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Home My WebLink About136 23RD ST - Building Permits • - CITY OF COSTA MLSA CALIFORNIA 92628.1200 P.O. BOX 1200 y< iJt DEVELOPMENT SERVICES DEPARTMENT 1) 406-s. 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 el 130 23rd Street C 2305 Elden Avenue 11 130 23rd Street D 132 23rd Street 130 23rd Street E 130 23rd Street " 130 23rd Street F 128 23rd Street " 130 23rd Street G 126 23rd Street " Your cooperation in this matter, is appreciated. Sincerely, i , 1 � { C"A- W BOUWENS-KILLEEN Senior Planner (130.230.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)754-5244 r + 132. 23rd ( 2305 13o St 23rd uldeh st. live. . " 128 134W Z3rd St. 2 3rd 5♦ (2 CP 154:. 23rd 5t . ( 23rd ' -TW &Val - Mutd &reef A PROJECT ADDRESS: 23RD ST ,'.''1 CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 065475 - OWNt'R'SNA}aE: CINE DEVELOPMENT ' ADDRESS: 234 E 17TH ST #208 PERMIT NO: B 065475 PLAN CHECK NO: 04100-93 L GOVT; N SUPP ; N COSTA MESA, CA `-" CONSTRUCTION TYPE; V—N PERMIT TYPE: STR PURPOSE: NEW 548-3072 ARCH/ENGINEER: TAYLOR ARCHITECTS REG.No.: 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 92627 CLAIM VALUE: 160, 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 AR N.B . CA 92660 *Er+exFr*Er�L�r******+e***x*******E ******+EEE****+r+e+r***********FrEex***+E*x***+e******E6**Er*+e LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in roll force and effect. • SETBACKS CITY LIC.: STATE LIC.: _ CLASS: Date: Signature: MAIN BUILDING ACCESSORY BUILDING • FRNT: 21 FT IN REAR: 29 FT IN FRNT: FT IN REAR; FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' LEFT: 10 FT IN RGHT; 11 FT IN LEFT; FT IN RGHT: FT IN Compensation Insurance,or a certified copy thereof(Section 3800.Lab.C). POLICY NO.: EXP.DATE: PARKING REQ: 5 PROV: 5 PARCEL; 43927116 ZNE: R2 REF NO: DR9211 COMPANY: 0 Certified copy is hereby furnished.-❑ Certified copy isPLANNING NOTES> 2 UNITS IN ONE BUILDING OF A 5—BUILDING, 7—UNIT CONDOlged with the city Building Division. > PROJECT(.TOTAL PARKING THIS PROJECT 18 SPACES) P, E, F Date: • Applicant: DEVELOP. M- E''N' T ' SERVICES REQUIREMENTS EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). I certify that in the performance of the work for which this permit'is issued,I shall not employ any person in any manner so as to become ZONING APPROVED B Y - l�, q subject"I}/n th(Jg,W��g[)k�ers,'Co[�mpe��ysTanon taws of Calilorriia. `/A/t',, `nen,. DATE: ( 24 /ish) J Dale: ^ U•�"'*� / / Signature: • ' �' ��' T'✓""�� BUILDING APPROVED BY - DATE: NOTICE:If.after making this declaration,you sh0uld'bec6me subject to the Workers'Compensation provisions of the Labor ' Code.you must forthwith comply with such provisions orlhis permit shall be deemed revoked. ' 1 CONSTRUCTION LENDING AGENCY: I hereby affirm mat there is a construction lending agency for the performance of the work for APPLICATION ISSUED 'BY _ t L DATE: !- . —J (;i which this permit is issued(Section 3097,Civ.C): y *********'*'**'*'*********)'****:*******^^'e'c*'**4f*** *C * ***************** ******** LENDER: , *********************.********************************************************** ADDRESS: LEGALIZATION;N F E E S U M M A///��R R Y STRUCTURAL SEGMENT:Y OWNER BUILDER OECIARATION: hereby affirm that l am exempt from the Contractors'Stole License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHPIN,�C-, FIRE SM IP/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 SM I P/NON—RES PLAN 5 5 9 . 0 0 pursuant to the provisions of the Contractors'Stale License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business n,. 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 Y any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars(5500). BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE 14 I, as owner of the property or my employees with wages as their sole compensation, will 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 for sale.If.however the building or REVENUE DIVISION TOTALS--> COLLECTED: J 76. 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, SMI P/TOT GRADING PLAN—CHECK for me purpose of sale). 860 . 00 • '16 . 25 I.as owner of the properly,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business ( ' t ❑ and Professions Code: The projects with License Law does not apply to an owner ofpropertywho builds or improves thereon ********************************************* ******************************* and who contracts for such wish a econtractor(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 FEE sr R •E A K D O W N ❑ I am exempt under Section: B.8 P.C. • ,, for is s TYPE QTY DESCRIPTION . UNIT COST TOTAL COST ' q� 2 / �L �DatOwner: SFR 2088 DWE—TYPE V—WOOD FRAME'•. ;b000D 74 .00 154, 512 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and SFR 4 30 RES—GARAGES TYPE V ) 18 . 60 7, 998 . 