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Home My WebLink About206 16TH ST - Building Permits AIL ��v III CITY OF COSTA MESA MIP 44a. BUILDING DIVISION Y :J �, DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER t. � PERMIT ltb*ro.a,m el:` P05-00714 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 - PLUMBING PERMIT Job Address: 206 E 16TH ST Status: ISSUED Suite No C R APPlied: 091142005 Vicinity: R ssued 09/1412005 • Parcel Nunmber: 42520128 �,�'--J(�� / Applicant: NOCK, CANDY ISSUED BY: `//� 6// Address: 11612 KNOTT ST SUITE 217 Phone: (714)895-1246 GARDEN GROVE,CA Zip: 92841 Owner: KORDING, DALE E Address 206 E 16TH ST UNIT C Phone: E • D COSTA MESA,CA Zip: 92627-3804 /� Contractor NOCK PLUMBING Address: 11612 KNOTT ST SUITE 217 Phone: (714)895-1246 GARDEN GROVE,CA Zip: 92841 License: 707775 SCOPE OF PERMIT CHANGE OUT WATER HEATER FEE SUMMARY AMT QTY AMT � AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain,Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain,Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain,Roof $0.00 0 Shower $0.00 0 Water Heater/vent $12.30 1 Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0,00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 0 Water Service $0.00 0 Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00 0 , Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 - PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $35.80 COMMENTS/SPECIAL CONDITIONS • • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void If work Is not commenced within 180 days,or If work Is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446.48(6/00) DECLARATIONS ( ) I ) WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. I have and will maintain y� rkers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ,My wrg_OO/rp/pf/-Ps�pppo _ry4 rancy cOrrlertppllPy nusber re. Carder: l/AI I{ p 1(mp,r , Ipermitt? e � one Policy Number: r � SS (TVs seal need n Pe completed if the pertnlf/ e:ued at one hundred dollars($100)or less.) ❑ I certify that In the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these pr. — /r7 77,t/,/' Applicant Signal :. S -r` Date: (�yl�P WARNING:FAILURE TO SECUR. -••RKERS'COMPENSATION COVERAGE IS UNcAWfUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES'(WO CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLARE(S100,000),IN ADDmON TONE COST OF COMPENSATION:DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: a-' '43' •'7• 1 hereby affirm that I am llcaasyO��'Yr�rte{° °ns of Ch : 9 mencln with Section 7000)of Division 3 of the Busine Pplfessions Code,and my license Is in full force and effect.Lia N O l 1� ) t r_ ( Q g Class x rj (('']]pp Contractor's Signator _ i Date: (e- (1 Cl f CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that 1 am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors Ucense Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that heor she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty.of not more than five hundred dollars($500).): ❑ I,as owner of the Properly,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not Intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). • ❑ I.as owner of the Property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person Is required to descend,will be made in connection with work authorized by this permit,and that n0 building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(38)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title B,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safely Code been fully complied with? ❑Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes ❑No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 10001eet from the outer boundaries of a school? 0 Yes ❑No • (II'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). • 7 If a permit from the South—CoaSI Air Quality Management District or other air pollution control district or agency is required for the work which is the subject Of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes ❑No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penally of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature Of Legal Owner(s) C7e�Iaa .., C- .0ArAuot=='pplicant DaTS BODE I INSPECTION TYPE PAIL HMO coos INSPECTION TYPE PEIF. MAUI 1618 Fixed System Final Fire Prevention 206 Final Mechanical n 1266 Pool Spa Final 208 Final Plumbing i-IL-()`l by BA)/410 200 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 • Ni.PROJECT ADDRESS: 206 E 16TH ST UNIT: C CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 064184 OWNER'S NAME: RALPH & NANCY EMERSON I ADDRESS: 4300 CAMPUS DR #100 PERMIT NO: B 064184 PLAN CHECK NO: 02388-93 A GOVT: N SUPP: N NEWPORT BEACH CA 92660 CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: NEW ( 714 ) 263-1920 ARCH/ENGINEER: DONALD FLAIR REG.NO.: C—u.J01 JOB DESCRIPTION : NEW SFD WITH AN ATTACHED GARAGE SQ FT: 2, 420 ADDRESS: 16715 VON KARMAN AV IRVINE CA 92714 CLAIM VALUE: CALC—VALUE: 159, 202 . 20 GROUP OCC: R-3 /M-1 PERMITTEE: 206 16TH ST ASSOCIATES ( 714 ) 263-1920 ADDRESS: 4300 CAMPUS DR 238 COMMENTS : ' LOT 1 ' OR UNIT 'C ' / SFD W/ATT GARAGE & 56SF DECK NEWPORT BEACH CA 92660 *************************************w***********************+r********+t*****+E** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 70001 0l Division 3 of me Business and Professions Code.and my license is in IIID force and elect. CITY LIC.: STATE LIC.: CLASS: S E T B ACK S Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: 25 FT IN REAR: 14 FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: 5 FT IN RGHT: 14 FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ• 12 PROV: 12 PARCEL: 42520120 ZNE: R2 REF NO: DR-93-09 0 Cemnedcopy ishereby furnished. 0 Certified copyo Med with the city Building Division. PLANNING NOTES> 1 DU OF A 4 DU CONDOMINIUM PROJECT. FT SETBACK IS SEPARATION > PKING; - P,ARK & TRAFFIC FEES TOTAL FOR PROJECT. P 7 E date: APplcant: ' ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATIO : (itis seem n not be completed if the permit is for one hundred(5100)or less). D E V EL •0 P M, E 'N T SERVICES REQUIR E M E N . T S I cenily that in the perfor ance of the work for which this ermit is issu d I shall not employ any person in any manner so as to become O� C' ^ subject to 1. orkers' F mpensation Laws of Californi ZONING APPROVED BY - • C2 t DATE: (. (21 0 Date: i Signature:7 NOTICi If,alter along this declaration,you shout become subject to the Workers'Compens tion provisions of the Labor BUILDING APPROVED. BY/ iDATE: Code,you must forthwith comply with such provisions or this permit shag be deemed revoked. ,` c ,` q G A CONSTRUCTION LENDING AGENCY: hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y; ' /x _ . v �t�" DATE: --e. 1 "'� V' which this permit is issued 3097.Civ.C). ************************************* ****WWW************************** *** ***** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l 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 8 4 9 . 5 0 15 . 36 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 i.4/ / SM I P/NON—RES and Professions Code)or mat he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 138 . 05 1 . 18 any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars($500). ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILD ING—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----> 866 . 04 0 . 00 X1'38 .05 1004 ,09 1004 . 09 . 00 does not apply to an owner of a properly 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: 866 . 04 OVER/SHORT: . 00 for the purposeol 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 849 . 50 / , 16 . 54 IX 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 acontractor(s)license pursuant to the Contractors'State License Law).l am aware *************************************si**'4*************************************** that proof of their Worker's Compensation insurance should be provided to me� IND I VIDUAL F,/,4E E BR EAK DOW N ❑ I am exempt under Section: B.8 P.C. l i formiseason TYPE QTY D E S C R I P T I O N / '2 UNIT COST TOTAL COST Dale: Z7 73 Owner: I do hereby certify at I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFR 1964 D WE—TYPE V—WOOD FRAME —GOOD 74 . 00 14 S, 3 3 6 . 00 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 SFC 1964 EQU—RESIDENTIAL AIR COND —AVER 2 . 85 5, 597 . 40 permit for construction or modification from the Air Ouality Management District.Residential construction applications are exempt from SFR 56 RES—BALCONY, EXTERIOR STAIRWAY 14 . 80 828 . 80 Mese provisions. SFR 400 RES—GARAGES TYPE V , ",—, 18 . 60 7, 440 . 00 END OF., FEES Date: Applicant: %' I hereby certify that I have read this application and state hat the above' matron is correct.I agree to comply with all city and county 1 ordinances and state Mrs relating to building construction a d hereby out ' representatives of this city to enter upon the above-mentioned property IDI)nspectio purposes. / ---- Date' /5 Signature: '7?-/P7 - rit.' 01 00147812-00147813 TOT 866.04 Driver's License or Social Security e: DATE: 09/28/93 TIME: 16:53 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor /I N . _ii. . - I CONSTRUCTION AND PLANNING POOL ' .P.A -� I Dote Inspector Date Inspector I APPROVALS Permit i- APPROVALS Permit ! 1. Temperer.; Elect.ical S_^rv'co or Pole 52. Poul (4 Equipment Locat on 2. S^ ' P'r' U r n,^n I 53. Strel Rc.nI futc.:ntent ' �:__ __ _- __ !. --_ __ -__ I -_ - • i;•C' _;? � crit Lii•'ir,. _tri '.'i. I I 54. Farm' ---4---- G. E-t'rc d3utnt"Ui,d' ^•r+ I ^G' 4 55. El---- -1 Bnno•nn 5 'Ti . T.. Ir-c •n t• ( i 5G. !-iuuyn Plm,nrh,ng F. Pr,.isun. •,_.t O'tl'..E ] - :V --- _- --�-- - 7 -- S? Ari/I.10•451!oLitJ71r 7•• C w R t- _ --_- - __ Foot. 1 c ••r• a v ! i 5E Eiuct Lal Corti., t•-•• 6r .• I . Y. Fnu 7t no; - ___-_ - - --- 't 4( i4 -I 59 G., P c,,, r-I Undrer- - J-_- .. T."'4'ater Pi3aUn•Irr,rrrl. -460. Rm!::'eash I.m_ , PI r. p-_- _r- __ -__ ___ fii-Tr= 10, Struct.raL F:uur Syrit m ' 61. APPROVAL i0 DECK I - --- --- --�- ---- - - - -- ---- ----- - -- ---- -' 11. r.'-P' •:y c .).'11• :fib s;[I r-ri:ec' n171 {{- i , � Y'. 1 6 .. /3.1C:(..'.',..',1 it H_cc.'urI.ir..il 'J. Smr,1gip I I ! ' - I. 63. Henr.r & Vcnt•Frn-i 64. Plumbing System E nal 14. Hourr. PiumbTQP ! 65. Electrical-Final t 15 F ..:gn E'C calci.Co•Jt..t 66. Solar Ss �,, tcmFri I _ 15. Rah E'.Cr c?V.'!r.r-1 67. i=encinil C, AM/I.5 Appro.ai i •11. R,... •'r, Sinn -._--- -_ ! -__ ___ __- - -__ _.--t___ 6B. APPtGVED FOR PLASTERI;G t 18 Rot_ E:cCrt3i.r B.r. G., .._ I { r i 3C. POC,/SPA SYSTE'_3 fi:4'�J_-t �---_- 1 1g. RO....n H:ar EH A r CoE i!t o ny I ! FIE-IL UEPT. REQUIRE:Eta 1 2E. 'R.-..1-. =ae:rt. l' 1 , _ -: - • I ,APP Fir VAI e: -Permit ___*___5____";,._air r - 21`D.]0., rt 37 uct,.iq! t I ..�c .� --r `-J 0. Und,'r�-oy- HYliru -___ .-_._--_ -1-- -_ _._ �"`� I •• -_--- -_ _-- 22_ a r' 71 P r ct rtp rq . :.i, J 23 ;t inU H're : --.,•r }1 I ` i x • • .7Z .Ji iro r^ 1 F' il'l., HL _ _ _ __ ;,�T I '4 aRc F-em 4t I-. I ' ' 73 '1Dr'+:rnrnl Star ?lc'T`'. 'C. - .J ' • _ • •j/'/-53 ( -74 Oeerrrao hydra : a - _{ 26. _ Ear t . ',r..l Sr uotu n'• . . a.ncacoat 1'//-3__ } 75., Dry nicruo it -j,'ti _ !!�{. yS �% 7fi. bey iIIt nc}p,^,; ,.L i I I -- _ I -A9l r _; .1. '•` _ _ / '� .7:'tF IRf-U :Y:Tt 'y'•�'.A�i - t-4 •-; 6'- 78 �.RE IRI V I '..�.L . i. '37 0 14ui'ire r • i • 't : 1 1 -- -- -FFF ALT I4DtF f'-1FQU,R E..,E'" -J31 ? cb• Jco •,r Cn. - -- - - /Iz`�'�}.r3-!Q wD^ 4-1- FI�IAI IN :rECT'{f•'': :- !-•r - -r - .▪. - '71, - t. !T r , i _• = ihJ.'I(IUU Cr Rrir lc: ' , rr, rT- JL_ -�Y _ 7. • L33.'6. .•. c Ta T • 4 - 1t ,r'Notgs.//'!"'�•� Tv !• ",i .F'-::* H .,. ! r▪i tar _ ! 35 -1?!!-IL! L it:P n' T•.r• _ - - •, ' t i i � t - r ? Y �-h -'s\_•• _ _ _J -I 36. Noato:Ca PP; - r I i TI _ I -- __ _ ---- 1 __ _ 97. fi'•e,. Factory Fri�CiaC`r- : r ,.;',F: • i N' ♦ S -33.Frna_I':oinorr.9 i> a Ir39. Water Strvrc. Fi'a ' -• - ` I -- - h -- i r* - "-_ •- i y . ' . ., :- •' i - ' Y › -- -T:$0. •rias Sance '=ma- .7, , _ I I t -- - -- IL.. ____t•_.1 i�:P' • __ -- __ •t=i1. Solar Damosr.c-Finai .: _ r ' ' _ _ , it I .• _ , C. 42.�6:rkfle... Pieeantet r - • ., -• ,•a_ - �� • --_ - - _ " - 43. Bv m'. Ir 47, tiop ' -p- - -- -- - - -- - - .: . -�r--- --- - --� :, . . --- ---- .••. L • ]scan: b!t;cticr Sy.t, rr - - -43.:-.3., ...' .' ci'.r .ry' ion: 1t. . ' , .. - _.!6. Er.rdi'_dp p, lL,tt,cF• , • r' ''`d• rl - -___- �• - -}�-i• �f 5. . -, 47. FI`IAI ST'G011,3C .^: RUI(.D!�JG r •u : , . 4d FINAl- Fi_-t-d• 1PNC-4a - .. -� -49. EI Uric iR �•,a to ELua': I - .. - - - ---- - - - -- - - --- - -._ - ___ -. - i.- -�Y. • • _-_ 50. Cas Pc'.epsr to Soul ern C:htorria Gas Co III IY • ^-- .. - - - - - - - -- - - i Ile,, - - - D.a� PROJECT ADDRESS: 206 E 16TH ST UNIT: C CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 064185 OWNER'S NAME: RALPH 6 NANCY EMERSON ADDRESS: 4300 CAMPUS DR #100 PERMIT NO: E 064185 PLAN CHECK NO: N GOVT: N SUPP : N NEWPORT BEACH CA 92660 CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE PURPOSE: NEW ( 714 ) 263-1920 ARCN/ENGINEER: DONALD FLAIR REG.NO.: C—Iv)1 JOB DESCRIPTION : NEW SFD WITH AN ATTACHED GARAGE SQ FT: ADDRESS: 16715 VON KARMAN AV PERM1tEE: IRVINE CA 92714 CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 /M-1 • • ADDRESS: 206 16TH ST ASSOCIATES ( 714 ) 263-1920 4300 CAMPUS DR 238 COMMENTS: LOT 1 ' OR UNIT ' C' / SFD W/ATT GARAGE 6 56SF DECK, RE:#B64184 NEWPORT BEACH CA 92660 *******+E-***aE+t+r+E******** ar*****Sr****x-*atr*ir**iE*****+E****SE*****aE****************** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS ' 7000)of Division 3 al the Business and Professions Code,and my license is in lull torce and elfect. SETBACKS r CITY LIC.: STATE LIC.: CLASS: Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a cenificate of consent to self-insure or a certificate of Workers' FRNT: FT IN R EAR: FT IN FRNT: FT IN REAR: FT IN C Compensation Insurance.or a certified copy thereof(Section 3800.Lab.CI. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP,DATE: COMPANY: PARKING REQ: PROV: PARCEL : 42520120 ZNE: REF NO: ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division, PLANNING NOTES> Date: Applicant; ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section n d not be completed if the permit is for one hundred(5100)or less). DEVELOPMENT SE, R V I C E S R E Q U I R E M E N T S I certify that in the perform nceof the work for which Ihi` ermil is issue ,I shall not employ any person in any manner so as to become subject to the Vorkers' ,mpensalion Laws of Califon ZONING APPROVED BY - DATE: Date: S Signature: - "' NOT :If,after making this declaration,you should ecome 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 pedormance'ol the work for APPLICATION ISSUED BY: o. *,DATE• 2 which this permit is issued(Section 3097.Civ.CI I- ****************************************** ******************** ** *J* LENDER: 01 ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt tram 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 68 . 74 repair any structure,prior to its issuance,also requires the applicant far 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 5 0 t SMIP/NON—RES 1 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 15 . 00 1r I, as owner ai the properly or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ svucture is not intended or ollered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS————> 68 . 74 15 . 0 0 0 . 00 83 . 74 83 . 74 . 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. II.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; 83 . 74 OVER/SHORT: . 00 for the purpose ol sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK nn I,as owner of the property,am exclusively contracting with licensed contractors to construct the protect(Section 7044,Business 83 . 74 W and Professions Code: The Contractors'State License Law does not apply to an owner of properlyy who builds or improves thereon and who contracts for sato protects witha Contractors)license pursuant to the Contractors Slate License Law). tam aware *******************************************.*.**,*,****,***-*****-***,*.*,***-*-**,*,*,**,*,*,*,*,* that proof of their Worker's Compensation insurance should be provided to me, ❑ am exempt under Section: N.S P.C. wc________ INDIVIDUAL F E E BREAKDOWN largin. reason TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST Dale. 929193 Owner: I Ido hereby certify that am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and ELE 1964 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT . 03 6 8 . 7 9 25534 and tha11211 1 or any/aloe building occupant wilt/will not(circle one)need to comply with said state codes and the requirements for a END O F FEES permit tar construction or tion Irom the Air Duality Management District.Residential construction applications are exempt from these provisions. Dale: Applicant: \ I hereby certify that I have read this application and state that the above rotor ion is correct.I agree to comply with all city and county ordinances and state laws relating to building construction an4h retry authorize resentatives of this city to enter upon the above-mentioned property fyor/p spection/p urposes. Date: / z�/ /� Signature: GI 0014/S10-00147810 TOT MM. Driver's License or Social Security a: .' DATE: 09/23/93 TIME: 16:52 64146 White—Budding;Green—Code Enforcement;Canary—Applicant:Pink—Revenue;Goldenrod—Assessor r_-CONSTRUCTION' AND PLANNING POOL m 'PA APPROVALS Permit di,' Date Inspector I APPROVALS Permit `I Date Inspector 1. Trmporary Electrical Server or Pole 52. Pool Pi Equ',,mcnt Location • I 1 2. So,i Pipe-Undrgrnd. i -53. Str•el Reinforcemrnt S -tiw.ctnra' Conduit LttJ.•, -. ^.d. I.14/d .y54. -o•m. • • 4 Ele tricat-CcjIkr•t1:--d• 'rn . 55 Electrical Barri ng I 1 ' I- ..�"r E_.,_ p(tjr . ,h:'i 1 - 56 Rough Plumbs i• "'ri••are Tcit- r^dent:.c,tI UFER � b7. APPROVAL GO CO: i R -F _ • 'T Feou ng;- " ,J- 1. • 58. Electrical Cor ea r J:".0-:rna. :•$.-Foundatrott n - - - 59. Gas Pipe. Ur dig,r-d_ Tr----_` o"dater Pipe-Undrgrra. _- 63. Eackwash Um-P T-ap, Ci Uri-3� _I _� - 10. Structural-rioo7‹.r,System - 61. APPROVAL TO LLCK • . 11. Property Sewer Lire & Hcuse Conrertion 62. 8.,ckcrash & Recei.for Final l 1 12. Sewer CapI 63. Heater & Vent-Final i 13 Roof Drains 64. Plumbing System Final I I 14. Rough Pwmb'ing I 65. FlectricaliFina' --1I i_---_-. 15. Rough Electrical-Conduit _J p 66. Solar Systum-F_mal 16. Rough Eiectric'4Nirin / //J/(�C.. 1 -- I . g g {OJ/Q � /`(�/'�•'-' 67. Fencing & Access AppiCval � - _ ' 17. Rough Wiring Sig11 I68. APPROVED FOR PLASTERING I ' ' 18. Rough Electricil T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL I 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT i .---,_--_,- ,___.,-,41/4___-_,-J,.-_-_„_ r• rr., :7 20.f Rough Enctoi y Fireplace u'"q 4. ! - • i 0.PPR"J,VA-i,.Si = -P.+r:'it ,Y' l 21;1Du&s, in.StrIticttSr4; : .. hi •7 ^a'-a•70. Under.'pond Hyv{ o x rr - _ 22� Duets, Vent tatlrA _ -, tt_ ;71. Product;IPiping �' ps ':0el _ - 23.'Ga5_ -Pe ou I' /List fi r- v,. _1.i , : ' -� Fi t ,+._ t , cr a• ci : 1 '..72. Undergidifd Ebrill•. . 24 Rotif Frame? "7 p,F ••L• * - _ r a :-73.4'--11Undergrni7.Stnr Cn«_ic- ['Gds -'C�'.i 25. Roof Shcat'n,nq ~ • i r- V a -" , -fit 74`0verr.rad }ivc! l r - r 26r_T-B*f Ceiling (Struntara" G '.lonoco,t ''1 t - 75i_Pry Chemical L `• - = -- ------ { 27; r --Frame and F:ashi<tg,1 ''� - - . 76. Dry Stanc% iac -- _------ - : 0 L.at'^g$ S'dirj. .-. '1 : : •. •.t s 77, FIXED SfS-E�S_'NALr r- ---1 129. Insulat.op r, . ••II I # 4 78;=FIRE PREY. F I I:Ai a r. �_-_-- •30. 0- - - -_ ��.I --- HEALTHrDEPT: REO9IREI.ENi-- - .--- ytiva'I Nailing ' - i,-i - • v r •_ - I-__ 31. Paster Tr own,Coat, .c. I� , ,` 'i 1,71` 'FINAL IiaynFCT[bal. 1 u'' - ', - - -- -- - -t ` --'rt .,__ _ +----- 32.'•Eicctrical Pacler :e139` ratk ? �1I r30II1FOoD CFH i '.C4'--i 'S€JEU -r---- f-. '-tel i _z•-i- 2 / / ' + ' _ _i.4- - _ - . .33. Fin t',ect .c i- .r to . Cr.- _! ' 23 II.-.. t c• ( 'Note, .. - „34, Fnc#f Heating,& ;en s;o'.aino-.nin I I I ✓ . .. • ' 'r: ^'-' 35'Flcal Gas PS A-T2s.'- _ -- -- - .. -----4.• I 1 x . - - - - - -- ----------- -36. Head or:CanopY • -, a, 1, .•. - _ , =rte-: .y-''- -- �- { h' __-S ---- --�-- -r-- -- -- -- -- - .4.--,--,-4---r-s--__ 37. F;r it Factory Finf•': - t- i• 1 I - s t I� ,- , ,-r t: - - 1-- 1-- --i-- ---.-- --- --- --- __ _- - 38. Final Plu:nb.rg • ' l -i _ �„ -- i r. --- - -- - --- 1 1,.39. Water Service-Final, - - •• - -�--s-- _ - .. - -- - '.40. Gas Service-Final _ �-4-1__ I ` - y. , - ' I 41. Solar DomestioFireir �I ' t ' •L L _ 42. Baccflow Preventil IjI . - ! i; ' ❑; - - -_ • ' f-� - 43. Backflow Irrigation _ . -- ';,1... . Landscape Iq.gatwr S,stem . : '-1 r F I .3^'Sound Atterivatio.tt - ^ + I r -46.JNardicao Regu'at:o;'s . ..r . l_. ;. ._ , _- ____ _ il. _ _-t --- -", •47: FINAL STRJCTUHE & "u LIILDING + 48.-F;i L PLANNING I - -49Electric Release to Edisonh r 50..Gas Release to SouThern California Gas Co , i, - -_ . -51. CERTIFICATE OF OCCUPANCY -' • .7 - ".-',. - No. Date PROJECT ADDRESS: 206 E 16TH ST UNIT: C CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M( 064186 owxEfl'sxamE: RALPH & NANCY EMERSON ADDRESS: 4300 CAMPUS DR #100 PERMIT NO: M 064186 PLAN CHECK NO: N GOVT: N SUPP: N NEWPORT BEACH CA 92660 CONSTRUCTION TYPE: 5—N PERMIT TYPE: MEC PURPOSE: NEW ( 714 ) 263-1920 ARCHIENGINEER: DONALD FLAIR flEG.NO.: C1101 JOB DESCRIPTION : NEW SFD WITH AN ATTACHED GARAGE SQ FT: ADDRESS: 16715 VON KARMAN AV PERMITTEE: IRVINE CA 92714 CLAIM VALUE: CALC—VALUE: GROUP OCC : R-3 /M-1 ADDRESs: 206 16TH ST ASSOCIATES ( 714 ) 263-1920 UTx�4Fyy3T0p0RTyCAMPUS DR 238 COMMENTS : ' LOT 1 ' OR UNIT 'C ' / SFD W/ATT GARAGE & 56SF DECK, RE: #B64184 A-6FCiARQDNT B AICH CA..92660 **�titr�r***********�L�L*;!E***er**�H****eH�r�r�r**+e***eHek+reE*crit***********+k**�r*************** LICENSED CONTRALTO A I : 1 here y BACH that I am licensed under provisions of Omer 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. CITY LIC.: STATE LIC.: CLASS: SETBACKS Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: thereby affirm that I have a certificate of consent to sell-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 3000.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV: PARCEL: 42520120 ZNE: REF NO: ❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> i > Date: Applicant: ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECtARATIO : (This section n not be completed if the permit is for one hundred WOO)or less). i T D E V E L O P M E N T SERVICES REQUIREMENTS I certify that in the performance of the work for which this mit is issue hall not employ any person in any manner so as to become • subject to the lorkersJ Coommpensation Laws of California 77;‘,75- ,�^y�f— �ZON INC APPROVED BY DATE: 9 Date: ,9/27/ 93 Signature: ----\ 7' — NOTICE:If.alter making this declaration.you should come 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. '. q CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for ,APPLICATION ISSUED BY: DATE: 21 ( !1 which this permit is issued(Section 3O97.Civ.C). .********************************************** *****************4* ********** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l 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 2450 repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is ficensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 25% 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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE 15 . 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--——> 24 . 50 15 . 00 0 . 00 39 . 50 39 . 50 . 0 0 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 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: 39 . 50 OVER/SHORT: . 00 tor the purpose otsale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK in I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 39 . 50 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 acontractor(s)Iicense pursuant to the Contractors'State License Law).I am aware 4444444444444444444444444444444444444444444444444444444444444444444444444444444 that proof of their Worker's Compensation insurance should be provided to me. am exempt under Section: B.&P.C. INDIVIDUAL FEE BREAKDOWN fermi reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: �2 Owner: _ ! I do hereby certify that lam aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and MEC 1 I NS T GEFORATA I R/GRAN FURN <= 10 0 K BTU 9 . 00 9 . 00 25534 and that I or any future building occupant wiNwitl not(circle one)need to comply with said state codes and the requirements tors MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9 .00 9 . 00 permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from M EC 1 FACTORY FIREPLACE 6 . 50 6 . 50 these provisions. END OF FEES Date: Applicant: I hereby certify that I have read this application and state that the above MI Ion is correct.I agree to comply with all city and county ordinances and state laws r acing Ia building construction anti he1eby author r presenlalives of this city teenier upon the above-mentioned \ ' property for ins ection p uses. ��-7yf 0100147811-00147011 TOT 39.50 9 Date: 9/27 S Signature: {' /7 1 Driver's License or Social Security a: AiE D4/2Eis'o TIF1E: io:52 , \k 1641 46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor -, CONSTRUCTION AND PLANNING POOL & SPA ! Dute InspectorDate Irem:.ctor 1 APPROVALS Permit ,�'' APPROVALS Permit r 1. Tzrrpa-sry E'ectnral Sarv;ce or Pole 52. Pcol & Equipment Lucat un 1 i 2, c^.-Pip.:+-ll.:d-9rr•.d. S 53. reel Hu'n(u c::mr-t .`3j ZF.,c!riid_>r?d ur; lti hcv-U rdrgn.d. I 54. Fnrm• "'al Eleetrica!eredurr.Undrgrnd. I 55. ElactrIcal B,cddng 1 1 LiS:-3 ea,cs'q,ti„ce'.^r@at I 56. Rough PU,mbinn & Pressure Test 1 i 'r G;_L11c--real ' `E R.Glad - _ 1 57. AP7PUV'AI TO COVER GU\'ITE -- L . 7' E ooro,�," __ - 5E. Electrical Cor du 1_tirdrgrna__ 1....,; _:;-_-_c_ . r _�._--_ _ 1 A1 rot:nc.rt ort v 52. Gm P p.:, : . Urtlrgr, u.,Test I Q,iff;..rtar ?.pe.Undrtarnd. 63. Bacla:ash L.:nes, P•Trtp, " . .J".ri r'rri I 1(i S: cctural F:oc?System - ' 61. APPROVAL TO DECK -- -f - -- - I 1 11. Property Sew_u'Lme-& House Connection I 62. Backc•a:h & Rcc.:p•o,-Final I ' 12. Sewer Cap ., G3. Heater & Vent-Final ! 13. Hcct Drains- '- 61. Pion-Ming System • Final 1 14. Pougn Piumuing - 65. E!.ctrrcal-f ural H I 5 Pnuq'n Electrical-Conduit 66. Sila' 6/stern-Fele. III(I '3. Rough Flectnctv Viring • G/. Funchtq & Acces: A:,pia' r 17 Rough Sigq G8. APPROVED FOR PLAS1 r R I NG I ! i I-18. Rough Electricaf•T Bar Ceiling 69. POOL /SPA SYSTE t,'S FINAL I • I 19. Rough Heating & Air Condition;ng p/2, •_Ojy/�f! 7 FIRE DEPT. REOUIR LMEN I Y _, 1 Rj;yn Fic:ory Fi.tV aee - r .. u * APPROVA;n Permit .,_ ,•i;. ' i r 21..D-cts, ;-;:Strpctu' ,-s.- -i t ' t70. Underg-.md•-Hydro I 22. L:_tic. tP,J„ lri:njt_ '' * •-1 - ;, . e.'1. Produc r`a,rg r .C6• R)rl r -i �- -r - = ;= 4 -- ----1 1 23 -_�ilHo`gh & `fest I's. r .r1 < ),r • .72. Ur:derr)ro.�nd Fiu:s' __,4 _ I ) 1 - - .,may -1 * _ ' `.43 -k Gil .01i r75Rcof,S.iPathrr_� _ _ . , T� ` -Fr .rC.- 9 _- - I �' • t 74 Ovrrh - d Hydro -- I � 25.--F E0' Cc.hn4 (Structural: &Itiacbcoat I 75/b3-„Dry ry C :nii<al ▪ +� " r 1-___ y - 2i. 'F .R,i :Ci Flashing - ••I r•.• r y?, ••t ^i . - C r . L. r I 76. Ory 5'..n_iTWe •_= - Ii i`<6 L'r nr Pi Sila .-.Cr - .-r'-^ - ; -- �..�; r7.'"�FIXF;_S�j�r_i ��_.A L•{'1- --J't_,_• -_�-- f a. au u. - - •, 78.17.i/l2---- c1, -INN._ } J ! . 'ifAl • "J' I 1 r ^UiREt'E'•Z7 i _ ^ ` ri- 1 _ -'__• # _PIE _ _ L _ 0..2- ' ,1_ . 1. P Pro.. .ar,t - a •� 79. F,•'.A, 3, r. i t I '.32 :p ert• [:I Po'.er :et'r-Fina. - . , i 3o.'FOCLr CEP ' IC ICf) r 4,:Ei) 7 . -�- ' iI I - - '_.- • -'-- - - �- --- 1 233.7.aratt Electnt , +r c ., 4 i ' - -: Notes: - -'1 i4, a r `•-1 -T-r. - �J-� r --tr - - - Ft-+- - -•--- - - - --- - - - . ,35L1.'F'na.HE2L nq-y3t iv Cor drti o'v ng: .�tC c� ' 7: >. ... _, . 'r' Gni Pi a:-TeSt • -l --c4- • I- - o',ra^.SPY _ • Y : 7 - •, _ - -1 t _ - ITh. _ _ L- -T` .s C, .r -38. Final P'='h.r3 -r f v rt-'59. '.Vater S)ice.Finalr __ - p r - - i , _i - - r,AG. Gas Sersice Final r --1- Y. .,:t, I -- . -31. Solar Dpmcstrc-F dal - I t. _ - s • 42. B:ckLo.. P•evanter, n. 1 I' . _ -'._-_,_-______________-_L. • 43. B..ckflo;: Irrigation - - - I-- - . r -- - t _ --- - - -* _ --- ------ ....le:. Lerdsca Iriigation System- - . •'r - . 'r - ' -- - - -' - - - .: - _ _ _- _- _ - - -- _4 145. Sou^a Attenuation .`-' - r'c'. .kiandicap_Rcgulatior1s - - L"-_ -- c-� -r- ----' --1- -- -- -- '-- i 0.FIr aI. STRUCTURE & BUILDING L` I . t -H �48 _FINAL PLANNING'''. _ _ - • -_ -49.-Electtrc Release to Edison ~ 1 .15C. Gas Release to Southern California Gas Co . • _. _• . -51. CERTIFICATE OF OCCUPANCY . 1 -- - • No. Date PROJECT ADDRESS: 206 E 16TH ST UNIT: C CITY OF COSTA MESA — BUILDING PERMIT PERM NO; P 065432 OWNER'S NAME: RALPH 6 NANCY EMERSON ADDRESS: 4300 CAMPUS DR #100 PERMIT NO: P 065432 PLAN CHECK NO: N GOVT; N SUPP : N NEWPORT BEACH CA 92660 CONSTRUCTION TYPE: 5—N PERMIT TYPE; PLU PURPOSE: NEW ( 714 ) 263-1920 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : NEW SFD WITH AN ATTACHED GARAGE & DECK SQ FT: ADDRESS: UNIT: CLAIM VALUE; CALC—VALUE: GROUP OCC: R-3 /M-1 PERMITTEE: A,C, SPARAGGINS (714 )995-7552 ADDRESS: 4241 LARWIN AV COMMENTS : REF: B-64184 CYPRESS CA 90630 +E*+r*****x*****or********************sr************************Trx****************Tr 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 1.10.: STATE LA0.: 383440 CLASS: A Dale: 3P Signatur -------- f4N� MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN WORKERS'COMPENSATION DECLARATION:ppI hereby affirm that I ha N late of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT; FT I N LEFT: FT I N RGHT: FT I N Compensation'wen 0§tt it.coli thereof(Section 3800, Lab.67/16/94 POLICY NO.: o O EXP.DATE: COMPANY: CONTINENTAL�[K PARKING REQ: PROV: PARCEL: 42520120 ZNE: REF NO: ❑ Certified copy is hereby furnished. L'1 Certdled copy is filed with the city Building Division. PLANNING NOOTES> > /A .9 3 9 3Applicant t rte ,- `' ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This sectio a 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 performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: Date: / signature: BUILDING APPROVED BY NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor DATE: Code,you mast forthwith comply with such provisions or this permit shall be deemed revoked. p1q` CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: DATE: 1 which this permit is issued(Section 3097.Civ.Cl. LENDER: ******************************************************************************* 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,or PERMIT 22 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 2 52 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 20 . 00 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(8500). 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----> 22 . 00 20. 00 - 0 .00 42 .00 42 . 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 building or REVENUE DIVISION TOTALS--> COLLECTED: 42 .00 OVER/SHORT: . 00 improvement Ie solde)hin one year of completion,the owner will have the burden of proving he/she did not build or improve farorthe purpose offsale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/TOT GRADING PLAN—CHECK s I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 42 .00 ❑ and Professions Code: The Contractors'Stale License Law does not apply loan owner of property who builds orLaw). thereon ******************************************************************************* and who contracts for such projects with a contractorL ). s)license pursuant to the Contractors'State License awL l 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: PLU 1 WATER SERVICE 7. 