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Home My WebLink About956 JUNIPERO DR - Building Permits4��p MF 4 � o. > _ r J •aQ,e.,,,mm ec CITY OF COSTA MESA BUILD/NG DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT (714) 754-5273 • Fan (714) 754-0856 .IobAddress: 956 JUNIPERO DR Suite No Vicinity: Parcel Nunmber: 14133408 App�icant NOCK, RON Address: � 11612 KNOTT ST GARDEN GROVE, CA PLUMBING PERMIT Owner: SHARER, WALTER DONALD Address 956 JUNIPERO � COSTA MESA,CA Convactor: NOCK PLUMBING Address: Arch / Eng : Address: ISSUE FEE Backflow irrigation Backflow Preventer Bathtub Clarifer System Connect Qce,Soda,etc) Dental Units Dishwasher Drain, Floor Drain, Rainwater Drain, Roof Drinking Fountain Expansion Tank Gas Earthquake Valve Gas (1-4 outlets) Gas (Over 4 outlets) 11612 KNOTT ST GARDEN GROVE, CA WATER HEATER CHANGEOUT. AMT $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Phone: (714)895-1246 Zip: 92841 Phone: Zip: 92626 Phone: (714)895-1246 Zip: 92847 License: 707775 Phone: Zip: �"License: ' SCOPE OF PERMIT FEESUMMARY QTY AMT Laundry Tub / Washer $0.00 0 Landscape Irrigation $0.00 0 P-Trap $0.00 0 Pressure Regulator $0.00 0 Process Piping (per 10 ft) $0.00 0 Receptors $0.00 0 Septic Tank $0.00 0 Sewer Cap for Demo $0.00 0 Sewer Connect $0.00 0 Sewer Private Line $0.00 0 Shower $0.00 0 Sink, bar $0.00 0 Sink, commercial $0.00 0 Sink, Floor $0.00 0 Sink, kitchen � $0.00. 0 Sink, service/mop $0.00 QTY 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PERMIT NUMBER P00 Q0052 V 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 01/27/2000 Issued: 01/27/2000 ISSUED BY: SumpPump Swimming Paol Trap Primer Urinal Vacuum Brkr BkFlow(1-4) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (Toilet) Water Heater / vent Water Piping Qnst or Rep.) Water Re-pipe Water Service Water Softener OTHER AMT $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.30 $0.00 $0.00 $0.00 $0.00 $0.00 QTY 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under California statutes and related regulations. (Ord. No. 92-28, § 7, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under ihis permit to be considered legal, such work must comply with all applicable codes, and all required inspecHons 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) 7545626 WORKERS' COMPENSATION DECLARATION: I hereby aRirm untler penalty of perjury ona of the following tledarations: ❑ I have end will maintain a certiticate ot consent to seN-Insure tor workers' campensation, as provided lor by section 3700 of the Labor Code, for the pedormance of the w for which this permit is issued. have and will mainlain workers' compensation insurance, as requiretl by section 3700 of the Labor Code, tor Ihe peAormance of the work for which this permit is issued. My workers' compensation I surance ier nd p.ro�li�-yp�mber are: Z { /1 / n Carrier. ��'7Lii'�.