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HomeMy WebLinkAbout2620 ELDEN AVE - Building Permits• Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. (CITY. OF COSTA' -MESA PERMIT NO. -TRACT NO. LOT NO. BL N}� -- - - - }V 't' I'J/P.'/.i.- CONSTRUCTION PERMIT M -.L :Project Address - TYPE OF CONSTRUCTION Owner - Phone •Address- NEW ❑ ADD ❑ ALTERATION - - _ /' L REPAIR ❑ CONVERSION' ❑OEMOLISH ❑ OTHER ZONING REGULATIONS Arch/Eng. Licens No. DESCRIPTION OF WORK A.P.s Address ZONE PLNG. REF. 3t ; .Contractor '" jfa - Phone ,j_ ;�O` -TVPE OF PERMIT - BUILDING ���P�I�$v�GNE Address ' _ 0 GRADING ❑ FOUNDATION ❑ STRU,.5C URAL SET j- YARD LICENSED CONTRACTOR DECLARATION I "hereby affirm that I licensed ofCharter 9 ❑ TENANT ❑ ELECTRICAL ❑PLUMBING YCI MECHANICALSIEDE ri V - - am under provisions(com- menoing with section 7000)- of Division 3 of the Business 'and 0 OTHER - - RIGHT Professions Cotle, and my license Is In full force and effec - REAR YARD (TO P/L) - 1 6 - - - � PROJECT DESCRIPTION _ License ss License No _ PKG. SPACE REO: PROVIDED - Signature SG. FT. WOR ECOMPENSATION DECLARATION - WORKRS - OCCUPANCV_CONSTR CONSTRUCTION TYPE STREET WIDTH PARK FEE §; I hereby affirm that 1 have acert)/Irate of consent to self -Insure or a VALUATION ZONE ZONING APPROVED BY DATE - Workers' Compensation Insu n<e, or a certified copy thereof ' thereof(S forf 6%0i!4iLCompany�?h GRADING CV..VDS. ACRES SPECIAL CONDITIONS: - I No al vl erl Nietl Copy is hereby furnished.- Ik Certified copy Is tiled with the city Building Division. _ A%EMPTION FROM WORKERS' COMPENSATION DECLARATION Z20 - -- - - - ((Thls section need -not be completed if the permit is for one hundred (53001 less). 11 cert((fyor that In the Performance of the work for which this permit is _ Issued,.l shall not employ any person In any manger so as to become '1 PLUMBING PLAN CHECK C _ _ _ ELECTRICAL PLAN CHECK.- ' subject th��e,,Workers' Compensation La yoffor __ ' ,,to, Datq/_j'fH.,CSigna[ure BATHTUBS SHOWERS / UWLLLiNU- - -:,"•r_ " NOT l atter md�king this decaration, you ould become subject TOILETS j] -' URINALS GENERATOR - 0-1 kW— 1:10 KW i to the Workers' Compensation provisions of th Labor Code, you must TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOVBLE LAVS APPLIANCE " 10-50 KW_-"50+'KW ' revoked. KIT. SINKS DISHWASHERS - MOTORS' . —0[1 HP_1-10 HP CONSTRUCTION LENDING AGENCY I'hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS' (INC. SOLAR) 10-50 HP 30 + Hp - - - formance of the work for which this permit is Issued (Section 3097 FLOOR SINKS FLOOR*DRAINS FIXTURES OUTLETS-' SWITCHES Civ. CJ. i /�f'' L "-' Lendr's Name �r eL4 'N .C� Lender's Atltlres �[A-r2J�n.fr fin - 4,s1- 4.sltAa DRINKING FOUNTAINS - - GAS TUBE SIGNS- OWNERBUILDERDECLARATION -' 11 hereby affirm that I am exempt from the Contractor's License Law for INTERCEPTORS CLARIFIERS - POLE LIGHTS SWIMMING POOL - PTRAP - - -- the following reason (Section 7 031.5 'Business and Professions Code: Any city or county which requires a permit to construct, alter, POLES METERED SUB - Improve, demolish or repay any -structure, prior to Its Issuance, alio re- WATER SERVICE ALTERATION -"PANELS -- - MAIN.- - "SUB quires the applicant for such permit to file a signed statement that he GAS SERVICE OUTLETS 'SERVICE -'" --- - -' --' ' ' AMP Is Ilcensed pursuant to the provisions of the Contractor's License Law 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS BTU OUTPUT Mir(Chapter less Business and Professions Code) or that he Is exempt therefrom and the the alleged tl exemption. Any violation of Section 7031.5 by - fi e he itis applicant to a"civil penalty ,SEWER CONNECTIONS than it more than five_'huntlred tlpllars (§500). t more hundred dollars C( 1, as owner of the property, or my employees with.wages as thelr SOLAR TANK COLLECTORS ' sole compensation, will.do the work, and.the.structure Is not Intended t- or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SVS. .� - - ISSUE FEE Contractor's License •Law does not apply to. an-owner.of. a property. ISSUE FEE - APPLICATION -APPROVED BY DATE* _ who builds or improves thereon, and who does such work himself or through "his .own -employees, -provided that such Improvements are not, MECHANICAL PLAN CHECK SUMMARY OF FEES Intended or offered for sale. If, however, the building or Improvement Is sold within one year. of completion, the owner will have the burden of proving he did not build or Improve for the purpose of sale). y BUILDING - 0 I, as -owner of -the property, am' exclusively -contracting with _ HEATING SYSTEM 0-100,000 BTU_PERMIT PERMIT S SMIP .� : §` licensed contractors to construct the project (Section 7044, Business AND DUCTING 100,000 + BTU - - _ PLAN CHECK E "PERMIT. - The Contractor's' License Law tl t apply to and Profeweer of - - - - -- ISSUANCE- E owner of property who builds or Improves thereon, and who con- p pert . and REFRIGERATION 0-100,000 BTU PLUMBING $' tracts fro e tracts a contractor(s) Ilcesned pursuant to SYSTEM' - - - H"- - - -GRADING $f Law)th' actor's � the Contractor's License Law).- 100,000 BTU PLAN CHECK E' r' _ ❑ I am exempt under Section - - B. & P. C. for this -S reason BOILERS BTU ELECYRICAL S SYSTEM REPAIR, ALTERATION _ ':' ''MICROFILM.$ PLAN CHECK E - 1 Date - Owner - - -- - - - - - _ TOTAL FEE E MECHANICAL E I hereby cern y that i have read.thii application and stale that the above EXHAUST SYSTEM MULTIPLE LESS AD- Information is correct. I agree to comply with all city and county PLAN CHECK $ "" - VANCE PC E ordinances and state laws.rela ing to construction, and.hereby authorize �YGrC to representatives of this i to ter upon [he above e l pU property f r inof tl r .. ; _ Signature CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod-Assessor—�� CONSTRUCTION AND PLANNING APPROVALS Permit # 1. Temporary Electrical Service or Pole 12 13 14 n_ - a stem - -- - - ;.-,-ssr- e & House ConnectionIT t,tdcl ' Date ;r,.^V;: 9,, u. y•..'q-Ilf -. • ,n. -;S; r.o c u• r t �i�2G •. - --57. SolanSVstem-Final. "' -' •- ",• ` -16. -Rough Heating & Air. Conditioning.. -z 58a ..Fencing & Access Approval.. 17. DuctslinStructiiie_.:' POOL & SPA- � n f'1_;n's Inspector - . -_c� _ _ ..,..[_ _!_ _ - ;,-'Date, .r peet8i-APPROVAL$ 19.I Gas Pipe -Rough' - ,Permt# NOTES:.,, �, r � •r. i 22.L -Frame and Flashing _tr1 _ 1-23.' -Insulation -- ------- r( • _ '� 43. - Pool & EquiPmenC 'CN� •.�t�_. _, •�. `. .2\'f.a�H ' '' ' -25.1 Drywall.Nailing - - - Steel Reinforcement - - - --„" \+%. \N"•i." ' i' 1 45. � Forms _ , . .o r' r 27.i Electrical Power:Meter. Final' - - - h 46. Electrical Bonding 'i:•• 28 < Final Electric 47, Rdu 'Fi Plumbin & FFessure Tes"t-' - .-.i'.?,\r.' ' �` ._ . i_t�- ' 1Q, it - '48. APPROVALTO COVER-GUNITEz��,'N -A ` '• 49. 'Electrical Conduit=Undr rn _ f 50, Gas Pipe .C3 Undr rn•.Test •� Y. !! 51. Backwash Lines P-T'a'-'n r` - 52. APPROVAL TO DECK---- ECK- -- 1 53, 53. Backwash & Receptor -Final II _ .54.. _ Heater&Vent-Final.. - 'i rs -56.- -Electrical-Final i 15.- Rough Electric=Whin • "'- -- ` r------- - - ------ --57. SolanSVstem-Final. "' -' •- ",• ` -16. -Rough Heating & Air. Conditioning.. -z 58a ..Fencing & Access Approval.. 17. DuctslinStructiiie_.:' T Lcvz APPROVED'FOR'PLASTERING r IB.'--Ducts;Ventilating - . -_c� _ _ ..,..[_ _!_ _ - - _ _ _ _. ._ _ ;_+ __ _ .-__ _. V 60.POOL/SPA SYSTEMS FINAL _ u r• �` r 19.I Gas Pipe -Rough' 20. Roof Framing: ,_i - 21.. Roof SheathingUP NOTES:.,, �, r � •r. i 22.L -Frame and Flashing _tr1 _ 1-23.' -Insulation -- ------- .v, _>�rc ,` r 24.;. Lathing &.Siding. ,., . „ _ ,_ o.,rr ._ - � - 4. �_ . •.�t�_. _, •�. `. .2\'f.a�H ' '' ' -25.1 Drywall.Nailing - - - - - - - --„" •1 ..' 26 _ Plaster.Brown Coat. 'r.i, .. - i' 1 _ , . .o r' r 27.i Electrical Power:Meter. Final' - - - h " ' - 'i:•• 28 < Final Electric m . a: �:' ,t'.' 29. .Final 1 32.1.- Water Service-Final- -733:: ervice-Final33:: Gas Service-Fina'1- : - - 34. Solar Domestic=Final 1 35. Landscape Sprinkling System 1 36. Sound Attenuation • ,.. . 37. Handicap Regulations " 38. FINAL STRUCTURE & BUILDING 1 39. Special Requirements Completed ' 41) - Electric,Release_to. Edison . _ - _ ' 42.. •CERTIFICATE OF OCCUPANCY Noy Date -/41( 3 a • - - -. "- - .��\� -��.-\ \ ',til 'r �: Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PERWT NO "• TRACTNO. LOT NO. BLD -. NO. CONSTRUCTION PERMIT - -15.2 7y- a - 9537 1 iJ/E,' I j� . Project Address ST' TVfE OF CONSTRUCTION Owner - (, 'f�- Phone - NEW '❑ ADD ❑'ALTERATION - Address - - - - ❑ REPAIR.❑.CONVERSION ❑DEMOLISH ❑'OTHER - ZONING REGULATIONS .-Arch/Eng. - License No. DESCRIPTION OF WORK A.P. ' Address ZONE PWG. REF. -fp . Contractor 41& 0"14 .V S P o y�i/O TYPE OF PERMIT 'S To BI�iLDI N(I - " _ Address c1CG - -❑'GRADING ^❑ FOUNDATION ❑ STRUCTURAL ETBA KC ST. IO YARD PROP RTV LINE' - - LICENSED CONTRACTOR DECLARATION - that 1 am licensed of Charter 9 (Com- ❑ TENANT '❑-ELECTRICAL ❑PLUMBING MECHANICq SIEp Eyq I hereby affirm under provisions section 7000) of Division --3 of the Business and _ ❑OTHER - . RIGHT mencing- with Professions Cotle,an 1� my license is In full forte ILieff t PROJECT• DESCRIPTION REAR YARD (TO P/L) , LiG¢nse Class G!J Lic nseD 7 i PKG. SPACE REO. PROVIDED G Date �Q`^I D- / Signature . / SQ. FT. _ ... 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' ZONE ZONING APPROVED BY DATE - ceftificate of Workers' Compensation Insurance, or a certified copy - .VALUATION . , thereof (Section 3800,,Lab. C.). GRADING CU. YOS. ACRES SPECIAL CONDITIONS: - - 'cy No. Company - - - - :ertified copy is hereby furnished. REMARKS: u Certified copy IS filed with the city Building Oivlslon. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION- _ ITp' s Section need not be completed If the permit is,for one hundred or less). - �E100) certify that in the performance of the w rk for which this permit is "t'.''-',IPL'AN - Issued, I shall not employ any Person in ny m ne s as to ecome PLUMBING•' CH'kCK iy -- - 'ELECTRICAL - '-' PLAN CHECK - Subject tot a Worfle(s. Compensa ti sof i Date Slgnature - BATHTUBS' SHOWERS NOTICE: If after making this dec aratton, you Should become SGbject TOILETS ,URINALS' _ "" ' GENERATOR 0-1 KIN 1-10 KW - ' to the Workers' Compensation provisions of the tabor Code, you must TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES' DOUBLE'LAVS-- _ 'APPLIANCE'- '-" 10-50 KW_50+ KW' - revoked. 'CONSTRUCTION LENDING AGENCY KI T.'SINKS'- DISHWASHERS "' 1 MOTORS - - - - - '0-1'HP_1-10 HP- !, i 'I hereby affirm that there is a Construction lending agency'fof the per- SERVICE SINKS. ,SUMPS - -(INC. SOLAR) f; 10-50 HP 50 + HP; � - -- formance of the work for which.thS permit IS issued (Section 3097 'Civ. CJ - : -'' __ -- r __ ­_ ". - ­- FLOOR'SINKS'"' •FLOOR'DRAINS" ;FIXTURES-`-' OUTLETS " SWITCHES' ` Lender's Name �•'-- } Lender's Address ' DRINKING -FOUNTAINS' •GAS7TUBE SIGNS- bWNER BUILDER DECLARATION' ' - - - INTERCEPTORS•CLARIFIERS -' ''POLE -LIGHTS' II hereby affirm that I am exempt from the Contractor's License Law for --.. the following reason -(Section 7031.5 Business and- Professions Cotler SWIMMING POOL- ^P'TRAP' - """"' 717101771 R1717=19 - — - 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' a PANELS --' •^'MAIN' -'-' - .quires the ap, licant for Such permit to file a Signed Statement that he � ,.SUB-. . _ Is -licensed- pursuant to the-provistons of -the Contractor's License Law 'GAS SERVICE "OUTLETS � •' SERVICE`T'-=� 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' ` • - - - "- - •- - - _ 9.x:5 " for the alleged exemption. Any violation of Section 7031.5 by ?-; applicant - for a -permit subjects -the -applicant to a civil penalty V,- -SEWER-CONNECTIONS -"I+ '- r, '-� •--•• -=- V.'' "%lot more than five hundred dollars ($500). - L,,, as -owner-of-the property,-or•my employees witfi wages as their SOLAR TANK' "' ^'^ COLLECTORS' -� -�" ' - ' - J - -r •- sole compensation, will do the work, and the structure is not Intended _ -SOLAR or offered for sale. (Section 7044, Business and Professions Code: The _ __ PIPING SYS. - -- ' - • " ISSUE FEE 'Contractor's License Law does not apply to an owner of a property �APPCICATION'APPROV who builds or Improves thereon, and who does such work himself or- _ - _.o _ - - ISSUE FEE - - -- _ ED BY - - DATE L 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 t - Is sold within one year of completion, the owner will have the burden of provinghe did not build of improve for the ): p purpose of sale HEATING SYSTEM 0400,000 BTU I s BUILDING IPERMIT S , •'SNII P,' J'E-- .1, as owner -of. the ro art am exclusive) contracting with.. ❑ P P Y.- 9 AND DUCTING 14 TT - - -- - - _- - _ ti Business licensed contractors to construct the project (Section 100,000 +BTU I V yPLAN CHECK $ PERMIT - -• es not and Professions -Code: The Contractor's Law dO, and app) and _ - -• - - --- ISSUANCE- I$• -- or Improves [hereon, and who ton- an owner of property who Improves con- REFRIGERATION 0-100,000 BTU PLUMBING $ with a tracts from Such projects with a comratto((5) liG¢snetl pursuant .to SYSTEM -- --- - - - GRADING $ the Contractor's License Law). 100,000 S BTU- -i PLAN CHECK $ ❑ lam exempt under Section - B. & P: C. fOr this - - - BOILERS BTU - ELECTRICAL E - - $ ' season PLAN CHECK g -MICROFILM E' _ Date Owner SYSTEM RE PAIR, ALTERAT I ON - TOTAL FEE,$ I hereby certifythat I have read this application and state that the above EXHAUST SYSTEM MULTIPLE 3 1MECHANIC1 E- .oa - _ +'LESSAD- Information 'is correct: I agree to Comply with all cit and -count 9 PY Y Y t PLAN CHECK S VANCEPC $__-_ - tlinances antl stat laws relating to construction, antl hereby authorize representatives o this sty Pmt-tlLC-`above mentiOnetl - property for I ec' p s _ /Gt 10, � . FINAL FEE $.�V_Shc Signa t ure Date Drivers' Li ense or SS . - - ISSUE FEE - -- • - O CMF 0865-46 White-Builtling; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector P004 & SPA_ _ y APPROVALS, Date Inspector Permit # 1. Temporary Electrical Service or Pole •< ' -. - - 43. , Pool & Equipment Location 2. Soil Pipe-Undrgrn'• - Steel Reinforcement ' - • - - - - - tili lectrical Conduit Utility-Undrgrn . _ 45. Forms - - - 4. Electrical Conduit-Undrgrn _ 46. Electrical Bonding- , - - - - - - 5. _Steel Reinforce 47. Rough Plumbing & Pressure Test -- 6. Electrical UFER Grn Z. 48. APPROVAL TO COVER-GUNITE-- - - - 7. Footings - / 49. Electrical Conduit-Undr rn - 8. Foundation / 50. Gas Pi Undr rn Test 9. Water Pipe-Undrgrn 51. Backwash Lines- P-Tra -n r 10. Structural Floor System / 52. APPROVAL TO DECK----- - -`-- ... .- 7- . 11. .Property Sewer.Line & House'Oonnection 53. Backwash & Receptor -Final ' 12. Street Sewer Connection - --1 54. Heater & Vent -Final 13. Rough Plumbing _ -- '" 14. Rough Electric -Conduit - --- - -56r - Electrical -Final 15. Rough Electric -Wiring - - -- -- 57. Solar System -Final 16. Rough Heating &-Air Conditioning bu._Fencing & Access Approval 17. - Ducts in Structure'. 59. APPROVED FOR PLASTERING :.,,.,, ''•: - 18:- Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL ' 79: Gas Pipe -Rough &Test 20. .Roof Framing 21. Roof Sheathing NOTES: 22. -Frame and Flashing + • 23. -Insulation 24. Lathing & Siding - - '- - -' -- - - ------ - - -- - - -- 25. Drywall Nailing ' ' - •I •, , 26. Plaster Brown Coat "- • ' - - - -. - • = - - . _._ "' - 27. Electrical Power Meter -Final " ' - •• - ", 28' Final Electric - - 29: Final Heating.& Air Conditioning'-, - 30. .Final!Gas Pipe -Test- _ - _ - - - - - -.31.. _Final Plumbing '- - •' ' 32.. Water Service -Final 33:, • Gas Service -Final 34. Solar Domestic -Final '^• - °- ' 35. Landscape Sprinkling System -' - - 36. Sound Attenuation 37. Handicap Regulations •- - 38. FINAL STRUCTURE &BUIL DING - - - - 39. Special Requirements Completed 40. Electric Release. to Edison 41. Gas Release to Southern Calif &nia'Gas Co'. ' - 42. .. CERTIFICATE OF OCCUPANCY No • Date Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA- P'Ry^ITN O. ql6D TRACT NO. LOT NO. BDG, CONSTRUCTION PERMIT 3 TYPE OF CONSTRUCTION ❑ NEW ❑ ADD ❑ ALTERATION -- ❑ REPAIR ❑ CONVERSION ❑OEMn, SH ❑ OTHER DESCRIPTION OF WORK - - \" •` _ A P # 06Q I 7/01/62 35.455, - ZONING REGULATIONS _ Project AddressZ p �jnJ Owner "A 15PA ro Phone Address Q & 6_%)/ O Arch/Eng. C RA a License No. • Address C - O RO % _ TYPE OF PERMIT . �• - - -❑ GRADING ❑-'FOUNDATION ❑STRUCTURAL - ❑ TENANT ELECTRICAL ❑PLUMBING ❑MECHANICA ZONE' e SETLDMn L SIDE YARD EFT. S"W VA RD - PLNTGO. REF. �. PREP ILFY ERTV•LINE Contractor - p(J Phone 7 za Address _ LICENSED CONTRACTOR DECLARATION 9 I hereby affirm that I am licensed under provisions o/ Charter (con- 7000) Division -3 of the Business 'and _ ,-1 ❑OTHER III RIGHT. mencing with section of Professions Cod e and license is In full for etf • 7 - ''- PROJECT DESCRIPTION' ' REAR YARD (TO P/L) Llcense.5�lay� `• L se N r „ , --PKG:SPACE REQ. r,PROVIDED p / / d-&igt '•SO:FT fOCCUPANCVi•qCONSTRUCTION STREET WIDTH . 'PARK FEE $ SATION DECLARATION•WOS..__ OM TYPEDateR _ ZONING APPROVED BY DATE I her irm that I have 'a certificate of consent to self -insure ora (certificate ZONE - of Workers' Compensation Insurance, or a certified copy _ ,VALUATION ,thereof (Section 3800, Lab. C.). . GRADING CUrYDS. ACRES SPECIAL' CONDITIONS: - 'cy No. Company - - _. .. _ _ _ .._ .1 . _ _ _ - _ - - :ertifietl copy is hereby furnished. _ _ _ REMARKS:.. copy Is filed with the city Building Division. /EXEMPTION EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need notpe completed if the permit Is for one hundred- ($100) -or less). cert fy that in the performance of the work for which this permit Is _ -... .. ., .. - Issued, I shall not employ any person irP any manner so as to become _ - PLUMBING.. �•, ., PLAN CHECK - _ _- (ELECTRICAL _ _ .-' PLAN CHECK. _. subjectto the Workers' Laws of California. -•" ^ _ __ _ _ BATHTUBS _ J SHOWERS _ _ . -Compensation Date Signature NOTICE: If after making this declaration, you should become subject TOILETS_ c URINALS- - -" GENERATOR' 'TRANSFORMER -0_1�KW_.1-10 KW to the Workers' Compensation provisions of the Labor Code,'you'must forthwith comply with such provisions or this permit shall be deemed - LAVATORIES DOUBLE LAYS -- -'r -' -' - -APPLIANCE- " '- ' , 30.50 KW_,_50+'KW- KW - re voked.,. _ .. ' . -._- _ _ _ _. _ ..._' CONSTRUCTION LENDING AGENCY 'MOTORS -KIT. SINKS "' ' DISHWASHERS -, "-' "' 0-1-HP_S-1'0 HP' - n i I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS -'-"'ryfSU MPS----- "` - - (INC: SOLAR) - -30-50 TLP_ --50+ HP - - - - - formance of the work for which this permit is issued (Section 3097 FLOOR SINKS FLOOR DRAINS--- - IFIXTURES' OUTLETS- 'SWITCHES' - Civ. C.): -Lender's Name -- ,Lender's Address ; DRINKING FOUNTAINS- --' — - -( "- (GAS TUBE SIGNS INTERCEPTORS RS CLARIFIERS - �POLE'LIGHTS '-'- OWNER BUILDER DECLARATION' 1 hereby affirm that I am exempt from the Contractor's License Law far SWIMMING POOL' PTRAP-' - - -•' - POLES - '- -�• -- - METERED .SUB the following reason -(Section 7031.5 Business and Professions Code:- Any city or county which requires a permit to construct, alter, WgTER SERVICE- -" -ALTERATION -- - ',PANELS' - -MAIN '-" SUB_ - - ' improve,- demolish -or- repair any structure, prior to its issuance; also re-- quires the apOicxnt for such permit to file a signed statement that he GAS SERVICE' "OUTLETS '--" -'vi^♦,SERVICE "-"—- - .AMP _ is llcensetl'pursuanbto' the provisions of the"Contractor's License -Law (Chapter 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS BTU OUTPUT Business and Professions Code) or that he is exempt therefrom and the 11ls for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS applicant for a permit subjects the applicant to a civil -penalty `�`!ot more than five hundred dollars ($500). SOLAR TANK'-' ""'COLLECTORS _ CJI, -as owner'of the property;'or my employees with wages -as their- sole compensation, will do the work, and the structure is not intended or offered for sale. -(Section 7044, Business -arid professions Code: The - SOLAR PIPING SYS. -'ISSUE FEE ^ Contractor's Law does apply to an owner of a property - I'IAPPLICATION ISSUE FEE APPROV ED BY --- _ _ DATE '•- -License -not who builds or improves thereon, and who odoes such work himself or •through his own employees, provided that such improvements are not MECHANICAL PLAN CHECK j. _ ". SUMMARY OF,FEES . Intended or offeretl for sale. If, however, the building or Improvement Is sold within one year of completion, the owner will have the burden of proving he did not build or improve for the purpose' of- sale). HEATING SYSTEM 0-100,000 BTU 'BUILDING iPERMIT $ _ - - '�'•-'-- '- - - - iSMIP 'r $ f ❑ .I, as .owner -of the property, am exclusively contracting. with AND DUCTING - - ..__ • - licensed contractors to construct the project (Section 7044, Business 100,0001+BTU PLAN CHECK $ PERMIT! / - and Professions Code: The-Contractor's•License Law does not apply to --' - - - - ISSUANCE $ - an owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU (PLUMBING $ - tracts from such projects with a contractor(s) licesned. pursuant. to SYSTEM - - _106,000 ' - -- - - - - -- 'GRADING E the Contractor's License Law). +BTU PLAN CHECK $ .. I I I I' ❑ 1 am exempt under Section "B.-& P. C. for this BOILERS BTU ELECTRICAL $ $ reason SYSTEM REPAIR, ALTERATION PLAN CHECK g MICROFILM '$ date Owner MECHANICAL'$ TOTAL FEE $ I hereby certify that I have this application and state that the above EXHAUST SYSTEM MULTIPLE LESS AO- - a Information -is mrrecL-I a -ee 'to Comply with all City and county PLAN CHECK E _ VANCEPC $_ ortlinances antl st laws r Ong to cc ructi and hereby authorize , representatives s "to ent upo the above nC ned - - property for on p / FINAL FEE $s.d]_.lL Signature Drivers' License or SS %% ISSUE FEE - - - - CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor TL/ z CONSTRUCTION AND PLANNING APPROVALS Permit 4# -._.,LLo L Date _ •. Inspector ' POOL & SPA ' APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole '43. Pool & Equipment Location' - - - - - 2. SoilPipe-Undrgrn 44. Steel Reinforcement - - -- - 3. Electrical Conduit Utility-Undrgrn- 45. Forms - 4. Electrical Conduit-Undrgrn _ 46. Electrical Bonding - - - - _5._ Steel Reinforce ... _ - _ 47. Rough Plumbing & Pressure Test 6. _ Electrical UF_ER Grn - - 48.' APP,ROVALTO COVER-GUNITE- - - - - - 7. Footings 49. Electrical Conduit-Undr rn ' . -8.- .Foundation 50.,. Gas Pipe, ❑Undr m;Test _ .9. Water. Pipe-Undr rn- ., _ _ 9 � 51. -�a' ' --. • = .. ^-r. .•. Backwash Lines P-Tra ❑ ndr rn 10.. _Structural Floor System 52.' APPROVAL TO DECK 11. Property Sewer Line & House'Connection .. 53. -Backwash& Receptor -Final - - 12. Street Sewer Connection'-_." _ _ - 54. Heater &Vent -Final 13. Rough Plumbing _ _ _ - -'- - _ Final- - - 14. Rough Electric -Conduit - - - -- - 56. - - Electrical -Final ' 15. Rough Electric -Wiring - - -¢'jam - 57.- Solar System -Final 16. Rough Heating& Air Conditioning -Fencing & Access Approval _--17. . Ducts in Structure-' - -5-9. APPROVED FOR PLASTERING' - 18. -Ducts, Veritilatirig 60. _. POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough & Test 20. Roof, Framing .. ' 21. Roof Sheathing-- - - - -'-- - _ NOTES: _ _ - •' - 22. . Frame and Flashing _ _ _ 23. Insulation 24: - Lathing & Siding- - 25. Drywall Nailing 26. Plaster Brown Coat - - '. 27. Electrical Power Meter -Final -'- 28. Final Electric 29. Final Heating & Air Conditioning -30!. - Final Gas Pipe -Test 31: _.Final Plumbing 32. Water Service -Final 33. Gas Service-Fina6 _ • • - 34. Solar Domestic -Final '- ' 35. Landscape Sprinkling System 36. Sound Attenuation - 37. HandicapRegulations - - 38. FINAL STRUCTURE & BUILDING - +-39- Special -Requirements -Completed' _-- ' 40.. Electric Release to Edison - - -- - 41. Gas Release to Southern California Gas Co. - 42. - .- CERTIFICATE OF OCCUPANCY No Date Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. -'CITY-OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. 8LDGiN? CONSTRUCTION PERMIT (1' 4 1 TYPE OF CONSTRUCTION ❑ NEW ❑ ADD ❑ ALTERATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ❑ OTHER '•"`"•` - • toy- 0373 6/30/82' 31.00 ,� •', ` ': - - - - -' - - _ ZONING REGULATIONS Project Address - Owner Phone ` Address - - - - - Arch/Eng. License No. DESCRIPTION OF WORK— - TYPE OF PERMIT ❑ GRADING , , ❑ FOUNDATION ❑ STRUCTURAL- •- -❑-TENANT ❑ELECTRICAL ❑PLUMBING ❑MECHANICA 9P - -ZONE PLNG. REF. $ ' BUILDING- TTppggj`L11ILDING SETBACK L T. PROPERTY LI NE SIDE YARD - -- - EF SID . Address Address Contractor a" •- Phone - Address - �dv - - LICENSED CONTRACTOR DECLARATION - I hereby affirm thtt 1 am licensed under provisions of Charter 9 (com- --section . • ❑ RIGHT. - Mencing- with 7000) of , Division 3 of the- Business and Professions Code, my license Is In full farce and effect! LL � OTHER •'PROJECT DESCRIPTION- - , REAR YARD (TO P/L) .. LlcenseClass IJc nse SQ.FT. - -• - - PKG.SPACE REQ. - PROVIDED -- ' '• �i—p er - Date ""� ��Signat I ure - jc-r• , STREET PARK FEE $ WORKERS' COMPENSATION D LARPMON- - - -'OCC UPANCV_CONSTRUCTION TVPE- - -APPROVED - •I hereby affirm that I have a c rtificate of consent to self -i nsure, ora VALUATION ZONE NING-AWIDTH ZONING PRO ED BV' DATE 'certificate of Workers'Compensation Insurance or a certified. copy the. `��` 0 CCompany - - GRADING;CU. YDS. ACRES 1 'SPECI'AL CONDITIONS: NoSeu� ;ertlfietl copy Is hereby furnished.. _._ - . -_ .- _ . -_. s-REMARKS:r .� 1'�ti, ?: R. '�L'• �• '- ,-_ _ _ - Ip.Certified copy Is filed with the city Building Division. _ Ii t - -, IEXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need .not be completed if, the permit_Is for one hundred x.($300) or less), '1 Certify that in the. performance of the work for which this permit Is , issued, I shall not employ any person Iri any manner so as to become ' i PLUMBING - t £ -PLAN CHECK - ELECTRICAL -PLAN CHECK- - subjecLto the Workers Compensatlon,Laws of -California. - SHOWERS' BAAFFOUNTAINS , - i _ - UAKAUL - - -'- - 1 r Date Signature ' NOTICE: If after making this declaration, you should become•subject -TOIURINALS "- I'" - GENERATOR -0-1' K1— 1-10 KW-' - - to the Workers' Compensation provisions of the Labor Code, you'must' forthwith comply with such provisions or this permit Shall be deemed - LADOUBLE LAVS - -- �' TRANSFORMER '; 'APPLIANCE - 10•SOKWy50+KW�- (Sr. - - - revoked. - .'.-- -. _ - - ---- -- - - �CONSTRUCTION LENDING AGENCY KIT -DISHWASHERS' - "MOTORS - - 1 - 0-1'HP_3-30 - His -- -- •1 hereby affirm that there is a construction lending agency for the per- SER -ms's• ,SUMPS '- "1- - '(INC. SOLAR) -- 10-50 HP_ 50 + HP �' t•-- .formance of the work for which this permit is Issued (Section 3097c- DRAINS FIXTV RES" •-OUTLETS -' SWITCHESLender's Civ: C.).' - - -' "' - '-'"-FLFLOOR Name Lender's Atldress'DRINTAINS' _ -- "- '"-' ' "' •GAS TUBE SIGNS ' - -- - - -- - -'INTERCEPTORS CLARIFIERS -- - ;POLE LIGHTS'" - OWNER 'BUILDER 'DECLARATION "' -' - -- -- - I hereby affirm that I am exempt from the Contractor's License Law for 'SWIMMING POOL" - PTRAP- - 'POLES METERED - - - - - .SUB the following reason (Section -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 re. WATER SERVICE - ALTERATION jPANECS' "' MAIN SUB - quires the ap:liWnt for such permit to file a signed statement that he -GAS SERVICE OUBTUTLETS • _ `SERVICE •-- - - -•- AMP - - - is licensed pursuant to -the provisions of the -Contractor's License -Law (Chapter 9 (commencing with Section 7000) of Division 3 of the 'WATER HEATERS OVTPVT " t - -- - - - - .- professions Business and pfessions Code) orthat'he is exempt therefrom and the- 'S for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS - r•s•= - - - - i _ -- applicant for a permit subjects the applicant to a civil -penalty- .of more than five hundred dollars ($500). "SOL"AR TANK -' 'COLLECTORS' - ALJ I, as owner of the property, or my employees with wages as their sOle.compensatlon, will d0 the work,.and the structure is not Intended N or offered for sale. (Section 7044, Business and Professions Code: The _ _ SOLAR PIPING SYS. -4142.• i55VE FEE '- - -- - - - - - 'Contractor's License Law does not apply to an owner of a property, __- _ - - - - ISSUE FEE !'- "- ;4-11 - -' ,APPLICATION—APPROVED BY - - _ --- bA:1 E ­ who builds or improves thereon, 'and who does such work himself or through his own employees, provided that such improvements are not through MECHANICAL PLAN CHECK SUMMARY ( OF FEES _ r• I". intended or offered for sale. If, however, the building or improvement is sold within One year of completion, the Owner will have the burden of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU BUILDING - -- - I PERMIT $ - -- - . SMIP ❑-1; as owner o/- the -property, am exclusively contracting with- the 7044, Business AND DUCTING' "BTU ' • •-- - (PLAN - % licensed contractors to construct project (Section and Professions Code: The -Contractor's License Law does not apply to•- 100,000 CHECK $ -- .. ' PERMIT. ISSUANCE- $ an owner of property who builds or improves thereon, and who can- REFRIGERATION 0-100,000 BTU PLUMBING $ tracts from such -projects -with a contractor(s) Ilcesned -pursuant to. SYSTEM-- GRADING" $' tr the Contractor's License Law). 160.060 a BTU PLAN:CHECK $ F ❑ I ain exempt under Section B,'& P. C. for thisBOILERS BTU ELECTRICAL $ - '- $ reason-•-- - SYSTEM REPAI R, ALTERATION EXHAUST SYSTEM MULTIPLE - PLAN CHECK $ MECHANICAL $ - MICROFILM$ LESSTOTA FEE•$ LESS AD - Date- Owner I hereby certify that 1 read this application and state that the above information is correct. t. I agree to comply with all city and county PLAN CHECK E VANCE PC -$_- nces and state laws ng to construction, and hereby authorizecned - - representatives cit partyf r of this city to enter upon the above mentioned prop¢rty for insperjtt9lt poses. or Signature OateOL- ' Q FINAL FEE E�-/ Drivers' Cense or SS ISSUE FEE - - CMF 0865.46 While -Building; Canary-APPliwnt; Pink -Accounting; Goldenrod -Assessor TLI CONSTRUCTION AND PLANNIN "" ° %�Date APPROVALS Permit 4# G"'� - -- s POOL & SPA Inspector •• - - ..Date - Inspector / APPROVALS Permit 4# _ 1. Temporary Electrical Service or Pole 43. Pool.& Equipment Location - 2. Soil Pipe-Undrgrn _8• 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms - - .4. .Electrical Conduit-Undrgrn 46.- Electrical Bonding- - 5. Steel ein orce _ 47. Rough Plumbing & Pressure Test - 6. -Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE - - - 7. Footings _ 49. Electrical Conduit-Undr rn - 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn.. _ _ 51. Backwash Lines P-Trap,'E Undrqrn - -' - 10. Structural Floor System -- 52. APPROVAL TO DECK- - 11. Property Sewer Line.& House'Cdnnection. 53.. Backwash & Receptor -Final -12. Street Sewer Connection _ ' ' - 54.- Heater & Vent -Final - 13.. Rough Plumbing _ _ b Y - - - 14. Rough Electric -Conduit - -' -56. --Electrical-Final - 15. Rough Electric -Wiring - - -57.- Solar System -Final' 16. Rough Heating & Air Conditioningencing & Access Approval 17: Ducts in Structure. APPROVED FOR PLASTERING 18. - 19. 20. -Ducts, Ventilating �. .. _ _ Gas Pipe -Rough & Test -Roof-Framing - - _ _ _ - _ 60. _ - - - _ _ - _ •- _ , POOL/SPA SYSTEMS FINAL •• 21. 22'. Roof Sheathing-- Frame and Flashing - - -- - - - • NOTES:- OTESr23. 23. Insulation- 24. Lathing & Siding- - - - - ----- 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter -Final - - - - 28. Final Electric ------ 29. Final Heating & Air Conditioning - - 30. Final Gas Pipe -Test _ i 31. Final Plumbing _ ' 32. Water Service -Final _ .-_ -. .._ _ _ N -33. Gas Service -Final. ' 34. Solar Domestic -Final' 35. Landscape Sprinklin2 System ' 36. Sound Attenuation - 37. Handicap Regulations - - - 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed - - - - - - 40. Electric Release to Edison - - - - -- ' 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY , No: Date Applicant to fill in all spaces within CITY OF COSTA MESAPE MIT NO CONSTRUCTION PERMIT -o VL Address d�4 iCJ UL ,+J�}Z,)• - A/. /5 . Arch/Eng. /C_ rllp.JrQS License No. Contractor I hereby affirm that I am licensed under provisions of Charter 9 (COMn mencing with section 7000) of Division 3 of the Business and Professions Code, and my license Is In full force and effect. License Class — Ucenw No: bate �� LSlgnature WORKERS' COMPENSATION DE A TION 1' hereby affirm that I have a certi Wte of consent to self -Insure or a cet6JGAe of Workers' CompOnsit)On Insurance, or a Certified copy thereof (Section 3800, lab. C.). Policy No. Company ❑ Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Dlvl%Ipn. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit Is for one hundred ($100) or less). I certify that in the performance of the work for which this permit is Issued. I shall not employ any person in any manner so as to become subject�t�0 the�Wo�rkOyl s' Compensation Laws of California. Date 1�ignature �-« NOTICE: If after making this deClar on, Ou sh uld become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Comply with Such provision% or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a cons {ruction lending agency.for the per- form ane O aQ1Ve wckN for. which this permit is issdiki (Sectfon'3097, Civ. C.I. a _. •. h Lender's Name Lend Address 202 OWNER BUILDER DECLARATION 1 hereby affirm that 1 am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professions Code: Any City- or, County which requires a, permit to Construct, alter, Islons of the Contractor's License Law Section 7000) of Division 3 of the or that he is examot therefrom antl the any applicant for a per In" suolects the appueant to a cwu penalty of not more than five hundred dollxrt ($500). 0 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. (Section 7044, Buttress and Professions Code: The Contractor's License law does not apply to an owner of a property who builds or improves thereon, and who does such work himself or through his own employees, provided that such Improvements are not intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the owner will have the burden of proving he did not build or Improve for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business and Professions Code: The Contra CtOr-s License Law does not apply to an owner of property who builds or improves thereon, and who con. tracts from such .projects with a Cohtrac[Or(s) Iicesne0pursuant l0 the Contractor's License Law). ❑ 1 am exempt under Sectlon - B: 6 P. C. for this reason Date Owner 1 hereby certify that I have read this application and state that the above information is correct. 'I agree to comply with all City and county ordinances and state laws relating to Construction, and hereby authorize representatives of this 'City to enter upon the above mentioned border lines and sign all appropriate declarations TRACT NO. LOT NO. BL G. O. TYPE OF CONSTRUCTION X NEW ❑ ADD ❑ ALTERATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ❑ OTHER DEACRIPTIQN OF WORK TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION XSTRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑PLUMBING ❑MECHAI ❑ OTHER FT GRADING CU. YDS. CN TYPE U ? ZONE ACRES PLUMBING PLAN CHECK -BATHTUBS SHOWERS' TOILETS URINALS - LAVATORIES DOUBLELAVS KIT. SINKS DISHWASHERS SERVICE SINKS SUMPS - FLOOR SINKS FLOOR DRAINS-' DRINKING FOUNTAINS INTERCEPTORS CLARIFIERS, SWIMMING POOL -'P TRAP WATER SERVICE ALTERATION GAS SERVICE OUTLETS WATER HEATERS BTU OUTPUT SEWER CONNECTIONS SOLAR TANK COLLECTORS SOLAR PIPING SYS. ISSUE FEE MECHANICAL PLAN CHECK HEATING SYSTEM AND DUCTING 0-100,000 BTU 100,000 + BTU REFRIGERATION SYSTEM 0-100,000 BTU— 100,000 + BTU BOILERS BTU t SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE Signature 7 LE2 XC� Drive," verris' Licen or � ISSUE FEE - CMF 0865.46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor 0400 6/30/82 ZONE :P__ %- PLNG. REF. $ REAR YARD (TO P/L) PKG. SPA C E'REO. / �� PROVIOEC STREETWIDTH --`772 PARK FEE SPECIAL ELECTRICAL PLAN CHECK - dGENERATOR TRANSFORMER APPLIANCE 0.1 KW_ 10-50 KW_ 1-10 KW _ 50. KIN MOTORS ' (INC. SOLAR) 0-1 HP -1-10 10-50 HP -50 HP _ t HP _ " FIXTURES OUTLETS SWITCHES GAS TUBE SIGNS - $ POLE LIGHTS GRADING $ PANELS - MAIN SUB - SERVICE - AMP 360.15 TL' APPLICATION APPROVED BY V,*--- OAT- L d SUMMARY Y OF FEES - BUILDING Srs PERMIT § GO SMTP E, PLAN CHECK It PERMIT tPLUMBING ISSUANCE $ $ GRADING $ PLAN CHECK $ ELECTRICAL $ $ - MICROFILM E PLAN CHECK $ MECHANICAL $ - TOTAL FEE $ PLAN CHECK $ LESS AD- VANCEPC S_ ^/s /./f/A T"r zI FINAL FEE $� CONSTRUCTION AND PLANNING ` APPROVALS Permit # �-�d I Date POOL & SPA • -' -• - r•- Inspector .APPROVALS Permit #.� - - Date Inspector 1. ,Temporary Electrical Service or Pole _ 43. Pool & Equipment Location, r - 2.- Soil Pipe-Undrgrn _ _ _ _ _ 44. Steel Reinforcement - - 3. Electrical Conduit_Utility-Undrgrn .. 45. Forms,' 4. -Electrical Conduit-Undrgrn_ _ _ _ _ _ - 46. Electrical Bonding-"' -�- - 5. tee _ em orce - 47. Rough Plurribin &Pressure Test - -- - - 6. Electrical UFER Grn . _ _ _ 48. APPROVAL TO COVER-GUNITE - - - -- _7. Footings 49. Electrical Conduit-Undr rn - - 8. _ Foundation - _ - 50.. Gas .Pipe- ❑Undr rn,Test ' 9. • Water Pipe -U Backwash Lines P -Trap, EDndr rn • ' 10. - T lndrgrn_51:; Structurooi System - _ _ •�+� 52.­.APP_ROVALTO DECK - ECK11-'-Mpdrty 117 -M-pdrtySewer Line .& House'Connectio,n - "53; • Backwash & Receptor -Final 12. -Street Sewer -Connection .. _ _ - - - 54. Heater & Vent --Final 3.. Rough P. utnbi .., �,�• �h e1 4 . 1 , 14. Rough -Electric n ui' •Electrical -Final - 15. Rough Electric -Wiring - - 57. Solar System -Final 16. Rough Heating & Air ConditioningFencing & Access'Approval 17: Ducts; in Structure 59. APPROVED FOR PLASTERING 18. 19. 20. -Ducts,; Ventilating Gas Pipe -Rough & Test Roof Framing 60. POOL/ SPA SYSTEMS FINAL • 21. 22. Roof Sheathing Frame and Flashing /o'S-$x _� _ - - - _ NOTES: 23. Insulation ro-is 24. Lathing & Siding - - - r/-.2-ga- - - 25: Drywall Nailing .o {--2 (� 3 - -L4 J-7 26t Plaster Brown Coat 27: Electrical Power Meter -Final - -- - - - 28. Final Electric- lectricFinal FinalHeating & Air Conditioning- - -- I- - - - -- - - - '';';qJ. Final Gas Pipe -Test - - •- - - - - - 31. Final'Plumbing 32' Water Service.Final - - - - - 33. Gas Service -Final -- - - - 34. Solar Domesticrinal r' 35. Landsca e Sprinkling System - 36. Sound A tenuation _ 37. Handicap• Regulations - - -- - 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison _ 41. Gas Release to Southern California Gas Co. " 42. CERTIFICATE OF OCCUPANCY N,+. ' - Date M Applicant to fill In all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PERMIT NO: .TRACT NO. LOT NO.BLDG. NO. -' - "- PERMIT —95 I .!CONSTRUCTION y �0� �,, , . �^ _.Protect Address /�p - TYPE OF CONSTRUCTION NEW ❑ADD ❑ALTERATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH OwnerdlZAae6s Phon �� Address /- rT� s ❑ OTHER DESCRIPTION OF WORK _ - ZONING REGULATIONS 'A P ZONE PLNG. REF. 4� Arch/Eng. - - Licen No. Address - - Contractor 20i v /,yM� Phon - TYPE OF PERMIT - , " O GRADING '�' FOUNDATION -El STRU5 TU RAL 1:1 TENANT ❑ELECTRICAL ❑PLUMBING IVIMECHANIC - SETBACK SID YARD - LS IEDEY -- - To BPJILDIryG PROPERTY LINE - Address - ,(J C LICENSED CONTRACTOR DECLARATION - -hereby 9 I affirm that'I am licensed under provisions of Charter (com-, 7000) Division 3- of the Business antl - ❑ OTHER RIGHT mencing with section of license is In full forc�es.sandef,(sec(t/, REAR YARD (TO P/L) Professions Code, an m� PROJECT DESCRIPTION - License Class Llcense No.¢.�:1<:.C_,�� PKG. SPACE REQ. - PROVIDED SQ. FT.' Dat Signature - _ STREET WIDTH _ .PARK FEE $- WOR ER • COMPENSATION DECLARATION -OCCUPANCY—CONSTRUCTION TYPE ZONING APPROVED BY DATE I hereby affirm that 1 have a certificate of consent to self -Insure oraVALUATION - ZONE certificate of Workers' Compensation Insurance , or a certified copy -- SPECIAL CONDITIONSi- - ^reof ( on 38 0, Lab. J. �-+ .�•'� GRADING CU. YDS. ACRES :y No -Company _ertified copy Whereby furnished. . REMARKS:.'' Wiled copy Is filed with the city Building Division. _ 'C EXEMPTION FROM WORKERS' COMPENSATION DECLARATION �^'• ' " "- (Thls section need not be completed If the, permit is for one hundred - � - ;. r • ,' '. or less)) I ' - SE300 ' cert Ify that in the performance of the work for hich this permit is Issued, I shall not employ any person In any'ma r so 'to become PFLUMBING -• PLAN CHECK.., I- - ELECTRICAL '-' '- 'PLAN CHECK subiect to ne W kers Compensation of ornla BATHTUBS SHOWERS - `-�- _ '" _ - - Signature '� Data *OTIC If fter meking this deci ration, you sh Id become subject. the l0bor Cotle, TOILETS URINALS GENERATOR "0-1 KW=1-10 TRANSFORMER KW ' to the Workers' Compensation provisions of you must forthwith comply with such provisions or this permit Shall be deemed LAVATORIES DOUBLE-LAVS- APPLIANCE-10-50'KW_50+ KW' _ revoked.,. KIT: SINKS - DISHWASHERS "' MOTORS - 0-1 HP_ 1-10 HP` CONSTRUCTION LENDING AGENCY .9` I' hereby affirm that there is a construction lending agency for the per SERV ICE SINKS -• • SUMPS - (INC. SOLAR) 10.50 Hp 50 + HP - ,- formance of the work for. y�hich this peSQ�it is issued (Section 3097 ' FLOOR SINKS FLOOR DRAINS` FIXTURES 'OUTLETS" -SWITCHES ' Civ. C.). ' - figs ,l/� - ,4 - ' -- — Lender's Name ^f-/ G)•o�[l Len del's Address .s - DRINKING FOUNTAINS ' GAS TUBE SIGNS ' "INTERCEPTORS - - CLARIFIERS POLE LIGHTS - - - OWNER BUILDER -DECLARATION- - b hereby affirm that I am exempt from.the Contractor's License Law for - SWIMMING'POOL PTRAP --- f POLES METERED - - - - SUB the following reason (Section 7031.5 Business and Professions Code: Any city or countywhichrequires a permit to construct, alter, WATER SERVICE' ' -ALTERATION -` PANELS MAIN. SUB -� Improve, demolish or repair any structure,, -prior to its Issuance; also re-- quires the applicant for such permit to file a signed statement that he GAS SERVICE OUTLETS - r SERVICE ' - - AMP Is licensed pursuant to the provisions -of the -Contractor 's, License Law ((Chapter -9 (commencing with Section 7000) of Division 3 of the WATER HEATERS BTV OUTPUT,�s� �• - •"" ^•' - y ', - - •- `--'" _ = P"'ness and Professions Code) or that he Is exempt therefrom and the for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS -• ...... ' applicant for a permit -subjects the applicant to a civil penalty s.. sot more than five hundred dollars ($500). 'SOLAR TANK - COLLECTORS ❑ I, as owner of the property, or`niy`employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS: -' -ISSUE FEE ' - Contractor's Llcense. Law does not. apply to an owner of a property who builds or Improves thereon, and who does such work himself or "ISSUE FEE- APPLICATION, BY - -- DATE /O&SS through his own employees, provided that such Improvements are not _ MECHANICAL PLAN CHECK _ _ _ _ $UMMARV OF FEES... Intended or offered for sale. If, however, the bulding or Improvement Is sold within one year of completion, the owner will have the burden - - BUILDING- - - -- _ - - - - --- of proving he did not build or Improve for the purposeofsale).' HEATING SYSTEM 0-100,000 BTU $ SMIP.. E ❑ as owner of the -property, contracting044,Bwith sect AND DUCTING' --'- .PERMIT (Section Business licensed contractors construct the project (Section n p 100,000 +BTU PLAN CHECK $ PERMIT. ' es not antl Professio nsoperThe Contractor's License Law does not apply to Code: _ ISSUANCE' $ a owner of property who or Improves thereon, and who ton- REFRIGERATION 0-100,000 BTU PLUMBING E such projects with a-contractor(z),Iicesned pursuant .to. tracts with a tracts -SYSTEM - GRADING E Contractor's the Contractor's Llcense Law). 100,000?BTU PLAN CHECK E _ I] -I am exempt under Section' B.8 P. C. for this ELECTRICAL $ - - " $ reason - BOILERS BTU - SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE PLAN CHECK $ - coo MECH ANICAI E,' 7 , MICROFILM $ _ TOTAL FEE $ - LESS AD - Dat L�Owner I hereb certify that I have read this application and state that the above Information is correct. I agree to comply with all city and county PLAN CHECK- $ -'VANCE PC $ - ordinances and state laws relating to construction, and hereby authorize representatives- of this rj)y to enter upon the above mentlo ed , y0(� property for i ed %p/`-Qur els. FINAL FEE $ Signature > - CMF CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor 'Ti a• r .. :n. _ is CONSTRUCTION AND PLANNING APPROVALS Permit # S 6 ; Date Inspectdr" 6 ; POOL ,& SPA �,� ,. • ,... .. r`ir . r. y - -Inspector ✓APPROVALS. ;: 1. Temporary Electrical Service or Pole 43. Pool & EquipmentLocation "-''. '. '. _ ... - i - :pe- n rgrn . , : ,- �. ,_,.. _ .. _... Steel Reinforcement...,. . _ . ,_.._..;. _ ...._ _:... �.__•,5: _ Iectrical.Conduit Utility.Undrgrn_ __ . _ ;�_ - 45. Forms- - - - - - - - - -- ;. 4.__ElectricalConduit-Undrgrn-_;: �_. _. _ _.. __46.. Electrical.Bondin-----_- ----• - - _ -- - -;-•-" Steel + 47. - _ Rou h•Pluinbin &Flressdre=Test--- - `•+• -=�i. �� e -r �. -- 6... Electrical _UF-ER,Grn APPROyALTO.COVERGONITE ... .. _ _J.Footings ...-.'. _ -__ _ • _ _ - - _ _., ., •' 49. Electrical.Conduit-Undr rn . .,." ..': • ' �. , •,. • .•,.: -8.. Foundation! 50. Gas Pipe, 0 Undr rn; Test_ . ,-9.-- Water. Pipe;Undrgrn_. __ �. - _ _� 51. Backwash Lines: P- is b Herr' ._10. -Structural Floor-System r- 52. -APPROVAL TO DECK - -- - - - ""' _1.1,._.Properfy Sewer. Line•&.House,Connection. _ _ _.53._ Backwash & Receptor -Final - _ _ Connection-_' `�":;".� _.'_ __ ..12.. _Street.Sewer Connection- 1 ---- - - "-• - 54. Heater & Vent -Final. "P a'. -_ •.;-: ..-13.. .Rough Plumbing ---- - -- _ s_ `= - - nal 14. Rough Electric -Conduit t- - - - - - -- ' - ,:56. --Electrical-Final '• - ' - 15. Rough Electric•Wiriri ------ - - _ ---- �' - - '- ------ =- -- - 57. --Solar System -Final -16.-'Rough-Heating &°Air -Conditioning= -•--* - - - # -- - - - encing & Access Approval -17.- Ducts'in Structure_ -` y -Yl --- - _APPROVED FOR -PLASTERING. „':'. ; , 18.; Ducts:Ventilating - ----- - �- _60..-POOL/SPA SYSTEMS FINAL - - -- :r.,. - •t�..s\_�\'' 19.! Gas Pipe -Rough & Test - • 20: --Roof Framing- 21. Roof Sheathio -- - - .- --.- - - ... -- --. NOTES' .. , . .�,r �.•. •�.�„ , 22.' -Frame and -Flashin - ' -23)-Insulation .._ ,-.. -._ _-.:.... --- - - - r- -- --r _- ------ - --�- - ' - _�� �., c• [\ �...t.:\. N 24.' Lathin & Siding �.. _ _, ; �.. a•a_; _ _' pew t 25. - Drywall Nailing - - - - -- -- -,- 26.- Plaster Brown Coat- ' !. '- .-.'• ' �� :'�., .,, - -a;- r, • 27.r- Electrical. Power Meter -Final - - - - _ _._. _ _ _- '- . - - _ _ _ _ R ,r. - .*,-�'• • -' . .- - :-. . _ •, z, , r 28.' -Final Electric— - - - - - - - -- �-29.; -Final Heating / -p1 -'- Y - -•�' �' w - ra• 30., -Final Gas Pipe -Test 31. Final Plumbing - - - - - -- - - -- ;-.32: Water=Service-Final -- - _ ----- - 33_- Gas -Service•Final� ' 34. Solar Domestic -Final rr ••- '• r 1 °�' "''f �' - 135. Landscape Sprinkling System - ..; ,.� •- .�; .. .,, - .. . 36. Sound Attenuation 137. Handicap Regulations'•' •' e - - - ''^ -"'' - _ r- - •• 38. FINAL STRUCTURE & BUILDING i 39. Special Requirements Completed - _ - - ' - : , 40. Electric Release to Edison., - t '=+'' '"' ° - -_S '�`•. •. c1"i. 41. Gas Release.to.Southern California Gag Go. 42ry.CERTIFICATE OF OCCUPANCY No •n. Date , _, � � ;. __ . _ •, • ` Applicant to fill In CITY OF COSTA MESA PE -IT CONSTRUCTION PERMIT �� Address Address /.' Contractor within heavy border lines and sign all appropriate declarations. TRACT NO. LOT NO.BLDG. NO. 2 ///1 D / / L�( / TYPE OF CONSTRUCTION Phone /—Z UM NEW ❑ ADD El ALTERATION Q� /_, ID REPAIR 13 CONVERSION ❑DEMOLISH License No. ❑ OTHER .. DESCRIPTION OF WORK I hereby affirm that I am licensed under provisions of Charter 9 (com- mencing with section 7000) of Division 3 of the Business and n Professions Code and my license is In full force and effect. \ Lice nje class - Va�; License NonSS Dat/is LSignature - — WORKERS' COMPENSATION DE AR ION It`3 I hereby affirm that I have a certificate of consent to self-InSure.or a Certificate of Workers' Compensation Insurance, or a -certified Copy thereof (Section 3800, lab. C.). Policy No. Company - ❑ Certified copy Is hereby furnished. ❑ Certified Copy Is filed with the City Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit is for one hundred 1 S$100) Or less). 1 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 Wor�p ers' Compensation Laws of Calif nia. . Date(�,jSignature NOTICE: If after making this declihtiorY.Tou sho Id become subject to the Workers' Compensation provisions of the Labor Cotle, you must forthwith comply with such provisions or this permit Shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the per- formance of,Ikhe work for gwhlch,this,permit- is Issued (Section.3097 Civ. C.).y Lender's Name Lender'sAtltlres OWNER BUILDER DECLARATION ♦1 j' t 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section -7031.5 Business•and`Professions Coder Any City or county which requires aypermit to Construct, alter,, the ao. licant for such permit to file a Signed statement that he or that he 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 sale Compensation, will do the work, and the structure Is not intended or offeredfor Sale. (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of a property who buildsorimproves' thereon, and who does such work himself or through his own employees, provided that such Improvements are not Intended or offered for sale. If, -however, the building or improvement is sold within one year of completion, the owner will have the burden of proving he did not build or Improve for the purpose of sale). ❑ I, as .owner oI the property, am exclusivelycontracting with licensed contractors to construct the project (Secti On 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who con- tractSArom such projects with a contractor(s) licesned .pursuant to the Contractor's License Law). ❑ I am exempt under Section- B. &-P. C. for this reason Date Owner I hereby Certify that I have read this application and state that the above information -is correct. I agree to Comply with all City and county ordinances and slate laws relating to construction, and hereby authorize representatives- of this City to enter upon the above mentioned Property foaZ9Mon Date TYPE OF PERMIT - ❑ GRADING ❑ FOUNDATION XSTRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑PLUMBING ❑MECHAf ❑ OTHER PROJECT DESCRIPTION` n ^ n 6Q. F LS/ g¢ C l7%� j)C CY _ Sa RUCTION TYPE GRADING CU. YDS. ACRES REMARKS: PLUMBING BATHTUBS LAVATORIES KIT. SINKS SERVICE SINY POOL GAS SERVICE SHOWERS URINALS DOUBLE LAVS DISHWASHERS SUMPS 'FLOOR DRAINS CLARIFIERS PTRAP ALTERATION OUTLETS r BTU OUTPUT SEWER CONNECTIONS SOLAR TANK COLLECTORS SOLAR PIPING SYS. - ISSUE FEE APPLIANCE MECHANICAL - PLAN CHECK HEATING SYSTEM AND DUCTING - 0-100,000 BTU_ 100,000 + BTU REFRIGERATION SYSTEM - - 0-100,000 BTU_ 100,000 + BTU BOILERS BTU '-a- SYSTEM REPAIR,ALTERATION EXHAUST SYSTEM MULTIPLE ISSUE FEE CMF 0865--16 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor REAR YARD (TO PKG. SPACE REQ STREET WIDTH ZONING APPROV SPECIAL CONDIT 0401 6/30/B2 NING REGULATION PLNG. REF. # .1 -� PROM .C/'j- PARK ELECTRICAL PLAN CHECK GENERATOR 0-1 KW_ 1-10 KW TRANSFORMER _ APPLIANCE 10-50 KW_50+KW_ $ .3 oo MOTORS 0-1 HP -1-10 HP _ (INC. SOLAR) 10-50 HP 50+HP_ FIXTURES OUTLETS SWITCHES GAS TUBE SIGNS. PLUMBING - POLE LIGHTS - - - PANELS - MAIN SUB SERVICE - - - AMP APPLICATION APPROVED BY \/ T 360.15 TLI PtT. it srzz/ FINAL FEE $ .341 SUMMARY OF FEES S.is PERMITVG $ .3 oo SMIP § ,PLAN CHECK $ PERMIT .ISSUANCE $ PLUMBING $ GRADING $ PLAN CHECK $ - ELECTRICAL $ $ - MICROFILM $ PLAN CHECK $ MECHANICAL $ TOTAL FEE S 'PLAN CHECK $LESS AD- -VANCEPC $_ PtT. it srzz/ FINAL FEE $ .341 CONSTRUCTION AND PLANNINQG,��, APPROVALS Permit # Date Inspector � NCj\=POOL & SPA' APPROVALS � Permit ' Date; Inspector _ 1. Temporary_ Electrical Service or Pole_ 43. Pool & Equipment Location I:. 4 •.-.. i ; - 2.- Soil Pipe -Un rgrn. _ _ 44. Steel Reinforcement- �- 3. -Electrical-Conduit Utility-Undrgrn ._ _ - _ 45. `Forms - - __r. - - _• -4.- Conduit-Uudrgrn .q6.- Electrical Bonding Steel em orce, - .- - _ 47. Rough Plumbin 6 &Pressure Test- -- 6. Electrical. LIFER Grn _ .. _ __ _ 48. APPROVAL TO COVER-GUNITE __7. Footings-_ _ _-. �- _ 49. Electrical Conduit-Undr rn .. '•P - - 8.- Foundation-----•S� -- - - 50.0 l Gas Pipe, ❑.Undf rn, Test. --9.--Water Pipe-Undrgrn-:-51.._. ackwash_Lines'P-Tra ❑ ndr rn -10: • Structural Floor System -• __ '5 APPROVAL•TO DECK t.-11.-- Property Sewer Line .&. Connection - - -- - _7_537 .Baekwash'& Rece for -Final - - •' 2. -Street Sewer Connection --- - -- - - - - 54- Heater & Vent -Final " 13. Rough.Plumbin - - - - - -- - _ - - - 14. Rough Elects rCdnd'u "a 1 ,?.gjJh a;, 1 -+� t *; �_ - - 56.- `Ele'ctrical-Final 15. Rough Electric-Wiring '• -- - - - .57.- Solar System-F,inai - - - - --- . 16:. 'Hough- Heating & Air Conditioning _ - _ - ' _ T = encing & Access -Approval • 17. - Ducts, in Structure-- - - -- - - 4- - __59. - APPROVED_FOR.PLASTERING ' - - 18. Ducts; Ventilating -- 19. Gas Pipe -Rough & Test 20. Roof Framing - - - - - - 60. - POOL/SPA SYSTEMS FINAL 21. Roof'Sheathin 22.-- Frame and Flashing.- - - - - 10-5cg7_ _!y_ - NOTES: ag .23. '-Insulation 24. Lathing & Siding +,tL- 25: Drywall Nailing- - - - - - • - - l'- •-ps S 26.- Plaster Brown Coat - - -- 27. -Electrical Power Meter -Final- -- - - - - -- - 28. Final'Electric - - 29. Final Heating -& Air Conditioning - -- - -- -- -- -- - 30. Final Gas Pipe -lest - - - -- - -_ 31. Final Plumbing - - - - - - - 32. Water Service -Final - - - - - - -- -- - - - - - - -- - 33. -' Gas Service -Final -- - - -- - - 34. Solar Domestic -Final -- - 35.- Landscaf e Sprinkling System 36. Sound Attenuation -- -- - 37. Handicap Regulations ' 38.- FINAL STRUCTURE & BUILDING 39. Special Requirements Completed - 40. Electric Release to Edison 41. Gas Reledse to Southern California Gas Co. - 42.. CERTIFICATE OF OCCUPANCY - I _ Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. 'CITY -OF COSTA MESAP RMIT NO. TRACT NO. LOT NO. BL G. NO. CONSTRUCTION PERMIT - '3 TVP CONSTRUCTION NEW ❑ ADD. ❑ ALTERATION El REPAIR ❑CONVERSION ❑DEMOLISH ;. 0374 6/30/82 31.00 Protect Address Owner Phone Address _ ❑OTHER ��r'. is '„� ZONING REGULATIONS Arch/Eng. - - license No. DESCRIPTION OF WORK TYPE OF PERMIT ❑GRADING ❑ FOUNDATION STRUCTURAL TENANT 0 ELECTRICAL" LUMBING ❑MECHANIC , A.P. T. ZONE BUILDING SETBACK c L T. 1 YARD BIDE YA PLN'tGp. gRtE1F. yF PR-7PEIRTV r.I LtI NE .1 - Address - Contractor' �o Phone / Address O'^i r - LICENSED CONTRACTOR DECLARATION- 9 ,1 hereby affirm that I am licensed under provisions of Charter (com- 7000) 3 of the Business and ❑ OTHER- mencingwith sect) on of ,Division Professions Code, ' nd my license is in full force nd pf (fact: ,� PROJECT DESCR REAR YARD (TO P/L) license Class ens No. • - • : SO. FT.- _ . PKG. SPACE REO. PROVIDED - - 2 -6a- Cato �� T Si9nat ure , STREET WIDTH PARK FEE.$ WORKERS' COMPENSATION D ARATIO - OCCUPANCY_ CONSTRUCTION TYPE ZONING APPROVED BY.. DATE - I hereby affirm that I have a ce ficata of consent to Self -Insure or a VALUATION ZONE I' cortificate of Workers' Compensation Insuranc 'or a certified copy - - SPECIAL CONDITIONS: r 'hereof ScQ otqy�3g Lab. C.). ,.( J@ �]�- ,,pp GRADING CV. YDS. ACRES ICY N(o•u{ "1�� Com Pant Dl"^�T{7�+^^'C;,,. - .. .. .. < titled copy Is hereby furnished. -- - REMARKS: nn413 s V �Ce tlfled copy is'filed with the city Building Division. ' EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit is -for one hundred ($100) or la, for this IS _ PLUMBING ' PLAN CHECK ELECTRICAL PLAN CHECK 1 cert lfy that n the performance.of the work .which permit issued, I shall not employ any person in any manner So as to, become subject to the Workers Compen Sat ion. Laws Of California. - — __.'C7TR7 BATHTUBS SHOWERS ' I, 'f t Date Signature NOTICE: If after making this declaration, you should become subject TOILETS 1 URINALS - .GENERATOR ----0-1 KW_1-107KW. to the Workers' Compensation provisions of the Labor Cotle, you must forthwith comply with such provisions or this permit shall be deemed _ LAVATORIES DOUBLE LAV S- TRANSFORMER APPLIANCE 10=50 KW_50 + KW' revoked. - - - KIT. SINKS DISHWASHERS'- MOTORS- - 0-1 HP HP CONSTRUCTION LENDING AGENCY -1-10 I hereby affirm that there Is a construction lendingagency for the per- 9 Y - r„ SERVICE SINKS , 3 SUMPS (INC. SOLAR) - - 30-50 HP SO+HP- - formance of the work for which_ this permit is isiu_etl (Section 3097 FLOOR SINKS FLOOR DRAINS 'FIXTURES OUTLETS - SWITCHES- - - Civ C.). _ ILender;s Name. ILender's Address DRINKING FOUNTAINS • I 'GASTUBE SIGNS`- INTERCEPTORS CLARIFIERS POLE LIGHTS OWNER BUILDER DECLARATION-- - I hereby affirm that I am exempt from the Contractor's License Law for the following 7031.5 Business and'Professlons Code: reason (Section Any city or county which requires a permit to construct, alter, SWIMMING POOL P TRAP" POLES METERED SUB WATER SERVICE ALTERATION - i PANELS MAIN`- - - SUB Improve, demolish or repair any structure, prior to Its issuance, also re- quires the apflicant for such permit to file a signed Statement that he GAS SERVICE OUTLETS 'SERVICE AMP ' Is licensed pursuant to the provisions of the Contractor's License Law Cha pier 9 (commencing with Section 7000) of Division 3 of the (si _ WATER HEATERS'/ --BTU OUTPUT •' ' pslnest antl Professions Cotle) Or that he is exempt therefrom and the `s�,ys for the alleged exam tion. Any violation of Section 7031.5 by applicant for a subjects the 'applicant to a civil penalty - a permit -`-'snot more than five hundred dollars ($500). SEWER CONNECTIONS ♦ ` SOLAR TANK COLLECTORS 0 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. (Section 7044, Business and Professions Code: The SOLAR PIPING SVS. ISSUE FEE Contractor's License Law does not apply to an -owner of a property who builds or Improves thereon, and who does such work himself or _ _ - ISSUE FEE APPLICATION APPROVED EO BY - DATE through his own employees, provided that such improvements are. not MECHANICAL PLAN CHECK _ SUMMARY OF FEES Intended or offered for sale. If, however, the building or Improvement 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 $ SMIP S. -- ' 0 -1, -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 $ PERMIT and Professions Code: The Contractor's License Law does not apply to - ISSUANCE $ an owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTV PLUMBING $ ' tracts from' such projects with a contractor(s) licesned pursuant to SYSTEM- -GRADING $ the Contractor's License Law). 100,000+BTU PLAN CHECK $ - 11-1 am exempt under Section B. CP. C. for this BOILERS BTU ELECTRICAL $ $ reason- SYSTEM REPAIR, ALTERATION -F. EXHAUST SYSTEM MULTIPLE PLAN CHECK $ MECHANICAL $ - MICROFILM'$' TOTAL FEE $ AD- Date Owner - - -- 1 hereby certify that I have read this application and state that the above information is correct. agree to comply with all cite and county . PLAN CHECK $ VAN VANCE PC $_ nets and state laws relating to and hereby authorise - ter upctio t rcpresen[atives of this city enter up0 the above mentioned representatives property for n ¢cti our as. _ 31 , Signature ISSUE FEE -' FINAL FEE $ bDa[ Drivers' L' nse or 55 � CMF 0865.46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor TL CONSTRUCTION.AND PLANNIN I APPROVALS Permit 4A �lD -- DateInspectors POOL & SPA APPROVALS Permit 4# Date Inspector 1. Temporary ElectriceI Service or Pole 43. Pool & Equipment Location - - - - 2. Soil Pipe-Undrgrn F,9 -.0;- 44. Steel Reinforcement -- 3. Electrical Conduit Utility-Undrgrn 45. Forms A. Electrical Conduit-Undrgrn 46. Electrical Bonding _5. Steelein orce 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undr rn i 8. Foundation _ 50. Gas Pipe, Q Undr rn, Test 9. Water-Pipe-Undrgrn 51. Backwash Lines P-Trap:0 •ridr rn - 10. Structural Floor System 52. APPROVAL TO DECK -- 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final 12. Street Sewer Connection ' _ 54. Heater & Vent -Final 13. Rough Plumbing 55 Plumbing System - Final 14. Rough Electric -Conduit --- 56.- Electrical -Final 15. Rough Electric -Wiring -''- 57. Solar System -Final 16. Rough Heating & Air Conditioning _ _ - encing & Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough & Test - - 20. Roof Framing 21. Roof Sheathing NOTES: - 22. Frame and Flashing 23. Insulation ' 24. Lathing & Siding ' 25. Drywall. Nailing 26. Plaster .Brown Coat 27. Electrical Power Meter,Final 28. Final Electric 29. Final Heating & Air Conditioning _-� - - - 30. Final Gas Pipe -Test 4 31. Final Plumbing 32. Water Service -Final 33. Gas Service -Final ' 34. Solar Domestic -Final ' 35. Landscape S rinklin stem •' 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE&BUILDING 39. Special Requirements Completed - - 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. i 42. CERTIFICATE OF OCCUPANCY No. - Date Applicant to 1111 In all spaces within heavy border lines and sign all appropriate declarations. CITY OF.COSTA MESA PE IT N RACTA� LOT NO. BLDG. NO. CONSTRUCTION PERMIT S /A1 3 rro)ecs tsOaress ��/ E OF CONSTRUCTION NEW ❑ ADD ❑ ALTERATION REPAIR ❑CONVERSION ❑DEMOLISH OTHER rDESCRIPTION OFWORK Owner y 2 O Phone Address Arch/Eng. License No. Address Improve, demolish or repair any structure, prior to itS.ISSuance, also re- quires the apo lcant for such permit to file a signed statement that he -WATER SERVICE ALTERATION / Contractor !'P -neZv 1/ /PE OF'PERMITAddress GRADING - ❑ FOUNDATION ❑ STRU�CTTURAL '.❑ TENANT ❑ ELECTRICAL ❑PLUMBING MECHANICF DOUBLE LAVS LICENSED CONTRACTOR DECLARATION I hereby affirm thLt I am Iicensed under provisions Of Charter 9 (Com - / .an cing .with Section 7000) of Division 3 of. the Business and ❑ OTHER Professions Code ' nd my license IS in full forcF . d effect, I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS PROJECT DESCRIPTION 'License Class U se O - SQ. FT. ' Date Signature - WORKERS' COMPENSATION DEC ARATI N -OCCUPANCY CONSTRUCTION TYPE 'I hereby affirm that I have a certificate of consent to self -Insure or a VALUATION ZONE 'Certificate of Workers'. Compensation Insurance, or a certified copy _ thereof (Section 3800, Lab. C.). GRADING CU. YDS. ACRES . Jicy No. 'Company - - BOILERS BTU ^Certlfied copy is hereby furnished. _ _ REMARKS:' - Li Certified copy is,filed with the city Building Division. - EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed If the permit is for one hundred MECHANICAL S$100)'or lessi. ^' " carUfy that n the performance of the ork ((qqr which this Issued, I shall not employ any person I any/IIaDn11I so as tope i5 LUMBING "- .. PLAN CHECK'' _ Date li*- v- of - Signaturei .............. ... .........-, NOTICE: If after making this de oration, u Sh uld become sulojillct TOILETS URINALS to the Workers' Compensation provisions of the Labor Code, you must Improve, demolish or repair any structure, prior to itS.ISSuance, also re- quires the apo lcant for such permit to file a signed statement that he -WATER SERVICE ALTERATION ,forth witn Comply with such provisions Or this permit Shall be deemed LAVATORIES DOUBLE LAVS rave ked. r SEWER CONNECTIONS " applicant. for a. Permit . Subjects the applicant -lo a civil penalty of more than five hundred dollars ($500). _ CONSTRUCTION LENDING AGENCY - KIT. SINKS' -DISHWASHERS I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS formance of the work for which this permit is issued (Section 3097 ISSUE FEE • who pulps or Improves thereon, and who does such work himself or through his own employees, provided that such Improvements are not FLOOR SINKS - FLOOR DRAINS Lenderend er's LNam¢ - DRINKING FOUNTAINS" - ` - - -•- 'Lender's Address OWNER BUILDER DECLARATION. I hereby affirm that I am exempt from the Contractor's License Law for INTERCEPTORS CLARIFIERS the following reason -(Section 7031.5 Business and Professions -Code: Any City or County which requires a permit to construct, alter, SWIMMING -POOL• - '- P+TRAP Improve, demolish or repair any structure, prior to itS.ISSuance, also re- quires the apo lcant for such permit to file a signed statement that he -WATER SERVICE ALTERATION Is licensed pursuant to the provisions of the Contractor's License Law 2GAS Chapter 9 (Commencing with Section 7000) of Division 3 of the SERVICE - OUTLETS' WATER HEATERS BTU OUTPUT uslnes5 and Professions Code) or thathe i5 exempt therefrom and the i- --is for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS " applicant. for a. Permit . Subjects the applicant -lo a civil penalty of more than five hundred dollars ($500). SOLAR TANK - COLLECTORS L I, as owner of the property, or my employees with wages as their Sole compensallon, will do the work, and the Structure Is not Intended MAIN Or offered for Sale. (Section 7044, Business and ProfessionsCode: The - SOLAR PIPING SVS. Contractor's License Law does not apply to an owner of a property ISSUE FEE • who pulps or Improves thereon, and who does such work himself or through his own employees, provided that such Improvements are not Intended or offered for sale. If, however, the building or Improvement' is sold within one year of completion, the owner will have the burden - MECHANICAL PLAN CHECK HEATING SYSTEM 0-100000 BTU , AND DUCTING �� 100,000+ BTU of proving he did not build or improve for the purpose of sale). ❑-I, as owner of the property, am exclusively contracting w ith licensed contractors to construct the project Section 7044, Business ( and Professions. Code: The -Contractor's Law does nota to REFRIGERATION 0-100,000 BTU_ .SYSTEM - 100,000 ; BTU_ improves a or improves [hereon, and who con- a e c tr owner of property who with tracts from such projects with a -cont ractor(5) Iitesne4 pursuan[.to the Contractor's License Law). ❑ 1 am exempt under Section - B.3 P: C. for this reason BOILERS BTU Date Owner SYSTEM REPAIR, ALTERATION I hereby certify that I have read this application and slate that the above Information is -co d. 'I agree to comply. with all City antl county' EXHAUST SYSTEM MULTIPLE E ,MICROFILM E. _ brdinancCs antl s e laws relating to coniV udion, and hereby authorize MECHANICAL representatN f lh -c' y to- n the above mentioned prop¢rty fo n 10 0 -- - -1 NG REGULATIONS ZONE PLNC.. SETBACK C/LST. BUILDING gR1EJF.. py PRppEIR TVNLI N F. 5 D�I�VARp RIIGHT ' - FIXTURES REAR YARD (TO P/L) - - PKG.SPACE RED. - PROVIDED STREET WIDTH PARK FEE E • '• - ZONING -APPROVED BV- "' - DATE SPECIAL CONDITIONS: - - - "— PANELS' -' MAIN - SUB - - 'SERVICE"' 'PLUMBING AMP .ECTRICAL PLAN CHECK _ - GENERATOR TRANSFORMER ' APPLIANCE 0-1 KW_ 10-50 KW_50+-KW'_ 1-10 KW MOTORS (INC. SOLAR) 0-1 HP -1-10 HP 10-50 HPy_- 50 + HP--_ ' - FIXTURES OUTLETS' SWITCHES '-GAS'TUBE SIGNS-- § - ''POLE LIGHTS PLAN CHECK a - POLES -METERED -SUB "— PANELS' -' MAIN - SUB - - 'SERVICE"' 'PLUMBING AMP GRADING§' PLAN CHECK Signature _ ISSUE FEE Drivers' License or -SS - - "- -' - CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor APPLICATION APPROVED BY - t%'all, ®® ®® SUMMARY OF FEES - 1 BUILDING - -- - ,PERMIT § SMIP PLAN CHECK $ PERMIT - - - - - - ISSUANCE- $I 'PLUMBING $ GRADING§' PLAN CHECK ,ELECTRICAL IS - -. --' $ - PLANCHECK E ,MICROFILM E. _ MECHANICAL IS •-dpo -- TOTAL FEE $ PLAN CHECK -$' - _ LESS AD- I __ VANCEPCE _ FINAL FEE $ CONSTRUCTION AND PLANNING APPROVALS Permit # a.1 Date InspectorAPPROVALS POOL & SPA_- ' - _ Permit.# - Date Inspector 1. Temporary Electrical Service or Pole _ �, 43. Pool & Equipment Location - 2. Soil Pipe-Undrgrn 4T. Steel Reinforcement - - 3.. Electrical Conduit UtilityUndrgrn _ - 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding.. - - - - - 5. Steel em orce - • 47. Rough Plumbing & Pressure Test - 6. Electrical LIFER Gr_n 48. APPROVAL TO COVER•GUNITE 7. Footings _ 49. Electrical Conduit•Undr rn B. Foundation 50.-- Gas Pipe, ❑ Undr rn Test 9. -Water Pipe-Undrgrn 51. BackwashLines- P- ra ' C1 n m '• ' 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final 12. Street Sewer Connection._ - - 54. Heater &Ven[ -Final 13. Rough Plumbing - - - 14. Rough Electric -Conduit - - - -56. --Electrical -Final ' - 15. Rough Electric -Wiring- - - _ '57. Solar System -Final - 16. Rough Heating & Air Conditioning 58. Fencing & Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough &Test 20. Roof Framing 21. Roof Sheathing NOTES: 22. Frame and Flashing 23. Insulation - - - - - - - - - - - - 24. Lathing & Siding- .25. Drywall Nailing - - - - - 26. Plaster Brown Coat 27: - Electrical Power.Meter-Final - - - - 28. Final Electric - - - - -- - 29. FinalHeating& Air Conditioning -- - - - _ 30.. Final Gas Pipe -Test - - - - 31: Final'Plumbing - - - ' -32. Water Service -Final - - ---- - - '- 33.•.. 'Gas Service -Final- • 34. Solar Domestic -Final '• - 35. Landscape Sprinkling System - 36. Sound Attenuation - M 37. Handicap Regulations '- 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed ' 40. Electric. Release to Edison'r 1 41. Gas Release to Southern California Gas Co. ' 42. - CERTIFICATE OF OCCUPANCY No Date - - '- '--- - - 3 Applicant to fill in all spaces within heavy border linesand sign all appropriate declarations. CITY OF COSTA MESAPER IT O. TRACT NO. LOT NO. BLDG. NO. CONSTRUCTION PERMIT1. 6G - TYPE OF CONSTRUCTION ❑ NEW ❑ ADD ❑ ALTERATION- ❑ REPAIR ❑ CONVERSION ❑DEMOLISH 11 ❑ OTHER DESCRIPTION OF WORK TYPE OF PERMIT - ❑ GRADING. _❑ FOUNDATION ❑ STRUCTURAL ❑ TENANT ELECTRICAL ❑PLUMBING ❑MECHANICA - A P. I ZONE BUILDINGTp SETBACK C L T. I YARD SID VA 0602 7/01/82 35.45 . ZONING REGULATIONS _ 1 PLNG. REF. $ B 1 ING PROPERTY LINE - - - - - - Project Address & WEN B -3 Owner 'J PhoneJ,3/ 2 ,� -Address Q'L .s 'Arch/Eng. G D 'License No. Address 6 a - Contractor- Phon� s20 Address S LICENSED CONTRACTOR DECLARATION - I licensed Charter 9 I hereby all]th;.t am under provisions of (com- 'section 7000)- Division 3 of the Business 1 1 -� OTHER - RIGHT. me ncing with of and Professions Cotle nd m license is In full forte a tl effect., 1,3 t PROJECT DESCRIPTION - •REAR YARD (TO P/L) , - License I s LIr(/�7Se No. SO. FT. OCCUPANCY_CONSTRUCTION TYPE PKG: SPACE REO. _ STREET WIDTH PROVIDED _,' _ PARK FEE -$ Date Slgnat .'PAM 'Lit •WOR RS' COMPENSATION DECLARATION- - - - '1 hereby a firm that I have a certificate of consent to self -Insure or a ,1VALUATION1ZONE :ZONING APPROVED—BY DATE ;certificate of Workers' Compensation Insurance, -or a Certified copy . GRADING'CV. YDS. ACRES SPECIAL' CONDITIONS: - 'thereof (Section 3800, Lab. C.). 'icy No. � Company .. -" - seen- copy Is hereby furnished. - • _ _ ..l !' REMARKS: -'-' 0 Certified copy is filed with the city Building Division. rkCertified 'EXEMPTION FROM WORKERS' COMPENSATION'DECLARATION - - (Thissection need -not be completed If the.permit-Is for one hundred _ - _ _ •. ;. _ ($100) Or less). '. .. - - •' (.certify that n the.performance of the work for whlch this permit is_ issued, I shall not employ any person in any manner so as to, become PLUMBING ,`_ PLAN CHECK' - 1. ,ELECTRICAL PLAN CHECK subject.to.the Workers Compensation Laws of California. ._ BATHTUBS SHOWERST PT -72 1 Date Signature r NOTICE: If after making this declaration, you should become.subject :TOILETS,, -URINALS ` "' 'GENERATOR--- 0-1 1-10 KW to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed -• LAVATORIES DOI)BLE"LAVS-'- }- -' TRANSFORMER .APPLIANCE - '10-50 50+K- - - - KW_WJ - revoked.__. .L_. _ - - . _ ___ I _ _ __ KIT. SINKS— 'DISHWASHERS' - -,MOTORS-- - - - -- CONSTRUCTION LENDING AGENCY s:... . I hereby affirm that there is a construction lending agency for the per SERVICE SINKS -''f SVMPS - ' '— '- - (INCSOLAR) ;0-50 HP=- 50 +HPC - - - -- - - ` formance of the work for this permit is is issued (Section 3097 FLOOR SINKS* FLOOR DRAINS- FIXTURES' OUTLETS ----SWITCHES - _which CIV:C:)7 - iLender's Name ,Lender's Address _ DRINKING FOUNTAINS - -'- - GAS TUBE SIGNS "" - '- - - INTERCEPTORS CLARIFIERS ,POL-E LIGHTS S- ' OWNER BUILDER' DECLARATION'-•-- -' affirm that I am exempt from the Contractor's License Law for SWIMMING POOL- P TRAP }POLES -' -- - METERED .SUB Nhereby e -following' reason (Section 7031.5 Business and•Professions Code: Any city or county which requires a permit to construct, alter, WATER SERVICE ALTERATION - -' - ',PANELS 'MAIN -- s -,SUB -'1 improve, -demolish or repair -any structure; prior to its issuance; also re- quires the apt-licant for such permit to file a signed statement that he - GASSERVICE OUTLETS : �r , SERVICE '- - -"'- AMP Is licensed pursuant'to the provisions of the Contractor's License Law- 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS - - BTU OUTPUT Business antl Professions' Code) or that he -is exempt therefrom and the Business `s for the alleged exemption. Any violation.of Section 7031.5 by - SEWER CONNECTIONS . applicant -for a permitSubjectsthe applicant to a civil penalty ,ot more than five hundred dollars ($500).- SOLAR TANK' - -� COLLECTORS '- - - - -- - - - - - or y ¢inployees with Wages as their LJ I, as owner of the property, m sole compensation, 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_ _ _ _ - _ _ ISSUE FEE APPLICATION EO BY-- - - - - DATE -- who builds or improves thereon, and who does such work himself or through his.own employees, provided that such improvements are not intended or offered for sale. If, however, the building or Improvement- MECHANICAL PLAN CHECK SUMMARY OF FEES is Sold within one year Of completion, the owner will have the burden of proving he did not build or improve for the purpose of Sale). HEATING SYSTEM 0-100,000BTV BUILDING -•- PERMIT $ > - - - - -- SMIP $ owner of the properly, contracting with sect - AND DUCTING' the project (Section Business licensed contractors to (Section licensed p 100,000;p BTU I PLAN CHECK $' PERMIT ?