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Home My WebLink About239 22ND ST - Building Permits ADDRESS OF maw 239 22ND ST UMT` CITY OF COSTA MESA — BUILDING PERMIT 0@r /091 c"'NERSNM'E'Fam'WRICHARD ALVARADO PERM NO: B 048170 ADDRESS: SAME . a, PERMIT NO: B 048170 PLAN CHECK NO: 04276-90 L GOVT: N SUPP : N 548-0517 APPL.MMUNG ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: STIR PURPOSE: ADD ARCNRECTORENCdIEER: FELIX MARTIN uc.ND.: SE2721 JOB DESCRIPTION : ADD 1238SF 1ST RESID FLOOR, 506SF GARAGE SQ FT: 1 , 742 ARCH.OREND:s ADDRESS, 15375 BARRANKA PKWY wit IRVINE CA 92718 CLAIM VALUE: 80, 000 . 00 CALC—VALUE: 94 , 141 . 20 GROUP OCC: R-3 /M-1 CONTRACTORSUWE CONMACTORS MAILING COMMENTS . X ADDRESS LICNO.: ******************************************************************************* WIT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby Slim under peaty of Pogue Nat I an licensed under prvvbions Of Chapter 9 SETBACKS (commencing with Section 7000)of Division 3 d the Business end Professions Code,and my license is in thug force and effect. CITY UC.NO.: UC.CLASS: UC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING FRNT: 28 FT IN REAR: 8 FT IN FRNT: FT IN REAR: FT IN Dale: Contractor' LEFT: 5 FT IN RGHT: 6 FT IN LEFT: FT IN RGHT: FT IN P hWNER BUILDER DECLARATION:I hereby affirm under penalty d perry that I am exempt from the Contractors License Law for the . .Ammpreason(Section 7031.5B'ni'maend Professions Code:AnycAyor wanly which a p«mf t000atttefer,improve' PARKING REQ: 2 PROV: 2 PARCEL : 42614410 ZNE: R1 REF NO: demolish,or repay any structure.Prior to u issuance.abo requires the applicant for each pante to Ale a signed statement that he or she is licensedpmauent to the provisions d the Contractors license LawjChaptr B(commencing with Section 7000)of Division 3 d the PLANNING NOTES> APPROX 1700 SF ADDITION TO AN EXISTING SFR. REV. SITEPPI,ANS Business and PSeavon Cdej«Ihat he or end a exempt therefrom and the basis for the alleged exemption.Any violation ofSdon > OK ( 6/20 ) FLOOR PLANS NEEDED FOR PLANNING REVIEW 'i 7031.5 by any applicant for a subjectspermiial the applicant to a civil penalty of nmore than the hundred dollars R5°°D. ********************kM,lf!(,1!!E#jfiliFfl********df****************************it/; ********* )13 I,as owner d the proper'or my enl!loYees with wages ea their sole compensation,will do the work,and the sWauta'i nes upended or offered for sale(Semon 7044.Business and ProfessionsCede:The Contractors License Lewdoes not apply to an Owner of DEVELOPMENTM E N T SERVICES R EQU IR E M E N/T• who bolds or improves thereon,and who does such work himself or herself or through he or her own employes,provided that such • improvements aro net Intended el.dleredf""le' .however.the Siding inlaovemea b sold within mayor d i Campon.the ZONING APPROVED BY DATE: owner-builder will have the burden of proving he or the did not build or improve for the purpose of sale). ❑ I.as°wren of the propery.am exclusively contracting with licensed contractors to construct the project(Section 704A,Business and Professions Cods:The Contractors License Law does not apply to an owner d property who builds or improves thereon and who BUILDING APPROVED BY : DATE: f. contracts for such projects with a mntracor(s)licensed pursuant to the Contractors License Law). ❑ lamoxempunder Section: B.AP.C..for this reason: APPLICATION ISSUED BY: DATE: *********************************************************************1F.********* Dens: Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL' SEGMENT:Y I do hereby certify that I am aware of end understand the requirements of California Heals end Safety Code Sections 25505.25533,and 25534,end that I or any future balding ocagentR will/wnot(circle e)need to comply with said deqtmmds fo ale codes and the raer e permf«construction or modif aionhon teAitiiey nanagemw Distrait.Residential construction appicati«ave exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PLANIT 617 . 00 6 . 59 • Das: Angkor'', SMIP/NON RES WORKER'S COMPENSATION DECLARATION:I hereby affirmunderd ander penalty perpry e d declarations:the followingdeclarations: PLAN 4O1 , 0S ISSUE FEE ❑ Ihaveandvimainaiiacerteicaeomwconeeelf.ins°ref« «rawkcomprmtion.asprovidedf«bymSean37DodtheLabor BUILDING—DIV—> PERMIT ISSUE PLAN—CHCOPY TOTA PAID DUE Code. « z lhep.dmaedNew«kfpw:nNbrtissued. TOTALS----> 623 . 59 0 . 00 401 . 05 1024 . 64 1024 . 64 . 00 -] I have and W maintain workers'compensation imurewe.as required by Section 3700 of the Labor Code for the ledormewe of the work for which this permit is®red.My wormer'compensation insurance crier and poky number are: • 4 Carrier REVENUE DIVISION TOTALS--> COLLECTED:. 623 . 59 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need nor be°andetd f the p.m/a for one hundred rows(S1001 of loss) 617 . 00 6 . 59 ❑ 1 ratty that in the performance of the work for which this lent is issued.I shell net employ any person in any manner so es to become eubled to the worker'compensation law d Cawornie. end agree that f'should become efojed to the wwker' ******************************************************************************* compensation provisions d Section 3703 d the Labor Com.I son forthwith campy sorb Nose provisions. INDIVIDUAL F E E BREAKDOWN Date Ap Brent: Warning:Failure to secure worteicompewdon coverage la unlawful,and shad!subpar an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST siva fines rp no one hundred thousand dollars(5104000),In MSpkn to da coat of compewlbr damages as provided for In Socdcn3706 of the Labor Cods.Interest,and attorneys foes. SFR 1238 DWE—TYPE V—WOOD FRAME —GOOD 69 . 00 85, 422 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under peaty of Perjury IOM there e a conatnMlon*Ming agency for gat SFR 504 RES—GARAGES TYPE V 17. 30 8, 719 . 20 performance of the work for which this permit's issued(Section 3097,Civ.C). END OF FEES LENDER'S NAME: 4- LENDER'S LENDER'S ADDRESS: t I certify that I have read this application state that the above information is caned.I agree to comply with all city and county ordinances and state laws restos to bWdig and hereby authorize representatives of this dryto enter upon the aboamantianad Popery war for inspelon P«Poses. r. it. T Print Name ! Date: .:t r y r Signature SOwrw/Agant/APPicamda /Contre _ ��'.( .. 7. / (51�WP)) Wlde"Suidig A Soley:Grwh-Fib:Canary-Appfum:Pink-Revenue:Gokewd-Asassor f _ i . CONSTRUCTION AND PLANNING r _ & 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 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical OF 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, ❑ 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. POO USPA 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 O 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 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 a ',A A _ •1 35. Final Gas Pipe-Test Fain- .• 36. Hood or Canopy i =1 37. Final Factory Fireplace O V 38. Final Plumbing 39. Water Service-Final I O 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 CRUS OF BULDNG: urn: T OWNERSNAME 1pIOgYRN: 239 22ND ST CITY OF COSTA MESA — BUILDING PERMIT AoO,PEs3: RICHARD ALVARADO _ PERM NO: IM 075591 SAME PERMIT NO: IM 075591 PLAN CHECK NO: N GOVT: N SUPP : Y a MAILING ADDRESS: 548-0517 CONSTRUCTION TYPE: PERMIT TYPE: MEC 0TH PURPOSE: OTH ARCHITECT OR EMMNEER: FELIX MARTIN uc'No' U2721 JOB DESCRIPTION : RENEW PERMIT EMP . 49362 SQ FT: Alcx OR MI ADDRESS: 15375 BARRANKA PKWY IRVINE CA 92718 CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 CONTRACTORS NAME: CaNmACTORS MARRNG COMMENTS: REFER TO #B : 75589 ADDRESS: LIC N0. 3Eie3E#*3t3tia3t*it3fib*ie3Aie3E3E*ib3F*3Eit3E3Eit3(•*3Eif***it***3t3E#***3E3Pitif3E*ie3E3FIf**iF3t****3E3E*3E*3h3E3E3b*3F3E3F*** WIT: Z O N I . N G REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby etfrm under penalty Of minty that I sin licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7000)of Division 3 of Me Business and Professions Code,and my[cense is in lull force and erect. CITY LIC.NO.: UC.CLASS: UC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING Date: Contractor: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penalty d perryry that I am exempt Frere the Contractors License Law la the Idoe.g reason(Section 7031.5 9uaeiea,and Professions Code:Any city or county slid,requires a permit to construct,alter,improve, �ndsh,orrepei any structure,prior to its issuance.also requires the applicant la such permit to file a signed statement that he or she PARKING REQ: PROV: PARCEL: 42614410 ZNE: REF NO: tensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES> Mess end Professions Code]or thal he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section > .031,5 by any applicant for a permit subjects the applicant to a civil penaltynot of more than five hundred dollars ISS . I,as owmerthe propertymy employees with wagesasthei soledo the compensation,will work,and tedw ectureisnot intended ******************************************************************************* ofw or offered for sale(Section 7000.Business end Professions Code:The Contractors License Lew does sed apply loan owner of propend DEVELOPMENT SERVICES REQUIREMENTS who builds or improves thereon,and who does such work Nmsef or herself or through hi or her own empoyees,provided such improvements we not intended a offered for sale.If,however,the building or improvement is sold within one year of•• on,the owner-builder will have the budeadproving he or she did not build or improve for the pumtaedsal / ZONING APPROVED BY DATE: ❑ I,as owner of the properly,am exdusively conuectng with licensed contract o struct the pro' (Serf•4,/ aineas Professions Code:The Contrafca License Law does sit apply to an o who «i icy and BUILDING APPROVED BY : ' l DATE: contracts for • prueds with a contractor(s)licensed pursuant to the a Lioaue I ■ amexem. der' ionC B. orthia n APPLICATION ISSUED BY: � DATE: Z ISGs 4,41 , , **3333*****3343******************3#**** 1t if***WR** FiFiE#IElfihlElEiEffiflE4* ###¥* Pr:by•, i that lamaware land understand the rquiremensofCaliomeHealth and SalaryCode Sections ,25533,and LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N 534.and that I or any future building oavpem will/wit not(dice one)need to comply wish said stale codes end the requirements for a permit for constmcton or modification from the AiQasM nanaeemem 0mdd.Resider+ial conamaAionappkmian are exempt lmm Mese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 30 . 00 Date Applcant: 25% SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the fotowing deduatons: PLAN ❑ I have and will mental,a certificate d consent to self-insure for workers'compensation.asprovided for by Section 3700 of the Labor ISSUE FEE Code.PatheperformanceofteworkforwNththispermiia®ued. mBUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ I have and ail maimain ecotone oxosensatice insurtuxe.as required by Stain 3700 d the Leta Code.ka the performance of the TOTALS----> 30 . 00 0 . 00 0 . 00 30 . 00 30 . 00 . 00 work for width this permit o issued.My woken'compemaon insurance canter and pofcy number are: Cantef: REVENUE DIVISION TOTALS--> COLLECTED : 30 . 00 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK is section need not be completed I the panne is for one hundred edam(S10/or less.) 30 . 00 o I cady that in the performance of the work for which this permit is issued,I shall not employ coy person in any manner se as to compenatonpect pro ovisions workers'Sedisnslo0 of the lawsofarrthreethe llendeoovions subject to the workers' *,*3E3t3E3E3E3E3E3F3E3E3E3E3f3E3F3E3E3E3E3F3F3E3F3E3E3F3E3E3E3E3E3E3f3f3E3E3E3f3f3E3f3E3E3F3f3F3f3Eih3E3E3E3k3E3f3E3f3E3E3E3E3E3fi43f3F3f3E3E3E3E363E31*** compensation stibj pmoskw d Section 3700 d the labs of California,C I shall forthwith and agree empty with should beeloea. Date: Applicant: INDIVIDUAL F E E BREAKDOWN Warning:Failure to secure workpicongaeldom coverage launewh,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil Ansa up to one hundred thousand dollars(S100,000),,A,addition to the cost of conlpeneaan,damages as provided for In Section 3706 of the Labor Code,Interest,and attorney's tees. CONSTRUCTION LENDING AGENCY:I hereby afro under penalty of perjury that there is constructiona ethe agency for MEG 1 MECHANICAL RE—INSPECTION FEE 30 . 00 3 0 . 00 performance d the work for which this penia is issued(Section 3097,CN.C). END OF FEES LENDER'S NAME: LENDER'S ADDRESS: I caddy that I have read the application end date t e above int• :o s coned.I • 'o amply with all my and county ordinances .- - _ and state laws relating to bu'•'g constructone eby euthorae .p-mistime oft'_ 'y to enter upon the above-mentioned property - v • - . • for inspection purposes t' purposes. 'LV %} %O free r;L, —irip7 1r5F., .rl .I• ��I tet._ ' Dale G .`•.., - - ./,..nt'A. un:C tractor j _ (5151-46-WP) White- uildig S Safety:Green-Re:Canary ppicant;Pink-Revenue;Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL PA T` Ai'PROVALS Permit# Date Inspector. APPROVALS Permit# Date Inspector • 1. Temporary Electrical Service or Pole • 52. Pool & Equipment Location - 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement -Electrical Conduit Utility-Undrgrnd. 'T 3 54. Forms I - : 'I.^Electrical Conduit-Undrgrnd. 55. Electrical Bonding , _ 5. Steal.Reinfgrcement 56. Rough Plumbing & Pressure Test - C 6. Electrical UE.ER Grnd. 57. APPROVAL TO COVER-GUNITE z. r-,7. Footings ;T.,' 58. Electrical Conduit-Undrgrnd. :� ' 8, Foundation •:- I 59. Gas Pipe, 0 Undrgrnd., Test ' t; 9. Water Pipe-Undrgrnd. ii 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 -9' 64. Plumbing System - Final 14. Rough Plumbing :T. .,.,..:< . 65. Electrical-Final • 15. Rough Electrical-Conduit T ' 't/- � •• 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_ c. ,...,FIDEQ•EPT. BEOUIR€MEN, 20. R ugfrFactoryFireprice i . '.r'.' r `., , . APPROVAtP�;^Perrnit# r - r - -r 21. Ducts; in Stiudture :A •• •• - '40. Underg kinddJ ti H' ro .t 22. Ducts Ve iia ing r r � - 1 i [•• p„4. , 3 e a „ .. ./.271. Produc¢P,iping aG ss [mOil _ 23. Gas Pipe-Rough& Test _ n.. . . T '172. Underground FIUSh r' 2oof ram`I'ng Y• mx E--• ••e• * > 7 n^ S7AUndergrnY t'”- t1 a r ^.t •• d' 4. RStorpgTank- . rc; L`7Gas 0Oil 25. Roof Sheathing a' . a. • * - ? 3^ 74', 'Overhead Hydro-•r 26. T Bar'Ceiling 1Structulal) & Monocoatr , , : 757-Dry Chemical - _ 27. Faame and Flashing,,:< ;•It. a U - c ', 76. Dry Standpipe H Q' x* ... - - - . ._� ' ti» ._ " 4r nt 28. Lathing&yidin9 t t 77;. FIXED SY TEWFINALr ,.. 29. Insulation, _ � - _ •• r t)'_ I I 78ZFIRE PREV. FIN. x :C 30. Drywall NailingF ,,, r E I 1 e fIEALTHH?OEPT: fTEQYIIREMENT -31. Plaster Brown Coat - c - r' r79• FINAL INSPECTION • Ir32. Electrical Power Mete?-Final ' : '' ` r80r",'FOOD CERTIFLCATE ISSUED" `- _33. F pal E,lectnc a; x I Notes: ' -: G 'T,- 34. Final Heating 8/'Air Cbnditioning " (p I ,/� ' _ -. r.,--- r - r - 35. Final Gas Eiipe test vc 1 a t• .S • y 36. Hoodror Cahopy - 'a- .3. k , I :4„ - _ • ,c. r ti --r• _ • !--1, --1 •: fir ,37. Final factory Fireplace r, r - • r T n - - -,38. Final Plumbing .t - I y. - ' M ` ' 39. Water`Service•Final ` " G , :40. Gas Service-Final it 5 r it i - r - • t ,* �- , =41. Solar Domestic-Final' '- ' �' I It - 42. Backflow Preventer it , - H a - 43. Backflow Irrig�tion -y - « - C, 44, Landscapearrigation System r -• T - "1 7* ` Z. I • ` ' 45. Sound Attenuation • fir, - - `- r r, J 7. c r !_-.. 