HomeMy WebLinkAbout3059 LOYSBURG BAY - Building Permits Applicant to fill In all spaces except those within heavy border Ilnes and sign all appropriate declarations. _ •
_
CITY OF COSTA MESA. ' a PERMIT NO. TRACT NO. LOT NO. BLDG.NO.
NS15RUCTION PERMIT P 75-93 (p1 .
Applicant's Meiling A..QQ((d!rr!Veyg� 1 r Q� �Vt -
TYPE OF CONSTRUCTION NEW ❑ ADD VALTERATION LJ REPAIR •
'' 0799 6/�I,/r;9 3 .0 TL
Project Address 3 t 5c7 )\IS I ++G '❑ CONVERSION ❑ DEMOLISH El OTHER _
i J DESCRIPTION OF WORK • ZONING REGULATIONS
r� Owner's Name _ Anes Phone�� •
Addressh�) I-YIp1Ala\/ CO) .
I TYPE OF PERMIT U GRADING U FOUNDATION U STRUCTURAL A.P.sts - ZONE , ' - '
�• Arch/Eng: ' License No. ❑ TENANT ❑ ELECTRICAL ® PLUMBING 0 MECHANICAL ' PLNG. REF.Ss BUILDING I -
.,, Address ' y1 - ❑,OTHER '- �" • ,. TO BUILDING cFTaerr rvl Sr
Contractor's Nam [r1.� r,T ' - Phone�L1 T8/4 'PROJECT DESCRIPTION SQ. FT. • OCCUPANCY - PROPERTY LINE - REAR YARD(TO P/L) • .
Address(mailing) fin b I� nI I n 'l 'CONSTRUCTION TVPF VALUATION$ LEFT SIDE YARD • RIGHT SIDE YARD • _ . ..
�.RtY7t� ZONJ= • GRADING CU.YDS. ACRFS PKG.SPACE REO. PROVIDED -
License No. __ (l/ _
LICENSED CONTRACTOR DECLARATION C Remarks: 75' P ' WIDTH. . STREET
I hereby affirm that-I.am licensed under Provisions of Charter 9(commencing ✓ '
with section 7000) of DIvision 3 of the Business and Professions Code,and • ' - . ' ' t
my license Is In full for and effect. r '
License Class' "�-qtr /1 Ucen�ygo. �•1�`r) PLUMBING
Date I0'lh-6'4 Signature (X.{�lign-4 /1`4/Y: -
•
WORKERS'COMPENSATIONOECLAR ION' • �','ry''^//pV/'yl�__ Bar Sink Sewer Cap ,
rebyaffirm that I hive.a.certificate.of consent.to self4niure.or.a certificate,.. .. .— •rYorkers' Compensation Insurance,)or a certified copy thereof (SectionBackflOwPreYenter / 'Sewer Connection - -gyp, Lab. C. /��1 • yl /� Backflow Irrigatioh Slarlltors
Polity No 4Company !/` SI(1/ Cooking Unit Sub❑ Certified copy is hereby furnishetl _ 2Bathtubs ; 1SolrPiping , /� It
da'Certified copy s led with the city Bulltlin• Divisi•n./ Dishwasher
ate /p—1 '-' Applicant / -r / - ' to a ' Clarifiers i Solar Tank Nl S
EXEMPTION'FROM WORKERS COMPENSATION DECLARA ION - Dr ars ❑Gas ❑Electric
(This section need not be completed if the permit Is for one hundred($100)Ord / Dishwasher Swimming •Pool W/Spa a •_ y Inc.Solar ❑9;15 HP ❑16-15+
, less) 1 . ' - Fan ,Microwave
I certify that In.tlie performance of the work for which this permit is Issued,I Drinking Fountains Urinal I -
shall not employ'any person in any manner so as to become subject to te
' Workers' Compensation Laws of California- Floor DrainsF.A.U.FPole light I
�j WaterCloseY, :9 — .
Date Signature - - Fixtures_, '
-NOTICE:-If,after making-this declaration,you should become-subjectu to the Fioo!Sinks- - - - - Water Heater - - • • - -- - - -- - - Range .. - -_ _
Workers' Compensation provisions of the Labor Code, you,mus[forthwith Device Boxes
comply with. such 'provisions or-this: permit ,shall be,deemed revoked. Gas Service Outlets; Water Service Sign
CONSTRUCTION LENDING AGENCY ' - - '
Outlets
I hereby affirm that there Is a construction lending agency for the performance Int•erceptprs - " - ' Standing Sections , '
of the work for which'this_• permit Is Issued (Section 3097- Civ. C.) - - -
Lender's' Name - ' - ' t - / Kitchen Sink' _ �t Switches ! Trash Compactor
•
Lender's Address i - [ t' - - - -. c+4 Garbo a Di oral ! i '
OWNER BUILDER DECLARATION - LBvatorie5 / 9 sP _
I hereby affirm that I amexemptfrom the-Contractor's License Law for the p-Tie ' - - • f0 Generator❑0-5 KW 05-15 KW i
following reason (Section.7031.5 BusinesS and Professional Code: Any city or p _ ' -
-
• county which requires a permit to construct,alter,improve,demolish or repair - Transformer
any structure,prior to its issuance, also requires the applicant for such permit. ! Roof Drains - . , - ' ! ' ' 27 — ❑15.50 KW l
to file a signed statement-that he/she is licensed pursuant to the provisions of- . _ - �\ ❑5U+KW
the Contractor's'License Law(Chapter 9(commencing-with Section-7000)of ' - ' - I Reinspection Fee • $15
•ision 3 of the Business and'Professions Code) or that!he/she is exempt "1 Showers , +• • ' Reinspection Fee $15
,;;efrom and the basis for the alleged exemption:Any_violation of,Section - - - Meter ❑up to 100:amps laue Fee i -$ 3
'3:5 by. any applicant for a permit subjects 'the applicant to a' civil • _
't •
.laity of not more than five hundred dollars($500). ,.- - _ - Service Sink' I - •• Issue Fee $ 3 Zoning Approved By • Date
b 1.••a2'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 ' ' • • . ' 1 . MECHANICAL iApproved nate
for sale (Section 7044, Business,and•Professional Code: The Contractor's ' -- - — -- -- ---- -• - ---- = - Application '
• By / p
License Law does not apply to an owner of a property who builds or improves ' Boiler _ Refrigeration System !O /7 O
thereon, and who does;such work himself/herself or through his or her own ! - Application Issued By L Date
employees, provided that such Improvements are not Intended or offered for • ❑0-100,000 BTU ❑100,000 BTU- i
sale. If, however,the building or improvement Is sold within one year of com- Duct-Under Ground I , I SUMMARY OF FEES' ' •
pletion, the owner will have the burden of proving he/she did not build or Im- - ,
•• Crove for the purpose of sale). -- Duct-Structural System Repair/Alte[ation • 'BUILDING PERMIT $ • SMIP $
I,as owner of the property,am exclusively contracting withllcensed con- - '
tractors to construct the project (Section 7044,Business and Professions Code: . 1 Duct-Ventilating __- - , - - - --. - _ ,PLAN CHECK $. PERMIT • I
The Contractor's License Law does not apply to an owner of property who , ISSUANCE $ '
builds or Improves thereon,and who contracts for such projects with a con- . Exhaust System 0 Multiple 0 -• PLUMBING • $. RS- •
tractor(s) license pursuant to the Contractor's License Law). - • I PLAN CHECK $ '••� GRADING $ ,
0 I am exempt under Section - B.&P.C.for this reason Firepl/Fact.Bit. ICBG# , • . • I $
Date Owner + ' ' Heating System& Ducting I ,ELECTRICAL • $' ,
I-hereby certify-that -C-have read this application and st• ate that-the above , - - ❑O-100,000 BTU❑100,000 - •
PLAN CHECK• $' - • MICROFILM $ -
Information Is correct. I agree to comply +p'ith all city-and county ordinances + ' TOTAL FEE $ ! •
and state laws reWtin@ to building construction,and hereby authorize repre- Hood or Type I 0 MECHANICAL $
sentatives of!thiW city to enter upon the hove- entioned property for . VPI ' Reinspection Fee: $15 LESS
Inspection ourgoses. Li Canopy- Type II ❑ 'PLAN CHECK $
! Signature ✓I- ' ��^ ��c �x/� Date �4��',-J' -03 , , i ADVANCE DSPC ) $ •�
/
� • ' FINAL FEE s $ 6
CMF 0865-46 rev.12/82 White-Building:Canary-Applicant;Pink-Accounting;Goldenrod-Assessor
'=-�'ONSTRUCTION AND.PLANNING' r 7r11:- 7 --t r POOL 'A - ^ ,
- d i i- n ?r••---i c r _.-Date I nspector I . ' - - Date • Inspector !