� he Conti es not and Professions' Code: The Contractor's License Law does not apply to — - -- ISSUANCE '$ owner of properly who builds or thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ tractor( tracts from such projects with -a contractor(s)licesnotl pursuant .ro tracts SYSTEM - - - --- 100,000 b RTU • - __ ,-_ GRADING $ the Contractor's License Law). PLAN�CH ECK $ - - 'Ol am exempt under Section -" B. & P. C. for'this BOILERS BTU :ELECTRICAL -$ s�L .�" , $ - reason- SYSTEM REPAIR, ALTERATION. EXHAUST SYSTEM MULTIPLE PLAN CHECK $ MECHANICAL $ MICROFILM $ '_ - TOTAL FEE $ LESS AD - Date Owner hereby certify that 1 have read this application and state that the above i" nformation Is correct. 1 ogre to comp y with all city antl county PLAN CHECK $ ' VANCE PC $ _ - ordinantes and state laws r¢la {g to cons, uct]on, and hereby authorize representatives is Alto enter upon the above en oned property for- on ses. E�fl • ` - ' ` / FINAL FEE $ J Signature _0 Y Date Drivers' License o SS ISSUE -FEE , CMF 0865.46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND -PLANNING APPROVALS Permit (0 Date - POOL & SPA Inspector' APPROVALS Perm it .701 -, 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 ein_ orce 47. Rough Plumbing & Pressure Test - - 6. Electrical UFER Grn _ _ '" _ 48. APRROVALTO COVER-GUNITE- 7. Footings - - 49. Electrical Conduit-Undr rn 8. Foundation 50.., Gas -Pipe, ❑ Undr in, Test 9.. Water Pipe-Undrgrn -- - 51. Backwash Lines P-Tra --ED Undrqrn '• -- - - - -- - - - 10. _ Structural Floor System 52.. APPROVAL TO DECK - -" - -- • - - 11. Property Sewer Line & House Connection _ _ 53. - Backwash & Receptor -Final - _ 12.. .Street Sewer Connection _ 54. Heater & Vent -Final 13. Rough Plumbing _ - Final - - - - 14. Rough Electric -Conduit - - - 56. -Electrical-Final 15. Rough Electric -Wiring 57. Solar System -Final -' - 16. Rough Heating & Air Conditioning bts. Fencing & Access Approval - 17.- Ducts in Structure _ APPROVED FOR PLASTERING ' 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough &Test - - _ -Roof Framing. 60. POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathing'- Frame and Flashing - _ - .• .. NOTES: 23. Insulation _ _ - 24. Lathing & Siding - - -- - 25. Drywall Nailing _ 26. Plaster Brown Coat ' 27. Electrical Power Meter -Final - - 28. Final Electric 29. Final Heating & Air Conditioning- - - 30. Final'Gas Pipe -Test - - - 31. Final Plumbing ' 32. Water Service -Final 33. Gas Service -Final 34. Solar Domestic -Final - 35. Landscape Sprinkling System - - 36. Sound Attenuation - - 37. Handicap Regulations - - - - - - 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed --- 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. ' CERTIFICATE OF OCCUPANCY No Date n Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA I PERMIT NP. / TRAC jNO. LOT NO. BL G. NO. MU 0(102 6/30/82 375.47 C NSAUCTION PERMIT 8- YO V'T / TYPE OF CONSTRUCTION WNEW ❑ ADD ❑ ALTERATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ❑ OTHER - ZONING REGULATIONS Project Address/_Ace/ Owner bGQ Q ) SZ% I' p�Pho Address 4O OL/.i /(1&L p4V0 ArchlEng. OMBS License No. DES RIPTION OF WORK A P Add,ess QR 119___ / 6 r ZONE - PLNG. REF. - Contractor E E$ a.,01 _hon v ;n TYPE OF PERMIT ❑.GRADING ' ❑ FOUNDATION KSTRUCTURAL SID VA RD ❑TENANT ❑ELECTRICAL ❑PLUMBING ❑MECHANICA LS IEDFE Y Address Q�Q ,Ca ,s" &VO AIZ. , LICENSED CONTRACTOR DECLARATION I hereby affirm lhLt I am Iicensetl untler provisions of Charter 9 (com- RIGHT / renting with section 7000) of Division 3 of the Business and OTHER Professlons Code, and my license Is In full force a d effect. I�� REAR YARD (T P ) �r `YROJECTD C PTON. I �s Llcen¢e CI ss LicensNo.�1 � O 5 AA� a d.4 � Is'l PKG. SPACE REQ: PROVIDE f Gs ^<Igna.,_re FT /, Date CC'evcY NST, UCT ION TYPE STREET WIDTH / PARK FEE WORKERS' COMPENSATION D LA ION _ I hereb affirm that I have a certificate of consent to self -Insure Or a VALUATION' ZONE ZONING APPROVED B - D E 'certificate of Workers' Compensation Insurance, or a certified copy GRADING CV. YDS. ACRES SPECIALCONDITION '.-- thereof (Section 3800, Lab. C.). 'Icy No. Company 'icy ]edified copyis hereby.furnished. REMARKS: / - �G 9 IJAI- _ Certified copy Is filed with the city Building Division. - OLD FOR SPECIAL REQUME FOR EXEMPTION FROM WORKERS' COMPENSATION DECLARATION section need not be completed if the permit is for one hundred ll 0 - (5100) or 1¢551. ` - I cert(fy that n the Performance of the work for which this permit Is - Issued, I shall not employ any person in any manner so as to become PLUMBING PLAN GIIHECK ' ELECTRICAL PLAN CHECK subj¢C�t t0 the1WOrk '' Co mpensaif Laws of Cal rola. BATHTUBS' 'SHOWERS• UWELTLINU -qQ FT Date ]PJ^Signat ure NOTICE: If after making this dee atio you s Quid become subject TOILETS URINALS GENERATOR -0-1 KW_ 1-10 KW to the Workers' Compensation pro Ions of the Labor Code. -You must TRANSFORMER forthwith comply with Such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW -50 + KW revoked. KIT.SINKS- - DISHWASHERS MOTORS 0-1 HP -1.10 HP CONSTRUCTION LENDING AGENCY - I hereby affirm that there IS a construction lending agency for the per.SERVICE SINKS SUMPS t ` e (INC. SOLAR) 10-50 HP 50 + HP four which this, permitsis issued (Section'3097 formance of th/e. ^ FLOOR SINKS -FLOOR DRAINS S' r (FIXTURES OUTLETS SWITCHES gwork LendCFz Nam¢1--�^•"�d r—""—"'�- Lender's Address74CC:>N4XAF_-Z 'SA DRINKING FOUNTAINS t ' r S.GASTUBE SIGNS OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for INTERCEPTORS CLARIFIERS POLE LIGHTS SWIMMING POOL P TRAP the following reason (Section 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, POLES METERED SUB WATER SERVICE ALTERATION PANELS -MAIN. SUB Improve, demolish or repair any structure, -prior to its Issuance, also re. quires the ap, Ilcant for such permit to file a Signed statement that he GAS SERV ICE OUTLETS SERVICE -. - _AMP - Is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS BTU OUTPUT ' BuSiness and Proless,ons Code) or that he is exempt therefrom and the r-•ls for the alleged exemption. Any violation of Section 70 31 .5 by SEWER CONNECTIONS - applicant for a permit Subjects the applicant to a civil Penalty ot more than five hundred dollars ($500). SOLAR TANK COLLECTORS - - I, as owner of the property, or my employees with wages -as their sole compensation, will do the work, and the structure is not Inl¢ntletl or offeredfor 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 ISSUE FEE ' - APPLICATION APPROVED BY DATE who builds or Improves thereon, and who does such work himself or through his own employees, provided that Such improvements are not MECHANICAL PLAN CHECK SUMMARY OF FEES intended or offered for sale. If, however, the building or Improvement is sold within One year of completion, the owner will have the burden of proving he did -not build Or improve for the -purpose of Sale). HEATING SYSTEM 0-100,000 BTU BUILDING �,� 0s_ O-OQ - sF _ �, 7 l❑ I, as owner of the properly, am exclusively contracting with PERMIT E SMTP, E. licensed contractors construct the project (Section Business AND DUCTING - 100,000 +BTU PLAN CHECK E PERMIT Contractor's es not : License Law does not apply to. and -Professions Code: The ISSUANCE E or improves thereon, and who con- owner OI property who build i REFRIGERATION 0-100,000 BTU PLUMBING E with mtsuch projects with a contractor(s) Ilcesn¢d. pursuant. t0 tracts a tracts SYSTEM GRADING E oto the Contractor's License Law). 100,000 +BTU - PLAN CHECK E ❑ I am exempt under Section - B. 6 P. C. for this BOILERS BTU r`� ELECTRICALE ' E - reason SYSTEM REPAIR, ALTERATION t EXHAUST SYSTEM MULTIPLE PLAN CHECK g MECHANICAL $ MICROFILM E TOTAL FEE•$ LESS AD - Date Owner I hereby certify that I have read this application and state that the above Information Is correct. I agree to comply with all city -and county PLAN CHECK . E VANCEP PC E ordinances and state laws relating to construction, and hereby authorize _ representatives of this city to enter upon the above mentioned property for inspection r ores. ,,- q Signature Date Sr?FINAL - ISSUE FEE FEE $377. Ori vers' Lice a JAS - CMF 0865.46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod-ASSessor CONSTRUCTION AND PLANNING APPROVALS Permit /O�l`I Date 1, >� Inspector •POOL &SPA -- •• L APPROVALS Permit#_ Date - Inspector-� 1. - Temporary Electrical Service or Pole 43. Pool & Equipment Location Sol! ipe-Un rgrn - 44. Steel Reinforcement - - - 3. Electrical Conduit Utility-Undrgrn 45. Forms- - 4. Electrical Conduit-Undrgrn- - = 46. Electrical Bonding - - 5. Steel ein orce - _ j 47. Rough Plumbing & Pressure Test . - -6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings - 49. Electrical Conduit-Undr rn 8. -Foundation 50. Gas Pipe, ❑ Undr rn, Test. ,9. Water-Pipe-Undrgrn -- - <-t 1' . ,:B `kwash Lines P -Trap. ❑ nd_r_rn - 10: Structural Floor System _ 52: ':APPROVAL•TO DECK 11. Property,Sewer Line•& House Connection -- -- 53?;Backwash & Receptor -Final - 12. Street Sewer Connection - - - - - -- 54. Heater & Verit-Final •- 13. - Rough ,u. - -- - - - -- - . - _ Final _ 14. t Rouges EtE' itj 7j"L .0 WON - - -"56.- Electrical -Final 15. Rough Electric -Wiring "' - "'57. -Solar System -Final - - 16. Rough Heating & Air Conditioning - - - - - - Fencing & Access Approval •17. Ducts, in Structure 59. APPROVED FOR PLASTERING - . Ducts, Ventilating '- -- - 60. - - - POOL/SPA SYSTEMS FINAL - 19. Gas Pipe -Rough &Test - 20. Roof Framing - - - - 21. Roof Sheathin - NOTES: _ - a: 22.- Frame and Flashing - - -1 23. Insulation - - - - _ I- - - - - • --- - - ^ 24. Lathing &-Siding - - ✓ . - . - ' - -- . - . 25. Drywall Nailing 26. Plaster Brown Coat - - - 27: Electrical Power Meter -Final - • - 28. Final Electric - - - - - - - - - - - - - 29'. -'Final Heating& Air Conditioning - - - - -- -- - - _ 30: Final,Gas Pipe -Test - - - 31. Final Plumbing - - - - <• 32.- Water Service -Final '- - -- - - - - 33. Gas Service -Final - - - 34.. Solar Domestic -Final + ' 35. Landsca eS'rinklin System' = 36. Sound Attenuation -- - _ - - 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING .- (._ 39. Special Requirements Completed -9 / -F �. . .40.- Electric Release to Edison _ 41. Gas Release to Southern California Gas Co. 42.., CERTIFICATE OF OCCUPANCY • No_ , Date MDRESSWO01LDINO: 2620 ELDEN AV MERVK E1FW$D"N MR PATTINSON "PRESS: 2620 ELDEN AV COSTA MESA CA 92626 APn. Mu11Nc ADPREss: ARCNRECT OR ENGINEER: ARCH OR ENG.'S AOORESS: UC. NO.: UNIT: B 1 UNIT: CONTRACTORSNSME: RtiK PLUMBING 6 AIR COND (800)359-9087 i0NTRACTOWSMNUNg 1151 POMONA RD ADDRESS: CORONA CA Law.: 593036 91720 IINT: P LICENSED CONTRACTORS DECLARATION: I hereby elf oder penalty of Perm that I rn rsxnsed under Panel. of Chapter 9 (oommendrp wish Section 7O)O) of Division 3 of ter Bueinets seal Proamm a Case. and 4oens 0. lull hence anal Me . CmLIC .NO.: LIC. CLASS: C 3 6 LIC. NO.: 59 6 EXP: Contracts: NER BUILDER DECLARATION: I hereby edf under penally d parley 1. 1 are sxernpt hair IM Cdrgq license Lew for the idowRg carton (Sgiun J 1.5 Business W PMauione Code: Airy city or sandy vd i maWee a perms to construct. Mer. hectares. dsmdsh, or repair any atrudum, area to se ss ossoc. also requbm IM eppicod is such parent to fib a signed seemed 900 M a elle is kensd pursued to IM pnovsions of sire Conlnsctq limns lbw (Chapter 9 (oommerunp yeah Soon TCDD) d Derision 3 of the Bran. ant Patence. Cosec as Ihel he a sir A mempt IMrehom eM IM bass 1a the eloped warrantor. AM v can of Soon 7W1,5 by any applicant for a name sham the applicant to a chat penalty of m more than One hurdred dollen (5.500]). ❑ I, as awrer of the property or my employees vlh wages as their gecompanWon. will do ter work, and Ns sllualun'ehat "wended M Mend for sant (Section TON, Busimm and Profineiom C(de: The Contndae License Lew clam rel apply loan owe of properly wM b or inproesa Ihenan. coal Ma dam such wad, haneea or hand or through his or her ole ernpbMs, provided IMI such impnwernede arse not knendled or fibred for eels. I. tloww.wr, IM buldse or mleraernern s anal sunhat one yser d mmplMbr, the owrwhnlder wT haves the burdan d proving he or eM did not build or tmproar for the papme of ser). ❑ I, as owner of the Prop". are exclusively comrgi g yeah ficeneed Contractors to conebud the project (Sgon TON. Bmirese and prdessionP Cods: The Conlredom License law does not apply, to an owner d property wM Wios a same IMreon erd wM contracts for such projects with a caurgor(a) licenses pursued to IM Contractors Licame law). ❑ 1 em exempt coda Section: B. A P.C., for this remora: Deb:« I do herby cadM that I am awns of anal unceabrd the requirements of Cat2anls IIMIh end Solely Cose Sdiom 25505. 23,533. oral 25531. ant Nes I or any haum Wildirp ottveant yell / wR m (circle are) need o conply qh said state cases end the muinmenb for a permsfamulNctonamodibatmftmlMAi y Zrmyasment Oimnict. ResidaNielomudction applatlons are exempt fen Nme aye earn.. Dean: Applicaa: WORKER'S COMPENSATION DECLARATION: I heresy esrmn under penalty of parlay one of Ne hAnwkp dsdarmons: ❑ I have anld N meinOen a untloare d mmm�t to edinsae for worker' mnpemNon, seprovided fa by Section 3M col IM Lobar Cada, for the Padormeocae of the wvrk for which this Penna is hmued. 11 l Mes eM wit maintain workae' campsuton insnanae. as nquind by Section 3700 of the labor Cade. tor IM pedamencs d the i� wok /a w/nicA Nis penny s Mused. My waken' mmpemnM insunrtw mrr'r and pogo/ Iwmba ns: Carrier STATE FUND EXPIRES Pallor Numba. 04420417 07/31/98 (Thi section need not M completed r IM yams is for ane hundred do.'srs 1$1001 or loss.) ❑ I canly thatin the performanced IM walk Iorwhich thio mma is sued, 1 eh d empty any person In arty manna so m to Mse w, W.bid 10 1M wvrkere' mnpsneaIran leve d Call. anld all a ehouo beca Robed to IM waryere' ��-mmpena�l n p —4 Bion WOO d the LMar Code. I= faNv' � pay w 1 dam oro Done: Applied: �'S11111 aNud o assure workeri corrpeeand. to✓eraNa la un ( and ands auftlecs an wWioyar to crlmlrel Parma" ant c/dl 9vea W W one londem1 rlpusard dol/an (SIOOMO M sdd/Ne. to file car or eolrtpwnmfbM1 tland9m m PnvMM figr In Secdon 3706 of Ns Labor Cosa, Inrwna4 and aUomsys lose. CONSTRUCTION LENDING AGENCY: I hereby dfirm unsa presby d PerloY the there is a amurdcn lendmg s9ency, or ter pedonnanwe d the wak for which the pang is sled (Seaton 3097, CN. C). LENDER'S NAME: LENDER'S ADDRESS: I certify that I hew red this application and date Ones the above info emion is correct, l arm to comply wtlh d city and county on inerwee era state som relating to Willie condrucdon anal hereby whorse raesentmiw,'a ofthis city to enter upon tM above mentonsd properly (515146.WP) WMsBuilditI A SWW, Or 1.: Cemry-Applmd: Pmk-Revmue: Oddaaod-Msev CITY,OF COSTA MESA - BUILDING PERMIT PERM NO: P 089838 PERMIT NO: P 084838 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V -N PERMIT TYRE: PLU PURPOSE: ALT JOB DESCRIPTION : PLUMBING REPAIR SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-1 / COMMENTS: X ******************************************************************************* Z O N I N G S E T B A C K S R E Q U I R E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 43922152 ZNE: REF NO: PLANNING NOTES> TOTALS ---- > 8.75 22.00 > 30.75 30.75 D E V E L O P M E N T S E R V I C E S„ R E Q U I R E M E N T S ZONING APPROVED BY .00 BLDG PMT DATE: BUILDING APPROVED BY : LEGALIZATION:N F E E S U M M A Ft BLDG PMT PLUMBING ELECTRIC MECHANIC PERMIT 8.75 DATE: 9****D*��** * �* Y STRUCTURAL SEGMENT:N FIRE SMIP/AES GRADING PLAN 25i . SMIP/NON—RES ISSUE FEE 22.00 BUILDING—DIV—> PERMIT ISSUE PLAN=CHECK TOTAL PAID DUE TOTALS ---- > 8.75 22.00 0.00 30.75 30.75 r .00 REVENUE DIVISION TOTALS--> COLLECTED: 30,75 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 30,75 I N D I V I D U A L •F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N'I UNIT COST TOTAL COST PLU 1 WATER RE—PIPE END�OF FEES 8.75 8.75 0-e3-1997/,3:59 PyC.7a PERNI'TF7+hdE384383j1 . CONSTRUCTION AND PLANNING POO` '•PA 1 APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1, Temporary Electrical Service or Pole - 52. Pool & Equipment Location i "+ 2. Soil Pipe-Undrgrnd, 1 - 53. Steel Reinforcement ' ^3: Electrical Condutt-Utility-Undrgrnd. 54. Forms i 4� Electrical Conduit-'IIJIiJrgrnd. 55, Electrical Bonding >.•51 Steel Reinforcennent 56. Rough Plumbing & Pressure Test* Electrical UFER'Grnd. 57. APPROVAL TO COVER-GUNITE J 7- Footings 58. Electrical Conduit-Undrgrnd. + • 8. Foundation 'r• - 59. Gas Pipe, D Undrdrnd., Test 9. Water Pipe-Undr rnd. 60. Backwash Lines�P--Trap, ❑ Undrgrnd. 10. Structural Floor -System 11 61, APPROVAL Tq 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 Electricat•Conduit • J - 66. Solar System-Final 16. Rough Electric;_Jiri jgl,• • 67. Fencing & AccassiApprovai • 17. Rough Wiring Sign1 68. APPROVED FO R'PLASTERING 18. Rough ElectricZ.T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rouqh Heating &Air ConditioningF4RE}[?EPT. REQUIREMENT APPF��OVA4 j P�5mit #- 20. ;Aotigk FactoGyY Fi blase S,r �,�, r _ ,j, t - 21. Ducts, inStrticture ` •• •• _ S :� y r ' 70.1nderFto_u.Cd H;d:o �. 22..Ducts, t%eptiW't Ing` ;-""rs y 7 _t .j •�i -, 71. Prod ue)piping •Dkias 47 QII 23. Gas Pipe_Rough & Test 1- S f m L- D k 72. Underground Flush - _ 'S ~ 24.' toof Framing' ' t " Q �' '. ~ - r � _ r 73, Undergrnd. Storege Tank: Cl Gas D Oil r z t 25. Roof Sh'e_mhing r. •+ f h + 74? Overhead Hydr- r _ 26.7-Ba6 Ceiling (Struciaura0 & Mdn'ocoat 7 Dry Chenical 27. Frarne and Flashing x r 76. Dry Sta pjp pe � = r T 28. LatM'ng Siding _ .r r ••) -•� "h Fy1+'F"d=�IJVA 77 FIXED$YST77 a 29. Insulation + 7& PREV. FINAL ^ z ;FIRE _ 30. Drywall �ailinq TI ALTH DEP.a .-REOL114MENTi v v > 31. Plaster Brown-Coat i. s - -• - r 1 I r 79. FINAL INSPECTION 32.lectricat'�.Pow r Met,'erFjSal v �_ _ BII] FOOD CERTIF_eCaTE ISS'UEa, iR 33. jinil7.Electric" r _ ,I S (' Notes: ' 34. Pinal:Heating-& Air Conditionirig 35.•Final'Gas PipekTest 36. Hood or Canopy r I r. m = 37. Einal.Factory Fireplace >; -� i I •' E: - 1 .- • 38. Finai'Plumbing a:_- - /��57 _ r 39. Water Service-Final 40. Gas Service-Final r r, _ i ',7 ( ' 'D Y - 41. Solar Domestic-Fina� = _ •- t - l - ''`" -` 42. 9ackflow Preventer Y f- I I* >, - 43. Backflow Irrigation T ` 4: •T, r 44. Landscape Irrigation System- 45. Sound Attenuation_ y ,; •, r a ,-r •_ r J .4 46. Handicap Regulations •" 47. FINALSTRUCTUF &BUILDING ' -. ( 1 ,c - 48. FINAL PLANNINGr. - -� -'• " 'f r ' 49'. rElecthc Release to Edison r 50. Gas Release to Southern California-Gas Co 51•. CERTIFICATE OF OCCUPANCY r _ No. Date Applicant to fill In all spaces within heavy border lines and sign all appropriate declarations. ,CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. ' CONSTRUCTION PERMIT •/h 7 7 T1(PE OF CONSTRUCTION NEW U,ADD U ALTERATION REPAIR U CONVERSION ❑DEMOLISH U OTHER ZONING REGULATIONS • Project Address2620 , - , :tf 'Own - U - Phon • % .ry CONSTRUCTION AND PLANNING APPROVALS Permit # Yd's So�77 - Date Inspector POOL & SPA _ APPROVALS• _ - � yi Permit # .Date. . Inspector _ _ - „ � �,, •,;_ �, _ - 1. Temporary Electrical Service or Pole " ' - 43., Pool & Equlpmen'l Lii ai'ron'�'"` - -• - • --•" 2. Soil Pipe- n rgrn 'I, - Steel Reinforcement`- -• -- ---- -- -'- - - - -•- - - L . _Electrical Conduit Utility-Undrgrn_ 45.., Forms: 4.-ElectricaLCondu_it=Undrgrn 46,._._ Electrical- Bondin -- 5. _Steel cin orce ,. - r 47 . 'h Pl Rouumbin & Pressure Test 6. _ Electrical UFER Grn _ _ _ -' a \ 48. APPROVAL TO COVER -GUNITE --•--- - - _ 7. Footings '49. -Electrical Conduit•Undr rn ,. 8. _ Foundation _ _ 50. , Gas Pipe ❑ Undr rn;•Test ,_9., -Water-Pipe-Undrgrn ' "' 51. Backwash Lines P -Trap, EJ Undrqrh - 10. Structural Floor System 52. APPROVAL TO DECK' - 11. Property Sewer Line & House Connection • ' ' - 1_ - _-_- _ _ - 53. _ Backwash & Receptor -Final _12... Street Sewer Connection _ -_ ' • �_° "'-• J. �- 54.. Heater & Vent -Final' �• ..,J 13. Rough Plumbing - '- --- - stem-- IF-- - _`---- -'•--->_e� a� 14. Rough Electric -Conduit ---- --- -- -56. Electrical -Final -- •r ,-; -' 15.- RoLfiK Electric -Wiring - - "" - - - - - - - -- - - 57, Solar- System -Final• 16. Rough Heating:& Air Conditioning= - - = -- '- __ _ •__ encing & Access Approval ..17.' _Ducts,iin.Structure.: "•' c 9-Y' _-79. APPROVED FOR PLASTERING ': `•,- '• 18.1 Ducts: Ventilating--' -- _ _ _ _ .' ,�__ - 60. " , - . _,� _ _ -• -_ ---. POOL/SPA SYSTEMS FINAL -- _ _ y\1a\'�\ 119.; Gas Pipe -Rough &Test - _ _ 20., Roof Framing - - -- - - ,-- •. i21. Roof Sheathing•- _ - - ..,. NOTES: ..., .. i� a•„ 22.1 Frame and -Flashing- -' - - - -„ 23. Insulation - 1 - - - - - ' - - & Siding. 24.!_ Lathing 9 - .. ; - . • . :.25,i._Drywell.Nailing. �: .. 26.L Plaster .Brown .Coat _ _ '•_`, _._.; . -- -- '.' _' - 1 - _ _ _ _ _ _ '__ ._ -._ .. _ ._ _ 27..' Elearicel_Powei Meter -Final. - ._28. Final Electric---___ 29.1- Final Heating - "'. 6"1d' - '- 30.i. Final Gas Pipe -Test .- -' ,.31. _Final Plumbing_ -' '.32.- Water,Service-Einal_ - - 33:',-GagService-Final. - -- - - - - . 34. Solar Domestic -Final- •• ' ' 35. Landscape Sprinkling System ' 36. Sound Attenuation - 37. - Handicap Regulations 38. FINAL STRUCTURE&BUILDING - "' Z u 39. Special Requirements Completed- 40. Electric Release to Edison - i y, •� - a '" - - -• -____ - _ - -.- . 41. Gas Release to Southern California Gas Co.' " 42: CERTIFICATE OF OCCUPANCY _No - Date Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PE IT - TRACT NO. LOT NO. BLDG. NO. j j; I',J/�•� �� T, CONSTRUCTION PERMIT M SSS llo • Project Address de - 5 TYPE OF CONSTRUCTION _ - •'. OWner Phone `�.�y LIN ❑ ADD ❑ ALTERATION . . Address- - /143REPAIR ❑ CONVERSION ❑DEMOLISH ZONING REGULATIONS Arch/Eng. - License No. ❑ OTHER .� DESCRIPTION OF WORK A.P. •+.. Address - - - + ZONE - PLNG. REF.q Contractor - hone - TYPE OF PERMIT- TTop `RVLp'Tl RTV LINE -Addra55 / _ C.L�(L. 1' , ❑GRADING ❑ FOUNDATION ❑STRUC SETBACK C T. URAL I YARD VROBPE ILICENSED CONTRACTOR DECLARATION ' ❑ TENANT ❑ ELECTRICAL ❑PLUMBING ECHANICA 5I E V 9 hereby affirm lhLt I am licensed Under provisions of Chador 9 (tom- 7000) ❑OTHER RIGHT' ' mencing with section of,Dlvislon 3 of the Business and Professions Coda d my license I In full fort and effect I - :REAR YARD (TO P /L) I PROJECT DESCRIPTION erase Llcons9�Cl-b)ssr�� - _ _ . � -. PKG. SPACE REO. PROVIDED p� DaIeJ.S[j'flC�1C 519nat ure SQ. FT. STREET WIDTH PARK FEE b WORKERS' COMPENSATION DECLARA ION OCCUPANCY_ CONSTRUCTION TYPE . 'I hereby affirm that 1 have a certificate of consent to self -Insure or a VALUATION - ZONE ZONING APPROVED BY certificate -of Workers' Compensation Insurance, or a certified copy _ thereof (Section 3800, lab. CJ. � GRADING CV. YDS. ACRES .SPECIAL CONDITIONS: ' Policy No. - G- - - Company _ 11 Certified copy is hereby furnished. ,' _ REMARKS:. .1 • .' _ it ❑ Certified copy Is filed with the city Building Division. , EXEMPTION FROM WORKERS'COMPENSATION' DECLARATION - - This section need not be tom Plated if the per it 11 for one hundred $100) or Ass). certify that In the performance of the wor for which this permit is ' Issued, I shall not employ any Person In -a m one r 'as to EC MBING . PLAN CHK ' - +ELECTRICAL - PLAN CHECK Subject t Wo r5 Compensation oI _" - UWILUUMU_ _ Date Signature ' _ BATHTUBS SHOWERS _ _ + NOTICE: If after making this declaration, you should ode,y sumo t TOILETS r URINALS - - GENERATOR'- 0-1 KW 1-16 KW - to the Workers' Compensation provisions of the Labor must TRANSFORMER ' forthwith comply with such Provisions or this permit shall bo tleemed hall be LAVATORIES DO UBLE'LAVS � APPLIANCE 10-50 KW=SQ+ APPLIANCE KW� revoked. CONSTRUCTION LENDING AGENCY KIT: SINKS- "DISHWASHERS YMOTO RS -04 HP 1-10 HP- '^ - •I hereby affirm that -there Is a construction lending agencyy for the per. forri of the work for which this is Issued 3097 _ SERVICE SINKS + -SUMPS - II NC. SOLAR) - 10 -50 -HP 50 HP permit (5¢cllon Civ. -C')' FLOOR SINKS - -- -FLOOR DRAINS" l• - "' .' FIXTURES •Ol1TCETS' - _ SWITCHES Lender's Name - - __ Lender's Address y - DRINKING FOUNTAINS "' .,GAS TUBE SIGNS OWNER BUILDER DECLARATION - - - - from INTERCEPTORS CLARIFIERS, - - -POLE LIGHTS - - I hereby affirm that I am exempt toe Contractor's License Law for the following' reason (Section 7031,5 -Business and.-Profosslons Code: SWIMMING POOL- -P TRAP -"- 'POLES METERED - -" - Any City or county which requires a permit to construct, alter, improve, demolish or repair any structure; prior to its Issuance, also re- WATER SERVICE - ALTERATION - - PANELS ' -"MAIN_ -SUB -- SUB quires the ap. Iicant 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-' - - 1Chapter 9 (commencing with Section 7000) of Division 3 of the - Businesss and Professions Code) or that -he is exempt therefrom and the WATER HEATERS- - STU'OUT PUT - basis for the alleged exemption. Any violation of Section 7031.5 by any. applicant for a permit subjects the applicant So a civil -penalty -'SEWER CONNECTIONS' "" -' - ' - ' • -'•'- -• ' -' _ - _ of not more than five hundred dollars ($500). _ ❑'I, as owner "of [he property, or my employees with -wages as'thelr SOLAR TANK ' --"'COLLECTORS '- .... _ _ ' _ _ I sole compensation, will do the work, and the structure is not Intended •I or'offered for sale.'(Section 7044, Business and Professions Code: The SOLAR PIPING SVS:_ - •• - _ ISSUE FEE.' - -' - Contractor's License Law does not apply to an owner of a property who builds or i mproves't hereon, and who does -such work himself or - ISSUE FEE - -• - _ ' --.APPLICATION-APPROVED BYIlk- through his own employees, provided that such improvements are not intended or offered for sale. If, -however, the building of Improvement MECHANICAL PLAN CHECK SUMMARY OF FEES. Is sold within one year of completion, the owner will have the burden + of proving he did not build or Improve for 'the 'Purpose of' sale). HEATING SYSTEM 0-100,000 BTU ,- 'BUILDING- PERMIT _ SMIP E' El- 1, as owner of the -property, am exclusively contracting with AND DUCTING ' - _ -$ _ Iicensed contractors to construct project (Section Business 100,000 a BTU ':PLAN CHECK E PERMIT - ctheto es not and Professions Code: The Contrattor's.IJconso law tlpez not apply to - - -- - - ISSUANCE= $ = an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING E tracts from such projects with . a. contractor(s) Ilcesned. pursuant to SYSTEM - - GRADING • $ the Contractor's License Law). 100,000 + BTU PLAN CHECK Is ❑ 1 am exempt under Section _ -- B. & P. C. for this 'ELECTRICAL $ $ reason-- BOILERS BTU - - "PLAN CHECK E— MICROFILM b - - Date Owner SYSTEM REPAIR, ALTERATION f a-�— TOT A L.FEE E "MECHANICAL S_�S�p' - 1 herebycertify that I have read this Y application and slate that the above EXHAUST SYSTEM MULTIPLE LESS AD- - ' Information is t eft:' I' agree Yo comply - with all -city and county _^ - PLAN CHECK E _• VANCE PC $ __ or s le la r%nqOnslruclion, antl hereby authoriz¢ �\ •. ' representatl S oP-t ct above' mentioned P ro Pert Y- f ms '\ ©a Slgnat ure - -ISSUEFEE— -- - -r - - - -- - - - - - CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNIN/4J���� APPROVALS Permit # JiLi�L Date InspectorgppROVALS POOL'& SPA Permit # �• Date Inspector. 1. Temporary Electrical Service or Pole _ - 43. Pool & Equipment Location 2. Soil Pipe-Undrgrn 4T. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrn - _ 45.. Forms 4.. Electrical Conduit-Undrgrn _ _ 46. . Electrical Bonding- - 5. Steel ein orce .. 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE- 7. Footings 49. Electrical Conduit-Undr rn B. Foundation 50. , Gas Pipe,El Undr 1n, Test •' 9. Water Pipe-Undrgrn 51. Backwash Lines P•Tra 0 Undrqrn 10. Structural Floor System 52. APPROVAL TO DECK 11. -Property Sewer Line & House Connection. - _ 53. Backwash & Receptor-Final 12. Street Sewer Connection 54: Heater & Vent-Final 13. Rough Plumbing_- _ _ _ _ - - - - - - 14. Rough Electric-Conduit - - - + •. .56:-- -Electrical -Final - - 15. Rough Electric-Wiring - - - -- 57. -Solar System-Final - 16. Rough Heating & Air Conditioning __ --12elanrl- _ encing & Access�Approval 17. Ducts in Structure'. 59. APPROVED FOR PLASTERING :-..,, 18. 19. 20. Ducts, Ventilating.- - Gas Pipe-Rough '&Test Roof Framing' 60. POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathing Frame and Flashin - NOTES: 23. Insulation - - -- - - 24. Lathing &Siding _ - - - - - - ---- - --- ' 25: Drywall.Nailing - J- 26. Plaster Brown Coat - 27. . Electrical. Power Meter-Final'' - - - - 28:- Final Electric - - - 29. Final Heating & Air Conditioning S,z. i/7 _ _ '- �a - ,• • 30. Final Gas Pipe-Test _ 31. Final Plumbing _ - - �32, . Water Service•F-inal. - - - - ' - 33. •=Gas .Service-Fin al: - - - - . 34. Solar Domestic-Final ' • - - 35. Landscape Sprinkling System- 36. Sound Attenuation ! • 37. Handicap Regulations 38. FINALSTRUCTURE & BUILDING 39. Special Requirements Completed- -' - - - - 40. Electric Release to Edison - - ' •• -� 41. Gas Release.to Southern California Gas Co: .„ IN- . - 42. - CERTIFICATE OF OCCUPANCY No Date a Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. OG. NO. CONSTRUCTION PERMIT E4110.5, TYPE OF CONSTRUCTION ❑ NEW ❑ ADD ❑ ALTERATION REPAIR ❑ CONVERSION ❑DEMOLISH 0603 - - - 7/01/82 3.7.02 - Project Address �� L / Owner 0 s Phone Q Address 04_D❑ 340 ❑ OTHER ZONING REGULATIONS Arch/Eng: G No. OMBCLicense DESCRIPTION OF WORK TYPE OF•PERMIT ❑ GRAD' NC��a(, ❑ FOUNDATION ❑ STRUCTURAL -- ❑TENANT y�ELECTRICAL ❑PLUMBING-❑MECHANICA -/ A P c# ZONE PLNG.-REP. 9 ' Tp g�1I 1rvG - CIL.' PROPS RTV LINE SID YARD T - - - - Address Q / Contractor QV Phon P5'2 Address - . - LICENSED CONTRACTOR DECLARATION 9,(com• I hereby affirm that I am licensed under provisions of Charter 7000) 3 the Business and ❑ OTHER -- RIIG HT. mencing with section of .Division- of Professions Cotle, ntl license Is In full force and eff REAR YARD (TO P/L) PROJECT-DESCRIPTION� _ - License Clajjs Ll�nse No PKG."SPACE REQ. PROVIDED /i 9r•-c,...es - /_ SQ. .. _._ Dates .e - ---- - - STREET WIDTH PARK FEE E WORK R COMPENSATION DECLARATION ! OCCUPANCY_ CO NST R UCTI ON TYPE- ZONINGAPPROV ED BY' _ DATE II hereby affirm that 1 have a certificate of consent to self -Insure or a VALUATION ZONE certificate Of Workers' Compensation Insurance, or a cerlifled-copy --- - - SPECIALCONDITIONS: thereof (Section 3800, Lab. C.). GRADING CU. YDS. ACRES Policy No. Company - - ❑tortifled copy is hereby furnished. .. REMARKS:' _ ertified copy is filed with the city Bolding Division. _ 1 MPTION FROM WORKERS' COMPENSATION DECLARATION' - - - - (This.seclion need,nol be completed if the permit Is for one hundred (E100) 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 _ PLUMBING�� • `-1• PLAN CHECK " -" -' ELECTRICAL- "' PLAN'CHECK subject to the Workers Compensation Laws of_Callfornia. , BATHTUBS - SHOWERS "- - -;. - Date Signature NOTICE: It after making this declaration, ou should become subject y TOILETS f .,URINALS - '- - GENERATOR 0-1 KW_ _ - 1.1 OKW of to the Workers' Compensation provisions the Labor Code, you must TRANSFORMER - 1 _ forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS -- _ - APPLIANCE - ' 10-50'KW__,�50 + KW - - revoked. _1 1- ._ "KIT. SINKS DISHWASHERS MOTORS - -' `0-1 HP 1.10 HP CONSTRUCTION LENDING AGENCY C !(INC: SOLAR) I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS '. - .,.SUMPS' -" - -- - - -' 10-50 HP_50•�-HP-- - - .formance of the work for which this permit Is Issued (Section 3097 FLOOR SINKS '_ FLOOR DRAINS" - - {FIXTURES- OUTLETS ."SWITCHES - ,Lender's _Name Lender's Address _ DRINKING FOUNTAINS - -` '-' ' GAS TUBE SIGNS- - - - -INTERCEPTORS CLARIFIERS- - .POLE LIGHTS ' '- - '- -- OWNER'BUILDER'DECLARATION'- - NNherebyY affirm that I am exempt from the Contractor's License Law for SWIMMING POOL PTRAP-Any POLES METERED SUB e following reason -(Section -7031.5 -Business and Professions Code: city or county which requires a permit to construct, alter, 'WATER SERVICE- -ALTERATION - — PANELS 'MAIN SUB Improve, demolish' or -repair any structure, prior to Its 'tssuance; also re- quires the apFllcant for such permit to file a signed statement that he GAS SERVICE _ CUTLETS i -y 'SERVICE - - - AMP 0 is licensed pursuant to -the provisions of -the Contractor's License -Law Chapter 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS- BTU OUTPUT - - - - - - - siness and Professions Code) or thatheIs exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by - SEWER CONNECTIONS - - - -- any applicant -for a permit subjects the -applicant to a -civil penalty- of not more than five hundred dollars ($500). SOLAR TANK' COLLECTORS' _ - ----- •' -� 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 - -- - FEE or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SVS. ISSUE .Contractor's -License Law does not apply. to an owner- of a property -- APPLICATION NAPPROV ED BV--- - 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 MECHANICAL _ PLAN CHECK I SUMMARY OE,FEES '. Intended or offered for -sale. If, however, the building or Improvement Is sold within no year, of completion, the owner will have the burden' of proving he did not build or Improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU IBUICDING - PERMIT E , '• SMIP '❑ 1 -as owner of •the property, am exclusively contracting with AND DUCTING - - .E - - ,licensed contractors to construct the project (Section 7044, Business 100,000 1 BTU PLAN CHECK E PERMIT and Professions Code: The Contractor's License -Law does not apply to ISSUANCE $ an Owner of property' who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU IPLUMBING E , tracts from- such projects with a. contractor(s) Ilcesned pursuant to SYSTEM - - - - - - - .- - GRADING $ the Contractor's License Law). 100,000 +BTU PLAN:CHECK $-��r����Yy1 ❑ 1 am exempt under Section "' B. & P. C: for this BOILERS BTU ELECTRICAL $.C -L= - E reason SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE PLAN CHECK $ ,MECH gNICAL E MICROFILM S ' TOTAL FEE E ' LESS AD - Data Owner I hereby cerllfy that I have read this application and state that the above Information is correct. I agree to comply with all city and county PLAN CHECK - E VANCE PC E _ ordinances and stale laws r ting to co trucllon, and hereby authorize - rCpresenlalives�gf his y to ent upon the above a Zoned property for �I1rRR coon r o s n I` n 9` 7 Signal Uro dl8• ` =ISSUE i FINAL FEE E Drivers' Licens or SS CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor TL' CONSTRUCTION AND PLANNING ^�� �',^,�` APPROVALS Permit # Date Inspector POOL & SPA 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 Rei,nfor-ce__ _ 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE - 7. Footings _ 49. Electrical Conduit•Undr rn 8. Foundation _ 50. Gas Pipe, 0 Undr rn, Test 9. Water Pip 'n 51. Backwash Lines P -Tr � 0 ndr rn - - - 10. Structural loor System 52. APPROVAL TO DECK 11. Property Sewer Line &.House*Connection _ 53. Backwash & Rece for -Final 12. Street Sewer Connection._ . 54. Heater & Vent -Final 13. Rough.Plumbing _ - - 14. Rough Electric -Conduit - 56. Electrical -Final - 15. Rough Electric -Wiring / _ry`ji 57. Solar System -Final 16. Rough Heating &-Air Conditioning MS. Fencing & Access Approval . 17. Ducts, in -Structure - APPROVED FOR PLASTERING 18. 19. 20: - Ducts, Ventilating .. - Gas Pipe -Rough &Test - _ Roof Framing - 60. .• POOL/SPA. SYSTEMS FINAL - - •, 21. 22. Roof Sheathing- Frame and Flashing - - NOTES: 23. Insulation- - 24. Lathing & Siding - - 25. Drywall Nailing - 26. Plaster Brown Coat . 27._ Electrical Power Meter -Final - 28. Final Electric 29. Final Heating & Air Conditioning - - - 30. Final Gas Pipe -Test - - - :. 31: Final Plumbing - 32. Water Service -Final 33. . Gas Service -Final 34. Solar Domestic -Final 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed - 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. - - 42. CERTIFICATE OF OCCUPANCY No Date Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. d" OF COSTA MESA- ERMIT NO. TRACT NO. LOT NO. B G. NO. CO,N5TRUCTION PERMIT V— 6 �0 _ % 0375 , 6/30/82 31.00 • Project Address E (oZv .� ^ TVPP OF CONSTRUCTION (KNEW ❑ ADD ❑ ALTERATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ❑ OTHER '�•� - •� - _ ZONING REGULATIONS Owner O� Phone Address - - - - Arch/Eng. License No. DESCRIPTION OF WORK - - -- 1.n A.P. _$ ' -ZONE PLNG. REF. VP - Address - - Contractor iFvans IA" Phone ( ,� TYPE OF PERMIT -- -BUILDING- ❑GRADING f(] FOUNDATION STRUCTV RAL- ❑ TENANT ❑ ELECTRICAL LUMSING ❑MECHANIC SETBACK SIO YARD W$9Ip E V -- - TO BUI LIJING - PROPER rYLINE ' f, - - - Address 1539 AeAUCa LICENSED CONTRACTOR DECLARATION - Charter 9 I hereby affirm that I am licensed under provisions of (Com- with section- 7000) of Division 3 of the Business and r-0 OTHER RIGHT mencing , Professions Qpda. and my license Is In full for d e f ct. c -2G G ! 'PROJECT DESCRIPTION• - REAR YARD (TO P/L) , , License Glatt oe s., -- - SQ. FT. -_ - _, _ ._ _ PKG. SPACE RED. - _ - PROVIDED- - _- - Date 19 - Z Signature — ' N.DECLARATION OCCUPANCY_CONSTRUCTION TYPE STREET WIDTH PARK FEE'b hereby f rm that I have a certificate of consent to self -Insure ora •I hereby affirm that .,VALUATION ZONE f ZONING APPROVED BY. - GATE - .certificate of Workers'� Compensation lS or; aLL ertl letl copy yI�}h�ave (Sec[gr�3pQ0- C ST - -- GRADING CU. YDS. s ACRES SPECIAL CONDITIONS: - - - "'f "L`S `b Polley Company - - ❑CgLsifled Copy is hereby furnished. _. _- .-- - L REMARKS: Q - lV'' •d" -t.-:• _ _ _ _ _ __ • __ _ _ 0"tertifled copy is Ailed with the city Building Division. - % p , � EXEMPTION FROM WORKERS' COMPENSATION DECLARATION _ - -- -- -: -� (This section need not be completed if -the -permit is for one hundred i - ($300) or less). Certify that In the performance of the work for which this permit is .. -. IssuedI shall not employ any person In any manner so as to°become PLUMBING „' 'i PLAN CHECK' - _ -ELECTRICAL -' PLAN CHECK, ' subject to the Workers Compensation Laws of California._ f' _ _ BATHTUBS Z -SHOWERS 'LYL, - -- - --UARAGI _ Data Signature ET" NOTICE: 11 after making this declaration, you should become subject TOILETS URINALS GENERATORS 0-1 KW=1:10'KW' to the Workers' Compensation provisions of the Labor Cotle; you must - - ,g TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVs' gPPLIANCE - 10.50 KW_50 + KW - revoked.- _ _ CONSTRUCTION LENDING AGENCY KIT: SINKS ' % - - -DISHWASHERS - - -.MOTORS '0-1'HP_3-10 HP-- - I hereby affirm that there is a construction lending agency for the Per- SERVICE SINKS -SUMPS - I - (INC. SOLAR) 30-50 HP 50 + HP .. formance of the work for which this permit it issued (Section 3097 FLOOR SINKS -- -" FLOOR DRAINS T - FIXTURES 'OUTLETS _ SWITCHES ' Civ. C.). - - - - - - -- - - -' - Lender's Name Lender's Address 'DRINKING 'FOUNTAINS -- -" '- - •GAS -TUBE SIGNS .- -- - - - INTERCEPTORS 'CLARIFIERS - - - POLE LIGHTS' - ' - - - - OWNER BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for SWIMMING -POOL P TRAP -POLES METERED - SUB the following reason (Section 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 re- - WATER 'SERVICE / -ALTERATION PANELS--- - MAIN SUB - quires the api.licanl for such permit to file a signed statement that he GAS SERVICE - OUTLETS' SERVICE - -- - - - - AMP' Is licensed pursuant to the provisions of the Contractor's License Law 'Chapter 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS / BTU OUTPUT -- Business and Prmfesslons Cotle) or that he Is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS " - - - any applicant for a permit subjects -the applicant to a- civil penalty of not more than five hundred dollars ($500). SOLAR TANK -' _-CO LL'ECTORS- - - - - - - - - -- - - ❑ 1, as'owner of the property, or -my employees with wages as their sole compensation, will do the work, and the structure Is not intended or offeretl for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ' R •' _-' ISSUE FEE - - - - - Contraclor;5-License Law does not apply to an owner of a property ISSUE FEE r qpp LIGATION APPROVED BY - - - - DATE who builds or improves thereon, and who does such work himself or iWough_his own employees, provided that such Improvements are not MECHANICAL PLAN CHECK SUMMARY OF FEES Intended or offered for sale. If, however, the building or Improvement Is told within one year of completion, the owner will have the burden of proving he did not build or Improve for the purpose of Sale). HEATING SYSTEM 0-100,000 BTU -- BUILDING - - - PERMIT E : - - - - SMIP ❑ I, as owner. -of the property, am exclusively contracting with. AND DUCTING -- -,- , .E _ licensed contractors to construct the project (Section Business 100,000+BTU PLAN CHECK E PERMIT - es not Law does applycon. and Professions Code: The Contds '- _ _ _ --_ ..ys ,� � ISSUANCE E- or improves and owner of property who builds or improves thereon, antl who con- REFRIGERATION 0-100,000 BTU PLUMBING E..,�L.�GZZ% I , tracts from such projects with a contractor(s) Iltpsned pursuant to.. tr -SYSTEM ,PLAN "GRADING b�-, the Contractor's License Law). 100;000 + BTI( r CHECK E_ ❑ I am exempt under Section - - B. & P. C. for this- - - - - -- - - - BOILERS BTU (ELECTRICAL E - _. E ' season- � .. f SYSTEM REPAI R, ALTERATION - EXHAUST SYSTEM MULTIPLE b � `PLAN CHECK V- MECHANICAL 'E _ � MICROFILM b - TOTAL FEE E' ' -- LESS AD - Owner I hereby certify that I have read this application and state that the above I her Information Is correct. I agree to comply with all City and countyPLAN CHECK E - VANCE PC b_ - ordinances and state laws Idling to construction, and hereby authorize ' - representativ Of this ay t en upon the above' mentioned' property for ct p s. �Z Q � � Sl gnalure pale I - ISSUE FEE - FINAL FEE b._s.l�__ Ll Drivers' License or SS CMF 0865-46 White -Building; Canary-Appticant; Pink -Accounting; Goldenrod -Assessor TL CONSTRUCTION AND PLANNIN APPROVALS Permit A C - Date Inspector POOL & SPA APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. SodPipe-Undrgrn - -•y 44. Steel Reinforcement - 3. - Electrical Conduit Utiiity-Undrgrn, 45. Forms . -4. Electrical Conduit-Undrgrn 46. Electrical Bonding - 5. Steel em orce 47. Rough Plumbing & Pressure Test - 6. Electrical UFQR Grn 48. APPROVAL TO COVER-GUNITE •- - 7. ootings _ 49. Electrical Conduit•Undr rn ' 8. Foundation. _. - - ' 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn - 51. Backwash Lines P•Tra Elndr rn 10. Structural Floor System 52. APPROVAL TO DECK 11. ..Property Sewer Line & House Connection: 53. Backwash & Receptor -Final _ 12. Street Sewer Connection.- - - - 54. Heater & Vent -Final 13. Rough Plumbing - -9Z - 14. Rough Electric -Conduit 56: Electrical -Final 15. Rough Electric -Wiring- - 57. Solar System -Final - 16. Rough Heating & Air Conditioning - - - - encing &.Access Approval 17. Ducts in Structure t APPROVED FOR PLASTERING ' 18. Ducts, Ventilating - - - 60.-POOL/SPA SYSTEMS FINAL . 19. Gas Pipe -Rough &Test -- 20. Roof Framing 21: Roof Sheathing- - - 'NOTES: , 22. Frame and Flashing 23. • Insulation - - - 24: Lathing & Siding 25. Drywall Nailing - - 26. Plaster Brown Coat - - 27. Electrical Power Meter -Final - - 28. Final Electric- - - 29. Final Heating & Air Conditioning - 30. Final,Gas Pipe -Test 31. 32. Final Plumbing 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 39. Special Requirements Completed - - i 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date - ' PROJECT ADDRESS: 2620 EL DE N AV UNIT: B_ I OWNER'S NAME: SOMERS, SALLY ADDRESS: 2620 ELDEN AVENUE UNIT B-1 COSTA MESA, CA ARCH/ENGINEER: 631-3193 REO.ND.: ADDRESS: 0 UNIT: 00000 PERMITTEE: NOCK PLUMBING (714)895-1246 ADDRESS: 11610 SEABOARD CIR STANTON CA 90680 LICENSED CONTRACTOR DECLARATION: 1 hereby affirm that I am Ikensed under provisions of Chapter 9 (commencing wl Section 7000) of Division 3 of the Business and Professions Cade. and my license is in full force and effect. Clrv\ucL:0503866 STATEUC.:511971 /Jc� C— ,Datea_v�"L� Signature: WORKERS' COMPENSATION DECLARATION: I hereby affirm the I have a ceNficate of wnsofmn, sell -insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (SecUM 3300, Lab. C). POLICYNO.: 116799290 EV.DATE: 03/01/92 COMPANY: STATE ❑ Certified copy is hereby tumished. DI Certified copy is N nN'th'e -dry�Build'aID, Division. ..Date: G / Applicant: IXEMPnON FROM WORKERS' COMPENSATMN DEMPMTMN: [(fes section coed not be amp tee 3 die pernN s lar ane hundred (5100) or less). 1 certify that in the performance of the work for which this Permt is issued, 1 shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date: Signature: NOTICE: It. atter making fids declaration, you Should become subject to the Workers' Compensation provisions of the Labor Code, you must larthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this perndt is issued (Section 3097. Civ. C). UNDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Pro:essional Code: Any dry of cowry which requires a permit to construct, alter. Improve, demolish, or repair any structure, prior to is Issuance, also requires the applicant for such permit to file a slgned statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than dive hundred dollars (5500). I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the El structure Is not Intended or offered for sale (Section 7044, Businessane Professional Code: The Contractor.' State License Law does not apply to an owner of a property who builds or improves thereon, and who tices such work himself/herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. It, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the property. am exclusively contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professions Code: The Contractors' State License Law does not apply to an owner of propewho builds or Improves thereon and who contracts for such projects cath a connCter(s) license pursuantrty to the Contractors' State License Law).1 am aware that proof of ticeu Watkei s Comperel Insurance should be provided to me. ❑ I am exempt under Section: B. S P. C. for this reason: Date: Omer: I do hereby certify that 1 am aware of and undersand the requiremeros of Cz0}omla Health and Safety Code Sections; 25505, 25533, and 25534 and that I or any future bugding oaupant wiMvill not (Circle one) need to comply with aid state woes and the requirements for a permit for construction or modification from the ANManagemem District. Residential construction applications are exempt from these provisions. Date: Appkant: I hereby certify, mat I have read this application and state that titre above information is correct. I agree to comply with an city and county ordinances and state Laws relating to bugling construction and lrereby a hut a mpresen of fids to enter u he Soovo-mentianed property Io inspection purposes. _ Date: l _ Signature: Driver's License or Social Security 16046 While—Building: Green—Code Enforcement; Canary—Applicant Pink—Revenue: Goldenrod—Aeeeaeor CITY OF COSTA MESA — BUILDING PERMIT PERM, NO: P 052304 PERMIT NO: P 052304 PLAN CHECK NO: N GOVT: N SUPP: A CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH JOB DESCRIPTION CHANGE OUT WATER HEATER SQ FT: CLAIM VALUE: CALC—VALUE: GROUP CaCC: R-3 / COMMENTS: SMOKE DETECTOR REQUIRED IN THE HOME #####a#II###II#*#*####a###II##aaa*###a**a**aaaa**a#*aaaa**a#*#aa****aa***a*a*a#*a* Z 0 N I N GS ERTEBQAUCIKRSE M E N T S MAIN BUILDING ----- ----- ACCESSORY BUILDING. ----- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RIGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 00000000 ZNE: REF NO: PLANNING NOTES> D E V E L O P M E N T S E R V I C E S" R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY DATE: _ — _ APPLICATION ISSUED BY: OAT E: LEGALIZATION:N F E E S U N M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SNIP/.RES GRADING PERMIT 2.00 — 25% SM,IP/NEN—RES ISSUE FEE 3.00 BUILDING—DIV—> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 2.00 3.00 0.00 5.00 5000 .00 REVENUE DIVISION TOTALS— > COLLECTED: 5.00 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN.—CHECK 5.00 I N D I V I D U A If, F E E B R E A K D O W N TYPE QTY D E S C R I P T I (h N UNIT COST TOTAL COST. PLU 1 WATER HEATER AND/OR VENT 2.00 2.00 END OF FEES �1L4?E: I;.y; �•,^sae. .1'. ...4i UJ CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit # - rDate Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole, , 52. Pool & Equipment Location 2, SojlPipe-Undrgrgd.0 �a 53. Steel Reinforcement ..3:+ElectricaI Conduih_Uttlity-Undrgrnd._ - 54. Forms `4} Electiic�l Conduit-Uiidrgrnd. • 55. Electrical Bonding - 5. St eeliReinforcement 56. Rough Plumbing & Pressure Test 6; Electrical UFER,Grnd. - 57. APPROVAL TO COVER-GUNITE 7. Footings _ ,- 58. Electrical Conduit-Undrgrnd. h 8. Foundation 59. Gas Pipe, O 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 ) ;J 63. Heater & Vent-Final 13. Roof Drains• 64. Plumbing System -Final - - - 14. Rough Plumbing: /' 65. Electrical-Final 15. Rough Electricat'-Conduit .� � 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 117. 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 I ) -+ .wry �•r {, .A f8.}-1 Or .rte. J­ '1 1'11 J r+, r ,• '1 APPRO.VALS,,'.Permn # i7 f '.'1 <L 20. ,Rough Fact Fireplace I , _ _ 20. n 1 J r-:� h. .# „ . - 21.-Duct, inStructure,+> I • •• ^+ � s' t -+4 i0. Ul�idergrR oird,HyBSo ob _ _ s..•, 22. Ventilating'; j 'a j :..a ,al. Product PiPigg OGas El'Oil •Duct'?, ) t tp 23.-Gas :Pipe-Rough &Test 1 ) } .t -• -12. Underground FluMc •' _ _ ,� ;i 24.'RocdFramin' s g•ly ••'� J, as .73. �u nderg rn Stora a ljank O Gas ❑ 07 g „ _0 0 { 25. Roof-Sheathing J / i ) Jtt n 74. Overhead Hydro? .r y 26. •T-Ba; Ceiling (Struc ural) & MchO_coat y -_"` 75. Dry Chemical _ .•` " 27. Frame and Flashing., tr.' 76. Dry Standpipe ,y ' 28. Lathing 8& Siding-,* j` ;; '= "1 ••I +•Ir r 77,T.+FIXED STEMjFI,N��L;:'-, i ,- '29. Insulation {•a ,t 1 hi? 78. FIRE PREV.FIVll ?� 30. Drywall.ljailing° I I In ` '-' • 4 MtALTH DEPT,`ReOORENIENT V 31. PlasterBrown7Coatl*• I •+'�- a 'ar79. FINALINSPICT ION I I `.32.!Electricaf•Power ^^��•e• e,: all -110� • 80.: OOD CERTIFIEA-tE ISSUED -33.,FinahElectric, ,•. n 1 a C:4d _CEO "84 J'FinaF HeSting & Air+Conditiohirig 135.rFina(Ga Pipa,Tes(Q t rr-• I I -bks n S'n 1 26. Hood or Canopy 1:1)J 1 .'-1 J r. 1 +Isr-p .' 7J .r T • I Inn r 1 S .J d '1 "1 . Factory Fire>•place .< .. - +F _37indl -. •F z I --- •) a _ 1 0 = _ v '38. Final Plumbing r q l (t c x I n '39. Water Service.Final'„ 1 0 ,+ 1 ' '40. Gas Service-Final a't S ^,r r.^ 1 1 lou nru Jro x .1. Solar Domestic-Final n •• n 1 1 a -• u 42. Backflow Preventers J is I I Id G A y'- •� ••" -, n d- t) O :'j M%) h N 43. Backflow Irrigation,#p, , 444. Landscape Irrlgatiori System) "•b n r J 7# # s V =•a o `� r , a ••-:-icy- 45._Sound -1„,• r. s •- .• ra tr -) •. .•. u•;� saa Attenuatiorb' # ,-t •+1 •n+s#•- a •r a 1-A # -46. -Handicap, Regulations i a ? h tie tr c JO :} - A "_n ] # !6r47.`FISTRtTUV&BUIIDIN13 A 10fl~'J I -CZ n. la a I 48.-61NALPLANNING4 1 v r i}t)n) n a o + .• 1 n �, e1 N c iF 1 Relerse to Edison I o I I R -a:IK ,u49.ctleciric •'1 SO.�Gas; Release to Southern CalifomiaGas Co 9 t 1 ,A' a ., a • n= + •-61. CERTIFICATE OF OCCUPANCY r <1 C 7 n No. Date • Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY. OF COSTA MESA PERMIT NO. - ==-TRACT NO. LOT NO. 'q ICONSTRUCTIONPERMIT /nsa78' -' -Project Address �- �. - TYPE OF CONSTRUCTION - - • - - ' Owner - py - Phone - O,> JqNEW ❑ ADD ❑ ALTERA - '3�rr� /' / "-� ' •' - TL Address Q� _ ❑ REPAIR ❑ CONVERSION ❑ ZONING REGULATIONS " Arch/Eng. - ' Licenk No. - -- 11 OTHER ... _. - .. DESCRIPTION OF WORK A.P. Address - - "f - - -' - - ZONE - - _ PLNTG. F. -� - - COOLrattdr -OJ /�Lr %yeses{ Phone TYPE OF PERMIT, BUILD p# gRtEJ RTV LGNE .Address4 Ll GRADING ❑ FOUNDATION O STRUCTURAL SETBACK CIL ST. SIDE YARD PROPEI - - - LICENSED CONTRACTOR DECLARATION '❑ TENANT O ELECTRICAL ❑PLUMBING XMIECHANICAL I hereby affirm that'l am licensed under provisions of Charter 9 (com- SIDE VA RIGHT - mencing with section 7000) of Division 3 of the Business and 1] OTHER- _ ' - - Professions Code, my Ilcense is in full force�a aSn'tl.7 iisj -COMPENSATION : PROJECT DESCRIPTION- REAR YARD (TO P/L) - - ,� License ass License No.17.;rA /d. _ PKG. SPACE REQ. PROVIDED Date Signature `- - - _ SQ. F-(.' STREET WIDTH PARK FEE E WOR ER DECLARATION .00CUPANCY '_CONSTRUCTION TYPEST -1hereby affirm that I -have a certificate of consent to self -insure or;a 'VALUATION ZONE ZONING APPROVED, BY - - DATE sorry certificate of Workers' Compensation In nce, or -a certified copy thereof ( on 3800, L�ab-. CJ. , % 2I-.ts1 Sei`�trl1 GRADING CU. YDS. ACRES SPECIAL CONDITIONS: a- • D7L 7YL ��, y Ne inC' Com Pan)', "^tr s /.d-�":/ - _ _ __ :ertlfied copy is hereby furnished,- REMARKS:' copy is filed with the city Building Division.~ %Certified EMPTION FROM WORKERS' COMPENSATION'DECLARATION ,(This section. need .not be -completed, if the permit. is for one huntlretl - ... _ - _ _... .._-.. .., .. '•" - .� x,11 or leIt,.., '. u,certify SE100) that.In.the performance of the work for which this permit Is issuetl, I shall not employ any person in any mapper so as to become ; PLUMBING ' - t PLAN CHECK-+` + ELECTRICAL: 'PLAN - CHECK... 3 subject tot a Walkers Compensat on. s of_ orni " _ INU --- - - -.UARA jd ]� L Date Sign ur •� BATHTUBS SHOWERSUWt ' se NOTICE:,If a ter making this tlec ora tion, you s Itl become subject TOILETS ; •r, 'V RINALS - `GENERATOR 0-1 KW_1-10 KW to the Workers' Compensation provisions of the bor Code, you 'must- - TRANSFORMER fort hwith.comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS " - . APPLIANCE' 10-50'KW50 + KW- 'CONSTRUCTION `KIT.'SINKS'" "' DISHWASHERS" 'T' --' 'MOTORS 0-1' HP" - ' "__- 1-10'HP' - - - LENDING AGENCY II hereby affirm that there is a construction len tli ng agency for the per- SERVICE SINKS ;_SSV MPS- -` (INC, SOLAR) -- 10-50 HP= 50 1 H - - fbrmance of the work for fbith this per is Issued (Section 3097 FLOOR SINKS FLOOR DRAINS' - FIXTURES ' ' 'OUTLETS" - 'SWITCHES- - Civ. C:). ,'/ //yy/� �- - - Lender's Name //OCTri•go` /) Lender's Address r,,ib/z-- r .9- DRINKING FOUNTAINS - ` -GAS TUBE SIGNS' "' -' •'— -` - INTERCEPTORS CLARIFIERS - POLE LIGHTS"� ' ' - • -.' - t S OWNER BUILDER DECLARATION I hereby affirm that I am exempt from.the Contractor's License Law for SWIMMING POOL '- -- PTRAP - - " ""-' -- - -" - ' the following reason'(Section 7031.5 Business antl' Professions Cotle:' Any city or county which requires a permit to construct, alter,1. / POLES METERED SUB WATER SERVICE ALTERATION PANELS - --" "MAIN - - -" SUB - - - improve,' demolish or repair any structure, prior to its issuance, also re- quires the applicant for such permit to file a signed statement that he _ GAS SERVICE OUTLETS - SERV ICE' "- -AMP - is licensed pursuant to the provisions of the Contract ors -License ' Caw (Chapter 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS BTU -OUTPUT c ���' -t ._- - � l �"' - K I'' - - Business and Professions Code) or that he Is exempt therefrom and the for the alleged exemption. Any violation of Section 7031.5 by - SEWER CONNECTIONS- G - applicant for a permlt-subjects' the applicant to a civil -penalty ,ot more than five hundred dollars ($500). SOLAR TANK -COLLECTORS ' • - _ U I, as owner of -the property, or my employees with wages as their sole compensation, will do,tbe work, and .the structure is not intended or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SVS. ISSUE FEE - - Contractor's License Law does .not apply_to an owner of a property - - ISSUE FEE 'gPPL'ICATION'APP ROV ED'BV' - 'DAT EIb Zi who builds or improves thereon, and who does such work himself or through. his.own employees, provided that such improvements are not MECHANICAL PLAN CHECK SUMMARY OF FEES -intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the owner will have the burden_ - �BUIL-DING— ; of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU _ �_ _ _ PERMIT $ I SMIP ❑ I, -as owner of the -property am exclusively -contracting •with AND DUCTING ~300,000! _- licensed contractors to construct the project (Section 7044, Business BTU PLAN CHECK $ .PERMIT . and Professions Cotler The Contractor's License Law does not apply to- - - -ING - - - - -ISSUANCES $ owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $_ 1 , tracts fro a' contractor(s) licesnetl pursuant to tracts -' SYSTEM- "' "' - - -' •GRADING $ actor's cenects- ). the Contractor's License Law). 100,000'+ BTU PLAN -CHECK $1-_' •' 1] I amexempt under Section - - B. & P. C. for this BOILERS BTU a ELECTRICAL $ '' - $ reason _ ^• - SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM _ MULTIPLE - PLAN CHECK --$ Def MECHANICAL $" 7 I "t ' ^' MICROFILM $ a' 'TOTA L;FEE,$ LESS AD- AD - Date - Owner above., certify that have readagree this application and state thatand information information Is correct. I agree to comply with all city and county "PLAN'C HEC K' $' P $ - - ordinances and state laws rel ting to construction, and hereby, authorise /1t , ' ., "i � , representatives of this to Anter upon the above mentioned or 0 pert for uJ p9jpS � - _ '_.may pu6decti �/ 519natu CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNING APPROVALS Permit # m Date i '- i1 IRspectoP 1 POOL :& SPA .' ' APPROVAL& °L • Permit #'� . Date tl l "• ; �' Inspector' 1. Temporary Electrical Service or Pole ' ' Pooh& Equi Dmen$Loeation- •;••- - - - -•- Undr Steel ReinforcementP-` - .-_3.lectrical Conduit Utility-Undr rn ,, .._ 45a .-_i, Forms 4.. Electrical Conduit Undrgrn_;_-_- ._.46. ElectricuBond-P �_.. tee em orce�` 47. Rou'h+P.mbnrsure'Test= es� 6.Electrical UFERGrn d - ""48: APPROVA'LTO,COVER-GUNITE'`� ` 7 Footings "" rr�:'. .-'- ' } - - - - 49. Electrical Conduit-Undr rn ' '^ ,.r _,,;,•�.; 8.. Foundation---- 17, - 50., Gas Pipe,❑Undr rn;.Test >• ' "• =' •,- i.-9._ -Water. Pipe-Undrgrn_---- _ - '-'� `? _ 9 51. Backwash Lines P-Tra `'❑' ndr'r 1-10. _Structural Floor -System- -- 52. -APPROVAL TO DECK L_11,.__Property_Sewer Line.& -House. Coni iiciion_-'__ : " ^11 53. Backwash & Reca tor -Final'-=!" ' a r __ .. ... re + +• 112.__Street.Sewer-Connection _-__-`_ _ __ - •v ,o _ ._ _54.- Heater&•Vent-Final 13. _ Rough, Pl-umbing-- --- -- --- � : . -PIum -,• ._ : --- --- 14. Rough Electric -Conduit - - -- -- --- -- - ---,,56.,--Electrical-Final -- ���_•:.� . - - r._ ••., `' 15. Rough Electric-Wiiirig "'- - - _ '-- ---- - ------ 57{= Solar -System -Final I- 16: ==Rough-Heating&=Air- Condition ing--- -- - -i-_ ---_ =. =___J' _ -encing &-Access,Approv'a -1.7.!_Ducts'.in.Structure_ APPROVED FOR PLASTERING v I-- r18.1-- Ducts;. Ventilating __ ----_ _ �._T__ _ _- _ __- - - 60. POO USPASYSTEMS FINAL ate+"•' 19.' Gas Pipe- Rough'&'Test- 20.Roof Framing' 21.! RoofSheathin - --NOT ES: - = ` _r . •.c• .� u..r....,r>v_ " r 22.' .Framearid.Flash. in --- - 23.f -Insulation or _ &.S ding._- ----- - - -- - 1-i- - - _-- --�+r• _.\'24.'-Lathin A' _ -, ... 25.. Drywall Nailing - 1 ` - -- n .,� - - - , _ "�,.., _ -. 26. . Plastef..Brown.Coat r _ mon u _L, -- , _27.1.Electrical .Powec.Meter_Final-_..- 28r-Final 'Electric- F 29.' - Final. Heating - -- - - -30.'.-.Final.Gas Pipe -Test _-_ _ _ . __ .. . __T_ -- .aJ.. �- --- •" - _... -, A' ' �;,.- !-31. . Final. Plumbing- -- ---.._ __ ..------ ---�--- 1 .-...: .. -. .. _,.� •..- - ,; •. . ' 32,-Water!Service-Final-- . %33:.. --Gas Service-FAI,._. - - - - - -- - - -' 34. Solar Domestic-Firial' ti i f 1 .' - - v .,• '. + - .' . .`.�'.•. 1 35. Landscape Sprinkling System - f I L. + -_--- ''' _ • -" "` '• - • 36. Sound Attenuation H.._ : ; ' '" ' -"' s - -' -•`+ . - ' 137. Handicap Regulations _. .r•- '• i ' I_ _- _; oo+ •, .. .. , . v - -- - ! 38. FINALSTRUCTURE&BUILDING - 39. Special Requirements Completed - '''''-_- -- ' ' -' '-' •� 40. Electric Release toEdisom-:.� 41. Gas Release,to Southern California Gas W. •" 42. ,\CERTIFICATE OF OCCUPANCY _ _•.�: No Date trS_,-aa- -- .:'� „ :C.. r\rr�•)_� ... '., i i Ap Olicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PE 1T NO. - - TRACT NO LOT NO BLDG NO. CONSTRUCTION PERMIT Project Address L`G' TYPE OF CONSTRUCTION ' Owner pct . Phone NEW 0 ADO --0 ALTERATION Address ❑ REPAIR D CONVERSION ❑DEMOLISH - Arch/Eng. - License No. 0 OTHER DESCRIPTION OF WORK Address - - • . - - .. COY U J A PE OF PERMIT 0 GRADING 0 FOUNDATION �1=1 STRUC URAL -- 0 TENANT D ELECTRICAC.OPLUMBING ECHANICA D OTHER ' -Addreu - - LICENSED. CONTRACTOR DECLARATION 1 hereby affirm th:.t I am licensed under provisions of Charter 9 (com- mencing with section 7000) of ' Di vl si on 3 of.. the .Business and ' Professions Code of my license Is I full fort antl effect. License Class LI se N 6 .. pROJECTDESCRIPTION, 1 SO: FT. _ - STREET WIDTH Date Signature WORKERS' COMPENSATION DECLARATION _ OCCUPANCY_CONSTRUCTION TYPE - I hereby affirm that I have a certificate of consent to self -Insure or a certificate of.Workers' Compensation Insurance, -or a certified copy VALUATION ZONE - thereof (Section 3800, Lab. C.). GRADING CU. YDS. ACRES 'Icy No. - - Company ,ELECTRICAL PLAN CHECK ' ;UWLLLINU --=AGE SO, FTqQ lertlfied copy is hereby furnished. _ - REMARKS: 1-10 KW _ Certified copy is filed with the city Building Division. EXEMPTION FROM WORKERS•COMPENSATIONDECLARATION e ,APPLIANCE - 10-50 KW_50 This section need not be completed if the permit is for one hundred 'MOTORS -' 0-1 HP_1-10 HIP or less): - ,FIXTURES •^' OUTLETS '-- 1$100) cart(fy that in the performance of the Ork r which this p mit is Issued, I shall not employ any person an n r so as to a me PLUMBING. - -.PLAN CHECK' - , -- sub, a Wa ers' Compensatio ws BATHTUBS - SHOWERS _ Jecj Date/.-k�" Signature TOILETS _ URINALS - SUB _s NOTICE: If at fr making this de laration, you out come subj ct to the Workers- Compensation provisions of the labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. I CONSTRUCTION LENDING AGENCY '� V - -. LAVATORIES DOUBLE LAYS - -KIT. SINKS _ DISHWASHERS' -' SERVICE SINKS �� 1 SUMPS ' 1 -hereby affirm that there is a construction lending agency for the per. formance of the work for which this permit is Issued (Section 3097 -FLOOR SINKS- "^"' FLOOR DRAINS j ISSUE FEE `•'-" Civ. C.).^ - -- - -. -- ••- - - --- - «-. Lender's Name � -' -" Lender's Address — DRINKING FOUNTAINS�, - _ - 'INTERCEPTORS- _-' CLARIFIERS- -•' ' -' OWNER•BUILDER•DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the -following reason(Section-7031'.5s13usiness. 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 re-. quires the ap,. licant for such permit to file a signed Statement that he -.SWIMMING POOL--- - •-P TRAP• ---^--= - • - - 'WATER SERVICE"''• -'ALTERATION' • GASSERVICE­ -OUTLETS - 'PLUMBING $ Is -licensed pursuant -to theprovisions of the Contractor's -License Law- ((Chapter 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS •- -- BTU OUTPUT GRADING- $ Business -and Professions Code) or -that he is exempt therefrom and the. �--is for the alleged exemption. Any violation of Section 7031.5 by -SEWER CONNECTIONS'•-' ELECTRICAL $ applicant for.a-permit subjects the -applicant to.a-civil penalty- of more than five hundred dollars ($500). SOLAR TANK'- ' ' •• -COLLECTORS 'MICROFILMS L,'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 QQ "zTOTAL FE $ E or offered for -sale: (Section 7044, Business and Professions Code: The "SOLAR PIPING SYS.- YS.Contractor's Contractor'sLicense Law does not apply to an owner of a property. who builds orimprovesthereon, and who does such work himself or - ISSUE FEE- '-VANCE ihrough his own employees, provided that Such improvements are not • MECHANICAL PLAN CHECK ._ __- -._ ,t Intended or Offered for sale. If, however, the'DUilding'Or Improvement' Is sold within one year of completion, the owner will have the burden HEATING SYSTEM 0-100,000 BTU .AND DUCTING 100,000.+BTU ' q/ of proving'he did' not Dulitl' or Improve 'f Or the' purpose Of sale). D I, .as owner Of the property, am exclusively contracting with. licensed contractors to construct the project (Section 7044, Business_ and -Professions Code: The Contractor's Llcense.Law does not apply to _ REFRIGERATION 0-100,000 BTU an owner of property who builds or Improves thereon, and who con. tracts from. such projects with a contractor(s). lieesned .pursuant to the Contractor's License Law). ..SYSTEM - -- 100,000,+ BTU [1 -1 -am exempt -under Section -B.-& P. C: for this BOILERS BTU reason Date Owner SYSTEM REPAIR, ALTERATION _ I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE t information is correct.'I-agree to comply with all city and county ordinances and sVe layls relating to corlstruction, and hereby authorize SignatureDate •�`''-// -.ISSUE FEE - Drlvers"L¢ehse or - CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod Assessor A.P. $ ZONE PLNTTG.. RE/1F. rg plI7 BUILDING SETBACK C/L ST. PROBPttEI RTOVNL NE niun i REAR YARD (TO P/L) - �PKG.SPACE REO. "'PROVIDED`,' ' STREET WIDTH - PARK FEE $ ]ZONING APPROVED BY DATE SPECIAL CONDITIONS: - ,ELECTRICAL PLAN CHECK ' ;UWLLLINU --=AGE SO, FTqQ FT GENERATOR 0-1 KW_ 1-10 KW TRANSFORMER r) ,APPLIANCE - 10-50 KW_50 +KW - - - 'MOTORS -' 0-1 HP_1-10 HIP ;(INC. SOLAR) _ .. 10-50 HP_ --50-+ HP - ,FIXTURES •^' OUTLETS '-- SWITCHES - �GASTUBESIGNS--' -^--- - - - - s. -POLE LIGHTS •' ' " - -- - - - _ 1 'POLES - - METERED .SUB ' -��i: •- - 'PANELS MAIN'- - SUB _s -SERVICE •• - -' --- --AMP• - •'- j ISSUE FEE `•'-" "- -,'- - - 'APPLICATIONAPPROVEDBY•- •DATE ' SUMMARY OF, FEES. BUILDING _ - - PERMIT $ ��SMIP - S _ 'PLAN CHECK $ PERMIT • ISSUANCE - 'PLUMBING $ - - GRADING- $ •PLAN CHECK $ , • p ELECTRICAL $ - - $ 'PLAN'CHECK 'MICROFILMS - §- - QQ "zTOTAL FE $ E MECHANICAL"$ •- LESS AD- PLAN'CHECK- E '-VANCE • FEE S/3a10,J ._ __- -._ ,t ._ _FINAL CONSTRUCTION AND PLANNING t X APPROVALS Permit # �,,'t u Date Inspector POOLt& SPA APPROVALS .. Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Locatiori 2. Soil ipe- n rgrn 44. Steel Reinforcement- Electrical Conduit. Utility-Undrgrn . 45.- Forms - - 4. Electrical Conduit-Undrgrn _- _ 46. - Electrical Bondin _ - - -'- - - - - 5._ teeReinforce 47. Rough Plumbi6 &Pressure Test = - -- • - - 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE - - 7. Footings _ _ 49. Electrical Conduit-Undr rn ' 8. - Foundation 50. Gas Pi Undr rn, Test 9..- Water Pipe-Undrgrn 51. Backwash Lines P-Tra - ❑ Uhdrffin 10.. .Structural Floor System 52. APPROVAL TO DECK 11. _ Property Sewer Line &.House'Connection - 53. -Backwash &•Recetoi-Final 12.. Street Sewer Connection. _ - - - 54. - Heater & Vent -Final. ' 13.. Rough Plumbing _ _ _ - 14. Rough Electric -Conduit - "56. - Electricals -Final" - 15. Rough Electric -Wiring --' - -57. Solar System -Final - 16. - Rough Heating &-Air Conditioning' - btS, Fencing & Access Approval 17. Ducts in Structure - b- _ APPROVED FOR -PLASTERING.., _ 18.- Ducts, Ventilating - -• - - -- 60. POOL/SPA SYSTEMS FINAL ., - 19: Gas Pipe -Rough &Test 1 - 2W- Roof Framing 21. Roof-Sheathin - - - - ---- - - --_ - - - - -- - '' '- NOTES: - 22.- Frame and Flashing 23. -Insulation - - 24. Lathing & Siding 251 --Drywall Nailing - - -- 26.- Plaster Brown Coat - - -_ - -- - -.-� - - - ' - 27: - Electrical Power Meter -Final - - - - - - - - -- - - -- 28: -Final Electric - - -' - - - -F - - •. ' ." .' 29: -Final Heating & Air Conditioning - --- Z - 30: _.Final Gas Pipe -Test - - L -31. . Final Plumbing- - - - - - - -- -- ,•,32-.-_ Water Service -Final- - -- -- - - - ' 33. A 'Gas Service-Fin64.: 34. Solar Domestic -Final 35. Landscape Sprinkling System ''•' - 36. Sound Attenuation ! - - •• - ' 37:- Handicap Regulations. 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release -.to Edison _ - i 41. Gas Release to Southern California Ga's'Co. 42. CERTIFICATE OF OCCUPANCY Date Applicant to fill In all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG. NO. CONSTRUCTION PERMIT E 14 1 06 - oZ Y 0604 ]/(]1 /e2 35.45 Project Address �D L - 2 TYPE OF CONSTRUCTION ❑NEW ❑ADD ❑ALTERATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ❑ OTHER _- - _ ZONING REGULATIONS' Owner Ca Phon 2 n Address 3 0 l/ L Arch/Erig. C_,Af Ig License No. DESCRIPTION OF WORK A.P. 9F -' ZONE . PILING. REF.' AddressC"' 0 _ Contractor - OG Phon �5�0 TYPE OF PERMIT. ❑GRADING • -f❑ FOUNDATION "O STRUCTURAL TENANT ELECTRICAL PLUMBING ❑MECHANICA SETBACK C T. 51 YARD LSIp YA 'rp g1.IILpIrvG PROPERTY LINE _ _ Address - � - � - ;LICENSED CONTRACTOR DECLARATION that t licensed Charter 9 1 hereby affirm am under provisions of (com- section 7000) Division -3 -of the Business -and ❑ OTHER. RIGHT. .men Cing with of, Professions Code and y license is In full forte a d effect I -- - I I - PROJECT DESCRIPTION - - , REAR YARD (TO P/L) - 'License CI s nse N - Q. FT' _ ._ _ PKG. SPACE RED. - PROVIDED ' Date71 Signature OCC UPANCY_ CONSTRUCTION TYPE STREET WIDTH PARK FEE $' WORK RS COMPENSATION DECLARATION I hereby affirm that 1 have a Certificate of consent to self -insure or a VALUATION s ZONE ZONING APPROVED BY DATE Certificate of Workers' Compensation Insurance, or a certified copy it hereof (Section 3800, Lab. C.). E GRADING CU. YDS. ACRES SPECIALCONDITIONS: ' ' _ 'Icy No. Company- _ :ertifled copy Whereby furnished. - -. -•- - REMARKS:-- -- -- . �-s Certified copy is filed with the city Building Division. 'EXEMPTION -FROM WORKERS' COMPENSATION DECLARATION :(This section need not be completed if the permit is for.one.hundreo or less!. ,($1001 certify that n the performance of the.work for. which this permit is. ,issued, b shall not employ any person in any manner so as to .become ,PLUMBING ' ,PLAN CHECK .ELECTRICAL PLAN CHECK" subject t0 the Workers' Compensation Laws of.Califor nia.:L . .. BATHTUBS SHOWERS _ Date Signature NOTICE: if after making this declaration, you should become subject •TOILETS- ,URINALS GENERATOR _ G-1 KW_ 'TRANSFORMER 1;30 KW 'to the Workers' Compensation provisions of the labor Code, you must forthwith comply with such provisions or this permit shall be deemed - __ _ LAVATORIES OOVBLE"LAVs __ _ 1APPL1ANCE 30-50 KW_:�:50+KIN - - •c „f' revoked._-_ _I _ _-r _ .- __._ ____ _ _.- ,CONSTRUCTION LENDING AGENCY _ -_ _ KIT. SINKS DISHWASHERS { _. ,MOTORS `0.3 Hp1-30 HP, - ;I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS ?T,,;,•SUMPS - -� -� •(INC':SOLAR)-•-10-50'HP_ 50+HP—- formance of the work for which this permit Is issued (Section 3097 FLOOR SINKS FLOOR DRAINS .FIXTURES -OUTLETS SWITCHES - Lender's Name ,Lender's Address e DRINKING FOUNTAINS GAS TUBE SIGNS - - INTERCEPTORS CLARIFIERS ,POLE LIGHTS - -� OWNER 'BUILDER DECLARATION--" - d 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 ' PTRAP' - "-' - 'POLES Any city or county which requires a permit to construct, alter, METERED SUB, :'r, - WATER SERVICE ALTERATION- I ',PANELS MAIN �� SUES Improve, demolish or repair any structure, prior to its issuance, also re- quires the apOicant for such permit to file a signed statement that he _ GAS SERVICE OUTLETS ' ,C- s SERV ICE AMP - V((Chapter Is licensed pursuant to the provisions of the Contractor's License Law 9 (commencing with Section 7000) of Division 3 of the WATER -HEATERS - - BTU OUTPUT-' - 1 _',.n-'�' --' ''r,' - r Buslness-and Professions Code)`or that he Is exempt' therefrom and the r -Hs for the alleged exemption. Any violation of Section 7031.5 by _ SEWER-CONNECTIONS applicant for a -permit -subjects' the 'applicant .to"a%lvll -penalty ,of more than five hundred dollars ($500).- SOLAR TANK - COLLECTORS - - -' - - '�, I, as owner of the—property,-6r my employ-ee5 with wages as then sole compensation, will -do the work, and the structure.is not intended, ' ' _ _ or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ) I ISSUE FEE Contractor's. License Law does not apply to an, owner of a -property who builds or Improves thereon, and who does such work himself or - - - - ISSUE FEE -- , -'APPLICATION APPROVED BY DATE , DATE - through his.own employees, provlded.that.$uph improvements are .not MECHANICAL - PLAN CHECK , i SUMMARY OF FEES Intended or offered for sale. Ii, however, the building or Improvement Is sold within one year of. completion, the owner will have -the burden of proving he did' not build or Improve for the purpose of sale). HEATING SYSTEM_ 0-100,000 BTU .: BUILDING-'. !PERMIT $ '�•• $ ❑ f,' as - owner of the property, am exclusively contracting with -- ANDDUCTING -_- _ y _SMTP" - - licensed contractors to construct the project (Section 7044, Business 100,000 t BTU PLAN CHECK E -PERMIT „ and- Professions -Code:•The-Contractor's License Law does not apply to ISSUANCE -E an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING , tracts from such projects with a contractor(s) licesnetl pursuant to SYSTEM - GRADINGS^ the Contractor's License Law). - 100,000? BTU .- PLAN CHECK $' , ,•s- ❑ I am exempt under Section- - B. & P. C. for this BOILERS BTU 'ELECTRICAL $�$ reason - - SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE 'PLAN CHECK E •MECHANICAL E MR ICOFILM E TOTAL FEE $ LESS Dale Owner 1 hereby certify that 1 have read this application and state that the above Information is correct. I are to Comply with all cit and count 9 PY Y Y PLAN CHECK g E P VANCE PC $_ ordinances and state ws rel'tlppg tocon ruction, and hereby authorize - - representatives o ci 9 ente upon the above a tion d property for In n { rises. q� Slgnat ure •f 0865-46 White -Building; Cana,Y-Applicant; Pink -Accounting; Goldenrod -Assessor TP CONSTRUCTION AND PLANNING APPROVALS Permit # L�/�p�o Date Inspector POOL & SPA_ ' Date Inspector APPROVALS Permit # - 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 ein orce 47. Rough Plumbing & Pressure Test 6. Electrical LIFER Grn - - 48. APPROVAL TO COVER-GUNITE- - -- - - - 7. Footings - ' ' 49. Elecirical Conduit-Undr rn - - 8. Foundation - 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Trap.EI' ndr rn- 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final - ' 12. Street Sewer Connection 54.