Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
2940 GRACE LN - Building Permits
r :, ...----7 M n CITY OF COSTA MESA 4 BUILDING DIVISION > 4_ • DEVELOPMENT SERVICES DEPARTMENT P MIT NUMBER 4. PERMIT / 07-00441 `•oaarso ee RR)I V (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.c33�ILDINO PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 2940 GRACE LN Status: ISSUED Suite: • Applied: 04/11/2007 Vicinity: COMMERCIAL BUILDING ROOF Issued: 04/11/2007 Primary Occ: Type of Construction: Parcel Number: 14122119 Zoning: Applicant: SIEBEL, ANTHONY Address: 139 E COMMERCIAL STREET 4.?) Phone: 909-622-5598 POMONA,CA Zip: 91767 ISSUED BY: Owner: TRICO-TCH LTD Address 201 PAULARINO AVE Phone: 714-751-4420 COSTA MESA,CA Zip: 92626-3313 • Contractor: -HOWARD ROOFING CO. INC. ' Address: 139 E COMMERCIAL-STREET • Phone: 909-622-5598 POMONA,CA " " Zip: 91767 License: 475568 Arch : Eng: Address: Address: Phone: Phone: • Zip: License: License: SCOPE OF PERMIT TEAR OFF(E)ROOF MATERIALS,AND REPLACE WITH A BUILT UP ROOF SYSTEM ON AN NON-AIR CONDITIONED COMMERCIAL BUILDING, APPORX 9,000 SF.ROOF SHALL COMPLY WITH T-24 COOL ROOF ROOF STANDARDS FOR COMMERCIAL BUILDINGS IF BUILDING IS AIR CONDITIONED. FEE SUMMARY Plan Check: $0.00 Calc Valuation: $19,000.00 Permit: $307.25 Claim Valuation: $19,000.00 SMIP Res: $0.00 SMIP Corn: $3.99 Other: $0.00 Inspection: $0.00 • Total: $311.24 • PLANNING &ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 . Rear 0-0 . Left" 0-0 Right 0-0 " " PARKING Existing: "0 Required: ' 0 Proposed: 0 " • \Y • • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord.No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void If work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain Inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 244648(600) r • L WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the for which this permit is issued. I have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. __- My workers'compensation Insurance carrl,'flrraand policy number are: ____ 'Cartier: 1 %m F✓" `l (Policy Number: -W/— I ZS—Z o O k -(This section need not be completed If the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performa 'of-thrWOck for which this permit is i d,I shall not employ any person in any manner so as to become subject to the workers' compensation laws o e.I, '.,and agrbe that If I should object to the workers'compensation provisions of Section 77�he Labor Code,I shall forthwith comply with these pr. Tete Applicant Signatur • ��'� Date: 7 /r FAILURE T.-€ E W mar- WARNING: COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL ES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR $100,900),JNADOITION 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 affirm that I am licensed underprovislons of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full _force and effect.Lic.II 4 7s S 70 , �j' Class t -3 ,4I'j I o ,Contractors Signature: .!i Date: - ' CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is Issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she Is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such Improvements are not Intended or offered for sale.If,however,the building or improvement Is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ' ❑ 1,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business end Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. ❑Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet in depth Into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: _ Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the Califomla 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 end pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a_nermit for such construction or modification from the South Coast Alr Quality Management District or from any other air pollution control district or agency? 0 Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 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 Califomla Health and Safety Code Section 42303 been made? 0 Yes ❑No B (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. I nature Leal Ow Dale Ignature 9 a I% �f v •n r 'urn-:d Applicant _ - Date CODE If INSPECTION TYPE PATE PIIIDALS CODE# INSPECTION TYPE gd¢, e(TIDSLS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa FinalA��� 208 Final Plumbing 200 Final Re-Roof y 7710 ��3""` 210 Final Electrical 201 Final Block/Retaining Well 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy 'F CITY OF COSTA MESA -• BUILDING DIVISION 1.• „' ,I DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER / PERMIT +1y� B00-01674 tviwoRar o (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.cBaUILDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 2940 GRACE LN Status: ISSUED Suite: E Applied: 10/16/2000 Vicinity: UNITE Issued: 11/29/2000 Parcel Number: 14122119 Zoning: Applicant: C JIM / Address: 533333 SOUTH ST ISSUED BY: (\1J Phone: (562)925-1434 LAKEWOOD,CA Zip: 90712 • Owner LICATA, LUCILLE E TR w Address 13712 RUSHMORE LN '�r) Phone: SANTA ANA,CA Zip: 92705 �� i1 • +i Contractor: CONNOLLY CONSTRUCTION Y Address: 5333 SOUTH ST DyJ" Phone: (562)925-1434 LAKEWOOD,CA Zip: 90712 License: 568966 Arch : BEAUCHAMP, DANIEL Eng: Address: 15375 BARRANCA PKWY Address: SUTIE F101 Phone: (949)727-3840 Phone: IRVINE,CA Zip: 92618 License: License: SCOPE OF PERMIT CONSTRUCT NEW 578 SQ FT STORAGE MEZZANINE IN EXISTING WAREHOUSE FOR"CAPITOL PACIFIC HOLDINGS" (UNIT E). FEE SUMMARY Plan Check: $154.21 Calc Valuation: 513,974.00 Permit: $237.25 Claim Valuation: so.00 SMIP Res: $0.00 SMIP Com: $2.93 Other $0.00 Inspection: $0.00 Total: $394.39 PLANNING & ZONING SETBACKS MAIN STRUCTURE Front 0-0 Rear 0-0 Left 0-0 Right 0-0 ACCESSORY Front 0-0 Rear 0-0 Left 0-0 Right 0-0 PARKING Existin : 0 Required: 0 Proposed: 0 NOTES: NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92.28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446<e(6/00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have end will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. —My workers'compensat n Insurance carrier and policy number are: /� -Carrier: Policy Number: -1-130 C 2-17---Ind (This section heed not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I certify that in the performa :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 Ca -•rnla,end agree that if I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these pro - •ns. i L �.- Applicant Signature: �1 Gate: !f' 29--ZBG� WARNING:FAILURE TOjiy RE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE 11,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I.am.licensed u er provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is In full force and effeci Llc.4 - 6G lass 4. 9-le-S {f.;C Cont`ractor's Signature: GDate: —11-21F-2.4r.-4.--- , CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby effirm.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 elvil'penvalty of not more than five hundred dollars($500).): - ❑ I,as owner of the property„or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or Improvement is sold within one year of cdmpletion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I em exempt under sec. _ Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,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: I 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,ora volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application apermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? DI Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 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 ol;e7 air pollution control district or agency is required for the work which Is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If"yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection pu ses.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Si.