00 25534 and that I or any luture building occupant will/will not(circle one)need to comply with said stale codes and the requirements for a ENDOF FEES ' permit for construction or modification from the Air Ouably Management District.Residential construction applications are exempt from •�j these provisions. 1 I Date: Ap0licam: F XPTD T 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 �-•� 1 n L rhereby4 ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned 1 ,J-E/ 41 / , property for inspectionn� purposes. DATE ( (�I" I Y4 ' .93 Date: Y )✓tel. ! Signature: (1 ` e y`— c— c/ eitAt •1 , Driver's License or Social Security a: ....' CITY s•F COSTA MESA 1641-46 White—Building;Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor 1 1 —� _- --- • -. -- - t CONSTRUCTION AND PLANNING , • :POOL '- 'PA APPROVALS Permit 4;_ • Date i Inspector APPROVALS Permit J' Date Inspector 1. Temporary Electrical Ser.., c•:O. Pole I 52. Puol & Equipment Location ~ " 2. Soil Pi1f2•U�ydr�rn�r i 53. Steel ;ii.•ifo.eoment - +r 73 Ejcctvcci• cape_c iit iity•U,,drgrnd. I 54. Forms , x=�4-•El,ctc Eonil.61 •L'rlrq•:'d 55. Electneal Bonding r '"S.. tz]•-;i;r.i!Oreyrrtent F;7-.g4 .6e.4.1456 R„u:•'i PI,•nh'n? & Pressure Test h3-4K w J 61• F "PFL`!Al T: CJVER-GU•NITE I 1- 1=T:'fir cr.'n( n _ f-3—ly 1, G c444-1 58. EI_•cr,:,".I'S Condit .,rdrgrnu. 43 f-a:-__^.ire - _ Ii 5S. G. P pe. III UUnurcrnu., est I M1 ..•in ..nciTrntl. ` G3. 3.r .st - ._ . P'T-_p. - „r;;'c rrU :C�S:.-c:- I c..' .iy-.:e'-, 1 61. APPROVAL -ODtCK I 1 {` --1- 11, ------1 1 i, P:0 p 5=:b •r Lir & lac,v• cop/lemon ----1-_G?. ° c.. ,,, r_: F,n31 `."t. St:.c C,❑ I --y I63. H':• :. Er Y.nt•Fin:. - '3. pp 1t ar.•n'- 'O -- i_-- E3. P„.-1...!1•-t1 c,,s,c • F net ' , -- -- - G Rn,' h Gann P..04,7!6.43 :A9 65. E.acf:c.,'.j-In a1 I I g I 66. Scla. Sy"t.rn h,np, �___ _ I.--_. __ -_ - _ --- --1-----_ ____-__ _ - __--_- __-L ___.1 go.,,in 1=Icc'n�fl::v'n'g 6). F.nc.ng & M:ccss Anpro.•al _T - , �- _ —I__---., ' 1) Ru ? ' 'Y_;' g5•in GS. Al'PlOVED FOR PLASTERING I 1E Rug t ... -,ty'. v Bar Cenmu C.^ POOI 'SP/1 SYSrE':S FINAL I • --- - �'_-__ - - _ . _ J I t � - -I ^ :n,' n int ,JF I REQUIREMENT ;v T'; _ " V E: di S-; v t 1 `S.:\.'q^rT'1y.�.=. r i rn It - • S C, t -1 } T V f-„•%r. ,_�" r'- -FT t ,-3-.7-1---7- - - .. '_4- - r, cry .. .. LS t '7 f w a + -,- _... rJ.r rn • - - - 22 Dm .1 •n ]t,rt _ ... .. N• 'rt 0.i , •• ?te9 d st f`c I f .r C' K' 17 E•II -'fit)"' I - u __ r✓ . - i7P. , Li ?' S T- - •-IC 04 ' * "6 U • -� �* 7' 7- b..r'r 9.1 ri prCi . 77 I .. , I IS"w..k2'uri, 6*2 "• �'caau �r1 .. 7:4"1? )�.. `. 1• _` i - 1 -. r 1 '.- v 7I ., 1NV J .7, 7":-c.3/1 Z/' 1(414-&-•�' 176.1'111S' ry.71 . L a - -; �- i } - .,r -• --- tit:-r - t." d M / [�- . --- - _'!' '¢ty-r- t 4:=1-1-4-----1- - .-t._.-4 L _i __ r.26 Yh,nr. ti' .4.4--••••1 cn ' -f '-1 CV `:r [_�-` _-_ _ c4_ •____.2_r_-.____ '•_ -__ ---•t__ _-_! 27. .. 5 .. 4-••• y I dr..W: I 7& FI.IE •PRE" r \1.4. • - 'r n a • _' r" _- - C' ---.,-r-.----'0- --:-t Fri --j//j-� ---.f`.1- - uo } -- 7.:,-.•i- '. _ - - 1 -__. , J. Pr ,t'i. -" -1Y`�( [Q - •"- FA IH DErl 'RcOJ,I- - :IL 21 J' r } :.1, P 4 ' r " l Y4&-9Y i.e.__ 7n? ' t .•KI •E S. ♦ C _ •-T r•--. T mo i_ -+t r I- t -mt.., __t- T s t- . -. 1 '7' • r t t'a I Y. .ti I_- . 1183; 1 : , l" " , '-nn' °SUE1: t� _i - i - 1 =t. __ _ _ _+i- b- .Li_ . _ - 0 _ _ _ ,T _ _ _ L . . • S . - _ �� ✓:., sit j r % m- •1 t - ? -- ▪ •-..._L__..•-•L ._. X3:_3 '1 m'\ =ti 1 _ y` ♦ I: / •_`�' (-C m C •T �• /- ✓ t!L_ i 3',�F G - ill: 1, �. (- :-f- r• '6 fir. Pr u, a r 1 4C• , T 1 1. * l3.,(7- ( -1 r1"/ICx Lt/nt-, - a6 X37`' - r� ^" - � - - p'/ - - [/;- - -_ / ' I. _ h .I ''l,tler Fit' ,:.rr l:, •,,f )::.:. _ • j '! b �,t�il' -ell •, /W(.C.-- —: G 4 ffG. S c-. t,n 6 :1 "'r "SC . pl I � ��i dL.`-fp.Y A 4 •41"$n'.v U. ..:it c•Frt1a r-+ r • ;,i • t x < 3 .Ln.1. . -. .ante; r • q •. ' ' I( I S >1-i • p _ -f I- - i - - -t--" :+-- i 47 f _ —. __L--_-.1* __•_`__._ I ♦ _ :.rj 5 a •• _r L jury CI 'vile- SY !e r ' fir. I T r F • . t :� •rj r Fj.. -C - . -:I _ - • l••• k L ;::0-'U7E E. Ri'LLu CIG - _•_eat - - - ' I _-k ._-- G.. . lc Soutl-_,, , t .fare 3 Gas Co • ' ,T i- - —.--- -- -- - .,▪ ILCFFjT,�C—•Ti6OF000UPF.I..CY j - — — ?i. Dote 1 NEWPORT-MESA UNIFIED SCHOOL DISTRICT 1132 .. a CERTIFICATE OF COMPLIANCE OF DEVELOPMENT FEES • PURSUANT TO AB 1600 AND AB 181 TO: ( X ) City of Costa Mesa District Receipt No. �� ( ) City of Newport Beach ( ) County of Orange Plan Check No. in 00 TitKU � // (� 410-7 - 93 Applicant V11 -1 �4 JJOp/A.r - Address: iotf� ge,NJE dr— 5Dr7C ✓' ✓U 3 a� '6k-1(4 92660 Telephone Number: (71 K) '� L` U — 30 7 2, Tract/Parcel and Lot Number(s): / Ca C9 Vf Location of Project: /".