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Home My WebLink About120 23RD ST - Building Permits I 'ADDRESS OF BUILDING: . 120 .23RD ST UHT: D CITY OF COSTA MESA — BUILDING PERMIT OANERSNEMEIFIWgyN VNE DEVELOPMENT -; PERM NO: B 075325 ADDRESS 1048 IRVINE # 363 •' I PERMIT NO: 8 075325 PLAN CHECK NO: 04263-95 A GOVT: N SUPP : N 'JEWPORT BEACH, CA 92660 825-0671 APPL.SWUNG ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: NEW ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : NEW CONDO 1923 SF LIVING/ 430 SF GARAGE SQ FT: 2, 353 ARCH.OR ENG.'S ADDRESS:' UMT: CLAIM VALUE: CALC—VALUE: 158, 659 . 70 GROUP OCC: R-1 /M-1 CONTRACTOR'S NAME: calmAcTofrsMNUNO COMMENTS : NEW CONDO ADDRESS: UC.NO.: ******************************************************************************* UHT: ZONING REQUIREMENTS UCENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury thei I am licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7000)of Division 3 of the Business end Professions Code,and my license is in full force and effect. CITY LIC.NO.: LIC.CLASS: L1C.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING Dale: Contractor: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: 5 FT IN RGHT: 32 FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the • 'allowing reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit to construct.eller,improve. PARKING REQ: P RO V• PARCEL : 43942102 Z N E: R2—H REF NO: PA-95-20 Imolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she .licensed pursuant tothe provisions othe Contractors License Law[Chapter 9(commencing with Sedien7000)ofDiviion3ofthe PLANNING NOTES> 1143 SQ. FT. 3—BEDROOM, 2—STORY DWELLING WITH 430 SQ. FT . Business and Professions Coe]or that he or she is exempt therefrom and the basis for the alleged exemption.My vitiation of Sedan ;5 GARAGEAND'"713 S Q. F T. LIVING AREA. / 1 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollen 155000. *********************irk.******************************************************** ❑ I,as owner of the property or my employees with wages as their vola compensation,will do the work,and the structure is not intended D E V E L 0 P='Mr vE •N 'T SERVICES R E U IR E M E N T S or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply to an owner of property Q who builds or'improves thereon,and who does such wade Nmseff or herseff or through his or her own employees,provided that such '' /et -%I provements are not intended or offered for sale.f.however,the building or improvement is sold within one years completion, ZONING APPROVED BY : ac DATE: \1I2, ! t }}�� ownenbuilder will have the burden of proving he or she did not build or improve for the purpose of sale). ISI,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and G'/ !r7 Professions Cade:The Contractors License Law does not apply to an owner of property who builds or improves thereon end who BUILDING APPROVED B Yr; /.,, r., DATE: r contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). e., ./' r ❑ Iamaxe�� 5�ion: B.AP.C..iplklsrma�ta APPLICATION ISSUED BY:'+ y �t* j27 / 'j/ Date: Owner 1I�/ ,S�V.�l ***************************************iE iF iE iF 52-41t:*****************iE iF-#-#-#-#-W****** LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: Y I do hereby certify tit I am aware of end understand the requirements of C ostia Health and Safety Code Sections 25505,25533.end • orconororenfeAmllone) requirements pent for conawlimodificationfrom the iSanagement DelrdResidentW construction are exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 846 . 0015 . 87 Date: Applicant: SM I P/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following declarations: PLAN 137. 48 ❑ I havedeand veilmaintmaintaina cenifiate of consent to sal insure for workers'compensation,as provided for by Section 3700 of the Labor ISSUE FEE 7 Co ,for the performance of the work forwhoh thlepermh i issued. BUILDING—DIV > PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ I have and wit maintain workers' mpensalion insurance,as required by Section 3700 of the Labor Code,for the performance of the TOTALS > 8 61 . 8 7 0 . 0 0 13 7 . 4 5 9 9 9 . 3 5 9 9 9 . 3 5 0 0 m work for which this permit is issued.My workers'compensation Insurance carrier and policy number ere: Lanier: REVENUE DIVISION TOTALS--> COLLECTED : 861 . 87 OVER/SHORT: . 00 • Policy Number. _-_ BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need no be completed y the penal(is for one hundred dollars 1St 00j or less.) 846 . 00 15 . 8 7 o I°edify that in the performance d the work for which this permit la issued,I shell not employ eny person in any manner iso as to become subject to the workers'compensation laws of California, end agree that N I should become subject to the worker' ******************************************************************************* shall compensation provisions of Section 3700 of the Labor Code,I forhwih comply wit those provisions. INDIVIDUAL F E E BREAKDOWN Date: Applicant: Warning:Failure to secure workers'compensation coverage le unlawful,end shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fins up to one hundred thousand dollars(S104000),In addition to the cost o/compensation,damages as provided for In seodon3osplmLabor attorney's SFR 1923 DWE—TYPE V—WOOD FRAME —GOOD 77 . 90 149, 801 . 70 • CONSTRUCTION LENDING AGENCY: I hereby alfimt under penalty of perjury that there is a construction lending agency for the SFR 430 RES—GARAGES TYPE V 20 . 60 8, 858 . 00 performance of the work for which this permit is issued(Section 3097,Civ.C). LENDER'S NAME: END OF FEES LENDER'S ADDRESS: • I certify that I have read this application and state that the above information is Cerred.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representativee of this city to enter upon the above mentioned property for inspection purposes. MIKE TALBOTT 1/ m Neste 1,111 PI Lf11j _ _ iR51L: 7:-...r,7:-...r, ?,!,....27' V Da 1 L .IATA? it '.: rjrtee i.E3,3 S of Gurnee/Agent/Applicant/Contractor (5151 a5.WP) While-Building A Safety:Green-File:Caren-Applicant:Pink-Revenue;Goldenrod-Assessor 1CONSTRUCTION AND PLANNING POt 2 SPA to APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. -33. Steel Reinforcement _ 3. Electrical Conduit Utility-Undrgrnd. L-, 54. Forms ^-� 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding /i 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings tate e. 58. Electrical Conduit-Undrgrnd. •8. Foundation ^9 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 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 - 1 I 22. Ducts, Ventilating . 71. Product Piping 0 Gas 0 Oil .2r Gas Pipe-Rough & Test -- 72. Underground Flush 24. Roof Framing • 46- 73. Undergrnd.Storage Tank 00Gas ❑Oil 25. Roof Sheathing qQ' 6�� 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat f 75. Dry Chemical 27. Frame and Flashing - • � 76. Dry Standpipe ' r / o,� 28. Lathing& Siding 1 �QiD�f� 77. FIXED SYSTEM FINAL 29. Insulation G�frr . 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: - 34. Final Heating& Air Conditioning *`,_ 35. Final Gas Pipe-Test - L.- 36. Hood or Canopy • I 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final , 40. Gas Service-Final 41. Solar Domestic-Final - , 42. Backflow Preventer 43. Backf low Irrigation 44. Landscape Irrigation System , 45. Sound Attenuation 46. Handicap Regulations -- 47. FINAL STRUCTURE & BUILDING . v / ' 48. FINAL PLANNING 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date , Ac a?WBMLNNO: 120, 23RD ST UMT: D CITY OF COSTA MESA - BUILDING PERMIT / OYME 5,41EIFIcMI: ONE DEVELOPMENT PERM NO: P 075339 . ADDS: 1048 IRVINE # 363 • PERMIT NO: P 075339 PLAN CHECK NO: N GOVT: N SUPP : N VEWPORT BEACH, CA 92660 825-0671 'APPL.IItuNDADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE : NEW 1' ARCHITECT OREIGNEER: UC.NO.: JOB DESCRIPTION : NEW CONDO 1923 SF LIVING/ 430 SF GARAGE SQ FT: ARCH.OR MG'S ADDRESS: WIT: CLAIM VALUE: CALC-VALUE: GROUP OCC : R-1 /M-1 CONTRACTORSNAIG: COMRACTORS MARINO COMMENTS: NEW CONDO, RE- #B75325 ADDRESS: UC.NO.: 1E1E**1E*1E1E♦E1EiE1E1E1ERE1EIEN-1E***REdE♦E1E**1E1E****161E1E1EiEdE*1E1EdERE1E#iEN#NBE1E1E1E1EdEdE1E1E1E1EiE1EN-1E1E16dERE1E1E1E1EiE1E1E1ERE OMT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby dim under penaly of perjury that I am licensed under provisions of Chapter g SETH ACK S (commencing with Section 7000)of Division 3 of the Business end Professions Code.and my license is in lull forte end effect. CITY LIC.NO.: LIC.CUSS: LIC.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 etfirm under pe&SY of perjury that I am exempt from the Cetradon License Law to the tdlowimg reason(Section 7031.5 Busies,and Professions Code:Any ay or county lids requites a permit to cennrud,der,improve. PARKING REQ: P ROV: PARCEL: 43942102 Z N E: REF NO: ' 'Iemd°h,or renal any structure.pod tons issuance.also requires the applicant for such permit to file a signed statement that he or she a licensed pursuant indhe provisions of the Contractors License Law Paper 9(commencing with Section 7000)d Diveion 3 d the PLANNING NOTES> Business and Professions Codel or that he Of she is exempi therefrom end the basis Ice the alleged exempcn.Any violation d Section C 7031.5 by any applicant fore permit ds itsubathe applicant to a orvi penalty dnoter nme Ilan free hundred dollars(5.5001). iE**1ERE IE N•*****RE***********RE*N-**16*3E*******************1E***iE*********1E************ ❑ I.asown°rdthe gopaM«myempbyeealhwages athee sole compensation.will do the work,andthe amours cndintended DEVELOPMENT S ERVTC ES . . R E' U rI R E M E N T S or offered for sale Business(Section 7044. end Prdeseions Code:The Contractors License Law does not ad*apto anOwner of property who who b ulds a improves thereon. who o does such work himself ahead or through his or her oven employees.provided that such u . , inproremeras arenas intended«dferdl«le.a.however.the building or improvement is sold within the year of completion.the ZONINGAPPROVED BY ', ' " DATE: owner-butler will have the burden d proving he or she did net bald a improv for the puryose d sale)' O I,as owner of the property.ern exclusively contracting with licensed contractors to construe,the project(Sedon 7044,Business acid Professions Code:The Comr°dod License Law does nor apply to an owner d property who brills or improves thereon and who BUILDING APPROVED BY : . r. _ _'') •-'1,,i".m(DAT E: contracts la such projects with a mmrerdpr(s)Licensed pursuant to the Contractoi5,1.1cent,Law). ,ay I / ❑ Iamexempt unde ion: /y5/ B,&P.C..for Cha . • APPLICATION ISSUED BY: �� .�♦ "" •�lDATE: 1114?i f f .is h / Date'. .'I �'�. �I1 Owner: APPLICATION*ISSUED*****1E1E1E1E1E1E#iE1E1E1EiE1EiE1E1E1E1E1E1E1EiE1E1E1E1E#1E1E1E**4e1E1E1E#iE1EiE1E***1E iE 1E 1f 1f 1E iE3Fi;* y LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT :N I do hereby car*that I am aware and understand the requirements d California Neagh end Solely Code Sections 25505,Pstaa,and r s (yr •`; (,. Pity,and that I or any future building occupant will I will not theca ane)need to comply w*h said state codes end the requirements for a permit for constniction or moddkalion from the Arr Quality Management District.Residentied conMruclion appications an exempt Inen these BLDG PMT PLUMBING ELECTRIC' MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 111 . 00 Date: Applicant: 252 L.- b • . SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:Ihereby alfnn under penally d perjury one of Slowing owing declarations: PLAN / :., ISSUE FEE 20 . 00 ❑ Ihave and MI meim°im a candied d consent toispet +for workers'°omp«sation,as provided la d by Sada,3700 the Lebo 7- Code.for the pedemd ancedawoMforwhchthispemmitaissued. BUILDING-DIC > PERMIT ISSUE PLAN-CHECK TOTAL' PAID DUE ❑ 1 hen end al maintain workarg.compensation insurance,as required by Section 3700 ol Vie Labor Code,for the performance of the TOTALS----> 111 . 00 20 . 00 . 0 . 00 131 . 00 131 . 00 . 00 work for which this permit is issued.My wakes'compensation insurance Tartar and privy number are: +.- Card«: REVENUE DIVISION TOTALS--> COLLECTED : ' - t3f . OQ OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC •FIRE _ SMIP/TOT GRADING PLAN-CHECK (Thi.section need not be convened i the perm*is/w one hundred dinars(Stool or Ism) 131 . 00 + , - ❑ I carry that in the performance d the work for which this Pend a issued.I sea not employ on any Persin any manner an alb • become sublad to the workers'compensation len d California.and agree did d I should become subject to the workers' ***********************************;***********4*******:************************compensation provisions of Section 3700 of the Labor Code.I shall forthwith comply with those provisions. INDIVIDUAL F E E. rBREAKDOWN Date: _ Applicant • Winning:Failure to secure worker.'compensation coronerle unlawful,and shelf.Wlecf en employer to criminal penaltiesend TYPE QTY D E S C R I P T I O N . .7 • • UNIT COST TOTAL COST civil fines up to one hundred thousand dollars(S1000O0),In addition to me coaf of compensation,damages as provided for In 1 I-; ' T Section 3706 of Me Labor Code,Interest,and attorney'fees. . , d. PLU 2 BATHTUB 1 S/!'00 • 14 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a construction landing agency for the PLU 1 DISHWASHER . •• 7 .•o 0 7 . 00 pedarnancadthe work for which this pemm*aissued(Section 3097.Cw.C). PLU 1 SHOWER LENDER'S NAME: t 700 7 . 00 LENDER'S ADDRESS: PLU 1 SINK, KITCHEN l,• 7 . 00 7 . 00 PLU 2 WASH BASIN (SET) .4 ..,., - .# Ih • 7 . 00 14 . 00 IMstale alIhave reed mam applicationtedstateandeabasinformationisc«reoomph, d.Iagree to win all oily'and county ordinances PLU 3 WATER CLOSET ( TOILET) r' ' 2" 7 . 00 21 . 00 for irspe construcconstructionwildconstructionol m d hereby amhorizesm preseativeeda dto enter m .m« this the goyimdion purposes. PLU 1 WATER HEATER AND/OR VENT 1T 7 . 00 7 . 00 MIKE TALBOTT PLU 1 WATER SERVICE i ,. ,, 7 . 00 7 . 00 ii pane PLU 1 GAS PIPING SYS OF Y TO 4. OUTLETS% '• 5. 00 5 . 00 PLU 1 GAS SERVICE 7 . 00 7 . 00 y sicare dOwnerppiranbGonlredor lDate: PLU 1 SEWER,, CONNECTION TO B�jILII DING EACH 15 . 00 15 . 00 7 .1 (5151.15.WP) Whde-Ouidig&Safely;Green-File;Canary-Appicant;Pink-Revenue;Goldenrod-Assessor CONSTRUCTION AND PLANNING POC . SPA , APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. i j. ' : :., 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 • • 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, ■ Undrgrnd., Test 9. Water Pipe-Undrgrnd. 4 . 60. Backvvasha 10. Structural Floor System _ APPROVAL • • 11. 1. Propertopert y Sewer Line & House Connection ZfZ.tc6 � �- 62. Backwash & Receptor.Final 12. Sewer Cap 663. Heater& Vent-Final 13. Roof Drains 64. 14. Rough Plumbing2/2`,1 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 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 27/Z '-/ 72. Underground Flush 24. Roof Framing ��G3 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 Mehr-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: Q, - hO1l�t. n 34. Final Heating& Air Conditioning 44 35. Final Gas Pipe-Test _ - - 1.2.: 7.12) 36. Hood or Canopy a--s l d at< 37. Final Factory Fireplace S' _(_'� a-tom 38. Final Plumbing • 2_t� G/_ '"/t 39. Water Service-Final V 40. Gas Service-Final . S j6 Mi 2�1r zE -o 41. Solar Domestic-Final .r--- /{ -C-9- O_ Q 42. Backflow Preventer C_3-96 ) �i-'�'� N `[ -5_,C 0--Z12,12 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 iI v A3PRESS OF BUILDING:irr s LINT: OWNERS TIME IF 1010WN: w • • ADDRESS` PERMIT NO: P 075339 PLAN CHECK NO: 04846-95 N PAGE: APPL.MAIUNO ADDRESS: TYPE QTY DESCRIPTION UNIT COST TOTAL COST ARCHITECT OR ENGNEER: LIC NO: ARCH.OR ENC.'S ADDRESS: UMT: END OF FEES CONTRACTORS NAME: CONTRACTOR'S MMLINO ADDRESS UC.NO. WIT: LICENSED CONTRACTORS DECLARATION:I hereby dim under penalty of perjury that I em licensed ulcer provisions a Chapter 9 (commencing with Section 7000)d Division 3 d the Business and Prdassom Code,and my license bin WS force and ellen. CRY UC.NO.: UC.CLASS: UC.NO.: Date: Camadm OWNER BUILDER DECLARATION:I hereby affirm oder penaly of perjury that I am exempt from the Contractors License Law for the following reason(Section 7031.5 Busies*and Professions Cede:Any coy or county which mouths a panni to=stud.alter,Improve, temdish,or repay any structure.prior ton issuance,also requires the eppkuN to such pemd to Ike signed Statement that M of she is licensed pursuant to the prombns of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Codel or that he or she is exempt therefrom and the basis Ice the alleged exemption.My violation d Section 7031.5 by any applicant for a permit subjects the applicant to a dvi penally of not more than inc hundred dollars 1$5001). . E an owner ci the propenyor my employees wth wages an their sole compensation.Ma do the work,end the swdura is not intended or offered for sale(Section 7044.Business and Prdessds Code:The Contractors Limos Law does not apply to an owner of property who bolds or inmate thereon,and who does such work tense or And or through ha Or ler own empbyees.Provided that such improvements are not intended or offered for sale.I however,the building or improvement is sold within one year of completion,the �^ ownenbdder will have the burden d proving he or she did not build Of improve la the purpose of sale). w 0 I,as owner d the property.am exdi scot/mdradig with licensed extractors to construct the project(Section 7044,Business end Prof steam Code;The Contractors License Law does not apply to en owns.d property wire builds or improves thereon and who • } contracts for such protects witha contractions)contractions)licensed pursuant to the ContractaiLicense Law). • 0 I am exempt under° Dion: B.8 P.C.,for this reason: Date: Owner: I do hereby certify that I am aware d and understand the requirements of California Health and Soley Code Sections 25505,25533,and 25534.ed that I or any future building omryem will/wit not(cimls one)need to comply with said slate codas and the requirements for a permit for construction or modification from the Army.anagenwu District.Residential construction appimionsare exempt Imm these • provisions. Date: Applicant: WORKER'S COMPENSATION DECLARATION:1 hereby sift under penalty of perjury one of the following declarations: ❑ I have and wig manta,a senate d consent to satl.insure for worker'compensation,in provided for by Sedion 3700 d the Labor Code, or the performance of the work for which this permit is issued. ❑ I have and% l mantai'workers'compensation irouruae.as required by Section 3700 of the tabor Code,kr the performance of the . work for which this permit is issued.My workers'compensation insurance carder and policy number are: Carrier: Policy Number: (This section need not be completed i the pease is for one hutted dame($100/or less) O I eerily that in the performance of the work to which use permit is issued.I deb nit employ any poen in any manner so as to become subject to the workers'componential laws of Catania.and eyes that i I should become subject to the waken' compensation provisions of Section 3700 of the Labor Code,I dell forthwith campy with those provisions. r= n;.: - - - ,,_ -. . Date: APF(LY: • .._. Warning:Album to secure workers'con ensaUon=versa Is unlawful,and shall stalest an employer to triMnsl penalties end civil rinse up to one hundred thousand dollars($104900A in addition to the cost of compensation,damages as provided for In Peahen 3708 of the Labor Code,interest,and attorney's feet • CONSTRUCTION LENDING AGENCY:I hereby elf under perthy of per'Foy that there is e eonatmdlon lending agency for the performance d the work kr which this perms is issued(Section 3097.Civ.C). LENDER'S NAME: LENDER'S ADDRESS: I certify thal l have read this application and state that the above information is coned.I agree to comply with allay and county ordinances • and stale lawradag to building mmouction and hereby au/horde representatives of this city to(Miff upon the above-nemioned properly Dor inspection purposes. • Pmt Name Date: - Sgnature of Owner//gent/AppicanuContradar y+.49.WP) White-Building A Safety:Green-Ale:Canary-Appkam;Pink-Revenue;Goldenrod-Assessor CONSTRUCTION AND PLANNING PO(. . 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, O 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. 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 ❑Od 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: 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 '"agbR40RBUILDING: . 120 b23RD ST UHT: D CITY OF COSTA MESA - BUILDING PERMIT I , WN aER5NIMEMIDCWIt VNE DEVELOPMENT e �{' PERM NO: M 07534C ADDRESS: 1048 IRVINE # 363 / , PERMIT NO: M 075340 PLAN CHECK NO: N GOVT: N SUPP : N VEWPORT BEACH, CA 92660 825-0671 APPL.MAIUNO ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC PURPOSE : NEW ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : NEW CONDO 1923 SF LIVING/ 430 SF GARAGE SQ FT: ARCH OR EN0.5 ADDRESS: UHT: CLAIM VALUE: CALC-VALUE: GROUP OCC : R-1 /M-1 CONTRACTOR'S NAME CM/TRACTORSMAILmo COMMENTS : NEW CONDO, RE : ltB75325 ADDRESS: UC.NO.: ******************************************************************************* INT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penal),of perjury that I am licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7000)or Division 0 d the Business and Professions Code.and my bcenee S in lull force and effect. CITY LIG.NO.: LC.CLASS: UC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING Date: cerasin FRNT: 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 wider pend)'of perjury that I ern exempt from the Contractors License Law for the sowing reason Business and Profession Code:Any city o minty which a permit to conspct,alter,improve. PARKING REQ: PROV: PARCEL : 43942102 ZNE: REF NO: emofnstructure priorh,or repair any or to its issuance,also requires the applicant for such permit to fib a signed statement that he or she p u licensed punnt cto the provisions d the Cmrras l cens (commencing e Law)Chapter S(commenwith Section 7000)of Divisiond 3 the R•LANN I NG NOTES> Business and Professions Code]or he or she e is nemq therefrom and the basis f«the alleged exemptionexemption.Arty violationdSection Section • /t > d . l• %, 701,Sbyeny epptnwtl l«eperrndsaint the eppcant toedvi penalty dnot mon thin ire hundred dollen/(5500]). ******************************************************************************* ❑ I.novrtwdOMpromry«myempbewa ysehweoesne. tsSe npensation,widothe wcdcstructure is and the D' L ' E v E L 0 P M E N T SERVICES R E Q/� U I R E M E N T S or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does m apply to n Orme d properly • M who Wilds or mproves thereon,and who does out work tames,or head or through his or her own employees,provided that such improvements are not intended or offered for sale.I,however,the bidding or improvement S sold within one yew of comdelen.the ZONING APPROVED BY � . - DATE: owner-builder will have the burden d poring he or she did nor build or unpvn for the purpose d sale). ( s �'] I, owner progeny.etnesdshey contracting with Uoesed contractors dmtmudtheprojed(Sean 7011,Business and _.r. )LLD NCx APPROVED BY • ., Professions Code:The Contactors License Law does m appy to en owns d property who bids or improve thereon and do ( ,• ;' DATE: minas forµsoh prgeds with scansions)licensed pursuant to the Contractors yyy��a...nsnsns...law). ` ❑ Iamexemptunder 4�e{cvjon �j B.SP.C..lerNls,.�J r PPLtI'L•�A ION ISSUED BY: �.-t• DATE: 41 Due: \_I '\ �L/C Owner: /�V` ******************************************** ******************* � �** `LT. LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT: N I do hereby certify that I am aware d understand the requirements of Celiomu Health end Safety Code Sections 25505.25511.and r , Id sp�ntffoordt'smst,xSnomor any oa°uilding intionb�heAirupant M (aw°meeao r itorimnnS)need to comply with said rape imwm°e.wn«,affrom�hae BLDG PMT PLUMBING ELECTRIC' MECHANIC FIRE SMIP/RES GRADING p"""ons. PERMIT • ' ' 22 . 00 Date: APP5card: y 25% SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby Sane of er m der penalty per ury r of the following declarations: PLAN ❑ Ihaws d willMaintains ceninsle of consentsent toes nmm,es pr frwskens'compersovidfor by fSection 5700 of the Labo ISSUE FEE LS . 00 a performanceCoda,tor the dmew« which BUILDING DIV > PERMIT ISSUE PIAN CHECK TOTAL PAID DUE ElM !have end Mtmeainworkers'compesatiinsurance. m edbySea3703dtfor eLaborCode, theperformaceofthe TOTALS > 22 . 00 15 . 00 0 . 00 37. 00 37 . 00 . 00 work for which this pend is issued.My compensation comperpinsurance caner and policy number are: Cate: REVENUE DIVISION TOTALS--> COLLECTED,: 37 . 00 OVER/SHORT: . 00 Flaky Matte: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This nab,need nor be mnplerad I the panne la for ono hundred drys(S100)or WO 37 . 0,0 , i ❑ I comfy that In the performance of the work or which this permit S lard,I dui rid employ My per in any manner eq n to ... become subbed to the w«yar'comwaam laws of California,and agree that f I should becan ns bled to the workers' **********************************3(*****�E************************************** compensation pvdsans d Section 5700 of the Labor Code,I Nag forthwith campy with those provision. Dale: APpw+: INDIVIDUAL:. •"F E E , /BREAKDOWN Warning:Failure to secure waren'compsnsedon coverage la unlawful,and shell M!/ect an employe to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil tinea up to one hundred thousand dans(Sf04XOA in addition to the coat of compensation,damps as provided ler In ,41 Section D70dol site Labor sod.,Interest,and attorney's/sea. MEC 1 INST FORC-AIR/GRAV FURN '<= 100 K BTU 9 . 00 9 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty d perjury that there a ccnatndion lending agency for the MEC 1 FACTORY FIREPLACE 1, '11 r'` 6 . 50 6 . 50 Performance of she work mwhkn this Fermi a i (Section ie C). MEC 1 INST HOOD W/DUCTS Fnaop7, FED BY'MEt EXHAUST 6 . 50 6 . 50 LENDER'S NAME: EMD- OF FEES, LENDER'S ADDRESS: I certify that I have read this application and slate that the above information is caned.I agree to candy with all Sty and county ordinancesand state laws relating to builbuildingmssud vian and hereby authorizerepresentatives representatives of this city to enter upon the abovementioned progeny r 24 for inspectionpurposes. - MIKE TALBOTT /y'l CriI Nems Date: )..1 _ . . _ .. '11 _ &ipnatura\NArGmrr/ApanVAppECenbConlrea« ft ) ''v)'. __ (5151.I5.WP) White-Building&Sdey:Green-Fle:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor I.: CONSTRUCTION AND PLANNING PC _ & 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. 154. 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, 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 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 t-f2._g6 0-111 FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace k2- L G APPROVALS Permit # 2L Ducts, in Structure IL-0_4,.- (Ara 70. Underground Hydro 22. Ducts, Ventilating t•-(z-T6 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank0 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 7B. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 1 80. FOOD CERTIFICATE ISSUED �� 33. Final Electric Notes: P-26---,L[ et-v.-tat-re dT e-_r (_d�/� 34. Final Heating & Air Conditioning 3-j4- @ 2-44,z56 `e l�� 35. Final Gas Pipe-Test 36. Hood or Canopy crit% 37, Final Factory Fireplace 3st6 g -36 F-c%u4z_-M 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 ! . 6-05-1996 1 'I :02AM FROH SCHM I U I NSULAT I ON 909 392 5512 P. S INSULATION CERTIFICATE This is to certify that insulation has been installed in conformance with the current energy regulation, California Administrative Code, Title 24 , State of California, in the building located at BUILDING D 23RD STREET ( 120 23rd St. #D) COSTA MESA, CA CEILINGS : TYPE :Fiberglass Batts MANUFACTURER:Owens/Corning THICKNESS : 6 1/2" R-19 WALLS : TYPE: Fiberglass Batts MANUFACTURER: Owens/Corning THICKNESS : 3 1/2" R-13 GENERAL CONTRACTOR:VNE DEVELOPMENT LICENSE : B658963 BY\ RAS— TITLE: President DATE : 6/5/96 SCHMID IMEXWJ N c3 +1 & 'ORS INC. LICENSE #221517 C-2 aattesen-.1- BY: TITLE: PRODUCTION MANAGER DATE : 06-05-96 INSULATION CERTIFICATE This is to certify that insulation has been installed in conformance with the current energy regulation, California Administrative Code, Title 24 , State of California, in the building located at BUILDING D 23RD STREET ( 120 23rd St. #D) COSTA MESA, CA CEILINGS : TYPE :Fiberglass Batts MANUFACTURER:Owens/Corning THICKNESS : 6 1/2" R-19 WALLS : TYPE : Fiberglass Batts MANUFACTURER: Owens/Corning THICKNESS : 3 1/2" R-13 GENERAL CONTRACTOR:VNE DEVELOPMENT LICENSE B658963 BY: ‘410 tAiL C TITLE ; President DATE : 6/5/96 Michael S. Talbott SCHMID INSULATION CONTRACTORS INC. LICENSE #221517 C-2 BY: TITLE :PRODUCTION MANAGER DATE: 06-05-96 ADOPFSSpF BOLDING: 120 23RD ST BMT' D CITY OF COSTA MESA — BUILDING PERMIT 1110 OWNERS WYE IFgieOWN: VNE DEVELOPMENT ////PERM NO: E 075338 • ABBRE1048 IRVINE # 363 1111. PERMIT NO: E 075338 PLAN CHECK NO: N GOVT: N SUPP: N IEWP�OR�DBBEACH, CA 92660 825-0671 , CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: NEW ARCHITECT ORENGNEER: UCS: JOB DESCRIPTION : NEW CONDO 1923 SF LIVING/ 430 SF GARAGE SQ FT: ARCH OR ENG.'S ADDRESS: WIT: CLAIM VALUE: CALC—VALUE: GROUP OCC : R-1 /M-1 CONTRACTOR'S MALE: ' CONTBACTORSMARIM COMMENTS: NEW CONDO, RE: #B75325 ADORESS: UC.NO.: ******************************************************************************* WIT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby shim under sanely of perjury that I ern licensed under provisions of Chapter 9 SETBACKS (commencing wish Section 70W)of Division 3 of the Business and Professions Code,and my Mena is in full farce and effect. cm LIG.NO.: UC.CLASS: UC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING Date: ca,vmaa: 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 Penal'of perjury that I am exempt from the Contretlos License Lew for the 'sewing reason(Section 70415 Buaiwas and Professions Code:Any city a county which requires a permit to commit.ads.improve. PARKING REQ: P RO V: PARCEL : 43942102 Z N E: REF NO: emoah,or repel any structure,paid to its amerce,also requires the applicant for such permit to fib a signed statement that he or she a licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)d Division 3 of the PLANNING NOTES> Business and Professions Code)or that he or she is exempt therefrom and the base for the alleged exemption.My violation of Section > 700t.5byany eppGrarnl for eperme ardtjB:lf the applicant toe civil parody a(not more than tae hundred dodos,15500)). ******************************************************************************* ❑ I,as owner ofthe property or my employees with wages as Ihei sole compensation,will do the work,and the structure is not intended DEVELOPMENT ' SERVICES REQUIREMENTS or offered for sae(Section 7044,Business and Professions Code:The Contractors License Law does not apply to en Owner of propend who buids or inproves thereon,and w>ro does such work himself or herself or through his or her own employees.provided that such provemenis are not intended or offered for sae.If,however,the building or internment is sold within one year d w compan,te ZONING APPROVED BY .• DATE: wner-builder will have the burden of proving he or she did not build or improve for the purpose of sae). t' h ea owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business end Professions Code:The Contrasors License Law does no.appy to an owner of property who builds or improves thereon and who BUILDING APPROVED BY : DATE: contracts for such projects h a contratlor(s)licensed pursuant to the Contractors License Law). / ❑ lam exempt una lion. B.APc.,for this reason: APPLICATION ISSUED BY: � G DATE : 1'll2�d G 1� � q:� ******************************** *************** *****************�*'WW** Date: �"^°° LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:N I do hereby certify that I am aware end understand the requirements of Catiomia Health and Safety Code Sections 25505,25533,end 25534,and that I or any future building occupant will/will not(circle one)need to comply with said stale codes and the requirements for apennd for omitmdlon or modifimtionfron the As umy anagement District.Residential mnerWen appicatiareere exempt from Orae BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 72 . 56 Dee: Applcanl: 50% SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the lollowdecidecimalizes:p decimalizes: PLAN oI have and wit maintain a cendicae of consent to eat-insure for workers'compensation,as provided for by Section 3700 of the Labor ISSUE FEE 15 . 00 Code.tothe penarmnaedmeworklawhichthispermiisissued. BUILDING—DIC > PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ Hume end will rnaintain workers'compensation insurance.as required by Section 3700 of the Labor Code,for the performance of the TOTALS----> 72 . 56 15 . 00 0 . 00 87. 56 87 . 56 . 00 work for whine this permit is issued.My woken compensation insurance carrier end policy number we: Canner: REVENUE DIVISION TOTALS--> COLLECTED : 87. 56 OVER/SHORT : . 00 Poky Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need not be completed I the panne is for one hundred dollars($tool or loss) 87 . 56 ❑ 1 certify that in the performance of the work for which this permit is issued,I shall rd employ any person in any manner so as to become sublet to the workers'compensation laws d California,and agree that 0I should became subject to the workers' ******************************************************************************* compensation provisions of Section 3700 d the Labor Code.t shall forthwith compy with those provis'va. Date: _ App ant: INDIVIDUAL F E E BREAKDOWN Warning:Failure to secure workers compensation coverage Is uUewtu*and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil lines lip to one hundred thousand dollars(5104000),In addition to the cost of compensation,damages as provided ler In Section 37aYolthe Labor Code,Interest, attorney's ELE 1 FIXTURES, LIGHTING 1 ST 20 EA. . 75 . 75 CONSTRUCTION LENDING AGENCY:I hereby df under penury of perjury that there is e ccratmaion ending agency for the ELE 1 REC EP T/OUTLET 1 ST 20 EA. . 75 . 75 performance dthe work for which this pennieissued(Section 30e7,ca.C). ELE 1 RECEPT/SWITCH 1 ST 20 EA. . 75 . 75 LENDER'S NAME: ELE 1 RES APPLIANCE NOT OVER 1 .0 HP 3 . 00 3 . 00 LENDER'S ADDRESS: ELE 1923 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT . 03 67 . 31 I certify that I have mad this application and state that the above information is coned.I agree to comply with alt city and county ordinances END OF FEES and slate laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. MIKE TALBOTT A t1 Nam re Ili Sign a IagenUAPPlicanVContratla Data: C. E!'15_ OF.iET 12/U il4 , I . (5151-46.WP) White-Building A Safety:Green-Fle:Canary-Appfunt:Pink-Revenue:Goldenrod-Assessor n . ' CONSTRUCTION AND PLANNING PG y 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, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System S 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 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 PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 6/ ��ik 80. FOOD CERTIFICATE ISSUED 33. Final Electric / � Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test - 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING • 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date ADDRESS OF BUILDING: 120 23RD ST LINT' E CITY OF COSTA MESA — BUILDING PERMIT DWNEW9AMEIFIO4ZVN VNE DEVELOPMENT PERM NO: B 075326 ADDRESS: 1048 IRVINE #363 PERMIT NO: B 075326 PLAN CHECK NO: 04264-95 A GOVT: N SUPP : N 4 1 T ACH, CA 92660 714-825-0671 CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: NEW ARCHITECT OR ENGINEER: 11C.NO. JOB DESCRIPTION : NEW CONDO 1943 SF LIVING/ 430 SF GARAGE SQ FT: 2, 372 ARCH.OR END'S ADDRESS: DNT: CLAIM VALUE: CALC—VALUE: 160, 139 . 80 GROUP OCC: R-1 /M-1 CONTRACTOR'S NAME: CONTRACTORS MNIRlO COMMENTS : NEW CONDO ADDRESS UC.NO.: ******************************************************************************* ursr: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under pronely of perjury that I am licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7000)of Division 3 of Me Business and Professions Code,and my license is in tuS force and elf ea. CITY LIG.NO.: UC.CLASS: UC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING Dae: Contractor: FRNT: 10 FT IN REAR: 33 FT 6 IN FRNT: FT IN REAR: FT IN LEFT: 5 FT IN RGHT: 40 FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penely of perjury that I am esempl from the Contractors License Law for the Mmoishror rreepp any struccture,Business itissuance,and lso requiAny h `applicant county such permit which to file aesgnedto wemen't that improve.sh' PARKING REQ: PROV: PARCEL : 43942102 ZNE: R2—H REF NO: PA-95-20 .licensed pursuant to theprowuons alM Contractors License Law]Chapter9(commencing with Section 7W0)of Dbeion3 ol the PLANNING NOTES> 1200 : SQ. FT, 3—BEDROOM, 2—STORY DWELLING WITH 483 SQ. FT . Business and Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section > GARAGE"IAND^ 7 1 7 SQ. F T . LIVING AREA. 7031.5 by any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars I$5001), ******************.lE**EE"MIE******************************************************* 0 I,as owner d tha propenYor my employees with wages as their sole compensation,will do the work.and the structure is nor intended or offered for sale(Section 7004,Business and Professions Code:The Contractors License Law does Wed t apply to an ownpopery D E V E• L 0 P_:-j Er•N,•T SERVICES REQUIREMENTS who builds a inproves thereon. ho end wdoes such work liml« seherself or through he or her own employees,provided that such -• improvements are not intended or offered for sale.IL however,the building or unprwemem is sold within one year of completion.the q� owner.builder will have the burden of proving he or she did not build or improve for the purpose of sale). ZONING APPROVED BY � (s DATE: �� ..,�-y_ Professions Code:The property. exclusively am seOeLat contracting appy to n oowner o p also buconsInatl the iject lds s or�mpr�o es thereon and who BUILDING APPROVED B Y' ::moo' .. DATE: conned for sixth projects with a connector(s)licensed pursuers to the Contractors License Law). CI / / / / CIIamexemptug�deESSeection: B�AP.C..forNoreason: APPLICATION ISSUED BY: DATE : t2,l ( gel/ Date: 1 I V/ E Owner. ♦ **************dE*************************$* ** lE * ***************3E**l4******** I do hereby certify that I ern aware el and understand the requirements of California Health and Safety Code Sections 25505,25533,and LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y a" any will/wit not agme `aeed°ycsaid"" � nels apwsfronsend that truct «modification Ai BaglEaanem Rdentaloral ctio �latinaaeenpemhee BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 853 . 00 16 . 01 Date: Applicant: S M I P/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby if under penalty of perjury one of the following dederatio : PLAN 138 . 61 0 Ihave and soil maintain acenlicaleoconsent toselinaurefor workers'compensation.asprovidedfor bySection 3700of the Laabor ISSUE FEE Code.l«the performance dwhich this teworkforwchpermulaissued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE 0 Ihave and wilmaintain workers'oomponsationinsurance,esrequiredbySection3700olheLaborCode.fatheperformanceothe TOTALS----> 869 . 01 0 . 00 138 . 61 1007 . 62 1007 . 62 . 00 work for which this permit is issued.My workers'compensation insurance canter and policy number are, Carder: REVENUE DIVISION TOTALS--> COLLECTED : 869 . 01 OVER/SHORT: . 00 , Policy Number BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need not be completed I the perms is for one hundred dollars/5100)or less) 853 . 00 16 . 01 o I amity that in the performance of the work for which this permit is issued.I shall nol employ any person in any manner ea as to • become subject to the eskers'compensation lawn o California.and Wore that B I should become subject to the workers' ******************************************************************************* Compensation provisions of Section 3700 of the Labor Code,I shall forthwith cornpy with those provisions. INDIVIDUAL FEE BREAKDOWN • Date: Applicant: Warning:Failure to secure workers'compensation coverage Is unlawful,and shall sub/act an employe,fo criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines rpt to one hundred thousand dollars(5104000),in addition to the cost of compensation,damages as provided for In Section 374 of Me Labor Code,Interest and atromsy'a fees. SFR 1942 DWE—TYPE V—WOOD FRAME —GOOD 77 . 90 151 , 281 . 80 CONSTRUCTION LENDING AGENCY:I hereby aHum under pmaly o perjury that there is a construction wring age«.y Mr we SFR 430 RES—GARAGES TYPE V 20 . 60 8, 858 . 