00 7 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and PLU 1 .SEWER, BUILDING / TRAILER 15.00 15 , 00 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 END OF FEES 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. rt J F. /'2� 3 Signature' 6, ry' n a s License or Social Security x: vim" !I? 00152' 2—?n1_. 17 TO — t ,_TP DATE: 1�/2_1 td iTiiCL 12;041641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor COKISTRUCTION AND'PLANNING POOL A I I Date Inspector Date Inspector I APPROVALS Permit# APPROVALS Permit ;,- 1` 1. Temporary Electrical Service or Po'te - 52. Pcol & Equipment Location '` II ..2. So. Piae•Undrgrnt�. ` • �� 53. Steel Reinforcement 3^' jccJ4 . Cenc±Jt.sit:llty.U'ndrgin ..Ts54. Forms cn+_.c..=e_-.... --4---=.:*i -I-- --1 Ti F.fNtrrce' Ccndu't-J.idrernd c'S 55. Electrical Binding i i'� c;33‘.31 . • O.C.22t :n ._;-`N: ; 56. Rough Muir:Ding & Pressure Test _re,.Ci_. OF 11-G•nd. rgg _ 57. APPROVAI ''O COVER•GUNITE i 1 - +7.; notu-o• "•S ,4. 58. Electrical Corduit•Und'grnd. } rr-x - t• -B. Foundation ^, V- 59. Gay Pape, L Undrgrnd., Test is.,...("dater Plpr Undrgrnd. 60. Backwash Lnes• P-Trap, 0 Uncirgrnd. ,,o ' 113. Structural Floor System 61. APPROVAL TO DECK ! 11. Proper"y S"v.er Lib? & I-:c`vise Connection 62. Backwash & Receptor.Finai 1 Au c1 I 63. Heater & Vent-Final ( I 13. Roof Drams `0 64. Plumbing System - Final I 14. Reach Rumblgg k_ 15. Rough Ellctrisal-Conduit 65. Electrical-Final66. Solar System-Final r 10. Rouen Electra Wiring 67. Fencing & Access Approval 1117. Rough\Vlring Sign 68. APPROVED FOR PLASTERING I 18 Rough Electrical T Bar Ceiling 69. POOLISPA SYSTEMS FINAL I i 10 Rr-,.In !'eating & Air Conditioning I FIRE DEPT. REQUIREMENT _,rn_ra2:--('- .---.-7 ' 1 Cc' k c�--fa'-'ia l' 11 T.-. : i-, tr; f E . - L ' 20':^''u Ctactc*y 2.4 place I .^..rr, � 1 cg * 0 1D- 't• * 0. 1APPFy . Viire:::,::'--'7` It# * '-a-�,1A•nr I I r_ - _ 4. S`.,---... tri A 1 _ . 21«;D.s.,' .4i Strvct 1 I ..;S * S '-1x *t •1.70. 'Urtderg*tAJ1.1 kni n * 22 Duks,"1 enlf+atl'-'fi'!• 1 IJ r• i.! '�i1` * d: F t 7 CI •• i Ps* f t7 x O < i , ;-,x ♦ , 71. Produl:L1.p. n1, .i .ls 011 `I r ca r. 1 --� .F -`.)i- 1 ...I M'. * t^ T I 1 -jti I H 2 .1--•..z_.,'iry Rough &:Fest 1 c '1 ci 11< '0* * 1.+72. Undernronrd _LTC": t - �_.s.yy_na.a '.Z. +p �: ;;.___:,-;--..-:.,-....7.•->t'-c - 'V-: 4 '2' I 1 7 C':�,-,Lf Fre mrg ':Y I f-,F• •`,• .-� ? y.: * 1.73�:Undergrrt .Stop•_,i?";Tank E'Gas 0U7 25 R ` + . :9tr int wr_____, r • Cr] .TI (w1 C.., 1T- y t- s i�_ • °3' .. ' -t ?tr * 1 74 Ocerhead Iiydrr ; f 2h T t{' 1St uttjia.1 3E:t'trocoat Y cc O hiI * 'r 7 Dry C.lern�+ a. b _= :1'1 q k t. __J 8- n 'e. L* _C -, Y _ 1 I -1 y t ,,t .t "'i y t ..r1.4.1 k m F�:. I i 27 »• :, ,�. .'la-r1.n"•1 �-K^. r - I-, r•]r i� 76,Dry Star-mice c.• T•,r 2r, i1 fes - 1 c... c .--CSI) , ->......-a- - s r.--.-r-e-P3 tCw-.i r -i 20 Los, e,4:1; Sding.* 'y<� S vr 1 ..*s it t 17Yy FIXED S�ITE"c1F:A - 1 p7 I I I > - t . . i t' I 7k' iilRE eREV. FINAL :i"� n, r,^W., � Gb. InS.rid:'1 v -- S .. * I i + 30. Ur_:.ap.•va Ling • _y--_ I. ( Ft .* ( r •C-I "t:L-AuTI:11DEPB.Y,E(.'�.11Rf P,3.15 -- - - n * t-� rF �_7r�_it=.' ie . • )31. Plaster'.u,vn Coa �.,;,+ �, II I t�j�-i „!,.79'•x`1.79" -1 t�,�,.'ECT ^,N '� `�' I 32yElectric l Po er Mete. Final ~ - * N - I- --`- -* i[i18CL1FOOD CE TIFEI'fe)TE_gSUED :J --_-1 - L` 33; Fipai Electric ♦ r i I_ r 1 Ny{es: --2 ill f ,' :- c-4 LT' rs�___R-r._o _--:fit"--'- , -t- !+ . - .�J �:r, --m-rr _ _-_ •-7�//� ,( / n7 3L.- ,--,.. & Ait ,T.-______--04 o3-'L'ti 04 '•-. 't r I 3 l _G 4 r.r _ --J• ��~ 1/-"i"--- -7'-" K' -i_ y�_ __ m •� t AL' rte,_ ,.. d�� .. 35rF1h.l GI. PR-se-Test t1 ,� 2-1 - * I' j1" `S . -- -- -- - s x -4' I ---n • -•--s- -- . t•1 --C- `ri36. Itgod giiCaiiopy . :� , r . t . i X no t TI n .:11 X _f_ -_.r T •r . , r!1 _ �3.n Fin^al Fart cu F1re�.iaCe_, . t'r' rt+ '* ih I 1 _- s $ C•' - ..d -_ -. _. _ _ _ i . . _ I 1 * :C x :d F-38. Fizil P Curbing * N _-` f: :c .;• ti A I�39. \h:Ci.2r c.rvlceFinaF 1 i�/ ��..It ri- /'�■k + };--_---_ .. tri .--_- r ff-T r..=-� _ -_ _ 40. Gar Se!k-cc-r nal * -' 4:err p, . f 0 + (� ;l, ;, q i I r�S. j.. . �-_ . _J �P�.41. So .r D"llrrestic•Firra 1i? •• . , i ll i : I° <0 '-+ .• • 1-1 11__ . 1.1 .t t 1 , '.. .r •-1O t .i i1:. f� 1 I . t F -- _ _ `- 42:-Barkrl Gr. Preventer F nr .; * 7; - e-, •.•.*". + I 1 ` r- r" - X---• ._ _ t 43. Be_.F,c.. Irxgatlo'i- I:=i ` 4 c' - i •_ .- _ ' _ I Y li Y( dt } .K t i 4 . ' 4 --� * L .G C. . I;-rtn a. Lr•dsG- .2 1ar1gatar System:7r! Ti .r1 1r7 ••J.1 a' 5. nt 1 :L: x to _•c r`i3-----1N, .__.n'.,, ti: ' __< lam'.--4-y-Y_b__ __ry -+.- =_4--...--1 a__ .* f" t X. H IF. -•t n • p- * �4--. u^d Att�uation _ " y " Is 1 • _t 'tri Cal r ! 'r IE' _ •Z • F=' 't �4D F:andic4p Rggulatigns `i 7 ^" .1. S r.0 -i Y 47._F:-, STRICTURE & BUILDING a S-I_-t 4 '-'-- :11 ! --� z - ---- ,. xF I . .. . 1 I rI tt'r, 1 - .1 1- -"- s_ . ..f-It.F'AL 'L!>NRlii1 G�. 1 f I i' 42 IL ' :n r. I IJ .1 1. - {J -44Ei n7:ric Release to.Edison r- I 4 a 50..Gat•Relcase to Sou{hern Call-10.0,W Co y r • �; 0 • • ;1,51 CEr�2TIFiCATE OF;OCCUPANCY y - ;, --;'=--ti. r. T No. Date I PROJECT ADDRESS: 206 E 16TH ST UNIT: C CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 064187 OWNER'S NAME: RALPH & NANCY EMERSON it ADDRESS: 4300 CAMPUS DR #100 PERMIT NO: P 064187 PLAN CHECK NO: N GOVT: N SUPP : N NEWPORT BEACH CA 92660 CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU PURPOSE: NEW '( 114 ( 714 ) 263-1920 ARCHIENGINEEfl: DONALD FLAIR REG.NO.: C— *11.01 JOB. DESCRIPTION : NEW SFD WITH AN ATTACHED GARAGE SQ FT: • ADDRESS: es 16715 VON KARMAN AV PERMITTEE: IRVINE CA 92714 CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 206 16TH ST ASSOCIATES (714 ) 263-1920 `", ADDRESS: 4300 CAMPUS DR 238 COMMENTS : ' LOT 1 ' OR UNIT 'C' / SFD W/ATT GARAGE & 56SF DECK, RE:#864184 NEWPORT BEACH CA 92660 ********+F*********+F****iF**********ar****************+t***********gra ************** 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 license is in lull force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm matt have a cerOecate ot consent to sell-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 POLICY NO.: EXP.DATE: COMPANY: PARKING REQ• PROV: PARCEL: 42520120 ZNE: REF NO: 0 Certified copy is hereby lurnished. 0 Cenified copy is tiled with the city Building Division. PLANNING NOTES> . > Jate: Applicant: ********************************************6!'*3F******************************** EXEMPTION FROM WORKERS'COMPENSATION OECLARATIO (This section need not be mpleted if the permit is for one hundred(SI00)or less). DEVELOPMENT SERVICES' REQUIREMENTS I certify that in the setter once of the work for which this mit is issued.I5 II n employ any person In any manner So as to became subject to the Workers' •mpensation Laws of California. ZONING APPROVED BY Date: 5 Signature: ' DATE: Nr CE:If. .ter making this declaration,you should ecome subject to the Workers'Compensation provisionsf d the Labor BUILDING APPROVED BY : • DATE: Code.you must.fonhwith comply with such provisions or this permit shall be deemed revoked. A C e� (CO CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: `�\\ DATE:Cl�' 1 ` which this permit is issued(Section 3097,Civ.C). ********************************************** * ****.************** #********** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SM I P/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve.demolish.or PERMIT 139 , 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 25% SM I P/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation ot Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(55110). ISSUE FEE 20,00 I. as owner of the property or my employees with wages as their sole compensation, wit do the work. and the BUILDING—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——--> 139 . 00 20 . 00 M . 00 159 .00 159 . 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.II,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: 159 . 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 159 . 00 IX and Professions Code: The Contractors'Stale License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractors)license pur.rant to theContractors'&ate License Law).lam aware *****************.********,*,******,*,*,****,*****.***,*,****,*,*,***,*******,**************** that proof of their Worker's Compensation insurance should be prov ed to me. am exempt under Section: B.a P.C. INDIVIDUAL F' E 'E BREAKDOWN y ❑ for this ason: " TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST / / / Date: 7 17 53 Owner: ....21.72c: PLU 2 BATHTUB I do hereb certify that am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and , l 7 .00 14 . 0 0 25534 and that I or any lulure building occupant will/will not(circle one)need to comply with said state codes and the requirements fora PLU 1 DISHWASHER 7 .00 7 , 0 0 permit for construction or modification born the Air Duality Management District.Residential construction applications are exempt tram PLU 1 LAUNDRY TUB OR WASHER ' ' - 7 . 00 7 . 00 these provisions. PLU 1 SHOWER 7 . 00 7 . 00 PLU 2 SINK, KITCHEN 7 . 00 14 . 00 Date: Applicant: PLU 2 WASH BASIN 7 . 00 14 . 00 I hereby certify that I have read this application and state Ihasthe above into ma on is correct.I agree to comply with all city and county PLU 2 WASH BASIN (SET) 7 . 00 14 , 00 ordinances an.state la is relating to building construction a reby author rep sentatives of this city to enter upon the above-mentgned PLU 3 WATER CLOSET (TOILET) 7 . 00 21 . 00 property for� spectio purposes. PLU 1 WATER HEATER AND/OR VENT 7 . 00 7 . 00 �y Date: lt7 Signature: A r....________ "Jg=f PLU 1 WATER SERVICE 7.1.M0-00147814 00 7 , 00 J PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 01 0015/£0 0-0014 78 1 4 TOT 5 , 06+•00 Driver's License.r Social Security a: DATE: 09/2b/95 I ThE: 16:53 1641-46 While—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor t -. • --- s`,JNS�UCTION AND PLANNING - -- ~ ---- - POOL ?A --- -- - � APPROVALS Permitr Date Inspector I Date Inspector APPROVALS Permit ;? I 1. Temporary Electrical Service or Pole • 52. Pool & Equ'pmant Location I 1 . • • 2. Soil Pipe-Undrgrnd. gkflA CF-47 53. Steel Reinforcement 1 • 3;- tn gtarca✓;tOonduitut.! ty.und'grnd. 54. Form: • • `z Efnctrieai_3217da:t:U ci gird. � 55. Electrical Bord•rg i 1 • • • -• Vit• -- g n Pro,cure lest 1 9.:Steei RetnFrirce' ehr -1 56. Rough Inothr & a --V 'Eiectricai.UFE'9D'nd 57. APPROVAL 1O COVE R•GU:NIITE ...._ _ - r _ o --- r - --- ---t--- ---E- -. 7 Faotirjs": . c I 58. E'ectrica! CorcuiFLrd,ji nu. '- L. c_ - -- ..-_ _E _; 8.-rFo undat�oLs= � -�. 59. Gas P.pe, _ Ur v r-V , h;^.----i- - k S'.-'Nater Pipe r.dryrr.d. 60. Backwash t n:-• P•7rap. Et l-' tr,--. i 15, Structural Ploor System I 61. APPROVAL TO DECK . i - j- I I - - - - _ • 11. P-opertySevar Line & Hose Con-ect.on 62. BaCK..ain & RuCa�icr r�.t _ ---- I 12. Se...Tr Cap fi 63. Hutu & Vent-F:ra I 1 - 13. Root Dra'.ns-- - r 6^. Plumh'ng System � F.�•.:I i r___. -�I-- 14. Rough Pwmhr,r , I -`65. Electrical-F;na _ I -_ - • 15 Rough Electrical-Conduit + 66. Solar Syste in•Finu' I • 16. Rough Electric Wiring 67 Fencing & Acc_ss Anp'ov. ' . 17. Rough Wing S'gn 68. APPROVED FOR PLASTERING l • 18 Rough Electrical-7 Bar Ceiling 69. POOL/SPA SYSTEN:3 FINAL 19. Rough Heating & Air Cor dtt Ion-ng FIRE DEPT. REQUIREMENT 1 ' tII- --..,--..:-_--..3.,.- .. 20.•Ro.4gh Factory Fireplace i ' APPROVAI.S • Pur,a L -• , '' 4 , F .. _ -y • + : +r-7- ..;H: r- -: = t21.-Puts, iv Struct4e t [-.70. Uodcrty-c nd Hvi.o 22. Duets, Ventilatirt * 1 r '-••• '71. • - - Product,?-,p:pg ' Gas 1TOil_---- --_ - ?3:-.GacPipe1ROugh &'lest '-j•" ~. rl r .i I2r72. Underg pups, Fla& ' __ 24 -Roof Framing ^t •-r. - '? ` 4 r 73:UndergrnH.Stnrngr Tank C ': Gas _ ;i.• - ' 25. Roo; Sheldthin9 '�* ,' ,'• r w . ,rl r; �- r". -� 74,4-10verhead (-Worn I •26.:T-Bar Ceiling IStr-udturall &-$1o;tocOat t - _ tit' •• 75.:Dry Chemical =i T_ 1 `irr ^' - T. I"3" •- .. ?7,;Fra(r)eand Flashir 'i ` t+ftie r- r _ ... _ a „g, . „ , , 76: Dry Stan f o r.•a•,- . • `t'^t-+ 1 P3. Lathing 8,1 Siding_- - •"41'0% c a7] •• • ••k • 77:'FIXEDSYSTE14F:IAL* 29. Insulati ih - ,• ° l i , 78.. FIRE PREY. F••. 1L --1-__ _ r s - 30 D•y vail Nailing - Si I ti ' - HEALTH DEPT. REQUIREPieNT • --- I 31. Plaster own Coat' i , I I I; s, ,79: PENALtl� .l' CTIO,N - r - - _ _. - -t--Tr-t} -----�7- L 32.. Electrical Power ." etc-,F�-al • ' • i- 80.-FOOD CEI TT .^,A=E ISSUED �� _ t •' 33 'r Electn4 •a • HO .. T. - F ii o2Qs. m i ^34, F. -,'i Hating& A-ir'Co-;.i ani_H;; - �.' it �11 a , mn ^-- - - j•�:J'+ ostlic -‘35;,P mal Gal'Pik Te3•tl _ ♦ , _ 36.Hou_ o•,Caropy • ; I. - 1,�-17:-k; al Factory Firept.,',_e _ ' 5. . �r?t t '--„-1, 2;-/-1-51,47J • - F-� - - - - - �: .33. Rest Plphthing r Z . < i h .. : c s9. VVari:r Service-Final- .'• -TtiO. Gas Service-F�ne: . - -rr.1 r I p t' - -- -- ,.•" - ->------- ---- - -- yr 1--41. Solar Domestic-Fire! ' •• 1 �_ -I, n' - I - I 42:-Backflow Preventer I --- ----- - 43. 8ackf low Irrigation• ^ t,44. Landscape IiYigatior System,•, •i _ _ �.t - • _ t%415.CSound Attenuatidr _ - - - � r • F-- r -__ -____t__ ___-_ --___ • _ _ - _ -_ - • »6.°Handicap •Repulat`ops • • - .•• 1 472FI1t4L STRUCTURE & BUILDING -• 48.rFINIALPLANNING , - -S9^Electric Release to Edison , - • k - 50.-Gas-Release to Southern Cah ornia Gas Co y 3. _ r, __l _b1. CERTIFICATE OF OCCUPANCY - _ I No. Date I PROJECT ADDRESS: UNIT: OWNER'S NAME: ADDRESS: PERMIT NO: P 064187 PLAN CHECK NO: 03730-93 N PAGE: 2 ********f *************************************************+r*yrft***************** ARCH/ENGINEER: flEG.NO.: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST ADDRESS: UNIT: PERMITTEE: PLU 1 GAS SERVICE 7 . 00 7 . 00 ` AD9REss: PLU 1 SEWER, CONNECTION TO BUILDING EACH 15 . 00 15 . 00 • 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 lull farce and effect. CITY LIC,: STATE LIC.: CLASS: Date: Signature: WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a certificate of Workers' Compensation Insurance,or a certified copy thereof(Section 3800.Lab.C). POLICY NO,: EXP.DATE: COMPANY: ❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. date: Applicant: -� EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred(5700)or less). I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. •�• Date: Signature: • NOTICE:II,after 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 01 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,or 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 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 ler a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). L as owner of the property or my employees with wages as their sole compensation, will do the work, and the ❑ structure is not intended or offered for sale(Section 7944,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 ❑ 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 protects with a contractor(s)license pursuant to the Contractors'Slate 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: Dara: Owner'. I do hereby certify that I am aware of and understand the requirements of California Health and Safely 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 (hese provisions. Date: Applicant: I hereby certify 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 property for inspection purposes. EDUPLTC:ATE RECEIPT* Date: Signature' 01 60147"14-J^147814 TOT 19.00 Driver's License or Social Security x: Oq TE: 49/29/93 TIME: 16:53 164146 While—Dulming:Green—Code Enlorcementi Canary—Applicant:Pink—Revenue;Goldenrod—Assessor 7 ', It r • 1 rtCONSTRUCTION AND PLANNING POOL v, SPA APPROVALS Permit�l,- Date InspectorDatePermit , Date Inspector 1. Temporary Electrical Service or Pole • 52. Pool & Equipment Location ' 2. So ! Rpe.Urdrg•nd. 53. Sire' Re,rlorcement I 3 Eiecfrica' Condu:t Utihty•Undrgrnd. 54. Poi m. I .4. Electrical Conduit-Undrgrnd. I 55. Etectr kcal Boncdng I 5 Stec, R, -`crcement 56. Rtu,;lr Plur.b n't & '''essure Test 1 i c LEER G-rd. 57. PPPROVAI TO CCVFR-GU•y TF I 7 Footirg: SB. EIactr,car Cocdu:t-lindrgrncl. 3. Foundation 1 59. Gus P,pu, Li Undrarrii.,Test c. i- 9 ':.ate. P.o..-UnJrornd. iglir, 63. Su c:;::asl: : 'n.•:, F' Trap. _ U..,.c.. __ftSir,;ct..•t F!ccr System 61. APPROVAL TO !7t CK 11. Property Scorer Line & House Connection 62. Backwash & Receptor-Final 12. Sc:•er C::p 33. Hr.it r & Vent•Fin;l Ro L. Dr-,, ns 64. Plumbing Syrtrm F nal ' -- -- ~ --' 14. Ro_a, w•n..,ng l�f�u�l �.. 65. Elcctrical•Finui - ---- - _'- - _ P to 'r E'c clricaiCondUR 63. Solar SystemFlnol -I , I -. Tough ? ,ct• c L7 rirg --- 67. Fencing & Atef ts Anp•y ai i 1i Rough '.:.•.rg Sign 69. APPROVED FOR PLASTERCCG ,16. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL I 19 Rough Herr,rg & kr Conditioning FIRE DEPT. REDUIREMEN I T�_yh "cctni_i Fireplace APPROVALS Permit -. I-- -- - .L__ _I- 21.X uc£t, •n Structure 70. Underground Hydro 22. Ducts, Venti'ating 71. Product Piping i :Gas UOd 23.-Cias,'ipaq�iough & TestI 72. Undergro-aid Flush ! ?r:.ctPocA Fra m;ng 4I - 73. Undergrnd.Stnrag: Tank C Ga: - O,! - " 25 Ro4 Sheathing 74. Overhead Hydra • r 26. 41•8ar Cai1mg1SGucturall & Monocoat 75. Dry Chemic,,ri -t- I 27. trate a^d Flas:;;ng 1 76. Diy Stardpio --- - - I - -- --- I 23. Lathmn & Siding 77. FIXED SYSTEM FWAL I 23. !nstklat:u: -•:: 78. FIRE PREV. FINAL I-- - - ----- ----- - ------ -- -A- --- -' J•sts.•'f...2ling . HEALTH DEPT. RECUIRE.,E41T _!D , 3.. T � e• Fu...:n Cat I-- 79. FI-,,>,l :l•ISi'LCT T43 � 1I _ _ . 32 EledtrcaI Pov.ei3Meter.Final 7 30. FOOD CERTIF ICA1 E ISSUED 33. Jt i Eh{tric Note:,: -- - - -- - - - T ^a! Hrrtaaq & Coro t-0n.ng '' - r• I -- - - - - -_ - -- f --- 33 ,kPe'�g5rt ln4i Gas Pi -- 33.iNood or Canopy u, , 37..:49-c,' G-tetmy Fifa-Lace r a_' o- .-N:ater S_rvmFi}ra1 _ - ---_- a J ' (3. rias Sert-cc FIrjl I I •. -Scar Carrsr.c-Final 42. BFckflo.: P•cvanter -- -- -- - IL •i3. Backflow Irrigation i 4C. Lcndsc_•ra irrigation System (.5. Sound Attenuation -- -- ----------- -- - -1 4E Handicap Regulations 47 -FI^.'A' STRUCTURE & BUILDING 43 3INr-,L PLANNING 1-49. Electric Release to Edison 50. Cpas IRelfarse to Southern California Gas Co -- Si. CERTIFICATE OF OCCUPANCY I No- Date - - - •—...v . 1 , m }Yak s>a". .1u'+r .. .#5-& :''''n gra n.�.. - / , BN FORM 116 - S. ) ` ( k. BIA FORM 1486 J i <.;,:;; �: INSULATION CERTIFICATION i� ±'' This is to certify that, in conformance with the current energy regulations (California Adminis- ;' .% trative Code, Title 25, State of California') and approved plans, insulation has been installed in \ 5 the building located at: =)l • COSTA NESA ORANGE ) -( . ' ❑y County l/z./ 206 e. 16STREET UNIT # C 93-133 ', str..4 Ne. (If Annaba) Strout Lot Nuenbw Tact Ne. I :-) ...1(4. DESCRIPTION OF INSTALLATION \1 . ROOFS I.-• Type of Material Manufacturer Thickness R Value**_ I r. EXTERIOR WALLS CERTAINTEED Type of Material FIBERGLAS BATTS Manufacturer FIBERGLAS Thickness 3Y2l R Value" 13 I. =. (Or Tied. Mama) :.: ( E CEILINGS CERTAINTEED S it.- sans: FIBERGLAS BATTS FIBERGLAS 10" 30 Type of Material Manufacturer Thickness R Yalue"___ >,( (a Tied. N.r) 1200 SQ. FT. II Sq. FL Covered 1 BLOWN: SAa Type of Material Manufacturer Thickness Na Bags__ 'i (Or Tied. Kau I' Wt./BagSq. Ft. Covered R Value** V.S'£'�' FLOORS �-� Type of Material Manufacturer Thickness R Value** lit (or Tad. N...) SLAB ON GRADE _.:r` Type of Material Manufacturer Thickness R Value ' '- :r \ _ (Or Tied. Pb....) Width of Insulation Inches )' ice - FOUNDATION WALLS (if required) ` Type of Material Manufacturer Thickness R Value**___) (M lade N.:..) V.Sl , • ' " REMARKS (if desired) -�- l`(1711 , General Contractor (Builder) ELCORE ENTERPRISES Number ,. )' S„, k�” By Title Datej. "'3 ( ACCENT INSULATION CCNPANY 274233 ' Sub-Contractor (Ins alio, Applicator) license Number 7 (Imola:. Maf9n- Mats ••SAYE'• H arae u General Contr.ctM $;- ta'aY KNJI4LES PRODUCTION MANAGER 3-21-94 F...= (-:t-.. /L ��!' moi'• TitleDate 3\ Canl. . edeini.r.en.e Cede. energy louelai.a stwdmd., balm . EXCERPT las Sec 19673 el toe Head( oaf Solea Code et eta Sato �: -Caere( . . Up.. ce.rerir .1 dee asonfl Nr of la..t.$r. . coed a California: CCC / a as seer l.nNr Mbar .nnre atit ill.d I. .le.waa thewc. win(C• ( rq.lr.wt. .1 arse r.g.l.ti... shall b. m.pI.d ..d .a.atsd by "No ovalness a .anpray et c:.ilar mNfnmti.n that a newly cen- \/ tae I..nrlr.oWlmt.r W M ton b.Ind.r. This I..rd.Nea s.. Uc.a .h.d.d MM. err, .oart...t base, ear oe rbee ,...L Lal 3i_(4 reed shell be peened mou WalW na . .selo. .. .i11M n dea .-) dwlllas Is bobieab4 WoodSnell bWood .ed by . beadles deportment///,,, rlers the ,..den a /.car .Within S. Thier.sow ase afr r.:_` i 1.-1 Val..I. tbs ..anon N the r«Istu.a .t. .w4Ad r baldnbnsI.l.. aadeeds« bll.bed p. . t this doper.— \ (. a c.ep....t le Srpatine eery a beet.The r.n.n.re tin 1.1 a r.s...brye /� Insolation, atoll aley .aloe for n t.Wa. twin.) 3 I (4 Form LIG—m BUILDING NEWS, INC, 3055 Overland Ave. Los Angeles, Calif. 90034—t213)870-9871 9 e 1 Form 1486-0 BUILDING INDUSTRY ASSOCIATION OF CAUFORNU4 INC,1571 Beverly Blvd.,Los Angeles, Calif.90026-0.133 625.5771 3/-) • 'W •. .. tea..- ♦...� FINAL GRACING CERTIFICATION . Project Address: 206 16TH STREET, COSTA MESA Lot Number: LOT 3 Permit Number: • By Civil Engineer: • • I certify to the satisfactory completion of grading in accordance with the approved plans, specifications, local and state codes. All drainage devices required by the grading permit, grading plan and grading ordinance have been installed. Adequate provisions have been made for drainage of surface water from each building site. The minimums are: • 2% Fall from structures within 5 feet from exterior walls. 1% Fall for asphalt surfaces and landscaped areas. 0.5% Fall for concrete surfaces to approved disposal areas. The final monuments as shown on • - - .rded - t map were set. All final grading eleva- tions are within ± 1/10 of th- : 1.1: •ations. Supervising Civil Engin .L/ //�i� ^ Reg. No. 41983 (Signature) Date 2/22/94 9PoFESS i til�Q/ Byrn 0 /N m OC r`I:. b • •'. 3/31/96 d'j CIVIC *e.iF OF ate STAMP and SIGN 189,rg r CITY OF COSTA MESA BUILDING DIVISION 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa. .us 4-f*. FOR INSPECTIONS CALL: (714)754-5626 ��on� • PERMIT NUMBE P07-00405 PERMIT TYPE PLUM STATUS: ISSUED DATE ISSUED: 06/12/2007 " ISSUED BY: RMD JOB ADDRESS: 206 A E 16TH ST CM Suite%Unit: A Vicinity: GARAGE . ' - - , SCOPE OF WORK: WATER=HEATER CHANGE OUT FOR SFD. OWNER: LIU,CRAIG NAM;,'.. ; Address: 206 A E 16TH ST.' PHONE: 949-645-1357 - City/State/Zip:, COSTA MESA CA APPLICANT: LIU,CRAIG NAM - Address: 206A E 16TH ST., : PHONE: 949-645-1357 City/State/zZip: COSTA MESA, CA CONTRACTOR: OWNER-BUILDER :_ . .. License No. 000000 Address: - - PHONE: City/State: ' .ZipCode: CELL: PLUMBING PERMIT FEE SUMMARY PLAN CHECK FEE: -$0.00: PERMIT FEE: $35.80 TOTAL FEES: $35.80 j. • • • • • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No.92-28,§1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODES. INSPECTION TYPE DATE IN7mAL$ CODES INSPECTION TYPE DATE INTOIAL$ 1616 Fixed System Final Fire Prevention - 206 Final Mechanical • •� ( 1266 Pool Spa Final 208 Final Plumbing (p-i 3-O 1 i N/ 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 • 1 it WORKERS'CZMPENSATION DECLARATION: Owner ID verified by drive rse. es ❑No I hereby affirm under penalty of perjury one of the fouuwing declarations: Driver's-License No. Expires:, /2-24 % ❑ I have and will maintain a certificate of consent to self-Insure for woikeis' 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 • DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: section 3700 of the Labor Code,for the performance of the work for which this --: permit is issued. My workers' compensation Insurance carrier and policy 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 by this permit,and that no building structure,scaffolding,falsework,or demolition Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp This seavn need not be completed if the permit is valued at one hundred dollars($500)or less) 2,Art 2.Sec.341,Title 8,Califomia Administrative Code). Pori y Number: 0 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 's ued, 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'ttie workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of Applicant's Signature Date the Labor Code, I shall forthwith comply with these provisions. 6-12.- 01 Division of Industrial Safety Permit Number: a--;--c--4/Applinfs Signature-- Date 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 ❑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 LICENSED CONTRACTORS DECLARATION: 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 registration form for acutely hazardous materials? ❑Yes 0 No Lic.# Class# (Section 25533 of the Califomia Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely Contractor's Signature Date 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)? 0 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 Date 4. If an RMPP is presently required, has Section 25534 of the Califomia 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 LAW 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 fumished 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). r❑- 1=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 California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑ 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 ' • city ordinanbes regarding Hazardous Materials and Emissions. 0 I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH , LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions Code: The contractors License Law does not apply to 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 ❑ 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 inspecti. . J� i . _ Z- /2- a 7 CJ/ Cn (/��( �h^ d l z :Q l 'a ur ofraga er(s) Date Signature '" LDate-._ 3057-46131071 And/or Authorized Applicant Date oSiR F t.tTY OF COSTA MEDA < 9 . 0 To\ CALIFORNIA 9262(41200 P.O. BOX 1200 ;0 rd C - [ -:'J A f a •,J. dl DEVELOPMENT SERVICES DEPARTMENT egaannt� July 7 , 1993 To: building Safety Division Newport-Mesa Un. School Dst. (2) Code Enforcement Pacific Bell Communications Police Dept. - Ping. & Research Copley-Colony of Costa Mesa Santa Ana Heights Water Company County Administration Office Sanitary District Engineer • County Clerk/Bd. of Supervisors Southern California Edison Co. County Registrar of Voters Southern California Gas Co. County Tax Assessor State Board of Equalization Engineering Division (2) Street Division Fire Admin. -Training Officer U.S. Post Office - AIS Fire Prevention U.S. Post Office, Adams Avenue File (2) Mesa Consolidated Water Dist. The City of Costa Mesa wishes to advise you that the following address has been changed: OLD ADDRESS NEW ADDRESS A.P. NO. 206 E. 16th St. 206 E. 16th St. , Unit A 425-201-20 Unit B Unit C Unit D Your cooperation in this matter is appreciated. � Sincerely,�� / ° /LOC. 6 CAROL C. PROCTOR Associate Planner (206E16ST.ADD) C-15 cc: Flave Gibbs Ralph Emerson 2128 Mira Mar Drive 4300 Campus Drive #100 Balboa CA 92661 Newport Beach CA 92660 • 77 FAIR DRIVE Building Division(714)754-5626 • Code Enforcement/Business License(714)754-5234 • Planning Division(714)754-5245 FAX(714)556-7508 Unit Unit t 4 " DI. Unit Unit " p ,. 'A" - - - - 20G E. I 60 Street Nor&-TF+ rJ.?. 5. PROJECTADDNESS: 206 E 16TH ST UNIT: A CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 065430 OWNER'S NAME: RALPH & NANCY EMERSON ADDRESS: 4300 CAMPUS DR #100 PERMIT NO; P 065430 PLAN CHECK NO: N GOVT; N SUPP: N NEWPORT BEACH CA 92660 CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU PURPOSE: NEW (714 ) 263-1920 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : NEW SFD WITH AN ATTACHED GARAGE 6 DECK SQ FT: ADDRESS: UNIT: CLAIM VALUE; CALC—VALUE: GROUP OCC; R-3 /M-1 PERMITTEE: A.C. SPARAGGINS ( 714 ) 995-7552 ADDRESS: 4241 LARWIN AV COMMENTS: REF: B-64182 CYPRESS CA 90630 *******+EiE**************FELE**+EwR6****+P+E+E**Rr****x*****************ar+F***********a*** 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 license is in lull force and effect. SETBACKS CITY_ STATE LIC.:383440 CLASS: A o. " ./ �3 53 Signature:aLire— BUILDING ACCESSORY BUILDING WORKERS COMPENSATION DECLARATION; thereby affirm that Ihave£e/fFtkJfe of consent o sell insure or a certificate of workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN CompensationJavuanc2 Br grp.NlioA int thereof(Section 3800.Lab.&).7/16/94 LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: 1 L V l EXP.DATE: CONTINENTALCOMPAxr: ,T�AA PARKING REQ PROV; PARCEL: 42520120 ZNE: REF NO: ❑ C C ' copy is hereby furnished. M Certified copy is filed with the city Building Division. PLANNING NOTES> • [ > EXEMPTION FROM WORKERS COMPENSATION DECLARATION: (This sectio a completed it the permit is for one hundred(stall or less). D E V E L• O P M E N T 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 employ any person in any manner so as to become ZONING APPROVED BY subject to the Workers'Compensation Laws of California. DATE: Date: Signature; BUILDING APPROVED BY NOTICE:II.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. 7 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: INI Z. 3 which this permit is issued(Section 3097. C). ******************************** ********** ^ ** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter.improve,demolish,or PERMIT 22 ,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 2 5* SKI P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7600)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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 20, 00 I. as owner of the property m 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 altered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS ---> 22 .00 2 0 , 0 0 0 .00 4 2 ,0 0 42 . 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 REVENUE DIVISION TOTALS--> COLLECTED• 42. 0 OVER/SHORT• 00 oreimprovementpurpose a sold le)hin one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC SIRE SM P/TOT GRADING PLAN—CHECK tor the purpose of sale). I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 42 .00 ❑ and hProfessionsCode: The jectwtSlalcontraseLaw doespursuant to hControf actorrly s'State kens .oI es thereon ******************************************************************************* and who contracts he projects Contractors' a e License aw license not apply l Ia the ner fa props h builds Law).1 em 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.&P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: PLU 1 WATER SERVICE 7. 00 7 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and PLU 1 SEWER, CONNECT ION TO BUILDING EACH 15.00 15 , 00 25534 and mat I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES 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 propel for inspection purposes. D. /a2, 353 Signature:�,«tr. ., !1 Qnt.`f27=.1'0192721 TOT ... Driver's License or Social Security a: G%f ��'TE r • •^'/Q. T`NE° 12:04 1641-46 White—Budding:Green—Godo Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING POOL •A 1 Date Inspector APPROVALS Permit ',' I Date Inspector v APPROVALS Permit `-_ 1. Temporary Electrical Service or Pae.. 52. Pool & Equipment Locators ir 2. Soil Pipe-Undrgrnc(, 53. Steel Reinforcement - e`cGical Conduji ISltility-Unorgrr:. 54. Forms i ,- -- - - Zi. OEit ,rr+cal Condu ,Jrdr,nn,d. 55. Electrical Bonding Ste. _ -_ -. E-T emfor h`! �_ix 56. Rough Plumbrq & Pressure Test - y_-__ CIStlectrical UF€^ER--Grnd -. --- _ 57. APPROVAL TO COVER-GUN.TE I '• ` -r-- 7-Qbotiags ,, ----^4. 56. Electrical Conduit-Undrgrnd. x .-0. Foundation ti j 59. Gas Pipe, ❑ UrdrgrnJ., Test I-• - -- -t Ulnas,Water Pipe-Undrgrnd. 