& O 73 Iva CT c 5A- Number of Square Feet of q O /CI (- Z <� Residential Space x $1.65 Total y Residential/ Sr. Citizen Space x$ .27 Total Commercial and Industrial Space x$ .27 Total R & D Space x$ .2652 Total Warehouse Space x$ .2253 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 compliance with Government Code Sections 53080 and 65995. The Building Permits for this square footage in this proposed development may now be issued by your jurisdiction. Checks are to be made payable to Newport-Mesa Unified School�� District. /� By'C�� .0 l(J Re horize 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: 2 S roles c- ! ) c L L g/d,, L_ Applicant • City of Costa Mesa • California 92628-1200 P.O.Box 1200 Insulation Certificate • i 31p 9,3rd e frit - Permit Number lot # A - Elden & 23rd Street Costa Mesa Number and Street City Orange A County Subdivision Lot Number Description of Installation ROOF Fiberglass Batts Owens/Corning Material Brand Name Thickness (inches)_6-1/4" Thermal Resistance (R-Value) �g EXTERIOR V4lberglass batts Owens/Corning Material_ Brand Name Thickness (inches) 3_1/2r' Thermal Resistance (R-Value) 13 ander 1 CEILING Batt or Blanket Type Batt 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 n/a • Material 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 n, a 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 kir 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 ayat r—//— 9s/ Signature and Title Date 1907-46 , . FINAL GRADING CERTIFICATION Project Address: 136 23rd Street, Costa Mesa Lot Number: _ 7, 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 grading ordinance have been installed. Adequate provisions have been made for drainage of surface water from each building she. The minimums are: • 2% Fall from structures within 5 feet from exterior walls. 1% 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 — 1f10 of the design d elevations. Supervising Civil Engineer %WuReg. No. 31720 (Signature) 7/ /94 t�// Daae 0\oFESStok ��Q�•i \N B Hq�� 2 0 N0. 1)N z w RCE3172D cc EXP 12/31196 • )'• CIVIL Q' TFOF cmftpP ., ' STKIP and SIGN PROJEC�ADDRESS: {• 23RD ST au:4-4r au:--4rCITY OF COSTA MESA - BUILDING PERMIT PERM NO: P 06548; OWNER'S NAME: VNE DEVELOPMENT • CO ADDRESS: 23S4 TA E M17TH,ST CA #208 PERMIT NO: P 065487 PLAN CHECK NO: N GOVT: N SUPP: N ESA 1, CONSTRUCTION TYPE: V-N PERMIT TYPE: PLU PURPOSE: NEW 548-3072 ARCN/ENGINEER: TAYLOR ARCHITECTS REG.ND.: C14978 JOB DESCRIPTION : 971SF 1ST FL, 1117SF 2ND FL, 430SF GARAG SQ FT: ,I ADDRESS: 234 E 17TH ST UNIT: 203 C .M. CA 92627 CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /M-1 PERMITTEE: HOODS PLUMBING , INC ( 714 ) 689-2488 ADDRESS: 6703 CDEST AVE COMMENTS: REF: B-65475 • RIVERSIDE CA 92515 ********4****x•******************************ar+EaP*********** ******************** LICENSED CONTRACTOR DECLARATION: I hereby affirm Thal I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 700 ' ion 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS 4CITYLIC.: 57737 STATELIC.:260324 cuss: C-36 ate: /2-742-9-3 Signature:- C"�� FRNT: IN REAR: FT IN FRNT:MAIN BUILDING ACCESSORY BUILDING FT FT IN REAR: FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm that have a certificate of consent to self-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN Compensation is l ry 8cg(11e9 tipy thereof(Section 3800. Lab.he/1 5/9 4 POLICY NO.: SAFECO 1 EXP.DATE: VV PARKING REQ: PROV: PARCEL: 43927116 ZNE: REF NO: COMPANY: PLANNING NOTES> D Certified copy is hereby furnished. i Certified copy is filed with the city Building Division. > •� **************************************IE******..****f***-*************************** ate: -Za---9 Applicant. DEVELOPMENT SERV;,'I G EJ-S, .R E. Q U� I R EMEN TS n , I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become r a subject to the Workers'.Compensation Laws of California. ZONING APPROVED BY - i- ' . .. DATE Date: Signature: BUILDING APPROVED BY , A. ' , ''fit / DATE: NOTICE:d.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor ' /!,/ j Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. ; ' " ', P CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPL ICAT ION ISSUED BY: '7 :lid/ t I' `f -' DATE- "l which this permit is issued(Section 3097,Civ.C). ;LENDER: ** ADDRESS: LEGALIZATION:N F E E S U M. M- A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING OWNER BUILDER.5 DECLARATION:and herebyC affirm that am exempt from the Contractors'Stateonstnse Law for the folve,dem reason, r PERMIT 171 . 00 . I,7 1/� (Section 7031.5 Businesspriand its issuance. Code: Any city applicant cocawhich requires a oefmit to gnedtstat,alent, tlemoen,or pursu my sthecprov. f Con racto alsoS to Li es see wCfoer such menti g file a signedtionstatementof D that 01he/sheteilicensed 25% -. •":" SMI P/NON-AES provisionsandsProfto sionthat he/she is exempt therefrom and(he sr9oromalleged withSection violation etithe01,5eby PLAN and Professions Code)or etppmat t torafrom and the fbasis for the alleged exemption.Any vi50n 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($500). 1 0r BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 171 . 00 20 . 00 0 .00 ' 191 .00 191 . 00 . 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 for sale, If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 19t. 00 OVER/SHORT: . 