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785 16TH ST - Building Permits
Job Address: 785 W 16TH ST Suite: Vicinity: ROOF � Primary Occ: R-1 Hotels/Apts/Res >70 Occ Type o( Construclion: V-N Parcel Number: 42413102 2oning: ApplicanC STEVENS, SAWYER Address: 10503 DEVERON DR WHITTIER, CA Owner: LUYMES, JAN LESLIE Address 7516 CORNWALL LN NEWPORT BEACH, CA Contracroc $PECIALTY ROOF CO Address: - 10503 DEVERON DR- � Arch : Address: Zip: WHITiIER, CA Zip: 90601 . Phone: License: Phone: 562-698-7628 Zip: 90601 Phone: Zip: 92660 Phone: 562b98-7628 License: 329764 Eng: Address: ISSUED BY: Status: ISSUED Applied: 08/29/2005 Issued: OB/29/2005 Phone: License: � � � SCOPE OF PERMIT TEAR OFF EXISTING ROOF.�INSTALL ALL ROTTED ANDIOR DAMAGED ROOF, METAL FLASHINGS'�1 LAYER OF 28# BASE SHEET, MOP 2 LAYERS OF 11# PIYSHEET, ROCK ROOF. 55 SQUARES FOR TRI-PLEX. - � � FEE SUMMARY , �, � , Plan Check: , $0.00 Calc Valuation: ` se,5oo.00 Permit: $18125 Claim Valuation: Se,soo.00 SMIP Res: $0.95 SMIP Com: $0.00 Other. $0.00, .. Inspection: $0.00 Total: $182.20 PLANNING & ZONING SETBACKS MAIN STRUCTURE Fronf 0- 0, ��-' Rear 0- 0 ,� Lefl 0-0 ��-� �' Right '. P 0 " ' ACCESSORY � Front � 0-0 Rear 0-0 Lefl 0-0 - �, r Right� 0-0 � , ` - z PARKING �'Exi'stin i� 0 � � Reauired: 0 Pr000sed: �� 0 � NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Californla statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) � EXPIRATION: This permit shall automatirally expire and become void if work Is not commenced within 180 days, or if work is suspended or ebandoned for a period of 180 Cays. INSPECTIONS: In order for ihe work authorized under ihis permit to be considered legal, such work must comply with all eppliceble codes, end all required Inepections end finel approval must be obtained. Fallure to obtain inspections and final approval will result In the ezpiration of thia permit. FOR INSPECTIONS CALL: (714) 754-5828 2aaaae (erool WORKERS' COMVENSATION DECLARATION: .� `� I heraby eHirtn under penalry of perjury ane o1 the lallowinq declaratlons: ' ❑ I heva anE will melntain e certitkate of wnsent lo sell-Insure tor workers' compensation, es provitletl tor by sectlon 3700 of the Labor Cotle, for the peAarmance of tha work tar which this partnit is issuetl. � I have end wlll melnteln workere' compensation Insurence, es reQulred by sectian 3700 of Ihe LeDor Code, lor ihe peAortnance of the work tor which ihly pertnit is Issued. . My workers: compe�qetion In�urance cerrier end policy number ere: c���__of:+ ISI«�IIn�N"a°�� one hundred dollers ($f00) orless.) ❑ I certity that in the peAortnence ot the work for which Ihis pertnit is issued, I shall not employ eny person in eny menner so as to bacome subject ro the workers' compensetion lews ol Califomia, antl agree th t if I shoul0 become sub�ect to the workers' compensatlon provisions ol Sectlon 3700 oi ihe Lebor Cade, I s�all lorthwith comply with these pro " ions. -7�� / Applicent SlgneNie: ^- . �� � � Dete: `" `�: �/(J� I ��7 �,.._, AILCIRE'TO $EQIRE�RS' CWAPEN ATIQV COVERAGE IS UNUWFUL ANp SHALL SUB1ECf rW EA�TO CRIMINAL PENp1TIES ANO GVIL FlNES UP TO ONE HUNDRED TFK�WIlARE (3100.000I. IN ADDfiIIXJ TO TME COST OF COMPENS4TION. DAlMGES AS PROVIOED FOR IN SECfION 3%OB OF THE LABOR CODE. INTEREST. AND ATTORNENS FEES. LICENSED CONTRACTORS DECLAFiAT10N: o( Chepter 9(commencing with Section 7000) of Divislon 3 of Ihe Business end Professions Cade, and my Iicense Is In full CONSTRUCTION LENDING AGENCY: ❑ I �ereby ettirtn thet lhere is e consiruction lending agency tor Ihe pertormance ol the work for which Ihis permit is Issued. (Sec. 3097, Civil Code). Lendars Neme: Lentler'S Address: SignaNra: OWNER-BUILDER DECLARATONS: Date: I �ereby eftirtn Ihat under penalry ot perjury that I am EXEMPT FROM 7HE CONTRACTORS LICENSE LAW lor the following reason (Sec. 7031.5, Business end Professions Code: Any ciry or counry w�ich requires a partnit to wnstruct, elter, impmve, Aemolish, or reDair any structure, D�or to its issuance, also requires the epDlicant Por such pertnit to flle a signetl stetement thet he ar she is licensed pursuant to Ihe provisions of ihe Contrectors LJcense Lew (Chepter 9(commencing with Secilon 7000) of Divislon 3 ot iha Business end Professions Goda) or Ihat he or she is exempt t�eretrom entl Ihe besis for iha allaged examption. Any violation of Sectlon 7031.5 6y any epPllcant for e pertnit sub�ects the eppllcam to e civil penalry oi not more than fiva hundred dollars (S500).): ❑ I, es owner oi Ihe property, or my employees with weges es ihelr sole compensation, WILL DO TME WORK, end the structure is nat intendetl or oMeretl tor sela (Sec. 7044, Business and Professions Code: The Coniractors License Lew dces not apply to en owner ol property who builds or improves ihereon, and w�o does such work himself or herselt or through his or her or.n employees, provided that such improvemen�s are not intended or oHered lor sale. It, however, the huiltling or Improvement is sold within one year of complation, ihe owner-builder will have the burden oi proving that he or she did not builA or improve tor purpase of sale.). ' ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH UCENSED COMRAC70RS to construct the pmject (Sec. 7044, Business entl Pmtessions Cotle: The contractors License Lew does not epply to en owner of pmperty who bullds or Improves ihereon, antl who coniracts for such project with a contracta(s) license pursuent to the Contractors License Lews.). ❑ I am axempt under sec. Business end Professions Code Por this reeson: Signeture: Data: Owner ID verifietl Dy tlriver's license. ❑ Vas ❑ No Onver's License No. E:pires: Vedficatlon ot Owners�ip by (type ot tlwumen6 i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certity thal no excavation five (5) or more teat in Aepth inio which a person is required to descenQ will 6e metle in connection with work euthonzed hy �his pertniL and thel no Duilding strumure, sceMolding, telsework, or demolition or dismantling thereot, will be more then thirry-siz (36) teet high. (Chap. 3.2, Gry 2, An 2, Sec. 341, Tule B, Cellfomia AdminisireWe Code). ❑ As owner-builder, I will not employ anyone to tlo work w�ich would require e pertnit from the Divislon ol Intlusinel Sefety, as natetl above, unless suc� person hes a pertnit to tlo suc� work trom the divisian. Signature: Date: Division of Industriel Safery Permi� Number: CERTIFlCATE OF COMPLJANCE AND AUTTfORIZA710N OF ENTAY: I certify untler penalry of perjury that I have read this application and stata that Iha infortnation given is correct I egree to comply with ell state laws end ciry ordinances releting to building construction, entl authonze representatives of the Ciry oi Costa Mesa to enter upon the ebove-descnbed properry tor inspection purposes. I egree not to occupy or allow occupancy of any building authorized by this pertnit until final inspection. COOE �. INSPECTONTYPE 1616 Fixetl System Final Fire Prevention 7266 Pool Spa Finel 200 Final Re-Roof 201 Final BIocWRetalning Wall 202 Final Factory Fire Placa 203 Finel Sign 204 Final Demolition Pdg � � COOE1 INSYELTONTYPE 206 Final Mechanical 208 Finel Plumbing 210 Final Electrical 212 Finel Fire Prevention 220 Fin01 Plennin8 Approval 222 Final Site 250 Finel Builtling/Occupern PAIF 1NI�L$ ADP��wnt to fill in all s0�cas e�capt t�om CorAer Iinm anC sign all anwoorlate tleebntions. STA MESA PERMIT NO. TRACT NO. . LOT NO. BL . . RUCTION PERMIT � 3H AppliCBnt'S Melling Addless a• � ~e �PE OF CONSTflUCT1ON � NEW ADD ALTERATION REPAI R PfOjBCt Addf235 � _� o� w� I S ❑ GONVERSION ❑ DEMp//� ISH ❑ OT R OWnM'sName hona ! DESCRIPTIONOFWORK /`e���=C! �(�hV O�(j- {�Qpv+�� , (�"aOiC �1/'a.�N S- i /1.t0.�� i N'C � Addleis TVPEOFPE �T GRAOING FOUNDATION STRVCTURAL A.P.gW AlthlEng. LiCenSe Na. ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL PLNG. REF.9W � Addfezs ' ,,,\ �p -/,��/� ' ❑,ATHER _TOBUILDING � COntrector i Nem = �� V ;'�� hone..]21J�' y PRaECT DESCRIPTION 5Q. F7. OGCUVANCv PE Y INE \ (�. h(/'3 � �./L/� - 'CONSTRUCTIONTVPF VqLUATIONS LEFTSIDEVARD � Address (meiling) � � u�e„�No. � �/334Y/ ZON� ' GRAOINGCU.VOS. ACRFc PKG.SPACERE�. LICENSED CONTRACTOR DECWRATION Remarku . STREET WIDTH � � I heraby�affirm thet I am Iltansetl untler proNslons of Charter 9(commencing _ , with settlOn 7000) 01 Dlvlslon 3 ot the Buslness an0 Vrofassloni Code, antl ' ' SPECIAL CONDIT my IICenSe IS ln full OfCe ntl effeCt. u��� c�� ��—��a�1� . 3'3 9Y � rwnnsiNc Date 7%1 3 signat e RKERS' COMPENSATION DECLARATION . 68f Sink S2wef Cap re�y a}}�rm t�at 1 �ava a tartlfluta o/ consant to seltansura or a certHiwte g�kflaw Pr¢v2nter ' � $Bvu2r Connec[ion " o� Worken' CompenuUon Inzur6nce,�or a Fertlfletl� copy Meleot (Sectlon 3800, Lab. CJ ' . Beckftaw Irrigation ' Solar Collectors �� � PoIICY NoW� � �� � y� �� ComPanY ��N� � .. - - - �Certlflatl Copy IS heleby 1urnIShBG. ' 88thtub5 � � $ola� Piping Cer le cop e0 with the Uty B Inq vl o Date - Aop!