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2615 ELDEN AVE - Building Permits
AUG 2 8 1960 OWNER BRIGGS R. 0. : • ne, DATE 2-1-60 JOB ADDRESS 2615 Elden Ave BUILDING PERMIT NO. 111110 GENERAL CONTRACTOR uwner/Bldr. VALUE $ 1,656.00 AP.No119-0140-31 LOT TRACT _ FIRE ZONE DESCRIPTION OF WORK Bedrm. Add to Res. INSPECTIONS DATE I GROUP I TYPE V ZONE R-it IK?rground Soil U.G. Water SUBCONTRACTOR PERMITS ISSUED Ip, i;?rground Gas DATE NUMBER Overhead Water and Gas Rough Heating Rough Plumbing Miscellaneous - Prop. Swr. Line House Con. St. Swr. Sprinkling System Heating, Final Plumbing Fixtures Final Gas Test Construction Pole Underground Power Rough Wiring 1 �C45 1414-4-4601 - . I Q. G= /.e.oy . Trenches Forms t/ Steel ,. y19= -r — /C-6n Floor System Steel Reinforce Chimney Re-Rod Bond Beam Sheathing Frame and Flashing _ r I„7. gg, In Out Ir F`a:, ?er, brown coat Plumbing Fixtures, Final Electric Fixtures, Final // n 1 / Building, Final iti L'/1 Cif OCCUPANCY Form 210-5M-11-59 S-B P 11h10 Applicant to fill).gall spaces within heavy border lines and sign all appropriate declarations. CITMBOF COSTA MESA OMIT ryt3 TRACT NO, LOT NO. BLDG.NO. 'ttONSTRUCTION PERMIT el 7 9 8302 9/27/52 • 83.82 TL , Project Address • 1 ,, r �(„/�j a'L06N TYPE OF CONSTRUCTION • Owner 1 ZsOteceO f92--a an/ Phone 19,2/4 0 NEW 0 ADD .0 ALTERATION - -- - _ - Address 0 REPAIR 0 CONVERSION ['DEMOLISH s '4 - - - ZONING REGULATIONS. - ArchlEng. License No. 0 OTHER - ' DESCRIPTION OF WORK A.P. Address '- ZONE PLNG. REF. Contrectordh 7 f//a,AC Phonon:37,00 TYPE OF PERMIT - - - - ' BUILDING - TTop gLL�II LDDING AddreSS/6-3/e4/ mit-gee? SETBACK C/IST. PRr�PE RTV LINEI - - �9757.>Q��/N( 0GRADING FOUNDATION ❑.STRUCTURAL F SIDE_YARD LICENSED CONTRACTOR DECLARATION .-0 TENANT 0 ELECTRICAL ALUMBING. ['MECHANICAL RIIGHYARD +' I hereby affirm that I am-licensed under provisions of Charter 9(corn- mencing with section 7000) of Division 3 of the Business and . 0 OTHER • - _ _ - Professions Code, and my license is in full force and effe.q. - - REAR YARD(TOP/L) 3/073_i PROJECT DESCRIPTION • License Class C cense o. _ - - -- - CY •� - - s 50 FT t PKG.SPACE REQ. PROVIDED Date altar ure z'-< • STREET WIDTH PARK FEE S - WORKERS'COMPENSATIONDECLARAT •N OCCUPANCY- CONSTRUCTION CONSTRUCTION TYPE I hereby affirm that I have a certificate of consent to self-insure or a VALUATION •YZs✓7"ZONE ZONING APPROVED"BV ( DATE certificate of Workers' Compensation Insurance, or a certified copy • thereof(Section 3800, Lab.C.). - - - GRADING CU.YDS. ACRES SPECIAL CONDITIONS: , - Policy No. - - Company - - - - - ___ . • . r 'sniffed copy Is hereby furnished. REMARKS: �f�%/' Q 2f /'/' ,rtifled-copy is filed with the city Building Division. - - - • rX�7 ` '.aC. 7! • • b...MPTION FROM WORKERS' COMPENSATION DECLARATION . . - -- . (This section need not be completed if the permit is for one hundred - ($100) or less). - - - ' - - _ - certifyI tthat 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. r UW -tLLING . GMNASE BATHTUBS SHOWERS - Date Signature •SO FT SO FT NOTICE: If after making this declaration, you should become subject TOILETS URINALS - - - - . GENERATOR 0-1 KW 1-30 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 SINKSSUMPS - - .. - (INC.SOLAR) 10-50 HP 50+ HP - -' formance of the work for which this permit Is issued (Section 3097 - - Civ. rZ / FLOOR SINKSFLOOR DRAINS - - - FIXTURES - OUTLETS SWITCHES - Lender'sCName !^s'7M/�F C� [QQ��1�� �• Lender's Address / &-1 !1O v4 ' Ns tie-.6, -�in e�UM /- 1)(1,44 pGAS-TUBE SIGNS .. - - - - " '"- , OWNER BUILDER DECLARATION INTERCEPTORS — CLARIFIERS' - - POLE'LIGHTS - - " I hereby affirm that I am exempt from the Contractor's License taw for the following reason (Section 7031.5 business and Professions Code: -SWIMMING POOL -- P TRAP LUNSI HULI LUN - - Any clty 'or county which requires a permit to construct, alter, POLES METERED SUB • . improve, demolish or repair any structure, prior to its issuance,also re- WATER SERVICE-- ALTERATION - PANELS - MAIN SUB quires the applicant for such-permit to file a signed statement that he + Is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE - - 'OUTLETS - " ' SERVICE - . ' AMP ' (Chapter 9 -(commencing with Section 7000) of Division 3 of the - Business and Professions Code) or that he Is exempt therefrom and the WATER HEATERS - BTU OUTPUT - - basis for the alleged exemption. Any Violation of Section 7031.5 by '• am• applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS - - - - - --' o ' more than five hundred dollars ($500). - L as owner of the property,or my-employees with wages as their SOLAR TANK •COLLECTORS ' sok. 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 BY ' ._ DATE through his own employees, provided that such improvements are not ' Intended or offered for.sale. If, however, the building or improvement MECHANICAL - PLAN CHECK • ' is sold within ono year of completion, the owner will have the burden 4 SUMMARY OF FEES y� of proving he.did not build or improve for the purpose of sale). 0 - - -- BUILDING- ' - - - (SV 0 1, as owner of the property, am exclusively contracting with -HEATING DUCTING 0-100,660,BTU- PERMIT $ _ SMIP $ • licensed contractors to construct the project (Section 7044, Business AND 100,000 +BTU PERMIT PLAN CHECK S f�_ and wnfrsof property Code: The builds-or is prov so hew doeanot apply[o _ iSSUANC E' 'S oo of who bull a c tract r( thereon,and who con- REFRIGERATION RATION 0-100,000 BTU PLUMBING $ ctractsC from such projects with a contractors) Ilceinetl pursuant to •SYSTEM _ - - - GRADING $ the Contractor's License Law). 100,000+BTU PLAN CHECK S • ' ❑ I am exempt under Section B.6 P.C.for this BOILERS BTU ' $ • -' ELECTRICAL $ reason PLAN CHECK -$ MICROFILM $ SYSTEM REPAIR,ALTERATION , Date Owner TOTAL FEE$ I herebycertifythat I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL" S It) PP - LESSAD-•. . . information Is correct. I agree to consply with all hereby county PLAN CHECK 'S VANCE PC $ ordinances and state laws relating to construction,and hereby authorize OI' representatives o this city to enter upon the above mentioned .02' C�� property for ection urposes. Signature Date 9'27--I•2 FINAL FEE S Drivers' License or SS �+ , ISSUE FEE - - CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNIN POOL& SPA Date Inspector - - • T Date' ' " Inspector APPROVALS Permit# ��� APPROVALS' Permit-# ___ -. - .- 1. 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 Freinforce 47.. Rough Plumbing & Pressure Test' ' " - - - ' " - 6. Electrical UFER Grn - 48. APPROVAL TO COVER-GUNITE _. 7. Footings ' 49. Electrical Conduit-Undrgrn • 8. Foundation - 50. Gas Pipe, ❑Undrgrn;Test • •. ' - 9. Water.Pipe-Undrgrn _ - - . . . 51. Backwash Lines,P-Trap, ❑Undrgrn ' - • - 10. Structural Floor System . . 52._ APPROVAL TO DECK •• 11. Property Sewer Line& House Connection 53. Backwash & Receptor-Final 12. Street Sewer Connection - - 54. Heater & Vent-Final . • 13. Rough Plumbing - _ - - - ' 55.- Plumbing System - Final , . 14. Rough Electric-Conduit _ '56.' Electrical-Final - 15. Rough Electric-Wiring 57. Solar System-Final • 16. Rough Heating & Air Conditioning - - - - bd. Fencing & Access Approval 17. Ducts, in Structure 59. APPROVED FOR PLASTERING • 18. Ducts, Ventilating • 19. Gas Pipe-Rough &Test - 60. POOL/SPA SYSTEMS FINAL • r 20. Roof Framing •- 21. Roof Sheathing - • - 22. Frame and-Flashing NOTES: . 23. Insulation - • ._ . _ __ •_ - - - 24. Lathing & Siding -- - - -' - 25. Drywall Nailing . - - - - - - 26.. Plaster Brown Coat - - - - 27. Electrical Power Meter-Final • - . _ - - 28. Final Electric - - _' 29. Final Heating&Air Conditioning - - -. - . ' , 30. Final Gas Pipe-Test 31. Final Plumbing t'` i,7- ,51,2,„/, 1J--27-yty-ler - . 32. Water Service-Final _ '/'1 - 1 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 -_ P0RMIn NO. " / TRACT NO. LOT NO. BLDG.NO. CONSTRUCTION PERMIT p Lite Q7/ Project Address ,., .` • 7783' 9/16/82 7. 10 TL 5 \T�VPP OF CONSTRUCTION �� ��,sM� Owner 5.a1/4.) as.Y,S Phone ,_ /b.plEW 0 ADD 0 ALTERATION - r///+e AddressQN\A S�tTS �- 0 REPAIR 0 CONVERSION ODEMOLISH �'✓ ZONING REGULATIONS Arch/Eng. License No. 0 OTHER DESCRIPTION OF WORK A.P.e Address _ - ZONE PLNG. REF.#- .Cobtracto l Phone - - BUILDING Tp gl�ILp INC C._ L)rSf ` dV•I "LI- •PE OF PERMIT PROPERTY LINE Address (,\QQ �Y� Lit Imo. L 0 GRADING • 0 FOUND TIO 0 STRUCTURAL a SETBACK C/L T. F' SIDE E---1-YARD LICENSED CONTRACTOR DECLARATION 0 TENANT. 0 ELECTRICAL, LUMBI NG 0MECHANICAL LS IDE YARD Thereby affirm that I am licensed under'provisions of Charter 9 (corn- RIGHT - - , mencing with section 7000) of Division 3 of the Business and 0 OTHER - Professions Code and my license is in full 'fora and eff t. REAR YARD(TO P/L) . PRO.IECT DESCRIPTION License •ass -- - - Licen . No 37 -CC - - - ' PKG.SPACE REQ. PROVIDED DateAr '• to Signature r• - .I SQ.FT. ' _ WORKERS'COMPENSATION DECLARATION OCCUPANCY_CONSTRUCTION TYPE ST0.EET WIDTH PARK FEE$'.' I hereby affirm that I have a certificate of consent to self-insure or"a VALUATION ZONE ZONING APPROVED BY - , '• DATE . . certificate of Workers' Compensation Insurance, or a certified copy thereof(Section 3800, Lab.C.). GRADING CU.YDS. • ACRES • SPECIAL CONDITIONS: - Policy No. Company - -' - - - . - - - _ - • 'rtified copy Is hereby furnished.. - REMARKS: fl �1?7'/_ 3 -+ _ — I 'titled copy is filed with the city Building Division. - (J CK� s0 • • • E.._MPTION FROM WORKERS' COMPENSATION.DECLARATION \ - - - e79 tie - -' -- - . - . - . (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 wh' h this permit•is _ Issued,.1.s II. of employ any persoryltryny manna so as t ome PLUMBING . - - PLAN-CHECK ELECTRICAL PLAN CHECK subject t e kers'Compensatior�Layw(}of Calif r i . • /✓•" BATHTUBS SHOWERS • INV FA(•t Date Signature SO FT CO n - NOTICE: If after making this declaration, you should become subject TOILETS ,URINALS - -' ' "-"-- GENERATOR 0-1 KW_1-30 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 LAYS - - -APPLIANCE 10-50 KW_50+ KW , , • revoked. CONSTRUCTION'LENDING AGENCY - •-- - - - KIT.SINKS ^-- •- 'DISHWASHERS" MOTORS 0-1 HP._1-10 HP llhereby affirm that there is a construction lending agency for the per- SERVICE SINKS - .SUMPS -� - (INC.SOLA Rp" 10-50 HP- + AP • - • formance of the work for which this permit is Issued (Section 3097 - Y Civ. C.). - — _ - - - _-- FLOOR SINKS - ' - FLOOR DRAINS- -' L FIXTURES+ OUTLETS SWITCHES Lender's-Narhe --- - -- - - - _ _ _ Lender's-Address - •DRINKING FOUNTAINS'• , - - ' `"" '- GAS TUBE SIGNS - - OWNER BUILDER DECLARATION INTERCEPTORS ' '- CLARIFIERS POLE LIGHTS ' I hereby affirm than am exempt from the Contractor's License Law for - r.' ' the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL- ' P TRAP - - LUNSI Kul.I wN • - -- - - Any city or county which'requires a permit to construct, alter, POLES METERED SUB Improve,demolish or repair any structure, prior to its issuance,also re- WATER-,SERVICE - 'ALTERATION " PANELS MAIN SUB. ' quires the applicant for such permit to file a Signed statement that he is licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE' - -OUTLETS - - • SERVICE AMP (Chapter 9 (commencing with Section 7000) of Division 3 of the . - . Business and Professions Code) or that he is exempt therefrom and the. WATER HEATERS- - BTU OUT UT --' - • 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 more than five-hundred dollars ($500). �' 742 -' .s r C: : owner of the property, or my employees with wages as their cn Tofa++ -- '^- - - " t - sok ompensation, will do the work,and the structure Is not intended ` - - • ' or offered for sale. (Section 7044, Business and Professions Code:-The 3t.,17;ta-I44-1H4455-SVS. rtV _ 1 y o-2 —` ISSUE FEE .1 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 �ISSU E'FEE" " - ) 3 APPLICATION APPROVED BY DATE • , through his own employees, provided that such improvements are not - intended or offered for-sale- If, however, the building or Improvement MECHANICAL PLAN CHECK SUMMARY OF FEES' Is sold within one year of completion,the owner will have the burden - - - _ of ,proving he did not build or improve for the-purpose of sale). HEATING SYSTEM 0-100,000BTU ) 'BUILDING • "- -- - O I, as owner of the property, am exclusively contracting with AND DUCTING PERMIT S SMTP, E ' • 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. • • an owner of property who builds or improves thereon,and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ 7 <� ISSUANCE $ tracts from such projects with a contractor(s) licesned pursuant to SYSTEM .-_ . • GRADING E the Contractor's License Law). - - 100,000+BTU PLAN CHECK $ • ❑ I am exempt under Section B..S P.C.for this BOILERS • BTUELECTRICAL $ $ ' reason • - - - MICROFILM $ Date Owner SYSTEM REPAIR,ALTERATION PLAN CHECK S 'TOTAL FEE$- MECHANICAL $ - I hereby certif.that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE _ LESS AD-• Information rrect. I agree t comply with all city and county PLAN CHECK ' $ ,VANCE PC $ - ordinances d st to laws relating t const ction,and hereby a thor' e , ' representee s this pity t enter On the above ntio ed�- n property r i cti n our s G/(/ e./3 RD -FINAL FEE $ er ! - - _ _ _ - - CMF 0865-46 White-Bunding;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor S - CONSTRUCTION AND PLANNING POOL& SPA 81I Date , Inspector Date Inspector APPROVALS Permit# figt ? APPROVALS Permit.# - _ - - - 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-i • 5• Steel Heinforce - 47. Rough Plumbing & Pressure Test _ 6, Electrical LIFER Grn - _ , , 48. APPROVAL TO COVER-GUNITE - - 7, Footings 49. Electrical Conduit-Undrgrn - • , - , 8. Foundation . . 50. Gas Pipe, 0 Undrgrn,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 - -4 55. *Plumbina System -Final 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 .. - - . - - - 19. Gas Pipe-Rough &Test • _ _ 60. . POOL/SPA SYSTEMS FINAL ' 20. Roof Framing . ' • _ _ 21. Roof Sheathing - - . - - . - . 22. , Frame and Flashing - _ . - NOTES. _ .- - 23. Insulation - - . -.- . - - - - - - - -' - - - _ 24. Lathing & Siding - .- _ . _ . - . .- --_ - - • , 25. Drywall Nailing _ - ,. _ ._ . . • 26. . Plaster Brown Coat - . _ . - .- 27. Electrical Power Meter-Final -_ . . . - _ - ' 28. ' Final Electric - _ - • - - - •_ . 29. ' Final Heating & Air Conditioning .. . - - • .- . -. - ._ - ' 30. Final Gas Pipe-Test/� - . _ - . _ 31. Final Plumbing /tc x'1/�,,n, Agog raoa#.17.; 4//74,Zr ......*`Fr'' --- _ 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 N�9, TRACT NO. LOT NO. •BLDG.NO. 8169 9/23/82 . 51 .65 it CONSTRUCTION PERMIT Ft. h"9fte7 7 • • • . - r. .: Project Address auolS' TYPE OF CONSTRUCTION " Owner SWMGG.1.S 7 ac....-? Phonee3 2*&JJ NEW 0 ADD ❑ ALTERATION .��,�r'�/��) " Address 0 REPAIR ❑ CONVERSION ❑DEMOLISH "" - ZONING REGULATIONS ' Arch/Eng. . - License No.- 0 OTHER a / .s Address DESCRIPTION OF WORK A.P. 'Y'37// 'moo '7a1 � ZONE PLNG. REF.# Contractor,4143f'/ /(R7> ,_9 / /l q,e Phone 993t'A VPE'OF PERMIT . BUILDING - TO!WILDING ' Address S�?j � /N f/ _ a 0 GRADING ❑ FOUNDATION 0 STRUCTURAL SETB Y /L$T 55 ARD . PROPERTY LINE I I LICENSED CONTRACTOR DECLARATIONFT ❑ TENANT ❑ ELECTRICAL ❑PLUMBING OMECHANICAL L SIDE YARD I hereby affirm that I am licensed under provisions of Charter 9 (com- RIGHT mencing with section 7000) of Division 3 of the Business and. ❑ OTHER 'Professions Code and license Is In full force and effect. PROJECT DESCRIPTION REAR YARD(TO P/L) License Class - - - Icense o' 'A L. .. _ Date ' •nature Ia - , AI - moi' $O FT. - PKG.SPACE REQ. - PROVIDED. WORKERS'COMPENSATION DECLARAT •N ' OCCUPANCY CONSTRUCTIONpQTYPE- — STREET WIDTH PARK FEE$ OC I hereby affirm that I have a certificate of consent to self4nsure or a VALUATION I/ 91,Q. ZON_E ZONING APPROVED BY• I DATE- , certificate of Workers' Compensation Insurance, or a certified copy / - thereof(Section 3800,Lab.C.). , GRADING CU.YDS. ACRES SPECIAL CONDITIONS:\f . . Policy No. Company . - ; r "'titled copy is hereby furnished. REMARKS: . - . _ stifled copy is Mid with the city Building Division. I E.. MPTION 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, f shall not employ any person in any manner so as to become ' PLUMBING PLAN CHECK 'ELECTRICAL- PL N CHECK subject to the Workers'Compensation Laws of California. ' - -BATHTUBS SHOWERS UWELLINta GAHAIaE - ' Date Signature SO.FT SO FT •• NOTICE: If after making this declaration, you should become subject TOILETS URINALS - GENERATOR 0-1 KW_1-30 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 LAYS - - APPLIANCE 10-50 KW 50 + KW - revoked. I _ , -. 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+AP formance of the work for which this permit 13-;-•931t< iQs issued (Section 3097 • . Liv. C.). - C'oAitMeRr • O� t< — - FLOOR SINKS • FLOOR DRAINS FIXTURES OUTLETS -SWITCHES Lender's Name n • J _ Lender's Address /7.v / nc 'rte FLt '44•/ 'V ING-FOUNTAINS - GAS TUBE-SIGNS •,( OWNER BVILDER.DEC LARATION. , INTERCEPTORSCLARIFIERS - - POLE LIGHTS 't I hereby affirm that I am exempt from.the Contractor's License Law for the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL - P TRAP - LUNS I-KULI UN- -Any city or county which requires a.,permit to construct, alter, POLES METERED SUB ' improve,demolish or repair any structure,.prior to its issuance,also re- WATER SERVICE" ALTERATION ' _ - PANELS MAIN SUB . ' quires the applicant for such permit to file a signed statement that he - _i is-licensed pursuant to the provisions-of the Contractor's License Law. GASSERVICE' - OUTLETS - • SERVICE' - - AMP. (Chapter 9 (commencing with Section 7000) of Division 3 of the • a: .. 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 • - i an�).:-wplicant for_a permit.subjects the applicant to a civil penalty SEWER CONNECTIONS -- .-' _ _ _ -. . _ - 0'-T+;y+' more than five hundred dollars ($500). �"�`$Zs owner of-the'property,or my-employees with-wages as-their SOLAR TANK - COLLECTORS - - . -- -- s so,e'-tompensation, 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 MECHANICAL PLAN CHECK is sold within one year of completion, the owner will have the burdenSUMMARY OF FEES _ _ of proving he-did not -build or improve-for the purpose of sate): BUILDI G - HEATING SYSTEM 0-100,000 BTU o ' c/ ❑ 1, as owner of the Drqpert am exclusively contracting with y,- AND DUCTING - - $ .SMIP ' .5 licensed contractors to construct the project (Section 7044, Business 100,000 + BTU PLAN CHECKS. 0r�S PERMIT ' - _ and Professions Code: The Contractor's License Law does not apply.to - ISSUANCE-jib - 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 $J ❑ I am exempt under Section B.& P.C.for-this BOILERS BTU ELECTRICAL $ $ reason ' PLAN CHECK $ MICROFILM $ ' - SYSTEM REPAIR,ALTERATION - - Date _ Owner TOTAL FEE'E EXHAUST SYSTEM MULTIPLE MECHANICAL�$ I hereby certify thatcorn have read this application and state that the above - . -LESS AD- - — 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• t is city to enter upon th above mentioned property for i Ion p o es,, /�/!� beg-23-S"- - ` __ FINAL FEE $l�j4]J Drivers'License or SS ISSUE FEE CMF 0865-46 White-Building:Canary-Applicant;Pink-Accounting;Goldenrod-Assessor ' CONSTRUCTION AND PLANNING . .I POOL& SPA " ' - r , • a APPROVALS Permit# - - ' - ,,r-, pate' - Inspector �'Y 9?- 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.-, -- c- - -" _ ' 5. Steel Reinforce - - ' • • - 47. Rough Plumbing & Fsiessure Test- ' , r - - . . • ... 6. Electrical UFER Grn - ' '- 48. APPROVAL TO COVER-GUNITE 7. Footings 49. Electrical,Conduit-Uridrgrn ' ". - . . - • - • .8. Foundation t _ � •• 50.- Gas Pipe,- EUndrgrn,Test ' � ^., ' 9. Water Pipe-Undrgrn • _ 51. Backwash Lines, P-Trap;QUnd_F_ac_n_ ' _ _ - 7 - - - ' 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 -. . : - 56:- Fencing &Access Approval . - , i , • 17. Ducts, in Structure 59. APPROVED.FOR PLASTERING ._ 18. , Ducts, Ventilating - ._ . . -_ . . -- -. _. _ 19. Gas Pipe-Rough &Test • . - " . 60. POOL/SPA SYSTEMS FINAL , • 20. Roof Framing .. - ' - - , .�• . '21. Roof Sheathing - - _ - •-' 22. Frame and Flashing - - _ _ NOTES: _ - • " . - . . 23. Insulation - , / `+�(�/f -- 24. Lathing &Siding - - - - . . _- . - r,( /� ',••^�c - /(f��'/_ L '25. . Drywall Nailing _ l Y - G fff '� 26. Plaster Brown Coat _ _ ._ / ��� / 27. Electrical Power Meter-Final • " : - ��_ .U�/- .28. ' Final Electric - -, - _ - • ._ . ' 29. Final Heating &Air Conditioning - - _ •, • 30. Final Gas Pipe-Test - _ .. - . - - - - 431. Final Plumbing -" - - • _ . '32- Water Service-Final - - .. - . - ' - t 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. BLDG.It10. - - - - - - CONSTRUCTION PERMIT BP 02P-711 9856 12/23/,81 23.00 TL' Project Address / C ry- t1 I/"' I 1 1 f (q /S L-. clew' .J�- TYPE OF CONSTRUCTION . . ,- i.• , ,a , 'Owner �(,�� /I�sD �� f'��/� Phone - /� ❑ NEW' 0,ADD 0 ALTER �A jTION Q - '" .; " - - Address�74n h, n7,47f�/4- �244d AtAr 0 REPAIR 0 CONVERSION .�IDEMOLISH U `ZONING REGULATIONS -„ • , - Arch/Eng.- - • - - License Ngcn�'37J 0 OTHER / \ A.P. i-f'�(-� ,O�' - ,� , Address - - - DESCRIPTION OF WORK ' - �/ - ZONE PLNG. REF.# - ( -Contractor -t'f�j'' ,Alfpe,j Ph TYPE OF PERMIT BUILDING Tp gt/I IN 1 1 Address / -4(4.41/1,4,, _/ SETBACK C/L ST, PROPS y I L\ /2D l�sGj 4Gr#% B✓ p(,/) ❑'GRADING 0 FOUNDATION 0 STRUCTURAL SIDE YARD sb "LICENSED CONTRACTOR DECLARATIOI�N 0 TENANT 0 ELECTRICAL ❑PLUMBING ❑MECHANICA4 Lsl EDFEf VARU- • (\ 1 I hereby affirm that I am licensed under provisions of Charter 9(com- RIGHT P . , N. mencing with section- 7000) of Division 3 of the Business and 0 OTHER - Professions Cod and my license is In full force-and e7 , REAR YARD(TO P/L) Vi• PROJECT DESCRIPTION 1 License Class Ty _ - e o - PKG.SPACE REO. - PROVIDED; Q • Dat: Cr Signature, /� / - SQ.FT. - - " - STREET WIDTH _ {^PARK FEE$ I WORKERS'hereby ffirmgf thatNII have a certificate cate of(O consent to self-Insure or a VALUATIONV ' ( /ST RUONE N TYPE _ ' ZONING APPROVED BY I Wei I DATE�/�q /el thereof Pglicy Noel72X4143-61- Companycertificate of-Workers' Compensation lns,,, or a certified copy GRADING CU'_V DS. -' CC�� ACRES 3_l MI LJuf-�I I'� c'?I I fs • SPECIAL CONDITIONS: Certified copy is hereby furnished. -- -. 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 - _ - 's ' ($100) or less). , - -. . - - . - - - I certify that in_the performance of the work far which this permit _ •is _ - issued, I shall not employ any person in any manner so s to become .PLUMBING . _ PLAN CHECK - - ELECTRICAL - 'PLAN CHECK - ' -subject-to-the-Workers'Compensation.Laws of California. _ — - UW ELLINb - - • VHHALE Date _ Signature BATHTUBS SHOWERS SO.FT- SO FT - ' A NOTICE: If after making this declaration, you should become subject TOILETS ,. t,', - URINALS - - ' - GENERATOR - 0-1 KW 1-10 KW '" �O to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER r forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS ' APPLIANCE 10-50 KW 50+ KW - �p revoked. .. _ ._ . _ �Y 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 • . P6' Civ. C.). - " -- - - - -- FLOOR SINKS 'FLOOR DRAINS - FIXTURES OUTLETS SWITCHES - ' - - 0 _Lender's Name - _ _ . Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS - OWNER-BUILDER DECLARATION INTERCEPTORS . CLARIFIERS 'POLE-LIGHTS • 7{ I hereby affirm that I am exempt from the Contractor's License Law for - _ '1 1'j the following-reason (Section 7031.5-Business and Professions Code: SWIMMING'POOL- - P TRAP . LUNS!But-I IUN • Any city or county which requires a permit to construct, alter, POLES METERED SUB . V improve,demolishorrepair'any structure, prior to Its Issuance,also re- WATER SERVICE- ALTERATION - PANELS ' MAIN SUB - - .. quires the apt.licant for such permit to file a signed statement that he f • • • is'licensed pursuant to the provisions of the Contractor's License Law GAS SERVICE OUT ETS - - SERVICE - AMP - '- ' (Chapter 9 (commencing with Section 7000) of Division 3 of the • -Business and Prolessions-Code) or that'he Is exempt therefrom and the WATER HEATER PUTPU" d - - Iq basis for the alleged exemption. Any violation of Section 7031.5 by • • applicant for a permit subjects the applicant to a civil penalty SEWER CONNECT( ' - - - , «ot more than five hundred dollars ($500). - xx as owner of the property, or my employeei with wages as their SOLAR TANK- 'CO L O sa'e.compensation,will do the work, and.the structure is not intended • or offered for sale. (Section 7044. Business and Professions Code: The SOLAR PIPING S. - 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 3 APPLICATION APPROVED BY - - - - DATE through his own employees, provided that such improvements are not _ - ' ' intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK SUMMARY OF FEES is sold within one year of completion, the owner will have the burden of proving he did not build or Improve for the purpose of sale). 'BUILDING HEATING SYSTEM' 0-100,000 BTU PERMIT / 7' .�� . '�� ' ❑ I,- 'as owner-of the-property, am exclusively- contracting with AND DUCTING - E SMIP I S licensed contractors to construct the project (Section 7044, Business 100,000 +BTU PLAN CHECK S _s ' PERMIT t 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 E s I tracts from such projects with a contractor(s) licesned pursuant to SYSTEM .-GRADING S • the Contractor's License Law). 100,000+ BTU PLAN CHECK $ El am exempt wider Section - - B.& P.C.for this _BOILERS BTV , r , s -ELECTRICAL S - S -reason - ' ' - - - ' - - - ' PLAN CHECK E . MICROFILMS ' SYSTEM REPAIR,ALTERATION LiDate Owner TOTAL FEE S' I hereby certify that I have read this application and state that the above __EXHAUST SYSTEM MULTIPLE - MECHANICAL E • Z information is correct. I agree to comply with cityand county ' PLAN CHECK E" LESSANEAPC ' 9 PY VANCE PC" E_ ` representati a000A��scWWW to I it Ing to construction,and hereby authorize - • I c , rprope r Y aliy"s�dP ,s it os enter- upon the above mentioned 27 dc! property to ns If0'a 00 - _ ,y1 G/, ,�oIfJSJ- tJ Signature _ Date_ -II • FINAL FEE S Drivers'Li ense or SS �- • -"'ISSUE FEE - CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting:Goldenrod-Assessor • ° CONSTRUCTION AND PLANNINGPOOL&SPA_ - APPROVALS Permit# , Pa�4/ Date Inspector APPROVALS Permit# ` - - Date Inspector 1. Temporary Electrical Service or Pole - . . 43. Pool & Equipment-Location-- - - - - --,- -- - -- - • 2. Soil Pipe-Undrgrn 44. Steel Reinforcement •-- -- - - . - - - . . _ 3. Electrical Conduit_Utility-.Undrgrn _ 45. Forms --- - • 4. Electrical Conduit-Undrgrn -- , 46. Electrical-Bonding ---- -- - - 5. Steel Reinforce - 47. Rough Plumbing & Pressure Test - - - • -- 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE- . - - . .. . _. . 7. Footings - 49. Electrical Conduit-Undrgrn 8. Foundation _, _ ' ' 50. Gas Pipe, ❑Undrgrn,Test 9. Water Pipe-Undrgrn . 51. Backwash Lines, P-Trap. El Undrgrn' `' -- - ,10. Structural Floor System 52. APPROVAL TO DECK - - _____ "---" - -. - • . 11. Property Sewer Line & House Connection - 53. ,Backwash & Receptor-Final - 12._ Street Sewer Connection - - - 54. Heater & Vent-Final • 13. Rough Plumbing 55 Plumbing System - Final - - ' - -' - - , 14. Rough Electric-Conduit •56. Electrical-Final i _ 15. Rough Electric-Wiring 57. Solar System-Final 16. Rough Heating &Air Conditioning b8. Fencing &Access Approval - 17. Ducts, in Structure • 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating - 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL , 20. Roof Framing - 21. Roof Sheathing •22. Frame and Flashing NOTES: - 23. Insulation _ 24. Lathing & Siding - 25. Drywall Nailing . 26. Plaster Brown Coat - - 27. Electrical Power Meter-Final 28. Final Electric - • - - • 29. Final Heating & Air Conditioning . - 30. Final Gas Pipe-Test -.--. . , ' . _ 31. Final Plumbing :- . __ 32. Water Service-Final t - 33. Gas Service-Final \ _ 34. Solar Domestic-Final • 35. Landscape Sprinkling System 36. Sound Attenuation • • 37. Handicap Regulations - • 38. FINAL STRUCTURE & BUILDING 7 39. Special Requirements Completed IY�)Y•/, H2.-1411 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 aec,araaons. • 4_8__82 4/21/82 '8.00 TLI CITY OF COSTA MESA - PEgmIT NO. TRACT NO. LOT NO. BLDG.NO. • .• - - ' • ' - 'CONS� RUCTION PERM�T L- 3347 -. . • Project Address 2G:(S' E /J 4vs- TYPE OF CONSTRUCTION ' • ' t - • • OwnerLua /4Q/ , Phon Z 0 NEW 0 ADD 0 ALTERATION - - •'Address5/J�nJy_0 � ia/•S (i'2 • AJ., /5 , ❑ REPAIR ❑ CONVERSION ❑DEMOLISH . - 'Arch/Eng. f�0 y. )?C/Q, ' License No. - 0 OTHER • • APS ZONING REGULATIONS DESCRIPTION OF WO'K Address aM - M • -(LC- 1 V .1.CO - ZONE PLNG:REF.tr. - ; ., . - PI • Contractor _--_r7--'__-_. . •• - - Phone e3s'•zet-� TYPE OF PERMIT,- -- - • - I _ .:• . _ - Tp B i glf�G ' , • _ -Address .SETBACK C/L ST. PROP Y INEI n I. S(fDO li-MFLOS ISL - ❑GRADING ,;0 FOUNDATION - 0 STRUCTURAL - •$1DETYARD - - -- s-- •1: - LICENSED-CONTRACTOR DECLARATION '_ •_ '.0-TENANT ❑ ELECTRICAL DPLUMBING_OMECHANIC• -SSIEEnFE YARD - - - j I hereby affirm that I am licensed under provisions of Charter 9-(com- I I , RIGHT - -', - cAr mencing-with section-7000) of 'Division 3 of the Business and 0 OTHER ' `Professions -Code, 'and my license is in full force and effect. PROJECT DESCRIPTIONS I REAR-YARD-CI-0 P/C) 1 - - "3' - - ' " ' - - - - _ "- "- -•' PKG.SPACE REQ, ' PROVIDED. el 'License Class —i- - Litems No.- - - - - _ _' _ - - --- -- - •9 Data' _i Signet use SQ'[ .,, !STREET WIDTH , --PARK FEE'S 1 WORKERS'.COMPENSATION DECLARATION_ - OCCUPANCY=CONSTRUCTION TYPE _ ' -I hereby affirm that I have a certificate of consent to self-Insure or a '''ZONING APPROVED BY - - - DATE- - --- -I ,certificate of-Workers' Compensation Insurar)aQ or a certified copy I VALUATION ZONE ^-- _ •• thereof(S�ff{ o B Lac3 Ca. s �. _ GRADING CU.YDS. ACRES ' SPECIAL CONDITIONS' Polity Nol'-� I 7a L�bGlCompanylA�• .0 OF /s'1G�Ci{ - .__ _ _ - -. .._ _ _ . _ _ . _ _ __J _ .1 :ertifled copy is hereby furnished._ . _ _ _ . .__ .. REMARKS: it , _ ' - tertified copy is tiled with the city Building Division. - f -_. - " ~ -- - r , . _ _ — - _ - - s ❑l .v n I ',EXEMPTION FROM-WORKERS' COMPENSATION DECLARATION •-- - -- -- -- - - ^'"^- -- _ - (This section need not-be completed (the permit Is_for one hundred • :_ - .T - - . II - '6-^ _,'.- , I ($100) or less). permit is - - - certify that in,the,performance of the work for which this issued I shall not employ any person In anymanner •so as to-become •-PLUMBING- gc -, -- -;PLAN CHECK-- - - '--- - • - (ELECTRICAL- --- PLAN CHECK - _ subject to the Workers Compensation Laws of California. - - -'BATHTUBS' -- - --SHOWERS' - - -- •UwtLLlrvb - - -• 50 FT 'Date Signature .. , ;NOTICE: If atter making this declaration, you should become subject TOILETS-:t ,. •- URINALS • -- - 4- - - - - ,GENERATOR. - } to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER . •.. , 'I -.5. +f ) revokeith comply with such provisions or this permit shall be deemed LAVATORIES DOUBL-E'LAVS- - :.---- --APPLIANCE --10-50 KW_ - --- 50-50 - - - • KIT.SINKS - -- ",DISHWASHERS_'__ -t. ._. _ CONSTRUCTION LENDING AGENCY 1 HP -10 HP - Jj 11 hereby affirm that there is a construction lending agency for the per- SERVICE SINKS •, l I r). SUMPS - '- -- -- - y - --- ,(INC.SOLAR) 10.50.1W 50+.HP.' "' formance of the work for which this permit is issued (Section 3097 nder '- - - " '-' "'FLOOR SINKS '--'- FLOOR DRAINS - '- - 'FIXTURES-- OUTLETS-- -SWITCHES '-=- • '- - (Lender'ss Name - - !Lentler's Address • - - DRINKING FOUNTAINS "I1- '- !GAS-TUBE SIGNS - — - OWNER'BUILDERDECLARATION - - - - - '- - . INTERCEPTORS'-- •CLARIFIERS--- -- s•-- !POLE-LIGHTS -- - -- - - -- '.I hereby affirm that I am exempt from the Contractor's License Law for - % 1 'the following-reason (Section 7031.5 Business and- Professions Coder SWIMMING POOL - -'-PTRAP--- ---- - -;---- 1 UNSIKUL I IUN - -r • 'Any city or county which requires a permit to construct, alter, I I 'OLES - - ' METERED - _ SUB --- - '-o-00 improve,rdemolish or-repair any-structure,-prior to Its issuance,also re- -WATER-SERVICE ' --"ALTERATION-- - j'-' •- PANELS- - - MAIN -- SVB - - - quires the ap pursuant for such permit to file a signed statement that he - - I ensed'pursuant to the-provisionsh of the Contractor's License Law- GAS SERVICE - -` --OUTLETS ---' r" - SERVICE- - - AMP= (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or-that-heationexemptSection therefrom and the WATER HEATERS BTU OUTPUT • -{— - -- - ---- -- - - -• •---- - basis for the alleged exemption. Any violation of Section 7031,5 by ' - -r 'applicant lora permit subjects the'applicant-to a civil penalty SEWER CONNECTIONS- • -j,- - - - - - • - • - - - - -- • - 0 a'.bt more than five hundred dollars ($500). 1' - -., a5 owner of the properly,-bi-(fly employees with wages as their- SOLAR'TANK COLLECTORS .or'so foatlOn, 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 - - - • 3 00' I ,Contractor's License.Law does not,apply to an owner of a property .. . _ - - • -APPLICATION APPROVED BY - DATE I who builds or Improves thereon, and who does such work himself or ISSUE FEE .- ' through his own.employees, If, however, that such improvements are not - ' intended or offered for sale. If, however, the buildingerwiorthe improvement MECHANICAL PLAN CHECK - - - " Is sold.Within one year of completion, the owner will have the burden 1 SUMMARY-DF FEES of proving he did not build or Improve for the purpose of sale).- " -' - -' -- - - BUILDING-- - - '0-•l,--as -owner-of the 'property,-am exclusively contracting-with HEATING 0--- -- - .0 BTU « !PERMIT $ • SMTP $ .licensed contractors to construct the project (Section 7044, Business - AND-DUCTING 100,000•+ BTU • 'PLAN CHECK S 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 $ ,ll - ' tracts from such-projects-with a-contractor(s).-licesnetl_pursuant-to --SYSTEM- -• I _ �_ _ _ _ ' ' 'GRADING $ _ the Contractor's License Law). 100,000+BTU- ! •PLAN CHECK,S (p•:OO - I 'y -- E• ' 1 ❑ I am exempYunder Section - -" B.6'P.C:for this BOILERS BTU ( - - ELECTRICAL $ - ' tI reason - - — - - - - -- - - - - - , - - - I PLAN CHECK $ - 'MICROFILM $ 't • Q SYSTEM REPAIR,ALTERATION — - 1 Date Owner - I ' I 1 • _ '-TOTALFEE S. ' _t I herebycertify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL E PP • information dstorrect. I agree to comply withallcity nd'county- .5 PLAN CHECK EI -- VANCE PC 5- - repes ordinances and state law 'r¢lalln• . lructlO-t and hereby outponed property flues orells/ :. •poo -the -aboverJllonetl ,I �t "o ze WPro PerlY f. i s.eFti; _pu •: - '/'JFINAL FEE $ O .00 Signature / - - ISSUE FEE- - _ • -. - - -_ CMF OB65-46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING POOL&SPA - _ . APPROVALS Permit# E 33.27 Date Inspector APPROVALS Permit# i - Date Inspector 1. Temporary Electrical Service or Pole .3----n-= eC--1 43. Pool & Equipment Location -. 2.. Soil Pipe-Undrgrn 44. Steel Reinforcement • 3. Electrical Conduit Utility-Undrgrn 45. Forms • - 4. Electrical Conduit-Undrgrn 46. ' Electrical Bonding - , - 5. Steel Reinforce - • • 47. Rough Plumbing & Pressure Test - - . 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE. - 7. Footings - - 49. Electrical Conduit-Undrgrn . • 8. Foundation - 50. Gas Pipe, 0 Undrgrn,Test ' 1. 9. Water Pipe-Undrgrn . . _ 51. Backwash Lines,P-Trap, 0 Undrgrn - 10. Structural Floor System • 52. APPROVAL TO DECK ' 11. Property Sewer Line & House Connection 53. Backwash & Receptor-Final • 12. Street Sewer Connection - 54. Heater & Vent-Final-. - 13. Rough Plumbing - - 55. Plumbing System -Final ' 14. Rough Electric-Conduit .. •56. Electrical-Final 15. Rough Electric-Wiring - • - 57. Solar System-Final 16. Rough Heating & Air Conditioning 138. Fencing &Access Approval 17: Ducts,in Structure - 59. APPROVED FOR PLASTERING - 18. Ducts, Ventilating _ . 19. Gas Pipe•Rough &Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing - _ - - - - 21. Roof Sheathing - ' 22. Frame and Flashing - t NOTES: - 21 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 5-10'7- -7'15 41. Gas Release to Southern California Gas Co. - - 42. CERTIFICATE OF OCCUPANCY • _ No. • Date _ -. , • COSTA MESA BUILDING DEPARTMENT P. O. BOX 317 '•4 IL,, 5041 COSTA MESA CALIFORNIA FOR APPLICANT TO FILL IN C.L. OF STREET----e- BUILDING ADDRESS 46,/5% elpf141 4 - /�� __,...---PROP LINE � Owner !-( A , Ammer A 10 FT. FOR 60 FT. STREET 12 FT. 61 IF-F�R \ I/ -? gbi 50 FT. STREET I Mail Ad�ess ( City L etjt .. _ Ph. No., .-/ eS7--7S-L' r Contractor &- <'1,'/2-e-4 Ph. No. Address • 50 llOFIF FROP.T City Lic. No. - . . _ State Lic. No. 150 FT w ! / Size of Lot )S3�AP No. /e , - $ _ 3 1 I- Setbacks: C/L Street 30 ) Rear O a 1I OA1, l -I ¢ Side Yard - Right f;/ .r R Left / W r---- ---a, V Type of Fence . /NQ W Oa J. - $L TJX[ / ,p ;7 i- 4 ALLEY QR PROP. LINE 0 ij 3i se'/7 ' ti i-L deE " O / S� 0. .1 L !_"': • + 4 w I I I hereby acknowledge that I have read this application and state J CO 1i Z k,C vt Iv/ that the above is correct and agree to comply with all City Ord-j Ntp �\t ;-) F inances and State Laws regulating building construction. F) < a L �. -'. 4 La 0 F Signature �• +� ,F O g ;. of Permittee 7-' n , ® O z -I / � ' J z o Agen Iii . (--7t. ar zJ _ - 04-4 ;O Z t- 37 6 I N. rani r .; - H FOR OFFICE USE ONLY FT. u• W • I �s F- m FT • 2 \,• U N ►a F T Permit No. o ,� ti, . m I �77�' cc 60 FT ST. _.I Received by Date Received Date Issued ✓ -‘41%14 i .517 -37 s- 7 -ST 50 FT ST. 1 t A l l I 7 K\I:: _ fiPROP. LINE _- -�' � _ - - - - I t VALUATION O 0 //// Permit Fee $ -� FIE R EC E V E D 86 , 1 A $ Plan Check $C.L. OF STREET _ 0 FINANCE DE T. --)9a-vi " MAXIMUM 4 FT. FENCE MAY BE PLACED ON DOTTED LINES -- - --- t I i it OF COSTA ESA TOTAL FEE $ MAXIMUM 6 FT. FENCE MAY BE PLACED ON SOLID LINES USE REVERSE SIDE FOR DETAILS COUNTY OF ORANGE • BUILDING DEPT. - 636 No. Broadway Permit Nod/----______ Santa Ana, California " Application for Building Permit Phone: KI 2-6211 . AND FOR A • Certificate of Use and Occupancy • Date April 16, 1952 I. OWNER'S NAME John L. and Marguerite 8. Lyons PHONE- 691 MAILING ADDRESS P 0 Box 836 CITY 29 Palms, Calif. Name None Name John L Lyons (Architect or Engineer) (Contractor) • • Address Address City City _ State State Lic. No. Phone Lic. No. Phone S 7_,y 5' 2- add PROPOSED USE: Home P. -i �0 t 2. JOB LOCATIONApp. Elden St ✓ ;osta : sa J (House No.) (Name of Street) (Town or School District) 3. LEGAL DESCRIPTION: Lot NE 66' of lot 24B10 Tract 376 (Metes and Bounds Description—Use reserse side of form) 4. CORNER LOT ( ) INTERIOR LOT ( X ) THROUGH LOT ( ) SLOPE OF LOT ( b'1l-t 5. SIZE OF BLDG •20 X 34 AREA- 680 ' SIZE OF LOT- 66 X 305 AREA: 20, 130 1 6. HEIGHT OF BLDG • 10 I CEILING HEIGHT- 81 NO. OF STORIES 1 • 7. NO. FAMILIES Orie Size of Smallest Bedroom: 11X12 Size of Kitchen: 7 t-9" X 15 '-411 8. EXTERIOR WALL CONSTRUCTION. Redwood Side- INTERIOR WALL COVERING Plaster board (Frame, Stucco, Etc.) (Plaster-Drywall, Etc.) 9. SETBACKS: Front Yard from Center Line of Street-_,_--- 161"•--....,••"1 I "•�r Nearest Side Yard Rear Yard 260 t Distance in Feet Between Bldgs. on Same Lot — 10. A COMPLETE PLOT PLAN IS REQUIRED, SHOWING ALL STRUCTURES AND USE OF EACH. . 11. For (a) Footing: Width 18° Depth in Ground 6n Width of Wall 611 Accessory Bldgs. and (b) Size of Studs: 2 X 4 Spacing 1611 "CC Material of Floor Sub & plywood Similar Structures: 2X 6 16° (c) Size of Floor Joists: Spacing "CC (d) Size of Rafters• 2 X 6 Spacing 24n "CC 12. VALUATION OF PROPOSED WORK: Including all labor, plumbing, electrical wiring, heating, fire sprinklers, paint- ing and sewage disposal S '0 0 .� • 13. I HEREBY CERTIFY THAT - O 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 CALIFORNIAAAAPPLICABLE THERETO. Signed:-__.I 1l 4r/�=4./ � / • ^ (Owner) if I e - _ I_ � /��+^`/4����ry�� �� 2 G� Zf rO O p (Authorized Agent) O.JeC•�//J//A2.L!(/ Y{FA `FWE9.8 �Ir ENTAL USE ONLY - FEE C ECKING BY Bldg. PermPermit.3 ,0a !s.- / 47•0 0 GROUP_P 'I APPLICAT ON.1 t1/'.- HEALTH aPlan Check •.1'D $ %a TYPE FIRE Total - 3 .SD $ 17_ -( DIST. rt ZONING.. ._ MARSHAL Receipt No. - PLANS AND P - ,DQ_1 / 3 MAP SPEC'S STATE. Paid to SHEET NO 3CORRECTIONS ENGINEER Date.. 4 -e7_5 'fir)-- VERIIFFI�ED �) PERMIT ISI I-th: NO t INSFJ.CTOR DATE 14 ---?•11- ` f". • 1110 AiI f! ` DEPUTY // J Y V 5M-'1.50 METES AND BOUNDS DESCRIPT1 : • • .• i. • 110 20 31,0 49 510 610 - nil • ••• • • •• Inn= __ - 11011 1 111111111 •'II n - o _o ....en . 7. 1 ?ohs 1 - 1 : sin b - LIIElm 1l II bp 1 --e?'- 11 I _- . 1 'mat I MM. It -1-1 -: Sal I - allibladrallitil I _ 0 AIM 1111 111111111111111111111111111 - t ii opqpip II mommummingal - ii E......... 1 dips p - - 1 111111110111111filikillimPi --i -11 P111111110111iiiiiiii = - '?) 1111111111 Illikbpsim - Lbillibill IIIIIIIIIIIPIII. _.• _ 7 111111011111m101111111111111101 III 11 :I IINI i 1 PI 11111111111J1 11111411" --co-- 1 a II inn 1 ink Hung 1 _ 111111111111111011111111111 It . 0. Costa Mesa Building Department 68 APPLICATION FOR PERMIT �•. 111 EAST 20th STREET __B U It D.I,-N.G___ ___'; —.J ;, w COSTA MESA, CALIFORNIA , - -. - FOR APPLICANT TO FILL IN `_ I AOR OFFICE USE ONLY i; 11� 1 ReceI t{jlo. Permit, o. Building / tt ! i I di / J L Address A- (j edpy,/ 6.--v-e. s i J . 5 f Received b ate Recd. Date I - ed i Costa Mesa, California / y Nearest J� g _ / 1 } 1 S /1'7-/ S�' Cross St. -a2-h4 aAJ N1 , t Building 1 / / / i (� � � + Address I I Owner a'l4�i & , t• m9 5 Mail (� u ;, Costa Mesa, California I Address 2( /`J" &4�te a-vt.. ' Nearest I /_ 1l,,' Cross St. • • City �4L hry No. p 4 B/S.T 1 Zone e-/I I No.of I Type Y l I Group Architect or A�J //�� Lic. 1 PlansI Engineer ASV,- No. j Appby I roI ved 1 /t _ Date `ddress __��s • CORRECTIONS City Lic. - contractor --------- No. Address -��- 4 Legal Lot _ . I - _ Description I No. zTract 3 t I Block I z= rr (Att• ach Metes and Bounds) - �� / No.of Bldgs. Size of Lot 64 X • I Now on Lot I - ----- - - - ' - Use of I No.of I No.of1 " .:U 0 Existing Bldg. ,0O o,.• I Families I Rooms 1E' Setback Line from !I Rear Yard - - - - - '"' - - Z Center of Street �V Side Yard _ y • DESCRIPTION OF WORK r New )ta4c) Alteration 1 Addition I i. _. •,_Repair 1 Moving 1 I Demolish I yV Building .....- No.of " elze2 0 X a,(.1 Rooms Stories terior Wall I Roof *if H r ' df _ dverin9_iy1L.r,)Lt.L ,:i" Covering 1OrKl'' ifd4� i. APPROVALS Use of New p , ` Building ,-X).- .4.1 0 . v n.�C2v °r Foundation Location Inspector Date {/ y Forms,Materials, V d1 Under-Pinning - I Frame: Fire Stops, _I Bracing,Bolts x I Lath. Int. I hereby acknowledge that I have read this Application j ' - and state that the above is correct and agree to comply t. Lath. Ext. ._ with all City Ordinances and State Laws regulating { _ building construction. /� 1 Signature of 4(/ e i Plaster, Int. Permittee (PuZ- dI Plaster, Ext. Authorized Agt. • .1 * ;: , ;- t4 Masonry Reinforced Valuatipd .— i. Permit Fee $ - ea - (b/D Plan Check $ f e o Bond Beam $ s Total :,.,. ..a ' Fee $ 7•.00 FINAL tr ' . c 7 c J 0. ._ ,., i .0 !._ _ _ - _- _ __ _ / t i Ci€4,44,34a Street I - - - _ - . . - PLOT PLAN — _— e . Show location and distances from .. property line and between buildings. - - - - f. _ .�... . -,.. ._ • o- - OWNER John L.Lyons s T DATE 1/21/54 JOB ADDRESS 2615 Elden Ave BUILDING PERMIT NO. 64 GENERAL CONTRACTOR Owner -Builder' VALUE $ 800.00 E• GENERAL ‘ LOT 24 BLOCK TRACT 376 Garage - GROUP J TYPE V ZONE R4 FIRE DISTRICT 68 INSPECTIONS D-TE SUBCONTRACTOR PERMITS ISSUED _ DATE NUMBER Footing Trench 11,,r A 'Foundation Forms and Grade to Garage I Rough Framing 7ZG i� #ff -- T , Plumbing, Rough to Slab Plumbing, Rough Complete ' Temporary Pole / 9\ Wiring, Rough Heating,Rough t 6 Heating;Final tik 1 _ Sewer Septic Tank or Cesspool 1 Lathing /(/D Nom. si Plastering .4]0 A Plumbing,Final,Fixtures Complete,/ 1 Plumping, Final Gas Test 4 6 /y-e Wiring,Final / a £- Occupancy i Form 210 GH 1M 12-53 .. .. 11410 FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT C P. O. BOX 317 COSTA MESA. CALIFORNIA FINANCE DEPT. For Applicant to Fill In Completely C.PL OF COSTA MESA PPP Y A PLICATION FOR PERMIT TYPE OR PRINT BUILDING BUILDING ADDRESS 2 6 1 el ac De N AO a• . -ca. MESA. CALIFORNIA For Office Use Only OWNER Ia. Q. " ` t 66-5 I RECEIPT NO. I //Evi o? MAIL (^ RECEIVE BY DATEcry . 0 ,EE :SUED ADDRESS t6IS re.c- (AVE. I �'/ _/iol / . BUILDING '/ / . • • ADDRESS -, ARCHITECT TEL. COSTA MESA. CALIFORNIA OR ENGINEER ccac- NO. FIRE ADDRESS ZONE (ITYPE Tr APR / y D2 Ai z r i. CONTRACTOR SKULL B re- AP A ...97// ADDRESS ZONING Zvi }1 , IF I PLANE /�I BUILDING E � N ��Ay\ d LLL""" CITY STATE TEL. LEGAL ti,t,-.7 /41,..1„ V j 7� DEGCRIP ON J oF mans. �/ ' /A.P.NO. �i f—CZE +,,' / USE OF YARDS 1 EVES .—..—.EXIST - APPROVED ALLOWED SETBACK LINE FROM (CENTER LINE ST.I CENTER OP STREET M Sr .5 REAR YARD 0 FRONT }�/I dia.. /_ SIDE YARD ILEFT 6, . I RIGHT (s I R.SIDE ii F FT. IN. DESCRIPTION OF WORK L.SIDE c--- FT. IN. NEW 1 II ALTERATION I II ADDITION I REAR �5 OFT. IN. REPAIR II MOVING I II DEMOLISH I BYI'ROVECt J LOTS DATE f'C�- �6 BUILDING • � ILII NO. OF U �Z`1/J SIZE I Z ROOMS I STORIES II Y J EXTERIOR WeROOF COVERING .ten . COVERING .4..1L-64 USE OF BUILDING AND WORK TO BE PERFORMED O 200111 . GSD P rrr(7 u TE) IZ es. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION SIGNATURE OF? ©.3C,.p� /67, PERMIT FEE $ PERMITTEE d y I/O VX p S / PLAN CHECK $ AUTHORIZED AGENT �I E TOTAL FEE $ /v� c • 33197 , 1. 73-71 J -oo1li17 0 : -1 -rr ns COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely • RECEIVED BY DA-2RECEIVED� DATE ISSUED BUILDINGDDRES2 '/�-' s�.p ' Ave_ ! In/ ADDRESS /f0 (1 ma. 1 opi 1/�tjars A.P.NOPI19 -OHO�3I PERMITNO. OWNER tY''7•7 ILv1s:�I(t� /4�,-/sou-�(t`wBUILDING ADDRESS 1. 1Q ♦I�y . t�:/4 y�� ADDRESS 2_61iin ELDS...! EK( 1 AVE. �''�( s� TE L,,A' ,Q/ TRACT -'7 / OT cr- BLOCK a U CITY Qil�� MC3R NO.�JI�p�II7 llGi L ZZ Q CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOLJSH O N LENDER a CO J D BRANCH J to OWNER COLU J ADDRESS /� �ir �(��� E VALUE JN OR ENGINEER,�{{-CO ARCHITECT •••fOf CIAMT a)/O.Les-44.14., �,/]/ $ FIRE dw ADDRESS tK{-1`I(/t�EWP0pF��/��f'j /O. NfS.�1/ ZONE TYPE /'—GROUP W Z CONTRACTOR V4 trr�&Jae JSt� f jt•a•• APPROVED DATE J Q 032 JCC ADDRESSn3/ (j�'7zy� J'r 1V/71/yyJA.LU uj �<� Z i CITY CgeNA OE L I../ TaNOm.,-4:494.7. ZOcJ E Z_ PLANS NO.OF Z BUILDING USE OF NEW..? rfJ/C� STATE �y�J ��t ,('CITY YARDS APPROVED YARDS APPROVEDLU "\ u)K LIC. NO. 25344V 2,-4 LIC.NO. MAIN BUILDING „ ACCESSORY BUILDINGUID ', rte. G 512E �6 y'�1 .+G' NO.OF SLOGS. 'OM 1••.I.�ET) • C OF LOT /sUSE OF ��JZ//J�J��y��1 tt,��r ///�,,,N��OWW ONL�ILOT �� t1:��:i F-� to FT. EXISTING BLDG.CF711/C.I•✓L•(3 4 V/aIG•td GE - SIIZE-T_7-FT-o' ��_ FT. I- SIZE OF NO.OF II O Z NEW BLDG. ROOMS �y�STORI _ L.-IDE [•kra-CI-� FT. ✓ EXTERIOR WALL k D ROOF a',- ! o- ,- s '� �J' 1 1 �l C a COVERING �'TJ[ft� COVERING '.t FjAA' F J US N ORK OBE PER •RME `7� )4" !y KikCiti r P `L DISTA E BET. BET.MAIN& a UIR I f A MAIN B.• ACCESS.BLDaS, Q 4 r _ tJ.!• st VAR # DATE ,V 0 •"y__- • --W.$JL•r•<�•m -sl,••r • P/- APPROVED 2 CO �C'" .f._ '�'� I T•VECy- O�n-tia DATE 7-7-7/ - 110LD FOR SPECIAL REQUIREMI N'I S I•' J Lff vl U I hereby acknowledge t';t I- cot. read thi !f d state d P O that the above inform do correct a• • +• -amply with CC all laws regulating building construction, - .11 not employ any person in violation Of the wor a ensatlon laws of -'� to CO the State of California. (�P` ,r O Z I hereby certify that I am propefl 'censed as a contractor under (J� SO. FT. _ 0 the State of California Busine :nd Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and the such licenses ar full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: as CC am exempt from previsions of he tate of California Business and Professions d , • Ion 3, ap er9. VALUATION 03 ■ PERMIT FEE $ N di�1� e ` // s� Signature of \ ra • Permittee $471520!-^� 1"O PLAN CHECK $. / "�'R' / !/L'1/ o Authorized Agent \ a NOTAL FEE $ V JO23-7i 5`,;001417`irf****11.50 •_ COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVED BY DATE RECEIVED DATE ISSUED BUILDING ADDRESS PERMIT NO, OWNER A.P. NO. MAIL BUILDING Z . ADDRESS ADDRESS -U TEL TRACT I LOT BLOCK Z CITY NO. I— z Q CONSTRUCTION NEW ADD ALTER REPAIR (MOVING DEMO(ISH Q cn LENDER d 03 J D BRANCH ' J to OWNER Q W ADDRESS 03 J VALUE -m ARCHITECT - TEL. USE $ J Q OR ENGINEER • NO, . U N FIRE LLQ ZONE TYPE GROUP ADDRESS -. - aUri APPROVED W Z CONTRACTOR BY DATE —I p co Z J cc ADDRESS _ WinTEL. - ZONE INO.OF USE OF NEW 01 •CITY TE - PLANS BUILDING Z_ W O STATE CITY YARDS APPROVED YARDS APPROVED V)2 LIC. NO. • LIC. NO. MAI)L,B ILDING ACCESSORY BUILDING D O —SIZE iNO.OF BLDGS. (FROM C'Z OuREET) OF LOT - NOW ON LOT FRONT S\�\ FT, 0 FT. USE OF ‘ _EXISTING BLDG, - / : SIDE FT, FT. I— SIZE OF NO.OF //� 2 _NEW BLDG. ROOMS ST'VIES , FT. FT. Q EXTERIOR WALL ROOF pp V _COVERING COVERING / - - FT, FT, .J USE OF BUILDING AND WORK TO BE PE 0 MED 1 / • .7 ' �' T. BET.MAIN& 1 — 9 s,. ACCESS.BLDGS, Q ./ .,t f„/0r� v DATE O / ;Silt.,N. ,• .# APPROVED APPROVED CO ! BY DATE 2 V� HOLD FOR SPECIAL REQUIRtm.r.i I— C.-/ I hereby acknowledge ac av read this •p.l' . i• o•nd state 7 that the above informal rect and �!r:mply with CC all laws regulating buildin:.construction, a SW, not employ F any person in violation of •e workmae'S ensation laws of en the State of California. m to Z I hereby certify that I am prope #•.-d as a contractor under SO. FT, o the State of California Business an. , ofessions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR i Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: t0 am exempt from the provisions of the State of California Business VALUATION and Professions Code, Division 3,Chapter 9. co PERMIT FEE $ N D Signature of co Permittee $ PLAN CHECK $ E `o A Authorized Agent r TOTAL FEE $ W 198 PAID • EI 23-71E0O1 Lilt? E14 .,.;,:r37 nC COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT ,per RE,CEEIInVED.}B1i DATE RECEIVED DATE ISSUED BUILDING Z6.'r EGYE.ci f/!'r. /RA :/il, /':lam Z-1-3-7 I ADDRESS /� /� PERMIT NO. OWNER A. t . CPI 11`�' �'f.r ti--- A.P.NO. 1 I�7J 4O`s 3I ADDRESS 118 W• � W �S Q �j[ ABDIDRIE S Z G�� 15 L�,�L0EQ A\E• zLu ui 0 U CITY �SI {-�• MESA NOL Ib 1` TRACT 37( I LOOT Z4 BLOCK Z< CONSTRUCTION NEW ADD I ALTER�EPAIR (MOVING DEMO(LSH I OLENDER am J D BRANCH J in OWNER COiiit 111 J ADDRESS-CO ARCHITECT ��f �� [p�� L,. �� ,,I VALUE JN OR ENGINEERRIIt M•�.C/'/'Sf Cr/ N''000 IOY'/Y((T��I� USE $ Ts- ` ' FIRE Z K ADDRESS^ �f 1 I J �l �jLy Da Lyt Iia Tf r ZONE TYP GROUP L Y-� J O CONTRACTOR WACre' g. �{,{/J�d fes/ .1t APPROVED DATE CO¢ ADDRESS 4E437 `/a/6r U!OJJs/)�1( , NO.OF-•� �= QQ��`` ,,/^� Iy�� s,�,(,�•, TEL,,/ ^ •:,4/ ZONE 2 PLANS G.