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Home My WebLink About708 WEELO DR - Building Permits�OWNER RIVERO, M3riam DATE g_21-7_ JOB ADDRESS 70$ Weelo Drive BUILDING PERMI `�. G�"ERAL CONTRACTOR Kustom Kraft' DESCRIPTION of WORK Add A t.o `f a.0 -io3-i3 LOT TRACT FIRE ZONE VALUE $14 00( INSPECTIONS Si nature Dare GROUP I TYPE V soi� SUBCONTRACTOR GAS Dat WATER . P�umbin ROUGH PWMBING PROP. SWR. LINE HOUSE CON. C ' ' SPRINKLING SYSTEM—.� � MISCELLANEOUS �.. ROUGH HEATING AN� AIR CONOITIONING l�- �y-�y TEMPORARY SERVICE 00. POLE UN�ERGROUND � POWEft � ROUGH WIRING . .A �-- . H...H........A Ve..• n BONO BEAM STEEL EIN SHEATHING � FRAME AND FLA LATHING — IN OUT P' Eq, BROWN COAT �ia�� r�r� ��si�i�i.�:�i�.�,�ti�r.�rci��vr,_��u•��o C�i��1c'�.T.�►]LS ��/�■�� " 3354I � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX1200 COSTAMESA,CALIFORNIA92626 For Aonlicaat ta Fill in Comnletelv ratn J . n nn "i.".?0-7"ips 0�175G u�� `--Cu u APPLICATION FOR BUILDING PERMIT :EIVED BV D E RECENED nnTc issi�cn BUILDING - w — �"�- � �' O'�/ ADDRESS n Cj Y � � A.P. NO. �— �O 3— OWNER �� BUILDING MAIL <t � ,� ADDFE55 y'�. Z ADDRESS J a U CITV � f L Q<•�� NQ`� f.r� TRACT Z W A Z Q CONSTRUC710N O � LENDER �. m J � BRANCH (j t JN � OWNER m J ADDRES$ � � m ARCHITECT TEL. O � J a OR ENGINEER U y . FIRE Z a ZONE TVPE W � ADDRESS a w APPROVED W Z CONTRACTOR C BV J Q m �+ ,�/J/' J � ADOHESS �� `%� ` /J/�c.!/u� (LJ DATE W W ZON NO.OF I VSE OF � = TEL_ y PLANS Z F CITV a, LO NO. w� STATE �� CITV �� J.�.� �'ARDSAPPROVED y aC LIC. NO. LIC. O. MAIN BUILDING � O (FROM C/L STR-E�E�T_) / OF LOT NOW ON LO S/ M� FW J USE OF �0 EXISTING BLDG. (J � � P � / b H SIZE OF ^ NO.OF � Z NEW BLOG?�G X S�O ROOMS STORIES L L. SIDE �� FT. ^ 1 a EMERIOR WAIL ,%_. ROOF -Q (� V COVERING S` �«� COVEFING G� REAR JOFT. J VSE OF BVILDING AND WORK TO BE PERFORMED DISTANCE BET. a MAIN BLDGS. a Q VAH. qW Q 3, Y OUO(�' � I, C.U.P.`� F ti � r � a 'G �°'�1'E � �- . p os HOLD FO V 1 hereby acknowlotlB< [ha[ I heve reatl [his application end itnte �, n•,„ I D� �v that tho obovo lMormotion is Wrroct antl oprea to comply wlth �"��T�Av � nll laws roOulaNnp builCinp consvuction, antl I shatl nol employ �"/q 'a' � ony porwn in violation of tha workmnn's compensetion Inwa ot �%�' y tha Smm af Cnlifomie. ZI heraby certify 2hat I am properly licensetl as a conbactor untlor D SQ. FT. � the Stata of California Businass antl Professions Cotla, Dlvisicn 3, TME AMOUNT SHO Chaptar 9, antl that sueh Iicenses era in full torce antl effect, or I THE FURPO6E OF 6 am examp[ from Me provislons of tha Stata of Calffornia B�slneu VALUATION antl Professlona Coda, Dlvision �, Chepter Slpnature o( � Parmlttee ' -�� 8/ '% \ Authorizetl Agent �\ � � ' "� BEf. MAIN & ACCESS.BLD DATE APPROVED �/.�� PROVED V BVILDIN � � � ' � � /' y1 0 VALUATION IS FOR A PERMIT FEE ONLV: � ¢ m E 5 ` �" J m ;K S E 0 � LL 5 Z . aU 2 Za � N am J � J y Q W tt1 J • 6] J Q U N Za W � aw J Q m Z J � W w � _ z� w� N K 7 O 3s� COSTA MESA BUILDING-SAFETY DEPARTMENT v.o. RnX 12(10 COSTA MES4_ CAL�FORNIA 92626 ca�o � 5. `C SEP?.1-71cr:s��7 633 c+��:�� F,� APPLICATION FOR BUILDING PERMIT Fo� Applicant to Fill in Campletely RECEI D�Y DATE=ECEIV;D DAIE ISSI�E'/ // ADDRESS 708 Weelo Drive �tt� � � �� PERMIT NO. OWNER �Tj.BILL Rivero A.P. NO. MA I L BUILDING ADDRESS ADDRESS TEL. TRACT LOT BLOCK CITV NO. CONSTRUCTION LENDER BRANCH OWNER ADORESS VALUE ARCNITECT TEL. S S OR ENGINEER FIRE ADDRESS ZONE TVPE GPOUP APPROVED CONTRACTOR KUBtiODl KT8{Y'i BY OATE ADDRESS TEL. ZONE NO.OF USE OF NEW cirv BaldWin PaL'k NO. 2� P�� BUIIOING STATE CITV �'ARDSAFPRpVED YAPDS APPROVED LIC. NO. LIC. NO. MAIN BVILDING ACCESSORY BUILDING 512E NO.OF BLDGS (FROM C/L STREET) OF LOT NOW ON LOT ROM FT. FT. VSE OF E%ISTING BLDG. S FT. SIZE OF NO. OF NEW BLDG. ROOMS STORIES 1.51DE FT. FT. E%TERIOR WALL ROOF COVERING COVERING REAF FT. FT. USE OF BUILDING AND WORK TO BE PEF±FORMED DISTANCE BET. BET. MAIN & MAIN BLOGS. ACCESS. BLDGS. VAR.� OATE Add Apgrtment over GBTage c.u.P.�w APPROVED APPROVED 1 he�eby acknowlatlpe that I have �eatl this app�icaiiOn antl stata that the obove intormetion is correc[ antl aprea to comply wi[h oll Inws regulating building construction, antl I shell not employ any Oermn in violotlon of tha workman's compensntion lawa of tha S[a[e of Califomia. 1 haraby certity thot I am properly Iicenxtl as a connactor unEar S�. FT. [hn Stata of California B�sinesz entl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNOER VALUATION IS FOR Chaptar 9, nntl that such licenms ore in full forto antl effxt, or I lliE PVRPOSE OF ESTABLISHING A PERMR FEE ONLV: om azempt fram [ha provisions ot t�e Stato of Colifornia Buslness VALVATION C antl ProtassionsCotlo, DiviilOn 3, Chapter 9. PERMIT FEE 5 �v•� SIB^atura ol �. oo --- Permlttea $ PL.AN CHECK $ Authorizetl Apent 56. � TOTAL FEE $ PPQIECTqODflE$S: 7O8 WEELO DR OWNEN'SNFME:ASTElUE MIRIAM nooness:2Q51 3�ZND AVE ' SAN FRANCISCO,CA AflCN/ENGINEEN:91S� 665-8974 aooness: UNIT: 94116 flFG.NO.: uxiT: PFflMITTEE:ASTRUE MRIAM (915)665-8479 p00flE55: z O S S �3 2 ND )1L� � LICENSEU CONTqACTONb Cl}1NA110N: 1 here0y atiirm I�aU am.li[¢n5e0 unOeCrnp�rmiron4 