60. Backwash P-Trap, U -1 rrid dro, W. Structural Floor System t: 61. APPROVAL TO DECK -r- ,- Ili 11. Property Sewer Line & H9rse Co Rection�z�..rl3 62. Bacis.usi, & Hecaptur rr. : t 12. Sewer Capc. a 63. Heater & Vent-Final .a --- 13. Roof Drains 64. Plumbing System • Final 14. Rough Plumbrg 65. Electrical•FInal 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electrii Wiring 67. Fencing & Access Approval '17. Rough WiringiSign 68. APPROVED FOR PLASTERING r- 18. Rough Electric46T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 1 J - - O Fr t :-s--'Il Ct ' .: '-'H WE-. . •r•-• 7'C, 201 R6IighSac•bi-y Fireplace Cre •C1 • _ r x tt'APPR•DVrt4a�rrp Pq;mit 4_" at.' c 1 ti X ,.t-.E-, - 'e -S'-3-'7 r FTri -1-C 21 .Ducts,b Stc-ucta`re .. •, p S - t•, r-r• e 70. 'lindergiatr,l HYJro - ___a.• - - . Sr_ r CJ - • r 'I 71 I -4;4--.- r - - 22. Dtats,'Ventaatir:g• ") S' ` • S * ai W . Prod Pingit as ;Oil m I-1u• `.- II 23;•GajPipe:Rough&:rest I SS a t^ ,; #. - 72. Undergro r d F,l y E. r-Mb.--rrTr--rf;-7 :: • .i fij . r -,-7-- _-._.,___>, _ -_ 24. RrdJf Framing ' r- -. •• * > O -n _. r-S73 Undergrrau.SroHrg.'Tanl�U Gas :: Y U ' . 25. Roojf Sheathing .. ` _ ° -r J ; ;J;. . ' 7F Overhead Hyni . 26i T-Ben Ceiling (Structu•al'. &_l'rc ccat r .:f = In* * 7;:Y Dry Cheri ca, "I r " _ • ti .. -.. •--- " *1 `71_--�---- r' _E-'J-=- ` --- 27�'Fr,tcne and Flasllthj l _ b .4 7br Dry $ta ?{c ( `y. ? r 3 I • r ri : .-. >3- . 2...- •tri•--t._'--'ct-�.`tt_ --- - 28. La ting;& Siding * E. t5 C ••s i 77?' FIXED 513TEt17 NA _ -, ,.,-' i ..I ti r ) ,^ _, '29. Insulation ''� " " t. P; .a F 4:. '� r I y 7 F,IRE enEV. FItwo_ - x _.) r ..rte: .� r30. Dryv.ail Nailing • s _ I + r- - •." •-HEALTH DEPY,.flEGUIR£N1ENT-- - 31. Paster g•orn Coag = . s. I ,79: r AE-7ItigECT ^.V ; - Te I 1 432.-Electrical Power Met£t.Fir„I > " 1 ± . .BOr,FOOD CEFTiFr027E ISSUED _L___ o * I' g " c �. °34Fi7dl E£ctr I ' NOtes:_it' 1m34-,Fia ! H6tin`g & AO gcd,t19ntn3 , 1 I -1 • rV _ 7: • ` • ..- t9 r a tz._ ran 11 =i1_ 3B*1Flral Gas Ptpe.TesY_ = . s •1. r r. n ms r r t..7.) •r 35. Hood qr,Canopy . ^ , p• 1 a. c 1 jtr.. S Co, C 1- N--CN----1-- - " ' -Cr, .. r I $ n T .. - _ _. r _fin. C37.-..Fal r Futon/ Fire ire l; i ttt- TI r : ..?i FF s r. ^rt.7 • L.33. Friel Ph4mbing x i .. .. - u r I - _ -- � } k i39 ai.r rvice-Fina{' dfir�t N ` 1-.40. Gas Service-Final v -% r•'^ s r* p n - a' 1..41. Solar Dibmestic-Final- '1 .• y# ` r - n Y I rf * -42'Backf low PreventeL C� # o ,� ,r � g - - t 43. Backf low Itigatiori :-•::.*a: 3 ^t-- • 0 s > r '. - a -, :1 - i tea' # >. :F-'r a ,S .} '.44. Landscape lYrigation Systerq(;,t.-, m s .t C- : F v i s ns o -r 7' i*' 4 t. E r r-r e-4 tr�. si 45�Sound Attenuation E 7 - 1 * -; y m -n .T." 4 41 rig i • E' - . -46,`Handicap RE4ulatigns r� A "' , v ' ..... g Gc 'a__"; , _ - - ` _, 47:>FIttAL STR±JCTURE & BL1LDING a i + n. try e- » 48_FIC:AL PLANNIND • Fi • ' is. K . ;r - -.} - o49-DElegtric Release to'Edison i r • - CJ -i ._50._Gas.Release.ko Sou)hern Caljfoj iia Gas Co r •_- t, r, .i . - ' G , , I -2.51. CERTIFICATE OE'.00CUPMCY • e -r. No. Date PROJECT ADDRESS: 206 E 16TH STT UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 063521 OWNER'S NAME: 206 16TH ST ASSOCIATES ADDRESS: 4300 CAMPUS DR *238 PERMIT NO: B 063521 PLAN CHECK NO: N GOVT: N SUPP: N NEWPORT BEACH CA 92660 CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: DEM (714 ) 263-1920 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : DEMOLISH SFD & DETACHED GARAGE SQ FT: ADDRESS: UNIT: CLAIM VALUE: 1,000. 00 CALC—VALUE: 1,000.00 GROUP OCC: R-3 /M-1 PERMITTEE: 206 16TH ST ASSOCIATES (714 ) 263-1920 ADDRESS: 4300 CAMPUS DR 238 COMMENTS: RE: GRA63519 NEWPORT BEACH CA 92660 :t***rErtEt:t:t:E:t*:t:t,>E*ut***ut*rE:tEt***ut**uEutut*it*:Er**:t***:t***:PSE**:t:t*:t**:t*****:r***********:E:r LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I N GS ERTEBQAUC IKRSE M E N T S 7000)of Division 3 of the Business and Professions Code,and my license is In lull force and ellect. CITY LIC.: STATE LIC.: CLASS: • Date: Signature. MAIN BUILDING ACCESSORY 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: 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: 42520120 ZNE: REF NO: D Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> _ — Date: Applicant- *******************************************************************9*414*'4******** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (Tis section need not be completed it the penin icicle one hundred(5100)or less). DEVELOPMENT SERVICES R E Q U I R E M E N a.. S 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 tot e Warl�eri Compensation Laws of Cali }lorN ZONING APPROVED BY : DATE: Dale: gCE/7(` signature: " BUILDING APPROVED BY : DATE: NOTICE:IL alter making this decoration.you shout become sit reit to me Workers'Compensation provisions of Inc Labor Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. '�j•J C CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: ` C -•awYC�(— M DATE. .2[ 7/ /3 which this permit is issued(Section 3097.Civ.C). *********************** * **** *** *yE****+F*************** ********** LENDER: ********************************************* ******************************** 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 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 - 25.00 repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 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 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 . 50 any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars(55C0). ISSUE FEE 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 Cede: The Contractors'State License Law TOTALS————> 25 . 50 0. 00 0. 00 25. 50 25. 50 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through or mprrovemenor her t is soln d within one year of corovided that mpetioch n,rmements owner will haveWended the burden of provingsale. he/she did notor build or ie mprove ove REVENUE DIVISION TOTALS--> COLLECTED• 25. 50 OVER/SHORT; 00 for the purposeol sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADNG PLAN—CHECK fV I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 25. 00 . 50 LA and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts far such projet6 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 rtthpp this reas : TYPE QTY DESCRIPTION UNIT COST TOTAL COST Date: "/�7�1 Owner. NO FEES WERE SELECTED FOR THIS PERMIT Ido 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 wilrwill 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 these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above int rotation is correct.I agree to comply with all city and county ordinances and stale laws relating to building construction an hereby out i e representatives of this city to enter upon the above-mentioned property for in�sppect nn pqurposes. Date. 8/i'? N Signature: 01 00145108-00145109 TOT 25.50 Driver's License or Social Security if: DATE: 08/17/93 TIME: 10:08 1641-46 White—Building;Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor ,.....„—____________ • CONSTRUCTION AND PLANNING POOL `A APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location - • • • 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement • rsitof al Controw 11ity-Undrgrnd. 54. Forms v4%pf.ti al Condui%drgrnd. 55. Electrical Bonding ta5•. ie€P �inforcl 56. Rough Plumbing & Pressure Test 0 MITT 0 rrol"& ctrJ4al UFEr d. 57. APPROVAL TO COVER-GUNITE , . Pk< eta f-Sd :G 7. F6oti is :On 58. Electrical Conduit•Undrgrnd. - 0..m IIM. 1315:oundation 59. Gas Pipe, 0 Undrgrnd., Test •Cu.-Water Pipe-Undrgrnd. 60. Backwash Lines, P,Trap, 0 Undrgrnd. 15,%tructural Floc System I 61. APPROVAL TO DECK 1>1i Property Sewe in, & House Connection 62. Backwash & Receptor-Final er -- 12. Sewer Cap 63. Heater & Vent-Final - v Lel 13. Roof Drains ro 64. Plumbing System - Final • ec 14. Rough Plumbic -- 65. Electrical-Final 15. Rough Electric`-Conduit 66. Solar System-Final a 16. Rough ElectricOWiring 67. Fencing & Access Approval w 17. Rough Wiring tall 68. APPROVED FOR PLASTERING GL 18. Rough Electrioat-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL o 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20.�r{io®h octOdy F splace I egfri <; * O p trlc * ••PPRZWirt.St'rCPett itt # '>• .. rr• et. tr'* :t 0 • t '- I 17.1-4.. SS a t, '1 r.- .t; • S'.7•- Q CTI 21 Ducb, ibStlSctt44: I r-!S a S O t•.+ + 70. ffndergr-atrSa7H ro 22rDu , t(pntgstire,,aa i COOS S S <S * 71. Produc ,ing 01.Sis O'Oil 3 y 23..Ta Pt , ip ioh &"fest i � s� a S Q Q* x 72. Underg 0�(t`4 Fl j a ;: H ■. O' try x* i I•Cr t1CJ I u, it J 4 a. t•a S I a �+ 24r,�io Frpminn m* IFF ••F * :.> 0 tT -I * 73C-UndergrnEttStor,•//'lank-/]Gas EOil ...i.-- 25. Ro Sl thing a: S n7 * (r1 M O Nk a 740 erhead•{iydro"l,F'o ;. .. ray < * v 0 u* n (�41' S a - : '7 ttl :J it .t 1_• :i44. 26. Ceiling (St[yuural) &�igggcoat * m 7 P1* S. 75TDry Chemical + 0 ir -tat y 271tFrame and F�ashfw,�c * ^ m * OY ' S Cl ■- N L `7 I Oy X �• > co.: x 76r6-fy Standee t_ .A , t*' �rx .-1: 7 i Y* lice: 2 • 4.. : v tl, 87 Lat�aing Sin rn '7C2 G +' S •• •• ••* 777•FIXED B,(6TEhll(�NAL• S >29. Insulati''qq'' O * O S " " > a r`' , 7g-2FIRE PREY. FI144- > cc M ;r30. Drywalplvaieq : Mili k4EALTHIeEPT: REQUIR•NIENT 1. Plaster :iowp.Coat* I nort gg 79:OFINA L IIQ$PfCTI( N 1 T"7 C 3 2,7Electrica• Po-Ma1@'aFinal; ' ,f 03 •:0(,¢OOD C�ATIFIcC(Y,TE ISS l71ED Q 33`Firf31 ElIeecctrid 7 * Cl N s: r. ` j 1 * 4 c trt Q ? x T :t * iX ^7 '101 O r9 �34r.Fin Hrt1r> j& Ai Cd�diticir r. * _ Q S• nx • S -,I 3fa 5trfirl GO Pipa-Testi 'T '7 i. • n n Ct15 t• r n tx,36.z1-lo oga no PY # QiEl :n .. t rt O 1 tr`7 4. > • £ no C LD r- - h07 CFi i31 Fa4 ory Fireplat*X I HF v a m s 0 8. Findi Pl nbing ' m,. t •• .. c .c N • S ti K .6.�,., r , .n ' 9. Water So'rvice•Finab: I O s ri c.rt, ', to o > S xo; V •- C40. Gas Service- nal > * `' '' (v vti p.C... or , t7 f41. Solar Domecic-FinelS .•1 •• a 3t '4'J V t*. T -Ic - K z 0 CC. '✓42:SS3ackflow Prevente I' v'. O le # ..>...A" • r 0 ,. 43. Backflow Irrigations =SS * 4 a n+:'O C-. It * .. u n Z44. Landsc2e gatigjt System..z0 x # ;r, p a (7* 44 • co U -rya a O ?gat* • t 71 - f45:cSound •ttem7atio* -zF Yr r f F F i✓> * ty i-i ^ :4 At a Cr n * Os 71 rtt 'r1* * Cr tT < • -7 6h-1andiczf RE3ulati is ti * '' •• •• - s i / -+ -1 •••S - ac , S S • CO 5 •47&l ,; LSTRMCTUAE & B " DING ,Ta '; � ni Sc+ n c _ 1 _ `TT O 48^ 113 L PLANNINCj � �,� * coTs -1 -C v ix. I 1.4 50.SGabReleaseiq Soupern Caliior i 7 • .-t_7 Gas Co la J OW - 0 1. CE; IFICATE OF,OCCUPA a., * *. ,• , n mo x ' (... No. Date PROJECT ADDRESS: 206 E 16TH SILL� UNIT: A — D CITY OF COSTA MESA — BUILDING PERMIT PERM NO: GRA 063519 OWNER'S NAME: RALPH & NANCY 4RSON ADDRESS: 4300 CAMPUS DR #238 PERMIT NO: GRA 063519 PLAN CHECK NO: 02392-93 A GOVT: N SUPP: N NEWPORT BEACH CA 92660 CONSTRUCTION TYPE: 5—N PERMIT TYPE: GRA PURPOSE: NEW (714 )263-1920 ARCH/ENGINEER: DONALD FLAIR • REG.Na.: C-9101 JOB DESCRIPTION- . : GRADING FOR FOUR NEW SFD'S ON ONE LOT SQ FT: ADDRESS: 16715 VON KARMAN AV UNIT: IRVINE CA 92714 CLAIM VALUE: - CALC—VALUE: GROUP OCC: R-3 /M-1 PERMITTEE: 206 16TH ST ASSOCIATES (714 )263-1920 ADDRESS: 4300 CAMPUS DR 238 COMMENTS: GRADING PERMIT FOR UNITS 'A' THROUGH 'D' / 4 SFD'S 'NEWPORT BEACH CA 92660 ********4********************************************************************** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commenting 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 LIC.: STATE LIC.: CLASS: Dale: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-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: r FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING RE}Qp PROV: PARCEL: 42520120 ZNE: REF NO: 0 Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> > �A/ date: Applicant: ********************************************************************aPs�********* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: This section rte d not be completed if the permit is for one hundred(810)or less). _ DEVELOPMENT _ SERVICES R E Q U I R E M E •N ;T S I certify the in the performance of the work for which Ihi rmit is issued shall not employ any person in any manner so as to become �'N subject tooC I e W rkers'Compensation Laws of Californi ZONING APPROVED BY : P DATE: `'ii 7/93 ••••"". Dale: O Signature: /` NOT :I alter making this declaration,you should come subject to the Workers'Compensation provisions of the Labor BUILD ING "APPROVED BY : 'V CA-- DATE: /$ r..31 9-3 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:*t f }��C ' DATE: i al en which this permit is issued(Section 3097,Civ.Cl ********************** *** **** *********************''5"I******** LENDER: *************************************** * *********************************** ADDRESS: LEGALIZATIONaN " ` F E E ' SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'Slate 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 64 . 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 _ SMIP/NON—RES pursuant to the provisions of the Contractors'Stale License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business - and Professions Code)or that be/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 5. 63 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE _ 3 , 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----> 64 . 50 3.00 —5. 63 73. 13 73. 13 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through ' his or her own employees.provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 67.50 OVER/SHORT• 00 improvement is sold lt.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 tor roe purpose of sale). I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business _ • 67. 50 LA 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. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.&P.C. for his r son: TYPE QTY D E "S C A I P T 'I O'N ' ' UNIT COST TOTAL COST Date: 9 ii 13 Owner:\ _-„ 4 . — NO FEES WERE SELECTED FOR- THIS PERMIT I do here certi that I am aware of and understand the requirements of Cab ornia Health and Safety Code Sections 25505,25533,and 25534 and that I or any future budding occupant wilVwill 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 (hese provisions. Date: Applicant: I hereby certify that I have read this application and state that the above inlor ion is correct.I agree to comply with all city and county ordinances and stale laws relating to building construction an eby authorize esentatives of this city to enter upon the above-mentioned property yII inspnlion purposes. T'— Date' Si / Signature:— 01 00145107-00145107 TOT 67.50 Driver's License or Social Security a: DATE: 08/17/93 TIME: 10:08 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor 1 CONSTRUCTION AND PLANNING POOL 'A -' APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector .1. Temporary Electrical Service or Pole 52. Pool &Equipment Location - 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement w-g ,Atal-ifw,. p3 j,Tllity-Undrgrnd. 54. Forms .;)P- o drgrnd. 55. Electrical Bondingg -couof0-elza-M fr% Eet0t-w rce Qi.-4 56. Rough Plumbing Pressure Test 0 y .-c,--t ctrilcataFEflai. 57. APPROVAL TO COVER-GUNITE .-. � st'y.rtx6orta1 Ftifl - 58. Electrical Conduit-Undrgrnd. O 2d dN_Z F;g.itFoundatio ,NU t� 59. Gas Pipe, 0 Undrgrnd., Test a -tWater Pipe-U,n rnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 1rtructurallocSystem 61. APPROVAL TO DECK - 11'. Property Sevtty�t,,.iny;& House Connection 62. Backwash & Receptor-Final . i G-4. 12. Sewer Cap63. Heater & Vent-Final -3., o, 13. Roof Drains. CA 64. Plumbing System - Final i T 14. Rough Plurnb,y 0 65. Electrical-Final 15. Rough 4ctrict-Conduit 66. Solar System-Final at N 16. Rough Electrify-Wiring 67. Fencing & Access Approval 0 Li ' 7. Rough tiring jp 68. APPROVED FOR PLASTERING 48. Rough ElectricsST Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT C7 C7 tde •• '7 tT cn-.u7t. Q 7j.: E-• 20.;rtzoph Ipctory Feeplace ;km t.t< * O c en* * rAPPROWALt cYertrfit # 4 0, •r s in ,Q T., 'cm tC.6 t S i-i e'* t fj G eCNr-tf-. > .r: e' 21. u ,iii..,Strtu( t: 1-12-..- H xS * r+ •7 -i...,..* : 7* :% rL "g SO 7;t 'r, * M :� I-IS * S G .ti* * 0. Wgdergre�+ diHy�,'o 22.•Ducts, Ylentitsting.* OS r471. Products A r=et�ts 0?Dil S t' n 'Z P3* ... 9 W _* 23.C. aE-PiPe o h &Test I ;f S * m r K O* * �2, Undergrou�cFI7 * EO, . 244-po: Frpming. cc* I I-E-• ••E-• M > O T x * S/3.UUndergrnNStoran tank E7 Gas ❑Oil rxt i - IY ...I* * .. .-t t r 25.41o�f St�thing �* X v * re' O O .t::, i 5743Dverhead Xlydro0f- t. 26.%'-B Ceiling (Str(tural) &±1pttocoat MI75.7Dry Chemical '7-*1-4 0 27.nFrame and Flash * rn * m * * 76.FUry Stan I e OI * S to .. n; n oxtc * a r m* * dN o * I tY,* r-+MO C .t y.* * r„.-. *v to 8.a'�atjing; Sidingg* y ya2 Q a x .. -- •.* * 77.0FIXED S IA TEM]SNAL* S >29. Insulatia E"k O S " " >- * n .' 78RFIRE PREV. FINAL :> m m* - . 0. Drywall ailing O* IMMIII 41 .-• 14EALTF{-i*EPTaR•EONMR .+SENT n1. Plaster &law Cq..t S I rt, n'll Til 9.rc!NAL IN1cECTIQN *-0 7 2 b2.7Electricg+•Po4er ttrsle.irtinal ; rF * ;i " ditsf,90.erfOOD GE-HPl�st•TE IS&UED x __ + 3.`- 7 int'El: trig, N* ' I ' * to ' jl n"'NOSS: 7 O,X *'7 G CU r l4.,-fin He�tin . / ryto7 gitioh�Iakbil e-, bill P cg S i'iwt * S - „. ..,,:____a________= 35.t*inb Gat Pi pa-Test* MI 'i * n n is * tt' 0 1 fl •• '-.t 0' •• * IH _ sv 0t-1 Jr f•" -36.'Ho � o��rr}},,ano tg n'Z t * "■. . . •. *a, - $-_-_137.7.inatl Factory Fir',ct! I Sir' N * crt S 0 **-.`n tr' •• .• N rte*. T. LE'F 4� * � ' S'•-. Y * . 8. in Plte+ bing 's* cCc .. ..u i * N Q s r..' *tD * t r 9.L.Watdt Service-Fir-* I 0 it rl aril * tg * s I ,. � y " Th0.�GasSerp e-Final* [7 r.Mtr. S * t7 'D • NN *m V * + f- + -T s< T 1:.Solar Domestic-F.nai S n X CT ,,. �'U T x S i7 Cr:: `742.43ackflotCPreven $ t'-' N * C * 1-+ •i * tJ v* to O.-. -. .. mi :. _ ,I :r;= is .' t• 43. Backflow Irr atient XSS * * 4 ri~ 4 0 7'44. Landsca�te 1 gati Syste eq * ` * `-' N * S 0 [ri Tti P n c•a x t m a 0 o*_ * a ,-J :o =0 * CO ,- , I * •-)1/4•:, R,X . * 'C 1 1-- x - :,G '..• S t 5.,4sound Atter:Natior- -zE- Er * E E-• F It-.* * rt .- I-t r-� x<ro *- tr• .k -7 .• .. st hr7 tri t'i * 6. Cr' 0' F01.i *. 016.'H..andicar{SRt.Eyblatio�is 0 S * tri •' •• ••* * a i ••r'' • * m o_ * * * x x s s 47. 1 . L STRKTU'E & BU' DING t. / =S/,�-`_ N s Jo x �48licIE tLLPLANNIN . Itn. 4 * .E--)I t-E-' * N 01 Cri '. s -49. Ele is ReleAse to Bison i M , * i * .: * S j4. r_.: OS 3 -. 0.sGassBelease fp Sou9ern Cali{ow Gas Co * * * E-• t.,, • • • • O 71 x O 1. CE efIFICATE OF;OCCUPgNZ1' * * s 00 au 2c?:c x i.:. No. Date • r PROJECT ADDRESS: 206 E 16TH ST. } UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06352C OWNER'S NAME: 206 16TH ST ASSOCIATES ADDRESS: 4300 CAMPUS DR 5238 PERMIT NO: B 063520 PLAN CHECK NO: 03052-93 A GOVT: N SUPP: N NEWPORT BEACH CA 92660 CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR ' PURPOSE: OTH (714 ) 263-1920 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : PERIMETER RETAINING WALL ( 1 . 4 ' -4 . 1 'MAX. ) SQ FT: 332 ADDRESS: UNIT: CLAIM VALUE: - CALC—VALUE: 13,290.00 GROUP OCC: R-3 /M-1 PERMITTEE: 206 16TH ST ASSOCIATES ( 714 ) 263-1920 ADDRESS: 4300 CAMPUS DR 238 *O**iEii***+i*+Ri********** +LE* **********e*****************************:P***RP******** NEWPORT BEACH CA 92660 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 70o0)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: Date: Signature: MAIN BUILDING ACCESSORY 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; FT IN FRNT: 20 FT IN REAR; FT 1 IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: 'FT IN , LEFT: FT 1 IN RGHT: FT 1 IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: - - PROV: PARCEL: 42520120 ZNE: R2 REF NO": DR9309 ' 17 Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> 332 L.T. OF RETAINING WALL ALONG PERIMETER OF PROPERTY-- - > SIDES/REAR, MAX. RETAINING WALL HEIGHT 4 ' 1" ) Date: Applicant. ********************************************************************(*.********** 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 SERVICES R E Q U I R E M E,N&'T'S I certify that in the performance of the work for which this ermit is is .I shall not employ any person in any manner so as to become ^ / /f� subject to theV,J(�prkers Compensation Laws of Califon ZONING APPROVED BY . : DATE: l4 I/ Date:is/7%!3 Signature: V�+ NOTICE:If,after making this declaration.you shodltl tome subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : Com/) DATE: .:gig�(3/t3 Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. • VV./ /./ -7/ CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: T,� t (i�'�� DATE- '�%T ( frit; which this permit is issued(Section 3097.Civ.C).,,- LENDER: *********************** ***** * ****** LENDER: *****************************DADA************** ****************************** ADDRESS: LEGALIZATION:N F E E S U M "M A R Y STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l 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 Corte: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 153.00 1,33 repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed ' 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 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 -' 24 . 86 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE I. as owner of the properly 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----> 154 . 33 • 0.00 24 . 86 179. 19 179 . 19 .00 does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through , ' her ownissold within provided that mph improvements me are note the bd or dot for sale. Iinotthe building or REVENUE DIVISION TOTALS--> COLLECTED '179, 19 OVER/SHORT' 00 hisimprovementor employees, gees,one er of csuch lion,mp the entsr will have the burden ofl edproving he/she did not howeverbuildthe or improve for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/TOT GRADING PLAN—CHECK I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 153,00 , 1 . 33 24 . 86 Lit 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 **********************************************************************DADA***** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.&P.C. fort s tea n: TYPE QTY D E S CR I -PT I' O 'N UNIT COST TOTAL COST r•' Date: O ,7 Owner SFR 221 • RES—RET WALLS <= 3' FT W/SURCHG/ FT.- 30.00 6, 630. 00 Ido hereby ertif that I am aware of and understand the requirements of Caifornia Health and Safety Code Sections 25505,25533.and SFR 111 • RES—RETAIN WALLS UP TO 6 FT / FT. 60.00 6, 660. 00 25534 and That I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a - permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt fromEND OF FEES these provisions. Date: Applicant: i I hereby certify that I have read Ibis application and stat hat the above formation is correct I agree to comply with all city and county ordinances and state laws relating to building construction hereby out a representatives of this city to enter upon the above-mentioned property lor'nspecT n purposes. Date: 9/i7i?) Signature: DATETOT 0i03117/001493 TII1E: 10:07 179.19 Driver's License m Social Security N: 1641-46 white—Buildings:Green—Code Enforcement:Canary—Aoolicant:Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING POOL PA -APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspecto 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location - - • 2. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement "• .. se , z S . ci-- dttial Conc ility-Undrgrnd. 54. Forms •�od,i c4^.al Conduig%drgrnd. 55. Electrical Bonding -R{ltrleb9 a tc R-- :1 111Ouinforc r},5€'hk 56. Rough Plumbing & Pressure Test x •-- clip ro& ciri^ai OFEt,, *. 57. APPROVAL TO COVER-GUNITE -, to 7. Riotiegs 'Nn ØØs_-2" 58. Electrical Conduit-Undrgrnd. C 4. � xFoundation njx 59. Gas Pipe, 0 Undrgrnd., Test pps s• &ONater Pipe-Und7yrnd. ' -Ti"� 60. Backwash Lines,P-Trap, 0 Undrgrnd. 1LL11tructural Floc System ( 61. APPROVAL TO DECK 1%i Property Sewerr:,j..inF,& House Connection 62. Backwash & Receptor-Final re 12. Sewer Cap 63. Heater & Vent-Final • I 13. Roof Drains ti v 64. Plumbing System - Final i t• 14. Rough Plumbi 0 65. Electrical-Final 15. Rough Electrica`S-Conduit 66. Solar System-Final 16. Rough ElectricYJiring 67. Fencing & Access Approval 17. Rough Wiring '�itff1 68. APPROVED FOR PLASTERING da 18. Rough Electric:4-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT .� r Cr ,�r� t• .1 u v -+ vi 1 a' Cr•(-i oaf-, tC i - Neu 20(rRo®h �pcteeJj FGoplace Mtn <'1 * O PPRaWA-Moi.Peranit# • >• rr•r rf - n1 e TY j 'CPC 7!CC X e 4) c IT cm-4F -> K tT MIX 21.1TDu ,itSt! tTFF ncs * r-a 50.7¢ tri s, m et#* .. .. ,..,s t s • -170. wdergh?�7'e: H\ ro r 22. Duos. '(antIt`atire' .* CDsC7 h e -s-c. A •S C]k 23.Q3a Aipi logh &lest tm+7m aa''s t ,4; O.. * _,72. Undergrot0 FIVE ,t, x a r.i•.., VJ tr I*1 �* Mit' UuJ *. u: Le �.' 3. U ,-.v .' r.r .. r ..n•-•24tti 4 Frpmin} tn* 1-4-4 ••F * > O CZ s * S73WUndergrntttStorhtsr'Tank€7Gas 0014" 25. Ro Scathing 2* XCu # m Cn O Nf 1z742g6r ead Y1ydr .-(E-o t .- 11' S! H * •7 t-1 .Js n u -a. 26 " Ceiling (Stµtytural) &Do SS oatwcp# a1 O m* * 757Dry Cl emical S� • rr C trx 4- S- SS * O > 7�' x t r a•-•• f-^ • s r 27n-Frame and Flashr�* £A V* '1:), * 'c 76!-'9y S�artV e ,A N C- Q.T. xr*tT > to; : �� Q # S m NN S* ,Cl>8.O1.4inSiding=s r..1 H1:1!:1412y 7c"....-'3* x •• I • YX 77tr FIXED S2 67EH NAL#L N �m. .. F r . ..1 C7"Ct Dura:- ( + -* r - c--• ' run * ,~ O FH >29. Insulati `1r 0 ea •• •• 'rnk r - * * 78RFIRE PREV. FlEl * > m 3;5, OQS -LA: S r< * W tr30. Drywallthlailing x •* ' . * * e-i KEALTVr111 EPTx R.EQkIFi& NT x 0.*. . ( r. 1 • - S ?Jo n t. ...e n31. Plaster t rowp Cori' x t F * 799FINA L II2J &CTI(7N c C' NS n r7 x S' 1[r'tr' m;;* r. # r �- t N.32 lectrictr�Polar NI* Final: FF F * -x a T F * ' F ^"5 [- 7E 1 8t@rJ I 2:CX co - * * riBOt:f00D C�R Itfi�•SE IS$l7'ED �� N 33:girPdl ERxtrid 'X* i VX * m * * 'r1N,tis:��3,xr• 6, �1D' .r-/ 5• c t . > n 4 m I 74 Q S C:* * * CY /v-! _� .-^•. TCi C/tY t (/✓ ,rU34�in 7 Hgtinc%& }1.j C igiitign1� r,ni.,x * * 4 nip ._.,: S FFtJ •'S-x--,- I-) :J '..x m :1 C` > • *As t-i (-.4, 35trFiriai Gas Pipa-TEst* co 1-1M1--4-* 4 * n nu tris * to 3 0 r•v 't .. * rk • C a* r. X * a ma CJI-4 S 0••••-•0 71 a36.�Ho`c�l' ot�'�'anopy # C ^ r+ * : m . ..n * T CU r-r* 7 I tr.-1Z.31 ;`, n * * 2: F nca * 0[r'tr 't-3-b' J * n r Ern v ("J:r t [`7 T2 w -r rr..••tt t-07.CFir1.+1 Factory Fii€Jfate I Str' !u< x tel k * E C x n tri .. .. x x J F N`77.* * * Z * X N 8 in Plumb' .*CC I o02* N * '!' C S tr * t1 r+' tl� +119 r Cu I '•'S"J* T * S f. k �.. ii U.) F .-,. -..i iJ-+ .=r i _3ra-1: c t- c. . t-)39cWatC- Service•Firaak I c-: 0 4 4 * n qtr * Z tr'h' •,r t N •* T I O cr-1# CTS 3. c ?. -• Ca x e-±-, a40"Gas Ser4}ce- naG * vimci r x sen - • n +J* R dErn., Soz *m x. * 3w -'N ,y, -. C'rt- .•i,-,t - 1: - rE . n £41.Solar Demestic-P,gcals (1 ••E.- * C7 't4 C'-, i--: 4 S o * Ist rr=•* t s n' '7:t. 7 * M. 0 _ F442.4:Backflef Prevenlbt. 1".,-'i L14.* * o; "'N . t ` -I a Nn ti Qs"" x- >. r. * ,. • . - 43. Backflow-lraigationa ocSS .1-1t * * ecFis) * 0 00 O rJ* s• nr is x * it 'U i * n 7144. Landscaee I iga !* SystempM xn R m a a o* If ,U co - SCJ * 3 0 0 0.1 00 lJ Vs KI,T ,....k.;.a. t•17 X 'C -2 2* *0 Z T i- Ox t S t ' 15{ Snund AtteGJat(On r1rxH tr'oG * E F F1 F* *• r1P;•4 - ,� Cry 'X x 5�46!'1-landicat Rqulat'i is 17 Sc' rr• m •• ••• •••* * 0 "-. ,.•,•. •••-• * '77 �� H O.rte• * ,' x S tc :tea -S S •47,¢IIgb+L STR' 11''CXR. E & BU .DING �f�(�D .c.S C' *' 48,•`1 laL PLA'NNI I Mt*, xi * •-`x *''i -"� c., 4, • ' . * rE i Z or19r,UJE' lehlric Relrase aoldison I 0 * r: * cc • i .* ^7 'oro . lJy.-• K -X T -n ,S •n U. Y. Lra T 0 rai qel se Southern Caliy r i Gas Co # * * '5 O 02c n n 00 S D �Qf�r�-� YQ .i: * -, +. 7 • t'� r• - * 0 . . 1. CERTIFICATE OF OCCUPAA{SCY I . * •" " : ` nix * (-i 00 rt % * * r �J "rirr 7:,0 * F 00 No. Date PROJECT ADDRESS: 206 E 16TH ST:..: UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 063522 I OWNER'S NAME: 206 16TH ST ASSOCIATES ADDRESS: 4300 CAMPUS DR *238 PERMIT NO: E 063522 PLAN CHECK NO: N GOVT: N SUPP: N NEWPORT BEACH CA 92660 CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE PURPOSE: OTH ARCH/ENGINEER: (714 )263-1920 REG.NO.: ADDRESS: UNIT: JOB DESCRIPTION : TEMPORARY POWER POLE SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 PERMITTEE 206 16TH ST ASSOCIATES ( 714)263-1920 ADDRESS: 4300 CAMPUS DR ' 238 COMMENTS: RE: GRA63519 & PC'S2388/2391-93A NEWPORT BEACH CA 92660 +E***+r:r+r:r+E*fir:E+E:r*+fir*****:fir:r+ErsE:E:r:E*r:Er*****r:r:Err:r*:E*Sir*****:r*SFxr**:F**:E*:e**SPSE:P:E**:E 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. SETBACK S CITY LIC.: STATE UC.: CLASS: Date: signature: MAIN BUILDING ACCESSORY 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: FT IN FRNT• FT IN REAR• FT IN Compensation Insurance,or a cenitied copy thereof(Section 3800,Lab.Cl. LEFT: ' FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY ND.: EXP.DATE: COMPANY: PARKING REQ• PROV:' PARCEL: 42520120 ZNE: REF NO: • • 0 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> > Date: Applicant: ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). .. , DEVELOPMENT •S E.'R V I C E S REQUIREMENTS I certify that in the performance of the work for which this pe is issued all not employ any person in any manner so as to become subject to th Work rs'Compensation Laws of California. • ZONING APPROVED BY DATE: -- Date: 1 ji 7 0 Signature: NO CE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. (�✓j CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION. 'ISSUED BY: j * t v�!F DATE• 7F � which this permit is issued(Section 3097.Civ.Cl. *********************** ****** *** ** ** * **** ************Sf* ** LENDER: - **4*******4*4******************************** ******************************* ADDRESS: LEGALIZATION'N • F E E: SUNNY 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 SHIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 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 $O% SMI 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 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 properly or my employees with wages as their sole compensation. w91 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----> 15.0 0 15. 00 . 0. 00 30. 00 30.00 . 0 0 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through - ' • his or her own employees.provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 30.00 OVER/SHORT• ,00 improvement one year of completion,the owner will have the burden of proving he/she did not build or improve forthepurpose olaBLDG 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 LA 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'Slate 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 re on: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST A — Date: 8�l?�7) owner: ELE 1 - TEMP SERV PWA POLE W/OUTLETS EA• 15. 00 15. 00 I do hereby candy that I am aware of and understand the requirements of C ilornia 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 authorizer presentatives of this City to enter upon the above-mentioned property for spec on purposes. Date: .7 5.5 Signature: 01 00145110-00145110 TOT 30.00 � DATE: 08/17/93 TINE: 10:09 Driver's License or Social Security n: 1641.46 White—Building,Green—Code Enforcement;Canary—Applicant:Pink—Revenue;Goldenrod—Assessor \ A •CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector - - 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ., •2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement Vp^ S�1.CI^ NS ug 3` I Cond%rlity-Undrgrnd. 54. Forms �l4 ¢,E I'ral Condui drgrnd. 55. Electrical Bonding -ant:=.4a44-ra-tr-- m %o inforcel r. t' 56. Rough Plumbing Pressure Test 0 V rtlg.j -'ctr l OF Ery - • • •• ^4t7. F6 os ,-¢ =7. F6Ytrs NCI 58. Electrical Conduit-Undrgrnd. _NSSJT rs S_S F%?oundation Na Pipe, ■ . . b r.Water Pipe-UnctTtjrnd. .r ■ 1r; tructural FloorSystem ` 61. APPROVAL TO DECK -' - --n ' Property Sewer:,.Iron& House ConnectionReceptor-Final 12. Sewer Cap 63. Heater & Vent-Final a, r.r 13. Roof Drains no 64. Plumbing System - Final - -D 14. Rough Piumbir{ 0 65. Electrical-Final 15. Rough ElectrictConduit 66. Solar System-Final 16. Rough Electric+Wiring 67. Fencing & Access Approval to 17. Rough Wiring s% 68. APPROVED FOR PLASTERING o.