APPROVALS • Permit# - ,._;.APPROVALS - Permit'# - ., 1 .3
'- .11 Temporary Electrical Service or'Pole '',:;':13::::: 5' e '52-i Pool &Equipment Location;:' : ts r'
7t !Soil•Pipe Undrgrnd" -• ! F .o- t °- WWII :tie/pc ;53_ Steel Reinforcement - '_
1 Electrical Conduit Utility-Undrgrnd! ry: : :•-•.:: : 1.a f.•;',.. ;54:-Forms4. ! ,
^r 4. •Electrical Conduii-Undrgrnd -. "::: ` -a Q" E , _ •,55? Electrical Bonding . : " - _
S. Steel'Reinforcement ' c.„I �.t ::: I t. o^ ` `- c•-.... _ 56: Rough Plumbing&'Pressure Test : : _
6. '}Electrical UF ER Grnd' a r- ' -•; , ft - 57'APPROVAL TO COVER-GUNITE
7. Footings : 1 • arI 6. _ '" :58' Electrical Conduit-Undrgrnd::
8. Foundation i, y-,r::: 1 . o 2 P, - F 1 . X59. Gas Pipe,:❑ Undrgrnd.,Test` - .-.
9. Water Pilpe-Undrgrnd.:I I -,;7,i <' ' . . ; : ' :60. Backwash Lines•.P-Trap, O Undrgrnd. , . ' .\ '
10. Structural Floor System I z7 0 . 5, o ' , ^; ';' • 61. APPROVAL TO:DECK - - -
11. Property Sewer Line& House-Connection; • 'gid 62. Backwash & Receptor-Final _ •
12'Sewer Cap ' 1 I I ' i:: •! : j ' ' 2 63. Heater &-Vent-Final
13. ,Roof'Drains 1 I " t : 4 - ;-. - - . ' -
1 1 ;, I ?64. Plumbing,$ysfem = Final
• 14. ;Rough Plumbing, ' Ei 'iWp'/nn, 401 ;'65. Electrical-Final - - - - - ` - '
a
15.-Rough'Electrical=Cornduitl"T^"n.- --T1 .66 Solir-Ssem-Final-- ' - -- ' -
` t., 1. r I I ! j r�r!�- -�- vJ � I
r ..
• 16r^Rough-Elecric:Wiring., .. 1 I i• I' :-til-C 4is i--1 ` 1 - " - -' •- -
o s 1 '^I I. - r I .. 1 "'• ,67.1 Fencing & Access APProval _
°J7.,Rough Wiririg'Sign`7 , ,, :i I 5 4 . 1 ;1-nal' a 1 _, I" ' I ! _
u, ! t {68.I APPROVED FOR PLASTERING
GI 1• 8.: Rough•Elecincal'T:Bar)Ceiling ! 1•• j• 37.:- I ! I ,% !' ' I. 69.! POOL/SPA SYSTEMS FINAL ,
19: Rough Heating &'Air,Conditioning !i l ". 1 ' I I ' 1 I, FIRE •DEPT.REQUIREMENT . • -
I 2• 0."Rough:Factory Fireplace' 1 +j 11 .. 1 I I I i 1 ; APPROVALS, Permit# _ ! ?,T 21_:Duc(s;in Structured 1 I I '! !I 11 1 I 1 I ! 70.! Underground Hydro •
' 22. !Ducts, Ventilating L• , n 'i ... II ! I I I • 1 j ;71. Product Piping O Gas OOil •
i-. ,,23. 'Gas.Pipe-Rough& Test o I ) LI. .. r1� ' ' 72..Underground Flush
-24. 'Roof Framing on 1 jja i. ..-. iI' 1 ? I %I ' _ : -• '73. Undergrrid.StorageTank OGas ❑Oil '
>-
v
tl5 1 j l _ t
_' :-_25: 'Roof Sheathing ' 1 I ',r; iA I ' I ' I n 1 r 1 I c I- ' ;74.: Overhead Hydro
T '
26. ,T-Bar Ceiling (Structurapl&-Monocoat" 1 i I I `,,1 I? t :1 .75J Dry Chemical v j ; ! 1
':27. 'Frame and Flashing! 0 . I 1 II 1I I ' 1 ' I I ' ! I ,76.! Dry Standpipe i •
II 28. '•Lathing& Sidings p : I 1; II 1 I I I I * ' j I �77.j FIXED SYSTEM FINAL.
29. "Insulation 7. i. I `I `` I ll ti i 1 1 1 I I I , I78 FIRE PREV. FINAL •, '
4130. !Drywall Nailing I ; ! '' I I 11 11 I t t 1 ! ! Notes:' I ! 1 •
I I f
- 31. .Plaster Brown Coat ; , ( i .. 11 I ' I , 1 I 1 I
' 1
- hl32.;Electrical Power Meter;-Final IiI rI' II I• ' l1 I - 1 I
33 .'Final Electric '_' I i ` 1 1 : ! ' , 1 '
34. Final Heating &'Air Conditioning ' 1 1 I ! I i 1 I ". '
35. Final Gai!Pipe=1est' r- It Im ; . I ! I` I? I I» ic _ _. ' ; I ; 1 - I r •_ 1i
36. Hood or.Canopy.1-1 °i x �I II ! i. p. i - I 1 ^ " r - .
•37. Final Faetory Fireplace•s, I rcI o1 P I 1 K i j. 11 ' ! '' I : . % - -
38. Final Plumbing I I 5) I WS. 0% �ql9 ' ' I 1 i.
39. Water Service-Final' I 'v I ! 1 ' ; 1 I 1 I . ' •
.
1, I • I I I i 'I: 1 1 • I 1 I , .. -
40. Gas Service-Final 1 ! 1 1 CH i i I _
--• ' I I P I_ _1� I 1 1 1 " -a
41. Solar Domestic-Final , • _ __ ___ _ _a__",_ ;_ _ __ _ _
42. Backflow,Preventeri 1 ! I I i_I_ , i ;._ I ._ -• 1 __ ' - + 1 .
43. Backflov'v rrigation171 I I 1 $;'I•'cr I�, , I : ( - ,? 1• ," . '
44. Landscape IljngationtSystem 1 1 y"1'". I I I _I . ! = I . . i ' '-
45. Sound=Attenuation ? I i I` i I I I i •
NI.. ..1 .
•
46. HandicaplRegulations ! i= ! 1 m1 . • .' '
I'. I 2 1
p I' 1 I r-: - l
47. FINAL STRUCTURE& B.UILDING I I ' .
48. Special Requiremerits Completed,' r I j I •- ;�I ! I I ' •
1 f 1 _1 1 •
49. ElectriE Releasejto Edison! 1 1 i .! ' ' 1 I_ r,_1- _,_2_ -- _.._'
50. Gas Release to Southern California Gas Co I I I ! I I i , I I •
51. CERTIFICATE OFIOCCUPANCY ?i ' I_J_ ! I-- .. Jr. I
No I' I Date ' 1 n 1 i '1t--, -1- • I • I 11
Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA _ PERMIT NO. TRACT NO. LOT NO. BLDG.NO.