- Heater & Vent -Final 13. Rough Plumbing -Fr Ph-mb'no System - Final 14. Rough Electric -Conduit - - - 56. -Electrical-Final 15. Rough Electric -Wiring - E, -- 57. Solar System -Final 16. Rough Heating & Air Conditioning - - - _W. Fencing & Access Approval 17. .Ducts, in Structure 59. APPROVED FOR PLASTERING •,18. 19. 20. , Ducts, Ventilating Gas Pipe -Rough &Test _ Roof Framing 60. POOL/SPA SYSTEMS FINAL ' 21. 22. RoofSheathing- Frame and :Flashing ._ - - _ __ _i _ _- NOTES: 23. Insulation 24. Lathing & Siding 25. Drywall Nailing 26. Plaster Brown Coat - _ 27. -Electrical Power Meter -Final' 28. \Final Electric 29. Final Heating & Air Conditioning ' 30. Final Gas Pipe -Test 31. Final Plumbing - 32. -Water Service -Final ' 33. Gas Service -Final •' ' 34. Solar Domestic -Final •': - 35. Landscape Sprinkling System - 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING ---- 39. Special Requirements Completed - - -• 40. Electric Release to Edison - - 41. Gas Release to Southern California Gas Co. - ,42. CERTIFICATE OF OCCUPANCY ' No- Date - + Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. 8 N '. :CONSTRUCTION PERMIT Sr"] I ` Project Address TYPE O CONSTRUCTION 0376 6/30/82 31..00 TL, . Owner Phone W ❑ ADD ❑ ALTERATION _ Address - - ❑TREPAIR ❑ CONVERSION ❑DEMOLISH . ❑ ZONING REGULATIONS ' Arch/Eng. License No. OTHER A. P. # _ Address DESCRIPTION OF WORK ' ZONE PLNG. REF. gr- - - - - Contractor Phone TYPE OF, PERMIT-, - 'SETBACK T3�pp ggUU1RTY LL,.ppING r PROPE ( I Address - - -' 'EIGRADING_ ❑-FOUNDATION��❑ STRUCTURAL ^-- C ST. LINE LICENSED tONTRACTOR DECLARATION - ❑ TENANT ❑ ELECTRICAL 91"CUMBING ❑MECHANICA I hereby affirm thtt 1 am licensed-under provisions of Charter 9 (com-, 'Division rp ❑OTHER'- 55E BLIGHT •- -t mencing with section 7000) of 3-of the Business and Z lProfessions Cod a my license is in full for and eff cI. rgtl y / '` PROJECT DESCRIPTION'_ - - REAR YARD (TO P/L) 11-1ce 5�C1 —✓�� LiceOse ff9. f PKG.SPACEREO. _ - PROVIDED, " :Date c o /s:py SO. FT: - _ -. _ _ ,..,» =.• ,, . •. �OCCUPANCV STREET WIDTH PARK FEE,$ .- COMPENSATION DE(:CARATION ----- CONSTRUCTION TYPE- ,WORKERS' I hereby affirm that I have a certificate of consent to self-Insure or a. VALUATION ZONE ZONING APPROVED BY -DATE rker Ins certtherleoi(Sete df Workers'Compensation pLa certified copy Surae \Ts'-L^ \� C) ( -1 GRAOINGICU. YDS. ACRES .SPECIAL CONDITIONS: ' `p'(flp0 Policy No. Co mpanY 11��ertified copy is hereby furnished..- -.� _ __ Jl '_ REMARKS: , Certified copy is filed with the city Building Division. '.EXEMPTION FROM WORKERS' COMPENSATION DECLARATION ,(This section need not be completed if the permit is for one hundred! certify,that 1 n.theperformance of the work for which this-permit pis I .Issued, I shall not employ any person in any manner so as.to become _ PLUMBING - 'PLAN CHECK-'- - - ,ELECTRICAL - - - PLAN CHECK =; _ subject to.the Workers' Compensation LawS.of California.'' - _ . _. _- _ _. _ '�UWI BATHTUBS SHOWERS -"' - Date —Signature FT.- FT NOTICE: If after making this declaration, you should becomelsubjec[ I'TOILET,S ,- ,�., •s, URINALS' `-'"' -""F "� '.GENERATOR -0-1 KW_1-10 KW to the Workers' Compensation provisions of the Labor Code, youmust•.. 1. ' " 'TRANSFORMER forthwith comply with such provisions or this permit Shall be deemed _ LAVATORIES DOOBLE'LAVS-'-' "- ^APPLIANCE 10.50 KW_50 +•KIN - - - 'revoked. _ —' - _ _ _: - _ _ �_._ •- - --- ,CONSTRUCTION LENDING AGENCY 'KIT: SINKS - DISHWASHERS - ,MOTORS 1- 0-1 HP_1-30 - -' - HP - 11 hereby affirm that there is a construction lending agency for the per- SERVICE SINKS ,' _] , �/J SUM PS -"'" "' -'— (INC. SOLAR) =10-50 HPy 50 + HP- - - -�=• formance of the work for-which this permit is issued (Section 3097 _ . I .. FLOOR SINKS ,FLOOR DRAINS - FIXTURES' "" OUTLETS --SWITCHES- .'CJ:- Civ. 'Lender's Nam¢ __ _ _.� _ -__ _ __ _ .. _ _ _ _ 'Lender 's Address DRINKING FOUNTAINS GAS TUBE SIGNS- INTERCEPTORS CLARIFIERS POLE LIGHTS OWNER BUILDER' DECLARATION -' -' I hereby affirm that I am exempt from the Contractor's License Law for •� u ' the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL---'"PTRAP - - .POLES METER - •-•�- - D SUB . Any city or county which requires a permit to construct, alter, Improve, tlemolish'or-repair'any structure, prior to its Issuance, also re- SERVICE-� ALTERATION -` "- - ';PANELS MAIN .quires the api-licant for such permit to file a signed Statement that he VICE OVT�ETS ( - SERVICE' _ - AMP - - - Is licensed pursuant'to' lhe'provisions of the Contractor's-License Law- ((Chapter 9 (commencing with Section 7000) of Division 3 of the HEATERS " BTU OUTPUT -`-- - Business'and Professions Code) or that he Is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by F7SEW5R any'applicant for a permit subjects the applicant to a civil penaltyCONNECTIONSof not more than five hundred dollars ($500).❑ -• -COIaEGTORS'Sol¢ I, as owner of the property, or my employees with wages as theirTANK compensalion,.will do_the work, antl the structure is not Intended____or offered for sale. (Section 7044, Business antl Professions Cotle: ThePIPING SVS." ISSUE'FEEContractor's License Law tloes not apply to an owner of a property FEE _.,l APPLICATION APPROVED BVwho I _ - - - :DATE builtls or improves thereon, antl who tloes such work himself orE through his own employees, provided that such Improvements are not,. MECHANICAL PLAN CHECK SUMMARY OF FEES intended or offered for sale. If, however, the building or Improvement Is sold within one year of. completion, the owner will have the burden of proving he did not build or Improve for the purpose of sale). I01; HEATING SYSTEM 0-100,000 BTU ,'BUILDING - - •PERMIT $ - - SMIP I as-owner of the- property-am -exclusively contracting with _ AND'DUCTING - - - licensed contractors to construct the project (Section 7044, Business 100,0001i, BTU i 'PLAN CHECK $ ,PERMIT ' and Professions Cotle: The Contractor's License-Law does not apply to I - - - - -PERMIT ' an owner of property who builds or Improves thereon, and who con- REFRIGERATION 0.100,000 BTU—PLUMBING $ 31 � 1 tracts from-such projects with •a contractors) licesned pursuant to, SYSTEM - - - -- - - _ GRADING ,the Contractor's License Law). 100,000 i+ BTU PLAN CHECK $ 1 am exempt untler Section B..& P. C. for this BOILERS BTU ELECTRICAL $ - $_ reason a '--' - PLAN CHECK-$ _ MICROFILM $' l Date - Owner - - SYSTEM REPAIR, ALTERATION r ;,N ` f $ TOTAL FEE MECHANICAL -$ - - I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE AD- Information is correct. I agree to comply with all city and county PLAN CHECK $•LESSordinances VANCE PC and state laws relating to construction, and hereby authy�.�p representatives of his city to enter upon the above or f ns a ion rposes. `Crr a_ FINAL FEE S'31Signature Drivers' L, ense or SS 9f ISSUE FEE CMF 0865-46 White-Building; Canary-Applicant; Pink-Accounting; Goldenrod-Assessor CONSTRUCTION AND PLANNIN APPROVALS ..' •: Permit# n Date Inspector POOL & SPA APPROVALS Permit # Date... Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - _2. SoilPipe-Undrgrn -10 -.O;L 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45.. Forms 4. Electrical Conduit-Undrgrn _ 46. Electrical Bonding- 5. Steel em orce _ _ 47. Rough Plumbing & Pressure Test 6. Electrical LIFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings _ _ 49. Electrical Conduit-Undr rn 8. Foundation 50.. Gas Pipe, ❑ Undr in; Test .9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap--❑ Undrqen - - 10. Structural Floor System 52. APPROVAL TO DECK - -.. 11. Property Sewer Line & House Connection _ _ 53-- Backwash & Receptor -Final 12. Street SewerConnection _ -.54. Heater & Vent -Final + 3.. Rough Plumbing //- -qs55 PlOmbina System Final - - - 14. Rough Electric -Conduit - - - '-56.{- Electrical -Final - - 15. Rough Electric -Wiring - - - - - 57: Solar System -Final 16. Rough Heating & Air Conditioning - - - encing& Access.Approval 17. Ducts in Structure _ _ _ _- APPROVED FOR PLASTERING 18: Ducts, -Ventilating - I '60.- _ • - _ POOL/SPA SYSTEMS FINAL- . t 19. Gas Pipe -Rough "_ 20. Roof Framing - - - l 21.. Roof Sheathin -" - - - - - - _• - NOTES:_' '.•,•,', 22. -Frame and Flashing -- _ __ 23. Insulation - 24. - Lathing &-Siding 25. Drywall Nailing ' 26. Plaster Brown -Coat - - - - - - 27. Electrical.Power Meter -Final ' 28. Final; Electric ' - °9. Final Heating & Air Conditioning ).- Final Gas Pipe -Test Z - 31. 32. Final Plumbing _We 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 39. Special Requirements Completed r' 40. Electric Release to Edison - - 41. Gas Release to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY No. Date - _ Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA P MIT N �� TRACT NO. LOTNO. BLDG. O. 0403 6/30/82 360'05 TL _ CONSTRUCTION PERMIT Yr 08� / - .- Project Address 6 Q �L 1/ IS-?- TYPE OF CONSTRUCTION Owner C NEW ❑ADD ❑ALTERATION `''' n�Phon Address G Q�� {+w � &Vl_) ❑ REPAIR ❑ CONVERSION ❑DEMOLISH Arch/Eng A/ (fO/Y,BS License No. ❑ OTHER ZONING REGULATIONS - DIPTION OF WORK A.P. Address QN�a/ N ZONE PLNG. REF. Contractor e 'Q�s Phon - SZ TYPE OF PERMIT - TO BUILDING Address yy 4/J - � "l [VO ppa� ❑ GRADING ❑ FOUNDATION STRUCTURAL SETBACK saR9PLR 19 [11fE IDF YARD LICENSED CONTRACTOR DECLARATION ❑ TENANT ❑ ELECTRICAL ❑PLUMBING ❑MECHANIC SIEpE Y ' 1 hereby affirm thst I am litensetl under provisions of Charter 9 (Com- Meriting with section 7000) of Division 3 of the Business and ❑ OTHER RIGHT .Professions Code, -and my license is In full force and 11 CL - REAR YARD (TO. /L) - License Class UCenie o �' P JECT CR TIO 4 n ^ e- 5 �L PKG. SPACE REO: I" C, PROVIDED e L LIQ Date Signature J M4FNC STRUCTI ON TYPE "STREET WIDTH P RK FEE WIDTHAPPRO WORKERS' COMPENSATION O A ION [not I have a cert Icale Of consent to self -Insure or a ZONING EO D tz I hereby affirm certificate of Workers' Compensation Insurance, or a Certified copy fY�ALUATION ZONE 4� 42 SPECIAL CONDITIO S: - thereof (Section 3800, lab. C.). 1 GRADING CU. YDS. ACRES (Policy No. Company - ❑ Certified Copy is hereby furnished. REMARKS: '' /! —�yyS$'}"�" ❑ Certified Copy is filed with the city Building Division. _ r�pp CT ,1i pp ppll`p d1 OLD E0A S ECUL REQUil1G1"GI,TS EXEMPTION FROM WORKERS' COMPENSATION DECLARATION This section need not be completed if the permit is for one hundred 0• I 2] �L 151001 or leu). - cert fy that in the performance Of the work for which this permit IS IF Issued, I shall not employ any person in any manner so as to become PLUMBING PLAN OAECK ELECTRICAL PLAN CHECK Subject to th Work Y Compensation Laws of Cali rose. Date Z—Signature 'BATHTUBS SHOWERS NOTICE: If after making this tlecl r tjo yot, Sh uld become subject TOILETS URINALS - GENERATOR 0-1 KW_ 1-10 KW to the Workers' Compensation Prov Ions of the labor Code, you must TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW -50 + KW revoked. CONSTRUCTION LENDING AGENCY KIT. SINKS DISHWASHERS MOTORS 0-1 HP -1-10 HP I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS �' "" r (INC. SOLAR) 10-50 HP 50 + HP formance of the work for which,thi5 permit Iscl SSued (Section 3097 'FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS SWITCHES Civ. C.). s: ��}��s_ Lender's Name Lender's AddressZ302 DRINKING FOUNTAINS ) 1 '- A GAS TUBE.SIGNS _ INTERCEPTORS CLARIFIERS POLE LIGHTS OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License -Law for POOL P TRAP - - POLES METERED SUB the following reason (Section 7031.5 Business. and. Professions Code:SWIMMING Any City or county which re iulres a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also re- WATER SERVICE ALTERATION PANELS MAIN SUB - quires the ap, Ilcant for Such permit to file a Signed statement that he GAS SERVICE - OUTLETS SERVICE-. - AMP Is licensed pursuant to the provisions of the Contractor's License Law 9 (commencing with Section 7000) of Division 3 of the .WATER HEATERS BTU OUTPUT V((Chapter Siness and Pro4esslons Code) or that he is exempt therefrom and the Oasis for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS - any applicant for a Permit subjects the applicant to a civil penally of not more than live hundred dollars ($500), SOLAR TANK COLLECTORS ❑ I, a5 owner of the properly, or my employees with wages as their Sole compensation, will do the work, and the structure I5 not Intended or nlferod for sale. (Secliun 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE - Contractor's License Law does not apply to an owner of a property ISSUE FEE APPLICATION APPROVED BY DAT - 'who builds or Improves thereon, and who does Such work himself Or through his Own employees, provided that such Improvements are not MECHANICAL PLAN CHECK - SUMMARY OF FEES Intended or offered for sale. If, however, the building or Improvement 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 $ SMIP E ❑ 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 $ PERMIT , and Professions Code: .The Contractor's Llte Me law does not apply to _ - ISSUANCE S an owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU "PLUMBING E tracts from such projects with a contractor(5) Iicesned. pursuant to, SYSTEM GRADING $ 't he Contractor's License Law). 100,000 +BTU ., r PLAN CHECK S ' ❑ 1 amexemptuntler Section B. & P. C. for thisBOILERS BTU $ ELECTRICAL $_ reason 1 -f ,- SYSTEM REPAIR, ALTERATION -- - EXHAUST SYSTEM MULTIPLE r MICROFILM E ' PLAN CHECK $ TOTAL FEE $ MECHANICAL- $ _ . LESS AD - Dale Owner I hereby certifythat I have read this application and state that the above Information correct 1 agree to Comply with all city and county PLAN CHECK S VANGE PC E_ ordinances and State laws relating t0 construction, and hereby aUthpriip representatives of this ty lP' enter Upon the above mentioned .property for insole ion y o5e5 - - 7�/s r+ Signator Signature I Date - ISSUE FEE FINAL FEE E VO:l.� CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor V CONSTRUCTION AND PLANNING APPROVALS Permit # 6 yd yJ -} •c-, Date Inspector t = POOL & SPA" APPROVALS Permit.# ` - Date Inspector 1.. Temporary Electrical Service or Pole 43. Pool &Equipment Location,:.'. - • ' ; - - - 2. SoilPipe-Undrgrn - -_ -. 44. Steel Reinforcement - 3. -Electrical Conduit tilityUndrgrn .� - - - 45'. Forms 4.- -Electrical Conduit-Undrgrn - '� -- -- - - - 46. Electrical Bonding -- --5: Steel Keintorce .47. Rough Plumbin' & Pressure -Test - - -- - -- 6. -Electrical-UFER.Grn - - 48. APPROVAL TO COVER:GUNITE- 7.-Footings -- _ __ ., _ . _ _ 49. Electrical Conduit-Undr rn B. -- Foundation -- - -- - - 50. - Gas Pipe, 0 Undr rn, Test - 9. - Water ;Pipe-Undrgrn i ckwA`sh Lirres•P=Tra❑ Undrqrn 10: Structural Floor System 52i^ !APPROVAL -TO DECK 1.- . Property Sewer Line•& House Connection Street Sewer Connection - -- - - - - - -- - 53: 54. Backwash & Receptor -Final Heater &Vent -Final - 13. Rough Plprlrbing..- - - - _...- . 14. ° Rough EI 'diff '= i ` • +' `~ ' -UAK- - '56.- Elecirical:Final ' 15. Rough Electric -Wiring - -'S7. Solar System�Final- 16. Rough Heating.& Air Conditioning - - - - encing & Access Approval 17. Ducts in Structure - - '- APPROVED FOR PLASTERING - - 18. Ducts, Ventilating - - 60. -- - - - _- POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough & Test 20.- Roof Framing - 21. Roof Sheathing /0- - --- - - .NOTES: '-1, _ _24 ' 22. Frame and Flashing - -- -- _ 23. Insulation _ G.,- 24. Lathing & Siding - 25. Drywall Nailing - - - - (�-•-o - % b -'� ? - 26. Plaster Brown Coat - - - - - - - -- - 27. Electrical -Power Meter -Final - - - -- - - - - ' '8. Final Electric -9. Final Heating & Air Conditioning- - - -- - - - - 30. Final Gas Pipe -Test - - - - - - 31. Final;Plumbing - - - -- 32. Water Service -Final 33.' Gas Service -Final - - - - -- ' 34. Solar Domestic -Final - 35. Lendsca e Sprinkling System 36. Sound A-tenuation - - 37. Handicap Regulations' 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison ' 1 41. Gas Rele.,se to Southern California Gas Co. ' --42.. CERTIF!CATE OF OCCUPANCY No._ - Date - (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 PLUMBING PERMIT Job Address: 2620 ELDEN AV Status: ISSUED Suite No 8003 Applied: 03/08/2005 Issued: 03/08/2005 Vicinity: UNIT B3 Parcel Nunmber: 93794017 ISSUED BY: Applicant: NOCK, CANDY Address: 11612 KNOTT ST SUITE 217 Phone: (714) 895-1246 GARDEN GROVE, CA Zip: 92841 Owner: RAIMONDIS, NINA Address 2620 ELDEN AVE #B3 Phone: COSTA MESA, CA Zip: 926274658 Contractor: NOCK PLUMBING Address: 11612 KNOTT ST - SUITE 217 Phone: (714)895-1246 GARDEN GROVE, CA Zip: 92841 License: 707775 SCOPE OF PERMIT WATER HEATER CHANGE -OUT IN EXISTING UNIT W_ 1 WATER HEATER NO OTHER WORK AUTHORIZED WITH THIS PERMIT. FEE SUMMARY" AMT QTY AMT OTY AMT QTY ISSUE FEE $23.50 Laundry Tub / Washer $0.00 0 Sump Pump $0.00 0 Backflow irrigation $0.00 0 Landscape Irrigation $0.00 0 - Swimming Pool $0.00 0 Backflow Preventer $0.00 0 P -Trap - $0.00 0 Trap Primer, $0.00 0 Bathtub $0.00 0 Pressure Regulator " x$0.00 0 Urinal $0.00 0 Clarifier System $0.00 0 Process Piping (per 10 ft) $0.00. -- 0 Vacuum Brkr Bkflow(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 - $0.01) 0 Wash Basin $0.00 0 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) $0.00 0 Drain, Roof $0.00 0 Shower $0.00 0 Water Heater / vent $12.30 1 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 (14 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 10 - PLAN CHECK $0.00 Interceptors (Grease, Oil) $0.00 0 - - - REINSPECTION $0.00 0 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 eaa6461aV001 DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Cade, for the performance of the work for which this permit is issued �.1 I have and Will maintain workers' compensatlon insurance, as required by section 3700 of the Labor Code, for the performance f Me work for which this permit is Issued. L!-, My wo/Ac� pensat n Insura ca or nd polipy number are: �I P6Rc}lumber: sec66n need not be comp eted /f the pe It /s valued atone 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 it I should become subject to the workers' compensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with these prov,ispas. Ap licent Sigdature: l -�� 90-216S WA -FA TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, I LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licenn vcl�ons of Chapter 9 (commencing with Section 7000) of Division 3 of the Business ,7o.,f rofessions Code, and my license is in full force and effect. 4C ,7 1 Class l'r �n Contractors SI natur Data: - 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, 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 then five hundred dollars ($500).): ' ❑ 1, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not Intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors IJcense 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 ❑ 1, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such project with a contractors) 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 ❑ 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: ❑ 1 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). i ❑ 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 e permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: ' HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ 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 exceFtions, requires registration with the Costa Mese Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials aqua 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 appplicant or present or future building Occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ Nl0 (Section nt of of the California Health and h areSafetyrequired 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. ....................................................................................................................................................................................................................................................................................... ...................O..................................................................... 4 If en RMPP is presently required, has Section 25534 of the California Health and Safety Cade been fully complied with? [:1 Yes ONO ..................................................................................................................... ..........................................................................................................................................plic...........................................................................................difi................ 5 Does or will the applicant u present or future building Ditrct occupant require for the work which is the subject of this a plication eppemit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? � Yes Ll No i (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). .............................. .......................... ................................................................... ..................................................... ............................................................................ ..I............................................................:........................................................ ... 6 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). .......................................................................................................................................................................................................................................................................................................................I........_.......................................................... 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 Call Health and Safety Code Section 42303 been made? ❑ Yes ❑ No ............................................................ _....................................................._.._......................... _................. .___..............._..............._._.............................._...................................................................._... _................. ._.......................... _........ 8 (If yes', attach certificate of compliance from the appropriate air pollution control officer). I 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. �Signature Of Legal Owner(s) !� 9 /j Gate s� l And/Or ALSOW., cant rDale-` CODE It INSPECTION TYPE PETE INMALS CODE If INSPECTION TYPE PATI INTITALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical z� 1266 Pool Spa Final 208 Final Plumbing ! -s--o6 200 Final Re -Roof 210 Final Electrical 201 Final BlocktRetaining 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 Buili ing/Occupancy Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PERMIT NO. -'TRACT NO. LOT NO. BLD . NO. ) )64 ) )/'�" .''CONSTRUCTION PERMIT 1 p)sa?9 TVP OF CONSTRUCTION 9EW ❑ ADD ❑ ALTERATION ❑REPAIR ❑CONVERSION ❑DEMOLISH ❑ OTHER - - ZONING REGULATIONS _ .Project Address Owner + Phon ✓i _ Address/y<]� Arch/Eng. - Licenfe No. DESCRIPTION OF WORK A.P. 9F ZONE PLNG. REF. T. Address - - - Contrector �j — Phone 9' jl• TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑PLUMBING �MECHANICA SET AC I YARD SIpE V Tp W I1.�G - PROPEfiTY LINE - - - - - ' Address LICENSED CONTRACTOR DECLARATION I hereby that I am licensed affirm under provisions of Charter 9 (com- mencing with section 7000) of Division 3 of the- Business and ❑ OTHER - RIGHT - - Professions Code,anti y license is In full torte anti REAR YARD (TO P/L) �fe PROJECT DESCRIPTION License lass — License No. SO' FT' PKG. SPACE REO. STREET WIDTH PROVIDED PARK FEE $ Date �' Signature WO ER ' COMPENSATIONDECLARATION - OCCUPANCY_CONSTRl1CTION TYPE -DATE I hereby affirm that I have a certificate of consent to self -Insure w -Compensation VALUATION ZONE ZONING APPROVED By certlflcate.of Workers' -Ins nce-, or certified,copY },s�a,� - - tlIereof (SeC[ on 3800, Lab. ,), ../J�•. GRADING CU. YDS. ACRES SPECIAL CONDITIONS: cy No '•� ComPanYfn(110D%✓r�-LA//i - -: �ertifled copy is hereby furnished. - - REMARKS: Certified copy Is filed with the city Building Division. 'EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - - - - ($100This need not be Completed It the permit is lor.one hundred loss J, Carl fy that in the Performance of.tho work for whichthis permit Is - - issued I shall not employ any person In any man r so as to become to' he W kers' Compensstit, _ PLUMBING r PLAN CHECK s , ELECTRICAL - - PLAN CHECK subjec} of f rola. Date YO Signature - - ✓✓ _ BATHTUBS SHOWERS - �KW_1-30-KW NOTICIC lfN ng this declaration, you Syhod be<ome subject TOILETS r - URINALS GENERATOR TRANSFORMER 0-1 to the Workers' Compensation provisions of the or Code, you must forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10.50'KW'50+KW revoked. - - KIT. SINKS DISHWASHERS MOTORS "' 0-1 HP -1-10 HP' ' CONSTRUCTION CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction le agency for the per- SERVICE SINKS " - 'SUMPS - (INC. SOLAR) -- 10-50 HP SO +-HP - formance of the �.vpCT foryrl^this ypynil is Issuotl (Section 3097 Dau is Iss FLOOR SINKS FLOOR DRAINS FIXTURES OUTLETS' SWITCHES Lender's Name([/U Y/7/ lJYP9r./•.G/Z.. Lender's Address 1 - ,0- DRINKINGFOUNTAjNS GAS TUBE SIGNS -' OWNER BUILDER DECLARATION ' I INTERCEPTORS CLARIFIERS POLE LIGHTS -- I�herebyy affirm that I am exempt from the Contractor's License Law for SWIMMING POOL PTRAP •- POLES METERED SUB the following reason (Section 7031.5 Business and Professions Code:' Any ,city or County which requires a permit to construct, alter, Improve, dim, fish or repair any structure, prior to Its issuance,also re- quires the applicant forsuch permit to file a signed statement that he _ _ WATER SERVICE ALTERATION - - PANELS MAIN _ - 'SUB. - SERVICE OUTLETS SERVICE - - AMP Is licensed pursuant to the provisions of the Contractor's LicenseLawGAS (Chapter 9 (commencing With Section 7000) of Division 3 of the - WATER HEATERS BTU OUTPUT - - - - - - - - - B'.slness and Professions Coqe) or that he is exempt therefrom and the for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONSof spphrant for a Permit subjects the applicant to a civil Penalty more than five hundred dollars ($500). _ SOLAR TANK COLLECTORS ^ G I. as owner of the property, or my employees with wages as their sole Compensation. Will 00 the work, and the structure is not Intended or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SVS. ISSUE FEE Contractor's License Law does not apply to owner of a y ISSUE FEE 'APPLICATION APPROVED BY DATE who builds or Improves thereon, and who doeses such work himselfimself or through his own that Improvements are not ale. provided MECHANICAL PLAN CHECK SUMMARY OF FEES " ed for howe e b or Improvement Is sold tl within for sale. If, Mien. t, the ber wit sold within ono year Of n one on, the owner will have the burden of proving he tlltl not orti o build Improve for the purpose of sale). ❑ I, the HEATING SYSTEM 0-100,000 BTU BUILDING PERMIT $ SMTP $ as owner of pro rt property. am exclusively contracting with AND DUCTING - - licensed contractors to construct the project (Soction 7044, Business 100,000 + BTU PLAN CHECK $ PERMIT ' and Professions Code: The Contractor's License Law does not apply to - - ISSUANCE $ an owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ tracts from such projects With a contractor(s) llcesned pursuant to SYSTEM - -' -' - - - GRADING E' the Contractor's License law). 100,000. BTU PLAN CHECK It ❑ 1 an; exempt under Section B. & P. C, for this BOILERS BTU ELECTRICAL $ _ , E It -, reason - - SYSTEM REPAIR. ALTERATION EXHAUST SYSTEM MULTIPLE _ PLAN CHECK $ 'MECHANICAL.E_L_ E' yy•41U"_ - TOTAL FEE$ - LESS AD- + Date '• Owner - _ _ I hereby certify that 1 have readafire this application and tett ha above_ information is correct. I ayree [o comply with all city anti wanly all and _ - PLAN'CHECK E - VANCE PC E ordinances and statlaws ref4ting.to construction, and hereby authorize _ QZ ) f . representatives of this city to enter upon the above Ment onetl properly r Ins tion •� p0 Pose l0 _ p� FINAL FEE Signature — ! ISSUE FEE - _ -$ - - -- Drivers' icense or SS $ CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor Z i Y CONSTRUCTION AND PLANNING 4 APPROVALS Permit #2 - - - Date Inipector' " -POOL & SPA APPROVALS Permit # , Dat ';Inspector , 1. Temporary Electrical Service or Pole t : 43. Pool & Equipment Loi;tibit-• �" _._ _ _ _ _ . •---1-, `-:+-�si:_- L,- _-Soi_Pipe- n rgrn_ + ' _ -44. - Steel Reinforcement • - \ ' -- - +� •t-`••-`• - ' `'• _ lectrical Conduit Utility-Undrgrn - •_4. �- - _ _ 45. Forms - ,Electrical-Conduit=Undrgrn 46. Electrical Bondin _ teeReinforce.•-• - �•_ _ _ - - 47. Rou h Plumbin 4 &Pressure Test = ^ 'I `+ > 6., Electrical UFER Grn_ _ _ 48: APPROVAL TO COVER-GUNITE 7. Footings _ - - �� 49. Electrical Conduit-Undr rn - -B.. _Foundation _- _ - 50. Gas Pipe, -O Undr rn Test - 9. -Water Pipe-Undrgrn 51. Backwash Lines -Tra '''0' - 110.- Structural Floor System _ 52.. APPROVAL TO DECK' -- '- •- - "• --='"--''t=`\'�} .1.1.. Property Sewer.Line & House' Connection" 53. Backwash & Rece tor -Final, .12. Street Sewer -Connection _ 54. . Heater.& Vent -Final. �-13_ Rough Plumbing- z. --Plumbino L - _ -. _ -Final -•-_ + _ _ _4 '.: 14. Rough Electric -Conduit - - - - ------ --- - .56. - Electrical -Final - - 15. Rough Electric-Wiiiri - - - " ' t- - - -- - -- -- ==' -57;- Solaa:System-Final- '' ' • - r16.--Rough-Heating&-Air'Conditioning-,_-.- ---r -�-_T_encing&.AccassApproval ,._ 1... 17. Ducts in Structure APPROVED FOR•PLASTERING - 18.1 Ducts,' Ventilating- _ _ _ _ 19.; Gas Pipe -Rough & Test- 20. Roof -Framing + _ _ _>'-• t _ _ - ':•: B0.. _ • .+ . _ _ POO L/SPA_SYSTEMS FINAL : �'v - - -' - _ - v �; ,\ •:.\' ' 21. Roof Sheathi ng,'-'- "" 22.. -Frame and Flashing . ' " - NOTES: '• ---,,.•,.... . -+ •:. •+ , . - 23: -Insulation- -- - i - - - _ .� �'�\\• ��\ ' 1-24.• Lathin &Siding a - .__ �. •- _• "•.Q+. sx.. 1S. C:\v --•.'.tom\\ 25.! -Drywall Nailing. - - •' _ _ _ - _ '' -" - 126. -Plaster Brown -Coat_ _ "+ + • - r -q. 1-27.' Electrical Power.Meter-Final' -28. ---Final Electric.- 29.: _Final. Heating A21KILGessrtf - _ _ _ _ - --- - 30.• _ Final Gas Pipe -Test -- -- - - t' - - - -- - - - . •. _ - - - . go - _ `". 1_31. Final Plumbing- ..' '-- _� , . ^�• - .. + - 32.1--Water�Service-Final - ---- -- - - - - - - - - -_ - - .. , r:33.`_. Gas Service -Fina] - +- y .. . • - . 34. Solar Domestic'Final r 35. Landscape Sprinkling System _ ( __. •�r -_.a - •' •': i 36. Sound Attenuation - . •_U r 37. - Handicap Regulations- t _ r . ,- .- - •- .. _ 38. FINAL STRUCTURE & BUILDING _ "+. 4 39. Special Requirements Completed ' ' �. + - -• - -- 40. Electric Releaserto Edison,., { 41. Gas Release to Southern California Gas'Co: 42. CERTIFICATE OF OCCUPANCY allo\ z Date Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. .,QTy OF COSTA MESA PERMIT --N99. TRACT NO. LOT NO. BLDG. NO. 0(704 6/30/82 360.15 CONSTRUCTION PERMIT - `tilq6 TYPE OF CONSTRUCTION' ® NEW ❑ ADD ❑ ALTERATION ❑REPAIR ❑CONVERSION ❑DEMOLISH - ❑ OTHER _ s - - ZONING REGULATIONS Project Address o,(aao 16 -1 -OCA) Owner P/ucl,C Phon /-/3Z" .Address 3fb ncq Arch/Eng. epr•�-5 License No. L+/Z�{/G B DE RIPTION OF WORK A P Address //� N, 3$ �vp;��Cp ZONE PLNG. REF. Contractor -G (� Phone63/-43•LZ .F/li/t'A6/� 5'/ TYPE OF PERMIT ❑GRADING ❑ FOUNDATION STRUCTURAL ❑TENANT' ❑ELECTRICAL ❑PLUMBING..❑MECHANICA IDEYARD / EFT �yud E Address yceo 0,_,V�,Ecc//yam �: LICENSED. CONTRACTOR DECLARATION 1 hereby affirm IhLt I am licensed untler provisions Of Charter 9 (con- SIDE VA RIGHT - m¢ncing-with section 7000) of Division.3 of the Business and El OTHER - s Professions Code,my license is In full force d effec . : � - REAR YARD (T P/L) end Licen�e CieLicens No MROJECT D C IPTION VV /r42 • PKG. SPACE REO: PROP IDED G�� / r Date �5ignature "OC CV STRUCTION TYPE STREET WIDTH4=2/ PARK FEE $ WORKERS' COMPENSATION DE R 10N 1 hereby affirm that 1. have a certi cafe of consent to self -Insure or a IN'gLUAT10 - ZONE ZONING APPROVED'Y D - certificate of Workers' Compensation. Insurance, or a certified copy (� thereof (Section 3800, Lab. C.).(GRADING CU. YDS. ACRES SPECIAL CONDITIONS: eolicy No. Company 7 Certified copy is hereby furnished. ._ REMARKS: �+� I J Certified copy is filed with the city Building Division. . - M_R SPECIAL _ EXEMPTION FROM WORKERS' COMPENSATION DECLARATION P- - (This section need not be completed if the permit is for one hundred -, 0•=Jw_zi ai ($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 PLUMBING - PLAN HECK ELECTRICAL PLAN CHECK subjec to the Wor s' Compensation Laws of Ca 'f orni a. BATHTUBS SHOWERS Date Signature NOTICE: If after making this declti you s ould become subject TOILETS URINALS GENERATOR 0-1 KW_ I-10 KW to the Workers' Compensation pro Ions of the Labor Code, you must TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW_50 + KW revoked. KIT. SINKS DISHWASHERS MOTORS 0-1 HP_1-30 HP CONSTRUCTION LENDING AGENCY I hereby.affirm that ,there is a construct! on.lend ing agency for the per - SERVICE SINKS SUMPS " �� (INC. SOLAR) 30-50 HV 50 + HP to rmance�of-,the\w k;for; hich:th is pelt by s iss ed.(SectUsn\3097 - - - - r Ft_OOR SINKS FLOOR DRAINS - - FIXTURES OUTLETS SWITCHES Civ. C.I. f n ^.._.K .'. - Civ.CLender's Name CU }.1p -sI\• '� Lender's AOpress�r'f Cil [ r v c ORINkING_FOUNTAINS\ -3- GAS TUBE SIGNS OWNER BUILDER DECLARATION -"' •� t a �r^r� - INTERCEPTORS —CLARIFIERS - POLE LIGHTS I here by'affirm,that I am exempt from the Cent ractor'S License law for. the following reason (Section '7031.5-% Business and- Professions Code: -county SWIMMING POOL ,. PTRAP - - - POLES• - METERED SUB ” Any' city or. which' eequires,aa';permit _ to, ponstruct„alter, I mpPo ve,'tl einolul-Lor repair any'strdtture, to'it57ssuarice, also re- WATER'SERVICE.'ALTERATION- .. •. ' PANELS MAIN SUB prior quires the ap„ lica'nt-for such permit to file a, signed,st.atement' that he, ,GAS SERVICE . OUTLETS - - - SERVICE - AMP is Iicensetl pursuant'to the provisions of the'Contractor'5 License Law (Chapter 9 (commencing with Section 7000) of (Division 3 -of the. WgT,ER HEATERS 'BTU OUTPUT - business and Professions Code) or that he Is exempt therefrom and the s+Is for'.the alleged. exemption. Any violation of -Section 7031.5 by "SEWER CONNECTIONS .., , applicant' for a permit subjects -the applicant to a civil penalty -")ot more.than,five hundred dollars x($500).1y�y - -. SOLA R,TAN K� COLLECTORS - u.11, as_o,✓ner of lhe'prope Yty; or my employees witti ,/ages as their. 'sole compensation, will -do the'work,�andthe structure IsinotUntended ` or offered for sale\(Section 7044, Business and Professions Cotle: The 'SOLAR PIPING SVS" ISSUE FEE Contractor's License .Law does 'not _apply to^an owner of a property. '-' ISSUE FEE APPLICATION APPROVED BY DATE who builds or Improves'thereon, and who does such work himself or" through his own employees, provided that such improvements are not MECHANICAL PLAN CHECK SUMMARY OF FEES Intended or offered for sale. If, however,'the building or improvement Is sold within one year of completion, the owner will have the burden of proving he did not build or improve for the purpose of sale). -HEATING SYSTEM 0-100,000 BTU BUILDING , ❑ I, as owner of the property, am exclusively contracting with PERMIT $ vvv•O� SMIP $- _•/.� licensed contractors to construct the project (Section 7044, Business AND DUCTING 100,000, BTU PLAN CHECK $ PERMIT and Professions Cotl¢: The Contractor's License law does neLapply to. ISSUANCE $ an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ tracts. from such projects. with -a contractor(s) Iicesned pursuant. to .SYSTEM GRADING $ ' the Contractor's License Law). 100,000 + BTU _ „ PLAN CHECK $ ❑ 1 am exempt under Section B. S P. C. for this - BOILERS BTU ELECTRICAL E $ reason REPAIR, � PLAN CHECK $ MICROFILM $ Date Owner SYSTEM ALTERATION MECHANICAL E TOTAL FEE b I hereby certify that have read this application and stale that the above EXHAUST SYSTEM MULTIPLE LESS AD- LESS A - Informatlon is correct. I agree to comply with all city antl county PLAN CHECK $ $ ordinances and state laws relating to construction, and hereby authorize _ representatives of this cit to enter upon the above mentioned property to s ec lRpn�� ores. I I r Signature (r/s I!_(.' "L'�=-'�•` - -ISSUE FEE �l J / CMF CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor TL J CONSTRUCTION AND PLANNIN /Inspector APPROVALS Permit # .� Date s Inspect r POOL & SPA - -� APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location -"- 2. SoilPipe-Un rgrn 44. Steel Reinforcement - -3. Electrical Conduit.Utility-Undrgrn._'. - _-45. Forms - 4. Electrical-Conduit-Undrgrn - 46: Electrical Bonding - - - - --- .-- Steel Reinforce - _. -. 47. Rough Plumbing & Pressure Test - - - 6. Electrical UFER.Grn 48. APPROVAL TO COVER-GUNITE - - - 7.. _Footings 49. Electrical Conduit-Undr rn' 8.. Foundation- 50. Gas Pipe, ❑ Undr rn, Test 9. Water, Pipe-Undrgrn - -..� ','-= 1. 6 ckwaih Lines P -Trap, Elndr rri ' 10. .Structural Floor System 52.%•.AR2ROVAL•T.O DECK 11. Property SewerLine& House Connection - -53. Backwash'& Receptor -Final 12. Street. Sewer Connection 1 1,54. Heater &Vent -Final 13... ,Rough P M1tb-n. n (MOR ' - - 14. Rough Electr'icCo'tjtilt" " ' ' - "' - •-•- - -56r' Ele-ctrical-Final 15. Rough Electric -Wiring - - - -57. -Solar System -Final 16. Rough Heating & Air Conditioning - _- Fencing &-Access Approval 17. Ducts, in Structure - - _ _ 59.- APPROVED FOR PLASTERING - -18. Ducts, Ventilating --- '60. _ POOL/SPA SYSTEMS FINAL ' I- ' 19. Gas Pipe -Rough &Test- - 20. Roof Framing 21. Roof Sheathing /0-29-5 NOTES; 22. Frame and Flashin _g 23. Insulation - - - 24. Lathing & Siding - - - - - - r- i - -95 A 25. Drywall Nailing - y _-tib S. & - S- -$a- �Qym.w�,l 26. Plaster Brown Coat - 27. Electrical Power Meter -Final - &o - 28. Final Electric A 4/,7zV7' • 29. 30. Final.HeaLn & Air Conditioning - Final -Gas Pipe -Test - - - - - 31. Final Plumbing I 32. Water Service -Final 33. - Gas Service -Final - - - - - - - - • 34. Solar Domestic'Final 35. Landscape Sprinkling System 36. Sound A•tenuation 37. Handicap Regulations - - - - 38. FINAL STRUC•iURE&BUILDING G-.20-$3 39. Special Requirements Completed 40. Electric Release to Edison - 41. Gas Release to Southern California Gas Co. - - A2. CERTIFICATE OF OCCUPANCY Nu_ _ __ Date "s� - • Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA POR MIT NO. TRACT NO. LOT NO. B N '- -CONSTRUCTION PERMIT '%jQ�a Project Address ? (J k p.; TYPE OF CONSTRUCTION Owner & Phone LYNEW ❑ ADD ❑ ALTERATION 0377 6/30/82 3140 TL, Address - ❑ REPAIR ❑ CONVERSION, ❑DEMOLISH •; •r U ZONING REGULATIONS \` Arch/Eng- ' s - License NO. ❑ OTHER - rss ,ls,` - A.P. $ -_ Address - DESCRIPTION OF WORK ZONE PLNTGp. REF. T- W Euayl (yti./ Phone TYPE OF PERMIT U 1CNGTIA � LINE `,Contractor T SE PROPEIRTL Address S OIL ems,. �❑ GRAOING ❑ FOUNDATION ❑ STRUCTURAL- DE YARD LICENSED CONTRACTOR DECLARATION hereby that 9 -.E1 TENANT C3 ELECTRICAL LUMBING ❑MECHANICA 5I E YARD 1 ! affirm 1 am licensed under provisions of Charter (com- mencing wlt h—section 7000) of Division - 3 of the Business- , . ❑ OTHER RIGHT. and Professions Cc awq y license is In full force nC' ct. REAR YARD (TO P/L) If ( PROJECT -DESCRIPTION 'Licen Class .7 5e4 o. -tr PKG. SPACE REO. PROVIDED SLI Z� •' SO. FT - - Date-" - Signature I STREET WIDTH PARK FEE $ WORKS RS' CO DECLARATION OCCUPANCY—CONSTRUCTION TYPE 'ZONING DATE I hereby affirm that 1 have a certificate of consent to self -Insure ora that I he" a -certificate - ZONE APPROVED BY of Workers' Compensation Insurance, ora tlfled py I _VALUATION_ - 'thereof (Sec n 0, b. C.). GRADINGCV. VpS. ACRE$ SPECIAL CONDITIONS: q PoIICY Nn°=CAmpanY .- ❑�'C�,c� led Copy s hereby furnished. - - - —REMARK D ' L'•i'I`.ertifled COpy Is filed with the city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION' - '((This section need not be completed if the permit is for one. hundred S$100) or less). cert((fy that in the performance of the work for which this permit -is Issued, I shall not employ any person in any manner z0 as to become PLUMBING: '+ •- PLAN CHECK I ELECTRICAL PLAN CHECK i subject to the Workers' Compensation Laws of California. WCKAUI,._ Data Signature � BATHTUBS Z SHOWERS I UWLLLPNG ' 'NOTICE: If after making this declaration, you should become subject to the Workers' Compensation -•TOILETS."- URINALS - ,GENERATOR" ,TRANSFORMER - 0-1 KW.. 1-10.KW - - provisions of the Labor Code, you must .forthwith comply with such provisions or this permit shall be deemed _ LAVATORIES DOUBLE LAVS 'APPLIANCE 10.50'KW_50+KW revoked:--- -- -- -- - CONSTRUCTION LENDING AGENCY _ _ KIT. SINKS DISHWASHERSMOTOR$ 0-1 HP_1-10 HP I hereby athat there is a construction lending agency for the per- , - _ �, SERVICE SIN SSUMPS (INC. SOLAR) 30-50 HP 50'+ HP - - of the formance of the work for which this permit is Issued (Section _ FLOOR SINKS FLOOR DRAINS 'FIXTURES OUTLETS -SWITCHES -3097 Civ' CJ' Lender's Name. Lender's Address DRINKING FOUNTAINS - GAS TUBE SIGNSOWNER INTERCEPTORS CLARIFIERS 1 POLE LIGHTS -- - - - BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License law for SWIMMING POOL PTRAP IDLES METERED ^SUB. the following reason (Section 7031:5 Business-and'Professtons Code: Any, city or cownty which requires a permit to construct, alter, _ _ WATER SERVICE ALTERATION - - IPANELS' MAIN _ SUB - Improve, demolish or repair any structure, prior to its issuance, also re- quires the ap�li Gant for such permit to file a signed statement that he I GAS SERV ICEOWLETS. SERVICE - - ' ' AMP Is licensed pursuant to the provisions of -the Contractor's License Law (Chapter 9_ (commencing with Section 7000) of Division 3 of the WATER HEATERS BTU OUTPUT Business and Professions Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS + - any applicant for a permit subjects'the applicant to a civil penalty of not more than five hundred dollars ($500). SOLAR-TANK- OLAR TANK_ COLLECTO RS�YsI '} qs - - - _ _ ❑ I, as owner of the property, or my employees with wages as their 'a Sole compensation, will d0 the work, and the structure Is not Intended. __ 1 or offered for Sale- (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. -ISSUE FEE Contractor's License Law doesnotapply to an -owner. Of a Property - who builds or improves thereon, and who does such work himself Or ISSUE FEE through his own employees, provided that such Improvements are not. MECHANICAL PLAN CHECK SUMMARY OF FEES intended or offered for sale. If, however, the building or Improvement Is sold within one year of completion, the owner will have the burden t of proving he did not build or Improve for the purpose of sale). BUILDING '- - _ ❑ as' owner o/ the property, am exclusively' contracting with HEATING SYSTEM_ 0-100,000 BTU AND DUCTING- ,PERMIT $ _ SMIP',. .$ n the prefect (Section licensed Contractors to 100,000+BTU PLAN CHECK $ PERMIT •• ' and Professions he Contractor's The Contractor's License Law tloes not to es not apply �—j ISSUANCE $ ' an owner Of o c r who or improves thereon, and who con- pert REFRIGERATION 0-100,000 BTU PLUMBING S �/ tracts from sus uch -projects with-conlractor(s) Iltesnetl pursuant to sutra SYSTEM - - GRADING S the Contractor's License Law). Licen 100,000+BTU t ,PLAN�CHECK '$ ❑ 1 am exempt untler Section B. & P. C. for this BOILERS BTU ELECTRICAL $ $ reasonMICROFILM ,PLAN CHECK $ _ $ Data' Owner SYSTEM REPAI R, ALTERATION 'TOTAL FEE$ EXHAUST SYSTEM MULTIPLE MECHANICAL $ 1. LESS AD. I hereby certify that I have read this application and state that the above Information is Correct. I agree to Comply with all City and County .PLAN CHECK $ - VANCEPC $_ ordinances and state laws rel n to construction, and hereby authorize representali ves 1 this ci (tt Pon t bove mentioned properly to, -Ion O s[/ / 2/ 1Q`L� Signature rj pate (� I Y !X FINAL FEE $� I Drivers' Licen Se or SS : ISSUE FEE ' CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNING�,,��,,^,�' APPROVALS Permit # •� '' . �� Date Inspector POOL & SPA ' APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - - 2. Soil Pipe-Undrgrn -gip -p2 44. Steel Reinforcement -- 3.lectrical Conduit Utility-Undrgrn, _ - - 45. Forms 4. Electrical Conduit-Undrgrn - 46. Electrical Bonding -- b. Steel Reinforce 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE 7, Footings 49. Electrical Conduit-Undr rn 8. Foundation _ 50. Gas Pipe, ❑ Undr rn, Test 9.. Water Pipe-Undrgrn 51. Backwash Lines P -Trap,❑ ndr rn' - 10. Structural Floor System 52. APPROVAL TO DECK - 11. Property Sewer Line & House Connection 53. Backwash .& Receptor -Final 12. Street Sewer Connection _ - - 54. Heater & Vent -Final 13. Rough Plumbing a 9-92 r t 14. Rough Electric -Conduit - 56. • Electnca sinal 15. - Rough Electric -Wiring - 57.- Solar System -Final 16. Rough Heating & Air Conditioning b8. Fencing & Access Approval _ 17. Ducts in Structure - APPROVED FOR PLASTERING 18. 19. 20: Ducts, Ventilating Gas Pipe -Rough & Test Roof Framing 60. POOL/SPA SYSTEMS FINAL 21: 22. Roof Sheathing- Frame and.Flashin _ _ NOTES: 23. Insulation 24. Lathing & Siding 25. Drywall Nailing _ _ - - 26. Plaster Brown Coat ' 27: Electrical Power Meter -Final 28. Final Electric - - 29. Final'Heating & Air Conditioning 30. Final Gas Pipe -Test _ - 31. - 32'. Final Plumbing _ 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 39. Special Requirements Completed - 40. Electric Release to Edison- - - ' 41. Gas Release to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY No Date Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA P MIT NTRACT NO. LOT NO. BLDG. NO. CONSTRUCTION PERMITi6� R-3 ^..... ^"""" 'AV C7 L/V — TYPE OF CONSTRUCTION ❑ NEW C3ADD ElALTERATION ❑REPAIR ❑CONVERSION []DEMOLISH ❑ OTHER DESCRIPTION OF WORK _ Owner R(� O O` Phon Address '3.7✓. U/L^L X164/ :A fchi Eng. [� ieense No. - / . Address ! S D Contractor 7' 0 o Phon jrj20 TYPEOFPERMIT OG RADIN ❑ FOUNDATION-' ❑ STRUCTURAL ❑ TENANT ELECTRICAL- ❑PLUMBING ❑MECHANICA ._ - ❑ OTHER - PRO.IECT DESCRIPTION - -Q. FT. Address '. - LICENSED CONTRACTOR DECLARATION - 1 hereby affirm that I am licensed under provisions of Charter 9 (comm mencing with section- 7000) Of Division' 3 of the Business'antl Professions Code, and my license is In full for and If ct. License Lit e No D Date 7i r 9.Z 519 not ra 4r44� OUIZ iWOR E ' COMPENSATION DECLARATION - OCCUPANCY_ CONSTRUCTION TYPE, hereby affirm that 1 have a certificate of consent to self -Insure or a certificate of Workers' Compensation Insurance', or 'a certified copy . VALUATION ' ZONE -- thereof (Section 38.00, lab. C.). GRADING CU. YDS. ACRES _ Policy No. DgmpdpY -- ^- - - '-- - - ertifiW copy is hereby furni3hed. Certifled copy is filed withthe city Building Division. REMARKS:- + HP MPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be.completed if the permit IS for one hundred ($100) or less). ,FIXTURES OUTLETS .SWITCHES I certify thatinthe 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.. - __ - ., PLUMBING 1' ,�� _.'-PLAN CHECK - - _ BATHTUBS SHOWERS 'Date Signature ) NOTICE: if after making this declaration, you should become subject to the Workers' Compensation provisions ofthe Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked.- --- — --- - — - 1-- -. - --- - - •"' ;CONSTRUCTION LENDING AOENCV TOILETS(z "URINALS - LAVATORIES DOOBLE•CAVS — KIT. SI NI<S- -�- - DISHWASHERS ( _ - SERVICE SINKS; .. ASUMPS 1 hereby affirm that there is a construction lending agency for the per. formance of the work -for, which this permit is Issued (Section 3097 'Civ. C.). - - Lender's Name FLOOR DAINS FLOOR SINKS - FLR ,Lender's Address DRINKING FOUNTAINS -• ' INTERCEPTORS CLARIFIERS OWNER BUILDER DECLARATION �- "--- -' -- I hereby affirm that 1 am exempt from the Contractor's License Law for SWIMMING POOL - P TRAP'- - the following -reason (Section 7031.5 Business and Professions Code:" Any city" or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior'la its issuance; also re-*_ quires the apklirant for such permit to file a signed statement that he _ WATER SERVICE ALTERATION - I - - - ♦ - - GASSERVICE OUTLETS - Is licensed pursuant to the provisions -of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he Is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects 'the applica nt to'a civil'penalty of not more than five hundred dollars ($500). El I, as owner of the property, or my employees with wages as their WATER HEATERS" - BTU OUTPUT � -- - -SEWER CONNECTIONS - _ _ SOLAR TANK COLLECTORS— -- _ sole compensation, will,do.the Work,.and the.structure IS not intended_ or offered for Sale. (Section 7044, Business and Professions Code: The Contractor's License Law tloes hot apply t0 an owner of a property SOLAR PIPING SYS. ISSUE FEE I who builds or improves thereon and who does Such work himself or through-his�own employees, provided that Such Improvements are not MECHANICAL PLAN CHECK intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the ownerwillhave the.burden HEATING SYSTEM 0-100,000 BTU AND DUCTING 100,000+ BTU of proving he did not build Or improve for the purpose of sale). 0 -17 -as -owner-of the` property; am -exclusively contracting- with licensed contractors to construct the project (Section 7044, Business and'ProfessiOns Code:-The'Contractor'S-License Law tloes not apply Lo- REFRIGERATION 0-100,000 BTU SYSTEM 100,000+ BTU I an owner of property who builds or Improves thereon, and who con- tracts from- such 'projects with a contractor(s) Iicesned pursuant to theContractor's License Law). ❑_ I am exempt under Section B. & P. C. for this .reaso BOILERS BTV Date'-' Owner SYSTEM REPAIR, ALTERATION I hereby certify that I have read this application and state that the above Information is correct. I agree to comply with all city and county EXHAUST SYSTEM MULTIPLE - Signature Drivers' License or SS ISSUE FEE CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor 0605 7/01/82 ZONING REGULATIONS A.P. qp ZONE PLNG. REF. $ REAR YARD ITO PKG. SPACE REQ. STREET WIDTH ,PROV,IOED , PARK FEE $ - i:D BV - DATE ONS: 35.45 TL ;ELECTRICAL 'PLAN CHECK FT 6 ` ', GENERATOR --0-1 KW_�_1-30 KW ' TRANSFORMER -- APPL'IANCE - -10-50 KW_50 --KW - - - - :MOTORS "-" '. 0-1 HP_ 1-30'HP - - - .ONC: SOLAR) - 30.50 HP=50 + HP ---- - ,FIXTURES OUTLETS .SWITCHES - ,GAS TUBE SIGNS' POLE LIGHTS- - -' 'POLES METERCE) SUB .PANEL'S -" MAIN - SUB - - ,SERVICE-- - AMP- - "t ' ISSUE FEE- ,APPL'ICATIONAPPROVEDBV --^ DATE--- ' SUMMARY OF FEES BUILDING - '— -'- --' - PERMIT_. _ E_ - _' SMIR: S PLAN CHECK ..PERMIT I PLUMBING $ 15SUANCE S -, GRADING S' ,PLANLCHECK S' �. -' ELECTRICAL S MICROFILM'$ 'PLAN CHECK-$ - TOTAL FEE Is .ME CHANICAL $ LESS AD - PLAN CHECK $ VANCEPC $_ FINAL FEE $ %✓ CONSTRUCTION AND PLANNING ° Date APPROVALS Permit # /� - Inspector' POOL & SPA-. Date Inspector APPROVALS Permit # _ 1. Temporary Electrical Service or Pole _ Water Pipe-Undrgrn 43. Pool & Equipment Location , --- - 2. SoilPipe-Undrgrn 52. 44. Steel Reinforcement -- • • - • •• - - - 3. Electrical Conduit Utility-Undrgrn Backwash & Receptor -Final - 45.- Forms 4. Electrical Conduit-Undrgrn -- --- --------- -- - - - - - 46.-- Electrical -Bonding 7 - Steel ein orce Rough Electric -Conduit -- - 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 57. 48. APPROVAL TO COVER-GUNI•TE - - - - 7. Footings Fencing & Access Approval 49. Electrical Conduit-Undr rn 8. Foundation - 50. Gas Pipe, ❑ Undr rn, Test . 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap- El Undmrn - - 10. _ Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection - 53. Backwash & Receptor -Final - 12.. Street Sewer. Connection -54. Heater & Vent -Final - ;3. Rough Plumbing - 14. Rough Electric -Conduit -- - -'56. - Electrical -Final 15. Rough Electric -Wiring - / 57. Solar System -Final 16. Rough Heating & Air Conclitioni ng OtS. Fencing & Access Approval -.17.. Ducts in Structure _ _ APPROVED FOR PLASTERING 18. Ducts, Ventilating_ 60. POOUSPA SYSTEMS FINAL 19. Gas Pipe -Rough & Test 20. Roof Framing - 21: Roof Sheathing. NOTES: -22. Frame and Flashing. - - 23. Insulation - - 24. Lathing & Siding 25. Drywall Nailing _ 26. Plaster Brown Coat 27. tiElectrical Power Meter -Final 28. Final Electric '9.. Final'Heating & Air Conditioning 30. Final Gas Pipe -Test _ 31. -Final -Plumbing _ 32'. Water Service -Final _ - 33. Gas Service -Final 34. Solar Domestic -Final ' 35. Landscape Sprinkling System 36. Sound Attenuation - 37. Handicap Regulations 38. FINAL STRUCTURE &BUILDING 39. Special Requirements Completed" ' 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. X42. CERTIFICATE OF OCCUPANCY No Date y '.i Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. - CITY OF COSTA MESA PERMIT NO TRACT ILIO. LOT NO, BLDG O - - .- r• CONSTRUCTION PERMIT TYPE OF CONSTRUCTION NEW ❑ ADD ❑,ALTERATION - /❑ REPAIR.0 CONVERSION ❑DEMOLISH El OTHER - - - - ZONING REGULATION'S Project Address 2J ,he, - Phone' Address - - Arch/Eng. - License No. -- -- DESCRIPTION OF WORK A P ZONE - PLNT'rGpp. `Address - - Contractor Phone / 6WE OF PERMIT. 1 -. SETBACKL ST. ❑ GRADING ❑ FOUNDATION ❑ STRUC URAL I YARD. E3 TENANT ❑ ELECTRICAL ❑PLUMBING MECHANIC p _ - WWF ggR ItE�JFLL. ppyp PROPEIRTVNL NE - .... 1. ' Address ]' .: i GAfz� " LICENSED CONTRACTOR DECLARATION I hereby affirm thit 1 am licensed of Charter 9 under provisions (com- mencing with section 7000) of Division. 3 of. the Business and ❑ OTHER - - RIGH RI GET .. - . Professions ' Cotle, d m license Is In full for •antl elle t. REAR YARD (TO P/L) 11ce O e[ •PROJECT DESCRIPTION - - License Class No PKG. SPACE REO. PROVIDED' Date �0';?ii 5t Signature O' FT. OCCUPANCY_CONSTRUCTION TYPE - STREET WIDTH PARK FEE $ - _ WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -Insure o a. VALUATION - ZONE _ 'ZONING APPROVED BY DATE aortificate of Workers' Compensation Insurance, -Or i certlflod copy thereof (Section 3600, Lab. C.). GRADING CU. YDS. ACRES SPECIAL CONDITIONS: 'Icy No. Company Certified copy Is hereby furnished. REMARKS: J Certified copy Is filed with the City Building Division. EXEMPTION FROM'WORKERS' COMPENSATION DECLARATION - - •^ .(This section need not be completed i1 the permit Is for one hundretl or less11 - SE100) card/y that In the perlorma nce of the or or which this p mit Is 9ssuotl, I shall not employ any parson an o as't become - LUMBING PLAN CHECK ELECTRICAL PLAN CHECK- ' subject he W kers' Co mpensatio cos _ BATHTUBS -SHOWERSSQ.FT UWLLLINU SO, "I, FT Date ^ - Signature NOICEICE: If after making this declaration, You should becorng subject TOILETS URINALS - GENERATOR0-1 KW_ 1-]0 KW to the Workers' Compensation provisions of the labor Code, you must - ,TRANSFORMER - - 1 to hw tin comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS' . APPLIANCE - 10-50 KW_50+KW - - revoked._ KIT. SINKS - DISH WASHERS - "MOTORS-, 04 HP 1-10 HP- - - _ _ L CONSTRUCTION ENDING AGENCY - 1 hereby affirm that there Is a construction lending agency for the per- SERVICE SINKS SUMPS"' .-(INC. SOLAR) . 30-50 HP 50+ HP - formance of the work for which this permit is Issued (Section 3097 FLOOR SINKS - "-FLOOR DRAINS - r -FIXTV RES OUTLETS ".SWITCHES' ' Civ. C.). -- _ ^---- •^ Lender's Name Lender's -Address DRINKING FOUNTAINS �f •'i- ` - - GAS TUBE SIGNS' OWNER BUILDER DECLARATION I hereby "affirm that 1 am exempt from the Contractor's License Law for INTERCEPTORS "CLARIFIERS - .POLE LIGHTS - 1. POOL- PTRAP- - - - - - the following reason (Section 7031.5 -Business and Professions Code:SWIMMING Any city or county which requires a permit to construct, alter, POLES -METERED SUB— WATER SERVICEALTERATION- - PANELS- ^' - -MAIN _ SUB - Improve, demolish -or repair any, structure, prior to its Issuance, also re- quires the ap,.11cant for Such permit to file a signed statement that he 1 - GAS SERV ICE' - "" -'- SERVICE - - — - -AMP - - Is licensed -pursuant to the provisions of the Contractor's -License -Law (Chapter 9 (commencing with Section 7000) of Division 3 of the OUTLETS WATER HEATERS BTU OUTPUT-, -- Business and -Professions -Code) or that he is exempt therefrom -and -the for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS' -- - - ^ •-• - • -- _ - - applicant for a permit- subjects the applicant to a civil penalty of more than five hundred dollars ($500). SOLAR TANK -'- ' COLLECTORS LJ 1, as owner of the property, -or'my employees -with wages as their- solecompensation, will do the work, and the structure is not intended ' or 0ffered.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 _ ISSUE FEE - 'APPLICATION APPROVED By- -DAT who builds or Improves thereon, and -who does- such Work himself or through his own employees, provided that such improvements are not 1 MECHANICAL PLAN CHECK - SUMMARY OF FEES - Intended or offered for sale. If, however, the building or Improvement' Is sold within one year of completion, the owner wilt have the burden of proving he did not build or -Improve for 'the purpose of sale).- - - - - - BUILDING - - - - -- ❑ I, as owner of the, property,. am exclusively with HEATING SYSTEM 0-100,000 BTU 1 [PERMIT $ ISMIP ,.-$. - -contracting licensed contractors to construct the project (Section 7044, Business -ANO DUCTING 300,000+ BTU _ PLAN CHECK $ - _ PERMIT. ^ and Professions.Code: The Contractor'S_Llcense Law -does not apply to '- - - -•ISSUANCES $ an owner of property who builds or Improves thereon, and who con. REFRIGERATION 0-100,000 BTU PLUMBING $ - tracts from such projects with a contractor(s) Iicesned pursuant to SYSTEM- -- ♦ - GRADING E the Contractor's License Law). 100,000 + BTU- PLAN CHECK $ ' ❑ 1 a exempt untler Section B. 6 P. C. for this BOILERS BTU - ELECTRICAL '$ $ reason - _ PLAN CHECK E •MICROFILM-5 Date Owner SYSTEM REPAIR, ALTERATIONv- MECHANICAL $'� TOTA L.FEE E � 1 hereby codify the have read this application and state that the above EX RUST SYSTEM MULTIPLE LESS AD - Information Is co ect. agree to comply with all city'antl county PLAN CHECK E - VANCEPC $___ ortllna nces ands to to eta t co t ction, and hereby authorize .Fi - ropresCntativC of t c' the above mentioned property f ns Signature -Accounting; Gottlenrod-Assessor CONSTRUCTION AND PLANNING A f Date APPROVALS Permit # /•� Inspector POOP '& SPA " 1• � Date Inspector APPROVALS Permit # `_ _ _ 1. Temporary Electrical Service or Pole 43. .,Pool & Equipment Location 2. Soil ipe- n rgrn Steel Reinforcement - lectrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn--- -- -- - -- _ 46. Electrical Bondin 5.tee m eorce 47. Rough Plumbin &Pressure Test- -- - - - - 6. Electrical U ER Grn 48. APPROVAL TO COVER-GUNITE - 7. Footings 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr in, Test 9. Water Pipe-Undrgrn 51. Backwash Lines,P-Tr - n F 10. Structural Floor System 52. APPROVAL TO DECK -- - - . 1.1. Property Sewer Line & House Connection _ 53.. Backwash & Receptor -Final 12. Street Sewer Connection _ -- 54. 'Heater & Vent -Final - 13. Rough Plumbing _ _ - - - - - 14. Rough Electric -Conduit - 56:-- Electrical -Final 15. Rough Electric -Wiring _ _ - - - • -• ' 57. -Solar -System -Final - 16. Rough Heating &-Air ConditioningFencing & Access Approval. 17. Ducts in Structure 59. APPROVED FOR PLASTERING ; 18. -Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL I' 19. Gas Pipe -Rough & Test 20. Roof Framing 21: Roof Sheathing- - - - - - •• ' NOTES: 22. Frame and Flashing _ 23. Insulation 24. Lathin ,& Siding- ' 25: Drywall Nailing . 26: Plaster Brown Coat F 27: Electrical Power Meter -Final 28: Final'Electric -- -- i - ' 29: Final Heating & Air Conditioning- • 30: Final Gas Pipe -Test 31: - Final.Plumbing - • '- -' - - 325 •Water Service -Final ` 33. Gas Service -Final - - - - I 34. Solar Domestic -Final ''' _- I "'""-• _ ' ��"''"f- -• 35. Landscape Sprinkling System 36. Sound Attenuation % I 37. Handicap. Regulations --- - ' • '' _ 38. FINAL STRUCTURE & BUILDING '-' --_ j ' 39. Special Requirements Completed _ _ _ _ _'• _ _ 40. Electric, Release to Edison - 1 - '"• - 41. Gas Release to Southern California Gas Co.- 42. - -'NcL CERTIFICATE OF OCCUPANCY 4 ^'- Date COUNTY OF ORANGE BUILDING DEPT. Permit No...3..... .7.. ............ 636 No. Broadway Santa Ana, California Application for Building Permit Phone: KI 2-6211 AND FOR A Certificate of Use, and Occupancy Date----- ..... ........ OWNER'S NAME . . . ........................................................ PHONE: .................................. MAILING ADDRESS---------- entW_-.e ................... CITY-- lr�. C110 . ..... .... . .... Name (Architect or Engineer) Address __ City................. State Lic. No............ Name...... .......... ..............................................-- (Contractor) Address.................................................. ....... ................. ............... City State Lic. I Phone .............. ..............C .................................................. * .................. ----------- PROPOSED USE: -------.lira - ---- ----- ---- -- ..................... ....................I JOB LOCATION.... W-.. Aele (House No.)//(Name of Strcet) (Town or School District) Y�L&+ ?o ...Block -------------------------------------------------- Tract....3..... 3 3. LEGAL DESCRIPTION: Lot..- ........ -- -1-3. ? .................. (Metes and Bounds Description—Use reverse side of Torm) 4. CORNER LOT ( INTERIOR LOT ( THROUGH LOT SLOPE OF LOT 5. SIZE OF BLDG.: --------------------------AREA:.--------- ...................SIZE OF L GT : ------------------------------------AREA:.............._.... .............. .,DiNG 1NCLUDW 0) 1. ECTIONS1 ................... NO. OF STORIES ............... ------------ PORCHES G. HEIGHT OF BLDG.: ----------- t40 -PART. -of ... 7.9�bq OR ANY C FROM ANY 7- NO. FAMILIES......._...------------------ 18�iz� Se- ------------------- Size of Kitchen ------------------------------------ SHALL_99SSAWO r --- .1c rr?jA puaL R. EXTERIOR WALL CONST RIGHT OF 'N' ' jkl : ---- p&tWiRE5510EMR WALL COVERING ............................................ (Frame, Stu`ffbAD),NV41CV' 'SERVES" :)Wm&±t -74- (Plaster,Drywall, Etc.) 9. SETBACKS: Front Yard Fr08RqWK]F'Wg"Ayre' et b ........................ .................................................................................................. Nearest Side Yard ........................Rear Yard ........................ Distance in Feet Between Bldgs. on Same Lot............................................ io. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. 11. For (a) Footing: Width ........................................Depth in Ground ---...........................Width of Wall................................ Accessory $� -.: GROUP.......... . .................. APPLICATION. Bldgs. and Similar (b) Size of Studs:............................5 pacing .............................. CC Material of Floor.............................................. Structures: FIRE Total to I M DIST. J� g (c) Size of Floor Ai1t0--Cq ...... 'V�' Z A.........................................:'CC (d) Size of vl* 12. VALUATION OF sewage disposal $... 13. 1 HEREBY CERTIFY THAT T APPLICATION IS CORRECT THE COUNTY OF ORANGE Plans Filed:. -CC electrical wiring, heating, fire sprinklers, painting and O (D ,ND BELIEF THE INFORMATION IN THIS WORK WILL CONFORM TO ALL LAWS OF diPPLICABLE THERETO. � iz. r: - 7= � 0 S_ e 0 q - to a) to =3 c: �0 W *11 1- Arm - z' La FOR DEPARTMENTAL USE ONLY (Owner) (Authorized Agent) DATE..I� . , �/I.- ..................... M -B.51 -/- s . ...... FEES: J CHECKING BY Bldg. Permit $� -.: GROUP.......... . .................. APPLICATION. HEALTH............................ Plan Check s.: �..] TYPE ................ V .................. C000� ZONING .......................... FIRE Total $ ............... ... ........... DIST. J� g PLANS AND MARSHAL........_... ........... Receipt No. ............ leekn MA ..... .......... .... � V SPEC'S.. ............. STATE ................................ Paid to I ................. I ...... SHEET NO ........ CORRECTIONS ENGINEER Date................. ....... .............................................. VERIFIED........................ CAL.....................----------...... DATE..I� . , �/I.- ..................... M -B.51 -/- s . ...... COUNTY OF ORANGE BUILDING DEPT. 636 No. Broadway Santa Ana, California Phone: KI 2.6211 1. OWNER'S NA MAILING ADC Name ..:............... Address .............. City.................... State pit Lie aC .....� t �M� C 2. JOvo §1C 3. LEGS OEWSSCR X Permit No,3 '7 ..- Application for Building Permit AND FOR A Certificate of Use and Occupancy Date.v ... ----- :3-1j ..... ........ PHONE: .................................. CITY.....4...!./.-1 ... ......_..--.............-----..-.......---'---........... Name .... c/,�t./=..x--t-rl..1/lam'........................_-................-........-- (ArcItitect or Engin G (Contractor) Address .. ...4�. ...... _.... ----G, •SNC--��Sr.................... a`� �. (� ����-: �... a•'`�...:---...............-. --------------- City .............. ..........--........................................................................ T$0 Stae �iAAC�_-.Bhbnc�R 20.............. LictNo....................... . ................... Phone...................-..------..-.-.`. I No.) Syy�,�yy (Name of Street) (Town or School District) r� i. Lot.-c�-`YJ--..-- ---........._.Block ... ------------------- Tract..... ..1.�?....._.-.._......----. (Metes and Bounds Description—Use reverse side of form) 4. CORNER LOT ( ) INTERIOR LOT ( ) THROUGH LOT ( /) t SLOPE OF LOT ( ) i. SIZE OF BLDG.,r� :.�.ZGID.AREA-----------------------------SIZE OF LOT:-.(Lt-.6...�C„1..Q..2AREA:..----------.-.....----------- 6. HEIGHT OF BLDG.: ------------------------------------------ CEILING HEIGHT: ------------------------------ --- NO. OF STORIES ................................ 7. NO. FAMILIES........................................Size of Smallest Bedroom: ........ ........... .................... Size of Kitchen .................................... F. EXTERIOR WALL CONSTR ION:.........................................:..INTERIOR WALL COVERING .............................. .............. (Frame, Stucco��yy (Plaster -Drywall, Etc.) 9. SETBACKS: Front Yard Frofi�D ttO rl1w of Street ----------------- ................................... .............................. .................. ...................... Nearest Side Yard ..._..............._t.s:.ZC..tr_D-...Distance in Feet Between Bldgs. on Same Lot.......... �,. ti Q� r�JY Io. A COMPLETE PLOT PLA4R' STRUCTURES AND USE OF EACH. fi,p ky.rJ c on a o� a o 11. For (a) Footi •$✓igtl...... rR. i�ro.J-:gr� Groun.............................. Width of Wa'. Accessory �� m p> >O O �,"' cl, c, • Q� 'a Aj Bldgs. and y y .Q vo d� D .Aj J • 2 Similar (b) Sizy. gStu.:.._J_ .G�.Spar 4 ....................... CC Material of Floor.............. Structures: Jt' �' �.. Dr ..n' '� `'' • ��'' `L O (c) Size of Fl� `p' ..._-,.. --...... Spacing ............... cc (d) Size of Rafters:...Jep 2Z* ---aJ n` ...Spacing ._...... - ....... ..........-....."CC 12. VALUATION OF PROPOSED -WORK: Inciuf�i VI -I labor, plumbing, electrical wising, heating, fire sprinklers, painting and sewage disposal $ ................................................ 13. I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA�/,APPLICABLE THERETO. Signed%_((.Y /(�l/ 1-----. l.Q d...........-.......... ....................... (Owner) Plans Filed:....-...... -- ...............- --------------------- ------------------ - -B `- f:K(j... ........�Jt (Authorized Agent) FOR DEPARTMENTAL USE ONLY FEEis : CHECKING BY Bldg. Permit .. GROUP......... APPLICATIQ! HEALTH ............................ Plan Check .... ...... ............ TYPE.......... -` ........... ZONING .... :.......... e FIRE �...... Total ..DIST. MARSHAL ...................... PLANS AND Receipt No. MAP._........ STATE .............................. p ^........... SPEC'S............................. Paid to ........................... .. SHEET NO .... .. ................. CORRECTIONS ENGINEER Date.......................................... ................................................................. VERIFIED ........................ CAL........_............. ------- DATE ..... 1.... -. . PERMITISff_a ei COUNTY OF ORANGE BUIIDING DEPT. Permit No.3..�.1 e --- 636 No. Broadway - sanmAm,California Application for Building Permit Phone: KI 2-6211 AND FOR A Certificate of Use and Occupancy OWNER'S NAME... ,_S /� �..'.�1` q<L . Q . ....- - ................................. PHONE: ...... ....................... MAILING ADDRESS...a... -tea- D.......EUflA..._Q... ............. CITY_'-. +uR... ...:... Name (Architect or Engineer) Address .......... City -------------_ State Lic. No...... ----- Name .....L i/ Z ......__... _......... (Contractor) Address City----- ------------------------------------------ state Lic. No ............................................. PROPOSEDUSE:..-: Zl.- - .. ... r__. —..............._.............................._...................... q(� �J� D0'' sot 2. JOB LOCATION .......fX-. ..� 0-----( �P 7 ....�`P- ------------- - ............................._........_................. (House No.) , (Name of Street) (Town or School District) ^/ 3.' LEGAL DESCRIPTION: Lot.9.�j....�.�... �o{.... ..4..i .Block ....................................... -j, Tract.... `. ...........- - (Metes and Bounds Description' Use reverse de of form) 4. CORNER LOT ( ) INTERIOR LOT ( ). THRQUGH LOT ( ) SLOPE OF LOT ( ) i. SIZE OF BLDG.: .................... ........AREA:................ -------.......SIZE OF LOT: .................................... AREA:........................ .... 6. HEIGHT OF BLDG.:. ......................................... CEILING HEIGHT: .................................. NO. OF STORIES ...... .------_------......... 7. NO. FAMILIES........................................Size of Smallest Bedroo :. ...ANC�UDMG....... Size of Kitchen.................................... F TV -IIS BUIL ISIS ECI S. EXTERIOR WALL CONSTRUCT I PERT 0 A#Y. OIHE� �12A 1IO.ftI(�NSt L COVERING ............................................ (Frame, Stucco, I?m.zpOR[;HESCESS ��,Iq �I `F........................................................... `�(t�t�Y Plaster•Drywall, Etc.) 9. SETBACKS: Front Yard From Ce pLlne reef. v� ,..0 --PUBLIC Of--- ........................................... ..................... SEMENT, RIGHT... IN RESS TO TWO Nearest Side Yard ........................Rear. .V .SER5%t hi m t Between Bldgs. on Same Lot............................................ " �� ERTY OWNE 10. A COMPLETE PLOT PLAN IS RING ALL STRUCTURES AND USE OF EACH. 11. For (a) Accessory Footing: Width........................................Depth in Ground ...----...................... Width of Wall ---------------------- ..:....... Bldgs. and Similar (b) Size of Studs: .......................:...Spacin&..�..�. „g D G y...... Material of Floor .................... .--------- ................. .SCrUCCUre6: ILn U '3 y o..V, N c Size of Floor Joists:.... ..c %-----------------------" Sibl CC 'n G wDt' 00 3 N+� S > ( d) Size of Rafters- ............... i .. CC 32. VALUATION OF P �JORK: .i Q w✓ J �- y N ✓ O � N rA'' ptl 6 Inc '� " all 15b�, �Jif}�Khi ye�tut cal wiring, heating, fire sprinklers, painting and •_. sewage disposal $---... ................. G m 01D a U J v m O� > 13. I HEREBY CERTIFY THAT TO THE BES - APPLICATION IS CORRECT AND THA THE COUNTY OF ORANGE AND THE Plans Filed c FOR DEPARTMENTAL USE ONLY THE INFORMATION IN THIS CONFORM TO ALL LAWS OF THERETO. Agent) FEES: / COCKING BY Bldg. Permit it TYPGROUP.:-------. ..�........ ZOPNING.......................... TION......�.. HEALTH ............................ Plan Check $- - -- -- - ...._.. TYPE ... .. . .......... -- - FIRE NTNG - -- ............. Total $........ ..... DIST. MARSHAL ......................... NS AND Receipt No. SPEC'S................ ....... STATE.......... ............... ............... Paid to ................. SHEET NO..--.-.....---...-. CORRECTIONS ENGINEER Date-................................................. ........ ................. _.............................. VERIFIED ..... _................ CAL................... ............... DATE..... Z_// 5 M-9.51 Applicant to fill In all spaces within heavy border lines and sign all appropriate declarations. —CITY:OF COSTA MESA PF�RMIT NO. TRACT NO. LOT NO. BLD . NO CONSTRUCTION PERMIT 1F\- n If ) Project Address TYPE OF CONSTRUCTION )9,NEW ❑ ADD ❑ ALTERATION ❑REPAIR ❑CONVERSION ❑DEMOLISH ❑ t`!. f�4 0372 6/3.0/82 31 e00 , - ZONING REGULATIONS Owner Phone Address a.0 Arch/Eng. License No. - OTHER DESCRIPTION OF WORK - A.P. qF _ ZONE PLNG. REF. 9P Address Contractor ' hone TYPE OF PERMIT El GRADING ❑ FOUNDATION '� ❑ STRUCTURAL ❑ TENANT ❑ ELECTRICAL 384UMBING ❑MECHANICA 51pSETB YARD ACK CIL T LSIEpE ��i�Y LINE - - ' -Address /A} �/ _ LICENSED CONTRACTOR DECLARATION I hereby affirm lhLt I am licensed under Provisions of Charter 9 (com= .. VA RIGHT. m zincing with section 7000) of Division 3 of -the Business and ❑OTHER - ' Professions Cotle, .A y license is In full force ntl eft c .. . ' 'REAR YARD TOP ( /L) d ESCRIPTION- . PROJECT DESCRIPTION- _ (O CleanseCI s Ligaasa N U, PKG. SPACE REQ. PROVIDED Datel'� Signor ure /— SQ. FT. STREET WIDTH PARK FEES WORKERS'COMPENSATION D ARATION OCCUPANCY_ CONST R UCTI ON TYPE I hereby affirm that I have a ce ficete Of consent to Self -Insure or a VALUATION ZONE 'ZONING APPROVED BV- DgTE certificate of Workers' Compensation Insurance or a t tied c y - - _ thereof (SC ICI Ar }bi eb. C.). , GRADING CU. YDS. ACRES SPECIAL' CONDITIONS: - :•Icy No: �1(CJY Company � _ _ _ _ - y, :erl copy is hereby furnished- _ .