��ant ���� - Clarifiers SofarTank , . EXEMPT O--�RKERS' COMPENSATION DECLARATION ' Dlsh�+aihef � ' SWimming Po01 W/SPa �(Thlssectlon neeA not be com0letetl If tha Derr��� is fo� ona huntlretl (5300) or � ' less). � • . ' � ' , . I certlfy;that In the performance o} the work �of whith thid perm�t Is IssuBtl I Ofinking POunteins . U�inel � . shall not amploy any Derson In any manner so'as to become subject. to t�e ' ��. � - , Workers' Compensatlon Laws ot CalHornla. I ' . Floor Drains • Water Closet � . Date ' ' � Slpnaturo - - NOTICE: 1f, after making this tleclaratlon, you ihoultl become subject to the Floo� Sinks • '- '-- W&t¢r Heate� - -�-- Workars' Compenutlon Orovl5ion5 of the LaDor Cotle, you. muit (orthwith ' - �,:' comply wltn•suc� provlslons"or thls perrP�t�shall be,tleemetl revokea: � GasService-' ;Outlets�� WaterService _ . CONSTRUCTION LENDING AGENCV' ' ' ' I hare0y z//irm that them I5 a,conitruttlon lend�ng agancy�}or the pertormance InterceptOrS ' - � � . ' . of Ihe wofk Por w�ic� - this pe(mlt I5 , i45uetl (Sectlan -3087 Clv. CJ : � Lentler's Nama . � Kitchen Sink . - _ . . lantler'S Atltlrass � � , � ��atO�ies � OWNERBUILDER DECLARATION ' ' - � - f Ilowingareasoo (Secltl n 7031.5t B s n ss a d 7rofesslorn I�Cotle: Any Nty o% � P-Trep � • . , � . , -- - I, as. anG ormy emo�oyeas with antl tha struFtura Is not �s or Js m or o' sale. If, however, lha bWltling or Improvement is soia wrtnin ona year m com- pbtlon, t�e owner wlll have the Durtlen of pr0���9 he/she Gitl not bulltl or im- �roro lort�e purpose of ule). ' t, as ownar o( tha property, am axclusively contracting with�llcansetl con- tra<torsto conztrutt the Oro7ect (Se<Uon 7044,.Business antl Professions Cotle: The Conlractor's Licansa Law does not apply to an owner of pro0erty who builtls or Improvez t�ereon, antl who contra<ts for such projacts wit� a con- Ira<tor(s)Ilcensa pursuant to tha ContractorY License Law).' ' ❑ I am ezemD� unOer Section B, d P. C. f0� thi5 reason Date Owner • � � I �ercby��cerUly t�at �1. �are roaE �t�15 dppllcatio0 anE state thaY Me aCova Informatlon I5 correct. I agree to complY �+��n all tity antl county ortlinantas antl�state laws ralatlng to builtling constructlon, antl hereby authorize repre- santativas of t�is Ity to enier uDe� tha above-mentlonetl pr Part lor InsDectlon ourpo /� - Signature ; ` � Da[e 7 DNvers' Licensa or �55 � :MF 0865-46 rev. 12/82 White - Builtling; Canary - AVP�����: Pink - Accountinq; Roof Dreins � �- � � Showers Service5ink. � � ' Boiler Duct - Under Ground � Dutt - Structural Duct.- Ventilating ' Exhaust System ❑ Multiple C Firepl/Fxt. BIt. IC80 # Heeting'System & Ducting � ❑P7 00,000 BTU � 100,000 Bi Hood or Tvoel ❑ . Registers Reinspection Fee ( , Isue Fee . ' � iANICAL Refrigeration System • , ❑P700pO08TU ❑100,OOOHTU System Repeir/Alteration . ReinspecNon Fee laue Fee ' Uiinwasner - Dryers ❑Gas' �I Fan `� F.A.U. Fixtures Device Boxes �I3b 7/13/�.; REAR VARD (TO P/U- RIGHTSIDE VARD PPOVIDED PARK FEE E � Meter UOver 7 W amps ' -Sub Panel � Sub Pole ' , ' � Motors �0-1 HP ❑1'h$ Inc.Solar 09-15HP �16-' Microwave ' Pole Light � , Range. . - Garbage Dispoul GeneratorDO-5KW �5-15KW � Transfarmer 075�50KW ❑SU+KW $15 Meter ❑up to 100amps S 3 2oninB APProved By Appliption Approved By _T- lil., Appliption laued Bv --�1 515 S3 Trash Compector t • , 'Reinspection Fea � . � SUMMARY OF FEES ' BUILDING PERMIT $� ' � SMIP � PLAN CHECK . $ ' PERMIT PLUMBING � $ �S— ISSUANCE �PLAN CHECK $ GRADING , � ELECTRICAL $ ' : �PLAN CHECK ' $ � MICROFIIM MECHANICAL $ TOTALFEE ��PLAN CHECK: � $� 1E55 � � � � ADVANCEDPC ; ' ' , FINAL FEE 0 0 15.7� 'TL ,.,c .�n � o � POO SPA - ..�_ ' c;_-'� ..ONSTRUCTION AND^pLANNIN , � o�� � Y� � - � , - . , _ , ' : � eiDate �ns ector ' ' - : '- Date Ins ector PP.ROVACS ,` Permit # ' � ;3; , ` �� - - P • 1 APPROVALS.'- Fermit�,# - � P �. a .>. -�. - .5 . . . . 1, jfemporary Electr,ical Service or;Pole-: w: .'• c::!'i a' �`:� ��� �>52s Pool &�Equipment Location � � '� i ' r � � ' .r. " - .i� .2-. 'SOII PiPe-Undrgrnd' n �� V : � � ., o' ` c: . ' � . . �' . � . , ' ' � � _ _ ���;���. ,.,'v; E •7 r � �; ti ��'�.53� Steel�Reinforcement� .� . - �3: �Electiical Conduit Ut�liiv. Undrgrhd� � � �. •'� -: � � 54- Forms? r - _ � , , " 4', Electrical Conduit-Unifigrnd � � _ � -� > n = � � � � � � •55� �Electrical,Bonding .� � � . _ . - , � 5: $teel'Reinforcement--'; �. � � '%_' '' � " � °'" ° a' ;�: ' • 56. Rou h Plumbin "& Pressure �Test � � J �� � � a,, �� � 9 9. � a 6: �Electrical UFER �Grnd,� � a �^'� � I"� o �� - �^ 57.' APPROVAL TO COVER-GUNITE � ' ' `� 7. �F.00tings ' � :��� ; �� s" ' ' ,�, ? � s ; i== '58.' Electrical Conduit=Undrorod. -. ' - - � � 8. Foundatiori _ � .i ' � � - _� ', s ? ; ' � ��� � � - •59. Gas Pipe, � Undrgmdt; Test - � • , ;' i i 9. Water Pipe-Undrgrnd., �, ' � ,� �_' , j ,! -, �i � - = i, �'gp, Backwasfi'Lines, P-Trap, O �Und�gmd. � , - _ 10. Structural Floor $Y4stern , ;� e S �, - , � � �= ' ° � .61. �4PPROVAL TO DECK - - � � 11. Prbperty Sewer Line & House Connectiom • � . �' ` :62. Backwash & Receptor-Final .' ' � �, r n � ai - 12. Sewer CaP ' ' �� � j E + ",:.i '� � .I � �.- ' :63. Heater & Vent-Final . _ _ � ' i � r. j 13. Roof Drains ' ' ' �' � '- `� � '� "- � '" ' - - ' � � � �. � � ,64. PlumbingSyste"m'-Einal� _ 14. Rough Plumbin9, i'� � � - - � � - � ° - � �-65. Electricai-Finat� - - � � � �� - �� 15.'�Rough Elect�ical=Conquit -'.-� , - �' � �? � -'I - r" � �'--� � -66.� Sola� SystemhFinal i� � � �� - ' i.i�6. �Rough,ElectriqWiriog� ti � E � 'T, �-,v'n ; � � �, ���^ � m'�: "'67.t Fencing &'Access Approval - � �. � � �- - , A� m� i a.. r � I �j I. .� � � a I i .� ' , 77. Rough,Wiiing^Sign� ,� ;,� i = I i �� .' � ` � � � `- � : � : 1 � i y ; '68.j AFPROVED FOR PLASTERING � • �y18, ?flough Electrical:T;Ban. Ceilingi �) j{ �, � � I i i'� ��;' I`. ' 69.� P,OOUSPA SYSTEMS.FINAL '' .� !' 19. Rough�Heating &�Air,Conditioning i� � ; � s � ( j � � � �FIRE DEPT.,REQUIREMEN7 � " , • � - ' � ; - ' " �0: Rough. Factory Fireplacei' i . �� F ' I I � � , , ', � "� � ' , APPROVALS, � Permit # ' � a 21.,Ducts�in:S$ucture_ '• � � � j� �� � ; � ' ; � � � 70.� Underground Hydro ' ' ' �. �� � :; 22: Ducts; Ventilating `: ! �� �'� � �� � � I � i � , 71.'� Product Piping 0 Gas ❑ Oil ' , . . - �i�23. �Gas Pipe-Rough & Test o � I ,�z , .. �- � -I . ( � .- � j -(-- � :- � -- - - � � - - . � _ . � - ---- -- �, � ,, � , � i 72.� Underground Flush i � `-24. 'Roof FFaming � ' � '= i � ��i� I.,,, �: � � �� i �,2 i . � � � -' � , I: Z3.� Unde�grnd. Storage Tank 0"Gas ❑ Oil , � 25. Roof.SheatFiing I � , ti � ���+;j� j,' t � ,,, j - ! r � " !74.; Overhead Hydro � � � � , ' _ --- - ' - i ' . ' � r -i - � . ..' f �. . , : . '' 26. T-6ar�Ceiling (Structural), & Monocoat' � ' I s; I r.� �� l.,� � � � _ l ; ��75.r Dr�y Chemical � . ' - � - � ; - � i ;27. ;Frame and �Flashing, ;, � ;� �� �' j � ^ � � °, � � '76.� Dcy Stantlpipe � ' - � � � ' � ' � '� 28. Lathing'& Siding, �,� � �-�F �I I � � j ��� I � �77.� FIXED SYSTEM-FINAL � ' 29. Insulation �� � � s "' n I I "� �� � � � � � � � �78.' FIRE PREV. FINAL . ' ' , •. ' @-30.'Dryo'vall Nailirig j � � � � �� y � ; � � � � � �Notes:� . ' ' • , . , . . = ;�:31. iPlaster �Brown Coat' � �', ! �� 'i ' i � -' � ; - I- - �. . i . __ _ . - :. _ . . . _ . i. '; 32. Electri�ral�Power Meter=Final � �� � ' .� � � � � � � � � � � � � � - � , ' � � 1 � l 1 � { i � 33.'Final Electri , � � i � ��. �. � � �L . �_ i ��� � � � � � . . �. , � � . ! . _ �..�.-_. - ... � _ � . _� � i i '_' , . , '�' �� " , , . �34. Final Heating &;As, Conditioning I+ � , I I+ � � � � , ix � r,f: _ �� � , �nlr:pi'.I" i, ���. ,. . '. , ' 35. Final Gas:Pipe=T'esn - _ - ; � - � � � - ' � - - - . i .ai_ .. rc i` ' r Ifl "1'..�GI'��-'1 �I fl;_�.�. •i , .�- " . ' . , _ 36. Hood or Canopy" _ - � . , ` . � � - i� ri� .c � �� � � e,, ,� a . . 37. Final Factory Fireplacez � ` � oi i; �f' � �''- - � ; � .' � ` � . � _ � .. n � - ' . n � � � ' 3S. Final Plumbing � I � � � ;I I , - '.S _ � '� ; . - _' �. � ,� 39. WaterSenrice-Final � ; j �� i � ' � '� � � � , • '_ I u i � � � 40. Gas Service-Final i I � � '' � ' ' � � � ' ; � � I � � I � a � I f � �, I I I � t ,, 41. Solar pomesticFinal � 1 I' ` � ' � � � ' � - . i i I I � I�� �' ' _ �" .{ _ -� --}' _t'_. '� _ T .+_' "' _" t' ' - ' i 42. Backflow Preventer� � i � I ' '�,.:`- �-_ � � ! -� �-- ,- - _ Y_-; - _ �. . � . --*-• 'j. .�_ 43. Backfiow Irri9ation�. -' � � � ' �� M' ; � �g " ,`, r � � - - r.�. �' I _i- � �:-'r - I � ., 44. LandscaDe Ircigation'SY�tem � , ,�,^i�- - , < ir, i =1 ` � - I , ''� %'i ' . . ' . . �. . � � 45. Sound�Attenuafion Q!.'., , � i ' '+ �i I i�' : pit � � i ;, . !.- . . � ` . x � e�i. �❑ � 1 N �' I i"• I t "' _ n . . - _ 46. HandicapiRegulation"v; ��.I ( � �� ; � �" �� , � -I `'� � ' , ' „ 47. FINAL STRUCTURE & B�UILDING �� I c i I � �� � ' � � � � t' ' � �, tl i i � I'i I i^ i�?I-�i � j 'i 48. Special Requirements Compteted� � � � � � � � �' � � � � � � ' I � � ' � . - . � _ 49. Electric Release,to Edison� ' � �__'_..� � � �_. � _ ..- . � � ' � � � � ;, �--1- ..�r-�-, •-+- � � � � � � � � � i , • 50. Gas Release to Southern California Gas Co � I � � � � I � � ^' � � � � � � i � 1 51. CERTIFI.CATEOFIOCCUPANCY �___--}- _1_ �. t _l_'_ ;. �__ No ��, . ' Date �� d� � I I� � I i � �. _� __. �z-.-'�-�-- -� � �- Appllwnt to till In all spaeaf axcept thow within ��OF COSTA MESA ;},,CONSTRUCTION PERMIT ' Applicantl Meiling Addrea • -� 0. MP i Proiect Aaa�es� i$'�i- 737 W• PC',' 9�'- Owner a Neme M�' - vQ�� �N Phone Address Arch/Eng. License No. Address Contrector's Na ` e J n`o�e G 31—C6/Y I� Address Imaiiin9) •�, �'k �/.3l"7r C•M • 4�.6 2 7 � Licenm No. _y 334�[ f ' � LICENS@D CONTRACTOR DECLARATION 1 �OreEy aflirm tDat I am Ilcense0 untlef provlslons o1 Charte� 9(Commendng '� wlth sectlon 7000) o� Dlvlslon 3 of the Business antl Profasslons Cotle, antl my Ilcense Is In /ull torca anG affe<t. I Utan:e C� -" C tdcnn t�yn o, y 339 `� �� � �. �gte�3� � sie at e t /d-+'u/t.