CONSTRUCTION PERMIT — 9 �� .
•
Applicant's Mailing Address - •• •-1 L i • a_- TYPE OF CONSTRUCTION IAl NEW 0 ADD Li ALTERATION ❑ REPAIR • r .
Project Address'3059toyshurg BAIT - ❑ CONVERSION ❑ DEMOLISH 0 OTHER . - _
• Owner's Name M.D. JAnPS - Phone DESCRIPTION OF WORK metal f; T`P.P1 31`P • ZONING REGULATIONS
Address • _ ' 0 FOUNDATION LJ STRUCTURAL A.P.* ZONE
I TYPE OF PERMIT U GRADINGEl
Arch/Eng. License No. 0 TENANT ❑ ELECTRICAL 0 PLUMBING W MECHANICAL- BUILDING -
- , PLNG.REF,yIs epTnAry rl. CT - •
Address - - - ❑ OTHER TO BUILDING •
PROPERTY LINE REAR YARD(TO P/L) . , •
'
Contractor's Name. Coast •Fi•replPC e Phone639-1 fi9O •PROJECT DESCRIPTION SQ.FT. OCCUPANCY - - - ,
Address(mailing) 1086-N N BAtav1a , OrAn$P, 92667 CON ST RUCTION TVPF VALUATION • • LEFT SIDE YARD RIGHT SIDE YARD
License No. _ 1 6406
ZONE GRADING CU.YDS. ACRES PKG.SPACE REQ. PROVIDED c
LICENSED CONTRACTOR DECLARATION • Remarks: • /Js - 75-&I STREET WIDTH PARK FEE$
•
I hereby affirm that I-am licensed under provisions of Charter 9(commencing •
s•-+with section 7000) of Division 3 of the Business and Professions Code, and SPECIAL CONDITIONS: '
my license is In full force and effect. �� �a�'�p{�nr� - - - �l
License Class -• I e No..'9'.�]SJs.yr•+�-- ' PLUMBING
Date1l/1,6/$"1 Signature �/�[L(/�3
WORKERS'COMPENSATION DEC • R TION Bei'Sink j Sewer Cap ELECTRICAL
x' reby affirm that I have a certificate of consent to self-Insure or a certificate Automatic Washer • Mater ❑over 100 amps - -
Workers' Co qqnj�I�q� 1qqss rAy�n,qa ppr wj.carjIp ed copy thereof (Section _
Backflow Preventer Sewer Connection
ICj3i0 Lab. C.) �j1(JU/-I'O VIi�'i!t Jli • Conztruction'Pole Sub Panel Aetna Backflow •Irrigation Solar Collectors •
booty No. Company - - Cooking Unit, Sub Pole '
Certified copy IS hereby furni5hetl. Bathtubs Solar Piping
-
Cerllfi cyp ,js filed with the cityla di • 4' io Dishwasher Motors 00-1 HP ❑1X-6
Date' 1' 1 07153 Applicant �� / - Clarifiers Solar Tank '
• EXEMPTION FROM WORKERS'COMP ••TI•N DE ARATION - Dryers ❑Gas ❑EI@chic - Ino.Solar ❑9-15 HP ❑16-15+
(Thissection need not be completed If the p-rmit is for o hundred($100)or Dishwasher r Swimming Pool w/Spa
less). - I Fan Microwave
I certify that in the performance of the work for which this permit Is Issued 1 ' i Drinking Fountains Urinal J '
shall"not-employ any ' - I
p y person in any manner so as to become subject to the FAU. Pole Light '
. Workers' Compensation Laws of California. i Floor Drains Water Closet
Date Signature - - - - Fixtures ' '
NOTICE:If,after making this declaration,you should become subject to the - - - Floor Sinks- — Water Heater - .. . - - Range _. - - _ - __
Workers' Compensationprovisions of the Labor Code, you must forthwith Device Boxes • Sign
comply with such .provisions or this permit shall' be deemed revoked:. Gas Service. • 'Outlets - - Water Service
CONSTRUCTION ,LENDING AGENCY Outlets Standing Sections
I hereby affirm that there is a construction-lending agency for the performance ' Interceptors , •
'
' of the work for. which this permit is Issued .(Section 3097 Civ. C.) - • Switches ,Trash Compactor
Lender's Name - - - - -
• Kitchen Sink -
Lender's Address •- - - I - Garbage Disposal
OWNER BUILDER DECLARATION' - Lavatories • . - - 9 zP
I hereby affirm that I am exempt from the Contractor's License Caw for the • - Generator 00.5 KW 05-15 KW
• following reason-(Section'7031.5 Business and Professional Code:Any city or .. p '• - -• - _
county which requires a permit to construct;alter,improve,demolish or repair ' .. Transformer ❑15-50 KW - ,
' any structure, prior to its issuance,also requires the applicant for such permit . Roof Drains - - - _
to file a signed statement that he/she Is licensed pursuant to the provisions of ' - 050+KW, '
the Contractor's License Law(Chapter 9(commencing with Section 7000)of Reinspection Fee $16
Division 3 of the Business anProfessions Code) or that.he//She Is•exempt Show¢rs .. • - Reinspection Fee $15 •
.a S efrom and the basis for the alleged exemption. Anyviolationof Section - - Meter pup to 100 amps , - Issue Fee •$ 3 •
`�'=�'salty or not more thanntive hundred dollarermit s subjects applicant to. a civil $ervice Sink Issue Fee $ 3 - --
�Zoning Approved By Date.
,TJ I, as owner of the property orany employees with wages,as their sole •
compensation will do the work,and the structure Is not intended or offered _ MECHANICAL Application Approved By • nate - I
for sale (Section 7044, Business and Professional Code: The•Contractor's /`�
License Law does not apply to en owner of a property who builds or Improves Boiler•
Refrigeration System J• 1 's" �j�'j.�UU�Z
• thereon, and who does such work himself/herself or through his or her own - Application Issued By - iW / Data
employees, provided that such improvements are not Intended or offered for ❑0-100,000 BTU 0100,000 BTU -
sale. I however, the building or improvement is sold within one year of cpm- Duct-Under Ground
' SUMMARY OF FEES '
Mellon,the owner will have the burden of proving he/she did not build or Im- - i
drove for the purpose of sale). - - I Duct-Structural System Repair/Alteration' .BUILDING PERMIT $ SMIP $ '
U I,as owner of the property,am exclusively contracting with licensed con-
tractors to construct the project(Section,7044.Business and.Professions Code: Duct-Ventilating _ _ _ • PLAN CHECK' $ -PERMIT
The Contractor's License Law does not apply to an owner of property who ' r.., $
builds or Improves thereon, and who contracts for such projects with a con- Exhaust System 0 Multiple❑ PLUMBING $ •
tractor(s) license pursuant to the Contractor's License Law). - GRADING $ •
0 I am exempt antler Section B.&P.C.for this reason 1 Firepl/Fact.Bit. ICBG�h 3195 00 PLAN CHECK $
$ •
ELECTRICAL $
' Data Owner' Heating System& Ducting PLAN CHECK $ MICROFILM $ '
. I hereby certify that 1 have read this application and state that the above • 00.100,000 BTU 0100,000BIL •
•' Information is correct. I agree to comply with all city and county ordinances TOTAL FEE $ '
and state laws relating to build' g construction, and hereby authorize repre- . Hood or TypeMECHANICAL $, 'z.-00 s
sentatives of it is city•t ante upon the above-mentioned property for . I ❑ Reinspection Fee• $15 LESS
Inspection ou s . l� - Canopy Type II ❑- PLAN CHECK. $ 7- QQ -
Signature Q.tff,f.. Datel 1/1'6/83 •
ADVANCED PC $
Drivers' LJte or S•tt _ Registers . . Issue Fee, $ 3 • FINAL FEE; $ MO.
