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Home My WebLink About768 20TH ST - Building PermitsAVP��ant to i.�l in all 50aces wilhin neavy bortler lines antl sign all aopropriate aeelarations. A MESA PER,c�IT NO / TRACT NO. LOT NO. Bl_D NO. NSTR TION PERMIT f� ^ �Jb � //�/ ��- / � R s �'- �t 6097 5/19/82 t Address ' ,. TYP OF CO STRUCTION � m�er V •SRy- V � Phone�j�( ' y/'j 7 �/ �ADD ❑ ALTERATION Address (f ' �p.0�- ST G•f% " ❑ REPAIR .❑ CONVERSION ❑DEMOLISH AfCh/Eng.s'G GGh- �//i��,✓ LiCenSeNo.- ❑OTHER Address- 17gGS S � dtx G/�G e (/p.i�' �'; DESCRIP 10 W R � a Contractor -' Phone �</S y3 TVPE OF PER T�,/� � - .-,�/ �-i '� �.; ,. Address � ' " - ' '" , � GRADING :L�l FOUNDATION eSSTRVCTURAL � .ICENSED CONTRACTOR DECLARATION - � ❑ TENANT ❑ ELECTRICAL ❑PLUMBING ❑MECHANIC LASIONS ZONE K �--� PLNG. REF. � 1 hereDy affirm Nct I am licensetl untler provislons of Charter 9(com- • , , �. 1i�IGHT��V menUn9 with section 7000) of � Divi5lon 3 of the Business� antl ❑ OTHER - - -�� = �'1 - Protessions Cotle, '.antl my Iicense is in fu❑ force antl etfect. � a��,��.p� � REAR VARD (TO ,�icense Class " G � Lcense No G 6 S PROJECT DESCRIPTION �alr✓� � r "PKG. SPACE RE�. S'I`I' }t7 SQ. FT. � �ate Siqnature /� �• - - �WORKERS'COMPENSATION DEC ARAT10 _ OCCUPANCV TRVdT10N TVPE�"t' �'��" STREET WIbTH� .I hereby affirm that I have a certiticat¢ Of consent to ult-insure or a ^ icertificzt¢ ot Workers' COmpensation Insurance, or a Certifie0 copy VALUATIONJ thereof (Settion 3800, Lab. C.). ,GRADING CU. y ti�icy No. Company ' - ertitietl copy is,hereby turnishetl. , ' REM K5: . Jertifietl copy Is filetl with the clty Builtling Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION .(This section neetl not Oe completetl.it the permii is for,one huntlretl • �(y300) br less). � ., � 'I CBrtify_[hdt in Ih¢ performant¢ Of th¢ work for which ihis_peimit is 'izsuetl I shall not employ any person in any manner so as to become - PLUMBING �� subjec} to the Workers' Compensatibn.l�ws of California. . Date Si9nature � BATHTU65 ^ NOTICE: It after making this tleclaratlon, you shoultl becoma subjeci' TOILETS to tha Workers' Compensation provisions ot ine Labor Cotle, you must �� forthwith comply with such provisions or this perrtlit shall be tleemetl LAVATORIES revoketl. . . _. _ _ �CONSTRUCTION LENDING AGENCV � KIT.SINKS " I hereby a(firm that there is a con5truction lentlin9 agency for the�per- . SERV ICE SINKS formance Ofkt�e YWork•�or whi<�tth�s permit� isnissuetl� (Section �3,097. - Civ. C.l. - - : � . i1 � _�. "'C.. 1... " , FLOOR SINKS � Lentle�'s Ndme Lender'z Atltlress � DRIN4(ING F011l �OWNERBUILOER'DECLARHTION -' INTERCEPTORS I hereby affirm iha[ 1 am exempt trom the Coritractor's License Law tor the following.rea5on (Section ]031.5 Business antl Professions Cotle: $WIMMING POOI 'Any city or rounty;which requir25, a�permit-to con5truct,- alter,, improve, demolish-or repair any structurE,-prlor to'its Issuance, also re- �uorGo croviri • v��>�a�� .o .�io v!o�i��o�o �i � G'AS SERV ICE _. �.r 9(commencing _with Sectfon 7000)_�oY Division� 3 of the �- s antl Prolessions Cotle), or that he is exempt theretrom�antl the yyqTER HEATER r the allegeE exemptlon'. Any viola[ion of .SectionJ031.5 by olicant'for a permit 5ubjects tHe applicant td a civil penalty SEWER CONNEC' more than,five M1untlretl_pollars ($500)_�� , . „ . - ACRES PLAN CHECK ' SHOWERS URINAL$ ' "' DOVBLE'LAVS ' SUMPS " � FLOOR DRAINS� fAINS ` ~ -. i� CLARIFIERS � P TRAP' ' ALTERATION OUTLETS ,BTU OUTPUT- IONS '� ' TANK �" COLLECTORS PIPING SVS. ,con[rattors ucense��i.aw aoes no� appry [o an owner,m.a property �who builds or improves thereon,_antl who tlocs such work himself or ISSUE FEE ithrough. hivown employees,-p�ovitletl-that SucM1� imprOvements.are not ' intentletl or oiferetl for, sale. Ii, however, the builtling or improvement. . MECHANICAC� is Soltl within onE�year'oLcomple[ion, the owner will have the burtfen' �of droving he tlitl not bulltl or improve for tbe purpose of sale). HEATING.SyS. ;� 1, as- owner of- the -property, am exclusively mn[racting wii� qND DUCTING liG¢nsetl contractors.to.conSVuct the projeCt (Section ]044, Business antl Rofe55ions Cotle: The Contrpctor'sLicense'Ldw does'notapply-to- � an owner of prOperty who builtls or Improves th2reon,'dntl wh0 Con- REFRIGERATI �tract5- f�om -svch projects-with a �contractor(s) -IiceSnetl -pursuant to SVSTEM' ' - the ConGacror's License'Law):� .� t�_�`. , � ,•� ❑ I am exempt untler Sectiori ` B. & P: C: for this 'BOILERS reason - ' - � ' Date ��`f'� k Owner � -\�" SVSTEM REPA bherebycertifythatl�have'reatlNiSappliwtion'antl'st3tethattheabove. EXHAVST15V5 inPormation is corre[L 1 agree'. to comply with all �city antl county , ortlinances antl s[ate laws rela[in9 �o_cons[ruction, antl hereby authorize (epresentatives this city [o enter ,upon the above mentionetl � property for s ec I n pu ses.�LL,�..-�\�� -.,'; �\ : i A , 's�ynaturee��a� � oateS��9-�� Orivers' Lic nse or 55 � � ISSUE FEE CMF OB65-46 Wnite-Builtling; Unary-Applicant; Pink�Acmuntinq; Goltlenrotl-Assessor � , �PLAN CHECK TEM 0-100,000 BTU • � �`100,OD0 + BTV ON �0-100,000 BTU , 300,000� BTU BTV IR, ALTERATION TEM. �MVLTIPLE ZONING APPRO - - SPECIAL CONOITIONS � 4i0LD / PARK FEE �ELECTRICAC - -- - PLAN CHECK"' 245.32 71,; .50. FT.•••v _. -._ GENERATOR 'p.l KW=1-lO,KW TRANSFORMER . . �. �APPI_IANCE � 30-SOKW_50+�KW - � �MOTORS- - p-1 HP_1-30 HP L �..% ' (INC.'SOLAR)�- 30-50'HP��' SO+HP ' . FIXTVRES' OUTLETS SWITCHES -- • GAS'TUBE SIGNS - - POLE'LIGHTS - ' . . ' - - - - � SERVICE= - - - AMP — - - ISSUE FEE - ' --' - - ' A�PLICATION APPROVED BV - �DATE� 2�j',Z,fp$UMMARV OF FEES , � � ,Z� 2 BUILDING -- � � - � - - ' .�q_ "PERMIT $ SMIP. $�_�2 � , PLAN CHECK E BERMIT . � PLUMBING �g " ' - ISSUANCE $ ' _ GRADING�"E , PLAIV CHECK ,E i � ELECTRICAL $ "- -' $ PLANCHECK g `�MICROFILM g , MECHANICAL E - ' ' TOTAL FEE $ �� -PLAN-0HECK-$ �LESSAD- '.Z S• 2` _"VANCEPC $_ FINAL FEE $� � ' CONSTRUCTION qNDPLANNING APPROVALS . permit # 1. Temporary Electrical gervice or Pole . 2. Soil Pipe-Undrgrn ' 3. Electrical Conduit Utility_Und[grn _ .�.4. �Electrical_�nduit-Undrgm. . tee ein orce � 6. Electrical UFER Grn ` 7. Footings _ ,� 8. Foundation " . 9. -Water�Pipe-Undrgrn ' 10.. Structural Floor.System_ ;.. " � ' ' ' 11._ Property_Sewer Line,&House.Conriection .' 12. - Street Sewer Connection _ ' � ' ' ' 13, „Rqug�.Plumbing , _ 14::.'Ro'ugh��El fiic=Cbn�uit s�j'� F:die;e< 15. Fough Electric-Wirin 16: Rough Heating & Air Conditioning� �� 17. Ducts, in Sfructure - - " 18:� Ducts, Ventilating . � . 19. Gas Pipe-Rough &Test � • � • 20. Roof Framing - � � � 21. Roof Sheathin (�-30$ 22. Frame and Flashin � - � 23�. �nsulation � ' 24. Lathing & Siding - ' 25. Drvwall Nailinq So� .. _Tr� � 29. Final Heating & Air (;onditioning - 30. Final Gas Pipe-Test � . - _ 31�. Final Plumbing , 32. Water Service-Final - - 33. Gas Service•Final� � - 34. Solar pomestic-Final � 35. Landsca e S rinklin S stem �� 36. Sound Aitenuation - 37. Handicap Regulations ' 38. FINALSTRUCTURE&BUILDING ' 39. Special Requirements Completed - 40. . Electric Release to Edison ' •-41:. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY -- � �No: Date � •� POOL & SPA � _ Date� Inspecto� qppROVALS �. Perm�t,# Date Ins 43. Pool & Equipment Location - ' 44. Steel Reinforcement - �- • � _ 45. � Forms � - - - � 46.. ._ Electriral� Bonding, � - - -g-8'a. 47.� Rough Plumbin & Pressure Test - � 48. APPROVALTO COVER-GUNITE - � � _g- Sg�. - 49. Electrical Conduit-Undr rn � � 50. Gas�Pipe, ❑ Undr rn, Test - ' � � ' ' 51. Backwash Lines P-Tra " ❑ ndr rn � ' � ' ' 52. � ' PPROVALTO DECK- """-' ""' � �' � .:53... Backwash & Rece tor-Final � � - -- � 54. �Heater & Vent-Final �-' ' �• '-- � � �56�. Electrical-Final . __.. . -.- _ . . ._ '.57: • Solar SYstem-Fi�al . . . _ � � _-- � . Fencing & Access Approval 59. APPROVED FORPLASTERING � . . . _60. POOL/SPA SYSTEMS FINAL � � � la-3D.�� - �� • • , . �. 7_ fA- S� 8�7�'I NOTES: �I221A1 �.�! �� 'o.� 3 e�.2„_ a.,-.d� '. ��- � � � t: ��I�� %J)LY �. i �� Addres ApPlicanl to (ill in all f A MESA ' ' PERIy11T NO; ION PERMIT R wltnln heavy baraer lines antl sign all a� _ TRACT NO. LOT � � — TVP OF CONSTRUCTION �j �� Phon2 - NEVJ ❑ ADD ❑ ALTEfEATION y� ^ L,�J ❑ REPAIq ❑ CONVERSION _ODEMOLISH ��/f��%C�,,, LiCenSeNo. ❑OTHER � DESCRIPTION OF WORK R-�-�'�r Address /7Fi s /� r - G'(/�i��'t !/.�. . � _ _ . Contractor Phone(5/SY37 TVPE OF PERMIT��,� � AdtlI255 ' ❑ GRADING ry�vUNDATION ��CTURAL ' 1 LICENSED CONTRACTOR DECLAHATION ❑ TENANT ❑ ELECTRICAL �PLUMBING ❑MECHANIC{jl I hereby altirm thtt I am IltenseA untlar provisions ot Charter 9(com- v mencing with section ]000) of Dlvislon 3 of tha Busine55 antl ❑ OTHER � � ' �� Professions Co , a my ntense Is In fwi rorce antl efrect. PRO�ECTDESCflIPTlO �ucense Ciasz - � C "� Lice n �6 G � �S -'�/ �JJ Date�'�9'�S'� Siqnature Sq.F7. _ �+ WORKERS'COMPENSATION D CLARATI N OCCUPANCY 5 CTI N T`PE �� '' � I hereby affirm that I �ave a certiticate o( tonsenl to selt-Insure or a VALVATION ZO E certitiWt< Of WOrkCfs' Compen5ation InSurdnt8, Or a cartifletl copy thereot(Section 3800, Lab. C.). GRADING CU. VDS. 73 Z ACRES P�iicy No. Company :ertltie0.copy 6�here�y furnlshetl. . ' REMARKS: 'L :ertlfletl Copy 6 filetl wi[h Ihe ti[y Builtlin9 Divislon. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION � - (This 5ettion neetl not ba completetl if the permit is for one huntlretl G v SE100) or less). -� ' � � ' �' �- certlfy [ha[ in the performance of the work for which this permlt I5 issuetl, I shall not employ any person In any manner so as lo become PLUMBING PLAN CHECK subject to t�e Workers' Compensation Laws ot Californla. Oale � Sl9nature BATHTUBS' � SHOWERS " - NOTICE: Ii atter making thi5 tleclaralion, you sboWd become subjec[ TOILETS URINALS - to th¢WOrk¢rs' Comp¢nSdtiOn prOvisiOns ot [he LdbOr CotlO, y0u muz[ forthwith com0ly wlth suc� provlsions or this Oermit shall ba tleemetl LAVATORIES OOVBLE LAVS - - I¢vOk2tl. CONSTRVCTION LENDING AGENCV KIT.SINKS DISHWASHER$ - I h¢reby atfirm thdt thera i5 a.COnztruCtlOn I¢ntling age0ty tOr th¢ p¢r- SERVIGE $INK$ SVMPS ' tormance OEthe wOrk_fOr whiGh [his p¢rmi[ is i55uCtl (50ctlori 3097 - Civ. C.�. - - � ' �' FLOOR SINKS 'FLOOR DRAINS„- ' � Lentler's Name •�' 'l.entler's Atldress - ^� � �RINKING FOUaTA��NS '� " - ' OWNER BUILDER DECL'ARATION' �� ^ _� _` _ _ � � INTERCEGTORS' CLARIFIERS . _ _ .. - reasoo-�section /031.5 6usmess ani county which requires,-_ a'jperm�l I Jish Or repair any structut¢, prior [o Iicant tor such permit to file a Signei Suant to th¢ provl5ion5 of th¢ Con[r ness antl Professions �Cotle)-or tha[ he is ex i for the allegetl exemplion. Any vlolatio� �appliWnt for a permit subjec[s the�appl ot more than five huntlretl tlolla�s (E500). . dS OWO¢! OI tM1C O�OD¢�fY. O! fllY Bfllpl01 ement that h¢ 's License law sion 3 oi the reirom antl the ion �031.5 by a civll penalty (OI SdIC. ($CLSI00 J044� BOSIpC55 dfld Pl0(2551005 COdC: Th8 Ys_Licfnse Law tloes not appty to an owner of a property Is or imD/oves thereon, antl who does suCh wo�k M1imself o� iz own employees, provitletl that such improvements are not �r offer¢tl for sale. If, however, th¢ builtling or improvement '.hin one yea� o� completlon, the owner will M1am tM1c burtlen g he tlitl not build or improve for the purpose o( sale)7 owne� of tha praporty, am exclusiv¢ly conVaclin9 �+��h onbacto�s to conSVuct the projeCt (SecUon ]044, Business SSions Cotle:-She Contractor's Licanso Law tlo¢s_nol apply to of property who builtl5 or improves th¢reon, antl wh0 COn- m such projects with a con[ractor(s) II<Osnetl pursuant [o actor's Li<ense Law). SWIMMINGPOOL � •- '� P TRAP WATERSERVI6E , ALTERATION GASSERVICE OUTLETS ' WATER HEATERS' BTU OUTPUT' SEWER CONNECTIONS ' ' SOLAR TANK ' COLLECTORS SOLAR PIPING SVS. � - ISSUE FEE MECHANICAL PLAN CHECK HEATING SVSTEM 0-300,000 BTV _ ANDDVCTING '�� ' 300,000 + gTU _ REFRIGERATION 0-300,000 BTU_ $YSTEM -' 100.000+BTV�— reason Date-s��s'� Owner SVSTEMREPAIR,ALTERHTION I hereby certifythat I have reatl this application antl sta[e that the above EXHAVST SVSTEM MULTIPLE information is correct. I aqree [o comply with all city antl coun[y ortlinances antl state laws relating to construction, antl hereby authorize ' representatives this city lo n r upon lh¢ abov¢ mfntlOnetl pr9 OertY ;e r i e i �� 51 nature� Date ��8 Driver5' License or 55 � - ISSUE FEE . CMF 0865-46 Wnit¢-guiltling; Canary-ApP��E�t; Pink-Accounting; GoltlenroC-Asiessor �� ZONE REAR VARD (TO PKG�.SPACE RE�. STREET WIDTH 20NING APPR� � SPECIAL CONDITI 6098 5/19/82 N�ING REGUL�ATIO�NS - ..7Y 5—.Sh P N�% aRpa6A.Liu � ' ELECTRICAL PIAN CHECK •GENERATOR ' - 0�1 KW_ 1-30 KW _ TRANSFORMER -APPLIANCE' 10�50 KW_50 * KW _ ,MOTOR$ 0-1 HP_1-30 HP _ (INC. SOLAR) 30-50 HP 50 + HP _ FIXTURES OVTLETS 'SWITCHES' GHSTUBESIGNS - POLE �IGHTS ' - - - IN SUB AMP 341 J4 TL � ISSVEFEE ' ' ' �APPLICATION APPROVED BV DATE '73'�,�SUMMARV OF FEES BUILDING' - � PERMIT E� � SMIP E _ � �PIAN CHECK $ PERMIT � ISSUANCE $_ PLVMBING $ � � GRA�ING b— ,� PLAN CHECK b , , � � ELECTRICAL��$ ' ' E — PLAN CHECK $ MIGROFILM•§— ' MECHANICAL $ TOTAL FEE PLAN CHECK $ ' ' LE55 AD- �. VANCEPC §_� �� FINAL FEE §� � 0 � CONSTRUCTION qND PLANNING � POOL & SPA � APPROVALS permit # Date ' Inspector qppROVALS Permit # ~� 1. Temporary Electrical $ervice or Pole � 43. Pool & Equipment Location � 2. Soil ipe-Undrgrn 44. Steel Reinfarcement � 3. Electrical Conduit Ut lity-Undrgm-. , ' ' 45. Forms - -- � � 4.. Electrical.Conduit-Undrgrn 46. Electrical.Bonding, � tee em orce. , - . . .. , _ ,1 47. Rough Plumbin & Pressure Tesi � 9.. _Water P.ipe-Undrgrn 10. Structural.Floor Systym 11. _Proper.ty Sewer Line.& House`C 12. Street Sewer Connection ' 13. Rough Plumbing 14. Rough Electric-Conduit 75. Rough �lect�ic-Wring`•�1- •'h` 16. Rough Heating & Air Condition 17. Ducts, in Structure 16. Ducts, Ventilatin9 19. Gas Pipe-Rough & Test 20. Roof Framing 21. Roof SFieathing 22. Frame and Flashing 23. Insulation ' 24. Lathing & Siding 25. Drywall Nailing 26. Plaster Brown Coat �� 27. Electrical Power Meter-Final 28. Final E�ectric 29. Final Heating & Air Conditionir 30. Final Gas Pipe-Test 31. Final Plumbing 32.- Water Service-Final 33. Gas Service-Final 34. ' Solar pomestic-Final �� 38. FINALSTRUCTURE&BUILDING 39. Special Requirements Completed - 40. Electric Release to Edison '`41. Gas Release to Southern California Gas 42. CERTIFICATE OF OCCUPANCY �� No. � Date - 48. APPROVALTO COVER-GUNITE - � 49. Electrical Conduit-Undr rn � 50. Gas Pipe, ❑ Undr rn, Test � 57. �Backwash Lines P-Tra �0 ndr rn '' ' ' -}7�-, 52': •, PPROVALTODECK " ""-' ' - 53.�..Backwash & Rece tor-Final - � � 54. Heater & Vent-Final ' - � - � � �56. - Electrical-Final- � � - - � - 57. Solar System-Firiab - - � . . Fencing & Access Approval 9. APPROVED FOR PLASTERING _ 60. POOL/SPA SYSTEMS FINAL ra- -�z '�^'� ., ,. �,., R,-�„_ _ NOTES: �+.si_o� .,__'7!-•O _. D_ _ z _. "i�.iIIL� v� �7 Date I I � Aop��ant 10 fill in all spaces wilhin neavy DorOer lines anO sign all approvrlate eeclarations. A MESA PER,{� IT NO. 1 TRACT NO. LpT NO. BLDG. NO. ION PERMIT IS — 3G 2-CJ /�L/% � �'� t Hdnress � � �n ' T�,V,�PF OF CONSTRUCTION Jwner � c„ � �t Phone(,ti) /�161NEW ❑ADD ❑�ALTERATION Addrea '7G Y!u ZO � ST G.� ❑ REPAIR ❑ CONVERSION ❑DEMOLISH Arch/Eng. SG <eh -�/j,d dN,A/ license No. � ❑ OTHER DESCRIPTION OF WORK Address � /r3 S , ,d'r/) G'/%1'C��p (/AM/ " � Contractor - PhoneLYS43� TVPEOF • RMIT �,�� . � ,y i Addr2ss ' " " ❑GRADING . �VNDATION Gv�57RUCTVRAL 'IcICENSED CONTRACTOR DECLARATION .- � ❑ TENHNT ❑ ELEGTRICAL ❑PLUMBING ❑MECHANICAI I hereby atflrm th:.t I am Ilcensetl untler provisions of Charter 9(tom- � _ mentln9 witn sectlon �7000) ot OlviSion 3 of the Buziness antl ❑ OTHER Poteszions Co e, a tl my Ilcense is In full force antl ette pROJECT DESCRIPTION , Lltense Class -� y lJcens o`� � ��VJ`` 7�J Dale.i'/9^$2 Si9nature ' � .SQ.FT.--i��i`'��.l�S V'�— WORKERS'COMPENSATIONDE IARATIO . OCCVPANCY#[ 5T CTIONTVPE •�� - I hereby atflrm that I havo a certificate of consent lo sclf-inzure,or a ,VALUATION�6.,.LZONE certiflcata ot Workers' Compensation- Insurance, or a certifietl- copy . thereof (Sectlon 3800, Lab. C.). , GRADING CU. YDS. ACRES Mlicy No. Company ' ' - 'ertifietl cOpy iz hGr¢by.tumished. . _ . REMARKS: � ,ertifietl copy is tile0 wi[h the city Bulltling Divizion. P EXEMPTION �FROM WORKEFS' COMPENSATION DECLARATION O (This 5ettion neetl not be completetl if. [he permit is tor one nuntlretl , (E100) or leu). I certify thdt In lbe performanGe of th¢ work for whlch [his permit.i4 Bsuetl, I shall no[ emPloy any per5on In any manner so as to-become PLUMBING ' _PLAN CHECK subject to the Workers Compensation Laws of California. . . ' - Date Slgnatura BP.THTUBS SHOWERS � NOTICE: It afier making [his tlaUaratlon, you shoultl become subject TOILETS� .. URINALS ' 'ro the Workers' Compensation provisions of lbe Labor Cotle, you�must LAVATORIES DOUBLE LAVS ' fOrthwith Comply with suth prOviSions or [his pe�mii shall be tleemetl revoketl. . . _. _ . CONSTRUCTION LENDING AGENCV KIT. SINKS ' DISHWASHERS '- I hereby atfirm that thera is a constructlon lentling agenCy for the per- SERVICE SINKS � SVMPS formance.of lna work for.wM[h thls permit.is.¢Ssuetl�.�5¢Uion 3097 -- - '��`" ' CIv.C.).' � ♦ '• ' ' � _ ,� � FLOORSINKS� �, FLOORDRAINS, _ � ,Lender'S Name - LenCer's Atl0ie55 ' • DRINKING FOUNTAIN$ " ' " OWNER.BUICDER�ECLlaRHT10N� " - " INTERCEPTORS �'CLHRIFIERS.. _"_ .., "_ . ___..__ � f .. . . . improve,-tlemolis� or repalr an) quires the�ap411Uht b� SUGh,pe Is"Iicensetl'pursuant-to the pro� (Chapter 9 (commen<in9 witn Buziness antl Prolessions Cotlo) basis for the allegetl exemplior � appliwnt tor a pe�mlt su �t mote than tive huntlr¢tl ., as owner ol tbe property Sole compensa[ion, will tl0 lhe or o(teretl tor sale. (Sectlon ]0� Con[ra<tor's Litense Law tloe5 who �uiltls or improves [hereo tnrouqh his own employee5, pn intentletl or ofiered for sale. If, is sOltl withln OnC yCar Of com{ opi� proving he tlitl not builE yy I, as owner ol the prope Iicensea contractors ro consVu antl ProfMsions Cotle: The Con an owner of orooer[v wbo bui t from tne Cantractor s � cense Law or '031:5' Busine55 antl Protessions Cotle: ¢quirei� a permit�to: LOnSbuct,. alter, 5[fuclur¢, prl0r tq it5 i55udnCe,'also fe- rmit [o tile a-si9netl sta[ementthat he Izions of t�e Contractor's Llcense'Law Sectlon ]000) ot Divlsion 3 oi the or thdt he IS ¢xempt Iheretrom antl the . Any viola[lon of Section 7031.5 by �jects'the applicant to a tivil, penalty tlollars (E500). , oi my employees wi[h wages az Iheir .vork, antl the structure iz no[ intentlea 14, BUSin¢ss antl RofezsiOns Cotle: The nOt apply t0 an Own2/ of a property i, antl who tloes such work himself o� rvltletl lhat SucM1 Imp�ovem¢nts are not however, thG builtling or improvement �letion, the owner will have tne burtlen or improve for the purpDse o! sale). rty,-am ezUuSively-conlracting with :t the projett (Section �044, eusiness Vactor'S License Law tloez not apply to Itl5 OI ITDIOVCS lM1¢!¢OO. dfltl Wh0 COO- WAT�ER�SERVICE - ALTERATION GASSERVICE OUTLETS - WATEft HEATERS BTU OUTPUT SEWERCONNECTIONS ' SOLAR TANK COLLECTORS SOLAR PIPING SVS. �� • ISSUE FEE MECHANICAL a�AN CHECK HEATING SYSTEM 0-]00,000 BTU_ AND DUCTING 100,000 + BTU _ REFRIGERATION 0�100,000 BTV_ LI�I am exempt untler Section B. & P. C. for this i BOILERS BTV reason '- � ' - ' - - Da[e S�5�� Owner SVSTEM REPAIR,ALTERATION 1 hereby certify that.l have reatl [nis application antl state [hat the above EXHAUST SVSTEM MULTIP�E Information Is corretL I agrce to comply wlth all ci[y antl county ordinances antl state laws reWtlng to construction, antl M1ereby authorize �epresentatives o hi5 city to n[er upOn the abOve mentioned — property fo� I � �t'° os �/'_�2 Signature ��^'�� Date Orivers' Licente or 55 � �SSUE FEE CMF 0865-46 White-Bulltling; Gnary-Applicant; Pink-Accounting; Goltlenrotl-Assessor 6099 5/19/82 ' 363.22 , 20NING REGULATIONS A.P. 9f r ��. � �C� � �.S- ZONE � PLNG. REF. � � REHR VARD (TO PKG. SPACE REQ. STREET WIDTH SPECIAL CONDITI PROVIDED PARK FEE 5 ELECTRICAL - n�Arv CHECK ,GENERATOR Q-1 KW_1-30 KW _ TRANSFORMER - . ,APPLIANCE ' 10-50 KW_50 * KW _ MOTORS ' 0-1 HP_1-10 HP _ (ING $OI.AR) ]0-50 HP 50 * HP _ FI%TVRES OUTLETS SWITCHES GAS TUBE SIGNS ' ,POLELIGHTS ' .PANELS� MA�N SUB SERVICE " - AMP 6 ISSUE FEE . APPLICHT�ON APPROVED BV DATE .Z_ �jS�UM!JMAR�V OF FEES , . PERMIT G E—y.Qt SMIP S '� � 2=Z � ' PLAN CHECK E PERMIT . . - ISSUANCE 5 - PLUMBING E � � � GRADING E � — -PIAfJ GHEEK-$— — ' � ELECTRICAL a � � a MICROFILM $ ' - 'PLANCHECK E TOTAL FEE S .� ,MECHANICAL f " ' LE55 AD- PLANCHECK E VANCEPC $_ - � FINALFEE $�Z' AND PLANNING � POOL & SPA . , Petmit # Date • Inspector qppROVALS _ , Permit #W � Service or Pole ' 43. Pool & Equipment Location - - 44. Steel Reinforcement � :ility,Undrgcn , - ' 45. Forms - - • • � idrqrn 46 Electriral Bonding � � �� ' . �� t_ -�S� 47. Rough Plumbin & Pressure Test ' 6. Foundation � ' _ 9. Water.Pipe-Undrgrn � • _10. Structural Floor,Syst_e�n, � �it.. Property Sewer Line,& Housg �Connection 12. Street Sewer Connection. � ' - 13. Fough.Plumbing,,,_ _. -� 14. Rough`Elecf�fc=Co"dd'uit� -•' � � " 15. Rough Electric-Wiring - 1 fi. Rouah�Heatino & Air Contlitionina 20. Roof Framing 21. Roof Sheathin - 22. Frame and Flashin 23. Insulation - 24. Lathing & Siding 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Me 28. Final Electric 29. Final Heating & Air 30. Final Gas Pipe-Test 31. Final Plumbing � 32. Water�5ervice-Final �- 33. Gas Service-Final ' 34. Solar pomestic-Fin; '� 35. Landsca e S rinklir 36. Sound Attenuation 37. Handicao Reaulatio 38. FINAL STRUCTURE & 6UILDIN 39. Special Requirements Completed 40. �Electric Release to Edison 41 . Gas Release to Southern Cylifornia 42. CERTIFICATEOFOCCUPANCY ' No Date 48. APPROVALTOCOVER-GUNITE- - 49. Electrical Conduit-Undr rn � 50. Gas Pipe, ❑ Undr rn, Test " � 51. Backwash Lines P-Tra � ndr'rn ' �T-3^a _B 52.,%PPROVALTODECK """"" " -' .53.. .8ackwash & Rece tor-Final � � 54. ' Heater & Vent-Final 60. _ POOL/SPA SYSTEMS FINAL NOTES: q_z�_g� ; �mz o�- � �l.eo� 'L.�' a o_R1 U/,.'.. O 9 ��-. �� _ Date 0 CITY OF COSTA MESA � CONSTRUCTION PERMIT � 0 AOVlicant to fill azeapt t�ou within �eary DorGer Ilnes anO sign all appraoriata Ceclarations, � � ' TRACT NO. ' ,LOT NO. � BLD . Appli[ent'S Meiling Addr055 ' TVPE OF CONSTRUCTION U NEW U ADD U ALTERATION" U REPAIR ' ProjectAddrea, - � � z ,�-{,�� ❑�CONVERStON ❑DEMOLISH•OOTHER � ,. _ � ' Owner's Namaf fl� hone�.�.?_/..2% DESCRIPTiON OF WORK - _ Address J^ —� 7VPEOFPERMIT GRADING�- �FOUNDATO STRVCTURAL � A.P.qW � ArchlEng. LIC2n5e No.- _ ❑ TENANT ❑ ELECTRICAI ❑ PLUMBINO �MECHANICAL PLNG. REF.51t AddreA _ . �,OTHER ' TOBUILDING � ��... ' PRQIECT DESCRIPTION 5�. FT. � OCCUPANCY PE V INE Contrecror's Nam hone - p � � CONSTRUCTIONTVPE VALUATION$ LEFTSIDEVARD AtldfEa(ineiling) .�9 �� _ � � ZON$ GRAOINGCU.VDS. �ACRFc � PKG.SPACE REQ. License No. � _�. � — � $ � ' , . . IICENSED CONTRACTOR DEC�ARATION - Remarks: �. ' STREET WIDTH I: heraby'affirm that 1 am Iicensetl untler Drovislons of Charter 9(commencing , _ wIM section 7000) o/ Divislon 3 ot [he Businass antl Pro/ezsfons Cotle, anO ' `' � ' ' � . SPECIAL CONDITIONS: my IICBnSB li ln / I iDf< dnE,B/} Ct. � ' ' ' Licanse class �• ' Ucense �� ^s S.i� � ' PLUMBING � - ' • . Data �f�' ��,,s R � SI9 dt ' ✓y�� , "�ORKERS' CO PENSATION DEC RATIO1I�D� 88f Sink � , $ewef CBp • iereby atiirm that 1 have a certificate of consent to self-Insure or a certlTiwta _i - ' __ . -. ._ Automatic WaShe� i Workers' Compensation Insurance, o� a certifletl copy t�ereof (Sectlon � BackflOev Prevanter -- � Sewe�-Conn¢ction' 3800, Lab. CJ � - , ' Backflow Irrigetion $pler Collectors � ' �' . � Construction Pole , Policy No. ' Company ' � � � � � , �� " Cooking Unit ' eCartlftetl copy Is heraDy furnishetl. � . ' Bathtubs � � Soler Piping � ' � i'. Certifletl CopY IS flletl with the Uty_Bulltling Dlvlsion, y DiShWasher Date AOP��ant � � . Cleri/i2r5 ' � So�ar Tank EXEMPTION FROM WORKERS' COMPENSATION DECLARATION � - ' Dryer3 ❑G83�OElettfiC (ThiS settion neBG not be completetl If the permit is for one huntlfetl (f100) or DiShvu'aShE� � � SWimming POaI W/Spe less) i � � . ' ; Fan I certifyithat In tne performance of the work 'whic� this permR is issuetl I � Drinking Fountains � Urinal • . ' snali.not employ an� person In any mann as to o uCJect.to the -� � . � F.A.U. � Workars' Comoan5dt on. Laws o} Califor Flaar Drainz ' ' ' wnm. !`I,..e. . I hereby aftirm that thera IS Of th8 wOfk iOr WIIIth Lentler's Name Lentler's Atltlrau _ �efrom antl lne IliS by any a� alty of not mon I, as•owner ot ipensatlon, wlll IBClaration, you 5h ons of the Labor or this permlt AGENCV , -a' permi[ su untlretl tlollars [y or my emp 'oae, yau must rortnwitn hall be -EeemeO revokeE_ ' 9ency for�tbe� performance, . (Sactlon 3097 Civ. C.) ctor's Licensa Law �or lhe FloarSinks � -- -��- - . - 385ServiCe� .Outlet5' � Interceptors � • Kitchen Sink ' � Lavataries . � , '—Trap . � . , . Roof Drains ' - Showers . _ e�apPlicant to a.civil ' ' • , � , � � Service Sink _ rith wages'as their sole � _. not intentletl or offeretl � � 'r ' ucense �aw aoes not appry [o en owner o* a properry vmo ouuas or improvai � thereOn,.anC who tloe5 Suth wark nimsolf/hGrSel! or Ihrough his or her Own emplo eas, provitlee tnat such improvamants are not Intentletl or otteretl for sale. I�, nowevar, �ne bulltling or Imp�ovemant Is soltl wifhin one yoar of com- pletioq the owner wlll have tha burAen of proving he/she tlitl not bulltl or Im- - �rove for t�e purpose ot sale)'. 