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HomeMy WebLinkAbout148 22ND ST - Building Permits CITY OF COSTA MESA ,09 BUILDING DIVISION :,411111).1---;, 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us t. FOR INSPECTIONS CALL:(714)754-5626 PERMIT NUMBER: B09-00170 PERMIT TYPE B_ROOF2 STATUS: ISSUED APN: 42605105 DATE ISSUED: 08/24/2009 ISSUED BY: BJK JOB ADDRESS: 148 22ND ST CM Suite/Unit: Vicinity: ST MARYS ARMENIAN CHURCH WHSE Squares: 3000 Valuation: $12,000.00 SCOPE OF WORK: REROOF WAREHOUSE PORTION OF"ST.MARY'S ARMENIAN CHURCH."REMOVE B.U.R.AND REINSTALL NEW B.U.R. 3-LAYER SYSTEM.30 SQUARES - OWNER: WESTERN DIOCESE ARMENIAN Address: CHURCH OF NORTH AMERICA - Unit: COSTA MESA,CA PHONE: City/State/Zip: 148 E 22ND ST APPLICANT: GARCIA,JAVIER Address: 1501 W HILL AV Unit: : PHONE: 714-519-4869 City/State/Zip: FULLERTON, CA CONTRACTOR: STAY DRY ROOFING License No. 911019 Address: 1501 W HILL AVUnit: PHONE: 714.519.4869 City/State/Zip: FULLERTON,CA 92833 CELL: 714-757-2017 ARCHITECT: License No. PHONE: ENGINEER: License No. PHONE: FEE SUMMARY • Reroof Plan Check: $0.00 Reroof Permit Fee: $209.25 Reinspection Fee: $0.00 Bldg Std Admin Fund $1.00 TOTAL FEES $210.25 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92.28,§ 1,12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE X. INSPECTION TYPE DATE INTITIALS CODEX INSPECTION TYPE DATE INTMALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof Q''/—U9 442tA/(/t-) 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy t • ‘ WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's license. ❑Yes 0 No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: O I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the perform of the work for which this permit is issued. • . . -._ I have and will maintain workers'compensation insurance, as required by se n 3700 of the Labor Code,for the performace of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' co ensation Isurance carrier and policy ❑ I hereby certify that no excavation five(5)or more feet in depth into which a number arb( ,^ '( ,SGL person is required to descend,will be made in connection with work authorized Carrie%' Sj-� by this permit,and that no building structure,scaffolding,falsework,a demolition (This section need not be completed tithe permit is valued alone hundred dollars(St00)or less.) or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Grp '. \� // Q//� 2,Art 2,Sec.341,Title 8,California Administrative Code). PolicyNumber: L.. (( \°( 0 As owner-builder, I will not employ anyone to do work which would O I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of Applicant's Signature Date the Labo od ,I shall forthwith comply with these prov'.ion�s/. /e. ------------ / - . -( Division of Industrial Safety Permit Number: APPlicant's signatUre • tit• HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: ARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons. or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license' in full forsg and effect. C./1 �� a registration form for acutely hazardous materials? 0 Yes ❑No Lic:# ' 0(7( 1 Class#,- � " �l (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by • . 0 4 ' each business which at any one time has on hand a quantity of acutely Contractor's Signature Dale - hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard NSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued. (Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the • Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes',the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If"yes", attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that 0 I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building • authorized by this permit until final inspection. Sign.,.?e of Legal Owner(s) _ e Signature Dale ----\C 3057-46(3/07) - J , M 9 CITY OF COSTA MESA , 4 BUILDING DIVISION > tea",�DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER TA. Ora PERMIT -4bo.mrs4. 02-00234 4 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT Job Address: 148 22ND ST Status: ISSUED Suite: Applied: 02/15/2002 Vicinity: ST MARY ARMENIAN APOSTOLIC CHURCH Issued: 02/27/2002 Parcel Number: 42605105 Zoning: Applicant ZORAYAN, ANTRANIK 0 ISSUED BY: Address: 148 22 ND ST Phone: 949-650-8367 COSTA MESA,CA ' Zip: , Owner: WESTERN DIOCESE ARMENIAN Address CHURCH OF NORTH AMERICA COSTA MESA,CA Phone: 148 E 22ND ST Zip: 92627-1715 . Contractor: Address: Phone:' - Zip: - License: Arch : EDMONSON, PHILIP Eng: Address: 2600 NEWPORT BL - _ Address: . Phone: 949-675-9468 Phone: , NEWPORT BEACH,CA Zip: 92663 License: C018423 License: SCOPE OF PERMIT • ADDITION OF FOUR NEW STAINED GLASS WINDOWS TO A_N'EXISTING BLDG AT'ST.MARY ARMANIAN APOSTOLIC CHURCH." FEE SUMMARY Plan Check: $81.41 Calc Valuation: $5,400.00 Permit: $125.25 Claim Valuation: $5,400.00 SMIP Res: $0.00 SMIP Corn: $1.13 Other: $0.00 Inspection: $0.00 - Total: - $207.79 . i• . . - PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0, Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existing: 0 Required: 0 Proposed: 0 NOTES: • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-48(WOO) DECLARATIONS ,» WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: • ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work f which this permit is issued. My workers compensation C l sur or and Ii umber are: /yam) -.-r1� Carrie Policy Number L/ (Thi action need not be completed if the permit is value et one hundred dollars($100)or IessJ I certify that in the performance of the work for which this permit is issu.•,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and air. that if I should become s .ject to the worker ' ompensation provisions of Section 37 of the L or Code,I shall forthwith comply with these provisions. Applicant Signatu / C „�t�`izit, / se Date: r7 a WARNING:FAILURE TO SECURE WORKERS's• '-ENSATION COVERAGE IS UNLA• FUL AN•- . SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND VIL FINES UP TO ONE HUNDRED THOUSAND DOUARE(5100,000),IN ADDITION TO THE COST OF COMPENSATION,D• AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.# Class if Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business end Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not Intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: O I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Gry 2,Art 2,Sec. 341,Title 8,California Administrative Code). O As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the Califomia Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,ora volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes 0 No (Section 25533 of the Califomia Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? IU Yes 110 No (Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency Is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection.urposes.I agree not to occupy or allow occupan/. of any building authorized by thispermit—u'7ntilfinal_ inspection. r._ ./s _ ,Ar .? a < e c [ /lOYfl_ Signatur'.tal Legal• ner(s ���� Date And/Or Authorized Applicant Date BEIDE• INSPECTION TYPE PATE -INTm1l5 CODE it INSPECTION TYPE PAM INITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing • 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall - 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Signm 222 Final Site 204 Final Demolition 250 Final Building/Occupancy PROJECT ADDRESS: 148 22ND ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 053707 , OWNERS NAME: WESTERN DIOCES ARMENIAN C ADDREss: 148 22ND ST C.M. PERMIT NO: B 053707 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: DEM ARCH/ENGINEER: 650-6760 REG.ND.: t, ADDRESS: UNIT: JOB DESCRIPTION : DEMOLISH WALL IN PREPARATION FOR T. I . SQ FT: PERMITTEE: CLAIM VALUE: 1 ,000.00 CALC—VALUE: 1, 000. 00 GROUP OCC: B-2 / ADDRESS: CIVAN KALFAN ( 714 )650-6760 148 22ND ST COMMENTS: PREPARATION FOR ALTER INSTALLTION M 1�A CA 92E2E +r�EEe*�E***4*EEEE�P*****�P*****************EE E***+t�k�E**�E*******�r****�r****�E�E�r************ LICENSED CONTRALTO tIECLAAATION: I hereby affirm that I am licensed under provisions of aper 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. S E T B A C K S CITY LIC.: STATE LIC.: CLASS: Date: Signature', MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800,Lab.CI. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: • COMPANY: • PARKING REQ• PROV: PARCEL: 00000000 ZNE: REF NO: ❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> dale: Applicant: ********************************************************************* ******** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is fur one hundred($100)or less). DEVELOPMENT SERVICES REQUIREMENT S I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to became subject to the Workers'Compensation Laws of California. ZONING APPROVED BY • DATE; Date: Signature: NOTICE:It.alter making this declaration,you shoultl become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE:. • Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction tending agency for the performance of the work forAW • which this permit is issued(Section 3097.Civ.C). APPLICATION ISSUED BY: DATE: *********************************************• * ****** ************•.'. ** LENDER: ******************************************************* ******************* *** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL ,;SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES; GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed PERMIT 25.00 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM I P/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN . 50 any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars($500). ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE i structure is not intended or off ered for sale(Section 7044.Business and Professional Code: The Contractors'Slate License Law TOTALS----> 25 . 50 0. 00 0.00 25. 50 .25 . 50 . 