- BUILDING2._ Corr' Z I- - CITY c ecoA De,_ 1 `/OF. NO.C�v/ (e,4c0 R W O STATE n (� CITY YARDS APPROVED YARDS APPROVED u)CC LIC. NO. "/J.1 J�40 t i.1. LIC.NO. fN AI .:L;LPING AC S.R/Y BU L ING 0O • SIZE /�I,/!�� I NO.OF SLOGS. (F + ` ET) // c.-----. 64. OF LOT 66 /l5o n �/� II NOW ON LOT ,L. L- FRONT ••• FT.FT. 0 or.... FT. V EXISTING BLDG.USE OF .,i lD� �!l!//IK�CJ[zC ++�� 45 SIDE L� FT. �r/ FT. Q// 1- SIZE OF W4.444 NO.OF , ^// II Z NEW BLDG. 'u� ROOMS S • , L SIS o FT.l r { FT. Q C.1 COVERINR G L CLO I RCOOF OERI • • .. '21.. - 4\ $E• R (�I FT. O// �JaZ FT. Q // -J Ugp����� •B UILDI/N1G MID OR. •i_, • ,RritRMED b ,.., DIS •NCE BET. BET. MAIN& /O// CL Fir 7I 'ceuee e ,- .-. k / ri t _ MAIN :LDGS. ACCESS.BLDGS. Q DUi'1 .-Y ` ` f VAR. DATE �/rV t•'C/� � � el: / /C. P� APPROVED z ..I.=1 ' bVll, ROVEDi/�� 4 DATE ���/ NC 0 - . c��' HOLD FOR SPECIA • • :Pt, , V I hereby acknowledr that I hay/ -iT�� uf'� ation and state rap" PiI�iVJ' G I'. that the above infer anon is ,•r :_.s� :gree to comply with - cc all laws regulating but •i oki . •5..wd,and I shall not employ 14 r any person In violatio 50,61-i-, .r an's compensation laws of V) the State of California. FT. /3 `, /50. m t� f/, 7 o Z I hereby certify that I am properly licensed as a contractor underf o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDE VALUATION IS FOR m Chapter 9, and that such licenses in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: Cr am exempt from t••• provisions o •State of California Business and Professions t o•', iiision 3, .•ter 9. VALUATION m PERMIT FEE $ N Signature of •i'1,ILI`e . Q (w m Permittee k yam► $ If • 9� ^ L`,PLAN CHECK $c� / E //�/ S L Authorized Agent TOTAL FEE $ y`j 11111 2 3-71 f�5�001418Rda****37.00 0 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVED BY DATE RECEIVED DATE ISSUED BUILDING ADDRESS 31 PERMIT NO. OWNER A.P. NO. MAIL BUILDING Z ADDRESS ADDRESS LilcL U TEL. CITY NO. TRACT I LOT BLOCK ZZ Q CONSTRUCTION NEW ADD ALTFR REPAIR MOVING DFMOI ISH a m LENDER _ID BRANCH J N OWNER En J ADDRESS VALUE J m ARCHITECT TEL USE $ Q OR ENGINEER ' • NO. U FIRE WQ ZONE TYPE GROUP 2 ADDRESS CL W W Z - APPROVED J Z CONTRACTOR BY DATE _3 Z - J(X ADDRESS . W W TEL. ZONE INO.OF USE OF NEW Z F CITY • NO. PLANS BUILDING W O STATE CITY YARDS APPROVED YARDS APPROVED to CC LIC. NO. LIC. NO. MAID U LDING ACCE+S-�snRV BUILDING _0 SIZE INO.OF BLDGS. (FROM C{' EET) r j`\1 /```` OF LOT NOW ON LOT . FRONT \\\\ FT. \\\\v FT. USE OF - EXISTING BLDG. - ' -- - , - - R.5105 FT. FT. I— SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES -SIDE FT. FT. < EXTERIOR WALL ROOF ' _ COVERING - COVERING R FT. - FT, J USE OF BUILDING AND WORK TO BE PERFORMED-- .• I a CE BET. BET.MAIN& 1 - 0- DGS. ACCESS. BLDGS. Q // vDATE O ryy\\ p � _ •- APPROVED I— ..•VED Z * , ' DATE 0 � - .01ChFOR SPECIAL RFOIHRFnc-NT., ~ I hereby acknowled•- t t I have �:ad is applicatioAns d SIT Dthat the above infer .t is rr • t and agree to CC all laws regulating poi in - truction an• : al�• ''ploy I— any person in violation •f the work^�j y, '.0• •. . ':n laws of tq the State of California. 71 00 to Z I hereby certify that I am rope •-. t i e contractor under SO. FT. 2 the State of California Busi 'p�J°•yI''�`' •fessions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such lice. • :re in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a cc am exempt from the provisio s of the State of California Business and Professions Coda. Division 3,Chapter 9. VALUATION m PERMIT FEE $ ry D Signature of at Permittee $ PLAN CHECK $ E `o u. Authorized Agent TOTAL FEE $ I '' 33199 . ;L" PaIC0. 1"1'. .i . l.,, rr l3 7'LP ' COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in CompletelyaAPPLICATION FOR BUILDING PERMIT BUILDING A f5!/N/•�� RIVED ll DATE RECEIVED DATE ISSUED ADDRESS 26/r ans.. A�a�/a $ pr: i�_74 : -'2Z•-7 I OWNER Mil. ((,'l�T?rs�,,Aeioc A.P. ao. //9- ay -a / PERMIT NO. AMAIL DDRESS Tie W. le I\ BUILDIEG Z/' 15 L ups.' ' /t` E. -�r� TEL--„�1���`y�j ADDRESS 374bL.�LI�LJV f�V -O CITY Mia- NO. o -x 4 TRACT LO c L� BLOCK ZZ Q CONSTRUCTION NEW ADD ALTER REPAIR MOVING DFMOI ICH O N LENDER 0- m ./I J D BRANCH I J N OWNER m -1DDRESS VALUE m ARCHITECT 'y,'zl /s // /r...-� TEL.�,/� $ $ -J C OR ENGINEER RI•r3.L/r L•'Y'ff G I NO.646 lam/ - Z N FIRE ,( ,1 ZONE TYPE E GROUP 7141 Z 11,1 ADDRESS.44-14- N. 1�c'U�/Po�7 f�ic.ir0. N.P�, lli-10 O t,l c ( t4 4c rl� APPROVED CONTRACTOR'7IrY�/ /` /�jy(� ///� F�z'YyG,c.r BY DATE il SLILY m¢ ADDRSSS y2��/ 3 t Le s-sa...sAST IA16 10-It� f Z CITY COCI&aJ4 Q 1 W NEoth. '��W ill ZONE -2- PLANS NO.OF Z BUILDING Z , 1 A STATE ]``1�/�� '�j t CITY YARDS APPROVED YARDS APPROVED in It LIC. NO. 1. e7V' 0 SJ.L LIC. NO. MA UI LDI NG Aar B}II)ING D SIZE i� /// / NO.OF BLOC'S. RENT) // 6PT+ // OF LOT WPC' 0.1 x • USE OF p�O7��/,� �r ,+I NOW ON LOT F FT.O �1 FT. O EXISTING BLDG. C-L-✓I o"�"`c Y'` K R.SIDE 2_5 FT. O// `� FT. ©Il I- SIZE OF 71$4. NO.OF 5 // I/ 2 NEW BLDG. ROOM zz��-s S, •RIES I L.SIDE FT. O OFT. O KIt EXTERIOR WALL�,__VL) f4 /1'1-- // // U COVERING @e5r4JJ • • REAR T. V I FT. O J U E�OF BUILDING A... • \ !(. BE PE• O-•yE• DISTANCE BET, BET.MAIN& // // EL K`S(D�1 �,rx1 _ • MAIN BLOCS. ACCESS. BLDGS. lab-O 0- .,I”[ Q ` VAR.#' DATE O ( � 1` 1 C.U.P,# APPROVED J _ APPROVED 4494 X01 / y • _BY ^^(�/CNY )ATE �- O G'- \ HOLD FOR SPECIAL REQUIREMENTS 4' U I hereby .cknowledge , J.•• =ad this application and state See_ /1n-w}• — '\ that the .••eve i .d enact and agree to comply with — V) cc all laws re u • • �• •construction, and I shall not employ 1 F- any person '�.• - ion of the workman's compensation laws of CO the Slate of .. ifornia. • / ? I hereby.certify that I am properly licensed as a contractofynder 011�^ SD. FT. 74 o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDE f)VALUATION IS FOR 5 Chapter 9, and that such licenses . e in full force and effect,or I THE PURPOSE OF ESTABLISHING'1 PERMIT FEE ONLY: a cc am exempt from the provisions •f . eState of California Business I and Profession •od•• r vision C apter 9. VALUATION COI PERMIT FEE $ C1 ` Signature or i��l� 4 , � ,`/}�_--"-.----Cr. \\\1 Permittee $ PLAN CHECK $ /�(1 Authorized Agent c,.??Y: ��0� `TOTAL FEE S o u. JUN 23-716,,17001hl1910*t-* 49.50 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVED BY DATE RECEIVED DATE ISSUED BUILDING ADDRESS PERMIT NO. OWNER A.P. NO. MAIL BUILDING Z . ADDRESS ADDRESS W W TEL. a U CITY NO. TRACT I LOT BLOCK Z < CONSTRUCTION NEW ADD TER I REPAIR (MOVING DEMnI 1S1-1 O N LENDER 1 am _ID BRANCH J to OWNER 03 J ADDRESS VALUE -CO ARCHITECT • TEL. SE $ J < OR ENGINEER NO. UN < wCG ADDRESS _ • -• 0_Ly APPROVED W CONTRACTOR _ DATE 03- Z J cc ADDRESS .. . I .. . LLI W ZONE NO.OF USE OF NEW TEL. PLANS BUILDING Z 1- CITY NO. W- 0 STATE CITY YARDS APPROVED YARDS APPROVED co W LIC.NO. LIC.NO. ML BUILDING A _LS eRY BUILDING 70 SIZE INO OF BLOCS. an `y+�y OF LOT NOW ON LOT •• •• �' y�.Ylp•Y51C� FT. USE OF EXISTING BLDG. - - . . - • T. FT. I— SIZE OF NO.OF Z NEW BLDG. ROOMS TORIL.SIDE FT. FT. UEXTERIOR WALL ROOF _ COVERING COVERI� \ - FT. J USE OF BUILDING AND WORK TO P F ME..,,/ ' BET.MAIN& d - MAIN •n ACCESS. SLOGS. a Q DATE O t APPROVED I— w )###$ --• • DAT2 z VV i '� HOLD FOR 1U1ktMtry f 4. O ao j beret owledge Wat.I have read • e•• '.'tion and state D that the •o p int• a n is torr. :• •• •e to comply with CC all laws re:, I.4 g •1 iltling c. sty •-i;• d I shall not employ • I— any person -. �. ion of •> y s compensation laws of Ci) the State of ••lifornia, l�✓ so ZI hereby certify hat I .0‘.• •-" y licensed as a contractor under the State of Cali •.rte• l'.-.ss and Professions Code, Division 3, THE AMOUNT • • - • •- Chapter 9, and tha silk• tenses are in full force and effect,or I PURPOSE • • m rc am exempt from the ovisions of the State of California Business VALUATION and Professions Code, Division 3.Chapter 9. m PERMIT FEE $ N D Signature of m Permittee E `o A Authorized Agent ,. A • - /cL %' CITY OF COSTA MESA IV f ) DEVELOPMENT BUILDING SERVICESDDEPARTMENTISION P RMIT NUMBER i • PERMIT 603-01339 (714)754•5273 • Fax(714)754-4856 • w.ci.costa•mesa.�l( LDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 2615 ELDEN AV Status: ISSUED Suite: A • Applied: 08/07/2003 Vicinity: BLDG A(UNITS A1-A3)WITH ATTACHED GARAG Issued: 08/07/2003 Parcel Number: TPN003161 Zoning: 1 Applicant: GOMEZ, PAUL - ISSUED BY: S. A Address: 2626 NEWPORT BL ' - - /"r - i'' Phone: (949)548-1645 - / COSTA MESA,CA<" - Zip: 92627 Owner ELDEN'COVE HOAL . Address /2619 ELDEN AV N , _ -- - _ ,,, / / - - Phone: 714-154=5048 - ' //JCOSTA MESA;CA' - " Zip: 92627 Contractor: PETRONELLA ROOFING - �� Address: 2626 NEWPORT BL ' , -�� :; -, , �4'/ Phone: :(949)548-1645 ,/ ; COSTA MESA,CA N ' ' ' -Zip: / 92627, License: 460707 - - - , r ' Arch : , '-N - Eng: - Address: - - Address: '" Phone:, - Phone: - .\'Zip: v, License: License: ' SCOPE OF PERMIT- , REROOF CONDO BLDG A WITH ATTACHED GARAGES AT"ELDEN COVE"COMPLEX.CUT-BACK 12"TO EXPOSE WOOD AND REPAIR/REPLACE SHTG AS NEEDED, 1'L'AYER 15#FELT;APPLY"30-YEAR ELK COMP SHINGLES:40 SQUARES FEE SUMMARY , • ' t �, Plan Check: $0.00 _ - /• , 2 Calc Valuation: • 55,250.00 Permit: , $125.25 - . , - - Claim Valuation: $5,250.00 SMIP Res: $0.53 SMIP Corn: ' - $0.00 -. , - - ,' ' Other:'. ' $0.00 Inspection: , v $0.00 - '\\ ,A' ' _ "�. _ v� ,Total: - ;$125'78> . v v 21C ' PLANNING &ZONING SETBACKSvN - , MAIN STRUCTURE Front _. 6-.9 Rear. 0-0 -_ Left 07 0 - , Right -- 0-0/ 1. ' ACCESSORY Front �_0-0 Rear - 0-0 Left 0-0 , ' Right. 0--OH PARKING Existing: -0 Required: 0 . , , ' Proposed: 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 2448-46(6/00) DEL'LARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which tyle permit is Issued. X.-I have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is Issued. My workers'compensation Insurance canter and policy number are: Carder. 5710.-It Seo-o-er' N+•Dee-,..c.t Policy Number. 1S94((Pt6•oI (This section need not be completed if the permit is valued at one hundred dollars($100)or less.) ❑ I certify that In the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that it I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with th rovislons. Applicant Signature: 6otare_ Date: $/i /03 WARNING:FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100.000).IN ADDmON 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(commenting with Section 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect.1.1c.4 ''Gaon on Class s " C- 9S Contractor's Signature: —a-1----1._-- C o fw_.ti Date: f 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,CMI Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). • ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation live(5)or more feet in depth Into which a person Is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(38)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Cade 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). _..._.. pounds,or or form for acutely hazardous materials? ❑Yes f]No . (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes 0 N (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,codification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP Is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? ❑Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this eipplication a ereit for such construction or modification from the South Coast Air(Duality Management District or from any other air pollution control district or agency? U Yes (J No (Section 85850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits). .__.._ ...__...- 8 Will any pen of the facility to be constructed under this permit be within 10001eet 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 prascnbed by California Health and Safety Code Section 42303 been made? ❑Yes 0 No 8(If yes',attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the Information given above is correct.1 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. lu Legal Owner(s) y ' l%te 3 o And/O Authorized Applicant 'Date BODE f, INSPECTIONTYPF MBA IODEt INSPECTION TYPE PAR IfilIIIALA 1816 Fixed System Final Fire Prevention 208 Final Mechanical 1268 Pool Spa Final 1 /' 208 Final Plumbing -. 200 Final Re-Roof `2�-®J f,'4 44_ 210 Final Electrical 201 Final Block/Retalning Wall 212 Final Fire Prevention 202 Final Factory Flre Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy ---T' Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. 4 CITY OF-COSTA MESA- PR IT NO. - TRACT NO. LOT NO.' B G. - - -- - CONSTRUCTION PERMIT /1 .-- ,„3„2„3_,) • -� 4429 ,4/09/82 • 5.00 TL' i Project Address 24/3 &LOW •� .. I U TYPE OF CONSTRUCTION 'Owner ..--0,A,' Ow4T n✓, Phone73-2.--lik 381NEW 0 ADD 0 ALTERATION a� /I- i - -' - Address it./W�We-r .5, e-4- •_(] REPAIR_(]-CONVERSIONI DDEMOLISH -/ �_ • •• _ • ,Arch/Eng. - - License No. . .1'D OTH • ER. ZONING REGULATIONS- _. . - -- - DESCRIPTION OF WORK • ---- _ •A.P.$"- ,. - fi !Address q ,ZONE- PLNG. REF. ot ;ContractorXaa yyvx 4L0,d, PhoneS30-ZLL}� TYPE OF - - -'- -- -'"-- -- - SETBACK C/LST. Tp BUILDING ` - - - - - PROPERTY LINE' ' - I Address - - -- D GRADING--.f0 FOUNDATION -D STRUCTURAL -- • SIDE YARD - - --FT • _ - - - LICENSED CONTRACTOR-DECLARATION D-TENANT D.ELECTRICAL. KPLUMBING_DMECHANICAL• LLSIEEDE YARD - - -- - - N. I hereby affirm that I am licensed under provisions of Charter 9.(com- , - � - RIGHT - , I ) mencing with section-7000)-_of 'Division. 3 of-the Business and -D.OTHER f -REAR YARD (TO P/y' " -- --'-" ' \ -Professions Code 'and y license is in full force and effect. , •- _ PROJECT DESCRIPTION _ License Class t ��//� - Lic ibis.•t.• L - - ° "- ,PKG.SPACE REQ. - - ' - PROVIDED - .- - Date Slgnatureisx•---���AP • $q.FT.' -. ,-. �. .i ._ - ./J c�. -"W WORK R '•CO MPENSATION.D EGL -ATION _ a OCCU PANCV `_' CONSTRUCTION TYPE(". ' -' STREET WIDTH - _ "PARK FEE E - I hereby affirm that I have a certificate of consent to self-insure or a . VALUATION- - ZONE - ` - (ZONING APPROVED BY DATE: - 4 certificate of Workers' -Compensation Insurance, ora certified'copy .___ _ _ _ - _ _ _ _ _ _. __ _ ' thereof (Section�g00, Lab.C.). j �E��l/{f- / �7„�L GRADINGIC U.YDS. • ACRES ' ;SPECIAL'CONDITIONS: - ` - - P 'v-NgPZ2 b//_ '— -Company _.. -�1. ..-- _.._ - - -_ __ -. -' - _. -_ • -. rtified copy-is hereby.furnishetl..__ _ ,._ __ __.- •R : .REMARKS:.L".- "' I _ __ L -¢rtifietl copy is filed with the city Building Division. _- uo 'i EXEMPTION.FROM WORKERS' COMPENSATION DECLARATION --- -- --- - - . - - -- --•-•----- -- - - , (This Section_need.not-be,completed if the_permit)s for.one hundred ' _ •_ __ _•_• - •_ _ _ ___ S ,t: ($100) or less). 1 - __�.� _- i _ - . 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 tobecome ,-PLUMBING� �, i•--i•-- - - PLAN CHECK-- - ^--- -- ',ELECTRICAL - ---• -PLAN CHECK• - • - - - subject.to the•Workers'•Compensation Laws of California."_] ' , ' '- ' 'BATHTUBS'-�----' -SHOWERS '--- ••- - - UW tLLING -_ _ HHbt _ Date Signature ' 'SCJ FT SO 90 FT .NOTICE: If after making this declaration, you should become subject --TOILETS . . ,, URINALS'--- - • - - GENERATOR-- 0-1 KW '1-10 KW I 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 . ' ( I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS r, .• SUMPS-•- ---•---• --- - - RING.SOLAR) .. 30-50 HP 50 t HP 'I•' .I _ T formance of the work for which this permit is issued (Section 3097 - ' -- _ 'Civ:CJ'----- -'---'�lqc - -FLOOR SINKS- --"- '-- FLOOR DRAINS-" 1 "'• '- (FIXTURES- - OUTLETS SWITCHES• ... Lender's Name Hs'/7-e-V•C A'ti -- Y� _._..-.-__ .. _ .r • Lender's Address /.2n/ )d!/• S7[J / E 5 ,- aOpiT ,6.- '-DRINKING'FCUNT AI NS---n - - -- - --- --j -- - -• • •IGASTUBE SIGNS- - _ _ _ OWNER BUILDER-DECLARATION- -- - - - ----- - - - - --- -- - -POLE LIGHTS - ----- - - _. - 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: -SWIMMING - --- -- -POOL— --- - - t_ONSIKUUIUN -.7' - Any city or county which requires a permit to construct, alter, I' (POLES" METERED -'SUB improve, demolish-Or-repair.any structure,•prior-to-its issuance,also-re- - WATER'SERVICE ---ALTERATION •---• i - - - -PANELS --- -MAIN --SUB ' " ' '-'-=- • I quires the apt licant for such permit to file a signed statement that he -• - is-Iicensed•pursuant-to•the-provisions of the Contractors-License-Law- -GAS SERVICE'"- -- OUTLETS' - --'---- - - --"- 'SERVICE•- - - -- - - - AMP .- ; (Chapter 9 (commencing with Section 7000) of Division 3 of the b--is Codepor that-he is exempt therefrom and the- -WATER HEATERS--- - BTU OUTPUT --- - -• -• -- - -- b--s for the alleged exemption. Any violation of Sectionc 7031.5 by ' - - - _. ._- -_ - _AZ eO -.- . _ - [ppliW of for-a-permit subjects the applicant-too civil-penalty- SEW ER'CONNECTIONS - , t more than five hundred dollars ($500). PP _ L ., as owner of'the property,or my"employees'with wages-as their -SOLAR' COLLECTORS--- - i-•-- -- - - - - - - ----- --- .- - -_ _ sole compensation, will do-the work, and the structure is not intended or offered for sale. (Section 7044,-Business and Rbfessions'Code)'The- `SOLAR PIPING"SVS: - '"'H'----- -- ---• ` - •- -I ISSUE FEE---- - - --- _ -- __ - Contractors_License Law does not apply_to an owner of a property '�� •_ .'qPp LIGATION APPROVED BY _ _ _. .DATE - Who builds or improves thereon, and who does such work himself'or' -"ISSUE FEE"- - -- '-' - i .3_A-0 --•- through his own employees, provided that such improvements are not .- _ • ' intended or offered for sale. If, however, the-builtl ing or improvement` MECHANICAL PLAN CHECK - . T, - -- - -- SUMMARY OFFEES- - - ' '- 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 r - 'PERMIT $ D-I, as.-owner -of -the-property,-am-exclusively contracting_with_ • _ ,_,_- ___ _- licensed contractors to construct theproject Section 7044, Business - gND'D - ( 100,000!+BTU '--' IPLAN CHECK $ . PERMIT .r antlonersof property iis.provse thewAoeano whocon-- 2'_�© _ _ISSUANCE $a" r an owner '- uch- roj who builds or improves thereon, and con- REFRIGERATION 0-100,000 BTU ! PLV MBING $ • -' ' the Contractor's cenjects with_a. Contractors) liceznetl_purzuant..ta SYSTEM- �- -- .-- _ I' ' ..- _-_ I _ - -- 'I GRADING ' $ ... Cr I the Contractor's License Law). - 100,000,,+-BTU -PLA N'CHECK E - 7 -' Di am ei empt under Section ' ' ` - - -_- -- B.& P:C.for this 901 LERS BTU _ ELECTRICAL E- ! - - - $ - reason-•_. _. __ _ .� .__ - ._. ____ ._ - ..- ' PLAN CHECK-$ .,. "' '„ MICROFILM $ '- SYSTEM REPAIR,ALTERATION '41 /••-r , - Date Owner _ - _ ___ _ TOTAL FEE$ • M ECHANICHL •$ - - .- _ _ _ I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE t -1 , LESS AD- - , information is tatrect.-I-agree-to Comply-wih all hereby county - r -- -- PLAN.CHECK "$ - • VANCE-0C- $=-'r-represent ordinances and state laws relating to construction,and hereby authorize If _ represent f this city 'to-enter upon the above mentioned --- - - ' "• '� proper fin '_specti 4, ' Signa yre �� Date ��o �- - �i FINAL FEE $ SI Q Drivers' Licen 4or55*' - -- -' " ISSUE EEE._ ..1� .._ _.._ L . . _. - Q ) CMF 0865.45 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor lc- _ •' - • It "...I • CONSTRUCTION�AND'PL•ANNI/ G r� �7 -POOL&SPA I. ,- 1 . APPROVALS Permit# 4-/-323 Date Inspector• - APPROVALS i Permit# - Date Inspector - 1. _ Temporary_Electrical Service or Pole _ O. 43. Pool & Equipment L`ocation-- - - - - , 2. SoiLPipe-Undrgrn. '- . - . '_ 44. Steel Reinforcement " ' -- ' 3. Electrical Conduit Utility-Undrgrn 45.. Forms --- - - - - -- 4: Electrical Conduit-Undrgrn . . ... - .- _ _ 46. Electrical Bonding ; - • - - - - - - - 1 .5. _.Steel Reinforce . - 47. Rough Plumbing & Pressure Test - - - -6. . Electrical UFER Grn . - 48. APPROVAL TO COVER-GUNITE . - - . -. - 7. . Footings _ _____ _ 49. Electrical Conduit-Undrgrn , • 8. Foundation - __ __ . - • z , -50.‘ Gas Pipe, ❑ Undrgrn,Test 9. Water Pipe-Undrgrn__ _ . _ _- - - . _ 2 51. Backwash Lines.P-Trap. DUndrgrn - " - ` 10.. - Structural Floor System . ' ./ �,; 52. APPROVAL TO DECK - w - - -' ' ' - ' 11. Property Sewer Line.& House Connection A�,;�yL 'M,/ ` • - 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 84-Air Conditioning -- -- - b8. Fencing-&Access Approval 17; Ducts,-in Structure - . ' - 59. APPROVED FOR PLASTERING ' 18. Ducts, Ventilating - - . - . - - - - 19. Gas Pipe-Rough;&Test" . - ---- - 60. POOL/SPA.SYSTEMS FINAL , , ' 20. Roof Framing - • . . _ - - - - . - - - - - - ' 21. Roof Sheathing. - , , ,- _ - - - - - , • . - ' 22. Frame and Flashing• --. • - t - 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- - - . - .- a • ' 30. Fina I,Gas Pipe-Test - -- -. - - ']) ' 31: - FinalPlumbing . - -- - - - . _ - _ - . . . . .. . ' 32:- Water Service-Final - - - - -- -- - - - -- - -- - _ • 33:--Gas Service-Final '- -- - - - -- - ' -- _ - - - _ - 34. Solar Domestic:Final .'-w'. ' _ .. • .. - -' . - •�:: . +' 35. Landscape Sprinkling System •{ ! - - , . • - 36. Sound Attenuation . .. - _ - - _ - _ .. '- - 37. Handicap.Regulations -- I. - I ^: : _ . ' • . - 38. FINAL STRUCTURE& BUILDING " f . __- - _ __ , . 39. Special Requirements Completed • _ _ . . 40. Electric Release to Edison - ' _ .. - - , 41. Gas Release to Southern California Gas Co. 1 " - . . . .. '1 • 42. CERTIFICATE OF OCCUPANCY - - ---- - ' '^ - ' ' No Date - -- - . . - - - - - - ...., . . .. i • Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. y•.CITS' OF COSTA MESA - PER T NO. - TRACT NO. LOT NO, BLDG Ng. - - - - • CONSTRUCTION PERMIT , ,9/p .9 •10 of ��i I ft / 3697• 3/24/82 ' 33_8_.6_5 7 Project Address 2615 Elden. pd. . TYPE�PEOF CONSTRUCTION , r Owner T,A�tTla PaDl ifC Financial Phone 7525316 1`d NEW 0 ADD ❑ALTERATION-- /^,//f - - - - - Addre55 5160 Campus Dr• ive 0 REPAIR 0-CONVERSION ❑DEMOLISH �,' _ Arch/Eng: License No. '000404 ROTI-IER A P 11 11 ZONING REGULATIONS Roy Kiter & Ass OC. OO DESCRIPTION OF WORK • ^T.5q'n71 -'7`7 „ eu j Address._. 10 NB 92663 O�.�- --.- - ' - _. . ZONE ` PLNG. REF.YP •7F -S'SI - l� I Contractor -" " j�i.. Phone^ 1-24z4, TYPE OF PERMIT: BUILDING TO BUIL ING I o t Ce p.. SETBACK C/L ST. PROPERTY LINE - O - t , Address p 100 `IQMPUS . - 1�.).YS., ❑ GRADING -,� 'FOUNDATION CS STRUCTURAL -- SIDEYARD 51o// • - • LICENSED CONTRACTOR DECLARATION 0 TENANT-IS ELECTRICAL Ia PLUMBING I$INECHANICAL .15II EE YARD U [ 4 • I hereby affirm that I am licensed under provisions of Charter 9(com- RIGHT •31 O • — niencing-with section-7000) -of .Division -3 of the Business and- ' ❑OTHER- General Building Permit- a�� a.� �.1 _ Professions Code, ,and my tl se is in I force and effect. - -REAR YARD(TO P/L), (! '4.11-L r-�I'UO . . - - 404225 PROJECT DESCRIPTI N S I i. License Class U nse Flo. 4'a PKG.SPACE REQ. PROVIDED, 11-" - . . SQ. FT. 1350 Oa �/ I s� 2. 7 .J` Q IWO } Signatur }•fig ISTREET WIDTH ��,(]z{- . PARK FEE SII Zq,38 -I - OCCUPANCY R-'1 NSTRUCTION TYPE NIT , 7�• WORKERS'COMPENSATI a certificate ARATION - - 7�7sIT•. � - ,ZONING-APPROVED By Or-CA.00 • DATE3/i6J32 - ,1 hereby affirm that 1 have a certificate of consent to self•insure ora VALUATION -1•1•40-9-60it' J certificate of-Workers' Compensation-Insurance; or a certified-copy - - , /- ��9. . . . .., -_ thereof(Section 00, b. ' SPECIALCONDITIONS: I . GRADING CU:YDS. ACRES r' P-•Icy 'an/-960 furnished. u n hep. v PERE. -Me sseme - - - --_ . . -- - _ - ertliletl copy Is.hereby fthe - - --- - - -. .. " REMARKS: •yI/ew. ;�A it $ -1„ 1'D FOR SPECIAL REQUIREMENTS _ -. _edified copy is filed with the city Building Division. / u 4Y J EXEMPTION FROM WORKERS' COMPENSATION DECLARATION -('2) <klYg ( /Q t 1 ' - -' (This.section-need not.be completed if.the permit-is for one hundred. ( G;-• -;Ss.'T/y .Z/ XD - -- - $1001 or less!. - - • codify 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 . .i - - PLAN'CHECK - - - • . - . ELECTRICAL - PLAN CHECK - - " - ' . subject-to the-Workers.Compensation_Law5 of-California. _ _`• _- .- - DWELLING- VHHHbEf -p1L�,J Date Signature BATHTUBS SHOWERS SO FT /�.S v sr) FT -7 �-) �/)) NOTICE: If after making this declaration, you should become subject TOILETS, URINALS - - - -- GENERATOR -- to the Workers' Compensation provisions of the Labor Code,you must - (TRANSFORMER -: - r forthwith comply with such provisions or this permit shall be deemed LAVATORIES . - DOUBLE LAYS- I :APPLIANCE 10-50 KW_ -- 50+•KW - - - B 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 --' -x. -- - .(!N0.SOLAR) -10.50 HP---50+ HP - • - - L. - formance of the_work•for which this permit'is issued (Section 3097 ' ' ' • - Civ. c.). Commerce Bank FLOOR SINKS 'FLOOR-DRAINS ' FIXTURES OUTLETS SWITCHES -- • ' - Lender's Name L _ - _- 'DRINKINGender's Address L601 •Dove,- NB. .92660 FOUNTAINS' - - ` - - -- GAS TUBE SIGNS - -- - • - - OWNER'BUILDER DECLARATION - -' _ ' 'c - - , •POLE LIGHTS '--- ' ' I hereby affirm that I am exempt frorri-the Contractor's License.Law'f or INTERCEPTORS ,,CLARIFIERS ,,, ._ y.. t the followingreason (Sectlbn 7031:5-Business and-Professions Code: 'SWIMMINGPOOL • P'TRAP ' - '--- Any- city or county which requires a permit to construct, alter, POLES METERED 'SUB -• - improve,demoiisti'or repair any structure,rpriorto its Issuance',also re-- -WATER-SERVICE -- ALTERATION '"'_ PANELS - MAIM ' - SUB. - -- quires the ap;.licant for such permit to file a signed statement that he - ' •• I5 Ikenied pursuant-to the provisions of the-Contractor's License-Law - GS ASERVICE OUTLETS • - SERVICE - (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and alleged or'that iol s'exempItherofrom-a1d the yygTER HEATERS- BTU OUTPUT" - ' - - - -' • --- - -' • - - - - b51s for the alleged exemption. Any violation of Section 7031.5 by ' ' - " , ds6Moppllcant-for-a permit 'subjects-the-applicant-to($50 plicant-to a civil-penalty- SEWER CONNECTIONS •- --'" - -' --"' _ _ -- - - -" - - - . .'`+vt more than five hundred dollars ($500). - - •- ZIT.:, as owner of the property, or my employees with wages as their -SOLAR TANK COLLECTORS"- sole for sale.will do_the work,antl-the.structur .i5 not intended - _ or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. ii • ,3! Contractor's License Law doeso not apply_to an owner of a property, _ - _ _ _. - - - 'APPLICATION-APPROVED BY-( y•, .-- DATE-- who builds or improves thereon, and who does such work himself or ISSUE FEE 1' h /, •• intended h-his own employees, If, howedver, that such improvements are not_ _ - - _ _ intendetl or offered for sale. If, however, the building or improvement y,BUILDING- - [,� RY OF,FEES_ ,.. is sola within one-year of.csale. If, ho ev the owner will have the burden MECHANICAL PLAN CHECK , I ; • „ SUMMARYI, ,-i Iv_ ' o proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU PERMIT .$ .3 '3y . SMIP C.- ,$_L.D.J' '14-as-owner-of- the property,- am exclusively contracting with . AND DUCTING ' - - "- 'i - censed contractors to construct the project (Section 7044, Business 100,000+ BTU PLAN CHECK $ PERMIT • . - . . 0. and-Professions-Code:-The Contractor's License taw doesmot apply to _ . __.ISSUANCE $ an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU i PLUMBING $ tracts'from such projects with a•-eontractor(s) licesned pursuant to- . SYSTEM '- - -- '- ' - - - - - GRADING $ ' the Contractor's License Law). 100,000+ BTU , ;PLAN CHECK`$ s� f, . • . 4 ❑•1 am exempt under Section B.S P.C.for this- BOILERS BTU , ELECTRICAL '$ O'.-•` " - $ 1- reason - - - - - - - _ ' 'PLAN-CHECK $ • ' MICROFILM $• ' SYSTEM REPAIR,ALTERATION - c ner - - - MECHANICAL $ - -- - IOTA L••FEE$ _ , I hereby cerdij att-have ead.this application and state that the above EXHAUST SYSTEM MULTIPLE ❑ LESS AD- - informatiofs is correct. I agree to comply with all city and county - -,PLAN CHECK• $ - - - VANCE PC $- . ordinances and state law rela • to co - tion,and hereby authorize - '1 -- -, - r I represent of th'• ci • . enter upon t e above mentioned' �' ' - "_1.�� prop for�A on-. .. - �. Accounting;Goldenrod-Assessor r r t CONSTRUCTION AND PLANNIN 7, • - 1 - .POOL& SPAS. • - . - ~ APPROVALS Permit# d�9�P-� Date Inspector .APPROVALS - Permit# - ' Date Inspector 1. Temporary Electrical Service or Pole _ 43. Pool & Equipment Location - - - - _ 2. -.Soil Pipe-Undrgrn -_ - - - . 44. Steel Reinforcement - - • ' .3.. . Electrical.Conduit Utility-Undrgrn - _ _ ,- _ , _ 45. . Forms • ._ - - _ ._ • _4. Electrical.Conduit-Undrgrn- - . __ - _ - __ - - - 46. Electrical Bonding - - •• - - - - •. -- . •-• 5. Steel Reinforce _ - _ - 47. Rough Plumbing & Pressure Test - - - •• - _ . - - . - _ -. .6. _Electrical UFER.Grn - .. 48. APPROVAL TO COVER-GUNITE - - ' _ __.,7. _Footings_ __ _ _! l�0•-8z- --ts - - - 49. Elecfrical Conduit-Undrgrn - _ - - - 8.. Foundation' . . - . s ulrb . _a21.2c 2,S 50. Gas Pipe, DUndrgrn,Test . • 9.. _Water.Pipe-Undrgrn._ • . _ • - 51. Backwash Lines. P-Trap,-n Undrgrn_ - - - _ - JO. Structural Floor System . . 52. • APPROVAL TO DECK - ------ --- " ` - - - ' . 1.1. .z:Rroperty_Sewer Line.& House Connection _ ._. _ . .53. Backwash.& Receptor-Final I ' . _ '. 12.--Street Sewer Connection .. _ _. -- - - 54. Heater & Vent-Final • - . '' 13. Rough;RlGiiibi?MilJJ3$( IA,1;J3` Au{-4,M 55. Plumbing Svstem - Final --- " ' 14. Rough Electric-Conduit • - - - - - • -56r - Electrical-Final - . 15. Rough Electric-Wiring _ - -- • - . 57. •Solar System-Final . ' ' 16. - Rough Heating& Air Conditioning- - • - _ b8. Fencing&Access Approval , ' - .. • 17. Ducts, in Structure - ._ _ . . _ 59. APPROVED FOR PLASTERING • •- _ • - 18.-• Ducts, Ventilating - -- _ . 19. Gas Pipe-Rough &Test .. _ - . . .__ ' 60. POOL/SPA SYSTEMS FINAL - - • - '' • 20. Roof Framing .. -- - -- - _ ' r 21. Roof Sheathing - "' _ s.1(....R•, - - _ - -- NOTES: OAC JnS ' C � a122. - Frame and Flashing -- - • - �-C 23-84 ._ . ,?-i 23.-- Insulation - - _ e;t. • b Su,14',7c--7___ - S . 24. - Lathing & Siding _ . Cmc `fin .0‘),„_...., . �'��e - p a „�.Q S y_icl -- .t . 25. Drywall Nailing _ . _ 3J•'`7 - DRS VA-Rb '57741VaP/PE - No Pfti Mir -2-‘1%,22-- . 26:- Plaster-Brown Coat - -• . . . .- . . • . . . - t 27. Electrical Power Meter-Final .. • - - - I • • _ . - 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 DomesticFinal ` ' �t�' 1 ' - I - 35. Landscape Sprinkling System _ - •- 36. Sound Attenuation - _ • - - • • • • ; 37. Handicap Regulations - - • . . • 38. FINAL STRUCTURE & BUkLDING ' ' ' .114-.g''t- . Q1 - • 39. Special Requirements Completed /-/$--9& /aA45,N - 11 40. Electric Release to Edison - --'_ .. _ • 41. Gas Release to Southern California Gas Co. - . . • .42. CERTIFICATE OF OCCUPANCY .- - • - - -- _ ` No- Date - „, . . . . • ' Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. + CITY OF COSTA 4v1ESA ''' PERMIT NO. TRACT NO. - - •COT NO. BLDG.NO. " •' _ . -• - -• '--' ' - - - . '- ' - CONSTRUCTION PERMIT F 3SLeo �) �I ; ' Project Address aC1�"" El PN -hitt 4--•- ` ��T�{Y'•PE OF CONSTRUCTION .1 r' .i - • ,_ 5490: 5/05/82 33. 14 TI • Owner ,/.c.GYti.P p,0,-, < Plione7S253// JLSC{EW -0 ADD 0 ALTERATION - ,O "- _ , y• • Address - " ' - `- - . '0 REPAIR El CONVERSION 0.DEMOLISH ,[� Arch/Eng." --i - - ' - -License No: - - '0 OTHER ZONING REGULATIONS 17rval .. - -.. _. -—_ _ . . . -DESCRIPTIONOF WORK A.P. rt Address •- -- - - • t - - I s ,ZONE PLNG. REF. , (,b Contracto - t Phone Z STYPE OF,PERMIT - - i BUILDING �� BI�I MNG I - ...e z- - 'r _ - r 'SETBACKC/L$T. OP V LINE -- •- , I Address 0 . A : tti he 0 GRADING O. FOUNDATION-"0STRUCTURAL `- I SIDE YARD :1 - - '1 •I ,LICENSED CONTRACTOR-DECLARATION- -- - - • - - 'I 0 TENANT ELECTRICAL OPLUMBING OMECHANICAL IDE YARD I hereby affirm that I am licensed under provisions of Charter 9(corn- . , . RIGHT ' mencing with section 7000)- of 1-Division-3"of 'the-Business-and O'OTHER ' - -- - - -- - - - •, ,Professions_Coder,•.wand my license is in full force and effect. - PROJECT DESCRIPTION". __ _ • _ _ REAR YARD(TO P/L) ,r,, - •License Class�✓ Li se N_,Q�'�--'�---G- , , .,.; •, , PKG.SPACE REO. PR-OV-170-E'D• n - Date 1'-.5-1{7 -3-' Signature U6P -!' -' SG.FT. • - r __. - -. - _ WORKERS'COMPENSATION'DECLARATION _ - --• - - 'OCCUPANCY'`=CONSTRUCTION.TYPE ' STREET WIDTH ,PARK FEE $ . ,• I hereby affirm that I have a certificate of consent to self-insure or a „1• - r, ZONING APPROVED BY,', , _ DATE certlficate 'of-Workers' Compe sation Insurance;-or'a'certified copy • VALUATION ZONE __ -'thereof (Section 3800, Lag C)) •'�• AC ••{•� •GRADING CLEYDS. ' ' • ACRES ,SPECIAL CONDITIONS: r i :v r r. _ , � eyNo.L'JD-7/-/.t/4"omoany LAO- sNYC:_. ._ .. •" - - - - - _ _ . Ort'ert ifietl copy it hereby furn lshetlr --y-- - - - REMARKS - tlf 9(n 3 - -- - - I a -- . 'ertifled copy.is'filed with the city Building Division. - - - e EXEMPTION FROM WORKERS' COMPENSATION DECLARATION -I ,r. (This section need:not be-completed if the permit is for-one hundred . . ,r ,_. _ : _ _ ,. _ -. . . _ _ ($100) or less). certify-that-In-the performance of.the-work for.which_this permit is LAK _ _ _ _ _ H _- issued, I shall not employ any personnInIn any manner somas to.become 1 PLUMBING jr + . ,r• ,PN CHECK- I ELECTRICAL- - . PLAN CECKy I: subject to the Workers'•Compensation Laws of Cantor nia.--- -T- LL f BATHTUBS SHOWERS UwtLLING GAHAGt -cgs- / , Date . I Signature - - — SO FT 7� 7,S SO FT ��.} ;NOTICE: If after making this declaration, you should become-subject' TOILETS''•- •,'cl • -.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 LAYS 'APPLIANCE 10:50-KW_50 + KW--- ' - revOketl. __ DISHWASHERS— _ H KIT.SINKS • DISWASHERS MOTORS - 0-1 HP""_1-30 HP CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS ' • ',• SUMPS - - i""' '- • (INC.SOLAR)-- ,formance of the work for,which th_is_permit is issued (Section 3097_ R _ Civ`. C:).- - - - FLOOSINKS R DRAIN FLOOS~ _ __ ;FIXTURES --OUTLETS- SWITCHES-" _ 'Lender's Name ;Lender's Address _ -___ -_ DRINKING FOUNTAINS ', `4 OWNER BUILDER DECLARATION' "' - !PIERS-- .1 .I hereby affirm that I am exempt from the Contractor's License Law for INTERCEPTORS CLARIFIERS- ,,,Jr •, the-following-reason-(Section'7031":5"Business'antl-Professions'Code: ' SWIMMING POOL P TRAP —' -1` . '-'- LuNS1 HUL I IUN-._ -�-. - _ _' - __ _ - - , Any-city or_county which requires a permit to construct, alter, POLES METERED •SUB.++ ,C s c. ; -improve, demolish or repair any structure; prior to'its to ance:aao re- WATER SERVICE ALTERATION �•- '•_ - 'PANELS ' --MAIN - - -SUB � -„tj` - quires the ap.licant for such permit to file a signed statement that he - _ x a - is ha pter pursuant to the provisions of the"Contractor's License'L'aw- - -- • Y 1' A 'it ;SERVICE- -”--"- ` /AMP` '- S (Chapter 9 (commencing with Section 7000).of Division 3 of the GAS SERVICE OUTLETS 1- 5' _ _ _ - -Business antl Professions Code) or-that he"is exempt therefrom and'the --- basis -basis for the alleged exemption. Any violation of Section 7031.5 by '"` " - ' r '-'s '- ' ! aphiicant formaa permit-subjects-the-applicantto"a-civil-penalty' -SEW ER CONNECTIONS ' '.r it more than five hundred dollars ($500). _ I ^'� '• - - 1 _r - The pr - . . __. .s_. _ ,'as owner of the property, or my employees with wages as their SOLAR-TANK sole compensation,-will-do the-work,and the structure.is.noLintendetl_ ' _ __ _ _______ "_ �_' '•_• •ter' ' 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_ - _ ._ _ _ - - "- - l ,who builds or improves thereon, and who does such work himself or ISSUE FEE i1 1 ''APPLICATION-APPROVED BY --------"DATE-; through-his own.employees,-provided-thatsuch_improvements are-not. _- intentletl or offered for sale. If, however, the building or improvement ..-- PLAN CHECK 'I ` SUMMARY OF FEES •,t: 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 • (PERMIT $ ?+;21"1 SMTP- ' , '$'•- ' I 1 0-I';'as-owner"of-the 'property,-am•exclusively-contracting-with- „-- --- -- -- licensed contractors to construct the project (Section 7044, Business AND DUCTING 100,000 + BTU 'PLAN CHECK $ - ''PERMIT• .+ . i i1f. 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- -- -- -_ ---'-"- i-- -- -" -' ---'- ---- -- - ----- GRADING - $ - the Contractor's License Law). 100,000+BTU I ;PLAN CHECK $ '''.1'4.-AII}. ,.,j 1' 0`I am exempt under Section 1 _ B.& P.`C.-for this ELECTRICAL $ . $ I • BOILERS BTU f 1 •LM, ri'r PLAN CHECK $- - MICROFI Date-- --- -Owner------ -- --- -- --- - --- -- . SYSTEM REPAIR,ALTERATION - ! _- _- rias J i -- - TOTAL'FE E$ a ,MECHANICAL$ - • 1 II hereby certify that have ogreread.this application and cOn -all and county PLAN CHECK--S- ' - "" VANCE PC -$._ '" Signature "-^ '� - - -- --- -- - _ + J __� - CMF 0865-46 White-Building; Canary-Applicant; Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING , • --•, POOL& SPA - : - - ! APPROVALS -"\t"I`' • Permit# I 4N(0 6 Date . Inspector ' APPROVALS, Permit# K.- Date -• Inspectot 1. Temporary Electrical Service or Pole -, 43. Pool & Equipment Location - - - - - - - - -- " 2. Soil Pipe-Undrgrn - - 44. Steel Reinforcement - --- - .. . • 3. Electrical•Conduit Utility-Undrgrn 45. Forms., . " - _ _- _ 4.,_Electrical Conduit-Undrgrn . • - -_ _ 46. Electrical Bonding ' - •• --_ -_..._.-.- •. - 5. Steel Reinforce - • 47. Rough Plumbing & Pressure-Test- _. - _ _. ,.,. -., _ .............. . 6.. Electrical UFERGrn '- • •. _ ' ' ' 48. ' APPROVAL-TO COVER-GUNITE- - - . . -•,.... -`, ' 7. Footings ' 49. Electrical Conduit-Undrgrn . . . ,. .. 8. Foundation -_--_ - , _ _ _ _-_ _ - - - - -50. Gas Pipe,. ❑Undrgrn}Test • - • _9... Water Pipe-Undrgrn51. Backwash Lines, P-Trap. ❑Und qrn' ' . - .__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. Plumbinb System- Final --. - -_--- ' --__ " 14. Rough Electric-Conduit - - -- • - - -- • --56? Electrical-Final --- .,. „ • , , 15. Rough Electric-Wiring -" -- -- - (o46-`3/42 - Ce 57. Solar.System-Final . ""'y ^•' ' . " . 16.--- -Rough Heating & Air Conditioning.:, - - -- . ._ - _ _ - b8. Fencing,&Access Approval - • 17. .Ducts,in Structure. -. - ' J - S9. APPROVED FOR PLASTERING= • 18: Ducts, Ventilating -. . . ' ' 19. Gas Pipe-Rough&Test- - - ` __ - 60. POOL/SPA SYSTEMS F INAL•- , 20. -RoofFraming _- -. .- _ - . - . 21. Roof,Sheathing -- : - - . - ___- _ ..- - i . , .•'-' .. l. 22:_.Frame and Flashing.: .- " .. - • . - • __ _ NOTES: 23. Insulation _ -- . . .. -- . . - - - --- . . - - - - - -. -24: Lathing &.Siding. -' - - - : _ ._. . - - - . . - __ . i25. . Drywall Nailing.. , .,..,. _ . --- - - . - _ . ,.. •:�` 26. Plaster Brown Coat _ _ . . . _ -. _ _ - ' _' ' - ` 27'. Electrical Power Meter-Final. .._ '" - 28. - Final Electric- -)' 1'a3 $2 - �� ,•r�. • .r ,. . . .. 29. Final Heating &Air Conditioning _ . _ . 30. Final Gas Pipe-Test _ - - __ . -_ _ - _ ,, _ 31! Final'Plumbing -- _ _ __ - ` " . . - • -32. Water.Service-Final -. : _ '_. . _ . '. 33. -Gas Service-Final. - ' ' ":. .• _ l - . . _, _ _ - . . .. - ' 34. Solar Domestic-Final •. • .. - I -I.•,i.-t -.:9,' , . .'-:' .p ' .. L. . . _. - ,� 35. Landscape Sprinkling System , •, _ - r "'. 36. Sound Attenuation _..__- t. • • •• .: •1,1 , • .1...1 , ' '• "' _ I' 37. Handicap Regulations -r - -- .. , „ ., 38. FINAL STRUCTURE & BUILDING -- - • - . '• : - ,i .. 39. Special.Requirements Completed'. ' '-,•'" • :- ' - ' -` _ - .. 40. Electric Release to Edison - "" ,; -_ - -' •' - - - - - - - - - - ._ _ 41. Gas Release to Southern California Gas Co-. " ' ., - -- - � � - 42. CERTIFICATE OF OCCUPANCY -_- •I -- -__ .. No. • ,. Date i _1 . - - - _ - - �-__ -- >•,.......4. , • - - Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. •CITY OF COSTA MESA PERMIT NO. TRACT NO. T NO. BLDG.NO. - - • CONSTRUCTION PERMIT M�"3� .5420 ' 5/04/8.2 • 7.00 'It Project Address/Gs (p 15 t1.:-D, M/ R J£ \ TYPE OF CONSTRUCTION1. . Owne5J.N `oriks al tow ,1'l ' Phone {�,JEW ❑ ADD{ 0 ALTERATION L / ,� Address 1 --- --- . "' •- '❑ REPAIR ❑ CONVERSION ❑DEMOLISH I- _ ' Arch/Eng. '- T - ' License No. 0OTHER ZONING REGULATIONS IC`I DESCRIPTION OF WORK A.P. , N _Address_ . ' 't I ZONE :PLNG. REF.,_' • v4 • • {v-) -Contractor P' ' T 6:646904,;_ Phone�L 1 t. TYPE OF PERMIT - BUILDING To BUILDING " VO Address /JR����'}s(/�•� , A`•' - Qyrl (SETBACK CA.ST. PROPERTY LINE ' 1 91 t ccps.+w .f�U 14 C. era ❑GRADING • •. ❑ FOUNDATION - 0 STRUCTURAL SIDE YARD _ a I LICENSED CONTRACTOR DECLARATION - - 0 TENANT 0 ELECTRICAL-❑PLUMBING ANICAL .LEFT SIIDE YARD I hereby affirm thet I am licensed unser provisions of Chart' 9 (cam-, -, u -I RIGHT - `� mencing- with-sec -7000) of 'Di cion -3 of the B .on and- ❑ OTHER- - - -- - -- - Professions Code, d my lice•se is In full f• r -f�• e t. - :REAR YARD(TO P/L) ,Li y 1 Liten las 4 i nse ' • .I[i r '�/ ' PROJECT DESCRIPTION -• 1 -- -- ' . - - 1.4 Date San" - nature 'argil ilLr� , l B ^°• FT• ' fi A y .PKC.SPACE REQ. PROVIDED • , - u ' STREET WIDTH i PARI FEE 5DATE �i ' \\\ WORKERS•COMPENSATION DECLARATION - V '•OCCU'OCCUPANCY-. TYPE I hereby affirm that I have a certificate of consent to s If-Insure ora VALUATION ZONE (ZONING APPROVEO'BV r I DATE 'certificate of Workers' Compensation 'Insurance,-or a- ertified-copy thereof (Se 8 irb_C). y�j�^ / J •GRADING CU:,YDS. ACRES SPECIAL CONDITIONS: 1 Pnli'e No.� �tt// Compan Y^ t•( Jr),IV7 - - e. - _ _. _ . . ... i • 'ertified•copy is.-her by furnished. - --- - - - REMARKS: - - - -- 1 .ertified copy is filed with the city Building Division. )•, ' EXEMPTION FROM WORKERS COMPENSATION DECLARATION 3- - • ..— --' ' '-- -- (This-section.need not-be completed If the permit is for one hundred _ _ .� _ . ... _. ._. _ _ '' _.. • , 1 ($1001 or less). „ - I certify that.in the perfor any of,the work.for which thi5,permit is _ ___ _ " - - I Issued. I shall not employ any person in any manner so as to become . PLUMBING,,'- ,{PLAN CHECK - ELECTRICAL _ PLAN CHECK , subject 4o.the.Workers Compensation.Lawsnatureof California, . . •SOFT Nta -- GHHA6t - I Date • Signature BATHTUBS - SHOWERS SO FT SQ FT '- NOTICE: If after making this deCI ratIon,you should become subject c.TOILETS" • •r,r+ •''URINALS •GENERATOR 0-1 KW 1-10 KW to the Workers' Compensation provisions of the Labor Code,you must _ _ _ _ _ __ 'TRANSFORMER _ - - , - forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS- - ( - 'APPLIANCE . 10-50 KW_50+KW, ' revoked. -/_. = - KIT.SINKS DISHWASHERS - - MOTORS CONSTRUCTION LENDING AGENCY 04 HP�1-30 HP 1 hereby affirm that-there.is a construction lending agency for-the-tier- -SERVICE SINKS' '-.'SUIv1P5 - ' ,ONC.'SOLAR) -10-50 HP50.+'HP - _ - - - -- -- formance of the work.for which this permit is issued (Section_309.7 _ _ - 1 'FLOOR SINKS FLOOR DRAINS I TFIXTURES O61- ETS-- SWITCHES ----: . Lender's Name- _ -.__ _ _ __ _ - _ ._ .___ Lender's Address DRINKING FOUNTAINS I CA$TUBESIGNS ,I OWNER'BUILDER'DECLARATION- - -- - - '"'- - — ' CRS INTERCEPTORS CLARIFIERS 1 POLE LIGHTS -_I „ 4 I •- the following reason (Section 703175-Business-and-Professions'Code:' -SWIMMING POOL- P TRAP - — r' ---- - ' Any city or county which requires a permit to construct, alter, 'POLES METERED improve, demolish-or repair any-structure;prior to it5'iss ua nce'also re- WATER SERVICE ._ ALTERATION - ' - ]PANELS MAIN ,.'. SUB . - 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 - 'GAS SERV ICE OUTLETS i 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 BTVTOUtPUT-.a • .'� I ` . '- - - :-- - .. ''• • � - ----- - - basis for the alleged exemption. Any violation of Section 7031.5 by _ -c' i �• 'I' '• • • r applicant for-a permit'subjects'the-applicant toN a civil 'penalty' -SEWER CONNECTIONS - - - -' - 1'- -"'- it more than five hundred dollars ($500), _ _ _ _ __ _ _ _ _ - r 'as owner of the property, or my employees with wages as their SOLAR TANK COLLECTORS - - j -- „fill L, t ,,I_ 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 SYS. p - j I ISSUE-FEE - .•- . d:: - • 1 Contractor's.License Law-does not.apply to_an.owner. of_a_property __ _-- _ - - "APPLICATION APPROVED BY-:---- ` Who builds or improves thereon, and who does such work himself or ISSUE FEE )1 ) �� ? DATE - T - 1 through his own-employees, provided.that such improvements.are not_ - 1 intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK I SUMMARY O_ F,FEES .•T- is sold within,one,year oLcompletion, the.owner will have the.burden - _ _ __ ;_ C I of proving he did not'build or improve for the purpose of sale). •BUILDING"`- HEATING SYSTEM_ 0-100,000 BTU I _ _;PERMIT _ - $, ••'•r+•'"' •_',' MIP-- _f $-Ir " ❑-I:'as owner-of-o construct the exclusively contracting'Businessh AND DUCTING - I ----- - -- " - - --- - - - 'licensed contractors contractors to construct the project (Section 7044, Business 100,000i+BTU - I ,PLAN CHECK $ PERMIT " I.' • antlowofession5'Code: The Contractor's License-taw'noes not apply to • - ' - - "- _ ISSUANCE '$-' - - an Owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU _ I 'PLUMBING $ . I n . it. I tracts from-such-projects-with-a-contractor(s)-Ilcesned pursuant-to -SYSTEM - --- - - '- the Contractor's License Law). 100,000.+BTU - , 'PLANLCHECK •-: . :GRA, -, • t- ❑ am exempt untler Section - - ' _ "g.& 13:-t'.for this BOILERS BTU ,ELECTRICAL-$, $ reason' - '- - '--' .. --- _' "- - PIAN CHECK $ - - - 'MICROFILM SYSTEM REPAIR,ALTERATIONNr Date--- - I, -Owner - - ----- • - - - - -- - - .- - -7�- = "' TOTAL FEE$ . '' ' ' ',MECHANICAL $ �1 1 hereby-certif that I have.reatl this,a••• to and state that the above EXHAUST SVST EM MULTIPLE _ _ '-_01]LESS ADS_: ' Information corr t. I agree •,..i .sly ith'all city and county q. rG -� ,pLAN-CHECK Si -- VANCE PC $ y ) ordinances a if tate aw -lacing o stru ion,antl hereby.authorize 41� �r� _ r!4 t . representativ of t to [ upon the ab v- mentio ' property f�so- f• I•rt,, •oses. E- •sir PA..� is iu - , �e ,Si _ -_ ` �` FINAL FEE $ 7--� Drivers'gner _ - - - ISSUE FEE - - - , - - - - - --'- ' - ' - .- CMF 0865-46 White-Building; Canary-Applicant; Pink-A ounting;Goldenrod-Assessor - CONSTRUCTION AND-PLANNING POOL&SPA . • - - ' APPROVALS Permit# nt ,7J- 953 Date Inspector • - Permit#�- - - Date r5. Inspector APPROVALS t _ •{ ' 1. Temporary Electrical Service or Pole - " P Y 43. Pool & Equipment Location2. Soil Pipe-Undrgrn 44. Steel Reinforcement- - - - • - - • • - 3. Electrical Conduit Utility-Undrgrn 45.. Forms . • . - - -- - . • 4. Electrical Conduit-Undrgrn 1•• 46. Electrical Bonding -- ----- - - - - . 5. Steel Reinforce _ 47, Rough Plumbing & Pressure Test - - - _ . _. . • - _ -J ._ . 6. Electrical UFERGrn • ' • "48. APPROVAL TO COVER-GUNITE- - -. - - -S` - -_ 7. Footings - ., 49. Electrical Conduit-Undrgrn 8. Foundation _ - • 50.1.Gas Pipe, ❑Undrgrn,Test , 9. Water Pipe-Undrgrn . . 51. Backwash Lines, P-Trap: ❑ Undrgrn' ' . . -- • * - - - - - - ' • 10. Structural Floor-System52. APPROVAL TO DECK 11. Property Sewer Line & House Connection - 53. Backwash & Receptor-Final c • 12. Street Sewer Connection ' ••• ' •' _ . . . . 54. Heater & Vent-Final - . - • 13. Rough Plumbing - ' • , ' 55 - Plunibina System -Final - - - _ '-- - t - ' 14. Rough Electric-Conduit - - - • -- - -• - • .56.- •Electrical-Final - - . 15.- Rdugh Electric-Wiring - - - --- - - - i - - - -- - -- --. -- -- - .. 57:- Solar System-Final •' - ; - - 1.6. Rough Heating&Air Conditioning -- - >- - . 58. _ Fencing &Access Approval - 17. Ducts, in Structure ' 59. APPROVED FOR PLASTERING ' 18: Ducts, Ventilating ' • - - _ _ . -' _ . 19 Gas Pipe-Rough &Test - • , -_ - 60. .POOL/SPA SYSTEMS FINAL 20. . Roof Framing . • ' _ . . - .. • .. 21. Roof Sheathing - • • -_I - I - - _ -- NOTES:F s 5 ro pnb pt.*, - ` . f T� - I_ 22. .Frame and Flashing_ . _ _ ___ . . ..i.... 111 r 23. Insulation 24. Lathing &Siding. _ ` _ _ _ .._. 25. Drywall.Nailing _ . . - i- - ----- . .' : •_ • - - - - -• - -- _ - __. . • , , 26. Plaster Brown Coat . . _ ' _ . • • - . 27. Electrical Power Meter-Final - _ - - ' 28. . Final Electric . _ . __ ' .' 4 _ • . • 29. Final Heating &Air Conditioning - _ - _ - _ fat/en, � _ - - _ , ' 30. Final Gas Pipe-Test - . _- - .- _ - _ _ , - _ , . ' 31. Final'Plumbing - - • - - - ' 32. Water Service-Final _ •_ . _ ,_ _ _• _ . ' .. . - .. . ' ' 33. Gas Service-Final _ . .' • . . . _ _ - i 34. Solar Domestic-Final . n• . - . - ' • 35. Landscape Sprinkling System - - i • • '• ' 36. Sound Attenuation - __ _ _ . • - - .� 37. Handicap Regulations _ . . - `+ • r - • " 38. FINAL STRUCTURE & BUILDING ' - I .- . ' ' - - . 39. Special Requirements Completed -. _$- - - - • - - 40. Electric Release ,to Edison - . ., _ - - - - - -- - - - - 41. Gas Release to Southern California Gas Co. - . - . , . , l 42: CERTIFICATE OF OCCUPANCY • • . - ' • • No. Date •. - ' / •� Applicant tofillin all spaces within heavy border lines and sign all appropriate declarations. CCTV OF'COSTA/MESA PEANUT NO. TRACT NO. LOT NO. BLDG,N• �. - 4255 47Q67g2 CONSTRUCTION PERMIT ///J3//(�J • I`/TL • -" - ' - IL 49.00 _ . Project Address ' 2615-j Elden Ave ` �TpYPE OF CONSTRUCTION ' ' ' • . Owner Sun Coast Development 'Pnone752- •n'• 5316 NEW 0 ADD ❑ ALTERATION c- • Address 5100 Campus Drive. Newport Bch 0 REPAIR 0 CONVERSION ❑DEMOLISH - ••Arch/Eng. License No. - ❑ OTHER r \ . ZONING REGULATIONS - _ DESCRIPTION OF WORK new plumb_ ing A.P.y` . . Address .. ' • ta1L$tiQn - ,ZONE PLNG. REF. - , contractor• Leaverton-Jacobs, Inc. PhoneS30-2624 TYPE OF PERMIT - -- -" •-,BUILOI NG SETBACK ROW SETBACK CAST. PROPS RTV.LI N E• Address 12700 A Knott St: Garden Grove • 0 GRADING •"O FOUNDATION- 0 STRUCTURAL 'SIDE YARD • LICENSED CONTRACTOR DECLARATION - - - O TENANT' OELECTRICAL RI PLUMBING•OMECHANICAL SIDE YARD- - -- - I hereby affirm that I am licensed under provisions of Charter 9.(Com- RIGHT -• ' mencing with -section 7000) of ,Division 3 of 'the 'Business and 0 OTHER- -' - - REAR YARD(TO P/L) Professions Cope d my license Is In full f9rce pplpact. - .. '1.-.30- -- - - - 2./Z/.fW PROJECT DESCRIPTION- _ _ -- - License lass �nse No. `' PRG.SPACE REQ. •PROV,IDED, - : -.r Date 3- 30 82-- - Signature A -�-/ G - -L, - SQ. FT: . ' _ __ _ . WORKERS'COMPENSATION'DECLARATION -- - - - - • •.OCCUPANCY_5�pC�ONSTpRUCTION TYPE , tPS STREET WIDTH PARK FEE S•- 't hereby affirm that I have a certificate of consent to self-nsure•ora VALUATION 'reals^sO ZONE - ;ZONING APPROVED BY DATE certificate of Workers'-Compensation 'Insurance, or a certified copy -- - -- - - . ,thereof(Section, fl,0 Lab. C.). Zenith- National 'GRADING'CU.YDS. s'_ ACRES SPECIAL, CONDITIONS: - _ { 177•71cy No. YY ZZ bb bb Company -- - ., _ - .