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Home My WebLink About2520 SANTA CATALINA DR - Building Permits City of Costa Mesa Development Services Department . CERTIFICATE OF OCCUPANCY No. 902489 Building Safety Division P.O.Box 1200 Costa Mesa,California The Building located at 2520 Sante Catalina Dciv, has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group— Rl Occupancy. Use of Building Apartments Legal Description 420-212-10 (See reverse side for Metes and Bounds) Building Permit No R 11107 Electrical Permit Nopa.t1 Q.C•140(1/1 Plumbing Permit No PncCuel D1G.100 Mechanical Permit No. M 1AMQ2 Number of apartments 1g and/or guest rooms ISSUED TO: Building Official William T. HntrarA Fairview Management Company 2520 Merrimac Way by _ _ sf Costa Mesa, CA 92626 Date April 18, 1989 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev.1/83 White-Owner;Canary-Numerical File;Pink -Bldg.Permit File /4 - Applicant to fill in all spaces except those within heavy border lines and sign all appropria'ekeclarations. - PERMIT NO. TRACT NO. . LOT NO. UNI O. ' CITY OF cpSTA MESA CONSTRUCTION PERMIT B 33 / /2ss8 "~�"� Prpject Address 2SZo 5'MA r4 GoTA edam ,A.PJ✓B &N Io7 �� p x/}20 .�Mc44,,'1)4C CIS. 92626 TYPE OF CONSTRUCTION KNEW Li ADO U ALTERATION U REPAIR 8921 4/ 18/BO 3432 Q7 Ti Applicant's Mailing Addre55L ❑ CONVERSION ❑ DEMOLISH ❑ OTHER Owner's Name fAykU/fiv .N6/4T CO Phone 54-5•'7327 - A.P.AP # 4'20 i Z, 2 �. I O . Zone _ D�ERIPTION OF WORK/Okii�LDG. Address SAvAF J S Main Building: v -Accessory Building: Arch/Eng.af-4FLic'f•-eTh reg LA3SOC License No. TYPE OF PERMIT 1-1 FOUNDATION ❑ STRUCTURAL T Front g - p Address Zf22'S "l/«-C +' De- .44€1.1.a...<4 flZts 926 w—•I • CI TENANT CI ELECTRICAL. CI PLUMBING CI MECHANICAL B Rear Q-�M' Contractor's Name CI OTHER A 1 aw z.LQ/ IrJl f/! Phone s'4`^c C Right • N PROJECT DESCRIPTION SQ. FT. 1. IInn OCCUPANC C G Address(mailing/ 5A-44C , r g • CONSTRUCTION TYPE vN VALUATION$ 1 w $ Left / City License No.• (4-361 'ZONE GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION '• _ Ping. Ref, # PA 65-/8 E I hereby affirm that I am licensed under provisions of Charter 9 (commencing , : Remarks: / ( �t,, Plannin Notes: • with section 7000) of Division 3 of the Business and Professions Code, and, "`•' I`-'�-�r1/�1 ��' �*- -` 's �7 g PNA s� B % - M my license is in full force and effect. _ T License Class License No. $ Date Signature .V� - PLUMBING FEES • HOLD FOR SPECIAL REQOIC.LMLNTS WORKERS'COMPENSATION DECLARATION Bar Sink Showers • I hereby affirm that I have a certificate of consent to set -Insure or a certificate ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section• • Backflow Preventer Service Sink 3800, Lab, C.) Automatic Washer Transformer 0 15-50 KW Policy No. Company .V /� s' ' Backflow Irrigation Sewer Cap Construction Pole Sub. ❑ 50+KW ' E Certified copy is hereby furnished. ,- Certified copy is filed with the city Building Division. . Bathtubs Sewer Connection Cooking Unit Meter Duo to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors - Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100)or - - less). - Dishwasher Solar Piping Dryers ❑Gas DElectric Sub Panel I certify that in the performance of the work for which this permit is issued,f - - shall not emplo any person in any ma ner so as to come subject to the _ L. Drinking Fountains Solar Tank Fan Motors 00.1 HP 01%-8 Workers'.�y�n �y+lation Laws of Calif a. _� Date y(!!�/97 Signature q�✓'I' ^�, • Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP 016-15+ NOTIC f,after making this declara n,y hould Come subject to the- Workers' Compensation provisions of the or Cod , you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this pe it shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets t Water Closet Device Boxes I hereby affirm that there is a Construction lending agency for the performance - - .'.Ole Light of the work for which this permit is ue�1 ( ttion 3097 Civ. C.) Interceptors J •h Water,Heater Lender's Name •372C4 7" AAIa-IC3 ayu p Outlets Range. Lender's Address FM ?o ST Si:. rte; >O/C.G` n 9Z./43 Kitchen Sink Water Service ry OWNER BUILDER-DECLARATION - Switth¢5 , SignI hereby affirm that I am exempt from the Contractor's License Law for the Lavatories ..,y - • Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or - Garbage Disposal ,t Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap _ ft'. Laundry Trays Generator 00-5 KW❑5-15 KW '.?`-.9y structure, prior-to its issuance, also requires the applicant for such permit I - Trash'COmpactor file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains • Ie Contractor's License Law (Chapter 9 (commencing with Section 7000) of - Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil ' enalty of not more than five hundred dollars($500).I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 ' Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered , Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 ({/ sale. I1 however, the building or Improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By Date ` pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date prove for the purpose of sale). - 11 ,, � _- 1 [�/ (/ J p }2'I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By W«t t-si I a"`' tis/\ Datp4`l ti -NS tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU . SUMMARY OF FEES builds or improves thereon, and who contracts for such projects with a con- — tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ 2104-S4 gJ SMIP $ . 