-,, re Of Leal Owner(s) Date ../ I C'-2''---242+e •nd/Or t_orized Applicant - ( Date CODE r INSPECTION TYPE PATE INTIML4' QOM( INSPECTION TYPE PATE RfTmMLS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy ADDRESS OF BMlOWO: 2940 GRACE LN WIT: • CITY OF COSTA MESA — BUILDING PERMIT CANNERS NAME IF KNOW('A COTA PORPERTIES PERM NO: E 080915 ADURESY2940 GRACE LN COSTA MESA, CA 92626 PERMIT NO: E 080915 PLAN CHECK NO: N GOVT: N SUPP : N 1 ADPL.MARINO ADORES& CONSTRUCTION TYPE: 5—N . - ` PERMIT TYPE: ELE PURPOSE: OTH MOUE-CT OR IM UC.IC, JOB DESCRIPTION : ELECTRICAL SERVICE UPGRADE SQ FT: ARCH.OR ENO.'S ADDRESS: WIT: CLAIM VALUE: CALC—VALUE: GROUP OCC : R-3 /U-1 conium ISNAME.STEVE MAKI ELECTRIC ( 714 ) 898-3286 CaTNACTORSMNIm 9662 P .O.BOX 1430 COMMENTS : NO OTHER WORK AUTHORIZED BY THIS PERMIT AaoREssH.B . CA ucc. 682074 ************+ESE**+E** ************N******I ** EDEN**************+E***** Ni(rt********** 92647 tett: Z ONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby allEm under penalty of perjury that I am licensed under provisions al Chapter 9 SETBACKS (conunenmq with Section 7000)al Division 3 a the Business and Professions Code.and my license is n Id mm and thea, art uC.NO.: / � LIC.CLASSC 10 m4;682074 i P MAIN BUILDING ACCESSORY BUILDING Date: /J-//DIf ContractorG --" /L't^"0 FRNT: FT IN REAR: FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN OWNER BUILDER DECLARATION:I hers*dram eider nervily d perjury that I am exempt from the Contractors license Law la the r •ollewkp reason(Section 7031.5 Banes and Profession Code:Any c/y a aunty which requires a permit to conn,atter.improve. PARKING REQ: PROV: PARCEL: 14122119 Z N E: REF NO: •sash,arepakeery eaueau:prior m m isuvwa.Mee reavn the appfia d la SRNs aa*W )eme�aM ash he PLANNING NOTES> s licensed pursuant to the provisions of the Contractors License Law(Chapter of Business and Professions Code)«that he or the is exempt therefrom and the basis for the alleged exemption.Any violation a Sedan > - 7031.5 by any applicant fix a ami subjects the applicant to aad penalty nal more than the hundred dollen15500D. ******************************************************************************* ❑ I,as ower d the property a my employees wet wages as theksae compensation,wen clothe work.ed me stricture b not Wended DEVELOPMENT V E L O P M E N T S E R V I C E S R E yy U I R E M E N T S or offered Contract=sale(Section 7044.Business and Professions Code:The ContraLicense Law does not appy to en owner of properly ld who builds or improves thereon. u and who does such wok handl or herself a through he or her own employees.Provided that with improvements me not intended or offered fa the.I.however.the balding or improvement is sold vdthnaw year of completion, ZONING APPROVED BYDATE: owner-builder will have the burden of provingor heshe did rot build or improve la a d the purpose e). ' o FMes�v Coo:The Coe am License Law does tato anmmrof usively contract/es with 9099:19d CalltrOCICCIP pwrt who bow prokdor movSoden esth n044,eo and who iness end BUILDING APPROVED BY : DATE: contracts for such projects with a mdador(s)licensed pursuant to the Contractors limine Law). ❑ lamexempt under Section: B.AP.c.,for this meson: APPLICATION ISSUED BY: DATE: 12Ill (&te ******************************************************************************* • Date: Owner: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT: N I do hereby cendy that I am aware of end understand the requirements ci California Health and Sally Code Sections 25.505,25533.and 25534,and that I a any hmure building orchard will/wit not(circle one)need to corn*will said pate codas end the requirements for a wee la oaswctice or modGmion hon the Ai Ohanlry Menpemrd District Residential comrWbn apt rumens are exempt franllee BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING aa99ons- PERMIT 43 . 50 Date: Applicant: 50% SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirmunderere km dOn*of Mien.one of the(dowing declarations: PLAN ISSUE FEE 22 . 00 ❑ nava end MImaintain acertificate acocotte towrithes*for workers'oompenwion.asprovdedkrbySwian3700ofthe Labor BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE Cods, a m.natewakf« l:ate wmmai.iesaa. TOTALS----> 43 . 50 22 . 00 0 . 00 65 . 50 65 . 50 . 00 o I have end will maintain woken'compensation insurance,as required by Section 3700 of the labor Code,ler the performance of the work for which this panne is mad.My waken'mepenWkn insurance center and policy number we: Carrier: REVENUE DIVISION TOTALS--> COLLECTED : 65 . 50 OVER/SHORT: . 00 ‘ , Policy Number: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK (This 01•0111)00•0111)01 be competed I de panne S for pee hundred dalam 1$100)or Mn) 65. 50 ❑ I certify the in the pedamance of the wok ler which the pane is issued,I Nm e all mploy any personn es o any manas to become subpd to the soden'ee 'compensation lawn a/Ceaortia. that d /1 should scanssubjectnsubjectth to e workers' ******************************************************************************* V. Date:compensation provisions of Seethe 37C0 of the Labor Code,I Nag fort /.h„.., with those amyl:. -, I N D I V I D U A L F E E B R E A K D O W N /2.'10IQ4 Appiard: 1.9 —A ✓/ I Wetlne:Fount secure workers'rondewtlon coverage Is mewed,and shall of an employer penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil nu 1to one hunded Thousand dollars in edylGbn to M cost of compensation,damages as provided for In Section 37osolthe Labor Code, Interest,and ettomoy'sfees. ELE 1 SERVICES BELOW 600 V & BELOW 201 AMP 27 . 25 27 . 25 • CONSTRUCTION LENDING AGENCY:I hereby slim under pretty ci prjoy that there is e corstnudion lending agency for the ELE 1 SUB—PANEL 16 . 25 16 . 25 pertamarce ci the work kr whish the perm is issued(Section 3097.Civ.C). LENDER'S NAME: END. OF FEES LENDER'S ADDRESS: 1 certify that I have read the application and Wale that the atone information is cares.I sorsa to comply with at city and county ordinances and state laws relating to building construction and hereby althorns representatives of this oily to enter upon the above-mentioned property a mepedexpWose TEYV E MAKI / �vPan ern e St SensorialowmAgrvAp pEamrmacta Dale: /2/0/14 • 0100221207-00221207 TOT DATE: 12/18/95 TIME: 12:32 65.50 (5151.46.WP) When-Suildito 5 Safely:Green-Flo:Canary-Applicant:Pink-Roane:Goldenrod-Assessor -- CONSTRUCTION AND PLANNING PO' ? SPA APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms . 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Condult-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 i 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑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. InsurBtion 78. FIRE PREV. FINAL 30. Drvwatl Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat . 79. FINAL INSPECTION 32. Electrical Power Meter-Final a�Ifji i 3/% ! 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning Notes: `i (/` r 35. Final Gas Pipe-Test C 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backf low Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date A3LwEssoFBUILDIND: 2940 GRACE LN UMT CITY OF COSTA MESA — BUILDING PERMIT rEx15 NO: L G7115C 111, atNERS NAME IF MOWN: LICATA, LUCILLE E TR ADDRESS: 13712 RUSHMORE LN PERMIT NO; B 071156 PLAN CHECK NO; N GOAT id SUI-4-. . i. SANTA ANA,CA 92705 CONSTRUCTION TYPE: 5—N PERMIT TYPE: STR PURPOSE: OTH AWL.MAIUNG ADDRESS: JOB DESCRIPTION ; T/OFF & REROOF W/BUR SQ FT: 13, 800 ARCHITECT OR ENGINEER: UC.NO.: ARCK OR ENG.'S ADDRESS: WIT: CLAIM VALUE: 13 , 800 , 00 CALC—VALUE: 13, 800 . 00 GROUP OCC : R-3 /M-1 CONTRACTOR'S NAME: BEES ROOFING ( 714 ) 534-7663 COMMENTS ; S . C. tL.i.r. j Mg 1.- . u • CONTRACTORSMMUNG 9662 BLANCHE AV ***********+F+f-*******+r*�F*�F******a ****ac*�E**�F*+F*****-x*+r******->F**Sr**+Ac*TF*+r*+t+t-****N-x- ADORESs: G. G, CA uc.NO.: 291971 Z ON ING R EQU IR EMEN TS 92642 WIT: SE TB ACK S UCENSED CONTRACTORS DECLARATION:I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (oommencing with Section 7000)of DiViSiOn 3 of the Business and ProressiOns Code,and my license is in full force and effect. MAIN BUILDING ACCESSORY BUILDING CTYLIc.No.: 013190 UC.CLASS: C39 NO.: �d EXE: 00/00 FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Z_ 6_ 95 LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN ale: / Contractor: Ta..b' NER BUILDER DECLARATION:I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the PARKING REQ; PROV; PARCEL : 14122119 ZNE: REF NO; following reason(Section 7031.5 Business and Professions Code:Any city or county whirl,requires a permit to construct,alter,improve, PLANNING NOTES> /-, ,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 VS licensed pursuant to the provisions of the Contractors License Law IChapter 9(commencing with Section 7000)of Division 3 of the > Business and Professions Code]or IS he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section ***********************************************************ill*********{t********* 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars MOOD. D EVEIOP MEN T SERVICES R E Q U I R E M E