00 does no;apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees.provided that such improvements are not intended or offered for sate.If.however the building or improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED• 25. 50 OVER/SHORT• 00 tor the purpose ol sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIP/TOT GRADING PLAN—CHECK a I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 25. 00 . 50 Li and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s) ic a pursuant to the Contractors'Slate License Law).l am aware **,*****,****,*******,*,************************************************************ That proof of their Worker's Compensation insuranceeshoshou be provided to me. ❑ I am exempt under Section: B.F.P G U. INDIVIDUAL F E E BREAKDOWN fpr this reason lt .24e. `Y Gerrvi TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST '- Dale: y— 0 2 7 ( Owner: ��— v I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533.and NO FEES WERE SELECTED FOR THIS PERMIT • 25534 and that I or any future building occupant willwill not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification tram the Air Duality Management District.Residential construction applications are exempt from these provisions. Date: •'plicant: I hereby certify that I have read this applic on and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to buildi'g construction and hereby authorize representatives of this city to enter upon the above-mentioned/ properly for inspection purposes. Date. 4111°— ' . —' 0 _,Signature: _lie ,_. \ riy'j a. 1-1/i}, 'Ia ey;.r : - Driver's License or Social Security 0: 1641-46 White—Building,Green—Code Enforcement;Canary—'Applicant;Pink—Revenue:Goldenrod—Assessor • CON(TRUCTION AND PLANNING POOL A APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 2--i.^ r n .-13; tttr col Cond 17t_Utillity-Undrgrnd. 54. Forms m4iiElectrical Condulltindrgrnd. 55. Electrical Bonding • rr. , 1 • r5r'§reel F inforce?Mjit 56. Rough Plumbing & Pressure Test 04 eLElectrical UFEEkiYnd. 57. APPROVAL TO COVER-GUNITE r'J77 Footings 5N 58. Electrical Conduit-Undrgrnd. 4 {-t1 E- a E'? Foundation • 59. Gas Pipe, 0 Undrgrnd., Test " Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. y. 1Qt; Structural Floor System 61. APPROVAL TO DECK 11S Property Sewer Line"& House Connection 62. Backwash & Receptor-Final • 4 • 121 Sewer Capv 63. Heater & Vent-Final I 13. Roof Drains ro 64. Plumbing System - Final 14. Rough Plumbidgi 2 65. Electrical-Final 15. Rough Electrical Conduit 66. Solar System-Final - 16. Rough Electric_Wiring 67. Fencing & Access Approval 17. Rough Wiring S1Qn 68. APPROVED FOR PLASTERING 18. Rough Electric% T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT • 'A -C.•. _ t-+ U' '.--w -• u: x. u 20. Rough FactoYO FicZ place cctn 'tC'i 3 C) ..1-3-. :x APPRNVAtSvD(Pertilit # >' u: A. Ill C S.Y. 1 SLrt tr.b--- Y. •-a x * ., U ICR?r'L-' t I. U' .a- tu21. ucs, in`Str - S�: .,„, „-t •�J* w: .-)0. kade�4J134.tiy$;o t t^ _ .CC D 22. Duet, Vehti tat ing I 0S Zr � y;s 1. Product!Pi lrjg 0 ❑'Oil 23.'casPP'ipe;'-��iough &'1 st ut t' `~ " ' t r r"' G, ?IS * ct - `> ;72. Undergro dt Flyslr;.� E- 24.iRoa Framing• .x • :-E-- ••H > % C .. " x 't3.u�lndergrnd?Storageaaannk r0 Gas 0 Oil - 25. Roai«Sh�thing ' `'J * m' trl * ~ - -1 '° ,. C vvx L't i+;r x -74. rhead I).ydro 0. :1: 26.rT-Barn Ceiling (Structural) & Monocoat '. w = [If! x 75, ry Chemical �i-' - G 27.iframeandFl hig' � 't` 76.'DiyStand �e :`'} xS `'' v v x w;71z: v. 04 lam:x x' ti x 22 ‘4.b--s oi- 8.vLathing & Siding.»x. as .-�aP:id ax. r •- ,a x 77•mFIXED SYSTEMFINAL; S .- - r" C„ .-n 3-, y * ,_.0 r: - y r. r, >29. Insulation o O O a '• '• * in t ` a ' b:t c .. w I t x. 78.5*IRE PREY. FINIAL; .x > 'tr ;r 1J 1 30. Drywall Wailing .{+ �, * i 1* * 1-, HEALTHEDEPT?REQUIREMENT s L` * n) x 1 x . * x o tr ,'`"i'1. Plaster Browry,Coa-114. I t,,,,. .K I y tt79. INAL IN ,FCTI(S.;N .; „J - rZ ir,�. i ,-•.• x ., s/ Eqv -r a J al -32.,flectricatEPowgr Metec;Final t z tv I r x DSO.tFOOD CERTIFICATE ISSUED tit 3in�EI'"ictri 1 ;y r+ t Q' h: t=1 e' * tr `72". ti °l7 Pj ej t^J:* -r W .. I r; v Nota's: '-1n * = 0 - N [34.ifink,Heating-& A'rr,Conditionings ;^7 y I I ^e ' ac S C1x x S -2 . .. '"-11"21 1.1 * ^-• I C.rr .r1 35.tAinal-Ga's.�PiI Testi-, y . t� i i ;;, ; p C nc 01s-+ 1. it t, •r r„ en • lyi ^•c; . jy 3 ^) . ..0 : ?- t-; .. {.,. ' , -36.•HoojJ,orryanoPy :x. ] iV' - o 7 (, .rr: +: a: no +: a 7 S _r r..-. t . Er:: ..•.- " r,t • 17.rEinaPFaCtory Firep( ce'•r ' rr I.-' .F Eri I - tt 3- X 2 'w Er 1 t: r. .,�• i .. .. v . :� • it * •L t+. ,, r .`.38. Finai7Plus�,bing x co x. I ,._-k •. ,. r+ --* W . ,39. Wate?Ser'4ice-Final 4 3. C1 'LAM :t r..0 't: eo * S 1 I Itt * 40. Gas Sery ce-E4,al •••': I " ' r:• u, [:, +: [v vu',r1.4 In I h " Jnr JN &: X11. Solar Domestic-Final .S • •• a c I i r dn' 1 ' * n - .- 0 v- .Y. T. I .t. Y n' '70 Li- .r 9 D LI; z `42.'�ackf low Preventer' `.- c- 3.x `31 tJi -i i 43. Backflow Irrijationt UZT.S µ 3 '3, , v 1* ....• x 0 ['1 ^ x L1/4-LC * •. ,V x .5 .J r$4. Landscape Ir3igatiorpSystemlpt,;[-. x LI x cc to N * of %5.'Sound Attewationw 11u1E ,,: :¢. 5 , t- :=r. .t i • 1 :-; tJ"_ rg c1 - tr n .. :; .. .. m it-} in:4 a : . tr c • '-,G .r: • r-. r` Y 1• i7 - - 3 - / / MPJ y Z6.`fandicaP Regylatiogs ,-, , ;r. v) u r • vo 47. INIAL STRUCTURE & BU&CDING ,, . '-J ^J . 0 :r T t[ 1 :* �,� �{ t t G a t- 48.ligINgL PLANNINGY 11-• , x n; I '�^t v t!1 Itti- f. x t-. IC c49.'Electric Release to Edison i * 1 I ' - t c 1: L50.,GastRelease to Sou4iern California.Gas Co y_ I ,; _; E� r:, otn 0 '51. CENTIFICATE OFIOCCUPANCY- .1 w �, i-., • Eijo a Y * x :'; x No. - Date ` -""gcs., CITY OF COSTA MESA 4 C ii. CALIFORNIA 826281200 ►.O.BOX 1200 - N.1 ROu DEVELOPMENT SERVICES DEPARTMENT y+ •`OgPOf��A January 1, 1990 TO COMPANIES & CONTRACTORS WHO RENOVATE OR DEMOLISH BUILDINGS THAT MAY CONTAIN ASBESTOS Rule 1403 - Asbestos Emissions from Demolition/Renovation Activities Recently the South Coast Air Quality Management District adopted Rule 1403 - Asbestos Emissions from Demolition/Renovation Activities. It became effective January 1, 1990. This rule specifies work practice requirements for demolition and renovation activities and the associated disturbance of asbestos-contnining waste material. Demolition or renovation operators must meet the following requirements: o notification o removal techniques for asbestos-containing material o clean-up procedures, and o waste storage and disposal requirement. • Failure to complywith the provisions of this rule may result in a penalty of up to $25,000 per day. Enclosed art copies of a fact sheet,which describes the major features of Rule 1403, the Notification form, and the Notification form instruction sheet. Should you have any questions, please call AQMD staff at (818) 572-6283. I hereby acknowledge I have read the above. C / DATE SIGNATURE PROJECT ADDRESS: 148 22ND ST tom: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 05410` OWNER'S NAME: ARMENIAN CHURCH OF N,A, ADDRESS: 1201 N VINE, HOLLYWOOD PERMIT NO: B 054106 PLAN CHECK NO: 02020-91 S GOVT: N SUPP: N CONSTRUCTION TYPE: V-1HR PERMIT TYPE: STR PURPOSE: ALT \ 213-466-5265 ARCH/ENGINEER: EDWARD BILEZIKJIAN REG.ND. C12804 JOB DESCRIPTION : FOOTING FOR CHURCH ALTER SQ FT: 2, 000 ADDRESS: 25284 ERICSON WY UNIT: LAGUNA HILLS CA 92653 CLAIM VALUE: 2, 000 . 00 CALC—VALUE: 2, 000 . 00 GROUP OCC: A-3 / PERMITTEE: YEGHIA SIWADJIAN ( 818 ) 507-6696 ADDRESS: 1161 IRVING ST 16 COMMENTS : PHASE I OF CONSTRUCTION GLENDALE CA 92653 *****+ *+E*K********>F*T *********** ******* •***+t***BETE******yD* ********+t***TE****HAHE* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in lull force and effect. SETBACKS CITY LIC.: 054267 STATE LIC: 601353 ss: B Date: `j'-7—S=9/ Signaturax2G-LC. .I/�✓ee- MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN WORKERS'COMPENSATION DECLARATION: Ihereby affiljthat ave a certificate of consent to self-in re or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN Compensation Insigance qr a cenlfied copy thereof(Section 3800.Lab.,C,). POLICY NO.: 1 z 502 01—9 1 EXP.DATE: v 5/01 /92 CynMPANY: STATE FUND PARKING REQ: PROV: PARCEL: 42605105 ZNE• R2 REF NO: Certified copy is hereby furnished. 03 CermiedCOPY isfiled with the city Building Divsion. PLANNING NOTES> PHASE I IMPROVEMENTS ONLY CONSISTING OF NEW FOOTING TO BE mete'. c/-7—� Applican>9/ � i — �i - > CONSTRUCTED UNDER THE FUTURE ALTARALL INTERIOR WORK *********************************************l ** f************** F****** ********* DEVELOPMENT SERVICES REQUIREMEN -T S EXEMPTION FROM WORKERS'COMPENSATION DECLARATION:1his £51on need not be completed if the permi for one hundred($100)or less). I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become ^^ r subject to the Workers'Compensation Laws of California. ZONING APPROVED BY : g_s_ DATE: cilli--5-1?' Date: Signature: BUILDING APPROVED BY : S' NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor DATE:' 9 yi Codi,you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction fending agency for the performance of the work for APPLICATION ISSUED BY: �'- ;a. ...e...16.......— DATE• 7.5-5-2/07/ .5-57// which this permit is issued(Section 3097.Civ.C). ********************** 0 .******)(***4 7E*iFiFi4**** LENDER: *********************************** •l ****************************************** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from theContractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve,demolish,or PERMIT 45 . 00 repair ant structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)01 Division 3 of the Business PLAN 2 9 , 2 5 and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation el Section 7031.5 by . 50 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE L as owner of the property or my employees with wages as their sole compensation, will do the work. and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 45 . 50 0 , 00 29 . 25 74 . 75 74 . 75 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale. II, however the building or REVENUE DIVISION TOTALS--> COLLECTED • 45. 