46. Handicap Regulations: r 47. F+NACSTRUCYURE& BUIL'DING - ' 48. FAAL PLANNING ' `- = - `- "• - 49. Electric Release to Edson - } r - 50. Gas R€lease to Southern California Gas Co - - ,- a. 51. CERTIFICATE OF OCCUPANCY .'1' ' , No Date fODRCSSa eMLMNO: 239 22ND ST g"T` CITY OF COSTA MESA — BUILDING PERMIT OWNERSNAME IF KNOWN: 239 ALVARADO PERM NO: IP 075592 ADDRESS: SAME e PERMIT NO: IP 075592 PLAN CHECK NO: N GOVT: N SUPP : Y ADPL.MAIUNO ADDRESS: 548-0517 CONSTRUCTION TYPE: PERMIT TYPE: OTH PLU PURPOSE: OTH ARCHITECT OR ENG/NEER: FELIX MARTIN Lipo No.: S11�,2721 JOB DESCRIPTION : RENEW PERMIT EMP. 49362 SQ FT: ARCH.OR ENG'S ADDRESS: 15375 BARRANKA PKWY CONTRACTOR'S NAME IRVINE CA 92718 CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 camAcroRS MAILING COMMENTS : REFER TO #B : 75589 ADDRESS: UC.NO.: ****************************itieie*itis*3tit*3 *ifie+t****4Eft*if334E**3tft*** *4 *ft*********)t*** UNT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby alum under penalty of perjury that I em licensed under provisions of Chapter 9 SETBACKS (Commencing with Section 7030)of Division 3 of the Business and Professions Code.end my toerae is in full force end elect. CITY UC.No.: UC.CLASS: UC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING Date: Contractor: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby edNt oder ninety of perjury that I am exempt from the Contractors License Law for the following reason(Section 7031.5 Business end Professions Code:Any ay or county which requires a permit to construct,alter,improve, demolish.a repel anyabucture.prior to a issuance.also requires the applicant for such permit lo Nee signed statement that he or she PARKING REQ: PROV: PARCEL: 42614410 ZNE: REF NO: licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commenting with Section 7000)of Division 3 of the PLANNING NOTES> n mess and Professions Code]or that he or she S exempt therefrom and the bass la the alleged exemption.My violation of Section > •031.5 by any applicant for a permit subjects the applicant to a chi penalty of not more than fee hundred dollars(55001). Las owrlendlhe popemver mer ermpbywa well wages acts compensation,will oro me wok.and Na stnictureend intended ** **************************************************************************** or offered for sale(Section 7044.Business and Profession Code:The Contractors license Law dues not appy •answner ofpro••rty DEVELOPMENT SERVICES REQUIREMENTS who builds or improves thereon, such and who does suwok himself a honer or through he or her own e provided ovided I improvements are not intended or offered for sale.If.however,the building or improvement is sold within year of..-pie •n.the owner-hes.nw,nhave the burden apre+ingh or she did not buil«improve for the purpose of. ONING APPROVED BY DATE: ❑ I,as owner of the property,am exclusively contracting with licensed contract the p•'...•. Seon 4,- roma end .: Professions C•' :Thecama radonLicenseLawdoesnappyapropertyei°• m7.aimpme•. the--. and . BUILDING APPROVED BY : DATE: contracts la'•oh•-•ids with a aranado(s licensed pursuant t0 t tractors License • , e�y and. B.dPG., /, APPLICATION ISSUED BY: DATE: Z ec ' -aenihdlatlemawaredoneundenthe dcaBanieNeetrn: •sdayCode usD5, ,end LEGALIZATION:N F .E E S Uv( M M1 A R Y STRUCTURAL SEGMENT:N ••• • d that I or any future building occupant will/wil not(circle one)need to comply Ih said slate cod... •the • temente for r i a permit for construction or modification horn the Arfanagemenl District Residential construction applications ere exempt from these BLDG PMT PLUMBING ELECTRIC .', MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 30 . 00 Date: Applicant: 25% SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby alarm under penalty of pepuy one of the following dederations: PLAN IF ❑ Ihave and will maintain a certificate oconsent toself-insure for workers'compensation,as provided for bySecion3700ov theLabor ISSUE FEE ' f• Cade,fa thepedomanceatheworkfowhichtmapermitisissued. BUILDING—DIV—> PERMIT ISSUE PLANCHECK ' TOTAL PAID DUE ❑ Ihave end will maintain workers'compensation insurance,esrequired bySection 37agathe Labor Code,for the performance dthe TOTALS----> 30 . 00 0 . 00 0 . 00 30 . 00 30 . 00 .00 work for which this pend is sued.My waken'compensation insurance carrier end policy number are: Carrie[ REVENUE DIVISION TOTALS--> COLLECrfED;: 30 . 00 OVER/SHORT: 00 Pdky Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK ,his section need not be completed 1 the perms a for one hundred amen giggly keel 30 .00 ❑ I comfy that in the pedo.mance of the work for which this permit is issued,I shall not employ any person in any manner so as to i •1 '1 . become subject to the workers'compensation laws Cf California, end agree that i I hl biome subject to the workers' compensationprovisions Section 3700 of te Labor Code,I shall forthwith ee a with those pmvisions. ******************************************************************************* Data: AppkW: IND I V I D U A L-7 .F 'E E r. B R E A K D O W N I Warning:Failure to secure workers'contasadon coverage is unlawful.and shall subject an employer to criminal penalties and TYPE QTY D E S C R I P T I O-•'N • UNIT COST TOTAL COST civil lines up to one hundred thousand dollars(St04000).In addldon to the cost of compensation,damages es provided for In • Section 3706 of the Labor Code,Interest and attorney's fees. CONSTRUCTION LENDING AGENCY:I hereby alai under penally of perjury that there is a Cenahudian lending agency for the PLU 1 PLUMBING RE—INSPECTION FEE I 30 . 00 30 . 00 performance of the work for Midi this pend is issued(Section 3097.Ch.C). END'-O Fn FEES V • LENDER'S NAME: LENDER'S ADDRESS: ( ' I certify that I have read this application and sate that the above' • •ion is.• eine to campy with d1 city and county ordinances • and state laws relay 0 beading on and hereby represent; -• this city to enter upon the above-mentioned Property for inspection pn• f �RI 1RD /rr 'ADOO/ '_. Lf 1 • /// / y -, in' Date%e4 5......- - . ,, :(:; *y� r .4;7? (5151 WPI White—Building 8 Safet':Green-File' ; . -Applicant;Pink-Revenue:Goldenrod-Assessor _ ir CONSTRUCTION AND PLANNING POOL 'A - ' • • APPROVALS Permit# Date Inspector - APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location • 1 2. Soil Pipe•Undrgrnd. . ' 53. Steel Reinforcement r 3.'l8lecirical Conduit Utility-Undrgrnd. -, 54. Forms 4', Electrical Conduit-Undrgrnd. 55. Electrical Bonding Y'. . ;E, Steel Reinforgement 56. Rough Plumbing & Pressure Test 6. Electrical UFR Grnd. 57. APPROVAL TO COVER-GUNITE ' _r - l •' ,,Z. Footings 7.71. , 58. Electrical Conduit-Undrgrnd. 8. Foundation i 59. Gas Pipe, 0 Undrgrnd., Test 9:'Water Pipe-LI'ndrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System • 61. APPROVAL TO DECK • 11. Prj perty 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 :r 15. Rough Electrical-Conduit , ' , 66. Solar System-Final 16. Rough Electric Wiring �e 67. Fencing & Access Approval 17. Rough Wiring Sign .. -e 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL •_19. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT c - 20. F(Qugtipac1Pry FirePl ceE Fr; fir: t' S F :: ;APPRbVALS , Permit# . ' 21. Dacts,_in Structorem*: •• • - . % _ ti J0. Undergi'o6n(t Hydro 22. Ducts;Veritilat g F., a, _ <C S t' 471. ProducFPiping O Gas 0,Oi0 23. Gas Pipe-fRqugh&Test " 'I. - f K 0* F-72. Underground Flush' - c .-'t^ - c. .r. - . 24. Roof Framing '• , - " ,. - > C, • .73aUndergrnd.StorageTank OGas 0011 25. Roof Sheathing ,r , . . ' .7a -74„Overhead Hydro, 26. T-Bar Ceiling IStruciu7ap & Monodoat r tr - ''-; 75:-bry Chemical _, I - 27. Frame and-Flashing,... - ` - -, ' _ 76�Dry Standpipe cr 28. Lathing&Siding • •t %* 7�F _ ,. __ " 77:-'FIXED S)'S�EM.FINAL. _ 29. Insulation •. _ 78aflRE PREV. FINAL 1 - ' •30. Drywall Ni.iling ^* _ I 'y _ HEALTH.DEPT. REQUIREMENT '-31. Plaster Brown ppmx =. ' r- ^ • r_. ,} 39. FINAL INSPECTION 32. Electrical Power,Metet-Anal - IC :80.'FOOD CERTIFA-TE ISiSUED. =r ;_33. Fibal Etecfrrc - e • No►es:2.13-`''‘ _Lone& 225.55. cls .•34. Anal Heating 8rAir Conditioning:7. r/ •- - , 1- Z I.: ; -/2cZ�7t5L.- Peg)r i tort_ Y�'iktt+t. L esL 35. Ft�al Gas Pipe-Test , ; t r _. . :7A-iii r 86. Hood.o-r Canopy •-' -- t l Z F c. mt- r. r tr7 . TI _ - i ^ :'37. Final Factory FireplaSe"� , II L. 2: 1 ^ �r - 38. Final Plumbing r.0 J q/ i3 I� _, ' 39. Water-Service-Final .=+_ ''T �' 7-40. Gas Sepvice-Final r •:, - . - M °41. Solar Domestic-Final... ` _ � r' 42. Backflow Preventer ; t - - 43. Backf low Irrigation 2. -- - , • . _ . 44. Landscape-Irrigation System z - N - , 45. Sound Attenuation ; . - . N . . .1. , 46, Handicap Regulations1 O' ._ • ; ._ - .. , - c - - - 47. FINAL STRUCTURE & BUILDING .. I- r _ 48. FINAL PLANNING • - - . 49. Electric Releaser to Edison .', , : - , • s _ 50. Gas Release to Southern California Gas Co • - F --4 ' * ' ` , . 51. CERTIFICATE OF OCCUPANCY r _ o ;•r No. Date • G_ 1 • - CITY OF COSTA M. 1 " • 32. Electrical Pow----Meter-Final BUILDING SAFETY C. ,ION 33. Final Electric •- .r .POST IN CONSPICUOUS PLACE 34. Final Heating & Air Conditioning ON THE JOB 35. Final Gas Pipe-Test Ii/Ltf/QLCAW • NOTICE 36. Hood or Canopy You must furnish PERMIT NUMBER and the JOB ADDRESS FOR EACH RESPECTIVE INSPECTION. CALL 754-5627. 37. Final Factory Fireplace APPROVED PLANS SHALL BE ON JOB AT ALL TIMES. 38. Final Plurpbing 1�� " A. P. NO. DATE ISSUED 39. Water Service-Final 7/1441/ (,kg' TYPE GROUPRMIT NO. 4. 40. Gas Servi p-Final BUILDING ADDRESS 41. Solar Domestic-Final lr�,Qt l • 2 2 wL42. Backflow Preventer TRACT LOT BLOCK .1 43. Backflow Irrigation ' NEW MOP ALTER REPAIR MOVING DEMOLISH 44. Landscape Irrigation System AI 45. Sound Attenuation , OWNER j 46.' Handicap Regulations . 47. FINAL STRUCTURE & BUILDING • USE Gr pit_n ` • 48. Special Requirements Completed . - • POOL & SPA - SETBACKS APPROVALS Permit# Front Yd.$ ,Side Yd. L R Rear_,_ ;4B. o(•L'Equ(pment Location • .7,_Side ?d. L R Rear 50. Steel Reinforcement 'SINSTRUCTION AND PLANNING ; ' ' . . . 51. Forms ; • • APPR LS,� Permit# Date Inspector 52. Electrical Bonding , 1. Temporary fl'(eFtripal7Bafvice r:PalQ 7 _ fr. ; ' "' . . . Rough Plumbing & Pressure Test 2. Soil Pipe--Undrgrpd../fr ' r 54. APPROVAL TO COVER-GUNITE • t 3. Electrical Conduit Utility,Undrgrnd. - 55. Electrical.Conduit-Undrgrnd. A 4. -Electrical Conduit-Undrq(t`np. ,_ 56. Gas Pipe, 0 Undrgrnd.,Test 5.: Steel Reinforcement . 1 ,, L4 57. Backwash Lines, P-Trap, OUndrgrnd. . 6.. ,Electrical LIFER Grnd. "r' 56. APPRQVAL TQ DECK " . 7. (footings �•,,N 69.'Backwash & Receptor-Final , _ I-. p 8. Foundatipnr, .j'IC': • ' •' I! .60. Heater& Vent-Final ,e 9. . WaterPipe-Undrgrlid. , ' • !/ r 7 61. Plumbing System - Final - 10. Structural •Flpor,System :62. Electrical:FInal . 11. Pkopert44at Line&House Cos' tion iJ s.. • 63. Selar System-Final • 12. Sewer Cap , 64. Fence , �. ,. l & Access Approval - • 13. _ Rppf Drains \ '{y Ya 65. PROVED FOR PLASTERING; - . 14. 7fi67ugfi P,➢u�b 4". of x(4/ E4' 66. POOL/SFA SYSTEMS FINAL ' 15. ' Rough Electrical-Conduit a !•': • ' I.,: FIRS+DEPT. REQUIREMENT 16. .. Rough Electric Wiring c; if AP gf3II(ALS 'Permit# - •. ' 17. . Rough Wiring Sign 1:0 11sil ii v'iiis-2 L69.:=Underground Hydro '• • • 18. ,Rough Electrical-T Bar Ceiling - 68''Prg1duct Piping ❑Gas ❑Oil ' 19. .Rough Heating& Air (auditioning ld �/�L 69. Underground Flush . d ' 20ough Fceactory FIrepla ' al 7Jg21t470. Undergrnd. Storage Tank ❑Gas 1D Oil ' 21. Ducts'in Structure • 71. Overhead Hydro - , e • 22. Ducts,,Ventilating .. s 72. Dry Chemical •' I 23... Gas9ipe-Ryuah & Test ,,;:,. _ 411417/4V44p 73. Dry Standpipe . 24. Roof Framing .. -L---=::- -=- r� • 74. FIXED;SYSTEM FINAL 25. Roof Sheathing /_/�?r�� •, 75. FIRE PREV. FINAL 26. T-Bar Ceiling,(Structural)& Monocoat- .-" '-7- _ to;-.�- • • . 'N•,/72',- _ -" ?7. Frame and Flashing Sr77;L, C✓ - 28_ lathing& Siding , w ' 7�j.?i�ey 6.1r/7` . 2.9. ' , /o.Insulation ' - y 6 . . . _ • 30. hDrywall Nailing (J's7-f( "7 - '• ' 31. Plaster Brown Coat - . r.,-.)A.-,,:". 47, (see reverse for additional notes) CMF 0559-46,rev. 12/82 / / r __._ .._. a... �..�....- .��.�--'Z' .. .1.. .. _. ..... .. ., ,. c - - . CITY OF COSTA r ^q 32. Electrical Pe ` Meter-Final . BUILDING SAFETY , .SION 33. Final Electric. '. POST IN CONSPICUOUS PLACE 34. Final Heating & Air Conditioning _ ON THE JOB 36. Final Gas Pipe-Test ►Ikti/gz. .S.0 NOTICE 36. Hood or Canopy You must furnish PERMIT NUMBER and the JOB ADDRESS FOR EACH RESPECTIVE INSPECTION. CALL 7545627. 37. Final Factory Fireplace APPROVED PLANS SHALL BE ON JOB AT ALL TIMES. 38. Final Plurybing A.P. NO. DATE ISSUED 39. Water Service-Final 424/11 TYPE _ GROUP -p€RraIT no.' 0 40. Gas Servi Se-Final IE \I Pk' Iti1 -k•• ��1 BUILDING ADDRESS c.‘. ..II 41. Solar Domestic-Final �r:�,q " 2. 2te=as Q4" 42. Backflow Preventer TRACT LOT BLOCK • .1 43. Backflow Irrigation • • NEW PDD ALTER REPAIR MOVING DEMOLISH 44. Landscape Irrigation System X 45. Sound Attenuation t OWNER ^ ^ , „ 1 . 46.•HandiwpRegulations W �p�.�l - . 47. FINAL STRUCTURE &BUILDING US cE 48. Special Requirements Completed • - POOL&SPA • SETBACKS APPROVALS Permit# Front Yd.t_-Side Yd. L R Rear 'r;::014.1-' i.e.,. 4B.froop$c,Equipment Location -Side ?d. L R Rear 50. Steel Reinforcement e INSTRUCTION AND PLANNING IDate In or• 51. Forms spect - APPROVALS.,. Permit# 52. Electrical Bonding •• 1. Temporary/0e V"..lcSejvice pr'Pall T . 4 " '� . . Rough Plumbing & Pressure Test 2. Soil Pipe-Undrgrnd.•r f / `^' ' .e • 54. APPROVAL TO COVER-GUNITE 1 . 3. Electrical Conduit Utility-Undrgrnd. 55. Electrical Conduit-Undrgrnd. ' 4. -Electrical Conduit-Undrgs{nd. •- 56. Gas Pipe, 0 Undrgrnd., Test •5.: Steel Reinforcement ,' . ©`� 57. Backwash Lines,P-Trap, 0Undrgrnd. . 6.. Electrical UFER Grnd. r • 58. APPRQVAL Tp DECK . 7. Footings 69.1Backwash & Receptor-Final 8. Foundatipgl, . .`:. ' -� 1 ,60. Heater& Vent-Final a ' 9. . Watei"Pipe-Undrgr)d. i ' . !/ • r 61. Plumbing System - Final • 10. Structural y FJpor stem t ^' . • ,0 -I (62. kllectrical;Flnal ' 11. Pxopert44,,ei Line&House CoieriectionJoe'/152. '- 63. Salar System-Final -', . i •e • 12. Sewer Cap 64. Fencing& Access Approval • 13. _.•Rppf Drains r.y Y 65. PROVED FOR PLASTERING; 14. I4ug1'i P,Isun\btj %. 4124 .A�"`'iri) 66. POOL/SRA SYSTEMS FINAL 15. ' Rough . c'1 •.,} 'I ' , ' " 9 - FL. . s.,T. REQUIREMENT T. . t 16:.. Rough Electric Wiring �;• qP D�(ALS Permit# s { 17.. . Rough Wiring Sign Li' `}lie e, ? i69.J.underground Hydro, ,• `18. : Rough4Electrical-T Bar Ceiling •� 1i17 � . 68'Prq�fuct Piping 0 Ges D Oil • ...x 19. •Rou h Heatin & Air ` �""�� '- � _ g• Conditioning �y��f�,�(�� 69. Underground Flushl ' 20.'- Rough Factory Fireplace • yl.'Inca() 70. Undergrnd. Storage Tank 0 Gas 0 Oil ' 21. pucts'in Structure ! • 71. Overhead Hydro - • 22. Ducts,/Ventilating -_ a ' 72. Dry Chemical c 23._ Gas Pi R ueh & st a.• c-I / • c pe' Q. � _ f 7/Qtr�,69 73. Dry Standpipe � � - - • 24. ' Roof flaming - --'-r`-- - - 74.'F1 ED SYSTEM FINAL 25. Roof Sheathing J_/j!e, 1 n,.:7/ 75. FIRE PREY. FINAL 26. T-Bar Ceiling'(Structurall& Monocoat '----- ' -= - ' �'-. 1.13_e3;- ;;,`,_t _ ._ i ,//, ,ITt:i- r %:�/. 77. Frame and Flashing i/7r�Z. Gf 7 _ - vv .. 28_ Lathing& Siding .464! 6:11 29. _Insulation • 161;$041 • //`. . . _ s0. Drywall Nailing - (III( 'CI-. 31. LLPlaster Brown Coat C/7.4?-.. /IJcl: (see reverse for additional notes) CMF 0559-46,rev. 12/82 7 1 r . , .-._r_r--.-- w.r.r .._ .......��.•... ]_ u_r ..:.✓/. .- - . IFIADDRESS OF SLALOM 2 UMT, CITY OF COSTA MESA BUILDING PERMIT J �CT� QWNEASNAMn OCBN: RICHARD ALVARADO PERM NO: E 079298 C ADDRESS: SAME PERMIT NO: E 079298 PLAN CHECK NO: N GOVT: N SUPP : Y 548-0517 VVPL.MAIUNGADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH ARCKDECTOREIaIEEA: FELIX MARTIN oc.NO: SE2721 JOB DESCRIPTION : RENEW PERMIT EMP. 49362 SQ FT: ARCH-OR ENO.•S ADORERS: 15375 BARRANKA PKWY WIt IRVINE CA 92718 CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 /U-1 CONTRACTORS NAME 6. CONTRACTORS MMUNO COMMENTS : REFER TO #W• 75589 AND 1E75590 ADDRESS: UC.NO.: 1f1FiE1F1E1E1EfEllfEdf-1EIEIEIEIE1E : *** iEiElElEiflffEiE1E-0EiEiEiElE#iElE1f#1E1F1EfEif1E1k1ElElEiEfEiEiEiFiE1E#1(iE#1f1fi(-ifi41Eif1ElflfiffFiffFlE*** UMT: ZON ING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penaly of perjury Net I am licensed under provisions of Chapter M SETBACKS (commencing with Section 7000)of Division 3 of the Business and Professions Code,end my Daense is in full forte and aged. CITY LIC.No.: UC.CLASS: UC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN ',ate: Contractor LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN .&MER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the blowing reason(Section 7031.5 Business and Professions Code:Any city o county which requires a permit to construct,alter,improve, PARKING REQ: P ROV: PARCEL: 42614410 Z N E: REF NO: demdoh,«repair any"alum,prier le is owenoe.oleo requires the applicant f«etch permit to fib a signed"net that he«she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES> Business and Professions Code]Or that he or she is exempt therefrom and the baso for the alleged exemption.My violation of Section > 1 7031.5 by any adicantfor a permit subjects theappcant to awl pretty of not more than Ore hundred dollars MOOD. ************RE*********************.*************M******************************* w I,as owner of the propenyormyemployees with wages°,their sole compensation,MA do the work.end the structure not intended D E V E L O P M E N T -S E' R V ICES REQUIREMENTS or Staredfor as(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of properly who bunds or improves thereon.and who does such work rinsed or herself or through his or her own emprsuch employees.Provided that , improvements are not intended ordlered for sate.If.however.the building or improvement o sold within one yew el completion,the ZONING APPROVED BY DATE: ' owner-builder wit have the burden el proving he or she did not build or improve for the purposed ale). o I.ascosy d the progeny.am adusivey poen''with to sect codredan o construct int pmPd(Sect on Tale.Buenos end Professions Cade:The Contractors license Law does not apply to an owner d property who builds or improves thereon and who BUILDING APPROVED BY •_ - AIM DAT E contracts for sods projects with a cotredoes)licensed pursuant to the Contractors License Law). ❑ l am exempt under Section: B.A P.C..for this dance: APPLICATION ISSUED BY: S DATE: Wiwi:, ********************* • I / *********** ** —' Date: sone 7LEGALIZATION:N F E\ E. S U M e R Y STRUCTURAL SEGMENT:N I do hereby candy that I am aware of end understand the requirements of Call• . and Sal - !