- , -_ - . . _. .... . - :.ertified copy'is thereby furnished. • - - - - -- REMARKS:- - - _ - - ' :;erf if letl copy is filed with the city Building Division. • , EXEMPTION FROM WORKERS' COMPENSATION DECLARATION '- - al�� (Ze "' ... ' , - - -- - - - - (This section need not be completed if the permit.is for one hundred _ ,. __- _ _ _---- _ -- .._ ' ' ($100) or less). - ' - --- - --- I•certlfy that in the performance of the work for which this permit Is _ - issued, I shall not employ any person in any manner so as to become PLUMBING - -PLAN CHECK - - - .ELECTRICAL - '-' PLAN CHECK _ - subject to the Workers'Compensation Laws of.California.-- - --. . _ UWELLINb - --- --- L.ARAbt- - Date Signature BATHTUBS 1 SHOWERS 1 6 00 SQ FT - SQ FT - - • - . - - NOTICE: If after niaking this declaration, you should become subject TOILETS.•+ 13,-, - URINALS[_ ,.- t, ,+ :9: 00'C (GENERATOR_ ' -.0_1l<w•^- -1-10-KW • to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER. - . - _.. forthwith comply with such provisions or this permit shall be deemed LAVATORIES 5 DOUBLE LAVS , .15' OO ;APPLIANCE' "10-50'KW=--50+KW - CONSTRUCTION LENDING AGENCY KIT.SINKS - -]-- DISHW ASHERS'1 , 6 QQ " MOTORS -10 HP - I hereby affirm that there is a construction lending agency for the per- -------- • 1 — -- - (INC.SOLAR)- 10-50 HP • • 50+.HP I-s= •-•:. formance of the work fo�which this permit i_s issued (Section 3097 SERVICE SINKS . ,.',SUMPS' - ;Civ. C.). - _ FLOOR SINKS • FLOORTDRAIN$ • - (FIXTURES OUTLETS 'SWITCHES " - - - - ,Lender's Name IR-11111)P7-Pira Rank Lender's Address 1201 Dove St. , Newport' Beach DRINKING FOU NT.411V5 - - - •- 'GAS TUBE SIGNS--- `- - -"- - - -� OWNER BUILDER'DECLARATION - - -- I hereby affirm that I am exempt from the Contractor's License Law for r -' ••, the-following reason (Section-7031.5 Business"and 'Professions Code: _Any city or county Which requires a permit to construct, alter, (POLES METERED SUB ,. . improve, demolish or 7epair'any structure, prior to-its issuance,also re= yyATER SERV ICE ' 1 ALTERATION I - 2' QQ- "PANELS_- - 'MAIN'-". :SUB' -'- - - - quires the ap,Iicant for such permit to file a signed statement that he - - ' islicensed pursuant-to-the-provisions of the'Contractor's'License Law - - er 9 (commencing with Section 7000) of Division 3 of the GAS SERVICE 1 OUTLETS 6 3 OO , . Busineal Business and Professions Code) or that he-is exempt therefrom antl the WATER-HEATERS 1` BTU'OUTPUT35M- • basis for the alleged exemption. Any violation of Section 7031.5 by •" - - 1 -applicant for permit's ubjects the-applicant'to a'civil-penalty SEWER CONNECTIONS '.„ - ----; • `+ "t' '- ” :: - '- -- ' ---- -•^ - ' -"- ^-• - ( at more_than five hundred_dollars ($500). ` ' -.-§_. : -- +' ^ -• - - -or'my emploees with wagicas their SOLAR TANK'- -_ ' COLLECTORS''.-' '- '"-a - -" "'---d'-"-'_' _.-' _ - -_ -_ --„ o5en owner of the pro.the y, y ,. j s sole feredefor sale.-will tio.t he 7044,work, andinthe Strprofes.ionot Code: Thtl - _ "' - - " ' - _ or offered for sale. (Section Business and Professions The SOLAR PIPING SYSAUTO WASHING'MACI I .3.30`:_f-ISSUE FEE --' '---' Contractor's License Law does_not apply to an_owne c.of_a property _ _ _._ -;--. . qpp CICATIOMAPPROV ED BV- - - - - DATE - who builds or improves thereon, and who does such work himself or ISSUE FEE i' 3 J0"' t „ through his own.employees,for saed-that such improvements are not - _ _ __ _ --- - is sold-within or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK s is sold-within one year of completion_the.owner will have the burden SUMMARY OF FEES • bf proving he did not build or improve for the purpose of sale). "BUILDING - - -- - - - - HEATING SYSTEM 0-100,000 BTU ) _ hPERMIT $ - +-• - yrSMIP ,$ - 'O I, as•-owner-of the- property, am exclusively contracting with• AND'DOCTING - - -` ' r - -'--' ^ - - - - "" '-"- . ' - MI ... - - licensed contractors to construct the project (Section 7044, Business 100,000,1 BTU I IPLAN CHECK $ • PERMIT . -- - antl 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 t PLUMBING - $ --9 no tracts from such projects-with-a•contractor(s)-licesned-pursuant to SYSTEM - -- -- - - - -- - 3 - -- - --- - - -- - -- rGRADING` $ - " the Contractor's License Law). 100,000+BTU I ;PLAN CHECK $"" - + ' O I am exempt uncle Section • —B.&P.C.for this ' BOILERS BTU t ELECTRICAL $ , -- _ ' - _ •- ''•-PLAN-CHECK' $"' -----__ �MICROFILM'$- Date• - Owner - SYSTEM REPAIR,ALTERATION -` - NOTAL FEE $ thereby certifythat] have read this application _EXHAUST SYSTEM__ _ MULTIPLE - MECHANICAL $ - - and state that the above PLAN CHECK $ LESSANE PC , information is correct. I oaten'to comply with all city and county - - "- VANCE PC $_ _ ortl ina nces,a nd state laws relating to construction,and hereby authorize V •. - - �BD represe "���asJ�I%f��� n er .on the above mentioned ' . . _ prop- -_for SPl/J..0.,..„_ .. G//. Date ?/ • , - _ 1FINAL FEE $ Signa ure I. Drivers' Lice •r Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING .` - POOL&SPA • i'` T APPROVALS Permit# P-.31d7 Date Inspector APPROVALS -. Permit# \" • - Date' Inspector 1. Temporary Electrical Service or Pole - 43. Pool & Equipment Location - - - - - - - _ - • 2. Soil Pipe-Undrgrn- sr _ e/j�/8L rtC - 44. Steel Reinforcement - - - - - - - - -3. . Electrical Conduit.Utility-Undrgrn. _ l 45. Forms - - 4.. Electrical Conduit-Undrgrn , _ - _ _ - _ 46: Electrical Bonding - . . - _ 5. Steel Reinforce c-,. - ,' 47. Rough Plumbing& Pressure Test • - _::. . . . _ . 6. Electrical-UFERGrn . -_ _ " ' " "48. APPROVAL TO COVER-GUNITE - - . •-._ 7. Footings- _____ - _ _ 49. Electrical Coriduit-Undrgrn• . • . ,, . • r. 8. . Foundation._ - ... --_. - 50.50. .Gas Pipe„❑Undrgrn,Test - • - _9._ _Water Pipe-Undrgrn_-_ . , -9214.',2 •/� r. 51. Backwash Lines, P-Trap, ❑ Undrgrn' • -• - - - • • 10. Structural Floor System . 52. APPROVAL TO DECK - ' - - - -" ,I 11. Property Sewer Line & House Connection _ - . _.53: Backwash & Receptor-Final- - _12. _Street Sewer Connection.._ '_ • -_, - _ .. - . 54. Heater & Vent-Final . : - - 1 - 13. -_Rough Plumbing __ _ - _ --__ -. -_ - _ /,11.#2 a -, -'55: - Plumbina System- Firial - _- - - 14. Rough Electric-Conduit - ------ - - - • - 56. . Electrical-Final - -- ' 15. Rough Electric-Wiring - - - - '- ' 57. -Sorer System-Final ' ! r '=16. --Rough Heating &-Air Conditioning - b8. Fencing & Access Approval , 171 --Ducts, in Structure • - . -_ ._- "' ' _ i- _ 59- APPROVED FOR PLASTERING . : 181 Ducts, Ventilating - s: ?. . . - 19. Gas Pipe=Re 86.Test 74-e'ser✓ecu . 7//y/92- 4rlee- _ '60. - POOL/SPA SYSTEMS FINAL •• . . • , - - 20:- RoofiFraming-- - - • - - - . -- - -- - _ - -_ - . . , - .�. ' 21. Roof Sheathing i- ._. - . _ - 22i -Frame and Flashing- -- _ . . _ : - NOTES: - ' - , 21- Insulation _. - _ _ :. . - -. .. . . . -- - ._ - - - - - - - 24! Lathing-&Siding-- - -- -- -- --. - ._--- . - - _ - . - - . -- --- - .. -- - - 25. Drywall Nailing _ - __ . , r • - . . _ - ' • . . , 26:- - PlasterBrownCoat ._ . -, . - - _ ..- - - . • . . '- 271 Electrical Power Meter:Final . _. . _ - . . . - - -. . • . , ' ' 28'. - Final Electric --- - - --- - - - - - - .- • - _ - ' . -- " • - - ' 29t Final Heating& Air Conditioning _ .. . . -_ - - . . . : - ' ' " :' . . • - - 30: .Final'Gas Pipe-Test ._ - _ _ - - - " ' ;' - • 31. Final•Plumbing. . - - /p-/-11-- - - 32: Water Service-Final - - . r/-9 Y .a[ir - __ - I t " 33. Gas Service-Final : - - _.. - _ _ _ - _ • .. . if . 34. Solar Domestic-Final - • " - • ' 35: Landscape Sprinkling System , ` - - • - 1 - - - 36. Sound Attenuation - - - - , 37. Handicap Regulations . - - ' - - - . . ' ., • • - ' 38. FINAL STRUCTUR E & BUI LDI NG _�_. - - - - • 39. Special Requirements Completed ` - ' - - -- ' 40. Electric Release to Edison ' - _ - . ' - - ' 41. Gas Release to Southern California Gas Co. • 1 - il • 42. CERTIFICATE OF OCCUPANCY - - .. - . .- • - ' No - ' ' Date - - JApplicant 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 � 3s(o hi// •5-- . 5/ 14/82 ! 13.0 TL; PI ' Project Address et7y„cc- LGL acj Jr- TYPE OF CONSTRUCTION - . I , • •Owner Z/7&.:/�s�ay ,2 r" Phone %NEW ❑ ADD' 0 ALTERATION Address - - , - . - 0 REPAIR ❑.CONVERSION ❑DEMOLISH - - • Arch/Eng: - License No. - - ❑ OTHER - ZONING • REGULATIONS DESCRIPTION OF WORK ' A.P. • - Address-- - - - -- - - ZONE • ,PLNG. REF. ''Contractor 5ee,ujt Fjud• '.5 S -Phone TYPE OF PERMIT- - - .BUILDING - To gt�I IrvG 1 SETBACK C/QST. PROPS RTV LINE • : Address ' j7r- eeC7 c_ "t• /r/// ••- .0 GRADING 0 FOUNDATION 0 STRUCTURAL,���. • SIDETYARD -- - _ LICENSED-CONTRACTOR DECLARATION- - 0 TENANT 0 ELECTRICAL ❑PLUMBING JgMECHANICAV LSIEDE YARD - - I hereby affirm that I am licensed under provisions of Charter 9 (corn-, t / RIGHT i mencing-"with 'section 7000) of ;Division 3 -of the Business -and, -❑ OTHER - _ . - . Professions Code and my license Is in full force nd effec , REAR VA RD(TO P/L) �/ 7 ,., PROJECT DESCRIPTION _ _ _ License TClass J�L! yL LJrgnse��� - - - ,PKG.SPACE REQ. • - PROVIDED - , Date y7 /2-v-?"- Signature /{� TTI SQ.FT: - - „ •WORKERS'COMPENSATION DECLARA ON - OCCUPANCY_CONSTRUCTION TYPE STREET WIDTH PARK FEES 'I hereby affirm that I have a certificate of consent to self-insure or a :VALUATION - ZONE ZONING APPROVED.8Y" I DATE - certificate of Workers' Compensation- Insurance, or-a-certified copy - - _ .__ .. thereof(Section 3800, Lab.C.). GRADING CU.yDS. • ACRES •- SPECIAL CONDITIONS: . rn- ��vv,V,,yertified copy is hereby furnished. - �. - REMARKS: f� [� _ -- __ _ _ _ '_ 4r" ;ertified copy Is filed with the city Building Division. C7 `•' 3 - „ - . EEMPTION FROM WORKERS' COMPENSATION DECLARATION - . - - - ' - . . - . - - (This.section.need.not.be completed If the perms Is,for one hundred _ r• _ .' ! I ,($100) or less). _--. . - : . ... - - _ _ . .. ._ , , , -- 1 _. I certify.that In the performance oft e • •rk whi er / n _ _ issued, 1 shall not employ any person I any Ai �•b•-•.t'e • PLUMBING •q.; T 'nIPLAN CHECK' -'I (ELECTRICAL - PLAN'CHECK ' - - subject to.the Work s'Compensation) "ws < _ - • UW tLLINb - _ t ARMUE PI • I -- ,MKS Ali BATHTUBS 'SHOWERS Date Si9nat Ur¢ _ _ �� SO.FT. SO FT • ' •- ' • NOTICE: If after making this de .rationfou shoul• become sub) ct "'TOILETS , URINALS' `.'- - --"GENERATOR - " • ,to the Workers' Compensation provisions of the Labo Code,you must x.71 •, ( 0-1-KW_1-1 O.KW, ,TRANSFORMER - forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS - 'r - -' APPLIANCE - 10-50 KW- ..;50+ KW - - - - revoketl._ _ - CONSTRUCTION LENDING AGENCY I KIT.SINKS r • DISHWASHERS --- - - - 'MOTORS -- - 0-1 HP_1-10 HP - - - I hereby affirm that there is a construction lending agency for,the per-: -- - -- - '(INC,SOLAR) ._ .formance of the work for which this permit Is issued (Section 3091- ` SERVICE SINKS SUMPS - 10-50 HP 50+HP - i'Civ."C:). -" " FLOOR SINKS -- - FLOOR DRAINS -- - '- ---" '.FIXTURES-'` OUTLETS SWITCHES - Lender's Name 'I -' _ • _ , :Lender's Address - - ' 'DRINKING FOUNTAINS 1, -- - - ' _j - - '-GAS TUBE SIGNS' - --- - - ; - - OWNER BUILDER DECLARATION - - --- - INTERCEPTORS i . CLARIFIERS POLE LIGHTS - - - - - - -- ' ' I hereby'affirm that I am exempt•from,the Contractor's License,Law for, . . the-following reason (Section 7031.5 Business and-Professfons;Code:t SWIMMING POOL • "P TRAP - - - ,CUrvSI HUL,IIUIN -__ - - . _ Any city or county which requires a permit to construct,`alter,. - POLES METERED -SUB. improve, demolish or repair any structure, prior to Its-issuance,also're-- -'WATER SERVICE - 'ALTERATION- "- - - ' '--- ;PANELS - '-MAIN - ''SUB- - - • quires the api_llcant for such permit to file a signed statement that he - '• is'licensed pursuant to the provisions of the Contractor's-License-Law GASSERVICE OUTLETS - - - -,SERVICE ----- - -(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 - - - - r - applicant for a-permit subjects the applicant to-a-civil-penalty - SEWER CONNECTIONS - '"" ' - ' -- ' -- - - - - - - - - - ,t more than five hundred dollars ($500). - • as owner of'the Property,or my employees withWagesas'their SOLAR TANK COLLECTORS - - - - , " '---___ - - -- - - - sole compensation,.will do the work,and the structure is not intended _ _ ' or offered for sale. (Section 7044, Business and Professions Code:The SOLAR PIPING SVS. - - - - '- - ISSUE FEE - - - - Contractor's license Law does not apply to an,owner of a-propertyAPPLICATION APPROVED BY - -- who builds or Improves thereon, and who does such work himself or ISSUE FEE - - --- - -- DAE through-his.own employees, provided that.such improvements are not • - _ _ _ - intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK SUMMARY OF FEES , is sold within one year of completion, the owner will have the burden - ' Of proving he did not build or Improve for the purpose of sale). HEATING SYSTEM 0-100,006 BTU 7.9"- - - - -- - - 7Y / PERMIT E '4•d .$MIP , $ '0 1-as-owner-of the. property, am exclusively contracting with - AND DUCTING - � ' /7/ - -- --- ---- - • 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 -- - - - GRADING $ ' the Contractor's License Law). 160,000* BTU �� 1 PLAN---c HECK $ - ❑-i am exempt under Section - - B.& P.C."for this • - - - - - E BOILERS BTU - IELECTRICAL $ , - - - PLAN CHECK $ r_ _; _• MICROFILM $ Date Owner SYSTEM REPAIR,ALTERATION • T ,/� � - •TOTAL'FEE$- I hereby certil that I hav• :ad his a lication and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL-$ - , Y PP I LESS AD- Information is correct ag j•' t� comply all city and county a )••)-'•``,, yy C ePLAN CHECK--$ -- Ordinances VANCE PC $_ "' ordinances and sta sr ..ir `• c•• ', •y authorize B�/ /l/10r Ile NTs - 6 — •• • , representatives o • is 4# :��••-•" -n the above mentioned ! i -I ' 1: Signatpropeuty re for ,•!ct'�.ur• , - Dater �1 ' - _,r FINAL FEE $ !3 -- Drivers'License or SS$ . ISSUE FEE • - — - - _- . CMF 0865-46 White-Bulltling;Canary-Applicant-• Pink-Accounting;Goldenrod-Assessor . CONSTRUCTION AND PLANNING ', - POOL&SPA • 1 APPROVALS Permit# �r Date Inspectors APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole_ 43. Pool & Equipment Location - - • - • - -"� 2. Soil Pipe-Undrgrn - 44. Steel Reinforcement • _3. --Electrical Conduit Utility-Undrgrn . 45. . Forms . 4. Electrical-Conduit-Undrgrn _ - . 46. Electrical Bonding - • 5. Steel Reinforce - 47. Rough Plumbing & Pressure Test - +- E `- - _t. _ ' 6. Electrical UFER Gm__ _ ,-. " 48. APPROVAL TO COVER-GUNITE• - - -.--- -- ` --- ,f- 7.. . Footings _ _ _ . . _ _ _ I • 49. Electrical Conduit-Undrgrn . •. 8. -Foundation _. . _ _. - - . 50. Gas Pipe, ❑Undrgrn,Test ' ' - 9. Water Pipe,Undrgrn_ _ 51. Backwash Lines. P-Trap: D'Undrorri .- - - - - - - 10. Structural Floor System _ - _ 52. APPROVAL TO DECK - -" "' - - t'' - - - - 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- I'-,.O 3 fl r `6Y 56. Fencing & Access Approval , •+ 17. Ducts, in Structure _ . - _ 59. .APPROVED FOR PLASTERING` : • `, ' 18. Ducts, Ventilating- _ _ _ _ - . _ � � . _ • 19. Gas Pipe-Rough &Test . - - 60. POOL/SPA SYSTEMS FINAL k ' ' 20. Roof Framing - . '- - . . - 21. Roof Sheathing - !� �.Qp,� Sr) I � • 22. Frame and Flashing . . NOTES: ri R 1a CAL P'f�„tIT 23. Insulation - ' - - eRreslips LA kit. q I- .probe ' �. 'Gzi 24. Lathing &-Siding - . `. - - rL.eo : a'1__ 25. Drywall Nailing -_ . 97-411 -EfooQegiVTNet- €twtETs, /EF7©n'2, 26. Plaster Brown Coat . - /LAAOCCr'J2. -dam . . 27. Electrical Power Meter-Final - _ ' • 28. Final,Electric - - - _ 29. Final Heating & Air Conditioning /D-(-82 a _ 30. Final Gas Pipe-Test . .r 31. Final Plumbing ... ' _ 32. Water Service-Final _ ' - . . , , . - • 33. Gas Service-Final • 34. Solar Domestic-Final - - r' 35. Landscape Sprinkling System - ' 36. Sound Attenuation . • - - - 37. Handicap Regulations - 38. FINAL STRUCTURE & BUILDING • H _ _ - _ 39. Special Requirements Completed 40. Electric Release to Edison - . 41. Gas Release to Southern California Gas Co. , 42. CERTIFICATE OF OCCUPANCY - - No Date - `•`+ � � - .1 s-- - - - -,. - ' Applicant to fill In all spaces within heavy border lines and sign all apRrooriate declarations. CITY OF COSTA MESA PERMIT N . �� TRACT NO. N BLDG.NO. • - CONSTRUCTIONPERMIT Project Address�I 5 �v TYPE OF CONSTRUCTION - ~ . 54• _21 - 5/04/82 7.00 TL, 11 Owner 504G 'l � GT'f � Phone IEW DD ❑ ALTERATION - Address / - 0 REPAIR 0 CONVERSION 0 DEMOLISH \ _ ' ZONING REGULATIONS • Arch/Eng. License No. ❑OTHER ^ A.P. _ _ DESCRIPTION OF WORK Address ' ,, 1 , ZONE PLNG. REF,g• .Contractor Q /4'QiT �y6h/E4S}k(.Pbon Q • TYPE OF PERMIT, ' BUILDING - TTop ggtt�3ILLppING - - I p/� SETBACK5CIL ST. PROPERTY LINE \ Address - et .Z VW-. ❑,GRADING r0 FOUNDATION - 0 STRVC(�URAL'�- -• SIDE YARD - 1 . -, l LICENSE CONTRACTOR DECLADECLARATION " O TENANT 0 ELECTRICAL,['PLUMBING tc CHANICAL/ LEFT YAM.) • ' �JL_. I hereby affirm Dia.! am licensed andel provisions of • err er 9(com- L/ RIGHT mencing with se tion 7000) of ;Divi{ton 3 .f th Bdslness and ❑-OTHER REAR YARD(TO P/L) Professions Cotler. d my_ lite,se itI fog o n �q7J, - ' • I - LI<ens: CI. ` "c.ns. �' �''l'iv PROJECT-DESCRIPTION Date ' t. ature .ILVLJ\' I: : _ .; _ - - _,_ PKG.SPACE REO. PROVIDED - - SO.FT.' WORKERS'COMPENSATION DECLARATION -r - ' '' OCCUPANCY—CONSTRUCTION TYPE :STREET WIDTH PARK FEE E I-hereby-.alfirm that.I have a certificate of consent o self-Insure or-a ':. - ZONE ZONING APPROVED BY ( DATE . ' certificate of Workers' Compensation Insurance, orrptertified copy' - - - - - _ thereof (Sect F• .71Plercr� VN9 :GRDING CU.VOS. - ACRES_- _ _ SPECIAL CO NDITIONS: • -y NO. ompanY A -_ - _ " . - . . artifled copy hereby furnished." -- - REMARKS:' ' - -+ - - - - --. _ �. s;ertl fletl copy is filed with the city Building Division, .. - , EXEMPTION FROM WORKERS' COMPENSATION DECLARATION ' • •. •�� - -' (This section-need hot-be completed if the permit is for one hundred - -_ _ .. - - __ - ,0' _ ($100) or less). • 1 -I - , I certify'thatin the performance of the work for which-this permit IsLU ' _ _ issued, I shall not employ any person in any manner so as to become PMBING --r t PLAN CHECK - - ELECTRICAL PLAN CHECK subject-to the Workers Compensation-Laws of California. UWtLLING- - - GAHAGt Date i Signature BATHTUBS SHOWERS SO.FT Sn FT -- - NOTICE: If after making this declaration, you should becOme'subjecf' •TOILETS . • - URINALS - GENERATOR 0-1 KW_1.1O•KW to the Workers' Compensation provisions of the Labor Code,you must _ - -,-, _ -TTRANSFORMER ' forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS ' 1APPLIANCE -10.50 KW- " 50 + KW - - - revoked. - KIT. • SINKS DISHWASHERS "MOTORS-- 0-1 HP ` -- - •. -10 HP It CONSTRUCTION LENDING AGENCY - hereby affirm that there is a construction lending agency for the per- SERVICE SINKS ( "SVMPS - - Civ. C.formance of the_work for-which_[his_permit-is Issued-(Section 3097- _ _ __ _ - i Civ. C.). • FLOOR SINKS FLOOR DRAINS )FIXTURES -OUTLETS -SWITCHES - - - '• Lender's Name _ " Lender's Address DRINKING FOUNTAINS _-' - - - • GASTUBE SIGNS - ' ' - - -- - OWNER BUILDER DECLARATIONINTERCEPTORS CLARIFIERS - 'POLE LIGHTS- - - - ' ' - - I hereby affirm that I am exempt from.the Contractor's License Law for .'.,1 ., •: .• the following reason (Section 7031.5 Business and Professions Code: SWIMMING POOL PTRAP - "' �Lurvsl xuu ION _ _ _ Any -city.or county, which .requiresa permit to construct, alter,, ,POLES METERED SUB • e - • __ Improve,demolish or repair any structure, prior to its issuance,also re- WATER SERVICE ALTERATION ,PANELS'- ' - MAIN`- SUB - - - " - quires the api.licant_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 1 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 OUTPUTTh-\ ' it;_ 'I -- I- "-.for the_alleged_exemption. Any violation of Section 7031.5 by_ _ _- Ipplicant for a permit'subjects the applicant to a civil penalty SEWER CONNECTIONS_ _ - - - - `- -- - -- at more than_five hundred.dollars ($500). . — ' _ _ - _ L I, as owner of the property,or my employees with wages as their SOLAR TANK COLLECTORS i - - - -- -- --' - sole compensation,-wilhtlo-the'work;and-the structure is not-Intended - _ — _ ___ I or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. Y - ISSUE FEE' - - _ Contractor's License-law does not apply to an owner of a property- II - - - -- - ' rAPPL-KATION APPROVED BY- DATE' I who builds or improves thereon, and who does such work himself or ISSUE FEE t 1 through-hls-own•employees,-provided that such Improvements are not - - ' _ intended or offered for sale. If, however, the building or improvement MECHANICAL, PLAN CHECK ( 1 SUMMA RV OF FEES ' Is sold within-one year-of completion,-the•owner-will have-the burden • - - • - �, _ of proving he did not build or improve for the purpose of sale). (BUILDING" - -- -- - - "- - - - -- 0I, as owner or the property,-am exClusi-vely contracting-with HEATING SYSTEM 0-100,000 BTU .PERMIT_ $ _ _-' - _ ''_b'_ SMTP'_, . E-- - ANDOVCTING ( - - Iicensed_ession dors to construct the,s t_(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 BTU • (PLUMBING $ tracts from such projects with a contrador(s)-Ilcesned pursuant to SYSTEM - - - --" _ - "- -- - - - - - GRADING- S' , the Contractor's License_Law). _ ___ 100,000+BTU 'PLAN CHECK E• ❑ I am exempt under Section B.& P.C.for this - - •' $ n __ _ _ _ BOILERS_ BTU • 'ELECTRICAL $ - reason - - - - • - MICROFILMS I _,�� _-_ SYSTEM REPAIR,ALTERATION .PLAN CHECK -E •TOTAL FEE$Date Owner' "-- MECHANICAL Y- r- - - • ' I hereby certifythabl have read this ap•lica '•n and (tate that the-above EXHAUST SYSTEM _- MULTIPLE • - '' LESS AD- ' 4 - • Information is orre t. I agree to co- p with All city and county - ,�r.���,- j -PLAN CHECK -'§" - - VANCE PC s_ ordinancesan•`tate -w r-lating t. co t uction :net hereby-authorize -e •'• /. • • representative-. •f •t to e - r •n e above mentioned a • a, _, - I property forAi pe s. - •'� - .- - 1 •••w .� § •1�.L , �l— propeUre .� _ - ISSUE.FEE - -' - - -' - -- - - -- - • - CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor as CONSTRUCTION AND PLANNING POOL&SPA ' • ,- • n `,t!,i�i� t:':•: Date . Inspector Date • ,,Inspector APPROVALS Permit# M3131 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 Reinforce. - ' - 47. RoughPlumbing & Pressure Test- - 6. Electrical UFER Grn - 48. APPROVAL TO COVER_GUNLTE _ - _. _ - 7. Footings _ 49. Electrical Conduit-Undrqrn - " ' 8. Foundation 50. Gas Pipe, ❑Undrgrn,Test .7r - 9. Water Pipe-Undrgrn _ _ - 51. Backwash Lines, P-Trap. ❑Undrgrn . . . _ _ . ._ _ .10.• ..Structural Floor System_ - - 7 52. APPROVAL TO DECK - - •• - . - •• -• _11. Property Sevver Line & House Conhection 53. Backwash & Receptor-Final, r . ' . ` . 12.. Street.Sewer Connection _ , - 54. Heater& Vent-Final. - 13. Rough Plumbing - _ 55. Plumbing System =Final - - -- - - • ' 14. Rough Electric-Conduit - , - :56. Electrical-Final , • 15. RoughElectric-Wiring ..- '" , - '' 57. Solar System-Final > " :.; 16. -Rough Heating & Air Conditioning - _ ' _ - b8. Fencing &Access Approval - It 17. .Ducts, in Structure .. . _ . • 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating - . _ _ .. 19. Gas Pipe-Rough &Test ' ' • - ' 60. POOL/SPA SYSTEMS FINAL , 20. Roof Framing - . . _ - ._ - _. _ "' ' 21. Roof Sheathing - - . -_ . ._ _ ' - - 22. Frame and Flashing ..- - . _ _ NOTES: „ , 23. Insulation. _ - _ . - _ -' , 24. Lathing & Siding - . .. _ - _ - _ . . - ' 25. Drywall Nailing _ .- . _ _ - 26. Plaster Brown Coat ._ • e _ . - _. . 27: Electrical Power Meter-Final ._ ._ . -, 28.-- Final Electric - - _ - ' I _ ' ' 29. Final Heating & Air Conditioning . . - _jp-/•y2 , ier _ - , I 30. - Final Gas Pipe-Test. _ - .-- _ ' _ __ + 31... Final Plumbing - • 32: Water Service-Final - - - ' • -33. Gas Service-Final - . .. .. • -. - • • - - •• • •- 34. Solar Domesti&Final '' • •• ,. 35. Landscape Sprinkling System . - ' ' 36. Sound Attenuation , • ' 37. Handicap Regulations 4 + • . . ' 38. FINAL STRUCTURE & BUILDING :+ ,+ i ' - - 39. Special Requirements Completed • ... - 40. Electric Release to Edison . • ' -` - '-- - - 41. Gas Release to Southern California Gas Co. - • _ - - ` 42. CERTIFICATE OF OCCUPANCY - •• ' ry . -- No • Date - • - - - Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. • ,CITY OF COSTA MESAPEX M^IT NO. TRACT NO. ' LOT NO. BLDG.NO. , - ••• - - - • 'CONSTRUCTION PERMIT /V! 3 S /o 9 J•'j- Z • Project Andress 6_'7// ! F Q "Sr ��T,,..[V[yy,�E OF CONSTRUCTION 5B_9O 5/1 4/82 113.00 - • Owner Li/U dtlN / c.;' 9Fti Phone - TNEW -❑ ADD 0 ALTERATION - 'Lip - - n Address _ .' /❑ REPAIR 0 CONVERSION ❑DEMOLISH /�/ - ZONING REGULATIONS - ' Arch/Eng.' - - - - License No. '0 OTHER _• DESCRIPTION OF WORK 1 A.P..t ' _ , Address "i - -- - -- - ,ZONE �PLNG. REF. - - Contractor Syr.PlA Fes)-v- Sc/ll Phone - - - - TYPE OF PERMIT - - - '- - - BUILDING - - - TO Bt. ILDI NG, SETBACK C/L ST. PROPERTY LINE' Address 77g- oBG e c „ce.' - 0 GRADING -'O 'FOUNDATION 0 STRUCTURAL- •.SIDE,rVARD . - LICENSED CONTRACTOR DECLARATION - TENANT ❑ ELECTRICAL ❑PLUMBIN MECHANICAL .,LS IEEDFFE YARD. - - -- - • - - I hereby affirm that I am licensed under provisions of Charter 9 (corn- I RIGHT naming with section- 7000) of (Division-3-of the. Business--and- •-0 OTHER` _ Professions Code,Ano my license is In full force and effe t. - .REAR YARD(TO P/L) -- • , `- CS L PROJECT DESCRIPTION License Class " - ense o. ` . ., /y PKG.SPACE REQ. PROVIDED-•- ; Date r--fl-te Signature' /` SQ.FT. - - - -_ - .- ..- _ -- . - -_ - - • - • WORKERS'-COMPENSATION DECLARATION I. OCCUPANCY '-_CO• NSTRUCTION TYPE - STREET WIDTH _ .PARK FEES __ 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. - • ---. - - _ _ - - ' "SPECIAL CONDITIONS: " thereof(Section 3800, Lab.CJ. • GRADING'CU. YDS. ' ACRES - - ' ertified copy Is hereby furnished- _ _ - _ REMARKS: • d _enfa.?6 z/. - _ -_ • Jerti tied copy is tiled with the city Building Division. - - _ EXEMPTION FROM-WORKERS' COMPENS• ION DECLARATION -- ' ' -- - -• - - - - - (This sectionneed not,be completed if.the-• rmit for one hundre• ($100) or less). • 1 - - . - . . • - " - •_ _. - I certify that In they performance of th' •rk fo//h '� 1 p, ' Is _ Issued, I shall not employ any person .ny f --- o7-•me 'LUMBING - .PLAN CHECK ' -' ' - - ELECTRICAL - -- PLAN CHECK - - subject to the Wo ke7rss. ompensation :ws of 1 f•/ • - - ' i Date J �� Signature _ _ z,/'„ i BATHTUBS - -- SHOWERS ' - - -'SO FT OWLLLIrvG SO FT L - - • -: NOTICE: If after making this declaration, •u shoul. •ecome su•.ect .TOILETS, + ,•URINALS'- - - -- — 'GENERATOR • 0-1 KW_ ___"' KW to the Workers' Compensation provisions of the Lab.. Code,you must • , TRANSFORMER • • J - AI forthwith comply with such provisions or this permi shall be deemed LAVATORIES DOUBLE LAYS - - - 'APPLIANCE ' 10-50 KW_50'+ KW - - - reVOked.__ __ _ _ _ _ , 'CONSTRUCTION LENDING AGENCY KIT.SINKS ' --- - DISHWASHERS - ' MOTORS 01 HP' 1"-10•HP -- - '- ' - I hereby affirm that there Is a construction lending agency for the per- --. -- - -- - - ,(INC.SOLAR) -10-50 HP •_-50-+ HP ' - - for mance of the work for which this permit is issued (Section 3097 - SERVICE SINKS SUMPS'- CIv:C:): - - - --- " - - - -�• FLOOR SINKS -y,' FLOOR DRAINS' - ' - -- ' - FIXTURES"'- OUTLETS - SWITCHES ' - - " •' 1 Lender's Name _ - ' _ -`- -' - - __ Lender's Address . I DRINKING FOUNTAINS 1`- - -' '- GAS'TU BE SIGNS'• - - -s OWNER BUILDER-DECLARATION— --- - - — -. - ,� ` - - - - POLE. LIGHTS - -- I hereby affirm that 1 am exempt from the Contractor's License Law for INTERCEPTORS •CLARIFIERS - "-' "- . '1 the following reason (Section -7031:5 Business-and Professions Code: SWIMMING POOL"` "-P TRAP'- - - -- -- -- Luw§i Kul-nuN.. - Any city or county which requires a permit to construct, alter. POLES METERED SUB- -_ . _ • Improve', demolish or repairany structure, priorto Its Issuance,also re- WATER SERVICE -- ALTERATION- - PANELS - -- -' MAIN-- - - SUB- ---- quires the apt.llcant for such permit to file a signed statement that he , - • • is licensed-pursuant to the-provisions-of the•Contractor's License-Law -- —OUTLETS -- • 'SERVICE .. - (Chapter 9 (commencing with Section 7000) of Division 3 of the GAS-SERVICE L . •--- Business and Professions Code) or that-he-is exempt therefrom and the '-WATER HEATERS- - BTU OUTPUT-, � - - - --- -- - - - - • - - • ) 11&245 for the alleged exemption. Any violation of Section 7031.5 by ' - . - - • S_t applicant for a permit subjects the applicant to.a-civil-penalty SEWER CONNECTIONS -- - -- - - - - -- - -- • - - - - - qa6 -A more than live hundred dollars ($500). • - • , . 1`.,-, as owner of the property,-or niy employees with wages as their- -SOLAR TANK " - - COLLECTORS - '- - - -'- , - - - - - ' - - - - - . - - -r• - , sole-compensation„will<lo-the work, and the structure is not Intended ••_ __ or offered for sale. (Section 7044, Business and Professions Code:The SOLAR PIPING SYS _ 'i - `, f - `- 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 b - - • ;APPLICATION•APPROVED BY-- - -- through his own employees,-provided that such improvements are not ' _ 1 Intended or offered for sale. li, however,the building or improvement _MECHANICAL PLAN CHECK ' •• J Is sold within one.year of completion, the owner will have the burden SUMMARY OF.FEES 'Y.1 •; of proving he did not build or improve for the purpose of sale). 'BUILDING- - - -- -- - HEATING SYSTEM 0-100,000 BTU /S I _ _ PERMIT $ .iSM- 0-I,.as owner-of the property, am exclusively contracting with AND"DUCTING — - ' �} • - - - -- .: - . -- - - - licensetl contractors to construct the project (Section 7044, Business 100,000'+BTU T l' �- (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 0100,000 BTU ;PLUMBING 5 . , , tracts from such projects with a contractor(s) -licesnetl pursuant to SYSTEM - - • - - ' - - - - _ _ 'GRADING $ , the Contractor's License Law). 300,000.+BTU 'PLAN CHECK E _ 0 I am exempt under-Section - - - - - - -'B:'& P'C.for'this BOILERS BTU r - $ ,ELECTRICAL $ reason- • - -- - - - - - ,PLAN CHECK $ - . . -"MICROFILM $ •• ' Date Owner SYSTEM REPAIR,ALTERATION /� • MECHANICAL . - NOTAL FEE$__ ' I hereby certify that I.have rea-- is application and tate that the above EXHAUST SYSTEM MULTIPLE I I E + LESS AD- - . Information is correct. I a• - to,••mply wit : I city'and county �/ PLAN CHECK E - VANCE PC' $_ ordinances and state I. - rye" -..: •ns r -- -• eby authorize_ B,j'Tjy//�/T U A/T.S r - representatives-of 1 • i.' the above mentioned ' �'- ' property for I tir,Pur..- / ' ) !/L- I ' /.— • ure � - - CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor . CONSTRUCTION AND PLANNING -...: - i\ POOL&SPA • . / • Date -- Inspipctor APPROVALS Permit # Pi - b� Date Inspector APPROVALS Permit-#T - - _ _ C 1. Temporary Electrical Service or Pole :1 43. Pool & Equipment-Location - • - - , - - - 2. _Soil Pipe-Undrgrn - 44. Steel Reinforcement _ 3. - Electrical Conduit Utility-Undrgrn_ _ 45.45. Forms •• - - - .- 4. Electrical Conduit-Undrgrn _ , _ - - 46. Electrical Bonding • _ 5. Steel Reinforce _ 47. Rough Plumbing& Pressure Test - - N.- - - 6. Electrical UFER Grn. _ •48:_ APPROVAL TO COVER-GUNITE - - • - - - • . 7. . Footings . . _ '\ 49. Electrical Conduit-Undrgrn - - >> ' 8. Foundation - . _ - 50. Gas Pipe, ❑Undrgrn;-Test ' . • _ • ' . 9. Water.Pipe-Undrgrn_ _-__ _ - -- _ _ - 51. Backwash Lines,P-Trap. ❑Undrgrn- k - ' - - 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. Plutnbinc System - Final 14. Rough Electric-Conduit - - - - 56. sElectrical-Final - . - 15. Rough Electric-Wiring • - - - 57. Solar System-Final . - 16. Rough Heating & Air Conditioning p-.-ID .6---/.1-4-32-- 68. Fencing &Access Appioval , ,, , , _ , . • 17.- Ducts, in Structure . -. . 59. APPROVED FOR PLASTERING'•; ` - . 18. Ducts, Ventilating - . - - _. •-•`,...‘•'., :ate_:_\. - 19. Gas Pipe-Rough &Test - __- '60.. POOL/SPA SYSTEMS FINAL ' 20. Roof Framing - - ' --' - . -- • - _ - . ' 21. Roof Sheathing . . ... . . - • - , 22. Frame and Flashing -- - . - -. _NOTES: -• . , ' . - 23. Insulation - ' - . . - 9- 77,2-: £jnsiycc.4/ /in° 1/424/7-/✓dT/irr0.4457C- c27- 24. Lathing& Siding - - - - jhc/L GYtctc -r.I24 - - 25. . Drywall Nailing . _ _ . . - .. 26. Plaster Brown Coat- - '^ .. .. . _ ' 27: Electrical Power Meter-Final - - . _ 28. Final Electric -- - . - - ' 29. Final Heating & Air Conditioning - - /0'/--82- ,MC- - . - . 3W 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 - .. - . I 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 OE COST�A'MESA PIAMIT yoD2 TRACT NO. ' LOT NO. BLD NO. - ' - ' . - CONSTRUCTION PERMIT 3/ O � r • ' ' '4256 4/06/82 .-- 0 Llden Aye 1 -- 44.00 : IL Project Address _ TYPE OF CONSTRUCTION _ _. ' Owner Sun Coast Developpient Phone/YL 53.1.6 [t NEW D ADD ❑ ALTERATION - 'hag ""' - ' -- J Address 5-100 Caplpus Dr$.ve, Newport Beach 0 REPAIR D CONVERSION ❑DEMOLISH - -- ZONING REGULATIONS ' •Arch/Eng. '- - - - License No. • D OTHER - ' -,` '` _ . _ ?gddress -' -- - DESCRIPTION OF WORK ' new plumbing A.P. ` • ' Tn StA1 l A ti nil _ ZONE PLNG.TogRtE�F. ., `Contractor Leaver tonr$acobs, Inc. Phone 53072624,TYPE OF PERMIT, _ • — BUILDINGCK CIL ST. PROPERTYBUIIINGN E' . Address -12700 A Knott—St. , -Garden Grove 0 GRADING ❑'FOUNDATION 0 STRUCTURALSITE • LICENSED- CONTRACTOR-DECLARATION . : ' 0 TENANT 0 ELECTRICAL RIPLUMBING DMECHANICAL ,SIDE YARD - ' I hereby affirm that I am licensed under provisions of Charter 9 (corn- , I RIGHT •• ' mencing-with section -7000) of ,Division -3 -of the Business and- D OTHER '- - - - .- - -' Professions Code, and my license is in full force and effect.- 1 •REAR YARD(TO P/L) . , • -C-36 . . - .. /. - - 272740 . PROJECT DESCRIPTION ' _ _ - 7 License Class /�J (cense No. 1 - -'.+ . - : - -., - .PKG.SPACE REQ. • PROVIDED . . .. f date 1/ 0/R9 -si na r ref �,je, ,i SQ.,FT.' i _ _ �.... -- - - - - 9 STREET WIDTH PARK FEE WORKERS'-COMPENSATION DECLARATION . OCCUPANCY_CONSTRUCTION TYPE Tr G . I hereby affirm that I have a certificate of consent to self-Insure ora 'VgLUAT10 ZONE ZONING APPROVED BY- DATE - certificate of-Workers'-Compensation-Insurance,-or a certified copy' •_ - •- _.— __ .. _ ._ _ _ - . - � . . . thereof ( 0, Lab.CJ. 1 GRADING CU. YDS. ACRES 'SPECIAL CONDITIONS: - 226f3 -Zenith ''Y-No. Company . . . .-_ .. _ ....._ ertified copy Is hereby-furnished. _ ._ - LREMAR KS:'. . ... S S _ ._ _ - _ .. . _ _ _ _ ._ Certified copy is filed with the city Building Division. R �nj/�,_/ EXEMPTION FROM WORKERS' COMPENSATION DECLARATION' - -C/ -a%(y//-F - ' . ' ' ` (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 PLUMBING -�� PLAN CHECK .-"- - .ELECTRICAL - -- PLAN CHECK - _ " subject to the Workers:_Compensation.Laws of California._ : _ - ...• - .__ UW tLLING - - IH HHGt - - I BATHTUBS 1 SHOWERS 1 ' 6 00 50 FT Sn FT Date Signature • _ NOTICE: If after making this declaration, you should become subject- ' TOILETS., 3)1,4 ,URINALS':: C�' 1-,..'...9 00. GENERATOR., 0-I'KW—1,10 KW. - to the Workers' Compensation provisions of the Labor Code,you must' - _ •_ ,TRANSFORMER - I forthwith comply with such provisions or this permit shall be deemed LAVATORIES 5 DOUBLE LAVS ' - 15 no APPLIANCE - - - 10-50 KW_50+ KW.-- - revoked._._ _ __ . ._ . •• _ .--._ .. _ __ . - - -- KIT.SINKS - `"DISHWASHERS-' - 'MOTORS •- -- , - - - -- - I CONSTRUCTION LENDING AGENCY - 1 1 6 On 0-THP-_T-10 HP I'I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS l d t 1./SUMPS'-v_. .._ - s._..._- - - ((INC.SOLAR) -10-50 HP- •50+ HP--'°1�� - --_ - formance of the work for which this permit Is Issued (Section 3097 - -. - CivrCi:" COIIImeidE Banlc FLOOR SINKS- FLOG R'ORAINS- -- 1• • -" : -FIXTURES' - - OUTLETS- - SWITCHES' "" - _ I Lender's,Name _ - _ _ - Lender's Address 1201 neve- St _NPWpnft Beach - DRINKING FOUNTAINS .'.i. " - - I - - - GAS TUBE-SIGNS-- - - _-__ - '- OWNER BUILDER DECLARATION - - - - --- - - ." - '- -" - - 4- -- -- -'P - - -^ - I'hereby affirm that I am exempt from the Contractor's License Law for INTERCEPTORS CLARIFIERS , . OLE LIGHTS'- • , - , the following reason-(Section•7031-5-Business and Professions Code: '-SWIMMING POOL--'' -" P'TRAP '- - - -- - Lurvoi,II UL I UN -. _ • _ •_ _ _I• Any city or county which requires a permit to construct, alter, POLES . METERED SUB I Improve;demolish'or repair any structure, prior-to-its issuance,also re- 'WATERSERVICE-' '1 'ALTERATION - ? nn -iPAN ELS - - MAIN' - SUB - - quires the ap:licant for such permit to file a signed statement that he ' 1 Is licensed pursuant to the provisions of the-Contractor's License Law- GAS SERVICE 1 "OUTLETS 6 nn SERVICE-----' •" ' - AMP —'-(Chapter 9 (commencing with Section 7000) of Division 3 of the - - _ 1 Business and Professions Code) or that-he-is ionofSection exempt-therefrom and the 'WATER-HEATERS _L BTU OUTPUT SSM - 9 nn: .� - ` h—'s for the alleged exemption. Any violation of Section 7031.5 by -" applicant for-a permit subjects the applicant to-a civic penalty SEW ER'CONNECTIONS '-' at more than five hundred dollars ($500). 1. 1,;.:%,a.`ms`s I}q ••. r.�,,,i, _ _„ •y ' _. _ . _._. L.., 1;as owner of�the prope'rt y-or my employees with is not 'as their -SOLAR-TANK' - - - ---COLLECTORS'- .�; 4 or foation, will do the work,and the structure is not intended _ ' - �- 1 .+-•. 1---, 3 Ic or offered for sale. (Section 7044, Business and Professions Code: The SOLAR P1PIN(ASYS. -ATITOI-WASHT'Ni:`-MA t . Contractor's t_icense Law,does not apply.toowner of a property- - - ,. - - _ _ -••••--•.'• _ O` ' who builds or Improves thereon, and who tlnes oes such work himself orISSUE FEE •I '1 V nn tjAPPLICATION-APPROVED BY--- - --.. - DATE - - ', intended own employees, it, howedver, that such improvements are not _ __ _ _• _ _ _ __ __ _ __ Int entletl or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK I r SUMMARY OF„FEES . ' is sold_within one year of completion, the owner will have the burden - ^V` of proving he did not build or improve for the purpose of sale). ,•' 0000 -- 'BUILDING' ^'- - -- --- ^'- - - - -- -- •� HEATING SYSTEM 0-10BTU I • iPERMIT $ ,SMIP+C, . $• D -owner- of.-the-property,-am exclusively-contracting with licensed contractors to construct the project (Section 7044, Business 100,000;+ BTU • (PLAN CHECK $ ,PERMIT, E and Professions Code:.The-Contractor's License-Law does not apply to - _ -.- .- 49--00.. -_7- 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- - -- - - - - ' - - -- - __ _G GRADING,-' .$1• O the Contractor's License Law). 100,0001+BTU : (PLAN CHECK § j},IJ " 1 ❑ I am exempt under Section" "'- "' - - --'B.& P.-C.for this" BOILERS BTU r ,ELECTRICAL- $ reason -- -- - - SYSTEM REPAIR,ALTERATI "- "' ' MICROFILM'S __-. _ ON - __.. _ - 'IPL'AN CHECK $ _ . .._ _- Date. Owner - - ___ - TOTAL FEE$'• ' I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE ;MECHANICAL' $ I I -) information is correct: I agree to comply with -all-city and county I 'PLAN CHECK' S -"- - - 'VANCE PC $- -- - - - i ordinances and tate laws relating to construction,and hereby authorize I' I /y� represents •f thi city-to enter upon the above mentioned - • ' ' ,i OO propert f.�inspe•��ssrr����y_ p: : _ / _ • f / Sign. ure �. _- __ . .. ISSUE-FEE - .._-_ _ ._ _. - . .. _ _ - . - - -- CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor . . 1 - I r. - • - y CONSTRUCTION,AND PLANNI Ng, r- • "� P 9 POOL SPA , •. . -a�gDate Inspector A - - Date ^ , Insrctor APPROVALS Permit# b APPROVALS. - Permit_#_ .-__ _ _ ' 1. _Temporary Electrical Service or Poled 43. Pool& Equipment Location - --- - - - .-2._ Soil Pipe-Undrgrn /3"f2- 0i-f 44. Steel Reinforcement - . 3._ Electrical Conduit Utility-Undrgrn _ �'. - -. 45. Forms , r - - - - - - -- -- -4 • . _Electrical Conduit-Undrgrn_ __ - - 46. Electrical-Bonding '- - 5. Steel Reinforce. :, :- - ' 47. Rough Plumbing & Pressure Test- __6. Electrical UFER Grn _ _ - 48. APPROVALTO COVER-GUN ITE - • 7. Footings __ _ - ._ - - 49. Electrical Conduit-Undrgrn T • • - 8._ Foundation. ... __ _. _ _ I _ 50.1 Gas-Pipe,,❑,Undrgiln,Test -.9. Water_P.ipe-,,Undrgrn _ ._ . _. . . _ __ - +/9Jj✓7FI 176 51. Backwash Lines, P-Trap, ❑Undrgrn - - -- --- • 10..- Structural Floor System , ', 52. APPROVALTO DECK - - -- _ _._...__. _ - _. _ _ - -- - 11. Property-Sewer Line &.House Connection. - _. _ _ ..._._ -] 537'-"8ackwash & Receptor-Final. 12__ Street Sewer_Connection __._ ', _ . : . _ . - - . . -. 54. - Heater & Vent-Final: ' 13._ Rough,Plumbing ,__ . • ----- . - _,- /'-(t f-ti 7' -- 55 - 'Plumbing Svstem -'Final - --�-'---_. - , _ -- -_ - 14. Rough Electric-Conduit - - . - • - -56. -Electrical-Final -- '• •. 15. Rough Electric-Wiring `- _- - -- - -- 'c ' - -57. Solar System-Final - . • - -. 16.- -Rough-Heating-& Air Conditioning - _. -- - - :7-..=. - - _ _. _.. _ - B• -Fencing & Access-Approval . - ' 17i Ducts, in Structure - ._ -_ . _ _ . _ _. . _ _ 59. - APPROVED FOR PLASTERING , `: ' -18. --Ducts; Ventilating- -- -- - _ _ . _ _ _ ___ __._. - _ , 19. Gas Pipe-RuuyintW-st rayQ/ Sewre2 77/f/Pt. €- --60 POOL/SPA'SYSTEMS FINAL - 20. Roof Framing- - --' - - . ._ _ - .- r. - _.. - . - - -- -„ - .. ,. 'i -. .., 21. Roof Shea " Sheathing - _ --r -- - - - - - - - - - - - : • i - , 22: --Frameand-Flashing -. - - - - __. - __ ":NOTES: _ •. 23. Insulation -- _ _ - _ .._ - _ ._ ! _.. - _.. ' _ _ . - _ __ __ _- _ - • . d , 24: Lathing & Siding _ - - - 25: . Drywall Nailing _ _ .. _ _ .. -- - ' -- n , .: - . .. 26: Plaster Brown Coat - - - - - -. - _. - . 27. Electrical-Power Meter-Final - - _ . . _ _ • ' 28. Final Electric-- -- - -- - - -- _ . . _ . _ . _ _ ._ .. . , . , • 29. - Final'Heating &-Air Conditioning -- -- --- - -- ---- -t -_ . _. _. _ _ _ _ ' - 4 - • 30: Final Gas Pipe-Test _ - -. -__ - 8T3'4- ler - . • _ - . - , l 31. Final Plumbing - _ _ _ /O-/-87c _ - - - - .. , r 32:- Water Service-Final - 77/41/it¢ C-1 _ . - - , • • - 33.. Gas Service-Final - ._._ • ' - . - 34. Solar Domestic-Final '`v. • , --- -- - _ . . .. ' ' . . . • • .: . . . 35. Landscape Sprinkling System - , - - - ., - i 36. Sound Attenuation i - - - ' " - • 37. Handicap Regulations - - . ' ' ' _ ,I 38. FINAL STRUCTURE& BUILDING ' . - _ 39. Special Requirements Completed ' - - - - i 40. Electric,Release to Edison - ' + 41. Gas Release to.Southern"California Gas Co. i - 42. CERTIFICATE OF OCCUPANCY - - , I., . 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. ; BLQ9G.NO. " '- "- • CONSTRUCTqION PERMIT �j�(p/ /i --c2_ • ;.,. 5491 ...,5/05/82 33. 14 TU Project Address old/,5- FrV U • "I TYPE OF CONSTRUCTION ( ���� ' _• -. ,Owner L4c.jNa 'py,r,p,lc_ "'Phone 7s'� NEW ❑ ADD, -0 ALTERATION' ; . Address` - -- -- '- - -. ' ❑ REPAIR•❑ CONVERSION DDEMOLISH - -- _ - -> ZONING REGULATIONS .I ' Arch/Eng. - - - - License NO. ❑OTHER- r __ ___ - .. . • (Ls Address --- - - - - - - - _ DESCRIPTION OF•WORK _ __ . _ . . ,' - _ -- - ",f _ , ZONE PLNG, REF.*•, 1 rao ' Contractor I ' I' -'-' Phone - "' - ' '- •BUILOI NG "- - - T'p g�JILDING - -• - - • - �in.7f<2LrsA+e 7371 1N� Z3f3?,- sTVPE,OF,PERMI,T, I SETBACK C/L ST. PROPERTY LINEI •)'' ( :Address//fQ ti Aa Air/. c'z QA...,‘.e- k ru. Sn D•GRADING. :❑ FOUNDATION 0'STRUCTURAL- - SIDE YARD - - -' _ - LICENSED-'CONTRACTOR-DECLARATION - -- - - - - - -p• TENANT�ELECTRIICAL 0PLUMBING- MECHANICAL LEFT YARD '-- - - - - - - - - - ---• - I hereby affirm that I am licensed under provisions of Charter 9(corn- RIGHT monolog-with'section 7000)-of•'Oivision-3-ot-the -Business and • ❑i OTHER. - - -- - - - -- - _-_- ^ _ - . . Professions Code, and my license is in full force and effect. ,REAR YARD(TO P/L) License Class C -/O nse 3-54= PROJECT.DESCRIPTION , - _ - . _. -_ - _ _ _ 7 , Of 'PKG.SPACE REQ. PROVIDED. 'WORKERS' K ATION - - - ;STREET WIDTH s PARK FEE $ WORKERS'COMPENSATION DECLARATION - ---__ _OCC UPANCY_CONSTRUCTION TYRE, - _ _ 'I hereby affirm that I have a certificate of consent to self-insure or a •' , •_ 'ZONING APPROVED BY . , DATE certificate'of Workers'-Compensation-Insurance,--ora certified-copy VALUATION ZONE - _ :•t th not (Section 3800, 12b'ei Cid�{- `, -J- .GRADING CU. YDS. , ACRES ' SPECIAL CONDITIONS: - - J1I'A'r , No.n -71 /a TO Company Aae-E7 .F/1/5 . - - --- _ ', . . ..� . . - _ _ . _ - - -_ - . — -.. LJ Certified copy_Is filedbwithrthehcity Building Division. - - . REMARKS: -g ••�(�6[� -- - _ _ - µ , - EXEMPTION FROM WORKERS' COMPENSATION DECLARATION' • I _ -- ''I` `" - - "" ' -- -"'— .— - -' - - --,. - - _ ' (This-section need,_not.be completed If_the permit Is_for.one hundred __ . __ _ _ _ _ f s,i- , - .. _ - __ "I'-' I • -($100) or less). r - - h certify-that in the.performance.of..thelwork.for which.this.perm ,it is, -_-.. - _issued, I shall not employ any person in any manner so as to become 1 PLUMBING ;,.. PLAN CHECK 1 ELECTRICAL - PLAN CHEC KJ t subject to-the Workers'Compensation-Laws-of-California. _ _ - _ __ ' ' BATHTUBS SHOWERS - -uWtLLING um It AUL•- cf !Date - ( Signature - • SO.FT �37 SO FT • yS�., •�:? I T NOTICE: If after making this declaration, you should become:subject . OILETS- : _•7, -1 /,'URINALS • - GENERATOR - 0-1 KW 1-10,KW--`-- - { ?T to the Workers' Compensation provisions of the Labor Code,you must _, __ _ TRANSFORMER „ .J - forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE"LAVS --' ', -. 'APPLIANCE"- " '10-50 KW-1.-fl-50'+ KW- - - -,:7-• revoked.- -- —� _ _. "__• . . •, ` KIT.SINKS - DISHWASHERS C CONSTRUCTION LENDING AGENCY c „lc rr•11 i 1 1 hereby affirm that there is a construction lending agency for the per- SERVICE SINKS j,s. SUMPS -`-' - '- --- -(INC.SOLAR) --lO-SOHP-- 54+HP- --- - - , Vormance_of the work for which this permit is issued (Section 3097 _ _ - -.. . . - , Civ. CJ. FLOOR SINKS - • FLOOR DRAINS - ---.-- • - •FIXTURES_- '-OUTLETS ' 'SWITCHES` - ,Lender,sName _ _ - Lender's Address DRINKING FOUNTAINS - ; - -- .GAS TUBE SIGNS'-' '� "` ^ •. --`- `' OWNER BUILDER DECLARATION-- - _.-- • -- - - _" INTERCEPTORS CLARIFIERS -POLE LIGHTS-` -""— -" ' I hereby_affirm that I am exempt from.the Contractor's License Law for 1 I .. . , ,- .r 1 the—following—reason (Section 703r5-Business and"Professions-Code: -SWIMMING POOL • �P'TRAP "-` - -LUNS r<uu IUN-.�._ _ _ __- _ Any city or county which requires permit to construct, alter, ' ;POLES METERED Improvem ,demolish or repair any structurr e,prior to its issuance, - WATER SERVICE ALTERATION quires the ap.licant for such permit to file a signed Statement thathat hehe - - - - _r 1 - =,•-•r% j Is hapten p(commencing comm to the-piths slect bn 17000) tfac[br's` n 3 of Law R "- - - - - r 'SERVICE' ,/nQ��� -' - —AMP- '` ..�i 'Chapter 9- (commenu n9 with Section 7000) of Division 3 of the GAS SERVICE OUIT LETS _ 1 ��; �" Buss and Pro4essions Code) or that-he is exempt therefrom and-the WATER HEATERS BTU OUTPUT - -- '( - '- - --""brii:A-.;ter the alleged exemption. Any violation of Section 7031.5 by 't ' .'- 1 v ^^ - ' ar;^'•^tplicant-for a-permit'"subjects'the applicant'to'a 'civil-penalty' '- '^-- oY_- _. more than five hundred dollars ($500). _ __ I ❑ I as owner of the property, or my employees with wages a-s their SOLAR TANK -----'---COLLECTORS-.-- -, -- - •-- " 'I- -' "— - - " '"" --- -" -'- `----- - q- -�', 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. ISSU EFEE -- - - — - - '- I Contractor's License-Law does not apply to.an_owner_of a property, - ___ -" __ _ _ __ '7.- _ _ J ^"' - _ _ who builds or improves thereon, and who does such work himself or ISSUE FEE I -r APPLICATION APPROVED BY--- '- ----- DATE- -----a through.his own employees,"provided,that-such-improvements.are.not �r • _ _ - - -. " -- intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK • SUMMARY OF•FEES o 1 is sold-within-one year of.completion, the owner_wilLhave_the.burden. ',:i, L f of proving he did not build or improve for the purpose of sale). 1 ,BUILDING' -' ------"^---- - --- --- - - _ 1 HEATING SYSTEM 0_-100400 BTU _ _ _ _ __ _ _ •PERMIT $ _ "I!'•__ __2_^.,`,SMIPO r- •t- •' • _ 01,-as-owner-of-t constperty, am exclusively contracting with _ANDDVCTING - - - licensed contractors to construct the project (Section 7044, Business 100,000, BTU 1 - • IPLAN CHECK $� r-PERMIT•' 1:•!,,r.z= - and sions-Code: The-Contractor's'License-Law does-not-apply to- - ---- -^ -- -ISSUANCE--$ - - - - an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100000 BTU r 'PLUMBING $ tracts from"such-projects with-a contractor(s)•lioesned-pursuant-to- -SYSTEM" - ' '- 0 - "^ - -- -- - -- - - - -- - - -GRADING:.$ ' •E - ) the_ Contractor's License Law). 100,000+BTU PLAN CHECK $••'• ' ' 'l-C, i, t I• r ;; ,•1 u. ❑ am exempt untler Section- B.& P.C,for flits BOILERS BTO - ;ELECTRICAL $ - 3%! T - - �� PLAN CHECK'" _. MICROFILM $- -` SYSTEM REPAIR,ALTERAT,ION t $ '1•r ? - ___ _ _ I _. :_�=TOTAL FEE $' - �MECHANICAL'$ - I Lhermatiortifs[hall-have.read this.ation with all city that the above EXHAUST SYSTEM__ _MULTIPLE __ _ A r .vc• . ,f I'�r' LE55'AD "'•' information is correct. I agree to comply all and count -' 'PLAN'CHECK' $'- — 9 Y - •` VANCE PC' --$1- ' ordinances and state laws relatingt0 construction,and hereby authorize - l ",,• -f• , } _ - representatives of this y to nter upon the above mentioned I - p property .for I ecJ>I uu urpo .- _ I __ FINAL FEE $ ` 3 •� Signature UJ-I' -_. "_ _ _Date of r'g 409 _ - - CMF 086546 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor ' ' CONSTRUCTIONNANDPLANNINGc / . , . POOL'&SPA _ _ L_iyr0 Date Inspector APPROVA• LS Permit - Date . .Inspector" -' APPROVALS Permit# I - 1. Temporary Electrical Service or Pole - 43. Pool & Equip'mentLocation- • -.- r 1 -- -. 2. Soil Pipe-Undrgrn • _ 44. Steel Reinforcement - - - . . .3._ Electrical Conduit Utility-Undrgrn . - _ . . - 45.. Forms• ' _ . 4. Electrical Conduit-Undrgrn _ _ - 46. .Electrical Bonding - . _ _ ' _ 5. Steel_Reinforce - _ 47. Rough Plumbing & Pressure Test. - _ _ .._ 6, _Electrical UFER Grn _ - - - ' ' 48. APPROVAL TO COVER-GUNITE 7. Footings _ - - 49. Electrical Conduit-Undrgrn . - 8.. Foundation __ _ _ :• _ -, ._ - 50. Gas Pipe, 0,Undrgrn,Test t' . , " 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 , • s- . 12. Street Sewer_Connection .. 54. Heater &Vent-Final 13. Rough Plumbing _ - 55 - -Plumhino System -Final - - ,. 14. Rough Electric-Conduit -- - -- - - - -56r - Electrical-Final - . 15. Rbugh Eleciric-Wiring - -- - - 4-/L.-43-2. C,t- 57. Solar System-Final ' - _ 58. .Fencing &Access Approval I 16. Rough Heating-8/ Air Conditioning 9 pp oval 17. Ducts, in Structure _ - '' I I - 59. APPROVED FOR PLASTERING - • ' 18. Ducts, Ventilating . . . _ ' ` - _ 19. Gas Pipe-Rough &Test ' _ _ 60. POOL/SPA SYSTEMS FINAL 20. -• Roof Framing '' - _ . - - _ _ -. -_ ._ - _ - , 21: Roof;Sheathinq ' - . - -'- -` .