50 OVER/SHORT• 00 orimprovementpis soldf lel. one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/TOT GRADING PLAN—CHECK for the purpose of sale). I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 45 . 00 . 50 ❑ and Professions Code: The Contractors'Stale License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law). l am aware **********************************************************************-********* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: 8.&P.C. • mr this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner SFC 2000 ALTER BY VALUE COMMERCIAL NOZONE 1 . 00 2,000. 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. ://,‘, 0-0 Date: Applicant: - I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county `�"(� properlyef and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned � property for inspection purposes. J' C C'tili� f,_i9^113 Date:9—)-5 9/ Signature S'//�a�.�—C�� / )f-Ti; i.`7ia •4% +•..1.. ..L/ 1•. ' Drivers License or Social Security p: 1641.46 White—Building:Green—Code EnlorcemenL Canary—Applicant:Pink—Revenue:Goldenrod—Assessor CONSTRUCTION-AND PLANNING POO 'A APPROVALS Permit # Date Inspector APPROVALS Perm! Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6, Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE • ' 7. Footings58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11.. Property Sewer Line & House Connection ' 62. Backwash & Receptor-Final . 12. Sewer Cap • 63. Heater & Vent-Final • 13. Roof Drains • 64. Plumbing System - Final 14. Rough Plumbing ; PROJECT ADDRESS: 148 22ND ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05337E OWNER'S NAME: ARMENIAN CHURCH OF N,A, ADDRESS: 1201 N VINE, HOLLYWOOD PERMIT NO: B 053376 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V-1HR PERMIT TYPE: STR PURPOSE: REP 213-466-5265 w, ARCH/ENGINEER: EDWARD BILE 'LIKJIAN REG.xo.: C11R04 JOB DESCRIPTION : REPAIR T—BAR CEILING, INSTALL HC RAMP S FT: 6, 000 ADDRESS: 25284 ERICSON WY UNIT. Q PERATrrTEE: LAGUNA HILLS CA 92653 CLAIM VALUE: 6, 000 . 00 CALC—VALUE: 6, 000. 00 ; GROUP UCC: A-3 / -s CIVAN KALFA (714 ) 650-6760 ADDRESS: 148 22ND ST COMMENTS: INCLUDES REPLACEMENT OF TWO DOORS. - COSTA MESA CA.92627 ><***�E+ N*aE****M�EUIE***** *?t*�c***** �E********x�E�c*** i ***AE)~x??,** ******N-* IE*>E**:-*** Efi LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I N G REQUIREKENTS 7000)of Division 3 of the Business and Professions Code.and my license is in lull force and effect. S 'E T B A C K S CITY LIC.: STATE LIC.: CLASS: Date: Signature: -- MAIN BUILDING ------- ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT iN REAR: FT IN Compensation Insurance,or a certified copy thereof(Section 3800.Lab.Cl. LEFT: FT IN RGH T: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ PROV: PARCEL : 42605105 ZNE: REF NO: .1 Certified copy is hereby furnished. ❑ Certified copy is tiled with the city Building Division. PLANNING NOTES> > .. °ate: Applicant: lE**)f********3E*****#-****lE***IF,1iF ******** **********k******# * 1F * * ***�:***M-***1E**ipY*M:* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred($100)or less). DEVELOPMENT.. SERVICESS REQUIREMENTS 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 i� subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE Date: Signature: , NOTICE:II.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE C Code.you must forthwith comply with such provisions or this permit shall be deemed revoked CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: ,� 9 which this permit is issued(Section 3097.Civ.C). - DATE• • /y ***************** !**** ' ** "frhr•— *,.w • ,-- 4Effr ****-..k***)F**********1,irE'r3e?/3 ** LENDER: ***Pe************************************ .a**X*®**********************If********* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL, SEGMENT:Y • OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the fofowing reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or P ERM 1 T 81 . 00 6 D repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statem he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7 of Division 3 of the Business SMI P/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemptio ny violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not mare than five hund dollars(S500). ISSUE FEE I. as owner of the property or my employees with wages as their sol compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS--——> 81 . 60 0 . 00 0 , 00 81 . 60 81 , 60 . 00 does not apply to an owner 01 a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If.however the building or improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED • 81 . 60 OVER/SHORT• 00 for the purpose of safe). BLDG PMT PLUMBING ELECTRIC MECHANIC - FIRE SMIP/TOT GRADING PLAN—CHECK n I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 81 . 00 . 60 INIand Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ****.*********? ********?t************************1i************************1(*iE?:}(*ut that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B.8 P.C. I N D I V I D U A L F E E BREAKDOWN for this reason: �/ s/ / TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST I)ate: �// L'?i Owner:_ . ' . .. — ,. — _ I do hereby certify that I am aware of and understand the requirements of California ffeatth and Safety Code— . s25505, 33,and SFR 6000 ALTER BY VALUE RESIDENTIAL NOZONE 1 , 00 6, 000 , 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state cod' d the requirements for a END OF FEES permit for construction or modification from theAirAir O ieldy Management District.Residential constr tion applications are exempt from these provisions. y / Date: YbY Applicant: �- =S!' — I hereby certify that I have read this application and state that the above informal' correct.I o comply with all city and county r �/ 4,rS'' T' C T`�'i. , ordinances and state laws relating to building construction and hereby authorize ref .entalives of l/ y/ nter upon the above-mentioned property for pinspe"tion/purposes, i /� Date: p 1//Z/P� Signature:__ �' _'� Driver's License or Social Security 0: ,, , //7• 4 l/ 1641-46 White—Building;Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor A • CONSTRUCTION AND PLANNING POO, ?A APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location -: • • 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement f �• 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVE R-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK . 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final •') ••'l • / /1( 12. Sewer Cap 63. Heater & Vent-Final ' 13. Roof Drains 64. Plumbing System - Final / • "�N ji !.•• 14. Rough Plumbing 65. Electrical-Final . ' ./I,; 15. Rough Electrical-Conduit 66. Solar System-Final st. i 't • 16. Rough Electric Wiring 9 67. Fencing & Access Approval r • •F 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrica6T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT • 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing -_.' HEALTH DEPT. REQUIREMENT • 31. Plaster Brown Coat 79. FINAL INSPECTION 1. 32. Electrical Power Meter-Final �. 80. FOOD CERTIFICATE ISSUED 33. Final Electric j i-il' Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test tif . 36. Hood or Canopy ' 37. Final Factory Fireplace ✓ 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations L-- 47. FINAL STRUCTURE & BUILDING Tj./4'j I 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co • �✓ 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 148 22ND ST UNIT: NIT CITY OF COSTA MESA – BUILDING PERMIT PERM NO: IE 053377 OWNER'S NAME: ARMENIAN CHURCH OF N,A. ADDRESS: 1201 N VINE, HOLLYWOOD PERMI" NO: IE 053377 PLAN CHECK NO: N GOVT; N SUPP: Y CONSTRUCTION TYPE: V-1HR PERMIT TYPE: ELE OTH PURPOSE: OTH 213-466-3265 ARCH/ENGINEER: EDWARD BILEZIKJIAN REG.ND.: CI1RO4 JOB DESCRIPTION INSPECT T–BAR CEILING FOR COMPLIANCE SQ FT: ADDRESS: 25284 ERICSON WY Limn: LAGUNA HILLS CA 92653 CLAIM VALUE: CA,C–VALUE: GROUP OCC : A-3 / PERMITTEE: CIVAN KALFA (714 ) 650-6760 ADDRESS: 148 22ND ST COMMENTS: FOR COMPLIANCE INSPECTION ONLY. COSTA MESA CA 92627 ************************ ********#+EaE+(aca*+F+i***+y*****>Ei«**************)E*+(**AE***** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect SETBACKS CITY LIC.: STATE LIC.: CUSS: Dale: signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV: PARCEL: 42605105 ZNE: REF NO; • '1 Certified copy is hereby furnished. 0 Certified copy is fired with the city Building Division. PLANNING N TES> > Hate: Applicant: ************************76*1F*******#IF36******)E******I(****)E*+i*****ti****}c?E***3E*: *** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred(5100)or less). DEVELOPMENT S S.'R V I C ES REQUIREMENTS I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY – DATE: Date: Signature: NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. � /%% E / CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y• AlrDAT.... which this permit is issued(Section 3097.Civ.C). ********************** ' Sr, ' w*. F'4'•' ,s.n. .- .v " --•**BP**********ai•******',sx**.rile`*±'x** LENDER: RE: B53376 ***************************************** i************************************ • OODRESS: * LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from theContractors'Slate License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIP/RES GRADING (Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 3 0 , 00 repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the BusinessS 0 S SM I P/NUN–RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 15500E ISSUE FEE I. as owner of the properly or my employees with wages as their sole compensation. will do the work, and the BUILDING–DIV—> PERMS�. ISSUE PLAN)—CHECK TOTAL PAID DUE ❑ structure is not intended or of feted for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 30 , 00e..% 0 , 00 - ) 0 . 00 30. 