C). - / *********************************************,**.***.************************** ** LENDER: _ _. ******************************************************************************* ADDRESS: LEGALIZATION: N F E E S U M M A R't' Y STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve.demolish,or PERMIT1 1 3 0 0 repair any structure.prim to its Issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed Z 5 pursuant to the provisions of the Contractors'Stale License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business • SMIP/NON-RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil lienalty of not more than bve hundred dollars($500). ISSUE FEE 20 . 00 I. as owner of the property or my employees with wages as their sole compensation, will do•the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'Slate License Law TOTALS----> 113 . 00 20 . 00 0 . 00 133 . 00 133 . 00 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or • improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS——> COLLECTED: 1 3 3 . 0 0 OVER/SHORT: . 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE ., SMIP/TOT GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 133 . 00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon ,. • - , and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware **************.)F**.)E.7e***+X..)E*.**{E***..x.**.11.;•*..N.*.*.**.******.k,**,*K,*.jE****,x.**,**,*.*,x,**,!(.*****,**,*.N, that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL " F E E BREAKDOWN ❑ I am exempt under Section: B.F.P.C. for this reason TYPE QTY D E S C R I P T I O ;N • T UNIT COST TOTAL COST Date: Owner: PLU 1 BATHTUB , 7 . 00 7 . 00 I do hereby certify that I am aware of and understand the requirements of CaliforcomplHealth and Safety Code Sections 25505,25533,and PLU 1 DISHWASHER 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a 7 . 00 7 . 00 permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from PLU 2 LAUNDRY TUB OR WASHER.T �. 7 . 00 14 , 0 mese provisions. PLU 1 SHOWER7 . 00 7 . 00 PLU 1 SINK, KITCHEN . 7 , 00 7 , 00 Date: Applicant: PLU 2 WASH BASIN 7 , 0019 . 00 I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county P LU 2 WATER CLOSET (TOILET) - ' I 7 . 00. , ' • 14 . 00 ordinances and state laws relating to building construction and hereby authorize ref entatives of ily to enter upon the above-mentioned PLU 1 WATER HEATER AND/OR .VENT . property for t specb purposes. 7 . 00 7 . 00 �`/ //' PLU 1 WATER SERVICE 7 ,00 7 . 00 Date: aZ//_/r/y Signature: . 7 /.../ PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 5 , 00 5 , 00 �( I PLU 2 GAS PIPING SYS 5+ OUTL—PER OUTLET .- 1 , 00 2 . 00 Driver teens or Social Security or: •1641-46 White—Building;Omen—Code Enforcem- :Canary—Applicant:Pink—Revenue;Goldenrod—Assessor 4,s perm is leefended *TN tTfttQf' ' f9 f995. { /� c/o,�94- • CONSTRUCTION AND PLANNING POI. < SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 4 , 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. (72.4 a 53. Steel Reinforcement 3. Electri.al 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. 22a 60. Backwash Lines,P-Trap,0 Undrgrnd. 10. Structural Floor System " • �_ 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection Py Z , D �¢/ -j 62. Backwash & Receptor-Final 12. Sewer CaP / l 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System -Final 14. ,Rough Plumbing ;7 ltr , 65. Electrical-Final 15. Rough Electrical-Conduit C /-4•- 66. Solar System-Final 16..Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 19, Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19, Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 2C. Rough Factory Fireplace APPROVALS Permit # • 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas u Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0Oii 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 J} 33. Final Electric Notes: 3--ea 14- f,%uotx-.tzdvreeCK-,Nau/ illy 34. Final Heating& Air Conditioning r�R � � �r -- 12-2Gi V S�k4 .DWY-N2O 8 ! ,35. Final Gas Pipe-Testf3"`&7 Li ' ��G�^$u' extent' aw 36. Hood or Canopy : 6 - - -.7_4_fi! • 37, Final Factory Fireplace ` . }s 4, • 4 �!/ r 38. Final Plumbing ( . � A. 'V � ' �a t 93 ' 39. Water Service-Final � (�! r`'1e�C0'y7at tr-t C�r d� ' i�StS r,. 7_1 - --©-t< 40. Gas Service-Final �\ ,�- -- 41. Solar Domestic-Final /1 -Z2-74- fro_ ____* type_ 42, Backflow Preventer 3` cls Clt,tTLG'kt' all 43. Backf low Irrigation ./9-i55-,,-71C "vs I) r /2- 0 '- - c 44. Landscape Irrigation System 44 Is _S �. '3- s _-7C- � if"; I-,��T 69 /,� ,JM 45. Sound Attenuation a`ntt.:-ert /L7tcs 46. Handicap Regulations 4 /, _ 47. FINAL STRUCTURE & BUILDING - 48. FINAL PLANNING 22-; ,((-----; ------ c 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY . No. Date CADJECT ADDRESS: UNIT: OWNER'S NAME: ADDRESS: • PERMIT NO: P 066037 PLAN CHECK NO; 00529-94 N PAGE; 2 • iEifilitlFfelfikaEfllllEi!•iEiE****ffif#iEif****3f3fjEjElfiflE****iFifififiE#lEffiliFkififlE****ikifiEfhitiElfiFifitlkilfElfil******* ARCH/ENGINEER: REG.NO.: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST ADDRESS: UNIT: PLU 1 GAS SERVICE 7 . 00 7 , 00 PERMITTEE: PLU 1 SEWER, CONNECTION TO BUILDING EACH 15 , 00 15 . 00 ADDRESS: END OF FEES LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature: v • �} T /� ���/J WORKERS'COMPENSATION DECLARATION: I hereby affirm that have a certificate of consent to selbinsure or a certificate of Workers' /��,N�^^�SSS-//! •��y�wM_���1/ ��(���T�/ /�V�IrOa,'Ti�{-{/�J- Compensation Insurance,ora certified copy thereof(Section 3800,Lab.C). POLICY NO.: EXP.DATE: COMPANY: ❑ Certifie0 copy is hereby furnished. 0 Certified Copy is filed with the city Building Division. in /4-, /79.r. � Dale: Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($IW)or less). ,/`^1 C j'j/9¢ 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. Date: Signature: NOTICE:If,alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Section 3097,Civ.C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,ar repair any structure.prior to its issuance,also requires the appticagl for such permit to tile a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). 1, as owner of the property or my employees with wages as their sole compensation, wig do the work, and the ❑ structure is not intended or offered far sale(Section 7044,Business and Professional Code: The Contractors'State 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 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 will have the burden of proving he/she did not build or improve for the purpose of sale). I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business O and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B.8 P.C. for this reason: Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions, Date: _ Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned properly for inspection purposes. • Date: Signature: 01 00155341-00155341 TOT 133.00 Driver's License or Social Security#: DATE: 02/14/94 TIME: 09:54 1641-46 White—Budding:Green—Code Enforcement:Canary-_Applicant;Pink—Revenue;Goldenrod—Assessor , CONSTRUCTION AND PLANNING • POt. .. & 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. Electr:cal 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. "rootings 58. Electrical Conduit-Undrgrnd. . 