- - • ._. . . . _ : + • L 22. Frame and Flashing _- . _. NOTES: { - 23. Insulation - ' - _ . -. • . . ._ -_ . -24. Lathing &.Siding - - - - - --- ' . .. - -- - - -. - - - 25.... Drywall Nailing __ _ . _ - _ - _ . _ - . . _ . ' . • ' ' • • 26. Plaster Brown Coat ' ' ' .- - -- .. I-__ . - _ . ,- 27. - Electrical.Power Meter-Final' _ - " • g �3 �tz • t 28. -Final Electric' .. __ _ .. _ _ _ c. .. . 29. Final Heating & Air Conditioning - __ _ r -_ • _ _ 30: Final.Gas Pipe-Test .. ' 31: Final Plumbing _ _ _ _ - 3 - ' • .. 32. Water Service.Final - - _ . _ . • _ - • 33. Gas Service-Final -- - - ' ti . 34. Solar Domestic-Final ' - - - 35. Landscape Sprinkling System - _ - _ _ - - - - ' - 36. Sound Attenuation t ___. - - • . - - - - - , 37. Handicap Regulations - _ _._, It, - • 4 ' 38. FINAL STRUCTURE & BUILDING - - - ' - - - . - 39. Special Requirements Completed- - - - - 40. Electric Release- to Edison - - . . - i 41. Gas Release to-Southern California Gas Co. . r •• 42. CERTIFICATE OF OCCUPANCY . . ' .. i . 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 iso�9tot yq Ioc_ - I • . A.� 3696 3/24/82 338.65 Tl,l 2615 Elden Project Address A7 TYPE OP.CONSTRUCTION . • 'e _ s� Owner T agi,na Pari fir Finan ri al Phone 752-5116 m NEW - 0 ADD 0 ALTERATION Address 5160 Campus Drive 0 REPAIR 0 CONVERSION 0DEMOLISH ZONING Arch/Eng. guy Kiter & Assoc. License No. 000404 0 OTHER • DESCRIPTION OF WORK APS 17')q-hiI '-2rsREGULATIONS • Address � 6306-• et,Cpast i , NB 9206 ZONE &Z, PLNG. REF.$ zB-51 Ise, ell Contracror • Wane Mi•ZQQ(7,TVPE OF PERMIT- „ - BUILDING - • 'a.� Tp gt1l�plrvG •r-� Address' SIOo •n.vl - SETBACK C/1 Sr. fs-' PROPS RTV LINE -alia...L.-�C pus '1J�. L t 0 'GRADING IS FOUNDATION SI STRUCTURAL SIDE YARD r�I&l! . • N LICENSED CONTRACTOR DECLARATION 0 TENANT id ELECTRICAL XPLUMBING ®MECHANICAL SIIDEf YARD 'a. 1 r°.r - - ^ I hereby affirm that I am licensed under provisions of Charter 9(corn- General Building Permit' RIGHT �-s� 1..�� mencing with section 7000) of Division-3 of -the Business -and 0 OTHER g REAR YARD(TO @/L) tad-1W t Professions Code, and my tic is In force and effect. : .PROJECT DESCRIPTIQN • ySI - _ License dais Lic se No. 404995 - PKG.SPACE REG. 2, PROVIDED Z ,5 sG. FT. 1350 rt. Qp N Date"-- -- "Signature n-i Z•r. U ,� .�• `' STREET WIDTH cr on 'PARK FEE E-I ZLQ,...1 ' WORKERS'COMPENSATION DECL ATION �1 OCCUPANCV1l-1 O�STRUCTION�(TYPPE/ Y+7� I hereby affirm that I have a certificate of consent to self-Insure or a VALUATION 1f 0 ZGNG ens- tK- ZONING APPROVED BYOfl2•/{u I DATE ai IIIA)' ' certificate-of Workers' Com nsation Insurance, or a certified Copy --- - - l� ![.•. , '•9reof (Secslo9,3800 Ab- ), GRADING'CU. UDS. ' ACRES SPECIAL CONDITIONS: _ . . :y No. 7/ bl/. -•Company 6e pointer MESSEN/E - - - - - - FOR SP UIRWIlkIYIS' _ertified copy is hereby furnished. _ I- .REMARKS: ^/C .+:"�, tr- Sfr �Q c �O� ' LI Certified copy is filed with the city Building Division. I -' (� / EXEMPTION-FROM'WORKERS' COMPENSATION DECLARATION' Com'_ SAr]r •(i J/al-ire Ale fl#.*. - -- -- - - - -- - - - , , - I (This section need not be completed if the permit is for one,hundretl rf'y �/•G r'a.1 y _ _ sl /{',�o ($100) or less). I - - bJ 7 JI 7C.i 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 CHECK-'- '- - - ' ELECTRICAL - - 'PLAN CHECK r • r subject to the Workers ,Compensation Laws of California. _ _• BATHTUBS - SHOWERS U L INL-/3s' bi M E - yi � �.z-�� Date Signature - _ • NOTICE: If after making this declaration, you should become subject TOILETS. , ,•� URINALS - - ----- ' TRANSFORMER 0-Y KW_1-10 KW � "( GENERATOR - to the Workers' y with up provisions of the Labor Code,ll you must LAVATORIES DOUBLE'LAVS"- r APPLIANCE 10-50 KW + KW forthwith comply with such provisions or this permit shall be deemed -• „ • ._.,- - -_ - CONSTRUCTION LENDING AGENCY KIT.SINKS - --DISHWASHERS-"- ,- r . MOTORS 04 HP 1-10 HP- ' I.I I hereby affirm that there Is a construction lending agency for the per- SERVICE SINKS - ( ,- ,;SUMPS -• �' - - ' '• (INC.-SOLAR). 10-50 HP_50.-/-HP - - r - ) formance of the work for which this permit Is Issued (Section 3097 - a - • ers; • "--' - - " ' FLOOR SINKS FLOOR DRAINS• Vit..- �FIXTURES OUTLETS'- SWITCHES ' - ' - - " • Lender's Name • - CGmme rCe-Bank -. . . - Lender's Address 1601 Dove', 'TUB 92660- DRINKING FOUNTAINS•-' „ `- - -- GAS TUBE-SIGNS--- - ' OWNER-BUILDER DECLARATION - - • - INTERCEPTORS CLARIFIERS- .s POLE LIGHTS - -- '- -' ' I hereby affirm that 1 am exempt from the Contractor's License Law for I ^ the following-reason (Section 7031.5 Business and Professions Code:- SWIMMING POOL' PTRAP' _"-' - - •Lum l.KUI,.i IUN _ __ f 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 - '1' PANELS - '- MAIN -SUB - '- '1 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- - GAS SERVICE' - - OUTLETS I -- " ' SERVICE'" - - - - AMP - ' fChapter 9 (commencing with Section 7000) of Division 3 of the ' (Einess and Processions Code) or that he Is exempt therefrom and the gar€€' for the alleged exemption. Any violation of Section 7031.5 by , *`roapplicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS - - ,- - i - - '' -'--- -- —' ' "-- - " ' . t more than live hundred dollars ($500). - Al I, as owner of the property,or my employees-With wages ai their '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 SOLAR PIPING SVS. 1. - _. - I ISSUE FEE - ' - - ' - ', '-' Contractor's-License Law does not apply to_an owner of a property- _ __ - - APPLICATION APPROVED BY G - 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 - _ _ i Intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK _ _ SUMMARY OF F ES • Irden sd within he did yearof (build porta improve for the r thelll purposeve se Of sale). HEATING SYSTEM 0-100,000 BTU PERMITBUILDING E 4 $MIP' , ?roving•as owner of the property,-am exclusively contracting with AND- DUCTING- - ' - - ��• _ S � 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. -v - - - - - 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 - GRADING -E the Contractor's License Law). 100,000+BTV .•V PLAN CHECK' S� •• , „\ ❑ I am exempt under Section - - - '- 'B.3-P:C.for'[his BOILERS BTU v I 'ELECTRICAL E - - - $ reason-- --. - - - - - - - - - - PLAN CHECK -S Date Owner • ' - i MICROFILM S SYSTEM REPAIR,ALTERATION - S• TOTAL FEE -- ' MECHANICAL.$ I hereby certify th ve read this application and state that the above EXHAUST SYSTEM _ 'MULTIPLE LESS AO- I _ '•_ information i, rre . I agree to co • with all city and county , PL-AN CHEC K •E VANCE PC' SL ordinances and state ws r -tiny, - ?,. ruction,and hereby authorize - , .t represen a this - to �• •r up p0 the above men toned r. p property"for cti.. •.rp• O . . . - -. _ - FINAL FEE E , Drivers^L'icense or 55� ISSUE FEE CMF 0865-46 white-Building;Canary-Applicant;Pink-Accounting:Goldenrod-Assessor ' 307. tCONSTRUCT`IONtAND RLANNING r • POOL&SPA c: Date Inspector' APPROVALS Permit# 'Date Inspector • APPROVALS Permit# aJ •-•11•011 - _ 1. Temporary Electrical Service or Pole r 43. Pool & Equipment Location•,_ 2.2. _Soil Pipe-Undrgrn44. Steel Reinforcement - - - - - -- . 3... Electrical Conduit Utility-Undrgrn _ _ _ _ - 45. Forms •. -. --- . - . . - •- - - • - 4. Electrical Conduit-Undrgrn . __ _ - ' ' _ - 46. Electrical Bonding - - - - -•- - -- - - - - __5_,.... Steel Reinforce _ 47. Rough Plumbing& Pressure Test- '- - - - -- - - - - 6, Electrical LIFER Grn _ _ _ :_ '48. APP,ROVALTO COVER-GUNITE- - • - - . .- _ __ ._: - ._ ti 7. Footings _ _ - _ _ i/2,et -,S' 49. Electrical Conduit-Undrgrn .-••• ' 1__8. . Foundation. _ . ...... - . •---- _ - J•'2!-$t .fir 50.., Gas Pipe,El Undrgrn,Test 9. Water-Pipe-Undrgrn_- _ - . . _ . 51. Backwash Lines, P-Trap, L'Undrtirn- ' - •7 . 10. Structural•FloorSystem _.. __ _ - • --• • - 52. APPROVAL TO DECK - -"- "- - .. 11._ Prr�fjoperty Sewer Line & House Connection . . - . 53. .'Backwash & Receptor-Final .. ' 9I3t"R6B'ti iti kri Y:ACt. Mtn_tt-LD - ... 54.- Heater & Vent-Final' _ _- _ _- __- -9._ ._ _ - ' 55.- Plumbing System - Final - - 1 14. Rough Electric-Conduit 1 • - - • - •56. -Electrical-Final -• . - • ' • - 15. Rough Electric-Wiring - - - ' - = - - - - - •• •57.- Solar System-Final " . ' . , " ' • 16. - Rough Heating & Air Conditioning -- - - .b8. Fencing &Access-Approval i - - 't"• I ' 17. Ducts, in-Structure_ _- - - ' . __ - 59. APPROVED FOR PLASTERING . . , '18:---Ducts; Ventilating - • 1. _ _ . . .. . . . 19. Gas Pipe-Rough &Test ' 60. POOL/SPA SYSTEMS FINAL, i. 20: .Roof Framing _-. - - - - - M 21. Roof Sheathing "` -- - . - S-7,44 - -- D5 . 22. - Frame and Flashing ' - _ - - - 2 c,� •NOTES: -_ -'. ., ` - . -. . ' 23:- Insulation - - •- --- �"'�3'b"<_ . 5 DRy VAR A'-STAN•aPJPE MO -/DEtM IT- AP-ti-8Ztj - 24. Lathing & Siding _ _ "a�'a� .1 . - - •- -_ - - - - .. it � , 25: Drywall Nailing _ _ _ • 265 . Plaster Brown Coat. _ - - - - - --- _ __ _ _ _ _ _ - 27i Electrical Power Meter-Final - - . - _ . _ _ - _ _ _ ___ _ - - - .. _ i-28: Final-Electric- - - - - - - - - • - - --- - - - - • - . - - - • __ - . . • - - - . , ' 29:--Final'Heating & Air Conditioning. _ _ -- _ _ - .. .. '_ - •. - - . v 30. Final.Gas Pipe-Test . . _ ._ - - .. - . ' -_ - fi 31: Final Plumbing. -- -- _ .. - . . . • - 32: Water Service-Final- -- _ . - ! - . . • ' ' - 33: Gas Service-Final - . - • - - - - - • • - 34. Solar Domestic-Final 'I'. ' ' ' ^• - • - • - - u 35. Landscape Sprinkling System - '- yyy 36. Sound Attenuation - -- - '•'' a 37. Handicap Regulations - " - - ' ` ' ' 38. FINAL STRUCTURE & BUILDING • - II-q_RL - tS .. - 39. Special Requirements Completed - " i-f�y'69 afct�el, ' ' _ 40. Electric Release to Edison - - - '; 41. Gas Release to Southern California Gas Co. - - •• 42. CERTIFICATE OF OCCUPANCY - - ' No._- Date - =Emir - -- Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. - i CITY OF COSTA MESA- PE MIT NO. - • TRACT NO. LOT NO. BLyy,,G.No. • 4.4.3.0 _ 4_/09_/82 '5.00 TL1 CONSTRUCTION PERMIT /'�.-.3.433 {f - , Project Addresse26j el�.E� �f� TYPE OF CONSTRUCTION _ • -1 Owner SG)," (ST Da, Phone 75-7-5-V68-NEW 0 ADD 0 ALTERATION . . AddresSin)/447- peeAre - 0 REPAIR ❑ CONVERSION 0 DEMOLISH _ • rr�� 0 OTHER ZONING REGULATIONS _ v/O Arch/Eng. - - License No.- _ A.P.) DESCRIPTION OF WORK t ' \ Address - , - - ZONE PLNG. REF. est _ -• ContrectoriUIQ � _•J.4Cc2- Phone s-�n��/'yTYPE OF PERMIT - • - BUILDING ] g I l G - h SETBACK CA..ST. Xf30PVR'fYLINE , 1 _ ' Address - ❑GRADING ❑ FOUNDATION - ❑ STRUCTURAL- -SIDE YARD - ., LICENSED CONTRACTOR DECLARATION - • '❑ TENANT ❑ ELECTRICAL PLUMBING ❑MECHANICAL •LS IEDEE YARD • ' I hereby affirm that I am licensed under provisions of Charter 9(com- • . I RIGHT - , mincing- with section•7000) of Division 3 of the Business and 0 OTHER: " REAR YARD(TO P/L) Professions Code .and my license is In full force and effect. pROJECT.DESCRIPTION SeLicense Class `� ea Lice. ' 4' - PKG.SPACE REQ. -' PROVIDED - baate 4/-9" 2a• __Signatu'W--+_ _ _"._� SQ.FT.1 - -. . . . ,/ _ - WORKERS'COMPENSATION DEC ARATION 'OCCUPANCY_CONSTRUCTION TYPE /C�S STREET WIDTH" _ .,PARK FEE'S .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 . --_ - _ - veof (Section 3800,Lab. C.). I - GRADING CU.,VDS. ACRES' - • •• - - ' SPECIAL CONDITIONS: • .:edified copy ishereby furnished. _ . _ __ -._ . C. ' REMARKS:[:Cf .- jl- - -_ - _ _ fil - _ - ---_- _ - - _ --. - - ' ' •_""' • _ ❑ Certified copy is ed with the city Building Division. -' EXEMPTION'FROM'WORKERS' COMPENSATION'DECLARATION - --- - - - - •--- - -- -- -- ,ii � � ~ - (This section.need hot be-completed if the_permit is for one hundred • , • (5100) Or less). I _ . . _ __ - . - . _. _. . . - - _ __---- _ 'I certify_t hat in the"performance of the work for which this permit is - issued, I shall not emy ploany person in any'manner so as to become •'PLUMBING ,,- '" - ,-PLAN-CHECK - - - - ELECTRICAL - PLAN CHECK -- -- - i subject to the Workers'Compensation Laws of California. - - _ _ uw LLLIN _ - - BATHTUBS - --SHOWERS'"'--- - - - c.A RHt.t- - Date Signature _ . ' SQ FT SO FT - -- - - NOTICE: If after making this declaration, you should become subject TOILETS,. , , , URINALS - - • - - 'GENERATOR 0-1 KW=1-10 KW- - - - to the Workers' Compensation pro Jlsions of 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 - - __ _ 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 +HP. ' ' formance of the work for which this permit is issued (Section 3097 - - -- Clv. C/0 e�es �yK� - -•' 'FLOOR SINKS' -• "FLOOR DRAINS- -• -1- - - - FIXTURES- - OUTLETS-- SWITCHES • - - -- I Lender's Name _ �( C� 'Lender's Address a ,-z D% ,000L5r %-49C1C// ser 410RINKI NG FOUNTAINS' ,- -- ' --- - s - - - GAS TUBE SIGNS -- - -. _ - - _ - OWNER BUILDER DECLARATION - - INTERCEPTORS - CLARIFIERS- - •-- t - IPOLE LIGHTS - - -- - • I hereby affirm that I am exempt from the Contractor's License Law for .- - z" 1 the following reason (Section 7031.5 Business and Professions.Code: SWIMMINGPOOL- -P TRAP - - - - •t-uNe l Rut-I wig ,-- , Any- city or county which- requires a permit to construct, alter, POLES - METERED - SUB , Improve;demolish or repair-any structure, prior to•its issuance,also re- WATER SERVICE -ALTERATION- - - - PANELS-• - MAIN - SUB . quires the ap.licant 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 ' ' ._ -- -s'- - - SERVICE - - -• - AMP (Chapter 9 (commencing with Section 7000) of Division 3 of the - I F-•iness-and-Professions Code)or that he is exempt therefrom and the -WATER-HEATERS - --- 'BTU OUTPUT - - - - - - - • -- - . - _ ' for the alleged exemption. Any violation of Section 7031.5 by - . _ applicant for-a- subjects theapplicantto a civil penalty (SEWER-CONNECTIONS- - - -- --- '2 oc - -• - -. - - -- - -` - -. { dot more than five hundred dollars (5500). - • ❑ I as owner of the property,or my employees with wages as their' SOLAR TANK-- ' - ' COLLECTORS- - • - • - -- -- - -- - -- - -- . _ __ . • sole compensation, will do the work, and the structure Is not Intended ISSUE FEE or offered for sale. (Section 7044, Business and Professions Code:The - SOLAR PIPING'SVS: - - - _ --- -- -- • - - - - - - 1 Contractor's License Law does not apply to an owner of a property -�� 9t� APPLICATION APPROVED BY.- - _ • DATE _ who builds or Improves.thereon, and who does such work himself-or - ISSUE FEE , - - - - , through his own employees, provided that such improvements are not _ intended or offered for sale. If, however, the building or improvement - .._ - - -- - . A - -- is sold within one year of completion, the owner will have the burden MECHANICAL - PLAN CHECK • - SUMMARY OF FEES - of proving he did not build or Improve for the purpose of sale). - ' - ' -' - - - ,BUILDING- - - -- - _ - -_ ❑ I, as owner -of' the property,- am exclusively contracting with HEATING SYSTEM 0-100,000 BTU PERMIT S • SMIP,1 S AND DUCTING 4' - • - • _ ... licensed contractors to construct the project (Section 7044, Business 10Q000,4 BTU I PLAN CHECK E PERMIT and-Professions Code: The Contractor's License Law-does not apply to _ _ C O� _- ISSUANCE E.• an owner of property who builds or improves thereon,and who con- REFRIGERATION 0-100,000 BTU - PLUMBING $ V - tracts from such-projects with a contractor(s) licesned-pursuant to SYSTEM - - _ _ _ - " GRADING S' the Contractor's License Law). 100,000;+ BTU r ,PLAN CHECK S - - ' CI I am exempt under Section - -- -- '13:5-P.C.for this- - -- - -- - - - . - - - - f E _ BOILERS BTU -ELECTRICAL $ Treason - - - _ _ - - t '- ' `MICROFILM'S i - SYSTEM REPAIR,ALTERATION �PLANC HECK E - - , - - Date Owner -MECHANICAL E--" • _TOTAL FEE E ' t - I I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE LESS AD- information 'is -correct:, agree to'comply with-all city-and county - f, PLAN.CHECK- $ VANCE PC- S_ ordinances and state laws relating to construction,and hereby authorize • represenlatl f this city to enter the-above mentioned _ - _ _ pro pertspe ///y.�s�o�s'S Q 2 , Signal �5g� - -ISSUE FEE - . . ._ _ - _ _ _ CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor ilMENI • • :Y - CONSTRUCTION AND PLANNI POOL& SPA APPROVALS Permit# Date Inspector APPROVALS -• . ..` Permit# Date - Inspector 1.. Temporary Electrical Service or Pole _ , 43. Pool & Equipment Location 2. .Soil Pipe-Undrgrn _. - _ 44. Steel Reinforcement - - - - _ - ' -3. Electrical Conduit Utility•Undrgrn . 45. Forms • 4. Electrical Conduit-Undrgrn • ' . _ 46. Electrical Bonding., -- - 5. . Steel Reinforce - 47. Rough Plumbing & Pressure Test - - 6. . Electrical.UFER Grn .- 48. APPROVAL TO COVER-GUNITE - 7.- Footings - - 49. Electrical Conduit-Undrgrn 8. Foundation •• . - 50. Gas Pipe, ❑Undrgrn,Test - 9. Water Pipe-Undrgrn . 51. Backwash Lines, P-Trap, I Untirarii -` 10. Structural Floor System 52. APPROVAL TO DECK - 11. Property Sewer Line & House Connection. - 7 53. Backwash& Receptor-Final 12. Street Sewer-Connection • y� 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 - 68. Fencing &Access Approval 17. Ducts, in Structure - 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating - - 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL • 20. Roof Framing - • . • 21. Roof Sheathing. • , 22. Frame and Flashing • - - - NOTES: 23. Insulation - . - 24. Lathing & Siding - - - - - - - - 25. Drywall Nailing - - 26. Plaster Brown Coat 27. Electrical Power Meter-Final - - • 28. Final Electric - 29. Final Heating & Air Conditioning - 30. Final Gas Pipe-Test - - - - • 31? Final Plumbing • . - . - .. . 32. Water Service-Final -. - • - , 33. Gas Service-Final - - 34. Solar Domestic-Final - • 35. Landscape Sprinkling System -- 36. Sound Attenuation - •• 37. Handicap Regulations - • ' •" - • - 38. 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 - - - - - CITY OF COSTA MESA - 4. ►9 BUILDING DIVISION j. ..4r DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMBER F t /; / PERMIT %mamma" / M01-Df c77 (714)754-5273 • Fax(714)754.4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 MECHANICAL PERMIT Job Address: 2615 ELDEN AV Status: ISSUED Suite No Applied: 11/30/2001 Issued: 11/30/2001 Vicinity: UNIT 3 Parcel Number: 93009190 ISSUED BY: .._4(_• Applicant: MARQUEZ, DAVE" / . , Address: 10537 DALE AVE - , 7 Phone: (714)523-9219 - STANTON,CA - Zip: 92626 - Owner BROOKS, SUSAN Address:/ 2815 ELDEN AVE, - ' v UNIT 3' / I - Phone: (949)514-0097 - , COSTA MESA,CA Zip: 92626 . - •Contractor: 'SONSHINE PLUMBING INC , Address: 10537 DALE AVE Phone: (714)523-9219 STANTON,CA , Zip: 92626 License:550716 , SCOPE OF PERMIT , '. ' FAU CHANGEOUT - FEE SUMMARY . Quantity - Quantity ISSUE FEE $23.50 Repair/Alt Absorbtion Unit $0.00 0 Inst FAU<100 k BTU $14.80. 1 ' ' ' - Repair/Alt Refrigeration Unit $0.00 0 Inst FAU>100 k BTU $0.00 0- Ventillation System $0.00 0- Repair/Alt Cooling/Heat $0.00 0 - - Evaporative Cooler $0.00 0 Inst/Rep.Recess Wall Htr $0.00 0 Commercial Incinerator $0.00 0 Refrig Sys<100 k BTU $0.00 0 Domestic Incinerator $0.00 0 Ref rig Sys>100 k BTU $0.00 0 Compressors/Absorption Systems Gas Piping $0.00 0 Up to 3 hp/100 k BTU $0.00 0 Factory Fireplace , , $0.00 0 ' . 3 To 15 hp/500 k BTU $0.00 0 Flood w/Mech Exhaust $0.00 0 _ ' 15 To 30 hp/1,000 k BTU ' $0.00 0 VAV Box ' $0.00 0 30 To 50 hp/1,750 k BTU $0.00 0 Vent Fan/Single Duct ,$0.00 0 . Over 50 hp/Over 1,750 BTU $0.00 0 Appliance ' '$0.00 0 Boilers Fire Dampers ' - -$0.00- 0 Up to 3 hp $0.00 0 Smoke Dampers . $0.00 _0 3 To 15 hp - - ' . $0.00 0 Inst or Relocate Appl Vent " $0.00 0 - • .15 to 30 hp - - $0.00 0 Air Handlers< 10000cfm N, , $0.00 0 ' - 30 to 50 hp ' , , "$0.00$0.00 0 Air Handlers> 10000afm, 50.00 0 Over 50 hp ' $0.00 0 Floor Furnace $0.00 0,_ Other Mechanical Fee Floor or Suspend Heater N . $0.00' '0 / - . Investigation Fee ' $0.00 Plan Check Fee / - , $0.00 Reinspection Fee $0.00 TOTAL CALCULATED FEES $38.30 COMMENTS/SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord.No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain Inspections and final approval will result In the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446.46(6/00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: ' . • I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. • >-'g=I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit Is issued. My workers'compensation Insurance carrier and policy number are: Cartier:— r KJ O P 12.1 N 1t Y POI1cy Number. N W C a I1aei.41-00 (This section need not be completed if the permit Is valued et one hundred dollars($100)or less.) - 1 ❑ I certify that in the performance of the work for which this permit is Issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Coda,I shell forthwith comply with these ovisions. n Applicant Signature:- ,Q - .. Date: U-30,e7 ( WARNING:FAILURE TO S RE WORKERS'COMPENSArt4 RAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL RNES UP TO ONE HUNDRED THOUSAND DOLLARE($100, ),IN ADDITION TO THE 00,:' i,-:•- PENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3708 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 end effect.1..V-If^. 'CO 7 Co Claliq.w 70 3 C. Contractors Signature:_ ow S,1/l.1 �.✓ [a,� Date:-- 1 I -I O ^o t r--___ /U� I - CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097,Civil Code). Lender's Name: Lender's Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a pem+' subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure IS not intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Driver's License No, Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet In depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,Califomia Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). _ _ 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the Califomia Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application appermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes U No (Section 65850.2 of the Califomia Govemment Cade requires that the requested information be furnished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If'yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency Is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (if yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described properly for inspection purposes.I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Si nature Of Legal Owner(s) Date afiteL k. An Qf.Aalh dz plicent - j Date CODE r INSPECTION1YPE PATE 10316L1 LODE( INSPECTION TYPEI� LAZE 1616 Fixed System Final Fire Prevention 206 Final Mechanical 12`7 -Of N 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy • - - Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY'OF COSTA MESA-- PERMIT N ^' - TRACT NO. LOT NO. BCp G:NNqq ' - - - - - - • • • CONSTRUCTION PERMITp3�Go J. J I • ; Project Address ac i s- • E06,0 U c TYPE OF CONSTRUCTION ' - . _ 5492 , 5/05/62 33. 1 4 TI-' Owner L.964N0 PA-c.rsC Phone 7S2531� f'��(j/'-a�I�NEW - ❑ ADD '❑ ALTERATION `•'�Jl ' - - _ - • . Address - - - - - -- LJ REPAIR-❑CONVERSION' 0 DEMOLISH • ,O Arch/Eng. ... - License No. -- • ❑OTHER_ '• ZONING REGULATIONS , - DESCRIPTION OF WORK A.P.$ ' ,"Address . . -- . _ - . . . - _• - - • . _ _ ZONE -.PLNG. REF.vit f2Contractor 77�/& tie�4T,,c. �",1;,, --'Phone 7772.337 TYPE OF PERMIT -u -- (BUILDING • W ' k?ING - `O Address /s __ SETBACK C/LST. _ _ �fEOERTV LINE • 1l�0 N.16v.,e en Ue✓ar k ANAseI^ 0 GRADING ❑ FOUNDATION 'SETBACK - SIO YARD - LICENSED CONTRACTOR DECLARATION - - - ❑TENANT��./LELECTRICAL OPLUMBING ❑MECHANICAL LSi fl YARD - - - - . - . - 1 I hereby affirm that I am licensed under provisions of Charter 9(com- / •• . RIGHT •' •' N mencing with--section 7000) of Division 3 of -the Business and ❑OTHER- - - - - - - - ' Professions Code and my license is In full force and effect. 'REAR YARD(TO P/L) r Ucenso Class - , c-- e: 7 PROJECT DESCRIPTION _ _ - LLJSnse N •PKG.SPACE REQ. ..PROVIDED Daie S-S-K3 - : Slvnitt re .�'7 t a.-•-�• SQ.FT� .- -, - _ _ . . •_ _ • • WORKERS'COMPENSATION•DECLARATION .. - '.OCCUPANCY—CONSTRUCTION TYPE STREET WIDTH PARK FEE.E _ -I hereby affirm that I have a certificate of consent to self-insure or a VALUATION - ZONE ,ZONING APPROVED BY - DATE certificate of Workers' Compen anon Insurance, ora certified copy - - - - -' - _ _ ' SPECIAL CONDITIONS: thereof(Section 3 00, Lag.�C.)' •r ,s -r• GRADING CU. YDS. ACRES - - • ` "'c Noi�.�•�/ /.9'K7� moa nY �/�LsEy SYS' _ _ :ertified-copy is hereby furnished. - -._ . • - - REMARKS: •'- ' -KN _ _ _ _ • ' ' _. Certified copy is filed with the city Building Division. N�' tv- 7 - e EXEMPTION-FROM WORKERS' COMPENSATION'DECLARATION • -' _ - '- ---• - - (This section need.not.be completed If the permit_is for one hundred _ -._ _ __._ _ _ -. + _-'r t : _-_ _ — •_ _ ' _- I ($100) or less). - . - I.certify that in the performance of the work for.which-this.permit it issued, I shall not employ any person in any manner so as to become ' PLUMBING' I. .s : - • PLAN CHECK-- ELECTRICAL- - PL-AN CHECK - "• subjectto.the Workers Compensation Laws oLCalifornia. -:. _ : - _ _ - �n Date Signature BATHTUBS -- SHOWERS - - itF t IN`731- _ Srt FT E_ US, - ear /`7 , NOTICE: If after Making this declaration, you should become subject .TOILETS, . • -• (]•PURINA L'S - - - GENERATOR' 6.1 ICW_.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 -- -r- APPLIANCE- --10-50'KW_50+ KW - - - - 'revoked.. a ._ _ _ _ _ CONSTRUCTION LENDING AGENCY 'KIT.SINKS- - - DISHWASHERS-- j' --_ - ' MOTORS I hereby affirm that there Is a construction lending agency for the per- SERVICE SINKS ;SUMPS -- - - ' _ --- (INC.SOLAR)- 10-50 HP_-50 HP - - - --1”-1 -- 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 - -- -r ' -- - -' ',GAS TUBE SIGNS" - --- - • - - - - - OWNER BUILDER'DECLARATION' - - - - INTERCEPTORS CLARIFIERS lPOLE LIGHTS" - ' - -" -- I hereby affirm that I am exempt from the Contractor's License Law for • •' the-following reason (Section'7031.5-Business and- Professlons-Code: SWIMMINGPOOL" ' --P TRAP- ' - -- t" -. LUNGrMULl.;LIN - . 1 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 quires quires the apaicant for such permit to file a signed statement that he - - is Iicensetl'pursuant to the provl5of't he'Contra Contractor's License law - A GS SERVICE OUTLETS -J-f ' -i.. -l-a- td�- '.SERVICE' Section (Chapter 9 (commencing with Section 7000) of Division 3 of the ''-'s ss-and Proresd exeCotio or that he Is exempt therefrom and the' WATER HEATERS - BTU OUTPUT •--IS for the alleged exemption. Any violation of Section 7031.5 by .t '• applicant for a hundred ts-the applicant-to a civil penalty SEWER-CONNECTIONS - "-_ "- - - - '- ---- -"- - -- - - - --'• - ot more than five hundred dollars ($500). •+- -••-I lam. I, as owner of the pioperty,or myemployees with wages Is their 'SOLAR TANK` -- ' `COLLECTORS' '-" 'I - '' '-^-' - _ --" - -' - - - _ - 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. 11 -ISSUE FEE- --. ' ' ' Contractor's.Llcense Law.does not apply to an-owner of a property. _ .- __ -- _ - ----- - -- APPLICATION APPROV ED'BY - - - DATE who builds or improves thereon, and who does such work himself or •ISSUE FEE ' - through his-own employees,.provided_that such.improvements are not_ intended or offered for sale. If, however,the bonding or Improvement MECHANICAL PLAN CHECK • • _ _ _SUMMARY OF,FEES - Is.sold vi thin one year of completion, Ihe_owner will have the burden- .rf• J -' of proving he did not build or improve for the purpoie of sale). •• �• BUILDING - --- -- - ' - - -- - HEATING SYSTEM 0-100,000 BTU I -PERMIT $ SMIP' .$_ ' 0•l,-as owner •of the• t Y;eam-exclusively contracting-with• AND DUCTING- - -' ' - '- " "- - - •"---- --- - --- - - - - - - -- licensed contractors to construct the project (Section 7044, Business 100,000+ BTU i PLAN CHECK $ . PERMIT _I and-Professions-Code:ownerThe 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) licesned pursuant-to- SYSTEM -- - - - -• - - - -- - - . - - - GRADING S. the Contractor's License Law). - 100,000;7 BTU I :PLAN CHECK $ (,�/ i.;; - 1. ❑ I-am exempt under Section - --' - ` 'B:&-P:C.for this BOILERS BTU ELECTRICAL $--33•/ •/ , ' $ reason. _ - - - _ --. . 'MICROFILM $ fr SYSTEM REPAIR,ALTERATION PLAN CHECK E- , Date - Owner _ TOTAL"FEES ' MECHANICAL $ '- - Ihereby certify that I have readafire this application and state that the above EXHAUST SYSTEM _ MULTIPLE "'(LESS AD- - - Information is correct. I agree to comply with all city and county - PLAN CHECK-$ " - VANCE PC 'E_ • i ordinances ans_stale laws relating to construction,and hereby authorize ( representatives representatives of this ly to enter upon the above mentioned - - ' / Property for I e to urp s, I y� q� •.9.' FINAL FEE E. 33. /S' Signature (o ( ��j Date S-S'-1(1 - -- Drivers' License or SS / ISSUE FEE - - - - - - - -• - - - - _ _ CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING // POOL& SPA APPROVALS '. •• Permit# -3yby Date Inspector APPROVALS Permit Date Inspector " 1. Temporary Electrical Service or Pole • 43. Pool & Equipment Location ' - ' 2. Soil Pipe-Undrgrn _ 44. Steel Reinforcement - . 3. Electrical Conduit Utility-Undrgrn 45. Forms - • 4. Electrical Conduit-Undrgrn .•__ _ _ . - - 46. Electrical Bonding - 5. Steel Reinforce - - 47. Rough Plumbing& Pressure Test - -. - 6. Electrical UFER Grn_ "48. APPROVAL TO COVER-GUNITE • •-- -• • ' 7. Footings 49: Electrical Conduit-Undrgrn 8. Foundation _ 9. , _ - 50., ,Gas Pipe, ❑Undrgin,Test •' . 9. Water Pipe;Undrgrn _ . .. __ _ 51. Backwash Lines. P-Trap;- ❑Undrgin • 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 - ' - • - - - 55 Plumbing Svsfem - Final . _` _ . • - - • ' 14. Rough Electric-Conduit - • --• - •-56. -Electrical-Final 15. Rough Electric-Wiring - • - - . re-/4,.c92 • 0 C - 57. Solar System-Final 16. Rough Heating& Air Conditioning - - bb. Fencing & Access Approval 17; Ducts, in Structure _ _ . . • - 59. APPROVED FOR PLASTERING • . . • 18. Ducts, Ventilating . - . ' _ , _ _ ' • _ - - - .- . 19. Gas Pipe-Rough &Test - .• - . _. . . . ' 60. POOL/SPA SYSTEMS FINAL - - • 20. Roof Framing .. - ' ' _ 21. Roof Sheathing - - - - - . - __ - . - - 22. Frame and Flashing _ . __ _- -- ' NOTES: ' - , - . , 23. Insulation - - - . . • _ _ . _. _ - _ __ . . • 24. Lathing & Siding - _ - .. _ - - ._ . --. - - 25: Drywall Nailing _ ._ - • - ' 26.. Plaster Brown Coat . - - . ._ . . - - - _ • - - . 27. Electrical Power Meter-Final - ' 28: Final Electric . _ __ . . - .1.-a•s3-•t2_ ' C� -- _ _ 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 1 -- - • - - 'c 37. Handicap Regulations - I _ - • - - .. - ' 38. FINAL STRUCTURE & BUILDING 'I 'I -I• • • - --- • 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. OT BLDG.NO. • CONSTRUCTION PERMIT X50 Project Address'//_/L� � 1\ TYPE OF CONSTRUCTION . - 5422• __ 55/04/822 7.00 TL! Owners)a CC;J�e14• fS7 "Uf • `�j : Phone LI'raEW 0 ADD 0-ALTERATION L ' )(y'.� ' Address - - 0 REPAIR 0 CONVERSION 0 DEMOLISH �L(� . !1 •ArEh/Eng. - , License No. 0 OTHER •A.P. P ZONING REGULATIONS ; �b` Address • • DESCRIPTION OF WORK • (7 1 I ein s% 'ZONE PLNG. REF.qp Contractor ppLL// f/J-cG/•�/ Phon TYPE OF PERMIT • ' To Nk-P G SETBACK C/L ST. PROPS RT�LINE Address L744 f • - .1:424)Kt ❑GRADING 0 FOUNDATION 0 SURAL IDF YARD LICENSE&OONT CT R DECLA- • 'ON ❑TENANT ❑ ELECTRICAL ❑PLUMBING MECHANIC SID YARD • • I hereby affirm that I am licensed under -rovlsions o/ Char : : (corn- STRUC • RIGHT ,;•. , mencing with sec • 7000) of Divisi:n 3-of t e B - n: s and ❑ OTHER - - - - '- Professions Code,, '. my Iicen • is 'In full f- �1 L • REAR YARD(TO P/L) ,5 . i` PROJECT DESCRIPTION Llcens Co- se o., - _ PKG.SPACE REQ. PROVIDED' Dat- Ceni •nature •%OLL.A1•A_ —IA SQ. FT. STREET WIDTH PARK FEE$ WOR* ERS'COMPENSATION DE LARATION - OCCUPANCY_CONSTRUCTION TYPE I hereby affirm that I have a certificate of consent to se -insure,or a VALUATION ' ZONE ZONING APPROVED BY • DATE • thereofcertificate(SI WorkOeis• Compensation pany In yaae,-or a e titled copy GRADING CU. YDS. ACRES - • G.�/ SPECIAL CONDITIONS: - 'cy No entified py-is ereby furs shed. • -- - -- ^--- REMARKS: ' -• -- • - - -- - '• ' , ertilied copy is filed with the city Building Division. �J �s Q `_ 1 EXEMPTION FROM WORKERS' COMPENSATION DECLARATION 1 4 __d---L 4.J , -' ' - - — - - - - -- ' _ (This-section need•not-be completed if the permit is for one hundred _ _- , — __ __. __. __ _ _ - __ - T_ _. ($100) or less). - I certify that in-the performance of theworkfor which this permitjs _ _ _ _ _ __ - _ • issued, I shall not employ any person in any manner so as to become • PLUMBING ,PLAN CHECK - - ELECTRICAL PLAN CHECK, I. subject to the Workers Compensation Laws of California.- - s BATHTUBS SHOWERS - .UWtLLINw • - • OARAbt - 4 Date SignatureSO.FT. S0 FT - ' NOTICE: If after making this declaration, you should become subject TOILETS. ' f., 4 • URINALS . - GENERATOR" 0-1 KW_1-10 KW ' to the Workers' Compensation provisions Of the Labor Code,you must _ _ __ „TRANSFORMER RM ER - - forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBCE LAVS APPLIANCE* 10-50 KW 50+ KW ,• , revoked.-- -.._ •- - - - _ _._-. _ - _ _ _ CONSTRUCTION LENDING AGENCY KIT.SINKS DISHWASHERS ,MOTORS 0-1 HP 1-10 HP- 'H I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS I. SUMPS - .- - - (INC.SOLAR)- '10-50 HP -50 + HP - -- --- i formance of the work for which this permit is issued (Section 3097 - • Civ. C.). ' - FLOOR SINKS FLOOR DRAINS - FIXTURES OUTLETS SWITCHES "' „ - Lender's-Name _ _ _ ' - r Lender's Address DRINKING FOUNTAINS GAS TUBE SIGNS -" - - - - - ' • i � OWNERBUILDERDECLARATION - ' - - - - -POLE•LIGHTS ' -- - ' - ' - I hereby affirm that I am exempt from the Contractor's License Law for INTERCEPTORS CLARIFIERS 1 , _ _ .r ,p the following reason (Section 703115 Business'and"Professions Code: SWIMMING POOL .. P TRAP - - _ - LUNSI HUt nurv_ - — _ Any_city or county which requires a permit to construct, alter, POLES METERED -SUB • •• Improve,demolish or repair any structure, prior'to Its issuance,also re- WATER SERVICE - ALTERATION • - 'PANELS - MAIN- - SUB - ' quires the api.licant for such permit to file a signed statement that he - ' •- s is licensed pursuant t6 the provisions of the Contractor's License Law' -- - -- ---- •'- AMP - - (Chapter 9 (commencing with Section 7000)_of Division 3 of the GAS SERVICE OUTLETS Business and Professions Code) or that he is exempt therefrom and the WATER HEATERSBTV OUTPUT'• �� s la--'s for the alleged exemption. Any violation of Section 7031.5 by _ _ _ _ - - ' ' ' applicant for a permit subjects the applicant to a civil penalty SEWER CONNECTIONS • - '_ - - 1 A more than live hundretl dollars ($500). _ ''r - ^ L ,, as owner of the property,or my employees with wages as their SOLAR TANK - COLLECTORS 1 - , sole compensation,-will tlo-the work, and-the structure-is not intended - ISSUE FEE ' "' - _ 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 - - - - -gppLICATION APPROVED BY -- DATE Who builds or improves thereon, and who does such work himself or ISSUE FEE , _ , through-his own employees, provided-that such.lmprovements-are not - _ _ _. 1 Intended or offered for sale. If, however, the building or Improvement MECHANICAL PLAN CHECK SUMMARY OF FEES- r ui, Is sold-within ono.year of completion, the owner-will have the burden _ _ .•I of proving he did not build or improve for the purpose of sale). BUILDING_ - , ❑ I, as owner of 'the property, am exclusively-contracting-with • HEATING SYSTEM 0-100,000 BTU _• ,PERMIT § r.• SMIP : E AND DUCTING and contractors : nthe srLjcet (Section 7044, Buslness 100,000 4- BTU I ,PLAN CHECK $ PERMIT j• ' antl wrProfessions Code: ThebuidsContractor'sorILicenseoveLaw does, not apply to - U - - - -- - ISSUANCE $ • an owner of property'projects who builds or Improves thereon, and whoa con- REFRIGERATION 0-100,000 BTU •PLUMBING $ I the Contractor's c such icenee L with-a' contractor(s) Itcesned-pursuant to ' SYSTEM -- -- - rG RA DI NG $ the Contractor's License Law). 100,000,+ BTU PLAN CHECK $ '- r 'I ')' ❑ I am exempt under Section - B.6 P.C for this BOILERS BTU ,ELECTRICAL $ E ,. 1 reason '- - • - ' - - .N1ICRDFILME -. SYSTEM REPAIR,ALTERATION PLAN CHECK $ - TOTAL FEE E ( ' Date "$ 1 hereby.certi ytha: Lhave read this a plica ' and state that the above EXHAUST SYSTEM MULTIPLE - • t- c - 1 •LE55'AD- information s cor -ct. I agree to m Ith all city and county ��ee - •PLAN CHECK- E- • - VANCE PG s Ordinances a d sta4.laws elating co s uc Ion,and hereby authorize V _ _ i. :, .- • _ • representatl of it y to a up the a v cutin 1 , Property f insp rposes. �� �m7� O�p/y� ^J�-- �t' 07 - �G� _' FINAL FEE $ ( • l Signature Goldenrod-Assessor v CONSTRUCTION AND PLANNING POOL&SPA . • - _ Date . Inspector APPROVALS YV.tj,\:; Date Inspector Permit;# At 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 Reinforce 47. Rough Plumbing& Pressure Test' . . - . ' ' 6. Electrical UFER Grn -- • 48. APPROVAL TO COVER-GUNITE_, _. . . . . ' 7. Footings 49. Electrical Conduit-Undrgrn . . ' 8. Foundation _ _ 50. Gas Pipe, ❑Undrgrn,Test . - 9. Water Pipe-Undrgrn 51. Backwash Lines, P-Trap: ❑Undrgrn ••- - _ - 10. Structural Floor System 52. APPROVAL TO DECK - - - - • . . -• - • ' - - • 11. Property Sewer Line& House Connection 53. Backwash & Receptor-Final - • . 12. Street Sewer Connection . . _ . .54. Heater &Vent-Final - - " 13. Rough Plumbing • 55. Plumbing System -Final ' . ' ' 5 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 _ • 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating . . _ 19. Gas Pipe-Rough &Test t. . 60. POOL/SPA SYSTEMS FINAL , 20. Roof Framing • . . . _ _ ' 21. Roof Sheathing - - - - . 22. Frame and_Flashing . _ _ _ NOTES: 23. Insulation _ . -. _ _ . • • 24: .Lathing & Siding - _ _ • - - - - _ - 25. Drywall Nailing _ _ . ' . - ' 26. Plaster Brown Coat _. • _ • . - • . - 27. Electrical Power Meter-Final _ _ - _ 28. Final Electric . _ _ • ' • • 29: Final Heating & Air Conditioning _ _ f0•-/-/J- Al-CPC 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 ._ . _ . • - • - .• 38. FI NAL STRUCTURE & BUILDING l 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. • 1 CITY'OF COSTA MESA- ,- 'PERMIT NO: - ' - TRACT NO. - LOT NO. - 71.SO. - - - - --- 89I 5/14'/'8$ /� 3 113.OQ —.. • ICONSTRUCTIONPERMIT M35 c0 c,D,-. ' Project-Address 024 t r LQa� 07TypE OF CONSTRUCTION t }i • _ _ Owner Lyy Gu vrb dye• ,c •Phone- NEW 0 ADD El ALTERATION ' - . •' - - ; - - ('Address - . - - ❑ REPAIR ❑CONVERSION ❑DEMOLISH_ _ - _ ❑ R 'ZONING REGULATIONS ''Ar!-Arch/Eng:- - •: - --�-- • - License No:- - OTHE - ` Address' - -.-J- _ DESCRIPTION OF WORK -- _- AP's ' - _ - _ _ - ._ _ - _ - _ �__ --- - 'ZONE PLNG.iR EF: • • . !-Contractor index/A rV• 5 Phone - TYPE OF PERMIT-- - -- . _ - - -' - SETBACK - TO BUILDING - - t gC/L ST. -- PROPERTY LINE r _ • Address- I7 k' tit a,:' • `-h.�s �- - GRADING 0 FOUNDATION - 0 STRUCTURAL- - LEFT - - - - - - -- 'LICENSED.CONTRACTOR DECLARATION_ - ' ❑ TENANT ❑ E_LECTRICAL-❑PLUMBING.7�C1ECHANICAV SIDE YARD.- ,1 hereby affirm that I am licensed under provisions of Charter 9(cum-, C !j / RIGHT - { mencing with-section 7000)-of Division 3.of--the Business.'and ' ❑.OTHER- - • _ - - _ _ ,_ Professions Code, + d my license Is in full force and effe t. - ' -REAR YARD-(TO P/L) - _ _ • ' ' PROJECT DESCRIPTION _ }L-_ -_ ,License Class - ¢e441---- , --7-Th se-e No, yoti9 - r '- '-- ;PKG-SPACE REQ. - - `";PRO,VIDED; -, :, .Date-r-//''' r 'Signature 1 /Cr' -" J. $Q:FT. ,a 'IF -. __ '_ _ _ - _ _ ( WORKERS=COMPENSATION DECLARATION ,.'. -OCCUPANCY'_CONSTRUCTION TYPE - v ' STREET WIDTH ,PARK-FEE$ - -I hereby affirm that I have a certificate of consent to self-insure,or a 'ZONING APPROVED BY" 'yDATE - certificate of-Workers'- Insurance,nce, or a.cert if letl-copy. '.NALV*VALUATION ZONE ) _ + , - s _ •. s _ __-. .-. S..___ _._. - -- - -•-a --- SPECIAL CONDITIONS: . ._-_ • 'thereof(Section 3800, Lab.C.). •GRAOING;CU.YDS. -' ACRES - 'icy.'NOC-_ __ r-__ ._ .. _- - -- - __ Certified copy is,hereby furnished._-_ - _ _. _ _ . ',-REMARKS: -_ _ __ __ _ j • • EXEMPTION FROM WORKERS' COMPENSATION'DEC LAR ATION //�� - - - ' ,.ertlfied copy is filed with the city Building Division. /r1 , . , !(This section need_not-be completed if the permit is for one hundred • - • - - _ v., .' I ($300) or less). . . . ...- . .. - - �? -- - - - _... � _ - I certify-that in the performance of the or or ich this p r is - •. 'issued, I shall not employ any perso an ma r 0 s t ome PLUMBING - - PLAN CHECK. ' I - ',ELECTRICAL - --- PLAN CHECK - - i subject tOthe.Wo ers'Compensai;Opp ws o ,/r��ry/t - UW tLLI N(a -.__- ..C•HRAIat i declaration, �,( / . .BATHTVBS SHOWERS - - .`•• _ Date •7- 3 _Signature IP` iu I !SII-FT. 'NOTICE: If after making this declaration, you shou become. blest TOILETS,p ,�,-n o WRINALS' '•-•`-`- -j - r -- /GENERATOR 2-0:1-KW_1-10 KW - .- - to the Workers' Compensation provisions of the Labor Code,-you must !TRANSFORMER • ',I forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE-LAYS--- -— APPLIANCE-- - -10-50-KW - 50'+-KW • - • - - -- , }evoked„ - - . -_ ._ _ ---._- KIT.SINKS- --"--'-'-'DISHWASHERS - - -- ---• aMOTO RS--•- - -- -- -- lCONSTRUCTION LENDING AGENCY "0-1•HP�1-30'HP y - II hereby affirm that there is a construction-lending agency for the per- SERVICE SINKS • 1 -,SUPS"------ ---^'-- - - - (INC..SO LAR).-_30-50-HP_--50-+.HP `formance of the work for which this permit is issued (Section 3097 - -- . . t C:)- - •--_' F - --^i— FLOOR SINKS: '- FLOOR-DRAINS•-- '•' '" -- - ;FIXTURES - - OUTLETS - -SWITCHES - - - -- -- - Name • - -`:. .. - - - ,/ - �- - ' Lender's Address ... • 4. - ' - • ' OWNER-BUILDER-DECLARATION --- -'^i^- --'•v -}.• - I hereby affirm that I am exempt from.the Contractor's License Law for !PO CE•LIGHTS^^ - the-following•reason-(Section-7031.5-Business-and Professions-Code:- _.SWIMMING-POOL-^'--'-12-TRAP---•--•-- Lurvbl RUL.!wry - _ _ -An city or countywhich requires a •= T - POLES METERED--"-.SUB` _ v l - y q permit to construct,ssuane, alter, - improve,-tlemolish^or repair-any-structure,-priorto its'issuance,also-re- •yyATER'SERVICE ----MAIN-^"_"---SUB-- -- - •-• - q-licen he ed• pfsuantfor such permitto -th -Contra statement that ha -. - - . is•licensed-•pursuanbto the provisions of the Contractor's License.Law- • GAS-SERVICE"- ""` OUTLETS -"' -- '*""'- - - '• +SERVICE^-- - -•--•--•-- - -AMP- - -- ' (Chapter 9 (commencing with Section 7000) of Division 3 of the • - • j , Business and-Professions-Code) or that he-is ionexempt-therefrom-and the-- --WATERU'OVTPUT't ""t -- --- '---' - •--------� -+-- - --+------ - -_ _ _ basis for the alleged exemption. Any violation of Section 7031.5 by - ;applicant-for a- permit-subjects its the -applicant.t O-a-civil-penalty- -SEWER'CONNECTIONS !'-4.•-- - T"^‘-'•'"-• --`- +- � -^--- -.--+- - - - - - -- - • - - !t more than five hundred dollars ($500). - __ ; „as owner of"t we property,-or my'employees with'wages'as their" '•SOLAR'TANK--- ---COLLECTORS- "`-- - ' r- - ----- - 2- ------ --, -- - - _ soo le compensation, will do the work, and the structure is not Intended 1 - - I - or uttered for sale. (Section 7044, Business and Professions Code: The -SOLAR PIPING SYS.-"-`)) --- -"'” - - -C' '' '-- -- 1" --ISSUE-FEE '• ---- -^ - T- _ Contraorfs Or Law does not apply to an owner of a property : .. 'Who builds Or improves thereon, and whodoes such work himself or —ISSUE FEE - __-- - -'! -" '-" " -' 'I '--- ' '- -'• ,APPLICATION'APPROVED BY - -- . - -•_ .DATE- -- - l through his-own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement I - "CHECK '- -i- -` "--^ 1.- •— -- --^— - - MECHANICAL PLAN 6 o sold within one year of completion, the owner will have the burden a SUMMARY OF,FEE$ 1 of proving fie did not build or' improve-for the purpose of"sale). -- - -- - ;PERMIT - --- - - - 0❑-1,-as--owner-of:-the-property,•-am.exclusively-contracting-.with- _AND DUCING SYSTEM 0-100,000BTU --- i - ANDDUCTING - - _ __ • _ •_ iPERMIT $ � •- y„SMIP. - -....$- `^ C licensed contractors to construct the project (Section 7044, Business 100,000•+BTU --_ • - ;PLAN CHECK $ PERMIT•• - •- f and-Professions-Code:-The Contractor's-License-Law.does.not apply-to- - - _ r� • t- - - an owner of property who builds or improves thereon, and who con- REFRIGERATION. 0-100,000 BTU - ! 1 PLUMBING $ `ISSUANCE .S tracts-from such -projects with a contractor(s) licesned pursuant-to. _.SYSTEM-- - ' - - -_ _ .. _ -_ _. .. _- .._.. . _" -'GRADING__$ ' the Contractor's License Law). _ 100,000+BTV PLAN CHECK $, - ,7 - ,S-. -- i • ❑-I-am'exempt'under Section - - --13.&-P:C:for this BOILERS BTU ' 1 �' - ELECTRICAL-$ -' - - -'-'--' $ • reason- -- - - - - - _. - - -. - _-. _ .. _ _ „ ' 2 ' MICROFILM!$:of .. . , SYSTEM REPAIR,ALTERATION . - PLAN CHECK - - - -- - --r-- 'Date. Owner .. �3 TOTAL•FEE$ _ . - ^MECHANICAL-$ - - - -. - -. I hereby certify that I have readre this application a d state that the above EXHAUST SYSTEM MULTIPLE ! I r -LESS AD- . information is co est: /-gree' o•-comply-w' ali-city'an county l�d ,�[[ //'� �/•� - tPLAN CHECK •$ -- 'VANC EPC $ ordinances and st e la J�7la 't• • str •• -. -reby authorize rJ/TT/7-”,/T- I/�1l[7 3 I -- -Yepresentativ •f th it i� % t above-mentioned '' pr operty'for spe =1 >3•— Signature - _ ). - -- - '--'- _ -- _ . 3 . _ _ . ._ . _ _ _ _ _ CMF 0865-46 White-Building; Canary-Applicant; Pink-Accounting;Goldenrod-Assessor - CONSTRUCTION AND PLANNING ;_ -S\ POOL&SPA • APPROVALS Permit# A-35 76 Date Inspector APPROVALS Permit#' Date . Inspector L• • , 1. Temporary Electrical Service or_Pole 43. Pool & Equipment'Location 2. Soil Pipe-Undrgrn' - 44. Steel Reinforcement _ - - - 3. Electrical Conduit Utility-Undrgrn _ . . 45. Forms - - • - - 4. _Electrical Conduit-Undrgrn , . . _ . . 46. . Electrical.Bonding - ' ' ,5. Steel Reinforce,• _ _ 47. Rough Plumbing & Pressure Test -. 6. .. Electrical UFER Grn _ _ 48. APPROVAL TO COVER-GUNITE -- -- _ _ 7. Footings ., . ._ .- ._ 49. Electrical Conduit-Undrgrn , 8. - Foundation _. __,_ _. 50. -Gas Pipe, ❑Undrgrn;Test - ' 9..-Water Pipe-Undrgrn . .- _ __. . , 51. Backwash Lines, P-Trap,'❑ Undrgrn = ` '' - - -- ' - 10.. Structural Floor.System , _ -. ' . . . . _ _ 52: • APPROVAL TO-DECK • - - - - '. - ._.-.- 11.. Property-.Sewer-Line & House_Connection. . - - -. __ - . - 53. Backwash &•Receptor-Final`: ' - ' • 12. Street.Sewer_Connection _ . .`. -.'. _ ' ' ' - - - ., - - - -54. Heater & Vent-Final - , .„ ' ' 13. Rough . _ __ . .__ , , -_. _. . - - -- .--55. -Plumbina System - Final - - - 14. Rough Electric-Conduit - - - - ----- - X56.- -Electrical-Final - • - - , - • 15. Rough Electric-Wiring' -" - - - - 57. Solar System-Final-• . - - . ' , • 16. Rough Heating &Air Conditioning - - - '1'`'^4 - ?D-fi-$2__ 58. Fencing&Access•Approval . . - ' - 17! Ducts, in Structure. - .. - - - . - 59.- APPROVED FOR PLASTERING., ♦ -:, •\ . , - - 18. Ducts,-Ventilating - •-. - _ _- - - _. ' - - . _ . . _ - ,t _` • , _ `-' 19. Gas Pipe-Rough &Test - - - - :60. POOL/SPA SYSTEMS-FINAL - - •• 20. Roof Framing . . - - - - - - - -• ._-- - . - - - . . 21. Roof Sheathing ' . -, - - L - - - --- - • I 22. •Frame and Flashing_ - _ - - - .. _ _ - -i _ __-__ - _ '.NOTES: - '. -„ -�',� 23:- Insulation - - - - - - --- - - .: 9-7 f�, ,��Gt/ A,fioa0 a&yYrares.oM,�Y-tsi•-Yc�r ,• 24. Lathing & Siding - - - .--_ • - : _ • _ _ -flao2 e-/teoc n..)-•.�4OBJ - _ . 25. Drywall Nailing -._ . . . _ . . _ . -. - _ - ' 26. Plaster Brown Coat -...-4-- -- - - - - - -- - . - - • ^ v, ' 27.- Electrical Power Meter-Final . • . - . - - • - _ _ . - . . _ - - .- - ,. 28. Final Electric -- -- - - - I- - • - - - .. , - - ' • - ' 29. Final Heating & Air Conditioning- . - - - (O.1 72 t7 ' -- ' - - - .. - • 30. Final Gas Pipe-Test - - - - - -, - - - .. ' . . - • ' 31. Final'Plumbing - _ _ _ . . - _ . - • . . 32. Water Service-Final- - - - - _ _- - _ - ' . _ _ _ 33. -Gas Service-Final .. _. ' :- • • 34. Solar DomesticFinal ' 35. Landscape Sprinkling System - ' -- 36. Sound Attenuation - - •- - ' 37. Handicap.Regulations _ --- - • ' 38. FINAL STRUCTURE & BUILDING t _ ...- . - • - 39. Special Requirements Completed _ ' - i 40. Electric Release to Edison x - 1 - - 41. Gas Release to Southerri-California Gas Co. . - - 42. CERTIFICATE OF OCCUPANCY - •- ' ` - - i '• - \ :\ ' , .• :tet- --\- \ ' ', . -. .- No Date - --.. ,, .. - ' _t - Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA'MESA PE .IIT NO. TRACT NO. LOT NO. BLDG.NO. • 4257 •4/06/8a - - ' 49.00 TL! 'CONSTRUCTION PERMIT p 39 H 'Project Address 2615- EldenAye - • TYPE OF CONSTRUCTION Owner Sun Coast Development Phone7,52 5316 13 NEW 0 ADO ❑ ALTERATION' - /]^��js - - - - - Address 5100 Campus Drive Newport Beach 0 REPAIR 0 CONVERSION ❑DEMOLISH " " ' - P , . ZONING REGULATIONS 'Arch/Eng. , - ' License' No. 0 OTHER - ' - DESCRIPTION OF WORK A'P' S • _ !Address - _- - ZONE • Neta Plnmhing Tnct-al lat-inn - ' Contractor Leaverton Jacobs; Inc: Phone530-8624 TYPE OF PERMIT -- ' BUILDING - TPROPERTY LI LINE Address 12700.A Knott St. , Garden Grove ❑ GRADING -❑ FOUNDATION D STRUCTURAL - SIDE YARD - • - -s LICENSED CONTRACTOR DECLARATION - - - - ❑ TENANT 0-ELECTRICAL -jIPLUMBING ❑MECHANICAL sliDE YARD ' - - - --• I hereby affirm that I am licensed under provisions of Charter 9 (corn- _ - RIGHT r ' mencing with section 7000) of Division 3 of the-Business and- 0 OTHER. - - " - - - - - - - . Professions Code, and my license is In full force and effect. PROJECT DESCRIPTION .. 'REAR YARD(TO P/L) , ,_ license Class - Uc a No. 272740 - ,�`., PKG.SPACE REQ. PROVIDED - •) Date ' /30/8? Signature // ) f?-7r/-i R • SQ.FT. • \. -' . -- _ .. - - - WORKERS'COMPENSATION DECLARATION - - -- `1 . - 'OCCUPANCY—CONSTRUCTION TYPE_ 1-ac .STREET WIDTH PARK FEE$ .� . I hereby affirm that I have a certificate of consent to self-ihzure ora VALUATION S--A •ZONE - ZONINGAPPROVEDBY I certificate of Workers' Compensation Insurance; or a certified copy - • t ' - - - - . , - -. - - - n-� . . _ thereof(Section 3800, Lab.C.). ! GRADING•CU.'YDS. ACRES SPECIAL CONDITIONS: .. „t Policy No. '233166 Company Zenith National- -' -- - - ' `-' - Building --'` - 'edified copy is•hereby furnished. . - - ' - . O copy filed with the city MPll •_ - -- - _ EXEMPTION FROM WORKERS' COMPENSATION DECLARATION 6 -- - 0 — _"-' ,_.__ . .._ . . _ '- - (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 -PLUMBING ' ,_ _ --- PLAN CHECK- - - ''ELECTRICAL - - - PLAN CHECK , --. subject to the Workers'Compensation.Laws of.California. : BATHTUBS 1 SHOWERS 1 6 00 -uw s Date - Signature ' - 'SO.FT Sn FT - - NOTICE: If after making this declaration, you should become'subject - TOILETS•;. -3.. ,URINALS'.4.;,z----,.. ; „9,.00: GENERATOR-. 