19 proof of their Worker's Compensation insurance should be provided to me. - PLAN CHECK $ 412 •04- PERMIT 0 I am exempt under Section B.8. P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ _ ISSUANCE $ - Date �_ Owner Heating System& Ducting Registers I ENERGY P.C. $ PLAN CHECK 25% $ I hereby cerci y that I have read is ap tion a state that the above ❑6100,000 BTU 0100,000 BTL ELECTRICAL $ GRADING $ • Information is correct. I agree to comply h all cit and county ordinances ttand state laws relating to building constru tion,and hereby authorize repro- PLAN CHECK 50% $ MICROFILM $ fives of this city to - ter upon the -above-mentioned pr p ty for 32 .91 inspection •.j poses,Si Signature •••••, _ Dater l MECHANICAL $ TOTAL FEE $ Drivers' L';ense • 5 /LReinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $ 1 CMF 0865.46,rev. 10 :4 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor , • CONSTRUCTION AND PLANNING • - POOL&SPA - APPROVALS .-Permit.# " `% -Date 'Inspector APPROVALS Permit# Date , _Inspector . 1..:Temporary Electrical Service.or Pole • 52. Pool & Equipment Location . 2..Soil Pipe-Undrgrnd. • t" 53. Steel Reinforcement , 3. Electrical Conduit Utility-Undrgrnd. 54. Forms • • 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding . 5. Steel Reinforcement �- 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. - him Oa 57. APPROVAL TO COVER-GUNITE . r 7. Footings 1. /e8 Dd 58. Electrical Conduit-Undrgrnd. 8. Foundation; •'t 59. Gas Pipe, 0 Undrgrnd.,Test . t 9. Water Pipe-Undr'grnd.' 60• . Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System �jp/88 ® - 61. APPROVAL TO DECK , 1 ;, • ' 11. Property Sewer Line& House Connection 62. Backwash & Receptor-Final:4 9 12. Sewer Cap - 63. Heater & Vent-Final S („::, ..i. - / ) 13. Roof Drains 64. Plumbing System - Final' 5 r ',. (;r ri S 14. Rough Plumbing 65. Electrical-Final " ::11-, 'j 15. Rough Electrical-Conduit 66. 'Solar System-Final ,. 16. Rough Electric Wiring 67. Fencing & Access Approval - 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING -• 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS'FINAL ; 1 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 1.. 20. Rough Factory Fireplace APPROVALS Permit# " I -21. Ducts,in Structure - r . • - - 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ❑Gas OOrl• ' 23. Gas Pipe-Rough & Test 72. Underground Flush • 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑Oil 25. Roof Sheathing �� 74. Overhead•HYdro 1 . ..26. T-Bar Ceiling (Structural) & Monocoat l 75. Dry Chemical, _ 27. Frame and Flashing tyo-IL 76. Dry Standpipe28. Lathing & Siding ��J�Jfir 77. FIXED SYSTEM FINAL _ . • , • 29. Insulation his is- 78. FIRE PREV. FINAL 30. Drywall Nailing !� 8//////� r•44 HEALTH DEPT. REQUIREMENT - • 31. Plaster Brown Coat (,i _ 79. FINAL INSPECTION `_ , 32. Electrical Power Meter-Final ° 80. FOOD CERTIFICATE ISSUED - . 33-. Final Electric Notes: - 34. Final Heating & Air Conditioning • a u gu nre�tesr. •s�uin Ytr ,p/y�/¢/J��+ 35. Final Gas Pipe-Test 6 •/- �l _- 36. Hood or Canopy ( l /_ t ON 12-1 b �p . 37. Final Factory Fireplace . ( y. 38. Final Plumbing ' . 39. Water Service-Final - i • 40. Gas Service-Final i7 41. Solar Domestic-Final 42. Backflow Preventer I - ;e 1 o 43. Backflow Irrigation . II, - - • . Py' .44. -Landscape Irrigation System ' - -45. Sound Attenuation 4) r; • 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 9 2/1: Wt_ ' - •46. Special'Requirements Completed V 4 ' ,. ' 49. Electric Release to Edison - - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date ' IIPrQ 220 _ _ I„,., Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • ICIT,yOF•COSTA MESA CONSTRUCTION PERMIT — P ITN �/ /� TRACT�1NO. LOT NO. - ' UNIT NO. 1,Project Address ,2fl0 SA S-sr'i Z-v a. 3 s- �7 T ,f�''�✓� J l '—/.V ° �d Applicant's Mailing Address -�ysG•Y TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION U REPAIR . Ewe '� El CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# • Zone • Owner's Name (/ t4#P WORK/USE,/ DESCRIPTION OF OF BLDG. Address y'#j'� SY A OW' / 9e� tatiE '/T S Main Building: Accessory Building: -Arch/Eng. License No. TYPE OF PERMIT LI GRADING El FOUNDATION H STRUCTURAL E Front at 000C3998-00003999 TOT 328.o Address ❑ TENANT El ELECTRICAL 141 PLUMBING Ill MECHANICAL BOTHER B Rear • - N Contractor's Name P�4�a`,BV/r'1�ap� A�. Phone C Right N / PROJECT DESCRIPTION SQ. FT. OCCUPANCY Address(mailing) 0113 (( CON ST RUCTION TYPE . . VALUATION$ S Left Q City License No. a7JY•'sa ZONE GRADING CU,YDS. ACRES_ R LICENSED CONTRACTOR DECLARATION Ping, Ref.# Parking Req,/Provided E 1 hereby affirm that I am licensed under provisions of charter 9 (commencing Remarks: �( y T qr Planning Notes: Q with section 7000) of Division 3 of the Business and Professions Code, and 5410 � A1,'/ 5 433/01 M myUc license is In lull force and effect. VI- Y3 S Daense Classraryi,�_ Lice NQ 1S3 PLUMBING FEES Date •�� Signature ..� • WORKERS'COMPENSATION DELL RATION Bar Sink Showers . 12101 I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink l5% 3800, Lab. C. /� -• Automatic Washer Transformer 0 15-50 KW - Policy No.,�, �'�� Company � , 20 Backflow Irrigation Sewer Cap po Construction Pole Sub. 0 50+KW 44Gertified copy Is hereby furnished. .\ ]Icer IP11 py Is filed with the city Bu DIvisla- a Bathtubs Sewer Connection - ' Cooking Unit Meter ❑up to 100 amps • - . v, Oate �,/ Applicant rite -"tamed EXEMPTION FROM WORKERS'COMP SATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps • (Thissection need not be completed if the permit Is for one hundred ($100)or I less). - y, Dishwasher Solar Piping ' Dryers ❑Gas ❑Electric I certify that In the performance of the work for which this permit is issued, I , - 1� y Sub Panel - shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP 0i14-8 Workers' Compensation Laws of California. _ Date Signature Floor Drains Swimming Pool w/Spa F.A.U. NOTICE:If,after making this declaration, you should become subject to the - Inc.Solar ❑9-15 HP ❑1645+ • Workers' Compensation provisions of the Labor Code, you must forthwith / Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave . CONSTRUCTION LENDING AGENCYGas Service Outlets �q�ss Water Closet ��s - I hereby affirm that there is a construction lending agency for the performance /7 �� a„r� W Device Boxes Pole Light • of the work for which this permit is issued (Section 3097 Civ. C.) — .. Lender's Name r. - Interceptors /� Water Heater 3f�pQ Outlets` Range ` Lender's Address _ ao Kitchen Sink Water Service 32.