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HomeMy WebLinkAbout278 21ST ST - Building Permits(, Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. (� CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG.NO. v V ( b _ -' - - ' 1 CONSTRUCTION PERMIT f3�'0t — (9/S' 1 TiProject Address '� / 7 0/ 4( TYPEIO NSTR CTN - Owner _.Y - > Phon•. „Jr • (Ca lB to - 0 N ❑ ADD 0ALTERATION a Address/yl s-/-9 -7O�,C,1 2")C• I/iJJ.Q Q/�/f�i EPAIR ❑ CONVERSION ❑DEMOLISH y 4 ZONING1REGULATIONS Arch/Eng. License No. 0 OTHER A.P. Z/i /J -• /•Z DESCRIPTION OF WORK q ' r Address - - _ - ZONE P a F • k'� Contractor AM _ f'. 'ua Phone'.•'j - ''�Yi VPE OF PERMIT B D • - LING ._+_• : Ti. Address r � SETBACK C L T. O• R V LINE 1� • ��� - Inks ARM ❑ GRADING 0 FOUNDATION,,����STRU,,--C,,TV��RAL SLIDE YARD • LICENSED CONTRACTOR DECLARATION ❑ TENANT ❑ ELECTRICAL L7PLVMBING 1_`1101ECHANIC A • SI DEYA-• - • • - • I hereby affirm that I am licensed under provisions of Charter 9(corm • RIGHT • ' ❑ mencing with'section 7000) of Division 3 of the Business and -OTHER - - - - - Professions Code, and my license is in full force and effect. REAR YARD(TO P/L) . d�� / / PROJECT DESCRIPTION Licens Class..FL:( ,,.s,._� Li ense o 3 �a PKG.SPACE REQ. PROVIDED Date - X Signature1 -7a-c.' '�J�y. SQ. FT. �,/^ �t (" ) y —/V STREET WIDTH PARK FEE$ WORKERS'COMPENSATION DECLARATION OCCUPANCgyr�'-•/ CONSTRUCTION TYPE I hereby affirm that I have a certificate of consent to self-insure or a VALUATIO WOTr)/ w ZONING APPROVED BY DATE certificate of Workers' Compensation Insurance, or a certified copy -ZONE thereof(Section 3 00,Lab. C.). �!��'�'f �' GRADING CU.YDS. ACRES SPECIAL CONDITIONS: • icy No. re- 1GZY3/ Company R09•4Bctc 5j,1,. UfTy - - - - .- • - C fied copy Is hereby furnished.hcity � / -'--� � ertifled copy s filed with the city In :vision. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION . (This section need not be.completed if the permit Is for.one hundred n .. -_. ' ($100) or less). - •f-1 C, #- nfl DA $'" I certify that In the performance of the work for which.this permit is _ _ Issued, I shall not employ any person in any manner so as to become 1. PLUMBING PLAN CHECK" -ELECTRICAL- - PLAN CHECK , . ' subject to the Workers, Compensation Laws of California.'_ - - .- uwO ELLfry - GA RAIoE - - - -- Date Signature' BATHTUBS SHOWERS 4— 3 00 e e _ - NOTICE: If after'making this declaration, you should become subject' TOILETS //• / 1, - URINALS 3 00 GENERATOR 0-1 kw. -1._. KW to the Workers' Compensation provisions of the Labor Code,you must TRANSFORM_ ER - forthwith comply with such provisions or this permit shall be deemed LAVATORIES ' / DOUBLE LAYS' - 3' 00 --APPLIANCE 10-50'KW_50 +KW "- , . revoked.. . _..- _ __ _" - _... _ CONSTRUCTION LENDING AGENCY KIT.SINKS 1/ / DISHWASHERS - _ - 7 DO MOTORS ' - 0-1 HP_1-10 HP I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS - SUMPS n -- -(INC.SOLAR) - 10-50-HP_50 + HP - - - _ ' formance of the work for which this permit is issued (Section 3097 -' _ - -' "' FLOOR SINKS - F• LOOR-DRAINS - 'FIXTURES OUTLETS "" SWITCHES ' _Lender's _Name __ _ _ _ _ _ _ _ Lender's Address DRINKING FOUNTAINS- Il - -GAS-TUBE SIGNS - - - — - " ' - • OWNER BUILDER DECLARATION - - INTERCEPTORS CLARIFIERS POLE LIGHTS -'- . . - - I hereby affirm that I am exempt from the Contractor's License Law for . ' the following'reason (Section-7031.5 Business and Professions Code: - "SWIMMING POOLP�TRAP--- - - - - - LuINSI-HUL Rule . _ _-. " Any city or county which requires a permit to construct, alter, POLES METERED 4 SUB..., improve,demolish or repair any structure, prior to'iis issuance,also re- WATER SERVICE ALTERATION - - PANELS - - MAIN-.. SUB- . quires the apilicant for such permit to file a signed statement that he ' d is licensepursuant to the provisions of the Contractor's-License Law GAS SERVICE j LE O• UTTS 3 �� - SERVICE- (Chapter 9 (commencing with Section 7000) of Division 3 of the -Business and Professions-Code) or that'he is exempt therefrom-and the' -WATER HEATERS /'I B• TU OUTPUT O - - - ... - , --' - 'is for the alleged exemption. Any violation of Section 7031.5 by // I • •• applicant for a permit sublectr the'applicant to a civil penalty SEWER CONNECTIONS . - - -- -- -'- '-- . ,pot more than five_hundred dollars ($500). _ I. ' ' • - sit, as owner of the property,or my employees with wages as their' SOLAR TANK COLLECTORS _ - - .sole compensation, will do the work, and the structure is not intended _ - •_ . or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. -ISSUE FEE `-'�, - Contractor's.License Law does not apply to-an_owner.of a property _ .___ _ 3 who builds or improves thereon, and who does such work himself or ISSUE FEE '� / 0' -APPLICATION APPROVED = wi_.ut _ 'DATE through his own.employees, provided that such improvements are not •' intended or offered for sale. If, however, the building or Improvement MECHANICAL PLAN CHECK SUMMARY OF FEES, , _ ' issold"within one year of completion,the owner will have the burden of proving he did not build or improve for the purpose of sale). BUILDING - //�pp - ' HEATING SYSTEM 0-100,000 BTU rI PERMIT g (o Dr SD FI.SMIP . _ $- /�� 8-i} as-owner of the property,-am-exclusively contracting- with AND DUCTING - "--'" - - -' - - - licensed contractors to construct the project (Section 7044, Business 100,000+BTU / PLAN CHECK $ /J/2•C2, • -,PERMIT - 'and Professions Code: The Contractor's License Law does not apply to - - �1 // - ISSUANCE $ - - -' • an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ 2ri,M-, r tracts from such projects-with a•contractor(s)-licesned pursuant to SYSTEM - - - - -- -- - — - -- - •♦GRADING $ the Contractor's License Law). 100,000+BTU PLAN CHECK" $ • - .i 1, I • • ' -❑ ram exempt under Section B.8, P.C.-for this BOILERS BV ELECTRICAL $ $ T reason - -- - - - - 1 _ '.rMICRRbFILNI $ • - -Date Owner- - SYSTEM REPAIR,ALTERATION PLAN CHECK g TOTAL'FEE "MECHANICAL $" -•� $--// 00 - .t. • I I hereby certify that I have,read this application and state that the above EXHAUST SYSTEM _ MULTIPLE _ `tE55 AD- . information is correct. I agree to comply with all city and county -- PLAN CHECK $ VANCE PC S_ •• • ordinances and ste - laws relating to construction,and hereby authorize • / 40014/ e. /,( . , •L-i- r -. , representativ- - 0 this ity 0 enter upon the above mentioned property,1`.-6,4 f _ r� 1, M /39/58' l •roti. x .y •flim/ 4G e Slgnatur- --r l s'0L/ —_tea Date-d' ifI - . FINAL FEE $ Drivers'License or 5 t- - ISSUE FEE '- - - " " " ' - - 3 /d — - . 1. CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL&SPA . APPROVALS Permit# Date Inspector APPROVALS Permit# -Date Inspector • 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - - - •- - .--- - - i' 2. Soil Pipe-Undrgrn 44. Steel Reinforcement -- • • - • - • - -- - - • --- - • _ 3. Electrical Conduit Utility-Undrgrn 45. Forms 1 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - 5. Steel Reinforce - 47. Rough Plumbing & Pressure Test - - - - -- --•- _ . 6. Electrical UFER Grn __ _ 48. APPROVAL TO COVER-GUNITE • - - - . _. . . . 7. Footings 49. Electrical Conduit-Undrgrn 8. Foundation 50. Gas Pipe, 0 Undrgrn,Test 9. Water Pipe-Undrgrn 51. Backwash Lines, P-Trap. 0-Undrgrn - -- - 10. Structural Floor System 52. APPROVAL TO DECK - - - - .-- . ' .. - -- 11. Property Sewer Line & House Connection _ 53. Backwash & Receptor-Final 12. Street Sewer Connection 54. Heater & Vent-Final • 13. Rough Plumbing,. .-- • P.••0 f'1'-B41 55. Plurribina System - Final • 14. Rough Electric-Conduit. • '\ - - ••- • • 56:- -Electrical-Final 15. Rough Electric-Wiring - - . . 57..-• Solar System-Final • 16. Rough Heating & Air Conditioning //t-/ft-_ . _ 58. Fencing-& Access Approval 17. Ducts, in Structure - 59. APPROVED FOR PLASTERING . 18. Ducts, Ventilating . 19. Gas Pipe-Rough &Test _ - 60. `POOL/SPA SYSTEMS FINAL• 20. Roof Framing - i. 21. Roof Sheathing • - t y�j1 �/ 22. Frame and Flashing CoR,eo4 0,3 s .,.sp.n p _3'3S I.•5 •• -1 NOTES: a + .cs 23. Insulation 24. Lathing & Siding 25. Drywall Nailing D S ( n- 'rt-' 26. Plaster Brown Coat 27. Electrical Power Meter-Final 28. Final Electric - --I - • 29. Final Heating & Air Conditioning - . . - 30. Final Gas Pipe-Test . 31. Final Plumbing 7//i/-r "-fir 32. Water Service-Final ' 33. Gas Service-Final ' -. • 34. Solar Domestic-Final 35. Landscape Sprinkling System- -- 36. Sound Attenuation 37. Handicap Regulations-- - := //�.. _ _ 38. FINAL STRUCTURE & BUILDING 7/JI"g .IIr-, . 39. Special Requirements Completed • 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY . . . ' No Date _ • I I 4-L 1---1L' I- V I �I I � �1,� r _ _ 14th ; + L+ ! 4----I } I, i j _r , I _I } - ;. ._ i 1 1 }. 1 . , . I( , 1- I Y , T r 1 -- -- t_ _ I'� --f-- -- __ + _t d-- U - ` - 4 -, _i_ - 7 - J' I - _ -T ;_ }. - , . t - -t-- + T '" - - , 1 + I E + ;- - , - 1 -, IS:.f3�-�cr 1 To .-4a�v 94e0NS 1 i�v1 _ Ste.Pu y tff _: - f - 1 - - -+ - - - - r{/uDaFC:rnZit n _iN 4_ Cne ' •, t. 3sf t 1038 :- /2 -- } ,1 1 - .-L-- - - - - - - - /1.1 _20_4044)_“ i N 1 .. 1 j , 1 -f .4_ _t . - - - I �. - - - - - -- -._. -I _. L :•_G' -43r E I��n2:.c;ac F.Ci47704S r i 'T-' t I --1 - - $ , I -7_ ,3e t - I __ - , . 1 --- - - - r---Ti_ , - . _ r -•- .� i�i2ovw F 1 1 -; „- -i -+ t 1 L__.r-_ �. .. ' .�- I t I I � � ' I _ . ` "'Hit') y!!_it v $v. en-, P .f�+ - Re^P.!oe� . + STRUCTURA_ APPROVAL OILY � I I I t l i I -t-- � - - ._- - -- -+ 1 . 1 _ ._ �e._1C_L2. - - - I- I i I I . I I L } : , SEPARATE PEdMITS ARE REQUIRED I 1 I I ' ' I I , $ 1 $ --FOP i_lECTZfCr11=: ?::UMBiN,G,- I i - I-1 Hc`, i ;;- ;;Tf:T_t:^_TIPJG- AND 1 t j :::_viReiG:RATIONtWORKt-� � - - , �-� -� --� — i`'� --4- � �-- }--�---� �-�- � - - 1- r- � II I 1 I 1 I I �isI�INSRE Q REQUESTSNY - -I tI # _ �- ' _ * iTHIS R P.i' ST ACCOM j t - t ?-z—z-S-f- t- - -For -Ins 1 , t + 4 -�-- ,- - - ; + _t= � = a_.. I I ect�ons _ I . I I FO rB.,-LDINGz +»-lniiE.RERSONS ARE_TO _ _ -1 __� 1 t_-' I s9 - ±, 1 , - . +_ j _ t BE EMPLOYED WE'SUGGEST THAT THE fi I I/� I 1 I I -- t STATE--OF -C .UIFERNiA--DIVISION- OF- - - -: --1- 1 -- — -I t- -I- _$_ .1_ -i - t' .} { --1 r_ _ t _ 1 INDUSTRIAL S7ETY, BE CONSULTED FOR ' - ' •ADOITONAL-RfOUIR,EMEP1TS:T -;- + - - 1 - 1 I - - F - - ` Cs- I- 1 . 1 II 1 _ 7511 1 II .1 1 _$ I I I I. i -I 1- 1 j -! - - i +- --• - -1 1 1 - ---- }I I-1- t --} - 4 1 I H , 1 I I 14 �` / ) 1 - -- 11 1 { 1 - _I ___ _ Ti -- _i_ }- h -- t- t -1 . 1 - e- �- ,�' j'a 1�' s-- . ; I I t ! $ t I 1 T _ I I 1 I I ( 1 I 1 I I : I , I I I 1 ! I ,�I i I I I I I i I I I 1 , -+ { -+ ---4:01--- --' -4- -I- ? -j- -+ - 1 -i-- - ?----a-- 1 - -=- ,+- - t- ---� T ;, �pLZ - -.- -- 1-4_- 1 - 1 -1 - - -1. - 1 - _ i- -- - t- t t- . , 1 , r � 7 , r I f � t- � 1 r t 1 ____._., . . L !_ I hi\ � - i - � _ _ t + - -.- _ _ P . _ _ _ _ _ _ _ . ,. I _ + , t I f,1 1 i � i { - -- - - - - - -__._ ____ _ __ ._ __- __ i_ } t � ;, .. , I - i t it kr 1- - r r I 1 __ _- _ - _ . -1- A i .` I�', i } _ A' --- r-___.--ia--i _ I - iltri ri- -pi-t- --- - - - -- - } __� CJ - N ,_ _---- - + - f � - __ - __ _ _ - � - - = - ---- _ 4. T - - - - - - � ' «_ L 1 I i - - - - - - - - - � --- - -- =r- - _ - -i I ;}- _ - H-- - -- - - - - • - - - - I • - - h--- k - - - - I ! - i -TL_ - 1 1 - -J_ I - Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. {{�� CI^.V OF'COSTA MESA P MIT NO. TRACT NO. LOT NO. BLDG.NO., U O I b - - 1 CONSTRUCTION PERMIT PERMIT — /9/$ �. —TI. Project Address , 7 a `o/'�, TYPE OF CONSTRUCTION /�a/� /�- ' Owner /✓u& - �/f '�At PhoneQz. r/ ❑ NEyY ❑ ADD 0 ALTERATION C ]e" r Thce4✓ , Address//A sea .,'0 Qes/Ad 4g.,/t.., Mitt A(,(k L�1,YfV/EPAIR ❑ CONVERSION ❑DEMOLISH ZONING'y(pfiREG-U CATIONS Arch/Eng. License No. ❑ OTHER . A P ZG — / Address DESCRIPTION OF WORK `f —"—r_S1 • ZONE t,_ a• F .. c e•ontractor /� Phone 'j - YPE OF PERMIT :1 • r • I • i TL 37.'!.L r� �a :�1•• • •V LINE Address . • SETA . • 1� � � ���� w.s �..7Ct�/7 0 GRADING 0 FOUNDATION STRU,,��C,T� U/�/RAL �� LICENSED CONTRA TOR DECLARATION s ❑ TENANT ❑ ELECTRICAL LU MBING 3mECHANIC• Ipp I hereby affirm that I am licensed under provisions of Charter 9(com- -IGH mincing with section 7000) of Division 3 of the Business and 0 OTHER REAR YARD(TO Professions Code, and my Ilcens° Is In full force and ellect. P/L) q�� / PROJECT DESCRIPTION Llcan�s�¢•jClass.[L( �L/I,j{sense ^� 71 sSQ. FT. em/ PKG.SPACE REQ. PROVIDED . CiateWORKERS'COMPENSATION IreOECLARAT(ON OCCUPANC ^•-3 CONSTRUCTION TYPE rte• • STREET WIDTH PARK FEE f I hereby affirm that I have a certificate of consent to self-Insure or a VALUATI v errs ZONING APPROVED BY 6a ZONE (( DATE •ztlfl ate of Workers' Compensation Insurance, or a certified copy O'[!v/ a1 • ...elf(Secjion MOO,l,abr- .C.). �/.�-�s GRADING CU,YDS. ACRES SPECIAL CONDITIONS: .pre- 4t•721 companyR0146gc.aWA)ITY U lied copy Is hereby furnished. /�.