• 2 • ,25533,- • 2553.,end Net I«any M kM occupant will will/wso(circle ) ply will a 'r. t•t..requirements. a permit l«cemwctien« famgthe`Ar�u tTyi„Py • ex«ng lam t• BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. // / if PERMIT 134 . 70 q o Za se/ /_ ally / 50% SMIP/NON—RES WORKERS PLAN COMPENSATION DECLARATION:I hereby affirm , • penalty of pej ono d the folio Vdadenm• ISSUE FEE 6 . 50 ❑ Ihave and Mlmaintain acertificate of consent losetinsrrelorworkers'compe• •Hbn,esprovidedfor bySec'• 7Wcfthe Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code.f«the p.nm « ancedm.mak f«which Ni.pemmoie.r.d. TOTALS----> 134 . 70 6 . 50 0 . 00 141 . 20 282 . 40 —141 . 20 I have and dl maintain workers compensation insurance,as required by Section 3703 of the Labor Code.for performance of the A work for which this permit is issued.My workers•compensation insurance carrier and policy number are: Carder: REV UE DIVISION TOTALS--> COLLECTED: 141 . 20 OVER/SHORT: . 00 Policy Number: / BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK tu�rn,section need not be°omp/eted Ante permit is t«one hundred&meta/51001• `.1 / �/ 141 . 20 •- Lia I certify that in the performance d the work b which this permit is'.. -. no em..•,any person in aems/es to become subied to the ion laws of Caibmie. ... • Thal t I • •• .,... to ., workers' ****************************************************************************** compensation prom of Section 37 d the labor with compy :,. I • .:• I N D I V I D U A L F E E B R E A K D O W N (� e. Date: a/ 7 A.. /e AI� _ Warning:Feufuna noun a er,' mpensadon coverage Itser _ unlawful, subject anempl• .c n°I' ra and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST c/vll ones t9 to one hundred thousand dollars 0104000A b addition to the •. of compeeissheR . a pyo .. .for In Section 3700 of the labor Code,Interest,and attorney's lea. ELE 20 FIXTURES LIGHTING 1 ST 20 EA. 1 . 00 20 . 00 • I CONSTRUCTION LENDING AGENCY: hereby affirm under penally of pe: that there o a comer Lid tle • agency for the ELE 20 REC E PT/OUTLET 1 ST 20 EA. 1 .00 20 . 00 performance of the work for whim this permit oissued(Section 3097,Cir.C). ELE 22 RECEPT/OUTLET ADDITIONAL EA. . 65 14 . 30 LENDER'S NAME: ELE 20 RECEPT/SWITCH 1 ST 20 EA. 1 . 00 20 . 00 LENDER'S ADDRESS: ELE 26 RECEPT/SWITCH ADDITIONAL EA. . 65 16 . 90 !cenNythatl *read toappration and M: , . . .the above int. d. j-correct agree t•. with at county sty and ordnance ELE 1 SERVICES BELOW 600 V & BELOW 201 AMP 27. 25 27 . 25 and stale . ng b Wtdngconstructb : •hereby° • Ar.,tabes d this• ovtr er upon the property ELE 1 SUB—PANEL 16 . 25 16 . 25 RICHu• c ALV• ' • r0 END OF FEES Prim N-w �,/ �_s_ - G Date. //y- (515146.03P) White-Buildvq A Safely:G:, Fla:C: , .. . :Pink-Revenue:Goldenrod-Assessor IL I L & SPA or--1-., -T !' 'CONS:RUCTION AND PLANNII _ 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. ElectricaCConduit-Undrgrnd. 55. Electrical Bonding - Ili 5. Steel Reinforcement 56. Rough Plumbing& Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVERtGUNITE - , %r 7. Footings - 58. Electrical Conduit-Undrgrnd. I • 8. Foundation • 59:, Ga Pipe, 0 Undrgrnd., esti . a 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, CR Undrgrnd. I ,, 10. Structural Floor System 61'.. APPROVAL TO DECK,/ ./. 11. Property Sewer Line & House Connection 162. Backwash & Receptor Final ' 12. Sewer Cap 63. Heater & Vent-Final / 13. Roof Drains ' 64. Pltmbing System - Final 14. Rough Plumbing • 65, Electrical-Final 7. ' 15. Rough Electrical-Conduit _ / ' 9 X66. Soar System-Final 16. Rough Electric Wiring ,47. Fencing-8r Access Approval , 17. Rough Wiring Sign 68. APkOVED FOR PLASTERING - h Electrical-T Bar CeilingL 18. Rough 69' POOL/SPASYSTEMSFINAt • 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT , 20. 'Rough FactoryFireplace - I. APPROVALS Permit# _ - 21. Ducts, inStructure - 70. Underground Hydro 22. Ducts, Ventilating : - _ •• = 71- Product Piping 0 Gas O Oil • 23. Gas'Pipe-Rough& Test c . 72. Underground Flush _' 24. Roof-Framing. . _ .. - - 73: Undergrnd.Storage Tank 0 Gas ❑Oif• ' 25. Roof-Sheathing '" • - 74. Overhead Hydid • 26. T-Baj)Ceiling (Structural) & Monocoat - - •• 75. Dry Chemical - -. - _ - 27..Frame and Flashing. _ - ,- _ _ 76. Dry Standpipe•- - - - - 28. Lathing& Siding - 77. FIXED-SYSTENtFINAL • • 29. Insulation - - i 78. FIRE PREV. FINAL , - - - r 30. Drywall Nailing - - i ' - HEALTH-DEPT. REQUIREMENT- r - 31. Plaster Brown Coat'` • - 79: FINAL INSPECTION - . :I.' .- . 32..Electrical Power Meter-Final J ' ,2996 •0• FOOD CERTIFICATE ISSUED 33. Final Electric •-) - !bras: •• 34. Final Heating& Air Condjtioninif -^ 'd - 35.:Final Gas Pipe-Test - - /' _ .,. 36.Hood or Canopy - _ -- 37. Final Factory Fireplace - r • _ - 'S- r^ .. - ., - .f -- ' 38, Final Plumbing - -, - M4' - 39. Water Service-Final • - k 40. Gas Service-Final - - -- 41. Solar Domestic-Final •• • - 42. Backflow Preventer - r - - 43. Backflow Irrigation •-. _ - 1 - - - - - 44. Landscape Irrigation System- , . - , , . - - :45. Sound Attenuation 46. Handicap Regulations _ - , ' 47. FINAL STRUCTURE & BUILDING - i - _ 48. FINAL PLANNING - 49. tlecthe Release to Edison 1313196' g 1 ' 1 • 50. Gas Release to Southern California Gas Co -. _ - -. -, 51. CERTIFICATE OF OCCUPANCY _ - No Date M)n'REss OF BUILDING: War: MEWS NAME IF KNOW239 22ND ST CITY OF COSTA MESA - BUILDING PERMIT e ADDRESS RICHARD ALVARADO PERM NO: IE 075590 PERMIT NO: IE 075590 PLAN CHECK NO: N GOVT: N SUPP: Y SPL.MAIllNO AODREss: 548-0517 CONSTRUCTION TYPE: PERMIT TYPE: ELE OTH PURPOSE: OTH ARCHITECT OR EwgxEEx: FELIX MARTIN UC.NO.: 5721 JOB DESCRIPTION : RENEW PERMIT EMP . 49362 SQ FT: ARCH.OR EMa•s ADDRESS: 15375 BARRANKA PKWY coNTRAcragsruME: IRVINE CA 92718 CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /M-1 CONro TRAcRS MML*1 COMMENTS : REFER TO 75589 AADDRESS: UC,Iq: ******************* /******************************************1E1E1fif'1EIEi('SEiE7hiElhi('1E1EihiE air: Z O N I N G R E Q U I R E M E N T S LICENSED CONTRACTORS DECLARATION:I hereby slim under peaty d perjury that I am licensed under provisions of Chapter S S E T B A C K S (commencing with Section 7000)d Division 3 of the Business and Professions Code,and my teenee is in hof Noe and Shed. CITY UC.NO.: UC.CLASS: sac.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING .-rode: coraedor: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN nWNER BUILDER DECLARATION:I hereby Mum wider penalty perjury thail.m hemp Iron the Contractors License Law l«the LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN Muwid following reason(Section 70315 Beams and Professions Code:Any eey or county MVA requires•petmi to comma,air,improve. demdnn,an repsi eny.m,nure.«N to a+beeence,Slee requires ePpimdl«each pelmalo neasgnee statement lnelheor She PARKING REQ: PROV: PARCEL : 42614410 ZNE: REF NO: is licensed pursuant to the provisions of the Contractors License Law(Chapters(pdanenvg with Swop 7000)d Elation 3 of the PLANNING NOTES> Business and Profession Codel«that he or she is exempt therefrom and the baso I«the alleged stemptirt.AM violation of Salon 7031.5 by any applicant for a perms subjects the applicant to a Ori penaby d not more than Me hundred dollar(5500B. > . ❑ I.nowrw dthePWanY«mY ernplolees with wages as their ode compensation,cad Bothe week and the student ennd intended X or altered Nsale(Section TO�tBumms: sandProfessionsCodTheCamwdais nal onLameLawdonappytoan=need Prelate DEVELOPMENT SERVICES REQUIREMENTS who bads or aprons thereon.nn es d who dosuch work lima or hermit throughorthrough he or her own employees,provided that such et improvements are nintended or offered tor sale.I.however,the holding or inprownem is sold within one year of.. . on,the ow .aree. Mghave the b.de dpm none«.neddwb�dor npe.l«hep.pp»d - ). / ZONING APPROVED BY DATE: ❑ I,as owner dmeapperty.amex SycaMwigwinkensedc«awasaconnuctthe (Sect'. �j/Business . ProfessionsPade NCode:TTT taws no ented ttoo nth4 w« y./ end BUILDING APPROVED BY DATE: ❑ Lm exem: S P.C..N there . % 54 C • v I L. I/ 5 *****************D*************�E�E�E�E*aF*-**** *�E*********�E****�E*D***** J w tattem erase el anduderaand the requirements ort Glioma . adselery ...swims ...-. .25.5m,sod LEGALIZATION:N F'E E ) SUMMARY STRUCTURAL SEGMENT:N 40. -.and that I or any Mare building occupant will/wit not(or=one)need to.. . wilt said rote codes and the requirements or a permit for constmdon or moddmlon bum the Ai3wTli anagenrI Distal Rmden=constmctia,appimlkmare exempt from Nese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING "Wada PERMIT 30 . 00 Date: Applicant: 5 0% SM I P/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby flit under p.nely al perjury one al the following ded neins: PLAN ❑ Ihave and will maintain aart/caul dcoolant tosr/insure orwakeacopenWion,aproddedfor bySedN3700dthe Labar ISSUE FEE Code,tor the pednanceat the work for wMichthis pemt permit BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE 1 I have ard wil madam waken'compensation insurance.as required by Section 3700 of the Labor Code.lor the performance al the TOTALS----> 30 .00 0 . 00 0 . 00 30 . 00 30 . 00 . 00 l work for whirl,this permit is need.My workers'e«npnmon insurance canter and policy number are: Carrier: REVENUE DIVISION TOTALS--> COLLECTED: 30. 00 OVER/SHORT; 00 Poky Ne"be BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This section need net be competed i the perml S for as hummed doles IS100)«Im3 30 . 00 o I may that in the adamants d the work N which this per=is issued,I shall not employ any person in any manner so as to become subject to the workers'compensation lain of and d agree that S should shd became aAthe jed to workers' - • compensation paeans d Section 3700 d the Labor Code.I shall forthwith comply with those provisions. ******************************************************************************* Date: bdvd. INDIVIDUAL F E E BREAKDOWN W.rmlng:Felons rasnore woraar camenaetroncoveragelsunlawha.ndslrmsmpctnerroloy..rocmmnalpnemn.nd TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil tires up to one hundred f Mussed dollars(S100.000A it addition to the cost of compensation.damages as provided ler In Section 3706 of me Labor Code,Interest,and attorneys feu. CONSTRUCTION LENDING AGENCY:I hereby aby affirm der penalty penny la theta the is a construction lending agency ELE 1 ELECTRICAL RE-INSPECTION FEE 30 . 00 30 . 00 Performance al the work for which thin petrol is issued(Section%97,Civ.C). .END OF FEES LENDER'S NAME: . LENDER'S ADDRESS: I certify that I have read this appficatim and state the above inf. .on is coned,I to can withal candy city and countypees and sale laws relating to building nWudien .hereby authorize at. . . rynd to cityenter epee the abeve.maraned propmpeM f«Inpwprl Punp]ne s ICHA. F ALVy :00 ' fi r` - Dated t5.9...-',..- eco lrea« — (5151 dn.WP) Whin-Building&Soley:Green-File:Carory-Applcant;Pink-Revenue:Goldenrod-Assessor sr r- S. • CONSTRUCTION AND PLANNING x .. & SPA • it APPROVALS Permit# Date Inspector APPROVALS Permit # Date_ Inspector '1. Temporary Electrical Service or Pole 7, 52. Pool & Equipment Location • • 2. Soil Pipe-Undrgrnd.p , 53. Steel Reinforcement S•.-Electricat nduit Utility-Undrgrnd. ._ 54. Forms 4-[Electrical Qond'ttit-Undrgrnd. 55. Electrical Bonding r,•' . Steel.Reinfprcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE • r. ,;ti. Footings 58. Electrical Conduit-Undrgrnd. +', ' B. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9: Water Pipe•Uridrgrnd. 60. Backwash Lines,P-Trap,0 Undrgrnd. i 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 rrl 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. POOL7SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT _ -. 20. Rougfl-factoryfireplpce _ - a 1,, Li.; APPRO'VAES•: Permit# . . 21. Ducts-In Structure):• • - -• `7. * - - 1 w. 70. t1ndergroun 'Hydro 22. D,uctsz1enl'ilating R C' _ i-, ;-r71. Produc T' in f S,l?rp g fJ Gas OOiI 23. Gas Pipe-R &oughTei ,-i .. - -.7.• -'72. Undergroo_Ad Flush •':' }�. 24. Roof Panting " 'Iv �' - � Y' , a{ '.,: 773:•Undergrnd.StorageTank ti Gas 0Oil -- 25. Roof Sheathing _ ` •rr. ., . a � _ c - t 741-Overhead HydroC• 26. T-Bar Ceiling (Strucri!all & Mort6cpat "_ - - -_ 75. Ory Chemical 27. Frame and;Flashin k - - . - 9-� _ !mi.' 76. Dry Standipe -28. Lathing &Siding "' �C - i 77.. FIXED STS-TEM FINAL4 , ' 29. Insulation • •" , 78:-FIRE PREY. FINAL ., •- 'r ''30. Drywall Nailing �,ia. " 1 t' -. HEALTH:DEPT;REQUIREMENT i X31. Plaster Brown Coat _, ,r •• FINAL INSPECTION •• A ' 32. Electrical Powe[•Mete1 Final �,Z�_4, _ '80 'FOOD CERTIFICATE ISSILED j •33. Final Electric . F, - r es: • 34. Final Heating & Air Conditioning - :` '.- •• 35. Final Gas Pipe-Test • - „ . I t - r .. •26. Hood.or Canopy '•`-`= - 1 i; I. .r _• • • ,:.37. Final factory Fireplace • , - . lc ` r o. • 1488. Final Plumbing " - ` - 39. Water Service-Final r - 40. Gas Service-Final ¢rr - • _ '41. Solar Domestic-Final n ` - 4 S .. - - - 42. Backflow Preventer - - - -' 43. Backflow Irrigation . - ;� 44. Landscape Irrigation System - - ` - • a• -• - _ 45. Sound Attenuation t to 46, Handicap Regulations - 47. F.INAJ STRUCTURE & BUILDING ' - 48. FINAL PLANNING " r -- 4 - ' - 49. Electric Release.to Edison • • • . 50, Gas Release to-Southern California Gas Co _ 51. CERTIFICATE OF OCCUPANCY • + _ . - . No Date CITY OF COSTA MESA - 32. Electrical Power M -Final . , BUILDING SAFETY DIVISI,, 33. Final Electric POST IN CONSPICUOUS PLACE 34. Final Heating & Air Conditioning ' ON THE JOB 35. Final Gas Pipe-Test ►UtY/QL eEo NOTICE 36. Hood or Canopy You must furnish PERMIT NUMBER and the JOB ADDRESS FOR EACH RESPECTIVE INSPECTION. CALL 754-5627. 37. Final Factory Fireplace APPROVED PLANS SHALL BE ON JOB AT ALL TIMES. 38. Final Plurpbing A. P. NO. DATE ISSUED 39. Water Ser"vice-Final MOW 4Xo 41.1.r "1--X10--- --- _ / TYPE GRO 31 �',• RMI N 1 Q 40 as ServiSe-Final V tv M s(\O BUILDING ADDRESS ,,4'1� lar Domestic-Final T.I,q •• 2- 2 t 42. Backflow Preventer TRACT LOT BLOCK .1 43. Backflow Irrigation ' NEW ADO ALTER REPAIR MOVING DEMOLISH 44. Landscape Irrigation System • X 45. Sound Attenuation OWNER tr-�( ^ pj �,, lay . , . 46. Handicap Regulations USE . 47. FINAL STRUCTURE & BUILDING GFIL 48. Special Requirements Completed •- • POOL&SPA SETBACKS APPROVALS Permit# . •Front Yd.` Side Yd. L R -Rear 'rr' 'V I • +4 t49.)i0o�¢t•.Equipment Location ' T=Side fid. L R Rear50. Steel Reinforcement"Sii NSTRUCTION AND PLANNING ; • • . 51. Forms , Permit# Date Inspector APPRO L8. • 52. Electrical Bonding 1. Temporary/041re. li% ice riPble . Rough Plumbing & Pressure Test 2. Soil Pipe-Undrgrpd../f - 54. APPROVAL TO COVER-GUNITE • 3. Electrical Conduit Utility,Undrgrnd. • 55. Electrical Conduit-Undrgrnd. • 4. -Electrical Conduit-Undrfnp. 56. Gas Pipe, ❑ Undrgrnd.,Test 4 5.: Steel Reinforcement .. `3'-/ ©S 57. Backwash Lines, P-Trap, 0 Undrgrnd. . 6.. _Electrical UFER Grnd. '� -� 58. APPROVAL.TQ DECK _ 7. Footings /„ 69.'5ackwash & Receptor-Final 8. FOundatiQn-'r ,'-':. .fir W _1 !;..: .. .60. Heater & Vent-Final 9. . Watei Pipe-Undrgrhd. : ' • // r 61. Plumbing System - Final 10. Structural•Flpor'System �A ' 62. Wlectrical-Final - - • ' 11. PY,opert ver Line&House Copnection ,�� /?u '- 63. Sellar System-Final `. 12. Sewer Cap - •'` 64. Fencing & Access Approval • 13. _ .Fi90f Drains ' -Y i65. F)PPROVED FOR PLASTERING: 14. Yougfi P,lum4iOY, { l/2 / # I) 66. POOL/SRA SYSTEMS FINAL - _ 15. ' Rough ElectricaPConduit c ' •t.': IRB• FO@PT. REQUIREMENT . -' 2 16. Rough ElectricWiring APkOKALS ' . 'Permit# -, • • 17. . Rough Wiring Sign . 1'0 u'L�r-2169.�11nderground Hydro r . �l'Lsr- 'v. 18. Rough Electrical-T Bar Ceiling , 68.`Prqyuct Piping 0 Gas 0 Oil , i- 19. -Rough Heating& Air �Wnditioning ,y/ !*(,.cir, 69. Undergrolind.Flush ieF 20." Rough Factory Fireplace - (, � a"'1 7/n tED 70. Undergrnd. Storage Tank O Gas ❑Oil • 21. pucts'in Structure71. Overhead Hydro ' 4. 22. Ducts,;Ventilating • 72. Dry-Chemical ' • I 21.. Gac Pipe-Rpugh & T1st ,,,n. . . • 44/''/Qu04) 73. Dry Standpipe - ' _ I 24. Roof Praxiin ..--:`_ - . ° 1""...:.