0l �pter 9 �commenrinp wim Sec�ion 7000� ol Di�sion 9 of IAe Business and ProleSsionS Co�e, an0 Rry liceme is in lull larce anE ellect. CITV UC.: STRTE UL.: ClASS: EXP ; Date: SiqnaWre: WONNEBS' COMPENSRiION OECUPPTION: I MreEy alGrm tnat I nave a certilkate af cansent io sell-insure or a ttnilicate of Workers' ComDensation Inmrance. ar a ttnilieG capy t�er¢ol (Setiion 3800. La7. C�. POLICY NO.: E%P. DFTE: S�MP0.NY: � Cenifittl cooY is hereDy fumisheC. ❑ Certifie0 copY �s file0 wi�� ihe city BuilGinq Division. Oare: MW��: EXEMP�ION FAOM WONKEXS' COMPENSATION DEQAflAT10N: (iNs 5ecii0n neetl no� he comqeio� i� �tie pemtit i5 �w ak huqttd (5100) a kss�. I Cerli�y Ihai in Ihe petlormanCe ot he K'ark �or whit� IAiS pBrmit 4 i55ueG. I ShaO na� empl%' any p¢Ron in any mdnner 5o a5 to becOme s�e t io i� wmke ' ens, io of Cahlomia. SipnaWre: NOTItE: II, al�er making I�iS Eetlarati0n. y0u S�ou10 OeCome SuOjeci lo I�e WaderS' Compenuiion provisians a11Ae Labor CoOe. yau musi lonhwitn compN with sut� OrWi5ion5 or lNs permii ShaA be AeemeA revokM. CONSTNULTION 1EN01NG RGENCY: I hereEy allirm t�al t�ere is a constructron lenaing aAency lor I�e petlormance of the xrork lor wnicn iAis permi� is i=suea ISenian 3W7. Civ. CI. LENUEH: nooRess: OWNEN BU�LOER DECIAlUTION: I Mrt4y atti�m tlut 1 am exempt imm tta Cantranors State lice�¢e Law Iw tl�e �olbv+ing reason (SMion 7031.5 Business anE Prole55ional CoOe: Any piy of c0unty Mucll Rpuir¢5 a permil ta con5Vuc1, alter, imDrOve. tlemolish, or rt0air any 4��ucWre. D��or to its iuuance. also repuiRs t�e apptiWnl lor wc� Derrttit to lile a sipneG statement Ihat �PJshe 4 licensetl pursuanl lo ��e provision5011he COMractors' S�ate License Law IC�apter 91�ommencinq with Section 7000) of Division J oi the Business antl Pmles5ions CoOe� or Ihat nMshe is exem0� Iner¢Irom anG t�e Easis lor I�e allepeU eremption. Any violation ol Section 7031.5 by any aDUlicant lor a Dermit suUie��s Ihe apD�icanl lo a civil penalty ol not moR tnan live nunArea Aotlars (5500�. � I, 8s owner of t�e D�apEny w my em IoyeGS vnl� wEqes as Iheit Sole Campell5afion, wiil Go tlle wOrk. antl Ihe svocmre is iroi inieMed or olkreE tw sale I��n 70ae. Buwieu anE Pmlessional Cade: The Contracbrs' S�ata License Law tloes not a001y lo an owner o� a propeny wlp OuilOs or improvu I�erean. antl wlto GOes suc� work �ims¢II/�erull or IhmupA M1is or Aer own emDloyees. pfOviGeG Itui Su[h imprwemen�s ar¢ nai inlenOeG of ofllrBG lOr Sale. II, �owevef I�e �uilAinO Or improvemenl is so10 witAin one year ol completion, t�e avmer will Oave IAe EurG¢n al prOvinp �e/she Ui0 not �ui10 ar imD�a�e lor ��e Durpose of sale�. I. as awner ol �Ae prop¢ny. am e�cluvvep wntraciinp wit� IicenSeG coniracmrs la consimc� ��a pmleci �SeciiOn 7044. Business ❑ anC Proleuions LoGe: The Coniractars' State Lkense Law Eo¢s not apOH �o an ownei a10��rry wAo Eutl4s or improves Ihereon ana who mnlrat�s �or 5ut� projett5 wil� a tOnlratior�5) li[CrRe puRWni 10 Ihe CanlraCtOrS' Slaie LiCense Law�. I am awdr0 Uu� prool 0� Ih¢it Workei 5 Lamp¢nsatron in5uranre StwulE G! prwi0e0 Ia rtce. � I am exempt unaer sec�ion: e. a P. c. � lot �h15 r��}� �� ,�i�/Na,vy�\—.��'__ � Pxner: i°�v� �nereby cenily tAat I am aware ol anE unEerstan0 the reQuire�rems ot Calitornu Heati� anE Safety CoEe Secl'mns 25505. 25533, antl 25574 and I�t I or any lulure ouilomp attupdnl wiWxill no1 IGrde ane) neetl ta comply wilh 5die slale to0a ana tAe reauiremenis lor a permii lar GOnslrUtlion or modiliCalion Irom I�e Air Ouah�y Managemenl DiS�nCi. Revdtntial ConSlmtli0n ap01iw1ion5 are eKemO� Imm I�CSE O�Ovi5�Ot15, Oate: Applicanl: I �¢2by aftl�Y �� ave reaG �his apWication and Sia�e Ihai IA¢ above inl0rmafi0n is rqrreci. I apree Io comply wil� aU G�y anG wUn�y o�Uinan[es d�d stale law5 reldling 10 DuilGing canstmclion an0 here0y autliwiZe reDr¢Sen�dlive5 01 tN5 Gry to enter upon t�e a0ove�mentionea p eny lor in , e `On ose Signaiure: nverS license or Social Secunty M: t6ai�a6 While—BuilCing: Green—COEe EnlorcemonL Canery—ApplicanL Pink—Rgvenue; GdOenraE—Assessor CITY OF COSTA MESA - BUILDING PERMIT PEAMIT NO; B 070954 PLAN CHECK NO: N CONSTRUCTION TYPE; PERMIT TYPE: STR PERM NO: B 070954 GOV1': N SUPP; N PURPOSE: DEM JOB DESCRIPTION ; DEMOLISH PARTION WALLS ON TnD ^F �Aa_ n.�= SQ FT: CLAIM VALUE; 150,00 CALC-C�ALUE: 1,000.00 GROUP OCC: R-3 / COMMENTS: DEMOLISH PARTION WALLS O"' T^^ ^r ^"�3GE if ifiFif if ik if iF if if if 1f if if 1f if iE1f if if if iF if1! 1f 1f�)f iEif 1F if if 1f if if if iE 1f'if')f 1faFif M iF 1f 1f if if ifiM if if1! if iE if 1Fifif iF1F if if if if 1f iF Y 1F iF if if if if iE ifiE iF Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT ZN FANT: FT IN REAR; FT IN LEFT; FT IN AGHT: FT IN LEFT; FT IN RGI-IT; FT IN PARKIt3G REQ: PROV; PARCEL: 42417310 ZNE; REF NO: PLANNING NOTES> > 1E M if'If i�'M ifif ififif 1� i! If iF 1f if 1E iE if if if �F'lf Y-'N'if aE AFif'lf if if iF'IE if 1f iE if if �E 1EiEif'M 1E iE if if iF 1F M M 1f iE 1R 1E ifif iR iRii if iF aL Y 1f iF Y�'�f �f ii if iR IF iE'IEiEiF D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S �'LF��II��J APPROVED HY �US��'L�T��_'. �P�'�;�ii'�'�� t� = �HN,�,�F;e�i�f�! v;�'��ay�4# ��,_ N Y 1' Y N V Y Y v y\ 1( % v}( Y Y v Y r r Y �](�{�* {� {� ifM�i�E?FiEik7�j� i' !