- Switches Sign - OWNER BUILDER DECLARATION • A^ -.. I hereby affirm that I am exempt from the Contractor's License Law for the IRY Lavatories Auto-Wash I'' 00 Garbe C Di5 osal following reason (Section 7031.5 Business and Professional Code:.Any city or IatY �_ yy 9 P StandingSections -ounty which requires a permit to construct,alter,improve,demolish or repair P-Trap / Laundry Trays ` -'o Generator ❑0-5 KW ❑5-15 KW' - y structure, prior to its issuance,also requires the applicant for such permit - Trash Compactor , file a signed statement that he/she is licensed pursuant to the provisions of - Roof Drains se Contractor's License Law(Chapter 9(commencing with Section 7000)of •. - . Division 3 of the Business and Professions Code) or that he/She is exempt - -t ' 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 - enalty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 • compensation, will do the work,and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3 - for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves - thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement is sold within one year of corn- Canopy Type II ❑ Zoning Approved By Date- •pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By A - Date rove for the purpose the f oe). S _j I,as owner of the property, Se exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By = �� Date --'S,[�Ol tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU SUMMARY OF FEEW ' • builds or improves thereon,and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware thatExhaust System ❑ Multiple❑ System Repair/Alteration BUILDING PERMIT $' SMIP $ proof of their Worker's Compensation insurance should be provided to me. ❑ 1 am exempt under Section B.& P.C.for this reason Firepl/Fact,BIt, ICBO# Fire Dampers PLAN CHECK $ PERMITPLUMBING $ 2(003'X) ISSUANCE $ — Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ 025:-.00 ENERGY P.C. $ _ 1 hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100,000BTU GRADING $ • information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of this city t• -nter u•on •he above-mentioned property for �p �,ys Inspection purposes. / t MECHANICAL $ TOTAL FEE $.3etG Signature -4 •� - _ _ Dat r - — Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ Drivers' License or S _.�.�' .. �; Pink -Accounting; Goldenrod - Assessor — I CONSTRUCTION AND'PLANNING POOL &SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1.\Temporary Electrical-Service or Pole 52, Pool & Equipment Location 1N' 2!,Soil Pipe-Undrgrnd. 1,.. stair Geo 53. Steel Reinforcement • 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement/; 56. Rough Plumbing & Pressure Test , 6. Electrical UFER Grnd.4; 57. APPROVAL TO COVE R-GUNITE , 7. Footings Ci ,1:'7 58. Electrical Conduit-Undrgrnd. 8. Foundation r-- 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pip CCUndrgrndY .5/416? cc() 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line).House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 7/z/$' ter-0 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final . 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign .0 G r C o 68. AP.PROVE4,FOR PLASTERING 18. Rough Electrical-T Bar Ceiling )1C/ , t.-t ' 69. POOL/SPA SYSTEMS FINAL , - 19. Rough Heating & Air Conditioning ✓ 10 ` I 'I `AFIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro ' 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush - 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil - - - , 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing - ,, ,may L: 76. Dry Standpipe • 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT ' 7 31. Plaster Brown Coat di 79. FINAL INSPECTION I , ' 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED • '.J 33. Final Electric Notes: n1 34. Final Heating & Air Conditioning 1 35. Final Gas Pipe-Test 11/70.r., (,g-fj r ,i 36. Hood or Canopy • 37. Final Factory Fireplace :••• , 1 38. Final Plumbing 3Jjg/g tED ''- t- 1 39. Water Service-Final . �- v ' • 40. Gas Service=Final 41. Solar Domestic-Final f}i - 42. Backflow Preventer I .1 1 ' 43. Backflow Irrigation I.17 1 ,' 44. Landscape Irrigation System 4� '?• • , ' 45. Sound Attenuation . I 46. Handicap Regulations i - I. '1 I. 47. 'FINAL STRUCTURE & BUILDING u ' Ii ,'' t. , .y; Li 48. Special Requirements Completed 7, L.: I 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 'a 51. CERTIFICATE OF OCCUPANCY e No. Date y /4 . . Ira 0 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. ate, CITY OP'COSTA ^MESA O•: TRUC -ION ' R 'IT - PERMIT TRACT NO. LOT NO. UNIT NO. Project Address •�•� -LI / ��I /- '� PI �� `2-3��J �, -, •v TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAI R Applicant's M. ing Address i ��_�i « y - O ❑ CONVERSION El DEMOLISH OTHER Ii4fgrA p # _ Zone Owner's N. /L1 =Ira/ �'�� /� " . e L� - DESCRIPTION /U OF BL G. Address ' D air- / / �,c�• S Main Building: Accessory Building: Z Arch/Eng. License No. TYPE OF PERMIT GRADING ❑ FOUNDATIOpONN��❑ STRUCTURAL E Front Q Address `� a ❑ TENANT ❑ ELECTRICAL ❑ PLUMBINGECHANICAL B Rear N Contractor's of :.!A��s��s Caption". • —liHER I Address(mailing) . ��T`T/ . ii� oR� , RO❑JECT-DESCRIPTION SQ. FT. OCCUPANCY C• Right • G ��•/ CONSTRUCTION TYPE VALUATION$ Left . • CityLicense No. / S R [ ZONE' GRADING CU.YDS. ACRES E LICENSED CONTRACTOR DEC Aa-a4462 - Ping. Ref.# Parking Req./Provided • I hereby affirm that I am licensed under provisions of Charter 9 (commencing ''./... y� •////^/'��'II Planning Notes: M with section 7000) of Divi 3 of the Business and Profe sions Code, tl < 633) D / T my hoe a is in ff I force a tl effet:{,�1 a S J✓ JJ Licen-' I. .,/ OV :•se No. - - - S .....\s Date # air.Signature ��=:r_- .'_ .+' PLUMBING I FEES , WORKE•S'C -MPENSATION DECLARA Bar Sink Showers ELECTRICAL FEES ` I hereby affirm that I have a certificate of consent to self-insu r a c- tificate of Worker C,pmpensation Insuraaa sce, or a eerily d copy WV eof ( -ction Backflow Preventer Service Sink 3800, La�.