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62.-Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System Final 14, Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16, Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING .18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT X. 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 - _ 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, FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date • PROJECT ADDRESS: 218 E 15TH ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 06991E OWNER'S NAME: HEFNER, MICHAEL A ADDRESS: 218 E 15TH ST PERMIT NO; M 069916 PLAN CHECK NO: N GOVT; N SUPP: N COSTA MESA,CA 92627 • CONSTRUCTION TYPE; V—N PERMIT TYPE; MEC PURPOSE: NEW ( 714 ) 631-1680 ARCH/ENGINEER: JOSEPH P . KELLEY REG.NO.: C-17171 JOB DESCRIPTION : BUILD NEW SFD OVER EXISTING GARAGE SQ FT: ADDRESS: P ,O, BOX 863 UNIT: WILDOMAR CA 92525 CLAIM VALUE: CALC—VALUE; GROUP OCC ; R-3 /M-1 PERMITTEE: MICHAEL HEFNER ( 714 ) 631-1680 ADDRESS: 221 PALMER A COMMENTS : SOME EXPANSION OF EXIST,GARAGE & CONV.SOME AREA TO STOR, &LAUNDRY C.M . CA 92595 +a*********+t+E********+6s+t,t*****w-r**+tris********** t*********jr-x-*r****,.****ar•**,E+ ****+t LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am Ircen ed under provisions of Chapter 9(commencing with Section 2 O N I N G REQUIREMENTS 70001 of Division 3 I the Business and Professions Code.and (yyy'ce e l n I force and effect. SETBACK S CITY LIC.: / STATEc ss E P Date: L( l gnature: MAIN BUILDING ACCESSORY BUILDING 5i FRNT; FT IN REAR; FT IN FRNT; FT IN REAR; FT IN x.•--> WORKERS'CO PEance,or DE ended ON: I hereby affirm that I have a cedificate of consent to sell-insure or a certificate of Workers' LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN Compensation Insurance.or a certified copy thereof(Section 3800, Lab.C). POLICY EXP.DATE: COMPANY: PARKING REQ• PROV; PARCEL ; 42533104 INE; REF NO; PLANNING NOTES> 0 Certified cop is he by furnished. 0 Cerlilied copy is f wi the ' Building Division. > Date: G� ApplicantD E V E L O P M E N T SERVICES REQUIREMENTS TS FROM WORKERS'COMPENSATION DECLARATION: (This se ion eed be completed if the permit is for one hundred 11)())or less). I certify that in the performance of the work for which this permit is i u I II not loy any person in any manner so as to become subject o the Workers'Compensation Laws of California. ZONING APPROVED BY DATE; Date: Signature: L NOTICE:II.atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY DATE Code.you must lorlhwith comply with such provisions or this permit shall be deemed revoked. • \' I 1�I lc. CONSTRUCTION LENDING AGENCY: I hereb ante that mere i. a construction lending agency for the performance of the work for APPLICATION ISSUED B Y; \DATE z ` which this permit is issued(Se • . v. ***iE*-keee ***************************iE**********************************+f****- *** LENGE ' ADO S: REkB65742 6 M 6 9 8 0 0 LEGALIZATION:N F E E 5- U M M A R Y STRUCTURAL SEGMENT: N OWNER BUILDER DECLARATION: n am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or P ERM I T I 22 • 00 repair any structure.prior to its issuance.also requires the applicant for such permit to lite a signed statement that he/she is licensed 2 5% SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN ^ • and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE 15 . 00 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE I. as owner of the properly or my employees with wages as their sole compensation, wit do the work, and the TOTALS----> 22 . 