- ertl tied copy is filed with the city Building Division. ' EXEMPTION FROM WORKERS' COMPENSATION DECLARATION'(This section. need not be.compieted if the permit is for one hundretl (5300) or less).I certify that in.the performance.of the work for which this permit isissued, FEM: 1shall not employ any person in any manner so as to become PLAN CHECK - ELECTRICAL - "' PLAN CHECKsubjecttotheWorkers. Compensation taws of California. ._ S SHOWERS Dale Signature NOTICE: If after making this declaration, you should become subject - URINALS GENERATOR 0-1 KW_1-30 KWto the Workers' Compensation provisions Of the Labor Cotle, you must'TRANSFORMER forthwith comply with such provisions Or this permit shall be deemedIES DOUBLE LAYS- :APPLIANCE 10.50 KW__.:_50"+KW ^- revoked. . . _ _ I _ CONSTRUCTION LENDING AGENCY KIT. SINKS DISHWASHERS _ MOTORS 0-1 HPI -30 HP - I hereby affirm that there Is a construction lending agency for the per- SERVICE SINKS SUMPS - (INC. SOLAR) 10-50 HPyy_� -- 50 + HP- formance of the work for which this permit is issued (Section 3097 FLOOR SINKS FLOOR DRAINS FIXTURES.-'- OUTLETS SWITCHES'" - --- Civ. C.). - - Lender's Name _ _ _ Lenoer'sAddress - DRINKING FOUNTAINS - - '±GAS TUBESIGNS'- - i.INTERCEPTORS CLARIFIERS - - 'POLE LIGHTS"- - - OWNERBUILDER'DECLARATION - -- I hereby affirm that I am exempt from the Contractor's License Law for SWIMMING POOL "P'TRAP 'POLES METERED - - SUB the following reason '(Section 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 re- - WATER SERVICE ALTERATION - - - -,PANELS - - - MAIN SUB ' qu res the ap4licant for such Permit to file a signed statement that he GAS SERVICE OUTLETS SERVICE -- AMP - -- is licensed pursuant -to -the provisions o1 the Contractor's 'License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS' r BTU OUTPUT 2 - _ - - - Business and Professions Code) or that he Is exempt therefrom and the h.qs for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS - - - - - - -- - 'y'a,' pPlinant for a -permit subjects the applicant to a civil penalty ':ol more than five hundred dollars (5$001. V- "SOLAR TANK - ;_,'r`I, as ownei- of the property, or my employees with wages as their sole compensation, will do the work,.and.the structure is not intended or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SVS. ISSUE FEE Contractor's . License Law does not apply to an owner of a property ISSUE FEE ,I APPLICATIONAPP ROV EO BY - DATE -'- • ' who builds or improves thereon, and who does such work himself or through his own employees, provided that such Improvements are not MECHANICAL PLAN CHECK SUMMARY OF FEES Intended or offered for sale. If, however, the building or improvement Is sold within one year of completion, the owner will have the burden ' of proving he did riot build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU BUILDING PERMIT $ SMTP .E ❑ 1, as owner -of- the Property, am -exclusively contracting with ANO DUCTING licensed contractors to construct the project (Section 100,000 +BTU PLAN CHECK E PERMIT professions Cotler The Contractor's License Law does not appl and es not apply - - ISSUANCE E of p on. owner of property who builds Or improves thereon, and who con- owner REFRIGERATION 0-100,000 BTU PLUMBING S-3 / -- ' tracts such protects with a -contraor(s) 11<esned pursuant to tracts SYSTEM -- - - . GRADING E the Contracntrac tor's License Law). 100,000'+ BTU PLAN�CHECK $ ❑ I am exempt untler Section _ B. & P: C. for thisBOILERS BTU ELECTRICAL E _ $ reason_ SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE t PLAN CHECK E' - MECHANICAL. $ -LESS MICROFILM-$ 'TOTAL FEE $' AD. Data Owner I hereby certify that I have read this apPlication and state that the above Information Is correct. 1 agree to comply with all city and county PLANCHECKE VANCEPC S_ ordinances and state laws rotating to construction, and hereby authorize representatives" of this 5Ay t enter n the above mentioned property for i if ' Signature Date " ISSUE FEE FINAL FEE $-s.-�-l— Drivers' LICessse or SS CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor TL' CONSTRUCTION AND PLANNING/ APPROVALS Permit# 0/ Date Inspector lv POOL & SPA APPROVALS Permit# Date - Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - - - - - _ Soil Pipe-Undrgrn-To _yt 44• Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrn 45. Forms - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - -- 5. Steel em orce - 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE - 7. Footings - - 49. Electrical Conduit-Undr rn B. Foundation 50. Gas Pipe ❑ Undr rn, Test 9.. Water Pipe,Undrgrn 51. Backwash Lines P-Tra - ❑ ndr rn- 10... Structural Floor System 52. APPROVAL TO DECK - 11. Property Sewer Line & House Connection 53.. Backwash & Receptor -Final 12. Street Sewer Connection _ -54. Heater & Vent -Final _ 13. Rough Plumbing / 'L - 14. Rough Electric -Conduit -56. Electrical -Final ' 15. Rough Electric-Wirin2 57, Solar System -Final 16. Rough Heating & Air Conditioning bd. Fencing & Access Approval 17. Ducts in Structure. 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating. - 60. .. POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough & Test 20. Roof Framing -' - - 21. Roof Sheathing- - - NOTES: 22. Frame and Flashing 23. Insulation - - 24. Lathing & Siding - 25: Drywall Nailing - 26. Plaster Brown Coat - 27. Electrical Power Meter -Final - 28. Final Electric - - - 29. Final Heating & Air Conditioning 30. Final Gas Pipe -Test 31. Final Plumbing 32. Water Service -Final - - 33. Gas Service -Final - - - - 34. Solar Domestic -Final 35. Landscape Sprinkling System - -- - - 36. Sound Attenuation -- - - ' 37. Handicap Regulations - -- 38. FINAL STRUCTURE & BUILDING - - 39. Special Requirements Completed 40. Electric Release to Edison - - 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY.OFCOSTA MESA PERMIT NO. r'.�T RACT NO. LOT NO. BLD . NO CONSTRUCTION PERMIT -' TYPFOf CONSTRUCTION NEW 11 ADD EJ ALTERATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH 95 ,7 11.1/1 fid' 7." -Project Address D.CF12- Owner Phone Addr 4g [ ❑ OTHER ZONING REGULATIONS Arch/Eng. V LiceMse No. DESCRIPTION OF WORK A P f ZONE PLNG. REF, qp Address Contracto - Phon T TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCT AL- ❑ TENANT ❑ ELECTRICAL ❑PLUMBING MECHANIC SET AC I YARD 5 0E W0BP'VWVG NE - �' Address r LICENSED CONTRACTOR DECLARATION I 1 hereby affirm that am licensed under provisions of Charter 9 (cum- section 7000) Division 3 of the Business and ❑ OTHER RIGHT mencing with of Professions Code, n0 y license is In full force and affect REAR YARD (TO - P/L) •-i-79 %/ PROJECT DESCRIPTION � _ License C [y aiz Licania N`Signature PKG. SPACE REO. PROVIDED - - SQ. FT. Dato cf OCCUPANCY_ CONSTRUCTION TYPE STREET WIDTH PARK FEE $. WOR ER COMPENSATION DECLARATION - - I hereby affirm that 1 have a certificate of consent to self -Insure or a VALUATION ZONE ZONING APPROVED BY DATE certificate of Workers, Compensation- Ins nCo. ora cartif led copy - _ ' '•oof ( tlon 8 0. La ,). r �� GRADING CU. YDS: ACRES SPECIAL CONDITIONS: y No Comps .dL-' _ertlfletl copy Is hereby furnished.- - REMARKS: - - - - _ y` Certifietl_copy is filed with the city Building Division. .. - , -- 'Elf EMPTiON FROM WORKERS' COMPENSATION DECLARATION - - ` - -' - (This section. need not be completed if the permit is for one hundred 1 oIess1. " SE100r- lhat. n certlifythe Performance of the work for,wM1lch this permit Is - Issued, I shall not embloy any person In any manner so as to become PLUMBING, -, PLAN CHECK - ELECTRICAL - - PLANCH ECK' subject to fie W keri'.Compansell w5 Iifor - -UWLULIN� BATHTUBS SHOWERS UARAUL , Date 20 Signat ur NOTICEiCE: 1�n9 this declaration,yOu uld become subject to the Workers' Compensation th Labor Cotle, must- TOILETS URINALS - GENERATOR - TRANSFORMER 0-1 KW_ 1-10 KW provisions of you forthwith comply with such provisions or this permit shall be deemed __ LAVATORIES DOUBLE LAVS - APPLIANCE 10-50 KW_50+KW - revoked. - - �- - CONSTRUCTION LENDING AGENCY KIT. SINKS DISHWASHERS MOTORS'" 0-1-HP_1.30 HP -- - 1 hereby affirm that there Is a construction lentling agency for tho per- SERVICE SINKS SUMPS - (INC. SOLAR) 10.50 HP_ 50 * HP - formance of the Work for,w'hich this per Is Issued (Section 3097 FLOOR SINKS, FLOOR DRAINS FIXTURES OUTLETS SWITCHES' Civ. C.1• '• 1�_/ /� , "- L¢nd:r% Name ! 3cL�ssrw Lontler's Atltlres5 - .¢. DRINKING FOUNTAINS GAS TUBE SIGNS - INTERCEPTORS CLARIFIERS - - POLE LIGHTS 'OWNER BUILDER DPCLARATION .- ♦ - . I hereby affirm that I am exempt from3he Contractor's License Law for SWIMMING,POOL P,TRAP - POLES _ METERED SUB . the following reason ( Section. 7031.5 Business and Protesslons Code:. Any city or county :which reduires.a permit to construct, alter, 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' _ •GAS SERV ICE - OUTLETS SERVICE _ - AMP - - Is licensed Pursuant to the provisions of the Contractor's License Law -f Chapter :9 (commenting with Section 7000) of Division 3 of the - WATER.OUTPUT t,,ness and Professions Cotle) or [hat he Is exempt therefrom and the rR.for.the alleged'9xempti Of Section 7031.5 by_R�`applicant"for-a SEWER .•preyviolation. berrgit subjects the applicant to.a civil penalty 4'not'.more than' fiveundred dollars($500)._ SOLAR LECTORSsole:tgmpensation�will'do =EE 1, as'owner of Ahe -property, or my e[[nnployees with wages as their. the work, andYhe structure is not intentletlor offered for sale. (Section 7044, Business antl Professions Cotle: The SOLAR ISSUE FEEContradtor'st Ucbnse Law does not apply to 'an owner'of a property- --'APPLICATION ISSU APPROVED BVwhobundOrimproves DATFipthrough thereon, and who tloes such work himself or flis own employees, brovIded,thaL such Improvements are'notintentletl or offered for sale. If, however, the building or Improvement MECHAN CHECK SUMMARY OF FEES Is sold within one year of completion, the owner'will have the burden BUILDING of proving he dirL not build, or .Improve for the ,purpose of sale). HEATING -SYSTEM 0-100,000 BTU PERMIT E SMIP 'E ❑ I, as -owner o1 the properly, am exclusively contracting with AND DUCTING - Ilcensetl contractors t0 construct the project (Section 7044, Business 100,000+ BTU PLAN CHECK E PERMIT The License Law does not to and Profowner - ISSUANCE E or Improves thereon, and who core- of Pr pert builds or I who c owner of property who builds REFRIGERATION 0-100,000 BTU PLUMBING E - --f with a contractor(i) Ilcesnetl pursuant to tracts from suchLicenJe a tracts SYSTEM GRADING E L the Contractor's License Law). 100,000+BTU PLAN CHECK E -' f ❑ I am exempt under Section B. 6 P. C. for this BTU ELECTRICAL $. E ' - BOILERS MICROFILM E reason -- SYSTEM REPAIR, ALTERATION PLAN CHECK E � FEE Date '- Owner - EXHAUST SYSTEM MULTIPLE _ MECHANICAL $- TOTAL E LESS AD- I hereby certify that I have read this application and state that the above Information is correct. 1 agree to comply with all city and county / PLAN CHECK E - VANCE PC E ordinances and st ate rel ting to construction, and hereby authorize tlaws ropres¢ntatives jz [his to nter up n th¢ above endo ed property r cti r urp z. r s 7QO Signatury ru VAA CONSTRUCTION AND PLANNING APPROVALS Permit e�Z Date POBL & SPA InIpec[bI ' APPROVALS Permit;*h ` ,Date Inspector' 1. _Temporary Electrical Service or Pole 43. Pool &Equipment Location on, - _2. _ i ,pe- n rgrn'- Steel Reinforcement' -"- - - -- - ``• -- - A ' ` 1Y 3. lectrical ConduitUtility-Un'rgrn. __ __ _ - _ 45. •Forms - 4.__Electrical,Conduit-Undrgrn �i 46. Electrical Bonding _ce... 5. Steel ein or_ _ .. 47. - Rouh�Plumbin & Pressure Test - 6. --,Electrical UFER Grn _ _ _ 48. APPROVAL TO COVERIGUMT-E A•`• '•1-'� 1'.C.i�' ;. _. 7. Footings _ •' - 49'. Electrical Conduit-Undr rn -• - - .8.. -foundation_ - 56., Gas Pipe, ❑ Undr rn; Test -.9. _.Water Pipe-Undrgrn _ •_ _-•" - 51. Backwash Lines P-Trm -El UhdQh A a= -' -• • • - ' 10. Structural Floor System_ 52. APPROVAL TO DECK . ' 1,1.. _Property -Sewer Line &- House -Connection, _ _ _ _ _ _ 53. Backwash & Receptor -Final 4.12. Street Sewer Connection -``-`' - - - - 54._. Heater &Vent -Final- . -13._ Rough Plumbing,- .- ---... - - - - - _ ,- _ _:.v-: ,_- _ . •4 14. Rough Electric -Conduit t - --- - - - -: .. --. •56:- .Electrical -Final-- - - ' •, _ . - 15. Rou h Electric -Wiring - - ' `-' " -- - -' -'• -• - 57- Solar System -Final. -'- - ^ ' • - - -' - =-' ,'16.3 Rough Heating & Air Conditioning - encing & Access Approval 17.-Ductsiin Structure" •oct!_ -. /-.- 8=1'1. - APPROVED FOR PLASTERING^•.• -18.!- Ducts; Ventilating- 19.1 Gas Pipe -Rough & Test , ' •'i > . 20.!- Roof Framing - " _ _ 60. POOL/SPA SYSTEMS FINAL �• 1 21. Roof Sheathing .-22.; Frame andFlashin _ - - - - - - - 'NOTES:: ! 23. Insulation-- - - 24.'- Lathing & Siding _ 25.' Drywall Nailing. .-26. Plaster Brown Coat ! 27.- -Electrical Power -Meter -Final .-28.Final Electric - - -- - - - - - 29.: Final Heatin - -y - ^ - 30.' Final Gas Pipe -Test .. 31. _Final Plumbing._ 32.; -Water Service -Final -- 33: .'Gas Service -Final: ' 34. Solar Domestic-Final-�l--='--- ' 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations ,+• •- 38. FINAL STRUCTURE&BUILDING - 39. Special Requirements Completed - '- - - - - 40. Electric Release to Edison �-•s _ - - - -- - - 41. Gas Release to Southern California Gas Co:-- 42.,,,,CERTIFICATEOF000UPANCY Nom Date ..•, . ! 1 Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITYOFCOSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG. NO. ' CONSTRUCTION PERMIT I E 60 �?, I 1 TYPE OF CONSTRUCTION ❑ NEW ❑ ADD ❑ ALTERATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH 06_00 .. - 7/01/82 37.02 Project Address O E4- 99AI OW ner Co, Phone Add OLo C east 0 D r ❑ OTHER DESCRIPTION OF WORK ZONING REGULATIONS _ A.P. - Arch/Eng. G /c(i .j License No. - Address 5 Q Q V A All ZONE PLNG. TYPE OF PERMIT - •SEIL WC LST. ❑ FOUNDATION ❑STR VCTURAL LDF YARD - ', ELECTRICAL -PLUMBING MECHANICA ❑ TENANT)k ❑❑ REF..:t. TTpo etl/lI�p ING - PROPERTY LINE --- -- - ' Contractor G JZ 1J Phone ' s20.f Address - --❑GRADING LICENSED CONTRACTOR DECLARATION ' 'I 9 hereby affirm that 1 am licensed under provisions of Charter (com- -section 7000) Division -3 of the Business and .. 0 OTHER -- RIIG HT. - mencing with of Professions Code - and my license is In full force and effect. - I REAR YARD (TO P/L) J` - .- License Cl s} ^-'• ense PROJECT:DESCRIPTION _ _ II _ _ - PKG. REO.. _._ _ PROVIDED �2- -Signature, - {NCO FT: " _ _.� .' _ Date 7�/ itn}'1fiAe _ _' _SQ. r r' 'OCCUPANCY_ CONSTRUCTION TYPE STREET WIDTH ZONING APPROVED—BY -PARK FEE E' DATE WORK R COMPENSATION DECLARATION t_ 'I hereby affirm that I have a certificate of consent to self -insure ora VALUATION ZONE certificate of Workers' Compensation Insurance, or a certified copy SPECIAL' CONDITIONS: - thereof (Section 3800, Lab. C.). GRADING•CU: YDS. ACRES - 'Icy No. Compady IREMARKS: - .. 'l.'.•. ... 7crtified Copy is hereby furnished. . -- --I Certified Copy is filed with the City Building Division. /EXEMPTION FROM FROM WORKERS' COMPENSATION'DECLARATIONFBATHTUBS --- - I •'- — - - ' (This section need- not.be completed if_the.. permit. is for one hundred$100 or less)._certify that In. the performance of the work for_which this permit isissuetl, 1 shall not employ any person in any manner so as tO,becomeG r .' PLAN CHECK' ,ELECTRICAL PLANCHECKSubject o the Workers' Compensation -Laws of California.' !-_ i Slgnatura SHOWERS FT NOTICE: If after making this declaration, you should become subject (., _URINALS —'- 'GENERATOR-' Oy'KW_ 1-10 KWto the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provlslons or this permit shall be deemedRIES OOUBL-E-CAVS' TRANSFORMER APPLIANCE- 10.50'KW_50+KWrevoked... - __ _ _ .__ _ __ ____--CONSTRUCTION S - 'DISHWASHERS - .MOTORS " 01 HP_3-1O-HPIherebyaffirmthatthereisaconstructionlendingagencyfor LENDING AGENCY the per -SERVICE SINKS ::j,, (1 SUMPS` --�(INC:SOLAR)_.:-10-50 HP_50�+HP- - - formance of the work fo.r•�whi h[ Is permit is i s e ection 3097 Civ. -C.).'- - - •• -- - 'SWITCHES" �` / ! !Lentler's Name lV J ll// " FLOOR SINKS' FLOOR DRAINS iFIXTURES' OUTLETS . _ _ -e-gog BGV,b -.C;A ORINKING FOUNTAINS' I) - - -"'GAS TUBE SIGNS' ,Lender's Address' iD INTERCEPTORS CLARIFIERS POLE LIGHTS OWNER -BUILDER DECLARATION"--"" -- - - --- I hereby affirm that I am exempt from the Contractor's License Law for -SWIMMING POOL -" 'P TRAP �'--'�-- -METERED-- - yPOLES _.� ' SUB_-. the following -reason (Section -7031.5 -Business and -Professions Cotle: Any city or county which requires a permit to construct, alter, - WATER SERVICE ALTERATION A "PANEL'S-' "' -MAIN -"' SUB improve; demolishorrepair any'Structure, prior to Its Issuance; also re- the ap,licant for such permit to file a signed statement that he quires li licensed•pursuant to'the provisions of the -Contractor's -License -Law GAS SERVICE OUTLETS - -' _ -v L 'SERVICE '- -' - �- AMP - - - - (Chapter 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS BTU OUTPUT- ��• Business and Professions Code) or that he is exempt therefrom and the --,is for the alleged exemption. Any violation of Section 7031.5 by -SEWER CONNECTIONS applcant fora permit subjects -the applicant t0 a civil penalty' ,ot more than five hundred dollars ($500). SOLAR -TANK' - u I. as owner of the property, or my employes with wages as their sole compensation, will do the work, and the structure Js not Intended, - or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSVE'FEE - - - - r - Contractor's License Law does not apply to an owner of a_property- who builds or improves thereon, and who does such work himself or _ - -- ISSUE FEE �� gpPCICATION'APPROV ED BY - - - DATE - _ through. his Own employees, provided that such Improvements are not MECHANICAL PLAN CHECK - - _ SUMMARY OF FEES r _ Intended or offered for sale. If, however, the building or improvement 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 $ ^. SMIP, E) -I,- as 'owner- of -the property, am exclusively -contracting with licensed contractors to construct the protect (Section Business _ AND'DUCTING 100,000:+ BTU IpLAN CHECK E' ;iIPERM ' r �E es not l0 antl Code: The -Contractor Law does not sof - SSUATr - ISSUANCE, impr improves c owner of property who builds or improves (hereon, and who con- caner p REFRIGERATION 0-300,000'BTV ;PLUMBING $ , tracts -from sus with a contractor(s) Ilcesnetl pursuant to the SYSTEM- - - - - - - - - - �CHECK - GRAD�ING" $" 'tf Contractor's Licenjects the Contractor's License Law). 100,000+ BTU PLAN $ - ❑ 1 am exempt-untler Section' — B: 8 P. -C. for this ELECTRICAL $ --$ reason' BOILERS BTU SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE 'PLAN CHECK $ MECHANICAL E MICROFILMS$ 'y TOTAL FEE $ - LESS AD - Date - Owner I hereby certify I have read this application and state that the above _that information is correct. I agree to complywithall city and county .PLAN CHECK E -_ VANCEPC-'$_-" - ordinances and state laws r on, and hereby authorize - representatives f his the above nt onedproperly for e 94Z FINAL FEE $�,w Signature ISSUE FEE - - - CMF 0865.46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor TL CONSTRUCTION AND PLANNING ' ' , APPROVALS Permit # Date Inspector POOL &SPA _ APPROVALS Permit # Date , Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - - - 2. SoilPipe-Undrgrn 44. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn_ _ - 46. Electrical Bonding " *t ' ee Reinforce orce - _ 47. Rough Plumbing & Pressure Test 6. Elctrical LIFER Grn _ _ _ 48. APPROVAL TO COVER-GUNITE _- - 7. Footings _ _ 49. Electi*ical Conduit-Undr rn - - _ 8. Foundation _ _ 50.. Gas Pipe, ❑ Undr rn, Test - 9... Water Pipe-Undrgrn _ _ - 51. Backwash Lines P -Trap. -0 Undrqrn- 10. Structural Floor System 52. APPROVAL TO DECK "' 11. - Property Sewer Line & House Connection" 53. Backwash & Receptor -Final - 12. - Street Sewer Connection '' 54.. Heater & Vent -Final 13. Rough Plumbing - _ - - ' - 14. Rough Electric -Conduit - "- - --56. - Electrical -Final 15. Rough Electric -Wiring - - _ }-$_, G - 57. Solar System -Final 16. Rough Heating & Air Conditioning - •- Fencing & Access Approval • 17. Ducts, in Structure _ _ APPROVED FOR PLASTERING - •� 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test - _ RoofFraming 60. , POOL/SPA SYSTEMS FINAL ,• - 21. 22. Roof Sheathing Frame arid Flashing - - - _ _ NOTES: 23. Insulation -- - _ ' 24. Lathing & Siding ' 25. Drywall Nailing - t 26. Plaster Brown Coat 27. Electrical Power Meter -Final"- • 28. -Final Electric 29. Final'Heating & Air Conditioning - -- - - - 30. Final:Gas Pipe -Test 31. Final'Plumbing 32. Water Service -Final ' 33.- Gas Service -Final ' 34. Solar Domestic -Final' - 35. Landscape Sprinkling System _ _36.__ Sound Attenuation - - 37. Handicap Regulations 38. FINAL STRUCTURE & BUI,LDING -"- 39. Special Requirements Completed 40. Electric Release .to Edison 41. Gas Release to Southern California Gas Co. -' 42. CERTIFICATE OF OCCUPANCY r - \NO" Date - • �„ Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG. NO. ' CONSTRUCTION PERMIT E: i4 I IJI I TYPE OF CONSTRUCTION ❑NEW ❑ADD ❑ALTERATION " �fi19 ' 7��I�62 I�eCJ� Project Address p - Owner Phone y3� Address LD AIC- ❑ REPAIR ❑ CONVERSION ❑DEMOLISH El OTHER' - -ZONING REGULATIONS . ArchlEng. C G icense No. DESCRIPTION.OF WORK A.P. AddrfsS 6 D TYPE ,OF PERMIT ,❑ GRADIN ❑ FOUNDATION ❑ STRUCTURALSIED ❑ TENANT ELECTRICAL ❑PLUMBING- ❑MECHANIC ZONE PLNTTGo.. SETBACK C T. YARD LIpVA -.- 5I 68RUtE1FL.. Dp$ PROPEIRTYNLINE` - Contractor o r"'10 Phonesk/gs20 ��s Address S- - ., _ /,- i' - LICENSED CONTRACTOR DECLARATION - that I licensed 9 I hereby affirm am under provisions of Charter com- 3 the- Business and. -with section 70_y - ❑OTHER= HT. mencing 'Professions Code, jno my license is In full 'force antl effect:REAR ce a isioin ll 'PROJECT -DESCRIPTION - YARD (TO P/L) C.- !/ License CI s Li a No. � "PKG. SPACE REQ. PROVIDED SQ. FT:. 1 "r,' Datey- Signature STREET WIDTH PARK FEE $ , 'WORK R {OMPENSATION DECL RATION OCCUPANCY_ CONSTRUCTION TYPE -. I hereby affirm that I have a certificate of consent to self -Insure, or a VALUATION ZONE ZONING APPROVEDBV DATE - certificate of Workers' Compensation Insurance, -ora certifled copy - thereof (Section 3800, lab. C.). r GRADING CU.. YDS. ACRES SPECIAL' CONDITIONS: No. Company _ - REMARKS: µ'ley 'ertified.copy is hereby furnished. _ +` `Certified copy Is filed with the city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION E :(This.sectlon need not be completed if the permit is for-one.hundretl - ,- _ .� -�'1. s ((E100)) or less). ( _ I. cerl(fy that in the performance of the work for which this permit li ,Issued, 1 shall not employ any person in any manner so as tome -beco PLUMBING- - -- PLAN CHECK -- - ELECTRICAL - - PLAN CHECK - subject to the Workers. Compensati on Laws of. California.' •' _ BATHTUBS SHOWERSFT. - _ FT - ,) tDate Signature NOTICE: If after making this declaration, you should become subject =TOILETS.-.,URINALS URINALS'- -�-- - - GENERATOR' 0-1'KW_1-10'KW . to the Workers' Compensation provisions of the Labor Code, you must, TRANSFORMER - forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE L -AVS - - '- -- APPLIANCE 10.50 KW_Z.�50 + KW -- - - -- revoked_ ._ - - ., -- KIT. SINKS' _ - - DISHWASHERS" - MOTORS" ' '. 6.1 HP -1-10 1� HP _ - ,CONSTRUCTION LENDING AGENCY 'I hereby affirm that there is a construction lending agency for the per. SERVICE SINKS SUMPS (INC. SOLAR) --30-50 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-SIGN$ - - _ - - OWNER BUILDER DECLARATION '- -- ---- -" - -'- .- _ _ INTERCEPTORS CLARIFIERS .._ , IPO L'E'LIGHTS''i I hereby affirm that I am exempt from.the Contractor's License Law for SWIMMING POOL? PTRAP- - - - the followingreason (Section -7031.5 Business and -Professions Code: Any city or county which requires a permit to construct, alter, t 'POLES METERED SUB 77- WATER -SERVICE' ALTERATION ',PANELS -MAIN SUB Improve, demolish or repair any structure, prior to its Issuance, also re- quires the api-licant for such permit to file a signed Statement that he GAS SERVICE OU,T LETS - .SERVICE - -- AMP - - - is l icensed'pursuant to the provisions of the Contractor's License Law- (Chapter 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS -- BTU OUTPUT - - - - Business and -Professions Code) or that he is exempt therefrom and the ?„tis for the alleged exemption. Any violation of Section 7031.5 by SEWER -CONNECTIONS , - v' applicant for a permit subjects the -applicant -to a -civil penalty •`{��ot more than live hundred dollars ($500). '� v - 'SOLAR TANK - - COLLECTORS - - - u'I, a3 owner of the property; or*my employees with wages as their sole compensation, -will do the work, and the structure Is not Intended or offered for sale. (Section 7044, Business antl Professions Code: The SOLAR PIPING -SYS. -ISSUE FEE - - - Contractor's,Ucense Law does not apply_to-an owner of a property ISSUE FEE - -'APPLICATION APPROVED BY _ DATE - who builds or improves thereon, and who does such work himself or through .his own employees, provided that such improvements are not MECHANICAL - .PLAN CHECK SUMMARY OF FEES • - .! intended or offered for sale. If, however, the building or Improvement- is sold within one year of completion, the owner will have the burden of proving he did not -build or improve for the purpose of sale).- 'BUtCDING- - - - - - ❑ 1, as owner of the property, am exclusively contracting .with HEATING SYSTEM 0-100,000 BTU AND DUCTING PERMIT $ SMIP• . .E licensed contractors to construct the project (Section 7044, Business 0 100,00+BTU ;PLANCHECK $' PERMIT and Professions Code: The Contractor's License Law does not apply to - ISSUANCE -�$ an owner of properly who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ tracts from such projects with a contractor(s) Iicesned pursuant to SYSTEM- - - - - GRADING' $' the. Contractor's License Law). - 100,000+BTU PLAN CHECK $ "• ,0-1 am exempt under Section B. & P: -C. for this BOILERS BTU ELECTRICAL $_ - -- - •PL•ANCHECK $_ MICROFILM $ bate. Date. Owner SYSTEM REPAIR, ALTERATION- EXHAUST SYSTEM . MULTIPLE MECHANICAL $ TOTAL FEE $ LESS I I hereby comfy that 1 have this application and state that the above nformation is correct, agree e to comply with all -city and county PLAN CHECK $ - VANCEP PC $_ ordinances and state laws re tingfo c nstr uction, and hereby authorize -, represents t Wes' is to e r upon the above anlloned property for Ion rpose . Signature Dae ISSUE FEE - FINAL FEE $ Drivers' License -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNING APPROVALS Permit #G� �Il� 5 Date Inspector POOL & SPAS APPROVALS Permit # ` Date, Inspector 1. 'Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. Soil ipe•Undrgrn 44. Steel Reinforcement - - •" - • - - 3. Electricaf Conduit Utility-Undrgrn _ 45. Forms r 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - 5. Steel 47. Rough Plumbing & Pressure Test-. ' -6. _ Electrical UFER Grn 48. _ APPROVAL TO COVER-GUNITE - 7. Footings 49. Elect%ical Conduit-Undr rn B. Foundation 50. Gas Pipe, ❑ Undr rn, Test .9. Water Pipe-Undrgrn 51. Backwash Lines P-Trap', "0 Undrqrn- 70. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor-Final 12. -Street Sewer Connection - _' 54. Heater & Vent-Final 13. Rough Plumbing _ - - -- - -- 14. Rough Electric-Conduit 56. Electrical-Final - - 15. Rough Electric-Wiring 57. Solar System-Final - 16. Rough Heating & Air Conditioning bB. Fencing & Access Approval 17: Ducts in Structure 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating '_ 60. POOL/SPA SYSTEMS FINAL - - 19. Gas Pipe-Rough &Test - " 20. .Roof Framing 21. Roof Sheathing- - ' �- 221- Frame and FlashingNOTES: _ _ _ 23. Insulation 24. Lathing & Siding -- - - - --- -- - 25. Drywall Nailing - 26. Plaster Brown Coat - _ 27.-Electrical Power Meter-Final 28. ' Final Electric 29. Final Heating•& Air Conditioning. 30. Final Gas Pipe-Test- •_ 31. -Final Plumbing 32. Water Service-Final 33. Gas Service-Final 34. Solar Domestic-Final 35. Landscape Sprinkling System - 36. Sound Attenuation - 37. Handicap Regulations - -- " -- ---- _ _ - 38. FINAL STRUCTURE &BUILDING - -- - -- ---- "---------- 39. Special Requirements Completed - 40. Electric Release to Edison - - 41. Gas Release to Southern California Gas Co. 42. I CERTIFICATE OF OCCUPANCY No. Date -- Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA- PE MIT - TRAccCT NO. LOT NO- BLDG. NO. CONSWUCTION PERMIT ��ddf 1 TYPE OF CONSTRUCTION ❑ NEW ❑ ADD 1:1 ALTERATION - ❑REPAIR ❑CONVERSION.❑DEMOLISH [] OTHER 'r 0439 6/3.0/82 8000 _ ,l �. . - • ' _ ( _,. ZONING REGULATIONS Prdject Address Z(o �l� ,ZL- OWnerA Phon�s ��C2 pCZ^j Address 1��\>� (' \,o�• Arch/Eng.Ce9MC, �jilgs License N (�j DESCRIPTION OF WORK A.P. qe Address 7j - !\ 01 T. ZONE PLNG. REF. rP Contractor ( - - - Phon-05 r- TYPE OF PERMIT - ': N - SETBACK C ST. ❑ GRADIN _ ❑ FOUNDATION ❑ STRUCTURAL - SIOE.YA RD -❑ TENANT�LECTRICAL ❑PLUMBING- ❑MECHANICA SIEEpFE VA - - Tp gI�IL ING - - PROPERTY LINE ,- - - - - - - �. ... ' Address _ P - ;LICENSED CONTRACTOR, DECLARATION- "-• 1 hereby affirm that I am licensed under provisions of Charter 9 (COT- -7000) - - O C Q OTHER b- .RIGHT. mencing- with section of j Division 3 of the Business-antl Professions Code, -and my license is in full force a tl of cf., , 1 REAR YARD (TO P/ L) _ r J - - PROJECT DESCRIPTION License Class Llt- ensysNo. - PKC. SPACE REO. PROVIDED Dale Signature �s'c't^a'S SQ. FT. �'OCCUPANCY!1 TYPE STREET WIDTH PARK FEE §, WORKERS' COMPENSATION DEC R ON - _ CONSTRUCTION - I hereby affirm that I have a certificate of consent to self -Insure Or a.r 'certificate 'ALUAaV TI ON _: ZONE B ZONING'APPROVED Y ' DATE , of Workers' Compensation --Insurance, or a certified copy ,[hereof (Section 3800, Lab. C.). � GRADING Cu. �6D5. - ACRES SPECIALCONDITIONS:- ' - .y NO. _ - .Company art !tied copy is hereby f urnlshed. -_. .. " REMARKS: L i- Certified copy is filed with the city Building Division. �.. r• EXEMPTION FROM -WORKERS' -COMPENSATION DECLARATION (This section need -hot be completed if the permit is for_one hundred _ _ - - a _ r'.P: ' ($100) or less). 1,, - . _ _ - t _ - - - - 'I certify that -in the performance of the work for Which this permit is -as issued, 1 shall not employ any person in any manner so to -become r - PLUMBINGn.;­!" PLAN CHECK•ELECTRICAL '_ PLAN -CHECK , - subjecct�.[q��y0ye-,WorCk'Ori' Compensation_Law�sof.Call rnia.' -"- ___ _-_ BATHTUBS - SHOWERSUW _ INU'SO EFLTL ^ "" '- -'- '- - - $ - Date Signature Ai's`^-sta'Q-�'�- '^ NOTICE: If after making this de &3rati 1, you stIould become'subject ''TOILET_5,, , 1O(,v URINALS- --" , '- - GENERATOR - -0_1'KWL--:-1-1O,KW to the Workers' Compensation provisions of the Labor Code, you must' (TRANSFORMER s? forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE -LAYS-'- - ""'-" - " -- APPLIANCE 10-50 KW-�-50 + KW hevoked.. KIT. SINKS'"- _ - " -DISHWASHERS - "' - - MOTORS' "' -0-1 Hip 1.10 HP - 'CONSTRUCTION LENDING AGENCY 'I hereby affirm that there is a construction lendingagency for the per. 9 Y SERVICE SINKS'-. MPS - ----- - - -- - (INC: SOLAR ) --10.50 YIPy. SO+HP for mance of the wo{,k for which this permit is Issued (Section 3097 ,'(IIfSV , FLOOR SINKS • FLOOR DRAINS — - - - FIXTURES - - -OUTLETS 'SWITCHES - - 'Civ. C:). - "f, )'d p $•Q;: - 'e ' - '� „ - - -' Lender's Name V'"��'_��'^�'� '; _ Lender's Address Z40o µR1-- Ni�.'-_ _ DRINKING FOUNTAINS 1,- "' -'- -- I GAS TUBE SIGNS'-- - - -- - INTERCEPTORS CLARIFIERS t ,POLE'LIG HTS - i .. si OWNER -BUILDER DECLARATION 1 hereby affirm that 1 am exempt from.the Contractor's License Law for [he -following reason (Section 7031.5 Business -and -Professions Code: -SWIMMING'POOL'-'---PTRAP-'--'- - - ( - :POLES -METER - - - - -- D -',SUB Any city or county which requires a permit to construct, alter, 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 GAS SERVICE OUTLETS - .Y� .SERVICE - '- -- - AMP --- Is licensed pursuant to -the provisions of the Contractor's -License -Law- .(Chapter 9 (commencing with Section 7000) of Division 3 of the -WATER"HEATERS - - BTU OUTPUT -' - - 7E_ 'Bus] nese and Professions'Code) or -that -he is exempt therefrom -and the- - for the alleged exemption. Any violation of Section 7031.5 by -SEWER CONNECTIONS-' - - ' - - - - _ - -- "-• - - applicant for -a -permit subjects the applicant to a -civil• penalty- Ot more than live hundred dollars ($500). SOLAR TANK' COLLECTORS' -' �•' '. - - - - - - - - - - -- - ,LiI, as owner of the property, or my employees with wages as their sole.Compensatio0, will do -the -work, and the structure Is not Intended -SOLAR or offered for sale. (Section 7044, Business and Professions Code: The _ PIPING SYS. - ISSUE FEE -"-- - - - Contractor's License Law does.not apply, to an owner of property- ISSUE FEE ` ,1- _ ,' --- - - - !APPCICATIOMAPPROV ED BY DATE' .a Who builds or improves thereon, and who does such work himself or 'through his own.employees, provided_that such improvements arenot MECHANICAL PLAN CHECK ) '-.. _ SUMMARY OF FEES .Intended or offered for sale. If, however, the building or Improvement is sold within one year Of Completion, the owner will have the burden of proving he did not build or improve for the purpose of sale). . HEATING SYSTEM 0-100,000 BTU 'BUILDING - - (PERMIT $ 1. - - - SMIP, ❑ I, as owner of the property, am exclusively contracting with. AND DUCTING' -'- „r-$ licensed contractors to construct the project Section 7044, Business P 1 ( 100,000+BTU PLAN CHECK $' - PERMIT and Professions -Code: The Contractor's License Lawtloes -not apply to - - tSSUANCE: $LL an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU 1 •PLUMBING $ - �GRADING'1$ tracts from such -projects with a contractor(s) licesned-pursuant-to- SYSTEM - - - -- r - s - - - -- - _ the Contractor's License Law). 100,000' '+ BTU PLAN:CHECK $--Cyt-�,-,,-- -- t - - El I am exempt -untler Section - 'B. & P. C. for this BOILERS BTU ELECTRICAL $ reason'PLAN SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE 't CHECK $ MECHANICAL $ " .' MICROFILM $ _TOTAL FEE $ LESS AD - Date Owner I hereby certify that I have read this application and state that the above Information is correct. I agree to comply with all city and county PLAN CHECK $ VANCEPC $_ ordinances and state laws relating to construction, and hereby authorize representatives of this city to enter upon the above mentioned property ftyn ins In phtp sep_ s. JVl G Signature C. -d'YC •.Klt� Date -S � ISSUE FEE FINAL FEE $ - Drivers' Lic e o � -Accounting; Goldenrod -Assessor TU 15. Rough Electric -Wiring - - - — 57. Solar System -Final ' 16.' - Rough Heating & Air Conditioning — encing & Access Approval 17. - Ducts in -Structure -- -' APPROVED FOR PLASTERING • ' ' 18' 19. 20. Ducts, Ventilating Gas Pipe -Rough &Test Roof Framing - - - 60. POOL/SPA SYSTEMS FINAL , 21. 22. Roof Sheathing- - Frame and Flashing - - 'NOTES: 23. Insulation 24. Lathing & Siding - - — - 25. Drywall Nailing - - - - - 26. Plaster Brown Coat - 27. Electrical Power Meter -Final 28. Final Electric _ ' Applicant to fill in an spaces within heavy border lines and sign all appropriate declarations. 9SO6 I /it I /'1� 13e.7 - TL CITY OF COSTA MESA PERMI N TRACT LOT NO. BLDG. N - - CONSTRUCTION PERMIT Se� Project Address 1.za EG ,y Sj TYPE OF CONSTRUCTION, - Owner p - 47 Phone.. - �TJ EW ❑ ADD ❑ ALTERATION /❑ -- - - ' Address REPAIR-❑,�ONV ERSION.❑DEMOLISH ZONING REGULATIONS, 1 Arch/Eng. - License No. ❑ OTHER.. i DESCRIPTION OF WORK - A.P. Address - - ZONE'- PLNG. REF. -0 Contractor Sf,�A,tit/V• S hone 70 ypE OF PERMIT - Tp Bl1IL ING Address �f GjL -'lie ❑GRAOI NG ❑ FOUNDATION ❑ STRUCTURAL SETBACK C L ST. PROPERTY LINE LICENSED CONTRACTOR DECLARATION I hereby that I licensed of Charter -9 (tom- ❑ TENANT ❑ ELECTRICAL ❑PLUMBING pwnECHANICA IOU YARD - affirm am under provisions section 7000). Division 3 of the Business and - - / ❑ OTHER RIGHT mencing with of. Professions Code, ntl my license Is In full force and_,eff t - - -,- - - REAR YARD (TO P/L) �'� - O PROJECT DESCRIPTION LI se Cla - - L 5e lo. PKG: SPACE REO. - - PROVIDED Date 119-40- 'r Signature 50. FT. - •_ - _ STREET WIDTH - _ 'PARK FEE $' WORKERS'COMPNSATION DECLARATION E OCCUPANCY__ CONSTRUCTION TYPE I hereby affirm that 1 have a certificate Of consent to self -insure or a ZONE ZONING APPROVED BY '-' DATE Certificate of Workers' Compensatlon. Insurance, or a certified Copy. ,VALUATION- - _ ' thereof (Section 3800, Lab. C.). GRADING CU. YDS. ACRES SPECIAL CONDITIONS: - 'icy NO. Company - ... - 7ertified Copy is hereby furnished. REMARKS: u Certified Copy is flied with the city Building Division. EXEMPTION FROM -WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit I5 for one hundred - 4, ' '(($loo) or less). _ _ _ _ -I -I Certify that in the performance of the work for which this permit'is 'Issued, 'ndnn¢Er - �- '.ELECTRICAL- y I Shall not employ any person any So a5 to b come subject to the Workers' Compensatio ws li 6r I PLUMBING .- PLAN CHECK PLAN CHECK " DWELLING �� J-- . gA . "'USS -'SHOWERS -'� ' ' ' -' - - - ' Date .14 Signat are 'NOTICE: If after making this declaration, you shouldme subject TOILETS - URINALS- '-' 'GENERATOR 0-1 KW_ 1-10 KW to the Workers' Compensation provisions of the Labor Code, you must 'TRANSFORMER - Y: forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS - •- - , APPLIANCE 10-50 KWy 50 f KW revoked. ; I CONSTRUCTION LENDING AGENCY KIT: SINK$ -DISHWASHERS _ MOTORS - -0-1 HP 1-10 HP - ) - -I I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS , SUMPS - •-^ ^' - � (INC. SOLAR) 10.50 HP=50 + HP formance of the work for which this permit is Issued (Section 3097 Civ. C.). --- -s, .. FLOOR SINKS'. -'.-'FLOOR DRAINS- �' -'FIXTURES"- OUTL•ETS-'-SWITCHES'-` -- Lender's Name ` - _ - - .-- ' - - - Lenders Atltlres DRINKING FOUNTAINS '- - -GAS TUBE SIGNS - -•— -- --- - - �' OWNER BUICDEWDECLARATION' �' '�-' "` "' "INTERC@PTORS 'CLARIFIERS- POLE LIGHTS -•�- ----- - - I herebyy affirm -that I am exempt from the Contractor's. License Law for - - - - - - the following reason -(Section .7031.57Business and 'Professions 'Cotle: SWIMMING POOL' -- +TRAP. - - --- � - - � - POLES - --"`METERED SUB Any city or county whicli, requires rar -permit -to . construct; . alter, Improve, demolish, or:repair any str uct ure,'prior to its Issuance,' also re- -. - - - - ' WATER'SERV ICE'-; ALTERATION - - - ' PANELS MAIN - SUB -- - ' - quires the ap:licant for suCh•permit to flea signed statement that he - - is licensed'pursuant to the provisions of the Cobtractor's'License Law- 'GAS SERVICE - - OUTLETS SERVICE - -• ---^ --'- -AMP:- (Chapter 9 (commencing with;Section 7000), of Dlvlslon.3 of the Business and: Professions Code) or that'.he'Is exempt therefrom and the - WATER -HEATERS BTU OUTPUT--- -- •-- -- ^- - --- - - -. 4;Ms.for the alleged exemption' Any violation of Section 7031.5 by, - 'applicant fora Permit subjects the -applicant to a' civil penalty more than five hundred dollars ($500). '-sem SEWER CONNECTIONS )7Aot -•4 _ L'J I, ds owner of [he property, or my employees with wages as -their SOLAR TANK' COLLECTORS -' - - - _ •- - --- - - -' structure Is n intended will do th work and the t acture not sol¢ co mpen sat on, e or offered for sale: (Sectio Business and ' Professions Code: The SOLAR PIPING SYS EE- -- _ ISSUEFEE- does n, Contra Ctor's License law does not apply to Owner a property Contractor's r who builds or improves who es work himself or ISSUE FEE - -- APPLICATION APPROVED BY employees, proviand' such Improvements through his own employees, prohowe that such Improvements are not ent is tlith offered sale. If, However, the Ing Or Improvement MECHANICAL PLAN CHECK W SUMMARY OF FEES ' -, completion, the owner will have theburdensale). year owner sold within one year .. osold Of' proving he tlitl not' build improve for the sale). ' - - T - T' - - HEATING SYSTEM 0-100,000 BTU BUILDING - - - �• --•- PERMIT E SMTP -E - rt contracting ❑' I, as. owner of. the -property, am- exclusively contracting with- licensed contractors to construct the project (Section 7044, Business AND - AND DUCTING 100,000'+ BTUPERMIT 'PLAN and Professions Code: The Contractor's License Law does not apply to CHECK E ISSUANCE - .. dSSUANCE .$ owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ 1 fGRADING...$— tr m-such a contractor(s) Iicesnetl pursuant to tracts. _SYSTEM .- Contractor'scenects_ ). the Contractor's License Law). 100,000++ BTU - PLAN CHECK §- - - - ❑ 1 am exempt antler Section-- - B. & P. C. for this BOILERS BTU ELECTRICAL $-' - - - -' - - $ . reason.- -- SYSTEM REPAIR, ALTERATION .PLAN CHECK $ 'MICROFILM - Date Owner p TOTAL FEE $- MECHANICAL - I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE y J .§ Information is torr¢ 1. I agree to comply with all City and county b - PLAN CHECK $ VANCE PC $ Ord finances antl stat aws f lacing t0 COnstr ction, and hereby authorize e ! more as o this- Ity ­ahpyyyyyy -mentioned 'V-2Q-l� - - --- - t -' 3j property for pettl !/ .)0 FINAL FEE $/13,oa Signature r DateN - _ _ _. Orlvers'Litense or - ISSUE FEE-. _ - D _ _ _-• -_ _ _. _- . CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNING ���� ,y Date APPROVALS Permit # i �-l- Inspector p _lit POOL & $PA - - -- • " `Date. Inspector APPROVALS Permit # ^ 1. Temporary Electrical Service_ or Pole 43.. Pool &Equipment Location -• -' - 2. Soil Pipe-Undrgrn __ _ _ _ Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn - - .-45. Forms 4. Electrical Conduit•Undrgrn. - - 46. Electrical Banding- ' 5. Steel em orce 47. Rough Plumbing & Pressure Test- 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE 7. Footings 49. Electrical Conduit•Undr rn 8. Foundation - - 50. Gas Pipe, ❑ Undr rn, Test -9. Water Pipe-Undrgrn 51.- r Backwash Lines P-Tra6, ED- 10. Structural Floor System 52. APPROVAL TO DECK V ' 11. .Property Sewer Line &.House Connection _ - 53. Backwash & Receptor-Final- _12. Street Sewer Connection. 54.- Heater & Vent-Final 13.. Rough Plumbing 55, Plumb'na,Svstem - Final 14. Rough Electric-Conduit - --- "- :56.' " Electrical-Final 15. Rough Electric-Wiring " - - 57. Solar System-Final - - ' 16. -Rough Heating & Air Conditioning- 11513. - Fencing & Access Approval 17. Ducts in Structure59. APPROVED FOR PLASTERING-,-. - - 18. Ducts, Ventilating--- 60. POO L/SPASYSTEMS'FINAC- 19. Gas Pipe-Rough & Test ! -- - 20. Roof Framing. 21. Roof Sheathing - - - - - - -- - - :NOTES: ' -22. Frame and Flashing-- 23. Insulation - - - - - - - • - 24. Lathing & Siding - - -25. Drywall Nailing - - - - - - - 26. Plaster Brown Coat _ - .27. Electrical Power Meter-Final -- - - - - 28. Final Electric -- - ---- --'� -- ,- 29: Final Heating & Air Conditioning - - - ant- -30. Final'Gas Pipe-Test - r �v- 31. Final Plumbing-- 32!: Water Service-Final - 33.•. Gas Service-Final: .. _ - 34. Solar Domes tic- , I •• •., •` .. ... - - . .- .. - ,- .. 35. Landscape Sprinkling System - - 36. Sound Attenuation v- 1 - - - - - 37. Handicap Regulations - - - - 38. FINALSTRUCTURE & BUILDING 39. Special Requirements Completed- 40.- Electric Release to Edison , - 41. Gas Release to Southern California Gas Co. '} - 42. ' CERTIFICATE OF OCCUPANCY -- "No - Date ! S -- - - •-�•�•• i 4aA Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations CITY 06 COSTA /MESA ONST TION PERMIT -YER NO. �� 61 TRACT NO. LOT NO. UNIT NO. '6392 9/30/67 � � 5000 T Project Addrdss —taS ryin - - OF CONSTRUCTION LJ NEW LJ ADD LJ ALTERATION LJ REPAIR '-❑ CONVERSION El DEMOLISH ❑OTHER DESCRIPTION OF WORK/USE OF BLDG. ITYPE Applica's Mailing Address nt Owner's Nalne� PhO Address (//�a1 A.P. # - Zone• S Main Building: Accessary Building:- E Z Arch/Eng. License No. Address TYPE OF PERMIT GRADING FOUNDATION DATIOry STRUCTURAL ❑ OTHEREJ T ❑ELECTRICAL ❑PLUMBING 1:1 MECHANICAL T Front 0 BA Rear N Contractor's Name -ILIA• � P_ hpne '� I Address (mom I'�el-- ��� City License No ti LICENSED CONTRACTOR DECLARATION C Right - - - N - - PROJECT DESCRIPTION Sq. FT. OCCUPANCY CONSTRUCTION TYPE VALUATION $ ZONE GRADING CU.YDS. _ ACRESjq_ K S - Left - - G R ping. Ref. # Parking Re ./Pro 'd E Remarks: Planning Notes: - Q M 1 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 my license Is in f 4 tar a d effect. 1 T �' r� ' ` \ Licen C ss _ r - , z nlo. Date Signature WORKE S' C MIEN TION DECLARATION 1 hereby affirm that I have a certificate of consent to self -insure or rtificate of Workers' Compensation insurance, or a certified copy thereof (Section 1 3600, Lab. ,�r �yy��p"� ,s �//� Poli o..(y"L� Company<i-n{\ ��C if _ll PLUMBING FEES Bar Sink Showers ELECTRICAL FEES Backflow Preventer Service Sink Automatic Washer. Transformer ❑ 15-50 KW Construction Pole Sub. ❑ 50+ KW Backflow Irrigation Sewer Cep \ ere r't�i fed c py i5 ereby turn lshetl. • CJ C i c s iletl wdh the city 5rIon,t`il, ', I ./I Bathtubs Sewer Connection Cooking Unit ;' Meter ❑up to 100 amps 'Bmldirgg Date Applicant im �j `Y1lM"ll—% EXEMP ION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit is for one hundred ($100) or less) 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 t{le Workers' Compensation Laws of California. , - Clarifiers Solar Collectors - - Dishwasher s Meter El over 100 amps - Dishwasher Solar Piping, , Dryers ❑Gas Electric Sub Panel Drinking Fountains Solar Tank Fan 1' Motors 00-1 HP Ell '/a- 8 Floor Drains Swimming Pool w/Spa 1 F.A.U. Inc. 119-15Solar 9.15 HP 016-15+ Date Signature 'NOTICE: If, after making this declaration, you should become subject to the workers' Compensation provisions of .the Labor Code, you must forthwith comply with such provisions or this -permit shall be deemed revoked: Floor Sinks Urinal - - Fixtures Microwave Gas Service Outlets Water Closet I I Device Boxes Pole Light CONSTRUCTION LENDING AGENCY I hereby affirm that there is a, construction lending agency for the performance, of the work for which this permit IS Issued (Section- 3097 Civ. C.) Lender's Name Interceptors ` - Water Heater Outlets Range Kitchen Sink Water Service Switches Sign Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am -exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional 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/she is licensed pursuant to the Provi Sione of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit Subjects the applicant t0 d civil penalty of not more than five hundred dollars ($500). L� I, as owner of the properly or my employees with wages a5 their sole com panda lion, will do the work, and the structure Is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such Improvements are not Intended or offered for sal¢. If, however, the building or improvement is Sold within one year of com- pletlon, the owner will have the burden of proving he/she did not build or Im- prove for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a con- tractor(s1 license pursuant to the Contractor's License Law). I am aware that proof off their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section B. & P. C. for this reason Lavatories Auto -Wash - - Garbage Disposal !.Stand ing'Sections , P -Trap Laundry Trays - Generator ❑0.5 KW 05.15 KW Trash COffIpdClOr Roof Drains Reinspection Fee $15'. Issue Fee $ 3 1 Reinspection Fee $15 Issue Fee $ 3 - MECHANICAL FEES . DEVELOPMENT SERVICES REQUIREMENTS: , , Zoning Approved By Date Building A.PPIUVed By Date - Application Issued By Dato Boiler - - - Hood or. Type 1 ❑ Canopy Type II ❑ Duct - Under Ground Duct -Structural Refrigeration System ❑0.t00,0008TU ❑100,000 BTU ' Duct - Ventilating - - SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $_� �/� ISSUANCE $ Exhaust System ❑ Multiple ❑ System Repair/Alteration Firepl/Fact. Bit. ICBO # Fire Dampers Date owner 1 hereby certify that I have read this application and state that the above information is correct. 1 agree to comply with all city and ;county ordinances and state laws relating to building construction, and hereby authorize repre- sentatives of trills city to to upon th ab Ove-mentionetl p open inspection p s. Signature i' - Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING APPROVALS Permit # J - Date Inspector POOL & SPA 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 COVE R-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd:" 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer'Cap 63. Heater & Vent -Final 13. Roof Drains 1 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final , 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18 vRough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19:,(iough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # "_ 20. Rough Factory Fireplace •Ducts, 21. in Structure 70. Underground Hydro 22. Ducts, Ventilating I' 71. Product Piping O Gas 00il 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas 00il 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing &Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final .. 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning I 35. Final Gas Pipe -Test 36. Hood or Canopy I 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final I 40. Gas Service -Final 41. Solar Domestic -Final 1 42. Backflow Preventer , 43. Backflow Irrigation -= 44: Landscape Irrigation Systeme 1 J 45. Sound Attenuation . t 46. Handicap Regulations '•'- 47. FINAL STRUCTURE & BW.LDING i 48. Special Requirements Computed i 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date '` ) Applicant to fill in all spaces within heavy border lines and sign all appropriate tleclarations. CITY OF COSTA MESA"Trjo TRACT NO' LOT NO., BLDG. NO. 'CONSTRUCTION PERMIT Q� OS I ' E% CLQ$U 04_12 6_/3.0/8_2 ;'124:42 TYPE OF CONSTRUCTION , •-' ' �s�rr } ps NEW ❑ ADD ❑ ALTERATION - - - - - �EJ RE'AIR ❑'CONVERS ION.❑DEMOLISH • - ZONING REGULATIONS! - 0 OTHER. DESCRIPTION O WORK ' ' A.P. - i, -,IVA (� .ZONE PLNG. REF.5P, rTYP OF,PERMIT-� -- -- ---- - -• D ��O PUEI �'N'J IN r SETBACK C L ST. ❑GRADING'.-, ❑ FOUNDATION-"EI.STRUCTURAL I EYARD - 'I TTENANT ❑ ELECTRICAL ❑PLUMBING-vO MECHANICA F Project Address 2O LQ g- 'Owner" 'Phos ;Addre553 O �rL (� & M 'Arch/Eng: C I I S - License NCC Address' S '" QV ,Contractor" Q�j� ' - Phone - 3z! iAddress - Q J CLjp' /�/ •- LICENSED CONTRACTOR DECLARATION - - I hereby affirm that I am licensed antler provisions of Charter 9(com- f IGHT �— in ncing with section 7000) of Division 3 of the Business-and❑OTHER' - Professions Code,en0 my is in full fo rce'd d effect. REAR YARD (TO P/L+} -license va DEC IPTION'• _- _ - - j� Lice CI Licen N ' p� P/g I SO..FTPROJECT :=' ( _ ,PKG. SPACE REQ. .,PROVIDED�� . DateYLl v — Signature r litL - - r STREET WIDTH WO R K E R S' CO M P E N SAT IO N - DE AR ION --- -- --- [OCCUPANCY C NSTRUCT.ION TYPE ,PARKiFEE$ I hereby affirm that I have a certificate of consent to self -Insure or, a ZONE 'Z ZONING APPROVE ED B DA Z certificate of -Workers'' Compensation Insurance, -or a certified copy _VALUATION _ ,SPECIAL `-reof Section 3800, Lab. C.)...1 ( : ! GRADING�C V. YDS. ACRES CONDITIONS: _ 1 Company Jertifle0-copy Is hereby furnishetl. --_. __ _ _ -- 1 '1 _ REMARKS: " -- -- --- - -.I-' - -- .. - - - Ll Certified co is filed with the cit Building Division, copy y - �T e �� RGQ�Sv c HO OR $P I EXEMPTION FROM WORKERS"COMPENSATION'DECLARATION _ -- - -' '-^+�" _ _. _ - las/ r_. _. _ _ - (This.section need no Lbe. completed if the. permit Is for one hundred - ($100) or less). - I" [.certify that in_the(performance.of the.work for -which this permit is _ Issued, 1 shall not employ any person in any manner so as to become _ _ __ _ . PLUMBING "; PLAN CHECK _ _ 'ELECTRICAL PLAN CHECK.. -, ,� subje to th ort rs' Compensatio Laws.of.Cali r Ia. ' BATHTUBS SHOWERSUwt " -- r Gi.2.d.L[., Date Signature NOTICE: If after making this deo alio ou sl ulr become subject; yTOILETS�•:, I'^ ,':URINALS "GENERATOR 0-1 KW_1-10 KW t0 the Workers' provisions ns of the Labor Code, you must TRANSFORMER y with such p forthwith comply with such provisions or this permit shall be tleemetl _ LAVATORIES DOUBIE'LAVS' _ -'APPLIANCE 10-50 KW_50 + KW - D; ' • •_ 'evoked.. . . .L-_. _ _._� -. _ .-._ _ _ - - -. - KI T. SINKS- DISHWASHERS -KIT. _ _ _ _ _ _.- MOTORS- -- 0-1 HP___ CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lend ng agency for the per., -^ -- SERVICE SINKS - (j '$U MPS '` _ ; - - (INC: SOLAR) -I •a • t nce o¢h this 15s uJe-d� (Section 3097 formaf thek for wissued FLOOR SINKS _ FLOOR DRAINS' ( 'FIXTURES - -OUTLETS- -SWITCHES-, _w _per �"t�is LenCiv. CJ-' LX-�'N/1�- Lender's_Na me _ _ __ Lentler•s Atltlres�2q�--Y% �,I _ DRINKING FOUNTAINS - "I - -'GAS-TUBE SIGNS - -" -"' q" "" OWNER BUIL'DER'DECLARATION'--"' '"-'-' •_._ _._ ___._ -... ._ _-. - _-_-___, INTERCEPTORS CLARIFIERS _ _-,--�_--_•-_ ' t �POCE'LIdHTS I hereby affirm that I am exempt from the Contractor's License Law for '- SWIMMING POOL PTRAP - "' - -"' -"�-"'--'- - (POLE$ METERED SUB.I, ar the'following-reason-(Section-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 re- "WATER SERVICE ALTERATION ) PANELS MAIN- SUB � - quires the ap:.licant for such permit to file a signed statement that he ., GASSERVICE OUTLETS iSERVICE is'licensed pursuant'to'the provislons'of t he- Contractor's" License Law' (Chapter 9 (commencing with Section 7000) of Division 3 of the - I -WATER HEATERS BTU OUTPUT ^•islness and Professions Code)orthat he'is'exempt therefrom and the' s for the alleged exemption. Any violation of Section 7031.5 by 1 ' � � CONNECTIONS -- -- '- - -applicant for a -permit- subjects -the -applicant - to a civilpenaltySEWER not more than five hundred dollars ($500). f`.' •� , I ❑-I, as.owner of the_p_roporty, or'my employees with wages as'their SOCAR TANK -'-` COLLECTORS sole compensation,.will-do.the work, and the.structure is not Intended SOLAR PIPING SVS. j _ __or ISSUE FEE - - - - offered for sale. (Section 7044, Business and Professions Code: The Contractor's -License. Law- does .not applyto an owner of a property - _ - _ - _ ____-� _ _ _ _... _. - ISSUE FEE _ _ - - APPLICATION APPROVED - who builds or improves thereon, and who does such work himself or through his.own employees, provided that such improvements are.not- intended or offered for sale. If, however, the building or Improvement is sold -within one year of completion,.the owner will. have, the burden MECHANICAL PLAN CHECK - $U MARY OF. FEES ...... ,r _� / r _ _ _• -" of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU ) ..BUIL'DING {•.J� - D �• r EkI -as owner- of-the- property;'am -exclusively contracting with 'AND DUCTING' '- +' -- - _I PERMIT - $ _ ;dSMIP:.� -•�'$ _ licensed contractors to construct the project (Section 7044, Business -Contractor's -Law' 100,000]+BTU I Ip LAN CHECKIS ;PERMITI i 1, _; � Alit and•Professions-Code: The License does not•apply to -- -- ISSUANCE --$ -' -$ an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU (PLUMBING ."' I t. - tracts -from such projects with a contractor(s)-Ilcesned-pursuant-to- -SYSTEM'"- - "-- '-"1,"---- - - - -^ - ---^•-- - — ---- GRADING-,$Vy, 1 ' the Contractor's License Law). 100,000:+BTU IPLAN CHECK $ ^ •'_r. 'fll_i,'_.-rti 1i1; i- ❑ I am exempt under Section - B. & P. -C. for this , ! $ BOILERS BTU .•ELECTRICAL $ ) f- ieazon._ __. -_ _ . _ _. - _ .. -.. -.. reason REPAIR, ALTERATION - - - - .MICROFILM .PLAN CHECK $ I.TOTA L' FEE $ MECHANICAL -$ Date - Owner- - - - I hereby certify that have read this application and slate that the above_ information is I - EX H_AUST SYSTEM MULTIPLE _ { ° _ _--LESS AD-- _' r _ PLAN -- correct. agree to comply with all city and county II CHECK $ VANCE PC ordinances and state laws relating to construction, and hereby authorize representatives of this city to enter upon the above mentioned property fo ti Signature Date S ' - It ISSUE FEE - - FINAL FEE $�'- - _ _. _ _ C_ iDnvers' L1t a � ^MF 0865-46 White -Building: Canary -Applicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNING APPROVALS Permit # $M45�-- Date _ .\ POOL & SPA - Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - - 2. SoilPipe-Undrgrn . . 44. Steel Reinforcement - - - - _ _3. _Electrical. Conduit Utility-Undrgrn- _ 45. Forms - _4. ElectriFal Conduit-Undrgrn _ 46.,_ Electrical Bonding - -• - - - _ -Steel _ein orce 47. Rough Plumbing & Pressure Test' ' 6. E!ectrical UFER Grn �'.'_' 48. APPROVAL TO COVER-GUNITE 7 Footings 2:'1Q- 49. Electrical Cohduit-Undr rn - 8. Foundation_- _ _ - 50. Gas Pipe, ❑ Undr in, Test - 9. Water Pipe-Undrgrn - 51. Backwash Lines P-Tra - ❑ Undrqrn 10.,' Structural Floor System 52. APPROVAL TO DECK '- -- - 11. Property Sewer,Line &House Connection 53. Backwash & Receptor -Final 12. Street Sewer Connection • - -_ - -54. Heater & Vent -Final 13. Rough Plumbing - - - ystem_ Final- - --- --- - - - 14. Rough EiddikidrSW'riaWti41 JA039t, M04 01014 - - - -56. Electrical -Final 15. Rough Electric -Wiring - "-' - -- - - 57. Solar System -Final 16. Rough Heating .& Air Conditioning - encing & Access Approval 17. Ducts in Structure. 9• APPROVED FOR PLASTERING 18. Ducts, Ventilating 19. Gas Pipe -Rough & Test- 20. _ Roof Framing _ - _ ' 60.. -- POO L/SPA'SYSTEMS FINAL _ 21. 22: Roof Sheathing -Frame and Flashing - NOTES: 23. -Insulation_ -: - _ _ 24. Lathing & Siding 25. Drywall Nailing 26: Plaster Brown Coat 27. Electrical Power Meter -Final 28: Final Electric 29.- Final Heating& Air- Conditioning 30. Final Gas Pipe -Test 31., Final Plumbing 32. Water Service -Final - ' .33. Gas.Service-Final.- - 34. Solar Domestic -Final 35: Landscape Sprinkling System - 36. Sound Attenuation ' 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING - -39-'Special Requirements Completed--' - "'''--' -" -- - - - - - - �- - - -- ---- -- - - 40. Electric Release to Edison - - -- • 41. Gas Release to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY -� -'No Date , f `• Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. e-CITAF-COSTA MESA' - , -" PE ITN -- TRACE. NO LOT NO. ; BLDG. NO.- - - - -- -- 6%"I' I' �{ -' g/p ��os�- 111,58 `( ; Q CONSTRUCTION PERMIT ; Project Address C L „A 1,•4t- -, ] TYPE OF CONSTRUCTION_'- Owner --Phone 12 - � ❑NEW '- � ADD ❑ALTERATION -Address - '- s - - -- - O REPAIR , O. CONVERSION El DEMOLISH - _ - 1 License `Arch/En - License No. 9 OTHER S- - - 1" ZONING REGULATIONS- A.P. - ' (� s"Addr¢55 - - - - DESCRIPTION OF WORKI(7 3-:� -- - - ZONE-' - PCNG: 0.EF-. - - - - - "Contractor-- " - - - -Phone TYPE'O ERM( _ T - B _ _ _- -. TTpp gg�l11ILD" -- PROPE LI NE i •'I- - _ s r $'s ', -,O XSTRVCi �•� ,• SETBACK LST. RTV Address G' �- :'- -�• I I RACING FOUNDATION URAL L Dr YARD 16 iLICENSED -CONTRACTOR DECLARATION i ❑'TENANT)-❑ ELECTRICAL-❑PLUMBING_. O MECHANICA 5g 'r - t `\ •:I hereby affirm that I am licensed under provisions of Charter 9 (com-, 'm 7000)- the- L, - 'OTHER: r`�: �1 ' IC.?`-•: f.' RIIGHTA •d V an ting- with- section of j-Divislon-3-of Business-antl essions Code, my license Is in full force and effect.' _ REAR YARD (TO'P/C) - -• - -- ,ProfProfessions ,and _ --.,._ 2497D7- License Clasz License No: },PROJECT•DESCRIPTIO IN .. .__. _- __._ PKG'.'SPACE'REQ.--' - PROVIDED L 1Date tit 1'---1 'L 519nature"{' ' _ SQ',FT. '•' .'1 "� _ .. - __ ____'.STREET WIDTH - PARK E - -, WORKE S' COMPENSATION DEC RATION. - OCCUPANCY' CONSTTiUC_TION TYPE` 'iZONING APPROVED BY --- - DATE• .l hereby affirm that I h�ave�.a certificate consent to self-insure,or a VALUATIOZONE f-Workers' Compensat to pof suraPY a7 _- ._ �SPECIAL"CONDITIONS -S'ed-co ther'certieo tiop3 p0�nC.L`t'fnN e, r. C 3!4 .GRADING CV YDS. ACRES •C, ert fled copy is hereby furnished. �,. _ _ _ _._ _ -"' Certified copy isiiled with the city Building Division. REMARKS-' L - 1 J- EXEMPTION'FROM WORKERS' COMPENSATION-DECLARATION -- -- )-- - (Thls.section. need .not be comple4d if the-permit iS-for one hundred '--:', .. .... ,(5300) or less). d certlfythat in the performance. of the work for which this permit is issued, 1 shall not employ any person in any manner-so-a Yio become, PLUMBING. -,'s .PLAN CHECK ,ELECTRICAL - -- -PLAN CHECK- subject to the Workers' Compensation„Laws of California._ INU - _ BATHTUBS - - '- SHOWERS - - - - " - -- -- - -- - Date Signature - NOTICE: If after making this declaration, you should become subject, TOILETS, - - i - GENERATOR- -0.1 KW=1 10 KW - -- to the Workers' Compensation provisions of the Labor Code,-you'must . _URINALS - 1TRANSFORMER - Pp 1 (forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS -- 1 -. - - APPLIANCE --_10-50 KW_50 + KW revoked. (CONSTRUCTION LENDING AGENCY - KIT. SINKS '- •---DISHWASHERS --- -- - +MOTORS --- 0-1 HP-_3-10 HP _ { 1 hereby affirm that there is a construction lending agency for the per- SERVICE SINKS rq SV MPS- - - -- - t-- - - (INC. SOLAR)_.- 30-50,HP_50 + HP •n ;for mance ofJthe work [ori which tms.permit`1s issued (Section 30 7 Y.._-�'_ •e.r• r__ g `' 1 ;Civ: C:)Y a \.e .�, ', -r%I_ ,n i_ ,Lender's Name,. ' . -_ - .. '•FLOOR SINKS "FLOOR DRAINS--"- ^.. •. �� _ _ / •FIXTURES --OUTLETS- SWITCH Es=__ ' 1 )Lender's Atltlress."' -DRINKING FOUNTAINS - ,, --^- - - -_ -t-- - -- 'GAS TUBE SIGNS ... 'OWNER BUILD ER- DECLARATION '''•'''` INTEfiCEPTORs'_�- — )POLE LIGHTS _-_ - - -- ;Chereby.affirm)thaViontexempt.from the Contractors LicenseLawfor -�'CL'ARIFIERS the-following:reason (Section-7031:5'8usiness and'.Professlors Codei' +'SWIMMI NGPOOIL -^'-PT,RAP----r-- --- _-. _ 1 _ :POLES' -' "METERED , - SUB - Any city o4ncounty who:h),requires_ a -permit to construct, . alter,i - - - - improve, de mblish orrepmrany struct ure; prior to its isivance'a lsoae-• :VVATER SERVICE "' ALTERATION -- -- - -- }PANELS------- MAIN. SUB 'quires the ap.licent for such.permIVto file aisigned:statement that'he Is licensed pursuant to-the-provisions-of the-Contractor's LicenseLaw- GAV.I55ERCE'S"' - ' 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----- L -. - . -sis for the alleged exemption. Any violation of Section 7031.5 by i applicant for a permit-subjects-the applicant to-a-civil-penalty- -SEWER CONNECTIONS- not more than five hundred dollars ($500). -- d1, as 6wrier of the property, or my employees with wages as'their' 'SOLAR TANK - --- ---COLLECTORS -- - - f-- •- - - _ ._.--._ _ - .. ._ •' - _� _ __ sole compensation, will do the work, and the structure is not intended I offered for sale. (Section 7044, Business and-Professions -Codei The SOLAR PIPING SVS'.'"" - - - - ---- -- ISSUEFEE - - - ,ContractoYs-License Law.poes not _ apply. to an owner of a property who builds or improves thereon, and who does such work himself-or ,. "-' -ISSUE FEE '- _- "-' -' ' '- ;. �� APPLICATI O N.APP ROVED BY DATE- �' 1 Ithrough his own.employees,-provided that Such Improvements are not !intended or offered for sale. If, however, the buildingorimprovement .is sold within one yearofcompletion, the owner will have the burden ,is " MECHANICAL - - PLAN CHECK - - "-" - - - -" --SUMMARY,OF FEES­ 'BUILDING__. ' '•-- f f 'of proving he did not build or Improve for the purpose of sale):' HEATING SYSTEM 0-100,000 BTU " ""-"- - "' _ _ , PERMIT $ _ _ SMIP. $ 1 ❑ I,. as--owner of the property, am-exclusively contracting with_ licensed contractors to construct the project (Section 7044, Business AND'DUCTING----- ! _ _ . .-_ _y_ 100,000+BTU =_ -- _ __ LAN CHECK 5��SQG.• PERMIT and Professions Code: The-Contractor's License Law tl t apply to. _ _ _ _ ' 'Si- 'ISSUANCE_, 5• or i , and an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU i PLUMBING - - --= 1 trom such- projects-with-a contractor (s)_litesnetl. pursuant to. License Law). SYSTEM. 10000,+BTV _'PLAN CHECK E" - - GRADING_ $jthe -"i- it Contractor's - - -B. _ y - 4 .2;{14 �' 1- - )5,- ❑ I am exempt under-Section "- " " '- & P.-C. for this - - --' -' -' ----- - - BOILERS BTU -1 ELECTRICAL--$ -- • • -- - ., - . _. 'reason--- - -- - - - - -----_ ;PLAN CHECK- $ 1 - -MICROFILM,$ ' Date Ownor - SYSTEM REPAIR, ALTERATION 1 TOTAL FEE.$ 11 hereby certify that I have read this application and state that the above - EXHAUST SYSTEM MULTIPLE .MECHANICAL $ j i' LESS-AD.. ;information is correct. I agree' to comply-with all'city-and county PLANCHECK $- VANCEPC ,ordinances and state laws relating to construction) and hereby authorize 1 s ,representatives- of-this city to enter upoq the above 'mentioned- - - - - - ; � q' •: �' V •. property for Inspection pup s. %�� _ _ Signature � - .ISSUE FEE _ CMF 0865-46 White-Building; Canary-Applicant; Pink-Accounting; Goldenrod-Assessor CONSTRUCTION AND PLANNINCl - - APPROVALS Permit # �h, Date Inspector' POO L•& SPA APPROVALS. Permit - Date Inspector - 1. 1. . Temporary Electrical Service or Pole_ _ _ x 43. Pool & Equipment Location -- -' ' - - - - -• ._ Soil- ipe-Undrgrn_.:.: - - _ _ _ _ 44. Steel Reinforcement' -3r Electrical Conduit Utility-Undrgrn_ .. 45. Forms - -- - -4. -- Electrical Conduit-Undrgrn_ _ _. _. __ .- _ .. - 46. Electrical Bonding - --* �^. , r' •- - - ` _ -5. __ tee. Reinturce. 47. Rough Plumbinb &Pressure -Test------ - - -- - - -6: -Electrical UF.ER Grn, _ .- _ 48. APPROVALTO COVER-GUNITE--- - - - _ -7. -- Footings.-_. _y 49. Electrical Conduit-Undr rn 8: -Foundation - - ----- - -- - - = - ; 50.: Gas -Pipe,. ❑ Undr m, Test- -9. -WaterPipe-Undrgrn _ _.�..__�___ - _� 51. Backwash Lines . od P-Tra -❑ s rn 10.--- Structural lo7System. - :>. .. _-._ -_ r.. 52.. APPROVAL TO. DECK -' ' - ' -- .. --11-. .. -Property SewerLine&.House Connection. _.__- __ _ -. ..__ ._ ' ' 53. R Backwash & Rece tor,Final" - •' '• -'' • 12. Street -.Sewer -Connection 54:- Heater&Vent-Final' -13. - Rough Plumbing- -- - _ __ _ _ _ - '. _55 MAN - 14. Rough Electric -Conduit '- - "- - - '56:- -Electrical-Final - - 15. Rough Electric -Wiring - - -- ' - '"- 57. Solar System -Final 16. Rough Heating'& Air Conditioning -'-- _ - - - - Fencing & Access Approval 17. - Ducts in Structure .,..-. - APPROVED FORYLASTERING ' 18'. Ducts, Ventilating Z0.- POOL/SPA-SYSTEMS FINAL 19. Gas Pipe -Rough & Test - . + • ' -•?� ? - -'-- - - --- 20.-Roof�Framing- 21. Roof:Sheathin - -- _. - - - - -_ .. _ .. v• r;� NOTES:. ' ',;L6_q. P . ` : ,•. ... n B 22: - Frame and Flashing. - - -- ' -23: Insulation -- - ._ -- - -. -7....-�- 24. Lathing & Siding -- - -- - - - - - : - -- - --- - 25: -Drywall Nailing -- - - •- -L --- - - - -�6=8�a• 26. Plaster Brown Coat - - - - -- - -- - J --- - + 27. - Electhcal Power Meter -Final- -- - - - - - - -- - - - - 281' FinalFElectric' - 29. Final, Heating & Air Conditioning- - --- ---- - - - -- - - - -- - - - 30: Final,GasPipe-Test -- - -- - - - ----- -- - - -31. -Final Plumbing - -- -- 32: Water Service -Final - - - -- -- - - - •t - - -- - ' =33. Gas Service:Final--- i 34. .Solar Domestic -Final 35: Landscape. Sprinkling System 36. Sound Attenuation 37. Handicap Regulations r- -- - - 38. FINAL STRUCTURE & BUILDING 39 Special Requirements Completed--'-- -- - - - - -' - ----- - - - - _ - _ 40. Electric Release to Edison 41. Gas Release to Southern California.Gas Co. ' ' 42. CERTIFICATE OF OCCUPANCY No.- Date - - - -- - - Applicant to fill In all spaces within heavy border lines and sign all appropriate declarations. ISSUE FEE 1 -CITY OFCOSTAMESA P MIT NO. TRACT NO. LOT NO. BLDG. NO. - - -' '- : CONSTRUCTION PERMIT '- Y -s Z "' 1 o8 4.i, �,4. , 7/27/82 153.39 Project . Project Address Z&7 -c:> c::L--N TYPE OF CONSTRUCTION " _ _, �. - ~ -,•. N ... 'TL It'•�` 't Owner A ejr.� `('-rn> - PhoneG544pr EW ElADD El ALTERATION: \ - - -" - - --- , - , ,-j . L:• (,❑REPAIR.❑ CONVERSION. ❑DEMOLISH " 0-100,000 BTU '- 'r -" -'- I - ' ❑ OTHER ' ZONING REGULATIONS Arch/Eng.c-�C(;1(o C p (yqg License No. - - I PLAN CHECK $ A"P' $ 4 'Z Z ' and, Professions Code: The Contractor's -License -Law does not apply -to- - 'Adtlres5'j WI Q 'ti eFS.- DESCRIPTION OF WORK-(.-!�-Q- - (� - -•-' 'ZONE -,. PLNG. REF: - , Contractor- C' - 'CONST -Phonef.1j\4 Z: TYPE OF -PERMIT- -;' - - '"-"' -- BUILD=IN---- -- Tp8PWLp'NG PRO - _ _ Address �(�-f102 - - - : - ❑ GRADING ❑ FOUNDATION - ❑-STRUCTURAL- ` SETBACK CIL ST. PE RTV LINE - SIDETYARD .- --- -. - 'GRADING' �$ LSEEFF LICENSED -CONTRACTOR DECLARATION. __'. _ - -❑ TENANT ❑ ELECTRICAL- p�0✓P LUMPING ❑MECHANICA _ 14,� ❑ 1 am ezempt'under'Section' --' - - 'B. of P. C: forthls' 1 hereby affirm thLt I am licensed under provisions of Charter 9 -(Com- -7000)- - + ( c ` ❑ RIIGHTAR - '-'- mencing- with section of fOlvision-3-of-the Business and.. Professions Code, and my license is in full force and effect. OTHER - - - REAR YARD (TO P/L) ��� -< PROJECT DESCRIPTION___ _ _ License Class Lit " Z�"-� Signature (��7� .Oel-- - - SQ. FT i , _ PKG. SPACE REQ. PROVIDED'- -' pate} COMPENSATION DECLARATION . _ _ _ { OCCUPANCY_ CONSTRUCTION TYPE- STREET WIDTH ,PARK FEES (WORKERS' !1 hereby affirm that I have a certificate of consent to self -Insure or a VALUATION ZONE �� I '> - _°� ZONING -APPROVED BY 'DATE _ ,certificate of -Workers' Compensation Insurance, or -a -certified copy thereof (Section 3800, tab. C.). I GRAOING'C U: YDS. ACRES - SPECIAL CONDITIONS: - - s I r _-';cy'No: - - _.ComDanY :ertified copy is hereby furnished.. _ - - , . REMARKS: 0. - Certified copy is filed with the city Building Division. + EXEMPTION -'FROM WORKERS' COMPENSATIONDECLARATION - - �-- -- - -- -- - -- - - - (This section need not be completed if the -permit Is one I -for .hundred ($100) or less). ' I ify-that in performance of the work for which this permit Is ,cart -the Issued, I shall not employ any person in any mariner so as to -become' PLUMBING " ' ' :Z,, PLAN CHECK'" _ - - -ELECTRICAL -' ' - PLAN CHECK-" �. subject to.the Workers -Compensation, Laws of California.-(_ �' '_ '. ' • ' '� Date'l VIAV- Signature -� BATHTUBS- - ---- SHOWERS- - - - nSft-FT- - - - -- -." NOTICE: If after making this declar to , you should become subject ..TOILETS i)t _, ( _URINALS'--'--'-" '-' "' "- ^GENERATOR-- 0-1'KW_ 1-30 KW- - to the Workers' Compensation provisions of the Labor Code. you must (TRANSFORMER V forthwith comply with such provisions or this permit shall be deemed LAVATORIES DDl1BCE'L-AV$` --� "--' -- %APPL'IANCE- " 10-50'KW_50+KW -- -- revoked..-__-1___ CONSTRUCTION LENDING AGENCY -KIT:SINKS'--'-"--DISHWASHERS' "'F'-'-" 'JMOTORS'-'^ --0:1 HP_I40 HP'_ _ __ -. _•.__ _ .I I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS - " " ' --" " "- - _ ,SVMPS - -(INC. SOLAR)- 1030 HP=P 50 + H•�'�- formance of;the•work for•which'thls permit is issued (Section t3097 'FLOOR SINKS - FLOOR DRAINS - - " - - [FIXTURES -' OVTL-ETS' 'SWITCHES^- { - - -' Civ.-CJ'. "- I�i _ fs=�Q �- Lender's Name lK 5[A�C Lentler's Address z40t7" �i/}-�bd-L - SA' DRINKING FOUNTAINS •�-"' ---"' , 'GAS TUBE 'SIGNS --- - -` - -- - I OWNER BUILDER -DECLARATION - ------ - - --- `- I hereby affirm that I am exempt from the Contractor's License Law for INTERCEPTORS CLARIFIERS "- -- "•POLE'CIGHT$- - -- --'- - - i`- �-- I -- - - 1 SWIMMING'POOL -'-- PTRAP--"-"' -- -- (POLES METERED SUB the following reason (Section -7031:5 Business and Professions Code: Any city or county which requires a permit to construct, alter, WATER SERVICE" - - ALTERATION- -MAIN.- Improve, demolish -or repair any structure, prior to its issuance, also re- quires:PANELS'-- the ap.licant for such permit to file a signed statement that he GAS SERVICE -� OUTLETS- _- _ SERVICE •-- -- -• '- - - -- • `AMP• - - - -` Is`ticensed-pursuant to the -provisions -of -the -Contractor's License Law- E((Chapter 9 (commencing with Section 7000) of Division 3 of the Professions -Code) -that he is therefrom the WATER -HEATERS �- BTU OUTPUT ) usiness and or exempt and -<iz for the alleged exemption. Any violation of Section 7031.5 by "SEWER CONNECTIONS,of applicant -for -a permit subjects the applicant to a civil penalty more more than five hundred dollars ($500). 1 ' SOLAR TANK"- ---COL'LECTO RS' • --' '- '- "'- '----^ - - -^` - - - -- -- -- 1- - �- -_- - u I,'as owne, of'the property, or my employees with'wages'as their- sole compensation, will do the work, and the structure is not intended or offered for sale. (Section 7044: Business antl Professions Code: The'' SOLAR PIPING SVS. - -,;'t" 'ISSUE'FEE" - Contractor's -License Law does not apply to an owner of a property _ who builds or Improves thereon, and who does such work himself CC ISSUE FEE 1 ,APPLICATION APPROVED BY DATE? Z through. his -own employees, provided that such improvements are not intended or offered for sale. If, however, the building or Improvement MECHANICAL PLAN CHECK 1 - SUMMARY OF FEES •� _ 1 Is sold within one year of completion, the owner will have the burden of proving he tlitl not -build or Improve for the purpose -of sale). I - I PERMIT G 2.. , ,-j . L:• ❑-I; -as owner of the -property, am exclusively v¢ly .contracting. with HEATING SYSTEM -AND DUCTING '- 0-100,000 BTU '- 'r -" -'- I - I _ .. $ s $MIPv -• f, $ - licensed contractors to construct the protect (Section 7044, Business 100,000,+ BTU I PLAN CHECK $ PERMIT and, Professions Code: The Contractor's -License -Law does not apply -to- _ - ISSUANCE -$ an owner of property who builds or Improves thereon, and who ton- REFRIGERATION 0.100,000 BTU PLUMBING $ t. tracts with a.contractor(s). llcesnotl pursuant to SYSTEM SYSTEM .- --- -. t _ _ 'GRADING' �$ the Contractor's License Law). 