N .T S El I,as owner of the property or my employees with wages as their sole compensation,will do the work,and the structure S not intended or offered for sale(Section 7044,Business end Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work Nmsett of herself or through hi or her own employees,provided that such ZONING APPROVED BY •• DATE; • improvements are not intended or offered for sale.H,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving he or she did not build or improve for the purpose of sale). BUILDING APPROVED B Y o I,as owner of am exclusively property.aexclusively contracting with licensed contractors to construct the project(Section 7044,Business and _ DATE: Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon and who ,y3 � contracts for such projects with a contractorfs)licensed pursuant to the Contractors License law). APPLICATION ISSUED B Y; DATE. 1 \] ❑ l am exempt under Section: B.A P.C.,for this reason: *************************************** f************************ - . - • ** OP own LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y •hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,end 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 formnatrocton or modification from the Air ua3M agement District.Residential consuuctioneppbmtim,s are exempt from these BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 153 . 00 Date: Applicant: SMIP/NON—RES WORKER'S COMPENSATION DECLARATION:I hereby affirm under penalty of perjury one of the following declarations: PLAN 2 90 I have and will maintaino a certificate consent to sett-insure for workers'compensation,as provided for by Section 3700 of me Labor IUILE FEE ❑ Code,for the perormanceofthe work for which this permit isissued. BUILDING—DIV—> PERMIT ISSUE PLAN CHECK TOTAL PAID DUE ISKI have and wilt maintainworkers compensation insurance,as required by Section 3700 of the labor Code,forthe performance of the TOTALS > 155 . 90 0 . 00 0 . 00 15 5 , 9 0 155 . 90 00 work for which this permit is issued.My workers'compensation insurance carrier and policy number are: Carrier: STATE FUND EXPIRES REVENUE DIVISION TOTALS--> COLLECTED: 155 , 90 OVER/SHORT; . 00 \ Policy Number: 0384115-94 05/15/95 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK"-, ' (Thls section need not be completed V the permit is for one hundred dollars/1100)or less.) 153 . 00 . 2 . 90 ❑ I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers'compensation laws of California. and agree that if I should become subject to the workers' ********* ***-)F****************************************************************** compensation provisions of Section 3700 of the Labor Code.I, Sfonhwith comply with th provisiorie..- I N D I V I D U A L F E E B R E A K D O W N 2r/(pr 95 Applicant: ��� —SJ amino::Failure to secure workers'compensation coverage is unlawful,and shall subject an employer to criminal penalties and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST civil lines up to one hundred thousand dollars(S104000),in'Million to the cost of compensatlohr,damages as provided for In Secton370solthe Labor Code,Interest,and aftomeyofees. SFC 13800 REROOF BY VALUE COMMERCIAL NOZONE 1 . 00 13, 800 , 00 CONSTRUCTION LENDING AGENCY: I hereby affirm under penalty of perjury that there is a construction lending agency for the END OF FEES performance of the work for which this permit is issued(Section 3097,Civ.C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I have read this application and store that the above infonnalion is correct.I agree to comply with all city end county ordinances and state laws relating to building construdon and hereby authorize replesentatives of this city to enter upon the above-mentioned property for inspection purposes. -i1L= �.icor —�� Dale: Z—/�'� 01 0017675§ 00176765 'T3�T 155.90 ill : . . . Gwner/Agen -:.Iica ontractor GATE: 02/16/45 TINE: 09:40 (5151-46.W P) White-Building A Safety:Green-File;Canary-Applicant;Pink-Revenue;Goldenrod-Assessor Not •I. CONSTRUCTION AND PLANNING, , POC . SPA , 1' APPROVALS Permit # Date Inspecto) APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or,Pole 52. Pool & Equipment Location1j 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement .. 3. Electrical Conduit Utility-Undrgrgd. 54. Forms r ! ~ 6 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement ) 56. Rough Plumbing & Pressure Test - ) 6. Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE - 7. Footings 58. Electrical Conduit-Undrgrnd. - 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test , 9. Water Pipe-Undrgrnd. '_ ' 60. Backwash Lines,P-Trap, th hdrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK ' ) t-1 11, Property Sewer Line & House Connection 62. Backwash & Receptor-Finalj 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final - 14. Rough Plumbing . : 'I 65. Electrical-Final • 15. Rough Electrical-Conduit ' I 66. Solar System-Final A n 16. Rough Electric Wiring ) 67. Fencing & Access Approval \ '- i 17. Rough Wiring Sign • ) 68, APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating • 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergmd.Storage Tank OGas ❑Oil 25. Roof Sheathing; 2J2.(-. is 46./4 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 Powe Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating&Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopyi 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 Z"ZCi--/5-4(.4 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY - ' No Date 71 _ 3ZS .4 TE OF TIMQa.- Zy o AITC CER IFICATE OF • ICENSEEE CONFORMANCE HE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the products identified below and on attached sheets Nos. and the principal mem- bers of which are marked with the Collective Mark of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC) were manufactured in conformance with applicdble provisions of U. S. Commercial Standard, CS 253-63, for Structural Glued Laminated Timber, and that such manufac- ture has been at our plant in Cottage Grove, Oregon , which plant has a quality control system approved by the Inspection Bureau of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION and inspected periodically by such Bureau. The undersigned manufacturer further certifies that the work has been done in accordance with the applicable job specifications. and with manufacturing and fabricating provisicnof Chap 25 U.B.C. BUILDING SAFETY DEPT. JOB NAME: HUNSAKER BLDG "A" .J111 t5 1971 JOB LOCATION: 2940 GRACE LANE, COSTA MESA, CAL CUSTOMER'S ORDER NO. DATE 6-10-71 MFGR'S ORDER NO. 1319-0473 AAAIL. WEYERHAEUSER CO SIGNATURE G , COMPANY LAMINATED LBR PROD TITLE Q C SUPERVISOR ADDRESS COTTAGE GROVE, ORE DATE 7— 9-'71 AITC HEREBY CERTIFIES that the said company at its said plant is licensed by the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect of products which comply with applicable provisions of said Standard, that the adequacy of the quality control system in effect at said plant is periodically inspected and verified by the Inspection Bureau of the AMERICAN INSTITUTE/OF TIMBER CONSTRUCTION, and that, in the judgment of the undersigned, said company is capable of complying with applicable manufactur- ing and testing provisions of said Standard inrespectof products manufactured at said plant. Conformance with the Standard in respect of any specific or particular product is the sole responsi- bility of the manufacturer; AITC's guarantee hereunder being that the said company is qualified to produce a product meeting the said Standard and that its plant is periodically inspected and verified by the AITC Inspection Bureau. tc_ n - AITC Certificate Na ��, . , T7 K 8 9 4 7 2 Signed for f•id :..., Y,v- ? ,b�o� a•, ° AMERICAN INSTITUTE OF TIMBER CONSTRUCTION ikrr �/ �T � Lee-L7'-e. s, st fi1E.!