�,,� GIQ./C As.. REMARKS: {} ;7 j EB"Certined copy Is filed with the city faer Ivls oT n. /SA.a<-�-�I°BI.G lY t3tDa l4>c • - • EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Au pact. O5Lf.er S7/r°ua.?T7on„ (This section need not be completed if the permit Is for one hundred n p /S ($100) or less). C,4's Af s3 a L! certify that in the performance of the work for which this permit is issued. I shall not employ any person In any manner so as to become PLUMBING PLAN CHECK ELECTRICAL PLAN CHECK subject to the Workers Compensation Laws of California. BATHTUBS SHOWERS !/ ' 3 00 SQ.FT INV 50 FTOE Date_ Signature . NOTICE: If after making this declaration, you should become subject TOILETS L" / URINALS 3 00 GENERATOR 0-) KW 1-10 KW to the Workers' Compensation provisions of the Labor Code,you mustTRANSFORMER " forthwith comply with such Provisions Or this permit shall be deemed LAVATORIES 4 / DOUBLE LAVS 3 Seo APPLIANCE 10-50 KW 50 s KW revoked. CONSTRUCTION LENDING AGENCY KIT.SINKS i•-••••- � DISHWASHERS 7 00 MOTORS 04 HP 1-10 HP I hereby affirm that there Is a construction lending agency for the per- SERVICE SINKS SUMPS DNC.SOLAR) 10-50 HP 50 4 HP , formance of the work for which this permit is issued (Section 3097 _ Cl v. C,). FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES • Lender's Name Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS ' — OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS I hereby affirm that I am exempt from the Contractor's License Law for - the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP LON]IHUL HUN Anycityor county which requires a POLES METERED • q permit to construct,alsolm- T SUB Improve,demolish or repair any structure, prior to Its issuance, WATER SERVICE ALTERATION PANELS MAIN SUB • quires the aps licant for such permit to file a signed statement that he ' Is iltehsed pursuant to the provisions of the Contractor's License Law GAS SERVICE .3 OUTLETS SERVICE AMP •flOapter 9 (commencing with Section 7000) of Division 3 of the I ' ^•s and Professions Code) or that he Is exempt therefrom and the WATER HEATERS v1 BTU OUTPUT 3 at) ' ' the alleged exemption, Any violation of Section 7031.5 by licant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS of yrs more than five hundred dollars (5500). ❑ I, as owner of the property,or my employees with wages as their SOLAR TANK COLLECTORS sole compensation,will do the work,and the structure Is not intended r- or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE Contractor's License Law does not apply to an owner Of a propertyor 0 APPLICATION APPROVED BEs'•- ~ DATE who builds or Improves thereon, and who does such work himself or ISSUE FEE 3�7 through his own employees, provided that such Improvements are not Intended or offered for sale. If, however, the building or Improvement MECHANICAL PLAN CHECK SUMMARY OF FEES is solo within one year of completion, the owner will have the burden of proving he did not build or Improve for the purpose of sale). •� BUILDING ❑ I. as owner of the pro HEATING SYSTEM 0-100,000 BTU �s PERMIT $ 8.5-0 SMTP f / perty, am exclusively contracting with AND DUCTING OD licensed contractors to construct the project (Section 7044, Business 100,000 . BTU W PLAN CHECK f- 2'Si' PERMIT and Professions Code: The Contractor's License Law does not apply to ISSUANCE f an owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $_ 24,4.�l ' tracts from such protects with a contractor(s) iicesned pursuant to SYSTEM GRADING f the Contractor's License Law). 100,000 • BTU PLAN CHECK $ • ❑ 1 am exempt under Section B.& P.C.for this BTU ELECTRICAL $ f reason - . MICROFILM f Date SYSTEM REPAIR,ALTERATION PLAN CHECK $ --/ I Owner MECHANICAL $ , 00 TOTAL FEE$ I.i reby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE LESS AD- VANCE Is correct, I agree to comply with all city and county ..pg`L PLAN CHECK $ LESS AD- f_ ordinances and sta - laws relating to construction,and hereby authorize //j t• • LV resentatlJ . this uy Co enter upon the above mentioned ram 539/58 property e� .. di./�J n .y Slgnalur. la - %� firer pates ted` �/ • FINAL FEE f Drivers'License or S - -- / ISSUE FEE 3 ,O CONSTRUCTION AND PLANNINGPOOL&SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. Soil Pipe-Undrgrn 41. Steel Reinforcement • • 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5_ Steel Reinforce - 47. Rough Plumbing& Pressure Test _ 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 111 7. Footings 49. Electrical Conduit-Undrgrn 8. Foundation .. 50. Gas Pipe, ❑Undrgrn,Test 9. Water_Pipe-Undrgrn _ 51. Backwash Lines,P-Trap. ❑Undrgrn 10. Structural Floor System 52. APPROVAL TO DECK _ 11. Property Sewer Line & House Connection 53. Backwash & Receptor-Final 12. Street Sewer Connection 54. Heater & Vent-Final -13. Rough Plumbing Plumbinc Svctem-Final 14. Rough Electric-Conduit 56. Electrical-Final 15. Rough Electric-Wiring 57. Solar System-Final 16. Rough Heating&Air Conditioning b6. Fencing&Access Approval 17. Ducts,in Structure 59. APPROVED FOR PLASTERING 18. Ducts,Ventilating 19. GasPipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL 20.- Roof Framing - 21. Roof Sheathing 22. Frame and Flashing NOTES: v s r tab 5010 5�Z'y,, to/viz a ec. , d r4cic.aaxa 23. Insulation �1st�r}r� wsz�p� /29,,,,..4, P-rh. c2su,c- s,oe& pS iw'64j 24. Lathing &Siding 25. Drywall Nailing t > Llt� � 8-deD � ElS -6://cc-.N 26. Plaster Brown 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-Final 34. Solar Domestic-Final 35, Landscape Sprinkling System ' 36, Sound Attenuation - 37, Handicap Regulations 38, FINAL STRUCTURE& BUILDING 39, Special Requirements Completed 40, Electric Release to Edison 41, Gas Release to Southern California Gas Co. 42, CERTIFICATE OF OCCUPANCY No Date COSTA MESA BUILDINn—SAFETY DEPARTMENT P. O.' X 1200 ' Costa Meia, California • . r ' 1 1 I , P1' ICA ION 4�A [(yy/ r, PPERRMIT NO. UI i I TRACT NO. RECD. BY%I�Y t 1 ,7e7 ../�I T L JC• -CTOR ///���ITaCly Ht F-+/K/D,4 LOT NO. DATE ISSUED Address ��yrli�v .2757: �� BUILDING USE //_ -2/ • . ! O •r/f/ VY coW Cit• y (70S7>& Mos- Zip Code Buildings)? �t sy w Address • Wit:" �/!//JJ pp �! \ • 0) State License No. Class. Owner Wit:"24 ��I\ /.,AJ ? a ui City License No. Tel. No. Mail l�.S-l2 Jororne.,,.`i-(E, I— Address Q NUMBER TYPE OF FIXTURE OR ITEM FEE City1 e �.p } Tel,No �7 /p _0 Bathtub - l/lzLA PA-KK‘ P/—O !s/ J Laundry Tub or Tray I hereby acknowledge that l-have read this application and Q Automatic Washing Machine _. state that the above is Foirect and agree to comply with all City Ordinances and State taws regulating plumbing. Shower I certify.