�i.,� c r�i� PolicyNumber.ji�Glf�� J� Y�`� (This section need no( be complefed i! Ihe permif is veluetl at one hundred dollars ($100) or less.) ❑ I cerliTy that In the pertortnance of the work for which this permit is issued, I shall not employ any person in any manner so as to hecome sublecl to tha workere' compensation law 'fornia, and agree that if I should become su6ject to the workers' compensation provisions of Section 3700 oF the Labor Code, I sha1�orthwith comply with thes prwn"yl ns. L � ��\ Applicant Signature: _ Date: �% � 1 WARNING: FAILURE TO SE E WORKERS' COMPENSATIIXJ CAVEFiAGE IS UNLAWFUL M1D SHALL SUBIECT AN EMPLOYER TO CflIMINAL PENALilES AND CIVIL FINES UP TO ONE HUNOflED THOUSAND DOLLAPE ($100,000�, IN ADDRIIXJ TO THE COST OF COMPENSATION, pAMAGES AS PFiOVIDED FOR IN SECfION 31060F THE LABOR CODE. INTEREST. AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby a�firm �ha� I am liCensetl torce and eHect. Lic. a Contrector's Signeture: CONSTRUCTION LENDING AGENCV: wiN Section 7000) of Division 3 of �he Business and _ Class # -�_ -7 Date:__. � ❑ I here6y attirm that thare is a consVuction lending agency for ihe performance of ihe work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: Signatura: OWNER-BUILDER DECLARATONS: Date: my license is in full I hereby aNirm ihat under penaliy of perjury that I am EXEMPT FROM TME CONTRACTORS LICENSE LAW for ihe tollowing reason (Sec. 7037.5, Business and Protessions Code: Any ciry or counry which reQuires a pertnit to consWCC alter, improve, demolish, or repair any strucWre, pnor to its issuance, also requires the applicaM for such permit to file a signed statement Ihat he or she is licensed pursuant �o ihe pmvisions of ihe Contractors License Law (Chapter 9(commencing with Section 7000) of Division 3 of ihe Business and Professions Cotle) or that he or she is exempt thereirom and the basis for the allegetl exemption. Any vlolation of Section 7031.5 by any applicant for a permi[ subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ I, as owner of ihe property, or my employees with wages as their sole compensation, WILL DO THE WORK, and Ihe structure is not intendetl or oftered for sale (Sec. 7044, Business antl Professions Cotle: The Contractors License Law does not apply to an owner of propeny who 6uilds or improves Ihereon, and who does such work himself or herself or ihrough his or her own employees, provided ihat such improvemenis are not intended or oHeretl tor sale. If, however, the huilding or improvemant is sold within one year of completion, Ihe owner-builtler will have �he burden of provinq �ha� he or she did not build or improve for purpose of sale.). ❑ I, as owner oi the propeny, am EXCLUSIVELV CONTRACTWG WI7H LICENSED CONTRACTORS to constmct ihe project (Sec. 7044, Business end Professions Cotle: The contrectors License Law does not apply to an owner of propetly who huilds or improves ihereon, and who contrecis for such project with a contrecror(s) license pursuant to ihe Goniractors License Laws.). ❑ I am exempt under sec. Signature: Ownar ID verified by driver's license. ❑ Yes ❑ No Business and Pmfessions Code for this reason: Venfication of Ownership by (type of daument, i.e. - propehy tax bill or deed): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: Driver's License No. Date: Expires: ❑ I hereby certi(y thai no excava�ion tive (5) or more faet in depih into which a person is required to descend, will ba made in connection with work auihonzed by this permit, antl t�at no builtling simcNre, scattolding, falsework, or demolition or dismantling thereoi, will 6e more than �hirty-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Califomia