► le + F eculive Vice Presider)! Manager, Inspection Bureau © 1970 AMERICAN INSTITUTE OF TIMBER CONSTRUCTION AITC FORM IB-I-70 The principal members of the job cover .y this certificate are-stamped with one of the following type quality marks. Each qualified plant has an individual qualification designation. The designation "P-143" shown on the typical quality • marks below is not assigned to any plant and is used only for the purpose of illustration. G\ ` VEDGCCAUO © USVCDCurl GDG3 • IDU ©7 Q1Dn.12.,Ot"fV Gvdn,IR no� n AITC designation of qualified licensed ttii'� �.?41 plant. s o © U8101'T cirri) Cg 25 2,063 Indicates that the designated licensed plant Indicates conformance to U.S. Com- has met all requirements for qualification and mercial Standard for Structural Glued maintains an acceptable quality control sys- Laminated Timber. tem which is periodically inspected by AITC. x _ Q WVGPD©QL MO)Mc,© Ml°4©L�`�7it PG3©1DM ©4 QuQ (=0 u'V un n, mGz / « x,,-gs--. » • I r ( AITC designation of qualified licensed F _ - plant. • p 963 CJ\ Y • r • Designates type of adhesive, W for WET 4,fI SPECIES USE or D for DRY USE. I - .. » x L r l / ����4 u M OOOOI RCH Name of wood species used. Designates appearance grade. IND— Industrial. ARCH—Architectural. PREM —Premium. Indicates that the designated licensed plant Indicates conformance to U.S. Corn- has met all requirements for qualification and mercial Standard for Structural Glued maintains an acceptable quality control sys- Laminated Timber. tem which is periodically inspected by AITC. Designates dry use stress. t—bending. t—tension. c—compression parallel .qtom�+Dto grain. D- F-r i c, 317\ uct the specifications covering the desired product are included in the plans and specifications. At14013 t� n-' ' ) c ucts essential detail specifications are included on stamp. 4 ! nth . ire Q , I11i • —` SHEET No. 4TTAcHMENT NUMBER TO s,r rrITC Certificate of Conformance No. 89472 Dated 6-10-71 Job Name: HUNSAKER BLDG "A" Job Location: 2940 GRACE LANE, COSTA MESA, CAL Customer's Order No. Dated 6-10-71 Mfgr's Order No. 1319-0473 The following identifies the members and gives the basic specifications that were used on this job: Lumber Species: Member Appear- ComIdenti- Quantity Size nation Adhesive ance Wiennation Type Grade Camber A 4 5 1/8 x 24 A Ext Ind B 3 5 1/8 x 28 1/2 A Ext Ind 1UTE OF TIMata C. p- 149 �* tLuta..� Al � y Plan ualit�Control Supervisor AITC tC%��RIAEUSER CO n LAMINATED LBR PROD n`-7 Company Date QUALIFIED LICENSEE' AITC Form 1B-2-65 © 1965 American Institute of Timber Construction J SHEET No. ATTACHMENT NUMBER 2 TO ITC Certificate of Conformance No. 89472 Dated 6-10-71 Job Name: HUNSAK73R BLDG "A" Job Location: 2940 GRACE LANE, COSTA MESA, CAL Customer's Order No. Dated 6-10-71 Mfgr's Order No. 1319-0473 The following gives the additional specifications that were used in the manufacture of the members on this job: 1. LUMBER Species: WCDF Grading Rules: WCLB - 15 Paragraph: 154 A, B, C Grades: Tension Lam, Ll, L2, L3 Slope of Grain: 1 in 16, 1 in 14, 1 in 12, 1 in 10 2. MOISTURE Range: 4a CONTENT L4 ot, Variation per member: 3. END JOINT Standard Finger Joint 4. ADHESIVE Conforms to MIL-A-397B specifications. .25Type:Thennl Resorcinol WCO 313LN Batch No. 5` 2-2- 5. . GLUING Pressure 125 PSI Min Pressure Period R-14 T-Trc Glue Spread 60-654:/MSaFt 4 149 �\1UTE OF TIMfte iNiktAALischivt#L.i AITC Li ensed Plant No. ���c Plant Quality Control Supervisor i^�EYERHAENiz CO LAMINATED LBR PROD .7 _ Company a o z Date QUALIFIED, LICENSEE .a AITC Form 18-3-65 © 1965 American Institute of Timber Construction 1012., rUU it JUL 12 191 k 'lig L , • X 17 (714) 879-4711 MAIL ADDRESS: P. O. BOX 3820 (213/ 694.1894 FULLERTON..CALIF. 92634 S. T. `/Lunsaker, dr. 707 E. CHAPMAN FULLERTON. CALIFORNIA 2831 June 8, 1971 Mr. Brooks Cavanaugh Re: 2940 Grace Lane Planning Department Costa Mesa, Ca. City of Costa Mesa Costa Mesa; Ca. 92626 • Dear Mr. Cavanaugh: The above property has included in its driveway part of Lot 8 Tract 3878 (2930 Grace Lane). These properties are now in my ownership and I agree that, if either Lot 8 or 9 — Tract 3878 are sold, I will deliver to the City a mutual parking agreement. Please sign the enclosed copy of this letter if this is acceptable. • Yours truly, S. V. Hunsaker," Jr.. SVH;hsd • • • • . August 18, 1971 - - This letters reviewed by the Planning Staff - Richard D. Dahill and Anne Morris and accepted as satisfactory to fulfill Condition No. • 8 ofBuildingPermit Application No. 32944. • Richard D. Dahill Chief, Current Planning RECEIVED CITY OF CO:;TA NINA 0� A }'I NIfl n•^( - PUG IS .n AM PM 71819,IOJ Z1►Sig,4,5s6 A PROJECT ADDRESS: 2940 GRACE LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; E 070506 OWNER'S NAME: LICATA LUCILLE E TR ADDRESS: 13712 RUSHMORE LN PERMIT NO: E 070506 PLAN CHECK NO: N GOVT: N SUPP: N SANTA ANA,CA 92705 CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH 538-2269 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION ; INSTALL EXTERIOR SECURITY LIGHTS SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALL—VALUE; GROUP OCC: B-2 / PERMITTEE: W D H INCORPORATED ( 714 ) 850-0173 ADDRESS: 17660 NEWHOPE AV F COMMENTS; NO STRUCTUAL PERMIT FOUNTAIN VALLEY CA 92708 *+r*+e**+E+r+r+r*+r+r*+e*********+r**********************Sr****************+r*+r+r+r+r+r*+r*+ESE*** LICENSED CONTRACTOR DECLARATION: I hereby aflirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 0l the Business and Professions Code.and my license is in full force and effect. SETBACKS cITrLIc.: 028803ry STATELIC.:4042 & cuss: C �}j� EXP: 05/95 Dale:_jZ_9-2' Q'4 Signature: YV MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby al firm that I have a certificate of consent to self-insure or a cenilicate 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 POLICYNO.: 93W8812381-94E EAP.DATE: 05/17/95 cOMPANY: CONTINENTIAL PARKING REQ: PROV: PARCEL : 14122119 ZNE: REF NO: t^N Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Di" on. PLANNING NOTES> y-�2 3-1--et -�n/ > Date:— Applicant: ' " L1/�'Q. ******************************************************************************* y EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($10))or less). 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 / I certify that in the performance of the work for which this permit is issued.1 shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: Date: Signature: NOTICE:II,alter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: Code.you must fonhwith comply with such provisions or this permit shall be deemed revoked. ,E�' CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY : `� DATE: Z./Z which this permit is issued(Section 3097.Civ.C). *DETEET**T***D*DTAADDAE*T**T****************E #{F*************DATE** ****** *** LENDER: ****DATA**EEE******D***A************DAA******AAD*******DRAT***E**D*******DADA** ADDRESS: LEGALIZATION':N F E E SUMMARY STRUCTURAL SEGMENT;N OWNER BUILDER DECLARATION: I hereby affirm that lam exempt from the Contractors'State License Law for 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,alter,improve,demolish,Or PERMIT 4 . 50 repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'Stale License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 502 SM I P/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 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 properly or my employees with wages as their sole compensation, will do the work. and the BUILDING—D IV—> 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————> 4 , 50 15 ,00 0 .00 19 , 50 19 . 50 . 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: 19 . 50 OVER/SHORT: . 00 lor the purpose elsateL 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 19 . 50 ❑ 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 ContractorsState License Law). l am aware ********AD************DA*AA*E**E********AA*EE***DDA*****A*****A*****D****E***** Inas proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.8 P.C. tut misreason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: ELE 6 FIXTURES, LIGHTING 1 ST 20 EA, , 75 4 , 50 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. / Dates 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 stale laws relating to building construction and hereby authorize representatives (h. 'ty to enter upon the above-mentioned property for inspection purposes. 01 00174004-00174004 T CE T 79,`0 Dale:_I Z—i—�——C1 Signature: DATE: 12/23/94 TINE: 15:32 2 Drivers License or Social Security C: 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor i • , ICONSTRUCTION AND PLANNING :: POO. :SPA APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Servi-cp-or Polq,,.1 52. Pool & Equipment Location , 2. Soil Pipe-Undrgrnd. 'o L= 53. Steel Reinforcement •-t:-4.yra;� r.' .- _' - F• ;;[ pHctfiEal Condnjcl ility-bndrgrnc{`: = 54. Forms o?:-Electrical Gondol Undrgrnd:- 55. Electrical Bonding .-- s55ttael Eieinforce[neot= 56. Rough Plumbing & Pressure Test -� f,8.'ElectricalUFEE0 nd. 5 - 57, APPROVAL TOCOVER-GUNITE -• ,y714 botings 1-7 c' •t, 58. Electrical Conduit•Undrgrnd. - 8; (foundation =41. -1,3 e . 