„tl�af Apossess the above valid State of California classi- Sink,Bar ficationror l am the legal owner of the residential property de- CC Sink, Kitchen scnbedrabove. U1 Wash Basin(Lavatory) en I certify that I have obtained a permit from the State Division of 0- - t Industrial Safety for excavations,other than swimming pools,five O Water Closet(Toilet) - II 1 feet deep ordeeperaaapppddd into which a person is required to descend. . C Drinking Fountains ,� 'sV;Isl."' Nr- /� Signature 0 L._--C / ` \ Floor Drains �y Permittee '� Z Interceptors -� 1 ' ',Pr = Receptors , r 1, t- INSPECTION RECORD , Sinks,Commercial ortindustrfal • F Sinks, Floor fl ` 1. ' Sinks,Servide r )Y 2 Swim min g`Poof CC al - Urinals.' Q. Li Dishwasher K y Garage Disposal D Water Softener - O - Water Heater and Vent y Gas System ...Outlets... APPROVALS Roof Drains fn / Water Piping Alteration- CO INSPECTOR DATE = Backflow I4eventer U/G SOil h- Lawn Sprinklers(Res or Non-Res) • U/G Water Property Sewer . .. Feet Services—Water 0 Gas 0 Solar Piping Rough Plumbing Cesspool,Septic Tank Sprinkler System sewer cap Gas Miscellaneous Property Sewer Pool Receptor Filter System Sub-Total Pool Heater , Reinspection Fee Miscellaneous • Processing Fee , -: O 9 Final Gas TOTAL p•Lrh I 5. 160 Plumbing Final . Utility Co. Notified CMF 0450-46 BLDG. PERMIT NO. /ti/e) i • . oe Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PERM NO. TRACT NO. LOT NO. •�BLDG.NO. • '�; s CONSTRUCTION PERMIT G '9 ' 7100 1.0/20/81 9.25 1 Project Address �/JO ',J�` `• � TYPE OF CONSTRUCTION '-. • . Owner iAgpyG f-/ �1 i . 1 Dia Phone 3Z--A7 ❑(NEW ❑ ADD 0 ALTERATION Address"'/957z ,J C0 /Jv�• //14-AI '+gs• s" REPAIR 0 CONVERSION ❑DEMOLISH Arch/Eng. License No. 0 OTHER ZONING REGULATIONS DESCRIPTION OF WORK A.P.$ 4126 —I /57 '/ Z Address ZONE PLNG. REF. Contractor © Phone TYPE OF PERMIT BUILDING Tp Bt�ILD ING Address 0 GRADING 0 FOUNDATION��,�I,,( 0 STRUCTURAL SETBACKIDE AR CD T. PRO PE RTV LINE FT LICENSED CONTRACTOR DECLARATION 0 TENANT i5 ELECTRICALyC-IPLUMBINyi SI DE YARD I hereby affirm that I am licensed under provisions of charter 9(tom- R G mencing with section 7000) of Division 3 of the Business and ❑ OTHER Professions Code, and my license is in full force and effect. REAR YARD(TO P/L) PROJECT DESCRIPTION - - License Class License No. PKG.SPACE REQ. PROVIDED Date Signature _ SQ.FT. WORKERS'COMPENSATION DECLARATION OCCUPANCY_CONSTRUCTION TYPE STREET WIDTH PARK FEE$ I hereby affirm that 1 have a certificate of consent to sell-Insure or a VALUATION - ZONE ZONING APPROVED BY I DATE certificate of Workers' Compensation Insurance, or a certified copy thereof(Section 3800, Lab. C.). _ GRADING CU.YDS. ACRES SPECIAL CONDITIONS: P v No. Company rtified copy is herebyfurnished. REMARKS: - ��� o ertifiwithetl copy is filed cit L.. .- the city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION f1��4 (This section need not be completed If the permit is for one hundred IVB /J q - - ($100) or less). - `/ -CJ C:w certify that In the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become PLUMBING ' PLAN CHECK ELECTRICAL PLAN CHECK subject to the Workers Compensation Laws of California. UWtLLIN(a GARAGE Date Signature BATHTUBS SHOWERS a ¢ e NOTICE: If after making this declaration, you should become subject TOILETS URINALS GENERATOR 0-1 KW_1-10 KW to the Workers' Compensation provisions of the Labor Code,you must - - TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW 50+ KW revoked. CONSTRUCTION LENDING AGENCY- KIT.SINKS DISHWASHERS MOTORS 0-1 HP 1-10 HP I hereby affirm•that‘there sea construction.lending agency for the per- ('SERVICE SINKS SUMPS .(INC.SOLAR) 10-50 HP 50+ HP _ formancesof the Work for which this perrnd'is issued (Soctio6•3097 Civ. C.)f `� ',v FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS /SWITCHES,] Lender's Nama ' ° •' � . - ', A _- -t -,DRINKING FOUNTAINS GAS TUBE SIGNS Lender's'Address z '� . OWNER BUILDER DECLARATION • INTERCEPTORS CLARIFIERS POLE LIGHTS I hereby affirm that I am exempt from the Contractor' s License Law for the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL P TRAP LUNSI KULI IUN Any city- or county which requires a permit to construct, alter, POLES METERED SUB improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION PANELS MAIN SUB quires the applicant for such permit to file a signed statement that he , is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE OUTLETS SERVICE AMP (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he i5 exempt therefrom and the WATER HEATERS BTU OUTPUT b rt,,afor the alleged exemption. Any violation of Section 7031.5 by a +ly'`,tjplicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS o'-. _ more than five hundred dollars ($500). Dl-,'as owner of the property, or my employees with wages as their SOLAR TANK COLLECTORS sole compensation, will do the work, and the structure Is not Intended l or offered for sale. (Section 7044, Business and Professions Code:The SOLAR PIPING SYS. / ISSUE FEE .J 6`O Contractor's License Law does not apply to an owner of a property who builds or Improves thereon, and who does such work himself or ISSUE FEE ,y a APPLICATION APPROVED BY DATE through his own employees, provided that such improvements are not intended or offered for sale. if, however, the building or improvement MECHANICAL PLAN CHEC SUMMARY OF FEES is sold within one year of completion,the owner will have the burden - proving he did not build or improve for the purpose of sale). BUILDING $ SMTP E HEATING SYSTEM 0-100,000 ST PERMIT YU I, as owner of Ih¢ property, am exclusively contracting with AND DUCTING licensed contractors to construct the project (Section 7044, Business 100,0•' +B PLAN CHECK $ PLUMBING $ _ PERMIT � -� and Professions Code: The Contractor's License Law does not apply to0 _�y1 -��SUA NCE $ an owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-109, :' BTU -- tracts from such projects with a contractor(s) licesned pursuant to SYSTEM P � GRADING $ the Contractor's License Law). lop 07: +BTU \ I I PLAN CHECK $ C o I am exempt under Section B.& P.C.for this �,e ZJ $ BOILERS 1 BTU � ELECTRICAL $ reason _ - r 1� PLAN CHECK $ MICROFILM $ "� SYSTEM REPAI L ERATI r. TOTAL FEE$ Date Owner a- !