1 � I, as owner of the property, dm exclu5ively contracting:withilicensetl con- � trattorsto tou5truct the projeS� (SecUon 7044, Buslneds antl Professions Cotle: '_ �The Contractor4 �icenze Law doai not apOty to an owner of property w�o builtli or improves thereon, antl w�o contractz for zuch projects wlth a con- �� tractor�s) Iicanse pursuant to [he Contractor'S Licanse taw). • • .• ' .�_I am exempl unGer Section � 8. & P. C. for this reason �� i Date � � � Owner ' � � � t / •I hereby certNy that 1 hare reaC-this appliwtlon-anC-state that the above ( informatlon I5 correct. I a e to comply with all city antl county ortlinances � antl-state laws relating t uiltllnq constru tion �antl hereby authorize reDre- Duct - Under Grbund � Duct-Structural - Duct-_Ventilating__:.: � Exhaust System ❑ Muitiple � Firepi/Fact. Blt. ICBO #%j�� Heating:System & Ducting � �p100,000.BTU 0100,OOOBTi sentatives of,tNs dty anter a� mentloneE property 7or ' HOOtlOr Type InSpectlon DurpO5B5 • ' CenO T e Siqnature � Date �-�3 � ' � DrlJars' Licenie 55 9j� '� � • � � � I ( REgiste/5 � ;MF 0865-46 rev. 12/82 Whita - Builtlin9� Canary - Applicant; Plnk - Actounting; GOltlenro0 • Assessor � Water Heater � •Water�Servica ; . • � r � � Reinspection Fee � �'' � laue Fee � � , . System .�.. � BTU 0100,000 BTU � Reinspection Feei , Issue Fee , � $15 $ 3 e $75 $ 3 Fiztures ' Device Baxes 447�� .-Y I �J'_ • _ . REAR YARD (TO P/U RIGHTSIDE VARD. PROVIDED - _ PARK FEE $ ♦ �Meter LJover100amps! ' Sub Panel � ' � Sub Pole ' ' Morors �04 HP ❑1�-8 � �Inc.Solan�9-15HP��16-1 Microwave , �Pole Light • Range � _ ' Sign ' ' StandingSections � � Trash Compactor ❑0-5 KW �5-15 KW :� �15-50KW ' �5U+ KW � 2onin9 A�PProved By _ Appliration ApD�oved By Appliption Issuad BY _ Reinspection Pee � $7g� Issue Fee ' ' ' ' $ 3 ' T i ' Date � . � . ' Date . 1 :� ' � SUMMARV OF FEES � � �BUILDING PERMIT $, - , SMIP ,. $ � ,PLAN CHECK• $ � � �. PERMIT . � .PLUMBING $ • �SSUANCE i i $ 'PLAN CHECK, , $ GRADING $ � . i � .$ 1 ELECTRICAL , $ • ' ,PLAN CHECK $ • ' MICROPILM � $ , � � + TOTAL FEE � $ � � � ,MECHANICAC $' � � . - 'PIAN CHECK $� � � LESS � � • , � , , ADVANCED PC � $ � ' ' � � , ' � _ ' ' : FINAL FEE: ' $ � �""- � � . -__ - � ,. � �- � . - POOL .iPA • ' - � �- � � `_ '.7CONSTRUCTION AND PLANNING � o n � � � . � �,� ' . " - � . . _ , ; - ' ' - � c -.tDate � Inspector t � ' � • ��Date Inspector � --_1APpROVALS` Permit# = , -APPROVALS:.-Permit# . ' �� - - � ;1. Temporary Electrical SerGic� or. Pole � �' - .� S : 3�p � _ � :"52:�-Pool &`Equipment Location'- , . -' � � �+-2: Soil Pipe-Undrgrndr' . '' � ' � ; E � ' � % _ 53.' Steel Reinforcement , � � - � i" l I U- � . . � J Y 3. Electrical Contluit Utilitv-Undrgmd.' - - ; ..� ?" � 54''Forms �' � ". • � - � - , � "" �4. Electrical Conduit-Undrgrnd. � . � ' _ . �55� Electrical Bonding - � . . - _ � ., � � �� ` 5t Steel Reinforcement ' - , - ' .;, � 56,� Rough `Plumbing'&�Pressure Test ' � `. 6. Electrical UFER Grnd. ! - ' 57: APPROVALTO COVER-GUNITEI 7. Footings � ! = � � - ` , .�58� Elec[rical.Conduit•Undror�d. � � ' r . - 8. �Foundation ' , � ' � `: : y ' �59. 'Gas Pi'pe, �O Undrgrnd., Test. � � , ' - . � � .' - � i' i_ - 9. �Warer Pipe-Undrg�nd. � i , ; � � � ' . � 60. Backwash Lines, P-Trap, O Undrgmd. � . - ' *� , � , 10. .Structural Floor System " � I � � ° ; � � � 81. APPROVAL TO DECK ' � , . � ' - 11. �Property Sewer Line & House Connection - -� �� :_ ;��'�, ��-62. �BackwasR�&+RecepiorvFinal: ' - . � ' • � � � �T y 12. Sewer Cap � � ' ' n� ` '' � ' ;'63. Heater & Vent-Final �� . � � 13.�Roof�Drains � �� , � ' , � • ;� 64. Plumbing�SYstem.-Fival-`_-' - - � I ' � P' I ] 14. flough Plumbing I ' ' � - ' ° -� �'65. Electrical-Final�� ' - � � ; 0 15i ,Rough'Electrica6Conduit ��. -" j '-"' � � - "'66. Solar System-Final- - � - , � �� ; C _ �,�iY_6.+'flough-Electric Wiring, - - ; •� i j � , �':,'�-�: � �- ,; � c i _ ,-_ Y67i Fencing &�Access Approval � - � " � � � r ';- -- � - '17.,;Rough_WiFin9�$ign_ . -� � �� '� � ��' � 'g$�APPROVEDfOR�PLASTERING ". - i- � " �I 1�r RougFi Electrical-T��Bai Ceiling , ° j � ; � _ , i �' � ; i69.� POOUSPA SVSTEMS FINAL . . . � �19! Rough`Heating & Air Conditioning � ' ' ' � � ,FIRE DEPT. REQUIREMENT- ' � ' � . a i � i�: . � 1 . I ° � ' . . � i 2U"'RoughtFactory Fireplace � ' i i � � I i � APPROVALS Permit � � � � � - 21..Ducts, in Structure� � ' ; �: . � � � ' � 70.� Underground Hydro , . - .`.22. Duc[s,Ventilating - !,.�� ' I • 71. Produc[PipingOGas ❑Oil � -� 23.�Gas�Pipe-Rough & Test ,: j;�. . ' I 72y Undeiground Flush j� ' . - ` 24. Roof Framing . � ��, � . . � - _ �73. Undergmd. Storage Tank O Ga"sjO Oil � ' ' 25. � Roof Sheathing ; ��v :;�, �I I _ � � `' =" ' ' ' � � � ; � ' � = �74.� 0'verhead Hydro � � i i -26. �T-Bai Ceilin (Structural), & Monocoat' . � ` � � ' � • � �• . , , � 9 � , � � " � � . �75. Dry Chemical _ � �� : �- 27. Frame anii Fla'shing : � ' ,� � ' � Y � � : t ~ � '�76.� Dry Standpipe � � - � - • � � - ' 28.' tathing & Siding' ` ,, ; i � � I � i � r, � � ;77: FIXED SYSTEM'FINAL � � � � .. � • 29_jl'nsulation � , ' ` � � { ' � �78! FIRE PREV. F�INAL � ' '�� ;, � � . � � , . . . . , . �30. Drywall Nailing �� I " � � II � ` i � � < <Notes: ' ' � . " ' . ..�� ,37'rPlaster�Brown Coati � . ' , - { � � � - i -- - � - i- - . -�- . ^ _. . _ . -.... �.7 ' , � i � .t ' . , , � I 1 , . . ' v� �,. . , � 321�Electrical Power Meter-Final � , � i , � , ' � �� +'�� y%� - " ! 33. Final Electric ' � i' � � �. ; � � � i , � � '� � � ' � 34. Final Heating &�Air Conditioning � �� ' G � � ' ' r, 35. Final Gas Pipe.Tesi �� " ' - � - ' ' � - - t. � n � i i _ 36. Hood or�CanopV " - � ' -� - ' � ' ' , - - . � _ � .- _ . - - •� 37. Final Factor�y Fireplace.� , � - � � � I .` . � � ; . ' � i-�' - . . . � .. ' . ' . . 38. Final Plumbing � , � ' � � � ' _ - .. : � 39. Water Seivice-Final � � 'i ! I ' i � , � . � - � ' .. 40. Gas Service-Fina1 � j � � ; � , ' ' ' , . � i_ � 41. Solar D'oinestio-Final � � � ' � , 1 � � � ' _� "1 __ _ ._ '� _ ' J�.�l. 42. Backflow Preventer . � � � ' �_ . _- +---- - '.. � _ 1 . .. _ � � ' 43. Backflow Irtigaiion �. �, , j ; ` , . �. , ... , � i 44. Landsca �e Irri � � . .. � ' �- . . ` . - � . , � ' ' - . . . � . P 9ation�System � � I" '+ .,� , i 45. Soundj;Attenuation' , � I . � t � , . � � . . . ' � . ' ., � • '. - ,• i 46. Handicap Regulations � , � ' " �" ; � . � � � � � � � . ' ° � � � 47. FINALSTRUC� URE&BU�ILDING�� '�. � i ��-� -,i � � � �, � ' � � 48. Special Requireinents Completed � ; � ' � � �, � � � � ' ' . � �. �� . . . . . _ . 49. Electric Release'io �Edisonl � , I - .i_ '--.� J _,._�_ 1- ,_ '_ . ....-_ - ---� � � ; . 50. Gas Release to Southem California Gas Co � i � � , � � j t j7 51. CERT�iFICATE�OF OCCUPANC,Y �, �.__�. .! _ _' _ __. -_ _ �_ -,. _. _ _ „�J . . I � No �� ' � Date � . ' � . � ' � . ADVliwnt to fill in all CITY OF CQSTA MESA CONSTRUCTION PERMIT ApplicenYs Mailing Address '�' '� U Project Addrea s A"h � ' Owner's Name �� hone � y�' Y3 �; Address � I G � �✓ � �' T - . � �. • ArchlEng. _� Licenm No. �� Address �� ' Contrector'sNam C� v'"`r ��' hona� 9�'y'e AdAress�mailing) 5�� License No. � L 6 Ff $,$� . .. . WCENSED CONTRACTOR DECLANATION � . I hereby affirm t�at bam Ilcensetl untler provislons o1 �Charter 9(mmmencing wit� sectlon 7000) of Division 3 af tha Builneis antl RofeSSlonS Cotle, antl � my Iicense Is In I I tor an ftect. c I L � LJcenSaQ �� 'yy • � � ce e 1 .•� ` o Data 2' / — � Slanrtur T��i�� 1RKER5•COMPENSATION DECLARATION ' ' . ereEyaf}irm tnat I nave a carelflWte of consent to Selt-Insure or a certltiwte _ ..i workers' ComOenzatlon Insurance, or a tertltletl copy tnereof (Sectlon ' 3800. LSb. CJ � ' . PoIICY No. � ' � ComPany � � - � BCarH7lea coDY Is hereby turnisliatl. � ' � j � Certiiletl copy is flleU witb [ha city Bulltling Division. , Date Applicdn[ EXEMPTION;FROM WORKERS' COMPENSATION DECLARATION ISS)Ssecflon neetl not be completetl It the permlt IS for�one huntlletl (4100), or ; I certlfy that in the per}armance of the work for hich thii Oerm�t}s issuetl I shall not emplay any person in any manne �S ,as ta bec me s 1f7ece to t�e � Workers'Lom��atlqn�5ignaturellforM , � . Data �. > >r � . , , NOTICE:�If; after makln9 tb�s�tlaclara n, you shoultl E me subjecl to the � Workers'- Compensatlon provizlons ot the Labor Cotle, you musi tortbwith comply �with' such Orovislons.,or;this perml[ shall be tlAametl' revoketl.'. CONSTRVCTION!LENDING AGENCV � ' I hereby a1}irm tha[ tbera is a�conibuctlon lentling agency.for the Oerformance o/ Iha work for whic� this permit I5 Issuetl (Secllon 3097� Civ: C.) Lentler's, Name ' l.enAer's Atlaress . OWNER BUILOER DECLARATION , ' ' ! - � I hereby,af9rm that I am axampt,from the Contractor'S Licensa L.Sw for tne ' that he/sb! IS IICenSetl pursuant to the'provltlOnS of � aw (ChaO�er 9 (commentin9 with'Section�7000) of s antl Professlons Cotla)-or'lhat �e/she is�enempt � vwa.o o any appuwnc mr a permrt 5uo�ects me appucant to a civil �enalty o not more lhan flva hunOratl tlollars (E500). . LJ I, as'owner of the�D�ooerty or�my amvloyees'with wages'az tnalr sole compensation wI11.Co [he work, antl the sVucture ii no[ Intentletl or offeretl far wle (Sec�ion 7044, Businesi an0 � Professlonal Gotle: The Contractor'S Llcense LaW COlS rlOt dOP�Y �o an owner of a prope�ty wPo builtls or improves [�Breon, antl who Ooes'suc�'work hlmsel//herself or lnrou9h hls or har own . em0�oy eas, provitlatl that such ImOrovements are not Intantletl ar offeretl for sale. If, howaver, t�e bulltling or Improvament Is soltl wit�in one year of com- pletlon, tne owner will have [he burCen o� Ororin9 he/she tlitl not Duiltl or im- �rova tor tne purpose o( sale). , � , � , , LJ I, ai owner o/ [he property, am axcluslvely contracting�wltM1 Iicensetl con- traclors to construct the praject (Section 7044, Businass antl Rofesslons COCa:. �The Contractor•s License Law does not apply to an owner of property who bulltls or Improves thereon, antl who contracts for such Drojects with a con- � tractor(5J II<ensa pursuaut to the Contractor's U<ense Law): ' ❑ Yam exem0t untler Se<tion , B, 6 P. C. for [Ns reason Date ' Owner � � � DrlvarY License or 55 � .� CMF 0865-46 rev. 12/82 White exeapl l�osa wit�in haary DorGer Iines anG sign ill aDP�oO��ate Eaelaratlons. TR CT NO. LOT N0. BL . M/n � oZ Co _ �! Z' 3 i q`/v '. TVPEOFCONSTRUCTION NEW ADD ALTERATION REPAIR . ❑.CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION.OF WORVL ' TVPEOFPERMIT GRADING FOVNDATION �STRVCTURAL ❑ TENANT ❑ ELECT�RICAL ❑ PLUMBING ❑ MECNANICAL D;�OTHER -� ' � � PR0.IECT DESCRIPTION Sp. F7. OCCUPANCY_ CONSTRUCTION TVPE VALVATION $ 20Np � GRADINGCV.YOS: ACRFS rrevnnmr - - - � - � anvwr wnnec�ion� Irrigation � � $olar Collectors � � � j Soler Piping � � i r � ' Sotar Tenk , er � � ' � Swimming Pool w/ Fountains � , Urinal , � Sinks�� Water �rvice: � Outlets �� Water eptars .� , , KitchenSink� . L2V0S0l125 � P—Trap! Roof Drains - ' $hOVJ2f5 �� ServiCe Sink , . - Under Ground -Structural - Ventilating �st System � Multiple d/Fact. Blt. I CBO #'� js nglSystem & Ducting ; 00,000 BTU 0100,000 o nereoy autnoriza repre- Moed oi T e �mentlonatl property for ' �P 2 _/y _ �S� Cana T e Date � i � Registers ADP��ant; Plnk -Accoun[ing; Goltlenrotl -Assessor i N A. P: sR - PLNG. REF. �k TO BUILDING PR PE 1 E ' LEFT SIDE YAqO PKG.SPACE'REQ. � ' STREET WIDTH SPECIAL CONDITIONS: Automatic Washer 1 . .� ConStruction PDIe ; , L+y Cooking Unit . '� Dishwasher ' � Dryeri ❑Gas ❑Electric ' Fen ' � erJice � �, ' ' :" Rainspaction Fee sis � Issua Fee' - E 3 �100,000 BTU,,,O 100.000 BTU System Repair/Alteiation � Reinspection Fee ' laue Fee � � i � F.A.U. Fixtures ' Device Boxes , i ' � a�.7:, 's i ,� BUILDING CFTpa1l�Y I`/1 CT� REAR VARD (TO P/L) RIGHTSIDE VAfiD. PROVIDED . '- ,PARK FEE $ Meter Sub Pole 'Momrs O04 HP I nc. Solar, �9-15 I Microwave �Pole Light Range .._ ._ amps: Garbage Disposel � � Generator00•5KW�5-iSKW , � Transformer 075-50 KW � �5U+KW� �Rainspecti Meter ❑up to 100 amps � � laue Fea Zoning APProvad BY � Dete � Applimtion Approved By n �ate Applintion Issued By ' �.n Date . . SUMMARV OF FEES " . �BUIIDING PERMIT S � SMIP , � $ ,PLAN CHECK' � $� PERMIT ' � � �PLUMBING � $� ISSUANCE , $ PLAN CHECK. $' � GRADING � $ ELECTRICAL $ $ PLAN CHECK� $. �+}� ' MICROFILM ' $ MECHANICAL � , $ /.� — � TOTAL�FEE : $ , 'PLAN CHECK $ .�'� . ' LESS ' ' � � � i � ADVANCEDPC $ ' �- — � � . � , , � , ! . FINAL FEE � � $ ,� . - - -- - - - - '{'�?CONSTRUCTIONANDPLANNING _ �"-' - -�: - '�: �_ . �"_�G� -SFA, � ,�� r ' • . �..,-,. �:.�Date- � 'Inspector� - � - . Date Inspector ? •'.'APPROVALS Permit#�'� - - - - -APPROVAL$ Permit�l`- -. �',., ' . ' ;1�. Temporary Electr,ical Service or, Pole � ' . + - � 52. Pool &:Eguipment Location' - � - � r• - : ! �'� �2! 'Soil'PipetUndrgrnd.' : � � � ' ' . .. ` -y '� 53. Steel Reinforcement �- • � : �. - ; ' z 3: Electrical�Conduit Utilitv=Undrgrnd. ' ' - � 54, Forms i : � � � . - ' L ] �� / r ;,;, 4. Electrical Conduit-Undrgrnd..�=`�� ..; �� `�55.� Elec[rical-Bonding � � � ��- � , : 5: Steel �Reinforcement ' . � � � - „ � `- ' � � � ' - 56. �Rough Plumbing & Pressure Test . � ' ' r 6'. El�ectFical UFER �Grnd.I � � F i ' , `� � - 57: APPROVAL-TO COVER-GUNITE � � 7. Footings � �. � i , � p � _: � ' . - 58. Electrical �pnduit-Undromd. ' � '� � 8. Foundation . ' ' ' _�, ; � ' � ' 59. Gas'Pipe,-O:Undrgmd.,Test'� � - :I,' 9. Water Pipe-Undrgrnd. 1 � � ��' ; � � , � � '�60. Backwash Lines, P;Trap, O Undrgrnd. � i 10. Structural Floor System �'.-^ � � � � ��' �,� �� ',.61. APPROVAL TO-DECK � � '�j ;, 11. �ro ert' Sewer Line &�House �Corinection; - � ' .i, � �°"� ' � � P, Y � , _ `.�'{%' �.62.�Backwash &�Receptoc-Final.: � • , 12. Sewer'Cap : I � � , ' ' � � 1 � o- .. , `63. Heater &"Vent-.Final - ' ' - � 13. �Roof Drains: ' : ` � 64. Plumbin � � � !. . • i : : �, , � � � . 9:SYstem - Final '. . . 14. Rough Plumbing' �� ' - � �65. Electrical-Final- � � � � '•- 15.� Rougfi Electrical=Conduit i ,T-• '- -� -�" � • � -'� ; ;" �'66: �Solar�Sysfem-Final"��' �. . --'"'� " - "' .-' , " .16'�Rough_ElectricWiring, �, � :' � ' "' - "L; I-�'r� ,67-. �Fe'ncin �&AccessA � --' � ' �� :r- . - r, , i�' . - _ 9 . PProval . a ' , . .17: Rough Wiring�Sign;: �� ' �, ,� , � � ' - . 6$.� qppROVED FOR PLASTERING ' - , - 18. Rough Electrical;T:Bai Ceiling �� i' j�' � , 69.: PQOUSPA SYSTEMS FINAL 19{� Rough`Heating &.Air,Conditioning ,. i _ I � � � . FIRE DEPT.:REQUIREMENT� . .� 20. Rough�Factory Fireplace ' ' � � ' � APPROVALS Permi(# ' - � i � � 21. Ducts,�in Structure � � �i �� , � � � ' � � �70. Underground Hydro , . � � ,22. Ducts, Ventilating � . �'� .� �; • � � � i � ��71. Product Piping O Gas ❑ Oil �, � � � ,23. Gas Pipe-Rough & Test ;�� ." � ' i J2. Under round Flush •+• 9 i � .,, 24. Roof Framing ; _ '�I�� `7 �� ,'.' �' � - � _. . • �73.� Undeigrnd.StorageTank OGas��0i1` � � 25.,Roof Sheathing �- ✓ : ' , , _ ' _ �. , ,- � �74. Overhead Hydro � . � -26. �T-6ar Ceiling (Structurall, & Monocoaf I � ; � ` ,: � ' � � 75; Dry Chemical � - � � •27. �,Frame and Flashing� .' � ' I; ; ' ; + • � ' � i76. Dry Standpipe � -� � - � , - ' ' 28. Lathing & Siding� `� ,; I I ;I � � , 77, FIXED SYSTEM�FINAL . 29. Insulation-, � ^ � ;� i� � i ' j 78. FIREPflEV.F�INAL ' �•� ' � - - � 30.'..Drywall Nailing � " i �� 'i i ' � r j 'Notes: ' ' � � �.� � . � , " , .. -�------ � ��-- ---- �- - -- -- ._. " _ .._ ._ � 31.�Plaster Brown Coat , � �i ��• i � � � � ! � � . , � �� /. f• �� 32. Electrical Power Meter-Final ' � � � � � � � , � � .�`� �� r � 33.�FinalElectric ' � � � i � � � � �' � � ' r 34.� Final Heating & Air Conditioning � � � ��/b+y . '� , � � ". . , 35. Final Gas Pipe-Test � �, ' `' - � � �� _ . � � � I �� 36. Hood or'CanoOV � - � ' . ` � . . . � � . . � ' - - . ,- 37. Final Factory Firepla_ce i } i ':�. " � � . i ' �' . . ', • ' ' . 38. Final Plumbing � � � � � � � � '. � . 39. Water Service-Final ' , • � i ' � I ' � � � i � . 40. Gas Service-Final � , �' ' ' � � � � � , - � � i � . , i � '`' � . 41. Solar pomesticFinal � ' � � ' ; ' � � � ` � i r -- - - - - - ' �., 'b' � 42. Backflow Preventer _ � j ; ' _ � F � _ ' � - - - - • � 43. Backflow Irriga4ion ' . •_� � � � '1� . � '� ' 44. Landscape IrrigatioqSystem � ' j- � -°� � - _ _ �. � , � - r ; . 45. Sound' �Attenuation ' � � � . � - I . . , '. i ; � � . . . � ' . - 46. Handicap Regulations � - � ' � �:' I i � . ; � � � � - � .. � - � 47. FINAL STRUCTURE & BUILDING �'� I - � � �: � ' 48. Specia�l Requirements Completed ' ! j - _ � � � � ,y � .� +1 � 49. Electnc Releaselto;Edison � � �_ �..,-.�- � ; '1--'� - _.- �-�,'_ .� _ � I ;.'; . . . .-� I50. Gas Release to Southern California Gas Co ' � i : � � � I � . � ! � '�, � � . ,�� '� I �. � � � �-- �- � � ' - * ' _�...-."_- - �--" .- No' CERT,IFICATElOF OC�a QPANCY ` i I ' , � � r , i .. -_'- -, . ' - - -'-�- �----_`-- _ -' "' ,.:_ . - ' �� '� AOP��anl to fill In all DF'CQSTA iJIESA " - �PERMIT �NC �tRUCTION PERMIT PI F � : Address Address within heavy bortler lines antl sign all apOropriate Gecla�alions. TRACT NO. LOT NO. BLDG. NO. �� 4 - TYPE OF CONSTRUCTION - �,�/ Phone - ❑ NEW ❑ ADD ❑ ALTERATION ��rtJ- gT ' ❑REPAIR ❑CONVERSION ❑DEMOLISH _ � e �� LicenS¢ No. . � � OTHER , _ , „ , „ DESCRIPTION OF WORK Contractor Q N.N �j-� � Phone �S,QM 8� TVPE OF PERMIT . Addfe55 �11� � - � �❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL LICENSED CONTRACTOR DECLANATION ' �: O TENHNT�ELECTRICAL �PLUMBING. �MECHAI I hereDy aftirm l�:.t I �m Iitensetl untler provisions of Char[er 9(tom- � � mencing with xction 1000) of Dlvizion 3 of the Buslness anC ❑ OTHER �l01CSSIOOS CO , d+�y IIC¢058 i5 IO fUll fOfCB Of1 :�J2fL. , 6 oYJ PROJECTDESCRIPTION� License Class �� L � o. . - , Date ��%-�2 Sl9nature SQ.FT. �' , WORKERS'.COMPENSATION,DEG AR TION OCCUPANCV_CONSTRUCTIONTV�E 1 hereby affirm ihat I have a certifiwte of consent to salf-Insure or a VA�UASION� ZONE cartlfiwte ot Workeri'.CamOenSatlon Insurance, oc a Certifletl <oPY thereot (Section 3800, �yb. CJ. � GRADING CU. YDS. ACRES IcyNo. - Company � - - Gertifietl copy I5 hereby turnisnetl. REMARKS: �J Certiiletl copy Is filetl with the city Builtling DivislOn. E%EMVTION'FROfrI WORKERS' COMPENSATION DECLARATION (Thls section neetl not be completetl if [he permit I5 for one huntlretl (E100) or less): - ' - - -� - � 1 certlty that in lhe;pNrformance of [he work tor whicn this permit I5 , issuotl, I shall not em�loy any person In'any manner so as to become . PLUMBING ' PLAN CHECK iubject to the Workers Compensation l.aws of Calitornia. '• - Date Signature � BATHTUBS ' - SHOWERS ( ' NOTICE: If after mak��g �his tleUaratlon, you shoultl become subject TOILETS 2, . - URINALS - to lhe Workers' Comppnsation provi51on5 Of th¢ ldbor Cotle, you muzt forthwltn comply with suU provisions or [his permit shall be tleemetl LAVATORIES DOUB�E LAVS � ievoketl. CONSTRUCTION LENDING AGENGV - � " KIT.SINKS - �Di5HWA5HER5- I h¢r¢by aHirm tM1at Ihere IS a Constructlon lentling dgenCy fot the per- SERVICE SINK$ - -, SUMPS- -- -- formance of the work tor whicn this permit is issuetl (Sectlon 309� Civ. C.). -- - - - - -- � - -,- . r. - - ' FLOOR SINKS ' ' FLOOR DRAINS ' - � • " L.enEer'S Name - � ' ' - ' ' - - ORINKING FOVNTFINS - � ' ' - - Lentle�'s AtlO�ess OWNER BUILDER D��LARATION 'INTERCEPTORS , - C CLARIF�ERS ' ' 'I neraby affirm that I am exempt from the-Convactor'S License Law for . • - tha following reason (5¢�(lon �031.5'Busines5•aotl�Pro/e55ionrCotle:' "SWIMMING POOL- 1" PTRAP -- -� - ^ Any <ily o� county whith requi�es a permit t0 Const(uct, alter, improve, tlemolish or rapair any struc[ure, prior to its issuance, also.re-- -yyqTER SERVICE '•-ACTERATION �^ � 1- - qulres the apFlit'vnt for such permitlo•file.a signetl 5[atement that he - is Iitensetl ou�suant to the orovisionSbPlh¢�Coniractor's Llcense' law -...... _�.....,,._ . _' f...�..-«. -. � � vs m� me aneg / aPPIiWn[ .for not mOre than � �, as owner of [OI¢ Compensation or oHered'tor sale Contraclor's Lice� who builtls or im III�OIIOM1 I115 OWfI E •rmlt subjecK.the appllcant to a.clvll penalry huntlr¢tl tlollars (SSOOf. prOp¢rty, o�'my employeel with wages as their tlo [he work, antl Ihe s[ruc[ure is nol intentletl :tlon'�044; Business antl Aofesslons Cotle: The' aw tloes not apply to an owne� of a property 5 theleon, antl wil0 tloes sucFl wOfk M1lmSelf or vYPs. olnvitl2tl i�ldl SIICFI ITof[]vCT¢IIIS d!E !10[ WATER HEATERS � BTl SEWERCONNECTIONS - SOI:AR�TANK - -GOL SOLAR PIPING SVS: '" " ISSUEFEE' ' '- i OVTPUT '• _ECTORS-�� _ �� proving ne tlitl nbt builtl or' imProve for tpe purpose ot sale). HEATING SVSTEM 0-100,000 BTU _ I,. as Owner ol the property, dm exclusively. mnlratting wi[h qND OUCTING - li<ensetl contractors t0 conslruct the o�oject (Se�tlon �044, Business 300,000 t BTU, antl Professions.Cotle: Tbe Contractor's. License Law.tloes not apply to an owner of property who builtls or improves thereon, antl w�o con- qEFRIGERATIOfV 0-100,000 6TU_ tracts Irom such pro�ect5 with a co0t�acto[(s) lic¢Sn¢tl Oursuant fo, SYSTEM -. the Contractor's UcenEe Law�. 300,000 + gTU _ ❑ 1 am exempt untler Seclion - B. &-P. G tor tnis BOI LERS BTV ieason SVSTEM REPAIR, ALTERATION Date Owner I h¢reby Certifythal 1 M1ave reatl Nis applitation anq sta[e that lhe aCove EXHAUST SVSTEM MULTIPLE informdlion is correct, I agree to compty with-all city antl munty o�tlinances antl s�ale laws relating to Construction, dntl ner¢by authOrile representatives Ihis cit -t enler upon the above mentionetl - �� properly for ' c(Jpn. ur Signature Da[e � Driverz' Lirense or 55. - �SSUE FEE _. - CMF 0065-46 White�Bulltling; Canary�HPPlicant; Pink-Accounting; Goltlenrotl-Assessor A.P. $ ZONE B SETBACK C ST. 51 VARD IICA S�pHT . . R G REAR VARD(TO' '� PKG. SPACE REQ. ' STREET-WIDTH ZONING APPROVE SPECIAL CONDITI ELECTRICAL e,:�7 ,a/24/72 NING REGULATIONS ' ' PLNTGp. RUEFL. p$ - ' PROPE�RTVNL NE .) " PROVIDED PARK FEE 5 BV ' ' DATE I5: " . , . . u . PLAN CHECK- - '- �F 32.65 T� �uvenr�i�n -O-IKW_1-lO.KW - ' I; TRHNSFORMER , APPl1ANCE - 30-SO.KW_50 � KW MOTOR$ - - � 0-1 HP=1-10 HP� - (INC. SOLAR) . 30-SO HP_ SO + NP _ � FIXTURES - � OUTLETS- -SWITCHES� - -- GAS TUBE SIGNS - -- - � - - POLELIGHTS � - � • �- -�- - 'POLES " - '-"METERED - SUB" '" " ' ,PANELS- - �MAIN � � � SUB � - � - SERVICE -�-�- - - - - �AMP �� - ISSUE�FEE� - � - - - -- - - 'O� APPLICATION�APPROVED BV� .- - ' DATE ' SUMMARV OF.FEES , � • �BUILDING . . ' .- ' - PERMIT 5 SMIP, , .§ 'PLAN CHECK E -PERMIT � � PLUMBING � § •Oa" ' �SSUANCE� 5 � GRFI�ING y �� PIAN CHECK 5 � 'ELECTRICAL -E'�- E - ,PLAN CHECK�-�S �MICROFILM f �MECHANICAL S � - � TOTAL FEE'S � - � LE55 AD- : � � PLAN CHECK' $' � � ' � VANCEPC $ _ - � FINAL FEE S . ' r f�r CONSTRUCTION AND PLANNING • POOL & SPA � '. APPROVALS Permit# Date �Inspector qppROVALS Permit# Date Inspect�r 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - - Soil ipe-Undrgm �y 44. Steel Reinforcement " � ' � � � 3. Electrical Conduit Utility-Undrgrn - 45. Forms - � 4. Electrical ConduiriUndrgm _ -. 46. Electrical Bonding ," - - -� . tee em orce. . 47. Rough Plumbin & Pressure Test � - _6. Electrical UFER Gm 48. APPROVALTO COVER-GUNITE ' ' J. Footings. 49. Electrical Conduit-Undr m � ' � 8. Foundation� --� - 50.- GarPipe, ❑Undr m,Test � ' 9. -Water Pipe-Undrgrn ,y;L _ 57. _Backwash Lines P-Tra O ndr rn � � " . 10._ Structural Floor System �52. . APPROVALTO DECK �� - � 11. Property Sewer Line & House Connection � 53. Backwash & Rece tor-Final' - '' 12. Street Sewer Connection- ' . - - 54: Heater & Vent-Final 13. _ Rough.Plumbing " � � 14. Rough ElectricConduit ' - "- - 56. .Electrical-Final ' 15. Rough Electric-Wiring /� 'O ' 57. Solar System-Final • 16. Rough Heating &�Air Conditioning �- - - � " - �' Fencing & Access Approval � 17. Ducts, in Structure -- - � APPROVED.FOR.PLASTERING ' '� 18. - Ducts, Ventilating - - - - - � q 19. Gas Pipe-Rough & Test ' �� - 60. POOL/SPA SYSTEMS FINAL � 20. - floof Framing - - - � ' ' 21. Roof�Sheathin - � - - � - - -� ' 22. Frame and Flashin -. NOTES: � � 23. Insulation - � - - - � - G Y-/ Z U - -- 24. lathing & Siding - - � � � - - � �- � � - ' - ' 25. Orywall Nailing � - �- 26. Plaster Brown Coat - - - ' 27. Electrical�Power MeterFinal- - - - � � 28. Final Electric - - - � 29. Final Heating & Air Gonditioning � - - - - ' 30: Final Gas Pipe-Test � - ' � 31: .Final�Plumbing - � - - � - • � 32. Water Service-Finah- - � - � � ' 33. Gas Service-Final - � - � � � � 34. Solar pomestic-Final " � 35. Landsca e S rinklin S stem - ' � 36. Sound Attenuation - � � 37. Handicap Regulations � � - - � � 38. FINAL STRUCTURE & BUICDING � , 39. Special Requirements Completed � � 40. Electric Release to Edison � 41 . Gas Release to Southern California Gas Co. � 42. CERTIFICATE OF OCCUPANCY No_ Date � � _ . . . . � �r ' Appllcant to fill in all spaces wi�hin heavy Do�Cer lines anG sign all aOVropriate Oeclarat DF'COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLOG. �TRUCTIONPERMIT �� q� � Addreu /� 5 �� Ni 1U Arch/Eng. S ;��., �� Address /7Y L � S% Contractor � (,y nre1., � Address 'S' ,�n.r � LICENSED CONT�RACTOR DE I hGrGby aftirm th:.t I am license mentin9 with sectlon 7000) - < R'ofa55ions Cod ,= n ^m�`la Llcense Clasz � Oate �"2'"�� $i9nature WORKE0.5' COMPENSATION [ TVPE OF CONSTRUCTION Phane L �,) �/' % ❑ NEW ❑ ADD ❑ ALTERATION - . � ❑ REPAIR ❑ CONVERSION� ❑DEMOLISH License No. ❑ OTHER '� . �--. . . . _ — DESCRIPTION OF WORK `p� - " Phone Sd/i 'L .TVPE OF PERMIT . ' ❑ GRADING ❑ FOUNDA ION O STRUCTURAL .ARATION � ❑ TENANT�LECTRICAL�PLUMBING ❑MECHANICA untler proNsions of Charter 9(com- � � Dlvislom 3 O( the Businei5 dntl ❑�OTHER ise is in (uu torce antl y��. ppOJECT DESCRIPTION itense o. �5�� . +, , _SQ. FT. _� 1'. �_ � .. . ,.LARATI OCCVPP.NCY�_CONSTRUCTION TVPE I he�eby affirm [ha[ I have a cEiUficate Of COnsent to ulf-Insu�e or d VALUATION' ZONE c¢rHflrate of Workers' Compen5ation InSuranco, or a certlfied copy .. . � '^ereof (Sectlon 3800, Lab. C.