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Home My WebLink About788 16TH ST - Building PermitsADDMESSOF BNLpN�: % 8 8 W 1 6 TH ST rxHercaxwiie,a+�vr+:STEVE HILL � ,�noxEss:788 W 16TH ST �`Y C.M. CA92626 �vv�. �,uuxc woxess: IIiCNRECT OX FNf�lFFA: /iPLH OX EN6'S IODXES: uc no.: UNT: UNT: car�rn�cTarsnua.SUNWEST AIR CONDITIONING ( 714 ) 650-5061 CQ/IPACTORSY,YIWG 629 TERMINAL WAY moxEss:COSTA MESA CA uc.ra.: 431394 92627 uxr: 17 IJCENSED COMHRCTOflS OEClAX1TI0N: 1 MmEy efl'rm urcbr parely d pmjury the� I em Icenaad uMm yorisana d Chaqm B (mmmena�q wnh Sec1bn ]000) of Divisun 9 N Me Busimv end Pmleavms Code. vd f liwroe a in full lorce aM eMed. �c.r+o.p356 uc.cu,ss:C_20 uc.No.: 1 EX • 6/96 /oete� � convean: '' OWN BUILDEH OEC HATION: I haroby elfirm �ntler penely d per'ryry tlat I em nvemp Irom iM Conireaae lironae lew lor the idb g reawn (5edion lbit.5 Busiima and Proleasione Cada: Riry c1Y a munlY �� Vuires e pertnil to omsVuc1. eller. improve. ol'sh, or repei eny airvcture, pior to ns asuenca, abo requirea IM epDliran� lor euch peimil lo file e eymd eteleman� Ihe� M a eM cansed pursuani m �he provisbm d Ma Comrazmra Liwma Lew �Chepter 9(oommerwiip xith Sed'on 1000) d DNoion 3 d ihe �sirwss eM PrNessuns Code� or ihm ha or she ia exemq Ihaehom end the buia lw ihe ellepad uemqion. My vubtion d Seeun ]o3t.5 M eny eVVlifsnllor a Parmn subjeUs �he ePolcem m e cvvil oeneXy or rwl more Inen 1'xe nunereE Edlen �5500)�. � I, es axner ot Ihe prapeny ar my empbyeae wvM1 wepes av Ihei eole mmpaneetion, will Ao iM woA, enE �M evunure o� intended or oXereE lor eele (Seclbn ]Oas, Buainesa eM VMassbns Code: The Cantreqwa licensa Law doea iwt epplyto en ownm d popeM wM buJds a inproves thereon, aM xtw Eoea auch v.oA Nmaell or henall or IhrouOh hb a her own emd%'�s� V�4� ihet such improvemenls era rroi inmMed w dfereE lor eele. M, however, Ihe buikin0 ar improvemenl ie eok wil�in om yeer o/ mmplMon, Ihe wner-buiNar will have the buNen M povinB he or ehe Ek ml build or improve lor iM puryoae d ceb). ❑ I. ea mmer W �he propaM. � exdueiraM ��rectne �h licanaed conlrmlon lo conaVua �ha o�qea (Sedion 10aa. Bueirese vM Proleasiona Code�. The Coniraclon L'rensalew doea nrn epplyio en ownarofpmpeny who WiNe w imqovesiheraon erd x1w conlrecb lw wM prol�a wilh e mnirecior�s) Icensed punuenl lo lhe Conlrecton Licensa Lew�. ❑ I am axemp uMer Sectiort B. 8 P.C., lor ihie reeean: Deie: Ovmar. i ao ne�nr �en�ry mei i em awma d d,d ��damena me reauiremenis m cairam�. w.nn .�a sda�v coda san�. uws, usaA, e„a 25530, eM Nd I a eiry Mure WilEirq om�pent vnll / will nm (circb wn) neeE lo comWy wIh aeiE atete mEee eM Ihe reQuiramenq M e peimn Iwmrisleuelion or modifirai'onhan IheAv�epameM Distrid. RwiAemiel oonmivaon eppY�ione ere eicemqtrom IMae pravisians. Deta: ADW�� W OHKEN'S COMPENSATION DKL�N�TON: I hereby dfirm uMar penelty d pe�wy aw d �he /olbv.iiq Eedaraliom: ❑ I heve entl xil meinien e eentl'rua d ooneeni to aeH-inwee fur xorken' eompaneetion, m prwNaE la by Saeum 3)00 d ihe labor coe,, r« ma vanwme�e a ma won� �«.�m�n mi. v�u i. i.,�,a. �I heva eM xil meinlen wwkan' oompenaelion inwrame. m reQuirod by ^waim 3]00 M tha Lebor Coda. tor the perlmmence d tM wwk fa xhidi Nis partn� o iuued. MY ��n �Genamion ieuurviee mriier vM pdiq number ere: c�.: STATE FUNDLE EnXPIRES!1�e PdicY Numbar: ( .� �) . �l Q � � 1 � J ! ,lhis seaion neeJ rrol be mmPb�ed / tM P�t u la are huMreJ Edlers ISI001 a bss.) ❑ I cenry tl�ai in tM paAwmerr.e W iM work br wM1ich �his pe'mN b iewatl. 1 ehel � emplry eiry pe�aon in eiry mennn m m m becanw wMee lo Ihe rkera' cwnV�smian lewe d CeIX«nie, eM n�I X 1 e1wuM bacwre w4� to iM xwk a' cpnpa ei 3tlion 3)00 d �M lebor Coda, I fliell i � wil� IM1ue qwifiona. �a: nva�: ng: Fsllun ro sxun workx�'rompewtlon roverap� h unkwNl, �nC aN/l wb/�cf �n mrployel ro cMMro/ penaltlu �M e vll firos iq ro ms h�.nGrotl flrouwd dolMr� (5100,OW), M eddltlon ro M� eoat oI rompxu�fbn, damsp+i u povltletl br In Srotlon 9]06 ot (hs Leboi Cods, Infenaf, entl attomsy's leu � CONSTfiUCTION LENWNG AGENCY: I Mreby elf�m uMar panehy d parNrv �� n a e oonaruaun bMmp egmcy tor tha peAwmance d �he xak br whidi �he Ga�m1 c e9ued (Sedion �09]. Grv. C). LENDER'S NAME: LENDEH'S AUUHESS: I ceniry iFat I have reed Nia epplration e�M me�a tliel the above inlormnion u mrtw. I pree to compy wnh ell dty eM muMY �ineMea end sieta le�w relatip lo builEmg construdion eM hereby aNMrrze repreaenlalivee d Ihb rilyto enler upon �he ebwe-mentioned poparry fwinspeeion Ourpoeea. MA DALESSI Pnm Neme �/ /iJ � Dete� �[/ Si a�ure olOnnar/AcenURookcenllC rec�pr (St51�as WP) Whno-BuilEinB g Selety. GreamFlle; Cenery-ADM�C Pink-Revenue; Goldenrod-Aesessor CZTY OF COSTA MESA — BUILDING PERMIT IT NO: IM 077795 PLAN CHECK NO: N TRUCTION TYPE: V—N PERMIT TYPE: MEC OTH DESCRIPTION : REFERENCE EXPIRED BME: 34817 VALUE: C�t:I�I�+/e�dljp� � �l � PERM NO: IM 077795 GOVT: N SUPP: Y PURPOSE: ADD SQ FT: 3 GROUP OCC:�-3 / COMMENTS: AS PER INSPECTORS FIELD REVIEW 5 APPROVAL REF: B-77793 fElEiEfE1E1flEiEiElFlElFiEiElEIE1E1E1E1E1E1FlEiFlEifiElFfEfEfElEiEiEiE�EfElE1E1ElEfEiEiEfEfEiEfEiFlEiEiflffFifjEiEifiElFiE1EfE1E1FIf1EfEif1F1F1E1EfEfEfEiE1E1E Z O N I N G R E t] 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 i" PARKING REQ: PROV: PARCEL: 92252212 ZNE: REF NO: PLANNING NOTES> � :i iF iE iF iE iE iE iE iE iE iE iE iE 3E iE iE iE 1F IE ik iE IE iE iE IE i! iE fE iE iE iE iE 1E fE iE iE iE iE iF,1E 1E 1E iE iE iE iE iE iE iE iE aE iF 1E iE iE fE 1E 1E iE iE 1E iE iE iE iE iF iE 1E 1E if iE iE iE �E iE k iE iE iE it 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: BCTILDING APPROVED BY : DATE: APPLICATION ISSUED BY: ! DATE: ��h'l� iEiEl6ibiE'�EiE'1EiEfE�7Ei('3E�IEiElE1EIEIElE1E1E iE'1E1E1E'1EiE'Ifi(�if�f iEi4 LEGALIZATION:N F E E S M M A R Y STRUCTURAL SEGMENT;N HLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 42.00 PLAN '- 25k SMIP/NON—RES ISSUE FEE ;, HUILDING—DIV—> PERMIT ISSUE PliAN—CHECK TOTAL PAID DCIE TOTALS----> 42.00 0.00 ,: 0.00 42.00 42.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 42.00 OVER/SHORT: � 00 BLDG PMT PLUMHING ELECTRIC MECEIANIC FIRE SMIP/TOT GRADING PLAN—CHECK � 4z,00 ✓' 1E iElE 1E iE �E �F'lE �E iE 3E fE �E iE 1E 1ElE iE IE 1f� fE iE 1E i! IE 1E iE if iF 1F 1E iFlElk if iE 1F 1f iE k if if 1E iFlf IE 3f �E iElf 1f �E iE �E 1E iE fE 1E 3f'!E iE iE IElE 1E fE fE 1E IE IE iE 1FlE 161flE iE iE')E I N D I V I D U A L�. F E E B R E A K D O W N E QTY D E S C R I P T I O N i MECHANICAL RE—INSPECTION FEE END OF FEES . � EXPIRInEDO� , ��; DATE � J`-� " I � �V%v UNIT COST 42.00 TOTAL COST 42,00 I , : C�JSTRUCTION AND PLANNING ' ' � ' ' POO. SPA . `, ApYROVAIS Permit # Date Inspector qppROVALS Permit # Date Inspecror ` -1�. Temporary Electric8l Service o� Pole . � 52. Pool & Equipment Location � 2. $pil Pipe-Undrgrnd. �' 53. Steel Reinforcement � ' ; 3: Etectrical Conduit UtstitY-Undrgmd. 54. Porms � ��4:: Electrical Conduit�Undrgmd. 55. Electrical Bonding ` T5: Sieel Reinforcement,� 56. Rough Plumbing & Pressure Test i �-fi, Electtical UFER G+nd. 57. APPRQVALTO GQVER�GUNITE - � 7.� Footings _- � 56. Electrical Conduit-Undrgrnd. "- �. g Ppundation �- 59. Gas Pipe, � Undrgrnd., Test 9. tNBter Pipe�Undrgtnd. � 60. Backwash lines, P Trap, � Uodrgmd. 7;0. Structurai FloorSYstem . � _ 61. APPROVAL TO�RECK " 1 7. Property Sewer line�& House Gonnection 62. Backwash & Receptor-Finai � t 12. Sewer Cap �� ' $3. Heater & Vent-Final 73. ROof Drains - 64. Plumbing System - Final 74. Rough Plumbing, « 65. Electrica6Final � 15. Rough Electrica7�Coaduit 66. Solar SYstem-FSna1 16. Rough Electric Wiring • � 6�. Fencing & Access.Approval 7T. Rough Wiring Sign 68. APPROVED FOR PLASTER WG 18. ROugh Heetticat�T Bar Ceiting 69. POOLlSPA SYSTEMS FiNAL 19. Rnugh Heating & Air Conditioning- . , - � FIRE DEPT. REQUIR£MEIVT . - - T7 - � . . .y 20. fiough Pattory FiCeplace : . '; � _ - - APPROVpLS-- � � Permit # ' � _ . -- .. .. _ . - . 21. UucEs, in Sirtticture- . , -- � i � 70. Underqround Hydro 22.6ucts,Ventilafing�� - ` - " ' �7, ProdubtPiPing�.Gas C�OiI � 23. Gas Bipe=Rough &,Test ' .,, _ - Y '' c - � 72. Underground Flush • �� 24. Aoof Fcaming � � r -" -' _ 73. Undergmd. Storage Tank � Gas ❑ Oil 25. RooY_Sheathing _.�, _ � - � - 74. Overhead Hydro , - � � E* 26. T-Bar• Ceiltng (Structurall & Manocoat ' C -� 79: Dry Cherpical Y ' 27. Ptame ar{Ct; Fiashi�q� " _ _ �° ' �_ ` 76. Dry Standpipe � t^•� i - Z8. LatFiing & Siding ��' -_ _ - 7T, FIXED SYSTEM FINAL '-' � . 29. Insulatio�. - P; �� - �. 7& FIRE PREV. FINAL - _ 30. DrYY'+all Nailing � °- HEALTH DEPT. REQUfREMERST . , 3j. Plaster Brown.Coai..; � '_ 'r , ' � � 79�. FINAL i'�NSPECTfON ,: � �. 32. E�iectricai Powar MtterFinal ' � 80: F000 CERTIFI.0 TE ISSUED �_ � = 33. Finzi:Etectric-= �_. . � _ i F • .. Nbtes: � �-�6: '��/.,f-, L��Z�j_. V- ^ -� - ' _ !/�SL_ • 34. YinaCHeaiing & Ai�.Conditio�ing ' � lj Z�� ` � �i , • _ r . ^ --- /-/ � 35. Finai Gas Pipe-Test' :` '- ' . � ' -, , �! 36. Nooii-c� CanoFY � � ;. i. ; . , , . _ . .,�^ - , K� � 37. Finai'Pacforv Firepiacej. "-, �, ' - � . " "`L �� -` T 1 - 38. Final:Plumbing " , n.' -. . .. . --- 39. Wacer 5ervice-FinaV'� • � � ° . ' , A • � 40. Gas Service-Finel -. ` � . ��. , " � . . . _ �, -' 41. Solar pomestiaFinaf� � � , � F, - = , ' , �� . 42. Sacl(S{6W Preyente� ' � - - - ` : - ... ' �- i� 43. Backflow Irrigation • � ` `• , . , -� -� . . . . � � -�� . . . ., . . . . ' 44. tandscape Irriqation;Sys[em �� _ _ �- _ • -' _. 1 45. Sound Attenuation ' ` - �' '' - ' '� � " . � . � . . . . . ,. .,_. 46. Hand'+cap�Regulations - :. � . , �. � . � � 47. FiNA-ISTRCiCTURE&BUILDWG � - ' � � � . 48. FiNAIPLANNING� ' : 49. Electric Release to Edison • � . �' ! . . ,- - . 50. Gas Release to Southem California Gas Co � ' � { - - . -�-T � ` � 55. CERTiP1CATE OF OCCUPANCY . - No Date • � � � _ ::'i v oF coS7A MESa CONSTRUCTION PERMIT r -i =Prolect Aifdress —/ r 'l _ ! �: / y . � / �j _ Applicz3t's MailingAddress •• � Qf4irer's Name L' :^ " %` ,- -.��' r' r' : ahone =' �/ ) /" % � Address ArchlEng. Licennse No. Address � A'� �S •/7oy��A.S h�i L �� i Convactor'sNama'/•�-• ��'.•,-•: :Nn• •� Phone ('/•� `./ f- Addresslmailingl/C' �� [�. ': �r .0 i �,:2� �'.