HomeMy WebLinkAbout126 23RD ST - Building Permits • CITY OF COSTA MESA
Oft,r $pe BUILDING DIVISION • ,
s:lPt ; DEVELOPMENT SERVICES DEPARTMENT PERM NUMBER
F 1 r'�/4I .1 PERMIT
J.
it''" te
°^^'m PO4-00832
(714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626
PLUMBING PERMIT
Job Address: 126 23RD ST Status: ISSUED
Suite No Applied: 12/06/2004
Issued: 12/10/2004
Vicinity:
(.../„..d...L_ISSUED BY:
Parcel Nunmber: 43942201
Applicant: CULLIGAN WATER
Address: 502 S LYON ST
Phone: 714-750-2233
SANTA ANA,CA Zip: 92701
Owner: COFFMAN,JODI P
Address 126 23RD ST
Phone: 714 564-6924
COSTA MESA,CA Zip: 92627-1705
Contractor: CULLIGAN WATER
Address: 502 S LYON ST .
Phone: 714-750-2233
SANTA ANA,CA Zip: 92701
License: 663091
Arch / Eng:
Address:
• Phone:
Zip:
License:
SCOPE OF PERMIT
INSTALL WATER SOFTNER.
FEE SUMMARY
AMT QTY AMT QTY AMT OTY
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 $0.00 0
Drinking Fountain $0.00 0 Sink,bar $0.00 0 Water Piping(Ins(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
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 end final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit.
FOR INSPECTIONS CALL: (714)754-5626
2446-46(600)
DECLARATIONS
WORKERS'COMPENSATION DECLARATION:
I hereby affirm under penalty of perjury one of the following declarations:
O 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.
r 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.
L • - My workers'compensationrInsurance carrier and poll nu er are:
/ Y-, S Cr. ' C 373D is--6o0
'Cartier. "Z-L)Nr (` .N �-vY12r2r C/9 / Policy Number.
k' -mils 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.a d agree th t If I should ecome subject to the workers'compensation provisions of Section 3700 ofthe bor Code,I shall forthwith
comply withi revisions. _ e"-----._
'Applicant Signature: `Date
/01(0/(F
WARNING:FAILURE TO 9E RE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUEJECT AN EMPLOYER TO CRIMINAL PES AND CIVIL FINES UP TO ONE HUNDRED
THOUSAND DOLLARE I ,000),IN ADDrnON TO THE COST OF COMPENSATION.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST.AND ATTORNEYS FEES.
' LICENSED CONTRACTORS DECLARATION:
I hereby,aftlrm1hat Item licensed under provi5ions of Chapter 9(commencing with Section 7000)of DMs sicn 3 of the Busine and Pro essions Code,and my license Is in full
force and.effect.17c.0 _ P I f _ f— CClass 4 -
Contrector's•Signature: ` enWriansf..,.. 11/020-- CDate: _ fl
CONSTRUCTION LENDWG 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).):
O I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended 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 properly,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions
Cede:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s)
license pursuant to the Contractors License Laws.).
❑ I am exempt under sec. Business and Professions Coda 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,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? 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? ❑Yes ❑No
.._ ._ __..._..._.._r..._ _..__..
5 Does or will the oast Air or present a future buildingso from at other for the work which Is the subjectage c this application e0ermit for such construction or modification
from the South Coast Air Quality Management District or from any other air pollution control district or agency? �Yes L-b No
(Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits).
6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 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? 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 reed 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.
\• �_/� Signet (Legal w r(s) /�//U r'/0,y' ate
/'/�" /An Or.Authhnzed'Applicanl /\ 1 Date
•
L�.000E a gISPECTIONTYPE WI IMRIAL6 CODE! INSPECTION TYPE WEMal
Fixed System Final Fire Prevention 206 Final Mechanical
1288 Pool Spa Final 208 Final Plumbing 1's'O 7
200 Final Re-Roof 210 Final Electrical
201 Final Block/Retaining Wall 212 Final Flre Prevention
202 Final Factory Fire Place 220 Final Planning Approval
203 Final Sign 222 Final Site
204 Final Demolition 250 Final Building/Occupancy
off; CITY OF COSTA MLSA
CALIFORNIA 92628-1200 P.O. BOX 1200
D
t a
41, a al DEVELOPMENT SERVICES DEPARTMENT
OAG710.
•
May 23 , 1994
To:
•
Building, Safety Division Newport-Mesa Un. School Dst. (2)
Code Enforcement Pacific Bell
Communications Police Dept. - Ping. & Research
Copley-Colony of Costa Mesa Santa Ana Heights Water Company
County Administration Office Sanitary District Engineer
County Clerk/Bd. of Supervisors Southern California Edison Co.
County Registrar of Voters Southern California Gas Co.
County Tax Assessor State Board of Equalization
Engineering Division (2) Street Division
Fire Administration U.S. Post Office - AIS
Fire Prevention U.S. Post Office, Adams Avenue
Manager, MIS File (2)
Mesa Consolidated Water Dist.
The City of Costa Mesa wishes to advise you that the following
addresses have been changed:
OLD ADDRESS NEW ADDRESS A.P. NO.
130 23rd Street A 136 23rd Street 439-271-16 & 17
130 23rd Street B 134 23rd Street "
130 23rd Street C 2305 Elden Avenue •r
130 23rd Street D 132 23rd Street t1
130 23rd Street E 130 23rd Street "
130 23rd Street F 128 23rd Street 11
130 23rd Street G 126 23rd Street 11
Your cooperation in this matter_ is appreciated.
Sincerely,
W BOUWENS-KILLEEN
Senior Planner
(13D-23RD.ADR) C-16
cc: Michael Talbott
VNE Development
1048 Irvine Avenue Suite 363
Newport Beach CA 92660
77 FAIR DRIVE
Building Division(714)754-5273 • . Code Enforcement(714)754.5623 • Planning Division(714) 754.5245 •
FAX (714)5567508 • TDD(714)7545244
r
132. 23rd I 2305
130 1 5t
- 23rd 114th
3+ . Ave.
i 4
in ) (3�F W
23rd St. 2 3rd 5t
12CP 154
l3rci St , 23rd S+
--rw&Ali - T;2d ttrce,
1.2-0 2 X11.1
NUMBER STREET UNIT NUMBER
PERMIT NUMBERREFERENCE NUMBER
NOTES: M(tp ID�1/i i� e-tAii. 7f lq /MA W+>-t t
ENGINEERING PLANNING ✓ FIRE •
12/i/4
CL
,d
� �ILSI ( I
193846_.