�. ' GRAOING CU.�VDS. ACRES Icy No. � Company - ' ' - - - � Certltietl COpy is her¢by fUrnishe0. . . _ _ R MARKS:?�" _ _ _ . , ❑ Certlfietl copy is tiletl with the city Builtling Oivision. EXEMPTION-FROM WORKERS'COM7ENSATION'DECLARATION' � (This section neetl_not be.completea it [he permit is tor one huntlretl - � (E1001 or less�. � ' ' T ' ' I ttrt(ty that in tn¢ Performance of the work tor whit� lhis peimit Is iStuetl, 1 Shall nOt ¢Tploy any pe�5on In any manne� so as lo become' PLUMBING � � PCAN'CHECK' subjeGl t0 the Workers' ComDenSallon LawS of_Cali(omia. ,�� ' ' Date Si9nature � � BATHTU85 '.L - SHOWERS " NOTICE: I( after making [hiz tleclaratlon, you shoultl become subject TOILETS . 3 . URiNALS --- to the Workerz' Compensation provislons of tne Labor Gotle, you must LAVATORIES DOUBLE L-AVS - fo�tbwlth comply wi[h such provislons or this perTit Shall b¢ tleometl �Z �¢vOk¢tl._ CONSTRUCTION LENOINGAGENCV " KIT.SINKS - ' 'DISHWASHERS - I hereby atfirm that [here is a construction lentlin9 agency tor tbe per- SERVICE SINKS - � SUMPS formance ot the work tor whlch this Oermit is issuetl (Section 309] 'Civ. C.). '- - �' - � - - � ' ^ ' " FLOOR SINKS ' - FLOOR DRAINS ��ena¢r's Name Lentl¢r's AOCress 'DRINKING FOVNTHINS- ' - OWNER BUILDER DECCARHTION -- ' INTERCEPTORS ' CLARIFIERS I nereby affirm that 1 am exempt trom the Coniractor's License Law br the�following-reason (Section 7031.5 Business antl� Professions Cotlo: SWtMMING POOL- P TRAP - Any cily Or county which requites a pe�mil to consVucl, alt¢r, improve, tlemolish or repair any strut[ure, prior[o i[s issuance, also re- yyqTER SERVICE - HLTERATION qulre5 the a041icanl fOr such permi[ to file a signetl statement that he is Iltensetl' pursuant to the� provislons of the ConVaclor'S License Law GAS SERV ICE OUTLETS ' (Chdpt¢r 9(Commencing with Seclion 7000) of Division 3 of the ^usiness antl•PrWessions Cotle) or [ha[ he is exemp[ therehom antl ihe yyqTER HEATEftS BTU OUTPUT-- - sis for the alle9etl exemp[ion. Any vlolation oi $ection 7031.5 by y appllcant for�a-permit subjects Ihe applicant to a-civil panalty SEWERCONNECTIONS - ..i not more Ihan five huntlretl t1011ars (5500). ❑� 1, as owner'of the property, or my em0loyees with-wagez as'thelr SOLAR TANK - - COLLE TO(35"��• SOI¢ Comp¢n5a[ion,,will tlo lhe work, antl the structure is not Intentle� or offeretl for iale. (Section ]044, Business antl Rofessions Cotle: The SOLAR PIPING SVS. Conl�acio�'S LicenSe Law tloes not apply [o an owner of a properly who builtl5 or improves ihereon, antl wlto-tloes such work himself or I$$UE FEE � � '- thlou9h hI5 Own ¢mployees, provitletl iM1at such improvements are nOt intentletl or ofteretl tor sale. It, Itoweveq the builtling or imprOvemen[ MECHANICAL PLAN CHECK i5 Sold wilhin one year ol completion, Ih¢ owner will have [he burtlen I proving he tlitl not builtl or improve' lor-[ne purpose of sale).' HEATING SVSTEM 0-100,000 BTV I, as owner �of [he property, aT-ezclusivety conlracting wilh qND�VCTING liG nsetl cOntractors to conSVutt the proj¢Cl (Sec[ion 7044, Business 100,000 + BTU antl� Pwfessions Cotle: TM1e-Contractor'S LlconSe �Ldw does not apply to an owner o/ property who builtls or improves lhereon, antl wh0 COn- REFRIGERATION 0-300,000 BTU tracts Irom�-such projects witn a conSractor(s) Ilcesnetl- pursuanL[o SVSTEM- _ the Conlractor's License L.aw�. 300,000 + BTU ❑ I am exempt untler Section ' B. 6'P. C. for this - � -•- BOILERS BTV IGd50n - - - - -- _ . _ _ �_ Oale Owner SYSTEMREPAIR,ALTERAT,ION cerlify lnat I have reatl Ihis ion iz mnecL I aaree to ion antl state that the above ' with all city antl COun[y cHon, antl hereby authOriz¢ �on [he abopv¢. /m�ecn,t�lo¢ne�tl —. Date R—�� EXHAUSTSVSTEM MULTIPLE Drivers' License or 55 �� " '• � ISSUE FEE. CMF OB65�•16 Whit¢-Builtling; Cana�y-APPIi<anl; Pink-Accounting; GOltlen�otl-A55esso� G A.P. � ZONE 6658 8/24/B2 NING REGULATIONS ' PCNTGp. gR�EJF. qp PROPE�RTVn 0.EAR VARO (TO P/L) - ' PKG. SPACE RE�. STREET WIDTH -" 20NING APPROVED BV- - SPECIHL CONDITIONS: - - , '. " _ ' ELECTRICAL - - �-a�E 62.67 TL . � E PROVIDED. PARK FEE ! ,GENERATOR - � 0-1 KW_ 1-10 KW TRHNSFORMER �APPLIANCE 30-SO.KW_SO+KW =MOTORS- - �Od HP�_1-1�0 HP �(INC.SOLAR) .30-SONP 50+_HP 'FIXTURES -- �OUTLETS..- SN%ITCH GAS TUBE SIGNS� � - � - . POLELIGHTS -- �� - PANELS� �MAIN �'SUB ' - ` 1 SERVICE - - � � � AMP' � ' �'�lJ _ " ' '_ . _ ' ' _ ._ . � ., - -- � - i ISSUE FEE � - - - � APPLICATION•P.PPROVEO.BY .. . _ .. _ DATE . � � � - SUMMARY OF FEES , �- �- BUILDING _ .. _ '. - . . PERMIT S �� ,SMIP 5 , PLAN GHECK E , RERMIT. p 'ISSUANCE E 'PLUMBING E� . ' GR'ADING E ,PLANCHECK S " �:�. , - -. .ELECTRICAL E " E - -' �-'� •'MICROFII.M S PLAN CHECK S - - - - �MECHANICAL S " ' �TOTAL FEE S PLAN CHECK S LE55 AD- _ �NANCEPC E_ , 1 � �A' — FINAL FEE E CONSTRUCTION AND PLANNING APPROVALS Permit # - 1. _ Temporary Electrical Service or Pole .. Soil iDe-Unrlrarn 6. Electrical.UFER Grn 7. Footings _ 8. Foundation � ' .-. _ 9. Water Pipe-Undrgm 10. Structural Floor System� �-]-1. Prope�ty Sewer Line & House Connection 12. Street Sewer Connection =' ' �. 73.-� Rough Plumbing - 14. Rough Electric-Conduit 15. RougFi Electric-Wiring 16. Rough Heating & Air Conditionirig - 17. Ducts, in $tructure -: - • �18. - Ducts, Ventilating- • • - 19. Gas Pipe-Rough & Test 20. Roof'Framing - - --- . 21. Roof Sheathin � - 22. Frameand Flashin � - -� -� 23. Insulation 24. Lathing�& Siding � 25. Drywall Nailing - - 26. Plaster Brpwn Coat 27. Electrical Power Meter-Final 28. Final Electric ' 29.- Final Heating & Air Conditioning �- . 30. Final Gas Pipe-Test - 31. . Final Plumbing - � 32. Water Service-Final - 33. Gas Service-Pinal - 34. Solar pomestic-Final 37. Handicap Regulations � 38. FINAL STRUCTURE & BUILDIN 39. Special Requirements Completed 40. Electric Release to Edison � 41. Gas Release to Southern California 42. CERTIFICATE OF OCCUPANCY ' Na:r Date ' POO L & SPA Date Inspecior qppROVALS Permit 43. Pool & Equipment Location � &Z 44. Steel Reinforcement - - _ 45: Forms - 46. Electrical Bonding - 47. Rouah Plumbina & Pressure Te� ! , . �- _ � • Date Inspectdr 50. Gas Pipe, � L,J Undr in, Test ' 51. Backwash Lines P-Tra '❑ ndr rn � ' �52. � APPROVALTO DECK -�� -' � ' ' � 53. Backwash & Rece tor-Final . - � 54. Heiter & Vent-Final 56.- Electrical-Final- ' ' ' ' 57. Solar System-Final � � ' . _ . - Fencing & Access Approva� . APPROVEDFORPLASTERiNG � 60. POOL/SPA SYSTEMS FINAL NOTES: , . ' .. . - - . - z...• i ,: J f , � � AGD��ant to fill in all spates witnin heavy Doraer tines antl sign all aoProoriate eeclantionz. OF COSTA MESA PERMIT N�9 �,,^ TRACT NO. LOT NO. BLDG. NO. . E659 8�2�i�8�L %3��9 TL STRUCTION PERMIT P� `t�� ( �% e� � Addres License No. Address / Contrector � � µM V' Phone j'/1/`-" � TVPE OF PERMIT. - - - Addre55 - �i�+ - - ❑ GRADIN ❑ FOUND TION ❑ STRUCTURAL LICENSED CONTRACTOR DECLARATION � O TENANT LECTRICAL PLVMBING ❑MECHANICF I here�y afflrm th:.t I am Ilcense0 untler provisions of Cbarler 9(com- mencing with sectlon .7000) of ' Diviilon. 3 ot Ihe Business an0. .❑ OTHER Profusslons Coa d my iicense is in fuu forc antl eite<t. pROJECT DESCRIPTION �Icense Class " C' L ens No. �frS' - . , . "\ : Date �^�'� ��' S�9�ature SQ: fT. '. � '� •. - ` WORKERS' COMPENSATION DEC ATIO OCCVPANCV_CONSTRUCTION TVPE I hereby atfirm that I have a certificate of consent to selLinsure or a VALUATION ZONE certifiwte oL�Workers' �pmpinsation .InSurance, Or a cerNfi¢C_copy • - , .�,ytereof (Settion 3800, I�b. C.�. 'GRADING CU. VDS. ACRES �e e-+:..ICY No. -" ComFanY - - �`�Certitietl copY is her@by fumishetl. _ , � REMApKS: � _ � ❑ Ger[i(letl coDY �z file� witn the city Builtling Division. � . EXEMPTION'FROM WORKERS'-COMPENSATION DECLARATION - (This sectlon neetl not be completetl if the permit is for one huntlretl SESOO) Of Ie55I. � ' ' ' , ' '. . � - � cartify lhat in the per{ormante oi the work for which tnis permit is issuetl, f-shall'not employany'p¢rson In any manner so a5 t0 become 'PLIJMBING -- - PLAN CHECK - � sub�ett to the Workers' Compensation Laws of Califomia_ ' ' ? � ' "' BATHTVB$' ' " SHOWERS Z Date Slgnature NOTICE: If after makinq thls tleclaration, you s�oultl become subject TOILETS VRINALS - D! to the WOrk¢rs' COTperySation provisions of tM1e LabOr Cotlo, you mu5t � torthwitb comply with such provislons or this permit shall be tleemetl LAVATORIES DOUBLE LAVS -- L revoketl. .t , CONSTRUCTION LENDING AGENCV - ' KIT:SINKS -- -- �DISHWASHERS � ' ! hmeby aHirm thaf thq�e Is a construct�on lentlin9 agency ior the perv SER VICE SINKS , Z SUMPS - � - formance of the work for'which this permit is issuetl (SecUon 3097 Clv: CJ.--' - � � -- - - � - - - FLOOR SINKS' " F600R ORAINS Lentler's Name Lentler'z Atltlress ' " ' DRINKING FOVNTAINS- - - - OWNER BUILDER DECLARATION � 'INTERCEPTORS -" 'CIARIFIERS � I hereby atfirm thal I a�ry Cxempt trom the Contractor's License Law tor the� following reason �(Sec(ion_7031.5 Buslness antl Protesslons Cotle: SWIMMING POOL P TRAP � Any City ot county Which �equire5 a permit to construct, alte�, Improve, tlemolish or rapair any structura, prlor [o its icsuanca,.also re-. � yyqTER SERVICE- ALTERATION qulres the apFlifznt tor such permit co tile a siqnetl statement that ne Is 11<ensetl pursuant to rna provisions ot the ConVacior'z �icense Law -GAS SERV ICE '- -" OUTLETS' - - ' �Chapter 9(commencing wit� Section 7000) of Divizion 3 ot the ��siness�antl Prdessions�Cotla) or that be Is exempt therefrom antl the y,rqTER�HEATER& BTU OUTPUT -- � sis for the allegetl exemption. Any violation of Section 7031.5 Dy y appliwnt lor-a pgrmiL�subjecis thn-apDlicant- to a civil �penalty SEWER CONNECTIONS -- --� - ( t no[ more tnan five huntlretl Ooilars (E500). � - � �. [] I, as owner o( the property,-or my employe¢z�with wa9es as�their �SOLAR TANK -�-- COL EGTORSc`-�: '' t` sole com0en5alion, will do the work, antl the 5t�uctUre is not In[entletl or off¢retl"for'zal¢. (SeCllon 104,4, Bu51n¢55 antl Aofe55ion5 Cotle:'The $OCAR PIPING'SVS.' " ^ Contra[tor's LicCnse Lyw tloes no[ appty to an owne� of a property who builtls or imprbves tM1ereon, antl wbo does such work M1imself or ISSUE FEE - ' ' ' [hrough his own employees, provitletl that such improvemenls are not Intentledor offeretl for sale. If, however, the Dulltling'or Improvement' MECHANICAL - PLAN CHECK Is soltl wi[hin ono year of comple[ion, [he owner will have t0e burtlen �proving he tlltl n0[ bulld or improvC for the'pur0o5e ot sale�. HEATING SVSTEM 0-]00,000 BTU �I,_as.owner oL.[he.Property,.am exclusively contracting with _qNDDUCTING - - - - Icensetl conVactors to construct the Oro7ec[ (Section ]044, Business 100,000. BTV antl Prof¢szionz.Cotle: 7ne Contractor'S.Llcense Law tloes not apply to __ _ an owner of property who builtls or improves thereon, antl who con- REFRIGERATION �0-300,000 BTU tratls trom.such pwje�(s wilh a mnlrattor(s) IiCesnetl. pu�5ua0t lo $YSTEM . . . [he Contractor'S Licens� �w). � �300,000 . BTO ❑ I am exempt untler'$ection B. & P. C. for this BOILERS � BTV � rea5on SVSTEM REPAI R, ALTERATION Dale Owner I h¢rGbycertitylhat I hdve reatl t�is appliGalion antl s[a[e thal [h¢ aDove EXHAUST $VSTEM MVITIPLE Intormatlon i5 correct. I agree fa compry with all ci[y antl county� � - ordinances antl st IaWs relatinq to nstructlon, antl hereby authorize �epr¢sentatives f this� ��( to ' � upOn Ihe above mentione0 - � property for '. ct pose o � g� Signature � Da[e /� + y � ' Drivers' Lic.nze or 55 3k — - - � ISSUE FEE . CMF 0865-46 White.Bulltling; Gnary-Hpplicant; Pink-A<counfing; Goltlenrotl-Asseszor - l�fYPE OF CONSTRUCTION ' � ❑ NEW ❑ ADD ❑ ALTERATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ❑ OTFIER � OESCRIPTION OF WORK REGULATIONS A.P. �.. ZONE '� PLNG. REF. � ii�l�liT,••••� � . REHR VARD (TO'P/L)-' � PKG.SPACE RE�. PROVIDEC STREET'WIDTH -- PARK FEE ZONING APPROVED BV DAT SPECIACCONDITIONS: � � i; ;ELECTRICAL � � � PLAN CHECK -- u�cnnivn - Od KW_ 1dOKW ?RNNSFORMER � ' APPLIANCE 10-SOKW_SO+KW.'� MOTORS-. - 0-1 HP_1-lO�HP - ��1NC. SOLAR)_ , ,30-SO HP SO + HP ' � _ t FI%TURES- OUTlETS SWITCHES'. GAS TUBE.SIGNS _ . � . � POLE LIGHTS - . " ' �POLES—' METERE�' - SVB PANELS - MAIN - - - SUB �� - - � SERVICE-.. . AMP . _ ' ' . . . '" " . ' . . ' , � . � � ISSUEFEE � - - � APPLICATION APPROVED BV . . _ " �ATE � - � � - � SUMMARV OF F,EES , . � BUILDING _ -� ' - . . PE0.MIT E , � � SMIP E 'PLANCHECK 5 PERMIT � - �PLUMBING E�� ISSUANCE_E � GRADING S iPLANCNECK S��'7�"�j � � " - ELECTRICAL E , / , a . . PLAN CHECK S MICROFILM 5 MECHANICAL S TOTAL FEE E .PLAN.CHECK-:S LE55 AD- VANCEPC- S- , FINAL FEE S � . - _ .. � �..� � CONSTRUCTION ANDPLANNING APPROVALS Permit # - 1. Temporary Electrical Service or Pole -2. Soil Pipe-Undrarn . ,�oi on ��i� • _. 17. Property Sewer Line & House Connection 12. Street Sewer Connection � - 13. - Rough Plumbing�- - - i 14. Rough Electric-Conduit . 15. Rough Electric-Wiring 16. - Rough Heating & Air Conditioning ' 17. . Ducts,in Structure - - - 18. � Ducts, VenYilating - " 19. Gas Pipe-Rough & Test 20. Roof Framing - � 21. Roof Sheathin 22. Frame and Fiashing - 23. Insulation -- - 24. Lathing & Siding 25. Drywall Nailing - - � 26. Plaster Brown Coat - - 27. � Electrical Power Meter-Final 28. Fina� Electric 29. Final Heating & Air Conditioning -� 30. Final Gas Pipe-Test - 31. Final Plumbing - 32. Water Service-Final - � 33. Gas Service-Final � - 34. Solar pompstic=Firial ' 35. Landsca e S rinklin S stem 36. Sound Attenuation 37. Handicap Regulations - 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed � 40. Electric Reiease to Edison � 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date -- POOL & SPA Date Inspector ppPROVALS ' Permit #- 43. �Pool & Equipment Location g1 44. Steel Reinforcement 45. Forms 46. Electrical Bonding 47. Rough Plumbin & Pressure Test � 48. APPROVALTO COVER-GUNITE 49. Electrical Conduit-Undr m - 50. Gas Pipe, � Undr rn, Test ' '/ y 51. Backwash Lines P-Tra� ❑ ndr 52. APPROVALTODECK ! � 53. Backwash & Rece tor-Finai' • 54.- Heater & Vent-Final - � ' � 56-"�Electrical-Final " � � 57: SolarSystem-Final -� � � - ' � � - • - encing & Access Approval ' . . 9. .APPROVED�FOR PLASTERING � � - 60. POOL/SPA SYSTEMS FINAL' _ NOTES: Sc J - ia % �� -� 0� �- • ` C. •� • ' Dare Inspecto? i , T_ �� i� � 83/122 . . JOHN H//.L/ARD AND ASSOC/AT�'S ACOUSTICAL AND ENERGY CONSUITANTS ptal 095-9tlI"/ JOHN K. HILLIARD CECIL R. CABLE NEDL.OLTHOFF February 25, 1983 Mr, Bob Tillotson 768 W. 20th Street Costa Mesa, California Subject: Field Inspection of Party Wall Construction and Plumbing Isolation for the Multi-Family Project at 768 W. 20th Street in Costa Mesa. Dear Mr. Tillotson: The California Administrative Code, Title 25, Chapter 1, Sub-chapter 1, adopted February 22, 1974, Noise Insulation Standards is as follows: Penetrations or openings in construction assemb]ies for piping, electrical devices, recessed cabinets,. bathtubs, soffits, or heating, ventilating or exhaust ducts shall be sealed, lined, insulated or otherwise treated to maintain the required ratings. We have made an inspection of theparty wall construction and plumbing and find that it is isolated enough from party wall framing so as not to detract from the STC rating of the wall as required by the City of Costa Mesa and the California Administrative Code. Q�ppEssionq� Si ncerely, ��'��'�. HILL/qAG`�,, . �; , �7 ,��""�' � � ar olia �h IC�� H��,� rd P.E. M384 Senior Engineer P � __ .�oa�� RC:dem FRANKLIN SOUARE 1538 EAST FOURTH STREET SANTA ANA, CALIFORNIA 92701 Appliwnt to fill in all spaces exeept tnose within �eavy GorCer Ilnes anG zi9n all approoNata Eaelarotians. CITY bF COSTA MESA T � CONSTRUCTION PERMIT � Applilant's Mai�ing Ad ress , , Prqect Addreu �� Owner i Name - ��_,[ �( S�� Phone Gys �3 >� Addrea S �M'� • Arch/Eng. ; License No. Address Contractor'sName—SIM'� "Phone 5�''K"e Addrea lmailingl License No. 3.E � �� i IICENSED CONTRACTOfi DECLARATION . � I hereby affirm t�at•1 am Iicensetl untlar provislons ot C�arter 9'�(commenUng wlt� section 7000) ot DIvlSion 3 0/ the Business antl ProteSsions Cotle, antl my Iltense Is in f I fo ang efTact. lJcense Class• �✓"' Lice e N G� ��5 Data � ^ Signdlure WORKERS'�SATION DEC R TION ' ��areby af(irm t�atJ �ave a certlflrate o/ consent to self-insure�or a cartlficata Workers' Compensatlon Insurance, or a certifletl copY thereof (Section ``Y!�Q Lab. CJ � , . Policy No. � � Company BCertifletl copy I5 hereby fumishetl. � Certlfiatl <opy Is tlletl with the�cily BuilAing Oivision. Date ' ADO��nt ' � � EXEMPTION FROM W00.KER5'�COMPENSATION DECLARATION (Thissactlon naBE not bB ComDletetl if the permit;is lor one huntlratl (E700) or • 1855�. ' I certi}y, that:in the performance of tha wor r.whlch this perm�t is�issuetl I shall no�mplPo@ any Oerson In any man r as t yiqe s�t to t�e , WorkerY om nsatlon Laws of Call/or l/ . . comv�r wim sucn provivons- or mn�;parmic snau oe aeemea revokeG. CONSTRUCTION LENDING AGENCV . 1 hereby affirm that there is alconstructlon lentlin9 agency for the performance of the work for which� this� permit ,is issuetl (Section 3097� Civ. CJ� LenOer's' Name Lentler'S AEtlrass „ � � ' OWNERBUILDER DECLARATION � ' I hereby, a�11rm Mat 1 am exempi from tha Contractor's Ucenze Lnw for the � �efrom ana t�e basis for tne allegetl exemption. Any violatlonbf Sectlon J3.5 by any dp0��tdnt for a permit suDjeCtS Ihe'•applicant to a civil nalty of not more [han five huntlretl tlollars (ESOOj. , - ' � I,`as owner o( the�property or�my employees with wages'as their sole compensatlon wlll tlo the work, antl the structure' Is not intentletl or ofieretl ' for sale.(Sec4lon 7044, Buslness'ana Protessional Cotle:�Tha,Contractor's . License Law Ooes not aOC�Y to an owner of a property wlio Duiltls or improves t�ereon,'antl who Ooes suc� work �Imself/her5elf or throu9h his or her own employees, provitletl that suth�impmvements are not Intentletl Or otfe�etl tor sale. It, howevar, the bulltling or improvement is soltl wit�in one year of com- pletion, t�e owner will nave the burtlen of proving he/she tlitl not build or Im- � �ova for tno Ourpose of sale)._ -, ' LJ I, as owner of�tha vroperty, am exclusively contracting with,llcensetl con- . Vactars co tanstruct the project,(Section 7044, Business antl Profe55ions.Cotle: -The Contractor'S �Licensa Law does not apply to an ownei of property who builtls or Improves thereon, antl wno contracis tor such projects with a con- ' tractor(5) Iicense pursuant to ihe Contractor's License Law): � + ❑ I am ezempt untler Sectlon , B. & P. C. (or this reaion � Dale Owner - ' �I hereby ce�tity-that I�have�reaa-[nis��ap0!�cation antl siate that the a�ove Iniormation I5 correct. I agree to comply with all clty antl county ortlinances and'state laws rel !t�g ta builtling� c r}s truction, anE hereby authorize repre- se9tative5 o��'ty o/ or� Q th bove-mentioneA propert4tor ' inspectlon p te // � _ .�/� ' � SI nature /' Da[e O DrlJars' License or 55 � _� � � : I I R¢gisters ! CMFO865-66�rev.12/82 White-Builtling;Canary-AVP��cant;Plnk-Accountln9;Goltlenrotl-Assessor .�.,�� 3 �.'�i2� � 39d yv I..�.......... TYPE OFCONSTRUCTION NEW ADD �ALTERATION REPAIR , ❑ CONVERSION ❑ OEMOLISH ❑ OTHER , OESCRIVTION OF WORK TYPE OFPERMIi ' GRADING FOUNDATION STRUCTURAL ❑ TENANT ��LECTRICAL ❑ PLUMBING ❑ MECHANICAL � ❑ OTHER PR0.IECT DESCRIPTION SQ.F7. OCCVPANGV C O N STRUCTION TYPE V ALUATI ON $ ' ZON� � � GRADING CU. VDS. ACRES Bar Sink � Backflow Preventer " � Backflow Irrigation Bathtubs � � Clarifiers , Dish�.rdsher � ; � Drinkin9 Fountain5 � . Floor Drains ' Floor Sinks-� - . - ' GasService� . � Outlets Wvatories P-Trap RoofDrains� - ' � � Showers ' �� - � Service Sink' '= ' Boiler Duct = Under Ground . Duct: Ventilating _ . _ . . ExhaustSystem ❑ Multiple❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑ 0.100,000 BTU'� 7 00;000 BT Hood or Tvpe I ❑ Sewer CaP , Sewer Connection Soler Collectof5 • Solar Piping SolarTank ; • Swimming Pool w/Spa . Urinel ' ' Water Clout � � Water Heater - ' . Water Service "- . � Reinspection Fae , $15 � . ; laue Fee � - $ 3 1ANICAL Refrigeration System ❑o-ioo,000sTu ❑ioo,000eru System Repair/Alteiatio Rainspection Fee� � $75 ; Issue Fee _ � $ 3 --�-_��.._.. � ' • •� �=�i�s.,��.�.�� SIDE YAR—_= j��iF�STA ME =T WIDTH AL CONDITIONS: tomatic Washar - ' utrut[ion Pole �king Unit hwasher rers �Gas ❑Electric A:U. ' � ixtures � � - - evice Boxes , uNats REAR VARD (TO P/L) RIGHTSIDE VARD i PROVIDED • � PARK FEE $ Sub Panel � SubPole. � � Motors ❑0-1 HP ❑1'h-8 Inc.Solar 09•15HP �16-15+ Microwave � Pole Light �, � Switcnes Trash Compactor Garbage Disposal ' . Generator OO-5 KW �5-15 KW ir Trensformer ❑15-50KW ❑5U+KW, 'RainspectionFee $15 Meter ❑up to 100ampa �Issua Fea �'$ 3 Zoning Appro4ed BY �- � . � Date ApPlintion ApProved BV • �" Data � -� - �p3 Appliption laued By � Data 7 s��0 3 , SUMMAR�' OF FEES � . , , � �BUILDING PERMIT $' ' SMIP , � $ PLAN CHECK $�. PERMIT ' • PLUMBING , $ . ISSUANCE $, � I �PLAN CHECK� $ � - GRADING � ; $ ELECTRICAL � $, � , � , $ . ,PLAN CHECK . $� MICROFILM $ � MECHANICAL $; . ; TOTAL;FEE - $ � �PLANCHECK�, $� ' LESS , � � . � � � ADVANCED PC � $ � � ' _ , . _ FINAL FEE • � $ � 0 � .. CONSTRUCTION AND PLANNING �, " � - . . � _ � - - POOL 'A � . . - - � , � • Date � � �Inspector � �- ' � ' � Date� Inspector ��APPROVALS. Permit.# • �APPROVALS PermitqW� �� -. , _ - �1 . Temporary Electrical $ervice or Pole , ` v ��t � 52. Pool & �Equipment Location . - � 2. .Soil'Pipe-Undrgrnd. �, , � � ._�, . -. , � 53: Steel Reinforcement � . - � , � .3. Electrical Coniiuit Utility-Undrgrnd:�' ' . 'M' 5¢. Forms �-� � �� . � - " �.:4. Electiical Conduit-Undrgmd._ � � ` � � '��55� Electrical8onding . � ;5: �Steel �Fjeinforcement . � ., „1 �, • � ` ' . � 56. Rough Plumbing & Pressure Test _ � . 6. 6lectrical UFER Grnd. •' � _- 57. APPROVAL 70 COVER-GUNITE . �, 7. Footings : � 58:� Electrical �nduit-Undrarnr{. • 8. Foundation ' � � � � . j� � 59. Gas�Pipe, O Undrgmd�., Test �. 9. Water Pipe-Uridrgrnd. � . . . - . � '� 60, Backwash �Lines, P-Trap, O Undrgrnd. ',� 10. Structural Floor System � -� ' ' ..� 61. APPROVAC�TO DECK � 11. P�operty Sewer Line & ��;House�Confiect;on � - '-'F� �. 62. Backwash & ReceptorFinal � .. �. �. 12. Sewer Cap , � 9� , F, 63. Heater & Vent-Final �-� � �., 13. Roof D'rains - �. � . - 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 . - 77. Rough Wiring Sign = : - �gg, APPROVED FOR PLASTERWG . 18.. Rough Electrical T�Bar.Ceiling � ,: I � �� -. � 69. POOGSPA SYSTEMS FINAL 19. Rough Heating & Aii Conditioning - - FIRE DEPT. REQUIREMENT . 20. Ro'ugh Factory Fireplace � � APPROVALS Permit # 21. Ducts, in Structure. �' . 70. Underground Hydro � 22. Ducts, Ventilatin � , ' � � 9 . � 71. Product Piping O Gas ❑ Oil 2§. Gas Pipe-Rough & Test � `� � 72. Underground Flush 24. Roof Framing -' ' . . 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing � � � ' ' ' ' 74. Overhead Hydro _ 26.� T-Ba� Ceiling (Structuralh & Monocoat '� . 75. � Dry Chemical 2� : Frame and Flashing ' � � 76. Dry Standpipe � 28�Lathing & Siding ' • ' � 77. F�XED SYSTEM FINAL - 29. Insulation � - � � , 78.'FIREPREV.FINAL 30. Drywall Nailing � ' Notes: � � 31. Plaster Brown Coat � � � � 32. Electrical Power Meter•Final 1 1p b C C � 33. Final'Electric � � , � ' 34. Final Heatiqg.&..AiaCopditioning � • � • 35. Final Gas ipe-7e'si�" ' �-.' -. .� . �._: . 36. Hood or Canopy __ . ' . , � � � ' � i 37. Final Fa ory Fire`plac�-:.'�' ' . � � � 38. Final Plum �ing :�. :, i� co ' � , � � i •_. 39. Water S`e7rJf'ce-Firial r ' ' � . � ' � � � n i �v 40. Gas Ser '„qe_�_Final"' � ;v ' � , � ' - �...:...._. . . � 41. Solar pomestic-Fina�'i � , ' , ' • � � v.�..._.,: - 42. Backflow�Preventer � ; , j i � � ' � . 43. Backflow Irrigation �. ' � " � .` � ' � �� - 44. Landscape Irrig�tion System � " � � � ' � . 45. Sound Attenuation, " ' � ' , � . . 46. Handicap.Regulationr � � ' � , ' � , ' � �. 47. FINALSTRUCTURE&BUILDING � ' � � � , 48. Sqecial :ReGuiiemenCs Completed � . � � � 49. Electric Releaseto Edison � . ; ' _ •_ ; _ ,.. _� ., �, . � 50. Gas Release to Southem California Gas Co , � � � ' � ; : 51. CERTIFICATE OF OCCUPANCY ' � No. ' ' Oate � � , . _ :. _... - . - , . .; F CITY OF COSTA MESA , - � ava��N� onr�s�oN � _ � DEVELOPMENT SERVICES DEPARTMENT .