- =; �l, City License No. s7 a'� LICENSED CONT0.ACTOR OECLARATION I her¢Dy alflrm tha[ I am Iicensetl unCer provislons ol Chartar 9(commGnCing with section ]000) of Division 3 of the Buiineis and Protessions Code, anA my license iz in tulll�< ana et(ect. � y_�L � License lass � � � Licenze No. �� `= Date <- �' � Si9nature �- �- � � WORKERS' COMPENSATION DECLARATION 1 hereby atfirm Ihat I have a certifiwte of consant to selfinsura o� a certNicate ^' Workers' Compensation Insurance, or a certifieG copY thereof (Sectlon 0; Lab. �cY N�� i• �'� panY l� ��.rY � ? �.. L- 1N' certitied coJ1v i's/ nereoy m�. �- Ll Cedifietl copy�s file0 with he city Bui ng Oivisian. Dac� Applicant � EX MPTION FROM WORKERS' COMPENSATION �ECLARATION (This section neetl nat ba completetl ii Ihe permit Is (or ona huntlre� (5300) or less). I cerHfy t�at in the per/ormance of t�e wark (or hic his perm�t is issuetl I Shall not employ any pe�son in a�y mann � s s t etop 0 Sub' t to t�e WOrk!��ry�p?�9 sation Laws at CdlifOr� r Date�S1J1J�.�5i9nahre � J NOTICE: 1(, after making tnis tleclaration, you snoultl become SUDject to the Workers' ComOensalion provislons of Iha Labor Cotle, you mu5t tort�with complY N'�� such� provislons ar this permlt 5�a11 De tleemetl revokeE. CONSTRUCTION LENDING AGENCV I hereby atiirm lhal l�em Is a cons[ructlon IenCin9 agency for tha performance O/ Iha� work fOr whiGh [his Dermit IS ISSUGO (Sectlon 309] Civ. C.) Lantler's Name ' Lender': Atltlress OWNER BUILDER DECLARATION ' I hereby afflrm l�at I am axampt from Ihe ContractorY Litense L.aw for the lollowing reason (Sectlon 7031.5 Business ana Professional CaGe: AnY city or county whlch requires a permit to construct, alter, Improve, tlemolish or repair any itruchre, prior to its issuantt, aiso roQuires the ap0��cant !or such Oermit to flle a signetl statement Ihat ha/sne is Ilcen5e0 pursuant to tne Orovisions ot. the Contractor's Ucenso Law (ChaDter 9(commencing wit� Section 7000) of OiviSion 3 of lhe Businezs antl Profez5ions Cotle) or tnal ne/5M1e Is axempt ve(rom and lne �asis for t�e allegetl ezemption. Any violatlon of Section 1.5 by any aoo��<aoc for a permi[ sublec[s lha applicant to a civil .alry o1 not mare than tive nuntlreU tlollars (5500). ' L� I, as owner o/ [ha proparty or my employees with wa9es as thelr sola tompensation, will Eo the work, anC the structure is not IntentleG or-o/feratl for Sale (Sectlon 7044, Businesi anA Professional CoEe: The Contractor'S Ucensa law tloe5 nOt apply t0 an Owner ol a D�oOerty who builtli Or Improva5 tM1ereon, an0 wtlo Ooes such work himself/barself or Nrou9h M1is or her own employeez, provitletl Ihat such improvements are not IntenOeG or offeretl /or Sale. If, however, the Duiltling or improvament is so10 wltnin ona year ot cam- pletlon, the awner will �ava tha burtlan of Provtng he/she tlltl nol CuiIG or im- prove lor tne puroese ot sale�. • ❑ I, as owner of the property, am exclusively tontractin9 w��n II<enieE ton- iractors to construct the project (Section 7044, Business antl Rota551ons Cotle: Tlle COntrd<(Of'S Licenu Ldw UOeS not dpPIY to dn Ownef Of pro0lrty who Euiltls or improves tnereon. ana who contracts tor such oroiOGts witn a con- tractor(s1 Lcensa pursuam m[na Contrattor's License Law�. I am aware tnat proof o( tbeir Wo�ker's Campen5ation insuranGe inoulU be prOvltleC to ma. ❑ 1 am enempt unGer Section B. E P. C. �or [his reason Date ' Owner 1 hereby certify that 1 hava reaa this application an0 state t Information is correcL I a9ree to comply with all city antl com an0 stata laws reiating to builtlin9 consVuction, antl hereby ai sentatives o/ this_ citv ,to eMer upon the .pbove-mentioneA .......... ..... _. . -� -- - .,... ,..,. gH E 3�- 41 � A.P. �f`- S Main Building: TYPE OFCONSTRUCTION ' r�Ew aoD ALTERATION REPAIR E ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Ffont DESCRIPTION OF WORK/USE OF BIDG. A Rear C Right TVPEOFPERMIT GRAOING FOUNDATION STRUCTVRAL K ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING �MECHANICAL g LCft ❑ �OTHER Ping. Re1. � PR0.IECT DESCRIPTION Sa. FT. OCCUPANCv � Planning Notes: CONSTRUCTIONTVPE VALUATION$ �� ZONE GRADINGCU.VDS. ACRES pemarks: �NST%�'L �wH.�l, Bar Sink Backflow Preventer _ Backflow Irrigation Bathtubs Clarifiers � Dishwasher ' Drinking Fountains � Floor Drains . Floor Sinks � Gas Service Outlets Interceptars � � Kitchen Sink Lavatories . � � P-Trap � • ' floof Drains � ' Reinspeclion Fee , $15 Boiler Duct- Under Ground Dutt - Structural Duct-Ventilating . � Eahaust System Multiple ❑ Firepl/Fact. Blt. IC80 # Heating System & Ducting ❑0.100,000 BTU � 100,000 BT� `�ignaeura .. .,-- .- � _. / .......�_ � Orivers•� ' - � '' / . ' . Reinspec[ion Fee $15 Licenza or 55 � 0865-66. �ev. 5/88 White - BuilCinq: Canary - Appliwnt; Pink - Hccounting; Golagnrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection • Sola[ CollectOn Solat Piping Solar Tank Swimming Pool w/Spa , Urinal Water Closet Water Heater Water Service ' Auto-Wash Issue Fee IANICAL Haod or Typel ❑ Canopy Type�l ❑ 3efrigeratiori System Daioo,000aru ❑ioo,000 System PepairlAlterati0n � Fire Dampers � �� Registers ;l�tg �—_ I �� Issue Fee FEES Automatic Washer � zone Accessory Building: Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ SO+ KW Caoking Unit ' Oishwasher � ' Dryers �Gas ❑Electric Fan F.A.U. . ' ." . . . Fixtures ; - Oevice Boxes � ; Outlets ! Switches � Garbage �isposal � ' Generator �Q5 KW �5•15 KW Fee � S15 Meter ❑up to 100 amps Meter �over 100 ampz Sub Panel Motors�41 HP�Ih-8 Inc.Soiar 09-75 HP �1E15+ Miaowave ' Pole Light . Range Sign Standing Sections ! Trash Comoacmr ' laue Fee N I N G R E Q M T S. FEES, DEVELOPMENTSEHVICESREUUIREMENTS:i ' I S 3 2oninp APProved BY � , �ats � i FEES Building Approved By � Date APPliotion Issuad 8y 1 nate -� . SUMMARY OF FEES � BUILpING PERMIT '$ �'o � SMIP� , ' y � � S� , PLA(�CHECK $ � 7ERMIT , PLUMBING '$ � ISSUANCE S � PLAN CHECK 25% $ ENERGV P.C. $� ou �+ �S ELECTRICAL $ �� GRAOING S PLANCHECK 50% $ `�"'� _ MICROFI�M $ � ' t MECHANICAL $ � TOTALFEE $ �S•7� ^�V � `�PLANCHECK 25% $ � , . S X 1 _ ' : l �- i . . _ . ' _ ' ". ...... � �'�. .— .. ' / ' � � "��CONSTRUCTION AND PLANNING POOL & SPA - qPPROVALS Permit ��- Date� Inspector qppROVALS Permit # Date Inspector r 1. Temporary Electrical Service or Pole� 52. Pool & Equipment Location 2. Soil.Pipe-Und{grnd. _ � . � : ' ' 53. Steel Reinforcement � i 3. Electriral Conduii Utility�Undrgrnd. � � � 54. Forms � �, 4. Electrical Conduit-Undrgrnd. . ' 55. Electrical Bonding � � . ' 5. StCel �Reinforcement ' ' - 56. Rough Plumbing & Pressure Test ' � . 6. ElecVical UFER Grnd.� '" 57. APPROVAL TO COVER-GUNITE � ' ' 7. Footings ' � � '' I 58. Electrical Conduit-Undrgrnd. � . 8. Foundation '� '� . � 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Unilrgrnd. � ' 60. 8ackwash Lines, P-Trep, � Undrgrnd. � 10. Suuctural Floor System 67. APPROVAL TO DECK 11. Property SeweY Line & House Conn ction � 62. Backwash & Receptor-Final � 12. Sewer Cap , �. . � - ,r`' � �� 63. Heater�& Vent-Final . ' � 13. Roof.Drains -�- 64. Plumbing System - Final 14. ROugh Plumbing � ' 65. Electrlral-Finaf � 15. Raugh Electrical-Conduit � � � 66. Solar System-Final 76. ROugh Electric Wiring. • 67. Fencing & Access Approval ' 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 78. Rough Electrical-T Bar Ceiling � 69. POOUSPA SYSTEMS FINAL 79. Rough Heating & Air Cundltloning � FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # , , 21. Ducts,in Structure . ' 70. Underground HYdro �� 22. quc[s, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush ' 24. Roof Framing ,� '73. Undergrnd. Storage Tank � Gas ❑ Oil • 25. Roof Sheathing . ; � , � . , 7q, p�erhead Hydro ' � . ' '"'" 26. T-9ar Ceiling (Structural)•& Monocoai � + � ' 75. Dry ChemicaV ' � ' � 27. Frame a�d Flashing ?6. Dry Standpipe � � : 28. Lathing & Siding �� , 77. F.IXED SYSTEM FINAL 29. Inzulation 78. FIRE PREV. FINAL 30. DrYwall Nailing � � � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coac � , 79. FINAL INSPECTION � 32. Electrical PoweriMeter�Final . ' : � 80: FOOD CERTIFICATE ISSUED � i• 33. Final Electric . • � � Notes: � . � 34. Fi0a1 Hea[ing & Air Conditioning � ' ' � 35. Final Gas Pipe-Test ' . , � � � � ' � 36. Hood or Canopy . , . . � � � 37. Final Factory Fireplace � , � 38. Final Plumbing � � , � � , � . 39. Water Service�Final , 40. Gas Servlce�Final � . ' � � � i 41. Solar pomestic-Final ' ' . � , � _ „ ' _ . _ . ., . , 42. Backflow Preventer . � i i • � � !� • � � ' ; ' � � 43. Backflow Irrigation � . ,� � �' � . � � � ' C ^� - �. � 44. Landscape Irrigation System '' � � (i�CC:fI(;I �'k; inspectien<_ 45. $ound Attenuation � � ' • . . �... 46. Handicap flegulations .� " � . " �� ` ";~� , .. 47. FINAL STRUCTURE & BUILDING � � , ' ' ; � � � 48. Special Requirements Completed � , � ' ' � � • 49. Electric Release to Edison ,. � • � � - � • �� 50. Gas Release to•Southern California Gas Co � " 51. CERT{FICATE OF OCCUPANCY . , ' , • , • f No. ' ' Date � � " - - `... .'- � �- -- --- . � _. ..__.__ _ - . •^"'- _ . r'•. May 13, 1996 steve Hill 788 W. 16th St Costa Mesa, CA � �. CITY OF COSTA MESA CALIFORNIA 82828-1200 P.O. BOX 1206 �EVELOPMENT SEfiVICES DEPAflTMENT 92627 -' -,-Sub}ect: 788 W: 1-6t�i St.: Coeta-Mesa------- '-' -------�_ _ _ _ ;_"_ ---_,.:--------�_ -� _== Dear_Mr.-Hall: ` : � w: • �,..ev . -.�!c� There are two exhaust systems serving buildings processing aurf boards at this property. Only one permit for such syatem was issued. This was permit #BME34817 issued Auguet 9, 1988. Thie pezzait expired due to incomplete inapections. Therefore, the work authorized by this permit wae never approved. It will be necessary to obtain the necessary permit for the second exhaust eystem and renew the permit which has expired. Applicatiens for permits shall be submitted to the Suilding.ar,d Safety c�unter on the second flcor of the Costa Mesa City Hall at 77 Fair Drive, Costa Mesa. After issuance, it will be necessary to schedule the necessary inspections by telephone, 754�-5626. __�.•--_��-'•—_--.