59. Gas Pipe, 0 Undrgrnd„Test , , g14Nater Pipe-Unc9'grnd. .. .1 60. Backwash Lines, P-Trap, 0 Undrgrnd. - 10; Structural Floor System - 61. APPROVAL TO DECK 11, Property Sewer Line-fit House.Connection 62. Backwash & Receptor•Final • • , 1 12. Sewer Cap ., c; • 63. Heater & Vent-Final 13. Roof Drains - L.. m 64. Plumbing System - Final o - . 14. Rough Plumbir{g; "' ,• 65. Electrical-Final 15. Rough Electricai_Conduit o 66. Solar System-Final e ^� 16. Rough ElectricrWiring ;; 67. Fencing & Access Approval -I 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-7 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL t9. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - + I '7's") -“:" A. J' 1 ."' 1 r-• S 1-41',13-- X. i III 20.'"totf�t* Facto* Flplace 1 >;. � ""t r f -J ' t tyy.�PPR t/At$?aCPertdrit# >< ' `) L' 1 "- ,):< t 1-4 r."1' .r C.) c,I J ri F _ .t 21.1X)ucts, irr,Strgytur`t : i •• •- I-iHi . -1* f -90. Wndergaiu1diHy&ro t ?; _ Si n fl" 1-. r-. %4.11 A 22. Ducf3, V¢nti ing: ,'. `-' t c : 0 i_,y y 1. Produc4 guu}g O'bts 0bi1 23. as' ip 'Ro &'Y st 1 '• ~i, r i-• to 1 I •t.) r .3 &' 1 t r-• '< 0* * 142. Undergrottltd Flush; 24..800S:Framing' 5 s 1 -„1 a - 2 . H fi '34lndergrncl'Storai Tank f:','.1 Gas 0 C 25. Roo Sheathing 12, v v t N! x `74.;,Overhead Hydro D t -c i 26.t-T-Ban Ceiling (StrGctural) & Slonocoat t s) C EIS t 75'try Chen ' al ` 1 6 "r• I ")i_ .. t t E-• n .J . �. , , F. 27. rame and Flashing ...1, . = C• j, tn* * 76. Dry Stanabe E•ss i .28. LathingS Siding - + '"1L. -: * ' ' 77 •FIXED S ENI.'ENAL` ' ` '-i I-, +• r1 L•-. ,1 t ..I ..ts i F7 .l t HI '1 [t1 •o = C) 1-4 •- •. > i rrl Ir [ ) I 0 r') '29, Insulati&) Pt f. S .- * I I t t 78,iFIRE PREV. FINAQ * IL, tr. a - ..t7 Ys-1 r :90, Drywall Nailing S. * a 1 : X HEALTH DEPT'REQUIRE�lENT -•1. Plaster gibvvn-Coat." s_-, j ,r•-t , ; * [79.`FINAL IN3ELFCTIc,? '. x - 1 t • I t*S _.--'-wU-r J t 3-32.rElectrlcal.Power MeteiFinal I r Cl) 1 ( jp t •ZQ`FOOD CERTIFI �fPE'ISSU,ED J m Cr t .a3.rina;lEle.tric!, ` I /42 ilk t * '1140;x: _1 . 1m i '7 O •,a1 -34• . Final:Heating-& Air:Conditioning- . r ti C; •v (l:): t :: t .i m t '� = lt of ' NG 01 F`s t •'-, 135. Inal'GdS.PI pg:Test i ;t r * ., ;;p r,, _i * -u, F. .1 V - �. I ivt X36. Hoo$ or.Canopy * td : r*•'-• -• * r, I I t t 24: F- no t tr. ;N, �, 1 • :• t '" t = z iI •• Pm 7. �,Ina�'FaCtory FireplyCe ._ 4:4I.:1_,: of t ! , kr # Y = i1 38. Finat Plu nbing n ,• •. -• 1• I I ' li $ -4 •a x G ), -39. WateFServlce-Final ' a� I 1` -•"1 y m 1f10. Gas Service-Final i - u1 L.•-,' �„ t to I i�:r n...0.1 ¢ '-! f 41. Solar Domestic-Final - 'i ' ^ t * ' •- va I. M t- t I t n• •`)C 0 42, Backflow Preventer. p) ....4I i �_ :•. - = 7 `-i ... ,�. . i m 9;• n,(1 t r-, 43. Backf low Irrigation ?, S.-,• ..IEo• e t Q: -y * t 1 • 014. Landscape Irrigation,SYstemti; r.7* o' l• P 0 Lt I t a tr; M. t,) i) t v 1 1 .. ,* . , -, , J tier * ' 1.. $5. Sound Ac(ten'uation' `i') " 'e * u F F i-•• * n ri .-1 -•o+ n,.; ,' . : ♦ 01 Ili t0' i F. C' C �. • i-r.,71 n I • '46. 'FfandicaJAegulations . ` 1 1 x rr: t . 5 CIO • 47. FINAL STRUCTURE & BUILDING I (` ; '') pl i • 1 a...• r Illl 1, .a ... -1 48. ,FANALPLANNING- • i-.[-• a c.: I y: * :r, ns �. • ni s' • "49. •Electific Release to Edison i 'ry' `- I ri I ` -• .. .. * I 3 1 I 1 _ : :, :1 •1 _ `5Q. bas Release to Southern California_Gas Co = I I s-r : .-. _t •-•I * 5.1. CERTIFICATE OF OCCUPANCS " _ I * . i • . c ,r, : u 0 No. Date .., f OUTti L.S.T._ .12LCULY....9-a-B-3 . . ft Ppor,... . . .-----a-------c. , ty- . b ' if 3 . .. . 1 1 i 1 ' t - 438f- 1-zed\ esti)._ .. . 4 , .. .--- .2930 _ . . crivat-I-Atur- 1. , .... im. a NM ZS .0 ' . . • . . • I6Db EsistiNct , 4 Snea LifioN . , . I ,1 1 . . . : • , bilialabilel . • 7., , N . ) na• 1%1 e ' • . •••. 1 - 2 94 I 2) /Bo, i(Ds-D...) \ 1 ii . . - cct..roic / i' V . c h" C:rj C 2940.51‘10c‘A ;I L , - - GRT‘C . la - ito-nbt 1. n Il #2ftr)Ca.- inkbt TR a t 16C%pit - . IIIIIIIIIMNIPr t r. 11, Ai tr. 1,5DvJ ARS vintt PetcaL i .1 - pi o Pr 14 I-er lam Utv DA 19 - tn a It. gooto hpS ntockiij tcr /3. vur›.irk, #? ••t:ip.ostv__ . - — ---- ----- •• - • - • •- — - f.'• .'..‘ . . .._ • --- - .- , . . ••.- • _ • ( P-9 yo •G-flM-c.t L*&L. L LOCATION. oursr0ACVG-i ICo/Doty i s-sy PANES I� BUS RATING /GO NPS NOIRiTINOssofhe MAI .L N INP) 041. me O. :NT;LOCAL MI V011 s Lto AEC 1114 CIF elm A e c Skil cin HI niS c cta LOCATION in ;-e -i� � n 1e1c L• . r L Aso — 1, — -I - - 2 S19A&c. • '_ice —~ — 5 - - - 6 — '- - : — / - - - 8 -- II MI . — 9- - - - -- - — 10 II S - - - !1 - - - - — 12 —_ El — 13 - - _ 11 - - - - L.. i _____ I5 — - - - _ 16 II 1 — _ _ 1/ — - - _ W ---- V 21 - 22 1 23 - - 21 1 —— — 25 — - - 26 —— I . 11 —_ 2/ — - - - ^ _a �_ A _ 29 — - - 30 - - - 31 32 - - - ill— ■ - - - 33 - - - - _ 31 - - —_ � Ili35 - 36 MI -5/ 38/ • 39 . - 18 • &1 • /LSO BA •$ • BC ' - 1 o N. t CIE0 VA • 45-0 • PROJECT ADDRESS: 2940 GRACE LN UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: F 062449 OWNER'S NAME: LICATA LUCILLE E TR ADDRESS: 13712 RUSHMORE LN PERMIT NO: F 062449 PLAN CHECK NO: 01802-93 L GOVT: N SUPP: N SANTA ANA,CA 92705 CONSTRUCTION TYPE: PERMIT TYPE: FIR PURPOSE: OTH ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION ; BACKFLOW RETROFIT SQ FT: ADDRESS: UNIT: PERMITTEE: CLAIM VALUE: 3,800. 00 CALL—VALUE; GROUP OCC: / ADDRESS:FIRE CONTROL TECHNOLOGY ( 213) 861-6666 9102 FIRESTONE BL R COMMENTS: X DOWNEY CA 90241 *****+e*r4*r+r+r***************+e+Err*****;P*******Trae*****;r*err+e+F********************* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 70001 of Division 3 0l the Business and Professions Code.and my license is in full force and effect SETBACKS CITY LIC.:0 5 4 8 3 3 STATE LIC.61946 1 CLASS:C—16 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 cemtied copy thereof(Section 3800.Lab.C). LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN POLICY NO.:W2710241 EXP.DATE: 07/01 /93 COMPANY:CA COMP INS CO PARKING REQ: PROV: PARCEL; 41918131 ZNE; REF NO; ❑ Certified copy is hereby furnished. IC Certified copy is filed with the cit Building Division. PLANNING N(3TES> Datt) Applicant: /I- *****fir*rrr**r**r***rrrrr*fir*fir*r***fir*rrrrr**r**********fir**r***********fir*fir* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is or one hundred(5100)or less). DEVELOPMENT SERVICES REQUIREMENTS I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: Date: Signature; NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : IDATE: 2 Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. ` CONSTRUCTION LENDING AGENCY: hereby affirm That there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY; DATE• P �/ /-9 which this permit is issued(Section 3097,Civ,C). ***rrrrr********rrrrr** * *.lf **.IF***.**.**iE**********i(.***********.*]484** **)BBfff riF 11 iF*r LENDER: ***********************************r******************************************* 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 tor 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 63 00 repair any structure,prior to its issuance.also requires the applicant for such permit to lite 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 g5% SM I P/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 40. 95 any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars($500). ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation, 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----> 63. 00 0. 00 40. 95 103 . 95 103 . 95 . 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• 63 . 00 OVER/SHORT; . 00 for thepurposeofsale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the properly.am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 63. 00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon and who contracts far such projects with a contractor(s)license pursuant to the Contractors'State License Law). I am aware ******.***.**.*.*.****.M.**..*.N.*.x.*.*******.N,r***.**.**.**.**********.*,****r**,**,*************,*** that proof el their Worker's Compensation insurance should be provided to me. ❑ lam exempt under Section: 6.&P.C. INDIVIDUAL F E E BREAKDOWN for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and FIR 63 FIRE EQUIP FEE (FROM BLDG VAL TABLE) 1 . 00 6 3 . 