PROJECT ADDRESS: � 23RD ST —Wart" CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 065481
OWNER'S NAME: VNE DEVELOPMENT
ADDRESS: 234 E 17TH ST *208 PERMIT NO: B 065481 PLAN CHECK NO: 04107-93 L GOVT: N SUPP: N
• C.M. , CA
, CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: NEW
548-3072
ARCH/ENGINEER: TATLOR ARCH REG.ND.: C14978 JOB DESCRIPTION : 971SF 1ST FL, 1117SF 2ND FL, 430SF GARAG SQ FT: 2, 518
ADDRESS: 234 E 17TH ST UNIT: 203
C.M. CA 92626 CLAIM VALUE: 150, 000 .00 CALC-VALUE: 162, 510 . 00 GROUP OCC: R-3 /M-1
PERMITTEE: VNE DEVELOPMENT ( 714 ) 645-7588
ADDRESS: 1048 IRVINE AV'` 363 COMMENTS : NEW SINGLE FAMILY RESID, PLAN A
• N.B. CA 92660 ***************************************************+E******x*****it*4E*******+r+6***
LICENSED CONTRACTOR DECLARATION: I hereby affirm That I am licensed under provisions of Chapter 9(commencing with Section Z ON ING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS
CITY LIC.: STATE LIC.: 4' CLASS:
Date: signature: MAIN BUILDING ACCESSORY BUILDING
FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: •
WORKERS'COMPENSATION DECLARATION: thereby affirm that)have a certificate of consent to selbinsure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: - IN
Compensation Insurance.or a certified copy thereof(Section 3800,Lab.Cl.
POLICY EXP.DATE:
COMPANY: PARKING REQ: PROV: PARCEL: 43927116 ZNE: R2 REF 0: DR9211
0 Certified copy is hereby furnished. la Certified copy is mea with the city Building Division. PLANNING NOTES> ONE UNIT OF A 7 UNIT CONDO PROJECT,
*************************************************************** ********** . ***
Jate: AppticanL• D E V E L O r,P. M E 'N ' T SERVICES REQUIRE E N T
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it the permit is for one hundred($100)or less).
I cenily that in the performance of the work'lor which(his permit is issued,I shall not employ any person in any manner so as to become i n
subject to t'lJ'g Workyrs�ympCsatipg heDl6 of California.• "i,ANI ' /� �L f ZONING APPROVED BY �• - - 1-•-i\/ DATE: (2.12-42,(I 1
Date: YO �C LL ry/ Signature: !/vW lC City AUL-` l b-- M1 +•
NOTICE:II.alter making this declaration,you shoultlrbecome subject to the Workers'Cor Sensation provisions of the Labor BUILDING APPROVED B Y DATE: /� r��J (,_,._
Code.you must G comply with such provisions or.Itiis permit shalt be deemed revoked.nfLx( 1, S DATE: c(� �•O 1 L i
CONSTRUCTION LENDING AGENCY: I hereby atf&nn(hat Iheteh a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: #-*1•' 7F
which this permit is issued(Section 3097 Civ.C1,• t' /• ******************ak****aF.**iF**7E****** *** ************************* **********
LENDER:
****************************it**************************************************
ADDRESS: LEGALIZATION:N F E E S U M ,M Y STRUCTURAL SEGMENT:Y
•
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECH C FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 860. 00 16 . 25
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed •••• SMIP/NON-RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business p LAN 559 . 00
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(S500).
BUILDING-DIV PERMIT ISSUE PLAN-CHECK / .TOTAL PAID DUE
t 6
I. as owner of the property or my employees with wages as their sole compensation. wig do the work, and the TOTALS----> 876 . 25 0 , 00 559 , 00 ...._$1435. 25 1435 . 25 . 00
structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees.provided that such improvements are not intended or offered far sate.If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: ' _0,476 . 25 OVER/SHORT: 00
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC F E SMIP/TOT GRADING PLAN-CHECK
for the purpose of sate). 860 . 00 16 . 25
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044.Business
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon *************************************`******** *******************************
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL FE1E rR E A K D O W N
o Iexempt under Section: B.a P.C. TYPE QTY DESCRIPTION 0 UNIT COST TOTAL COST
forr this reason:
_ 10 c , 1A.,
Date: Owner SFR 2088 DWE TYPE V—WOOD FRAME ' !-�La00D_1 74 . 00 154, 512 . 00
Ido hereby certify Matlam aware of and understand the requirements of CaliforniaHealth and Safety Corte Sections 25505,25533,and SFR 430 RES—GARAGES TYPE V - f 18 . 60 7, 998 .00
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END/OF FEES
permit lot construction or mortification from the Air Quality Management District.Residential construction applications are exempt from
these provisions. r !�/J l
Date: Applicant: F E
I hereby certify Mat I have read this application and state that the above information is correct.I agree to comply with all city and county �•XP ✓Y lD ,• --
ordinancesandstate laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned j1 IU 4� .Jct .♦ ® l
property for inspection purposes.ur [/,(f�f�� /� /pyo p,Llt DATE D 1��NDD 1/U%• , r
Date: �-b t �5 Signature: / '-�✓ v/ iaitt to L /• - • DE i`�' L93
1 Driver's License or Social Security a: '1I •
1641-46 White—Bmldmg;Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor
CITY 0' COSTA MESA 1
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1---7)1. Ct/R'-r CA 1L pF-IDCCUPAN6`_ _ i - +• -- --- - - -- - -- - -- --- ,
Ll - — I
— — - - -- -- --
•
City of Costa Mesa
California 92628-1200 P.O.Box 1200
Insulation Certificate
•
I •1 / - /d11 2 vd 1ee Permit Number •
lot #G — Elden & 23rd Street Costa Mesa
Number and Street City
Orange G
County Subdivision Lot Number
Description of Installation
ROOF
Material Fiberglass batts Brand Name Owens/Corning
g
Thickness (inches) 6 1/4" Thermal Resistance (R-Value)
•
EXTERIOR WALL
Material F; hergLass Batts Brand Name Qwens./_Corning
Thickness (inches) Thermal Resistance (R-Value) 1 3 and 11
CEILING
Batt or Blanket Type batts Brand Name Owens/Corning
Thickness (inches) 6 1/4" Thermal Resistance (R-Value) 19
Loose Fill Type Brand Name
Contractor's minimum installed weight/ft2_ lb. Minimum thickness inches
Manufacturer's installed weight per square foot to achieve Thermal Resistance (R-Value)
RAISED FLOOR
Material _n/a Brand Name
Thickness (inches) Thermal Resistance (R-Value)
SLAB FLOOR •
Material n/a Brand Name
Thickness (inches) Thermal Resistance (R-Value)
Width (inches)
FOUNDATION WALL
Material Brand Name
Thickness (inches) Thermal Resistance (R-Value)
Declaration
I hereby certify that the-above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
California Adminstrative Code.