�AA. °• PERMIT �A�� `�m`F (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: �;768 W, 20TH ST Suite No C Vicinity: Parcel Nunmber: 93778022 Applicant: BRAD COLON Address: i %� r:"� - Owner CRAIG;;JOSEPH P .. . Address 768�W 20TH ST #C . � / f%/ �� / ,-, i � % � �, ��. . _ /;,COSTA MESA,CA ,- - � , �n/// �_ i-;� , v, � /�� /j � � Cont scror EMERCOM CONSTRUCTION � � �„-,� Address: � 2906 E CORONADO ST Phone: �' Zip: , Rhone: ' - � � Zip: 92627 ' , .�,� .' �� '�% %� Phoner 714-630-9615 �-" �� , .�ANAHEIM,CA Zip;' 92806 � , � i - �; � ��Licensei 526903, � ' . . „-� _i � � . _ . . ; . - , i� � � . -, ' - �� . � � SCOPE OF PERMIT . , ;install 2 fixtures, 2 ouUets 8 4 switches toconvert existing bedroom into playroom, , . � �re:b98-01273 . - . � . �� ' - _ " � , i � � ,_ . �� : � � � - .........� --,_ ' a' � , - �, � , � �VQuantity � ISSUE FEE . , „ $22.00 Temp service test , $0.00 � � Res. a/c package $0.00 - _ . , New Res (1-2 units) , $0.00 0 New Res (3+units)' . „ $0.00 0 Pool (Spa, $0.00 - 0 LightingFixts � '�� $2.00 � 2 Recept Outlets�� ` -' � ��\;, $2.00 2 Switches' �`,� � �'�;��$4.00 ' 4 Non Res Ap'pl��. � � ��,$0.00 0 Res Appl � � �� $0.00 0 Service to 200a �� . $0:00 `� 0 Service to 1000a- � �- $0.00 �`, 0 . � Service over 7000a' � " �$0.00�� `��, 0 � � Motorsto thp , , ' $0.00 � � ,�0 - Mators to tOhp $0.00 ��- 0 Motors to SOhp ' - � $0.00 ` 0 Motore to 100hp `$0.00 . �0 Motors over t00hp �$0.00, ' � 0 Communication drops �$0:00 � 0 , Sub panel to 200a 50.00 0 Pole Light Pkg $0.00 0 Sign Circuits $0.00 0 Temp Pwr Pole $0.00 0 Intermed Pole $0.00 0 FEE SUMMARY ` - r - Temp Dist System / Lighting � � . Busway /100 ft � � - - _ - Standing Section Misc Electrical Equipment Transformers�up to 1 kva/kw ...... ..:cup'to,10 kva/kw _�. ............ up to 50 kva/kw .. .................up to 700 kva/kw � � � ' ....over 100 kva/kw � " � Low Voltage Equipment -�� Low Voll Winng System / Ckt - ' ' Misa Conduit . . Misc,Conductor . Circus ( gen or ride) � - � . . Circus (mech ride or lights) . Christmas Tree Stand � Fireworks Stantl Other Electrical Fee Investigation Fee �, Plan Check Fee Reinspection Fee " Status: ISSUED Applied: 07/15/1998 Issued: 07/15/1998 Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 - 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 so.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES E30.00 COMMENTS / SPECIAL CONDITIONS e EXPIRATION: This parmit shall automatically expire and become void if work is not commenced within 180 days, or it work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapectlona and flnel approvel must be oblained. Failure to obtain Inspections and final approval will resutt in tha ezpiration of ihis pert9�t. FOR INSPECTIONS CALL: (714) 7545626 � �� WORKERS' COMPENSATION DECLARATION: I heraby affirtn under penelty of perjury one of Ihe following tleclarations: ' ❑ I have end will meintain a certificate of consent to self-Insure for workars' compensetion, es provitletl for by section 3700 of the LeDor Cotle, for Ihe pertormence of the work for which ihis pertnit is iuued. ❑ I have antl will maintain workers' compensetion insurance, es requiretl by section 3700 of the Labor Cotle, for the peAortnance of Ihe work tor which this pertnit Is iuued. My w��rs''crompensation Insurance c�rier end policy number are: � Y � G�' �� Q� Carriar. L-�q- �IVfi � Polic Numbec 1 / (!h/s sectlon need nat be crompleted i/ the permit is valued at one hundred dollars ($ f 00) or Iess.J - ❑ I certity thet in fhe pertormance of the work for which Ihis permii is issued, I shall not employ any person in any manner so as to become subject to the workers' compensetlon lews of Celifor , en eg that If I should become subject to Ihe workers' compensetlon provisions of Sectlon 3700 of ihe Lebor Code, I shall forthwith comply with Ihese pro ' / �y/� � Applicam SlgnaWra: � � � Oate: � � T �i � -1 La WARNING FAILURE TO SECURE WORKERS' CAMPENSATION CAVERAGE IS UNIAWFUI NND SHALL SUBJECT AN EMPLOYER i0 CRIMINAL PENALTIES ANO CIVIL FINES UP TOONE HUNDREO TVi0U5AND DOLLARE (5100,OW), IN AODI710N TO THE COST OF COAIPENSATION, DAMAOES AS PROVIDED FOR IN SECf10N 3/W OF THE 1A80P WDE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTOHS DECLARATION: I hereby eNirm that 1 em licensed unQ¢� rovisions of Chapter 9(commencing with Section 7000) of Divislon 3 of ihe eusiness and Professions Code, antl my licensa is in full force end eftect. Lia k Yl Z') � D�l � C�ass a ContredaYs SigneNre: �,1 ✓ Dete: "1 � 1'j _ Yi Ti . Zi 1^ '� CONS7RUC710N LENDING AGENCV: ❑ I hereby aRirtn that Ihare is a constmction lending agency for ihe DeAortnance of the work Por which Ihis permit is issued. (Sec. 3097, Civil Code). Lenders Neme: Landers Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aflirm ihat untler penalty of perjury thet I em EXEMP7 FROM THE CONTRACTORS LICENSE LAW for Ihe tollowing reason (Sec. 7037.5, Business end Professions Cotle: Any ciry or counry which requires e permit to consiruct, alter, improve, demolish, or rapair any slrucWre, pnor to its luuance, also requires ihe applicam for such permit ro file e signed stetament ihat he or she is licensed pursuant b the provisions of ihe Contractors License Lew (Chapte� 9(commencing with Sactlon 7000) of DlNsion 3 of the Business end Pmtessions Code) or that he or she is eaempt therefrom and Ihe basis for t�e alleqed exemptloa Any violation of Section 7031.5 by any applicant tor a pertnit su6jeds ihe appllcant to a civil penalty ot not more Ihan (ve huntlred tlollars ($500).): ❑ I, es owner of Ihe Droperry, or my employees with wages as their sola compensation, WILL DO TME WORK, antl the structure Is not intendetl or ottered for sele (Sec. 7044, Business and Professions Cotle: The Conirectors License Law does not apply to an owner of property who builds or improves thereon, end who tloes such work himseN or herselt or t�roug� his or her own employees, provitled that such Improvemenls ere not intentled or oflaretl tor sale. If, however, the bulitling or Improvement is soltl within one year of completion, ihe owner-builder wlll have the burden oi proving that he or she did not bui10 or Improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to wnstruct the project (Sec. 7044. Business end Protessions Cotle: The conirectors License Lew daes not appty to en owner of prapeny who builds or improves therean, and who contrects tor such praJect with e contrector(s) Ilcense pursuant to ihe Conirectors License Laws.). ❑ I am exempt untler sec. Business and Protessions Code tor ihis reeson: Signature: Date: O.vner ID veritied by driver's license. ❑ Yes ❑ No Dnvers license No. Verificetlon of Ownarship by (rype of document, i.e. - properry tax bill or deed): Ezpires: DIVISION OF INDUSTHIAL SAFETV PERMR CEHTIFICATION: ❑ I hereby certify that no ezcavation fiva (5) or more feet in tlepth into which e person is required to descend, wili be mede in connectlon with work euthorized by this permlt, antl thet no �uilding sirucNre, sceHoltling, felsework, or demolition or dismantlinq thereof, will be more then thirty-six (36) feat high. (Chap. 32, G�p,2, Atl 2, Sec. 341, Ttle 8, Celitomie Administretive Coda). •�"— ''" ❑ As ownerbuildar, I will not employ enyone to tlo work which would require e pertnit irom the Dlvision of Industrial Satety, as noted above, unless such person hfls a pertnit ta da such work from ihe tlivision. Slgnature: Division of Industrial Setary Permit Number. Date: CERTIFlCATE OF COMPLJANCE AND AIJTHORIZATION OF ENTRV: I certiy under penalty of perlury ihet I heve read this application and state that the intormation given is correct I egree to comply with all state laws end ciry ortlinances relating to builtling consiruction, end euthonze representatives of Ihe City of Costa Mesa to enter upon Ihe ebove-descnbed properry for inspection purposes. I agree nol to cccupy or allow occupancy of any building authonzed by this permit until finel inspection. � I r Authonzed Applicant COOE t INSVECTIONTYYE QA¢ II{i�dLS 1616 Fixed System Final Fire Prevention 1286 Pool Spe Final 200 Finel Re-Root 201 Final BIocWReteining Wall 202 Pinal Fectory Flre Place' 203 Final Sign 204 Finel Demolition 2A46 96 C f,pp(j INSVECTIONTVPE 206 Finel Mechanicel 208 Finel Plumbing 210 Finel Elecincal 212 Final Fire Prevention 220 Finel Planning Approval 222 Finel Site 250 FinelBuilding/Occupancy �dIE UiiIDALS " �, n�� . � � CITY OF COSTA MESA / � ' ° BUILDING D/VISION � _ � DEVELOPMENT SERVICES DEPARTMENT �q�..g}� ' / � PERMIT �R��T N�M�t�+ � `�' _ . , ... . ,. (714) 754-5273 • Fau (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: - 768 W 20TH ST Suite: C Vicinity: Parcel Nunmber: 93778022 " ` ' • Applicant: BRAD COLON Address: Zoning: � Phone: . i�� " ZiP� � - ' ' - . ;-� ' Owner. CRAIG, JOSEPH"P;� � �. - ' ' �, Address 768 W 20TH-ST #C' - � , . i/�/ � � „� , . , Phone: • , COSTA'MESA;CAA � � Zip:, 92627 ,� � , �,�/ � , _ . . \ \ '�/. \ • _. _ . - ' _ /� �"� � Conhactor.,,�/, � � /, i � _ i ,1� � /�� ,. . Address:: � �; , ; �,��; ./.i/_ � �� Phone: . ',�'�� .. i /i:.j; � � i, z�p: , � • //,- �%;,� .� , �:,'� .1 ,�-c� License:. Arch / Eng : ,�,-�, �� '' F�- , Address:�" � - -- • , i � - :: � �.-� �\ . _ �-� ,�.1�, , � , .rlPhone:'- - � • , ' - ' �%., � � •i A r.r; �. __ -'Zip: _ . . � - . - . , ' � �-•'- � - � License:� -_ � - . SCOPE OF PERMIT fconvert existing bedroom into playroom � � ,;_ _. . . . . . .. . . , � . . , , -. FEE Sl � ,Plan Check' , , $40.46 \ � Permit . .$62.25 _ — — CSMIP Res: $0.50 - �- _ .._ �SMIP Com: ' $0.00 � - � �, Other: �� ,$0.00 ��Inspection: � �;�.,$0.00 � �. � � �,��,. � �c�Total� $103:21 . . \� � _ . , . ��, . � . � ��, � . SETBACKS �� `'.� . ' ' MAIN STRUCTURE .Front 0- 0,��, �-_; Rear. , 0- 0 . _ - . ��._ .. _ . ACCESSORY Front 0=0 � ��. Rear 0-0 ', �, �� PARKING Existi"q:�� o��- � �Required: , o NOTES: Status: ISSUED •Applied: 07/15/1996 Issued: 07/75/1998 Calc Valuation: Claimed Valuation: ININGB ZONING � - Left �0- 0 - - "_ Righl Left 0- 0 Right - ' ProDosed: 0 , 0- 0 sz,000.00 sz,000.00 EXPIRATION: This permit shall automatically ezpire and become voitl if work is not commenced within 180 days, or If work is suspended or abandoned for a pariod of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requl�ed Inapeetlons and finel epproval must be obtained. Failure to obtain inspections and final approval will result in the expira�ion o� �his permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATION: I hereby eHirtn under penelry of per�ury one ol the following declaretlons: ❑ I heve entl will meinteln e certllicate ol consent to sell-Insure far workers' compensation, es providetl for by sectlon 3700 of the Lebor Code, lor the pertormence of the work for which this pertnit Is issued. ❑ I heve end wlll maintain warkere' compensation Insurance, as requiretl by section 3700 of Ne Lebor Code, ior Ne peAortnance of the work for which this pertnit is issuetl. My workers' compensatlon Insurence ce r entl policy numCer are: (� q Cartier. �AJL-�" .Z1��1' �'1 � PolicyNumber... 1 US�-�7 I� S7J 1� � (Thls section eed not be completed I! fhe pertn/t is ve/uetl e! ane hundretl tlollers ($ f 00) o� /ess.) ❑ I certity t�et in ihe pertortnance at Ihe work for which this pertnit is issued, I shell not employ eny person in eny manner so as to become sub�ect to the workers' compensetlon lews of Celifomla entl eg thet if I shauld Decome subject to the workere' compensation provisions ot Section 3700 ot the Lebor Code, I shell torthwlt� wmply with these pr�ovi q Q ApDlicent Signeture: Tb91 .�__ / Date: �' �� ' 1 7S WMNINQ: FAILUFE TO SECURE W R MPENSATION OOVERAGE IS UNLAW FUl AND SHALL SUBJEGT AN EMPLOVEfl TO CRIMINAL PENAlT1ES AND qVIL FlNES UP TO ONE HUNORE� T/10USAN0 Od1ARE (f100,000), IN ADDITION TO THE COST OF COMPENSPTION, OAMAOES AS PPOVI�ED FOR IN SECTION 3]O60F THE LABOR WOE, INTEREST, AND ATTORNE`fS FEES. LICENSED CONTRACTORS DECLARATION: I I hereby eKrtn thet I am licensed under provisions ot Chapter 9(commencing wlth Sectipn7000) of Divislon 3 oi the Business end Professions Code, and my license is In tull lorce entl eHect Lic. q Class # c� Contrectols Signeture: "� � Date: b. / � CONSTRUCTION LENDING AGENCY: ❑ I hereby eHirm t�et Ihere is a construction lentling egency for the peAormance ot the work for which t�is pertnit is issued. (Sec. 3097, Civil Code). Lenders Name: _ LenGeYs ACtlress: Signature: OWNER-BUILDEP DECLAHATIONS: Date: I hereby eHifm that under penely of per�ury Ihet I em EXEMPT FROM THE CONTRACTORS IICENSE LAW for tha following reason (Sec. 7031.5, Business end Protesslons Code: Any city or caunry which reqWre9 a permit to consirucl, eller, Imprwe, demolish, or repalr eny slruclure, prior to IIs issuence, also requires Ihe applicant for 5uch pertnil to tile e siqnetl stetement that he�or she is Ilcensed pursuent to the provisions ot the Contrectors License Lew (Chapter 9(cammencing with Section 7000) of Division 3 of Ihe Business end Pmfesslons Cotle) or that ha or sha is exempt t�eretrom and the basis for tha alleged ezemption. Any Wolation of Section 7031.5 by any applicant for a pertnit sub�ects ihe epplicam ro e civll penalry ol not more then five hundred dollars (3500).): ❑ I, es owner of lha properry, or my emplayees wlih wages as their sale compensetion, WILL DO THE WORK, enA Ihe structure is not Intended or ottered tor sale (Sec. 7044, Business anC Professions Cade: The Conirectors LJcense Lew does not appty to en owner ol property who builds ar improves Ihereon, antl who tloes such work himselt or herselt or through hls or �er own employees, proNdaA t�et such impravements ere not Intentletl or otteratl tor sale. tl, however, Ihe 6uilding or improvement is soltl withln one year of complellon, the owner-bullder will heve Ihe burdan ol provinq �het he or she tlid not builtl or improve for purpose ot sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WI7H LICENSED CONTRACTORS ta construct the projact (Sec. 7044, Business and Professions Cotle: The comrectors License Lew tloes not epply to en owner oi property who 6uilds or improves thereon, and who contraqs for such prolect wlth a contrector(s) Ilcense Dursuant to tha Contractors License Lews.). ❑ I em exempt untler sec. Business end Professions CoOe tor Ihis reason: Signeture: Date: Owner ID verified by drivels license. ❑ Yes ❑ No Drivefs License No. Expires: Vetlficatlon of Ownewhip by (rype at document, I.e. - property tex blll or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certily lhat no exwvatlon live (5) or more teet In tlepth Into which e person is requiretl to descentl, wlll ba mede in connectlon with work euthonzetl by this permit, end thet n0 Duiltling slructure, sCeHolding, telsework, ar demolition or dismentling thereol, will be more then ihirty-six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Titla B, Celifornie Adminlsiretive CoEe). ❑ As owner-builder, I will not employ anyone to Oo work which would require a pertnit from the Division of Intlusinal Sefery, as noted ebove, unless such person has e perm0 ro do such work irom ihe tllNslan. Sipnature: ' Date: Division of Indusinal Safery Permit NumEer: CERTIFlCATE OF COMPLIANCE AND AU7HORVA710N OF ENTPY: I cenity under penelry of perjury Ihet 1 heve read this application and state that the intortnetion given is conect. I egrea to comply with ell state laws and city ordlnflnces relating to 6uilding consiruction, and euthorize representatives of Ihe Ciry of Costa Mesa to enter upon Ihe above-descnbed properry tor inspection purposes. I agree not to occupy or allow occupancy of eny building authorized by Nis pertnit until tinal inspedion. GOOE �. INSVECTIONTYPE 1616 Fixetl System Final Fire Preveniion 1266 Pool Spa Finel 200 Finel Re-Roof 201 Final BIocWReteining Wall 202 Finel Fectory Fire Plece 203 Final Sign 204 Finel Demolltlon 269648 �g �� CODEI ir+svernoxrrve 206 Flnel Mechenical 208 Flnel Plumbing 210 Flnel Electrical 212 Final Fire Pravention 220 Finel Plenning Approvel 222 FInelSi�e 250 Finel Bullding/Occupency � :� , . ,:. .; �- - �=--- _ . .. . , i� ` .i�' � � . - � ;l°S' _ 1- � 60 ,r�� ' ' .j .'� �j..;;. �'L • .''. ...��'= � � - ''�{+ ) �.. � '.: . . . � A ; ��.�, : f � .. _ . ' : _ . � .. � "�.. .�,.' . . _ � .-#,, � i � .� , • . DIVI` �.�'r.i3�,'Ii.�Ii:iUSA�'��I`�.`.'t:l, -'�, ,R�. `Ny:.J;:,{.,f�>« �._h1E� � �.. � • .:IC S Al�� Y � �J �f, �"' •. � �. , � , ' . - , .toii; �aUfunes��'disunlaw'futt "r � l� � l�, . '' ' ' yl,-��'— �ronsMUSTDek89 �,�nhbmltreD'rris�ondBu�'�9 � `{� �. 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A � t � .� � .- .. :. •.�� . � , " < < �t ty. � �i '�'�-::'«. _: ��p � i ��Jr,i�'ry"�j��i-. ;� c'i ��-' .r .v. �i. �.{�/�'i • i � r.Ar � - •� - -.. i ':C• t :, .«�, . . . �: , 1>� y. .S '' ♦ ' ....., :. ..� . . .... . . . ..�� i ��1 V. ._ .i t: i1.:id�� ,.. . �'1.•� � i�NtS;� i ��F , APP G,i; set ot plsns and spea��°V"' ""„ m�� y �y�ges w atleration on sam a� gy;o,y, Gily ot Cosia Me�a. fie stam{rn9 0� �his olan and sPedG� ci the vklztien ut aml pro�ei•�cns ot � • �:;; Sh�i� r . � ;e p!ans an� � �t ^�?rmence^ a�p� ��" \CJ :Ii il � 1 t�rs -�gq{t)YOa, l�A�-� �d —� `� I �a 2.� vc, � �th—� t`�Ci SAFL'- I1' pn �his job at all times and if is unlaa.7ul to ,�„e�tccan from the DHn� of Bui'd�9 dl NOT F,� heM to pertn;t 6r ;o be en aPProval e( Cosia t�lesa Ord+na°ce F��11o� State lavr. �,._....�, ��ai ,nd vou ii the buihlin9 or .....,:,v�3;,;1;i;c�hiinl8�"«�0� m:�.,... nC:�= Aov ktt4 µ��. �u �S' a��,rn� ��• ,� . C,Si a�.�+1�. r �1 1J�n �� w�'�- 2X12�1(0� ��rr aP�Ninw U.�u. i N �bu 8E«,a�� T�Q�ior� � �Sn�r�h 1ur+u. Fon, Il+�r�tz atc� t�oi To grc R�tMartv `� l, Tc� � �� l �� L' �tr,s, �� M�N1DV� I'u�� kARu�tt,, �u�U- y � � ----� �� K I ln' .. I _ / ,L m AY `h� 2 o N � / / =n v ESA D =r �i ; sel of plans and speciticetio� MUST be kepl on this pb al all limes and meY.o any changas or alteratbn on same wifh:w:1 wmten Dertn�sbn tr°'° t�e Diu �nd Sat°ty, City ot Cosia Mesa. 1?re stamp'uig cl thi� p!zr. and specificalio��s SHALL NOT be held to pe�mY or l+ r,.f 6ie violz!inr ol �ny pi7nsioi � a u:p C�b� of Ccsia ldesr Ordinznc= ai TMG52 �`�idl: 2fi� 'y6IL11� s`�ail ar,c;ra by i;�nr,a!ior ar.d hsc�m= r,ull and �iOIU� nr � �951A) t�i�tiir, 730 ( e:;"ci;r�� :;�.snaalan^mw�Wi�^......::c^ �- •, � � �,�� e� � to n a�rcvzl Stat¢ lae:. k iW2 t CITY OF COSTA MESA ° BUILDING DIVISION � DEVELOPMENT SERVICES DEPARTMENT � nnou_nnanG / �� PERMIT PERMITNUMBER , / v (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT Job Address: Suite No Vicinity: 768 W 20TH ST C Parcel Nunmber: 93778022 Applicant: BRAD COLON Address: Owner: Address: / r � �.; Address:.y �; �, ,,�� i, '.i�: � ArchlEng: ` Address: / ,` Phone:, _ . . � . . - 7 i' ,!'�.-' _ Z�P� - _ �_ . �;.JOSEP.H P . � 5Li , � � � 'ATH ST #C� � - � �� - - � - / l \ _ -�_ i�.� - � _ . - � \ . � - . - Phone:. � �-. � . MESA.CA:':..!%��- � Zip: 92627 � �• " ' . ��/� �, � � �'� /, . - � COM GONSTRUCTION 2906�ELORONADO ST J �„i� ��/ Phone:'� 714-630-9615 _ANAHEIM,CA Zip�, 92806 / . %✓;� µ�� . //,.'ii ..License:>-525903.�.. � � '�' ��,� ' ��%- - a. �/_ :�� f � I.� ,i , ,_ ' i, I r i 0 s-' - � � '_ � - . . . F. ' � ;� i�� _ �� Phone:� � � 1 ' Zip: ' "� ' � � -, License: � , SCOPE OF PERMIT. - � � � replace 7 fau, re:b9&00763 ' � � �p� �%,. W�S- - �� , � FEE SUMMARY.. t � � , • � --- � i � � � � ' Quantity�_ . __ . _ . . . . _ ISSUEFEE� ,, $22.00� - .�--. _ _ - Repair/'Alt'Absorbtion-Unit Inst FAU <100 k BTU $1325 Repaii / Alt Refrigeration Unit Inst FAU�?100 k BTU � $0.00� Ventillation System Repair/Alt Cooling/Heaf��. $0.00 0 EvaporativeCooler Inst / Rep: Recess Wall HU�, ��, $0.00 0 Commercial Incinerator Refrig Sys`2700 k BTU��, ��, �� $0.00 0 ' , Domestic Incinerator RetrigSys?100kBTU' \.�� $0.00 0 � . ��_Compressors/AbsorptionSvstems Gas Piping_ � , � �� . $0.00 0 . ' � Up,to 3 hp / 100 k BTU - - Factory Fireplace �� $0.00 0 , �� ' �� , 3 To 15, hp / 500 k BTU - Hood w/MecB�Exhaust - " ��$0.00 .0 ��. � � - � � '�' - � =15 To 30 hp / 1,000 k BTU - � VAV Box - " $0.00 . 0. �- � ,. 30 To 50 hp / 1,750 k BTU Vent Fan / Single Duc[ , „ $0.00_� _`0 � - �, - ., � .,�Over 50 hp / Over 1,750�BTU _ Appliance , , " �,$0.00�� .0. � �� ; � � , �� " �Boilers � _ - � Fire Dampers - � ��, $0.00 . 0 -�� . � . , , , Up to 3 hp , � Smoke Dampers - , $0.00 "0 � ' � 3 To 15 hp � Inst or Relocate Appl Vent � $0.00 ;; 0 � 15 to 30 hp . Air Handlers � t0000cfm , _ ; �. $0.00 ' ; 0 -. � , �� , , 30 to 50 hp' , , Air Handlers > 10000cfm � �� $0:00 �-0 �. � � Over 50 hp - � � " Floor Fumace '$0.00 - 0 . �� Other Mechanical Fee Floor or Suspend Heater $0.00 0 . Investigation Fee � � ' Plan Check Fee � Reinspection Fee Status: ISSUED Applied: 07/15/1998 Issued: 07/15/7998 Quantity $0.00 , 0 $0.00 0 ' $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00� 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES 535.25 COMMENTS / SPECIAL CONDITIONS EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapeetions end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of��t. FOR INSPECTIONS CALL: (714) 7545626 � �] WORKERS' COMPENSATION DECLARATION: I hereby aHirm untlar penalry �oF perjury one oi the following declaretions: ❑ I heve antl wlll meintain e cenificate of consent to self-Insure for workers' compensation, as provided tor by sedion 3700 ot tha Lebor Code, for the pertormance ot ihe work for w�ich Ihis perml� Is issued. ❑ I have and wlll maintain workers' compensatlon insurance, es required by seaion 3700 of the Lebor Coda, tor the pertortnance of the work for which Ihis pertnit is issued. My w ers' compensetio Insurenc carrler enC policy number are: (��(. ,� Cartier: � V i��i- L, �A Policy Number. __ [ W✓J �� 5�� / (fhis section need not be completed il fhe pe�m/t is valued et one hundred dollars ($f00) or less.) �— ❑ I certity thet In ihe peAormance of the work tor which ihis permit is issued, I shell not employ any person in eny manner so as to become subject to ihe workers' compensation laws of C i an ree Ihet If I shoultl become sub�ect to the workers' compensalion provisions of Seclion 3700 of ihe Labor Cotle, I shell farthwith comply wit� t�esg.a w ' q Applicant Signature �i �/ Dete: �' �� /� / WARNINp: FAILURE TO SEWR KERS' WMPENSATION COVERAGE IS ONLAWFUL AND SHALL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TFIOUSAND DOLUFE (5100,000), IN AD�ITION TO THE CQST OF dJMPENSATION, DNMGES AS PROVI�ED fOR IN SECTION 31080F THE IABOR �DE, IMEREST, AND ATTORNE`f5 FEES. LICENSED CONTRACTORS DECLAHATION: I hereby eHirtn ihet I em torca and e8ect. Lic. q_ Cantractors Signewre: ot Chepter 9(commencing with Sectlop-7000) of Division 3 ot the Businass end Professians Cotle, and my Iicense is in full % / Class A � � Date: � — �S 9 'li-Z,h-Z CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm lhat Ihere is a constmction lending agency for ihe DeAortnance of tha work for which this permit is iuued. (Sec. 3097, Civil CodeJ. Lenders Name: ' Lender's Address: Signature: Data: OWNER-BUILDER DECLARATIONS: 1 heraby ettirtn ihet under penelry of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7031.5, Business and Protessions Code: Any ciry or counry which requires a pertnit to consirucl, a%er, Improve, demolish? or repair any strucWre, pnor to its issuance, also requires the applicant for such pertnit to file a signetl stetemern ihat he or she Is licensetl pursuaN to the provisions ot tha Contractors License Law (Chepter 9(commencing with Section 7000) of Division 3 of the Business and Protessions Code)�or that he or she is exempt therefrom and ihe basis for ihe elleged e:emD�ion. Any violatlon of Section 7031.5 by eny applicent tor a permlt sub�ecis the eppllcent to a civll penalty ot not more ihen tive huntlretl tlollars ($500).): ❑ 1, es owner of ihe Oroperty, or my employees with wages as iheir sole compensation, WILL DO 7HE WORK, entl ihe siructure Is not intended or oHered tor sale (Sec. 7044, Business and Protessions Code: The Contracrors License Lew does not apply to en owner of property who builds or improves thereon, end who does such work himselt or herseH or ihrough his or her own employees, provlded that such improvements are not Intended or ottered for sale. If, however, ihe building or improvement is soltl within one year ot completion, the owner-builder will heve Ihe burdan of proving Ihet he or she did not bulld or improva tor purpose of sale.). ❑ I, es owner oi the property; flm E%CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consiruct ihe project (Sec. 7044, Business and Protessions Code: The contrectors Ucense Lew does not epply to an owner of property who bullds or improves �hereon, and who coniracls for such project with a contractor(s) Iicanse pursuant to Ihe Contractors Licensa Laws.). •^ ❑ I em exempl under sec. 8usiness antl Professions Cotle for this reason: '"" "''' '' '' Signeture: Oate: Owner ID verified by dnvers license. ❑ Yes ❑ No Dnvefs License No. Expires: Verificetlon of Ownership by (rype ot document, i.e. - property tax blll or deed): DIVISION OF INDUSTRIAL SAFE7Y PERMR CERTIFICATON: ❑ I hereby certiry that no axcavation /ive (5) ar more teet In depth into which a person is required to descend, will be mede in connection with work euthorizetl by this permit, antl that no building�structure, scafrolding, telsework, or demolition or dismentling Ihereof, will be more than ihirty-six (36) feet hiqh. (Chep. 32, Grp 2, Art 2, Sec. 341, Titla B, Cellfomie Adminishelive Code). � ❑ As owner-bullder, I wlll not employ anyone to do work which woultl require a pertnit from the Division of Industnal Safety, as noted ebove, unless such person has a pertnit to do such work irom the division. Signature: Date: Division oi Indusinal Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORVATION OF ENTAY: I certity under penelty ot perjury ihet I have reed this application and state ihet the informetion given is correcL I agree to comply with all state laws and ciry ordinances releting to building constmction, end authorize representatives of the Clty of Costa Mesa to enter upon the ebova-describetl property ior inspec6on puryoses. I egree not to occupy or allow occupancy of any builtling authorizad by this pertnit until tinal inspedion. I ign ure OI Legel Owneqs) / � ate � � l I �� ' � Authodzed Applicant � Date n CODE1. INSPELTIONTYPE ' 1616 Fixed System Finel Fire Prevention 1266 Pool Spe Final 200 Final Re-Roof 201 Finel BIocWRetaining Wall 202 Final Fectory Fire Plece 203 204 244&48 Final Sign Finel Demolitlon UAiE It1�9lS COUEY INSPECTIONTYPE 206 Finel Methenicel l0 �i 208 Finel Plumbing 210 Finel Elecincal 212 Final Fire Prevention 220 Final Plenning Approvel 222 Final Site 250 Final Building/Occupancy I ' ! 