��--� �` y/;��RK RS' COMPENSATION DECLARATION : � �.',,'dreGy aftirm ttlat 1 �ave a urtiflcata ot consent to seH-Insure or a certltl Wta y � 01 Workars' COmpenSatlon Insu�ance, or a cerUfietl�� p�tOh�� (Sectlon�' 3800, Lab. C. �� PoII<y No. �N-C'Z-13f�`/company eCBrtlfieC <OpY Is �0r8Gy furnishBC. j I Certl le o I tllatl with t�e tlty 8y�1 In9 DWI o(+� /l � ' � Date Z� APOliwnt /��w�� G /� ��^-+ ^ .. , EXEMPT ON ROM WORKERS' COMPENSATION DECLARATION (Thlisactlon rmeG aot be ComD�etE1 IT the permi[ 6�or One huntlmtl (5100� or • less). 1 certify that In the performance o1 the work for wnlch tnis per�n�t Is issuetl 1'•, snall not em0�oy any parson in any manner so as to become su0ject to t�e� Workers' ComDensatlon Laws ot Lalifomia. Date °�9nature NOTICE: If,�a7ter making th6 GeUaratlon, you z�oUltl Eetome Subject to tOB Workers' ComDensation provlsfons of the Labor Code, you must forthwlth comply wlth�5u<h proviSlons'or this perT�t shall Ge,tlaemetl revokatl. CONSTRVCTION LENDING AGENCV 1 �ereby affirm t�at IhOre is a construttion land��9 agency far tha Par/orman<e of [he Wark for which thi5 permil is IssueG (Section 3097 C�v. C.1 Lentler•s Name L.enEer's Atldress OWNER�BVILDER DECIAfiAT10N ' � - I herebv aHirm that I am exemOt from the Contractor's Lltense Law for tne iom antl t�e basls for t�e allegeG ei[emption. Any violation of Se 5 0y: any appliGant tor a permit subfects tha applttant to a fy of not more t�an tive hundre0 tloilars (E500). � ' as�owner of the OroDerb or mY employaes with wages�as theh an owner or a orooertv wno ouutls or evar, tne bu110ing or imProvement is 5o1G within one Year oi com- ownar.will have tha burtlen of proving he/she tlitl no� bulltl or Im- � contractin9 with i�censetl con- Buslnezs ana Professlons Cotle: to an owner of propertY who 'tor such pro)ects witn a con- icense Law). � n76 3y- TVPE OF CONSTHUCTION ❑ CONVERSION ❑ DE DESCRIPTION OF WORK TVPE OF PERMIT U� cRADmc ❑ TENANT ❑ ELECTRICAL ❑ �OTHER PpQ1ECT DESCRIPTION S�.F7._ OorUer Iines anE sign all apYroDriate Geclantions. LOT NO. BL . . ADO ALTERATION REPAIR 4FOUNDATION LJSTRUCTURAL PLVMBING ❑ MECHANICAL CONSTRUCTION TVPE VALUATION $ ZON� GRADINGCU.VDS. AC Remarkr Q .�� � i . � � Si�k , kflow Preventer kflow Inigetion Drinking Fountains Floor Drains � FIOOf $IfIkS Gas Service Interceptors Kitchen Sink Lavatories °-T�ap ' Roof Draini Showef5 Service Sink �. Boiler Duct - UndenGrow Soler ColiectOrs Solar Piping _ ' Soiar Tank Sw�mming Pool w/Spa Urinal Water-qoset - • '� Water Heater, � Outlets / Water Service Duct: Ventilating,_ � Exhaust System ❑ Multiple Ll �i am exempt untler Sactlon B. & P. C. fOr thls reason Fir¢pl/Fact. Blt. ICBO 9� Date Ownar' � � Heeting�System & Ducting , 1 �erebY certify tha[ I have reaU thla ap0���ation antl state Ihe[ the above - �U700,000 BTU CO100,000 , informatlon is correct. I agree to comply with all NtY and county ortlinancas . , antl Stata laws relating to builtling constructlo�, and hereby authorize repre- HUod o� senta��ves ot thit its y Ip pn ar u op n tne above-mentioned pr per y for Type I ❑ inzoectton ou�oose� U� !�l Data 2,� s �no T e II ❑' Si9nature (� �s•�d�Cl �� v�� , —'-`-- �— Registers � Drivors' LI �se 55 � CMFO865-46rev.12/82 Whita-Builtlln9;Canary-APP��wnt;Pink-Accountinq;Goltlenrotl-Assessor . Reinspection Fee laue Fee � IANICAL Refrigeretion System �o-l00pOpeTU O100,000HiU '. System Repair/Alteration ' ' Reinspection Fe6 A. P. 1W PING.REF.qW LEFT SIDE VARD PKG.SPACE REQ. STREET WIDTH � SPECIAL COND�TtONS: utomaticWather � on5truction Pole � ooking Unit � ishwasher ' ; ryers ❑Ges ❑E�ectric an A.U. , i ixture5 evice Boxes utlets Nitche5' arbage Dispoml enerator DO-5 KW �5�15 KW �696 6/21/d3 BUI�DING REAR VARD (TO P/U RIGHTSIOE VARD PROVIDED PAHK FEE $ Meter Liover 100 amps Sub Panel Sub Poie Motors �0.1 HP ❑1'f.$ � Inc.Solar �9-15 HP 016-15+ Microwave . Pole,Light • F` Trash $ectiOns '! dp; Iranstormer LI15-SOKW ' ' 7 i. � ' , ❑5U+KW� 'Reinspection $15. � Meter ❑up to 100ampa • �Iaue Fee $ 3 2oninpAPProwd'BY . Date _ � i.. ' Applintion Approved By '1 , �ate _ Applicetion Issued_By � �/� � � �Oate _ A $15 Issue Fee I �; $ 3 � BU�LDINGPEFMIT � PLAN CHECIC ; PLUMBING, �.�, � P�,4N CHECK � ELECTRICAL� ,PLAN CHECK. .•MECHANICAL ' : PU1N CNECK • SUMMARV OF FEES � $ SMIP � $, PERMIT $ 'j ('� � ISSUANCE $ oo ; GRADING $ $ � � MICROFILM $ TOTAL'FEE $ IESS ' . ADVANCEDPC FINAL FEE - �� 45vu� TI. $ ' $ .r _ ._ . -- - --- - --- - -- - _ . . - - - - - . �=CO.NSTRUCTI,ON AND�PLA NING � "' °�� S- '- { '--,� � -,' .; PO( SPA ' - -. . � •-�� ' " � s�Date'- � �Inspec[or �- ' � - :- Date �Idspector � p_`APP,ROVALS'�� Per`mit�#�/ .7�:.' =� .' : J.'• 'APPROVALS�."-'Peimit# . � 1� Temporary Electrical Service or,Pole ' . ;�n '• �_ � c' 52.� Pool &�Equipment Location� - � � � � � � �2? �Soil'Pipe-Undrgmd.� � ; y ;� � � °� ' � ~ � i� ; `• `� �53.'�Steel Reinforcement- � ' ' ' - � r ti 1 c , i. ' r i � v ^� _ - ' ' .. ' � r . � ;i i ,. • - . . - 3: Electrical Conduit Utility-Undrgrnd. r > '. : .54; Porms^ � � - � � " `r.�-, _ ���� ��55.. Electrical Bondin Z 4: �lectrical Conduii-Undrgrnd'.: _' ` - % � ``� _ ' � .r .i .�,y ��,�. _n�. 6ar 9'. � 5! Steel Re(nforcement , �7 = � � ' Q; . ' ' M1�_ � - 'S6J Rodgh Plumbing:& Pressure Test' � ' � i. . , 6: �Elect�icalUFERGmd. ii j� � ^; . '•' � ' -<57� APPROVALTOCOVER-GUNITE � ' , • 7. Footings � � ' �'' � j � �", � , c; " � ;;'. . ` ` ��58` ElectricaGConduibOndrorod. - . ;o; 8. �Foundition ' ' � � ; �.� ,- _ � , � . � � j ' ; �, - ';59. Gas �Pi�pe, �0'_Undrgrnd., Test � � , � , 9. iiVeter Pipe 1Undrgrnd.w � _ � ' � ' _ �`60. .Backwash Lines, P-Trap, O Undrgmd.= , ' • 10. St�uc[ural Floor System :` : I - � 61. APPROVAL. TO DECK �� 11. Property Sewer Line & �House,Connection - _ ' �, 82. �Backwask & Recepior-Final ' 12. Sewei Cap , � i i � _ , ' '� . �'63. Heater & Vent-Final _ " � � i < 13. Roof�Drains � '� � ' �; . �:64. PlumbingSystem-_Final ' ' 14. Rough Plumbing _' i '•� �'65. Electrical-Finab ' � r- - �=15`�Rough-Electrica6Canduit-�� ' �� � T �--: -r- '- �-'-� " -66. Sola��System-F,inal � �� � � � . , , i _ �' - ;c16. ��Rough-Eleciric�Wir,ing. i :' ' '� i m `- � � � :� �67: Fenciri �& Access Approval � ' - � - ai: ,i �n � I� • i� i 9 �� � `17: �Rough^Wirinq Sign. '' .r � :� �: ��� , '1 ` � - ; � �' - � ,68.' APPROVED FOR,PLASTERING � �� C^ _ I il =� i,oi.41 i� i - :' 1 18. �Rough,Electrical=T Ba[, Ceiling ��� �, � I � ' c i � ' � �- �': � � �69., POOL/SBA SYSTEMS FINAL - � 1 79. �Rough�Heating &1Air�onditioning � t' � � � i'; � , FIRE DEPT.-REQUIREMENT ' . • �. I = . 20. �Rough Factory Fireplace t ' �� �. � � � � ' � � APPROVALS� Permit# - � . a > � � { i i � . ,'j 21. Duc[s,,in Structure � �� � . j+ � �, 1 . � �70.� Underground Hydro . � � � ��22. �Ductr,'.Veniilating �_ o i I f, ' � � � ; � i . ;71.� Product Piping O Gas ❑ Oil � � ; �,`23. �Gas Pipe-Rough & Test `� � , ��P y T � � I I �'"�`. • 7.2:� Underground Flush , � _., , ��'�24. :Roof Framing. , � ;';r; ��m ,: ! C; � �� i � � ? i u 7,3. Undergrnd. Storage Tank O�Gas ❑ Oif � �� � 25. 'Roof Sheathirig � � � � ' ; ic ; -` f ` ; n � ._ � .�- • '- � ;74. Overhead Hydro - � � � L�� 26. T-Ba'r Ceiling (Structuralj & Monocoaf � �� I�' ; ���'o �' 75. Dry Chemical � �' �.27. Ftame and Flashing' ' � � �� f� � � _ � ° � , . i i 76. Dry Stantlpipe � : - � � i � ' I� 28. il:athing &� Siding' �' ;, �� � 1{ 4 j j I � ��' i,77. FIXED SVSTEM FINAL ' � �� � �� . . . .- ' i i� i � � G � , � _ „ 29. �Insulation � ,`i '°, � � � �� � � � I ; ; I 78! FIRE PREV,. FINAL ' � ���30. �Drywall Nailing � i � " � �� � � i � �' � �No'tes:� � � - ' i. _ t � � � ' ;` 31. iP�aster Brov'vn Coat � , � , � �� �- , � � - - _ -- - - - - - � ^. L�o p � � ' ' � � � �' � � � � , _ , . • N 32. �Electrical Power Meter�Final � �! �� � f � '�' �, , , . � _ � � 33�Final Electric ' . � ' ' �' _���,._i. _�.... � , ` � . ' � � ° 34. Final Heating &;Air Conditioning �� I � i � � � _ � i � �a c, 35. Final Gas Pipe=7est: � � � � � � �' � : � i �� ��' - , • � � � o -� : - „ - ...-., _ . . . -.• ,� �' I � . , , _ , ' . . _ 36. Hood or Gnopy=�� , � � r; � � �_, �- . � 37. Final Factory �Fireplace� �� � c� �(' ��� Z � �^ i �, 38. Final Plumbing � � � � �� �� I - i ' - - 39. Water � vice-Final� ' � •...� ". i ! I � k i � ! � . � . � � � � A i � I � ` : , � � . 40. Gas Service-Final ' � i � I : � � � ' � � ' � � � � i 41. Solar DpmesticFinal , � � � � _i_ f • � ,� . . s � i T 1 - " ' 42. BackfloW Preventer ' � � � � � ' � I i =�9.� ' H°��-'-�'-1 .' "�---- - - 43. Backflow�lrrigation� � � i � i ' �-� � - � � � �� � ' . � .I�� _ � . , r_.. '��.4 .1 .�.v. ( . �_- • : :� � • � _ � i _ 44. Landscape Ir.rigation;System ' !:�' ;;, , �' i ��I ;' , � � , • � 45. Sound Attenuation � I � � i ' I � >' ! � � � " � ,�. .� 46. Handicap�Regulations' i :_ i � P �`. i � �" � _'� i � - � � . � � � � ' 47. FINAL STRUCTURE & BUILDING ;� � �. � � . ' ' � �� I 48. Special Requiremerits Eomple'ted ! � � � �' ' i� . : n i i i � � �� �:.; � � ' i 49. Electric Release to Edisonl -� i fl i i 1 I '' '_' ' ' � _ � � 1 � t � : i'? "--t'-� .. �-..- 'I :�' �'_ " , � . i � � r� � � . � . . 50. Gas Release to $outhern Califomia Gas Co � � . � -� , ' • � � � � � � � � � I 51. CERTfFiCATEOF�OCCUPANCY � t_-_ � _ � ',' '' '..',._ I No �: � � I Date I t f�T --- _ ._.�_.�_ a.- _.� � a.... -�- ,_. CITY OF PERMIT ADVlleant !o till in all spaus ezcept those wNOin �eary bortler Iines antl sign all aO�rooriate Eaelarolions. ApplicenYs Mailing Addrea ' ProjectAddress T���=7��/^�/�� /�'TN Owner's Nama L'.'n'�"� !'2E�AL—.