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HomeMy WebLinkAbout3019 ENTERPRISE ST - Building Permits � CITY OF COSTA MESA ' i BUILDING DIVISION :I- AL,g DEVELOPMENT SERVICES DEPARTMENT !PERMIT NUMBER t. : PERMIT E02-00606 .c.kwArtimst 4" (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT Job Address: 3019 ENTERPRISE ST Status: ISSUED Suite No A Applied: 07/02/2002 Vicinity: A Issued: 07/02/2002 Parcel Nunmber: 41822204 . • Applicant: ROBERT M CANVIN ISSUED BY: Address: _ Phone: 714-547-4924 , Zip: Owner: ' HONEY BEAR ESTATES INC Address 16787 BEACH BLVD#127 - - , Phone: � ,/ HUNTINGTON BEACH,CA Zip: 92647 • Contractor: ROBERT M VANCIN • Address: 941 W BISHOP ST • -• Phone: 714-547-4924 , ,SANTA AN,CA i Zip: 92743 License: 385439 , SCOPE OF PERMIT . 1 SERVICE AND 1 PANEL UP TO 200 AMP.UNIT A. - ' • FEE SUMMARY Quantity - Quantity ISSUE FEE $23.50 Temp Dist System/Lighting $0.00 0 Temp service test $0.00 Busway/100 ft $0.00 0 Res.a/c package $0.00 Standing Section $0.00 0 New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0 New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 0 Pool/Spa $0.00 0 up to 10 kva/kw $0.00 0. Lighting Fixts $0.00 0 up to 50 kva/kw $0.00 0 Recept Outlets $0.00 0 up to.100 kva/kw $0.00 0 Switches $0.00 0 over 100 kva/kw•. $0.00 0 Non Res Appl $0.00 -• ' 0 Low Voltage Equipment $0.00 0 Res Appl • , $0.00 - 0 Low Volt Wiring System/Ckt ,$0.00 0 Service to 200a $30.50 1 Misc.Conduit $0.00 0 Service to 1000a • $0.00 0 Misc.Conductor i $0.00 . 0 Service over 1000a $0.00 0 Circus(gen or ride) $0.00 0 Motors to 1hp $0.00 0 Circus(mech ride or lights) $0.00 -0 Motors to 10hp $0.00 0 Christmas Tree Stand, $0.00 0 Motors to 50hp $0.00 ' 0 Fireworks Stand. • $0.00 --0 Motors to 100hp $0.00 - 0 Other Electrical Fee -$0.00 ' Motors over 100hp $0.00 , 0 Communication drops $0.00 -, - 0 - Investigation Fee - $0.00 Sub panel to 200a $30.50 . 1 Plan Check Fee $0.00 Pole Light Pkg $0.00 0 Reinspection Fee $0.00 Sign Circuits $0.00 0 Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $84.50 Intermed Pole $0.00 0 COMMENTS/SPECIAL CONDITIONS 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 , 2446-46(WOO) • DECLARATIONS 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 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'compensation Insurance carrier and policy number are: Carrier: Policy Number: (Thi section need not be completed If the permit Is valued at one hundred dollars($100)or less.) socertify 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' mpensati•, ,.-of California,and agree that if I should become subject to the workers'compens: '••provisions of Section 3700 of the Labor Code,I shall forthwith .visions, �� � - : Dal: 7-2- 'CYz r:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT.,• •- •YER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(3103.000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I am licensed under provisio�of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is in full act.Lic.q � [.Ta59 k C= (J onlractor's ignature: .:ra ate:. Z—CMZ__ 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). Lenders Name: Lenders 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,atter,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.). ❑ 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 am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. 0 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: 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,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 California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes 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 aagermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? 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 WI;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 till subject of this application,have all of the disclosures prescnbed by California Health and Safety Code Section 42303 been made? 0 Yes ❑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 purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. /' // (gnat - • Legal Owner(s) Date _ � . J—L—oZ___ And/Or: • .•Appli • t ttifi 0P1_1 JNSPECTION TYPE QAIE 1NTRIALS• • CQDE( INSPECTION TYPE PAIS INIITIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 7.4771e22 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 CITY OF COSTA MESA it.. BUILDING DIVISION > rill f. 4+ - _ DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER lie: ,a�p,g,y� t PERMIT B00-01635 4thiboiLnso#1. (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.cgus.. G PERMIT 77 FAIR DRIVE,COSTA MESA„CA 92626 UILDINJob Address: 3019 ENTERPRISE ST Status: ISSUED Suite: Applied: 10/11/2000 Vicinity: RESTROOM AREA • Issued: 10/11/2000 Parcel Number 41822204 Zoning: MG MG • Applicant: POST, JEFF ISSUED BY: Address: 12791 EVENINGSIDE DR Phone: (714)544-8964 SANTA ANA,CA Zip: 92705 , ' Owner: HONEY BEAR ESTATES INC . Address 16787 BEACH BLVD#127 • : Phone: . HUNTINGTON aHUNTINGTON BEACH;CA Zip: 92647 I Contractor: .JEFF POST CONSTRUCTION CO ; oI. Address: 12791 EVENINGSIDE DR 9 / Phone; (714)544-8964 SANTA ANA,CA . Zip: 92705 License:: 358735 . . N Arch : Eng: Address: 1 Address: - Phone: Phone: . 'Zip: . License: License: SCOPE OF PERMIT ' UPGRADE 8 REMODEL OF EXISTING RESTROOM FOR"PACIFIC SERVICE". ' FEE SUMMARY , Plan Check: $54.11 Calc Valuation: 33,000.00 Permit: $83.25 - —, Claim Valuation: ' $3,000.00 SMIP Res: $0.00 SMIP Com: $0.63 Other: $0.00 • Inspection:' ' $0.00 Total: $137.99 / 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 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 end final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of rmit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(6/00) �/ DECLARATIONS 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 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'compensation Insurance carrier and policy number are: Cartier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars(3100)or less.) „OLIFcenjfy 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'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provi ions. �AppgcanL Signature: ( � WARNING:FAILURE TO SE RS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOVERTOCRIM6NALTPENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE f$1W,0001,IN ORION 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 Ihat.l.em licensed u •er provisions of Chapter 9(commencing with Section 7000)of Division 3 Dt.the.Business and Professions Code,and my license is In full force and effect.Lt.F. `Plass.# h r-� rCo0tractO0.Slgnature:_ ;i � (Date: /D%/? 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). Lenders Name: • Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that 1 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 tiet he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of DlvIsion 3 of the Business and Professions Cafe)or,that he orshe 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 mole than five hundred dollars($500).): El 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.herlown employees,provided that such improvements are not Intended or offered for sale.If.however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the 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 and Professions Code for this reason: Signature: Date: Owner ID verified by drivers 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: I Wit 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? ❑Yes ❑No (Section 25533 of the California Health end 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. ._..._t ..__ ._ ._ .._._ .�.._.._.. __— 4 If an RMPP U presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which Is the subject of this application appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes LI No (Section 65650.2 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 ❑No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). ...__ the South .r e.__. ___ 7 a a permit from the SCoast s Quality cri ed Management DistrictHor other airpollution control district3or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by CaliforniaCallfoHealth and Safety Goole Section 42303 been made? 0 Yes 0 No ._ _ fheap —..._ __._..........._.___.___...