00 improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve for the purpose 01 sale). B LDG PMT PLUMBING ELECTRIC MECHANIC ,- -FIRE1 SM IP/TOT GRADING PLAN-CHECK _ 191 . 00 03 C31579 ] Cn1 21 C TOT 141.00 I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business V ' 1J and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon '" 'JET'` 1_/1•i9 TIruE' 12 29 and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law). I am aware *•*********'*'**********'****'******'***'*'**************)F*********** ***************** that proof of their Worker's Compensation insurance should be provided to me, INDIVIDUAL FEE la R,+E A K D O W N o I am erempt under Section: B.8 P.C. - forthisreason: TYPE QTY DESCRIPTIO N •'r UNIT COST TOTAL COST Date: Owner PLU 3 BATHTUB '- ,-4 7 .00 21 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and PLU 1 DISHWASHER - ' 7 .00 7 , 00 25534 and that I or any INure building occupant will/wilt 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 Duality Management District.Residential construction applications are exempt from PLU 1 SHOWER _ - 1 ; 7 .00 7 , 00 these 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) 7 .00 28 , 00 ordinances and slate laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned PLU 1 WATER HEATER AND/OR VENT _,! f' , 7 .00 7. 00 property for inspection purposes. �� PLU 1 WATER SERVICE , �- 7 .00 7. 00 PLU 1 GAS PIPING SYS OF 1 TO, 4 OUTLETS 5 .00 5 .00 411001- r' - Signature PLU. _ 3 GAS PIPING SYS 5+ OUTL-PER OUTLET 1 .00 3 .00 Driver's License or Social Security if: - 1641,46 While-Building:Green-Code Enforcement:Canary-Applicant;Pink-Revenue;Goldenrod-Assessor -� - - • CONSTRUCTION AND PLANNING POOL F Date Inspector Date I Inspector AP°ROVA.1.= Permit# APPROVALS Permit ;= 1, Temporary Electrical Sertrtce or Poste , 52. Pool & Equipment Locator, 2. $Q.' Pip= Undrgrncl _ " fejnylyr- 53. Steel Reinforcement I ---J.'41--Alectri?a_Cr?:Ii.i Jt':lity'Undrgrvd.' 54. Forms 1•>-4')Elect-ta'T1ndurt�ndrgrnri. 55. Electrical Bond•ng �teeG P 11 ri�orc;erllent m - 56. Rough Plumbing & Pressure Test ` r nj7� r-f]'>;•e;?.cU.i2.l L'fRsGrnd - _ 1 -- - 57. APPROVAL- ':O COVE R-GUNITE R�_ I I I T'.�F Fpotmic" 58. Electrical Conduit Urdrgrnd. 4 F.-8. Founder on r l 59. Gas P.p.:, :J Undrgrnd.,Tcst --- I .:7^d.ale: r`4oe-Licit g rnd. f_ ‘Tel- 1%✓/ • i 60. Be c'a.,csh '._.nes, P-Trap, Unr':grro O'S:-'-ctural F!o . System _ l /�,� 61. PPPROVAL TO DECK 11. Properly 5ed/er Line & House Connection ;._)/_c4_ 62. Backwash & Receptor-Final 12. Sewer Cap -, _ _f1 Vent-Final + ___A 63_Heatcr & __ a 13. Roof Drains:„. 64. Plumbing System • Final 17- 1 I 3,14 Sf't 65. Eh:ctncJlF-final Il t 15 P,. ,gh;.;ertr.cei•Cordu,t t- 36. Solar System ^,rat 1,4 -- -� _ 4, I '6. Rou-hxlec'r C�'.'!irin2 67. f--.rc '<g & Accc.; Adproral I t•' 17. Rough tiring Sign I es. APPROVED FCR PLASTERING ! 18 Rough FIactrica6T Bar Ceiling an. POOL/SPA SYS TEt,iS FINAL L9. Rouyn las 1g & Air Conditioning FIRE DEPT. REQUIREMEN i i 1 yy• _ - 1jT" R:^gr.• act'cy-y +_IlePlace •'J c �'! / '+'APPITTOVrtYlt--t Permit r i. _ � - _ :-- - �'- -1 'T- ..:.1 T^- ....�Dx - Sigi_cttita .. .. =1 JO rktnd:rgtcur^i htCIro � -4-•- -i4--- - IF ; -. r . n = \le d•-.t rr '�S -• •i• cF 71. Prooc CJ',l� '�Iy .�as u011 -2.3:.,...::.::::,..---- >•,9h ¢52 ^� If , 72 UI dc1 iv IJ F..57 f 1- I _7)_�.,___.-r_ Cr' r. )--al- -°"' 1 t• -a-:._ -A ».- -1_ -I '14.•Pouf F emin3 71A 1 J : -. Lit' llndernrnd.SroM.- '..n!l`._'.Gac -;.+11 _ .II - - -1 I %5 FjA' uh'2t Hing ..- 5 , 7 74: OderF ad Hya mu --_ �__- _i y I _ - t ' ; .n R- 3r r-_ -E1- - _- yFo -Brr C•-On (Structural) & IJ'O np coat % trt r_• 'ra t ,r 7 _ 't':,.•.i ', g .x Dry CIIemlca'. - T y7z, -•. tl d Flosi '4 . .. • , I 76 Dry St•rl:.p+pe .. •:11, - .1� I F, • a. v - _ ;ti e- - .x -. 1-. 2e Litt. rtt V S l-.."• ' •, • i I iT FIX D 5"STEir 1'f•AC y , ] _ -i_ :' 70 •r' a ._ - .. I+ It --• 1' 1 ° .2t- l r r. 5ua r.' .. I. ✓ 1 7CEIREt>R - V F'�'lnL a : C i`^ i- ,n. > 7 - _ r- 1----------•»---- - - - ------Cf -. err. ._j..,� T �u (1 y all•-'a.' ^9 • 'w 1 I-- •'_4t. F ..T14D`PT REC-UIR -�Fl•1-1c. ru __ __ 21. ? isti .pro!.:,/i; Co . li r-- tirt, , I p ., m 79 Ar'.iti r.F t„ 1 '1- -_ -'-- -.-_ r --f r- '-T1_ 1-. nt= a .'r^._er l eter Final _ I p w r 80 F')OD CF l-, c ICA n"]l.E1_ i i1- - --- -a--(- --- - • i` ^ I -- -�/, * r IL 3 -A F Irl 1?.c'rr t Ir.. s ; I\ cs �_�f^G4 'LL? / OK (Il •t ,1 2I I" ai . et Alf Band•tio'Itn -, ♦ .� I �J1-A V Z� 1 ' •i\ ._ 1.. --., s '_ - _ Sy x �. ' r. >-t Tom r tit- -c Pl, _ _ - �' _; JOIFica Gas Fide-Test 4 l6 ) . --_- --- - I�'�21) t 1 +� •P n_2q_VIF"? _C✓'�lJ._•a.ct !�' -_ . - J_ 1 i- -,:Al r,aort FIrEeIace_ - I"t"��C" 14L'lr a F _ .- i_T �:`r [ .�, • ,rrb n3 eft 3) I rile -1�-�+l C✓ b-6�_ \ry" l,_ _ I l 39. .: .Wer T±2i � /OW '• •-- p l _. fr 4 ._I •p - � r I _ -�.:T- -�-� -- - --- ._ - . _ -� 41. Solar G,.n,esuC Fi;>a l_ •• _ ..'