00 15 . 00 0 . 00 37. 00 37 , 00 . 00 ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State 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 employees.provided that such improvements are not intended or offered for sale. II,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 37. 00 OVER/SHORT; . 00 improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/TOT GRADING PLAN—CHECK for the purpose of sale). .X• I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 3 7 , 00 CJ and Professions Code: The Contractors'State License Lawdoes not apply to an owner of properly who builds or improves thereon **********,**,*,************ ****************************************************** and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware that proof of their Worker's Compensation insurance should be provided to me. IND IV IDUAL 'F E E BR EAKD O W N ❑ 1 am exempt under Section: B.B P.C. for reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: MEC 1 FACTORY FIREPLACE 1 6 . 50 6 . 50 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and NEC 1 I NS T HOOD W/DUCTS FED BY MEC EXHAUST 6 . 50 6 . 50 25534 and that I or any future building occupant MR/will not(circle one)need to comply with said state codes and the requirements for a NEC 2 VENTILATION FAN CONN TO SINGLE DUCT 4 , 50 9 . 00 permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from END OF FEES these provisions. - Dale: Applicant: •. I hereby certify that I have read this application and state that the abov'infor .tion is c rect.I agree to comply with all city and county ordinances and state law relating uilding construction and h hya horize •pr ent ves of this city to enter upon the above•mentioned / • 01 Oa 171183-00172583 1'1�T 37.00 property for inSpeCtion purpose ,yy' DATE: 11J iv/94 TIITf: m 1 /l O�:l Date: U �4 CK Signature: ,' r Driver's License or Social Security x• 164146 Wteto—Building:Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING PO1 . 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-Undrgrncl. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 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 65. Electrical-Final 15- RoLgh 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 f//it _ FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace11 22r APPROVALS Permit # • 21. Ducts,in Structure 1/1t _ , - 22gl ��� 70. Underground Hydro 22. Ducts, Ventilating C! . �� 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: //.�-/1-x,-_.9 �� S0 I L---G •C Z �;•. 34. Final Heating & Air Conditioning r4 9.6-04 tIPJJ 35. Final Gas Pipe-Test <C •_ r- i_�r • 36. Hood or Canopy 37. Final Factory Fireplace 97 r , 38. Final Plumbing (1..."-"s--2---e-05, , 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. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date 0111 PROJECT ADDRESS: 218 E 15TH ST um - - _ CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 068272 OWNER'S NAME: HEFNER MICHAEL A iiaoDREiSu-218 E 15TH ST PERMIT NO; E 068272 PLAN CHECK NO; N GOVT: N SUPP: N COSTA MESA,CA 92627 CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: NEW ( 714 ) 631-1680 ARCH/ENGINEER: JOSEPH P. KELLEY REG.NO.: C-0.71 JOB DESCRIPTION : BUILD NEW SFD OVER EXIST. GARAGE #865742 SQ FT: ADDRESS: P.O. BOX 863 WILDOMAR CA 92525 CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 /M-1 PERMITTEE: ADDRESS: RJR ELECTRIC ( 714 ) 926-2379 7079 HOOVER WAY COMMENTS: SOME EXPANSION OF EXIST,GARAGE & CONV,SOME AREA TO STOR, &LAUNDRY BUENA PARK CA 90620 +E+E******4*****+F**�e+r+E****Sr�F�F+r�r�r�F�F�Fsr+r+r+rxsr**********�F***********err*+Ew******E ****** LICENSED CONTRACTOR DECLARATION: I hereby allirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIR EHENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACK S CITYLICC110-1-9 ., ( G} STATE 110: 464632 LASS: — ,I E P: Dale'. 