—_ 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 purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signatur. •f Legal ner(s Date And/pa li•er. Applicant ;OOE F INSPECTINTYPF DATE =NJ ;ODE( INSPECIIONTYPE DATE tlmmLE 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 `��M CITY OF COSTA MESA 4 BUILDING DIVISION >w,,,,• DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 4, yr is . PERMIT !r E00-00988 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT Job Address: 3019 ENTERPRISE ST Status: ISSUED Suite No Applied: 10/11/2000 Vicinity: RESTROOM • Issued: 10/11/2000 Parcel Nunmber: 41822204 • • Applicant: POST, JEFF ISSUED BY: _ Address: 12791 EVENINGSIDE DR ' Phone: (714)544-8964 SANTA ANA,CA Zip: 92705 Owner: -HONEY BEAR ESTATES INC '4 Address 16787 BEACH BLVD#127 • ' Phone: „I HUNTINGTON BEACH,CA Zip: 92647 cr - 4 Contractor JEFF POST CONSTRUCTION CO D Address: 12791 EVENINGSIDE DR u0 Phone: (714)544-8964 SANTA ANA,CA Zip: 92705 , License: 358735 • SCOPE OF PERMIT ELECTRICAL PERMIT FOR INSTALLATION OF 1 SWITCH FOR RESTROOM UPGRADE/REMODEL FOR ' "PACIFIC SERVICE". REF:B00-01635 - FEE SUMMARY ' Quantity Quantity , ISSUE FEE $23.50 Temp Dist System/Lighting $0.00 0 Temp service test $0.00 Busway/100 ft . $0.00 0 ' Res.a/c package $0.00 Standing Section - $0.00 0 - , New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 . 0' , New Res(3+units) $0.00 0 Transformers up to 1 kva/kw $0.00 , 0 Pool/Spa $0.00 0 •. lip to 10 kva/kw $0.00/ -0 Lighting Fixts $0.00 0 up to 50 kva/kw $0.00-: ' 0 Recept Outlets '$0.00 0 up to 100 kva/kw- - $0.00 ' 0: ' Switches $1.10 _ 1 - over 100 kva/kw $0.00 . 0 Non Res Appl $0.00 0 Low Voltage Equipment -,'$0.00',' 0 , Res Appl • , - $0.00 '.. . 0 Low Volt Wiring System/Ckt ; $0.00 "/-0 ' Service to 200a , $0.00 0 - Misc.Conduit - $0.00. •C'0 , Service to 1000a $0.00 0 - , Misc.Conductor' $0.00 i' 0' ' Service over 1000a $0.00 0 Circus(gen or ride) ' ' $0.00' ' 0 - Motors to 1hp $0.00 0 Circus(mech ride or lights) $0.00 " 0 Motors to 10hp . $0.00 . 0 Christmas Tree Stand $0.00 ' 0 Motors to 50hp $0.00 0 Fireworks Stand ' $0.00" 0 Motors to 100hp $0.00 , 0 ' Other Electrical Fee ' $0.00 Motors over 100hp $0.00 0 Communication drops $0.00 0 Investigation Fee $0.00 Sub panel to 200a $0.00 0 Plan Check Fee $0.00 Pole Light Pkg $0.00 0 Reinspection Fee $0.00 Sign Circuits $0.00 0 Temp Pwr Pole $0.00 0 TOTAL CALCULATED FEES $24.60 Intermed Pole $0.00 0 COMMENTS/SPECIAL CONDITIONS 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 expirationof�permit. FOR INSPECTIONS CALL: (714)754-5626 2446.46(6/00) DECLARATIONS 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 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'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed I/the permit is valued at one hundred dollars($100)or less.) (CV!artily 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'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these p ovisions. (Appticarit'SIgnature: ' WARNING:FAILURE TO -fro- ERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUEUECT AN EMPLOVER'TO CRIMINALPENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE($100,8..), ADDITION 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 arlllcensed and r ovi5 of apter 9(commencing with Section 7000)of Division 3 of the.Business and fgofesslons Code,and my license Is In full force and es Sign tune: ---, �ess k — 1 ContmctarsSigneture:�, Data:—^---- LIS//r � 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: Lenders 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(5500).): ❑ .c oee I,as owner�of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and'Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or-herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,-the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the 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. 11- ) Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑Yes ❑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? 0 Yes 0 No . (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? ❑Yes ❑No (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does....... oes orr will the .i.t. ... 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 Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP Is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this e application akrnit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes E No (Section 65850.2 of the Califomia Government Code requires that the requested information be furnished on applications for non-residential building permits). 8 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑No (If"yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑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 purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signaturj Of Legal er(s Date An; • ' !•z- Applicant (-'Dare'"" CODEINSPECTION TYPE PATE RALE CODES INSPECTION TYPE PATE PLOW 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1268 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 •5TN '(c CITY OF COSTA MESA 4 BUILDING DIVISION j?,,,,,, DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER 41i,�A,11 Erlit I PERMIT et P00-00569 (714)754-5273 • Fax(714)754-4656 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 PLUMBING PERMIT Job Address: 3019 ENTERPRISE ST Status: ISSUED Suite No Applied: 10/11/2000 Issued: 10/11/2000 Vicinity: RESTROOM Parcel Nunmber: 41822204 ISSUED BY: j Applicant: POST, JEFF hl Address: 12791 EVENINGSIDE DR . Phone: (714)544-8964 . SANTA ANA,CA Zip: 92705 ��. Owner: " HONEY BEAR ESTATES INC ' ' • Address 16787 BEACH BLVD#127 - , Phone: HUNTINGTON BEACH,CA Zip: 92647• '9 • ,11) Contractor: JEFF POST CONSTRUCTION CO Sia e /? Address: 12791 EVENINGSIDE DR - Phone: (714)544-6964 _ Q�.'" . SANTA ANA, CA Zip: 92705 • , License: 358735 Arch / Eng: -- - - Address: - - Phone: Zip: , • -_ _ _ License: - , , • SCOPE OF PERMIT PLUMBING PERMIT FOR INSTALLATION OF 1 WATER CLOSET& 1 WASH BASIN FOR RESTROOM , "UPGRADE/REMODEL FOR"PACIFIC SERVICE". - - REF:B00-01635 FEE SUMMARY Oi ' AMT , - QTY- .. AMT" - QTY„'-- , / - - AMT QTY ISSUE FEE $23.50 Laundry Tub/Washer - $0.00 0Sump Pump' , $0.00 0 Backflow irrigation. v ! $0.00 . , 0 Landscape Irrigation $0.00 0 Swimming Pool C '.' $0.00 0 Backflow Preventer N $0.00 0 _ , P-Trap $0.00 0 Trap Primer/ /; / $0.00 0 Bathtub ' , $0.00. 0 Pressure Regulator $0.00 0 %Urinal-1 : / $0.00 0 Clarifier System - $0.00" 0 Process Piping(per 10 ft) $0.00 0 Vacuum Brkr 13kflow(1-4) $0.00 0 Connect(Ice,Soda,etc) - $0.00 0 Receptors $0.00 0 ' ` Vacuum Brkr Bkflow(5+) $0.00 0 Dental Units $0.00 0 " Septic Tank • $0.00 ' 0 Wash:Basin' $9.80 1 Dishwasher $0.00 0 . Sewer Cap for Demo " $0.00 0 - , Wash"Basin Set $0.00 0 Drain, Floor $0.00 - 0 Sewer Connect , $0.00 0 , Waste and Vent System $0.00 0 Drain, Rainwater $0.00 0 Sewer Private Line' $0.00 0 -"Water Closet(Toilet) $9.80 1 Drain, Roof $0.00 0 • Shower $0.00 0 Water Heater/vent $0.00 0 Drinking Fountain $0.00 0 Sink, bar $0.00 0 Water Piping(Inst or Rep.) $0.00 0 Expansion Tank $0.00 0 Sink,commercial $0.00 0 Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink, Floor $0.00 0 Water Service $0.00 0 Gas(1-4 outlets) $0.00 0 Sink,kitchen $0.00 0 Water Softener $0.00 0 Gas(Over 4 outlets) $0.00 0 Sink,service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa(private) $0.00 0 VIOLATION $0.00 Gas Service $0.00 0 Spa(public) $0.00 0 PLAN CHECK $0.00 Interceptors(Grease,Oil) $0.00 0 REINSPECTION $0.00 0 Interceptors(Sand Auto) $0.00 0 TOTAL CALCULATED FEES: $43.10 COMMENTS/SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia 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 required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration-6f this permit. FOR INSPECTIONS CALL: (714)7545626 2446-46(6/00) DECLARATIONS 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 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'compensation Insurance carrier and policy number are: Cartier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) • I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' _---compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comptywiththese.provisi s.r q�� r -Applicant Date: - WA F FAILURE TO SECUR�COMPENSATION (lr MPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL NES UP TO ONE HUNDRED THOUSAND DOLLARE($100,0x),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 under provisions of Chapter 9(commencing with Section 7000)of Division 3+df the&Illness app Professions Code,and my license is in full force and effect LIa p --)35" `Cless.a---) ,/3 Contractor'sSignature:, Dale: �!)��!