- _ _ J 17 42.--B4 ckf!pi/ Proaente( .. l • �• (L. ��- - -- �-+- _ l _G 43. 3eCk Il-J. I'a^atinn ' . Y. 44, 1 ^ndsccccp rie ir< - TT __. . _.--_- -_-, "7-;_-..07- _ _ - Qn System - ,e to 7 I, :11-' _ ' ``'...6.1.5„; SO'.:,-d c',it^.ri uatidn 2. i.. Ft ' I 1 , , , 1...< a r -.1-, L-_: :! it r- o- .t -r; 4 F'-.rd,r,Y,1 R4tuizt'.gns ;- I r S n. _ . T•47.-FICAL STRUCTURE & BUILDING 1I* 48'_�IhlAL "_..^,A!NING I o-$ x �.; -� - -r----- ----- I Ii 4£.•Elgatnc Reh'ese to Edisonr. I r .c - , 5Q-Gas,Relaas to Southern California Gas Co . " ' r -- - - 51. CE-bT1 C^,7E OF OCCUPANCY (- 7.- ^>. - - _ �No. _ Date I -�I - 111111 Pa City of Costa Mesa PARK FEES ' - . 001287 22 r Fee Payment Receipt , Project Address 1JLD 23�Lt� ofiteil-- A.P. Number 4'39 -97 1 - 1 Co, / 7 Building Permit Numberl Owner's Name Ma Doielo pntn1 t‘isIeLe Tai oa b0- Mailing Address ' 1bt-PS Ir✓I yt2 Avt°� Suittsb 3/03 N 13 (}F ti tot/ D Total number of dwelling units in project 7 Total number of existing dwelling units to be r, demolished or removed as a part of project '4 Net number of units subject to fees J vi0 ' An Net ( IZO 12 Q rd Z ) �(( �GL Type of Unit Number of Units Fee" 'tiamounn , I^ o. 60-0 • Single Family I X $5,748.82 = 5/ 1(48, 82-, pcIUCJ^ Multiple Family X $3,940.34 = c2 / Total Fees 51 U• 8 / Planning Division Approval Date a/o c�l By" " `r C; meg• •3Yry :::::,3055r: 748,82 Applicants' Signature DATE: 09/20/94 TINE: -i111 5'�li�fin 'City Ordinance 89-28 City Resolution 91-53 017430 rev.7-91 White-Planning;Canary-Planning:Pink-Finance;Goldenrod-Applicant F + t PROJECT ADDRESS: UNIT: OWNER'S NAME: ADDRESS: PERMIT NO: P 065487 PLAN CHECK NO: 05074-93 N PAE.,tr.: 2 ***********************************************************************+E******* A'CNIENGINEER: REG.ND.: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST ADDRESS: UNIT: PLU 1 GAS SERVICE 7.00 7. 00 PERMITTEE: PLU 1 SEWER, BUILDING / TRAILER 15 . 00 15 . 00 ADDRESS: PLU 1 SEWER, CONNECTION TO BUILDING EACH 15 . 00 15 . 00 END OF FEES LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions 01 Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is In lull force and effect. CITY LIC.: STATE LIC.: CLASS: Date:_ Signature: WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). POLICY NO.: EXP,DATE: COMPANY: ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. Date:_ Applicant: EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (Dissection need not be completed it the permit is for one hided($101)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 I0 become subject to the Workers'Compensation Laws of California. Dale: Signature: NOTICE:II.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 to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031,5 by any applicant for a permit subjects the applicant to a civil penalty of not more Than live hundred dollars($500). 1, 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 himsetflhersell 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 sob within one year of completion,the owner will have the burden of proving he/she OW not build or improve Mr the purpose of sate). 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 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. ❑ 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 Safely 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 these provisions. Date: Applicant: I hereby certify that I have read this application and stale that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building consbuction and hereby authorize representatives of this city to enter upon the above'mentioned property for inspection purposes. g .x.0UP' T.CP R. :c. M r: Date: Signature' w._ _ 001t:.4Y r.)'C973 i a') (Jct Driver's License or Social Security it: DATE: 12." ;'i, T4717.: t641'46 While—Building;Green—Cede Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor r- r CONSTRUCTION! AND PLANNING POOL a SPA Drte Ins r ArPROV/LS Permit pector Date APPROVALS Permit -'s _ Inspect. 1, Temporary Electn,315=-.•c, or Pole 52. Pool & Eqi iITrnt t -- ' L2. So ! P pe Undr-no. I i 53. Stet! F,,eil lorrt:v' I t 4. E'cctr:cJ Cor:du.t-Lrdr-'r 'I I I j 55 Electrical Bolt .!u __r__ - _ __n._ _ -______ - .__ - .__ __ 5. 5•. '' R.' ^ra-.c rrr-. 5d. 'lcth Pb,r. h r- L ' _ n- _ _ _ _ -4-- _ _ -.-__._ - - .- - _ 6. Erectnc,' Ur-EIl r 1 I 57. APPROVAi In cc i 'I i.__ _ _ ;____ - _-_ - _ __ _ - . _ __ _ _7 =Fuotm -�9s - --- - - I- �- --- -- 58. Electrica: Co_ , -r -- - - -- - - - - - 8. Foundation 1 I 159. Gas Pipe, I-1 Ururgr,I,l , ,t .I 9_ C..t!ur P prl!--.11.."rr-I. 1-04-, - CO. Lc:r.Wsh L , : P , ( 10. Structural Fl ;or Sy:t, •.. 1 ! 61 A!:PROVAI NI I- -"c ! _ - fi. _ _. t - _- _ _ I1 P-nn . •y S _ _ - - r ., r -_ rr 62. B.cc....;h C 9I : L-._ _ - _ _ ._ - ____. _ __- -_ _ _ _ _ __ ___ __ _ _ _ 7! _ __ _ 12. Sr I : C-p _I 63. N`ct,.r & Vrni :: • 14 "ri,_i^ Pil ml.-11 , _..,_ l 65. Electrical F!