General Contractor(Builder) License Number
Signature and Title Date
Schmid Insulation Contractors Inc . 221517
Sub-Contractor(Insulation Installer) License Number
it//—
Signature and Title Date
190746 •
ry, City of Costa Mesa
•
PARK FEES '
001288 Fee Payment Receipt
Project Address t2 F. Zay
3rci v ee* - /
A.P. Number 4.39 — 2_1 1 — \(o � 7
t 0100178795-00178795 TOT 5748.82
Building Permit Number _ GATE: 03/27/95 TIME: 15:54
Owner's Name \JNE DeAtlo�`�'e , A— MIkC. �T0.1 j
Mailing Address 1048 Zrviir�k/Qverv7uae. #3Cp3 NFB, U} 92-6420
Total number of dwelling units in project l
Total number of existing dwelling units to be
demolished or removed as a part of project - c� L (�
3 4- PUi~� 1 vr�AT . Rici an
Net number of units subject to fees 1 O yin:. 1 9I2o jR+. O -.I-
Net O _ iL1"t"^� G
Type of Unit' Number of Units Fee" Amount �6 0
Single Family 1 X $5,748.82 = 5,74 a• SZ Cit 6 2-2-34S-3 )
Multiple Family X $3,940.34 =
Total Fees 5, 746. SZ
Planning Division Approval Date 312-1 11 5 By G• t • lin
q
Applicants' Signature Mp(k G i I
'City Ordinance 89-28 City Resolution 91-53 J
0174-30 rev.7-91 White-Planning;Canary-Planning;Pink-Finance;Goldenrod-Applicant
•
FINAL GRAZING CERTIFICATION
•
Project Address: 126 23rd Street, Costa Mesa
Lot Number: 1, Tract 14668
•
•
Permit Number: DR-90-22
By Civil Engineer:
I certify to the satisfactory completion of grading in accordance with the approved plans,
specifications, local and state codes. All drainage devices required by the grading permit,
grading plan and Brading ordinance have been installed. Adequate provisions have been made
for drainage of surface water from each building'site.
The minimums are:
25i Fall from structures within 5 feet from exterior walls.
15-c Fall for asphalt surfaces and landscaped areas.
0.55 Fall for concrete surfaces to approved disposal areas.
The final monuments as shown on the recorded tract map were set. All final grading eleva-
tions are within _ 110 of the desk ed elevations.
Supervising Civil Engineer Reg. No. 31720
(Signature)
Date !/71 % 94 q111
•
rcroFESSIG,A,
wrr. t m
EXE It 31196
CIVIL �Q
9�FOF CALIFOP
t{. STAMP and SIGN
1
11. 1:
ADDRESS: - 'Ai V4
23RD ST ..iw,T-6- CITY OF COSTA MESA - BUILDING PERMIT PERM NU: P UbJ9y9
R'S NAME: VNE DEVELOPMENT
• ADDRESS: 234 E 17TH ST #208 PERMIT NO: P 065494 PLAN CHECK NO: N LAW! : N SUPP : N
COSTA MESA, CA
CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: NEW
548-3072
ENGINEER: TAYLOR ARCHITECTS REO.ND.: C14978 JOB DESCRIPTION : 971SF 1ST FL, 1117SF 2ND FL, 430SF GARAG SQ FT:
ADDRESS: 234 E 17TH ST UNIT: 203
C,M, CA 92627 CLAIM VALUE: CALL-VALUE: GROUP OCC: R-3 /M-1
ERMITTEE: HOODS PLUMBING , INC ( 714 ) 689-2488
ADDRESS: 6703 CDEST AVE COMMENTS: REF: B-65481
RIVERSIDE CA 92515 ***************yE�E+t*******************+E+t**+t*Tt*TtTt*Tt*�k*****+E+t**+E******+r�E********�6x
D CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I N G R E Q U I R E M E N T S
Div}Ei a usiness and Prole C d and my license is in full force and effect, SETBACKS
.: V���' STATE LIC.:4g��g14 CLASS: C-36
�Ett3 si � MAIN BUILDINGACCESSORY BUILDING
/ gnalure:- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN
• S'COMPENSATION DECLARATION: I hereby affirm that l have a certificate of consent to self-insure or a certificate at Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
ation wen 4$njt jre4 Spy thereof(Section 3800.Lab.69/15/94
O.: SAFECO EXP.DATE: PARKING REQ• PROV: PARCEL: 43927116 ZNE: REF NO:
NY: PLANNING NOTES>
❑ Certified copy is hereby Tarnished. 3 Certlfie0 copy is filed with the Building division. >
'j Applicant: 47�CL�`�-_._ -a•m-- 4I.0-` *******************************************************************************
' Date: - D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S
PTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be compdeted it the permit is for one hundred(5100)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
ZONING APPROVED BY
subject to the Workers'Compensation Laws of California. • DATE
Date: Signature: BUILDING APPROVED BY : DATE:
NOTICE:II,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor
Code,you must forthmth
comply with such provisionsmthat or this permit span be deemed revoked. APPLICATION ISSUED B Y: - in P)
CONSTRUCTION LENDING AGENCY: I hereby affirm there is a construction lending agency for the performance of the work for • DATE:
which this Dernut ii issuee(Section 3097.Civ.CT ********************************* * ****************0********** • **
ADDRESS: LEGALIZATION;N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER OECLARATION: I hereby affirm that l am exempt from the Contractors'State license Law rot the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMI P/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,atter.improve,demolish,or PERMIT 156 .00 '
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 25% SM I P/NON-RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business P LAN
and Professions Code)or That he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE 20 .00
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK r TOTAL PAID DUE
I. as owner of the properly or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 156 . 00 20 . 00 . 0 . 00 176 . 00 176 . 00 . 00
❑ structure is not intended or altered for sale(Section 7044.Business and Professional Code: The Contractors'Stale License Law
does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through
his or her own employees.provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED• •
116 . 00 OVER/SHORT: 00
improvement is said within one year of completion.the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC • F•IRE. SMIP/TOT GRADING PLAN-CHECK
for the purpose of sale).