-0 0 ti 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). Lenders 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 fora 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.). ❑ I,asd owner of the property, se EXCLUSIVELYawnt CONTRACTINGanownerWITH LICENSED whbuilds CONTRACTORS tor constructn, the ntect o704of Business and Professions Code:The'contractoisticense Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec: '\. " Business and Professions Code for this reason: Signature: f '> Date: Owner ID verified by drivers license. �'❑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(38)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,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 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 en 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 ermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? LI Yes U 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-boasi Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this" application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have 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. ignature Ofd/gal Owner(s) 1/� —art)1 , / / ••s-aa�v(f- YV��/ UL-C�J d,•n,t• authorizedrDate '-"�` CODE I INSPECTION TYPE gdIE MONLS CODE! INSPECTIONTYPE PEE IMM O 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 WONApplicantto fill In all spaces except those within heavy border lines and sign all appropriate declarations. .JSTA MESA • pE 11-20/. zz.cv �T C �O LOT NO. BLDG.NO. CYRUCTION PPERMIT Project Address 1301 { (•-4.I^ti (r���ykSL= n q TYPE OF CONSTRUCTION NEW U ADD ALTERATION LJ REPAIR 7119 1/PA/Rh ch f10 Applicant's Mailing/Addresns (�.o `'109 7%3 N ,V /Z(Zd CI CONVERSION ❑ DEMOLISH,i ❑ ejiHER ��� A.P.91' /-4 /F-2 ,2- Oq I_Zone /7eo • i� X AP IIN GLECIA Met A I3CIF r. 'Phone3'f 3 DESCRIPTION OF WORK - 1 C C \ t -ei I 1 TO s , Owner's Name �t KS t 84.1 G 1V et= — L = 00e- AU 1 y •1,is OII° S Main Building: Accessory Building: Z Address XIzsa IS1T1 S1 JAisA14 /`�bACn CA- el E - 0 TYPIpf PERMIT + GRADING II FOUNDATION L • RUCTURAL T Front /� ,O� • N Arch/Eng. License No. • ENANT ❑ ELECTRICAL ❑ PLUMBING CIC Right MECHANICAL B Rear G/ {' Y Address CI OTHER A �Vf N Contractor's Name OWS0 ark Phone K PROJECT DESCRIPTION SQ. FT. OCCUPANC GA"ddress(mailing) CON STRUCTION TYPE114 VALUATION S Left • R E ZONE GRADING CU.YDS. A9R@5 City License No. Ping. Ref.# Park.Fees $ O - LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided - U 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 / ' , / - fC� + Use of Building: G CMrC STAT TIO R my license is in full force and effect. / V E License Class License No. PLUMBING I FEES Planning Notes: • M Date Signature - E WORKERS'COMPENSATION DECLARATION Bar Sink Showers N 'ierehy affirm that I have a-certificate of consent to self-Insure or a certificateBackflow Preventer Service Sink T Workers' Compensation Insurance, or a certified copy tnereof (Section • -S 3800, Lab. C.) - Backflow Irrigation Sewer Cap ' ELEC ICAL FEES Policy No. Company - Certified copy is hereby furnished. Bathtubs Sewer Connection 0 15-50-KW p - Automatic Washer Transformer Certified copy is tiled with the city Building Division.Applicant - - Date pppcant_ Clarifiers Solar Collectors. . Construction Pole Sub. 050+KW • EXEMPTION,FROM WORKERS'COMPENSATION DECLARATION Dishwasher (This section need not be completed if the permit is for one hundred ($100)or Solar Piping Cooking Unit Meter pup to 100 amps Iecer DrinkingFountains I Gert o,t ein the performanceperoninof the work for aswhich othis permit is to I Solar Tank Dishwasher Meter Dover 100 amps ' I shall not employ any person in any manner s as to Decorp9 subject to the , Workers' Co pe sation Laws of Cantor"). R ) qI Floor Drains, • Swimming Pool w/Spa • Dryers ❑Gas ❑Electric Sub Panel -=1 - N Date • '5 'I R 4 • Signature 111111 IYnA}7ro. 1 `tenCeem Iti NOTICE: if,wfter making this declaration, you should become subject (co-the • Floor-Sinks Urinal ' - - - Workers' Compensation provisions of the. Labor Code, you must forthwith - Fan Motors 00-1 HP 011/2-8- - comply with' such provisions or this permit shall be deemed revoked. Gas Service Outlets . Water Closet CONSTRUCTION LENDING AGENCY F.A.U. Ina Solar 09-15 HP ❑16-15+ - I hereby affirm that there is a construction lending agency for tile performance Interceptors Water Heater I Fixtures ' of the work for which: this permit Is Issued (Section 3097 civ. C.) - ;Microwave Lender's Name • ^ , /1 A i Kitchen •Sink Water Service - . , ' Device Boxes Pole Light Lender's *Address ' V \J ,V OWNER BUILDER DECLARATION Lavatories . ` Outlets Range I hereby affirm that I am exempt'from the Contractor's License Law for the p,Tra following reason (Section 70315 Business and Professional Code: Any city or p , • .• 'Switches -county which requires a permit to construct,alter,Improve,demolishor repair ' - _ - _ Sign • 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 • _ 'Garbage Disposal Standing Sections , the Contractor's License Law(Chapter 9(commencing with Section 7000)of - •aK-'al3-of the Business and Professions Code) or that he/she is exempt - : - , Generator 00-5 KW 05-15 KW Trash COr tOr ;fV;refrom and the basis for the alleged exemption. Any violation of Section _ - r ' -*--.31 5 by any applicant for-a permit subjects the applicant to a civil - 'penalty Of not more than five hundred dollars($500). Reinspection Fee .I '$25 - - • Issue Fee " $ 3 • 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'for sale'(Section 7044, Business and Professional code: The.Contractor's - - • PUBLIC SERVICES f�QlJ1aEM�rQ.T$: License Law does not apply to an owner Of a property who builds or improves Boiler Hood or Type I 0 //CC. //��afC`/.�' 7/ thereon, and.who does such work himself/herself or through his or her own ' Zoning Approved By *V� Date ' ZZ employees, provided that such Improvements are not intended or offered for Canopy Type II' 0 I - , sale. If, however, the building or Improvement is sold within one year of con- - Duct-Under Ground • ' Building Approved By �7 , Data pletion, the owner:win have the burden of proving he/she did not build or im- 1 — a, v�^ 0 rove for the purpose of sale). Duct-Structural Refrigeration System _ , Application Issued By Date 1,as owner of the property,am exclusively contracting with licensed con- tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating : ❑0.100,000 BTU ❑100,000 BTU - SUMM V • The Contractor's License Law does not apply to an owner of property who - OF FEES builds or improves thereon, and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ 1r• SMIP, I $ 0r tractor(s) license pursuant to the Contractor's License Law). I _ _. �, PLAN CHECK $ J e®2. PERMIT • 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# PLUMBING $ ISSUANCE $ Date Owner • Heating System& Ducting '• � PLAN CHECK 25% $ ENERGY P.C. $ I- hereby certify- that I have read this application and state that the above ' -❑o-io ,000 BTU ❑100,000BTL. information is correct. I agree to comply with all city and county ordinances - - / ' �^ ELECTRICAL $ GRADING $ and state laws relating to building construction,-and hereby authorize repre- ' • ' sentatives of this ty to enter. troop the above-mentioned property for PLAN CHECK 50% $ MICROFILM $ '/ Insoettlon •.11•pses ,).4( ' Eil ieo d 2 - Date 8121 I&`� - �. ';�r- TOTAL FEE $ 4. X Signature ` �' FD MECHANICAL :$ !p 02. X Drivers' License or SS y � ' Reinspection Fee I $25 - . Issue Fee - $ 3 - PLAN CHECK 25% $ . CMF 0865-46 rev.12/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor - - . 'I OCONSTRUCTIONAND PLANNING- POOL FA , - - .� u Date Inspector - _ Date a Inspector, APPROVALS Permit-# -'APPROVALS - Permit;# -- - - . ' - 1. Temporary Electrical Service or Pole . "52 Pool & Equipment Location ' -'' " -- 2J Soil Pipe-Undrgrnd. 53 Steel Reinforcement - - - • 3. Electrical Conduit Utility-Undrgrnd. - - ' ; "54: Forms • ~ 4. Electrical Conduit-Undrgrnd. - -' 55: Electrical Bonding - a 5. Steel Reinforcement - - , - 56. Rough Plumbing & Pfessure'Test . . - _ 6. Electrical UFER Grnd. - - . 57. APPROVAL'TO:COVER-GUNITE, - 7. Footings ': . 58' Electrical Conduit-Undrgrnd. : ' _ r 8. Foundation 59. Gas Pipe,O 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- - - ''- '' . . s - 12. Sewer Cap i 63. Heater & Vent-Final _ - - o 13. Roof Drains 64. Plumbing System- Fihal- - • 14. Rough Plumbing • - 65. Electrical-Final •- ° ` - 15. Rough Electrical-Conduit - ' 66. Solar System:Final ' -, - ' ` ' - ' - 16.•Rough Electric Wiring - - • ,67. Fencing&-A'ccess Approval - _ i, , r. . , 1 , 17,. Rough Wiring Sign • - _ . 