� ��f��kk��iF�#�FMKicir�Ki�}f7!��y�� '��'�H,�f LfiGALIZATION;Y F � E S BLDG PMT PLDMBING ELECTRIC PERMIT 50.00 �3e�Sf:�s1 MECHAN2C PLAN ISSUE FEE HUILDING—DIV—> PERMIT ISSUE PLAN—CFIECK TOTALS----> 50,50 0,00 0.00 REVENUE DIVISION TOTALS--> COLLECTED; BLDG PMT PLUMBING ELECTRZC MECHANIC 50.00 _ DATE; _ �'tj � � t b� � �,.�***�T�� 3j �;�� fr;ii�**r;�rrx�+rr+.,r+�r�:r��r�r+r+�� STAUCTUAAL SEGMENT;Y FIRE SNIP/RES GRADING SMIP/NON—RES .50 " TOTAL PAID DUE 50,50 50.50 ,QO 50,50 OVEA/SHORT; � 00 FIRE SMIF/TOO GRADZNG,PLAN—CHECK if 1f if 1E if 1f iF if iF if if'If ik ifiFi! if if'If if iF if �f 1f if 1f if if ifif if 1! if if �f if if if 4 ifiFlf il�if 1f M iF M iE M1f M 1f iF if if lfif il�if if if'lf iM if M 4�V iFif jt if M 1f Y i� iF M if I N D I V I D U A L F E E B R E A K D O W N � TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST NO FEES WERE SELECTED FOR 'fFiIS PERMIT O1 Q017�393-00275394 T G7 `�0.`0 6AiE: Q1/31/95 TItiE: 14'��3 CONSTRUCTION AND PLANNING �O _SPA APPROVALS Permit � Date lnspector APpqOVALS Pe�mit # Dace Inspector 7, Tr.mporary Electrical Service or Pole 52. Pool & Equipment Location Z, Soil Pipe�Undrgrnd. 53. Steel Reiniorcernent •. 3. Electrical Conduit Util�ty-Undrgrnd. 54. Forms 4. Electrical Condu�bUndrgrnd. 55. Electrical 8onding 5. 5teel Reinforcemeni 56. Rongh Plumbing & Pressare Test 6. Electr�cai UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Conduit�Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Tes� 9. Water P�pe-Undr9md. 60. Backwash Lines, P�Trap, O Undrgrnd. 10. 5tructural Floor Svstem 61. APPROVALTO DECK 7 7, property Sewer Line & House Connection g2, gackwash & Receptor-F(nal �2. 5e`r�e� CaP 63. Heater & Vent-Final 13. Roof Drains ' fi4. PIum6lncy System - Final 14. pough Plumbing . 65. Electrical�Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Efectric Wiring 67. Fencing & Access Approval 77. Fiough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrica6T Bar Celling 69. POOUSPA SYSTEMS FINAL � 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � 20. aough Factory Fireplace ' . APPROVALS Perrtiit # 21. Ducts, in Structure '� - 70. Undergraund Hyclro ' 22. Ducts, Ventilating � � 71. Product Piping O Gas ❑ Oil 23. Gas Pipe�Ro�gh & Tesc 7Z. Underground Flush 24. Roof Framtng , 73. Wndergmd. Stora9e Tank O Gas ❑ Oil 25. Roof Sheathing . 74. Overhead Ffydro 26. 7•Bar Ceiling (Structuralt & Monocoat 75. Dry Chemical 27, Frame and Flashing 76. Dry Standpipe - 28. I,aching & Siding 77. FIXED SYSTEM FtNAL � 29. Insulation • , 78.-FIRE PREV. FINAC - 30. Drywall Nailing � HEALTH DEP7. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION � 32. E�ectncat Power Meter�Finat � 80. FOOD CERTIFICATE ISSUED , , 33. Finai.Electric . � Notes: 34. Final Heating & Air Conditioning , ' ' 35. FinaPGas Pipe-Test . � •� 36. Hood or Canopy ' , � 37. Final.Factory Fireplace � . � I 38. finai Plumbing . . � � 39. Water Service�Final ' 40. Gas Service�Final 41. Solar pomestic-Final ' ' 42, Backflow Preventer ' ' '- • 43. Backflow Irrigation � ' 44. Landscape Irripation System ' � • � 45. Sound Attenuation , 46. Handicap Regulations • ' 47, FINAL STRUCTURE & BUILDING L1 / 3 �� CG�'rYlO G!/y-�/_��n��cr !� o.{ 48. FINAL PLANNING ' � �t��-��%r , 49. Electric Pelease to Edison 50. Gas Release to Southern California Gas Co 51. CERT4FICATE OF OCCUPANCY No. Date 't I / � � � o�ecrnooeess: �08 WEELO DR OWNEX'SNAME: MIAIAM ASTRUE aoon[ss: SAME AS ABOVE 719/631-7370 nPCH/ENCINEEfl: aooaess: flEG.NO.: uxir: uxrt: PEXMITTEE: MIRIAM ASTRUE ( 714 ) 631-7370 aooxess: 708 WEELO DRIVE COSTA MESA CA 92627 LICENSED LONTNACTOfl DELLABATION: I hereCy attirm itwt I am IicenSeG uMer prwisions ol C�apttr 9(commexing wit� Sectbn i000� ol Oivvon 3 af t�e Business aM Pmlessions Code, anG my license 6 in INltorce anU ettecL � CITY LIC.: STATE LIC.: LU55: EXP : Dare: SipnaWre: WONREflS' LOMPENSaTION DELUMiION: I neteoy allum IIWI I have a cenificate ol consent to selbiRture or a certiliUte ol waAers' OpmDensatio� �rttuqnce. or a ceNlieO copy inereof (�tion 3800, LaG. CI. POLICY NO.: E%P. �RTE: j COMPFNY: � Cenilie0 rnpy is nere0y Wmiyietl. ❑ Certilie0 copy i5lileG wit� tlrc ciry BuilCinp Division. Daie: AODlitani: E%EMPiION FflOM WOPKEflS' COMPENSATION OECIAHATION: Rlit sectian nre0 not Ee comDle�eO il e pamt is fa me hwqreO �51001 a less�. 