1./—1 ` Ll Signature: .A MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I herebyalfirm that I have a cenifi x o onsentloselhin . . . 'rtificate of Workers' FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: ' COMPANY: PARKING REQ• PROV: PARCEL: 42533104 ZNE: REF NO: 3 Cenitied copy is hereby furnished. 0 Certified copy is filed with the city Building division. PLANNING NOTES> > NW Applicant: ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if he permit is for one hundred(5100)or less). DEVELOPMENT S;E R V I C E S REQUIREMENTS I certify that in the performance of the work for which this permit is issue I shall not emplo y person any manner so as to become subject to�fit Workers'Compensation Laws of California. ZONING APPROVED BY . DATE: ` Date: )— [�a `R Signature: NOTICE:II.after making this declaration,you should become subject to o rs'Compensation ovisions of the Labor BUILDING APPROVED BY : • DATE: Code.you must forthwith comply with such provisions or this permit be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• ~ : " which this permit is issued(Section 3097,Civ.Cl. DATE; ( (9( • ****,**,*,*,*,*,**********************.*4-************ * ****************,*,********** ** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that lam exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING _ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 9900 00 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 50% SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 1500 00 I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILD INC—D IV > PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 99 ,00 15 ,00 0 ,00 114,00 114 ,00 , 00 does not sooty to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 114 . 00 OVER/SHORT: . 00 far the purpose olsate). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 114 . 00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ******************************************************************************* That proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B.s P.C. INDIVIDUAL F E E BREAKDOWN mr this reason: TYPE _. .. QTY D E S C R I P T . I 0 N UNIT COST TOTAL COST Date: Owner: ELE 20 FIXTURES, LIGHTING 1 ST 20 EA. . 75 15 . 00 I do hereby cenily that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and ELE 8 FIXTURES LIGHTING ADDITIONAL EA, . 45 3 , 60 25534 and that I or any future building occupant willwill not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from ELE 20 RECEPT/OUTLET 1 ST 20 EA, .75 15 . 00 these provisions. ELE 22 RECEPT/OUTLET ADDITIONAL EA. . 45 9 . 90 ELE 20 RECEPT/SWITCH 1 ST 20 . EA. . 75 15 . 00 Date: Applicant: ELE 1 ' ' SERVICES BELOW 600 V & BELOW 201 AM18 , 50 I hereby certify that l have read this application and state that the a rove information is cor .I agree m comply with all city and county ELE 2 SUB—PANEL 18 . 50 ordinances and state laws relating to building construction and her, a (ulhorize rep en�. of this c y to enter upon the above-mentioned 11 .OO 22 . 00 property for inspection OF FEES ion purposes / DATE: 08/01/94 TIME: 10:04 01 00165011-00165011 TOT 114.00 / Date: [ 'a Signature; /``� Driver's License or Social Security s_ 1641.46 White—Building:Green—Code Enforcement;Canary—Applicant:Pink—Revenue:Goldenrod—Assessor • i• CONSTRUCTION AND PLANNING PO. & SPA A'P�PROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector - 1. T,einporary Electrical Service or Pole - 52. Pool & Equipment Location 2:-1...1/4. WI Pipe-Undrgrnd. 