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 or construction or modification from the Air Duality Management District.Residential construction applications are exempt from - these pro isions , Date -G v 93 Applicant: A? 4 • 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 budding construction and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes, ii Date y f Signature J r 01 00140330-00140330 TOT 63.00 Drive(g(icense or Social Security a' 1 DATE: 06/02/93 TIRE: 16:52 064146 White—Building;Green—Cede Enlorcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING POO. SPA _i Date Inspector Date Inspector 1 APPROVALS Permit# APPROVALS Permit# 1 - 1. Temporary Electrical Serve or Po,etn 52. Pool & Equipment Locaton 2. Soil Pipe-Undrarndt- _ 53. Steel Reinforcement �� . 4 -----.0 ,J o..-E,-sctrlcal Concizit-3dity-Undrgrnd.Z 54. Forms _e....s -- • *I-E1irctrical Condiu,hiigdrjnr]. 55. Electrical Bonding 17-.r5 .c -4 • I .---tt rtO. Oel RelnforceSent .C:[ b: i 53. Rough Plumrg & Pressure T:st o .n.FI`t:ictrical UFE;.C:Grnd i 57. APPROVAL TO COVER GU„!TE I - .moot ngs m. 58. Electrical Conou t Und•ar nu. I� a.. - S - - - -L---- t-, I3. Foundation rTtO 59. Gas Pipe, C Until cr•d , TLstI r - _ y- 9: Vater Pipe-Unci girid. • 60. Backwash Lines, P-Trap, Ci. Ur.drr,r id 181.. Structural FlooeSystem -- -y 61. APPROVAL TO DECK j i 11. f&'operty SewerRiri.& Hccse Cnnriection 62. Backwash & Receptor Final • 12. Server Cap a.. = a- 63. Heater & Vent-Final - 13. Roof Drains 1:11.2. 64. Plumbing System • Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electricur-Conduit 66. Solar System-Final H 16. Rough ElectricWiring 67. Fencing & Access Appro..:I -T I 17. Rough Wiring SIign 68. APPROVED FOR PLASTERING • 18. Rough Electrics±-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL r 19. Rough Heating & Air Ccrd't.on r�• -fIlri QEPT. REOUIREhMEVLf. i - - _ - - -- o ^ -_^•-L•' 1 r -S, �* r w ♦ x -• . a20. o h etRSf P o'ace I ` :' xrs -- 7' v ;PPR fV }€S:::::',„:-.{1.,:,t �. 3_, L L , . f t t.C-S s : s--. _ -_ _ iv-r-- • i---- - _-'�- 21.1-0u&cs,ir~'StrWcttLT•x ! •• •• .- 'i * S J a': ": --70. �ndergrbt-i[}Hy/i. "7;,o I 22SDu-r25, 1t:2nt tic>�x i G, -- 2 < .- < <t71. Product:R'gvng E.Gts TiDiI 23.•Gav-0i e-Pipe ^h & Test ^re;S x fr. S S� mac-; ry_+--- p -72. Undergrowii F!bs1= r °-q 24:sStoFraming - f'r ",i, x > .x t ; .73 LUndergrnti Storxtti_Tank (`!Gas i 0`' j-4. I- 25. Rock Sh79thing v C. V O * •• c :14X,, x 74C-Overhead Hydro-. r I 26.'f-ell Ceilin (Struturall & P.a -colt x i `-' Yt a: 2 ^ - 9 w �'>; �. C �„ * 75;�Dry Chemka! - 27aF:ame a:of Flashing; t ., tr > r x r t, v - � 76. Dry Standpipe '. ---- --- - :88.�Lath:ng-N,t Sting < '" ca? O x ` •• •• ••T y 77c FIXED Si,..TEM .INAL: .., , s 29. Insulation .7 S�S ,fS_ .% .Y 78fFIREPREY, FItiFn_ : > s �.1. - 134 7:11t3 ' -.. --- t 30. Dryv:alI4lai fThg I r 4 -i HEALTI-tr.DEPT,i R'EQUIRg.PAENT 31. P;aster �1oae?Coat< s . 0-LI' r • -.-_.a x ,r79, FINAL IN Sit. CT!tit;1 x i. _I - --32.1-- lectricgPo er M -gjnaIi •ti * •'80.rr�00D CERTIFf ' E !e.X,1E0 - " C!�- 4T I- t f- r ;.i-- *--WjP,-.i .-F-S-- - --- --- - A 33,¢ir�t E�ectr�y. - r <t .s I x x Noses: r _ �tC .'-B4.mn5i Heatin;E& AiitCon'd.tio";14. r ?. x x z S t` .L I- r t- c * ---- < :2C. r. .a •- __ .7.., 35,•-•F int! Gas P? -Test .-, -- x : t ., - _ -- c.o.. - •n Z.:,ri33. Hoed or Canopy ': - I •e - `..4- •. i1 K 7 fS r :. _ is >,r ..37.:f,nat.Factory Firerxace;c r x < T :s ' r_ - ~; _ _x--y-- rn, - j33.R=inr Plumb-rg x l; * x = -..... x = '-39aVaier Service-Final" i X Kt r r. 11--.2' a - - ------ r. OT4O.iGas Service-Final x r, 1 <. . :rtr S a r - - .. a t .. r C.--. re. t : - , q 1 ?At. solar Domestic-F i. !S .r :• _T S'.,. M1 _ _ ., 1 42. Backflow Preventer* If1 4.;.l x -u 144...a›-• - - - r _ 43. Backflow Irrigation. . ' ; z -, ,. r - 1.`b. - 3 _ C - - -----i s44. Landsctxe ltligaticm Systemt-C d '7:4 x r C7 C �''; • •; t' s .- - 245.)Sound , tteiatiog K .• .r , . Fmr > o• .; i - I •-_46. ----.. - x ! - - ------- --- - ' _46. Handicap-Regulations i--i _ a x r ' i - ,. I - * -C .• ,. ti . 't r� i-r--4_44 r47.'flN L STRUCTUt`FtE & 8UP_DING • .t T •i' .4 x } _ ! 48_FFINALPLANNINo: i , o ..*'- r L - r_449.ti ledtric Release to'Edison • x is >24 L y I a ` a r .5C_�asOtelease to Southern California Gas Co < .• t _ I • a51. CERTIFICATE OF-OCCUPANCY c- - No. Date I I' Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA - PERMIT NO. TRACT NO. LOT NO. By�GG NO. �j CONSTRUCTION PERMIT 53/'V EKY 4190 4/05/82 , 5.50 TL ' Project Agdress ;zgtfo (1PACE .1._A.).F TYPE OF CONSTRUCTION • - -1wne ICR DPVI✓Y1tt n PhoneS37_NM, W rt❑r NEW 0 ADD 0 ALTERATION i - Address 21140 GRACE LN. P. -RA elZeZG, REPAIR 0 CONVERSION 0 DEMOLISH - ZONING REGULATIONS Arch/Eng. License No. 0 OTHER A P ; Address - DESCRIPTION OF WORK - - ZONE PLNG. REF. Contractor O - 6 PhoneTYPE OF PERMIT - - BUILDING _ 2OP 1R-Pi NLINE • SETBACK C/1_ST. . Address - • ' ❑GRADING,,.{,, 0 FOUNDATION 0 STRUCTURAL SIDE YARD • LICENSED CONTRACTOR DECLARATION 0 TENANT SLI ELECTRICAL OPLUMBING .❑MECHANICA LLSEIDFE YARD I hereby affirm INA I am licensed under provisions of Charter 9 (cormRIGHT . - meriting with section 7000) of Division 3. of the Business and 0 OTHER 'Professions Code, and my license is In full force and effect. ' REAR YARD(TO P/L) - PROJECT DESCRIPTION .- ,License Glass License No. - ' - . - - PKG.SPACE REQ. - - PROVIDED- Date Signature- - - - - • SQ. •FT: • - _ - _ ._ ' WORKERS'COMPENSATION DECLARATION__. - OCCUPANCY_CONSTRUCTION TYPE STREET WIDTH .PARK FEE$ - - - I hereby affirm that I have a certificate of consent to self-Insure or a VALUATION - _ ZONE ZONING APPROVED BY - - DATE certificate of-Workers' Compensation Insurance, or a certified copy _ thereof(Section 3800, Lab. C.). I GRADING CU.YDS. ACRES SPECIAL CONDITIONS: - • - Thllcy No- - Company - - - - - . . - + _ _ Certified copy Is hereby furnished. _ _ - REMARKS: . - C/tI,CKE LE) 4 Certified copy Is filed with the city Building Division. -_ - -• - -' - EXEMPTION FROM-WORKERS' COMPENSATION DECLARATION - - - - • - - to , 4'BY �RLt //q t (This section need not be completed it the permit is for one hundred - s • DATE /� r ($100) or less). - - - -- - - -_ . • - rl certify that in the performance of the work for which this permit is _ issued, I shall not employ any person In any manner so as to become . PLUMBING - PLAN CHECK -- • - ELECTRICAL - PLAN•CHECK !Subject to the Workers'Compensation Laws o f_Cali fornia. UWtLLINO VHHHf�E ,Date Signature BATHTUBS ' - SHOWERS e . • NOTICE: If after making this declaration, you should become subject TOILETS URINALS • - - - GENERATOR 0-1 KW_1-10.KW- - - - to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER . .. forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW 50+KW. - • revoked_. . _ _ .CONSTRUCTION LENDING AGENCY - KIT.SINKS DISHWASHERS - - - - - MOTORS 0-1.HP- -1-10 HP -. - s I hereby affirm that there Is a construction lending agency for the per- SERVICE SINKS --, SUMPS- -- - - - (INC.SOLAR) 10-50 HP 50 + HP_' formance of the work for which this permit is issued (Section 3097 - - Civ:C.). - - - - - - -FLOOR SINKS - FLOOR DRAINS-- FIXTURES• OUTLETS SWITCHES - r S Lender's Name l 2 - Lentler•s Address - - ' DRINKING FOUNTAINS' - ' - - - GAS TUBE SIGNS-- - . _- " - - . - . . ' 'OWNER BUILDER DECLARATION - I I hereby affirm that am exempt from the Contractor's License Law for INTERCEPTORS CLARIFIERS '- POLE LIGHTS- - the following-reason (Section-7031.5 Business-and Professions Code: SWIMMING POOL- - -P TRAP- _ _ ,LIMNS I HUL I IO -'N - Any city or county which requires a permit to construct, alter, POLES-" METERED ' SUB ' - - - 'improve, demolish or-repair any structure, prior to its issuance,also-re- WATER SERVICE ALTERATION - PANELS MAIN • SUB - - quires the apllicant for such permit to file a signed statement that he - I — is licensed pursuant to the provisions of the Contractor's License Law -GAS SERVICE ' ' - OUTLETS - '- -- - SERVICE- - - • AMP - (Chapter 9 (commencing with Section 7000) of 'Division 3 of the � - 'Business and-Prolessions•Code) or that he is-exempt therefrom.and the- WATER HEATERS BTU OUTPUT - - • - . . - _ —- ' .. ' 1 ' -;•js for the alleged exemption. Any violation of Section 7031.5 by i h -,applicant for'a permit subjects the applicant to a-civil penalty- -SEWER CONNECTIONS-- -' • -- -- • - - -- -. - . _ - _ b 111of more than five hundred'dollars ($500). ' - ' as owner of'the property, or my employees with wages as'their SOLAR TANK - -- ^ COLLECTORS- -r compensation, will do the work,and the structure is not intended 1-` or offered for sale."