�'Q ?�/1G - / T- 7 Automatic Washer Transformer 0 15-50 KW Policy No. Company P' Backflow Irrigation Sewer Cap Construction Pole Sub. ❑ 50+KW �prrti fled copy Is h reby .furnished. - ?Sri: c 'e the city Buil•ing • Bathtbbs Sewer Connection Cooking Unit Meter. Duo to100 amps Date pplicant - vV „ EXEMPTIO FRO I WORKERS'COMPENSATION DECLARA Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps . (This section need not be completed if the permit is for one hund 4$100) or , • less). ' Dishwasher Solar Piping Dryers ❑Gas DElectric Sub Panel _ 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 Drinking Fountains Solar Tank Fan Motors 00-1 HP ❑1,%:B Workers' Compensation Laws of California. _ Date - Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+ NOTICE: If,after making this declaration,you should become subject to the - - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. • - Microwave CONSTRUCTION LENDING AGENCY Service Outlets Water Closet ='1 I hereby affirm that there is a construction lending agency for the performance cos 1 Device Boxes Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) interceptors I Water Heater ` Outlets Range Lender's Name Lender's Address - Kitchen Sink - Water Service • Switches Sign - - OWNER BUILDER DECLARATION • I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections following reason (Section 7031.5 Business and Professional Cade: Any city or - - _ county which requires a permit to construct,alter,improve,demolish or repair P•-Trap Laundry Trays Generator ❑0-5 KW 05-15 KW Trash Compactor any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed Pursuant to the provisions of 'Aoof Drains ij ' _ the Contractor's License Law (Chapter 9(commencing with Section 7000)of - ,- Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil — - enalty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee • • $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own Boiler - Hood or Type I 0 DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for 'Zoning Approved By Date • sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Dat proverovefor the purpose of sale). — ❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who buct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or improves thereon, and who contracts for such projects with a con- _ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ _ SMIP $ proof of their Worker's Compensation insurance should be provided to me. _ - PLAN CHECK $ _ PERMIT ❑ I am exempt under Section — B. 8 P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date Owner �I /' HHkk,,ea`�,ting System& Ducting Registers _ 36. 00 PLAN CHECK 25% $ ENERGY P.C. $ hereby certify that h: ead this application and state that the above / 100,000 BTU ❑100,0006TL ELECTRICAL $ GRADING $ - information is correc•. I a. - ••ly with all city and county or in ce____s and state law- relati 9 t•,.. da - -tr .' , •nd hereby autfr ✓F S PLAN CHECK 50% $ MICROFILM $ sentatives of • - �v - the above-mentioned p Y inspection purpose-. • MECHANICAL $ Signature _ TOTAL FEE $ Drivers' License or SS# ' -Accounting; Goldenrod -Assessor laSmak1 00012081-00312082 TOT 40.00 DATE: 08/16/88 TIME: 08:01 1711 CONSTRUCTION AND,PLANNING POOL&SPA (APPROVALS Perrriitl# Date Inspector APPROVALS Permit# Date Inspector 1`-Temporary Electrica(-Seivice or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement • 3. Electrical Conduit Utility-Undrgrnd. 54. Forms , 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding r• 5. Steel Reinforcement 56. Rough'Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 1 .7.•'....Footings 58. Electrical Conduit-Undrgrnd. .} • ','BFFoundation 59. Gas Pipe, 0 Undrgrnd., Test IT 9.'Water Pipe-Undrgrnldi:r') 60. Backwash Lines,P-Trap, 0 Undrgrnd. I i ',i 10. Structural Floor System 61. APPROVAL TO DECK , ;'e.• � 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final I i 12. Sewer Cap 63. Heater & Vent-Final I-.. 13. Roof Drains 64. Plumbing System - Final .. 1. t ' , I 14. Rough Plumbing 65. Electrical-Final I 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough,Wiring Sign 68.-APPROVED FOR PLASTERING 18. Rough•Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough'Heating & Air Conditioning 164:7411 LFII FIRE DEPT. REQUIREMENT ('71 1. � 0. Rough Factory Fireplace APPROVALS Permit# ..2:1. Ducts, in Structure 70. Underground Hydro 7. 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough &Test 72. Underground Flush - • • J 24. Roof Framing - • 73. Undergrnd.Storage Tank 0 Gas 0 Oil - ' ' : -0 ' 25. Roof Sheathing 74., Overhead Hydro ' 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical � ' 27. Frame and Flashing 76. Dry Standpipe ,- V 28. Lathing& Siding 77. FIXED SYSTEM FINAL . 29. Insulation 78. FIRE PREV. FINAL r_ i-- 30. Drywall Nailing HEALTH DEPT. REQUIREMENT el 31. Plaster Brown Coat 79. FINAL INSPECTION Y ()Co 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED rn 33. Final Electric / Notes: T0•Z6'By /jor 21E.9ot•I. 4CO c. 34. Final:Heating & Air Conditioning 3/612 ff L so - .- 35. Final'Gas Pipe-Test ! .� i' J Y _ v3,6.1H6od or Canopy kpg . r. 37.Final Factory Fireplace "1- f• ,' --j/�� 38:=Final Plumbing -. i/ 7" "39. Water Service-Final ", 5 40. Gas Service-Final . - 1 ' "I 1 :7 .41. Solar Domestic-Final 1 ' ' .. - -r42. Backflow Preventer y. .� i • - 4 ' ,•�° 1 43. Backflow Irrigation v ' • `' Ly• ,. 4 i '' `., / 44.1end5cape Irrigation System - ( , r; 1 .,, i` 1. it IA 45./Sound Attenuation • y ;- .1-•-•/ 464andicap Regulations _ 10 _ i,_- -.- ' S. 4• ' 477. FINAL STRUCTURE & BUILDINGn' �'., r • ', 48. Special Requirements CompletedC-•� • ^�' 49. Electric Release to Edison y'" ---,_i Ir. 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY Ii; . No. Date • NC Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. - PER T NO. TRACT NO. LOT NO. UNIT NO. CITYOFxOSTAMESA. CONSTRUCTION PERMIT i A.P.