53. Steel Reinforcement ^'. .�13ctr`ga2CondbiJhty.Un drgrnd. . 54. Forms 4•'a xi asi.? rnkrctric.c Coq,Irtirlia drgrnd. 55. Electrical Bonding 15C• r del R?irffo"• 0G'O'i,(�' 56. Rough Plumbing & Pressure Test r� -UPI xxEctraai UFEE5r;Zd. n 57. APPROVAL TO COVER-GUNITE +.: -Ere1:- 'o:F 1 ; 441 -Ys L .-aNSptif2�� crc ',i 58. Electrical Conduit•Undrgrnd. c. £2 Founda UKfi :LC - 59. Gas Pipe, 0 Undrgrnd., Test -n ;.c+ >i Water Pipe^vindrgrnd. .< 60. Backwash Lines, P-Trap. L Undrgrnd. w 10. Structural Floor System ,l 61. APPROVAL TO DECK 11. P.aperty Sewer Linr& House Cdnnection /3' 62. Backwash & Receptor-Final I • 12. Se:4er Cap i11 " • . • • t7:; 63, Heater & Vent'Final 13, Roof Drains v coo p , • 64. Plumbing System - Final 1 • 14. Rough Plumt3Miz Cr. h %4r 65. Electrical-Final 15. Rough E'ectricatConduit - % 66. Solar System-Final 4 'Alro 16. Rough Blectrice firing II4367. Fencing & Access Approval 17. Rough$i ing Sign 68. APPROVED FOR PLASTERING 18. Rough Electric4fT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT r - 3 0,- y7--00 .- is x -<i . 'd =•?CF. tC * m-1r-tmnit, 20.citough FZ:tor7 Fiatlace I t*. ^.4n O 0 C' S 'J * 3PPRG1/AtluWer47t # >1* '1_3' ^:' 33-:-3 'u <i s'x i -' .,•< * S I•y C't lc Q CC C2JH ? * C >Iir'161_1 r mCr7 21. uC$, i �Stru�tur * ` ?S x H 7 7x :lc So3 m r Cl HS x S C Hs s 'y0. u dergrid Cd-iriymo * L-ti-t.. 3 1 r--A-4,-*-t-1-T' ; fl-C) 22. Ducts, Vitirtilating I 00 * S <x * y1, Productert'; g E11E;> 09ii ,• - n c n1n •�" * '' `$_E.* '� to C1 �1 a`" :23.%as Oipe o al &'Tst I M * r� .-i* 'V ^-1 I I 0 x J'. I, H !Al q3 'K I -'1S r r C' CC 0* x: H2. Undergroo d,Fl sY.) F F m wx i i.i: J.O . u. _... n O -!v-t' e >i----tre_._t :24.;rjoo Fr -ming•• 0* iFF ••F x : O c' xleS3.'Wlndergrno?Storar?�Canki'Gas '70Piz0r'eC"L^ A. Xx •+t tX H* F •` I al>r * 25. Roo-Sh✓:ithin9 Mt £ 0�Y m 1T, O x a "' v r.F < r > cu* -74. iverhead Hydro n 26. utM -Bdr•,Ceiling (Strkurall & Enogetoat * te C x x 75.R'Jry Chemical ' x 1 •-• O ='^^7,^`^C ti?1 ti ti:J * H-Hf72. Lrt-4 1` D x -1r-+ OE x S Cl XXtl rein^Q3 27.'-- ea03 Flashirp* .D76. I�r Stand rU -11' .* �C.'S *• C .. 4. Y �t.£1i FQ Y H:-trrimr? ' C I , x + x' ... •` 77.of=1XED S•H,3?EM VAL r l r, 9 FF^ 'C . r 8. lath=ng - Siding".r' :� cp--.1.' 'x x T 4444 4444 .." r '1 c'0 ntf fl Mi^3:i�1' 'c n C•.• 7 H - - j x1'1 i * * :3 * :J 03ri0 11 CJ rn %19. Insulation �,,, S x * 78.£IRE PREY. FII }; x r. cc --,S `1 u* `r :3 ' * .. '* .F CL v 1 ' f F `042 :A0. Drywallyailing trn * : x H 3�EfeLTH:1Ei'T.tR5QU+RE7iiV77F4m - * I Y ✓'<,. 1 * ! 010.2_.ri_ti Y H i--i m.01'3 14 r�11. Plaster 8+tvowrhCoa�x s entre x 1_ x ;t �9. 9INAL IN ?�F.CTI(yal # z� 3 �p�ri- cc' rro, '-ro-rte F .'ire, :'d2.tilectrica Powsr M1oterfFinal Fr � N .�Y t80. t5OOD CERTIFICxCTS6')IS9VED H �- '? h `+ r /-�, _ -d I -t - -", * m I I * 4 T •'3E x 00 0 -3.•t:in8_Eie ri CN4, rotpird• • 1 0 i +. , Ii J ri n : •-• y I * 4-aW 'l-s` TI >t -- 4. 4. .F,ina£Hep ing - or�dUionlr�+S Tr x I I * r .- •ti n... F S C < C • • C `t , x �. E 7, ; (11 x n1 .- Tv . J t tiS3 4-7-rn 35. F.in*GagPip@+TesVx -L '7 * .s .0x• G:'1 mS x ,11 0 7 O yyl •• 'x: !Al I F * ^1 SG CH V 1V Hill H;'30 ly 6. � �- '1 f. FT r . .•t1 * m nHF;-.T,-:-1 Op br,�anopy ^±.R > • I co.-, r k t T £ no * H '•, 7 •37. 'Pinal-factbry Fireplace I SM v r .'`3 i 7 '% t :1 Y 0S0S%S ?1 4444 .a -. IFF -v * * * c. 0 * < < (l >-- .. - F OJ F . C •+. .. 