-co 18. Rough ElectrickftT Bar Ceiling 69. POOL/SPA 0 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 0-10 t t1 CI... . • ' i to T .$ �, m �Q' ttc�:tc, ' F& ,lace i xtrt tC er * O rt' s m K r r err xa * z w - a u 21n)u ,;revStr tuA** E;F; xiS S a r x j. S.. Sw * CJ 22. Dui, \( ntit tinp.a 0s * . •., , •. ■ • s r• c' rC Pi* n t PI •* w _ 23.C. asMiPeoi h &' estms x m o . • . R• • 24.t jio L.) !tr ; m aa' r•tr• 00 * +. - 9 m* FF ••I-. * > O cr * * 573.ttUndergrruPStor. ank 7 Gas ■ • I-I .1* .n r 07 • 25. Ro�YStgith;ng 0: r. v N* m b • �• 26. -Bm Ceiling (Svarturan &S1atlaroat : "1 rn • 27.0 rame and Flash da ow= * b• •ry Stand/rg • tr i8.'*atjng` ' Sidinga+.r H -1<x Q * i£ • X29. Insulatil M* O t: •' •• > * m * _ S t.30. Drywall. ailing n* * a • . >' --y-P-'-+ - '31. Plaster 1rpwq,Cojy#, S i err , t. ct`F INA ur EN.32.bElectrica Powsr (�ejFinal 'I E."--- Ali, 411. 1.4'00D • • s'33'S ;n%EleTatri :..,„ : 74' T4 Gh11 • t APA' r rg34.f in Hgtin ,�lj''% 4itiop n om- - 35.OFinG+Gat1Pip9-Tett* m '7 I t. •• * I-4 _ 6. o or ano t xHC _ Py 6* �¢ ;r'7 a. x n L -87.CFinfrtFactory Firep�eceS SF uru * m ;8. Finaili Plumbing x •:13 O * 4!-C4 e r * - .69. Watai Service-Final* 0 1 .&:5 • x O. Gas Service-Final i m <tr.tr S Cr; - _ W41. Solar Domestic-Final S CI •• a C. Is r0 .--4 A. w Rl A r h• •70 C f 'x J - F42.=%ackflow Preventer'* Fn' t j * 0 - * a 1'O- - O S 43. Backflow Irration* xSS * * * xf- • 0 :J < 54 * x a * co / . CI 0 �4. Landscape I@igati4 System-4:c; x w m a a "J* * ^j cu ixJO * 3 N o C t45.b$ound it r�icE• it * I r-- . Fn H* * •-4 MID X< * r f•: h .. .. * m f ,*t* * '- tr• tr d • hC .. 16.;Handica;i'RecFlati s 0 S * m •• •• ••* • n .-- -- -4O ".-i 4 1 H O t * * F; j: S CO S * •47.tIt STRt3CTU E & BUitDING 'S -: * -j at S L * m Pr i x x r.. - I 7' * 48:' II iL PLAMMINq • Pit* or • r ru x y u IFi- tN rp7 m C 17• 1• 7sX . ! -� . -. 0 a CJ S ' C c49.o€lei is Rele, e to Edison t * . * ' •S -'- a y -o S * 0. as�2elease Sou ern Cali``or i Gas Co • * *Ise 5 05 r C: n• f� L9 1 .-SIA * :• r . o m * O L 1. CE87IFICATE OF.f000UPP ... * * S n mo x * e- 0 No. Date PROJECT ADDRESS: 206 E 16TH ST UNIT' ACITY OF' COSTA MESA — BUILDING PERMIT PERM NO: B 064182 1 OWNERS NAME: RALPH & NANCY EMERSON * ADDRESS: 4300 CAMPUS DR #100 PERMIT NO: B 064182 PLAN CHECK NO: 02390-93 A GOVT: N SUPP: N NEWPORT BEACH CA 92660 CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: NEW IS ( 714 ) 263-1920 ARCH/ENGINEER: DONALD FLAIR RFG.NO.: C-24T01 JOB DESCRIPTION : NEW SFD WITH AN ATTACHED GARAGE & DECK SQ FT: 2, 361 ADDRESS: 16715 VON KARMAN AV IRVINE CA 92714 CLAIM VALUE: CALC—VALUE: 154, 668 . 05 GROUP OCC : R-3 /M-1 PERMITTEE: 206 16TH ST ASSOCIATES ( 714 ) 263-1920 ADDRESS: 4300 CAMPUS DR 238 COMMENTS: ' LOT 3 ' OR UNIT 'A' SFD W/ATT GARAGE & 56SF DECK NEWPORT BEACH CA 92660 **************+r******************+E************+E*******+r********** ************* 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 EMENT S 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. _ CITY LIC.: STATE LIC.: CLASS: S E TB ACK S Date. Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: 20 FT IN REAR: 26 FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certdied copy thereof(Section 3800.lab.C). LEFT: 20 FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: 12 PROV: 12 PARCEL: 42520120 ZNE: R1 REF NO: DR-93-09 ❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> 1 DU OF A 4 DU CONDO PROJECT. REAR STBK IS SEPARATION; -> PARKING; PARK & TRAFFIC FEES TOTAL FOR SITE. P & E ' Date: Applicant:'. ***************.************************************************ *************** 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 OPMENT S .-E R V ICES R EQU IR E M E N _T.- S I certify that in the performaryryryryryccccce of the work for which this rmit is issue , shall not employ any person in any manner so as to become . /� G subject to the orkers Cryhppeensation Laws of California�� • „s ZONING APPROVED BY " \O9 ( 2.7 t91 q(/ (( 1f DATE: Bate: � �/ Signature ' ---- NOM If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : - DATE: • - Code.you must forthwith comply with such provisions•or this permit shall be deemed revoked. . CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the Performance of the work for APPLICATION ISSUED"B Y: • : " - c.-" -- `) which this Permit is issued(Section 3097,Civ.C). ' • ** ****************�****** �� **** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y • OWNER BUILDER DECLARATION: thereby affirm that l am exempt from theContractors'State License Law for the following reason BLDG PMT PLUMBING EL ECTR IC'r ,MECHAN IC 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 �.. -• repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed PERMIT 832 .00 14 92 pursuant to the provisions of the Contractors'State 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 135 . 20 *: ` 1 . 14 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE < 'Tr I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 848 . 06 0 . 00 • 135 . 20 983 . 26 983 . 26 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through 1 A his or her own employees.provided that such improvements are not intended or offered for sale. It,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:, 848 . 06 OVER/SHORT: . 00 torthe purpose ofsale). :-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 7144,Business 832 . 00 16 . 06 U9 and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon / 1 _ and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law),I am aware **********************************/{F**j(,j(•'*{(•************************************** that proof of their Worker's Compensation insurance should be provided to me. IND I V I D U A it =F, E-E BREAKDOWN ❑ I am exempt under Section: B. &P. C. --- ormis assn: LA____ TYPE QTY DESCRIPTION— ' UNIT COST TOTAL COST Date: 249 9-2 owners SFR 1905 DWE—TYPE V—WOOD FRAME —GOOD 74 .00 140, 970 . 00 I do hereby cernity that lam aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and SFC 1905 EQU—RESIDENTIAL AIR GOND'.—.; —AVER 2 . 85 5, 429 . 25 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 SFR 56 RES—BALCONY, EXTERIOR STAIRWAY 14 . 80 828 . 80 these provisions. _ - SFR 400 RES—GARAGES TYPE V. • —" ' 18 . 60 7, 440 . 00 .,END OF FEES Date: Applicant. /,• I hereby certify that I have read this application and state that the above info ion is correct.I agree to comply with all city and county - ordinancesandstatelaws taring to building construction and h(reby authoriz (fie reseniatives of this city to enter upon the above mentioned property Ior i spection r rpnses. 1 rteO ` 7 i2F �wr0010497/82283,-0930147824 X1-58 348.06 Dale' 27 Signature' l 'Driver's License or Social Security El: 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor !ONSPRUCTION AND PLANNING POOL 'A APPROVALS Permit # Date Inspector APPROVALS Permit ;? I Date Inspector I 1. Temporary Electrical Service or Pole 52. Pool & Equipment LocationI 2. Sod Pipe-Undrgrnd. 53. Steel Reinforcement A.ttecirical,Conduit li?.Iity-Undrgrnd. - 54. Forms • 4. E12.rrrtcd'aGondoit-Undrgrnd. 55. Electrical Barri ng 4 "'S Steri RetnforcemeRt' 56. Rough Plumbing & Pre$sure Test - I - E:-;,Iter^cal U' EDGr•:d. 57. APPROVAL TC COVFR.GUN'TE } 7: -Footings 4 "• ' 9 8 -5 ._ I _ 58. Electrical Conduit-Undrgrnd. i J 9> �oundatioct ` g f " 59. Gas Pape, 0 Undrgrnd.,Test - 1 1 ?-!.`tiater Pipe-Undrgrnd. ' 60, Backwash Lines, P•Trap, -, Undrgrnd. I - - 1 a. Structural "Floow`System 61. APPROVAL TO DECK 11. Property Scwa: Line & House Connection 62. Backwash & Reeeptor-Final' - 12. Sewer Cap 63. Heater & Vent-Final 1 3. Hoot Drains 64. Plumbing System - Final 1 14. Rough Plumbing 65. Electrical-Final ' 1SRo.gi, Electrica -Coed ail 66. Solar System-Finai I ,_� : 16. Rough Ei'ectri cVdiring 67. Fencing & Access Approval • '17. Rough Wiring Sign. I 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL_ 19. Ru..gh Heating & Air Conditioning FIRE DEPT. REQUIREMEN I 70,Tiiolih Fctnr F:enlace _1 ' , - : g 4 n_ • i .�' _ -* NPPRCtVA1,S • �Pcrmit9fi - 21.-Dr.eis, in Stricctuie, - - 7-- ' 90. Un:derg-oJ Hvrlro i^ 22 Ducts, Ventilpting - r. L • .;71 Product 4 ng Otis D'Qil i • 23. ain',ipa Rough & -eeast ' =,.x -72. Urdcrgio.'^d Fi r•s'' + -. I r24.-Ronf Framing •`173._UndergrndfStorageTahk I`'Gas _iOr)_1 • I 25. Roof Sheatn,ng /ft 0 j� • �effre N. Ozer head HVarn -�- 1 -- at- I 26;r's- Bat Ceiling (Structural) &Nora/coat '=" ' '~ ' ' 75. DJy Cheml,fal -- t - - 1-ii- -- -moi, �2J, game are Flashing '' T -"„ ( r� 76. dry Standu.p;r K ^�- - •-28 Latli not Siding' " -;.. +In V/' .. I �-• 77._'FIXED SV$7E0 NAL` -, _1 --~ 29. 'nsulatrgn - U.2cY� ' I//� ` °• 78._-/FIRE PREV FIN,+:L - > -• r ri„ . I'30. DrvwailNailing - ' '/l %9' ILf%4-r HE A LTWOEPTt•F;EQU;R E.REt'Ti is r "nr,, Y - , V I H 31. Piaster �rorn,,Coat . , r . . 79. "FINAL IN-5;rt CTIGV - ' ' I ' '-32.'Electrical Pcsaer tfleter•Final 4•im:, CERT-.80. :FOOD7CAT t ISSUED • ` ,133,i=;nal E1actnc ,f7,.• ` Nott;s: ..•.1/l 53.. _:;e� tiV�L 4/C' - 6%!F`_ -* -- -- ' -- - -- ---1 534, Final Heating.& A:r*Conditioning .,1_.. •. i. , r - : ,35.11FIna; Gas Pipy-Tat ::..r •36. Hood o; Canopy ` , .. >_ • ♦ r. i Fx « I ' 37.-Firi,Tt Factory Fercplace „ i I'i ' .'r'{''t 'I I j " ' ' •;,..'., • 38. Final Plumbing ,d t i - Y 1139: \Vater Service:Final V ," I ' r, ' ., - _ ` -- - - 40.•Gas Service-F:'nal-- • ° it ~ - -�-- r41.-Solar Domestic-Find '` . • : I? •• _ y _ 42. Backflow Preoentert n; _ _. -- - �- -- - 43. Backflow Irrigation' Ts=. •L ' 7 •� • -44. Landscape Irrigation System-' a:.--cam r..1 . • .. , - - -45.-Sound Attenuation' q 1 z- `' . ' • 46..HandicapRegulations r -, �* , , . _ -• �_ . n3_. ' __ 47. FINAL STRUCTURE & BUILDING �' ��r,/1 1�yt, . 4 _ , 48 - Fi�NAL PLANNING ' ' -.49.-Electric Release to Edison - r • • 50.•Gas Release to Southern California Gas Co I - - _ •; 61. CERTIFICATE OF OCCUPANCY No. Date ^ NEWPORT-MESA UNIFIED SCHOOL DISTRICT 106 4 CER i irICATE OF COMPLIANCE OF DEVELOPMENT FEES - PURSUANT TO AB 1600 AND AB 181 TO: ( /4" City of Costa Mesa District Receipt No. 7537 ( ) City of Newport Beach ( ) County of Orange Plan Check No. Applicant: �L C if£/YTei�/m�^f��s /70-4-t121!�� J Address: 930o cU Cif-PM-Ls rz 23 A/E/,df `S � 1"Z_e6o Telephone Number:(' /& Z‘13 .--/re.0 Tract/Parcel and Lot Number(s): Lam,$ /— /17/1793 -133 Location of Project: Z016 e . 2 S T 444 D £'°S 3�F. /z- Es Number of Square Feet of _ 7899 7 g Residential Space / 6 ) ° x$1.65 Total PO aya , 7b Z38 Residential/ Sr. Citizen Space x$ .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 Unified hool District. ®'41aO -,M1-.1 ( � By: A nzetl Representative 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 to minate and the appropriate City/County shall be notified.q Date: / -0, rye y�jJ� PROJECT ADDRESS: 206 E 16TH ST UNIT: A CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 064194 OWNER'S NAME: RALPH 6 NANCY EMERSON ' ADDRESS: 4300OCAMPPUS USCDR #100 PERMIT NO: E 064194 PLAN CHECK NO: N GOVT: N SUPP : N . NTCA 92660 CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE PURPOSE: NEW ( 714 ) 263-1920 ARCH/ENGINEER:Illi i DONALD FLAIR REG.NO.: C-9101 JOB DESCRIPTION NEW SFD WITH AN ATTACHED GARAGE & DECK SQ FT: ADDREss: 16715 VON KARMAN AV UNIT: IRVINE CA 92714 CLAIM VALUE: CALL—VALUE: GROUP OCC: R 3 /M 1 PERMITTEE: 206 16TH ST ASSOCIATES ( 714 ) 263-1920 ADDRESS: 4300 CAMPUS DR 238 COMMENTS; ' LOT 3 ' OR UNIT 'A' SFD W/ATT GARAGE & 56SF DECK, RE: #B64182 NEWPORT BEACH CA 92660 ********************ifar*********iter*�r+r****�r+E+r+r******+r*******�E�F******************* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I N G R E Q U I R E M E N T S 7000)of Division 3 of the Business and Professions Code.and my license is in full force and erect. S E T B A C K S CITY LIC.: STATE LIC.: CUSS: Date: Signature: MAIN BUILDING ACCESSORY. BUILDING FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN Compensation Insurance.ar a certified copy thereof(Section 3800,Lab.C). POLICY EXP.DATE: PARKING REQ: PROV: PARCEL: 42520120 ZNE: REF NO: COMPANY: PLANNING NOTES> 0 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. .r. > ' Date: t... DEVE L O P M E N T SE R_ V I C E S REQUIREMENTS EXEMPTION FROM WORKERS'COMPENSATION OECURATI N: This section n not be completed if the permit is for one hundred($100)or less(. n..' I certify that i the per ormance of the work for which thi punt is issu , shall not employ any person in any manner so as to become ZONING APPROVED BY / subject tot Worke 'Compensation Laws of Coliform 1' �.,f�� DATE: Date: I Signature: ✓-1M^Ay `Ll/` /Y! BUILDING APPROVED BY : DATE: NO ICE:II. Ater making this declaration.you should aecome subject to the Workers'Compensation provisions of the Labor - / Code.you must DING ith comply with such firm'thation,or this permit shall be d revoked. or APPLICATION ISSUED B Y: ' ' `Is„�6..1.� DATE: 2 L CONSTRUCTION LENDING AGENCY: I hereby affirm Thal there is a construction lending agency for the performance of the work for QIP kk77tt ilii ii which this permit is issued(Section 3097.Civ.C). *'***'****'*'*'*'**'*'*'*'**'**'**'********************* * ****************** ** LENDER: ********************************:*********************************************** ADDRESS: LEGALIZATION:N Fit E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l 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 66r. 68 repair any structure,prior to its issuance.also requires the applicant for such permit to tile a signed statement that he/she is licensed 50% SM I P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 al the Business PLAN i,. /7.' 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 'FLAN-CHECK TOTAL PAID DUE I, as owner of the property or my employees with wages as their sole compensation, wit do the work, and the TOTALS----> 66 . 68 15 . 00 17 .' 0 . 00 81 . 68 81 . 68 . 00 ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'Slate License Law does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through /. his or her own employees.provided that such improvements are not intended or offered for sale.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 81 . 68 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 of sale). 81 , 68 X I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(,Section 7044,Business J ' L] and Professions Code; The Contractors'State License Lawdoes 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. INDIVIDUAL F E E BREAKDOWN ❑ 1 am exempt u�jder Section: B.8 P.C. tor tqs reason// r TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST 99 Dale: li�f Owner: ) ELE 1905 NEW RES BLDG FOR 19OR 2 UNITS/ SQ FT , 03 66 . 68 I do here y certify hat I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ' E`ND OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to oomph/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 • • t these provisions, • Date: Applicant: I hereby certify that I have read this application and state a the above infor t'On is correct.I agree to comply with all city and county ordinances and state I.vs relating to building construction a refry authorize esentatives of this city to enter upon the above mentioned property for inspecth purposes. 01 00147822-00147822 TOT 81.68 ` A `_______ fJ DATE: 09/28/93 TIME: 16:58 7 Date. / Signature: Driver' License or Social Security 8 164646 White—Building;Green—Code Enforcement:Canary—Applicant;Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING POOL A APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3.1 Electrical condu`it'sltility-Undrgrnd. 54. Forms :74. Electrical Condu'ra•Undrgrnd. 55. Electrical Bonding , 5?Steei ReiFforcerpeht 56. Rough Plumbing & Pressure Test y G: ElectricalUFE.R.Gmd. n 57. APPROVAL TO COVER-GUNITE 7. Footings~ .f S____ 58. Electrical Conduit-Undrgrnd. . y�7_ I ,6'.'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 n // / 66. Solar System-Final 16. Rough Electric Wiring 16'w�Vt/t //,../ 67. Fencing & Access Approval 1 i F� 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 20t Rough Factory Fireplace - APPROVALS •• - Permit# - �: <. 21_,Ducts,in Structure -- - 70. Qnderg Onnii Hydro 22.• Ducts,Ventilating' _ t 71. Produc;Piping (]9as 9 Oil 23..Gas Pip'-Rough &:Test . , • . 72. Underground Flush 1 -. 24i Roof Framing . r : ' 73 Undergrnd.StorageTank'0Gas 0 Oil 25. Roof Sheathing' 74, Overhead Hydro L 26 T-Bar Ceiling (Structural) & Monocoat 1 • • 75. Dry Chemical - i7. Frame and Flasfiinb - r 76. Dry Standpipe -4 28. Lathing& Siding.- -- . ••;.' •' 77, FIXED SYSTEMFINAL 29. Insulationr',* 78-: FIRE PREY. FINAL i . 30. Drywall Nailing- : - i SY FU HEALTDEPT.REQUIREMENT - 31. Plaster Brown Coat , 79.- FINAL INSPECTtb1� ` 32:-Electrical Power Metar-Final �// 80. FOOD CERTIFICATE ISSUED ' 33 Final Electric , . n 1 j 7 �/ .• Noes: �f-aj.,4 /f e , cniir_s 34., Final Heating & Air Conditioning I ,e - ``_F, „4'• •K I 351 Final Gas Pipe-Test ., -• ' _t_., - ' 36. Hood or Canopy-• • ,, _ . , , 't • - - . - - .i'' 37?,37 Firth! Factory Fireplace. i '17‘7.-`' I _ • '1 • 138. Final Plumbing . ^ . . _. f '. . . . 39. Wafer Service-Final - v It r - _ ' 40. Gas Service-Final. - - •41. Solar Dbmestic-FinaF- _ i ' ' �-' • 42: Backflow Preventer 43. Backflow Irrigation - - 44. Landscape Irrigation System ;.r . - - I 45. Sound Attenuatioh ' ' 46.,Handidap Regulaowns - - - - 47:FIR}AL STRUCTURE& BUILDING ' • I 48. FINAL PLANNING . 49: Electric Release to-Edison 50 .t . Gas Releaseo Southern California Gas Co a - -. - : 51. CERTIFICATE OF OCCUPANCY - - No. Date PROJECT ADDRESS: 206 E 16TH ST UNIT: A / CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P Ob4199 lotgWNERSNAME: RA300 LPH 6 NPUS ANCY EMERSON anus: 4300OCAAMPUSCDR #100 PERMIT NO: P 064199 PLAN CHECK NO: N GOVT: N SUPP: N NCA 92660 CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU PURPOSE: NEW ( 714 ) 263-1920 ARCH/ENGINEER: DONALD FLAIR REG.NO.: C-9101 JOB DESCRIPTION : NEW SFD WITH AN ATTACHED GARAGE 6 DECK SQ FT: ADDRESS: 16715 VON KARMAN AV UNIT: IRVINE CA 92714 CLAIM VALUE: CALC—VALUE: GROUP OCC : R-3 /M-1 PERMITTEE: 206 16TH ST ASSOCIATES ( 714 ) 263-1920 Amus: 4300 CAMPUS DR 238 COMMENTS: ' LOT 3 ' OR UNIT 'A' SFD W/ATT GARAGE 6 56SF DECK, RE: #864182 NEWPORT BEACH CA 92660 +E****************xBr**iritir*******irBr+ *****sEr+tit+t*****ir+ *********irBEBP*BP*******+E****** LICENSED CONTRACTOR DECLARATION: I hereby allirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS • '7000)0l 0lvision 3 01 the Business and Professions Code.and my license is in lull torce and effect. SETBACK S CITY LIC.: STATE UC.: CLASS: Date: Signature* MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT : FT IN REAR: FT IN WORKERS'COMPENSATION DECLARATION: I hereby allirm that I have a cenificate 0l consent to self-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 NO.: EXP.DATE:COMPAPARKING REQ• PROV: PARCEL: 42520120 ZNE: REF NO: 0 Certified ied copy is hereby turnished. 0 Certified copy is Bled with the city Building Division. PLANNING N TE3> > • ******************************************************************************* Date: Applicant.. DEVELOPMENT SERVICES REQUIREMENTS EXEMPTION FROM WORKERS'COMPENSATION DECLARATI : (This section net not be completed if dIe permit is to one hundred(S100)or less). I certify that in the performance of the work for which IN mit is issu . shall not employ any person in any manner so as to become subject -� /toothe aWorkers' mmp9peensation Laws of Cahtomi . ^\ ZONING APPROVED BY DATE: _ �} Dale: rkJ Signature: a - BUILDING APPROVED BY : DATE: _(/ NOTICE:11,a r making this declaration.you shout came subject to the Workers'Compensation provisions 01 the Labor Code.you must lonhvnth comply with such provisionsor this permit shall be deemed revoked. a ' CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: • * * DATE: 'E 12) � 1 which this permit is issued(Section 3097.Civ.C). ******************************************** ******************* *** LENDER: ******************************************************************************* ADDRESS: Llf3ALIAt1IINeN 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 ?MT 1aLytitt g ELECTRIC MECHANIC FIRE 5MIr IREH GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT v v repair any structure.prior to its issuance,also requires the applicant for such permit to We a signed statement that he/she is licensed 254 SM I P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)01 Division 3 of the Business p LAN and Prolessions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by ISSUE FEE 2 0 , 0 0 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 155001. • BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE I. as owner of the property or my employees with wages as their sole compensation, win do the work, and the TOTALS----> 139 . 00 20 . 00 0 . 00 159 . 00 159 . 00 . 00 ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'Slate License Law does not apply to an owner of a progeny 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 ottered for sale.It,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 159 . 00 OVER/SHORT• ,00 improvement is sold within one year of completion,the owner win 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 0f sale(. 159 , 00 4( I.as owner of the orogeny,am Contractors' ate License with licensed contractorss to construct the project(Section 7044,Business LI and Protesoions Code: The Contractors'State License Law does not apply loan owner of progeny 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 I V IDUAL F E E BR E AK DOWN ❑ I am exempt u er Section: B.&P.C. 11 Ion1isreasoG TYPE QTY DESCRIPTION UNIT COST TOTAL COST Date: Z? 73 Owner: PLU 2 BATHTUB 7 .00 14 . 00 I do here certily hat I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and PLU 1 DISHWASHER 7 .00 7 . 00 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 PLU 1 LAUNDRY TUB OR WASHER 7 .00 7 . 00 permit for construction or modification from the Au Duality Management District.Residential construction applications are exempt from PLU 1 SHOWER 7. 00 7 . 00 mese provisions. PLU 2 SINK, KITCHEN 7 ,00 14 . 00 Date: Applicant: PLU 2 WASH BASIN 7 . 00 14 . 00 I hereby certify that I have read this application and state t he above inform is correct.I agree to comply with all city and county PLU 2 WASH BASIN (SET) 7 . 00 1 4 00 ordinances and state laws elating to building construction an retry authorizer enlatives of th¢city to enter upon the above mentioned PLU 3 WATER CLOSET (TOILET) . 00 21 . 00 properly for inpeclion rposes. PLU 1 WATER HEATER AND/OR VENT ., 00 7 , 00 Q PLU 1 WATER SERVICE 7 , 00 7 . 00 Date: I �7 ��l SigOamre: —� PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS r31 00157.W0-00147821 TOT 5 . 0.07.00 Driver's License Or Social Security v: DATE: 09/2&f93 TIME: 16:57 1641-46 Weee—Building',Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor Alit . f • POOL .PA CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 1 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. e ll s 6" 53. Steel Reinforcement • '3. Eie.Ctli Ll ondufJtility-Undrgrnd. 54. Forms • .J4. Electr-ca:-Condutt-Undrgrnd. 55. Electrical Bonding ., .ra,ISie'el Reinforcement 56. Rough Plumbing& Pressure Test ( - . �lectrcel OF ER Grnd. 57. APPROVAL TO COVER-GUNITE • . 7, FootingSC, _ ! - 58. Electrical Conduit•Undrgrnd. .. ,f3. 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 fViring Sign 68. APPROVED FOR PLASTERING , 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT • 20.f Raugh Factory Fireplace , APPROVALS ' - Permit # 21•_ Ducts,in Struct•te t 4, _ •t 70. -Underground Hydro 22. Ducts, Ventilating - - •r:? 71. Product Piping Das D Oil 23,,Gas Pipe-Rough 8t-Test _ r 72. Underground Flush 24.•Roof Framing 1.- 73. Undergrnd.Storage.Tank 0 Gas 0 Oil 25. Roof Sheathing • ` _ ` 74; Overhead Hydros , 26. T•Bar Ceiling (Structural) & Monocoat 1' --!n 1 75. Dry Chemical 1 27L;Frame and Flashih9 ot. s Li -. , _ •, , 76. Dry Standpipe . „ : - . .i. , • -• 28. Lathing& Siding -1• : •• 77. FIXED SYSTEM FINAL - - t .. ,: 29. Insulation m, r 78: FIRE PREV. FINAL - - a _ 30. Drywall Nailing r . i. t • HEALTH DEPT. REQUIREMENT • i !• . ' 31. Plaster Brown Coat - . ' ., , i I I; . t 79. FINAL INSPECTION . 32. Electrical Power Meter-Final ! i" + 80: FOOD CERTIFICATE ISSUED - 33: Final Electric .. I . - Notes: ' - 34:.Final Heating &Air Conditioning - .r ,`.=j 3 c 35. Filial Gas Pipe-Test • (2-�ri_C i' 2-L - j i-. - i-e/L-2_ Cie -36. Hoed pp Canopy • r _ f.....„.. s. 2.21.4t Mit _,37. Fidel Factory Fireplace ' - � I s 11 1 38. Final Plumbing . . . 12AS-' k .. .• . _ 39. Water Service-Final ' - ' . i I i ' ,.40. Gas Service-Final:. i J 1 't 41. Solar Domestic-Finall •• r .. • 42. Backflow Preverbal - - - 43. Backflow Irrigation _ - . . r ' ' ' 44. Landscape Irrigation System . - • •'45. Sound Attenuatton •- !n - -; 45..Handicap Regulations � 47. FINAL STRUCTURE & BUILDING i _ • 48,•FINAL PLANNING i • 49: Electric Release to Edison i •50. Gas Release to Southern California Gas Co r . �• - 51. CERTIFICATE OF OCCUPANCY - No. Date • PROJECT ADDRESS: UNIT: OWNER'S NAME: ADDRESS: PERMIT NO: P 064199 PLAN CHECK NO: 03742-93 N PAGE: 2 ARCH/ENGINEER: REG.ND.: 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 Li: LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 01 the Business and Professions Code.and my license is in lull force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature: WORKERS'COMPENSATION DECLARATION: I hereby attirm that I have a certificate of consent to self-insure or a certificate of Workers' Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). POLICY NO.: EXP.DATE: COMPANY: ❑ Certified COPY is hereby furnished. 0 Certified copy is filed with the city Building Division. Date: Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the perm)is for one hundred(SI00)or less). I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws 01 California. Date: Signature: NOTICE:If,atter 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). 'r .1 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,or 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 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 live hundred dollars($500). ❑ I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale(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 ❑ 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 protects 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.&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 property for inspection purposes. Date: Signature: *DUPLICATE RECEIPT Drivers License or Social Security x: G 1 OD 14781 7-00167521 TOT 159.00 1641.46 white—Budding:Green—Code Enforcement:Canary—Applicant;Pink—Revenue;Goldenrod—Assessor DATE: 09�23�S3 T!!E: 16:57 CONSTRUCTION AND ANNING POOL WA • APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector j. Temporary Electrical Service or Pole . 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54, Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit•Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. %/Tf 77)110... 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System YY 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection -- _ - - -62;-13ac=':wash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final - 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing a/ y9 O/Aa 65. Electrical-Final 15. Rough Electrical-Conduit /!// 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18, Rough Electrical-I Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20: Rough-Factory Fireplace APPROVALS Permit # 21„Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23.G4s Pipe-Rough&Test 72. Underground Flush 24. Roof Framing, 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26i T-bar Ceiling {Structural) & Monocoat 75. Dry.Chemical 277 Frame and Flashing 76. Dry Standpipe 28: Lathing & Siding 77. FIXED SYSTEM FINAL 29. Intulation � � 78. FIRE PREY. FINAL 30. Drywal4.Naiting HEALTH DEPT. REQUIREMENT 31. Pldster-Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 1 33, Final Electric Notes: 34: Figal Heating&-Air Conditioning 35t Final Gas Pipe-rest 36. Hood or Canopy,- ` 37<Rip!Fal Factory FFreplace 38: Final Plumbing 394 Water Servica*Final 40T.Gas Service-Fipal - - 411.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: 206 E 16TH ST UNIT: A CITY OF COSTA MESA — BUILDING PERMIT PLKM NU: M Ub 9196 0WNER•s NAME: RALPH & NANCY EMERSON ADDRESS: 4300 CAMPUS DR #100 PERMIT NO: M 064196 PLAN CHECK NO: N GUV1 : N SuPy: N NEWPORT BEACH CA 92660 CONSTRUCTION TYPE: 5—N PERMIT TYPE: MEC PURPOSE: NEW ( 714 ) 263-1920 ARCH/ENGINEER: DONALD FLAIR REG.NO.: C-9101 JOB DESCRIPTION : NEW SFD WITH AN ATTACHED GARAGE & DECK SQ FT: imus: 16715 VON KARMAN AV UNIT: IRVINE CA 92714 CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 /M-1 PERMITTEE: 206 16TH ST ASSOCIATES ( 714 ) 263-1920 ADDRESS: 4300 CAMPUS DR 238 COMMENTS : ' LOT 3 ' OR UNIT 'A' SFD W/ATT GARAGE & 56SF DECK, RE: #864182 NEWPORT BEACH CA 92660 ******************************+r***+E***+F*+r******** rel****************+c***kr******* LICENSED CONTRACTOR DECLARATION: I hereby a0irm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R E Q U I R E M E N T S 7000)of Drwsion 3 of the Business and Professions Code.and my license is in fun force and effect. S E T B AC K S CITY LIC.: STATE LIC.: CLASS: MAIN BUILDING ACCESSORY BUILDING Date: Signature: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN WORKERS'COMPENSATION DECLARATION: Ihereby affirm that I have a certificate of consent to sellinsure 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 NO.: EXP.DATE: PARKING REQ' PROV: PARCEL : 42520120 ZNE: REF NO: COMPANY: PLANNING NOTES> ❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. > Date: App0cant: D E V E LrP M E N T SERVICES REQUIREMENTS ia EXEMPTION FROM WORKERS'COMPENSATION DECURATI r : )This section n•.. .t be completed it the minutes for one hundred(5100)or less). I certify that in the pe ormance of the work or whim thi-p-rmit is issu'•t I• .0 not employ any person in any manner so as to become : ZONING APPROVED BY sublecl to e Work s'Compensation Laws of Californi. / `, DATE: Date: 4'3 Signature: I AJ` BUILDING APPROVED BY : NO CE:It.a er making this declaration,you should •ecome subject to the Workers'Compensation provisions of the Labor J" DATE: Code.you must tonhwith comply with such provisions or this permit shall be deemed revoked. / N ' r� /�- ` 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. '*(J 2 / !L which this permit is issued(Section 3097,Civ.C). "******************************************** ******************* **** iiidii***** ******************************************************************************* UNDER: ADDRESS: LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: Ihereby 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 al county which requires a permit to construct.alter,improve,demolish.or PERMIT 24 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 25% SM I P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commenting with Section 7000)of Division 3 of the Business PLAN and Professions Code)or that he/she is exempt therefrom and the basis foe the alleged exemption.My violation of Section 7031.5 by ISSUE FEE 15 . 00 any applicant for a permit subjects the applicant o a civil penalty of not more than the hundred donors IS5001. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL ' PAID DUE t, as owner of the property or my employees with wages as their sole Compensation. will do the work, and the TOTALS----> 24 . 50 15 . 00 0 . 00 39 . 50 39 . 50 . 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 tor sale.II,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 39 . 