# - • Zone Z 2 C'J S 4/jttt C.4TA I N4I .3 tt 2 7 8 Project Address 5 r - r ' S Main Building: Accessory Building: �a pplicant's Mailing Address i, TYPE OF CONSTRUCTION ANEW u ADD U ALTERATION L I REPAIR E Front Z - Me her Phone ❑ CONVERSION 0 DEMOLISH 0 OTHER T O Owner's Name --+-' DESCRIPTION OF WORK/US • BLDG. I B ' Rear . N Address - _ if . ' Arch/Eng. • • License No. \ TYPE OF PERMITN �-/ S GRADING P FOUNDATION a STRUCTURAL C Right G • Address 0 TENANT '$ELECTRICAL 0 PLUMBING 0 MECHANICAL S• Left R Contractor's Nam' - •' I •iA a .•'`.ne6 "2 .0 OTHER / . IPing. Ref.# Parking Req./Provided E / ' a ! PROJECT DESCRIPTION SQ. FT. OCCUPANCY PlanningNotes: • • Q Address(mailing) �l/�� ST-TL 7� N �y •Z T CONSTRUCTION TYPE - VALUATION$ M City License No. 39( ZONE - GRADING CU.YDS. ACRES LICENSED CONTRACTOR OE LARATION S. i I hereby affirm thatI am licensed underprosiess Charter 9 (commencing c enRemarks: with section 7000) of Division3 of the Business and ProfessionsCode,and • obws.� /p_ my license is in full fo ce tl effect. ELECTRICAL FEES Licens- SSA; / License •. 1..3 • i- _ Automatic Washer Transformer 0 15-50 KW 1 'Dater .• e Signature P-+-+= a-l-=� ._� PLUMBING I FEES f WORKERS' COMPENSATION DEC LA RATI+ - Construction Pole Sub. ❑ 50+ KW `_ i hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers �\ of Workers' Compensation Insus4nce, or a certified copy thereof (Section , Cooking Unit Meter Dup to 100 amps -BVV 3800, abet. . ✓r'"I f''' Backflow Preventer Service Sink �� \ Policy No. QV 7�t3SZ�mpany 5 fl •R_—d Backflow Irrigation Sewer Cap • Dishwasher Meter Dover 100 amps Certified copy is hereby furnished. . - ." Dryers ❑Gas ❑Electric Sub Panel Ceryl le�jgp joy with the city II in Divi o Bathtubs Sewer Connection • Date (prL�1 �C Applicant � � Fan • Motors❑0.1HP ❑1%-8 • A. EXEMPTION FROM WORKERS'COMPENSATI DECLARATION Clarifiers Solar • Collectors (This section need not be completed if the permit is or one hundred($100) or Dishwasher Solar Piping F.A.U. • Inc.Solar 09-15 HP 015-15+ less). i certify-that in the performance of the work for which this permit Is issued,I Fixtures shall not employ any person in any mr[an�ner so as to becomes bject o the Drinking Fountains Solar Tank • Microwave workersowyegsa 2 ws of Califcypla cow) Device Boxes- Pole Li ht Date �p r maks v Signature ismer L�f/l1! Floor Drains Swimming Pool w/Spa g NOTICE: If,after making this declaration,you sh become subject to the Outlets Ran e Workers' Compensation provisions of the Labor de, you must forthwith _. Floor Sinks - rinal.. - . . .. - _g • _. -- C • ONSTRUCTION with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Switches Sign • I hereby affirm that there Is a construction lending agency for the performance • Gas Service DUtle[s "Water Closet - - of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's' Name - Lender's Address • - Kitchen Sink - Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION —, - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories ' Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or ,. - — county which requires a permit to construct,alter,Improve,demolish or repair - P-Trap Laundry Trays • ' any structure, prior to its-issuance,also requires the applicant for such permit - to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains - - the Contractor's-License Law(Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt - - Reinspection Fee , $15 Issue Fee therefrom and the basis for the alleged exemption. Any violation of Sectiontir:ted - 7031.5 by any applicant for a permit subjects the applicant to a civil - enalty of not more than five hundred dollars($500). - DEVELOPMENT SERVICES REQUIREMENTS: O I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee_ $ 3• compensation, will do the work,and the structure Is not intended or.offered Zoning Approved By Date for sale. (Section 7044, Business and Professional Code: The Contractor's - MECHANICAL i FEES Building Approved By .�}' Date ereon Law dohs not apply to owner f a property who builds s or improves .0 �,t&. //// &� thereon,mpland who does such work ovementshimself/herself or through tende his or err own Application Issued By Gs•[is.�� /LLL" Date i/ - employees,If, hthat such improvements are not inwithin o or ofyear red for Boiler 'Hood oy Type 0 sale, If, however,wthe dopro issoldwithin ono your of com- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground rove'for rpose of sale). BUILDING PERMIT $ ' SMIP $ ' LII,as owner of-the property,am exclusively contracting with licensed con- Duct-StructuralRefrigeration System' PLAN CHECK $ , PERMIT tractorsto construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating . ❑0-100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $ builds or Improves thereon. and who contracts for such orolects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration 1 • PLAN CHECK 25% $ • ENERGY P.C. $ - proof off their Worker's Compensation insurance should be provided to me, ELECTRICAL $ �V� CO :GRADING $ ❑ I am exempt under Section B.&P.C.for this reason Firepl/Fact.Blt. ICBG# ire Dampers MICROFILM $ HeatingSystem PLAN CHECK 50% $ Date Owner y em&Ducting Registers 3D• Ga I hereby certify that I have read this application and state that the-above ❑0-100,000 BTU 0100,000 BTL _ MECHANICAL $ TOTAL FEE $ . Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction,and hereby authorize 1rrepre - • instectio o this city to enter. up mentDa etl propertv for_ \�O • , seSpecties p es /v'_ Signature •_ 30,110 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 1. - T CG1ISTRUCTION AND PLANNING .'OOL &SPA • APPROVALS Permit# Date Inspector APPROVALS Permit# I. Date Inspector 47 '11. Temporary Electrical Service or Pole ;�I • ` 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. i 53. Steel Reinforcement ••4, 3. Electrical Condriit`Utility-Undrgrnd: i 1 54. Forms . t 41JElectricalConduUndrgrnd. ' •i .. �" it; 55. Electrical Bonding • 5.'Steel Reinforcement 56. • Rough Plumbing & Pressure Test . 