—_— - —�—:---� . As we` discussed, the Nationa7. Eiectrical Code, Section 400-8, prohibits the use of flexible cord and cable wiring as a substit�ite for fixed wiring. Cord wiring has been used ihroughout the property in place of permanent wiring. Please have all such wiring removed and permanent wiring installed where necessary. �lectrical permits and inspections are necessary for such wiring. Also, as we discussed, your tenante constructed roof eheltere for their stored boats. If the shelter ia supparted from the ground, it ie necessary to obtain a building permi.t before the st.ructuxe is built. If the structure is completely supported by the boat, a builning permit will not be required. However, this does no� constitute permission to violate any City Land Use Zoning regulations. We suggesc you consult with the City Planning Division staff concerning the boat shelters. The Planning Division phone number is 754-5245. , At r_he time of our last visit there was one bui].ding on the west side of the property we were unable to inspect because it was locked. We understoed you would gain access to the building and ca11 us so we could examine the building, . . 77 FAIR DPNE � Builtling DivisiDn (714) 754•5273 • Cctle Enlorcement (774) 754-5623 �• Plenning D��+S�on (774) 75d-5245 -"VSd1F5fi . Tnnrna�7v-s�aa � �aeu�owc: '7$8 W 16TH ST E�Fa�m:STEVE HILL �o� 788 W 16TH ST C.M. CA92626 �VVI,Y.UIIIlO WOPE54: UNT: umxrtecr ae �+r+x�x: uc. ra.: urcx. on �o.�s �oowess: uNT: coxm�crarswu� SUNWEST AIR CONDITIONING ( 714 ) 650-5061 CWLR�CTOA9YYlRlO 629 TERMINAL WAY �ooxEss:COSTA MESA CA ��,; 431394 92627 uxr. 17 LICEN4ED COMRACfOR3 UECL�flATION: I he�eby difm uMm penely M parjury Net I em licanmd under qorfdons M Gheqer B (mmmarwiip wit� Saction ]aao) al Orvision 3 d IM Buainw eM Prdmeiona Code, en licenea It In lull brce ud dlsa. c No.:O 563 uacuss:C-20 umNo.: �3 4 EXP: 06/96 ms: Cannar. � OWN BUILDEfl DECIANRTION: I heroby dfirtn uMar pe�y of par�ury Ihm I em e�emq Imm IM Conlraaan Licanea lew lor IM loll np reecon (Saclbn ]W 1.5 Bue'u�eee enE Pmleasione Cotle: Any cdy a counry which �puim a pem�N to con�Vuct. eNer, impova, md'mh, or npei erry eVucwra, pbr to ile ewe�e, ebo rpuime ihe apd� lor euc� parmit to fk e sipneA eW smsm �hel hs m�hs IiceneeE W��t lo IM pwisime d IM CaNredon Licenae Lew �Cheqr 91�mxiti�p xiih 8apbn )000) d DNvion � d Ihs uinsw ud Rdm'vu COEe� or Ihel ha a ehs is a�emq �haehom end IM bsiie la IM elbped uamqion. My vuluun d&qun A1.5 Ey eiry eppliunl lor a prmn wbptls IM epplicant to e mnl penelly M nd mors Ihen (rva huMrad ddlen �5500�). � I, ea owner d Ihe propeny a my amObV� �� Oee m Ihe'r ede mmpanution, wlll do ihe hork, end �hs slructuro'm not InlenEd a ollxad In seb I�� loa. Bueirow vM PmfmuomCode: Ths ConlraGae lioenea lew Eoae iwt eppyto en ownerd qopaM wM Wld� a inD�� Mreon. end Ma Eom auM xak NmseM or Mnal a Woiqh he a Mr oxn emW M�, pw+dad Ihtl wch imqwemmU ve not ixeMW ar atlareE Iw eeb. tl, however, ihe Wikinp a inpovemaru ia eoN wnhin pn yw M mmpletbn, tlp ownar-0uiNx will heve iM buNm d povirq M or eha d'd mt buik a improw fw Ihe WN�a W Wa). � I. m ownr d �M pmperly, em eRdueirNy oonVetlinp xdh liceneed contreciae to mnWutl IM pro�w (6eeM ]OM. Bu�lnr� uM Pmtwciu Cade: TM COMredm Liwnw law doae rol eyply b N owner d popMy xfio W IIM ar impovw Ite,aan eM who mnuecu 1or aCi pqeqe xnh e mm'etlm(e) GcemeE punueN to �M Contrecror� Uwnsa Lew�. ❑ I am uemp unEar Sectian: B. 8 P.C.. M thie ruwn: Dela: O.mer. I do Mreby eMJy tlW I em awue d eed unJenieM the nyuiiemeMa d Celiomie Hsellh end Sdsry Cods 9wbm 13505. YSS11. antl 255J�. vM ilw I a ury iNun buik'up owameN �I / wil ria (� �) � lo canpy wIh seiE aets mEp enE �M �pu"vammb M •O��IaconsWctionamodiRrationhomlM�v eu3i�y ene0e��0iqna.Reudenilelodm�uneppiwioroenezamNtmmlhus proWnon.. Dme: �DVr�: WOFKEP'S COMYEN91T10N DECWiATON: I Mroby elfum urder pe�Wiy d pwjury ane W IM Idbwinp Mtluetum: � I hm erd rril meinlen a wrNktle d conomt �o vaMinaun lur xwken' canpenwbn. m povkaE la by 8wbn aro0 d tM leEa la IM paRormence d Uro wk lu wlich Nn prme u uewd. I luvs �td W me'vilen xak�n' mmW�ion i�meuae. n nVu'u�E bY Stlion 3ltp tl IM lebor Code. br IMW�a�� d IM work la whiM Nis W� u iuuaC. MY waken' camD��ian'vaurenn nrtiar entl GdkY mimbx are: c�«: STATE FUNDLE EXPIRES Pd'ryNumber. 04 /O1 /97 b aciiarr roW mf 6s canGMtM I fM M�t % M aw hundeE EOBais If100� a ka J J I ew1Yy NN in Ihe peelpmenes d iM wak b r,TirJi tAu pamtit u ueuaE, I�hd nd anpby ury pamn P arry muina n n lo becm�e wbjetl to 1 xwkere' wmpnaffiion kxs d CeGlanu. aptl pr �• il I Mwtl baconr aEjatl to iM wv�w�' wmis p�+' d Sea�lebar COEe. I MqQ Ip/t wiU Ihaa poNdona. ///il .: li �cci�m:,�yj�( �a: F nun ro.«un won�..: �omow.noo �w...o. �, �m,wna .oesn.n.�el«�.�.ro�ow ro�nm�n v.�.m.,.�w vn nru, w ro on. mner.e mouwne ddan lsiu4000l, M aemwn ro m. cw� o� nmvn..�ron s•m.w .. woHd.e ro. �n 9�ctlon 9](16 0/ fM Lebor Cotlr. Imvwt. �iW ertomsyl hu. CON4TtiUCiION LENUINO �OENCY: I Miaby ellum under pe�Wy M perjury �het tAas u e omn�ion 4MInp apam.y lor Ne prlamero d iM v.ork M whirh th'v WmiY o esued (Sodion �08). CH. CI. LENOEP'S NM1E: LENOEP'S �OONEA4: I caMy ihet I he`a neE Nu epqiWion uM ptla Ihet tlw abova'udamelon u cortw. I eprea to canpy xilh N my enA cwmy adinenoe� eM ete�e kvn Metip �o WJdvq wnalnxfion e�d Mreb/ wlhd'¢e iapalen�tlivas d Ihu olyto enlm upOn IM ebv.a.manlianstl pvq�ly "` ��'P'tl�`� °��0�'"' MARK DA • S S I � '°m° Z �' Dma: SipnaNn m/ApenUROG�� Irep r , (6151J0.WP) Whits-Baildiq 85dery; Oreeo-Fls; Cuury-Appiranl: Fnk-Rwenus:OOWm�oFNw�a CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: IE 077794 PLAN CHECK NO; N CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE OTH c��- PERM NO: IE 77794 GOVT: N SUPP: Y PURPOSE: ADD JOH DESCRIPTION ; REFERENCE EXPIRED BME: 34817 SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: AS PER INSPECTORS FIELD REVIEW 6 APPROVAL REF: B-77793 �*�+�*x�*�x x x x ��*�x�*x��r�**��*x ��*****��*x�**�+�+�+��+��***�+r��**��x�**�*� *�***�**�+�**�+�* Z O N I N G R E Q U I R E M E N T S 5 E T B A C K S • ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------- 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: 42252212 ZNE: REF NO: PLANNING NOTES> i i! 1E 1k 1E fE 1E 1k fE ik iE ik iI� 1E �E 1E 1h iE 1(� 1E iE IE 1f iF M 1E 1E 1Elh iE 1E 1f� 1E iE iE 1ElE 1E iE fE ih 3E fE iE 1E 1E 1E 1E �f 11� IElE k 1E 7F 1Eif if if 1Elf 1E if� 1E 1E 1E �E fE 1E iE iE iE 1E iE 1f 1f iE iE 1k 1E D E V E L O P M E N T S E R V I C E S A E Q U I R E M E N T S ZONING APPROVED BY DATE; BUILDING APPROVED BY : DATE: � APPLICATION ISSUED BY: � DATE: ifM1E1Eik1E'IEIEIEIEIEIE1E1E1fiE1E1E3EaE3E�E�Ei��3F3Fi�� 3F��F3F3F3F�F7F7F�F�E�ETf�F3f�ifiEifiFiFlEiElE1EiE if1E LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGM£NT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/RES GRADING PERMIT 42.00 SOY SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 42.00 0.00 0.00 42,00 42.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 42,00 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 42.00 • 1flEifiElEfE1E1E1f1E1EfEfElElEfEiE1EfE1l1E1E�E1E1f1ElElEiEfElE3EiE1EiE3EiEiEiE1ElE1E1k1E1E1EikiFiklElEiEiEiEi(�IEilfElElEiE1ElEififiEiEifiEiEiflElEiEiEiFiFifiE I N D I V I D U A L F E E H R E A K D 0 W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL�COST ELE 1 ELECTRICAL R£—INSPECTION FEE END OF FEES EX�I�E� L1�1 ClsR�bl 42.00 � \ : -. r . • CONSTRUC710N AND PLANNWG � - POOL �A � - �ARPROVALS Permit� Date Inspector APPROVALS Permit# Date inspector 1; Temporary �lectrical Service or Pole 52. Pool & Equipment Locatidn 2. Soii Pipe-Undrgrnd. . _ . 53. Steol Reinforcement -. 3. Etectricai Cond'uit-Uiility-Undrgr�d. 54. Forms - �-4.•. Electrical Conduit•Undrgrnd. � 55. Electrical Bonding 5.. Steel Re�nforcemenY_ 56. Rough Plumbing & Pressure Test -� 6�. Electrical UFER Ginti. 57. APPROVAL TO COVER-GUNITE � 7. Pootings _ 58. Electncal Concjuit�Undrgmd. � � 8. Foundation - •� � 59. Gas Pipe, O Und�gmd., Test 9. Water Pipe�Undt�(nd. r - 60. Backwash Lines,'P�Trap, q U,r.drgmd. "10. Structurai F�oor SYstem _. � 67. APPROVAL TQ OECK ' 11. Property Sewer Line�& House Con ection � 62. Backwash & ReceQtor-F'ural ,. � 12. Sewer Cap " `_ 63. Heater & Vent-Finai i3. Roof Drains 64. Plumbing System • Final 14. Rough Plumping � 65. Electrical-Finai ' 15. Rough Electricat,Conduit � 66. Solar System-Fina{ 16. Rough Electric Wiring` � 67. Fenciny & Access Approv'al � 77. Rough Wiring Sjgn , 68. APPROVED FQR PLASTERlNG 18, Rough ElecvicaGT 8ar Ceiling � 69. POOLISPA SYSTEMS P4NAl " � 19. Rough Heaiing & Air� Condition'tn�: - r - F'PR�E �EPT.-REQUIREMENT � - -- - - ' i- � . , . ' 20. :Rough Facto�'Y F��eplace - '� � : - ,; . f APPROVALS � Permit # `� I 21. DuctS, inStructure• � :- _ , - �Q � Under�rountl FTydro � 22. Qucts. Ventilating " i�- r.- ' 77. Produ,ct Pipin9'y7-Gas rJOil ,- 23. ��asPipe�RoUgh&;Test - ��-' ; � �,� ��' � � 7z. UndergroundFlush ^ 24. Roof Praming . ' _ '- " - " -�,�, 73. Undergrnd.SroraqeTank.�Gas ❑Oil 25. Roof.Sheath�ng =c:,. `` ` v � �- _ ' ` 7q, Overhead Hydrs' - • L 26. S-Bar CeiHng (StrueTurall & Monocoat '- - � 73, Dry Chemlcai . '�'.� - - � - 27. '_F,rame anii Flashing `� _ , _ - � : 76. Dry Standpipe�. �� : n - �.� i !v.. • 28. Lathing & Siding •'� ; _ _ .'� - , � 77_: fIXED'SYSTEM FINAL' ' - j ;' � . 29. Insulation - � - ' � 78; PIRE PREV. FINAL ' ' 30. Drywali Nailing _ - � +"- � "I-fEALTH DEP7._REQUIF�,EMENT �. � 37. Plaster Brawn-Coat � ' � . ' . � 7g, FINA� (yti$PECTIO�N � . - . 32. Electrical Power MeterFinal '_ 80. F000 CERTIFaCATE ISSUED �_ • =�c • - , 33. Finai Electric; ' , - y ,1 . Noies �; , - . � ` : - � 34. f�nal�Neating.& Air Conditianing� . ` � � ' � �� ' _ .x� - - - r 35. �inal Gas Pipe�Tesr ' � - � ' ,` ' ._ - � � 36. Hood or Canopy - _ � � . - 37. Finai'Fac2orv Firepiace � . .' .., _ , "" � �� _ 38. Final Plumbfng _ . �- � , '- �' .n•: r, 39. Water Servic�-Fin�i� ` � ` - . . _ . . . ,-, �' 40. Gas Service-Pinal . . ' � - _ � � . - � _ -� . < �� ^ � -41. SolarpomesticFiriah � ; � � ' _ _ 42. Backflow Preventer _, f , � , - . 43. Backfiow Irrigation � : ' - 44. Landscape irrigation System � � �' �" ' - � ' ' �-• � 45. Sound Attenuation _ _ '' - �' - � � r �46. Handicap Regulations � �- ; . 47. PINAI. STRUCTURE & BUILDING � r� ,; 48. FWA�PLANNING• ' . _ � 49. Electric Release to Edison � � , ' . 