100,000,+ BTU { PLAN CHECK $ -- _ 14,� ❑ 1 am ezempt'under'Section' --' - - 'B. of P. C: forthls' BOILERS BTU ELECTRICAL: $ - - "- - '-'- reason--- _- - -- - - -_ - PLANCHECK- $'- "' - _MICROFILM E n Date. Owner SYSTEM REPAIR, REPAIR, ALTERATION TOTAL FEE $ this application ration and state that the above 1 hereby certify that I have readagree correct. I agree to comply'with'all City and -county ' information-IsPC EXHAUST SYSTEM MULTIPLE MECHANICAL' - , _ - 't. 1Pl:AN CHECK �-$ � ` 1 i ° f (LESS EAD-. t VANCE PC ating to construction, and hereby authorize y to enter upon the above-mentioned lrposes. I Signature:' Date:'Drivers' OVLI Drivers' L1cen or �. - ISSUE FEE CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor FINAL FEE $ , CONSTRUCTION AND PLANNING u APPROVALS Permit # Date Inspector - POOL & SPA APPROVALS Permit # Date Inspect 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - --- - 2. SoilPipe-Undrgrn_ _' ' _ _ 44. Steel Reinforcement -- 3.. Electrical Conduit.Utility.Undrgrn 45. Forms - - - -' 4. .Electrical Conduit-Undrgrn 46. . Electrical Bonding. - -- -- - - - - - . Steel Reintorce- 47. Rough Plumbing & Pressure Test 6. .EIectrical.UFERGrn 48. APPRO.VALTO0OVER-GUNITE T7 Footings _ . _ - - , _ - _ - 49. Electrical Conduit-Undr rn 8.. Foundation- - 50. Gas Pipe, ❑ Undr rn, Test - 9. - Water-Pipe-Undrgrn. 51. Backwash Lines P -Trap,❑ Undrqrn -' 10. . Structural Floor System 52. APPROVAL TO DECK ' 11. Property Sewer Line & House Connection 53.. • Backwash & Receptor -Final .12._ -Street Sewer Connection "' y 54. Heater &Vent -Final • 13. Rough Plumbing _ - - - - - - - 14. Rough Electric -Conduit -- - '56. Electrical -Final 15. Rough Electric -Wiring -- - 57. -Solar System -Final 16. Rough Heating & Air Conditioning b8. Fencing &Access Approval ' 17. Ducts in Structure ' " - __ _ _ APPROVED FOR PLASTERING 18. 19. 20.- Ducts, Ventilating - - Gas Pipe -Rough &Test - "• - - Roof Framing - -- 60. . .' - POOL/SPA SYSTEMS'FINAL ' 21. 22. Roof Sheathing Frame and Flashing- NOTES: -� R Y7• J3t✓aJ' - -4 23. -Insulation 24. Lathing & Siding - -- - -- - - - ' 25. Drywall Nailing -. - 26. Plaster Brown Coat 27: Electrical Power'Meter-Final - 28. Final Electric 29. Final Heating & Air Conditioning - - - - 30. Final Gas Pipe -Test - - - - 31.: Final Plumbing ` .i 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 . _39. - Special.. Requirements Completed 40. Electric Release to Edison - - - - - 41. Gas Release to Southern California Gas Co. ' 42. CERTIFICATE OF OCCUPANCY - 'No Date - ' i - ./ Applicant to fill In all spaces within heavy ftrder lines and sign all,appropriate declarations. F CO A MESA PERMIT N q6 V1 •TRACT NO. LOT NO. S DG. NO. e UCTION PERMIT �j /,/1:9 el / .�T.,vrtYPE OF CONSTRUCTION KNEW '❑ ADD ❑ALTERATION ❑REPAIR El CONVERSION ❑DEMOLISH ❑ OTHER 0399_ 6/30/B2 37,5.47 ' ZONING REGULATIONS Project Address 2-!o z-oF (���,J✓ Owner A`'$r,P.e6r. Phone& /- c43 Z Address ac% Q(,/p c.ry/fcs A), p _ Arch/Eng, (_Q,q I& rn)V1#q5License No. D RIPTION OF WORK _ q P � Address $ S Z6tJ, A- . �J `1L - ZONE PLNG. REF. 4Z �— �M/O.J ControctorEJE4),(St:,J epr3 r Phone (- 3a- TYPE OF PERMIT IBUILDINGdO ❑GRADING ❑ FOUNDATION STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑PLUMBING ❑MECHANICA SETBACK T. l 51 YARD LWg BUI LDIrvG Y LINE Address 3"60 e rs AJ Pt�T-T ' LICENSED CONTRACTOR DECLARATION I hereby affirm th4t I am licensed under provisions of Charter 9 (com- V t HARD T - mencing with section 7000) of Division 3 of the Business and ❑ OTHER •" AOf05slOns Cotle, dntl my Ilcense 15 In full forte dntl of feet. REAR YARD (TO P/L) ROJECT D SCRIPTION L)cen5a Clatt utanse No. a n e¢2 P UQ O• FT. T CM CC CV STRUCTION TYPE PKG. SPACE REG. r S STREET WIDTH PROV IDE[) r r PARK FEE 179, Data )� Signature ` WORKE0.5• COMPENSATION DE A ATIO I hereby affirm that I have a certificate of consent IO self -Insure or gLUATION ZONE ZONING APPROVE O T .> cert Ificate of Workers' Compensation Insurance, or a certified copy — thereof (Section 3800, Lab. C.). RACING CU. YDS. ACRES SPECIAL CONDITI •/ n, lCy No. Company REMARKS: rf " .ertlfied copy is hereby furnished. Certified copy Is filed with the city Building Division. _ 1EQUIRE.���rrI1WI�iss EE ������••�L� EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit it for one hundred - �.i0 Z7 - . SS3001 or less 1. cert((ly that n the performance of the work for which this permit Is Issued, I shall not employ any person in any manner so as to become PLUMBING PLAA CHECK ELECTRICAL PLAN CHECK Subic et to th'elWorke COmpenShcl00 LdWs of Callforni_ d. - BATHTUBS - SHOWERS Date sP SIgnature 0�� �( NOTICE: If after making this oeclai lie You sh uld become subject TOILETS URINALS GENERATOR 0.1 KW_ 1-30 KW to the Workers' Compensation provisions of the Labor Cotle, you must TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW_ 50+KW revoked. KIT. SINKS DISHWASHERS MOTORS 0-1 HP -1-10 HP CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the per. SERVICE SINKS SUMPS (INC. SOLAR) 10-50 HP 50 + HP forCiv.mance of the work for which p'��r issued (Section 3097 - FLOOR SINKS FLOOR DRAINS' FIXTURES OUTLETS SWITCHES phis /mltii f•�-�a'V\O'"-y Lentler't Name `-"'---� Lender's Address 7-602 14QU tst .eo ��A� DRINKING OUNTAI NS - "' \ GAS TUBE SIGNS OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for INTERCEPTORS CLARIFIERS POLE LIGHTS SWIMMING POOLP TRAP the following reason (Section 7031.5 Business and. Professions Code: Any city. or Eounty,.which requires,a permit to Construct, alter, .. POLES METERED SUB WATER SERVICE, ALTERATION PANELS MAIN SUB improve, demolish or repair'any structure,rprlor to its Issuanee; also re- qulresrlhe ap, licant for Such permit to file a,signed statement that he -- -. -GAS SERVICE OUTLETS SERVICE - AMP Isdicensed pursuant to the provisions of the Contractor's Cicenso Law, EChapter 91.(commencing with' Section 7000), of,Olvision 3.of the 'WATER HEATERS - BTU OUTPUT • usiness antl Professions Code) or that he is exempt therefrom and the fat- the alviolation 7031.5 by of Stola�cIvf SEWER CONNECTIONS'" •• for *a' permileged tsubjectsthe appcant penn 7'�);r5'PPPIIWntp ) penal' frit*•^'�^+t more than five huhtlrotl dollars,($500): \ - SOLAR TANK - COLLECTORS - as owner of the property or my Om PI yecs with wages as their sole compensation,•.wilLdo.the workk, and.tho Structure.is not intended - a,. offered for Sale. (Section\7044, Business and�Professiont Code; The SOLAR PIPING SVS.. ISSUE FEE 'Contractors Licanse`l Law does'not apply to, an\ownfrr oFa property- ,, .. ISSUE FEE, APPLICATION APPROVED BY, pATZ who builds,Or i mproves,t hereon, and who does such work.himself Or t hrough'ahls own. employees, provided!lhat such improvements aro not - `MECHANICAL PLAN CHECK SUMMARY� OF FEES Intended or offered for sale. If, however, the building or Improvement owner B sold within one year -of cad wit purpose b feting BUILDING sale). of proving he tlia not build or improv purpose of Salo). Improve - SYSTEM �0-100,00D BTU PERMIT $ ��� �. "SMIP E ❑ rt contracting with' as owner of the property, am eect `HEATING AND OUCTING' 1 (Section licensed contractors'ta construcl'the'pro)Bct (Sectlon 4044, Business n sr 1 . 100,000 + BTU PLAN CHECK b _ PERMIT and Professions Code:'The Contractor's LCOnse Law does'not apply to - ISSUANCE $ an,owner of, property who builds or Improves' thereon, andwhoton- REFRIGERATION 0-100,000 BTU . PLUMBING $ -tracts from Such projects with a contractor (s), -Iicetned pursuant to 'SYSTEM ' % "GRADING' E• the Contra o1or's,LicehS0,Law). c-+100,000+BTU PLAN CHECK S _ ❑ I am exempt under Section B. & P,( C. for this BOILER_ 5 BTU - ELECTRICAL E - $ reason - _ - PLAN CHECK $ MICROFILM $ ' ' Date Owner SYSTEM REPAI R, ALTERATION MECHANICAL $ TOTAL FEE $ 1 hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE - - LESS AD- ' Information is correct. I agree to comply with all city and county PLAN CHECK S LANCE E ordinances and state laws relating to construction, and hereby authorize _ representatives of -this city to enter upon the above mentioned property for ii/Wn75pection p ones. - �.,a �a !S Signature s ••(�J�-L ^�'�„ `s Dat¢- /�X7- - /—/`�%J• i[� 'i `%/ FINAL FEE E Drivers' Licer 5 ISSUE FEE . - CMF 0865-d6 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNING22 APPROVALS Permit - t Date Inspectors POOL & SPA APPROVALS Permit# Date- Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - - -' 2. SoilPipe-Un rgrn - 44. Steel Reinforcement - -- - 3. Electrical Conduit Utility-Undrgrn 45, Forms -- 4. Electrical Conduit-Undrgrn - 46. Electrical Bonding - - b. Steel ein orce _ - 47. Rough Plumbing & Pressure Test - - 6. Electrical UF,ER Grn- - - 48. APPROVAL TO COVER-GUNITE - - - - 7.. -Footings .- - - 49. Electrical Conduit-Undr rn ,' - -8. Foundation- - 50.,, Gas Pipe, ❑Undr rn,Test 9. Water Pipe-Undrgrn - - - _,. - ' ', 51 `-eBackwaih Lines P-Tra ❑ ndr rn - 10. Structural Floor System =-•- - '52: - APPROVAL TO D CK - - - - 11.` Property Sewer Line & House Connection - '631- .Backwash & Rec --'tor-Final 12. Street Sewer Connection - - -- 54. Heater & Vent' -Final - 13. - Rough Plumbing - - - - - 14. Rough Ele4trlG 'Sau1tJ5j Roil?. `0.! it Illi' 56. Electrical -Final 15. Rough Electric -Wiring - 57. -Solar'System-Final - - 16. Rough Heating -& Air Conditioning - - encing & Access -Approval - 17. Ducts in Structure - - APPROVED FOR.PLASTERING 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test - Roof Framing - - - - -- - 60. POOL/SPA _SYSTEMS FINAL - 21. 22, Roof Sheathing Frame and Flashing NOTES: 23. Insulation -1_ - - 24: Lathing & Siding - - '25. • Drywall Nailing 7 - 26, Plaster Brown Coat 27. Electrical Power Meter -Final - - -- - - - - - - 2_ -x - $ - .- 28. Final Electric - ' _ - -- - -- - - -- 29. Final Heating & Air Conditioning -- -- -- - - 30.' Final Gas Pipe -Test - - - 31. Final Plumbing - - - _ g 32:` Water Service -Final - 33. Gas Service -Final - - 34. Solar Domestic'Final 35. Candscat e Sprinkling System 36. Sound A,tenuation 37. Handicap Regulations ` 38. FINAL STRUCTURE & BUILDING _g 39. Special Requirements Completed 40.. Electric Release to Edison - - - -- --- - - 41. Gas Rele•,se to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY •NnDate - I PROJECT ADDRESS: 2620 E.,DEN AV UNIT: OWNER'S NAME: ADDRESS: TED UME 1 S U 2620 ELDEN AV •' COSTA MESA CA 92627 ARCH/ENGINEER: (714)645-3776 REG.NO.: ADDRESS: UNIT: PERMITTEE: PROGRESSIVE DESIGNED PLMB (714)580-3500 ADDRESS. 6 VANDERBILT B IRVINE CA 92718 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cade, and my license is in full force and effect. CITY UC.:049545 STATE uc.:334799 CLASS: C-3 Date:11­2610. Signature:. 7q WORKAS' COA ENSATION DECLARATION: I hereby rm that�a certificate c sent loSCf-insure or a cenificale of Workers' Compensation Insurance, or a certified copy thereof (5 Zion 3800, Lab. C). POLICY NO.: PWC1 1582094 1 EXP. DATE: 10/01/93 COMPANY:VALLEY FORT IN ❑ Certified copy is hereby famished. Certified copy i filed with the city Building Boost a Date: G_�`SL EXEMPTION FROM WORKERS' COMPENSATION DECLARATIT is section need not be carp led if perms is for one hundred ($100) or less). I cenify 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 WorkersCompensation Laws of California. Date.- Signature: NOTICE: It after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Cade, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure. prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than live hundred dollars Si 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 (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sate. It, however the building or improvement is sold within one year of completion, the owner will have the burden of proving h ffshe did not build or improve for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business L1 and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractors) license pursuant to the Contractors' State License Law),I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason'. Date: Owner I do hereby comfy that I am aware of and understand the requirements of California Health and Safety Code Sections 25505. 25533, and 25534 and that I or any future building occupant willlwill not (circle one) need to comply with said slate codes and the requirements for a permit for construction or modification from the Air Quality Management District Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and stab ordinances and state laws relating to building construction property for inspection purposes, Date:, /-/- 7 rfr ' % 3 Signature. Drive'r's License Security nyvn�a�i�. ri��n—�eveiiue, wiuniiiw—n.eeeo.I CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: P 061933 PLAN CHECK NO: N CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU JOB DESCRIPTION : CHANGE OUT WATER HEATER CLAIM VALUE: CALL—VALUE: PERM NO: P 061933 GOVT: N SUPP; N PURPOSE: OTH SQ FT: GROUP OCC: R-3 / COMMENTS: CHANGE OUT ONLY Z O N I N G S E T B A C K S R E Q U I R E M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT 1N REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REO• PROV: PARCEL: 00000000 ZNE: REF NO: PLANNING N TES> > D E V E L O P M E N T S E R V I C E S.� R E Q U I R E M E N T S r-• ZONING APPROVED BY 411 DATE.- BUILDING ATE: BUILDING APPROVED BY APPLICATION ISSUED BY: LEGALIZATION:N F E E S U M M A R r BLDG PMT PLUMBING ELE=T C PERMIT 7.00 258 PLAN - MECHANIC FIRE SMIP/RES GRADING SMIP/NON—RES ISSUE FEE 20,00 BUILDING—DIV—> PERMIT ISSUE PLAN CHECK TOTAL PAID DUE TOTALS ---- > 7.00 20.00 0.00 27.00 27,00 ,00 f REVENUE DIVISION TOTALS--> COLLECTED: 27,00 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 27.00 I N D I V I D U A Lr ,3F E E B R E A K D O W N TYPE QTY D E S C R I P T I O, Nr UNIT COST TOTAL COST PLU 1 14ATER HEATER AND/OR1 VENT 7.00 7,00 END:OF FEES Vr — ~ 01 00138131-00138131 TOT 27.00 DATE: 04/28/93 TIME: 14:26 f i ••, CONSTRUCTION AND PLANNING POOL, .PA APPROVALS Permit # Date Inspector APPROVALS Permit 5'F' Date Inspector . I. Temprrary Electrical Service or. Pole 52. Pool & Equipment Locaton I 2. So-' Pipe Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utidty-U'ndrgrcd. 54. Forms 4. Elect,czl Condwt-Undrgrnd. 55. Electrical Bonding 1 5. Sue: Reinforcement ------------------- 56, Rough Plumbing & Pressure Test 6' Electric.:: LIFER Grnd. 57. APPROVAL- TO COVER-GUN11TE 7. Foonnes - 58. Electrical Conduit,Undrgrnd. B. Foundation , 59, Gas Pipe, 0 Undrgrnd., Test I} - 9. hater P;pe-Undrgrnd. 60. Backwash Lincs, P -Trap, Z-1 Undrgrnd 10. Structural Floor System 61. APPROVAL TO DECK 11.iproperty Sevier Line & House Connection _ 62. Backc;ash & Recep'or-Fwal 1, -i 12. Se. -ver Cap 63. Heater & Vent -Final ty,^. -Roof Drains 64. Plumbing System - Final ~• ;. Poua',. Plumbing 55. Electrical -Final 15 Rough E;ectrical•Conduit 66, Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval I 17. Rough'.V'✓ing Sign 68. APPROVED FOR PLASTERING 18. Rough Electrica! T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rcwh Heating $i Air Conditioning FIRE DEPT. REQUIRENIENT APPROVALS Permit 9 �- 70 oc;r. cactbry Fireplace -i 21. Duc!:, ^ Strccture 70. Underground Hy' •o 22. Duct;, lating 71. Product Pip, g :. Gas "Oil 23. Ge: Pipe Bough &Tett 72. Underground Flush 14. Roof Fr min9 73. Undergrnd. Stomp:: Tank _ Gas '_: J,! �05. Roof Sheathing 74. Overhead Hydro 26. T Ser Ceiling (Structural) & Ivlonocoat 75. Dry Chemical -� onj Flashing - - 76. Dry Star.dp-r-e j 8. Latt,mg &Siding 77. FIXED SYSTEM FINAL -- --__ - Z9. -esu at 78. FIRE PREV. FINAL i 30. D,yv.all }:aihng HEALTH DEPT. REQUIRE-1ENT 79. FINAL INSFECT!ON P•aster Bron:n Co.:, I 32 E cci-, i Ppo er 80. FOOD CERTIFICAa E ISSUED I Notes:/�l$�V KO dKi 00101I Lill Cilil 33. Fin.' Pltctric 34. F:v,l Hrating & Air Conditioning 6�sf/[jalJ /Y�G:E �.(Q/y� (Q,(,Q ,(�Iirp _G�.�'�• 1 -y 35. Final Gas Pipe -Test - -II'- 36. Hood or Canopy ! i 37. F ra! Fcctury Fireplace - 38. Final Pumbing 39. ..ater Service -Final 40. Ga. SJr\•ce-Final 41. Solar Domestic -Final Z. 'rkrloy. Preventer - 43 Backflow Irrigation 44, Landscape Irrlgation System 45. Sound Attenuation 46. Handicap Regulations i !7. FINAL STRUCTURE & BUILDING 6 FI\AL PLANNING �49. ,1 Electric Release to Edison 50. Gas Release to Southern California Gas Ca - {I 51. CERTIFICATE OF OCCUPANCY No. Date JI !' C-CITYr'yF COSTA MESA V � OWiRUCTION PERMIT Applicant to fill in all spaces except Project Address &4:Yy 0 a€�) Au Ur• m Applicant's Mailing Address 9 "I'I jr Owner's Name �ti•/CF �L 11 tAl A Phone%' —011/ Address Qc_,1 I I'� OF sJ Au C Arch/Eng. nNm R n Q�"f'' � License No. 10(221 Address01`n� n�- �Li Contractor's Name 1!11LL!!L honeava-'7 Address (mailing) oi 'l -y16 X. S,4- City License No. 6�Z4 Qy LICENSED CONTRACTOR DECLARATION 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 my license is in fu forte nd effect. Llcen Class ense No. Date — Signature WORKERS' COMPENSATION DECLARATION sereby affirm that I have a certificate of consent to self -Insure or a Certificate r Workers' Compensation Insurance, or a certified copy -thereof (Section 3800, Lab. C.) Policy No. Company Certified copy is hereby furnished. I 8 Certified copy 10iled with the city Building Division. , Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit is for one hundred ($100) or less). I certify that in the performance of th ork for which this permit is issuetl I shall n t employ any person in any a ner s a a become sub"act to work e Co ens "o Laws of Califo Date Signature NOTICE: If, after making this tleclara Ion, you shouldDe me subject to the Workers' Compensation provisions of the Labor Code, ou must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for whichy4/ rrpit/ 4'f issuetl (Section 3097 Civ. CJ Lender's Name A Lender's Address OWNER BUILDER DECLARATION ' 1 hereby affirm that I am exempt from the Contractor's License Law for the following reasnn (Section 7031.5 Business and Professional Code: Anv city or a ij ;arefrom and the basis for the alleged exemption. Any violation of Sectlon '.:531.5 by any applicant for a permit subjects -the applicant to a civil enalty 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 5a le (Section 7044, --Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. If, however, the building or improvement Is sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or Im- rove for the purpose of sale). 1, asowner of the property, am exclusively contracting with licensed con. tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner Of property who builds or Improves thereon, and who contracts -for such projects with a•con, tractor(s) license pursuant to the Contractor's License Law). i ❑ I am exempt under Section B. & P. C. for this reason r Date —Owner - I hereby certify that I have read this application and state that 'the -above - Information Is correct. I agree to comply with all city and county ordinances and state la elating ,to building construction, and hereby authorize repre-_, sentatives is cit -;to -linter upon t e •abo entioned openly r Inspection 0 P es /f /1.� / Signature _ Date Drivers' License or SS # CMF 0865-46 rev. 7/83 'min eavy border lines and sign all appropriate declarations. TYPE OF CONSTRUCTION LJ NE I 7 ADD LJ ALTERATION LJ REPAIR spp ❑ CONVERSION ❑ DEMOLISH U OTHER DESCRIPTION OF WORK A.P. # S E T B A K K $ Main Building: TYPE OF PERMIT GRADING rpr FOUNDATION R�STRUCTURAL sem❑ TENANTAffimal nRlCgq� Id PLUMBING IN MECHANICAL W OTHER .%]6y- .Y I�L� D Front Rear Right PROJECT DESCRI PTION SQ.FT, C/ OCCUPojy CONSTRUCTION TYPE o VALUATIONS ZONE - GRADING CU.YDS. ACRES Left Ping. Ref. '/(= Remarks: - Parking Req./Provided — Use of Building: PLUMBING , FEES Planning Notes: Sink Preventer Bathtubs Clarifiers Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service Outlets msercepmn Kitchen Sink Lavatories - P—Trap Roof Drains ' Reinspection Fee $25 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBG # JHeating System & Ducting 100,000 BTU V100,060BT .1 . Reinspection Fee 1 $25 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Showers Service Sink ' Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank S fSpa Urinal Water Closet Water Heater Water Service Issue Fee Hood or Type ❑ Canopy Typell ❑ Refrigeration System ❑o-100,000BTU ❑100,000 System Repair/Alteration Issue Fee Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Elec Fan F.A.U. Fixtures Device Boxes Outlets Switches f Garbage Disposal Generator 00-5 ;KW_c Zane Accessory Building: Park. Fees $ ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+ KW Meter LJ up to 100 amps Meter ❑over 100 amps Sub Panel -Motors ❑0-1 Inc. Solar 139.15 HP Ell 6-15+ Microwave Pole Light Range I Standing Sections 5-15 KW I I Trash Compactor O N 1 N G R E FEES $3V 1`TReinspection Fee $25 Issue Feo $ 3 FEES PUBLIC SERVICES REQUIREMENTS: Zoning Approved By Date Application Approved By Date Application Issued By f % Dat SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ P RMIT PLUMBING $ �rIAUANCE $ PLAN CHECK w$ ENERGY P.C. $ ELECTRICAL [L&✓ GRADING $ PLAN CHECK $ MICROFILM $ MECHANICAL $ TOTAL FEE $ PLAN COCK $ $ 3 IJ CONSTRUCTION AND PLA ING ?-�7GB Date APPROVALS Permit # Inspector POC SPA. 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. Electricalon ingOY 't PA Oro,, 5. Steel Reinforcement - 56. 'Rough Plumbing & Pressure Test ) �• _x4 6. Electrical UFERN � Grnd. - 57. APPROVAL TO COVER-GUNITE 7. Footings' _ 58: Electrical Conduit-Undrgrnd. 8. Foundation ` 59. Gas Pipe, Undrgrnd., Test ! z •6 i'i lop 2 �7 - 9. Water Pipe-Undrgrnd. 60. Backwash Lines,.P-Trap, ❑ Undrgrnd. 10, Structural Floor+Sysfem -. 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 ,'20-d. F 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit - 66. Solar System -Final . 16. Rough Electric Wiling 67. Fencing & Access Approval �'j-• ZQ 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING i 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # .20. Rough Facti3y Fireplace 21. Ducts, in Structure 70. Underground Hydro '.2. Ducts, Ventilating 71. Product Piping El Gas ❑Oil -23. Gas Pipe -Rough So Test 72. Underground Flush 24. RoofFraming ,, 73. Undergrnd.Storage Tank OGas ❑Oil- 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat i 75. Dry Chemical 27. Frame and Flashing r 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29.' -Insulation 78. FIRE PREV. FINAL ' ti30'.%rywall Nailing HEALTH DEPT. REQUIREMENT 31.lPlaster Brown Coat; 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace ' 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer j 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 I ' 51. CERTIFICATE OF OCCUPANCY No. Date ;' 0 • CITY OF COSTA MESA �`aMFS, BUILDING DIVISION F�� 77 FAIR DRIVE, COSTA MESA, CA 92626 • (714) 754-5273 • Fax (714) 754-4856 • www.cf.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754.5626 '"*��^°` PERMIT NUMBER: Pll-00077 PERMIT TYPE PLUM APN: 93794018 JOB ADDRESS: .2620:B004ELDEN-AV_CM'' ; =. Vicinity: STATUS: ISSUED DATE ISSUED: 04/12/2011 ISSUED BY: KJB Suite/Unit: B004 SCOPE OF WORK: REPLACE/ RE-ROUTE GAS LINE FROM METER TO RESIDENCE OWNER: COLE, KATHRYN A - Address: 58 BRIDGEPORT RD PHONE: City/State/Zip: NEWPORT COAST, CA APPLICANT: CARPENTER, DAVID Address: 1183 N KRAEMER PLACE PHONE: 714.630-0404 City/State/zZip: ANAHEIM, CA CONTRACTOR: ROTO ROOTER SERVICE AND PLUMBING License No. 290688 Address: 23311 MADERO STREET PHONE: 949.3804161 City/State: MISSION VIEJO, CA ZipCode: 92691 CELL: ARCHITECT: License No. PHONE: ENGINEER: License No. PHONE: PLUMBING PERMIT FEE SUMMARY PLAN CHECK FEE: $0.00 PERMIT FEE: $33.30 �d TOTAL FEES: $33.30 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: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 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. CODE I. INSPECTION TYPE DATE INTmALS CODE INSPECTION TYPE DATE INTIPALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final PlumbingH✓�- 200 Final Re -Roof 210 Final Electncal —' V 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/Ocoupancy 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' !=sation, as provided for section 3700 of the Labor Code, for the —Incl pl the .,itII{ /Or whichh this this permit 15 issued. I have and will maintain workers' compensation insurance. as required by sect' n 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: Ccannel (Tits seribl neM not Oe pp'nplered erne perm4s va ed ar meAundrM dp4ars lStddl ar less.) Policy Number. ❑ 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 Labo'r �C �\e, I�shall to hhw�ith comply writh these provisions. /— 'Him 7/! 'Applicant's Signa re Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Lic. # 2 6 , class # C-36 • cY i 7 lI y - /Z l! l_. Conuagars Signature .Date CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: 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 rile 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).): ❑ 1, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure is not intended or offered for sale (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 safe.). ❑ ( 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 appy 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.). ❑ 1 am exempt under sec. Business and Professions Code for this reason: Signature Dale 1057.46(x/07) I I Owner ID verified by driv license. ❑ Yes ❑ No 1 Driver's License No. Verification of Ownership by (type of document. i.e. Expires: property lax bill or deed): I i DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 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 -s& (36) feet high. (Chap. 3.2. Grp 2, Art 2, Sec. 341, Tille 8, California Administrative Code). i ❑ 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. I Appliant's Signature Date Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ 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 Calitomia 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 ❑ 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 permit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? ❑ Yes ❑ No (Section 65850.2 of the Califomia 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? ❑ 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 ❑ No 8. (if -yes", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penally 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. �@ awrd ( Legal Ow a,(s) Date (`__ Aidla, Authorized Appiam Date Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PERMIT NO. - TRACT NO. LOT NO. -- PERMIT CONSTRUCTION TYPFF OF CONSTRUCTION NEW ❑ ADD ❑ALTERATION- - ❑ REPAIR ❑ CONVERSION ❑.DEMOLISH. .. ' Project Address Owner - Phone j Address /-7�/ � - LJ OTHER ZONING REGULATIONS - - - - Arch/Eng. Licens NO. DESCRIPTION OF WORK' _ - - A.P. ZONE - -' PLNTGo. REF. " _ AddrfsS - CantrSctor — - Y Phon� . ,}� . TYPE OF PERMIT - 1BUILDING ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑PLUMBING OO MECHANIC k SETBACKRD - T SIDE y p$ X2090RTYNLINE •- . Address - z LICENSED CONTRACTOR DECLARATION - 1 hereby affirm that l am licensed under provisions of Charter 9 (com- mencing with section- 70007 of Of3 of the Business and - ❑ OTHER RIGHT t Professions Code, a m Ilcense is In full force and effec1s •. REAR YARD (TO Pj L) ) {� . PROJECT DESCRIPTION � � License ass � '� License No��d'/%p� � � - 1 y SQ. FT. PKG. SPACE REO. - - PROVIDED - Dat Signature •. - _ STREET WIDTH - PAR K'FEE $ WOR NSATION DECLARATION - - ER' COMPE OCCUPANCY—CONSTRUCTION TYPE ZONING APPROVED BY 'DATE 1 hereby affirm that Ihave a certificate of consent to self -Insure or a VALUATION ZONE certificate of Workers' Compensation Insur nte,-or a certified copy - - -- SPECIAL CONDITIONS: "9reof (5(� tion 3 00, . C.). rj 1 t 'GRADING CU. YDS. ACRES :y Nci � -U,)/ f Com Pant Lerllfietl copy Is hereby furnished.- -. _ _. _ _ REMARKS: Certified COPY IS filed with the city Building Division. EMPTION FROM WORKERS' COMPENSATION DECLARATION -_ - - - - (This section -need .not be completed if the permiLis for one honored. - - S $100) or lessl. - - - that In the performance,of the work for which this permit Is -certify Issued I shall not employ any person in any, m ner so as to become PLUMBING .- ' - ? PLAN CHECK. . ELECTRICAL -' " "PLAN CHECK - subject•to he W rkers Compensation. sof Iforn BATHTUBS SHOWERS Date �� Signet ur NOTIC If fter making this dec aration, You s uld become subject -TOILETS URINALS GENERATOR R 0-1 KW - -10 KW - to the Workers' Compensation provisions Of the bot Code, you mustTRANSFORMER - forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS -- APPLIANCE 10-50 KW_50+KW`- revoked.... -KIT:SINKS - DISHWASHERS' - MOTORS- `Otl HP_1-10'HP - - CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the per. SERVICE SINKS SUMPS' (INC. SOLAR) _' -10-5o HP 50 + HP formance of the/�j ork for which w�hich this per t IS issued (Sect ton 3097 FLOOR SINKS FLOOR DRAINS -- FIXTURES -OUTLETS -SWITCHES'- Civ. C.). - /j Lender's-Name /�G�iH�-s(f Lender's Adtlres�l RR.-'-- ---'�^ - - - -- _ 7/t w-', DRINKING FOUNTAINS - '- - GAS'TUBE SIGNS-' INTERCEPTORS CLARIFIERS- - - POLE LIGHTS OWNER BUILDER DECLARATION I hereby affirm that I am exempt frpm.the Contractor's License Law for SWIMMING POOL-' P TRAP -HUC POLES METERED - - - - SUB the following reason (Section 7031.5 Business and Professions Code: Any-clty or county which requires a permit to construct, alter, WATER SERVICE 'ALTERATION- - - - PANELS MAIN "' "SUB" _ Improve, tlamollsh or repair any slructure,'prlor to'Its Issuance, also re- quires the applicant for such permit to file a signed statement that he GAS SERVICE OUTLETS - - - SERVICE - AMP -- - Is licensed pursuant to the provisions of the'Contractor's'License Law- (Chapter(commencing with Section 7000) of Division 3 of the WATER HEATERS ' _ -BTU OUTPUT - - _9 and Professions Code) or that he Is exempt therefrom and the -P„•�F7ness .^`•, for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS applicant for a permit subjects the applicant to a'civil penalty hot more than five hundred dollars ($500). SOLAR TANK- - COLLECTORS '- - ❑ 1, as owner of the property, or my employees with wages as their Sol¢ Com kinsation. will do the work, and the structure isnot Intended or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SVS. ISSU E'FEE '- Contractor's License Law does not .apply to an owner of a property who bullds of Improves thereon, and who does such work himself or - - - ISSUE FEE APPLICATION APPROV ROVED BY - DATE �D Z through his own employees, provided that such Improvements are not- MECHANICAL PLAN CHECK SUMMARY OF FEES - intended or offered for sale. If, however, the building or Improvement 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 BTV • PERMIT $ - SMIP $ ❑ as owner -of the with ecu(Section -AND'DUCTING - - - - - - constrprOPOTuct the project Business Ilcensetl contractors construct the 70 4, B n 100,000 *BTU - PLAN CHECK E PERMIT " ce(Section es not to and ; The Contractor's License Law does not - -. .- ... ISSUANCE $ c Or Improves thereon, and who con- of Property who owner of property who owner REFRIGERATION 0-100,000 BTU - PLUMBING $ with a tracts from such projects with a-contractor(s)litesnetl pursuant to tracts SYSTEM- - - GRADING E the Contractor's License Law). the 100,000 *BTU PLAN CHECK $ ❑ 1 am -exempt under Section B. & P. C. -for this BOILERS BTU-$ _ ELECTRICgL $ _ reason SYSTEM REPAIR, ALTERATION PLAN CHECK -$' - -� MECHANICAL $ =%-U01 MICROFILM $ - TOTAL FEE $ Date - Owner- - - I hereby.certify that I have read this application antl state that the above EXHAUST SYSTEM MULTIPLE • AD - information is correct. I agree to comply with all city and county — 'PLAN CHECK E '- ^I VAN VANCE PC $ ordinances and state laws relating to construction, and hereby authorize representatives of this city to enter upon the above menti ed P roperty for/dsp¢ J°/�' pur ses. � �l� -• Q •' _ 00 FINAL FEE $ 7 Slgnat urg r A -KJ 'ISSUE FEE - y --- - Drivers' License or SS CMF 0865-46 White -Building; Canary-AppliCant; Pink -Accounting; Goldenrod -Assessor 'A .. ,-. .• . CONSTRUCTION AND PLANNING APPROVALS y`1529D Permit # Date j :ln3ppector `- POOL & SPA Permit# - - =r • - APPROVALS. , l . - - Date. :Inspector' ->' \ 1. Temporary Electrical Service or Pole . , - 43. Pool & Equipment Location' - %-' - ' ' `-`�' �• `: 2.. _ i ipe- n rgrn_ _ _ _ Steel Reinforcement 3. _ . lectricel.Conduit-Uolity-Undrgrn_ _ _ _ _ 45. -Forms 4.. Electrical Conduit-Undrgrn - _ _ _ 46._ .Electrical Bondin 1 _ _ tee em orce� - 47. Rou h'Plumbin"& Pressure Test' '' �'�• �<� '•` +- �`_ - ,_6. Electrical UFER Grn_ _ _ ; "48. APPROVAL TO COVER -GUN ITE ootings _ _ _ •• 49. -Electrical Conduit-Undr rn ..8, Foundation.-... "'_' ` - 50.. Gas Pipe, ❑ Undr rn •Test 9. --Water Pipe-Undrdrh.- _ _- -_` -_ 51. Backwash Lines, P-Trap.ED tindrarn' '-'- ._10..._.Structural,Floor System-'- "- ------ - -�«-, I %, .11. -Property Sewer.Line.& House'Conhection . _ 53. - Backwash ,& Receptor -'Final •• ' .12. _Street Sewer Connection_ `61i - - 54. - Heater & Vent;Final. - -: ♦ _ .•_ 13., . Rough -Plumbing.- _ _ - - .�, 14. Rough Electric -Conduit - --- --- . -56:-: Electrical -Final -�_• 15. Rough Electric -Wiring _ _ -` "r -- _ -- -- -'-- - - 57-.-!.Solar-System-Final -16. Rough Heating &•Air Conditioning -- _ - - - - -- - - encing & Access Approval 17. -Ducts in Structure_ + "'�_ yp• 31 APPROVED FOR PLASTERING -18..- Ducts; -Ventilating.' _':S. -. _� _ _ - - --_ _ _ '-6D._ . _-- .' "_. POOL/SPA SYSTEMS FINAL ,- • - / _: � .•�'.A • - - • .. 19., Gas Pipe -Rough"& Test 20.i- Roof Framing - -� - -- 1 21., Roof Sheathing'' - -- = --- -- -NOTES: - - • ' t ; a -AT c - '' - 22. -Frame and Flashing'- - - 23. Insulation -- - - - - -- -- -- _ � --• --;• _ _ - _" .. ._ - . .. _ - _' _. _ \\' : a_\_ � `� _a� `rY-a�� ' 24. Lathing &Sidin .- --.- -.-. 9 - .- -- -- - -- --- - -,.,"_- "• .. ���.�- .-�•sS>� -•',� ♦h�\. -25.' Drywill Nailing. - - - - - - - - - - . 26. Plaster Brown Coat- •• _ - - - _ - .. 27. Electrical Power'Meter•Final`- - - - - - - - `" li ` 28.. -Final Electric - -- - - - 'e '• - - 29. - Final -Heating -. r y- . - - .. .. - r , i .. - - - - .. •... ..... 30.E Final.Gas Pipe -Test - ' -• - .. ...: - .' '.'° 31.' ..Final Plumbing. 32.1- WaterrService-Final 3r13:` .Gas.Service-Final 34. Solar Domestic -Final ' '.=' 35. Landscape S rinklin stem ' 36. Sound Attenuation 37. Handicap Regulations -- > - t - '� -•-_- . �r ' 38. FINAL STRUCTURE&BUILDING •'' - I i - -- ---- - - -- i�':-----_- 39. Special Requirements Completed - "• - - - -- "-- ' 40. Electric,Re lease to Edison-, 7- 41. Gas Release,to Southern California Gai Co. 41. 42;. _CERTIFICATE OFOCCUPANCY No Date _ _ - N Applicant CITY OF COSTA MESA CONSTRUCTION PERMIT In all spaces within heavy border lines and sign all appropriate declarations. AND., A _ zI - - TRACT NQ. I LOT NO. I BLDG_NO. Address .-ArcMEng. - - License No. - Address - Address 7 tj - e* - LICENSED.CONTRACTOR DECLARATION 1 hereby affirm thzt I am licensed under provisions of Charter 9.(com. mencingr with section 7000) of Division 3. of. the Business and Professions Cotle an,5L my license is In full fortantl- e f License Class ` - �• 0 Ocensp NgsZ� Date f IV 'err AL Signature WORKERS' COMPENSATION DECLARATION.. 1 hereby affirm that 1 have a certificate of consent t0 self -Insure r a 'certificate of Workers' Compensation Insurance, or.a certified copy thereof (Section 3800, Lab. C.). Policy No. Company 0 Certified Copy is hereby furnished. _ 0 Certifled copy Is filed with the city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION This section need not be completed if the permit is -for one huntlretl $100) or less)l certify that in the performance of the ork whi h this permit Is issued I shall not employ any person. any nne yds t0 be ome subject to the WoF�kazs`Com ensation ws 5 :Date ��l•1Z0 -+ Signature TYPE OF CONSTRUCTION *(NEW - 0 ADD .' 0 ALTERATION ❑.REPAIR 0 CONVERSION ❑DEMOLISH 0 OTHER DESCRIPTION OF WORK ;YPE OF PERMIT ' - O GRADING 0 FOUNDATION -O STRUCCTURAL' 0 TENANT O ELECTRICAL- ❑PLUMBING MECHANICAL 0 OTHER /� PROJECT DESCRIPTION' OCCUPANCY_ CONSTRUCTION TYPE VALUATION ZONE GRADING CU. YDS. ACRES REMARKS:' s—r PLUMBING - " •' 'PLAN CHECK: NOTICE: If after making this cleclan-atiodsyou shoultl ome s bject permit TOILETS- , URINALS to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed LAVATORIES COUBLE CAVS' - revoked. _ _ _ CONSTRUCTION LENDING AGENCY KIT: SINKS DISHWASHERS'- SERVICE SINKS SUMPS - I hereby affirm that there is a construction lending agency for the per- formance of the work for which this permit is issued (Section 3097 FLOOR SINKS 'FLOOR DRAINS' Civ. C.). -- - - •• " `Lender's Name Lender's Address DRINKING FOUNTAINS ''INTERCEPTORS " CLARIFIERS - OWNER BUILDER DECLARATION - - I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 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 re- quires the ap,.licant for such permit to file a Signedstatement that he Is licensed Pursuant to the provisions of the Contractor's License law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cotle) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by an a Ilcant for a subjects the -applicant to a civil oenatty SWIMMING POOL - -P TRAP - •-' WATER SERVICE-" - ALTERATION GAS SERVICE OUTLETS WATER'HEATERS BTU OUTPUT ' NS o(ynot more than fivhundred dollars ($500) 0 17 as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale. (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of a property who builds or improves thereon, and who tloes such work himself or through his own employees, provided that such improvements are not Intended or offered -for sale: If, however, the building or Improvement is sold within one year of completion, the owner will have the burden of proving' he did not build or Improve for the purpose of sale). O I.. as owner of. the property, am exclusively contracting with and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and who con. tratts.from, suCn Projects with a contractor(S) licesnetl pursuant to the Contractor's License Law). 0 1 am exempt under Section - S. 6 P. C. for this reason Date Owner I hereby certify that I h e read this application and State that the above information Is Corr e .•I- gr¢e to comp) with' all city and county prdinan Ws antl sl w a to cons hereby authorize representa[I ves' thi upon the -above mentionyA property for 1 Pett s �O'a�•id Signature Date [[[[ ...-__._ __ _.. _. - , - ISSUE FEE Goldenrod -Assessor SEWER CON NECTIO SOLAR TANK'- .1 - COLLECTORS SOLAR PIPING SYS. - - ISSUE FEE - MECHANICAL PLAN CHECK HEATING SYSTEM 0-]00,000 BTU AND DUCTING 100.000 + BTU REFRIGERATION 0400,000 BTU_ SYSTEM -100,000 + BTU BOILERS BTU SYSTEM REPAIR. ALTERATION EXHAUST SYSTEM MULTIPLE 7 � CMF 0865-46 Canary-APPliunt; A.P. $ ' ZONE SETBACIS��C/L ST. LL51 YARD RIEI GF THTA REAR YARD (TO PKG. SPACE REQ. STREET WIDTH PLNG.. ©©RULE�FL. p.pg,1.1 P ROPEI RTO Lt'INE ' ) PROVIDED PARK FEE S ZONING APPR OVEDBY DATE - -' 'SPECIAL CONDITIONS: ' ELECTRICAL ` ' PLAN CHECK qQ FT Fr_ GENERATOR 0-1 KW_ 1-]0 KW - TRANSFORMER .. -' APPLIANCE'-- 10-50 KW -L..;-50 + KW - 'MOTORS' W1 HP'_1=10 HP• - _. _ ..(INC.. SOLAR) 10-50HP=50+HP - �' FIXTURES""- OUTLETS- _SWITCHES - 'GAS TUBE SIGNS POLE LIGHTS TL POLES METERED SUB ' -" '-PANELSMAIN - .SUB SERVICE -AMP ISSUEFEE - - ' -APPLICATION APPROVED By DAT s' -SUMMARY OF FEES - BUILDING-" - 'PERMIT _ E SMTP - $_ - PLAN CHECK § PERMIT ISSUANCE § ' PLUMBING- § --:GRADING $ , 'PLAN CHECK E •- I" I - $ ELECTRICAL $ MICROFI IJvI S , '- - PLAN CHECK _S . . MECHANICAL § ' 0� -TOTAL FEE $. PLAN CHECK- § - - - �- LESS AD- - VANCEPC' $__--� Q� - - FINAL FEE $.-- - CONSTRUCTION AND PLANNIN�G�� "3-40 APPROVALS Permit # rL" Date Idspector POOL & SPA -APPROVALS. -�y 1 Permit # Date Inspector 1. Temporary Electrical Service or Pole Property Sewer Line & House Connection 43. Pool & Equipment Location - - -- ' 2. Soil ipe- n rgrn - _ _ 54.- 4 Steel Reinforcement­17--- Rough Plumbing _ lectrical Conduit Utility-Undrgrn _ 45. Forms - 4. Electrical Conduit-Undrgrn _ - 15. 46. Electrical Bonding- - - - -- - - 5. Steel em orce Rough Heating & Air Conditioning 47. Rough Plumbin '& Pressure Test - • - - - 6. Electrical UFER Grn 59. 48. APPROVAL TO COVER-GUNITE - - 7. Footings .POOL/SPA SYSTEMS -FINAL 49. Electrical Conduit-Undr rm 8. Foundation - -- NOTES: _ 50. Gas Pipe, ❑ Undr rn; Test 9. Water Pipe•Undrgrn 51. Backwash Lines P -Trap.❑ n ri'- " 10. 36. Structural Floor System 52. APPROVAL TO DECK' - - - ' 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final 12. Street Sewer Connection_ - 54.- Heater & Vent -Final 3. Rough Plumbing _ - - -- -- - ' 14. Rough Electric -Conduit - --• - •56. 'Electrical -Final - 15. Rough Electric -Wiring - - - '57. Solar System -Final 16. Rough Heating & Air Conditioning W Fencing & Access Approval , 17. -Ducts in Structure 59. APPROVED FOR PLASTERING',. - 18. - Ducts, Ventilating 60. .POOL/SPA SYSTEMS -FINAL 19. Gas Pipe -Rough &Test 20. Roof Framing - - 21. Roof Sheathing -- NOTES: _ 22. Frame and Fleshing 23. Insulation - 24. Lathing & Siding 25. Drywall Nailing - 26. Plaster Brown Coat 27: Electrical Power Meter -Final - 28f Final Electric - `9: Final Heating & Air Conditioning - S A: - Final Gas_Piipe-Test 31. -Final Plumbing - - -- -- - - ' .32:• •Water Service•Final " 33. � Gas Service -Final 34. Solar Domesticfinal' 35. Landsca Sprinkling System stem 36. Sound Attenuation 37. Handicap Regulations + - - - - --•- 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed - - - 40. Electric Release to Edison 41 Gas Releate to Southern CalifoHhiS Gas Co - 42. CERTIFICATE OF OCCUPANCY 1 - No ' - - Date -- -- -- .._ .. :'•;;c • - _ -- Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. VfV,yaF COSTA MESA P RMIT NO. TRACT NO. LOT NO. - ' CONSTRUCTION PERMIT - 14 1:2G. TYPE OnONSTRUCTION 0- ❑ ADD ❑ ALTERATION ❑REPAIR ❑CONVERSION ❑DEMOLISH . x t , ` . t 03%8 6/30/82 -31.00 - - - _ - 'Project Address Owner a2" Phone Address - - - - - ❑ OTHER �'\. �'1, _ lL\ ZONING REGULATIONS - DESCRIPTION OF WORK - ' A.P. ZONE - - - PLNTG�p. RgtE1F. �- Arch/Eng. License No. - -- "Address - i - Contractor VA'kl LL ; - Phone TYPE OF PERMIT, ' ❑GRADING ❑ FO VNDATION - STRIJCTU RAL- ❑ TENANT- ❑ ELECTRICAL FOUNDATION ❑MECHANIC BUILDING SETBAST. IDF YARD - - PROPEIRTVNLINE - - - Address b">l ✓s _ LICENSED CONTRACTOR DECLARATION. that licensed Charter 9 If hereby affirm I am under provisions of (com- -7000) - Division- 3- of the -Business and ❑ OTHER mending- with section of Professions Code,% q Ifisis in full force antl, qff c . PROJECT DESCRIPTION, REAR YARD (TO P/y ,License Class (D Li c N ! a' - . ,�t • '" - PKG. SPACE REO: '" �- - PROVIDED. Date L-��- Signature SO. FT. - - .__ _ - --_ 'STREET WIDTH--- - - -" -PARK FEE E' WORKERS' COMPENSATION DECLARATION - - OCCUPANCY—CONSTRUCTION TYPE .1 hereby affirm that 1 have a certificate of consent to self-insure.or a VALUATION ZONE I ;ZONING APPROVED BY' DATE - --- of Workers-- Compensation Insurance/ Or I,'l certiff d co Py _ nerleof (Se<tJ pp�800. Wb. C.e c -('(p `-JUI �suran_c:4o�tlu'- 'licy GRADING CU. YDS. " ACRES - - - SPECIAL CONDITIONS: - No. Co mpanY Certl opy is hereby. furnished.- - .REMARKS: - - - - rlifleo copy Is filed with the city Building Division. - 'EXEMPTION FROM'WORKERS' COMPENSATION DECLARATION (This section need note completed if the permit is for one hundred • - - _ .($300) or less). t j I c¢rtify that In the performance Of th¢ work for which this permit is issuetl. I shall not employ any person in any manner so as to become PLUMBING-, •, 's-- PLAN CHECK - - ELECTRICAL"-'---'PLAN'CHECK� - subjecLtotheWorkers' Compensation Laws.of California.-' BATHTUBS -SHOWERS SO, FT. -- - FT - Date I Signature I MOTICE: If after making this declzratlon, you should become subject nTOILETs . -URINAL'S -- - - 'GENERATOR- 0.1' KW_ 1-10 KW to the Workers' Compensation provisions of the Labor Code,, you must - TRANSFORMER ''APPLIANCE d forthwith comply with Such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS �' - - 30-50 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 '- '- - - - (INC.. SOLAR) 10-50 HP 50 +.HP formance of the work for which this permit is Issued (Section 3097 ,' FLOOR SINKS- ` FLOOR GRAINS- -' - -'FIXTURESOUTLETS - -SWITCHES - - - Cl v. C.). Lender's Name Lend¢r's Address DRINKING FOUNTAINS .11' -' - - j -' - - - -GAS TUBE -SIGNS -- - -- -- - - - - INTERCEPTORS CLARIFIERS- POLE'LIGHTS - -- -- -- -- - - - 'OWNER'BUILDER DECLARATION"-' '- - - - -'- - ,I hereby affirm that I am exempt from the Contractor's License Law for SWIMMING POOL- ----P TRAP' HUL,iUN POLES METERED- - SUB the following -reason (Section 7031.5 Business and -Professions Code:- Any city or county which requires a permit to construct, alter, Improve,' demollsh,or repair -any structure; prior to its Issuance, also re- -WATER SERVICE - ALTERATION' - PANELS ' - MAIN -SUB- quires the ap411canl for such permit t0 file a signed statement that he GAS SERVICE - -OUTLETS _ ''SERV ICE'- - - - AMP - - is' licensed pursuant t0 the provisions of the Contractor's-LicenSe-Law- (Chapter 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS BTU OUTPUT ' - -- - - - - -- - Business and-Pro/essions Code) -or that he is exempt therefrom and -the s for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTI NS- - - r - ^- - - ---- - - - - - - w. ` applicant for a' permit subjects the applicant to a civil penalty ' n';"'fol more than live huntlretl dollars ($500). SOLAWTANK"' ^-^-' COLLECTORS -"° _ _ - - --- - -- - - -- - - - - - ju 1, as •owner bf the property, or m; -employees with wages'as their- sole compensation, will do -the work, and the structure is not intended or offered for sale. (Section 7044, Business and Professions Code: -The SOLAR PIPING SVS. - Q( - s' ISSUE FEE • - -'- -- - - - Contractor's Liaense,Law does apply to, an owner of a property _ _ _ ISSUE FEE - _ APPLICATION APPROVED BY - -- - ---ISATE -not. who builds or improves thereon, and who does such work himselfbr through his own employees, provided that such Improvements are not MECHANICAL PLAN CHECK _ SUMMARYiOF FEES_ intended or offered for sale. If, however, the building or Improvement is sold within One year- OC completion, the Owner will have the burden 'BUILDING , of proving he did not build or improve for the purpose of sale). - HEATING SYSTEM 0300,000 BTU - PERMIT $ - E SMIPng 0-1; as ownerof [he -property, am exclusively contracts with AND DUCTING .licensed contractors to construct the project (Section 7044, Business 100,000 + BTU I PLAN CHECK $ PERMIT - v and Prolessio ns -Code: -The Contractor's -License -Law does not apply.to- c -'_ISSUANCE $ an owner of properly who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU I PLUMBING $ 3 i tracts from such -projects with a contractor(s) licesned-pursuant to SYSTEM -GRADING ' Lt• the Contractor's License Law). 100,600 + BTU PLAN'CHECK '9 I - •I(� ❑'I am exempt under' Section -- - -8.'&-P. C. for I is' BOILERS BTU I ELECTRICAL $ -- - _ "' - $ ^ reason --- - - - '- _-MICROFILM•$ SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE '-- PLAN CHECK E - MECHANICAL - - - - - - - TOTAL' FEE $ -- Date Owner this application and state that his above )1 hormationcertify that have readagree hermal I ion is correct. I agree d comply with all city and county' - PLAN CHECK - $ - VASS NCE PC - ordinances and state laws r allpg to construction, and hereby authorize representatives of this y e r upo the above mention ¢d property forNp�ggcllo • aGz. / If �l ��q--a-7 h FINAL FEE $3 /s moo//// late ( ` 1 ISSUE FEE - - - Drivers' License or SS � -Accounting; Goldenrod -Assessor TL CONSTRUCTION AND PLANNINrA APPROVALS Permit # �T '. Date Inspector POOL &SPA �. APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. Soil-Pipe-Undrgrn _9D -09;L 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms - -- - 4. Electrical Conduit-Undrgrn 46.- Electrical Bonding - 5. Steel em orce _ 47. Rough Plumbing & Pressure Test - - - - - 6. Electrical UFER Grn - 48. APPROVAL TO COVER•GUNITE - 7. Footings . _ 49. Electrical Conduit-Undr rn 8. Foundation .. 50. Gas Pipe,. ❑ Undr rn Test ' 9. Water Pipe-Undrgrn ._ 51. Backwash Lines P -Trap.❑ Undrarn 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final . 12. Street Sewer Connection - 54. Heater & Vent -Final 13. Rough Plumbing - " 14. Rough Electric -Conduit - - -56. Electrical -Final 15. Rough Electric -Wiring 57. Solar System -Final ' 16. Rough Heating & Air Conditioning - encing & Access Approval 17. Ducts, in Structure _ APPROVED FOR PLASTERING ' -18. 19. 20. Ducts, Ventilating' Gas Pipe -Rough & Test Roof Framing - - _ 60. - POOL/SPA SYSTEMS FINAL - - 21. 22. Roof Sheathing Frame and Flashing NOTES: 23. Insulation - - 24. Lathing & Siding - - - -- - 25. Drywall Nailing - 26. Plaster Brown Coat - - 27. Electrical Power Meter -Final 28. Final Electric - 29. Final Heating & Air Conditioning 30. Final Gas Pipe -Test - - 31. Final Plumbing 32. Water -Service -Final 33. Gas Service -Final - - 34. Solar Domestic -Final ---- - - ' 35. Landscape Srinklin System 36. Sound Attenuation - - - -- _ 37. Handicap Regulations - - 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. i 42. CERTIFICATE OF OCCUPANCY No Date i • Applicant to till in all spaces within heavy border lines and sign all appropriate declar: CITY OF COSTA MESA PERMIT O. TRACT NO. LOT NO. I BLDG. CONSTRUCTION PERMIT O 8 f3 rrofecs ragmess CL (3 TYPE OF CONSTRUCTION ❑ NEW 0 ADD 0 ALTERATION CREPAIR OCONVERSION CDEMOLISH O OTHER 0606 ]/OI/�2 3Pje 45 - , - ZONING REGULATIONS TL' Owner Phone $ "Address 5yD 424n C QAt, 0 Arch/Eng. License No. �'�r AJ D � DESCRIPTION OF WORK P. � A.P. _ Address 3J �' ,�1 / ,TYPE OF PERMIT El -GRADING O FOUNDATION ❑STRUCTURAL-- yJ C TENANT Imo; ELECTRICAL CPLUMBING OMECHANICA ZONE PLNTGp. SBUILDING ETBACK 57. 51 YARD SIpE yq gRtE�FL. $ W ppleRTVNUNE ' Contractor D G d hf Pho^ S2° Address - - - LICENSED CONTRACTOR DECLARATION 9 J hereby affirm that I am licensed under provisions of Charter (Com- section7000) of 'Dlvislon 3 of the Business and , Y ❑ OTHER - RIGHT. mencdng with Professions Coda, ntl I license is In full for n fie REAR YARD (TO P/L) - PROJECT DESCRIPTION' license� 1150N - SO. FT. PKC. SPACE REQ. PROVIDED /C/Iai�s AZ- Data�yL Slgnat e n STREET WIDTH PARK FEE E 'WORKER9s 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 DATE certificate of Workers' Compensation Insurance, Or a Certified copy -- GRADING CU: YDS. ACRES SPECIAL CONDITIONS: thereof (Section 3800• Lab. C.). _ Policy No.—Company - - Certified copy is hereby furnished. -. REMARKS: 0 _ r Certified copy Is filed with the city Building Division. _ XEMPTION FROM WORKERS' COMPENSATION DECLARATION - - - - (This section need not be completedif the permit Is.for one hundred iE300) or less). . 1 certify that n the performance o1 the work. for which this permit is Issued, I shall not employ any person in any manner so as to become PLUMBING PLAN -CHECK ' ' ELECTRICAL PLAN CHECK - subject to the WorkersLCompensation Laws. o LCalifornla.- __ .. _ BATHTUBS SHOWERS Date Signature NOTICE: If after making this declaration, you should becom0'subjecl, ,TOILETS' ' Y. -1URINALS - GENERATOR 0-1 KW�1.10 KW - s; t0 the Workers' Compensation provisions o/ the Labor Code. you must _ TRANSFORMER - forthwith Comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS — APPLIANCE- - - 10:50 KW_: 50 + KW ' revoked. - . - 4 _ . - _ CONSTRUCTION LENDING AGENCY KIT. SINKS - DISHWASHERS MOTORS 0-1'HP_1-30 HP i "- I hereby affirm that there Is a construction lending agency for the per. SERVICE SINKS ': y', �,\„SUMPS -- - - (INC. SOLAR) 10.50"p.- -50. Hp - - lormance of the work for which this permit Is lis ued (Section 3097 FLOOR SINKS FLOOR DRAINS _ iFIXTURES OUTLETS SWITCHES - ,Civ."C.). - "- - — - - Lender's Name :Lender 's” Address _ DRINKING FOUNTAINS 1 )GAS TUBE SIG NSA --' - t OWNER BUILDER' DECLARATION - - • - INTERCEPTORS CLARIFIERS 'POLE LIGHTS " - I hereby affirm that I am exempt from the Contractor's License Law for -SWIMMING POOL P TRAP _ ""' '-' - POLES METERED - .SUB. .c the following reason (Section' 7031.5 BuSines -and-Professions Cotle: Any city or county which requires a permit to construct, alter, Improve, tlEmolish or repair any structure, prior to Its Issuance, also re. WATER SERVICE - ALTERATION - 'PANELS MAIN' ,SUB' quires the apFlicant for such permit to file a signed statement that he GAS SERVICE OUTLETS - •-- _ \. ti SERVICE - -' AMP " Is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the - WATER HEATERS BTU OUTPUT 6 usiness and Professions' Code)' or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by SEW ER'CONNECTIONS any applicant for a permit subjects the applicant to a civil penalty' bf not more than live hundred tlollarz (E500). SOLAR TANK COLLECTORS - 0 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. (Section 7044, Business and Profesflons Code: The SOLAR PIPING SYS. ISSUE FEE _ Contractor's License Luw.doei.not apply to an. Owner of a property. - - ISSUE FEE APPLICATION APPROVED BY --' "' DATE ' who builds or Improves thereon, and who does such work himself or through his own employees, provided lhat.such improvements.are not. MECHANICAL PLAN CHECK _ _ _ _ SUMMARY OF FEES Intended or offered for sale. If, however, the building or Improvement Is solo within one year of completion, the owner will have the burden of proving he did not build or Improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU 'BDILDING PERMIT $ T SHIP;. Cl 1, as Owner -of the- property, am exclusively contracting with AND DUCTING - _ zE _ licensed contractors to construct the project (Section 7044, Business 100,000 t BTU r : PLAN CHECK $ 'PERMIT and Professions Code; The Contractor's License Law tloes not apply to - - -- - - ISSUANCE $ - - an owner of property who builds or Improves thereon, and who can. REFRIGERATION 0-100,000 BTU r PLUMBING E - tracts -from such projects with a contractor(s) licesned pursuant to - SYSTEM - - GRADING $ the Contractor's License Law). 100,000+ BTU PLAN CHECK s$ , ❑ I am exempt under Section B. 8 P. C. for this BOILERS BTU ELECTRICAL $ � §' - 1 reason SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE •PLAN CHECK $ MECHANICAL § .. .MICROFILM $1 - TOTAL FEE.§' a - LESS AD - Date Owner I hereby certify that I have read this application and state that the above Information is correct. I agree to comply with all cit and count pY Y Y PLAN CHECK $ VANCEPC E_ ordinances antl stale laws toting l0 c nstrutlion, and M1ereby authorize ordinances representatives 1 his y to e r upon the above me Honed ' properly for Q tri urpos Signature CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNING GPOOL APPROVALS Permit 4# U� Date Inspector' & SPA .. ' APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. Soil ipe-Undrgrn 4 . Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrn _ 45. -Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. Steel ein orce 47. Rough Plumbing & Pressure Test 6. Electrical UFER_Grn 48. APPROVAL TO COVER GUNITE- 7. Footings 49. Electrical Conduit-Undr rn S. Foundation 50. Gas Pipe, ❑ Undr rn; Test • - 9. Water Pipe-Undrgrn _ 51. Backwash Lines P -Trap,❑ Undrarn '- ••-• 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final 12. Street Sewer Connection 54. Heater & Vent -Final 3. Rough Plumbing _ - 14. Rough Electric -Conduit - - 56. Electrical -Final '•( 15. Rough Electric -Wiring .17_ 2, ,� 57. Solar System -Final 16.-- Rough Heating & Air Conditioning 58. Fencing & Access Approval -.17. _ Ducts, in Structure _ -APPROVED FOR PLASTERING ' 18. 19. 20: Ducts, Ventilating Gas Pipe -Rough & Test Roof Framing _- .60. . POOL/SPA SYSTEMS FINAL - 21. 22. Roof Sheathing.. Frame and Flashing NOTES: 23. Insulation 24. Lathing & Siding _ - - 25. Drywall Nailing 26. Plaster Brown Coat .27._ -Electrical Power Meter•Final - 26. - Final Electric ?9. Final Heating & Air Conditioning A. Final Gas Pipe -Test 31. .Final Plumbing 32. Water Service -Final _ 33. Gas Service -Final 34. Solar Domestic -Final 35. Landscape Sprinkling System --- 1 36. Sound Attenuation - -- 37. Handicap Regulations - - -- ---- _ - 38. FINAL STRUCTURE& BUILDING _ - ---•�--- -- 39. Special Requirements Completed - 40. Electric Release to Edison i - 41. Gas Release to Southern California Gas Co. - 42._. CERTIFICATE OF OCCUPANCY ' • No. Date fill in all ��OF COSTA MESA P MI' CONSTRUCTION PERMIT Address ULlJ /V,Eu/hD�T VG Arch/Eng. r .d)/p G'OA4&% , License No. within heavy border lines and sign all appropriate declarations 47 TRACT NO. //01F/ LOT NO. BLDG. O. BATHTUBS TYPE OF CONSTRUCTION MECHANICAL W NEW ❑ ADD ❑ ALTERATION It &A6 ❑REPAIR ❑CONVERSION ❑DEMOLISH URINALS - DOUBLELAVS ❑ OTHER 0-1 KW_ 10-50 KW_50+KW_ DESCRIPTION OF WORK I! Contractor `i e.ls-c. Li /7a.0 Sf Phone( /-c/9'211 '-%- LICENSED CONTRACTOR DECLARATION 1 hereby affirm th6t I am Iitensetl under provisions of Charter 9 (com- mencing with section 7000) of Division 3 Of the Business and Professions Cotle nd my license Is In full force eUeCjL Lice a Cl.. Lice No D Date Signature - WORKERS' COMPENSATION DE A TION 1 hereby affirm that I have a certificate of consent to self -Insure or a Ccrtificiste of Workers' Compensation Insurance, or a certified -copy thereof (Section 3800, lab. C.). Policy No. Company ❑ Certified copy Is;hereby furnished. . - ❑ Certified copy is filed with the city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit is for one hundred 1E100) or less). 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 subjeto hh� W ors' Compensation Laws of Cal r ia. Date kJ Signature NOTICE: If after making this elect prOV anon ou zh uld become subject to the Workers' COmpensdti0p slops of the Labor Code, you must fort twit Wcomply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I herebv affirm that them -Is a construction.' lending -agency for.lhe per - basis for the alleged exemption. Any violation of Section 7031.5.by any applicant for 'a permit Subjects the applicant t0 a civil penalty of not more than five hundred dollars'(E500). ❑ I, as owner of the property, or my employees with wages as their sole compensatlon, will do the work, and the structure is not intended or offered for sale. (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of a property who builds or ImproveS thereon, and who does such work himself or through his own employees,. provided that such improvements are not intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the owner will have the burden of proving he did not build or improve for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who con. tracts from such projects with a-contractor(s) IlCesned -pursuant to the Contractor's License Law). ❑ 1 an; exempt under Section - B. 8 P. C. for this reason ' Date Owner 1 hereby Certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to Construction, and hereby authorize representatives of this City to enter upon the above men coned property fOH jnspeSit r oses. _ - , J _ ' Signal are ChsC.lA,6- � , Pink -Accounting; Goldenrod -Assessor ISSUE FEE APPLICATION APPROVED BY -360.15 TL. SUMMARY OF FEES BUILDING S PERMIT E SMTP E PLAN CHECK E PERMIT - ISSUANCE E PLUMBING E _ GRADING_ E PLAN CHECK S ELECTRICAL E - E MICROFILM E PLAN CHECK $ TOTAL FEE E ' MECHANICAL E PLAN CHECK E LESS AD. VANCEPC v�////����//ww� pa � Z�/ FINAL FEE EvJVG/ o` Applicant to fill In all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PF,g TRACT NO. - LOT NO. BL G� . i CONSTRUCTION PERMIT -1T-ryp� �� R �{ 6 L/ TYPE OF CONSTRUCTION NEW ❑ ADD ❑ ALTERATION .❑ REPAIR ❑ CONVERSION ❑DEMOLISH ❑OTHER ' - - - , 0406 6/3.0/82 360.15 - ZONING REGULATIONS Project Address GAF - Owner Phon Address 3 OL/> N j45.PT �/ /V, Arch/Eng. License No. DESCRIPTION OF WORK Cfi f TYPE OF PERMIT A P _ ZONE PLNG. REF. qp SETBACK�Q �.kIkGl,fyG Address (3A(��� � B Contracfor �j'T Pho 3� Q. Address („Q 1� v ❑GRADING ❑ FOUNDATION STRUCTURAL - ❑ TENANT ❑ ELECTRICAL ❑PLUMBING ❑MECHANIC ,51 YARD / I E V LICENSED CONTRACTOR DECLARATION I licensed 9 1 hereby affirm that am under provisions of Charter (com- /`1-1 RIGHT Mancini, with section 7000) of Division 3 of the Business and Professions Codi, antl my license is In full for elf ct. �� OTHER - .,. ,t,Jp—ROJECT D C IPTIO ���. 4 n REAR YARD (TO P/L� Llcenje Cijsj Licens o \V" py+i. G/� F Imo' PKG. SPACE REO. PROV(OE 1_15 ate,(O Signature Q I SO. I' `/ _ STREET WIDTH PARK FEE E DE CV G9 �TR VCTION TYPE �++ WORKERS' COMPENSATION R ON I hereby affirm that I have a certificate of consent to self -Insure or a Certificate Of Workers' Compensation Insurance, or a certified copy C(B�CCI "IyALUATI. ZONE I� ZONING APPROVED D thereof (Section 3800, Lab. C.). 1 GRADING CU. YDS. ACRES _ SPECIAL' CONDITIONS - Icy No. Company -edified Copy is hereby furnished.REMARKS:01111A (/ // EOR MCIAL REQUIREMENTS Certified copy Is filed with the city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION This section need not be completed if the permit is for one hundred `L7 Tr ($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 PLUMBING PLAN CjIlECK ELECTRICAL PLAN CHECK Subje t to the W ers' Com pensat Lawz trice hif�nsia.� BATHTUBS SHOWERS' �_1nL Date Sign alure /�^v`s�"-`-^"'w� J NOTICE: If after making this decla tlo ou Strobel become subject TOILETS URINALS -GENERATOR 0.1 KW__ 1-10 KW , to the Workers' Compensation provisions of the Labor Code, you must TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS APPLIANCE 10-50 KW-50+KW revoked. CONSTRUCTION LENDING AGENCY - - KIT. SINKS DISHWASHERS MOTORS 0-1 HP -1-10 HP I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS s c" - (INC. SOLAR) 10-50 HP 50 + HP formance'of the work for which this per is u�gdp (Section 3097, {y�rhist Civ. C.). (• r sFLOOR SINKS 'FLOOR DRAINS,-. s FIXTURES OUTLETS SWITCHES 1--+c�^iM� Lender's Nd mO - Lender's Address DRINKING FOUNTAINS I 'GAS TUBE SIGNS - INTERCEPTORS CLARIFIERS - POLE LIGHTS - OWNER BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for POOL P TRAP - the following reason (Section 7031.5 Business and Professions Code:SWIMMING Any city or county which reeulres a permit to construct, alter, POLES METERED SUB WATER SERVICE '- 'ALTERATION PANELS MAIN SUB Improve, demolish or repair any structure, prior to its Issuance, also re- quires the ap, licant for Such permit to file a signed Statement that he GAS SERVICE OUTLETS SERV ICE AMP Is licensed pursuant to the provisions of the Contractor's License Law /Chapter 9 (commencing with Section 7000) of Division 3 of th0 WATER HEATERS BTU OUTPUT - Business and Pro/essions Code) or that he is exempt therefrom and the 'Is for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS applicant for a permit subjects the applicant to-a.clvil penalty ,of more than five hundred d011art ($500). SOLAR TANK COLLECTORS - - - u 1, as -owner of the property, or my employees with wages as their Compensation. sole opensation, will do the work, antl the structure Is not Intended or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SVS. - ISSUE FEE - Contractor's License Law does not apply to an owner of a property who builds or Improves thereon, and who tloei such work himself or ISSUE FEE APPLICATION APPROVED BY DATE L through his own employees, Provided that such Improvements are not MECHANICAL PLAN CHECK SUMMARY OF FEES - Intended or offered for sale. If, however, the bullding or Improvement Is sold within one year Of completion, the Owner will have the burden BUILDING a of proving no tlld not build or Improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU !PERMIT S SMIP $ LCL ❑ 1, as owner of the properly, am exclusively contracting with AND DUCTING - licensed contractors to Construct the project (Section 7044, Business 100,000 +BTU PLAN CHECK S PERMIT and Professions Code: The Contractor's License Law does not apply to , . ISSUANCE $ an owner of properly who builds or Improves thereon, and who con. REFRIGERATION 0-100,000 BTU 'PLUMBING E tracts from such projects with a contractor(s) Jicesned pursuant t0 SYSTEM - GRADING $ the Contractor's License Law). 100,000 +BTU -_ PLAN CHECK $ ❑ 1 am exempt under Section B. 6 P. C. for this BOILERS BTU$ ELECTRICAL $ ' reason,- SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE PLAN CHECK $ MECHANICAL $ 'MICROFILM $ TOTAL FEE $ LESS Date Owner I hereby certify that I have read this application and state that the above Information is t0 Comply with all city county PLAN CHECK. $ E P VANCE PC $ relating to construction, and hereby authorise tate la relating y a and state - representatives his representatives 01 this city to enter upon the above- mentioned property for ns tonr��os�es�. - - - /y ,s Signature `�---�/'� Dale V4 �7' FINAL FEE $ Drivers' L' - ISSUE FEE ' ,�� CMF 0865--16 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor T LI IV I L CONSTRUCTION AND PLANNING APPROVALS Permit# .: 'v Date Inspector POOL & SPA - Date - - Inspector .. APPROVALS Permit* 1. _ Temporary Electrical Service or Pole _ 43.. Pool &Equipment Location. - - :•_-- 2..SoilPipe-Undrgrn.- "- _ _ _ 44. Steel Reinforcement 3: -Electrical Conduit Uti l ity-Undrgrn _ _ - 45. Forms -- -4. Electrical. Conduit- Undrgrn _ - 46. Electrical Bonding - tee , . em orce -- _ 47. Rough Plumbing & Pressure Test '- : _ - - `•- - -'- 6._Electrical_UFERGrn. ._..;-. 48. APPROVALTOCOVER-GUNITE.- - - -- - _7..__ Footings . cl C k 49. Electrical Conduit-Undr rn - 8. -Foundation - 50aGas Pipe, ❑Undr m, Test. -9. -Water Pipe-Undrgrn-- - - - ' T < -.-.-57.- Ba kwa h. Lines P-Tra ❑ ndr rn 10. Structural Floor System _ 52:', APPROVAL -TO DECK ,-. 11. Property Sewer Line. &.House -Connection 53: � Backwash & Rec tor-Finbl' 1.2-.-- Street Sewer Connection _ _ - - _ - - 54. Heater & Verit-Final ' -13. Roughk13Wrilbi i VJA J J:1:lt::.,t.!'1... )Ji , - - r - - - - 14. Rough Electric -Conduit 56.. Electrical -Final 15. Rough Electric -Wiring _ ' - ' ' -' 57.- -Solar System -Final 16. RougWHeating & Air Conditioning 5H. - Fencing & Access Approval ' 17. Ducts, in Structure - - .- APPROVED FOR PLASTERING' -- - 18. Ducts, Ventilating- - - - - - - - - - - • - - .60. POOL/SPASYSTEMSFINAL , ''•4 - 19: GasPipe- Rough&Test - - - • 20. Roof'Framing - - - - - 21: Roof Sheathingc-29- NOTES: 22. Frame and Flashing - Z_ f� 23. Insulation - - - '/_ - - - - ' 24. --Lathing &-Siding- - - - - - - [ - -- - - - - - -- - - - 25. -Drywall Nailing- - - - - •-2E,- 3 - - 26. Plaster Brown Coat - - - - - - - - - - - - - - 27. -Electrical Power -Meter -Final - - - - -- - -- - ' 28. - FinalElectric--- - - - - - - - - - - 29: Final Heating & Air Conditioning- - - - -- - - - - - - - 30: Final Gas Pipe -Test - - - - - - - • - 31. Final Plumbing- - - - - - - 32. Water Service -Final - - - - - - - - - - - - - - - 33. Gas Service-Final- ervice-Final34. 34. Solar Domestic -Final ' 35. Landsca to Sprinkling System - - 36. Sound A tenuation 37. Handicap Regulations - - ' 38. FINAL STRUCTURE & BUILDING -T-.N 39. ' 39. Special Requirements Completed S- - - - - 40. Electric Release to Edison - - 41. Gas Release to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY No ._ - Date _- _ Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLQGN . ' CONSTRUCTION PERMIT S� l�Q7Q TVfP2 F CONSTRUCTION NEW ❑ AOD ❑ ALTERATION -OREPAIR ❑ CONVERSION, ❑DEMOLISH - Project Address L '� Owner / PM100 Addresa - �/ 7U j OTHER - DESCRIPTION OF WORK _ TYPE OF PERMIT -BUILDINGTop 0GRADING ❑ FOUNDATION ❑STRUCTURAL- - ❑ TENANT ❑ ELECTRICAL OPLUMBING MECHANIC , ZONING REGULATIONS A.P. ZONE PLNG. REF. 9F ' ggll1Jl�p I G SET IO YC D VROPERT�LINE SIEpE Y - - Arch/Eng.' Lice No. Address Contra.[ f- . n — -" Phdne% ,3 Address I LICENSED CONTRACTOR DECLARATION I M1ereby affirm that I am licensed antler provl51on5 of Charter 9 (Cpm- section 7000) Division 3 the Business ❑ OTHER RIGHT mencing with Of of antl Professions Cotle, d my license is Infull formqe REAR YARD (TO P/L) pan�tlJ�se/OfeyCg L'� PROJECT DESCRIPTION _ License las LicenseN� v SQ. FT- •- _ OCCUPANCY_ CONST R UCTI ON TYPE PKC. SPACE REO. STREET WIDTH- - ZONING APPROVED BY PROVIDED ' PARK FEE E - DATE - Dat - Signature E S' COMPENSATION N DE Late I haw A of c I hereby affirm that I have d certificate of consent to self -insure or'a I h VALUATION—ZONE certificate O/ Workers' Combensation InS nce, or -a ce li/ietl copySPECIAL _ - CONDITIONS: ,�.reof (Se n 3800, Lab. C.. L�7ns� /j O'7L'J�..mpany/iii- GRADING CU. YDS. ACRES yNO. L,�' .ertified copy Is hereby furnished. - - - - -- -. REMAR KS: y[,�I Certified copy is filed with the city Building Division. 'EJC EMPTION FROM WORKERS' COMPENSATION DECLARATION - - {This section need not be completed if the permit Is for one.hundretl or lessi. }$1001 _- cert fy that n the performence.of the work for -which this Permit is _ issuetl, I shall not employ any person In any manger so as to become PLUMBING ) PLAN CHECK ' - -- -' ELECTRICAL - PLAN CHECK ' subject to ha Workers Compensatir nla. _ BATHTUBS SHOWERSqQ FT cQ FT _ - Date Slgnat are NOTI If after making lhiE dee aiation, you shcill become subject TOILETS URINALS - "GENERATOR 0-1 KW_1-]0 KW ' to the Workers' Compensation, provisions of the Labor Code, you must TRANSFORMER p, forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE L -AVS" APPLIANCE 10-50 KW_50 + KW revoked. - - I — - _ KIT. SINKS` 'DISHWASHERS __ MOTORS - 0-1 HP1-10 HP - - CONSTRUCTION LENDING CONSAG $NCV C I hereby affirm that there Is a construction lending agency for the per. SERVICE SINKS SUMPS - "' - (INC. SOLAR) -10-50 HP_ 50 + HP H of the wgrk for Pel�y< is issuetl (Section 3097 FLOOR SINKS' FLOORDRAINS' - FIXTURES -"OUTLETS' SWITCHES -- Civ�n)ce GL Lender's Name .f.Ki�i_-f-/-✓-' Lender's Atltlrers''y - -d 'a - - la' 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 Cho toll owing reason (Section 7031.5-Susiness and Professions Code:' 'PTRAP ` -SUB Any city or county which requires a permit to construct, alter, SWIMMING POOL POLES METERED - - WATER SERVICE ALTERATION" ' '" ' PANELS MAIN - SUB - Imp rove, demolish or repair any structure, prior to its Issuance, also re- qulres the applicant for Such permit to file a signed statement that he GAS SERVICE OUTLETS - SERVICE -' • AMP - is licensed pursuant to the provisions of the Contractor's License Caw Chapler 9 (commencing with Section 7000) of Division 3 o1 the WATER HEATERS - -BTU OUTPUT- ,,•I ness and Professions Coot) or that he Is exempt therefrom and the ` for the alleged exemption- Any violation of Section 7031.5 by•'"'-'•'- ;y.-3pplitant for a Permit subjects the applicant -to a civil penalty SEWER CONNECTIONS- .Ot more than five hundred dollars ($500)6 .❑ SOLAR TANK COLLECTORS' - - - - - - -- - - '- I, as owner of the property, or my employees with wages ds'thelr sola compensation, 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 - - - APPROVED - who builds or Improves thereon, and who does such work himself or ISSUE FEE I APPLICATION BY - through his own employees, provided tha LauCn Improvements are not _ _ fCATE�O Intenoed 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 theburtlen - of proving he did not build or improve for the purpose Of Sale). HEATING SYSTEM 0-100,000 BTU -_ BUILDING PERMIT f SMIP E - ❑ I, -as owner of the property, am exclusively contracting with HND DUCTING _ =- -- - licensed contractors to construct the project (Section 7044, Business 100,000+BTU PLANCHECK f PERMIT and ProfessionsCode: The Contractor's License Law does not apply to ISSUANCE 'S - an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ tracts from Such projects with 'a contractor(s) Ilcesned pursuant to SYSTEM - - �- _ GRADING $ the Contractor's License Law), 100,000+BTU_ PLAN CHECK E - ❑ I am exempt under Section B. -S P. C. for this BOILERS BTU ELECTRICAL '$ - - - $ reason '- "" - - SYSTEM REPAIR, ALTERATION E HAVST SYSTEM MULTIPLE PLAN CHECK- E -- OU MECHANICAL S Z- MICROFILM $ TOTAL FEE $ - LESS AD - - Dat e Owner - - - - I hereby certify that I have read this, application and state that the above information is correct. 1 agree to comply with all city and county -PLAN CHECK $ - - -VANCE PC $ ordinances and state laws relating to construction, and hereby authorize representatives Of�ci 0 en r upon the above an ned en r upon the above ant ned - - - ' - .O Off• property or insp n ores _ _ FINAL FEE E / Slgnatur _ U ISSUE FEE' - - - - , _ Drivers' License or CMF CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor 7 - CONSTRUCTION AND PLANNING APPROVALS • Permit # Date _ - --r-�POOL & SPA -:Inspector - - = '- APPROVALS . ; .` Permit # - i--_,•• - - - -Date. �.:_, 1- t+ Inspector. , 1. _ _Temporary Electrical Service or Pole43. Pool &.Equipment Location'==• - - - S- �• ;-- C - `-• � i .ipe- n rgrn'•-�' �, �� - � - _ _ Steel Reinforcement '•- -Electrical Conduit Utility-Undrgrn _ _ _ _ _ _ _ _ 45.-.,- Forms - -- - - - - i_.A., Electrical-Conduit-Undrgrn-_.- _ _ _ _ 46. Electrical Bonding - ' ' Steel em orce - 47. Rou Fi'Plumbin & Pressure Test -� `'_•`` !t •'C. �3 -6.__ ElectricalUFERGrn 48. APPROVAL TO COVER-GUNITEtl's- -NA-' :--N!S--<• •-_.:';ir; 7._ ootings _ _ _ _ - - 49.' Electrical •Undr rn' _Conduit - .8. -Foundation- _ 50., Gas Pie ❑Undr rn,Test - .. -9._ _Water Pipe-Undrgrn _ _ 51. ackwash ines - ra "� � - - - i-= - • ' " 10.._ -Structural Floor.System �. 52. •APPROVALTO DECK - ;.11.. Property Sewer_Line.&, House Connection_ .._ 53. . Backwash & Receptor -Final, - - �. 12. ..-Street Sewer Connection_._ - ' - �- 54. _ Heater'& Vent -Final' 03.__Rough.Plumbing - - _ -__. ,•c-. , ' 14. Rough Electric -Conduit -- - - - - - - - -56.