68. APPROVED FOR-PLASTERING I ' I L ' 18: Rough Electrical-T Bar Ceiling , 69. POOL/SPA SYSTEMS FINAL , 19..Rough.Heating& Air Conditioning . FIRE DEPT.,REQUIREMENT .' ' 20: Rough Factory Fireplace , i APPROVALS, i Permit# i - ' i 21. Ducts, in Structure 70. Underground Hydro . - I 22..Ducts, Ventilating . 71. Product Piping 0 Gas-.0 Oil ' , ' j F - 23 Gas Pipe-Rough & Test 72. Underground Flush I 24Roof Framing ./ ' - 73. Undergrnd.Storage Tank 0.Gas 0 Oil . . ' ' . 25. Roof Sheathing :- 74. Overhead Hydro i - - . ' : , 1 I 26. T-Bar Ceiling (Structural) & Morocoat 75. Dry Chemical - 1 -- 27: Frame and Flashing 3-act-51 D•S 76. Dry Standpipe ; I : '- , . i I 28. Lathing &`Siding �4- 77. FIXED SYSTEM FINAL -. 29. Insulation • �78: FIRE PREV. FINAL •30. Drywall Nailing • ` 3124/2, .HEALTH DEPT. REQUIREMENT , 31. Plaster Brown Coat , .79. FINAL INSPECTION - 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes;_Poiost. / 34. Final Heating& Air Conditioning I-_ � .,� r� t!tA72.1tJQ4 CSC kb �� 7( S%r�r - 35. Final Gas Pipe-Test C. �. i, 36. Hodd'or Canopy I _ - ' - 37. Final Factory Fireplace - . 38. Final Plumbing • V. - i, •39. Water.Service-Final r• Ir •. - 40. Gas Service-Final irsi 41. Solar Domestic-Final •,5 -- - - -'� •42. Backflow Preventer a - l _ _ - . 43. Backflow Irrigation - - • .1144. .Landscape Irrigation System . - . 45. Sound Attenuation e - , • r - , , 46. Handicap Regulations i • 47. FINAL STRUCTURE & BUILDING tj//gq Art , . I , - r • 48. Special Requirements Completed . ! , 49. Electric Release to Edison - - . 50. Gas Release to Southern California Gas Co , . ' 51. CERTIFICATE OF OCCUPANCY - ) - - 2 - - } No. • _ Dat`e - ! ' i 1 t COSTA MESA BUILDING—SAFETY DEPARTMENT P. O. BOX 121 4500 103/2147. i4aED TL Costa Mesa, Califomta MECHANICAL PERMIT APPLICATION TRACT NO. Lir v/1-8,16 /� '/.�/� /J A `/ Permit Contractor el .5,4/S` J/T 7', /J do 4/r LOT NO. Address 96p26�� S� zlieW i7�Q/G BUILDING USE DATE ISSUED Ci ty'T ',*', ./ C7 Zip Code 9os1oZ1 COM /27 L State License NoSegVG..7Class. C1--en BBUILDING ��/� � ��/�r JZI�/tJ�'COORE55 City License No: Tel.No 1 NO. I— ITEM EACH I FEES _ COSTA MESA, CALIFORNIA hOt FALL Wall, or Gray. 6k 1 17 O Furn. Incl. Ducts and �/ I� Y W i/ 9 OWNER VA'• N/S4771.../ ff Vents /)L K/ ��� /�- 1 Q to 100,000 BTU MAIL �( 1��� O ADDRESS „('Q\\ I✓ over 100,000 BTU \�� y J CITY Y TEL. N0. Vent (if not incl. above) ,[7 j.'�\lly -I Suspended Heater I hereby acknowledge that I have read this application u' I J _ end fstate�that the above is correct and agree to comply Alter or Replace tt CC ,tiwtth a11City Ordinances and State Laws regulating Heat- ApplianceW rnt;Ventilatin Refrigeration and Air-Conditioning. 0 Over 10 feet of /Th le I)1'. g. 6 O gas piping K BOILERS O R \r r omia classification or I am the owner of the single I certify that I possess the above valid State of Calif- s COMPRESSORS ''Sc 9' legalgl . Z W 0 \ �V' family residential property described above. 3 H.P. or less �Y' / Over 3 H.P. to 15 H.P. "F (( RY� 7 co Signature of cJ 1 F Bathroom R n� Permittee /����, _//� is[-�� eL Vent Fan-Single,Duct• ! �l�L CC Kitchen C ( 1V' REMARKS: / 21 oft 9-147 W Ventilating,Hood a C. - 14 ra - cc MetallAjte-Places D ICBG # O AGA# _ } APPROVALS INSPECTOR DATE CO Mise_ • Ducts Underground to Ducts in Structure I • Ducts Ventilating ~ Heating - Rough _ Hoods Refrigeration Lines ,Plan Check Pressure Test Reinspection Fee Air-Cond. Final Ventilating Final Sub-Total Heating Final S 2.S7 94)// Processing Pee 3 OD Refrigeration Final 1 Cw 'Final Gas Test TOTAL FEES /44 6 Utility Co. Notified CMF 0449-46 BLDG. PERMIT NO. 5"o204C 211411% Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT - PER MIA-N py TRACT NO. LOT NO. ,UNIT NO. • c �a /� 0201 1/64/87 ' Project Address 3019 ENTEpt pg Se 1 ��1yyy 24. 15 TL Applicant's Maili Address • ��[ TYPE OF CONSTRUCTION 1J NEwJKADD ❑ ALTERATION U REPAIR - - ALG cnr���' Phone ❑ CONVERSION ❑ DEMOLISH OTHER - • A.P.# _ Zone _ Owner's Name DESCRIPTION OF WORK/USE OF BLDG. - - Addresst_.(Ilftie(�VI�SIA(L U1Q(9 • S Main Building: Accessory Building: Arch/Eng. , License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL I T Front • ZO Address 1 ' q • p ❑ TENANT II ELECTRICAL'❑ PLUMBING ❑ MECHANICAL B Rear ' I N Contractor's Name—A}=S ' PLFG.TRAC Phone 7 F I?ty ❑ OTHER A ' I + �AYN FIA 9.es.r PROJECT DESCRIPTION SQ.'FT. - OCCUPANCY C Right N Address cens(mailing)40010 e C. HOW ELL. Vtt� I , - K - • - G City License No. ��30ts�c CONSTRUCTION T• YPE • VALUATIONS S Left ZONE GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION - - Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under prodisIons of Charter 9 (commencing Remarks: G . L yr, Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code,and ee,, " • my license is in full force and effect. ' - I T • License Clas a G- • __ Licen aC 0 - • - . • - $ 4.4 Date 1- : CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2: Soil Pipe-Undrgrnd. 53. Steel Reinforcement • 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. Foot ngs 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK • 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater& Vent-Final 13. Roof Drains 64. Plumbing System - Final • 14.- Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit ;66. Solar System-Final 16. Rough Electric Wiring 4.47 .67. Fencing& Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace - APPROVALS Permit# _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush • 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25.'Roof Sheathing - 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe - - 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 2i/is,. 80. FOOD CERTIFICATE ISSUED 33. Final Electric lq'Mr, 4 , 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 l'' 42. Backf low 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(1 51. CERTIFICATE OF OCCUPANCY No. Date v _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. .-. CO Tt3U�TION PERMIT PERMITo0�//� TRACT NO. LOT NO. BLDG.NO. 7862 4/03I84 • 19.20 TL •Project Address dar -Cr /: - ' - TYPE OF CONSTRUCTION. U NEW ❑ ADD U ALTERATION U REPAIR - Applicant's MailingAddress niz I ❑ DEMOLISH 0 OTHERA.P.5W: I Zone , PP J`��/�rN x"19" 1�,1 ❑ CONVERSION -Owner's Name CCH n A-/exn'adeel 4-.4 Phone 1.451 2r4'S l' DESCRIPTION OF WORK �C L�"NJ r �� ' • S Main Building: Accessory Building: Z • Address / /no ./S Y h 5 1- 'Si1-134-•4- conn es9 VocnLf - E _ -_- - - - _ • --- D • 2 TYPE OF PERMITsa-t/�� 0 GRADING 0 FOUNDATION U STRUCTURAL T. Front N Arch/Eng. _ License NO. 0 TENANT I"�ELECTRICAL 0 PLUMBING 0 MECHANICAL g - A Rear • - - N Address - � L ❑OTHER • . �w• 4t 67� A! C Right - G Contractor's Name q i Pe-T �• isQPhone / b-g/3Y0/j PROJECT DESCRIPTION SO. FT. - OCCUPANCY . Address(mailing) /_D2S pt.4cent-, O- 'D" Cod-rtt1'�'On 'CON STRUCTION TYPE • VALUATIONS ,S Left - - R � //y ZONE GRADING CU.YDS. ACRES E U ; City License No. -z—kaer - 3//7 U Ping. Ref.# Park.Fees $ O LICENSED CONTRACTOR DECLARATION Remarks: , /f / Sys G( Parking Req./Provided I I•hereby affirm that I am licensed under provisions of Charter.9'(commencing I /J v - - with section 7000) of Division 3 of the Business and Professions Code,and . • . , ,Use of Building: . . • R my license is in full force and effect. - E License Class C _/d cen N 2 ��I , PLUMBING I FEES Planning Notes: M Date r{-3 YV Signature fr1 C-Gp:[+•C' L E WORKERS'COMPENSATION DECLARATION (/ Bar Sink Showers N ,:-;.rhereby affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer Service Sink - ' - - T { ' Workers' Compensation Insurance, or a certified copy thereof (Section S J 11300, Lab. C.) Backflow Irrigation Sewer Cap , ELECTRICAL FEES Policy No. Company •- A Certified copy is hereby furnished. Bathtubs Sewer Connection - . Automatic Washer ' Transformer 0 15-50 KW Certified copy is filed with the city Building Division. , ' Date Applicant Clarifiers Solar Collectors - Construction Pole Sub. 0 50+KW EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Dishwasher Solar Piping (This section need not be completed if the permit Is for one hundred ($100)or P 9 -_ _ Cooking Unit Meter ❑up to 100 amps less). DrinkingFountains I certify that in the performance of the work for which this per it Is Issue I Solar Tank Dishwasher Meter Dover 100 amps shall not employ any person In any manngr so at to bei a bject (,e , Date s�ejnp �ion,LPSi of Californ' /// / / Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric / Sub Panel fp')/c' Date /!Jam --©lel Signature n, •"l should/1 . NOTICE:Compensation rafter making this declaration,you should become subje o•the , Floor Sinks • Urinal - Fan ' Motors❑0.1 