✓ • -'.tea. —�— , • MECHANICAL $_ I hereby certify that I have read this application and state that the above EXHAUST SY EM d TI';E ri LESS AD- information is correct. I agree to comply with all city and county �/S 5( PLAN CHECK $ VANCE PC $ ordinances and state laws relating to construction,and hereby authorize � \y lll��` representatives -of this cit t0 enjer upon the above mentioned 1 �� property flan ns ec o rp�sa� 7 /9 FINAL FEE $7� Signature ^ CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor it �@ CONSTRUCTION.,AND-P,L•ANNING POOL& SPA APPROVALS Permit# Date Inspector I APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. Soil Pipe-Undrgrn - 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn - 46. Electrical Bonding 5. Steel Reinforce 47. Rough Plumbing& Pressure Test 6. Electrical UFER Grn • - • 48. APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undrgrn .- 8. Foundation - - - - - - - - 50. Gas Pipe, ❑Undrgrn,Test 9. Water Pipe-Undrgrn - 51. Backwash Lines,P-Trap. ❑Undrqrn .. . 10. Structural Floor System - - 52. - APPROVAL TO DECK - - - 11. Property Sewer Line & House Connection - . - - _ 53. Backwash& Receptor-Final - ' - . 12. •Street Sewer Connection - . - . 54. Heater & Vent-Final • 13. Rough Plumbing . - - - i/f/fes ,,--/-n-- 55. -Plumbina System - Final -- - - • 14. Rough Electric-Conduit - '" - . •56. Electrical-Final' - _ . 15. Rough Electric-Wiring- - - - - -- - - - _ - 57. Solar System-Final 16. Rough Heating & Air Conditioning - b8. Fencing &Access Approval • . • 17. Ducts, in Structure _ - 59. APPROVED FOR PLASTERING - . 18. Ducts, Ventilating - - " - - - - ' 19 Gas Pipe-Rough &Test a 60. POOL/SPA SYSTEMS FINAL • 20. Roof Framing '. 21. Roof Sheathing • / / '� / / r 22. Frame and Flashing NOTES: > �0 S3 /�/I , na/7 44r Q7th/>Aid 23. Insulation \ - /- // -i4irr ��� 24. Lathing & Siding 7-/t -Pr' t r r4i vod 2e/C...,,r/ or den l/y(C 25. Drywall Nailing - 0 /•\• to/ 0 i Ay-1 w7CN ' 26. Plaster Brown Coat .- 27'. Electrical Power Meter-Final . ' ' 28. Final.Electric - r 29. Final Heating & Air Conditioning • _ 30. Final'Gas Pipe-Test 31. Final Plumbing . 32'. Water Service-Final _ • 33. Gas Service-Final • • 34. Solar Domestic-Final • - - 35. Landscape Sprinkling System - • • 36. Sound Attenuation 37. Handicap Regulations ` " - . 38. FINAL STRUCTURE & BUI LDING C-,9-9 /1/07e C • 39. Special Requirements Completed • - - ' ' 40. Electric Release to Edison -- 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY _ No Date - . C. 'Y OF COSTA MUSK 0, ,4%. CALIFORNIA 92626 P.O. BOX 1200 �•Y • FROM THE OFFICE OF THE DIRECTOR OF BUILDING SAFETY • 40vii ME0 if Project Address c27.? _24,57- 51-k Permit # 9J/7�4/54,75 Project Name �1 p p �./ /-2/7 /9,43[/ / Type Owners Name M 4 l` y 6 F7! ! 9� �C — Owners Address L d7S-7,2. JpCOT 4L g C City Use Chly Owners Telephone g 3? —67?(C7 I as Owner, Contractor, Agent (strike out all except one) do hereby attest that employment of any person, or persons, is not anticipated at the time of seeking the above-referenced permit. In the event that any person, or persons, are employed under the provisions of this permit, I shall immediately cause a valid Certificate of Workmen Compensation to be filed with the Costa Mesa Building Division. I agree to defend at my awn cost, and to indemnify and hold harmless, the City, its officers, agents and/or employees, frau and against, any and all liability, damage, costs, losses, claims and expenses, howsoever caused, resulting directly or indirectly frau, or connected with the improvement under this permit. I further state that I have read and fully understand the implications and re- sponsibilities of the above statements, and will comply with all provisions of the Contractors State License Law found under the Business and Professions Code, Division 3, Chapter 9, of the State of California. 7/14 g/ /X/DA Print Name A(i afr-r)e 22 Sign.• ure Date • CMF 0777-46 4x,,...—.%‘<s41" ' S, CLAY OF COSTA MESA ' p ,-T e CALIFORNIA 92626 - P.O. BOX 1200 . - )1"1p'.�aJY.+ai. . ; ✓ FROM THE OFFICE OF THE DIRECTOR OF BUILDING SAFETY January 16 , 1976 • Mr. Harud Hikida 18512 Jocotal Avenue Villa Park, California 92667 RE: House at 2Z8 East 21st Street, Costa Mesa A. P. # 118-153-05 Dear Sir: An inspection of the above noted house and lot, which is assessed to you, revealed several code violations which must be corrected. I have found the building to be substandard because: 1 . Additions have been made to the house without permits and these additions have been partially completed and then evidently abandoned. 2. An accumulation of weeds , vegetation, junk, debris , and combustible materials constitute fire , health and _ safety hazards . The trash bin in the front of the building and the use of the rear of the lot for occasional mixing of soil or composting material to be used off-site in a business operation is in violation of the zoning ordinance. You are directed to remove the additions to the building , clean up the lot and remove the trash bin within forty five (45) days. You are also directed to use the house and lot for residential purposes only. If you desire to retain any portion of the additions to the house, you must call me at 556-5273 to make arrangements for a meeting at the site so that you can show us the interior of the building and make your desires known . If you do not make meeting arrangements within thirty (30) days , we shall proceed toward abatement. 1 Mr. Harud Hikida January 16 , 1976 Page Two If the demolition of these additions is not commenced within forty five (45) days , I will order that the additions be vacated and posted to prevent occupancy until demolished and may proceed to cause the work to be done and charge the costs to the property or its owners . Any person having any record title or legal interest in the building may appeal from this Notice and Order to the City Council provided the appeal is made in writing as provided in Chapter 12 of the Uniform Housing Code, a copy of which is attached. If there are any further questions regarding this matter, please call 556-5273. Sincerely, azia4.47 RICHARD RANHART Building Safety Director RH/ar Attachment • r , '_ 1 • ) Applicant to fill in all spaces within navy bgrder lines and sign all appropriate declarations. CITY OF COSTA MESA , PE�tMIT NC. - TRACT NO. LOT NO. BLDG.NO. - . - RUCLON PERMIT G ZdOZ a Project C5� / , . ' • , . •9362 12/10%81 16.25 TL 1 $ 2/ and _ TYPENSTRUC}T�ION - -- -.. " Owner /� N�j�'�OA Phone • ❑ 0 ADD f7(I ALTERATION i - Address _5-,4m 6. . - REPAIR 0 CONVERSION' ` ❑DEMOLISH ( •' _ Arch/Eng: - - . - License No. 0 OTHER • ZONING REGULATIONS I et DESCRIPTION OF WORK ' , A.P. ' • Address - - I _ ZONE PLNG. REF.W ' . Contractor Q �R�(-,'f-/0 1,t/ Phonecgf c2O3TVPE OF PERMIT - - - BUILDING a�oPUEI �V G Address r- 2.' s- C C . M • 6, SIDE CIL ST. ✓ • ❑ GRADING_ x NDATION 0 STRUCTURAL LEFT LICENSED CONTRACTOR DECLARATION - 0 TENANT LECTRICAL OPLUMBING ❑MECHANICA 9 F _ - I hereby affirm that I am licensed under provisions of Charter 9 (corn- L RIIGHTARD 'mencing with section 7000) of Division 3 of the Business and -❑ OTHER - -- - • Professions Code, - d my license Is In full fors •.n• eft- REAR YARD(TO P/L) k PROJECT DESCRIPTION - _ License Clas �' -v r41.icens. Nom` - - PKG.SPACE REQ. PROVIDED- - Date - nr Signature .4/ - SQ.FT. . - . _- _ _- - _ WORKS' OMPENSATION DECLARATION OCCUPANCY_CONSTRUCTION TYPE STREET WIDTH _ ,. PARK FEE$ r hereby affirm that I have a certificate of consent to self-insure or a VALUATION •• • ' ZONE ZONING APPROVED BY .DATE I.--; ificate-of Workers'Not:tpp9Compensationy�C/ I�n333s urance, or a certified copy • _ _ the of(Sygt hili,LaJ)sipoi dampen l .. p i ,�/]sre.GRADING CU:YDS. ACRES - SPECIAL CONDITIONS: y C tlfied copy Is hereby th thehe,�/•�hV.y. �,ay- /}� t0iflC' . REMARKS: l4 LL Or -t. P/'-Hr s' - C rti(ied copy I5 filed with the city Bufltling Olvist - tar V. ` ( _ - 1 EX PTION FROM WORKERS' COMPENSATION'DECLARATION • / % (Th s section need not.be.completed if the permit is for one hundred � - O -• , ($ 0) or less). iv\ I rtify that in the performance of the work for which this permit is. , _ _ uetl, shall not employ any person In any manner so as to become BINGA•. PLAN ECO.,.., 74 ,S ELECTRICAL PLAN CHECK ubjeet to-the Workers Compensation Laws of California. 6J II`� �6` • UW tLLINb - GAN/AUL HHbb Y s • /5HO R _ - - Ili Date Signature SO FT SO FT •• ••' NOTICE: If after;making this declaration, you should become subject !TOILET .��U' LS - GENERATOR ' ' 0.1 KW_1-10 KW to the Workers' ywithSuchCompensation provisionsthe Labor Code,llbe you must ^' /.f. 5:13016 TRANSFORM ER_.10-50'KW_50 +'KW - i forthwithecomply with such provisionsovisisofthis shalldeemed LAVA R4,41-5E OOV CONSTRUCTION LENDING AGENCY KIT.51 5 DISHWASHERS MOTORS- " ' 0:1 HP- '1•10.1-1P -' . I hereby affirm that there Is a Construction lending agency for the per- SERVICE SINKS ' SUMPS - (INC.SOLAR) 10-50 HP -50'+ •HP - - - - ' formance of the work for which this permit is Issued (Section 3097 .....s - -' - ' - "" FLOOR SINKS- - FLOOR DRAINS - - FIXTURES --/q OUTLETS/•SWITCHES -, , — Lender's Name ' • Lender's Address - DRINKING FOUNTAINS ' - _ — OW NER'BUILDER DECLARATION "r I hereby affirm that'I am exempt from.the Contractor's:License-Law for INTERCEPTORS CLARIFIERS the following reason (Section'7031.5 Business'and-Professions Code: SWIMMING'POOL P:TRAP - LUNSI HULl FUN _ . ___ _ Any city or county which requires a permit to construct, alter, POLES METERED .SUB ,._r . improve, demolish or repair any structure, prior to Its Issuance,also re- -WATER SERVICE - ALTERATION PANELS " - MAIN- 1- " SUB- "- - " quires the apllicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law 'GAS SERVICE OUTLETS '.- SERVICE " " - '- AMP -" (Chapter 9 (commencing with Section 7000) of Division 3 of the l /{�` p���J 1] 's/ //9 - • Business and Professions Code) or that he'Is'exempt therefrom and the -WATER HEATERS' BTU OUTPUT ' - - 4 -lrmitae T/,jM•,1/, . --. S.— basis for the alleged exemption. Any violation of Section 7031.5 by _ -applicant for a-permit 'subjects the-applicant to a civil penalty SEWER CONNECTIONS ' .- - - - - '- - -' of more than five hundred dollars ($500). ,. asownerof the property,o7 my employees With wages as their - SOLAR TANK - - .. COLLECTORS ' - - - - - ' - - - sole compensation, will do the work, and the structure is not intended _ __ _ _ �' or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. "ISSUE FEE '" _ • Contractor's License Law does not apply.to an owner of a property - APPLICATION :PPR who builds or improves thereon, and who does such work himself or ISSUE FEE - - �o- .through his own employees, provided that such improvements are not - intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK SUMMARY OF FEES .is sold within one.year of completion, the owner will have the burden . ._ ,f of proving he did not build or improve for the purpose of sale). BUILDING - - -- ----- - HEATING SYSTEM 0-100,000 BTU PERMIT $ • - • - - ' SMIP $ - ' -❑ I; as owner of the property, am exclusively contracting with AND DUCTING - - - - -- .licensed contractors to construct the project (Section 7044, Business 100,000 + BTU PLAN CHECK $ PERMIT • 'and Professions-Code: The-Contractor's License-Law does not apply to - - ISSUANCE- $- ----,an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ - ' -tracts from-such-projects-with a contractor(s)-licesned pursuant-to- SYSTEM -- -- -- - - - - -- - - -- - -- - - -GRADING- '$ the Contractor's License Law). 100,000 + BTU PLAN CHECK' $ ' J• - •• i. •�j,;: _F.. r • ❑ am exempt under Sectidn - - - "'- B:& P.C:for this g01 LER$ B• TU ELECTRICAL $• AO -O�I� ' .$ reason-• - --• - - -- - - - - - - -- - - MICROFILM'$ • Date Owner SYSTEM REPAIR,ALTERATION PLAN CHECK $ TOTAL'.FEE'$ MECHANICAL-S I hereby certify that I have read this application and state that the above_ EXHAUST_SYSTEM_ MULTIPLE Lr• , LESS AD- __ •_• ' C.. information is correct. I agree to comply with all City and county PLAN CHECK $ - - VANCE PC $_ ordinances and state laws r- -ting to Construction,and hereby authorize .1' , i • •� representatives o t - A' • to�en r u•on the above mentioned I - • -- - -- property for_i 0 •ores _ _ • _ _ F // 1 Signature T ,, •-Pi U�f Date ' . 1 FINAL FEE $ - n. Drivers' License or SS et - ISSUE FEE - - - - • - - - • -- - - - - - - . . - _ _-. -... _. CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor - CONSTRUCTION AND PLANNING /y�c•� ,. POOL&SPA- , ':`� Date I I _�� '.� APPROVALS Permit# r l CQ- Date Inspector APPROVALS Permit_# - ttsp�C.�,;°' 1. Temporary Electrical Service or Pole _ 43. Pool & Equipment Location - - - - • - 2. Soil Pipe-Undrgrn, 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding _ 5. Steel Rein-force 47. Rough Plumbing &-Pressure Test . . - . - 6. Electrical UFER Grn - 48. .APPROVAL TO COVER-GUNITE - - 7. Footings . 