Administretive Code). ❑ As owner�builder, I will not employ anyone to tlo work which would require a permit fmm the Division of Indusirial Safety, as noted above, unless such person has a permit to do such work from the tlivision. Signaiure: � Date: Division oi Intlusirial Safety Permit Number CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I certify under penaliy of perjury that I have read ihis application and state Ihai the information given is wrrect I agree to compty with all state laws antl ciry ordinances relatinq to builtling wnstmaion, and authorize represen�atives oi the Ciry of Costa Mesa to emer upon ihe above-descri6etl propeny for inspection purposes. I agree not to occupy or ellow occupancy of any Duilding authorized by this permit until final inspection. COpE M, INSPECTIONTYPE O�g NI TRIALS 1616 Fiaetl System Final Fire Prevention 1266 200 201 202 203 Pool Spa Final Final Re-Roof Final BIocWRetaining Wall Final Factory Fira Place Final Sign 204 Final Demolition 2446-46 ��ate .,� Date CODEX INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elec�ncal 272 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupancy pATE Appllcant to fill in all soaees exceo� lhose w(thin heavY bortler Ilnes ane slgn all appropriata Oeclarations. CI�COS7A MESA CQp�STRUCTION PERMIT v,� a,�� TSb J w� n]�e;ra� �P,pphta sMailing�A"d�dress 4�-1 �- Je-�Gy�. rY�U ZCUf�t Owner's Name(7�_.�.�g�� " Phona� J �( 7- 1 � Address -I-� ` -n ` Q'�� ' Arch/Eng. License No. Address ' Contracmr'sNam �' G�- � Phone.�3o�'3 Address (mailing) G 11 �- 'e'�Vh �� V� y�¢ City License Na � � � � L LICENSED CONTRACTOR DECLARATION 1 hereby a/tirm that I am licensetl untler provisionz of Charter 9(commendn9 wit� section ]000) of Division 3 of the Buziness antl Profe55ions Cotle, antl my Ilcense is i fu�yt ceantl effect. � �7 Q�! License pass �� — License No. �d` u S� Date I�� 5�9 t t,.�+++ p nSJfl'iir WORKERS' COMPENSATION DECLARATION � hereby attirm that I have a certilicate oi consent to selbinsure or a certHicate Workers' Compensation Insurance, or a c¢rtifietl copy [hereot (Section �0, Lab. �) ..�n ^ �� ` ` !� .-�IicY No� �+'�'f �k�ld`b ComPanYJ`.��T��UY1G � c.JliT`�i�( ❑, Ccrtitietl mpy is hereby tumizhetl. 1�I Certitietl opy is filetl with the city ing Division .(I�' Oate I I� ��S^% APPlicant � �S �-"` E%EMPTION F0.0M WORKERS' COMPENSATION DECLARATION (This section need not be completetl if the permit is for one huntlretl (5100) or less). 1 certity that In the performance ot the work (or wnich tnis perm�t is issuetl I snall no[ employ any person in any manner so as to become subject to the Work¢rz' Compensatlon LawS ot Cdlifomia. Date Signature NOTICE: 1f, at[er making this tleclaration, you shoultl becoma subject to the Work¢rs' Compensation provi5ions of the Labo� Cotle, y0u must forthwith comply with such provisions or this permit shall be deemetl revoketl. CONSTRVCTION LENDING AGENCV 1 hereby affirm ihat there is a construction lentling a9ency for the periormance ot [ho work for which this permi[ i5 issuetl (Section 3097 Civ. CJ Lentler'S Nam¢ Lentler's Atltlress OWNER BUILDER DECLARATION I hereby atilrm lhat I am exempt from the ConVactor'z l_Icense Law for the (ollowing reason (Sectlon 7031.5 BuSiness and Professlonal Cotle: Any city