HP 011S-8 Workers' Cprovisions of the Labor Code, .must forthwith comply with such provisions or this permit shall bea deemed revoked. Gas Service Outlets Water Closet - _ F.A.U. - Inc.Solar❑415 HP 016-15+ CONSTRUCTION LENDING AGENCY - -- I hereby affirm that there is a construction lending agency for the performanceInterceptors Water Heater - / Fixtures of the work for which this permit Is issued (Section 3097 Civ. C.) Microwave 2 Lender's Name Kitchen Sink Water Service Device Boxes Pole Light �J_ Lender's Address Lavatories OWNER BUILDER DECLARATION Outlets Range 2- GD I hereby affirm that I am exempt from the Contractor's License Law for the --P-Trap following reason (Section 7031.5 Business and Professional Code: Any city or p Switches Sign / 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 the Contractor's License Law(Chapter 9(commencing with Section 7000)of - '' Generator ❑P5 KW❑5-15 KW Trash Compactor 3 of the Business and Professions Code) or that he/She is exempt • ' .. efrom and the basis for the alleged exemption. Any violation of Section 1.5 by any applicant for a permit subjects the applicant to a civil Reinspection Pee $ 3 ,alty of not more than five hundred dollars($500). pe $25 Issue Fee LI 1, as owner of the property or my employees with wages as their sole - - Reinspection Fee $25 Issue Fee $ 3 compensation will do the work,and the structure is not intended or offered MECHANICAL FEES I for sale (Sec/ion 7044, Business and Professional Code: The Contractor's - - - PUBLIC SERVICES REQUIREMENTS: License taw does not apply to an owner of a property who builds or improves Boiler Hoed or Type I ❑ thereon, and who does such work himself/herself or through his or her own Zoning Approved By nate employees, provided that such improvements are not Intended or offered for Canopy Type II ❑ . Duct-Under Ground y • Date sale. I , however, the have or Improvement Is sold within one year of com- • Building Approved B prove , the owner will have the burden of proving he/she did not build or im- ,//���./ prove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By , oei i Date 4 Y' LJ I, as owner of the property,am excluslvely contracting with licensed con- ❑0.100,000 BTU ❑100,000.BTU tractors to construct the project(Section 7044,Business and Professions Code: Duct-Ventilating SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who BUILDING PERMIT $ SMIP builds or Improves thereon,and who contracts for such projects with a con- Exhaust System ❑ Multiple 0 System Repair/Alteration $ tractor(s) license pursuant to the Contractor's License Law). - -- .- - PLAN CHECK $ PERMIT 0 Lam exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG dP PLUMBING $ ISSUANCE $ Date Owner Heating-System& Ducting _ PLAN CHECK 25% $ • ENERGY P.C. '$ I hereby. certify. that I have read this application and state that the above - • ❑O-100,000 BTU 0100,000BTLT ELECTRICAL $ /,3 S� GRADING $ Information is correct. 1 agree to comply with all city and county ordinances and state laws relating to build ng const uctio •nd hereby authorize repre- , PLAN CHECK 50% $ Sr L{L7 MICROFILM $ sentatives of this ity 0 ens r n the �•-ye-mentioned property f inspection our•��ar/,.. r y2-�. / MECHANICAL • '$ /,./- yds Signature //L_ i : /rr/� Date ny TOTAL FEE $ ! /i/"ll Drivers' License or SS • & Reinspection Fee 'I $25 -Issue Fee $ 3 PLAN CHECK 25% $ . - CMF 0865-46 rev.12/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor - - •=CONSTRUCTION.ANDPLANNING' POOL 'A - . Date Inspector Date Inspector APPROVALS Permit# APPROVALS Permit# ISTemporary 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. Footingsi. 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 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 • y/X�._h/ l.%{q 67. Fencing & Access Approval - - ;17. Rough Wiring Sign ' 68. APPROVED FOR PLASTERING ' 18. Rough Electrical-T.8er 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 v 23. Gas Pipe-Rough& Test - 72. Underground Flush 24. Roof Framing • 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing • - - 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical - 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL . 29. Insulation - 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED '• H" 33: iFinal Electric 1#5////____ ���, C Notes: F. 34. FinaFHeatirig&-Air Conditioning ✓' 4 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Fidel Factory Fireplace • 38. Final Plumbing 39. Water Service-Final • 40. Gas Service-Final . 41. Solar Domestic-Final I • - . 42. BckfCow'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' . . - APPLICATION FOR A BUILDING PER„JJ ••;,..41.•{ BUILDING PERMIT NO. Electrical00 Tract3�bZ Block Lot ,9 yo Permit No. E. Building Plumbing a• Address -r Permit No. an �pl� 23 �15�Ave� o n �w♦�" �/) Cross /n' Mechanical a Area tsgl�'!/. Street Y/�JI�I�)0 o Permit No. Ll`•J I 6.YA' nn IQs vial A Owner t i<113e C0� e t ttn,r/n Type of Project: ❑ New ❑ Alter �-clition B Atltlress'111///��' ssKKC����1 hhh77T''^���sCCC. #i����� t.G/C_. r2/e•.it ❑ Convert ❑Demo ❑ Occupancy Pmt. A P Sup.Dist./ City Zip Phone Insp.Area Architect/ - Designer C,OiONI S`NfV icense No. Zone $PL Pmt.No. Address 77(Q 100,1114Prie,RPE ,qvr Setbacks P/L Front C/L St. St eat Width V Yards Left Right -ear City 61/4—�dn ./' ZiP90 -' Phonct o) ^' ,r_s� 7 L Eave Proj. ' eft Right Fs i• Engineer 344y7f RS iteO(4trense No. E r Parking Spaces R•quired Provide Covered 8. Address m CityZip Phone Struct No.of N•.of Height Stories F.mily u LICENSED CONTRACTOR'S DECLARATION Park Fees ❑ Yes ¢e ea 2 I hereby affirm that I em licensed under provisions of Chapter 9 Required No tT -eceipt (commencing with Section 7000 of Division 3 of the Business end .0 Zoning Approved By: Date _ Professions Code•?ed my license is in full force and eeil / Licens s t5 cense Number Ll T Date//QI�(J�Q C ptract r 510'1✓?r• EXt_ti/S S Misc. E Address ""/$ Z//2_ cell LA/;eat ��s-V Proposed Use /I�/ rT� f Structure lL City and Zip CUL 0[ Pho ' N CONSTRUCTIONxLENDING AGENC � I hereby affirm that there is a construction lending agency for the 9- performance of the work for which this permit is issued (Sec. 3097, Clas ITyp¢ Code ' Civ.C.). 1 Class Const. Year y Lender's Name Ip_ USE/OCCUPANCY SIZE SO.FT. E Lender's Address J OWNER-BUILDER DECLARATION ✓ I herebyaffirm that ! 1. am exempt from the Contractor's License Law Q for the following reason: C ❑ I, as owner of the oroperty, or my employees with wages as their 2. sole compensation, will do the work, and the structure is not 4-. intended or offered for sale. I, as owner of the property, am exclusively contracting with 3. licensed contractors to construct the project. .m„ ❑ I am exempt under Sec. , B&PC for this reason 4' to a Date Owner E WORKERS'COMPENSATION DECLARATION Total Valuation 3 I hereby affirm that I have a certificate of consent to self-insure, Encroachment Permit Requi ed ❑ Yes ❑ No or a certificate of Workers' Compensation Insurance, or a certified E copy thereof. Grading Pmt. Grading 8 Policy No Company Required ❑Yes !A No Pmt.No. = ❑ Certified copy is hergby furnished. Rough Grading 'G O' ke"Certi oP y is filed with Or r�,�D.u�n/t✓ A. Approved bY; A Date ���I Applicant 1J! 7W- C✓�N/� 3 . CERTIFICA t OF EXEMPTION FROM WORKERS'COMPENSATION INSURANCE Z (This section need not be completed if permit is for $100 or less). 3 I certify that in the performance of the work for which this permit is C issued, I shall not employ any person in any manner so as to become m subiacy�t th Workers Compensa Laws of Cali nia PERMIT FEES Data �j/ g Applicant NOTI E O /APPLICANT: f, after making this Certificate of Structural $ Plan Check $ Exam tion, you should become subject to the Workers'Compensation provisions of the Labor Code, you must forthwith comply with such Electrical $ Spec $ provisions or this permit shall be deemed revoked. Invest. I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE Plumbing $ THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTH- Mechan'cal $ ' ORIZE R PRESENTATIVES •F THIS COUNTY TO ENTER UPON THE r .,Ar " IONE•/ROP• -Ty�FOR INSPE Pre-G..de POS.; .x./! t/LG_/ InsP= tion $ • .