- -Electrical-Final ° �•.• 15. Rough Electric -Wiring - - - - - _ -- 57r -Solar System -Final "' '"-"- -• -• '' - `"• 16: -Rough Heating& Air Conditioning - - - -- - - _ - _ -encing & Access Approval r,•�'• 17.'- Ducts - in Structure - �J7' APPROVED FOR PLASTERING - 48.i- Ducts, Ventilating- - •- _ _ - - 19.; Gas Pipe -Rough & Test - 20.1- Roof Framing- - - - - _ - ` _ _ -- _ 60. "4 POOL/SPA SYSTEMS FINAL- _ •� `•� o 21.1 Roof Sheathin _ -- - - r 22.; Frame and-Flashin- - - "NOTES - - ,. urs i •�� • . . •-23.Insulation- .,, • 9 - ��. _L L._ .\�' .. 1-24.•_Lathing &Siding i - -- - - �. ' 25.. Drywall Nailing-- _ - _ - - •'_ _ .. - -"" -.,, 126.:• -Plaster Brown Coat - - - ----'"- -- _-- -- _ _ T "• . - - -• . 27: Electrical -Power Meter -Final= " "" I • �.�` ', ' F 28.1 Final -Electric - - - -- -_ - -- •,:, 29.4-Final-Heating.8re• -yJ - - -- - -d �.i. _ .. -30.1- -Final Gas Pipe-Test- ipe-Test-1-31.; 1- 31.'- Final -Plumbing i.N32:4-Water�Service-Final --33 • .Gas Service -Final. - - _ - 34. Solar Domestic -Final"• •- -- t 35. Landscape Sprinkling System ' 36. Sound Attenuation •^ "' - ' ! 37. Handicap Regulations - ' - -• 38. FINAL STRUCTURE & BUILDING ' 39. Special Requirements Completed I 40. . Electric Release to Edison:-, I'" - -"-- --- - ' 41. Gas Reiease.to Southern California Gas Co: -- - 42.,�ERTIFICATE OF OCCUPANCY No -I-:, Date 1{_ _ f _+_*��-�� \`:.\ i�\ _ Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PE RMI O LOT NO: BLDG NO, -i `+i,-� ,i,f,i(.• •, ���I; CONSTRUCTION PERMIT =ACTe/ , 5 ,,T���Y///PE OF CONSTRUCTION ¢FNEW ❑ ADD ❑ ALTERATION' /❑ REPAIR '❑'.CONVERSION ❑DEMOLISH. Protect Address �G — Owner Phone Address ❑ OTHER ZONING REGULATIONS Arch/Eng. License No. DESCRIPTION OF WORK - . A.P. - . ' ZONE PLN'rGp. RtE�FII.. Address _ Contractor (f �. hone 7 2-LY•PEOFPERMIT - "- ` - - ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL ❑ TENANT C3ELECTRICAL ❑PLUMBING ECHANICA pp•p SE AC L T. PROBP EIiiTVNU Nc - - I YARD .• 5I E V .. . Address -7 G e— G LICENSED CONTRACTOR DECLARATION - I hereby affirm that I am licensed under provisions of Charter 9 (conn. 3 ❑OTHER RIGHT men cing with section ]000) of Division Of the Business . and Is In full force REAR YARD (TO-P/L) la,I sslons Cod antl my license and effect PROJECT DESCRIPTION License Class L.0 IS Vp. -, _ ._. - PKG.SPACEREO. PROVIDED " " SO. FT. - Dat' �.1signature _ - STREET WIDTH --PARK FEE $ WORKERS'COMPENSATION DECLARATION OCCUPANCY_ CONSTRUCTION TYPE 'ZONING APPROVED BY DATE I hereby affirm that I have a certificate of consent to self -insure or a VALUATION ZONE SPECIAL: CONDITIONS: - Certificate of Workers' Compensation Insurance, or a.Certified copy thereof (Section 3800, Lab. C.). - GRADING CU. YDS. ACRES cy No. - Company- ;ertified copy is hereby furnished. _. REMARKS: .L Certified copy Is)filed with the city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the Permit is for one hundred or less). '• ` �- - S$100) certify that In the performance of the wor f r which this permit is - -issuetl, I shall not employ any'persoI in a ann s orae PLUMBINGi-PLAN CHECK -' ,ELECTRICAL' PLAN CHECK subject to the -W Compensation• _' BATH S -'SHOWERS - qQ FT- /W -- Slgnature - _Date N ICE: If after making this declar tion, you shoed become subject TOILETS . URINALS - - GENERATOR - - 0:1' KW= 1-10•KW to the Workers' Compensation provisions of the Lab Ode, you must _ - _ TRANSFORMER - ,forthwllh comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE'LAVS - - - APPLIANCE- -10-50-KW-50 ; KW---- revOketl. r fCONSTRUCTION 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- formance of the work for which this permit is issued (Section 3097 SERVICE SINKS -. v ., SUMPS • -- (INC. SOLAR) 10-50 HP_� 50 +.HP - CIV. C.); - . - I - - Lender's Name 'FLOOR SINKS FLOOR DRAINS - FIXTURES 'OUTL'ETS ---SWITCHES - - ,Lender's Address DRINKING FOUNTAINS" -'�•" ' - 'GAS TUBE SIGNS - — - - - - OWNERBUILDER DECLARATION - - - - •' INTERCEPTORS' - `CLARIFIERS - - - POLE LIGHTS '-- - - - - - - I hereb affirm that 1 am exempt from the Contractor's License Law for SWIMMING POOL- P -TRAP - - _- - POLES METERED- SUB - the following reason (Section 7031.5 Business and Professions Cotler• Any city or county which requires a permit to construct, alter, Any WATER SERVICE 'ALTERATION a PANELS �"'- -MAIN •- SUB •SERVICE demolish or repair -any structure, prior to its Issuance, also re- quires the ap,.licanl for such permit to file a signed statement that he GASSERVICE _-' _" OUTLETS" - - - AMP-- Is licensed pursuant to the -provisions of the -Contractor's License Law ((Chapter 9 (commencing with Sectlon 7000) of Division 3 of the WATER HEATERS ' '-BTU OUTPUT' - _ - Business and -Professions Code) or that he is exempt therefrom and the 'S for the alleged exemption. Any violation of Section 7031.5 by SEWERCONNECTIONS applicant for a Per mil subjects the applicant to civil -penalty .01 more than five hundred dollars ($500). ' SOLAR TANK COLLECTORS - - ' ' • - --- • ' - -' U 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 off.,a, for sa lo., (Section 7044, Business and Professions Code: The SOLAR PIPING SYS! •-' - -' = ISSUE FEE - Contractor's License Law does not apply to an owner of a property who builds or Improves thereon, and who does such work himself or ISSUE FEE - - - - APPLICATION APPROVED BY DAT L r 21 e througgh his own employees, provided that such improvements are not _ _ _ MECHANICAL PLAN CHECK _ _ SUMMARY OF FEES Intentlad or offered for sale. If, however, the building or Improvement Is sold within one year of completion, the owner will have the burden ,f of proving he did not build or Improve for the purpose of sale): HEATING SYSTEM 0-100,000 BTU BUILDING - E SMTP El 1, as. owner of the property, am exclusively Contracting with AND DUCTING •' -' ' O ' - ' - - _ti - -' - - 'PLAN licensed contractors to construct the project (Section 7044, Business 100,000 + BTU ' PLAN CHECK $ PERMIT +•, and.Profe;sions Code: The Contractor's License Law does not apply to • ISSUANCE E an owner of property who builds or Improves thereon, and who con. REFRIGERATION 0-100,000 BTU PLUMBING f ���GRADING_ tracts from such projects with a contractors) IicesnOd pursuant to SYSTEM - - - $ _ the Contractor's License Law). 100,000 + BTU PLAN CHECK $ _ _ - ❑'I amexemptunder Section - B. &•P. C. for this BOILERS BTU ELECTRICAL $ $ , reason- - - SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE CH ECK -$ - MICROFILM $- - _ Q rTOTAL FEE$ MECHANICAL $ - - - EESS'AD- Data Owner I hereby certify that 1 ave read this application antl state that the above Informallon Is torr t' gree to comply with all city and -county PLAN CHECK E VANCEPC E___' ordinances antl sta la r tat" o co tr cti authorize re as Od he dbOve mentioned - property for ipe Slgnature Date /O - - I� ISSUE FEE h. _ .. _ - FINAL FEE SSS✓✓✓ /3•00 Drivers' License CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; T. L - CONSTRUCTION AND PLANNING�•� � I Date Inspector APPROVALS Permit + ; J% -, _ , POOL & SPA -#` ' - Date _ Inspectors APPROVALS Permit-+' 4 ermit 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - 2. Soil Pipe-Undrgrn 44. Steel Reinforcement - - Electrical Conduit Utiity-Undrgrn. 45.. Forms - - 4. Electrical Conduit•Undrgrn 46.. Electrical Bonding5. Steel Heintorce _ 47. Rough Plumbiri' & Pressure Test -• -- • - ' • - -- 6. Electrical UF ER Grn 48. APPROVAL TO COVER-GUNITE- - - - - 7, Footings - 49. Electrical Conduit-Undr rn .8. - Foundation 50. Gas Pipe, ❑ Undr rn Test 9. Water Pipe-Undrgrn . 51 Backwash Lines P•Tra" - - r'- 10. Structural Floor System 52. APPROVAL TO DECR-- - -' 11. Property Sewer Line & House Connection . 53.. Backwash& Receptor -Final 12. Street Sewer Connection - 54. Heater & Vent -Final ' ',. 13. Rough Plumbing _ Plumbing System - Final_ 14. Rough Electric -Conduit "-" ' _,& -'56. Electrical -Final 15. Rough Electric-Wirin- - - •' - - 57. Soler'System•Final ' 16. Rough Heating &-Air Conditioning btl. Fencing & Access Approval 17. Ducti in Structure - 59. APPROVED FOR PLASTERING , -.•._i ' -18. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test Roof Framing 60. POOL/SPA SYSTEMS FINAL J - 21. 22. Roof Sheathing- - - - - - - Frame and FlashingT - - - • - - - NOTES: 23. Insulation- - 24. Lathing & Siding 25. Drywall Nailing 26. Plaster Brown Coat --27. Electrical Power Meter -Final-- - -- 28. - Final Electric 29.- Final Heating & Air Conditioning- -- - - - • ' - �• - 30. Final Gas Pipe -Test 31. Final Plumbing-. - - - -- - - - - U • �- 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 ' 39. Special Requirements Completed 40. Electric Release to Edison - - - --- - -- ' 41. Gas Release to Southern California Gas Co. _ •' - - 42. -, • CERTIFICATE OF OCCUPANCY No Date M M T Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA RMIT NO. TRACT NO. LOT NO. BLDG. NO. PERMIT - 7 l i� i t .CONSTRUCTION TYPE CONSTRUCTION a, :N - "- " - 0379 6/30/82 31.00 Project Address '�4 �t7 C( Q - Owner 0. p Phone EW ❑ADD ALTERATION El REPAIR ❑ CONVERSION ❑DEMOLISH ' <- •,. `� ❑OTHER. - - - ZONING REGULATIONS Address * - - - - - Arch/Eng. License No. DESCRIPTION OF WORK -' - "' _ - - _ A.P. 9Y, - ,ZONE PLNG. REF. -41 Address - 1 - Contractor (/dart$ I.L; - - Phone TYPE OF PERMIT - -- SETBACK C/L T. - ❑-G RAGING ,t.,-FpUNDATION STRUCTURAL IDF YARD ❑ TENANT ❑ ELECTRICAL 011CUMBING OMECHANICA Tp g'/IL INC PROPERTY LINE Address - 3. - bApoo - `�1 - '" LICENSED CONTRACTOR DECLARATION - _ 'I that I Charter 9 hereby affirm am licensed under provisions Of (COT- meneing 'with' section 7000) of Division 3 of -the- Business -and 1] OTHER- RIGHT- Professions Code, 'any license Is In full force d ect., dZ REAR YARD (TO P/L) a � �(��Xe [// PROJECT,DESCRIPTION _ � ense Class ✓� �e/ns� oc� _ .PKC. SPACE REO. PROVIDED - .,car /0�2� _Q ` SO. FT. Date Signature OCCUPANCY—CONSTRUCTION TYPE STREET WIDTH -APPROVED FEE$ -, WORKERS' COMPENSATION DECLARATION - •. it hereby affirm that 1 have a certificate of consent to self -Insure or a. VALUATION ZONE 'ZONING BY -PARK DATE certificate of Workers' Compensation •Insur nce or certif O" -copy ,thereof (Sect' 3nnnnnn000... . C.). /` J GRADING Cu.YOS. ACRES SPECIAL CONDITIONS: ^y No. Company JrP �ertlfletl _. .- �' cse lifted copy is hereby -furnished. - .� _ _ _ REMARKS: j .. .. copy is tiled with the city Building Division. - EXEMPTION FROM WORKERS' COMPENSATION DECLARATION'- (This-sectionneed not.be completed if -the permit ,is.for one hundred ($100) or less). PLUMBING - 'i PLAN CHECK ' - - - - _ -'!ELECTRICAL - PLAN CHECK - - I certtfy.that in.the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. __ - _ _ _ BATHTUBS- Z - SHOWERS �' - ^�- FT - - Date Signature NOTICE: If after making this declaration, you should become subject TOILETS, '1 URINALS rGENERATOR 0-1 KW_1-30'KW - to the Workers' Compensation provisions of the Labor Code, you must - ITRANSFORMER ' - forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS" "APPLIANCE 10-50-KW_50-+ KW revoked __- I b __ CONSTRUCTION LENDING AGENCY _ KIT. SINKS- 'DISHWASHER$ MOTORS -- -- 0-1 HP -1-10 HP ' I hereby affirm that there is a Construction lending agency for the per -SERVICE SINKS SUMPS' '- -- (INC. SOLAR) - --10-50 HP� 50 + HP - - formance of the work for which this permit is Issued (Section 3097 FLOOR SINKS FLOOR DRAINS - FIXTURES" OUTLETS '-SWITCHES -' Civ. C.). " - "' - ' - ,Lender's Name Lender's Address T DRINKING FOUNTAINS GASTUBE' SIGNS-" INTERCEPTORS CLARIFIERS' "(POLE LIGHTS - "- ' _-- • - OWNER'BUILDER DECLARATION - - I hereby affirm that I am exempt from the Contractor's License law for SWIMMING POOL'^- PTRAP ^- ^' -IUN - the following' reason (Section 7031.5 Business. and- Professions Code: Any city or county which requires a permit to construct, alter, POLES METERED SUB - SERVICE tALTERATION-- - - - -, - - I -' - PANELS 'MAW _ SUB ' Improve, demolish Or repair -any structure; prior to its issuance, also re -WATER quires the ap:llcant for such permit to file a signed statement that he GAS SERVICE OUTLETS -- SERVICE'"" '-- ""' - AMP -- Is -licensed pursuant to the provISions'of the Contractor's`Llcense law (Chapter 9 (commencing with Section 7000) of division 3 of the WATER HEATERS' -'BTU OUTPUT-' Bustness'and Professions Code) or that he is exempt therefrom and the for the alleged exemption. Any violation of Section 7031.5 by - SEWER CONNECTIONS,of applicant for a permit- subjects the applicant to a Civil penalty- more than five hundred dollars ($500). SOLAR TANK -COLLECTORS- LJ 1, as owner of the property, or my employees with wages as their sole compensation_ will do the work, and the structure is,not intendetl_ ` or offered for sale. (Section 7044, Business and Professions Code: The � SOLAR PIPING SYS. &V6l5; t- -FEE '+ ''ISSUE - '- Contractor's. License Law does not apply to an owner_of a property_t ISSUE FEE :APPLICATION -APPROVED ED BN - -- - DATE - who builds or improves thereon, and who does such work himself or through his Own employees, provided -that Such -improvements are not MECHANICAL PLAN CHECK SUMMARY OF FEES r Intended or offered for sale. If, however, the building or improvement have the burden_ Is sold within one year of completion,. the owner will - I "BUILOING' -- --- - _ r Fi -- --- -- - of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU _ PERMIT $ ❑ as owner of the property, contractingwith eectu(Secti qND DUCTING - - - '• - - -- - - __ _ I �. n7044, Business n contractors to construct the project (Section p 100,000 +BTU PLAN CHECK $ PERMIT PERMIT es not and Professions Code: The Contractor's License Law does not apply to - ISSUANCE $ a owner of properly who builds or improves [hereon, and who ton- REFRIGERATION 0-100,000 BTU (PLUMBING E IN tracts from such with a contralto Hs) Iicesnetl-pursuant to tracts 'SYSTEM -- - - - - - -GRADING E License L the Contractor's License Law). 100,000 +BTU PLAN CHECK 'E ❑ I am exempt under Section '-B. & P. C. for"thisBOILERS BTU ELECTRICAL E $ reason - - - SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE ,PLAN CHECK$' '- - MECHANICAL+�,+ $ - MICROFILr, $ t TOTAL FEE $� LESS AD-' Date Owner Ihereby certify that 1 have read this application and state that the above Information is correct. I agree to comply with all city and county PLAN CHECK $ ' VANCE PC - ordinances and state laws relati 9 et onstr uction, and hereby authorize representatives of this city o er on the above mentioned property for ins p ppj�� - 'o_!:�� — Slgnalure Pink -Accounting; Goldenrod -Assessor TL CONSTRUCTION AND PLANNINGP-- APPROVALS - Permit # + 0,% Date POOL & SPA Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - •2. Soil P ipe-Undrgrn-,%J•g2 44. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical,Conduit-Undrgrn _ _ 46. Electrical Bonding- - 5. Steel ein orce . _ 47. Rough Plumbing & Pressure Test 6. Electrical LIFER Grn _ 48. APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undr rn B. Foundation _ _ 50. , Gas Pipe, ❑ Undr rn; Test - 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap.❑ Undrqrn- 10. Structural Floor System 52. APPROVAL TO DECK . 11. Property Sewer, Line & House Connection' 53. Backwash & Receptor -Final - 12. Street Sewer Connection - 54. Heater & Vent -Final - 13. Rough Plumbing _ _ /-,Z -&Z t55.' Plumbona System - Final 14. Rough Electric -Conduit -- - ••56. - Electrical -Final - 15. Rough Electric -Wiring -- - -- 57. Solar System -Final " 16. Rough Heating & Air Conditioning - encing & Access Approval 17. Ducts in Structure T9. APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test RoofFraming 60. POOL/SPA SYSTEMS FINAL 21. 22.. Roof'Sheathin - Frame and Flashing ' NOTES: 23. Insulation - 24. Lathing & Siding - - 25. - Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter -Final 28. Final Electric 29. Final Heating & Air Conditioning - 30. Final'Gas Pipe -Test - 31. Final Plumbing ' 32. Water Service -Final _ 33. Gas Service -Final 34. Solar Domestic -Final - 35. Landscape Sprinkling System 36. Sound Attenuation - - --- - 37. Handicap Regulations - -- ' 38. FINAL STRUCTURE & BUILDING - - - -- - 39. Special Requirements Completed - -- -- - - - -- - 40. Electric Release to Edison - 41. Gas Release to Southern California Gas Co. ' 42. CERTIFICATE OF OCCUPANCY No: Date Applicant to fill In all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PER IT NO. TRACT NO. LOT NO. BLDG. N CONSTRUCTION PERMIT 01 TYPE OF CONSTRUCTION ❑NEW ❑ADD ❑ALTERATION Q 0 REPAIR 0 CONVERSION ❑DEMOLISH V 0607 7/01/82 35.45 - Project Address C -L -S •Owner Phone 2 Address EJL 0 OTHER DESCRIPTION OF WORK ZONING A.P. REGULATIONS Ara h/Eng. ���' License NO. Address S O D TYPE OF PERMIT - - 0 GRADING .0 -FOUNDATION 0 STRUCTURAL 0 TENANT ELECTRICAL ELECTRICAL OPLUMBING OMECHANICA - - '. ZONE PLNTG�p. SET AC T. po YyyARD - WWI REF. T-, - P ROPEIRTDVNLI NE Contractor p l) Phonej X0,3 Address - .2,1157- / LICENSED CONTRACTOR DECLARATION - under I hereby affirm lhLt I am licensed provisions of Charter 9 (com- -7000) of Division 3 of the Business and /W- 0 OTHER RI GHT. meriting with section Professions Code.—eond license Is infull for d t. 'REAR YARD (TO P/L) /may a off /`� d P PROJECT DESCRIPTION * � License Ips• `• ^ ^ ' Wcense �, ,. ' PKG. SPACE REO. PROVIDED / rp fi Signature .4 SG. FT: - - - - I STREET WIDTH PARK FEE E WOR ' COMPENSATION DECLARATION - OCCUPANCY_ CONSTRUCTION TYPE ZONINGAPPROV ED BY DATE ,I hereby affirm that 1 have a certificate of consent to self -Insure or a VALUATION ZONE certificate Of Workers- Compensation Insurance, Or a certified copy I - SPECIAL CONDITIONS: - thereof (Section 3800, Lab. C.). GRADING CU. YDS. ACRES sy No. Company -. ;ertifled copy is hereby furnished. 'REMARKS: D copy is filed with the city Building Division. _ �Certified EMPTION FROM WORKERS' COMPENSATION DECLARATION- ((Thls.section.need-.not be completed if the permit Is. for One hundred _ - _ l - =•) \ l • 1 or less). SE3001 11,010ry_that inthe performance .of the work for which this permit. is Issued, l shall not employ any person in any manner so as to become -PLUMBING PLAN CHECK.ELECTRICAL" '- PLAN CHECK - subject tothe Workers: Compensation Laws of California.-- _..._ __ ' - % - Date Signature BATHTUBS SHOWERS 1 i-, ✓ NOTICE: If after making this declaration, you should become subject TOILETS r URINALS - ' s' - GENERATOR "0:1 KW_ 1-10 KW - - La to the Workers' Compensation provisions of the "bar Code, you must - - " - TRANSFORMER '-APPLIANCE 10-50 r .. , forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS-- T- KW_50-+ KW revoked. c _. _ .. CONSTRUCTION LENDING AGENCY _ _ KIT. SINKS" - DISHWASHERS -MOTORS '"0-1 Hp_1-10 HP I hereby affirm that there is a construction lending agencyy for the per- SERVICE SINKS;; SUMPS -' '" - (INC: SOLAR)-- 10.501•IP 50.+ HP - -- - formante Of the work for which this permit is Issued (Section 3097 FLOOR SINKS FLOOR DRAINS - FIXTURES" OUTLETS SWITCHES' '- Cl V. C.). -" -' - - - Londer's-Name-_ , ' Lander's Address DRINKING FOUNTAINS 'II -'--� - _` GAS TUBE SIGNS' - - �- INTERCEPTORS -CLARIFIERS- -IPOCE - LIGHTS - '- - ••+ ' OWNER'BUILDERDECLARATION" --� I hereby affirm that I am exempt from the Contractor's License Law for SWIMMING POOL -' PTRAP" _ --METERED- POLES _ UB the followingreason (Section 7031.5 Business and Professions Cotler Any city or county which requires a Permit t0 construct, alter, WATER -SERV ICE ALTERATION - '.PANELS" "-MAIN .SUB Improve, demolish or repair any structure; prior to its Issuance; also re. the ap4licant for such permit to file a signed statement that he GAS SERVICE- OUTLETS -SERVICE' --' '- AMP' aulres licensed pursuant to -the provisions of the' Contractor's -License Law ((Chapter 9 (commencing with Section 7000) of Division 3 of the WATER -HEATERS- STU'OUTPUT - - - - EI usiness'and Professions Code) or that he is exempt therefrom and the for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS - '• - - - - - .appllUnt for a permit subjects the applicant to a civil penalty .of more than five hundred dollars ($500). SOLAR TANK -" -' ' -"COLLECTORS" t - LJ I, as owner of the property, or my employees With wages as their Sole- compensation,, will do the work,.andthe structure is not.intended - - - or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SVS. ISSUE FEE Contractor's.License Law_does not.apply to an owner, of a property who builds or improves thereon, and who does such work himself or ISSUE FEE APPLICATION APPROVED BY-- - DATE 1 - 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 $ SMIP. - E Y,--am exclusive) B with. ❑ as owner of` the proper[ ti AND DUCTING -licensed n 7044, n contractors to construct the project (Section ]044, Business 100.006;1 BTU PLAN CHECK $ PERMIT and Professions Code:'The Contractor's License Law does not apply to ISSUANCE b' an owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU ' PLUMBING $ ) tracts from such projects with a contractor(s) Ilcesned pursuant to SYSTEM- - - - - - GRADING $ the Contractor's License Law). 100,000+BTU PLAN CHECK S-.a�T-.�--�ry�-��y.+ „ 0 I am exempt under Section - - -B. 8 P. C. for this BOILERS BTU ELECTRICAL $ �!sL - $ - 'reason_ ' SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE PLAN CHECK' $ •MECHANICAL S MICROFILM'S TOTAL FEE - b • • LESS AD. Delo - Owner - h I hereby certify that 1 have read this application and State that the above Information is correct. 1 agree to comply with all city antl county , PLAN CHECK E VANCE PC $__ ordinances and state laws r sting to co struction, and hereby authorize representalivei is to en upon the above a tionetl - - property for i on r o e. -1 y Signature ate/ / w ISSUE FEE - FINAL FEE $ _ - -Accounting: Goldenrod -Assessor TL CONSTRUCTION AND PLANNINGPOOL • �• ` itDate Inspector APPROVALS Per m# �� & SPA"' - APPROVALS Permit - Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - •• -- - 2. Soil ipe-Un rgrn 4 Steel Reinforcement • • - - - _3. Electrical Conduit Utility-Undrgrn 45. Forms ' _-4. Electrical"Conduit-Undrgrn 46. Electrical Bonding - - 5. Steel ein orce 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn _ 48. APP.ROVALTO COVER-GUNITE - 7. ootings- 49. Electrical Conduit-Undr rn _ 8. Foundation 50. Gas Pipe, 0 Undr rn, Test 9. Water Pipe-Undrgrn_ "'• 51. Backwash Lines P -Trap.- 0 Undrqrri 10. Structural Floor System _ 52. APPROVAL TO DECK 11.. Property Sewer Line & HousebDnnection _' _ 53. Backwash & Receptor -Final - 12. Street Sewer Connection _ - - 54. Heater & Vent -Final 13. Rough Plumbing - - -- 14. Rough Electric -Conduit 56. •-Electrical-Final 15. Rough Electric -Wiring - / - 2 - 57. - Solar System -Final • ' 16. Rough Heating & Air ConditioningFencing & Access Approval -17. -Ducts in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL ' 19. Gas Pipe -Rough & Test 20. Roof Framing 21. Roof Sheathing NOTES: ' 22. Frame and Flashing _ 23. Insulation - 24. Lathing & Siding - 25. Drywall Nailing 26. Plaster Brown Coat - 27.E Electrical Power Meter -Final 28. -Final Electric 29. Final Heating & AirConditioning. 30. Final Gas Pipe -Test 31.. -Final Plumbing 32. Water Service -Final 33. Gas Service -Final - _ 34. Solar Domestic -Final • 35. Landscape Sprinkling System -- • 36. Sound Attenuation ` 37. Handicap Regulations -' --- - _ 38. FINAL STRUCTURE&BUILDING - 39. Special Requirements Completed' -- ' - - 40. Electric Release -to Edison - - - 41. Gas Release to Southern California Gas Co. 42., ` CERTIFICATE OF OCCUPANCY No Date - - Applicant to fill in all spaces within heavy border tines and sign all appropriate declarations. CITY OF COSTA MESA PE� IT O TRACT NO. LOT/NO. BLDG. NO. CONSTRUCTION PERMIT G - Project Address g6 TYPE OF CONSTRUCTION ®NEW ❑ADO El ALTERATION ❑REPAIR LJ CONVERSION ❑DEMOLISH ❑ OTHER DESCRIPTION OF WORK Owner Address `� Qom/ /�(AJdO -�, ^_ Arch/Eng./� W/N License No. Address W53� eC dl or— Contractor ASC/A C,0/d51 Phone 6j/-c%3"l TYPE OF PERMIT ' ❑ GRADING ❑ FOUNDATION STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑PLUMBING ❑MECHAN Address ) Q(,/ r.f(74-r� ,(]. LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I am licensed under provisions of Charter 9 (com- ❑ mencing with section- 7000) of Division 3 of the Business and ProfessionsCode.6d my�license isinfull force an etfec ense LlcenS'CI a(O�� OTHER - IpROJECTD CR TIO „$i Signature 1' li--ll��/c✓L.l.�� Datels!- O F WORKERS' COMPENSATION DE R N CY C RUCTION TYPE I hereby affirm that I have a certi ate of consent to self -Insure ora ALUATION ZONE certificate of Workers' Compensation Insurance, or a certified copy, I� _ thereof (Section 3800, Lab. C.). 1 G_RADINGCU. YDS. ACRES Policy No. Company ❑ Certified copy is hereby furnished. REMARKS:, ❑ Certified copy is filed with the city Building Di67slon. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit is for one hundred S$100) or less). certify that In the, performance of the work for which this permit Is. Issued, l shall not employ any person in any manner so as to become subje to t Wo 75' Compensatio Laws of lif nia. - Date l�- Signature Q• J PLUMBING .PLAN C ECK BATHTUBS - SHOWERS TOILETS _ URINALS ''`` NOTICE: If after making this decla fon u shoyld become subject to the Workers' Coi nsatlob provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS revoked. CONSTRUCTION LENDING AGENCY -- _ - KIT. SINKS -- DISHWASHERS SERVICE SINKS ,SUMPS 1 I hereby affirm that there is a construction lending agency for the per- formanceof-the w rk•f�o,r ir(��s'ssued (Se 3097 4FLOOR SINKS• -_ _. FLOOR DRAIN �whi.c;h�•-t�h�isv �pq/rmit I``I..tti�ion Civ. CJ. Lender's Name Lender's AddresZ DRINKING FOUNTAINS- 1 ” OWNER BUILDER DECLARATION.- I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 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 re- quires the ap, liCant for such permit to file a signed statement that he Is licensed -pursuant to the provisions of. the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the 9 usiness and Professions.Code) or that he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by INTERCEPTORS' CLARIFIERS, SWIMMING POOL P TRAP ". .WATER SERVICE -- ALTERATION GAS SERVICE - OUTLETS WATER HEATERS BTU OUTPUT - SEWER CONNECTIONS- 1 any applicant for a -permit subjects the applicant to a civil.. penalty. of not more than live hundred dollars ($500). -SOLAR TANK -- - COLLECTORS ❑ I, -as ownerofthe property; or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offered for sale. (Section 7044, Business and Professions Code; The SOLARPIPINGSYS. ' Contractor's License Law does not apply to an owner of a property ISSUE FEE - • - who builds or Improves thereon, and who does such work himself or- through his own employees, provided that such improvements are not Intended or offered for sale. If, however, the -building or improvement is sold within one year of completion, the owner will have the burden of proving -he did not build or Improve for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business MECHANICAL PLAN CHECK HEATING SYSTEM 0-100,000 BTU AND DUCTING 100,000+BTU and Professions Code: -The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who con- _ REFRIGERATION 0-100,000 BTU tracts from such projects with a contractor(s) licesned pursuant to the Contractor's License Law). - -SYSTEM - 100,000 +BTU ❑ I am exempt under Section—B. & P. C. for this reason BOILERS BTU � Date �O -SYSTEM REPAIR. -ALTERATION _ - EXHAUST SYSTEM MULTIPLE __ _ 1 hereby ctify that 1 have read t . ap tion d state that the above er information -is correct. l agree to comply with all city and county - - - - ordinances and state laws relating to construction, and hereby authorize representatives of this city to enter upon the above mentioned - - - - property for inspection purposes./ Co - - - ISSUE FEE Signature - Date Orivers"License Pink -Accounting; Goldenrod -Assessor 0407 6/30/132 ZONING REGULATION A.P. #%2_5 ZONE 7 - PLJNG. REF.;* REAR YARD (TO P 27 / PKG. SPACE REQ.' r S—PROVIDED�: STREET WIDTH �%, /- PARK FEE E SPECIAL CONDITIONS: 375.47 TL' 777=B06D FOR SPEC_UL RE 2 ELECTRICAL PLAN CHECK - - SO, FT SO FT . GENERATOR 0-1 KW_ 1-10 KW TRANSFORMER APPLIANCE- - 10-50 KW_50.+ KW - - _ MOTORS _ _ Oq HP -=1-10 HP - _ (INC. SOLAR) .10-50 HP SO + HP _ FIXTURES OUTLETS SWITCHES -- 1 GAS TUBE SIGNS POLE LIGHTS- - -- -- -- POLES' - METERED --- -'SUB PANELS -MAIN SUB - SERVICE - - •- --- AMP . • ISSUE FEE -- APPLICATION APPROVED BY DAT j - - SUMMARY OF FEES -- - BUILDING - PERMIT $ �37D-oe SMIP E � PLAN CHECK S PERMIT - _ ISSUANCE E PLUMBING $ GRADING E PLAN CHECK '$ - -' 7 N "ELECTRICAL $ - - $ MICROFILM E - o - PLAN CHECK E - - - - MECHANICAL E TOTALFEE$ - PLAN.CHECK. $ .'LESS VANCEP PC $_ t -r 22 FINAL FEE' E ° ' CONSTRUCTION�A1\16PLANNING APPROVALS Permit 4h �� OY Date InspectorgppROVALS I •� POOL & SPA ' -- Permit.# �•.-'-' '•`Dte`- �^ Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location-. "- •� -, -, ,, -2. Soil.Pipe-Un rgrn... -� _ 44. Steel Reinforcement - r, 1 3. .Electrical Conduit: Utility-Undrgrn - - - - _. 45. Forms ' '. +,(. , i:. •. ,.` 4. --Electrical Conduit- Undrgrn- 46. Electrical Bonding 5. Steel em orce• - . _ - _ _ -- 47. Rough Plumbing & Pressure Test- -6. - Electrical UFER Grn 48. .APPROVAL TO COVER-GUNITE .7..- Footings _ _ - 49. Electrical Conduit-Undr rn. 8. Foundation• --- - __ __ - 50. Gas Pipe, ❑Undf rn,Test --9.- Water:Pipe-Undrgrn_5]� ..Backwash Lines P -Trap. ❑ ndr rn 10, -Structurals Floor. System 52.'.A4_PROVA•LITO DECK - y11 - Property Sewer Line.'&House Connection- - -- ' -53 Backwash & Receptor -Final - •' ' ' ,.:+.. -Street Sewer Connection-- - - - -- - - 54. Heater & Vent -Final 613. - Rough Plumbing _- . - -- _ �. -�' -_ , ;�55. -Pluenbina Final •• 14. Rough"Elc,'i;1.1LiConi#ui$1;'J:f_ .._!'-."V�-', 1 - - -- -"56.- Electrical -Final- 15. Rough Electric -Wiring - _ - -57-' Solar System -Final 16. Rough Heating & Air Conditioning - _ r - - - --b8. Fencing & Access -Approval 177 Ducts in Structure-, - - - - - - -b9. APPROVED FOR PLASTERING • 18. Ducts; Ventilating - - - - 60.- - - - --- - - - POOL/SPA SYSTEMS'FINAL , 19. Gas Pipe -Rough &Test 20. -Roof Framing_ - -- - - - --- - - -- 212 Roof Shea - thing45 1h, NOTES:x- 22. Frame and Flashing -- - - 1'- - 23: -Insulation - - - - - 24. Lathing & Siding 254 Drywall Nailing-- - - - u--- -'L 3 - - - • ' 26. - Plaster Brown Coat - 27. Electrical Power Meter -Final - - - --- - - - - - - S. Final Electric - _9: - Final Heating & Air Conditioning - - - - - 30. Final Gas Pipe -Test -- -- - - -• 311 Final Plumbing - --- - - - - ,32.• Water Service -Final-- - --- -- -• -- - .. -33. -Gas Service -Final' - 34. Solar Domestic -Final 35. Landsca 1e Sprinkling Sys tem - - - - - - 36. Sound Attenuation - - - - 37. Handicap Regulations ' 38. FINAL STRUCTURE&BUILDINGG- / 39. Special Requirements Completed - - 40. . Electric Release,to Edison 41. Gas Release -to Southern California Gas Co. 42.. CERTIFICATE OF OCCUPANCY 1 , ..- Nb_ _., Dath - - - - - - - Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PERMIT NO. ,TRACT NO. LOT NO. . BL G: D. - - CONSTRUCTION PERMIT My Project Address L—:71-1le TVP CONSTRUCTION ' Owner ' Phcu _ 7 NEW ❑ ADD ❑ ALTERATION - Address / Q�/ ' p + - - C) ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ZONING REGULATION' Arch/Eng.- " r - Lieens No. [1 OTHER A P # . Address DESCRIPTION OF WORK ZONE PLNG. REF. $ Contractor — Phone Q TYPE OF PERMIT - El FOUNDATION " C1STRU�CCTTU�U El TENANT C3 ELECTRICAL ❑PLUMBING 11ME •Address❑GRADING LICENSED CONTRACTOR DECLARATION - I hereby_affirm that I am licensed under provisions of Charter 9 (com- mencing with section 7000)' of Dlvlsion 3 of the Business and Professlons Code, and arty I f se Is In full torte and effect., ❑ OTHER - PROJECT DESCRIPTION License Class C. l� License No. - SO' F'r' - -- -- - - -OCCUPANCY_ CONSTRUCTION TYPE Date Signature - - - WORKERS- COMPENSATION DECLARATION - - I hereby affirm that I have a certificate of consent to self-insure,or:a certificate ofWorkers' Compensation 21 nce, or a certifier Copy thereof (Sao �.Lpon 3800, Lab. C.)._:>/ �' VALUATION ZONE ' GRADING CU. YDS. ACRES Policy No�pL�am. y JCo mPanY "'C/%70'UF-._"V 7 - - - - a. ❑.Certified copy is hereby furnished. - --- - REMARKS: - - }p' Certified copy is filed with the city Building Division. 'EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - ZV ii? I hereby certify that I have read this application and state that the above (This section need -not be completed if the permit Is forone hundred-- �E100) or lessl. ` certify that In the Performance ofthe work for which this.. permit.is Issued, 1 shall not employ any person In any manner so as to become sub]ect to he orkers Ce mp<nsalion La �f. of 1 rnia - Date 0 Signet ur i PLUMBING I PLAN CHECK_ - - - BATHTUBS' SHOWERS If atter making this declara tlo n, you sh d become sub]act TOILETS URINALS to the Workers' Co mpensal i on provisions of the bor Co do' you must to I a forthwith comply with such provislo ns or this Permit shall be deemed LAVATORIES DOUBLE LAVS revoked. CONSTRUCTION LENDING AGENCY _ KIT. SINKS DISHWASHERS SERVICE SINKS SUMPS I hereby affirm that there Is a construction lending agency for the Per- formance of the work for hith this per it is issued (Section 3097 _ FLOOR SINKS FLOOR DRAINS � / Civ- C.) //� �� Lender's n Lender's Addr s CA44 Ill 056 A .Q- DRINKING FOUNTAINS - INTERCEPTORS CLARIFIERS OWNER BUILDER DECLARATION I hereby affirm that I am exempt from.the Contractor's License Law for thefollowingreason (Section 7031.5 Business and Professions Code' Anycity or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to Its Issuance, also re- 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 SWIMMING POOL - PTRAP`•- WATER SERVICE ALTERATION GAS SERV ICE OUTLETS .- rte• _ •�• - basis for the alleged a exemption. Any violation of Section 7031.5 by any applicant for permit subjects the applicanttoa Civil penalty of n. more than five hundred dollars wricn ncn�cna ars+.s�sr, rsr r, _ SEWER CONNECTIONS _ SOLAR TANK COLLECTO R5 SOLAR PIPING SVS. -_ emplo. with wages Intended their ❑ I, as owner of the Property, or , a d the structure sole compensation, -will do the work, and the structure is notde:The or offered for sale- (Section 7044, Business and Professions Core: The Contractor's License Law does not of dapply who-to.andoes such w rk property who builds or Improves thereon, and who roes such work himself or ISSUE FEE that such -Improvements are not through his own emfor sale. If, however, offered for sale. R, however, the building ha Improvement is sold within he burden o sold within one year Of Completionrlm lh¢ owner will purpose of proving he -o not build rt improve for the purpose of sale)- ❑' I, as owner -of the property, e p jectu(Secti contracting with licensed contractors to construct the project (Section 7044, MECHANICAL PLAN CHECK HEATING SYSTEM 0-100,000 BTU AND DUCTING 100,0001 BTU applyBusiness and -Professions Core: Tho builds or Is License hereonLaw'doesa not apply to, an owner of property who builds or Improves [hereon, and who con- REFRIGERATION_ 0-100,000 BTU tracts from such projects with a contractor(s) licesnedpursuant to the Contractor's License law). SYSTEM 100,000 + BTU t untleection - ' B. & P. C. for this ❑ i am exempr S BOILERS BTU' reason ' SYSTEM REPAIR. ALTERATION Date Owner - ' I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE _ information is correct. I agree to comply with all city and county i ordinances and state laws relating to construction, antl.hereby. authorize representatives of this citY7 to eyler upon the above mentiynetl Signature Drivers' cense or � ISSUE FEE Li CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor REAR YARD (TO P/L) PKG. SPACE REQ-.* PROVIDED +. 'STREET WIDTH PARK FEE E SPECIAL CONDITIONS: - ELECTRICAL _• _ _ - _PL:AN CHECK - GENERATOR' 0-1 KW_ 1-10 KW TRANSFORMER ISSUANCE E APPLIANCE '10=50KW_50+KW _ MOTORS 6-1 HP_1-30 HP (INC'SOLAR) '10-50'HP_50+HP' FI%TURES •.. OUTLETS SWITCHES - GASTUBESIGNS _MICROFILM E POLE LIGHTS $—'Tp— f 0 .POLES METERED SUB PANELS 'MAIN SUB SERVICE AMP' - - ISSUE FEE - 1 ----------------- SUMMARY -...._.-._............ SUMMARY OF FEES •_ �. PERMIT BUILDING SMIP S PLAN CHECK E PERMIT ' ISSUANCE E PLUMBING $ GRADING E PLAN CHECK E - ELECTRICAL - _MICROFILM E PLAN CHECK $—'Tp— f TOTAL FEE.E MECHANICAL S ' - LESS AD - PLAN CHECK E VA CE PC E 00 •. .-•. .: .. FINAL FEE E 0 .�I I. - _ fr.. 11' - .. - f '• '. fl .111:.. -• CONSTRUCTION AND PLANNING APPROVALS Permit # Date ..Inspector^-- - i POOL& SPA - _- ,.'Date`- APPROVALS..t ;•.._ Permit# r ,, -'Inspector . 1. Temporary Electrical Service or Pole .�, `• " " ''43` Pool 8i Equipment Lo`ation="'-r- -- --T. - i ipe-Un rgrn • Steel Reinforcement,'-. ' --- -' " �•x' 3`-- `'- - `'+t+'+ ' >� _3.,. Electrical Conduit Utility -Un rgrn _ -- _ _ _ 45.% Forms 4._• Electrical Conduit-Undrgm_ _-.- _ _ _" _ _46.... Electrical Bondin l- Steel • r 47. Rou h Plumbin & FFessure Test n 6. _ _Electrical UFERGrn - --- 48. 'APPROVAL TO COVER:GUNITE,=:='"=�= 7. _ ootings- _ ' ' 4 4" - "' - 49.' 'Electrical Conduit-Undr rn- ` . 8._ Foundation-_- - - _ _ _- 50.. Gas Pipe,- Undr rn, Test �_ 9_ _ Water-Pipe=Undrgrn_ __- _ _ _ _ M 51. Backwash Lines P- is -'E) UndrQnj 10. Structural Floor System _ '1 52. APPROVAL TO DECK- - 11._ Property'Sewer Line & House Conhection'' 53. Backwash &-Recefor-Final, ' 2 _ Street Sewer Connection -- - - - -- - 54. _ Heater&.Vent-Final' . i 13. Rough Plumbing r. -557 _ - -- 14. Rough Electric -Conduit i ---- - - --•- - - - .56, -Electrical -Final ,'15. -Rou 6'ElectricWiriri' `- • _ _ ._ _ _ _ ._ ' _ 57., --Solar System -Final :' ,. •.. , n •.a_ . 16. --Rough Heating .&-Air-Conditioning '_ ---_ F--- -_ _ _ _ �U. Fengigg & Access.Approval 17.1 _Ductslin.Structure " APPROVED FOR'PLASTERING J' !- 18.'- Ducts, Ventilating. -` - - - - - - - t- --1-- . -- t - . _� _ 60. . - _ • , • _ : _ _ _POO L/SPA:S SYSTEMSFINAL �•• - .. •.. ,- ' - - - - ......-_ ' :%\.• -, ... , .�,� , ., f .� \'� •.ti::.� .f - 19.; Gas Pipe -Rough &Test- -' =,' _ _- _ _ . 20.-- .Roof Framing--- - . < _1__ ,: -- - --. - - a- „� 21. Roof Sheathing t _ ,a _ �. NOTES: . ... f • .•,. - ----- --- J1: ,, t+, ,:- - .,, .•- . ; 22. _n 23. Insulation -' :- �.-•,z\\-7 ?�� ' 24.• Lathing &.Siding - - -- - '-- -,. t� + tia•_.;. -..�_ y\� lt ., . 25.' -Drywall Nailing_ 1 26._Plaster_ Brown Coat . 27.;_ElectricalPower Meter,Final 8Final_Elact ric''•.---- ,I FJnal Heating - - - - 304- Final Gas Rpe_Test _ 31.'. _Final Plumbing___ - - -- -" !. 32.'- Water Service,Final - .. ,', •• 7 ' _. i 71.33'\.Gas Service -Final._.. .i ' 34. Solar Domestic -Final' r-� i -'r• .a •' •=:- M. - - '' ' 35. _ Landscape Sprinkling System ' ' ,. It r. s r:. •� ''= - i.36- Sound Attenuation 0. 37: Handicap Regulations -� -- �._ - _ - ----�-- - ..- - -- - • ' - 38. FINAL STRUCTURE & BUILDING ' 39. Special Requirements Completed . 40. Electric Release to Edison Y- - -'-- ---- -- -" - - ---- - - - ' 41. Gas Release to Southern Calif ordia Gas Co. 42. CERTIFICATE OF OCCUPANCY ��N0 • Date (t 'I�'� 1 - �. -I- .�_ ,fir -_e - Ca • .,S 6 •�C O\..., 'Y. CMF 0865-46 While -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PER O. A,,TRACT O.- LOT NO. 'BLD . NO. - •' - _ gjl1:. -I.+x,11 CONSTRUCTION PERMIT /v{ Project AddressP- fl,J TY OF CONSTRUCTION .. .. .. Owner- EW-' EW' ADD '❑ ALTERATION Address REPAIR ❑ CONVERSION ❑.DEMOLISH - - - ❑OTHER - - ZONING REGULATIONS 1 Arch/Eng. +License No. - DESCRIPTION OF WORK A'P' # i Address _ _ ZONE PL_ NG. REF. •fp�. -Contractor„e e,Qaf - v. `.,ti,Phone o PE OF PERMIT - ' - - BUILDING - rp 61l��I LpINC - - fS ROWWVI Address' .. G ( ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL SETBACK C L T. SID YARD - LS. LINE i . LICENSED-CONTRACTOR DECLARATION,' ❑ TENANT ❑ ELECTRICAL ❑PLUMBING ECHANICA IEpE VA 'I hereby affirm that I am Iicensetl untler provisions Of Charter 9 (com- RIGHT mencing with Section 7000). of Division 3 of the Business and. "0 OTHER. Professions Co my license is in full force and effect.pROJ - REAR YARD (TO P/L) ' 6% ECT DESCRIPTION - - License Class ice No. PKC. SPACE REQ. PROVIDED Date /C�. ,2—Slgnature SQ. FT. -, _ _ . STREET WIDTH PARK FEE $ 1 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 IS certificate of. Workers' Compensation Insurance, or. a certified copy thereof (Seaton 3000, Lab. C.I. GRADING CU. UDS.ACRES- SPECIAL CONDITIONS: Policy No. Company- • ❑ Certified copy Is hereby furnished. _ "• REMARKS: - _ __ ❑ Certified copy Is filed with the city Building Division. _ Z _ 'EXEMPTIONFROM WORKERS' COMPENSATION DECLARATION - -(This section need not be completed if the rmit i5 for one hundred - '- ($100) or less). - - f certify that in the performance Of th rk wh h this permit Is - `Issuetl; I'shall not employ any perso any nn 5 as t ome' PLUMBING ”" �- PLAN CHECK'-- - - -ELECTRICAL - - ' PLAN'CHECK - - subject to the Work' Compensatio w _ Date Ybb �� Signature BATHTUBS' SHOWERS -UWI -UARAG - - NOTICE: If after making this declaration, you shout come sub ct TOILETS -URINALS - GENERATOR 0-1 KW_ 1-10 KW - to the Workers' Compensation provisions of the Labor Cotle, you must TRANSFORMER t forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE L'AVS- -' -' APPLIANCE- - 10-50 KW-L_50-.'KW revGketl. . KIT. SINKS - DISHWASHERS" "'.MOTORS- 03 FiP=1-10 HP ... - - CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the per. SERVICE SINKS - SUMPS -• -'- - ' (INC. SOLAR) -• 30-50 HPL--- 50 + HP formance Of the work for which this permit is Issued (Section 3097- FLOOR SINKS FLOOR DRAINS -FIXTURES" " OUTLETS'" -SWITCHES - Civ. C.). - .- •+ • - - - - - Lender's Name L ender's Atltlress DRINKING FOUNTAINS - - - -^ GAS TUBE-SIGNS- OWNER BUILDER DECLARATION INTERCEPTORS - -_-CLARIFIERS - -' ?OLE LIGHTS' I hereby affirm that 1 am exempt from the Contractor's License Law for - SWIMMING POOL ' -'P TRAP - • -- - - — the.following_reason (Sectlon.7031.5 Business and Professions. Cotle:- Any City or county which requires a permit [o construct, alter, POLES- METERED SUB! WATER'SERVICE" - `-'ALTERATION "' - ,PANEL'S"--' MAIN SUB Improve, demolish or repair any structure, prior.to its Issuance, also-re. quires the ap,.licanl for such permit to file a signed statement that he .. ,SERVICE - s 'GAS'SERVICE-' OUTLETS - '- --- "- -• AMP- •'- 1 { Is licensed pursuant to the provisions�of the Contractor's License.Law ((Chapter 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS BTU OUTPUT Business.and Professions Code).or that he is. exempt-therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS - ' - "- - - - any applirant.for_a permit subjects .the applicant to d civil penalty of not more than five hundred dollars ($500). -SOLAR TANK '- ' - -COLLECTORS - -- �- • - - - ❑ I.-as owner'of the property, or my employeeVvvith wages as their sole compensation, will do the work, and the structure is.not.intended or offered for sale.-(Section 7044, Business and Professions Code: The SOLAR PIPING SVS.--' - �' - ISSUE FEE Contractor's License Law does not apply t0 an owner of a property 'ISSUE FEE '- - (' -- - - 'APPLICATION' APPROVED BY •- DATE/O1/ f who builds or Improves thereon,,-and who tloes such work himself or through his own employees, provided that such improvements are not _ _ MECHANICAL PLAN CHECK _ 6 SUMMARY OF'FEES Intended or offered for sale. If,-however, the building or Improvement' Is sold within one year of completion, the owner will have the burden of -proving-he did not build or Improve for the purpose of sale). - ' - - - HEATING SYSTEM 0-100,000 BTU BUILDING. 'PERMIT - - - - - -- - SMIP � - ❑ I, as of .the property, am exclusively contracting with AND DUCTING - � $ $ - - - - - - licensed contractors to construct the project Section 7044, Business ( 100,000+BTU PLAN CHECK $ PERMIT. • and Professions Code:.The Contractor's License.Law tloesnot to - - - ISSUANCE $� -• + who c or improves thereon, and who con- owner of property who there REFRIGERATION 0-100,000 BTU ,PLUMBING $ t tracts .from such projects with a. contractor(s) .lice5ned pursuant: to tracts with a SYSTEM- - i - 100,000 + gTU PLAN CHECK - - GRADING $— the Contractor's License Law). ❑ 1 am exempt under Section - - B. 6 P. C: for this- _ BOILERS BTU $ ELECTRICAL $ , - $ reason. - - - - - - _ SYSTEM REPAIR, ALTERATION - PLAN'C HECK g •• t - MICROFILM $ Date Owner EXHAUST SYSTEM MULTIPLE .f _ MECHANICAL $ PLAN CHECK- $ -TOTAL FEE $ _ LESS AD- - VANCEPC $ '•� -, - - - ve 1 formatiocertify that I hav a this application with information is correct I a to comply with' all andty Hees and state ws r a ng t nstruc and hse Slatwlee;l� /✓ representative re resentatives hit he a6e - ,r_ proporty for i Specll n rp -_ - - FINAL FEE S 1--3 • �% V Signalure --_J/�----------(� ..ISSUE _ . _ _ FEE _ f clbeDrivers' _ �.... -, - _.. .. _ .� CMF 0865-46 While -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNING _ APPROVALS Permit # M -5 Date InWctor ;�:, -'i f_ POOL &SPA . APPROVALS. '1 ' 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_ Electrical Bonding- - - - - - 5.tee _..46. em orce _ 47. Rough Plumbing & Pressure Test - - 6. Electrical UFER Grn _ 48. APPROVAL TO COVER•GUNITE ' - - _ 7, ootings _- 49. Electrical Conduit-Undr rn . 8. - _ Foundation _ - 50.. Gas Pipe, El Undr rn, Test ' 9.- Water Pipe-Undrgrn 51. Backwash Lines P-Tra 'C] Undrqrn 10. Structural Floor System - 52. APPROVAL TO DECK 1. Property Sewer Line & House Connection . 53. Backwash & Receptor -Final - Street Sewer Connection '-- _ _ - - 54. Heater & Vent -Final 13. Rough Plumbing _ `• - 14. Rough Electric -Conduit - - - --'- - - -M. -Electrical-Final - 15. - Rough Electric -Wiring _ - - - - -` 57.- Solar System -Final ' 16. Rough Heating & Air Conditioning _ _ - -Fencing & Access Approval 17: Ducts inStructure 59. APPROVED FOR PLASTERING :';"., 18. Ducts, Ventilating _ -. -- 60. POOL/SPA SYSTEMS FINAL" 19. Gas Pipe -Rough & Test t - 20. Roof Framing 21. Roof'Sheathin NOTES: 22. Frame and Flashing 23.-- Insulation - -: - - - 24: Lathing &Siding - - - -- - - -- - - -_ ' 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter -Final '4. - Final Electric A. Final Heating & Air Conditioning _ - - . 30.. Final Gas Pipe -Test - • • - 31. Final Plumbing - - - - - - - 32: - Water Service -Final - - �'- 33', - Gas Service -Final 34. Solar Domestic -Final •' ''-' - ryl,- ' i 35. Landscape Sprinkling System 36. Sound Attenuation --37-Handicap Regulations 38. FINAL STRUCTURE & BUILDING - 39. Special Requirements Completed 40. Electric Release to Edison - i 41. Gas Release to Southern California Gas Co. i 42. i _ CERTIFICATE OF OCCUPANCY No i- ,-, Date 0380 6/30%82 31.00 'TL Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY -OF COSTA MESA ERMI-TNOO.� TRACT NO. LOT NO. 8L G -NO. CONSTRUCTION PERMIT/Y) SIDE ARD RIGHT ertified copy Is filed with the city Building Division. REAR YARD (TO P/L) Project Address U $,n - TVP CONSTRUCTION L STREET WIDTH PARK FEE $ ,net D� - Phone NEW ❑ ADD ❑ ALTERATION Address - --- ❑ REPAIR ❑ CONVERSION ❑DEMOOLISH Arch/Eng. License No. - - - - El OTHER ` ^ __ - _ ._.__. DESCRIPTION OF WORK .. - -._ _.. - . _ Address -- - — _ - -Contractor pIA;S 6 - - -' Phone TYPE -OF PERMIT. .1 —' Addfess /,$'3 �' 6AQ(NPCCc - ZZ - ❑GRADING'. ❑ "FOUNDAT�IO�N�� ❑STRUCTURAL \_ ,JJ LICENSED CONTRACTOR -DECLARATION - - - - - El TENANT ELECTRICAL' LhTMMBING ❑MECHANICA Elp -certify that.ln the performance of the work for which this permit. is Issued, I shall not employ any person In any manner so as to become I hereby affirm that I am licensed under provisions of Charter 9 (com- 'section r El - \ mencingwith 7000) of Division- 3 of the- Business and I. Professions Cotle1 and my license Is In -full force and Or c'• -�4 OTHER- PROJECT' DESCRIPTION Llcense Class ceeW SQ: FT. ,• ': . `.. '� _ __ ._ ._ 1 Dale 2q- 519nature sit.• '- -" —GENERATO R' WORKERS' COMPENSATION DECLARATION - OCCUPANCY_ CONSTR UCTION TYPE LAVATORIES 11 hereby affirm that I have a certificate of consent to self -Insure or a VALUATION ZONE TRANSFORMER 'APPLIANCE 'certificate' of Workers'' Compensation insurance or slified= by thereat (Seco 9 3 00, Lab- C.). -- --- GRADING CU. YDS. ACRES 0380 6/30%82 31.00 'TL • ZONING REGULATIONS ' A.P. $ - ZONE PLN'tG.. if s ❑ Ce Ifletl Up, is.hereby furnished. _ _: _ -f _ gR tEJFL. SETBACK CIL ST. PROPEIRTVNLI NE - LfR YARD SIDE ARD RIGHT ertified copy Is filed with the city Building Division. REAR YARD (TO P/L) PKG.9PACE REQ. PROVIDED STREET WIDTH PARK FEE $ EXEMPTION FROM WORKERS' COMPENSATION DECLARATION ,ZONING APPROVED BY, - - DATE SPECIAL CONDITIONS: - Policy No.�CIshed. - - - •• _ ❑ Ce Ifletl Up, is.hereby furnished. _ _: _ -f _ REMARKS: _ ertified copy Is filed with the city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION This sectionneednot.be completed if the permiLis for one.hundretl •.. _ .. ^ __ - _ ._.__. _ .- - _. _ __ .. - -._ _.. - . _ ($100) or lessl. I f - .1 �'PLUMBING - _ CPLAN CHECK- - -- 'ELECTRICAL _ - PLAN CHECK -certify that.ln 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. BATHTUBS SHOWERSNG - Date Signature NOTICE: If atter making this declaration, you should become subject .TOILETS: ,f-,. ,URINALS`- _ '- -" —GENERATO R' '0-1 KW_1-10 KW t0 the Workers' Compensation provisions of the Labor Code, you must' forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS 2 TRANSFORMER 'APPLIANCE KW - 30-50 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'` - (INC. SOLAR) '- 30-50HP_-50 + HP - - - formance of the work for which this permit is issuetl (Section 3097 FLOOR SINKS FLOOR DRAINS 'FIXTURES -" OUTLETS "SWITCHES " Civ. C:):- - -- -' - - "-' `-- -- Lender's Name Lender's Address DRINKING -FOUNTAINS- GAS TUBE SIGNS'-' - INTERCEPTORS _ CLARIFIERS POLE LIGHTS OWNER BUILDER DECLARATION - - -' - - - I hereby affirm that I am exempt from the Contractor's License Law for SWIMMING -POOL 'PTRAP_ - the following -reason (Section 7031:5 -Business and Professions Code: Any city or county which requires a permit to construct, alter, :POLES METERED SUB WATER SERVICE -1 ALTERATION - - PANELS' - MAIN - SUB -- Improve, demolish or repalr'any-structure, prior to Its Issuance, also re- quires the api licant for such permit to file a signed statement that he SERVICE OUTLETS - -SERVICE- "'- --'- AMP - - is licensed-pursuant'to the provisions of the'Contractor's License Caw''GAS (Chapter 9 (commencing with Section 7000) Of Division 3 of the WATER HEATERS BTU OUTPUT Business and PrWessions Code) or that he Is exempt therefrom antl the basis for the alleged exemption. Any violation of Section 7031.5 by ' SEWER CONNECTIONSof any -applicant for a-permit'Subjects the applicant to a civil penalty- not more than live hundred dollars ($500). -SOLAR TANK - COLLECTORS -- 131, as owner of llie property, or my employees with wages as their sole -compensation, -will do the work,.and the -structure is not intended - '- - Or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SVS. 05 ISSUE FEE" Contractor's License Law does not apply to an owner of a property ISSUE FEE - •' `APPLICATION APPROVED 13Y -DATE-' who bullas or improves thereon, and who does such work himself or through -his own employees, .provided that. suchimprovements are not. MECHANICAL PLAN CHECK _ - _ SUMMARY OF FEES -_ intended or offered for sale. If, however, the building or Improvement Is sold within one year of completion, the owner will have the burden -` - -- . of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU I BUILDING BUILDING $ -•SMI.P am -exclusive) contracting with El -1, -as owner- of the property, Y 9 AND DUCTING ' _ _ _PERMIT _ - - .E licensetl contractors to construct the project (Section 7044, Business 100,000 +BTU ; PLAN CHECK $i PERMIT q I and Professions Code: The Contractor's License Law does not apply l0 - - - . - - ISSUANCE $ - an owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU BTU— PLUMBING $ tracts from such protects with a contrdt[or(5) Iicesnetl pursuant to SYSTEM _ -- -i00,000, --f: - --- - - GRADING $• the Contractor's License Law). +BTU PLAN CHECK E" ❑ I zm under Sectlon• B. & P. C. for this +ELECTRICAL - $ exempt BOILERS BTU $ •) reason - SYSTEM REPAIR, ALTERATION 'PLAN'CHECK'$ MICROFILM $ - TOTAL FEE $' ) Date Owner - MECHANICAL $ _ this application and state above I hereby certify that have readagree EXHAUST SYSTEM MULTIPLE 1 LESS AD- y a d Information is correct. agree [o comply with all city and county ,PLAN CHECK $- _ —VANCE PC $ _ ordinances and state laws r lata to construction, and hereby authorize to representatives of this t r to enter upon _[he above mentioned property to, ec ' poL,p — / _ Signature _"'� Date fr7� FINAL FEE Drivers' License or $S -Accounting; Golden roti -Assessor CONSTRUCTION AND PLANNING -_-� APPROVALS 1 Permit # P-No'75 Date Inspector POOL&SPA' - - APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - - - - . SoilPipe-Undrgrn ' . -pp_ y1 44. Steel Reinforcement - - 773. Electrical Conduit Utility. Undrgrh- 45: Forms 4. Electrical Conduit-Undrgrn _ 46. Electrical Bonding - - - _5._ Steel Reinforce - 47. Rough Plumbing & Pressure Test ' _ 6._ Electrical UFER Grn_ 48. APPROVAL TO COVER-GUNITE _ 7. Footings _ 49. Electrical Conduit-Undr rn - .8.. Foundation 50., Gas Pipe, EJ Undr rn, Test " 9. Water Pipe-Undrgrn _ - _ 51. Backwash Lines P-Tra - ❑ Undrqrn - 10. Structural Floor System _ 52. APPROVAL TO DECK- ' 11 Property Sewer Line & House Connection 53 Backwash & Rece for -Final 2 Street Sewer Connection _ 13. Rough Plumbing 14. Rough Electric -Conduit ' 15. Rough Electhc-Wiring - - - - - •- -- 16. Rough Heating & Air Conditioning - 17: Ducts, in Structure - 18.- Ducts, Ventilating 19. Gas Pipe -Rough & Test ' 20. Roof Framing 21. Roof Sheathing- 22. Frame and Flashing- 23. Insulation 24. Lathing & Siding 25. Drywall Nailing ' 26. . Plaster Brown Coat - 27. Electrical Power Meter -Final - 54. Heater & Vent -Final - �- •56. Electrical -Final 57. Solar System -Final Fencing & Access.Approval ' APPROVED FOR PLASTERING 60. POOL/SPA SYSTEMS FINAL NOTES: - - ?6. Final Electric 9. Final Heating & Air Conditioning 30. Final Gas Pipe -Test 244 _ _ ' 31. Final Plumbing Q' _ 32. Water Service -Final _ 33. Gas Service -Final - --34.- Solar Domestic -Final- - 35. Landscape Srinklin System '� -- -------""----- ------ 36. Sound Attenuation 37. Handicap Regulations - - - 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed - - 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY No. Date Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG. NO. CONSTRUCTION PERMIT (% TYPE OF CONSTRUCTION ❑ NEW ❑ ADD ❑ ALTERATION s ❑ REPAIR ❑ CONVERSION ❑DEMOLISH El OTHER DESCRIPTION OF WORK 1, fl 06_08_ 7/01/82 •\ r - AP ZONING REGULATIONS ZONE PLNG. REE. if. 37_.02 Project Address ao E� D -,6 Ownerq I% Phon 'jz Address b L7L Arch/Eng. y icense No. - - Address Contractor -- - Q 'Phone.] pSyJ3 TYPE OF PERMIT , • - E] 6,FOUNDATION -❑STRUCTURAL-• ❑ TENANT ELECTRICAL ❑PLUMBING ❑MECHANICA N SET ACK - SIDE YARD LS IEpFE'VA DING URO PRO PE RTV LINE' - - ' Address i - - LICENSED CONTRACTOR DECLARATION 9(com- I hereby affirm that I am licensed under provisions of Charter 7000) Division of -the Business 'and - - ❑OTHER - - RIGHT. man cing-with section of -3 Professions Cotle, wsl m icense Is In full force eff - -' 'PROJECT -- REAR YARD (TO P/L) - s /,1J -- D DESCRIPTION - Licens, ss7 `' 4i 0. 1 SQ. FT. 1 - '� � � PKG.SPP.CEREQ. PROVIDED /may/ �� 7�� Date Signature yL— y !—CONSTRUCTION (STREET WIgTH _ ?ARK FEE $ WORj3ERS' COMPENSATION DECLARATION.. .. ' :L OCCUPANCY TYPE Ihereby affirm that I have a certificate of consent to self-Insure,or a ZON_ E *ZONING APPROVED BY DATE , cert ifirate of Workers' Compensation Insurance, or a certified copy _VALUATION _ --- --- thereof (Section 3800, Lab. C.). - GRADING CUD YDS. ACRES SPECIAL CONDITIONS: .Icy No. - - Company _ ;ertlfied copy is hereby furnished. _ _ _ REMARKS: copy is filed with the city Building Division. ��C��ertified AMEMPTION FROM WORKERS' COMPENSATION DECLARATION - - (This sectionneednot be completed if the permit Is for one, hundred - - !f y . ��_ -• - $100) or less). : ,_� - - ,s - _ - _ -' - _ •� - , - certify_that in the performanceof the work, for which this permit is p is s ued, I shall not employ any person in any manner so as.to become -'PLUMBING s 0. PLAN CHECK' -'- -' __ _ ELECT RICA - PLAN GH CK. _ subject to the Workers' Compensation Laws of, California.";_ BATHTUBS - SHOWERSFT } :Date Signature (NOTICE: If after making this declaration, you should become subject ^T,OILETS URINALS' — ;GENERATOR 0 -1 -KW. 1-10_KW - to the Workers' Compensation provisions of the Labor Code, you must TRANSFORMER -forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBL-E"CANS - - - 'APPL'IANCE- 10-50 KW=50+ KW' - revoked.-_. __1 ----. .- - - KIT. SINKS -"- DISHWASHERS - ! 0-1 HP 1.10 HP'- - ,CONSTRUCTION LENDING AGENCY ,MOTORS-- •-f.!'; t•� I hereby affirm that there Is a construction lending agency for the per- SERVICE SINKS G-, ! ,,'SUMPS- '- - ,-- - "' '(INC. SOLAR).--- 10-50 Hp_50 E O U T + HP- formance of the work for which this permit is Issued (Section 3097 FLOOR SINKS - - --- -FLOOR DRAINS- FIXTURES OUTLETS- ' -SWITCHES - Civ. C.). '- "--"--` '" -Lender's Name _ _ iLentler's Address DRINKING FOUNTAINS- - -" `GAS TUBESIGNS-' INTERCEPTORS- CLARIFIERS ,POLE LIGHTS - OWNER BUILDER 'DECLARATION�-' ---- -' _ - 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" 'PTRAP--'POLES UU METER D '.SUB . Any city or county which requires a permit to construct, alter, WATER SERVICE - "- ALTERATION -- - -,PANELS- - - MAIN "' -,SUB- - - Improve, demolish orrepair any structure, prior to its Issuance, also re.- quires lh¢ api.Iicant for such permit to file a signed statement that he GAS SERVICE OVTLETS - '- �� - ( - SERVICE' - - AMP _ - Q is•licensed -pursuant'to the provisions of the Contractor's L-Icense Law '1Chapter 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS - BTU OUTPUT _ - — -' "- - 1 •- __ Business -and Professions Code) Or that -he is exempt therefrom and the h --is for the alleged exemption. Any violation of Section 7031.5 by -SEWER CONNECTIONS- applicant for a permit subjects thea ppli ca nt to a civil penalty ot more than five hundred dollars (§500). SOLAR TANK - -- COLLECTORS' L, 1, as "owner of the property; or my employees withwagesas their sole compensation, will do the work, and the structure is not Intended -FEE - or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SVS. "ISSUE - _ ' 1 Contractor's.License Law does not apply to an owner of a property ISSUE FEE ,APPLICATION APPROVED BY " - -- DATE who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not MECHANICAL PLAN CHECK s '- SUMMARY OF,FEES •- - +' Intended or offered for sale. If, however, thebuildingor Improvement Is sold within one year of completion, the owner will have the burden of proving he did not build or Improve for the purpose -of sale). HEATING SYSTEM 0-100,000 BTU _ BUILOfNG' -' - {PERMIT $ 'SNIP', -- 'v ❑-I, as owner of- am -exclusively contracting with _ AND'DVCTING"- _ _ _ _ _ y ,..:E _ licensed contractors to construct the project (Section 7044, Business 100,000(1 BTU PLANCHECK $' •PERMIT •- +.• and Professions Code: The -Contractor's License Law does not apply to ---- - - - - -ISSUANCE--$ - - - an owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU (rPLUMBING $ '$ tracts from such projects with a contractor(s) licesnetl pursuant -to -SYSTEM -- - - - - GRADING. - the Contractor's License Law). 100,000 +BTU PLANCH CHECK $ ❑ I am exempt under Section '- - --8. & P: C. for this BOILERS BTU ;ELECTRICAL $ 3T V $ reason- - SYSTEM REPAIR, ALTERATION EXHAUSTSYSTEM 'MULTIPLE , ! (PLAN CHECK $ MECHANICAL § _MICROFILM$ :TOTAL FEE $ LESS AD- ' Dale. Owner I hereby certify that I have read this application and state that the above Information is correct. I agree to comply with all city and county , PLAN CHECK $ VANCE PC $ _ ordinances antl state ,Ns% ng to con ruction, and hereby authorize - . representatives yS s to en[e upon the above a tionetl properly for �1�P onores. V / 2 FINAL FEE $� Signature ' CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor TL - CONSTRUCTION AND PLANNING Date APPROVALS Permit# c//o POOL & SPA .. - Inspector Date - Inspector APPROVALS Permit_# 1. Temporary Electrical Service or Pole _ 43. Pool & Equipment Location•-- - 2. SoilPipe-Undrgrn 44. Steel Reinforcement - - - - 3. Electrical Conduit Utility-Undrgrn 45. Forms -- - - - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - - - --- - Steel ein orce - 47. Rough Plumbing & Pressure Test - - - 6. Electrical LIFER Grn '48. APP,ROVA'LTO COVER-GUNITE - - - - - - 7. Footings _ 49. Elec$ical Conduit-Undr rn- '• B., Foundation 50. Gas Pipe, ❑ Undr rn; Test •" 9.. Water Pipe-Undrgrn_ _ _ 51. Backwash Lines P -Trap,❑ ndr�rr "•' - - ' 10. Structural Floor System 52. APPROVALTO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final 12. Street Sewer Connection _ _ _ - 54. Heater & Vent -Final 13., Rough Plumbing. _ - '- 14. Rough Electric -Conduit - - - �56. Electrical -Final 15. -Rough Electric -Wiring - '---- 57. Solar System -Final - - 16. Rough Heating & Air Conditioning - - Fencing & Access, Approval _ ..17:.,. Ducts in. Structure - _ _ _ _ ` 9_. APPROVED FOR PLASTERING ' '18. 19: -.20: -:Ducts, Ventilating Gas Pipe -Rough &Test .Roof Framing 60. POOL/SPA SYSTEMS FINAL 21: Roof Sheathing- 22.. Frame and Flashin ' -. - •• NOTES: 23: Insulation _ 24. Lathing & Siding. -" -- - - -- - - - ` 25. Drywall Nailing • 26. -Plaster Brown Coat - - 27. _Electrical Power Meter -Final" - '28. 'Final Electric - - 29. Final'Heating & Air Conditioning 30. Final Gas Pipe -Test 31. _Final Plumbing '32. Water Service -Final 33. Gas Service -Final 34. Solar Domestic -Final 35. Landscape Sprinkling System T- ----�-" - 36. Sound Attenuation - 37. Handicap Regulations - - - - 38. FINAL STRUCTURE & BUIL-DING 39. Special Requirements Completed - - - - -' 40. Electric Release to Edison - - -- -- - 41. Gas Release to Southern California Gas Co. - - 42. - •CERTIFICATE OF OCCUPANCY No Date - - An RMSOFSWL[)Wl 2620 ELDEN AV UNIT. B6I CITY OF COSTA MESA — BUILDING PERMIT ORN0 NAKEiclww/N: WILLIAM LEDENECKER PERM NO: P 078791 �AODRpSS: SAME PERMIT NO: P 078791 PLAN CHECK NO: N GOVT: N SUPP: N AM. MllN(l ADDRESS: ARCNIfECT OR ENIbNHR: ARCH OR END'S ADDRESS: CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU mm, I JOB DESCRIPTION : C/O DISHWASHER UNIT: CLAIM VALUE: CALC—VALUE: coimiACTLIWSNAME NOCK PLUMBING (714)895-1246 catmt DRsmmm 11610 SEABOARD CIR ADDRESS STANTON CA uc.w-. 511971 90680 uNT: LICENSED COW RACTORS DECLARATION: I Mmby affirm uMer penalty of perjury Nat I em Beamed u Wowi«u of Cheptr S (mmmend,q wkh Section 7000) d Division 3 of IM Budnesa erd Pmlmeioro Code, end my Iio r is in fu0 tarp end dlad. Crlruc.NO.:05 386 u"`CAss: C-36 uc`'1105 1971 EXP: 02/97 OWNER BUIL;(R DEC RATION: I Mreby affirm under Penalty of penury that I end exempt hard IM cppt a m U. Lew f« du }j,,jj'?olowktb neeon (Se ion 7031.5 Bushes rd Pmfemions Cade: AW City or county which reRdree a permit to MuauM. as«, impraa. '` y icen»d pur sM mei t M apy w re. prior A atlr 0 1Mm L� Uww (CChhWw 9 (ad oen�d a Iw hh Sadfile a vtn�0)ad tOr vl 3 of ft s�:rairum ant Rdemone Code) or thel M or she is ...pi therdfmm nd the bmis for tM Wk W mamplon, A, vultlon of Semon 7031.5 by cry apptipnt for a pe nNj tM applicant to a dvlt prely of m mon 1h 1Na hundred do0ere (SSOOD. ❑ I, m ow pr of IM property or M emptoyaes wlh wapm as lMi ede mmPenaeton, mH do tMw ,«dN eWchm is not in M molr Wsale(Smoo 70 ,Business and Pmfineom Cant: TM COntndo,a Lorne Law door not apply to anowrw of prop" wM beide «knPresm threes, rld w1n does sed, work Idmsdl «MnN «tivor,� he «Mown ampbvem, pesdded IM aunt tmpresrneeae are not inle W or dlred for aab. S, Mwev«,1M buildim or in«ww is add w tho one yaea of oompleaion, IM o r-0uCder wil have tM b of pray n M or ell did nd build «impress for the puryrse of e ). ❑ 1, m ower of tM proprry. art mdudv* pmnrM with icapad canommne to oorm t du prgerd (Sw'vna B,sklme nd Pmfami«r Code: TM Cptmdore L . Lew dose M appy to p ower d pryeny w o MOM « impresm t7Wa,hea;-. and M,o cantrxM fpr �pngm v a oorera to(e) Raped pu to the CantrM«s Limwe Lew). ❑ I ant --pt ohm Semen: S. A P.C., for IN. rsaaan: Data: Owner: 1 do hwaby ortiy that I em awre d ant undreved the nquinm«m d CeDomie Ileebh end Belly COM Sadbm P3503, ?3533. ead ]SS3a, erld dud I or r Men bild4p omryra Wl I Al ,wt (circle op) ped to c«nply wih taid pate codec and IM ,puiramerm for ep«mhi«canslrplon«modifwmion homtM Ai15i ylTnW meM Oistrir. Rmoe Wopp,Wion appimtomen examptt tf p «owso u. Dale: Apdcant: WORKER'S COMPENSATION DECLARATION: I Maby aNvm under pwu y of PwPvy Ore of On b0owip de iioru: ❑ I have ell wil ma'vaen a paificeto d orwnt to setlimun or wvM«s' pmpruabn. n praidad l« ty Swv, 37D0 d tM Leh Cods, l« 1M ped«mres d tlIe wdk for w1id, tlw peps n ivued. haveell wil nusP wodran'm. my ion inaorpp ,mnquiad by Sadiron 3700dtlu Lab«Cant.b1M Iwbrmmoe d1M w«k Ir wfiid, tiva perms a Meed. MY warten' pmPenseaian porcy numM an: tarda GOLDjyl GLE EXPIRES Pdlry NumM MW(_09/01/96 ilda secyipn ped nKK M ornWred t Me Pant b for cos h«drH Boden /5100/ p bm.J ❑ I -.dry Dud o Ots pedpmpe d IM wM far whirl, th'v prmk 6 oc,rad. I ehe0 n,E 0ImApa to tM wod Li mp«tmton Owe d Cafdarlde. ant etpae t jar l0 1M verMe//���/.�/. s Meat' ApplipM: �Wa,ttim: FeNun ro setup wonhwi prrMNtlpn OovarNe Is unlawful, &W alWl set M W/"W ro er4dml PWkW" uld d Snm W m oat ApN thou dolYre (Sf09=1 M ed Wn W me cost of pnrLoruatlon derrnNm m prcr M for m SeCtlp 3M of drs Labor Co*, InlemL end.11omay. fees CMSTRUCTLON LENOINO AGENCY: I Mmby affirm u pmmky d perjt y IMt tM u a prMndon W dt alPay W Ou mrl rat of tM werk for "ioh the peps w ;sued (Sedion 0057. Ci, C). LENDER'S NAME LENDER'S ADDRESS: I curdy Ikea I hew read N apps and state thea Ou eb0.e'vdanrwon is caned. l atpm to comply vdh e0 W and omm y ov lea t ( antseta laws mating to wmm opdrudon andMeby eu... reprmenlw. d lNedry W ell« upon the abessmentoptl pmprry t«'vupatlion p«ppm. RON NOCK 1 P Nemo Ditto: Sgmture d ApPI Mr tl« (51514e.WP) Whlte-&dklip b SddY; Gr .m ; Camry-Appipnl: Phk4W.; Oddemod-Aamm PURPOSE: OTH SQ FT: GROUP OCC: R-3 / COMMENTS: NO OTHER WORK AUTHORIZED BY THIS PERMIT Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 00000000 ZNE: REF NO: PLANNING N TES> TOTAL PAID DUE TOTALS ---- > 8.75 22.00 0,00 30.75 30.75 > REVENUE DIVISION TOTALS--> COLLECTED: 30.75 OVER/SHORT: .00 irk Rf RE iE dE iE iE 1E♦E if 1i d61E Si*k1F R!♦E SE ii 1E IS RS di ii iFkif ii ii iE *1E it it RE ii iE SE iE*1E RE RE Rl SE*irk**1E kiE dE RE Sk RE SE 4RE dE 1E iE 1E dE *iE dF 1F RE RE RE RE RE**irk RE D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY BUILDING APPROVED BY : DATE: DATE: APPLICATION ISSUED BY: DATE: ^ Z 6^9 6 iE iE SE*dE dE'If SE dE *RE RE ♦E IE SE Si RE iE dE dE SE d! irk**RE dE 1E SE 1F RFfF 1E dE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 8.75 25% SMIP/NON—RES PLAN ISSUE FEE 22.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 8.75 22.00 0,00 30.75 30.75 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 30.75 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 30.75 *dE irk if df iidt firth di irk*iE it yE Rt Ri itiE iikii**RF it fir ii dE*ii Ri Re iE**dE*cit Rt irk RF RF Rt cit ii yi fir RE+idtii iEdtk*irk RittRt iS iikfir***iE it iF iE lE 1E iE RS 1E Ri** I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 DISHWASHER 8.75 8.75 END OF FEES EXPIRED DATE G� j/� ��----� � � " CONSTRUCTION AND PLANNIJG 4 APPROVALS Permit # Date _ Inspector POC SPA APPROVALS Permit # - Date Inspector �. 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 ConduitrSJndrgrnd. 55, Electrical Bonding f ,5. Steel Reinforcement_ - I 56. Rough Plumbing & Pressure Test 6. Electrical UFER G1nd. 57. APPROVAL TO COVER-GUNITE _ - 7. Footings -C 58. Electrical Conduit-Undrgrnd. ' 8. Foundation_ - - 59. Gas Pipe, ❑ Uridrgrnd., Test -9. Water Pipe-Undrgtnd. - 60. Backwash Lines, P -Trap, OUndirgrnd. 10. Structural Floor System I 61. APPROVAL TU DECK 11. Property Sewer Line & House Con ection 62. Backwash &-Reoeptor•Final ( 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Finat - 14. Rough Plumbing 65: Electrical -Final 15. Rough Electrical= Conduit 66. Solar System -Final .I 16. Rough Electric Wiring -� 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOB'PLASTERING 18. Rough ElectricakT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - .Permit # a _- 20. Rough FactotY Fireplace - - <, = a .APPROVALS- 21. Ducts, in Str;ur� ";1" _ -_ 70."Underground Hpdro 22. Ducts, Ventilgting - ,� _ x :. 71. ProductEiping-O:Gas El Oil 23. Gas Pi peTiough &'Test x ._ 72. Underground Flush 24, Roof, FaminQ., '_ - - 78. Undergrnd. Storage Tank O Ga' e O.Oil 25. Roof Sheathing s `,; L �' _ 74', Overhead Hydro 26. T-BaFCeiling (Stri+"`ctural) & Flonocoat ., r 75. Dry Chemical t - r - _n 27. Frame and Flashin - ^ r - 76. Dry Stapdpipe 28. "Lathing & Siding ^;. ;, - -- _ ;: ;- 7Y. FIXED 8YSTEtvtRINAL a i may. 29. Insulation , �. •- '- '- - a 78, FIRE.PREV. FINAL • 30. Drywall [Jailing r,-. • J _ -. HEALTH DEPT_REOUIREMENT - 31. Plaster Mown Co@t-n 79. 'FINAL INSPECT -ION - 32. Electrical Power Meter Final 80: FOOD CERTIFICATE ISSUED 33. final Electric' C+ Notes:- ` " 34. Final.HeatinA ATT �ahiLaionigg�_ I- 35. rEinal Gas PipLiTest > _ - 36. Hood'or Canopy - 37. Final Factory Firelace' _ - 38. Final.Plumbing - "- - 39. Wate{Ser vice- Final r - 40. Gas Service -Final • ., - _ 41. Solar Domestic -Final - 42. Backflow Preventer" 43. Backflow Irrigation - 44. Landscape Irrigation System 45. Sound Attenuationx 46. -Handicap Regulations 47. FINAL STRLJCTURE & BUILDING _ r 48..FINAL PLANNING,, 49. Electric Release to Edison 50. Gas Release to Soutfiern California Gas Co - 51. CERTIFICATE OF OCCUPANCY- No Date - Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESAP IT IT�+� TRACT NO. LOT NO. BLDG. NO. .CONSTRUCTION PERMIT 7O Sb C-% TYPE OF CONSTRUCTION A NEW ❑ ADD El ALTERATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ❑ OTHER 0406 6/3.0/82 ,375.47 ZONING REGULATIONS Project Address G7 /SL ,e5iA) g Owner /,4n (210 Phone -Tj3H Address �Q Of- 2/c);cr 6. Arch/Eng. C>"r'/G n IjS License No. DUCRIPTION OF WORK A.R. '� — Address 53�C Qe7l)/� -b - (�� ZONE PLNG. REF. $ Contractor (,l,Fs�(ry (D�,J,yr Phone 63/-e13Z- TYPE OF PERMIT SETBACKC T. TOBLDINC PRO PEVIRTV LINE Address. -Wo (X, /gJ/Jzt.<,-r-, -A - ❑ GRADING ❑ FOUNDATION STRUCTURAL ID YARD / '❑ TENANT.0 ELECTRICAL ❑PLUMBING ❑MECHANICA SIED Y ./( LICENSED CONTRACTOR DECLARATION- I hereby affirm that 1 am licensed under provisions of Charter 9 (com- _ RIGHT mencing with Section 7000) of Dlvi Sion 3 of the Business and ❑ OTHER - ProfesSlons Code, d my license IS In full force a tl effect. (,r REAR YARD (TO P/L) _ - L-> ��11 PROJECT DE CRI TION LlceP•^�e•c• License .1�- /J GAQ O' FT' T ` PKC. SPACE REO. - ` ROVIDED r Date Signature _ - STREET WIDTH -1 -- PARK FEE $ WORKERS' COMPENSATION DE AR N 1 hereby affirm that I have a certificate of consent to self -Insure or a r� CCVPANCV RUCTION TYPE -V(/ALUATION ZONE ZONING APPROV D E certificate of Workers' Compensation Insurance, or a certified copy r• _ - thereof (Section 3800, Lab. C.). GRADING CU. YDS. ACRES SPECIAL CONDI I NS: policy NO. t Company Certified copy is hereby furnished. 1• REMARKS: A1/ ' El Certified copy is filed with the City Building Division. _// HOLD COD S'DC(9if REQUM 175 EXEMPTION FROM WORKERS' COMPENSATION DECLARATION �F C A 54VSfib +W�(V SEWIisa. This section need not be completed if the permit Is for one hundred O 77 .� $100 or le s c¢rLfy that n the performance of the work for which this permit Is PLUMBING PLAN CHECK - ELECTRICAL - PLAN CHECK Issued; I shall not employ any person In any manner so as t0 become subje t to the WodserS Compensatio ws of California.' BATHTUBS -SHOWERS LINU SQ- FT - Date Signature NOTICE: If after making this declar6jion,VR shout become subject TOILETS URINALS - - - . GENERATOR 0-1 KW_ 1-10 KW - to the Workers' Compensation proviseons of the Labor Cotle, you must TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS - APPLIANCE 10-50 KW— 50 + KW revoked. KIT. SINKS -DISHWASHERS - -MOTORS 0-1 HP -1-10 HP CONSTRUCTION LENDING AGENCY '- ' - I hereby affirm,that there Is a construction lending agency -,for the per. SERVICE SIN S - -' (INC. SOLAR) HP 50 + HP formance ot.'the�work far whicti t Is permit }}�� Issuetl+ Section 3097 s 'SUMPS ,10-50 Civ. C.). \- i.'l K -;'^_ �,. FF LOOR SIfJKS�y- - FLOOR DRAINS `s - FIXTURES OUTLETS SWITCHES LentlerJs Name lll/.