or county which requires a permit ro<onstruct, aller, improve, tlemolish or rapair any sl�uctur¢, p�io� to its issuanG¢, also �equire5 Ne applican[ to� such permit to lile a Si9netl statement that he/she i5 licensetl pur5udnt to the Orovisions of the Contractor•z License Law (Cnapter 9(commen<ing with Se<tion 7000) of Oivision 3 ot lhe Bu5ine55 antl Profe55ions Cotle) Or that ne/sh¢ is exempt =reirom antl the basis for the alleged exemption. Any violation ot Section 31.5 by any ap0��an[ tor a permil sublects the applicant to a civil ndlty ot nOt more than live huntlretl tlolldr5 (5500). L� I, as owner of the prooerty or my employees witn wa9es as their sole ' Compensation, will tlo the wOrk, antl the st�uctur¢ i5 nol intentletl o��offeretl fo� sale ($eclion 7044, Bu5ine55 antl PrOfe55ional Cotl¢: The Contrac[o�'s License l�w tloes not apply to an ownC/ of a p�operty who builtls or imp�ove5 thereon, antl who tloes such work himself/herself or tnrough his or her own emoloyces, proviaee that such Improvemenes are not Intentletl or otteretl for sale. Ii, howevEq the bulltling or Improvement is soltl within one year oi Com- OleliOn, Itte owne� will have the bu�tlen of p�oving he/SM1e tlI0 not bui10 0� Im- prove �or the purpose of salej. ❑ I, as owne� of the p�operty, am exclusively Contracting with liceni¢tl <On- tractor5 [o construtt tM1e pro�ect (Section ]044, Business antl Professions Cotle: The COMractor's License Law doe5 nol apply lo an owner ot pro0erty wh0 bulltls or imoroves thereon. antl who conVacts for such oroiects with a<on- tractor(51 license pursuan[ ro me Contrac[or•5 License Law). I am aware [hat proot o1 Iheir Worker'S Compensation insu�ance shoultl be p/ovitletl to me. ❑ I am exempt untler Section B. & P. C. for this reason �ate Owner _ I hereby certify ihat I have reaG lhis Information i rrect. 1 aqree to comp antl scate I s elating to builtling con sentatives i)} is cily to enter upoi Drivars' Licenze or 55 �f 0865-46,rev.5/88 ppliwtion antl state that the above with all city antl countY ortlinances 'uctlon, dntl he�eby autho�iie repre- the above-mentionetl property for Dale �� -�� - � 36 ac 2 I I I- .- TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER .DESCRIPTION OF WORK�SE OF BLDG., �L h��+E w�\7�[ J�r✓ TVPE OF PERMIT LJ GRADING LJ FOUNDATION LJ STRUCTV RAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ �OTHER (�Q..iG]OL Y� � PROJECT DESCRIPTION 5c1. �FTy. ��3� 0-� oCCUPi CONSTRUCTION TVPE r++ VALUATION 5. ZONE GRADINGCU.VDS. AC Remarks: - )�„��(i 1/�l� L ' � Bar Sink Backflow Preventer Backflow Irrigation Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service Ouuecs Interceptors Kitchen Sink Lavamries . P—Trap Roof Drains Reinspection Fee $15 Duct - Under Ground Duct - Structurel Duct - Ventilating Exhaust System ❑ Multipl6 Firepl/Fact BIt �C80 # Heatin9 System & Ducting ❑0.100,000 BTU 0100,000 Reinspection Fee � S15 Wni[e - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors �Solar P—iping olar Tan'S k Swimming Pool w/Spa Urinal Water Clout Water Heater Water Service Auto-Wash Laundry Trays laue Fee Hood or Typel ❑ Canopy Typell ❑ �frigeration Sys[em ❑0.100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Registers laue Fee FEES A.P. � S Main Building: E T Front A Rear C Right