�hone Address 7� C�-"J�i 4) i/h 7"N Arch/En9. Licente No. Address �" �',,,��- Contrector'sNam ��y+�r,�_ �.pr�L�g7a ahone 4,�,i/7Ll AAdress (mai�ing) ` 49� , _ . License Nq S� 6C9 LICENSED C TRACTOR DECIARATION I hereby'af(irm Ihat I am Ilcensetl untler provislons oT Chartar 9(commencin9 Wlth uttlon 7000) oi Dlvlsion 3 01 the BuSiness antl Profa55ions COEe, anG my�license Is In full forc antl effect. ` �� � ��.,(],� ��� LJtenze Cla �/�'ff�se No.:� Date �--��� 519nature T ?y.�4 • �.;.',�2^ KERS'COMPENSATION DECLARATION '�v,.re0y affirm tnat I havo a tartlfiwte o1 consent to salf-insure o� a certifiwte �.'Workerz' Compensatlon Insura�ce,�or a certifietl coDY [hareof (Sectlon 3800, Lab. C.) Pollcy No. Company ' .8 CertlHeE�copy Is hereGy furnis�etl. ' Certiflatl eopy is illetl wiih the G�ty Bulltlin9 Dlvision. Date APPlicant ' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION (This sectlon nead no[ ba completed if the permit is for one hunOretl (E700) or lass). I certify that In the performance oT the work for whl h this permit Is iss 1 s�all nOt amploy any person in a�Y manner a be e 5 ect t�e � Workers' Corppens�yyp Laws ot Calliornla, Data �_��'�+'+��Signaturo —,Q NOTICE: It, after making this tleclaration, yo • sh tl bec me sub ct to the , Workers' Compensatlon provision4 of the Labor Cotle, you mus forthwith comply with suc� provisions or this perml[ zhall be tlaemeG revok¢d. CONSTRVCTION LENDINC+ AGENCV � I hereby aftirm that thera is a construction Ientling agency for the performance� ot tFe work tor which [his permit is �luuetl (Se<Uon 3097 Civ. CJ tantler's Name tander's Atltlress - OWNER BUILDER DECLARATION' � " ' ' I �erebv�affirm that I am axemot from the Con[ractor's LI<anse Law for the ''up��/�� J v i �i� a ��� �v��a �. c/ •���a ic/a��c �a na �V� '�;�'letrom antl the basis tor the allegeE exempHon.-Any vlolation of Section � 1.5 by. any appliwnt tor a Permit subjects.the aoo���ant to a c(vil �enalty o1 not more t�an flve hunEretl tlollars (E500): I,'as owner ot the property Or my employees �wlth wages�as tneir sole � compensation will'tlo the work, a�tl.the structura is not intentletl or oiferetl for sale_ (Sec�lon 7044, Business anE; Professlonal Cotle: Tne Contractor'S , Licensa Law tloes not apply to an O�+�er ot a property who builtls or improves � thereon, antl wno tloes such wmu hlmself/nerseli or tnrough his or her own . employ ees, proviAetl tnat suc� Improvements are not Intentletl or offeretl !o� sale. If, howevar, tha builtling or IA�Vrovemen[ is soltl within one year of com- pletion, the owner wlll have the GUrtlen ot proving he/she tlitl not bulltl or Im- �rove tor the ourposa of sale). ' - I, a5 owner of the property, arr� exclusively contracting with Iicensetl con- [rattorsto construct tna project (Se�t�on 7044, Business antl Protesslons Cotle: The Contractor'S License Law does not apply to an owner of property who builtls or ImOroves thareon, antl Who contrac[s for such projetts wlth a con- lractor(5)Iicense pursuant to the CP�tractor'S LI<ens¢ Law). � ❑ 1 am ezempt untler Section B. & P. 0.(or this reason Date Owner � TVPE OF CONSTRUCTION LI NEW LI ADD U ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER OESCRIPTION OF WORK TVPE OF PERMIT� GRADING LJ FOUNDATION� LJ STRUCTURAL ❑ TENANT ELECTRICAL ❑ PLVMBINO ❑ MECHANICAL � O�OTHER ' ' - PRQIECT DESCRIPTION S�.FT. OCCUPANCV—_ CONSTRUCTION TVVE VALUATION $' ZON� GRADINGGU.VDS. ACRFS Ramarks: � _ - � � Si�k Preventer Irrigetion Clarifiers Dishwasher � Drinking Fountains ' Floor Drains Floor Sinks � - - - Gas Service Outlets Sink P-Trap Roof Drains . - - - s �. � - Sink ' Dutt - Under Ground . Duct - Structural ' Duct - Ventilating _ _ Exhaust System ❑ Multiple ❑ Firepl/Fact.Blt.ICBO# � Heating System & Ducting I hereby cerUfy that �bhaoe reatl Ihis applicatlon antl stata that ttie above ❑a100,000BTU �t00,000BT informatlon is correct. I a9ree to Eomply with a11 clty antl county ortlinancez � antl state laws ralatin9 io buil ing consVucti n,) here0y authorize repre- Hood or T� B I ❑ senta[ives o( this clty e r� u on t� 6-mentionatl Grop rty for C �P n ins9pectlon ourpos���� -�� /_ �'_ a�� T e ' SI n5tura -� Oate �T "�f ' orlvers' Liwnse or 55 � ��� � Reginers CMF 0865-46 rev. 12/B2 Wpit¢ - 9uiltling; Canary - ApP17Can4 Pink - AccouOtin9t Goltlenrotl - Assessor Sewer $BWBf Solar Piping So1ar Tank 0543 6/20lij� PLNG.pEF.Hk BUILDING . TO BUILDING REAR VARD (TO P/L) PROPERTV LINE ' .LEFTSIDE VARD RIGHTSIDE VARD PKG.SPACE REQ. PROVIDED STREET WIDTH PARK FEE $ Water Heater - - - Water Service ��.. - {i ' ' Reinspection Fee , ' $15 . Issue Fee ' , �.? 3 Refrigeration System i ❑6100,OOOBTU ❑t00,0008TU : System Repeir/Alteration � � c . � � � � Reinspection Fee $15 . laue Fee _ $ 3 ticWaSher_ 'Meter LJover100amps. ction Pole • Su6 Panel ' Unit � Sub Pole � her Motors 00.1 HP ❑1%zA � ❑Gas ❑Electric ,InaSolar �9-15 HP �16-05+ Microwave Boxes Range , __ Sections ; 0 41.%0 TL Swrtches . Trash Compac[or � � (� Garbage D isposal Generator�0-5KW �5-15KW � TransFormer ❑75-50KW " ' ❑5U+KW � ReinspeMionFee Meter ❑up ta 100 amp> Issue Fee ' .'$ 3 �� 2oning APVroved BY , Date � Appliption Approved By Date � , Applintion laued By � � ' Date � � � '. SUMMARY OF FEES � ` � BUILDING PERMIT $, SMIP ' $ PLAN CHECK. $ � PERMIT � � �PLUMBING � $ ISSUANCE � $ PLAN CHECK. , $ GRADING $ , �ELECTRICAL ' $ • 80 ' , $ , �PLAN CHECK� $ IZ ��'O: ; MICROFILM $ � MECHANICAL $ TOTAL.FEE $ PLAN CHECK� $' LESS � � � ADVANCED PC � $ '1' '- � , � , FINAL FEE � $ .� ADD��unt to fill in all ipaeas ezeapt thosa wit�in �eavy Cortler Iinet anE slgn all aOV�oGriate Oeclar lCIT�OF COSTA MESA' • WNSTRUCTION PERMIT ' ApplicenYs Mailing Address T� - Project Addres� �%QS`��r+S7 VJ CSI � l%�ibii /S�� /1� .. Owner i Namet � %�11�ig4�—i Phone �_� � Address f J�a3�e � lM1I SSC�VYLI sr - Arch/Eng. �%����'`1' �v `�L�F'✓ Licensallo. - Address '•�•SI � � L�-.►++ � llol., � lJST d�. .. Contrector's Nama `5�%t�Yx.S �'ni. �S i ohone �� y � � ' Address (meiling) � �7 License No. � -� 2 L� 3 � LICENSED CONTRACTON DECLARATION . I I1QtlGy dHlfm tlldt I Lrtl II<lOSBO uOGlr O�Ovlilons Of CllditGl 9(Comm80Ung � wlth sectlon 7000) of Dlvislon 3 of tha Buslness antl Pro�es5ioni Cotle, antl � my Iicanse Is In full force antl effect. ' ' u<ense c� :: - � � �u o. 3 Date ���0 Q'� c�� 1RKER5'COMGENSATION DECLARATION. � � LroDy�a/lirm.tnat 1 nave a cartlfiWte of CAnsent to Self-Insure or a Cartlflcate � Workari' Compensatlon Iniuranca, or a certiflatl capy,thereot (Section � 3800, Ub. C.) . , . . Poiicy No. ' • Company CartHleC copy IS �eraby Turnishetl. � ' CertHl d�coOY i} fileO with the citY Buil� . . oate '�L(�/" �. ADPIIwnt l��/�� _ EXEMPTION PROM WORKERS' COMGENSATION DECLARATION less)szectlon neetl not be comDletea if the Oermit is for one huntlretl (S100j or I certHy �Mat in t�e performance ot the work tor which thls permR is issued I � shalbnot e loy any parson In any s Decggg me su0ject.to t�a ' Workers�-C De �at n Lnws of Cali o a /- '' : � Data � Ignature ����-! � NOTICE: I, ai er makinq thiT Oeclaration; you Shoultl betoma SUG)ect ta the Workers'. Compansatlon provisions oi the LaDor COEe, you must torthwith comply with suth D�OVISionS� or thi5-permit :sbail be tleeTep revokeG. ' CONSTRUCTION IENDING AGENCV ' ' I heraby a/firm that there Is a constructtom lentlin9 agency for thepe rtormance '. of the work tor which this permit Is'IssueO .(Section 309Z Civ. CJ � LanEar's' Name� � , LenCer's AECreas � - OWNER BVILDER DECLARATION' - ' I hareby�affirm Mat I am'exempt /rom Ihe�Contractor's License Law Tor the ' eo tile a signatl itatament t�at �e/she is IlcenzeC pursuant to the.provisions ot � Contractor's �icanse Law (ChaD�er 9(commencing with 5ectlon 7000) of ISion'3 of the Bu5ine55 antl• Professlons Cotle) or that he/she is exempt . retrom-antl the basis for [he alle9etl ekemption._ Any. violatlodot Secqon ,/031.5 �y any dDPliwnt for a perml4 subjectT �tn! aODlicant to a. civll �enalty o/ not more t�an five huntlretl tlollar5 (§500). �.• ,. . , tJ I, as�owner of the property or-my employees wlth wages as their sole � compensatlon will tlo the work; antl,t�e structure is not Intentled or offeretl . 1or sale (Secfion 7044; Businass'antl ProTessional Cotle: The.Contractor's ; Licenze Law tloes not apply to an owner ot a property who builtls or Improves ' tne�BOO,�dnO wM10 tloes'such work himsclf/herself or throug� his o� he� Owp � employaes, provltletl [hat such improvements ara not Intentletl or oiferetl for . sale. If �owevar, the bulltling or improvement is soltl within ona year ot com- � pletlon, the owner will have tha burtlen ot proving he/she tlltl not Duiltl or im- ��ove for the purpose of.sale), i I, as owner of the property, am exclusivaly contracting,with licensetl con- tractorsto construct the�project (Section 7044, Business antl.Professlons COGa: � T�e Contractor'S LicenSa Law does'not apply to an owner of proDerty who Euiltls or. Improves thernon, antl who con[racts (or such projects with a com � tractor(s) Iicense pursuant to the Contractor'S Licanse Law�., � ❑ I.am exempt undar Section B. & P. C. for Ihis reason , Date. � ! � Owner' � ' � � ' ' I�neraby certify-t�at�f have�.reaE tnis�applicatlon anC�state that the above Information is correct. I agree to comply wl[h all city� antl county ortlinances antl �itate lawi ralating to builtling mnstruction, antl �ereby authorize repre- 5entativei oi e�ci y:to enter�upon the above-mantionetl property tor Insoection o � � b � ' PEgl�q1�N / 7 7�0 ' T/V / TJi"t-Y' .. �� L�^I � BL . � TVPE OF CONSTRUCTION NEW ADD ALTERATION � REPAIR ❑ CONVERSION ❑ OEMO SH ❑ OTHER DESCRIPTION OF WORK �e/��9vh . n! . ��jy� i TVPEOFPERMIT GRADING FOUNDATION STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBIN6 ❑ MECHANICAL '.CI�OTHER ' PROJECT DESCRIPTION Sa. F ' �oCCUPANCv�� CONSTRUCTIONT.VV � VALUATIONS���T� 20N� GRADING CU. VDS. ACRFS � I � Remarks: '' ,Tn TFO/ d!".c D. IT YLVMtl11Yli Sewer Cap . Sewer Connecti� Solet CollectOfs Solar PiPing ' � Sofar Tank 7ishwasher ' Jrinking Fountains . . Floor OrainS. � ' PloorSinks �- -�- � .ias Service :Outlets Interceptors Kitchen Sink _ � � Lavatories ; � °-Trap. ' ' ,❑ • ' � Roof Drains � . ce Sink ' , � � , .