6. ElectricalUFER.Grnd. ` 57. APPROVAL TO COVER-GUNITE `,. '? ,7. Footings 1. , : • 11' iJ 58. Electrical Conduit-Undrgrnd. �I.. 8.'Foundation •? ? 59 . Gas Pipe, O Undrgrnd., Test It, 9, Water Pipe-Und grad. -4 •v il4' .•P :vat 60. Backwash Lines, P-Trap, 0 Undrgrnd. r 10. Structural Floor-System ;.1 n • 61. APPROVAL TO DECK 11.: Property Sewer Line & House Connection .- '; 62. Backwash &•Receptor-FFinal • 12. Sewer Cap'••• • -.ti ;� 'I I :, N 63. Heater & Vent-Final 13. Roof Drains �: ` •- 64. Plumbing System - Final V 1e Rough Plumbi i- - 'I 65. Electrical-Final i r • 15. Rough Electrical:Conduit - '66. Solar System-Final ,ie: Rough Electric Wiring • :67. Fencing & Access Approval '17. Rough Wiring Sign 68. APPROVED FOR PLASTERING - 18. Rough Electrical-T Bar Ceiling • 69. POOL/SPA SYSTEMS FINAL ,19. Rough,Heating & Air Conditioning FIRE DEPT. REQUIREMENT . 20. Rough-Factory Fireplace (-1{ , APPROVALS Permit#I 21. Ducts, in Structure 1,1 70. Underground Hydro 22.,Ducts,'Ventilating �r� 71. Product Piping 0 Gas 0 Oil 23.--Gas Pipe;Rough& test . . • - 72. Underground Flush ' ` r - 24. Roof Fr9Fning ! . 73. Undergrnd.Storage Tank 0 Gas 0 Oil . ' ^ -25. Roof Sheathing ;1 74. Overhead Hydro 26. T-Bar Ceiling (Structural) &,Monocoat ' 75. Dry Chemical ;.27. Frame and Flashing , I: 76. Dry Standpipe • :28. Lathing-17 Siding - /•' 1 • 77: FIXED SYSTEM FINAL ' 29. Insulation . 78. FIRE PREV. FINAL - 30. Drywall Nailing HEALTH DEPT. REQUIREMENT i 31. Plaster Brown Coat . FINAL INSPECTION ,l . 32. Electrical Power Meter-Final �jj��% . FOOD CERTIFICATE ISSUED 33. Final Electric - -- Notes: 34. Final Heating & Air Conditioning ' ' • 35. Final Gas Pipe-Test - 36. Hood or Canopy • 37. Final Factory Fireplace 38. Final Plumbing 39. Water,Service-Final ' • • 40. Gas Service-Final • '� 41. Solar Domestic-Final V 42. Backflow Preventer -, kir, - I .7 43. Backflow Irrigation `•� - 1 ' 44. Landscape Irrigation System G ,v; 45. Sound Attenuation ir'9i t 46. Handicap Regulations 1 47. FINAL STRUCTURE & BUILDING I'• 48. Special Requirements Completed • • 49. Electric Release to Edison '2 I • 1.J 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY . No. Date tile, e'o Applicant to fill In all spaces except-those within heavy border lines and sign all appropriate declarations. ��77/� PERMIT NO. TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESAqq CO TRUCTIIO,,N�,PE/RMITT E 3 o .� A.P. •# I zone • Applicant's ess SaSO ��- CAi/NCJr✓/� U�. _ bKN S Main Building: Accessory Building: Applicant's MailinrQAddress�,-I ��II TYPE • OF CONSTRUCTION Lia NEW U ADD U ALTERATION U REPAIR E Front Z rAi viO4 14fm 6Ms rphone ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Owner's Name DESCRIPTION OF WORK/USE OF BLDG. �5 • A Rear Address Arch/Eng. -`- License No. TYPE OF PERMIT GRADING ❑ FOUNDATION ❑ STRUCTURAL jK Right Address �•� ❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ • Left •Contractor's Name 1 x0� t✓k1n2.1� Phone 77D-OaI• ❑ !OTHER - Ping. Ref.# Parking Req./Provided _ -ill Address(mailing) 1 Lps'C'MT. Abe F'Vl PROJECT DESCRIPTION SQ. FT. �f q 14 OCCUPANCY g - .Plannin Notes:�3SD 0 7 CONSTRUCTION TYPE VALUATION $City License No. D ZONE GRADING CU.YDS. ACRES • LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 5 2 Z/D , with section 7000) of Division 3 of the Business and Professions Code, and JJ /7 ELECTRICAL FEES my license is in Lull orce and effect. / A - Licenze Class 0 LziCense o 4(O4�7Y — ' Date Signature ',/7�` PLUMBING I FEES Automatic Washer Transformer III��❑III 15.50 KW WORKERS'COMPENSATION DE L RA'AON Bar Sink Showers Construction Pole Sub. /� 50+KW I hereby affirm that I have a certificate of consent to self-insure or a certificate g/ of Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter up t0 100 amps , 3800, Lab. C.) - _ Backflow Preventer Service Sink Policy No. 53fo31olo Company STATE 1--usiD Backflow Irrigation Sewer Cap - Dishwasher Meter Dover 100 amps - Tidrtified copy Is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel Cert""f ie Q cgr ed with the city-Byilding vision- Bathtubs Sewer Connection Date /0/iZ(o/ X APPlican4 l�QLl�j -3C-0,11 G�tLCQAG t Fan Motors❑0-1HP ❑1'h-8 1/ Fz Clarifiers Solar Collectors EXEMP ION ROM WORKERS'COMPENSATION DECLARATION (t (This section need not be completed if the permit is for one hundred ($100)orF.A.U. Inc.Solar ❑9.15 HP ❑16-15+ 1 less). Dishwasher Solar Piping s I certify that in the performance of the work for which this permit is issued I FI%t Uree — shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Compensation Laws of California. + • Device Boxes Pole Light Date Signature Floor Drains Swimming Pool w/Spa g ' NOTICE:If,after making this declaration, you should become subject to the . Outlets Range • - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal - ' I comply with such provisions or this permit shall be -deemed revoked. - CONSTRUCTION LENDING AGENCY - Gas Service Outlets Water Closet - Switches Sign I hereby afflrm that there is a construction lending agency for the performance . of the work for which this permit is 'issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's•Name Lender's Address - Kitchen Sink Water Service • Generator 00-5 KW 05-15 KW Trash Compactor - OWNER BUILDER DECLARATION - �1 AA /y�� I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash NEW r r/ ,03 �[ /3c. 1 q,y c 41742 following reason (Section 7031.5 Business and Professional Code: Any city or • county which requires a permit to construct,alter,improve,demolish or repair P-Trap • Laundry TraysET�S any structure, prior to its issuance, also requires the applicant for such permit • «'/// to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains - /5- 0 J the Contractor's License Law(Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she Is exempt - Reinspection Fee $15 Issue Fee • $2' 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 ' oenalty of not more than five