176 , 00
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business `. 1 -., ._
❑ and Professions Cade'. The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon m) )1 1 ' 0 " ' 1 I -• . -
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'Stale License Law).I am aware ******************************************'*********************,*********'_*'.******
that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL_ FEE • B R E A K ID O`W N i1 ri•
❑ I am exempt under Section: B.8 P.C. !
for this mason: TYPE QTY DESCRIPTION \ 1 UNIT COST TOTAL COST
Date: Owner: ' PLU 3 BATHTUB . • 7 .00 21 . 00
I do hereby certify that I em aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and PLU 1 DISHWASHER • \` - 7 .00 7 , 0D
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a PLU 1 LAUNDRY TUB OR WASHER 7 .00 7 , 00
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from PLU 1 SHOWER
7 , 00 7 , 00
mese provisions. PLU 1 SINK, KITCHEN _ - 7 .00 7 . 00
Date: Applicant: PLU 5 WASH BASIN .. • 7 . 00 35 . 00
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county PLU 4 WATER CLOSET (TOILET) i 7 . 00 2$ , 00
ordinances and state laws relating to building construction and hereby authorizerepresentatives of this city to enter upon theabove-mentioned PLU 1 WATER HEATER AND/OR. VENT 7 , 00 7 . 00
property for inspection purposes. 4 PLU 1 WATER SERVICE 7 .00 7 , 00
, - 2�-93-13 ereez�`�� PLU 1 GAS PIPING SYS OF , 1 TO 4 OUTLETS 5 . 00 5 . 00
F. _ Signature: PLU 3 GAS PIPING SYS 5+ OUTL-PER OUTLET 1 . 00 3 . 00
;river's License or Social Security.:
164146 White-Building;Green-Code Enforcement Canary-Applicant:Pink-Revenue;Goldenrod-Assessor
.,.,n.IION- AND PLANNING POOL ,n SPA
4, Date Inspector I Date i In,ccr:mr
APPROVALS Permitii" APPROVALS Permit ,;
'J2•
1. Temporary Electrical Service or Pole . 52. Poo: & Era Tmt LrcJt n•Sal Pioe-Undryrnd. " . f L 53. Stec, Rcu� uro + it
' -3. Srctrrai ('grid u;:-�a.hty.Uncrgr nr}.,, 54. Forms
{ `m,'$iacific34'COrfdu-�.7J ndrn-nC. 55. '.Iectriul Hurdinn (
t •,'i6.'9.,,-.aerfjmtifortepten[ - ,. 50• ^'odrh '',_h , ". . Jr_ T__ _- i L.
{' - ,a ,._..• _ F' r - I ' 5 nr i - . • -•
-
UF- Grr�l - 7 AFq 4_ !k -
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i,77. inoti^,t' - 1 I 53. 1 II';t r , ^n ' L., -
I ^
5 :.dt Er P.Pe U-.d fgrc0. ___-_thrt-fr Li El R -�!:I 1 . �n •r rdf Y_ _ _ _ __- _
1O. St{actural Fl•jtu System I I C' -..°^cos'.r-I' TJ ; 1
P � TQ ti,2 �. tLp -{ _ . _
12. Se•;r• G �` � 9
l 11 Property Seaver LJ e oustConnect,on
_ - jI 63 t,.t._r is 11,4; I ,
•
F---- --- -- - -- -- ----- -- - - -- •The, r.11 I - . - - - - - - -- ' --- I ---- .
'3 Pc-," '' . JS. J'T'Jir c -
r'4. =c an P.um5,, ig • _ 3_! ;'�� 65. Cert ic'' r -,,
1j 5. RcughEiectricai-Conduit -- I�_Irf-Su' 5 - -_ -- __ - _ __ _ __ l ___ _-_�
16. Ro-gh.[lec`- Wiring _ _r _ __.- _ -_ __ - ___ _ _ -
d a7 -Hn7 E `.cc - v ..