50. Gas ReleaSe to Southern California Gas Co � . : � • � - � . � = 57. CERTIFICATE OF OCCUPANCY No�__.._ Date __ .. AOD��ant to fill in all spates exceot tnoza witnin neavy EorEer lines anE sign all apProo��ate eeclarations. �coSraMESA _ CONSTRUCTION PERMIT r -� �ect Address / %' �6 .�✓ ! L, / % � ,; . � � i Applicant's MailinqAddress • � Owner i Name t.� ' .-,'r• _ ohone �-� �/ >�:'� i. i � Addreu ArchlEng, Litense No. Address � A''� �s f7��C'�u �� C� Contracwr'sNama��•� ��+�v�'% %�� PhOne,�'�`� `��1C Addreu Imailing) � �'' � - ��[ �. .. �r " :i � . L ' ��:1� �'�- ' � <l� City License No. S7 �q LICENSED CONTRACTOR OECLARATION 1 nere�y afiirm that I am IicaroeU unaer provisions of C�arter 9(commencing with section ]000) of Divislon 3 of ��e Business antl Professions CoOe, antl my license is in tWl forc ana eflect. � y _ License lass 7� - Ucense No. �� `-'�"1' ( Date Z �' � , Signature ��bo � W00.KER5' COMPENSATION DECIARATION I hereby af/irm ihat I have a certlticate of <onsent to seH-lnsure or a certiflcate ' workers' Comoensation Insuranca, or a certl/ietl mpy thareo/ (Sectlon 10; Lab./ IicY NO: /. �/ 1 ' panY rl3 I' �> > ?^•.. L. Certified coO`Y �'5/ hereDy_ rn ed. - I 8 Ce�.titieC copyn (il¢d with �e city Bui ng Dlvislon. I II ,i Daty_�/— Applicant � E% MVTIOE N FROM WORKERS' COMPENSATION DECIARATION (Tbis section neetl no[ be campleted i( tha permit is �or one �untlreC (5300) or less). 1 certlfy that in the pertormance ot the work for hic hi5 pe�m�t i5155ueA I SM1all not employ any person in any manng r 5I eto a Sub' ct to [�e Worke sation taws ot Califorr�i'£. ) �ate� 9gnatum � NOTIC : I, alter making this tleclara�ion, you shoul0 become suDject to t�e Workers' Compensation provisions of tne Labor COCe, you must forthwith tOmply wi[h such O�ovl51on5 0� tnls p¢tmlt S�dll OB tleemetl revoketl. CON5T0.UCTION LENOING AGENCV 1 hereby alfirm Ihat there is a tonSlruG�ion Ientling agency for the Der(ormance of t�e work tor which this. perrP�t is issuatl (Section 3097 Civ. CJ l.antler's Name � Lenaer's Ad�ress � OWNERBUILDER DECLARATION ' � I hereby aftirm that I am axempt frOm the Contrattor'S License Law for tha tollowing reason (Section 7031.5 BUS�ness anC Protessional COCa: Any dty or cOunty whiC11 requifes a petmit to Co�StluCt, altef, ImprOve, tlemOliitl o! fepair any sVuclure, prior ta its issuance, a�so requires the applicant (or sucn parmit to file a signetl statement thal he/she �5 IicenseA pursuant to the Drovisions of. tbe Contractor'S License Law (COaO�er 9(commenGng with Section 7000) o! Oivision 3 of the Busina55 ana Professions COOe) or that ne/she is exempt relrom ana Ne basis tor [�e allegetl exemD��on. Any violatlon ol Section '�3.5 by any applicanl for a permit 5ubjetts the applitant to a civil .mlry ol not more tnan flva hunam0 tlollars (E500). ' ❑ 1, as owner of the property or my emPloyees with wagai as their sole compensation, will tlo tne work, antl the siructure Is not intentlee or.o(feratl for Sale (5¢ction 7044, Busine5s adtl PrOtesiianal COCG: Th8 ConVattOr'S License Law tloes not apply to an ow�er ot a property wno builGs or Improves [nereon, an0 who tloes such wark h�mself/M1erself or through �is o� h@r own emplOyelS, prOviEetl Ihdt sUCh improvement5 df0 nOl IntenAetl a! Otteletl fOr sale. It, howevaq the Duilaing or imp�ovement is solG within one year a/ com- pletlon, t�e owner will have the burdan oi Oroving ne/she tlitl nol bulltl or Im- prove tor tne purposa ot sale). • ❑ I, as owner ot t�e properry, am exclusively tontracting with IicenseE ton- tractors to construct the project 15ect�on 7044, Business antl Professlons COGa: T�e Contraclar's Licensa Ldw d0¢s not apply t0 dn owner of OrOpe�ty who builtls ar imoroves lnereon. anE wh0 contracls �or zucn oroiacts witn a con- Vdt[O�(Sl Lcense pursuant ro cne ConVactor's U<ense Law). I am dwdre thdt pr001 01 tllGir WOrkar'S Campen5dtion in5uranGe shoulA be pfavltleE t0 me. ❑ 1 am azempt untler Section 8. 6 P. C. tor tnls reason Data � Owner I hereby certify that 1 hava reatl tb�i a0�licatlon anG itata that tbe above in/ormation ii correct. I agree [o co�nPly wit� all ciry antl county ortlinances antl stata laws relating to builtling cOnstructlon, anE hereby aut�oNze rapre- Slntatives 01 t� cit ,to e er up�n MG pb e-me0tio0eO ��oparty � r jnSpaCtlOn pur e51 � ✓ l� r i� . /Signature � �-�� Date�-� � Drivers" Li<ense or 55 # gMs 34 4l � � -- I-- -- I.,..., ,..,. TVPE OFCONSTRUCTION � NEW AOD ALTERATIpN IJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTNER DESCRIPTION OF WORK/USE OF BLDG. TVPEOFPEflM1T GRADING FOUNDATION STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING �MECHANICAL ❑ OTHE(7 PROJECT DESCRIPTION 5Q.F7. OCCUPANCV � CONSTRUCTIONTVPE VALUATION$ �5�� ZONE GRADINGCU.VOS. ACRES Remark�: � $ink. kflow Preventer .. � kflow Irrigation Jrinking Fountains � =1oor Orains �. =10or SinkS uas Servica� Outlets Intercepmrs KitchenSink . Lavataries P—Trap Roaf Drains Reinspection Fee $15 Dut[-UnderGround Duct - Structurel Duct - Ventilating � Exhaust System I� Multiple ❑ Firepl/Fact Blt. iC80 aW Heating System & Ducting ❑ a� oo,000 aTu O i oo,000 sn Reinspection Fee � E75 Showers Service Sink � Sewer Cap Sewer Connection � Solar Collectors Solar Piping � Solar Tank Swimming Pool w/Spa ; Urinal Wacer Closet � Water Heater Weter Service � � Auto-Wash Laundry Trayz laue Fee Hood or Type I ❑ Canopy Type II ❑ Refrigeratiori Syrtem ❑0.100.00OtBTU ❑100.000 System Repair/Alterati9n � FireDampers �"�� _Registen :�..�� FEES A.P. # S Main Building: E 7 Front B Rear A C Right g . Left Ping, Ref. # Planning Notes: Accessory Building: Parking Req./Provided ELECTRICAL Automatic Washer ' Transformer ❑ 15�50 KW Construction pole Sub. � 50 + KW Cooking Unit Oishwasher , _ Dryers �Gas ❑Electric Fan ' F.A.U. � � " - Fixtures ; Device Boxes � Outlet5 $witChes ! Garbage Oisposal . Generator �0.5 KW �5-15 KW Zona Reinspeaion Fee � §75 Meter �up to 100 amps Meter pover100amps Sub Panel Motors �a1 HP � 1'h - 8 Inc.Soiar �9-15 HP �16-75+ Miaovrave Pole Light Range FEES. �� Standing Sections � i . Trash Compactor � � � � �G Issue Fae' ' . E Y N I N G R E Q M T S. � 3 uGVELOPMEN75EFVICESREUUIREMENTS:- , � � ; Zoninp APProved BY nata FEES Building APprovad By � Date � Appliption laued By— � �1ate �� SUMMARV OF FEES � BUILpING PERMIT � $ O� SMIP : $ � �� PLAf�CHECK $ � pERM1T . PLUMBING � $ � ISSUANCE $ L PLAN CHECK 25% $ ENERGV P.C. �$ ' C?. � ��i.>,. �u ^S ELECTflICAL �$ --/7,� —J � GRADING $ PLANCHECK 50% $ 1• f-S MICROFILM $ MECHANICAL $ � TOTALFEE $ 7S• 71� _ � PLAN CHECK 25% $ � ' � ' . ar ,�' • - --...- _ � _ • --•— A,' �"�CONSTRUCTtON AND PLANNING � POOL & SPA� � APPROVALS Permit�_T_ Date� Inspector. APPROVAL$ Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil,Pipe-Und{grnd. , �. � � • 53. Steel Reinforcemen[ � i 3. Elect(ical Conduit Utility-Undrgmd. � ' � 54. Forms' •- , 4. Elect�ical Conduit-Undrgrnd. . 55. Electrical Bonding � 5. St�el�Reinforcement �. ' ' • 56. Rough Plumbing & Pressure Test � ' i 6. Elecvical UFER Grnd: ' 57. APPROVAL TO COVER�GUNITE ' � ' 7. Footings ;' - � "' � 58. Electrical Conduit-Undrgrnd. � , 8. Foundation ' � '. . 59. Gas Pipe, O Undrgrnd., Test 9. Wate! Pipe-Untlrgrnd. � ' 60. Backwash Lines, P-Trap, O Undrgrnd. � 10. Structural Floor System � 61. APPROVAL TO DECK 1 i. Property SeweY Line & House Conn ction � 62. Backwash & Receptor-Final � 12. Sewer Cap ;� 63. Heater�& Vent-Final � • 13. Roof,Dsains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final ' 15. Rough Electrical-Conduit ' 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval �� 17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING � 18. Rough Electrical-T Bar Ceilin9 � � 69. POOL/SPASYSTEMS FINAL 79. Rough Heating & Air Conditioning • FIRE DEPT. REQUIREMENT 20. flough Factory Fireplace � ' , APPROVALS Permit # 21. Ducts, in Structure . 70. Underground Hydro 22. qucts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test . 72. Underground Flush . 24. Roof Framing ' 73. Undergrnd.StorageTank OGas ❑Oil � 25. Foof Sheathing . , .74. Overhead Hydro 26. T-Bar Geili�g (Strucwrall,& Monocoat ' � , 75. Dry Chemical ' 27. Frameand Flashing 76. Dry Standpipe• 28. Lathing & Siding 77. F.IXED SYSTEM FINAL � 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing ' � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coac . 79. FINAL INSPECTION 32. Electrical PoweriMeter-Final � � 80. FOOD CERTIFICATE ISSUED � �• 33. Final Electric ' Notes: � . � 34. Final Heating & Air Conditioning � � . � ' . . „ 35. Final Gas Pipe�Test " • ��- ' � . � ' � . , 36. Hood or Canopy � , . � ; , ' � � ' � ' 37. Final Factory Fireplace � � , 38. Final Plumbing ' '- . ' � � . ' � 39. Water SQrvice-Final , . 40. Gas Service-Final , • � � 41. Solar pomes[icFinal ' � _,. �_ . . , 42. Backflow Preventer � � . , � � ;'� � � � ' � ' � .� 43. Backflow Irrigation, � � , ' '� � �= � r 44. Landscape Irrigation System � � �i;CC`tl�;i �' ; I�1Sp2Cti0I15 45. Sound Attenuation 46. Handicap Regulations ' , - - - • 'j"'� 47. FINAL STRUCTURE & BUIIDING � � - ' � � � � � i 48. Special Requirements Comp�eted � � � � . 