hundred dollars($500).' ' DEVELOPMENT SERVICES REQUIREMENTS: I • • I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee ' $ 8 compensation, will do the work,and the structure is not intended or-offered Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEESBuilding Approved By Date License Law does not apply to an owner of a property who builds or Improves __ . �/ g�/ thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I 0 Application Issued By r�'li Date -`'a p • employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground • prove for the purpose of sale). BUILDING PERMIT $ SMIP $ • ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System • PLAN CHECK tractors to construct the project (Section 7044,Business and Professions Code: $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTUPLUMBING $ ISSUANCE $ builds or improves thereon, and who contracts for such oroiects with a con- 'ENERGY P.C. $ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ A �t ,�1�"��sa - proof of their Worker's Compensation insurance should be provided to,me, • • ELECTRICAL $ 43L,Tv GRADING $ - ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLAN CHECK 50% $ -- MICROFILM $ 2�'f /�� Date /0/p2f We owner Heating 000 Ducti010 , Registers MECHANICAL $ $ 43244V I hereby cers that have read this application and state that the above BTU❑0.100,000 ❑100,000 BTL TOTAL FEE information Is correc agree to comply with all city and county ordinances - • PLAN CHECK 25% $ , and state laws rel. o building co ruction,and hereby authorize repre- • sentatives of thl to ///��snter up n the above-mentioned propeerrty�•ffoorr • inspection Purpot =��[? Date/OA-VW Drivers' License •r SS • Reinspection Fee $15 Issue Fee $ 3 - 01 00017962-00017962 T 0 T 432.42 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink - Accounting; Goldenrod - Assessor DATE: 10/26/88 TIME: 16:24 1 - CONSTRUCTION AND PLANNING J • " _ PVOL &SPA"tr ' ' APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2.,Soil_Ppe-Undrgrnd. Il' V. 53. Steel Reinforcement '3-Electrical Conduit-Utility-Undrgrnd. 'r -y 54. Forms it4. Electrical Conduit Ondrgrnd. 55. Electrical Bonding /4p, 5..Steel;Reinforcement�' 56. Rough Plumbing & Pressure Test • I v, (6. Electrical UFBR-Gfnd. . /+' :_1 57. APPROVAL TO COVER-GUNITE _ �l i 7 Footings ?Z.r , ,� 58. Electrical Conduit-Undrgrnd. i• lc, 8. Foundation r '" it:' 59. Gas Pipe, o Undrgrnd.,Test "�� 9:•t Water Pipe-Undrgrnd. � L i's60. Backwash Lines, P-Trap, D Undrgrnd. 10:,Structural Floor System r' 61. APPROVAL TO DECK 11`. Property Sewer Line & House Conlnbction ; '1 --- 62. Backwash & Receptor-Final 12. Sewer Cap Iv .•!•1 1 0T 63. Heater & Vent-Final 13S Roof Drains J. • 2.- O 64. Plumbing System - Final 14. Rough Plumbing" 65. Electrical-Final - 15. Rough Electrical-Conduit 66. Solar System-Final 1'6. Rough Electric Wiring 67. Fencing & Access Approval • . 17. Rough Wiring Sign • 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceilin4, 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conc itioning FIRE DEPT. REQUIREMENT .20. Rough Factory Fireplace t:L', APPROVALS Permit# , IJ 21. Ducts, in Structure is 70. Underground Hydro . 22. Ducts, Ventilating '� 71. Product Piping 0 Gas. 0 Oil ' 23/Gas Pipe-Rough &-Test 72. Underground Flush 24. Roof Framing i_... o - 73: Undergrnd.Storage Tank D Gas 0 Oil . 25. Roof Sheathing a" - 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^ Insulation78. FIRE PREY. FINAL 30. Drywall NailingHEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat79: FINAL INSPECTION 32. Electrical Power Meter-Final 2-6-89A' 80. FOOD CERTIFICATE ISSUED Th 33. Final Electric _7.G- ' iegvz Notes: 34. Final Heating & Air Conditioning • 35. Final Gas Pipe-Test • 36. Hood or Canopy . t, 37. Final Factory Fireplace - '11/ 38. Final Plumbing 39. Water Service-Final - 40. Gas Service-Final 41. Solar Domestic-Final • �, 42. Backflow Preventer i 43. Backflow Irrigation 44. Landscape!Irrigation System •'7 45. Sound Attenuation - Lt.. • 46. Handicap Regulations • • ,I 47. FINAL STRUCTURE & BUILDING • 48. Special Requirements Completed • - 49. Electric Release to Edison . . .. . •1 I. 50. Gas Release to Southern California Gas Co ./ .. :9 51. CERTIFICATE OF OCCUPANCY I " r :..1-- _ No. Date .t4- -' iI ' s z, . /01 • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. . PERMIT NO. TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA ONS RU PERMIT A.P.{p hone - P-3C /99 (�ss �3 • Protect Address �10 t_ I - S Main Building: Accessory Building: Applicant's Mailing Address �(� TYPE OF CONSTRUCTION NEW ADD ALTERATION U REPAIREZ ❑ CONVERSION El DEMOLISH El OTHER T Front 0 Owner's Name !�'ls+��,'�-=� �h ' - one�< z2.7z7DESCRIPTION OF WORK/USE OF BLDG. A Rear N Address f''7r^� asiti 0062/w - - Arch/Eng. License No. TYPE OF PERMIT U GRADING U FOUNDATION LI STRUCTURAL C Right G Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ • Left R 7t_ f y� ❑ OTHER Ping. Ref.# Parking Req./Provided Q Contractor's Nam %r^.� Phone v/ Address(mailing) PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: M ��^ CONSTRUCTION TYPE VALUATION$ T City License No. V ZONE -- - GRADING CU.YDS. ACRES $, LICENSED CONTRACTOR DECLARATION ) I hereby affirm that0) I am licensedion under provisionsnCharter i (commencing Remarks:LS,� jte 3/a 2 with section 7000) of Division 3 of the Business and Professions Code, and �.II� ELECTRICAL FEES my license is in full force nd effect. /f 'rices/¢ Class -i License No.,_, - k fate /A--/f..- Signature �� PLUMBING FEES Automatic Washer Transformer 0 15.50 KW WORKERS'COMPENSATION DEC RATION Construction Pole Sub. 0 50+KW I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers of Workers' Compensation Insurance, or a certified opy thereof (Section ' Cooking Unit Meter Dup to 100 amps - 3800, Lab. C.) Backflow Preventer Service Sink• I Policy N .Cla777u739/ Company Backflow Irrigation Sewer Cap Dishwasher _ Meter Dover 100 amps C 'tied copy is hereby furnished. 