0-1 KW_1,;10,KW ' - - to the Workers' Compensation provisions of the Labor Code,you must - `_tom _ 'TRANSFORMER \-.v a - forthwith comply with such provisions or this permit shall be deemed LAVATORIES 5 DOUBLE'LAVS 15 00 'APPLIANCE 10-50 KW_50'+KW~ •1 CONSTRUCTION - _ . •- - - - - _ CONS � TRUCTION LENDING AGENCY KIT.SINKS - 1 - -DISHWASHERS- 1,' , ' 6 00 •MOTORS _' 0-1 HP_1--10 HP` — _ I hereby affirm that there is a construction lending agency for the per- - - - ---- - i -- -- - =(IND.SOLAR) ]0-50 HP- - 50+ HP - - - - - formance of the work for which this permit is issued (Section 3097 SERVICE SINKS 'SUMPS - civ: Commerce Bank FLOOR SINKS FLOOR DRAINS - • FIXTURES-- - OUTLETS SWITCHES - - Lender's Name _ I SL-;Lender's Address 1901 DOVP Ss Newport Beach DRINKING FOUNTAINS—- ' — - ';GAS TUBE SIGNS' ' —_ , -" _ OWNER BUILDER DECLARATION - ' -' - INTERCEPTORS - CLARIFIERS ''--- '- - -POLE LIGHTS - ^-- - ” --" - ' I hereby affirm that 1 am exempt from the Contractor's License Law for I - - j the following reason (Section 7031.5 Business and Professions Code: SWIMMING'POOL -LUNSi H"IuN ._- sl Any city or county which requires a permit to construct, alter, POLES METERED SUB improve,demolish or repair any structure, prior'to its'Issuanoe,also re- ' WATER SERVICE 1 ' ALTERATION ' 2 00 `PANELS ' MAIN -"- SUB - - quires the ap„licant for such permit to file a signed statement that he -- - - -•' ' I is licensed pursuant to the provisions of the Contractor's License law' GAS SERVICE 1 OUTLETS —6)' - 3 00 ',SERVICE' ' - ' ' • (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and sions Code) or that he Is exempt therefrom and the WATER HEATERS 1 - BTU OUTPUT 35M .2 OO basis for the alleged exemption. Any violation of Section 7031.5 by - - -- e' applicant for a permit ed dolts'the applicant to•a-civil penalty - SEWER CONNECTIONS- --1' ---• 'a _.f r,- -_ ,-- { • ' - ' i, r -” it more than five hundred dollars ($500). ''-`.^• as owner of the property,or my employees with wages as their SOLAR TANK- — -- COLLECTORStai' r j •- ' _ •, • - '" - - - -- "-"' '- , - �. _ _" so,e.compensation, will do the work,and the structure.is not intended - " •"" ' or offered for sato. (Section 7044, Business and Professions Code:The SOLAR PIPING SYS. auto,Rla_cW(WaShino). 3. 00; ..• ISSUE FEE ' "—' -` • Contractor's License.Law does mot apply to an owner of a property , _ - _- -_ _ , , - 1. who builds or Improves thereon, and who does such work himself or ISSUE FEE „ 3 00' APPLICATION-APPROVED BY— - - - - DATE through his-own employees, provided that such improvements are not - - `- -- intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK ' SUMMARY OF FEES 7 is.sold_within one.year of completion, the owner will have-the.burden - - ' "'I )•- of proving he did not build or improve for the purpose of sale). ) BUILDING•' - - - --- - - - HEATING SYSTEM 0-300_060_BTU ,PERMIT $ ^ .:SMTP , -- • 01,-as owner of the' property, am exclusively- contracting with- AND DUCTING - --" '-' " " - R - • -- • licensed contractors to construct the project (Section 7044,not 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 con- REFRIGERATION 0-100,000 BTU 'PLUMBING $4.9.1._00-___ } tractsfrom such projects with-a contractor(s). litesned pursuant to SYSTEM - -- ---- - - . • - - - - - -.-GRADING.. S� - _ theheContractor's License Law). 100,000+BTU , :PLAN CHECK $• . '� , ❑ 1 Sn exempt undef Section -- 'B.'&P.C.for this BOILERS BTU )ELECTRICAL $ - $ reason- - ' ' - - - --- ' - - PLAN CHECK $ - - MICROFILM $. - - .I Date - - Owner SYSTEM REPAIR,ALTERATION s _, _ 'TOTAL FEE $ 1.hereby certify that 1 have read this application and state that the above_ EXHAUST SYSTEM MULTIPLE - MECHANICAL $ V information is correct. I ogre¢ to comply with all city and county -PLAN CHECK $ -- - VANCE P PC $__ _ __ _ ordinances and state laws relating to construction,and_ hereby authorize , represents +f this city to enter upon the above mentionetl - �g. �i O , proper spe s= - — -(�-G,22...,22... - FINAL FEE $ Signa • t- 4-7 - - ISSUE FEE -- - - - - - - - - - - - - - .-- . - CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor • '.4n , ' , CONSTRUCTION AND PLANNINGPOOLPOOL& SPA _ APPROVALS Permit# f '3189 Date Inspector APPROVALS' - Permit# Date ' • Inspector 1. _ Temporary Electrical Service or Pole _ 43. Pool & Equipment Location - -- 2. Soil_Pipe-Undrgrn - 7//.7-47-- --re 44. Steel Reinforcement - - - - ,.- 3.. . Electrical Conduit Utility.-Undrgrn - 45. Forms - - - : '-. _ . . _4. _Electrical Conduit-Undrgrn _ ,_ ' 46. Electrical Bonding ' - - - - - - - _ 5. Steel Reinforce 47. Rough Plumbing& Pressure Test - ' 6. Electrical LIFER Grn _ _ _ - • ' • 48. APPROVAL TO COVER-GUNITE - ,--. - - 7. Footings _ _ _ - - '49. Electrical Conduit-Undrgrn- - .8.__ Foundation _ _-_._ __ 50. • Gas Pipe, ❑Undrgrn,Test - - .. 9._ Water-Pipe-Undrgrn _ _ _. /'/�//PA Y-/-159E- 51. Backwash Lines, P-Trap, '❑ Undrgrn - - - - - " ' 10. _Structural Floor System _ . 52.. APPROVAL TO DECK " --- . . --- --- - - 11.- "Property Sewer Line & House Connection .: ' -53.- Backwash & Receptor-Final 1-" ' ; 12. Street Sewer Connection __ _ _ . - _ 54. Heater & Vent-Final: • 13. Rough Plumbing _ - _ __ _ 4"_-/P47-Sr - 55. Plumbing'Svstem -Final - - - • - - 14. Rough Electric-Conduit ' - - - -, -,- - , -56:- Electrical-Final -- - ' 15. Rough Electric-Wiring' - -- '- - ' - - - - -- ---J ?' --. - 57-Solar System-Final •• •- 16.--Rough Heating&-AirConditioning - _ - -_ .._ - 58. Fencing-&Access Approval • ,• 17. Ducts, in Structure_'_- '- _ -_ _ _ _ . _ - 59. APPROVED FOR PLASTERING ' - ' . • 18. --Ducts, Ventilating - __ . - .- - _ . , 19. Gas Pipe-Rough-8r-Test Yt yS Sty y,ere 7////92 r' 60. POOL/SPA SYSTEMS FINAL • ' - 20. Roof Framing'. _ . ___ ._ _ _ _. -- .. . ,i 21: RoofSheathing' ' --- - -_ . . ._ . .- _ 22. Frame and Flashing --. - - ._. . _ -. NOTES: - - ' - '- • : 23 - Insulation- "- - .... _ . _ - .- .. . . - ' _ _ _ --. . - _ - - • 24. Lathing & Siding - - _ ' _ - - . _ •. . _ . . , 25: Drywall Nailing __ _ _ , . , . ' -26. Plaster Brown Coat - 27. Electrical Power Meter-Final _ . _ • ' � , • 28. --Final Electric - ---- - - _ 29. Final Heating& Air Conditioning . .- ' _- ' - - _ • 30. Final Gas Pipe-Test _ /1?12- r - - . . -- - - - • .. . . • 31. Final,Plumbing-_ /49-•/•"‘").- . 32: Water Service-Final - - 7441/D L- .4er- - - • ' 33. Gas Service-Final _ _ - - -. . - _ .. .. - 34. Solar Domestic'Firial • . • . - 35. Landscape Sprinkling System . t _ __ • - . - • ' 36. Sound Attenuation - ._. • - • 37. Handicap Regulations - . _ • _ 38. FI NAL STRUCTURE & BUI LD I NG ' - - - - ' ' 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. 4431 4_/09_/82 • '5.00 T1: • •CITY OF COSTA MESA -' P MIT NO. TRACT NO. LOT NO. Byq G-N ., - .•. CONSTRUCTION PERMIT &— 34.3 H . • ' • Project Address24/•t'-,A"��N /WE- r TYPE OF CONSTRUCTION • - - - (J Owner - j�,�'41,,e & s✓ - in; Phone 75-2 ‘-...r-V:-ig NEW 0 ADD 0 ALTERATION -�- /) - - __ - D Address - • - - - - 0 REPAIR 0 CONVERSION ❑DEMOLISH _ -• ZONING REGULATIONS - - - 1 I Arch/Eng. - , - - --- - License No. - - - - D OTHER • _ _ DESCRIPTION OF WORK - A.P. , 'Address - . _ - . _ _ _ . . 1 - _ .. - _ _ _ _. - I # • (ZONE ' PLNG. REF. 1 `Contractorizaya .T -../ycO,Bs - - Phones0•2621,- TYPE OF PERMIT'. ' ; t- - _ SBEUTILBDAICNKGC/L ST. 2OBPEiRLYNG NE - `Address _ ❑GRADING 0 FOUNDATION---0 STRUCTURAL S IDE YARD _ �O ;LEFT LICENSED-CONTRACTOR-DECLARATION. TENANTOELECTRICAL I1PLUMBING ❑MECHANICAL .95ID EHTARD- Ihereby-affirmwith- tM1kt I am licensedf antler provisions of Charter 9 (corn- l , RIGHT + - mencing-wlth section-7000)- of •Division-3 of the Business and. ❑ OTHER- ' - 'Professions Co'', 'and my license is in full force and effect. •REAR YARD(TO P/L) -__ ' - - C 4 • N-PROJECT DESCRIPTION lam. - - License Class Lie se ore,r�zy - •- "- ;PKG.SPACE REQ. -' '• PROVIDED.-,•--. - ' • - Dale 44 S COM E Si9halur - TI �J SQ. FT. 'I _, - -_- - -_ _ _- i `� � STREET WIDTH' BARK FEE'S' , - . WORKERS'COMPENSATION DECLARATION _ I• , OCCUP -- ONSTRUCTION TYPE 5-. _ .I hereby affirm that I have a certificate of consent to self-insure ora VALUATION •' ZONE _ ZONING APPROVED BY DATE-_ -- 'certificate of Workers'-C anon •Insurance, or a-certified copy - - - - - - -- - _ - . . - thereof(Se i nn 3890 cab. C.). I ,J GRADINGICU-YDS. - - ACRES V • • ,SPECIAC'CONDITIONS: - r-'Icy Nor* 1'2/&/O-_-Company 2€42";77-11 il L - - - . - _._ - : _ - _. ._ _ -. _ _ ._ . . - -- - - edified copy.is.hereby.furnished.—_ . .. _ . --_ - . .,e..1 • REMARKS:_ 's!I.. _t,. J, _ _ lerlified 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 __, _- • _4r - - d •;j .•( (($100) or less). j 1 - - . . - -- - - - . _ . - . . - . - . _ - __ - _. •__ _. _ 'I.certify.that in_the performance,of the work for which_this permit is - - - 1 issued, I shall not employ any person in any manner so as to"become -:PLUMBING - ` - _PLAN CHECK- -- ' - ELECTRICAL- - -- PLAN CHECK - - I subject.to.the Workers'.Compensation-Laws of California.- - ' ' ' - ' - - _ 1 __ BATHTUBS --• - SHOWERS_'"_ -- `j' - �4Q FT SO FT FTUE .• .. -Date Signature • NOTICE: If after making this declaration, you should become subject pTOILETS;; 'GENERATOR- 0-1'KW_1-1 O.KW to the Workers' Compensation provisions of the Labor Code,you must ,TRANSFORMER LL L -- — - .-10-50 KW--- 50.+•KW ..p. I forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE L•AVS - APPLIANCE--- _ -- _ ' 'DISHWASHERS-- .CONSTRUCTION LENDING AGENCY HP-_1-10 HP ,I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS y ,SUMPS" '444'4 - - - -- _. �(INC..SO LA R) _-10-50.HP 50 +.HP. - _f _ 1 for mance of the ork for which this permit Is issued (Section 3097 -- ` •F . - yy FLOORSINKS- FLOOR DRAINS- - - -- - :FIXTURES -- -OUTLETS - SWITCHES --- - I,,L-ender's Name Lender's Address e _ 7 �L-;-�-_.5'T•_Xie44i -r a - DRINKING FOUNTAINS - 1 — --- - - - - -- - ' -GAS TUBE SIGNS- - - - - - - . 'OWNER-BUILDER-DECLARATION--- - -- ---- -- INTERCEPTORS -' CLARIFIERS - - - u• -POLE-LIGHTS-- • - - -- - -- - I hereby affirm that I am exempt from the Contractor's License Law for ••the following reason (Section-7031-.5•Business-and Professions Code: -SWIMMING-POOL - ' -P TRAP- - - LUNSInu l.IiuN . Any city or county which requires a permit to construct, alter, 7— '.POLES- METERED' `SUB' .. - j Improve-demolish or'repair apern t tture;priorto its-issuance,also re- 'WATER-SERVICE - - --ALTERATION--'-' .-- • ;PANELS--- - • -MAIN - - SUB -; '1. • - - quires the pursuant-to-the ursuant for such permit to file a signed statement that he Is-licensed pursuan -to- he provisions of 7000)the-Contractor's License Law -GAS SERVICE OUTLETS -- -' - ' SERVICE- --- -- - -- -- - AMP " (Chapter 9 (commencing with Section 7000) of Division 3 of the ' I Busineor 'Professions-Code)exe Code) or that he is exempt therefrom and the- "WATER-HEATERS- - BTU-OUTPUT - - - 4- ---- - • - - - , bags for the alleged exemption. Any violation of Section 7031.5 by - applicant for'a permit-subjects the- applicant 4o a-civil-penalty /SEWER CONNECTIONS -- '-' - - S"--4. d0-' -- '—'-- "'" - - - - - --- - t more than live hundred dollars ($500). - ' 0__ , as owner of the property, or my employ structure th wages as-their 'SOLAR TANK- - - -COLLECTORS -- - - -• - - - .1-- -- - ' - -- — - -- - -- - - - - .- - : sole f sat ton,will,do-the 44, Business the structure is not ode: dedThe - - 4 or offered for sale. (Section 7044. Business and professions Code: The SOLAR-PIPING SYS. --fl-" - "------ ,"- - - •-- 4.— ISSUE-FEE--- • - -• - •- - - -- - --- - - ContracloCs License.Law hesnot.apply to an owner of a property_ _ ,. who builds or improves thereon, and who does such work himself or ISSUE FEE --- 1 --4444- 1, - 3 ;O -)APPLICATION-APPROVED BY- __ ._ .DATE _ intendh.his,own employees, provided.that such Improvements are not _ _ _ intended or offered for sale. 11, however, the building or improvement MECHANICAL • PLAN CHECK - t• -- �- - SUMMARY OF FEES- - - - is selr_wilhin one year of completion,rthe ove f 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 - - - - - _ -. .D-1,-as owner of the-property;--am exclusively-contracting.with __ •p _ _ _ - -_. I 'PERMIT - $ n,SMIP.�2 ���$ - 1 licensed contractors to construct the project (Section 7044, Business AND'DUCTING ' ""-100,000'+BTU I 1PLAN CHECK $ .PERMIT I 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 r PLUMBING $ -S':O "' - • tracts from-such•projects with-a--contractor(s) licesned •pursuant_to- SYSTEM- --- - I _ the Contractor's License Law). 100,000+BTU - - I'PLANCHECK $ -- - GRADING:_$ '-_ I 0 I am exempt undei-Section - ' --- --'- -- B.8,-P.-C:for'this - -- - - -- 44.4'4 -- _ . BOILERS BTU • '- 'ELECTRICAL $ S I I _ _ _ _ _ E . , . MICROFILM 8 _ 1 reason - - - - - -- -- -- PLAN-CHECK - - - ' bate Owner _ SYSTEM REPAIR,ALTERATION j , i TOTAL.FEE$ ' -•__ C: EXHAUST SYSTEM MULTIPLE MECHANICAL $ I hereby certify[hat-I have read this application and state that the above f f .LESS'AD- ' I I j. 1 Information Is correct.- I agree to-comply with all' city and county- 'PLAN CHECK-,,$ 2•,_`- -VANCE PC $_• -- - -) ordinances and state laws relating to construction,and hereby authorize • ' ia,• -a �, _,, _ , represent. •f--this city toenterupon the'above mentioned - - C_ Proper nspet / — FINAL FEE $ 5 •O a 1 Signal .- - . -Date 0-9#47--' , _ Drivers' Lice or SS - . - . . . _ - . _ - - 1 CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANN G L� POOL&SRA - - . , APPROVALS - Permit 4 -- ! Date Inspector APPROVALS " Permit# Date Inspector _ 1. Temporary Electrical Service or Pole _ . 43. Pool & Equipment Location - - - " - - • 2. Soil Pipe-Undrgrn - • . . .. . . 44. Steel Reinforcement' - -- • _ - 3. •Electrical Conduit Utility-Undrgrn _ .. , _ 45-. Forms • - • -- - • - - 4. Electrical Conduit-Undrgrn. . _ ___ . ' . _. .... .... - 46. Electrical Bonding , - - - . . 5. Steel Reinforce - - _ _ 47. Rough Plumbing & Pressure Test - • " 6. - Electrical UFER Grn - . . . _. 48. APPROVAL TO COVER-GUNITE- - - - - 7. - Footings . _ . . 1 . - 49. Electrical Conduit-Undrgrn 8. Foundation • ._ ._ - . . • - - . 50.. Gas Pipe, ❑Undrgrn,Test • 9. Water Pipe-Undrgrn - . • - 51. Backwash Lines, P-Trap, El Udd}qrn - - - - - - - - 10. Structural Floor System - . _ .• .. 52. APPROVAL TO DECK - ` - . -- - ' _ - . . , 11. Property Sewer Line & House Connection / 53. Backwash & Receptor-Final • 12. - Street Sewer Connection -_ .. leaf flit -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 . . . 58. Fencing &AccessApproval ' 17. Ducts, in Structure .-. 59. APPROVED FOR PLASTERING ' 18. Ducts, Ventilating - . - . . . - _ 19. Gas Pipe-Rough.&Test • • - . . - 60. POOL/SPA SYSTEMS FINAL' 20. Roof Framing - . - 21. Roof Sheathing" • 22. Frame and Flashing - - NOTES: • 23. Insulation . - .. . - . - . _ - • - ' . 24. Lathing & Siding - - •_ - - - - •--- - 25. Drywall Nailing - . 26. Plaster Brown Coat - ; 27. Electrical Power Meter-Final - - - - • , 28. Final Electric - - - - 29. Final Heating & Air Conditioning - - • - - , 30. Final Gas Pipe-Test " - - • - - " - ' " ' 31. Final Plumbing - - _ __ _ _ • .. - . 32. Water Service-Final .. - - - - • 33. -Gas Service-Final . . -- - .. . . • 34. Solar Domestic-Final • - - - ' 35. Landscape Sprinkling System , - - - - •. • • 36. Sound Attenuation - •- • , 37. Handicap Regulations - - - - • ' . • ' 38. 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 - -- o w ----- -- _. . 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. - {CONSTRUCTION PERMIT a ^ 3 t r • ..,,,. . 3695, 3%84482 ! ,,,/ 338.65 .TL; I Project Address 2615 B1den -A 3 TYPE OF CONSTRUCTION4. �• ^� I �� - I • Owner - Lag ma Pacific `Financial Phone' 7525316 Et NEW . O ADD -O-ALTERATION - , = - H. _ Address 5160 Campus Drive - -- -- - - 0 REPAIR•0 CONVERSION. 0 DEMOLISH- " - _ . . . ..-__ . l. r�1 ' Arch/Eng. -License No. ❑ o7l-iER ` ' 20NING REGULATIONS _ - t "d Ro Ki 'S Assoc.. DESCRIPTION OF WORK - - A'P' U �OrJ�- a, Address -6300' s t Ht -NB 9266-3 -- - zONE' - PLNG. REF.#• -'6I-16,5 Iw�' ;'Contractor t to hdnet 3-Z•'•I TVPE,OF PERMIT. - - - - .t - '- To g�J1 IN I I' 1\ • - rt _ rororr - !SETBACK C ST. A'0941RTV LINE- R Jr_.'A _ I is , Address g"1 et-,- - yineLi''-: apt-' - •13 - - �W-GRAO,NG• •Igl FOUNDAT,IqON —STRUCTURAL LIOE,r-YARD-- 1 LICENSED.CONTRACTOR DECLARATION. _-_ - - f' . : 0-TENANT _EV ELECTRICAL.a pLUMBI NG MECHANICA SIDE YARD- r. .._ - _ _ __ .n I hereby affirm th:.t I am licensed under provisions of Charter 9.(corn-, • • General..-Butldin•- "Permit-, •.•, RIGHT C I h� „ e mencing,-with section.-7000) .of Division-3. of .the- Business 'and P. ❑ OTHER '.REAR YARD-TO P L - I I�1 . ' ,, 'Professions Code, -and my II dT a Is in I force and effect. - , ( / ) _ _ _ i _ i PROJECT•DESCRIPTIPN I I _ License Class• - - "tic se No. 404225 1350• . - Ij/S! PKG:SPACE REG!.1.72 ,5 ' ' "PROVIDED.-7 .'5 — -1 Date _ �- "Signature' • - 74.4+44.• SQ'.FT _ _ _ tSTREET WIDTH - AV alar..: PARK FEE $ -2 q WORKERS'COMPENSATION.DECLARATION._ OCCUPANCY__ CONST_RUN YPE •� -`� _ i I hereby affirm that I have a certificate of consent to self-Insure ora VAL'VATION • 0 ' 2GNE- ' ' -,- -' • e a ° 1 �� "DATE-- �1�! certificate-of Workers' Compensation-Insurance,.or.a_certifled.copy. •' -_ - - _ _ ._ lll�] thereof(Sepption 3800 b. .). , GRADING:CU.YDS. - I ACRES CON• _ P^Ilcy No.Ur /''1/940ILa(0 7--Company' ) - _ - . - -. . .._ _.� I - - - -" " - - I' I1AI :�® 'ertifietl copy Is.hereby furnished. - --- ,- - i..,., • 'REMARKS �J -- ] ra,r r4 �1 •' - - , - • - - �ertifietl copy Is filed with the city Builtling•Divislon. / jr .. .. ....., 54.- a EXEMPTION'FROM WORKERS' COMPENSATION DECLARATION• (This section need not be completed if the permit is for one hundred f s I r, - - • . '_ -t -• G "-,r�ssz1q-_ i• . ho _ - _ _ _ 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 -- _PI AN'CHECK- - - : - • tELECTRICAL -- 7 -- -PLAN CHECK.L - - subject to the Workers Compensation Laws of California. - t UW LLLING. _ (aA RA(at Date ' Signature - _ "-- - - -BATHTUBS "SHOWERS'-- _ �' . I- -p' - . - nsas;i .NOTICE: If after making this declaration, you should become+subject , TOILETS-,,., _ 1_, • .URINALS- -- GENERATOR -- 0-1'KW" 1-10 KW - -- to the Workers' Compensation provisions of the Labor Code,you'enust. _ '.TRANSFORMER f forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVsr- -APPLIANCE - 10-50 KW=50+KW revok¢tl._ - - _. _ _- •__ _" --KIT^SINKS- DISHWASHERS. ,MOTORS-- - - - I CONSTRUCTION •LENDING AGENCY • - ., - 0-1-HP_1-10 I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS - ,'SUMPS , -• - ^" - (INC.SO LA R).^.30-50 HP 50 + HP - - formance of the work for which this permit is issued (Section 3097 • . - i Civ:CJ:- - COlilmer Ce.Bank „ ;FLOO,R'SINKS" ' FLOOR DRAINS L'F •'FIXTURES - --'OUTLETS -SWITCHES-• - Lender's;Name; `y - `•� 'Lender's Address - 1601 DOVP NB 92660 - -'_ r DRI IV'YCING`FOUNTAINS'-- 'jy -- ---• -,GAS TUBE SIGNS - r OWNER BUILDER DECLARATION- --- -INTERCEPTORS '--" -•CL-ARIFIERS ' r- 'POLE LIGHTS -• I hereby affirm that I am exempt from the Contractor's License Law for - '-A - - thetfollowing reason (Section .7031.5 Business and-Professions Code:_ SWIMMING POO L- - -- PYRAP---- -• - -�' • - --- -. - Any city or county which requires a permit to construct, alter, :POLES• ` METERED- -SUB -• - - - Improve,demolish or repair any structure;prior-to-its-issuance,also-re- - WATER'SERVICE` - --ALTERATION-- - 'PANELS - ----MAIN-. - • SUB r-- +- a. • 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----"-- (Chapter 9 (commencing with Section 7000) of Division 3 of the SERVICE •--- -- ----•+- - AMP- -- Business.and Professions Codej-or that-he-is exempt-therefrom.and-the -WATER-HEATERS--- -BTU OUTPUT -- - - - - --- -- -- -- - - - - basis for the alleged exemption. Any violation of Section 7031.5 by - - "' applicant-for a permit subjects-the applicant-too civil penalty- • SEWER—CONNECTIONS ----91 'I•---------- -- I it more than five hundred dollars ($500). - - _ L .;-as-owner of the'property;or-my employees'with wages as their -SOLAR-TANK --- - ,-COL•LECTORS - - i -. -- - - --- --- --- -- '- - - • Sole compensation, will do the work, and the structure is not intended - ( - - ,r•offered'for said.-(Section 7044,'Business and Professions Code: The -'SOLAR PIPING SYS.-- _..yt_ �- -• - -ISSUE-FEE- -- - -r -- - - _ , - Contractor's License Law does not apply to an owner of a property -:APPLICATION APPROVED BY / �.,= DATE • who builds or improves thereon, and es such work himsel -or' ' ISSUE FEE -" '""'ll ------- -. -f through his own employees, provided that such improvements are not _ _ _ - intended-m.0061(1 for sale. If,•however, the building-or'improvement -MECHANICAL PLAN CHECK . ' Is sold within one year of completion, the owner will have the burden Of proving"he" did not'build or improve fort he'purpose'of-sale): HEATING SYSTEM 0-100,000 BTU ' a I, as owner of the.property, am_exclusively contracting_with .AND'DUCTING - - - - - licensed contractors to construct the project (Section 7044, Business 100,000,! BTU and Professions Code:-The Contractor's.Litense Law.does.not.aPpl Y.to -- _ - an owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000' BTU .1 tracts .from such projects.with.a contractor(s) licesned_pursuant to .SYSTEM . - . _ __ _ - the Contractor's License Law). 100',000+"BTU Dram-exempt under Section --- -------- -B:'&-P.-C.for:his ' BOILERS - - - BTV— i-., • reason . _ 1 ' _. -• ' Date Owner •- SYSTEM REPAIR,ALTERATION - • • e • 1 I hereby certif Atha I h e read this application'and state that the above 'EXHAUST SYSTEM MULTIPLE • t information.A correc . •I agree'to-comply- ith-all'city and'county- - 1 repres ncertnd state Sws relatlr• • con • ion,and hereby authorize I. representatives • this-cit t• .044.4' -pan the above •ratio ed -- -- - --- s r 1'� Pro P�r[Y j`f•ectlo� -s!/ �+ .r C '.i Signatyl � - - - _ ISSUE FEE- - _ - CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor - /' '1 '?•"'CCONSTRUCTION AND PLANNIN - . t POOL&SPA - - • • APPROVALS Permit# aye Date Inspector APPROVALS Permit# Date Inspector • , _ 1.__Temporary Electrical Service or Pole_ _ ,, „;, 43. Pool & Equipment Location - - - - - 2. SoiLPipe:Undrgrn - ' _. - _ _ _ _ - 44. Steel Reinforcement- - - • - -- -- ' - - - - - r _3.-- Electrical.Conduit Utility-Undrgrn__ J _ 1. .__' . - . _ ._. 45. Forms - -- - ' -- _ - - - - i _4. -Electrical Co nduit_Undrgrn._ _ . _. '- _ _ _. .. . .- __ 46.-- Electrical-Bonding • -- - - ' - - -- ' .5._ Steel Reinforce _ . _ _ _ _ . - , - 47.- Rougli Plumbing& Pressure Test - • ._6.__Electrical_UFER-Grn - _ . - _1_1'; - -. 48. APPROVAL TO COVER-GUNITE - - - • -. 7. Footings-__ _ _ _ __- . _ _':-1V 4.-// •.gG Th 5 49. Electrical Conduit-Undrgrn J - :. - - ' 8.-- Foundation ---- - --'= , 'Q_ - it.a(_-E `p5 50.r,.Gas Pipe,.0Undrgrn;Test ' 9:- Water Pipe-Undrgrn .. '-.__ __ _ - 51. Backwash Lines, P-Trap,'_ _Undrgrn ' - - - - 10. _Structural:Floor.System - . ., _ _ r - - 52:`. APPROVAL TO DECK • '� , - - - - , -__ -. r '1.1:,_ Property-Sewer.Line & House Connection=._ _ _ -_- -- - - -53.-Backwash & Receptor-Final..:'. "- ' .. _ . . . " ' -12. -k Street•Sewer-Connection -_ :-`- 1.- - - - - - J" 1‘ - -54-- Heater &Vent-Final- - ' 13.. ..Rotf9fii truilb g: .•}.7.1 i9' 11M_I _ ____- ._ . - .. 55 Plumbing Svstem._ Final.:- 14. Rough Electric-Conduit f-- - ' - ' -' • '56.- Electrical-Final --- „ - sm'il .- "' 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 ' - . • 185 Ducts,-Ventilating • - - - -- --` - - - - - _ _ _ _ 19: Gas Pipe=Rough'&Test , - = ---- - , - - 60.. POOL/SPA SYSTEMS FINAL -20. Roof Framing - - ' -- - - - - r n .; . . 21: Roof Sheathing ' . S.:16-c-L -`'1i• S _ NOTES: - ` '1 22; Frame and Flashing- --- -- - - - -- - - / ^ •--/S: - '- " 23. Insulation--- - - - - - - IOd J Inc)/ yiq,¢ D -STANP/PE ND PERM 1T -B-S�-b'a: '' - 24. Lathing & Siding . _ - - - . --. (-9-3D-11,4,- --( _--_.. ' .. _ . - __. . _ .. _ '- - - - 25: -DrywallNailing - -' - -- - '-_ - l)5- _ - - .. 26: -Plaster Brown Coat • -- - - - - - - - - - - -- - - - t - ' • . - - 27. - Electrical-Power Meter-Final - - - -- - . - - - - -- ` - - - 28. FinaltElectric - - - -- - - -- - - - - --- - - - --- . , - -r. , • . , 29. -FinaltHeating & Air Conditioning - --- - - -- -- - --- -- - -- -- n •�' '� - - 30. - Final GasPipe-Test - - ' ' 31: - Final'Plurnbing -- -- - - - . - ' _ - " ' ' - . -32F-Water Service-Final , . -- ._ - . -- - i- - --- - - -- . . 33. GarService-Final - -- -- -- -: - . . . - I- _ -. - _ . . _ - - - - . . -34. Solar Domestic-Final ' ' _ . .. . _ -. ... i I ' • " 35. Landscape Sprinkling System ' - ' ' .-- - - 36. Sound Attenuation - -_. _ _. _ _ `'" ' 37. Handicap,.Regulations - - ' ' ' . . .. - ' 38. FINAL STRUCTURE & BUILDING i /-q•._¢z..-7:) - .- - _ , 39. Special Requirements Completed - /-00-85 CSed .. _. . _ t - 40. Electric Release_to Edison - . ' ' 41: Gas Release to Southern California Gas Co. , - ' - - ' • 42. ,CERTIFICATE OF OCCUPANCY . - - - -. - - • No_ ' Date - - - - - - - - •c ..'�:. 111 S CITY OF COSTA MESA <,OgiA"'F,p BUILDING DIVISION 4µ4,.,'!�„m. �I$ 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.costamesaca.gov 11111411../ FOR INSPECTIONS CALL: (714)754-5626 4kbone04. PERMIT NUMBER: M12-00135 • PERMIT TYPE MECH STATUS:. ISSUED , APN: 93009191 DATE ISSUED: 09/04/2012 ISSUED BY: RMD JOB ADDRESS: 2615 B ELDEN AV CM • Suite7Unit: B Vicinity: • • • SQ. FT: 0 SCOPE OF WORK:MECHANICAL PERMIT TO REPLACE HVAC UNIT, SAME LOCATIONS. COMPLIANCE FORMS ATTACHED TO JOB CARD. NOTE: FINAL APPROVAL OF PERMIT SHALL NOT BE PANTED UNTIL ACCESS TO DWELLING UNIY(S)IS PROVIDED FOR VERIFICATIO OF SMOKE AND CARBON MONOXIDE ALARMS BY THE CITY INSPECTOR.SEE ATTACHEMENT WITH INSPECTION CARD.(RESDENTIAL ONLY) OWNER: ABE YOSHIMI Address: 2615 ELDEN AVE#2 Unit: PHONE: LAW, JOHN • City/State/Zip: COSTA MESA,CA APPLICANT: LAW,JOHN ' . Address: -Unit: PHONE: 714-279-9480 City/State/zZip: • CONTRACTOR: D G L AIR CONDITIONING AND HEATING • . License No. 622345 - r Address: 1235 W COLLINS AVEUnit: PHONE: 714-279-9480 City/State: ORANGE,CA ZipCode: 92867 CELL: . MECHANICAL PERMIT FEE SUMMARY MECH ITEM FEE: $53.10 PLAN CHECK FEE: $0.00 • INVESTIGATION FEE: $0.00 •• REINSPECTION FEE: $0.00 • TOTAL FEES: $53.10 • • • • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§ 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODES INSPFCTION TYPE ifunAL$ COOPS INSPECTION TYPF DATK N 1616 Fixed System Final Fire Prevention 206 Final Mechanical 2. /7-)0/3 1266 Pool Spa Final 208 Final Plumbing / 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign • 222 Final Site 204 Final Demolition _r 250 Final Building/Occupancy WORKERS'COMPENSATION DECLARATI. Owner ID verified by rs license. 0 Yes 0 No I hereby affirm under penalty of perjury one of the following declarations: Drivers License No. Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers' , Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the ' performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are:c, person is required to descend,will be made in connection with work authorized number a / -001:441-D --I-Ai-4s G ie,r by this permit,and that no building structure,scaffolding,falsework,or demolition Carrier:' llY or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Grp (This section neednol be completed if the pennrt is valued atone hundred dollars($700)orless) 2 Ant Sec.341,Title 8,California Administrative Code). Policy Number: DC-VW C-77 ( '7C) ) ❑ As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued. I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should' beco to the wor compensation provisions of Section 3700 of Applicant's Signature Date ii. < co• fo with mply with these provisions. Ca-/ Z Division of Industrial Safety Permit Number: r ~, rahis "— . APpti ��ignatdre Date- HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the Califomia Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. 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 LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000) of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file ' my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No Li Lz Class#` C—Z" (Section 25533 of the California Health and Safety Code, with some Lie _ '/ exceptions, requires registration with the Costa Mesa Fire Department by +. V �.T+�/Z each business which at any one time has on hand a quantity of acutely t,Cant actor Signature Date 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 CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,CMI Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lenders Name: hazardous materials)? 0 Yes 0 No (Section 25534 of the'Califomia Health and Safety Code provides that the Lenders Address: 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. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). 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 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes',the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I. as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK..and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by Califomia License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own 8 (If"yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. properly,❑ I, as owner of the LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds,or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city . ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: 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 thispermit until final inspection. \�j� rof L,�.,I Owner(s1v. 0-41-/C //�Date r/ Signature Date --�- ` _ —41'/C 3057-46(3r07) • And/or Authorized Applicant ---L'Oate -K---14!,,4•,. CITY OF COSTA MESA - BUILDING DIVISION • >4ij , `Qyp DEVELOPMENT SERVICES DEPARTMENT RMIT NUMBER 1. 1 ..._.r.. I skIP I KA PERMIT B03-01340 � (714)754-5273 • Fax(714)754-4856 • www.ci.costa•mesa.i tLDING PERMIT 77 FAIR DRIVE,COSTA MESA,CA 92626 Job Address: 2615 ELDEN AV Status: ISSUED Suite: B Applied: 08/07/2003 Vicinity: BLDG B(B1-B3)WITH ATTACHED GARAGES Issued: 08/07/2003 • Parcel Number: TPN003161 Zoning: Applicant: GOMEZ, PAUL - - ISSUED BY: ay.. - Address: 2626 NEWPORT BL — - - - „roe'„roe' / _ Phone: (949)548-1645 COSTA MESA;CA'J- - Zip: 92627 Owner: ELDEN:COVE HOA • Address ,2615 ELDEN AV •V I _ - _ : I. / / N • Phone: 714-154.5048 - � ' CVA / '; 'COSTA MESA:CA""- _ - Zip: 92627 Contractor: "PETRONELLA ROOFING V ' „=A Address: 2626 NEWPORT BL �,� f' 2 Phone: '•(949)548-1645 �� ` COSTA MESA,CA Zip: , 92627 License: 460707 _ " - 0 ArchEng: Address: '. - Address: c” / ' 'Zip: / - . -License: -N •"License: - SCOPE OF-PERMIT • REROOF CONDO BLDG B WITH ATTACHED GARAGE AT"ELDEN COVE"COMPLEX.CUT BACK 12"TO EXPOSE WOOD AND -- REPAIR/REPLACE SHTG AS NEEDED;1'LAYER 15#FELT;APPLY"30-YEAR ELK COMP SHINGLES."40 SQUARES FEE SUMMARY ', .` Plan Check: $0.00 - -•- - - '- _ Calc Valuation: -$5,250.001 'Permit: $125.25 - Claim Valuation: ' 55,250.00 SMIP Res: ' $0.53 - ' SMIP Corn: $0.00 - • - - Other: -. ' -v$0.00 - — — .Inspection': $0.00 :77-, , ' - ' ; Total: ,$125.78 i; �. _ - PLANNING &ZONING SETBACKS\: • •• - MAIN STRUCTURE--Front '0-0 - Reai- 0-0 -_ - -Left -_0-0. - - Right ,` 4 O. - /- ACCESSORY Front , 0-.0 - ,.. -Rear 0-0_ Left , 0-,0 - , Right' - 0-0%,j PARKING -,,. 0 Required: -0 Proposed:1 0, ., • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92'28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void If work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain Inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 . . 244848(6/00) DECLARATIONS r , WO-KERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the _work for which this permit is issued. I.have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'comperisptlon Insurance carder and policy number are: Carder. S?PrCT C' Policy Number. J.$cv *lb 2 '?i "n (This section need not be completed I/the permit is valued at one hundred dollars($100)or less.) ❑ I certify that In the performance of the work for which this permit is Issued,I shag not employ any person in any manner so as to become subject to the workers' compensationI 1 California,and agree that If I should become subject to the workers'compensation provisions of Sect) n 3700 of the Labor Code,I shall forthwith comply with ese p ions. • I // Applicant Signature: n-1^— Date: �`/ ' (2 L WARNING:FAILURE TO SECURE WORMERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS(5100,000).IN ADOrnON TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed 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.a f `.L[n"f7 Class a C 3 Contractor's Signature: +ut- `cb_.rz_ Date: 5-1(, I"y 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: 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 ONislon 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 toe civil penalty of not more than 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 License Law does not apply to an owner of property who builds or improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). • ❑ I.as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sac. Business and Professions Code for this reason: Signature: Date: Owner ID verified by driver's license. 0 Yes 0 No Driver's License No. Expires: • Verification of Ownership by(type of document,i.e.-property tax bit or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet In depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(38)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,Callfomia Administrative Code). ❑ As owner-builder, I wit 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? 0 Yes 0 No (Sectionei25505 of the a Bhas duringyear 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 tripe a registration form for acutely hazardous metedels7 ❑Yes ❑No (Section 25533 one time has onf the hand alifq qua Health and Safety antity of hazardousrdmath some terials als ex to or requires greaterequir than agistratIon with weight ofthe Costa Mesa Fire Department by each business which at any ry acutelyequalgpounds, 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 atir 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 CaliforniaCelitomle Health and Safety Code bee_n fully complied with? 0 Yes ❑No .... _...._._....__...._..piic.._...or..._r..._......_..._........__.....__—..._ _....__.o__. orkv1;.._._ __..._...._.__ .. .._ c_... 5 Does or will the oast Air u present f n building District o from at any other for toe work which district the sor age of this.cu,pp estion a0ertnil for such construction or modification from the South Coast Air Quality Management or from other air pollution control or agency? U Yes LJ No (Section 65850.2 of the California Govemment Code requires that the requested information be furnished on applications for non-residential building permits). 8 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If yes',the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air(Duality Management District or other air pollution control district or agency is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 es 0 No • 8 (If yes',attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above Is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Matedals and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that 1 have read this application and state that the Information given is correct. I agree to comply with all slate 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. ',odium 11reOff) gaal1l,pwner(s) Date 4th Or AuthOtl&etl Applicant /�Date coos 1. INSPECTION TYPE !! DATE IIIinALS CODE! DISPECTION TYPE PAff, MALI 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final T 208 Final Plumbing _ 200 Final Re-Roof /2'f2-01 "44 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Flre Prevention 202 Final Factory Fire Place _ 220 Final Planning Approval 203 Final Sign _ 222 Final Site 204 Final Demolition 250 Final Building/Occupancy - Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. `CITY OF`COSTA'MESA PE IT 0,p^ TRACT NO. LOT NO. , BLDG."71: . '- '- - ',(iL756 -((?O6Ie2 /IS.00 TI • ;CONSTRUCTION PERMIT /� / %0J: /3 t , Project Address 2615t' Elden Avenue--- "% TYPE OF CONSTRUCTION ( •,. - _. _ ,. '+ _ •'I OwnerSun Coast Development Phone 752,..531€�± NEW "O-ADD ❑ ALTERATION - - • = ,Address -5100 Campus Driver- Newport Beach " 0 REPAIR D-CONVERSION• D DEMOLISH - ZONING REGULATIONS, Arch/Eng: -"-- ' - '- - License No._ . _- ' D OTHER 'r _ _ r' _�_ _ DESCRIPTION OF'WORK - A.P. '• ' `Address .. - -- , -__.-. __ - __ - _ . - - •ZONE- ' _ .PLNG. REF: .- _ _ i •new plumbing Installation .t 'Contractor LeaVertd&Jacobs: Inc; ' Phone530..262/j -TYPEOF PERMIT•' -"" - - - -- BUILDING - — TO B�II DING I - Address • _ - - - _ t SETBACK C/L ST. -PRO PE RTV LINE 12700 A Knott Si; mAr(len groVP ,D.GRADING ),D FOUNDATION OSTRUCTURAL '--• 'LEFTYARD- - ..�i•. "> �-, 'LICENSED-CONTRACTOR"DECILAR'ATION•.-- - La-TENANT 0 ELECTRICAL-NPLUMBING 0MECHANICAL/- SIDE YARb-- s I hereby affirm that I am licensed under provisions of Charter 9 (cam, .n . .r e,'• „ J � RIGHT y'f, mencing with-section-7000) of (Division-3- of the- Business and• -D OTHER- - -- - - - - • -- - - - .- _ .. .; Professions Code, and my •license is in full force and effect., • •- - REAR YARD Feb P/L) License Class C-Rh "; - Li •-se No. $ t PROJECT DESCRIPTION_ P_, -l -_ ._ ._ _ .., ` iPKG.SPACE REQ. PROVIbED aj I Date 3/30/82 Signature '70��. 1 y".- SO. FT. _} ii, i..-. °'_.. - ___ __. J _ WORKERS'COMPENSATION-DECLARATION- --- - - '" ' /OS STREET WIDTH el I .PARK,F,EE$ - 1..• .4 _OCCUPANCY ` CONSTRUCTION TVPE -I hereby affirm that I have a certificate of consent to self-insure or a I •;ZONING APPROVED BY • , ' DATE f certificate'-of Workers"Compensation -Insurance,- or a certified copy- =VALUATION' ZONE _ - 'SPECIAL CONDITIONS: -- thereof(Section 3800, Lab. C.). 'r GRADING;CU.YDS. ° ACRES '.rt �r "cy No. P221GG Company Ze.ntb Natural - ._ - _ - _ - - .__ _ <-"_ _ _ .. _ __ - ._ ,. _ artified copy Is ereby furnished.. -- - - '- �. REMARKS � -- - -_: ]1 J ' ._ .,ertified copy Is filed with the city Building Division. - J EXEMPTION-FROM WORKERS' COMPENSATION-DECLARATION -,c.v. //J�j 'v' - ' - ' - -"" - '- - `^ t (This section.need not be completed"if.the-permit is for.one hundred _ `�'f _ - --•- . _- - -_ - I ($100) or less). , - .,.. . :' w - - _ _ •_ _ ._ _ 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 :I PLUMBI_NG,_ I ...- l-,-PLAN•CHECK - ' !ELECTRICAL',ELECTRICAL' - subject to the Workers'Compensation Laws.of California.: � ,__ UWILLINIa---- -- --(aHHHbt- -- Date Signature - BATHTUBS ' 1 -SHOWERS- 1 •-- .6 00 'SO FT SGl FT •-•- I NOTICE: If after making this declaration, you should becomesubject yTOILETS-i,,, •(,(3; T•',URINALS •A c .`,.. :5,00: -;GENERATOR" -,51,c-1.0g._ -1-1_1^:KW.... - - .t to the Workers' Compensation provisions of the Labor Code,you must „., TRANSFORMER, --t • - e forthwith comply with such provisions or this permit shall be deemed LAVATORIES 5 DOUBLE LAYS-• • -15 OO nAPPLIANCE 70-50 KW_50-+ KW'-' - ] _ IV-- _ _ • CONSTRUCTION LENDING AGENCYV(IT.-SIIV VIS 1 DISHWASHERS 1 6' 00 (MOTORS -- -0-1 HP=1-10 HPC I herebyaffirm that there is a construction lending agencyfor the per- ' - •- • ' '--- (INC:SOLAR)- -10'-50-HP"' -50 + Hpv - • - -- SERVICE SINKS �c SUMPS f "t formance of the work for which this permit is issued (Section 3097 Civ.--C.17' - _ - -. ..- ___ - _ ._ .._ Lender's Name Commerce Bank FLOOR SINKS FLOOR DRAINS _ ";FIXTURES" ----OUTLETS SWITCHES •' Lender's Address 19(11 llnvA Si- Nournrt Roarh DRINKING FOUNTAINS 'I I iGAS'TU BE"SIGNS' ,I, , OWNER BUILDER-DECLARATION:- -- - "-' - . INTERCEPTORS 'CLARIFIERS I hereby affirm that I am exempt from.the _he Contractor's License Law for _ -- a :, -,i •... ,•.i' +- , the following reason (Section'7031'5-Business'and'Professions Code:- SWIMMING POOL"' P TRAP"" ' -' •• -- ,LurvSlHut-d lury .__..__ . ._ _ _ _ _ Any city ,orcounty which requires a permit to construct, alter, I POLES METERED - -SUB r improve,demolish or repair'any'structure;prior'to its issuance,also re- WATER SERVICE 1 ALTERATION - e `MAIN'. �a' SUB_.�,I _ - - quires the ap.licant for such permit to file a'signed statement that he -'-• is licensed pursuant-to the'provisions oft he-Contractor's-License-Law GASSERVICET 1 OUTLETS (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_. 1 BTU OUTPUT35M - bacls for the alleged exemption. Any violation of Section 7031.5 by • ' 'applicant 'for'a-permit`sub;jects the-applicant _to a civil-penalty" SEWER CONNECTIONS .I _ . ' '- s --- - ' '--- - "- - •t m_ore than five hundred dollars ($500). __ � I '+ •• - ^s ._ ., as owner of the property, or my employees with wages as their SOLAR TANK�P COLLECTORS, 3 ' I � •.._, •_ -'-`1 +-r • - { 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. auto 1 washing-Imach X5 . 00,- ' ISSUE•FEE - -`- , -„C', • ' 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 I.l - , '3 00 ;APPLICATION-APPROVED-BY- ..'i. -.`-DT AE . i through.his.own.employees,.provided thatsuch improvements.are not -'- g intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK • SUMMA RV OF_F,E ''(ES ' is sold within.ane.year-of_completion,.the.owner will have the.burden_ .b• ti of proving he did not build or improve for the purpose of sale). . '•BUILDING", $ . .. HEATING SYSTEM 0-100.000 BTU -7'7 D h,-as owner of-the property,-am exclusively contracting with- licensed !PERMIT-CHECK contractors to construct the project (Section 7044, Business 100,000+BTU •PLAN_CHECK_$ ' ISSUAN• .'y and-Professions Code: The-Contractor's License Law does-not apply to - - - 49.00 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 $-' " '1 •.,'•-' 0 I am exempt under Section —B.-& P.C.for this BOILERS BTU_ $ ' rELECTRICAL $ s I _ .. .. -- -- - .. i �PLANCHECK_.$ _MICROFILM $ Owner - - • SYSTEM REPAI R,ALTERATION t _ TOTAL FEE$, -JT' I hereby certify that I have read this application and,state.that the above EXHAUST SYSTEM MULTIPLE iMEC HA LAICAL'$"- , " ' LENSED-"_- _ f. e_ information is correct. agree to comply with all city and county - PLAN'CHECK^$ "_"`- _. _VANCE PC _ -` 'i ordinances and state laws relating to construction,and hereby authorize ;' - Iy' •,r• s I.• -I . $' FLO represen es .1 chi y, • - ter upon the above mentioned , ', i'�Q r� proper for ppe -.- •o ' �A _ •_ • /-([./ Signal• - _ /' •� - - - - -^ . - - - - - - - -- --- CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor v _' . . .. _ __ '-� .. u CONSTRUCTION AND PLANNING 1 L o `r\ POOL&SPA. /� JI10 Date Insltector • Date - Inspector APPROVALS Permit # r APPROVALS. Permit_# _ 1. Temporary Electrical Service or Pole '_, • 43. Pool &Equipment Location- - - - - ' 2. Soil Pipe-Undrgrn • - , . . __ _ .170.4,7-- / ' 7C 44. Steel Reinforcement --- - - - - -- - • 3.. . Electrical Conduit Utility_Undrgrn _ _ _ _ _ 45.. Forms _ • - . -- - - - - - - - -_4. Electrical Conduit-Undrgrn . __ .- _ :- _ _ _ - Steel Reinorce -_ . 46.,• Electricals Bonding_.--- . . . . • - - - 5. _ fy - - - 47. Rough Plumbing& Pressure Test - - :• -- - - - . - •- - - - . 6__Electrical UFER Grn _ _ - __ ' _ T _ . - ' " ` 48: APPROVACTO COVER-GUNITE _ - . - - ' l' 7. Footings - _ _ _ - - 49. Electrical Conduit-Undrgrn • • a' . . 50.• Gas Pipe,-.0 Undrgrn,Test 1'• '' _ • _-_ 9.._ Water Pipe:Undrgrn __ ' q 1 ' - -- -- . 9 _ _ _ _.___._ _ �.JE%�� 7.- 51. Backwash Lines, P-Trap-��Undrgrn � " ' - '� ' • 10. Structural Floor System ,-_ __ G' 52. APPROVAL TO DECK"' - '' 11.. _ Property Sewer Line & House Connection"_ ' ` _ _ __ ._ . __ _ 53Z Backwash & Receptor-Final ' , a• _12. .Street Sewer Connection_ __ _ •_ _, •-- - - _ 54. Heater & Vent-Final - -13. Rough Plumbing __ G-/69-SZ C ' 55. PlumbinaSvstem--Finel - "-- - - ' "'- _ 14. Rough Electric-Conduit - - - -- - - -- 56. Electrical-Final- - - ; - , . -,r ••_ 15. Rough.Electric-W-Fin-g - ' - _-• - - '-` ' -- - -- -- - - -tt• , 57,• Solan System-Final "-'- ,l''. ' ' _L• , 16. Rough-Heating & Air Conditioning- - - _ - . _ 58. Fencing.&Access;Approval ,, . 1.7.-_.Ducts, in Structure:.;„ _ ___ _ _ .L. - . _ _ , - 59. APPROVED FOR PLASTERING ' -, . , ' • ,- 18: Ducts, Ventilating. .... _.. .. . _L' / ._ II .- _-, ._ - . _ - _ _ .. 19. Gas Pipe-Rn,. h - , 'St .( Y 1e 7/411791_, /$" '160. POOL/SPA'SYSTEMS FINAL 20:. Roof.Framing_ - . - _ _. . . -1 ' - _l . . ',I . ,. 4 21. Roof Sheathing ' - ---- - _ - -_ n. •..'- ,-. L 22: . Frameand Flashing - _. .! _. _ _ _ - :-NOTES: - 23. Insulation - 24!. Lathing.& Siding. - - _ .. .-_L - - • ' ._.., .._. .' ' . - _ - - - . _. ._.. _ . • 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 . _ - - 81,172- -' - - - ._ ' 31. Final:Plumbing /0.-/t12.-- , 32.- Water Service-Final .. . . 7-//q/t2 ' .C:.. . _ _" - I • " • • .. .- 33.._Gas Service-Final. - - - -- - - - -.._. . . . 34. Solar Domestic'Final '+' e - - - ' 35. Landscape Sprinkling System - - • _ . ' 36. Sound Attenuation - t _ . • - 37. Handicap Regulations - _ , _ - - 38. FI NAL STRUCTURE & BUILDING - - - - - - . 39. Special Requirements Completed - - "-- '` ' 40. Electric,Release to Edison - .. . ' 41. Gas Release to Southern California Gas Co. - . • 42. CERTIFICATE OF OCCUPANCY - .. . - •- 1 No.- , • ' Date - - - Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. • CITY OF COSTA MESA PERMIT NOS TRACT NO.- -LOT NO. BLDG.NO. - - - CONSTRUCTION PERMIT /LI 3 S '7 /' yf 5692 5/1 4/ 2 _ 1!3.00 Tl.• f Project Address 1/,icy- EGQON dT TYPE OF CONSTRUCTION .�, - r , Owner 4, �o"ey,g , .'. �iTt! , Phone ' 0 NEW 0 ADD 0 ALTERATION - - I - ,Address - -- , - - . - 0 REPAIR 0 CONVERSION ❑DEMOLISH , /•J - __ - _ ' ZONING REGULATIONS Arch/Eng. - License No. ❑OTHER. ' -- _ - - - r --- DESCRIPTION OF WORK IA.P-•pt _ , _ " • . t- _ 1 Address ' - - _ - - -^- - ' (ZONE Contractor Sr caa k Els.)J sr. c 'Phone - TYPE OF PERMIT 9ETBACKGC/L ST. �ROBP I Y LINE • _ Address- 7-2 G CGC,L' .rU ! -+•- n—t - ❑ GRADING- ❑ FOUNDATION'- ❑ STRUCTURAL - ISID�,YARDLEF - - LICENSED-CONTRACTOR DECLARATION ❑ TENANT 0 ELECTRICAL OPLUMBING ❑MECHANICAL siOE YARD --- - -- - - • - I hereby affirm that I am licensed under provisions of Charter 9(corn- RIGHT menting -with -section -7000) of Division -3 -of -the Business 'and - ❑ OTHER'- - _ - _ .. - _ Professions Code, 'and my license Is in full force nd ffect - - REAR YARD(TO P/L) licenseClassG PROJECT DESCRIPTION _ _ _ __—Z DT cense No. - - - PKG.SPACE REQ. - PROVIDED ' - Date nil-y l�Signature /L' �+k _ - ,.- - e SQ.FT. WORKERS'COMPENSATION DEC ARA ION OCCUPANCY_CONSTRUCTION TYPE STREET WIDTH :` PARK FEE E • .I hereby affirm that I have a certificate of consent to self-Insure ora VALV AT(ON ZONE • ZONING APPROVED BY - DATE - 'certificate-of Workers' Compensation Insurance, or a certified copy - - - -- - -- - -- �- - '-- - 'SPECIAL'CONDITIONS: thereof(Section 3800, Lab. C.). ,GRADING,CU..VDS. - ACRES •. . . . ✓ 'y No..- _ - '- Company - . _ - .. ._ z _ _ -j . --' , . • edified copy Is hereby furnished. _ - -REMARKS: t - - • Jertifled copy is filed with the city Building Division. - -. a�;�Y J- - - -- - - -� - r-� - - - EXEMPTION not be co pie COMPENSATION-DECLARATION' • - - "- -'- - - - ' (This section need not.be completed if the p- mit is for one hundred - _ •• - - - - . - - - y- • •' t I cerci or less). - P •- - • ••- - - <erllfy_that nthe,mplo rmance of the or ith chi it is I '• Issued, I shall not employ any per . . -e s• e PLUMBING . -- PLAN CHECK ' " -'- ELECTRICAL ' - -PLAN CHECK' subject.--.: W k rs'_Co nature tl•� I •ei/����� - - ,- - _ -- - uw FLLlrvb. _. LaKKKL,S Date�t:.L3 signature BATHTUBS - SHOWERS 'SO FT SO FT - - NOTICE: If after making this de laratl• you sho Id become subject TOILETS_: /•, q•V RINALS"- -'- -- • - GENERATOR -- 0�1"KW_1-30'KW- -- to the Workers' Compensation provisions of the La•or Code,you must ITRANSFORMER • i : L- r , , ._i e( forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS --- - -APPLIANCE - 10-50'KW=50•+ KW• - - -- I revoked., . . _, _ - - - • - - - KIT.SINKS- - - •-" -DISHWASHERS' - - • "4MOTORS- - - - -- CONSTRUCTION LENDING AGENCY I 1 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-'t - .. formance of the work for which this permit is issued (Section 3097 - - ' Clv, C.): ' : " `'z - + :,_ -" FLOOR-SINKS V., { FLOOR DRAINS' ' - - FIXTURES ' -"- OUTLETS ' SWITCHES - ' - - -lentler'S•Name• - '- r, - ' Lender's Address -- OWNER BUILDER-DECLARATION-' •-" =y"- -D' --‘'��' `INTERCEPTORS IPOLE LIGHTS - ' -- - - - --- - - -- - - I hereby affirm that I am exempt from the Contractor's License Law for ' - 1 the following reason--(Section 0031-.5 Business-and Professions-Code:- SWIMMING POOL- - - --P-TRAP "'-"' - -- - ----, -- .1-UN •I HVL'ION- _ - - Any city or county which requires a permit to construct, alter, - 'POLES METERED `SUB- __ - improve'demolish-or repair any'structure; prior to its issuance,also-re- -WATER-SERVICE -- ALTERATION — 1 ' ;PANELS ---- "MAIN ' ;SUB - - quires the aprllcant for such permit to file a signed statement that he •-- n is(Chapter pursuant to the provisions of 7000)the-Contractor's-License Law- -- - - - -- - -- }SERVICE- - - AMP - - --- Busine9 (commencing with Section 7000) of Division 3 of the GAS SERVICE OUTLETS Business and'Professions Code) or-that he is Section exempt-therefrom and the WATER HEATERS ' "- "BTU OUTPUT - - •- - - • -- ' h••is for the alleged exemption.sub Any violationepof 7l by - - - - - )tapplicant-for fi-permit-Subjects-the applicant to-a civil penalty SEWER CONNECTIONS - `- n more than five huntlr¢tl dollars ($500). M I � - I L r, as &wrier of the property, or thy employees with-wages as their'' SOLAR TANK - --"COLLECTORS - "`L "-'- ---'•-- - - • - - - - _ - sole compensation,will do the work, and the structure is not intended _ ' I - • r - or offered for sale. (Section 7044, Business and Professions-Code: The' SOLAR PIPING SYS.