50 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 of sale). 39 , 50 05 I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code: The Contractors'Slate License Law does not apply to an ownerol property wthobuilds or improves thereon ******************************************************************************* and who contracts for such projects with a contractors)license pursuant to the tractors'State License Law).I am aware that proof of their Worker's Compensation insurance should be pnvided to me. I N D I V I D U AL F E E B R E A K D OW N ❑ I am exempt u er Section: B.&P.C. TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST for this reas0 ^� Date: /�77 `j�l owner: _ I. MEC 1 INST FORC—AIR/GRAV FURN <= 100 K BTU 9 , 00 9 . 00 / I do hereby envy t at I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9 .00 9 , 0 0 25534 and that I or any Inure building occupant will/wit not(circle one)need to comply with said state codes and the requirements for a MEC 1 FAC TORY FIREPLACE 6 , 50 6 . 50 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 at the above informs n s correct.I agree to compty with all city and county ordinances and state I vs relating m building construction a eby authorize re natives of this city to enter upon the above-men'•ned property for lspech 1 purposes. . Date: 2 q ' Signature: n �= 00t%7120—n3j;1Ea20 TOT Sy.50 Driver's license w Social Security p: ✓v _ DATE: Vi28/93 TIME: 16:56 164146 While—Building:Green—Code Enforcement:Canary—ApplicanC Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING P00 SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector I- 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement 3. elect-ricel'Corlduit Utility-Undrgrnd. 54. Forms 4 4. 'Electrical Condwt•Undrgrnd. 55. Electrical Bonding • Sr:Steel•Rginfort:efnent 56. Rough Plumbing & Pressure Test .S i leetr'al UF-Ea Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings;-4 - 58. Electrical Conduit-Undrgrnd. `.8` Foundation 59. Gas Pipe, 0 Undrgrnd., Test - ' 9: Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd .TO. Structural Floor System 61. APPROVAL TO DECK 11. Property Sew2r Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains. 64. Plumbing System - Final Il i14. 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 /j/'0/95 /l..f r FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace - • . APPROVALS -1 Permit # 2r: Ducts,in Steuctyre `-` ; - • ' -+ f 70. Undertiround Hydro 22. Ducts,Ventilating` t._ ; _ -. .:a ii 71. ProduLt-Piping'E Gras r0 Oil 23., Gas Pipe-Rough &Test ' 72. UndergFround µ3{ 2t Rdof Framing4 - - ' • 7Y. Undergriid.StorsjbTank OGas 9-Ori . 25. Roof Sheathing :, 74, Overhead Hydre; ` 26, T•Bar Ceiling (Straetural) & MonocoatJ 1 4 e 76. Dry Chem_ ical “--1 t ^.r 27. Frame and FlaskIrjg ,? ; 76. Dry Standpipe 7. ' ;• l • 28: Lathing& Siding - s, .. 77: FIXEDSYSTEM-FINA{ _ - ' • 29. Insulation ; s • " ' 1 r. ' 78. FIRE PREV. FINAL , . 30. Drywall Nailing • Ir i HEALTH DEPT. REQUIREMENT r . , . 1. I_ 31. Plaster Brown Coati , 79: FINAL INSPECTION '' ' • 32 Electrical Power Meter-Final , • ., i • . 80. FOOD CERTIFICATE ISSUED 33; Final Electr,c - ' . 'r e 1 ' Nbtes: .. ' ; .L 34. Final Head;&eirConditionirjo i2 . +, . .: 35.' Final Gas Rape-Test I ,; , _ • • 36: Hood Qt Canopy. 1 14 e; e 4 ' • 37,. Final Factory Fiveplace ::,c12 ... 'a'Ar-c•pi_117Q, r r- - . 38. Final Plumbing' , - . • I « . . t 4 ., .., 39. Water Service-Final ' ; • . . A h ;• ' . 40.40. Gas Service-Final , , _ •'. ' 41. Solar Domestic-Final • I • ._ _ - I 42. Backflqw Preven}er ;' . - - • 43. Backflow Irrigation t r •r 44. Landscape Irrigation System..,•[ y . ., - ,, • .• 45. Sound Attenuation - " ' 46.' Handicap Regulatibns ' .. • , - _ ' 47., FINAL STRUCTURE & BUILDING- 48. FINAL PLANNING r • 49, Electric Release to Edison ! r _ -' 50. Gas Release to Southern California Gas Co . 51. CERTIFICATE OF OCCUPANCY - .. No. Date i6 `•. -.� tea. , da a� ri+. � •rct .�ra._..Ma."_/is-...- 'M1 -/ • BN FORM 116 Il,1 i' .` L B1A FORM 1486 .Je : . ..t • INSULATION CERTIFICATION 0.''° •S ¢ This is to certify that, in conformance with the current energy regulations (California Adminis- . g trative Code, Title 25, State of California') and approved plans, insulation has been installed in \ the building located at: : `i .'' ' COSTA VESA ORANGE i? Cil Cada . i,! • !) 206 e. 16�STREET UNIT N A 93-133 1 :• l` Stria Me. (Il Meagan Streit lot Plena Tract Ne. �• } ..c DESCRIPTION OF INSTALLATION 3' 1 ROOFS �` Type of Material Manufacturer Thickness It Value"_ I�' : ` LAS EXTERIOR WALLS CERTAINTEED Type of Material FIBERGBATTS Manufacturer FIBERGLAS Thickness 3'/z" R Value 13 ' ,/. (Or Tot Than y \ CEILINGS CE2TAINTFm .rf:1 SType of Material FIBERGLAS BATTS Manufacturer FIBERGLASThickness 10" R Value•' c Sq. Ft. Covered to TM. M.r1 1200 SQ. FT. ;` ' 1 BLOWN: Type of Material Manufacturer Thickness No.Bags__ ~`� (Or Tial. Mar) (• ;! (" (( WtJBay Sq. FL Covered R ValueD l.'�•C 1 FLOORS '•_ i' } Type of MateriaL Manufacturer Thickness R Value•'_ (o. mica M...) SLAB ON GRADE Type of Material Manufacturer Thickness R Value . "'• ?•- • 1( .•� (Or Trade Man Width of Insulation Inches �✓ V. ft FOUNDATION WALLS (if required) 99 \ 1.: ii >>,. . Type of Material Manufacturer Thickness R Value"____ (Or Ted. Noma -,t \'. REMARKS (if desired) �' General Contractor (Builder) ELCCRE ENTERPRISES license Slumber s' ( rdd X;(;<*`V By Title Date ACCENT If`6ULATICN CCVPANY 2747A3 ' +[• Sub-Contractor (Inserted. App icator) license Number `` IF (I -esu. late (Stets•'SAYE" M raw as Cenral Cw.b.aM } i :.•.: : �" "s. PRODUCTION MANAGER 3-21-94 ' 1 , t B # � Jfr.� Title Date \ . `5 run : Adbiel.ne.l.e Cede G.gy Im.1.Ns Sla.dvd., d.dw. Main a. Sac 19!13 a a $ee1K M Sera Cede el the Slate 3).` \• ..Cara . . Uses r.apl.ti> .l M. Ia.t.11alr .I I...l.Mea. • and a Calera. e.. ft • salsa *at S.Innled.n he.beim M.wlled la ce.fe.eas wed, the •C s.....Inst a d...e n..led.e. shall he a.pletd ..d weed S N. artlMmt. M .[ap•mr) r .:.:ter artinatir hat • oar s«.- \1 Is.I...ladr•eNlm.ei w by the alder. TWa M..1•Nr corollas .sated el.l, aloe eeen..et Maa, her ee ether MidwMl ;i `:;; red .ell be tw.wd et . uwwb... Mahe• .isla M d..lUa•.`I data w seblMbls shell M heal bI eat • ►.ildl., deparlWt /` ��' / tat.. Ise scrod . a I.•q cellae Se .Isle..-seamy Mw1eth. \y.. (••[ Voles I. le masa N M .ia.laa a • medal r ellAy .tsed.A..wbll.aed ` '(• .t asp.++. 'Mw eel la.d ea,le ad.t•aa tiM IU ern?" 41 1; ' ll In.laNw. .ell M Id.d. ay wIM Mr aM.Olw ledy.t / " ti Form 116—la BUILDING NEWS, INC, 3055 Overland Ave. Los Angeles, Calif. 90034-1213/870-9371 g,�.@1 ` 1'a l Q Form 1486-6 BUILDING INDUSTRY ASSOCIATION OF CALIFORNIA, INC.,1571 Beverly Blvd,Los Angeles,Calif.90026—(2.13)625-5771 21-: 1 ; vv -cies „., zit",- w w mote- ver 'wit?" 'v.� t.r vii vd vv w4- -we " FINAL GRADING CERTIFICATION • Project Address: 206 16TH STREET, COSTA MESA • Lot Number: LOT 1 Permit Number: By Civil Engineer: I certify to the satisfactory completion of grading in accordance with the approved plans, specifications, local and state codes. All drainage devices required by the grading permit, grading plan and grading ordinance have been installed. Adequate provisions have been made for drainage of surface water from each building site. The minimums are: • 2% Fall from structures within 5 feet from exterior walls. 1% Fall for asphalt surfaces and landscaped areas. • 0.5% Fall for concrete surfaces to approved disposal areas. The final monuments as shown on the recorded • t map were set. All final grading eleva- tions are within + 1/10 of the r lg. • a e • ations. Supervising Civil Enginee _`/ Reg. No. 41983 • (Signature) Dale 2/22/94 • O, kOFESS/ '• � tic W Q / ® z ••/31/96 `�q C/V 1� �� '�of (Ater STNIP and SIG] 1891+G City of Costa Mesa Cl PARK FEES 001279 / /- Fee Payment Receipt Project Address 2G 06 • valet a• A.P. Number 425 — 1.01 — 7..0 Building Permit Number Itf- 9Q:-73- Q • Owner's Name g17Fig t-merson Mailing Address 413cb Carnptfs Dr. S'fe2387 P4ew yt 13eacl, CA 92660 Total number of dwelling units in project 4 Total number of existing dwelling units to be demolished or removed as a part of project - i Net number of units subject to fees 3 Net 01 00146259-00146259 TOT 17246.46 Type of Unit* Number of Units Fee" GATE: Amount' TIME: 09:30 Single Family .3 X $5,748.82 = il, 24"6.4110 fliMultiple Family X $3,940.34 = ,' 044-006n- Applicants' Total Fees (7, 7'&o. 4/o Planning Division A oval to 9-2-93 By 044.0 1- Applicants' Signature cOOG hIE 'City Ordinance 89-28 City Resolution 91-53 0174-30 rev.7-91 White-Planning;Canary-Planning;Pink-Finance;Goldenrod-Applicant • • OWNER HOLMA , H. iJ. V IDATE 1i-26-5I JOB ADDRESS 206 E. 16th St. BUILDING PERMIT NO. 199 GENERAL CONTRACTOR Owner-Builder VALUE $ 800.00 LOT API 117-151-2 BLOCK TRACT Garage GROUP J TYPE V ZONE 11-1 FIRE DISTRICT # 206 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR DATE NUMBER Footing Trench Foundation Forms and Grade to Garage Rough Framing 5d -zS Plumbing,Rough to Slab Plumbing,Rough Complete Temporary Pole p Wiring, Rough ,�%F� – ) 5-C.fn .c. �jt.L ', –at Si 9/ Heating,Rough • Heating, Final Sewer Septic Tank or Cesspool Lathing Plastering Plumbing;Final,Fixtures Complete Plumbing,Final Gas Test '- Wiring,Final — Occu•anc Form 210 GH 214 12-53 �/'� ,t i � � PXOJECT POOflE55: Z O 6 E 1 6 TH ST UNIT: B OWNERS NAME: RALPH 6 NANCY EMERSON nooncss: q300 CAMPUS DR k100 NEWPORT BEACH CA 92660 FPCN/ENGINEEB: � 7 1 4 � Z 6 3— 1 9 2 O qEG.NO.: nooness: DONALD FLAIR C—��01 16715 VON KARMAN AV � PFflMITTEF: IRVINE CA 92714 206 16TH ST ASSOCIATES (714)263-1920 aoosess: q300 CAMPUS DR 238 NEWPORT BEACH CA 92660 LICENSFO CONTBRCTOB OECIAflATION: I hereby a�firm I�al I am licensed unaer pmvisions of Chapter 9(commencing wii� Seciion 6 7000� of �ivision 3 0l Ihe Business ane Pmlessions Cotle. anU my license is in lull lorce antl ellecl. CITY tIC.: STRTF LIC.: CIASS: �ate: SignaWre: wOBKEPS' COMPENSATION OECLAflRTION: I hereby altirm ihai I have a cenificate of consent to sell-insure or a cerlificate oi workers' Comoen5alion Inmrance. ar a cetlAieA coDY �hereof (Section 3800, Lab. CI. POLICY NO.: EXP. OpTE: ICOMPFNY: ❑ Cetlilietl copy is here0y Wmished. ❑ CetlilieU copy is IileO wilh �he city Builtling Division. Oate: ApO�icanl: E%EMPTIONFflOMWOPKEXS'COMPENSATIONUECIABATION: (Thi55ectionnecdnai completetli�Ihepermill5foronehunOretl�5100�or1e55). I cenity I�al i ihe petlormance of t�e work lor whicA t�is p it is issued. I s all ot employ any person in any manner so as lo become subjec� lo I�e Workers' Compensation Laws oi Ca�ifomia. � S Date: SignaWre: / N E: II. Ier.making I�iS OeClaraiion. y0U S�oultl Gecome 5uble�� o lhe Workers' Compenution pmvisions of iAe La�or Co e. you muA'tannwtln comply with such provisions or Inis Detmit snall be aeeme0 revoketl. CONSTBOCTION LENDING RGENCY: 1 �ereUy aifirm iha� there is a canSUutlion lentling aAenry lor Ihe pedOrmance ol �Ae work for wNth I�iS Permi� rs i55u¢C (SettiOn 3W7. Civ. C�. lENOEfl: FODflE55: OWNEfl BUILOEP DECIAN�iION: I nere0y atlirm Outlam ezempifmm tne Contracrors' State License �aw lor�he iWlOwinp reason �Section 7031.5 Business anA PmlesSional Cotle: Any ciry of couniy which reQuires a permii Io ronSVuct, aller, imDmve. Oemolish, or repair any slmc�ure. prior to iis issuance. also repuires Ihe applican� lor such Dermil to hle a 5igneA s�a�emenl I�at he/sbe is licensetl Dursuam b I�e pmvisions ol the Comraclors' S�a�e License Law (C�ap�er 9 �commencing wi�� Section 7000) of Division 3 0l Ihe Business anU Pmlessfons Coae) or I�al heR�e is eKempi l�e�elwm and Ihe basis for ��e allege0 ezemp�ion. Any dolation of Section 7031.5 by any aD�licant br a permit subjecls I�e aD0licani to a civil penaliy oi noi more Ihan five hundre0 tlollars (5500). I, as owner ol Ihe pmperiy or my employees with wages as t�eir sole compensation, will ao IAe work, an0 �he ❑ siructure is noi inlentletl or offere0 for sale (Sec�ion 7044. Business antl Pmlessional Cotle: The ConVac�ars' Stale License Law tloes not apply to an owner ol a pmDeny wno builtls or imOmves thereon, antl who does such work himsell/hersell or inrougn his Or h¢r own em0�0ye¢5. provide0 Ihat Such impmvemenl5 are nol int¢ntled or oflereU �or Sale. II, however IAe builtlinp Or improvemenl is SoIU wil�in one year ol completion, �he awner will have the Curaen oi Dmving he/s�e Ditl nol �uilU or imD�ove lor Ihe purpose of salel. I, as ownetol Ihe pmDe��Y. am eKclusively coniracting with licensetl coniraclorsto consirucl ihe D�olect (Seciion 7044, Business � anU Pmfessions CoUe'. The Conlrac�ors Slale License Law tloes not apDty to an owner o� pmperry w�o bmlds or improve5 i�ereon and w�o conVatls �or such pmlecls with a[ontrac�or(s�license pursuant Io Ihe ConVa Ors' Staie Litenie Law�.l am aware I�al prool ol ��eir Worker'S ComOensalion insurance 5hoW4 Oe O�o a ro me. � I am exemp� untler Sec�ion: B. 8 P. C. loi Ihis re son: /� Oate: Pxner. i ao neieDy endy tnat am aware o� ana un0er5�an4 Ne reQuir¢menis ol Galilomia Healih an0 Sa�eiy CAtle SeCiiOn 25505, 25533, antl 25534 and l�at I or any Iuiure builaing acupant willlwill nol (circle one) nee0 �o compry with SaiE sla�e co0es an0lhe repuiremenis �or a permil lo� cons�mction or moAilica�ion Iwm I�e Air Oualily Management DiSiricl. F¢sitlential conslruclion aDV��ions are evempl Irom IneS¢ pwvisions. Oa�e: Appli[ant: I here0y cetlily Ihat I have reaOlhis aDPlicaiion ane 51aie Ihal � aEove intor m is correci. I aBree lo comply mlh all ciiy an0 counly ordinances a lale laws �e ting to buikmg consimciion anG he e y aulhorize r niatives o� ihR ciry to enter upon ihe aEove�mentioneG pmpeiiy lo� in ection p ses. /.. �p � Daie'. � Signalure'. , / Orivef license or Social Securily a: � 1641-a6 W�ile—Builtling� Green—CaEe EnlarcamenC Canary—Npplicam; Plnk—Revenue; Goltlenroa—Assessor CITY OF COSTA MESA — HUILDING PERMIT PERM NO; P 064190 PERMIT NO: P 064190 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU PURPOSE: NEW JOB DESCRIPTION ; NEW SED WITH AN ATTACHED GARAGE S DECK SQ FT; CLAIM VALUE; CALC—VALUE: GROUP OCC; R-3 /M-1 *�******�t+�**�***w*�*r****�t�tH****D******r*****�**�t+5t****D***�***ic*B***8*****�t**** Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; � FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: '� FT IN PARRING REQ• PROV: PARCEL: 92520120 ZNE; REF NO: �, PLANNING N�STES> i � +r�r***��r�r�r*x**+r�r�r�r�****�r�e�r�r*�rxxw*�r�r�rx�rir�r+r****x�**«ir�x��r�r+r+�+r*rr�*�r�r***�+r*+r*******��r D E V E L O P M E N T S E R'.V'I C E S ,R E Q U I R E M E N T S ZONING APPROVED BY � DATE: HUILDING APPROVED HY : ' DATE: APPLICATION ISSUED BY: ' � � DATE: �7 4ffiEMfflEfFf!!likifiklf4fkilffilM7tffft iflf7ElfiEMlFifillE ifM il�flFltffMlfiflkffiflflFlflfltkititMMflfliffkM1f41f1tMltlFfFlkffffMlklkifihlflfklflFM7kMMflffiFflflffMlflhfflfM1F1F1tMik7FifiEifMlflfM%4it LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 139.00 25t SMIP/NON—RES PLAN ISSUE FEE 20.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 139,00 20,00 0,00 159.00 159.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 159.00 OVER/SHORT: 00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 159,00 1f1f1Eiklflf�FlfkitiEitikkifitlkil�tit�hikikifkifNlflfMlfffiflEifiE1l1lffkMffifilitltltlfltM7fMltkfFifkififlf�f7flEkiF41fif1E�lffFMlE1fMMMkk I N D I V I D U A L F E E H R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST ' TOTAL COST PLU PLU PLU PLU PLU PLU PLU PLU PLU PLU 2 1 1 1 2 2 2 3 1 1 1 BATHTUB DISHWASHER LAUNDRY TUB OR WASAER SHOWER , SINK, KITCHEN WASH BASIN WASH BASIN (SET) WATER CLOSET (TOILET)" WATER HEATER AND/OR VENT WATER SERVICE GAS PIPING SYS OF 1 TO 4 OUTLETS 7.00 7.00 7.00 7.00 7.00 7.00 7.00 7.00 7.00 O1 00]� ��00_00747E15 T�T DATE: 5g,6,0i93 TTI1[: to�54 14.00 7.00 7.00 7,00 14.00 14.00 19.00 21.00 7.00 7 . 0�09.OU 5,00 � � �- - -� ._ . �-„ -- CONSTRUCTION AND PIANNING POOL _P!j APPROVALS Permii� Date I�spector �yppROVALS Permit-r Date inspector ]. Temporary Electrical Service or Pole 52, Pool & Equipment Location - � 2. So�l Pipe-Undrgmd. ylT�4� LED 53. Steel Reinforcement �: EJectY'ica.t ConC�if;UtJrty•Undrgrnd. 54. Forms � ,!$ E',g"�irieel�{,'o�cWit*UYdrgrnd. 55. ElechicalBonding ' 5. $F�Of (iAipti�rce`cfigfri 56. Rough Plum6ing & P�escure Test _� '�� Efectricat,UFE�` j;qd 57. APPROVAI TO COVER�GU�li7E � - - � -' "�:.F`�ptingr�< 6R'�� 58. EloctncalConduit�Undr9rntl. - -.& �Foundatio �� - ' ' � � � �t; p t- 59. Gas P�pe. O Uctlrgrnd , Test � � Water Pipe�U�d7grnd. 60. Backwash L'u�es, P-Trap, O l'ndrgmd ' I t0��5tructural Floct::System % 67. APFROVAL TO DECK . "� i 71. Property Sevleriire.8� House Connection 62. Bac;cwash & Receptor-P�,nyl � 72. Sewer Cap 63. Heater & Vent�Final - � � 13. Roof Drains - ' G4. Plumbing Systen, - F,��ai � 14. Rough Plum6ipg - 65. Eiectrical•Final � � i 75. Rough Elec[rical•Condurt 66. Solar System-Fin;i ' -~, 16. flough Electric PJiring 67. Pencing & Access Approval � i i77. Rough VJhing Sign, 68. APPROVED FOR PLASTERIiVG ; 18. Rough Electric.�P-T Bar Ceihng 69. POOl.1SPA SYSTEMS FINAL , � 19. Rou9h Heating & Air Cor.ditioning FIRE DEPT. REQUIREA9EfJT -"--�-.y. s?--'. , - �rt-� • , " ' - 20.t�fiou�h Factdr� F�n�lace i 'r,�� - � _ � tr;: � :APPROVAI3�=�.�Perntit # `' 1 - � _" -'��7` - - . ` . r'�_;'- � �-' • � . . i .� - � � � - _r _� � 2/:��uMS,in-Structui`8. � .. . ' � � i� a �70. UndergrOt�d`;Hy��a ,. . �.' � ;� _ . .. ` 22. Duci's, V�ntit3ting.�} � - r r� 't� '^,77, produc(�flinc� f�'�{{�s �,Oil � - F,. 23. ,�(',a: PiPe= o ��ah &' est � � �� . ` `' `. , ' P!� � i ,r, i-� .72. Underg�ou!��i Flush. � 24rRodf framing� -•6 ' • ' " �. `y', '73�Undergmd,.StorAcj�?'fank �Gas ❑0�; �' '� I 25. Roa�f SFie3thing �"' '� � � `; '�' ��74,-Overhead Hydro . - � 26.:T•&Tr Ceiling (StruccuraU & {Monocoat �- '� � �7 � � 75.= Dry Chemical ' -' - �' 1 : +' -' • 1 27.:�Frame and FlashL`-_jgT' �J i_ ;, ; 76:��Dry Stand� pe �ni . � �� - ' � � . �.. � J , � ` �•�;._._ �.-; ��8. LaTt�ing'&Siding:-• '. - � x * � .. �.<. i 77;'FIXEDSYS�Eith�i"1NAL` ; ;�;''s' ` .- ; : � � � ''29. Insulatian c'T '' . . .. :. r �. � �= � 78=�F�RE PREV. PIt�AL - ' ,i _ - I t � . . ' _ .. :. ,.-: �3Q. Drywali Nailing � • i�� ` • • IH�EALTH�DEPT, REQUIflENE9T ��7 .��. � ; - �� sL-r` �i -.n:�..�� _-: 37. Plaster �"ro�vr�Coat� .: ' �. . : � " F „79"'FiNAL't�V:y�PECTI�I • . �` j ; � �-�.�.-�. ��- _,- � . T-�- =: Y,�� . �32. -Electrical Po��r,er M.ete�,F�naii - - � �r � :�80.�=fOOD CENTIFIO,.'E ISSUED -�� '' . _ � .�. . �r •,� r. � „ ,- - � �� 3.;Fin�; Electric :..x � , + � I '�Noies: - �' i - _' i .,--; ,,; :--_ " ' , , .-�-- -��_�--C� . 34.;F�naf Heatin5�& 2i�.Cozditioning; �� f`i ' '' „ t1 n /� � /�Y. � , _ _ �& � � .-a � _/Lt.%��l=/�.'%Ll��i,S.C_C `-� ., : 's5.�'�in§i� Ga<�PiPe•Test ` ` _'��„ 1 - '. : � �i�2� �(�/ � �'G - �- I `f' �/�Z__� _i . , . � .. � � i.r-,.r ' � �36. NoQd or �.ri..acoPY �i � . . � � .�-. .: I� , _, • -` I 27 _� "'iY7.�Fin�i Facfory Fir'�i�aL'A _ ' . '•� �` _�� , � } - � , _ i i -� � � ,� � �. _ .. .. . _�7__♦ � ' ... _-�J y .-38. Fingf Plu;nbing '. i . Z� g - ., .. i `39. Watet Sarvice-Final � - � � ' • '� � ' '- Z� t , . � ' K ~ . . . • ',AD.GasService-Final-,;' , ,�_r, �j�.�, i ;, +, - � � L� ��- ' -At. Sola� DomesticFinai � •• � - � -. ' , � -42. Backflovl�Prevente�: , '' ; �;' �,- �._ � � . -� i 43. Batkflow Irri§atiort �'-S ' - � - '°` . � .. ' . � i.� � _ . , � . '44. LandscapE irci9aiiop SYstem �,� �,= • - . � + � u ,� � _ ` ' - - - . .- _ i . ' ' , , FA5. �Sound Atterivation� _ • � , `�� , , -, � � .7 � s - 346. ,�iandicaA.Reg�ala{�ons . . . . , . .-�- . - � •� � 47.'�INAL STRUCTURE & BU1tDING � � - � M� �� - , ' 48.'�F�INfjL PLAM�lING ; ; . ' : � �• �� -' �49. £learic Release to Edison � * I ,'_ > ",. _ .. . . _ 50. :Gas.Flelease t0 Southem Calif o[pia Gas Co . �� ' . � . ` ��' . • • . . ' . . . � . � �'it. CERTIFICATE OF.00CUPANCY - * <- - . - . . ` . - _. i No. Date i/ PHOJECT PDOflESS: OWNEfl'S NAME: PDOflESS: , ANCHIENGINEEfl: AOUflE55: PEflMITTEE: aooaEss: XEG.NO.: uxiT: uxir: LICENSED CONTBACTUB OECIABATION: I �ereUy affirm IDai I am licensetl untler pmvisions ol ChaO�ar B I�ammencinp wi�h Section '700�� of Division 3 ot ��e Business antl Pmfessions Code. and my license is in full foae antl e��ec�. CITY LIC.: STRTE LIL.: ClASS: Oale: $igna�ure: WOBKEFS' LOMPENSpTION DECLANATION: I here�y affirm Ihat I have a certificate ol consen� lo seli-insure or a ceriificate of WOBers' ComOensalian Insurance, or a certi�ietl copy Ihereol �Sec�ion 3800, LaU. C�. POLICY NO.: E%P. O�TE: � LOMPANY: ❑ Cenilied copy is �ereby tumished. ❑ CertilieG copy is IileG wii� ihe uty Builaing UiNsron. Oale: Ap0licant: EAEMPTION FROM WOBNEBS' COMPENSPTION UELNRATION: Q�is section nee0 nol0e completetl ii t�e Dermit is lor one hunAreA (E1W) ar less�. I cer�ity Ihat in I�e petlormance o� the work for which ihis permi� is issue4 I shall not employ any person in any manner sa as to become sublec� Io Ihe WorMerY ComOensalion Laws of Calilomia. Oate: Signamre: � NOTICE: I( alter making Inis Ueclaration, you shoultl betome suGle�� o t�e WoBers' CamOensa�ion O�ovisions of IAe La�or CoOe. you muStlorihwi0 camply vnih such O�ovisians or t�i5 Oermil Stull he deemed revake0. CONSTflUCTION LENOING FGENCY: I here6y allirm I�at there is a consimction lentling agency for IAe pedormance ot I�e woB for which �his permil is issued (Sedion 3097, Crv. C�. .�� ' LENOER: ' A�DflESS: OWNEB BWLOEB DECLAHATIDN: I nere6y alfirm tAat I am exempt imm t�e Contractors' Sta�e License law �or ihe following reason �Section 7031.5 Business and Professfonal Coae: Any ciry ol counry w�ich requires a Dermit ta mn9mcl, alter, imDmve. Aemolish. or repalr any slmtiure. pri0r lo iis i5suance, also fepuires Ih¢ ap0liCan� br SUth permit t0 �ile a 5ipnetl Siatemenl that he/S�e is lic¢n5¢tl pursuam to the piovisions of Ihe Contractors' State License Law (Chapter 9lcommencing with Seclion 7W�) of Division 3 of the Business antl Pm�essions Code� or �ha� he/she is exemp� �herelrom an0 I�e basis lor Ihe allegetl exemption. Any violation ol $eclion 7031.5 by any applicant lor a permi� SuUjeciS the applicant �o a civil penaliy ol no� more ihan �ive Auntlretl tlollars ($500�. I. as own¢r ol Ne OmDeriy or my emplayee5 wilh wa0e5 as Iheit Soie compensa�ion, will Oo the wOrk, an0 �he ❑ siructureis not intenaeJ oroffere01or5dle�5eclion 7044, Busineu an0 PrafessionalCotle: T�e fAnirattars' State License law Ooes nol apply lo an owner ai a pmpeny wno 6uil�s or improves t�ereon, and w0o tloe5 sut0 vrofk Aim5ell/herself or ihmugh nis or her own employees. pmvideE Nat suc� imDmvements are not intended or ottereA lor sale. II, however ihe huilding or impmvemen� is solC vn�hin one year ol [ompleiion, t�e own¢r will have �he bur�en o� DmvinA Ae/she OiJ nol huilU or impmve tor Ille Durpose al Sale�. I, as owner ol �he pmDeny, am erclusively coniracting with licensetl contraclors �o cons�mcl Ihe pmleci (Section 7044, Business ❑ and Prolessions Coae'. i�e Contramors' Slaie License Law Ooes noi apDly Io an owner of DwOetly who �ui105 ar improves ��erean antl w�0 COnlratis lor SUCh pmlect5 wii� a Contratlor�s) IitenSe pur5uani �0 the fAn(fat�ors' S�a�e Licens¢ Law). I am aware Nal proof oi Iheir Worker's Compensation insurance s�oula �e O��ded to me- p I am ezempi unGer Section: B. 8 P. C. lor Ihis reason: Da�e'. Ownec I tlo hereby cerlily Ihal I am aware oi and un0er5iantl Ihe repuiremen�s ol Calilomia Heal�� ana Salery Code Sections 25505, 25533, anA 2553a antl ihat I or any Nlure building occupan� willlwill noi (tiale one) nee0 io comply wilh SaiU s�a�e catles anOlhe reQuirements for a permii for cans�mtlion o� motlilication �mm �he Air Ouably Managemenl DisVicL FesiAential conslmclion applicaiions are eeempt �mm Ihese pmvi5ion5. Dale: Apolicani: I here�y ceriily Ihal I �av¢ Ba0 �his applica�ion antl state Ihat Ihe aDove inloimation is mrrect. I agree to comply vnlh all city antl county ortlinances antl stale laws relaiing �o buAding conslmclian ana �ere0y aNhorite represen�atives ol Ihis city to enter upon Ihe above-mentioned pmpehy lar inspeclian purposes. Date: Signamre: Orivefs License oi Social Security N: i6a1�46 Whne—Builaing: Green—Cotle Enbrcamem; Canary—AO�licam: Pink—Revenue; GolQenrotl—Assassar PERMIT NO: P 064190 PLAN CHECK NO: 03733-93 N PAGE: 2 ifififMif4�E1t1E1EifiEflMiElflFiflflfitMlfif*itfF9tfkiElfff%iflEiffflfif�fiflfffiflklflfk7fkk1F1F1tMiflfiEififklflffflfiF4fflFififillflElEiEififk TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 GAS SERVICE PLU 1 SEWER, CONNECTION 7.00 TO BUILDING EACH 15,00 END OF FEES 7.00 15.00 ��UPLZCATE i.EE:EIF7� Oi.06?47E15-OQ1;7815 T OT 159.00 DATE: 09/22/93 7It7E: 1b:54 � � CONSTRUCTIONANQ1PLANNING - . P�� p' APPROVALS Permit # Date Inspector ApPROVALS Permit # Date Inspector t, TemDo�ary Electrical Service or Pofe 52. PoOt & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement - 3. Elecirical Conduit Utility-Undrgmd. 54. Forms d: Electrical Conduit�Ur.drgrnd. � 55. Electrical Bonding 5. Stee! Reinforcement - 56. Rough Pfumbing & Pressure Test � 6. E;ectrical UFER Grnd. 57. APPROVA�TO COVER�GUNITE 7. Footings 58. Electrical Conduit�Undrgmd. 1 8. Foundation 59. Gas Pipe, � Undrgrnd , l'est 9. Wate: Pipe-Undrqmd. ��L /,q� �;1.IYJ 6Q„ Backwash Lines, P-Trap, � Undrgmd. � l C/� ' 10. Structural=Floor Svsiem 61. APPROVAL TO DECK � � A1. Propertv Sewer Line & House Cenrsect*o�rf � ' � ' fi2',, �ackwash & ReceptorFinal ( � ' 72. Sewer Cap 6.�. Heater & Vent-Finai 13. Root prains . - 64. Plumbing System � Final 14. Rouoh Plumbing 65. Electcical�Final i 75. Roogh Elecirical•Coriduit 66. Solar System•Finai � � i 6. Rough EleMric 4Viring 67. Pencing & Access Approval 17. Rough 4Vinng Sign 68. APPROVED FOR PLASTERING 18. Ro�yh Electrical-T Sar Ceiiing 69. POOUSPA SYSTEMS FINAL 19, Rough Heacing & Air Conditioning FIRE DEPT. REQUIREMENT 20. Ro�gh Factory.Pireptace APPROVALS Permit,-� 21.:(3uc�s, in�5tructure 70. Underc�round Hydro 22. Duc4s, Ventilating 71. Product Piping � Gas C' Oil 23.�YiasPip�{tough & Test 72. Underground Flush 24.'Aoof Praming�'-+ 73. Undergrnd.StorageTa�k OGas ❑Oii 25: Rocif Sheathing - 74. Overhead Hydro ,� 26. �f�Bar Ceiting (Structurall & Monocoat. 75. DrY C'hemicai � , � - � ' 27. �Frarne and Flashing 76. Dry Standpipe � � 2&. t,athing & Siding 77. FIXEp SYSTEM FINA� 29. Insulation � ' �ti :� 78. FIRE PREV. FINAL 30. Drvtvall MailG�g" NEALTH DEP7. REQUIREMENT 31. Plasrer Bro�vn t`�at 7g, FINAL INSPECTION � 32. Elecvical Powet'Me:er-Pinal 80. FO00 CERTIFICATE ISSUED 33. Yina) Eiestric Notes: 34. Finat Heatiny &�kii Conditioning r I 35. �in�t Gas Pipe�� 36.:t{ood or CanOpy' a- 37.-Fina� Pactory Fire�iace 38. Fina; Plumbing 39. �lVater Service•Fic�at � ^ L- s � 40. �as Serv�ce-Fnef � � i . � ' 41. Soia� Domestic-Final 42. Backfiow.Preventer 43. Backflow. irrigatibn 44. lan�scape iri�p3tion System 45. Sourtd Attenuatio� 3 46. Han�icap Regulations � ' 47. PINAL STRUCTURE & BUILDING 48. FINALPIANNING 49. Eleccric R�lease to Edison 50. Gas Reiease fa Souther� California Gas Cv 51. CERTIRCA EOF OCCUPANCY No. Date PN0.IECT ROOflESS: Z O G E 1 6 TH ST owxex s NpME: 4 3 0 0 HCAMP USCDR E# 10 OON aooAEss: NEWPORT BEACH CA 92660 (714)263-1920 UNIT: B RHCH/ENGINEEN: flEG.NO.: AOOXESS: 11NIT: PEflMITTEE: A. C. SPARAGGINS ( 714 ) 995-7552 noonEss: 4z'11 LARWIN AV CYPRESS CA 90630 11LEN5E0 CONTBRCTOfl UECLAMTION: I �ere�y allirm Ihai I am Iicense0 under provisions of C�apier 9(commenung wit� Section 7000� a� Div,sion 3 0l the Busmess ana Prolessions Cotle anC my license is in lull lorce anG efiact. ci�uc,: ��/y 16<1�46 White—Buildmg; Green—Co�e Enbrcemen�; Canary—Applmant: Pink—Ravenue; Goltlenroa—Assessor CITY OF COSTA MESA — BUILDING �tb',RMIT ERM O; PERMIT NO: P 065431 PLAN CHECK NO: � N . . CONSTRUCTION TYPE: 5—N PERMZT TYPE: PLU PURPOSE: NEW JOB DESCRIPTION ; NEW SFD WITH AN ATTACHED GARAGE 6 DECK SQ FT: CLAIM VALUE; CALC—VALUE: � GROUP OCC: R-3 /M—� COMMENTS: REF: H-64183 ***�r****w*w**�*r*�r��r****�*rr�r**�r**�*+r�r******�r***�r*w*��**w*�r****�car**+r*�***rr*** Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAA: FT IN FANT: FT IN REAR; FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PAOV: PARCEL: 42520120 ZNE: REF NO: PLANNING NZSTES> i *,�,«,«» *,«,� * �,�,�,�,� *+� � * *,�,« �,�,« * �,�,«,�,«,« * * �,� �,�,�,� �,«»,« � * *,�,« � *,�,« *,«,«,« « ,� � � «�,�,� �,� * * � *» * �,« * * � � � � D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY; DATE: �� 1k1Flf1k1f1f1tM1fiFiflflf1f1f1fik7l1tiflti! 1tMiklEifMlfMiliF 1k* ffihiEkkifkiFifltMlfikkkMMMMMMMikMkitiFikkkitifMlflFfFlkkMMklklFlFiFMltMMififkitMitMifitlkikif41f1fifkitlfllit%1E iElfltfEifif LEGALI2ATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N. � BLDG PMT PLUMBING ELECTRIC MECAANIC FIRE SMIP/RES GRADING' PERMIT _ 22,00 25i SMIP/NON—RES PLAN ISSUE FEE 20.00 HUILDING—DZV—> PERMZT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 22,00 20.00 0,00 42,00 42,00 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 42,00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC EIRE SMIP/TOT GRADZNG PLAN—CHECK 42,00 ifMlkifMMMMMkitflitMiFlFMlflhitikMitMffkMMiEffMkitMkMlkkikMkMMMiFiklEkifMlFiEiFifMitNif1f1E1kM1EifltMMifMiflflfKiEiflkfE3F1E I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 WATER SERVICE 7,00 7,00 PLU 1 SEWER, CONNECTION TO BUILDING EACH 15.00 15.00 END OF FEES �1 OO::Y7:3—�10i52723 T4 T 42.Oe1 GAiE� i7/33/9y' TItIE: 12:05 CONSTRUCTION AND PlANN1�11G .' POOL & SPA APPROVALS Permit � Aaie Inspector qppROVAL5 Permit � 1. Temporary Elearical Service or Pr�e�, 52. Pooi & EGuipment Location 2. Soil Pipe-Undryrnd. " 53. Steel Reinforcement ..�. : a. -��cleEirjcalConct�it�.ltil�ty�Undrgr�S 54. Forms :'s_* _nar.*a:---=•.r.�„-----�^s,-r--- =^A EfoOtr.cal Condvit?'Jntlrgrnd. �eS 55. Electrical Bonding �1 t rqSG 'L` K .,i - '-5k$ta,��einfor`47e'r`c�ii`t �.'dy� 56. Rough Piumbing & Pressure Test :G�!C�lectnicai U��t��Grnd. �+ . 57. APPROVALTO COVER-GUNITE rr�Lr �7�`„��o{"��gs ��u '- 58. ElectricaiCAnduit�Undrgrnd. ,�8. Poundetion ,zi r ` ' 59. Gas Pipe, O Undrgrnd , Test ''7tr' Water Pipe-Undrgmd. 60. Backwash Lines, P�Trap, O Undrgrnd. ic c � .� - - �?.p. Structural Fioor System ' � 67. APPROVAL TO DECK 11, Property Sev✓er Lif'�2 & Fl�use Conrect�on � C �,Lb 62. Backw�sh & Receptor�Pinal _- lL'�X' /�.� `��:j 1 72. Sewer Cap � 63. Heaier & VenbFinai 13. Roof Drains �� 64. Piumbing Syscem � Fin�l 74. Rough Plum �ng ' 65. Elesiricai-Fina3 75. Rough Electrical-Condwt 66. $oi;r System�Finai 16. Rough Electr�e Wiring 67. fencing & Access Approval 77. Rough Wiring�Sign 68. APPROVED FOR PLASTERING 18. Rough Elecvicai-T 3ar Ceiiing 69. POOUSPA SYSTEhAS FINAL 79. Rougfi Heai�ng & Aif Conditioning FIflE DEPT. REQUIREMENT � -'•-f* - i' z--rc-i-'=- 'J' t^ .q fA f- R: + -• 7^ 26i1 RGi.gh:Facriiry EitePlace i�!r' Lt^t = J �7> = tTr"APP[tt3}� C�O PAF}nit �* ^ �'-1 ��_�: R! :.' �* i `-^ C': _ :S �]'.b x � x c^('f-1i-. .- .T J:7 � ) •r �- � � x H " r :Y. "_`j'_.�;"'_)'T-} ' 2j_,` DCcts,�+n S1uc�:Ne ,.. .. r; ; s S : x.F �"J 70. -�nderntol,rji c;ro M � -� . � .: t_�- . _ '�i k f. �i . , N-•-,-:� 22:Ou'cts.:Ventiiati . t :J : � - -*'. . % � a• rr i � i � .. '-� � n � . �r F „ 77. Produ �i4inc �1�a� P'� Oil 23�G2.,SPi:i?�R„Zgh�&;Tes. � nS t'.� �� 9 ��d F is�;.� y ��.'." �lrl-..`._- � „ • � s 24,- fleDf (;sami��g ^ �. , , . :•t- � '> 7 y * � $ 73? Undergrritl. SioY�d�c�r�, Tank' L, Gas `.�� Ui�' 25. R�f SHeathing"i �' � '� '�•�: r - ` S, �-----'�i' a` � ��-. � c�� . 7{.J Overhead Hytiroi -�-tr' - � .,:.^�-.r--- 2E� T�r Ceiling {Structurap LAAoaocoat x Y: � z 7,6�' pry Chemical �} ^ � 3•� - c� -- - < _ a Q r;, G. r � 7 i� -i� �~ ig.a. s� .�, i-�?� 2i. Fr,�ifneandFlas^'r'� �,._ ,.,. 70. Dr Stai'��i;oeF,�:.. r� p;:,; J '] - . T, 71 :' '.f Y 28. L�hir�&Sidin'g. ta �-7<x-tDs.�' x ^ •.i '.•a � 7F.' FIXED;3�':oT ��.!?Jq,iF+ (, �;y' 29. insula�bn f G S"" " �'� � � R�; 7.