00 performance of the work for which this permit is issued(Section 3097,Civ.C). LENDER'S NAME: END OF FEES LENDER'S ADDRESS: I certify that I have read this application and stere that the above information is coma.I agree to amply with allay and county ordinances and stale laws rewimg to budding construction and hereby authorize representative of this city to enter upon the above.mentioned property for inspection purposes. MIKE TALBOTT Print Name _ JSignature of Owmr/AgenVAppkranVConlretl« Dale: `1 Ill (5151-46 W P) White-Buili,g A Safety:Green-Ste:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor ':h 1 1 . t . • CONSTRUCTION AND PLANNING POt . 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 UFER Grnd. G / 4 57. APPROVAL TO COVE R-GUNITE /, _ f a 7. Footings i 58. Electrical Conduit-Undrgrnd. 8. Foundation rv�' vY 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 e 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 _r 16. Rough Electric Wiring 67. Fencing & Access Approval __-. Wiring 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 (.--/571 b kit 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing { 76. Dry Standpipe 28. Lathing & Siding 11/2�/ e 77. FIXED SYSTEM FINAL 29. Insulation 'Js3(� ""' 78. FIRE PREY. FINAL 30. Drywall Nailing F! HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy . 37. Final Factory Fireplace . 38. Final Plumbing 39. Water Service-Final • 40. Gas Service-Final 41. Solar Domestic-Final • 42. Backflow Preventer 43. Backflow Irrigation • 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING -7�'/_ ILS " .0 eire;. 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date I %ADDRESS&BUILDING: 120 23RD ST Uft: E CITY OF COSTA MESA - BUILDING PERMIT [ E' : VNE DEVELOPMENT PERM NO: P 075342 ' ADDRESS1048 IRVINE #363PERMIT NO: P 075342 PLAN CHECK NO: N GOVT: N SUPP : N WPORT BEACH, CA 92660 714-825-0671 AApPL.MugMAOortss: n ` CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: NEW ARCHITECT OAE? NEER: UC NO: JOB DESCRIPTION : NEW CONDO 1943 SF LIVING/ 430 SF GARAGE SQ FT: ARCH.OR END:S ADDRESS: UNIT: CLAIM VALUE: CALC-VALUE: GROUP OCC : R-1 /M-1 ME: CONTRACTORS NA `\ CONTRACTORS MNLP1G COMMENTS : NEW CONDO, RE: #B75326 ADDRESS: UC NO.: *♦E4E4E4Ek4E4E4E4EiE4E4E4E4E*4E4f4E*4E4E4E4E4ESE4E#4ESE4E#4E4E4E*4E4E4E4E4E4E*4E#4E4E4E#4E4E4E4E4E4E♦E4E*4E4E*4E#4E4E4E4E4E#4E4E4E4E4Ett4E4E4E4E UNIT: ZONING REQUIREMENTS LJCENSED CONTRACTORS DECLARATION:I hereby dlim under peruky of perjury Net I em licensed under provisions of Chapter 9 SETBACK S (commencing with Section 7000)of Division 3 of the Business end Professions Code end my license bin full force and effect. CRY LIG.NO.: LC.CLASS: UC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING Dale: 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 of perjury that I em exempt from the Contractors license Law for the • 'blowing mason(Section 70315 Business and Professions Code:Any a Ay or county which rapines a permit to constconstruct." 'after.improve. PARKING REQ: PROV: PARCEL : 43942102 ZNE: REF NO: mdleh,or repay any structure.prior to is issuance.ebo requires the applicant for surf,permit to Tile a signal statement Net he cc she licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commenting with Section 7000)of Division 3 of the PLANNING NOTES> 0 . " f, Business and Professions Coda)a that he or We ie exempt therefrom and the basis for the alleged exemption.My violation d Section > r. ( . 7031.$by arty applicant for a permit subtend the eppteru to a nisi pasty of not more then ewe hundred lagan(55001). 4E 4E 4E 4E 4E 4E*4E 4E**4E 4E 4E 4E*4E 4E 4E 4E 4E 4E 4E 4E 4E*4E*4E 4E 4E**4E 4E 4E*4E 4E*4E 4E*4E 4E 4E 4 4E 4 4E 4E 4E 4E 4E 4E 4E****4E 4E 4E 4E 4E 4E 4E 4E 4E 4E 4E*4E*4E 4E 4E*4E 0 I.es minim 01 he propenY or my empkwese wih wages as their sole compensation.wil do the work.a dte structure is nol intended or offered for sale(Section 7044,Business end Professions Code:The Contractors license Law does notapply Loan ownerol properly E"��7 E L OP MENT S ER V 'P C ES' R E IQ U I R EMEN T S who buidsw « winpmwethereon,and who does such won limaMahaveltatvough he orher own employees.Provideded Nat each '" . - ,-. imprnawere not l upended«offered for sat B,however.theheiklhg or inprm is ovemeaol within one yew of completion, ZONING APPROVED BY ,'r� : - DATE: ownrhave the burden of proving he or she did not buildm bulder will dld or improve for the puoaa of sale). t3 I,aa owner of the properly,am advsively contracti a with licensed contractors t:construct the pmjea(Section 7044 B sines,and , professions Cate)The Contractor (sense Law does not appy to an owner of property who onus or ibprwea thereon end who BUILDING APPROVED BY : .->, ,-' .'j., i. t �v DATE: contracts for such projects with a contractor(e)licensed pnuam to the Contractors License Law). )- E Iamexempt underlion / B.AP.C..for,NWNW: APPLICATION, ISSUED BY: (i [DATE: '(Zc S v ��°°` II u `/ 4E4E4E4E4E4E4E#4F4E4E4E4E4E4E#4E4E4E4E4E4E4E4E4E4E4E4E4E4E4E4E****4E4E****# 4E#4E##4E4E�E4E4E#4E4f#4EE#4E4E4E****##4E E**4*** / Date: � I�1Q Owner: VW \ LEGALIZATION:N F E E S. U .M M A R Y STRUCTURAL SEGMENT: N Ido hereby certify Nov m I aaww of end understand the requirements e) n: ureme is Calla ..Health and Safety Cade Sections 25505,25533.and t ' v , ../ . tis 25534,and that I or any future building occupant will/w0 not(circle one)need to corn*will said state codes and the requirements kr /'• a permit for constnolion or modification Iran the Ar uety eregemenr District Residential construction appireliane we exempt from Nen BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 111 . 00 I • n ' - Dale: Applicant: 25% ..-`. SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:l hereby affirm,under peaky of perjury ore of the following decimte. PLAN • 4 • ❑ I have and will maintain a cant tale of consent to eelinsure f«waken'compensation.as provided f«by Section 3700 ant. the lobar ISSUE FEE 20 . 00 Code,for theperformanceolteworkforwhichthispermitisissued. BUILDING DIV > PERMIT ISSUE PLAN-CHECK TOTAL ` PAID DUE o Ihaw and wernaimanwaken'compensation insurance.as required bySection 3703of the Labor Code.for lhe performance ofthe TOTALS----> 111 . 00 20 . 00 - 0 . 00 . 131 . 00 131 . 00 . 00 work for which this permit b issued.My workers compensation insurance caner end policy number re: s a Cartier: REVENUE DIVISION TOTALS--> COLLECTED : • 131.. 00 OVER/SHORT: . 00 . Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE -SMIP/TOT „, GRADING PLAN-CHECK (This sealer need not be romp/Ned I she pont is for one hundred dollars(510010r lass) 131 . 00 ❑ I certify that in the performance of the work for with this permit Is issued•I shag not employ any person in any manner so as to become subject the workers'compensation lens of California.end agree Net!I should become subject to the workers' 4E4E4E4E4E4E4E4E4E#4E4E4E4E4E4E4E4E4E4EiE4E4E#4E4E4E4E4E4E4E4E4E4E4E##4E4E4E4E4E4E4E4E1E4E4EiE4E4E4E4E4E4E4E4E4E.4E4F 4E4E4E#4E#4E4EK-4E4E4E4E4E4E4E4E4E Lathe compensation provisions of Section 3700 of the Lar Code.I shell forthwith campy with those provisions. INDIVIDUAL - F .E E. BR Dale: Apdnan: I Z. r Wlming:Failure to secure wprm•compensation coverage le unlawful,end shall subject an employer to criminal pena/desend TYPE QTY D E S C R I P T I O.N ° UNIT COST TOTAL COST civil fines up to one hundred thousand dollars($1040001,In addition to Nye coat of compensation,damages as provided ler In r v s •n y • Section 3706 of the Labor Code,interest,and attorney',fess. / ' PLU 2 BATHTUB /., ,7 . 00 14 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a construction lending agency for the PLU 1 DISHWASHER - I' 3 . 00 7 . 00 performance of the work for which this perms is issued(Section 3097,CM.C). PLU 1 SHOWER LENDER'S NAME: a s /• :"7 . 00 7 . 00 LENDER'S ADDRESS: PLU 1 SINK, KITCHEN . a♦ ,.. 7 .,00 7 . 00 e ) PLU 2 WASH BASIN (SET) i• yp . _ / 7 . 00 14 . 00 'certify that l have read this application end stale that the slave information is coma.l agree to campy with all dry and county ordinances PLU 3 WATER CLOSET (TOILET) / '� '... ' n, 7 . 00 21 . 00 and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned propend forinapeaionpurposes. PLU 1 WATER HEATER AND/OR. '' ,� 7 . 00 7 . 00 .VENT' 7 . 00 7 . 00 MIKE TALBOTT PLU 1 WATER SERVICE / ponNam t e PLU 1 GAS PIPING SYS OF 1, TO 4 OUTLETS ' 5 . 00 5 . 00 \� A y , 1 GAS SERVICE 7 . 00 7 . 00 NJ �Sig ureofChver/Agent/Apkrant/Centract« DNe:ic� k)it PLU PLU 1 SEWER, CONNECTION TO BUILDING' EACH 15 . 00 15 . 00 r (515146.WP) White-Building&Safely;Green-FN;Canary-Applicant;Pink-Revenue:Goldenrod-Assessor �. • CONSTRUCTION AND PLANNING POS i 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 I 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. /2-117-/�_ ;7 9 1. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection Li Z-16 62. Backwash & Receptor-Final 12. Sewer Cap • 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 24214_60 65. Electrical-Final 15. Rough Electrical-Conduit • 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 66. 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 !) 1/ �6(/ /;/ 72. Underground Flush 24. Roof Framing G. b�/"r' 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: S` �,, � � t✓_L�L LMS O_K-60) 34. Final Heating & Air Conditioning G Lea,,zvi,to_isa.ek_fans_d...tta 35. Final Gas Pipe-Test 1-7C-9' j_227 /-i 7 ! _a . - 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 5-=3- 4 flca%1 Z 39. Water Service-Final 1f-it d�► -kt--r it�v2 40. Gas Service-Final c)•3-5,6 . 271_S--1-6 tcx^Stvz.vt -- _I •41. Solar Domestic-Final 42. Backflow Preventer S'73_96 t �, 5 -l -ic �J 43. Backflow Irrigation '3 :t,, 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 ADDRESSIN BUILD:NO: UHT: OWNERS SME IF 10101yN: ADDRESS: PERMIT NO: P 075342 PLAN CHECK NO: 04849-95 N PAGE: 2 *****************RFS***********4-*4****-****4k********44*4**4********4**4*4****4**4 APPL.MARINO ADDRESS: TYPE QTY DESCRIPTION UNIT COST TOTAL COST ARCHITECT OR ENtlNEED: UC.NO.: ARCKOR EMI ADDRESS: DMT: END OF FEES CONTRACTORS NAME: CONTRACTORS MA7➢ID ADDRESS: LIC.NO.: GMT: LICENSED CONTRACTORS DECLARATION:I hereby Min under penalty of perjury that I am licensed under prorimbns of Chapter e (commencing with Section 7000)of Division 3 d the Business and Professions Code,and my Boons.s In full tome and effect. CITY UC.NO.: UC.CLASS: UC.NO.: Date: Contractor OWNER BUILDER DECLARATION:I hereby affirm under penaly of perjury that I am exempt from the Contractors License Law for the • 'ylowbg reason(Section 7031.5 Bwiwss end Professions Code:Any city a county which requires a permit to cauauct,oder,improve. smdsh,or repel any structure,prior to as ssuance,also requires the applicant for such permit to Ne a signed statement that he a she a licensed pursuant to the provisions d the Contractors License Law[Chapter 9(commencing with Section 7000)d Division 3 d the Business and Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by any appirant for a perms subjects the applicant to a dW penalty of not more than fire hundred dollen 15O01). 0 I.as owner of the properly or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered to,sale(Section 7041,Business and Professions Code:The Contractors License Law does not apply to en owner of properly who buids a improves thereon,end who does such work himself or hereof or through his or her own employees.provided that such knµoverneru are nes intended or offered for sale It however,the bidding or improvement is sold within one year of completion,the ownerbuilder wig have the burden of proving he or she did not build or improve for the purpose of sale), 0 I,as owner of the properly.am oscinesy contradkp with licensed contractors to consbud the project(Section 7044,Business and Professions Code:The Contractors License Law does not apply to en owner or properly who builds or improves thereon and who contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). • �. I am exempt under Section: B.8 P.C.,for this reason: • r - Date: Owner: I do hereby cattily that I am aware of and understand the requirements of California Health and Safely Code Sections 25505.25533.and 25534,and that I or any future building awpent will/will not(circle one)need to comply with said date codes end the requirements for h a permit famutructiona modilmionfrantMAiauaTty Management Oland.Reddentic emanation appiutiore are exempt Iran these provisions. Date: Applicant: WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following declarations: ❑ I have and d1 maintain a certificate of consent to self insure for workers'compensation,as provided to,by Section 3700 of the Labor Code,la the performance of the work for which this permit is issued. O I have and wit maintain workers'compensation insurance.as required by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued.My workers'compensation insurance carrier end policy number are: Cattier: Policy Number: (This section need not be completed y the permit is/or one hundred dollars(57001 or less.) • certify that in the performance of work for whicho this ttoh is issued, shag st Iemploy any person in any manner so as to s' become subjecttinptoted Sec'compensation 3laws C California. and agreeco that i shouldsbecome subject to the workers' compensation provision of Section 3700 of the Labor Code.I shall forthwith wmph with those provisions. Dae: Applicant: Warning:Failure to secure workers'compensation coverage Is unlawful,and shall subject en employer to criminal penalties end civil fines up to one hundred thousand dollars(S104000),9n addition to i.e cost or compensation damages as podded for In Section 3706 or the Labor Code,Interest,end attorney's lata. CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a construction lending agency for the performance of the work for which the perms is issued(Section 3097,Civ.C), LENDER'S NAME: LENDER'S ADDRESS: I certify that I have red this application and sale that the above information is coned.I agree to comply with at dry and county ordinances v ! I lltil a. and state laws relating to building construction and hereby authorize representatives of this city city to enter uponthe above-mentioned properly . for inspection purposes. • Print Name Dale: Signature of Gwner/Agent/AppkentContrada (5151.46 W P) White-Building S Safely;Green-FeCanary-Appiwa;Pink-Revenue:Goldenrod-Assessor c '� --) CONSTRUCTION AND PLANNING PO) 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 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 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 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 . 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 \. • AooRsa etntpND: 120 23RD ST °chis E CITY OF COSTA MESA — BUILDING PERMIT / I a`14EN'°NAiAEIFnwm: VNE DEVELOPMENT PERM NO: M 075343 ADD9ES' 1048 IRVINE #363 • PERMIT NO: M 075343 PLAN CHECK NO: N GOVT: N SUPP : N NEWPORT BEACH, CA 92660 714-825-0671e APPL.NAILING ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: NEW ARCHITECT ORENQNEER: UC NO.: JOB DESCRIPTION : NEW CONDO 1943 SF LIVING/ 430 SF GARAGE SQ FT: ARCH.OR ENG.'S ADORESS: OMT: CLAIM VALUE: CALC—VALUE: GROUP OCC : R-1 /M-1 CONTRACTORS NAME: CdDRACTOR'SUMLD$ COMMENTS : NEW CONDO, RE: #875326 ADDRESS: UC.NO.: ******************************************************************************* UMT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby Shim under penalty of perjury ****I am licensed under provisions of Chapter 9 SETBACKS (commenting with Section 7003)of Mikan 3 d the Business and Professions Code.and my license is in Id fame end effect. CITY LTC.NO.: UC.CLASS: UC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING Dale: 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 of perjury that I am exempt from the Contractors License Law for the Gothic reason(Section 7031.5 Busies,and Profession Code:Any city a owmy which requires a permit to construct,alter,improve, I temdsh,or repai any structure;prior to its issuance.also requires the applicant for such permit to file a signed statement that he or she PARKING REQ: PROV: PARCEL : 43942102 Z N E: REF NO: is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Sedan 7000)of awkion 3 of the PLMN I N G NOTES> Business end Professions Code)or that he r she k exempt therefrom and the basis Ice the alleged exemption.Any vkdatd ion Section - v' > .. r 7031.5 by any applicant for epermit subjects the applicant tot evil penalty dnor more than fva hundred dollars 155001). ******************************************************************************* ❑ I.as owner al the propeny or my employees will wages as Mai sole compensation,MO do the work,and the murmurs is not intended 1• '/ ' Dr E V E L O P M E N T SER V I C• E‘S REQUIR EMENTS r offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not en*to an owner of property who Wide or improves thereon,and who does such work himself or bevel or through his or her own employees,provided that such t p ,. '' /' improvements are not intended r offered for sale.N,however,the Wilding or improvement i sold withinone year dcompletion,the •ZONING APPROVED BY • . . DATE: owner-builder will have the burden of proving he or she did nr Wild or improve for the purpose of sale). • Q I,a,owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business end , - t Professions Code:The Contractors License Law does tel app to an on d property alto builds r OWNS,thereon and who B UZ,.D[}I;NO- APPROVED BY : ,- „1 DATE: contract.for such projects with a cennador(e)licensed purse to the Contractors License Lew). I lin 4 1]r! - r ......ii ❑ lemexemplunder B.&P.C..IPS Nb APiiL'IrR3iION ISSUED BY: ' "1: , 41k DATE: tiAl 7 Date: 1� N Owner: �/) � 1. \ ******************************************if ********************************* OI/� LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N I do hereby certify that I aware of and understand the requirements of California Heats and Safety Code Sections 25505,25533,and • .appp34.end that en,S lwnionnrntoe at0occupant will/will notfro thheAAi aanegamentcircle OiGnneed Rerid" d ccoraw'inn:�n asod rs Gonna.I BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING pro"""m PERMIT ' r 22 . 00 Dale: Applicant: , ' ) 25% SMIP/NON—RES t WORKERS COMPENSATION DECLARATION:I hereby affirm under penalty d of perjury one the following dedrmbr: PLAN • o IhadMImeimcertificate dconsent tunfor workers'compensation,=prwkedfrbySWion3700oLabor the ISSUE FEE 7— 15 . 00 rer Cede,frthe perfrmanceof work k hhapemhisued. BUILDING DIC > PERMIT ISSUE PLAN CHECK TOTAL PAID DUE ❑ witIhave and mabmanworkers'compensationnsurance,asrequiedbySection3700dtheLaborCode,fatheprfrmanceatthe TOTALS > 22 . 00 15 .00 0: 00 37 . 00 37 . 00 . 00 welt for with this permit is issued.My workers'compensation insurance Cartier and policy number are: 4, Carrier; REVENUE DIVISION TOTALS--> COLLECTED: 37. 00 OVER/SHORT: . 00 Policy Number. BLDG PMT PLUMBING ELECTRIC MECHANDC FIRE SMIP/TOT GRADING PLAN—CHECK ohs section need nor be competed i the perms S for one hundred dinars(ft001 of less.) 3 7 , 0 . ❑ I certify that in the performance of the work for which this permit Is issued,I vel 1101 employ any person In any manner so as to / beck a subject to the woken'compensation laws d Cefdomu,and agree that A I should become subject to the workers' ****************************************,****jE********************************* compensation provisions of Section 3700 of the Labor Code.I shall forthwith comp&with those provisions. INDIVIDUAL' F E E 'BREAKDOWN Date: Applicant: Warning:Falun to secure workers'comprwtlon caverns IsunlaMd,Ind shall atbJect en employer to criminal penalties end TYPE QTY DESCRIPTIO N / UNIT COST . TOTAL COST civil fines era to one hundred thousand dollars(1f04000),In addition to the coat of compensation,damages as provided for In Section 3706 of the Labor Code,Interest,and attorney's fees. MEC 1 INST FORC—AIR/GRAV FURN<=,_100 K BTU 9 . 00 9 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a aonstntdion lending agency for the MEC 1 FACTORY FIREPLACE ' / ✓ 6 . 50 6 . 50 pedmadm r . .wristorwndtn:pemlkk,.d(sdan309].Cis.c). NEC 1 INST HOOD W/DUCTS FED BY/ EXHAUST 6 . 50 6 . 50 LENDER'S NAME: LENDER'S ADDRESS: END OF PEES, , I certify that I have read this application and state that the above information is correct.I agree to comply with all city end county ordinances _ • i and slate laws relating to building construction and hereby authorize representatives of this city to enter upon the ebove'memioned property y for inspection pensees. MIKE TALBOTTL-.3 C�Pnm Name \ ,, 1�5i1'tl 1,A M err .[,'. \ Date: )11 9 :1.,. ice. - . .1 S Ot OvmedAgenUApPicantrContrectr (5151-46.WP) White-Building&Safety:Green-FM:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor • • CONSTRUCTION AND PLANNING Pt .& 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 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. Rof.3h Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning 7-12--154 FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace • 4, APPROVALS Permit # 21. Ducts,in Structure r-. 70. Underground Hydro 22. Ducts, Ventilating i I 71. Product Piping O 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. FinaLElectric Notes. - A ?l _ l �[ CLra2IL�ELT(b7r[-S 34. Finer Heating& Air Conditioning S-3 C� 2 „/ q� /�. 4 35. Final Gas Pipe-Test 2 ^)2-e69 0c14-ate_ /r/ 36. Hood or Canopy � 4 ft-73-�- _ S-l�G �'ES?2IZ_ 37. F.inal Factory Fireplace p 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 Th• 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 6-05-1996 1 1 :02AM FROM SCHMID INSULATION 909 392 5512 P. 4 • INSULATION CERTIFICATE This is to certify that insulation has been installed in conformance with the current energy regulation, California Administrative Code, Title 24 , State of California, in the building located at • BUILDING C 23RD STREET ( 120 23rd St. #C) COSTA MESA, CA CEILINGS_ TYPE: Fiberglass Batts MANUFACTURER:Owens/Corning THICKNESS : 6 1/2" R-19 WALLS : TYPE: Fiberglass Batts MANUFACTURER: Owens/Corning THICKNESS : 3 1/2" R-13 GENERAL CONTRACTOR:VNEIDEVELOPMENT LICENSE: R-658963 A �/.0 TITLE: President DATE : 6/5/96 Michael S. Talbott SCHMID INSULATION CONTRACTORS INC. LICENSE #221517 C-2 ter�s, _ ....:_.: BY: TITLE : PRODUCTION MANAGER DATE : 06-05-96 INSULATION CERTIFICATE This is to certify that insulation has been installed in conformance with the current energy regulation, California Administrative Code, Title 24 , State of California, in the building located at BUILDING C 23RD STREET ( 120 23rd St. #C) COSTA MESA, CA ' CEILINGS : TYPE: Fiberglass Batts MANUFACTURER:Owens/Corning THICKNESS : 6 1/2" R-19 WALLS : TYPE: Fiberglass Batts MANUFACTURER: Owens/Corning THICKNESS : 3 1/2" R-13 GENERAL CONTRACTOR:VNE DEVELOPMENT LICENSE B658963 BY\ C tITITLE: President DATE : 6-5-96 SCHMID INSULATOP-CSRATMtNC. _ LICENSE #221517 C-2 BY: TITLE : PRODUCTION MANAGER DATE : 06-05-96 1'20 23RD 5T °NT` E CITY OF COSTA MESA — BUILDING PERMITVADwB : NExsM"'Elr'DaAW VNE DEVELOPMENT ERM NO: E 075341 w ADDR 1048 IRVINE #363 PERMIT NO: E 075341 PLAN CHECK NO: N GOVT: N SUPP : N 4EWPORT BEACH, CA 92660 714-825-0671 AP PL.MAIMS ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: NEW ARCHITECT OHENQNEER: UC.NO.: JOB DESCRIPTION : NEW CONDO 1943 SF LIVING/ 430 SF GARAGE SQ FT : ARCH.OR ENG.'S ADDRESS: DHT: CLAIM VALUE: CALC—VALUE: GROUP OCC : R-1 /M-1 canna an HAMS • CONTRACTOR'S MARINO COMMENTS : NEW CONDO, RE: #875326 ADDRESS: UC ND.: 3E3E3E*3E3E*3E RE36*3E 3E 3E 3E RE 363E 3E 3E**3E3E*363E363E3E*343E3E363E**363E*3E 3E 363E 3636363E 3E 3E*3E*363E3E*363E3E*3E*3E 3E 3636363E 3E 3E 3E 3E 3E 3E BE 3E 3E DMT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter a SETH ACKS (commenting with Section 7000)of Division 3 of the Business and Professions Code,and my license ie in full force and effect. CITY UC.NO.: UC.CLASS: UC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING Dale: 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 'MINER BUILDER DECLARATION:thereby elfin,under perely of perlary that I am exempt from the Contractors License Law for the ,uloweg reason(Section 7031.5 Business end Professions Code:Any city or county which requires a permit to construct,alter,improve. PARKING REQ: P RO V: PARCEL : 43942102 Z N E: REF NO: demolish.a 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 el 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 end the basis for Me alleged exemption.Any vi lation of Sedan > 7031.5 by any applicant for a perms eubjeaelhe applicant toe owl penalty of not more than live hundred dollars I$5®D *3E3E****363E34**3E3E*363E363E3E3E3E*3E*3E3E**3E 3E 3E 363636343E 3E 3E*363€3****3E#363E**3 *3E3636363E36***343E******3E 3E 3636*** ❑ I.es owner of the property ormyemployees with wages avtheir sole compensation,will dothe work.and the structure onointended aDEVELOPMENT S• E R V I C E S R E U I R E M E N T S offered for sale(Section 7044,Business and Professions Code:The Contractors License Law not apply to an bwnerof propertyQ who bolds or improves thereon.and who does such work himself or herself or through his or her own employees,provided that such improvements era not intended or offered for sale.g.however,the building or improvement is sold one e year d completion,the ZONING APPROVED BY ' awnerbuiher will have the burden of proving he or she did net build or improve for the Iwnpoee of sale). : DATE: t3 t.as owner of the property,em exoknrvdl cortraaig with licensed contactors to coetnd the project(Seaton 7044.Business end Professions code:The ContractorseV*License Law does na eV*to an owner of poverty whit wilds et improv«thereon and woe BUILDING APPROVED BY : DATE: comics for soft prgeds with a contrafor(s)licensed pursuant to the Contractors License Law). c ❑ Iamexempt under Section: B.APC..for this reason; APPLICATION ISSUED BY: DATE: �� Dae: Owner: 3E 3E 3E 3E 3E 3E 3E iE 1E*34343E*3E 3E 3E 3Ek36343�3f*3E 3E 3E 3E 3E 3636363E 363E 3E 3E 3E 3636363E 343E 3b ♦f 3E 3EM3E 3E 36343E 3E 3E 3E 1EDATE3E 3E .. LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N I do hereby certify that I am aware of and understand the requirements of Cationic Heath and Safety Code Sections 25505.25533,and 25534,and that I or am Mum bulling=anent will/wit net(circle one)need to comply will said Mate codes and the requirements for apermit for oamtaonormod ion from the Arsar�ement Mina Residential conef napplmiaeaeearnerfromthese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING proviso ' / PERMIT 73 . 22 Data: tal� 411 Applicant: ` 50% SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of Oe following declarations; PLAN o Ihave and wilmaintaacengcaedconsent tosegineurehxwakacompensation.workers' Section ddedlorbyS3700oftheLabor ISSUE FEE 15 . 00 maintain Code,for thepenamana.dtheworkfowhichthispemutisissued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ I have and wil maintain workers'compensation insurance.as required by Section 3700 of the Labor Code.for the performance of the TOTALS----> 73 . 22 15 . 00 0 . 00 88 . 22 88 . 22 . 00 wok for which this part is issued.My workers'compensation immense caner end policy number are: Carder: REVENUE DIVISION TOTALS--> COLLECTED: 88 . 22 OVER/SHORT: . 00 PdicyNumber: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need not be completed I the panne is for one hundred dollars(S IOD)or less) 88 . 22 ❑ 1 eerily that in the performance of the work for which this penal is issued.I shag not employ any person in any manner eo es to became subject to the workers'compensation taws of California.and agree that n 1 should brominenojea to the endows' #3E3E363E3E3E3E36363E3E3E3E3E343E3E3E3E363E363E3E3EiE363E3E363E3E3E3E3E3E3E3E36363F3E3E3E3E3E3E#3E3E3E3E363E3E3E3E3E3E363E3E363E363E3E3E363E36363E3E3E3E363E compensation provisions of Section 3700 of the Labor Code.I shall forthwith comply with those provisions. Date Applicant: INDIVIDUAL F E E BREAKDOWN Warning:Failure to secure workers'cenpensedon coverage la unlawful,end WWI sublet an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil lines up to one hundred thousand dollars(510400o),In addltbn to the cost of compensation,den.egas as provided for In Section 3706 of etre Labor Coda,Interest end encmey's lees. ELE 1. FIXTURES, LIGHTING 1 ST 20 EA. . 75 . 75 CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there k e mmruaion larding agency for the ELE 1 REC EPT/OUTLET 1 ST 20 EA. . 75 . 75 performance of the wale fa which this ping aissued(Saxon 3047.c".`)' ELE 1 RECEPT/SWITCH 1 ST 20 EA. . 75 . 75 LENDER'S NAME: ELE 1 RES APPLIANCE NOT OVER 1 .0 HP 3 . 00 3 . 00 LENDER'S ADDRESS: ELE 1942 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT . 03 67 . 97 I certify that have read this application end Mate that the above information is coned.I agree to comply with all city and county ordinances END OF FEES and slate laws relating to building construction end hereby authorize representatives of this city to enter upon the above-mentioned property for watpeaion purposes. T MIKE TALBOTT int Name / l 7wn"L(/• Date-311-4.1\551-- .19 ae: f \J � Signa of rlAgentlApplceaAontactor Li i v,. r. _.' T;•; 'k s d j .. _. U It: :!/Q _ ': r (5t51-46 WP) White-Building&Safety;Greer-Fle:Canary-Applicant:Pink-Revenue;Goldenrod-Assessor • I NSTRUCTION.AND PLANNING L& SP IPP . . _ . . IC, APPROVALS Permit# Date Inspector t ...LAPPROVALS •� Permit's Date - Inspector 1, Temporary Electrical Service or Pole 52. Pool & Equipment Location ' it. 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, 0 Undrgrnd. r 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 61. 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 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-Final80. FOOD CERTIFICATE ISSUED 33. Final Electric �` Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36, Hood or Canopy ' 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation . 44. Landscape Irrigation System - 45. Sound Attenuation 46. Handicap Regulations - 47. FINAL STRUCTURE& BUILDING 48. FINAL PLANNING - - 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date r. • • 6Y CITY OF COSTA MESA - 1-101.0.F:-A, BUILDING DIVISION tel • , DEVELOPMENT SERVICES DEPARTMENT . S PERMIT PERMIT NUMBER E99-00011 ," (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 • ELECTRICAL PERMIT Job Address: 120 23RD ST Status: ISSUED Suite No F Applied: 01/07/1999 Vicinity: Issued: 01/07/1999 Parcel Nunmber: 93794097 Applicant: FOX, DENNIS JAMES Address: 120 E 23RD ST UNIT F Phone: COSTA MESA,CA Zip: 92627 Owner FOX, DENNIS JAMES Address 120 E 23RD ST UNIT F Phone: COSTA MESA,CA Zip: 92627 Contractor: Address: Phone: Zip: License: SCOPE OF PERMIT ELECTRICAL CONNECTION TO NEW SPA, OTHER ROUGH ELECTRICAL WAS COVERED UNDER PERMIT E98-01154(FINALED). FEE SUMMARY QuantityQuantity ISSUE FEE $22.00 Temp Dist System/Lighting $0.00 0 Temp service test $0.00 Busway/100 ft $0.00 0 Res.a/c package $0.00 Standing Section $0.00 0 New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0 New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 0 Pool/Spa $0.00 0 up to 10 kva/kw $0.00 0 Lighting Fixts $0.00 0 up to 50 kva/kw $0.00 0 Recept Outlets $0.00 0 up to 100 kva/kw $0.00 0 Switches $0.00 0 over 100 kva/kw $0.00 0 Non Res Appl $0.00 0 Low Voltage Equipment $0.00 0 Res Appl $0.00 0 Low Volt Wiring System/Ckt $0.00 0 Service to 200a $0.00 0 Misc.Conduit $16.25 1 Service to 1000a $0.00 0 Misc.Conductor $0.00 0 Service over 1000a $0.00 0 Circus(gen or ride) $0.00 0 Motors to 1 hp $0.00 0 Circus(mech ride or lights) $0.00 0 Motors to 10hp $0.00 0 Christmas Tree Stand $0.00 0 Motors to 50hp $0.00 0 Fireworks Stand $0.00 0 Motors to 100hp $0.00 0 Other Electrical Fee $0.00 Motors over 100hp $0.00 0 Communication drops $0.00 0 Investigation Fee $0.00 Sub panel to 200a $0.00 0 Plan Check Fee $0.00 Pole Light Pkg $0.00 0 Reinspection Fee $0.00 Sign Circuits $0.00 0 Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $38.25 Intermed Pole $0.00 0 COMMENTS I SPECIAL CONDITIONS EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all �k required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. ".4; FOR INSPECTIONS CALL: (714)754-5626 // DECLARATIONS WORKERS'COMPENSATION DECLARATION: • I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carver: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($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,and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5103,000),IN ADOrICN TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business end Professions Code,and my license is in full force and effect.Lic.# Class# Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lenders Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,Improve,demolish.or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. • 7044,Business and Professions Code:The Contractors License Law does not apply to en owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such Improvements are not intended or offered for sale.If,however,the building or Improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). O I,as owner of the property, em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of properly who builds or improves thereon,and who contracts for such project with a contractor(s) license ursuant to the Contractors . .nse :: .), ❑ I am er sec. A" Business and Professions Code for this reason: Signature: A A ' Date: 7/l�j 7 Owner ID verified by drivers licen •r 0 Yes II No Driver's License No. / Expires: Verification of Ownership by(typ: •f document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: In I hereby certify that no excavation five(5)or more feet In depth Into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,1 will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP Is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this 6pplication apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 0 Yes LJ No (Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constmcted under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If"yet,the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency Is required for the work which Is the subject of this application,have all of the disclosures prescribed by California Health and Safely Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CE- • 'TE OF COMPLIANCE AND A ORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is ••rrect. I a.roe to comply with all state I s and •///ordinances relating to building construction,and authorize rear entatives of the City of Costa Mesa to enter upon the -•ove-d:-•'•-: • •perty for inspectio rpagree not to occupy or allow occupancy of any building authonz by this permit until final inspection. P/(v^`� aljO 1- 'r � 199 97 `' Sigff e Of Le Ow ((+ Date d/Or Authorized Applicant Date LDDE_L INSPECTION TYPE DATE Id1IIIAL5 GOOF I IffSPECTIONTYPE DATE =Ma 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing /( // / 200 Final Re-Roof 210 Final Electrical /-I I -q7 t i///r(�-//�� • 201 Final Block/Retaining Walt 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site _ 204 Final Demolition • 250 Final Building/Occupancy 2446-46 Mt q CITY OF COSTA MESA iy1. BUILDING DIVISION • r -"ti" f,° DEVELOPMENT SERVICES DEPARTMENT Te. e . ' PERMIT PERMIT NUMBER ,� E98-01154 / (714)754-5273 • Fax(714)754-4856 77 FAIR DRIVE,COSTA MESA,CA 92626 • . ELECTRICAL PERMIT Job Address: 120 23RD ST Status: ISSUED #124-97--" I� Suite No F Applied: 11/03/1998 Vicinity: Issued: 11/03/1998 Parcel Nunmber: 43942102 Applicant: BOUQUET, JASON Address: • Phone: Zip: Owner FOX, DENNIS Address . Phone: Zip: Contractor: GREENSCAPES Address: 2609 NORTHWOOD Phone: 434-8418 SANTA ANA,CA Zip: 92704 License: 740852 SCOPE OF PERMIT 3 MISC CONDUIT FOR FUTURE LANDSCAPE ELECTRICAL WORK. FEE SUMMARY Quantity Quantity ISSUE FEE $22.00 Temp Dist System/Lighting $0.00 0 Temp service test $0.00 Busway/100 ft $0.00 0 Res.a/c package $0.00 Standing Section $0.00 0 New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0 New Res(3+units) ' $0.00 0 Transformers up to 1 kva/kw $0.00 0 Pool/Spa $0.00 0 up to 10 kva/kw $0.00 0 Lighting Fixts $0.00 0 up to 50 kva/kw $0.00 0 Recept Outlets $0.00 0 up to 100 kva/kw $0.00 0 Switches $0.00 0 over 100 kva/kw $0.00 0 Non Res Appl $0.00 0 Low Voltage Equipment $0.00 0 Res Appl $0.00 0 Low Volt Wiring System/Ckt $0.00 0 Service to 200a $0.00 0 Misc.Conduit $48.75 3 Service to 1000a $0.00 0 Misc.Conductor $0.00 0 Service over 1000a $0.00 0 Circus(gen or ride) $0.00 0 Motors to 1hp $0.00 0 Circus(mech ride or lights) $0.00 0 Motors to 10hp $0.00 0 Christmas Tree Stand $0.00 0 Motors to 50hp $0.00 0 Fireworks Stand $0.00 0 Motors to 100hp $0.00 0 Other Electrical Fee $0.00 Motors over 100hp $0.00 0 Communication drops $0.00 0 Investigation Fee $0.00 Sub panel to 200a $0.00 0 Plan Check Fee $0.00 Pole Light Pkg $0.00 0 Reinspection Fee $0.00 Sign Circuits $0.00 0 Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $70.75 Intermed Pole $0.00 0 . COMMENTS/SPECIAL CONDITIONS • • EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. . INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 • • DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code.for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($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 law and agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with Theptap Applicant Signature: — - — Date: V/ -- WARNING:FAILURE TO SECUR• ORKERS'OOMPENSAT it COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMI • -ENALTIES AND CIVIL F UP TO ONE HUNDRED THOUSAND DOLLARE(5100,000),IN ADDITION TO THE r.•tF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE •:•RCODE,INTEREST ORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.Lic.# an, Class* Contractors Signature: - - Date: x CONSTRUCTION LENDING AGENCY: "7- 7 ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil.`title). Lenders Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors license Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such Improvements are not intended or offered for sale.If,however,the building or Improvement is sold within one year of completion,the owner-builder will have the burden 01 proving that he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I em exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet In depth Into which a person Is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of en RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Air Duality Management District or from any other air pollution control district or agency? IJ Yes U No (Section 65850.2 of the Califomia Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No 8 (If'yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: _ Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described prbperty for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. J / Signet Of Legal Owner(s) / Date _____cit7 � And/Or ho)lzed Applicant V ji 3Date CODE t INSPECTInN TYPE DATE ItiimALS GOOF f Dt5PFrT1ON 772F DATE ECU 1616 Fixed System Final Fire Prevention 206 Final Mechanical I 1266 Pool Spa Final 208 Final Plumbing _ 200 Final Re-Roof 210 Final Electrical 1—II—'/gy[p 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site _ 204 Final Demolition 250 Final Building/Occupancy 2446-46 ADDRESS OFeUILWNi: :120 `23RD ST UM: F CITY OF COSTA MESA — BUILDING PERMIT OWNERS H/a1E IF IDlOWN: VNE DEVELOPMENT PERM NO: B 075327 ADDRESS: 1,.,0 4 8 IRVINE # 363 • PERMIT NO: B 075327 PLAN CHECK NO: 04265-95 A GOVT: N SUPP : N NEWPORT BEACH, -CA 92660 •.7.14825-0671 APPL.MAIUNO ADORERS: CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: NEW ARCHITECT ORENGNEER: ' Lu.NO.: JOB DESCRIPTION : NEW CONDO 1942 SF LIVING/ 430 SF GARAGE SQ FT: 2, 372 ARCH.OR ENG:S ADDRESS: MT: CLAIM VALUE: CALL—VALUE: 160, 139 . 80 GROUP OCC : R-1 /M-1 CONTRACTCtSNAME: CCNTRACTORS MMIHHG COMMENTS: NEW CONDO ADDRESS: UC.NO.: *************1F************************3434**3F9f***********3E*********************** LINT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty el perjury that I am licensed under provisions of Chapter 9 SETB ACK S (commencing with Section 7000)d Division 3 d the Business end Professions Code,end my license is in full force end elect CITY LIG.NO.: UC.CLASS: UC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING Dae: Contractor FRNT: 238 FT IN REAR: 10 FT IN FRNT: FT IN REAR: FT IN LEFT: 36 FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the Sowing reason(Section 703t.5Business and Professions Code:Any city orcounty which requiresapermit toconawd,alter.improve, PARKING REQ: PROV: PARCEL: 43942102 ZNE: R2—H REF NO: PA-95-20 repairmash,or repair any structure.prior to is essence.also requires the applicant for such permit to file a signed statement that he or she c . .licensed pursuant o the provisions s the Contradors License Law[Chapter9(commenaq with Section 7000)d O) Division 3 of the PLANNING NOTES> 1147 .iFT. 3—BEDROOM, 2—STORY DWELLING WITH 430 SQ. FT. Business and Professions Code)or that he or she is exempt therefrom and the baso for the alleged exemption.My violation of Section > GARAG E'7AMD' 717 S Q. F T. LIVING AREA. 7031.5 by any applicant for epermit subjects the applicant toe deg penally of not more than Me hundred dollars R5001). iEiEiElE1E#dEiElEiEjEiElEdElE1EIE1E9E***,t* EiE1E1E1(-1EIEiE3EiEiEiEiEiEiEiEiE3E9E9EHESEiE7E3ElEIEIEiE3E3EiE3E1E1EjE1EiEiE#fEiEiE-0L-*i4iE7E7E7E*fEjE*** ❑ I.as owner of the propene Of my employees wih wages as thee sole compensation.will do the work.and the structure is not intended D E V E L O P:'Mi£ N T SERVICES R V I C E S R E U I R E M E N ,T S or offered for sale(Section 7044,Business and Professions Code:The Contractors License law does not apply to an owner of properly Q who buida or inproves thereon,and who does such work himself Cr(herself or through he a her own employees,provided that such - �a improvements are not intended or offered to sale.If.however.the building or inprovernem n soli within one year f completion.the ZONING APPROVED BY �' �^> DATE: `Til 1st l �[.