1 cerli�y thai in itle p¢ri0rmanGe ol Ihe wOrk br w�it0 i� rm 1 is i55ue0. ' � oy an p¢r50n in any manner W as IO 6etOme Su0�� 1,/p, �I�e�W-orker5 CamO sa� LawS ol Calilorn . Dat Y w v �' �� Sipnatu e� � up.. NOTILE: II, al�er makinp �his Oedaration, you sAoul Oewme suGl�� o Rrc Warkers' ComDensalion Dmvisions ol tAe Lahor CoEe. }rou musi fonMvitn comoty �� suc� O�ovisions or IMs De�� shdll OC OeemeO revoke0. CONSTBUCTION LENDING AGENCY: I �ere0y atlirm tAai t�ere is a constmc�ion IenUinp apenty lor iAe Detlormance al the xroM �or w�ich ihis perrttitis issue� �Sedion 3097. Civ. C�. LFNOEfl: AUONESS: OWNEB BOILOEP OECIANATION: I �ere�y allirm Ihat I am exem0� �rom t�e Conlractors' Stata Licensa Law for t�e IOIIowlnp reason �Sectian 7037.5 Business anC Pmlessional Cotle: Any city oi caunty w�ic� repuires a Oermit lo ronsiruct, alter, imprwe, OemolisR or reoair any strutture. orior to its issuance. also reDuirest�e appiicant for sut11 Dermil �o file a SipneE statement tlut �els�e is IicenseA pursuan� �o I�e pmvisian5 o� Ihe ConfratioR' Slale license Law �COaO�er 9(commencinp wit� Section 7000) oi Oivision 3 of Ihe Business anJ Pmtessians CAAe) or that �Ns�e is eKempt t0erelmm antl Ihe basis lar Ihe altepetl eKemption. My violation ol SettiOn 7031.5 by any appl¢ant lor a permit suhle��s l�e applicant Io a tivil penaliy ol not moro �han Ilve �unCrOE Eallars (5500�. �I. as ownet ol Ihe pmpeny ar my employees wit� wapes as Iheir solo compen5ation, wlll tla t�e wOrk, anA t�e stmcmrt is not intenaed o� ollere0lor sale (Senian 7044, Busineu and Pmlessionat CoOe: TAe Coniractors Sute License Law Uoes not aOPly to an owner ol a pmperiy wM Ouilas or improves thereon, antl w�o Ooes suc� worN Aimself/herseli or thmuph �is ar her own emo�oyees, pmvi4eJ I�at suc� improvemems are not intenEed or anere0 for saie. II, however t�e building or impmvement is soltl witnin one year oi com0letion, Ihe owner will �ave the Eurden ol DmvinB he/she Oitl not build or impmve � lor I�e Ourpoie 01 Sale�. 1. as owner a� Ihe O�operiy, am e�clusively conVaclin0 wilh licens¢E coN�aciors lo conSlNct iho pmlec� (Section 700<, Busine5s ❑ antl Pmlessions CoUe: The Contractors' Siaia License Law tloes no� aOV�Y Io an owner ol properry wAo hwl0s or impmves ihereon antl w�o canlratis lor such pmlects wi�� a coniraCtOr�s) license DurSuani 10 Ihe Coninc�o�s' State License Law). I am aware ��al Oroof o��heir Worker's Compensa�ion insurance s�ould be O�on0e0 �o me. � I am exempt un�er Section: 0. 8 P. C. lor In,is ��ea!s—on: Oate: ��, U I � � � Owner. I Oo �ere�y cetlily Ihai I am aware of an0 unG¢r5lan0 i�e reQuirement5 OI Cdli�amia Heallh anG $af¢ty fqEe 5¢ction5 i5505, 25539. anE 2553A antl IAaI I or any fulure building OttuDant willlwill not (circle one) nee0 to compty with Wia state cOtles antl Ue repuirtments far a permil lor consVutlion or moailication �mm Ine Air Ouahly Manapement DiSVkI. ResiOential Wnstmciion aDDlicatio�5 are e�emp� Imm ihese provisions. Oale: ADPlicani: I here�y ceridy inal I nave reaa ini5 aoDlicatian ana state Inat tAe aUove inlo�mation is couect. I aqree ta compty with all tily an0 county or4inancesanGStatelawsrelating�oOudEmqtOn5lmclionaM� e autMriterepresemalives IIMd men�eruponlhea0ove�memionM pmper �• I r inspenion purDases. Date: � � � Sipnalure: � Orivers uanse o� Sodai Securiry M: 16at�a6 W�ne—BunEmgt Green—COEe EnbrcamenC Canery—Applkanl: Pink—Revenue; GdEenraE—luseswr CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO; E 069722 PLAN CHECK NO: N CONSTRUCTION TYPE: PERMIT TYPE: ELE JOB DESCRIPTION ; LEGALIZE ELECTRICAL FIXTURES CLAIM VALUE: CALC—VALUE: PERM NO: E 06972 GOVT: N SUPP: N PURPOSE; NEW SQ FT: GROUP OCC: / COMMENTS• X +t*�+e�rir****�r�it*�tir�+�*iFr+t*r**+t�r�rit**it**iriF+t�rr+�irit�r+Fr*x*rir*r*irrrirr�ri��r**rr�r*ir**at�tr**�r�rr Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDZNG ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARKING REO• PROV: PARCEL: 00000000 ZNE: REF NO; PLANNIAlG NbTES> > 4kitMihifMitifilif4kMM1FMlhitilM�fMitifilifMMif4M4MiEif4ififikifil4MitififMifififMMMifiFffkifififlflfiF�Eit}fifiF�fiE�f{ffFifilififif D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDING APPROVED BY : DATE: _ **P*�**�*��**�*�DrB�* 3F�iF�iPAt iFii�FiF****D***s*�iF�*�r M if ik if iE if if if if iE k M if 1f 1f k af if if �f it iE if i! if if if M if if i! 1f iE iE iE it M M k 1F r 1F iF M it fk if if M if i� IF 1F iF r r iF if iF 1f if if iE M if it iF a! if iE iE �li if if if iF iF jf iF LEGALIZATION;Y F E E S U�M•M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FZRE SMIP/RES GRADING PERMIT 7.50 "— SOR SMIP/NON—RES PLAN " ISSUE FEE 15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK - TOTAL PAID DUE TOTALS----> 7.50 15.00 0.00.� 22.50 22,50 .00 REVENUE DIVISION TOTALS--> COLLECTED:• 22.50 OVER/SHORT: ,00 HLDG PMT PLUMBING ELECTRIC MECHANIC ' FIRE SMIP/TOT GRADING PLAN—CHECK 22,50 jFltif M �f ikif 1f % if if 1f iEit if ifif 1t*1tiF if if % if �f1F ifi! jf if k 1f illEifM ifififif 1kiE if 1k M 1f M 1f if �f 1liF1t iFiFlFif ffiF ifit 14 1f if if iPiF iF if if if If ifif fEif if i! I N D I V I D U A L F E E-i B R E A K D O W N TYPE QTY ELE ELE ELE D E S C R I P T I O N 2 FIXTORES LIGHTING 1 ST 20 2 RECEPT/O{1TLET 1 ST 20 1 RECEPT/SWZTCH 1 ST 20 E X P 1 R E D END OF FEES IncomPlete lr.spectwns .- } •� �5��= ti-`_ :�@�_��_ - •, UNIT COST TOTAL COST EA. .75 1.50 EA, ,75 1.50 EA. .75 ,75 � 71 n0I7097�J-0017G970 TO T 2'1.50 DATE: ±1/01/94. TIttE: I5:?6 rl ' f CONSTRUCTION ANDPLANNING POO �PA APPROVALS Permit# Date Inspector pppROVA�S Permit# Date Inspector 1. Temporary Electriwl Service or Pole 52. Pool & Equipment Location • � 2. Soil Pipe-U�drgrnd. 53. Steel Reiniorcement 3. Electrical CAnduit UtilityUndrgrnd. 54. Forms 4. Elettrical Conduit-Undrgrnd. _ 55. Electrical Bonding 5. Steel Reinfprcement 56. Rough Plum6ing & Pressure Test I 6. ElectricalUFEflGrnd. 