� : �' f ' - Under,Ground � -Structural ' j � � FirepUFact.Blt.IC80 � Heating�System & Duc � ❑4100,000 BTU �1 Hood o� � Slgnature • oate O � I Drivers' Littnsa or 55 � � � _ ; I ' I Registeis CMF 0865-46 rev. 12/82 White- Builtlinq; Canary - Appllcant; Pink -Accounting; Goltlenrotl -A55essor _un n�y r roya � Urinal ' . - ' Water Closet � � Water Heater - Water Service � . i � . � Reinspection,Fee � . ' Isue Fee - A. P. 9Y' ��I�JI " O� PLNG. REF.9M� TO BUILOING P PE V I LEFT SIDE YARD y PKG.SPACE�RE�. �''G STREET WIDTH. SVECIAL CONDITIONS: Automatic Wazher � � Construction Pole � Cooking Unit Dishi.wsher - Dryers ❑Gas -❑Electric� � - Fan, • � F.A.U. , Fixtures ' � � Device Boxes , Generetor DO-5 KW �5-15KW - � Trensformer j]75�SOKW , 05U+ KW $15 ' Meter ❑up to 100,amps ' i$ 3 2onin0 APProwd By �� Appliption Approved By Do-ioo,000eru ❑ioo,000erul � SV(}PT RPflA1f/AI1PfPI1M1l1 1 altiple �' • �6 � . ing . I , )0.000 BT . , . ; . . ! Reinspection Fee � �515 . � . Issue Fee � � § 3 .. I . _ . � . . . 0174 6/IA/83 475.G7. TL G GU 1 iONE /�% � � BUILDI G gr.ronrr rn er' REAR VARD (TO Y RIGHT SI - VIDED . ELECTRICAL ' � Meter over 100 emps : , � , , � Sub Panel Sub Pole Morors �0-1 I nc. Solar � �� Microwave Pole Light �' .' Si9n Standing Sections � � � Tresh Compactor 1 1 , I : � 'Reinspection Fee � $15 APPlintion lu�ued By ' � 01�" � , Date 6��0 ��3 � ' /�' UMMARV OF FEES ' �BUILDING PERMIT $ G .00 SMIP , , ' $ 3• s7 � PLAN CHECK- $� S• . pEFiMIT. � , ' PLUMBING $ ' ISSUANCE ' $ ' . PLAN CHECK � $ � GRADING � � $ - � � :ELECTRICAL ' $ � � � $ � , 3 PLAN CHECK $ ' ' � MICROFILM $ � � � . MECHANICAL $�• ' � TOTALFEE. , $ ' PLAN CHECK � $. . LE55 � � , � , . ADVANCED-PC • $ ��� ' (���� . � � , i : . , i . FINAL FEE � $ SL3.Sl . �-'JCONSTRUCTIONANDPLAN ING ' . .'.'„` : .'= ,.��� - �'� '�C SPA _� _� _. " - : _. _ + ° �Aate ' Inspector�� ' � . � � '" Date Inspecmr �� � �APPROVALS . Permif-�h -�� . ' APPROVALS Permit #' . I � i '� ,1: Temporary Electrical Serviceor;Pole; �+' `tl � ; �"! � �-/� b2? Pool &�EquiDment Loca4ion . � - � � � 2: I�il �Pipe-Uniirgrnd. _ � s ^; iI `. _ ' °' . � �•., _ ; ;✓ ' 53; Steel Reinforcement . . - � . . ,. � � - , �3. Electrical�Condui't Uti{iiO-Undrgrnd� '" � - � 54> Porms'• � ' � ' - � ' ' �%�. Y ` f� ' :� �m Electiica6Codduit-Undrgrnd? : ��:' � ^ ' � _ ; 55�'Elec�rical Bonding - � - �_.� 5: Steel Reinforcement � , �� " , � ,= . ' r;�' ' ; "56. Rough Plumbing_& Piessure Test - - - � 6: �Electrical U�ER�Grnd'_� �� c ` �' r � Q? � ' ' - �57:� APP.ROVAL TO COVER-GUNITE - '' � 7. Footingi '� -y', �l i �`-� �: � �y-� ��: - _ . 58.� Electrical �pnduit-Undromd. _ _ .:�, ' �J . �. 8. Founiiation _' _ 7 � , ,� _ � � �59. Gas Pipe, O Undrgmd., Test' ' _ . ^ 9. Water Pipe-Undigrnd." � '. ' , �,gp. gackwash'Lines, P-Trap, O Undrgrnd. 10. Structuraf Ploor Systein � '-; �"� � � � / � 61. APPROVAL TO DECK � � � _ - - 11. P'roperty Sewer-Line &�House Connection� ; �. '� - . ' ..62. Backwash &'Receptor-Final � .- - � � >� �� - 12. Sewer-Cap � � < � - u � , �. �� -, 63. Heater & Vent-Pinal ' � , _ 13. ,Roof Drains : � !- ' , �`, � . �� � � -64. Plumbing System - Final . , , . 14. �Rough�Plumbing ��• ' '-.� '�_• ' � • -� � �'65. Eiectrical-Final� ` - � � • � - ' � _� _ M�15: Rougb Electrical-Conduit �� T r � -��- , �'� � ; --- i'-' - • "� '-66. Solar Sysiem-Final� - � - � � � . ' � `�16; AR�ugh_Electric Wiring. „ � _ : - - ;, � ; ,� � ;-�; ' - ',67.� Fencing & Access Approval � � ' � ' � � `- � �� li. ;Rough Wiring,Sign�� � '- I , h �, -- � i � ` ; -: - _. I -_ � ' j, i68 � qppROVED FOR PLASTERING � 18: .Rough�Electrical:T�BaE Ceiling; +i + � � ; i � , ! "� �. ' � � � 69., POOL/SPA SYSTEMS FINAL � � 19. Rough,Heating &'Qir Conditioning �, i.' ! �', � � ,FIRE DEPT. REQUIREMENT- , ,� � ; 20r�,�Rough^Factory Fireplece �' , �� �; � � - ! i j � I � APPROVALS Permit �p ' � , ' < < � 21. D'ucts`�in Structure� � ��: , !� �' � � � � i i 70.' Underground Hydro � � � � � � 22: Ducts„Ven4ilatin � ! „ i I i � ; � i � ' ' ' � �. ., 9`i ; T I � , � •71. Product Piping � Gas Q Oil , �,��3. �Gas�Pipe-Rough & TeSt r`' li;�� !�._ i; j � � � . I 172.• Underground Flush � � � � .' � " � -24: �Roof Fiaming � .�o ���; +,,, . � � �• � ^, i . ' � -� � J3. Undeigrnd. Storage Tank O Gas ❑ Oil' o i 25.�Roof Sheathing �' ��'� �'',r ' 'JS' 3 � 74.; Overhead Hydro . � � � � : ,j 28. �T-Bar'Ceiling �(Structuralh &�Monocoat' ' ' �. � � � ` �,: � � � � �, �75. Dr,y Chemical � c ' . � - � , � � � -• �-27t .'Frame-and'Flashing� � �, ' �� '' � :� =, � � �76.� Dr,y Standpi�pe , , � � � , } � 28: LatFiing & Siding� _ � ; �'': i r �� � i '� �s' � �77.� F�IXED SYSTEM FINAL � � . � r , :�i . ' i � � a � . ' , � � � i � i � . � i - i ��, 29_ Insulation `� � ' R;- : �I �: i � I � J8y FIRE PREV. FINAL i. � Y �1 .�. . . . ' i 4� p � i � � e � i , � ' i "-30. �Drywall Nailing ' '� � i , �Notes:� ' 5�.o--,.aw�oa ��S= 3.fS 6- 3 0-S � �'` 31. �Plasted6rown Coat'� �'� � ��� i � - � � I - � r- � . - �y �� �' � �- -- - � � ' 32. Electr cal�Power Meter=Finel-��" ; ' � ' I ' � � � ! ' � - _ . . � _ i � : . . �*/. . . , . . - 33. �Final Electric . y: "� �_ p j �� � I. 34. Final Heating &(Air Conditioning ' ! � ; � . � , � � i � 7-/- 3 � �. 35. Final Gas Pipe-Test ' � � � ` " • ` �' '�.� , � �� � ,i^ ;. � 36. Hood or �CanoPY'.� ' .i � � � '�I � t , � - � I �• - .,� I^�_ " � - . _, _, 37. Final Factory Fireplace' �� �.. '� Ir I 1 �"t i � � - � � � � � 38. Final Plurribing I J..-� ' ` `� � ' �- � ; i � ; . , � ' � '� � � � I I 39. WaterService-F�nal� � � • �� el � � ' I � ' � , � � 40. Gas Service-Final ��� � � �� ' i - � +, � �, , '.�, . . t �-� � - � , . 41. Solar pomesticFinal , � � I _ � � _ _. � _ � , _ _._ _�' _ " � -x i � . 42. Backflbw Preventer � � " � � ' � � � � � :- � • r', i - --- - . _ . . . ._ __ � " R Y: , . � i ' b:' i • ' " . . 43. 8ackflow, Irrigation' ? , � � ' .' , , -' � ' � , i ' - .... .. -• ' ' , "_' i . I . , 44. Landscape,lrrigation System � i 1, � ^ I'' � ' � � ' 45. Sound�-Attenuatioo' - .� ' '> ; � ! • - � ' , •�i I i' 46. Handicap Regulation`s � „! 5 � I� � " i • � I , � � , � 47. FINAC STRUCTURE &�BUILDING �� � � � � � ' , � -1s-a3 _.B , ; 48. Special Requirerr�ents'Completed � � � � � �. I � � � ' ' ' �'� � � � I_ � '� 49. Electric Release�to Edisonl ; { �i �- - � -`-L . I - �. � ' - - -- , - - �. . .', ` ,1 � �: � � I i I ' � ' .. ' " 50. Gas Release to Southern California Gas Co � � -� -`-� �� ' . i � � � � �. 51. CERTIFICATE•OF'OCCUPANCY � '_ ' _' Y__�.. _ _ .�_-�. ,__ �.-' . v - � � ;� 1 No. '' � Date ' c � � � ' � , • . , ' a._,__,_ L. -�- - a . -'I i' ' CdTY OF COSTA MESA� CONSTRUCTION PERM�IT znt to till in all spaees exeept PE�fuj1T NO.��"�7 / Ll / ! wil�in �aavy GorGer Iines anE sign all approorlate Eeclarotions. iACT NO. LOT NO. ^ � BC . ;, , Appllcent's Meiling Address TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION �. REPAIR � Project Address ��5 ��g7 Y� I�E� cTl^ ❑ CONVERSION �Q DER�ISPH� 1❑ O� C�^ 0,1ud/ E�'► — OWnlI�S Neme �%r�%�A ���V� �% �hon0 DESCRIPTION OF WORK — 5� $—� O Addr255' �� p q TVpEOFPERMIT GRADING FOUNDATION STRVCTURAL Arch/Eng. W�1C�« �' /1 LicBnSBNo �PJ •, ' ❑ TENANT ❑ ELECTRICAI ❑ PLUMBING ❑ MECHANICAL Addr2u ❑ 9THER - Contrattar's Nam �• t hone ' DO O� pROJECT DESCRIPTION SQ. FT. OCCUP/ AddlCss�melling) 7�� rh/TC/1Gi.� �RUwC CONSTRUCTIONTYPE � N VAWATIONS. -/ Z�O 7 � ZONE GRAOING CU.YDS. AC License No. UCENSEO CONTRACTOR DECLARATION Remarks: PG �� �O �$� F e���� 1-hereby alfirm tnat 1 am Iicanzatl untler provlsions of C�arter 9(commencing . with se<tion 7000) of Dlvislon 3 of t�e Business an0 Protesslons Cotle, antl O �.��0 �� • my Ilcense Is In (ul orte ana eHect. - Llcenie Gass � Ucensa N � 2 q0 � PLUMBING - Date�� Signature j.`JORKERS' GOMPENSATION D' ATION Bef SHIk S2N4f Cep :��.`�-iere0y affirm that I have a tarll❑ a of consant to selHnsura ar a certinwte � gackflow Preventer - -�Sewer Connection '=�? Workers• Compensatlon Insurance, or a cartllletl copy t�ereof (Sectlon 3800, LaD. c c�- vd � � Backtlow Irrigation $plar Collectors � Pojicy No. �J � Company!,/���D�' /NS - �- - ]}) CerUnetl coDv Is hamby (urnisnea. • - ; � Bathtubs Solar Piping LJ Certl letl DY � t tl with the <Ity ng Dlvlslon. Date '��. Applicant Clarifiers � So1ar T&nk S EXEMPTION FROM WORKERS' COM E SATION DECLAR � � Dishwasher � � Swimmi Sl;wlSpa lexsjs saction neatl not be complaletl If t Dermit Is for ona huntlratl (5300) or � i _ \` I<ertiry't�at in Iha Darformanta of Ihe work for whlch thli permit is Issuatl I Drinkinq FOuntains j ' nnal�� `�,�, �\� zhall not employ any perion In any manner so'as to becOme 5ubjett.to t�fB P ., Workers• Compensatlon laws ot Callfomla. , � FI00� D�aini `�� �WB[e� CIoSEt� �.�.� Date � - Signature • � � - � ' " ' NOTICE: If, af[er'inakinq [hii'OeUafatlon,-you Shoultl become'Sub�ect to the ' F�Oof Sinks' -� �- �- .�-�% `� y WeT¢! Heat@T' Workers'. Compensatlon provislons of ihe Labor CoOe,�you mu5t forthwith �' comDly 'wilh. such provislons or -lhii permit , s�all be tleeme7 revoked.. . � Gas Service �Outlets �, u WBte� ServicB CONSTRUCTION LENDING AGENCV ' I ne�eby affl�T thdt thero IS a,<OnitruCti00 lantling agenty to� tha�p er/ormanca In(erceptors � ' - � � ot tne work tor which thiz permit Is Isiuetl (Section 3097 Civ. C.) � - �- � Lentlar's Name ' . . Kitchen Sink , � ,i?