CMF 0865-46 rev.12/82 White-Building:Canary-Applicant;Pink-Accounting;Goldenrod-Assessor -
CONSTRUCTION AND PLANNING POOL A
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utilitv-Undrgrnd. 54. Forms
4. Electrical Conduit-Undrgrnd. 65. Electrical Bonding .
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test•
6. Electrical UFER Grnd: yC a . ; :: . ' 57. APPROVAL + '(l-', GUNITE
7. Footings 58. Electrical Conduit•Undrarnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. •
- 60. Backwash Lines,P-Trap, 0 Undrgrnd.
10. Structural Floor System _., 61. APPROVAL TO DECK
11. Property Sewer Line& House Connection - 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains - 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace It s/f 5'' 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 OGas OOil
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 Notes:
31. Plaster Brown Coat
32. Electrical Power Meter-Final
33. Final Electric
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test _
36. Hood or Canopy
•
37. Final Factory Fireplace 7/ ,/
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE& BUILDING
48. Special Requirements Completed
•
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co '
51. CERTIFICATE OF OCCUPANCY
No Date
. Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations-
CITY OF COSTA MESA f PERMIT N TRACT NO. • LOT NO. BLDG.NO.
CONSTRUCTION PERMIT . • ✓�9Q6� 6$]f hf0 7"c35 '10/13/ gap' TI.
4+x W. Rowkl•Tid fl -tY'
Applicant's Mailing Addles /,, � - - - TYPE OF CONSTRUCTION NEWIIr'''-��1 ADD Li ALTERATION REPAIR
Project Address `Q^/'I[�'[F) -s/, �y/ ❑ CONVERSION ❑ DEMO1j��1ippH�� ER -
Owner's Name j S Q7Q 337 DESCRIPTION OF WORK I ,[J
m•�• � n'' (Jyyy Phone 6.01- -
TYPE
r P - • ZONING REGULATIONS -
Address l}{r�`^^'' "•"•) �'P �9 G'm` TYPE OF PERMIT U GRADING -❑ FOUNDATIOryNI U STRUCTURAL A.P:iP . ZONE .
Arch/Eng. • \VJ _ License No. . 0 TENANT 0 ELECTRICAL ❑ PLUMBING EZ MECHANICAL PLNG. REF.qW BUILDING
_ CFTB/.r`K C/1 5t
Address �Li?'LytFril p ///�t ❑.OTHER TO BUILDING REAR YARD (TO P/L)
!kr ('" Phone ei 7-666/ PROJECT DESCRIPTION SQ. FT. OCCUPANCY PROPERTY LINE
Contractor's Name7(0\ • LEFT SIDE YARD RIGHT SIDE YARD
Address(mailing) '/t566 PY_- /COW ` ULtW "• "" CON STRUCTION TYPE VALUATION S. 7w.[J<J '
License No. 1/ISd(� / , ZONE GRADING CU.YDS. !ACRES PKC.SPACE REQ. PROVIDED
LICENSED CONTRACTOR DECLARATION Remarks: a 5-753STREET WIDTH PARK FEE$ . '
I hereby affirm that I am licensed under provisions of Charter 9(commencing
with section 7000) of Division 3 of the Business and Professions Cotle,and I ISPECIAL CONDITIONS:
my gcense'Is in full orce and effect. �/'�-y9� PLUMBING
License Clair --t License No. r�`T - - ,
Date Jr -$ Signature I Bar Sink - • Sewer Cap • ELECTRICAL
WORKERS'COMPENSATION DECLARATION ' - -- '
hereby affirm that I have a certificate of consent to self4nsure or a certificate Backflow Preventer Sewer Connection Automatic Washer • Meter Dover 100 amps
'tat, =Workers' Compensation insurance, or a certlfie copy thereof (Section _ -
'-u0, Lab. C./1/_,�nn;��J////�y-���j Backflow Irrigation Solar Collectors ConstructianlPole Sub Panel • •
Policy No. PYy L"�(U Ce5:7 Company t1( <-n`':�• . - -
Cooking Unit Sub Pole
Certified copy Is hereby furnished. ' ' Bathtubs j Solar Piping • _
�Certl�eqQ pp9p is filed with the city Bu din pp1�vision. g Dishwasher t Motors ❑0-1 HP ❑1 $
Date ��YX] Applicant �7*'CNGr Lj71 >'1'(ei Clarifiers Solar Tank
•
EXEMPTIONFROM WORKERS'COMPENSATION DECLARATION -�., - . Dryers ❑Gas ❑Electric Inc Solar HP 016-15+
(This section need not be completed if the permit Is for one hundred($100)or Dishwasher Swimming Pool w/Spa .
less). - - • : Fan. Microwave
I certify that in the performance of the work for which this permit Is issued I • ' Drinking Fountains Urinal
shall not employ any person in any manner so as to become subject.to the - , r - - 1 1 F.A.U- ,• Pole Light
Workers',Compensation Laws of California.: Floor Drains ' Water Closet' ,
Date • Signature - - - - - Fixtures Range'NOTICE: If;after making this declaration,you should become subject to the Floor Sinks Water Heater, - .. 9
Workers' Compensation provisions of the Labor Code, you must.forthwith ' • '
comply ,with such provisions or this permit shall be deemed revoked. Gas Service' -
Outlets - Water Service Device Boxes Sign-
CONSTRUCTION LENDING AGENCY - Outlets •
I hereby affirm that there is a construction lending agency for the performance, Interceptors , ' • --' • _ Standing Sections '
of the work for wlyoh this- permit is issued -(Section 3097 Civ: C.) - - -
Lentlar's Name AYi¢ _ - Kitchen Bink' Switches i Trash Compactor ,
Lender's Address Lavatories ' Garbage Disposal . -
OWNER BUILDER DECLARATION - _ . . -
I hereby affirm that I am exemptfrom the;Contractor•s License Law for the . - - Generator ❑0-5 KW 05-15 KW
following reason'(Section 7031.5 Business and Professional Code: Any city or P-Trap - -- '
county whichrequires a permit to construct,alter,improve,demolish or repair ! - _ - _ Transformer 015-50 KW - ' '
any structure, prior to its-issuance, also requires te applicant for such permit Roof Drains - • -
to file a signed statement that he/she is licensed pursuant to the provisions of - - - ❑5U+KW --
the Contractor's'License Law(Chapter 9(commencing,with Section 7000) of - Reins ection'Fee Reinspection Fee $15
!fivision 3'of the Business and Professions Cotle)'or that he/she is exempt Showers - P $15
f. efrom and the;basis for the alleged exemption. Any,violation of Section ' ' Meter ❑up to 100 amps Issue Fee $ 3
% 1.5 by;any applicant for'a permit-subjects'the applicant to a- civil Service Sink Issue Fee - $ 3 _ - - -
,s_,yalty of not more than five hundred dollars($500). - Zoning Approved By ' • Date i
CJ I, as'owner of the property or my employees with wages.as their sole MECHANICAL -
compensation will do the work,and the structure'is not Intended or offered i - - , I Application Approved By - Date '
for sale (Section 7044, Business;and'Professional Code:.The Contractor's ( �� -
' License Law does not apply to.an owner of a property.who builds or improves •goiter ' •
.. ' ' Refrigeration System _ —(A7 /o:�.3.-P� •
thereon,-and who does such work'himself/herself Or through his or her own I Application Issued By ' DetB
employees, provided that such improvements are not intended or offered for Duct- Unded Ground ❑0-100)000 BTU ❑100,000BTU '
sale. If, however,the building or improvement Is sold within one yearof com- i SUMMARY OF FEES
pletlon, the owner will have the burden of proving he/she did not build prim- ,
move for the purpose of sale). 1 Duct-Structural System Repair/Alteration BUILDING PERMIT $ SMIP " $
LI I, as owner of the property, am exclusively contracting with licensed con-
'.tractorsto construct the project(Section 7044,Business and Professions Code:. Duct-Ventilating _ _ _' _ - 'PLAN CHECK. $ ' PERMIT
The Contractor's License Law does not apply to an owner of property who ISSUANCE , i $
builds or improves thereon, and who contracts for such projects with a con- Exhaust System ❑ Multiple ❑• PLUMBING $ •
tractor(s) license pursuant to the Contractor's License Law). • PLAN CHECK; $ • • ,
GRADING ' $
❑ lam exempt under Section B-& P.C.for this reason I Firepl/Fact.Bit. ICBG 4 I ' ' -• I i $
ELECTRICAL •$ '
Date - Owner' - Hdating System&Ducting i ' MICROFILM $
_ PLAN CHECK $
'h hereby certify-that s have read this application'and state that-the above 100,000 BTU'0180,000 BTL - -- - - l • !