(Section 7044; Business and Professions Code:-The SOLAR PIPING SYS. - • - ' ISSUE FEE - - . - ;Contractor's License Law does not apply to an owner of a property - ,who builds or improves thereon, and who does such work himself or "--ISSUE FEE -- APPLICATION APPROVED BY - - - DATE through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or Improvement' -MECHANICAL- PLAN CHECK - - - SUMMARY OF FEES - ' is sold within one year of completion, the owner will have the burden of proving he did not build or Improve for the purpose of-sale).: - - -- BUILDING. _ - , '❑ I, as owner of the property, am.excl uzively .contracting with HEATING SYSTEM 0-100,000 BTU !PERMIT $ SMIP $ licensed contractors to construct the project (Section 7044, Business -AND DUCTING 100,000 +BTU - - •- - PLAN CHECK $ PERMIT and Professions Code: The Contractor's License-Law does not apply to - _ ISSUANCE $ an owner Of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU ; PLUMBING• $ 'tracts- from such-projects with.a. contractor(s)..licesned pursuant to SYSTEM " . — 'GRADING $- - the Contractor's License Law), 100,000 +BTU i PLAN CHECK $ - _ - O ram exempt under-Section - '- - - - ----- -By& P.C.for this - - - - 1 � SU - $ -f•- BOILERS BTU ELECTRICAL $ - - reason _ MICROFILM. $ SYSTEM REPAIR,ALTERATION PLAN CHECK $ - Date Owner - MECHANICAL $ • TOTAL-FEE$ 'I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE • LESS AD- information Is correct, I agree to comply with all-city and county' PLAN CHECK $ - VANCE PC $ - • -ordinances laws relating to construction,and hereby authorize represen ves of th Ity to enter upon the above mentioned propert for I c inn u rrpossess.. `_Q Signatu • [ • Ij/� Dale -`� ✓ -7 FINAL FEE $ �/ ISSUE FEE Drivers'License or SS* f - - - ' . - • . CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor CONSTRUCTION.AND`PLANNING • POOL& SPA APPROVALS Permit# Date Inspector APPROVALS Permit# • Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location • 2. Soil Pipe-Undrgrn 44. Steel Reinforcement • - - 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel Reinforce 47. Rough Plumbing& Pressure Test 6. Electrical LIFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undrgrn 8. Foundation 50. Gas Pipe, ❑Undrgrn,Test 9. Water Pipe-Undrgrn 51. Backwash Lines,P-Trap: ❑Undrgrn • 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor-Final 12. -Street Sewer Connection 54. Heater &Vent-Final 13. Rough Plumbing ' .. ... , _55. Plumbing System - Final 14. Rough Electric-Conduit. - .56. Electrical-Final 15. Rough-Electric•Wiririg--•---- ` 57. Solar System-Final 16. Rough Heating &Air Conditioning 58. Fencing & Access Approval 17. Ducts, in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing • 21. Roof Sheathing . 22. - Frame and Flashing NOTES: 23. Insulation 24. Lathing & Siding • 25. Drywall Nailing • 26. Plaster Brown Coat - 27. Electrical Power Meter-Final • 28. Final Electric 29. Final.Heating & Air Conditioning 30. Final Gas Pipe-Test 31. Final Plumbing 32. Water Service-Final 33. Gas Service-Final • 34. Solar Domestic-Final 35. Landscape Sprinkling System 36. Sound Attenuation _ 37. Handicap Regulations 38. FI NAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date 53/7/ Santa Ane, March 30,1982 To Whom it may concern This letter gives power of attorney to Richard Denman to apply for a permit from the city of Costa Mesa, California for certain ammount of electrical work to be done at 2940 Grace Lanc, Costa Mesa, Unit E and F , that Mr. Denman rent from me. / In good faith. / c-----------7 7 // �///� i Vi cent Licata legal owner of the industrial building,located at 2940 and 2930 Grace Lane, Costa Mesa, C: fornia e"-Ct.-c-------- A /1 Lir lic....,.0 "Z...».._ 7 iL. - _ 7 21 ICS, 1• �0 � S . r (7141 854711 MAIL ADDRESS: P. O. Box 9820 (21' 8844884 FULLERTON, CALIF, 92894 S. eV Yfunsaker, Jr. .4 707 E. CHAPMAN FULLERTON, CALIFORNIA 92891 June 8, 1971 Mr. Brooks Cavanaugh Re: 2940 Grace Lane Planning Department Costa Mesa, Ca. City of Costa Mesa Costa Mesa, Ca. 92626 Dear Mr. Cavanaugh: The above property has included in its driveway part of Lot 8 Tract 3878 (2930 Grace Lane). These properties are now in my ownership and I agree that, if either Lot 8 or 9 — Tract 3878 are sold, I will deliver to the City a mutual parking agreement. Please sign the enclosed copy of this letter if this is acceptable. Yours truly, - �- S. V. Hunsaker, Jr.) SVH;hsd RECEIVED CITY OF COSTA MESA PLANNING DFPT JUN J 1971 AM °M 71819110;1. 2, 112,31'}1516 • . (714) 679-4711 MAIL ADORES!: P. O. Box 9820 (217694-1894 • FULLERTOn. CALIF. 92634 S. V. 3funsaker, dr. 707 E. CHAPMAN FULLERTON, CALIFORNIA 82631 June 8, 1971 Mr. Brooks Cavanaugh Re: 2940 Grace Lane Planning Department Costa Mesa, Ca. City of Costa Mesa Costa Mesa, Ca. 92626 Dear Mr. Cavanaugh: The above property has included in its driveway part of Lot 8 Tract 3878 (2930 Grace Lane). These properties are now in my ownership and I agree that, if either Lot 8 or 9 - Tract 3878 are sold, I will deliver to the City a mutual parking agreement. Please sign the enclosed copy of this letter if this is acceptable. • Yours truly, • S. V. Hunsaker, Jr./ w SVH;hsd • ACCEPTED: Date: By: • • • PROJECT ADDRESS: 2940 GRACE LN 0NIT: CITY OF COSTA MESA — SIGN PERMIT PERM NO: SB 05161E OWNER'S NAME: LICATA, LUCILLE E TR ADDRESS: LICATALUCILLE E TR PERMIT NO: SB 051616 PLAN CHECK NO: 01209-91 S GOVT: N SUPP : N 13712 RUSHMORE LN SANTA ANA,CA 92705 CONSTRUCTION TYPE: PERMIT TYPE: STR SIG PURPOSE: OTH ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION ; NON LUMINATED 8 WALL SIGNS SQ FT: ADDRESS: UNIT: CLAIM VALUE: 2, 120. 00 CALC—VALUE: 2, 120. 00 GROUP OCC: B-2 / PERMITTEE: DICKERSON SIGNS & GRAPHIC ( 714 ) 546-8150 ADDRESS: 2930 GRACE LANE A COMMENTS: X COSTA MESA CA 92626 ***************aE+ ***x•********* *+E******k********•+r* t<*** >Er*rEE*m**N******iE****** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section SIGN INFORMATIO N 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect DISTRICT: 3 TYPE: WALL ILLUMINATION: NON CATEGORY: NEW CITY LIG.: 009700 STATE LIC.: 31519_ CLASS: C 45 DIMENSIONS: 1FT OOIN X 3FT LOIN AREA: 30 , 40SQFT LETTER HT: 6 �p Date: f ( —9/ Signature: _ STREET FRONTAGE 1 : 100 . 00 STREET 1 : GRACE LN WORKERS'COMPENSATION DECLARATION: I hereby affix at l have a certificate of consent to self-insure or a certificate of Workers' STREET FRONTAGE 2: 0 . 00 STREET 2: Compensation Insurance,or a certified copy thereof(Secti 3800.Lab.C). PARCEL: 14122119 ZONE: MG LOCATION > FRONT: X REAR: Poucr xO.: 063651-91 EXP.DATE: 04 /01 /92 BUSINESS NAME: MISCELLANCEOUS > LEFT: RIGHT: COMPANY: STATE FUND OTHER TOTALS GROUND SIGN 0 Certified copy is hereby furnished. ® Certified co is I' d with the city Building Divisidh. THIS ACTIVITY : 30. 4OS FT OVERALL HEIGHT: OFT O.IN L..�- L% 9 � ' ,x �, L_ THIS SITE : 30 , 40SQFT GROUND CLEARANCE: OFT OIN Date: ( ` —!� Applican ITEMS OF INFO 1 PLANTER AREA: 0 . 00SQFT EXEMPTION FROM WORKERS'COMPENSATION DECLARATI (Thissection need not be completed it the permit is for one hundred($1W)or less). ITEMS FOR ACTIVITY: 1 BLDG SET BACK: 10FT • I certify that in the performance of the work for which th s permit is issued,I shall not employ any person in any manner so as to become COPY VERBIAGE : MISCELLANEOUS BUSINESS NAMES — EACH SIGN 3 . 8 SF subject to the Workers'Compensation Laws of California: Date: Signature: PLANNING NOTES: NOTICE:If,alter making this declaration.you should become subject to the Workers'Compensation provisions of the Labor **************.***3x11'*aP****T('*'M*****'1l'Iv***Lv*tF******1F*********t 7E*-Y'1r}?**?!*1r*1t*i:*****i41! Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. DEVELOPMENT SERVICES REQUIR EMEN TS 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). ZONING APPROVED BY t __ DATE: 1/4) q 1 /etc__ LENDER: ADDRESS: BUILDING APPROVED BY : DATE:• J OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'Stale License Law for the following reason APPLICATION ISSUED BY• 4> R DATE• l (Section 7031.5 Business and Professional Code: Any city ofcounty which requires a permit to construct,alter,improve,demolish,or ******'**.************************************* :** ****************** n n :1!.i^**."* repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed LEGAL I Z ATION:N F E E SUMMARY STRUCTURAL SEGMENT: Y 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 of not more than five hundred dollars($500). BLDG PMT PLUMBING ELECTRIC MECHANIC SIGN SMI P/RES GRADING I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the PERMIT 54 . 00 30. 40 ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law ' SMIP/NON—RES does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through PLAN 35 . 