-';' 1 15 RE-7,3)-1 ^Ecra.. -C.:7•6_ 66. SoL. Sy:::r.-F In„ ___. - _ - I 16. Rough Electr c!^.grinq -- I_ .._ - - __ -- 1 67 Earring & Act'". Al _ ._ _ _ _. 117. Ro..gC: r n nq S qn --- r - -�- - - 68 APPROVED FOR PI ASi : h'.:.:i 1 ----'--- - - I 18 Rou h Elect"c !-T 8" C„ -r ---- I 69. POOL/SPA SvST. • 'S FINA.. --`-- - --- -- 19. Ro:..gh :it trig '2_ ; I FIRE OE:'T. RCcuiHE.:E::T - -- 2:1 Rj_gn:C,r{y-+,+_- . .r. ! /APPROVALS ° - - - __- i 21..: Dyct;,'I St'''. c'ur7 ' 70. Lndergrounu :eY , I `____- - -__ - ---- I 71. Pico,ct P n __ _ __. __ _ _ .--'- _ __ _ __ _ _ _ _ _-- ____. -. 1 2a,, Fi. E 4-'-Ko. I 1,: :2. Lm'r vo, , . L_ _ 3 _ . - - !--_- -_ _ . - 1 25 ldju' She,t.l n{ I 1 14. O': -I•.•apl '+ ., �4 ' ,P._: ..o.•.;rr 75. Dry Co. !, _. _. ..:._/_ h - 4 F..4 _ _ _ - _ I__ I! _ _ ___- _ . 27, Fr,lrnr !Ind'71 I51q ..1 I i 75. Dr. Stanl'r:.� . I I 2G 13.. tr !r . 77. F'. - - . :Th .i ! ., i^^a ILA, I 'a !r .'1- ,i:r:. _. r - r=74 - -- • - - -- - - - - a ri. . - FCJC.D .:r ' `_ T=,L�t=, )2.70-63 -Con pow more- 1 34^ i' p . :N., ,.•d.-,,, E.- I I I-yr` “". 171 . I_ 3 ; Ml4od or ef!nC Pr+rr ' � i _ __ __ T�.�__ _ -._ _ _ ,_ _. ___ -____ _ - - . d L. _ . I 38.. F d:i P^,rrbr' c I IL , 0 I .:�,, SE' :�- ,11-. F .L-* STN ID: _ . .. _ .., I I r . I. . - !No. 1� PROJECT ADDRESS: :f 23RD ST wu*. ,w. CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 066421 OWNER'S NAME: VNE DEVELOPMENT ADDRESS: 234 E 17TH ST #208 PERMIT NO: M 066421 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.NO.: JOB DESCRIPTION : INSTALL GRAY. 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-65475 ORANGE CA 92665 iE#-x* #ytaa# * +e*+Ex-.><###******#+ #*####*** ######*+t +Fw******##*#+t#######************ LICENSED CONTRACTOR DECLARATION: I hereby affirm that I a licensed under provisions of Chapter 9(commencing with Section Z ON ING REQUIR EMENTS 7000 of Division 3 01 the Business and Processions Code.and m lice is in lull force and effect. SETBACK S yl r—'"r aS STATE tic.:269496 CLASS: C-20 Date: l -• Signature:_ MAIN BUILDING ACCESSORY BUILDING 1 - FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN • WO: ERS'COMPEN ATIONDECLARATION: Ihereby irmthatlhaveacertificateofconsenttosell-insure or a certificate of Workers' LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN POLICY NO.: "'4 / • C' pensation(�n)5 aoce, c ed p thereof(Section 3800.lab. 10 2 0 d b EXP.DATE: 87/01 /94 COMPANY: CALIFORNIA�,?.COMP PARKING REQ: PROV: PARCEL: 43927116 ZNE: REF NO: Cenified copy is hereby furnished. t.'1 Certified copy is file with}} •ury Building Division. PLANNING NOTES> >OTES>> Oat : Alican: / . .****#i #**###* E# #*#####* t#####*###*# �i ##########*#########*i ####**############## '(his/ DEVELOPMENT SERVICES REQUIREMENTSEMPTION FROM WORKERS'COMPENSATION DECLARATION: section need not be completed if the permit i for one hundred(5100)ar 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 oc California. ZONING APPROVED BY : DATE: Date: Signature: NOTICE:II,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: _ _ Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. , ' (/1 / p` CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for :APPLICATION ISSUED BY: �� DATE: ` \p l l which this permit is issued(Section 3097.Civ.C). ' ***#**************#******************/xF?TT� w {F F;f'T �rt3F kSFi1—Fi.#* LENDER: *******************************************IE*************************** F******* ADDRESS: LEGALIZATION: N F E E S pJ M M A R Y STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: Ihereby affirm that l am exempt!torn theContractors'State License Law for the following reason BLDG PMT PLUMBING EL ECTR ICe '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 -•. 9 ,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 0)of Division 3 of the Business 2 5 $M I P/NON—RES 700 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 live hundred dollars($500). ISSUE FEE 15 . 00 I. as owner of the property or rrry employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered far sale(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 ot a prOpeny 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 • 24 . 00 OVER/SHORT: . 00 improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve tor the purposeol 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 24 . 00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon - andwhocontractsfarsuchprojectswithaconbdctor(s)license pursuant to the Contractors'State License Law). l am aware *###*##*#*##****#********************#*TY*************************************** that pmol of their Worker's Compensation insurance should be provided to me. IND IV IDUAL F'•E E BREAKDOWN ❑ I am exempt under Section: B.