� wner-buider will have the burden of proving he or she did rot build or improve for the purpose of sale). L` I,as owner of the property.am exclusively oontraci g with licensed contractors to construct the project(Sedan 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of properly who builds or improves thereon and who BUILDING APPROVED BY : 2 contracts for such projects with a contractor(s)licensed pursuant to the Cannanore License Law). - DATE: /. o I am exempt under Section: B.AP.C.,lerthis rp : APPLICATION ISSUED BY:' • DATE: Z Sc_ Dela: II ,..1 Oweer: \ iE1ElE3ElElEiE1E1EiE1E#IEIEiE1EiL-i(-***iE er IE iE 3E iE iE lE lE fE lE iE3F iE �F{E1E iE iE LEGALIZATION: N F E E S U M M A R Y STRUCTURAL SEGMENT:Y I do hereby ceni that I em aware of and understand the requirements of California Heath and Safety Code Sections 25505,25533,and 25534.and that'or anyhams building occupant 'anal ne)neeto comply orbsaNdatecodes and the requirements for ape constructionormsRmionhdmtremagemlniect o pmndndionepco eexempt finthssr BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 853 . 00 16 . 01 Date: Applicant: SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm ureter penury of perjury one of Me?Slowing dadaratirs: PLAN 138 . 61 ❑ Ihave and ermaintain certdicale of consent to self-insure for workers'amperages,.es prodded ford by Section 3700 the Labor ISSUE FEEconself-insureCode.for the performanceoftheworkforwhichthipennun®ued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ I have and Mk nutintain)vorkers'compensation insurance.as required by Sectiai 3700 al the Labor Code,k4 the perforrnance of the TOTALS----> 869 . 01 0 . 00 138 . 61 1007 . 62 1007 . 62 . 00 work for which this pemin is issued.My workers'compensation insurance canter and policy number are: Carrier: REVENUE DIVISION TOTALS--> COLLECTED : 869 . 01 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need not be completed I the permit is for one hundred dollars)Jf00)or leas.) 853 . 00 16 . 01 o I coney that in the performance or the work for which this permit Is issued.I Nen no.employ any pertain in any manner so as to become subject to the workers'compensation laws d California,and agree that ff I should become subject to the workers' ********* je,****,***,*** ,*********,*,**,xK-i(,iEi(,N,i(,*##ff)f*dE,NKN,If,IE,NiF1FiElEiElEiEiE#iEiEiEiEifaEiEiEdEiEiElElE*** compensation preteens d Section 3700 d the Labor Code,I shall forthwith comply with those provisions. Date: Apptram: INDIVIDUAL F E E BREAKDOWN Warning:Failure to secure workers'compensation coverage Is unlawful,and shall subject en employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines W to one hundred thousand dollars(SWUM/n edlldon rods coat of compo satin,damages asprovided for in s.aamtattorney's en37DAof . eborcpd.,lnrereaendiee SFR 1942 DWE—TYPE V—WOOD FRAME —GOOD 77. 90 151 , 281 . 80 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a construction lending agency for the SFR 430 RES—GARAGES TYPE V 20 . 60 8, 858 . 00 performance of the work to with this permit is issued(Section 3097,Civ.C). LENDER'S NAME: END OF FEES LENDER'S ADDRESS: I certify that I have read this application and date that the above idomnation is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. MIKE TALBOTT Prot Mama 1 21 Data: I I 11 r•. - f ct nsRrre d DwmdAgenUAppkranuContrador e l r t t (5151'46.WP) White-Building A Safety:Green-Fie;Canary-Appicant;Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNING - PO SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. T:mporary Electrical Service or Pole =_ 52. Pool & Equipment Location -� 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement ' 3.'Electrical conduit Utility-Undrgrnd. -- 54. Forms / v 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVE R-GUNITE 7. Footings i. )65- ,�J�i��¢�-/ 58. Electrical Conduit-Undrgrnd. .8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. --C. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Sd'acturat 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 0 Gas ❑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 r44_ ___ _aet GC+l" 76. Dry Standpipe • - 28. Lathing & Siding a7 Q 77. FIXED SYSTEM FINAL 29. Insulation 9 7_ 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: • 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy - . 37. Final Factory Fireplace 38. Final Plumbing . 39. Water Service-Final 40. Gas Service-Final . 41. Solar Domestic-Final 42. Backflow Preventer - 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING `? 48. FINAL PLANNING -• 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date EADDRESS OF BUILDING: 120 '23RD ST u"r' F CITY OF COSTA MESA - BUILDING PERMIT NEWS NAME IF I0g1VN: VNE DEVELOPMENT /PERM NO: P 075345 ADDRESS: L048 IRVINE # 363 PERMIT NO: P 075345 PLAN CHECK NO: N GOVT: N SUPP : N EWPORT BEACH, CA 92660 .-714.825-0671 Awt'MMUNC ADOREss: CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: NEW ARCNRECT OR ENGINEER: UC.NO.: JOB DESCRIPTION NEW CONDO 1942 SF LIVING/ 430 SF GARAGE SQ FT: ARCH.OR ENG.'S ADDRESS: UNT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-1 /M-1 CONTRACTORS NAME ' CCNTRACTOR'SMMUNG COMMENTS : NEW CONDO, RE: #B75327 ADDRESS: UC.ND.: **R(-*iEiblE******iF****fEfBfBfE*************iERBRf3bfh IEIE********iB*****iERE****1BiB*iE*iE**********ft. UNT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby Stem under penalty of perjury that I ern licensed under provisions of Chapter S SETBACKS (commencing with Section 7000)of Division 3 of the Business end Professions Code.end my license is in lull force and effect. CRY LIC.NO.: UC.CLASS: UC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING Dona. 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 panty of perjury that I em exempt from the Connecters License Law for the lowing reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit to construct.after,improve. PARKING REQ: P ROV: PARCEL : 43942102 Z N E: REF NO: imolai),or repel any structure.prior to its issuance.also requires the aee�ploant for such permit to file a signed statement thin he or she .licensed pursuant to the provisions d 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 end the basis for the alleged exemption.My violation of Section > ._. 0: 1 r I 7031.5 by any applicant lora permit subjects the applicant toechil penalty N not more then lute hundred dollars 135001). ******************************************************************************* ElI.as owner of thepropunY ormY employees with wages as their Bole compensaton;willdo the work.and the structure is not intendedT T or offered for sale(Section 7044,Business and Professions Code:The Contractors License Lew does not apply to enamor of properly D Er L E L 0 P M E N T S E R V I C E S FP'' E Q U I R E M E N TS who builds or improves thereon,end who does such work Nmself or herself or through he or her own employees,provided that such •p 'i/ (i •t improvements are rat intended o offered for sale.If.however,the building or improvement is sold within one year of mmpletion,ths ZONING APPROVED BY •b /' . �! DATE: ownerbuilder will have the burden of proving he or she did not build or improve for the purpose d sale). • 1,as owner of the properly.am exclusively oontradi g with licensed contractors lo construct the projerl(Section 7044,Business and /" x."-- Professions Coda:-The Contractors License Law does not apply to en owner of property who buiks or improves thereon and who BUILDING APPROVED BY : / .1 contracts for such projects with a contracmr(s)licensed pursuant to the Contractors License Law). .A., r/ ' DATE: ❑ I am exempt under Ion: B.8 P.C..I«this eas/oro//� APPLICATION ISSUED BY: (4 / ` 4.--,i DATE: (It 66 1 cl✓ -2- DS '. -/ y 741 Owner: /A/LI.'V *****CATIO********fE*************d ******3f3EfEiE****IE1E*******7ftB1E******** EfEIB*******1E* / I do hereby certify that lamaware dend undersnndthe requirements aC` oelfniaNeelthandSafelyCodeSectons25505.2c5'V,end LEGALIZATION:N F E E SUMMARY frt 1 STRUCTURAL SEGMENT: N 25534,end that I or any future building=pant will/will not(circle are)need to comply wih said state codes and the requirements for i, ( s" • €' a permit form construction orodificetionframthe Ai u� yl�anagement District.Residential wMmctionappin cationeeexempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC ' FIRE SMIP/RES GRADING provisions. PERMIT 111 . 00 _ `..- Dale: Applicant 258 L., t,1 ,, , t.,,SHIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally d perjury one of the following dadantons: P LAN ' . n . , ❑ I have and will maintain a certificate of consent toself-insure for workers' n.es compensatioprovided for Section Seon 3700 of the Labor ISSUE FEE 20 . 00 Code,for the performance of the work for which this permit eissued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK .TOTAL'" PAID DUE ❑ I have and will maintain workers'compensation insurance.as required by Section 3700 of the Labor Code.far the performance of the TOTALS----> 111 . 00 20 . 00 x 0 . 00 t. 131 , 00 r 131 . 00 . 00 work for which this permit is issued.My waken'compensation insurance carrier and policy number are: Carrier: REVENUE DIVISION TOTALS--> COLLECTED : -i.-'' '1131 . 00r< OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC • FIRE SMIP7TOT - GRADING PLAN-CHECK (This section need not be completed 1 thepwma s for one hundred dMlarsAloof or less) 131 . 00 ) - � r, - .- ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any mariner°o as to • i i become gabled to the workers' o compensation laws CdD 4«ni°, and agree that I should become subject to the workers' *.***.)f**.x..IE,K,*****)E,)E*,)E*,*,)E****,*******,**,**♦EiE***,#*,1(-*,!F*,IE***{f•**_1*workers' *i�**** ***********-***-*** compensation provisions of Section 3700 of the Labor Code.I shall forthwith comply with those provisions. Date: IVIDUALAskant: INDD U A L ',F E E-1 B L R E A K'D O W N Warning:Failure to secure workers'compensadon coverage la unlawful,and shall subject en employer to criminal - / penaltiesantl TYPE QTY D E S C R I P T I O ,N ,'. 1 T ' UNIT.COST TOTAL COST dull fines 0y to one hundred thousandst,and (omej,' len addition to Ms roar of compensation,damages as provided for In 1 'I - Secpon3Rl5oy the Labor Code,InfenaAmtlatfomeYs less. ' n t ` PLU 2 BATHTUB 7 -00 14 . 00 • CONSTRUCTION LENDING AGENCY: hereby affirm under pronely of penury that there is a conatuction lending agency ler the PLU 1 DISHWASHER "( r• i ,'• --7 .:00 7 . 00 performance o the work for whim this penults ssued(Sedon 3097.CN.C). PLU 1 SHOWER 1 7 . 00 7 . 00 LENDER'S NAME: , LENDER'S ADDRESS: PLU 1 SINK, KITCHEN r' 7. 00 7 . 00 PLU 2 WASH BASIN (SET) %' ' n -''/ 7 . 00 14 . 00 I certify that I have read this application and state that the above information is correct.I agree to amply with a0 city and county ordinances 1.:-.1 .-t .y, ] 4 . and stale laws relating to building conalrudon and hereby authorize representatives of this city to enter upon the above-mentioned properly PLU 3 WATER CLOSET ( TOILET) ,,j ✓; 7 . 00 21 . 00 forinspedonpurposes. PLU 1 WATER HEATER AND/OR -VENT'• •1 v_ 7 . 00 7 . 00 MIKE TALBOTT PLU 1 WATER SERVICE 7 . 00 7 . 00 Print Name J PLU 1 GAS PIPING SYS OF ' 1 T0K,4� OUTLETS ";ill 5 . 00 5 . 00 � 1�/y/9� PLU 1 GAS SERVICE / ✓!' T 7 . 00 7 . 00 `$ f � Date: PLU 1 SEWER, CONNECTION TO• BUILDTNG` EACH 15 . 00 15 . 00 Signature of Owner/Agent/AppkeandCOnlredor - .. �i n, I a l ., ,In• (5151'46.WP) White-Building&Safety;Green-Ale:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNING PO. s SPA APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector 1. T•:mporary 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 COVER-GUNITE 7. Footings l 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 0217/ _ _� 60, Backwash Lines, P-Trap, O Undrgrnd. 10. Sttuctural Floor System / �//J . 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection it-jz-q '/,yjgl/J 62. Backwash & Receptor-Final 12. Sewer Cap (_/✓D�J 63. Heater& Vent-Final 13. Roof Drains / 64. Plumbing System - Final 14. Rough Plumbing 2.1Lt6 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 0 Gas 0 Oil 23. Gas Pipe-Rough & Test (zSG� AfthA ' 72. Underground Flush 24. Roof Framing /�'� 73. Undergrnd.Storage Tank D 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 1 80, FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test i.-�- -g6 �Z-/=`1 /( C L__ 36. Hood or Canopy ,Z -6 - ?it Td r dZJ1 Perin n_ 37. Final Factory Fireplace TOT? 4 na-AOs.-t_ 'z-& C01'*c l!•Yd✓ 38. Final Plumbing OP. 39. Water Service-Final 2y4r Z-ti4-r7.L _Af T-&L _L 40. Gas Service-Final 96 - 41. Solar Domestic-Final 4. -9_75_4 C-zza S 42. Backflow Preventer ��s�7 l'A'z R 43. Backflow Irrigation ., 10 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 ADDRESS OF MLOING .. WIT: MIENS NUPE IF Q040N'N ADORE h PERMIT NO: P 075345 PLAN CHECK NO: 04852-95 N PAGE:• 2 A • *********iE+EjEiEiEiE3E#�FiEiEfE****iEiElEiEfEiEiEitiFifiliflEiEiEiE�EiEiFiE#iE3EiEifiElEiE#iEiEiE**MM**iFiF�EiEiElEiElElfiEiFiFiE*** APR..MARINO ADDRESS: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST ASRCHITECT OR ENGINEER: UC.NO.: ARCH.OR ENG.'S ADDRESS: UNT: END OF FEES CONTRACTORS NAME CONTRACTORS MAILING ADDRESS UC.NO.: INT: LICENSED CONTRACTORS DECLARATION:I hereby'Arm under penalty Cl perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)of Dison 3 of the Business end Professions Code,and my license Is in full force end effect. CITY UC.NO.: UC.CLASS: LIC.NO.: Date: Contractor: OWNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I am exempt from the Contractors License Law la the lowtg reason(Section 7031.5 Business and Professions Cole:Any cit or county which requires a permit to construct,eller,improve, ,molbh,or repel any structure,prior to its issuance,also requires the applicant for such pennh to file a signed statement that he or she a licensed pursuant to the provisions of the Contractors License Law(Gapter 9(commendng with Section 7000)of Dbalon 3 of the Business and Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Sermon 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more then IHe hundred dollars($5001). O I,as owner of the property or my employees with wages as their sole compenselon,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 applyto snowier of property who builds or improves thereon,and who does such work himself or herself or through ho or her own employees.provided that such . improvements are not intended or offered for sale.S.however.the building or improvement is sold within one year of completion,the carnet-builder will have the burden of proving he or she did not build or improve for the purpose of sale). Q I,as owner of the property,em exclusively contracting with licensed contractors to construct the pmlect(Section 7044.Business and • Professions Code;The Contractors License Law does not apply to an owner of properly who builds or improves thereon and who contracts for edrN'prOeds with a mNredods)licensed pursuant to the Contractors License Lew)- t ❑ I am exempt under Section: B.&P.C.,for this reason: Date: Owner: ' I do hereby certify that Ian aware of and understand the requirements of Ce Tomo Health and Safety Code Sections 25505.25533,end 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 /s a permit for construction or moddicatonhan the Ai B�Lue Iy Maragement Distdd.Residentidoonstructi n applcalions are exempt from these provisions. - Date: Applicant: / WORKER'S COMPENSATION DECLARATION:I hereby afum under penalty of perjury one of the following declarations: • 0 I have and will maintain a certificate or consent to self-insure for workers'compensation.as provided for by Section 3700 of the Labor " Cade.for the performance d the work for which this primp is Sued. o I have and nil maintain workers'compensation insurance,as required by Swaim 3700 of the Labor Code,Nor the performance or the work tor which this permit is issued.My workers'compensation insurance weer apt poky number are: . Carrier: Policy Number: 1 (This section need not be completed l the penny is for one hundred dollars(SIM or testi O I certify that in the performance of the work for which the penia is issued,I shed not employ any person in any manner so as to become object to the workers'compensation laws or California.end agree thal I I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code.I shall forthwith comply with those provisions. Dale: Applicant: Warning:Failure to secure workers'compensation coverage is unlawful,and shall subject en employer to crlm'nsl penalties and civil tines rpt to one hundred thousand dollar($104000),In addition to the cost of compensation,damages as provided for in t Section 3700 of the Labor Code,Interest and attorney's lees. .. CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this perm/is issued(Section 3097,Cb.CI, LENDER'S NAME: , LENDER'S ADDRESS: I certify that I have read the application and slate that the above information is cored.I agree to comply with Sleety end county ordinances and stale laws relating to building mnatrumon and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purpu3.se _ . . _ •. . ._ .-' inc Print Name _•- Date: Signature of Owner/AgenVAppicanvCantrador (5151-46.WP) White-Suildig&Safety:Green-AIL Carry-Am:Ma :Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNING PO 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. L 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. Seuctural 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 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 PREY. ANAL 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 Notys: 34. Final Heating& Air Conditioning ". .r 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 ADDRESS OF WILDING: • 1'20e 23RD ST Wit F CITY OF COSTA MESA — BUILDING PERMIT • OWNERS NAME"lav""` VNE DEVELOPMENT ...PER—FINO: M 075346 ADDRESS 1.048 IRVINE # 363 r PERMIT NO: M 075346 PLAN CHECK NO: N GOVT: N SUPP : N NEWPORT BEACH, CA 92660 • 714.825-0671 APPL.YAWNS ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: NEW ARCHITECT OR ENGINEER: L1C.NO.: JOB DESCRIPTION : NEW CONDO 1942 SF LIVING/ 430 SF GARAGE SQ FT: ARMOR ENG.'S ADDRESS: UMT: • CLAIM VALUE: CALC—VALUE: GROUP OCC : R-1 /M-1 CONTRACTORS NAME: Crn4WACTORSWRUNG COMMENTS : NEW CONDO, RE: #B75327 ADDRESS: UC.NO.: ******************************************************************************* UMT: ZONING REQUIREMENTS UCENSED 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 and my license is in full force end effect. CITY LIC.NO.: UC.CLASS: UC.No.: EXP : MAIN BUILDING ACCESSORY BUILDING Date: ContractorFRNT: 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 of perjury that I are exempt from the Contractors License Law for the (lowing reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit to coossutl,alter,improve, PARKING REQ: P RO V: PARCEL : 43942102 Z N E: REF NO: foolish.or repair any structure,prior to e s issuance,also requires the applicant for such permit to file a signed statement thin he or she Q a licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Division 3 of the .P-,L 45NN I NG NOTES> Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section f. t/J , > ✓ 'f . 7031.5 by any applicant lore permit subjects the applicant loscivil penalty of not more than Me hundred dollars($50131)' ***IE1E***_E#iF1E3EfE1ElEifiEif3f-IklkiE****lfdflEiEiEiEfE1ElElfdf-lEjEiE1E1ElEfE)E1ElffElFiElFiEiEfE#1E)fikiE#ifdEiEiEfEiE-%jE1E)E)Ej/-lEjE1E*** ❑ I.a°Rom of ihe ProPorlY0r mY eMPloyees with wages as thei.sole compensation,vAll do the work.and the structure is not intended Yi. 4^ D` E V E L OPMENT S E R `V I C E'.$ R E M y�y U I R E M E N TS or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an Saar of properly f ' who builds or improves thereon,end who does such work limed or herself or through he or her own employees.provided that such .1 A. ^ ,a ' improvementsare not intended or offered for sale.d,however,the building or improvement is sold within one year of completion,the '2.ONcING APPROVED BY 'k DATE: owner buider will have the burden of proving he or she did not build or improve/or the purpose of sale). - I,is as owner ofa the property, m eatlmsrely mntretlMxuv iq with licensed contractors autl poise'opel W (section]o .Business and ( •• Professions Code:The Contractors License Law does not apply to an owner d property who builds or improves thereon and who WkLD I NQ{APPROVED BY : DATE: contracts for such projects with a contractors)licensed pursuant to the Contractors License Law). ^ - ' ❑ '°" e=a•�mpt�de` j, B.BP.C.,orthis reason: 1. .,AM' ICATION ISSUED BY; S �T DATE: (,C( lc, Dale: {\d Z 1 Owner �'f/4AA. ***********************************************+r********************* **-W***** LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT: N I do hereby certify m I aware of end understand the requirements of Callao is health and Safety Code Sections 25505,25533,and 25534,end that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for /' • 4\• a permit for cpatructionamodificetionhomtheAi u°'�E�ty enegement Dislria.Resiemi°I construction°pplutomereexemgfrom tesa BLDG PMT PLUMBING ELECTRIC ' MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT r 22 . 00 Date: Applicant: _ V " /' 25% SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: PLAN . El have and willmainten a certificate of consent to self-insure for worker;compensation,as provided to by Section 3700 of the LaborISSUE FEE 15 . 00 Code,for the performanceofthewerkforwlichthispermiisissued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE o I have and will maintail workers'compensation insurance,as required by Section 3700 of the Labor Code,he the palormanoe cl the TOTALS----> 22 . 00 15 . 00 0 . 00 • " 37 . 00 37 . 00 . 00 work for which this permit is issued.My workers'compensation insurance carrier end policy number are: f. Came= REVENUE DIVISION TOTALS--> COLLECTED : 37. 00 OVER/SHORT: . 00 Policy Number BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This radian need nor be completed I the permit is for one hundred dollare MOO)or less.) 3 7 . 0:0 , ❑ 1 cerlty that in the performance of the wok for which this perms is issued,I shall not employ any person in any manner so as to + become subject to the workers'compensation laws d California, and agree that i I should become subject th to e workers' ***********************************i*******4E*********************************** compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. Dm Applicant: INDIVIDUAL's '.FEEt ; BREAKDOWN r, , mein Failure to secure workers'compensation coverage la unlawful,end shall subject an employer to criminal ein and TYPE QTY D E S C R I P T I O•;N 'ter UNIT COST TOTAL COST chill fines up to one hundred thousand dollars(5100,0001.In add/don to he cost of compensation,damages SS provided for In Al r ,1 Section 3706 of Labore Code,Interest,and afflomey's lees. MEC 1 INST FORC—AIR/GRAV FURN <= 1100 K BTU 9 . 00 9 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the MEC 1 FACTORY FIREPLACE )' d ' 6 . 50 6 . 50 performance of the wok for which this pent is issued(Sedan 3097.civ.c). MEC 1 INST HOOD W/DUCTS FED'�BY. MEC • EXHAUST 6 . 50 6 . 50 LENDER'S NAME: LENDER'S ADDRESS: EkND. OF�.F FEES : I certify that I have read this application and slate that the above information is correct.I agree to comply with all airy and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned properly a - , for inspection pues rPmr . � MIKE TALBOTTi I ,> ' \' G Print Name Date: �� l� '1 �" o J 11 Spreture d Owrer/AgenVAppkrinVConlretla ry 1 ry' (5151'46.WP) White-White-Building8 Safety:Green-File:Canary-Applcam:Pink-Revenue:Goldenrod-Assessor r ' " _ R 77..:,n CONSTRUCTION AND PLANNING PO. & 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, ElectricalConduitUtility-Undrgrnd. 54. Forms f 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, Fovndation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Weter Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection ' 62. Backwash & Receptor-Final 12. Sewer Cap - , 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final - 4 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 2--17-% FIRE DEPT. REQUIREMENT - 20. Rough Factory Fireplace • - � APPROVALS Permit # 21. Ducts, in Structure CZ_S.� ..l$ 70. Underground Hydro 22. Ducts, Ventilating I _6 Ad 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) & Mono-Coat 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: (-Z 5'-y6 eGniz_ar_c�-s 34. Final Heating & Air Conditioning �G ` --ce H 1610 35. Final Gas Pipe-Test n 36. Hood or Canopy G 37. Final Factory Fireplace S---756` G (4 L� 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 w Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date 6-05-1996 11 :01AM FROM SCHMID INSULATION 909 392 5512 P. 3 INSULATION CERTIFICATE This is to certify that insulation has been installed in conformance with the current energy regulation, California Administrative Code, Title 24 , State of California, in the building located at BUILDING B 23RD STREET ( 120 23rd St. #B) COSTA MESA, CA • CEILINGS : TYPE : Fiberglass Batts MANUFACTURER:Owens/Corning THICKNESS : 6 1/2" R-19 WALLS : TYPE : Fiberglass Batts MANUFACTURER: Owens/Corning THICKNESS : 3 1/2" R-13 GENERAL CONTRACTOR:VNE DEVELOPMENT LICENSE:R_ti5R963 BAMl�haP1 g /T 1� tt TITLE: President DATE : 6-5-96 SCH`?AIIS INSULATI8Nb8& TRACTORS INC. LICENSE #221517 C-2 164-1 BY: TITLE: PRODUCTION MANAGER DATE: 06-05-96 INSULATION CERTIFICATE This is to certify that insulation has been installed in conformance with the current energy regulation, California Administrative Code, Title 24 , State of California, in the building located. at BUILDING B 23RD STREET COSTA MESA, CA CEILINGS : TYPE : Fiberglass Batts MANUFACTURER:Owens/Corning THICKNESS : 6 1/2" R-19 WALLS : TYPE :Fiberglass Batts MANUFACTURER: Owens/Corning THICKNESS : 3 1/2" R-13 GENERAL CONTRACTOR:VNE DEVELOPMENT LICENSE B-658963 B1 TITLE : President DATE : 6-5-96 Michael S. Talbott SCHMID INSULATION CONTRACTORS INC. LICENSE #221517 C-2 BY: TITLE:PRODUCTION MANAGER DATE : 06-05-96 ADORES$OF SWIPING: 120 23RD ST Wit F CITY OF COSTA MESA — BUILDING PERMIT F OWNERSNAME(ADDRESS' VNE DEVELOPMENT PERM NO: E 075344 ADDRESS: 1048 IRVINE # 363 PERMIT NO: E 075344 PLAN CHECK NO: N GOVT: N SUPP: N VEW IR�EACH, CA 92660 714-825-0671 CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: NEW ARCHITECT OR ENGINEER: UC NO.: JOB DESCRIPTION : NEW CONDO 1942 SF LIVING/ 430 SF GARAGE SQ FT: ARCH.OR ENG.'S ADDRESS: LINT: CLAIM VALUE: CALL—VALUE: GROUP OCC: R-1 /M-1 CONTRACTORS NAME: A CONTRACTORSMMLRIO COMMENTS : NEW CONDO, RE: #B75327 ADORES& UC NO.: ******************************************************************************* UMT: ZON ING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby ether under penalty of perjury that I ern licensed under provisions of Chapter 9 SETBACKS w (commencing with Section 7000)of Division 3 d the Business and Professions Code,and my license sin full force end effect. CITY LIC.NO.: UC.CLASS: UC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING Date: ContractorFRNT : 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 penal),of perjury that I an,exempt from the Contractors License Law for the !allowing reason(Smlon 7031.5 Busress and Professions Cole:Any city o county whim requires a permb to construct,alter.improve, PARKING REQ: P RO V: PARCEL : 43942102 Z N E: REF NO: demolish.or structure.regal annY structure.prior tow Somme.abetrequiresthe applies for such permit to tole a signed statement Mal he or she Q is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section]000)of Division 3 of the PLANNING NOTES> Business and Professions Code)or that he«she s exempt therefrom and the basis for the alleged exemption.Any violation of Section > 7031.5 by any applicant for epermit subjects the applicant lois civil penalty of nor more than five hundred dollars lS50op. ******************************************************************************* ❑ I.as owner of the property or my employees nth wages as thei sole compensation.wit do the work,and the stinum S not intended D E V E L O P M E N T SERVICES R V I C E S R E U «offered for sale(Section Contractorsm 111/1311110d ]044,Business and Professions Code:The Contrs License Law does t0 en owner propend Q I R E M E N T S who beside or improves thereon,and who does such work fimse l or hesel orhis or through her own employees.provided that such improvements are not intended or offered for saJe.1,however,the building or improvement is sok eighth one year of completion,the ZONING APPROVED BY DATE: y., owner-builder will have the burden d proving he or she did m build or improve for the purpose d sale). • L I,as owner Code:ThheecContracors�roeeiaawmdooees p�nall�an owerractorsofpropey whoo construct imaim«immproovves theonlaaidewho BUILDING APPROVED BY : • DATE: contracts for aids projects with a contracted')licensed pursuant to the Contractors License Law). ` � ❑ Iamexempt unnde�smlon: B.8P.C.,for tireaso APPLICATION ISSUED BY: • DATE: 11 2i 14 y Dale: )1).' 4 Owner: l *************************************************iE 1E*#IEIE**********#'lE* * *1E 4*** / Idohereby cenifythat I aware of and pwerstandterequirements o osaHealhard Safety Code Sections 25505,25Any,and LEGALIZATION: N F E E S U M M A R Y STRUCTURAL SEGMENT: N 25534,and that I or aro'future building occupant will/wit m(cede one)need to comply with said state codes end the requirements for a permit for mswnionCr modification from the Ai Dusky Management District.Residential conatnmun appicetits are exempt from Mese BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 73 . 22 Date: Applicant: 50% SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under Penalty Of ry perjuone of the following dedartions: PLAN ❑ I have end wit maintaina cediicate of consent to self insure for workers'compensation,as p comensationrovided for by SectionLater 3700 of the LabISSUE FEE 15 . 00 Code.for mothe BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ I have and MN maintain workers'compensation insuranoe.as required by Sadao°3703 of the Labor Code,kr the performance of the TOTALS----> 73 . 22 15 . 00 0 . 00 88 . 22 88 . 22 . 00 work for which this perms S'issued.My wakes'compensation insurance wrier and poky number are: Carrier REVENUE DIVISION TOTALS--> COLLECTED : 88 . 22 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need nor be completed it the pemit is be one hundred doeas(Stella less.) 88 . 22 ❑ I certify that in the performance of the work f«which this pomp s issued.I shell m employ any person in any manner w ea to became subject to the workers'compensation laws o California,and agree that e l ahold become alibied to the workers' ******************************************************************************* compensation provisions of Section 3700 of the Labor Code.I shall forthwith comply with those provisions. Date: Applicant: INDIVIDUAL F E E BREAKDOWN Warning:Failure to secure workers'compensation coverage I.unlawM,and shall subject an employer to criminal;weld**and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil lines up to one hundred thousand dollars(SIC CODA M addlton to the cost of compensation,damages as provided ler In Section 3106 of the Labor Cods,Interest and attorney's leu. ELE 1 FIXTURES, LIGHTING 1 ST 20 EA. . 75 . 75 CONSTRUCTION LENDING AGENCY: I hereby affirm under penury of perjury that there is a construction lending agency for the ELE 1 R EC EP T/OUTLET 1 ST 20 EA. . 75 . 75 performance dthe work for which the permit leissued(Section 30e7,CW.c). ELE 1 RECEPT/SWITCH 1 ST 20 EA. . 75 . 75 LENDER'S NAME: ELE 1 RES APPLIANCE NOT OVER 1 . 0 HP 3 . 00 3 . 00 LENDER'S ADDRESS: ELE 1942 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT . 03 67 . 97 I certify that I have read this application end slate that the above information is correct.I agree to comply with all city end county ordinances END OF FEES and state laws relating to Wilding construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. MIKE TALBOTT ‹Idrint Name Date: )/^'') 19 Si natured Ovnw/ApenVAppicoN/Conlme« 01 i i,1 - s^ ._ __ _ _ (515b46 W P) Whbo-BBuilding A Safety:Green-File:Canary-Appicant:Pink-Revenue:Goldenrod-Assessor F"x TL -. .1 — - . _•`� 4. TRr fCONSTRUCTION AND PLANNING POu.. & 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 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 0 Gas OOil 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 7„7416- 80. FOOD CERTIFICATE ISSUED 33. Final Electric �i Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test ' 36. Hood or Canopy - 37. Final Factory Fireplace 38. Final Plumbing • 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final ' 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System - 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date ADD 3OF BUILDUP: UMT:120 23RD ST A CITY OF COSTA MESA — BUILDING PERMIT -- OWN3WSNAME IFIOW*7l: VNE DEVELOPMENT y PERM NO: B 075322 f ADDRESS: 1048 IRVINE BL #363 N.B . 92660 •PERMIT NO: B 075322 PLAN CHECK NO: 04226-95 A GOVT : N SUPP : N APPL.AMUR(ADDRESS: 8 5—0 6 71 CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: CON ARCHITECT OR ENGNEER: KEITH PALMER UO'NO" 00000 JOB DESCRIPTION : NEW CONDO 1923 SF LIVING & 430SF GARAGE SQ FT: 2 , 423 ARCH.OR ENO'S ADDRESS: 1048 I R V I N E B L UMT: 363 N.B . CA 92660 CLAIM VALUE: 100, 000 . 00 CALC—VALUE: 158, 659 . 70 GROUP OCC : R-3 /M-1 CONTRACTORS NAME: CaNIHACTOR'S MAILBAG COMMENTS : 713SF 1ST FLOOR, 1280SF 2ND FLOOR 430SF GARAGE " PLAN A" ADDRESS: UC.NO.: )fdf9f Bf9ERflfffifdf*ifif*Sf)f*****3fdfdfif*9f****9f*9f**ififififif3fif*if Rf**9f**df***Sf***9f#3f9f*kf Ififif3f***ifaf3f**** UMT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I ern licensed under provisions of Chapter g SETBACKS (commencing with Section 7000)of Dynbn 3 d the Business and Professions Code.and my license is in full force and effect. CITY LIC.NO.:063758 UC.CLASS:•$� IIC.NO.: 63063 EXP: —t2-74-9-5 MAIN BUILDING ACCESSORY BUILDING Date: Contractor: FRNT: 22 FT IN REAR: FT IN FRNT: FT IN REAR : FT IN LEFT: 5 FT IN RGHT: 32 FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I am exempt Iran the Contractors License Law for the ylfowitg reason(Section 7031.5Busiese and Professions Cade:Any city or county which requires a permit to construct.alter,improve, PROV: PARCEL: 43942102 INE: R2—H REF NO: PA-95-20 emdeh,or repair any structure.prior toils issuance.also requires the applicant for such permit to file a signed statement that hPARKING REQ:e or she a licensed pursuant tome provisions of the Contractors License Law[Chapter 9(commenting with Section 7000)of Division 3 of the PLANNING NOTES> 713 S Q F T. 3—BEDROOM UNIT WITH 430 S Q. F T. GARAGE; Business and Professions Cede]or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation d Section >. 11 4 3 SQ ''...PT TOTAL AREA. 7031.5 re by any applicant for a permit subjects the applicant to a civil penalty of not mothan 1993 hundred dollars 1550011. ***********df*df df df*df*df 1f df gf'9FSB gf df Bf*Rf df***if Rf if Bf Rf Rf**if df Rf if if***df****Rf Rf*1f*1f Rf 9f*if*9f*1f 9f Bf if if Rf Rf**if if ❑ I,as owner d the property or my employees with wages as their sole compensation,will do the work,end the structure a not intended .4v 1, or offered for sale(Section 7044.Business end Professions Code:The Contractors License Law does not appy to an owner of propend D E V E...:1, 0 P• MLE;N• T SERVICES REQUIREMEN ;T S or i who builds iprovea thereon.end who does such work himselfi � or herself or through ho or her own employees,provided that such " -- (/+,,1r improvements are not intended or offered for sale.If,however,the building or improvement is soli within one year of completion,the ZONING APPROVED BY Y C1 C DATE: 1112.71 /old ownerbuilder Dill have the burden of proving he or she did not build or improve for the purpose of sale). : �/ ti I,as owner of the propend.am exclusively contracting'with licensed contractors to construct the project(Section 7044,Business and ':• .J)/'lr / Professions Code:The Contractors License Law,doea not apply to en owner d properly who builds or improves thereon and who BUILDING APPROVED B�t:' . .~ DATE: • contracts Mr such projects with a contractor(s)licensed pursuant to the Contractors License Law). V -,T y �y, ❑ Iamexempt u r�SPection: B.AP.C..for thnreason: APPLICATION ISSUED 'BY� V>t L1 DATE: klV-11'k/ Date: 1 Li Ower: J6 3f 1E SE*iEj(-1(-1E 3E iE iE lE iE lE iE***iE***3E)ElE if if iE SE 3E iE lE 3(-9E 3E)E IE**9E K-3(-IE aE)t 1F 3E 3F 3E if lE iE if if aE dE 3(-3E 1E fE If 1E***iE iE 3f*9f if iF if 3f if 3f if iF I do hereby caddy UWW1matt l ant aware of and understand the requirements d Capin'Health and Steely Code Seasons MOS,25533,and LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y 25534,and that I cc any future building oo upent will/we not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Ai uaSry7Tiy.anagemenl Didrd.Residential construction aexempt from tee BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 846 . 00 15 . 87 Date: Applicant: S M I P/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjuryone of the following declarations: P LAN 137. 48 o I have and will maintan a certificate of consent I0 eef'insure for workers'compensation,as provided for by Section 3700 of the Labo ISSUE FEE Code.tortheperformanceoftheworkforwhichthispermhisissued. BUILDING—DIV > PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE o I have and maintain workers'compensation insurance.as required by SeCticn 3700 of the Labor Code,for the performance of the TOTALS----> 861 . 87 0 . 00 137 . 48 999 . 35 999 . 35 . 00 work for which this permit is issued.My workers'compensation insurance carrier and policy number are: Carrier REVENUE DIVISION TOTALS--> COLLECTED : 861 . 87 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK ,This section need not be completed if the pima is for one hundred dollars 141001 or less.) 846 . 00 15 . 8 7 ❑ I certify that in the performance of the work for witch This panne 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 thatdl should becomeeobjed to the waken' !fa(-3fif1E3f9f3f3EiflfifififlfififiEifif9flf3flf#iffflfifififlfiflfififff7Elf1fif3Edfif1f1E1ffE3EiflflFif#lfif#lfiflf3flfiflflf3f*ifif7fif3E#lElflfdfifif compensation provisions at Section 3700 of the Labor Code,I that forthwith comply with those provisions. Dale: IVIDUALApplicant: IND I D U A L F E E BREAKDOWN Warning:Failure to secure workers'compensation coverage Is unlawful,and shall subject an employer to criminal penalties end TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines up to one hundred thousand dollars(5100,000),In add/don to the cost of compensation,damages as provided for in Section 3706 of the Labor Code,Interest,and atromey'a less. SFR 1923 DWE—TYPE V—WOOD FRAME —GOOD 77 . 90 149 , 801 . 70 • CONSTRUCTION LENDING AGENCY: I hereby affirm under penally of perjury that there is a construction lending agency for the SFR 430 RES—GARAGES TYPE V ' 20 . 60 8, 858 . 00 performance of the work for which this permit is issued(Section 3097,Cr,,C). LENDER'S NAME: END OF FEES LENDER'S ADDRESS: I certify that I have read this application and state that the above information is coned.l agree to comply with all dry and county ordinances and state laws relating to buildup construction and hereby authorize representatives of This dry to enter upon the ebwa.mentioned properly for inspection purposes. MIKE TALBERT Print Name - r •:j"ii Date: t.l'ti'l • gnature of Owner/AganVAPP1anUGonlredor (515116.WP) While-Building 5 Safety;Green-File:Canary-Applicant:Pink-Revenuer Goldenrod-Assessor / . CONSTRUCTION AND PLANNING POO 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 7 �' 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding I 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. y 57. APPROVAL TO COVER-GUNITE 7. Footirl,, �Z.