49. Electric Release to Edison � - • • 50. Gas Release to So4thern California Gas Co � 51. CERTIFICATE OF OCCUPANCY No. � Date � � ._ . � nooxr3; a emianc: '] g g W 1 f TH ST , '4WNERSNAMEIFpqWN:STEVE HILL y voxess:7gg W 16TH ST C.M, CA92626 uwi �wuurw aoox�ss urcxrtecr on �an�+: MCN.OH ENG.'S /i00flE55: uc. ra.: UNT: UNT: cou.n�crarsxu�:SDNWEST AIR CONDITIONING ( 714 ) 650-5061 CWIN�CTORSMNIdlG 629 TERMINAL WAY ADDRESACOSTA MESA CA uc.xo.: 431394 92627 uNr: 17 LICENSED CONTNRCTONS DECLIPATION: I Mreby ellim uMer penelry d pe�ury Net I em Icen�ed unEer provieione W Chepbr 9 (mmme�iq vrilh SecUon ]OW) d Diviabn 3 d IM Bua�was uM PM»eiara CaEa. enC my lioerue o in full brro W slletl. cr�ic.No.03563 uccuss:C-20 uc.No '' 99 EXP: 06/96 . �q ome� Lf/ c«nreaor. � i OWNER BUI��EN OECLARATION: I Mmby elfirm uMer psndy d perNry �� eRamq fmm iM Cant�m Liroma Lew la Ne followinB newn (Sed'wn )OJ1.5 Bueinee� eik Pro/epiem CoEa: Any cily a eounry whidi mquiree e pemiA lo canaVuct, eller, improw, demoluh, or repeir any eleuvMura, piw lo ils ueuenoe, ebo npuine Iha eppliunl ta such permN lo file e sipnsd elelamen� �hal he p�he u IicemeE Wn�l �o tha powiane d tM Comraaore Uroma lew �Cheqx B(canmeMi�p xilh Sedion ]000) W D'r+Ylon 3 d Ihe Bueineee and PrMenuns Code� w �he� M a ehe ie exemq iMrehom vM iM baeie la �M ellepeE exemption. My volmon W Swion ]031.s by enY aVairanl lor a permn wEjecb Ihe applicent b e dvil penMy ol nd mora ihan fHe hundred Edlen ISSOOj�. � I, es owner oltha papany a my empbyaea vAh wepee m thei eab mmpenaetbn. Mill Eo Ne xoA, enA tha evunure e nd intenEeE a aHered lor �ele (Seclian ]OM. Bueimv end PMeeebna Code: TM Lanveqon Licenee lewdoea nol epptyto en owner ol properry who WICa a inpeoveo �Mreon, erd Ma tloee suM xak NmsNl w hene� ar thraph hb or her own amployaee. proviEed ihm euch imprwemema era mt imaided or dlertC fa eale. X, however.lhe WiWiip ar inpmvemenl is sdd xithin me yeer d mm0lMbn. Na ownarbuiNer will hava iM buNen d pravin8 � or eM Eid irot Wild or imprave /w Iha WT�e ol eele�. � I, sa owrer d iM popeM. ��tlusnaly mn�rediq wnh liceruad conveclors lo oomfrud IM D�qaC (Satlion 10u. Busi�Se vM Pmleesione Coda: The Conlreclae L'cenx l.ew doee � epply �o en owner d prope�y wfio buiks or imqovee iMreon arM who wnvecis M wtli prolaGs with e mnirwa(s) IkemeE W��t to �he Canveaac Limnae lew). � I em examp under Senion: B. 8 P.C., M Ihia reeeon: De�e: Umer: i eo nmeM c.nM �nd i em eware a e�e ��darei.�a ma �y��nme�m d c�aomia Haenn �e seky coee seaim. zsws, zss�, e�a 25S1<. BM IMI I d Bf1Y �YIYIB blllb111A OttV�ltl WIII l`.VII11d (OR�B pIBJ MBI� �O CCTV�Y W1M1 lBld E10�B COdM 9(d IM RCII�lBIIIMI! �IX epermniormnsiruclionormod�firatnnhantheA'v au�ty enepamantDia�na.Rnidamielcanst�uaoneppfutiwueraaxempimm�hece proviaiom. Da�e: Aoqr�: WORKER'3 COMPplS�TION DECL�flAT10N: I Mreby etFrm uMm peneny d peijwy wn d the blbwirq dederttions: ❑ i ne.e ena wiw meim� e�nnme a wosem m een;osure ro, won�� coma�.�p�, d va�aee ra. M sm�� s�ao d me i.mr ��,,// ri�l.�IX1�1G DBIIMIIBM:B O�I�IB Mq�liIX W�YC�1�1119 pBlTll 9 A9911Bd. {� I heve eM vnll meintein woikere mmpenseiion insurer�w, ai reQuired by Se iim J100 d i�e Lebor Coda, fa Iha perlormance N Ihe `w«k�orwmd�ing�nisia�»e.My��ST�TE �FUNDLE��Um�� EXPIRES c�«: va� N�mna,: 0 4/ O 1/ 9 7 (inis sectian neee rrol be crompletee / rM permt u lor one hundred Edlars (51ao1 w Iev.J � I cenAy Um in ihe pe�lortnence W Ihe work br wM1kh ihia permX ie iswaA, I ahell 1 mploy eny paeeon in eny menner eo m lo beconn wMa lo iM p�oM1ara' canGansmion kwa d CelEomu. en e I e1wN become wMe M waten' C0111pB11S �OI fW19D119� �� a�oo ai ma �eo, cada, I andi ro �� m� o� � o�,e: .��: em/ny: Felle ro sxuro workxe' compeiue0on coverep� b unkw/u( arW aNll �u6J�cf en wnp/oyer ro ctlMrvl psru/Uu enL c/vll firoa �.p ro one hwtlrotl fhous�ntl tlolYn (SfOqP001. In �ddltlon ro M� rosf ol rompmufbn, Jenupu � proHds! b� In SxHon 9106 0l Ms Labor Cotle, Inferest, an0 efromsy i lws. CONSTHUCTION LENDINO AGENCY: I hereby elfirtn uiMar pennXy d perN�Y �� m a mn9rupbn bMi�p epericy br IM penormeMe W the v.oik far whid� ina perme ie bauetl (�an 309]. Civ. Cl. LENOEP'S NAME: LENOEH'S AOOPE55: 1 cenih that I heve raed �his epplicetion vM mme �lai Ne ebove inlame�ion ia oorted. I epree to canpy xilh ell cey eM caunry ordirunoae antl state lawe releiinp to W ilding conmruaion eM hareby aulhor¢e repreuntaiivea Mt�is dty to enter upan �M ebove-mentioned qopeM ��9°��°�"��MA DALESSI �� Pnm Neme /Y,�N Dete:� �J'j7t uu�awam«ineenunrouce�upodea« (5t5�<B.WP) Whne-Buildvq 8 Sele�y; GreerFle; Cenery-RppYeeni: Pink-Revanue; Gddenro�Asxsme CITY OF COSTA MESA — HUILDING PERMIT IT NO; IB 077793 PLAN CHECK NO; N TRUCTION TYPE: V—N PERMIT TYPE: OTH STR DESCRIPTION ; REFERENCE EXPIRED BME: 34817 � �� PERM NO: IB 077793 GOVT; N SUPP; Y SQ FT: �i�;{�i��oj��i] IM VALUE: CALC—VALUE: GROUP OCC: F!� / MENTS: AS PER INSPECTORS FIELD RE6�IEW 6 APPROVAL H-3 !E iE iE iE iE jE iElE 1E iE iE iE IE iE fE fE IE fE iE 1ElE 1E iE 1E iE fE IE fE iE if �E 1E 1E 1E af If !f ik if 1f if 1E 1E iE iE iE iE if iElf if 3f if 1k 3E ik iE 3Elk iF * iE �ElE iE iE fE iE �E iE iE iE iE 1E if iE 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 BUILDING --------- T: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN T: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN KING REQ: PROV: PARCEL: 42252212 ZNE: REF NO: NNING NOTES> i � x ***+�*� **�****+�x *+r� � �*+�+r*x +�*� � *****�*x **�+�******�*�x�x x�*��*+�+�*+�*� �*�***�r***x 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 BUILDING APPROVED BY : APPLICATION ISSUED BY: �E 1E iE iE if IE if iE if if iF 1f 1f 3E iE iF iE 1E if 1F iE iE LEGALIZATION:N F E E S U M M A R Y BLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 42.00 PLAN ISSUE FEE HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 42.00 0.00 _- 0.00 REVENUE DIVISION TOTALS--> COLLECTED: HLDG PMT PLUMBING ELECTRIC MECHANIC 42.00 DATE; DATE; DATE� STRUCTURAL�SEGMENT:Y FIRE SMIP/RES"� GRADING SMIP/NON-RES TOTAL PAID DUE 42.00 42,00 .00 42.00 OVER/SHORT: • 00 FIRE SMIP/TOT GRADING PLAN—CAECK iE ff 1F iF if if 1k if iFlE iE 1E iF iE iE iE 1E �E iE fE 1E 1ElF �E fE IE 1E IE iE fE iE iE �ElE fE 1E 1E 1E if if IE 1E 1E if iE iE �E iE fE if iflf 3f iE iE itlf if iE IE iElE if 1E IE IElE �E iE �E iE iE iE 1E �E iE iF IElf I N D I V I D U A L F E E B R E A K D 0 W N TYPE QTY D E S C R I P T I O�N UNIT COST TOTAL COST INS 1 BUILDING RE—INSPECTION FEE 42,00 42.00 END OF FEES EXPIRED � DATE � " ( n - �I �' L ►� :' ,_ .. .' ��. , 1-. � PQOI. & SPA ' " �:ONSTRUGTION AND PLANNING . . , . I �: ' Date Inspector Date Inspectoc � � d! �APPMOVALS Permit # APPROVALS Permii # i; Temporary Electrical Service or Pole 52. Pooi & Equipment LocatioP 2. Soif Pipe•Undrgrnd. _ -� 53. SteeY Reinforcement �� : 3. Elebtricai Conduit.Utility-Und�grnd. 54. Forms � � • ��:4� Electrical Conduit<Untlrgrnd. 55. Electrical Bonding � .,5r St�el Reinfarcemei}�' 56. Rough P�um6ing & Pressure Test a�6r ElecvicalUFER�fit�d. � 57. APPROVALTOCOVER-GUNITE " : 7?� Footings _- 58. Electricai CondUit=Undrgrnd. . :-�8. Foundation - 59. Gas Pipe, O Uridrgrnd., Test �� 9. Water Pipe-Undrgrfld. .� 60. Backwash Lines, P�Trap, C� Undrgrnd. _j0. Str�ctural Fioor`System ..a. �_i., 61. APPROVAL TO�DECK � .t 7. Preperty Sewer I._ine,& House�Connection 62. Backwath & Receptor-Final � � 12. Sewer Cap � 63. Heater & Vent-Final `` � 13_ Roof Drains � 64. Plumbing System � Final 14. Ro�gh PlumbinQ:: . 65. Electricai�Finai 15. Rough Elecirical-Conduit �. 66. Solar System-Ftfial 76. Rough Eleccric4Viring�- - 67. Pencing & Access�Approval 77. Rough Wiring Sign � -.. 68: APPROVED FOR PLASTERING 18. Rough ElectricahT Bar Ceiiing 69. POOUSPA SYSTEMS FINAL 19. Eiaugh Heatin,9 & Air Conditiqnydg .- � . - y:� - FIRE I9EPT.�REQUIREMENT � 20. �Rough Fa�tory fiaep�lace � ��:` �' � , �APPR"OVAES� ; Pe.mit # " - � 21. Duets�in.STzucture.''.� . . . - �� 70. Underground Hydro 22.Ducts,Veniilating�'� , � '" � 7�, ProductPiping,OG.s C7Qii 23. Gas Pipe�Rough & Test ,- _ �' ; - � = k 72. Underground F;tush . 24. Roof Framing . T . << Y �' 73, Undergmd.Storage7anK.CGas ❑Oil 25. Roof�Sheathing , ��, .. - - - 74,�pverbead HYdro • .Ci 26. T-8ar� Cei4i.+g (Str�eturali & Mon6coat � " � `- 75:,�pry Chemicai - _ �? �-� - . 27. Frer*� aR� Flashirtg ., - r � r "' " _ , 76. Dry StaridPiPe �: , - , . � 28. Lathing&'Siding , : � � . � ,r ' 77� FIXEDSYSTEM FINAL' � - � ,-; � - 29. Insulatio�� -�:� ;� - � � 7$,- FIRE PREV. FINAL � � y� � 30. Drywali Nailing � _� ` i X _ :H�EALTH DEP7.,REQUIREMENT �� _ � t � � 31. Plaster 8r0�vn Coa`t ; `- .�� . ' �; ' 79. FINAL IiNSPECTION _T.... r 32. Electrical�owEr Meter-Finai � � � • 8P' F000 CEliTiFICATE ISSUED � r . 33. Final�Electric .- ,. _, ' _ =' . � � Notes: s,er(�'6�..�w�K_�_aza.yr� ��vt�_ �' 34: �Finai"Heating & Aii. Conditionirig - - � '. � _ : _ . � �. , . ;�.T_%.LL311_! �v_l�l� -'�'i`j 35. Final Gas Pipe--Test-�;'� " " '" , + � - , � . � ' ., . � _. ,. . - . - - 36. Hoodor CanoPY - ,- o.l � ;. r �� : _ � «- _ 37. Finai Fac'tory FirePlace., ` `Y. , '� � ' � - � < � ' -a � 38. Final-Plumbin9 : - � � -- ' - 39. Water Service�Fina4�� " � ' - �, 40. Gas Service•Pinal � � �_ � , . . �-. . _. _ - . , -�41.SotarpomesiicFinal " � ! - -' '• , � � � ,. . 42. Backtlow Preventer . ' . , _ . - �.� , p. � 43. Backflow �Yri�ation ' � --� ; - ' . - • � • . :.€: ' * - 44. Landscape IrngationjSYstem 1.`� �- � .i '3.: �* � � � � 45. Sound Attenuation � - , ' r' �" " �- � � . ' - . �� - _. . 4¢. Handicap Regulations - - � • , �:- _; '- - � ^ ' 47.FINALSTRU.TURE&BUILDING �Z/,E?S{ ��x .�/,� D/ �� ' , - " ' - l! � N' N'•' /t ra - . 48. F.INALPLANNING, . 49.. Electric Release to Edison . � �� • � . � • - _ 'I .. � S ' e � 50. Gas Release to Southem Gali�ornia Gas Co , ' , ` . '. . 51. CERTIRCATE OF OCCUPANCY � . � • , � n 3 No Date . .. � . T � • .. �, � PERMIT NO. TRACT NO. LOT NO. UNIT N0. c:'i v oF cosr,4 nnES.A .. CONSTRUCTION PERMIT A.P. # Zone ,� ...�: . ,. �H� 34°v'l7 , �� ojea Address �r' '�' � � %�� _ S Main Building: Accessory Building: '`�pp�iCan['STvtailing,Addreu -'��•-'.-% � TYPE OF CONSTRUCTION : NEW ADD ALTERATION REPAiR E . Z _', , `,`,� p .', � � � ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front Owner's Name ��"" - ' {' � hone '-� � � i � O DESCFIPTIONOFWOPK/USEOFBLDG. B Rear N Address A I Arch/Eng. Licenu No. TYPE OF PERMIT GRADING FOUNDATION STRUC7URAL K Right - �y /' Left c' Addr2ss ` 'a� CS ,�pll,-I4j �� ' ❑ TENANT ❑ ELECTRICAL- ❑ PLUMBING �MECHANICAL S R / � Contractor's Name..Lc� ��' -� '% %uj% ✓� Phone ' �� f' � �OTHER Ping. Ref. # Parking Req./Provided • E �� S �_�r '`v' .L I��j� r�- � PRaECT DESCRIPTION SQ. FT. oCCUPANCv � � , Addreu (mailing) ��% - f � � `�. Planning Notes: S[L.�� ' CONSTRUGTIONTVPF VAWATIONS `Z�� T CityLicenSeNo. - 7 ZONE GRADINGCU.VDS. ACRES S; LICENSED CONTRACTOR OECLARATION � 1 M1ereEy affirm that I am licensetl untler provislon5 of Charter 9(commencing Remarks: ��S � S(�S E with section �000) o} Division 3 of the Bu5ine55 antl Vrofessioni CoOe, anA � my license is in full �oY�C ana eflect. � . . � ELECTRICAI FEES License Iazs Y� ; Uttnse No. Y��' `' 1' � Date � �' � - 5iqnature !