gLeft Ping. Ref. # Planning Notes: Actessory Building: Parking Req./Provided ELECTRICAL Automatic Washer Transformer ❑ 75-50 KW Construction Pole Sub. � 50 + KW Cooking Unit Meter ❑up to 100 amps Dishwasher Meter ❑over 100amps Dryers ❑Gas ❑Elec[ric SubPanel '� Fan Motors �0.1 HP �1X� 8 F.A.U. Fixtures Device Bozes � Outlets Switches Garbage Disposal Generator �0�5 KW OS-15 KW zo�e ❑9�15 HP �16-15+ Pole Light Range Sign Standing Sections Trash Compacmr Reinspection Fee $15 Issue Fee $ 3 DEVELOPMENTSERVICESREQUIREMENTS: Zonin9 APProved By FEES �'� Building Approved By �� _ �.1 $ 3 BUILDING PERMIT $ . PLAN CHECK $ PLUMBING $ PLAN CHECK 25% $ ELECTRICAL $ PIAN CHECK 50% $ MECHANICAL $ PLAN CHECK Z5% $ 6 O N I N G F E Q M T S. FEES $ 3 SUMMARV OF FEQS ' �-z � SMIP $ . 3 J PERMIT ISSUANCE $ ENERGV P.C. $ GRADING $ MICROFILM $ TOTALFEE $ 99�-� O10001E552-0�018553 TO'3' °9.53 DATE: ?1J03/8S TItiE: 10:29 ��f� \�� ' . w (:tSNSTRUCTION AND PLANNING ,g' POOf �PA PROVALS Permit# Date Inspector p�ppROVALS Permit# Date Inspector 1. ' mporary Electrical Service or Pole 52. Pool & Equipment Location � 2. Soil Pipe-Undrgmd, � i; � 53. Steel Reinforcement , ' '�P.�EIecYrical ConduiF Utility�Undrgrnd. � 54. Forms �4il Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel.ReinforcemenY ' 56. Rough Plumbing & Pressure Test �' �6'� Electrical UFER Grnd � 57. APPROVALTO COVER-GUNITE n 7� Footings i 58. Electrical Conduit-Undrgrnd. 8:_Foundation �' 59. Gas Pipe, O Undrgrnd., Test v 9- Water Pipe-Undrgrnd,' � 60. Backwash Lines, P-Trap, 0 Undrgrnd. tJ 10. Structural Floor System . ' 61. APPROVAL TO DECK ]7. Prope�ty Sewer Line & Flouse Conneciion ' ' 62. Backwash & fteceptor-Final 12. Sewei Cap � � �, 63. Heater & Vent-final ; 13. Roof�Drains 64. Plumbing System - Final ' 14. Rough Plumbing� 65. Electrica6Final � 15. Rough Electriral-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval t17. Rough Wiring Sign . 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Cetling^ 69. POOL/SPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT . ,. - �20. Rough Factory Fireplace 'j APPROVALS Permit # 21. Ducts, in Structure '� ? 70. Underground Hydro 22. Ducts, Ventilating �' "! 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & 7est �'� � � 72. Underground Flush 24. Roof Framing � � 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing .• ' � 74. Overhead Hydro 26: T-Bar�Ceiling (Structural) &�Monocoat 75. Dry Chemical 27. Frame and Flashing ._�! 76. Dry Standpipe 28. Lathing & Siding ' 77. FIXED SYSTEM FINAL 29. Insulation � 78. FIRE PREV. FINAL 30. Drywall Nailing , ' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat � ' 79. FINAL INSPECTION 32. Electrical PowevMeter-Final� 80. FOOD CERTIFICATE ISSUED 33. Final Electric �. � Notes: � 2 85' LQ �� _ 34. Final Heating & Air Conditioning ��Q 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final • 40. Gas Service-Final � 7 41 . Solar pomestic-Final � �' i-; 42. Backflow Preventer � �I � y 43. Backflow Irrigation � , � 44. Landscape Irriqation System � 45. Sound Attenuation ` .i..;. 