•
17. Roughi`rrrirgSgn t�37 7,'2.,OVE'1 :��.7 ' I . : :':a. ;u
18 Rr..gh Ercl-it'-T g,r G_ ��r9 ' 69. POOL-SPA SVS`,. F INA,-- --- _-- -- - !- -----
14. Rc_gh ;fECt r._ & A.r Co-dLt�on,r.g LI I F.rtt i,L T. :tt DLL .. . . 'T i � .
2C: Ro,,yL.Factsdry.5'.rep.ace _ I- .1 -" * , APPRi7VALS • P !RI1 - - -_.2- -•" : -
2Ty Duc^s,M1 Struc'•yro , . .. - 1 • -:._a'_:__Mc,,_.,, _ • l
' 1 =_-" - - 1-•-r.---t-. - -'- --- -- -_-_-4.- - -
r r• _
22. Durts• b'err''atu`g' -- _ j _ _ r • '- 7 : I. I ,.:t A P•^,'..rt -
ti-
73;,GE'. Pipe FOligll (ic Teo; ,$ 1r7,14- 1� - • I. idr,gruu I1/2... • I
^C`' 1-160+ 4ac�ng _-_ .•.- I" ' t 73! Uncic•amri_`.;Ir:-'r;,• r ' c•'•'( -'-•r'-- . •
25. Rouf Sheathing" , ' f 771, Oocrl out! N;• !r. �
�:__ __' --- - - _ -• it t- II
2& 7-?'r Ceiling IStrtctu-a!I &M:rnocmt I 7f Cry (hun�.c, - - 1 '
II777' Fame and Flas Mlie -.,r. a '' -i 7G. Dr, Slit re NL . ��S `....v.:.`-;.•
!' 79- " .'Q _ .. • I 177, • XtDEPP, c. .+_R.1At7.
j' 79. Insulatloc - ' '•7- ': ''' . I _- r /F3.,“,- L E'f! . FI'.,4
30 fi yt . aNai mg I( I I ni , • •.1 r-FL 4 '/UT:4-1u.it:1:1E'... ' ri7l-+'
LP .,:c•.r Cain f I �• !. . ., _
r` C_r.LLC_ i FT - ♦ ' . e+
o 3 LIr-. a' ;'~ ::4 t8 r - _ - ^J I t-i I - 3,-0 ..D - _ : !•'• -I
I - - 1` - t t - is I - ,� - - - - - - -
_ --Ir";--- -- t -- it_l.,. r_ 'rl4- -r _CCfl=s-rJLVt �(C�rrL •..
' 34 'tr tsai a: iy' '�� p'ii_ � is > �'�
1- ---- - - �- ' - ==- � �= _�_ '_-`°`h _ L _ r1'cu oe ii-e _
a,,,,- ;'
r of,' (7.15 ��e Tel[ 1 - a i ,• ad _ = /�►A
4411
-' • I-.--t.�i_ _ i-77131 . Pl.f � _ ___
H r , Tr, g I I 80T oaks 12ae tS
4 " x ' I ' H r -_4IS 9 b - p\0..,-.:L- - ---P_ G-E
i. '.CJs E:i'C- r�na: ,_ :_,r. it ' -
I: :1. S I.' :Jane t crlr_it I' 5 I- , �I ..
__ ri-t__r..._ -C _� - J__ _ •-
13. 3,,c..1'c. Ir, Jo' a. - - Ij' _ - _ - ---
=4Ge lir.9.t:or SvLn1•,• . - 7 .I•_ _ -_ _
' .c .c .
-{ . _ _ _ .
'-:1. Sjunu Altcnuatiar, ? _ '
•
r' .;^p: Flr`ri:G r, Regular?ors - .- 5 -, 1--• --- - -- - i - - - - - -f. -
Y. I-,Nit 1_ STRUCTURE I PUI'_0Y G • 11 . r
- I -__ J -__ _. _ j _ - __ _
48.- r- 'A:. PLANi'h !G ,
I. 491. EI;:;trlc Ralease to Edison 1
t 50. Gas Heleastjo Southern California Gas Co - ,_I _ . • - - . . .
i
51. C.ATI FICA•E OF OCCUPANCY I _ . . .
EBT ADDRESS: UNIT:
WNE14S NAME:
ADDRESS: PERMIT NO; P 065494 PLAN CHECK NO: 05080-93 N PAGE; 2
******SES********sl*****+E**333**3x3******3******3PSE**************SE*********3SE3*SE***
ARCH/ENGINEER: REG.NO.: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
ADDRESS: UNIT:
PLU 1 GAS SERVICE 7. 00 7 . 00
PERMITTEE: PLU 1 SEWER, CONNECTION TO BUILDING EACH 15 . 00 15 . 00
ADDRESS: END OF FEES
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section
7000)of Division 3 of the Business any,Professions Code.and my license is in lull force and effect.
CITY LIC.: STATE LIC.: CLASS:
Date: Signature:
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to Belt-insure ora Certificate of Workers'
Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C).
POLICY NO.: EXP.DATE:
COMPANY:
❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division.
Date: Applicant:
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (Tis section need not be completed if the perndt is for one hundred(5100)or less)
I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become
subject to the Workers'Compensation Laws of California.
Date: Signature:
NOTICE:It,after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for
which this permit is issued(Section 3097.Civ.C).
LENDER:
ADDRESS:
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or
repair any structure,prior to its issuance.also requires the applicant for such permit 10 file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty UI 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(Section 7044,Business and Professional Code: The Contractors'State 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 employees.provided that such improvements are not intended or offered for sale.I1,however the building or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve
for the purpose of sale).
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractors)license pursuant to the Contractors'State License Law),I am aware
that proof of their Worker's Compensation insurance should be provided to me.
o I am exempt under Section: B.8 P.C.
for this reason:
Date: Owner:
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from EXP R D
these provisions. i
I
Date: Applicant:ndl l O� p(hero nc eeany that I ws r Latin this uildingtion srd tionethat ere y h irformpres nt ti es o. isagree to enter u with ell bov and do ed DATE o 1
ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property for inspection purposes.
Date: Signature: #TU f' -_ f ` '—s' T! -i F — —
Driver's License or Social Security a JN*:E: L... - ' ' -°.`,[- .
1641-46 White—Budding;Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor
V
v?UJr RUCTION AND PLANNING POOL & SPA I I 1
..
(f 1 'APPROVALS Permit ;: Dote I Inspector APPROVALS Permit 5� I Date lmpcctor 1
I
i i 1. Tempora-y Electrical 5.:r.•ce or Fule 52. Pcol 8.! Equipment LucaY.on I I
'� I 2. Sa. Pipc Undrnrnd. I 53. Styr! Rcinfo•cemect
3. Eiectr .;.' Corduc Ut hty•Lndro'r.d. I 54. Forms I '
- _-- -- - -�--
4. EEc'nca' Ccndu,t•Undrgrrd -- - I--- -_-_ 55. Elecir.eal 3.i nd ng
r5. S,_• ' 'i. ' 'c•c•:-.- +t T i G lou• 1 pluming E Pr as,urt,' Tc,!