�- �- � � . PLUMBING � - FEES Automatic Washer � Transtormer ❑ 75-50 KW � � ' WORKERS'COMPENSATIONDECLARATION � ConSt�uctianPOlESub. � 50+KW � I bere�y affirm that I pave a certi�iwte o1 consent t0 sel}-inzure or a ttrtiflcate Ba� Sink. � ShowerS o( Workers' Compeniation Iniurance, or a CerHfietl copy thereof (Settion BaCkfIOW Pr¢Ventef._ ; . ServiceSink �king Unit MetB� �up tO 100amp4 3800� Lab. �,, '. " � ' ' - ' , Policy N� � � � � Dany r� �� ?�� Backflow Irrigation ' � Sevaer Cap Dishwasher . � : Meter pover 100amps eCertifietl cod`Y i'sJ hereby rn' etl. , , Dryers ❑Gas ❑EIEct�ic Sub P2nel . Cedifiea mpy�s filetl with ne city Bui ng Dlvislon. Bathtubs Sewer Connection Dat� APOlicant l . . . Fa�' . . 2 EX MPTION FROM WORKERS' COMPENSATION DECLARATION Clelifi¢f5 $ola[ ColleCtOrs MatOfs �al HP O1 YS � B � aJ (This section neetl not be completetl if the permit is �or ona hunEretl (EI00) or Dishwasher � � � � F�A�U� � - �� Inc SolarO9-75 HP 01615> � less). � . Solar Piping . 1 certlfy t�at in tne p6rformance ot the work for nic his Oerm�t I515sueU I Fixtures ' snaii not emD�oy any person in any mann r s t eco e sub�'rct to tl�e Drinking Fountains ' Solar Tank • Microwave Worke sation Laws of Calitorpi�C9�� / ,_', Da[e� Si9nature � J '�- FloorOreins' SwimmingPoolw/Spa � ' DeviceBoxes � Poie�Light . . NOTIC : I, a(ter making t�is Ueclaration, you shoultl Gecome subject to t�e Outlets � q Workers' Compensatian provisions oi the Labor Cotle, you must forthwlth FIOO�Sinks _ U�in21 _ Rang¢ . � compty with such- provislons or this permit snall De Eeemetl revokeC. " ' - ' ! CONSTRUCTION LE�'1DING AGENCY > GeSSErviC.2- OUt�2t5 , WatelCloset -� • SwilCh¢S � � $igR ' � I hereby atfirm that thCre is a conslruttion lentling agency for tlfe pertormanca � oi tne work for wnicn tnis- vermit is Issuetl (sectlon 3097 Civ. CJ Interceptors � � Water Heater . . . Garbage �ispoul � , Standing Sectiuns ! j lenaer's Name'� � ' - � Lentler's aaAress � � Kitchen Sink _ �' . Water Service . �' Generator �0.5 KW OS15 KW Trash Compactor � . � � ' OWNER BUILDER OECLARATION . . . ! I hemDy a(firm [�at I am exempt trom the Contractor's Licenze Law for the L-avatories . � . AutoWash � • � ' �` following reazon (Section 7031.5 Business antl Pro(esslonal COCe: Any tlty or' _ � county which require5 a permil to construct, alter, improve, Eemolish or rapair P-T�ap • laundry heys � ' � ' ^' ' - any structure, pnor t0 its issuance, also requires tM1e applicant for such permit ' to file a signetl staterttent tnat ne/she is licensatl pursuant to the provisions of. Roof Drains �' � ' ' ' ' the Contractor'S License Law (�hapter 9(commencing wit� Seclion 7000) of � ' ' �� V � � Oivision 3 of tne Business antl Professions CoOe) or Mat he/i�e is exemDt . - . , �� (herefrom and tne baus for the alle9etl exempt(on. Any vlolation o/ Section '' ' '. � , . Reinspection F88 $15 ISSw FBe , f Y ! , 7031.5 by any appli�ant tor a permit sub�ects the appliwnt to a c(vil ' � � , I. oenalry ot not more tnan tive huntlred tlonars (E5o0). DEVELOPMENT SERVICES RE�UIREMENTS•. ❑ I, as owner of tha DroOerty or my employees wit� wagas as their sole Reinspection Fae $15 �aua Fee S 3 ' compensation, will do the work, and [he structure Is not IntenEetl or.offeretl ' Zoninp Applov@d By !la{p I � for Sale (Section 7064, Business anG Protessional Cotle: Tha Contractor's MECHANICAL � • � � License Law Goes not a00�Y to an owner o( a prope/ty wno OuilGs or improves FEES' Building App�oved BY ' DatO thCreon, an0 who tloRS Such work himself/he1591f O/ thrOu9h hi5 Or M1Bf own . AppliWtlOn IpUed �— � O �� employees, provitletl Mat such imDrovemenls are not IntenOeE ar oHereC for BOiIEt� - HOad Or Type I.❑ � ete sale. 11, however, the builaing or imo�ovement is solA witnin ane year of com- . Canopy Type 11 ❑ .. ' � � SUMMARY OF FEES ' pletion, tne owner wili �ave Ine burEen o/ proving he/ihe tlIE not bui10 or im- Duct - Unde� GrOund ' _ . . • prove for tne purpose oi sale). � BUILpING PEftM1T �$ : O� � SMIP � :$ � � S� ❑ I, as owner of the Property, am exclusively contracting with IlcenseG con- Dutt-Stfuctural R¢ffiJ¢fa[iOnSySteT tractorsto construct tna oroject (Settion 7044, Business antl Aofessions Cotle: � . . PLAf� CHECK '$ PERMIT . The Contractor's Lic%�se Law doei not apply to an owner of property w�o Dutt - Ventil3ting . � ► Da100,000 BTU ❑ 100,000 BTU builGs or improves tnereon. antl who contracts tor such owiects wit� a con- �y - PLUMB WG � �$ ISSUANCE $ tractor(s1 hcense pursuan� to me Contrattors License Lawl. I am awaro that 2 Exhaust System Ss Multiple ❑ System Fiepair/AlteratiQn �p PLAN CHECK 25%' $ ENERGY P.C. ,$' - Droof ot tneir Worker's Compenvtion insurance shoulE be D/ovlGaE ta ma. GRADING $ � ❑ 1 am exempt unCer Sectbn 8. 6 P. C. for thts roason FirepUFact. BIt �CBO # � Fire Dampea �� ' � "��9" `'�� ' ELECTRICAL �$ � �-�— oate owner � Heating System & Ductinq Regizten ' , PLAN CHECK 50% $ d• LS MICROFIIM $ � `�^ MECHANICAL $ � TOTALFEE �S• %� 1 hereby certify (hat � have reatl this applicatlon antl state [nat the above ❑Q700,000 BTU �100,0008 . -�-_ - _ �f'-- � $, . in�ormation is correct, � a9rea to comply with ail dty ana county ortlinances ' ' PLAN CHECK 25% $ �%� , antl itate laws relating to buil0ing conitruttion, anA hereEy auNorize repre- . , ' sentatives ot t�cits o eye� upon the bove-mentloneG property � r ' �, . ; � . . spaction pur es) � / � � � _ � Signature ,/� � Datat-� . � . ,. ��/� �, � ReinspectionFee S75 IssueFea E� - � -�J-,• �- Drivers' Licenu or 55 �f � . _ . � % 1 ` � • ' '� - . � 0665-46, rev. 5/88 White - Builtlin9: Canary - APP��cant; Pink - Accounting; Golaenro0 - Aszessor � � � �� ' " ' ' � � ',;;' � ��CONSTRUCTION AND PLANNING � " � , �POOL &,SPA, � � -. APPRO�VACS Permit #-� � Date' Inspector. �, APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole ' �� 52. Pool & Equipment Location 2, $oi4.Pipe-Undigrnd. , � . ' �� ' 53.'Steel Rein4orcement � � � i 3..Electtical,ConduiI lltility-Undrgrnd. � ' - �� 54. Forms" �' � - . � 4. ElecVical Conduit-Undrgrnd. � 55. Electrical Bonding �� _ ' 5. Stgel�Reinforcement r� � � ' � 56.� Rough Plumbing & Pressure 7est ' i 6. ElecVical UFER Grnd.• '. � 57. APPROVAL TO COVER-GUNITE ' ' 7. Footdngs ' , ' ' � - ' � 58. Electrica6Conduit-Undrgrnd. � . 8. Foundation ' '� .. 59. Gas Pipe,�� Undrgmd., Test � 9. Water Pipe-Uniirgmd. - � ' 60. Backwash Lines, P-Trep, � Undrgrnd. � 10. Structural Floor System � , 61. APPROVAL TO DECK 11. Property SeweX Line & House Conn ction � 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 Electrfcat-Conduit � ' 66. Solar System-Final 16. Rough Electric Wiring � 67. Fencing & Access Approval T� 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING � 18. Rough Electrical-T Bar Ceiling ' � 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT 20. Rough Factory Flreplace ' ; APPROVALS Permit # 27. DuC[s, in Structure . 70. Underground Hydro 22. qucts, Ventilating � 71. Product Piping O Gas ❑ Oil 23. Ga5 Pipe-Rough & Test . 72. Underground Flush 24. Roof Framing � ' . 73. Undergrnd. Storage Tank � Gas ❑ Oil � 25. Roof Sheathing , . � � . - , .7q, Overhead Hydro � "� 26. T-Bar Ceiling (Structural) �& Monocoat � . , � _ � .75. Dry Chemical � ' - �� - 27. Frame and Flashing -� � 76. Dry Standpipe � 28. Lathing & Siding � 77. F.IXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing � � � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coa4 � , �79. FINAL WSPECTION 32. Electrical PoweriMeter-Final - . , 80. FOOD CERTIFICATE ISSUED � �• 33. Final Electric . � ' ' � Notes: � � . � 34. Final Heating & Air Conditioning � , . ' ' � , ., 35. Final Gas Pipe-Test � � � ` � . - � � . � . . � � 36. Hood or Canopy , ' , , ' ' � � 37. Final Factory Fireplace � , , � , � , 38. Final Plumbing " ' " - , ; � � � , ` ' , � 39. Water Service-Final , � , 40. Gas Service-Final � . , • ' � ' � � � " 41. Solar pomesticFinal ' � � ' �' ' � 42. Backflow Preventer � ; ; � - ;'� � � � � ' � 43. Backflow Irrigation. � . „ � � ' , ' � � � ' = v �: ' 44. Landscape Irripation System ' � � Ei;!IG:f;G��''E; IYl'i�F�LCCi6il: 45. Sound Atte�uation � - �" , ' � � 46. Handicap Regulations ,- ' , , -- �" --� � , - "';"""-- 47. FINALSTRUCTURE&BUILDING � � .;.� ' ' �, ,j 48. SPeCial Requirements Completed . ; � ' ' '� � � � ' . 49. Electric Releaseto Edison . - --� . �-� �- � - •�- � - - , � • 50. Gas Release to'Southern California Gas Co � � 51. CERTIFICATE OF OCCUPANCY _ _ � No. � Date � . � "� � � - - - _-._..__._..... . .. . r � BUILDING PERMIT LO� PLOYEE: TION:BER'T� 7�� SQUAREFOOT GE: f FEES: �`�i �i-Z.L� 4E ADDRE55 PER SHEET- T{ME IS BE AS SP�CIFIC AS PGSSIBLE IiV R ApPlicant to fill in all spaces exce0< <�ose within �eavy �orEe� Ilnes anE si9n a1l approvriate Oeclarations. Ic1i'Y OF coS7n MESA CONSTRUCTION PERMIT �. ProjectAddress ��Q G•% I��^' /�j ;l✓. T l�j . Applicant's MailingAddress , Si�,n r i /��,� �p Owner's Name �•�•- _ �„ i r.�P. rrn- Phone��i ✓ Address Arch/Eng. License No� Address � 'a'i �s �%%t�'�O.S � i � -� ; cr � Convactor'sName/�•u '�^n'': >Nn• •� Phone Address (mailingl�U � �'�/�" rcSr .v � � �(J.