00 30 , 00 , 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himsell/herself or through a•• his or her own employees.provided that such improvements are not intended or offered for sale.If.however the building or improvement is sold within one year of completion.the owner wit have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 30 . 00 OVER/SHORT: 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIP/TOT GRADING PLAN—CHECK - I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 30 . 00 ' VG and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon and who contractsfor such projects with a contractors)license pursuant to the Contractors'State License Law).I am aware .**********************************)e*jE**********ir*************{t*************.*.ac** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL ,' FEE BREAKDOW N ❑ I am exempt under Section: B.8 P.C. for this reason: /♦ ' TYPE QTY D E S C R I P T• I N UNIT COST TOTAL COST Date: J9M Owner. — r!1�iFr-j '7' I do hereby certify that l am aware of and understand the requirements of California Health and Sa'i •••Sedi, l r.,25533,and ELE 1 ELECTRICAL • RE–INSPECTION FEE 30, 00 30 , 00 25534 and that I or any lunate building occupant will/will not(circle one)need to comply with said. . .codes ajoi>/'e requirements for a END OF FEES permit for construction on modification from the Air Quality Mania ent District.Residential ygkj on ations are exempt from these provision] .• $Y/Y/4,/ A /� .f�� Date: pPbcanl:. Lt�•._ I hereby certify that I have read this application and state that the above infor s corr: agree to comply with all city and county ordinances and stale taws relating to building construction and hereby auttor¢: • •sentalive T this dtt,enter upon the above-mentioned _ _ property lot m ' noon purposes. L ` 3..r.00u�c'LSi–I]!94e�' – .. (...:7;• Ail ar Date:_0. (/ Signature; Ji. vr' Driver's License or Social Security fir 1641-46 White–DuiWing:Green–Code Enforcement:Canary–Applicant:Pink–Reve e;Goldenrod–Assessor CONSTRUCTION AND PLANNING POO. PA APPROVALS Permit # - Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location _.' 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms •• 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. . 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, D Undrgrnd., Test i • 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. �1 10. Structural Floor System 61. APPROVAL TO DECK ' t71 . •-• 4 ,• r 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final / n t� . . 12. Sewer Cap 63. Heater & Vent-Final r ' 13. Roof Drains 64. Plumbing System • Final � �7i, t rt' - 14. Rough Plumbing 9 65. Electrical-Final , • .� 15. Rough Electrical-Conduit 66. Solar System-Final ' 16. Rough Electric Wirings' 67. Fencing & Access Approval / The 17. Rough Wiring Sign • 68. APPROVED FOR PLASTER IN&i 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREc1/4FINAL 30. Drywall Nailing jr HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final / ( 14-, 80. FOOD CERTIFICATE ISSUED 33. Final Electric isCi4. Notes: 3--22 „� 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test ;a/_� 36. Hood or Canopy 't I 37. Final Factory Fireplace { 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING �. 49. Electric Release to Edison , 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY No Date PROJECT ADDRESS: 148 22ND ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT *PERM NO': B 06819E PWe4ER'SNAME: WESTER DIESES ADDRESS: ARMENlIAN CHURCH PERMIT NO: B 06819$ PLAN CHECK NO: 02775-94 S GOVT; N :SUP P ; N ' 148 E 22ND ST r . CM CA 92627 . CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE; 0TH 6546760 , ARCH/ENGINEER: flEG.NO.: JOB DESCRIPTION. : INSTALL 5 CHANDELIER • - _ _ SQ FT; 1 , 000 ADDRESS: UNIT: • CLAIM VALUE; 1 , 000 . 00 CALC VALUE; • 1, 000 , 00 GROUP OCC : M-1- / PERMITTEE: ARMENIEN CHURCH (714 ) 654-6760 ADDRESS: 148 E 22ND ST COMMENTS; INSTALL 5 CHANDELIERS CM CA 92627 ***********x %->E *** **-aF***a*>E kE> **>F>E->F*****dt*#>F** ***?fol#*- rEx-*at**ar***.x.N..x•xN.>E*-xx,r.x.*.* ' LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIR EMENTS . 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. • CITY LIC.: STATE LIC.: CLASS:. EXP: . SETBACKS Date: Signature: MAIN BUILDING ACCESSORY BUILDING ' WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure ora certificate of Workers' FRNT: FT IN REAR: FT I N FRNT; FT IN REAR• FT IN Compensation Insurance,or a certified copy thereof(Section 3800.Lab.C). - LEFT: FT IN RGHT; FT • IN LEFT: . FT IN RGHT; FT IN POucY NO.: EXP.DATE: PARKING COMPANY: REQ: PROV: PARCEL : 42605105 ZNE: REF NO: ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> > Date: Applicant: ******************************************1;*************3E*********iF?E?f 7E***'****** EXEMPTION FROM WORKER 'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred WOO or less). D EVEL OP MEN T SERVICES R E Q U I R E, M E N-T S • I certify that in thi perfor ince oft ter which Otis permit is issued.I shall not employ any person in any manner so as to become -' •ot to •e Id/Ilr s' Frmpensa®if California. _7 z f 9� ZONING APPROVED BY ' ' J/ / DATE: Dat . -� Signal ul BUILDING APPROVED BY ' • NOTICE:II,cher rt , ,you should become subject to the Workers'Compensation provisions of the Labor DATE: M.' Code.you must Ion with comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: DATE c r -which this permit is issued(Section 3097,CIv.C). **********************ye +rye' x' - + v,. A �v* xx**********Te x12_51 Fit-xe* LENDER: *****************************************************************4E•a�*e:****** **•* • ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAI:, SEGMENT;Y OWNER BUILDER DECLARATION: I hereby affirm that am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 25 . 00 5 0 repair any Structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed . pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN 16 . 25 - ' SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(8500). ISSUE FEE Las owner of the.property or.my employees with wages as their sole Compensation, will do the work..and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law-. — TOTAL S--- > _ 25 . 50 0 . 00 16 . 25 41 . 75 . 41 . 75 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through --" his or her own employees.provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED• + - - - - improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve 41 . 7 5 OC ER/$BORT; 0 0 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK. I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044•Business 25 ' Q U . 50 1 6 ,.2 5 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner o1 property who builds or improves thereon ' and who contracts for Such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ***********************************************it*****************************4E.* that proof of their Worker's Compensation insurance should be provided to me. IND I V IDUAL F E E BR E AKD OWN , ff I am exempt under Section: BP 7044 B.S.13,C. /1 l ;� , for IN?reason: ALL WORK BY OWNER TYPE QTY DESCRIPTION UNIT COST TOTAL COST AIM 7/247 74 Owner/ �� SFR 1000 ALTER BY VALUE RESIDENTIAL NOZONE 1 . 001 , 000 , 00 hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and END OF FEES • 25534 and that I or any future building occupant will/will not(circle one)need to comply with Said state codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from • • these provisions. , Date' Applicant: I hereby certify that I have read this application and state that the above information is correct I agree to comply with all city and county • ordinances and state laws relating to building construction and hereby author: represe t fives of this city to enter upon the above-mentioned property 4 for specuon ureases. 02 00164604 00164606 T CE T 41.75 -7 /yq 1 �'`') DATE: 07/25/95 TIME: 08:28 /�Zf/ / Signature: / /- 1-- , 2.er's License or Social Security e: • 164646 While—Building:Green—Code Enforcement;Canary—Applicant:Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING POOL ?A ,APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10, Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70, Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas D Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hvdro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77, FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy - 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING y//s�Q 1.51. 48. FINAL PLANNING 999 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date • / /' diOFE, / - / Herman S. Hovagimyan t I Ha. 20278pts t �eaot= V. a-0 -3v-97 rn rri r ,__ Civil 1 ...-_____,....-` • O O O O 09 '/2 sacr Eze,0oon acct' ♦ • - • I ,..,4,.. se ; Cr-14/DIVISION OF 111 T.. ; _ . s..if CITY OF COSTA MESA 1 APPROVED "��a- IL' • • �p 4 WP . - war (oil= per r lith It #13 r v 2 4 � This set of p r Arae wwotoctoe P47t,f nq'tept nn. pt sorts and It is urea I to make any changes x alteration on same utIntt�tt THIS NUMBER MUST ACCOMPANY permission tro the Division otBuilding and Safety,Cryot hex 2x8@ (C AU INSPECTION REQUESTS The stampu;gc UIS ptenems s NOT be ie MA r43-07-14-5011L or to be an ap royal of the viol tion at any pro ' 'ons of any ' of Costs l 1G0 4- cwt.,S n cia v .ta�,e o � Mesa Ordirtam� -,t1x u �•r , These plans ano o=:m t shalt exdne by bnitadon and becomenull and �tt*MN f IC 4 The building o:wl.= y hol ce@r�,. 11111-., t-,J....::.:`li::4SUfr Z er�pOL v — r / , Id)wdhn lei)ce..en suan,.� Fr= I = o /tC Q.. a(otit (6o ls. — N% / O�`� `ti/ ;` 10000xo./9C = 1194,c "� I = , n i`o% _ =�-o' < 1 h9c0 I p S` : /NG4�� �4lesIENrAN • F3e:,hwt ow w000e df4oWcW P-_ L€ -le r '�;ct - x F.E. SEcT1Qt 14a e. UZN`e ST. a_ 7"Ko. S^x /250'%" = .:{.,37547 •ttO�Z - Bo'' o�K ( °� 12 " �APR� Coact PJQ , cp `t�� �j t ENQT14-4"-Z " s, 4" It ect-T�lk�7) r ' No, Ioxezt- 7 H v4gagli Z'b-t-?Qa. P _ WOOD ` t < < a i 1 l I ;g - RO t t 1 1 F i RouHD Rfrg 23 `, E t l 1 4-1 1 .4.