•-�i LenUer'z Atltlreu , OWNER BUILDER DEGLARATION � - . ' LavatOrieS � �C �. �- ' , I herebv�affl�m �[hxi I am exemot from the'Contractor's Licenm Law fm the' � � _ . . , , , . . . . �efrom ana the basis for tne al i1.5 by any apP���ant tor a' alty ot not more Ihan flve huntl I. as owner ot the.orooeriv � an ma appncano co a,avu � with wages as their sole � ; not IntBnGatl or offaretl � Cotle: The'Contractor's ' y who bullds or improva5 r through hls or her own � t Intantlatl or otteretl 1or . Shce. Ir. Oowevar, tne oullaing or ImD���emen[ Is so1G wltnin one year oi tOm- pletion, the owner:wlll have the burtlen of proving he/she tlitl not �uiltl or Im- : �rova lor the purpase at sale). 1 a5 owne� of the p�ope�ty a�T excluslvely cont�acting'with II<0nsetl cOn- Hers ice Sink � - . � 3r • t - Under Ground - ' tractorsTo conztruct the projec{ (Rctlon 7044, euslnazs antl.Protasslons Cotle:- Dua - Ventilating _ t_ The Contractor's Ucense Law does not apply to an owner ot pro0erty who - builtls or improvas t�araon, antl who contracts !or sucn projetts with a con- Exheust System ❑ Multiple tractor(s) Ilcanse pursuant to t�e Contractor's License Law). � 0 Lam exempt unCer Sectlon 8. 6 P. C. for this reason Firepl/Fact.8lt. ICBO � Daie � Owner Heating System & Ducting � I hereby ttrtiy that I'hava reatl this apD���ation anE state Ihat tne above �❑6100;000 BTU 0100,000 informatlon is correcL I agrea to comD�Y with a11 ciry antl county ortlinances � ' antl ztate lawz relating to bulltling conitructlon,�antl hereby authorixe repre- HOOd o� T 0 I ❑ sentatim f Ihis city to enter upon the aDove-mentioneC o��roo�'er77tf�y .l�o`r YP j inspactl o us. � • � Cano T e II ❑� Signature Date . . Drivers' nse or 55 � Hegiscers � CMF 0865-46 rav. 12/82 White - Bulitlin9; Canary - Ap�li�ant; Pink -Accountin9: Galtlenrotl -Aszezior � � i • � Reinspection Fee Inua Fee � , IANICAL Refrigeration System , ❑Q100,000 BTU ❑100,000 BTU System Repair/Alteration � Reinspection Fee Issue Fea ., , Y T -_ ' � A. P.3W TZT�IJI�'OZ PING. REF. # TO BUILDING - PE V INE LEFT SIDE YARD PKG.SPACE REQ. STREET WIDTH SPECIAL CONOITIONS: Automatic Washer � Construction Pole Cooking Unit Dishwasher - Dryers ❑Gas' DElectric � Fan F.A.U. � Fixtures .' ,. 4 Device Boxes Gerbage Disposal • Generator DO-5KW �5-/5KW Transformer ��5-50KW � ❑ 5U + KW' 515 ' Meter ❑up to 100ampa a 3 Zoning APProvad BY Applimtion Approred By • Application Issued By � + 575 $ 3 7843 �4/27/�3 L FEE $ Meter .LJover 100 amps . Sub Panel Su6 Pole . Morors ❑0-1 HP ❑iX$ - Inc.Solar �9-15HP �16-15+ Microwave ' Pole Light ' , Range �� . . _ . _� Sign � Standing Sections '� Tresh Compacfor , - BUILDING PERMIT $ 1Z'�'S� PLAN CHECK' $ � PLUMBING $ /��•ZS PLAN CHECK $ ELECTRICAL. , $ �PLAN CHECK� � $ �MECHANICAL $ PLAN CHECK $ A I JCo ]� T, 0 $75 DF FEES . i �� SMIP $ /' 7� PERMIT ' ISSUANCE ' $ , � GRADING . ' $ . ' $ � MICROFILM S � TOTAL'FEE � $ � ' ADVANCED PC ' /72. Sz - FINAL FEE�'�.� S� ; •CONSTRUCTION A'ND PL�ANNING. ' � - � _ .' . �.. ' '-- °-� :... -?�O. SPA ,- - - - �� ' -�Date�� �InspectoF �= �'( � - �' '� -� - �. Date 'Inspector � ;APPROVALS , Permif�r` � - �. 'APPROVAL•S�„�Permit�� . ' 7, Temporary Electriral Service orPole � �� ; . �. _ . 52 : Pool &'Eguipment Location• � ' �. � �. ; � 2. �Soil Pipe-Undrgrnd.z � � . � �. = � • �� _53. Steel Reinforcement . - . _ �� 3: Electrical Conduii Utilitv-Uodrgrnd. - _ � ' ���54:� Forms ;-" - � - � � �� 4. Electrical ConduibUndrgrnd, � � . �� i , - ��, . , 55: Electrical Bonding � , - - .r 5. Steel Reinforcement - , � " �' � ' ' �56.. RbugH Plumbin9 & Pressure Test - � 6: Ele�t�ical UFER Grndt .: �^ � i `�= � 'E. `� � 57' APPROVAL TO COVER=GUNITE � 7. Footings � � � . � � . �: _ : 58.� Electrical �riduit-Undromd. ^ � � � 8. Foundation ' ' ^ . , - _ , � �' ; ' +'59. Gas �Pipe, ,0 Und�g'rnd., Test _. _ . �. 9. Watei Pipe-Undrgmd. . - - "� ' ?�60. 8ackwash Lines, P,Trap,'O Undrgrnd. �' _ �. 10. Strdctural F�oor System �- - . -, � � .� ; 61. APPROVALT,O�DECK'- � ` � ' � � 11. Pro`pertySewer Line.& HouseConnection � 62. Backwasfi�& Receptor-Final- � 12. Sewer Cap � � . i , � . � c= .- � 63. Heater & Vent-Final � - 13. Roof Drains � ' � , - . � � -- . �.64. Flumbing;System:-Final � ' - 14. Rough Plumbing � � . �. . ' � "65. Electrical-Final � - � � ' - 15: Rough Electrical-Conduit', �'r•'-,- ' i � " "- ' �' } "66vSolar Sysfem=Pinal � -�� ' � " - � � � � :16. �,Rou h, Electric Wirih � -" � � - - . -- ' 9 i 9 ` , -�a, Wi�;� ,{"='�� f7-'67.'�Fencing'&'AccessApproyal . . , _17�'. Rough Wiring.Sig"n-_ � � • ' '� - � ' ;. 1 - i ,; , � ' : % 1 � 68.� ABPROVED FOR PLASTERING ' � _ �- 18., Rough Electrical�-T'Bar Ceiting f-�� . ! - ' � � '' � � � , � �69.j P.00USPA SYSTEMS FINAL � � � 19.-Rough Heating & Air Condit}oning � .- � � i-. ' FIRE DEPT. REQUIREMENT rc � . 20. Rough Factory Fireplace• . � ' i � � . � APPRONALS � Vermit�# � � t � 21. Duas, in Structure,� ' • , � ` � � 70.� Underground Hydro � � ' . � . . .'22=Ducis,-Ventilating; ; ; i' ' i � ' � � 71.'ProductPipingOGas �Oil 23.� Gas Pipe-Rough & Tesf i- � •" , .� �� T I � � � '� 72.' UnHeiground Flush � . , 24.� Roof Framing'� . � � `• � � ' � ��� � c, ;� I �, � , �. � � ;7�.; Undergrnd. Storage Tank O Gas ❑ Oil � 25.�.Roof Sheathing � i � "'� �j4; ;; ' i , ; , � _ _ � � � ' � � 74.� OJerh'ead� Hydro , . � ' 2f:�T-Bar Ceilin Structurall� & Monocoat' � ! .. � � i ` _ . � � ' ' . 9( ,. , I ' J5.� Dry Chemical 27.` Frame and Fiashing � • � ,' �. � ; I `- ' � � 76.� Dr,y Standpipe � . ' � _ 28^,'Lathing&�Siding � - � , �� � , � ,,.� i 'F77� FIXEDSYSTEM�FINAL � •- � ' � 29. Insulation . _ - ' ' '� � . • � � •78.i FIRE�PREV. FINAL _ � . 30. Drywall Nailing � ;'' � - ' j I � . � � � ' Notes:.' ^ � _ , . h' �� � - r � .�,�.. . _ _ � 3L �Plaster Brown Coai -� , I ' ' : � � � � i ' c 32. �Electrical Power Mete�-Final � , f , � ' � � � � ! � = . ' � i i I ' .. 33. Final Electric ' i � _ I,,� ..� ,�_ ' � � � .�..�.. �. ' � i . � 34. Final .Heating &'Air Conditioning � r � � � ' ' � � ` Y ', �: i � I i i i 35. Final-Gas Pipe-Test. ` . �` - i . � �, , i:- - `�' !'s ; �, � � � . . ' _� . . '. � ' � � = fc - .� � ss. Hood or canoPv . _ " : :' : � .. : . ' ; . , . ; ; . . � _ _� ; � : �,- i i � i 37. Final FactorY Fireplace, ` � '� : i . ; � � . ' � ' 'i . , ' `��^ � � . � _ ' .� . ' � ' = �• . ,' 38. Finai Plumbing � , � i ' � � { � �, ' i � � � � � . � " .b' ' �" i . , i � � .. , . � 39. WaterServiCe-Final�! ' ' � ' � � , , . . 40. GasService=�inal„_�N.. � ' i � � � � ' . �'S•.. � 41. Solar pomesfirFinal .' � �. ' , , � • � '' � " • - - . _ t... - i. -- - ;• �. 42. Backflow Preve�ter� i. , � � �� � ' � � .. . "' •j; . . . - - - - - - - ;. ,. �� . -' - , ,. . ., � � _ . �. �,. •�� � ;� .. � . 43. Backflow Irrigation=' � � � � . � � - i•� i i I . . :.i• 44. Landscape•�Irrigayion,Syste'm'�i � �; � ; � .:, � ! - ' t { � ! �� � I . �• � � . : � - � - - i � � ' i i `. . . 45. Sound Attenudtion :` •i F � � � ; � I ' � i �� c � �- i '+ � ' ' - . :' ' �_ , . � �- � 46. Handicap Regulations�', � , � i ��; � � ` ' , ' " , - ° 47. FINAI' STRUCTURE & BUILDING ;, �' � � . � i � � ' ' 48. Special Requlrements Completed � I � ; : � � � � � � � ' , ':= � . . � � � I ' � I I 1 � 49. Electric Release to Edison � . ; . __, _ _ __I , �_ �. � ' . .':, , } { �'• ' , 50. Gas Release to Sou4hern California Gas Co t � � � ! �' � - �' � .� 51. CERTIFICATE OF OCCUPANCY , _i_' _ !.__ �._ �__ _ ___, �. _. ' No. : Date ' t • � i ' ' � . �� �� ' �- CITY OF COSTA MESA CONSTRUCTION PERMIT ApplicanYs Mailin8 Addreu ProjectAddress -1L� Owner's Name L Address ��i 3� !/L1 I S!-�c AGD����t to flll in all spaees ezcept those within PE^MIT NO� � TRACT ii/� ' i ArchlEng. � License No. Address' .�� �C-�•�• L' L`�✓TntC %1.x�'. !. ✓Jv .Yi�./ . QOfltlBCtOISNBTB-I.�M/r�+0�w. �a+�f.1�3`LRAhOOB ��O j Add�ess�maufn dl• C-3�'l License No. �$`1'7 � � � UCENSED CONTRACTOR DECLARATION ' I hereby aftirm that I am IlcenseA untler pYovisloni o� Charter 9(commencin9 with sectlon 7000) of Divislon 3 01 the 6�siness antl Profeszions Cotle, an0 my Il<enSB 151n 11 tOfCB en t<t. + .? � G� Llcenss ass "% � ' ^ L�cense�No • Date 6 Si9nature - � a i� � '..}�RKERS' COMPENSATION DECLARA'r��`�— "rµ'sreby afflrm that 1 hava a certiflcate of consent to self-insure o� a certlficate � Workers' Compensation Insurance, or a cerSlfietl, coOY �hareof (Section , 3800, LaO. C.) • , ' Policy No. ' CompEnY 8 Certifietl�topy IS hareby furni5h8G. Certifiatl copy Is fllatl with the city Build��9 Dlvislan. iess). � I certity'that in tha parformance of the work Tor � shall'not employ any person in any m er so' Workers'�C en tion•LawsofCalifor .� Date �rL�L5�9�ature NOTICE: If, aite making this tleclaratlon, You sh Workers' Compensatlon provislons of the Labor comply wlth such;provislons'o� tniS�Defmit CONSTRUCTION.LENDING��AGENCV ' I hereby affirm that t�ere Is a construction lentling of [he work for which this- permit Is issue� LenCer's Name ' � h�*� � • Lentler'S Atltlress H�'-'^� �_ OWNEH BUILDER DECLARATION I herebv-aftirm [hat I am�exemot from the Conb -re reirom an0 the� basis for t�e alle9etl ezer YU31.5 by �any applicant for=a permit.,a �nalty oT not more than five huntlretl tloll2r! LJ I, �as owner of the property or my eini compensatlon will tlo Iha work, antl�the stn for ule f(Se<flon 7044, Business' antl, Prof� LitenSa Law does not aooN tn an nwner nf a ECLARATION one huntlratl (E300) or i thls pefm�t 15155uatl I become subjeci.to t�e � � be<ome� tub78tt to the a, you mu5t fort�with � be Ceemetl revokeA.. cy for the. parformance >ctlon 3097' Civ. C;r , �'s License L.aw tor the onal Cotle: Anv citv or intl fign all aDP�ooriate Eeelantlo�s. TMPE OF CONS7RUCTION LI NEW LI ADD LI ALTERATION, I� REPAIR ❑ GONVERSION ❑ DEMOLISH ❑ OTHER - � DESCRIPTION OF WORK ������ • , TYPE OF PERMIT GRADING FOUNDATION STRUCTURAL A. P.9W ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING � MECHANICAC' P�NG.REF.'