`-c a 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 1 61. APPROVAL TO DECK •11. Property Sewer Line & House Connection �,. .j 62. Backwash & Receptor-Final 12. Sewer Cap I . 5 63, Heater & Vent-Final 13. Roof Drains t' 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 a 20. Rough Factory Fireplace APPROVALS Permit# 2'V'Jucts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 1-07-% j(,c. rt 74. Overhead Hydro I 26. T-Bar Ceiling (Structural) & Monocoat - {L, 75. Dry Chemical 27. Frame and Flashing I'�23/4. /,i 76. Dry Standpipe i 28. Lathing & Siding (- 77. FIXED SYSTEM FINAL 29. Insulation JJ Lr `/� /�_ 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: I 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test - 36. Hood or Canopy 37. Final Factory Fireplace ' e, ' _ • 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 /-7...41(.....:,_:^ 48. FINAL PLANNING l� - -. 49. Electric Release to Edison . 50. Gas Release to Southern California Gas CO 51. CERTIFICATE OF OCCUPANCY No. Date NEWPORT-MESA UNIFIED SCHOOL DISTRICT 17 1.3 CER1. SATE OF COMPLIANCE OF DEVELOPML. .1 FEES PURSUANT TO AB 1600 AND AB 181 4 TO: ( X ) City of Costa Mesa District Receipt No. . ( ) City of Newport Beach ( J)�County of Orange Plan Check No. (/ Applicant: Alt Address: kpq 8 2.-2/L0 t L.0 3C. 3 N 6 C Z‘, d Telephone Number 7 /V - gas 0G7 I Tract/Parcel and Lot Number(s): Location of Project: 120 23 fZD 57- Number %Number of Square Feet ofq p Residential Space t( , go 0 x $ 1.72 Total o o� a CaiaalVocdCoo s t) Cep 7 o Q 4-1-100Residential/ Sr. Citizen Space [J x $ .28 Total Commercial and Industrial Space x $ .28 Total Warehouse Space x $ .2235 Total Commercial/ Industrial Project is: (Check One) Warehouses Motel Preschool R & D Bank Auto Repair Movie Theater Neighborhood Shops Hospital Mini-storage Racquet/Health Large Office Heavy Industrial Hotel Office Bldg. Regional Shops Medical Office Restaurant Light Industrial Office Park Fast Food This project is exempt because This certifies that the above-named Developer/Applicant has paid school facility fees in co/•fiance with Government Code Sections 53080 and 65995. The Building Permits for this square footage in th pro•e••ed • •velopment may now be issued by your jurisdiction. Checks are to be made payable to Newport-Mesa Unified School District. 400 By: id,/7 �� i�/�4�/:•%: Authorized Representative The above representation as to square footage is true. Applicant agrees that if it is later determined that such representations are not true then this certificate shall automatically terminate and the appropriate City/County shall be. notified. Date: 11/7.-rig Applicant • 6-05-1996 11 :03AM FROM SCHMID INSULATION 909 392 5512 P. 7 INSULATION CERTIFICATE This is to certify that insulation has been installed in conformance with the current energy regulation, California Administrative Code, Title 24 , State of California, in the building located at BUILDING F 23RD STREET ( 120 23rd St. #F) ' COSTA MESA, CA CEILINGS : TYPE: Fiberglass Batts MANUFACTURER:Owens/Corning THICKNESS : 6 1/2" R- 19 WALLS : TYPE : Fiberglass Batts MANUFACTURER: Owens/Corning THICKNESS : 3 1/2" R-13 GENERAL CONTRACTOR:VNE DEVELOPMENT LICENSE: B658963 TITLE: president DATE: 6/5/96 Michael S. Talbott SCHMID INSULATION CONTRACTORS INC. LICENSE #221517 C-2 14.4914:"-- BY : TITLE: PRODUCTION MANAGER DATE : 06-05-96 INSULATION CERTIFICATE This is to certify that insulation has been installed in conformance with the current energy regulation, California Administrative Code, Title 24 , State of California, in the building located at BUILDING F 23RD STREET ( 120 23rd St. #F) COSTA MESA, CA CEILINGS : TYPE :Fiberglass Batts MANUFACTURER:Owens/Corning THICKNESS : 6 1/2" R-19 WALLS : TYPE:Fiberglass Batts MANUFACTURER : Owens/Corning THICKNESS : 3 1/2" R-13 GENERAL CONTRACTOR :VNE DEVELOPMENT LICENSE B658963 BY` (c TITLE: President DATE : 6/5/96 S. Talbott SCHMID INSULAT1 TRACTORS INC. LICENSE #221517 C-2 67,444,14.4-.-•• BY: TITLE: PRODUCTION MANAGER DATE : 06-05-96 .Dof+ISG IRLCING: 120 23RD ST DMT: A CITY OF COSTA MESA - BUILDING PERMIT ' �''xExS"""EI`KNG"N: VNF DEVELOPMENT PERM NO: P 075331 m°1155: 1048 IRVINE BL #363 Ir, e N. B . 92660 PERMIT NO: P 075331 PLAN CHECK NO: N GOVT: N SUPP : N 825-0671 APPL.SWUNG ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: CON ARCNNECT OR ENGINEER: KEITH PALMER UC,NO" 00000 JOB DESCRIPTION . NEW CONDO 1923 SF LIVING & 430SF GARAGE SQ FT: ARCH.OR END'S ADDRESS: 1048 IRVINEBL WIT: 363 N .B . CA 92660 CLAIM VALUE: CALC-VALUE: GROUP OCC : R-3 /M-1 CONTRACTORS NAME: CGNTRACTORSMAIMS COMMENTS: 713SF 1ST FL, 1280SF 2ND FL 430SF GARAGE "PLAN A" , RE- #B75322 ADDRESS: Lit.NO.: iE 1E 1E*iE iE iE iE iE iE 9E iE 9E iE iE iE 9E iE iF 1E iE M iE*iE iE iE iE iE**iE iE iE*iE***iE iE iE yE iE iE iE iF iE*iE iF iE iE iE iE iE iE iE iE iE yF*iE iE iE iE*iE iE iE iE iE iE iE iE*iE iE MT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penety of perjury that I am licensed under provisions of Chapter 9 SETBACKS (commandos with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force end effect. Cm LIG.N0.: 8- UC.CLASS: 9__-_ LJC.NO.: -6-5-8.Q63__ EX 4 ?2/95 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 of perjury that I am exempt from the Contractors License Law for the I( followingmeson(Section 7031.5 Busi ess and Professions Cede:Any say m county which requires a permit to construct,ane,Improve, PARKING REQ: P RO V: PARCEL: 43942102 Z NE: REF NO: 4Ahkmol'h, or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she r licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES> j ' r• n 7 usiness and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exempibn.Any vblatbn d Sedion •, > 7001.5 by any applicant l«aDermn subjects the applicant penalty d civil penalty more than fere hundred dollars • ,#EiEiEiEiEiEiEiEiEiEiEiEiEiEiEiEiEiEiEiEiEiElEiEiEiEiEiEiEiEiEiEiEiE#iE1EiEiE#-iEiEiEiEiEiEiEiE***5EiE1E1EiEiEiEiEiEiE#iEiE#iEiEiEiEiE#iEiEiEiEiEiEiEiE ❑ I,as owner of the properly or my employees with wages as their sole compensation,will do the work,and the structure l not intended DEVELOPMENT S E R V I C E S REQUIREMENTS or offered for sale(Section 7o00.Businesserd Professions Code:The Contractors License Law does not apply to en owner of propertyL who bolds or improves thereon,end who does such work Nmsel or herself or through his or her own employees,provided that such -4 - ,' e improvements ere not intended or offered for sale.It. the building or improvement is sol within one year d completion,the ZONING APPROVED BY DATE: t�[[..,, owner-builder will have the burden d proving he«she did not build or improve for the purpose of sale). - • ' 41 I,as owner of the propend.ern,exclusively contracting with licensed contractors to condrud the project(Sect'un 7044.Business end ,. ± DATE: Professions Code:The Contractors License Law does rot appy to an owner d propeny who builds or improves thereon and wto B'U I LD I NG APPROVED B Y : ' ..' •-T,' , ' / , contracts for such projects with a contredorts)licensed pursuant to the Contrail ore license Law). r _ - .7 , i `_, ; - . r _ ` 0 lam t de, Saga° :/y,r B.aP.C..l«misreason: .' , • APPLICATION ISSUED BY: - ! " -- 1 `s DATE: V6 . -L' , y Date: 7i Owner: fAt,� iEiEiElEiEiEiEiEiEiEi(-iEiEiEiEiEiEiEiEiEiEiEiEiEiF##iE1EiEifiE#iE#iEiflEiEiEiEiE1Ei(-1E1E * iEiEiEiEiEiEiEiEiEiE1E3EiEiEiEiEiEiE E E*4 i ** iEiE / LEGALIZATION:N F E E S U. M M A R Y STRUCTURAL SEGMENT:N I do hereby certify that I am are of and understand the requirements of California Health and Safely CodeSections 25505,25533,and ., T p' e ,(, , A 25530.and matt«enccm buiknsom om thent rwill anage me)nendtecompi withsaid ppldeeand eeuethe remptfinemafor se BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING e pamdfor ohatto,nyfutubuildin occupanti I itnot agamem Distride)nee. to corntiel soh said tat to codeicnsareerem creme thine pro a PERMIT 111 ,00 ,< _ Dale: Applicant: 25$ SMIP/NON-RES PLAN . - Y: WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury ons d the following declarations: ISSUE FEE 20 . 00 ' ❑ I have and wit maintain a certificate of consent o sen-insure for workers compensation,as provided for by Section 3700 of the Labor BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code,for the performance of the work for which this permit is issued. ❑ I have and wit maintain workers'compensation insurance,m required by Section 3700 of the Labor Code,f«the performance d the TOTALS > 111 . 00 20 . 00 • O . O Q 131 . 00 1 3 1 . 0 0 . 00 work f« carrier which this permit is issued.My workers'compensation insurance caer end policy number are: ` - Caroler: REVENUE DIVISION TOTALS--> COLLECTED : 131. 00 OVER'/SHORT: . 00 Policy Number BLDG PMT PLUMBING ELECTRIC MECHANIC - FIRE '_ STP/TOT .; GRADING PLAN-CHECK (This section need not ba completed A the panne is for one hundred dollas/Stool or less) 131 . 00 - " 1. 1 o 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 .'h ' ' become subject to the workers compensation bice d Califomie,and agree that K I should become subject to the workers' iEiEiEiEiEiEiE1E1EiEiEiEiEiEiE1E1E3EiEiEiElEiEiEiEiEiEiEiEiE1E1EiEiE')ti1E1E1EiEiEiL-iEiEiEi3E*fid*iElEiEiEiEiElElEiEiEiE'3EiEiEiEiEiEiEiEiE#iEiEiEiEiEiEiEiEiE compensation provisions of Section 3700 d the Labor Code,I shall forthwith comply with those provisions. Date: INDIVIDUAL.I D U A L. FEE B R .E A K D O W N • Warning:Failure to secure woderi conperuadan coverage Is unlawful,and shall subject en employer to criminal peneldes end TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST clad tines up to one hundred thousand dollars($iog000),In add/don to the cost of compensation,damages as provided ler In - Section 3706ofthe Labor Code,Interest,andetfomry'e fees. PLU 2 BATHTUB % 6 ,/"7' 7,`•• 00 14 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a construction lending agency for the PLU 1 DISHWASHERI -17/.00 7 . 00 mi perioanoe of the work for which this permit is issued(Section 3097.CN.C). `' +.' PLU 1 SHOWER - 7-y00 7 . 00 LENDER'S NAME: fie 7.,:00 7 . 00 LENDER'S ADDRESS: PLU 1 SINK, KITCHEN - �, • PLU 2 WASH BASIN ( SET) 4,4 7 . 00 14 . 00 !sanity that l have sad this application and date that the above information is conned.I agree to comply with all dry end county ordinances PLU 3 WATER CLOSET ( TOILET) 1 7 . 00 21 . 00 and stale laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property PLU 1 WATER HEATER AND/OR VENT 7 . 00 7 . 00 for inspection purposes. MIKE TALBERT PLU 1 WATER SERVICE • " '- 7 .00 7 . 00 Palm Name PLU 1 GAS PIPING SYS OF 1., TO 4, OUTLETS .. 5 .00 5 . 00 Nr Date: nyil�� PLU 1 GAS SERVICE 7 . 00 7 . 00 Signet of Owner/Agent/Applicant/Contractor avcantraaan / ! PLU 1 SEWER, CONNECTION TO, BUILDING EACH, , 15 . 00 15 . 00 gs .71 1515t46.WP) White-Building 5 Safely:Green-Fle:Canary-Applicant;Pink-Revenue:Goldenrod-Assessor A x- I'ate CONSTRUCTION AND PLANNING 1POO 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 Utllity•Undrgrnd. I - 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. 2,-7 -- ) 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System / 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection a ei 62. Backwash & Receptor-Final 12. Sewer Cap - 63. Heater & Vent-Final 13. Roof Drains - 64. Plumbing System - Final 14. Rough Plumbing 2:( 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-I 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 , 2IL • 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing • 74. Overhead Hydro- 26. T-Bar Ceiling (Structurall & 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 r Notes: (c a 34. Final Heating & Air Conditioning , _I ,C'9'_CY' enAr .r-5 A-Ofirtlet='%._ 1.11 35. Final Gas Pipe-Test 4 _g(- �e0(!�U._ !2t a ! 12__7 ,5s- IC rt � . 36. Hood or Canopy 0 �PS� 2 -6 -94 t4P__ -Q< ui3_,_3 ting 37. Final Factory Fireplace - 38. Final Plumbing 3 e`a ' 39. Water Service-Final i� r �-�._Z6 �L2v4r. �j,2_ 2:-ISS'`ea '2=Cs_% N_=x-?-'lueFsc?' 40. Gas Service-Final I - 41. Solar Domestic-Final -74. S / , 42. Backflow Preventer / 1 -� G4_ .- c-! --5_4-cam,L_rL aill_k 43. Backflow Irrigation 3-- , _ At 5-r-3 �/ r-1- to 44. Landscape Irrigation System 4� 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 viAODIK5s OCpmLDING: ural: 4• OWNERS NAME IF KNOWN ADDRESS' PERMIT NO: P 075331 PLAN CHECK NO: 04835-95 N PACE. 3 ADPL.NMUNG ADDRESS: TYPE QTY DESCRIPTION UNIT COST TOTAL COST ARCHITECT OR ENGINEER: UC ND.: ARCH.OR ENM'S ADDRESS: WIT: END OF FEES CONTRACTORS NAME: CONTRACTORS MANNG ADDRESS: LIC,NM: UMT: LICENSED CONTRACTORS DECLARATION:I hereby dim under penaiy d perjury that I am licenced under provisions of Chapter S (commencing with Section 7000)d Division 3 d the Business end Professions Code.and my license is In lel face and deal. CITY UC.NO.: UC.CLASS: UC.NO.: Date: Condor OWNER BUILDER DECLARATION:I hereby affirm under pronely d perjury that I am exempt from the Contractors License Law for Me -tdowng reason(Section 7031.5 easiness and Proles:Sons Code:My ay or county which requires•permit to construct alter.Moon, lemdsh,or repel any structure,prior to its issuance.also requires the applicant for such permit to file a signed stalement that he or she a licensed pursuant to the provisions d the Contractors License law[Chapter 9(commencing with Semon 7000)d Div'sbn 3 of the - Businem and Professions Code]or that he or she is exempt Marron and the basis for the alleged exemption.My vi laton of Section 7031.5 by any applicant for a permit seeds the applicant to a oil penalty et not thannmorefive hundred dollen(55000. ElI,m owner of the properly Or my employees wth wages as Nei sole compensation,wT do the wed,and the structure I not Intended - or offered for sale(Section 7044,Business and Professions Code:The Contractors Ucime Law does not apply to an&.word property who bolds or knproves thereon,rd who does such work limit or head or through his or her own employees,prodded this such Improvements are rex Intended or offered for We.I.however,the building or inprwwmwd is sold within one year of completion,the owner-bolder will have the burden of proving he or and did nor build or improve for the purpose d sale). _: • ❑ I.as oxer d the proOanY,am asrAuvnly contrsdmg with Scented ptaaMe to mwtrud the project(Sgbn 7044,Business and , • Prolenione Code:The Corurmaors License Law does red apply to an owner of poverty Who builds or Improves thereon and vitro Comma for etch projects with a dwrador(o)licensed pursuers to the Contractors Limnos Law). ❑ I am exempt under Section: B.A P.C..ler this reason: Date: Owner. I do hereby certify that I am aware of and ndretand the regi enrm of Gallant Health and Safety Code Section,25505,25533.and mmorontruct that I or or'moddm from ure building Ai (circlearaaD�riic.R:w`drt:Icomidren�iaada this requirements then • provisions. Dale: Applicant: WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty d perjury one of to blowing decretim: ❑ I have and w maltreat a centime d consent to self Meuse ler workes'compensWon.m provided for by Section 3700 d the Labor Con,for the performance of the work for which this permit Is Issued. • ❑ I have rd viii maintain worker,'oompenW on'nascence,as required by Section 3700 of the Labor Code,for the performance d the work Ior whet this permit s blued.My waken'compensation Insurance cent and policy number and: Carrier: Policy Number: p, (This action need not be completed I the prmt is for one hundred doW(5100)or least ❑ I May Omit In the pMornance of the work for with 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, end agree that if I shadd become stalled to IM woken' compensation provisions of Section 3700 of the Labor Code,I Nal forthwith comp*Wit those provision. Dale: Appian: Warning:Manure to*SCUM workers'compensation coverage M nsw'hl(and shall aut)M an employer to criminal pwalgm and L i- '1 f civil fines up to one hundred thousand dollars(S104000),M addition to the cost el compensation damages as provided ler In ..: • _. '• -' Section 3706 of ted Labor Code,Invest,and attomW*i.e.. . . _ .. - - CONSTRUCTION LENDING AGENCY:I hereby Mum uncle penalty Of perjury that there is a constriction lending agency for the performance d the work for wNc h this permit is surd(Section 3097.Cs.C). LENDER'S NAME: LENDER'S ADDRESS: I ceniy that I have read this application and rale that Me above information is dared.!agree to comply with el dry and county ordinances and state laws nWYq to building construction and hereby authorize representatives of this city to enter upon the above'mentoned property for inspection purposes. Print Name Drs: Signature of Owner/AOnuApplcantcontra or 1515146.WP) While-Building A Safety:Green-Fla;Canary-Applicant;Pink-Revenue Goldenrod-Assessor cfrm F , CONSTRUCTION AND PLANNING POC . SPA is APPROVALS Permit# Date Inspector APPROVALS Permit yr 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, O 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 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 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 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. Backf low 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 ADDRESSOPCUILMNO: 120 23RD ST UNT: A CITY OF COSTA MESA - BUILDING PERMIT / OWNERS NAME IF KNOWN:VNE DEVELOPMENT `✓ PERM NO: M 075329 ADOREsC1048 IRVINE BL #363 • N.B . 92660 PERMIT NO: M 075329 PLAN CHECK NO: N GOVT: N SUPP: N • 825-0671 APPL.MAIUNG ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC PURPOSE: CON • ARCHITECT OR ENGINEER: KEITH PALMER uc.ND.: 00000 JOB DESCRIPTION . NEW CONDO 1923 SF LIVING & 430SF GARAGE SQ FT: ARCKORENG:SADDRESS: 1048 IRVINEBL WIT: 363 N.B . CA 92660 CLAIM VALUE: CALC-VALUE: GROUP OCC : R-3 /M-1 CONTRACTOR'S NAME. COMMENTS : 713SF 1ST FL, 1280SF 2ND FL 430SF GARAGE "PLAN A" RE: #B75322 CONTRACTORS MAILING ********************************************************************SE********** ADDRESS: UC.NO.: ZONING REQUIREMENTS WIT: SETBACKS LICENSED CONTRACTORS DECLARATION:I hereby afim under penaiy of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7004 of Division 3 of the Business and Professions Code and m license a in lull force end eR CITY LIC.N0.:0 58 uc.cuss:$-- LIC.NO.: G-re 363 EXP:- f95 MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Date: Contractor LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the CoMractore License Law for the 'ollowing reason(Section 7031.5 Business and Professions Code:Any city or county which requires a permit to contract,alter,improve, PARKING REQ: P RO V: PARCEL : 43942102 Z NE: REF NO: temol'sh,or raper any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she PLANNING NOTES> is licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Dbaon 3 of the f' , > s Business and Professions Code]or that he or she is exempt therefrom end 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 thanlhye hundred dollars[S5001). •3E3E3E3E3E3E3E3E3E3E3E3E3E3f3E3E363f3E3E#*#3E3E3E3E3E3E#3F3E3E3E3F3E3E3E3(-3E3(-***1*3E3E3f3f3E3E3E3E3E3E3E3E3E3E3F3E3E3E3E3E3E3E3E3E3f3E3f3E3E3E3E3f#3E li❑ I.as owner of the property or myemployees wfhwages astheir sob compensation.will do the work.and the structure • WD L E V E L O P M E N T S ERIVIC a5 REQUIREMENTS or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply to an owner of properly _ who builds or improves thereon,and who does such work Iimsel or herself or through his or her own employees,provided that suchr ` improvements ere not intended or offered for sale.ff.however,the building or improvement i sok w within ore year of completion.the n ZONINb APPROVED BY '.:: .-• DATE: X owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale), - ❑ L as owner of the property,am exdabely contracting with licensed contractors to construct the project(Section 7044.Business and BUILDING APPROVED BY : , .. . ,1 DATE: Professions Code:The Contractors License Law does nor apply to an owner of property who builds or improves thereon and who '�t -� ., 4 •contracts for such projects with a mmnaor(s)licensed pursuant to the Contractors license Law). wt�rJ'.. t ❑ lemexempra B.aP.c.. O this reason: .4PP„JJICATTON ISSUED BY: ��,Ci DATE: W'/�q/ 1. *- *****ii**************************if******** ********************** 'iF** °m°' � I ° e /41A F LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT: N I do hereby certify that I ern awn of end understand the requirements of California Health and Safety Code Sections 25505,25533.and 25534,and that(or any Allure building occupant willfwind(circlsore)need to comply with said state codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a permit forcanstructon or modification from the Ak roto/ enagement District.Residential o«rerudion appicatiom ere exempt from these provisions. PERMIT 22 . 00 Ebb: Applwac 25% SMIP/NON-RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penmty of perjury one of the following declarations: ISSUE FEE - ,- ' 15 . 00 ❑ lhaveandwilmaintanacenniatednonsentloself-insure for workers compensation,as provided for by Radian 3700othe Labor BUILDING-DIV-> PERMIT ISSUE PLAN CHECK TOTAL PAID DUE Cade.for the performance ofthe work for which this permit isissued. TOTALS----> 22 . 00 15 . 00 0 . 00 37. 00 37 . 00 . 00 o I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,far the performance of the work for which the permit is issued.My workers'compensation insurance carver and pdicY number are: REVENUE DIVISION TOTALS--> COLLIECTED: 37. 00 OVER/SHORT: . 00 Carrier PolicyNumber. BLDG PMT PLUMBING ELECTRIC MECHANIC ( FIRE SMIP/TOT GRADING PLAN-CHECK (This section need not be completed[the panmR is for one hundred dollars(4100)or less.) Pa 37 . 00 e so o Icaoty tsuje pue worker compensation which isliimkainotemployshould any personsuer manner workers' ****************3(****************************!E**********#***#****3E************* become subject to the workers ca the work for laws of California. and agree that H t hook become subject to the workers' compensation provisions of Section 3700 of the Labor Cele.I shall forthwith complywith those provisions. INDIVIDUAL/i, F °E E •' B R E A K D O W N Dale: Applicant:- Warning:Failure to secure workers'compensation coverage is unlawful,and Mall subject en employer tocriminal penalties and TYPE QTY DESCRIPTIO' N .'� UNIT COST TOTAL COST olyll Nes up to one hundred thousand dollars( ),In addition to the cost of compen°etbq damages as Provided for In MEC 1 INST FORC-AIR/GRAN ` 'URN <= 10„0 K BTU 9 , 00 9 . 00 Section 3706 of the Labor Code,Interest,and a(omey omey'ss feu. CONSTRUCTION LENDING AGENCY: I hereby affiropenally of perjury a w affirm under penalperjuthat there a construction lending agency for the MEC 1 FACTORY FIREPLACE '•[,1 !9 6 . 50 6 . 50 pen«rnanoeotheworkforwhichthispermitiisued(Secion3097,Civ.C). MEC 1 INST HOOD W/DUCTS FED BY,, MEC .:EXHAUST 6 . 50 6 . 50 LENDER'S NAME: END OF• FEES' • LENDER'S ADDRESS: r - } u I certify that have read this application end state that the above information is coned.I agree to comply with ell dry and county ordinances f/1 r and state laws relating to buildingcityg construction and hereby authorize representatives of this city enter upon the above-mentioned property '� '«inspuction purposes.MIKE TALE ERT '` rint Name a Dale: ic4/4_ / X \ i More of rfAgentlApplirant/Contrador ` [ .. �'A .,T u:Y: ' ?!; i- C ,37.C.7 (5151.46.WP) White-Building A Safety.Green-File:Canary-Applicant;Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNING POL Si SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 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 COVE R-GUNITE 7. Footing 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9_ Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Finat 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 66. APPROVED FOR PLASTERING 18. Rough Electrica6T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning _ L1 _ FIRE DEPT. REQUIREMENT 20. Rough Factory FireplaceG2 �Y 10 APPROVALS Permit#I4 -- 21, Ducts, in Structure E^12-,, =�4 70. Underground Hydro 22. Ducts, Ventilatingertf Z L174.1*. �� 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 SO. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: -ZS_Cry � 34. Final Heating& Air Conditioning- C314 / p 35. Final Gas Pipe-Test a 12-'34 ./ -ICA 36. Hood or Canopy ISS p4 a��/ ,�_! � Z� a! �!! .1 37. Final Factory Fireplace - C�-7C .�//�'; `:0, 5'3 �.,,. 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 GG IADDRESCtf.BUILDIN0:1 12.0 23RD ST UNT: A CITY OF COSTA MESA - BUILDING PERMIT OWNE1ys NALEIi KNDWN:'JNE DEVELOPMENT ERM NO: E 075330 AOORESS: 1048 IRVINE BL #363 • N.B . 92660 PERMIT NO: E 075330 PLAN CHECK NO: N GOVT: N SUPP : N 825-0671 APPL.MMUNG ADORES&: CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE PURPOSE: CON i ARCNITECTORENaNEER: KEITH PALMER utm, 00000 JOB DESCRIPTION : NEW CONDO 1923 SF LIVING & 430SF GARAGE SQ FT: ARCH.OR ENG.'S ADDRESS: 1048 IRVINEBL UHT: 363 N.B . CA 92660 CLAIM VALUE: CALC-VALUE: GROUP OCC : R-3 /M-1 •' ` CONTRACTOR'S NAVE: COMMENTS : 713SF 1ST FL, 1280SF 2ND FL 430SF GARAGE "PLAN A" , RE: #B75322 CONTNACTOR'S xAll1NG *lE**fEiEffiE* * 1F1Ej(-iE3Eif1f1E#'1EiflElEiEiE1E*fE****7E1ElE#iE1ElE1E1(-***lEiElEi(-3f1 ***lE9E1Eif3ElEiFlE1E1EaFiElEiEiflElEfElEiE1E*** ADDRESS: UC.NO.: ZONING REQUIREMENTS 4 pokily LICENSED CONTRACTORS DECLARATION:I hereby affirm under poly d d perjury that I am licensed under provisions Chapter 9 SETBACKS (commencing with Section 7100 of Division 3 of the Business and Professions Code and m fceme e m lug °rM effect CITY UC.NO.:0�-37 uc.cuss: B uc.No.: G300C3 EXP-: 12/95 MAIN BUILDING ACCESSORY BUILDING ---------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN _` Date: Contractor; LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN 7 OWNER BUILDER DECLARATION:Ihereby affirm under candy ofperjuythat Iamexempt horn the C«unnorsLicense Law l«tM PARKING RE PROV; PARCEL : 43942102 INE: REF NO: flowing reason(Secty o whi ion 7031.5 Busiess end Professions Code:Any stcounty ch requires a paned to oonstnict,eller,improve, mofsh,or repair any structure,odor to is issuance.etre requires the applicant tor such permit to file signed statement that he or she PLANNINGNOTES> of licensed pursuant to the provisionsthe Contractorsptwith License Law(Chapter 9(commencing Section 7000)of Division ision 3 the Business and Professions Code)or that he or she is exempt therefrom end the best t«the alleged exemption.Any violation of Section > 7031.5 by any applicant for a permit subjaWthe applicant to acivll Penalty o nig more th°nfNe hundred dollars jSfO0(). )EiE1EiFlE9E1fif3f1f7Eif1E1E1E1FlE)E'IF)EjE3f'1EiE3E1E3E1EiEiL'1E1F1fiFlFlEiL-1EiflflEiE'lE3f#1E3flEiE'7E1f1f1f3hdFlk9ffE1E1E1ElE1E)E9E3(-3(-fEiEiE3E')EiE1E3E1f*** ❑ I,avowner d the proronyoM employees with wages as their wok oompensatonwx do thework.end thestmdure isner intended DEVELOPMENT S E R. V I C E S REQUIREMENTS or offered for sale(creen 7044,Business end Professions Code:The Contractors License Law does not apply to an Owner of properly who buids Or Amman thereon,end also or o does such work limseherseg C. his or through her own employees,Provided that such - improvements ere rot intended oroferedfor sale.If,however,thebuixiaorimprovementissodwithin one year ofcompleton,the ZONING APPROVED BY DATE: X owner-builder will have the burden of proving he«she did not build Or impnew for the OUTROS,Of sale). ❑ t.cis owner of the property;gel exclusively mdreag with licensed contractors mconstruct the prated(Section 7044.Business and BUILDING APPROVED BY : 4 - DATE: nor wneo Professions Code:The Cantradors License Law does napply to en or property who builds or improves thereon end who contracts for aS projects wish avxurector(s)licensed pursuant to the Contractors License Law). APPLICATION ISSUED BY: - DATE: 1I IZOCC /�Ll 0 tem assns un sir tiro / B.A�C..ler Nsroa�pr�I, I / ************iL*******1E***lEiFiE1E****iFlfiEdE3Fy ***1f1F** ********if***************#3f i41f-''***-IE Date: '� Owner: ,{/�/�• LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: N I do hereby canny that I am e e of and understand the requirements of California Health and Safety Code Sections 25505,25533,and 25534,and gni loany hnu building coorpeewill/wild kids one)need moomprywihraid state codes and the requirements for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a permit for construction or ifoationfromlh°AiOTtydansgement District.Residential conatnmon appicaticne are exempt from these provisions. PERMIT 72 . 56 Date' "' PLAN 508 SMIP/NON-RES "D0`° WORKER'S COMPENSATION DECLARATION:I hereby affirm under pereiy of perjury one of the following detiv°tions: ISSUE FEE 15 . 00 ❑ Ihave and wiimeima1amercers el re consent wor rkencompnsaton,npro iidedforemo by Section BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE cove.f«teped«m. edmework f«wrath mtruiss perm ued. TOTALS----> 72 . 56 15 . 00 0 . 00 87 . 56 87 . 56 . 00 ❑ I have and MI maintain workers'compensation insurance,as required by Seaim 3700 of the Labor Code,for the performance of the work m this fa permit is sued.My worgara'cOmpenwigm insurance corder arM poiynamber era: REVENUE DIVISION TOTALS--> COLLECTED : 87. 56 OVER/SHORT: . 00 Carver: Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This section need not be competed i the pants tor one hundred dopers(3100)or less) 87 . 56 ❑ I ceniy that in the performance of the work for which this permit is issued.I shag not employ any person in any manner so m to become subject to the workon'compensation Una d Caifomy.and agree Nal i I should became subject to the workers' ******************************************************************************* compensation provisions d Section 3700 of the Labor Code.I shop forthwith comply with those provisions. INDIVIDUAL F E E BREAKDOWN Date: Applicant: Warning:Fallon to secure workers'compensation coverage Is unlawful,and shell subject an employer to criminal penalties end TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST chili lines up to one hundred Nauaand dollars(5I90.000),In addition to the cost of compensation,damages as provided for/n Section 3705 of the Labor Code,Interest,and attorney's fess. ELE 1 FIXTURES, LIGHTING 1 ST 20 EA. . 75 . 75 • CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of per ury that there s a cansimble,tending agency for the ELE 1 R EC EP T/OUTLET 1 ST 20 EA. . 75 . 75 perfermanmofthe work for the pesnitrsaued(Region 3097.Cie.c). ELE 1 RECEPT/SWITCH 1 ST 20 EA. • . 75 . 75 LENDER'S NAME: LENDER'S ADDRESS: ELE 1 RES APPLIANCE NOT OVER 1 . 0 HP 3 . 00 3 . 00 i Icendythat lhave read the ELE 1923 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT . 03 67 . 31 eying constructionon uti sate that the above information representatives t gopw.I thisgree It corn* he c end countydirwoae and state laws resting to building and hereby authorize rapesentatives dcitymemer upon the above-mentioned properly END OF FEES for inspection purposes. MIKE TALBERT L Pnnt e ppecant/C ..----\ Data ��J% 7� Irl ..: i 1 - :-. . Signor a AWr°tl« a .. (5151.40.WP) Whrte-Buidig&Safety;Green-File:Canary-Appica t;Pink-Revenue:Goldenrod-Assessor • . I -- - — r. CONSTRUCTION AND PLANNING POI"' -& SPA ..'i . APPROVALS Permit# Date Inspector APPROVALS 4 ..•mit# Date Inspector • • 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location Soil Pipe-Undrgrnd. - 53. Steel Reinforcement -. - - I . ,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 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 i 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. F INAL INSPECTION • 32. Electrical Power Meter-Final /il I 80. FOOD CERTIFICATE ISSUED 33. Final Electric `� 10 f Notes: - 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test . 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing ' ' 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer - 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date .' nC ADDRESS OF MALMNO: 120 23RD ST gNT: CITY OF COSTA MESA - BUILDING PERMIT OWNERS NAMEIF 1030h'N: `'NE DEVELOPMENT ,/PERM NO: P 07532P ADDRESS: '1048 IRVINE BL #1363 N. B . 92660 PERMIT NO: P 075328 PLAN CHECK NO: N GOVT : N SUPP : N 825-0671 APPL.MAIUIIO ADDRESS: ` CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: CON ARCHITECT OR ENGINEER: AC.NO2 JOB DESCRIPTION : SEWERLINE FOR 6 CONDO UNITS SQ FT: ARCH.OR ENO:S ADDRESS: WIT: CLAIM VALUE: CALC-VALUE; GROUP UCC ; R-3 /M-1 CONTRACTORS NAME: CCHTRACTORS MMLMMO COMMENTS : SEWERLINE ADDRESS: UG NO.: ***if if if 3f 4f 4f 3f 3f 3f 3f 3f 3f if*3f if 3f 3f 3f 3f 3f 3f 3f 3f 3f 3f 3f 3f 3f 3f 3f 3f*3f 3f 3f*4f 4f 4f 4f 3f 3f 4f 4f**3f 3f 3f df 3f 3f if 4f if 3f*4f 4f 3f 4f 3f 3f 4f 3f 3f 3f 3f 3f 3f 4f 3f 3*3f toT: ZONING REQU IREMENTS LICENSED CONTRACTORS DECLARATION:I hereby Nim under penalty of perjury that I em licensed under provisions of Chapter 9 SETBACK penalty (commencing with Section 7000 of Division 3 t the Business end Professions Cods and license s sot.In full fora and s . CRYLIC.NO.:u1 a:a LIC.CLASS. UC.NO.: --4 3 E7t`R-- 5 MAIN BUILDING ACCESSORY BUILDING FRNT : FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Dale: Contractor. LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNERaw for the ig BreaIsLn(�Eon731.5 DECLARATION: Praffirmofessions Code:nder palelyA ay or county which sry that I am quint a permit toocaltnnit,etlefrom the Cordrectors License r.Improve, PARKING REQ: PROV: PARCEL: 43942102 ZNE: REF NO: demolish,or repel any structure,pat to is issuance.also requires the applicant for such permit to fie a signed Moment that he or she PLANNING NOTES> ''icensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)of Dbson 3 of the > n, sinew and Professions Code)or that he or she s exempt therefrom and the basis theMyfur alleged exemption. violationo Section - J31.5 by any applicant for a permit subjects W s the applicant to a W1 penally of not more than fire hundred dollar.)5500D. 3f*3f 3f 3f 3f 3f 3f 4f 3f 3f*3f*3f*3f 3f*3f 3f 3f*3f 3f 3f 3f 3f 3f 3f 3f 3f 3f 4f 3f 4f 4f*3f 4f 4f 4f 4f 3f 3f 4f 3f 4f 4f*4f 4f 3f 3f 3f 4f 4f#4f 4f*3f 4f 3f 4f 3f 4f 3f 3f 3f 3f 3f if 3f 3f 3f 3f 3f 3f ❑ I,asowner al the properly or my employees with wag«aetheir sole mmpensstion,wM do the work,and the structure I not intended D E VEL OP MENT SERVICES "' R E Q U I R E M E N T S or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to en Owner of property who bolds or improves thereon,and who does such work himself or herself or through he or her own employee.,Provided that such improvement.ars not intended or offend fix salt II.however,the building orknprwenent is sold within one yew of completion.the ZONING APPROVED BY DATE: owner buior will have the burden of proving he or she did not build or Improve for the purpose of sale). I,se owner o the properly em ecl y contratro with licensed contractors to Catiltnla tepro4ed(Secton 7044,Saine.s end BUILDING APPROVED BY : DATE: Professions Code:The Contractors License Law does not apply to en owner of popeM who builds or Improves thereon and who contracts for such projects with a contractor(*)licensed pursuant to the Contrail rt.License Law). Ellam exempt under B.aP.e..others.e«: APPLICATION ISSUED BY: DATE: ki_2561cLy Dale: ' •J/ Comer: 4E 4f 3F*3f♦E 3f 3F 3f 1E iE 3F 1E 3E 3E 3E 3t♦E 3E 3E 3E 3E 3E 3E 3E 3E 3E 4E 3E 3E 3E 3f 3E 4E 3E 4E 3E 3E 3E 3E 3E 3f 3F 3E it *3E 3E 3E if 3E 3E 3f 3f 3f 3E if 4f if*4f 3f 4f 3E 3F if 3E iF iF 4E 3F 3E 4E 3E V�` LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:N I do hereby certify ted 111 ern wan of and understand the requ'nsmen of calComia Health and Safety Code Sections 25505,25533.and --- 2,9534,and that I or any future building occupant win/wil na(circle one)need to comply with sald state codes and the requirements for BLDG PMT PLUMBING ELECTRILC , MECHANIC FIRE SMIP/RES GRADING e permul«ooauuton or modifMonh«n the Ak ue&ty wpement District ResldWWemenwon eppicatiom we exempt from these provisions. PERMIT 15 . 00 Dere: Applicant: 253 SMIP/NON-RES PLAN - I WORKER'S COMPENSATION DECLARATION:1 hereby ahem under penally el perjury ane t the following declarations: ISSUE FEE 20 . 00 CIw Ihaand wemaintain acentMw ednsentlosNatcompensation,arov n, pdedforbySe on3700 fthe Labor BUILDING-DIV—> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Code,for the performance ofdewokfor which this panne sissued. TOTALS----> 15 . 00 20 . 00 0 . 00 35 . 00 35 . 00 . 00 ❑ I have and elf maintain worker'compensation Insurance,as required by Section 3700 of the Labor Code,for the performance of the •' work for which this permit sea se.Myw«krcompensation awdk iaarenenerpnumber are: REVENUE DIVISION TOTALS--> COLLECTED : 35 . 00 OVER/SHORT: . 00 Carrie: Policy Numben BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK his anion need not be competed*the perm*s for one hundred dollars(SfOOl«.ova.) 35 . 00 ❑ I certify that In the performance of IM work for wh ch this pert Is saved,I shall not employ any person In any manner so as to become subject to the woven'c«aensaton laws*California. and agree the if t should bacons subject to the workers' *********3f3f****3E********3f******4f3f**********f*****************3F**3f******if*******3E compensation masons of Section 3700 of the Labor Code,I shell t«thwhh compy with the.ppaeons. IND IV I D U A L- F E E. BR EAKDOWN Date: Applicant: Warning:Fellure to secure workers'compensation average s t unlawful,end shall subleen employer to criminal penalties end TYPE QTY DESCRIPTIOWN UNITT COST TOTAL COST civil Ras up to one hundred thousand dollars(SI*OWA/n addition to the cost of compensation,Gmagss as provided for In Section 3705 of the Labor Cods,Interest,and etomeye feet PLU 1 SEWER, BUILDING / TRAILER 15 . 00 15 . 00 CONSTRUCTION LENDING AGENCY: I hereby elan order penally of perjury that then is e construction lending agency for the END OF FEES performance of the work for which the peri s'owed(Section 3097,Civ.C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application and slate that the above Information s correct.I some to campy with all city and county ordinances and stale laws relating to building construction and hereby authorize representatives of this city to enter upon the abaw.mwioned properly torlapedu"PumpeetMlKE TALBERT • Sig we of /AgenuApplanuoorttrm« Date / )/y 1v (5151'41WP) White-Building a Safety;Green-Se;Canry-Applanl;Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL ?A APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. • 54. Forms 4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System ; 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection _1St 6 62. Backwash & Receptor-Final 12. Sewer COP 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 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 Hycfro 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: a3-Si c ?con'tttr hr curry-axes 34. Final Heating& Air Conditioning �' J_ '�5 2 ,.moi, 35. Final Gas Pipe-Test 2 5 -16 k =ea% • 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 Applicant to fill In all spaces except those within heavy border lines and sign a II aperopria4ciarations. 1 CITY OF COSTA MESA CONSTRUCTION PER IT PERMIT NO. TRACT NO. LOT 0. UNIT NO. 9E6' :/ �� 0 2PRioS 300 I .-FSoject Address 1�� •QZ�gp� ' Applicant's Mailing Address `e_ 1 ' f749.07-�. r.. et,. TYPE OF CONSTRUCTION LI NEW ❑ ADD Q'ALTERATION REPAIR //'mea c C IPZA' Phoneme/ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# f3 "]I -13 Zone G� Owner's Niel DESCRIPTION OF WORK/USE OF BLDG. •eJ + • w 71(-742. acoAl S Main Building: Accessory Building: Arch/Eng. License No. _ - TYPE OF PERMIT GRADING FOUNDATION LJ STRUCTURAL T Front O AddressYw/I4^4 'k end'T Cpa-" ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear / N Contractor's Namr/• '_( Phones/ -✓17J' ❑ OTHER _ A I r� 'N PROJECT DESCRIPTION SQ. FT.." OCCUPANCY C Ri N Addre�(mailing) Z Oa PAP(-� �• -'1�`� -/"F. K ' G CON STRUCTION TYPE VALUATION$ GG'12 Ork.7.OD S Left • R Cit: License No. ZONE GRADI NG CU.YDS. ACRES �/4'oQ.0 LICENSED CONTRACTOR DECLARATION T Ping. Ref.# Parking Req,/Provided ap1a(o - E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Q with section 7000) of Division 3 of the Business and Professions Code,and do NEkTiN4 AND AN— CDAJOiTIeuJ/�6 Planning Notes: eznye,('aIOO 0"'� PvIJI t mine - M my license Is in full rce and effect. Qr A/ /12 4 // v {. 'P'j/\B In m i M to (.rt1MYN4' /'/'/1 / �. / Y I lig/3 S License CI�ss Lice, No. a • !-i ,J�'N'O �J { {OU �NIAffVt.(.\Xi /(J YY�MM/-�I+�r��1��1��11J1\11\\ ltif.(.l 1111YY A4W tA/�g/" Date Signature Signature _...-r,- ..% - 6/-126 A PLUMBING FEES �'J}l-. I(�•L A )be ' WORK RS'COMPENSATIONS TION Bar Sink Showers _ (1 • I hereby affirm that I have a ce consent to Self-ilisure . a certificate ELECTRICAL FEES Workers' Compensation Insurance, or a certified co in,.reof (Section BackflowPreventer Service Sink - I0, Lab. C.) Automatic Washer Transformer 0 15-50 KW glicy No. _ Company Backflow Irrigation Sewer Cap ❑ 50+KW 8 Certified copy is hereby furnished. Dgn$trpttlgn Pole sub. Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Dup 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 m..ne so as to ecome subject to the Drinking Fountains Solar Tank Fan Motors❑0.1 HP ❑1%-8 Workers' C yet lin Laws of Calif. Date 6Q - ' 1 Signature Floor Drains Swimming Pool w/Spe — F.A.U. NOTICE:If,after making this decla ation, y-u should become ub ct to the Inc.Solar ❑9-15 HP 016-15+ Workers' Compensation provisions .f the :bor Code, you ust rthwith Floor Sinks Urinal Fixtures comply with such provisions or • mit Shall be d med evoked. Microwave CONSTRUCTION LENDING AGENCY .. Gas Service Outlets Water Closet Boxes I hereby affirm that there is a construction lending agency for the performance Device Pole Light of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors - Water Heater Outlets Range Lender's Name Lender's Address Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION • I hereby affirm that:) am exempt from the Contractor's License Law for the Lavatories ri Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections county which requires a permit to construct,alter,Improve,demolish or repair P-Trap ' any structure, prior to Its issuance, also requires the applicant for such permit Laundry Trays Generator 00.5 KW 05.15 KW 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 • Division 3 of the Business and Professions Code) or that he/she is exempt 'lerefrom and the basis for the alleged exemption. Any violation of Section . 131.5 by any applicant for a permit subjects the applicant to a civil natty of not more than five hundred dollars($500). O I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, 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 FEES ' 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 REQUIR employees, provided that such improvements are not intended or offered for Boiler ■ �� { sale. If, however, the building or improvement Is sold within one year of com- - ype ■ Zoning Approved By Date/0 12.87 pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). Building Approved By �! Date O I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Application Issued By 1_L.1 Date&'i2-37 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 00-100,000 : 0100,000 : SUMMARY OF FEES SP or Improves thereon, and who contracts for such projects with a con- POL/Rp�n�( C 5-24° tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 BUILDING PERMIT Si SMTP $ .•-&1/43"proof of their Worker's Compensation insurance should be provided to me. _ PLAN CHECK PERMIT ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact,BIL ICBG# ER MIT $ PLUMBING $ Date Owner PLAN CHECK 25% $ ENERGY P.C. $ I form hereby certify that have read thismapplication all and state that the above 00-100,000 : ■ II•Its information Is correct. agree to comply with all city and county ordinances ELECTRICAL $ GRADING $ and state laws relating to building construction, and hereby authorize repre- sentatives of t s fly to enter upon the above-mentioned property for PLAN CHECK 50% $ MICROFILM $ /343Q Inspectionur••- or MECHANICAL $ Signature �. 'r Dat.I/10/I2-f 7 TOTAL FEE $ Drivers' icense or .5* - - - Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ .r ^MF 0865.46,rev.10/84 White - Building; Canary -Applicant: Pink -Accounting;Goldenrod - Assessor COkSTRUCTION AND PLANNING POOL & 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, O Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK • 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final , 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. 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 El 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 J C 77. FIXED SYSTEM FINAL • 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 74iJ (� n ' 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation . 44. Landscape Irrigation System , .45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING ///� 464.- 48.-Special Requirements Completed f lX� > 49. Electric Release to Edison 7 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY • No. Date _ Ar 1 ADDRESS OF BUILOQIG 120 23RD ST WIT: B CITY OF COSTA MESA - BUILDING PERMIT OWNER'S NAME"alavy° VNE DEVELOPMENT PERM NO: B 075323 ' ADDREu' 1048 IRVINE # 363 PERMIT NO: B 075323 PLAN CHECK NO: 04261-95 A GOVT: N SUPP : N JEWPORT BEACH, CA 92660 825-0671 APPL.MAILING ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: ALT • AnCNITECTOR ENGINEER: KEITH PALMER Uc c: C99999 JOB DESCRIPTION : 1942 SQ FT LIVING/ 430 SF GARAGE SQ FT: 2, 372 ARCN OR Era'S ADDRESS: REDLANDS ST OMT: NEWPORT BEACH, CA 92660 CLAIM VALUE: CALC-VALUE: 160, 139 . 80 GROUP OCC: R-1 /M-1 CONTRACTORS NAME: CCNIRACTORSMYtMD COMMENTS : PLAN A ADDRESS: UC NO.: ******************************************************************************* UPC: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penaly d perjury that I ern licensed under provisions of chaser 9 SETBACKS (commencing with Section 7000)a Division 3 a the Business and Professions Code.end my license is n hiS Ince and elf ed. CRY LIG.NO.: UC.CLASS: UC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING Dale: cmneaa: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: 11 FT IN RGHT: 26 FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penally d perjury'hat I am exempt from the Contractors license Law for the lowly reason(Seaton 7031.5 Buskins and Professions Code:Any,ay or county which requires a Parma to conao-eet.alter,improve. PARKING REQ: PROV: PARCEL : 43942102 ZNE: R2-H REF NO: PA-95-20 andeh,or repair any structure,peioc w its issuance.also requires the app5cent for such permit to file a signed statement that he or she o licensed pursuant to the provisions d the Contractors License Law[Chapter 9(mmmeraq with Section 7000)of Division 3 of the PLANNING NOTES> 1143 SQ. FT. 3-BEDROOM DWELLING WITH 430 SQ. FT. GARAGE AND Business and Profession Coda)or that he or she is exempt therefrom and the basis for the alleged exemption.My violation of Semon > 713 'SQ NFT... LIVING AREA. 7031.5 by any applicant for epermit subjects the applicant medvi penally der more than(we hundred dolls 1350011. iflE** Fad-1E#7EM-)EiFiEiF*lE1EiEi 4“fi 3f•9E1 .W.*)f7E1E1E#iEjElEiEiE1F1F1Effj(-3E)E1f-1k1f-iEi6iEiEjEiEiEiE#3FlE****iFdkiEiE1F#iE)E9E1Eaf-iEifiEif*** ❑ I.as for the(Section or Business aemployeeswith rdwpessions eCode�TheC nlic�ree Law eessnnotea structuretan oof PIs not ropaM D E V E�L 0 P •M�•E, N •T SERVICES REQUIREMENTS who bolds a improves thereon,and who does such work himself or herself a through to or her own amplofeee,provided that such s �> improvements we red intended or offered for sale.If. the building or improvement'n sold within one year c4 completion,the ZONING APPROVED BY : `o f DATE: _I t,] hof owner-builder will have the burden a proving he or she did not bund or improve Id the purpose of sale). kbI.as owner d the progeny.am exclusively contracting with(cense)contractors to comaud the prajed(Section 7044.Business and -e 1 Professions Code:The Comrades License Law does not apply o en owner d properly who builds or improves thereon and who BUILDING APPROVED B Y• .:".. • DATE: . contacts such Protects with a aaareda(.)teemed pursuant to the Contractors license Law). BY: / :; r .- �L / ❑ lamexempt1. 71SectiB.Bner: hureason:,/At� APPLICATION ISSUED*+( ** ** a (7 DATE: t I, *34*44 (-- ._2 —3 Dr.: Llfil Owe: %'ii1 **************�*********************** � *****************�-* ** 7 Idohereby certiy Iamawreaanduadrawdterequreae.tofCauarLawathadSafetyCodeSectins25505,2t3.em LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y 25534,end that I or any haute building omwem will/wit not(dice one)need to comply nth said pate codes and the requirements for aperni for or mmdmion from N.AiDenegeume Duda.Residential construction Wthose applioare exempt m eee BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 853 . 00 16 . 01 Dale: Applicant: S M I P/NON-RES WORKERS COMPENSATION DECLARATION:I hereby affirm wider eh peny d the perjury me of following declensions: PLAN 138 . 61 ❑ haveId..imaintenacertdieeteconsent sal-insure rcompensations,provided fabySection 3700of the Labor ISSUE FEE r Code.for the pedamerceofthe wM1m for Mich BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ Ihave and wl rrerintail workers'compensation inananos,Inquired by Sedion 37a)of the Labor Codefor the performance of the TOTALS----> 869 . 01 0 . 00 138 . 61 1007 . 62 1007 . 62 . 00 work for which this permit is issued.My waken'compensation insurance canter and policy number ars: Cade: REVENUE DIVISION TOTALS--> COLLECTED : 869 . 01 OVER/SHORT: . 00 Poky Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (TIYs neon need not be completed/lie.(permit Y(Y one hundred doers(100)Of lest) 853 . 00 16 . 01 ❑ I may Qat in the performance a the work for which this permit a issued.I shelf not employ any person in any manner so es lo Lowe*subject to the warkra'carPrraim lawn d Catanl,and Kine ChM d I should bacon abject to the workers' ******************************************************************************* compensation provisions a Section 3700 d the Labor Code.I shall forthwith comply with those provlexts. INDIVIDUAL F E E BREAKDOWN Date: Applcant: Warning:Failure to secure workers'conpemadon coverage le unlash'',end shalat!/sct enemployer io criminal penalties end TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines up to one hundred thousand dollars($10M000A M aedldon to the curl of comprration,d.nsagra es provided for In SectIon 3706 of tIre Lao,Code,Interest and attorneys See SFR 1942 DWE-TYPE V-WOOD FRAME -GOOD 77 . 90 151 , 281 . 80 CONSTRUCTION LENDING AGENCY:I hereby Winn soder penally d parysy that then is a wnarWkn lerudtg a0.ncy for the SFR 430 RES-GARAGES TYPE V 20 . 60 8 , 858 . 00 performance of the work for which the permit a issued(Section 3097.Civ.C). LENDER'S NAME: END OF FEES LENDER'S ADDRESS: I certify that I have reed this application and stale that the above bdanrfon is cones.I egret to comply with all city and county ordinances and stale laws melatig to Wgdip construction and hereby eu0rbe representative*Of this oily to enter upon the above-mentioned propel for inspection purposes. MIKE TALBOTT DMB 1V2,7 ria.,r• . - . . -_ ..7_ una d ooOleerrugewApe(edconvmd I (5151'46.W P) White-Budding A safay,Green-Re;Canary-Applmnt:Pith-Revenue;Gokrrod-Assessor t • . CONSTRUCTION AND PLANNING PO .4 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. Eleirtrical Conduit Utility-Undrgrnd. - 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 4,7 -f 60 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System ' ) 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection - 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. 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 O Gas OOil 25. Roof Sheathing (-(C:41‘7 C7 e.t_4L_ 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 12/1J/c 76. Dry Standpipe 28. Lathing & Siding _2 177.77. FIXED SYSTEM FINAL 29. Insulation aA� 78. FIRE PREV. FINAL 30. Drywall Nailing jj HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test •+ 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing - 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backf low 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 ADDRESS OF BUILDING: 120 23RD ST UNIT: B CITY OF COSTA MESA - BUILDING PERMIT / aNNERSNAMERKJC.'C. VNE DEVELOPMENT PERM NO: P 075332 ADDRESS: 1048 IRVINE # 363 ` PERMIT NO: P 075332 PLAN CHECK NO: N GOVT: N SUPP: N NEWPORT BEACH, CA 92660 825-.0671 s, APP L.MAIUMhDDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: ALT ' ARCHITECT OR ENGINEER: KEITH PALMER UcND.: C99999 JOB DESCRIPTION : 1942 SQ FT LIVING/ 430 SF GARAGE SQ FT: ARCH.OR ENG.'S ADORERS: REDLANDS ST UNIT NEWPORT BEACH, CA 92660 CLAIM VALUE: CALC-VALUE: GROUP OCC: R-1 /M-1 CONTRACTOR'S NAME: CONTRACTORSMNLDID COMMENTS : PLAN A, RE: #B75323 ADDRESS: LK.NO.: *+E**$H*****5*******5E5E**a43E***3E*$E3*34*SE*iF***+4+E***SH34*3F*+43**3H*3E+AAE36*+A**3E**3E3N•**3E**4** UNIT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affkm under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7000)of Division 3 of the Business end Professions Code,and my license is in full force and effect. CITY It NO.: UC.CLASS: L1C.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING Date: canlraa«: 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 am exempt from the Contractors License Law for the Mmmowing reason(Sion 7031.5 easiness end Professions Code:Any cky«county whim requires a perms to constmct eller,improve. PARKING REQ: P RO V: PARCEL: 43942102 Z N E: REF NO: Armagh.or repair any structure,prior to Its issuance,also requires the applicant for such permit to fib a signed statement that he or she is licensed pursuant to the provisions a the Contractors License Law[Chapter 9(commencing with Section.row)of Division 3 of the PLANNING NOTES> Business and Professions Code]or that he or she is exempt therefrom and the bash(6r the alleged exemption.Any violation of Section > ..' ( '.' 031.5 by any applicant lora permit subjects applicant to mil penalty more than five hundred dollars)550011. ***********.********36**,*N,*******3,*,***,***3,3,********s*36*****,36*******,*************** ❑ I.as owner of the property or my employees with wages as their sole compensation,will do the wort and the structure i not intended D E' V E L O P M E N T SERVICES;R V I C E S; R' E U I R E M E N T S of offered for sale(Seaham 7044.Business and Professions Code:The Contractors License Law does not apply to an owner of propero Q who nus a improves thereon,and who does such work Nmeelf or herself or through he or her own employees,provided that awe --•,improvements are not intended cc offered for sale.M.however,the building or improvement is sold within one year of completion,the ZONING APPROVED BY DATE: ownerbuilder wit have the burden d proving he or she did not build or improve for the purpose of sant). I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and ,•r,•`, Professions Cole:The Contractors License Law does not apply to an owner d prepeny who builds,or improves thereon and who BUILDING APPROVED BY : . v - i-_ . DATE: contracts for eTch projects with a contrador(s)licensed pursuant to the Contractors License Law). v ' , ❑ Iamexempt aMrSmion: B.8 P.C.,lot this APPLICATION ISSUED BY: S \-3 DATE: # 8 / i� Date: )1 N owner: r ***************************************4****** ************�E********** **** ** LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT :N I do hereby certify t I am aware a and understand the requirements of California Health and Safely Code Sections 25505,25533,and for1 -'1' ' s 2.9 r`r aperntfodlhal«enyhnumwildmg«apaAlta ot(arose«m)nemleiomdycnstmdatmepod.sadeeempmmmhse BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE , SMIP/RES GRADING 2534.and Chill p moeifbudiin occupthe Ar�y ot(cem°o ei)nee 10 comply with adisn epck codes a regio Iran these Pro"910ns. PERMIT 111 . 00 .r - it- Pate: Applicant: 25& . SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the to towing dedermi ns: PLAN . " ,',;•• -, (; 0 Ihave endMImaintannirm acealeofconsenttoeeffeu inre for workers'compensation,as provided for Section ISSUE FEE 20 . 00 Code.for the pedcm,, which BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE p Ihave and vdmaintain wdke9 compensation insurance,asrequired bySection 3)wdthe Labor COde.brlhepedpmanoeathe TOTALS----> 111 . 00 20 . 00 r • 0 . 00 131 . 00 131 . 00 . 00 work tor with this permit is issued.My workers'compensation insurance canier and policy number ata. t• F Carver; REVENUE DIVISION TOTALS--> COLLECTED: ^ ;-t 131•. 00 ' OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC • FIRE •''SMIP/TOT-- GRADING PLAN-CHECK (his section need MN be completed I the palmi is for one bundled dafars MOP(er leas) 131 . 00 - L ❑ I comity that in the performance of the work hr whkh this permit is issued,I shell not employ any person in any manner a es to 1 become subject to the workers'compensation laws of California,and agree that it I should become subject to the workers' **-****.******.**.)E********************,***.*****,****,**********.N,***.K-***************** compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. INDIVIDUAL' F E E BR EAKDOWN Pale: Applicant ,. Warning:F ,to secure workers'compensation coverages unlawful and shall subject en employer to criminal penalties end TYPE QTY D E S C R I P T I O 'N ' ' 1) UNIT C.OS T TOTAL COST Civil lines up to one hundred thousand dollars(3104000),in ns addition to the cost of compensation damages as provided ler In I 5ection 3706 of the Labor Code,interest,and attorney's fees. 3 ,...n, PLU 2 BATHTUB ' ..<7-.'00 14 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a conslnden lending agency for the PLU 1 DISHWASHER _ C 7 .00 7 . 00 performance of the work for whim the permit eissued(Section 3097.ay.C). PLU 1 SHOWER . 7. 00 7 . 00 LENDER'S NAME: PLU 1 SINK, KITCHEN '' 4 ' 7 . 00 7 . 00 LENDER'S ADDRESS: , t ,n PLU 2 WASH BASIN (SET) rd ' 1 l certify that)have read this applkation and state that the aboveidom,aion iscorled.I agree to comply with an dry and county ordinances PLU 3 WATER CLOSET (TOILET) 4' 7 . 00 21 . 00 endstatepurposeca es.fix PLU 1 WATER HEATER AND/OR VENT % I. 7 . 00 7 . 00 MIKE TALBOTT PLU 1 WATER SERVICE • t " 7. 00 7 . 00 Print NamePLU 1 GAS PIPING SYS OF., ,' 1 TO. 4 OUTLETS ' 5 .00 5 . 00 PLU 1 GAS SERVICE 71 Sig 77/I/ nUApploenl/Contrm« pm i)/1//4 S PLU 1 SEWER, CONNECTION TO HUIIDINGx EACH 7 . 00 7 . 00 15 . 00 15 . 00 • r✓P� (5151-49.WP) While-Building&Safely:Green-File:Canary-Applicant;Pink-Revenue;Goldenrod-Assessor CONSTRUCTION AND PLANNING PG & SPA .APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location -2. Soil Pipe-Undrgrnd. (---a 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. ElectricaLUFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings • 58. Electrical Conduit-Undrgrnd. 8: Foundation • 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. Zeca 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 2 12 crib • 62. Backwash & Receptor-Final 12. Sewer Cap �1'� 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 21Z14 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 217-1 FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating - • 71. Product Piping ❑Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing • ' 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 PREV. FINAL • 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION . - r 32. Electrical Power Meter-Final 7 '80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 75-_ -o d _,► 34. Final Heating& Air Conditioning -9S-C .I..J -S71Lz3_ 35. Final Gas Pipe-Test . .. 411_, Sa fi- _cl • L( - of 36. Hood or Canopy 2.-S Q 6 'rap T di< )=�cJ 3 t 37. Final Factory Fireplace p r 3+dJ2-r-rJ>f 3A C�-ed- 38. Final Plumbing c •4Via2`c2 d ',AaK-- 39. Water Service-Final 244 --$3-17,--ka.r giegsaakd V, 40. Gas Service-Final fs S- rev- .AEW 41. Solar Domestic-Final 4- CS 42. backflow Preventer een2.2 43. backflow Irrigation S =56 PP-4.14 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 ADDRESS OF BUILDING: WIT: OWNERS NAME IF KNOWN: Y' Y PERMIT NO: P 075332 PLAN CHECK NO: 04840-95 N PAGE. 2 v _ **********-****************-*******************E**********)E***************-******** APPL.MAILING ADDRESS: . w TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST ARCHITECT OR ENGINEER: UC.NO.: ARCK OR ENG.'S ADDRESS: UHT: END OF FEES CONTRACTORS NAME CONTRACTOR'S MMUNG ADDRESS UC.NO.: WIT: LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury then I em licensed under provisions of Chapter 9 (commenting with Section 7000)of Division 3 of the Business end Professions Cade.end my license is in full force and effect. CITY UC.NO.: UC.CLASS: UC,NO.: Date: Contractor: TOWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I em exempt from the Contractors License Law for the ' *ovine reason(Section 7031.5 Business end Professions Code:Any city or county which requires a permit to construct.eller.improve. lemofah,or repair any structure.prior to its issuance.also requires the applicant for such permit Io file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the s Business end Professions Code]or that he or she is exempt therefrom end the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant ID a civil penalty of not more than five hundred dollars(5.5001). ❑ I,as owner of the properly or my employees with wages as then sole compensation,"Ando the work,and the structure is not intended • or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply to an Owner of properly who builds or inproves thereon,and who does such work Nmeen or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the • owner-builder will have the burden of proving he or she did not build or improve for the purpoee of Bale). . ❑ I.as owner of the pmpedy,em exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of properly who builds or improves thereon end who contracts For latch projects with a contractor(s)licensed pursuant to the Contractors License Law). ' ❑ I am esempl under Section: B.&P.C..ler this reason: . Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health end Soley Code SWAMIS 25505.25533.end - • , . 25534.and that I or any future building occupant will/will not(circle one/need to comply with said stale codes and the requirements for . ' ' e permit for constructionor modification horn the Ai ualty anagement Iatric.Residential construction applications are exempt from these provisions, ,Nr•., • . Dale: Applicant: • . WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ❑ I have end wit maintain a certificate of consent to sef•insure for workers'compensation,as provided for by Section 3700 of the Labor Code,for the performance of the work for wNch this permit is issued. ❑ I have end wit maintain workers'compensation insurance,as required by Section 3700 d the Labor Code,for the performance of the • - work for which this permit is issued.My workers'compensation insurance carrier and policy number are: Carrier: - Polcy Number: (This seelian need not be completed I the permit is or one hundred dopers 1$1001 or less) ❑ I cerliy that in the pedomhance of the work for which the 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' compensation provisions of Section 3700 of the Labor Code,I shell forthwith comply with those provisions. - , Date: ApMicant: ./ Warning:Fe/Nn,to secure workers'compensadon coverage is uniewhll,and shall subject an employer to criminal penalties and ' civil lines up to one hundred thousand dollars(SIOg000A In addition to the cost of compensation,damages as provided ler In Section 3706 of the Labor Code,Interest,and attorney's leas. '� • CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury That there is a construction lending agency for the performance of the work for which this penal is issued(Section 3097,CH.C). LENDER'S NAME: • LENDER'S ADDRESS: I certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances fl2°19''•Q--1,Li 509 -7'C-:'f- and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned propend 1 +lrh_. - ' ch., /"L 'rt. i_ - t. for inspection purposes. / f t Print Name Date: Signature of Owner/AgenUApplicant/Contractor fr, (5151-06 WPI While-Building&Safely:Green-File:Canary-Appicanl:Pink-Revenue:Goldenrod-Assessor . CONSTRUCTION AND PLANNING PG . & 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 LIFER 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. '2---ri_4�6 60. Backwash Lines, P-Trap, 0 Undrgrnd. • 10. Strir:tural 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 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank O Gas O 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: COW 4,o 6� 34. Final Heating & Air Conditioning 7 (,S •w" '2 � . 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 ADDRESS OF WILDING: 120 23RD ST DMT` B CITY OF COSTA MESA — BUILDING PERMIT nWSNAMEIFI Ia*R VNE DEVELOPMENT PERM NO: M 075333 ""Ess: 1048 IRVINE # 363 PERMIT NO: M 075333 PLAN CHECK NO: N GOVT: N SUPP : N ag�I � AC:H', LCA 92660 825—.0671 DDR CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: ALT ARCHITECT ORENONEER: KEITH PALMER UC.ND.: C99999 JOB DESCRIPTION : 1942 SQ FT LIVING/ 430 SF GARAGE SQ FT: ARCH.OR ENG.'S ADDRESS: REDLANDS ST OMT: NEWPORT BEACH, CA 92660 CLAIM VALUE: CALC—VALUE: GROUP OCC: R-1 /M-1 CONTRACTORS NAME: CCNTRACTONSMMUNG COMMENTS : PLAN A, RE: #B75323 ADDRESS: UC.NO.: ******************************************************************************* UMC: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby odic,,under penalty of perjury that I em licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7000)or Division 3 of the Business and Professions Code,end my license is in full force and effect. CITY LIC.NO.: LIC.CLASS: LIC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING Dae: 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 of perjury that I em exempt from the Contractors License Law for the following reason(Sedan 7031.5 Business end Professions Code:Any cry a county which requires a permit to construct,aha,improve, T demolish,or repel-any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement Mal he or she PARKING REQ: PROV: PARCEL : 43942102 Z N E: REF NO: is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commendng with Section 7000)of DN'ion 3 of the PLANNING NOTES> r ,v Business and Professions Code) - or that he or she is exempt therehan 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 penally of not more than five hundred dollars($500)). ��*********************************************x,***,****************************** ❑ I,as owner of the property or my employees with wages as their sole compensation.will do the work,and the structure i not intended - D E V E L O P M E N T S E R V I C E S R E U I R E M E N T S or offered for sale(Section 7044.Business end Professions Code:The Contractors License Law does not appyloan owner of properly 1 N. Q who binds or improves thereon.and who does such work himself or herself or through he or her own employees,provided that such 11 . p improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion.the ZONING APPROVED BY DATE: s�.� owner-builder will have the burden of proving he or she did not build or improve fa the purpose of sale). L' I,as owner of the properly.am exdushey contracting with licensed contractors to construct the project(Section 7044.Business end `- Professions Code:The Contradors License Law does not apply to an owner of propertywho builds or improves thereon end who -B U I'LD ING APPROVED B Y : DATE: contracts for such projects with a contractor(s)licensed pursuant to the Cont ora License Law). ,y „A - ' ' ❑ lamexe arse rSeot//pp'nn(n�: ` ' B.8P.C..for thireason: APPLICATION ISSUED BY: DATE: VI� ?l-4 4v' Date: ��.( 7�1 Omen ` ********************************************** *i ***1EiE*iflF')E***1E****jf-TMTMfE iE iE ** iEIE A// 666//! EGALIZATION:N F E E S U M. M A R Y STRUCTURAL SEGMENT:N Ido hereby certify th I am 'ware of and understand the requirements of CaliforniaCaliomia Health and Safety Code Sections 25505,25533,and •/1 .i\ , . 25534,and Mallorionny rNurehuildirMomlheAOuaktI yMnot(circle enneNhot.Reo aemirdconatndstalacodeaad the efro these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING 2534, d that I alanamae building o occupant II Iwi Management one)nee toss comply comdrod stale a coddtioand t exempt remem is fa provisions. PERMIT 22,00 Dale: Applicant: • 25$ SMIP/NON—RES WORKERS COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: PLAN �, .e r'i ' ❑ 1 have and veil maintain a oscillate of consent tohis self-insure for workers'compensation,es provided for by Section 3700 of the Labor ISSUE FEE 15 . 00 Code,for the performance of the work for which thispermltmissued. BUILDING—DIV—> PERMIT ISSUE PLAN=CHECK 'A TOTAL PAID DUE ❑ I have and wil maimain waken'compensation insuranoe.as required by Section 3700 of the Labor Code.for the performance of the TOTALS----> 22 . 00 15 . 00 0 . 00 37 . 00 37 . 00 . 00 work for which this permit is issued.My waiters'compensation insurance carrier and policy number are: Cada: REVENUE DIVISION TOTALS--> COLLECTED: - 37 . 00 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC C FIRE SMIP/TOT GRADING PLAN—CHECK (This section need not be completed I the pemi is for one hundred dollars(51001 or lees) .s 37 . 00 ❑ I certify Nat in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to 1 became subject to the workers'compensation laws o California,and agree(hal it I should become subject to the workers' *********************************************1E***1EiE*********yf-******i(-*******lf-*** compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. INDIVIDUAL-' FEE ' BREAKDOWN Date: Applicant: Warning:Failure to secure workers'compensation coverage Is unlawful,and small subject an employer to criminal penalties and TYPE QTY DESCR IP T I O--NUNIT COST TOTAL COST civil fines up to one hundred thousand dollars(5100,000),In addition to the Cost of conpeneatlon,damages as provided for In / ' '-1 Section 3796oFthe Labor Code,Interest,and attorney's fees. MEC 1 INST FORC—AIR/GRAV TURN X='100 K BTU 9 . 00 9 . 00 • CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the MEC 1 FACTORY FIREPLACE ... .<2 6 . 50 6 . 50 performance dthe cook for which this permit bissued(Section 3087,Ch.c). MEC 1 INST HOOD W/DUCTS FED- BY MEC EXHAUST 6 . 50 6 . 50 LENDER'S NAME: END OF= FEES LENDER'S ADDRESS: I certify that I have read this epnn end dela that the above information is correct.I agree to compy with all city and county ordinances and state laws relating to buildingg construction and hereby authorize repreeemaivee of this city to anter upon the above-mentioned property for inspection Pappose. - 9 MI H j4tName r Dale: 101Sigra genVAPpIicanVComreaa C.T PA.T_ i0,� ;:i...-_ _ _' y ^ (5151'46.WP) While-Building d Safety;Green-File;Canary-Applicant:Pink-Revenue:Goldenrod-Assessor • CONSTRUCTION AND PLANNING PO.-_ & SPA .APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location r- 2. Soil Pipe•Undrgrnd. _ 53. Steel Reinforcement s 3. Electrical Conduit Utility•Undrgrnd. -54. Forms •• 4. Electrical Conduit-Undrgrnd. �' 55. Electrical Bonding 6. 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, 0 Undrgrnd. 10. Strc.'tural Floor System 61. APPROVAL TO DECK 11. Property Sewer,Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 1 63, Heater & Vent-Final 13. Roof Drains - 64. Plumbing System - Final 14. Rough Plumbing • 65. Electrical-Final 15. Rough Electrical-Conduit 7. 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 - --sz at, , APPROVALS Permit# 21. Ducts, in Structure j / ' Fa" 70. Underground Hydro 22. Ducts, Ventilating - ` . - - 71. Product Piping 0 Gas ❑Oil 23. Gas Pipe-Rough& Test - 72. Underground Flush 24. Roof Framing - . 73. Undergrnd.Storage Tank ❑Gas ❑Oil 25. Roof Sheathing - 74. Overhead Hydro 26. T-Bar Ceiling (Structuralt & 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: - C _ er 34. Final Heating& Air Conditioning =t tL2 L 35. Final Gas Pipe-Test - M2- 14 4a/ 36. Hood or Canopy , 37. Final Factory Fireplace - - • • S -.' 6 FYys-c _ 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 • 6-05-1996 11 :03AM FROM SCHMID INSULATION 909 392 5512 P. 6 • INSULATION CERTIFICATE This is to certify that insulation has been installed in conformance with the current energy regulation, California Administrative Code, Title 24, State of California, in the building located at BUILDING E 23RD STREET ( 120 23rd St. #E) COSTA MESA, CA CEILINGS : • TYPE : Fiberglass Batts MANUFACTURER:Owens/Corning THICKNESS : 6 1/2" R-19 WALLS : TYPE : Fiberglass Batts MANUFACTURER: Owens/Corning THICKNESS : 3 1/2 " R-13 GENERAL CONTRACTOR:VNE DEVELOPMENT LICENSE: B658963 BY` L 'F TITLE: President DATE : 6/5/96 Michael S. Talbott SCHMID INSULATION CONTRACTORS INC. LICENSE #221517 C-2 BY: TITLE: PRODUCTION MANAGER DATE : 06 -05-96 INSULATION CERTIFICATE This is to certify that insulation has been installed in conformance with the current energy regulation, California Administrative Code, Title 24 , State of California, in the building located at BUILDING E 23RD STREET ( 120 23rd St. #E) COSTA MESA, CA CEILINGS : TYPE : Fiberglass Batts MANUFACTURER:Owens/Corning THICKNESS : 6 1/2" R-19 WALLS : TYPE: Fiberglass Batts MANUFACTURER: Owens/Corning THICKNESS : 3 1/2" R-13 GENERAL CONTRACTOR:VNE DEVELOPMENT LICENSE 1165sg61 BY N. eell TITLE : President DATE : 6/5/96 _ SCHMIMMici '(7LA'I°ION CONTRACTORS INC. LICENSE #221517 C-2 BY: le _ TITLE:PRODUCTION MANAGER DATE : 06-05-96 • ADORES;OF BUILDING: 120 23RD ST WIT: B CITY OF COSTA MESA — BUILDING PERMIT OWNERS riAME IF fllCfl VNE DEVELOPMENT PERM NO: E 075334 ADDRESS:.1048 IRVINE # 363 • PERMIT NO: E 075334 PLAN CHECK NO: N GOVT : N SUPP : N 1IEWPORT BEACH, CA 92660 825-0671 APPL.MNUNG ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: ALT ARCHITECT ORENaNEER: KEITH PALMER UC.NO.: C99999 JOB DESCRIPTION : 1942 SQ FT LIVING/ 430 SF GARAGE SQ FT: ARMOR ENG.'S ADDRESS: REDLANDS ST UNIT: NEWPORT BEACH, CA 92660 CLAIM VALUE: CALC—VALUE: GROUP OCC: R-1 /M-1 CONTRACTORS NAME: ' CONTRACTORSMNUNG COMMENTS- PLAN A RE:#B75323 ADDRESS UC.NO.: ****************4************************************************************** DIT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury Diel I am licensed under provisions of Chapter 9 SETH ACK S • (commencing with Section 7000)of Division 3 of the Business end Professions Coda,and my license is in full force and effect. CITY UC.NO.: UC.CLASS: UC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING Dale: 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 am exempt from the Contractors License Law for the following reason(Section 7031.5 Business and Professions Code:Any city err county which requires a permit to construct,eller,improve, PARKING REQ: P RO V: PARCEL : 43942102 Z N E: REF NO: Joh.or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she Q need pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of DNieion 3 of the PLANNING NOTES> .iess end Professions Code)or that he or she o exempt therefrom end the basis for the alleged exempto n.My violation of Section > ]031.5 by any applicant tore Pormfl subjects the applicant toads penalty ofmore not than this hundred dollen moon. ******************************************************************************* ❑ I,as owner o the properly or my employees with wages as their sole compensation,will do the work,and the structure M1 not intended D E V E L O P M E N T SERVICES R V I C E S R E U I R E M E N T S or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not appy owner to an of properly Q who bolds or improves thereon, es and who does such work himself or herself or through ho or her own employe ,provided that such , improvements are rot intended or offered for sale.H,however,the building or knprovement'asold within one year of completion,the ZONING APPROVED BY DATE: owner-builder will have the burden of proving he or she did nit purpose of build or improve for the osesale). b1,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors License Law does not appy to an owner of property who builds Or Improves thereon and who BUILDING APPROVED BY : DATE: contracts for such projects with a contrector(e)licensed pursuant to the Contractors License Law). ❑ Iamex`emptiunder/yeew,tion7 B.nP.C.,for this reason: / APPLICATION ISSUED BY: DATE: Q12.)? L Data: '. 1 iiif\ Owner /(A,>74 ****************************************** ********************* ****iE *iE** leo hereby(((333wLLLLLd/y that$rnaware lend understand the requirements of California Health endsLEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N Safety Code Sections 25505,25533,and 25534.and that I or any future building occupant will I will not(circle one)need to comply with said stale codes and the requirements for a permit for construction or modification from the AirOT enagemenl District.Residential construction applwione are exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 73 . 22 Date: Applicant: 5 0% SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty d perjury one d the following declarations: PLAN ❑ I have awwillmmaintaina certificate of cost to self-insure d nsure far wakens'compenonis issued. ,act provided for by Section 3700 the LaborISSUE FEE BUILDING 7— 15 .00 and Code for the performance of the work for whchthis permiL > PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ I have and wil maintain workers'compensation insurance,as required by Section 37C0 of the Labor Code for the performance al the TOTALS----> 73 . 22 15 . 00 0 . 00 88 . 22 88 . 22 . 00 work for which this permit is issued.My workers'compensation insurance center and policy number are: Canter REVENUE DIVISION TOTALS--> COLLECTED: 88 . 22 OVER/SHORT: . 00 Policy Number BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK section need not be completed d the permit is for one hundred dollars/S100/or lass) 88 . 22 o d 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 subjectCalifornia, and agree thsl a I should become subject to the workers' ****iE************************************-************************************** compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. Date: Applicant: INDIVIDUAL F E E BREAKDOWN Warning:Fa9ure to secure workers'compereadon coverage is unlawful.end shall subject en employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines rpt(0 one hundred thousand dollars(5I04000),In add/tion to the cost o/compensation,damages es provided for In Section 3706 of thInterest,aLaborcoda,lnaaendate � eyyaaa. ELE 1 FIXTURES, LIGHTING 1 ST 20 EA. . 75 . 75 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the ELE 1 RECEPT/OUTLET 1 ST 20 EA. . 75 . 75 pedarmanceothe work for which this permit isissued(Section 3097.Ch.C). ELE 1 RECEPT/SWITCH 1 ST 20 EA. . 75 . 75 LENDER'S NAME: ELE 1 RES APPLIANCE NOT OVER 1 . 0 HP 3 . 00 3 . 00 LENDER'S ADDRESS: ELE 1942 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT . 03 67 . 97 I certify that I have read this application and state thal the above information is cared.I agree to comply with all city and county ordinances END OF FEES and stale laws relating to buildup construction and hereby authorize representatives of this Sly to enter upon the above-meMoned property for inspection purposes. MIKE TALBOTT bu � Name �� VI Dale Signature of Owner/AOwner/Agent/Applicant/Contractore �� (5151-46.WP) White-Building A Safety;Oreen-File;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor L"'Tl v r -' w•: �I. CONSTRUCTION AND PLANNING POOI - SPA Date Inspector Date Inspector • APPROVALS Permit# APPROVALS Pe.,nit# 1. ,temporary Electrical Service or Pole - 52. Pool & Equipment Location 2. Soli Pipe-Undrgrnd. -53. Steel Reinforcement • 3. Electrical Conduit Utility-Undrgrnd. - 54. Forms • ,4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings II 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 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 25. Roof:Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat r - 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-Final80. FOOD CERTIFICATE ISSUED 33. Final Electric �� Notes: 34. Final Heating & Air Conditioning • - 35. Final Gas Pipe-Test . 36. Hood or Canopy • 37. Final Factory Fireplace • . 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final • 41. Solar Domestic-Final , 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System • . 45. Sound Attenuation - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING - 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY No Date . • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. .- - CITY OF COSTA MESA CONSTRUCTION PERMIT MI PE T NO. TRACT NO. LOT NO. UNIT N2 �p a 23`g t1• .s, 6 2890(0 mon l 8 [� 9568 =/12/97 - Project Address n fJ Applicant's Mailing Address Vico T rev.._ u. TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR f , Cage( I ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A,P.# 4347 , q 3 Zone /} „ Owners Namewa-a� Phoned-zz4Z T.3 / - a 7 1 -1 l"I�'' DESCRIPTION OF WORK/USE OF LDG. / Address/� Fral-ke T• (7r )L13la S Main Building: Accessory Building: Archi nom. -r�s� , License No. TYPE OF PERMIT GRADING ❑ FOUNDATION �STRUCTV RAL E Front - O Address sry�� lk Com`( (e,+ ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL BA Rear / N Contractor's Narn �� ❑ OTHER -C7�`'� Phone(Q'Z2ZL_ PROJECT DESCRIPTION SQ. F7. OCCUPANCY C Right N Address(mailing) 7�o9U # .Fera. L.IJ / BZ K G CONSTRUCTION TYPE VALUATION$ 4'arD00.OJ S Left R City License No. ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION - - Ping. Ref.