� o ii 3 it ON, t X ° V m t� 91 ii i t r � (E�STrN(� L , tic �nlG E -1 'Ti tla e erna6 4 Log fixTuR .4. Pt: et 4- (-46. "1 ' 8, t�?� : 2b. 6 4. 77 9e r 1 5. c. ('/8): o. n' 'M . dy^t ExISTfN(a v zY2 pt-'$eov 2G. Cu 12 _ (./3 513/4" 614V rtkttivi • ea- . r-< o 2813 (/ 1_ — — St Mth�`�' AtQPUEattt4+� 3 - - 1 '� eguKtN �t pRtll WD c,O.44 r 1 h� 5fi r� 3b� Ld 144 e. Z2 qty +� 5CAL oato >4 r6.o. 66r Jam, woo = a 7Go '(O 044a tate et ,C4 Z42 J0JECTAflESS: 148 22ND ST UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 069091 4 OWNEWSNAME: SAINT MARY ' S CHURCH 4 ADDRESS 148 22ND ST PERMIT NO; B 069091 PLAN CHECK NO: N GOVT; N SUPP ; N C,M„ CA 92626 • CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE; ALT ' ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : T/OFF & REROOF W/BUILT—UP SQ FT: 6, 800 L' ADDRESS: UNIT: CLAIM VALUE; 6, 800 , 00 CALC—VALUE; 6, 800 , 00 GROUP OCC ; A-3 / PERMITTEE: ACADEMY ROOFING ( 714 ) 973-1261 ADDRESS: 1070 N BATAVIA 502 COMMENTS ; REROOF 6000SF CHURCH W/BUILT—UP ORANGE CA 92667 ############***##################***********###********#?E****####*#>E#########u-# LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQU IR EMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full forc d effect. SETBACKS CITY LIC.: C ACCESSORY BUILDING STATE LIC.: 6489`59 s: C 9 EXP; Date: (J 3 ` yT signature: MAIN BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT : FT IN Compensation�}n�p'r ac c¢Nr a copy.thereof(Section 3800.Lab.G7.8/01 /95 "OLICY NO.: ""L"1 6'1 7 41 7—V L EXP. DATE: U omaxY: GOLDEN ,��(( PARKING REQ• PROV: PARCEL: 00000000 ZNE; REF NO: L] Certified copy i5 hereby furnished. C1 Certified copy is tiled with the Ity "ng Division. PLANNING NOTES> > Date: (a — 3-er 1 Applicant: #**##*#**************#*****#***********************##*#**##****##*##**##*####*# EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: on need not be completed if the permit is for one hundred($100)or less). D E V E L O P M E N T SERVICES R E Q U I R E M E N T S ,. I certify that in the performance of the work for which this perm is issued,I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: Date. signature: BUILDING APPROVED BY NOTICE:If,alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor DATE: Code.you must forthwith comply with such provisions or this permit shalt be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: S } . DATE; 6 Ie- 1 j which this permit isissued(Section 3097.Civ.C). ************3e****************************** * *********************** ********* LENDER: ##*********####**####*#**###**###*#****##***###***************************#**** ADDRESS: LEGALIZATION:14 F E E SUMMARY STRUCTURAL SEGMENT;Y � QKE DETECTOR OWNER BUILDER DECLARATION: I hereby affirm that I am exem r to on roc ors State License Law for a following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requirM o•t 4qQ'� ye.demolish.or PERMIT 90 , 00 repair any structure.prior to its issuance.also requires the applicant for such pe • -. s e ''e �k,i e/she is licensed - SM I P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(comm.,. . .' to d 7111)of Division 3 of the Business PLAN and Professions Code)or that he/she is exempt therefrom and the basis or the alleged exemption.Any violation of Section 7031.5 by 1 . 43 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation, will do the work. and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS-----> 91 , 43 0 , 0 0 0 , 00 9 1 , 4 3 91 . 43 , 0 0 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees. provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 91 . 43 OVER/SHORT: 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 90 • 0 0 • 1 . 43 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds Or improves thereon and who contracts tor such projects with a contractor(s)license pursuant to theContractors'State License Law).l am aware ***####**************#*****###**##*#**#*#***##******#**..*.**!(..le*.#***.N.*****.Nr*.*..1(.*,*** that proof of their Worker's Compensation insurance should be provided to me. _ INDIVIDUAL ,.F 'E E BREAKDOWN ❑ I am exempt under Section: B.&P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner SFC 6800 REROOF BY VALUE COMMERCIAL NOZONE 1 , 00 6, 800 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and END OF- FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from • these provisions. . • Date: Applicant: I hereby certify that I have read this application and stale that the above information is correct.I agree to comply vinh all city and county ordinances and state laws relating to building construction and hArerso this city Io enter upon the above-mentionetlproperty for inspection purposes. Dale �o— 3—c' (4 Signature: /T Driver's License or Social Security e: 01 00168820-00168321 TOT 91,4 j DATE• 10/0.3/94 TIME: 13:48 .Padmgl Green—Code Enforcement:Canary—Applicant;Pink—Revenue:Goldenrod—Assessor CONSTRI:CTION AND PLANNING P & SPA ' APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspec 8 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe.Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility•Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55, Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System • 61: APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Oar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18, Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ❑Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing J 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing /0/fly i 74. Overhead Hydro 26. T•Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes:C6$ee,../7`p_g 34. Final Heating& Air Conditioning � 4'b t //.j��}'/ /� t? 35. Final Gas Pipe-Test DD // ` /_ ozof 36. Hood or Canopy �•1, 1 to D g cjcf 37. Final Factory Fireplace �ETx p • 'Id, 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. HandiLap RegulationsCTUE 47. FINAL STRUCTURE & BUILDING /a`�c/ 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date r PROJECT ADDRESS: 148 22ND ST UNIT: CITY OF COSTA MESA — BUILDING P'RMIT PERM NO: B 061773 OWNER'S NAME:WESTER DIESES ADDRESS:ARMENIAN CHURCH PERMIT NO: B 061773 PLAN CHECK NO; 01278-93 S GOVT: N SUPP; N 148 E 22ND ST CM CA 92627 CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE; OTH ARCH/ENGINEER:6 5 4 6 7 6 0 REG.NO.: ADDRESS: UNIT: JOB DESCRIPTION : WROUGHT IRON FENCE W/ ROLL GATE SQ FT: 150 + PERMITTEE: CLAIM VALUE: CALC—VALUE: 1 , 500 . 00 GROUP OCC; M-1 / ARMENIEN CHURCH ADDRESS:CMT 48 E 22ND ST ( 714 )654-6760 CA 92627 COMMENTS: 12 'DIA FTG/ 2 'DP @ POLES ************************************************"%****K*BE********************** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: • Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT; FT IN REAR : FT IN Compensation Insurance.or a certified copy thereol(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN ^OLICY NO.: EXP.DATE: ;OMPANY: PARKING REQ: PROV: PARCEL : 42605105 ZNE: R2 REF NO; U Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> CONSTRUCT 6 ' HIGH ORNAMENTAL IRON FRNCE AND GATES 2 ' FROM > FRONT PROPERTY LINE. hs-f /p; Oate: —/,C— 7 C•� Applicant: ***************************�E*****************{.**!F*************-1E****7f3E3Eif******** I ' EXEMPTION FROM WORKERS'COMPENSATION whichtDECLARATION: (This sectionissneed not be completed if the permit is for one hundred(5100)or less). DEVELOPMENT SERVICES R E Q U I R E M E N :: ' S �cenity that in the performance of the work for which this permit is issued.I shall ni my.y arty person in any m so as oecome /suoled to orkers'Compensalion Laws 4Cahfornia. SC ° ` ZONING APPROVED BY DATE: , V/ Oa1e: " 'rte ig re: �C ��._ NOTICE:It after making this declaration,you should become subject • e Workers'�/yam.enation provisions of the Labor BUILDING APPROVED BY : -— ,,,- Code. .,- Code.you must forthwith comply with such provisions or this permit shall be deemef 'yoked. _ DATE:-., CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance 01 the work for APPLICATION ISSUED B Y• �r%i J a �� / which this permit is issued(Section 3097,Civ.Cl. .***.*.*.*.*,*.**.*.*,*,.*.**,*.**..*** . _ s�F— _ .. DATE• /e..`� . 11 _ '� it **********a***** I** ADLENDER: DRESS: ************************* ********** F****************************1y4*******9e** LEGALIZATION;N F E E ' U M M A R Y STRUCTUR4AiSEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECT (IC MECHANIC FIRE SMIP/RESP GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish.or PERMIT 35 . 00 repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 22. 75 . 50 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($5031. ISSUE FEE I. as owner of the properly or my employees with wages as their sole compensation, will do the work, and the BUILD ING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE 1 structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS--——> 35 . 50 0 . 00 22 . 75 58 . 25 58 . 25 , 00 does not apply to an owner of a property who builds or improves thereon.and who does such work himself/herself or through his or her own employees.provided that such improvements are not intended or offered for sale. If,however the building or improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 58 . 25 OVER/SHORT: 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 35. 00 . 50 22 . 75 ❑ and Professions Code: The Contractors'State License Law does not apply loan owner of properly who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I a aware *..****************************************************************************** that proof of their Worker's Compensation insurance should be provided IOBge. ` n Dam exempt under Section:B P 7 0 4 4 B.8 P.C. ����( a0-tri' at-, INDIVIDUAL F E E BREAKDOWN tor this mason) ALL WORK BY OWNER 4001, 4 „ TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST /Date:' Owner: I do hereby certify that I am aware of and understand the requirements of California Health and safety i• 'ections 25 15,25533,and SFC 150 RES—PILASTER WITH WOOD ETC BET/ FT. 10.00 1 , 500 . 