-•r�+ :`14.74.FIXED SYSTEM FINAL • 25. Roof Sheathing /49% 'l:`;I/ 75. FIRE PREV. FINAL ' 26. T-Bar Ceilingr(Structural)& Moriocoar. - '' ' �- .4 to •-, ' t. 77. Frame and Flashing S675L• Cr ,/ - ___ , 28. Lathing & Siding w- • 4,7.4$%4 L, /f- . 29__Insulation ' /Q:fl. • . .. • 30. Drywall Nailing (jI-j( ' 31. Plaster Brown Coat 7/1-2.1:-; /ft's,_ (see reverse for additional notes) CMF 0559-46,rev, 12/62 f 1 i ..-.� ...... ,+�..�.r.�1� .1.'. .. e.J- , ` r_ _ • . ... .. - ADDRESS OF BUILDING: 239 22ND ST WIT: OF COSTA MESA — BUILDING PERMIT aim.TOME IF MOM RICHARD ALVARADO PERM NO: IE 075589 • ADDRESS: SAME PERMIT NO: IE 075589 PLAN CHECK NO: N GOVT: N SUPP : Y ¢m LURING ADDRESS: 5 4 8—0 517 CONSTRUCTION TYPE: PERMIT TYPE: ELE OTH PURPOSE: OTH ARCHITECT OR ENGINEER: LIC.N0_ ARCH OR ENG.'S ADDRESS: FELIX MARTIN S&2721 JOB DESCRIPTION : RENEW PERMIT B : 48710 SQ FT: 15375 BARRANKA PKWY • CONTRACTOR'S NAME IRVINE CA 92718 CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 CONTRACTORS MARINO COMMENTS : REFER TO #848170 ADDRESS: UC.No: *T***(S*t******brit**t*it***iti**RE**stir/t***ttititttit*itt*tit**i********i**it*its*********it UMT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby shim under panty d perjury that I an licensed under prmuian of Chapter P SETBACKS (commencing with Section 7000)d Division 3 of the Business and Professions Code.and my license S in full lace end effect. CITY LIG.NO.: LIC.CLASS: LIC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING ve: Contractor: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN 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 Contractors License Law for the Iollow'eg reason(Section 7031.5 Business and Professions Code:Any city a county which requires a permit to amstruct,alter.improve, demolish,or repair any stnxture.prior to is isuance,also requires the applicant for such permit to fibs signed statement thathe or she PARKING REQ: PROV: PARCEL : 42614410 ZNE: REF NO: is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)d Division 3 of the PLANNING NOTES> Business end Professions Code]or that he a she S exempt therefrom end the basis for the Mleged exemption.MY violation of Section > . .' 7031.5applicantta by any ePerm4 subjects the applicant toeavil perraMdnd mere than(we hundred dollen 1f5001). ******************************************************************************* QI,as owner d the property or my employees with wages as thei sole compensation,will do the work.and the structure u not intended a offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of progeny DEVELOPMENT S E "R V I C E S REQUIREMENTS who buids or inproves therein,end 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. the building or inprovement a sold within one year d complt'on ZONING APPROVED BY DATE: owner-builder will have the burden d proving he or she did nOt build or improve la the pu• d sale). // ❑ I.as owner of the property.am exclusively contracting with licensed contractors to sonar . 1 project( 7044,Bus' ^and Professions Code:The Contractors License Law does not apply to en• of propen o builds. '• est who BUILDING APPROVED B Y : '' DATE: contracts to each roleda with a contractor(s)licensed pursuant to redora a Law). //(y' /^� - I ernes exam ion J B.8 P. la N'.. Ad / c S APPLICATION ISSUED BY: DATE: /p�4 lf * ***************T** O Dat. �y' 9 Owner. - t hereby f/emythet lees aware of and understand the rpuiremsnteof California eMh end Safety•..e sed'. .zssos.25533.and LEGALIZATION:N F E E • S U M M A R Y STRUCTURAL SEG ENT: N 25534,end that 1 or any tenure building comment will/will not(circle one)need to.• ply with said':.:codes .the requirements for pen nit la=attractiona=attraction modi(cetbIrmo anlheArQenp yment Distrid.R...dentielcoarWionappirat'• ,ars exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 30 . 00 Date: Applicant: 5 0% SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty or perjury one of the Following declarations: PLAN • • ❑ Ihave and will maintainacwttlfuteor consent toselbinsure for workers'compensation,asproidedfor bySection 3700et the Labor ISSUE FEE Code,fotheperformancedd»werkfowlichtispemulisissued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE wi Ihave aridI maintain workers'compensation insurance,as required bySedion3700 of the Labor Code.for the performance of the TOTALS----> 30 . 00 0 . 00 0 . 00 30. 00 30 . 00 . 00 work for which this permit is issued,My waken compensation Insurance weer and policy number are: Caner: REVENUE DIVISION TOTALS--> COLLECTED: 30 . 00 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (Thu section need not be completed I the permit is for one hundred dollars 1St 001 or less./ 30 . 00 • ❑ I ceniy that in the performance of the work ler which this permit is issued.I shell not employ any person in any manner so as to become subjectto the workers'compensation laws California, end agree that if I should become subject to the workers' compensation provisions of Section 3700 ofthe Labor Code,I shall forthwith ee a withthou provisions. ***********************O**************T*T*TI*N*NIDI*T I O O T N O* t* t*T*IOI********** Data: Appt sop: INDIVIDUAL F E E BREAKDOWN Warning:Failure to secure workers'compensation coverage Is unlawful and shell subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines up to one h.asdrsd thousand dollars(S10400C),In addition to tine coal of compensation,damages as Provided nor in Section 3706 of Me labor Code,Interest and ettomey'e fees. ',* CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is wru a corctim the agency for ELE 1 ELECTRICAL RE—INSPECTION FEE 30 . 00 30 . 00 pudormence of the work for which this permit is issued(Section 3097,Cir.C). END OF FEES LENDER'S NAME: • -LENDER'S ADDRESS: I p I certify that l have reed this application •Me that the above id. •-.ion is coned.I agree comply with all city and county ordinances and stale laws re:'n o building constand hereby aur b i ',,presentative,d this o enter upon the ebmmmentioned property for inspection e • RIC/ D AL ;• ,,,r r'• I Pnnt Nam,. / // (" : r. lits' ..Lr _ 4 i - i!'a dI" Date( C- % _ .. a.r. e •- Appli n nitre o - (5151de.WP) its-Buildig A Sel•ty:Green-Fre;Canary ppimnt:Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNING. '1 r .,)L & SPA , .. f '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 T 3. Electrical Conduit Utility-Undrgrnd. '1/41' 54. Forms 4.'Electrical Corfddit-Undrgrnd. 55. Electrical Bonding ' • .5. Steel.Reinforcement -, 56. Rough Plumbing & Pressure Test . J 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE r, .-I ,_d. Footings 58. Electrical Conduit-Undrgrnd. B. Foundation I, 59. Gas Pipe, 0 Undrgrnd.,Test • 9. Water Pipe-Undrgrnd. - , 60. Backwash Lines,P-Trap, 0 Undrgrnd. " 10. Structural Floor System t. 61. APPROVAL TO DECK _ 11. Property Sewe`.Line & House Connection ,T 62. Backwash & Receptor-Final ' 12. Sewer Cap 7. „-' I 63. Heater & Vent-Final ' 13. Roof Drains - f 64. Plumbing System - Final 14. Rough Plumbing :n ' - 65. Electrical-Final • , - .-15. Rough Electrical-Conduit e . -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 4 69. POOL/SPA SYSTEMS FINAL . 19. Rough Heating& Air Conditioning_ _ t r. _ - FIRE•DrEPT. R,EOUIREMENT • 20. R�ugh::Faubry,Fireptace �.•L r. C 1:1r+ c- • "MrrR VA{cv FiFPeiritit# 21. Ducts,-in Structure' ^ • - '=70. tIndergtoafji!'H'4dro 22. Ducts;Ventilating ,, : _ a • .•71. Product-.4. CIGps DOH( _ _ - 23. Gas Pipe-Rough& Test . . • I*t ^' c •_• .72. UndergroGnd FIQsh� , e- 24. Roof gaming ' - . ry a ' r, 73-_Undergrni3.Stora,eTank Gas ❑Oil 25. Roof!She hin - - ••v- . . h i. , ai 9 • -74:�Overhead Hydro s• T 26. -Baeiling (Structural) & Monoc`oat ', _ . ,, 75-Dry Chemical r FrC 27. Fume and Flashing- _ w- :• ..-t 76. Dry Stand¢ipe `'- ' -; 728. Lathing&. idin ` " "" - '/ ~ • �7 cv 9 ' '� �'�"' '^ 77�. FIXED SY7EtVi ;INAL. - '29. Insulations 1. -:.-r _ 4 .„ I !: 78:-FIRE PREV. FINAL i l ' •e- 30. Drywall Nailing :� , * F, I i;, �l6.ALTH'-'DEPT_ REQUIREMENT L31: Plaster Brown Coat a S - - 79'. FINAL I(tISPECTION ' 32. Electrical Power Metck-Final 1 x rc 80.�FOOD CERTIFICATE ISSUED, ..33. Final lectric i :1 r Vi* • I( i ;" Notes: /2_Is QS coals) -/0 /t'� 1 '-34.,Final Heating$'Air Conditioning= "r,� + 0-47,-/-9--96,4n/ �2tEel - �� -35. F•ical Gas Pipe=test - -- .,-, /'C:-GZ(/ ``T 36. Hood od or Canopy r c= - '-" r . . xr i [-I T.'- -.r37. Fin a I'Pa ctary Fireplace - _ rti - •k - cc -38- Final-Plumbing - 'u -- r ' -_ , r, 4- H rr. i • 39. WaterSt ervice-Final _ c � ` ^ -40. Gas Service-Final * r••. en It 0,0E v c. r:- 41. Solar Domestic-Final; • .-t ' - -. • _ 42. Backflow Preventer c K 'F �• . - -4 H A, 1-' II- C 43. Backflow Irrigation -. r c -, A -r •_ - 44. Landscape,Irrigation System 4D:TY"' 4 t-- t - t' t _ +" 45. Sound Attenuation ; ` -^r- t- - r' r-. r-x •--• r'< • - r .- rt h r. C c- r r- 46. Handicap Regulations.. _ r i ' •r S CC - 47, FINAL STRUCTURE & BUILDING 4. i I .-- r, _ 48. FINALIN •PLANNG - -i ^' 'F i; s`, , 49. Electric Release;to Edson .. " r r G, 50. Gas Release to-Southern California'Gas Co V • -- , - : 51. CERTIFICATE OF OCCUPANCY c - - - '' • - - No Date CITY OF COSTA MESA 32. Electrical Power Mr `Final BUILDING SAFETY DIVISh. 33. Final Electric J POST IN CONSPICUOUS PLACE 34. Final Heating & Air Conditioning 4 ON THE JOB 35. Final Gas Pipe-Test i1001z.GFO • NOTICE 36. Hood or Canopy You must furnish PERMIT NUMBER and the JOB ADDRESS FOR EACH RESPECTIVE INSPECTION. CALL 754-5627. 37. Final Factory Fireplace APPROVED PLANS SHALL BE ON JOB AT ALL TIMES. 38. Final Plurpbing A. P. NO. DATE ISSUED 39. Water Service-Final -1 -in nc t� ate! via TYPE GROUPMIT NO..40 40. Gas Seryiye-Final V N (2.- 31 M ^1 41, Solar Domestic-Final BUILDING ADDRESS A r-1 -. 2 2 �` 42:30.4°‘42:30.4°‘ ' 42. Backflow Preventer TRACT LOT BLOCK ..1 43. Backflow Irrigation ' NEW ADD ALTER REPAIR MOVING DEMOLISH 44. Landscape Irrigation System )( •- • 45.. Sound Attenuation ' OWNER tr•• <()la �" -_ .i JVifil,1 s‘0'• 46. Handicap Regulations ' 47. FINAL STRUCTURE & BUILDING USE. SFR , 48. Special Requirements Completed POOL&SPA p' SETBACKS . • • APPROVALS Permit# Front Yd. t Side Yd. L R Rear t49..51414 Equipment Location .,--Side fid. L R Rear 50. Steel Reinforcement , I. NSTRUCTION AND PLANNING 51. Forms ; APPR' LS.,. Permit# Date Inspector 52. Electrical Bonding . 1. Temporary��eFtr F4Sefvice r''fele 7 .,' Rough Plumbing & Pressure Test 2. Soil Pipe-Undrgrnd. I," r i,. • ' .:� 54. APPROVAL TO COVER-GUNITE • 3. Electric& Conduit Utility-Undrgrnd, • 55. Electrical Conduit-Undrgrnd• 4. -Electrical Conduit-Undrtd. ,• 56. Gas Pipe, 0 Undrgrnd.,Test • y 5.: Steel Reinforcement ...,� . fJ(I 57. Backwash Lines, P-Trap, ❑Undrgrnd. . 6.. ,Electrical UFERGrnd. '- 58. APPRQVAL TO DECK _ 7. Footings -/1, •) •• ' 15 -69.'$ackwash & Receptor-Final , 8. Foundation 1' i,. • ' ,' ,� '' , :60. Heater & Vent-Final - . 9. . WateiPipe-Undrgrlid. • ' • . 1/ 1 , .4.; 61. Plumbing System - Final ' 10. Structural Fipor System ' ,b : y" 0. Iilectrical;Final . 11. Psopertysver Line&House Copnection : '/7/tiv • �, . 63. S$lar System-Final -i r ii •1 12. Sewer Cap • - 64. pencil& Access Approval 13. . fipof Drains ' v V 65.•PROVED FOR PLASTERING: .. 14. f{ougi. elum. j .. Ape it =, ? 66. POOL/Sf�ASYSTEMS FINAL ,. I\ 15. ' Rough Electrical=Conduit a• • • FylltpfirT. REQUIREMENT a '' 16. .. Rough Electric Wiring " `; - r. APOKALS '-Permit# , 17. . Rough Wiring Sign • LO • �' r ;• " ;• t 6R..-) klderground Hydro. ,- 18. ,Rough Electrical-T Bar Ceiling- 68-Prg iuct Piping 0 Ges 0011 • -m 4 . �, 19. .Rough Heatili ng&Air �Cohditioning 4` Art-(4‘.) 69. Underar0Z Flush• • 20." 'Rougl Factory Fireplace'': •al 7/n‘a p 70. Undergrnd. Storage Tank 0 Gas-0 Oil ' 21. Putts',in kucture .r • 71. Overhead Hydro 22. Ducts,,Ventilating - .� ' 72. Dry-Chemical i n,.. GasP.ipe-Rpugh & T4st ._.. al7jqubp 73. Dry Standpipe 24. \ RoofPTaniinr- - -�,"'`--=-r &--'- ��'' -74 FIXED SYSTEM FINAL Y 25. Roof Sheathing ' , '714' . /-�5.��/ 't: 75. FIRE PREV. FINAL • 26. T-Bar Ceiling•(Structural)& Monocoat " "-- to • ?7. Frame and Flashing 5IJ/fl, G� , ---.. ` - _ . Lathing& Siding • v• • •?4.-/,, L;L4` ,'� , 29 Insulation ,O.S/.g'? ' 30. Drywall Nailing /jq�,-f( 4h , 31. Plaster Brown Coat ' ` .,•.y/, r_ /-t/:, -' (see reverse for additional notes) CMF 0559-48,rev. 12/82 , t PROJECTBS: 239 22ND ST UNIT: CITY OF COSTA MESA BUILDING PERMIT PERM NO: E 048171 OWE' AME: RICHARD ALVARADO r A ESS: SAME PERMIT NO: E 048171 PLAN CHECK NO: N GOVT: N SUPP : N CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: ADD 548-0517 ARCH/ENGINEER: FELIX MARTIN REG.NO.: SE2721 JOB DESCRIPTION : TEMP . POWER ,REFER TO #B48170 SQ FT: 'ADDRESS: 15375 BARRANKA PKWY UNIT: IRVINE CA 92718 CLAIM VALUE: CALC—VALUE: GROUP OCC : R-3 /M-1 PERMITTEE: RICHARD ALVARADO ( 714 ) 548-0517 ADDRESS: 239 22ND ST COMMENTS: X C.M. CA 92626 ****************er+E ** ******************* * * ***************+E+E*************** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING REQUIREMENTS • ,` 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SE TB ACK S `y; .CITY UC.: STATE UC.: 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.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: ' COMPANY: PARKING REQ: PROV: PARCEL: 42614410 ZNE: REF NO: -7-1.Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> > I dee: ADDlicanl: ********************************1** ******************************************** ' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be compl ..if the permit is for one hundred IS100; less). D EVEL OP MEN T S E R V IC ES REQUIREMENTS I certify that in the performance of the work for which this permit is issued,I shall not a tidy any per; i :ny manner so as,: •ecome subject to the Workers'C/pnnpeQnsation Laws of Califomi.. , / 20NING APPROVED BY ' .! DATE: Date: / 7 761, / 0 ( Signa r' _ I% / % 1 NOTICE:If,after eking this declaration,you should become Bury• o th' orkers'Com enation provisions of the Labor BUILDING APPROVED BY : ." r 'a 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 lending agency for the performance of the work for APPLICATION ISSUED BY . S-r DATE: —1—‘,—q-0 which this permit is issued(Section 3097,Civ.C). ***********************************;�F********************?E********** iF3F**'sf*#*iF** LENDER: **********************************if******************************************** ADDRESS: LEGALIZATION:N F' E .'E"• S U M M A R Y STRUCTURAL SEGMENT:N •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 Processional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 15 . 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'Stale License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 50% SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My 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($500). ISSUE FEE 15 .00 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 ® structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS——--> 15 . 00 15 . 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 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: 30 .00 OVER/SHORT : 00 improvement osale). within erpose lhone year of completion,the owner will have the burden of proving he/she did not build or improve fortheBLDG 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 30 . 00 ❑ 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 cjth a contractor(s)license pursuant to the Contractors'State License Law).I am aware if******if*********************************if*******************it***************** that proof of their Worker's Compensstion insurance should be provided to me. ' INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.S P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: /7/y/�+y y,Ch `(0»'n y • r • ( ELE 1 TEMP SERV PWR POLE W/OUTLETS EA. 15 . 00 15 . 