46. Handicap Regulations ;� 47. FINALSTRUCTURE&BUILDING Z 4 dg. Soer.ial Requiremeqts Completed 49. Electric Release to Edison , 50. Gas Release to Southern California Gas Co '�; � � 51. QERTIFICATE OF OCCUPANCY . No. Date • CITY OF COSTA MESA � CONSTRUCTION PERMIT 0 AoO��cant to /i11 in all spaces axce0� thaza within neavY borecr lines antl sign all appropriato aeclarations. PERD4IT NO. -. TRACT NO. � LOT NO. BLD . . ProjectAddress � .y� %�� AppliCani'S Mailinn AAdreac S •' I.� ° ,/1.(�£ • ' ' Owner's Nam�e, � � � � � � +P-�Phone � '1/�Y9.5'� � Address `� M f' Arch/Eng. _ License No. Address ConVecror'sNam ^ ��'r �` �� Phone�� Addresslma�'�� hrCR i.ir•t•f k%U� . ��.A. �DL1y'3 CiryLicenseNo. �n�S�Z � ; LICENSED CONTRHCTOR DECLARATION I hereby.affirm that 1 am Ilcensetl untler provislons of C�arter 9(commencin9 � wlth 5ettion ]000) of Dlvision 3 ot the Buslness antl Professions Cotle, antl my Ilcense Is In tull f fe d tl effect. J si �� IJcenSG lass �n5e No. Date Si9nature -r�[�L // �+"� � — 'VORKE 5'COMPENSATION OECLARATION iereby aHirm that I have a certlfica[e oi consent l0 5elLinsure or a certifi<ate � Workers' Compensatlon Insuran<e, o�'a certifietl copy t�ereof (Section 3000, Lab. C.) , ��^ � 'I � , , ' POIICY No. �� y �� ComPany —� ! - ��Certifietl copy is M1ereby fumishetl. Certif c i� (Iletl with the city By�Itlin9 DlviSi n. �! t� Da[e APPlicant (1Q(.,`E�r.']� ��/� �nL�� EXEMP 10 FROM WORKERS' COMPENSATION DECLARATION (This section neetl not be comple[otl if the permlt Is for ona huntlretl (E100) or less). I certlry that in the per(ormance ot the work for whlch thls perm�t is issuetl1 I Slldll OOI 8fllplOy dOy p¢lSOO 10 dOy TdOO¢! 50 d5 f0 bCCOTB SVDjECt t0 IfIB Workers' Compensation Laws of Calilornla. � Dat6 Signature NOTICE: H, atter making this tlaclaration, you s�oultl become subject to the Workers' Compen5ation provisions of the Labor' Cotle, you must forthwith comply wlro zuch provl5ions or .thi5 permit shall be tlBemetl revoketl. CONSTRUCTION LENDING•AGENGV• - � ' I hereby afilrm that t�ere i5 a conStruCtlon Ientling agency for the pertormdnce 01 [ha work 'for which thls Oermit Is Issuetl (SecHon 309] Civ. CJ ' , Lentlar's Name _ , I Lentler's Atltlress� OWNER BUII.DER DECLARATION � I hereby aflirm that 1 am exempt irom the�Contrattor's lJcense L.aw for the tollowinq reason (Sectlon 7031.5'Business antl.Profe55ional Cotle: Any uty or ,county whith requires a permlt to <onstruct, alteq improve, tlemolisn or repair any structure, prior to its Issuance, also requires the apPlicant tor such parmit to tile a signetl statement that.he/she is litensetl pursuant to the provisions of 'he Contractor's License Law (Cnap[er 9(commencing with Section 7000) bf `vl5ion 3 of the Business antl Professions Cotle) or that ne�sne is exempt CrefrOm dntl the ba5is for the allegetl exemptiOn. Any vlolatlon ot Section �031.5 by any applicant tor a permit subjects tM1e applicant to a clvil �enalty of not more than fivo huntlretl tlollars ($500). I, as owner of the property or my employees with wagei as their sole compensation, will tlo the work, antl the structure Is not intontletl or ofteretl for salo (Section 7044, Business antl Professional Cotle: The Contractor'S Licensa Law tloes not apply [o an owner ot a property who bulids or improves th¢raOn, dntl who tloes Such wOrk M1lmself/hersel� ar lhruugh M1ls or her own employ aes, p�ovitletl thdt such Improvements are no[ Intentletl or oft¢red tor sale. If, however, tM1e bulltling or