(-d�. � . � � City License No. s7 � g LICENSED CONTRACTOR DECLARATION I hCreDy affi�m �hat I am licensetl untle� p�ovi5ion5 of Chdrt¢r 9(commencing with section ]000) of Divislon 3 of the Business antl Professions Cotle, antl my license is In fu`foYr4�antl eHecL _. y�AG 2� 'Date� /W�/ Si9nature _[� -� WORKERS' COMVENSATION DECLARATION �y � hereby aftirm that I have a cerlificate of consent to self-Insure or a terUflcate ' ' Workers' ComOensaHon Insurance, or a c¢rtlfietl mpy thereof (Sectlon 300, LaD. C� S' Policy No� �� l �/�°(^ pany � �� -' S 1 ti L- eCertifietl copy I5 nereby rn)sbetl. \ cer,titiea cao4-�itued wim tne c�ty euRtttng Division. Dal�� Applicant�/ EXEMPTION FROM WORKEFS' COMPENSATION DECIARATION (This section nee0 not be completetl If tne permit is for one huntlretl (E100) or lezs). I certity that in tne performance o1 Ihe work for hich his perm�t Is Issuetl, I Shdll noi em0loy any per5on In any mann � 5 5 t ¢c0 e zub� ct to the Worke salion l.awz of Califor . Dal'e� Si9natur¢ NOTIC : 1, after making this Oeclaratlon, you shoultl become sub�ect lo the Workers' Compensalion provisions ot t�e Labor Cotla, you must forthwith comply with such provislons or this oermit shall be aeemetl revoketl. CONSTRUCTION LENDING AGENCV 1 hereby atflrm that Ihere is a construction lentlin9 a9¢ncy for tne performance of the work for whlch tbis permit i5 i55uetl (Section 3097 Clv. CJ L¢ntler's Name Lentler's AEtlress OWNER BUILDER DECIARATION I hereby atiirm lhat I am exempt irom Ihe Contractor's License Law tor Ihe iollowin9 reason (Secllon ]031.5 Business antl Professtonal Cotle: Any clty or county whiU requires a permit to construct, alter improve, tlemolish or repair any sl�uctur¢, p�io� lo its issuance, also �equire5 t�e applicant f0/ suGh pu�mil IO file a si9n¢tl slatemCnt [bat h¢/She Is licensetl pu�suant t0 [he provislons of the Con[ractor's License Law (Chap[er 9(commencin9 wi[h Section 7000) ot Oivision 3 of the Bu5ine55 antl Profes5�on5 Cotle) or that he/she I5 exempt leretrom anC tbe ba5is for the allegetl exemption. Any vlolation of Section � D31.5 by any applicant for a permit subjec[s the applicant to a civll enal[y oi no[ more than tive nuntlretl tlollars (§500). � I, as owner of tlte prope�[y or my emplOyees with wd9¢s as th6i� sole Com0en5ation, will tlo th¢ wo�k, antl the structu�e i5 not intentletl o�.offer¢tl tor Sale ($ectlon 7044, Business antl Protessional Cotle: The Contrac[or's License l.aw Ooes not aOP�Y to an owner of a property who builtls or improves thereon, antl who CoeS such wOrk blm5elf/he�self or throu9h �IS or he� own omployees, provie¢d that such imorovements are not Intentled or oHaretl for Sale. If, howevar, th¢ builtlin9 0� Improvement i5 5014 wit�in ona yea� ot COm- pletion, lhe owner wlll have the burtlen of provin9 he/she tlitl nol builtl or Im- prove tor the puroose oi sale). � ❑ I, as owner ol tne properry, am eaclusivery contractinq with Iicensetl con- Vactorsto consVuct ihe P�olect ISection �044, Business antl Professions Cotle: The Contractor's �icense l.aw does no[ apply to an owner ot property wno builtls or Imoroves lhereon. antl who contratts for such oroiects wil� a r.on- Vactor(51 licenze pursuanc to [ne ConVactor•s License Law�. I am awara thac proof o( their Wo�ke�'s Compen5ation insu�ance Shoultl be provltlatl to me. ❑ 1 am exempt untler Section B. 6 P. C. for tbis reason Date • Owner I hareby certiy tha[ I have rea0 this application antl state that tha above information is correct. I agree [o compty wrth all tlty antl counry ortllnances antl sta[e laws relating t0 builEing conStruCtion, antl h¢r¢by duthorize repr¢- znNat�vea M Inic citv.tn wnter unm the above-mantlonee ofoo¢r[Y (ol License or 55 # , ��,�.�,. ,..,. ....._ . .._' __ . .." ..,.,. �.... A.P. # gr+F 34 Sl� S Main Building: TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR E ❑ CONVERSION ❑ OEMOLISH ❑ OTHER T FrOnt DESCRIPTION OF WORK/USE OF BLDG. I A Rear TVPE OF PERMIT GRADING FOVNDATION STRUCTVRAL I� C Right ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING �MECHANICAL g L¢ft ❑ �OTHER Ping. Ref. # PROJECT DESCRIPTION 54. F7. oCGUVANCY � planning Notes: CONSTRUCTIONTVPE VALUATION$ �� ZONE GRADINGCU.VDS. ACRES Remarks: i.i[�w v..uu.��r Cl/c1GN Sink Preventer Irrigation Drinking Fountains Floor Drains Floor Sinks Gas Serviee Outlets Incerceprors Kitchen Sink Lavatories Roof Drains Reinspection Fee . � $15 Boiler Duct- Under Ground Duct - Structural Duct - Ventilating Exhaust System l� Multiple Firepl/Fact. Blt. IC80 # Heating System & Ducting ❑ ai oo,000 sTu O i oo,00a Heinspection Fee � $16 0865-46, rev. 5/BB White - Builtling: Canary - Applicant; Pink - Accounting; Goltlonrotl - Assessor $hOWCf3 Service Sink Sewer Cap Sewer Connection Solar Collecror5 Solar Piping Solar Tank Swimming Pool w/Spa Urinal Warer Clout Water Heater Water Service Auto-Wesh IsSue Fee IANICAL Hood or Typel ❑ Canopy Type I I ❑ ietrigeration System �4100,OOOBTU ❑100,000 System Repair/Alteratiqn Fire Oampers � � � Registers ��tg Issue Fee FEES Aummatic Washer Construction Pole Sub. Cooking Unit Di5hwa5her Dryers �Gas ❑Elec' Fan F.A.U. Fixtures �evice Boxes � ) Outlets Zone ELECTRICAL Transformer ❑ 75-50 KW ❑ 50+ KW Meter Uup to 100 amps Meter ❑over 100 amps Sub Panel Moton �0�1 HP � 1 Y. - 8 Ina Solar �9-15 HP �1615? Microwave Pole Light awimnes Sign Garbage Dispoul Standing Sections Generetor �65 KW �5-15 KW Trash Compactor Fee �$15 � � luue Fee FEES $ Y N I N G H E � M T S. $ 3 DEVELOPMENTSEFVICESREUUIREMENTS: Zoning Approved By Date FEES Building Approved By - Date �T� Applimtion Issued By � Date � 9'-d� SUMMARV OF FEES BUI ING PERMIT '$ O � SMIP $ •}� PLAf�CHECK ' $ � PERMIT PIUMBING � $ � ISSUANCE $ '� PLAN CHECK 25% $ ENERGV P.C. $ �ua ,�� IS � ELECTRICAL � $ —I��I. S�D GRADING $ PLANCHECK 50% $ `�'�� MICROFILM $ � MECHANICAL $ � TOTALFEE $ 7�•7� �_ PLAN CHECK 25% $ � ' . , $ I %' O1 Gftl'•1'�83U-cG01163� YI;Y ' DATE' �s: 091L•;, - TIt1�- 14: i; �5.ii •-. . _ �I �-' CONSTRUCTION AND PLANNING POO�.Y SPA Date� Inspector AppROVALS Permit# Date Inspector �APPROVALS Permit# 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location � • 2. Soil Pipe-Und{grnd. . � � � 53. Steel Reinforcement � � 3. Electrical Condui2 Utility-Undrgrnd. � 54. Forms � 4. Electrical Conduit-Undrgmd. 55. Electrical Bonding 5. Steel�Reinforcement ' 56. Rough Plumbing & Pressure Test ' � . I 6. Electrical UFER �Grnd.' 57. APPROVAL TO COVER-GUNITE ' 7. Footi�ngs ;' � I ` � 58. Electrical ConduiPUndrgmd. � , 8. Foundation ' . 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Unclrgrnd. � 60. Backwash Lines, P�Trap, O Undrgrnd. � 70. Structural Floor System � � 61. APPROVAL TO DECK 11. Property Sewe'r 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 ElecVical�Conduit ' 66. Solar System-Final i 16. Rough Electric Wiring 67. Fencing & Access Approvat � 17. Rough Wiring Si�n 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. ❑ucts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil • - 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical � 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing ' ' � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coac 79. FINAL INSPECTION 32. Electrical PoweriMeter-Final 80. FOOD CERTIFICATE ISSUED � �� 33. Final Electric Notes: t__ � 34. Final Heating & Air Conditioning 35. Final Gas Pipe�Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer • ' ' 43. Backflow Irrigation �� G v 4 44. Landscape Irrigation System incompl e Inspections 45. Sound Aitenuation 46. Handicap Regulations 4 � 47. FINAL STRUCTURE & BUILDING � { ( 48. Special Requirements Completed � 49. Electric Release to Edison � 50. Gas Release to Southern California.Gas Co 51. CERTIFICATE OF OCCUPANCY ' , No. Date • On this date I wish to file a complaint concerning conditions at n��: lo—�- � �.�-os� Complaint address :� //�Qsn�J ( -v.Ph+itJT — / /� / � i4C� /tJ T/ /9 Owner, or tenant address: .� OfJsr ///R.Ei�flE' � �%�� !� /�o � �%/ OFmer's Residential Address Nature of Co�laint: /LL 6A-L �TT.eucT/i.eES — L!AlS.9�E �L�GT�icAL �!i �i4.sv o,� �'E�. �o�}T .C� i.rJiNG C✓•s-,�s v�- �usi,U�S � ivi�� i�rJ Sr2ucru.e — L=�i�c��Fn i � c E�Acc_ v��C�er�D . ;..._:.� � -. ._ . , � _ " -- �P�z. PE�e��T I have read and fully widerstand the above, and agree to appear in coiat as a rntness, if requested by the City, if the co�laint is foimd to be a violation of law and/or Ordinances of the City of Costa Mesa. ,ylqL �7��/�t% 2lcCK r9Dr//S4L� mp aining itness ress si ence ; Investigation By: _\ C� 7'/�, '� �lDo�� 'Fe7ep ione er Building Permit Files Reviewed: Zoning Files Reviewed: rutia te nitia te Assessors Parcel � Violation of (C.M.M.C. Section(s): ices �� lst given /—,3— � Time alloted for Correction /l u,�, �v5 te �6<,��imA� L �s%� Map N 2nd notice 5 day maxvmm time te Certified letter ad�ri6ing that if vlolations are not corrected, the co�laint and all supporting data will be forwarded to the City Attorney's office with request for prosecution. te i e te ceive Day rechec of site Files foiwarded to City Attorney's office with request: te l .TY OF COSTA MES.. CALIFORNIA 92626 P.O. BOX 1200 FROM TME OFFICE OF THE DIRECTOR OF BUIlDINO SAFETV Project Address �%d'a GC/ / �o � � Project Name OWnetS NaIIIE' �� i � / �' Owners Address 't'J,y� Gv / �'' � /�� Owners Telephone �p lf�% �J�.I� Permit # % I �d � �YP . City Use Only I . as Owner, Contractor, Agent (strike out all except one) o hereby a est that emplo}ment of any person, or persons, is not anticipated at the t' of seeking the above-referenced permit. In the event that any person, or persons, are e�loyed under the prwisions of this permit, I shall imnediately cause a valid Certificate of Worlarens Cwc�ensation to be filed with the Costa Mesa Building Division. I agree to defend at my own mst, arc3 to indemnify and hold harmless, the City, its officers, agents and/or e�loyees, from and against, any and all liability, damage, costs, l�ses, claims and expenses, howscever caused, resulting directly or indirectly fran, or connected with the irtg�rovelrent under this permit. I further state that I have read and fully imderstarr] sponsibilities of the above statements, and will crnipl Contractors State License Law found under the Business Division 3, (:hapter 9, of the State of California. f � , �� l//'�/l A �� Print ame ' �Signature / CMF 0777-4fi the implications and re- y with all provisions of the and Professions Code, �-g-�� Ik�te �,rl�'�.L- L' 2 � r i '7��'8 W IbS� S\ eoSIA MtSA C+� lh��i� G A flnztss �o. �3ox i4i C�S� M ES A CA -- --- Prev�d� v�Ivs.. _' _ _ 9 � �� a S �iZ /� Y B�T"H Z NSTRLAr1olU ;z0 1'� y� _ V/S�rk�Ch�Mc �1��.. fl)sp•K.,,� d��• %� s�r Y�. i n qpl�� RrCR.. f ia � �E %/� /u O�FiG� ��6 l� -.��C. SPrin;�c�.