� li. / l/27 g :sure of Applic t or Agent, Dat PC¢ tJo.e $ PoPermue it $ M717 - el/ S Print Applicant's/Agent's Name go -7731,/'f4( All spaces within this box must be completed to process/ Plan Approve PlancheBy: I suancetl: CMF 0335-46(BU-28)rev.6/80 • 0014 7/17/81 25.08 TL COSTA MESA BUILDING–SAFETY DEPARTMENT P. O. BOX 1200 Costa Mesa, California •ELECTRICAL PERMIT APPLICATION TRACT NO. PERMIT NO. \ ELECTRICIANE.E.F. ELECTRIC CO. , INC. Lor NO. G 2 ADDRESS 1838 W. 144th Street DATE ISSUED, BUILDING USE �`� ' CITY Gardena, Ca. TEL. NO. 323-2808 7–/7�l STATE LICENSE No290859 CLASS. C10 BULDING ADIDRESS 3019 Enterprise CITY LICENSE NO. , NO. ITEM EACH Fill COSTA MESA, CALIFORNIA `V Dwelling, NEAREST L�,1`IrO Sq. Ft. f CROSS ST. . n:t k O .aa r vA„F W Garage, Sq. Ft. OWNER Harold B. Alexander ~ "1/0 First 20 Outlets, each ,ds/ S MAIL ADDRESS 1777 WestrirA.Sdge Rd. \ ‘k Q �u3lets, Additional '_._.1_ 2 / 1y CITY Be)air; t`Ca`. TEL. NO. First 20 Fixtures, each a^j -- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- \\,4 } r CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE Fixtures, Additional TO COMPLY\WITH ALL CITY ORDINANCES AND STATE LAWS REG. CC / Jot' /� Ni ULATIOM'ELECTRICAL WIRING. W ' \ `I• CERTIFY THAT I POSSESS THE ABOVE VALID STATE OF 1 Dryer 1 CALIFORNIA CLASSIFICATION OR I AM THE LEGAL OWNER OF L�� 0 '? .S; THE SINGLE F�,jt RESIDENTIAL P RW DESCRIBED ABOVE. \V CC d / Fan / / f i \\\ Z Heater 1�" y Slgna,e 4,„„../A„, W I ; .�( \ PERMI Oven. Domestic `—A` 'Ul. , .) NO. EAtH FEES H Pole. Construction 11�L)b Sign& 1 Trans. 2.00 tr Range, Domestic7'.\\' ‘V Transformers KW W j a. Misc.< �?')� _ m 7 'v��;) , Generators KW \ r N Moron ISee Schedule) COn FNP d 0rt) HP Sub-Total Fees i HP APPROVALS —/ INSPECTOR DATE Meters, so. L5-- TEMP. POLE Permit Fee .3 f.b[r UNDERGROUND CONDUIT CIO C•bs,e2 fit- 9'.a-8/ 1 Sub-Total Fees FIXTURES \ - POWER Total Fees els Oy UTILITY CO. NOTIFIED d VV FINAL At t L'-9 his rants as-„ BLDG. PERMIT NO. e.045 or items not-listed refer to Fee Schedule I ��l�y ". .04 COSTA MESA BUILDING-SAFETY DEPARTMENT MAY 111961 .P. O. BOX 917 COSTA MESA. CALIFORNIA FINANCE DEPT. CITY OF COSTA MESA For Applicant to Fill In Completely APPLICATION FOR PERMIT j /v` TYP OR PRINT BUILDING BUILDING C7 G ADDRESS \ )AJ ex:- irtca� 1\VP OV V l, COSTA MESA. CALIFORNIA For Office Use Only ,11OWA C2, A RECEIPT NO. P/gR[M(I-T(�/1�0._ OWNER /w_ IT.L��rtN Q(. I I / !-/"/ aA ADDRESS W a cat S&YAt€ P .: RECEIVEc BY DAT�.�1.EIVA/ ATEB$UE04/ (gy p TEL. nay .T BUILDIS _5GI Y/Y/���� (/� (/� CITY Me1,A) tT \�e A-C� NO.A 1 i'!J/Qef ADDRESSARCHITECT ,�jj '.` * TEL. 3� ��(( COSTA MESA. CALIFORNIAOR ENGINEER [I WPAUeAr NO.KI:JIDIP'F'4 ADDRESS est -: I: FIR-4Rk. / • ia'L.SiE - GROix,-.--- '5 tsgc II Mo_9dawk 'I/'VIg , DATE t / CONTRACTOR /�_�,yTf /� y /� ) n//-ADDRESS ,..()4A ' \ L CL,�t1►i IVVc-. Al/ ZONING {.� ��/II1 ` A1/�V [� I� '{/-'� ZONE NO.OP USE OF NEW_ 1 CITY ES T# ski? J4 ] , ---2-2-2 / I PLANS�y( 2 I BUILDING 1-. ......e �. /n(' /1 STATEIC. I - _ TEL , - B DESCRIPTIO - ' 'J 7�J`Z' T' ` I%�// LEGAL LIC.NO. / ' NO. LI SIZE..- ,Q/ St 69.6 - NO. OF SLOGS. ;�1I OF LL/ X(,Q.d OT2 g. I NOW ON LOT A•.-. A.P.NO. ^"--)-----2.---6.1----7--1.-.eIl { ' �Y V USE OF YARDS EVES EXISTING BLDG. "•- g J APPROVED ALLOWED II /'/p� SETBACK LINE PROM (CENTER LINE ST.) j //// �{�'. ic &•:4411.41.4.-CENTER OP STREET REAR YARD FRONT 7(0 FT. • IN.'T IZ SIDE YARD LEFT I RIGHT R.SIDE /2 FT. IN. DESCRIPTION OF WORK 32 ell FT. IN. 1 L.SIDE NEW I i I ALTERATION I II ADDITION I REAR0 FT. b IN - REPAIR II _• A I II DEMOLISH I APPROVED } DATE G'42%/�% BUILDIN P ^fJ( r NO. OF 1/ '� SIZE l�!-a 4 ROOMS I STORIES I / i."‘., y-' EXTERIOR WALL/ ROOF /� / % COVERING (CTue I COVERING L„(1IA - / USE OF BUILDING AND WORK TO BE PERFORIIIED e LLL. • U V5 a I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS POR THEE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONST/g')UCT ON. VALUATION SIGNATURE OF�LL]a Q\ 4 VftO U { PERMIT FEE $ O c ^ HPERMITTEE PLAN CHECK $ �70 - `NAUTHORIZED AGENT 4.12p � T 5 / N TOTAL FEE $ 2 0 COSTA MESA BUILDING-SAFE DEPARTMENT 6173 6(21.%78:=44.10 LL P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely— Use Ink Only �DI E� rt1P P RISE RECEIVEf�ir DATE RECEIVED Ira BUILDING // ADDRESS C,' L�/v• /41104 i r a F S' A.P. NO./2717--44/—/9 PERMIT NO. OWNER MAIL AC; q 4 BUILDING ADDRESS C; 4-�a 1/C ADDRESS . 7 ,t 9o, t , 1t'// SE CITY /v/, NOL S:/-0'f{e/p j TRACT-V,/ I LOT 6 BLOCK CONSTRUCTION NEW (ADD ALTER REPAIR (MOVING DFMOISH LENDER . --- III BRANCH _____ � �y �• OWNER CEN //! OA)' 'C d ADDRESS VALUE ARCHITECT TEL. USU E $ OR ENGINEER NO. ' FIRE ADDRESS / D b -/ pp ZONE y� �T/yPE GROUP CONTRACTOR (��y ICL/ ,s•/b o /I/I pSj� �/q APPROVED ��ll/�, DATE ADDRESS ��,7 4J.y/y �E/cA /r'/)fli/y ZONE NIO�OF� USE OF NE w•--74-04 CO04._ �I ppo T TEL. .j p PLANS �J BUILDING F CITY 4-/v P_OR/ ,64-nc� NO. i., On•-• STATE CITYs 0./1 c "a, /7C �/.A i F- ARDS APPROVED YARDS APPROVED LIC. O. 5 ism_ 93S LIC.NO. / 5/, VMAIIN BUILDING ACCESSORY BUILDING W SIZE INO.OF SLOGS. (FROM C/L STREET) r fax OF LOT NOW ON LOT FRONT FT, FT.y __J H, USE OF W'I•i-.V� EXISTING BLDG. R.SIOF FL j T, to Separate permits are required for L.SIDE FTt�, FT. Ci electric,plumbing and heating work. REAR PIOM,�V''s/Inv/ FT. GU USE OF BUILDING AND WORK TO BE PERFORMED F DISTAN ET. BET.MAIN& ••K MAIN BLDGS. ACCES S BLD GS.� — co6. ^-I VAR.4. DATE C.U.P../6 APPROVED Q ``\ 4f 3" r}-d-aa C. . RF; uJ!�2/4. r, DATE ‘/2- //7 Si ..1 CO O. Q I hereby acknowledge that I have read this application nd state 'n rx X that the above Information Is correct and agree to comply with m a. all laws regulating building construction, and I shall not employ Z any person In violation of the workman's compensation laws of 2 "SSW the State of California. I hereby certify that I am pr•• ly licensed as a contractor under SQ. FT. n the State of California B ne and Professions Code, Division 3,/ THE MOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that - licses are In full force and effect,or i THE URPOSE OF ESTABLISHING A PERMIT FEE LV: m am exempt from t• Prov . ons of the Stat f California Busines{ VA ATION A and Professions •do, D;1 • apte�� PERMIT FEE $ 2 ,,C90 J1 / ea /D m 1/d/\ Signature of / / PLAN CHECK $ /� s y,s c Permittee I A /%/ I� a a , 0C TAX $ 'F H� O U Authorized Agent TOTAL PAID $ AIWA • ,• 40204 a -2-75, 406=- ****59.90 f.4SC COSTA MESA BUILDING-SAFETY DEPARTMENT - P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 • For Applicant to Fill in Completely P INION FOR BUILDING PERMIT /j .�j�Q z�� e" RE DATE RECEIVED TEE Syg....,3 ADDRESS SD 17 a� /C/�+ ¢/IY•�� / /^-+ �� AWU/zo 3 �[// O O�_ /� PERMIT NO. OWNER G - A.P.N J/_ 6 ^ MAIL •�,..,� /Jo,Q BUILDING J 1 ZLO ui ADDRESS �o19 co reesa i3 per_ ADDRESSei '0//q �nrpr/,S-Q, c'c D O CITY C � NOL p Q07J TRAC- ]/1 � LO40 BLOCK z Q CONSTRUCTION _ NEW ADD ALTE RFPAIR (MOVING DEMO)LSH am - D BRANCH - /�1�( �/I� Y',/7�/', Q �' J CO OWNER C/V C-rL J'I • /" `-0MIC/b-•� CC w ADDRESS - .�(e� / /y,�`'' ��,J�.�1 • CO CO ARCHITECT TEL. USEb a211 I /iA_L_ ALU'Ee, // N OR ENGINEER NO. FIRE 17:— W Ir ADDRESS (((������ ///` , c ZONE TY E_ GROUP / Z W Z CONTRACTOR etziG b • NQ iS APPROVED rC/////J� DATE�-2 7� JO t ice' �/���� (C.�� • 11 m¢ ADDRESS €' 5 S/t) �.04/2/z0o _ W W p� TEL. ��spp ZO(./I)1 / NO.OF USE OF N�0y / /] Z= CITY /�/ ♦. U NO.Syp '�II ( ' (--.. PLANS BUILDIrNfl }jA J�C,�JAd. H "//) wO STATE CITY YARDS APPROVED YARD APPROVED N m LIC.NO. 4515-2.735-- LIC.NO. MAIN BUILDING ACCESSORY BUILDING D O ' (FROM C/L STREET) SIZE NO.OF BLOCS. OF LOT NOW ON LOT ' FRONT FT. F USE OF EXISTING BLDG. R.SIl1F F / (/` g!` M_ I— SIZE OF NO.OF Z Z NEW BLDG. ROOMS STORIES L.SIDE . Q EXTERIOR WALL ROOF I _•3 COVERING COVERING REAR FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 0- MAIN BLDGS. ACCESS. SLOGS. a e()AVE >'CS� 0/ /4R- t „ 7.0C U.P. b APPROVED I— APPROVED��vVVVh0Y� A /fG I' Sfn .0F/ricep's /6 `N//4fi Aef&T DTE Z Anne susPaOa0 -6LE-ft/N FCre 0 I hereby acknowledge that I have read this application and state cc�vy M that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ F any person In violation of the workman's comp:- t o awe of fn the State of California. ZI hereby certify that I am properly licensed :s a contractor nder SD. FT. r the State of California Business • • Protssl•ns Code, Dlvl.on 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that ch Haan . : a in f•II •rce and effe. ,or I THE PURP06E OF ESTABLISHING A PERMIT FEE ONLY: a am exempt from e 6rovisio • e 't: e o :Ilfornia B siness 2 and Professions C.• Division c• :•t r •. VALUATION �A (l..p m ���/...�...sss � PERMIT FEE $ ((f ND Signature of Al• ' AlIPP • )';•I E Permittee /Y, a I) .k $ /Q//p/) PLAN CHECK $ 2--,�/f s{�V E ��yy o Authorized Age �I' ` (((���s+ a✓ �, ? � �I...* of TOTAL FEE $ J l/ N1 1 , i592 FEE RECEIVED CESTA MESA BUILDING-SAFETY DEPARTMENT FINANCE DEN. L21961 •P. O. BOX 317 COSTA MESA. CALIFORNIA For Applicant to Fill In Completely APPLICAOTIONS TFORMES PERMIT TYPE OR PRINT BUILDING BUDRESSILDING 3o tq tag v OYIy E. St. AD COSTA MESA.