Improvement Is soltl wi[nin one year of com- pletlon, the owner wlll have tne burCen of proving he/she tlitl not bulltl or im- �rove'fo� the purpOse ot sale). I, as owner of tne property, am exclusivary contracting with Iicensetl con- �� tractorsto construct tha project ISection 7044, Business antl Protesslons Cotle: Tho ContraCtor's License l.aw does not apply ro an owner of property who bulltls or improves thereon, antl who contracts for such projects with a con- • traCtor(5) Ilcense purSuant to tho Contractor's Licanse LawJ, i ' ❑ I am exempt untler Sectlon B. & P. C. for this reason Data Owner' I hereby certiry [ha[ I have reatl thls applicatlon antl s[ate that the above iniormatlon is correcL I a9rea lo comply with all city antl county'ortlinantes and sta[e laws relatln9 to bulltling construcHon, antl hereby authoNze repre- 5entatives of this tlty to�nler, upon the above-menHonetl Property tor inipectlon purp se . � ' r �/ Signature � Datu U_ �a TYPE OFCONSTRUCTION LI NE�J IJ"�.PD LJ ALTERATION �Ll REPAIR ' ❑ CONVERSION ❑ DEMOLISH ❑ OTHER - �j.p.# DESCRIPTION OF WORK �'� �nA � L � �l�%'P�' (+� �'� ' S Main Build TVPEOFPERMIT GRADING FOUNDATION STRUCTURAL T Ffont ❑ TENANT ❑ ELECTRICAL � PLUMBING ❑ MECHANICAL B Rear ❑ �OTHER . p' - PROJECT DESCRIPTION 5�. FT. oCCUvt�rvcV ' C Right � K Left CONSTRUCTIONTVPE � VALUATION$ $ ZONE ' GRADINGCU.VDS. 'ACRES PIng.RCf.�/+ Remarks: Parking Req./Pi Bar Sink Beckflow Preventer Backflow Ir��qation BathIDbs � Clarifiers Dishwasher � - Drinking Fountains Floor �iains Floor Sinks . Gas Service� 'Outlets Inlerceptors Kitchen Sink � Lavatories P—Trep Roof Dreins - ReinspeMion Fee $25 Boiler - Duct-UnderGround ' Duct - Structural Duct-Ventilating � Exhaust System ❑ Multiple FirepUFact.elt.ICBO# � Heating System & Ducting , ❑ o-i oo,000 aru O i oa,000 Driyers' License or�55 � I I Reinspection Fee I $25 CMF OB65-46 rev. 7/83 White - Bul Itlin9; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor PLUMBING Showers Service Sink Sewer Cap ' Sewer Connection Solar Collectors Solar Piping Solar Tank ' Swimming Pool w/Spa Urinal Water Closet Water Heater � Water Service Issue Fae Hoodor Typel ❑ Canopy Type I I ❑ Refrigeration System ❑o-ioo,aooaru ❑ioo,000 System Repair/Alteration luue Fee " 1014 5/24/84 - � � � 2one Acceuory Buildin9: - Park.Fees $ . Use of Building: FEES Planning Notes: � E Automatic Washer� Canitruction PoIE Sub. $ 3 $ 3 Cooking Unit Dishwasher Dryers ❑Ga Fan. F.A.U. Fixtures Device Boxes Outlets Electric JCAL Transtormer ❑ 15-50 KW ❑ SO+KW - ` �Meter'UJp to 700 amps Meter ❑over 100 amps , Sub Panel Motors 00.1 HP 01 X� 8 - Inc.Solar Q9-15 HP 016-15+ �� Microwave Pole Light � Range Gar6age Disposal Standing Sections Generator �0.5 KW �5-15 KW Trash Compacror I Reinspection Fee • I$25 I �ssue Fee PUBLIC SERVICES HEQUIREMENTS: Zoning Approved By Applitation Approved By APolimtion luuad Bv BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK � ELECTRICAL PU1N CHECK MECHANICAL PLAN CHECK 5.Op TL Z O N 1 N ' G R � E ' Q . U I R E E FEES $ 3 SUMMARV OF FEES �� 9�#}�Y�=" �'" s , F-',�sMr s $ PERMIT � � ' $ . s� no �Ss�AN�E s $ � ENERGV P.C. $ $ � GRADING � $ ' $ MICROFIIM $ � $ TOTALFEE $ • nC� $ 1 CONSTRUCTION ANDPLANNING POG .SPA APPROVALS Permit# ��n''� Date Inspector AppROVALS Permit# Date Inspector -� 1., Temporary Electrical Service or Pole 52. Pool & Equipment Location '2. Soil Pipe-Undrgrnd. - � 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. . 