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 Ida 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 vin/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. • Date: Applicant: • / ' I hereby certify that I have read this application and state that i ye information is correct.I agree to comply with all city and county / rdinances and state laws relating to building construction and he by lhor¢e representatives of this Pty to enter upon the above-mentioned i �ropeny for inspection purposes. D'le: Signature: 01 00157378-00157378 TOT 24.00 Driver's License or Social Security+: DATE: 03/18/94 TIME: 15:35 1 641.46 white—Building:Green—Code Enforcement: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, 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 '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 Conditioning j t34-• 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: 99,• •2�7 cp72.2acc_Cc.dr_-��t - 34, Final Heating& Air Conditioning 7-1114_411E_f/ j,,[[ • 35. Final Gas Pipe-Test ' 47-11-14 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 - r 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY • No. Date 13(e PROJECT ADDRESS: •'0 23RD ST +µ+T+'-• CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 066444 OWNER'S NAME: VNE DEVELOPMENT ADDRESs: 234 E 17TH ST #208 PERMIT NO: M 066444 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.NO.: JOB DESCRIPTION : FACTORY FIREPLACE SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 PERMITTEE: VNE DEVELOPMENT (714 ) 645-7588 ADORESS: 1048 IRVINE AV 363 COMMENTS : REF:B-65475 N.B . CA 92660 *******>F+ *** Eur* ** Ede** .NdaaE+t********x****H*+tx>Eat******d.#*aE********* t*x*>Eap#x**** r LICENSED CONTRACTOR DECLARATION: I hereby affirm that am licensed under provisions of Chapter 9(commencing with Section Z ON ING REQUIR EMENTS 7000)0l Division 3 0l the Business and Prolessions Code,and my license is in full force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to selhinsure or a certificate of Workers' FRNT; FT IN REAR: FT IN FRNT; FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Semon 3800.Lab,C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: PARKING REQ:Q, PROV: PARCEL: 43927116 ZNE: REF NO: ❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> > I,-. Date'. Applicant: ************************************i¢ ****4*********************************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($1W)or less). DEVELOPMENT SER V I. C E S REQUIREMENTS I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become — at0to thea Workers'Compensation Laws of California. �.�j ZONING APPROVED BY / /*t eLi?t Signature: 1—%!'j!M-1 c2-- DATE: NOTICE:II,alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE; Code.you must lonhwlth comply with such provisions or this permit shall be deemed revoked. '• 'rrep CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work fat r I APPLICATION ISSUED B Y: _• DATE: 1 which this permit is issued(Section 3097.Civ.Cl. ******************************F.'n• ****� Tr'*.******************************* ;g1W4* LENDER: ******************************************************************************* 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 lar 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 the a signed statement that he/she is licensed • pursuant la the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 70001 of Division 3 of the Business .- 25% SMIP/NON—RES and Professions Code)or that rte/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(S500). ISSUE FEE 15 . 00 I. as owner of the property or my emplayees with wages as their sole compensation, will do the wolle, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE tSA structure is not intended or offered for sate(Section 7044,Business and Professional Code: The ContractorsState License Law TOTALS----> 13 , 00 15 , 00 0 , 00 28 , 00 28 , 00 , 00 does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided Thal such improvements are not intended or offered for sale.II,however the building or REVENUE DIVISION TOTALS--> COLLECTED; • 28. 00 OVER/SHORT; 00 for theepurposee of sale). BLDG one year of completion,the owner will have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the protect(Section 7044.Business 28 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 a contractor(s)license pursuant to the Contractors'State License Law).l am aware *************************************** *****************1r.*******.x.*****,*.**.*.**** I that pmol of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F, E E BR E AK D O W N ❑ I am exempt under Section: B.8 P.C. for this reason: TYPETY DESCRIPTIO S C R I P T I O N ��L Q UNIT COST TOTAL COST Date nIwl/r(L�ytq Owner: 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 6 . 