4 CITY OF COSTA MESA - ° � BUILDING DIYISION �. DEVELOPMENT SERVICES DEPARTMENT 89$-00763 � '�� PERMIT PERMIT NUMBER (714) 754-5273 • Fax (�ta) �sa-aess BUILDING PERMIT n FAIR ORIVE, COSTA MESA, CA 92626 Job Address: 768 20TH ST Suite: C Vicinity: ' Parce1 Nunmber: 93�%8022 npplicant: COLON, BRAD Address: Owner: CRAIG, JOSEPH P Address 768 W 20TH ST #C COSTA MESA,CA Contracror. EMERCOM CONSTRUCTION Address: 2906 E CORONADO ST Zoning: Phone: Zip: Phone: Zip: 92627 . \ Status: ISSUED Applied: O5/04/1998 Issued: OS/04/1998 Phone: 714-630-9615 ANAHEIM,CA Zip: 92806 " License: 525903 Arch / Eng : Address: Phone: Zip: License: SCOPE OF PERMIT REPAIR ROOF R4FTERS 8 REROOF WITH WOODSHAKE MINIMUM CLASS C FIRE TREATED AND REPALCE DRYWALL. PER CC&R EXTERIOR OF THE BUILDING IS OWNED BY THE ASSOCIATION NOT THE HOMEOWNER JOSEPH CRAIG Plan Check: Permit: Other: Inspection: Total: $0.00 $412.75 $0.00 $0.00 $412.75 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Front 0- 0 PARKING Existina: 0 NOTES: Rear 0-0 Rear 0- 0 Required: 0 FEE SUMMARY PLANNING & ZONING Left 0- 0 Left 0- 0 Proposed: 0 Calc Valuation: So.00 Claimed Valuation: S32,000.00 Right 0- 0 Right 0-0 EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inapectiona and finel epproval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 � WOFiKERS' COMPENSATION DECLARATION: I hereby ettirm under penalry of perjury one oi ihe following tleclarations: ❑ I heva end will maintain e certlficate of consent to self-Insure for workers' compensation, as provitled for by saction 3700 of the Lebor Code, tor ihe pertortnence oi ihe work for w�ich �his pertnit is issued. ❑ I have end will maintain workers' compensetion insu2nce, es require0 by section 3700 of ihe Lebor Code, for ihe perfortnance of the work for which ihis pertnit is issued. My workers' crompensetion Insurance cartler end policy numDer ere: Cartier: Policy Number. (Th/s sectlon need not be comp/eted7! fhe perm/f !s va/ued at ane hundre0 dollars ($700) or less.) ❑ I certify that in Ihe pertormance oi t�e work for which this pertnit is issued, I shall not employ eny peraon in any manner so as to become subject to the workers' compensation laws at Celifomla, end egree ihflt if I should become 5u6Ject to the workers' compenselion provisians oi Section 3700 of the Lebor Code, I shell forthwith comply with ihese provisions. Applicant Signeture: Date: ' WARNINO: FAILUFE TO SECURE WORKERS' COMPENSATION COVERAGE IS IINLAWFUL AND SMALL SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSMID DOLLARE ($100,000), IN ADDITIOtJ TO THE COST OF COMPENSATIIXJ, DAMAGES AS PROVI�ED FOR IN SECTION 3106 OF THE LABOR CO�E, IPf�EREST, AND ATTORNEY'S FEES. LJCENSED CONTRACT08S DECLARATION: I �ereby ettirm that I em licensetl under provisians of Chapter 9(commencing with Section 7000) of Division 3 of the Business antl Professions Code, antl my license is in full tarce end eHecL Lic. u Class a Contrectors SignaNre: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aHirm that there is e constmction lentling agency for the pedormance ot tha work for whic� Ihis permit is issued. (Sec. 3097, Civil CoOe). Lender's Name: Lendefs Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby eHirm ihat untler penelry o1 perjury thet I em EXEMPT FROM TNE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Cotle: Any ciry or counry which requires e permit to consWct, elter, improve, demolish, or repair any strudura, pnor to its issuance, also �eqWres Ihe applicant for such permit ro tile e sipned statement that he or she Is licensed pursuant ro the provislons of the Contradors License Lew (C�apter 9(wmmencing with Sectlon 7000) of DlNslon 3 of ihe Business entl Professions Code) or ihat he or s�e is exempt therefrom and the basis for ihe alleged exemption. Any violation oi Section 7031.5 by any applicant for e pertnit subJects ihe epplicant to a civll penelry of not more than five hundred dollers ($500).): ❑ I, es owner of the properry, or my employees with wages es Ihelr sole compensetion, WILL DO THE WORK, and the structure is noi Intended or oHered for sale (Sec. 704a, eusiness and Protessions Code: The Contractors License Law does not apply to an owner oi properry who 6uilds or improves thereon, entl who tloes such work himself or herself or through his or her awn employees, proWtled thet such improvements ere not Intended or offered for sale. If, however, ihe hulitling or Improvement is sold within one year of completlon, the ownar-builder will hava the burden of proving that he or she did not builtl ar improve far purpose of sale.). ❑ I, es owner oi the property, em E%CLUSIVELY CONTRACTNG WITF1 LICENSED CON7RAC70RS to construd the project (Sec. 7044, Business and Professions Cotle: The conirectors License Lew tloes not epply to an owner of properry who builOs or improves thereon, antl who contracis tor such prolect with a coMrector(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Cotle for this reeson: SignaNre: � Date: Owner ID verifietl Dy dnvers license. ❑ Ves ❑ No Drivers License No. Venficatlon ot Ownership by (rype of dwument, I.e. - pmperty tas bill or aeetl): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: Ezpires: ❑ I hereby certify that no excovetlon ilve (5) or more feet in tlepth Into which a person is requlred to descend, will be made in connectlon with work authodzad by ihis pertnit, entl that no building sWdure, sceHolding, felsework, or demolitlon or dismantling thereoi, will be more ihen thirty-six (38) feet high. (Chap. 32, Gry 2, An 2, Sec. 341, Title e, Califomla Atlministretive Cotla). ❑ As owner-builder, I will not employ enyone to do work which would require a pertnit from the Division of Industrial Sefery, es noted above, unless such pereon �as e pertnit to do such work irom the division. Signature: Date: Division of Industdal Safety Permit Number: CERTIFlCATE OF CAMPLIANCE AND AVTHORVATION OF ENTRY: I certity under penalry of perjury ihat I have read this application entl state that ihe information given is correct. I egree to compty with all stete laws end ciry ordinances relating to building construction, end authonze representatives oi the Ciry of Costa Mesa to enter upon the above-tlescribed property for inspection purposes. 1 agree not to occupy or allow occupancy of any building authonzed Dy this pertnit until tinal inspeclion. Signeture Of Legal Owner(s) AnNOr Authodzetl Applicant Date COUE �. INSPECiIONTYVE 1616 Fixed System Final Fire Preventian 1266 Pool Spe Final 200 Final RaRoof 207 Final Block/Retaining Wall 202 Final Fectory Fire Place 203 Final Sign 204 Final Demolition 2448<6 J�g� ��,5 yQp[Y INSVECTIONTYPE 206 Finel Mechenical 20B Final Plumbing' 210 Finel Elettricel 212 Final Fira Prevention 220 Final Plenning Approvel 222 250 Final Site Final Building/Occupancy � I�� '� ` Insulation Certificz = .. . �(� �o^k ST��T Go57� M�5 A Number and Sueet C��y aR�A/G� uNi7� C Counry Subdivision Loc \umber Description of Installation ROOF Material . Thickness Brand Name 'ihertnal Resistance (R-Value) CEILING n Batt or BlanketType �/� %% Brand Name (� �l ,�/1% J� �RN IN 6 Thickness (inches) �%� Thermal Resistance (R-Value) 3 Q l.00se Fill "I'ype Brand Name Contractor's minimum installed weighdit` Ib Minimum thickness inches Manufaccurer's installed Weigh[ per square Cooi co acheive Thermal Resistance (R•Value) EXTERIOR WALL ;vL3terial �f�'? % Brand Narne Q W�n/rj CD%�Nl/U�' 7'hickncss (inches) � 7- Thermal Resistance (R-Va1ue) % � RAISED FLOOR hiaterial Thickness(inches) SLAB FLOOR Nia�erial Thickness(inches) Width (inches) _ FOUNDATION WALL Material Thickncss (inthes) Declaration Brand Name 'Ihertnal Resistance (R-Value) Brand Narne Thermal Resistance (R-Value) Brand Name "R�ermal Resis�ance (R•Value) I hereby certify that the above insula[ion was ins[alled in the building at the above location in conf'ormance w ie:� d�e current Building Ener�y EFficiency Sundards for new residential buIldings con[ained in Tide 24 of [he Califomia,4dminisvative Code. _ � GD/V C N % /M G Gy�er�ICo cactor(Builde;Q) �� p,, -�Ji � ��"° "`�=�— Signa[u:z and Tide i,N M i0 zNSUG��ION S ubConvacmr (Guulaiion Installe: ) Signature and Ti[le 5a��o3 License Number /0 - 2 � -Q� Da�e � ai �i� �- 2- License h w�nber CompliaoCe Fn�mt January 1, 1995 .. . � • " - CITY OF COSTA MESA � ,t � BUILDING pIVIS10N : DEVELOPMENT SERVICES DEPARTMENT 898-0076'I � �• PERMIT PERMIT NUMBER �� (714) 754-5273 • Fax (714) 754-0856 BUILDING PERMIT �� FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 768 20TH ST Suite: B Vicinity: Parcel Nunmber: 93778021 Applicant: COLON, BRAD Address: owner: MC CLAIR, BARBARA A Address 1809 PENINSULA PL COSTA MESA,CA Contractor. EMERCOM CONSTRUCTION Address: 2906 E CORONADO ST ANAFiE1M,CA Arch / Eng : Address: ACE 3 BEAMS WITH SAME AS EXIST., WOOD SHAKE MINIMUM CLASS FIRE TREATED SIZE AS EXIST. 8 TWO GAR4GE DOORS Plan Check: Permit: Other: Inspection: Total: $0.00 $699.75 $0.00 $0.00 $699.75 SETBACKS MAINSTRUCTURE Front 0-0 ACCESSORY Front 0-0 PARKING Existinq: o NOTES: Rear 0. 0 Rear 0- 0 Required: 0 Zoning: Phone: 2ip: Phone: Zip: 92627 Phone: 714-630-9615 Zip: 92806 License: 525903 Phone: Zip: License: SCOPE OF PERMIT FEE SUMMARY PLANNING 8 ZONING Left 0. 0 Left 0- 0 Pr000sed: 0 Status: ISSUED Applied: OS/04I1998 Issued: 05/04/1998 Calc Valuation: So.00 Claimed Valuation: s�o,000.00 Right 0- 0 Right 0- 0 EXPIRATION: This permit shall automatically expire and become voitl if woik is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work euthorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapeetiona end final epproval must be obtained. Failure to obtain inspections and final approval will result in tha ezpiration of this permit. FOR INSPECTIONS CALL: (714) 7545826 � WOpKERS' COMPENSATON DECLARA710N: I hereby affirm under penalty ot pe�ury one of the following declarations: ❑ I heve entl will maintein e certificete of ppnsent ro selbinsura for workers' compensetlon, es pmvided tor by sectlon 3700 01 Ihe Lebor Cotle, for the pertormance of the work for w�ich this pertnit is issued. � I have antl will maintain workers' compensation insurence, es required by section 3700 ot the Lebor Coda, for ihe peAortnance of the woAc for which this partnit Is issued. My w e,rs1' ^crompens ion Insuranca t8rrier entl policy number ere: �D ��Q � Cartier. �d%lN�" � �%' Policy Number. � (mis secUon nee0 no�ed i! the permit is veluetl at one hundred dollaro ($100) ar /ess.) � I certiry thet in the peAorm nce oi f w k for which this permit is issueq I s�all not employ eny parson In eny manner so es to bacame sub�acl to the workars' campensation lew ifo a, ree at If I shoultl become suC�ect to the workers' compensetlon proNslons oi Sectlon 3700 of the Lehor Cotle, I shall forthwith comply with th e p o ons 5`� �� Applicant Signature: Dete: WARNING: FAILURE TO SECUR � ORKERS' COMPENSATION COVEFAGE IS UNLAWFUL AND SHALL SUBJECf AN EMPLOYER TO CRIMINFL PENALTIES AND CIVIL FlNES UP TO ONE HUNDRED TKKISAND OOLLARE (5100, , IN A�OfTIIXJ TO Tl{E GUST OF COMPENSATION, DMMGES AS PROVIDEO FOH IN SECiION 3)OB OF THE LABOR CODE. INfEREST, AND FTTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirm thet I am iarce and eflact. Lic. x_ Contrectors SigneNre: of Chapter 9(cammencing wflh Section 7000) oi Divislon 3 of the Busines�ntl Professlons Code, end my license is In full class a — Date: �. �'9'� CONSTRUCTION LENDING AGENCY: ❑ I hereby affifm Ihat Ihere is a constructlon lending egenq for the pertartnance of the vrork for which this permit is issued. (Sec. 3097, CMI Code). Lendefs Name: Lenders Adaress: Signature: Date: OWNEP-BUILDER DECLARA710NS: I hareby eHirtn ihet untler penelry oi perjury thet I em EXEMPT FROM THE CONTRACTORS LICENSE lAW tor the tollawinp reason (Sec. 7031.5, Business and Professions Cotle: Any city or counry which requires e permil to conSWct, alter, Improve, tlemWis�, or repair any SWcture, pnor to II9 issuance, elso repWres lhe applicant lor such pertnit to flle e slgneA stetement that ha or she Is licqnsetl pursueN to the provisions ol Ihe Contrectore License Lew (Chepter 9(cammencing with Sectian 7000) ot Divislon 3 of ihe Business end Pmtessions Cade) or that he or she is exempt Iherefrom and the basis br Ihe alleged exemptlon. Any violatbn of Sectlon 7031.5 by eny applicant for a pertnit subjects ihe applicant to e civil penalry of not more than fiva huntlretl tlollare ($500�.): ❑ I, as owner of Ihe property, or my employees with weges as t�eir sole compensetion, WILL DO THE WORK, and the aWaure (s not (mended or oHeretl for sale (Sec. 704a, Business and Professions Code: The Conirectore License Law does not apply to an owner of Oroperry w�o builtls or improves thereon, entl who does such work himself or herself or through his or her Own employaes, provltled that such Improvements ere not intanded or offeretl tor sale. Ii, however, the builtling or Improvement is sold wiihin one year of comple6on, tha pwner-builtler wlll have tha burden of proving thet he or s�e tlitl not �ulltl or improve tor purpose oi sale.). ❑ I, as owner at ihe properry, am EXCWSIVELV CONTBACTING WI7H LICENSED CONTRACTORS to construct the pwject (Sec. 7044, Business and Protessions Code: The contractors License Lew Uqes not apply to an ownar of property who bullds ar Impraves Ihereon, end who contracts tor such pro�ect with a coniracbr(s) license pursuant to the Cantractors Lic4nse Laws.). ❑ 1 em ezempt under sec. Business antl Profeuions Cotle tor this reeson: Signeture: Dete: Owner ID verified by tlnvers license. ❑ Ves ❑ No Drivers License No. E:pires: Venfication of Ownership by (rype oi documant, i.e. - properry �ae bill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMI7 CERTIFICATON: ❑ I hereby certlly that no eacavation ilve (5) or mora feet in depth Into which e person Is requiretl lo descenQ will be metle in connedlon wit� work euthodzad by lhis pertnit, and thet no building sWCWre, scattolding, felsework, or tlemolltlon or dismantling thereof, will be more then Ihirry�siz (36) feet hlgh. (Chep. 32, Grp 2, Atl 2, Sec. 347, Tltle 8, Califamla Adminlstrative C�e). ❑ As ownerhulltlar, I will not employ enypne to do work which woultl require a pertnit from the DlNsion oi InGusitlel Safery, as notetl ebove, unless such peraon has e pertnit to do such work iram Ihe tlivision: Signature: Date: Division of Industrial Sately Permit Number: CERTIFlCATE Of COMPLUWCE AND AUTMOPVA710N OF EMAY: I cenify under penalry oi perjury thet I heve read t�is aDD�ication end stete thet the Information given is correct. I egree to comply with all state laws and ciry ordinances releting to buildinq construction, end euthorize representetives of the Clry of Coste Mese �o enter upon ihe ebove-0escribed property for inspection Durposes. I agree no� to occupy or allow occupancy of eny building authorized by this permit until final inspection. SignaNre OI Legal Owneqs) And/Or AUNonzed Applicant KOOE �. IxSFECTONTYPE 1616 Fixed System Flnel Fire Prevention 1266 Pool Spe Flnel 200 Final Ra-Rooi 207 Finel Block/Reteining Wall 202 Finel Fectory Fire Plece 203 �Final Sign 206 Finel Demolitlon Yi3•��f �� CO�E I INSPECTION TYPE 206 Finel Mechenicel 208 Final Plumbing 210 Flnal Electdcel 212 Finel Fire Preventlon 220 Finel Planning Approvel 222 Flnel Sile 250 Final Building/Occupency CAg I�15 • Insul'ation'Certific2 �68 24'�' STR��T �os� h ��S i{ Numbcr and Sueet C��y �R�Nr,,�_ �N l�- �3 Counry Subdivision L,oc \unber Description of Installation ROOF Material Thickness (inches) Brand Narne Thermal Resistance (R-Value) CEILING +�- / Batt or Blanket iype ��-YW Brand Name OW E/� 5 C D� A�I N l� 'Il�ickness (inches) �j�� Thertnal Resistance (R-Value) �� l.00se Fill Type Brand Yame ' Contractor's minimum installed weighUf[' Ib Minimum thickness inches Manufactwer's inscalled Weight per square (ooc co acheive Thermal Resistance (R-Value) EXTERIOR WALL Ma�eria] ��i-%% BrandNarne OW�NJ CD�NI/1��j Thickncss (inches) 3' '� 'Ihermal Resistance (R-Value) � � RAISED FLOOR Aiaterial � 'Ihickness (inches) � 1 5LA6 FLOOR Material "]"hickness (inches) Wid�tt (inches) _ FOUNDATION WALL Material Thicknc55 (inches) Declaration Brand Name Thermal Resistance (R-Value) Brand Narne Thcrmal Resistance (R-Value) Brand Name "Ihermal Resistance (R-Value) I hereby cenify that the abo�e insulation w3s ins[alled in the building at the above location in confomance wi�� the current Building Energy Efficiency St�nda;ds for new residential buildings con[ained in Tide 24 of the CaliComia.4dministrative Code. FM�RGON CUNrj% � ("L�'�[U�� concaa c� � �de;� � JJti t.0 7N . �ignatureandTide � S� NM�Q �N�<A-r�oN SubConvactor (Guulaiion lnstalle: ) Signa[ure and Title � ��15 � Compliwce Fnrms J�uary ]. 1995 ��'fl:�!�r - y �`�'� r •..:_:� ; : � CITY OF COSTA MESA �, BUILDING DIY/SION DEVELOPMENT SEflVICES DEPARTMENT PERMIT PE�A fR I�NUMBER M98-00468 � (714) 754-5273 • Fax (714) 754-4856 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: 768 W 20TH ST B Parcel Nunmber: 93778021 Applicant: Address: owner: KNIGHT, FLORICE MC CLAIR, BARBARA A MECHANICAL PERMIT Address: 1809 PENINSULA PL COSTA MESA,CA Contrector. EMERCOM CONSTRUCTION Address: 2906 E CORONADO ST ANAHEIM.CA ArchlEng: Address: ISSUE FEE Inst FAU <700 k B7U Inst FAU >700 k BTU Repair / Alt CoolinglHeal Inst I Rep. Recess Wall Htr Re(rig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood w/Mech Exhaust VAV Boz Vent Fan / Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm AirHandlers> 10000cfm Floor Furnace Floor or Suspend Heater Phone: Zip: Phone: 2ip: 92627 Phane: 714-630-9615 - Zip: 92806 � License: 525903 Phone: Zip: license: SCOPE OF PERMIT REPLACE F.A.U.. REF: 898-00767 $22.00 $1325 $0.00 $0.00 50.00 $0.00 so.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 so.00 $0.00 Quantity FEE SUMMARY Repair / Alt Absorbtion Unit Repair / Alt Refrigeration Unit Ventillation System Evaporative Cooler Commercia l I ncinerato r Domestic Incinerator Qompressors / Absomtion Svstems Upto3hp/t00kBTU 3To15hp/500kBTU 15 To 30 hp / 1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Uplo3hp 3To15hp 15 to 30 hp 30 to 50 hp Over 50 hp Other Mechanical Fee Investigation Fee Plan Check Fee Reinspection Fee Status: ISSUED Applled: 10/12/1998 Issued: 10/12/1998 Quantity 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 so.00 0 50.00 $0.00 $0.00 EXPIRATION: This pertnit shall a�tomatically expire and become vold if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required Inepeetiona end flnal epproval must be obtainad. Failure to obtain inspections and final approval will resufl in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5628 , WORKERS' COMPENSATION DECLAHA710N: I hareby affirtn under penalry oi per�ury one at the follovring declaretions: ❑ I have end will melntein e certtlicate of cansent to sell-Insure lor workers' compensatlon, es proviaetl tor Dy sedlan 3700 oi ihe LeDor Coda, far tha perlortnence ot the work for which this p8rtnit Is Issued. ❑ I have entl will meintein workere' compensation insurance, es requirea by section 3700 of the Lebor Code, tor the peAortnence of the wwk lor whkh this pertnit b issuetl. � My workers' compensetion Insurence cartier antl poiiq number are: Cartier Poliry Numbar. (Thls section neetl nof be cwnp/eted ll Ne permit is velued ef one huntlred tlollers ($100) or less.) ❑ I cenity ihat In the pertortnance oi the work for which t�is pertnit Is issued, I shell not employ any person In eny manner ao as to become sublec� b �hu workers' compensetion laws of Calllomie, end agree that if I shoultl become subJect to t�e warkers' compensetlon pmdsions af Sedlan 3700 of Ihe Lebor Cade, I shell torthwlth comply with Ihese provisions. AppllcantSignature: ,Zilw- � �� Dato: / o —i z — /� WARNINO: FAILURE TO SECURE WORKE0.S' CDMPENSATION COVEMGE IS UNLAWFUL AND SIV�LL SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES M!D CML FlNES UP TO IXJE HUNDFE� TIqUSAND OOLLARE (5100,000), IN ADDITION TO THE 00.ST OF COMPENSATION, DMMOES AS PROVIDED FOR IN SECTION 31080F THE UBOR CODE, IMEREST. AND ATTORNEYS FEES. LICENSED CONTRACTORS OECLARATION: I hereby eMrtn that I em licensetl under proNslons ol Chapter 9(commencing with Sectlon 7000j ot Oh�islon 3 oi ihe Buslneu entl Projessions CoOe, entl my Ilcense Is In full lorce end ettect. uc. a S 7- S 9�� Class a �S Contrectofs Slgneture: ��-��r Dato: � o�/ T� —) CONSTRUCTION LENDING AGENCY: ❑ I hereby attirtn Nat there is e conslrucqon lentling egency tor the peAortnance of the work far which Ihis permlt Is Issuetl. (Sec. 3097, Civll Cotle). . Lentler's Neme: Lentlefs Atltlress: Signeture: Date: OWNER-BUILDER DECLARATONS: I hereby etfirtn lhat under penelry 01 perjury Ihet 1 flm EXEMP7 FROM 7XE CONTRACTORS LICENSE LAW for t�e followinp reeson (Sec. 7031.5, BuSiness end PrOfassions Code: Any cly or counry w�ic� requlres a pertnit to consWct, elter, Improve, tlamolis�, or reDalr any sWCNre, pdor to Its Issuance, also requires tha epplicant tor suc� pertnit to tile e signed statement Uet �e w ahe is Ilcense0 pursuant to the provisions ot the Contrectors License Law (Chapter 9(commencing with SecUon 7000) of Division 3 ot the Busineu and Pmfessions Cotle) or Ihat he or sha is eaempt Iheretmm and ihe besis for the alleged exemption. Any vlolatlon of Section 7031.5 by any epplicant tor e permit sub�ects ihe epplicant ro a cMl penalry ol not rtwre than five �unAreA dollars (5500).): � I, es ov.ner ol the properry, or my employeas with wages as their sole campensatlan, WILL DO TME WORK, and Ihe structure is not intended w otlered tor sele (Sec. 7044, Business antl Professians Cade: The Coniredors Llcense Law tloes not eppry Io an owner of property w�o bulltls or Improves thereon, and who does such work himsell or herself or Ihrough his or �er own employaes, pravitled Ihet such ImprovemenLs ere not intended or oHered for sale. It, however, the builtling or Improvement Is sold within one year ot comple6on, Ihe owner-builtler will have the burtlen ot proving thet he or she tlid not �u110 or Improve tor Ourpose of saleJ. ❑ I, as owner ot tha property, am EXCWSIVELY CONTRAC7ING WITH LICENSED CONTHACTORS to construcl t�e O�ol�t (Sea 7044, Business flnd Professions Cotle: The contractors License Law does not appty to an owner of propeny who bullds or improves thereon, and who conirecis tor such pmject wlth a coniractor(s) license pursuant to the Contractors License Lews.). ❑ I am exempt under sea Buslness and Professions Code for this reason: Signature: Date: Owner 1� verifieG by dnvels license. ❑ Yes 0 No Dnvefs License Na. Expires: Vedficatlon of Ownershlp by (type of documem, i.e. - pmperry te�c bill or deetl): DIVISION OF INDUSTRIAL SAFETY PERMR CER7IFICATON: ❑ I hereby certily that no excevation INe (5) or more feet in depU into which a person is required to descen0. will be made In connection with work euthadzetl by t�is permN, end that no buildinB structure, scaHdEing, lalsework, or demdiUon or dismflntling thereol, wlll ba more then thirty-six (36) leet high. (Chap. 3.2, Grp 2, An 2, Sec. 341, Title 8, Califomla Atlministretive Code). ❑ As owneo-bulltler, I wlll not empby enyone to tlo work whic� woultl reqWre e pertnit trom the Division ot Inausttlel Setery, es notetl ebove, unless such person hes a permit to Ao such work ham the diNsion. Signature: Date: Dlvision of Industrial Sefery Parmit Number: CERTIFlCATE OF COMPLIANCE AND AUTHORQATION OF ENTFiY: I certify untler penalry ot perjury thei I heve �eatl t�is applicetlon and slate thet the iniartnetion given is correct. I egree to comply wlth all stete lews end ciry ordinances relating to builtling construction, end authorize representatives of Ihe Ciry ot Cosla Mesa to enter upon t�e aDove-descnbetl property tor inspeciion purposes. I egree not to occupy or allow accupenty ol eny Duliding euthorized by thls permit until final inspadion. Si�g�netu� el ner s Dete /o �/2—�� AnNOr AUViorizetl Appiiwnt Date C�UE �, INSiECTIONTYPE 1816 Flxed System Finel Fire PrevenUon 1288 Pool Spe Flnal 200 Flnal RaRoof 201 Finel BIxWRetelning Well 202 203 204 24a8Je Flnel Fectory Fire Place Final Sign Finel Demalitlon eeg u�ev GOOE I INSPEC110N TYPE 206 Fnel Mechanicel 20B Flnel Plumbing 210 Final Electdcal 212 Finel Fire Praventlon 220 Final Plenninp Approvel 222 Final Site 250 Finel Bullding/OccuDency /O PJ (714) 754-5273 • Fax (714) 754-4856 Job Address: 768 W 20TH ST Suite No B Vicinity: Parcel Nunmber: 93778021 CITY OF COSTA MESA ' BIIILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT Applicant: MC CLAIR, BARBARA A Address: Owner: MC CLAIR, BARBARA A Address 1809 PENINSULA PL COSTA MESA,CA PLUMBING PERMIT Contractor. EMERCOM CONSTRUCTION Address: 2906 E CORONADO ST ANAHEIM,CA ArchlEng: Address: ISSUE FEE BackFlow irrigation BackFlow Preventer Bathtub Clanfier System Connect (Ice,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Orinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-0 outlets) Gas (Over a outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT 522.