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement � . 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation ' 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 17. Property Sewer Line & House Connection , 62. Backwash & Receptor-Final 12.� Sewer Cap � . 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 74. Rough Plumbing � 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar Sysiem�Final ' i 6. 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 77. Product Piping �Gas �Oil 23. Gas Pipe-Rough & Test • 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank � Gas ❑ Oil 25. Fioof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding � 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ' 33. Final Electric � Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy � 37. Final Factory Fireplace � 38. Final Plumbing $�U/��( LE() 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer - 43. Backflow Irrigation � 44. .Landscape Irrigation System � - 45. Sound Attenuation 46. Handicap Regulations 47. FINALSTRUCTURE&BUILDING . � 48. Special Requirements Completed , , - 49. Electric Release to Edison , �. 50. Gas Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY , - , No Date OWNER MESA DEL bIAR-DEVEL,OPh�NT COMPANY DATE 3-]2-62 JOB ADDRESS 956 Junipero Drive BUILDING PEAMIT NO. 16612 GENERAT. CONTRACTOR IvjgcCO COZp. VALU� $ 1B, C�B.00 AP No. LOT 11} TRACT 1�,2(Q FIRL ZON� DESCRIPTION OF WORK peS w a,tt g3Y IA*�PECTIONS I 5ignature I DATE GROUP I&J TYPE V ZONE Rl G�y ��f � '� ��SUBCONTRACTOR DATE�`�iTSNUMBER � OCCUPANCY 'ORM BU4-5M - � Q, �� D lES"d � , issi2 �� RECEl�IED COSTA MESA BUILDING-SAFETY DEPARTMENT � Mp� � 1962 P. o. aoX s» COHTA MBBA. CALIRORNIA FINt1NCE OEPT. I.ot llt - Tract l�250 Fo� A licanf fo Fill In Com lefel �Y OF CUSTA MESA ?�an 45a� PP P Y APPLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING ADDRE56 6 JuniDero Drive COSTA MESA. CALIFORNIA FOf OffICB USC OIII�/ owr,ER Mesa Del Mar Dev=lop�nt Co. Re=e��* NO. PBRMIT wo. MAIL ne rvEc er Te RERIVHD owTe iseum noowes� 9800 E. Coast Hi�hi•ra.y `�lfif-� ��-/( -/„a-�' ��.ypR 1� 19 recr Clif� Olsten RC TEL. GINEER .GRnf:� NO.Gf�{�i- sa9025� E. Florence Ave.,Downe „croR F4acco Corporation a�' ss 3�00 E. Coast HighVr2y Corona Del T4ar,Calif. ,. 98808=SB-1 No: CF.3-4220 OF LOT 716�. S�_ I No. on BtD6H F• unw nx m" U6E OF EXIHTIN B6TBACK PIiOM Kn � � I LEF7 �% � I R�GHT � � DESCRIPTION OF WORK � EXTERIOR WALL NO. OF � -ZO��ROOMS ti11CCOl ROOF O(X� COVER \NO WORK TO 6 ].V D4I2].117 garage . COSTA MESA. CALIFORNIA ZONING zoNe�_/ Ivune � IeB�Naswrn�/ �+.w/f� w/R�I yar- Qa�a�..�o„ Lai- �Y T�P yz6o �—� t1 f�HTLN YN6 6TJ 2 FRONT j� 8 R. 61 DE L. SIDE y Iwwew � z 1 HBREBY ACKNOWLEDGB TXAT 1 XAV6 R6AD TXIB �IPLIWTION ANU BTATE THAT THE A90V6 IB COPRECT /�ND AGRQB TO CON- PLV WITH ALL CITY OHDINANC69 AND BTATB LAMM R60ULATINO BUILD�NO CON9iHUGT10N. ' 81GNATURE oF.___ n_� .._� .�____. _ .___.�. .. _ Covered Porch 42 S.F. THE AMOUNi lHOWN UNOBp VALUATION �! IOR TXH PUflP08E OP. 68TAGL18HIN0 A P6RMIT P[H ONLY. $ 1'J�76��00 I PLAN CHECK �.rP�::�i�iCr`LaS�s��iii :1� ��n�l`J