49. Electrical Conduit-Undrgrn B. Foundation50. Gas Pipe, ❑Undrgrn,Test - -- _ 9. Water Pipe-Undrgrn 51. Backwash Lines, P-Trap. ❑Undrgrn' -- •- • - - • 10. Structural Floor System 52. APPROVAL TO DECK --- ' __ __ ' - 11. Property Sewer Line& House Connection 53. Backwash & Receptor-Final 12. Street Sewer Connection - 54. Heater & Vent-Fina! . - . .‘ 13. Rough Plumbing 55 Plumbing System -Final , 14. Rough Electric-Conduit - '56.` •Electrical-Final- - • - - 15. Rough Electric-Wiring co, no942i9 l7,-15^l/i/ 1Pb • • • • 57::-,Solar'System Final • 16. Rough Heating &Air Conditioning - 58. Fencing &Access Approval • jai 59, APPR VED-FOR PLASTERING -.- 17. Ducts, in Structure '? -4_,. , 18. Ducts, Ventilating 19. Gas Pipe-Rough &Test - --„ c • ,- ' 60. _POOL/SPA SYSTEMS FINAL 20. Roof Framing -- '- (- 1,, •- • •- ;•`: 21. Roof Sheathing - ' 22._ Frame.and Flashing - . . NOTES:tie" / / 23.- Insulation - . - c5pp //pie"r-, r�j7r-ecella- m 2' v Rcia- I-f1 24. Lathing & Siding ywat. '�/( • �j6 �_ 1,y-/,$ 25. Drywall Nailing - eiLOAC-4 qc A.• , . - s!: n ,qtr q �p pZ-Y4-a 26. Plaster Brown Coat / �✓ 27. Electrical Power Meter-Final - - . - - • _ 28. Final Electric . .. ,_ - - - - - i/5-iZ t- -. • 29. Final Heating & Air Conditioning . _ . _ _ 30. Final Gas Pipe-Test . - 31. Final Plumbing 32. Water-Service;Final _ _ 33. • Gas Service-Final• • -- - 34. Solar Domestic-Final. • 35. Landscape Sprinkling System - - - 36. Sound Attenuation • 37. Handicap Regulations • 38. FINAL STRUCTURE& BUILDING 39. Special Requirements Completed ' 40. Electric Release to Edison ' - 41. Gas Release to Southern California Gas Co. ' • 42. CERTIFICATE OF OCCUPANCY No Date - • Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. OTY OF COSTA MESA PE$L41.T NQ TRACT NO. 'LOT NO. BLDG.NO. • -^ STRUCTION PERMIT C �3 . 3859 3/29/82 - 8.00 TLj roject Address 1 S? • �� -Si"S� TYPE OF CONSTRUCTION// - -Owner /J ///K'D4 -Phone- ������,,,,,,......//// - / - - • ' - - - • �! / ❑ NEW I�ADD "❑ ALTERATION d((,� Address SA M-Fi • - - - - 0 REPAIR L1, CONVERSION ❑DEMOLISH - _ _ , Arch/Eng. License No. -- ❑ OTHER -ZONING REGULATIONS DESCRIPTION OF WORK Address - - . - - - _ _. /� � ,ZONE PLNG. REF.�. ( Contractor -ED _G Re G//Dhl Phone y�sz03 TYPE OF"PERMIT. - ' .BUI LbING - �O B�IILDING T- Address' / �s n - /. "�� SETBACK C/LST. kOP RTV LINE I 2! �' 22.Av S C/ /fY / PSA GRADING, 0 FOUNDATION 0 STRUCTURAL LDErVARD LICENSED-CONTRACTOR -DECLARATION -10 TENANT 0 ELECTRICAL ❑PLUMBING- ❑MECHANICAV SIDEYARD - - - • - - - - ,I hereby affirm thief I am licensed under provisions of Charter 9.(com-, i' RIGHT ' • mencing with section 7000) of :Division 3 of the Business and -.❑ OTHER- - • _ - Professions Code, and my license Is In full force and eff! REAR YARD(TO P/L) , C- /0 .- ��113'�/I-' PROJECT DESCRIPTION - _ __ _ _ License C ss (771-L(4411-7 (cense oI' ( - PKG.SPACE REQ. - PROVIDED - ,- - /I}�s 7 SQ:FT. Date-*-2 7- Signature f'(4 �/"'p�"' _ - ' - - WOR ERS' OMPENSATION DECLARATION " :',OCCUPANCY'_CONSTRUCTION TYPE. _ STREET WIDTH PARK"FEE,$ .I hereby affirm that I have a certificate of consent to self-insure ora VALUATION ZONE ,ZONING APPROVED BV'- -DATE 'certificate of Workers' Compensation Insurance, or-a rtlfied py .---- - -- - - - SPECIAL CONDITIONS:-(Section 3800, cabal ). ' GRADING,CU.�VDS. _ - ACRES • Policy No'rE.--/Td 7TL Compan5UAPS.14rss -- .__ _.. _ ._ . _ _- - _ _ _ j7.Certifled copy is.hereby furnished. _. _ . REMARKS:. -- _ thereof _ - - - - _ _-- - ' - .. __ A3; frtified copy is filed with the city Building Division. ��II I , t":cEMPTION FROM WORKERS' COMPENSATION DECLARATION '�, p�OO�' - -^ - - (This section need not be completed if the permit is for one hundred _ - - / .-) - ($100) orless!. _- . -aP-Yn'�1 1�t� _t_ • - __ • _ __ .1 certify.that in,the performance of the work for which this permit Is . . issued, I shall nt employ any person in any manner soasto become PLUMBING- - -i ,- - ' PLAN CHECK--- - -" -- - ELECTRICAL - --- - PLAN CHECK ' - subject to the Workers'Compensation Laws of California. _ ' -UWtLLING -. _ taA HH[aE Date 1 Signature BATHTUBS -• SHOWERS' " 'SO FT SO FT - - ' -NOTICE: If after making this declaration, you should become subject" TOILETS . URINALS - - ' • -'--- -- - GENERATOR 0-1 KW_1-10 KW ' - _. - to the-Workers' Compensation provisions of the Labor Code,you must TRANSFORMER •- forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS - --- - "- - APPLIANCE - 10-50 KW_50-+ KW CONSTRUCTION ONSd. _ -KIT:SINKS - - DISHWASHERS - - - - MOTORS - - - 0-1 HP -30'HP CONSTR VCT( LENDING AGENCY ,. r- fI hereby affirm that there is a ch thiscisi agency(S forithe per SERVICE SINKS .SUMPS'- - -' + - ,(INC.-$D LAR) -.30-50 HP 50+-HP -- - -- formance of the work for which this permit is issued (Section 3097 -- - - - FLOOR SINKS - - FLOOR DRAINS - -' -- -' FIXTURES- . . . -OUTLETS' - SWITCHES '-" - Lender's Name - _ - - Lender's Address --- ;GAS TUBE SIGNS - - -- - - OWNER BUILDER DECLARATION - - - - INTERCEPTORS CLARIFIERS - •POLE-LIGHTS•' - - - •--- - - '- - '- - - I I hereby affirm that I am exempt from the Contractor's License Law for - the following reason (Section 7031.5 Business and Professions-Code: ' SWIMMING POOL - ' - P TRAP- - - - - - •- -• LUNO I RUL.lUN _ - - - _ Any city or county which requires a permit to construct, alter, 'POLES METERED SUB - - Improve, demolish or repair any structure;-prior to-its issuance,also re- ' WATER SERVICE'-- ALTERATION ' i - - ,PANELS - -'- MAIN_-., ' SUB - - - - quires the apl.licant for such permit to file a signed statement that he - - is licensed pursuant to the provisions of the Contractor's License-Law• -GASSERVICE OUTLETSERVIC E--- - - - - - - AMP - - ` 1 (Chapter 9 (commencing with Section 7000) of Division 3 of the - - J � ' Business and Professions Code)-or that he is exempt therefrom and-the WATER-HEATERS- - BTU OUTPUT' ' - ' - - -- - - - - - • basis for the alleged exemption. Any violation of Section 7031.5 by - - - - - - ' ' - p-•. applicant for a permit-subjects-the applicant-to a-civil penalty- SEWER CONNECTIONS--- - - - - ' - - - - - - - -' --- • - - - -- -- ot more than five hundred dollars ($500). - - - - • 'as owner of the property,army employees-with wages as their' -SOLAR TANK'- _ _COLLECTORS - __ '-'- '- • --• - -- - • - - - - - ; - � •compensation, will do the work, and the structure is not intended or offered for sale. (Section 7044, Business and Professions Code:The SOLAR PIPING SYS. 1 - -- - - ISSUE FEE -' - - -' ---T. - , Contractor's License Law does not apply to an owner of a property _ _ _ _ _ who builds or improves thereon, and who does-such work himself or ISSUE FEE II-`- - - -'- �APPLICATIOMAPPROV ED BY • through his own employees, providedthatsuch improvements are not, - __ - _ __ - intended or offered for sale. If, however, the building-or improvementMECHANICAL PLAN CHECK • ' • �V - .. is sold within one year of completion, the owner will have the burden ,. SUMMARY OF FEES of proving he did not quild or improve for the purpose of sale). HEATING SYSTEM 0-100,000 OTU ❑'I, -as -owner ofthe property,. am exclusively-contracting with ANDDUCTING - --I! PERMIT $ - _ ,SMIP,- $' licensed contractors to construct the project (Section 7044, Business 100,000 + BTU :PLAN CHECK $ .PERMIT - and-Professions Code: The Contractor's License Law-does not-apply to- - . 