00 25534 and that I or any future building occupant will/will not(circle one)need to comply with said stat odes and the requirements for a END OF FEES permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions Dale: / —/S- 12 Applicant: �--/1l I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned pr erty for 1n action purposes. _ Dale: — �/) ` Signature: i 01 00137391-00137393 TOT 58.25 Driver's License or Social Security v: DATE: 04/16/93 TIME: 12:26 IL164646 White—Budding:Green—Coda Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING P . & SPA --- APPROVALS Permit# Date Inspector APPROVALS Permit ,� Date Inspector I _ . 1, Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Ei.ctrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgr,d. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. B. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test • 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, Undrer-d. 10. Structural Floor System ;, 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection • 62. Backwash & Receptor-Final • 12. Sewer Cap 63. Heater& Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15 Rough Electrical-Conduit 66. Solar System-Final 13. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Cirin Sign g 9 9 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventiiating 71. Product Piping 0 Gas 0Oil 23. Gas Pipe-Rough & Test 72. Underground Flush { 24. Roof Framing 73. Undergrnd.Storage Tank C Gas IT0�! 25. Hoof Sheathing 74. Overhead Hydro 26. T-Bar Ce,ling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat I 79. FINAL INSPECTION ( 1 32. Electrical Power Meter-Final I 80. FOOD CERTIFICATE ISSUED I -} 33. Final Electric Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38 Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING GZ l4 48. FINAL PLANNING , 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date r \T ADDRESS 091011.0940: 148 22ND ST UNIT: CITY OF COSTA MESA - BUILDING PERMIT OM4OWSNAME)IYDC14: SAINT MARY ARMENIAN CHURC PERM NO: B 079779 ADOREss, 148 E 22ND ST C .M 92626 PERMIT NO: B 079779 PLAN CHECK NO: 03209-96 L GOVT: N SUPP : N 714 ) 650-8367 APPL,RULING ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: CON ARCHITECT OR ENGNEER: VS 6 ASSOC. UDNG.: S3873 JOB DESCRIPTION : CONSTRUCT ENTRY BELL TOWER SQ FT: 25, 000 ARCH.OR ENG.'S ADDRESS: 126 S . JACKSON MT: 204 GLENDALE CA 91205 CLAIM VALUE: 25, 000 . 00 CALC-VALUE: 25,000 . 00 GROUP OCC: A-3 / COMPACTOR'S NAME: CONTRACTORSMUNG COMMENTS : "SAINT MARY ARMENIAN CHURCH" ADDRESS: UC NO.: ******************************************************************************* IlMT; ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am tensed under provisions of Cheraw 9 SETBACKS (commenting with Section 7000)of Division 3 of the Business end Professions Code,and my license is in full force and effect. CITY UC.NO.: LIC.CLASS: LIC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Dale: Contractor. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penal)/ ry y of perthat Ian exempt horn the Contractors License Law for the ' r`nbllovig reason(Sedion 7031.5 Bonita end Professions Code:Any oily or aunty whirls requires a permit tocasect u ,eller.improve. PARKING REQ: PROV: PARCEL : 42613304 ZNE: R2MD REF NO: "` , 'demolish,or repair any structure,prior to its issuance.also requires the applicant f«such permit to fib a signed statement that he or she PLANNING NOTES> 289 SQ. FT. ENTRY BELL TOWER, 30 FT. HIGH TO AN EXISTING is licensed pursuant to the provisions d the Contractors License Law[Chapter S(commencing with Section 7000)of Division 3 d the Business end Professions Code]or that he or she is exempt therefrom end the bas's for the alleged exemption.My violation of Section > CHURCH 150 FT, FRO M REAR P/L • - 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more then ywe hundred dolars[i50o)). ******************************************************************************* O I,as owner of the property or my employees with wages as their sole compensation,will do the work.and the structure is not intended D E V E L O P M E N T SERVICES REQUIREMENTS or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not appyearner to en arof property who bolds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such �• V�y improvements are not intended« improvement offered for sale.If.however,the buildingor is sold within one year of completion,the ZONING APPROVED BY ' C CT DATE: owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). C/ El I,as owner of the properly.em exclusively contracting with licensed contractors to construct the project(Section 7044,Business and BUILDING APPROVED BY . J C A DATE: 1� 7 v Professions Code:The C«aradcs License Law does not apply to an owner of properly who builds or improves thereon and who ' contracts for such projects with a conuador(s)licensed pursuant to the Contractors License Law). Vn under e.avc..mtneaaa«: APPLICATION ISSUED BY: DATE: "`n^.w<< LEGALIZATION:N • F E E S U M M A R Y STRUCTURAL SEGMENT: Y lay certiy that I aware a ant understwld IM requirements of Catena Health end Safety Code Sections 25505,25533,and d that I or any future building occupant will/wfl not(circle one)need b comply with said state codes and the requirements for a permit for construction or modification from the As ue-OT enagemenl District.Residential construction appiWioru are exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 349 . 75 Dale: Applicant: SMIP/NON-RES PLAN 227 . 34 5 . 25 WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE ' ❑ Ihave and wilmaintain acerlRiateof consent toseg-insure for workers'compensation,as provided l«bySection37Coof the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code.lathe performance a ew«kf«wndtnapemae ..ed. TOTALS----> 355 . 00 0 . 00 227 . 34 582 . 34 582 . 34 . 00 ❑ I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the work for which this panne is issued.My workers'compensation insurance carrier end policy number are: Carrier; REVENUE DIVISION TOTALS--> COLLECTED : ' 355 . 00 OVER/SHORT: . 00 Poky Number BLDG PMT PLUMBING ELECTRIC MECHANIC ' FIRE SMIP/TOT GRADING PLAN-CHECK (This section need not be completed 1 the penn2 is ler one hundred dollars($r00)or less.) 349 . 755. 25 ❑ I certify that in the performance of the wont for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers'compensation laws of Celdornie,end agree that R an I should beabject to the workers' ******************************************************************************* compensation provisions of Section 3700 of the Labe Code.I shell forthwith amply with those provisions. INDIVIDUAL F E E BR EAKDOWN Date: Applicant: Warning:Fallon to secure workers'compensation coverage is unlawful,and shllsub/apl an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines up to one hundred thousand dollen f$5GGDDDA In addition to the cost of romper satia4 damages es Provided for In Seection37O5oflheLaborCods,lntenatandadmmey'alasa. SFC 25000 ALTER BY VALUE COMMERCIAL NOZONE 1 . 00 25, 000 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a combustion lending agency for the . END OF .FEES performance of the work for which this permit is issued(Section 3097.CM.C). LENDER'S NAME: ' • LENDER'S ADDRESS: I certify that I have read this application and sale that the above information is correct.I agree to comply with all city and county ordinances end stale laws Waling to building construction end hereby authorize repreaentalrves of this city to enter upon the above-mentioned properly . for inspection perpoens. C I VAN KALFA _ .01 00216302-00216303 TOT 355.00 DATE: 10/03/95 TIME: 11:35 Print Name _o?-P5 Ailwinesser • Signature of. 'iia-pplicent/Contrect« (5151-a9.WP) White-Buildig 3 Safety;Greer-Rb:Canary-Appian;Pink-Revenue;Goldenrod-Assessor vi - CONSTRUCTION AND PLANNING - P( & SPA APPROVALS Permit#• Date Inspector APPROVALS Permit # Date Inspector -1-` 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location • 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd.. 54. Forms 9 -4. Electricdl Conduit-Undrgrnd. 55. Electrical Bonding , 5. Steel r.•inforcement 56. Rough Plumbing & Pressure Test .' .;-6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings fL/r(rd/' "II 58. Electrical Conduit-Undrgrnd. - 8. Foundation Lv 59. Gas Pipe, 0 Undrgrnd.,Test _9. Water Pipe_Undrgrnd. - 60. Backwash Lines,P-Trap, 0 Undrgrnd. :10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection ; 62. Backwash & Receptor-Final 12. Sewer Cap - 63. Heater& Vent-Final 13. Roof Drains . - I 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit -. • 66. Solar System-Final 16. Rough Electric Wiring - 67. Fencing & Access Approval 17. Rough Wiring Sign • . 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling ' 69, POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace - LI - - APPROVALS Permit # 21. Ducts, in.Structure _ . . - 70.-:Underground Hydro 22. Ducts, Ventilating- - - _ - 71. Product-Piping0Gas 0 Oil 23. Gas Pipe-Rough & Test ` ' 72. Underground Flush, 24. Roof Framing - - _ 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing - 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat �- (/0 - - .- ,5. Dry Chemical 27. Frame and Flashing - . IJ � 7 �- 76. Dry Standpipe 28. Lathing& Siding 3 ! " 0f /^ 77. FIXED'SYSTEM.FINAL 29. Insulation - -- . 78. FIRE PREV. FINAL , _ .. • 30, Drywall Nailing _ . HEALTH DEPT,REQUIREMENT 31. Plaster Brown Coat ' _ A-Vn 79. FINAL fNSPECTJON , - - - 32. Electrical Povder Meter-Final -- p 80. FOOD CERTIFICATE ISSUED / y 33.•Final Electric -- 1 - Notes:/,407pUI , e ( _ ,//1gov` 34. Final Heatin & Air Conditiom -n - p !rnn /r l/ V,--m-,-/r- p7:2 0.4&Aff 35. Final Gas Pipe-Test I Sor c n .:.fie-:/J ° /C e -C-C4' - -^-? -- 36. Hood or Canopy : .- ' - ; ._ /-/O -9;,_ Z-<0,-;;;;;Le- ,, 7 ,� 37. Final Factory Fireplace - ' is _ .. - -- 38. Final Plumbing _ _ - 39. Water Service-Final • - , r "> . 