- CALIFORNIA For Office Use Only OWNERS 1�4F�Fy/{ LL If.&�/ {Mitt\jil-Dank /qR"EECEIPT No./ I ///.S�,N7 MAIL V�+8° 1 I'TCOJ \'R &J� /cIVED BY I ! �G p/a-c/ ! T IES 2-6/ ADDRESS TEL.,1IMI �����f / CITY (�n5 MEM- NO.1'1I WslZiJ BUILDINGDRESS I q r c� ADDRESS ARCHITECT TEL. COSTA MESA. CALIFORNIA OR ENGINEER NO. /// ,. FIRE F. ADDRESS //���yI ,.l ft/ ZONE 7_`1�. TYPE /JJ/GROUP �// CONTRACTOR 51i'111E r VIA) BYPROVED� L/ ' DATE IZ/', -/�J ADDRESS L�L�'� ZONING ZON� INPLOA.NOSF 4BU'USIELONNE pa /: CITY LIC Na+I°f- O. _`R - ^ BACRLIPTIO 0 11(3662- OFELOTA1Ud K 1s/ '1 8 9 I NNOOW. OOPNBLOTG . I A.P.NO. en V rr„0 USE OF .-- YARDS •'I EVES EXISTING BLDG. _ APPROVED ALLOWED SETBACK LINE FROM (CENTER LINE ST.)ref �^ CENTER OF STREET REAR YARD FRONT SIDE YARD I LEFT I RIGHT R.SIDE .DESCRIPTION OF WORK L.SIDEIN. NEW I V ALTERATION I II ADDITION I REAR FT. ++'' )IN. REPAIR I II MOVING I II DEMOLISH I tBYPROVt & LI. DATE £ 12-6'/ SUILDING7L[_ /�-]. RNO. OF OOMS / STORIES fIlyyyyy..VVVVV��� SIZE L/ a {{{{EXTERIOR WAL / COU !p�'/ • COVERING IC LCG I COVERING ea 130• USE OF,BUILDING AND WO3+�TO BE PERFORMED I M,6. rr sisva(rs �. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI OC+ITI N THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM• PLY WITH ALL CITY ORD! ANCES AND STAT LAWS REGULATING PURPOSE OP ESTABLISHING A PERMIT PEE ONLY. BUILDING CONBTR,W VALUATION �J SIGNATURE OF / / L. PERMIT FEE $ `f_— PERMITTEE �” i / N / A jj/////ff��J�) $ Ll• `- x PLAN CHECK $ AUTHORIZED AGENT (/ . .C.VL C TOTAL FEE $ y . _ • . — .., . . .. • • • • ' ' '• i ' City of Costa Mesa,- , • - ..- . Building Safety Department • CERTIFICATE OF OCCUPANCY' ' 1"12 . 3595 . ,.. _ . P.O. Box 1200 . z , . • . • Costa Mesa,California • '.. , • . . . . „ • , . . . . . • 1.. : The Building located at 3019 .Enterprise St.it, • • , . . . I .• : , has been.icted and found to'comply with the provisions of all City of Costa Mesa Ordinances applicable thereto ( nspe It ,. . . .. fora Group B-2occupancy .• _ . . . :. - , : r , . i,,, , ), - ... . .. ,. . . •- " Use of Building Counercial - Interior Alterations/Roof Replacement- - € '1 _ • , . . ,A: . , •• . . . . , Legal Description A.P.#141-081-19;,Lot 19 & 20, ,TRACT. 3662 ._ . . . ' '(See reverse side for Metes and Botrnds) -. .- . . . .• , ' . . B . . . . . , • . uilding Permit No 52045 • Electrical Perrhit No. E-275' -•• • Plu4i Ibing Permit No P-396/P-197 •-*‘•t 7-4-`6-“--7— ":•-•'-•----7-`-mr-------4?-%---7.--t---.•:-r -r-r-r-• .•-- '-''. 44.--• --\-- '' • ----'14,-,--' ---:''‘e'-r 4.------ -- -Jr-, -•_-..-^r.n-- -tr-.--‘4- --- .I.-_: _..ei- *, . Number of apartments —13::, I' and/or guestroornsi 1 —0—. - ... • ' - ., . .1 . • .-,- .. . I, --• : ISSUED TO: i - ' Building Officia19:t4 , .., . : .. . ,. ' - - • • ... . by . .:,. HAROLD E. AI2Xeli\TDER • i - , For/Victor C. New-ten-Director Building DiviSion • IP • • ' ..... . • a ' • ' " ' Date October 29, 19B1 • '•• • • This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the . •. - , • ` Building Official of the City of Costa Mesa under Sec. 306 le) li.B:. " — • • , . . . . , Form BU 34 Rev. 11%70 • _ . , • e • Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COS* MESA PERMIT NO. / - TRACT NO. LOT NO. BLDG.NO. - - - ' ' • - CONSTRUCTION PERMIT � 3 96, • • - . - • 1447 /24/81 • 30/4 LA/TEe P,C15F TYPE OF CONSTRUCTION �. 27.00 .T1_Project Address Owner $ip-rte--` ee•C..y75 Phone. 0 NEW 0 ADD 0 ALTERATION Address,2Q/9'.N /d'L - 0 REPAIR.0 CONVERSION ❑DEMOLISH _ • ZONING REGULATIONS 'Arch/Eng. License No.32/962 0 OTHER / - Address --- DESCRIPTION_ OF WORK _ • �r� ��J ZONE PLIJTGp. REF:sr • Contractor % �S74d S ���M� j' hone Ign'7,1Ks) TYPE OF PERMIT . . BUILDING ETBBA KC/LST. �PR(JPEIRT VNLINE Address 6 ❑GRADING 0 FOUNDATION ❑ STRUCTURAL SIDE YARD ' - LICENSED CONTRACTOR DECLARATION 0 TENANT 0 ELECTRICAL UMBING OMECHANICAL 5iDE YARD • I hereby affirm that I am licensed under provisions of Charter 9(corn- RIGHT I . mencing with section •7000) of Division 3-of the Business and 0 OTHER • Professions Code, and my license Is In full force and effect. PROJECT DESCRIPTION REAR YARD(TO P/L) j License Class License No. _ PKG.SPACE REQ. PROVIDED Date Signature SQ.ET. _ STREET WIDTH PARK FEE$ WORKERS'COMPENSATION DECLARATION - ' OCCUPANCY—CONSTRUCTION TYPE I hereby affirm that I have a certificate of consent to self-Insure or a VALUATION ZONE ZONING APPROVED BY r I DATE certificate of Workers' Compensation Insurance, or a certified copy . . SPECIAL CONDITIONS:. thereof(Section 3800, Lab. C.). GRADING CU.YDS. ACRES I Policy No. ' Company - - - -I _. C ';rtified copy is hereby furnished. _ - • REMARKS: ' - ' - . ' •C4Wp PTIO copy O filed with the city Building Division.ON £3. mss 111 E dL1PTION FROM WORKERS' COMPENSATION DECLARATION -sac) I/•/ (This section need not be completed if the permit is for one hundred ' I certify or less). ' thatin the performance of the Work for which his permit is issued I shall not employ any Pers I any Marine t bec a PLUMBING PLANCHECK ELECTRICAL PLAN CHECK subjeLG>toAll Workers'Compensatio ws f II BATHTUBS SHOWERS uwtulNt. C./SHAUL Date Signature you SQ FT_ SQ FT toOthe CWorkers' Compenf after satioln s prrovisioins of thesLaborr Code, s must TOILETS • URINALS TRANSFORMER GENERATOR - 0-1 KW 1-10 KW , forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS /2 APPLIANCE 10-50 KW_50+KW , - revoked. _ • CONSTRUCTION LENDING AGENCY KIT.SINKS -- DISHWASHERS +MOTORS - 0-1 HP 1-10 HP ' I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS r -s ` (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 ' ' Lender's Name • Lender's Address DRINKING'FOUNTAINS - - ( - - ' -- GAS TUBE SIGNS - . OWNER BUILDER DECLARATION - - INTERCEPTORS CLARIFIERS - POLE LIGHTS - • I hereby affirm that I am exempt from the Contractor's License Law for the following reason.(Section 7031.5 Business and Professions Code: SWIMMING POOL- --'P-TRAP - LUNO I NUL I ION 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 applicant for such permit to file a signed statement that he 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 Professions Code) or that he Is exempt therefrom and the WATER HEATERS BTU OUTPUT basis for the alleged exemption. Any violation of Section 7031.5 by any •nplicant for a permit subjects the applicant-to a civil penalty SEWER CONNECTIONS - of more than five hundred dollars ($500). ❑ owner of the property,or my employees with wages as their SOLAR TANK COLLECTORS • ' sale wmpensation, will do the work,and the structure is not intended 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 APPLICATION APPROVED BY DATE who builds or improves thereon, and who does such work himself or ISSUE FEE ` 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 BUILDING of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU PERMIT $ SMTP $ ❑ I, as owner of the property, am exclusively contracting with AND DUCTING • licensed contractors to construct the project (Section 7044, Business 100,000 + BTu PLAN CHECK $ O PERMIT and Professions Code: The Contractor's License Law does not apply to �t'7 ISSUANCE- $ Qan owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ O( tracts from such projects with a contractor(s) licesned pursuant to SYSTEM GRADING E the Contractor's License Law). 100,000+ BTU PLAN CHECK $ J ❑ I am exempt under Section B.& P.C.for this ELECTRICAL $ S NBOILERS BTU reason MICROFILM $ ,V) Date Owner SYSTEM REPAIR,ALTERATION PLAN CHECK $ TOTAL FEE S I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL 5 ,� PLAN CHECK $ LESSANEAD- Information Is correct. I agree to comply with all city and county - VANCE PC E_ ordinances and staterelating to co tion,and hereby authorize representative o this city to upon the above mentioned 00x/1 • property for ect ion pu es. // FINAL FEE S / —_ Signature ' 4 Date/a 8/ Drivers'License or SS 5f ISSUE FEE 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 w 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undrqrn 8. Foundation . 50. Gas Pipe, ❑Undrqrn,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 - _ . Street Sewer Connection _ 54. Heater & Vent-Final 13. Rough Plumbing ')%IR Ai 55. Plumbing.System -Final 14. Rough Electric-Conduit • - -56. ElectricahFinal - 15. Rough Electric-Wiring ' . 