�W ❑ UTHER TO BUILDING PRQIECT DESCRIPTION Sq.F OCCUPANC P PE v INE CONSTHUGTIONTYP N VALUATIONS� LEFTSIDEVARD ZON� GRADINGCU.VDS. ACHFc PKG.SPACEREQ. Ramarka: ' Q �J.(�t . � STREET WIDTH $ink cflow Preventer <flow Irrigation �king Fountains �r Drains �r Sinks Service Outlats Kitchen $ink Lavatories Sewer Cap Sewer Conn ' Soler Collec' Solar Piping Solar Tank � � h permit Roof Drains � islons of ]00) of . • • " axampt $hOWEfS . - $¢CtlO� a'.civll ��yiceSink . . � ieti sble ' offeretl : � • � tractor•s mprove5 gpile� ' her own � ' eretl tor I Duct - Under Ground � saie ir, nowever, me ouuam9 or improvemanc is soia wimm oneyear of com- � Pletlon, Me owner wlll �ave Ihe burtlen of Provin9 he/sne tlitl not bulltl or im- � , �rovetorthepurposeof,sale). � ' � � � ' Duc[-$tructurel I, as owner of the property am exclusi�ely contracUng with Ilcensea con- . tractors to con5[ruct the�project (Section 7044. Business antl Profes51on5 Cotle: �_ Duct - Ventilating ,'_ • 1/� ��The Contrattor•s LI<ense Law does not aOPly to an owner of property who 'I builtls or Improve5 t�ereon, antl who contracis for such projetts with a con- . Exheust SySt2m ❑ Multiple ❑ �) tractor(s) Ilcense pursuant to tha Contractol'S License Law). • �� ❑ I am azem0� untler Sectlon B. & P. C. (or t�ls reason Fi�epl/FaCt. Blt. ICBO �`- `Q Date Owner Heating�SyStem & Dutting , .� I hereby certiry that 1�hare reatl tnis app��caHomantl state that the above ❑6100.000 BTU �100,OOOBT intormation is correct. I agree to comply W�t� all clty antl county ortllnances � antl state taws relating to builGin9 construc[lon, antl �ereDy aut�orize repre- � 'J sentatives of thi� ity to entersu n t above-mentloneC erty for Hoodor TypBl ❑ ' �: inspectlon purp e ' �!��� �� Cano T e II ❑ � . Signature � Date � � � Drivers' Llcense or 55 � �}..� . Registers CMF 0865-46 rev. 12/82 White - Builtling; Canary - Appllcant; Pink - Accounting; Goltlenrotl -Assessor Water Clout Water Heater Water Service ' Reinspection�Fea � Issue Fee ICAL , ❑0-100,OOOBTU ❑100,OOOBTUI � System Repair/Alteration i . $ 3 Reinspeetion Fee $15 Issua Fee , � , S 3 Automatic Washer Cooking Unit Dryers ❑Gas ❑Electric Fan' F.A.U. Fixtures Device Boxes � �� Generator �0-5 KW �5-15 KW Transfarmer ❑75-50 KW �{ ❑SU+KW Meter ��up to 100ampi Zoning Approved By � ApPlintion APProved B� Application laued By FEAR V71Rb-(� P/L) RIGHT SI 8 ��(� (�n, (PROVI—^ �E��a PARK FEE $ ✓� ' I ECTRICAL Meter ❑over 100 emps . '. Sub Panel ' � Sub Pole Motors �04 HP ❑1'f.-8 � Inc.Solar 09-15 HP �16-15+ Microwave , - Pole Light � Range '. _ . .. _ StandingSections ' � i ' Trash Compacco� . . Rainspection Fea ' $j �S4U8 FBB � $ � Date � . . .__'_ ' i . . ; . . � SUMMAHY OF FEES ; � .BUILDING PERMIT $ SMIP � $ � - ��PLAN CHECK . $ PERMIT ' � � � 'PLUMB�NG . � $ �SSUANCE $ PLAN CHECK � $ GRADING ', $ ELECTRICAL $ ' $ � PLAN CHECK . $ � MICROFILM $ MECHANICAL $ T TOTAL'FEE $ PLAN CHECK � a � LESS ' �� . � , ADVANCED'.PC , $ ' � FINAL FEE _ $ '� ��^CONSTRUCTIONAND;PL'A NI G,'�>,� WQ `' �"��._ ;;�= �.�'�a,: ��C SPA - - --- � .,^� i� � :-�A�PP,ROVAL$ ` Permit # - ��`� �� Date Z (tl�spector � a � APPROVALS,.�� Perm�t-#' - �Date ^ Inspectoi � �� .. (� 1 'T n ii m'- n � I S'i ..o.., i� . � , - - ' i^ ��9, Terripoiary�Electcical Service oi`Pole� n � : 9 . � i o� E"'.�� [52 �Pool &:Eqwpment Location � ^ �" � � -� �:, �n. 1- E �� (_ - l� _.. - -. :: y 1 � a r �. - .. �. . • �, . u a ' .`; � . c . - ,. - ' - ' . • ' I .� :� 2! �Soil Pipe-Und�gmd. :N� s o'}'7'� � � _ f r � �n .' '53-� �Steel Reinfotcement� _ -.. . : � . , � _ r- �- � , � . . n � F c ' . � 3. �Elect�ical-Co�it`Utl1itv Undrgrnd. i s� ` = � T^ i � '54� Forms "' - '= °-� � , " � .��� � � I ..\I' l� e� f')..wh iG' _ C -.� IV s� 4 Electncal Condurt-U drgrnd _-2^^ `° `- � r• �`�o t�'��: `55��Electrical8ondmg _ � _ ' �� i � :4i i I ( '.�I y�+ h � Q h; j 1. � 1 tl I�� f ' r ' S a c - _ _ b. �Steel'ReinforcemenY ' � � � � = �' _- ;56 Rough,Plumbing�& Pressure Test� � � � " Y .i-y...al, .t i'�t�n •.�.: �=•e.i. .i _ ' . . '6: �Electncal ,UFERjGrnd' � a =-°�- � � � � � � � c �,..' � ",; "� .�57:` APPROVAL TO COVER-GUNITE� _ - ' = .�� �4� � 7. 'Footing; • �,�':� .j,,� � � " �`� "" ; = U -' � r� - o _ `^,� `58Y ElectricaLConduit'Undrar.+d . ' ' °'' •- n_� �I . O; 1. .. c. I r:. . i ' � n I � • � •. , ry . n I "t . , ,' (' : . _ " " � _ ' 8. Fouridation � --ri .t .J.�" � i o m ii }s_ ; � ' , a� �"I . .59 �GasrPipe_-D,Un'drgrnd Test�-�- . --� ,' �� ,^ 9. lWater Pipe�Uridrgrnd. � � '�; � = t s � u'%•? , ",�. ".60 Backwash Lines; P Trap � Undrgmd..` � �:'; � ; s 70. Si uctural FloorSy,stem � =: � � I ��,o '�_,67. APP.ROV.ALTO�DECK � � ,� �,I �' 11. lP.roperty Sewer ryine &�House'Connection" ; � i ; � ; � � � , 62. �BackwasFi &`Receptor-Final__t. � . � . . � , � Q 12. $ �ewei CaP � '! �''I :j j '_" ` �� ,' ''; � ; n' i • 63 Heate i &�Vent.Final. . - � ^� + �� i ._I i c � .-i . ' ' - . ' - � i � 13.'Roof�Drain's i �� �> I - �<64. Plumbin Final � " i - k. I _ t n i I 9'SYstem.- . ` z 74. �RoughPlumbi�'ng�,� I i �s ' ' - � � �O �-�� ��65. �Electrical-Final' � ' � � `��� . ' '1 � o � �s _. i. . � .r �T u 1 � • � ' __ I' I � �' �. Y "' _ ' ' ._ 1�. . .. .' ' " ; ' _ i _ _' � _ . .. �j . � �-15`.�Rough-Electrical=Conduit '�""T��'�-' `� � Tv 16S7SolarS stem-Final ` � � i i '' �p1�6.,�R'ough� Elec`fric,Wir�ing � � � ' �� � ;;�,� ;? � �p � � ;� ��'��' "�67. Fencin &CAccess A roval � -� - �� � - - - `` 'o i '` t: .m� ..a r.• � o I. �2�' 9, PP "�' ��. .. .,` .'� : p'"1Z.!Rough WiFing Sign` -;�� �. � ii °V' � � x��� t➢ �� � 1, 68: QPPROVED F00 R'PLASTERING � �- ' - � �- � n � i . 1 ^ i , i . 1 ' c i _ � � i � ' �J18�. tRougli Electn°�,aI,T Bar, Ceiling� r i� �; �� �' i= ��, t� �69.� POOL/SPA SY$TEMS�F.INAL �: a' � ' � p 19. �Rough';He'ating &�l�ir�Conditioning �� � � i I � rv � ! FIRE DEPT.jREQUIR�EMENT - �. � i i' �'� 20. �Rough�Factory Fveplace � ! �� h f � � � I �� i . � APPROVALSi Permit# ' • � � . " " ' 'i , A !1 - r i I I 1 I n I .. ` _ ' . I i _ , �` 1 S 'J �� m 1 � A � �• . � • • � 1 1 � ' . v � ,L 21. Ducts, in Stiucture.' � � � I yf � �� � � i ' I � � ; 70 � Unde�ground Hydro � , � � , �a�22.AucYs,UenYilating,.;ii �; � �' '���`3',, p1.fProductPiping�Gas ❑Oil ', � . , : � . . ' � . . ' �� ---�--�-'� - �-- --r c- x „ r- -r- - - f - � - S 23. MGas-Pipe Rough & T�st :- �'� ��q� �� 1^� � i T'� I i i7p.��Underground Flush. `��� � ' , I�24. �Roof Framing� � �� � t � � ��� �� � � � � � > v - I �. j. �73.� Unde� rnd. Stora e Tank' O Gas��O.Oif ' � + � �, , i�� i� i�,�il`� ��disl�;�. � s e -,,. , , ; _ ^ 3� 25. �Roof Sheathin9 ' � � � � j�r:�'i � 1 ; o i ,- � .? � ° y "- '� � � .74.' OJerliead Hydro � `� � � � � ` i � i --. c i i % N � f� � � � '�-26. �T Bar Ceil,ing �Structural), & Monocoai �., � Y; �� i'� ' r � �. �.'�. �75) Dry�Che,micel s c 4 � � �_; � { �r i�� '� , � � w, , + .- - � �^27. �Frame an�l �Fla�shingl _� � I � �� I� 1 . � � � I � r � I { J6.I Dry'StandPiPe � �� . , ,. ' . � . • �� n :� , _ � - 28.,�L•ething&Siding; � � � i � I� �� � I I �: !�i i;77; FIXEDSYSTEMFINAL , , r. ` q 29_ ;�lnsulation a s � Q"'� r� � �� !-( i � � � � � ���`58. F�IRE PREV. FINAL - 7 �. � n - i . �. - �� . i .. �j' ' ; � . - r � i � �a30. �Drywall Nailiag ' >.' � � � � �� �� � � � � � ' i �Notes:� �� ' � _ • � � , C . . � i ♦ . __ __ _ _ . . . . . __ _ _ - �31.;Plaster Broi%vn Coat.i � � � � �f ,' -..T�._� �� � � � � ,�° _ �� � `� ' -� - I '� � � � � � . � i ~ t 32. Electriral � - , . , ..: , . a''` � � � IPower M�ter=Fi,nal � ' y ( � � � i t ! � t � � i � . .� � � .- � i i � �� �' . i_I_ k' i ` � � ;, h 33.;Final Ele�tric � w'I i� j i i� �....,�....�_.1 _�.-...'._.:_ i. �I �, _�_ .,1 � � � ��.. � _ _-. � ,_. s... _ � . _ I .. , _ 34. Final Heating &�Air Conditioning j�' ,� , � q � u i� - ' �.i I % i - i o � _i- i � _� � t � � � � " _ Y . � _ : , � i �n I • t a " ) .. ' � r ' . � " i � I . I' � ;� � i� 35. FinalGasPi�e�Tesi'' im! °1� , I" ;.� ' , ��- ' � � i..�..i �n���� im��a� , i�_ (_ I`c Ic� �� ��.,x' �- ' - �i , ._ � 'i �i n '� 'P �.y ' � � - ' _ 36. Hood�or CanopY�✓ I, i � � I t , � �, � : i � � i = �-: � ) ��� � _ , I � � �� i m � � I n. is 1 i' i-_ � � ^ .� 37. FinalFactory�Fir'ePlac�� i:=j o (� j' j�,: i" I�:f � �9;� � j'!� 1' �� ; � �� �i -. � h i -�g�'. I � ��� i I � � I i i - t n . , ' .i 38. Final Plumbi'ng.� � � i i I � ;- � _ t. - �5 i,i � �.� �✓ I � s� j3 � I` I � I � � f I � I, -! � u 39. Water'SeGvice-Final� � � ��� '� � I ( � �; i j � � � i , � r � � 1 �i � 'i 1 t ! � � �. 40. Gas 3e�vice-Final i � � � i� � � � ( � � � ; � , ' ' �. . , ' � ( � � i I 41. Solar,Domestio-Finel � � I � + i � � � � � ' � � � � �c� . ' . - ' - � � � I I f � � {-. y.. _ �.,---i ^--�'-!'--r - t - �--F--; _ I-_._'r".� - . 42. Backftow� P.reveriter: _ � � � ! �:�' � � �� � � _� � � � j i I ' 4 � - , , ' : � ! �i., -;i .�--s--`-- -,-�-- i-=- r- - - -i- R . , � �� � . � � . � � � : : � � . i� I nr > i � { _ I v ' u � ..� : r � � . � 43. Backflo�w�lrrigation� F.!, � � I tn{;� I--,�z ���i ;1�:''-� i i i`-I ;;� �� i � I '' � 44. Landscape.Irrigation;SY�tem I � �;Q� - i ; f ' ,, �. 