G. [ .. LT ER C-1-rd ------- - ' -- I57. APPPUVlt I_ TO COVER•GlL9"° -T ------H- --
-- -- - - r 1 + - - - -- r -
7 FOC. 'o+
L_ 58. E'ec1-iwl CocJ u'a U'�'g�rd.
. -_. .-__.___- --- �_- ---
8. Fo,jn "t on i 59. G-s P.pu, 17 Undrgrnd., -fist
I -_ I- - --- _ . . _- -I-"---- ._i-_-1
9. '..;.tar ?.p r L,norc,rnd. -6_16°9 AW 60. Buck.,e,;sh Lines, P•Trup. L:r.0 c r c'. I
10. 5'1-Let F' .rSv-ten o Y: I j'T4~ G . APPROVAL TO DECK - -------1--- --- T- -- - -.
i . -1-- - -- L --
11. Froper:y S.:me Lln,: & Hou-e Canncct.on I I 62. Bicks ush & Receptor•Fin.tl I
___4... ___ ---- ---- -_-_t- -__-�
II 03. HCJt:.r & Vent-Ping, I_.--_-I._--
h13. Pc " Drcm.- I-----1 64. P!urting System F'.,i. I
14. Roug'. F,ur-Ding I 65. E'cctricalFinal
�15 Pori, Ecc•realCond,` -- --_ I--L -_ --I G6. Snlai System-Fmn',
____ _ _ _ _-_- _ _ _---- ___-�_-- I_- _-
�16. Rougn Elec:nc Wiring I 67. Fcncng & Access A-toruc,l i i I
I 17. Haug-, ;, ra-g 5"g 68. APPROVED FOR PLASTER .G t
18. Rough E!ectriral•" Bar Dr.-1,,-:2 I 109. POOL/SPA SYSTE::S Flt<AL
79. Rocuh Hcatrng & kr Cordit.oting ) FIRE DEPT. REQUIHEIVIEIV t
.--C' I ,
20T:P•2••.• -:Focr r1F.:c-'.,_c , A?PROVP..LS Permit .
2It D.JCS SI',uctu-_ I 70. '.:':d. -g•o..rd I-'Yd,c
t - 1 -I- --I- - -- *- ' -
27„D3cts. ...uch'anng 171. Prucuct Pip,nq E;Ga, ._On
r747 r-1 tf 1:7.1m.,"7-1 I I /3 U. dcnrnd Stow,:Tar!, r n G,: :] -_ _ y- -_
I 74. Oecrhl'ed hydro
PR:'-, "3 - 2: rt-..:CT,' ,.tu ] , _J_ -1 -
.'J • ---;5. D t. ,:n -- - -- " - - - - - - - - - - --
_ _ _ _ -_ _ J _ 4-_',-/rot rry..n. 1r.. 11gi.s I 1 76. Dry St .nupupe ' - _
I),Ei ! TE" ,:.ii 1.
_ • i._ _
I 29 (-6.1:2. L - • i
1 30. Ur(iv,.,Fri' 0rnra 1 1:EALYI I i)'P"i Ft ou,RE::Ep
'1 .:.] :� /C. F: .,\' P S: , ,.
----_ - -- ! - I_ - - - I r Il - - - rat-; r
32 Ein.-rr tri P. ,,} 7e!r- F -. 50" FOOD CF RT!rl,•,11 - •F',l. :'I ..
I Nate.
- - I -
-
Y,
iv
ff
37 r,:ci Fa .'V'P:^p'ac,r I
38. Flaul PIumu r5 I I
_F- _ 1
39'Tiater £- ,.-1:-.7- 1 1
r
41; Gas r L. ice FE-•:: I I --- I --- ------ - - --- - - - - - - - -- - -
?2. 334';'1'2 P;::cntJr
43 Be'•,a' ,1121 t,r. - - -
45_.J ,_a __ - _ - - _-._
43. Hari-,,a . 3:".,t u
I
49. Eai t1.u,.c i 'a cO.!d I
C 5C, LC at P,...11.,P,...11., .s: •G1tou,i-,_:n C !urrrd GasCcl I I.__- - - .- _ _ _ _
_ I
SL CLATIF'�C.•.l'EL`FJCCUP ---- -� - - - - - -- -- - - ---- -- - - - - - - -- - - --- --
PROJECT ADDRESS: I N� 23RD ST1r"a' 7 CITY OF COSTA MESA - BUILDING PERMIT PERM NO: M 066433
OWNER'S NAME: VNE DEVELOPMENT
ADDRESS: 234 E 17TH ST #208 PERMIT NO: M 066433 PLAN CHECK NO: N GOVT: N SUPP: N
COSTA MESA, CA
CONSTRUCTION TYPE: V-N PERMIT TYPE: MEC PURPOSE: NEW
548-3072
AHCHIENGINEER: REG.NO.: JOB DESCRIPTION : INSTALL GRAV. FURNACE 75000BTU SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /M-1
PERMITTEE: SANTIAGO A/C, INC. ( 714 ) 998-1600
ADDRESS: 231 W. BLUERIDGE AVE. COMMENTS: REF: B-65481
ORANGE CA 92665 *****a ***yE***********atuar*x-u**a ****#*-ar*** -dF*#+ex-s****N- Ear+6*->t ***r+r+car-ar-*************
LICENSED CONTRACTOR DECLARATION: I hereby allirm tha am licensed under provisions of Chapter 9(commencing with Section Z ONI NG R E Q U I R EMENTS
7000)of Division 3 0l the Business and Professions Code.an license is in fun t r e and coed SETBACK S
c LIC.: 0G� rI TATEtac.:269496 ss: C-20
/ /5) y1 Signature:_ MAIN BUILDING ACCESSORY BUILDING
1AIRNERS'COMPENSATIONDECLARATION: Iherebyat' mthatIhaveacenaicateofconsent tosell-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN
'Compensation Irma?.o5 aaECeGLAdxR¢A�TrIIqONy: Ihealyaf'mn3800,hatIhae LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: W7 /lULU6b EXP.DATE: 87/01 /94
COMPANY: CALIFORNIA COMPPARKING REQ: PROV: PARCEL: 43927116 ZNE: REF NO:
I: Certified copy is hereby!finished. EC Certifiedcopy is d wit i dry Guiding PLANNING NOTES>Uvisian. >
Dale Applicant: DEVELOPMENT S E R`V ICES R E Q U I R E M E N T S
MPTION FROM WORKERS'COMPENSATION REPARATION: (This section need not bet employted if the perm)B for one hundred(S100)or less). Q
I certify that in the performance of the work for which this permit is issued.I shall not emplany person in any manner so as to became _
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE:
Date: Signature: BUILDING APPROVED BY DATE: —1—i—
NOTICE:II.after making this declaration,you should gnome subject to the Workers'Compensation provisions of the Labor
DTRyou must foDINGwG with such firat there
this permit shall bedeemed revoked.cyfor
�'
CONSTRUCTION LENDING AGENCY: Inereby affirm that is a construction lending agency for Inc performance of the work for - APPLICATION ISSUED B Y; 4-(:‘4-1C-- DATE*I -�1{
which this permit is issued(Section 3097.Civ.C). ***'x'****'i! N'*'x'*#******'N'*'�f'*'******'**'****�Gk. *************************7F,:ae3 �F TF**
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: Ihereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031,5 Business and Professional Code: Arty city of county which requires a permit to construct,alter,improve,demolish,or PERMIT •
9 . 00
repair any structure,prior to its issuance,also requires the applicant lot such permit to rile a signed statement that he/she is licensed 2 5$ SMIP/NON-RES
pursuant to the provisions 0f the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by •
any applicant for a permit subjects the applicant to a civil penalty of not mare than five hundred dollars(5500). ISSUE FEE 15 . 00
I, as owner of the properly or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE
❑ structure is intended or offered for sate(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 9 . 00 15 . 00 0 . 00 24 . 00 24 . 00 . 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees.provided that such improvements are not intended or offered for sale. II,however the building or REVENUE DIVISION TOTALS--> COLLECTED: • 24 . 00 OVER/SHORT: 00
orthe purpose of solo).
improvemente sold within one year of completion.the owner will have the burden of proving he/she did not quid or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK
lop
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 24 . 00
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with aconttactor(s)license pursuant to the Contractors'State License Law). I am aware *****************************************»iF************************************
that proof of their worker's Compensation insurance should be provided to me. IND IV IDUAL F E E BREAKDOWN
❑ I am exempt under Section: B.&P.C.
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: Owner: MEC 1 INST FORC-AIR/GRAV FURN <= 100 K BTU 9 .00 9 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF 'F+E_ E S
25534 and that I or any future building occupant wit/will not(circle one)need to comply with said state codes and the requirements for a
permit Ior construction or modification Iron the AS Duality Management District.Residential construction applications are exempt from J
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state th the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to bullring construction ereby a•• representatives of this city to enter upon the above-mentioned •
propeinspection purposes.
(.7.. IiSignature: 01 00157379-00157379 TOT24.00
DATE: 03/18/94 TIME: 15:36I's License or Socia Sec rity>:
1641.46 White-Building:Green—Code EntorcemenC Canary—Applicant;Pink—Revenue;Goldenrod—Assessor
CONSTRUCTION AND PLANNING POOH IPA
Date Inspector Date Inspector
APPROVALS Permit# APPROVALS Permit #
•
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
116. 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 Conditioning3. LPs
2-c1l1 FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace 6 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 .11-
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
lace
PROJECT ADDRESS: —t 23RD ST -Loll--3 CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 066450 1
OWNER'S NAME: VNE DEVELOPMENT
ADDRESS: 234 E 17TH ST #208 PERMIT NO: M 066450 PLAN CHECK NO: N GOVT: N SUPP : N
COSTA MESA, CA
CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC PURPOSE: NEW
548-3072
ARCH/ENGINEER: REG.ND.: JOB DESCRIPTION , INSTALL GRAV, FURNACE 75000BTU SQ FT:
ADDRESS: UNIT:
CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 /M-1
PERMITTEE: VNE DEVELOPMENT (714 ) 645-7588
ADDRESS: 1048 IRVINE AV 363 COMMENTS : REF: B-65481
N.B . CA 92660 ****>E****s6*ak*******—X**x-*****************-x***->E*+r******+r-><->FSE********* ************
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING R EQU I R E M E N T S
7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACK S
CITY LIC.: STATE LIC.: CLASS:
Date: signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm mat I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: FT IN
Compensation Insurance.or a certified copy thereof(Section 3800, Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POLICY NO.: EXP.DATE:
COMPANY: PARKING REQ: PROV: PARCEL: 43927116 ZNE: REF NO:
❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES>
>
Date: Applicant'
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). D EV ELOP MENT S E R V I C E:,S R EQU IR EMEN TS
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 L
subject to)f)�Wor ers'Compensation Laws of California. / /] ZONING APPROVED BY t--- DATE:
Dale: fA/C signature: s✓iA /✓�'Compen BUILDING APPROVED BY
NOT E:II,alter making this declaration.you should become subject to the Workers'Compensation provisions of the Labor DATE:
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. i, i
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: / DATE:
which this permit is issued(Section 3097.Civ.CI. *********************4*********************;a**********************************
LENDER: *******************************************************************************
ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: N
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve.demolish,or PERMIT 13,00
repair any structure.prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 25% SMIP/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 15 . 00
I. as owner of the property or my employees with wages as their sate compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
I structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS——--> 13 , 00 1 5 , 00 0 . 00 2 8 , 00 28 . 00 , 0 0
does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through -.-
his or her own employees.provided that such improvements are not intended or offered for sale.If.however the building or REVENUE DIVISION TOTALS--> COLLECTED• 28 . 00 OVER/SHORT: . 00
improvement sale).within one year of comatelion,the owner will have the burden of proving he/she did not build or improve
lottheurpose oBLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044.Business • ,2 8 , 00
❑ and Professions Code: The Contractors'State license Law does not apply to an owner of properly who builds or improves thereon
and who contractsfor such projects with acontractor(5)license pursuant to the Contractors'State License Law).I am aware *4******************************TF****{[-**7p******{(.****.)E.)E*.*..x.***.***.**.*.*******.*.****.*.