��.,�IREyREV. F�I�� }� � x;� �i � � o : a .�'.__V.� �'- �T � 30. Drywail Nailing > z_ I � � t H•�; �:-ViRALT�iDEP3.r�E�-UIFrE121 _1 T'�• . �(1^i '� �1L4 3). Plaster�royvr Coa� �: i r.,�T' Ix � � s�.'79`�t�-'IiJAF�i��1Sj"EC'�DN y� `� �i ; -�i_�,=-i_-• r . � 32^ Electrical Fqwer h'k:c:r-Fina:l i�a + �� 8Cc FOOD C�ERTIktY?aTE ISSUED C �_-� �� ., ^_,_. __ . � ,� : �_�-._-`:. 3� F��.,�i E'�ec2u,c � ,�, ', - � `" i ,�; � � NnFes: � � h � .y CJ t- x I -i�- !'-;:`--1 --i" r� y:.-'cnTt_'.K___'v' 3r{.� Fi�a81 t�..Qati��o�ditip�rw , � �. r .; ,�. .,. �r , -t�.-�"� � �'1_, s'ri i j ir. x -____,� Date trsspecior I - j � -e-•-c- . . . s _ ' i 35!? Final .L",vs R'�#e�Tes¢ GtY 7 � H � I` �* . . � ' J i= � "' ;_ � . _y y �• v � ..".__i 36.' �i�SAc' � CanopY x. ��` � C�7 .� k [� � t x '� -''" o �i-�cn --_ _ _ I ��a--�a- -t-li `-i_ .__ _- � 37-iFir�ai F�ctory Fire�ii§''tp � -`�-�' '.� . M ' � :� * 5.�, I I t-' �-' v1 A ' R � i. � CY ti I . .. �� `� .7' T- _-_______ '_ � 38. Fi�i Riumb�n9 x�'3 ' .. .. - k . � 'Y .�-�- _.m�+-_ ` K� _ ; 38, tV3IDr Sdrvice-FinaJ i c 7L " "� �� tn r c, z7 m : ^ Iy��L�_� �� t •.i r . �'is Ser,��,ice-Final � , .,,,,, "' • -1 1. -- r''' . � n--T t�. �:.� S t r � 0�.: ON .n R � - 41. Solar CS�mescic-FiwaS � �� .. * G 1 ' �2� � +� .,, � I i �-, c ir :1 42s Backficiv Prevent�? °-' ''. " 'j � F� ; � ' • � I 1 • i i� � F .x i-i r' �u 't?� U^' . •i :-}�--�_'f'- 43. Backftow V6?Sgatio� �'S_: + -=� . _ .-`'� � L, i 4d. Lands Pe'�ripai��in Syste` �`� � �` ,-� ` ' " - - �i'� �t[';'J S C�' 'J O ' ' (li :J wiJ :V !': ✓ � . � •-�-;-,�---• _ 4:vSound Atteinuatian r��..,�� '� r i 'r� '*+ j, r �-e [".+ �T' -, �n ti -, : � ti.. .. t , h�-r; * E�= r' .j r-. rr : 4�' Handic`a'� R,e�gulat�,�ns � s k`''� '� .` � r � �� a p _`� Y '��'' . /-'� T� 47�FImALST�i1CTttfiE&BUJIDING � ;„ _s h � ' 4�FIt�+'�ALPLr':NNIN.S, � ��' ' -j_� k°*�' �' :. `�-� : Y� fu _ � 'j' � 'r+ .i ` t 4�� Ely;tric Relaase t�.Edison i i: f � C- )}_ - ��V x � ' 5(L.Ga; Release �o Soc�thern Ca�ifomia Gas Co , � � �. , . ` . - � : '". 5L CfE, TIPICATE 0. OCCUPAIVCY " : .+^, -�_',i-3 � . _ ,,, _, lo. Datc � � 7 PflOJECT ROOflESS: Z O E E 1 6 TH $ T UNIT; B OWNEN'SNpME: RALPH 6 NANCY EMERSON aooxess: q300 CAMPUS DR #100 NEWPORT BEACH CA 92660 (714)263-1920 pptM/ENGINEEfl: DONALD FLA I R flEG.NU.: C_ Q�O 1 aooxEss: 16715 VON KARMAN AV Q PEflMITTEE: IRVINE CA 92714 nooness:Z06 16TH ST ASSOCIATES (714)263-1920 4300 CAMPUS DR 238 NEWPORT BEACH CA 92660 UCENSED LONTflACTOP UECIRflATION: I nere0y aifirm Inai I am Iicense0 un0er O�ovisions ol ChdD�er 9(cammencing wi�� Section 7000� ol Uvis�on 7 al Ilrc Busineu an0 Vmfeisbns CoOe. ana rtry littnu ¢ in IUA lo¢e arb eflttt. CITY LIC.: ST�TE LIC.: MSS: Daie: Signature: WONNEPS' LOMPENSATION OECtANRTION: I �ereGy aHirm t�at I �ave a cetliliwte ol cansenl to sell-insure or a certilicate af Workers' Compensation Insurance. or a cenilie0 wpy ��ereof (Sec�bn 3800. Lab. C�. POLICY NO.: E%P. URTE: COMPPNY: � CenilieG copy is here0y Wrnis�eE. ❑ Cenified wpy ¢ ide0 with t�e dry BWEing Divicion. Uate�. ApPliwm: E%EMFfION FHOM WOflI(ENS' COMPENSNPON OECIAiNTION: (ilis seclion mt Oe campete0 il Ne partot is im one hudreU �St00) or less�. I ceriily t�a� in �n De�ormdnte a� ttM wOrk �or wNtli IN perrtul i5 i55i'. I Shall nol employ atry Derson in any maMer 5o a5 to betome su�jetl �e W kers' COmpenSation Laws ol Cdtilam� /� Date: Sg�ature' r� NOT E: I. I�e� making ��is GeUaratim. you shoul0 come wbiect to tne Workers' Compensation pmvisions of the Labor Coa . you ust lonhwit� camply wit� such pronswns or tNs permit sAaA De UeemeA revoke0. CONSTPULTION LENOING RCENCY: I �ertEy aflirm �hat t�ere k a wnstmciron IenGing apency for the pedormance ol t�e xrork for whicA I�is Oermilis issue0 (Section 3097. Gv. q. LENOEN: AOOflE55: OWNEfl BUILDEfl OECLABRTION: I heRGy a��irm Illdl I am exempi �rom Itle fAnVattors' State license Law br the following reason (Sectian 71qt.5 Bu9neu anG PmlMsional CoOe: Airy niy ol counip wNCI� rGyuuCS a pempt lo cOnstut. alter. improve, tlemolish, ar repai� any stmcture. o�io� lo its issuance. aLso 2ouires ine aDolipnt lor sucn permit to lile a siqnetl statemenl inat n¢/she is license� pursuam io tlm O�ovisions ol �ne Convacmrs' 9ate license Law (Ctupter 9(commericinq with Secibn 7WD) al 0ivivon 3 al t�e Business anC Piolessions fAde� a� I�al �Ushe is ex¢m0� �heretmm an0 t�e Cavs for t�e allegeG e�emption. Any violation of Section 7031.5 Uy any app4anl lor a permil su01K�s I�e aDO�� o a[ivil penalty of nol more Ilun live �utbreE GOAars (55110�. I, as o�ei al I�e D�openy or my empl0yea wilh wdge5 as Ih¢ir 5ole COmpenSaGon, wiA Uo itie woM, an0 ihe ❑ suucwre is noi imenCetl or allere0lor sale Iseciion 70ad. Busineu antl Pmlessional CoUe: The Contractors' Sute License Law aoes no� apON �4 an ovmer of a o�ooerty wiq OuilCs or imprOva inerCOn, anA wtq Ooes su[n wUA nimself/ner5¢If or inwugA Ais ar �er own employees, Omvi0e0 ItWt suU imptovemenis are nol intendetl or olhre0 for Sale. If, �owever i�e builtling or imD�ovement 6 SOIE mt�in one year ol fAmpletion. I�e owner will tlave Ille EurOen of OrOnnO hd511e Uitl twt OuiM or improve mr �ne o��oose ot ule). I. as owne� ol IOe O�opetly, am exclusively Comrattin0 �� IicenseU mntrac�ors �o wns�mc� �he prole« (Seclion 70a4, Business � and PwIe55iaK COde: 7he CAnttaclors Siate LkenSC Law GoeS mt apph/ to dn axner of D�operry wtp EUiltls w imprOves lhere0n anA w�o conlraps lar sucn Dmlecis wii� a conVactoqs�license pursuani Io I�e Cantracmrs' State License Lawl. I am aware Ihal piaol 01 Iheir Worker'S COmOensa�ion insutante SMUIC Oe prOviGeE 10 m& � � I am exemo� unae� Seaion: B. b P. C. IOr hR r¢d5 n: 3 ! Oaie: 7 O�vner: �'� � I tlo here� cetlily �ai I am aware ol anG unCerslana I�e repuiremenis ol Calil mia Heallh nG Sat¢ry Code Sections 2550.5. 25539, antl P557A an0 Inal I or any NWre UuilUing octupanl vnNwill nol (circle one) nreG to wmpty willl ui0 state cOtles anE I�e repuiremenis lor a permil lor conslmciion or motlilication Imm Ine Air Oualiry ManaAemenl UisVic�. fleSiA¢niul cons�mction applica�ions are evempi �mm IhPSC O�OV1510115. �ate: AOVlitant:. I M1CfCGy CEflilylhdi IIIdv2 fCdO IIIiS dppllCdti00 d0� SIdiC mtlinances nOsiat lawsrelating�obwltlingconslmnion: pmperiy h inspe tion purposes. Datc: SignaWre: i Driver's Lmense or Social Securi�y n: � t�e a0ovei�{a Iionis correct.laA�eeio comply with allti�y antl county ^.rebyauthoF{ representatives olihiscirytoenlerupontne above�mentioned 164Ln6 Wlnle—Builtling'. Green—CaDe EnlorcemenL Canary—ApP��canl: Pink—Revenue; Goldenroa—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 064189 PERMIT NO: M 064189 PLAN CHECK NO; N GOVT; N SUPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE; MEC PURPOSE: NEW JOB DESCRIPTION : NEW SFD WITH AN ATTACHED GARAGE 6 DECK SQ FT: CLAIM VALUE; CALC—VALUE: GROUP OCC: R-3 /M-1 COMMENTS: 'LOT 2' OR UNIT 'B' SFD W/ATT GARAGE 6 56SF DECK, RE:8B64183 irir�r**�e**�ex��r�rxx��r**�rit�rir�iritirr�rr**r�r�r�r�r+tit�r�rrr*�*�+t�ir*+titw*�r**x��e*+r*r*�rrr*r***x�rr*+r* Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 42520120 ZNE: REF NO: PLANNING Nd'1'ES> l � . i3fiEiFifititMiFiFitikitifitMitiEiFffkitifi�iFlfititiFitftMMkkkMM%MMilMffiEifMlfiEkMiFiE1t1lifM1fiflEkiflEifiEillfififfEiFiFitifiElfM%iFk ' D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE; �BUILDING APPROVED BY : DATE: /� �APPLICATION ISSUED BY: DATE: �1 � . if if if ilMftif 1E IE if 1! ff if 1F %if ifif if if iF i! !f K M M M it if if K iF IE it MMiFMMkitiElElEiEMlEMifiFMMlfKiEiFkMMififMffkMMMMifMlfiFiFiFiFkMMMlfifiElfifMMifMiflFiFif�fMlflflfM1f1f1EifM1fMlfiFKIfKKIf1E LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N HLDG PMT PLUMBING ELECTRIC MECHANIC 1 FIRE SMIP/RES GRADING PERMIT 24,50 25t SMIP/NON—RES PLAN ISSUE FEE 15,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 24,50 15.00 0.00 39,50 39.50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 39.50 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIAE SMIP/TOT GRADING PLAN—CHECK 39.50 iFkMififiFftifiEilflffflMkM4lfifNMlFMiflfiflkftifffffiflffFiFiffFMiflfMMMifMMilMlFM%kMihMMftMiEMlfiFMltif�fitifMMifMiflfMfflfiFM I N D Z V I D U A L F E E B R E A K D O W N TYPE gTY D E S C R I P T I O N UNIT COST TOTAL COST MEC 1 INST FORC—AIR/GRAV FURN <= 100 K BTU 9.00 9,00 MEC 1 REFRIGERATION SYSTEM <= 100 K BTU/H 9.00 9.00 MEC 1 FACTORY FIREPLACE 6.50 6.50 END OF FEES _ Q1 00147817—G0t47817 T l.�T o9,5II DP.TE: Q9/?8/93 TItIE: 16:55 CONSTRUCTION AND PLANNING APPROVALS Permit # Date 1, Tempora�y E!ectncal Service or Fole 2. Sod Pipe-Undrgrnd._ I ll,t: K! y�Undrgr rtd. '" II; E(E•liitah:ohdVrt`JnJrgrntl. " ..` _� �i.!_.. �' �'��iPVL,�3rW�U�c'S�CIlI ,--,--- ; G,'E�1r.�-,ca7LFERG�rd. .. c-i ,� .. __i_ �_ ��,�.FObt�iY:it -' .* -p �� ' � � -.8y �oundaUo�v, ^! � I ,A'�_N.'atar PiprUnJr6�:nd. . - `.� 1U. Struetc!ai Fluei�Systeri 17, Praperty Ser,w:��inc'$ Ho�Se CAnneCLon � 12. Sower Cap W �+ i 13. Ho�t Drs.rs �- " , .� � 74. qo�pn PiumuiAg � � 15 Pough Electric2!•Cortdurt i 1G. Rough E1LctritS�liring J � 17. Rough INir�ng Siqn; 18. Ro�gh Electriwf�T Bar Czu,ng 19, Ro�..yh Hedtirg & A'r Conditi0nirg POOL .PA Inspector APPROVALS Permit � Date I Inspector 52. Pooi & Equipment Locauon 53. Stesl Reinforr.ement i i --- l - - -_----+ 54. Formt � � 55. Eiectrlcai Bond�rig � � 56. Rai.gh Plumbing & Pressure Test ;' i ----� _� 57. A�PROyAI_ l"0 COVFR�GUl�ITF � _` 58. Electricdl Cqrdwt�lJrdrg�nd. 1�-Y~� 59. Gas Rpu, O Undrgrnd., Test � GD. Rac!:� �ash L�n�s, P.Tr�U. � U^dro.,-�i . ' � 61. APPROVAL TO DECK . -i •-----� 62. Baekv✓ash & flece;norF�nai � 63. Heatcr & V.nbFioal � 64. Plumbing Systam F�nal � � 65. Electrical-Final j , 66. So�ar System�Fin;l �� j 67. Fencinq & Accesa APproval • i 68. APPROVED FOR PLASTERING j 69. PQOL/SPA SYSTEL"5 FINAL � �//y� FIRE DEPT. REQUIHEUIEVI' i i ' ..�^'L-.�!.�-. -: C ...,�._ . . i 20.�Ro�gh Fattory Fuet�lace ' T' i! ;- � �� + " APPRQ'JAT.�� ' Permit ,-��:.,_.?._`� I � : .. i 21...hu�ts, i� $trstctuc� n i r. .. . f � ^•t •' 0. Un�dergf6'.ind Hydra ' � +-+�--: . 22. DoQt,b�"t�lirting;r -'�„ _ � ' `�7. Product�ttii�j9::(`i:$: .�O�I � - ---� 73.;Cias�ipg_'Aough & �st . .� � =i- ' yz, Undr.rground Flu;h_, . i , 24�joo'iFbm��g� ' � F'� ^ i y r ^ 1 y� •'73.''Undergmtl�Stora�tTank I`!Gus O' '� �� 25. Fo�{ Shettn�r.q '. • �. �''.l. , ��' ' ' - 74. =0oerhoad HVdro ^ : --� i -'r-'- - - -- •-�--_T'-_�- _ -- 76.`i �Ba! C�.'�.�q (Structuro�� $ �or.aca:+t -_- _._�_ 27..rr�.�eaCd Fl:ishiqry� -�t�r.� r-^- -28. Wifung iS S�d��n-g --.�� _ �29. Insulatiqa �.�i �� -� "`' .. •� , _ *-- 30. Dry�;�a�l'�;,i,Lre ! _ � .� �-31. Pwster �r'o�':a Coat � <� � , ;. . - _'_-„T..TM-.�..__ ��32.'Elec[ric,:l pot:er ^hter:Pinal i 33.�FindlEleCtriC �{ . � _ :�34.;�Fi�3l'He:1�ncJ��lAtri,orlA•tionin�- � � ,.. _ � .� i� __.� 35.•r�nSrG�sPip^-Te�t, .� , -36' Hopd or ,.anopy �: � • �- .37.'Fine7.Fac�ory Fv�p�',�Ee'„ , �,.'. H18. Fina;P!3nbing ', ' • .• .. 4 35. ';late� 52r1•ice�Final' � l' V S � ;,90. Gas Ser�;+se Finai-� � ;.y � �747. Solar pomestioFir�a5 � • .. � 42.�Backflow P�ev2nter 1 � �--7 0.3. Backffow IrrigatiorS' - ;}14. lartdscap�: IiriqatWn SVstcm _,,�� =45. Sound Attenyfatidn� ^ � �4G. 47. 49. STRl3CTllRE & BU PLANNING - Rc+�eese to Edison ease to Southern Cal I . __�.:�+_ ___ '-- ' _. ` 75...Qry Chem�cal - ,' � � •' ^ �� ~ � � - i � _' � C e � "Jry $Tan[7iP: . . . -, r�'`. ---w: /1 c ��-� -, ---��=>-- .. ..' . 17._,FIXEDSYS7E:��Ni:AL. � - :';a �� tv � --- -=��- . � 'i t 78.arIRE PREV. FINAS. . ^ • :�1 . � . � - --r�-t-- . '-----; _t_ ^ fNEALTH'DEPT�R[QUIREf.1P'�'7 _ � � '� -- -- -- -- -- -� � . ' .79. �IP:AL IIJF,FF:CTI(',:! . �-�'.---- � �I�_ ---c--^h------,.."-- .. {- � :' �'�0.��:�OOD CERTIF�CATE iS�3UED ^' I�� I J' � .1 r• L -,--�---: . . - ---, _,_ , "NocaS: :_; .�, , , �'' � .��-"`f._ * :_4- ' -_-' _-� i ; -� '.I c � Y � i �- -.;. : _ _--,--�; ------------� i . _. ' " ;:, ':� e -i _� •: � _. _� t --__..._ _ _1 -�I. .J ` _,, __ � �--- 4i/_A-__-. _ _f i A /1\ �� , ' �` S • . • r ♦ � -�+, .r , _. . 4 .l -1 �-: .r r, �rv f . C' -h� . .. - - k k C ' " T LDING -��--~�I , _ ' " • Gas CER�IFICATE OF OCCUPAN�Y I I ' I Oate � � .. A - . -�� r -i :.� _ ' _ � i l �y < � r " .� L i ♦ � �ECT AOOflE55: z O E) E 16 TH ST 0N1T' B OWNEfl'S NAME: RALPH 6 NANCY EMERSON nooncss: q300 CAMPUS DR Ii100 NEWPORT BEACH CA 92660 AflLH/ENGINEEP: � 7 1 4� z 6 3— 1 9 Z O flEG.NO.: nonn¢ss: DONALD FLAIR C—��01 16715 VON KARMAN AV renminee: IRVINE CA 92714 206 16TH ST ASSOCIATES (714)263-1920 aooecss: q300 CAMPUS DR 238 NEWPORT HEACH CA 92660 LILENSEO CONTPALTON �ECLAHATION: I nereDy aifirm itul I am Iicense0 un0er Drovisions ol C�apter 9 �commencing wil� Section 7000� ol Orvisian 3 oi the Business anG Pmleu�ons Cotle, and my license is in lull lorce an0 elteci. LITY LIL.: STRTE LIC.: CUISS: Dale: Signaiure: wOFKEflS' COMPENSpTION oEClABA7lON: 1 Aere�y aflirm that I tWve a cenifiWle af cansent to sell-insure or a ce�ifiCdte ot Worker5' CAmpensation Insurance. or a certiliea covY ��e�¢ol (�clion 38IX1. LaD. q. iPOLICY NO.: E%P. ORTE: LOMPANY: ❑ Cerlilie0 copY is hereEy �urniSAeQ ❑ C¢tlihetl Copy is IileO wilh t�e city BuilUing Division. � � Jate: App�ica 1: ' E7(EMPTIONFflOMWOPREPS'fAMPFN5RTI0N0EClAHAI : Qhi55eciion iroioecompeteOilthepermtisloronehu�ieE'�51a01wless�. I cetlity Ihat in I e Oerlorm nce ol I�e work la� w�ich �hi permil is issue all no� employ any p¢rson in any manner w as to become suoi�� ia me b�kers' C mDenSalion Laws ol Cali�omi . ' � Uate: SiAnaium: � N E: If, al r making Ihis Oeclaration. you s�oul Cecame SUEject io i�e Workeri Compensation pmvisionrof Ne Lahor Co e. you muSi f0��wi1� tompty wilh Suth D�ovisions ar ihis permit Snall Ue AeemeA revokea. ':_' WNSTBUCTION LENOING aGENCY: I nereby allirm inal inere is a consimction lenaing apenty lor ihe pedormance of+ine wark tor w�ith Ihis petmi� is i55uen (Seclion 3097. Civ. C�. ,{' LENOEfl: FOOPE55: OWNEB BWLOEN OECIAflRTION: I hereby allirm Ihal I am eKempi Imm �he ConVactors' SIa1e License Law tor t�e �ollowinB �eason (S¢tlion 7031.5 Business and Pmlessional Cotle: Any cily ol counry w�ith repuires a De�mi� lo con5tmci, alter, impmve, Oemolish, or repair any slruc�ure, prior lo ils issuance, also requires Ihe applicant lor such permil �o file a signed stalement t�a� he/s�e is Iicen5e0 pursuam �o Ihe D�ovisions ol Ihe Contraciors' Sla�e License Law (ChaO�er 9(commencing wit� Seclion 7000) o� �ivision 3 of �Ae Business anA Proiessions CAae) ar Ihat heh�e is exempl lherelwm anG t�e basis lor I�e ailegetl exemption. Any violation ol Setlion 7031.5 by any applicant for a Dermil su�lecls Ihe aOP�ican� to a civil penaliy ol no� more ��an �ive hundre0 Oollars (5500). I. as owner ol Ine pmDeny ar my employees wilh waAes as iheir sole campensation, will Ao the work, and ihe ❑ simmure is no� imenaed or oifere0 br sale (Sec�ion 70d4, Business antl Pm�essional CoOe: The Conirac�ors' S�ate License Law Coes no� aDOty to an owner o� a D�ope�y who Ouilds or imD�oves I�ereon, antl who does such work himselVherself or �hmugh his ar Aer own employees. pmviaed Ihai such improuemems are not inten0e4 or ollered lar sale. II, however Me builtling or improvemenl is soltl within one year ol complclion, Ihe owner will have �hc 6ur0en o� proving he/she Oid no� bui10 or impmve Ioi Ine purpose ol salel. I, as owner ol Ihe pmperry, am e�clusively cantractinA wilh licensetl mnVaclors to conSVuc� �he pmlec� (Sec�ian 7044, Business � and Pwlessions Code: T�e Caniraclors' Sta�e License Law Oow no� app1Y �o an owner ol DmpeM1y w�o builOs or imOmves Ihereon and who conirac�s lor such pmjecis wil� a con�raclor(s) license pursuant �o t�e Conlr clors' State License Law). I am aware thal pmof oi Iheir Worker's Compensa�ion insurance should be pmv' ed lo me. � I am exempt untler ection: B. 8 P. C. for Ihis eason: � Date: 7 Ownec I eo here ceNly Ihat I am aware ol an0 untler5iand t�e reQuiremenis ot CalitOmia MeallA anU Saleiy Cotl¢ Sections 2550.5, 25537, anU 25534 antl Ihat I or any lulure builtling occupan� willlwill noi (circle one) neetl b comply wilh saitl Sla�e coaes anU ihe requirements for a permil br consimclion or modilication Irom �he Pir Ouality Managemenl Di5Vic1. FesiOen�ial con5imc�ion apDlicalions are exem0� ��om ih¢SE p�Ovi5i005. Daie: Applicanl: I �ere�y cer�ilyt�at I haue ieatl�AiS applicaiion antl slate Ihai��e a6oveinlormai i5 orrect.l agr¢e�o comply wi�� all ciiy antl counry or0inancesan0 �alelawsr Iaunglo6uilJingconslmclionanah Oyaul�or¢er¢pe enl �ive5o11�i5cityioenlerupon�heabove-mentionetl pmperty lor i pection rpo5es. �, �ale:�� / Signaiure: �river's License o� Saial Securiiy u: t64ba6 W�ile—Boiltling: Green—Cotle EnbrcemenC Canary—NpO�iwn1; Pink—Revenue; Goltlanrotl—Pssessor � , CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: E 064188 PLAN CRECK NO: N CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE JOB DESCRIPTION : NEW SFD WITH AN ATTACHED GARAGE & DECK PERM NO: E 069188 GOVT: N SUPP: N SQ FT: PURPOSE: NEW CLAIM VALUE: CALC—VALUE: • GROUP OCC; R-3 /M-1 COMMENTS: 'LOT 2' OR UNIT 'H' SFD W/ATT GARAGE 6 56SF DECK, RE:#tB64183 ***�r*r**�i�r�r�r�r�r�rx**w*it**x�**r�r�r**�r*rrr*�r�t***+t**+tx�+t*fr+r+r*+r�rr*x�r**+t�*�rrt*****�r**x�**�t Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- ---------,ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN PARKING REQ• PROV: PARCEL: 42520120 ZNE: REF NO: PLANNING NdTE5> i 1! iE 1f 1E if 1E i! M 1E iE if if fE M if M �f 1f 1k if 1k 1f iF 1f !f 1F iF 1f M if M 1f iE"%'if M if if M!F ff iElE M 1klf 1f �F %k 1F if 1F 1f if M 1E IE iE 1F K!f IF iF if iF 1E M 9E �f k 1FlF IE if If 1E 1F 1E D E V E L O P M E N T "S �,E -R V I C E S R E Q U I R E M E N T S ��/Y ZONING APPROVED HY % . DATE: HUILDING APPROVED BY : ��:' DATE: _-. � , p� ^' APPLICATION ISSUED BY: �% s DATE:11� if iE 1E iE iElE 1f iElElE �F if iF M iF %M k 1F iF it ik iFif �iF3i'iF�{f3F��{Fif �! iE 1E 1F 1f if if 1E 1f��iF if iflEiEif�flElfiflFfEftiflflFfflfMftMIF1tM1F�FltitiFiFifMMftlfkMlfififMMlfiflEk1i1E1fffikMifM1E%itif1f41E1FiFMiEifMiflEfFifiFlFifiEiEfElEftiEiE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 68.74 502 SMIP/NON—RES PLAN ISSUE FEE 15,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 68,74 15.00 0.00 AEVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMBING ELECTRIC MECHANIC 83.74 TOTAL PAID DUE 83.74 83.74 .00 83,"74 OVER/SHORT: ,00 FIRE SMIP/TOT GRADING PLAN—CHECK 1k K 1hlk if iF iE iF M if it if if iE 1f fklE if iE it iE iE 1E if iE if if ik 1f iE if 1f 1f 1f iElt 7E if M ft 1E iElf if if iE 1f if iF M 1k 4 ft M it 1Elf iE iE it 1E iF 1E iF iF 1f if fi iE fE fF if iF iE if �E 1E it IE I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1964 NEW RES BLDG FOR 1 OR 2 ONITS/ SQ FT .03 68.74 END OF FEES Oi 00147�16-00147°16 T 4 T �3.74 DATE: 09/?3/93 T?i7E: 16:55 CONSTRUCTION AN� PLANNtNG APPROV�LS Permit "r Ddte Inspector t: Temporary Electrical Sr.rvice or Pole �cd. Ely�cti ... . ^' �..S'c�e1 UF ER 6rnd � 5, �`_ 0 POOL �A APPROVALS Permit � 52. Pool & EquiRment Location � 5�. Steel Reinforcement . �4. Forms 55. Electrical Bonding p6. Rough Piumbing & Pressure Test �7. APPROVALTOCOVER�GUNITE 58. Electncal Conduit�Undrgrna. _.� ruunuauuu; .,� 59. G�5 Pipe, � Undrgrnd., Test 9' _VJater Rpe-Und�md. 60. Backwash Lines, P�Trap, � Undrgrno. _ ' 70. Structural Floqk.System 61. APPROVAL TO DECK • 17. Property SeWanLine & House Connection � 62. Backs.ash & Receptor-Fina� �z• Sewe� CaP 63. Heater & Vent-Final - 73. Roof Drains_ 64. Plumbing SYstem- Final 14. Rough PlumGfng - G5. Electrical�Fina! 75. Rough E�ectrica -Conyu;t 66. Svla� Systeri•Final 16. Rough ElrctricWiring "'n'p,'S" N Q.�.,y 67. Fencin9 & Access ApProvat --� ' ,��Y 'l�III�/�4M1 w '17. Rough �.YRing S�ign 68. APPROVED FOR PLASTERING � 18. Rovgh Elect�ica'�-T Bar Ceihng 69. POOI/SPA SYSTE��%�S FINA� - 19. Rough Heating & A�r Cond�i�oning FIRE DEPT. REQUIREAIENT ' ' "' T� �i' - . �. 20:'Rouqh F;ctory Fiteulace ; � ' ' - :APPROVAtS �� r'et��it;r • 7 � • . �� r. • n � •; .r -� v _ - �- ` � = _ 21. DuCis, i�+�Stryctu�A� .: .' � � -70. l�dergr`sarzc Hy�ro 22. Ducf3, VCntiAting � �=� ; , ' !�:71. Produc(�j'�pi;ng G�i s f�0�1 23.`�as Pi e'� o h &Y,ese � � � "'' ' � � � ' ' ,_ P� u� t :�� x. Jy ,-i72. UndergromiJ Fiush, y �. . 24. � Roof Freminy� ? : . � •• F ` � ' * + "73�jUndergma. Stora�j@Tank fl Gas '7 Ur' 25. Roofi Sheathing -� � ,G °J - '� ��., � '.7q, p�erhead Hvdro � � . 26r?•Bar Ceding (Stwcturall &ivio:tocoat Y �t7 .�? " + 75^pry Chemicai " ^ k �'� 1j 27,'Fra�e a�d Flashing' �.. J. ;. ;,, y� *, 76. Dry Stan�:i�ie r�:T� .- ' " �8. �Lat+ring�$ Siding_ : . ��:;:a: n; � <" .. • � 77.^-' PIXED 5'�6TEM1r�INAL T�- ••y 1 �'29. Insulatiq¢ - ' � �' � .,; � �� i ` �� k 78:�;FIRE PREV FIRlA� . � .:- ;,i ��30. Dryvdail Nailing -�+ � j 7�6cALTH�DEPT. R�EQFJIREME , ~ �� ' 31. Plaster 9'rown Coat'. . .,, � , i �A t,,79. 'FINAL 1 CTI N'. �32:.Electrical Poveer j4lcta;•Final, � � ��SO:rF00D CERTIFIOAT� ISf�U D �r �t' -' c� 4 2* '� I a/6 1 • "� i .33,rindi Elecirid _ � , . . , /�� Nofe � ..,� ii t K '� _ .. .' --•- 34. ¢ing} H�a,Y�ng�& �r�Cor.d�- ti0 g., > �f s •S .--�i,.{-s-- �. � � n � �35 ;'fineT Gas Pipe Te;tj _ � -� * � i> _ =� - r , i N i . 1 - 1 -36." Hoqd or'f�nopV c �` x c � _ '� � .. . , , : - , ; ;,. . � . �. �7: Fin`s� FaGtory Fi��lact , ' '`' '' � �`� I � � ' � � . ; � ' ` :r 'i'_y �„ o, � . .. . R � � � - - - � 38. F�np��PlnRnbing , . � ' ' .- . .. ., i . ' i �� 29. tVaYzi $eivice-Final� � . � • . . ^. � - . � i i �;�10. Gas Serr�ce-Final " , _ . , ' - - , � '. � ' , - � �� ,.., � � .i � SAt. Solar DOinescicFinal � •� F�] i -. � ;� r `.. � ' d2 `Backflo�,�,Preventer; . ' �: . �� _ y � 43. Backflow Irrijationr - ' _ ' -; ' � _ ' �A4. LandscaPe Ihi4ayon SV�tem,: �.j�, �, - e � .0 ,; a. �. � v . � . . - �, r `A5..Sound Attenuation • �*' = F ;' » " }-+ C-� ''�`+ : j . .. ,. ' u �' - --r-t--. -- j A6'.Handicap,RAgLlajio�s -. . .' . . „ y, � � -� : h � 47._:fINAL STfipiCTURE & BUiLDING � �r ��:� �, c 48.-flhtkiLPLAFth11NG , , � �� • �n � � - ,�i9.-Electric Release co Edison � ' � J- ` ' I � '.50.,Gas Release t'q Southem Califotnia Gas Co 4 , y � .^ •� . _ �- � -� � � - 51. CEF�,TIFICATE OF:OCCUPANCV , < » < , tn:> , . , - No. Date Date Inspector � • I i � , I . I -a � Pfl0.1ECT ADONESS: z O 6 E 1 6 TH ST uxiT: B OWNEN'S NRME: RALPFI 6 NANCY EMERSON nooness: q300 CAMPUS DR #100 � NEWPORT BEACH CA 92660 1� FflCM/ENGINEEfl: � 7 S 4 ) Z 6 3— 1 9 Z O qEG.NO.: aooness: DONALD FLAIR C—��01 16715 VON KARMAN AV IRVINE CA 92714 PEPMITTEE: ZOE1 16TH ST ASSOCiATES ( 714 ) 263-1920 aooeess: q300 CAMPUS DR 238 NEWPORT BEACH CA 92660 LICENSED CONTFACTOB OECIABATION: I here�y a��irm Iha� I am IirenSeA unaer pmvisions ot Chapler 9(cammencing wilh Seclion 7000� of Drvision 3 ol l�e Business antl Pmlessions Code, ana my lirense is in lull force anA effec�. CITY LIC.: STATE LIC.: CU55: �ate: SignaWre: WOFNERS' COMPENSRTION oECIABATION: I nereoy aflirm tlu� I have a cenilicate of conunt Io sell-insure or a cenificate of Workers' Compen5dlion Insurance. or a c¢tlifiea copy Nereo� (Secuon 3800. Lab. q. POLICY NO.: E%P. OATE: COMPANY: ❑ Cerlihetl copy is hereEy �umis�ed- ❑ CerliheU copy is lil¢G vn�� t�e ciry Building Divivon. Da�e: poD�icanc �' ' ` EIEMPTION FflOM WOPREHS' COMPENSATION OECIAflAT10 (ThiS Settion n nai be wmplete0 if t�e perrrvl is forone hunCreG (5100) or less�. I cerlify I�at � Ihe p brmante of t�e work �or w�icA IM1iS il is issued shall no� em0loy any person in any mann¢r So as la become su�le�i lo I Wark rs' Cam0en5aiion Laws ol Califamia. n Oa�e: Signa�ure: �`�—s NO E: II, a Ier making I�is declaralion, you s�oulE �ecome SUGject lo Ihe Workers' Compensa�ion D�ovisions of Ihe Labor CoA . you mus� Iorlhwilh tomply with such Dmvision5 or I�is permii S�all 6e deemed revoketl. CONSiflUCTION LENOING AGENCY: I �ereby allirm.lhat there'is a cons[mclion lending agency for �he petlormance ol ihe work for which Ihis permit is i=5uetl (Section 3097. Civ. C�. IENDEfl: AOOPESS: OWNEB BUILOEB OECLABATION: I hereby a�firm Iha� I am exemD� �rom the Coniractors' State License Law �ar �he �allowing reason (Section 7031.5 Business an0 Pmiessional Coae: Fny city o� coun�y which repuirts a permii �o cons�mc�, al�er. impmve, demolish, or repair any s�mcture. prior �o ils issuance, also reQuires Ne a00�ican� br suc� permil to tile a signeU 5tatemeni thal �e/5Ae i5licenseA purSuanlial�e pmhsions o��e Conlraclors'Slat¢ License Law�Cha0�er9(cammencing with Settion 7000�ot�ivision 3 ol�he Business anE PmleSsionS Code) or Ihal he/she is erempt Ih¢relwm anE ��e Ga5i5 lor I�e allepea exempiion Any violation oi Section 70.31.5 6y any applicanifor a permil SUElacis �he applicant�o a civil De�ally ol noi more t�an live �unOreO tlollars (5500�. I, as owner o� Ihe D�oDerty or my employees wiN waAes as �Aeir sole com0ensa�ion, will tlo Ihe work, antl I�e ❑ stmcWre is no� imenCea ar ofleretl lor sale (Seqion 7044, Business antl Pmfessional Coee: The Conlrzciors' State Lit¢n5e Law Ooes no� apply �o an owner at a O�opetly w�o DuilAs ar imOmves I�ereon. an0 w�o tice5 su[h work �im5elVhersell or t�roup� nis or ner own empioyees, o�ovitle0 tlut such improvemenis are not intenAM or onere0 tar Sale. If, however Ine builAing or imOrovement is soltl vnlhin one y¢ar ol compl¢tion. I�E owner vrill have th¢ Eurden oi pmving he/she tliA nol �uiltl ar imOrove br �ne puroose of sale�. I, as owner ol ihe pm0erty. am exclusively coniracting wilh litensetl conlracbrs to constNci the pmject (Section 704a, Business I� and Pmfeuions Cotle: The Comranors' Slate LitertSe Law tloes noi aDPly lo an owner 0� pmp¢ri`/ who bmltls Onmprove5 i�er¢on dlltl WI10 [OIIII2tl5 IOf SIICII pfOj¢[IS W1I11 d LO�IfdLIOf(5) litlllSP D�fSUdlli 10 IhC CA11Ifdtl0l5' $IdIC LICCIISC LdW�. I 2111 dWdl2 Iha� 0�� of thetr Worker's Compensation insuranre s�oula Ue pmvide0 lo me. � I am exempt unaer Section: B. 8 P. C. / forin reason I q./ q �,i�C Oaie: ��4/ /� Owner � '�/ I do hereby c¢riity thai 1 am awar¢ of and unAerslantl Ihe re0uiremenls o� Calilomia Heal�� an0 Safely Cotle $ec�ions 25505, 25533, an0 2553G ane Ihal l or any future OuilOing accuvanl will/will nol (circle one) neee to comply wilh saitl stale codes antl ihe requiremenls lor a permii bi conslmction or moai�ica�ion �mm Ihe Air Oualily ManaAemenl Oislricl. Resiaemial constmciion apDlica�ions are eKemp� �mm Ihese provisions. Wte: ApO�icanl: I hereCy certily Ihat I have reaa t�is application anG s�ate � t ine auave imormai n i5 wrrect. I agree to compty vn�h all ci�y antl coun�y oiainancesan4s�atelavrs�elaUnqlo�uilAingconstmciionan re�yauihorrzereD senlaiivesotthiscirytoemeruponiheaUave�mentionea OmOei�Y �Or in etli0n rpo5ei. �-y, Date: 2� �� Signature: � ' ✓� omer' icense o� saiai Secwiiy •: i64i-46 W�i�e—Buileing; G�een—Coee En�orcemenC Canary—ApplicanC Pink—Revenue: GolOenroa—Assessor CITY OF COSTA MESA — BUILDZNG PERMIT PERM NO; B 064183• PERMIT NO: B 064183 PLAN CHECK NO: 02389-93 A GOVT: N SUPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: NEW JOB DESCRIPTION ; NEW SFD WITH AN ATTACHED GARAGE 6 DECK SQ FT: 2,420 CLAIM VALUE: CALC—VALUE: 159,202,20 GROUP OCC: R-3 /M-1 COMMENTS: 'LOT 2' OR UNIT 'B' SFD W/ATT GARAGE 6 565F DECK �**�r**+r�**+��r*��*+r*�*�r�***r*******x*+�*��**r**r***x*********�c*+�+��*+�+�r��r�r**+�*��r*r�* Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUZLDING --------- FRNT; 26 FT IN REAR; 20 FT IN FRNT: FT IN REAR: FT IN LEFT: 14 FT IN RGHT: 5 FT IN LEFT; FT IN RGHT; FT IN PARRING REQ: 12 PROV; 12 PARCEL: 42520120 ZNE: R2 REF NO: DR-93-09 PLANNING NOTES> 1 DU OF A 4 DU CONDOMINIUM PROJECT. FT STBK IS SEPARATION. > PKZNG;.PARK 6-,TRIP FEES TOTAL FOR PROJECT. P 6 E 1E 1f !f 7F k if iF ik iE if 1t ik 1E if iE 1f !F%1F iF if if 1f ff if M f!!F �flF ft 1f M iEiE if iF 1F ik M if if it if f! M if 1f iE ff M if fE IFlf M M ff 1E if 1f 1f iE iF iF iE i! if iF k if iF fF M iF 1k k i! if D E V E.L, O-P M E N Ti.� S E R V I C E S R E Q U I R E M E N'�T S n ZONING APPROVED BY� i� C9 �. DATE: 2 l) BUILDING APPROVED BY.:'• "� DATE: ' " r • .� w. • ' . / i .� .. .' ' ' _ ' � _ _ � � ��I �)�Y�71 xsrxxs.xarxxxxxa'.xxa�w�w��esexx+'w�ns'srwsesezzteitwxxitltRiFlFfFifMif41FiE1EkiflFiFiElElfiflfifififltlE�7Fi�if1E if iE it iF M M M 4!! 1F 1E iflf 1FlF iF M M ft 1E!! fklk 1k 1f M 1f 1f 1f M 1f 1E 1! iE k 1k if 1! 1f ft 1E it 1f 1E if 1f 1f k I! 1f 1k 1f fF 1E i! M 41f fE iF if iE i! 1f if iF iE iF 7! 1E if 1f K iF it 1f M 1E ff LEGALIZATION;N F E E S U M M A A Y STRUCTURAL SEGMENT;Y BLDG PMT PLUMHING ELECTRIC MECHANIC PERMIT 849.50 � ��, PLAN 138.05 � � /� ISSUE FEE � BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 866,04 0,00 " 13'�.OS 1 a! 1 REVENUE DIVISION TOTALS--> COLLECTED'; 86 BLDG PMT PLUMHING ELECTRIC MECHAN3•'C FIRE 899.50 '✓, � 1 it 1F fE if f! fElt fE fE 9F iE if iF iE iF M it it M 1f if iE if 1t iF fF M 1E ft if if M 1F it if if if if 1E.If i! jt if iF fF iE it M ft [ui77�1 SFR SFC SFR SFR FIRE SMIP/RES GRADING 15.36 SMIP/NON—RES 1.18 TOTAL PAID DUE 004.09 1004.09 .00 6.04 OVER/SHORT; .00 SMIP/TOT GRADING PLAN—CHECK 16.54 if if iE iE iE M fE 1f iF iElF ih Ih ih iE iE iE iE iF iF ih it ih 1f iF M iF K If ii I N D I V I D U A L F"E E B R E A K D O W N � �R, � QTY D E S C R I P T I O N"� UNIT COST TOTAL COST 1964 DWE—TYPE V—WOOD FRAME i' —GOOD 74,00 145,336.00 1964 E U—RESIDENTIAL AIR COND, —AVER 2.85 5,597.40 56 R�S—BALCONY, EXTERIOR STAIRWAY 14.80 828.80 400 RES—GARAGES TYPE V� 18.60 7,440.00 � END OF FEES Di D0147818—ODi�7319 T O T 566.04 DATE� 09/?2/93 SIME: 16:56 i wNS,T�kUCT10N AND PLANNtNG POOL .PA T- APPROVALS Permit# Date Inspector pppROVALS Permit,$ Date Inspector 1. Temparary Elearical Serv�ce or Po�e 52. Pool & Equipment Locauon - 2. Soil Pipe-Undrgmd. - 53. Steel Reinfarccment � r, .-�..� � �.`E(ec�tYiC�'��qq¢ditUzil�ty•Undigrnd. 54. Forms , �•4. -Elgctri¢eh3o0da;LUndrgrnd. 55. Electrical Bonding r �' '5�.' Steei H$ipfi�rc�i�pnf' 56. Rough Plumbing & Pressure Test � ��.��teccrlcaC(7FE8�`imd 57. APPROVALTOCOVER�GUa!�TE � � 7..Fo;otiNgsT• '• _ �` � ' //� 58. Elactrical Conduit�Undrgmd. � � �'7A,A _� 8.�rPoundaUOFt �, �/��$�G�//L 59. Gas Plpe. O Undrgmd.. Test � � � .: ':' i9 9. C'Jater Pipe,(Jnd'rgmd. 60. 8ackwash Lines, P�Trap, U Ur.drgmd. { 110.. "Structu�al'�loo System � 67. APPROVAL TO DECK '" 1 it�. PropertySe�oertin��&'��ous'�Corinectiod� 62. Backwash�&�Receptor�Final I w 12. Sewer Cap 63. Haater & Vent-Final . �� 13. Roof Drains_- - 64. Ptumbing Svstem � F�nai 74. floug��Plumbirt� � 65. Eiectricai-Final �� , 75. Rough E�ectrical•Condwt 66. Solar SYstem-Pinal - _� 16. Rough E1@ctric'3Niring 67. Fencing & Access Appruval � � "l7. Rou h Wirin S' n � 9 9 l4 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Ceiling 69. POOVSPA SYSTEMS FINAL _ _� 19. Rough Heaxing & A�r Condit�onmg FIRE DEPT. REQUIREMENT � �e t.. - � �, . + 20�ftough Faetony R?eplaca . �" �•: �:1'! - "� . �APpRe7,VQ}'S:-JPet»it # >' �'. I � lr` � E'� • Y.�� } ♦ � � . • �S� � ^I' -y 27:_Pu;t;s, in,Str�ct�nE. .. .. - - ,�: : -j70. (-Inderg=-^yid H�fro , . - � - - �- _ 22. DuUs, VontRatin� _ -`Tf ''71. Produc7Y'llip,n9 �{Fis .�Oil ' .r 23.;�a5�iP�.Rou'�h &'7est • ' 'i.� ; ,,.� ` � ., . , -,72. Undergrounjl FIuSIi: � � �� : 24. floa� Fr3ming �-t ! i F�'� '+ ,� � � �. 73.^Undergm��. S[ota�e'r arlc f7 Gas� � ;ir: �'' =` -� .;ti i 25. Roof Shdathing '"" � ^ ` y ��( ; �-Y' l . �'�_,_�• ��-��_� R��/ '74:.:Qverhead Hydro _ 26: oT�spr Ceilin9 (St<uc2ura�) &Wiarrocoat - �//.2,j Y' �'��/ '_' � 75c.Dty fhemical _ - i a � ' � � •r - 7 r_ f1 � .i.� 27 ,�rame apd Flash�9` j� w � :��.16.�j ` 76. �ry Stan��}ipe '��' ' 'r� �: , . . � -1� ._ i R � _�� R8.`Let ing� Sidiny7 � �� C�: . ��."�p• ��-'-? 77"e� FIXED SY.y EA�3�INAL' • �a.• �.i; ---i C' � i-� -• tl" -i 29. InsulaU� � ; _ _ . .. ; . ��'Z� ; �� 78:'FIRE PflEV. FINA4 � _ ��.- _ �' : 30. Drywali Nailing � + � �� . . .; . - � � , • 4�IEALTFYDEPTy REQHIRH�?tFR?� -- ; � t � , __1 �� r� . � : i !-� � � -. -� � i., ' 37. Plaster �:owqCoat; _. . .,.;, :.1'8-.43! 