Information is correct. I agree to comply with all city and county ordinances • �o� ;MECHANICAL $ TOTAL FEE $
and:state laws relating to building construction,and hereby authorize repre- Hood or - ��9�VS '
sentatives of this,city to enter on the above-mentioned .property for ! _ Type I Reinspection Fee: $15 , LESS
CdnopyPLAN CHECK $ ADVANCED PC • $
Inspection purposes. �//� ,1,( (y[/��; o 11�G Type 11 ❑'
Signature C -t-R'/� r`r^""4- i Date '•t'-11 ' _ !
Drivers• License or.55 V v Registers Issue Fee lI $ 3 I FINAL FEE• $
"
CMF 0865-46 rev.12/82 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor -
r) f 1CONSTRUCTIONIIA'ND,PLIANNING' ,�� --_- POOL A - _ _ - - _ -
; ' ' - ' Date •- ,Inspector - Date - Inspector
APPROVALS Permit,# . APPROVALS 'Permit# - -
•- 1_ Temporary.Electrical Serviceo'r,Pole. , _ : - o; 5°` 52::Pool & Equipment Location
'v 2. Soil Pipe_Undrgrnd. . lc; _t•- ••? - ' S 53°. Steel Reinforcement -
3. Electrical Conduit Utility-Undrgrnd. -,j _ 54: Forms -
e...:: 4' Electrical Conduit-Undrgrnd1 -" _ >; - 55i Electrical Bonding - ' '
ti 1
5; Steel Reinforcement ! • I ", ^` , F ;, _ - - ' r =' 156. Rough Plumbing & Pressure:Test . ,
6: ;Electrical LIFER Grnd. ' ' n4-=!,..'' & 1 • 57. APPROVAL TOCOVER-GUNITE -
7. Footings i Vit, i - - , (• ' 58.: Electrical Conduit•Undrarnd. -- -
8. Foundation - ; i I ,-- I X59. Gas Pipe, 0.Undrgrnd.,Test - -
9. Water Pipe-Undrgrnd. ' - :' _ ' - , ''60. Backwash Lines,P-Trap, 0 Undrgrnd. •
10. Structural Floor System 1 ', 2 _ , 61. APPROVAL TO DECK - -
11. Property.Sewer Line&HouselConnection - - `7 62. Backwash &-Receptor-Final .
12. Sewer Cap l . - „ I - .i' " 63. Heater&Vent-Final - '
13. Roof'Drains I = ' e, ! _ , - .54. Plumbing System - Final - -
c 14. Rough Plumbing ! I ' •F . ! 65. Electrical-Final - - - - .
- 'I'M-Rough Electrical-Conduit-I- l'--'.- '' -77- -'- 1 - "'!-- 1 -,66.'-SolariSystein-Final
16. rRou h Electric Wirin a : - "
,,,n, 9 9•, ', 11-; , . rr` ,.. , : , , 1 r. 67 i.Fencing& Access Approval
A',217. ;Rough WiringSign(: -% tII ' - l ' - _ !r „ 68. APPROVED FOR PLASTERING -
. 18..;RoughElec[iical;T Baf Ceiling! !! , 'I , ! 69. POOL/SPA SYSTEMS FINAL '
19. !Rough,_Heating &!Air Conditidning . a o., jy- ' ' FIRE DEPT, REQUIREMENT -
20. Rough.Factory Fireplace , ( } I l I 1 I ' APPROVALS ' Permit#
•I 21. Ducts,-in Structure; i 1 5 I • I i70. Underground Hydro
• '
_22. 'Ducts, Ventilating . ' l , i {i ! ' 71. Product Piping 0 Gas 0Oil
23. Gas Pipe-Rough & Tesi til !"Ij .' .I 1 1 72., Underground Flush' .
: ;�24.!Roof Framing' ' i i• • r.. I . ' ,, I• ,l !,. l -.., - - Undergrnd Storage Tank 0 Gas El Oil
i_25,
,Roof Sheathing I
1 • I : . ,•- I 7, l - 74., Overhead Hydro
-26. ?-Bar CeiliXg'(Structural).& Monocoat` ! ! l ' c ' I I • .
• I 75.. Dry Chemical - -
:27. Frame and Flashing: _ i ! Il ' I' ! I 761 Dry Standpipe •
', II 28. ' athing & Siding' '; r`, ' ll ," i I I ., I ! 77.: FIXED SYSTEM FINAL '
,, 28. 'Insulation! ' ' i I i; p I l ! 1 :78: FIRE PREY. FINAL 'r. ,
-30. Drywall Nailing fr. ! l! I ! ! 1 !Notes: ' ' .
'31.rPlaster Brown Coat . 1 I. . ! I ' i-- - i -�-
. 32.,ElectricarPower Meter-Final ' :„_11 I- 1 i _- _
r133. Fingal Electric !' � ' ' I
_- - I
34. Final Heating& Air Conditioning 1 . 4.03/Jtt. LTJ !
35. Final Gas Pipe-Test ! ; z,+ '`/ 'c '12 I _ .
36. Hood or Canopy: - - l ^ 1 t= , I - -
37. Final Factory Fireplace" I 'r I 'ol I., ' n it L...4‘1 < ' , , ;
38. Final Plumbing I `_, !i l ' I' l I '
39. Water;Service-Final , 1 , l , ; , i •
.
40. Gas Service-Final : ' ! P f
41. Solar Domestic-Final ; g I_ , I ' ' ' _ _ '
42. Backfloiy, Preventei . ! ! ' ' �- +^ ,
43. Backflow. Irrigation [J r I 1 i` _r. ; 1 = . - I '
44. Landscape IrrigationSystem I ,, ' - , . I - , .
45. Sound;tAttenuation ! 2 1 l Q •• 1 ! ,
46. Handicap Regulations; I l 1• ! ,' i -- , I '
•
47. FINAL STRUCTURE'& BUILDING N I , .
48. Special Requirements Completed I !,j- I
49. Electric Release;to'Edison' ' I 1._ I_- _r ' _. b - _ _ -_
50. Gas Release to Southern California Gas Co , I ' ! . - '
51. CERT,lFICATEIOF OCCUPANCY .. �-- ..___L -i . _
No 1 ! Date '
/� Applicant to fill in all spaces,except those within heavy border lines_and sign all appropriate declarations. • '
']��f CITY OF COSTA MESA ' 0737- 3dLI.d I
• CONSTRUCTION PERM' : • •
PER I NO. as_ TR T LOT NO. BLDG.NO.
A h licant's MailinpnAddn- ` • a a me 111 A / -�i ' TYPE OF CONSTRUCTION NEW ADD LJ ALTERATION L I REPAIR -
ProPectAddress `� a "•/� ' /y pry ' �'a ❑ CONVERSION ❑ DEM SHf,F e ' • _••�
' V r �U j n,'", „•„ ,..., r-.