- - - - --- • '- - ' ' ' ISSUE FEE " ' , -' -- - Contractor's License-Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself or ISSUE FEE • _ __ _ • _ •'APPLICATION APPROVED BY- - -- - - - DATE --- through his-own employees,.provided that such improvements are not intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK _ _ __ __ SUMMO ARY F FEES:.Is sold within one-year of completion, the owner will have the burden ' of proving he did not build or improve for the purpose of sale). - - - .BUILDING - -- - • -- - - - - -- HEATING SYSTEM 0-100,000 BTU 7C— I PERMIT E SHIP : S - • t ❑ 1; •as owner -of the property, am exclusively contracting with AND DUCTING-- " ' •- • - _ - - -- - - G - - - - - - 1 Iltensetl contractors to construct the project (Section 7044,not Business 100,000.+ BTU r .PLAN CHECK E -.PERMIT n ' 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 ton- REFRIGERATION 0-100,000 BTU _ i. :PLUMBING $ • the from such projects with a contractor(s) licesned-pursuant-to SYSTEM- - - - - - - - - - -- - - GRADING '-E the Contractor's License Law). - 100,000+BTU •PLAN CHECK E• s',• A , ❑l am e,empt under'Section - ----- — ' -B:&R-C:for this BOILERS BTU 'IELECTRICA L $' • • . - - _ - _� _ _ -_+MICROFILM'S ` f _ , • SYSTEM REPAIR,ALTERATION PL-A N'CHECK' S- 77 Date Owner I -- MECHANICAL E ' 'J -- TOTAL FEE E - _-'- I hereby certify that I have read this application and state that the above EXHAUST YSTEM MULTIPLE - l CESS.AD- information Is terra I gree o comply i all.city and county PLAN CHECK -S • • - - VANCE PC E_ -- .• information •` ordinances and state wJ tat' eta constr %^,and hereby authorize B97// K/T VP A[e� e6i —" I .•l, . , . .• . •. -, representatives o hi/, .:•ye mentioned - • property for - pec y Aiet , /3 / �. -/3'd'2_ -:Signati •, FINAL FEE E • I Drivers' / _ Accounting;Goldenrod-Assessor ° ' CONSTRUCTION. AND-PLANNING %• tN. POOL&SPA -- r1 Date APPROVALS Permit# hl" (1 Inspector APPROVALS Permit# - Date Inspector 1. Temporary Electrical Service or Pole a 43. Pool & Equipment Location • • .." • • ,2.._ Soil Pipe_Undrgrn - __ •. 44. Steel Reinforcement - - • - 3.. ElectricaLConduit Utility-Undrgrn45. . Forms . - - - • . . 4.. . Electrical Conduit-Undrgrn - - - 46. Electrical Bonding - - - - - - - - - 5._ Steel Reinforce47. Rough Plumbing& Pressure Test - • 6. Electrical UFER Grn_ - _ _ _ i,_ 48. APPROVAL TO COVER-GUNITE - - 7. .Footings _ _ -- . _ _ 49. Electrical Conduit-Undrgrn • 8. -Foundation - - - -- - 50. ,Gas Pipe, ❑Undrgrn,Test • •_ 9. Water.Pipe-Undrgrn . ._ _. _ -- 51. Backwash Lines, P-Trap. Undrgrn - - -' - - ' 10.- Structural Floor System - , . . 52.. APPROVAL TO DECK ' - - -- -. . -- 11. Property Sewer Line & House Connection - - - . . 53. .Backwash & Receptor-Final ' „ • 12.. Street Sewer Connection ___- _ - 54. Heater &Vent-Final 13. Rough Plumbing .. 55. Plumbing System.- Final 14. Rough Electric-Conduit - • - •56:` Electrical-Final - • 15. Rough Electric-Wiring - -t-, �.' - - - 57. Solar System-Final - _ • 16. Rough Heating & Air Conditioning - - - f'zp .c.../.).....5-7-175--2__ bM- Fencing&Access Approval 17. Ducts, in Structure ... - . _ _ 59. APPROVED FOR-PLASTERING1' `,'S..-.. `,. '•'. .. . • 18. Ducts, Ventilating . . �- '..` �,_ 1 _ -" 19. Gas PiperRough'&Test ' 60. -POOL/SPA SYSTEMS FINAL 20. Roof Framing - - - - - ' - . _ ' 21. RoofiSheathing - . - - _ - - -22. Frame and Flashing- -- ._ . - NOTES: _ - 23: Insulation- - - . - - - - - - - - - 9 7-11z- �irewt ilea0e( T (1rDr ,e19 - - - r , 24. -Lathing & Siding - - - - - - ' -- - - -- - flan-9Z, ..e4,2:0 4 'a- '- -2.7 ..� ('.�•GpsC" - - 25. Drywall Nailing - - - - - . -- - - - 26: -Plaster Brown Coat- - - - _ -.- _ . - - 27. Electrical Power Meter-Final "- _ . • _ - - 28. Final Electric - _- - • - • - - - 29. - Final-Heating & Air Conditioning - --- - /0-/-92 ,/'L- -- - - ' ' 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 I - - .. - 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 -- -- i - ` • .-N. ' - ' _ • No. • Date , _ \ ,' Z « _ - - . _ - . - _ Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. • CITY OF COSTA MESA PERIv]IT=O,-�� TRACT NO. - BLDG.NO. - - - CONSTRUCTION PERM! M iJJ 'Project Address /'—I`�) e�t,7/�Vl TYPE OF CONSTRUCTION ' - 5423 5/04/82 7,00 TL:1 Owner!^�J�•d��"-w.i4 1 -7/ - Phone 0-ADD ❑ ALTERATION ILL .• . . -. •. Address R ,-. •7 ' - AIR•'0 CONVERSION ❑DEMOLISH ZONING REGULATIONS Arch/Eng. " " -� -" License NO. - -- '- LJ OTHER, " + - -- .. DESCRIPTION OF WORK II A.P.�F ,Address ( - - - " - --' - -"- I_ .ZONE PLNG: REF:, I .1 Contractor 1 fV,a• ' 1 L_�• 1La o 4Lj O,, i TYPE OF PERMIT- - - B •• N Tp RtiiIDING: - - ' • _ _ SETBACK C T. PRO PE RTV LINE I Address at wn � .0 GRADING :Lai-FOUNDATION `0 STRUC URAL - • ,LED YARD • s �• - LICENSED-CON R'CTOR DEC 'A- • ION- - -- - - TENANT' 0 ELECTRICAL UPLUMBINt- •MECHANICA ;SIDE YA`• ' I-hereby affirm that I am licensed under i•rovisions of Charter • (c•m- + !' . I RIGHT 'I mencing with sects•• 7000) of Divisi•n-3 of the -Bus ess/and ❑ OTHER - • - - Professions Code, I; my icen is In full for ,REAR YARD(TO P/L) - -/� -- - by. rs ' PROJECT DESCRIPTION: __I' ." • _ - _ _ 1 License `as _ ._- se N• .L� - - > +. .•.......... MI• - ] i ISTREET WIDTH • • PARK FEE $ • WORK RS'COMPENSATION DECLA"ATION '- -- - 'OCCUPANCY i_I' CONSTRUCTION TYPE, I I hereby affirm that 1 have a certificate of consent to self- sure•opp a !ZONING APPROVED BY DATE certificate of Workers' Compensation Insurance, or a' fled copy VALUATION - - ZONE---. _- 1 - •I � thereof(Sect' 0, b LGRADING;CU,YDS. + ACRES 'SPECIAL CONDITIONS: a ) 1 -y No./ gpy�(�V�$0 mpany ■ at i is�s�- ertIfietl copy is here fun hed. - - ' - - ----^r� REMARKS - - -'' Li'Certl(letl copy is filed with the city Building Division. �ypam' _�� � t. _ EXEMPTION FROM WORKERS' COMPENSATION DECLARATION /•"1 1 - - - - - - ---'-" -- -"" - . . - -- - (.This-section need not be-completed-if-the permit is for one hundred. .-// - y '•"T' •' I t'' ($100) or less). _, •�- _ _ ,_ _ � _._"__._. -.--. . ._. _ . .1 I.certify that n-the,performance o6 the work for-which this permit is - - _ - _ _ - - - issued, I shall not employ any person in any manner so as,to�become • PLUMBING-;,i',- PLAN CHECK - ELECTRICAL' PLAN CHECK, . ' t subject to the Workers'-Compensation Laws of California.'---•- - - -- 1 BATHTUBS SHOWERS • - - ' -- -U'IELLINta - • - - GHKHt.E• • - -,i - '.I Date j Signature • _ e NOTICE: If after making this declaration, you should become'silbje-ct '-TOILETS '.. „11"14 •,,:URINALS :GENERATOR' 0-1 KW_1-IO.KW• • - to the Workers' Compensation provisions of the Labor Code,you must _ TRANSFORMER - i forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS 'APPLIANCE 10 50'KW_50+KW" revoked.-- -� ____ __ �. a_- -- __ _.__ - __ ._ _ .__ _ - __ I CONSTRUCTION LENDING AGENCY KIT.SINKS DISFIW P.SHERS - ' MOTORS - 0-1•1-1P_1-10 AP` '� I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS',1 ,L c SUMPS - - - _ (INC:SOLAR)- 10-50 HP-- + HP •- - - formance of the work for which this permit is_issuetl_(Sectio_n_3097 _ _ _ __ - •- Civ, C,), - FLOOR SINKS FLOOR DRAINS !FIXTURES • OUTLETS SWITCHES-- . _. Lender's Name _ _ _ Lentler's Address DRINKING FOUNTAINS , GAS TUBE'SIGNS -"- ' n, � -" OWNER BUILDER-DECLARATION E-- - - ----._ - ---- ' •- '� INTERCEPTORS CLARIFIERS POLE L-IGHTS -` - ' " -- Ihereby following that aso I exempt 7 from the Contractor's License Law for milli '. the _city r count•(Section 7031.es B_ ._ _ _ to construct, alter, POLES • • METERED SUB improve,demolish t uapy to fie a signedg to statement hat e- WATER SERVICE ALTERATION !PANELS MAIN •SUB �' - --" ' lice the puruant for such permitisonso file aotrst is Lice that he _ -• •n " `• - - ' . iscppursuant to the withi sSecs of the Cfactor's License Law GAS SERV ICE OUTLETS (Chapter- 9 (commencing with Section 7000)s of Divisioner3 of the ' • '- Business-and antl allegedions•Code)ptio or yt heio a exempt io7031.5 and the- -WATER HEATERS --BTU OUTPUT -,� - -"- "- - I for the afor'a permt-sub Any olappli aofn Section rpen by __ •__ - -"'' x I• 3 .I -applicant more . -for a permit subjects the 00). a_ _ _a civil-penalty SEWER CONNECTIONS ' - "�"- - ' - -' - pt more than five hundred dollars ($500). _ U I, as owner of the property, or my employees with wages as their SOLAR TANK COL!LECTO RS i-„.. - - -- l sole compensation,-will do-the•work, and the-structure is.notintendetl _ •__ _ _or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING SYS. II i - SSUE FEE - - .Contractor's-License Law does not apply-to.an-owner. of.a.property -- --- - ................ ....... .* PPCICATIONAPROVEBVT"who builds or improves thereon, antl who does such work himself or ISSUE FEE •1 ( DATE << through his own-employees,-providetl-that such improvements are not, '- _ intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK SUMMARY OF,F,EES•t, - is•sold withine did of ortionpt ee for r.wil purpose the burden _ ___ _ I 'i`I_'St ., of proving he did not build or improve for the purpose of sale). BUILDING'- �"- - �'1, as-owner of the properly, any exclusively contracting-with -HEATING SYSTEM 0-100,000 BTU PERMIT $ :r-• °r SMTP Li' .> •'Sr` ' ^- I AND DUCTING licensed contractors contractors to construct the project (Section 7044, Business 100,000 +BTU 'PLAN CHECK $ 1PERMIT : !): and-Professions-Code.'The-Contractor's License'Law does not apply to- ' -- .. -) IN ---- - --ISSUANCE �$ - an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU ,PLUMBING $ R -,•-r. • tracts from'such-projects'with'a-tontractor(s) 91cesned pursuant•to- the Contractor's License Law). 100,000!!;BTU !PLAN CHECK $'a' J. , -'I})-',_ ,kI 44. I • ❑ I am exempt under Section' - • B.& P.C.for this BOILERS BTU ELECTRICAL $ - - - $ -„r f • r ___ - -_.- .._„ _ .. -” .._ .- . _ reason _ ,PLAN CHECK -$ MICROFILM $ SYSTEM REPAIR,ALTERATION �/— • I 'I Date -- ' Owner - - i- - - --- - -- - - 'MECHANICAL-g'- /- - - •TOTALFEE$ - , I.hereby certi,y that I have.read. is ,t•• cation and state that the above _ EXHAUST SYSTEM MULTIPLE _ • 1 __ - r' . - I LESS AD- ' __ _ I information s egret. I agree t•hc•mply ith all city and county �)��7 �� r - mil1PLAN CHECK $`-- VANCE PC s_ ordinances.a at la .gelatin• •. c•nstr ugqfion,and hereby authorize-'�(nisi •., - }�// is•• -„ - representatti�-s of )i ly to a -r upon the abov: mettle I�y� �/1y� ` proPertY_./ ,s./i i %• _Ses. _ ��. - _ - - ., CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING - POOL&SPA ,; r ',\ ';!\;; 'rm2.ii 434'If Date Inspector 'APPROVALS Permit# • Date . _ Inspector APPROVALS - Peimit# �1 1 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 _ - _-_ . 1 . _ 5. Steel Reinforce 47. Rough Plumbing& Pressure Test _._ __ _. _. . . ' 6. Electrical UFER Grn - 48. APPROVAL TO COVER-GUNITE-- -- - _ -_ ----__ 7. Footings • 49. Electrical Conduit-Undrgrn - - . . . 8.._ Foundation_ __-_ - -_ • - - • - - - - - -50.- .. f.50. Gas Pipe, ❑Undrgrn,Test , _, ._ 9.9. Water.Pipe-Undrgrn 51. Backwash Lines. P-Trap. ❑Undrq,'n • ' } -- • - - -- -- --• ' 10. Structural Floor System _ 52. APPROVAL TO DECK -- :_ -T•---- • _ , 11. Property Sewer Line & House Connection • • 53. Backwash & Receptor-Final • • 12. Street Sewer_Connection_ " - - . - 54.. Heater & Vent-Final - - , 13. Rough Plumbing - • - i. -55 Plumbing System =Final' - - ii- -`-- - ' - 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' - __ 59. APPROVED FOR PLASTERING - 18. - Ducts, Ventilating - _ I _ ! _ _ - _ ____ _ _ _ 19. Gas Pipe-Rough Sliest , _ . . - _ 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing.. - . _ - -- - • . • - 21. Roof Sheathing _ i _ - __ . - : _ _' ' 22. Frame and Flashing_ L. -_ _ _ _ - _ - 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 - /D-/-9R tn. _. i .30: Final Gas Pipe-Test - - - ' , ' . ` " ' -_ - 31: Final Plumbing . _- _ ' . _ - _ - ' 32. Water Service-Final _ - - ' - - 33. Gas Service-Final _. . - . ._ _ - -. • . ' .• . ,. 34. Solar Domestic-Final ' - t • - - • 35. Landscape Sprinkling System - ' ' . . r '• • - , 36. Sound Attenuation - .-. . . - L. - - _ 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.N9. - - • 3694_ 3_/24/82 - -338.65 .TI. 'CONSTRUCTION PERMIT B '�9(p6, IOffi'-I9 ( J • Project Address 2615 Elden S-7L ' ' TYPE OF CONSTRUCTION . , .-- ;Owner Laguna Pacific Financial Phone7525316 '$ NEW 0 ADD ❑ ALTERATION -• •' TAddress5160 Campus -Drive- - - - • 0 REPAIR 0 CONVERSION ❑DEMOLISH. -Arch/En : License No. 0 OTHER 9 Rd Kiser & Assoc. 111 1 DESCRIPTION OF WORK _ To s/ - i) Ii `b Address 1 7 .'TYPE OF PERMITq • ' - - -- SETBACK LST. �� P R OPEIRTDVNLINE I(YH'O1f Address h�-O iapic.."--02,.. • . ((3 ❑GRADING _ yn FOUNDATION '%STRUCTURAL- ,LDEYARD 3'z/04- - 9 LICENSED CONTRACTOR DECLARATION -❑TENANT 5f ELECTRICAL' %PLUMBING- NIMECHANICA 51 YARD - 'j 4' -- . - • ' I\ I hereby affirm [hut. I em licensed under provisions of Charter 9(corn- - RIGHT • • 7 mencing with Section- 7000)- of .Division 3 of the Business and ❑OTHER - .al Bu kiln_ Permit' _ _ _ __ _ ' Professions Code, and my IIO�s�e is In f force and effect. - r c• ' , REAR YARDP(TO WL) # (`�Z .-,� License Class B- -` \ (40(622-S PROJECT DESCRIPTIO . _,) y - • Q • i i� se No. PKG SPACE REQ. Q-, - -, PROVIDED -2 .5 \ Date _ - Signature - ' '0 - 50. FT. " •� - 4f,az---N- '- '- • _ pq •• 1 WORKERS'COMPENSATION DECLARATION - -- . OCCUPANCY STRUCTION TYPE N STREET WIDTH 5�7Q - s PARK.FEE § I Z9•B3 I hereby affirm that I have.a certificate of consent to self-Insure ora ,. VALUATION 'F)gn 3CWfi alai /�6q'_ r- 'ZONING-APPROVED BY -Der k d DATE I kOI O7 certificate'of Workers' Compensation Insurance, or a-certified copy - ' - 15PECIAL CO NDITIONS: - -- _ thereof(Section.. p0 Lap.C/} t GRADING CU. YDS. `-' ACRES PoIICY No.n-/ /�YDO(o`/-Com Gant EE2�/v(�Pr�.s iU .. _ . .._ . _ _ .. _ _. _. _ _-__ _ _ 5 Certified copy is hereby furnlshe'. -REMARKS: ' __ 71 (1 .li ( 'IL N I I : ;,I sly. ' Certified copy Is filed with the city Building Division. ned4 a r r S//IlsC�-• ` Q - - - -- - - ' EXEMPTION-FROM WORKERS' COMPENSATION DECLARATION 12 \. ( / . :e. �htLI I pp a a.i' 4- - . . -- --- - ' - ' ' - , (This's or les need not be completed if the.permitis for one hundred .-- J 1s.. 2)4 , -21".4.0--• • E certify section less . tJ (". cS' • _' _ - .. _ - • - - _ • _ .. • _ _I Issued, that In the performance of.the work for which this permit I5 Issued, 1 shall not employ any person In any manner so as to become PLUMBING ' - - a..iPLAN CHECK ;ELECTRICAL" ' -'- - PLAN CHECK' - - ' -- subj¢ct-tedha Workers'Compensation-laWiOf California. - — .. -_ - _ - .-- .UW tLLINO- t�A HAIaE_ _- Date I BATHTUBS SHOWERS - ' • O SO FT •- 41% I • Date Signature 411-7(7 NOTICE: If after making this declaration, you should become subject . TOILETS- ',• I -it-URINALS -- •GENERATOR 0-1'KW_1-10 KW - - to the Workers' Compensation provisions of the Labor Code,you must -TRANSFORMER - . '•i' 'I forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS - 'APPLIANCE-- 10-50'KW=50+KW • • _ - • CONSTRUCTION LENDING AGENCY KIT.SINKS - -DISHWASHERS • .MOTORS--' - ' - 0-1 HP_1-10 HP - -- - - .I 1 hereby affirm that there is a construction lending agency for the per- SERVICE SINKS 'Ti 'A. SUMPS - - (INC.SOLAR) -10-50 HP - 50+HP - --- - -- formance of the work for which this permit is issued (Section 3097 Lenders same • Commerce Bank t '\ . b .: .b „ tFLOOR.SINKS • ,r_•,FLOOR DRAINS -Li ,FIXTURESOUTLETS'--SWITCHES , --' - - I Lentl er's.Name_ ' _ __ _ Lender's Address 1601 Dove: NB 92660 DRINKING FOUNTAINS ' s - -- - GAS TUBE SIGNS'- —' '�'-" ----' ,-' - - •) OWNER BUILDER DECLARATION -- - -- --- - - - INTERCEPTORS_PTORS C.ARI FIERS I hereby affirm that I am exempt from the Contractor's License Law for / r- .. . the-following'reason-(Section 7031.5 'Business-and-Professions Code: SWIMMING POOL PTRAP' - • -' - --- - -- - i Any city_or county which requires a permit to construct, alter, :POLES • METERED - -SUB .. improve;demolisMor repair any structure,-pr lor'to I yissuance,also re- WATER-SERVICE ALTERATION` - - PANELS - ' -MAIN' - -"'-SUB-— - - quires the ap.licant for such permit to file a Signed statement that he - . . . - - - - - - is ed'pursuant t cing provislontion the'Contractor's-License Law ---'t.AS SERVICE OUTLETS(Chapter .9 (commencing with Section 7000) of Division 3 of the -- - Business and'Professions Cotle) or that he It exempt therefrom and the' -WATER HEATERS BTU OUTPUT ' _ --- '---•-- -- ' - - -- - - - - • - basis for the alleged exemption. Any violation of Section 7031.5 by - of not moret-far five hundred dollars the applicant to-a-civil-penalty -SEWER CONNECTIONS '—- - 'f - -"' - - -- - - -of not than live hundred dollars ($500). - --� - - - , 4 ❑ I. of pen ar on the .do they,or my dmthe,str { -With-Wages-el-sntIntended their' SOLA R'TANK - "COLLECTORS sole feredefor sale.(Sectio the 44. B,.sin s aP ture is not - _ _ "" "" `- " '- ' C offered for sale.e(Section d n Business and ProfessionsownerfCode: The SOLAR PIPING SYS. -'ISSU EFEE" —' -- -- --- who[builds -r cense Law does not.dp y .to an such a s tyor __ _ __._ - -'' - .. - TAPPLICATION'APPROVED•BY --- - , DATE who gh..ht or improves thereon, and who does ch. such work himself ot ISSUE FEE inthtended r Own_emfor salt,_prohoweded that a building ve mebtt are not intentletl or offered for sale. If, however, the building or improvement MECHANICAL .. CHECK isaold_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% 1,-as -owner -old the- property,-am exclusively contracting with- ANIJ DVCTING '- - r licensed contractors to construct the project (Section 7044, Business 100,1100.+ BTU !PLAN CHECK $ and-Professions owner 'property The Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who ton- REFRIGERATION 0-100,000 BTU - :11 tracts frost, such projects with a-contrattor(s1 licesnetl- pursuant to SVSTEM - - - - - - - -- - the Contractor's License Law). 100,000;+ BTU ❑ i am exempt under Section -" - --B.& P.C.for this BOILERS BTU - t i reason_ _ _�. . __- . - - - - _ :- •• • Date- - - - - Owner SYSTEM REPAI R,ALTERATION 1 hereby certifythat I read this application and state that the above EXHAUST SYSTEM MULTIPLE • I information is cox ct. I gree to comply ith all city and county - ordinances and.5fate laws r latin• • const • on,and hereby authorize • II representatives • this city ...4c• er. pon the above entlonetl I , •Property • _ my 2 •n • .'•' FINAL FEE $ 33844 . 519natur -6!'a -. ,! CMF 0865-46 White-Building; Canary-Applicant; Pink-Accounting;Goldenrod-Assessor T - . . .. CONSTRUCTION AND PLANNING / - . POOL& SPA X , APPROVALS Permit# �J)t10� Date Inspector - APPROVALS Permit 4# Date Inspector 1. Temporary Electrical Service or Pole - 43. Pool & Equipment Location - _2. _Soil Pipe-Undrgrn . _ _ __ - 44. Steel Reinforcement - - - - - - 3. Electrical Conduit.Utility-Undrgrn -. . . . - 45. Forms - • .- -4._.Electrical-Conduit-Undrgrn . _ -__ __ - -_ 46. Electrical Bonding - - -- - - - - -- - - '- • __5. _ Steel Reinforce 1 47. Rough Plumbing & Pressure Test - - - - - . 6. Electrical UFER Grn . - _ - - _ .. - 48. APPROVAL TO COVER-GUNITE - r _ _ - - - - .. 7._ ,Footings. - _ _ __ _ '�1 S y/,-/ro_it ' 49. Electrical Conduit-Undrgrn - - ' -8.- Foundation' -_ . S.11dh - - _ : q-Q/_PL JS 50. Gas Pipe, ❑Undrqrn,Test , • - - • - 9. . Water Pipe-Undrgrn_ __ ._- - _ __ - 51. Backwash Lines. P-Trap. ❑Undrgrn- ' - _._.- - ' _10.. Structural Floor.System - - • 52. - APPROVAL TO DECK _ ." " ' " '-1.1.. . Property Sewer•Line-&,House Connection.` .- -- - - . . _ 53. _.Backwash & Receptor-Final i ._1.2. . Street Sewer Connection -_ __. ' _ _ ` __ - _54.. Heater& Vent-Final. - . - _ 3gfiiPf�ii'ttiid�lft-,f jtj33gZ aol,0301{ - - 55 Plumbing Svstem,-Finl - ` - - Ro • .4. Rough Electric-Conduit -- -- • - - - - • • - '56:- Electrical-Final - • • . 15. Rough Electric-Wiring - I -- - 57. Solar System-Final- ' - - ' - , , - _ - - ' u 16: Rough Heating& Air Conditioning- - _. ' - - - ,bd. . Fencing&Access Approval , 17. Ducts, in Structure . - _ _ - , - • . . ' _ _ - 59. APPROVED FOR PLASTERING ' 18 Ducts, Ventilating _ .. _ . . ' - - ..- . ' - _ ...... • . la 19. Gas Pipe-Rough &Test i. - _ _ - 60.- POO L/SPA'SYSTEMS FINAL - - • , 20. . Roof Framing- _ _ i._ _ _ - • 21: Roof Sheathing - Si-Ye-- • ,A -S ' - - ' ' - -- ' -22: - Frame and Flashing - - --- • - - - _ ` NOTES:• ' _ - - • , , - , -23. Insulation - 1e"4 'g� .- S DRy 'YAR D --STAN4 PIPE --NO PE,am )T --t- ti-$L 24. Lathing & Siding- - - -' ' -- (e3400.-tor- *pS - - -- - -- -- - - - -- -- -- - - -' r 25: Drywall Nailing - - q.St- �.S .. - ' .� . . . : - 26. Plaster Brown Coat - - - •._ - . - - - - _ • 27. Electrical Power Meter-Final - - _ _ . . ' ' -__ ' •- . 28. Final Electric - - - -- - - - • - - - - . . , - ' ^9. Final Heating & Air Conditioning -- - _ - . _ - -. _ • ' - 1. Final Gas Pipe-Test . ' -. - _ - _ - .31. Final Plumbing - _ . -. - . - _ - - ' - 32. Water Service-Final - . . _ . _ - - ` - -33. Gas Service-Final . ' - . - _1_ _ . - r 34. Solar Domestic=Final • •• • ' - - ' 35. 'Landscape Sprinkling System - - - - -- , •• ' • ' 36. Sound Attenuation - - • - - ' - - - ' 37. Handicap Regulations - - - - 38. FINAL STRUCTURE & BUILDING - • 11-_41-17.1- - Sb5 ' ' - - 39. Special Requirements Completed -/"k$-S% Qr.C(t_6#1• - - - • - 40. Electric Release to Edison - - 1 41. Gas Release to Southern California Gas Co. ' • 42. CERTIFICATE OF OCCUPANCY I - - - ` - • ' . No. • Date - - - ..:-` ,,.. - Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. •CITY OF COSTA•MESA` 'r PER TJ 9 .- ' • 'TRACT NO. ` -LOT NO. BL G.N - - -' - - CONSTRUCTION PERMIT f'5 Yto ` 3' — Project Address TYPE OF CONSTRUCTION , - • - `• ` ' C�(S (- ��PN I VP 5493 -5/O5/62' ' Owner LAGy nsp I'iACs FIrC • -Phone 75.-21 �Ol VT;NEW -O ADD- 0 ALTERATION a-I. I• 3B• I'4' ,Address _s - C4MpNS- DC 'SK.re 1(X7-'NC"r 10 r'-° REPAIR- ❑ CONVERSION- ❑DEMOLISH TI S'�(nZONING REGULATIONS - ' Arch/Eng. - - - -- - '- License No: - D OTHER _ -_ _ , ,.Address - - . - --- - - - - DESCRIPTIONOFWORK I •A'P'B •'i �_ -- y 1 ZONE ,PLNG. REF. , , Contfacto7 T -n-,ts.n;JP (`leu- �c 'Phone]Z).233? TYPE OF,PERMIT- ' - -- BUILDING - - - - Tp BUILDING - _ IM' C _ e IS5EpTEBACKC ST. PROPERTY LINE. 4• C. Address• • )' 0 WIC; a •c 1 . . -) .. - ❑ GRADINGs,•,.p FOUNDATION - O'STRUCTURAL- - LIEFT YARD '- -- -- ' ,, .p - - - �- - 'LICENSED CONTRACTOR DECLARATION- - - - ---- - :'-- -❑-TENANT yy ELECTRICAL-DPLUMBING 'OMECHANICA SIDE YARO- - - - - - - - - - - - - I hereby affirm that I am licensed under provisions of Charter 9 (com- - ii'_ 1 a- RIGHT meriting with section'7000) of Division 73 of -the- Business and- OTHER - - --- -- -- - -- -- - - - - _- Professions Code, and my license is In full force and effect. :REAR YARD(TO P/L) •.r,r c -- PROJECT.DESCRIPTION= _.� . _ __ _ ___ _ License Class ense//0'0;33'40`67 , S?'7� ,. �` PKG.SPACE REQ. , PROVIDED „a - , Date'.C-k-y).t-..Signature-- ''•P-eco - - „ SQ.FT. _ — . fu • 'WORKERS'COMPENSATION DECLARATION - - - -- . . '-- OCCUPANCY CONSTRUCTION TYPE / ' STREET WIDTH .PARK FEE 5_, ,, s ', ,I herebyaffirm that I have a certificate of consent to self-insurelor a - 'ZONING APPROVED BV. DATE-- 'VAL'UATION' ZONE ____ there .certificate-of Workers' Compensation 'Insurance,-or 'a cerci/ietl-copy - -- -- - - - _ _ . thereof(Section 3800, L- .C.X I .GRADING?CUtYDS. ACRES t „• .'r „ �PgJiey)66.0.2•-•11-/.7YW'Y'ComPanif *ki/e,ifor-rAtes _ _ -. - _ .- —_- - . _- _. __ _ _ ,l. _ _ _ -_ DN4-.`.- ' SPECIAL CONDITIONS edified coppyis hereby furnished.- - - '- REMARKS:'. -.(� '-� U , t tt I ❑ Certified copy is-filed with the city Building Division. • EXEMPTION FROM WORKERS' COMPENSATION DECLARATION : _ - '" -- __ " - --' — - —' - . - l7, - (This section.need not be completed.if-the permit is-for one hundred -.- - - - -:; -.j _, , _ __ -,_. - - _ - ll.-'t 1 ' .'s"• ($100) or less). - _-. -.. -.. s y- _ __ _ ._ - _ _ __. _. I-certify that.in the.performance otthe work_for_which this_permitis _ _ _ - - Issued; I shall not employ any person in any manner so as to become 7 PLUMBING ,r yT _ '.PLAN CHECK r -_ ' -ELECTRICAL " - PLAN CHECK - -— 7.- -• subject -the.Workers'Compensation Laws of California-__ _ _ - Date ' Signature l BATHTUBS SHOWERS - - ( • SO FT I NOTICE: If after making this declaration, you should become subject 'TOILETS- 1,(__s•• tYURINALS- .GENERATOR ' 011 KW 1-10jKW.'-• ._ - ' to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER -•. ' :Iv l•. forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE'LAVS 7- **APPLIANCE- ' -"10:50'KW"'50 +'KW,- -- - --M1 ----,7..t,;_-- I CONSTRUCTION LENDING AGENCY KIT.SINKS • DISHWASHERS 'IM OTO RS" "'-0-1 HP'_3-10-HP' • I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS•' t (11/SUMPS )(INC.SOLAR) - 10-50 HP--- -50+-HP- =�• �f y.T formance of the work for which this permit is Issued (Section 3097 - .-. .. - Liv:C.). ____ . _. - - - _ - __- - _ __ 'Lender's Name FLOOR SINKS FLOOR DRAINS ,FIXTURES- OUTLETS - - SWITCHES"- ' '` ,__ _ Lender's Address ORINKIIVG FOU NTAINS� I __ . -' OWNER BUILDER DECLARATION--- "" `--""-- '-• INTERCEPTORS CLARIFIERS ,POLE-LIGHTS ' I hereby affirm that I am exempt fromthe Contractor's License Law for --+• + I - I the-"following reason (Section'requir5"Business and Professions'Code:- SWIMMING POOL- .'P TRAP'--" - • • '• • - y - Any city or county which requires a permit to construct, alter, POLES METERED/ SUB -s •-I^I� -to quires the ap'.licant for such permit to file a signed statement that he Is ed9(co ant•to the'provisions-of'the'Contractors-License-law' " GAS SERVICE — OUTLETS - ---•---rt-1 • ''jSERVICE---"---' -"-- I`0--0-AMP- ,,, --(Chapter -"S"�Busine9 (commencing with Section 7000) of Division 3 of the - r ; Business and'Professions Code) or-that he'is exemptrom'and the- basis for the alleged exemption. Any violation of Section 7031.5 by _/!�J•'r�(/ca�' •//s-[��s-J - J �'-! any'applicantfora, Permit-subjectsthe'applicant to a civil-penalty- SEWER CONNECTIONS �r '—"- ' '- ------- '-- ------ ---- - - '.` of not more than five hundred dollars ($500). -n �' S ❑ property,,1, as owner of the pperty, or my employees with wages as their SOLAR-TANK -- COLLECTORS- --- - -- - - ` ---- - -sole-compensation,-wilr- l-do_the work,and_the.structure is not.intended -- - --_ '' ' •' ' - ooffered for sale. (Section 7044, Business and Professions Code:The SOLAR PIPING SYS. 1 T ISSUEFEE -- - "-Contractor's License Law does not.apply-to-an owner_of a property _ _s 'who builds or improves thereon, and who does such work himself or _ 'ISSUE FEE - APL:ICATIONAPPROV ED'BV- through his own_employees, provided.that.such-improvements.are.not. - Intended or offered for sale. If, however, the building or improvement MECHANICAL .. PLAN CHECK • • ' is sold within one year_ot_completion,the Owner.will have the burden - , of proving he did not build or improve for the purpose of sale). i HEATING SYSTEM 0-100,000 BTU 0'I; 'as-owner-of-the- property,-am-exclusively contracting-with• -qN licensed contractors to construct the project (Section 7044, Business 100,000.+BTU and ssions•Code: Tho ractor'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), 100,000,+BTU ❑ I am exempt under Section -" -- -B.'& Pt for this BOILERS BTU .—___ . _ _ -• I " SYSTEM •REPA R,ALTERATION • I - 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 andu county - ordinances and.state laws relatin to construction,and hereby authorize representatives of this ty enter upontheabove mentioned_ • Property_for 1 pe to pu ses. ,_- - - _ _ Signature + `-ISSUE FEE- ®® • • 1 CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNINGPOOL& SPA - APPROVALS Permit# t .54(43 Date ' Inspectors APPROVALS Permit# .. Date Inspector ' ' '1. _' Temporary Electrical Service or Pole 43. Pool & Equipment Location- . - - - - - - - _2._ Soil Pipe-Undrgrn ' •^ • _ _ .. 44. Steel Reinforcement - - - -- • . - - - - - . __ 3. _Electrical Conduit Utility-Undrgrn - 45. • Forms , - .4. _Electrical Conduit-Undrgrn _ - - _ 46. .Electrical Bonding - - - - _ 5. _ Steel Reinforce - _ _ - 47. Rough Plumbing & Pressure Test 6. .Electrical-LIFER Gm_. _ _ - 48. APPROVAL TO COVER-GUNITE' •- -.- l- •• •• - - • - •. - 7. Footings - - "' - " ' '49. Electi-ical Conduit-Undrgrn' 8. .- Foundation . _ _ .__ . _ / 50. Gas Pipe,r0 Undrgrn,Test . - ' - 1 , - + 9. _Water Pipe-Undrgrn_ - - _ - ' : _. 51. Backwash Lines, P-Trap, ElUndrgrn" - '"=`. -- 10. Structural'Floor System _ . ' 52. APPROVAL TO DECK 11. - Property Sewer Line & House Connection _ . - -53. Backwash& Receptor-Final - :, .12. _StreetSewer Connection __ : : T - - •' • , 54. Heater &.Vent-Final _ L _ Rough Plumbing_ _ - - 55 'Plumbing System - Final - - ` " "' " ' -- ' • i4. Rough Electric-Conduit -- - . - - . - -'56.- -Electrical-Final - - I 15. Rough Electric-Wiring - - •- -- (e-11e-%z d c 57. Solar System-Final " ' ' - -16. Rough Heating &-Air-Conditioning . . - - b8•- Fencing &Access Approval - 'I • 17: Ducts, in.Structure - '- -'.-- 59. APPROVED-FOR PLASTERING • .. . - . . . ' 18, -- Ducts, Ventilating__" ! - - __. • - _ - _ __- - . _ _ 191 Gas Pipe-Rough'&Test - - __ " _ _ _ 60-,. POOL/SPA SYSTEMS FINAL • , - ' : ' 20: .Roof"Framing " -. - - - ._ l - -- - - . " _ - , ., I 21: Roof Sheathing -- - - .. - --- - - - -' r ' - • _ __ _ _ _ • NOTES: • i ' ' 22. Frame and Flashing _ " . . - 23. - Insulation - - - - - . "' _ .... 1 I _ _ . _ _ _ - 24i Lathing & Siding - - - - . " - . - "--- - - - - - ' 25!- Drywall Nailing. - _ ` • ! -26. Plaster Brown Coat. -1 _ __. - - - - ' 27. ElectricaLPower Meter,Final • . ' e �2- A l., s�. . • • _- • • 28. Final Electric - - - .. _ .{ - __ ,, _ ' "9. Final Heating & Air Conditioning " _ . - ! _. " . - - - _ J. Final Gas Pipe.-Test" - - __ _. _ _ _ _ _ - _ - "' - 31. Final-Plumbing. _ _..._ _ _ _ ' . 32. Water Service-Final . . - _ . - - • 33. Gas Service-Final - - ' - - - " - - - - -' - 34. Solar Domestic-Final' ' •',' i - • _ i 35. Landscape Sprinkling System i - - _- , -- ' - ' ' ' 36. Sound Attenuation h •• I . - - - - 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. (+432 (I�09�02 '5.00 TL. 'f CITY OF COSTA MESA PE-' IT NO. - TRACT NO. LOT NO. B G.N - --- - ••- - - - - - CONSTRUCTION PERMIT 0 --3a ase' __ •- 7/Project Addres-s - - - T¢Y'PE OF CONSTRUCTION 1\1 3 Owner - v , "' y{ ` r J. Phone7Tj. yn NEW _❑ ADD ❑ ALTERATION - - L / , Address /.a e-eel_! _ . _ . ' 0 REPAIR 0 CONVERSION ❑DEMOLISH . hi/ ZONING REGULATIONS 'V Arch/Eng - License No. • ❑OTHER _ - - ' 1 Address --- - - - • - - , DESCRIPTION OF WORK • A.P. ' .� - —ZONE PLNG:REF. , ' • ContractoragUE2"„7 ... ✓mce,,ess Phone s-3ofl 241TYPE OF PERMIT - ---- - - BUILDING Tp- RP - SETBACKC/LST. PROPS RTV LINE ❑ - GRADING 0 FOUNDATION 0 STRUCTURAL - SID,(YARD - - - - LICENSED.CONTRACTOR_DECLARATION_ 0 TENANT- 0 ELECTRICAL PLUMBING-❑MECHANICAL l5_I11E YARD - I hereby affirm that I am licensed under provisions of Charter 9(com- I , • RIGHT mencing with- section 7000)-of I Division 3-of. the- Business_and 0 OTHER- •- _ -- . - .- Professions Co Wand_my license is In full force and effect.. REAR YARD(TO P/L) - ' - PROJECT DESCRIPTION _ _ License Class Lie e - - j PKG.SPACE REQ. PROVIDED _ Dater-9.97--- Slgnatur -C-9-floe -� • SOI-FT. ... - - . _ QST BEET WIDTH .-: PARK FEES$ WORKERS'COMPENSATION.DECLARATION �OCCUPA) V_CONSTRUCTION TYPE _ I hereby affirm that I have a certificate of consent to self-insure or a ./VALUATION ' - - ZONE • s'•- -� ;ZONING APPROVED BV' - 'DATE ,1 - certificate-of-Workers'^Compensation -Insurance,_or..a-certified'copy .. _-,.- - _ - - ._ .- _____... _ •` thereof(Section 800, Wb.C.). y GRADING,C U.VAS. ACRES a ��'t .SPECIAL CONDITIONS: - 15-goy-No.'2"--1164—'CompanyZFw/'Th! "Ca4T (-- -- - - y_ . . _ . - - ' - - - ' - ' - - - - - - edified copy is.hereby_furnished. _. _. . - . '_REMARKS: - I)'._. I... . _ -_-- -- _ - - - - . - _- _ - - ' _ - _ .ertified copy is filed with the city Building Division, . EXEMPTION-FROM-WORKERS-COMPENSATION DECLARATION ' - '- -Y - -- - - -- - (This section need_nat becompleted if the permit is,for one hundred -_• • • , . l • 5100) orless). t " - Certify that In theperformance of the work for which this permit is Issued,'I shall not employ any person in anymanner so-as:to:become' PLUMBING , - .PLAN CHECK' _ ._ - -- 'ELECTRICAL- ' ---- -'PLAN CHECK , • subject to.the Workers_Compensation Laws of California.'1 /" ._ -' • " ..UW tLLING _ _ .GARAGE , BATHTUBS - -- -SHOWERS Date ) Signature r- _ 50.FT, SO.FT. - - - NOTICE: If after making this declration, you should become subject TOILETS - , URINALS- —' -' - - -- - GENERATOR 01 KW -- 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 LAVS - --'- - - - 'APPLIANCE •10-50 KW_50+ KW .- - _ - -- CONSTRUCTION LENDING AGENCY -KI T.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 -• -. _.- •- - ork for which this formance of the permit is issued (Section 3097 - - /��qA _ FLOOR SINKS- .-- FLOOR DRAINS-- -- - ' - - FIXTURES---- -OUTLETS -SWITCHES-' Lender's Name/-. /'„'« /«� • - �402eite- ✓ C el DR INKING'FOUNTA I NS' -I, --- - j - ' - '-" •GAS TUBE'SIGNS --- • - - Lentler's Atldress i/ - , '- OWNER BUILDER DECLARATION-- - �-- -. - INTERCEPTORS CLARIFIERS-'- ' • POLE LIGHTS- - - - -- - - - - - •-- 1 I hereby affirm that I am exempt from the Contractor's License Law for - i the following reason--(Section-7031-5-Business-and Professions Code:- - SWIMMING POOL - P TRAP- --- -• -- - - LUNSI NUL I IUry _ - _-� - - _ _ - . ( Any city or county which requires a permit to construct, alter, POLES METERED - .SUB • improve, demolish-or-repair anystructure;prior to its Issuance;also re-- -WATER SERVICE'- ALTERATION-' ' •- '- - PANELS- MAIN -' - SUB " -- - quires the app llcant for such permit to file a signed statement that he - . . Is licensed pursuant-to-the-provisions of the Contractor's-License-Law- - - -� '^SERVICE-- - - -=- -- - -- - -AMP-- - I (Chapter 9 (commencing with Section 7000) of Division 3 of the GAS SERVICE OUTLETS - - Business and Professions Code)-or that he Is exempt-therefrom and-the• WATER-HEATERS BTU OUTPUT - basls for the alleged exemption. Any violation of Section 7031.5 by - q - . _ - - R,apPlicant for-a permit subjects the-applicant to a-civil-penalty /SEWER CONNECTIONS - --- -- -- • d B° • ' - --- - -- - ---- •- - �'y.:;,,, IL more than five hundred dollars ($500). r - - - ' s91.;as owner'of-the'property,-or my-omployce5'with'wages as their - SOLAR TANK -- - ' COLLECTORS - - - T — - - -- -- - --- - • - -- - — - - 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 - - I SYS. - - - --)- (SSV E'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 _- • - - - ` - - - i:52e.) APPLICATION-APPROVED BY- - - - - DATE-- through his own employees, provided that such improvements are not Intended or offered-for sale. If, howeWr the building or Improvement" MECHANICAL - _ PLAN CHECK I - -' Is sold within one year of completion,the owner will have the burden SUMMARY OF FEES of said he did-not build' or improve for the'purpose-of sale). - -' 1 ' - •BUILDING - - -- - • - -v-- ❑ I, as. owner of the.-property, am .exclusively contracting_with ....HEATING SYSTEM 0-100,000 BTU - -_ - PERMIT _ E SMTP E' • licensed contractors to construct the project (Section 7044, Business AND DUCTING 100,000 + BTU - �PLAN CHECK $ (- PERMIT I 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 I 'PLUMBING $ .S'�� ' tracts-from such projects with a contractor(s).lloesned -pursuant to- SYSTEM - - - _ , _ _ _ - 'GRADING. $ ' the Contractor's License Law). 100,000'+BTU PLAN CHECK . • - • • -, _ _ .. . •' '. 0 am-exempt untler'Sectlon-- -- - - �- -B.'& P.C:for this - - ---- •..$ BOILERS BTU - .ELECTRICAL- $ - --- - iea5on .- __ _ __ _ ! MICROFILM $ ••'• ! I Date Owner SYSTEM REPAIR,ALTERATION- :PLAN CHECK $ -- - -'- MECHANICAL $ -- - `TOTAL FEE E' '_ _ I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE •• • Information'is'cote '1-agree-to comply-with'all city and-county I I ,PLAN CHECK $ -- VANCE PC $_ -' ordinances and state laws relating to construction,and hereby authorize - represented --of tp)5' city to-enter upon-the -above'-mentloned ' - - - i • ` %J-I . � I prppeny��'sped„l/p,Tgn '� a}��� /�� Drivers' _ - --' '----ISSUE FEE -- - - - - . . - - _ _ _ . . _- __ _- ._ - - CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor 1 CONSTRUCTION AND PLANNIc`- • • • - POOL&SPA - . APPROVALS Permit # . 3 ,3,) Date Insdector 'APPROVALS Y - Permit# --Date • Inspector. 1. Temporary Electrical Service or Pole - Po Y _ •_ _ 43. Pool & Equipment Location ' - - - ' _ 2. Soil Pipe-Undrgrn- _ - _ ' • . 44. Steel Reinforcement ' - - - -- - - 3. Electrical Conduit Utility-Undrgrn _ • ._ . .. _ 45. Forms - • - -- 4. Electrical Conduit-Undrgrn _ - _. _ 46. Electrical Bonding - - - - 5. Steel Reinforce . . - . 47. Rough Plumbing & Pressure Test - - 6. Electrical UFER Grn - -- 48. APPROVAL TO COVER-GUNITE -.. 7. Footings . . - _ _ __-, 49. Electrical Conduit-Undrgrn . - - 8. Foundation _ -- 50. Gas Pipe, ❑Undrgrn,Test ' . .9. Water Pipe-Undrgrn _ _. 51. Backwash Lines. P-Trap. D Undrgrn " - 10. Structural Floor System52. APPROVAL TO DECK"- _ . • - _1.1.. Property Sewer, Line & House Connection : XS3 Opg_-- 53. Backwash &.Receptor-Final' - - - 12." Street Sewer Connection . - _ . //// �7/( 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 - - 68. -Fencing &Access Approval, • 17. - Ducts, in Structure - ' " _ _ 59. APPROVED FOR PLASTERING 18.- Ducts, Ventilating - - - - _ . - _ . 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL ,. , 20. Roof Framing • . • - . ' _ - - - 21. Roof Sheathing - . -_ - - - - ' ' 22. Frame and Flashing • - - - NOTES: ' 23. Insulation - - _ . . . . .._ . - 24. Lathing & Siding - - • -- - --- - - - - - - - - 25. Drywall Nailing - . -. . - - - • 26. Plaster Brown Coat • - " 27. Electrical Power Meter-Final - _ - - 28. - Final Electric - - - - ' 29. Final Heating & Air Conditioning - - 30.- -Final Gas Pipe-Test - - - - - - . :._ . t 31: Final Plumbing -- - - - - - - -_ -- _ - 32. Water Service-Final - - - - - . - ' - . . , . . ` , - _ - - 33. Gas Service-Final -_ _ - _ _ . . _ . - . • 34. Solar Domestic-Final '. .. - - .. . . 35. Landscape Sprinkling System . - • ' - - - - _ N 36. Sound Attenuation _ -- - - ' - ' - - . 37. Handicap Regulations • - - - �> 38. FINAL STRUCTURE & BUILDING ` ' - ' _ .. .-. , -. ` ' - __ P 39. Special Requirements Completed - .. • ' , 40. Electric Release to Edison -- • ., • - - I 41. Gas Release to Southern California Gas Co.- - . .. , • . • 42. CERTIFICATE OF OCCUPANCY - - - - ""' : No. Date . - - - -- -- - -' ._ - _ -- . •T' PROJECT ADDRESS: 2615 ELDEN AV UNIT: 5 CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 051058 OWNER'S NAME: MICKEY ADDRESS: BLAKEY (TENANT) PERMIT NO: P 051058 PLAN CHECK NO: N GOVT: N SUPP: .N 2615 ELDEN AVE • UNIT 5 COSTA MESA - CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: OTH 722-0626 ARCH/ENGINEER: - REG.NO.: JOB DESCRIPTION : CHANGE OUT DISHWASHER SQ FT: ADDRESS: UNIT: • CLAIM VALUE: CALC—VALUE: GROUP OCC: R-1 / PERMITTEE: NOCK PLUMBING ( 714 )895-1246 • ADDRESS: 11610 SEABOARD CIR COMMENTS: CHANGE OUT OF DISHWASHER STANTON CA 90680 *************************+E+ESE******x***********************+E*******'**+E*****'>F**** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 0l the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC: 0 0 8 STATE LIC.:5 1 1 971 c ss: 3 6 _ Signature:Signature:��W(� MAIN BUILDING ACCESSORY BUILDING •it. COMPENSATION DECLARATION: I hereby affirm that l ave a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN dompensation Insuranc r a c rtified copy thereof(Section 3800,Lab. ). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY ND.: 116�Ig99190 EXP.DATE: 03/01/91 COMPANY: STATE PARKING REQ. PROV: PARCEL: 14141103 ZNE: REF NO: 0 Certified copy is hereby furnished. 113 Certified copy is filed with the city B 3 ng Division. PLANNING NOTES> 2A241R 1 > . ate: Applicant: 1 ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less), DEVELOPMENT SERVICES REQUIREMENTS I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY '- DATE: Date: Signature: BUILDING APPROVED BY : DATE: ode.NOTICE:If.aftermaking this ywideclaration.you should become subjectemito the Workers'mrempensation 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 that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: /'' DATE which this permit is issued(Section 3097.Civ.C). ' ***************************** * *** ************************** ** LENDER: *************************************' . ************************************** ADDRESS: LEGALIZATION:N F E E S U M MAR Y ' STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve.demolish,or PERMIT 2,00 repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 25t SMIP/NON—RES Isuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business . sDrotessions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN =^applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 3,00 -4' BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE I. as.owner of the property or my employees with wages as their sole compensation, will do the work, and the Cs structure is not intended or offered for sale(Section 7(144.Business and Professional Code: The Contractors'State License Law TOTALS----> 2. 00 3 .00 -. 0 .00 5 .00 5. 00 . 00 does not apply to an owner of a properly 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 REVENUE DIVISION TOTALS--> COLLECTED: 5.00 OVER/SHORT• 00 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 sate). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 5.00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. I N D I V, I D U A L F E E BREAKDOWN • ❑ I am exempt under Section: B.8 P.C. , for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: PLU 1 DISHWASHER 2 .002. 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and . END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a / permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from (ice/ these provisions, Date' Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county O ordinances and state lawsrelating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned 1 'J`;�r-=`(y'1_`„ L`7:n�. T x-_`;1 property for inspecti n purposes. 2� i_i\�\ _I�•(A� ell,(/t / :.TE: Jai 12 c? T i!ic,' Date: Signature: / ' vV Y'-� Driver's License or Social Security 1641-46 White—Building;Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor ', CONSTRUCTION AND PLAN,„,..G POOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Servl?e or Pole:, 52. Pool & Equipment Location 2. Soil Pipe-Undr rnd. '= 'L 53. Steel Reinforcement rr,3:.?ectrtpal ConduitUtility-Ud-„ndrgrn54. Forms r.1.4trElectrical ConduicUndrgrnd. =: 55. Electrical Bonding ^,- mn n 9 S._,Stael,Reinforcer-i' S ••• 56. Rough Plumbing & Pressure Test '__ .e.-2 57. APPROVAL TO COVER-GUNITE c_• ^6.;lEfec4ricalUFER'Grnd. •- 7._l°'aliiings s, t a. 58. Electrical Conduit-Undrgrnd. a4 _ 8.;.Foundation 59. Gas Pipe, 0 Undrgrnd., Test .y 9. Water Pipe-Undrgthd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System LO 61. APPROVAL TO DECK 11. Property Sewer Line`.& House Connection 62. Backwash & Receptor-Final 12. Sewer Cap ni cu 63. Heater & Vent-Final 13. Roof Drains rc 64. Plumbing System - Final s 14. Rough Plumbing a 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final . 16. Rough Electri6 iring 67. Fencing & Access Approval `17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electric4l-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - . _ ' - - L -.w:• t-g I i- - 201TRough Fact87=y F replace I ex in * C D r T 21PPRGVAcru:-:-S%-PerWsit # s >' r .c >.:* i S IT' tit< :r S I-4 T 4 :!. . tS > * C- 0 > .L r- > :* , r. ! ,- -' -l.. . ��[[,, 2. .� J •J, I ) •. l•; 21._Ducts,in-Strvctu[i•:: 1 .. .. :-IS :: S C7 1-•:. '. ^70. UndergrotUld Hy9ro * 22.cDu , Vent tin y I v ..S ,� ` S 2? ,i cB -71. ProductCPtii g D d3s O;Oii 23`Gas_Pipefio gh &• est 'S ,--* * I , 's., a r- I m_ _:+ :T r,• q y* * -472. Undergrousd Flush;, E- 24:-Rolf Framingg - . :-.1-- :�. z > C c 5 a. ` a•a rn •> _ .-r •73.Undergrn8:Stor�� _l"ank fl Gas ❑Olt '� S'�. a. CI) x 1tI Ir C7 .i,.. ;! r' `� !..I,- * 25. Rolf Sheathing t. , .r O :� n;x . s74:;Overhead Hydro? .. SC 26:C.T-Bar Ceiling (Struoturall &:Monocoat * m t`t * 75'-Dry Chemical .-1 *-•44 C -' .-. .. .. c-, . n „ rl-. -. •S M.^. • 27.`Frame and Flashing' ;t r W * 4 tr ,a. , . - F ti�:l: .. C Um, ,4,; 76: Dry Stand,p!pe Fav 4 S x �� ,_,,, r- .. 1. - ... '_28. Lathing:& Siding:* v: lIZ ct; s: ••1 ••I ••i, s 77;'l•FIXED S_YSTEM�F_19ry0AL a °t >29. Insulation -* t' '� - •• -s rn 1 I tt I ;,;,, S 78:FIRE PREV. FIN¢i .* ;> •s; tit .r30. Drywall;Nailing CGr. •v * ( I t r :-11 •t . LT 1 •HEAH+DEPT: REQUIREMENT -r r_ r,�,,. nr.l:.i ,'1 .31. Plaster Brown Coat" 1 x i 1 { :' 79'F?RAL iP 2ECTIr�N ' C C .-32::-Electrical Power MeterFinalI .: 0.1 �y . :BO.t-FOOD CERTIFI.CATE ISSUED 33. Final EleFtric .'s.. Notes: > s t-0 .T! i `Q X -,F* *. - ^.tr, x '7 C rn 0:34.„-Final Heating;& Air..Conditirnmgst n * '" \* s na S O .r .n .t ''••• K A •,: �.r +. 35,!Final Gas,':Pipe-Test �0`: ti ti I / , i.' :1:C� 1;1S S .; •` if ti,36: Hood or Canopy 'D I tr.- •^ •1 I I >_ >. no :• • n• --• r .> r. ,j rz• , I ,i, 74r) ` Ill -r -37.CFiddl Factory Fireplai 1 sir -, . tr, IF t r ru a ar. * 1* ,i w t� •- - _38. Final Plumbing %/q/Q II ( [ttett : : :r .A V; _ i 39. Water Service-Final; ' - '� .!. Ir' * M ' r 040. Gas Service-Final `lt .* ,,, (r,. •2D"lr s Y. Lr I i �-, r7lli T .. •• r 1 1 ,41. Solar Domestic-FinalS t: `` I -CO u x rr• • x H it :O S x ;t; IC r-42.-Backfl w Preventers i- •- * J l • •" 'r .. 43. Backflow Irr_'ryation* Cc.SS .k ` T tr' 5.. tr.i:, : * .li T44. Landscape Irrigation Systemt,r�r,fll cI .r 0 0 ,T; : X co t fl C 545.CSound Atter uatiom C tr * > [:::.• 'r '-i a t ¼t .. . rr t:1 r'I;, ti tT 'C • t-,cr., 'r r46.` r, .l s * rtl .. ,. . J - i H:., .. * _46.,Handicap•Regulatidps Iy ;,: •pit T r-C s vcS it. j .r .. 47*FINAL STRUCTURE & BUILDING v I ,--11.{:c -, o; = a. 48`FINAL PLANNING: r. p, 1 1 :. 0 m ;r, : * LeL. c49.9Elea[ric Release to Edison i .2-).; ; it � a _ -. -. .. I rh s `50.,as-Release to Southern California Gas Co 'r I * • `''L• - 51. CERTIFICATE OF OCCUPANCY 4 .x v S ,, i6 �i a [-- 0 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 9(0lOCDyG 8S ` 3693 -3/24/82 ' 338.65 .T1 Project Address 2615 Elden - . (')�f 5 T�V/PeE OF CONSTRUCTION '; • , '5'i- - Owner Laguna Pacific +Finaflcial Phone 7525316 iL°7 NEW. O ADD 0 ALTERATION - , ' '- .--.-- .'"..ii - . l� (Address 5160 Campus - - - '- -- - • 0 REPAIR ❑CONVERSION ❑DEMOLISH ZONING REGULATIONS ' 'f ,Arch/Eng. Ro - Kiter & ASSOC.- License Nor if, • ❑ OTHER_ ; .__;. DESCRIPTION OF WORK - 'A.P. 4{ -L 'I - �5, "" `O -Address .6-6306t-Co--s- H1 NB - 92663 - . - - - - - - �.�i __ - - - 'ZONE g.-1Z PLNG REF. - 61'185 Contractor- Same �'�� ' Phone 831,.2 • ' -BUILDING - B ILDING 5 ! .... ---•- _--,:, TVPE OF PERMIT,- TO-BUILDING (� _ t�a- I SETBACK L T. PROPERTY-LINE O•• 1, (1 ;Address S/oo- _ dM • S �; OGRADING I� FOUNDATION ' +p STRUCTURAL-- +SIDET YARD" "O I+70(r _ •- 1 LICENSED CONTRACTOR-DECLARATION - '- "- - - �I r] •L 7 l _ _ _• -._ . ❑ TENANT ELECTRICAL NPL'LIM GING �J MECHANICA 9IpE YARD Q I hereby affirm [hat I am licensed provisions tofh Charter 9 (com-' -,General. Bul ld in••..Permt v 'RIGHT �/ Qrr mencing with section"7 my liof.Division 3 of the-Busmess-and- 0 OTHER - f y,a - - Professions Code, and my li erase Is In f II force and effect. 'v JREAR YARD(TO'P/L) --I fK4. • I License Class PROJECT DESCRIP710 Vii- -2,15 _ �`-- Lira No T r.._,,,.._ t -4�/ .L - ' `pKG.SPACEREO. '2,15 , PROVIDED - L,- - __ FT:{ 1350 7 alt. LN 'Date C • ATIO ur- \vrs �u�.1' ♦ ly Q-- rrl• N !{ ,STREET WIDTH ,lf r f'.. ,PARK FEE•$, I In• • 1 WORKERS'COMPENSATION'DECLARATION-• \- -- OCCUPANCY •QONSTRUCTIO TYPE _VI. ff 1 hereby affirm that 1 have a certificate of consent o self Insure oraQ ,ZONING APPROVEDBY,nf(�./ DATE3jj,/o J p certiftcate'of Workers' Compensation Insurance, or-a certified-copy -'VALUATION 29MB � �� - - Nl"F-+ ��I+ ` V -� x"'-;of(Section 3800 V .). GRADING CU.YDS. - ACRES •+r SPECIAL CO NDITIONS: , - .. - y, ,� '� - , -4''''''''• NO-di -9/9vOh*-Company 0 - '• ' -- G seg /A -__- - - . ._ .-- _ ... _ ___ __._ _ _ . _ 2rtified-copy is-hereby'furnishe(J, - - -- ._-_---_ -. _151 :_REMARKS:'•' -1724 __. r f _ _ ` • 1" .Certified copy is filed with the city Building Division. - , Neu/ '�i r 'bin A4_ �_ I •••••••1:.•• ,EXEMPTION FROM WORKERS' COMPENSATION DECLARATION' . .i - - _ „ _ - ' - - " ' -- "' '1This-section need.not be completed..if_the.permit Is for One hundred. q 'i 11-740S __ y _ 11, ` 3Yt- 1$100) or less. r^ -. ,„!.!.•(',. :SS L'/1 !`DO_ _ certify that.n.thelperformance of_the work.for,which this.permit is _ _ __ _ _ _ Issued, I shall not employ any person in any manner so as tosbecome PLUMBING , •':_PLAN CHECK - ' - - ELECTRICAL - 'PLAN CHECK, 7 subject to She.Workers'_Compensation Laws.of California..._ __ - _ -- _ - -uw ELU NG--- - - --GAHHAE - - - - :Date - Signature BATHTUBS SHOWERS . I • w • _y.!rfL7., NOTICE: If after making this declaration, you should become:subject _TOILETS ;1 2 -URINALS - - 'GENERATOR" 0-1 KW_1-10-KW to the Workers' Compensation provisions of the Labor Code,you must - - TRANSFORMER - - -. forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS `APPLIANCE + 10-50 KW_50• KW_-- - _ - 'CONSTRUCTION LENDING AGENCY KIT.$INKS DISHWASHERS' _ 'MOTORS' — - 0-1 HP=1-30HP: - _ I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS SUMPS d(INC.SOLAR)- -10-50 HP' —50+ HP- - -` formance of the work for which this permit is issued (Section 3097 Civ:-C.): ,A Commerc,,,j., k' - 1 , ss, FLOOR SINKS . , FLOOR DRAINSI I FIXTURES - OUTLETS SWITCHES, i,Lender.'s,Name _' - v - - _ _ __ _ - '•' t Lender's Address 1E101 Delve NR DRINKING FOUNTAINS 'I+ - - GAS TORE SIGN$ "- ""_-_ '" - OWNER BUILDER-DECCARATION' -' -------.— - -- INTERCEPTORS CL--,-. IERS 'POLE Lhereby,affirm that I am exempt from the Contractor's License Law tor. ,.- the-following-reason-(Section-7031'S-Business and'Professions Code:" -SWIMMING POOL PTRAP-' - ' ' "' • ' • . • •' _ _. _ ^'+' --' - �. Any city or,.county which requires a permit to construct, alter, POLES METERED SUB . -.. n, • `.o improve, demolish or repair'anystructure,'prior to-Its issuance,also re-- WATER SERVICE ' ALTERATION_ 'PANELS-- MAIN:- i- - SUB _ ± quires the apaicant for such permit to file a signed statement that he ••- ' - . ' is licensed-pursuant-to with vislo ns of the-Contractor's License'Law GAS SERVICE OUTLETS- SERVICE--'�" (Chapter 9 (commencing wiSection 7000) of Division 3 of the P' ,ess-and Professions-Code) or-that-he Is xemprt from-and the -WATER-HEATERS BTU OUTPUT -' "—'-- - - • "- - -' -- I for the allegedd exemption. Any violation of Section 7031.5 by,pplicant for -a-permit subjects the'-applicant to a civil' penalty SEWER CONNECTIONS - - - -'-_" ' - --,- 01 .mt more than five hundred do-Wire lars ($500)- or $500). _ _ - - 1 ❑ 1, as ;Wrier on the property,or . a employees with wSge s intended ndeii $O LAfYTANK - - COLLECTORS - "" zr .