✓J 11JJ - - ' LenEer's Atltlres,— ate% - Q DRINKING'FOVNTAI_NS GAS TUBE SIGNS - - OWNERBUILDER.DECLARATION I hereby affirm that I am exempt from the Contractor'S;License Law -.for INTERCEPTOR$ CLARIFIERS p„ f- - / POLE LIGHTS. - - - ' the following reason (Section•7031.5. Business -and Professions Code: POOL-^ l PTRAP -POLES - Any city or, county. which requires a permit.,to construct, alter, `SWIMMING ' METERED SUB •,WATER SERVICE " 'ALTERATION - - .PANELS MAIN SUB.. Improve, demolish or repair any structure, prior'to its issuance, alcove- quires the ap,licant for such permit to file a signed statement that he . GAS SERVICE OUTLETS - - -SERV ICE '_ AMP Is licensed Pursuant to the provisions Of the Contractor's. License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the - __ - ' Business and-Pro4essions Code) or that he Is exempt therefrom and the WATER HEATERS --BTU OUTPUT - - �asis for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS - -- ---. - - V applicant for a permit subjects the applicant toa civil penalty- not more than five hundred dollars ($500). - -SOLAR TANK - - COLLECTORS J 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Section 7044, -Business -and Professions Code: The SOLAR PIPING SYS. - - - 1 ISSUE FEE - - - - -- - Contractor's License Law does not apply to an Owner of a property ISSUE FEE - - APPLICATION APPROVED BY _ - OAT who builds or -Improves thereon, and who does such work himself or through his own employees, Provided that such Improvements are not MECHANICAL PLAN CHECK' - RV OF'FEES Intended or -offered for sale. If, however, the building or improvement - is sold within one year of completion, the owner will have the burden ofproving he did not bulb or improve for the purpose of sal¢). - )S�UMMA - 'BUILDING _O ❑-1, as..owner of property„am exclusively contracting with HEATING SYSTEM 0-100,000 BTU PERMIT E _ �( ,� SMIP $ -7-� -the licensed contractors to construct the project (Section 7044, Business- AND DUCTING _ 100,000.+BTU _ I PLAN CHECK .E _ PERMIT - and Professions Code: The Contractor's License Law does not apply to _ ISSUANCE'' $ - an owner Of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU _ PLUMBINGE - -- ”- - tracts -from such .projects with a contractor(s)_ Ilcesned. pursuant to_ - SYSTEM _ 'GRADING-' $ the Contractor's License Law). 100,000+BTU -- c - '•PLANCHECK- $ ❑ I am exempt under Section B. &-P. C. -for -this - -- E _ . BOILERS BTU r 'ELECTRICAL E - reason .,u SYSTEM REPAIR, ALTERATION' - - PLAN.CHECK E MICROFILM'S Date Owner _ _ _ - MECHANICAL -E TOTAL FEE $ I hereby certify that 1 have read this application and state that the above EXHAUST SYSTEM MULTIPLE - LESSAD- Information is correct. f agree to comply with all cit g p y city -and _ _ .PLAN CHECK S - VANCE PC $ and state laws relating to construction, and hereby authorize authorize _ repres nta representatives of t is <i to enter u on the above mentioned property s s. - - - 37S �f7 r� L Signature DateG� Y '" - ISSUE FEEll.�/G/ _ /���/gI �/�� R ,/ #JJ S 3 FINAL FEE $ Drivers"Lie ns � �' - CMF 0865.46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor I M -J CONSTRUCTION AND PLANNING APPROVALS Permit # U �d Date ! + ' Inspector - , POOL & SPA , 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 ein orce - - .. _ 47. Rough Plumbin 6 & pressure Test. -- - - - - - - 6. - Electrical UFER Gro 48. - APPROVALTO COVER-GUNITE''- . -.7.. Footings 49. Electrical Conduit-Undr rn --8. ; Foundation- - - �- •-_ S - - 50. r : Gas Pipe, ❑ Undr rn, Test 9. -Water Pipe-Undrgrn - - - - . - " \ • - 5.1.. -_ backwash Lines P-Tra -❑ Uncfrarn_ 10. Structural FloorSystem.. `' 52.' .APPROVAL TO DECK P+1--Property Sewer Line•&.HouserConnection_ -- - --- 53: -'backwash,&•Rece tot-Final, '- 12:- Street Sewer Connection-- - - • v- -- - " - -- - - - ' '" - 54. 'Heater &'Vent-Final' - 13. Rough:Plumbing - - Final 14. Rough,El;o' i 0,1C. Xt•j? k1jurt 56. " Electrical-Final 15. Rough Electric-Wiring -' - - ' - - ' " 57: - Solar System-Final - - - - 16.- Rough Heating & Air Conditioning' - - - . Fencing-& Access-Approval - 17. -Ducts, in Structure - - - - - - - - -59. APPROVED FOR PLASTERING- ' 18. Ducts,'Ventilating- - 60. - POOUSPA SYSTEMS FINAL' - - - - --, - 19. Gas Pipe-Rough & Test -- - - 20:--Roof Framing - - - - -- - - - - 21. Roof Sheathing- -- �. i,o- =Ix- NOTES'- ' 22. Frame and Flashing - -- - - y-_ _ 3-- - 23. Insulationey -Ta- 24. Lathing & Siding -- - - - - - - - - - - - ' 25. Drywall Nailing 26. - Plaster Brown Coat - - -- - - - - 27! - Electrical Power Meter-Final - - -- • - -- - - --- - ' 28." Final Electric 29. Final -Heating& Air Conditioning - - - -- - - -- - - - - ' 30. Final Gas.Pipe-Test- ' 31: - Final lPlumbing - - -- - - - - - - - ' -32. , Water Service-Final _ -•- - ------'-- - - 33.`•• "Gas Service-Final ° - - - - - -- - - -- - - 34. Solar Domestic-Final 35. Landsca re Sprinkling System i 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING --39�-- Special -Requirements Completed- ----- -raj- VS G- - ----- - --- -- -_---- - "------ ---" _----- - 40. Electric Release to Edison ^ ' 41. Gas Release to Southern California Gas Co. _ 42...CERTIFICATE OF OCCUPANCY No.-_-'' Date ; - - Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA - pea O - TRACT NO. LOT NO. BLDG. NO. - - �ifT l'' '� •�/?I I i•' = ��., CONSTRUCTION PERMIT TYPE OF CONSTRUCTION NEW O ADD O ALTERATION- - O REPAIR O CONVERSION ❑DEMOLISH, O OTHER - • - - - - '- ZONING REGULATION'S - Project Address-�(fp Owner `yam Phone Address -• No. Arch/Eng. - - - - License - - DESCRIPTION OF WORK - - - _ A.P. ]F ' ZONE - PLNrGp. Address"' - • - " - - - 'Contractor sG ;� 6 1/.• hone / Eor, PERMIT,- ': _ -'- - `- '� GRADING ,'❑ FOUNDATION - O STR�pU��pp,������C((((((TURAL O TENANT O ELECTRICAL OPLUMBING� ECHANICA --- SETBACK LST. 9LIOE YARD - SIEEpFE YARD- - - gRtE�F.,gp PROPEIRTOVNUNE ' - - - Address `-' -- -- LICENSED. CONTRACTOR DECLARATION - that I licensed of Charter 9 I hereby affirm am under provisions (com- mencing -with sectio 7000) of , Division 3 of the Business and ., / O OTHER ' RIGHT .. - Professions Code,', tl blcense ii In idl force ian�ffect REAR YARD (TO P/L) (Y[ PROJECT DESCRIPTION - Viz// Lltense Class ice N - - - -- " PKG. SPACE RED. PROVIDED -' Date Signature - - r -SC. FT. - _- - 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 - DATE - - certificate -of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. CJ. GRADING CU. YDS. ACRES SPECIAL CONDITIONS: blicy No. _- - Company - - - _ _ . - - - -3 Certlfie0,copy Is hereby -furnished. • _ - .-. . I REMARKS: I O Certified copy Is filed with the city Building Division. _ - EXEMPTION'FROM WORKERS' COMPENSATION DECLARATION - (This Section need not be completed if the. permit Is for one hundred or less). •Is SE100, certify that in the -performance of the ork r w 'ch this per mit _ Issued, I shall not employ any person ' an an t --PLUMBING - "' ". PLAN CHECK' '.ELECTRICAL - PLAN CHECK -- sub jecl to the Workers' Compensati ws BATHTUBS -"- SHOWERS •'- - Date�n �tb-y�iignature NOTICE: If after making this de laration, You Should IwComse s ject -TOILETS - ,URINALS ' ' ' " - 'GENERATOR- `0.1 -KW_ 1-10 KW - to the Workers' Compensation provisions of the Labor Code, you must - TRANSFORMER _ - forthwith comply with such provisions or this permit shall be deemed LAVATORIES" DOUBLE'LAVS- _ --•- APPLIANCE-'-- 30.50 KW_50 +-KW 7- - revoked., - _ _ CONSTRUCTION LENDING AGENCY KIT. SINKS - DISHWASHERS-- •• '^ "'MOTORS• 0-1-HP_3-30 HP- I hereby affirm that there i5 a construction lending agency for the per. SERVICE SINKS SUMPS' _.. _, .._ (INC. SOLAR) - 10 -50 HP -�H- y - P formance of the work for Which this permit is issued (Section 3097 -FLOOR'SINKS - FLOOR'DRAINS 'FIXTURES ''-OUTLETS 'SWITCHES, - Civ. C.).'- - -- - '-^ •'• -- ^" Lender's Name Lender's Address DRINKING FOUNTAINS— "' - GAS'TUBE SIGNS - OWNER BUILDER DECLARATION- ECLARATION INTERCEPTORS CLARIFIERS " POLE LIGHTS - . I hereby affirm that I am exempt from the Contractor's License Law for hereby SWIMMING POOL "--'P TRAP'S 'POLES - •^ - the -following reason -(Section 7031.5 Business-and-professions•Code: Any city or county which requires a permit to construct, alter, METERED SUB WATER SERVICE" ALTERATION- PANELS - Improve; -demolish or repair any structure; prior to its issuance, -also re- quires the ap,.11canl for such permit to file a signed statement that h¢ OUTLETS_— -SERVICE-- -AMP-------' - Is-licensed-"rsuant-to the provisions of the Contractor's-License-Law--GAS-SERVICE (Chapter 9 (commencing With Section 7000) of Division 3 of the - WATEWHEATERS' _ 'BTU OUTPUT �-' _ :. r4 -- - '- •- - - - - - - - Rusi n ass ano Professions Code)orthat he is a xe mot• t here f rom and the -is for the alleged exemption. Any violation of Section 7031.5 by SEWER'CONNECTIONSnot applicant -for a permit- subjects the applicant to a•civil Penalty more than five hundred dollars ($500). • t' 'SOLAR'TANK ----COLLECTORS'-�' �""' -' -' - �' — -- - - •- -- - -' - O.1; as owner of the property, or'my employees'wilh wages as their sole and the structure is not Intended sole compensation, will do the work, ss e: or offered for sale. (Section 7044, Busineantl Professions CotlThe _ _ SOLAR PIPING SVS ' -.I - -" - -- "'� ISSUE FEE' ' '• "' - - _ -'- '- - -- Contractor's License Law does not apply to an owner of a property -ISSUE FEE'- - .I - - -' ' - ,gPPLICATION APPROVED BY - DATE who builds or improves thereon, antl who does such work himself or through his own employees, provided that such improvements are not _ _ _ MECHANICALPLAN CHECK _ SUMMARY OF' Intended or offered for sale. If, however, the building or Improvement' Is sold within one year of completion, the owner will have the burden of- proving -he-did not'-ouild or improve for the -purpose "of sale).- 'BUILDING- .FEES_. OI,-as%owner--of- the- property, . am. exclusively . contracting. with HEATING SYSTEM 0-100,0008TU PERMIT $ SMIP': licensed contractors to construct the project (Section ]044, Business _ AND DUCTING- 100,000 i BTU PLAN CHECK $ PERMIT, and professions-Code:•The-Contractor's License L3w.does not apply to- ISSUANCE E - owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU .PLUMBING E [' tracts from such e th-a..contractor(s) Iiceined. pursuant to tracts -SYSTEM - - - - - ... _ GRADING "S the Contractor's License Law). 106,0001 BTU PLAN CHECK E 11 -ram exempt under Section- -^- -" - - "B: 8 P: C. for this BOILERS BTU 1 ELECTRICAL - S - _ - $ , reason- -- - - - -- - SYSTEM REPAIR, ,PLAN CHECK 'S -MICRQFILM $, Dale Owner ALTERATION � TOTAL FEE E I hereby cert' fyth rl have read this applita[ion and state that the above to EXHAUST SYSTEM MULTIPLE t MECHA NICAL'S LESS AD- D- •' - Information is c recl'. I' agree [o co mply'wit h"aIl city and county PLAN CHECK $ - VANCE PC' E ordinances and s le le lati t on antl hereby authorize _ retire an tativ of n e ¢ntfonetl' property tons n pjyy Signa I Dale O' _ ,.\ ISSUE FEE- .r- ' " FINAL FEE $ c•L.L Drivers. r - - - Driver'' Licenieor � CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor 71 M 14. Rough Electric -Conduit -56: --Electrical-Final - - - 15. Rough Electric -Wiring - - --- - 57. -Solar System -Final - - 16. Rough Heating & Air Conditioning -_-- -- - encing & Access Approval dint= jr- 17. Ducts in Structure APPROVED FOR PLASTERING ;`,';•...'; 18. 19: 20. Ducts, Ventilating i Gas Pipe-Rough&Test -Roof Framing _ -- 60.. POOL/SPA SYSTEMS FINAL'.", - - - _ 21: -22. Roof Sheathing` ' Frame and Flashing. --'-- ----�� •' - • NOTES: '' n 23. Insulation - - - - - - - 24. Lathing & Siding- 25: Drywall -Nailing 26: - Plaster Brown Coat - - - 27. Electrical Power Meter -Final ! -• - - - • 28. Final Electric - - 29. Final Heating & Air -Conditioning. - 30. Final Gas Pipe -Test 31.: - Final Plumbing _ - • 32.' Water Service -Final- - - -- I. ' 33.• `Gas Service -Final- �. 34. Solar Domestic -Final 35. Landscape Sprinkling System _ ' 36. Sound Attenuation I 37. Handicap Regulations - 38. FINAL STRUCTURE & BUILDING ` P 40. Electric Release to Edison -- ' 41. Gas Release to.Southern California 42. CERTIFICATE OF OCCUPANCY ' Nod Date Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA -MESA PERMIT NO. TRACT NO. LOT NO:". 'BLDG. Np. CONSTRUCTION PERMIT Sa '"/ OF CONSTRUCTION •I KNEW - O ADD' O ALTERATION - ❑-REPAIR ❑CONVERSION ❑DEMOLISH �y� . -' - I C/71' l l" "' 7,'i Project Address,TYPE 'Owner ,i, Phone G3 (jj Address - ❑'OTHER ZONING REGULATIONS' - - Licen 'No. -Arch/Eng. DESCRIPTION OF WORK - TYPE OF PERMIT _ GRADING-❑ "FOUNDATION -❑ STRUCTURAL " ' O TENANT EI -ELECTRICAL OPLUMBING MECHANICAL A.P. _ ZONE PLNTGO. RglE�F. p� BUILDNG SETBAC L T. 7ROPEIRT VNLINE ' SID YARD - Lg DEV ` - _ _ _ .Address ,Contractor ' Phon Address LICENSED CONTRACTOR DECLARATION licented 9 I hereby affirm that,I am under provisions of Charter (com-. 7000) Division 3 the Business and - _ -O OTHER-- - - RIGHT mencing- with" section of of Professions Code, . d my license is In full forte and if 'LicenseN PROJECT DESCRIPTION 'REAR YARD (TO P/L) - ` _ License asyl �'� 2 9 - PKG. SPACE REQ. PROVIDED, Dates Signatur¢ SQ: FT.'- ' STREET WIDTH PARK FEE $,- 5• WOR ER COMPENSATION DECLARATION -- - - -OCCUPANCY=CONSTRUCTION TYPE. I hereby affirm that 1 have a certificate of consent to self-insure,or a ) VALUATION - ZONE ZONING APPROVED BY certificate of Workers' Compensation Insu�r ce; -.or a certifletl copy - SPECIAL CONDITIONS: thereof (Section 3800, La C.), //��aa{{�� , GRAOING:CU..YDS. ACRES ^ lIcY No Y?-s7�1/ 7CompanY H.C%17N,/�". � .. - Certifiedcopyis- hereb y T urn i shed.- - --'�` '-REMARKS: copy Is filed with the city Building Division. - ``Certified •ENMPTION'FROM WORKERS' COMPENSATION DECLARATION 4110 45 (,This section need not becompleted if the.permit is for one hundred '($100) or less): 'I -cert ty that in the performance.of the work for which this permit Is - I ._ - ..-_.-.. issued I shall not employ any person in any mann r so a to become : PLUMBING i - PLAN CHECK '•' ELECTRICAL PLAN - CHECK - r subject to he orkers Compensation La of- 1 rnia. _. _ .Date Signature - _ _ BATHTUBS SHOWERS .. _ ... ...- - NOTIC : If after making this tleclaratlon, you sh become subject the Workers' Compensation the Code, TOILETS. i URINALS - 'GENERATOR'- '0-1 KW_1 TRANSFORMER 30 KW to provisions of or you must 'forthwith comply with such provisions or this permit shall be deemed _ �._. ._ LAVATORIES DOUBLE LAYS- 'APPLIANCE 10-50'KW=50 - + KW - -revoked. . .1 - - - _ �_ - '.CONSTRUCTION LENDING AGENCY ._� - - KIT. SINKS DISHWASHERS MOTORS 0-1 HP_1-30 HP 1 hereby affirm that there is a construction lending agency for the per- SERVICE SINKS -sumps - '- " ~( '(INC: SOLAR)•- -10-50 HP_- 50'+ HP ,- formance of the yvprk for, which this permit is issued (Section -/J,� FLOOR SINKS - FLOOR DRAINS FIXTURES' - -OUTLETS SWITCHES _3097 Civ. C.). /% T7�� !/ 'Lender's•Name -Tl li Lender's Address Or.a-��f ✓h- /i- DRINKING FOUNTAINS - - 'GAS TUBE'SIGNS INTERCEPTORS CLARIFIERS POLE LIGHTS .OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for SWIMMING POOL PTRAP - --. POLES METERED SUB' the following reason (Section -7031:5 -Business and Professions -Code: ' Anyrocity or county which requires_ a permit to construct, alter, WATER SERVICE ALTERATION PANELS - MAIN - -SUB - impve, demolish or repairanystructure, prior to its Issuance, also re- quires the applicant for such permit to file a Signed statement that he -GAS SERVICE - OUTLETS SERVICE Is licensed Pursuant to the provisions -of the Contractor's-License'Law' (Chapter 9 (commencing with Section 7000) of Division 3 of the EATERS BTU OUTPUT; - •_ �- -�' - Business and Professions Code) or that'he is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by applicant for a`permit subjects the applicant to a civil penaltyNNECTIONS- rt more than five-huntlred dollars ($500). -COLLECTORS ___-_as '�" - - owner of the property, or my employees with wages as theirNK solecompensation, will do the work, antl the structure Is not intentletlor offered for Sale. (Section 7044, Business antl Professions Code: ThePING PANK SYS. ISSUE FEE Contractor's -License Law tloes not apply to an owner of a property builds or improves thereon, and who tloes such work himself' orFEEthrough -"APPLICATION APPROVED BVwho his own employees, Provided That such improvements are -not PLAN CHECK SUMMARY OF FEES intentletl or offered for sale. If, however, the building or improvementICAL is sold within -one year of completion, the owner will have the burden BUILDING_ '�S1, of proving he did not build or Improve for the purpose of sale). SYSTEM 0-100,000 BTU PERMIT S SMTP .ai owner- of the -property;-am-exclusivelY- contracting'withAND _ _ DUCTING _ - ' -.1"s licensed contractors to construct the project (Section 7044, Business 100,000 + BTU PLAN CHECK $ 'PERMIT J and Professions Code: The Contractor's LicenseLawdoes'not apply to - -" -' - " ""' ISSUANCE $ ' an owner of property who builds or improves thereon, and who con- REFRIGERATION_ 0-100,000 BTU PLUMBING $_ .�� tracts from such -projects - with -a contractor(s) llcesned pursuant 'to _ SYSTEM _ -- GRADING` $" the Contractor's License Law). 100, 000+BTU PLAN CHECK S' O 1 am exempt under Section - B. & P. C. for this BOILERS BTU ELECTRICAL $ -: •e. - f -' - SYSTEM REPAIR, ALTERATION - - - - - - - - -- EXHAUST SVSTE MULTIPLE _ - $ UG"_-- MECHANICAL MECHANICAL $ ?_LESS _ -CHECKS MICROFILM $ ..'TOTAL FEE '$ ` -�:VANCEA6- Date � -- - � - -' Owner- -- - � - - Date I herebycertify that I have read this application and.state that the above Y PP information is correct. I agree to comply with all city and county _ _ - PLAN , VANCE PC $, construction, and hereby authorize ordinances and state laws relat to representatives of is c/1it��/p ¢/iter upon the above mentioned i`c.. lon/W�, �7 U property for..ins ! ?J/Ld� /b Signature •((JJ ISSUE FEE _ Drivers' License or SS $ CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor T I - r `- •. 1 tr. •. .1...11 rJ '" CONSTRUCTION AND PLANNING APPROVALS Permit # i%%5,7 Date t I POOL" & SPA InspeM6r:: -' -- APPROVALS Permit # .. .!_: 'Date :. `1lnspector`: _ ._ +•. .. ,. , 1. Temporary Electrical Service or Pole + X43. Pool &Equipment Loratiori�''- -- - _ - - -- - =�. "1\�• ' 2. Soil Pipe_Undrgrn, - . Steel ReinforcementR '•�-- =- • - - -- - • - � � `=' - "• `: �_ ., lectrical Conduit Utility-Undrgrn '' 45: Forms - ! -4.-Electri-cal Conduit•Undrgrn _ _ _ _ - .._ _ - 46. Electrical Bonding" 5. Steel em orce 47. Rough Plumbin '& Pressure -Tei? . L_ ` + 6. Electrical LIFER Grn _ - - - - ; """ 48: APPROVAL TO COVER1iUNkTE,� '`� n =' �� ``� �' ` '= -! '_" i 7. ootings- -" "' 49." Electrical Conduit•Uhdr rn- r , .-8. -Foundation _ _ _ - _ _ - - -- - - - -' - 50. -,,Gas Pipe ❑ Undr m, Test � • - - " J.' Water Pipe-Undrgrn _ _ 51. Backwash Lines P- ra `0 rill ' 10. _Structural-FlooiSystem_ _ 52. APPROVAL.TODECK- ' ( 11. Property Sewer Line & House C6hnectiori'"''•'" ' u _ _ 53. Backwash &.Rete for -Final • •' r 12. _Street Sewer Connection 54._. Heater &Vent -Final + 13. Rough Plumbing - - 14. Rough Electric -Conduit - - - --•-- 56.-- Electrical -Final ' 15: -`Rough Electric -Wring "' - -"'-" --' -" - r -- - --- -- - - 57.= -Solar System -Final - '' •'' ' • • tom•' - - .. _ .. .. ' 1-=16. =Rough".Heating,& Air "Conditioning:- : - "-c .i- -. --." --- - -_ - - - •_ - encing & Access Approval 1.17.L_Ducts'in.Str6dfure_ " " APPROVED FOR PLASTERING --18.1 Ducts: -Ventilating 19.- Gas Pipe-Rough-&Te'st - ,. �.-20.!_ -Roof-Framing'- _ _ 60. POOL/SPA SYSTEMS FINAL ;1,ti t\ 1N �• 21.1 RoofSheathin"'" -_ '_22.!_Frameand:Flashin ."._'.: , t --_I„ "`" -1 _.. 9 NOTES:_' : -. 2. o - _ _ _ ',,. ',' .,, �. :,; v•, `• ; ; 1 -"23.1 -.Insulation__' -- -». - i t ,. .w•� ra. ` �.r \...r:•,a+\\ _`\\ _ ._24.:_ Lathin .&.Siding- -- _ - -. `_ _ .._ _ '.._- --- -- _ ,." •' ". _:`'r1 }>t _.'�.', -.�.,�.- .. •• _�l . La i 25.' _Drywall Nailing _ - J1 It ' • '' ,"' -26.1-.Plaster Brown Coat --_-' _- ""• 27: Electrical Power_Meter-Final'`'__'._ - - -% --- _ •" t;. _'+ .; 28.._.Final.Electric. _ •,- .;r: , ,' ' -29.x_ Final Heating A -",irr6W*tmrn � ,. ••. I-30.' .Final.Gas.Piipe-Test----. _. .. --- ... _ - - L31. - Final Plumbing--- I .• 1 322_ Water IService-Final .. _ _ :33:.,_Gas•Service-F.iriaL_ - - - - - -- - - • • •- • 34. Solar Domestic --Final v: •, i r ° ,,. - .. , . • . , 1 35. - Landscape Sprinkling System 36. Sound Attenuation 1 37. Handicap Regulations _ _ - "" • - +-38.- FINAL STRUCTURE & BUILDING .. ' 39. Special Requirements Completed-------•------- ' 40. Electric Release to Edison ., _ - • 1 , "-' - - - ' - - --- - - ---- 41. Gas Release to Southern California Gas Co'." - 142. CERTIFICATE OF OCCUPANCY JNo Date 1-' -- .L- _ -t< �C •.\`. < Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PER IT NIP. TRACT NO. LOT NO. BLDG. NO. CONSTRUCTION PERMIT C- TYPE OF CONSTRUCTION NEW ❑ ADD ❑ ALTERATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH _11D ❑ OTHER DESCRIPTION OF WORK TYPE OF PERMIT I] GRADING .❑ FOUNDATION ❑ STRUCTURAL ❑ TENANT ELECTRICAL ❑PLUMBING ❑MECHANIC - • ' , ❑OTHER - - - - PROJECT -DESCRIPTION SQ: FT. OCCUPANCY_ CONST RUCTION TYPE -VALUATION ZONE - - -- GRADING CV. YDS. ACRES REMARKS: -- 0609 ]/() /132 3]•�2 - A P ZONING REGULATIONS ZONE PLNG. REF. 'Jr BUILDING SETBACK T. I ING I YARD PR�ERT V"LINE ' 9I Y -- - RIGHT. - - - -- - - REAR YARD (TO P/L) _ PKG SPACE REQ. PROVIDED. , - _STREET WIDTH PARK FEE E _ ZONING -APPROVED BY -DATE- " SPECIAL CONDITIONS: ...... , Project Address 2,620 0 _ / OWner J' Phone egl 4/5:Z20 Address /% L. Q KT 'Arch/Eng. if aA gSLicense No. Address iI 6 Contractor (�' .1/ Phon� s ,'Address s LICENSED CONTRACTOR DECLARATION - I hereby affirm lhzt I am licensed under provisions of Charter 9 (com-, menCing withsection7000) of Division 3 of the Business and Professlons Code and m license Is in 1 II fort ffe C7(L Cleanse Ddte� / QZ Signature '- �% L07A WORK R COMPENSATION DECLARATION d hereby affirm that I have a certificate of consent to self -Insure or a 'Certificate of Workers' Compensation Insurance, -or -a certified copy ahereof (Section 3800, lab. C.). .11cY No. - Company' =Cert lfietl Copy is hereby furnished. _ .. Certified copy is filed with the city Building Division. MPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the Permit is for one hundred ($3001 or less). a' I cert fy that in the Performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become _ - t; _ t 1 'PLUMBING �� '� PLAN CHECK 1 ELECTRICAL -PLAN CHECK subject to the Workers' Compensation Laws of California. _ . Dale Signature Date NOTICE: If after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must_ forthwith comply with such provisions or this permit shall be deemed _ BATHTUBS .TOILETS �; ), �� LAVATORIES __ - SHOWERS URINALS- ` - - DOUBLE LAYS- - - -" - _ /j GENERATOR- 0-1 KW TRANSFORMER APPLIANCE -30-50'KW^-50 .4— 1-10 KW i +-KW' revoked. _ -. . ' . _ r _ _ __ CONSTRUCTION LENDING AGENCY 'I hereby affirm that there is a construction lending agencyy for the per. formance the work for which this permit Is issued ($action 3097 KIT. SINKS`- SERVICE SINKS DISHWASHERS- .. ,SUMPS - _ _ - - -- MOTORS* 0-1 HP__ UNC: SOLAR) - 0-50 HP=50+ 1 HP - - of Civ: C.): - -- - --- Lender's Name FCOOR SINKS - - FLOOR DRAINS 'FIXTURES - ' OUTLETS-. :SWITCHES Lender's Address DRINKING FOUNTAINS` ,l - �- GAS TUBE SIGNS' -r ,- '•� - INTERCEPTORS CLARIFIERS POLE LIGHTS '.' OWNERBUILDER.DECLARATION I herebyY affirm that I am exempt from the Contractor's License Law for the-totowingreason (Section. 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, alio re- quires the apt-licant for such permit to file a signed statement that he Is licensed pursuant to the provisions of -the Contractor's License Law '1hapter 9 (commencing with Section 7000) of Division 3 of the C P••slness and Prc4mslons Code) or.that he Is'exempt therefrom and the for the alleged exemption. Any violation of Section 7031.5 by SWIMMING POOL- -PTRAP - 'POLES METERED - SUB WATER -SERVICE ALTERATION - PANELS ": MAIN- SUB - - - • - GAS SERVICE OUTLET$ i + K a SERVICE' - AMP Q WATER HEATERS BTU OUTPUT SEWER CONNECTIONS - ,q applicant for a .permit subjects'the applicant to a civil penalty .tot more than five hundred dollars ($500). SOLAR TANK COLLECTORS - - - - ❑ I, as owner of the property, of myem ployees with wages as their sole compensation, 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 who builds or Improves thereon, and who does Such work himself or ISSUE FEE APPLICATION APPROVED BY DATE' through his own employees, provided that.such Improvements are not Intended or offered for sale. If, however, the building or Improvement Is sold within one year of completion, the owner will have the burden of proving he did not bulb or Improve for the purpose of sale). - am exclusive) ❑ n as owner of the property, ti contracting with licensed contractors to construct the project (Section es not apply and Professions Code: The Contractor's License Law does not apply to an owner of properly who builds or Improves thereon, and who con- tracts from such projects with a contractor(s) licesnetl pursuant to the Contractor's License Law). MECHANICAL HEATING SYSTEM _ AND DUCTING REFRIGERATION SYSTEM PLAN CHECK 0-100,000 BTU 100,000'+ BTV 0-100,000 BTU -' - 100,000.+ BTU _ SUMMARY OF FEES ;BUILDING - PERMIT $ _ _ SMIP E, PLAN CHECK E PERMIT - - ISSUANCE $- PLUMBING $ ' - -GRADING .$ -PLAN<HECK S '- 131 am exempt under Section B. 6 P. C. for this reason - BOILERS BTU SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE ��ss ELECTRICAL S��r.,i.I.Q.2 PLAN CHECK $ - MECHANICAL' $ 1 - .PLAN CHECK E � $ _ MICROFILM-$ _ _TOTAL FEES - LESS E P 'YANG$ PC $_ Date Owner I t ma certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state taws relat" q to construction, and hereby authorize , representatives Op }) S) cit enter con the -above enc oned properly for i De 7 6 p. ses. -2' Signature CMF 0865-46 While -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor TL CONSTRUCTION AND PLANNIN? \ - APPROVALS Permit # �/0 I Date Inspector POOL & SPA .. - APPROVALS Permit '# Date Inspector 1. Temporary Electrical Service or Pole 43. --4T Pool & Equipment Location - - . SoilPipe-Undrgrn Steel Reinforcement - - 3. Electrical Conduit Utility -Un rgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - - - 5. Steel ein orce 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings - 49. Electrical Conduit-Undr rn 8. Foundation 50. .Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P - Trap. ❑ Undrqrn 10. Structural Floor System 52. APPROVAL TO DECK - 11. Property Sewer Line & House Connection_ 53. Backwash & Receptor -Final 12. Street Sewer Connection _ 54. Heater & Vent -Final 13. Rough Plumbing ' 14. Rough Electric -Conduit - - 56. Electrical -Final ti 15. Rough Electric -Wiring - - f l - 57. Solar System -Final _ 16. Rough Heating & Air Conditioning 58. Fencing & Access Approval 17.. Ducts in Structure I _ A._ APPROVED FOR PLASTERING ' '18: Ducts, Ventilating 60. POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough'& Test - 20. Roof Framing 21. Roof Sheathing- - 22.. Frame and FlashingNOTES: 23. Insulation 24. Lathing & Siding - - 25. Drywall Nailing _ 26. - Plaster Brown Coat - 27. ,.Electrical Power Meter -Final 28. Final -Electric 29: Final Heating & Air Conditioning . 30! Final Gas Pipe -Test 31. Final Plumbing 32. 'Water Service -Final - - 33. Gas Service -Final 34. Solar Domestic -Final 35. Landscape Sprinkling System - 36.- Sound Attenuation 37. Handicap Regulations - - --- -- - - - - _ 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed- - - -- -- 40. Electric Release to Edison ' 1 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No. Date • Applicant to fill In all spaces within heavy border lines and sign all appropriate declarations. • _ CI -TY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG. NP.. CONSTRUCTION PERMIT - 67 e I / �1 , Il I Project Address � TYPEE CONSTRUCTION LN El ADD ❑ ALTERATION ❑ REPAIR ❑ CONVERSION ❑DEMO`ISH OTHER - t i-' t I 0381 6/30/82 '31 e00 - -^ •= ZONING REGULATIONS ' Owner p— �' Phone - .-Address — - - Arch/Eng: License No. DESCRIPTION OF WORK - - - - _ - I - - A.P. Sys 'ZONE , PLNTGp. REF:9P Address - iIAContractor &K u .+,. Phone TVPE OF PERMIT GRADING, ❑-FOUNDATION /�❑ STRUCTURAL' ❑ TENANT-❑ ELECTRICAL UPCUMBING ❑MECHANICA SETBACK PROPEITVry gRtI7 LGNE - Address -163 47 ryLbAeOL/M'❑ LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions Of Charter 9 (cOm- RIGHT - ;mencingwith section 7000) of Division -3 of the Business and ❑ OTHER - - - - - - 'REAR - - profossions CodJe tl('my If is In f II torte antl of a 1, PROJECT DESCRIPTION YARD (TO P/L) -a License Class `•T I llsofyo. i• SQ. FT. - _ :PKG. SPACE RED. PROVIDED in�341— [i[ i// Date t OCC UPANCV_CONSTRVCT,ION TYPE STREET WIDTH - PARK FEE S - - WORKERS' COMPENSATIONthatIhawaDECLARATION- ofc 1 hereby affirm that 1 have a certificate o/ consent to self -insure Ora of VALUATION ZONE ZONING APPROVED BY., DATE osatlon Insurance or sa certif e, copy certthereofte of Workers' Compensation _ (Sec340@,ldb. j pD_Tf � ,GRADING CU. YDS. ACRES -SPECIAL CONDITIONS: ' `'f'ID�S iL/ I G..IT'P- Policy No. cc mVanY n Co ed copy is -hereby furnished. - - - - -REMARKS: _ - ertifietl copy is filed with the city Building Division. u .I EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need -not, be. completed It -the permit is for one hundred _ __ -. -- —. - ($100) or less). I .. 1 certify that in the performance Of the work for which this, permit' is, issued. I shall not employ any person in any manner so as to'become PLUMBING - ... PLAN CHECK"'- - - _ _ ELECTRICAL -- '• PLAN CHECK - subject to. the Workers Compensation.LawS of California. _ BATHTUBS SHOWERS - -SO _ .Dale Signature FT- NOTICE: If after making this declaration,ou should become subject TOILETS; URINALS — 'GENERATOR '-0-1 KW— 1-10 KW to the Workers' Compensation provisions Orythe Labor Code, you must TRANSFORMER '- forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE'LAVS Z'— .APPLIANCE 10.50 KW=50 + KW revoked. 1 __ _ _ KIT. SINKS --� DISHWASHERS -MOTORS 0-1 HP_1'-10 HP - - CONSTRUCTION LENDING AGENCY !I hereby affirm that there Is a construction lending agency for the per- 'formance the for this Is issued (Section 3097 SERVICE SINKS , c SUMPS- - - --- - (INC. SOLAR) -- -10-50 HP 'FIXTURES' 50 + HP - - _ of work which permit Civ. C.). '- - -' FLOOR SINKS •FLOOR'DRAINS "OUTLETS SWITCHES'- - nder's- Name_ ,L .Lender's Address DRINKING FOUNTAINS -- - 1-F 1,GASTUBESIGNS - - CLARIFIERS ,POLE LIGHTS - - - ' +- OWNER BUILDER DECLARATIONINTERCEPTORS' 'I hereby affirm that I am exempt from the Contractor's License Law for SWIMMING POOL- --P TRAP "• - -' _ -- 'POLES METERED - SUB. the following reason '(Section' 7031.5 Buslness-antl Professions' Code: Any city or county which requires a permit to construct, alter, WATER SERVICE ALTERATION— ,PANEL'S- MAIN - SUB"', -7 v Improve;"demolish -or repair any structure, prior to Its Issuance, also re- quires the api.licanl for such permit to file a signed Statement that he GAS SERVICE OUTLETS ) — ,SERVICE - - _ -- AMP' '- - Is licensed pursuant'to the provisions of the Contractor's License -Law ((Chapter 9 (commencing with Section 7000) of Division 3 of the - WATER HEATERS' BTU OUTPUT- - Buslness and profestions-Code) or that he Is-exampt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS -' applicant for a permit subjects the applicant -to a -civil penalty more than five hundred dollars (§500). SOLAR TANK-COLLECT,ORST�1` f,—" _ - "' - - • n - f as owner of the property, or Any employees with wages as their is Intended sSla compensation, will do the work, and the structure not or offered for sale. (Section 7044, Business and Professions Code: The _ _ _ SOLAR PIPING SVS. ,Q [j ISSUE FEE - Contractor's License -Law does not.apply to -an owner of a properly. _ _. .-- - _ - - ISSUE FEE I -gppLICATION'APPROVED 'BY' 'DATE who builds or improves thereon, and who does such work himself or through his own employees, provided that such Improvements are,not MECHANICAL PLAN CHECK SUMMARY OF FEES intended Or offered for sale. If, however, the buOding or Improvement Is sold within One year of completion, the owner will .have the burden of proving he did not build or Improve for the purpose of sato). HEATING SYSTEM 0-100,000 BTU_ BUILDING- - - (PERMIT $— ,( -- - - -- SMTP $'�__ �O I, as -Owner of- the or operty,'am exclusively contracting with AND DUCTING - licensed contractors to co nslruet the project (Section 7044, Business 100,000. BTU PLAN CHECK S .PERMIT and -Professions- Code: The Contractor's License Law does not apply to - - _ ISSUANCE $ an owner of properly who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU ! PLUMBING S tracts- from- such projects with a contractor(s) llcesned pursuant to SYSTEM- - - -"GRADING S the Contractor's License Law). 100,000 + BTU PLAN CHECK VA 1' , ❑ I am exempt under Section B. & P. C. for this BOILERS BTU ELECTRICAL $S 's reason - SYSTEM REPAIR, ALTERATION PLAN CHECK $ - MICROFILM 't 'Date - Owner EXHAUST SYSTEM MULTIPLE MECHANICAL $ --TOTAL FEE $' --VANCED- I hereby -certify that I have read this application and state that the above information is correct. I agree to comply with all cit and count 9 PY Y 1 PLAN CHECK --S VANCE PC S_ e ordinances and stale laws etajing to construction. and hereby authorise representatives of this itq/�.e e r upon the above mentioned property for+Qr�ect o es •I ' 6_•h 7 Signature // a Pink -Accounting: Goldenrod -Assessor CONSTRUCTION AND PLANNING .,,d Date APPROVALS Permit # '- POOL & SPA ' Inspector Date Inspector APPROVALS Permit # 1. Temporary Electrical Service or Pole _ 43. Pool & Equipment Location - - _.2. Soil Pipe-Undrgrn . y2 44. Steel Reinforcement - 3.. Electrical Conduit Utility-Undrgrn 45. , Forms 4. Electrical Conduit-Undrgrn _ _ _ _ 46. Electrical Bonding- -5, SteelReinforce 47. Rough Plumbing & Pressure Test 6. Electrical_UFERGrn _ _' 48. APPROVAL TO COVER-GUNITE 7. Footings - - _ 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test _ 9. Water Pipe-Undrgrn _ 51. Backwash Lines P -Trap,❑ Undrarn - 10... Structural Floor System .52. APPROVAL TO DECK 11.. Property Sewer Line & House'Connection _ - 53._ Backwash & Receptor -Final 12. Street Sewer -Connection - _ '_ 54. Heater & Vent -Final - _13. Rough Plumbing _ �p - "- - 14. Rough Electric -Conduit - --�56. Electrical -Final ` 15. Rough Electric -Wiring - - 57. Solar System -Final -16. Rough Heating & Air Conditioning 58. Fencing & Access Approval 17. Ducts in Structure 59. APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating Gas Pipe -Rough &Test Roof Framing r 60. _ POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathing Frame and Flashing NOTES: 23. Insulation 24. LathinQ & Siding 25. Drywall Nailing 26. Plaster Brown Coat - .• 27'. Electrical Power Meter -Final 28. Final Electric 29. Final Heating & Air Conditioning 30. Final Gas Pipe -Test 31. 32. Final Plumbing 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 -- 39. Special Requirements Completed - --' ---- 40. Electric Release to Edison " 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No. Date �' Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations CITY OF COSTA MESA P RMIT�� ��pp TRACT NO. LOT NO. BLOG?O. CONSTRUCTION PERMIT �' `t0 S/ �% 8 L Project Address , 12. ff'4 Anc-.4 CA TYPE OF CONSTRUCTION Owner/_/"Z50Pho 2 (!J -NEW ❑ ADD ❑ ALTERATION Address V, ❑ REPAIR ❑ CONVERSION ❑DEMOLISH Arch/Eng - License No. ❑ OTHER - O RIPT=ON OF WORK Address SG QA/f!�// Al. /i_ _. . _ _ — - Contractor LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (com- mencing with section 7000) ofDivision 3 of the Business. and Professions Code, d my license IS In full f0 0 $ tl ¢ Lice(ry5�6 CIy/55fl� LicenS/py sNo DatIN:++J.)Q Sig t e � l - WORKERS, COMPENSATION DEfl-A411THION _ 1 hereby affirm that 1 have a Cert Icate Of consent t0 self -insure or a certificate of Workers' Compensation Insurance, or a. certified copy thereof (Section 3800, Lab. C.). Policy No. Company ❑ Certified copy Is hereby furnished. ❑ Certified copy Is filed with the city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION This section need not be completed If the permit is for one hundred $100) or less). certify that In the Performance of the work for which this permit is Issued. I shall not employ any person In any manner so as to become subjec/1-to tth/�e/Wor l is Compensati Laws Of Cali ornla. Date 1�LS�Slgnatura NOTICE: If after making this deettip , you stkufd become.subject t0 the Workers' Cd m pensatlon Prov Slons of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked, CONSTRUCTION LENDING AGENCY - Ihereby affirm that there is a construction lending agencyfor the per- formance of the.wbrk to6�which this�ermh ' issuetl ( ctlbn 3097 Civ. C,). � •.J`.'.ru y`• LendeY'S+Name Lender's Address Z� _S r'l L_H OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from the Contract Or'S`LIcen Se Law for the f011Owind reason (Section 7031!5•Busine55 and Professions Code: y Or county which, requires% a�permit, to he 'iness and Professions Code) or that he Ii exempt therefrom and IS for the alleged exemption. Any violation,of Section 7031.' applicant for a permit subjects the apoll".( to a clvlPpen not more than five hundred dollars (S500). 1, as owner Of the property, Or my employees -with wages as t 1 compensation, will do the work, and the structure I$ not Inter offered for Sale. (Section 7044, Business andProfessionsCode: praetor's License Law does not a0Dly to an owner of a prop �nrough his own employees, provided that such Improvements are not intended or offered for sale. If, however, the building or Improvement IS Sold within one year of completion, the Owner will have the burden 'Of proving he did not build or Improve for -the purpose of sale). ❑ 1, a5 owner .of .the -properly,am exclusively contracting .with ,licensed contractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not.apply to an Owner of property who builds or Improves thereon, and who con• ,tracts from Such projects with .a contractor(s) Iicesne0 pursuant l0 the COntractor's License Law). ❑ I am exemptunder Section B. 6 P. C. for this reason - Date Owner ;I hereby certify that I have read this application and state that the above information is correct. I agree to comply with all city and county 'ordinances antl state laws relating to construction, and hereby authorize representativesof this city to enter upon the above mentioned property ( 'nsp c Ion r pies. ,( r� Signature Dal¢ �� TYPE OF PERMIT. ❑ GRADING ❑ FOUNDATION STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑PLUMBING ❑MECHAI ❑ OTHER +� REAR -YARD (TO' . PKG. SPACE REG. ZONE FT. GRADING CU. YOS. tUCTION TYPE ZONE ACRES _ PLUMBING - PLAN CHECK BATHTUBS SHOWERS LAVATORIES DOUBLELAVS -KIT. SINKS- DISHWASHERS SERVICE SINKS SUMPS 'FLOOR SINKS - FLOOR DRAINS DRINKING' FOUNTAINS INTERCEPTORS CLARIFIERS SWIMMING POOL - P'TRAP + WATERtSERVICE 'ALTERATION - GAS.SERVICE OUTLETS WATER HEATERS -'"BTU OUTPUT 'SEWER CONNECTIONS•- - SOLAR TANK - COLLECTORS SOLAR PIPING SYS.- YS.ISSUE - PLANCHECK§ - ISSUEFEE - - AND DUCTING SYSTEM SYSTEM REPAIR,( EXHAUST SYSTEM Drivers' - ' ISSUE FEE CMF 0865.46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor PLAN CHECK 0.100,000 BTU 100,000 + BTU 0.100,000 BTU_ 100,000 . BTU BTU -TERATION MULTIPLE 0409 6/30/82 NING REGULATIONS 72=1 77M77 _ PLNr. REF.'je �vT,^. PROVIDEC PARK FEE 375.47 TL, PANELS MAIN SUB SERVICE AMP APPLICATION APPROVED BY 'ZONING APPROVED BY D - BUILDING _ S i - SMIP E--__.sf% SPECIAL CONDITIONS: PERMIT ISSUANCE $ PLUMBING $' BOLD FO GRADING S' - PLANCHECK§ - ELECTRICAL $ $ _ ELECTRICAL _ PLAN CHECK ' - $ TOTAL FEE $ (MECHANICAL PLAN CHECK § PLAN - LESS AQ - $ _ _ GENERATOR 0-1 KW TRANSFORMER -1-10 KW - APPLIANCE 10-50 KW_50+KW MOTORS ., 0-1 HP -1-10 HP' _ • (INC. SOLAR) 10-50 HP 50 � HP FIXTURES.. ..OUTLETS SWITCHES •a - ^'. GAS TUBE SIGNS POLE LIGHTS _ PANELS MAIN SUB SERVICE AMP APPLICATION APPROVED BY DATE(p SUMMARY OF FEES - - BUILDING _ S • PERMIT E Co_ - SMIP E--__.sf% • PLANCHECK E PERMIT ISSUANCE $ PLUMBING $' GRADING S' - PLANCHECK§ - ELECTRICAL $ $ _ PLAN CHECK $ MICROFILM $ - $ TOTAL FEE $ (MECHANICAL PLAN CHECK § PLAN - LESS AQ - $ _ �/�n`�2-1 FINAL FEE S3 CONSTRUCTION'AND PLANNING_ APPROVALS Permit # Date Inspector - POOL & SPA .. APPROVALS Permit_# - Date Inspector t1 1.- Temporary Electrical Service or Pole. Po Y - - 43. . Pool & Equipment Location - - 2. SoilPipe-Un rgrn-. ,�� _ - - _ 44. Steel Reinforcement - - - - 3. - Electrical Conduit Utility-Undrgrn - - - 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding 5. SteelReinforce - --- 47. Rough Plumbing & Pressure Test - 6. Electrical UFER Grn - 48. APPROVAL TO COVER-GUNITE ' _ - 7. Footings- -- _ __ .- _. _ 49. Electrical Conduit-Undr rn B. - Foundation -" -- -- 50. Gas Pipe, El, Undr rn, Test - ti 9. Water-Pipe-Undrgrn - - -•�:.- - '51 `wash.-Lines -Trap, ❑_ ndr rn - 10. Structural Floor System - 52. -APPROVAL TO DECK "11.- Property Sewer Line &. House Connection - - - - - 53. - Backwash & Receptor -Final ' 2. Street Sewer Connection' - - - - - - 54. Heater & Vent -Final 13. Rough Plumbing -- .14. Rougf" 'q rt t �pl7j9L U, 1 - - _ 56. -Electrical-Final - -- 15. Rough Electric -Wiring - " - 57.`" -Solar System -Final - - - - - 16. Rough Heating & Air Conditioning -- - - - encing &Access Approval 17. Ducts in Structure, - - -- - APPROVED FOR PLASTERING " 18. 19. 20. Ducts, Ventilating Gas Pipe-Rough.&Test ' Roof Framing -' --- - - - 60. - POOL/SPA SYSTEMS FINAL- , - - - ' 21: 22. Roof Sheathing Frame and Flashing '- o- ` _ r. 8223 _ (47 _ - - - NOTES: ' 23. 24. Insulation Lathing & Siding -- -' - r_ - 25. Drywall Nailing - - -it 0 C7- 26. Plaster Brown Coat - '- -�r 131.- - - 27. Electrical Power Meter -Final 8. Final Electric [9. Final Heating & Air Conditioning _ 30. Final Gas Pipe -Test - - - - 31-. Final Plumbing - - - - 32. Water Service -Final '33.' Gas Service -Final' , 34. Solar Domestic -Final ' 35. Landscape Sprinkling System 36. Sound Attenuation - -- --- _ ' 37. Handicap Regulations ---- _ 38. FINAL STRUCTURE & BUILDING -- 6.(6- 83 39. Special Requirements Completed -/- 3 U•5 C 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42.• - CERTIFICATE OF OCCUPANCY No_; Date .. Applicant to till in all spaces within heavy border lines and sign all appropriate declarations. ,CITY OF COSTA -MESA PERMIT NO. TRACT NO. LOT NO. BKPG. N - ' CONSTRUCTION PERMIT ^ 5 a C' — TVP CONSTRUCTION NEW 1- ADD ❑ ALTERATION' ❑REPAIR ❑ CONVERSION ❑DEMOLISH ❑ OTHER , . .. ZONING REGULATIONS 'Project Address - Owner _ Phon 1d Address 7/ y U/ _ Arch/Eng. If 96. License DESCRIPTION OF WORK - Address - - ZONE PLNTGp. REF. ZONE Conlractor&i�/ml_r— PhoneQj _ TYPE OF PERMIT ❑ GRADING - ❑ FOUNDATION ❑ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑PLUMBING MECHANICAL SET BUILDING I YARD - - - � p$�I.1 VRO kiR LINE - 'Address / q./ LICENSED CONTRACTOR DECLARATION 1' hereby affirm that'l am licensed under provisions of Charter 9 (cem- J(J - All g p T RIIGHY 'fencing with Section 7000) of Dlvislon 3 of the Business and I] OTHER - Professlons Code, d y Ilcense Is in full force and effect REAR YARD (TO P/L) license CI S LJcense No PROJECTDESCRIPTION " PKG. SPACE REQ. PROVIDED - D ate G Signature SD. FT. - OCCUPANCY_ CONSTRUCT ION TYPE STREET WIDTH - PARK FEE E WOR RS' OMPENSATION DECLARATION 1 hereby affirm that I have a certificate of consent to self -insure ora VALUATION ZONE ZONING APPROVED BY - DATE certificate of Workers' Compensation Insur or a certified copy t' -reof tion 3800 . C.). ( S � GRADING CU. YDS. ACRES SPECIAL CONDITIONS: - %}.a� Y No5j4i.fLLC�L�Co mPanY -T/L�?�7d.(/� !i(//) ,eriffled copy I5 hereby furnished. - REMARKS: Certified copy I5 filed with the city Building Division. - -£X EMPTION FROM WORKERS' COMPENSATION DECLARATION -74 (This section need -not be completed if the permit -is for one hundred - (5300) or less). I ce itfy that In the Performance Of the work for which this Permit IS _ - Issued. I shall not employ any Person In ny maryTr so as to become _ PLUMBING PLAN CHECK... .- , . ELECTRICAL PLAN '- CHECK - sublet), jp he rkers Compensarypn CaJliprnla BATHTUBS SHOWERS - GAHAUL " ^of Date/�/ Slgnatur �f/ NOTI after making this deearatlon,yOu sh d become subject TOILETS URINALS GENERATOR' 0-1 KW_ 1-10 KW to the Workers' Compensation provisions os the beCode, you must TRANSFORMER }Orth Wllh comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS APPLIANCE 10-50 KW_ 50 a KW revoked, KIT. SINKS - DISHWASHERS MOTORS 0-1 MP -1-10 HP_ CONSTRUCTION LENDING AGENCY - Ihereby affirm that there Is a construction lending agency for the Per- SERVICE SINKS SUMPS --- � (INC. -SOLAR) 10-50 HP 4•HP.' fCiv. C.) a of the aVprk tory wnl� this er mi[ issued (Section 3097 FLOOR SINKS FLOOR DRAINS FIXTURES ' 'OUTLETS SWITCHES Lender's Name !•/'k/�3�-f/A- L -/- Lender's Atl It I .Off.4 DRINKING FOUNTAINS -' GASTUBESIGNS - - -- - - - OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS POLE LIGHTS ' 1-heraD affirm that I am exempt from.the Contractor's License Law for the following reason (Section 7031.5'Business and Professions Code: SWIMMING POOL PTRAP "'-' POLES METERED SUB ' Any city or. county which requires a permit to construct, after, WATER SERVICE ALTERATION PANELS - MAIN SUB improve, demolish or repair any structure, prior to Its Issuance, also re- quires the applicant for such permit to file a signed statement that he -to GAS SERVICE OUTLETS SERVICE - - - AMP Is licehsed pursuant the provisions of the Contractor's License Law' -(commencing (Chapter 9 with Section 7000) of Division 3 of the WATER HEATERS BTU OUTPUT_-'• - R,gSIness and Professions Code) or that he is exempt therefrom and the +k " for the alleged exemption. Any violation of Section 7031.5 by _ SEWER CONNECTIONS 4,,;,a plicant for a Permit subjects the applicant to a civilpenalty Sot more than five hundred dollars.(E500). SOLAR TANK COLLECTORS ❑ I, as owner of the property, or my employees with wages a5 their sole compensation, will do the work, andthe structure I5 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 ISSUE FEE APPLICATION APPROVED BY DAT -" EIO IZ who builds or improves thereon, and who doesSuchwork himself or tWo u8h•hiS own employees, provided that such improvements are not - MECHANICAL PLAN CHECK SUMMARY OF FEES intended or offered for sale. If, however, the building or improvement is sold within one year of -completion, the owner will have the burden - Of proving he did not build or improve for the purpose of sale). ❑ 1.'as HEATING SYSTEM 0-100000 BTU , BUILDING' - PERMIT E - - SMTP. $ owner of the property, am exclusively contracting with AND DUCTING _ _ _ licensed contractors to construct the Project (Section 7044, Business 100,000 +BTU PLAN CHECK S PERMIT t and Professions Code: The Contractor's License Law does not apply t0 - ISSUANCE E an owner of property who builds or Improves thereon, and who con. REFRIGERATION 0-100,000 BTU PLUMBING E tracts from such protects with a contractor(s) Iltesned pursuant to SYSTEM - - GRADING E the Contractor's License Law), 100,000 + BTU PLAN CHECK E ' _ ❑ I am exempt under Section B. & P. C. (or this BOILERS BTU. ELECTRICAL E - 5 SYSTEM REPAIR, ALTERATION PLAN CHECK $ —�-- MICR0F1Uv1 E Date - - -'- Owner • • - - - � - - - EXHAUST SYSTEM MULTIPLE MECHANICAL E• 7 .T TOTAL FEE E r LESS AO• certify that I have read this application and state that the above information information is correct. I agree to comply with all city and county PLAN CHECK- E - _ VANCE PC E ordinances and slate laws relalir�g.to construction, and hereby authorise representatives of this city b e !r upon tho above 1¢1111 netl M30 - n p pro Pert, f r Ins Ion f os d////��, /9y Signature �'�`--� GMF 0865-46 White-Bulldina: Canary-ADDlicant; Pink -Accounting; Goldenrod -Assessor A -� 'iy• Y .. �i rant-.. CONSTRUCTION AND PLANNING APPROVALS Permit ? Date Inspector i POOL & SPA APPROVALS- �:.. Permit a -.. .. -\_D"ate Inspector_. 1. Temporary Electrical Service or Pole 4.3. Pool &Equipment Location`- _ i ipe-Undrgrn�• > - Steel Reinforcement�.N "-^ >== -lz1= 77 3. Electrical.Conduit Utility-Undrgrn _ __ _ _ _ 45., Forms 4.•- Electrical Conduit.Undrgrn - Z - - 46. Electrical Bondin - - 5. Steel • :, 47. Rou h Plumbin & resswe Test•-•- .-' �- ' >\ .-. '�`'1 _ + c • '� .s, \, _ 6. Electrical UFER Grn "'48. APPROVAL TO COVER -GUN ITE=•' 7. Footings r 49. Electrical Conduit-Undr rn B. -,Foundation- 50. Gas Pipe ❑,Undr rn+Test _ :+ -9.. Water Pipe'Undrgm . _ •- '+ y 51. Backwash Lines, P- ra ' ❑-Unctrarn- 10- Structural Floor System •,52. APPROVALTODECK •_ 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final ••- _12. Street Sewer Connection 54. Heater &Vent -Final \ 13. Rough Plumbing _ - - - - -I 55 Plumbina System% Final - 14. Rough Electric -Conduit - - - - -- - - - -56. Electrical -Final- . --5 15. Rou h`Elec&ic-Wiring`-" " -' '" "-` •`- - - - - 57.= Solar System-Final- 16:r- Rough -Heating:& Air -Conditioning- 5B. Fencigg & Access Approval + 17..1 --Ducts, in Structure / - P9 APPROVED FOR PLASTERING - 18.Ducts,' Ventilating 60. --POOL/SPA SYSTEMS FINAL 1.. 19.1 Gas Pipe -Rough &Test,, 20.'- Root Framing 21.Roof Sheathin- -- - a-- NOTES: - 22., .Frame and Flashin - - - - - - - 23. Insulation. - ... ... - _ - _ _� .. �•i..�`� , 24.-- Lathin .& Siding .. .•'.' .•.. ''_ .. ..' . •�• _ _ _ -� n ��l 25.'_ Drywall.Nailing.. 26.t_ Plaster-Brown-CDat__- 27.- Electrical.Power Meter -Final_-_ 28.•. Final Electric - i 29. .Final ' 30. _Final Gas Pipe -Test --- 31..` -Final Plumbing- ,32._ Water:Service,Final-- =• .33:% Gas Service -Final. - ' ' '�`-`- - - •. - - 34. Solar Domestic -Final 35. Landscape Sprinkling System 36. Sound Attenuation „ • _ '' 37. Handicap Regulations `• - - "` 38. FINAL STRUCTURE & BUILDING 1 39. Special Requirements Completed '• " '•- I - --" - ---- •' 40. Electric,Release, to Edison 1 41. Gas Release to Southern California Gas'Co. " 1-- 42. CERTIFICATE'OF OCCUPANCY Date -- _ �t •,\ r, - .;�- n`.=.�\\4 -- Applicant to fill In all CITY OF COSTA MESA CONSTRUCTION PERMIT Project Address -. her JC f�yl 0 4 Address Arcluing. Address Contractor G Address /- Y -i rE-t e (_ LICENSED CONTRACTOR DELLA I hereby affirm th:,t I am licensed un within heavy border lines and sign all appropriate declarations. I -x TRACT NO.- I jLOT NO. I BLDG. NO. .VZ? ^1_1 Z TVYE OF CONSTRUCTION Phone..EW El AGO 11 ALTERATION - REPAIR 11 CONVERSION ❑DEMOLISH ❑ OTHER ZONING REGULATIONS License No. - DESCRIPTION OF WORK ZONE PLNG.REF.'9 .5 s' 'n J 'TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL -- ATION ❑ TENANT ❑-ELECTRICAL ❑PLUMBINECHANK �r provisions of Charter 9 (com- / ision 3 of the Business 'and ' -.❑ OTHER _ is in full force nd effect. PROJECT DESCRIPTION- ,zL.ic 0 N Q. FT. P Y NSTR TION TYPE WORKERS',COM PENSATION DECLARATION OCCU ANC _CO UC I hereby affirm that I have a certificate of consent to sel4risure r a certificate of Workers' Compensation Insurance, or a cert filed' copy VALUATION ZONE .. , thereof (Section 3800, Lab. C.). .GRADING -CU. YDS. ACRES — 'cy No.- Company - - ;ertlfiedcopy.ishereby. furnished. _ REMARKS.'. u Certified Copy is filed with the city Building Division. . EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - This section need not be completed if the permit is for one hundred _ $100( or less(. and Professions Code; The Contractor's. License Law does not apply to UMBING PLAN CHF-CK�subjec <!rt fy that m theperformance ork for which this permit Is Issued, I Shall not employ any cersann Zna t e oCkSrs Compensatif Date d _ Signature BATHTUBS SHOWERS •TOILETS -, URINALS' NO CE: If after making this declaration, you shoultl ecome subj it to the Workers' Compensation provisions of the Labor Cotle, you must forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS revoked.. r _ _ CONSTRUCTION LENDING AGENCY KIT. SINKS'- DISHWASHERS SERVICE SINKS SUMPS I hereby affirm that there Is a construction lending agency for the per. formance of the work for which this permit Is issued (Section 3097 FLOOR SINKS """ FLOOR DRAINS - Civ. C.).- - - •• - - - Lender's Name 'Lender's Address 'DRINKING FOUNTAINS INTERCEPTORS'CLARIFIERS'' OWNERBUILDERDECLARATION-- NherebyY affirm that I am exempt from the Contractor's License Law for e lot owing•reason (Section 7031.5 -Business and Professions Code: Any city or county which requires a permit to construct, alter, SWIMMING -POOL' -PTRAP - REAR YARD (TO PIC)' PKG. SPACE REQS ' STREET WIDTH SPECIAL CONDITIONS: T_ . -'� - ELECTRICAL Improve, demolish or repair any structure, prior to -its Issuance, also re- WATER SERVICE ALTERATION ' qu res the ap,.licanl for such permit to file a signed statement that he 1' I 'IId rs ant to the Provisions of the Contractor's License -Law. - -- 9w(commencing ith Section 7000) of Division 3 of the SERVICE OUTLETS WATER HEATERS' BTU OUTPUT 2GAS(Chapters uslness and Proaessions•Codo) or that he is exempt therefrom and the 'ls for the alleged exemption. Any violation of Section 7031.5 by applicant for a permit subjects the applicant to a civil penalty wt more than five hundred dollars ($500). SEWER CONNECTIONS "SOLAR TANK COLLECTORS' '- LJ'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 SWITCHES- or offered for sale.'(Section'7044 Business-and.Professlons Code: The SOLAR PIPING SYS._ Contractor's License law does not apply to an owner of a property who builds or Improves thereon, and who does such work himself or - ISSUE FEE ihrough his Own employees, provided that such Improvements are not ntended or offered for sale. If, however, the building or Improvement IS solo within one year of completion, the owner will have the burden -MECHANICAL PLAN CHECK . HEATING SYSTEM 0-100,000 BTU AND DUCTING 100,000. BTU of proving he did not build or Improve for the purpose of sale). ❑ I, as owner of .the property, am exclusively. contracting with licensed contractors to construct the project (Section 7044, Business and Professions Code; The Contractor's. License Law does not apply to , REFRIGERATION 0-100,000 BTU an owner of properly who builds or Improves thereon, and who con. tracts from such projects with a contractor(s) licesned pursuant .to the Contractor's License Law). SYSTEM - ---- s 100,000 + BTU ❑ 1 am exempt under Section -B. & P. C: for this BOILERS BTU ' reason - TOTAL FEE $ , Date Owner SYSTEM REPAIR, ALTERATION I hereby certify that I Ove read this application and state that the above E%HAVST SV STEM MULTIPLE Information -is Cor t:'I agree to compI with all city and -county i FINAL FEE E/3 `OV ortlina noes antl SW! lavelalinyto Cons Ion, and hereby authorize representatives f' IYa /LI]YsfM1TR RI@ above mentlonetl Drivers' License or SS �/' "-�' ISSUE FEE CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor PROVIDED PARK FEE $ DATE PLAN CHECK.' - TRANSFORMER APPLIANCE 0-1 KW_ 10-50 KW=50 1-lOKW " f KW• MOTORS -- (INC.. SOLAR) 0 -1 -HP 10-50 HP_.501 1-10 HP HP; - - FIXTURES' - OUTLETS - SWITCHES- GAS TUBE SIGNS - - '- POLE LIGHTS - - 'G ;'-RADING $ ' PLAN CHECK $ _ ,PANELS- MAIN SUB' SERVICE - - - AMP - - ISSUE FEE - • APPLICATION -APPROVED BY-- ' SUMMARY OF FEES,•,( :BUILDING --- -PERMIT $ SMIP $ 'PLANCHECK E- 'PERMIT - - - ----- --ISSUANCE- $ - - PLUMBING $ x 'G ;'-RADING $ ' PLAN CHECK $ _ - ^ - ELECTRICAL -a -' - • ' -.• . 1 - MICROFIUd,E" ' PLAN CHECK $ MECHANICAL.E - TOTAL FEE $ , -PLANCHECK $ _ LESS —VANCE P - - i FINAL FEE E/3 `OV CONSTRUCTION AND PLANNING�/ t( APPROVALS Permit* Date InspecfW POOL & SPA y APPROVALS Permit #_ ` Date - Inspector 1. Temporary Electrical Service or Pole " 43. Pool & Equipment Location 2. Soil ;pe- n rgrn Steel Reinforcement - - - 3. Electrical Conduit. Utility-Undrgrn - 45. Forms- - - •- - - - - -- - 4. Electrical Conduit-Undrgrn _ ._ 46.. Electrical Bonding- - 5. Steel em orce 47. Rough Plumbing & Pressure Test ------- ------6. 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undr rn ' B. Foundation - - 50. Gas Pipe, 0 Undr rn Test 9. Water Pipe-Undrgrn - 51. Backwash Lines P-Tra ..El_ dr i__ 10. Structural Floor System 52. -APPROVAL TO DECK 11. Property Sewer Line & House Connection. 53. Backwash & Receptor -Final 12. Street Sewer Connection - - - 54. Heater & Vent Final - 13... -Rough Plumbing ,Final 14. Rough Electric -Conduit _ -56. • Electrical -Final 15. Rough Electric -Wiring - -- - - '57. "Solar System -Final _ 16: Rough Heating & Air Conditioning _ p ,L _bB. Fencing& Access Approval 17:. Ducts in Structure 59. APPROVED FOR PLASTERING:;, 18: Ducts, Ventilating 60. POOL/SPA SYSTEM_ S FINAL 19. Gas Pipe -Rough & Test 20. Roof Framing 21. Roof Sheathing- - - - _ - - NOTES: 22. Frame and Flashing 23. Insulation 24. Lathing & Siding - - - - 25. Drywall Nailing - - - 26. -Plaster Brown Coat 27. Electrical Power Meter -Final 28. Final Electric - - 29. Final Heating & Air Conditioning -- 30. Final Gas Pipe -Test -- - _ _ 31: Final Plumbing _ 32, Water Service -Final-_ °- '33: • Gas Service -Fina) ' - _ --'--_ --- __ •' ' - 34. Solar Domestic -Final '' �'' ••'' - "" ' -' " - 35. Landscape Sprinkling System - ""'-- 36. Sound Attenuation _ 37. Handicap, Regulations ° • , - ^' - - 38. FINAL STRUCTURE & BUILDING ' 39. Special Requirements Completed-' 40. Electric Release to Edison 41. Gas Release to Southern California Ga's'Co. ' 42. CERTIFICATE OF OCCUPANCY No Date Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PERMIT O. TRACT NO. LOT NO. BLDG. NO. CONSTRUCTION PERMIT M%2 C- ;L TYPE OF CONSTRUCTION ❑ NEW ❑ ADD ❑ ALTERATION 0 REPAIR 1:1CONVERSION ❑DEMOLISH ❑ OTHER I 0610, 7101 182- 37.02 - ZONING REGULATIONS Projea Address ZD jr - e" �„ Owner D G Phone JZy32 'Address fj mac' Q Arch/Eng. ( License No. DESCRIPTION OF WORK TYPE OF PERMIT ❑ GRADINCa ,. ❑ FOUNDATION - ❑ STRUCTURAL ❑TENANT/}�asl((. ELECTRICAL OPCUMBING-CIMECHANIC A P-�9 ZONE PLNG. REF. 9 ' - Tp gl1l 1 G - SETBACK C T. PRfJPERTPUNE RD - Address a ' Contractor �i p Phon QS2o Address 2 — .. LICENSED CONTRACTOR- DECLARATION 'I hereby affirm th:.t I am licensed under provisions of Charter 9 (com• 95Ioo YA -- RIGHT. -- - mencing with -section 7000) of Division -3 of the Business and- ❑ OTHER - Professions Cotleentl ryy license is In full for nd effect- PROJECT DESCRIPTION REAR YARD (TO P/L) _ !/ No License Cla L - SQ. FT. r - _ PKG. SPACE REQ. - _ STREET WIDTH PROVIDED - -PARK FEE b �}�se Data Signature WORK S' COMPENSATION DECLARATION OCCUPANCY CONSTRUCTION UCTION TYPE II hereby affirm that I have a certificate of consent to self -Insure or a VALUATION ZONE ZONING APPROVED BY GATE - cart iflaxle of Workers' Compensation Insurance, or a certified copy' - :thereof (Section 3800, Lab. C.). GRADING CU. YDS. ACRES SPECIALCONDITIONS: :y No. Company .. .ertified copy is hereby furnished. REMARKS: S - _ Certified copy Is.flled with the city Building Division. .O EMPTION FROM WORKERS' COMPENSATION DECLARATION - - - - IThis section need not be completed if the permit Is for one hundred - - _ - • - -' - .' -.• ' (E100� or less). 1 .. - - -- ' cer,?f it fy that in lne performance of the work for which this permIi issued, I shall not employ any person In any manner so as to:become PLUMBING -n+} .,PLAN CHECK ELECTRICAL PLAN CHECK subject to the Workers-Compw ensation.Las of. California. BATHTUBS SHOWERS _ 'Date Signature NOTICE: If after making this declaration, you should become subject TOILETS . I`: URINALS "- - -GENERATOR* "0-I ICW�l•1O ICW ' to the Workers' Compensation provisions of the Labor Code, you must - -TRANSFORMER - rt forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS- 'f APPLIANCE 10.50 KW_50 t KW - - revoked. -.' - . -- - - -'I ,CONSTRUCTION LENDING AGENCY ,CONSTRUCTION KIT. SINKS DISHWASHERS -" MOTORS- }} R 0-0 HP�_50 HP - `- — i^t_.-• - t+ . .I hereby affirm that there Is a construction lending agency for too per- SERVICE SINKS- , t l �;,/,SUMPS SOLAR - ) ''10-50 HP_ r::r 50 +HP — - ----+ 'formance of the work for which this Is Issued (Section 3097 FLOOR SINKS _ FLOOR DRAINS ''FIXTURES OUTLETS SWITCHES _permit 'Civ. C.). - ;Lender's Name - !Lender's Address DRINKING FOUNTAINS- - - -" - GAS TUBE SIGNS-' "'-- - - -- -- -- OWNER BUILDER DECLARATION - - - -'-- - - I hereby affirm that 1 am. exempt from the Contractor's License Law for INTERCEPTORS CLARIFIERS POLE LIGHTS - SWIMMING POOL PTRAP -- - - - - the following reason(Section7031.5'BusinesS and Professions Code: Any city or county winch requires a permit to Construct, alter, POLES - METERED SUB. WATER SERVICE - ALTERATION ',PANELS ' MAIN- SUB " n r improve, demolish or repair any structure, prior to Its issuance, also re- quires the ap:licint for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law GAS SERV ICE OUTLETS" SERV ICE _ "^ '- -AMP - (Chapter. 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS BTU OUTPUT - Business and Professions Code) or that he Is exempt therefrom and the for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS Vtits " applicant for a permit subjects the'applicant to a civil penalty `-'lot more than five nundrad dollars ($500). SOLAR TANK COLLECTORS' -- LJ 1, as owner of the -property, or my employees with wagei is their sole -compensation, 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 - - - - - ISSUE FEE }qp PLICATION APPROVED BY ' - - - -DATE-' who builds or improves thereon, and who does such work himself or through his own employees, provided .that such Improvements are not. intended or offered for sale. If, however, the building or Improvement MECHANICAL PLAN CHECK _ �' SUMMARY OF FEES is sold within one year of completion, the owner will have the burden of proving he did not build or improve for the purpose of sale).HEATING SYSTEM 0-100,000 BTU "BUILDING PERMIT § - - $MIP b ❑ I, as owner of the properly, am exclusively contracting with _ AND DUCTING licensed contractors to construct the project (Section 7044, Business 100,000+BTU_ PLANCHECK S' 'PERMIT - and Professions Code: The License Law does not apply to - - -- •PLUMBING - ISSUANCE E or i owner of property Sano builtls or improves thereon, and who con- builds REFRIGERATION 0-100,000 BTU b tracts from such projects -with a contractor(s) licesned pursuant to tracts SYSTEM - -" GRADING E _ the Contractor's License Law). 100,000 +BTU PLANCHECK E El am exempt under Section - B. S P. G. for this BOILERS BTU �s ELECTRICAL $ g� LIQ M reason - - SYSTEM REPAIR, ALTERATION SYSTEM MULTIPLE PLAN CHECK b MECHANICAL $ MICROFILM$ - TOTAL FEE E _ - Date Owner 11 hereby certify that I have lead atl this application and state that the aunty information is correct. I agree to comply with all city and county - PLAN CHECK E LESS - VANCEP PC $ordina and stale aIs Idti to construction, antl hereby authorizeid _V lepres nta representative I is , y to Inter upon the above a tlonetl to ter t or Perls for ti � tpns s. Z 37'0 $Ignature / CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting: Goldenrod -Assessor TL CONSTRUCTION AND PLANNING APPROVALS Permit # ;F- wl a' Date Inspector POOL & SPA APPROVALS Permit # Date Inspector - ie Temporary Electrical Service or Pole 43. Pool & Equipment Location - - - 2. SoilPipe-Undrgrn •1 4-4. Steel Reinforcement - • • • - 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - 5. Steel ein orce 47. Rough Plumbing & Pressure Test 6. Electrical UFER Grn 48. APRROVALTO COVER-GUNITE 7. Footings 49. Elecirical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn Test . 9. Water Pipe-Undrgrn 51. Backwash Lines P -Trap_ 0 ndr rn 10. Structural Floor System 52. APPROVAL TO DECK --"-- -" -� ' - - - • - 11.. Property Sewer Line & House Connection' 53. Backwash & Receptor -Final 12. Street Sewer Connection 54. Heater & Vent -Final 13. Rough Plumbing - 14. Rough Electric -Conduit 56: Electrical -Final , 15. Rough Electric -Wiring - L 57. Solar System -Final ' 16. Rough Heating & Air Conditioning DO. Fencing & Access Approval 17.. Ducts, in Structure __ - _ APPROVED FOR PLASTERING -18. 19. 20. Ducts, Ventilating Gas Pipe -Rough & Test Roof Framing 60. POOL/SPA SYSTEMS FINAL 21'. 22. Roof Sheathin' Frame and Flashing NOTES: 23. Insulation - 24. Lathing & Siding 25. Drywall Nailing 26.. -Plaster Brown Coat - - . 27. -,Electrical Power Meter -Final ' 28. -Final Electric ' 29. Final Heating & Air Conditioning 30. Final Gas Pipe -Test _ 31'., Final: Plumbing _ -32. =Water Service -Final 33. .Gas Service -Final- -- - -- 34. Solar Domestic -Final 35. Landscape Sprinkling System 36. Sound Attenuation - - - 37. Handicap Regulations -- - 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed- - 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OFOCCUPANY - C No. Date Applicant to fill In all spaces within heavy border lines and sign all appropriate declarations. CITY'OF COSTA MESAERMIT NO. TRACT NO. LOT NO. BLDG. NO. CONSTRUCTION PERMIT W — —.Z Project Address 2 �ii 8 T^YP/ES OF CONSTRUCTION [2- EW O ADD 0 ALTERATION 0 REPAIR 0 CONVERSION ❑D_EMOLISH _ 0382 --- 6/30/82 - - 31.00 Owner Q.� ole -0 Phone Address - - - 0 OTHER lt? DESCRIPTION OF WORK , - - ZONING REGULATIONS - - - - - - - A p ; f ' ZONE -. PLNG. REF. Arch/Eng. - License No. Address - - - _ .Contractor' ayt5 Ilton Ir` Phone&g6-�((' TYPE OF PERMIT. I - O -GRADING ❑- F06NDATIIO,NN ❑STRUCTURAL TENANT❑ ELECTRICAL iCP LUMBING OMECHANICAL SETBACKC/LPROPERTY _T. To g�/I IrvG LINE '- Address /E;"%9 n'�O nQOJIp' Z- LICENSED CONTRACTOR DECLARATION. 9 I hereby affirm that I am licensed under, provisions of Charter (com- -with 7000)- Dlvi Sion 3 of the. Business and . , � ❑.OTHER 1 RIG T monting section of Professions Cotle, and m license is In full force and e f ct. REAR YARD (TO P /L) C - -3 - 3L% $ I � PROJECT DESCRIPTION ' - � _ - License Class LI e SPACE REO. PROVIDED -i� -Signature SO. FT. �. Date 6'22 - OCCUPANCY}_ ' CONSTRUCTION TYPE -� - ,STREET WIDTH (ZONING APPROVED BY -PARK FEE E DATE WORKERS' COMPENSATION DECLARATION. 'I hereby affirm that I have a certificate of consent to self -Insure or a VALUATION• ZONE certificate of Workers' Compensation Insurance, or a certifletl Opy - - - -_ - _� . _ SPECIAL CONDITIONS: thereof (Sect�o/fin GRADING CU. YOS. ACRES _ -3-gg00�bhC-.). icY Noe Com Pant - " frtifl .COPY I5 hereby furnished,.. _._ ,. REMARKS:.i Q _ 1 1, + _ _• - _ _ _ _ , i .rtlfled copy is filed with the city Building Division. t s „ I( I, cI EXEMPTION -FROM WORKERS' COMPENSATION DECLARATION - (This section need not be. completed if the permit Is for one hundred (E100) or less). 1 I. Cert((fy.lhat in the performance Of, the work for which this permit is Issued, I shall not employ any person in any manner so as to become PLUMBING".; - (; PLAN CHECK" - '-" ELECTRICAL 'PLAN CHECK " subject to the Workers' Compensation Laws of California.- _' BATHTUBS Z SHOWERS - _ - UWLLLINU - -- - - - Date Signature NOTICE: If after making this declaration, you should become subject TOILETS .3�.. - V RINALS - �' iGENERATOR - 0:1 KW_ V-10 KW to the Workers' Compensation provisions Of the Labor Code, you must_ TRANSFORMER forthwith comply with such provisions or this permit shall be deemed _ LAVATORIESol DOUBLE LAVS "2 ' -APPLIANCE' 10-50 KW—'50 + KW- revoked.- evoked._CONSTRUCTION LENDING AGENCY CONSTRUCTION KIT. SINKS- DISHWASHERS - — MOTORS' 0-1 HP -1-10 His -- 1 hereby affirm that there is a construction lending agency for the per. SERVICE SINKS ,I SUMPS - -- -'UNC. SOLAR) 10-50 HP=50•+ HP- - - formance of the work for which this permit is issued (Section 3097 FLOOR SINKS FLOOR DRAINS FIXTURES • - OUTLETS' SWITCHES - Clv. C:). - - Lender's Name Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS-- - - - - - INTERCEPTORS CLARIFIERS I )POL'E LIGHTS - •' OWNER BUILDER DECLARATION' -• -•' - "- '- - I hereby affirm that 1 am exempt from the Contractor's License Law for SWIMMING POOL' ' - P'TRAP- POLES METERED - SUB' the following reason (Section 7031.5 -Business and Professions Code: Any city or county which requires a permit to construct, alter, WATER SERVICE'/- ALTERATION --" -- PANELS '-' -' MAIN SUB - -' improve; demolish or repair -any structure, prior to its -issuance, also re- the for such t0 file a signed statement that he quires ap:licanl permit Is licensed pursuant to the provisions of the Contractor's License taw - GAS SERVICE / OUTLETS I — SERVICE '- - -- AMP - EChapter 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS / BTU OUTPUT- i usiness-antl Professions Code) or that he is exempt therefrom and -the -Is for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONSof - - applicant for a permit -subjects the applicant to a civil Penalty more than five hundred dollars ($500). SOLAR TANK -' "" COLLECTORS' : --' �,• _ I' - --- -- - �, t as owner of the 0/operty, or my employees with wages as their sale compensation, do the work, and the structure is not Intended or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. _ctJe:j - 2�._ _ - ISSUE FEE - -' Contractor's License Law does.not apply to, an owner of a property - ISSUE FEE -ji - APPLICATION APPROVED BY - -DATE who builds or improves thereon, and who does such work himself or through his Own employees, provided that such improvements are not MECHANICAL PLAN CHECK SUMMARY OF FEES D Intenders or offered for sale. If, however, the building or Improvement- 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 $ SMIP $ of the property, oc(Se ti contracting with � licensed contractors Business Iicensotl contractors to construct the AND DUCTING - - ]00,000+ BTU -- - project Code: The Contractor's License Law does a not apply to and Professions Lce(Section es not PLAN CHECK E -- PERMIT .ISSUANCE E owner of property who builds or Improves thereon, and who con- p REFRIGERATION 0-100,001 BTU PLUMBING E s tracts from such projectswitha contractor(5) 11<esned-pursuant to tracts SYSTEM - I - GRADING E the Contractor's License law). 100,000 BTU PLAN CHECK E r •E ❑ I am -exempt under Section B: & P. C. for this BOILERS BTU ELECTRICAL $ - . reason - - SYSTEM REPAIR, ALTERATION ( EXHAUST SYSTEM MULTIPLE PLAN CHECK $MICROFILM MECHANICAL $ •' E TOTAL FEE $1' LESS AD - Dale ownor 1 hereby certify that 1 have read this application and state that the above of rotation is correct. 1 agree to comply with all city and county- PLANCHECK E' VANCEPC $_ - ordinances and state laws relating to construction, and hereby authorize - representatives of t is city to enter upon the above mentioned properly ', spe Ioli ipyrp s• ? _f /L�_ryL mei Lt / FINAL FEE Ila). Signature Date 10 -ISSUE FEE � -' ' CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNING APPROVALS Permit # ` Date Inspector POOL & SPA- APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. Soil Pipe -Un rgrn - p_y,2. 44. Steel Reinforcement - - .3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn. 46. Electrical Bonding - Steel.Heinforce 47. Rough Plumbing & Pressure Test 6.- Electrical UFER Grn _ 48. APPROVALTO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9.. Water Pipe-Undrgrn _ 51. Backwash Lines P -Trap.❑ Undrqrn - - - - 10. Structural Floor System 52. APPROVAL TO DECK 1.1.. Property Sewer Line & House Connection _' 53. _Backwash & Receptor -Final - - 12. Street Sewer Connection - 54. Heater & Vent -Final - 13.. Rough Plumbing 55., Plumbina System - Final- -_� -- �- 14. Rough Electric -Conduit - -56. • Electrical -Final 15. Rough Electric -Wiring - 57. Solar System -Final - 16. Rough Heating & Air Conditioning encing & Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating 60. - - POOL/SPA SYSTEMS FINAL 19. Gas Pipe -Rough & Test - 20. Roof Framing - 21. Roof Sheathing- '-- ' NOTES: 22. Frame and Flashing 23. Insulation 24. Lathing & Siding 25. Drywall Nailing - - - 26. Plaster Brown Coat - - 27. Electrical Power Meter -Final. - 28. Final Electric 29. Final Heating & Air Conditioning 30. Final Gas Pipe -Test ' 31. Final Plumbing 32. Water Service -Final - 33. Gas Service -Final_ - - 34. Solar Domestic -Final - - - 35. Landscape Sprinkling System - - -' -- - - 36. Sound Attenuation - 37. Handicap Regulations ----- _ 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed - 40. Electric Release to Edison - - - 41. Gas Release to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY No Date Applicant to fill in all spaces within heavy border lines and sign all appropriate della CITY OF COSTA MESA P MIT�y TRACJ,NO. LO.TNO. Ej L,jj��,,G. NO. CONSTRUCTION PERMIT - 7'0-73 I Ot5% / {J• Project Address/L IL�F� TYPE OF CONSTRUCTION Owner iJ� _0 Pho X NEW ❑ ADD 11 ALTERATION Address QL%, / V vQ W REPAIR ❑ CONVERSION ❑DEMOLISH Arch 9. 0 � License No. ❑ OTHER Address 1\P�� _ DESCRIPTION OF WORK s.�( � Contractor 4SI PhoneC-EA LICENSED CONTRACTOR DECLARATION _ 1 herebyaffirm lhbt I am licensed under provisions of Charter 9 (corn - mal with section 7000) of Division 3 of the Business and Professions Code, and my license is in full for d. telecLicense t. Dat�Ciaz+ i� Licensl�NAu WORKERS' COMPENSATION DEUArAAYiON I I hereby affirm that 1 have a certificate of consent to self -Insure or a Certificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3000, Lab. C.). cy No. Company :erllfietl Copy Is hereby furnished. U Certified copy Is filed with the city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION This section need not be completed if the permit is for one hundred -7$100) or less). 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 t���Wo ers' Compensation Laws of California. Date l 2_L��Signature NOTICE: It after ma,king this deet tlo you Sh uld become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with Such provisions or this permit Shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm t11at there Is a construction lending dgency,for the per. C,v. C.. of �the.wo k for hicWthis permltp'is Issued'(Seclion,3097 Civ. C.). � CF-��- (JC.fn^ALa -\ 'L4ntl¢r's �Na me _ Lender's Atltlress�h�Z OWNER BUILDER DECLARATION r - I hereby affirm.that I am exempt from the Contractor's License Law for the following reason (Section 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 re. quires the ap, licant,forsuch. permit to file a signed statement that he. Is licensed ' pursuant to the piovisions of the Contractor's License Law (commencing(Chapter 9 hrt Rusiness and Professions Code)ort thahO lStl exempt ttheof refrom and the is for the alleged exemption. Any violation of SectlonN7031.5 by a ppllcant for a permit subjects the applicant to a civil Penalty not more than live hundred dollars ($500). LI 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. (Section 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of a property who but Ids or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not Intentletl or offered for Sale. If, however, the building or Improvement Is sold within one year of completion, the owner will have the burden of proving he did not build or Improve for the purpose of Sale). ❑ 1, as owner of the property, am exclusively Contracting with licensed contractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who con. tracts from such projects with a contractor(s) Iicesned pursuant.lo the Contractor's License Law). ❑ 1 am exempt under Sectlon B. & P. C. for this reason Date Owner I hereby Certify that I have read this application and stale that the above Information Is correct. 