O 54 DESCRIPTION OF WORK 'IS rig _
Owner's'Nam: - �L7�R 'S5rr• . a / - ZONING REGULATIONS .
Address i / Yi6ru �.i _ II I AA �'a ' f Q •
9/11Y.V/ ow ; TYPE OF PERMIT LJ GRADING LJFOUNDATION STRUCTURAL A.P,gp' 40-•--)31- 7 (ZJONE _
Alth/Eng. j�f R�-- ��r / •Icense �l ❑ TENANT. ❑ ELECTRICAL ❑ PLUMBING 0 ECHANICAL - PLNG. REF.4h .k 79 �/�[J .BUILDING -
Pall �s nq _cprwerr •
rt, ex-
Address
r ��
Address ❑,OTHER 77 • �-1 �7'�' TO BUILDING REAR YARD (TO P/L) f
• �l s i� h l / j �Y $' 1 PROPERTY LINE LSA
Contractors Nam: i X/ :PROJECT DESCRIPTION 5p�' � OCCUPA V LEFT SIDE YARD µ• RIGHT SIDE YARD �7 ,,/C bid
Address(mailing) CON STRU TION TYPF 1// • VA ATION$ G(�4 aq ' at -
ZONE (fi GRADING CU.YDS. y,( ACR PKG.SPACE REG. PROVIDED �1 t
License No. __ _� %, « 5p•/p13� 0 'ttt-P
LICENSED CONTRACTOR DECLARATION Remarks: • / •
STREET WIDTH I Sat � 'PARK FEE'S C 9(Jf en ,
l'
•
I hereby affirm that I am licensed under provisions of Charter 9(commencing - - -• -
with section 7000) of Division 3 of the Business and Professions Code,andSPECIAL CONDITIONS: _
•
my license,is In full force and effect. , - ,
' License Class - - - I ' License No. - ' i _ PLUMBING . . • HOLD:FOR SPECIAL REQUIREMENTS
Date - Signature
• - - _ , • - , Bar Sink I Sewer Cap. , ' ELECTRICAL '
'•'ORKERS'COMPENSATION DECLARATION - - - - - '
ireby affirm that I have a.certificate Of consent to self-Insure or.a certificate. - Backflow Pmventer - ' -• - Sewer Connection - - - . -• (. ..-. Automatic Washer .._ _-.._ _. ,.+_.. .jMeter Doter 100 amps .: -
Workers' Compensation insurance, or a certified'copy thereof (Section - Construction Pole I Sub Panel
ae09, Lab. C.) , • Backflow Irrigation • Solar Collectors " n•,
�T�,(('Icy No. Company - Cooking Unit Sub Pole ,
Jp Certiflad copy Is hereby furnished. • ' • Bathtubs _ Solar Piping 1 ' • -
'LJ Certified copy is flied with the city Building Division. Dishwasher Motors ❑0-1 HP ❑1%-8.
•
Date Applicant t Clarifiers Solar Tank , • -
•
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION • - ; J Dryers ❑Gas-❑Electric
(This section need not be completed if the permit is for one hundred ($100)or , Dishwasher Swimmingpool w/Spa . Inc.Solar ❑9-15 HP ❑16153 ,
' less) 1 ' I - - - - Fan. - Microwave ,
I certify that in the performance of the work for which this permit is Issued I ,• Drinking Fountains j Urinal ..-.; •
shall-not employ any person in any manner so-as to become subject to the - ... — - .
Workers' Compensation Laws of California.' i ' Floor Digins• , Water Closet. F.A.U.FA UI , ;Pole Light
Date Signature • - ' - Fixtures • ' ' •
- ' •
•
-NOTICE:If; this declaration,-you'should become subject to-the-. - ' Floor Sinks ' - -j- - Water Heater.- • . -- -- -• - - —. _ _ .•Range .• _ _. _ .. _ _ _ .
Workers' Compensation provisions of the Labor Code, you must forthwith. B
comply with such provisions- or this 'permit shall be deemed revoked. : Gas Service. ' -Outlets - Water Service , • - Deviceoxes Sign' ,
CONSTRUCTION'LENDING AGENCY . - - - , •
I hereby affirm that there is a-construction lending agency for the performance. Interceptors • " .- -- , Outlets I Standing Sections ,
' of the iwork for which- this permit is ,Issued :(Section 3097 iv, C-)• ' - '- - - ' ,
Lender's Name'- „ '�1�• 's� �a�f,�g����e�/'y Kitchen Sink - - - - • Switches , I Trash Compactor '
•Lender's Address, 2l--MMI z a llfr i -
OWNER BUILDER DECLARATION - - ' •- - Lavatories ,• I _ - Garbage Disposal I
I hereby affirm that I am exempt-from the Contractor's License Levi _for the 1 • . - Generator 0015 KW 05-15 KW I I
, following reason',(Section 7031.5 Business and Professional Code: Any city or . P—Trap of ' - - - 1
county which requires a permit-to construct',alter Improve,demolish:or repair - _- Transformer 015.50 KW , ,
any structure, prior to its'issuance, also requires the applicant for such permit Roof Drains - ' -
to file a signed statement that he/she is licensed pursuant to the provisions of 05U+ KW, Rein coon Fee
, the Contractor's License Law(Chapter 9(commencing with-Section 7000)of - ' - I . ! Reinspection $15
'vision I3 of the Business'and.Professions Code) or that he/she is exempt ' Showers . ; - Reinspection Fee - $15 _
,refrom and the basis for the alleged exemption. Any violation ofSectlon , - , ' . Meter ❑up to 100 amps I • Issue Fee • $ 3
./31.5 by any applicant for -a permit subjects.the applicant to a civil • - Yl
coenalty of not more than Ove hundred dollars($500). - Service Sink I • Issue Fee, $ 3 Zoning Approved By yn��!u ��• Date rO//�T//{1.�
I,es`owner of;the property or-my employeesWithwages as their sole MECHANICAL y}y}�'L[ _ •
�/ /7/8
compensation, will do the work, and the structure.is not intended or offered r .. Application Approved By %•�� Date !/'!{ 1J,1/
for sale (Sec/ton 7044, Business.and)Professional Code: The Contractor's •• _ i y7�
License Law does not apply to an owner of a property who builds or Improves Boiler ' ' Refrigeration System L,�1/_/ D
thereon,:and who does such work himself/herself or through his or her own . - - : • 9 Y • - Application hued By I / /, Date / II�
employees, provided that such improvements are not intended or offered for I ❑0-100,000 BTU 0100,0006TU
saie, if, however, the building or improvement is sold within one year of cpm- Duct-Under Ground : • : SUMMARY OF FEES -
pletion,the owner will have the burden of proving he/she did not build or Im. - 1 '
r e for the purpose of sale). 1 Duct-Structural System Repair/Alteration BUILDING PERMIT $ 3,1� SMIP $ ' ��
ds owner of the property, am exclusively contracting with licensed con- '
ac cors to construct the project (Section 7044,Business antl.Professions Code: • Duct_Ventilating ' .. • _ _ _ _ _ - •
(PLAN CHECK $ (si'n �� PERMIT
/ The Contractor's License Law does not apply to an owner of property who - u ISSUANCE $ I
builds or Improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple❑ • ,PLUMBING $
tractor(s),Ilcense pursuant to the Contractor's License Law). . . G •
RADING $ 1
0 ram exempt under Section ' - B. & P.C.for this reason Firepl/Fact.BIL ICBG=)p ;PLAN CHECK $
'ELECTRICAL I $ 1 $ I
Date 1 1 Owner HeatingtSystem& Ducting
I-hereby certify hat Ir ve read this appti .tion-and state-that the above - •' 00-100,000 BTU 0100;000 BTU- --
• - 'PLAN CHECK- • $', MICROFILM $
information Is"cor ect. agree to comply all city and county ordinances $ TOTAL FEE' $
and state laws r.ati•g o builds • constr. •n, and hereby authorize repro- - - MECHANICAL
sentatives of 's • • e - upon t abo •-mentioned property for Hood or Type I 0, . •
Reinspection Fee' $15 I LESS I
Ca'noPLAN CHECK' $
inspection o �s: PYA Type II 0' , -
L �!,? ADVANCED PC ; $
• Signature _/.r -� Date 6-•w�OJ t - I I
Registers I { Issue Fee $ 3 • - , • t ' FINAL FEE I $ ' Cat Drivers'License or,S • - • „� ,�� -. - _ , - _ - - _ - - - -- , • 4
CMF 0865-46 rev.12/82 White-Building;Canary Applicant;Pink-Accounting;Goldenrod-Assessor
f' cldoNSTRUCTION AND`+PLANNING ` ` ,•'" --�e - ' -_POOL PA ' - • _
✓- 0 . J- < - - - - rz; ?:Date - : r I nspector - r `r - " Date Inspector,
APPROVALS Permit# - - - -'APPROVALS', '-Permit#'' • ' : - - • -
,r tr.: Temporary Electrical Service oriPole . _ ` ' I u" = tc. . 1:52 Pool &iEquipme rit Location ' -
^a 2: Soil Pipe-Undrgind.: I F .:0s. $ ^, c I .`L • 53.E Steel Reinforcement" , „I:
3 Electi,ical Conduij Utility-Undrgrnd. ' ; - 51; .:54:' Form-ss;,,-- '3'-_ - - - ' - -
I's' 4.4. Electrical _Conduit-Uindrgrnd.