that proof of their Worker's Compensation insurance should be provided to me. I N D I V I D U ASL"/ FEE BREAKDOWN
❑ I am exempt under Section: B.S P.C. //��
for this reason:17 ,/' L 6 ^ L TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
Date: V��1 r' �� Owner: /// 1_•L"'_-V' Y///Y/(J� � `f ( 6 , 50�-. 13 . 00
MEC 2 FACTORY FIREPLACE •
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES
25534 and that I or any future building occupant Air D ll not(circle one)need to comply with said state codes and the requirements lora _ _
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from se
these provisions.
Date: Applicant:
I hereby certify that I have read this application and state That the above information is correct.I agree to comply with all city and county
ordinancesand stare laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned
property I ection purposes.
��A/2— AMA- / 01 00157334-00157334 TOT 28.00
Date: / •'F ' �� Signature:_ � ��` DATE: 03/17/94 TIME: 09:03
Driver's License or Social Security or:
1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor
CONSTRUCTION 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
r 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 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, 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 323`t4/,A. APPROVALS Permit #
Ducts,21. semis 70. Underground Hydro
n. Ducts, Ventilating 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 74. Overhead Hydro
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
Brown31. Plaster 79. FINAL INSPECTION
32. Electrical •. 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes: ..G1 4.r FYL.
34. Final Heating& Air Conditioning .. L v
35. Final Gas Pipe-Test
36. Hood or Canopy
37. Final Factory Fireplace 741_2 g/�. ) -
38. Final Plumbing L _ "may
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44, Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
•
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
PROJECT ADDRESS: IWe 23RD ST 'T CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 066358 l
OWNEITS NAME: VNE DEVELOPMENT
ADDRESS: 234 E 17TH ST #208 PERMIT NO: E 066358 PLAN CHECK NO: N GOVT: N SUPP : N
COSTA MESA, CA
CONSTRUCTION TYPE: V—N PERMIT TYPE : ELE PURPOSE: NEW
548-3072
ARCH/ENGINEER: TAYLOR ARCHITECTS REG.NO.: CI N?7d JOB DESCRIPTION : 971SF 1ST FL, 1117SF 2ND FL, 430SF GARAG SQ FT;
ADDRESS: 234 E 17TH ST Nn' 203
PERMITTEE: C.M. CA 92627 CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 /M-1
ADDRESS: I.NE DEVELOPMENT ( 714 ) 645-7588
1048 IRVINE AV 363 COMMENTS : REF: B-65481
N. BCA 92660 ********4**********************************************************************LICENSED CONTRACTOR DECLA.RATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING REQUIREMENTS
7000)of Division 3 of the Business and Professions Code,and my license is in full force and client.
CITY LIC.: STATE LIC.: CLASS: SETBACKS
Date: Signature: MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance,or a certified copy thereat(Section 3800.Lab.Ch LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN
POLICY NO.: EXP.DATE:
--,COMPANY: PARKING REQ: PROV: PARCEL : 43927116 ZNE; REF NO:
' D Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES>
>
Date: Applicant: *******************************************************************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($1W)or less). DEVELOPMENT SERVICES REQUIREMENTS
I cath That in the performance of the work lot which this permit is issued,I shall not employ any person in any manner so as to become _ -
.lea oth� r r '
loCg moepsationLawsofCalifornia. ^vi1 ZONING APPROVED BY DATE;
Date: D Signature: L G v
'OTICE:II.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: _
Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. p Q`
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance Pl the work for AP PL I CAT ION ISSUED B Y: A, . DATE: ` ``
which this permit is issued(Section 3097,Civ.C). ********************** - v **********iiiFFF"""-ww * * *
LENDER: ********************************3e************************************* t** *****
ADDRESS: LEGALIZATION: N F E E SUMMARY STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve.demolish.or PERMIT 7 3 , 0 8
repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 50% SMIP/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than We hundred dollars($500). ISSUE FEE 15 . 00
I, as owner of the property or my employees with wages as their sole compensation. win do the work. and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTAL S————> 73 . 08 15 . 0 0 0 . 00 88 , 08 88 . 08 , 00
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through
his or her own employees,provided that such improvements are not intended or offered for sale.If.however the building or
improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED: 88 . 08 OVER/SHORT: . 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 88 . 08
Q and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware *********,*******.**, *,****.*,*.***,*, **,.Nx,*,********,***********************************
that proof 01 their Worker's Compensation insurance should be provided to me.
am exempt antler Section: B.&P.C. I N D I V I D U A L F E E B R E A K D O W N
I this reason: //,L�j',�r{/..., /��//k ' TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST
�Date: 41 Owner: / `'V 04
onereby certify that am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and ELE 2088 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT . 03 73 . 08
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a END OF FEES
permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from
these provisions
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
antes and state laws relating to building construction and hereb authorize representatives of this city to enter upon the above-mentioned
Drop w tor inspectionlle5� 01 00156893-00156893 TOT 88.08
oat .R / signature: � .lG DATE: 03/09/94 TIME: 10:39
Driver's License or Social Security v:
1641-46 While—Building:Green—Code Enforcement:Canary—Applicant;Pink—Revenue',Goldenrod—Assessor
#ONSTRUCTION AND PLANNING POL.-& SPA
APPROVALS Permit# Dates 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. ElectricalBonding "
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, 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 n 66. Solar System-Final•
-
16. Rough Electric Wiring //y7M 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 3. FINAL INSPECTION
32. Electrical Power Meter-Final80. FOOD CERTIFICATE ISSUED
33. Final Electric 797744 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