6'Wb(, 79�. �FINAL IIU$P�CT1�1N � �,.�, `� --� _ � � � ^^-- . � -, -1- -�- -t- . , . -z-----�:,---�� - 32. Eleciricai Powar MeteeF�nuli .,ii'� 7x �: , j 1` `�-S0.•-FOOD CEFTIFIDA'TE IS6UGD � -. . ti,'� c��. n j �a t- ,33�Fin��Electri� :•. ;r, � �,-y r � i � y 'Na:�s;��/y`.-$ t�/,�s,i�Q•�O�C�i .�� 1J � '' : . � i,{"' � r•-T?-Z j'; � � T-- - � +. T_'. 7___"._..�_ I �4{'Fifll��'i22t�ft�yBt�Ir.�O�ditlQ�?{�R'. ('� �:s � � t` �' •-�S � �'� • _+ � 35.�F�r.al Gas PiCe�Tes`t f�`' � �, � ` � 1 � ,' ~ 3 r�A��l� � ' ( � :F-r-�- ' � ��-, `� -r,- � j --- -- �y?6.HoodortCanoPY�y . � � -, .'� •�:� � � .^ io - ' � .�37.-Fu:al Factory FirC?.lacz � '��'„ .'� ; .• � � �} � , --'�� _ ----- ---- -a8-�ir.nl PI�bi09 T � � `., . -. ' , t i � i� ,- ; , __-s� -� . _ . _ ... . :}-_a ' '"' ' r � .�+: '.II9.�-Wat€t Service•Finat� � .... ;' � '-, =,'n ' '`• � P�. l I Y 7. ��• D i �� -� 'fRO�Gas Serv;oe-Fina6, � r, r , � = i T�� t*^ . � � A7.-Solar pomesttcFinai" � •� -„ " , � ' � ' _"' ' . .� � i. . � L.�� 42 �Backtlowi Prevenfer. - - ,�.�. - � � . a - j � . � - � I 43. Backfiow IrY?gatiorr - �� ' ! ' ' � - , `,', ; , � r � � � s ., _ � i ;'r34. Landswpe irri9ation SYstem,+ ; � f „ , � - -i _ . �• , �. �� '. , , ' V -1 , . ., . . , I- . .� . .. . . . _ � � .; � ' �3's�:r;�- ---._ __ .. - _ . `-�55."Sound AttenuatioA �y : � " °"' -. .' � ' - _ "' = - Y '?36.,Handicap,Regofations � � � �� y - z - . _. �� . ' y_ 47 _FIf�YAL STRtiCTURE & BUILDING - i. + � � ' �� . : a��k�. G�eJ- � � , •L48.�PINAL PLAt�NING ~�.�� J � . � � J r . I .�. -: .i �.� :C � '49: �Eleo;ric Release to Edison � - � I ,: k ' . , ;'SO.,GasAelifaseap Southem Cal�fomiaGa;Cu ' ' -. . � • 1. CEa IFIGATE OF OCCUPA�TCY . _ No. Date � � PflOJECT AU�HE55: 2 O G E 1 6 TH S T ' OWNEN'S NAME: RALPF'I & NANCY EMERSON naoRess: q300 CAMPUS DR #100 uxiT: D CA 92660 t714>263-1920 RflCHIENGINEEP: DONALD FLAIR sec.xo.: C-9�01 aoonEss: 16715 VON KARMAN AV u�T IRVINE CA 92714 PEHMITTEE: zO6 16TH ST ASSOCIATES ( 714 ) 263-1920 aooxess: q300 CAMPUS DR 238 NEWPORT BEACH CA 92660 LICENSEO CONTRFCTOB DECNNATION: 1 �ere0y atiirm I�a� I am licensetl untler pmvisions ai C�aO�er 9(commencing wii� Seciion 7000� ol �ivision 3 of Ihe Business and Protessions Code. antl my license is in full force and ef�ect. CITY LIC.: STIITE LIC.: CLASS: Daie: Signaiure: WOPNEXS' COMPENSPTION OECIANATION: I here�y afli�m I�at I have a cehi�icate oi consen� lo sell-insure or a certi�icale ot Workers' Compensa�ian Insurance, or a certifietl copy thereo� (Section 3800, Lab. C�. POLICY NO.: E%P. ORTE: COMPANY: ❑ Cetlifietl copy is �ere�y �umishetl. ❑ Certifie0 topy is �iled wi�h the ciry Builtling Divisian. Oate: ApplicanC E%EMPTION FPOM WOflREPS' COMPENSATION DECLAPRTIO :(T�is sec�ian n I Ioi be tompleletl i�lhe permi� is �Orone AunOreA (51W) Or 1¢5S). I ce�ify Ihai i Ihe eAormance ot Ne work lor which ��is rmit is issuea I iall no� employ any person in any manner so as to become sublect �0 1 QW kers' ampensalion Laws of Calibrni �ate', v Signamre' NO ICE If, alt r making this dedaraiion, you shoultl become suble�� o �he Workers' Compensa�ion pmvisions o� lhe Labor Code. you must totlhwilh comply wilh suc� pmvisions or �his permi� shall be deemea revoked. CONSTflUCTION LENOING RGENCY: I he�e0y a�lirm Iha� there is a consimction lentlinp agency lOr Ihe pe�ormance of Ihe work �or which t0i5 permii is issuetl ($eclion 3W7. Civ. C�. LENOEfl: AUONESS: OWNEB BOIIOEH UECNNATION: I herebY a��irm Ihal I am exempt irom the CanVac�ors' S�ale License law �ar �he �allowing reason �SecliOn 7031.5 Business ana Pmtessi0nal CoOe: Fny ciry ol counry whiCh require5 a permi� m constmCl, alter, improve, tlem0lish, or repai� any stmc�ure, prior to ils issuance. also require5 the applican� tor such permil to �ile a signetl statemenl t�at he/she i5licenSeU pursuam to Ihe provisions al the Contracmrs' S1ate license Law (CAapter 9(commencing wit� Seclion 7000) ot Division 3 of the Business ann Pro�essions Code) or Iha� he/she is exempt thereimm and Ihe basis �or 1he allege0 exemp�ion. Any violaiion o� Sec�ion 7031.5 by any applicant �ar a Dermii sublecls the applicanl lo a civil penally o� not mOre �han five huntlretl dollars ($500). I. as owner oi Ihe propeny or my employees wit� wages as iheir sole compensa�ion, will do �he work, antl �he ❑ strucwre is not intentle0 or oitered lor sale (Section 7044, Business antl Pmiessional CoOe: T�e Contracrors' State License Law Ooes no� apply �o an owner ol a D�openy who builas or impmves Ihereon, antl who does such work himsel//herself or ihmugh his or ner own employees. pmvideA ihat sucn impmvemenls are not intentletl or ottere0 for sale. If, however the 6uiltling or im0�ovemeni is saltl wit�in One year Of tomple�ion. the owner will have ihe burCen Of proving he/She tli0 n0t 6uiltl or impmue tor the purpose ol sale). I, as awner a� �he pmperly, am exclusrvely contracting wilh licensed coniractors to cons�mc� ihe prolect (Seclion 7044, Business �I antl Pm�essions CoOe: The Con�ractors' S�aie License Law tloes no� apply lo an owner of D�oDenY who �mlds �r imprOves �hereon an0 w�o contrac�s �or such pwlecls wi�h a conVacior(s�license Oursuant �o �he Contrac�ors' Sta�e Lit¢nse Law),I am aware �hai pmof ol their Warker'S Compensa�ion insurance 5�ou10 6e pmvitle0 to me. � I am exemp� untler Semion'. B. 8 P. C. tor �hi5 reaso . oate'. � � Owner I tla nereb cetlify Ihat I am aware af antl untlerstantl Ihe reQuiremenis of Cahfomia Healt� an0 Salety Code Sections 25505, 25533, ana 255JG antl Nai I or any Wlure �uilding occupan� wilVwill no� (circle one) need Io [ompty wi�h saiA Slaie codes an0lhe �equirements (or a permii lor conslmc�ion or motlAica�ion Imm �he Air Ouahry Managemen� Oisirict. Fesitlen�ial consiruction aDPlicaiions are exempi �mm Ihese pmvisions. Oale: _ Inere�y ordinanc prOpetly oate: ' pOPiicanl: Illat I have r¢a0 this applitaiion antl Slaie slate laws relating Io building conslmclion �etti0q purposes. Signaiure'. Social Secunry is cortec�. I agree �o compiy with all city antl counry ntatives o� Ihis ciry ro emer upon [he a6ove�mentioned I6aL46 Wmte—Buildmg: Green—CoEe Enlorcemem: Canary—ApplicanC Pink—Revenue; Goltlenrod—Assessar CITY OF COSTA MESA — BUILDING PERMIT PERM NO; E 065991 PERMIT NO: E 065991 � PLAN CHECK NO: N GOVT: N SUPP: Y CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE PURPOSE: NEW JOB DESCRIPTION : NE4I SFD WITH AN ATTACHED GARAGE 6 DECK SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 COMMENTS: SFD W/ATT GARAGE & 565F DECK, TEMPOAARY WOAK WITH FOR MODEL I-IOME +��+��r**x ***�r**x�*�r**�r+t�t ��t*****�*x *�r**+t+�� ***�t��r*x�x*��*� *+�x�*****x *+t*�r**+�*�r�r�*�t***�r Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV; PARCEL: 42520120 ZNE: REF NO: PLANNING NOTES> � • iE if 1E 1f 1E iE if 1E if iE if iE iE iE fE 1E iE 1E fF fE 1ElE iE �E 1Elf if iE �E fE iE �f iE 1E iElE iE if iE �k 1E ff 3E fF �E iE j'r it iE K iE if iE k�E 3E #� iE iE if iE if �E fE 3F 9f 1f ik iE �lE �E 3f iE iE jF aE iE %ff D E V E L O P M E N T S.E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY � DATE: BUILDING APPROVEP BY : - DATE; APPLICATION ISSUED BY; ' DATE: 'cl l� 1EiklfifiElfitiFifiE�lliE1F1f1EfE%lEiEifif�lE f f ��iffflEif�ElE�lEififif .iEiE iE iE if if jE iE iE if if �E it iP fE �E 1E 1f ib iE 1E if dF iE 1E it iE it iE iflP iE jP iE iE 1E �E iE if iE iE iE iE M iF jF 9E �f iE iE 1E 14lf iE iF if iE 1E �E iE if af �f If if jf 1E it jf iF 3E iF jk 1E iF �f 9E �f 1E iE if LEGALIZATION;N F E E S U M M A R Y STRUCTCTRAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PEAMIT 15,00 SOY SMIP/NON—RES PLAN ISSUE FEE 4,50 HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 15,00 4,50 0,00 19.50 19.50 ,00 RE�'Et7UE DIVISION TOTALS--> COLLECTED; 19,50 OVER/SAORT: ,00 BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 19,50 iE ff 1f iE 9E iF iF if iE iE iE if 1E �E ik if iE if iE it iE iE if i! i! �E iE ik 1f jf if if iE 1E iE iE if iE iE iE iE �f 1E if i! if if iE iE 7E if iF if if iE if 1f if ik iE if iE iE %iF it ff fE iF ff iE iE iE fE iE iE iE if iE I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 TEMP WORKWITH EA, 15,00 15,00 END OF FEES �DUPLYGATE F'.EGEIF•T� DS OD15;172-00155172 T UT 19.gD DRTE: 02/09/94 TItIE� 10:00 Qi nnis�„� __. . ;� � i" i9.5� UATE� i;'::/uv144 7II1E: lO:Od CONSTRUCTION AND PLANNING �� `' '�A APPROVAlS Permit # Oate Inspector qppROVALS Permit 3k Date Inspector t. Temporary Electrical Service or Pole �: � 52. Pool & Equipment Loca[ion � � 2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement . � ' 3. Electrical Conduit UtilitY�Undrgrnd. � 54. Forms � 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Relnforcemenc 56. Rough Ptumbing & P�essure Test 6 Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Conduit�Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undr�rnd., Tese � 9. Water Pipe-Undrgmd. 60. Backwash Lines, P�Trap, �7 Undrymd. , 10. Structural Floor System _�` 61. APPROVALTO DECK �_ � --- • 17. Property Sewer Line & House Connection � �� 62. Backwash & Receptor-Final ' � i i2. Sewer Cap 63. Hearer & Vent-Final ry - �� 73. Roofprains 64. Plumbing System - Final � � �� 74. flougR Plumbing 65. Electrical-Final � � i 15. Rough Electrical-Condu�t 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access APUrovai ( 17. Rough Wiring Sign 68. APPROVED FOR P�ASTERING 18. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYS7EMS FINAL 19. flougn Heating & Air Conditioning PIRE DEPT. REQUIREMENT 20. RougN Factory Fireplace - APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping � Gas �J Ofi 23. Gas PiPe�Rouqh & Test 72. Underground Ftush 24. Roof Framing • 73. Undergrnd. Storage Tank � Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T�Bar Ce�ling (Structuraq & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 2e. lathing & Siding 77. FIXED SYSTEM PINAL 29. Insulation 78. FIRE PREV. FINAI 30. Dryw211 Nailing HEALTH DEPT. REQUIREMENT 31. Piaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power MeterFinal ,//� 80. FOOD CERTIFICATE ISSUED 1JJ..�� 33. Final Electric �� Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe•Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbin9 ' 39. Water Service�Finai , 40. Gas Service-Final � 41. Solar pomesticFinal . ,� - 42. Backflow Preventer � + , � � 43. Backflow Irrigation � � 44. �andscape Irriqation System 45. Sound Attenuation • - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 46. FINA4 PLANNING _ ' � 49. Electric Release to Edison - 50. Gas Release to Southern Caiitornia Gas Co � 51. CERTIFICATEOFOCCUPANCY _ No. Date ! � VR0.IECT AODHESS: Z O G E 1 6 TH ST uxir: D OWNEH'$ NRME: RALPH 6 NANCY EMERSON aooeess: q 300 CAMPUS DR �100 NEWPORT HEACH CA 92660 RflLMIENGINEEq: ( 7 S 4� 2 6 3— 1 9 2 O flEC.NO.: DONALD FLAIR C—'��01 R�OflESS: S 6% 1 S VON KARMAN AV IAVZNE CA 92714 PEHMITTEE: zO6 16TH ST ASSOCIATES ( 714 ) 263-1920 aooness: q300 CAMPUS DR 238 NEWPORT BEACH CA 92660 LICENSED LONTNALiOB OECUNR710N: I nereby alli�m inal I am licensee uneer ommions ol Cnapter 9(cammencinA wt� Seclion 7p10� ol Oivision 9 0l I�e Business and Professions COOe, an0 my license is in lull force an0 ellecl. CITY IIC,: STpTE LIC.: CLASS: Date: Signamre: wONKEflS' COMPENSATION oECIAflATION: I nereUy aHirm tlut I have a ceni�iW le al tArtunt to sel4insure or a cenilicdle of workers' Comoensation Insurance, or a ceniliee copy tnereot (Section 3800. La�. C�. POl1tY NO.: E%P. ORTE: LOMPRNY: ❑ Cerliliea CoOY �5 �er¢Dy Iumi5he0. ❑ CenilieG copy is liletl vnt� I�e tity BuilEing Oivision. Oale: Applicant: FXEAIPiIONFBOMWOPMEPS'COMPENSIITIONOECIAflATION (ihi55eWon eOmlEecanpklWil�Mpermiblmm2Mutl2O(1100)orless�. I cenity tnai in t� petlormance al t�e work for wNc� t' mit u is5ue s�all not employ airy person in airy manner so as to Oecome 5ubjeti t ��e W kers' ComDensaiion LaxS ol Ca07ami pa�¢: Z Siqnaiure: N TICE: I, aller mdWng Ihis oeUaration. you SMula me suoiect Io ine WOM1Cri COmpensation pmvaion5 al ine LaDor CoEe. you mu9 �ari�with mmply wii� 5ut� Orovi5ion5 or ttti5 pCrmii 5liall DC GeemeO rwok¢0. - WNSTROCTION IENDING �GENCY: I �ereby al�irm tlwl IMre ¢ a canSlruCtiOn I¢nGinp aO��Y �or I�e cehormance�of t�e work far wnic� t�is permil is issue0 �Setlion 3097. Civ. C�. / tENDEfl: RODNESS: OWNEP BUILOEB OECUM110N: I �ere�y allirm lha� I am Crempt Imm Ihe Conira[tors' Stale License Law lor I�e tollowinp �eawn (Seclion 7031.5 Bu9neu anO Proleuional CoEe: Any ciiy ol [ouniy w�ic� rtpuirts a Oermii �o tanslmct, alier, imprOve, Uemolish, or repdir any sirutlure. o��or to its �uuante. also tepuir¢5 ine aoD��an1 for such permit to lile a siOneU slatement iMt hPJsne 6licensea �' pwsuant io ihe O��ons ol Itre Convacmri State Licenx Law �Gup�er 9(commencin0 wit� Sectqn 7000) ol Division 7 0l the Busineu aM Prolession5 Coae� 0� Ilwi hNshe is eKemp� I�ereimm aM Ne nasis br t�e a9e0� exemD�iOn. Any vioWtqn ol $ECIiOn 7031.5 �y any ap0�nt lo� a Detmii subjec6 t�e appliWni to a Gvd p¢nalty 01 noi mare Ihdn live �untlreO UOIlarS (5500�. I, as ovmer ai t�e propeny or my emyloyets wiih waACs as lheir sde wmpensalion, will Oo l�e vroA, anJ lhe ❑ simcwre ¢ not imenEed or of�erea for ule (Section 70aa, Business anE PmlesUonal CaOe: The Contracmrs' Sute License Law Goes no� apDN to an owner ol a D�openy w�a Uuil0.s or improves thereon, and vAro does such woM1 �imselflAerself or tAmuAh Ms or ner own empbyees. pmviaeG ihat sucA imprwemenis are not inceMeE a olfereA for ule. II, Mwever ihe Guil4inA or impmvemenl fs SOIG witNn one yeat ol fAmpleibn. I�e owner will luve t�e OurG¢n ol pmvin0 �usAe N� nol DuiM o� impmve lor Ine purpase al Saiel. � I. as owner o� t�e pmpeny, am excWsively wntractinp wit� licensea comractors to wns�mcl I�e pmlect �Section 70aa. Business an0 Pmiessions CaGe: T�e Conlratlor5' Stare Liceiae law aces not aDON to an owner ol orooeny wlio EmIES or improves Ihereon ana who coniracis for such prqttis witA a tontractorls) litense pursWnt to Itle Conlractat5' Slate lken5e Law6 � am eware ttwl pmof ol I�ei� Worker's Campensalbn insurance SMWE Ge pr viaeC la me. � I am exempt un�er Section: B. d P. C. �or hIs reaso / 5 4 Uate:7 2? �� O�vner. I Ou �ere0y cetlily I�al I am aware ol and untlers�antl t�e r¢Quir¢menis ol Cah omia Healt� anG $a�ely COAe Se[tians 25505, 2553J, an0 2553a ana ��al I or any IUWre Ouilaing occupant wilUvnll not (circle one) nee0lo compty with ui0 stalo wGes anE I�e repuirtmenls lor a permi� loi conslmc�ion or mo0ilication hom I�e Air ualily ManaAement Oi9�ic1. ReSiAeniial consimc�ion ap0��aIi0n5 are BMemp� �mm II@SE pf0V151��5. Date: Applicani: I h¢re�y c¢rIiIV ��al I �ave reatl ��is apPlitalion antl slaie I i Ne above i i r ipn is correci. I aB�ee to camDly vn�� all city antl counry oraioances� 4siate awsrelatinglo�uil�mgCon5lmtlion het¢byauiho''. preSenlalive5a�thiSCilyioenl¢ruponih¢d0ov¢�m¢nlioneA O�operry to ninspec /a�nf�urposes. �p'7..� Uaie: •`� " " Signaiu�e: '1 � `�' Oriver's icense m Social Secunly x: 16aLa6 White—BmlCing: Green—Code Enlorcemem: Canery—AppLcanC Pmk—Revenue; Goldonroa—Assassor • CiTY OF COSTA MESA — BUILDING PERMIT PERM NO: E 064191 PERMIT NO; E 064191 PLAN CHECK NO: N GOVT; N SUPP: N CONSTRUCTION TYPE; 5—N PERMIT TYPE� ELE PURPOSE: NEW JOB DESCRIPTION ; NEW SFD WITH AN ATTACHED GARAGE 6 DECK SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 *�**w*��r�r�r*��r�**�*x**�**�r�****D�r**�*****��*�r�*****�rD**�frr**�r*B***8*�rx*rr�r**** Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT; FT IN REAR; FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN PARKING REQ• PROV; PARCEL; 42520120 ZNE; REF NO: PLANNING Nt5'1'ES> � _ I 4MfkM4MkifkiflflflfMkiklflfklfltftffk4�k�hklfifillfififiFllltifffMiflFltif�fklfiflFMlkif!!�!ilMlflfiElflklflfMMMlkffMllfFMMMifM1flflf D E V E L O P M E N T.,�S �E R V I C E S R E Q U I R E M E N T S 20NING APPROVED BY ' ��i DATE: BUILDING APPROVED BY ; "c DATE: : � APPLICATION ISSUED BY: '.' DATE: � Z wr****�r�rr*�r*�r�t*�r�r�r*��r�r *�rx*:w**x* *�r MM4ltftifMififkififififMfflllflkkif1f1f1f1t!!!lff7flf1flfMikkififlElfMifllMlflEifflifkifMlflflfktkifiEfl4Ykif1ElhffMlFMlfMfF1Elf1fk1k1f1F LEGALIZATION:N F E E S U M M A R Y STAUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 66.68 502 PLAN ISSUE FEE 15.00 BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTALS----> 66,68 15,00 0,00 REVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLUMBING ELECTRIC MECHANIC 81.68 SMIP/NON-RES TOTAL PAID DUE 81.68 81.68 .00 81.68 OVER/SHORT; ,00 FIAE SMIP/TOT GRADING PLAN-CHECK kMftltiFfflfififkifiklfllif1f1t1f1k1f1fiflflE1f1f1f1l�FM1fM�kk1llkitflkffikk�flflflfififklf%MifkkiFkffifM4fF1kMM1tM1Eff1E7FifM%kMMM1F I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1905 NEW RES BLDG FOR i OR 2 UNITS/ SQ FT ,03 66,68 END OF FEES � Oi 001A7307-00?47E07 T r�1T °1.6E �JATE: 04/23/93 TIItE: 16:51 -- - � ; - CONSTRUCTION AND PLANNING � APPROVALS Pcrmii i;`-._ 1. Temporary Electrical Service or Po!e 2. So�i PiPe�Und•g�nd._. � �`{Ef�YjS'i�^$-Li�^.n�iA1�� ;T�Ili4'U�d�yf^.�. _ y . . 4. �E'e�tritrdh;Lc�?Zla!L:L"�tdr:vnd. ,-� -� .. 5. �tee'L Re�pr3rc2tfienY" 6. � Hectriea� UF E4 r�nd .: ��G,....��,:Fr•,; .-�,- ;: fi� "Foundauo� �� , iQ,�Structural Rom;System 11. Prppr�ry Sa�roa�.•Lin¢.L� House ConneMion 12. Se.ver Cap 73. Roaf Dra�ns � 71. Rough Plumti�ng � 15. Rough ��ue.rfcel�Cond� t 16. Rough Et¢ct.ic W, �ring 77. R�ugh Winng $iQn � 18. Rough Electric:yP•T Bar Ceiling � 19. Rou�h Heating & A�r CondiUomng - y--•-F �--s --f-- ---T- 2C. �Ro;.gh F;ctory Fnza!ace • 1 �' - . ' s _:,.�_, � 'u , � . . 27: �DuCIS, irsStri:ctuj;f . ' .'' ' �, 22. Dutts. V@ntiYaUn§ • ) _ I�, 7.3. �as Pipe-Rough &"r�:� � �:.- , ��-�-.•----�------^-=--: ' 24 9a0Y FrBm,ny � . ' . __ :� �I 25. Roo�Sncatl,:ng f'. ". ' ;r 26.��T�B�i Ce�ling ISt•�u�,:ra�� & p,?:.nocoat " - �I �27.,-,P:ameand Fia,n��' ° _ r �^'t^ � .---� TT-r-T^- ?8. LatFiing$ Sid n;,� � � � ;•g '29. InSUlaUqp ��y �' � ;, '30. D�y�vall Na�hng . r .: • $i. P�ast^r ' . ' Broton Ca:t. : i .`, _.,., .�r�3- -- _. � .-- - �-32..Electriwl Po;,rr Pftcic+�Fir�l i � 'a"� -`t - � ----- 33. Find� Electr�� : y ' ,r .�34. �F�na� Hrat�ng,3t i+w,'Co'tdit�q'tFo3- `i 35. �+rat Gai P�;e'_.t ' �L�30. i�00f� Of�.urt]PY .,'JI�y - 7 - I -�- ' �� 37.�F�nar Facto�y P��e`p�zc2 . � ,., � t-.-�=. . 38. Fin3FPlumbing , �� - ;-vr 39. �Vatet Seivice�Finai' � � A0. Gn= Serv�ce-F�nal', `='--- ,.r , . = �-=�;-.__._ Ai. Solar pomesticF�nai - ' � '�42. 9ackfloJf Prevente�t � i� . r 43. Backflow Irrigation� _ � r IA4 Lar,dscav:IFuqa��F�S;stcrr�. ,i �' z I : --..,.� :•-,�-- 'C5. Sound AtteFi«'.ener� � + �'�.� 1 T � .. �6. Nar,diwp,Regu�atlbrs ' :-; I 47. YIfVAL STRUCTLRE & BUPLDItJG T �• i 48. FINAL PLANNING. ' _ � :49. flecq�ic Release to Edison . b0. 6as Release tq Southern Cali#omia Gas C 51. CERTIFICATE OF OCCUPANCY Datc Date I InspecYor r POO L PA APPROVALS Permit ir_ 52. Pool ffi Eq�Lpment Loeation i I Date jlnspecar ' / � I 53. Stcal leinforceme�t - � I � �r�3�Z3 !J'�'�i�4. =o.m: __ -=__ I _ - - _ ,- �____- s �55. E'ectrical6or.dirg j Re�gh �'lum6�ng fi: Pressure Test - ��3� � i , . APPROVAL TO COVER�GU�::TE_ I __ � l . 58. Elacinwl Cucduit�UndrgmU. ___, 59. Ga3 P�pO. C Ur.urg•nd.. TeS: _'_____I _____ '_i "' i S0. 3aCk�vash Lines, P�Trap. O Undr;�n,7 �-I " -, 61. APPROVAL TO DECK I i j - � ---1 62. B�c'a'.ashi5 Rrr.�;,tc• F�:�al • T- �� --- - - -'- �- - - -•- -�. 63. H�dtcr & Vent�Fir.c: ,i � _ -� u4. Piumb�ng Sysn-m � F,^al ' 65. Eie�tricaLFna! I i , --T i ---' fiG. Solar SYstum�Fln,,. - ---` -- --+- ----- � p� 67. Frnr.ing & Acczss ApP�uoal �_ __� - 68. APPROVED FOR PLASTERIfvG - 69. VOOVSPASYSTE1�ISFINAL I , - --- -- -:-- ---, _ FIRE DEPT. REQUiREMEf��T � ♦y�ri��i y -. �• F: ' : ' T ' . - -� R i.:, PPRCVAt:; . Per,ttrt -% , 4 r 'i '' • . a.--•T-;r--_'-' . �.-- i : � -+ r.i o _70. l�:dergrn�t'tliHy�i�o r �_' v^.a t�ll1. ProtiuC[�P�'E-i+�g'.!�',5 7�iI �'_ . .. .+!! r.��.' .�_ � --{-'-�---. ,. � i :�� '�72. Widergrour,cJ f'„s,.� . . � _ A�-•--• I-� ' _.___ _--r-__ _ _ _��- ___ . ._ . - t• I 73.' Undcrnrn:i'. c". a�+`�nk i� G:: `�d � ; � , � 4 Ovvnc�atl Hyo�-r--- , -----� -�------ i------- � + =t � � � -t -- �----- 'n ' ia• 75. Cry Chem�cd! , � � � I �i. T. ,r � .n' � 76. �Dry Stanr�jiir� ., � -. . - -- - - - - -- '� � . -'- �- � � --- -��, �: • > 77.�FIXEDSYSTE'��,fINAL n � � �. : 78-'�FIRE PREV. FINqL � � � � - + ' _- �____ _ � �� : " -> � Fi:m4LTHDEPTtREQF1IRE'�7ENT ' - s._- V' i a � �s: rirani irv.�aEcTu��: ; - - I - ---i- - -- � �- ___ .1 _ r _____T�__?--+-r__ _ __J�- {� ____ . _+ _ _ ___. � � /�/% �� 87-�fUDD CFHTIFIC'�?:- ISSUFD � I �: � /' / � .Gr`/.i'^-+-�------- , -'-^ -- -1--- 1- - - - , I � , iVot�s_ . ' � _ ___-_ __' i• , . - . __ . , � I ,. - - -___ } . - -'_ -_ __-_ _, 'Y--a'. '•.i1,--� ----_�---- • -�� - - � --- --- - - � f I �, - � - __"-_i_----- - -- - - . . I - ' • � i w .1. .; , .. . --- --1 � * �t-- = ------m------ - --�- - � � � . .. . � _ .. 1 t � � '` �J + :--v. < . • - F a . 'r ,� i .., � F { i � ' - :J � ,� rnaecTaooecss: z06 E 16TH ST uNir: D OWNEP'S NAME: RALPH S NANCY EMERSON nooeess: 4300 CAMPUS DR it100 � NEWPORT BEACH CA 92660 (714)263-1920 r APCMIENGINEEfl: DONALD FLAIR pEG.NO.: C-9IO1 �ooeess: 16715 VON KARMAN AV uNiT: IRVINE CA 92714 PENMITTEE: zO6 16TH ST ASSOCIATES ( 714 ) 263-1920 ' noosess: 4300 CAMPUS DR 238 NEWPORT HEACH CA 92660 UCENSED LUNTBRLTOP OECIABRTION: I OereOy a�lirm Ihai I am Iicenm0 unGer D��S 01 CtuOttf 9(commencing wii� Set�iOn 7000� ol OidYon 3 oi ��e Busineu an0 Piolessions CoEe. anE my license is in IM torce anE lllBtt. CITY LIC.: STRTE LIC.: CNSS: Oa1e: Signamre: wONNENS' COMPENS�7ION OEQAMTION: I hereey atlirm ihal I nave a cenilicate ol mns¢ni toself-inSure or a cenilicate of warkers' CAmpenSation InSutan[e. o� a ceniliea copy tnereol (Sectian 9800. LaO. CI. PoLICY NO.: E%P. ORTE: COMPANY: ❑ Cenilieu wvY is nereey lumanea. ❑ Cenilie0 copy is IiteO with t�e city BuilEing Divisian. � � � Oate: AOWiwnt EXEMPIION FflOM WOPNEXS' COMPFHSATION DECUPATI :(7his SetUan not ht CompetM il Ne pumt 6 iW one h (5100) w 1¢SS�. I cenity Inal in I�e pe�ormance a� I�e work lor w�ic� ��i p rmi� is rssu¢ sAatl nol employ a�ry person in a�ry r so as lo Cecome su�leci lo Ihe V rkers ompensatian Laws af Calilomi . ^� �� Date: Signamre� NO7 : II, att r mawng ihis Oeclara�ion. you s�ould 6ecome suble�� io ihe Workers' Compensaiion Orovisions of IAe Labor Coae. you musl fonnwiln compty with sucn pmvisions or �nis permil snall ee aeemea revokea. CONSTBOCTION LENOING RGENCY: I �ere�y a�lirm I�al In¢re i5 a con5lmCiion lenainp apenty lor Ihe pedormant¢ OI Ihe work lor whic� ��is permit is issueU (Section 3097. Civ. C). � LENOFfl: aooness: OWNEP BUILOEB UECLAMTION: I hertby ai�irm tha� I am exempl �mm I�e Canlraciori $Ia�e License Law lor t�e lollowinp reason ISection 7Q7I.5 Bu9neu aM Pmiessional COde: My city ol County which repWres a perrtul to fArlSiNct, aller, imD�ave. Oemolish, or reoair any sVucture. prior to its issuance, also repuires Ine aop�icant lor sucn Defmil Io lite a SipneG statement inal he/sAe is Iicense0 pursuam m �ne Omdsions ol lne Camracmrs' Slale License law (Chapter 9 �commencin0 wiln Seclion 7000� ol �ivision 3 0l ��e Business ana P�oi¢59on5 COG¢) or Itlal hUsh¢ is ¢xempi Ih¢r¢�mm ana Ihe Oa95 lor lhe alleqe0 eM¢mpli0n. My vioWiion a� $etlion 7031.5 by any apDlicant lo� a Dermil woietis ihe apvliWnl to a civil penally ol not more inan five nunEreE Edlars (f500). I. as owner of Ine D�apeny o� my employees witn waAes as ineir Sole compefl5ation, wIA Oo ine work, antl Ine ❑ stmcWre is mt intenaed or olterea Ior sale (Section 70aa. Buvness antl Pmleuiorul CoGe: T�e Conirac�ori State License Law Oces no� appN �a an avmer o� a pmperty wlw builtls or impmve5 Iheleon, �n0 who Ooes Such work NmSU�/�er5ell or IltmuOM1 n5 or ner mm employees. o«�� that such impmvemenis aa not intentle0 oi ottere0 Iw sale. II. howMer Ihe euiWing or improvement is solG v.i1Nn one year ol com0le�ion, �he owner will �ave ��e OurOen al provinp he/s�e CiE n0� build or impmve lor I�e purpose o� Sale�. Y I. az awner oi t�e property, am excluvvely conirac�ing wuh licenseG conVacmrs m constmn I�e D�qen (SecGon 7044, Business L7 aM Profesvrcrs CoOe: TM Contracrors State License Law Goes noi apply to an awner al yoperry who hWOs or impmvw therew a� wM cwuans loi sucn orqects witA a convactorlsl limnse vursuant io me Contractors' State Licefae Law). I am aware inat or0of of Ineir WOAer's Campensation insurance snoul0 Ge pr � ed to me. � I am exemo� under Section: B. d P. C. lor �nB eason: � Oate: 7 Owner. I ao neRby cenily in I am aware of an0 untlerstane Ihe repuirtmenis ol IilorNd Healin anO Saleiy COEe Sttibns 25505, 25539, antl 2553E a� 11WI l or airy luiure builGing Otcupani vnlAvnll nat (circle one) neeG lo fAmply wi1t1 yiG 5tate t07e5 an01�e reQuiremenls lor a permil foi consbuclion ar moeJiw�ion Imm I�e Aii Ouatily Managemenl Dislricl. PesiGential coriSlrutti0n a00��on5 are evempl Irom inese proviions. Oale: Applicanl: I �er¢�y cerlily IMI I tuve r¢a0 ��¢ a071icalion ane state 1 1 e a�ove inform n wrrecl. I aA�ee �o comply wii� all ciiy an0 counry ordinancESaM latelaws Na�ingl0buibingconstmclionan e�yaulho�izer 5 Uliv¢SOI1N5Gtylo¢nlerupM�� ve^menlioneG O�opetly larin ecuon urposes. l� Date: � $ignalure: ori.er's ticense oi Soc�ai Secuniy rr � t6dt�a6 W�ne—Builaing: Green—Cotle Enlarcemenl' Canary—Applicanl; Pink—Ravenue: GolCenraE—Assessor � CITY OF COSTA MESA — BUILDING,PERMIT , PERMIT NO; P 064193 PLAN CHECK NO: N . , CONSTRUCTION TYPE: 5—N PERMIT TYPE; PLU PURPOSE: NEW JOB DESCRIPTION : NEW SFD WITH AN ATTACHED GARAGE & DECK SQ FT: CLAIM VALUE: CALC—VALUE: G[tOUP OCC; R-3 /M-1 COMMENTS: 'LOT 4' OR UNIT 'D' SFD W/ATT GARAGE & 565F DECK, RE:#B64181 it**irrr**sirwirr�+t**�r*r***iFit****r*iF+tatrr*�r*****ic*�**+t**+t+t*+t**�****ie***rt�c+t**itit****** Z O N Z N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FANT; FT IN REAR; FT IN FRNT; FT IN REAA; FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING RE�• PROV; PARCEL: 42520120 ZNE: REF NO: PLANNING N 'I'ES> > 7f1klhMitifkkiklflkMM1Flkff7flhihk7fif1f1f1f41fM1kMihkMil4lkMffi!!flklflftl7FilkiFitlfklf7f1ftt1kllMitlFMlFfkkriF!l7F1f1lififklfiftfiflkk D E V E L O P M E N T S E R V I C E S R E g U I R E M E N T S ZONING APPROVED BY __ DATE: BUILDING APPAOVED HY : DATE: APPLICATION ISSUED HY; % DATE: 2� ikltifMkMilMifilif1h1t1f1lkMffMffifM kMMlfitMMitlfM 1l1k ftflff4ffMiklflflfMifMff�7kMitltffftlfifMMifM1tMNMififlfltkftkklfiFlfMMMlflfitM7tififffitiEit7flEffiffFiF4M1f7fMifiliFkMMlfififlEifiEfE LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 139.00 � PLAN ISSUE PEE HUILDING-DIV-> TOTALS----> zsi 20.00 PERMIT ISSUE 139.00 20.00 PLAN—CHECK �,00 REVENUE DIVISION TOTALS--> COLLECTED; BLDG PMT PLUMBING ELECTRIC MECAANIC 159.00 SMIP/NON—RES TOTAL— - PAID DUE 159,00 159.00 ,00 159.00 OVER/SHORT: .00 FIRE SMIP/TOT GRADING PLAN—CHECK iFiFififitiEifikMififRifiFiFIFMiFifffififMiEkkiklfMifriEifM%MiF1EitMiEMififlflflflFiFiFiFifMltilifififMftKIFiFMkiF1FM%MM1EIEifiE1E1{itit I N D I V I D U A L ' F E E H A E A K D O W N `1`�r� f�3`Y t1 � 9��1 t p T I f) N UNIT COST TOTAL COST PLU 1 DISHWASHER 3:�� 17:�H PLU 1 LAUNDRY TUB OR WASHER 7.00 7.00 PLU 1 SHOWER 7.00 7.00 PLU 2 SINK, KITCHEN 7,00 14,00 PLU 2 WASH BASIN 7.00 14,00 PLU 2 WASH BASIN (SET) 7.00 14,00 PLU 3 WATER CLOSET (TOILET) 7.00 21.00 PLU 1 WATER HEATER AND/OR VENT 7,00 7,00 PLU 1 WAT6R SERVICE 7,00 7,00 PL❑ 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 0100)5?:0:0-U014i3�6 Ti]T 5.0;09.OQ D'nTE: 09/25;93 TI11E: 16:50 y-� ' CONSTRUCTION ANDPL�ANNING POOL ?A APPROVALS Permit # Date Inspector AppROVALS Permit �`r Date Inspector 1, Temporary Electrical Service or Pole 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. �{�o�q3 GF.O 53. Steei Reinforcement . , i �lettrical'COnAuit-tltdiry�Undrgmd. 54. Porms • 4. Electricet Condu�t•Vndrgrnd. 55. Hec[rical Bonding 5. Steel fiejnforcetriertt 56. Rough Piumbin9 & Pressure Test �- 6, Electcit�i'UFER Gmd. 57. APPROVAL TO COVER�GUNITE ; .•'7., Footih§sT� ' - 56. Electrical Conduit�Undrgrnd. ",�8: Foundatioii - 59. Gas Pipe, O Undrgrnd., Test � `*'9: Water Pipe�Untlrgmd. 60. Backwash Lines, P-Trap. O Undrgrnd. 1Q.� Structural Fioor System 61. APPROVAL TO DECK ' i t. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Pinai � 13. Roof Droins 64. Plumbing System - Finai 14. Rough Plumbmg . 65. Electrical�Final 15. Rough Electriwl-Condu�t � 66. Solar SYstem�Finai 16. Rough Electric Wiring � 67. fe�cing & Access ApP�uval 17. RoughUJiringSign 68. APPROVEDFORPLASTERING 78. Rough Elecirical-T Bar Ceiling 69. POOUSPA SYSTEfviS FINAL 19. Rough Weating & Air Conditioning FIRE DEPT. REQUIREMENT � ,_ � 20. Rough Factory F. ireplace � . • i a APPR.OVYILS. . Permit #� �' - :, , 21,.,, Duqts, in Svuctvl� � �. . � �- � � • �; „ - 70.:Underground Hydro � � 22. DUtts,�Ventilating . �) '_' � � ' 71, ProduCt Pipin9 G7Gas OOiI 23. Gas Pipe�Rough &.Tesc ' �.� � , . � � � '� 7y, Undergroupd Flush � ' 24�.• Roof Framing ��. • � . • i ,: � � - � 73. Undergrdd�StorogeTankOGas ❑Od - " � ' 25. Roof Stieathing ' �- , ' �� . 74. Overhead Hydro - 26.. T-8ar Ceiiing (Structuraq & Moaocoat � � 75. Dry Chemical • � ! ' � 27" Frame and Plasqiny , '' , � - 76. Dry Starid'pipe ' - "' ' � � ' ' .�28. La�thing&Sidirlg.%. � • •• 72: FIXEDSYSTEM�F{ryq.� ' �'i : n�)� ' . 29. Insulatjbn - F � '~' � '' � � H F 7��IRE f,FEV. PINAL � . �- �r.• � - - � 30. Drywall Nai�ing � � � � �-+ •-i •�HEAIT,H DEPT. REQUIREMENT.: - .� - � � 37. Plaster.0ro�vn Coa� r .' ,' � I � ; : . 79. FI'NAt IIVSPECTfDN , � ` � - . � , ' 32:� Electrical Power:Meter-Final � �^i j I �� ». 80a FOOD CERTIP7CATE f6SUED � 33ii Find� Electr.ic � �. '• i � Nntes: : ; � i- .; 34. Final H@atin�&A�r�Condition+Rg �, ; i � . � � �J � � � „ _ � y1-1-3 'c��/-IZE?z1L�sS-�i:.� ' 35. Fi�al G�s Pi�e�Tesi " �, �• r �� , 36. Hood or CanoPY� � , ` � a • � � �� , . , . �' 37. Firial Factory Fire�laCe - '� - • � , �� ' . �. 38. Fiqal Pl�mbing �' �i ' . � . ` � • - ' :� 39. �Vazer Service-Final ' � • ' � • � 7 ' i �' � � � 40. Gas Service-Final � , . . - , . ; � '. 41. Solar pomesticFinaK ' � � + .� � ! . y� • ,� 42. BackfloJv Preventer � I �� , _ ._ 43. Backflow Irrigation � - � . � � " � �' . ' ,� 44. Landscape Irrigation System : � • n � ••- � �� ' . . : . _.'+_ : 45-Sound Attenuation " � � ' - � ' r '� i .. �� - � 46,'HandicapRggulptipns �� - � '� �� ' , . �_,�. ��- � 47.: FINAL STRUG�URE & BUiLDING � � � .� .. • 48.•.FINALPLANNING � �� , i, (Y i . � 49. Electric Release to Edison ' .;� � � � � 50. Gas Release to Southem Califorpia Gas Co - �. .� .. • 51. CEiiTIFICATEOF.00CUPANCY , ,_ . ... No. Date �' I PHOJEC7 AD�NESS: OWNEH'S N�ME: aooxess: AflLN/ENGINEEfl: noosess: PENMITTEE: noosEss: UNIT: PERMIT NO: P 064193 PLAN CHECK NO; 03736-93 N , *+��r*+�**+r+t+ri�irirfti�w*�r�r�rit�r*�r�r�e+trx*+rir�tirr**iti�*�r**�rir**�r�t*x*w+tkirr�ri�*�r�r�r*�***r+t+rxi�**�r�t�rx flEG.NO.: I TYPE UNIT; PLU PLU LICENSEO CONTBRCTOP OECLABRTION: I �Crt�y allirm tlui I am litensea untler pmvivons al Clwpter 9(cammencinp wi�� 5¢ction 7q10� ol Dmsion 3 al l�e Busmess antl Piofessions CoOe. ana my license is in lull brce antl eltec�. LItY LIC.: STqTE LIC.: CLASS: Oate: SiAnature: WOflNENS' COMPENSQION DECIANFTION: I �eR�y aflirm tlui I twve a CeniliWte ol ConSeni Io 5e14in5ure or a ttrtiliWte a� Warkers' fAmoenShcbn Insuqnce, or a cenilieE cooY ��er¢ol (Section 380U. LaG. t�. PoLICY NO.: E%P. O�TE: COMPRNY: ❑ Certifiea copy is nere�y fumisheA. ❑ Cetlifie0 w0Y is IileG vrith Ne city Buil�ing Oiv¢ion. Jate: AOD�icani: /� EIIEMPiION FflOM WOflIIEflS' fAMPEN5ATI0N OEClA1WT10N: (fhis stttion neetl no� be wmpleteC il Ne perrM k fa one huNreO �5f00� or less). I cetlify Iha� in t�e peAormance ol �he work for w�ic� Ilus Dermi 6 i55ueG. 1 s�all no� employ afry Perwn in am/ manner so as �o become SuOjeci lo I�e Worker5' Com0en5aiion Laws ot CaGfomia. Oaie: Sigreture: " NO710E: II, atler making ��is aeclaration, you slwul0 bewme suhlect to lhe Workers' Compensatiomp;ovisions of ihe Labor CoOe. y0u must lotlhwilh comply with suc� O�a�sions ar IMs permil s�all be OeemeO avokeE. CONSTPUL710N LENOING AGENCY: I AereEy allirm t�at tAere is a consvuction lending apenty for t�e�petlormance al the wark for wnic� tnis permn is issue0 �Seciion 3097. Civ. C�. �.