57. APPflOVALTOCOVER-GUNITE 7. Footings 58. Electncal Condurt�Undrgrnd. 8. Faundation � 59. Gas Pipe, O Undrgrnd., Test 9. W'ater Pipe-Undrgmd. 60. Backwash Lines, P�Trap, � Undrgrnd. 70. Structural Floor Svscem 61. APPROVAL TO DECK - 1 t. Property Sewer Line & House Connection 62. Backwash & Receptor�Final � ' , 72. Sewer Cap . 63. Hearer & Vent�Final 13. Root Drains 64. Plumbing System � Final 14. Rough Piumbing � 65. Electrical-Finai � 15. Rough Eleceriral-Condu�c 66. Solar SVstem-Final 16. Rough Electric Wiring 67. Fencing & Access A�proval 17. Rough Wirin9 Sign 68. APPROVED FOR PLASTERING 78. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS F�NAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace � - APPROVALS � Permit # Zi. Ducts, in Structure ,_ ' 70. Underground;Hy�lro 22. Ducts, Ve�t�lating � � . 71. Product�Piping CIGSs DOiI 23. Gas Pipe-Rough & Test . _ ' 72. Underground Plustt 24. Roof Framing � . 73. Undergrnd.Stora9eTank �Gas ❑Oil 25. Roof Sheathin9 � 74. Overhead Hydro � 26. T�Bar Ceiting lStructural) & Moaocoat , 75. Dry Chemicat -- 27. Frame and Flashing , 76. Dry Siandpipe , 1 28. l.athing &$iding . . .. 77, FIXED SYSTEM1A FINAL- `_• 29. insulaiion �' 78._FIRE PREV. FINAL � 30. Drywall Nai�ing HEALTH DEPT. REQUIREMENT 37. Plaster Brown Coat 79. FINAL INSPECTION � 32. Electrical Powzr A1ererPinal 80. �FOOD CERTIFICATE ISSUED � ' 33. Finai E�ectric Notes: � � a ��-L�u'�p ,e.�� 34. Fina� Heatir�g & Air Conditioning , .r�� - 35. Finai Gas PiPe-Test � � �°p= - -- 36. Hood or Canopy '1'��6� �, � �_� - / 7 {��r 37. Final FactorY F��eplace � �, � 38. Final Plumb��9 � � �� 39. Water $erviCe�Final 40. Gaz Service-Final . . . 41. Solar pomesticFinal �� . 42. Backfiow Preventer ' 43. Backflow Irrigation . 44. landscape Irriqation System 45. Sound Aitenuation . � 46. Handiwp Regulations � 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison � 50. Gas Release to Souchem Calitornia Gas Co 51. CERTIFICATE Of OCCUPANCY No. Date /. , •—_ CI � F COSTA MESA 1 c Project Address �7f%'B V At,,,t;,�.a�t's Maj�ng Address � AOO��ant to fill in all spaees exeept those within heavy borEer Iines anC si9n all aoorooriata aeclantions. UCTION PERMIT T� '2O4 TYPE OF CONSTRUCTION LJ NEW�nDD U A�TERATION LJ REPAIR 6�1 7370 ❑ CONVERSION ❑ DEMOLISN OTHER DESCRIPTIQN C�F WORK/USE OF BLDG� . (`�{�l f7� illr3s ��-�License No. ir.�n ca��-n A��A ,�vc F �_uFs,� Add.'ess Imailing) City License No. GCENSED CONTRACTOR DECLARATION ' I hereby affirm thdt I am licensetl untle� p/OvisiOnS o1 Cha�te� 9(commencing with sectlon 7000) of Division 3 of Ihe Business antl Profezsions Cotle, antl my license is in t W I force antl eHect. License Class License No. Date Si9nature WORKERS' COMPENSATION DECLARATION - hereby affirm that I have a certiticate of consent to self-insure or a certlticate ' � Workers' Compensation Insurance, o/ a certifletl copy thereot (Section .800, Lab. CJ Poli<y No. ComPany 8�Certifietl copy is hereby fumizhetl. Certifietl copy is filetl with tne city Builtling Oivizion. oate � Applicant � XEMPTION FROM WORKERS' COMPENSATION DECLARATION (This sectlon neetl not be completetl if the �ermit is (or one huntlretl (5300) or ,� les5). I certify tnat in the pertormance oi tne work for which is perm�t is issuetl, I ihall' not employ any person in any manner so as e sub'ect to the Workers' Compe�tion. LawS o/ California. � 'Date �a — � p f Y �Eignature NOTICE: 1f, after making this tleUaration. Y should come subject to tna WorkErt' COmp¢nSdtiOn provisions Of thd Labor Cotle, you mu5t Portbwlth comply with such provisions or tnis permit shall be tleemea revoketl. CONSTRUCTION LENDING AGENCV I he{eby affirm that there is a construction IenCin9 agency for the performante of the work for whicn this permit is IssueO (Section 3097 Civ. C.) Lentler's Name Lontler's Aaaress - ON�NER BUILOER DECLARATION I hereby affirm Lhat 1 am exemp[ trom the Contractor'z License Law tor the following rcason (Sectlon 7031.5 Business antl Professional Cotle: Any tlty or county which require5 a permit lo conStrV�t, alter, ImO�ove, tlemollih or repair i any st�uc[u�e, p�lOr t0 Its Issuanc¢, also �eqWr¢5 th¢ dppllCant tor such permit , to tile a signetl 5tatement that he/she is licensetl pursuant [o the provi5ion5 of ', [he ContraclOr'S License Law (Chapter 9(commencing with Sectlon 7000) of �. 