00 I do hereby certify that I arM1 aware of and understand the requirements of California Health and Safety Code Se ions 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 ith all city and c nt ordinances and state laws relating to building c truc0on and hereby authorize representatives his city to er n the above- on ed, property for inspection pupes. \1 0 01 OOObs493 O40bS493 ��E E 71°.013Date: Signature: DATE: 07/17/90 TIME: 08:44 Drivers Lice 'or Social Security A: • 164146 White—Building;Green—Code Enforcement;Cenery—Applicant;Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING POOI 'A Date Inspector Date Inspector APPROVALS Permit# // // PPROVALS Permit # Temporary Electrical Service or Pole 7y„/ 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. Solar System-Final 16. Rough Electric Wiring i 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 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing - 73. Undergrnd.Storage Tank 0 Gas 0 Oil pp- 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 PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat {t/ FINAL INSPECTION 32. Electrical Power Meter-Final ]J4 / FOOD CERTIFICATE ISSUED 33. Final Electric 7 otes: 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 • 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date \ I PROJECT ADDRESS: 239 ?,2ND ST _ ., UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: EMP 049362 OWNER'S NAME: RICHARD ALVARADO ADDRESS: SAME PERMIT NO: EMP 049362 PLAN CHECK NO: N GOVT: N SUPP: N ' CONSTRUCTION TYPE: PERMIT TYPE: ELE MEC PLU 'PURPOSE; ADD 548-0517 •,. ARCH/ENGINEER: FELIX MARTIN REG.No.: SE2721 JOB DESCRIPTION : ADD 1238SF 1ST REBID FLOOR, 506SF GARAGE SQ FT:. ADDRESS: 15375 BARRANKA PKWY UNIT: IRVINE CA 92718 CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 PERMITTEE: RICHARD ALVARADO ( 714 ) 548-0517 ADDRESS: 239 22ND ST COMMENTS: REFER TO #B48170 C.M. CA 92626 ******************************+e*******+E*******+E***eE*******M*******aF*****eE*at**+E+e LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full tome and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: MAIN BUILDING ACCESSORY BUILDING Date: Signature: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN IRKER5 'COMPENSATIONDECLARATION: I hereby affirm that I have a cenificate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: REF NO: FT IN mpensation Insurance,or a certified copy thereof(Section 3800,Lab.C). UCYNO.:oMPANr: XP.DATE: PARKING REQ: PROV: PARCEL: 42614410 ZNE:PLANNING NOTES> Certified copy is hereby furnished. El Certified copy is filed with the city Building Division. > ******************************************************************************* Date: Applicant: DEVELOPMENT ERVI- CES R, E Q U I R E M E N T S EXEMPTION FROM WOR Or v.'PENSATtON DECLARATION: (This section.,,.not be completed' :permit., '.r o/uered(Eli I . . ). I certify that in the.• . ria 'of the work for whl h this permit is l_c..e!'I shall notimplp persofan/anner so a o. ome ZONING APPROVED BY subject to the W. • . C• pprosaa n Laws .f .. /� ' ' DATE: Date: /J ' ` `� S .. ,''/ . i Altar I BUILDING APPROVED BY NOTICE: ,after malting this declaration,you ss . rkers �of the Labor r DATE: Code,you must tortfwnth campy with such provisions or this permit slap be•-erred revoke.. APPLICATION ISSUED BY : •' CONSTRUCTION LENDING AGENCY: Ihereby affirm that there is a construction lending agency for the performance of the work for DATE • U D-'—�QJy n **********************'******************** ** *******************TF******if 3F*1E aE** which this Permit is issued(Section 3097,Civ.C). **************************************************************************x***** LENDER: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT :N ADDRESS: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason PERMIT 27 . 00 12 . 00 20 . 00 (Section 7031.5 Business and Professional Code: My 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 25% S l',)% 25$ S M I P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE 3 . 00 15 . 00 15 . 00 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars MOO). BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE I, as owner of the property or my employees with wages as their sole compensation, wit do the work, and the TOTAL S————> 5 9 . 0 0 33 . 00 0 . 00 92 . 00 92 . 00 . 00 structure is not intended or offered forsale(Section 7044,Business and Professional Code: The Contractors'State License Law I hdseorlherown to an provier of a ded that suucch improvements are not intended orawhodoes for sale. howeverthe or throughr REVENUE DIVISION TOTALS--> COLLECTED: 92 , 00 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 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK = for e purpose of sale). 30 . 00 27 . 00 35 . 00 • I,as owner of the Property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ❑ and Professions code: The Contractors'Sate License Law does not apply to an owner of property who builds improvesther n *******************************************************.****.*****.*.***.***,*.**.**** and who contracts for such projects.nth a wntractor(s)license pursuant to the Contractors'Sate Lice Law).I am re that proof of their Wo.er's . penstlon insurance should be provided to me. IND IV IDUAL F EE B R E A K D O W N ❑ lam exempt unde j B.aP.c. TYPE QTY DESCRIPTIO Np UNIT COST TOT", COST 1{ for this reason. Date: LSP / .. r 90 ELE 4 RES APPLIANCE NOT OVER 12"0 HP 3 . 00 12 . 00 Ido hereby cern .t l am aware of and understand the requirements of California Health and Safety Code Section 25505.25533.and MEC 1 REPAIR/ALT HEATING UNIT/SYS W/CNTLS E �80p0Ep 9 . 00 25534 and that I.r any future building owupant wtgwat not(circle one)need to comply with said state codes and the requirements for a MEC 1 FAC TORY FIREPLACE A�,��'d6.��3 6' 6 . 50 permit for const uction or modification from the Air Quality Management District.Residential construction applications are exempt from MEC 1 VENTILATION FAN CONN TO SINGLE DUCT ..snr.4pa�Ao mpec� 4.. 5 0 these provisions. PLU 2 BATHTUB �' 0 4 . 00 PLU 1 DISHWASHER 2 . 00 Date: Applicant 7 PLU 2 LAUNDRY TUB OR WASHER 4 . 00 I hereby certify that I. ye rea•this application and sate that the above information i ., I agree t. •. '.ty with at county PLU 1 SINK KITCHEN 2 . 00 2.. 00 ordinances and stat. rel. ng to building struction and hereby a. represent . - of this. ,.e, -r upon y;,. PLU 3 WATER CLOSET (TOILET) property for insD' p .ores. A / / VENT 2 .00 ti 6 . 00 G i PLU 1 WATER HEATER AND/OR 2 ,00 y 2 , 00 ,JS (d A PLU 1 SEWER, CONNECTION TO BUILDING tACH 5 . 00 ` 5 . 00 Date: et .„". Driver's L'�or Salol Security • 01 COC7'.ti93 SuT1,0` n / '; 104146 bite—DulldIne:Green—Code Enforcement Canary—Applicant Pink—Revenue;Goldenrod—Assessor DATE! 10103/9r, lt.C: 14:57 CONSTRUCTION AND PLANNI1 & SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector r 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location r 7 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement . 3. Electrical Conduit Utility-Undrgrnd. - 54. Forms : " - t 4. Electrical Conduit-Undrgrnd. 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. I 8. Foundation . 59. Gas Pipe, 0 Undrgrnd., Test i 9. Water Pipe-Undrgrnd. (ff' h10 LOP 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System �� 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection/on /w 'i ai% 62. Backwash & Receptor-Final -12. Sewer Cap -_ !( 63. Heater & Vent-Final - 13. Roof Drains • - ✓ 64. Plumbing System - Final r I . ' 14. Rough Plumbing Z,PI!i(e(- 1!-,60 65. Electrical-Final 15. Rough Electrical-Conduit I66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval I - 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING i 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19, Rough Heating & Air Conditioning - ca r FIREDEPT:REQUIREMENT _ 20. Rough Factory,Fireplace - t14 - . - =APPROVALS •+ Permit # t - J " ' 21. Ducts, in Structure - 7 , . 70..Underground Hydro 22 Ducts, Ventilating, , : ._ • - 71. Product Piping 0 Gas ❑Oil 23. Gas Pipe-Rough & Test , r't. •- ; t, s: r .ay ' ki 72. Underground F.iush 24 ,Roof Framing # ,-r • 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing"' '-1.; - v � 74' Overhead Hydro;, a 26. T-Bar Ceiling (Structural) & Monocoat - `-_ 75: Dry Chemical •-• a. ,.�� : 27. Frame and Flashing ,:'y. I. . - /- 76. DryStand_Pi•pe .,c 4., '-2'2p:", q , • 7�• 28. Lathing & Siding' ' - '; ••I - 77: FIXED:SYSTEM:FINAL . 29. Insulation r ' c 7134; FIRE PREV. FINAL ' .4.-:-r.-. •r ,t - 30. Drywall Nailing F; r E✓ f : •.c, . o�HEALTH;DEP,T. REQUIREMENT 31. Plaster Brown Coat -a r°' 1 • * -, 1 79. FINAL INSPECTION _ . 32. Electrical Power Meier-Final - ! ' - ' 80, FOOD CERTIFICATE ISSUED' -c - 33: Final Electric F r ' Notes: ' _ ,� t ' i. 34. Final Heating & Ay Conditioning ', • _/ "t ' - .-' ,� Vic-- •- -.r 35. Final Gas Pipe-Test (//2y/ C.E/f- _ 36. Hood or Canopy ' - ' : ' !' - 37:• Final Factory Fireplace r - - "' 38. Final Plumbing �,. - - ,� - \;p� - x r. 39. Water Service-Final •• a3�_'/ i to - - •� Pte/ `.'�"/� H` r " • , ' 40. Gas Service-Final 'r ' ' -- l` 'j " ' I - 41. Solar Domestic-Finalc 42. Backflow Preventer - - - Itt `• 43. Backflow Irrigation - - 44. Landscape Irrigation System.` ' ' - ,; - • t tri 45. Sound, Attenuation ' • - V 0 467 Handicap Regulations .: •, - 47 FINAL STRUCTURE & BUILDING 5 - ri 48: FINAL PLANNING - . I r'. -: " 49.. Electric Release to Edison • 50. Gas Release to Southern California Gas Co _ - - _ - 51. CERTIFICATE OF OCCUPANCY - ' - No. Date A PROJECT ADDRESS: • ' x UNIT: OWNER'S NAME: PERMIT NO: EMP 049362 PLAN CHECK NO: 06112-90 N PAGE: 2 a ADDRESS: 36ie*ie96isiEis***settet36ieif*36i6iF46i64tikee*isieie*iEiF*4fieaF*4eiETisitifiEiPe6*aE9EiE*3kee4a4F*1fTicitif*ifi4ieiF. *********** • ARCH/ENGINEER: REO.xo.: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST • ADDRESS: UNIT: PLU 1 SINKS, SERVICE / MOP 2 . 00 2 . 00 PERMITTEE: END OF FEES ADDRESS: UCENSED CONTRACTOR 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 lull force and effect. CITY LIC.: STATE LIC.: CLASS: Date: Signature: YIRKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' impensation Insurance,or a certified copy thereof(Section 3800.Lab.C). UCY NO.: EXP.DATE: OMPANY: J Certified copy is hereby furnished. ❑ Certified copy is filed with the city Bonding Division. Date: Applicant ' • EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is 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 subject to the Workers'Compensation Laws of California. Date: Signature: NOTICE:If,after maldng this declaration,you should become subject to the Workers'Compensation provisions of the Labor • 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 which this permit is issued(Section 3097.Civ.C). UNDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,atter,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 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My 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 �J structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law _ - . . does not apply to an owner of a property whobullds or Improves thereon,and who does such work himself/herself or through Q —, his or her own employees,provided that such Improvements are not intended or offered for sale.If,however the building or v - ,�— _ improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve 01 00071,133-11711 -5 2 u for the purpose of sale). DATE., 13/L'^.'9C LIEF'.` C?:+3 I,as owner at the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ❑ and Professions Code: Tire Contractors State License Law does not apply to an 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 am aware that proof of their Worker's Compensation Insurance should be provided to me. P 0' ❑ I am exempt under Seifion: B.E.P.C. iltir+ for this reason: Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and 25534 and that I or any future building cc upant wilWnll 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 wp.cx , ' , ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned ' property for inspection purposes. Date: Signature: Driver's License or Social Security it 164146 White—Building:Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLAN-NI 1�OL & 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 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 113. Roof Drains 64. Plumbing System - Final 414. 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 LI 20t Rough:Factory Fireplace APPROVALS Permit# 21'. Ducts, in Structure 70. Underground Hydro r. 22•. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23: Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Frarning 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. TlBar'Ceilirig (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 32. Electrical"Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final'Elec$iel Notes: 34. Final Heating Air Conditioning 35'. Final Gas Pipe-Test 36. Hood or Canopy 37,t Final Factory!Fireplace 38. Final Plumbing 39 Water Service-Final 3/14/Qj LED 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 I PROJECT ADDRESS: UNIT: OWNER'S NAME: 239 22ND ST CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 048170 RICHARD ALVARADO AS NAME: A SAME PERMIT NO: B 048170 PLAN CHECK NO: 04276-90 L GOVT: N SUPP : N CONSTRUCTION TYPE: PERMIT TYPE: SIR PURPOSE: ADD 548-0517 1pecxrtNGINEER: FELIX MARTIN REG.ND.: SE?771 JOB DESCRIPTION : ADD 1238SF 1ST RESID FLOOR, 506SF GARAGE SQ FT: / ADDRESS: 15375 BARRANKA PKWY uxlr. PERMITTEE: IRVINE CA 92718 CLAIM VALUE: 80, 000 . 00 CALC—VALUE: 94 , 141 . 20 GRO:7- OCC ; R-3 /M-1 ADDRESS:' RICHARD ALVARADO (714 ) 548-0517 239 22ND ST COMMENTS : X C .M. CA 92626 ********************************************* ,r*+e*****er*****erer** *** ******* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING R E Q G—2 R E M E N T S 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS CITY UC.: STATE UC.: CLASS: nate: Signature: MAIN BUILDING ACCESSORY BUILDING ORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: 28 FT IN REAR: 8 FT IN FRNT: FT IN REAR: FT IN .ompensation Insurance,or a certified copy thereof(Section 3800,Lab.C). LEFT: 5 FT IN RGHT: 6 FT IN LEFT: FT IN RGHT: FT IN IPOLICY NO.: EXP.DATE: COMPANY: PARKING REQ; 2 PROV: 2 PARCEL : 42614410 ZNE: R1 REF NO: ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> APPROX 1700 SF ADDITION TO AN EXISTING SFR. REV. SITE PLANS > OK ( 6/20 ) FLOOR PLANS NEEDED FOR PLANNING REVIEW Date: ' Applicant: ****************ie*****************************±E******************ft************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not +i'pleted if m. .. I a for one hundr.,,.�®)or less). DEVELOPMENT SERVICES REQUIREMEN TS I certify that in the performance of the work for which this permit II.-d,I shat • employ1 in any mannas to become subject to the Workers'ComOOynsatiioon Laws of Calif. ia. / ZONING APPROVED BY SC[, DATE:�I(� -1D Date:1_7—/ei t / (Signature: i Atm �' NOTICE:It, er mak' g this declaration,you should becom•1,ect to the Workers' •mpensation pro sions 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 lending agency for the performance of the work for APPLICATION ISSUED BY: tLL, Dolts) J co A— DATE: , —I 1'1 Of which this permit is issued(Section 3097,Civ.C). *****3”E**************************x **if if )0** ********************7 iFiF*'i.TFif*9*'W** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contactors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish.or PERMIT 6 1 7. 0 0 6 . 59 repair any structure,prior to its issuance,also requires the applicant for such permit to Me 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.My violation of Section 71131.5 by PLAN 401 . 05 ry applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(S500). ISSUE FEE I, as owner of the property or my employees with wages as their sole I compensation, wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Q structure is not intended or offered for sale(Section 7041,Business and Professional Code: The Contractors'State License Law TOTALS--——> 623. 59 0 . 00 401 . 05 1024 . 64 1024 . 64 . 00 does not apply to an owner of a properly 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 ofsold ee) BLDG PMTPLUMBING ELECTRICMECHANICFIRESMIP/TOT within one year of completion,the owner wit have the burden of proving he/she did not build or Improve REVENUEDIVISION TOTALS—_ ODS /S forthepurpose GRADING PLAN—CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct therproject(Section 7044,Business 617 . 00 • 6 . 59 ❑ and whoand essions Code: The contactss for such projectsors'with ate contractor(s)l',cew ensenot pursuanttoan to theContractors'er of ceSt who License orbuilds Improvesprof amhawaon rre ******************************************************************************* that proof of their Worker's Compensation Issuance should be provided to me. / INDIVIDUAL' F E E B R E A K D O W N O. f ramt is exempt under Section: B.S P.C. / ortnsemptu: / jTYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: lT ��° owner / /J e SFR 1238 • DWE—TYPE V—WOOD FRAM —GOOD 69 . 001 35, 422 . 00 I do hereby certify that I am ware of end understand the requirements of California Health.nd Safety Cod'Sections 25 I.,25533,and e 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 SFR ., 4 RES—GARAGES TYPE V 17 . 3 0 8 , 719 . 20 permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from END OF FEESE,XAyyP--.