`-'t 1 1 ."• ` I : 55. Electrical.Bonding - _ `, ;
n•.n ... r. '
5_ Steel,Reinforcements 1 I i:! ; 56.. Rough Plumbing & Pressure Test .
6:'1Electrical UFER'Grndt . i 2 - _ - ; 57r.-, APPROVAL TO'COVER-GUNITE,. - ,
7.•Footings : -1 L I %[' - . q :,:; 1_W ' '68' Electrical Coriduit:Undrarnd.. l '
8. Fducdation 'i ' i ' ' r • - ` ° = - -b9. GastPipe,'D:Undrgrnd.,Test. •
9. Water Pipe-Undrgrnd. ' '-. : 60. Backwash Lines,,P-Trap, 0 Undrgrnd.
10. Structural -Fl• oor'System $ ; - 0 1 ' = L-61. APPROVATO:DECK ' • • ' .
11. Property Sewei,Line&•House Connection' '" ,62. Backwash&.Receptor-Final : 4 .1
12. Sewer'Cap.'- • " -
r •
• 63. Heater& Vent-Final
13. Roof Drbi-4- • i ! . " II i . 64. Plumbing System - Final - •
• 14. {Rough Plumbing I r _. I • - '65. Electrical'Final -- - -
I'15': Rough-Electrical=Conduit'I R� ,,�, -T ---"--7.-ir---1---: -T i66.I Sola'rcSysfem-Final ! - -" • - -
16. 'Rough-Ele tric'Wiriing. ,. I E ' ; y i -1 r Y n ;I�'r + I: ,67' Fencing&•Access Approval - - ' -
5. 17.r,RoughrWiririg Signh. N ; ` it . "' � , I3 I I , I 68. APPROVED FOR PLASTERING. . - -
18.•Rough_Electridal;T;Bar Ceiling: II ' 1 . I ._ ( • : ! ' I I ,69I POOL/SPA SYSTEMS FINAL ' - - •
° a 19.'Rough Heating&,Air Conditioning ' I ? ' ' 4. , I ! I FIRE DEPT, REQUIREMENT - • , ,
= 1
y '� 20J:Rough Factory, Firepl• ace. I I , ji i i i � I I - 1 � APPROVALS'lt . 4 Permit#
21. 4Ducts,•in Structure' I ! 11 ' I ! I I
I I ;70.1 Unde'rgroun. Hydro
''�22. Ducts Ventilating! iI s ' II 11 I I I I I I • 1 '71,' Product P(ping D Gas 0 Oil ,
'f23. rGas.Pipe-Rough&Test y��i _� T I ( I 72. Underground •Flush, H. ,
;24.;Roof Framing " , • Ila r• ti X73.• Under r• nd.Storage Tank •
O Gas .0 Oil
1 1 p.,i.., II 6 I � a i I g
o 25. Roof Sheathing ' , I ; 1 I i.8II,• i - '-,1: ' ' I • - 1 74.1 Overhead Hydro - • ;
•
'I26. IT-Bar Cei it g (Structuralb& coa
_ Monot i ti 1 r I - i ,75J Dry Chemical - , - 1 ,•
f 27_ Frame and Flashing' 1 Ii �', , ; 'in.,-f^�5 .76.' Dry Standpipe .
28. Lathmg& Siding 1 o 1 ' i II „ i I I is• i 1772 FIXED SYSTEM'FINAL
1. 29 Insulation ' , , o r' I I I� I I . . ' - I )78.• FIRE PREV. FiINAL
a i 30.iDryvvallNailing ' ' r{ "? I II 'I I 1 �' r' i 'Notes' ' '
n'31.tPlaster.Broovn Coat" - i II '(-1. I-I--.I_ I -I - i- {- I ' , i -
i I I i n
? I I
32.,ElectricaliPower Meter;Final I ' I _I I i 11 , i I '
;; i 33. !FinalElectric i� , 1 I ; ;
c 34. Final Heating&IAir� Condiltioning i! 1 ' ; I 1 I �I I 1 ; I •1
< .7 J 'r r . - - 44 r
35. Final Gas, -pe Test; - i,- I `' . e: , I ` Ic!- I : I " ' - i >1 111 �' '- I .• " 1 -
36. Hood or Canopy"-I ❑ I Q 1 � 1 -1 I. II n ' I" I i I ; ^ , I I - - -
37. Final Factory Fireplacer' -I -'" 'I �-� I , , I i I I r •
I I - ,
38. Final Plumbing I I . i I 461 P 1 :4 14 I I 1 - , 1 1 , ti
1! • 1 1 . SI --. , II I Inl ' I 1 1 I I ••?
39. Water1Service-Final!" 1 -I -I I 'li I I I i I I I I , � I I "' r ;
40. Gas Service-Final- { I i I If'. I I ! t I 1 I I .
•
41. Solar Doornestic-Final I I •i dI I`- t'--4--1 -i - '-1 1_1-I z 1
42. Backflow,P,�eventer1 c i I I •i1^,L_ I -I i---I-" I I _1 ,_ - -I _ _ . •i' ' -
43. Backflow$IIftar rrigation 1 I , :::4:i145; ,J .i I " 1 - i - -
44. Landscape Irrigation System - „_, s 1: • - -'I ',1 •
•
45. Sound$ Attenuation c I -: I •d i -. F I " '_ , `'I I ..
46. Handicap Regulations I 1 `Y 1 rt WI; I , - •I , I r -
47. FINAL STRUCTURE'81 BUILDING ii I r. Liotti- I I\ IC , ,• I 1
48. Special Requirements Completed ! i �a-iiI 44) f C 1 I l ,
49. Electric Release1to Edison' .I i u ! _4 _ _..f__ _ y '
I. 1 _ . t
I,- _ .' ;.- .r r _ . i • '.
il I.
50. Gas Release to Southern California CraCo 1 1 I 1 . t I I - -
ii , -1 1 1 n i I I 1 1 1 I I I 1 1
51. CERTIFICATE:OF OCCUPANCY ,1 - .f. y - .L . _ _T: j 1 i1/ '.•
N ! I I Date 1 I I I I i- j 1 ,
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations.