7ivisl n 3 of the Business antl Profes5i0�z Cotle) or that he/she is exempt �, pereTom antl the basi5 tor [he alleg¢d exemptlon. Hny violdtlon of Sectlon 031.5 by any applicant ror a Oermit subjects Ihe applicanl to a civil ��e-,,nalty, ot not more than five �untlretl tlollars (E500). I 'yp I, as owncr of the pro0erty or my em0�oyee5 with wages as their sole '� �tdmpet;ation, will tlo the work, antl the structure iz not intentletl or�otferetl tor sa.f (Section 7044, BuSiness antl Pmt¢SSional Cotle: The Contractor's i LlcenSe Law tlo¢5 not apply lo dn owne� Of a property wh0 Duiltls or Improv85 , Ip¢reOn, an0 wno tloe5 zuch wOrk him561t/h¢rSeH or thrOugh hi5 0� he� own �. employees, orovitletl thal such Improvements are not intentlea or ofieretl for , sale. If, howeveq the builtlin9 or improvement is soltl within one year of com- � plellon, ihe owne� will have the burtl¢n O� PrOving he/she tlitl not bulltl or im- prove for the puroose of sale). ❑ 1, as owner of tne property, am exclUsively conlracting with Ilcensetl <on- fraCto�sto con5truct Ih< Projecl (Sectlon %004� BUSIf1C55 dOC PfOfC551005 C048: The ConVactor's Licenze Law does not apply to an owner of property who builtls or improves thereon. antl who co�t�act5 for SUCh oroiecl5 with a r.on- tractor(s Lcense pu�suani �o [ne ConVaGtoYs Litense Law). I am awa�e tha� proof O� their Worker's Compensation I�Surance shoultl be Orovitl¢tl to me. ❑ 1 am exempt untler 5ection B. & P. C. �or this reazon Date � ' ' Owner � � - I hereby certlfy that I have �eatl thi5 apP�ication antl State t�at the above Iniormation is correct. I agree to comply "/��h all city antl county ortlinances antl state laws relating to b"Itling co jtiuction, antl hereby authorize repre- sentatives ot this city t d[er i�he above-mentionaG property for , InSp¢ction purposes Signalure Date l7- /f � fd9� . Drivers' Licens¢ or 55 � �- � � � � �'� TVPE OF PERMIT LJ GRADING LI FOVNDATION LJ STRUCTURAL ❑ TENANT ❑ LECTRICA ❑ PLUM81 G❑ MECHANICAL ❑ �OTHER � UO� � PROJECT DESCRIPTION SQ. FT. ��G1j nrri ip CONSTRVCTIONTYPE ��N VALUATION$ ZONE GRADING CU. VDS. A< Remarks: r e .. .. n � �_ � �. � ._ Bar Sink Backflow Preventer Backflow Irrigation Bathtubs Clarifiers Dishwasher Drinking Fountains Floor DrainS Floor Sinks Gas Service OuHets Interceptors Kitchen Sink Lavatories P—Trap Roof Drains � Reinspection Fee $15 Duct - Under Ground . Duct - Structurel Duct - Ventilating Exhaust System ❑ Multiple C Firepl/Fact. Blt. �CBO # Heating System & Ducting ❑ ai oo,000 eTu O i oo,000 si qeinspeetion Fee � $15 �865-46, rev. 5/88 WM1ite - Builtling; Canary - qpplicant: Pink - q�munting; Goltlenrotl - AszeSsor PLUMBING Servic¢ Sink ' Sewer Cap � • Sewer Connection Solac Collectors Solar�Tank � - Swimming POoI w/Spa Urinal Water Closet Water Heater Water Service Auto-Wash laue Fee Hood or Typel ❑ Canopy Typell ❑ Refrigeretion System ❑aioo,000eTu ❑ioo,000 System Repair/Alteration Fire Dampers Registers laue Fee A.P. �i`- S Main Buildi E T Front B Rear p A C Aight K g Left Ping. Ref. � � Planning Notes: sazs� Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Drvers ❑Gas ❑Elec _ Fan , F.A.U. Fixture5 Device Boxes � S 3 Switches I 2ona Accessory Building: Parking Req./Provided � ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+ KW Meter ❑up ro 100 amps ,- Meter ❑over 100 amps� {� Sub Panel j •' Motors�al HP �9Y,-8 InaSolar 09-75 HP �16; Microwave �� • � Pole Light � . � Generator UP5 KW CI5-15,KW � DEVELOPMENT SEHVICES REQUIREM Zoning Approved By BuildinB ApO�o"ed By n__r_...s.....i»....a.u.. _ . FEES 5+ � � Sign ' Standing Sections Trasfi Compactor Issue Fee $ 3 JT M�.-N•l- n...e � � �'�.S " N I N G E � M T S. i .• SUMMARV OF FEES BUILDINGPERMIT $ I�7 �O ;. SMIP $ 0�6� �PIANCHECK - $. ' PERMIT PLUMBING . � $ .+ ' � ISSUANCE $ 'f PIAN CHECK 25% $:� �- ENERGV P.C. $ �� ELECTfiICAL $ i" GRADING $ PLAN CHECK 50%�$ � MICFOFILM $ �MECHANICAL $ � TOTALFEE $ � PLAN CHECK Z5% $ � i G1 On0226iS-G902'1620 3 _rY :r-.�`. �P.iE� 1211`!P8 TZ19_: '_;:,, CONSTRUCTION AND PLANNING APi�ROV�l�� •PerMit# / : <.-� _ `. 1. TemLorary Electrical Service or Pols 2. $o(1'Pipe-Uqdrgrnd. 3. 'Elec[rica� Conduit U[ility-Undrgrnd, 4. ElectricaC Conduit-Undrgrnd. 5. Steel Reinforcement � 6. Electrical UFER Grnd..' 7. Footings; � ; i- 8. Foundation� . 9. WaterlPipe-Uricirgrnd. 10. Structura'I Flo,or System 11 . Pro'perty Sewer Line & House Connection 12. Sewer Cap 13. Roof Drains � � �• 14. Rough Plumbing 15. Rough Electrical-Conduit i6. RoughElectricWiring 77:• Rough Wi�ring Sign, 18:, Rough Electrical-T Bar Ceiling 19..Rough Heating & Air Conditioning 20.� flough Factory�Fireplace � ' 21 . Ducts, in� Structure ' _ , 22. Ducts, Ventilating ' 23. Gas Pipe-Rough & Test � . 24. Roof Framing ' � � . _ 25. Roof Sheathing .� � � 26. T-Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing � , 28. La[hing & Siding ; ,��i 29. Insulation � 30. Drywall Nailing . 31. Plaster Brown Coat � � � 32. Electrical Power Me[er-Final � 33. Final Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy ' 37. Final Factory Fireplace � 38. Final Plumbing . ��. 39. Water Service-Final • 40. Gas Service-Final � 47. Solar pomestio-Final ' �, 42. Backflow Preventer � 43. Backflow Irrigation 44. .landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations ' 47. FINAISTRUCTURE&BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co No Date Date - � � POO SPA' � . Inspector � �� " � � APPROVALS F.�rmit # � 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms �, 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER-GUNITE 58. Electrical Conduit-Undrgrnd. � 59. Gas Pipe, � Undrgrnd., Test 60. Backwash Lines, P-Trap, O Undrgrnd. � " � 61. APPROVALTODECK � 62. Backwash & Receptor-Final 63. Heater & Vent-Final � � � �°` 64. Plumbing System - Final .