�1��1�R E D these provisions. rf►4 110 Date: Applicant: 2QQyy�� Z� I hereby certify that I have read this application and state that the above information is correct I agree to comply whh all city and ny �\ 1— .ordinances and sale laws relating to building construction and hereby alrttu' presenafiv 1 this • o e upon the above- Oohed property for inspection purposes. f / v Dora: 9 gnamre; e I \'1)%11 01 00065441 GG76�492 TOT 6" :4 i , Driver's License or Security#: _ 164145 White—Building;Green—Code — — DATE: 07/17/40 TIME: 68:43 —�t<J g; Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor _ - CONSTRUCTION AND PLANNING 'POOL o SPA APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. /1. 53. Steel Reinforcement ./� , 3. Electrical Conduit Utility-Undrgrnd. 54. Forms . " `• 4. Electrical Conduit-Undrgrnd. f 55. Electrical Bonding • 5. Steel Reinforcement o I�I 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 1 111 57. APPROVAL TO COVER-GUNITE,- 7. Footings tO �gIQOa 58. Electrical Conduit-Undrgrnd. 8. Foundation I 111111 I, 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. I 10. Structural Floor Systemll,b\s�" Ane 61. .APPROVAL TO DECK 11. Property Sewer Line & House Connection ,�1, 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' t i 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 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 - 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: /10-42- /'4.%,-d ,u-suer1- 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy -- +t 37. Final Factory Fireplace m 38. Final Plumbing at ' , 39. Water Service-Find ?� at 40. Gas Service-Final rtt oy 41. Solar Domestic-Final 42. Backflow Preventer I yA 43. Backflow Irrigation 44. Landscape Irrigation System ./•••- 45. 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 `\ CERTIFICATE OF COMPLIANCE PAYMENT OF SCHOOL FACILITY FEES NEWPORT-MESA UNIFIED SCHOOL DI TRICT Developer/Applicant : /c�pEao ✓,1r"4-P30 Address : 239 777 2` ,../5 S77 Telephone Number : (7/5O s�r dr/7 Tract/Parcel and Lot Number(s) : Location of Project : 2C € 22.'/o Sirrr Number of Square Feet of / ai 3 ,,� �D 7, 00 Residential Space 7'C 0 k $x .50 Total Number of Square Feet of S 3 Commercial and Industrial Space x $0 . 25 Total Commercial/Industrial Project is : (Check One) Mini-storage Motel Preschool Movie Theater Bank Auto Repair Racquet/Health Neighborhood Shops Hospital Warehouses _ R & D Large Office Heavy Industrial Hotel Office Bldg. Regional Shops Medical Office Restaurant Light Industrial Office Park Fast Food The provisions of Government Code Section 53080 are not applicable. This certifies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and 65995 . Checks are to be made payable to Newport-Mesa Unified School District . jas4 Business anager Newport-Mesa Unified School District The above representation as to square footage is true . Developer/ Applicant agrees that if it is later determined that such representa- tions are not true then this certificate shall au atica y terpCnate and the appropriate City/County shall be tifie Date : 4/ D �� 4 • D veloper/ ppl car 0 rite /9 60 A, 0n CERTIFICATE OF COMPLIANCE PAYMENT OF SCHOOL FACILITY FEES NEWPORT-M UNIFIED SCHOOL DIS ICT Developer/Applicant : < c�vt �j � �'/JQ�}�!) c Address : / t ".16zz " Telephone Number : (7/7) Sy/a ds/ 7 Tract/Parcel and Lot Number(s) : c� Location of Project : Z /r/ 2?wa• STT Number of Square Feet of oay\3a Residential Space / 1440 *49p50 Total e/fr?i"e Number of Square Feet of rti Commercial and • Industrial Space x $0. 25 Total Commercial/Industrial Project is : (Check One) Mini-storage Motel Preschool Movie Theater Bank Auto Repair Racquet/Health Neighborhood Shops Hospital Warehouses _ R & D Large Office Heavy Industrial Hotel Office Bldg. Regional Shops Medical Office Restaurant Light Industrial Office Park Fast Food The provisions of Government Code Section 53080 are not applicable . This certifies that the above-named Developer/Applicant has paid school facility fees in compliance with Government Code Sections 53080 and 65995 . Checks are to be made payable t Newport-Mesa Unified School District . Business Manager Newport-Mesa Unified School District The above representation as to square footage is true . Developer/ Applicant agrees that if it is later determined that such represent. - tions are not true then this certificate shall automaticaly term•`(ate and the appropriate City/County shall be, ified// Date : / 7/9 /Id De oper Applican i cma60 / o r• 7 - "---•--...:/- CITY OF COSTA M 32. Electrical Pos fieter-Final BUILDING SAFETY DIVISION 33. Final Electric POST IN CONSPICUOUS PLACE 34. Final Heating &Air Conditioning ON THE JOB 35. Final Gas Pipe-Test Idtg/QL 6.1V NOTICE 36. Hood or Canopy You must furnish PERMIT NUMBER and the JOB ADDRESS FOR EACH RESPECTIVE INSPECTION. CALL 754-5627. 37. Final Factory Fireplace APPROVED PLANS SHALL BE ON JOB AT ALL TIMES. 38. Final Plurpbing DATE ISSUED 39. Water Service-Final TYPE GROUPRMI T\- 0 40. Gas Servi5e-Final vti i2- 3/ M -' Q -'ADDRESS ��..11 � 41. Solar Domestic-Final BUILDING 3, { 2 2 >� 91'' 42. Backflow Preventer TRACT LOT BLOCK .) 43. Backflow Irrigation • NEW ADD ALTER REPAIR MOVING DEMOLISH 44. Landscape Irrigation System x { 45. Sound Attenuation - OWNER 46.' Handicap Regulations 47. FINAL STRUCTURE & BUILDING USE SF/_ • 48. Special Requirements Completed POOL &SPA SETBACKS • . - ••• - APPROVALS Permit# - Front Yd.1-Side Yd. L R Rear r, 149. 1l oP&zEquipment Location ' ''' • _Side 9d. L R Rear • • 50. Steel Reinforcement - . `CONSTRUCTION AND PLANNING • . T. 51. Forms • 'w- Date Inspector APPROVALS Permit# pp • 52. Electrical Bonding , 1. Temporary'Elelitr Sefvice erIPhle 7 .� Rough Plumbing& Pressure Test • 2. Soil Pipe-Undrgrnd.•' 1 "fp O 54. APPROVAL TO COVER-GUNITE 1 . 3. Electrical Conduit Utility-Undrgrnd. 55. Electrical Conduit-Undrgrnd. • 4. -Electrical Conduit-Undrgrn/l. . 56. Gas Pipe, 0 Undrgrnd.,Test A 5: Steel Reinforcement d OS 57. Backwash Lines, P-Trap, 0 Undrgrnd. . 6. . Electrical UFER Grnd. - 58. APPROVAL TO DECK 7. Footings , ./r)/S0 St 59.'Backwash & Receptor-Final , 8. Foundation ` • `r /"/////��I/��, i., . .60. Heater & Vent-Final • 9. . Water-Pipe-Undrgrhd. ' . i/ r SP; 61. Plumbing System - Final 10. Structural •Floorystem 94 -- ` 62. Electrical-Final .. 11. Psppertiy.6EWer Line&House Conhection� U s 63. Star System-Final 12. Sewer Cap 64. Fencing& Access Apploval t .ed 13. - Roof Drains - Y 4- 65. gPPROVED FOR PLASTERING-. 14. -f16ugh Plumb" E�`' 2i24/gi f(: `f 66. POOL/SFA SYSTEMS FINAL 15. Rough Electricaltonduit 0''' • . • - FI,RS•OEPT. REQUIREMENT . ' 1 ra • 16. Rough Electric Wiring - • ; APP ALS . 'Permit# I ,•• J 17. . Rough Wiring Sign ' a 10 i qA 7 '67,• ,HJndBrground Hydro ,r , - t)+ 18. '.Rough Electrical-T Bar Ceiling 68.' Product Piping Gas Oil '). 19. Rough Heating& Air Conditioning tt+/7/qtL� . 69. UnderIround Flush -;,.0,01%,:% 1 ' 20.- Aough Factory Fireplace , • • /y17/ICED 70. Undergrnd. Storage Tank ❑Gas ❑Oil • 21. Ducts, in §ttuctureA 71. Overhead Hydro - .' 22. Ducts,:Ventilating r - 72. Dry Chemical I 23. Gas Pipe-Rough & Test 4/7/Q2.:4,� 73. Dry Standpipe 24. Roof flaming '_ • 74. FIXED SYSTEM FINAL • . 25. Roof Sheathinge /- ' j� Lf`.%� 75. FIRE PREV. FINAL- . 26. T-Bar Ceiling (Structural) & Monocoat • • --- _ 77. Frame and Flashing _ }//7-,g ri.../ / / (-- _ 777 • 78. Lathing& Siding l;'- i;/7/` `79 Insulation lo.44f • 30. Drywall Nailing (211-fl .- 31. Plaster Brown Coat • , .y . - (see reverse for additional notes) CMF 0559-46,rev. 12/82 ADDRESS OF BUILDING: WIT: n WNEas N.WEIF KNOWN: 239 22ND ST ,- CITY OF COSTA MESA — BUILDING PERMIT ADDRESS: RICHARD ALVARADO t PERM NO: IE 075590 SE t , ,. t PERMIT NO: IE 075590 •PLAN CHECK NO: N GOVT: N SUPP: Y opt.MUIJNG ADDRESS: 548-0517 , CONSTRUCTION TYPE: PERMIT TYPE: ELE OTH • PURPOSE: OTH ARCHITECT OR ENGINEER: FELIX MARTIN Oc"D'` St, 2721 JOB DESCRIPTION : RENEW PERMIT EMP. 49362 SQ FT: ARCH.OR ENG.'S ADDRESS: 15375 BARRANKA PKWY CONTRACTOR'S NAME: IRVINE CA 92718 CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 CONTRACTORSMAC COMMENTS : REFER TO #B: 75589, ADDRESS: UC.NO.: ###########1F###############d ################################################### WIT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 l SETBACKS (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my licensee in full force and effect. CITY LIC.NO.: LIC.CLASS: LIC.NO.: EXP: % MAIN BUILDING ACCESSORY BUILDING • Date: _ Contractor: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN. following reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit to construct,alter,improve, demolbh,or sepal any structure.prior 10119 issuance.abo requires the applicant for such perms to file a stoned statement that he or she PARKING REQ1 PROV: PARCEL: 42614410 Z N E: REF NO: is licensed pursuant to the provisions of the Contractors License Lew(Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES> Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exempti0n.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant toe civil penally of not more than five hundred dollars MOOD. > ❑ I.azowner of the property«my employees with wages as their sob compensation,will do the work.and the stmctureenot intended ' ########!F##########################################################!E#######*** X or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apPly to an Mvner of OmPerlY DEVELOPMENT SERVICES REQUIREMENTS who builds or improves thereon,and who does such work Nmself or herself or through he or her own employees.provided that such oimprovements are not intended or offered for sale.It however,the building or i provemem is sold within one year of co .ion,the wner-builder will have the burden of proving he or she did not build or improve for the purpose of ). ZONING APPROVED BY DATE': ❑ Ns owner of the property.am exdusivey contracting with licensed contractors to construct the peed(Seal• 7.. Business: ./ n Professions Code:The Contractors License Law does nor appy to an owner pens wh ldor t / thereon and BUILDING APPROVED BY : DATE: contracts for projects with a contractods)licensed pursuant to the ore Livens w). / /- ❑ I am exam oder tion: a P.C.,I&this ' \ DATE: z 44 �^ / y� 44/ APPLICATION ISSUED BY: - IDate:\ l. ()a h/reby certify l em aware°f Bnd understand the requirements of CalBomia Health and Safety Code Sections 25505,25533,end LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N R553a,and that 1 or any Allure building occupant will I will not(circle one)need to comply with said state Codes and the requirements kr a perms for construction o modification from theAk-6lTatyManagement Dietnd.Residential consrucionappwttons are exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING previsions. `°omen° PERMIT 30 .0 0 Data: Applicant: 5 0% .SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following detlermtons: PLAN o I have and wit maintain a certificate of consent to sex-insure for workers'compensation,as provided for by Section 3700 of the Labor ISSUE FEE Code,for the performance of the work for which this permhisissued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ Ihave and wilmaintain workers'compensation insurance.asrequired bySection 3700othe Laker Code,for the performance dthe TOTALS----> 30 . 00 0 . 00 0 .00 . 30 .00 30 .00 .00 work for which this permit is issued,My workers'compensation insurance carrier and policy number are: Carrie` REVENUE DIVISION TOTALS--> COLLECTED: 30 .00 OVER/SHORT; 00 Pakv 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($500)or less.) 30 . 00 ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to subject to the workers'compensation laws of California. and gree thin d I should become subject to the workers' ############################1E##################iE########################1E###### becomesetion provisions of Section 3700 of the Labor Cub,I shell fonhwhh campy with those provisions. Date Appla : INDIVIDUAL F E E BREAKDOWN Warning,Fallon to secure washers'compensation coverage Is unlawful,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N t t UNIT COST TOTAL COST civil fines w to one hundred thousand dollars($s00•000).In addition to the COW of compensation,damages as provided for In Section 3706 of the Labor Code,Interest,and attorney's fees. • CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there e a construction lending agency fort e ELE 1 ELECTRICAL RE—INSPECTION FEE 30 . 00 30 . 00 performance of the work for which the permit is issued(Section 3097,ca.c). - END OF FEES LENDER'S NAME: • LENDER'S ADDRESS: I certify that I have read this application and stale at the above inform ion is correct.I sae to comply with all city and county ordinances . and state laws relating to building construction hereby authorize eaentativeaof Is city to enter upon the above'mentioned property for inspection purposes. ICH , nn NALV O Dae/ :/, 9C 01 00196516 00196`16 30.00 ! cienaun tfo'ametrAg`y7A IlcenuContrector / /—/ TOT DATE: 12/14/95 TINE. 12:49 15151-46.WP) White-Building A Safely:Green-File Canary-Applicant:Pink-Revenue;Goldenrod-jesmmr • • ADDRESS OF BUILDING: n UNT: TOW'NERSNMlE IF KNOWN: 239 22ND ST • CITY OF COSTA MESA — BUILDING PERMIT ADDRESS, RIICCHARD ALVARADO • • • PERM NO: IP 075592 PERMIT NO: IP 075592 ' PLAN CHECK NO: N GOVT: N SUPP: Y APPL.MAILING ADDRESS: 548-0517 CONSTRUCTION TYPE: PERMIT TYPE: OTH PLU PURPOSE: OTH ARCHITECT OR ENGINEER: UC.NO.: • ARCH.OR ENG.'S ADDRESS: FELIX MARTIN q 721 JOB DESCRIPTION : RENEW PERMIT EMP. 49362 SQ FT: 15375 BARRANKA PKWY 1 CONTRACTOR'S NAME: IRVINE CA 92718 CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 CONTRACTORS YMUNG COMMENTS: REFER TO #B : 75589 ADDRESS: IR.NO.: 444E14444E44*14444441141444**1114***$E*4E*1E*ik414E***1E****1E1E***iF**Ye*34#4F4fiEifiE#4E#*3*1E##4441EiF**iE*1E*iE*1E1t* UNT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACK S (commenting with Section 7000)of DNision 3 of the Business and Professions Code,and my license M In full force and effect. . CITY LIC.No.: UC.CUSS: LIC.NO.: • EXP: MAIN BUILDING ACCESSORY BUILDING D. Contractor: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penaiy of perjury that I ern exempt from the Contractors License Law for theLEFT: FT IN RGHT: 'FT IN LEFT: FT IN RGHT: FT IN following reason(Section 7031.5 Business and Professions Code:Any city a County which requires a perm0 to construct,War,Improve, PARKING REPROV: PARCEL: 42614410 Z N E: REF NO: 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 a d • the Contractors License Law(Chapter 9(commencing with Sea1'7000)of Melon 3 a the PLANNING I NG N TES> Business and Professions Code)or that he a she le exempt therefrom and the basis la the alleged exemption.Any vblatbn a Section > 7031.5 by any applicant for a permit aibjeds the applicant to a aril penalty a not more than fWe hundred dollars($500)). � I.as owner of the propene or my employees wait wnpesesthek sole compensation,will do the work.end the drudureonol intended ** 1F*4<'♦E#411f•#41414414144141144144414141#44414E41441444414441#44444141M41#414441444441414141111111#4441#4f4111414144*4141414f•4F41#41#41#144E ( or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an bwnerd pro:-try DEVELOPMENT SERVICES REQUIREMENTS . who builds or improves thereon,and who does such work Nmse0 or herself or through his or her own empl• ':,,provided lh., :uch improvements are not intended a offered for sale.f,however,the building or improvement is sold within• year a co.pl.;.n,the owner-builder will have the burden d proving he or she diff not build or improve for the purpose a : 4:1MG APPROVED BY DATE: • o I,as owner of the property.ern exdudvely contracting with licensed contractors :�slrud the•. .'.. Section 7. ,: tress vat Professions C••.:The Contractors License Law does not apply to an . property who b .-or improv: the •n and ail BUILDING AP PROVED BY : DATE: contracts for:•di• •jeaa with a oanbaa3(s)licensed pursuant to the s•ntraclore License . El I: exam. and lion: �B.:°.C. G G !IC : _ A, APPLICATION ISSUED BY: DATE: Z C i vie: —� 4*#*44441444141 44444*#*114444411**44#4441#4444414441414141 41 414E11###41##414141###4144414144411141414441 1E44 �rdo';;q rthat lamawaeaand aMarstadthe regairsmennacallfamleNedhrod salerCode 5ed' x25505„Q5533,ae LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N ,and that I or any tenure building occupant will I will not(circle one)need to comply with said state cod the repo amens for aperme for construction or modificationfrom the Au u-STylaagement Didria Residential construction applcationsare exempt iron these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT r . 30.00 Date: Applicant: 25% • SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:1 hereby affirm under penally of perjury one of the following declarations: PLAN , o Ihave and will maintain acentlbateaconsent toseffiinsure for workers'comper.sation.asprovidedforbySecion3700of the Labor ISSUE FEE Code,forme performance of the work for whichthispemtilisissued. BUILDING—DIV—> PERMIT ,ISSUE PLAN—CHECK TOTAL PAID DUE ❑ I have and wil maintain workers'compensaion insurance,as required by Section 3700 of the Labor Cede.for the performance of the TOTALS----> 30 . 