�/ IENOEfl: � RDOflESS: OWNEB BUILUFfl OECLRflRT10N: I �ere0y allirm Iha� 1 am eeempi �mm I�e Contractors' Sla�e license Law br �he follovnnp reason �Section 703t.5 Business anA Pmiessional Code: Any dty ot county wAich reQuires a permit to constmct, alror, im0�ove, aemolish, or repai� any slrucWre. piior lo ils issuance. also reQuires t�e apPlicani lar such permi� to �Ae a signe0 sta�emenl Iha� helshe is Iicense0 Oursuam io i�e provisions ol ihe Contractors' State Licenu Law (CIuO�er 9(cammencing with Section 7000) ot Oivision 3 0l ihe 9usiness and Pmiession5 COG¢) oi ihat �e/s�e is ehemp� ��erefrom anE I�e Ga5i5 �or the allegeG exempiion. Any violation ol Sec�ion 7031.5 by any aDP�� or a Derrtut sublects t�¢ appliunt ia a uvil Denalty al not more than five �unGreO OODars (5500). I. az owner ol tlle Ompeny ar my employees xith wages as iheir sale compensalion, wiA Oo Ihe woM1, an0 ihe ❑ sirucmrt ¢ rw� ime�etl or ollereG lor ute (SeCuan 70aa, Business antl Professional Cotle: T�e Coniractors' S�are License Law Goes nai aODN �o an owner ol a properiy who OuilCs or impwves Ihereon, an0 w�o Oces such xrork �im5ell/�er5¢If or ��roug� �i5 or �¢r Own empl0ye¢5, pmuidea I�al SUth impwv¢menis ate no� inlenUetl or OHer¢G lor Sal¢. I�, AOwEVEr I�B �Uileing Or imprOvemen� is sola wi��in one year ol cam01e1ion. Ne owner will Aave lhe �urden o� pmvinp �Uslie Cid not buiitl or impwve �or I�e purp05e Of sale�. I, as owner ol t�e pmpeny. am e.cWsively wntracGnq wit� IicenseG conirac�ars �o consimct t�e D�olect (Section 7UAa. Business ❑ an0 Pfole5Sid15 COEe: The Cqnira[IOrs' Stale license Law Oces iro� apply �o an own¢r ot property .no ewias w imo��s me�eon ana wno camracts lor sucn pmjetls wiin a comractoqs) license oursuanl to ihe Coniracmri State L'aense Law�. I am aware Itui y001 01 I�¢ir Wark¢r'S Campensa(bn irt5urance SIwu10 Oe pmviUetl Io me. � I am eKemp� uMe� Seclion: 6. d P. C. �or Illis reaSOn: Oaie: Owner. I Go �ereGy [eriily I�ai I am aware ol anE unGerslantl Ihe reQuirBmenls o� Cali�omia Healih anC Sal¢ty CoUe Sections 25505, 25533, an0 2553< ana Ilut 10� any Iuiure Ouilding occupani wilVwiO nol (cuUe one) need la com0ly vn111 SaiG 5tate codes anA Ihe reQuir¢menis �or a ce«� �ot cwrsiruttion o� mOtliiicalion imm tAe Nr Ouahty Manaqemenl Oisinct. FesAentul mnslNCtion appiWtions are exempt Irom ��ese provivons. Oale: AOV�itant: I �ereGy cetlity I�a� I have reatl Ihis apPlication an0 Slale Iha� �he a0ave inlorma�ion is correcl. I aprte to comply wilA all ciry antl county orCinancu anE Slalelaw5reialinglo �uilaing conslmction an0 �er¢�y aulMr¢erepre5enlaiives oltAis cily�o enter uponlhe a0ove�mentionetl proMtly Iorinipeciion purposes. Date: SiAnamre: Dmer'S License oi $acial Securily M: 164t�a6 W�ite—Builtling; Green—Catle Entortemenl; Canary—ApplicanC Pink—Revenue; GOICenroa—Assessor QTY D E S C R I P T I O N 1 GAS SERVICE 1 SEWER, CONNECTION TO BUILDING EACH END OF FEES . � � �. ;' , : � • " ` . UNIT COST 7.00 15.�� TOTAL COST 7.00 15.00 #DUPL.YGATE REGEIPT# �! �01�7306—OD147$06 T r_eT t5o,00 UATE: 09:2E/90 T?IiE: 16:50 , CONSTRUCTION AND PLANNING POOL lA APPROVALS Permit{h Data Inspector qppROVAL$ Permit,� Date Inspector ' 1, Temporary Eiec[rical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Untlrgrnd. 53. Steel Reinforceme�t 3. E�ectrical Conduit Utility-Undrgrnd. 54, forms 4. Electrical Conduit�Undrgrnd. 55. Electrical Bonding 5. Steel Reinfo�cement 56. Rough Plumbing & Pressure Test 6. Electriwl UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 56. E�ectrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, C] Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgrnd. 70. Structural Floor System � 61. APPROVAL TO DECK l7. Property Sewer Line & House Connecticn �-� s�, Backwaeh & Recepfor-Final �� 12. Sewer Cap 63. Heater & Vent-Finai 13. Roof Orains 64. Pfumbing System - Final 14. Rough Plumbing �O%`/�} �� 65. Electricel•Final ' 7 75. Rough Electrical•Conduit ` 66. Sotar System•Final 76. ftough Electric Wiring 67. Fencing & Access ApProval 77. Rou9h Wiring Sign 6$, APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20?' Rtlugh'Fact6rX� Fireplate APPROVALS Permit # 2L� Duces, ih Structure 70. Underground Hydro 22. Ducts, Ventilating 77. Product Pipinp O Gas ❑ Oil 23;,Ga,s, Pipe-Rough & Test 72. Underground Flush 24; Roof Framing- 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Rmf Sheathing � � 74. Overhead Hydro � 28:•T-Bar Ceiling fiStructural) & Monocoat 75. Ory Chemical 2T.' Fr�me ahd �Fia�shing 76. Dry Standpipe 28. Laxhing & STding 77. FIXEO SYSTEM FINAL 29. In�ulation '" 78. FIRE PREV. FINAL 30. Drywail�Nailin� . HEALTH DEPT. REQUIREMENT 31. Plaster Brown�.�oat 79. FINAL INSPECTION 32. Etectrical Power Meter-Finat 80. FOOD CERTIFICATE �SSUED 33.:Final Electric�, � Notes: �jp 34.� Final Heating & Air Conditioning =�� >G 2=/S- ��L ��_' ./�,�J+ • TSo� T �f�i_Z� 35;; Final Gas Pip�Te§t � 38.� Hood or Canopy� 3�Firial Factory Fiieplace 38. Final Pl�mbi�g (Z(S�Z 39-Warter $ervice•Final �Sp,( - ` _ ' _ ___ - " �•r 40�,Gas Service-Final ' � • �_/_�- � _ f�'. . , 41?'Solar pomestic-Final 42. BackflotN Preventer 43. Batkfiow Irriga'tion j44. Lendsc�pe �Iyrigation SYstem ��,45. Sound Attenuation 46. Handicap Regulations 4T.'FINAL STRUCTURE & BUILDING 4&�PINAL PLANNING 49. ElectricRelease to Edison • 50. Gas Re'}easc 2o`f5outhem Califomia Gas Co 51. CERTIFICqTE OF OCCUPANCY No. Date k � � PP0.IECT ADOflE55: 2 O 6 E 1 6 TH S T OWNEH'SNAME: RALPH.S NANCY EMERSON nooncss: 4300_CAMPUS_DR #100 uxiT: D CA 92660 (714)263-1920 RHCN/ENGINEEN: DONALD FLAIR qEG.NO.: C-91OS nooxess: 16715 VON KARMAN AV uNiT: IRVINE CA 92714 PENMITTEE: zOG 16TH ST ASSOCIATES ( 714 ) 263-1920 aooness: 4300 CAMPUS DR 238 NEWPORT BEACH CA 92660 LICENSED CONTNACTOB DECLABATION: I here�y aflirm I�a� I am Iicense0 untler Dmvisions o� CAapler 9(commencing wit� Section 70001 0l Division 3 0l ��e Business and Pmlessions Cotle, antl my license is in full brce anA e��eci. CITV UC : STRTE LIC.: CIASS: �ate: Signamre: WOBREflS' COMPENSRTION UECLANATION: I hereby affirm ��ai I have a cetli�ica�¢ ol consenl to sell�insure or a cerii�icale ol WorMerS' Comperisa�ion Insurante. or a cenifieA coDY �hereaf (Section 3800, Lab. C�. POLICY NO.: E%P. OPTE: C�MPPNY: ❑ Certifietl copy is hereby lumished. ❑ CeM1ilied copy is liled wilh �he ci�y BuilAinp �ivision. Oate: Npplicant: E%EMPiION FflOM WOflREPS' COMPENSPTION �ELUBATIO ' �ThiS seclion nee4 n I Ge compleleU i11he permil i5larone hunEred (E100) or less). I certily ihal in I�e petlor ance o� Ihe work lor whic� �his er il is issuea. I h II nol employ any person in any manner 5o as lo become sub�ect �o ��e orkers' ompen5aiion Laws ol Calilornia �. Date: Signaiure: NO : II, al r making �M1is declaration. you s�oul U c me sublec� to the Workers' Compen5ali0n D�ovisions ol ��e La�or COd , yau m I �o��wil� com0ly wiih such pmvisions Or lhis permit Stlall he Oeemed fevoketl. CONSTBUCTIDN LENOING RCENCY: I �eie0y a��irm Ihai Ihere is a cons�mctian lenaing agency for �he Dertormance of lhe work �or wAitM1 Ih15 p¢fRlii i5 iS5�P0 (SEC11011 3097, GV. C). IENDEP: noonfss: OWNEB BUILOEN OECLABATION: I herehy alfirm ihai I am erempt imm Ihe Conlradors' Slate �icense Law �ar �he following reason �Seceion 7031.5 6usines5 and Pmfessional Code: Any city oi county w�ich reQuires a permii lo conslNc�, alier, improve, tlemolish, or repau any Slmciure, prior Io its issuance, also repulres Ihe applicant far such permit to lile a siBned 5talemenl thal �e/s�e is licensed pursuam �a t�e provisions ol ihe ConVacmrs' Stale License Law (Chapler 9(commencinp wilh Sectian 7000) ol 0ivision 3 0l ine Business ana Professions Code) or tha� he/sne is exemp� there�mm ana Ihe basis lor ��e alleged exempiion. Any violalion o� Section 70.31.5 by ' any aOPlicant lor a permi� 5u6jec(s ihe apPlicant �o a civil Oenally ol no� more Ihan five hundre0 Aollars (5500�. I, as owner ol tAe propeny or my employees wi�n wages as their sole campensation. will tlo �he work, an0 Ihe ❑ stmcture is not intende0 or oileretl br sale (Section 7044. Buvness antl Pmiessional Coae: The Coniractors' State License Law does not apply to an owner ol a proOe�Y who builds of improv¢5 �hereon, and who does 5uch work Ilimself/hersell or ihmuqh nis or her own employees. D�oviOed lha� such impmvements are not in�endetl or onereC lor sale. Ii. however ��e �uilAing or imDmvemenl is soltl wi�hin one year ol completian, ihe awne� vnll �ave Ihe Guraen o� pmving he/she tlia noi build or improve lor Ihe purpose ol sale�. 3L I, as awnerof the propehy, am excluSiveN coniracling wi�� IicenSeA conlraclor5 io conslruc� t�e prOjeci (SeClion 704A, Business L7 anC Professions CoOe: The Comraciors' $�ale LitenSe Law tloes n01 ap01y lo an Owner 0� pmperiy who butlEs or impfove5 ihereon antl who canVaqs loi such Omlecis wilA a conlractor(5) license pursuanl lo Ih¢ Conttactors' S�a�e Litense Law). I am aware � ��at pmo� ol ��eir Worqei'S Compensalion insurance 5hou10 he pmv etl lo me. � I am evemp� unJet emion: B. 8 P. C. lor mis eason: � � Ua�e: Ownec I Oo heie cenily n a� I am aware of an0 unnerstantl ine requiremems ol Califomia HeaIN and Salery CoOe Sedions 25505, 25533, antl 2559C a t�at I or anylulure building oc[upantvnlUwillnoi�circle one) nee0 to comply wi�� SaiU s�ale codes ana IhereQuiremenis�o�a permit for mns�mclion or modilica�ion Imm ��e Air Oualiiy Managemeni Dislricl. Re5i0ential con5imction ap0licaiion5 are exempt Imm Ihese pwvisions. Dale: Ap0licanl: I hereby cetli�y Ihal I �ave rea� I�is application anA Slaie a �e above in�Orm i is [orr¢tl. I agree �o compty with all tiiy anA touniy or�inances naslatel wsrela�inglo0uildingcons�mniana a rebyauthoraer r en�alivesallh¢ptytoenleruponiheabov¢-m¢nlione0 pmperi^y lo inspecti poses. Oale: [ r Signature: �river' �icen or Socia� Securi�y x: t6abn6 W�ne—Buil�ing: Green—Code Enlorcemenl; Canary—AOPlicanC Pink—qevenuo; GOIQenroO—Assessor CITY OF COSTA MESA — BUILDING PERMIT , PERMIT NO.: M 064192 PLAN CHECK NO; N . , CONSTRUCTION TYPE: 5—N PERMIT TYPE; MEC PURPOSE; NEW JOB DESCRIPTION ; NEW SFD WITH AN ATTACHED GARAGE S DECK SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 COMMENTS: 'LOT 4' OR UNIT 'D' SFD W/ATT GARAGE 6 56SF DECK, RE:#B64181 *r*■««r*******r****************r**x�r�*x�****+t****r**r�t*�c*********rt*+t+t*+r**x�****�t*�t Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR; FT IN FRNT: FT IN REAR: , FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 42520120 ZNE: REF NO: PLANNING NOTES> i ��r��r�t�e***�r�r�e*+r****+rfr«r*ir�r�rx��r�r**�r*x�r*x�rirrrfrx��r�e�r***�e*+rk�r*+r��r**rr�r�r*+r+r*�+r�r�****�t**� � 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 . J �ZONING APPROVED HY DATE: i HUILDING APPROVED BY : � �_ ,_ DATE: �APPLICATION ISSUED BY; `"�'r" DATE: � �'�� 1fMMklfMMfllflhMit4MifMi!lfffiFkik �ElE1fM�fklFMiFiE 1fiF if 11' ft if ik if f! 1t 1l' Ihlf M ih 1k 1f M 1f 1f !f !f if !f M M i�' M 1f M it ff df 1hlf ik i! ik M 1t if 1f !k M 11' il' M if if 1f !f i61flf M if 1! 4 if !E if 11' il' iF ih il' M M 1E if ff if'IF %1h if 1! if if iE 9E LEGALIZATION:N F E E S U M M A R Y STRUCTUAAL SEGMENT;N BLDG PMT PLUMHING ELECTR3C MECHANIC FIRE SMIP/RES GRADING PERMIT 24,50 �• 252 SMIP/NON—AES PLAN ISSUE FEE , 15.00 HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 24,50 15.00 0.00 39.50 39.50 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 39.50 OVER/SHORT; 00 BLDG PMT PLUMHING ELECTRIC MECFiANIC FIRE SMIP/TOT GRADING PLAN—CHECK 39.50 � 1 iFMMiflfMiffflkltitlflfikfflfMMMMMIE4MMf!!tililMft1t1f1kifM1llfMilkiflfllifififlElEMlfkM1E1litfEffiflFlfiflF7fitiFitiEKlflEiflFkilif�EiE3f Z N D I V I D U A L �F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST MEC 1 INST FORC—AIR/GRAV FURN <= 100 K BTU 9,00 9.00 MEC 1 REFRIGEAATION SYSTEM <= 100 K BTU/H 9.00 9,00 MEC 1 FACTORY FIREPLACE 6,50 6,50 END OF FEES 01 00147805-00147505 T U T 3S.Sp GAiE: U9/28/93 T1%E: i6:44 CONSTRUCTION ANDPLANNING POOL ?A . APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1, Temporery Electrical Service or Poie 52. Pooi & Equipment Location 2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement . "�3�:Fiecttjpl'Condtih Utility�Undrgmd. 54. Forms ,=�4. �lectr�icql Cvndnii- • ndrgrnd. � 55. Electrical Bonding � F�`.$t2Bl'Reinlorcerpent 56. Rough Plumbiog & Pressure Test �_ �_�: Ieck�icyIJUFE(i�fallnnd. 57. APPROVAI TO COVER�GUNITE � "7. Fbovng's-� " 58. Electricai ConduibUnUrgmd. •„ , . , n��y . . ,8'.' Foundation ,xp; � 59. Gas Pipe, O UnUrgrnd., Test - ' � .�9.� Water Pipe�Untirgrnd. 60. Backwash Lines, P-Trap, O Undrgmd. r •: ��.�StructuralFloorSystem = - 61. APPROVALTODECK _ -- i t. Property SeweF Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Orains � 64. Piumbing System � Final 14. Rough Plumb?ng ` 65. Electrical-Final 15. Rough Electrical•Conduit 66. Solar System-Final 16. Rough Electri� Wiring 67. Fencinq & Access ApP�oval 17. Rough 1�Jiring $ign 68. APPROVED FOR P�ASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning ��p3 .�� FIRE DEPT. RE�UIREMENT � 20,� Ro.Ugh factory Fireplace ��i . • APPROVALS%.� Pertnit #� ~ _ _ A 2[;� Du2ts, in SKUCtw� � �,.�.. _ - q �� . � � 70. YJndergrpund Ft?zdro . �� 22. Du¢ts.'Venpiatipg' ' ... k, ' 71. Produ �iding Q'_�9as ❑Oil 23;,G0�sPipe�Rough&�Test , ' .' - �' . 7z, UndergroundFlush • 24,. RQof Framing � . � • - � ' ` , � '. 73: Undergrnd. Stor3gA Tank O Gas ❑ Oii - 25. Roof Sheathing� ; '- 'v ; ' ri ';�' : � � . , -' -; . , 74, Overhead Hydro 26i� T-�er �'eiling (Structurall &Monocoat - � 75, Dry Chemicat ' . - "' s 27:' Frame aPd Flashing �' . � ' 76: Dry Staiu�pjpe .;'�; ;' ' � '� _ 28�' Laihing& Siding . .. . 7Z: FIXED SYSTEIN'FINAI J .- ��- a ' 29. Insulatii5n � " .. .. ` }. �' I �� `. 7$; FIRE PREV. FI1�}AL ; : •� � - 30. Drywall Nailing� • �� : � ' ' �_ , -HEALTM DEP�'. REQUIREM£NT . i ' 31. Plaster Brown Coat _ � ' I I ;.`'. `„ 79� FINAL INSpECT.IDN ;-' - ��- 32^ Elearical ?ower.MetErfinal �� I- -�. 80.� FOOD CERTIFI�CR.TE ISSUED - � i 33= Fiiial Electrlc _, ` �' n � f ;y � �' 11fd�tes: :� � ` _ • `- . ; 34. Final N�atin &. ' � �� F� �-�`��T � � `� Air �ondit;omn_g �� t�-:-� �. - �� "'- , . ..LS + � =2��5 -�; � .. �,+oEtz �--�� 35: Final G�s Pipe-7est ~,:, ' i $ t - ' x_ '�� . ' �, I ; � . _ ;_ 36.� Hood o� CanopYi � . i , � _ � �r � � �i ., � � � , _ ,, �:� �, 37;' Firial Factorv FSreplabe., _,c� ' ��' 1 � ' � ,_, •. � � .38. FinalPhpmbing� � , � .... �. y - 1 I ,�" ..� • �. . .- -- .' 39. Water Service-Finai � . . . ' . •� � ,-�a... . . • _. t� i �r. � ' ��. � � 40. Gas SerHice-Final ,.; ,;,.:, - �,; !', . . .� , ,. •. 41. Solar DOmesticFinaL C�� •• � � ` I �' - "' ' _, _ - n � . 42i' Backffoy`v Preven{ei '' � � u ' � ; . 43. Backflow IfTSgation : - r + - � - • � t , r _. .. .�. � a i � . ..� r. � -, . ,. • - ^ � � � 44. Landscape Ifrigapon $ystem : ,, ; r .) _ _ �'45. Sound Attenuation . . . � F�' .-i c'�. r•., r :� .. , y - -. �, , `46;,HandicapRggu(azipns : - ' ' �� - -. �� . , r � 47� FINAL STRUCT.URE & BUILDING � � �- � ' '� � t ; � - �: � i. r 48.,FINAL PLP;NNING �� • I I � : . � , . : _ 49:� Electric Release ta�Edison � � '; +: .. i, � 50. Gas Release_to Southem Califttr,pja Gas Co ' ' �, . . -, . "�-'7 � � . . -.51. CERTIFICATE OF OCCUPANCV . . No. Date Pq0.1ECTRODPESS: zOG E 16TH ST " owNen s xaMe: 4 i6<646 WM1ne—Builtling; Grean—Code Entorcemem; Canary—Ap0licanl: Pink—Ravanue; GolEenroE—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: P 065428 PLAN CHECK NO: N CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU JOB DESCRIPTION ; NEW SFD WITH AN ATTACHED GARAGE 6 DECK CLAIM VALUE: CALC—VALUE: .�.. �• �. : •r � �• � PURPOSE: NEW SQ FT: GROUP OCC: R-3 /M-1 COMMENTS: REF: H-64181 ***�r�*«�rr�r*««w«wirwir*�r*rw**it*«ir***�r�r�r**w*irr�r******+r�r**�*rititit�tw*ar�r***+tit+t�t**�tir*�t Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN REAA: FT IN FRNT; FT ZN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: pARCEL: 42520120 ZNE; AEF NO: PLANNING NdTES> � *»+� * * w,�,«,� * * *» *,� *,�,�,� +� * *,« * � * * * * *,� *,�,�,�,�,�,�,� � �,« * * * *,� * �,� * � � � * * � * � *+� � * * �,� � * �,« *,« �,�,� «,� �,« D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPAOVED BY : __ DATE: APPLICATION ISSUED BY: DATE:I� 43 if%1fMMMM1FMiFilMifMkklflEkilltit iEkMifMiE7FitMif itiF ififlEifMMMk1FMiFMifkilkklflFMifMMMMiFMitIFMiFiFillfltiFltltMMMMM1f1fMMkMitMlFkifikMkiPlEltiFMMMMMifMMMMK7EMiFif%kiE LEGALIZATZON:N F E E S U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 37.00 252 SMIP/NON—RES PLAN ISSUE FEE 20,00 BUILDING—DIV—> pERMIT ISS[JE PLAN—CHECK TOTAL PAID DUE TOTALS----> 37.00 20.00 0.00 5'�7 00 57.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 57,.00 OVER/SF[O[iT: 00 HLDG PMT PLUMBING ELECTRIC MECHANIC F� SMIP/TOT GRADING PLAN—CHECK 5%.0� lk1E!!*1f1fMIfMMMMM7F1t1liFltlfffMMikiffklklflEMlfltMlflfk1E1E1EikMMMiFM1fM1tMiF1E1FM/FiE1E1F1FMM1FIE%iFklkifMitlFMNMifIflEiEMMif I N D Z V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 WATER SERVICE 7,00 7.00 PLU 1 SEWER, BUILDING / TRAILER 15.00 15.00 PLU 1 SEWER, CONNECTION TO BUILDING EACH 15.00 15.00 END OF FEES lii D�Ij2%!�-�i�iJ�%i0 �l.G ( �^n C+4`IE: :_'/=�'QS I?iiC. S7:QJ r%•Uu CONSTRUCTION AND PLANNING - APPROVALS Permh � Date Inspecfor 1. 7emporary Electrical Service or Pote , � Und�rnf(. . "'�� : r � �-= Cc��{c+�„rT�1t �!�! Y •Undrgr.sl,�' . _ ��(�f CondtMRJndrqmtl. ��= �g.�iec�.y�ciii�v"�� . �..'�'7X YJ'tx : _. ' :o- [Elect(tal UF£�R' Grnd � 1 �.' 4. � - � 4 � foot�gs G ^' _� . .. -,8,' Foundauon p; � r� 'r�9„' Water Pipe�Undrgrnd. .... �- Y0. Strueturai Floor System � :, �11. Property Sewer Lir2 & ku'use,Connection 12. Sewer Cap y - 13. Roof Drains - 14. Rough PlumbiAg - 15. Rough Electrical-Conduit 16. Rough Electrtc Wiring 77. Rouqh Winng $ign 18. Rough ElectriFal•T Bar Ceil�ng 19. Rough Hea2ing & A�r Co�dit�omng 2�:, D;:cts,j.: St*yct;�c ; :.� �i_'; 6 < � �'- :�-�- 22. Di±cts,l�enaatii�' � ^-: � _ y-,3_�� 2�G��Pipp�Foygh&:Tesc , ��`p- 'IV 22' R6a�f fx+emirrg -�+ . . . ••t• ti R Z5. RoQf 5�ea[hing ��p � � 4 r- 2C' T�Bar Ceiling (Sc��zturall �!4�onocoat � . . T, ti « 27°, Fr�rneand Flasnl�8 ��,z ; 28. L2?hin�& Sidire� � .- ��51: �' "SL. I� � 29. InSula*�bn '- ' � �� o� � 30. Drywall Naihng � 31. Piaster��own Coa� ;. : �„�„ . -��T - � $� Eiectncpl Pasver P�9era�F�r,.9 '^ ��.-ti I � ;T . 33` Fi�l Eicccrlc ; „ � ,? : 34-. Fis31 Fi3at � uA& l:or�d.t pp��g-� a r �- a - - 3^ Fif�l C�as PiPe.Tes# �=: i , 36'.' Hood o Canopy = - � �• �- ,r � �� '� 3�'FirTal Fpttory Fi�e�i�5t� ! �� -�� a 38. Fi�l W,ymbir.y ��- . �!- ' 39. �'Jeter Sbrvice�Fin'a3 � t : ' 40. Gas Service-Final .; c . �• "' .41. Solar pomestic•PmaC � �^ 42i BacktlON� P�eventeL �j 43. Backflow Ir igation '75=. ;.�44. LdndsWpe:j-igaudnSyste�,;,;n � J � r�i-'T. J- ;45..Snund Atteduation �3'F :+� . i^ . 'y .. .. - 46.;Handicap fie§ulat�ns =� � � 4h FI�AL STRt1CTURE & BI�LD�NGy 4� FI�AI PLAfVNIN� �' �'� _ -. c. -,4�EleqtricReleasetmEdison i �5��GaF:Release�o Sou2hem Ca�ifqrnja Gas 1 Date POOL d aPA - - APPROVALS Permit � Dote Inspecto� � i 52. Pooi & Equlpmem Loeabon � � 53. Steel Rein(orcemrnt j � � 54. Forms � - . 55. Elec[rical8ord�ng 56. Rough Piumbmg & Preswrc Tcst ' � 57. APPROVAL TO COVFR�GI"!ITF ��- � � 58. Elactrical Cor.duir•Und-g�rd. �' � 59. Gas Pipe, � Ur.Jrgrnd., Test ` i 60. Backwash L�ne;, P�Trap, ^ Urdrg�nd. � ' 61. APPROVAL TO UEC!<_ i 62. Back�vash & Receptor-F�.�al 63. Heater & VenbFina� � -- � G4. Pl�mbing System � Fi^al ' -- -- -- ---t 65. Electricel�Final 66. Solar System�Final 67. Fencing & Access ApProval � 68. APPROVED FOR PLASTEPING� � 69. POOL/SPA SYSTENiS FINAL , FIRE DEPT. REQUIREMENT � ^� r, _ ; c. . �,� r �APPC��t�E�'.• Po'hnrt T-� ,'-�-�.�; -`:�:- � . -.� --=�- --- - a n' 70. Wndergrniinil FtYd;o � '`"r * � 71. Produ�tPjF�in9[r,'Eli.�s ."'�'#Oil � `F ^�'•_ �, '� � �,p *� 72. Undergiovqd f:i� � � � -5 ��1"fV��,�� 4, • " `'• - 7� UndergrrStl.Sm?atirTank�C'Ga� .:'f7lY i �� .'i, I. ' -iF » _ _ ;�{ > 7, Overbead Hydro� r� --ri--�-- -- ----' � � ` 7�' Dry Cher�r ical ,' ^ �^ � rn?'� , -F F 7�. Dry Sta'n2P�Pe (�-=..� y� � p�.� � '..'-K C;t.t-^�=: ;�'Y-�. "_ •� q 7F' FIXED�`r3TE;=�=�'AC � r 7�,,,,FIRE:%REV. F�"�r?.L + � c: � � ' .- _'..T!"�T_- r+-T:. -_-. t' h •.� •�F48ALTICOEPT.�FtE('r�11RfSq�JT _ ' �__s7.¢lo '�-=-�--�.�t7-_ : � x �. 79:'�1�'R1AC�1a;(.S'EC'T'�b,.. 'yt ,_ . :*�sY�, � i�- +- ---�-^-'-+ - rJrl.-- - - - �r • :n8Rr: FOOD CER7iRr�:rnre issuEn : � i� . n _ r �c �'i __13_-_ -__ _ i " � � Na�es: � � � '` _ ,� _ _ � - .,� --,::n- -=-;-- --- -. �: f T .. C Z .r u'. , _ 3- ___ `-l�._ .i ip Y -.'` ' T "'i... V � ♦t . � � �, i .,i �-. �: , �T�� .T _ lT`�' -T TT� 'I � � � � ' � . �'� . . 1 T [7 �l - K t-. " `..T. ______' ' a � :C i. �. - . �. _?"'�----- -- - • �:.r r+ t� � -,:- . - � --� �� w �, ' , • • 1 n _ . ' ^.. >. •� � 1 � S O r. . I F�.. e .r O' 3'�: � .- t - -i ---, .- i i H� �; > i- - " r; % � "'- . s � � --- ' ` x y pJ (1� �• _ -. ' O ' ' _s .t.. ' _ ' ___� :- - r r � . - �: ' .r. 6 � :, � • T a 4 '- C' "f ♦ 0 F 5 : C .' ♦ a' i� 1 S . ` � ��- M �' � r :. � -. � . : ,7 ; . : � _ ;.� .W J PHOJECT ROONESS: 2 O 6 E 1 6 TH S T �N�T. j% OWNEfl'S NAME: RALPH 6 NANCY EMERSON RUDflE55: 4300 CAMPUS DR #100 NEWPORT BEACH CA 92660 (714)263-1920 AHCH/ENGINEEH: DONALD FLA I R� nec.xo.: C q O S ROONESS: I 6% I S VON KARMAN AV — U�' IRVINE CA 92714 PEPMITTEE: '�O6 16TH ST ASSOCIATES ( 714 ) 263-1920 aooness: q300 CAMPUS DK 238 NEWPORT BEACH CA 92660 UCENSEO CONTflFCTOP OECIABATION: I hereEy allirm I�at I am licensetl unGer pmdsions of C�apier 9(commencinp wil� Seclion 7000� ol �idsion 3 0l IM1e Business an0 Pmlessions Coae. an0 my lic¢nse is in lulliorce antl etlect. CITY LIG.: STRTE UC.: CIASS: Da�e: Sigwture: WOflREPS' COMPENSPTION OELLAMiION: I nereCy aflitm tlut I nave a Cenilitate ol Consenl ta selt-in5ure or a certilicate af workers' Compensalion Insumnce. ar a certilie� coOY ��ereal (Sec�ion 3800. Lab. C�. POLICY NO.: E%P. ORTE: COMPANY: ❑ Certi6etl copy is here6y fumiS�eC. ❑ CertilieE wDY �s �il¢tl vnth �he city Builtling OiWsion. Jate: PDDlicant: 1 cenify itidl �n Ine penor�na�Ce ot Ine worx tor wn¢n Irv'ry sublect �o Ih Worker Compen5aiion Laws of Califomi �� Uate: SignaWre: { N CE:II. Iter malting t�is GeGaraiian. you s�oWG� Coae. you must lortlr.vit� comply vnth suc� pran5ian CONSTflUCTION LENOINC �GENCY: I �ere0y al�irm Net wnicn mis permit is issuea ISection 3097. Civ. CI. • LENDEN: ADUHESS: �iltis SecM� nee0 not De camWnetl ii Ihe permt is la me huMre015100) or kss�. rtti� 6 iss 0.1 s�all noi em0�oy any per5on in any manner so as �o Cecome B SYUiCCi �0 �fM WOfk¢R COf11pEI13dU011 pf0V1510115 0� IhP LdbOf us permit shall ee aeemeA revake0. o a fAnSlructWn IenGing aAency for tlie petlormante al lM1e work lor CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: B 064181 PLAN CFiECK NO: 02391-93 A CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PERM NO: B 064181 GOVT; N SUPP: N PURPOSE: NEW JOB DESCRIPTION : NEW SFD WITH AN ATTACHED GARAGE 6 DECK SQ FT: 2,361 CLAIM VALUE; CALC—VALUE: 154,668.05 GROUP OCC: R-3 /M-1 COMMENTS: 'LOT 4' OR UNIT 'D' SFD W/ATT GARAGE 6 56SF DECK +t***********rtr�r****�**�*********r*�+r+rx�*+r+�***r+t�**�*itw***+t+t**+c**r**+c***��r**�c�c+t* Z O N I N GS ERTEB�AUCIKRSE M E N T S �/ ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; 20 FT IN REAA: 26 FT IN FRNT: FT IN REAR: FT IN LEFT: 5 FT IN RGHT: 20 FT IN LEFT: FT IN [tGHT: FT IN PARKING REQ: 12 PROV: 12 PARCEL: 42520120 2NE: R2 REF NO; DR-93-09 PLANNING NOTES> 1 DU OF A 4 DU CONDOMINIUM PROJECT. REAR SETBACK IS SEP, > PKING; PARK 6 TRAFFIC FEES TOTAL FOR PROJECT. P 6 E+. ****r*�r�rfrx�x��**•*+�*x��r�r�rx�*�*�r�r�r***xx**********�r+t+t*+t+f*�t+riri�r**��rx�*+t**�rx��r�+�r*x�**�rrx�** 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 Nq:T S ZONING APPROVED�BY � � �� DATE; l 2� 4 BUILDING APPROVED HY.: !' �•� DATE: APPLICATION IS it it i! k iE 1E iE if ik K 1E if if if 1l4ftffkiElfll4lkiflfifk LEGALIZATION:N �BY: Y �Il� DATE: MMIFM fEkififlFlFMkiFif � �If1E MitikiElFMitititklfifMMkiEkMMM1fM1fMMM1Eif1lkk1ElPititMllitiFftMifiEkMMltffltiEiFifiFiEfflflfifiEiEiE F E E S U M M A R Y STRUCTURAL SEGMENT;Y OWNEHBUILOFflOECIAlUTION: I�ereEyaHumitw�lameremp�IromitieConVaciors'stateuce�ue�awm�ineionowi�9reason BLDG PMT PLUMBING ELECTRIC� �MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business ana Pmlessronal CoEe: pny ury of wunty wNch reQuires a permil ta wnstmct, alkr, imD�ove. Jemolis0. or p ERM I T 8 3 2. 0 0 �J� 1 q. 9 2 repair any slmcture. D�ior to its issuance. also repuit¢5 Ine apWiWnt lor sucn oe�mit to lile a si0ne0 slalemenl Ihat ne/sne is licensea .• . pursuanno��epmvisionsoll�eComracroriSlaleLicenseLaw�Ctupler9�cammencinpwit�Seclion7000�ol�rision3ol��e9usines5 •� /�� SMIP/NON—RES anE Pmtessions Coae� ar tnat �els�e's eRempi i�er¢imm anA the Easis lor t�e alleqeG exem0�ian. My violation ot Seciion 7q71.5 by PLAN 1 3 5. 2 0 !' 1. 1 4 any apo�aam ror a permii suojecis tne apWiwm m a crvii cemiry o� wt more man iNe nunareE tlouars (S5oo1. I S SUE FEE i. as owne� o� ine propeny or my emyioyees witn wapes as tnnr mie comoensation, wiil do me work, antl ma BUILDING—DIV—> PERMIT ISSUE P,LAN—CHECK TOTAL PAZD DUE ❑ sirucWre is no1 in�en0etl or o�fere0lo� ule (Sectun 70aa. Business afM Vrotessional Coae: Tne Comracmri 5�ate License Law TOTAL S----> 8 4 8, 0 6 0, 0 0 1 3-5 , 2 0 9 8 3. 2 6 9 8 3. 2 6 , 0 0 tloe5 nol aODN �o an owne� al a prOperty wip GudEi Or im0«a lhereon, an0 w00 doe5 Sut� work himsel�/�er5¢II Or IhrOup� .'i �is nr her own em0�oye¢5. DmviAed Ihai suc� imprm¢men6 are nal intenGeO or ollered lor sate. 11, �owever t�e Euildinp ar �� impmvemenl is 5010 wilhin one year ol completion. I�e ovmer v.i0 �ave I�e burG¢n o� Omvinp �e/s�e tli0 not bui10 or impmve R EV ENUE D I V I S ION TOTALS --> COLUECTED�; 8 4 8, 0 6 OV ER / SHORT : Q � iortneo�rpaseaiute�. BLDG PMT PLUMBING ELECTRIC MECHANI'C FIRE SMIP/TOT GRADING PLAN—CHECK I, as owner o� lhe pmpeny. am evcluvvety con�raciinq ml� Gcensed toniraclors lo conslmci I�e Dmleci (Sec�ion 7044, Business 8 3 Z. 0 0 '�� % �! 16 . 0 6 � ana Pmlessians Coae: T�e Contractors' State L'cense Law aces (rot appy Ia an v,vner of properry who LmIAs or improves I�ereon ,= �^ . anGwAotoniratls�OrSut�projeClSwil�amnt2t�ot1511icen5Cpurwanl�olheConlra[iws'SlailLit¢rtSeLaw�.Iamawar¢ ************{t{f{f{E{F{F{F{t{E*{p{t{F{f{p{�w*�*{F{F.{{{�.{t{t{t�.*�*K.�.*{F{E{p{E{p{E*{�{�K.{F***{�.{E*{F{f{F*{�{f{�,{f*{f{F{F{�,*{�,{�, mat prooi ol indr Worker's Compensatmn inwrance shaula ee O��dea to me. I N D I V I D U A L l� E E R � I am ezem0� �tler Secliw: 0. 8 P. C. �or I 5 �easo : Date: � Owner. I ao nere0 ceni �hat I am aware ol an0 unEerstan0 the repuirements ol ilornia Heatin and Satery CaOe Sectbns 25505. 25533, an0 2557C ana tlul I or any future 6uil0ing occupnni vrilVvrill no� (rLGe one) nee0 to Campty vnlh 5ai0 sWte c04ei antl ��e reQuiremen�s br a permit lo� consimc�ion or mo0dicalion Iwm ��e Air OuaLiy Manaqemenl Dislric�. fle5�0en�ul con9ruction applicaiions are exempl Imm inese o�a�sfons. Daie: I hereGy certily ihat I nave reaa Nis ap or0inancM an0 sta�elavrs relatinglo Cui pw0e�y Ior i 'Detiqn urpose5. oa�e: App4canl: Signaiure: correcL I agree Io comO�Y �Ih all ciiy and counry ilives of ittis dry to enier upOn llle ahove�men�ione0 _ � r � � I Oriver's License or Social 5¢curiry n: —l�pplicanC Pink—Revenue: GdOenroA—Assessor TYPE SFC SFR SFR �y B E A K D O W N �t I QTY D E S C R I P T I O N� + UNIT COST TOTAL COST 1905 DWE—TYPE V—WOOD FRAME ' —GOOD 74.00 140,970.00 1905 EQU—RESIDENTIAL AIR COND —AVER 2,85 5,429.25 56 RES—BALCONY, EXTERIOR S?AZRWAY 14.80 828.80 400 RES—GARAGES TYPE.V �'h 18.60 7,440.00 END OF' FEES iJ i� Ji 0014750°-00147309 T r� T S48.Ob uATE: J4/22/93 TI11E: 16:51 t , CONSTRUCTION ANOPLANNtNG POOL �A I APPROVALS Permit # Date Inspector pppROVALS Permit # Date Inspector i. Temporary Electrical Service or Pole 52. Pool & Equipment Location • � _ 2. Soil Pipe�Undrgmd;.. 53. Steel Reinforcement .- i �-., `.d'�" actr � �^..-�. � . .,� �i � i�aSCon�it`1QF�2ihry�Undrgmd. 54. Forms � _ ��'.�ElBttticatCo�tturtiUntlrgrnd. 55. ElectricalBonding - , - � �'�.`�teel'�eipfqrcAR{e�f 56. Rough Plumbing & Pnssurc Test : ��Electricai'UFER�Grnd 57. APPROVALTOCOVER-GU\i?E -,� ��7..FOotipgs .? ^ 1 y 1�,�_ 58. Elocirica� Conduir Undrgrnd. � - 9 � ; __ � � !-�$.��oundatio+r -,� 59. Gas P�pe, C7 Undigrnd., Te��t . ._ . _ �[o.��l� � • 3.'-tNater Pipe;�Jndrgrnd. _ 60. Backwash Lines, P•Trap, O Undrprr�d. ; a -- __ I 1Q. Structural�Flow Syetem 67. APPROVAL TO DECK - '" � 17. Property Se�oer line & House Connection 62. Backr.ash & Recepror-F�na� � ! 12. Sewer Cap �„ 63. Heater & Vent-Fir.al � � _ -� 13. Roof Drains - '� 64. Plum6ing SYstem � F�nal ' .T 14. Rough PlumbiEsg � 65, Etectricel�Fnal � 15. Rough Electrical-Contlmt 66. Solar System�Finai � a 16, Rough EtectritlViri�g 67. Fencinq & Acces, Approval ' � 17. Rough 4Viring 5ig'n 68. RPPftOVED FOR PLASTERING 18. Rough Electrical-T Ba� Cei,�ng 69. POOUSPA SYSTEMS FINAL I 19. Rough Heating & A�r Co^.di.�onm3 RFiE DEPT. REQUIREMENT � 20?iioG�h Fattory, Fitep!ace � ' - "' APPROVR25�'�=�Permit # r •i 21,.pu� , inStrtectuFe:. �'. r y r, _�r � J0, Undergr:p�nc6Hy�ra .t ' 22 ^Du�s, w3ntaetirig ' . _ ;77. Product.�'iy�i�g [T7 G��s .�,Oil '� 23.;Ga�e iPe"Rou�h &'�'esi ' - '' =�� • " , t - � � i� r r; fl.. �� +72. Undergroun�l Flushti,_ . "--�-'--�-�'r . : 24�Aoaf Fi,aming �: , f-•� - O_ �� 73.?Under�m�l:Storagt'T,�hk-F]Gas �Oi(-a � � 25. Ro6} Shc+athing . .� ; '� ' • y ' _ , . ."' ' � ��r_Sf,_ �' 74. Qverhead HVdrn-. �'" `.`t - --- 26.•�T-flm� Ce�ling (Strueturall &�1oaocoat � % � � % * 75."D�Y Chemical "' ` -' �' ' � .. . . ^. �. �j �. � -.7 , i -`i r � r -- 27. �rame and Flash�g. '� _ � _ i%/ . C�`Y:, , 76r6ry 5tand!�ipe �vw . '` ��T'�� _ y � � P b 28. lathing$ Siding--• . �t y r, �r� . . . + • 77Sy FIXED 91'.�'4�TE �-'NAL _ '29. InSulati t ��+ �� r. . ; : � . - `ti -a, Pn �... . :.,.� I`'Z`% , , ;. � 78c FIRE PREV. FIP1.Q{. - �� • � _ •��t 1 � �- tkE HllEPT.REQFJIREMER'n ' . 30. Drywall Nailing •�+ , - 1+-. , r�. . ' - - . . , c. � "- - -- 37. PlasterBro�v,nCoat� , , ,,,n .`�2_g_�2 �(,./bC �79. FINALIIVSP�CTIQN .� . .. .--�' � � -I - � �7---- � fi--.- .T�.--._ . -. '-32.-Flecirical Pocver MoterRnal �� .; , - �90b�FO0D CERTIF�QATE ISSUED � � � -� ' � " __ :,._ - � --- ' _33;�fina.l Electr'u� .. :7 � -�-.' � � � ' ��No�es:�l'�'S� ��i�-,OIG ..�- 'i �. . .� ' ; �-� .�,34i Final Heating& Ai�:Co;.ditiqv3+a� �=.s : . --^�7. - _ ' .�35:_T�in91 Ga5 Pipf-Terte, ,^. � ' '71 , � r -. �r . 3Z�f/��-�� ' �---' ,3F1. HOOd oFCanOPY�.M �� n�. `- t -' - � } I . ,' � ^i r._ __ _ ' i 4 . � `�7 �Fin�l fa4tory FiT�lac2.,, � ' . �;'� � t � - fx �^ � �� , . V ` r' ,; , . .. . . i ` . - --'_r' - �:38.: Final Plumb;ng � ,• � � � s� �: . � s -- - I ". i--� '" ', - , c�9: WafBr Se�vice�FinaN - C� � � '� . . ` �'' ' T � I r�. S 1 1 '� 'J.� � ;;AO. �as Servtce-Elnal'; c , �. 46 ,T ,� � •. • . . . �At:-=&olar po'Me.; ScFir.al` � " , • ' - � : - -. - �. c.,. • . �- . . _ a x. .. :� '�42r$ackfio{v PreventgrR � �,' ��x. �- � f� � � • _ � 43. Backflow Irrgatiori� '-S'� '�' „ � 'T�`" ' . ". . -.~ ;n� '� ' _ 'A4. LandscaRe I(�igatio;�SYstem._�, � _ ' - _, Y � ',; � „ � � ' -_ � � _ -"`':-' � - - `��; _ �A5'Sound Attehuati�� - x . -, �' � t_;; ` -'+ �� r:. � . - � • � � 7 i» ,:,» . . � c• -��r � - -A6. Handic�p. Re�ulations ' .. •. :-•. .. . ' ; - � " . . -- -- - , � �_ //�� t _._ � _ i 47. FINAL STR+�CTU�iE & BUf1DING » �S�ii i ' _ � ' . .. * � r r n��- 48. �INALPLANNI�G , •._ • �-, 49.�Electric Release to Edison i �5�. Gas�Release �q Southern California Ga4Co « 51. CERTIFICATE OF OCCU- AP ��NCV No. � Date 0 �, � _ 1 .'. .'. � �