1 agree to Comply with all city and County ordinances and state laws relating to construction, and hereby authorize representatives of this city to enter upon the above mentioned property for inspection r oSeS. /l� �G Signature ` Date Drivers' Licepj CMF 0065.46 'TYPE OF PERMIT. ❑ GRADING ❑ FOUNDATION XSTRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑PLUMBING ❑ME61ANICAI 1❑ OTHER P\R PROJECT DE_V� FT. PLUMBING ,,''JJ �CCUPANCV tIDNSTRUCTION TYPE OALVATION ZONE GRADING CU. YDS. ACRES _ a V PLUMBING PLAN CHEAK BATHTUBS SHOWERS TOILETS URINALS LAVATORIES DOUBLE LAVS KIT. SINKS DISHWASHERS SERVICF�SINKS. SUMPS FLOOR SINKS - FLOOR DRAIN'. IRINKING FOUNTAINS - - NTERCEPTORS .CLARIFIERS WIMMING POOL: _PTRAP SOLAR TANK /ATER SERVICE ALTERATION GAS SERVICE 'OUTLETS WATER HEATERS' "' BTU OUTPUT SEWER CONNECTIONS - SOLAR TANK - COLLECTORS SOLAR PIPING SVS. HP _ ISSUE FEE 10-50 HP MECHANICAL PLAN CHECK HEATING SYSTEM AND DUCTING 0-100,000 BTU_ 100,000 + BTU REFRIGERATION SYSTEM - BOILERS SYSTEM REPAIR,F EXHAUST SYSTEM ISSUE FEE Waite -Building; Canary -Applicant; Pink -Accounting; Goldenrod-AsSessor 100,000 + BTU - BTU .TERATION MULTIPLE -J . I. 0411 6/30/82 4 375.47 TL' ZONING REGULA A.P. ifs 5? -q -- ZONE . LNG. pc REAR YARD (TO P/L) PKG. SPACE f2ED. PROVIDE[ STREET WIDTH PARK FEE SPECIAL ELECTRICAL PLAN CHECK TRANSFORMER 0.1 KW_ 1-10 KW _ APPLIANCE 10-50 KW -50 I KW _ MOTORS 0-1 HP -1-10 HP _ (INC. SOLAR) 10-50 HP 50 + HP _ FIXTURES OUTLETS SWITCHES GAS TUBE SIGNS - POLE LIGHTS GRADING S - PANELS MAIN - SUB ISSUE FEE - - 1 APPLICATION APPROVED BY DATE SUMMARY OF FEES BUILDING 70% S. 7 PERMIT S cc SMIP 5 PLAN CHECK S PERMIT ISSUANCE S PLUMBING E - GRADING S PLAN CHECK $ ELECTRICAL $ S MICROFILM $ PLAN CHECK S TOTAL FEE $ MECHANICAL S LESS AD - PLAN CHECK E VANCEPC $_ I — -. ��J FINAL FEE S 37� Ir, CONSTRUCTION AND PLANNING APPROVALS Permit # - � Date - Inspector •v -1 POOL & SPA, - APPROVALS Permit #+ • - DAte Inspector `F 1. Temporary Electrical Service or Pole 43. Pool & Equipment. Location. -� , , t : =•; _ -2. Soi , ipe-Un rgrn = _ 44. Steel Reinforcement -- - - -3. - Electrical- Conduit Utility-Undrgrn, 1- - - 45. Forms' - - - - 4. Electrical Conduit-Undrgrn _ _ _ - 46. - Electrical Bonding - • - - - - - - - - _ . _ tee - ein orce _ _ 47. RoughPlumbin & Pressure Test •- -. 6.. Electrical.UFERGrn7.:1,-Fj.L. 48. APPROVAL TOCOVER•GUNITE - - - - -7. -Footings. 49. Electrical Conduit•Undr rn • 8: Foundation- - • - --.- - g. �..e2c7. 50.. Gas Pipe, ❑ Undl rn; Test = 9. = Water-Pipe•Undrgrn. _ - ^ - 751. Ba kwash Lines,. P-Trbp, ❑ Undrorn -- - ' 10. Structural Floor System - 52. -..APPROVAL TO.DECK - - 11.- Property'Sewer-Line& House'Connection-. - '53: Backwash & Receptor -Final 12. Street Sewer Connection ' ' - 54. Heater & Vent -Final 13. .Rough -944W .g JI;05q� PER I -T _ - - - - nal 14. Rough'Eleoc-du 56. -Electrical -Final- 15. Rough Electric -Wiring - 57.- -Solar System -Final - - 16. Rough Heating & Air Conditioning - -Fencing & Access,Approval 17; Ducts, in Structure- 59. APPROVEDFOR PLASTERING 18.- 19. 20. Ducts, Ventilating Gas Pip-e•Rough&Test - Roof Framing - - - - - 60.. POOL/SPA SYSTEMS FINAL - ` 21. 22. Roof Sheaihin Frame and Flashing - a - _ ,ti -417" _ _ - - - NOTES:. _2X_gA ,B 23.- Insulation --a/- 'Y •- /o-/3=Sy F - ' 24. Lathing & Siding - - - -' - -/r- - .2 •t 25. Drywall Nailing - - - - - - - - - P 22- 26: Plaster Brown Coat - - /2CR 27. Electrical Power Meter -Final - 28. -Final Electric - - 29. Final Heating & Air Conditioning - - - - - 30. Final Gas Pipe -Test - 31. Final Plumbing 32.-: Water Service=Final - - - - - = .33.. Gas Service -Final 34. Solar Domestic -sinal '' '' .• 35. Lindscat a Sprinkling System 36. Sound A tenuation- ' 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING ' _ ' 39. Special Requirements Completed z :? - _ 40. Electric Release to Edison _ '• ' 41. Gas Rele.,se to Southern California -Gas Co. - 42. -- CERTIFICATE OF OCCUPANCY No._ Date Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. ' CITY OF COSTA MESA PERMIT NO. NO. LOT NO. BL NO. - /TRACT . CONSTRUCTION PERMIT /� a S S 1 ' TYPE OF CONSTRUCTION 7f�p( NEW ElADD []ALTERATION_ LJ`REPAIR ❑CONVERSION ❑DEMOLISH. ❑ OTHER - ZONING REGULATIONS Project Address 7 �- _ Owner Phong; - 'Address - - - yzeG %� Arch/Eng: 'Lice V NO. DESCRIPTION OF WORK A•'P' # Address -' ' ZONE PLNTGp. RgUEFL. 'Contractor %�'� Phone TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL - ❑ TENANT ❑ ELECTRICAL ❑PLUMBING J(JMECHANIC SETBACKPROPEIRTV IO] YARD `IEIIG p$�fg INE -_ Address .,' IoYe- LICENSED CONTRACTOR DECLARATION - I' hereby affirm that'I am licensed under provisions of Charter 9 (com- ' ` HT ' mencing with section 7000) of Dlvislon 3 of Me -Business and O OTHER - , Professions Code, any my license is in full for and eff cfe) DESCRIPTION REAR YARD (TO P/L) ' License C ss ` License N� .PROJECT _ i SQ. FT.' _ PKG. SPACE Req. .. .. 'PROVIDED •'t Datelp Signature WORKERS' COMPENSATION DECLARATION --OCCUPANCY—_ CONSTRUCTION TYPE - STREET WIDTH -PARK FEES I hereby affirm that 1 have a certificate of consent to self -Insure or a -VALUATION -_ ZONE ZONING APPROVED BY DATE certificate of Workers' Compensation I•n/s7u�rj� 0ce, ortified copy _ _ _ .,of 'nof (Sn 0 . . GRADING ACRES SPECIAL CONDITIONS: �-a CO mpany 1_, _ert Bled copy Is hereby furnished. - REMARKS: Certified copy Is flied with the city Building Division. XEMPTION FROM WORKERS' COMPENSATION DECLARATION _ �� 71 This section need not..be completed If the ( p permit Is for -ore huntlred, - (5300) or less). P certify. that n the performance of the work for which this permit Is PLUMBING - _ PLAN CHECK' _ -ELECTRICAL _ PLAN CHECK - - izsueit 1 shall not employ any person in any m. Aner s as to become subject to a Wo kers Compens tion i of 'or - BATHTUBS SHOWERS Date Signet ur IL/ NOTIC If ler making this declarat 10 n, you u10 become subject to the ton _ TOILETS URINALS GENERATOR 0-1 KW_1.10 TRANSFORMER KW Work rs' COmpenSat provlsi om Of the bor Code, you must forthwith comply with such provi Si o ns Or this permit shall be dee mad LAVATORIES DOUBLE LAVS - APPLIANCE-' 30-50 KW'50 + KIN - revOketl. _ KIT. SINKS - DISHWASHERS - - -MOTORS 0-1 HP "1.10 HP CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a'construction lending agency for the per- 'ch SERV ICE SINKS SUMPS - (INC. SOLAR) 30-50'HP 50 + HP- formance of the for this per Is issued (Section 3097 'FLOOR SINKS FLOOR DRAINS -FIXTURES - OUTLETS SWITCHES* Civ. C.), - - % Lender's Name _ _ Lend is Atldress / - _ DRINKING FOUNTAINS- �- - GAS TUBE SIGNS -- OWNEp BUILDER DECLARATION I'hereb affirm that I am exempt from.the Contrador's License Law for INTERCEPTORS _ CLARIFIERS POLE LIGHTS - the fol�owing-reason (Section 7031.5 Business and Professions Code: ' SWIMMING POOL P TRAP "— - - - Any city or county which requires a permit to construct, altar, POLES METERED SUB WATER SERVICE ALTERATION -PANELS MAIN -' SUB Improve, demolish or repair any structure --prior to Its Issuance, also re- quires the applicant for such permit to file a signed Statement that he GAS SERVICE OUTLETS SERVICE' Is licensed Pursuant to the provisions of the'Contractor's License Law (Chapter 9 (commencing with 7000) of Division 3 of the - 'iness and Professions Code)' or that he is exempt therefrom and the or WATER HEATERS BTU OUTPUT "for the alleged exemption. Any violation Of Section 7031.5 by _ SEWER CONNECTIONS - - - applicant for -a permit subjects the applicant to a civil penalty d; not more than five dollars ($500). - ' SOLAR TANK' `- - COLLECTORS,- -hundred ❑ I. as owner of the property or my employees with wages as their "" compensation, will do the work, and the structure is not Intended Or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ISSUE FEE - contractor's license Law does not.apply to .an owner of a property ISSUE FEE APPLICATION APPROVED BY DAT VA who bbllds or Improves thereon, and who does such work himself Or through his -own employees, provided that such improvements are.not Intended or offered for sale. If, however, the building or Improvement MECHANICAL PLAN CHECK SUMMARY OF.FEE$ v' OF IS. Sold within one year Of completion, the Owner will have the burden proving he did not build or improve for the purpose of Sale). BUILDING BUILDING - .FEES- ❑ 1, a5 owner of -the property, am exclusively contracting with HEATING SYSTEM 0-100,000 BTU _ gryD DUCTING - - E - - - .•SMTP E --- licensed contractors to construct the project (Section 7044, Business 100,000+BTU PLAN CHECK E PERMIT and Professions Code: The Contractor's License Law does not apply to - - - - - ISSUANCE $ an owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $_ - tracts' from such -projects with a' contractor(s), Iicesned -pursuant-to SYSTEM -' -- - - - GRADING $ the Contractor's License Law). .100,000'+ BTU PLANCHECK $' ❑ I in, exempt-unoeJ Section '• B. & P. C. for this E BOILERS BTU ELECTRICAL S reason - SYSTEM REPAIR, PLAN CHECK $ .MICROFILM $ Date - Owner - - - ALTERATION EXHAUST SYSTEM MULTIPLE MECHANICAL: $ TOTAL-FEE�E ' LESS AD- L hereby certify that 1 have read this application and state that the above_ Information is correct, 1 agree to comply with all city and county _ ^PLAN CHECK $ _ VANCE PC - $- ortlinaryc¢s and State laws rel Ing, to constructlon,.antl hereby authorize representatives of this c I enter upon the aDOv¢ menti ned '� da property f r in ti r 5. _ _ _ Signatur _ ate �v F ISSUE FEE FINAL FEE $ _ Drivers' License or 55 CMF 0865-46 White-Bullding; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNING yy,,�� ��������-• APPROVALS Permit # 11/1G� _ Date Inspector' POOL & SPA APPROVALS,- •• Permit# j, •, „- j : ; : ,, ,. "''" ' yDate _; Inspector ' 1. - Temporary Electrical Service or Pole - 43. ..Steel Pool& Equipment Locatat ion\ - - -' ' � `+_� ���'`•�� -_ s i^ipe- n �grn.. _ '. -� _ _�, Reinforcement. - _ -- -•`{.}'= •\ . -a;..\ _\ 1 \�••. A. Electrical -Conduit Utility_Undrgrh 45. •. Forms ,_-4..-_Electrical-Conduit-Undrgmn _ _ _ _ _ _ 46.. Electrical, Bonding- --- - tee Reinforce _ _ _ _ 47. Rou h Plumb &Pressure Test __ 6 _-Electrical U_FER_Gr_n_ a -' 48: APPROVAL TO COVER-GUNITE'n E 7%t,ZT`ti. 1 e% �• ' 7.Footings 49. Electrical Conduit-Undr rn - . - 8. Foundation .. _ - - - - 50. ..Gas Pipe, ❑ Undr rn -Test :, • a - _.9. .Water Pipe-Undrgrn-- 51. Backwash Lines P- ra" E) tfnd4rri , 10. _Structural Floor System 52. -APPROVAL TO DECK -1.1. Property Sewer -Line & House Connection '_' ' _ _ _ _ 53. .Backwash ,& Rece for -Final ^- - r• 12. Street, Sewer Connection _ - 54. 'Heater & Vent -Final I 13.- .Rough Plumbing - Final 14. Rough Electric -Conduit - --------•-•- -•56, -Electrical-Final 15. Rough Electric-Wiiin _ -- - - - - - - -• -- - 57.: Solar -System -Final - - - - •^ - 16.. Rough Heating & Air Conditioning - - -- - _ _ - - - encing & Access Approval 17. -Ducts•.in Structure:- $� APPROVED FOR PLASTERING !'• -18.' Ducts; Ventilating - __ _ _ _ 60. _ _ ,__ - POOL/SPA SYSTEMS FINAL . •_ `_\•_ _J i_\'••: r\;\_ , ••• `.. 19.: Gas Pipe-Rough'&Test -- --- • -- - -20. -Roof Framing. - ' 21.' Roof Sheathing-- . "•• " •c. 22.Frame and FlashingNOTES: -__ _. -23.'., Insulation __ _ 24. Lathing & Siding - - . , , - . p .� w\ �.} .,.,e ..-C'; r \ •_\^.\h . r . 25.. Drywall Nailing 26.' Plaster Brown Coat - _ 27.+ Electrical Power Meter -Final (-28.r Final Electric- - -- _ - 29. Final Heatin 30.. Final Gas. Pipe -Test - -- - ' 31.1. Final Plumbing ' - 32, --Water Service-Nnal • 33.'• -Gas Service -Final-.-,- - - - - - - +__ .. -� - - - - - - - - - - 34. Solar Domestio-Firial' . " - � r. •' .. .. ... 35. Landscape Sprinkling System _ -` -•-v'. _ _ _ ' 36. Sound Attenuation .I C. - - - s^ r. - ��_ _ • - - - - . 37. Handicap Regulations ..'+. •i+ - '!---• - , 38. FINAL STRUCTURE & BUILDING ' 39. Special Requirements Completed- ' 40. Electric Release. to Edison, -,S\ 41. Gas Release.to Southern Califorriia Gas Co.' - - - - -- 42.,.� CERTIFICATE OFOCCUPANCY No - - Date +'�_'; �'_ __` _ -'=�• a \ lV'' ` t- t �._ .. Applicant to fill in all spl CITY OF COSTA MESA '- ' PERMIT WO, CONSTRUCTION PERMIT Project Address L L O Owner pv Phon Address Arch/Eng: License No. Address - - within heavy border lines and sign all appropriate declarations. TRACT NO. OT NO. I BLDG. NO. TYPE OF CONSTRUCTION X➢4 NEW. ❑ ADD 10 ALTERATION /❑ REPAIR ❑ CONVERSION ❑DEMOLISH L ❑ OTHER DESCRIPTION OF WORK s:onrraccor y- rnone t/ F PERMIT Address / L El GRADING E) FOUNDATION ❑ STRL LICENSED CONTRACTOR DECLARATION ❑ TENANT ❑ ELECTRICAL ❑PLUMBING I hereby affirm that I am licensed under provisions of Charter 9 (com- mencing with sectio •7000) of Division.3 of the Business antl El OT Coda D Y license is in full for nd efi License Class ansa PROJECT DESCRIPTION Data ^;L'D Signature SQ' FT' WORKERS' COMPENSATION DECLARATION OCCUPANCY_ CONSTRUCTION TYPE.- I, YPE_1, hereby affirm that f have a certificate Of consent to self -insure or a .VALUATION ZONE certificate of Workes'-Compensation Insuran,zi a certified Copy thereof (Section 3800, Lab. C.). GRADING: CU. YDS. ACRES :y No. - - '-Company - :ertified copy Is hereby furnished. REMARKS: LJ Certified copy Is filed with the city Building Division. i' EXEMPTION FROM WORKERS' COMPENSATION DECLARATION This section need not be completed If the permit Is for one hundred - A.P. ZONE - PLNG.REF. URAL- ECHANICA SIEEDFFE VA RIGHT. REAR YARD (TO P/L) - PKG.SPACEREQ. "PROVIDED STREET WIDTH - PARK FEE $ J$100) or less). certify that in lhe'performance of thew f which this permit Is issued, 1 shall not employ any person In y' her aS' subjec .y the ^or ars Compensation s Date "� �Signatura MBING '-' PLAN'CHECK._' .-- - BATHTUBS SHOWERS' NOTICE: If after making this decl ration, you should b me subjet TOILETS ... URINALS' to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit Shall be deemed LAVATORIES DOUBLE LAYS - revoked. _ _ CONSTRUCTION LENDING AGENCY KIT. SINKS- DISHWASHERS -' SERVICE SINKS (-SUMPS -•"' •- - I hereby affirm that there Is a construction lending agency for the per. formance of the work for which this permit is issued (Section 3097 FLOOR SINKS FLOOR DRAINS' Civ. C.). Lender's Name Lender's AddresS - - DRINKING FOUNTAINS - - INTERCEPTORS - CLARIFIERS' ' OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Businest-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 re- quires the ap, Iicant for such permit to file a Signed Statement that he Is licensed Pursuant to the provislons•of-the Contractor's -License Law ll Chapter 9 (commencing with Section 7000) of Division 3 of the Pnsines5 and Professions -Code) of that he is exempt therefrom and the 's for the alleged exemption. Any violation of Section 7031.5 by- -SWIMMING 'POOL •'--'PTRAP '-^ •' -• ^ - WATER SERVICE "- ALTERATION - •" "-G'AS SERVICE' -' OUTLETS WATER HEATERS-' BTU OUTPUT, - SEWER CONNECTIONS - applicant for a permit subjects the apppcant to a clvll.penalty .tot more than five hundred dollars (§500). SOLAR TANK - COLLECTORS' - ❑ 1, as -owner of the property,, or my employees With wages as their sold'COmpensalion; will do the work, and the Structure Is not Intended or Offered for sale. (Section 7044, Business and Prdfesslons Code: The SOLAR PIPING SYS: - Contractor's License Law does not apply to an Owner of a property 'ISSUE FEE - - who builds or improvesthereon, and who does Such work himself or through his own employees, provided that such Improvements are not Intended or offered for sale. if, however, the huilding' or Improvement' Is sold within one year of completion, the Owner will have the burden _ MECHANICAL PLAN CHECK HEATING SYSTEM 0-I00,000.BTU- AND DUCTING 100,000+BTU of proving he did notbuildor improve 'for the purpose of sale). 0_1, as Owner. of the property, am exclusively.. contracting -with. licensed contractors to construct the project (Section 7044, Business and Professions Code:. The. Contractor's License Law does not apply to REFRIGERATION 0-100,000 STV an owner of. property who builds or Improve% thereon, and who con- tracts from Such projects with a contractor(s) licesned pursuant to. the Contractor's License Law). SYSTEM - 100,000+BTU ❑ 1 am exempt under Section 8. & P. C: for this 60ILERS BTU -• - - PERMIT § reason Date Owner SYSTEM REPAIR, ALTERATION I hereby certify that I ha lead this application and state that the above EXHAUST SYSTEM MULTIPLE information is correct I a ee to comply with all city and county' �� and sta S r ti%.Onguli hereby authored ,and nta representatives represanes lnd h OVB meptlOnetl property for i ec o pu - Slgnature Date�P'^ O - Drivers' License or SS 1 ISSUE FEE CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor SPECIAL CONDITIONS: I I ELECTRICAL --- PLAN CHECK' SD. FT. GD FT. - -- - GENERATOR • 0.1 -KW _ TRANSFORMER 1.10 KW APPLIANCE- 10-50 KW -56 * KW - MOTORS 0-1 HP -_1-10 HP -' (INC. SOLAR) 10-50 HIP 50 + HPC _- 'FIXTURES'- OUTLETS- SWITCHES -GAS TUBE SIGNS • -- - - - POLELIGHTS'- - •-^ _. - - 'POLES - METERED - SUB - 'PANELS •- -- MAIN--' SUB - SERVICE - - - - - AMP - - ISSUE FEE - '-• APPLICATION APPROVED BY - DAT J� B .. SUMMARY OF FEES , BUILDING -• - - PERMIT § SMIP, ,PLAN CHECK $ .PERMIT .. - - ISSUANCE $ 'PLUMBING $ GRADING $ PLAN CHECK $ _ ELECTRICAL E - Is ' PLAN CHECK §- MECHANICAL § MICROFILM § TOTAL FEE PLAN CHECK E LESS AD- . VANCEPC $ - FINAL FEE $ /,2=V I I CONSTRUCTION AND PLANNING {POOL APPROVALS Permit aW / �J� Date Inspector & SPA r APPROVALS' _Pelmit # ` \ Date ^Inspector 1. Temporary Electrical Service or Pole F43. . Pool & Equipment Location 2. Soil ipe• n rgrn Steel Reinforcement" - - 3. Electrical Conduit Utility-Undrgrn . 45. Forms - - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding- - 5. Steel ein orce _ _ 47. Rough Plumbin' & Pressure Test --'- " - -' - -- -• • - 6. Electrical U ER Grn 48. APPROVAL TO COVER-GUNITE - 7. Footings _ _ _ 49. Electrical Conduit-Undr rn - 8. Foundation 50. Gas Pipe, ❑Undr rn Test ' 9. Water Pipe-Undrgrn .. - 51. Backwash Lines,P- 'ra - D_ n • rA 10. Structural Floor System 52. _- APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final 12. Street Sewer Connection -' - -- 54. Heater & Vent -Final 13. Rough Plumbing - - - 14. Rough Electric -Conduit - - S6.- Electrical -Final - - 15. Rough Electric -Wiring _ '" 57. Solar System -Final 16. Rough Heating & Air Conditioning -- - .encing & Access Approval 17,' Ducts in Structure APPROVED FOR PLASTERING''. 18. 19. - -20. Ducts, Ventilating - - - - Gas Pipe -Rough & Test Roof Framing - - --- - - - 60. - •---- - - - - -.. _ POOL/SPA SYSTEMS FINAL' ' 21. 22. Roof .Sheathing Frame and Flashing NOTES: 23. Insulation - - - - -- - - - - - - 24. Lathing &Siding 25. Drywall Nailing -- 26. Plaster Brown Coat - - -- - 27. Electrical Power Meter -Final - 28. Final Electric 29. Final Heating & Air Conditioning - - - 30. Final Gas Pipe -Tess - - - '- 31. Final Plumbing - - 32': Water Service -Final -- - ' ' 33. Gas Service -Final- - + 34. Solar Domestic -Final - 35. Landscape rinklin System 36. Sound Attenuation 37. Handicap Regulations - - - '-- - 38. FINAL STRUCTURE & BUILDING _ _ ------- -- - 39. Special, Requirements Completed _ 40. Electric. Release to Edison 41. Gas Release to Southern California Gas Co. 42. . CERTIFICATE OF OCCUPANCY- No - ^' Date -. - - - - - •- `- ----- Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PErT TRACT NO. LOT NO. BLDG. NO. CONSTRUCTION PERMIT 4.1 - TYPE OF CONSTRUCTION , ❑ ❑ ❑ALTERATION r 0611. 7/01/82 37.02 Prbject Address , [_ Owner Phone O NEW ADD iAddress0 Q El REPAIR ❑CONVERSION ❑DEMOLISH ❑ OTHER - _ - ZONING REGULATIONS Arch/Eng. CPA -CD icense No. G DESCRIPTION OF WORK A P. ZONE PLNG. REF. SF _ Addr¢55 1% Contractor Phones, s TYPE OF PERMIT ❑ GRADING!!!���JJJ,,, ❑ FOUNDATION ❑STRUCTURAL ❑ TENANT' IJsj ELECTRICAL ❑PLUMBING ❑MECHANIC ` SET ACK CILT. Lffir SIpE V - ''rRpOBgPLt�IPLpDING PROPE RTV LINE - - - Address' i - 'LICENSED CONTRACTOR DECLARATION- 9 I hereby affirm that I am licensed under provisions of Charter (Com- menti ng with section 7000) of Division 3 of the Business and ❑ OTHER / .RIGHT. - - - �Professions Code - d y Icense is In fu force an off c REAR YARD (TO P/L) PROJECT DESCRIPTION 4 .LivensIs U e No. _ _ _ - PKG. SPACE REQ. PROVIDED ' SQ. FT. Date 7// 'Z Signature ��77 -� OCCUPANCV_CONSTRUCTION TYPE STREET WIDTH PARK FEE $ 1WORKER CO DECLARATION il hereby affirm that 1 have a certificate Of consent to salt -Insure or a that I have VALUATION'' ZONE . ZONING APPROVEO.BY DATE -- " certificate of Workers' Compensation Insurance,- or -a certified copy - 'thereof (Section 3800, Lab. C.). GRADING CU.-YOS. ACRES SPECIAL' CONDITIONS: - �y No:* Company- .ertifled copy is hereby furnished. _ .. REMARKS: Copy is filed with the city Building Division. _ �Certlfled EMPTION"FROM WORKERS' COMPENSATION DECLARATION (This section neednot be completed if the ,permit is for one hundred ($1001 or less). I tort fy that n the performance of the work for which this permit Is Issued, I'Shall not employ any person in any manner so as to become PLUMBING; PLAN CHECK " - ELECTRICAL PLAN CHECK _ ,subject t0 the Workers' Compensation Laws of -_ _ BATHTUBS SHOWERSFT, - -California. _ Date Signature I �NOTICE: If after making this declaration, you should become subject TOILETS d - -URINALS - - - 'GENERATOR -� 0-1'KW� 1-10;KW to the Workers' Compensation provisions of the labor Code, -you must' ^DOUBLE TRANSFORMER . u - • - - forthwith comply with such provisions or this permit shall be deemed LAVATORIES LAYS '---- - APPLIANCE 30.50-KW_50+KW revoked. _ -j. _ ' _ _ 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 - -"^' - - �- (INC. -SOLAR) ._ .10-5019P 50 +.HP --- - - formance of the work for which this permit Is issued (Section 3097 FLOOR SINKS FLOOR DRAINS FIXTURES- - OUTLETS : SWITCHES - - Civ. C:): - - -- "' - "- - Lender's Name Lender's Adores -DRINKING FOUNTAINS' - F' - ' GAS TUBE-SIGNS— 'INTERCEPTORS CLARIFIERS - POLE LIGHTS - '- •� - - OWNERBUILDERDECLARATION I herebyy affirm that I am exempt from the Contractor's License Law for SWIMMING POOL - P TRAP -- - POLES METERED - Sys [ne•fol lowing reason (Section 7031.5 Business and Professions Cotler. Any city or county which requires a permit to construct, alter, Improve, demolish or repair any structure,- prior to Its Issuance, also re. WATER SERVICE "- ALTERATION "PANELS - MAIN -' .SUB quires the apvIlcant for such permit to file a signed statement that he_ GAS SERVICE- - - OUTLETS - - . Y SERVICE Is licensed pursuant to the -provisions of the -Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS "BTU OUTPUT - - - Ruslness'and Professions Code) or that he is exempt therefrom and the Is for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS ,applicant for a permit subjects the applicant -to a -civil penalty not more than five hundred dollars ($500). SOLAR TANK- - COLLECTORS - - - - LJ 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 far sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. :i ' ISSUE FEE Contractor's License Law does_nol apply to an -sowner of a property who builds or Improves thereon, and who does such work himself or - ISSUE FEE .APPL-ICATIONAPPROV ED BV-- - DATE through his own employees, provided that such Improvements are not MECHANICAL PLAN CHECK $UMMA RV OF FEES intended or offered for sale. It, however, the building or Improvement is ,saltl within one year of completion the owner will have the burden , of proving he did not build or improve for the -purpose of sale). HEATING SYSTEM 0.100,000 BTU - BUILDING - 'PERMIT $ - - - - :SMIP, $ ❑ property, -am exclusively with as owner of. thest eectu(Sec -AND DUCTING - - - - ' licensro contractors to construct the project (Section Business n 100,000,+ BTU PLAN CHECK S PERMIT- es not antl Professions The Contractor's does not apply to _.._. ISSUANCE $ , i provesethaw an owner of Property who builds or Improves thereon, and who ton- pert REFRIGERATION 0-100,000 BTU PLUMBING E tracts from such projects with a contractor(s) Iicesned pursuant to SYSTEM r' GRADING $' the Contractor's License Law). 100,000 + g7U PLAN�CHECK $ i ❑ 1 am exempt under Section -B. 6-P. C. for this BOILERS BTU - ELECTRICAL $ 3 %, r� �- $ reason - SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE PLAN CHECK $ -- MECHANICAL $ MICROFILM $ _• >• `\ TOTAL FEE E LESS AD - Data Owner I hereby certify that I have read this application and state that the above Information is correct. I agr to comply with all city and county PLAN CHECK li VANCEPC S- ordinances and sta FC., �s res t 9la con action, and hereby authorize , eb rosentatives i fily ci P ante upon the above a [i netl properly for n ses. v - �, O ,Ar JJ� // / FEE $ 5lgnat are CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor TL' CONSTRUCTION AND PLANNIN APPROVALS - '- Permit# - Date Inspector �1 POOL &SPA APPROVALS Permit#_ Date Ini�iector.; 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location'- . Soil Pipe-Undrgrn 44. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrn 45. Forms - - - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - •- tee ein orce 47. Rough Plumbing & Pressure Test - 6.- Electrical UFER Grn 48. APPROVALTO COVER-GUNITE 7. Footings _ _ 49. Electrical Conduit-Undr rn 8.. Foundation 50. Gas Pie ❑ Undr rn, Test . 9. - Water Pipe-Undr rn 51. Backwash Lines P -Tr - ElndFr • 10. Structural FIo0r System^ 52. APPROVAL TO DECK 11. Property Sewer Line & House. Connection 53. Backwash & Receptor -Final ' 12. Street Sewer Connection- = 54. Heater & Vent -Final 13. Rough Plumbing _ -55. Plumbino System - Final 14. Rough Electric -Conduit 56. Electrical -Final - 15. Rough Electric -Wiring - -L -4L 57. Solar System -Final 16. Rough Heating & Air Conditioning be. Fencing & Access Approval - .17. Ducts in Structure 59. APPROVED FOR PLASTERING 18. -Ducts, Ventilating 60.. POOL/SPA SYSTEMS FINAL - •' 19. Gas Pipe -Rough &Test - 20. Roof Framing 21. Roof Sheathing- - - - •- NOTES; 22. Frame and Flashing 23. Insulation - - - 24. Lathing & Siding - - - - --- 25. Drywall Nailing - 26. Plaster Brown Coat - 27. Electhcal Power Meter -Final 28. Final Electric - 29. Final Heating & Air Conditioning - - - - 30. Final Gas Pipe -Test - - 31. Final Plumbing - 32. Water Service -Final 33. Gas Service -Final ' 34. Solar Domestic -Final - 35. Landscape Sprinkling System • 36. Sound Attenuation - - - -- - - ' 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING - - --- 39. Special Requirements Completed • 40. Electric Release to Edison ' 41. Gas Release to Southern California Gas Co. - r 42. CERTIFICATE OF OCCUPANCY No - ----- Date r _ Applicant to fill In all spaces within heavy border lines and sign all appropriate declarations. , ' CITY OF COSTA MESA F PERMIT f10. TRACT NO. LOT NO. BLDG. CONSTRUCTION PERMIT �[ �'�C 0383 6/30/82 31.00 TL Project dress Ad�(j ^ _-- _ _ TVPE�i CONSTRUCTION LYI,� J _ 4 - - - ' ' Owner G .� Phone 2 KNEW ❑ ADD ❑ ALTERATION - ❑REPAIR ❑CONVERSION.❑DEMOLISH IAddrew -- - - -- - - \'•Vl',' ZONING REGULATIONS .. _ Arch/Eng. - - -- - -License No. - ❑ OTHER ' '- A P DESCRIPTION_ OF WORK Address'" - ' -' - -- - -_ _ ZONE PLNG. REF: 7f-' Contractor &5V4,,Uri: - Phone • - _ TYPE OF PERMIT - - - - -"BUILDING-- - TRBUILDING - - Address C �� I1P01%(A- .'- _. ❑GRADING ❑ FOUNDATION ❑STRUCTURAL SETBACK L T. LDE YARD PRO PE RTV.LINE' LICENSED CONTRACTOR DECLARATION _ 9 El TENANT 11 ELECTRICAL lUMBING ❑MECHAN ICA S,[ E VA ' I hereby affirm thzt I am licensed under provisions of Charter (com- 7000) _of rDivision - 3 --of the Business and , _ ❑ OTHER - RIGHT mencing with section Professions Code, and my license is In full forte., ref :t. r-7-.- 3 2f '_ - t - „ _ __ ' PROJECT. DESCRIPTION. ' , REAR YARD (TO P/L) - License Class LI n FT. IPKG. SPACE REO. .PROVIDED Date (0 L - Signature. •'' - _ +OCCUPANCV"_ TYPE .. _ ^. .. - 'STREET WIDTH PARK FEE E WORKERS' COMPENSATION DECLARATION .. _ _ ': CONSTRUCTION -- ZONING APPROVED BY - -' DATE - - 1 hereby affirm that I have a certificate of consent to scertifi urec a VALUATION— `- ZONE I '• y ' certificate of -Work Insurance, or a certified co y� - _ thereof (Sec Ion 8 0 b. C. thereof ,GRADING CU.-VDS. ACRES SPECIAL CONDITIONS: n PoIicY No. - ColnpanY - . - - - _ _.- _ _ _ - 0777=) ❑ Cer tied copy.ls hereby furnlsheci.._ _ ._- . _._ _ _ v_ REMARKS: _ rtlfled copy Is filed with the city Building Division. t .. EXEMPTION'FROM WORKERS' COMPENSATION DECLARATION - (This section need not.be completed if,the permit Is far one_hundred, _•,_ ,n ._•,-_._ - - _ _ _ -_._ �' +' $100) or less1. I certify that n the performance of the work for which this permit JS -PLUBING - -1 PLAN CHECK -- Issued, I shall not employ any person in any manner so as to becomeM ELECTRICAL - - PLAN CHECK' - - - subject .to.the.WOrkers' Compensation -Laws of.Californla. ' "' Date Si9naf ure BATHTUBS SHOWERS --"'- - - - - " NOTICE: If after making this declaration, you should become subject TOILETS ^Ir �.;URINALS "" -� ,GENERATOR 0-I KW_ 1-10 KW to the Workers' Compensation provisions of the Labor Code, you must - 'TRANSFORMER - - t forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE'CAVS ',APPLIANCE _ - 10-50 KW_ 50 KW -- - - revoked. ' _ _ _ _ _ IT.SINKS - - DISHWASHERS _ _ MOTORS - - 0-I'HP_1-1011P CONSTRUCTION LENDING AGENCY - 1 hereby affirm that there is a construction lending agency for the per. SERVICE SINKS ��, SUMPS- - _ - - (INC. SOLAR)_: 10-50 HP- 50'. HP' - formance of the work for which this permit is Issued (Section 3097 - FLOOR SINKS - FLOOR DRAINS - FIXTURES` - OUTLETS _ SWITCHES Civ. CJ'. - "' '-- --'• - -' - -' Lender's Name Lender's Address DRINKING FOUNTAINS - - '-'--GAS TUBE SIGNS'-"'- - , '� - IfJTE RC EPTO RS -CLARIFIERS •` �POLE'CIGH LIGHTS - _ '- - - - - OWNER'BUILDER DECLARATION I hereby affirm that I am exempt from.the Contractor's License Law for -SWIMMING POOL -- PTRAP - "R- -- POLES METERED SUB . -' the -following -reason (Section 7031.5 -Business and Professions-Cotle: Any city or county which requires a permit to construct, alter, WATERSERVICE ALTERATION -' '- - PANELS MAIN 5013 - improve, demolish or repair any structure; prior to its issuance also re- quires the apt licant for such permit to file a signed statement that he GAS SERVICE OUTLETS •' _ ' SERVICE— - '- • - AMP -- Is licensed pursuant to the provisions of the Contractor's License taw ' ((Chapter 9 (commencing with Section 7000) of Division 3 of the j - WATER HEATERS' " - BTU OVTPtIT "-q- R 9uslness and Professions Code) or -that -he is exempt therefrom and the- basis for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS any applicant for a permit subjects the applicant -to -a -Civil penalty Of not more than five hundred dollars ($500). �•" - SOLAR TANK' - -COLLECTORS-T' . ❑ 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. (Section 7044, Business and Professions Code: The SOLAR -PIPING SYS. • - - -- ISSUE EE -'- SSUE FON - -^ - - '- ' not. apply to agowner of a property Contractor's License Law does not. - _ _ - _ a`APPROV who builds or improves thereon and who does such workhimselfor ISSUE FEE — ED BY - - - - DATE - through.his own employees, provided that such Improvements are not MECHANICAL PLAN CHECK SUMMARY OF FEES Intended or offered for sale. If, however, the building' or improvement 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 $ ., SMIP - E' El I, as. owner- of.the -property,-am. exclusively -contracting -with -gND'DUCTING- - - --' '' -- '- - -- - licensed contractors to construct the project (Section 7044, Business 100,000+BTU jPLAN CHECK $ PERMIT and Professions Code: The -Contractor's License law does not apply to- - - ISSUANCE $ ' an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU !PLUMBING $ I, 'GRADING tracts from such -projects with -a contractor(s) Iicesned• pursuant to -SYSTEM- -•-- - - - - $' _ the Contractor's License Law). 100,000;- BTU PLAN�CHECK-_$ , , ❑ I am exempt under Section "B.8 P. C. for this BOILERS BTU_ ELECTRICAL E - '• $ reason- PLAN CHECK '$" MICROFILM $ Date Owner SYSTEM REPAIR, ALTERATION- TOTAL FEE E I EXHAUST SYSTEM MULTIPLE MECHANICAL E _ ' - ' LESS AD. I herebycertify that 1 have read this application and state that the above Y PO information Is -correct. 1 agree to comply with all city and county f PLAN CHECK,. E VANCE PC $ _ ordinances and state laws rel ting to construction, and hereby authorize representatives f -this ci p enter upon the above mentioned Property. for o_n O as. l .--5 � _ _ — - FINAL FEE *3 Signature ISSUE FEE _ _ - .. CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNIN Date Inspector APPROVALS Permit# C ° - POOL & SPA - - Date Inspector APPROVALS Permit 4# 1. Temporary Electrical Service or Pole _ _ 43. Pool & Equipment Location - -• - - - - 2. _Soil Pipe-Undrgrn.- ' - _ C -3U P$ 44• Steel Reinforcement - "- - - 3.. Electrical Conduit Utility-Undrgrn 45. Forms - - - 4. Electrical Conduit-Undrgrn _ 46. - Electrical Bonding-- - - - - 5.tee em orce _ 47. Rough Plumbing & Pressure -Test - 6. Electrical UFER Grn _ _ 48. APPROVAL TO COVER-GUNITE- - - - - _ 7. Footings _ _ _ _ 49. Electrical Conduit-Undr rn - 8. Foundation 50. • ,Gas Pipe, �.❑ Undr rn, Test .9. Water. Pipe-Undrgrn 51. Backwash Lines P -Trap- ❑ Undrgrn- -10.- StructuralFloorSystem 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. - Backwash & Receptor -Final 12. Street Sewer Connection 54.- Heater & Vent -Final 1.. Rough Plumbing _ - - ' 14. Rough Electric -Conduit - - ` -56. -Electrical-Final -- 15. Rough Electric -Wiring - - - - -- 57. Solar System -Final - - - 16. Rough Heating & Air Conditioning- -- encing &"Access Approval 17. Ducts, in Structure 59., APPROVED FOR PLASTERING - 18. Ducts, Ventilating 60. POOL/SPA. SYSTEMS FINAL 19. Gas Pipe -Rough &Test - - 20. Roof Framing 21. Roof -Sheathin - - - - NOTES: 22. Frame and Flashing - i 23. Insulation- - 24. - Lathing & Siding - - - - - - -- " 25. Drywall Nailing '- 26. Plaster Brown Coat - 27. Electrical Power Meter -Final - 28. Final Electric" 19. Final Heating & Air Conditioning - -• jO. Final Gas Pipe -Test 31. Final Plumbing 32. Water Service -Final ' 33: Gas Service -Final _ _34. Solar Domestic -Final " 35. Landscape Srinklin System - - -----_ - -"---"^-------------_ 36. Sound Attenuation _ _ 37. Handicap Regulations - ' 38. FINAL STRUCTURE & BUILDING ' 39. Special Requirements Completed _ -- 40. Electric Release to Edison - 41. Gas Release to Southern California Gas Co. ' •� 42.- CERTIFICATE OF OCCUPANCY I No Date Applicant to fill in all s es within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA P X IT O TRACT NO. • LOT NO. BLDG. NO. CONSTRUCTION PERMIT � ) 11 //Oy/ / 2 0410• 6/30/82 375.47 TL' Address Arch(Eng.(2dC/s)/Cr ('-OM/-i< License No. I Address /930; %v70,jr-00/)q— /U. 6- Contractor /,/,ESG;,. Phone�� �3yZ Address •jv/O Ct,, n1f�r0"t - LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I am licensed under provisions of Charter 9 (com- mencing with section 7000) of Division 3 of the Business and Professions Cod it my Ilcense is to full force �} effect. License Class License C Date 1 Signature WORKERS' COMPENSATION DE AR ON I hereby affirm that 1 have a cert! tate of Consent to self -insure or a cert ificaite of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.). Policy No. - Company ❑ Certified copy Is hereby furnished. ❑ Certified Copy is filed with the city Building Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION This section need not be completed if the permit is for one hundred ($100) or less). I Certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subj e'St—t ol[/nnh��¢�YyIA�rCk�ers' Compensat'op�n �L�a was of C�a l�i�f�irp�i a�. p Da tetflSi9na[ure NOTICE: I( after making this dec ati you sh uld be Come subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be tleemetl revoked. CONSTRUCTION LENDING AGENCY I hereby affirm.,that. there Is a construction lending agency for,the per- formance of the work for. which this per,mi Lis issuecL (Section 3097, Lender's DECLARATION - - I am exempt from the Contractor's License Lav for such permit,to file a signed statement I to the provisions of the Contra Ctor'S Licel mcidg with •.Section 7000) of .Division 3 TYPE OF CONSTRUCTION NEW ❑ ADD ❑ ALTERATION ❑ REPAIR. ❑ CONVERSION El DEMOLISH ❑ OTHER DUCRIPTION OF WORK TYPE OF PERMIT ❑ GRADING ❑ FOUNDATIONSTRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑PLUMBING ❑MECHAI -0 OTHER V �RO.IECT DJCIIO�F. CCUPAN�RVALUATIOZONE GRADING CU. YDS. ACRES • 1/tIG HT..�� - -- - REAR YARD (TO P/L) �PKG. SPACE REO. i PROVIDEC STREET WIDTH PARK FEE ZONING APPROVED D SPECIAL CONDITIO 5: PLUMBING - PLAN CHECK I I I ELECTRICAL PLAN CHECK I I I TOILETS URINALS LAVATORIES DOUBLE LAVS Z KIT. SINKS DISHWASHERS SERVICE'SINKS SUMPS FLOOWSINKS FLOOR DRAINS, DRINKING FOUNTAINS - I ,INTERCEPTORS ' ' -CLARIFIERS SWIMMING'POOL_ "' `PTRAP ,. _ WATER SERVICE _s ALTERATION GAS SERVICE OUTLETS -WATER HEATERS--/ "• BTU OUTPUT - baste for the alleged exemption. Any violaOOn Or S CliOn `/UJ1:S Dy any applicant for -a -permit -subjects the applicant to a,clvil -penalty of not more than five hundred dollars ($500). I-' - "SEWER CONNECTIONS ' SOLAR TANK - COLLECTORS ❑ 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. (Section 7044, Business and Professions Code -.-The SOLAR PIPING SYS. Contractor's License Law does not apply to an owner of a property ISSUE FEE who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not 0-1 HP_1-30 _ MECHANICAL PLAN CHECK intended or offered for sale. If, however, the building Or improvement is sold within one year of completion, the owner will have the burden HEATING SYSTEM 0-100,000 BTU_ AND DUCTING - 100,000+BTU_ of proving he did not build or 'improve for the purpose of -sale). ❑ 1, as owner of the Property,am exclusively contracting with. licensed contractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law doesnot apply to REFRIGERATION 0-100,000 BTU_ an owner of property who builds or improves thereon, and who con- tracts from such projects with a contractor(s) Iicesned pursuant to the Contractor's license Law). -SYSTEM 100,000 +BTU ❑ 1 am exempt -under Section -B. WP. C. for this - - BOILERS BTU FINAL FEE $37S. 'l reason Date Owner SYSTEM REPAIR, ALTERATION I hereby certify that 1 have read this application and state that the above EXHAUST SYSTEM MULTIPLE Information is correct. I agree to comply with all city and county ordinances and stale laws relating to construction, and hereby authorize representatives of this city to enter -upon the 'above- mentioned' Signature Date Drivers' Lir se -, CMF 0865--16 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor -ISSUE FEE - GENERATOR 0-1 KW_ 1-10 KW .TRANSFORMER .SMTP S v % _ APPLIANCE - 10-50 KW— 50+KIN _ MOTORS 0-1 HP_1-30 HP _ (INC. SOLAR) 10-50 HP 50 + HP _ FIXTURES — OUTLETS SWITCHES GAS TUBE SIGNS PLAN CHECK $ LESS AD- VANCEPC POLE LIGHTS FINAL FEE $37S. 'l POLES _ V METERED'SUB PANELS MAIN SUB SERVICE- AMP 155Vt eEE - APPLICATION APPROVED By DL 0 7 SUMMARY OF FEES BUILDING - �A I ( � eT PERMIT $ 0` .SMTP S v % PLAN CHECK $ PERMIT f ISSUANCE $ PLUMBING Is --GRADING PLAN CHECK $.— $ --, ELECTRICAL $ $ - PLAN CHECK S MICROFILM s MECHANICAL $ - TOTAL FEE $ PLAN CHECK $ LESS AD- VANCEPC FINAL FEE $37S. 'l • CONSTRUCTION%AND PLANNIN APPROVALS Permit # � _ •f Date Inspector t POOL•& SPA APPROVALS .. - Permits# t ' Date Inspector 1. Temporary Electrical Service or Pole_ 43. Pool & Equi pment Location'- , -2. Soil.Pipe-Undrgrn - _ 44. Steel Reinforcement - - - - 3. Electrical Conduitti lity-Undrgrn_.. : 45. Forms ---- - - ' ,.'-4. • - Electrical ConduitUndrgrn__ ' _. -. _ _ - _ _ - '_ - ' _ '... 46. Electrical'Bonding.--5.- tee Heinforce­_- 47. Rough PIL;rnbing & Pressure Te-s't--; - - - l • - "- " - -_ 6._ -Electrical UFER Grn._ _ __ 48. APPROVALTO COVER-GUNITE�' - _. 7..- Footings-`_• 49. Electrical, Conduit-Undr rn - - - B. -Foundation. - - -- - - ' .o2u•.- . 50. Gas Pipe„❑ Undr rn, Test- -.9., Water Pipe-Undrgrn = T. 51:, Backwash Lines P -Trap_ 0 UndF rn- " :-10`.-'Structural. Floor. System..,J,..:, _ ••*_-- �52as.AP_PROVALTO-DECK- - - -' _1 -1.,' -Property -Sewer Line:&.House.Conn(iction-T_ `53:=_-Backwash&Rece tor -Final 12. --Street Sewer_ Connection -_ - -- -- - - .54. Heater &Vent=Final ' 3._._Rough P utnbj _ s ~• - - - - - - - - 14. Rough ElecfricC6h' uf' Ji`i , )1 (1.101E - -- - - - ' '�' 56.•' Electrical -Final - 15. Rough Electric -Wiring •" - - 57: -Solar System -Final 16.- 'Rough Heating & Air Conditioning= _- - - - - -- _ - - Fencing &Access Approval 77. Ducts in Structure 59.__APPROVED FOR PLASTERING - 18. Ducts, Ventilating -•• __ - - 19. Gas Pipe=Rough'&Test' - -20: Roof Framing - - -- _ _ _.. _ _ _ - __ _ _ - - _ _, _- _. 60. POOL/SPA SYSTEMS FINAL ,', •: 0' 21. Roof Sheathing - 22.- Frame and -Flashing v-5'-S'A - --- NOTES: 9 2q VA_ 23.- Insulation -- -- - - - - - B X0-/9 = ' 24. Lathing &-Siding- - - - - - - - -- fn 4AVj1ZC i2 25: Drywall Nailing-- - - - - - - ''•' 26. Plaster Brown Coat - - - - t '�-•-o -- - Y �f- 27: Electrical Power Meter -Final- - -- - - -' /-/3 •- ' 26. Final Electric - - -- - ---- - - - -- L- 29:- Final Heating & Air Conditioning - - - - - 30. Final Gas Pipe -Test - 31. -- Final=Plumbing _ -- 32:- -Water Service -Final _- - 33:- Gas Service -Final -- - - • - ! 34. Solar Domestic-Pinal r`' - • -- r' t L--3-5. Landsca •e Sprinkling System - -• i--- "= •" 36. t6nuation -Sound-A, 37. Handicap Regulations - -' -- '- 38. FINAL STRUCTURE & BUILDING ' 39. Special Requirements Completed 22 44* - 40. - Electric Release -to Edison----- -- ----- _ - 41 . Gas Rele•,se to Southern California Gas Co. -- -• - - ,-42.. CERTIFICATE OF OCCUPANCY 'No.'___ Date I Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. -CITY OF COSTA MESA'PERMIT -- TRACT NO.�.- LOT NO. BLDG. NO. -' - CONSTRUCTION PERMIT cop ; -Si B (iJ%�I/:�r i?,'j .TI Project Address Z67 AC) Z-- TYPE OF CONSTRUCTION _ Owner ' - Phone - ❑ - ❑ 6 " ,�N EW ADD ALTERATION' Address -- El REPAIR REPAIR'CONVERSION ❑DEMOLISH O ZONING REGULATIONS Arch/Eng: "License No. .._ _ OTHER -_ _ jl DESCRIPTION OF WORK A.P � Address - - - - '- "" ZONE PLNG. R1E1F.p--# Contractor / hon O - VPE OF PERMIT: �rp gRT VNL Address ❑ GRADING,- ❑ FOUNDATION O STRUCT RAL ID SETBACK C ST. N. YARD PROPEINE - LICENSED_CONTRACTOR DECLARATION. _.1:1 TENANT ❑ ELECTRICAL ❑PLUMBING CHANICA I hereby affirm thtt I am licensed under provisions of Charter 9 (COM• Division 3 the. :,. D.OTHiR, RIIGHTA mencing. with. section 7000) of of Business and Professions Code, license i!full force' antl c _ REAR YARD (TO P/L) � �f PROJECT DESCRIPTION , ,,Ip License Class Lie o. - - � "` ' _ PKG. SPACE REQ: - - � � - PROVIDED:" - a Date' " Signature 'FT. •' _ - . r _ STREET WIDTH PARK FEE E - WORKERS•COMPENSATION DECLARATION� CCVPANCV_CONSTRUCTION TYPE I hereby affirm that I have a certificate of consent to self-Insure or _ VALUATIONZONE ZONINGAPPROVED BY -- GATE _ - e of Workers' Compensation Insurance, or a certi fietl. co PY thereocertifif (Se tion 3800, Lab. GRADING CU. YDS.ACRES SPECIAL CONDITIONS: 'cy No. Company- Certified copy i5 hereby furnished.'. REMARKS: LJ Certified copy is.filed with the city Builtling Division.- EXEMPTION FROM WORKERS' COMPENSATION DECLARATION -Z19r/ - - - - ((This section need not be completed if the permit is for one huntlretl oo) or less I Certify that n the performance of the w0 for hich this permit is issued,' I shall' not employ any Person in y ner S to bec0 e' PLUMBING ' PLAN'CHECK - + -' - ,ELECTRICAL "'- - 'PLAN CHECK-- subjec o the Workers' Compensation s r I - _ Date ��^�G^tea` Signature _ BATHTUBS- -- "'SHOWERS - '— NOTICE: If after making this decl ration, you shout Pme subje t TOILETS URINALS -- ' -'^ - GENERATOR— 0=1 KW_ 1-10 KW to the Workers' Compensation provisions of the Labor Code, you-must •TRANSFORMER forthwith comply with Such piovisio ns or [his permit shall be deemed LAVATORIES DOUBLE LAYS"•APPLIANCE----'10-50 KW_50 +,KW- - revoketl. KIT. SINKS ' - DISHWASHERS" '- - MOTORS' -- 0-1 HP'_1-10 HP' - f CONSTRUCTION LENDING AGENCY I hereby affirm that there i5 a construction lending agency for the per- SERVICE SINKS •. - - , SUMPS' - • -- ;(INC. SOLAR)--.10-50HP_-5P+ HP•-- -- - 1 a formance of the work for which this permit is Issued (Section 3097 -FLOOR SINKS FLOOR DRAINS FIXTURES "-"OUTLETS" 'SWITCHES Civ. C.).-. - -- - -'-I I- Lender's Name Lentler •s Atltlress� ` DRINKING FOUNTAINS' 1 -- -' ". -- -' - GAS TUBE SIGNS •- _ OWNERBUILDERDECLARATION - "INTERCEPTORS" CLARIFIERS'-' -`"- IPOCE'LIGHTS" I hereby affirm that 1 am exempt from the Contractor's License Law for the following. reason (Section 7031.5 Business and Professions Code: SWIMMING POOL'-' -P TRAP' -'- --4 -- - Any city or county which requires a permit to construct, alter, POLES METERED SUB WATER SERVICE'- "-' ALTERATION ;PANELS "' MAIN -_SUB Improve, demolish or repair any structure, prior to its issuance, also re- quires the ap,.licant for Such permit to file a signed statement that he -_ -- OUTLETS SERVICE- 'SERVICE --' ---- '^--' -AMP- - - s.licensed Pursuant-to the provisions of the. Contractor's License-Law^GAS (Chapter 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS BTU OUTPUT : - - -- '---' --- �- - - Rusiness-and Professions Code) ' Or that he Is exempt therefrom and the- is for the alleged exemption-Any violation of Section 7031.5 by applicant for a permit subjects the-applicant to -a civil penalty- SEWER CONNECTIONS '- '-• -- --'• -- - - not more than five hundred dollars ($500). 'SOLAR TANK' COLLECTORS- "' '- ' •" _ - - -- - - - ' LT l,-as owner of the property, or my employees with'wages as their Sole compensation, will do the work, and the structure is not intended or offered for sale. (Section 7044, Business and Profession Sr Code: The SOLAR PIPING SYS. - �- - ISSUE FEE Contractor's License law does not apply to an owner of a property ISSUEFEE" - - '- _ - -' ` - -- •APPLICATION APPROVED'BY V-14 DATE Zj - who builds or 'lmprtives thereon, and who does such work himself or- trough his own employees, provided that such improvements are not - - - - MECHANICAL PLAN CHECK - -- , - SUMMARY DF,F EE$ Intended orbffered for sale. 16 however, the -building or Improvement S sold within one year of completion, the owner will have the burden of proving he tlitl not build or improve for-the-purpose of' sale).- _ - - - - HEATING SYSTEM 0-100,000 BTU - '-PERMIING- -- -- PERMIT - - •-�• -- - ',-SMTP, z. C3 I. as owner_ of the property,.-am exclusively_ contracting ..with AND DUCTING' $ _ - $ - -- icensetl contractors to construct the On 7044, Business 100,000'+ BTU 'PLAN CHECK E .PERMIT ' s Licet e.La not apply to and Professions Code: The Contractor's - - tPLVMBING— ISSUANCE S or Improves thereon, antl who ton- owner of property who Improvesthereon, a REFRIGERATION 0-100,000 BTU $ a tracts from such. projects with a contractor(S) lic¢sn¢tl. pursuant to tracts with SYSTEM - .. _ - - _GRADING E the Contractor's License Law). 100,000 + BTU ;PLAN CHECK E' . 1. D'I am exempt under Section'BOILERS BTU - ELECTRICAL _E - S reason - -- _ TEM REPAI R, ALTERATION PLAN CHECK E MICROFICM'S 'r '- O^ Date Owner SYSTEM MULTIPLE Q TOTAL FEES - •NICAC-'Snformation O I hereby certify that I have read this application and state that the oveAUST is corre , I agree t0 comply with all city antl county PLAN CHECK - $ VANCEPC $ __-__Drtlinances antl statws lating constru tion,and herebyauthorizentati k ves o this-ebove menton¢for pe Pur �-�� .• ._... tcN �^Dt� FINAL FEE. E^SUE FEE _ __ _ __ _ _. _ ! - .._ •. _ _ - , CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting: Goldenrod -Assessor CONSTRUCTION AND PLANNING APPROVALS Permit _A -5,Z( Date - I I -hor Iiispe , , .". - , - . OL'69W _* 11 1. ;� )�L ­ �0 - ' . I Date' Inspector APPROVALS, Permit 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. Soil Pipe-Uncirgrn _7T -Steel Reinforcement 3. lectrical Conduit Utility-Undrgrn- 45. Forms 4. Electrical Conduit,Undrgrn 46. Electrical Bonding 5. Steel Reinforce 47. Rough Plumbing & Pressure Test 6. -Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7 o tongs 49. Electrical Conduit-Undrgrn 8. Foundation 50. Gas Pipe, 0 Undrgrn; Test 9.. Water Pipe-Undrgrn 51. Backwash Lines.-R-Trby: C] Ufi-dFqrn 10. Structural Floor System 52. APPROVAL TO DECK "` - " ECK-- 11. 11. Property Sewer Line & House Connection 53.- Backwash & Receptor -Final 12. Street Sewer Connection 54. Heater & Vent -Final 13. Rough Plumbing 55, Plumb'no System - Final 14. RoughElectric-Conduit - -- '--56-.Electrical-Final- 15. Rough Electric -Wiring 57. -Solar System -Final-, 16. Rough Heating & Air Conditioning -.bU. Fencing & Access Approval 17. Ducts, in Structure 59. APPROVED FOR PLASTERING,,", 18. Ducts, Ventilating _60. POO L/SPA SYSTEMS FINAL 19. Gas Pipe -Rough &Test 20. Roof Framing 21: Roof Sheathing _-NOTES: 22. Frame and'Flashing 23. Insulation - 24. Lathing & Siding 254 Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter -Final 28. Final Electric 29! Final Heating & Air Conditioning • 30. Final Gas Pipe -Test 31. Final Plumbing -32.-. Watei Service -Final • IV Gas Service -Final 34. Solar Domestic -Final 35. Landscape Sprinkling System 36, Sound Attenuation 37. Handicap Regulations 38.-- FINAL STRUCTURE & BUILDING 39. Special Requirements Completed 40. Electric Release, to Edison 41. Gas Release to Southern California Gai Co.' f 42. CERTIFICATE OF OCCUPANCY N Date Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA' PERMIT NO. TRACT NO. LOT NO. BLDG. NO. - CONSTRUCTION PERMIT sa it (o TVP F CONSTRUCTION NEW ❑ ADD ❑ ALTERATION -❑ REPAIR *❑ CONVERSION ❑DEMOLISH .,. _ (�/� / - - Project Address ' Owner PhOn - - Address 11 ZONING REGULATIONS Arch/Eng. - License N OTHER DESCRIPTION OF WORK _ A P # ZONE PLNG. REF. Address Contractor - Phone ?I�ir TVPE OF PERMIT -b GRADING ❑ FOUNDATIONC1STRUCTU ❑ TENANT ❑ ELECTRICAL PLUMBING MECHANICA SET AC SIEpE V - I�p 1ry G XROBW WVVI ' Address LICENSEb CONTRACTOR DECLARATION - I hereby affirm that I am licensed under provisions of Charter 9 (c m- RIGHT me ncing with sectlon 7000) of 3 of the Business' and 0 OTHER TO Professions Code., an tl my 'license is in full force and efts(TO REAR YARD P/L) ass Q PROJECT DESCRIPTION' - ' Licen g - ^ I It No PKG. SPACE REQ. PROVIDED,. SQ. FT. _ Date - Signature OCCUPANCV_CONSTRUCT.ION TYPE . STREET WIDTH PARK FEE $ WOR E -COMPENSATION DECLARATION - - 1 hereby affirm that 1 have a certificate of consent to self -insure or*a VALUATION ZONE ZONING APPROVED BV _- 1 DATE" - Cerlificate of Workers' Compensation tns ra ce, or a certifled copy y/,y.� - SPECIAL CONDITIONS: - - thereof( n 00 Let).C.). '- ?.^ GRADING CU. YDS. ACRES -- ,y No _d, 11 Com Pany •/�4/i7n �>� .=?AD _ -. .. mrtified copy is hereby furnished. -- _. -REMARKS: 14 -certified copy is filed with the city Building Division. EXEMPTION_ FROM WORKERS' COMPENSATION'DECLARATION - - �" " (This section need .not be completed if the permit Is for one hundred S$S00) or less). certify that In the performance of the work for which this permit is Issued, I shall not employ any person in an mr'an rso a to become PLUMBING PLAN CHECK- - ELECTRICAL' PLAN CHECK '- subject to he rkef5' Compensation. La f T rpt _ - SHOWERS _ Dale X--� Signature BATHTUBS NOTA E: I after making this dec ration, you sh d become subject. Compensation the 'TOILETS; URINALS ' '- -' GENERATOR 0-1 KW_1-10 TRANSFORMER KW , to the Workers' provisions of or Code, you must forthwith comply with such provisions or this rmit shall be dee me LAVATORIES DOUBLE LAVS '- 'APPLIANCE "10.50 KW_SO +'KW- - revoked. KIT. SINKS-_ ""-- DISHWASHERS'' -' MOTORS 04 HP HP" CONSTRUCTION LENDING AGENCY --1-10 I hereby affirm the there is a construction lending agency for the per- SERVICE SINKS .• SUMPS - (INC. SOLAR) - '10.50 MP 50 + HP forma nce Of the for hi h this peIssued (Section 3097 FLOOR SINKS' FLOOR DRAINS FIXTURES' OVTL"ETS "'SWITCHES' Civ. C.). " �' '• Lender's Name - _ Lender's AddressZlz,,,�A/ _ DRINKING FOUNTAINS - GAS TUBE SIGNS - OWNERBUILDERDECLARATION - -INTERCEPTORS CLARIFIERS - POLE LIGHTS I hereby affirm that 1 am exempt from.the Contractor's License Law for SWIMMING POOL. PTRAP - v POLES METERED SUB the following reason' (Section 7031.5 Business and Professions Code: ' Any city or county which requires a permit to construct, alter, WATER SERVICE - ALTERATION - PANELS ' " MAIN - SUB improve; demolish or repair any structure, prior to Its Issuance, also re-. quires the applicant for such permit to file a signed statement that he _ GAS SERV ICE OUTLETS �• -SERVICE - " "-" •- "AMP "- is licensed pursuant to the provisions of the Contractor's License Caw (Chapter, 9 (commencing with Section 7000) of Division 3 of the WATER HEATERS BTU OUTPUT •__ _ - J+1, iness and Professions Code) or that he is exempt therefrom and the ,5 for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS' -•. "' .' - ` - - -•- --^- - -' - - rW, applicant for a permit subjects lhe'appllcant to a civil penalty- )ot more than five hundred dollars ($500). SOLAR TANK •• COLLECTORS 1 - LI I, as owner of the property, or my employees witti wages as their sole compensation, will do the .work, and the structureis not intended 'ISSUE or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SVS. FEE - - - - Contractor's..License Law does not apply -to an.owner of a property who builds or improves thereon, and who tloes such work himself or ISSUE FEE -APPLICATION APPROVED BY" '� -DAT ESQ i through his own employees,.provided that such Improvements. are not intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK SUMMARY OF FEES - is sold within one year of completion, the owner will have the burden - of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU UILDING^ - _ BUILDING- PERMIT S _ - - - "" SMTP. S 01,exclusivelyetSti contracting with ❑ I, as owner •of the property, AND'DUCTING _ licensed contractors to construct the project (Section 7044, Busl ness p 100,000+BTU PLAN CHECK $�. PERMIT antl' Professions Code: The Contractor's'License Law tloes not apply to - - -• - ISSUANCE $ an owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ - tracts from such projects with. a-contractor(s)- licesned pursuant to SYSTEM- - - GRADING $ the Contractor's License Law). 100,000! BTU PLAN CHECK $'• [:]-I am exempt under Section - B. & P. C. for this BOILERS BTU ELECTRICAL $ $ reason - - SYSTEM REPAIR, ALTERATION --,MICROFILM PLAN CHECK E_ $ Date- - 'Owner - E HAUST SYSTEM MULTIPLE -MECHANICAL_ E TOTAL' FEE $' LESS 1 hereby certify that I have read this application end state that, the above ,s correct. I agree comply with all city and county - — - a PLAN -CHECK' $ E P VANCE PC $ ' ordinances .o ordinances and state laws rete[ ng,lo construction, and hereby authorize representatives of this ci �to -gnler upon the above ent netl for m rp s ^ QQ property p$btio - FINAL FEE $ Signature Dat - ISSUE FEE ' t - - - - - - _ - -- - - - _ Drivers' Llc nse or 55 CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor T; CONSTRUCTION AND PLANNIyyNGyy�� ���� APPROVALS Permit # pQ��' I Date - I . flispeator' POOL & SRA - -- _ _ - - - - -.. APPROVALS 4 _ Permit 4. ' Date :Inspector: ,u 1, Temporary Electrical Service or Pole. •`.' 43. Pool &Equipment Locaiiorr= \`-`' • �,' '�? - �= n '� ��' i_ ipe- n rgrn _••'� _ _ Steel Reinforcement • - ` • _ _ -\. !"-,' - __.3.-Electrical .Conduit,Utulity-Undrgrn _ _ _ _ 45. Forms - - 4.. _ Electrical_Conduit-Undrgrn - _ _ _ _ _ _ _ _ 46._ Electrical Bonding _ _• - - - - ' ^ee Reinforce, __ _ _ _ _ " _ _ 47. Rou KPlumbin &•Pressure Tait, 7^-"`-fit' `'3 •�- _=-�� _ _6 _ Electrical UFE_R Ern"_ T'� 48: APPROVAL'TO COVER GUNITE' ' -i" = 1'>\ - = `•'• +' : -��:-' -7, Footings _ _ - = 49. Electrical Conduit-Undr rn' -•�. :��� ;,..o' _ 8.--Foundation. 50. Gas Pipe, E,Undr rn,'Test r'- ' _9. : Water- Pipe:Undegrn '' _ - 51. Backwash Lines P-Trap.`E) n'r(iin Y^ 1 10. _.Structural Floor System_ _. 52. ,APPROVAL TO DECK'- --- ' -" % •\_ 11.. -Property-Se wer Line & House Connection':.-" 53. Backwash &'.Receptor-Final •' '' -'• • • - •�,•-� "� X12. - Street,Sewer Connection---- .: _'" '_ _ _ _ 54. - Heater&.Vent-Final • 1..13. Rough Plumbing _ _ _ _ - �.. _ _ --- - Pki- - _ nar�- 14. Rough Electric-Conduit -- - - - - -'- - -•56: -Electrical-Final- >' ! , 15. Rough Electric--Wirih 57-= Solar-System-Final-. .. _ , ,�., �,. -" _ ..+.,",. -+•, " 1-16.---Rough158. 1-16.---Rough Heating &-Air Conditioning,- --_ - _ �._-- ,...: _-_: �_ --- "_ 1 .r: _ Fencing &Access Approval, •;,,, ,• ..r. . 17. - -Ducts in Structures'."� � _ � ' - Z � APPROVED-FOR'PLASTERING � - .�••�' F-18. -Ducts;-Ventilating_..,-v._.. _-60._ ,. POOL/SPA SYSTEMS FINAL 11 .•-•rn ,_� •..,. 7 19.. Gas Pipe=Rough &Test -' ' 1 __:_- _ _ • 20.4- Roof Framing,--. _. -.. ... .. 21. Roof Sheathing'- " ' " "' 1- i = "'" N NOTES: ^' •� ' - -- era r•. • 3 • r. . � • \� �``--' 22.L- Frame�aod -Flashing- _ _ _ y �5---1- - -- -. s 23-' Insulation „ , ,i�c.-, _ _ _�\t.:S.�! :\lr �•J - r-24„- Lathing & Siding - -- - ., • - - - - -- -- . „ 25.. - Drywall Nailing. _, 1 - -,..• i ., n , oat- it 26.. Plaster Brown Coat- ElectriceLPower Meter-Final= Electrical.- --, --- -- -- - -� 28.:-Final Electric �u. .. -. .. •. - - - r 29.i - Final Heating$AK-Goncirtiorring_ Zw, M 30... Final Gas Pipe-Test.- L 31.. Final Plumbing- �, 32:! Water Service-Final - l _ _ _`-'-___> ' `G' ''r' •• -33. GasService-Final' - - - - - �� _- -- -'�`;tr^.=+ .34. Solar Domestic-Final-��--- j• "'" 4 35. -Landscape Sprinkling System , ..r-: r ,-n_•:• " .'".• - _ 36. Sound Attenuation- ! 37. Handicap Regulations x_38.. FINAL STRUCTURE & BUILDING " - t 39. Special Requirements Completed' 40. Electric Release to Edison„ 1 41. Gas Release to Southern California Gas Co. - - - - -' 42. CERTIFICATE OF OCCUPANCY Nom :r.,• Date i ?ta c : ' _ TSS- -' �\ �-tea=-=•�` �- - - �� , A •-t.�1� ii .. .,� ', .. Applicant to fill in all • , CITY OF COSTA MESA -RMI T _Nc CONSTRUCTION PERMIT FIN within heavy border lines and sign all appropriate declarations. TRACT NO. LOT NO. I BLDG. NO ' Project Address .1-. _ D t TYPE OF CONSTRUCTION L"1 -NEW ❑ ADD ❑ ALTERATION - - Owner 0 0 phone - ❑.REPAIR El CONVERSION ❑DEMOLISH ❑'OTHER�� Address - - -•- - Arch/Eng: - License No. DESCRIPTION OF WORK Address- 1 1� Contractor ti'n5- 1qk4pis" - --Phone- --- TYPE,OF PERMIT t -El GRADING. ,C3 FOUNDATION II,O.N�- DSTRUCTURAL - El TENANT ❑ ELECTRICAL'- F�7LUMBING ❑MECHANICAL Address /,$3 QN/ZL1T - LICENSED -CONTRACTOR -DECLARATION •' t STREET WIDTH -- PARK FEE $, I hereby affirm that I am licensed under provisions of Charter 9 (com-mencing with section 7000) --of Division 3 Of the Business -and Professlonz Cotle, nd y license is in full force ntl (cl. �- �`'u ❑'OTHER - - .PROJECT DESCRIPTION - ` 'Linen CI -'SQ. FT! OCCUPANCY 'I-CONSTR VCTION TYPE 'Date �O- 'Z<Bnat .a' T/31 'WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -in Sure,or a certificate of -Workers' Compensation Insurance,' or a cert' led copy VALUATION - ZONE - - thereof (S7diprU,3Hp0,yL.ab. "i-6iir GRADING CU. YDS. ACRES PoIICy No �IO"1 `10r -Company C7u '0-CefJlfletl copy is h¢r¢bY furnished._ REMARKS: �'- 0384 6/30/82 _ _ ��.00 TU ZONING REGULATIONS A.P. cif ZONE - - - .PLNTTGp.. iP -I �.�BUILDING ggP lE11F. SETBACK C ST. PROPEIRTVNLINE SI YARD - - - - LRIIGHTA REAR YARD PKG. SPACE REO. PROVIDED '" t t STREET WIDTH -- PARK FEE $, ZONING'APPROVED By. DATE - - SPECIALCONDITIONS: - - -- - ertified copy Is filed with the city Building Division. - r ' EXEMPTION -FROM WORKERS"COMPENSATION DECLARATION'FBIAT This section_need-not be completed if the permit Js for onehundred$100) or less). -certify that in the performance of the Work for which this permit is__Issuetl, I shall not employ any person in any manner so as to becomeNG .-' .PL -AN CHECK- ELECTRICAL --� PLANCHECKsubject to the.Workeri' Compensation laws of California. y _ Signature UBS _ SHOWERS - - - - -UAKAU1 _(Date 'NOTICE: If after making this declzratlon, you should become subjectS � l(J URINALS - - - GENERATOR -0-1-KW_1'IO-KW__ 'TRANSFORMER to the Workers' Compensation provisions of the Labor Code, -you must forthwith comply with such provisions or this permit shall be deemedORIES DOUBLE LAVS Z - 'APPLIANCE "-30.50 KW_- 50 + KW - - - - 1 revoked.- _ ... : .: _ _ _ _ _ CONSTRUCTION LENDING AGENCY - KIT. SINKS ' -DISHWASHERS _ ---,MOTORS '-1-10-- -'0-1'HP_ HP ' - j I hereby affirm that there Is a construction lending egency for the per- SERVICE SINKS ^ -' -' I(INC. SOLAR)-_ 10 -50 -HP_- 50 + HP - - - --• formance of the work for which this permit is Issued (Section 3097 - „,SUMPS' { Civ. -C.). - - - "FLOOR SINKS - FLOOR -DRAINS' --' - FIXTURES'-'-OUTLI#S -SWITCHES Lender's Name _ _ _ _ .Lender's Address DRINKING FOUNTAINS - '- - ,GAS TUBE SIGNS'-- --- - - OWNER BUILDER DECLARATION--- _ - INTERCEPTORS - CLARIFIERS y - POLELIGHTS '--' -' -- - - .I hereby affirm that I am exempt from the Contractor's License Law for t he fol owing -reason (Section -7031.5 Business- and,professionz Code: --SWIMMING POOL' P TRAP `POLES METERED Any city or county which requires a permit to construct, alter, -SUB.:. improve, demolish or repair any structure,- prior to its issuance, also re- WATER SERVICE- ALTERATION'- _ PANELS -' -- -MAIN - SUB' - - - quires the apFlicant for such permit to file a signed statement that he is licensed Pursuant to the provisions of the Contra Ctor's License Law 'GAS SERV ICE 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 applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS - -- - --' - - - of not more than five hundred dollars ($500). '0 1, as owner Of the property, or my employees With wages as their SOLAWTANK - -COLLECTORS` 'i'� - `-`l - - '--'- "-- - ^ -- - - sole compensation, will do the work, and the structure is not intended � 1 or Offered for Sale. (Section 7044, Business and professions Code: The SOLAR PIPING SVS. 4J l'f Jr Qs! ISSUE FEE Contractor's License Law tloes not apply to an Owner of a property. ,who builds or improves thereon, and who tloes such work himself or ISSUE FEE -. -- - APPLICATION APPROVED BY-- - -- DATE• - - through his own employees, provided that such improvements are not _ _ f Intended or offered for sale. If, however, the building or Improvement MECHANICAL PLAN CHECK ' SUMMARY OF FEES is sold.within ane year of completion, the owner will have the burden of proving he did not build or Improve far the purpose of sale). HEATING SYSTEM 0-100,0BTU BUILDING - -- -- - - $ - - -- - - _ - SMIP I $ t am exclusive) ❑ I, as owner of the property, y contracting with -AND DUCTING - -1)00 ,PERMIT licensed contractors to construct the project (Section 7044, Business 100,000 + BTU 1 PLAN CHECK $PERMIT.. and -Professions Code: The Contractor's License Law does not apply to -- -� '~PLUMBING 'ISSUANCE '$ - - an owner of property who builds or Improves thereon, and who con- liCtisned REFRIGERATION 0-100,000 BTU I $ l.' -_ , tracts from Such projects with a contractor(s) pursuant to the Contractor's License Law). SYSTEM -- - - - - - 100,0001 BTU - - - PLAN CHECK ,E '_ GRADING $'" , - ❑ 1 am exempt under Section - 8'& P. C. for this' BOILERS BTU ' L ELECTRICAE' _ , - ' •E 1 reason - -PLAN'CHECK $ ` MICROFILM E Date Owner SYSTEM REPAIR, ALTERATION I TOTAL FEE $`''T 'ECHANICAL:E '- - I hereby certify that have read this application and stale that the above EXHAUST SYSTEM MULTIPLE - LESS AD- . information is correct. I agree -to comply with all city and county 'PLMANCHECK $ - - VANCEPC $_ ordinances and state laws relating to construction, and hereby authorize - representatives of this it t ¢n upon the above mentioned property for ct ib 4 s. p r - _ Signature t Dete� �r-� r FINAL FEE Drivers' License or SS : .. - - ISSUE FEE - - CMF 0865-46 White -Building; Canary -Applicant; pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNIN �7 '- - , .� APPROVALS Permit # d ! Date Inspector POOL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location, Soil2. Pipe-Undrgrn • _ -y2 44. Steel Reinforcement - -- - - 3. Electrical Concluit Utility-Undrgrn 45. Forms - 4. Electrical .Conduit-Undrgrn, - - - 46. Electrical Bonding -- -- - 5. Steel ein orce _ _ _ 47. Rough Plumbin6 & Pressure Test - 6.. .Electrical _U_F_ER Grn 48. APPROVAL TO COVER-GUNITE 7._. Footings _ _ 49. Electrical Conduit-Undrrn _ 8._ Foundation _ 50. Gas Pipe, ❑ Undr rn, Test ..9. Water Pipe-Undrgrn- _ 51. Backwash Lines P -Trap- ❑ Undmm 10.. Structural Floor System _ r - 52. APPROVAL TO DECK 11. .Property Sewer -Line &.1ouse-Connection 53. - Backwash & Receptor -Final - 12. Street. Sewer.Connection. _ - - - •54. Heater & Vent -Final - 3. .Rough Plumbing _ - - 14. Rough Electric -Conduit - -- - - •- 56: •'Electrical -Final - 15. Rough Electric -Wiring - - - 57. -Solar System -Final - ` 16. Rough Heating'& Air Conditioning - - - - - - encing & Access Approval 17i- Ducts in Structure" APPROVED FOR PLASTERING 18. 19. 20. Ducts, Ventilating - Gas Pipe -Rough & Test Roof Framing- - - - - 60. - POOL/SPA SYSTEMS FINAL' - 21. 22. Roof Sheathing- -- Frame and Flashing - - ' NOTES: ' 23. Insulation - - 24. Lathing & Siding • -- 25. Drywall Nailing - 26. Plaster Brown Coat 27. Electrical Power Meter -Final' - ' 28. Final Electric - 29. Final Heating & Air Conditioning ;0. Final Gas Pipe -Test - - 31'. Final Plumbing 32. Water Service -Final 33. Gas Service -Final 34. Solar Domestic -Final - 35. Landsca e Sprinkling System 36. Sound Attenuation 37. Handicap Regulations - - - - 38. FINAL STRUCTURE & BUILDING -39-Special RequirementsCompleted_ 40. Electric Release, to Edison - - - - 41. Gas Release to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY - No Date Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PERMIT N (Jl TRACT NO. LOT NO. B DG. NQ. C� NSTAIJCTION PERMIT ! / f�7- TYPE OF CONSTRUCTION ❑NEW ❑ADD ❑ALTERATION - ❑ REPAIR ❑CONVERSION ❑DEMOLISH 0612 7/01/82 37.02 . - . . Project Address Z 2 a � L � Z Owner 0 Phon i� Address; 6 Q U` (-, El DESCRIPTION OF WORK A P -. ZONE ZONING REGULATIONS PLNG. REF. 9r ' Arch/Eng. G� icense No. Address - Contractor q a r- Phono/t.V.52gjTYPE OF PERMIT "❑ GRADING . ❑ FOUNDATION ❑ STRUCTURAL ❑ TENANT ELECTRICAL ❑PLUMBING ❑MECHANICA SETBAC YARD SIRR, LS IED .Y - Tp �UI LDING PRO ERTV LINE , Address - J LICENSED CONTRACTOR DECLARATION - - I hereby affirm that I am licensed under provisions of Charter 9 (COT• and ❑ . RIGHT. mencingwith section 7000) of Division 3 of the Business Professions Code,r�-i�ntl license Is In full fort n eif t. OTHER PROJECT DESCRIPTION - REAR YARO'(TO P/L) - LlcenS�Clplss `�� enseN _ - SQ: FT. rPKG. SPACE REQ. _ PROVIDED �� �A �If2 Dater Sig t - - STREET WIDTH • PARK FEE $ OR14£ ' COMPENSATION DECLARATION -• VALUATION=CONSTRUCTION TYPE -APPROVED .W 'I hereby affirm that I have a certificate of consent t0 self -Insure ora VALUATION' s ZONE .ZONING -BY DATE'cert' of Workers' Compensation Insurance, Or a certified copy - thereof (Section 3800, Lab. C.). ,thereof (S GRADING CU: YDS. � ACRES SPECIAL CONDITIONS: - No. Company _. �. .,xta "'+'ertified copy is hereby furnished. -_ _ - S: r D .. !l/�-y(d)Certified copy is filed with the city Building Division. �(EMPTION FROM'WORKERS' COMPENSATION DECLARATION((This section need .not be completed if the Permit is for one hundredS$1001 or leu).y FT that n the Performance of the work for which this permit isissued, 1Shall not employ any person in any manner so as to becomeG , , PLAN CHECK - ELECTRICALsubject to the Workers. Compensation laws of California. S SHOWERS Date SignetUr! NOTICE: If after making this declaration, you Should become subject-• - .p --URINALS- - - ,GENERATOR - 0-1 KW1-10 KW" - to the Workers' Compensatlon provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOU BLE'LAV S. - - 'TRANSFORMER •APPLIANCE ' - 10.50 KW_50 + KW _- - - - - --- - - 'KIT: SINKS - DISHWASHERS '-� ' -0-1'HP=1'-30 HP .CONS ON LENDING AGENCY CONSTRrevokeUCTION IMOTORS ��•- Thereby affirm that there isaconstruction le Iagencyfor the per. y affix for is Issuatl 3097- the this Issued SERVICE SINKS_ SUMPS _ '- - -;OIC: SOLAR) 10.50 NP_50+HP - .formance of work which permit (Section 'Civ. C.). Lender's Name FLOOR SINKS FLOORDRAINS'FIXTURES -OUTLETS' -'SWITCHES ' Lender's Address DRINKING FOUNTAINS' ' GAS TUBE SIGNS ' INTERCEPTORS CLARIFIERS _ POLE LIGHTS' OWNER BUILDER DECLARATION' - 1 herebyy affirm that I am exempt from the Contractor's License Law for SWIMMING POOL-' PTRAP 'POLES - --- -- . METERED SUB the folio wing reason' -(Section- 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, WATER SERVICE -' -ALTERATION PANELS '--MAIN SUB - Improve, demolish Or repair any Structure, prior t0 Its Issuance, also re- quires the api.licant for such permit to file a signed statement that he GAS SERVICE OUTLETS - SERVICE - " - - AMP Is licensed pursuant to the provisions of the Contractor's License haw 1 Chapter 9 (commencing with Section 7000) of Division 3 of th0 - WATER HEATERS -" BTU OUTPUT'- 9uslness and Professions Code) or that he is exempt therefrom and the -Is for the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS - " - applicant for a permit subjects the applicant to a civil penalty tol more than five hundred dollars (E500). SOLAR TANK" COLLECTORS- . L I, as owner of the oroperty, or my employees with wages as their sole.compensatlon, 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, who builds Or Improves thereon, and who does such work himself Or - - ISSUE FEE APPLICATION -APPROVED BY - DATE ' .through his own employees, provided that such improvements are not MECHANICALPLAN CHECK SUMMARY OF FEES Intended or offered for sale. It, however, the building or Improvement Is sold within one year Of completion, the owner will have the burden , of proving ho did not build or Improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU BUILDING — - 'PERMIT S - -- -- - SMIP $ ❑ I, as owner Of the property; am exclusively contracting with 'AND DUCTING f .r licensed contractors to construct the project (Section Business 100,000- BTU IPLAN CHECK $ ,PERMIT es not and Professions Code:.The Contractor's Law does not -. .ISSUANCE $ who coo owner of property who builds or Improves [hereon, and who Con- improves REFRIGERATION 0-100,000 BTU 'PLUMBING $ tracts from such -projects with a contractors) Iitesnotl pursuant to tracts SYSTEM- - - -E - 'GRADING $ the Contractor's License Law). 100,000 + BTU PLANCHECK ❑ I am exempt under Section-- B. 8 P. C. for this BOILERS BTU ELECTRICAL $ - $ reason - SYSTEM REPAIR, ALTERATION EXHAUST SYSTEM MULTIPLE PLAN CHECK g �MECH ANICAL E , MICROFILM $ _ -' TOTAL FEE $ f - LESSAD- Date Owner I hereby certify that I have read this application and state that the above Information is correct. 1 agree to comply with all city and county PLAN CHECK $ -VANCE PC $ _ ordinances and Stale la s rely g to con truction, antl hereby auth O/iae - representstivet o til to ¢n[e upon the above an 'onetl property for in n oy5es. Signature IS � Drivers' License or# CMF 0865-46 White -Building; Canary -Applicant; Pink -Accounting; Goidenrod-Assessor TL CONSTRUCTION AND PLANNING APPROVALS" - Permit # - - Date Inspector POOL & SPA -_ '', f.,• . APPROVALS Perm_ it # Date Inspector` 1. Temporary Electrical Service or Pole _ 43. Pool & Equipment Location • - _2. Soil Pipe -Un rgrn 44. Steel Reinforcement - - - - 3. Electrical Conduit Utility- ndrgrn 45. Forms - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - - - _5. Steelem orce 47. Rough Plumbing & Pressure Test - - 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7, Footings _ 49. Electrical Conduit-Undr rn - _ 8. Foundation 50. Gas Pi. e, ❑ Undr rn, Test 9. Water Pipe-Undrgrn - 51. Backwash Lines P -Trap,❑ U ndr rn - 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Receptor -Final ' ' 12. Street Sewer Connection 54. Heater & Vent -Final 13. Rough Plumbing 5�, Plumbing System - Final 14. Rough Electric -Conduit 56.. Electrical -Final 15. Rough Electric -Wiring - -- 57. Solar System -Final 16. Rough Heating & Air Conditioning W Fencing & Access Approval - 17. • Ducts in Structure _ APPROVED FOR PLASTERING . 18. • Ducts, Ventilating _ 60. POOL/SPA.SYSTEMS FINAL 19. Gas Pipe -Rough &Test - _ 20. - Roof Framing 21. Roof Sheathing- - - NOTES: 22. Frame and Flashing _ 23. Insulation 24. Lathing & Siding - 25. Drywall Nailing 26. Plaster Brown Coat - ,- 27: - Electrical Power Meter -Final - - 28. Final Electric -- -� 29. Final Heating & Air Conditioning - - - 30. Final Gas Pipe -Test - 31. FinalPlumbing_ 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 39. Special Requirements Completed - - - 40. Electric Release to Edison - -- - - 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No. Date