� 65. Electricat-Final 66. Solar System-Final , 67. Fencing & Access Approval , 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAI FIRE DEPT. REQUIREMENT APPROVALS Permit# � 70. Underground Hydro 71. Product Piping O Gas ❑ Oil 72. Underground Flush 73. Undergrnd. Storage Tank O Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemical � � 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED Notes: �t9 Date � Inspector a rna�craooaess: '708 WrELO DR ' uxiT: �OWNEWSNRME:�M�R�I'AM �iSTRUF. ' � • � �. �oousa SAME AS ABOVE t: 714/631-7370 RRCHIENGINEEfl: . ' flE0.N0.: RUOflESS: " -. -. UXR: � PEHMITTEE: MTRI�AM ASTRUE; � � ( 714 ) 631-'1370 ` nooxess: �p8 WEELO DR.iVE � ' COS'PA MraA CA 92627 � UCENSED fANTIWCTON OECIAMTION: I her¢Ey aKrm that I am licensed untler D�ovlsions oi Chapter 9(commencln0 w�th Section 700U) of Division 3 0l t�e Business and Pmtessions COCe, and my license is in full tarce an0 eifect. , CI1Y LIC.: ST�TE IIC.: � CUSS: � � � Da[e: SipnaNre: WOHRENS' COMPENLITION OECIAMTtON: � �ereby aKrm tlut I Aave a ceN/iwte ol consent to ulf-insura ar a certi/iwte oi Workers' �pmpenution InSurance, or a certiliM topy thereoi (Seqion 3000. Lab. C). �UCY NO.: � EXP. ORTE: Cenifed copy 15 AereOy fumis�e0. ❑ CertReA coOY �s fileE with Ihe ciry Buil0in0 �s�an. Date: /Wplicant: ' IXEMFfION FROM WOflNEfl3' COMPENSRTION UECIAINTION: (Riis 5ection neaC not Oe complele0 i Ne pertnii is i r. e hu� Oj5100) oi les . I certity t�at in ihe DeMo�mance oi the wark fo� wAich this permit is isSueA, I s�all nat employ erson in ny a o as ro 6e e suhlect to ihe Waders' Compensation Laws af Calitomia. ' Date: o�� ..�1:� /2.1 �RA Siqnatu . NOTICE: II, atter makin0 Nis AedaraGon, Yau 5�oulA Deco e su � t e Workero' Compensatb D��s � ol IAe laEor CaUe, you must lortliwit� wmDN ��h suc� provisions or t rmit a e tleemeE revokeE. , ��. ' CONSTBUCTION IENDINU IIOENCY: I hertGY aflirm that there is a con ' n nEinp apency for [he pertormance ol the xrork for wNch Uus P�rttil u iuueE (SecUon 3097, Ch�. CI. _. . ' lEXOER: - � n00qESS: � - ' OWNEH BUILOEfl DECUMTION: I here6y atlirm I�at I am exempi irom ihe Coniractars' State License Law for ihe lallawinp reason (Section 7031.5 Business anC Pmlessbnal CoOe: My ciry ai counry wtiic� repuires a permit ta constmc[, alter, impmJe, Eemolis�, or reDair any sWCNm, prior ta its issuance, also requires Ihe apDlicant for such permit to lile a sipnea statement that hUshe is Ilcense0 pursuanl ro Ihe provislons af the Contrattors' Stale Lic¢nse Law (C�apter 9(commencinq with Sectian 7000) of Division 3 oi ihe Business an0 Pralessions Cotle) ar Ihat �e/she is eaemD� �hereirom an0 the �asis tor ihe allepe0 exemDtion. My violation ot Sectlon 7037.5 Oy any applicant far a Dermil suhlects ihe apDll6 ro crvil penalry al not mora than tive hundred dollars (5500). �� I, as owner of ihe DroDerty a�N�� -�wpee-ac-aheF-eels-vempenSdAOR will Oo tlie work. end t�e � siructure is nm inrenAeO or otlere0la! sale ( ectlon 70G4, Business antl Pmlessianal Cotle: The Cont2ctors' State License Law Eces not appry to an awner of a pmOeM � builas ar ImDraves Ihereon, anE who does SucM1 work �imsell/hersell or tAmupA his ar her own emDlayees. DmNOeA that suc� improvemenis are not intenCeO or oife2A for sale. 11, Aawever t�e Euiltlinp or impmvertrcnl is solE wiMn one year ai completion, the awner wlll hava I�e OurEen oi pravin0 he/s�e Oi0 nat builU or impmve � for Itce Duryose oi ulel. ' � -• I, as owner al Ne DroDeM. am exUuS��eN comractln0 �+�A IicenseU contractors to wnstruct the O�olect (Section 70ea, Business ❑ aiw armessianc COEe: ine Conuactors �Gte License Law Eoes not appty ro an ovmer ot procertY � bWUs w improun Iheaon ZOG M110 GOIII2CB 10! WCII pl01� �� d Cp0If2tlOf(5) IIL2fIS0 pORWIIi IO lhB �WIVdC1013' $G�B LILE050 LdW). I 2111 dWdfB I�at proof ollAeif WorkeYs CAmpenSanon insurance S�OUIE Oe proviEeO to me. � � I am exempt un0er Section: � 8. 8 P. C. . /or �his rea5on: � � . _ �� ate: ' ` - I Eo herahy certity tAat I am aware ol anE undarstand Ihe requirements of Califorr 25534 an0 that I or any future 6uiIEInO accuDanl wiltlwill nat (circla one) neetl ta c permil lor constructlan or mo0ifiation from the Nr �ualiry ManaOement Oistncl. Ihese�pmvisions. ' � LoAe Sectians 2550.5�25533, anE �, co0e5 anC Ihe reQuifements faf a rion appliwtions are exempt imm Oale: ApPliwnt: I hereby certity Ihat I luve rea0 t�is aDPlicatlon anE state that tAe a�ove information is wrrecl. I Oree ro c Y�� ry and � wAinances ana sute uws reWtmy W drilOirry ca�truc�ion arM he�eM autMrize reprcsenu' dry ro e er pan o-me properry tor iirspectbn purpOses. ' oate: ��G� L! /'l��1 Si re: onver's Licensa or Social Secudry x: - 18n1�8 W�ite—BuilEing; Oreen—COEe E��orcemam; Cenary—Applican , Plnk—Pavenue; GOIEenraC—Asseaaor , CIT.Y. OF COSTA.MESA — BOILI�ING PERMIT PERMIT NO; .E 0450£34 PLAN CHECK NO: N 'I CONSTRUCTION TYPE: �_ '� PERMIT TYPE; ELE ' PERM N6: E O4SQf34 GOVT: N.SUPP: N PURPOSE: NEW JOB DESCRIPTION : ELEC/GARAGE CONVERSION TO LIVING AREA SQ FT: i• , CLAIM VALUE: CAL�C—VALL7E: , � GROUP OCC: ` / COMM�NTS: D:-36900 " • �• ' ` . **x �*�**�**+� x #*��a��*�***�*��*��r**x *�x ****rr*+��r�r��+r**��r**+�*�r***« �x **�***�**�+�x� • Z O N I N G R E Q U I R G M E N T S �'• • S� T. D A C R S' : • � .. ----------- MASN BUI.I�DING ------�------- ---------- ACCESSORY.DUILDING --------- FRNT: PT IN`REAR; FT IN FRNT:� FT IN RLAR: FT � IN. • LEFT: FT ZN'RGHT: FT IN LEFT: � FT IN RGHT: FT IN . PARKING REQ: PROV: � PARCEL:'OU000000 ZNF.; REF NO: PLANNING NOTES> , , ' . ) . . . _ . . _ _ ' . . ' . iF IE iE iF IE iE iE iF iE if if jk if iE if if 1E 1f 3E �E iE IE 1f k iE �E 1F iE M iF ik,iE 1E ik If.fE1F iE fk fk iE iE iE iE it It iE iE if 1E if it ik �E 3E iE fE iE iE iE 1f i! IE iE f! �)k k iF iE iE �E �E it 3F iF iE iE ik iE D E V E L O P M E N T� S EyR V' I C E S R.F. Q U I R E M E N T S�' ZONING APPROVED BY _ DATE:..; « . V � _ . . HUILDING �APPROVED BY ;__ __ __ ___,_ ."