�2 i-l�aD APPROVED PLANS MUST BE ON JOB SITE 33 V' � APP OVED Y COSTA ME fIRE DEPT. BIIREAO OF NE PAEYENiION COSTA M "SA, CAiJf. DATE - �' BY� � I�OT�E: Appro�e! pD�ie� ta plen� �nb• mftted, sad tor oaeLmctlon iadicebd lhereon. Imtall�Ho �abl�� e (tnal lo• medioo aed ecoeo +.nce. % OLIN WELLBORN III VERNON BARRETT FRRL B.ROOI OWEN F.GOOOM/N FqANK C.MUBBRR� F. C. LOWELL MEAO GYTE VAN ZTL JAMES O.00GGETT :� LAW OFFICES OF WELLBORN, BARRETT & RODI PETROLEUM BUILDING �14 WEST OLYMPIC BOULEVARO LOS ANGELES IS,CALIFORNIA RIGHMOND 9-�III May 19, 1g61 Mr. Michael Bingham Building Official City of Costa Mesa P. 0, Box 317 Costa Mesa, California Dear 1�, Bingham: BEVEPLY MILLS O�fICE IJB E� CRMINO BEVERIY NILLS,CALIFORNIA caESivifw BJi5< BRAOSMPW 2-)B11 I acknowledge receipt of your letter of May 15, 1961, addressed to me as Secretary of Newporter, Inc, with reapect to the premises at 788 Weat 16th Street, Costa Mesa, California. I have forwarded the letter and encloaed material on to Mr. L. E. Packard, President of the Company, who is presently in the East. I know he will want to give the matter prompt attention. I have heard, only indirectly, of the matters mentioned in your letter and I believe that they have been handled by Mr. Arthur Coleman on behalf of the Company. I anticipate that either Mr. Packard or Mr, Coleman will be in touch with you promptly with respect to this matter. Should auch not be the case, I shall appreciate it greatly if you will advise me. Thank you for your courtesy. �x : r� cc: Mr. L. E. Packard Very truly qoura, � , /� � :, -.. . \ � COMPLAINT INVESTIGATION�� Rece'rved 4y ��. ' Made by: ��LF'�� <*_ f_�l ev-Qi! Titi S,./ L �. _ 1� %�iG2ct �L�GGG De� 3 � � 7— �1 �' c.��— /� :t'7-�- � r-a., �1� �s(- i R rl�� %�it d G _/O �,/v •9-ivl� . Complete: Yes No � ComplainanG Yea Interviewed: � No By: , - Date: / � N�.�, o,� T�,z 0`�-�- � . . _ �. .. �'y7`.�. - U�-N- �y � - ��RL - � ��. ��-�, �- 7� � - �� o--C'� � v.._°_.� �G-� �� ,��// ` . ��---- �� '' �� /� � �' �' �'t' � � c„ r�. � � _ a.u.Yic� �� 7��- �..i —/6 z'�� _ 2a-� � � � ' � �� id��-� -�--�� , . �� -� . . . � r City of Costa Mesa Building Safety DepaMment v. o. eax an Cosfa Mem, California CERTIFICATE OF OCCUPANCY N� 1815 C The Building located at �� • 1�h C'`'EL'E0'e _ has been inspected and found to comply with the provisions of all Cify of Costa Mesa Ordinances applicable thereto for a Group �� — Occupancy. Use of Building �� Y11� �'�� — Legal Description � �''��6'c�L2� l� 2� (See mverse side for Mete� ond 800nds) r Building Permit No.� C'�� T Electrical Permit No. 21� Plumbing Permit No.— �� — Floor Load Signs have been installed as Room CapaciTy Signs have been instaled as required under Sec. 2308 U. B. C. . required under Set. 3301 (1) U. B. C. — 17050. CERTIFICATE OP OCCUPANCY. (a) No apartment house, hotel, or lodging ho�se shall be �sed or occupied until The owner or operaTor has been issued a valid certificate of occupancy by the enforcement agency. (b) A new certificate of occupancy shall be obfained whenever there is a change in: � 1) Occupancy classification of a building or portion thereof � 2) The number of apartments or guest rooms 3) Ownership If Group H Occupancy, number of apartments and/or guesf rooms as required under Sec. 17050.1 (d), California Administrafive Code, TiTle 8, Chapter 9, Article 8. ISSUED TO: Number of apartmenis— _ and/or guest i; 9 W ti Official Date -_ r'@t+i'u6E'V 10. 19�► This Certificate of Occupa�cy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the Cify of Cosfa Mesa under Sec. 306 (e) U.B.C. eom, suaa—iM—ii-ea--s-s r �� ` • 20567 •CO5TA MESq BUILDINCrSAFEIY DEPARTMENT P. O. BOX 917 C08TA M68A. CALIFORNIA For App/i�ant to Fill In Completefy TYPE OR PRINT BUILDINO y� AODRESS �. COSTA MESA, CALIFORNIA � cm Ld T I� �".r/�i Te�M/b — NO. �7S ARCHITEGT _ _ THL. e� 8 ~� .��' �— TEL. � NO. I O� V+9 � i I NO. OF BLDOD. DESCRIPTION OF WORK SZIEDIN6 yO / NO.OP � ) ROOMS EXTERIOR WA ROOF GOVERING J (� C � COVERIN6 USE OF BU ILDINC AND WORK TO BE PERF 1 HEqBBY ACKNOWt,gD08 TNAT 1 NAV! HBAO TH19 APPLIGTION AND BTATH TM�T TN8 ABOV6 IY CORH¢R AND A6RE8 TO COM� PLY WITM ALL CITY ORClNANCH➢ AfIO HiATY LAWe RIOULATINO BUIL�INO CONBTRU��ON. SIGNATURE OF C' � � wQ�- � � PHRMITTEF Y AUTHORIZED AG�ryT FEE RECE11t�D ess� s t das APP��IAPISFJ 4O4PPERMR CI1Y 06�O�hIcMESA for Offlte USB Only MHC81R NO. PE r�Re ZO _ I tio. oI� I UB¢ o� rUND SLIILOII LeOAL �IiT �IrPI� � rI I A. P. NO. !�i �� 0`�'4 �� T D�ZJ — NOTE: NO EAV E OV ERHANO BHALL BE LE55 THAN 90' TO SIDE 8 REAR P. L. EAVES ALLOWED (U.B.C.REOUlREMENT YARDBAPPROVED YARD3APPROVED MAIN BUIlDIN6 ACGESSORY BUILDINO DISfANCE BET, I BET. MAIN @ MAIN BLDG3. ACCE55. BLI VAR.SF DATE TN! AMOUNT 9NOWN UNOEH VALUATION 18 POH TH8 PUFPOSH OI H6TAOL18HIN0 • PHpMIT PfiH ONLY. � - F�+ 4 W a a y � S F G R7 F Q C i' .� a w o. O a a Z W S" 3 -y � r"P oT e xE 20o CIOSDTIA M SAFCALI oenl�iq 9 s2s T APPLICATION FORqSi'RUC�IIRQ L PERMIT F_ 5( � RECEI V PERMIT For Applicai�t to FID in Completely — Use Ink Only � .BUILDING � � / � G%� � A.P. NO. � �,9/� �, � �{„' ADDRESS BUILDING � / � ). / OWNER OR ✓_J /� ADDRESS (�(/ TENANT �� P� MAIIING /J (� SPACE NO. ADORESSQQ. J.7 JO / TR.NO. LOT BLK. TEL �) �+ CITV NO. /�'��/ NEW ADD LTER REPAIR MOVING DEMOLISH CqNSTRUCT70N LENDER BRANCH Ii•�. OWNER �I ADDRESS Q s �j �Y/°��{ ARCHITECT TEL. US �'�/ /C :L1�K-Cr➢ D� OR ENGINEER N ADORESS ZONE TYPE GROUP APP CONTRACTOR � BV � �+TE � " ADDRESS TEL. CITV NO. STATE CITV P.PPROVED TBACKS LIC. NO. LIC. NO. SIZE NO.OFBLOGS. (FROMC/L TREET) OF LOT NOW ON LOT OM FT. USE OF EXISfING BLDG. Separg[e permits are required for L SIDE electric, plumbing and heating work. REAR FT. USE OF BVIIDING AND WORK TO BE PERFORMED PLANNING ACTION � TE Roveo APPROVED I heraby acknowletlpa thet I have read this applicatlon entl stete °' C ihat the ebove Information Is correct antl apree to comply wlih ell laws rapulating buildin8 constr�ction, anE I shell not employ � any perwn In vi0latlon af the workman's compansatlon laws of d the Siate ot California. m I hereby cartlfy thet 1 em p�operly licansatl es a contractor untler SQ. FT. �+ tha State of Calitornlo Businass entl Professions Cotla, Dlvislon 3, THE AMOUNT SHOWN UNDER VALU�+TION IS FOR m Cheptar 9, anC that such licensas ere In full force antl afiact, or I THE PVflPO6E OF ESTABLISHING A PERMIT FEE ONLY: � am exempt f�om t�e provisions ot the Stata ot Callfornia Busineu VALUATION PERMIT FEE antl Profassions COde, Division 3, Chapter 9. s � PLAN CHECK S � ^ Signature o /'J � � Parmlttee G�f� / �/✓�+�� $ (/�/) TAX E �{ LL or r"�A/� V U D i ��1� TL I Authorizatl ABent a e TOTAL PAID E /� ' . . a. .� -- ' . .. , . , , . . . . OWNER lickerman Boat i�orks DATE 3—�-S—Sl1 � JOBADDRESS 78S W. ].G'tkl St.. BUILDING PERMIT NO. 12$ � GENERAL CONTRACTOR Qurner-Builder �.Q.' 20�.�� VALUE $ ) LOT 712 BLOCK 7aAC7 Boat Fab. Bldg. � GROUP E j TVPE V ZONE M-1 FIflE DISTRICT 132 PERMITS ISSUED INSPECTIONS DATE SUBCONTRACTOR I DATE I NUMBER FootingTrench � � ��-�'—S� Foundakion Forma and Grade to Garaoe _/ / . Plumbing, Rough to Sla Plumbing, Raugh Comp Temporary Pole Wiring, Rough a-7� • Heating, Rouph � Heating, Final � Sewer Seotic Tank o .Cesspool Plumbing, Final, FixturesComplete yLLf Plumbing,FinalGasTest �{/o,IJ.P_ Wirina.Final L i � _ _ ' - 1 Fbrm LIO f H IM 12-fi9 60 � �+L %�u..-TL. � </y Cagta Mesa Buil ' g Department '�PPLICATION FOR PERMIT � ��;` . -� ' 111 EAST 20th STREET 13--,� ._.g_lJ I L.D..I� N G_:�. _ OSTA MES�� 'ALIFORNIA " " � , FOR APPLICANT TO F'II.I. IN ; FOR OF'P'ICE USIE ONLY ; Receiptrlo. Permit�111,v. � Buildin9 � Q ^ � � / / - J� � � , / `Lo Address Vji ,Qg c� /W - Costa 1VIesa, California eceived/y,'y Date ec'd. Da Issu d i Nearest ^�' �G�' �- 3 �� , � 3 �� S� Cross St � C ei(l // BuilAing - � Add�ess Ownerj��,�/e,4 ,Na•,v /�007` c� oR K3 � Costa Mesa, California ' Mail Address � aS-' - a / �� .��' Neartst ' Tel. Cross St. , /� d �,(J / ' City �2 W o le"� No. Zone No. of Type I Grou Architector Lia O'� � � � I P�ans� 31'I � Q Engineer No. g or � Approved � I by � Date Address%�c� ,e,�/y,�/ ,C�a•r� (i.� I<7 - • CORIiECTIONS � City Lic. ' �tractor 2 2 J = 1� S'� No. � � i � ned.o�. �� .� � i .�. r/�ic ✓ � ' . � Metes and Center ot Street DES� New �/ Repair I Building Sizc Q Exterior W ^wering ��. of New oeildinq � No. of Bidgs. � Now on Lot INo.of I Families Rear Yard No. of � Rooms � Stories �.j- Root �p i/Q! Coverina( AL- � iilT1M� ! APPROVALS Foundation Location � Inspector Forms, Materials, � Under-Pinning, ' Lath. Int. I hereby acicnowledge that I have read this Application and state that the above is correct and agree to comply Lath. Ext with all City Ordinances and State Iaws regulating . building constru�j io Plaster, Int. Signature oi /A Permittee �j¢� � A�^� plaster, Ext. Authorized Agt. � Masonry Reinforced Valu.ation O� Permit Fee $� O e $ / O, h� O` Plan Check $ Bo�d Beam /' Total Fee $� �i.jj� FINAL vnvm ?Od GH lT1 12-6a �y� � O a � ' Z D r Date et _ `.��s '; PLOT PLAN Show location and distances from property line and between buildings. r , -- --�: �"� YO�.�dr�,Y t`7orkm�n�s Compensation Insurance? Yes � No ❑ I� a�'aNe 6g F`rovision 3706 of the State T+abor Cod� ahieh requiPes every employer to be ina��ed against liabilitiy For tvorl�ig somD�n§ation. S3gned: • �'S .'+'`a( �( � � o \,4 NER NE'IPORTER; TriC. ' �� ;°`� DATE 9-13-57 ADDRESS 7�8 T•1 , lbth StT2et I�� B[lILDING PERMIT NO. 'ERAL �ON1'RACTOR Ot9riBI'-Bll11CI@T' VALUE $ ZSs.00 GI P TYPE ZONE S Bcam Pinal Gas Test DESCRIPTION OF WORK 3UBCONTRACTOR ED �' � �e�''' ` r � F- W w K COSTA MESA BUILDIPIG DEPARTMENT P.O. BOX 317 � COS7A MESA CALIFORNIA ' C•L. OF STREET " _��PROP. TINE , r 10 FT. FOR 60 FT. STREET � I � � I ' " : �III�ro I"- LLEY' pR PR SO� � � � PROP LINE �` --r—=--�----- C.L. OF ST ¢ w � � i`r t- r � W w Qvo '✓F� C7 0 oz� � Z '° �Zo O c �, Fn'� V � N � zl _ _J� a' � O rc a� ' I , - � ------� J � FT 60 H w w ¢ F N LL O J () ST. MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES------ MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES FEE RECE{UED I 5`780 I 9-�3-57 v� FOR APPLICA�I�V{��4l�• BUILDING ADDRESS %�rY (.l-/,TY`�J �O� �+A� yy�� L ' �� City 7��-°�u�zr%�1R'�i Ph. No:�.S"T 7�— � _� =--- 6��,n,,-�--------- Contractoz�=-u � , '�"'G' Ph. No. � ' `S � 7 � City Lic. No. State Lic. No. Size of Lot �� d X� � �AP No. �� Z �%D - O% I ,Y Setbacks: C/L Stree S� Rear -� Side Yard - Right � �� Left % � � Type of Fence�� 8'�`�� a %i $ I� �� E.d't�c �o O•G�... [L_ � I hereby acknowledge that I have read this application and state that the above is correct and agree to comply with all City Ord- inances and State Laws regulating building construction. - Signature -�� i of Permittee FOR OFFICE USE ONLY �y� � Received Date Issued - /3 _ � 7 �%-� 3 -S; % VALUATION Permit Fee $�- � o t7 — �S S _ � Plan Check $ TOTAL FEE $ � � USE REVERSE SIDE FOR DETAILS J �� aay � � � 1 r.. � _ lit' r 1 4 M ` �