50 1 3 , 0 0 END OF FEES 25534 and that lar any future building occupant will/will not(circle one)need to comply with said stale codes and the requirements for a permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from ./ ,) these provisions. - r Date: Applicant: ' I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and slate laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned pro y for inspectionn ��pur�poQses. if � J1_±ttt - y�L cite,..,[^ 01 00157328 00157328 TOT 28.00 Dale— Signature: DATE: 03/17/94 TInE: 08:59 river's License or Social SecddlY r: 164146 White—Building,Green—Code Enforcement:Canary—Applicant:Pink—Revenue',Goldenrod—Assessor CONSTRUCTION AND PLANNING POOL ?A APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms ' 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7, Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 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 _ - ly 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 ^. 741_.A•cE +� 36. Hood or Canopy I 37. Final Factory Fireplace -nL �i�9• 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 Ce 51. CERTIFICATE OF OCCUPANCY No. Date J PROJECT ADDRESS: �J 23RD STT. :• CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 066352 OWNER'S NAME: VNE DEVELOPMENT ADDRESS: 234 E 17TH ST #208 PERMIT NO: E 066352 PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA, CA a' CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: NEW 548-3072 ARCH/ENGINEER: TAYLOR ARCHITECTS REG.NO.: 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: CALC—VALUE: GROUP OCC : R-3 /M-1 PERMITTEE: VNE DEVELOPMENT ( 714 ) 645-7588 ADDRESS: 1048 IRVINE AV 363 COMMENTS : REF: B-65475 N.B . CA 92660 *************+ ***********+ +E*******+6+E********* ******************************kr** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING R EQU IR EMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in lull force and effect. CITY LIC.: STATE LIG.: CLASS: SETBACKS Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING RE PROV: PARCEL: 43927116 ZNE: REF NO: r7 Certified copy is hereby furnished. EI 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(Sf0)or less). DEVELOPMENT S ''E R V I C E S REQUIREMENTS I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become • s , cankers Comvnsation Laws of California. �/ L C6L ZONING APPROVED BY DATE: /v�G✓ Signature: eE NOTICE:If,after making this declaration,you should b ours subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: i I Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. - nT CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of.the work for APPLICATION ISSUED B Y: which this permit is issued(Section 3097,Civ.C). DATE: 2l qt Lf• LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from theContractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.after.improve,demolish,or PERMIT 73 , 08 repair any structure.prior to its issuance.also requires the applicant for such permit to We 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 5 0$ SMIP/NON—RES and Pmlessions 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 sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 73 . 08 15 . 00 0 . 00 8 8,,QS.,, 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 DIV I5 ION TOTALS--> COLLECTED: 88 . 08 OVER/SHORT: . 00 for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FI E IP/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 ® 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)ticense pursuant to the Contractors'State License Law).l am aware .**.****ih*.****.N*.*.*******.***********.*************.*.*.*********,***,*,***,*************** that proof of their Worker's Compensation insurance should be provided to me. ❑ am exempt under Section: B.&P.C. I N D I V I D U A L F E E B R E A K DOWN for mis reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST .-- Da /"p �r� Own„ L` (j '0L ELE 2088 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT . 03 73 . 08 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions, Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned mnp / erty for inspection purposes. Da _�. idzt&i„�— Signature: 1 / /f, 01 00156898-00156898 TOT 88.08 Driver's License or Social Security a: DATE: 03/09/94 TIME: 10:41 1641.46 White—Building',Green—Code Enforcement:Canary—ApplicanC Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING POOI .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. Stry:tura) Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final I12. sewer Cap 63. Heater & Vent-Final 1 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final • 15. Rough Electrical-Conduit 56. Solar System-Final II 16. Rough Electric Wiring ; eAyYY//e G� 67. Fencing & Access Approval 17. Rough Wiring Sign (v 7 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing I HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat //''�� 79. FINAL INSPECTION 32. Electrical Power Meter-Final 7h/ // 80. FOOD CERTIFICATE ISSUED 33. Final Electric " 9A t( / 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 9 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 12-1., ?"-5 r4 f, NU R STREET UNIT NUMBER PERMIT NUMBER�._ ^� ',, REFERENCE NUMBER NOTES: ✓r` 1- t.L.vf g72o ,°'f ENGINEERING ✓if PLANNING ✓ FIRE .i -1/ v'94 i a.o'3y 1998-46