� � � � DATE: � APPLlCATION ISSUED BY.: iE 1E iF iE iE iE 1E K iE 1E 1E ik IE iE iE iE iE 1E iE iE k �E3F iE iFiE�EiE ifif 1f iF if if if !f df �f k if 1E 1E 3Eif if iE LEGALIZATION;N �- DATE; I� !E f(� if iF iE if iE iF 1E iE iE iE iE 1ElF iF �f iF If M 1k ff iF iE if 1E fE iE if iE �F iE IE iE iE 3(� 3E �E K� ib iE # 3f jE iE 7E iE 1F �f 1E F E E 'S U M M A R'Y - STRUCTURAT. SEGMENT:N BLDG PMT PLUMAING ELECTRIC MECHANSC FIRE SMIP/RES GRADING PERMIT 3.75 . 503 SMIP/NON—RES; PI�AN ' ISSUE FF..F. � 15.00 ' . • BUIL�DING--DIV—> PERMI'T' IbiSOE PLAN—C.H�CK TOTAL PAID . DUG TOTAI,S----> 3.75 15.00 ' 0.00 18.75' 18.75 ' .00 REVENUE llIVISION TOTALS-->' COLLECTED: 18.75 OVER/SHORT: '.00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 9.8.75 . �.iF iE iE �E iF if if 3E ik iElE if fF iE iE �F if if if if 1E iF if if iE iE iE If 9E if iE iE iE 1E iE fE iE �f IE iF 1E iE k iE if iF iE iP #!E iE iE 3Elf �f iE iE if ik fE fE iE IE iF iF fF iE iE iE # iE iE �E iE iE fE 3f 3E IE I N D I�� I D U A L P E E B R E A R D O W N. ' QTY � ? D E S C R I P T I O N FIXTURES, LIG2{TING 1 ST 20 RECEPT/,WITCII 1 S'I' 20 END OF FEES UNIT CO5T . TOTAL COST EP.. .'15 ' 2.25 EA. .75 ; 7...50 . ' i ."+.` .l�Ui..j._rc�•yC: -,' L., E� I�.!.._ ,." �_..E . .- • 1 � CONSTRUCTION AND PLANNIN & SPA - . Date Inspector : • Date �Inspector A�ROVALS Permit # .: j APPROVALS Permit # � � 1. �Temporary Electrical Service or Pole � � 52. Pool & Equipment Location j � � 2.�_Soil Pipe-Undrgrnd. - -" 53. Steel Reinforcement i' .`fl�y 3-Electrical Conduit.Utility�Undrgrnd. � 54. Forms ' �, < � 4.-Electrical Conduit-Undrgrnd. . 55. Electrical Bonding . ; /- %5. Steel Reinforcement '� 56. Rough Plumbing & Pressure Test �� 6.'�Elect�ical UFER Grnd. � 57. APPROVA'L TO COVER�GUN6TE i} � ' ' �7.:'Footings ' 58. Electrical �Conduit-Undrgrnd. ` f `� 8. Foundation _ , , rl� , 59. Gas Pipe, O Undrgrnd., Test .' i/�� i / '� '11 1 9. Water Pipe�Undrgrnd. � � . �� 60. Backwash L'ines, P�Trap, O Undrgrnd. . �� ` 10. Structural Floor SYstem ' � ., '.�%�_ `� 61. APPROVAL TO DECK �� `� 11. Property Sewer Lirie�& House Connection � ' 62. Backwash & Receptor�Final + �� • . � . - ...._....._....r . ....�., � , , {��, � .� � � 12. Sewer Cap � ,� r : ; �� ' 63. Heater & Vent�Final � , � � = (. ,' 13. Roof Dreins - �� 64. ,Plumbing SYstem - Final r� �, ��1 14. RoughPlumbing !�� •- 65. Electrical-Final i�, - �%�'' 15. Rough Electriwl-Conduit �' iY ' 66. Solar System-Final ,��'�� !��' `" �- 16. Rough Electric Wiring �-22 ' 67. Fencing & Access Approval ti� •. -- j� � 17. Rough Wiring Sign �� 68. APPROVED'FOR PLASTERIIVG�/� �' 18. Rough Electriwl�T Bar Ceiling ��-` 69. POOUSPA SYSTEMS FINAL � y' �`�f� �19..,R'ough Heating &.Air Conditioning . . _.FIRE.DEPT. REQUIREMENT 20..�Rough Fattory Fireplace - - �` *, APPROVALS -+=�Permit# � �' -� . , - ' . r 21 = Dubts, in Structure„ � � � + , �, ��70. Underground Hydro � _ �� x 22. Ducts, Ventilatinq • ,. . - 71. ProducYPipin9 O Gas ❑ Oil 'f 23. Gas Pipe;Rough & Test _ _ . - _� ' Y� _ ; -F 72, Underground Flush ' �" 24. Roof Framing. .� ' - - : -�. - ��73: Undergrnd.Storage:Tank�OGas ❑Oil� 25. Roof Sheathing - � � � � � 74, Overhead Hydro-. _ . 26:�T-Bar Ceiling (Structural) &'Monocoat - . - . 75.,Dry Chemical - - 27, frame and Flashing - ' 76. Dry Standpipe �� ' �28._ Lathing & Siding � " : 77: FIXED SYSTEM FINAL - 29. Insulation __ � ' .• ' 78.� FIRE PREV. FINAL � 30. Drywall Nailing .- r. _ �� _ HEALTH�DEPT. FE�UIREMENT '31. Plaster Brown Coat� � � � '- �_ � 79. FINAL INSPECTION' - '�32.��Electrical Power Metei-Final ' � 80. FOOD CERTIFICATE ISSUED ._ = 33.�Final Electric � ' No4es: "•�"! � ' ' � , _� � 34._Final Heating & Air Conditioning �, - ' ",� . .-. � � ' ,i� Y35: Final Gas Pipe•Test �- � • ._ �' ' � � " �'36. Hooil or Canopy � t� ,- , ' , _ ' ` -'37. Final Factory Fireplace ' - - ' ' • '38. Final Plumbing � � , _ , � � 39. Water Service�Final _ + �'. � �� . � ' ,40. Gas Service-Final � ' - _ � ' ' � ' ' i _�41. Solar pomestiaFinal �� • . � � .. � _ 42. Backflow Preventer" - _ . � 43. Backflow Irrigation _ � � � , + � ' ,- 44. Landscape lirigation System � Y �° � �" � - - _ -. . _. � :. 45.- Sound Attenuation - •� - ' � � ` ' . • - � � 46.� Handicap Regulations - . � - -� �� ' 47.'FINAL STRUCTURE & BUILDING • = � V � � � 48�. FINAL PLANNING = • } . 49. Electric Release to,Edison . . , 50: Gas.Release to $outhern California Gas Co ' '_ _ . ' 51. CERTIFICATEOFOCCUPANCY ' � No. � Date