+1 11• j sale compensation, will tio_t he B sin thestrProfessis.not de:The _ISSUE FEE or offered for sale. (Section 1044, Business and Professions Code:The 'SOLAR PIPING SYS. I. - _ - Contractor's- License La W_ enot_apply to_an-owner, of a_ proem who builds or improves thereon, and who does such work himself or ISSUE FEE - -APPLICATION'APPROV ED BY- "� �- •-';;DATE""' Intendh.his own.e ployees,.If,provIded_that.such improve erprior to- MECHANICAL PLAN CHECK a' fsst old withfn.one_ycar_of completion, the owner will have he burden, -MECHANICAL of proving he did not build or improve for the purpose of sale). _ HEATING SYSTEM 0-100,000 BTU I; as--owner• of-the-property,-am-exclusively contracting-with -AND'DUCTING licensed contractors to construct the project (Section 7044, Business 100,000;+ BTU and wrierProfessions-Coder-The-Contractor'soy -Licensethereooes-not apply to an owner of property who builds or improves thereon, and who ton- REFRIGERATION .0-100,000 BTU tracts from such projects-with-a-contractor(s)-Iicesned pursuant to -SYSTEM - - - -^— - - - - • ' the Contractor's License Law). 100,000±BTU_ Di am exemprunder Section 4....... Br& P.C.for this BOILERSBTV J e= reason ___ _ - . ._ _ _____ - _ . . _ -_ _-. 'PLAN-CHECK-5; _ -. SYSTEM REPAIR,ALTERATION' • Date- - - Owner- --- - - - - • i Lite certify that Lha eerree d this application and state that the.above_ _EXHAUST SYSTEM _ MU•LTIPLE , • !- information is correct. I a§ree to comply with all city and county It. ordinances and a - laws dialing to constru '.n,and hereby authorize .. representatives of Jai city t. - ••n the above m tioned - - property f•rrf� on ,pur••s; - _ / p a - ' SIgnatDrlverur: L�A �.- Goldenrod-Assessor T -CONSTRUCTIONiAND1P,L'ANNING//�� ��11'd - ; POOL& SPA . I , lJ APPROVALS Permit# tII 7 Date Inspector . Date - Inspector APPROVALS , Permit# 1. Temporary Electrical Service or Pole 43.- Pool & Equipment Location - - 2. Soil Pipe-Undrgrn - • 44. Steel Reinforcement - -. • t- .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_ERGrn _ _ _ _ - " ' 48. APP.6OVALTO COVER-GUNI•TE- - ._ - - - - - - 7. _Footings _ ' 4,/(o_ z. ' f\ � ' ' ' 49: Elecvical Conduit-Undrgrn .8.__Foundation .. • i . _.„5,04.-,. _ _ 4--,2/-77_ - Is, S 50. „Gas.Pipe, ❑ Undrgrn,Test " • ' • - _ 9.-_Water-Pipe-Undrgrn _ ' . .. 51. Backwash Lines, P-Trap,-0'Undrgrn - • - 10. Structural Floor System52. APPROVAL TO DECK- "-' - -- --• " • •--- - - ' 11. Property Sewer Line & House Connection - - ____. _ _. 53. Backwash & Receptor-Final • _12. Street Sewer Connection - ' 'r'- _ _ - • . - - 54. Heater & Vent:Final. 13._ t¢ ghtgg Y191 j&i'S4 f: 9Ei11 G.1011 . .. .- -` - 55 Plumbing System - Final • -- • - - - 14. Rough Electric-Conduit - •-- •56. Electrical-Final -- . 15. Rough-Electric-Wiring ..- - - - -" t---- - - - ' 57. Solar System-Final ' - 16. -Rough Heating &-Air:Conditioning, - ' - - 58. Fencing & Access Approval •, • - 17. - Ducts, in Structure _ _ - . _ 59. APPROVED FOR PLASTERING 18.- -Ducts,_Ventilating .. ._ . . - . . .._ 19. Gas Pipe-Rough &Test "• •_ __ .. 60... POOL/SPA SYSTEMS FINAL' - 20. -Roof.Framing _ _ 1 -. ' 21. Roof Sheathing .. ., 5-2L.'-7z ---J' S _ " 22... Frame and Flashing. ( _NOTES: '• • - . - 23. Insulation t?'a3➢� 3 ' bp..y bp.-yyAiZb Sr+9wk-P-IPr. -NO .PE-RMJT 8-4y-602. 24.-. Lathing& Siding . . _ (o-3c.Ac. 7D. - - _ - - - - ---. --- -. ---- I 25. Drywall Nailing _ - (0-,29-St. h . . 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 - --_ . - - - ' 2 - 34. Solar Domestic-Final '-• - •• - 35. • Landscape Sprinkling System • . . • • , • - 36. Sound Attenuation • -. - - - . 37. Handicap Regulations . - r ' 38. FI NAL STRUCTURE & BUI LD I NG - ' .11-4'-9t -D ' 39. Special Requirements Completed /-/�4� .preps** ' 'i It _ _- . •• , 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 spaces within heavy border lines and sign all appropriate declarations. • CITY CIF COSTAMESA PER^�,xtg,01 / ( / TRACT NO._ ' LOT NO. - -BLDG.NO. ' - - - . . ' 'V _ - - - - - - - - ' ' CONSTRUCTION PERMIT IBJ 7 /3-C '' '' " •"` ' • Project Address �I - ; - 5494 . 5/05/82 ',33. 14 �TL pC6/S$L AOF�/V/g(,/E, TYPE OF CONSTRUCTION . A Owner L.f5G aN/f pqe/F/c. -- Phone 7S2-534 $NEW ❑'ADD ❑ ALTERATIONn /s - - - 0-REPAIR 0 CONVERSION ❑DEMOLISH _ . l �, ZONING REGULATIONS' $ 'Arch/Eng. -" '"' - License No:- - - El OTHER.' 1 - t • • 0-' ' _ ' '- Address - - - - - - -- DESCRIPTION OF WORK - _ -. - ,ZONE - - P,LNG. REF. . Contractor M/./" ;,...- _ Phone 777-Pi332 TYPEOF PERMIT. -- - -" - BUILDING - T'o gUI C$ING - SETBACKCALST. PROPER V LINE _', Address 1130 - •RREMFE (Mir k -ANA -AM 0 GRADING - 0 FOUNDATION" '❑'STRUCTURAL , SIDE YARD - . - - LICENSED CONTRACTOR DECLARATION- - - ❑ TENANT,, ELECTRICAL ❑PLUMBING-❑MECHANICAL SIIOEE YARD- - — ---- - ' - - - - --' I hereby affirm that I am licensed under provisions of Charter 9(corn., - :. 't RIGHT mencing with section -7000)--of •Division- 3- of-the Business-and- Lid OTHER - - - - - - - - . Professions Code and my license is In full force and effect. - - 'REAR YARD(TO P/L) PROJECT-DESCR I P.TIO 'I-- - -r License Class S:Z " v Lice se No 3 SO "' d f ' - - !PKG.SPACE REQ. •PROVIDED 'Sr Date cS�' 'g Si9nat ure - • - SQ. FT. - .- .111 �..- - - _ _ _- (WORKERS'COMPENSATION DECLARA ION -- - - - OCCUPANCY_CONSTRUCTION TYPE 'STREET WIDTH PARK FEE$ I hereby affirm that I have a certificate of consent to self insure.or a, VALUATION - ' ' ZONE ;ZONING APPROVED-BY,, r DATE On -certificate of:Workers' Compensation-Insurance,-or a certified-copy -- - -- - -• •-- - - thereof(Seppuuopp 3800, Lab.CO(( , ^ yy' ' GRADING CU. YDS. - - ACRES SPECIAL CONDITIONS: pa".lcy No:/72-=7/ I2Y4"Company•/•�!� -c.V '...? - - ' -- --- _ ' - - - _ - _a p ,}.`„ertlf letl copy is hereby furnishetl.__.. _ --_..__ _. - REMARKS: //-�1 �'7/�/- --- -- ---- r ^' u 1 'r' '' -J t'ertif ietl copy is filed with the city Building Division. _ / Gr % ”' - ,r ' r EXEMPTION FROM WORKERS' COMPENSATION DECLARATION '. - - - - ' (This..section need not-be completed if.the_permit.is.for one hundred. _ !f`• +. .' •:: _ ($100) or less). I , , _ _._ . .__ __. - 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 ,cC 4A -PLAN CHECK ' - *ELECTRICAL - PLAN CHECK _, subject to the.Workers_Compensation Laws.oL California.. - .. - --- -- .UW tLLINta- GXRHOt `/ •Date _- . Signature I BATHTUBS SHOWERS t •SO.FT /.37,5" SO FT cLri t ;s2.-c- /`J'- NOTICE: If after making this declaration, you should become.subject '.TOILETS•, .•„1 -.-URINALS --- - GENERATOR' 0-1 I(W_1-10 KW ' to the Workers' Compensation provisions of the Labor Code,you must - -_ - TRANSFORMER Ua - - forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOBLE-LAYS'- - "I"' -_ _ ' _APPLIANCE -10-50'KW - `50+KW -- - - - r„- . -'- __ - . .__ CONSTRUCTION LENDING AGENCY KIT.SINKS —DISHWASHERS "' r ',MOTORS-" -30 HP ...-.);7, r,_ I hereby affirm that there is a construction lending-agency for the per- SERVICESINKS 7='," SUMPS i -(INC.SOLAR)- 10-50'HP_50 +HP-- - , -- `'•` - : formance of the work for which this permit is issued (Section 3097 - -- Civ'C:):""" '""-"'- ' """" " ' -' `" ""'- FLOOR SINKS'• ` -'•FLOOR DRAINS rvI - " - 'FIXTURES 'OUTLETS- -SWITCHES- - - -- '1 Lender's Name . •• - " - . 'DRINKING FOUNTAINS "F"- - - 'iGAS TORE SIGNS ` Lender's-Address - - " -T - - - —_- •�- - OWNER'BUILDER DECLARATION" _' --- - __. _ INTERCEPTORS _ CLARIFIERS ' ' 1POLE:LIGHTS -' '_-_ -' - - I hereby affirm that I am exempt from the Contractor's License Law for a."---'f ' ,,,, - . the following-reason"(Section'7031.5-Business'and Professions Code: Any city or county which requires a permit to construct, alter, 1 POLES METERED "SUB - improve;demolish•or repair-any structure; prior tots-issuance;alsore- WATER SERVICE ALTERATION' n (-- .. 'PANELS- / quires the aprlivant for provisions to file a signed statement that he ' Is-lieensed pursuant'to the provisions of the Contractor's'L'icense`Law GAS SERVICE- -- OUTLETS �-/' -' �s•'�'J', "'SERVICE `- - """" " " �0O'-AMP ' (Chapter 9 (commencing with Section 7000) of Division 3 of the - - - ' Business andro•fesCoteyor that;he is exempt therefrom and the' yygTER HEATERS -BTU OUTPUT "` ._ _ - "" "-" - - "` "" - -- "- -' basis for the allegedd exemption. Any violation of Section 7031.5 by I ^ - ^' '•� •^•r• "• ' - " arh, Ypplicant`Yar.a permit'subjects the-applicant to-a-civil-penalty SEWER CONNECTIONS -1*---, '- -- - "1 ' -- ' - - -- ------ -"`"` . - - - - •- _ , t _ more than five hundred dollars ($500). - •-^ " __ •_. __ - - �. _- ._ _ Lh.cos owner of the property, or ,a employees stru with s not intended.ndeir SOLAR TANK' COLLECTORS" ' - i"- --- - "'" _ "" ` _" ' „ „ ..,i „-, -'I j sole compensation, wo 7044,rk, sines str uctfessis not e; The _ _ _ ___ _ _ _ _ 1 or offered for sale. (Section Business and Professions Code: The SOLAR PIPING SYS. h ISSUE FEE '-' - - -• - Contractor's License Law does not.apply-to-an owner_.oi a property. _ -- _ _ -. _._ _ I-_. _. ; -_ -_ 'APPLICATION-APPROVED ED BY "' 'DATE-- - I who builds or improveses,.thereon, and who does ph work himself are or ISSUE FEE •1 , through-his own employees,.provided owl that, such dingimprovements ent "' " " ' intendedssold or offered for sale. If, however,the building or Improvement MECHANICAL PLAN CHECK ) SUMMARY OF FEES ' is soltl within one year of build ortifor r_will have the burden_ y'I" 't1.,.• provingHEA 111 SiV11P-n -15 of Contractors tot construct the project (Sectio7044, Business •4NDTD UCTING EM100,000'0 BTU �I ;PLAN CHECK $ 't. nrPERMIT' I • -- , ��, j improvepurpose ). BTUrr 0-1,--as-owner-of -the property, am-exclusively -contracting-with 1^--- - -- -- .»-_ _ t ...l and-Prof essions-Code:-The-Contractor s-License Law does not apply to w-- - t an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU (PLUMBING` $ ',I.-- d . - N , tracts-from-such-projects with-a-contrattor(s) licesned pursuant -to SYSTEM - -` "`- I--- - - - -- - --- -- - -- - -^ - the Contractor's License Law). 100,000+BTU -I 'PLAN CHECK $"'^ ''" ° "f{ 1;'), , ,•f' ❑ I am exempt under Section __ ---- - - B.&`P:C.for this ' BOILERS BTU 'ELECTRICAL $ ?+/9 • . $ reason , ";PLAN CHECK _:.MICROFILM $. - -- _ _�__-- _-• _�_ _ --_-"-- -- _ --- SYSTEM REPAIR,ALTERATION ) $--__- -;• '• , Date • - - Owner - • - - - . - . • - _ - -_TOTAL.FEE$ • i ,MECHANICAL-S-"' infhereby mationti I have read this application on thtl state that the above.ty _ EXHA_U_5T$VSTE_M_ _MULTIPLE _ _ , _ EC • -" ' ,'•i- - information is correct.tlaI agreeito comply with all cityand county l - - ',PLAN CHECK-'$---- "s -"'VA- PC _ representatives and state laws cels ti to to construction,t entl hereby authorize �' - t , ('• :1'.• r ,$ T i representatives of this cit 1t en r -upon the above mentioned property for i ec ' n poses. _ _ - _ • • Signature /. "-- - Date r-YJ __ _ __ __ j_ _ _ __ - -" ' .. _ _-__ _ _ _ _. ISSUE FEE '- --'_ FINAL FEE $ 33•/ Drivers' License or - - - _ ' __ ' ` -"' - CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor • CONSTRUCTION AND PLANNING POOL&SPA r •, \ � _ +Jt141� Date Inspector' APPROVALS Permit# -^ Date Inspector` APPROVALS Permit # J _ __ •. __ 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - 1 - 2. Soil Pipe-Undrgrn - _ 44. Steel Reinforcement - • • - -- - 3. Electrical Conduit Utility-Undrgrn 45. Forms - - • _4. ElectricalConduit-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-Undrqrn . - • • _8. Foundation. __ - __ _• •• __ _ _ - 50. Gas Pipe, EDUndrgrn,Test - . : 9._ .WaterPipe-Undrgrn - _ . - ' -_ 51.- Backwash Lines. P-Trap,-L Undrgrn' '-" .. --- - - - - - ' ' 10. Structural Floor System - _ _ - - 52. APPROVAL TO DECK _ -- - - ' --'-- . - ' - - - 11. Property Sewer Line & House Connection ' _ • 53. Backwash & Receptor-Final -. ' ;. 1.2. Street Sewerconnection ' _- -- - _ _ 54. Heater.& Vent-Final . - 13. Rough Plumbing - -_ - 55. Plumbing System - Final - ' - ' • - • 14. Rough Electric-Conduit -- - - -- - • -56.-Electrical-Final- 15. Rough Electric-Wiring- Co A _is - -- a 57. Solar System-Final , - 16. Rough Heating & Air.Conditioning-- _-_ - - - - - b8• - Fencing &Access Approval r 17: Ducts, in Structure _ _ _ _ __ _. - . _ 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating . _ _ _ _ . ___ _ .. _ _ _ - 19. Gas Pipe-Rough &Test - _ - --1.. . ..4.. - _ 60, POOL/SPA SYSTEMS-FINAL ' ' -•• • 20. Roof Framing- - - . --- r -- __ - - • 21: Roof Sheathirig '_ _ .' .. - _. _ - '• - 22.__ Frame and Flashing - .- - _.- _ _ _ , ._ _ _ - NOTES: " , , „ ,, , 23. -Insulation. _ - _ __ _ -' . . - - _ _ -_ . . - , . ,. 24. Lathing & Siding _ _ _-J . ' _ _. .. _ . . -- - . . - - . . - -- 25. Drywall Nailing _ _ - 26. Plaster Brown Coat • . . _. , _ '_ . • • - 27. Electrical Power Meter-Final _ `_ - G - 28. Final Electric _ _ __ 1-�73'O�, A _ - - _ 29. Final.Heating &Air Conditioning r _ - 30. Final Gas Pipe-Test . _ _ - . • 31. Final Plumbing _ . . _ _ _ " ' • 32. Water.Service-Final - _. - - •- - _ „ _ . ' 33.- Gas Service-Final - r.- ' . 34. Solar Domestic-Final - • - . - • . . . ' 35. Landscape Sprinkling System - • I _ ' ' - '1 36. Sound Attenuation - - • _ . - - , 37. Handicap Regulations - • - _ • - - , - .. . I 38. FINAL STRUCTURE& BUILDING - ' • - ' 39. Special Requirements Completed- - - ' _. - - - - 40. Electric Release to Edison r - - - - -- - - - • - ' - - - ' 41. Gas Release to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY _ - - No: Date -- .. r s Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. ' CITY Of COSTA MESA PE g[N IT O TRACT NO. LOT NO: . BLDG.NO. . - - • -- - _ • ...CONSTRUCTION PERMIT P. 1 8S_ Project Address 26154 Elden Avenue • y TYPE OF CONSTRUCTION - 4259• 4/06/82 ly Je QQ T( Owner Sun Coast Development - Phone /5Zc3l ® NEW ❑ ADD ❑ ALTERATION - / - - Address 51 Campus Drive, Newport Beac 0 REPAIR 0 CONVERSION ❑DEMO LISH 'r ' ZONING REGULATIONS Arch/Eng. - License No. 0 OTHER , • _ DESCRIPTION OF WORK A.P. Address -' - new plumb:in installation - • ZONE - PLNG. REF;ye •- - • Contractor'Leaverton • ace's, nC. phone �� • TYPE OF PERMIT - '- •- BUILDING �� BUI DIrvG • Address II ' ' Ott t. ,- ar.en -rove SETBAC T. OPE TV LINE ❑GRADING O FOUNDATION (]-ST RU CTV RAL - SIDE YARD LICENSED CONTRACTOR DECLARATION _ LEFT - TENANT ELECTRICALLUMBING-❑MECkiANICA SIDE YARD I hereby affirm that I am licensed under provisions of Charter 9(tom- , RIGHT - - - • mencing with section 7000) -of•Division-3 of the-Business and 0 OTHER .REAR YARD(TO P/L) -' "--- -' ' - " • Professions Copt, d my license is in full.fort feet. .PROJECT DESCRIPTION'• I — /� -�L7'�°l4�' License Class ense No ' ' • •,- - • v , - PKG.-SPACE REQ. • PROVIDED, ---- • -- - 'oate - 3/30/82 sig i .a/. // SO:.FT. _ ? • _ -- _ - - WORKERS'COMPENSATION-DECLARATION "OCCUPANCY'�5 -CgONSTRUCTION TYPE- y`� STREET WIDTH ,-PARK FEE'S , I hereby affirm that I have a certificate of consent to self-insure or a VALUATION �-7-"�@_•80 ZONE ZONING APPROVED'BV - - ) -DATE --• certificate of Workers' Compensation- Insurance, or a certified-copy _ . • thereof (Section 3800, Lab.C.). GRADING CU. YDS. ACRES SPECIAL CONDITIONS:- , - -' , Pt'.cy No. P22166 Company Zenith-National - - - .- __ ' - _- _ .- - — - _- - , irtlfied copy Isherebyfurnished. ___ .., REMARKS: :! _ - _ - - _ .• _ ___ -ertified copy Is filed with the city Building Division. Q n�j 1 - 't EXEMPTION FROM WORKERS' COMPENSATION DECLARATION -- [J—n2gld7--- - • -- 1. (This section need not be completed if the,permit is for one hundred _ _ • -' ($100) or less). . - "- ' - _ - - - . .. ._ -- _ - - - I certify that n the performance of the work for which this permit isM , issued, I shall not employ any person in any manner so as to become 'PLUBING . :PLAN-CHECK - - ' ,ELECTRICAL --- PLAN-CHECK - - - -- - subject to the Workers Compensation Laws of California.._ .._± BATHTUBS - -- SHOWERS '- s E UWLLLING c.'HMGh __ - - - _ Date Signature NOTICE: If after making this declaration, you should become-subject -TOILETS 13 .- URINALS �.. --, -q fon GENERATOR 0-1-KW_1-10 KW - to the Workers' Compensation provisions of the Labor Code,you must `, s TRANSFORMER _ - forthwith comply with such provisions or this permit shall be deemed LAVATORIES 5 DOUBLE LAV§ . - -'j S' rin APPLIANCE--` 10`-50 1.6,4_50+.KW- revoked. - CONSTRUCTION LENDING AGENCY _- "KIT.SINKS ], ' - DISHWASHERS 1 - 6 00MOTO RS -- 0-1 HP_1-10 HP I hereby affirm that there is a construction lending agency for the per- SERVICE SINKSSUMPS' - - - ,(INC.SOLAR) _ .10-50 HP 50.+HP formance of the work for which this permit is issued (Section 3097 - , - - Civ. C.): - Commerce-Bank- -- - --' - FLOOR SINKS --' - FLOOR DRAINS ' -h - - - ` ' FIXTURES- OUTLETS- - SWITCHES -•- Lender's Name -' - Lender's Address 1201 -Dove St. f Newport- Beach - DRINKING- FOUNTAINS i - t- --- - - ' 'GAS TUBE SIGNS - - OWNER BUILDER DECLARATION - - - --- - - ---- - 'INTERCEPTORS - CLARIFIERS - _ - - '- POLE LIGHTS-- -- - - - --- -- - I hereby affirm that I am exempt from the Contractor's License Law for - the following'reason (Section 7031:5 Business-and-Professions Code:- -SWIMMING -- -»- - - = - Any city or county'which requires a permit to construct, alter, POLES - METERED-- 'SUB-' - Improve,demolish-Or repair any structure, prior twits issuance/also re- WATER-SERVICE- 1- ALTERATION QQ- PANELS - - -MAIN - - SUB - - - 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 --GASSERV ICE 1OUTLETS - -5 00- SERVICE (Chapter 9 (commencing with Section 7000) of Division 3 of the - Business and'Prolesslons Code)-orthat he Is exempt therefrom and the -WATERHEATERS- 1- 'BTU OUTPUT35M basis for the alleged exemption. Any violation of Section 7031.5 by - - l a' 'pPllcant for a permit subjects-the'applicant to-a civil-penalty- -SEWER CONNECTIONS `- - • - - - - - - - - -- - - - - [ i more than five hundred dollars ($500). 4 -L ., as owner of the property,army employees With-wages as-their SOLAR - -- sole.compensation,will dothe work,and the structure is not intended or offered for sale. (Section 7044, Business and Professions Code: The SOLAR PIPING;SVS:alltO washinQ'-]IIaa OO- t ' ISSUE FEE - - - -- - -- - - f 'Contractor's License.Law does,not apply to an owner of a property !` 'APPLICATION APPROVED-BY .._. „."--."....-_;-DATE------_.- who builds or improves thereon, and who does such'Work himself or - -ISSUE FEE • �, - E ' j through.his,own employees,_provided,that such improvements are not _ _ _ intended or offered for sale. If, However, the buiitling or improvement' NI ECHANICAL - PLAN CHECK - SUMMARY OF FEES is.sold within one year of.completlon, the owner will have the burden .I •- ' of proving he did not build or improve for -t he`purpose of"sale).' HEATING SYSTEM 0-100,000 BTU - - - - BUILDING . - - _ _ - _ - 0-I, as -owner- of-the •property, am exclusively-contracting.with 'PERMIT $- , SMTP a $ AND'DUCTI NG licensed contractors to construct the project (Section 7044, Business 100,000,+ BTU l ,PLAN CHECK $ PERMIT. .. j and Professions Code: The Contractor's-License-Law does not-apply to. 49:00' - _. ISSUANCE' �S 1 ,. 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 conlractor(s)-Iicesnetl. pursuant to - SYSTEM - - G RARING $ the Contractor's License Law), 1-100,000.i-BTU 'PLAN CHECK -E - -- - ❑ I am exempt"under Section- -'--' B.'&'P:C:for this- BOILERS BTU _ ELECTRICAL $ - - - -• E - ,reason- -- - -- - - - PLAN CHECK E _ ' • MICROFILM E ' Date • Owner SYSTEM REPAIR,ALTERATION .TOTAL FEE $ - • .MECHANICAL $ - -- - - I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE i LESS AD- information is correct. I agree to comply withtalicity and county -PLAN CHECK $ • VANCE-PC $-_ -- ordinances and state laws relating to construction,and hereby authorize _ I ..�f representatives of this city toenterupon 'the above mentioned - ; 4Gl%°� Properly ecti•/� - ♦ )ice -O'6 �• / Signature- /* —cam (/` "" - - '--' - ISSUE FEE- _ __ - CMF 0865-46 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor 1/416. CONSTRUCTION AND PLANNING POOL& SPA - APPROVALS P-i ti Date Inspector APPROVALS r Permit# - - - Date _- . Inspector T b:i.\;' Permit# _ _ _ ._ 1. Temporary Electrical Service or Pole . 43. ,Pool & Equipment Location - _ 2._.Soil Pipe-Undrgrn _ ' _ f,(�/ /�L „f��� 44. Steel Reinforcement - - - I -3.- Electrical-Conduit.Utility:Undrgrn. ._ 45. Forms - • -- • 4. Electrical•Conduit-Undrgrn - . __ 46. Electrical Bonding • _ - - .. - • __ ' 5. Steel-Reinforce- _ _ . 47.. _ 47. Rough Plumbing& Pressure Test - - . _ - 6. Electrical UFER Grn_ _ - - 48. APPROVAL TO COVER-GUNITE - - - - - 7. Footings. . _ . , . . _. - 49. Electrical Conduit-Undrgrn" • ' .r . - •' ' 8.- Foundation- -- -. - . ._ - • 50. Gas Pipe, 0 Undrgrn,Test • ' • • - - ' -9. Water Pipe-Undrgrn -- . . _ _.._ -_ f7/(t2. .�� 51. Backwash Lines. P-Trap. 0 Undrqrn - •- - - - -- ' - - 10. Structural.Floor System - - 52.- APPROVAL TO DECK ' 11. -Property-Sewer.Line-&.House.Connection .. - - - • '532_-_Backwash&'Receptor-Final -12. -Street-Sewer Connection - '-' - - - 54. Heater & Vent-Final • 13. - Rough Plumbing. __ . . ._.- . /-_/g-fri- � ___55. Plumbind System- Final • - 14. Rough Electric-Conduit - _- - - -• . r-56.- Electrical-Final - • 15. Rough Electric-Wiring - - - •-• ' '57. Solar System-Final ' ., - . ' _ . _ :� '16. Rough Heating &Air-conditioning . -. b8. .Fencing & Access Approval • 17. Ducts, in Structure • - -- r - - • _ _. 59. APPROVED FOR PLASTERING ' • • - • - 18. Ducts, Ventilating ••• - - - - _ __- _ _ _ , 19. Gas Pipe-Ro“ul, to T.:st yarn/ ,f',,,/& y//r.h2 C- ' 60.. POOL/SPA SYSTEMS FINAL' - -' 20. -Roof Framing - -- - _ r ,/ ' 21: Roof Sheathing -- -- - - - - - I - - 1, 22. Frame and Flashing - - - - -. - - ' NOTES: - • - ' 23. Insulation • -- - - - - - - - - ' - - - _ _ -. - 24. - Lathing & Siding --- - - - - - - --- - - - -' . - -- - -_ .. _ - . .. _ _ _ - _ 25. Drywall Nailing - - - - . - - r . - .- _. , . . , . • 26. Plaster Brown Coat - - - , - _ . . -- - - - • - - • 27. Electrical Power Meter-Final . . - . - - - _ -- ' 28:- - Final Electric - - ' • - -. -- ._ . - - - 29. Final Heating & Air Conditioning - - - - - - - -- - - - - - - , - _ 30. Final Gas Pipe-Test- - - tell-1.2- re- - -_ _ 31: Final Plumbing - - - - 10•-/- }. _- - ._ - - 32. • Water Service-Final - 7f/iff 2 - _. - . . - • , 33. Gas Service-Final - - • 8-/3-12- -. - - 34. Solar DomesticzFinal ' ' 1 • .- _ - " ` ,., ., . . '• , 35. Landscape Sprinkling System t - - - 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 NO. - '-' -TRACT NO. -LOT NO. ' BL,DpG.NO. • 5993- 5/ I i/02 • - j 19,00 TLI ' ,.CONSTRUCTION PERMIT � 35� 1 -7 Z-- • _ �C? Project Address ape,,�__ - ,G 6/t_) sr, • TAE OF CONSTRUCTION - • -- , Owner ..d.,f deopte. Phone EW 0 ADD 0 ALTERATION SL .3 • Address ' - - - • - - --• ❑ REPAIR 0 CONVERSION ❑DEMOLISH ' ZONING REGULATIONS , Arch/Eng. - - - — — License No. -- 0 OTHER DESCRIPTION OF WORK - A.P. " - .- _ __ ;ZONE -_ PLNG. REF. ' , ' 1- • Contractor - - - Phone TYPE OF,PERMIT -- - - - -,BUILDING - Tp gVI�pING - - _ SETBACK C/L ST, PRl7PERTV LINE' Address - -" _ - _ _ -'^ - 0 GRADING, ,❑ FOUNDATION 0 STRUCTURAL- • SIDE YARD' - -- - r - - - LICENSED CONTRACTOR DECLARATION. - ❑ TENANT-❑ ELECTRICAL ❑PLUMBING }��yy-CHANICAV LS Ii DE YARD - ' II hereby affirm that I am licensed under provisions of Charter 9(corn- RIGHT RIGHT mencing with'section-7000) -of Division 3-of the Business and OTHER - - - ' _ . I 'Professions Code, d mwl license is In full force and eft ct. PROJECT DESCRIPTION _ REAR YARD(TO P/L) _„ -„ Li• cense Class V ,�,/siiccen a No. • - - PKG.SPACE REQ. PROVIDED_- ,-„ , Date f 13 a 1l- Signature trr-s+.•�� ! SQ.FT! :: _ - ._ _ __ ._ _ - - WORKERS'COMPENSATION-DECLARATION - - OCCUPANCY—CONSTRUCTION TYPE , STREET WIDTH " PARK FEE$ • _ I hereby affirm that I have a certificate of consent to self-insure or a VAW ATION ZONE •ZONING'A PPROV ED BV - - '• I DATE- ' - -- certificate of Workers'-Compensation-Insurance, or a certified-copy' -- -J - _ . _ _ .. :thereof(Section 3800, Lab. C.). GRADINGCU.YDS. ' ' ACRES (SPECIAL CONDITIONS: , • ?^'Icy No. . - •.. - - ComPanY ' - _ __- . . . - -- - -- _._ r.-- _ . . _ .. _ -- _ _- - ertifletl copy is hereby furnished. .. REMARKS:-. x_ -.-. g :, - r ' -ertified copy is filed with the city Building Division. - - - - - - _- :< t. _ EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - '- "' - - -- -- - -- - -(This section need_hotbe completed if the.permit is for_one hun red I ,. - _ 1$100) or less). n .. - _ _._ ,ti certify shall n the performance of thefork w ch_ Is_ is issued, I shall not employ any persa any n r , LUMBING i •:..,:,Y =PLAN CHECK"' _ ', -� - r (ELECTRICAL = - PLANDFIECK- --, , - subject to the Workers'Compensatio ws ., BATHTUBS - SHOWERS - -- uwtLLINL,.,-- (.AHAGL»-_ Date 5-7 3`ilti---Signature SO.FT SO FT - NOTICE: If after making this declaration, you sho d become subject TOILETS-,:, i ,,1URINALS " ' - '---- '- - - - GENERATOR- 0-1 KW_1-10 KW ' `- , — to the Workers' Compensation provisions of the Lab r Code,you must �TRANSFO RM ER - I forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAYS-- (' _ - - _ /APPLIANCE 10-50 KW=50•+•KW- - - - - -- 1 revoked. __ _ _ _ __ __ - CONSTRUCTION LENDING AGENCY KIT.SINKS -- -- -DISHWASHERS _ ' 41 - - - ',MOTORS'-- -04-HP 1;10 HP '-- -- _ -' ,l hereby affirm that there is a construction lending agency for the per- SERVICE SINKS. . SUMPS - ' - -- -•-. - - -(INC..SO LAR - _ _ t__ (s _ -10-50•HP 50+.HP formance of the work for which this permit Is Issued (Section 3097 - - _ - -' - '- ` 1 _N. ' -FLOOR SINKS -' FLOOR DRAINS-' `_ - ' FIXTURES' - -OUTLETS"' SWITCHES - ' -' " -- .Lentler'sName ' t'_•=.-e - .-. ' - '- - - �? ' . ' -' -DRINKING FOUNTAINS - --- - -" - '- - --- - -- . "GAS TUBE SIGNS tender's Address �� - � .. .. , • • --- -- -- •- • •- 1 .!,--1-"-: ._:.\'- -"-xs_4 _ OWNER BUILDERtat'DECLARATION eexempt -o°t -' • ' -' `POL'E LIGHTS -----' -" '-- - . -- ' - - Ihereby affirm that I am exempt fro m.t he Contractor's License Law for •'I fVTE RCEPTO RS � CLARIFIERS � , . „ I the following reason (Section•7031.5 Business and'Professions-Code:- SWIMMING POOL""'"-”P'TRAP- ---- -- .LUrvplKUL1IVrv - _- -. - - Any city or county which requires a permit to construct, alter, - "-7' . - - 'POLES METERED •SUB '- _ 1 improve,-demolish or repair-any structure;prior to Its issuance;also re -WATER SERVICE- ---'ALTERATION'-- -" 1---- - ' !PANELS- ' " MAIN- - SUB • - - -I quires the aprlicant 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' 'j$ERVICE-- -- •- - - AMP - - - - ' (Chapter 9 (commencing withhSecSection • 7000) of Division 3 of the _ - Business and Professions Code) or that he Is exempt therefrom and•the- • WATER-HEATERS- ' - BTU'OUTPUT-r,..`,S _i r s ' -• -' ' -- -- -- - ' -- •- - - - -- -- basis for the alleged exemption. Any violation of Section 7031.5 by - • `J - - a_,.aa'_.pplicant fora -subjects the applicant-to-a civil penalty- SEWER CONNECTIONS . . -- _ ' r=--- - - •-` ---• .. - - - - -- - -..l more than five hundred dollars ($500). Y - .If.-f-a5 owner of theproperty;or my ernploYeis with-wages as their -SOLAR TANK '- " COLLECTORS - l _ '- - --'•-- -- -- -- - -- - - - - ---- - Or foatlon,will do the work,and the structure is not intended _ _ _ _ _ _ I•• ' or offered for sale, (Section 7044, Business and Professions Code: The- SOLAR PIPING SYS. �. t _ , -ISSUE FEE - ' ' - - - - Contractods License.Law does apply-to an owner,of a property- -• - - --- .- - APPLICATION APPROVED BY - - - -- DATE -- who,builhs or improves thereon, and who does such work himself or ISSUE FEE - - through his own employees, If, however, that buimprove mems are not _ _ _ - ' intended or offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK SUMMARY OF FEES - is sold proving within one year of completion, the owner will have the burden - of provihe did not build or improve for the purpose df sale). HEATING SYSTEM 0-100,000 BTU 7S • --- - 0I, -as-owner of. the property, am exclusively contracting with PERMIT $_ - _ SMIPI;, $ AND DUCTING (� and contractors to constructtr the to project- (Section 7044, lness 100,000? BTU T �- I PLAN CHECK $ PERMIT , and neof property The Contractor's pro esetlweon, a apply to - _ • - _- - - - ISSUANCE: ' '- tn owner of choj who builds Improves thereon, and who con- REFRIGERATION 0-100,000 BTU PLUMBING $ •��, I hetracts-from such scene with-a-contractor(s) licesned-pursuant-to -SYSTEM- - - - - i -- - -- - - -- GRA D(NG_'E the Contractor's License Law). 100,000+ BTU- I PLAN CHECK E - , ,./ • O I am exempt under Section - ' '- --- - B.&-P:C:for-this' BOILERS BTU ELECTRICAL E $ - - • - +PLAN CHECK' E' -- 'MICROFILM$ '' _ _-- Date. Owner SYSTEM REPAIR,ALTERATION • CS— r TOTAL FEE$„ • '-MECHANICAL-fl- -- - I hereby certifythat,I have read this application and state that the above EXHAUST SYSTEM MULTIPLE r • ' 'LESS AD- '• -- information is deer ct. - gree to comply with all -city and county /�/�ya / J� }.- - ':PLAN CHECK- -E - - - VANCE PC 'S_ - - repes ordinances and t la I 'ng to co t ctlon and hereby authorize ,( /97-.� /[/! ' - : .� (. - I represEntalive -th' o e above mentioned i I - property fo spe S. __ i) /'' FINAL FEE $ /3 Signature _ Accounting;Goldenrod-Assessor 1 .i • \ 11\ • ( •- - ' CONSTRUCTION AND PLANNING - • ,•. POOL&SPA,.' - APPROVALS Permit# A:651)- Date Inspector _Date Inspector APPROVALS Permit# _ _ _ 1. Temporary Electrical Service or Pole ' s 43. Pool & Equipment Location - - - -- - - • - . 2. Soil Pipe-Undrgrn' - , : - •, ., 44. Steel Reinforcement • 3. . Electrical Conduit.Utility-Unclrgrn_ 4 _ 45. Forms . - - ' _ 4. Electrical Conduit-Undrgrn _ _ _ _ -. 46. Electrical Bonding - - • ' 5. Steel_Remforce. - _ 47. Rough Plumbing & Pressure Test -: - 6. Electrical UFER Grn -- 48. APPROVAL TO COVER-GUNITE - ---- - - 7. Footings -_ _ - _ -- '�, 49. Electrical Conduit-Undrqrn - - • 8.- Foundation. - '..__ . _ 50. Gas Pipe, 0 Undrgrn,Test ' ' - _ • ' 9." Water Pipe-Undrgrn _ _ _ -_ • _ 51. Backwash Lines, P-Trap, 0 Uhdrarn . -- - - - ^ - 10._ .Structural Floor System. ' 52. APPROVAL TO DECK ' - • ' - 11. Property-Sewer Line & House Connection__:- I_ _ - - - -. - - . - . - 53. .Backwash & Receptor-Final • • • 12. Street Sewer.Connection_ __ •'_' . __ • - 54. - Heater &Vent-Final - • 13. Rough Plumbing_ .. __ •_ _. _ - - - • - - - 5.5, -Plumbing System - Final - - - - . - - • 14. Rough Electric-Conduit • • - • - - • '56: '-Electrical-Final •w- , 15. Rough Electric-Wiring - - - - - - -- - - 57. Solar System-Final - . - - " 16. Rough Heating-&Air Conditioning-- • - - ..n..../.1z - 6--P--r-Yr58• . Fencing &Access Approval., ,, _ - - 17. Ducts, in•Sfructure -- ... - ' _ . . . _ - __ 59. APPROVED FOR PLASTERING,' ','N, ..2.% ' -. . • -• 18. Ducts, Ventilating - _ - \;- 'z�: ,- ` :. � .N 19. Gas Pipe-Rough &Test - , _ ._ - - 60. POOL/SPA SYSTEMS FINAL - - • 20. -Roof FFamirig - - -- _ - _ ' - - ' 21. Roof Shathinq. - • - - - - - - - - - - - •• - - ' 22. Frame and Flashing - -__ - _ _. - _ NOTES: - 23. -Insulation• - - __ - - _ . 97 tj .E'�iQi L�r'S. �.-x/`67 COMA^�EG1r 24. Lathing & SidingI._ . -_ �- /�5�5� ...-. - 25. -Drywall Nailing . _. .- - _ .. __ __ - . - - • . . 26.- Plaster Brown Coat - __ _ ' . - _ . . _ _. • - - -. 27. Electrical Power Meter-Final _ _ - _ - . - - ' . ' 28. -Final Electric - - - - - - - - . - - - - - ' 29! Final:Heating & Air•Conditioning- --- - -fO/-t$', %'E - - - - • - - 30. Final'Gas Pipe-Test. _ - .- .. - . • „ , 31. - Final;Plumbing . _ .. .. - 32. Water Service-Final - - - . ' _ -. ..- .. - - - . 33. Gas Service-Final _ -- . . - - 34. Solar Domestic-Final • - - 35. Landscape Sprinkling System - - - ' 36. Sound Attenuation - • - - - 37. Handicap Regulations - _ - ' 38. FI NAL STRUCTURE & BUILDING '- - 39. Special•Requirements Completed • ' ' ' - - - - • 40. - Electric Release to Edison .. t --• - • r - • ' - - - - - , 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 R IT NO. ��� TRACT NO. �pT NOS•-BLDG.NO. • • CONSTRUCTION PERMIT 3 ((-�"' ' Project Address '.g�L� - • TYPE OF CONSTRUCTION 5424 5/04/82 7.00 TL! • Owner ttA/z i•` / 4TICGir 4 (Ph00E& - • EW 0 ADD 0 ALTERATION - ' Address' - - - - REPAIR 0 CONVERSION ❑DEMOLISH - ZONING REGULATIONS Arch/Eng. License NO. • ❑OTHER 1 A P Address ^ _ DESCRIPTION OF WORK - I /pper � � s� �� �' ,z�,,,. ZONE -PLNG. REF. Coritr`actor �I r -h-n IO�YPEOF, PERMIT - BUILDING- - TO PIL,�ING - - J 11 v so SETBACK C/L ST. PROPER V LINE . .Addrf.55�� � • -u 1 �� ���W�� ❑ GRADING 0 FOUNDATION :❑ STRUCTURAL SIDE YARD ' et, LICENS D C CTOR-LT'E`CLL•ARATION ❑ TENANT ❑'ELECTRICAL ❑PLUMBING ECHANICAL/ LEFT YARD I hereby affirm that am licensed under provisions •f C arter • corn- RIGHT • mencing with Set 000)--of- Divis-•n -3 of he Bus s and - 0 OTHER - IN Professions Cotle,' my lice a is in full •r e/_ .� PROJECT DESCRIP.TIONI - - _ - REAR YARD(TO P/LI - r • . , " License Cla _ x'14 _ - .� PKG.SPACE REQ. PROVIDED - Date• • Z_/l.nature ATAVFtcA'.L • s!is SQ;FT. • ,STREET WIDTH PARK FEE is. OCCUPANCY_CONSTRUCTION.YPE ' Ti1 WORK RS'COMP ATIONaveaDECLARATION - - - 'ZONING APPROVED BY DATE -.- I hereby affirm that I have a certificate of consent to se�-insure ora VALUATION - ZONE - • - I I 1 thereof of Workers'-Compensation-'Insurance, or a certified copy' - - • - - thereof (Section_3_800, Lab. C.). GRADING CU.YIDS. .4 ' '' ACRES SPECIAL CONDITIONS: _ •3 • • P-•.cy No. Company - .� _ - - "- _ _ - - •` srtified copy-is hereby furnished. - --- - - - -- - - •- - •• REMARKS: ' ! -- • -. - -- - .• .. .ertified copy is filed with the city Building Division. "_" '• ' .-._ - _ _--_ _ - _ N _ . _ - -_ ._ _ _ _ - _ - - EXEMPTION -FROM WORKERS' COMPENSATION DECLARATION . . � _ -- - ' - "-"- -'- I (This section need not-be completed if the permit is for one hundred. _ - _ - �` . . .. : - _. . _ _ _ .' 7' ($100) or less). • ,-• - ..- . _ - ,I certify that in-the'performance.of the work for which this permit..is T. __ _ — _ _ Issued, I shall not employ any person in any manner so as to become •PLUMBING T . PLAN CHECK , ELECTRICAL - PLAN CHECK --.. • subject to the Workers'-Compensation Laws of-California.- - _ - - - _ I - BATHTUBS SHOWERS SO FT INC - SCa FT t - ••^ Date Signature - - ' NOTICE: If after making this declaration, you should become'subject 'TOILETS' '0 r -URINALS - _- - GENERATOR _ 0-1 KW_1-10;KW - to the Workers' Compensation provisions of the Labor Code,you must _ - _ .- TRANSFORMER - ` forthwith comply with Such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS - -- APPLIANCE 10-50 KW 50-+ KW - _ 1 revoked._ _ -. - .. . . - _. - _ __ - - _ _ - CONSTRUCTION LENDING AGENCY KIT.SIN-KS - DISHWASHERS j MOTORS 0-1 HP- 1-30'HP I herebyaffirm that there is a construction lendingagency for theper- T - - -,- -'-- • 'IONC:SOLAR) - - I. I 9 SERVICE SINKS 2f, 'SUMPS -10-50-HP- SO+HV „ .1 formance of the work for which this permit is issued._ (Section - -- - FLOOR SINKS FLOOR DRAWS- -- FIXTURES -"' OUTLETS "SWITCHES'- - Lender's Name __ . - _ _ __ _ _ _ _ _ Lender's Address DRINKING FOUNTAINS - ,(- GAS TUBE SIGN$ "- - -- -.-" , - „ , - OWNER BUILDER DECLARATION - - — ' ---. '- • - - -' -, - - POLE'CIGHT$' - - .- - I hereby affirm that I am exempt from the Contractor's License Law for INTERCEPTORS CLARIFIERS .,,p ;•, r, , 'I. the following-reason-(Sect ion 7031.5'Business-and-Professions Code: ' SWIMNIING'POOL PTRAP'"-" - '- •' wNS I HUI-Itun _ _ _ _ _ _ 1 Any_city or county which requires a permit to construct, alter, POLES METERED SUB • . _ .• improve,de m0115h or repair any structure, prior to-its Issuance,also re- WATER SERVICE -ALTERATION - I PANELS - MAIN 'SUB ., , p quires the xpi_licant for such permit to file a signed statement that he _ _ - is(Chapter 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 - _ .' Bosineis and Pro/eesions Code) or that'he a'exem Se erelrom and the- 'WATER HEATERS BTU,OUTPUT- .,.•.: ' • - - - '" - ba,�ss for the alleged exemption. Any violation of Section 7031.5 by _ - '' ^ ' ' c. -: plicznt -for-a permit'ed ts the applicant to a civil-penalty ' SEWER CONNECTIONS - " - ' '- ---- - ' - - ' ;•: more Ihan_tive hundred dollars (5500). _ - _ It _ sole cas owner of the property, or my the-s e- with wages es their SOLAR TANK - COLLECTORS -. - - -`-" -"- - _. - - -- , — I '•:f r. or offered for sale. (Se do Ihe.wor k,and Ihe-strnot dedThe . I ..— - - ISSUE FEE - -I- I 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. - - .- - APPLICATION APPROVED BY - -- DATE who builds or improves thereon, and who does such work himself or ISSUE FEE -� _ -. .. 1 through-his own-employees, If, however, 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. - I_• , of proving he did not build or improve for the purpose of sale). - BUILDING - - _ - -'--- - - am exclusively -contractingwith HEATING SYSTEM 0-10-0-0 BTU 4$ .t- I ' PERMIT E - $MIP. ❑-n as•ontrer-os-the' struct property, - and-Pro contractors tors : construct the project e(Section 7es 44,not Busapply to 100,000 +BTU 1 PLAN CHECK $ PERMIT' ''j_ and oers of ns Tho builds or iprse Law does no c to -- - •UM G- -- • ISSUANCE- $-.-- - , an owner of propertych- oj who ith a c improves thereon,csand who con- REFRIGERATION 0-100,000 BTU PLUMBING $ •',( •' tracts-Contractor's rs License Law). a•contractors) Iicesnetl pursuant to -SYSTEM' - -' '- _ - - •HE - - - - GRADING:$ the Contrador's License Law). 100,000 4-BTU ,PLAN CHECK S. s , ,• s ,, i ❑- am exempt under Section - •B.8.--PI-C.for this BOILERS BTU - ELECTRICAL $ , �$ - • ' reason '-- - - - " - - '- - ' - " " PLAN CHECK E -" - ' MICROFILIv1_$ ' ' SYSTEM REPAIR,ALTERATION • Date--- -----Owner - - - - - - - 'T.OTAL FEE$ i I hereby.certifythat I have read this application and state that the above EXHAUST SYSTEM MULTIPLE ,MECHANICAL $ 7---" t PLAN CHECK -'E'- ' LESS AD! _ ' - ' information is correct. I agree to comply with all city and county - VANCE PC E- ordinances and state laws relating to construction,and hereby a thorize 49 C�(iC,e�s��l/ �� ( • I _ ,+„�.v • �r t { - :' representatives of this city to enter upon the abov���l1�Pe t•16netl • property for_inspection purposes. _ _ -- �1,[/((J IL _ ./l Signature - - ISSUE FEE - - - - ' '- --- -- -• CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING - • POOL&SPA _ ' • /N 3yy'a' Date Inspector -• - Date Inspector APPROVALS Perin-it 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 - - ,i 5. Steel Reinforce 47. Rough Plumbing & Pressure Test-' _ . - - _ ' 6. Electrical UFER Grn48. APPROVAL TO COVER-GUNITE- -- - _. •- - - _ _ 7. Footings 49. Electrical Conduit-Undrqrn - - 8. ._Foundation. _ . _ 50. . Gas Pipe, ❑Undrgrn,Test • . - _9.. Water Pipe-Undrgrn 51. Backwash Lines. P-Trap, ❑Undrgrn ' ' -• - - • 10. Structural Floor System . 52. APPROVAL TO DECK - ^ - • __ - - - •• - ' 11. Property Sewer Line & House Connection _ 53. Backwash & Receptor-Final • e 12. Street Sewer Connection _ t . _ __ - . . 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 - - - - . - - _ b8. Fencing & Access Approval - ' 17. Ducts, in Structure _ 59. APPROVED FOR PLASTERING • 18. - Ducts, Ventilating - - __ _ , 19! Gas Pipe-Rough &Test _ _ _ _ 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing _• . . 21. Roof Sheathing _. - - 22. Frame and Flashing_ _ _ . _ - NOTES_: ' . 23. Insulation •- _ _ _ _ . . .-_ _ _ - . 24. Lathing & Siding ._ " __ - _ _ - - -. -_ - - - _ .25. Drywall Nailing - _ _ _ . 26. Plaster Brown Coat • • . _ - 27. Electrical Power Meter-Final. _ _ ._ _ ' 28. Final Electric . - __ - - ' - - - 29. Final Heating & Air Conditioning __- . _ jp-/-yam �/,t - _ 30. .Final Gas Pipe-Test. - _ _ 31. Final Plumbing - , 32. Water Service-Final _ -. _ - 33. Gas Service-Final ' 34. Solar Domesti&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 - - - -- t ' �'' 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 P319e2' •• ' Project Address 261.5t Elden Avenue TYPE OF CONSTRUCTION • ? 4260 4/06_/82 49.00 TL! Owner Sun•Coast Development Phone]52-5316 NEW 0 ADD 0 ALTERATION - lis Q - - - ' •Address 51' Campus Dr. . Newport Beach 0 REPAIR D'CONVERSION ❑DEMOLISH. /' _ s _ Arch/Eng: - r License No.- -0 OTHER - - ZONING REGULATIONS Address '- -- DESCRIPTION OF WORK A.P.TN ' .- . ' new. pltmb3ng instal lati On ZONE PLNG. REF.$ Contractor Leaverton-Jacobs.- Inc. Phone530-2624 r • `BUILDING Tog I NI9 • TYPE OF PERMIT SETBACK C/L,ST. PROPERTY LINE• • I Address 12700 A Knotf 'St_ Garden Grove ❑GRADING D 'FOUNDATION ' ❑ STRUCTURAL' SIDFFTYARD - - LICENSED CONTRACTOR DECLARATION- LEEP " - I hereby affirm th.t I am licensed under provisions of Charter 9 (tom- 0TENANT 0 ELECTRICAL' PLUMBING ❑MECHANICAL - MIGHYARD - - mencing-with section 7000) of Division-3- of the Business and DOTHER -. - - - • - - . - - -- Professions Co tl my license is in full force effect. - REAR YARD(TO P/L) . . . �' -a' _ ,. _.._ . 272.740 ' PROJECT.DESCRIPTION'' _ _ ._ .. . _ License Class 2Q��1 tense No. `, • PKC.SPACE REQ. , PROVIDED ' Date - - 'i/10/Sypgnatu. -.SW 4 , • I. SQ. FT. - _- - _ -_ ,_ WORKERS'-COMPENSATIO DELLA- • SON . OCCUPANCY_CONSTRUCTION TYPE TPR STREET WIDTH PARK FEE E. I hereby affirm that I have a certificate of consent to self-Insure or a VALUATION S 000 OO ZONE ZONING APPROVED BY' DATE • certificate of Workers' Compensation Insurance, or a certified copy r -_ -- - - 'rof(Section 3800 Lab.C.). , GRADING CU.YDS. ACRES • SPECIAL CONDITIONS: . ' , /Nd. P771fh Company 7Pnith Nati nnal - - - -- - - - - - L _ertified copy is hereby-furnished. -- _ REMARKS: • -.13.:..09473) , _ IN Certified copy is filed with the city Building Division. ' EXEMPTION-FROM WORKERS' COMPENSATION DECLARATION - -' --- -- ' - , '- -- '- - - ((This section.need not be_completedif 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 PLUMBING - -; __(PLAN CHECK -- - `- - - - . ,ELECTRICAL - PLAN CHECK" - - Subject to.the Workers..Compensation.Laws of California. - • • • UW ELLING --- (.H HH[at Date • Signature \ BATHTUBS 1 SHOWERS 1 6 00 SO.FT SO FT • ' NOTICE: If after making this declaration, you should become subject . TTOILETS•-- :3,- URINALS - - -- , .9 .00 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 5 DOUBCE'LAVS Fr'''. • 15 DO APPLIANCE - 10-50 KW. -50+ KW, ' - revoketl. .... - - 'KITCSINKS - DISHWASHERS MOTORS- - ' 0-1-HP '1-10 HP - - CONSTRUCTION LENDING AGENCY 1 1' 7 6 OO • •". 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 (Sectionl3097 t" - .Civ. CJc - (JOmmeYCe-Bank - FLOOR SINKS' - FLOOR-DRAINS' -'i --- !FIXTURES •""-'OUTLETS .SWITCHES ' _ _ .Lender's Name 1201 Dove St. ;'Newport Beach - DRINKING'FOUNTAINS - GAS TUBE SIGNS- - -' - - - - - I Lender's Address I .'. I -OWNER-BUILDER'DECLARATION ' ' - • - ' - ---- -INTERCEPTORS • CLARIFIERS ' ' • - POLE LIGHTS- - - 1 I hereby affirm that I am exempt from the Contractor's License Law for the following'reason-(Section 7031:5 BusinessandProfessions Code: -SWIMMING'POOL- -P TRAP -- .'I.UNS LHUI,uoN_ _ Any city or county which requires a permit to construct, alter, POLES METERED SUB • - , • improve;demolish or structure, prior to its•issuance,also re- WATER SERVICE 1 - `ALTERATION -- 2 '00 PANELS' '-'-'- - MAIN' , SUB - - - - -- quires the ap,licant for such permit to file a signed statement that he •` - ' - is-litensetl•pursuant to the-provi Sions•of the•Contract or's License Law- GAS SERVICE • - - - ' -' AMP • - - (Chapter 9 (commencing with Section 7000) of Division 3 of the 1 OUTLETS 6 rt 3 00 SERVICE - _—" _• - • I 'less-and'Professions Code) or that-he Is exempt therefrom and the' -WATER HEATERS- -1 -BT V;OUTP VT 35M j 2 OO for the alleged exemption. Any violation of Section 7031.5 by applicant for'-a permit subjects the applicant-to a-civil penalty SEWER CONNECTIONS '- -1 - T-.,••„ - " -1 -• ''' -- ---- ' -- -' - - ' o, not more than five hundred dollars ($500). D I, as_owner of the piopeity, or-my ernpioyegs with wages as-their "SOLAR TANK - • -COLLECTORS`- 1-' - - •••--- '- -. - ' sole compensation,will do the work, and the structure isnot_Intended __ _ _ ' _' r. ' •1 r' -I. 1. or offered for sale. (Section 7044, Business and Professions Cotle: The- SOLAR PIPING SYS.auto wash iletma rl •.3 OO' 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 'C" _'3 00APPL'ICATION APPROV EDBV through.his own employees, providedthat such Improvements are,notN _ _ _ _ _ _ _ _ intended or offered for sale. If, however, the building or Improvement MECHANICAL PLACHECK ' SUMMARY OF FEES. , is sold_within one year of completion, the owner will have the burden - • of proving he did not build or improve for the purpose of sale). BUILDING'`— - - - - - -- -- - - - - HEATING SYSTEM 0-100,000 BTU I 'PERMIT $ SMI- ', `$' i 0-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 $ I 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 $49.00 -\= tracts from such-projects with a contractor(s)-licesned-pursuant to SYSTEM - - - - - s - --- - K - GRADING 'E the Contractor's License Law). 100,000;+BTU PLAN CHECK E:),'- - - • D I am exempt under Section- -. - "- B.& P.C:for this BOILERS BTU ELECTRICAL $ • - - S MICROFILM E - - - - -PLAN'CHECK -$ - - •• Date Owner SYSTEM REPAIR,ALTERATION TOTAL FEE MECHANICAL I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE MECHANICAL $ , , PLAN CHECK E LESS AD- ordinaalion is correct. I agree to comply with all city andcountyI - VANCE PC• $_ ordinances and state laws relating to construction,and hereby authorize - ' , represent. f this city to enter upon the above mentioned - """" ��'� proper S spec .p/se . ..roar51/ I 49 —.i Signal �(Iti -^' Date �i7� ---- -- __ - - _ - '••! FINAL FEE $ Drivers'Licun ,r (? ISSUE FEE CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor . . . w_, • . CONSTRUCTION AND PLANNIN •\ POOL& SPA , 'j AP,P,ROVALS i.1^',\t' Peimii # _3 ya" Date Inspector APPROVALS Permit#. - Date Inspector _ 1. Temporary Electrical Service or Pole 43. Pool‘& Equipment Location - - - ' - 2. Soil Pipe-Undrgrn __ _ _ . .rl/ 9.2_ •••-,-17r 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 UFER Grn- _ _ - 48. APPROVAL TO COVER-GUNITE --• • - - . - 7. Footings 49: Electrical Conduit-Undrgrn' •- - • 8. _Foundation- - - - - - ' 50. .Gas.Pipe,-El Undrgrn,Test . 9. Water Pipe-Undrgrn - - _ 75' '�t2- �if72 51. Backwash Lines, P-Trap. Undrnrn' 10. . Structural Eloor System %, 52. APPROVAL TO DECK- -- ---- '--" -- -- - - - '• --11. Property Sewer Line & House Connection. _ . . ._ . _ 53. Backwash & Receptor-Final • r • 12. _Street Sewer Connection _-. _. . . , .. - - . 54. Heater &Vent-Final 13. Rough Plumbing . %-/f=S=•--/ Ct• 55. Plumbing System-Final . - " 14. • Rough Electric-Conduit . .-- - - •7 ' • -56: - Electrical-Final -- ' 15. Rough Electric-Wiring --- - - - . "- - - - 57. - Solar System-Final - • _ . . ' . - • 16. - Rough Heating & Air Conditioning --- , _ - - . b8. Fencing &Access Approval , 1.7:. Ducts, in Structure' .. _ . _ ' • - _ _ - 59. APPROVED'FOR'PLASTERING , . - • 16. -Ducts, Ventilating . _ i . _ :' - _ _. __.. _. _ - 19. Gas Pipe-RedgbSPest 7,._,, , 5-,,,,,;,',--.;0, , • 7i//f/9; }�€ - : 6o- . POOL/SPA SYSTEMS FINAL 20. Roof Framing ` 21. Roof Sheathing . -- - • - - /�-/ ' -" -, - 22:- Frame and Flashing. •NOTES: • 4[/�iT - tf-n A o-2ar T?-i--/-,gx. -1 . - 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 - - _ . __ • d 30. Final Gas Pipe-Test _ •_ _. 8}'S-f.j,. -" - - - _- _ •. 31. Final Plumbing - - /p-/-y1- - - • - 32. Water Service-Final - -- - --- t/i e7ct.. If!' - - _ : - - . . . 33. Gas Service-Final . _ - _- - ./.13-72- sda#_34I - • . . - - - 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. BLO :NO. • - - • ,CONSTRUCTION PERMIT )4 3 S-7 3 458_94_ 5/14/82 ! 13_.00 TLi ` Project Addrs62„.:41:4_,/ I ess � — Sr— TYPE OF CONSTRUCTION ' rt - - . - - , Owner 49Phone ry[NEW 0 ADD' 0 ALTERATION- ' L/// - - ' ' - - - - 0 REPAIR 0 CONVERSION ❑DEMOLISH _ - Arch/Eng. - - License No.- 0 OTHER - ZONING REGULATIONS DESCRIPTION OF WORK A.P. • • Address-- - • - • - - - - - - - ZONE -- - PLNG. REF.tI - , ,Contractor Sic.:4,44.: - -&--„c,V• S S/S Phone TYPE OF PERMIT - - BUILDING - - - �r op Btt��1�p ING - ' Address -- SETBACK C/LST. VRO PE Wie LI NE i,pt cc cit._- IG - ems` -❑ GRADING 0 FOUNDATION -O STRUCTURAL - SIDFTVARD - • LICENSED-CONTRACTOR.DECLARATION -_-- _ - a LL EEFF - - -12-TENANT ELECTRICAL ❑PLUMBING./GNECHANICAL SIDE YARD - - -• -- - - - . I hereby affirm se ct I am licensed under provisions of Charter 9(cam- / RIGHT .. mencing-with-section 7000) -of Division 3 .of the -Business and. ❑"OTHER. __ . _ professions Code II.aa. my license is in full force. d effect. i REAR YARD(TO P/L) Lice-rase-Class Classr Lic e NI - 9 PROJECT DESCRIPTION _ _- _ -- - - -- - _ _ _ _PKG.SPACE REQ. - ' ,PROVIDED , - Date Signature '`prt �� - SQ.FT. _. _ • ___ ,- __ _-_ - _ - - WORKERS'.COMPENSATION DECLA ION i• 'OCCUPANCY_CONSTRUCTION TYPE -_- ,STREET WIDTH PARK FEE$ , I hereby'affirm that I have a certificate of consent to self-Insure or a - VALUATION -- ZONE ZONING APPROVED BY DATE' • - r-•tificate of-Workers'-Compensation Insurance, Or- a certifiedcopy . . - - __ _ . _ _ _ - _. . - _-_ _ .- ' sof(Section 3800, Lab.C.). ' GRADING CU.YDS. ACRES `SPECIAL CONDITIONS: • • , yNo. - ---- Company - -_ - - "" - -" ' - I _ . maimara L Certified copy Is herebyfurnished. -. - _ 6 t- ' REMARKS: p �dj,__ _ I „ _ _ _ ,__ _ - _ ___-_ _ ❑ Certified copy Is filed with the city Building Division. / v - EXEMPTION'FROM WORKERS' COMPENSATION DECLARATION -- "� - - ---• - - (This section need_not be completed if the permit is for one hundred I ' ' 1 ($100) orless). 1 - - - .� :. • - -_._- "_ " _ - _ _ _ - _- - _ -' I certify that in the performance of the ork for which this permit'is Issued;I shall not employ any person an man er so as come ' PLUMBING' , _. PLANCHECK- -'-- - ''ELECTRICAL-=-- " PLAN CHECK-- -' subject to the Workers Compensati W - UW ILLING - GAHHGE ' Date f`/3-t�"'Ignature� BATHTUBS - -SHOWERSI SO FT. GO FT y• NOTICE: If after makingthis declaration, you should ecome bject .,,TOILETS, ;URINALS- - - - �"--- -' 'GENERATOR - --- - - • 1 itis i 0-1-KW_1-1 OKW 't 1 to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER _ forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE L'AVS - - ' -- - - APPLIANCE"- -- 10-50 KW750+KW- _ -- ---- - tevoked.,., __ _ _ _ ...._ _ CONSTRUCTION LENDING AGENCY - " KIT:SINKS --'-"-- -DISHWASHERS -- -' ' - -- ;MOTORS-- - 0.1-HP_1-10 HP- • - - - I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS „SUMPS-"'- "-- --- - �U NO.SOLAR)_ -30-$O HP - 50.