'Dryers ❑Gas •❑Electric Sub Panel f ertifietl cop filed with the city Building ivisi i — Bathtubs Sewer Connection , Date [t/ -. Applicant Applicant Fan Motors❑41 HP ❑1X-8 0 EXEMPTION k OM WORKERS'COMPE AT ON DELLA ION Clarifiers Solar Collectors • letsis section need not be completed If the permit is for one hundred ($100) or Dishwasher Solar Piping F.A.U. Inc.Solar 09-15 HPD 16-15+ I certify that in the performance of the work for which this permit Is issued I .F ix[Ufes • shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank - Microwave Workers' Compensation Laws of California. Date - - Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE: If,after making this declaration,you should become subject to the e Outlets Ran Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal 9 comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY • �7 / Switches Sign - Gas Service G Outlets Water Closet 00 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097 Civ. C.) nterceptors Water Heater Garbage Disposal Standing Sections Lender's Name - Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor • OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following'reason (Section 7031.5 Business and Professional Code: Any city or runty which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays y structure, prior to its issuance, also requires the applicant for such permit . J file a signed statement that he/she is licensed pursuant to the provisions Of •Roof Drains the Contractor's License Law(Chapter 9 (commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee ! $15 Issue Fee $ 3 therefrom and the basis for the alleged exemption. Any violation of Section 70315 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: 'LJ I, as owner of the property or my employees with wages as their sole Reinspection. Fee 1 $15 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or.offered _ Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or Improves _ _ _ _ _ thereon, andwho does such work himself/herself or through his or her own Application Issued ByDate_ employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement is sold within one year of coca- Canopy Type II 0 SUMMARY OF FEES pietion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ oI, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ tractors to construct the project (Section 7044,Business and Professions Code: PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating D0-100,000 BTU E1100,000 ,,LL100,000 BTU PLUMBING $ T.00 ISSUANCE $ builds or Improves thereon. and who contracts for such orolects with a con- tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof oftheir Worker's Compensation Insurance should be provided to me. ELECTRICAL $ GRADING $ 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG 4k Fire Dampers MICROFILM $ — PLAN CHECK 50% $ Date Owner - Heating System& Ducting Registers MECHANICAL $ ❑6100,000 BTU ❑100,0008T1� TOTAL FEE $ %Art I for at certifysthat I haverread this application and state that the above PLAN CHECK 25% Information is correct. agree todi comply with all city and y countyh rite repre- sentatives nee- $ and state lows his c itg to bending construction,ve- entioy dulho fo ispctiop this city to enter upon the .rove-mentioned property/ �fo/r inspection sat ure pure• _J.-- Signature r!f%,/ Signature - - Date/j'� Reinspection Fee $15 Issue Fee $ 3 Drivers' License or SS 44 01 00019522-00019522 TOT 4.00 , .. 0865-46,rev. 5/88 White - Building: Canary - •pplicant; Pink - Accounting; Goldenrod -Assessor DATE: 11/15/88 TIME: 11:48 . , h.CONSTRUCTION AND PLANNING 7 )OL &SPA • - . r Date Inspector Date Inspector ti. APPROVALS Permit# r: APPROVALS Permit# . ,/,�/ er1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 4 2. Soil Pipe-Undrgrnd. • , I -� • 53. Steel Reinforcement 1 4 I . .V - 3JElectrIical Conduit Utiliiy-Undrgrnd 1:21 54. Forms • r J - /-. 4:,Electflc?I Conduit-Undrgrnd. iT' y! 55. Electrical Bonding . - S:�fStee1%}ieinforcem6t 'IT, . 56. Rough Plumbing & Pressure Test //f"' rt Va�Elect'rical UFERI� . ,r me v 57. APPROVAL TO COVER-GUNITE r ' 7. 'Foof!ids 1 i ,� 58. Electrical Conduit-Undrgrnd. Bre'Foundatjon 7 /4 �7 59. Gas Pipe, O Undrgrnd., Test, ;9�;Water P`pe-Undrgrnd. �� 4' / 60. Backwash Lines, P-Trap, ❑ Undrgrnd. . 10:u Structure l Floor System ;1 /J 1 61. APPROVAL TO DECK 11.IPro1`perty,Sewer Line & House Connection i ! 62. Backwash & Receptor-Final •: 121 Se Is >` `L' l-r 63. Heater & Vent-Final ,,,�. ..r i �,{ r 13.:'Rgofprains 1,' LI i 64. Plumbing System - Final - r' 14. Rough Plumbin ' v.' 65. Electrical-Final 7' 15. Rough Electrical-Conduit 66. Solar System-Final - 16. Rough Electric Wiring 67. Fencing &Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceilirg7 69. POOL/SPA SYSTEMS FINAL . 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT _ • 20.' Rough Factory Fireplace ,'7, API1ROVALS Permit# it. Ducts,in Structure ":"7" ' 70. Underground Hydro . 22' Ducts, Ventilating ( • 71. Product Piping 0 Gas 0 Oil . 23j Gas Pipe-Rough & Test " it 72. Underground Flush 24.7 Roof Framing 1 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing .. %/' 74. Overhead Hydro - 26. T-Bar Ceiling (Structural) &'Monocoat 75. Dry Chemical y 27) Frame and Flashing f 76. Dry Standpipe • ' 28. Lathing& Siding V 1 77. FIXED SYSTEM FINAL i _ 29. Insulation I,-, 78. FIRE PREY. FINAL • v- 30. Drywall Nailing �% • HEALTH DEPT. REQUIREMENT; 31. Plaster Brown Coat t1J 79. FINAL INSPECTION • ' 32. Electrical Power Meter-Final 80.. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: ` 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test L//fi/ LJrp 36. Hood or Canopy `r// 37. Final Factory Fireplace 38. Final Plumbing {i/nk9 ( fj . • 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 1.. 43. Backflow Irrigation .i 44. .Landscape Irrigation System ' 45. Sound Attenuation 46. Handicap Regulations , 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co ' 51: CERTIFICATE OF OCCUPANCY No. Date ,