40. Gas Service-Final . 1 • 41. Solar Domestic-Final - • - - ) 42. Backflow Preventer - . . , 43, Backflow Irrigation _ y - 44. Landscape Irrigation System - - _ -- - '_45. Sound Attenuation- . _ - - -46. Handicap Regulations ( • .. 47. FINAL STRUCTURE & BUILDING c/c/71T� , - 48. FINAL PLANNING' 777 {1 49.-Electric Release to Edison - . -50. Gas Release to Southern California Gas Co ' - _ - _ - - 51. CERTIFICATE OF OCCUPANCY .. - • -- . No Date ADDRESS OF MONO 148 22ND ST A; OMT: . CITY. OF COSTA MESA -- BUILDING. PERMIT _ 04E1n KAME1F aNDym:SAIMT MARY ARMENIAN CHURC PERM NO: E 081976 AooRESS:.1 4 8 E 22ND ST C .M 92626 PERMIT NO: E 081976 PLAN CHECK NO: N GOVT: N SUPP: N 714 ) 650-8367 APPL.MMUID ADORES& CONSTRUCTION TYPE: V-N PERMIT TYPE; ELE PURPOSE: CON ARCNRECT OR ENGINEER:VJ & ASSOC.. mm.: S3873 JOB DESCRIPTION : CONSTRUCT ENTRY BELL TOWER SQ FT: ARCNORea"lnimSS: 126 S. JACKSON upt 204 GLENDALE CA 91205 CLAIM VALUE: CALC-VALUE: GROUP OCC : A-3 / COTRACRMNAYE OIRTACiORSYMLOIG COMMENTS : "SAINT MARY ARMENIAN CHURCH" REF:B-79779 C ***#illi SE illi dE****9E BE**dE1E lE RF dE dE N-*#**dE dE******9E**********1E dE*Y-***SEBEN*IE3*3333**31E illi**1E3*art***3 ADDRESS: Lit.NO.: DMT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty ofpr perjury that I am licensed under provisions of Chanter 9 SETBACKS (commenting with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full face end effect. CITY UC.NO.: UC.CLASS: UC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Date: Conkadoc LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN 'WNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Ccnlrectors License Law for the lowing reason(Smion7031.5 Business and Professions Code:Any city or county which requires a permit to construct.alter.improve. PARKING REQ: PROV: PARCEL : 42613304 ZNE: REF NO: Amolsh,or repair any suuclure,prior to los issuance,also requires the applicant for such permit to file a signed statement that he or she PLANNING NOTES> _ is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Cadet or that he«she is exempt therefrom and the basis lama alleged exemption.My violation of Section > I' • 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 135001). 1E dE 1E dE dE*1E dE#**1E lE****1E k#*9E dE**1E 9E*fE*iE*1E dE dE dE iE iE dE iE 9E***IE iF dE**dE dE dE**k:3*illi*!E!E*eF N-*iE 1E***aE*dE****dE dE O I.es owner of the property or my employees with wages es thee sole compensation,will do the work.end the structure is not intended DEVELOPMENT S E;R.V I C E S REQUIREMENTS or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of properly who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that arch •- s improvements ore me intended or offered fa sas.u,however,the building or improvement is sold within one yea of mmplehen,te ZONING APPROVED BY DATE: }� owner-builder will have the burden d proving he or she did not build or improve for the purpose of sale). [] I.as owner of the properly,am exdusisely contracting with licensed contractors to construct the protea(Section 7044,Business and BUILDING APPROVED B Y : `e DATE: Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who - contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law/. _ e sv l: . ptuneensediop: BSPc..f«misreaan: APPLICATION ISSUED BY: . .:y DATE: 'V *********************4**************IONISSUD if *************************4* *3* • -i- _ is 3— t9 97 LEGALIZATION;N F E E�'. SUMMARY STRUCTURAL SEGMENT: N •weby certify that I: 'of and its d the requirements of California Health and Safety Code Sections 25505,25533,and and that laany building....pent will/wet not(circle one)need to oomph/with said sae coda and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING apermit for construction . Tvetion from the Ai�iryIranepemea District.Residential constriction epp4dome ex areen«hen these provisions. - PERMIT 4 . 00 Dae: Applicant: 50% SMIP/NON-RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following dedamlons: ISSUE FEE 22 . 00 O I have and veil maintain a certificate of consent lo self-insure for workers'compensation,as provided for by Section 3700 of the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code.for the performance of the work for which this pennBsissued. TOTALS----> 4 .00 22 .00 0 . 00 26,00 26 , 00 . 00 l I have and will maintain workers' insurance,coa d etion required by Sedbrl 3700 the Labor Code,for the performance of the I work for which this parier sed.Myw«kesmmpenssonlnaaaceameradpofrymamherae: REVENUE DIVISION TOTALS--> COI1IECTED• 26 , 00 OVER/SHORT: , 00 Carrier b, Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This section need not be completed I the permit is for one hundred dollars(3100)or less.) 26 . 00 ❑ 1 certify that in the performance of the work for which this permit is issued.I shag not empky any parson in any manner so es to become subject to the workers'compensation laws of California and agree that if t should become ambled to the workers' *******BE**3EBE**********************************************1E**1E*1E******W******** compensation provisions of Sedan 3700 of the Lab«Code.I Ball forthwith comply wise those prmidams. INDIVIDUA Ll F E E BREAKDOWN Date: Applicant: Waring'Failure to secure workers'compensation coverage Is unlawful,and shall sitfect an employer to Magna!penalties and TYPE QTY D E S C R I P T I O' N UNIT COST TOTAL COST civil flues up to one hundred thousand dollars(3104000),in addition(0 the cost of compensation,damages as provided for In "• Section 3705olma Labor Code,interest and attorney's lees. ELE 4 FIXTURES, LIGHTING 1 ST 20 EA. 1 . 00 4 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penally of perjury that there is a construction lending agency for the END OF FEES performance of the work kr which this permi is issued(Section 3097,Civ.C), IX LENDER'S NAME '., LENDER'S ADDRESS: �"f I candy that I have read this application and slats that the above information is coned.'agree to comply with at dry and county ordinances A end stale laws resting to building consuudion and hereby authorize representatives of this city to enter upon the above-mentioned property r for inspection wrPosasCIVAN KALFA ©3-10-1997/81:18 PN/$26.06 iffiligri Print a RC :81-8883194 � D�.• 3 N1���y PTH PERMIT:@81976 `ignature.p .+ Appfcant/Conlrador (5151-e6.WP) / While-Building 83, Omen-Fle:Caary-Appkcant Pink-Revenue:Goldenrod-Assessor t. CONSTRUCTION AND PLANNING , ' pr & SPA APPROVALS Permit# Date Inspector ,''APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole • . 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. : . 53. Steel Reinforcement `3. Electrical-Conduit Utility-Undrgrnd. ' 54. Forms -1:4. EtectricalConduit-Undrgrnd. j, '55. Electrical Bonding i, - 5..Steel Reinforcement .` J 56. Rough Plumbing & Pressure Test 1' 6, ,Electrical UFER Grnd. • 1 57. APPROVAL TO COVER-GUNITE - 7 • : Footings 22 t ' 58. Electrical Conduit-Undrgrnd. 7.8. Foundatiori.• - 59. Gas Pipe, 0 Undrgrnd„ Test . `9. Water Pipe-Undrgrnd. , 60. Backwash Lines, P-Trap, 0 Undrgrnd, • 10. Structural Floor System 61. APPROVAL TO DECK '31. Property Sewer Line & House Connection 62. Backwash & Receptor-Final • 12. Sewer Cap - 63. Heater & Vent-Final 13. Roof Drains.1- ' 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final , 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL 19.^Rough Heating& Air Conditioning 67- 4c _ _ _ FIRE DEPT. REQUIREMENT • 20.E-Rough Factory Fire,�place i •_`�= _ - • '' n` APPROVALS: . Permit,- ' 21, Ducts,i6-Structure. -• - v { = = f 2 70.'Undefdround Ldydro 22.-Ducts, Ventilating -- •-, 'j ; 71. Produe;piping QGas b oil 23. Gas•Pipe-Rough & Test - a ! _ - 72. Underground Hush 24.-Roof Framing - = Q. ...., 71 Undergehd. 0 Gas ❑Oil 25. Roof-Sheathing _. •' r•A 74. Overhead Hydro 26.`T-Bar Ceiling (Structural) & Monocoat '. - 7$. Dry Chemical _ .. 27- Frame and Flashing • Y a' r - ,...176. Dry Stantipipe-;" r 28. Lathing& Siding, ' -7t`� ., :47 " y : 77. FIXEDt$YSTEty FINAL_. - A 29. Insulation - - 78. FIRE PREY. FINAL - ' 30. Drywall:Nailing r;. - x - " c..HEALtH`DEPT:RE'QUl EMENT 31. Piaster BrownCoat' .; -�•-� I c rr- 79. FINALtN_SPECT-ION • 32._ElectricarPo'er MeferFinal, " ` - 807 FOOD 8 _ I CERTIFICATE IS.SUEQ .1-y 33. Final Electric . m_ _ � _ _ . Tri Notes: � L1 _17...... ..-7-7,..„- ----,..---. / 34._Final Heating& Ai'Conditioning hx _ • .. ; c _` - - - 35.7Final Gas Pipe-Test: -- r - - -, _ - - moi_ 36. Hood or Canopy 1 _- 1.-to 37. Final Factory Fireplace -- _ :_ - r - 38. Finel•Plumbing -0-,: _ _ S ' • -- • 39. Water Service-Firff` '' .-c - _ R - 40. Gas-Service-Final ' - - + * - `=C. 41. Solar Domestic•Final ,' _ _ ;: z- - 42. Backflow Preventers -• -I. - e - • _ 4 r =t.- - 43, Backflow Irrigation,. ,- - ` * c 44. Landscape Irrigation System i- •'• ern - - 7.-' _ 45. Sound Attenuation - 1 r _. - • _ it 46. -Handicap Regulations °, v. - • - - ,. -1' i 47.7-FINAL STRUCTURE & BUILDING J c 48._FINAL PLANNING • - - 'Li. T r . d9. 'ElecTric Release to Edison ' < c 50. Gas Release to Southern California Gas 0, - > ' - r -- c - - y - 51. CERTIFICATE OF OCCUPANCY - - - No. Date Lt1 &.tc- /41a,1a, 97s - Z4'2 / t9_61--Steia- ��e I 22 . Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA P RMIT NO. TRACT NO. Logo BLDG.NO.- _ CONSTRUCTION PERMIT C06E— $ 3 1 I '-( P8g " • 2670 3/01 /82 58.32 IL Project Address / R 6. ZZ•y0��fje_T TYPE OF CONSTRUCTIONTI�� Owner Ccnini/n9'C•' RC//6Y 777," Phone 64/S-697/ ❑ NEW IDADD lir/ITERATIONAddress (Sante) ••,/// _0 REPAIR 0 CONVERSION. ❑DEMOLISH _- ' Arch/Eng- - License No. 0 OTHER • ZONING REGULATIONS DESCRIPTION OF WORK drat PARrrFIIo„t-s A.P." `d` 2!a -O'S I -.O • Address - - - ZONE • & • PLNG. REF.* LE-51-/03 . Contractor •- '0 ' Phone TYPE OF PERMIT / - '• • Rah' I1.