# Parking Req./ProvidedQU/a,(P�' E I with s affirm that I am licensedsion3 underI herebyprovisionsand -and Professions Code, G�•�`6'� ��Y1 �n /�' / �1I1 T my license is In force and effect. G-ti- e -7 ��tt' ZA.`� 1!'m ' 'L(ru�y Wrn U I (µl, S. oaf° S License C ss t- Lice s- No/ s�C j 1 Z4 F (L/'7 7 Date Z Signature ISM _ l/ �.L(Zj PLUMBING I FEES_ 1 pro ,' '. WORKERS'COMPENSATION DE,LARAT •N Bar Sink Showers � 1` ELECTRICAL FEES i I hereby affirm that I have a certifi ate of con-ent to self-Insure • a certificate _ of Workers' Compensation Insure - • . certified copy thereof (Section Backflow Preventer Service Sink 3800, Lab. C.) Automatic Washer Transformer 0 15.50 KW Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW 8 Certified copy Is hereby furnished. Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Our)to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Clover 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 ner so as to be.•me subject to the Drinking Fountains Solar Tank Fan Motors 00.1 HP ❑1'-8 Worker}} ¢gomopylsM ion Laws of _v Date fn/12/'(j l Signa ,•_ Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP El 16-15+ NOTILCrEE4 If,alter making this declar. • •;-u should beconrt-As�sub=ct to the — Workers' Compensation provisions of th •bor Code, youlfnust forthwith Floor Sinks Urinal Fixtures comply with such provisions or this pe mit shall be deeme• revoked. ,Microwave CONSTRUCTION LENDING AGENCY Gas Service • Outlets Water Closet Device Boxes I hereby affirm that.theie is a construction lending agency for the performance • - Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Lender's Name - p Outlets / Range Lender's Address Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories to-Wash following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 KW ❑5-15 KW Trash Compactor any structure, prior to its issuance, also requires the applicant for such permit P 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 -• t Division 3 of the Business and Professions Code) or that he/she is exempt - - - therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil o salty of not more than five hundred dollars ($500). U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, 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 FEES License Law does not apply to an owner of a property who builds or improves _ _ - - - DEVELOPMENT SERVICES REQUIREMEN thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I ❑ J$� employees, provided that such improvements are not Intended or offered foryp (_ Y -`a •g7 sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II ❑ Zoning Approved By fir^ Date pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By 9�' Date Crove for the purpose of sale). f'y G"!Y-b� I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date 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 00-100,000 BTU 0100,000 BTU / SUMMARY OF FEES builds or Improves thereon,and who contracts for such projects with a con- V Du f6 �� tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ /0/ •00 SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ 32. 82 PERMIT ❑ I am exempt under Section B. & P.C.for this reason • Firepl/Fact.Blt. ICBG# / Fire Dampers I PLUMBING S ISSUANCE $ — Date Owner Heating System& Ducting Registers PLAN CHECK 25% S ENERGY P.C. $ I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 010 , OOBTV ELECTRICAL S GRADING $ information is correct. I agree to comply with all city and county ordinances - and state laws relating to buil ing construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of Is •ly to r up the above-mentioned pr pert for �y j� inspection our ��-� 12"] MECHANICAL $ TOTAL FEE $ 1'J 4.39" Signature(& _ Date Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ Drivers' L ense or S$t � • - p k ..CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL &SPA 'APPROVALS ,..permit# Date Inspector APPROVALS Permit # Date �l 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location \11\ 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 drnd. 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 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 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 7-747 1/4.1C., 77. FIXED SYSTEM FINAL 29. Insulation 78, FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 24z.7/ 4_Pt" 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38: Final Plumbing 39. Water Service-Final 40. Gas Service-Final -41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45: Sound Attenuation • 46. Handicap Regulations // n 47. FINAL STRUCTURE & BUILDING u / N 48.'Special Requirements Completed 1 S//1 , 111 49. Electric Release to Edison. 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date I ' • ;OGRESS OF S01LwN0: 120 23RD ST OMT: C CITY OF COSTA MESA — BUILDING PERMIT • OWNER'SNAMEIFRlOWN: VNE DEVELOPMENT PERM NO: B 075324 AD°sm:-1"048 IRVINE#363 PERMIT NO: B 075324 PLAN CHECK NO: 04262-95 A GOVT: N SUPP : N dMPPEACH, CA 92660 714-825-0671 _ CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: NEW • ARCNRECT OR MOWER: UC.NO.: JOB DESCRIPTION ; NEW CONDO 1923 SF DWELLING/ 430SF GARAGE SQ FT : 2, 353 ARCH.OR END'S ADDRESS: WIT: CLAIM VALUE: CALC—VALUE: 158, 659 . 70 GROUP OCC: R-3 /M-1 CONTNACTORS NAI/E: CONTRACTORS MAILING COMMENTS : NEW CONDO ADDRESS: UC.NO.: iE iE iE**iE if♦E iE iE if iE if if if if iE iE iE iE iE if*iE♦E if**iE iE iE*#iE iE*iE iE#if if iE iE iE iE iE iE iE*iE iE iE iE*♦E iE if if**iE iE iE if iE*if iE*iE if iE if iE iE if iE iE iE umr: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby Slim under mealy of perjury Thal I em licensed under provisions of Chapter 9 SETBACKS (commencing with Section TOW)of Division 3 of the Business and Professions Code,and my license is in full force and effect. CRY LIC.NO.: LIC.CLASS: LIC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING Dale: Contractor: FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: 11 FT IN RGHT: 26 FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contradod License Law for the fdlowh g reason(Section 7031.5 Business and Professions Code:Any cry or county which requires a permit to construct,eller,improve, PARKING REQ: P RO V: PARCEL • 43942102 Z N E: R2—H REF NO: bmol'sh,or repair any structure,prior to its issuance,also requires the applicant for such permit to fib a signed statement that he or she Q e licensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 1000)of Division 3 of the PLANNING NOTES> 1143 SQ. FT, 3—BEDROON 2—STORY DWELLING WITH 430 SQ. FT. Business and Professions Code[or Ihat he or she is exempt therefrom and the basis for the alleged exemption.My violation of Section > GARAG E":AND. 71 3 S Q. FT. LIVING AREA. 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than NO hundred dollen($500)). *iE iE 1E*♦E iE if#if if*iE if if#iE iE iE"*if 1E'A*iE*iE*if#*♦E*iE iE#iE iE iE iE#***iE iE iE iE iE*iE iE iE iE iE 1E#iE iE iE iE iE*iE iE iE if iE!!'iE iE if if*iE iE iE iE if ❑ I,as owner of the property or my employees with wages as their sole compensation,will do the work,and the structure is not intended or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply to an owner of property DEVELO P''M E N T SERVICES R E Q U I R E M E N -T. S who buids or inproves thereon, h and who does such work himself or herself or through his or her own employees,provided that such 4-"' • improvements are not intended or offered for sale.If.however,the building or improvement s sold within one year of completion,the ZONING APPROVED BY C. C l� �12 DATE: \ , I DC ownerbuilder will have the burden of proving he or she did not build or improve for the purpose d sale). t] I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Sadion 7044,Business and F •'/ '',7 / Professions Code:The Contractors License law does M apply to an owner of property who builds or improves thereon and who BUILDING APPROVED BY' •�, '. DATE: . contracts for such Projects with a antraaor(s)licensed pursuant to the Contractors License Law). ./ ''' .4 C r '#1.Y f ❑ Iamexem;�ndeeSe ion: B.aP.c..rorthis naan� APPLICATION ISSUED vBY)� �— T DATE: ��`Z� � �� Date: ` �, owner: *********************%***********ie****$****** *******************%**3E#**4E**if%%3E LEGALIZATION: N F E E S bU M M A R Y STRUCTURAL SEGMENT:Y I do hereby teary at I fut awaree and occupant the trequirements of nee otic mplth and st Code es ret the r ent•for 25534,and tont or any future building hem the will/will an(deme one)need to comply cwithon said deer codes andare requirementsmpfor a permit for dxvnmctionormeddeatbnhomtheakoueilyMaspementDmdct.Reskemid mndnWipn appicatioroan examptirom these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING envisions. PERMIT 846 . 00 15 . 87 Date: Applicant: SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one ofthe following declarations: PLAN 137. 48 ❑ Ihave end witmaintain acende:deof consent toeef-inaurefor workers' mp coenaon,asprov tiidedforediion byS3700theLabor ISSUE FEE Cede,for the performance oftm heworkforwhichthispemeissued. o4BUILDING—DIV > PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ I have and ail maintain workers'compensation insurance,as required by Section 3700 ofthe Labor Code.for the performance of the TOTALS > 861 . 87 0 . 00 137 . 48 999 . 35 999 . 35 maintain . 00 work for which This permit is issued.My workers'compensation insurance carder and policy number are: Carrier: REVENUE DIVISION TOTALS--> COLLECTED : 861 . 87 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need not be completed l the pemtd is for one hundred dollars 151001 Of less J 846 . 00 15 . 8 7 ❑ I certify the!in the performance of the work for which this permit is issued.I shall not employ any person in any manner so an to became subject to the workers'compensation laws o California.and agree that f I should become arced to the workers' 'E******%*******************************iEiEiEif#i *****1EiEi ****i *******************#if provisionscompensation of Section 3700 of the Labor Code.I shall forthwith comply with!hose provisions. Date: Aida l: INDIVIDUAL F E E BREAKDOWN • Warning:Failure to secure workers'conpenaaffon coverages unlawful,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines up to one hundred thousand dollars(5104000),In addition to the cost of comperuation,damages as provided for In Section 3706 of Use Labor Code,inreresf,and attorney's fees. SFR 1923 DWE—TYPE V—WOOD FRAME —GOOD 77 . 90 149 , 801 . 70 CONSTRUCTION LENDING AGENCY: I hereby affirm under perely ol perjury that there i a construction tending agency for the SFR 430 RES—GARAGES TYPE V 20 . 60 8, 858 . 00 performance of the work for which this permit is issued(Section 3097,Ce.C). LENDER'S NAME: • END OF FEES LENDER'S ADDRESS: I candy that I have mad this application and state that the above information is coned.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this dry to enter upon the above-mentioned properly for inspection purposes. MIKE TALBERT w, 01t Name 26:.551: G:7. 5)c= a,a'^ • C.;1.6? Date: �� Z�. 01%• . T n.r sig a of Owner/Agent/Applicant/Contractor tract« S- J i (5151'46.WP) White-Building&Safety:Green-Fre:Canary-Appicant;Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNING POO_ .4 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 �r. Electrical Conduit Uxility•Undrgrnd. - '-- 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding r • 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test J 6. Electrical UFER Grnd. 57. APPROVAL TO COVE R-GUNITE 7. Footings ‘2•-AC M6 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 .:--:21-61. 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 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 /17 , lG ‘4,41" 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat tt 75. Dry Chemical 27. Frame and Flashing 2,A" G 76. Dry Standpipe 28. Lathing & Siding kyz1ft of 77. FIXED SYSTEM FINAL 29. Insulation rI/?1� 78. FIRE PREY. FINAL 30. Drywall Nailing - 7 �`' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34, Final Heating &Air Conditioning ' 35. Final Gas Pipe-Test .. - 36. Hood or Canopy - ^ 37. Final Factory Fireplace " 38. Final Plumbing ;'1 39. Water Service-Final - 40. Gas Service-Final - - 41. Solar Domestic-Final 42. Backf low Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING Z_q/ - /i 48. FINAL PLANNING GV 49. Electric Release to Edison 50. Gas Release to-Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date SOF BUILDING: 120 23RD ST UMT' C CITY OF COSTA MESA - BUILDING PERMIT • EMO/OWN:• VNE DEVELOPMENT ,/I PERM NO: P 075335 1414rss:,1c548 IRVINE#363 PERMIT NO: P 075335 PLAN CHECK NO: N GOVT: N SUPP : N • REACH, CA 92660 714-825-0671 CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: NEW ' ARCNRECTOREN3INEER: • UC.NO.: JOB DESCRIPTION : NEW CONDO 1923 SF DWELLING/ 430SF GARAGE SQ FT: ARMOR ENO'S ADDRESS: UHT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /M-1 • CONTRACTORS NAME CONRIACTORSMMUIG COMMENTS : NEW CONDO, RE: #B75324 ADDRESS: UC NO.: ******************************************************************************* wR: ZON ING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penal),of perjury that I em licensed under provisions of Chapter 9 S E T B ACK S (commencing with Section 7003)of Gitlin 3 of the Business and Professions Code.end my(cense is in full trace end effect. CITY LIG.NO.: LTC.CLASS: LIC.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 elfin under only of perjury that I am exempt from the Contractors license Law for the Idiowi,g reason(Section 7031.5 Business end Professions Code:Any cly a county whim requires a permit to construct alter.improve. /� P RO V: PARCEL: 43942102 Z N E: REF NO: ' demo/15h.or repai any stncmre,pier to hb e Iguanas,ao requires the I for such permit to fib a signed PARKING REQ:ned statement he or she a licensed pursuant le the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 at the PLANNING NOTES> Business and Professions Code]or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section •! 'a7031.5 by any applicant For a Permit subjects the applicant to a civil penalty of dosser not more than five hundred s(5500]) > ❑ I.as owner d the dowry cc my employees wlh wages as them sole compensation,wig do the work.end the sticture is n«intended ********** ********iE ilk lE***************** E****** ***********if******************** or offered fix sale(Section7044.Business and Professions Code:The Coaledors License Law does not appy to an ismer d property DEVELOPMENT SERVICES (' tt• E Q U I R EM EN T S who builds or inpmves thereon.and An does such work himself or herself or through he or her own emplyees,provided that such armwnr° aumh«d«watmgenos have t dded enot dl'n proving be or shhowever. edid arSa amp«rpm.fa tthheppmamers epm:d.m)a"y"`d`m'°l"°n'°" ZONING APPROVED BY DATE: t] I.as owner d the property.ern exclusively contracting with licensed contractors to comud the doled(Section 7044,Business and f ^ Profession Code:The Cascada*License Law does ret apclyb en owner d progeny wbo builds or.improves thereon and who BUILDING APPROVED BY : - i DATE: contracts for such projects with a Wmrador(e)licensed pursuant to the Contractor.license Law). .".• `lw r I .4 Is L❑ lamexemplunderB.AP.O,./athtsreason:� II APPLICATION ISSUED BY: •' - ' • DATE: \1‘.43:5;4.W..4. Date: h)./legion:91 Owner: di/tic---- **�E*******************iE*iE*IE 1E 3E*iE**1E iF***iE********* • ***************** ** y LEGALIZATION: N F E E S [Y M, M A R K STRUCTURAL SEGMENT: N I do hereby caddy thatam e of and understand the requirements of California Health and Safely Code Sections 25505,25533,and r apann25534.and that)«an or Wildingoccupant wdn/wDanot atae)needmc«Wlywiheaidsateoodesandrexhe egdremm these BLDG PMT PLUMBING ELECTRIC MECHANIC ' FIRE SMIP/RES GRADING e°ennofawnvuction rany he odifratnnhantMAk ul/ llrvsgemeo e)nee. to comply construction el to codeappicas set exempt from is for provisions. PERMIT 111 . 00 ; t = i Date: Applicant: 25% SMIP/NON-RES • WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty d perjury ane d n the foNowing declarations: PLAN - '' r ISSUE FEE 20 . 00 'f ❑ I haveend wmaintains certificate of consent to'earned*for workers'compensation,as presided for by Section 3700 of the Labor it Code,fothepedomanceotemorkfowlichthispemdtisissued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE ❑ I here and will mailmen waken'compensation insurare es required by Section 3700 o the Labor Code,for the performance o the TOTALS----> 111 . 00 20 . 00 0 . 00 ' 131.90 0 131 . 00 . 00 work for whim this permit is issued.My workers'compensation insurance caner and policy number are: Caner: REVENUE DIVISION TOTALS--> COLLECTED: 131,:00• -,OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE .,SMIPI/TOT j GRADING PLAN-CHECK (This section need not be completed I the permit is for one hundred dollars(51001 or laas.) '. s ' ,r 131 . 00 o I certify that in the performance of the work for this pens is issued, shall employ any prion in any manner so m to "/ ' become subject to the workers compensation laws of e,California.le, and agree that s I should become subject to the workers' •' compensation provisions of Section 3700 of the Labor Code.I shall forthwith comply with those provisions. ***********************************'K***********'1F*********dE**,******************* Da : INDIVIDUAL .I D U A L . F E E. BREAK- D.-64r N Warning:Failureto secure workers'compensation coverage la unlawful,end shell subject an employer to criminal penalties and TYPE QTY DESCRIPTION • ^ • ., UN I TOCOS T TOTAL COST civil fines up to on hundred thousand dollars($104,000),In add/don to die cwt of compensation,damages sa provided for In Section 3706 of the Labor cow,Interest,and attorney's fees. PLU 2 BATHTUB I ' • 17 . 00 14 . 00 • CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there u a construction lending agency for the PLU 1 DISHWASHER - • 7 .0 0 7 . 00 pedonwceof the work for which this permit isissued(Section 3097.Ch.CI. PLU 1 SHOWER 7 . 00 7 . 00 LENDER'S NAME: LENDER'S ADDRESS: PLU 1 SINK, KITCHEN - 7 .00 7 . 00 PLU 2 WASH BASIN ( SET) -' ` " 7 . 00 14 . 00 I codify that l have reed this application and date that the above information is correct.I agree to comply with all dry end county odinermws PLU 3 WATER CLOSET ( TOILET),' e ' -� r '`7 . 00 21 . 00 end state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property a , . for inspection purposes. PLU 1 WATER HEATER AND/OR VENT : l -t ' • 7 .00 7 . 00 MIKE TALBERT PLU 1 WATER SERVICE -7 .00 7 . 00 dnt Name �, lPLU 1 GAS PIPING SYS OF 1'• TO 4 OUTLETS 5 . 00 5 . 00 y ore: /�1 f . 7' PLU 1 GAS SERVICE I: 7 . 00 7 . 00 grata, OntrIAgentrAPplmmTgntrm« PLU 1 SEWER, CONNECTION TO BUILDING EACH• ' 15 . 00 15 . 00 - ''r,eu.WP) white-Buildi g 8 Safety:Green-Pile:Canary-Applicant:Pink-Revenue:Goldenrod Assessor •_ IIIONANDIANNING POOL SPA �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 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. fk--tra 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 2_1 6 Sh �/��1 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System -Final 14. Rough Plumbing 2_12 cL6 _ 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 0 Gas 0 Oil 23. Gas Pipe-Rough& Test -.t2,.6TJ 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 �y 33. Final Electric Notes; 15-111_--111_- 34. Final Heating& Air Conditioning _ 35. Final Gas Pipe-Test Cr 4)-6--24 • 6 36. Hood or Canopy 2 '6-15_rdlpe9-2 37. Final Factory Fireplace e 7Y CAP--4-C 38. Final Plumbing raj 56 271Z--13 C rcaz7064- 39. Water Service-Final 22=1x-cy i+�,_�4 40. Gas Service-Final /- 41. Solar Domestic-Final 4r1 -7‘ ig�� (_7 T�.T ,Pt 42. Backflow Preventer - �b� (_. G 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 - SOF BDILGING: DNF: E IF KNOWN: AMIE..SS:— PERMIT NO: P 075335 PLAN CHECK NO: 04843-95 N FACE.• 2 • ******************************************************************************* PL.SWUNG ADDRESS: TYPE QTY DESCR IP T ION UNIT COST TOTAL COST ARCHITECT OR ENGINEER: UC.NO.: ARCH.OR ENG.'SADORESS: Wit END OF FEES COMPACTORS NATE: CONTRACTORS MUTING ADDRESS: UC.NO.: WIT; LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that I am licensed under Provisions of Chanter 9 (commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in lull force and afters. CITY LIC.NO.: UC.CLASS: LIG.NO.: Dale: Contractor: OWNER BUILDER DECLARATION;I hereby elfin under penally of p*ay that I em exempt from the Contractors License Law for the following reason(Section 7031.5 Business end Professions Code:Any city or county which requires a permit to construct,altar,improve, demolish.or repair any structure,mor to its issuance.also requires the applicant for such permit to file a signed statement that he or she a licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Oyelon 3 of the Business end Professions Coded or that he or she is exempt therefrom and the basis for the alleged exemntion.My violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more then five hundred dollars IMOD. ❑ I,sa owner of the property or my employees with wages as their sole compensation.'Aldo the work,and the structure is not intended or offered for sale(Section 7044,Business end Professions Code:The Contractors License Lawdoes not apply to en owner of property who beds or improves thereon,end who does such work himself or herself or through he or her own employees.provided that such improvements are nor intended or offered for sale.I,however,the building or improvement is sold within one year of oompletion,the comer-builder will have the burden of moving he or she did not build or improve for the purpose of sale). ❑ I,es owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who bulk%or improves thereon end who contracts for such projects with a contramr(a)licensed pursuant to the Contractors License Law). ❑ I am exempt under Section: B.8 RC..for this reason: Date: Owner: • I do hereby certify that I am aware of end understand the requirements of California Health end Soley Code Sections 25505.25533,end Penis,and that I or any future building occupant win I wit not(circle one)need to comply with said stale codes end the requirements for e permit for conavuAam or modification from the Ai y aagemmu District.Residential constnxsun appicationsareexempt from these provisions. Date: Applicant: WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the following dedvmions: - - �- ❑ I have and wit maintain a certificate of Consent to selfinsue for wprkeri compensation,ea provided for by Section 3700 of the Labor . Code,for the prforma ce of the work for which this permit S issued. _ ❑ I have end am maintain worker'compensation insurence,as required by Section 3700 of the Labor Code,for the performance of the work for which this peril is issued.My workers'corpensatw ri insurance carrier end policy number are: Canier policy Number: (This section need not be completed l the permit 4 for one hundred*Mani($1001 or less.) ❑ I army that in the performance of the work for which this permit is issued,I shall not employ any person in any mann r so as to become subject to the workers'compensation laws of California.end agree that if I should become subject to the waken' compensation provisions of Section 3700 of the Labor Cold,I shell forthwith comply with those provisions. Date: Applicant: Warning:Failure to secure workers'compensation coverage la unlawful,and shall subject an employer to criminal penalties and civil/Ines t to one hundred thousand dollars on:Go00A In addldon to the cost of comperuation,damages as provided for In Section 3706 of the Labor Code.Interest,and attorney'.fees. CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which the permit is issued(Section 3097,Civ.C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application and date that the above information is coned.I agree to comply with all city end county ordinances end state laws relating to building CMaV✓den and hereby authorize representatives of this city to anew upon the above-mentioned property for inspection purposes. Print Name Dale: Signature of Ovn erlAgentApplran4Contraco (5151-40 WP) While-Balding A Safety Green-Re;Canary-Appicant:Pink-Revenue;Goldenrod-Assessor 3TRUCTION AND PLANNING POOL a SPA APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location .-I 2 Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing &Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. 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 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 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: 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 /' ADDRESS OF RAMC: UMI: OWNEWS NAPE IF KNOWN: 120 23RD ST c CITY OF COSTA MESA — BUILDING PERMIT ADDREss:VNE DEVELOPMENT _BERM NO: M 075336 i0A8 IRVINE#363 rp/�p p PERMIT NO: M 075336 PLAN CHECK NO: N. / GOVT: N SUPP : N gAFP,{i1 IAODR&EACH, CA 92660 714-825-0671 - CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: NEW ARCHITECT OR ENGINEER: • UC.NO.: JOB DESCRIPTION : NEW CONDO 1923 SF DWELLING/ 430SF GARAGE SQ FT: ARCH.OR ENDS ADDRESS: UGIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 CONTRACTORS NAME CCTRACTOWS MYLDG COMMENTS : NEW CONDO, RE: #B75324 ADDRESS: UC.NO.: HE9F**HF*HE**iFiFdFiF*iFHFHF**HEeF1FiF#iFiF**dF**HFiEifIFiFiEHFHEHFfF3EIEHEiE#**iF9EHE1EHFHFiEiF1EdEiEiEHFJEdFiFiFiFHFdFdFiF*fEHF*HEiEHF1FHE LINT: Z ONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penally of perjury that 1 am licensed under provisions of Chapter B SETH ACK S (commencing with Section 7000)of Division 3 of the Business and Professions Coda,and my license is in full force end effect. CRY LIC.NO.: UC.CLASS: UC.NO.: EXP : MAIN BUILDING ACCESSORY BUILDING Data: ContractorFRNT: 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 penely of perlury that I am exempt from the Contractors License Law for the 1I,- erg Nreason(Section 7031.5 Business end Professions Code:Any city or county which requires a permit to construct.alter,improve, N,or repair any structure,orb(u its issuance,abo requires the applicant for such permit to files signed statement thal he a she PARKING REQ: PROV: PARCEL : 43942102 ZNE: REF NO: sed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)d Dimbn 3 of the PLANNING NOTES> S w Buness end Professions Code)or that he or she is exempt therefrom and the basis to.the alleged exemption.Any violation of Section 1. > V 7031.5 by any applicant for a permit subjects the applcan to a civil penalty of not more than five hundred dollen 155000, ❑ I' 5Ownrdthe PnopnYrmy employees wishwageseslheb sole compensation,will do the work,and the elnxlurobnot intended ift**1FlFiF#iFiFiFlFlFlFiFfF#1FiFiFiF1FiF1FiFi(-1F1FiFlFiFiF1F3F1FiE1F1F'iF1FiEiF***)EiF1E1F1EHF****1FiFiF3F1FiFiEHFlFHFiFiF#iFiFlFiFiFN-lEfE1F*** or offend or sale(Section 70sa;Business and Professions Code:The Contractors License Law does not apply to an Owner o properly DEVELOPMENT SERVICE' S REQUIREMENTS who Wide or improves thereon.and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is Bold within one year of compteton,the earner-butler will have the burden of proving he or she did rept build or improve for the purposed sale). ZONING APPROVED BY DATE: 13 I.as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Bushes and ' s. Professes Code:The Cntractoo License Law does not apply to an owner of property who builds or improves thereon and who - "?U ILD I NG APPROVED BY : '.! DATE: contracts for such prgeds with a contnectr(s)licensed pursued to the Contractors License Law). v 0 Iern exempt under � " � B.AP.C..frthis reason: bib liPLICATION ISSUED BY: S DATE: II Z4 Date: P 1 4i Owner: ************************************************iFiFiFiFlFiE1F1FiFiFiFlFiFiF1FiF1FlEiFiFiF#iF#if�f-1FiFiFiFiFiF1FiF1F1FiF1FiFiF1FiF1FIFiEiF1FaF iF#iEiF1EN-iPaF1EiFK-iFiFiF1F�FiE IF IE l IdoherebycMiythatI a adand ndestandthe requirements ofCalloriaHeannend SafeyCode Section25505.25533,rd LEGALIZATION: N F E E S U M M A R Y STRUCTURAL SEGMENT: N peel,and that or anyI future building occupant win/wil not(circle one)need to comply with said stale codes and the requirements for <', ,./1i .. Cue* Residential for or BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT i - . 22 . 00 Date: Applicant: '251: S M I P/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty d perjury one d the folovring declarations: PLAN y ❑ Ihave end allmaintain acedud dicaconsenttoself-insure for workers'compensation,asprovidedforbySectof ion3700theLabo ISSUE FEE 1S . 00 Code,frthe perrmanceof wrrwl ekf :d,thispermitisissued. BUILDING—DIV—> PERMIT ISSUE Pi.,ANCHIECK TOTAL PAID DUE ❑ I have and sill maintain workers'compensatbn insurance.es required by Section 3700 of the Labor Code.for the performance of the TOTALS----> 22 . 00 15 . 00 I 0 . 00 37 . 00 37 . 00 . 00 work for whidr this permit is Sued.My workers compensation insurance carrier and policy number are: Carder: �Number: REVENUE DIVISION TOTALS > COLL'ECTED : r 37 . 00 OVER/SHORT: . 00 BLDG PMT PLUMBING ELECTRIC MECHANIC i. FIRE SMIP/TOT GRADING PLAN—CHECK (This section need not be completed I the permt s la one hundred dollars I 0 J r less.) 37 . 00 ❑ I oerliy that in the performance d the work for which this permit is issued,I shall not employ any pereon in any manner SKI es to become abject 10 the waken'compensation laws d California.and agree that i 1 should become®Ales to the workers' 1EHEHEiEHE1EiFHEjFiF)F********iE1FiFiFjF1F*****1FlFiFIF#iFHF1F#iF****lFiF1 *****BF#fFiFiFiEaEHEHEHF**********1FfEiF#IE4F compensation provisions d section 3700 of Na Labor Code,I dial)forthwith comply with those provisions. INDIVIDUAL', FEE B R E A K D O W N Date: Applicant: . Warning:Failure to secure workers'compensation revenges unlawful,and shall subject en employer to criminal Penalties end TYPE QTY D E S C R I P T I O' N - UNIT COST TOTAL COST dull fines up to one hundred thousand dollars(S1040O3),In addition fo the cost of compensation damages as provided len r in e s saadn37osafinmCode, ndaronyaf«a. MEC 1 INST FORC—AIR/GRAN 5FURN < 100 K BTU 9 . 00 9 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a conatndion lending agency for the MEC 1 FACTORY FIREPLACE '' .'' ' •- '' 6 . 50 6 . 50 performance of me work for which this permit is issued(Section 3097,civ.c). MEC 1 INST HOOD W/DUCTS FIREPLACE . BY' MEC .EXHAUST 6 . 50 6 . 50 LENDER'S NAME: LENDER'S ADDRESS: END OF FEES ' I certify that I have read this application end state that the above information is coned.I agree to comply with all city and county or 'urr dron J • / and state laws rafatng to building construction end hereby authorize representatives of this dry to enter upon the above mentioned property Mr inspection purposes. s MIKE TALBERT /- n l Name l` �y(/1�/e'f.� ` '7 wte �y Date: 'p / � l nature W OHAgenUApplicenpn Cantror /L. (5151-46.WP) WhiuArrildirg A Salary:Greer,-Fle:Canary-Appicatt:Pink-Revenue:Goldenrod-Assessor CONSTRUCTION AND PLANNING • POO' "• SPA . APPROVALS Permit# Date Inspector APPROVALS F...mit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. y. 54. Forms 4. Electrical Condult-Undrgrnd. t - 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line& House Connection • - 62. Backwash & Receptor-Final 12. Sewer Cap - 63. Heater & Vent-Final I 13. Roof Drains I 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING• I �' 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning 2 IZ.,S C trt) FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace - b> 2,it APPROVALS.'_ Permit# 21. Ducts, in Structure • 2.:12�6 -/}s _ ' 70. $indergfotn d Hydro 22. Ducts, Ventilating - • 71. Product-Piping OGas OQil 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: 34. Final Heating& Air Conditioning C e 35. Final Gas Pipe-Test 2_/2 `'to r� vtivFr_i- ,L ' 36. Hood or Canopy [ 6 37. Final Factory Fireplace - 4P-L _ -' 11t -_ 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 ADDRESS OF 5ML0(O: 120 23RD ST °NTi C CITY OF COSTA MESA - BUILDING PERMIT . D'"NERs"wE"O°"' VNE DEVELOPMENT / ERM NO: E 075337 "Pm"' 11'048 IRVINE#363 • PERMIT NO: E 075337 PLAN CHECK NO: N GOVT: N SUPP : N NEWPORT BEACH, CA 92660 714-825-0671 APPL.MMUNO ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE PURPOSE: NEW ARCHITECT ORENGNEER: UC.NO.: JOB DESCRIPTION : NEW CONDO 1923 SF DWELLING/ 43OSF GARAGE SQ FT : ARMOR DIGS ADDRESS: WIT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /M-1 CONTRACTORS WE: - CONTRACTORSMMMD COMMENTS : NEW CONDO, RE: #B75324 ADDRESS: UC.NO.: ***********************************************RE***************RE*************** DMT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury than am licensed under provisions of Chapter v SETH ACK S (commenting with Section 7000)d Oblsion 3 d the Business and Professions Code.and my license is in full force and effect. CITYUC.NO.: UC.CLASS: LJC.NO.: EXP: MAIN BUILDING ACCESSORY BUILDING Dale: ContractorFRNT: 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 atfnn under penalty d perjury that I am exempt from the Contractors License Law for the owing reason(Section 7031.5 Goalless and Profession Coda:Any city or county which requires a pensee to construct alter,improve, PARKING REQ: P RO V: PARCEL: 43942102 Z N E: REF NO: mddh,or repair any structure,prior to its issuance,also requires the applicant for such panne to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commenting with Section]000)d Division 3 of the PLANNING NOTES> Business and Professions Code(or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section > 7031.5 by any applicant for apermit sebpcts the applicant toe dW penalty deed more than Ns hundred dollars($500)). ******************************************************************************* ❑ 1.nowner&the properly ormyemployees with warns theleantscompensation,wNdothework,andNestructureuretintended DEVELOPMENT SERVICES R E U I R E M E N T S or offered for sale(Section 7044,Business and Professions Cods:The Contractors License Law doesnappy to an inner of property Q who budds or improves thereon,and who does such work himself or herself or through his or her own employees.provided that such improvements are not Wended or tad for sale.e.however.the building or improvement is sold within one year of completion,the ZONING APPROVED BYDATE: ownerbuilder will have the burden of proving he or she did nal build or improve for the purpose of We). th Pro oessi�on Codde:Thethe omproperty, License Law down not Leafy with a in owner ofo construct the f propertywho builds«9mpprrw«onreonlness end and who BUILDING APPROVED BY : . DATE: contracts for and prajeds with a romrt doe(e)licensed pursuant to the Comrades License Lew). ❑ lam pp \ B.AP.C..orhoramon APPLICATION ISSUED BY: DATE: l( if *cam Data: �m[' `1/J Owner. lE1E iE lE fit iE iE iE*ih iE dE iE if iE lE jf iE lElE iE if 1E*1E 3E*dE IE dE 3f if lE iE*iE 1F3f*3F 1E 1f 3E**1E 1E 1E 3FIE*1E*1E 7f iE lE*if-if iE iE iE 1f*3E 3E* 9E1E 3F fE iE `� LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N 1 do hereby cacti that I aware of and understand the requirements of Catyomia Health and Safety Code Sections 25505,25533,and 25534,and thrlaeny unbuildiagomtent will/will Uinyna(circis enwdDistrict. roroenpty wlthmdeatepednandhe emptrm ts thn BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING 2534,sac at I r ion any hilt re buil ing omthe Ae u y enypneoneneeto c Residential Conwkh said Maleon °duton we exempt from then provisions. PERMIT 72 . 56 Date: Appkant: 50% SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby affirm underpenalty d perjury one d Wowing owwing dedratkns: PLAN CII have and MN maintain scetkatad consent to sell-insure for withers' m oompstl ,a provided for by Sedkn 3700 of the LaborISSUE FEE 15 . 00 Code,for theparfonnanceoftheworkforwiththispermiislnued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Elhrn Ieend will marotainworker:compensation e comninsurance, sSection aperformance d ormana. the TOTALS > 72 . 56 15 . 00 0 . 00 87 . 56 87 . 56 . 00 work for which this permit is issued.My workers'compensation insurance canter and policy number are: Canes: REVENUE DIVISION TOTALS--> COLLECTED : 87 . 56 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (This section need not be completed y the prate is for one hundred dalan(SIM or keel 87 . 56 ❑ I certify that In the performance of the work for with this permit is issued,I shall not employ any person in any manner so as to become subject to the workers'compensation laws of Cddomic and agree the R I should become.ubjed to the workers' ******************************************************4************-************ compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. INDIVIDUAL F E E BREAKDOWN Dale: Applicant: Warning:Pollute to secure workers'conpsnsadon coverage Is unlawful,and shall subject an employer to asinine!penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil lines up to one htndr.d thousand dollars(3IO4000A In addition to the coal of conpenastion,damages as provided for In Section 3706 of the Labor Co*interest and etfomey a less. CONSTRUCTION LENDING AGENCY: Ihroby strum underELE 1. FIXTURES LIGHTING 1 ST 20 EA. . 75 . 75 penalty d perjury that thee is a construction lending agency for the ELE 1 RECEPT/OOTLET 1 ST 20 EA. . 75 . 75 performance of the work for which the permitis Isued(Sedkn 3ow,CW.C). ELE 1 RECEPT/SWITCH 1 ST 20 EA. . 75 . 75 LENDER'S ELE 1 RES APPLIANCE NOT OVER 1 . 0 HP 3 . 00 3 . 00 LENDER'S'SADDRESS: ELE 1923 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT . 03 67 . 31 f I certify that I have read this application and date that the shove Information is correct.l agree to comply with all city and county ordinances and elate laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property END OF FEES for inspection purposes. MIKE TALBERT `v NameQOats: Th� til G;,1.'; "',-r . . r..] Y __ - -Sg limed en✓AI'pltenl•Camreda DA f r;' 1 - • (5151i6.WP) White-Building A Safety:Green-Ale Canary-Appsunt;Pink-Revenue:Goldenrod-Assessor iw— —ut.em CONSTRUCTION AND PLANNING PO.,� & 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 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, 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 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 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 I80. FOOD CERTIFICATE ISSUED • 33. Final Electric 06-6W Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backf low 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 -7V • ;v ,C1J'% CITY OF COSTA MESA BUILDING DIVISION F � PERMIT NUMBER l DEVELOPMENT SERVICES DEPARTMENT PERMIT J ,so db P05-00715 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 • PLUMBING PERMIT Job Address: 120 23RD ST Status: ISSUED Rk i Suite Nossed: 09/14/2005 Issued: 09/142005 Vicinity: Parcel Nunmber: 93794096 Applicant: NOCK, CANDY ISSUED BY: Address: 11612 KNOTT ST SUITE 217 Phone: (714)895-1246 GARDEN GROVE,CA Zip: 92841 Owner: BALDWIN, WILLIAM C Address 120 E 23RD ST Phone: COSTA MESA,CA Zip: 92627-1702 Contractor: NOCK PLUMBING Address: 11612 KNOTT ST SUITE 217 Phone: (714)895-1246 GARDEN GROVE,CA Zip: 92841 License: 707775 SCOPE OF PERMIT CHANGE OUT WATER HEATER FEE SUMMARY AMT QTY AMT QTY AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P-Trap $0.00 0 Trap Primer $0.00 0 Bathtub $0.00 0 Pressure Regulator $0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr Bkflow(1-4) $0.00 0 Connect(Ice,Soda,etc) $0.00 0 Receptors $0.00 0 Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 Septic Tank $0.00 0 Wash Basin $0.00 0 Dishwasher $0.00 0 Sewer Cap for Demo $0.00 0 Wash Basin Set $0.00 0 Drain,Floor $0.00 0 Sewer Connect $0.00 0 Waste and Vent System $0.00 0 Drain,Rainwater $0.00 0 Sewer Private Line $0.00 0 Water Closet(Toilet) $0.00 0 Drain,Roof $0.00 0 Shower $0.00 0 Water Heater/vent $12.30 1 Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink,Floor $0.00 0 Water Service $0.00 0 Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00 0 . Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 • PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $35.80 COMMENTS/SPECIAL CONDITIONS • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or If work Is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all . required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 24443-66(WOO) w Y _ \( DECLARATIONS WORKERS'COMPENSATION DECLARATION: • I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit 14 issued. I have and will maintain rKers'compensation I rance,as inquired by section 3700 of the Labor Code,for the performance of the work for which this permit Is issued. My n a 1 §y[@rlce c r er I numbers: ,yf� \ Center: Kart: ly Y `a mb PolicyNumber. ��(.�J �Ur' (This section n nor be comp edit a permit is vele et a hu red dollars(3100)or Ws.) ❑ 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'compensation provisions of S tloppp 3780 of the Labor Code,I shall forthwith comply with these Provisi.. // / /(/ Applicant Signa =�.