00 '0 .00 0 . 00 30 . 00 30 . 00 . 00 work for which this permit is issued.My workers'compensation insurance carrier end policy number are: ' Carrier • REVENUE DIVISION TOTALS--> COLLECTED: 30..00 OVER/SHORT: . 00 PdkyNumbe BLDG PMT ' PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need not be completed it the pend is for one hundred dollars($IO01 or lass.) - 30 . 00 ' ❑ 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. and agree that if I should become subject to the workers' 414E4E4E44414141#144441iF444F41#411F44444E144111444E4E#4144144f•444E4E44414441444E444E4E4E441E4E411F44#*41k#414111##1E44iF41tt4E1F414E#4144##4(•44 compensation provision of Section 3700 a the labor Code.I shat forthwith comply with those provisions. # Date: IVIDUALApplicant: IND I D U A L F E E BREAKDOWN Warning:Failure to secure workers'compensation coverage la unlawful,and shall subject an employer to criminal penalties and TYPE QTY , DESCRIPTIO N UNIT COST TOTAL COST civil lines up to one hundred thousand dollars($100,000),In addition to the cost of compensation,damages as provided for in Section 3706 of the Labor Code,Interest,and attorney's fees. CONSTRUCTN LENDING AGENCY: I hereby affirm under penalty of perjury that there is a'construction lending agency for pLU 1 PLUMBING RE—INSPECTION FEE 30 . 00 30 . 00 IO pertormanceof the work f3which this pemvleissued(Sednn3097,Civ.C). • END OF FEES LENDER'S NAME: • ' LENDER'S ADDRESS: • I certify that I have read this application and.ate that the above' ynnation is co d agree to comply with all city and county ordinances and state laws relating to building con- =cc and hereby. •t e mpresentat : 'this ply to enter upon the above-mentioned propeM 13 inspection pun L i RI PDNai, ADO /%/ DATE:0112�1419S19TINE: 12:50 30.00 41, ..,.1/ Data/ G'L••/ ) , alart of Owne�'ga t"•pucanl�/ n.or r - . (5151-46 WP) White-Building&Sakti;Green-F.7Canary-Applicant:Pink-Revenue:Goldenrod-Assessor ADDRESS OF BUILDING: UNIT: OWNERS NNMEff KNOWN, 239 22ND ST CITY OF COSTA MESA — BUILDING PERMIT 'ADDRESS: RICHARD ALVARADO PERM NO: IE 07558E PERMIT NO: IE 075589 PLAN CHECK NO: N GOVT: N SUPP: Y° ' APPL.MG ADDRESS: 548-0517 AIWI CONSTRUCTION TYPE: PERMIT TYPE: ELE OTH PURPOSE: OTH ARCNDECT OR ENGNEER: UC,NO.: ARCH.OR Mt ADDRESS: 15375 BARRANKA PEW? CONTRACTOR'S NAME: IRVINE CA 92718 CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 cON(RACTORS YNUND COMMENTS: REFER TO #B48170 ADDRESS: LC,NO,: ***************************************************THE************************** UNIT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7000)of Division 3 of the Business and Professions Code,end my license is in full force and effect. CITY LIC.NO.: • 1LIC,CLASS: UC.NO.: � EXP: MAIN BUILDING ACCESSORY BUILDING Date: Contractor: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN - • LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I em exempt from the Contractors License Law for the r' following reason(Section 7031,5 Business and Professions Code:Any city or county which requires a permit to construct,alter,improve, tI demolish.or repair w enyacwre.prior issuance,y to as slop requires the applicant for such perms to file esgned statement that he or she C PARKING REQ: PROV: PARCEL: 42614410 ZNE: REF NO: is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES> Business end Professions Code)or that he or she is exempt therefrom and the basis for Na alleged exemption:My 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($5001). ******,*,****,****,*,*,*,*•**K,*,*,# (•iHHHHHHHHEIHHHEIEIIIHHEIEIHH ****1E1HE1E1HHE#IEIE#*****#all#1 *** yI,as owner of the property or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not appy to an°wner of property DEVELOPMENT SERVICES REQUIREMENTS who bolds or inproves thereon,and who does such work Nmsel or herself or through he or her own employees,provided that such ,1 improvements are not intended or offered for sale.If,however,the building or inprovemeM is sold within one year of completion, owner-builder will have the burden of proving heorshe did nor build orimprove for the pa ofsale). ZONING APPROVED BY DATE: ' o-I,as owner of the property,am exdusvely contrecti g with licensed contractors to cons• project( '• -7044,Susi end Professions Code:The Contractors License Law does not apply to an• - of• ••. •builds• %est - .... er(d who BUILDING APPROVED BY : DATE: contracts for such projects with a cMlrector(s)licensed pursuant to t� •.rectors U. Law). � _ l am exem nder tion: B.6 P.C. for this =•n: APPLICATION ISSUED BY: DATE: 1 �f Date: /certify thatel. rDw Owner: /� all*all********all*******all**********all*all*all* * * * •3P,P***all*#+ 11.4********** • L hereby certify I am aware of d understand the requirements of California earth end Safety ••e Sect'. -25505,25533,and LEGALIZATION:N F E E SUMMARY STRUCTURAL SEG ENT:N 25534,and that 1 or any future building occupant will/will not(circle one)need to comply with said stat.codes. .,the requirements for apermit for constructions modi&etionfromtheAir u'6eliiyMenagement District.Residential construction applications are exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIP/RES GRADING pproviResidential, PERMIT c 30 .00 Date: Applicant: 50$ SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: PLAN o I have and wilt maintain a certificate of consent to set-insure for workers'compensaNon,esprovidedfor bySection 3700of the Labor ISSUE FEE Code,for the performance of the wok for which Nepermiisissued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE o IhaverandwiltmsnWnwokers'compensatoninsurance,es required bySection 3]OOrydthe Labor Code,kw the performance ofthe TOTALS—;--> .30 .00 , 0 .00 0 .00 30.00 30. 00 .00 _ work for which thio permit ie issued.My workers'compensation insurance caer end policy number are: CaneO - - REVENUE DIVISION TOTALS--> COLLECTED: 30 .00 OVER/SHORT: . 00 PolryNumbe BLDG PMT .PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need not be completed 1 the panne is for one hundred dollars(S100/or Mn.) 30 . 00 o I candy 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'compensationlaws of California.and'wee that if I should become subjectworkers' to the compensation provisions of Sectionn37003]00 of thee Leben Code,I shalt fonhwilh oompy wild those provisions. *******************all******************all*all**all********all*****************all****ale*** Date: Applicant: INDIVIDUAL F E' E BREAKDOWN. t • Warming:Failure to secure woken'compensation coverage Is unlawful,and shall subject an employee to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines up to one hundred thousand dollars($104000),In addition to the cost of compensation,damages as Provided for In . section 3706 of Me Labor Code,Inbreat,and attorneys lea, CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending ing agency for the ELE 1 ELECTRICAL RE—INSPECTION FEE 30 . 00 30 . 00 performance of the wok for which this permit is issued(Section 3097,CN.C). END OF FEES LENDER'S NAME: . LENDER'S ADDRESS: • I certify that I have read this apptkation an•tate that the above infom)ation is correct.I agree, complywith at city and county ordinances ' rel and state laws ay o building omen -nn and hereby em ra eepresentaties of this to enter upon the above-mentioned properly for Inspection 9 RIC. :a'D AL O 01 00146513-00196513 To-r 30.00 • / PdnlNama r • DATE: 12/14/95 TINE: 12:50 Date �• _ __Sgna r Own iV.e App/nt/Contr (515146 WP) WhiteBuilditg&Safety:Green-File:CanaffitlMicent:Pink-Revenue:Goldenrod-Assessor • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • OF COSTA MESA CONSTF�UC ION PERMIT PER NO. TRACT NO. LOT NO. UNIT Nb. ' • - . . 7/Project Address �.3"/ R:-"�s..�� 1 ' ��53 r ' • - - • 6%13786 ' 5.00 f L 4 Applicant's Mailing Address /72�yr6��7za�J�] TYPE OF CONSTRUCTION U NEW ❑ ADD U ALTERATION E REPAIR ' 'Owner's Name /F'7L#t .• W SO—/q 3' ❑ CONVERSION "❑ DEMOLISH ❑ OTHER A.P.# Zone yq -y/ J (� q �1 DESCRIPTION OF WORK/USE OF BLDG. r Address s pr b ///amu/ /yOA�tA2dL !1"/f r l'-• 3N S Main Building: Accessory Building: Arch/Eng. Y License No. TVPE OF PERMIT U GRADING U FOUNDATION ❑ STRUCTURAL - E Front O • LI Address ❑ ELECTRICAL ❑ PLUMBING El MECHANICAL Address B Rear • N ❑ OTHER A I Contractor's Name .l Phone' PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right - . . N Address(mailing) '-YAW CONSTRUCTION TYPE VALUATION$ ' K Left G S City'License No. R LICENSED CONTRACTOR DECLARATION ZONE GRADING CU.YDS. ACRESParking q,/Provided . E Ping. Ref.# Re I hereby affirm that I am licensed under provisions of Charter 9 (commencing • Q Remarks: Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code, and T my license is in full force and effect. License Class License No. - S Date Signature PLUMBING FEES WORKERS'COMPENSATION DECLARATION - IA ' iereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers ELECTRICAL _ FEES_ • Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 3800, Lab. C.) Automatic WasherTransformer ❑ 15-50 KW , Policy No. Company Backflow Irrigation Sewer CapD 50+KW Construction Pole Sub. _ Certified copy is hereby the • — Certified copy is filed with the city Building Division. • Bathtubs Sewer Connection Cooking Unit Meter Pup to 100 amps Date Applicant - EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100-amps - (This section need not be completed if the permit is for one hundred ($100) or - less). Dishwasher _ Solar Piping Dryers ❑Gas ❑Electric Sub Panel • 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 t become subject to the • Drinking Fountains Solar Tank - Fan Motors❑0-1 HP ❑1%-8 Worker CompAnsado Laws of Califo QQQ ��, `_ Dal. 40^ !y— 81° Signatur,T asp.- 1 Ott, Floor Drains Swimming Pool w/Spa F.A.U.'NOTICE:If,after making this declaration, you sho d become subject o the Inc.Solar D0-15 HP ❑1'6-154- Workers' Compensation provisions of the Labor Code, you must fo hwith Floor Sinks Urinal Fixtures • comply with such provisions or•this permit shall be deemed revoked.- Microwave • CONSTRUCTION LENDING AGENCY ' • ' " Gas Service Outlets. Water Closet - 1 'Device Boxes I hereby affirm that there is a construction lending agency for the performance - T f. Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors -' Water Heater • �,RV • 'Outlets Ran f Lender's Name _ - - - - OQn.�s?/ ge Lender's Address Kitchen Sink - Water Service OWNER BUILDER DECLARATION - - - -- -- - - _ Switches Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash - •i / 'Garbage Disposal ;Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays ,t Generator ❑0.5 KW ❑5-15 KW any structure, prior to its issuance, also requires the applicant for such permit - Trash Compactor . to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains - '" the Contractor's License Law (Chapter 9(commencing with Section 7000) of ' ]ivision 3 of the Business and Professions Code) or that he/she is exempt ' herefrom 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 7 penalty of not more than five hundred dollars($500). - 1KI, as owner of the property ith_wages-ac-Weir sole Reinspection Fee I $15. • Issue Fee $ 3 ' rempenratum, will do the work, and the structure is not intended or offered _ --. Reinspection Fee I $15 Issue Fee • $ 3 for sale (Section 7044, Business and Professional Code; The Contractor's MECHANICAL FEESI l - . _ _ - , - License Law 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 ' —� DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such Improvements are not intended or offered for Boiler . Hood or Type I ❑ ' i sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 Zoning Approved By Date pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground i ef[6uild ing Approved By Date prove for the purpose of sale). • r . ❑ I, as owner of the property, am exclusively contracting with licensed con- . Duct-Structural Refrigeration System {' Application Issued By Date Ip—/ S--no tractors to construct the project (Section 7044,Business and Professions Code: - The Contractor's License Law does not apply to an owner of property who Duct-Ventilating- -' 'DO-100,000 BTU ❑100,000 BTU L ' SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con- _ _ ' tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP , $ proof of their Worker's Compensation insurance should ,be provided to me.' .1 ^\ PLAN CHECK $ `\I PERMIT 0 I am exempt under Section B.& P.C.fo this reason Firepl/Fact.Bit. ICBG# Fire Dampers x,d\ PLUMBING $ ,cc",eU ERMI ISSUANCE $ DateOwner A(4d / - 1_ Heating System& Ducting Registers • 4-: PLAN CHECK 25% $ - • ENERGY P.C. ' $ ' I hereb certi y that I have read this application and state that he above ' DO-100,000 BTU 0100,000 BTL - r information is correct. I agree to comply with all city and county ordinances G d' ELECTRICAL $ GRADING - $ • • and state laws relating.to building construction, and hereby authorize repre- I - MICROFILM $ sentatives of,t'' city to en upon the obey-- entioned pro erty for • f PLAN CHECK 50% $ rr aa/\ inspection purged" �- / • �6 • - TOTAL FEE $ U ' V� MECHANICAL $ Signature /i., - Date Reinspection Fee $15 Issue Fee I $ 3 PLAN CHECK 25% $ Drivers' License or SS t — - . . CMF 0865-46,rev. 10/84 White - Building; Canary; Applicant; Pink -Accounting; Goldenrod - Assessor lip CONSTRUCTION AND PLANNING POOH _ SPA PPROVALS 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 UFER 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, D 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. 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 D 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 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 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final ElectricNotes:/_24_ft.d�/ 34. Final Heating& Air Conditioning .1' 7 ,�"c n? - / �/ 'f arty? Final Gas Pipe-Test /`y GL C 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 43i.-Backflow Irrigation • 447sLandscape Irrigation System 45,.Sound Attenuation 46Handicap Regulations .475FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric'Release to Edison 50.TGas Release to Southern California Gas Co 51sCERTIFICATE OF OCCUPANCY No. Date _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. _ -r CITY OF COST1C MESA O 2 CONSTR UCTI !9.PERMIT PER ITT NO. �� TRACT NO. LOT NO. UNIT NO. • A P # Zone Project Address pV, 9 SI t E J S Main Building: Accessory Building: / Applicant's Mailin Address 77c7 d4r c trsrA AA„,„/„4„1. `qTU YPE OF CONSTRUCTION NEW ADD H ALTERATION ❑ REPAIR E Z ❑ CONVERSION ❑ DEMOLISH WR11 OTHER T Front O Owner's Name HiLiaG.eOL AL &0" Phone DESCRIPTION OF WORK/USE OF BLDG. I B Rear N Address 394 �-2347 I TYPE OF PERMIT IJ GRADING U FOUNDATION ❑ STRUCTURAL C Right N Arch/Eng. License No. K G Address ❑ TENANT Xi ELECTRICAL 0 PLUMBING 0 MECHANICAL $ Left R Contractor's Name l �.� ❑ OTHER Ping. Ref.# ParkingRe ��FFx�/ .rG rr Phone�'y�—}"...G q./Provided E Address(mailing) /2/�'' "C c/r✓t259. #cc'Atrn/kr /.PROJECT DESCRIPTION SQ. FT. OCCUPANCY M PlanningNotes: 4-1,--1et CONSTRUCTION TYPE VALUATION $ T City License No. ZONE GRADI NG CU.YDS. ACRES S.LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: "]_ `2 1 I.U with section 7000) of Division 3 of the Business and Professions Code, and j� —1 L my license is in full rce and effect. ELECTRICAL FEES Ucens Cla s __License No. c / } PLUMBING FEES Automatic Washer / Transformer 0 15-50 KW 42 7 Date •� Signature �� WORKERS'COMPENSATION DECLARATION I Construction Pole Sub. 0 50+ KW 3 to hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink $hOWere ,f Workers' Compensation Insurance, or a certified copy thereof (SectionCooking Unit I Meter [pup to 100 amps Backflow Preventer Service Sink Sc 3800, Lab. C.) Policy No. Company Backflow Irrigation I Sewer Cap - Dishwasher Meter Dover 100 amps BCertified copy is hereby thr he 1 Dryers Gas ❑Electric / - Sub Panel 22� a 25 EN Certified copy is filedhere with the city Building Division. Bathtubs Sewer Connection !/ ,( Date Applicant Fan EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors -- Motors ❑0-1 HP ❑1'h-B les ).(Thissection need not be completed if the permit is for one hundred ($100)or Dishwasher Solar Piping • F.A.U. Inc.Solar 09-15 HP 016-15+ less). I certify that in the performance of the work for which this permit is issued, i —' LI Fixtures '3 shall not employ any person in any man )so as to become->Nb'e to te Drinking Fountains Solar Tank Microwave cry Workerj C pv.is tion Laws of Coliform // /G� l Date 0 yin T Signature ! Device Boxes Pole Light CO—7— �?