+ HP' �� -- a',-s formance of the work for which this permit is issued (Section 3097 ^` ••-• - � ;'---- c- ,- ' ' FLOOR-SIM-SS-7'N. 'FLO:OR DRAINS- '•'"j "' - - ,FIXTURES-" OUTLETS-' SWITCHES "- - " ' - • - Lender.s'Nassma,,- •'•" - Lender's Address , s OWNER BUILDER-DECLARATION ---.-----Vis - ". dry- ' - I hereby affirm that I am exempt from the Contractor's License Law for INTERCEPTORS - CLARIFIERS-`- -POL'E'CIGHT$ i the•following-reason (Section 7031.5 Business and-Professions-Code: SWIMMING POOL-- PTRAP------ - - - -ii1 iVN _ _ - - Any city or county which requires a permit to construct, alter, IPOLES METERED -SUB - "I Improve,demolish or repair-any structure, prior to its issuance,-also re- WATER SERVICE- '-ALTERATION --- I PANELS--' - MAIN i SUB '--• - - 'I quires the ap-licant for such permit to file a signed statement that he -•- is•licensed-pursuant'to the provisionsofthe Contractor's License Law 'GAS SERV ICE -OUTLETS- -- - '-' -"- SERVICE- - - - - AMP- -. -. - / ^hapter 9 (commencing with Section 7000) of Division 3 of the • l 'ness and Professions-Code)or-that he-is-exempt-therefrom and the WATER HEATERS ' -"'BTU OUTPUT' - '- t- - -'• - - - --•- -'- - c ' i for the alleged exemption. Any violation of Section 7031.5 by c '- - - - - 1 applicant for a-permit-subjects the applicant to-a civil penalty --SEWER CONNECTIONS- ' ' '-+ '-' ----- - -- - - of not more than five hundred dollars ($500). I - . • ❑'I, is-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 _. - -- ISSUE FEE- 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 - . wh0 builds'or-improves thereon, and who does-such work himself or ISSUE FEE _ - - - I - . _ APPLICATION APPROVED BY- • -- - -DATE--- - through his own employees, provided that such improvements are not - _ _ _ _ _ _ _ -buildingintended dr t' MECHANICAL PLAN CHECK 1 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). - I 'PERMIT - HEATINGSYSTEM 0-100,000 BTU 7S $ • ' SMIP, , $' - ❑.1,-as-owner of. the property,-am exclusively contracting with AND DUCTING ' - �- - - EC - - - --- •- licensed contractors to construct the project (Section 7044, Business 100,000.+BTU ,PLAN CHECK $ PERMIT. ''sq li: 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 $ �'if . tracts-from-such-projects with a-contractors) licesned-pursuant to SYSTEM -- -- - -- - , --- - - - _GRADING'' S. ' • the Contractor's License Law), 100,000•+BTU PLAN CHECK $' - i f, - - 6 _ _I. ❑ l'am exempt-untler'Sectlon-- - - ' "- ' B."6-P.'C'for this ' BOILERS BTU reason' - - - -- - r - ' -- PLAN CHECK- $ • MICROFILM $• - _ _ Dale. Owner SYSTEM REPAIR,ALTERATION a MECHANICAL $ /3-- - 'TOTAL FEE_$'-�' - _ I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE I LESS AD •- Information is-correct: I-agree to"eomply'wlth all city'and county- n ,PLAN CHECK- $- - -- -VANCE PC $_- ' ' ' ordinances and st to la relating to co tr ction,and hereby authorize 4-7- is-)t I1FN7' 6o — - - representatives- f't ci to' e above mentioned i -, /� • property for ' spec s. _ r•� " FINAL FEE $ Signature ' - ISSUE FEE - - 3 - - - - . - CMF 0865-46 white-Building; Canary-Applicant; Pink-Accounting;Goldenrod-Assessor • • m, ' CONSTRUCTION;AND PLANNING 1y, POOL&SPA- • ` . APPROVALS Permit # p -5 t91/ Date Inspector APPROVALS. Permit# -- • Date • Inspector 1. Temporary Electrical Service or Pole \.•�•., 43. Pool & Equipment Location - - - ° �• ' 2. Soil Pipe-Undrgrn 44. Steel Reinforcement -. - • 3. Electrical Conduit Utility-Undrgrn _ .- _ _ .- 45: Forms - - - -- 4. _ Electrical Conduit-Undrgrn - _ 46. Electrical Bonding • -- - - - 5._ Steel Reinforce - _ . 47. Rough Plumbing & Pressure Test - • - . - - ' 6. Electrical UFER Grn _ _- __-- . 481 APPROVAL COVER-GUNITE - - - ,-• , ..1-, ..• .. -' K I _ 7. Footings_ _ __ ,-_ 49. Electrical Conduit-Undrgrn` . ' .• - ' -8. Foundation - __- . - _ . __ 50.- •Gas Pipe,•D,Undrgrn,Test - 9. Water Pipe-Undrgrn . -_ _ - 51. Backwash Lines, P-Trap.tE.Uridrgrn • - - 10. Structural Floor System - - . - ___- . , K- . • 52. APPROVAL TO DEC ' - .. ' - - _ - , 11. . Property Sewer Line & House Connection - _. 53._ Backwash & Receptor-Final . 12. Street SewerConnection _ " _- -• -. .-• -- - - - 54: Heater& Vent-Final 13. Rough Plumbing- - - _- - - 55.• .Plumbina.Svstem' - Final • 14. Rough Electric-Conduit • - "- -56. -Electrical-Final -- . • - • 15. Rough Electric-Wiring '- - - 57. Solar System-Final . ' • ' . , 16.- Rough Heating & Air Conditioning - - -' 1-2--o-- - -C�1$. Z b8• Fencing &Access.Approval , 17. Ducts, in Structure. - --- - - _ !_- _- . _LS'- _ 59.._.APPROVED FOR PLASTERING:; ".,'. ;1,;- 18. - Ducts, Ventilating - •- . - - - - _. _ _ - . . -t.• . ___ •� _. _ . 19. Gas'Pipe=Rough &Test - ' . , - _ - .._60. POOL/SPA SYSTEMS FINAL - - ,. ° 20;- Roof Framing _ -- . - - - ,- . . - ._ - -. _ _. - -. - ' . ' 21. Roof Sheathing r - - -- - -- - -- - - - ... 22: Frame and Flashing - I NOTES:_ • ' - - •, • . ' 23. - Insulation - • - •- Q'"'a ,eTCt.S/AgA91/ lvBTG�D�IP��TF SFT - .- 24. Lathing & Siding - - - - -- - ' _ . D -r,P_. '-ae-Al6CkE.ed i(7�- , 25. Drywall Nailing - • . - _ - _ 26. Plaster Brown Coat- - • - -, - - • - - - - - 27. Electrical Power Meter-Final ' . - - - • - ' - ' - ' 28. Final Electric • - --- - - - - - - - - - - -. 29. FinalHeating & Air Conditioning - - �O-1r87 4jpf' - - - - I - 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 • - - - 37. Handicap Regulations - •- - - - - • _ - 38. FINAL STRUCTURE & BUILDING • • � _ - .'' __ __ _ - - - 39. Special Requirements Completed - 40. Electric.Release to Edison , , "' 41. Gas Release to Southern California Gas Co. - • ' - - 1 42. CERTIFICATE OF OCCUPANCY -'\• ,z • - ...` _� --No- Date - -- - . . ti` . - - Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. 51 Dc 5/04/6G 7.00 TL CITY OF COSTA MESA P RMIT-3‘0,43 NO. TRACT NO. 1[ IV p, BLDG.NO.• ' - •'JJ - .G• 1 'CONSTRUCTI (JeY'//{rs�EERMIT 3 0 ,4 �,T4yJC/^ . ' Project Addrass ( � �.�N YPE OF CONSTRUCTION ) - . ' Owner L . : 1 C r G,ty�(A' Phon� - NEW 0 ADD 0 ALTERATION - .,. ;Address - - - -❑ REPAIR 0-CONVERSION ❑DEMOLISH ZONING REGULATIONS , .Arch/Eng: License No. '-❑'OTHER A P 'Addresi -- .. _ DESCRIPTION OF WORK - _ _ _ - " "' I ZONE • IIPLNG. REF. •$• • 1 t Contractor 1711 Slid `. I >O 4.TYPE OF PERMIT . - : - --' BUILDING - - -- U1 DING I - SETBACK C ST. PROPERTY LINE ;Address �Zn� �� �n� ,❑ GRADING 0 FOUNDATION 0 STRUCTURAL- SIDE YARD -y . LICENSED C• T-A OR DECLARAT ON ' - - LL ❑ TENANT ❑'ELECTRICAL/ OPLUMBING MECHANICA SIDE FE . . . - thereby -by affirm that I licensed under p ovislons -f liar corn- 1 l' ' • RIGHT 1 mending with section;;•SO) of DIvisio - 3 of-- he B. • S and' ❑'OTHER - - - - -' - Professions •_Code, an y licens- Is '' f II f r �. i( - + I 'REAR YARD(TO P/L) , License CL �sr t r tti y •' PROJECT•DESCRIPTION' - -- I-- PKC.SPACE-REEL - PROV•IDED Date i- - '•gnature -'A I..iI�.71a_ • -•SQ: FT. • 'l, ' STREET WIDTH PARK FEE $,' ' WORK RS"COMPENSATION DECLARATION • --OCCUPANCY y CONSTRUCTION_TVPE • • :WI hereby affirm that I have a certificate of consent to se'insurelor'a VALUAThON r- ZONE ZONING APPROVED By„._ j I• DATE - 'ificate of Workers' 'Compensation Insurance, or a'certified'-copy - - -. sof(Section 3800, GR . Lab. C.). r rADING'CU..VDS. - ACRES -SPECIAL CONDITIONS: y No. - Company ._.__ .. - _ .. . . - _. _ . - '---___ - -. _. - 1 - - - - _. - „ I. ; CI Certified copy-is hereby furnished. • -- -- - - -- - • REMARKS: • - _ -- -- ❑ Certified copy is filed with the city Building Division. _- y ^ 1 ., I 't... EXEMPTION FROM WORKERS' COMPENSATIONDECLARATION - _ . (Thissection need-not be completed if.the-permit.is.for_one hundred _ - __ ._ _e l_ ._. _ _,. . -_ _ ($100) or less). n _ • _+ ._..'- I certify that in.the.performance.of.the work for which.this permit Is _-. _ - . . _ __. - _ - __ _ -__ ., - _ Issued, I shall not employ any person in any manner so as to-become PLUMBING;, tcs,,, "PLAN-CHECK' '1 ELECTRICAL PLAN CHECK subject to the Workers Compensation Laws•of-California.- -- . BATHTUBS SHOWERS -- •GARAGE - - - : 1 Date I Signature • __ _ _ e ° NOTICE: If after making this declaration, you should become subject;- ',TOILETSpa\ 1 Vac A URINLS ,GENERATOR' 01 KW-1.10-KW, • •. '71 to the Workers' Compensation provisions of the Labor Code,you must • ,TRANSFORM_ER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE.LAVS - 'APPLIANCE -30(50 KW=50+KW, revoked. ------- --'-'-- - _-_ _ _ _ __. _ _ _ _ I •CONSTRUCTION LENDING AGENCY KIT.SINKSDISHWASFIERS IM OTO R$' '0-1 FIP_1-1'0 HP I I hereby affirm that there Is a-construction lending agency for the per- SERVICE SINKS _11' )I,SUMPS -:(INC.SOLAR) -- -30-50•HP=-50-+HP - formance_of the work for which this permit is Issued (Section 3097 -^ -__. . _ -_ _ -. . _ FLOOR _ _. - • Civ. C.)- FLOOR SINKS FLOOR DRAINS 'u IFI%TURES-- '''OUTLETS—SWITCHES' , -, --,- - ;T.-1 .Lendet's -OU7LETS—SWITCHES- Lenders Name, __ _ _ _ -Lentler's Address DRINKING FOUNTAINS -' - 4GA.S'TUBESIGNS "' OWNER BUILDER DECLARATION.-- •--`-•--- •"'" - -"' - INTERCEPTOR$ CLARIFIERS 'POLE'LIGHTS'---'- - - '- - „I' I hereby affirm that I am exempt from the Contractor's License Law for the following ieason'(Section 7031:5 Business-and-Professions Code: - SWIMMING POOL - P TRAP - e _ - - - - y POLES METERED 'SUB -. v Any City_ or county which requires t permit to construct,uance, alter, _ '� Improve, a pili a t f r apy mit ttu fil a signed isealso re WATER SERVICE ALTERATION" PANELS - MAIN' :SOB" Isquires_the pursuant for such permit to file a antra statement that he __ _ 1 __ _ •' " �� I Is licensed pursuant-to mm Co the with provisions of the ofa'Divis License Law "GAS SERV ICE OUTLETS 15ERV ICE'" `-" " ' - --- AMP '- - --, 'hm ess 9 (commencing with Section 7000) of 'Division 3 of the _ _ - -• • '- " # info antl alleged;ons mode) orAnyt he exempt Section 7031.5 the is for the alleged f -permption. Any violationeppli aofn Sect la c lpen by _ _ _ -a - --- " - ot not mor¢ than five prop r t tlollars ($500) _ _ _ _ _ t - - - i ❑ I, as owner of the propeity, or my employees with wages as their SOLAR TANK - •� COLLECTORS- - •i - - - - --•- _- -` " , ISI , - L„ - t sole-compensation,-will do-the.w n.the s uctur is.not intended.. - - - --- - - 'I" 'ISSUE FEE-• -" "-' - — - - - '- - -- f or offered for sale. (Section 7044,. Business and Professions Code: The SOLAR PIPING SYS. • 1 Contractor's License-Law-does not _tdoes sowner-of a property -- -- -- _._ ..,.._� _ ____.. .. _ `gpPLICATIONAPPROV EDBY-'- --- - -'DATE• --• Who builds or improves thereon, and who does such work himself or ISSUE FEE _ • through his-own efor sale. If, vided_that Such,iming or ents.are not Intended or offered for sale. If, however, the building or Improvement MECHANICAL PLAN CHECK e is sold-within one year-of completion,.the owner will purpose burden I of proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU ❑ l;-as-"owner-of •the--propert the exclusively(S 'contracting-with- AND•DUCTI NG "" licensed contractors to construct the project (Section 7044, Business 100,0001+BTU and-Professions ode/The Contractor's-License Law does not apply to 1 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) licnsned pursuant to theContractor's License Law). 100,000+BTU _ "Ai O am exempt under Section • B.& P:C.for this BOILERS BTU • SYSTEM REPAIR ALTERATION • Date- . --- - - Owner _ - _---- - - _ -. - - Ihereby certif .that I have-read t S. pplicati and state that the above, _EXHAUST SYSTEM MULTIPLE Information i ores t. I agree o amply tient all city and county ..EXHAUST �� - ordinances a h tate aw•relatin• • onsV tion,and hereby-authorise. ls� representativ s of y to a • on the abo - mention ..,,,..„,„.,,,a, property_to sp."/ -• !.s•s. 1, Z I LLt• 0. �� Signature Date •�-_ S .�Drivers'License or$ Goldenrod-Assessor •r •r...‘ \•' ;\r. r'SOr - CONSTRUCTION AND PLANNING • - POOL&SPA. APPROVALS Permit# A1-34413 Date Inspector APPROVALS Permit# ,. Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - - . - . - - - _ _ - 2. Soil Pipe_Undrgrn- : ••• "' • - 44. Steel Reinforcement- - -- - 3. Electrical Conduit Utility-Undrgrn• 45:, Forms , -. . - - . ._ _ . _ . ' _ 4. ._ Electrical Conduit.Undrgrn ' •ft, _ _ 46. Electrical Bonding . - - __ . _ - I 5. Steel Reinforce - - 47. Rough Plumbing & Pressure Test' "•' . _ - . - - _ - . . _ 6., Electrical-UFER__Grn _• - - - ' ' 48: APPROVAL TO COVER-GUNITE- .- . •: _. ` 7. Footings • ., 49. Electrical Conduit-Undrqrn - . i - - - • • - ' .__8. Foundation.. ___ . - __ '-_ •- _ _-_ _ . - ' - - - -50., .Ga's Pipe, ❑.UndrgrnjTest • • M1 _ 9.. Water Pipe-Undrgrn_ • - _ 51.- Backwash Lines, P-Trap: ❑ Undrgrn'•• - - ---- -- - - 10. Structural-Floor System . 52.. APPROVAL TO DECK _. - '-- - - - - - - 11.. .-Property Sewer Line & House'Connection ' - , 53. Backwash & Receptor-Final n-. ' • •__12.__Street Sewer Connection _ _ _ . - _ _ 54. Heater & Vent-Final. •• � • 13.- Rough Plumbing 55. Plumbing System_ -Final -- _ - - _ ' ' -- 14. Rough Electric-Conduit -- -- - . -. :-X56.- - Electrical-Final , • . . 15. Rough Electric-Wiring `- - - - -- - - - ' - - - - - - t -.-J - -57. - Solar System-Final_ - - - '' ,' - ' 16. :Rough Heating &-Air-Conditioning - '- __ r_-_ - _ = b8. Fencing &Access.Approval • . - 17: Ducts, in Structure '. .. .. - .' -. -_ - _ •' ' 59. APPROVED FOR PLASTERING • - • , -18:- Ducts, Ventilating _ - ;- - -_ _ . . - _ _ . . . -_ - _-_ _ , 19. Gas Pipe-Rough &'Test • 4• r ,. -.. . . __ "'- __ 60. POOL/SPNSYSTEMS FINAL • • • -, ' - - 20: . _Roof Framing ____ _ - " . -_ - . _ . ' ' : ._I.1 _ ' ' - . . i 21. Roof Sheathing • � i ---!- -. - - - _- _- - _ . - t 22. Frame.and Flashing. _. -.__._ _ _ . ... i _ ; ._ . _- :' NOTES: i_ - . - . , " _ `, • ' . .. ' • 23. Insulation. __ .. - " . _` _ _- �. �_. _ -. .. . -- _ _. - - -. 24. Lathing &Siding _ -. - _L __ .- __ ` ' . - - ... - __ . - .- -25._ Drywall Nailing . _ . _ - - - . . -- , . r - _ .. 26.- Plaster Brown Coat - _ ' '•' • - - __-27. Electrical Power Meter-Final "-- - _ . _ • - _ - _ _ - _ ._ __ _ _ � , • 28'.- Final Electric _ - ' 29. Final Heating-& Air Conditioning .._ L61•1-8t ._ . . _ " . , - - - 301 Final Gas Pipe-Test _. . _ __ - . - - - ' - - , . I 31:- Final Plumbing _ _ - 4- •i _ _ '- .. •' ' 32. Water Service-Final - . . _- _ _ . • '. • ', '°' - • - 33.- Gas Service-Final-. - - • - - - - - - - - .. .. , • 34. Solar Domestic-Finale • • •' e - . - - - • 35. Landscape Sprinkling System - -- - % • • • •• - • - ' 36. Sound Attenuation Si- - _ - - 37. Handicap Regulations - - -.. - •. ` 38. FINAL STRUCTURE & BUILDING ' - - - - - - ' 39. Special,Requirements Completed ' t • • • - _ � , ' 40. Electric Release ,to Edison - . . - -. . , - - --- "' - _ --- - ' 41. Gas Release to Southern California Gas Co. ' •. - - - . 42. CERTIFICATE OF OCCUPANCY - - •• - -•- . - . a -- - No' Date •- , .. o. 3 Applicant to fill In all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PERM T NO. TRACT NO.' LOT NO. BLDG.NO. • - 3692 3_/24/82- 338.65 . TU CONSTRUCTION PERMIT B A94R iotc'- 1•' • 1 .. ,3lp - C Project Address 2615 Elden r)/0 TYPE OF CONSTRUCTION • • Owner Laguna Pacific Financial Phone 7525316 iii5 NEW ❑ ADD 0 ALTERATION • • ' •Address 5160 Campus Drive - - - • ❑ REPAIR -O CONVERSION ❑DEMOLISH - - t Arch/Eng. License No. ❑ OTHER , ZONING OG REGULATIONS , p Roy Ki Ler & Assoc 000404 DESCRIPTION OF WORK A.P.lr 11.361-0'71- 7 ' `b .'Address Coast •ehwaY NB 92663 J-/ - ZONE' - P,? PLNG. REF: te-3i- 188- 1 Convector �' .(4-1:-. t�5 Phone R 2`fe/- TYPE OF PERMIT BUILOIN - '�rrOp ggLl11I�L D't'I yy`� ,�a/ (` .-fin of to SETBACK C/LST. PROPE RTVLINE /�rJ I:..V n Address 1QD IgYne'tss vK. � r-� 0 GRADING. cg) FOUNDATION •-,p STRUCTURAL - SIDEYARD - - jlj_/i -- r - - • LICENSED-CONTRACTOR DECLARATION _ ❑ • TENANT X ELECTRICAL ®PLUMBING -{MECHANICAL .StDE YARD _)�IOtY4 - - - _ _ 1 I hereby affirm that I am licensed under provisions of Charter 9(corn- RIGHT % mencing with -section -7000) of ,Division 3 of- the•-BusinaiY and ❑OTHER General Bui ldi'ng Permit 07- I 4 '- ' Professions Code, and my II nse Is In full force and effect.. ' - 4 , • REAR YARD-(TO P/L) �'S n L_. . PROJECT DESCRIPT ON License Class Lice No. /+n4ZZ5 - 1350 PKG.SPACE REO. 2.5 -PROVIDED. Z.5 , Date • Signature SQ.'FT. 4S� • _ 9 �n ,STREET WIDTH at)''• PARK FEE$1•.'ZZA• 36 WORKERS'COMPENSATION DECLARATION ._ _ - 'OCCUPANCY - NSTRUCTION TVP I hereby affirm that I have a certificate of consent to self-insure-or a c j fj .ZONING APPROVED',BV nKn' w DATE .� 1 Cp eZ, certificate of Workers'•compensation Insurance, or- a certified copy VALUATION �� •�00 irJfaE 9 1 /✓/ / "-reef (Section 3 ) GRADING CU.YDS. - ACRES SPECIAL CONDITIONS: TL• y No. ell%/cf°069 Company AEF��O McSeat _ _ _._ _ , _ _ _ {V " -entified copy is hereby_furnished. - _ - -_-� _- REIM;ittS-� •� y /� re �=rot: �1- r _ . _ . - _ LJ Certified copy is filed with the city Building Division. ttO Fid(-• SMQCL -(IJ- 71^�(�ktCr •�,S1V�'Y I EXEMPTION"FROM-WORKERS"COMPENSATION DECLARATION if/n 1(1-fIIJ I - - - ' =-- ///• -"-' -- - - - - • - ` (This section need not be-completed if the permit is for one hundred t S- ($100) or less). 1 _ _. _. �•.' Ste./ St .,/7. AD - - , I_cerl 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 :PLUMBING '.PLAN CHECK "'-' ' - -ELECTRICAL- • - -PLAN'CHECK • 7- 1 subject.to.the Workers'Compensation Laws of California. - - - - - . UW ELLINb La/AK/Aut.La/AK/Aut. Z Date - Signature • BATHTUBS - _. - SHOWERS SO.FT NOTICE: If after making this declaration, you should become subject TOILETS- ,,.•- 'URINALS - - -!' - - ' GENERATOR 0-1 KW=1-10 KW - - - to the Workers' Compensation provisions of the Labor Code,you must ;TRANSFORMER forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS - -APPLIANCE - 10-50 KW' -50+'KW - - -- ' revoked. . _ - _ . -- - - _ - _ -.. _ CONSTRUCTION LENDING AGENCY 'KIT.SINKS DISHWASHERS t MOTORS - - - 0-1 HP_1-10 HP -' - -' 1 hereby affirm that theye is a construction lending agency for the per- -- �- - - (INC..SOLAR)-___1030 HP_50+ HP - - formence of the work for which this permit Is issued (Section 3097 SERVICE SINKS � ,t, SVMPS Civ. CJ. -' "' - - - ' __r " --- - FLOOR SINKS c e "FLOOR DRAINS'a )•J :t - •FIXTURES`-'-' OUTLETS' -SWITCHES- " - - -' Lender's Name t_I -• Commerce Bank . -• P • • - - , Lender's - • [601 Dove. NB• 92660 DRINKING FOUNTAINS - GAS TUBE SIGNS- `- `- - - OWNER BUILDER DECLARATION - - - - - '- - - IfJTE RC EPTO RS CLARIFIERS POLE LIGHTS --' - '• - - •-• - I herebyaffirm that I am exempt from the Contractor's License Law for , - - , the-f allowing-reason-(Section 7031.5 Business and-Professions-Code: SWIMMING POOL" ' P'TRAP•- ' ' • - +e - t _ LUNDI sous-I ._ •- _ ., : Any city or county which requires a permit to construct, alter, POLES METERED improve;demollsh-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 - - - -- • • ,. is'Iicensed'pursuant to-the'provlslons of the'Contractor's License Law ' GAS SERVICE- - OUTLETS - • SERVICE '- ' - AMP' - - - _ - (Chapter 9 (commencing with Section 7000) of Division 3 of the P--'ness-and-Professions-Code) or that he Is exempt therefrom and-the WATER HEATERS ' BTU OUTPUT - • - - - _ - for the alleged exemption. Any violation of Section 7031.5 by ' ' ' ' _ ^ ' applicant for-a-permit 'subjects-the applicant to a-civil penalty SEWER'CONNECTIONS - - . . - - '- - -- - - - - G. not more than live hundred dollars ($500). - ❑'l, as owner of the Oroperty,or my employees with wades as their SOLAR TANK' - - COLLECTORS - ' '- - - ' ` ' -' !- -- sole..compensation, will do the work,and the structure is not Intended _ _ _ _ or offered for sale. (Section 7044, Business and Professions Code: The- SOLAR PIPING SYS. � - i ISSUE FEE' - Contractor's License-Law does_nol.apply to an owner of a property, . - ' _ - __ _ - APPLICATION APPROVED - DATE,' , '� who builds or Improves thereon, and who does such work himself or ISSUE FEE A TE` through_his.own employees,.provided that such improvements are not _ _ __ _ ice/+ _ _ _ Intended or Offered for sale. If, however, the building or improvement MECHANICAL PLAN CHECK SUMMARY OF FEES 1 , - ipqs((sold_within_one year of Completion„the owner will.have the burden .' - o proving he did not build or improve for the purpose of sale). HEATING SYSTEM 0-100,000 BTU I BUILDING - o property, exclusively- gPERMIT E y' •SMIP E• I, as- •owner.- 1 the am contracting- with- AND DUCTING -• - - '-' -- ' -' - 'sensed contractors to construct the project (Section 7044, Business 100,000 +BTU PLAN CHECK E PERMIT • - '- I' and Professions Code:-The Contractor's License Law does not apply to -- -- - -- .ISSUANCE-E. • an owner of property who builds or Improves thereon, and who con- REFRIGERATION 0-100,000 BTU _ ! PLUMBING T$ `' tracts-from-such projects-with a contractor(s111cesned pursuant--to -SYSTEM - -- -- - '-- - • - - - - - GRADING°E the Contractor's License Law). 100,000+BTU PLAN CHECK E • - , ❑'I am exempt under Section B.& P.C.for'this • BOILERS BTU ' • .ELECTRICAL $ - - $ ._ _ .. MICROFILM $ ' ' Date. Owner SYSTEM REPAIR,ALTERATION - PLAN'CHECK $ ' • I ' I TOTAL'FEE$ I hereby ter ' ha_ve read_this application and state that the above _EXHAUST SYSTEM MULTIPLE r ,MECHANICAL.$ • LESS AD- Informatja is corr:cl: I'agree' to comply With all city-and county- - , PLAN CHECK- $ VANCE PC ' $-_ -' Ordinaptes a • stat• laws relati • to constru • • and hereby authorize IIFr” [ repies-enta es -this city dose'r ••• the above ntlonetl pr yerlY f•/�iis• [Ion .r... _ ///rt1e i �.{ i 9 Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING p • - , . • • POOL•&SPA - • - - - APPROVALS Permit # 1�� - Date Inspector APPROVALS . . Permit# Date' Inspector 1. Temporary Electrical_Service or Pole -- 43. Pool & Equipment Location - - 2. Soil Pipe-Undrgrn_ ' _ _ 44. Steel Reinforcement - - • 3.. Electrical Conduit Utility Undrgrn : _ _ 45. Forms ,_4. . Electrical Conduit-Undrgrn _ _ • 46. Electrical.Bonding - - . - • 5. Steel Reinforce _- 47. Rough Numbing & Pressure Test- - - - ,. .6. Electrical UFER Grn - 48. APPROVAL TO COVER-GUNITE - - - -- - - • - - 7. _ Footings _ _ _ ' D5 /4,_kL 49. Electrical Conduit-Undrgrn •• - . 8. Foundation , - - I.. +SpA (tea/- It elb 50. Gas Pipe, 0 Undrgrn,Test • ' • 0 i 9. ..Water Pipe;Undrgrn_ _ _ _ _ - : 51. Backwash Lines. R-Trap. ' Undrgrn - -' 10. Structural Floor System,. . . - 52. APPROVAL TO DECK "_ • "-" " - ' •-- .- ` , 11.. Property Sewer.Line & House Connection . 53. . Backwash & Receptor-Final - - - ?.;i tj stiej Sfwecklar9O5tigni _ '_. _ ' - 54. - Heater & Vent-Final . • 13. Rough Plumbing . _- _ - . - -- , ` - - 55. Plumbin&System =Final - - - ' 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 • , - - 59. APPROVED FOR PLASTERING 18. Ducts, Ventilating - - _ - ' 19. Gas Pipe-Rough &Test - 60. POOL/SPA SYSTEMS FINAL •, 20. Roof Framing - . 21. Roof Sheathing -a(o--?& 7 5 -- • 22. Frame and Flashing - _ / (; _ ' NOTES: _ - . 23. Insulation - t0 3�D 1DS ., -' . - •D1t 3/44.e ) _s rn!'%.co f/PF -No PER/241r 24. Lathing & Siding - - (Jr t3t,.Qc. Z 2- -- - - - - - - - - 8'` t{-.7.Z ' 25. Drywall Nailing . - (0-Atilt .) � -_ - - " 261 - Plaster Brown Coat _ - . - - _ .. - I- 27. Electrical Power Meter-Final - - _ _ .. _ . .. 28. Final Electric - - - - - - - - _ 29.-- Final Heating & Air Conditioning - - - ' - . ; : 30. Final Gas Pipe-Test - - - 31. Final Plumbing . - - - N., 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 • j.i. Q .91- .)::,S • _ ' 39. Special Requirements Completed !^4.5-ss ,pfd/GSA - , , 40. Electric Release to Edison t - - . - ' 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. d1TY'OF COSTA.MgSA • - PE MIT N -TRACT NO: -LOT NO. BLDG.NO: ' - - - - - - .- - '-. -- - -- CONSTRUCTION PERMIT 367 S �'6, I• 549_5 5/05/82 33. 14 TU Project Address oZrPi ���Jg _ nye 'TV�E OF CONSTRUCTION • - - _ _ ._. - • - ?' Owner 4.736.1/Am- gal p/c Phone 7$1.63* DC NEW ' 0 ADD '❑.ALTERATION ' 1-US- t _ -- _ _ _ -• � 'Address - - - - -- - - •• - - ' ^- - - -!-0 REPAIR .❑.CONVERSION ❑DEMOLISH- I i _ _ . _ t ZONING REGULATIONS I ' 1 Arch/Eng.-- - - - - -' - --License No.--- - - - - -.❑-OT.HER.. Address`- - - - DESC_RIPTI.ON_ OF WORK - - _ •- - AP.. +-- �•. - _ _ _ _ ..,.:.n:. _ ... (ZONEPL'NG'REF. r "-Contractor r,Mgig%Li;a N F pipet jcPhonen7_ 37/. TYPE,OF PERMIT„ -- _ "7 SETEBACK C/I ST. PR OPE RTY•LINE Addreis n3;9-/C/%KRAE:NF,t UNlTIC :"A-N4 ❑ GRADING ❑' FOUNDATION” 0-STRUCTURAL -- ' !LEFT YARD - --- ' - -.--; r • - .- ) LICENSED CONTRACTOR DECLARATION- �' -'- - -' ❑ TEIVANT-XLECTRICAL- ❑PLUMBING-❑MECHANICAL RIGHTARD - ---- -- -- - - - - Il hereby affirm that I am licensed Loder provisions of Charter 9 (corn- .� • R mencing with-section 7000) -of Division 3 of- the• -Business-"ant - 0 OTHER - - ---- - __ . .. _. __ _ _ _ :Professions Code, .and my license is In full force and effect., 1 i rREAR YARD(TO P/L) - .. r - — . _,[O _ . LaPROJECT_DESCRIPTION . ._ .. __ _ _ License CI 55 Lic se N -I . - i PKG.SPACE REQ. "-P,ROV:DED_ n Date SSi9nature VALU ,- -- - -_--� _. _ (WORK RS•COMPENSATION.DECLARA ON-- - ISQ FT,ANCV_I� CONSTRUCTION TYPE_ _ •STREET WIDTH , ., PARK FEE Sr , OCCUP I hereby affirm that I have a certificate of consent to self-insure or a, • r ATION - ZONE I !ZONING APPROVED BV certificate-of Workers' Compens ion Ins r ce; or a certified copy - --- - - - . - -. -. . .-. _ _ _ ,- .-,- - _ _ 1 thereof(Section 38,Q0, Lab C�-�/�'t ^'� `GRADINGiCU.YDS. • ' ! • ACRES 'SPECIAL CONDITIONS:- .Y No. -/H•O-//APSA C6 mpanY - trio' ( r.-4+-t _ _ _ - _ ._ - _ _ ._ . . __ .- . _ •7'.' "ertifietl I ^`,' - :" - 1 "ertified copy Is filed with the city Building Divi on. (,�a i •._li , % J • ,� "a.1 , EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - ? _ ' >," -. '-. - ^', --' -, - -: - Y-. - - - - ----- - - - - ( cer0)f or les.)R theperformance oif.the permit Is for one hundred -. t y_ :•.i) n issued, shall not employ any eerr m:, - - c - - _ ..�. - - - - - _•-- Tues , I shall ll neednhot be completed nthe an k manner which asito be ome a PLUMBING-s i•_- "" "v, I"" -;ELECTRICAL--7.� sr-j—PLAN CHECK (This($10or less). Py . _ c, (. PLAN'CFIECK'"_ __- _. - - _� 1 subject-to.the.Workers.Compensation Laws of_California. "::' __ __ _ -- LiwtLLINO L (/ Date Signature BATHTUBS SHOWERS - ISD FT. - I, - ��PT 1 NOTICE: If after making this declaration, you should become;subject ' ;TOILETS: }r j• -URINALS- •-""'- "-- •GENERATOR -".1'110-KW- to the Workers' Compensation provisions of the Labor Code,you must' TRANSFORMER - :j ❑. ,forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE-CAVS-- -' -- • - - '}'APPLIANCE- - -10-50-KW- -50-+-KW--- -- - - -- - J, ._.�. — „- --_ !CONSTRUCTION LENDING AGENCY KIT.SINKS'- - 'DISHWASHERS -- -' '(MOTOR$- - - 0-1'FIP_3'-30'HP •- - ^'-- ' - -'{ 1 hereby affirm that there is a construction lending agency for the per- SERVICE SINKS -- ��'”SUMPS -- `—".. -. - -(INC,SOLAR),.. 10-50 HP -- 50.--1-1-1P- . - - __ _ - _- iformance of the work for which this permit is issued (Section 3097 - -- ' - ._ _ _ .. .-y FLOOR SINKS FLOOR DRAINS_ "( --- ` -' -FIXTURES '-"'OUTL'ETS' --SWITCHES"" _ . • i Lender's Name _ DRINKINGFOONTAINS---• -" ""- - '�- "- - GAS TUBE SIGNS' --- '----- - - -- -- - '� r :Lender's Address OWNER'BVILDER DECLARATION' - ' --- _ - "' INTERCEPTORS--- - ! CLARIFIERS-- " _f I hereby affirm that I am exempt from the Contractor's License Law for , . .. �, .n I the-following reason (Section-7031t5 Business and-Professions-Code:- -'SWIMMING POOL ""-P TRAP -- - _ - - - Any city or county which requires a permit to construct, alter, 'POLES METERED SUB _ _ • - Improve, demolish or repair'any structure, prior'to its issuanceralso re- -WATER SERVICE - ALTERATION '---- '• - -- _ _ PANELS-'"'/^ MAIN -—- SUB- - -- - ' --'-- - quires the api.licant for such permit to file a signed statement that he •- • -- -• li licensetl"pursuaht'to the-provisions-of-the-Contractor's-License•Law' - - - - - --- - -.-- --- 7`. •.s i 4SERV ICE'- ' '- - --- -' AMP --- -- • (Chapter 9 (commencing with Section 7000) of Division 3 of the GAS SERVICE OVTLETS -OZ� Business-and•Professions Code) or'that-he is exempt-therefrom and-the- _ - b>^s for the alleged exemption. Any violation of Section 7031.5 by - - ---^- c - -^ applicant-for -a-permit-subjects-the applicant-to-a civil-penalty -SEWER rt more than five hundred dollars ($500). r ." a • 4 ____ . IL- os pen ar on the pio perry, or my d the. improle, is notde:intended _ _ __ _ __ _ ..-.." "•- or offered for sale. (Section 7044, Business and Professions Code:The SOLAR PIPING SVS. !, - - ( ' -ISSII E'FEE - - -- - "^ - - 'Contrauilds _License Law dre5-n o l_ap p ly-to. sucher of a property, - _ " - _ - _______-;l__, _ _ _ _ 3 who builds or improves thereon, and who does work himself or ISSUE FEE I, - '"- '(APPLICATION APPROVED BV--- - - - --•"-•DATE ••--. - through-his-own-employees,.provided that such.improvements are not, _ _ "' intended or offered for sale. If, however,the building or improvement .I. .. SUMMARY OFI FEES - n- is:soltl_within one year.of completion, the owner will have the burden MECHANICAL PLAN CHECKU '� - • of proving he did not build or improve for the purpose of sale).- ,BUILDING------�- - HEATING SYSTEM 0-100,000 BTU PERMIT $ •rSMIP,�>', ' EI•1-as-owner-of the property;am- exclusively-contracting with • ^qND MI --= --- licensed contractors to construct the project (Section 7044, Business 100,000+BTU ,PLAN CHECK $ ,-PERMIT- ' I :dr. ,c, and-ProfessionsownerCode: The Contractor's License Law does-not apply-to . . -. _ -___ _ .... _ 'ISSUANCE- t an owner of property who builds or improves thereon, and who con- REFRIGERATION 0100,000 BTU PLUMBING $ ' tractsfrom such projects -with a•contractor(s) licezned-pursuant-to- -SYSTEM-- -- - -- - �•-- -- --- - -- - � - _. _ _GRADING theheContractor's License Law). 500,000+BTU f PLAN CHECK ;$"' 1*•_;`l,: r' ; >t:: ❑ I am exempt under Section —'B:&'P.-C:for this BOILERS BT `ELECTRICAL $ •/ $ I - .._ _. _ _ _. - _ . 1.1.'•, n. --•f 'MICROFILM$ -L• I I SYSTEM REPAIR,ALTERATION I - - - , ITh Date - -- --- -- Owner •- - - _ 1 -•--1,:•"13 TOTA'LFEE$1 '- ,I.hereby cerlify,thal,l have read this application and state that the above EXHAUST SYSTEM MULTIPLE ' . _ 6--gq,.,, --- - LESS AD- 'r'a Information Is correct. I-agree to comply with all city and county - -PLAN-CHECK--$ - ' - VANCE'. $ -' -- I ordinances antl stale laws relating to construction,and hereby authorize I' 1 s"� f F1 -- • �• 1 '_ -. (�// i -pro representatives flues" of this cry to enter upon the above mentioned ' '1 , 33•/ r property for_: p' Ion urp s. _ _ _ Y __ Signature G DateY j�s7 - , FINAL FEE $ Drivers' Licenseor SSf - - ISSUE FEE --- --- - - - - - _ _. • CMF 0865-46 White-Building;Canary-Applicant; Pink-Accounting;Goldenrod-Assessor . CONSTRUCTION AND PLANNING` POOL&SPAS •' C-3({L Date Inspectot - Date Inspector ' APPROVALS Permit APPROVALS Permit# - _ 1. Temporary Electrical Service or Pole 43., Pool & Equipment Location= -- --- - . ,__2.. .. Soil Pipe-Undrgrn i • ^ _ „__ , _ 44. Steel Reinforcemenf- - - - -- - -- 3. . Electrical Conduit.Utility-.Undrgrn_ . . �. __ . 45. Forms• - - - . :. _ 4. .Electrical ConduitUndrgrn _ _ _. .46. . Electrical.Bonding -- - - _ -- _ . -- - - 5__ Steel Reinforce . .__6, __ _ _ -, • - -__, •r 47. Rough Plumbing& Pressure Test - - _ ..Electrical_UFER.Grn- _ ; _ 48. APPROVAL TO COVER-GUNITE N 7. . Footings _____ __ - _ 49. Electrical Conduit-Undrgrn , + • - • - • i . -8. Foundation.. ..e. _-__. ._.__... ' - _ 50.. •Gas Pipe,.0,Undrgrn,Test ' - - '. • ' - 9.-Water Pipe-Undrgrn_. _ __. _ _ _-- . ' 51.- Backwash Lines, P-Trap, D'Undrern 1 •- - ' 10.. .Structurai.Floor System . . . __ -- _ . . 52. APPROVAL TO DECK 11. Property sewer.Line.&.House Connection _ _ _ . - _ 53. Backwash& Receptor-Final a '_ 12... Street Sewer Connection_ '".'. _: ' -1 ' ''''.-• -- - -- -- 54. Heater &Vent-Final- - 13. . Rough.Plumbing. __ .. _ _ _ -._. . .. . - - - - - ' 55.• Plumbing System'- Final - - --` 14. Rough Electric-Conduit - - - --- .56:• Electrical-Final - ' 15. Rough Electric-Wiring _ to -erel- - -c-C - 57.- Solar-System-Final , . "' • _ - 16.-- Rough Heating &'Air-conditioning - • - - - = -, - -- - - - - _ b5 Fencing & Access Approval . 17: Ducts, in Structure - . - - -- ._ .; . - _ _. 59. APPROVED FOR PLASTERING . _ --18! Ducts, Ventilating- - - - - _ _ _ ...- _- _ - ' 19. Gas Pipe=Rough-&Test - - _ - : 60.. POOL/SPA SYSTEMS FINAL • ' " • - ,; ' '/ 20. Roof=Framing __-.7_ - __._ -- ._ .. ,, 21. Roof.Sheathing. _ - -c.. .r •., h 22. Frame and Flashing - - --- • - - - - - - _ . _ NOTES:• :: - - , 23. Insulation =-' ' - - - _ - _ . _ _ . . 24. -Lathing &Siding - - - -- - -- . - - -- -. . - - - - - . • 25'. Drywall Nailing - - -- - - - - ! __ - . . : 26. Plaster Brown-Coat - -' - - - -- . • - L_ _ - .. 27. Elecitical Power Meter-Final �) C A` , 1 28. FinaLElectric - - - -- -- --- ..-. _ . _ - -- _ - - I- 29. - Final,Heating & Air Conditioning ---- - - ' . -- - - -i--- - ,.• : 30: Final Gas-Pipe-Test - -- - - . . . . - - - - • , . , 31. FinaltPlumbing - . . -_ + - - __ ' ' - 32: -Water Service-Final - - .- _ - - . __ ._ : _ ' ' ' - " . - .' - . ,; • 33. Gas Service-Final - _ _ - - -- - - . - . . 1 - ' • 34. Solar Domestic-Final ' ' ''1' - - ' - . ' ... .. , 35. Landscape Sprinkling System - - , - - - - • •- • • • • • ' -. r 36. Sound Attenuation - - - -- - - ' 37. Handicap Regulations - • f.• • i .. • • ' - „ , ` 38. FINAL STRUCTURE & BUI LDI NG " _ ,_- - - '` I 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 fill in all spaces within heavy border lines and sign all appropriate declarations. 'CITY OF COSTA MESA �IT NO. �� TRACT NO. LOT NO. BL G.1IO. - - - :CONSTRUCTION PERMIT 3 N/ • • • 4434 4/09/82 5.00 TL: Project Address/ ,,-- a� � �.t/ TYPE OF CONSTRUCTION • - .OwnerSZ ci.q,c r- Dv. Phone l-3-3// al NEW 0 ADD 0 ALTERATION -AddreA,(JE 00,b,itr- .46,0:41A-hi - 0 REPAIR 0 CONVERSION ❑DEMOLISH ���!///���--- - Arch/Eng. ' - - -- License No. 0 OTHER A.P. ZONING REGULATIONS DESCRIPTION OF WORK Address- "' - ' • - -- , ZONE 'PLNG. REF. gF , - ,Contractor ,.-' ' 7.0,43-_,) .tea,6 Phone 0-2G a TYPE OF PERMIT - BUILDING pp ett�1I��ppI NC „ _ ' 1 SETBACK C/L ST. ROPERTY LINE 'Address - -' • - 0 GRADING ❑ FOUNDATIONI � 0 STRUCTURAL SIDE YARD - -- s , . LICENSED-CONTRACTOR DECLARATION 0 TENANT- 0 ELECTRICAL yrPLUMBING OMECHANIC IDE YARD I hereby affirm that I am licensed under provisions of Charter 9(som- RIGHT - -- mencing-with section 7000)-of Division 3 -of the-Business -and- -❑OTHER REAR YARD(TO P/L) f 1 Professions Cod), a d my license Is in full force and effect. PR OJECTDE$CRIPTION r _ License Class Licari No ? - yd 'PKC:SPACE REO. ""PROVIDED Date y-9"-:�'-- -Signature Ca--a /.1>'_._ -SO.FT. - -� - _ -- _ STREET WIDTH . - PARK.FEE 5. -, WORKERS'COMPENSATION DELL-RATION OCCUPANCV_CONSTRUCTION TYPE �� ZONING-APPROVED BY - - DATE I hereby affirm that I have a certificate of consent to self-Insure or a VA_ LUATION • - ZONE i• - • Y'- - - = - - - 1 certificate of Workers'-Compensation Insurance, or a certified copy - - - - -- _ .- -- - SPECIAL CONDITIONS:- - thereof(Se tion 3600p,Lab. C.). ,' GRADING CU.UOS. ACRES ,!•yy No P- /100 . _. Compan• y 2E1tS/Tfi/ .. A/A./ _ _ — J. -_ — '- _' _ _. -- , - _ , i""'ertifie0-copy.is hereby furnished.. .-__ .__ _ _ �- .1 -REMARKS:. _ _-_ j,- _ ___ _ _ __ _ _ __ _ _ __ _ -'• - u''Certified copy Is filed with the city Building Division. - • - - - -T EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - - - --------•4 - ----- - - - ' • " ' (Thissectton need_noL ba completetl if_the,permit Is for one hundred -• - I ' -u„ . -. d-,• H � . j ($100) or less). 4 ._ ,, ,1 _ _ -_ _ _. - _ _ -• _ - _-. _ . _ I_certlfy_that in the performance of the,work for which this permit Is - I' Issued, I shall not employ any person in any manner so'as to become "PLUMBING c :n - ,,PIAN CHECK subject.to the Workers'Compensation Laws.of California. 2,-.L_ •UW tLLl rv6_ ( HHfat Date s Signature I —BATHTUBS"- -' SHOWERS '- -- - - ' e - -'- •aH ., - --- - NOTICE: If after making this declaration, you should become'subject ,—TOILETS,., , 1„In ,1-;URINALS - - -GENERATOR - -0-1-KW_1-10 KW to the Workers' Compensation provisions of 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 revCONSTRUCTION tl.. CT _ L — _ __ .- _ - -- KIT.SINKS-- - - DISHWASHERS-- - • •MOTORS---. -- 0-1 HP 1-10 HP CONSTRUCTION LENDING AGENCY , I hereby affirm that there is a construction tending agency for the per- SERVICE SINKS - . 1 SUMPS- -- - UNC.SOLAR)._ 10-50 HP 50-+ HP formance of the_work for which this permit is issued (Section 3097 • Civ. C:)T - -' FLOOR SINKS -- - FCOO R'D RAINS FIXTURES .OUTLETS --SWITCHES Lender's Name /17 F ' FK - Lender's Address i � 1f ST .dFL�✓dC-T C. DRINKING FOUNTAINS- - - - - - GAS TUBE SIGNS ---. - _ -- OWNER BUILDERDECLARATION - ----- - - - ---' - • "INTERCEPTORS - '-"CL-ARIFIERS-' POLE LIGHTS --- - -- -- - - ' I hereby affirm that I am exempt from the Contractor's License Law for 1 the-following reason-(Section 7031.5 Business and-Professions-Code: SWIMMING-POOL -- -P TRAP • - - - - - •` _ Any city or county which requires a permit to construct, alter, POLES METERED "SUB ' Improve,-demolish or repalr'any structure, prior-to its Issuance,also re- WATER SERVICE - - ALTERATION • PANELS- - - -MAINSVB .- - quires the api_licant 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 - -- - - - -- 4-'AMP•L_ . _ - .: I (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 • - - - - . - - • . -- -.- ' a for the alleged exemption. Any violation of Section 7031.5 by _ - - ' applicant for a -permit subjects-the applicant to a civil penalty SEWER CONNECTIONS - at more than five hundred dollars ($500). • I-1 1, as owner of the prooerly,or my employees with wages as their' 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 -SOLAR PIPING SYS. -- - - - ISSUE FEE - -- - - - - - - ._.• t Contractor's.License Law does not apply to an owner of a.property APPLICATION APPROVED BY...- _ DATE who builds or improves thereon, and who does such work himself or - ISSUE FEE '1,j through his Own employees, provided that such improvements are not - I • Intended or offered for sale. If, however,thebuilding or linprovement - MECHANICAL PLAN CHECK SUMMA RV OF-FEES - - Is sold within,ono year of completion, the owner will have the burden 1 of proving he did not build or Improve for the'purpose of-sale). HEATING SYSTEM 0-100,000 BTU BUILDING _ -. _- PERMIT $ _ , .SMTP, , $ ❑ 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 _ d ISSUANCE $ an owner of property who builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU .PLUMBING $ 47 0 - - - tracts--from such projects with a contractor(s).-Iicesned. pursuant to -SYSTEM - ' GRADING -$ ' ` the Contractor's License Law). 100,000,+BTU PLAN CHECK- $ - . - -- _ - ' -- • ❑ ram exempt under Section - - - B.3-P.C.for this BOILERS BTU •ELECTRICAL- $ - - - - - $ - • ' reason- • ., - - - - - - - - PLAN' CHECK--E -• MICROFILM:S " , SYSTEM REPAIR,ALTERATION - ---_ ---' - Date Owner YMECHANICAL $, - I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE • TOTAL FEE E ,1;.LESS AD- + information is correct.'I agree to comply with'all -city and county' PLAN CHECK -$ - -- VANCE PC $_ - - --- , ordinances and state laws relating to construction,and hereby authorize ', Ell , representat f-this -city 't0-enter upon- the above mentionedti - -- -- • .rr Sienapropt Pink-Accounting:Goldenrod-Assessor -ot• CONSTRUCTION.AND�RLANNING,i z �t 1r� POOL&SPA • - '. APPROVALS Permit # V323 I Date Inspector APPROVALS '- Permit# Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Ldcation - - '- - . 2. . SoiLPipe-Undrgrn. - 44. Steel Reinforcement - - - -.- _ -. - 3. Electrical Conduit Utility-Undrgrn45. Forms 4. Electrical Conduit-Undrgrn - 46. Electrical Bonding. , • 5. _5teel_Remforce . . 47. Rough Plumbing& Pressure Test - - - - 6. Electrical UFER Gm 48. APPROVAL TO COVER-GUN ITE • - - 7. Footings. . . - 49. Electrical Conduit-Undrgrn 8. Foundation • - _ - . ' ;. 50. Gas Pipe, 0 Undrgrn,Test • -9. Water Pipe-Undrgrn- - .• -- 51. Backwash Lines, P-Trap. ❑Undrgrn - -- ' - 10. Structural Floor System _- . 52. APPROVAL TO DECK - ' .--- --- 11. Property Sewer Line & House Connection 9-J,Y-02- ,./PC 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- - 58. Fencing&Access Approval 17. Ducts, in Structure59. APPROVED FOR PLASTERING 18. Ducts, Ventilating • - _ 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing - - - 21. Roof Sheathing. - - - •- • 22. Frame and Flashing - NOTES: 23. Insulation - - " •• . - 24. Lathing & Siding - -- - - - - - - • 25. Drywall Nailing - - - 26. Plaster Brown Coat • • 27. Electrical Power Meter-Final - - - _ • 28. Final Electric , 29. Final Heating& Air Conditioning - - - 30. Final Gas Pipe-Test - - ' - - - 31. " Final Plumbing - - - - ' - 32. Water Service-Final • • -- • -_. - - . - - .. 33. Gas Service-Final- - - - - 34. Solar Domestic-Final ' - • 35. Landscape Sprinkling System - - • 36. Sound Attenuation - - 37. Handicap Regulations - - . 38. 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 • ._ • - - . _ - - - v • Applicant to fill in all spaces within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA - PERMIjNOO. TRACT NO. LOT NO.' B G..'N_o� - 4433.- 4/0 •9/82 •, '5.00 TL CONSTRUCTION PERMIT PF/�J( S Project Address a/j c./-2,(9EsLJ w� - TYPE OF CONSTRUCTION • - nj OwnerS'�� C°O�S'T- ,e,I.,/ Phone 75-2-.5-7/4$ NEW 0 ADD El ALTERATIONhi - -. (AmAddress- -- -- - - ❑ REPAIR ❑ N .DEMOLISH- -- ZONING REGULATIONS- -,•1 ' !Arch/Eng.- - _ -., - , ,_License.No. ❑ OTHER '• ' ' ; _ - • .- - - r ,Address - -- - DESCRIPTION OF WORK - - . • ZONE I Contractor( cey�,�-._=/nC,OS -- PhoneS;3o-2&2' TYPE OF PERMIT:•-." . "-' - -. - ,BUILDING - • - - - TToo ggII�i1LDING 1 • , S SETBACK C/1.,ST. PROPERTY LINE .- Address - - -- - - - -O GRADING' ,D FOUNDATION -❑ STRUCTURAL 'LEES_ ARD - - - - LICENSED .CONTRACTOR.DECLARATION 0 TENANT O-ELECTRICAL.,PLUMBING ❑MECHANICAL/ SIDE YARD - -- - -• - - - - . . . I hereby affirm that I am licensed under provisions of Charter 9.(com- - - ' , ,RIGHT mencing with section -7000) of 'Division-3 of -the Business and ❑ OTHER REAR YARD(TO P/L) . _ - • Professions Cod 'and my license is in full force and effect. PROJECT•D ESCRIPTION _ _ __ • -- - LicenseClass �^ - { Lice "N .2'7�7�4 - - ,PKG'.'SPACE REQ. -- " PROVIDED- "- , Date-1 9-£rte+' Signatur • - ��ei. .�• SO'FT T. • .- - , - _ - __- WORKERS'COMPENSATION DELL RATION r- I.OCCUPANCY: CONSTRUCTION TYPE • -STAPPROVED - PARK FEE $:_ 1 hereby affirm that I have a certificate of consent to self-Insure or a VALUATION ZONE - ( y _, ZONING• APPROVED BY 1 'I' - 'certificate-of Workers'-Compensation Insurance, or a-certified copy -. _- . . _ _ -.. thereof (Section 3800, Lab.C.). I GRADING CU.:YDS. ACRES. .` -• --� ' C ,SPECIA'L CONDITIONS:- , Pollcy'No.- --- - - - -Company __ , - -. . _ - -.._ --.. - _ _ .._ _ _ - - . - -., _ . •,. - . . - , ❑ Certified copy is.herebylurnlsheh._ _ - - - -_ . REMARKS:.' �_ ,f s.�'o _ _ _ ❑ Certilletl copy is filed with Ehecity Building Division. - - ___• ' EXEMPTION'FROM'WORKERS' COMPENSATION-DECLARATION - f - -- - t - - 1 - - --• -- - (This section need not be completedthe_permit is for one_ hundred r . r^'' if ($100) or less). ' I ' _ . i..._ • . - • • - , . . _ _ .. .. __ _ _�_- _. - -... .__ _- _ _ -_--. _• _ _ _. - , I certify that In the,performance of the work for which this permit I5pCAN CHECK • ELECTRICAL -' - PLAN CHECK Issued, I shall not"employ any person In any manner so'as toybecome PLUMBING, r: -- 'i '-- - -- ^' -- ' subject to the Workers'_Compensation_Laws of_California. .:.," _ - uwtLLlrvO __ taA HA6t Date I Signature I • BATHTUBS-'- --" ---SHOWERS- "-' - - SG.FT Sri FT - - ! NOTICE: If after making this tlecIaration, you should become/subject '♦TOILETS. . -URINALS'--- # -- - .GENERATOR - 0-1'KW_1-10 KW - to the Workers' Compensation provisions of the Labor Code,you must TRANSFORMER - �. i forthwith comply with such provisions Or this permit Shall be deemed LAVATORIES DOUBLE LAYS -; -- - APPLIANCE - 10-50 KW=50+ KW - - revoked, __ CONSTRUCTION LENDING AGENCY KIT:SINKS' -- DISHWASHERS '- '• -'- -' -M0T0RS -- 0-1-HP -1--10 HP - - - - •- ' -I I hereby affirm that there is a construction lending agency for the per- SERVICE SINKS , y, 'SUMPS --- - - - ..(INC.SOLAR). - 10-50.HP_50+.HP - -•• Ai - t formance of thew k for which this permit is issued Section 3097 - Civ: C.): ^- - '- ..< - - - FLOOR SINKS --FLOOR DRAINS- - -'•t ^ - - FIXTURES - OUTLETS -SWITCHES - - - - --1 Lender's Nam¢7 "^L"•'«� ���`•�^ s Lender's Address/-"0" -n91/4-Sr -.(JElv104.7-- J DRINKING"FOUNTAINS' "',i' •i' - - ',G A54UBE SIGNS - - - - -- - -- - - � • I OWNER BUILDER Dam exempt ON•- - - - -- - - -' - INTERCEPTORS -"- '-CLARIFIERS- - - -' -- -IPOLE'L'IGHTS - -------- - • • : - - I hereby affirm chat am exempt Bu mess ttgr's License Law for - - the following- 7031.5reason-(Section- •Business and Professions Code:- SWIMMING'POOL'- "- P TRAP ---- --f • LOINS.HUL1 ION _ _ -! Any city or county which requires a permit to construct, alter, , POLES METERED-- SOB - Improve,demolish or repair any structure,- a Signe its-issuance,also re-• -WATER SERVICE •- --ALTERATION' ---- ,� ' 'PANELS " - --' MAIN-- • -SUB - 1 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 -- - (Chapter 9 (commencing with Section 7000) of Division 3 of the _ usiness and Professions Code) or that-he-is exempt therefrom and the - WATER HEATERS - BTU OUTPUT---' --- - - --- -- - - -- - .1 basis for the alleged exemption. Any violation of Section 7031.5 by -; - - - _ Ofnot morel for-a permit-subjects the applicant-lo-a civil-penalty SEW ER CONNECTIONS - - -- - - - '- 9e7 '-"-- -- -- - - - - - 1 Of not than five hundred dollars ($500). - - El l', as'owner of-the'property;or'my employees with wages-as-their SOLAR-TANK -- - - -COLLECTORS- '- •1 - ' 1- - -- -- -- - - - - -- -� -,�� . . . -r solecompensation,_will do the work, and the structure is not intended 1 or offered for sale, (Section 7044, Business and Professions Code: The- '-SOLAR'PIPING-SVSr ' - - - - - - "- r 'ISSUE-FEE- --• - -' - - - -- •-- -'I Contractor's License Law does not apply to an owner of a property -,APPLICATION-APPROVED ED BY -• - - - - --DA E--builds or improves es,the-re-on, and who does such Work eme himself or' - ISSU E'FEE- - - - --- "- - "'yo • through his own employees, provided that such improvements are not - _ _ 1 Intended or offered for sale. If, However, the-building-or Improvement' MECHANICAL PLAN CHECK - I ' - 7 - - SUMMARY OF FEES , - • is sold within one year of completion, the owner will have the burden , of-proving he 'did-not build or -improfe"for the purpose of-sale):' HEATING SYSTEM 0-100,000 BTU - ,BUILDING - - - - - - - - --- - - -- - -- - ,PERMIT $ , SMIP, S i ❑ I, -as -owner_ of_.the_property,_am-exclusively .contracting-with AND DUCTING • - - - - - - - -• - ---- - - • - ` - - - - litensed contractors to construct the project (Section 7044. Business 100,000;+ BTU ^-PLAN CHECK $• PERMIT - and-Professions-Code: The-Contractor-•s-License Law does not apply.to - .rte�. - ISSUANCE'-$ '' ' an owner of property who builds or improves thereon, and who ton- REFRIGERATION 0-100,000 BTU PLUMBING $--) tracts-from.such-projects with-a contractor(s) licesned pursuant.to SYSTEM -- . - - - --.- -- _ _ - 'GRADING S. ' • , the Contractor's License Law). 100,000'+ BTU • PLAN CHECK $ - .' ,,• , , , •'� CH-am exempt under Section"' -' -- - B:&-P.C:for this- -' - "' '," ELECTRICAL -' a - ' $ • J BOILERS BTV i $ reason- - - - . .. -- - - - .PLAN CHECK' $ ---• iii`, --, MICROFILM S. • • SYSTEM REPAIR,ALTERATI ON - Date Owner • ..L'1 'TOTAL FEES {f I hereby certify that I have read this application and state that the above EXHAUST SYSTEM MULTIPLE • MECHANICAL $ I :1..a :— - -LESS AD- • ' T t- ordinaatlon-is correct. I agree--totig comply with air city and-county , PLAN-CHECK $ - -- - ' — VANCE PC- $_- ordinances '- -I ordinances and state laws relating to construction,and hereby authorize - representa this city'to enter- upon the above mentionedp - - } - .. , propert ection ./ -� ^p Z _ FINAL FEE $457""'" d drivers' - =� ` Accounting;Goldenrod-Assessor . . ; i • 0 • CONSTRUCTION AND PLANN(IJJ1�G - POOL&SPA - •: APPROVALS Permit # t - Date Inspector •APPROVALS _ Permit# -Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location' •' - - - 2. Soil Pipe-Undrgrn " • - _ "_ __ 44. Steel Reinforcement - - - . .3. Electrical Conduit Utility-Undrgrn - -_ -, •. _ .45. Forms • - -- - 4. Electrical Conduit:Undrgrn _ _. _ "- 46. . Electrical Bonding. - , _5._ Steel Reinforce_ . • _• 47. Rough-Plumbing & Pressure Test - -- - •• - - - - 6. Electrical UF ER Grn . _ _ 48., APPROVAL TO COVER-GUN ITE - -. - - - . . 7. Footings - _• - _ _- 49. Electrical Conduit-Undrgrn - 8. Foundation - - - _ .. 50.. Gas Pipe, ❑Undrgrn,Test ' - • 9. Water Pipe-Undrgrn _ __ • __ 51. Backwash Lines. P-Trap. ❑Undrgrn - -- - -- . 10. Structural Floor System, 52. APPROVAL TO DECK-- - ~ - - - 11. Property Sewer.Line & House ConnectionT'/ 53. -Backwash &'Receptor-Final - '2. - Street_Sewer Connection._ . "_ -_ ' ` // �1 � 7 54. Heater & Vent-Final _ J. .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 - -- . 58. .. Fencing &Access Approval , 17. Ducts, in Structure - - 59._ APPROVED FOR PLASTERING ' -18. Ducts, Ventilating - • - - 19. Gas Pipe-Rough &Test • . __ 60. POOL/SPA'SYSTEMS FINAL ' 20. Roof Framing - • • - .• - - - 21. Roof-Sheathing. - . • 22: Frame and Flashing - - ' _ - NOTES: "- . - ' 23. Insulation - - - - _ - -. __ • ' 24. Lathing & Siding - - -- - 25. Drywall Nailing • - - • 26. Plaster Brown Coat - _ 27. Electrical Power Meter-Final - - - ' . .- - ., _ 28. Final Electric - -- - - -- - • 3. Final Heating &-Air Conditioning • - - - .- - - _ - - .30. Final Gas Pipe-Test - - - - - - - - • 31. Final Plumbing _ _ - , _ - - 32: - Water-Service-Final - - - _ - .- ' 33. Gas Service-Final ._ . - - . . - - - ' 4 .. - 41 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 Gas Co. - - - -- • 42. CERTIFICATE OF OCCUPANCY ' , - , • _ r-„ - No - Date -- -- -- - - - - - - , - - - -- -- - - -