�-- — �� Date: (_�/T / Uiv(W{� WARNING:FAILURE TO SECURE ERS'COMPENSATION COVERAG IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES D CIVIL FINES UP TO ONE HUNDRED THOI SAND DOLLARS(SICOCCO),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION S1060F THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: _ '`?I LClti E4, I hereby affirm that I am lic9tl pvi cqs of Chapter 9(commencing with Section 7000)of Division 3 of the Businessd�P� essions Code,and my license 15 in full force and effect.LIG.lf Class ft O Contractor's Slgnatur . Date: V• C U"r) l CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to Its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031,5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ' ❑ I,as owner of the property,em EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(5) license pursuant to the Contractors License Laws.). ❑ I em exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,Le.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,faisework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2.Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number; • HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one lime during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes ❑No --- (Section (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons. or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 if an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application a ermit for such construction or modification from the South Coast Air Duality Management District or from any other air pollution control district or agency? cti Yes I No (Section 65650.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes ❑No (If yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). Quality Management __.....w._..___....t..._.._._._... s.. 7 if a permit from the South Coast s ced DistrictHor other airpollution ooncontrol district3 or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes-,attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Si. =tura Of L:.�. er(s) /iDa/e, --- And/Or Authorized Applicant Da ;ODE I INSPECTIONTTPt PAIS MINA CODE, jNSPECRON Mt PATE MALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1268 Pool Spa Final 208 Final Plumbing / AP Y 200 Final Re-Roof 210 Final Electrical 1 • . 'P/ 201 Final Block/Retaining Wail 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy ADDRESS OFBUILPNG: 120 23RD ST UM!: E-F CITY OF COSTA MESA - BUILDING PERMIT 04NER9NAMEIRMIOWN VNE DEVELOPMENT PERM NO: F 076376 ADDRESS: 1048 IRVINE BL #363 N.B . 92660 PERMIT NO: F 076376 PLAN CHECK NO: 00331-96 L GOVT: N SUPP : N 825-0671 APPL.MAJLINC ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: FIR PURPOSE: 0TH ARCHITECT OR ENfIIEBB: RODGERS CONSTRUCTION unto' C-16 JOB DESCRIPTION : OVERHEAD FIRE SPRINKLERS FOR UNITS E-F SQ FT: ARCH.ORENG.'S ADDRESS: 155 ENTERPRISE CT MMT: CORONA CA 91720 CLAIM VALUE: 2, 500 . 00 CALC-VALUE: GROUP OCC : R-3 /U-1 CONTRACTOR'SNAME: FIRE SPRINKLER SYSTEMS ( 714 ) 688-0336 • CCNTRACTDRSMMUNG 9333 DOUGLAS DR COMMENTS: BUILDING B/ 2 CONDO UNITS /FIRE SPRINKLER SYSTEM ADDRESS: RIVERSIDE CA uC.NO.: 684600 ****it-*+t**HtHE**iti[ -K-*x-iH*Rt*****ic-**tt-**+E*****it****RtHH************SESE -***RE*a(-***iH*SHat-*)E+A+EM 92503 UMT: Z ON ING REQUIR EMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 S E T B ACK S (commencing with Section 7000)of Division 3 of the Business and Professions Code.and my license is in full force and ellen. CITY LIC.NO.: LIC.CLASS: C16 LIC.NO.: 684600 EXP: MAIN BUILDING ACCESSORY BUILDING X Dae L/4111(0 Contractorp� /(� FRNT: LEFT: FT IN REAR: IN RGHT: FT IN FRNT: FT IN REAR: FT IN FT FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penalty d perjury that I ern exempt front the Contract License Law for the following reason(Section 7031.5 Sunless and Professions Code:Any city Or county which requires a permit to construct alter,improve, PARKING REQ: PROV: PARCEL: 43942102 Z N E: REF NO: 'moleh,or repel any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he or she icensed pursuant to the provisions of the Contractors License Law[Chapter 9(commencing with Section 7000)d DN'sion 3 d the PLANNING NOTES> msiness and Professions Code]or that he or she is exempt therefrom and the basie for the alleged exemption.Any violation of Section > 7031.5 by any applicant lore permit subjects the applicant foe civil penally of not more than five hundred dollars 195001). ******************************************************************************* ❑ Of offered owner see((SecPotion 7044 Business anvia rofes.ions Codesole compensation,mocenssee law does not apply to a OwnerofDEVEL OPMENT SERVICES REQUIREMENTS who buids or improves thereon,and who does such work himself or herself or through he or her own employees.provided that such improvements are not intended a offered for sale.H.however.the building o improvement issold within one year of completion, ZONING APPROVED BY wner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). DATE: o I.as owner of the property.are exclusiveN contracting with licensed contractors to construct the project(Section7044.Business and BUILDING APPROVED BY DATE: Professions Code:The Contractors License Law does not apply to an owner of properly who builds or improvesthereon nwho _ contracts for such pmpcts with a°nireclor(e)licensed pursuant to the Contractors License Law). ! Date: Owner:❑ I am exempt under Section: B.8P.C.for this reason: APPLICATION ISSUED BY: DATE: *********************************************** w.�._. ********** ** I do hereby certify that lam aware of and understand the requirements of Caliente Health and Safely Code Sections 25505,25533,and LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N 25534.and that I or any future building occupant will/wil not(arch one)need to comply with said mate code and the requirements for a pmmf for construction or modification from the Ai ue"6a ananagement Dicoria.Residential construction applications are exempt from those BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 54 . 00 Date: Applicant: 65$ SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby eNm runder penalty d perjury one d the follodeclarations:wingdeclarations: PLAN 35 10 o I have and will coalmen a certificate of consent to self-insure for workers compensation,as provided for by Section 3700 o the Labor ISSUE NGE Code,for the pedamanceduework fowhnnu which this BUILDING DIV > PERMIT ISSUE PLAN CHECK TOTAL PAID DUE O Ihave end witmaintain workers'compensation insurance,asrequired byRadial 3700of the Labor Code,for the performance ofthe TOTALS----> 54 00 0 . 00 35 . 10 89 . 10 89 10 00 A work for which this permit is issued.My workers'compensation insurance carder and policy number are: Carrier FRFMONT EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 54 . 00 OVER/SHORT: . 00 Policy Number. WP SSOSR19(17 11 /08 /96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK .his section need not be completed(the permit is for one hundred dollars($100)or less.) 54 .00 ❑ I redly 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 bosoms subject to the workers'compensation lawn o California. and agree that H w 1 should become subjed to the wade' ******************************************************************************* compensation provisions of Section 3700 of the Labor Code,I shall f hwith on ply pions. < Dale: al Cl /9(O Applicant: S/tiWitiip INDIVIDUAL F E E BREAKDOWN Warning:Failure to secure workers'compensation coverage le unlawful,and shall subject an employer to criminal ponaNes and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil floes up to one hundred thousand dollars($1040001 in add/tion to the cosi of rompensaf/on,damages as provided tar In Section 3706 of the Labor Cods,Interest,and adomsyiises. FIR 54 FIRE EQUIP FEE ( FROM BLDG VAL TABLE) 1 . 00 5.4 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES performance of the work for which the permit is issued(Section 3097.Ce.C). LENDER'S NAME: : to LENDERS ADDRESS: - r I certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances - —1 J and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned property _ J. . for inspection purposes. C, LINDA DEVRIEZE iNoma - J _i j l jsn0. cared Own .gent/Applicenl/Cont Date: .;1- (5151-46.WP) White-Building&Safely;Green-Fle;Canary-AppicanL Pink-Revenue;Goldenrod-Assessor CONSTRUCTION AND PLANNING POO. 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 ConduitUtility-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 Undrgtnd.,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 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 /4146 yt 22. Ducts, Ventilating - 71. Product Piping 0 Gas 0 Oil 4/4 1/� 23. Gas Pipe-Rough & Test 72. Underground Flush 7/1//q‘ 4- 24. Roof Framing , 73: Undergrnd.Storage Tank 0 Gas 0 Oil �/ 25. Roof Sheathing 74. Overhead Hydro.. 2113/4t Oij- 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe '- 28. Lathing&Siding 77. FIXED SYSTEM FINAL • 44(46 Off 29. Insulation 78. FIRE PREV. FINAL FfL6/4 DIF 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31- Plaster Browri:Coat - • 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test • 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing • 39. Water Service-Final • 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43: Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation • 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING . 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY • No Date ADDRESS CPBMLGNO: 120 23RD ST fMT: A—D CITY OF COSTA MESA — BUILDING PERMIT ONMEWSNAME'FKNOWN: VNE DEVELOPMENT PERM NO: F 076375 ADDRESS: 1048 IRVINE BL #363 N.E . 92660 PERMIT NO: F 076375 PLAN CHECK NO: 00330-96 L GOVT: N SUPP : N 825-0671 APPL.MA1UNG ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: FIR PURPOSE: 0TH ARCHITECT OR ENGINEER: RODGERS CONSTRUCTION Llc.xo.: C-16 JOB DESCRIPTION : OVERHEAD FIRE SPRINKLERS FOR UNITS A—D SQ FT: ARCH.OR ENG.'S ADDRESS: 155 ENTERPRISE CT WIT: CORONA CA 91720 CLAIM VALUE: 5, 000 . 00 CALC—VALUE: GROUP OCC: R-3 /U-1 CCNTRACTOWSNAME: FIRE SPRINKLER SYSTEMS ( 714 ) 688-0336 CONTBACTOWS MAILING 9333 DOUGLAS DR COMMENTS: BUILDING A 4 CONDO UNITS /FIRE SPRINKLER SYSTEM ADDRESS RIVERSIDE CA uc.ND.: 684600 **********************REN•*x-****RP********RE*******+A*********iE+tit******M*+E*RERERr*IE** -* 92503 WIT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby Aim under penely of perjury Mall em licensed under poems of Chapter 9 SETBACKS (commencing with Section 7000)of Division 3 d the Business end Professions Code.end my'ipnse is in full force and effect. CITY LIC.NO.: LIC.CIASS: C16 UC.NO.: 684600 EXP: MAIN BUILDING ACCESSORY BUILDING 5 Dale: lQ��l �� iLj)P FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN 'x�q /q�° °°°°°a' i � LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penaly of perjury that I am exempt from the Contractors License Law for the following reason(Section 7031.5 Busness and Professions Code.Any city a county which requires a permit to construct,alter.improve, PARKING REQ: PRO V: PARCEL: 43942102 Z N E: REF NO: 'coolish,or repair any structure.price to its issuance.also requires the applicant to t*such pento fib a signed statement IMI he or she sensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES> airless and Professions Code(or that he or she is exempt therefrom and the basis for We alleged exemption.My violation of Section > 7031.5 by any applicant lore perm subjects the Bpplipanl toacivil penally d of more than live hundred dollars 1550011. ******************************************************************************* El I.as owner of the property or my employees with wages as their sole compensation,will do the work.and the*immure is not intended DEVELOPMENT V E L O P M E N T S E R V I C E S R E U I R E M E N T S or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does nth apply b an owner of property Q who Wilds or improves thereon.and who does such work himself or herself or a or through hisher own employees.provided that such m improveents are not intended or offered(or sale.It.however,the bolding or improvement is sold within err year of completion,the ZONING APPROVED BY owerwiu n � er ora hap the burd.n of proving he or she did not improve tor or for thpayee'sa sale). DATE: ❑ I,as owner of the progeny.ern exdume'y contracting with licensed contractors to construct IM proje"(Section 7044,Business and Professions Cede:The Centramas License Law does not apply to en owner of property who butler or bsprov»thereon and wino BUILDING APPROVED BY : DATE: contracts for axh projects with a contractors)licensed pursuant to the Contractors License Lew). (� ❑ I am exempt under Section: B.ARC..for this reason: APPLICATION ISSUED BY: ` / DATE i2 '93,1/ Owner: ********************** e.n.-4,-- • • "*********'*.�***if iF** Date: LEGALIZATION: N F E E S U M M A,R Y STRUCTURAL SEGMENT:N I do hereby candy that I am aware of and understand the requirements of California Health and Safety Cade Sections 25505,25533.and 25534.»e lnallaany nnare dScetingoomtem.sun/wBMa(amleone)needleidrfScnesido apps srsthe emptfromv,fa BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING 2534.eIce consvWanamoeRreliin oclhent otepeme o eDistrict nee to corn with construction stale sanareerempemeBuse provisions. PERMIT 72 . 00 Date: Applicant: 65% SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penally of perjury one of the(dioxin('dedaratcru: PLAN 46 . 80 ❑ I have and wil maintaina certificate of consent tosefinsure for workers'compensation,esproided for by Section 3700 of the Labor ISSUE FEE Code,for the performance of the work for whchthipenlisissued. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE oIhave end wemantanworken'compensation insurance,asrequired bySecton3700othe Labor Code for the performance ofthe TOTALS----> 72 . 00 0 . 00 46 . 80 118 . 80 118 . 80 . 00 work for which this permit is issued.My workers compensation insurance earner and Policy number are: Carrier: FRPMCMIT EXPIRES REVENUE DIVISION TOTALS--> COLLECTED : 72 . 00 OVER/SHORT: . 00 Policy Number: 4PQ5cg581907 11 /08/96 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK a section need no,he completed d the permit is for one hundred dollars/51001 or less.) 72 .00 ❑ I cenh that in the performance of the work for which this permit is issued.I shallnot employ any person in any manner so as to become subject to the workers'compensation laws of Caldaaa.and agree that E I should become subject to the workers' ******************************************************************************* compensationprove' el Section 370oaIM Labor Code, nwnn INDIVIDUAL F E E BR EAK D OW N . Dale: X./el 0 Applicant �• Warning:Failure to secure workers'compensation coverage Is unlawful,and shall subject an employer to cHinel penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil Ones up to one hundred thousand dollars(5104000),In add/don to the cost of compensation damages as provided ler In s»dm37osolheL.borcoda,Inl..,c.ne.royrn. ,/», FIR 72 FIRE EQUIP FEE ( FROM BLDG VAL TABLE) 1 . 00 72 . 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES performance of the work for which this pelma is issued(Section 3097,Cb.C). . LENDER'S NAME: p• LENDER'S ADDRESS: I certify that I have read the application end slate that the above information is coned.I agree to comply with all city end county ordinances -'s `'_ - and stale laws regalia to building construction and hereby authorize representatives of this city to enter upon the above-mentionedproperly / for inspurposes.pection vposes. ^ _ r ) / LINDA DEVRIEZE . 3 Pont J �,Signature of-24eAdAgenVApph ndCanlrema Date: 9/9 /56 . i (5151.48 WP) White-Building&Safety:Green-Ale:Canary-Appfunt;Pink-Revenue;Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL PA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings - 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 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 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 f1(,/r{6 0 (f 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof.Sheathing - • 74. Overhead Hydro '2i 1 3(4t 04- . 26. 4- 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77, FIXED SYSTEM FINAL . 1646 44- 29. Insulation 78.- FIRE PREY. FINAL Sl/16 4b I)11- 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34:Final Heating& Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final • - 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System - • 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date \</A- •ADOREss r*SwLmYn: 120 23RD ST WIT: CITY OF COSTA MESA — BUILDING PERMIT wMERSNAMEI:: : ROBERTSON GENE H PERM NO: E 074728 0®1Es4 P 0 BOX 1D6 CORONA DEL MAR,CA 92625 PERMIT NO: E 074728 PLAN CHECK NO: N GOVT: N SUPP : Y APPL.MAMUNO ADORES& CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: NEW ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : TEMPORARY POWER POLE SQ FT : ARCH.OR ENG.'S ADDRESS: WIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 CONTRACTORS NAME: VNE DEVELOPMENT INC ( 714 ) 548-3072 CONTRACTORSMUM1038 IRVINE BL **{ME.*{E(.{N(.iTE1S(�t*iN[Oft1SE***iP1TEiUhiRE+AE1Lk�riPkiEEiRtlMkiIE1TF�tOiNk****kikiYt+EE1Tk�EitiRt*4***ki3[+9ii2fi*ElffPk+EitlE** Eft?Itit+r�tiE♦E�tit�tk+tl *** ADDRESS: NEWPORT BEACH CA uc.ND.: 658963 92660 on 363 2 ONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby elfrm under Panay of perjury that I am(tensed under praa.wh or Chapter 9 SETBACKS (commenting with Section 7000)of Division 3 d the Business end Pmfsssons Code.and my license S in full faro end effect. CITY LIC.NO.:06758 LC.CLASS: B uC.NO.: 65 963c-EXP: 12/95 MAIN BUILDING ACCESSORY BUILDING Nur ff 10 Z.3j Contractor: FRNT: LEFT: FT FT IN REAR: IN RGHT: FT FT IN IN FRNT: LEFT: FT FT IN REAR: IN RGHT: FT FT IN IN NER BUILDER DECLARA ION:I hereby arm under penaly of perjury that am exempt from the Contractors license Law for the .Awing reason(Section 7031.5 Busiest end Professions Code:Any ay or county whim requires a permit m construct.alter,improve, PARKING REp PROV; PARCEL: 43942102 Z NE: REF NO: demolish,or repair any structure,prior to its issuance.also requires the applicant for such permit to No a signed statement that he or she PLANNING NOTES> is licensed puhwant to the provisions of the Contractors License Law(Chapter 9(commenting with Section 7000)d Diatom 3 of the Business and Professions Code]or that he a the is exempt therefrom and the baso for the alleged exemption.Any violation d Section > 7031.5 by any applicant for a permit tubeds the applicant toacivil penalty of not more than free hundred dolarsj$SOOB. ******************************************************************************* ❑ I,as owner of the propanyormyemployees with wagesas their sole compensation,will do the work,and the structure inot intended DEVELOPMENT S 'E .R V I C ES REQUIREMENTS a offered for sale(`^^ton 7044.Business and Professions Code:The Contractors License Law does not apply loan owner of property who holds or improves thereon,and who does such work himself or herself s or through his or her own employees,provided that such improvements ere rot intended or offered tor sal.If.however,the building or improvement is sold within we year of completion,the ZONING APPROVED BYDATE: • owner.builder will have the burden of proving he or she did not build or improve for the purpose of sale). ❑ I,as owner of the propend.em exclusively contracog with licensed contractors to construct the project(Section 7044.Business and BUILDING APPROVED BY : DATE: Professed Code:The Contractors License Law does not apply to an owner of Properly who builds or improves thereon and who comets for soh projects with a contractor-CI)licensed pursuant to the Contractors License Law). • ❑ Iamexempt under Secton. B.AP.C.,lathis reason: APPLICATION ISSUED BY: DATE: ( 23****/** D01e: Owner LEGALIZATION:N F E' E," SUMMARY STRUCTURAL SEGMENT:N I do hereby certify that I em aware of end understand the requirements of Cdlomia Health and Safety Code Section 25505,25533,and 2553d.and than aany hnhae building occupant will ywR not(circle ons)rhewmmartpy with said stale codes and the requirements ser BLDG PMT PLUMBING- ELECTRIC MECHANIC FIRE SMIP/RES GRADING e permit laccnstroction a ore modification from the Ar�wil enerepement Distrie.Residential mrMaidonte um°n exempt from these provisions. PERMIT 15.0 0 Date: Applicant: 5()% SMIP/NON—RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the berating dedaratcMa: ISSUE FEE 4 . 50 ❑ I have and MP maintain a certificate of consent to selltinsure for workers'compensation.es provided fix by Radial 3700 of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code,ler the pedomonce d the%O A for which the permit is issued. 1 Ihave and Mlmaitanworkers'ccenpeeta nsnhwm urance, mquiredbySection3700oftheLaborCode.fortheperformanceofthe TOTALS-- —> 15 .00 4 , 50 0 .00 19 , 50 19 . 50 00 work for whim tha permit is issued.My workers'compensation insurance cannier and poby number ere: Carder: REVENUE DIVISION TOTALS--> COLLECTED: 19. 50 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need not becompleted y the Adana is ler she hundred dollars(SI0NJ or len.) 19 . 50 IDI only that in the performance of the work for which this permit S is ued,I shot not employ any person in any manner so as to becomethelawsshouldCalifornia. wedars' ******************************************************************************* compensation provisions dion MO of the Labor Code,I shall fonhwmh wnc :wcsmenct " I 0`2'3 Applicant: ° w INDIVIDUAL F E E BREAKDOWN Dae'. /['/ — Wening:Fagunro‘cure p Onworkeri compensation coverage Is unlawful,end shall aubJe TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST chill fines up to ons hundred thousand dollars(5104000),In addllsn to the cost of compensation damage as provided ler/rt Section 9706 a/lhe Luba Code IMsns(utlattoruy'i less. ELE 1 TEMP SERV PWR POLE W/OUTLETS EA. 15 .00 15 .00 CONSTRUCTION LENDING AGENCY: I hereby drum under paty ay that there is a onstaidan lending agency for Ma END OF FEES 1 nd per performance d the work fa which this perma is issued(Sedon 3097,Cir.C). LENDER'S NAME: LENDER'S ADDRESS: I candy that I have read this application end state that the above information is correct.I agree to comply with all thy and Monty ordinances and slate laws relating to building construction and hereby authorize representatives of this city t0 enter upon the eb0ve'mentisned IMoperly farimpaaAnpumMle/))aMIKE TALBERT f — _ til I/_ Prim Name oats._ 1"�>'?i1 / v , ;2-157657J Ts]:�' ?Y'.]r I __ __ __ mjG.: IQ, .+ .l _ 1212.1 CONSTRUCTION AND PLANNINL L & SPA APPROVALS Permit Date Inspector,PPROVALS Permit Date Inspecto 1. Temporary Electrical Service or Pole rut -5 r r.. 52. Pool & Equipment Location - 2. Soil Pipe•Undrgrnd. T 53. Steel Reinforcement c3- Electrical Condt1k43ta1ity-Undrgrnd. 54. Forms z 744.xklectricaI Gond uit UP(irgrnd. 55. Electrical Bonding - :a5.-Steel Reinforcement:,, 56. Rough Plumbing & Pressure Test t4 ;q1- ectrical UFEc( . 57. APPROVAL TO COVER-GUNITE - C, Lt- °FZootings sm." 58. Electrical Conduit-Undrgrnd. = ',T' ..- 93. Foundation ES F.1- ` 59. Gas Pipe, O Undrgrnd.,Test `9. Water Pipe-Undcgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System r•: 61. APPROVAL TO DECK 11. PGoperty Sewer Line.& House�Connection 62. Backwash & Receptor•Fingl J. 12. Sewer Cap m - , 63. Heater & Vent-Final r 13. Roof Drains -. 64. Plumbing System - Final t 14. Rough Plumbing-. c7 65. Electrical-Final 15. Rough ElectricarCoFiduit a' 66. Solar System-Final 16. Rough Electric Wiring",„ 67. Fencing & Access Approval I JI 17, Rough Wiring Sign U -- 68. APPROVED FOR PLASTERING • 1 18. Rough ElectriraVIT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning, t., x n o FI.$EDFiPT.,AEQUIF EMENT _ . ...1,-.:7,73, rt . • •K gy e r it 20. Rou i FtoriFir_polace I G ; r, S ,.. c-,* APPlikOV�gr HFPe,+-rmit# - 21. Du in'Struktur ■ � S C CI T. '"' '" 70. rjlndergiPd Ft�ro 22. DucjS. Veritil3tingn1 -r t7 <4 13 F x 71. Produ&Piping_t3 teas l Oil a t 23. Ges Pi:pe+Roug2t& Test al' 'i: m c u, 2s..,*' "gro 72. Underrvid FV-it 3 -' 24. Rnof'Fr in9 c•;', * '. a' • • 73z Undergrrid.StoracTanki.0 Gas ❑Oil 25. Roof-Sheathing I- K N.• v* -. C •L. 74? Orr 4. verhead Hydra, - 26. Z8a'rlCeiling (Structrural) & ft�o� oat * '3y r/>: 7c,, Dry Chemical F,p w c'ti'7 27. Frameartd Flashirw.y `.N * 1' y o• 76. Dry StarElipe HH i o tv Q- rT '28. Lathing&Siding St P-2-4,-.11-7-P-2-4,-.11-7- C a s - ••t (.'t- 7 FIXED s$�€TFttti1 INAh ' C` : 29. Insulatiod: "' v S~• •• x ' It Fedi AL .: ^ ` '� G�- t 1 i ti ti r_. 30. Drywall Nailing E,, , , M i- s IgALTRD,EPt ECUIFLEMENT 31. Plaster Bc0wn"Coa -'4 S : '7'"71 * az,409. FINAL 134SPEC1tN ' _ _' 32. Elecirira ower Meter Foal / y'` 5 AIS FOOD CERTIF •4?E ItSS1WE0•• A _ 33. Einat-Eleeiric> R'r ri 9 9� e // NQ es: a•.c '-m -1 _m r E�3 - u. a: •r. •s x s rs: 34. FinafiHeaijng$ AijiCQQditionirtF z1 * -- , iF t' tiGG v i !-< O 35. t.FinaIGaiPiptes-t-* O-, ...o o.-- + - _ * t m . ,.c, ,r 36. l3ootor Canopy '-"7 ' p--:.• .a . :.1 y e^. no n ms _ :n -o *_ v: -ten • 2.37. FinaI.Factory Fireplace ? -F• <• r .. * ^-!u -it: 'C .. ., rA + r4 d •r t _38. Finarflumbing ,;.;_w, to ' S -i " CO T O k r. Q T. s J I P. "39. Water"Service-Final' a k x c * n ... n -. * m C 140. Gas Service-Final a," 1'1 'CtT''T. S .; e• 04 rU:� 41. Solar Domestic-Fin`ar _ - .. r 4 to hom 4 r L, - i.' ric- 42. Backflow Preventer • s- - '' i •4 C. i • ` C' 43. Backflow Irrigation . •i, t o t 1 1 - r • _ 7:'r: .y .t. . p' 3 C. 'a. Landscap Irr gation*System tic, x t't x Er, O 9, o ' . ,; co u ^C: a s v _ 45. Sound Attenpation M al m mit . 1 0 0 < • i-•'� 46. Handicap'Regaiatiorti 0 r r •: s. S -1.7.- S .. x t m 0 :J 47. FINA1. STRUCTURE & BUILDING e. F- I tt a. ry 0 48. FINAL PLANNING.' I r-' * cu I I* at * .. ,. 7 t. 0 (v S r C. . kiecfcfe Releae�e to Edison ! * e, - - 50. Gas �elease to'Southern CaliforniaGas Co t �7 '- H C ' On y :5 • 51. CER*IFICATE OF OCCUPANCY r • I. ;'':, No. Date ADDRESS OF BUILDING: 120 23RD ST WIT: ., CITY OF COSTA MESA — BUILDING PERMIT OWNERS NONE IF KNOWN: ROBERTSON GENE H PERM NO: E 073924 ADDRESS: P 0 BOX 156 .s CORONA DEL MAR, CA 92625 PERMIT NO: E 073924 PLAN CHECK NO: N GOVT: N SUPP : N APPL.MMUNG ADDRESS: CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: NEW ARCHITECT OR ENGINEER: (IC.NO.: JOB DESCRIPTION : TEMPORARY POWER POLE SQ FT: ARCH.OR ENG.'S ADDRESS: UMT: CLAIM VALUE: CALC—VALUE: GROUP OCC : R-3 /M-1 COIIIRACTIXPSNAME VNE DEVELOPMENT INC ( 714 ) 548-3072 CONTRACTORS MMUNG 1038 IRVINE BL COMMENTS : NO STRUCTURAL PERMIT ON FILE YET. ADDRESS: NEWPORT BEACH CA ucNo_ 658963 *+E+ex+eiEx-ieSt*sE********+t******+East**** -ii- -*at*at****SE**** ********************+e**SESi-+i*** 92660 WIT: 363 Z ONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby Slim under penaly of perjury that I am licensed under provisions of Chanter 9 SETBACK S (commencing with Section]000)of Division 3 d the Business and Professions Code.and my license s in lull lace end effect. CITY UC.No.: 063758 uc.cuss: B UC.NO.: 658963 EXP: 12/95 MAIN BUILDING ACCESSORY BUILDING FRNT:' FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Dale: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penny of perjury that I am exempt from the Contractors License Law for the following res (Section7031.5Buv)esa end Professions Code:Any cry or county which requires apemia to construct.aler.improe. PARKING REQ: PROV: PARCEL : 43942102 ZNE: REF NO: demolish,or repel any structure,prior to as issuance,also requires the applicant for such permit to fib a signed statement that he or she PLANNING NOTES> S licensed pursuant to the provisions of the Contractors License Law)Chanter 9(commencing with Section]000)of Division 3 of the Business and Professions Code,or that he or she is exempt therefrom end the basis for the alleged exemption.My violation of Section > 031.5 by any applicant for a Deme subjects the applicant to a civil penalty of not more then live hundred dollars l55001). ******************************************************************************* ❑ I.a owner the propenyamyemployees with wages la their solecompee°atbn.will do the*Mgt.and the structure i notimended DEVELOPMENT SERVICES REQUIREMENT S or offered tor sale(Section 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or mproves thereon,end afro does set work himself or Israel or through he or her awn amnia/a Provided Thal each - improvements are riot irsterided croffered lorsale.If.however,the building or improvement is sold within one year d completion,the ZONING APPROVED BY DATE: owner-builder will have the burden of proving he or she did not build or improve for the puryose of sale). `Es. I.essdT the property.ameon Licene Lawd)p with appaet contractors on=OfPro mry t the whobaSjedr koroWes thereon and BUILDING APPROVED BY DATE: Professions Code:The Contractors license does not apply m an owe d property w)ro builder or action 7 thereon and who contracts for sop)projects=II a contractor(s)licensed pursuant to the traders License Law). ' ' ❑ Iemexempt alder B.8 P.C..for this APPLICATION ISSUED BY: ' DATE: i Z3 93" �� ******************************************** * ********** ** i Dale: t`c Owner: LEGALIZATION: N F' E 'E SUMMARY STRUCTURAL SEGMENT:N I do hereby certify Nat I em a d end understand the requirements of Caibomia Health and Safety Code Sections 25505,peens,end 25534.end that I or any future building occupant will/wit not(circle ow)need to oomph,with said rote codes and the requirements tor BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING aaoperamit f'provisions. sctonor modification frmNeear Dwmavid idnmm yManagement DResidentdian&peacetime are exempt from these PERMIT 15 . 00 Done: Applicant: PLAN SMIP/NON—RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby dim under penalty of perjury one of the following dedenat,ne: ISSUE FEE 15 . 00 ❑ Ihave and wIm°inssecendcatedconsent toselinsurepnpd rworkers'cameration,00vided for by Section 3700 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE codef«IM performance ice of the work for which this permiti.issued. TOTALS----> 15 . 00 15 .00 0 . 00 30 . 00 30 . 00 . 00 ❑ I have and MI maintain workers'compensation insurance.as required by Section 3700 d the Labor Code,for the performance of the work for which this permit S issue.My workers'compensation insurance user end policy number are: Carrier: REVENUE DIVISION TOTALS--> COLLECTED : 30. 00 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This section need not be Depleted I the pend s for one hundred defilers al 001 or lase) 30 . 00 I cenN that in the pedomsnce of the work for which this pence is issued.I shall nor employ any person in any manner so as to becane subject to the 'compensation esu of California, agree that i w I should become subject to the kers' ******************************************************************************* conspe F4n�prwnne Section 1700 of the Labor Ce.I shell I with rth those provisions. INDIVIDUAL F E E BREAKDOWN Once: (x(JIsa ?/z3 Applicant: Warning: agretom teWOrkous ndoladententage/aunlawful,and shall ofbleofanemployer bcriminal sssp eremaand TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines up b one hundred thousand dollars(5104000),M addition to gra cost of compensation,damper*as Provided for In Secdon 3706 of the Labor cow,Interest,and etromey'a fess. ELE 1 TEMP SERV PWR POLE W/OUTLETS EA. 15.00 15 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES performance of the work for whir the peon)is Issued(Section 3097,Civ.C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application and date that the above information is correct.I agree to comply with all city and county ordinances end stale laws(Mmi,g to bu0dag con trWbn and hereby atthtrire representatives of this city to enter upon the above-mentioned properly for inspection purposes. MIKE TALBERT J Phot Name 01 0013467-00188967 TOT 30.00 /� Date: 3/73 DATE: 08/23/9. TIitE2 15:51 Si e f OvrterlAwnl/App)unUConnactor 15151'40 WP) Where-Buildeg&Safety:Green-Fle;Canary-Appicant:Pink-Revenue:Goldenrod-Assessor • CONSTRUCTION AND PLANNING A POOL & SPA APP•AOVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location R i 2. Soil Pipe-Undrgrnd. ''� 53. Steel Reinforcement - , • 3. Electrical Condtilt-UThity-Undrgrnd. r-.n 54. Forms 1 -. •4. Electrical Conduit_Uesirgrnd. 55. Electrical Bonding , -5.•Steel Reinforcement.-: _" 56. Rough Plumbing & Pressure Test • 6. Electrical UFER-G7n•d. 57. APPROVAL TO COVER-GUNITE ar . 7. Footings ,-',�n,`-� � 58. Electrical Conduit-Undrgrnd. -8. foundation -=,1 =" 59. Gas Pipe, 0 Undrgrnd.,Test IA -9. Water Pipe-Undrgrnd.e;, -'60. Backwash Lines, P-Trap, 0 Undrgrnd. c s; i 10. Structural Floor System .73 61. APPROVAL TO DECK • 11. Property Sewer Line& House-Connection r `T 62. Backwash & Receptor-Final 12. Sewer Cap .n' � 63. Heater & Vent-Final f j 13, Roof Drains 64. Plumbing System - Final 14. Rough Plumbing.' i..ri 65. Electrical-Final 15. Rough Electrica��Co duit '" - 66. Solar System-Final 16. Rough Electric Wines;,; ,_, 67. Fencing & Access Approval - F .: 17. Rough Wiring Shit +• J 68. APPROVED FOR PLASTERING 18. Rough Electrica7;T Bar Ceiling • 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning F,1.RE.PLPT,-REQUIREMENT -. r: . . , i. .-, '-r G• r.; to c^,`: '�' T ... . 20. Rough Faiatorii Fireplace '; `"ty •` O = ••;;', Lj APPkOVAVO7 Permit # ,cc'' z l•<7 . 21. bum; ' • crr •• - 70.c_Jndergrqund Hydro 22. Ducts; Vegtil : t't .' :•: ,` t ` t in 4• C7 J `' 71. Prodtteliping 6-Gas ❑Oil 23. Gas Pipe.Rough &'Test • �,_ -- - - - 72. Undergrbligd Flush s r • , 24. Root Framing `1:4 ^,:y > Z. 741 Undergrnd.Storage Tank 0 Gas 0 Oil . . . ^d tic.. it h. - ; 25. Roof Sheathing - 74. Overhead Hydro 26. T-Bac Ceiling IStructUrall & M6, oat ',::` cos r tri" 75y Dry Chemical • 27. Frame and Flashing; ;�".x to >: tx:p 76. Dry StaIpe ' 28. Lathing 6Siding .`C '- ' N Ct ',4 :-.7: •' •• ••t 7F FIXED;SgSTEMFINAL -, . .. .. - •-- u. - t 1;, J 29. Insulation. err::: •• i c i I 7 FIRE PREV. FINAL of 30. Drywall Nailing _w .-i ct ., 'al-SALIN DEPT. REQUIREMENT • _ 31. Plaster Browrrtoaa. ` " 79. FINAL INSPECTION 32. Electrical Power Meter-Final # te ° CERTIFICATE ISSUED 33. Final Electric s: - .. 34. Final Heating& Air Conditioning 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 - 41. Solar Domestic-Final - 42. Backflow Preventer 43. Backflow Irrigation •• I 44. Landscape Irrigation System • - . 45. Sound Attenuation . 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING • - 48. FINAL PLANNING - - _ • 49. Electric Release to Edison ,t; .. . 50. Gas Release to Southern California Gas Co t • . 51. CERTIFICATE OF OCCUPANCY No. Date am ADDRESSOFBMLomO: 120 23RD ST DMT' CITY OF COSTA MESA — BUILDING PERMIT ONNERSNAAIEIFCIOym:VNE DEVELOPMENT PERM NO: E 077553 ADORE53: 1048 IRVINE BL #363 N.B . 92660 PERMIT NO: E 077553 PLAN CHECK NO: N GOVT: N SUPP : N 825-0671 MIL.WRING ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: OTH ARCHITECT OREt lETA: UC.N0.: JOB DESCRIPTION : SERIVCE FOR 6 CONDO UNITS IRRIGATION SYS SQ FT: MICR OR ENG.'S ADDRESS: IlMT: CLAIM VALUE: CALC—VALUE: GROUP OCC : R-3 /U-1 CONTRACTORSNAME: CONTRACTOR'SMMLDIO COMMENTS: SERVICE FOR DEVELOPMENT IRRIGATION SYSTEM ADDRESS: 11G N0. *♦EIEKIEiEiEd *********iEIEiEiE********iE*****iErEiE*****************iE****************iEiEyE1E*** LIMY ZONING REQUIREMENTS UCENS ED CONTRACTORS DECLARATION:I hereby alum under penalty of perjury that I am licensed under provisions of Chapter 9 SETBACK S (commencing with Section 7000)d Division 3 of the Business and Professions Code,and my license bin full tome and Sled. CITY UC.NO.:063758 UC.CLASS: UC.NO.: 58963 EXP: 12/96 MAIN BUILDING ACCESSORY BUILDING r FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Date: -9G Contractor: �C/ G� LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law foe the fogowiig reason(Sedion7631.5 Business end Professions Code:Any city or county whichreeairem a Penna to conswcLeler,improve. PARKING REQ: PROV: PARCEL: 43942102 ZNE: REF NO: demolish,or rape/any abucture,prier toes issuance.also requires the applicant for such pennS to Tib a signed statement that he or she v Boned pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the PLANNING NOTES> nines end Professions Coder or that 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 penalty of not more than five hundred dollars$5001). iE iE iE dE rE dE iE iE dE dE*iE iE**iE iE iE iE*iE*iE*iE iE 1E iE*dE dE iE iE dE iE*iE iE**iE*iE iE iE iE*iE iE**1E iE*iE iE lE iE 1E*iE iE*rE 3E*dE se iE*iE iE*IE iE iE iE iE dE O I.as owner of the property or my employees wih wages as thei sole compensation,will do the won,and the structure is not intended D EVEL OP MEN T SERVICES REQUIREMENTS or offered for sale(Section 7044.Business and Professions Code:The Contractors License Law does not apply loan bwnerof property who buids or improves thereon,and who does such work himself of hersel on through he or her own employees,provided that such improvements are not intended or offered for sale.I,however,the building or improvement is sold within one year d completion,the ZONING APPROVED BY DATE: owner-builder will have the burden of proving he or she did nal build or improve for the purpose of sale). YID I.as owner of the grocery.amexdumveycomradleg nthliensed convectors to construct the projed(Section 7044.Business and BUILDING APPROVED BY : . . DATE: Professions Professn Code:The Contractors License Law does napply to an owner d Properly who builds or improves thereon and who ❑ cin f«such projects wih a contractor(*)licensed lipe ueM t°the Contractors hew). (�y.�. � i em exempt under Seniors B.B PA.,f«his reason: APPLICATION ISSUED BY: l�L�*�j13;\•E.• DATE: 1E1EifiEifiE�EIEiEiE+E1EiE1E1E1EiEiEiEiEiEiEiE#14ifiEiEiE#iEiEiRiE****iEif****#i' iF iEiElEiEifiE9f****iF****** iE ** Del LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N I do hereby codify that I am aware of and understand the requirements of California Health end Safety Code Sections 25505,25533.and 25534.and that I or any texture building orwpent will/wilt not(circle one)need to comply wlth said dere codes and the requirement.for BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING a permit for or modRvatbn from the Ai tseety anagenrnl District.Residentialeonwudion applications v aexempt from these Provisions. PERMIT 18 . 5 0 Dale: Applicant: 5 0% SMIP/NON—RES PLAN WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: ISSUE FEE 15 . 00 ❑ I have and MN madman a cenificate of consent lo sethinoure for ivorkers'compensation,as provided for by Section 3700 of the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code,for the performance du »walkf«wl:ph itpermit is Issued, perm .uee. TOTALS----> 18 . 50 15 . 00 I 0 . 00 33 . 50 33 . 50 . 00 El I have and wIl maintain workers'compensation Insurance,as required by Section 3700 of the Labor Code,ler the performance of the work for with his permit is Sued.My workers'compensation Insurance Cartier and policy number me: Canter: REVENUE DIVISION TOTALS--> COLLECTED : 33 . 50 OVER/SHORT: . 00 Policy Number. BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK is section need not be completed rhe panne is for on hundred dollars/5 fool or less.) 33 . 50 O I candy Nu In the performance of the work for which this peal Is issued,I shell no employ any person in any manner so ea to become aubled to the worse'companion laws of California.and agree hat if I should become subject to the workers' **3E******************************************************************1E*******1E* compensation provisions of Section 3700 of the Labor Code.I shall fon h campy with those provisions. 5' IND I V IDUAL F E E BR E AK D OWN S Doe: 7— 6 T W Applicant: • ` Warning:Failure to secure workers'compensation coverage launlawful,and shall subject an employer to Magna:penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines up to one hundred thousand dollars(sf00,000A in addition to die cost o/conspesatbyi damages ea provided Mr In Section 3ro5oldwLabor Code,Interest and attorney's faes ELE • 1 SERVICES BELOW 600 V & BELOW 201 AMP 18 . 50 18 . 50 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there Is a construction lending agency for the END OF FEES ' performance of the work for which this;tenth is issued(Section 3097.CM.C). LENDER'S NAME: LENDER'S ADDRESS: I candy that I have tad his application and dab Nal the above bd«met On te coned,I agree to comply with all thy end county ordinances and state laws reading to building construction and hereby authorize representatives c/the city to anter upon the above-mentioned property fa inspedion purPosea. MIKE MORRIS Prim Name sr-7..9/ Date: Signature d Owner/AgmVAppirentContrnd« (5151.40.WP) Whits-Building&Safely:Green-File:Canary-Appicant:Pink-Revenue:Goldenrcd-Msessor • CONSTRUCTION AND PLANNING • POOL ?A APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical 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, 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 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 DOil • 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 //76 ifi 80. FOOD CERTIFICATE ISSUED 33. Final Electric 4 Notes: /ej 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 ADDRESS OFIUIlOINO: 120 23RD ST WIT: CITY OF COSTA MESA — BUILDING PERMIT OWNER!MAMEIFM4OVNib VNE DEVELOPMENT y PERM NO: GRA 075321 ADDRES: 1048 IRVINE BL #363 I{pA.UA It1/1 N.B . 