1 � ��� I y' � j i �Ti '' ' � � � i � , o-.. . i - , 45. Sound AitenuaTion�" i;,; I�� I ��! �: I � �� � a � , ' j I"f � I I + �" � i . y �- . '�.i� �.. '. �p 1 f I � I 1,'i I I� � c ui I �J .'�� '� ' - T t, � ._ .. . 46..HandicaP;Regulatio'ns`i �.'�� i � �`..1 �P' 3� � i I.i � !�; - ':� .. 47. FINAL' STRUCTURE�& B�UILDING" �-f �' ��'� }�; � 1 I � C I ! i° � � ( 48. Special R'equirements�Cortipleted� " � � i (��� � � � i i � ! � ' � '� ' • - ' � � ,. � . � i� �� I 1� .-� � 49. Electric`Release�to Edi'sonl I I �._ �._I ';,_j_. I i i �' ' ; _' y , _ . ,' '' . � � , � i i � i r-� "�"--(-'i---rr-i-", r" �}' , . � t � 8 1 j j + � � � � �_ � . d , 50. Gas Relesse to Souther�n Califomia Gas Co � � � I � � + i � ��„> !-�: � �� ' n� i � i � i i a l � 1 i - - 51. CERTIFICATEOFIOCCUPANCY '� L I 4'' _�,L.'_,__:_!__I._;'"V--• . , � , ' � --r--�' 1- � � No. . � n- . � � Data � � I� ��� l � �' i I � � �' R. , . . _ V r �.,, .: . . . . . .. . J . ! . .:-,.-;......,'a .._a.r......��..�__ _��_.�'_ �_..�.�_ _. .,__'_"'_____ " . " ' ;� =�:�c i,,,• � ,� ::: " f ..i my)y � � ri E E L E R &' G R A Y CONSULTING ENGINEERS July 6, 1983 W&G II83125' Mr. Morgan, Building Inspector Development Services Building Department Costa Mesa, CA Reference: llavid Vaughan Building '� 785-787 W. 16th Street, Costa Mesa Dear Mr. Morgan: I inspected the lateral ties at one of the spalled columns on the west side of the building. There were two ll3 rebar ties and a heavy gauge wire tie at the top. Although this is not what we assumed, it can be considered satisfactory for this existing building. Very truly yours, WHEELER & GRAY �/ ! • �¢ ��� Britt Poteet BP:bg cc: Steve Saunders, Saunders Construction 2572 CHAMBERS ROAD, SUITE 205 ❑ TUSTIN ❑ GALIFORNIA 92680 ❑ (714) 731-4717 ____ _ __ __ _ _ '._ _'_I __ _.—_,.�-._ ' _'__—"____'_'__"_�. . _ ..._ _.__.._""" "' _;�j' � . nr. HU) IY_' �I' LN•• •.1"iClnH�lfl.'-Vp !.l:Il'p'i11��P/.)InS�hu�.u� Tl;i,: -'-�` t `,..�•,i:b 2t3 L' �r.;! 21 � lVorks'corliflr,.-,f� , ,_ � ��'= �' vo_u„�.. <i oz :o nach / acr,ordinp fu DIPI 5UV49 � ��o.�,swocr.w�(w:i) aaai 3 Txlepremmn�KlO[CKNEH' . I er,R 02�01(Y�'0 Nc/Ah D�tam/Owb fll�tl/Pon� ! , � _ f �Tr. �Z. 3 ��'f4�—__ 78Sd 7 �'7 (,�I . l b� �M%�� 13��YG CRGST STEEI COS ANGELES/USA FOP.T HAMIL tlo�!slNr/NVO1a5V/; � 6seteilen� Nr./ D�hm 5? S 3 3 6 � /OT.9/-N0./OdlP: un«..,wo-earrc�.ictvadw-�w: � 2'd 2712= _ a;�, µ:;:<: LlcMndwlMntNlemN�f�nrM�e Q 7ntls Muk LIM�n Oo B�cM�ntlndlp�n NspeMps Slemp P.O. 1238/KLA 8317 u�.,�. nvnu�a i thrr cva*�w.,r: +e��.vra e QZ-PRUEFWESEN-AB�dANM[ 289C Ear�CN�:ortu/PrOQvct: LI�}��C�yW /TYmu d DVllwry: W.aR�'IBRET_T9AND hot rolled coils qSTM n 568+635 � w„ax�n �.d, uoron,.c�,�,¢ �.,d i w'r.mu:dm vo�r,ittm / Qvallty u por Twma W Dellrery uM / cr Of!lGN Repu/al/ona A ?s ASTM .q 36 Poa/IAvahl/I Atvries�unpon/IXmavlona Nms�ILleu lnr/8chrtnlaW. BtivnNianslyM/pwmMa/ysl�%•f0' Yem �tr�acJ7 T:IL u � � c,_ k�' Ld-/CettNa C 61 Ah P 9 !�]. - � i?0 _-C� 43.00D0 ''?',779 G4�495 ?50 30 72^ 13 1Z >2 <.` I:� I 9.=4QQ 48.0000 194,852 C4Z496 150 30 730 24 14 >z � AvWml BtrxM �' en�' Rnbwr ���Ja+%e�nDda YWi.w fMlpkMt GN�mmp 1 Tx/ lor/"xnmalrW. IaW�) YrVv� IaU�7 1 -ProEe/farm C�m I Lv-/Cs;t-Nc fbs d Y1M0 Pdirt Teny/o Elcrr �d I 7arB+r �°� vatl�x tealBv 1 II 9 AwnW `C N/rtrN N/mne La�_ �Jrn n CSllrn !>1rm n m rm .m 042495 I Eq j z96 I 46zI �e2 " � 31z h6o 40 042496 ��� � 3t2( 465� 40 � '�`� y` . ��x::ie n. .i� , n•_. AILURGISt'GTUALIT Kxf � ��: i��3 ��1' �, : r'�, �, .��,�, �, MILL iEST REPORT No. ��39a " '; ' . , 15f H LREST STEEL E. p 24724 WILMINGTON aVE. CARSON�CALIFORNIA r J�L , , ., F I ." ' . � �_ �. A Division of NuCOr Corporatiot PLYMOUTH, UTAH � � UNITEO STATES Oi AMERICA I � INVOICE 20175 �� i CUSTOMER P.O. 1417 BILIOF�IADiNG 09720 ' DATE 5/12/83 I J �. !$4. .�f_AlL 1At9 AA ,�a eC1.1 AA�� � 10R}:R�'•� N �.. �,P�'����5��"f'�S'�������P"J;�~y,,� 4 ��Ie'I�� zr10009 ...%�� t%IOO�y�',..Fa�rtf '�i� Q . ..'i� �� k �lk" � I �13-090'1`''S1�20D .69�733 29 12 72 022 037' 29' ' 'cND�. I K� � �,�.� Y �q23r'0,�9.b�4 5��+66'6y{,� jp72��333 �27� '14�i. 66�; i01�9 �D36!�",.�°24��� +��E'��� ;Ij�� �i,' EiJ'pl � t�9';� i� J I�``�'� iT � �75� iC � ' 1�3 ��txl'��1 . kdai t i�tn h'K ��,�N F� � 1��.{ t ��gq�l [i� ���Y }• ����.' � "�"��i�'. �' ht+ �tt �tYv. .. .uiJ:.b � �71�'.`��....� �... Y, r � :.�, .�. e 4 k , .:,.r i_� i�a: 9 � ! L k s..ef: r :I_"f� �,4� �i � `t�' i � � � "" � . .. � �,� �'� �f_'r�i�,���;�y,� �'�cU���ri1f� '� 1;44wt��rl�p� �� t lii�. a (� f'1 � y qj!� 1 .�'l��(�'-K� Nt T�t1hY]_����-_l�r .�..ia.i'...` fhYPJ4'�-'1���i �:�.1:-I ��l t f P� ty' 1 i� p -g� , �,^ct �j},qqq i tiF Y i'1 r�R� j4��l ^ IIy�,,�,-j4� 4�� ��••�w f Hf a �j.{ 1 y+ q. �; �p� `��;p ��� �, M7�' ���J�S+.'S.7i.�� iF�a�Ri7iFi�x�t�'h'�'.1 �!� �(�1.� t�i 1��2`��tr� + . �: ' ` I. � � � _ - �� � � ,���� �, � �� y;�{; y{,5i y` a� Js' i�r.�!w.��.h ,Ni^;��Y�4^ ".���g�,�?���.3 fa'�,�,i � �Tlt:. � ii . _ ro'i 7 �1�.. . . . . '.t1 � ���^�� •• • '�11 �.�a.�9,+&:&,.���. � � 'B � �°e,�.�r'.ae �s�,/�C �' . . . � �.•��l��. ' '. .� ' 7 f,� . ASSURANCE MGR. ' t � ' � ., �Y 1,{'ir�, , 4'�; CREST STEEL CORP. MARCf:ES�f PACiFIC C0. SOLD T�, M� C�, ��t._ c,��� Inl-c(el t vi� G��:�:__ U a�c��3 CUST��AEP. P.O. #__�..�.I��i �� DELi`�ER'� ORDER r� .��a-g� �� t �r � �---- _____.�-.�- �.. i.i�. �.I_L�{'t�: � __ ..r� . � . . . . .. .�~ �. .:A.t�R. �asc'r ,t ,,\ �T r �"' , �,�1 � . � _ 4 � � � GTY Of LOS AAfflELES ,` � � � ', ' ' DEPAR7MENT OF BUIIpING AND SAFETY , � CERT1FiCATE OF REAPPROVAL � This certiffes that reapprovai for one year fs issued by the General Manager under the provisions of the Los Angeles Municipai Code as a Testing Agency ❑ Type I Fabricator� ' Type II Fabricator p . � fABRICATOR-SSW -#1083 '= ;,u'�. �"; "'�- • (— --� K�2�+h 3� Ui;�!8�' 30�t.0;1 Cirf;7 MCCdrthy Welding c�swen�suseomr 161 W. Avenue L-9 � Lancaster, CA 93534 �a�e 10-14-82 , L � Annua{ 3aQ . QQ �+��+ � Renowal Fee $ —�` This Approval ], ], -1 - $ 3 � Exp(ros � C��M . ... . :' '8 8 8 R-0--(Rev. 7.9p) � . b a � y. . . .. '. . . �^: � ' ' ,f � /�' , t�:.4°.t-„ ' � „ � 'j�.:r: . . .� . ' i , . �ri.P,^:.••, Y w FROM: ��� City of Costa Mesa Fire Depe.rtment C052A MESA FIRE DEPARTMENT COSTA MESA BtJILDING DEPARTNIEIVT -� �� - ��l section E\ e cT. �� v'� s'� n l.l , Location —%g � l,�)� �%'�'ST nn/a ��3/(�NiA1G �.a. This is to inform you that an apparent hazard exiets at the above address as follows : M�� S �)� E c) F G I � cr �x-c . C.o a o c U c E � r � � Inspector: JOB ADDRESS 7tl; GENERAL CONTRACTOR �� AP No. 116-3�0-23 LOT �INSPECTIONS s OCCUPANCY 'lIPM RIIG . SM � DATE lET-B1dT. VALUE S 1W. W TRACT FIR� ZONE - DESCR[PTION OR WORK 7 Signature DATE GROUP F-2 TYPE III 7.ONE Yciz�[i SUBCONTRACTOR r�mn—T' � M-1 ... .� : " I9288 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 917 C09TA MEBA. CALIFORNIA For Appllcanf fo Fill In Completaly TYPE OR PRINT wooaess ��� /�v �� • COSTA MESA, CALIFORNIA OWNER L-- l�� / 1/ I �GI7Z MAIL �� �S C ��%��[�s'lyt. � AOORESS ■ SIZE � BETBACK LINE CO DESCRIPTION OF � GKr4 -�XiSiin %mi/c7' ` bov�-�-¢� �X /.2 � 1 HEREBT PCKNOWLEOOE THAT 1 XAVB qEqD THIB APPLICATIOH ANO BTPTE TXAT THE A �CORFEC^RND p0R TO COM. PLY WITH ALL CITY IN ANG BTATE 1.6W9 OULATINO BUILDING CONSTRO 10 / , AUTHORIZED AGENT � BU FEE RECEI�I�D 4PR 1 5 1989 APPLICATIO�R'N�yr � DEPT. BUILD�� ��F ��osra MESA Fo� Office Use Only I RlCEI'T NO. I �= v 1,1 �. / I PLA eF � I CUILG Na��^� `. 1 �'RIRION " 'IOD- '� � M�� M�R �• ` �. No. //G — 3�0 — � � , 'E: NO EAVE OVERHAN6 BHALL BE LE68 THAN TO SIDE @ REAR P. L ES .OWED (U.B.C.REqUIREMENT' YARDSAPPftOVEO YAROSAPPROVED MAIN BUILOIN6 ACCESSORY BUILDIN6 tOMGLSTREET] � o�sraNce eer. I eer. MAIN BLDOB. ACCE VAR.# �ATH N ��. �. � TMe MMOIINT BHOWN UN�ER VALUATION IB FOR TXE F plIRP098 OP EBTABLI6HIN0 A PERM�T 8 ONLY. p VALUATION m PERMITFEE �' � � , 0 $I� = E ^ 0 4 owrrER �,�, DR:�DS,IARD W, DAT� 7-22-59 _ JOB ADDRESS 7$5' W. 16'th St,T'L'2t. IiUILDING PERMIT N0. 99�}8 AP. No.lT6—i INSPECTIONS U •ground S� U�. ,;eround G Form owner-builder LOT TRACT � FIRE ZONE � DATE I GROUP SUBCONTRACTOR VALUE $ 5E?8•00 TYPE �� �� � �7J'$O COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 31] COSTA MESA. CALIFORNIA fOR APPL/CANT TO f/L[ /N COMPLETELY TYPE OR PRINT eui�oiruc �OlJ J ' �'.�C. . ADDRE55 U /� COSTA MESA, CALIFORNIA ADDRE55 /.��� I{�O/��`!����� ^—'✓/ CITV /yPw-'�i /JGa� b' .1 AR� 'ECT LIC. OR INEER NO. ADDRESS STATE CONTRAGTOR �� LIC.NO. ADDRESS LEGwL I LOT �J/ � I � / OEBCRIviION NO. / BLOGK RAG� A.P.NO. II /�'+ � �� SIZE /,� \' 3a I NO.OF BLO6S. OF LOT !Y J� NOW ON LOT EXIST�ING BLDG.�D//GIS/�+/N� -CO7"d'� _� SETB�CN LINE FFON _ DESCRIPTION OF WORK NE\ I II ALTERATION I II ADpITION REPAIR I I MOVING I II DEMOLISH BUILDING NO.OF SIZE ROOMS STORIES E%TERIOR WALL IROOF COVERING COVERING U 10F,'BU,I�L/DING AN'�WORK T''O BE P.ERFN //ED�wO O�T T S / (�.V Sli�G. Gv0 G� /Y07L( � � �/�E7. 1 HEHEBY ACKNO •ND 6TATE TH/�T PLY WITH wll CI BUILOING CONSTI � AUTHORIZED AGENT � FIRE � •-, q���,�.i...' . ...L i IN,ii E DEPI 2 t959 C!17 Of COS7A MESq APPLICATION FOR PERMIT BUILDING fOR Off/CE USE ONCY I nece�vr no. I na�` �9 _ JEN6D CY I OATB RECEIVEU _I .-DATE.I6! COSTA MESA, CALIFORNIA ZONING NO. OP USE OF NEW PLAN9 O BUILOING � YARDS REOUIRED (CENTEN L�NE 8T.) L. I HAVE READ THIS APPLIGTION 1 COflRECT • AGREE TO COM- THE AMOUNT BHOWN UNUER VALUATION IB FOR THE S ANO STAT LAWS HEGULATING PUFP08E OF EHT/�BLIBHING A PERMIT FEE ONIY. i/JiJ /1/�/A VALUATION , / - � �L � �����L PERMIT FEE $ 7 � � S /� �� ` PLAN CHEGK S \/ � �� TOTAL FEE S �