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 $0.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 Sb.00 50.00 50.00 Qn 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Phone: Zip: Phone: Zip: 92627 Phone: 714-630-9615 Zip: 92806 license: 525903 Phone: Zip: License: SCOPE OF PERMIT PLUMB. RELATED TO FIRE REAPIR. FEE SUMMARY AMT Laundry Tub I Washer 50.00 Landscape Irrigation E0.00 P-Trap E0.00 Pressure Regulator $0.00 Process Piping (per 10 fl) $0.00 Receptors 50.00 Septic Tank $0.00 Sewer Cap for Demo $0.00 SewerConnect $0.00 Sewer Private Line 50.00 Shower $0.00 Sink, bar $0.00 Sink, wmmercial $0.00 Sink, Floor $0.00 Sink, kitchen $8.75 Sink, service/mop 50.00 Spa (private) $0.00 Spa (public) $0.00 oTv 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 COMMENTS / SPECIAL CONDITIONS � P98-00341 '/ PERMIT NUMBER 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: OSI04/1998 Issued: OSlU4l1998 SumpPump Swimming Pool Trep Primer Urinal Vacuum Brkr Bkflow(1�4) Vaeuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping (Inst or Rep.) Water Re-pipe Water Servica Water Softener OTHER VIOLATION PLAN CHECK REINSPECTION AMT 50.00 so.00 E0.00 $0.00 $0.00 50.00 E77.50 $0.00 $0.00 E17.50 50.00 50.00 50.00 50.00 So.00 50.00 50.00 50.00 $0.00 TOTAL CALCULATED FEES: $65.75 (i� �N 0 a 0 0 0 0 2 0 0 2 0 0 0 0 0 0 EXPIRA710N: This permit shall automalically expire and become void II work is not commenced within 780 days, or if work is suspended or abandoned for a perlod of 180 days. INSPECTIONS: In order for the work authorized under ihis pertni� to be considered legal, such work must comply with all applicable codes, antl all requlred Inspeetiona end final epp�ovel must be obtained. Failure to obtain Inspections and final epproval will result In ihe expiration of this permit. FOH INSPECTIONS CALL: (714) 754-5828 / r / WORKERS' COMVENSATION DECLARpTION: I hereby ettirm under penalry ot perJury one ot the iWlowing tleGarelions: ❑ I heve end wlll malntein e ceNilcatg oi consent to setl-Insure for warkers' compensetlon, as proNtled for by section 3�00 of the Lebor Code, for the pertormance of the �work for wNch Uis pertnfl Is Issue4 1 heve arM will meinteln workers' oanpensatbn insurance, as raquiretl by sec6on 3700 of Ihe lalwr Coda. tw Ne pertortnance o1 ihe vroAc for whkh Nis pertnit Is issued. My wa7�7 e,_rs' c�om�pne�nsatlon Insurence carrier end poli�y number are: �D `�q I Cartier. Y�.l-�7 � H h Policy Num�er. one hundrod dollars ($100) orless.) � ❑ I certl t�at in the peAormance ol Ne work for which this mtli is iuued, I shall not em lo an fy pe p y y peraon In any menner so es to bacome sut�ect to the workers' compensatlon lews ot le, end gr t it I s�aultl become sublect to t�e workers' wmpenselion provisions af Sectian 3700 0l the Lebor Code, I shell torthwith comply with Ihes slo . j �'�$ Applicent SIBnelure: �� Dete: r � WARNINO: FAILURE TO SECURE RS' cOMPENS/TION COVERACaE IS UNLAW FUL AND SHPLL SUBJECf AN EMPLOYER TO CRIMINAL PENALTIES AND qVIL FlNES UP TO ONE HUNDRED TVIOUSANO DOLURE (Ef 00.U00), IN ADOrt10N TO TME WST OF OOf.IPENSATION, DMMGES AS PROVI�ED FOR IN SEGTON ]]OB OF THE IABOfi WDE, INfER�$T, AND ATTORNEY$ FEES. LICENSED CONTRACTORS DECLARATION: I hereby eflirtn that 1 em Ilcensed under proWsi< lorce entl eNect Llc. p_-----�[,� ConirectofsSipneWre: f Chapter 9(wmmencing with SecNon 7000) of Divlslon 3 of the 8usiness ntl Professlons Cotle, antl my Ilcense Is In lull Class q � � Date: 'f-3 � a1 Q CONSTRUCTION LENDING AGENCV: ' ❑ I hereby eMirtn thel there is a constructlon lending egency for Ihe pedortnance ot the work for which this pertnit is issued. (Sec. 3097, CMI Catle). Lendels Neme: LenAefa Address: SigneNre: Date: OWNER-BUILOER DECLARATONS: 1 hereGy ettirtn thet under penelry of per�4ry that I em E%EMPT FROM THE CONTRAC70RS LICENSE LAW br the follw+ing reason (Sec. 7031.5, Buslness entl Pmfessions Cotle: Any ciry or counry whicli requlres B pertnit to conswM, fllter, Imprwe, demdish, or repeir eny sW cNre, pdor to 145 issuance, elw reQuires the applltani br such pertnit b flle e sl8ned stetement thet he or she Is Iicensetl pursuant to Ne provisions of Ihe Contrectors LJcense Lew (Chapier 9(commendng wlth Secllon 7000) ot Divislon 3 of the Business endProfessions Code) or Ihel he or she is exempt theretrom and the basls for t�e elleged exemplion. Any violation af Sedion 7031.5 by eny applicant for e permit subJects the epplicent to e dvil penalry of nat more ihen five hundred dollars (5500).): - � . ,, ❑ I, es owner of t�e properry, or my Bmployees with wages as thair sole compensatlon, WILL DO TME WORK, entl Ihe strudura is not Intentletl or oHeretl for sele (Sec. 7044, Business entl Prateulons Cotle: The Contraaors License Lew tloes not epPN �o en owner of properry who builds or improves Ihereon, and who daes suU work himsetl or �erself or through hls or her own employees, proNded that suc� Improvements are not Intended or oflered for sale. N, however, the bulltling or improvement Is so10 within one yeer oi campletloq the owner-builder vnll have tha burden ot proving thet he or s�e tlitl not �uiltl or improve tor puryose of sale.). ❑ I, es owner of t�e property, flm EXCLUSIVELY CON7FiACTNG WRH LICENSED CON7RAC70RS �o wnstruct the project (Sec. 7044, Business antl Professions Cotle: The coNractors License Lew does not apply to en owner ot properry who bulltls or improves ihereon, end who contracts for such proiect wit� e contrector(s) license pursuant to the Contreciors License Lews.). ❑ I em e:empl untler sec. Business and Protessions Code for t�is reason: Signature: Date: Owner ID verifietl by drivers license. ❑ Yes ❑ No Dnvers License No. EaD�res: Verlfication ot Ownership by (rype oi document, I.e. - D�operry la< bill or deed): DIVISION OF INDUSTRIAL SAFETY PQRMR CERTiFICATION: . ❑ I here6y certity that no e:cavetlon INe (5) or more leet in depth into which e person Is requlretl to descend, will be made in conneclbn wlth work eutMrizetl by Ihis pertnit, antl thel no bu(W(n8 strudure, sceHdtling, falsawork, or tlemd(t(rn or Nsmantl(ng Ihereof, w(II be more then ihirry-s& (36} teet hfgh. (Chep. 32, Grp 2, An 2, Sec. 341, Ttle 8, Celitomie AtlmlNsVetive CaEej. ❑ Ps owner�DuilEer, I vAll not empfoy enyone to tlo work which xroWd requlre e permil trom Ne DlNsion ol Industrfal Sefery, es noted ebove, unless such person hes a pertnit to do suU work irom t�e tlMsbn. Signeture: Data: Division of IndusMal Sefery Permit Numqer. CERTIFlCATE OF COMPLIANCE AND qUfHOROA710N OF ENTHV: I certity under penalty ol perjury Iha� I heve read this application and state t�et the intormetlon given is correct. I egree to comply with all stete lews and ciry ordinflnces relating Io buil0ing construction, entl euthorize representatives of the Ciry oi Costa Mesa to enter upon the eDovadescAbetl properry tor Inspection puryoses. l egree not to occupy or ellow occupanty oi any 6uilding authoriied Dy Ihis pertnit until linal Inspeclion. SigneWre Of Legel Ownar(s) MNOr AulhoAzed Applicant LLOE t. IxSPECTIONME 7816 Faed System Finnl Flre Preve�tlon 7286 Pad Spa Final 200 Flnal RaRoof 201 Finel BIxWReteining Well 202 Finel Fectory Fire Place 203 Final Sign 200 Final Demolltlon 2468J8 QATi It�d�d COUE I INSPECTION TYPE 208 Flnel Mechenicel 208 Finel PlumDinp 270 Final ElectAcel 212 Finel Fire Prevention 220 Finel Plenninp Approvel 222 Final SIIe 250 Finel BulltlingiOccupency Date �� /� � CITY OF COSTA MESA � -� BUILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT X E98-00326 � PERMIT NUMBER (714) 754-5273 • Fax (774) 754-4856 77 FAIR ORIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber: ApplicanC Address: Owner: Address Contractor Address: Arch / Eng : Address: ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 7000a Service over 1000a Motors to 1 hp Motore to 10hp Motors to SOhp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole ELECTRICAL PERMIT 768 20TH ST B 93778021 COLON.BRAD MC CLAIR, BARBARA A 1809 PENINSULA PL COSTA MESA,CA EMERCOM CONSTRUCTION 2906 E CORONADO ST ANAHEIM,CA $22.00 50.00 $0.00 50.00 50.00 $0.00 56.00 523.25 $10.00 $0.00 50.00 50.00 50.00 $0.00 50.00 so.00 50.00 50.00 $0.00 $0.00 $27.25 $0.00 $0.00 $0.00 $0.00 Phone: Zip Phone: Zip: 92627 Phone: �714-630.9615 Zip: 92806 License:525903' � Phone: Zip License: SCOPE OF PERMIT ELECTRICAL REIATED TO FIRE REAPIR. Quantity 0 0 0 6 25 10 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway I100 ft Standing Section Misc Electrical Equipment Transtormers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misa Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Imestigafion Fee Plan Check Fee Reinspection Fee Status: ISSUED �/' Applied: OSI04/1998 Issued: OSI04/1998 Quantity ao.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES E88.50 COMMENTS I SPECIAL CONDITIONS EXPIRA710N: This permit shall automatically expire and become void if work is not commanced within 180 days, or if work is suspended or abandoned for a period of 780 days. INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred inapectiona end (inal approval must be obtained. Failure to obtain inspec�ions and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 WORKERS' COMPENSATION DECLARATION: � I hereby affirtn under penalry of perjury one ot Ihe following tleGeretions: � ❑ I have flnd wlll meinteln e ceniticale of consenl to Setl-Insure for warkers' compensatlon, e9 provitled tor by 6ectlon 3700 oi t�e Lebor Code, for Ihe pedartnance ot the work }or which lhis pertnil i5 i55uetl. � I heve enG wlll maintain workers' canpensatian insurance, es requireA by section 3700 of ihe Labor Code, tor ihe peAormance of Ne work tor which Mis permit is issued. / o cers' compensation Insurence certier end palicy numDer ere: �D,� �� , C rtler: \h Policy Numbar: Is sec i neetl no be mpfeted /l Me permit Is ve/ued af one huntlred dollars ($100J or Ie55.J cendy ihat In t�e peAormanca of the work for which this pertnit is issued, I shall not employ any person in eny manner so as to become subleci to Ihe workere' compensetion laws ot C' Ia, a tl a that II I shoultl become subJect to the workers' compensetion provislons of Sectlon 3700 of Ihe Lebor Cotle, I shall fort�wit� comply with these sio . � y �� Applicent Signeture: Date: �f WAFNINQ: FAILURE TO $ECURE R RS' C0IAPENSATIIXJ COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYER TO CFIMINAL PENALTIE$ AND CIVIL FlNES UP TOONE HUNDRED T/KK15AND DOILARE (5100.000). ADOrt10N TO THE WST OF COMPENSATION, DAMAGES AS PflOVIDED FOR IN SECiION 3]OB OF THE LABIXi CODE, IMEREST, AND ATiORNE1^S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm that I am lii lorce end aHect. Lic. a_ Contrectofs Signatuie:'_ ot Chepter 9(commencing with Section 7000) of Divislon 3 of Ihe Business�iend Professions Cotle, and my Ilcense is In tull Class p 1� � Date: `�"� 1i I ��' - H4 �I CONSTRUCTION LENDING AGENCY: ❑ I hereby affirtn that thera Is e consiruction lending agency for tha pertortnanca of Ihe work for which ihis pertnit is issued. (Sec. 3097, Civll Code). Lender's Name: Lendefs Address: Signature: Date: OWNER-BUILDER DECLARA710NS: . I �ereby ettirm t�et under penalry of per�ury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW for t�e fallowing reeson (Sec. 7031.5, Business end Professions Code: Any ciry or counry which requlres e pertnit to construct, elter, improve, tlemolish, or repalr eny structure, prior to Its issuance, elso requlres the appliwnt for such permit to file e signed stetement ihet he or sha Is licensetl pursuant ro the provisions of the Contractors License Lew (Chepter 9(commencing with Section 7000) oi Division 3 ot the Business ena Professions Code) or �hat he or she is exempt Iherefrom end ihe basis for the alleged exemption. Any vlolation ol Section 7031.5 by eny applicant for e permlt subJecis the epplicant to a clvil penalry oi not mora ihan five hundred dollars ($500).): ❑ I, es owner at the properry, or my employees with weges es Iheir sole compensation, WILL DO THE WORK, and Ihe structure is not intentled or oftered for sale (Sec. 7044, Business end Pmfessions Code: The GOMrac�ors License Lew does not appy to an owner oi properry who builds or improves thareon, antl w�o tloes such work himsetl or herself or Ihrough his or her ov,n employees, providetl that such improvements ere not intended or oHeretl for sale. If, however, ihe bullding or improvement is soltl within one year oi completlon, the owneo-builder will have the �urtlen ot proving thet he or she tlitl not bulltl or Improve for purpose of sale.). ❑ I, es owner of iha property, am E%CWSIVELY CON7RACTING WfTH LICENSED CONTRACTORS �o construct the prqect (Sec. 7044, Business antl Professions Coda: The contrectore License Ww does noi appty to an owner of property who builds or improves thereon, and who coniracts for such pro�ect with e crontrectoqs) license pursuant to the Contractors License Lews.). ❑ I am ezempt under sec. Business and Professions Code for this reason: Signeture: DeIB: Owner ID vBniied by drivefs liCense. ❑ Ves ❑ No OrivetS License No. Verificatlon of Ownership by (rype oi document, i.e. - property tex bill or deed): DIVISION OF INDUSTRIAL SAFEfV PERMR CERTIFICA710N: Expires: ❑ I hereby certlly that no excavetlon five (5) or more leet in depth into whic� e person Is'requlred to tlescanQ wlll be matle In connection with wark eutharizetl by this permiQ entl that no building siructure, scattolding, lelsework, or demolition or dismantling thareoi, will be more ihen thirty-six (36) feat high. (Chap. 32, Grp 2, Art 2, Sec. 341, Titla B, Calllomle AtlminisVeiNe Code). ❑ As owner-bulltler, I wlll not employ enyone to tlo work which would requlre a permit trom Ihe Dlvislon of IndusMal Sefery, es notad above, unless such person hes a permit to do such work from the division. Signeture: Date: Dlvlslon of Industdal Sefery Permit Number. CERTIFlCATE OF COMPLJANCE AND AIJfHOR6A710N OF ENfAY: I cehity under penalry of perjury ihat I heve read �his epplication and slete that Ihe information given is correct I egree to compty with elLstete lews end ciry ordinences relating �o building construction, entl authodze representetives ot the Ciry of Costa Mesa to enter upon the ,a6ove-described properry for inspection puryoses. I agrea not to occupy or allow occupency ot eny buildinp amhodzed by this pertnit until fnal Inspection. Signature OI Legel Owner(s) CODE,I INSFECTONTYPE 1616 Fixed System Finel Fire Prevention 1268 Pool Spe Finel 200 Flnel Re-Rool 201 Final 81ocWReteining Wall 202 Finel Fectory Fire Place 203 Final Sign 204 Final Demolition 2468d6 �jE ��$ f�QpE� INSPELTIONTYPE 206 Finel Mechenicel 20B Flnal Plumbing 2/0 Final Elecidcal 212 Final Fire Prevention 220 Flnel Plenning Approval 222 Finel Site 250 Finel Bulltling/Occupency �1731� •/FJ� • Ciii�I1R m � �oonesSLF em�owo: 7 6 8 W 2 0 TH S T ONNER9N.WEIFqlOYM: SOSEOH GRAIG .noncsa 768 W �10TH ST tiC MPL.IWN10 AOOPE59: ANCXIfECT OP pMdlEEq: 1RCIL OP F110.'4 AWRE55: coxm�crarewu�: EMERCON cwrm�ctarsyuiao 2 9 0 6 E CONSTRUCTION INC CORONADO ST uxr: C CZTY OF COST11 MESA - HUILDING PERMIT PERMIT NO: B 087730 PLAN CHECK N0: N CONSTRUCTION TYPE: V-N PERMIT TYPE: STR ua w: UNT: (719)630-9615 �s:ANAHEIM CA ucxo, 525903 9 2 8 0 6 ,,,,..,: LICENSED COMPICTON4 DECL�N�TION: I hrsby Mfm udar pnNy d pxpvy Net I un li�pwed ivdx prwiebn� d GMqm B Immmancna ren sanm �000l a oi.eon � d ms a�ev�w .d vm�wdw coee. ena mr coens. u m he nx. ena aroe. c.No.:061714 uc.cuss:B uc.No.: 525903 CP: 0/00 Dma: ' Cmhetloc n euaoen oecun�noN: i iw.nv ��.w.. v�v a o«inv �w i.m �o ��ne eom�ea. u��.. �w i« me IOGoa'n0 �wm lSWion ]W IS Buxie�s rd PMwiav Cods: AnY W a mWY Wid� �pWw � D�C to me0ud. adr.'vnVwe. demdaR a repu any ahuclun, p'v b b ewenoe, e6o nQiim tM epplicw la wch ponN lo fJs e qproA �W ema� Ne� hs a�M A i��e w�� w ub n�• a u» ca.�m. u�+. �.. Wn.a« e ��«�v .an sw� �wo� a o::o� a a in. B�ev eed Prdev"vn Codal a thu Ir a ahs u eaemq ilwelmm eM �M beaa la tlr ehWd mamqion. My volmion d Seaun 1W t.s b/ em/ eppGum t« e permG aulp¢� iM appficw �o a dN panetly d nd mm Ihn �wa MVM�ad EaYen �SSODD. � I.moxiwrdtMpopenyamywnqqee�xthwps�otMiedsmmpsueuon.r�AotMwvkendNeMalunenalitlendsd «a11aeE br aeb ISectun lOt,. eutinanend Pmleeaiom Cods: TheCauream liisw leMdoo m� ewNto en ownerd pioperiy wAo ddd� or inP�+Ihenan. end Wn doa �ud� wvk h'vn41 a henN a Ihaq� lie a!s wm mplv�ew, pa'ded IIW wch impwamema ve �u i�ueidM a Wlxad la eW. tl. howwer. tM doY'vp a inp�w�matl u wld yilhn ana ymr d aompbtion. tlr ownerhnlfa wY haro Ilia bvdsi d pwinp M a Yr 6E nd ddd a inpraa la tM p�vpoee d ub). ❑ �. e. an« w in. uw«n..m e*aeiwlr �+�a:v xan c�...a wnn.ca. b mmw m. wq.d (swion 1a.. ai.:m. md vmw�an. coee: rns com�.eu. ��e. �.. a� m.wN a m, oww a woo�r •ro ewa. v inm.w« awem .�a .+w cono-acta la vA propa+ rM e mv�eeNa) fcmnE P� w Ne Caarma� liraua lawl. ❑ I un azemq ivkx Ss�a�: B. 8 P.C.. br Nu num: Dme: Oww: tlW I em erms d ad We�wk Na ipWemw d Glimd� HseM rd WONKEH'S COMPENSATION DKWIATION: I IwWy efbm utl�r pwtly d prjry aw d tM labwinp Atluebm: p �nev.enewme�.en.�«flut.Hm,..n�n..n:mw.ror.w�..�ownpa�bn...ao.b.ee«Mswianalaoain.lnEor COG. la iM pMmiwKa d Ns wak I> whirA Nu pemn e MuM. � i n....�d w�e:a.:� �.o�k..� mmo.�o�, u.��oe. o nmm.a M s.aian aroo a u,. �ee« coe.. w m. o�� a in. W��p��0�tl��PA(°�JLA�INS��°�� EXPIRES c.m«: va�,w�w � i��7 O1/11/99 (iho ssaim nsd nar M ampMd r �Iw P�1 e b w NMM Eofen I%'�aol n ImJ � � dl1/`/ �Il1 YI IfM �MMflt! 0� 1�N WIX1{ �J1IMIICII � DMTO b�. � VI00 M MI�O/ NIy pllbll �II NI)' IIINIIM p tl 10 bsconie wbpo lo IM wkrY wnpsuqim lew+ d Ca4mu, end �ys CW i I 4wM Eeoonw eAjsq �o �M wFa�' mro Uon 0�'�ioro M�y�j��cy'(pna100 d IM leCv CoM. I/Wy]�M� M'tl�li m�my��//w(p�htiv�' I�wIvo/�/(��A.�!��//� e: � � l V Mdium: J'�///•IANAU�% l�Y (' N am : HNun ro ueun wwF�n' conpru�tlon rovrp� b uWrNl, �ntl �IWI �L/�et du�olyw ro eNm�nl pwltlw �n0 vll �� up b om �uMM tlouuM Sa/Yn (JIOqOWA M Wifltlon b M� cw! ol ronpw�utbM1 Gm�p� �� povWM br In m]]OG ol tln l�Eor Ca6. IMwu4 �d �tlnnHy'� fw CON9TFUCiION LENDINO �QENCY: I IaWy Mum wWw psWy d per'�ury �Au tAss b e odut�ion Mn6rp epency br IM parbrmeMe q tM xak M xNitl� 1!m pmmY u ewed (`�� . CM. CI. LENDER'S NAYE: . LENDEN'S MOFE54: I cerlity ihm I Ama �aed Na eppl'ctlian md aeu �Am tM ebwa "udomution u mnq. I epise �o oomp�y wuA eA cry mq oouruy ad'v�mioe� � arM a�ele 19x9 AIB�kp b buYdiq WM1W WIOn BId IMrOby GNhpR! e0pltM��GfI`Wy� d� IAhG G1y lO M�M U{��\� iM eboue�menlianed poperry = IIX Ilq��qn WfPOM9. V v ..� e� 1 �1 \ i �' \ � � � ` � Dua: �—1 "' ~ • !/ (St5ta6.WP) While-BuikipdSelety:Oree�iFle:Cenery-Appfuni;Fnk-Rsvenw:Oddenm�Nesm JOB DESCRIPTION : UEMOLISH FIRE DAMAGED DRYWALL, ROOF ��;�� bUJ�� PERM NO: B 087730 GOVT: N SUPP: N SQ FT: PURPOSE: DEM CLAIM VALUE: 1,500.00 CALC-VALUE: 1,000.00 GROUP OCC: R-1 / COMMENTS: � ;t� MR�Ttr 4�UIwm **x-*+�***�t* ****�tx�***�***�r**+��**+�.�**x��r*�r****x�+�ftit�t��t*+t*+t+�+�+��tx�+t**�x��x�*�r+r+�****�+�** Z O N I N G R E Q U I R' E M E N 1' S S E T H 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: 93778022 ZNE: REF NO;�.. PLANNING NOTES> > 1f iE'k iF iE fE iE iE iE iE iF fE iE 3E 1E iE 1E iE 1ElE iElE'lElE iE 1E 3E IE if iE if if iE 1t iE if iE if' iE �E iE 3E iE iE fE 1E �)E'1F if if iE if 1f iF 1f'1F'1E fE �1E')h jF i(� iE iElF i't iE iE��7t"1E �1E iE if if iE if iE i(-iE D E V E L O P M E N T S E R V I C E 5 R E Q U I R E M E N^T S ✓ ZONING APPROVED BY DATE: �. BUILDING APPROVED BY : DATE: � APPLZCATZON ZSSUED BY: DATE: � 8 ***ir****r�t**x��e*�*�+t��r . x�**+t+��t*�r** ' ��** LEGALZZATION:N F E E S U M M A R Y STRUCTURAL oEGMENT:Y BLDG PMT PLUMBING ELECT`RIC MECHANIC FIRE SMIP/RES GRADING PERMIT 34.75 . SMIP/NON-RES PLAN .50 ISSU£ FEE � bUILDING-DIV-> PERMIT ISSUE PLAII�--CHECK TOTAL PAID DUE TOTALS----> 35.25 0.00 , 0.00 35.25 35.Z5 .00 AEVENUE DIVISION TOTALS--> COLLECTED: 35.25 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHP.NIC FIRE SMIP/TOT GRADING PLAN-CHECK 34.75 . .50 fE 1F if 1f if 1! iE if if !k!E IE iE 1E 1E k!E 1E iF iE if 1E iE if !E !F iE ik �f 3E ik if iE �f 1E 1E ff 16 k iE iE �E iE ii iE iF if iF iE 1E �f iE jk iE �1f iF 1E 1k k*�E if 1k ik 1f ff !E ie iE it if 1E iF iElE iE if ff 3f Z N D I V I D U A L �F E E B R E A K D O W N TYPE QTY D E S C A I P T I O N� UNIT COST TOTAL COST r NO FEES WERE SELECTED FOR THIS PERMIT I� � 04-IS-199B/�2:23 f,l/53�.25 fiCPTN:31-.':"t22,17 PEi'il`1IT e 0�7730 CQNSTRUCTION AND PIANNtNG ti APPROVALS Permit #� 1, Temporary Electrical Service or Pole 2. Soil Pipe-Undrgrnd. 3, Electrical Conduit UtilitY-Undrgmd. 4. Electrical Conduit-Undrgrnd. , 5. Steel Reinforcement 6. Electrical UFER Grnd. 7. Footings 8. Foundation 9. Water Pipe�Undrgrnd. 10. Struciural Floo� Svstem 11. Property Sewer Line & House Connection 12. Sewer Cap 73. fioof Drains 14. Rough Plumbin9 15. Rough Electrical-Conduit 76. Rough Electric�'1lring 77. Rough Wiring 5ign 78. Rough ElectricEl�T Bar Ceiling 19. Rough Heating & Air Conditioning 20. Rough Factory Fireplace 21. Ducts, in Structure � 22. Ducis, Ventilating 23. Gas Pipe•Rough & Test 24. Roof Framing 25. Roof Sheathing - 26. T-Bar Ceiling (5tructural) & Monocoat 27. Frame and Flashing 28. Lathing & Siding - 29. Insulation 30. Drywall Nailing _ 31. Plaster Brown Coat 32. Electrica� Power Meter�Final 33. Final Electric 34. Final Heating & Air Conditioning 35. Fina� Gas Pipe:Tes[ 36. Hood or CanopV 37. Finai Pactory Fireplace 38. Final Plumbing _ 39. Water Service•F�nal 40. Gas Service-Final 41. So�ar pomestic•Final 42. Backflow Preventer 43. Backflow �rrigation 44. Landscape IrriAation System 45. Sound Attenu8tion 46. Handicap Regu�ations 47. FINAL STRUCTURE & BUILDING 46. FINAL PIANNING 49. Electric Release to Edison 50. Gas Felea4e to Southern California Gas Date Date � Inspector POOI & SVA APPROVALS Permit � ' � _ 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms � 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVALTOCOVEfl•GUNITE 58, Electrical Conduit�Undrgrnd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Llnes, P�1rap, O Undrgrnd. 61. APPROVAL TO DECK 62. Backwash & Receptor-Final 63, Heater & Vent�Final 64. Plumbing SYstem � Final 65. Electrical-Final 66. Solar System-Final 67. Fencin9 & Access Aporoval- 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSF�INAL FIRE DEPT. REQUIREMENT APPROVALS Permit # 70. Underground Hydro 71. ProductPipin90Gas OOiI 72. Underground Flush 73. Undergrnd 74. Overhead Hydro 75. Dry Chemical Tank OGas OOiI Da[e � Inspector 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED Notes: �/-Ll -2�� ✓�, ua7�' Co.. ` n r'mo�eu�w+n 768 W 20TH ST wvrainrw�Eiraiwrtc BLAIR, HARBARA �sx 768 W 20TH ST #b R�r: ��l- sY8-•Yg4 „�.,�,�„�, `rl� 1�3 - T�i-Y4G 2 ANCNIfECi OR ENGQlFFA: 4KII.OP FNQY I�SS: mNmecrarswu� EMERCON CONSTRUCTION INC caxm�croxs�uiwc 2906 E CORDNADO ST mo�ss ANAH E I M CA 92806 LICENSED COMHRCTOfl3 UECLAN�TION: I hreby M�n iod�. pem1Y tl paqwy iM I i I�m«a�w �n Section �aw) a Oivnun a a me &v7�o m+d vmlarnu Cods. W my y�+� No.:O 61714 uc. cuss: B uc. r+o.: � 5 9p� A_ 1 U� 1�_ �l � _. ��.m,...7� uNr: $ uc ra: UNT: (714)630-9615 ucw, 525903 uxr: IkmueE uMs pravau d Cheplr 9 mw u in tu0laca eM elleu. /) Ey� : O.J,N-j� 0 WN BUILDEN DEttANATON: I IweEy dNm ivMnr Dene�Y d perjry the� I un vemq flom IM GMretlm licama lew la Ns 1 �mmn (Sedion 1W 1.5 &niaaa end PraleviMs Cods: Mf' W a mwV Mdtli �pWa e G�Y �o mnbud. Mrt. inpore. 'mmd'eh, ar eepei eiry at�uctue. p'v b m'vve�ra, ekw �eVmw �M appGeN la vrA panNl lo fila e�qned pmemsru Ne1 he a oM i�e�xe w�� o ma now�o�o d ub com.m. t;w�� .w �cneq.r n loomme�anu .un s.a�m �aaol a u+mw� a d me ]031�ev vM Prdewiona Godel a thm h a Me u uemq tMrehom ud iM beau M Ne ellepeE e�amqion. MY volnion d Seeion 5 by eny eppliram lar e permn subjetla Ihe eppliceM to a ci periMy d m� mps Ihen fxe hurM�ed Cdlen �f500n. � I.eaawmrdtMpuWMamY��i�weBs+mlhreolemmV�.xdldolhewtk.endlhe�VucY�neMl4NendeA a dlered br aeb (Sectian ]Ma. B�nima ud PMe++��Cods: The Canireem limn�a lewdoea nd ewN �o en ownxd proeM who Wlda a inpeoves il�ereon, eM Ma daea such ��+� a Mnel a tlirouph he a Iwr oxn empbyees, qwitled ihel wch imD�menle era M in�eMed a dlaed la eab. tl. �'�'�. �M1� butinq a inpwemeM is eok wil�in me year W complMion, ihe owrier-0uikler xiA heva iM WMm d pwi�q M w d�e did nd bdW a impovs lor tM pnpoee W eeb). � I. u ax.w d iM pWaM. em utlwiMY mLLratlYq xiN YoeiuW mvrxias io oauUutl Ihe PN� (Satlion 1WI.8ueinsa enE Prolmeiom Cotle: TM Caeuredon t'sms Lew d� nal VWY w en owroi d pWMY x1w CUJOs a'vnpm'ee iheraon eM who convecle Iw twh prqetla wEh e mtlretlor(s) Gcan�d Wr+�� lo tM Conlretla� licanas lew�. ❑ I un e�emp uMar Senion: B. 8 P.C.. br Nu �won: Deb: Owiw: � do nawvi cenM �hm �.m a.are a mw �udd.wid ms �.m+e«nart� a cd�mve Heem� em snwr coes s.aion. zsws. uxw..