92660 PERMIT NO: GRA 075321 PLAN CHECK NO: 04833-95 A GOVT: N SUPP : N 825-0671 APDL.MAJWC ADDRESS: CONSTRUCTION TYPE: V-N PERMIT TYPE: GRA PURPOSE: CON ARCHITECT OR ENGINEER: ROBIN HAMERS ue.ND.: C31720 JOB DESCRIPTION : GRADING FOR 6 CONDO UNITS SQ FT: ARMOR ENG.'S ADDRESS: 234 E 17TH ST WIT: 208 C .M. CA 92627 CLAIM VALUE: 1 , 000 . 00 CALC-VALUE: GROUP OCC: R-3 /M-1 CONTRACTORS NAME CONTRACTORSNMIDIO COMMENTS : GRADING FOR 6 CONDO UNITS ADDRESS: DC.NO.: ******************************************************************************* Diff: ZONING REQUIREMENTS UCENSED CONTRACTORS DECLARATION:I hereby shim under penalty of perjury that I am[Sneed under provisoes of Chapter 9 SETBACKS (commencing with Section 7000)of Division a of the Business and Professions Code,and my license is in full force end effect. CITY LIC.NO.:0.63758 LK.CLASS: 3— LIC.NO.: .8.8-81.8-3 EXP. 12 5. MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR : FT IN Date: Contractor` LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:1 hereby affirm under penaly of perjury that I ani exempt from the Contractile License Law for the following reason(Section 7031.5 Duskiest and Professions Code:Any city or county which requires•Permit to oanswcL after,Mann.pe. PARKING REQ: PR OV: PARCEL: 43942102 Z N E: REF NO: 'emolish,a repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she licensed pursuant to rho provisions of the Contractors License Law[Chapter 9(commenting with Section 7000)of Division 3 of the PLANNING NOTES> - „sueiness and Professions Codas or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section > 7031.5 by any applicant for a permit subjects the applicant m a chill penally of not more than five hundred doIan($5001). ******************************************************************************* O I,as owner of the progeny or my employees with wages as their sole compensation,vAll do the work.and the structure is not intended DEVELOPMENT SERVICES R E Q U I R E M E N ,T S or offered for sale(Section 7044,Business and Professions Cab: not The Contractors License Law does eppb/to an bwnsrof Properly who builds or improves thereon,and who does such work himself or horsed or though his or her own employees.provided that such improvements are not intended or offered for sale.6,however.the building or anonoverners is sold thin one year of completion,the ZONING APPROVED BY DATE: owner-builder will have the burden of proving he or she did not build or improve for the purye of sale). bI,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business end /y Professions Code:The Contractors license Law does nor epply to an Owner of property who builds or improves thereon Lid wfro BUILDING APPROVED BY : DATE: contracts for such projects with a contractor(s)licensed pursuant to the Cont License Law). • Nem exempt under t) B.n P.C.,for this reason: cr APPLICATION ISSUED BY: V* Z;r DATE: \*in/**** ** Dae: I.( Z 1 Owner: *** ** ************* ******** *** ** *** * **** ** +� ***** ********** *** LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:N I do hereby cants that I em aware a and understand the requirements of California Health and Safety Code Sections 25505.PC511,and 25534,and that I Of any Muni building occupant will I wN not(circle one)need to comply wih said pals coda end the requirements for apernw for mawaionamodJimtbn from the AiQcitylt anagemen1D'Wrid.Resldaeiel constructionappfmtims en exemptfnm Nue BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 33 . 00 Date: Applicant: SMIP/NON-RES WORKER'S COMPENSATION DECLARATION:I hereby elfem erµ of th under penalty of pny one e following dedppions: PLAN 5 . 63 oIhave and will maintain acertilmratewdudrconsenttosefinsurefor workers'compensation,esprovided for by Section 3700dthe Labor ISSUE FEE 3 , 00 Code.for the perfouuKeoftlektor wthis permibbsued. BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Iendperformance TOTALS > 33. 00 3 . 00 5 , 63 41 . 63 41 . 63 00 work for which this permit is issued.My workers'compensation insurance carver end policy number are: Canter: REVENUE DIVISION TOTALS--> COLLECTED: 41 . 63 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK (his section need nor be completed1 the Forma is for one hundred dollars/8100)or bas.) 36 . 00 5 , 63 o 1 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 eubjed to the workers'compensation laws of California.and agree Out R 1 should become subject Io the workers' ******************************************************************************* compensation provisions of Section 3700 of the Labor Code,1 shall forthwith comply with those provisions. Date: Applicant: INDIVIDUAL FEE BREAKDOWN Warning:Fallon to secure workers'compensation coverage Is unlawful,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST clef/fines rep to one hundred thousand dollars($I00.000).In addition to the cost of compensation,damages as provided for/n Section 3706 of the Labor Code,Interest,and attorney's las. NO FEES WERE SELECTED FOR THIS PERMIT CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a corsthduion lending agency for the performance or the work for which this penal is issued(Section 3097.Civ.C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have reed this application and pus that the above information is correct.I agree to comply with elI dry end county ordinances J end state laws relatip to bdldng construction end hereby authorize representslives of This city to enter upon the above-mentioned property J for inspection purposes. MIKE TALBERT . - - - /�I (� Print Name //'7 g^•m Data: t� V� V Si re o OwnedAgenUApplc•nkComrador (5151.46.WP) White-Building 8 Safety:Green- lie:Canary-Appfunt;Pink-Revenue;Goldenrod-Assessor • CONSTRUCTION AND PLANNING POO. 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. i 54. Forms ,y? 4. Electrical Conduit-Undrgrnd, 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVE R-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, O Undrgrnd. 10. Structural Floor System , 61. APPROVAL TO DECK 11. Property Sewer Line & Houseponnection = • 62. Backwash & Receptor-Final 12. Sewer Cap i _ 63. Heater& Vent-Final 13. Roof Drains 64. Plumbing System Final 14. Rough Plumbing 65. Electrical-Final I..,,Rough Electrical-Conduit 66. Solar System-Final t,,16.'Rough Electric Wiring 67. Fencing & Access Approval `17Rough Wiring Sign ) 68. APPROVED FOR PLASTERING 18: -tough 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 OOil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank O Gas O 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: 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 0457 (. ie " 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date ! ADDRESS OF BUILINM 120 23RD ST UMI: A CITY OF COSTA MESA — BUILDING PERMIT OWNERS NAME IF KNOWN: 120 GENE H PERM NO: B 073925 ADDRESS P 0 BOX 16 • CORONA DEL MAR, CA 92625 PERMIT NO: B 073925 PLAN CHECK NO: N GOVT : N SUPP : N APPL.MAILING ADDRESS CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: 0TH ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION : DEMOLISH STORAGE BUILDING "A" SQ FT: 2 , 000 MCN.OR ENG.'S ADDRESS: UIST: CLAIM VALUE: 2, 000 . 00 CALC—VALUE: 2, 000 .00 GROUP OCC: R-3 /M-1 comumarsmse VNE DEVELOPMENT INC ( 714 ) 548-3072 CaGRACTORSMNuND 1038 IRVINE HL COMMENTS : X ADOREss: NEWPORT BEACH CA mm, 658963 *******+('************* ***st******ITio-x***********+t*qtr** ****rE*+E**N-**x************* 92660 we, 363 Z ONING R EQU IR EMENTS LICENSED CONTRACTORS DECLARATION:I hereby aff ire under penalty of perjury that I em Scented under provisions of Chapter 9 S ETB ACK S (commenting with Section 7000)of Division 3 d the Business and Professions Code.and my license is N full force and effect. CITY LIC.NO.: 063758 uc.cuss: B LIC.NO.: 658963 EXP: 12/95 MAIN BUILDING ACCESSORY BUILDING ' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Date: Contractor: LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under panty of perjury that I tun exempt Iran the Contractors License Law for the Idlowing reason(Section 7031.5 Beainees and Profession Code:Any cry a county which requires a perm.to construct,alter.improve. PARKING REQ: P ROV: PARCEL: 43942102 Z NE: REF NO: ' bmdoh.or repair any structure,prior to as issuance,also requires the applicant for such perm.to Re a signed statement that he or she PLANNING NOTES> licensed pursuant to the provisions of the Contractors license Law(Chapter 9(commencing with Section 7000)d Division 3 of the mines.and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.My violation d Section > 7031.5byanyappEcant foreermit subjects the applicant to a dui pens/1y d red maw than Use hundred domr(SMMOB. iEiEiEi(1Eiff(-if****3f-if3E#iE1E1E1EifiElElEifiEiE****ff-3FlE*3fiEiEiEiElEiliE***1E1ElE***IFi(-IEif1E*1ElfifiEiE****#)E*jEifiFiflElE*** o I,es owner of the property or my employees with wages as the sole compensation,will do the work,and to structure is not intended D EVEL OP MENT SERVICES REQUIREMENTS or offered for sale(Section 7044,Business and Professions Code:The Contractors License Law does not appy loan an/of properly who butch or inproves thereon,and who does such work himself or her°M or through his or her own employees,provided that such imprwamerda are mat intended or offered for sale.f,however,the building or improvement is sold within one year of wmpleton.the ZONING APPROVED BY DATE: owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). ❑ I.°sowner doMpopeM.ameoLiceywLtwdoevmhlioplyto nownerstoconwhepmjed(Saprovestheeonendend BUILDING APPROVED BY : I DATE: 'r,,, Professions Code:The Contractors License Law does no'apply to en owner d properly who builds or improves thereon end who contracts for such projeds with a contractor(s)licensed pursuant to the Contractors License Law). • o ham exempla Section: B.SP.O..tar this reason: APPLICATION ISSUED BY: /'/ DATE: / Z3 9 ., • ** Date: QOwner: L LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y I do hereby certify Ih I am aware of and understand the requirements of C ono Health and&dory Code Sections 25505,25533,end 25534.and that I or any future building occupant will/will no'(circle one)need to comply with said state codas end the requirements for a permit foe constructer"o modification from the Aiav ananagementgdrid.Residential construction applications exempt from these PERMIT BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING Provisions. Date: Applicant: PLAN S M I P/NOON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the ldlowing dadununs: ISSUE FEE o I have end MI maintain a candied*ol consent to seMinsure lot worn&compensetkm,es provided tor by Sedion 3700 d the Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code,lor the performance dthewarkforwNMNtspemn.leesued. TOTALS----> 45 . 50 0 . 00 0 . 00 45. 50 45 . 50 . 00 o I have end will maintain workers'compensation Insurance,ea required by Section 3700 of the Labor Code.for the performance of the work for which this pert5'a issued,N1 workers'compensation insurance carrier and policy number are: Carrier: REVENUE DIVISION TOTALS--> COLLECTED : 45 . 50 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK ,his section need not be completed I the permit is for one hundred dollars/5100/or less.) 45 . 00 . 50 ❑ !candy that in the performance d the work la which this permit is issued,I shed'na employ any person in any manner w as to beco a subject Io the workers'compensation lave of Cefilomia,and agree Net i I Mould become abject to the workers' ************************************IE********tE****I4****************4E3E3E4E4E*4E4E*4E** compensation fens d Section 3700 a the Labor Code,l awtBort ca lbw•h comply wev ywwith those porw. INDIVIDUAL F E E BREAKDOWN Date: $( L ) Applicant: t///ffq cm/Warning:Failure oneecure worriers'compensation coverage la ditto andthe cs II ost an employer to caMnal penaltiesand TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil does W to one hundred thousand dollars(Si00,000A m addition to Na cost of conperuarbn,damages as provided for In Seddon 3706ofthe Labor Code,lnroaaland afttonmesfeet SFC 2000 DEMOLISH BY VALUE COMMERCIAL NOZONE 1 . 00 2, 000 . 00 • CONSTRUCTION LENDING AGENCY: I hereby alarm under penalty of perjury that there is a construction lending agency for the END OF FEES performance of the work for which this permit is issued(Section 3057.OH.C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this°pprwion end date that the above information is cored.I agree to comply with all city and county ordinances end state laws retatip to building construction and hereby authorize representatives of this city to enter upon the above'mentioned property for inspection purposes. MIKE TALBERT Prue Date: /72L3L---- Signal a Owner AgenVApplcenVContractor (5151deWP) While-Buidiq&Safety:Green-Rte:Canary-Appdcant:Pink-Revenue;Goldenrod-Assessor - CONSTRUCTION AND PLANNING POO. 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 t 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-3- 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 PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - - 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy • 37. Final Factory Fireplace 38. Final Plumbing 39. Water Se?vice•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 44a. 48. FINAL PLANNING ' 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY • No. Date ! ADDRESSOFSOILDING: 120 23RD ST ux7: B CITY OF COSTA MESA — BUILDING PERMIT OWNERS NAME IF KNOWN: ROBERTSON, GENE H PERM NO: B 073926 ADDRESS: P 0 BOX 156 CORONA DEL MAR, CA 92625 PERMIT NO: B 073926 PLAN CHECK NO: N GOVT: N SUPP : N APPL.fwIING ADDRESS: CONSTRUCTION TYPE; PERMIT TYPE: STR PURPOSE: 0TH ARCHITECT OR ENGINEER: UC.NO.: JOB DESCRIPTION DEMOLISH STORAGE BUILDING "B" SQ FT: 2, 000 ARCH.OR ENG.'S ADDRESS: WIT: CLAIM VALUE: 2, 000 . 00 CALC—VALUE: 2, 000 . 00 GROUP OCC: R-3 /M-1 cONTRACTOWS HAIL: VNE DEVELOPMENT INC ( 714 ) 548-3072 C 4TRACTORSMA1UNG 1038 IRVINE BL COMMENTS : X ADDRESS NEWPORT BEACH CA IICND.: 658963 *******SESE*+E*+E+F+Eit-*+E*+(*********+ ***+E*'x'**'rE'Sr***SE**'x' -*AE************'x'N-->E****S(-iFSF***SFS-** 92660 umm 363 Z ONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I em licensed under provisions of Chapter 9 SETBACKS (commencing with Section 7000)of Division 3 d the Business and Professions Code end my license is in fug face end effect. CITY Lie.NO.: 063758 LIC.CLASS: B LIC.NO.: 658963 EXP: 12 /95 MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Dal: Contractor. LEFT: FT IN RGHT: FT IN LEFT: FT IN ROHT: FT IN OWNER BUILDER DECLARATION:I hereby affirm under penally of perjury that I am exempt from the Contractors License Law for the following reason(Section 7031.5 Dulness and Professions Cod:Any city ix county which requires a permit lo construct alter.improve, PARKING REQ: P ROV: PARCEL: 43942102 Z N E: REF NO: demolish,or repel any structure,prior to its issuance,also requires the applicant for such permit to fib a signed statement that he or she e licensed pursuant to the provisions of the Contractors License law[Chapter 9(commenting 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 exemption.My violation of Section > 7031.5 by any applicant for a permit subjects the applicant toe civil penally of not more than five hundred dollen 155001). ***************1Fif**********-*******************************3E******************** ❑ I,as owner of the property or my employees with wages as thee sole compensation.will do the work,and the structure S not intended D EVELOPMENT SERVICES REQUIR E M E N ,-T. S or offered for sale(Section 7044.Business end Professions Code:The Contractors License law does not apply to an owner of propertywho builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended Of offered for sale.If.however.the building or improvement is sold within one year of completion,the ZONING APPROVED BY DATE: owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). ❑ I.es owner of the property.am exclusively contrarily with licensed contractors to construct the project(Sedan 7044,Business end Professions Code:The Contractors License Law does not appy to an owner of property who builds ar improves thereon and who BUILDING APPROVED BY DAT E contracts for such projects with a contractor(s)licensed pursuant to the Contractors License Law). S C ❑ I am exempt under Section: B.AP ..fothis reason: APPLICATION ISSUED BY: DATE: *********************************************** ************** .s®. . ** Date: 't 1'7 721 L1.� LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y I do hereby canny that I am aware d and understand the requirements of CeMornia Health and Safety Code Sections 25505,7xcan,and 75434,tforthat lIXanyfnurebulldlagom theAtQuaityMl anagment Dirac to corn*wihsaid nappideaand lMna pt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING for epa4.for dthasIcc an fmoeil building fromtheDual/ity Moth(circle ne to corntol construction codes anaree requirements provisions. o q PERMIT 45 . 00 Dale: ^/Z) Applicant: giL C SMIP/NON—RES Bf/fNJPLAN . 50 WORKER'S COMP SATION DECLARATION:I hereby affirm under penally of pejury one of the following declarations: ISSUE FEE o I have end MI maintais a certfficale of consent to self-insure for workers'compensation,asprovided for bySefion370odthe labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Code,for the performance of the work for which this permit is issued. TOTALS----> 45 . 50 0 . 00 0 . 00 45 . 50 45 . 50 . 00 ❑ I have end will maintain workers'compensation insurance,as required by Section 3700 of the Labor Code,for the performance of the work for what this permit is issued.My workers'compensation insurance carrier and policy number are: Cartier REVENUE DIVISION TOTALS--> COLLECTED: 45 . 50 OVER/SHORT: . 00 Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK ,Tis section need nor be completed I the permit is for one hundred dollars 151001 Of less) 45 . 00 . 50 ❑ I certify that in the performance of the work for which this permit is issued,I shell not employ any person in any manner so as to become subject to the workers'mm»mesion laws o California,and agree that ill should become subject 10 the wwMn' ************************************************IE****************************** compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with those provisions. INDIVIDUAL F E E BREAKDOWN Date: Applicant: Warning:Failure to secure worker.'compensation coverage is unlawful,and shall'Alec!an employer to criminal penalties end TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil fines up to one hundred thousand dollars($100,000),In addition to the cost of compensation,damagesas provided for In Sectiontattorney's SFC 2000 DEMOLISH BY VALUE COMMERCIAL NOZONE 1 . 00 2, 000 . 00 CONSTRUCTION LENDING AGENCY:I hereby affirm under penalty of perjury That there is a construction lending agency for the END OF FEES performance of the work for which this permit is issued(Section 3097.Cl,.C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application end stele that the above information is correct.I agree to comply with all city and county ordinances end state laws rotating to buildkg construction and hereby authorize representatives of this city to enter upon the above-mentioned properly for inspection Purposes. MIKE TALBERT Ci Name DATE:�pto.I23,9 TI7": 1`:52 CnBans Dere: /'] oft. rwr/AgenUAppbranLY;ontreda ` (515146 WP) ' While-Building A Safety:Green-Hi;Canary-Applicant:Pink-Revenue;Goldenrod-Assessor •CONSTRUCTION AND PLANNING - - POOL PA APPROVALS Permit# Date Inspector ' APPROVALS Permit# Date Inspector 1.-Temporary Electrical Service or Pole 52. Pool & Equipment Location . , 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. - 54. Forms 4. Electrical Conduit,Undrgrnd. 55. Electrical Bonding • .. 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test • 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 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. 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 ❑Gas 0 Oil 25. Roof Sheathing - - 74. Overhead Hydro 26. T-Bat Ceiling (Structural) & Mopocoat 75, Dry Chemical _ 27. Frame and,Flashing ' 7',; • 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SSSTEM FINAL , 29. insulation78: FIRE PREY. FINAL ' 30. Drywall Nailing ;. HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - • 79. FINAL INSPECTION . 1 - 32. Electrical Power Meter-Final 80: FOOD CERTIFICATE ISSUED 33. Final Electric _ • Notes: - • 34. Final Heating & Air Conditioning 35. Final Gas Pipe:Test - • - • 36. Hood or Canopy ` • 37. Final Factory Fireplace - • 38. Final Plumbing 39. Water Service-Final - . - " . 40. Gas Service-Final • I . 41. Solar Domestic-Final • - • 42. Backflow Preventer ' 43. Backflow Irrigation - - 44. Landscape Irrigation System ' - 45. Sound Attenuation , - 46. Handicap Regulations - - - 47. FINAL STRUCTURE & BUILDING 44.17 644'. 48. FINAL PLANNING • 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY No. Date CITY OF COSTA MESA PLANNING DEPARTMENT A. P. No. 119-011-17 PAIU Bldg. Permit No. .3/�'�7.a VA - 7-4200isaOQ 426ii61*** 40.00 PARK AND RECREATIONAL FEES - Apartment Developments Fee Payment Receipt Project Address 120 East 23rd. Street. C. N. Owner's Name Bachelor or 1 - Bedroom Units @ $25.00 = 2 - Bedroom Units 1 @ $40.00 = $40.00 3 - Bedroom Units @ $55.00 = 4 - Bedroom Units @ $70.00 = 5 - or more Units @ $75.00 = $40.00 Total Fee Total number of Dwelling Units 1 Planning Department Approval Date 4-2-70 Park Area No. 7 All By Applicant's Signature OWNER DELUXE FURNITURE HOSPITAL DATE 12-3-75 JOB ADDRESS 120 East 23rd Street, Un It #29 BUILDING PERMIT NO. 40934 GENERAL CONTRACTOR Owner/BI dr. DESCRIPTION of WORK Non-Elec. Wall Slgn i p 'o. 119-011-17 LOT TRACT FIRE ZONE VALUE E 500.00 �1, ECTIONS Signature Date TYPE GROUP ZONE , SOIL SUBCONTRACTOR PERMITS ISSUED GAS Date I Number Signature AWATER Plumbing • ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. fl SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE _ UNDERGROUND O POWER U ROUGH WIRING Heating and Vent. TRENCHES El FORMS fl STEEL REINF. U FLOOR SYSTEM BOND BEAM n STEEL REINFORCE in SHEATHING FRAME ANO FLASHING LATHING - IN n OUT n PLASTER. BROWN COAT 5" 'URAL, FINAL _ _ Electric HE. .1G, VENT., REFRIG. AND A.C., FINAL PLUMBING. FINAL AND GAS TEST in ELECTRIC, FINAL � �� r/ • e`� BUILDING_FINAL /p{..Aft /! .Owe' ,� �.Aq g "�t-. 27 OWNER LINDSTEDT, T. B. DATE 12-18-75 JOB ADDRESS 120 East 23rd Street GF BUILDING PERMIT N0. 41000 "' Owner/Bldr DESCRIPTION of WORK Non-Elec. Wali Sign VALUE $ 100.00 GAF"' GRAL119-011-17 CONTRACTOR LOT TRACT FIRE ZONE INSPECTIONS Signature Dare TYPE GROUP ZONE soIL PERMITS ISSUED _ CSUBCONTRACTOR , aces Dare WATERI Number f Signature Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. PRINKLING SYSTEM ISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND fl POWER ❑ ROUGH WIRING Heating and Vent. TRENCHES O FORMS 0 STEEL REINF. n FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME ANO FLASHING^ LATHING — IN L, OUT n PI. "R, BROWN COAT Si URAL. FINAL Electric HEATING. VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL l'� ,. d T y/r�/ /t.^^'' RNILDING. FINAL A. f T • 34372 • .I -R-7„P�m00 225* ** �f.S 142.86 COSTA MESA BUILDING-SAFETY DEPARTMENT MESA,BOX 1200 COSTA CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely BUILDING ADDRESS J? /•a dJ r$P(�1 RECE 7. ( Dg^E f CF�,V�D' pEp,B-TE IGLU 2� OWNER � / /eJn c-7e n'7 114--/// A.P.NNO.. /119-0ii(_ 07 PP 5/7 7a- BUILDING E .'� n MAILDP. O. NO 7c /trn .37/ ADDRESS I O , 0 / )/ Z ADDRESS }}��''�� _ q 0 U CITY, i•UPOt7 I3EiiGH NOal tit SY'S 7Z� TRACT SO0 LOT 18 BLOCK Z ''VV CONSTRUCTION /A�E NEW ADD ALTER REPAIR MOVING DFMOI ISH a co LENDER J1/V .*Le 4 J cn BRANCH J Cl) OWNER -72C-�^ t Sy^ m J ADDRESS VALUE -co ARCHITECT TEL. USE S - Q OR ENGINEER NO. U Q FIRE ,L./ w CL ADDRESS ZONE TYPE GROUgP VL -/ J Z CONTRACTOR / �J ft ivn f`7C�)'7 BYPROV ED eI `,/ DATE .J -/�^/ CD mZ '/_300 `7Frce /6 � Uil r��TT " AQ J ADDRESS I'""-"tom` W w CITY /� ��/ Pte,{ TEL4Z-4M/ ZONE _ IND.OF USE OF NEW � ' _Z /{/er/I/ART .L E:godr'J�It PLANS BUILDING W O STATE CITY YARDS APPROVED YARDS APPROVED D cc LIC. No. g / s---g LIC.NO. MAIN BUILDING _ ACCESSORY BUILDING SIZE ^ NO.OF BLOC.i.'/ (FROM C/L STREET) OF LOT (9 10 r j 6 0 NOW ON LOT•(/J4/F. FRONT (7 . FT. USE OF �] /A' EXISTING BLDG. p R SIDE c &FT. 6'- FT. I- SIZE OF 2-44X/4p NO.OF 2 NEW BLDG. ROOMS STORIES L.SIDE OFT. FT. UEXTERIOR WALL ROOF /' ,1 J _ COVERING 5-7//C.C.-0 COVERING (�/flP REAR 4OUFT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& D_ a MAIN BLDGS. ACCESS.BLOCS. Q VAR.+ DATE O S-70 24-6 C C.U.P.# APPROVED I- //� z .a 11�'l - P4lq DATE 3 -7-7� o 4 VI hereby acknowledge that I have read this application and state / �� HOLD FOR SPECIAL REQUIREMENTS ✓ that the above information is correct and agree to comply with te all laws regulating building construction, and I shall not employ . any person in violation of the workman's compensation laws ofr C-a-e_-_,4-4 -A-,2n B(q the State of California. itZ I hereby certify that I am properly licensed as a contractor underSD. FT. O the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR • Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: EC am exempt from the provisions of the State of California Business VALUATION and Professions Code, Division 3,Chapter 9. n PERMIT FEE $ / D Signature of / ((( �^ m Permittee �x /. L �....�L ..dire ` / . \ (//� PLAN CHECKS 7/ E Authorized Agent natt---Al/t/ ` TOTAL FEE I/1/ r - 34371 —9-7-Fre" ...00 22W? **103.211 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 A APPLICATION FOR BUILDING PERMIT For Applicant to Fill in CompletP./}s RECEI V D BY DATE RECEIV D 20 -7 tr3j a / DATE ISSUED BUILDING a G` �Q �% IA —5 —� 3' — 7— 2a— ADDRESS at V �R pL OWNER , ••••- , E A.P.NO. I'—O/ FERM .JO7� MAIL 800 rS-tE�a lt/ ADDRESS BUILDING / �� / 3 Z • ADDRESS /✓ C+ ��//t' / a U CITY C 4 2 — = , NO.s iil TEL. TR ACTS— Cft LOT • BLOCK Z Wu a u;e .. Z F- CONSTRUCTION ' 111511_ , . FIMI.-�-- d m LENDER • _ BRANCH J to OWNER 4f i.,......c...1,..1 CO J ADDRESS VALUE m ARCHITECT - TEL. SE $ -'< OR ENGINEER NO. Z Q FIRE / 4- W G: ADDRESS ZONE TYPE GROUP W a APPROVED y JO CONTRACTOR ` /• / /C/ BY a DATE J� 7 CO71 cc ADDRESS �1 ' i% < / 6 a, 2_ ' J..r0-4---,Q„. W W ZONE NO.OF USE OF NEW Z F CITY 41��Ootf .,7 w0f/ NO $gf2p7 Ci PLANS BUILDING �_ W O STATE /`/ Q �'rC CITY YARDS APPROVED YARDS APPROVED 7 m LIC. NO. /0 q /s 4 LIC.NO. ,/_� (FROMAIN M C/L BUILDING TLDI NG ACCESSORY BUILDING OF LOT& X 3 O O T) SIZE I NOW ON LNO.OF OT AtcE FRONT 2FT. FT. USE OF EXISTING BLDG. R.SIDE °FT. FT. I— SIZE OF NO.OF Z NEW BLDG. ¢v'./(a yr/ ROOMS STORIES 1 L.SIDE _.l &FT. 4 FT. Q EXTERIOR WALL..., ROOF / / ' 1 V COVERING Oa CCC-0 COVERING(rem/p REAR / OOFT. FT. -) Ja USE OF BUILDINO AND WOR TO BE PERFORMED DISTANCE BET. BET.MAIN& 0- , rra CAC r a F7(F MAIN BLDGS. ACCESS. BLDGS. Cl: ...,j VAR.9W DATE (] '1°. C.U.P.# //'I APPROVED �7 C./) APP.At .. { L j!_lfI DATE .3— 7—/� 0 / O UI hereby acknowledge that I have read this application and state 1'' j pECIAL REQUIREMEwrS D that the above information is correct and agree to comply with I + t- _f C`•" 4 CC all laws regulating building construction, and I shall not employ I R s q I— any person in violation of the workman's compensation laws of •L ‘-�l' yb aLAL6„24 IA the State of California. `q� az zI hereby certify that I am properly licensed as a contractor under "�� SQ. FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR i Chapter 9. and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: e CC am exempt from the provisions of the State of California Business VALUATION // m and Professions Code,Division 3,Chapter 9. PERMIT FEE $ K. , N D Signature of m Permittee ,(,/ r $ PLAN CHECK $ ✓,1/ EC //7av = LL Authorized Agent ��G4'�!ti/ . TOTAL FEE SAO 1 t OWNER LINDSTEDT, T. B. DATE 7-3-72 ,JOB ADDRESS 120 East 23rd Street BUILDING PERMIT NO. 34912 �GF -RAL CONTRACTOR Same DESCRIPTION of WORK Retaining wall Af ..°.119-011-17 LOT TRACT FIRE ZONE VALUE $ 1,600.00 INSPECTIONS Signature Date GROUP J TYPE III ZONE C-2 �150IL SUBCONTRACTOR PERMITS ISS ED GAS Date Number Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ROUGH WIRING f Heating and Vent. TRENCHES KA FORMS VI STEEL REINF. `V 74-74 FLOOR SYSTEM BOND BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING LAT•"NG - IN n OUT n PL R, BROWN COAT STRUCTURAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C.. FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL t' ' \ • __ 34912 Ft-�:F. I O� 005^ ****2 4.11 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVED BY DATE RECEIVED DATE ISSUED BUADILDING DRESS ! Z Q /E' 2 3 '��'�t r /t, 7 3-7 7-3 -97A OWNER / - _ z, Afos76c7 A.P.NO.//f-0//'-/� ..j�l�/ "1 BUILDING MAIL C-S-76 c E ADDRESS a0 G , 3KO f ADDRESS I,3 0 Q dU CITY iVLt//OO✓2-7 eenc N NOL 5-543 TRACT SOD LOT �j/ BLOCK Z Q CONSTRUCTION !q Ate NEW ADD ITER REPAIR MOVING DEMOLISH O N LENDER V _ am � ‘' J r BRANCH ,-----.1 G/ NOST6fT �J J m OWNER a w ADDRESS m J // // VALUE // LW J CO ARCHITECT TEL. S_ . � &s in, a OR ENGINEER NO, U Q FIRE 1.0 Z ZONE TYPE .+--GROUP Q-m ADDRESS CL LO � APPROVED /Z -5-7 JZ CONTRACTOR / J Z//t//,_c. 7e-l> BY L. DATE CO Z J m S/1/r///J ADDRESS E W WZON NO.OF USE OF NEW�jere ?C 0= TEL. PLAN BUILDING � Z . CITY NO. ,6 Zy /4iQLit.,- W O STATE Q p CITY YARDS APPROVED YARDS APPROVED (ter LIC. NO. /O p /S p LIC. NO. MAIN BUILDING ACCESSORY BUILDING r O (FROM C/L STREET) SIZE / NO.OF BLOCS. /� OF LOT ct 6 .3 0 0 NOW ON LOT RONT FT. ,4 _ FT ger,. USE OF EXISTING BLDG. 5.'77. ea/j-ec a R SIDE FT. O FT, I— SIZE OF r--gt X/ 6' g NO.OF 2 NEW BLDG../C- A /C. R ROOMS STORIES L.SIDE FT. 0 FT. ✓ EXTERIOR WALL ROOF //`` � /� COVERING COVERING LSC /X/0 REAR FT. 0 FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 1CL MAIN BLOCS. ACCESS BLOCS. O• ICG_f/7/A.///(/‘ �iq LL C U.P.# APPROVED I— APPROVED �J �J U) HY /i 4 , DATE / —J — .7sa— z /�� 0 ~ STATE I hereby acknowledge that I have read this application and state D that the above information is correct and agree to comply with yI CC all laws regulating building construction, and I shall not employ /1(t H any person in violation of the workman's compensation laws of N A.JJC)I the State of California. m ZI hereby certify that I am properly licensed as a contractor under T S FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a tC am exempt from the provisions of the State of California Business VALUATION eq) m and Professions Code, Division 3,Chapter 9. PERMIT FEE $ D Signature of 0O /y+ �/ 0 Permittee f .r'7�/\( �/ - 4f / dD PLAN CHECK $ U E 111900 --- 1-' o Authorized Agentu TOTAL FEE $ UnryEN LINDSTEDT, Theordore B. UMIL 3-17-77 JOB ADDRESS 120 East 23rr1 sr BUILDING PERMIT NO. 43Fig0 GENERAL CONTRACTOR Owner-Builder Nan—elr• nd G;�, t 0.119-011-17 LOT TRACT FIRE ZONEDESCRIPTION of WORK ,‘ VALUES 200.00e It._. ECTIONS Signature Date TYPE GROUP ZONE (`-9 SOIL SUBCONTRACTOR PERMITS ISSU D GAS Dare f Number I Signature WATER Plumbing ROUGH PLUMBINGry PROP. SWR. LINE CI NOUSE CON. 0SPRINKLING SYSTEM MISCELLANEOUS • ROUGH HEATING ANO AIR CONDITIONING • TEMPORARY SERVICE OR POLE UNDERGROUND 0 POWER 0 1/471/4 ROUGH WIRING Heating and Vent. TRENCHES 0 FORMS n STEEL REINF. D \`� FLOOR SYSTEM BOND BEAM El STEEL REINFORCE ii SHEATHING FRAME AND FLASHING LATHING — IN Cl OUT ['1 PLASTER, BROWN COAT _ 'TURAL, FINAL Electric NL..•ING. VENT.. REFRIG. AND A,C., FINAL PLUMBING. FINAL AND GAS TEST rl ELECTRIC, FINAL BUILDING, FINAL - Ki J OWNER LINDSTEDT. THEODORE. B. DATE 4-7-70 JOB ADDRESS 120 East 23rd Street BUILDING PERMIT NO. 31596 ".Gr"ERAL CONTRACTOR T. B. Lindstedt •DESCRIPTION of WORK 33 Unit Motel Building A., .o. 119-011-17 LOT 18 TRACT 300 FIRE ZONE VALUE $ 164,122.00 INSPECTIONS Signature Date GROUP H d. F—ITYPE V ZONE C-2 SOIL SUBCONTRACTOR PERMITS ISSUED GAS Date Number Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER n ROUGH WIRING Heating and Vent. TRENCHES n FORMS ❑ STEEL REINF. n FLOOR SYSTEM BOND BEAM In STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING - IN n OUT n P ER, BROWN COAT 5, ,GTURAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL p A • 81596 • ' APR -7-7CPA�OOO 425.1 *I,*43725 CMS/ COSTA MESA BUILDING-SAFETY DEPARTMENT P,O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVED BY DAT REG'IVD BUILDING 2 D ADDRESS Z-O Z_7 �D S _• .. ter,/ % / A.P. NO.' I - O - / 111 -02 1 ADDRESS Po_ So/ /6 fl- ADDRESS �t MAIL / 7 `�BUILDING a -.._a, -` �ra i TELS�g TRACT LOT O BLOCK i-U CITV / NO. 7 (�' H Z n q �/ 7 Nt^/r ADD ALTER REPAIR MOVING DFMOLISH O C CONSTRUCTION OEN T qU V '-f`'K'I '7 �/- V cn am -J D BRANCH �//] /j�� J co OWNERA of 'LAS Q W ADDRESS 03 J // VALUE / /� fY J CO ARCHITECT -yam TEL-{p54� S -.!a - •tu.a.• $165i22. ZQ OR ENGINEER /. �� NO. gSp FIRE IF z rl l w CC ADDRESS ZONE TYPE GROUP T/ L11 Z "�0_141 • APPROVED ,.fin/ CONTRACTOR • l 57 �4/ps7a' BY �/' / . r SATE - CO zO , • JQ ADDRESS, len _ •/� W w ZONE Na OF USE OF NEW---7- -- (- Zi- CITY NO. a•2**--- PLANS BUILDIN,,{.{G�{..��cc - ' O STATE CITY YARDS APPROVED 7-1- - VAROSAPP4OVED/- 01 CC LIC.NO O s /S S LIC.NO. MAIN BUILDING ACCESSORY BUILDING SIZE / NO.OF BLOCS. (FROM C/ TREET-){-- OF LOT (p 6 X S(J 0 I NOW ON LOT (1 FRONT "0 FT. W A �� Fj . USE OF ff1 EXISTING BLDG. R.SIOF 0 FT, FT. I- SIZE OF NO.OF 2 NEW BLDG. ROOMS STORI ES r L.SIDE OFT. FT. U EXTERIOR WALL ROOF -/- COVERING ICOVERING REAR � O FT. lA 54---f1P- (� J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& �/ D. a MAIN BLOCS. ACCESS. SLOGS. Q S-a --) - may' CAR.# DATE / O ri C.U.P.#�1--,)..3-Cn _ APPROVED y-7 -(J7 F '/ N C -3 7 «� •, APPROVED L`, V ` --7/� LL11 V DATE -1� 3-� / 0 p . - �' HOLD POR '`• ,I.L REQUIREMENTS UI hereby acknowledge that I have road this application and state _T r't / '_ r that the above information Is correct and agree to comply with --_7�-e� all laws regulating building construction, and I shall not employ p .tom �/ I F any parson in violation of the workman's compensation laws of4 . 1 y the State of California. �� 0 11 ss Z 5/' / �t, 'f `a I hereby certify that I am properly licensed ase contractor under O.FT.�3z-(.4/ -7.66� o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR b• Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: I[ am exempt from the provisions of the State of California Business VALUATION Y�0 and Professions Code,Division 3,Chapter 9. /J m PERMIT FEE $�i . N J Signature of t`` -- / ))) s, `'�` 9 m Permittee N il -.! �/y y ` \ PLAN CHECK $/Y'J i h ! E l/ms's o'..] o Authorized Agent � J T •TAL FEE $ 4.3/ • .r.,. .' OWNER LINDSTEDT. THEODORE DATE 11-4-69 \3 JOB ADDRESS 120 East 23rd Street BUILDING PERMIT NO. 31066 ` G IERAL CONTRACTOR Owner-Builder DESCRIPTION of WORK Bvmn1 i Rh RPgitient e 15,S5'• 119-011-17 LOT 1$ TRACT :0Q FIRE ZONE VALUE $100.00 " I ECTIONS Signature Date GROUP I TYPE ZONE C-2 SOIL SUBCONTRACTOR PERMITS ISSUED GAS Dare Number Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE ❑ HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND 5 POWER 5 ROUGH WIRING Heating and Vent. TRENCHES ❑ FORMS ❑ STEEL REINF. n FLOOR SYSTEM BOND BEAM n STEEL REINFORCE SHEATHING FRAME AND FLASHING LATHING - IN n OUT In pi -TER, BROWN COAT S ,TURAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL a_ ,n ��// BUILDING, FINAL I V- 31066 • k 01/1111411$ t - + NOV -4-69P"-1800 093 Ei*****5.00 COSTA MESA BUILDING-SAFETY DEPARTMENT tt� cNsa P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECE /rl D7D D� E r9BUILDING ADDRESS /Z0 a. Z 3zep 57 OWNER m'eopn4e .$ YMJDs7EO� A.P. NO. //9 Q/�- 7 I�I�,'�i MAIL o. /f � /& S-2---- 2— BUILDINGDRS / ^D cpo /- ADDRESS /� L/ (ZI ADDRESS p( Z , / n O �/y ��/�± o aU CITv,#t/ 21PQ/z74 N NOL.J7S7ZIr7 TRACTSQO LOT BLOCK ▪ Z z Q CONSTRUCTION NEW ADD ALTER REPAIR MOVING OFMOI ISH O N LENDER v d m J D BRANCH J(/) OWNER UQp-nine /y /ai / mLB J ADDRESS VALUE J m ARCHITECT TEL. S $ < OR ENGINEER NO. U FIRE WQ ZONE TYPE GROUP Li ADDRESS CL • ��))zwr// o J /� APPROVED III C Z CONTRACTOR& w/Y�/\ /i i BY JO DATE Ca Z W CC AADDRESS ZON NO.OF USE OF NE t. ` � Z1- CITY NOTE. � - a (PLANS BUILDING ��-' ,dp-(.4 STATE CITY YARDS APPROVED YARDS APPROVED co¢ LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING O O SIZE INC.OF BLOCS. (FROM C/L STREET) OF LOT NOW ON LOT _ FRONT FT. t ) FT. USE OF EXISTING BLDG _ FpT� FT, I- SIZE OF NO.OF Jpp�x 22 NEW BLDG. ROOMS STORIES L,SIDE Y FT. :J EXTERIOR WALL ROOF M1[1 _ COVERING COVERING REAR FT. FT. _ J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& O. a MAIN BLOCS. ACCESS BLDGS. Qy� VAR.* DATE O De4I2L o /7/ on/— H. b.S_F C.U.P.# APPROVED F APPROVED I / '/ (/) �Y ,/YA DATE `/- T- I/ 2 777/// 0 (.-/ I hereby acknowledge that I have read this application and state ✓ that the apove Information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ I- any person in violation of the workman's compensation laws of C1) the State of California. e zI hereby certify that I am properly licensed as a contractor under SQ.FT, C the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5 Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: l[ em exempt from the provisions of the State of California Business VALUATION and Professions Code. Division 3,Chapter 9. to PERMIT FEE $ n • 7 Signature of - s ,, ,,��,I,/� m Permittee .e(""zn-P .r/�//[ $ /10& PLAN CHECK $ E p` Authorized Agent u. TOTAL FEE $ ,OWNER LINDSTEDT, T. B. DATE 10/25/72 \S.JOB ADDRESS 120 E. 23rd St. BUILDING PERMIT NO. 35611 \ CCIERAL CONTRACTOR T. B. Lindstedt DESCRIPTION of WORK Partitions .o. LOT TRACT FIRE ZONE VALUES 350.00 INSPECTIONS Signature Date GROUP F-2 TYPE V ZONE SOISUBCONTRACTOR PERMITS ISSUED GAS Date Number Signature WATER Plumbing ROUGH PLUMBING PROP. SWR. LINE❑ HOUSE CON. ❑ SPRINKLING SYSTEM MISCELLANEOUS ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND ❑ POWER ❑ ROUGH WIRING Heating and Vent. TRENCHES ❑ FORMS ❑ STEEL REINF. ❑ FLOOR SYSTEM BOND BEAM ❑ STEEL REINFORCE n SHEATHING FRAME AND FLASHING LATHING -' IN n OUTP F 'ER, DROWN COAT S. .TURAL, FINAL Electric HEATING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n ELECTRIC, FINAL // A�� - Tt' mill nluf. FINAL CS�/Al� /� . c / .2 . 7€1 35611 PAID 5.03 OCT 26-72_C157001131* ***** COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely 4PPI/ICATION FOR BUILDING PERMIT R C VD BY DATE RECEIVED DATE ISSUED BUILDING ADDRESS• /2 0 E 2 3 re_.a sr ! 1°46'72– ADDRESS 2 lo.-�L�Srt1,2_, OWNER / 1 pL/AIDS .72 / A.P.NO. /J (� PERft1 s'1�PJ-1 ' MAIL PO !I a� / . 3 ADDRESS '/p /3 sr - z ADDRESS d 0 CITY WEGdfl7.jr Bny —W cw Ili TEL. 7Z-f9 TRACT LOT BLOCK z Z CONSTRUCTION '/ /e NEW ADD ALTER REPAIR MOVING DEMOLISH –N LENDER /V ON a JJ BRANCH _J J(n OWNER T I,NsrEtir COlil J ADDRESS C VALUE 3[-07...LC -co ARCHITECT J Q OR ENGINEER NEL. USE A2T1 ll 011e S U Q - FIRE 1 2--- w _ Z ZONE ! ` (TYPE GROUP (� (�/ w CC ADDRESS kill\A TYPE APPROVE i �(^ J Z CONTRACTOR •�$ L/Ar/DS7ar7r BY DATFOr2J - –✓ m Z /� y 1 JCC ADDRESS /,30 0 �-57CLLE L-/m7�f(1 r, W w TEL. ZONE NO.OF USE O O= CITYu@,/ /Z7 f' ,f.J Nap/4 PLANS BUILD G 1 Z H rr 9 0 STATE f c CITY YARDS APPROVED Y� RDS --ploy '` jO LIC.NO./025 _CLIC.NO. MAIN BUILDING ACS•SSO'Y B I •ING SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT 6C x 3 0 O NOW ON LOT Z _FRONT FT.ekvT - . USE OF y /� EXISTING BLDG. C!�/1l I(y�e7ZG/�'c. Al.370e4-6 E R,SIDE _ FT, F SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. _/- UEXTERIOR WALL ROOF 1\ _ COVERING COVERING REAR F . FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTAN BET.MAIN& CL acZ y' /I/n/V tred ail/7. MAIN B ACCESS.BLOCS. VAR. DATE O //��J�_'/T/0�� / 3—/–Z4/6 /4'4'it/J C.0 P,3y'+ APPROVED CO - I/T/'--'–� it– /(O / ZO4 r-! .. RY ROVED DATE Z on,_5/OE 11C/e?tsA4 n JJ,C✓rW'AC/ t STATE (~.1 I hereby acknowledge that I have read this application and state /I D that the above information is correct and agree to comply with U cc all laws regulating building construction, and I shall not employ I-, any person in violation of the workman's compensation laws of T/Ut In the State of California. m ? I hereby certify that I am properly licensed as a contractor under SO. FT. G the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5 Chapter 9, and that such licenses are In Lull force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: u CC am exempt from the provisions of the State of California Business and Professions Code, Division 3,Chapter 9. VALUATION .r m 76°P • ! PERMIT FEE $ L D Signature of. r --ID Permittee § 11,5b PLAN CHECK $ E a /Authorized Agent u. 'yTOTAL FEE $