1-y of Ad. Final: lUelbing j 1 O Volt Commercial Brokerage • June 14, 1994 One of The Voit Companies P.O.Box 66003 Mr. Bert Morgan 2099 So.State College Blvd. Building and Safety Division Suite 100 CITY OF COSTA MESA Anaheim,California 77 Fair Dr., 2nd Floor 92816-0603 Costa Mesa, CA 92626 Tel(714)978-7880 Fax(714)978-9431 RE: Permit#065742 218 E. 15th St., Costa Mesa Dear Bert: Due to unexpected delays in construction financing, I would like to request an extension for the above referenced permit. Please contact me if there are any problems at (714) 978-7880. Sincerely, Vi.T % E CIAL BROKERAGE Michael A. Hefner First Vice President JP4335/al Offices throughout Southern California OWNER BARKER, JOHN DATE 7-11-61 JOB ADDRESS 218 East 15th Street BUILDING PERMIT NO. 1) 838 GENERAL CONTRACTOR Owner VALUE $ 1,51 3.00 AP. No. i 17-1h1_09 LOT TRACT _ FIRE ZONE DESCRIPTION OF WORK Bet.•Ar. INSPECTIONS DATE I GROUP J TYPE ZONE p-J, Underground Soil U.G. Water SUBCONTRACTOR PERMITS ISSUED Underground Gas DATE NUMBER Overhead Water and Gas Rough Heating Rough Plumbing Miscellaneous Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating, Final Plumbing Fixtures Final Gas Test Construction Pole Underground Power _ p Rough Wiring 4f27c6 (J m zv £-/b-GrI Trenches Forms Steel Floor System Steel Reinforce Chimney Re-Rod _ Bond Beam Sheathing -7-uI Frame and Flashing driS44/ Ya r-7-fr1 Lathing, In Out $ = VV ''6f Plaster, brown coat --It. --gr _ Plumbing Fixtures, Final - ; • Electric Fixtures, Final ( ha) q,//-c-L Building, Final \ OCCUPANCY Form 210-5M-11-59 S-B r 14838 OWNER BARKER, JOHN DATE 9-11-68 a JOB ADDRESS 218 E. 15th Street BUILDING PERMIT NO. 29111 GENERAL CONTRACTOR Owner-Buidler DESCRIPTION of WORK Add Bedroom to Resident (AP No. 117-141-03 LOT 13 TRACTNpt.Hats FIRE ZONE VALUE $ 2,525.00 INSPECTIONS Signature Date GROUP I TYPE T( ZONE R-2 SOIL I PERMITS ISSUED GAS SUBCONTRACTOR I Date Number I Signature WATER Plumbing ROUGH PLUMBING PROP. SWR, LINE ❑ HOUSE CON. U SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER ❑ ROUGH WIRING_..„..---- O / - Heating and Vent. TRENCHES FORMS STEEL REINF. uC 3 FLOOR SYSTEM /Q3 A cir BOND BEAM rl STEEL REINFORCE n SHEATHING s Q 7♦1 //y/ 6k/ FRAME AND FLASHING ^ C /O // Cr vV C LATHING - IN 571 OUT it /6yG PLASTER, BROWN COAT v' /e fr CA f' STRUCTURAL, FINAL _ Electric J( `; yy 1 HEATING, VENT., REFRIG. AND P.C.,�FINAL (Qats12-f .�C ). y Pea R7/J77 PLUMBING, FINAL AND GAS TEST I I _ / / ELECTRIC, FINAL RA� 'O'22_ ,3' BUILDING, FINAL /\ AO ,.d.2j,-6,Q ale E. /5-a s+. NUMBER REET UNIT NUMBER PERMIT NUMBER REFERENCE NUMBER NOTES: ENGINEERING PLANNING FIRE 193848 4( Eli L Sr o ., 'CITY OF COSTA MESA CALIFORNIA 926281200 P.O. BOX 1200 O' 4 tse • ' r DEVELOPMENT SERVICES DEPARTMENT June 22 , 1994 Michael A. Hefner, First VP Voit Commercial Brokerage P 0 Box 66003 2099 South State College Boulevard Suite 100 Anaheim CA 92816-0603 RE: EXTENSION OF TIME ON PERMITS B65742 AND P66037 FOR CONSTRUCTION AT 218 E. 15TH STREET, COSTA MESA, CALIFORNIA Dear Mr. Hefner: Upon your request on June 14, 1994 , I have extended the time during which the above referenced permits shall remain valid through January 14 , 1995. This is a one time only extension. No future requests for extensions shall be granted. If I may be of further assistance, please feel free to call me at my office Monday through Friday between the hours of 8: 00 a.m. and 4 : 30 p.m. at (714) 754-5615. Thank you. Sincerely, _, BURTMORGAN V ,- `'J Chief Plans Examiner BDM/gz (218E15ST.EXT) C-16 77 FAIR DRIVE Building Division(714)754-5273 • Code Enforcement(714)754-5623 • Planning Division(714)754-5245 FAX(714) 556-7508 • TDD(714)754-5244