�a PSSW. mM Nn I u enY Mua Mld'v9 � wT / wil na (mde ona) �wed ro wmON wi� wid qNs mGw eM IM iaNroneMs br eOMMlnmrtrudionamotlSmtanham�hs�i u��d�d0ipntl.Mddwelmut�ueun�ODN'mbvenexemqlromNra pwiaiom. um.: �no�+: WONREN'S COMPENSATON DECLAX�TION: I Mraby N� � pmutlY d px�vY one d Ns IOGowi�p Aetlermum: ❑ IhrvaWWme'vuenecrWt�admura�ou�Lmv�lawFen'm�pmbn.mpo.iJMIvMBmbn]�OdiMlnbor CoM. la �M pMmiwica d Ne wM lor wNrl� NM p�b u fvueE. }Q in...ww�,.�m,:�.,a.«.��v.�:�:�,�.enw�.eWsw�amoawi.no,coa..m.meo.�omw.*am. wM la rntA c�s o«nN e ivued. W Wc�Van' �arriw rN o�Y numbar en: �,,,;,, P�L� �. E X P I R E S r,�,w�,n« � i» 1 O1/il/99 .M1n 6N1iOI11100D Ip(W mmpbteC /lMOM�I u N' Mw MOWM EOLL4f RiM� (YY!!J � 1 mn/v Nm in Ns W�m�urca a Ns Yak b r.�icn ih'v o�r u mwE. I tlW m r�VM �f' v�� in �nv mww n m �o canDavel�V�'oo ,va d Sod'on J�M LeOa ('aEe. l dN end yeM � Y I�» D�. �upp�f lo iM wa,ken' INb a y�l�� 9� .��.: w �,ro:cww.ro.«�..om�.•�wmw•n��e...�w�.w..na.�d.iw�nepa.n mr«ro�wa�«.�e c u niw �p ro wn nuMnd Mouwd 4oIW (i1Gq�A ti�� ro+t ol co�v� utbn �rP� � p+o�� ror In .enon �fi6 0� m.lmo. coe�. �m.�.c w.rtoimr. r«.. CONSTNUCTION LENDINO �DENCY: I hmaby effi�m �� pe�Y d perjury IM1eI Nas u e amnivaion bd'up ep�ncy la IM rlorme�ce M I�a xwk M w1iiM Ihu pemii u uapd (Sed'on ]OBI. CH. C). LENDEfl'3 N1YE LENOEH'S �DOFE59: I cenM �hm I heve reed Nu wd'r.elian vd am. thm ihe ebova'vdonwian b conee. l yme io camdY wnn eA mY uM oounn «dinanus pnJetetelewerelelmptoWik'vqconsaurnanentlMrebyeNhorueieq,uae�enim'neaG/�thup ioeni�ywyponlnsebwe�memianeEproperly .ior'naVedbnW'}'e„ m��r��r�"�';\•\ GFi� \ �•, � Dne: I �' � � Whde-Buildiq 8 Selery: Green-Fb: Ce�y-Appicaru: Nnk�iwmue: (3olAenra�Mwew � CITY OF COSTA MESA — bUILDING PERMIT PERMIT NO: B 087732 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR JOH DESCRIPTZON : DEMOLISH FIRE DAMAGED ROOF, WINDOWS, CLAIM VALUE: 1,SOO,UO CALC—VALUE: 1,000.00 � `" Ob `= / PERM NO: B 087732 GOVT: N SUPP: N PURPOSE: DEM SQ FT: GROUP OCC: R-1 / COMMENTS: IN THE GARAGE, BEDROOMS 6 HATHROOM ARPAS. *�«******�r�r****�*��r***�**x�e*�**+r��e*****�e�*****+�+�*x**�****+�+�x*�*�e**�e��e*r�r*�*� Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN HUILDING ---------- --------- ACCESSORY BUZLDING --------- FANT: FT IN R£AR: FT IIJ FRNT: FT SN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 93778021 ZNE: REF NO: PLANNING NOTES> - > iE it if �E iE �E iE iE iE iE �1F fE fE iE iE 1F if if iE 1E if 1k iE if ik if iE iE if iE iE iF aE iE iE if iE if iE iE 1! iE 1E �E iE 1E jE 3E 1E iF if ik iF �E 1E �E if if ff �E 1E If ff if if jF jE iE iF iF if if 1k iE iE ik �1E �E �lE D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATEi APPLICATION ISSUED BY; DATE: � i! ik iE 1f df iE ff iE �t iE if it �IE iE iFlf if if ff iE iE if * �f if if IE % It fE 1FlE��iF1E jE LEGALIZATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 34.75 PLAN 'i' SMIPlNON�—RES ISSUE FEE HUILDZNG—DIV—> PERMIT ISSUE PLAN=CHECK TOTAL PAZD DUE TOTALS----> 35.25 0.00 ' 0.00 35.25 35.25 .00 REVENUE DIVISION TOTALS--> COLLECTED: 35.25 OVER/SHORT: .00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 34,75 •i .50 iE iE iE iE fE if �E ik i£ if iE iE 1f 1f k if if 1F if if ik 1f if fE �E fE 1E iE k if iE 1E fE iE iE iF aE iE iE 1E R if �E * it 1f if iF iF iF iE iE if if if if iE iP iE iF iE fE i! iE iE 1f fE �F 1f if iF iE fE fE fE iE 1E if !E I N D I V I D U A L �F E E B R E A R D O W N TYPE QTY D E S C R I P T I O N UNZT COST TOTAL COST NO FEES WERE SELECTED FOR THIS PERMIT /) Y �4-15-1996/82:25 P�/53�.2� RCDT±I:Gl-�u22479 PEkt7IT � Qi877.�'e.' CONSTRUCTION AND PLANNING"� APPROVALS Permit # � 1. Temporary Electrical Service or Pole Z. Soil Pipe-Undrgrnd. 3. Electrical Conduit Utility-Undrgrnd. 4. Electrital Conduit-Undrgrnd. 5. Steel Reinforcement 6. Eleccrical UFER Grnd. 7. Footings 8. Foundation 9. Wate[ Pipe�Undrgr�d. 10. Struaural Floor SVstem �� 11. Property Sewer Line & House Connection 12. Sgwer Cap , 13. Roof Drains 14. Rough Plumbing 15. Rough Electrical-Conduit 16. flough Electric Wiring 17. Rough Wiring Sign 18. Rou9h Electrical�T Bar Ceiling _ 19. (iough Heating & Air Cond�tioning 20. Rough Factory Fireplace 21. Ducts,in Structure 22. Ducts, Ventilating 23. Gas Pipe-Rough & Test 24. Roof Framing 25. Roof Sheathing 26. T-Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing 28. Lathing & Siding 29. Insulation � 30. Drywall Nailing 31. Plaster Brown Coat 32. Electrical Power Meter�Final 33. Final Electric 34. Final Heating & Air Conditioning 35. Final Ga: Pipe;Test 36. Hood or Canopy 37. Final FaCtory Fireplace 38. Final Plum6ing 39. Water Service•Final 40. GasService-finai 41. Solar pomestic-Final 42. Backfiow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING S / 48. FINAL PLANNING 49. Electric Rel �se to Edison 50. Gas Releaie to Southern Ga�ifornia Gas Co No Date Date � Inspector POO' 7PA " �, APPROVALS Permit,fE ' � 52. Pool & Equipment Location '��. 53. Steel Reinforcemeni '� 54. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER�GUNITE 56. Electrical Conduit�Undrgrnd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P-Trap, O Undrgrnd. 61. APPROVAL TO DECK . 62. Backwash & Receptor•Final ' 63. Heater & Vent-Final 64. P�umbinp Svstem � Final - . 65. Electrical�Final 66. Solar SYstem�Final 67. Fencin9 & Access Approval 68. APPROVED FOR PlASTERING 69. POOUSPA SYSTEMS FINAL FIRE DEPT. REQUIREMENT APPROVALS Permit # 70. Underground Hydro 71. Product Piping OGas OOiI 72. Underground Flush 73. Undergrnd. Storage Tank � Gas ❑ Oil 74. Overhead Hydro 75. Ory Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED Notes: Date � e � AOP��ant to flll In all soaces exeept thosa wit�in neavy eorGer Ilnes anG sign all apoi . .. . " _ _ _ .. . . .. .. . ._ . CITY OF COSTA MESA � � PERMIT O. / TRACT NO. LOT NO. BL CONSTRUCTION PE.RMIT � , a � AppliCent'S Meiling Addfe55 TVPE OF CONSTRUCTION NEW ADD _ ALTERATION PIojBCtAddress 7� a W��. � ST � ,❑ CONVERSION ❑ DEMOLISH ❑ OTHER Owner's Neme %gp^ � Ti ��d r S n� 'ohone ��%S' i�% DESCRIPTION OF WORK Addre53� -^L�`^-�� .�/�b�P� TVPEOFPERMIT GRADING' FOUNDATIQ('pN/- STRUCTU�. AfCh/Eng. - �_ -• LiCBn58 NO�� . ❑ TENANT ❑ ELECTRICAL �, PLUMBINO 4LY MECHANICAL O,�OTHER - " � Address Contrecror's Nam � hone� �= PROJECT DESCR�PTION 5�. FT, oCCUPANCv Addle53�ImBifing) '�^ -�^ D � �� CONSTRUCTIONTYPE VALUATION$_ � / � '� �g;--. ' ZON� ' GRADING CU. VDS. � ACREi Litense No. ' • - LICENSED CONTRACTOR OECLARATION � Remarks: � - � � � I hereDy alfirm t�at I am IlcePsetl untlar provisions oi C�arter,9 (commencing . ., , with sactlon )000) of Division 3' of the Businass an0 Proteszlonz Cotla. antl •.' � ' , my Iicense is In fyJ I �orce�antl�9 ect. • � LlcenuCla�s 2 t5 � �� Lice se , '8 �� ' � .- � 7WMBING - Date� �/r/�if�f ci .,,.,�.n � _f� Y. - . WORKERS' COMPENSATIOH DEC � ION . . Bar Sink ; Sfwer Cap =':,roDy afilrm tnat I have a cOrtiflcate ot consent to Self-Insura or a certltlWte. �- gackflow'Prtwenter� - - - $eWer Conne[tion -- .-- � _<„�%Jorkers' Companutlon IPsurance,: or a cerUfietl copy roere0� (Section ��'Yi, LaD. C.) � : t Backfloivlrrigation SolarCoilecton � '. Policy No. � Company � " "- - " eCerti71¢tl copy is ne�eby fUY��ShGG. � � i ♦ . B2thtub5 � Solar Pipin9 ' ' Certi/ietl copy is tileU wit� the city Builtling Divislon. � , Date ' qppucant ' Clerifiers i . � Solar Tank � � , EXEMPTION�FR01.1 WORKERS' COMPENSATION �ECI.ARATION ' (This secllon neetl not ba completetl i/ the parmit Is for one huntlred �5300) or 1 Dishwashe� , � Swimming Po01 w�SDa . less). i , . I . 7 � � - 1 certify that in t�e performaPca oT the work f r which t�is perm�t ii issuetl, I I Drinking Fountains � � Urinal • � shall. not employ any person �� any mann 5� as o b co ! subject, to Iha . workers' omp Satio Laws ot Californl � � Floor Orains� � � • Water Date � IgPature � � N�TIG : IL a�i< deciarau . w� snoui ecoma :��niect to me � , Floor Sinks -'- -.. .. __ Water compiy witn, su<n provlslons or In�s Oermit snall oe aeemea revoHeo. CON5T0.UCTION LENDING AGENCV � I hereby attirm that [here Is a Eonstruction �enUing aqency tor the pertormance of the work for whic� th�s' permit i5 -isiuetl .(SecNon 3097, Civ. C:} Lantler'S Name ' Lentler'S Atltlress � � OWNER BUILDER OECLARAT�ON � ' ' ' ' , I �ereGy af(irm tha[ I am exal�P� irom Ne Contratlor's Ucense Lnw lor the . •�3c�•o .aoy apP��<ant ror�a permic-sun�ecis me'aOP��ant [o a avu � 1, 'elty o not more lhan tive nuntlretl Gollars (E500). • � � L:.f I,� as'owner ot� the �.Orope(tY or my employees with wagas as thoir sole . compansa[lon wlll do the wo�k, antl the s[ructure ii not intentletl or offoretl lor sale (Sacfion 7044, BusiPezs antl Professional Gotle: Tne Contrattor'S ' Llcense Law tloes not apply tb an owner of a proparty who builtls or Improves thereOn, dntl wh0 tloe5 Such ++o�k hlp4llf/�ers¢B or th�ough hls Or har own employ ees, piovltletl that such �mprovements are not Inlentletl or ofteretl for saie. II, �owover, the bullElng or Improvement Is soltl within one year of com- . ple[lon, the owner wlll have t�e burtlen of Droving ha/she tlitl no[ bulltl or Im- ' �rove for the purpase of. sale). : � , i ' � LI I, zs owner o/ the D�oparty, am exclusively contracting with IlcenseE con- tractorsto consbuct tne pro�eCC��ction 7044, Business antl Profess�ons Cotle: Tha Contrattor's LI<en5a LaW oes not apply to an owner of proPerty who bulltls or Improves thareon, aPtl who contracts ior such pro�ects with a con- . tractor(s) Iicensa pursuant to IPe Contnctor's License Law�. , ❑ 1 am exempt untle� Saction . 6. L P. C. tor th{s �eason � Date " ' Owner . I-hereby certify-t�at I�hp+q reaE this application antl state thabthe above informatlon B correct. I,e9�Qe to compty wlth II city antl county ortllnances antl stata laws relatin9�to uiltl�in�g cory5Iru n, antl �ereby authorize repre- sentatives of thls cl ennLypa� a v- ntlonea Property /or i Inzpeclion purpo . , G+� Signaturo . , �� Date � �%' �� Driv`ers' Llcenie o 55 � � � MF 0865-46 rev. 12/82 Wnite - Builtling; Gnary - AppliwnQ Plnk - Atcountim P-Tiap ' Roof Dreins � � Showers , Service Sink � .. Boiler Duct-UnderGround � Duct-Structural - ! � Duct,- Ventilating, _ ,,, , , Exhaust System ❑ Multiple ❑ FirepllFact. BIL ICBO �k3�Q I �eating�SyStem & Dutting 4100,OOO�BTU 0700,OOOBT Hood or Typel ❑' Canopy Tvoe I I ❑ � Registers � � ' Reinspection Fee Isue Fee iate aeelanUons. 'lf - REPAIR � � - � _ A. P. gW PLNG. REF, gW - TO BUILDING PR PE V INE LEFT SIDE YARD PKG.SPACE REQ. STREET WIDTH. i SPECIAL CONDITION! I � . /:..Jp .�/i-�/ ' ZONING REGULATIONS ZONE . . . ' Bc ILDING � ' .e TBnrv rr er . . � � REAR YARD (TO P/U ' RIGHT.SIDE VAPD ' � Aummatic Washer Construction Pale ' Cookin9 Unit I Dish�vasher • Dryers L�Gas; nElectric Fan. ' F.A.U. Fixtures Device Boxes • Outlets ' . °s � Generator 00=5 KW 05-15 KW , Transformer 075-50 KW ❑5U+KW, � $15 Meter ❑up to 100 amps • $ 3 2oning APProved By ApPliqtion APPra� BY � 100p00BTU ❑t00,0008TU am Repair/Alteration LM --5 St_F � � , Reimpec[ion Fee � E75 . i Isua Fee $ 3 I o � ' PARK FEE $ ' . .• .ECTRICAL � � � � �Meter �over 100 amps,_ � ,� 'Sub Panef � � Sub Poie � ' 'Motors �0-1 HP ❑7X$ � � �IncSolar �9-15HP �i6-15+� Range _�_. .. _ -_ . Compactor 1 • �� , ' SUMMARV OF FEES � ' BUILDING PERMIT $ SMIP � , $ PLAN CHECK $, PERMIT � PLUMBING - $ , ISSUANCE $ ' PLAN CHECK $ ' GfiADING $ ELECTRICAL $ ' $ - PLAN CHECK , $� � ' � MICROFILM $ " �MECHANICAI $' �,= � TOTAL FEE $ • PLAN CHECK� � $' �J "- lESS � � , i ADVANCED PC $ � ' i 1 , ', . ' ' • � i � FINAL FEE. � S � ' .� r�CONSTRUCT�ONANDPCANNING ` ��u ` ' .;- :�. � . , ' � _. POOL . �8A _ � _ • � . - , jy��3�p .y;�ate Inspector F Date Inspeetor , : APP.ROVALS Permit �h � . � APPROVALS� � P it°# , - . �' �1�. ;Te'mporary Electrical Service or Pole �' � - • � o � 52: Pool &� Equipment Location - - � +''�2: Soil Pipe-Undrgrnd. � . � ' ' _ � � 53. Steel Reinforsement� . . _ 3. !Electrical Conduit Utilitv-Undrgrnd. ' 54. Forms - _ - ' _ - � � y 4'. Electtical Conduit-Undigrnd'. � � � � _ - � .- '55: Electrical Bonding ' - '� 5: Steel Reinfarcement . , � � _ - - _ ' 56. Rough Plumbing & Pressure Test . � 8. �Electrical UFER Grnd: � ° � -' _ ' - ' - 57; APPROVAL'TO COVER-GUNITE � 7.'Footings , � � ''� , ° ,- _ . 58: _Electrical Conduit•Undramd. � � - •� i - 6. Foundation � • � • � ; � �59. Gas Pipe, � Undrgrnd., Test � 9. Wetei Pipe�Undrgrnd. � : � - . �60. �Backwash Lines, P-Trap, O Undrgmdr - - � ' � 10. StFuctural Floor System • �- 61. 'APPROVAL TO DECK 11. Property Sewer Line & House ConnecUon - - :� 62. Backwash & ReceptorFinal� 12. Sewer Cap ' , • ," �� 63. Heater & VenbFinal ' . 13. �Roof Drains � � ' -64. Plumbing:System - Final�-. . ' , 14. ,Rough Plumbing � � - 65. Electrical=Finel � - ' - . 15:-�Rough'E�ectricabConduit- '- � � � ' ' - � ' 7' " - �66 � Solar Sysiem-Firial � - � -� . - � i' •- � 1�6: �Rough-Etec"tric Wir,ing�. �, -` ,- �; ,�-: , : - - - - � "- . �, � _ �67' Eencing & Access Approval '- . ;,_7�.�Rough�WiringSign • - � - . �'c� -;- � _ ,sg, APPROVEDFQRPLASTERING _ t 16� Rough.EleCtrical-T'Ba� Ceiling . , �� , j ; I � � - � �69) P,OOUSPA SYSTEMS�FINAL � � ` � � 19�! RougFi Heating &.QirConditioning ' � � � t ,FIRE DEPT.�REQUIREMENT ' � . . ' 20: Rough�Factory Fireplace � � �, i ' ' ' ! , APPROVALS Permit # ' � � � ' 21. Ducts; in Structure � � . '701 Underground Hydro -, :22. Ducts,Ventilating ,�� . I � 71: ProductPipingOGas ❑Oil - � � ` 23. ,Gas:Pipe-Rough & Test �, � � � � � } ! ; � 72. Underground Flush , ?�; -� ' � 24. �Roof Framin � � � • � • r 9 /} -�� • 73. Undergrnd. Storage Tank O Gas ❑ Oil � 25. Roof Sheatbing , , ,.� � � ' _ ` � �74.� Overfiead Hydro � � �-26.'T-Bar Ceilirig (Structurall. &"Monocoaf � � , �', � � J5. Dry Chemical � • � 27.'Freme and FI'�shing, � � ' � � � ' � 76.� Dry Standpipe � � . � 28. iLathing & Siding _ : , � � � 77.�. FIXED SYSTE,M FINAL �� ' 29. ��nsulation' � � , . , � � . I � ! '78� FIRE PREV. F�INAL �" - -30.,DrywallNailing ' , � � � ' ' �� , �Notes: , � � _ . . , , ' - - � � - � . 31"1Plaster Brown Coat � � � � � � ' � �32. Elecfrical Power MeterFinal � � ' � ' ; � � � � - , u r �.' 'S'' j' 33. Final Electric . • � � � � � � � �. I � 34. Final Heating & Air Conditioning ' �/�, , � � . � � � 35. Final Gas pipe-Teet � - , �, , �'�. - , � ' • 36. Hood or Canopy' � " � r � � - " _ � ' ' ' ' � ' , � : n; - 37. Final Factory Fireplace= � � ' , � , � � � . � 38. Final P.lumbing � �� ' � � - i � � � : - , _ �_ � 39. Water Service-Final; ' � � ' , I ' ' � � � -, . , . i � i i t 40. Gas Service-Final � � ' � ' � � .� i � 41. Solar pomestic-�Final � � 'i ' -+ _ _ _-- . . --- � 'i� `J P r 42. Backflow Preventer� . - � �r � � � ' _, i ' _ _' _' _ . ' � � , t- 43. Backflow Irrigation ,_ � � ' '?� � ' �'� ' ' , . • 44. Landscape Irrigation System , , . -- � � � � � _ � - . �.- _ , , , �.. . 45. Sound. Attenuation ' � _ ' , . - . - . .- 46. Handicap Regulations � , - _ � � � � � ' � ' � � � 47. FINAL STRUCTURE & BUILDING - 48. Special Requirements Completed �. �' � , , ' � � � i �. 49.ElectricReleaselto�Edison', i . � _.�._.+-�- --�� - - - --•� - - J . -1 50. Gas ReleaSe to Southem California Gas Co �, � . i , ' i � � � �' � � " 51. CERTIFICATEOFOGCUPANCY ; � � , � � . � ti, ' No � �� I ' Date � ( �' . i _'--' -_ .. I ; . CITY OF, COSTA MESA CON$i'RUGtiTION PERMIT Project Address — � : Address Contractor S,fM�UL��r Address SAihc to till in all spaces within heavy DorOcr lines antl sign all avProprlate deelarationf �ER IT NO. TRACT NO, l_OT NO. BIDG. NO. -5'`�o Z G/Z 39aYo.. S n� - TVPE OF CONSTRUCTION PhOne�j�{j �( �% ❑ NEW ❑ ADO ❑ ALTERATION G �O REPAIR ❑ CONVERSION ❑DEMOLISH LiCense No. (� (o p ❑ OTHER DESCRIPTION OF WORK Phone SA''�� I hereby af/irm tnat I am Iicansetl untler provi5lons o/ Charter 9(Com- mancing wlth setllon 7000) ot Dlviilon 3 of the Business antl Pro�asslons Coytle�, �antl my Iicense is in full forco antl eifes,g, ucense Class �oL�t — C�Y ' en n �+6 Ff�S Date �� — Ii= Signature WORKERS' COMPENSATION �E ARAT{OI I h¢reby a(tlrm that I hav¢ a certificate O/ ConS¢nt to self-Insure Or a rertifl�at0 ot Work¢r5' Compen5ation InSutanc0, or a certltietl topy tner2of (Section 3800, Lab. C,I. �olicY No. � Company � Certllietl copy Is hereby turnishetl. ❑ Certifie6 copy ts ti1eC with the [ity 8uiltllnq DlvisiOn. EXEMPTION F0.0M WORKERS' COMPENSATION OECLARAT�ON (ThiS SectlOn neeA nat be ContPletetl if th¢ pErmit IS fo� On¢ hunA�etl SE100) or less). celtlty that in the performanre of the work for which Ihis permlt is issuetl, I snau notiemPioy any person any manner as�to bewme SubjB« lo�the W r rs Compensatlo 5 t ��y{{{ppp f Date ��'y—� Si9nature�4__� NOY��E: If a/ter making Ih15 tlecla�atlon, you Shoultl b¢come sUb�¢C[ to tl+¢ Workars' COmpensatlon provl5lons Of th¢ LaDor Cotle, you must fortM1wlth COmply wlth suCh p�ovisions or thi5 pe�mit Shall be tleeroetl revoKetl. • . . CONSTRUCTION LENDING AGENCV I hereby aitirm [ha[ tnere 15 a constructlon lentlin9 agency for the �en formance of the work for wnith this permit is issuetl (Settion 3097 Civ. C.1. - . . . . .. . Lender's Name Lender'z AtlAress OWNER BUILDER OECLARATION" - 1 �e�i�y atfirm [hdt I am exemPt trom the Cont�ac[or'S License Law tor the following reason (Settion'7031.5 Business antl'Professlons Cotle: qny tlty or COUnty which requires a permlt [o con5trucq alter, ImprPve, tlemollSM1 or repdi� any 5[rutture, P�io� t0 Its i55uance, also re- quires the appli�hl for suGh Oe�mit [O ti18 a Signetl stat¢m¢nl that h¢ is Ilcensetl pursuant-lo the provisions of [ne Contractor's Llcense Law (Chap�er 9(mmmencin9 with Section 7000) of Division 3 of the 8u:iness antl Pro(essions Cotle) or [hat he is exempt therefrom antl the ' Ns �or (he allegeG exemption. Any violation oi Section ]031.5 Dy appliwnt tor a permlt subjetts t�e applitant to a clvil penalry ,i0[ more Ihan ��ve huntlretl tlollar5 (§500). �J I, a5 owner ol l�e property, or my ert�Ployees witn wages as �hElr Sole Gonlpensatlon, will tlo [he wo�k, antl [he structure Is not intentle0 or o(feretl for sale. (Section 7044, Business antl Aofe55ions Code: The COf�ifdCI01'S LICCOSC �dW dOCS OOl dOp�y.�0 dO owner O( d OfODefly w�0 bulltls o� imp�oves ihCrlon, antl who tloGz Suclt work himzelt o� tM1roU9h hls own employees, p�ovitletl that such Improvemen[5 arB not inlentletl or ofteretl for sale. If, howeveq th¢ bulltlinq or improvemant Is Soltl.wi[hin one Yea� of ComPletion,.lhe owner will havo the burtlen of pfOving he tlitl no[ builtl or ImprovB fo� [h¢ pUrpose of sale). ❑ �� az owne� Oi the property, am exclusively cOntracting wiln li<en4etl confractors to mnstrutt the Oroject ($ection ]044, Business antl professions Cotle: The ContractorY License Law tloes not apply to an oWner of O�operty who builtls o� Improv¢5 the�eon, dntl who con- [ract9 from suclt projects with a con[ractor(s) li<e5netl pursuant to lhe Conlractor'S Ucense Lawj. ❑ I am exempt untler Section B. 8 P. G(or this reason Da[e Owner � I her8by ttrtityfhal I have read this application antl stat¢ tha[ [he abov¢ IMo�inalion is ConecL I agree to comply with all city antl counly OrtlinAnCGs antl stat¢ IawSlelaUOg to cOnstrpction, antl hereby authoviie repre4entatives this cit t nter upon [he above mentionutl TVPE OF PERMIT ❑ GRADIN ❑ FOVNDATION ❑ STRUCTURAL ❑ TENANT�,ELECTRICAL OPWMHING ❑MECHAi ❑ OTHER PROJECT DESCRIPTION . Sq. FT. OCCUPANCY_C�NSTRUCTION TVPE VALUATION ZONE GRADING CV. YDS. ACRES PLUMBING TOILET$ LAVATORIES KIT. SINKS SERVICE SINKS FLOOR SINKS ORINKING FOUNTAINS INTERCEPTORS SWIMMING POOL � WATER SERVICE GAS SERV ICE WATER HEFTERS SEWER CONNECTIONS SOLAft TANK � PIANCHECK � SHOWERS URINALS DOUBLECAvS " DISHWASHERS ' ' SlIMPS FLOOR DRP.INS ' CLARIFIERS P TRAP " ALTERATION �� OUTLETS BTU OUTPUT " COLLECTORS ISSUE FEE MECNANICAL P�ANCHECK HEAT�NG SVSTEM 0-300,000 BTU_ AND DUCTING �p0,000 + BTU _ REFFIGERATIOIV 0-100,000 BTU_ SVSTEM' 100,000+BTU_ BOILERS BTV SVSTEM REPAIR.ALTERATION EXHAUSTSVSTEM MULTIPLE property fo� lo' � $IgnaturC Da[e � . �SSUE FEE Orive�s' License or SS � �� CMF 0865-46 While-Builtlin9: Canary-ApPlicanh, Pink-Accounting: Goltlenrotl-Assessor A.P. # ZONE REAR VARD (TO PKG. SPACE REQ. STREET WIOTH SPECIAL ELECTRICAL 247J 1 /'14/ : , tio0�, REF. � PROVIDED PARK FEE 8 PLAN CHECK GENERATOR 0-]KW_1-lOKW TRANSFORMER - APPLIANCE 30-50 KW_50'+ KW MOTORS ' 0'1 HP '_3-10 HP ' - (INC. SOLARj 10-50 HP 50 + HP� � FIXTURES� OUTLETS SWITCHES- GAS TVBE SIGNS ' ' ' " POLE LIGHTS PANELS MAIN SUB SERVICE ' ' AMC ISSVE FEE " ' � APPLICATION APPROVED OV DATE SUMMARV OF FEES , - BUILDING ' - - PERMIT E SMIV � -•E PLHN CHECK 5 7ERMIT . , ' � ISSUANCE �$- PLUMBING $ . � GRA�ING S PLAN CHECK 5 � ELECTRICAL y� 1 . PLHNCHECK $ - MICROFILNI § MECHANICAL E ' TOTAL FEE S LE55 AD- PLAN CHECK E ' VANCE PC S FINALFEE S _ •OO CONSTRUCTION AND PIANNING . . ' ' POOL &.SPA , . � f�� APPROVALS Permit # �� fl�oi� Date Inspector pppROVALS Permit # Date �' Insp ctor 1. Temporary Electrical Service or Pole �. ��_ 43. Pool & Equipment Location �• � -- � Soil ipe-Undrgrn • 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgm 45. Forms � 4. Electrical Conduit-Undrgrn 46. Electrical Bonding . tee ein orce 47. Rough Plumbin & Pressure Test � 6. Electrical UFER Grn ' 48. APPROVALTO COVER�GUNITE - ootings 49. Electrical Conduit-Undr rn 6. Foundation . 50. Gas Pipe, ❑ Undr m, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra ❑ n r rn ' � �� 10. Structural Floor SYstem 52. APPROVALTO DECK `-"' '' • • 11. Property Sewer Line & House Connection 53. Backwash & Rece xor-Final 12. Street Sewer Connection � 54. Heater & Vent-Final 13. Rough Plumbing ' � � 74. Rough Electric-Conduit ' - - - - �'56. �-Electitical-Final 15. Rough ElectrioWring � � � � 57. -Solar System-Final 16. Rough Heating & Air Conditioning • encing & Access Approval 17. Ducts, in Structure APPROVED FOR PLASTERING ' 18. Ducts, Ventilating � � _,� .. - . . ' 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing � - ' 21. Roof Sheathin . ' 22. Frame and� Flashing NOTES: � ., 23. Insulation � - ' 24. I,athing & Siding � 25. Drywall Nailing ' ' 26.- Plaster Brown'Coat 27. Electricai Power Meter-Final � 28. Final Electric e.. 29. Final Heating & Air Conditioning 30. Fina1 Gas Pipe•Test ' - . 31. Final Plumbing - � 32. Water Service-Final ' 33. Gas Service-Final ' 34. Solar pomestic-Final � 35. Landsca e S rinklin S stem � � 36. Sound Attenuation 37. Handicap Regulations � 38. FINALSTRUCTURE&BUILDING 39. Special Requirements Completed 40. Electric Release to Edison ' - � 41. Gas Release to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY . .. No Date 0 FIELD INSPECTION Client: %Co�� /�/a�� Site %(, � u/. 020 !%`' s��u-P.( ��S� �-ft1G.., rq 8.�6-2H,-2S� � r� f o2p y' .c-L�.� Inspector: NA-Zi/L fFff�^-/� Date: �' /]. FL" Scope of lJork: �� '^� s T�vs OCC T� o^� Fo a >/-.�F S� T� M[�N�ro�.,�� fi�30!/C. � >%�n�C.e r vr��< %atd .S"forr �� /ZrJ.IJfnii��'4[. Soils Reports or Plans: Results of Inspection: �F^�iL _F^-/EN -- !y�S Lc=�'i F2 l-.riLL S� 2V� � /�d 7i i�/CA-?'/0 N T%f-f{- % %ifC �OQ T/�✓Ci `�'NS' mF�' Tr o n/ �-S�"�4-4 /�F/L F 02 r--l!'� �iy 0 c� �'L /-�E��D cS'u/�.F/L!J/So/� �'1/1� ��9-Z'�2 .4-H-�t'/J ON /�Tq .�t�c� /9�"L . iFf-E= /ivs O�� Tia N �^r� �N� �� ^-� es�J %c� LsiuS�2 �� Y�5`�h i S�ilc�E-8 �n/o CD.�, ^.,yvo ��f �o o i i n�c, S �,rF2 C" /�L �}-c _r—n i.v �O M IJ�i iTM T �'f s� TtF2i /3-L . 7/fE s`�/ �00 T/NC� J �.1 E2 GT %� 2?i � L L v DL.9z t� in� N.9 TG� 2 A-(, -4 ^r 9 �'6�-IOf1C Tc=D % �LL. %.�C' ��LL .�a2 r^iQ�1r �S� /��4 o i3 C-7� ,4nr o D� j r 2�-+ ��v c n To � e= �'o .�. � c— T..r-,v T A-v n 1�? %J' ,� ND T �v�r �s S.�-n- Y To %L �^-/ 0(� C!> TNA- i � i L L �'� % 6 ?h'-C N 4i c. a'}C, ^"� R%� 2 i�• .7 %/ S B`-G[ 2 7�.d y�H c ni y- . Y'/,/.g i iffe�F�00T/N6 S CJ"/ZF C�FA^/t� �4N� 3 � T% O�� !�"Jj /ti To �d ti./ nFT H-N T Sp /� w.cc sh3s�.9-n,��-�cy su.��o�r r.�� r �/� �v � � o n/ r� � s?/t. u t?c, n t= a �n /V a1-L 1 /L �1- FtM t'/� � �r-�i� yw�rti v�ic�L /i _ i / . u .i-..a.r� /c .� � ._ . , 1818 E. Ball Road AAKOGEOTECHNICAL Anaheim, California 92805 ENGINEERING ' (�14) 635-65�� - CONSULTANTS.WC. CITY SA � PERMIT'� " " , -. ta /III in all soaeas azeapt tnou �MIT�O. _ � . _ _' . . 7 ,Iines anU sign all approoria[a Oaelantians. �J �+ - J '"� L J lSJ 1' L Applicao: i Mailidg Atltlrass ' � ' i' � TVPE OF CONSTRUCTION' NEW ADD ALTERATION REPAIR ProjectAddrexi � S+'��'��'�• , ❑ CONVERSION ❑ DEMOLISH ❑ OTHER � � � ��1c�� DESCRIPTIONOFWORK ��%^��rT Owner's Neme �'��l,�� °hone ��.2i ^ Address � [� n �� + 7VPEOFPERMIT GRADING FOUNDATION STRUCTURAL AfCh/En8• icenm No.v �`� �`� ❑ TENANT ELECTRIGAL � PLUMBING ❑ MECHANICAL . Address � t �� /l'�- ,J,'. Contractor'sNama ��Fl� � ohonef� 5 Addreu (mailing) ' ��^ � � License No. IICEN5E0 CONTRACTOR DECLARATION 1 herlby d}}I�T Ihdt 1 am Iicensea untlar O�ovlslonz ot C�arter 9(commancing wlth sactlon 7000) ot Divlslon 3 0/ the Business !