10 . 50 his or her own employees,provided that such improvements are not intended or offered for sale. If.however the building or I'JCCUE FEE 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 purpose of sale). BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE I,as owner of the property,am exclusively contracting with licensed contractors Co construct the project(Section 7044,Business TOTALS——--> 84 . 90 0 , 00 35. 10 120 , 00 120 . 00 . 00 ❑ and Professions Code: The Contractors'Slate License Law does not apply to an owner of properly who buttes or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware REVENUE DIVISION TOTALS--> COLLECTED: 120. 00 OVER/SHORT: . 00 {hal prod of their Worker's Compensation insurance should be provided to me. BLDG PMT PLUMBING ELECTRIC MECHANIC SIGN SMIP/TOT GRADING PLAN—CHECK o I am exempt under Section: B.8 P.C. 54 . 00 30 . 40 . 50 35 . 10 for this reason: ******************************************************************************* Dale: Owner. INDIVIDUAL F E E BREAKDOWN 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 TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST these provisions. NO FEES WERE SELECTED FOR THIS PERMIT 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 property for i sp•ction p rposes K{//� ��y� �,,� ^I j r^,;, ) l rix .1.' Date: q Signature N fiWCD• - \ Lxa r,' T,'', : _ - r - . Driver's License it Social Security 5: v �' ar '_ .• - 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor — _� - 1641-46 CONSTRUCTION AND PLANNING Pott& SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or.Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd' 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings ‘--17-qt 64/4. 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd. 10. Structural Floor System - 61. APPROVAL TO DECK 11. Property Sewer Line,& House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing - 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING � / 641 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date h City of Coate Mere ,f r - t : Building Safety Department CERTIFICATE O F OCCUPANCY N9 2773 'Costs Mere,California The Building located at +rot.n'r •, ., r i `k has been inspected and found to comply with the provisions of,all City of Costa Mesa Ordinancesapplicable thereto for a Group Occupancy, d Use of Building B unit industrial buiLdltte Cr Legal Description Lot 9 Of tt$ct.3'878. - ', _, ,� ". •.° (Sea reverie side for Metes end Bounds) Building Permit No 117t344 Electrical Permit No.32523 - 325 Plumbing Permit No,3746 - 587.55 Number of-apartments - • and/or guest rooms ISSUED TO: I -Building Of ISI 1 v 7:. .it. 77tmcstkrtr Date . 8d1t t•&-,nbrer 20. 1071 This Certificate of Occupancy SHALL BE posted In`e conspicuous place on the premises end SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 306 lel U.B.C. - - FormBU 34 Rev.11/70 OWNER HUNSAKER, Sim DATE 7-16-71 JOB ADDRESS 291+0 Grace Lane BUILDING PERMIT NO. 3333? ' ENERAL CONTRACTOR Advance Fire Protection DESCRIPTION of WORK Fire Sprinklers _ 'o.141-221-19 LOT TRACT FIRE ZONE VALUE $ 8,000.00 II...�ECTIONS Signature Dote GROUP TYPE ZONE M-1 \SOIL PERMITS ISS D GAS SUBCONTRACTOR - Dote Number Signature WATER/1i/ ��1,f_ey � !J /�-S 9'(—), Plumbing ROUGH PLU BING. C/ ��V PROP. SWR. LINE ❑ HOU E CON. f ) SPRINKLING SYSTEM �/CD L" 5-/c-7/ MISCELLANEOUS C/ ROUGH HEATING AND AIR CONDITIONING TEMPORARY SERVICE OR POLE UNDERGROUND p POWER 0 ROUGH WIRING Heating and Vent. TR1ES0- FORMS 0 STEEL REINF. ❑ FLOOR SYSTEM BONO BEAM n STEEL REINFORCE n SHEATHING FRAME AND FLASHING ' LATHING - IN 1 OUT in PI ' TER, BROWN COAT TURAL, FINAL Electric HEA TING, VENT., REFRIG. AND A.C., FINAL PLUMBING, FINAL AND GAS TEST n Ir flfr • ELECTRIC, FINAL "'Jr _ .0 33332 COSTA MESA BUILDING-SAFETY DEPARTMENT mu�i•17YPc� rs��fi3$3k' {r{r-* 51 �`' P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECJEj�`{JE/,�yi/'g_Y D TE RE ELY/9 DATE IS ED / BUILDING D740 GLZflop /iv, I /" 7/n " / / 7 ) 7 ADDRESS "7(! /_ ^02/ PERMIT NO. OWNER A.P. NO. p( f:M Aluus� K� /z / 9 MAIL BUILDING / / Z . ADDRESS s .0 / C/C _ A • ADDRESS - D AWL, , �� W W TEL. a 0 O CITY CE)5 r.4 ,4 S4 NO. TRACT ,37 O LOT 9 BLOCK 1-- 2 Z Q CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOI ISH O cn LENDER J J BRANCH �f ) OWNER 'rn -42.4n &tie L/ a ADDRESS VALUE J- ARCHITECT TEL. USE_ $ N OR ENGINEER NO. Z Q FIRE w CC ADDRESS ZONE TYPE ^ GROUP a ky �-- APPROVED LU O CONTRACTOR AD U4NC6 /—//2,e /min,, �/y/� BY DATE co Z / /� r� J ADDRESS(3009 Z/p3 Abs 7e, ( /) • W0= �g TEL.(7/yI ZONE^ NO.OF PLANS USE OFNE E ,,,./...4.0---' � Z F CIT4i/5/7YZICFV/de/AC C,.�, NO.S-7? -'7/[b / '/' S.,;s�/�.1.a—) W STATE -/H / CITY YARDS APPROVED YARDS PPROVED NCC LIC. NO. "sy93y LIC.NO. MAIN BUILDING _ ACCESSORY BUILDING J O SIZE NO.OF BLOCS. (FROM C/L STREET) OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. R_SIOF EJ. FT. I- SIZE OF ��--sa / / NO. OF Z NEW BLDG.L:SO X ..O ROOMS STORIES L.SIDE FT. FT. UEXTERIOR WALL ROOF COVERING COVERING REAR FT. FT. I USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BE BET.MAIN& 1/ ��/ C MAIN BLOCS ACCESS. BLDGS. VAR.+ DATE o 4/ r4A-L' / //Qf P1207 t%[JI, C.U.P.# APPROVED F APPROVED 7- /a- 7/ V) .flY -DATE 2 0 C~.1 I hereby acknowledge that I have read this application and state ✓ that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ I- any person in violation of the workman's compensation laws of CO the State of California. 52 b ? I hereby certify that I am properly licensed as a contractor under SQ. FT. O the State Of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR S Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: P cc am exempt from the provisions of the State of California Business VALUATION N �and Professions Code, Division 3,Chapter 9. PERMIT FEE 5 gD Signature /(/J144 /, "(Ai / /]. eV m Permittee 'GA /a�""" �> $ PLAN CHECK S / 7 E ie /ea) �+'7 `o AuthorizeP t ` �L2/ TOTAL FEE $ p/ �— LL ---711111 29q!1.4IPP 11f-71F:700 71R ,, tr757.GC COSTA MESA BUILDING-SAFETY DEPARTMENTi014'P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely t APPLICATION FOR BUILDING PERMIT tW fS /{-# RE ` I V BY DATE ECE VED DATE ISSUED BUILDING / S( 7 d-79-7j !-�)- 7/ ADDRESS 1 - Q ,-4 at.t- .Q..-i' V_' A.P.NO. • P -M • �• OWNER LW , t - fie_.. .J • MAIL BUILDING / utv • er Z ADDRESS 6 r �_�� - I ADDRESS �` , _sic./ �- ..- • cry, ZCITY J 1/ /2/P A,74 //NO. ly// TRACT 3 C ' LOT 7 BLOCK CONSTRUCTION NEW AO ALTER REPAIR MOVING DFMOLISH- I- LENDER y a m / 72/1t4.2 t- -4- > J BRANCH OWNER /, //f// 4/ ®he-4-1. gj/� ADDRESS VALUE � �� ,J�{( -LC: ARCHITECT / t TEL US / • Sir/ O'CL to OR ENGINEER.,(�'L/ /-/1i.-t/(%4---# NO. 77`,/71/ �/ za V. N3� {Cif � FIREO7 W K ADDRESS n tit_ to yfz ZONE PE .�. ROUPr aw W Z APPROVED r J O CONTRACTOR a __ c ,•, _ • , / BY . . DATE .J -�� / m Z y w cc ADDRESS ,[)7 I_ rico fr.... -se�..�/ ZONE NO.OF / USE OF NEW tests* �jtd, 0= //��� Tn /J%///� TEL. n�j I PLANS C. BUILDING /� Z F CITY ?p.1 Pif-11 PZ-LJ Li/L ND.17 /7/r p - tu 0 STATE//// // CITY YARDS APPROVED YARDS APPROVVOI co cc LIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING 00 SIZE • NO.OF BLDGS. (FROM C/L STREET) /,, OF LOT 2 3 y \J / 7 l%' INOW ON LOT / FRONT - FT. ILACCZ4 FT. USE OF 9 n EXISTING BLDG. R.SIDE 2CFT, I2. FT. I"' SIZE OF NO.OF ,.J �t (� QNEW BLDG./C(J�)O ROOMS if STORIES / L.SIDE `SFT. (L_ FT. 1/ EXTERIOR WRLL L I ROOF ���Z REAR FT. A(.(-((=E e FT. `—) U COVERING (.L-L:Ci IL.[Q, COVERING 4 Q USE OF B U I l Ol" 4... "4AND .. -: ��BE Irlll S F M DISTANCE MAINGS. SET.ESS. � IB DCS NO C . 1/I` GC.U.P,# APPROVED in F APPROVEDL CC) --HY DATE C-24-7/ Z HOLD OFx SFECIAL REQUIREMENTS UI hereby acknowledge that I have read this application and state S G / antra /1 ,CwcID 7 N that the above information is correct and agree to comply with L. 1 1 i'I (G CCall laws regulating building construction, and I shall not employ q''� H any person in violation of the workman's compensation laws of I'L- -A.IS CO the State of California mm zI hereby certify that I am properly licensed as a contractor under SQ. FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5 Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0 CC am exempt from the provisions of the State of California Business and Professions Code,Division 3,Chapter 9. VALUATION / err, m PERMIT FEE $/t ; — N Signature of - D m I I, y .J Permittee �!/r4rd-!t Kk!u� S 4,9_,-e PLAN CHECK $ �Jt. E Authorized Agent r.r e,✓ TOTAL FEE $ �✓� (t✓_ IL