57. Solar System-Final 16. Rough Heating & Air Conditioning - , _ 5B. Fencing &Access Approval 17. Ducts, in Structure _ 59. APPROVED FOR PLASTERING i 18. Ducts, Ventilating • - - - - . • 19. Gas Pipe-Rough &Test - • _ 60. POOL/SPA SYSTEMS FINAL ; 20. Roof Framing I 21. Roof Sheathing IL) � t -7-2141 ' u 22. Frame and Flashing . �� R.. ! NOTES: I1� ( 0 5 ' =O ') 2a Y�c 23. Insulation _ f`-' �ro-s-4- /]r /`)k�,r,; R� *a, 24. Lathing & Siding �C4J���N� �i 4� rivaa �1.4 Of 25. Drywall Nailing -. 26. Plaster Brown Coat 27. Electrical Power Meter-Final 9. Final Electric .d. Final Heating & Air Conditioning . 30. Final Gas Pipe-Test _ 31. Final Plumbing Q.t,, ('p _277-$'f ' 32. Water Service-Final 33. Gas Service-Final - 34. Solar Domestic-Final 35. Landscape Sprinkling System . 36. Sound Attenuation . 37. Handicap Regulations ' 38. FINAL STRUCTURE & BUILDING _�,. /p 29 g/ 39. Special Requirements Completed • 40. Electric Release to Edison _ 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date • . -/ COSTA MESA BUILDING—SAFETY DEPARTMENT -;� P. O. BOX 1200 Costa Mesa, California I 7 .. n, c n_ _7 ' . PERM! by IL PLUMBING PERMIT APPLICATION 1_I/ Q TRACT NO. RECD. BY ! FCJ p /9 7 CONTRACTOR A 6LS2 0 o / a ((i LOT NO. DATE ISSUED ///"` / BUILDING USE Address (P POi•lic91eH 4%i (•--� -7.3-e City Co Sri] Mesa Zip Code 7,2.6,2 7 Building _� d / / ti'te` S Address State License No.3,4/93, Class.C 3 6 Owner S0.-n J T • ..gr0.IrS t SOA7 O w City License No.Q/iSO 9 Tel. No.S-tLf Woo Mddress ��// •7 r"�ail �` et NUMBER TYPE OF FIXTURE OR ITEM FEE City COSTLu /7ES5'.'- 1 N34 T-b 7P5 Bathtub -J Laundry Tub or Tray I hereby acknowledge(that I have read this application and' Q state that the above,is correct and agree to comply with all Automatic Washing Machine City Ordinances and State-Laws regulating plumbing. } Shower I certify„tha[ Lpossess the above valid State of California classi- Sink, Bar fication oral lam the legal owner of the residential property de- (r Sink, Kitchen scribed,above. W Wash Basin(Lavatory) - Il certify that I have obtained a permit from the State Division of a.0water Closet(Toilet) ,, Industrial Safety for excavations,other than swimming pools,five 'feet deep or deeper and into which a person is required to descend. CC Drinking Fountains - � ) k JY' signature of /7 w O_ Floor Drains "';},I i r "- f1-tea..-�/!1'���� ee Z Interceptors _ ��- = Receptors ci r INSPECTION RECORD Ss Sinks,Commercial ordndustrial" F- Sinks, Floor ...< 1, S. Sinks,Service l'‘ \tj" 2 Swimming Pools' cc w , Urinals%2 0- ' Dishwasher 2 Garage Disposal M Water Softener 0 4 Water Heater and Vent _ , Gas System.. .Outlets./. ea V) Roof Drains APPROVALS N / Water Piping Alteration Z INSPECTOR DATE Backflow Preventer U/G Soil I I-- Lawn Sprinklers(Res or Non-Res) U/G Water Property Sewer... Feet Services—Water 0 Gas 0 House Sewer Connection a --- _ Rough Plumbing Cesspool,Septic Tank Sprinkler System Sewer Cap Gas Miscellaneous Property Sewer Pool Receptor Filter System Sub-Total Pool Heater Reinspection Fee Miscellaneous Processing Fee r ; — Final Gas9j TOTAL FEE I /S' I Plumbing Final P4)15)9/ Utility Co. Notified yam. CMF 0450-46 BLDG. PERMIT NO d. O" S COSTA MESA BUILDING-SAFETY DEPARTMENT APPLICATION FOR STRUCTURAL PERMIT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 RECEIVED , PERMIT /� For Applicant to Fill in Completely — Use Ink Only 1. n 2 d ! S BUILDING ~1019- 2-'2 GAM7-!7rose. �E• A.P.NO. /yy�-iL7r' t /• I''r V 1• L+�\ 5 TL ADDRESS �V 7 r-fV ICf�I�'t !' "`' BUILDING 019- 3[ y ht �1l'_ TTENAN OR �I,Itt j f,., not^ F3 , /�.' �^-I^�A ADDRESS .7 J S� /'IAC.^ ����[[ •��.f')'(. ,J Y�s�l's'7N'�J„ UNIT OR MAI LING SPACE NO. ADDRESS TR.NO. ZLOT/ fa,� IBLK. TEL. CITY NO. NEW ADD ALTER REPAIR MOVING DEMOLISH CONSTRUCTIONo .b. LENDER 1� BRANCH !// �/ _/ OWNER �• - f/fit. eFetes-04r• ADDRESS ARCHITECT�/�/��,'1 MM� TE L./�rys 7Qya USE y�r�A`i- Rvog�yyy4cA :483c:00— OR ENGINEEfiL-t/A/NN��AIILSD� NO. 7 LL�WIf / ADDRESS �``���tt��0 ' , -. orQ'. -'• 1 E 1 ZONE 4 TYPE rr-NGROUP /D Qy1 CONTRACToR.,47 I •6✓ - S SPA) BYAPDATE , ' DATE G if / ADD REESS482/���27Z/SC'U --'✓CDR 11 ✓D TE I-1 CITYCVL✓t 7Z C/r / � 0, NO. 4676 _ //,, II �7' ��D CITY APPROVED SETBACKS LIC. O.STATE 'SO�� LIC.NO. n (y 512E ( n NO.OF BLOGS. (FROM C/L STREET) I� „.132 t`, ) d OF LOT I' • 24I NOW ON LOT J RONT TO '/J'f '�J/ a USE OF 1 ATUEXISTING . / . ! i'�.✓o - SIDE FT. )� Id.1-1 2 Separate permits are required for L,SIDE G electric,plumbing and heating work. REAR FT.WI [-, USE OF BUILDING AND WORK TO BE PERFORMED PLANNING ACTIO Q 0 ::- o p tcc-s usetehto us`G z R00 # DATE APPROVED 7 APPROVED /JJ} r Y'/la-_//1/ra eZZXLF .1- DATE 6%q -75,1z T.t f� /), --km, - Aire da � v 1u QI hereby acknowledge that I have read this application and state n W that the above Information is correct and agree to comply with p4 all laws regulating building construction, and I shall not employ i Z any person in violation of the workman's compensation laws of u W the State of California.xtiel �j I hereby certify that I am properly licensed as a contractor under 50. FT. - S �C. .;t CI the State of Calitornla Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: n am exempt from the p ovisions of the State of California Business VALUATION PERMIT FEE S nQ and Professions Code I n Chapter 9. �hh• n Signature of PLAN CHECK $ n 5"2•z0 o Permittee $ g�Q0O' / TAX E �^ '( •95--1 Authorized ge t Date, - - — TOTAL PAID E s/ / V , / 7 16400 F-E/E RECEIVED CbSTA MESA BUILDING-SAFETY DEPARTMENT fE8 9 196 •P. O. BOX 517 COSTA MESA. CALIFORNIA JJJ""" FINANCE DEPT. For Applicant to Fill In Completely ON OF COSTA MESA PPP Y APPLICATION FOR PERMIT TYPE OR PRINT BUILDING y-!/J �/f ` BUILDING ADDRESS .3a J 3 ���/LrS f�RISi .9 (per COSTA MESA. CALIFORNIA/' For Office Use Only OWNER N `(C'�RQI RECEIPT NO. PTE4Oo MAIL y-,/' p < RECEI D BY DATE RECEIVED DATE I SUED ADDRESS i� /q CENT Oc pRi lc L c - ,,t�B I T • IV 4 3T 7-67/ CITY Cn S rA AUc4 TEL NO. Sl?SS ADORES E9 10, 3 ��iY •'�'�-' ARCHITECT _ TEL. / COSTA MESA. CALIF0146A OR ENGINEER NO. ADDRESS FIRE 'T ZONE TYP jf� CONTRACTOR APPROVED DA /l(///J+/J �, ADDRESS m �ONING E NOF UE A �-- ' I PtANO. B I BUILDINGSOFNEW CITY STATE TEL r—�. LEGAL L Ut ( 9 t �{/� / 3 J ! LIC.NO. NO. DESCRIPTION Y� J VJ p SIZE NO. OF BLDOS. / {J OF LOT Now. oN LOT I A.P.NO. 11 3 — 3 7 I + 0 / USE OF y//� YARDS 111 EVES ! EXISTING BLDG.• — •-��`-y / APPROVED ALLOWED SETBACK LINE FROM V C. - (CENTER LINE ST.) CENTER OF STREET <Z F REAR YARD .. • !%. FRONT FT. IN. .1 ! SIDE YARD I LEFT ! I RIGHT A R.SIDE • W• FT. IN. DESCRIPTI •N OF WORK /I�II� L.SIDE FT. IN. NEW I II ALTERATION I , II ADDITION I REAR ���jjj IN. _i REPAIR I II MOVING I (DEMOLISH I APPROVEDB /,// / DAT 2 y , / }/ BUILDING NO. OF U (...-"D Fj ` 10 SIZE ROOMS STORIES Y EXTERIOR WALL I ROOF COVERING COVERING USE F BUIL NG AND RK TO BE ERFORME ,� . fit. o f 7z4ccIi t: _ DT2, .moi I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. rI V/(/L/J' VALUATIO �O SIGNATURE OF // _ „ PERMIT FEE $ PERMITTEE /VJ/0'u/P'/LJca `-�' p $ �.`.' gl, PLAN CHECK $ a• AUTHORIZED AGENT ,‘• a'.0 0 TOTAL FEE $ BUILDING S/ TY DEPARTMENT *TO J w C P. O. Boa No. .._. IN 1 Costa Mesa, California Date L – // -. CITY OF COSTA MESA CERTIFICATE OF OCCUPANCY Building Permit No.� !/-• Electrical Permit No Plumbing Permit No Use of Building ( `.f.e�•,..�.a �•.-� �i�✓ -a Al -�L �.3.0 The building located at 3 %; n3 ` 21 —• i rn 71-e ���t.•.7` Legal Description (See reverse side for Metes and Bounds) has been inspected and found to comply with the provisions of all City of Costa Mesa Ordin- ances applicable thereto for a Group 7 7- Occupancy. ISSUED TO •/.'71.' )_+-- City Building/Official (Owner of Building) B>>'— - . CC: D Original—Owner 0 1st copy—Gas Co. 02nd copy—Edison Co 103rd copy—File Form 206 S-B P 1M 1-80 OWNER CABLETRONICS DATE 2-9-62 JOB ADDRESS 3023 Enterprise St. BUILDING PERMIT NG16400 GENERAL CONTRACTOROwner-Bldr. VALUE $ 500.00 AP N123-871-07 LOT TRACT FIRE ZONE DESCRIPTION OF WORK Int.Alt.onlnc INSPECTIONS Signature DATE GROUP 2 TYPE III ZONE Bldg. S • PERMITS ISSUED G SUBCONTRACTOR DATE NUMBER Water Rough Corn. Refrig. ❑ Air Cond. 0 Rough Heating Rough Plumbing Miscellaneous Prop.Swr.Line 0 House Con. 0 St.Swr. 0 Sprinkling System ' Construction Pole Underground 0 Power ❑ %! C CcI CE'sbt/ 7 431.`7 /f J�l��,[_ Rough Wiring -7j a 3_�S� x fJ . !u 74 Trenches 0 Forms 0 Steel Reinf. 0 r✓-w^� C-a_ Floor System Bond Beam 0 Steel Reinforce 0 pt Sheathing Frame and Flashing '21-r Lathing — In 0 Out 0 Plaster, brown coat 4' Rgfng. ❑ Air Cond. 0 Final Ls. ,'ng, Final I: jibing Fixtures, Final Final Gas Test �! Electric Fixtures, Final 2 -26•v. Building, Final ? -,S=L , OCCUPANCY 3 /'.,` FORM BU4-5M -- 7.61 164400