^o Floor Drains Swimming Pool w/Spa 9 NOTICE:compensation makingthis ions of h,you shouldCode,become lett to forthwith Outlets comply Com such 1pr provisions the tr hllyou t f rrtoked. Floor Sinks Urinal [C fQ Range 5U comply with such provisions or this permit Shall b¢ d emetl revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet 9 Switches Sign `j N I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Clv. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's BUILDER Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays 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 Roof Drains I f Ok- the Contractor's License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee --fee— 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). DEVELOPMENT SERVICES REQUIREMENTS: ❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Feb $ 3 I -. compensation, will do the work,and the structure is not Intended or offered - Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date • License Law does not apply to an owner of a property who builds or improves _ _ _ `<. ^Q thereon, and who does such work himself/herself or through his or her own Applitltion Issued By A !T DatO employees, provided that such Improvements aro not intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement Is sold within one year of Com- Canopy Type II 0 pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground SUMMARY OF FEES prove for the purpose of sale). BUI LDING PERMIT $ SMIP $ ❑ 1, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 0o-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ — builds or improves thereon.and who contracts for such oroiects with a con- ENERGY P.C. $ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple❑ System Repair/Alteration PLAN CHECK 25% $ �p,.7 proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ �'—L GRADING $ ❑ 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers MICROFILM $ PLAN CHECK 50% $ _ Date Owner Heating System& Ducting Registers MECHANICAL $ I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000Bit — TOTAL FEE $ information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building c traction,and h reby authorize repre- sentatives of tit' city to enter up0 t e ove- Boned property for Inspection purp es/ % �y7T `;/ Signature 9/�4/ Reinspection Fee $15 Issue Fee $ 3 C'_ {CD35C13p1 :4 L'1.1 "`,C: 0865-46,rev.5/88 white - Building: Canary - Applicant; Pink -Accounting; Goldenrod - Assessor _ i. -,,/ •, ?jliy.: -? (5 e",i fir CONSTRUCTION AND PLANNING POOL&SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector :V ,. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement p -3. Electrical Conduit Utility-Undrgrnd. 54. Forms , 4. Electrical Conduit-Undrgrnd. i, 55. Electrical Bonding 5. Steel'Reinforcement- 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grndt. 57. APPROVAL TO COVER-GUNITE 7. Footings 4I. 1 58. Electrical Conduit-Undrgrnd. t,• ' 8. Foundation i • 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 &•-louse Connection . 62. Backwash & Receptor-Final 12. Sewer Cap ' '^( I ' - 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 el/3-6, 7J 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 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing - 73. Undergrnd.Storage Tank 0 Gas ❑Oil ' 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat ' 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77, FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 04;30.11-1d: 80. FOOD CERTIFICATE ISSUED I 33. Final Electric Ay easo rNotes:(_ //_,- Jo-21-7 et, {Oe, 34. Final Heating & Air Conditioning_ --• _ ��W�111 / V 35. Final Gas Pipe-Test 36. Hood or Canopy I 37. Final Factory Fireplace ' 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final -� :' r 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. Special Requirements Completed 4 49. Electric Release to Edison '\ 50. Gas Release to Southern California Gas Co • , \ 51. CERTIFICATE OF OCCUPANCY - . , t ' \ JN\o. Date - - _ I Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. q 3$Q PERMIT NO. TRACT NO. CLOT NO. UNIT NO. CITY OF COSTA MESA /C—O^N� TRUCTION PE/R�MI 2 3 T' r r•� A.P.# (p ^ / — D Zone Project Address 237 JTZ ST-f/' y.1 c• �J ` S44 I./ 1( . yFFFFFffffff••••••• S Main Building: A g di, Accessory Building: �Applicant•s Mailin/,.8. dress Z•-•Sci /Se2,5ro srGys /f e•r C42� TYPE OF CONSTRUCTION NEW ADO ALTERATIONy- REPAIR E y� I Owner's Name r-00A4a *.t ir/ten.'�a Phon�y? ❑ CONVERSION ❑ DEMOLISH ❑ OTHER Fri e/ei1 S F.P T Front 13 • Q / D SCRIPTON • WORK/U EOF :LJG. C • - • " ' .4' SQ B Rear f)�1{ .:Address � i 9 C22,v -Sr: G<s,S. ole-t4 �^1-•fsst7 - Il. ..¢: i �I . • : . - .l .. �T r Right Cfi I Z UI - A Arch/Eng. License No. TYPE OF PERMIT GRADING FOUNDATION 0 TRUCTV RAL K Cl Address ❑ TENANT El ELECTRICAL ❑ PLUMBING El MECHANICAL $ Left ail \� ) / Contractor's Name 1f�J Phone ❑ OTHER ,rv,s,,, 2_72. Ping. Ref.# Parking Req./Provided Address(mailing) / PROJECT DESCRIPTION SQ. FT.°0. oCCUPANCV y Planning Notes FOR SPECl/�I. ' �UIREMENTS— �n��n1I��i as •I City License No. 20NE TRUCTION TYPE GRADING CU.YDS V ALUATIONAC ACRES I r+- uc s a/t dl 'LS'fI Kb en . orw-d • 2a I 0 111 LICENSED CONTRACTOR DECLARATION 7 is. 1 hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: P�'tea-/- 7�-495 P� •�•� !//�� ,g q I ..L -, ! .,•J •1-' with section 7000) of Division 3 of the Business and Professions Code,and r 1 J V l •ilicense is in full force and effect. 'ECTRICAL FEES :nse Class License No. _.te Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATIONBar Sink Showers Construction Pole Sub. • 050+KW I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter pup to 100 amps 3800, Lab. C.) Policy No. Company Backflow Irrigation Sewer Cap • Dishwasher Meter Dover 100 amps BCertified copy Is hereby furnished. Dryers ❑Gas ❑Electric ^ Sub Panel tertified copy is filed with the city Building Division. Bathtubs Sewer Connection Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATI. Clarifiers Solar Collectors • Fan Mdi6ri 00-1 HP 01'h-S (This section need not be completed it the permit is for o•- hundr- ($100 •'r less). / / Dishwasher Solar Piping F.A.U. Inc.Solar 09-15 HP 016-15+ I Certify that i the performance of the wo�w his / tis is r•d I shall note y an pe on In an. -• • -r;so a • bet'se'subjec''o the DrinkingFountains Fixtures Microwave Wor //ss I Solar Tank Date A en tin,Caws of Califon a. Date d / Signet �r� Device Boxes Pole Light 9 Floor Drains Swimming Pool w/Spa 9 NOTICE: If a r making this onof h, you should become subs to te Outlets comply ensati pn provisionsionof the Labor Code, you et forthwith Floor Sinks Urinal Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service OutletsWater Closet Switches Sign I hereby affirmk that therewhiis a permit lending agencyc for the performance C.) of the work for which this permit IS issued (Section 3097 Civ. C.IInterceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00.5 KW 05.15 KW Trash Compactor OWNER BUILDER DECLARATION - ' hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash owing reason (Section 7031.5 Business and Professional Code: Any city or my which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays - /• / 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 Roof Drains - the Contractor's License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 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 anal f not more than five hundred dollars($500). 3 DEVELOPMENT SERVICES REQUIREMENTS: 547-CP?as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ T compensation, will do the work,and the structure is not intended or offered Zoning Approved By l • Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or Improves _ _ • thereon, T^d who does such work himself/herself or through his or her own ■ Application Issued By Dat: eir employeG1;rovided that such Improvements are not intended or offered for - sale. If, however, the building or improvement is sold within one year of com- ■ pletion, the owner will have the burden of proving he/she did not build or im- e• SUMMARY OF FEES . prove for the purpose of sale). BUILDING PERMIT $ 27/•.lt2 SMTP • $ / t 9i 0 I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System tractors reconstruct the project (Section 7044,Business and Professions Code: PLAN CHECK $ _ _ PERMIT The Contractor's License Law does not apply to an owner of property who a00-100,000 BTU 0100,000 : PLUMBING $ ISSUANCE $ builds or improves thereon.and who contracts for 5 ch oroiects with a con- ' tractor(s) license pursuant to tne Contractor's Lice • Law). I am aware that ■ stem ■ . •.� PLAN CHECK 25% $ ENERGY P.C. $ proof off their Worker's Comensation I ranee ould b' provide•/ o me. ' •0 1am exempt antler Section /C.for P reason Fire Dampers • aI ELECTRICAL $ _ _- GRADING $ �—� -/ 1I 'ii.1 ■ \Pt `„ - •N CHECK 50% $ MICROFILM $ Date 7N�:11 Own. LeRegisters % GO"'`0 IPI j 2 7 y-I I hereby rt that have read this ap•, .tion a tl state not the above 00-100,000 0100,000 B T_p� '_a MECHANICAL $ TOTAL FEE $ information is cor . I agree t• comps ni all ared y nth ordinances ' i• M � PLAN CHECK 25% $ and state laws raid to but ng eA >✓d hereby au thonix• repre- sentatives of th y to •/er he e-mentioned pro, rty f Inspection es, / Al �� • Da Signatu - L . Reinspection Fee $15 . Issue Fee $ 3 . Di DOo12499-600315DU T L.T 0665-46,rev. 5/88 white - B Iltl ing; Canary • Applicant; Pink • Accounting: Goldenrod - AssessorL'etE• 7:0.3,0 I IIILa it!-.3: -4 DOL &SPA CONSTRUCTION-AND PLANI , APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Tempo,'" Electrical Service or Pole52. Pool & Equipment Location 4 ' `t 2. Soil Pipe-Undrgrnd. • ' .l 53. Steel Reinforcement - e a1Electrical Conduit Utility-Undrgrnd. 54. Forms 1 Electrical Conduit-Undrgrnd. • 55. Electrical Bonding 51ISteel Reinforcement 56. Rough Plumbing & Pressure Test / ! 6!' Electrical UFER Grnd. CS .q (1 57. APPROVALTO COVER-GUNITE /,moi 7.%Footings S g4 nduit=Undrgrnd. / ' , ' '/(Z t_ ,- 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test i ,; , 9..Water Pipe-Undrgrnd. ./ 60. Backwash Lines, P-Trap, 0 Undrgrnd. .. 10. Structural Floor System 61. APPROVAL TO DECK /'"1 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. POOL/SPA SYSTEMS FINAL -19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough'Factory Fireplace APPROVALS Permit# w 21. Ducts,in Structure -- 70. Underground Hydro ..,„ 22. Ducts,-Ventilating � 71. Product Piping O Gas 0 Oil 23. Gas Pipe/Rough &Test �.-r 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 Flashirig 648 ? .old/ 76. Dry Standpipe ` • 28. Lathing&Siding 77. FIXED SYSTEM FINAL 29. Ins'ula`tion 78. FIRE PREY. FINAL • 30..Drywall1Nailing ( G/2-•H (/w (�/ j HEALTH DEPT. REQUIREMENT' = .t 31. Plaster Brown Copt..., ( V 79. FINAL INSPECTION _ t . 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED y� 33. Final Electric Notes:] /y �,f1- yP occ: 34. Final Heating & Air Conditioning . 2-6 n �,ct •`/i�,7 ®� --- - �I�Co-r, 35. Final Gas Pipe-Test 36. Hood or Canopy /W0Pla-�_�C.L6,C0 y r c 37. Final Factory,Fireplace /13 - rwsil/- C`J/fJ0 /1/7---/f l k 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 i 46. Handicap Regulations 4 4/ £ �, 36 d . 47. FINAL STRUCTURE & BUILDING /ti x is- UA a .- 4Q. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No. Date r • City of Costa Mesa MEASURE "G" EXEMPTION Plan Check # 171-89s Exemption # 89-380 Permit # Case # Address: 239 East 22nd Street Unit: Applicant: Richardo Alvarado FACTS: x❑ Residential ❑ Commercial/Industrial ❑ Other ❑ Existing Lot ❑ Not Part of Larger Project Project Description: Add bedroom and garage to an existing house • No. of Dwelling Units 1 (existing) Gross Floor Area NA Square Feet F.A.R. NA Estimated Traffic Generation: NA Avg. Trips/day FINDINGS: The above described project is exempt from compliance with Measure "G" for the following reasons: n 1. Project is a commercial/industrial development which meets all of the following criteria: gross floor area is equal to or less than 10,000 square feet or has an average daily trip generation of less than 130 daily trips, has buildable floor area ratio of less than 0.5, on an existing lot, and is not part of a larger project. ❑ 2. Project is a residential project of four dwellings or less on an existing lot. x❑ 3. Project is residential construction that does not increase the number of permanent housing units on the parcel where the construction takes place, such as remodeling or rebuilding of an existing house. n 4. Project is commercial/industrial construction that does not increase the footprint or square footage or change the use on the parcel where the construction takes place, such as remodel- ing or rebuilding an existing structure. ❑ 5. Project is a public benefit facility, which is defined as public libraries, public administration facilities, public parks, public utilities, and religious facilities. Fl 6. Project is a facility serving the health and safety of the people, which is defined as hospitals, police, fire and safety facilities, and schools. Exemption ratified by: Planning Commission Date April 10. 1989 ❑ City Council Date . 1648-30 -3 a-— 'EJECT PROPERTY INFORMATIC • 1) Property: 239 22ND ST, COSTA MESA CA 92627-1 81 1 C016 APN: 426-144-10 Use: SFR County: ORANGE, CA Tax Rate Area: 15044 Total Value: $206,025 Census: 632.01 Prop Tax: $2,269.76 Land Value: $121,553 Map Pg: 31-E1 Delinq Tax Yr: Impry Value: $84,472 New Pg: 889-B2 Exemptions: HOMEOWNER Assd Yr: 1997 Phone: 714/548-0517 % Improved: 41% Owner: ALVARADO RICHARD Mail: 239 22ND ST; COSTA MESA CA 92627-1811 SALES INFORMATION IMPROVEMENTS LAST SALE PRIOR SALE Bldg/Liv Area: 592 Transfer Date: 11/12/86 09/12/78 #Units: Sale Price/Type: $113,500 VERIFIED #Bldgs: Document#: 553578 #Stories: 1 Document Type: GRANT DEED $/SF: $191.72 1st TDIType: $90,800 CONV Yrblt/Eff: 47 Finance: Total Rms: 3 Junior TD's: $11,300 SELLER FIN Bedrms: 1 Lender: GREAT WESTERN FED'L Baths(F/H): 1 S&L Fireplace: Seller: WRIGHT MAURICE E Pool: Title Company: FIDELITY NATIONAL TITLE INSURANC Bsmt Area: Transfer Info: Construct: SITE INFORMATION Flooring: • Air Cond: Improve Type: DETACHED Lot Size: 50 X 150 Heat Type: WALL FURNACE Zoning: Lot Area: 7,500 Quality: AVERAGE County Use: 1 Parking: Condition: GOOD Bldg Class: Park Spaces: Style: Flood Panel: 060216-0047E Site Influence: Other Rooms: Phys Chars: COMPOSITION SHINGLE ROOF COVER;WOOD SIDING EXTERIOR;PUBLIC WATER;PUBLIC SEWER;FENCE;AVERAGE FUNCTIONAL UTILITY;DISPOSAL; Legal: L283/NEWPORT HEIGHTS NWLY 50 FT SELY 150 Comments: Copyright© 1996-97 Experian Page: 1 of 1 • OWNER LITCHFORD, NELL W. DATE 3-28-57 JOB ADDRESS 239 22nd Street BUILDING PERMIT NO. .#11775 GENERAL CONTRACTOR Owner B1dr. VALUE >6 1,352.00 AP118-110-19 LO" , BLOCK TRACT Bedrm. add. GROUP I TYPE V ZONE R1{ FIRE DISTRICT 4807 INSPECTIONS DATE SUBCONTRACTOR PERMITS ISSUED DATE NUMBER Footing Trench 1( a F.. 4 - 2.' y Foundation Forms and Grade to Garage Rough Framing Ut / Plumbing, Rough to Slab Plumbing,Rough Complete Temporary Pole , /' ,// Wiring, Rough :•i 1951 :SJl.r1 L/ 4// '-$ 7 73 7 (� Heating,Rough Heating, Final Sewer, House Sewer,St. Septic Tank or Cesspool [ y Lathing, In It OutX P :ring -G - •r7 Plumbing,Final,Fixtures Complete Plumbing,Final Gas Test Wiring,Final MAY 1 1951 VCB _ Occupancy u: 1' . FORM 210 3M 10.55 075 4807 FEE RECEIVED S a COSTA MESA BUILDING DEPARTMENT .›-Z111,/ P.O. BOX 317 COSTA MESA. CALIFORNIA C�j!��DpEPME,$p FOR APPLICANT TO FILL IN APFa11 9,514 P' IM!M PERMIT BUIRESLDINSG a 3 9 ,22 „el 51- • BUILDING ADD COSTA MESA. CALIFORNIA FOR OFFICE USE ONLY Ne / RECEIPT NO. PERMIT NO. OWNER P1e1I ,f/I,�', 4,)ir4Ay 4(7Sr MAIL RECEIVED BY DATE RECEIVED (DATE ISSUED ADDRESS o,3 q „2,2 =// S /%' / 3 as7-4--7 3 a.PU Cosi-e, / `esc TEL. BUILDING CITY ` /-(, n// NL. BU ARCHITECT LIC. OR ENGINEER NO. COSTA MESA. CALIFORNIA FIRE ADDRESS ZONE ZONE's NO.OF TYPE v GROUP CITY DeanerO. PLANS CONTRACTOR NO. �/ A TEL. APPROVED 441/DATE oZ.d j"/ ADDRESS NO. BY �/ DATE / LEGALU EL,I IONS DESCRIPTION NO. ` BLOCK TRACT IV:! A.P. NO. IIF(- 110 - /9 APPROVED SIZE OF LOT V�^1O No.GFON BLDGS.LOT if CITY OF COSTA MESA �/, D NDW USE OF P✓ /J PLANNING�,�� DEPT. EXISTING BLDG. Dam/ /n p SUBJECT TO 44G. DEET. REG. SETBACK LINE FROM �f./ .; / ILJI CENTER OF STREET - yy/-a.0 ' REAR YARD aV1 /// v-/ //// BY/6. -. ' DATE % -1'} -5 SIDE YARD RIGHT 4 //f/ LEFT PLAN T€C4C2,2 DESCRIPTION!! OF WORK • y� NEW ALTERATION ADDITION X REPAIR ( MOVING DEMOLISH BUILDING /a ✓ 13 SIZENO.OF ROOMS S / STORIES ES EXTERIOR WALLC ROOF • COVERING 7�u� COVER]NG at)Mita USE OF NEW �BUILDING rOO ✓ a afi t-ta-rJ • I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUC• TION. /J ,//A L/p /1/ VALUATION • SIGNATURE OF ✓,®/!� .�/= PERMIT FEE $ �r PERMITTEE //C../KK�/C.. VVV111 l / //..) 3 Swig- PLAN CHECK S N� l//'//T /.{./ / fin/ $ ((! AUTHORIZED AGENT (Al `Prif �17E/4W TOTAL FEE 5 / d - I VPMr