CITY OF COSTA MESA - PERMIT NO. TRACT NO: LOT NO. BLDG.NO. - 9251 1 '/: 7/;-..
CONSTRUCTION PERMIT` 4 - 99 3 3
Project Address r�: V _ TYPE OF CONSTRUCTION ....12"-NEW U ADD U ALTERATION ❑ REPAIR
Applicant's Mallin! A•.res Ya, ' •-, itI ❑ CONVERSION ❑ DEMOLISH 0 OTHER A.P.•hS Zone -
Owner's Name
lbI- S.- t 'h•ne DESCRIPTION OF WORK S Main Building: Accessory Building: Z
Address E 0
TYPE OF PERMIT GRADING ❑ FOu rvDATION U STRUCTURAL T Front N
Arch/Eng- License No. IL TENANT ELECTRICAL ❑ PLUMBING 0 MECHANICAL B 1
A Rear
0 OTHER G
Address I. ��lt� e- 1♦/ ^/� C Right
Z s7_� , Q7 • - - v 1� PROJECT DESCRIPTION SQ. FT, OCCUPANCY
Contractor's Nam I��;``,�. S K Left E
Address(mailing) `� ����_� ) CONST RUCTION TYPE VALUATIONS $
il ale..
GRADING CU.YDS. ACRES Q
City License No. 1 1 Ping. Ref.# Park.Fees $ U
LICENSED CONTRACTOR DECLARATION Remarks: 6 -731.3.5- Parking Req./Provided - I
I hereby affirm that I am licensed under provisions of Charter 9 (commencing R
with section 7000) of Divisi of the Business and Pr• -ssions Code Use of Building: E
my licen is int ce and
r -
Lice I s ` License ��.~I PLUMBING FEES Planning Notes: • M
Datery�q p{ �'m• cr"-a E
1 1 /join
Signature s h•.\-s ^ N
WORK RS'C MPENSATION DECLARATION 1 —Bar Sink Showers N
iereby affirm that I have a certificate of consent to self-insure or a er ificate Backflow Preventer Service Sink S
Workers' o ensa ion Insurance, or a If •0 cop thereo (5-ction
3800, Lab 1 \ Backflow Irrigation Sewer Cap - • ELECTRICAL FEES
Policy N Company-tet - � - / —
cop;i hereby turtisehetl. f ' 1 Bathtubs Sewer Connection _ :.-1 / Automatic Washer Transformer 0 15-50 KW
Ce i tl cop;
iss h with the ed. ding Division („
Date)r 1 "' /Q Applicant --�^�H \ ` Clarifiers Solar Collectors •;) Construction Pole Sub. 0 50+KW
EXEMP ON F OM WORKERS'COMPENSATION DECLARATIO Dishwasher Solar Piping , Cooking Unit ! ' Meter to 100 amps S —
(This section need not be completed if the permit is for one hundred ( 1I.0)or
less). DrinkingFountains
I certify that in the performance of the work for which this permit is Issued I Solar Tank Dishwasher Meter Dover 100 amps /
shall not employ any person In any manner so as to become subject to the �y
Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa ('' / Dryers OGas 2E1 c ctric / Sub Panel JO
Date Signature — —
NOTICE: If,after making this declaration,you should become subject to the Floor Sinks Urinal Fan 'Motors 00-1 HP 01X-8 f
Workers' Compensation provisions of the Labor Code, you must forthwith
comply ,with such provisions or this permit shall be deemed revoked. Gas Service Outlets Water Closet F.A.U. Inc.Solar 09-15 HP 016-15+
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance interceptors Water Heater /O Fixtures / Microwave 3 _
of the work for which this permit is issued (Section 3097 Civ. C.)
Lender's Name Kitchen Sink _ Water Service Device Boxes Pole Light
Lender's Address -
Lavatories
fJest
--
j�a�t
OWNER BUILDER DECLARATION / outlets Range q_ g
I hereby affirm that I am exempt from the Contractor's License Law for the —P-Trap reason (Section 7031.5 Business and Professional Code: Any city or p /0 Switches Sign d-
G
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 Roof Drains / Garbage Disposal Standing Sections /
to file a signed statement that he/she Is licensed pursuant to the provisions Of 9
the Contractor's License Law(Chapter (commencing with Section 7000)of
Division 3 of the Business and Professions Code) or that he/she is exempt Generator 0Q5 KW 05.15 KW Trash Compactor
herefrom and the basis for the alleged exemption. Any violation of Section r -
7031.5 by any applicant for a permit subjects the applicant to a civil Ctien Reins $ 3
penalty of not more than five hundred dollars($500). Pe Fee $25 Issue Fee
LJ I, as owner of the property or my employees with wages as their sole MECHANICAL Reinspection Fee •� $25 Issue Fee $ 3
compensation, will do the work, and the structure is not intended or offered FEES r
for sale (Secion 7044, Business and Professional Code: The Contractor's sx - PUBLIC SERVICES REQUIREMENTS:
License Law does not apply to en owner of a property who builds or improves Boiler Hood or Type I ■
thereon, and who does such work himself/herself or through his or her own II ■ Zoning Approved By Date
Canopy _
employees, provided that such Improvements are not intended or offered for Duct-Under Ground
sale, if, however, the building or improvement Is sold within one year of com- Application Approved By Date
pletion, the owner will have the burden of proving he/she did not build or eJ
im- /o?
prove for the purpose of sale). Duct-Structural •s I s s s [ Application Issued By ti...,),, 4'? / Date//Ale
O I,as owner of the property, am exclusively contracting with licensed Con-
tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating ■ •s I s s c SUMMARY OF FEES
The Contractor's License Law does not apply to an owner of property who
builds or improves thereon, and who contracts for such projects with a con- Exhaust System 0 Multiple 0 BUILDING PERMIT $ SMIP $
tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ PERMIT
0 i am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBO# PLUMBING $ ISSUANCE $
Date Owner Heating System&Ducting PLAN CHECK $ ENERGY P.C. $
1 hereby certify that I have read this application and state that the above 00.100,000 BTU 0100,00087E _ ELECTRICAL $ GRADING $
information is correct. I agree to comply with all city and county ordinances ,/
and state laws relating to building constructs in,and hereby autrprize repre- PLAN CHECK $ / 7, 7 MICROFILM $
sentativ this city to enter q!I!u -bo .-mentione p per •r _
inspectioon-pur e I �I I •_ ` MECHANICAL $ i
i� •• It .,. Date l Lo 51 TOTAL FEE $ cS
Drivers'Sire License or SS%P ��
CMF 0865-46 rev. 7/83 White-Buil.mg:Canary-Applicant;Pink-Accounting;Goldenrod_Assessor - _
. CONSTRUCTION AND PLANNING ' POG.- . SPA •
APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector
1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location
2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement
3. Electrical Conduit Utility-Undrgrnd. 54. Forms
. 4. Electrical Conduit'Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7t. Footings 58. Electrical Conduit-Undrgrnd.•
8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final
12. Sewer Cap 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit / 66. Solar System-Final
16. Rough Electric Wiring 11123)6, CC 67. Fencing & Access Approval
17. Rough Wiring Sign --f/ 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.StorageTank ❑Gas ❑Oil
25. Roof Sheathing - 74. Overhead Hydro
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing 76. Dry Standpipe
28. Lathing & Siding 77. FIXED SYSTEM FINAL
29. Insulation 78. FIRE PREV. FINAL
30. Drywall Nailing HEALTH DEPT. REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Finalt C. 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:
34. Final Heating & Air Conditioning
•
35. Final Gas Pipe-Test
36. Hood or Canopy •
37. Final Factory Fireplace
38. Final Plumbing
39. Water Service-Final
40. Gas Service-Final
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System
45. Sound Attenuation
46. Handicap Regulations
47. FINAL STRUCTURE & BUILDING
48. Special Requirements Completed
49. Electric Release to Edison
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. _ Date _