�G _ �' SETBACK C/ ROP'L_ST. PRTV LINE' n I Address - - -❑GRADING ❑ FOUNDATION ❑ STRUCTURAL SI DSVA RD l U' LICENSED CONTRACTOR DECLARATION / ENANT 0 ELECTRICAL OPLUMBING ❑MECHANICA tg_IH TSIDE YARD I hereby affirm thit I am licensed under provisions of Charter 9(corn- RIGHT mencing with section- 7000) -of :Division 3 of the Business and ❑ OTHER ' Q tProfessions Code, and my license Is In full force and effect. REAR YARD(TO P/L) 4 _ _ • PROJECT DESCRIPTION • N License Class license No. 200o t • - PKG.SPACE REQ:- yry C&ROVIDED SQ. FT. \f Date AIO Signature - - - - - - .STREET WIDTH' PARK FEE S WORKERS'COMPENSATION DECLARATION IOCCUPANCV�_Y.CONSTRUCTION TYPE d'L/� �l�,�. - 1 hereby affirm that I have a certificate of consent to self-Insure or a .VALUATION 2 ooO•� ZONE ZONING APPROVED BY%DMA WO I DATEaiJI Jaz- - certificate of Workers' Compensation Insurance, or a certified copy `/ thereof (Section 3800, Lab. C.). GRADING CU.YDS. ACRES SPECIAL CONDITIONS: - 'POlicy No. Company - - - - -- HOLD FOR SPECIAL:RFQLJDBWgp'S C' ',Rifled copy is hereby furnished. - REMARKS: ' 1 titled copy is filed with the city Building Division. - - '- .O - E. .OPTION FROM-WORKERS' COMPENSATION'DECLARATION --- nth t- / a kj L//M,e-c- (Nom- - (This section need not,be completed if the permit Is for one hundred , . ($100) or less). " 1j CA r/wv - -- - - - - - 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 PLUMBING a_ - PLAN CHECK ELECTRICAL - - - -PLAN CHECK - . subject to the Workers'Compensation_Laws of California. _ _ _ • - - UW tLLING 6HHHbt Date Signature - BATHTUBS SHOWERS _ • - - - • 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 I hereby affirm that there Is a construction lending agency for the per- SERVICE SINKS - SUMPS - -- (INC.SOLAR) 10-50 HP50+HP - ' • formance of the work for which this permit is issued (Section 3097 . Civ, C.). • - - - -- - FLOOR SINKS FLOOR DRAINS `FIXTURES JO OUTLETS SWITCHES - - 0- t a Lender's Nam¢ --- - - - '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 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 ap.licant for such permit to file a signed statement that hC • Is licensed'pursuant to the provisions of the Contractor's License Law --GAS'SERVICE- - OUTLETS - SERVICE . . AMP i - (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 - BTU'OUTPUT - basis for the alleged exemption. Any violation of Section 7031.5 by _ - '-- any applicant for a-permit subjects the applicant to a civil penalty - SEWER CONNECTIONS - - - .- .. - - - o * i ,more than five hundred dollars ($500). • owner of the propdrty,�c•witlrwaga:aS_treft SOLAR TANK • - - COLLECTORS. t- - _ . . - -_ / ',a'." atfeh„will do the work,and the structure Is not intended - or offered for sale. (Section 7044; Business and Professions Code:The SOLAR PIPING SVS. - ISSUE FEE- - 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 - - - APPLICATION APPROVED BY . - DATE'S 2 through his uwn employees, provided that such Improvements are not - intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK is sold within one year of completion, the Owner will have the burden of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU ,❑ 1, as -owner of the property, am exclusively contracting with AND DUCTING - licensed contractors to construct the project (Section 7044, Business 100,000+ BTU and Professions Code: The-Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU -- tracts-from.such-projects with a contractor(s) licesned.pursuant to SYSTEM the Contractor's License Law). 100,000+ BTU •0 I am exempt under Section' _ - B.& P.C.for this BOILERS BTU - • reason - - - ” - _ 111111 Date Owner SYSTEM REPAIR,ALTERATION I hereby Certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE �e Information is correct. I agree to co ply with all city and county ordinances dad-state laws relating to n Ruction,and hereby authorize representatives /this clap to up the above mentioned - - -property filo p ell n-p - Signature ` or yKFEE CMF 0865--16 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 •' - ' - 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. D-Undrgrn - ' 10. Structural Floor System • 52. APPROVAL TO DECK • ' r 11. - Property Sewer Line& House Connection - 53. Backwash & Receptor-Final ' 12. Street Sewer Connection - 54. Heater & Vent-Final 13. Rough'Plu"mb1r{g1l-.JVa l AT,,...i.-1 x. t«'. «.c _ 55. Plumbinc System - Final 14. Rough Electric-Conduit _• - • 56. Electrical-Final 15. Rough Electric-Wiring Cr-7-10 " (t- e 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 60. POOL/SPA SYSTEMS FINAL - 20. Roof Framing - 21. Roof Sheathing . - - • 22. Frame and Flashing . - 017_$2- C. r,?, NOTES: 23. . Irisulation - - - • - - - - 24. Lathing& Siding - - :. - - 25. Drywall Nailing - Sg -..7 •,Q2 'b S - 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. FI NAL STRUCTURE& BUILDING - g. ---- �• .�• C�('o a� e 4� 39. Special Requirements Completed l j 36666o 5 & 1.1 8 Ola C p- 40. •Electric Release to Edison 41. Gas Release to Southern California Gas Co. . 42. CERTIFICATE OF OCCUPANCY No Date _ - • L,UWNCR PU+nlUlll PIGaH I.UlILJ112U1 %a /1.1—RLI UAIC 1-` 1, ADDRESS 148 E. 22nd St. BUILDING PERMIT NO. 38591 .S GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION of WORK Int.Alter.to Com.Bldg. 1/4‘ LOT LOT TRACT FIRE ZONE VALUE $ 100.00 IIS*CTIONS Signature Date TYPE VN GROUP C ZONE soiL PERMITS ISSUED GAS SUBCONTRACTOR Date I Number Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND w POWER ❑ ROUGH WIRING - / -`- - Heatin. and Vent. TRENCHES [J FORMS it STEEL REINF. U FLOOR SYSTEM BOND BEAM fl STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING — IN 0 OUT ri PLASTER. BROWN COAT ST' 'URAL, FINAL In Ele triC HE .G, VENT., REFRIG. AND A.C., FINAL /'SA.n�_ Q1[p.( � ����r 2 wS?5 PLUMBING, FINAL AND GAS TEST n i JJ �' �7--1'F ELECTRIC, FINAL 2.4 Y-�v BUILDING. FINAL O 9i 42.7- 27 a. J.$5 . 1. Falb r COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely APPLICA ION FOR B ILDING PERMIT �� `A ...ti RECEIV =$ 1' I - rip= 'g E7 BUILDING OO-/ mss'- L (� 2 ADDRESS /� LL /�j� _ PE -k-N4) 1 OWN ERI A/katt �/!zi sp917J o.A.de4 A.P. NO. `�`J 1941 MAIL ` `, CrBUILDING et Z ADDRESS // 7 Eo_ YADDRESS `�� �e� • W W TEL. CL O CITY LO ,/yvi NO.55''.4/5-Lr 20 TRACT LOT BLOCK Z CONSTRUCTION _ NEW ADD ALTER I REPAIR MOVING DFMOI LSH ZO N �LENDER //,'/ M^� ///'/�� /- J D BRANCH �� I• Va�V,t-I /G!Q f//+ hfraa _Iv) _�• OWNER mUl J ADDRESS / [�[/,J///�A VALUE /Lr-n •m ARCHITECT ,— TEL. USE r��/ r v•"" $ iV!/ J Q OR ENGINEER NO. 0C FIRE W Q ADDRESS �— ZONE TYPE GROUP LCt.Ly UZ 1n, APPROVED '/, L--T,' J O CONTRACTOR � ,tl/��G.4t•C.fK!// BY DATE 4 mZI rx ADDRESS / d G aF , / W w TEL. ZONE NO.OF USE OF NEW 0= CITY p , NO. PLANS BUILDING Z I- w 0 STATE CITY YARDS APPROVED YARDS PROVED N ^.Ir LIC. NO. LIC.NO. MAIN BUILDING ACCESS Y BUILDING =0 SIZE ,— NO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT FRONT FT. FT. USE OF .nl� A_ EXISTING BLDG. �/) R SIDE _FT. FT, I— SIZE OF NO.OF Z NEWBLDG. ROOMS STORIES L.SIDE FT. FT. ROOF 6.1 COVEERING WALLRIOR COVERING REAR FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET. MAIN& 0- _ /t /� � / J///�J//�..-• / / MAIN BLDGS. ACCESS.BLOCS. Q0 �•-4•71—///D�K- }� /`� Air;.fr-/ Y(//Y'�L�C URP DATE APPROVED I- N / 5' e } e 22s—�; —AAPPROVED DATE STAT` 0 UI hereby acknowledge that I have read this application and state j: 5O that the above information is correct and agree to comply with !t • CC all laws regulating building construction, and I shall not employ TAX F any person in violation of the workman's compensation laws of CO the State of California. 92 — I hereby certify that I am properly licensed as a contractor under SO. FT. O It the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: cc am exempt from the provisions of the State of California Business �O V VALUATION and Professions Code, Division 3. Chapter 9. �� co Ou PERMIT FEE $ O Signature of D_ ` .'� /QO�� t_ co E Permittee ('-'/f'//'/AR/L [,[/ $ i/ PLAN CHECK $ E O o Authorized Agent TOTAL FEE $ 5g-- u. 'i 4305.9 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 A PL AT ON FOR STRUCTURAL 'EMIT For Applicant to Fill in Completely —/�Usse ink Only fra + �j� RE /_q/ E DATE RECEIVED D i ADDRESSLDING I / 'rIJ -22A- 7:ate- 7; C Yt ,,,..:..-. .,... ..._•... t, , '�' .... �/. - /�/ ...a 4 yf R I NO. 'I OWNER //E1.)/Ce% �6 afire-C77,441 A.P.NO. Ly i. , MAIL '/n '/dG_ BUILDING (�^sem RADDRESS��/`4 - Z/2� / • // ADDRESS j{{_/'''' CITY t s74 /V jj 4 NOTE.&54,57-i ,4r TRACT �CO'tr� BLOCK � LENDER ,(1630 - � / E NEW ADD AL ER REPAIR MOVING DEMOLISH �x BRANCH OWNER „,I,,, /,,, ' � �. � i / '' ADDRESS . .� /.,;,s'' )���� VALUE ^c- -yJ_t ARCHITECT TEL. USEAgragit 7 - / r AL $(/Vt�(/ • OR ENGINEER NO. }' FIRE • ADDRESS ZONE PE GROUP t- i APPROVED I .y/ Al `, CONTRACTOR aC,M,S(Z BY ( DATE/(_/a / 1 t ADDRESS TEL. ZONENO.OF USE OF NEW ' CITY NO. C- PLA '/ BUILDING l"' 1-,. ' STATE CITY YARDS APPROVED YARDS APPROVED 1 , LIC. NO. LIC.NO. MAIN BUILDINGACCESSORY B ING -, SIZENO OF BLOCS 0. • OF LOT INOW,ON LOT , FRONT FT. ri /I F ', EXISTING BLDG. - fj�/-J • I e F V c`s. c Separate permits are required for T L.SIDE -SFT. /,�, il �cel 1 �/1 FT • electric,plumbing and heating work. REAR FT. /V �FT. I_. USE F BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 01 ,C7 C-/-7e MAIN BLOCS. ACCESS.RLDGS, -a , ,G/dt>EL /4/7"ee/9,4L. C VRP ,# DATE APPROVED 7 k ��/.TjrJAPPROVE0061e DATE //r/ 7,V L 0 I hereby acknowledge that I have read this application and state N yz , that the above information is correct and agree to comply with _ m a+ all laws regulating building construction, and I shall not employ i Z any person in violation of the workman's compensation laws of m S the State of California. m ; I hereby certify that I am properly licensed as a contractor under SQ. FT. — • N the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN DER VALUATION IS FOR m Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTA LI A FERMI F 014 40 o am exempt from the provisions of the State of California Business O� a and Professions Code,Di 4•apter 9. VALUATION P EE $ �� h �/ M Signature of �� j� PLAN CHECK $ , 1 Permittee Ms $_9O TAX $ q iT LL / " 2 + 'V J .) U Authorized Agent TOTAL PAID $aY� 1. %