�C Protessions Gotla, antl my IICBn58 IS In /ull /0lCB dnG effBCL. LJtense Claii� LICePse No. Date $I9ndtura WORKERS' COMPENSATION DECLARATION heroCy aftirm [hat 4have a tartificata of consent to se�t-Insure or a cert{fiwta ' Workers' Compensatlon Insurance, or a certifletl copY thereof (Sectlon eB00, l.ab. CJ , , Policy No. ' � Company � BCartl/letl copy is hefeby furnlshetl. �. Certl/ietl coOY I5 flleil wllh tha clty Bulltling OIvIS�on. , Date ADPlicant � � EXEMPTION FROM WORKERS' COMPENSATION OECIARATION (This sacllon neeE not Ee com0�etetl if tho permit Iz for one huntlretl (5300) or lasz). I cartlly that In the pertormance o/ [he work for wr�ch Ihli perm�t Is I55 etl I snall not employ any parson in any man o 'to�becy�i fe 5 WarkersSCo�pa n-laws of Calliorn��Tr� /�� Data 1�� Si9natura /s.seC NOTICE: If, alter making t�is tleclaratlon, you'snoU�tl become suCJect to the � Workers' Compensatlan provislons o/ t�a LdDor Cade, you must forthwith compty wIM. suc� proWsloni or this-�Darmit.sball be tleemetl revokeE. CONSTRVCTION IENDING AGENCV ' 1 haraby affirm that tnere Is a construction lentling agency for the performanca of the work Tor whic��l��ynit Is Inuetl �(Sectlon 3097 Civ. GJ LenGer's Nama r�-- . lantlar's AGtlreis OWNER BUILDER OECLA0.ATION , I hareby affirm t�at I am exempl�from the Contrattor's License L.aw for lhe /ollowin9 reason (Sectlon 7031.5 Buslness antl Prol85slonal Cotle: Any cicy or !"- �;15 Cy d�y dD01IcdOt to� a pB�ml[ s�bjects [hB apP��ant to a clvll � ��alty of not more Ihan }ive huntlretl tlollars (y500)'. �, ' I,'as�ownar of, the properry or my employees w��h wages'as thelr sole � t mpensatlon wlll Ca tha work, anC the structure Is no[ Intentletl or oflereA fOf Shce ($BCEIOn 7044, Bu5I0055 dntl PIOte551011a1 Cotle: TM1B�ContfactOr'S � Litenie Lnw tloe5 not aOP�Y to an owne� Of d p�opa��Y `�'bo bulltl5 Or improyas t�ereon, an0 wh0'tloe5 Such work hlm5elf/h<r5B1f Or th�ough h15 0� her Own e�ttploY eat, p�ovltletl that sUth ITp/OVBments a�e not IntentleA or ofteretl for sale. I/, howevar, tne bulltling or Improvement Is soltl wltnin one year'ot com- pletlon, the owner�wlll have tha burtlan of provin9 ne/she tlitl not bulltl or Im- �roveforthe purpose olsalo): 1, as owner of the pro0erty, am exclusively contracting with Iicensetl con- tractors to conitrutt.the pro�act (Sectlon 7044, BusiPess antl �Professions Cotle: - The ContrAttor's License Law does' uo[ aPply to an owner o(rProOerty w�o � GUIIUs or Improves thereon, antl who contracts (or such projetts with a con-. tractor(5) Iicansa pursuant to!the Contractor'S Licensa Law): ff ��y.� ❑ I am Bxempt untler Sactlon "' , 'B. 6 P. C.,(orthis rea5on �, i. _ i . Date Owner ' � I hereby certify that 1 have-reaE thls aooliwUon antl state that the'above � �nsVucLon,'ana nereoy auinonze repre•• on � b mentionetl •property lor �� oate,� ��iT� � � ❑ �OTHER � ' � PRQIECTOESCRIPTION SQ.F7.�� OccuaArvcv— CONSTRVCTIONTVPF �.�Y�( ' VAlUAT10N$_�'oe7 � ZON� GRADING CU. VDS: ACRES Remarkt: � � Backflaw Preventer Backflow Irrigation Bathtubs ' ' Clarifiers Dishvasher � Drinking Fountains FloorDreins� � Floor Sinks � Gas Service' ! Outlets Interceptors - � Kitchen Sink " � Levatories ' � P—Trap ' Roof Drains � Seivice Sink 80112f. �p{JI Duct- Untlei.Ground ' Duct - Structural Duct - Ventilating _; Exhaust System ❑ Multiple ❑ 'Firepl/Fact:8lt.ICBO� ' Heating,System & Ducting ❑ 6100,000 BTU O 100,000 BT Haod or Typel ❑ CBnonv �Tvno II n�l . Drl4ers' Llcense oi�55 � � ' �, I � I Reglsters CMF 0065-46 rav. 12/82 White - Builtlin9; Canary -.°.PPliwnt; Pink - Accountln9; Goltlenrotl - AssesSor Sewar Cap Sewer Connection Solar CollectOrs . Solar Pipin9 Salar Tenk . Swimming Pool w/Spa Urinal Water Closet Water Heater3� � � -Water Service� System A. P.'M.`"/OCO'� �aC� PLNG.REF.Ae —� LEFT SIDE VARD�%�� PKG.SPACE REQ. ^ STREET WIDTH �� SPECIAL CONDITIONS: ' Automatic Wazher Conztruction Pole Cooking Unit , Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures _ . a � D ice Boxes � Reinspaction Fee � Issue Fee � � $ .�v��„va . 5 .. . 000 BTU ❑ 100,000 B7U ' � lepair/Alteration .+ � f ( , . 1 � , Reinspection Fee' $15; . i . • Iswe Fee �,,.• $ 3 02173 6/ I 3/03 e : 1:�4>56 TL _-i �BUILDING � �Q REAR VARD (TO P/U nj^ � '�".�i RIGHTS�DE VARD LJ� � � , PROVIDED ^— � PARK FEE $ �� Garba9e D isposel Generator �0-5 KW �5-15 KW Transformer ❑75-50 KW � ❑5U+ KW Meter ❑up to 100ampa � 2oninp APProved BY Appliretion Approved By •C' nao�Hatfon �aued Bv ' � M2tE� LJOver 1W amp5 I , Sub Panel , � �Motors LJO-1 HP LJ1 Inc.Solar �9-15 HP I Microwava ' .Pole U9ht ' Range -1 �� Stand�ng Sections Trash Compactor . Reinspection Fee Issue Fee� ' Date �Date � n_._ G / / : � � SUMMAF �BUILDINGPERMIT $ � �� D 'PLAN CHECK $ � S Z ' O P r O LUMBING : $. � �PLAN CHECK� � $ � � EIECTRICAL � $ � � 0� .PLAN CHECK $. � �MECHANICAL $ PLAN CHECK ' $' • i � � OF PEES ' � SMIP � $ � PERMIT ISSUANCE $ GRAD�NG - � $ . I $ . MICROFILM : $ TOTAL FEE� � $ ; LESS � ; � � ADVANCED PC � $ I ' FINAL FEE � $ ' �� "� ��CONSTRUCTION'AND�PLqNNING- � , , � , _%. �OL `A - ^ � ,_ •_ • ' " ` Date Inspector " ` ' ' • - Date Inspector > s'APPROVALS �' Permit # � � �-ABPROVAL•S , � �Permit # ! 1 � a ' . i ' - - v ' - '�, ,_ � m ty: Temporary Electrical Service oi.Pole ' c' '� �� .'52 Pool & Equipment'Location ' ��Y:� � YC � 2? Syoil Pipe-Undrgrnd.. _ � F .' _ , ' - � ` 53' Steel Reinforcement , . .. -� � � � �i 3. Electrical Conduit Utilitv-Undrgrnd.� � � - ' ° �. � ' 54r F,orms ' - . - �-- ' " .. - � � � •�- "' 4' EI@ctrical Conduit-Undrgrnd' � _ � : ,-�, � . , 55L Electrical Bonding. � - St a � r ' ' ,5:��$tee6�Reinforcement�, j'__: -� i'� �� -. .56.,Rough�Plumbing&PressureTest'�' _ � ;. , ' ' 6: Electrical UFER Grnd.� ' '� . ' � 57.: APPROVAL�TO COVER=GUNITE � ��:/Y�gj'� C � � � �7. Footings� � . i , � = �:� . � 4' - " `" `' _; i -.58. Electrical Conduit=Undromd. - ..l�.i�- C , 1 ' -i i 1 G �� •:c ' : . � , .� • . ' .. . 8. Foundation. ' � � , � � � -^ r : , . � � 59. Gas Pipe,:O=Undrgmd., Test ' .. 9. Water Pipe-Undrgrnd. ' " ' - � 60. Backwash Lines; P-Trap, O Undrgrnd. 10. Struc;ural Floor System I � ��` ; 61. AFPROVAL TO DECK ,� ; �, �' 11. Property,Sewe� Line'& House Cbnnection '- • �� 62. BackwasFi &�Receptor-Final '. - 'g-� 12. Sewer Cap � � � � 5^ •. 63. Meater & Vent-Final - " i t. 13. Roof Draini � � ; � - � , � , _ � � � � " ; � 64. Plumbing:System�-,Final � �� , . 14. Rough Plumbing , � .- � ' - � � 65. Electricaf=Fina1 � � � � - � $' C � "r15=Rough�Electrical-Conduit-�---. - - -� �-- .�'+"I"' �-66.�SolarSystem-Final " ` ��--� -' � � - .- � r, �.- ( il I i �. : r-16. `Rough� Eleciric Wiring � � ' � ;; -!�, � ?� �-„-`r� �� 67 � Fencing &�Access ApproOal � - --' � � - •n - _a � � � ! � . �!f' ��'SS %0 '� ,�17;��Rough Wiring Sign ; � ^ - � �' '7 � : ' - � � ' � I . 68. � APPROYED FOR PLASTERING � � _ F ��' .I� =i � �� .i �'"$� - - ,; 16. Rough:Electrical:T Ba�Ceiling� ' i; I l � r � I . ' �' �' � 69.; POOUSPA SYSTEMS:FINAL . �jo $ � ' � �. �"19:�-R"ough°Heating & Air Conditioning �' , ! � � i. � � � � � FIRE DEP.T. REQUIREMENT � - • - - ;'� -_ : ; I";V ; , • ;�:20:`Rough Factory.Fireplace; � � ; �� t ", i APPROVALS 'Permit# � � - ' z� 21. Ducts,�in Structurer ' � i , � , � ' �, � 70.� Underground Hydro ' � � ' �2. Ducts, Venfilating ,. � � . �� i ' � , � � 77. � Product P.iping O Gas D Oil , � � : �"23. �Gas Pipe-Rough & Test �'' j ! 1 . ' - ,_ _.. �. .- '_ _ , .. _ _. . , _ _ . , , ! ' � � 72.' Underground Flush �" ` � ' ` '•24. Roof' Framin � . ' ,� � � � :,- ' ' � � . g' j 4,� �� o.�� ; 4., � 73.'� Undergmd. Storage Tank�' � Gas ❑ Oil � 25`Roof Sheatfiing _ _ " f ° � � ' ,. '' � � 74.' Overhead Hydro . ' � � 26. T�Bar Ceiling (Structurel)� �e Monocoat�� = � `_ ( E�' " '-- I. � � 75.�'D 'ry Chemical ' � ' � , � '��27. Frsme and Flashin � " � � � , _ 9' � � i' . ( � , � 76.; Dry Standpipe � ' 28., L.a.thing &, Siding �� , f i �; � � � � � �, � � 77. FIXED SYSTEM.FINAL � � � ` ^ 29. 'Insulation '` � � ;' - � � �� i , '78. FIRE PR�EV. FINAL � � � _. ..'; . . ,, � f ` � , i : � ,; . . � �30. Drywall, Nailing � � °' � � �� , � � � � t � �Notes: ' _ � � `. •, �- --- - - - - _ . _ `_ . _ D r � i � 31. Plaster Brown Coat �,,. � i, � � � � � � 1 4 �� -�j , � : ; . , � . � - , � , � � . . • '�32. �Electrical Power Meter;Fina1 . ,, � � � I '_ 4 � . _ .. .. , , . . - ' . , .; 33. Final� Electric � � + ,' i � i � ; � ' I � i -' ' /► t / .C1/. ' . `. _ ...., .�..., . �. ..._.. . .. ., .. , _ . . � .. r � _' . ' ' 34. Final Heating & Air Conditioriing' �� ' � � � � , ' � � `� - �, 35. Final Gas�Pipe-Test - � ' < < � ' � ; , � - , ' '� - -� r 'i I. - � 36. Hood or Canopy' � m �' � � � � �' - � - � ' � �.'� . i � �%. . i _ . 37. Final Fac[ory Fireplace �, L - :' •: � � � _ � � i ' �- ' _ _ , o� � ' � 38. Final Plumbing . � . ' =� . -. { � � � ' � ' - ' � � � " n 39. Water Service-Final� � � j ' �� ( ' � � ' : ' � ` ' , i i I � 40. Gas Service-F.inal � i � ' � � � E � i � , I . � 1 i 41. Solar D'omestic-Final . ; � �- i , _�-- - � '- _ _ - . a . � . � � 'r f i - -i-" ' } ' - - ' ' 42. Backflow�Preventer ' � ' ! � � • , ;y � � , � • � - � , � � . ��.i� i -� :_' i � r •-� � ---- .--f---`--{_ .. i. �' . - , , . , - �� _ . � . � 43. 8ackflow Iriigation, � - - � .. � ' . _ � T i �. i I - 44. LandscaPe Ir�rigation�SYstem ' � n-; j"" . ,' � ;. � � � (` ; -�. � I . . '?' � � � ' '` � � . . . . . ,� � 45. Sound°Attenuation � �= � . ' - I''. -. ' ' � � . � �' . n ,',' ; � i � 46. Handicap!Reguletions� � � .r - ;' ! �i ' ' ; ; . ' . � � ' ' ' ' ; � � , z.. . , � .. : . , 47. FINALSTRUCT�jliE &�BUILDING �. f � t-- � ' ' � ` �. � � � G - 48. Speciai Requirements Completed� � , �, • � � . , , ' - . , , � � I 49. Electrfn Release �to Edison I ' � , ' _,G- -�-- - -� -.�--' . i -�, .- _--.' ' � � ,� . i 50. Gas Release to Southern California Gas Co ' i � � � • ' � � � . � � - ' � ' . u 51. CERTI'FICATE OF;OCCU.PANCY " ; ; ' � , No � �i � ' Date i 1! - � - -I- ` - �' - - .- -� - --`_ . . �_ 1_ _ _ _ . _ ' '_ _ _ _ _ ' ' '_ _ r CITY OF COSTA MESA BUILDING SAFETY DEPARTMENT Registered Deputy Building Inspector — Cartificate of Compliance Date of this Certificate �' � 5— g� Building Address � E+� �^%� 2u�` Owner ��L\_ eS` Y o N Contractor �w�EQ��tiLntR Y Addreu �S'TMi Permit No.� E 4`��'� � Date Issued �.- 1 C �� To the Director of Building Safery: 1�iereby certify that the following portions of work on the buildings at � the above address which required continuous inspection and which I was employed to inspect, were •inspected by me and comply with the provi- ""�' sions of the Building Code applicable thereto. ( j'Concrete [ ] Masonry [ ] Welding [] Reinforced Gypsum ( j Special Cases � Swimmi�g Pool Size • bti [�%] Gunite [] Hand Pack Sacks of Cement � q b Tons of Sand S 3 __ __ Approximate percent of water in aggregate '� �` -" ___ This report covers work completed during week ending 6' ��8� R EMAR KS: .. _ Si3r�1��4�orootN6,�n�iJ-S1EFl Registered Deputy Building Inspector G1.�,oelan,� a. WORxMAP SN�p (� Su\,SFuc�oa�.PfNo»a C��.�n�il4RName `��i�aeD Wu(i(�A0.a ��S'u1.:1S. � a,dd�� 7`t�-1 �1ilLewsTo�s Au� �4R(iA L��Jnq,Cn �'i6fi6 Laboretory �� a s� C� Telephone ._.S Z4- $ � S�i CMF 0406-46 (BU 6) ��C�C_,� CITY OF C . �T,q P � ;A � , . � JUfI �� 1 i337 �. . 'r;;. ��`' � ='��Y��i��4��;f�. r �' ,� p `r.o �2z�� "'.02 ��nrini�q Labor��orie� �r ,�.«<i�z.�,� c,,c�/,2,<«,, �„�. :t910Au1a�IW:rv / M:�dm�lAJ�hex.POlfu.A/ / Iun1lUu;ir.li.CA!IUlllll / IlIJI,1:!�Y:I,lL4 / CI:IIIi:11:�:101i / 1/141�i'Ib�i.I V TESTING wmr�cuwnci i:,ina�H��w:a��_��::i,,.,�i i:;.��mn��.�.cna:�ia:i i�n.ussn�ocns Ezamination: SC83-3727 COMPRESSION TESTS ON GUNITE CYLINDERS Aichard L. Hubbard 17422 Yellowstone Avenue Yorba Linda, California 92686 PROJECT SWIMMING POOL & SPA (Tillotson) ADDRESS 768 W. 20th StCeet, Costa Mesa ARCHITECT CONTqACTOft Owner/Builder ENGINEER SUBCONTRACTOfl Regan & Kramer S.M.L. & Son SAMPLE FROM MIX DATE CAST DATE TESTED SPECIMEN NO. COMPRESSION TOTAL LOAD, LBS. POUNDS PER SO. IN. 28-DAY AVERAGE, PSI Spa, transition and deep end 4.2-1 6-15-83 SLUMP 6-25-83 6-25-83 6-25-83 1 10-Day 42,000 1,615 COMPUANCE SIZE: �1: 5-3/4" x 12" U2: 5-5/8" x 12" MADE BY SPECIMENS LOpeZ 2 10-Day 32,000 1,290 3 10-Day 30,000 1,260 U3� 5}" x 12" DIS7flIBUT10N: Riehard L. Hubbard - 3 �vst3 Mesa Bldg. Dept./Chuck Conner SPECIFIED STRENGTH SIZE �ELIVENf� BY Hubbard 2,000 psi $B8 B010Y7 flECEIVEO ON 6-20-83 t��cr�ae�� CITY 0: COS i A MESA 6UILCiNG �1VISI��'� JUL � � 1383 Pi 7 ��, �1011lii23�5t6 ,�i�,1��tittt � Neale R. Zuidema ALL R[POflTS �flE SU6MRTE0 AS iHF CONFIpFNT1AL VROPERTY Of CLIf:NiS MIIIIOHQAIION 1'OR Ppt1LICAlION OF OUN RLI'OHIS. CONGLUSIONS.OR ER1RACf5 PROIA OR REGRiVDINU f11CM IS HLSClNLD PENUING OUH W RITTEN �PNRWAL �5 A MU1llAl i'IiUILG IION IO CI.II(H Iti, i l lf: P11({�IC nNp GUICiI LVk:S ]IPIi / Z� � � '1, R= �A q� qc.qq5� Wpp��Y� g1{''gg��^C'� Q q/'��7 / / � ��i � V�LStlUd96� SlIZ6`6JC➢GaB��lI�BCit:J �l/ �ull�/1G'(11 `�l(.i�)'tltl<t, (�lfC. _._�C�� 02 ._.0 4� .�A :�:tluNinotlW:�v ! RI:nlinUnJ�h�::uPU Itn,.�� i��n�Ip�..�rh.C�:lp�i01 / I:��:p,l:'R.:fV.�L / V�:ql,'P,�>::Ub / I/I.IiU';lli.�l'�: �I[STING ininn�.uuiiud i�,i.iui�.��u�::�.�.;��::i��.i i:.:��r�n��i� ii,�rvu:i i in.n',:�.i:�i�.i�� duly 13, :l9£i3 ex;��„��,.�i�o�,: SCU3--3'(2'/ COMPRESSION TESTS ON GUIII'I'I: CYLIi`ICGItS iiichard L. Flubbard 17�122 YellowsLone Avenue Yorba Linda, California 92686 PROJECT SWIMMING POOL & SPA (Tillotson) ADDRESS �68 �d. 2oth Street, CosLa Mesa ARCHITECT CONTqACTOR Oo-mer/fiu.ilde�� LNGIHf:611 $UOCONTfU1C10❑ Regan & Kramer S.M.L. & Son SAMPLE FROM MIX DATE CAST DATE T[S7ED SPHCIMEN NO. Spa, transition and deep end 4.2-1 6-15-83 SLUMP 6-25-83 6-25-83 6-25-83 1 2 3 SPECIFIED STRENGTH SIZE 7-13-83 1� 2,000 psi See Beloo-i 7-13-83 7-13-a3 5 6 COMPRESSION 10-Day 10-Day 10-Day 26-Day 28-Day 2ti-Day TOl'ALLOAD,LBS. �az�000 32,000 30,000 124,000 120,000 121,000 POUNDSPERSO.IN. 1,615 1,290 1,260 1I,390 �I,2qo ��,2F10 28-0F1V AVERAGIE, PSI q, 303 conn�unnicr 2II-Day Cests eomply with specifieations. SI7G: {k1: 5-3/4�� x 12�� U3: 5�" x 12" �k5: 6�� x 12�� I2: 5-S/a° x 12° �j�{: 6° x 12° 1k6: 6" X 12" MAfIG 13Y UGLIVGIif:l� I�Y SPECIMENS Lopez Hubbard oisrnieunoN: Aichard L. Hubbard - 3 ..6esta Mesa Bldg. Dept./Chuek Conner � � � � � � � � CITY Or CO3TA I�I,::A BUILCIPlC UIVI:.. .� � 11!' 1 " 'i9�:3 v�._ — � nr:cmvru or� 6-20-fi3 9jhi !c •�� u. i�9C'.,.. �w�'..�1:;�.i�i.+y:i��4��.r IJeale R. Zuiduwa f.l.l 111 I•��Itl:; Alll :AlI11All Il.b lL IIII. CUI11 IULIIIIRI. VIIUI•I'lll v UI l.Lll.11lb /.IIIIIUItl/Allu41 U�i I'IIIR Ii.Alli rll UI l�Ull III PUIII', l.� �I161 ULI� tllb, UII I/ IINI.C: I IIUTA pl� f1LG/d�l)IIA1 I I if.lA IS I�I.:IINLU PCHL�VlG OIIH VJIII I ICN AVI9�OVAL Ati A iAUI Un� iq W I I GIiW i IO 6�.i1 I� IS. i nl 1•�Ni I�, filib oW f.,l 191 :: JJ0 12 Project Address � //D T A.P. Number — Building Permit Number _ Owner's Name Mailing Address _ FEE: CITY OF COSTA MESA PARK FEES Fee Payment Receipt ///. .�/1 �� Single Family ' 2-Bedrooms or Less 3-Bedrooms 4-Bedrooms 5-Bedrooms + Multiple Family " Bachelor or Studio 1-Bedroom 2-Bedroom � 38edrooms + 6095 5/19/B2 � 2992.40 TU Park Area N` 865 Number of Units @ $ 861.76 = @ 1,205.67 = @ 1,545.62 ' @ 1,810.50 = @ 474.37 = @ 573.18 ' _ Z— @ 881.51 = �/'�� @ 1,229.38 � � � Total Fep "' �L/ O Planning Department Approv�ate �— ' By ApplicanYs Signature _� �r � City Ortllnance 72-44 •• City OrGinance 72-45 '•• City Rasolutlon 70-116 CMF 017432 Rev. 6/79 Wnite—Planning; Canary—Ranning; Pink—Flnance; Goltlanrotl—ApD�lcant cos{Ga ��cs� I�! MISCELL�NEOUS UNOEAGROUND U POWER U � ROUGM WIRING TRENCNES IL/ FORMS STEEL AEINF. BONO BE��n � � STE SHE�THING Fq�ME �NO F��SMING L'-"ING — IN n I I 'ER. 9ROWN CO�T STnUCTUR�L. FIWL NE�TING. VENT.. REFR DATE SUBCONTRACTOR OwNER ROBERT TILLOTSON DATE 8-13-79 JOB ADDRESS 768 W. 20th St. BUILDING PERMIT N A. ,o. 115-343-56 Lor INSPECTIONS soi� G�5 W �TER ROUGH PtUMB1NG PROP. SWR. LINE _] MOUSE CON. SPRINNLING SVSTEM MISCELUNEOUS ROUGH NE<TING ANO �IR CONOITIONI TEMPOli>AY SERVICE OR POLE UNDERGROUND � POWER � ROUGH W�AING TRENCHES �J FORMS STEEL FLOOR SYSTEM BOH� BEPM [� STEEL REINFORC SNEPTHING FRAME qN0 FLqSMING IATMING — IN r� P ER. BROWN CO• $1..,,.TUAAL, FIH4L ME�TING, '/ENT., qEFi PWMBING. FINAL AN[ ELECTRIG. FIN�L BOIL�ING. ��N>L E ZONE VALUE YPE GROUI SUBCONTRACTOR I�atP r .� a w c. 0 a a Z W x 3 �\. 0864 8/13/79 9, j WSTA MESA BUILDINGSAFETV DEPARTMENT pPPLICATION FOR STRUCTURAL PERMIT � P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 RECEIV D V PERMIT � For Applican[ [o Fill in Completely — Use Ink Only � N° 4 8 6 21 BUILDING '7� � � �� s/7� A.P. �. ADDRESS � V �¢�.,.��./ BVILDING A'] T�ENANTOR —"✓ w� (%PI�/� . C. 1 f ADDRE55 �'� UNIT OR MAILING C / SPACE NO. ADD0.E55 G��LT %�� CITV �S � /�'GiC }'� NOL'�!/'!fi TR.N(O�Z LOT 39 ._ y(J 8 . CONS7FUCTION /. �� /j NEW AD� ALTER REPAIR MOVING DEMOLISH LENDER l/�'�"L`^ � BFANCH '�' / � OWNER O`j[`��^- //'/(% �Oq/ A��RESS �� VALUE ��p0 ARCHITECT TEL. USE E OR ENGINEER G L(/N �-/� ADDRESS '� � TVPE GFOVP /'t ,^ APPROVED CONTRACTOR (1GIN�� BV DATE AODRESS TEL. CITV NO. STATE CITY APPROVEDSETBACKS LI0. NO. LIC. NO. SIZE y NO.OF BLIX'>S. (FROM C/l STFEET) OF LOT / � X/ 2� NOW ON LOT ROM S USE OF � , �� EXISTING BLDG. Separa[e permits are required for L. SIDE electric, plumbing and heating work. REAR l USE OF BUIIDING AND WORK TO BE PERFOFMED P�P.NNING ACTION '�y � � / DATE �'/ ! � / AFPROVED / �' O�(!e% APPRO D � I hereby acknowledge that 1 have reed Sh(s application and rtate t�at the ebove information is correct and agree io comply with all laws regulating building consttuction, entl I shall not employ any permn in violation of the workman's compensation laws of tha State ot Californta. I heraby certlty thet I em prop¢rly Iicensetl as a contrector untlar SQ. FT. tha Stato of Calltornia Business antl Profeaions Cotle, Divislon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, antl that suc� licenses are In full force antl affact, or I THE PURP(SE OF ESTABLISHING A PERMIT FEE ONLY: em eaempt fram the pr visions of the Stete of California Business VALUATION PERMIT FEE antl Protessions C� ision 3, Chepier, /� § ,-Qr% Signature ot ' �.,jj PLAN CHECK $ Permittae g �C/(l �� TAX $ � S� or O � Authorizatl ABani Date TOTAL PAID $ � 50 TL ,_ _ OWNER �(; ,F'F`i, `J�TnR-a z GRnrg � DATE 2-24-56 JOBADDRES3 768 w. ZQttl St, - BUILDINGPERMITNO. 2V]�,1 G�"ERALCONTRACTOR K2I1I10'tYl B2ri50II __ VAWE $'']��(y8.�� oT AP 115-343-9 BLOCK TRACT 612 Residence GROUP 1 & J INSPECTIONS Footing Trench Foundation Forms and Grade Rough Framin Plumbing, Roug � Ta u, 0` Plumbing, Rough Complete Temporary Pole Wiring, Rough Heating, Rough Heating, Final ewef, House Sewe S� � Tan k o- �Cesspool� La...mg, In}'L Out Plastering Plumbing, Final, Fixtures Co Plumbing, Final Gas Test Wiring, Final Occupancy GORM 210 3M 10�•vS TYPE V DATE �9•P� �'.3-Z�< to Garage �L�� A. ,C'aC' _,ZL-• � u/Ol � � l�. 1 SUBCONTRACTOR DISTRICT L$j( . PERMITS ISSUED DATE I NUMBER �osta Mesa Bnilding DeparEmeuti APpLICATION FOR PLl�lvil'li.' " " }71 EAST 20lh STREET 2�3� B U 1 L D�l N G . COSTA MESA. CALIFORNIA � r rw•r ri..alv Show Iocation and distanees,from property lina and between buildings. 1 �� r� COSTF [e �'r::i %� n az�s-.��,PD�� 3�4. . � [rt E SS ROUGN PLUMBING PFOP. SWR. LINE � HOUSE CON. SPFINKLING SYSTEM MISCELLANEOUS ROUGH NEATING AND AIR CONOITIONING TEMPORARV SERVICE OR PO�E UN�ERGROUNO [� POWER � ROUGH WIRING TRENCHES FORMS � STEEL REINF FLOOR SYSTEM BONO BEAM � STEEL REINFORG� SHEATHING FRAME ANO FLASHING - LATHING - IN n OUT � PI ".R, BROWN COAT 51 iORqL, FINAL HEATiN0. VENT., REFRIG. AND A.C., FINAL PLUMBING. FINAL ANO GAS TEST �_ ELECTRIC, FINAL BUILDING, FINAL UAIC SUBCONTRACTOR ��x� ��G � /l�7G F � W 0. Q � � .'S. F L1 W F Q A ..i Q 7 r � � w a � LN. M z W S 3 . � 41357 , COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626 For Applicant [o Fill in Comple[ely — Use Ink Only ADIDRESS �(y p � ��ST OWNEF �OVCh/ �L(0/iU/1� MAII SlM � ADDRESS N CITY �� `� NOL �ySY� CONSTRUC710N �� BRANCH ^^ TEL. _� ADDRESS �� CONTRACTOR C/�ti�F �ItlGi��r• ADDRESS �� TEL. CITV ~�, NO. STATE CITV LI0. NO. IIC. NO. '� SIZE NO.OF BLOGS. OF LOT NOW ON LOT VSE OF �S EXISfING BLO�+. Separate permits are required for electric, plumbing and hea[ing work. USE OF BUILDING AND WORK TO BE PERFORMED I hereby acknowletlpa that I have reatl thiz appllcatlon antl rtete thet the obove information Is correct and aprea to comply wlth all laws raguleting builtlinB conattuction, antl I shell not employ any Oermn In ��olation of Me workman'a compeneation laws ot tha State of Celltornla. I hareby cartify thet 1 em properly Iieensetl as a contrector untler the Stata of Californle Buslness antl Profauions Cotle, Division 3, Chepter 9, anc� t�et such Iieenses ere in tull forca entl effect, or I em exempt frOm the provisions ot the Stete o( Calitornla Businecz entl Professions Co , ivislon 3, Chapxar 9. SIB�eture o _ /�� PermlttBe _� �l� � Authorizetl Agant � aniu jt ,t�tao�". � PR —� -%F�,qS' OO 05� � 5� FOR STRUGTURAL PERMIT DATERECEIVE� pq`E�SSU� � j ' A.P. NO. II�^�< BUILDING ADDRESS lj TRACT �� ` OWN R S • I�C' ` FIRE ZONE T APPROV D / BV l. N - NO.OF P`.°^'s C VARDS APPFOVED DISTANCE BET. MAIN BLDGS. VAR. � C.U.P.sF` �� LOT BLOCK ILL 0 VALUE � J� S GROUP OATE �J � I '� I USE OF NEW ��l BUILDING VAI7DS APPROVED ACCESSORV BUR�ING BET. MAIN & THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: VALUATION PERMIT GEE $ ��\ � PLAN CHECK S $ �.%`J TAX b � TOTALPAID $ s"'� n m i m m � m a a v� m m f U F � W G. a h � `rr+ F G1 ,� a J Q 9 � � a w c� O a 4 z � 3 I n � � ~ COSTA MESA BUIIDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only ADIDRESS ��`• � � �v d�// OWNEF Q 9 C1-T T� l/:'') S«'�- MAIL �' gM J� ADDRESS /� TE L. `�� j.^ � CI T V �U S�A �� . NO. CANSTR�UCTION a-W N� C. J� BRANCH ADOflESS ARCHITECT TEL. ADDRESS CONTRACTOR Y /� //JJ'],((�A/�i/J�L/i1/ � ADDfiESS � TEL. CITY NO. STATE CITV IIC. NO. LIC. NO. 51 Z E NO. OF BLDGS. OF LOT NOW ON LOT USE OF E%ISTING BLDG. Separate permits are required for � electric, plumbing and heating work. USE OF BUILDING q�0 WORK TO BE PER�OFMEn _� �J I hereby acknowletlpa thet I hava reed this application antl stata thet Me above informaiiort Is correcf an� eqrae fo complY with all laws ragulatinp building construction, entl I shall noi employ eny person In vlolatlon ot the workman's compenmtion laws of She State of Cellfornia. I heraby cenify thai I am proPerly Iicansetl as a conttactor undar the Stete of ColHornia Businass antl Profenlons Cotle, D(vision 3, Chapter 9, a-tl that such licenses are in full force enC effeci, or 1 em exempt i om the provislons of the Siata of Callfornle Business antl Professl na Code ivislon 3, hapter ! Sipnature ' � Permitteo Authorizetl Apeni REC AD �--�'"' �= � _ '.��.�,�o�� `- DN FOR STRUCTURAL PERM17 DATE RECEIVED n a �cuici L��v FIRE (� ZONE APPROVED ROM VAR. # � �INO.OF�I VSE OF NE4j�i�L PIANS BUILDING � �r� � IDSAPPROVE� VARD APPROV DATE THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PUflPOSE OF FSTAB�ISHING A PERMIT FEE ONLY: VA�VATION PERMIT FEE E � OO PLAN CHECK E �T 5 �iO� r TAX S �'� TOTALPAID $ � N � m i : m � 0 b a N m M 0 LL F u WNER TII JB ADDRESS 'Rn� cor � ��o. 115-= ISPECTIONS )IL �s nTEH JUGN PLUMBING iOP. SWA. LINE �RINKLING SY51 ISCELL4NEOU5 r�:a�• ROUGH MEnTiNG �ND MP CONOITIONING WIR 0 FRAME nN0 FLnSNING L" 'NG — IN �J OUT [� F ER, BROWN COaT STHUCTOR<L, FINRL HE/TING. VENT., REFRIG. AND �.C. PLUMBING. FINAL AND GRS TEST � F IN DATE 6-7-78 SUBCONTRACTOR Heotiny,ond_Vent. ., "r._"_ ., . -_T __'. '- 4. _,� _ ' �e,��4 COST'A MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING �� ` � �7 O (',/� ADDRESS Q L �7 / OWNER �(J'�Cr� J (� �SOyV MAIL �A� � ADORESS /P ��rv G'as7`.i �%e1�4. No �91'y� BRANCH ^�—' ADDRE55 r— ARCHITECT _ TEL. CONTRACTOR ADDRESS CITV F STATE � LIC. NO. {s,� 512E L OF LOT a VSE OF � EXISTING BLOG. y TEL. NO. CITV LIC. NO. NO.OF BLDGS. NOW ON LOT FS Separate permits are required for 0 electric, plumbing and heating work. {y USE OF BUILDING �+ND WORK TO BE PERFORh L �,/ a ��oz/f' r�.�i�( Sva�p � �" ..l � W 4 REC 3264 6(,OZ/.�8: • ��-:-.:10'� 50 � . � .. �4��.: FORSTRUCTURALPERMIT DATE RECEIVED D TE ISSUE� 7�� PERMIT NO. A.P. NO/�L} ' �yys � AODP'E 5 7(Fj� (�!/ TRACT /9� � OWNER � FIRE zONE APPROVED V RI VAR. aW VALUE /�� NO.OF VSE OF NEW . PlANS 2 BUILDING APPROVED VARDSAf BUILDING ACCESSOR' � I hareby acknowletlge that I have raetl this applicailon antl state a the< the ebove informaHon is correct antl agree to comply with a ell laws repulatin8 Cuildin0 construction, and I sheli not employ Z eny perwn in violeCion of the workman's compensatian laws of � iha State of Calitornie. 3 I hareby cartify thet I am properly Ilcense0 es a cantractor undar S� the Sute of Californla Business entl Prafes5ions Cotla, Dlvision 3, THE AMOUI Chapter 9, antl that such licenses ere In tull force antl at}ect, ar I THE PURPOS�� em ezempt trom S�e prov ' ns of tha Staie ot Calltornia Business VALUATION antl Professions Cotle, D is n 3, Chapter 9. Sipnature of //�� Pe�mittee $�� S OATE APPROVED VN UNDER VALU 'ABLISHING A PER! PERMIT FEE S PLAN CHECK E TAX E TOTALPAID E FT n n m i m m J m b �+ m n 0 � u 'l J