5 - -- --ISSUANCE' ISSUANCE' '- an owner of property who builds or improves thereon,and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ - r , tracts from such-projects with-a contractor(s) licesned pursuant to. -SYSTEM- - - - - - - - - 'GRADING $ - - the Contractor's License Law). 100,000'+BTU , PLAN CHECK $ 8)-60.- + ❑ I am exempt under Section - -B.'& P.'C.'for'this BOILERS _BTU ELECTRICAL $ •• • f - " '$ - 1 - MICROFILM $ - reason - '- PLAN CHECK' '$ - SVSTEMREPAIR,ALTERATION ' Date Owner I TOTAL'FEE$ •�" I hereby certifythat I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MEC HANICAC..$ - - - ' '.LESS AD- - ordinaation is Correct. eiatin to comply with-all-citynand county' -- I, ,PLAN-CHECK $ - - VANCE PC' $_ - --- ordinances ordinances antl state I. 5 relating to construction,and hereby authorize - - . - 1 , representatives y-to- '•ter upon the above enti ed - 'r property for i rp.ri _ � � 't �•� Signature ./'r teI u- Date 7-/ � .. - FINAL FEE $ • Drivers'License or SS 7P - - -ISSUE FEE - - -•-- - - - - - - - -- - - - - - - -- - - 0865-46h. White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor t. CONSTRUCTION'ANDsPL'ANNING /� POOL& SPA APPROVALS Permit# ' .-3O9f1 Date Inspector .APPROVALS, Permit# - Date Inspe 1. Temporary Electrical Service or Pole - 43. Pool &Equipment Location -- - - - . . -. . 2. .Soil Pipe-Undrgrn - - _ - 44. Steel Reinforcement - - - 3. Electrical Conduit Utility-Undrgrn - . 45. Forms . . . - 4. _ Electrical.Conduit-Undrgrn _. 46. Electrical Bonding - - - _ 5,5._ Steel Reinforce _ _ \: - 47. Rough Plumbing & Pressure Test - - .- - -- -6. Electrical UFER Gin- . _ __ - - 48. APPROVAL TO COVER-GUNITE - - - - • - 7. Footings _ - - - _ _ _ - 49. Electrical Conduit-Undrgrn .. 8. Foundation - 50. Gas Pipe, El Undrgrn vTest 1 ' -9.- Water.Pipe-Undrgrn _ - - . _ _ _ 51. Backwash Lines,P-Trap. ❑Undrarri - .- - - - - .10. _Structural Floor System . _ ._ -_ .. - . .52. APPROVAL TO DECK - "` - __ _. -- - - 11. _Property Sewer.Line & House Connection _ 53. Backwash & Receptor-Final' • ' ' 1.2. Street Sewer.Connection _- _ _ - _ - 54: Heater & Vent-Final . • ^- 13. Rough Plumbing . _ 55. Plumbing $Jstem - Find 14. Rough Electric-Conduit ' - -- ---- - --56. --Electrical-Final - - ' 15. Rough Electric-Wiring Aa y, ,e." ' - - - - - 57. -Solar System-Final _ , 16: -Rough Heating & Air Conditioning • - - , - - - - • b8. - Fencing &Access Approval .. , --17i Ducts, in Structure' . . - - ,. 59. APPROVED FOS PLASTERING' . '',. . 18. Ducts,-Ventilating- - - . - - • 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL ' ' ' 20. Roof Framing _. . _ - - ' 21. Roof Sheathing •- - - - - - - i 22. Frame and Flashing -- - - - _._ - - 'NOTES: _ - ' 23: --Insulation - 6�G3 X30-fZ- <0.- e't^aa�,£y , 24. Lathing & Siding • - - - .- _ _ -- - _ •-_ _ _ . . 25. -Drywall Nailing - - - . . . . - _ -. ' . • . - • ' 26. Plaster Brown Coat . _ _. . _ . 27. . Electrical Power Meter-Final . . k/-s-1-10 "MC' - • - - 28: Final Electric - - • - - -6J-3--4j. /PAC, - - . -29. Final Heating & Air Conditioning • - - - 30: - Final'Gas Pipe-Test . -. . . . .. . _ . . • _. _ 31! _Final.Plumbing 32. Water Service-Final - - - ._ _ . .. . . . 33. • Gas Service-Final - .- . --- - . - _ , _ 34. Solar Domesiic-Final • ' - • - • 35. Landscape Sprinkling System - - -- - . • -.36. Sound Attenuation 1 • . • -, ' 37. Handicap Regulations - ' . ' .. -.. .. 38. FINAL STRUCTURE & BUILDING _ 39. Special.Requirements Completed' • - _ 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. • ! 42. CERTIFICATE OF OCCUPANCY - - • ' Date l - , COSTA MESA BUILDIr' -SAF•"Y DEPARTMENT __, . ' ( ) P. 0. A I ' i Costa Meta, California PERMIT NO. PLUMBING PERMIT APPLICATION TRACT NO. REpCD. BYfri /7 IL Cit C e ' .CT�/ORkV y if MitiM LOT NO. DATE ISSUED die i 2 ( Ad /�? 219t 5:r BUILDING USE //6707-(`�/ cc City CDS7h MESE} Zip Code Budding97s, T, 2/ 5r /y 6 W \ CY: State License No. Class. Owner W1,�/PAI /tom R Y C w City License No. Tel.No. Mail 49.5-7-? c/hCOTAI-.-4 E, I— Address \'v el NUMBER TYPE OF FIXTURE OR ITEM FEE VILLA P & ) b ,37 67S Bathtub City t tv.t Tel.No� J Laundry Tub or Tray I hereby acknowledge, that Pilaw read this application and 4 state that the above is:correct and agree to comply with all Automatic Washing Machine City Ordinances a,A State`Laws regulating plumbing. Shower I certify%that I,pdssess the above valid State of California classi- JSink, Bar ficationyor}{t am the legal owner of the residential property de- CC Sink, Kitchen scribedVabove. W Wash Basin(Lavatory) w(N I certify that I have obtained a permit from the State Division of 1 Industrial Safety for excavations,other than swimming pools,live Water Closet(Toilet) q } C7 feel deep or l•eper a I. into which a p•rson is r-qu ed to descend. CC Drinking Fountains ,t(� 1C 111-"' Signature o d floor Drains _4 i 1rn1) Permittee Arta'' 1 Ar Z Interceptors 1V' ,J/ \ isi= Receptors 1i '( f INSPECTION RECORD S. Sinks,Commercial-rtoritndt3 trihl f p Sinks, Floor _. !„r — Sinks,Serviel'e r➢s- Swimmins'Nobl" W _ Urinals) a. .'L Dishwasher 1- Garage Disposal D Water Softener CI - Water Heater and Vent > Gas System...Outlets... y Roof Drains APPROVALS V) / Water Piping Alteration- r2 00 INSPECTOR DATE = Backflow preventer U/G Soil F- Lawn Sprinklers(Res or Non-Res) - U/G Water Property Sewer... Feet Services—Water ❑ Gas 0 Solar Piping Rough Plumbing Cesspool,Septic Tank Sprinkler System Sewer Cap Gas Miscellaneous Property Sewer ` Pool Receptor Filter System Sub-Total Pool Heater Reinspection Fee } Miscellaneous � Processing Fee 7 Op I I� Final Gas TOTAL FEB I � Plumbing Final j' �1�9/S/ Utility Co. Notified CMF 0450-46 - BLDG. PERMIT NO. 1j`[,-/}