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2527 SANTA CATALINA DR - Building Permits
Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. S CITY OF COSTA SA C�J{p-STRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. �tUNIT NO -Rq V Project Address 0 /_err?r�� GC/egg 1 $'.� 3G3 ti `�"S yv Me. TYPE OF CONSTRUCTION LJ NEW ADD ALTERATION LI REPAIR Applicant's Mail•; Address p I _/[ r./y '� y ❑ CONVERSION ❑ DEMOLISH -❑ OT R.t A.P.# c-h 0 - °I)-- - k` (Zone �p'`-� •Owners Nam . ed �.�Phan• + [>• DESCRIPTION OF WORK/USE OF BLDG. L�''� r 77, Adress i - - �-/ S Main Building: Accessory Building: .iii d g4 Z Arch/Eng.��/i ,�lL �s/�.t)ense NO. TYPE OF PERMIT ❑ GRADING FOUNDATIONSTRUCTU RAL T Front _ • D Address- �"'-'���'4� /�`��-/ -- #hn2� k� ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B Rear //!4' N �v, to ❑ OTHER A • Contractor's Nam> -- Phan- +A 7C Right /aS GN • _ PROJECT DESCRIPTION SO• 1F'T 0 OCCUPANCY J Address(mailing) -- ��CJ CONSTRUCTION TYPE ✓ VALUATION$ 1 5177. § Left R City License No. SGL/ ./�' ZONE GRADING CU.YDS. ACRES Ping. Ref.#N b3 Parking Req./Provided E Lhbreby D CONTRACTOR DECLARATION `1 g 0 11'ereby affirm that I am licensed under provisions of Charter 9 (commencing 'Remarks: 8� _I —��/>_ PIannin NOreS: r with section 7000) of Division 3 of the Business and Professions Code, and /-` T my license is In full force and effect. License Class ( � n License No. S Date Signature U/ ? PLUMBING FEES^J 'YORKERS'COMPENSATION DECLARATION • • Bar Sink Showers• .ELECTRICAL FEES ereby affirm that I have a certificate of consent to self-insure or a certificate • Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink .,e00, Lab. C.) Az I y� Automatic Washer Transformer 0 15-50 KW Policy No. / n Company •• Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+KW 8 Certified copy is hereby furnished. - Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up 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 ❑Electric 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 mannso as to be ome subject to the Drinking Fountains Solar Tank - - Fan Motors 00-1 HP 01%-8 - DateWorkesps' )ylDp Laws of CaliforAly{/ �" — Date!!7 r/27 Signature Lor Aad�t_ ..1--c.-.."--"'"'-•-•-- Floor Drains Swimming Pool w/Spa F.A.U. Ina Solar ❑9-15 HP 016-15+ NOTIC :If,aft?making this declare yor ould besubject to the - Workers' Compensation provisions of he b r Code, must forthwith Floor Sinks Urinal Fixtures Microwave comply with such provisions or this per t shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes 1 hereby affirm that there is a construction lending agency for the performance Pole Light of the work fo{�wlyyt s r s echo• 9 Civ. C.) Interceptors Water Heater Outlets Range Lender's Name �l60 2c- [fiatr • , Lender's Adtlres C /I a!/1 a/ / 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 Disposal Standing Sections Garbage following reason (Section 7031.5 Business and Professional Code: Any city or county which requiresa permit to construct„alter,improve,demolish or repair P-Trap Laundry Trays Generator 00.5 KW 05.15 KW any structure, prior to Its issuance, also requires the applicant for such permit Trash Compactor 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 s, livision 3 of the Business and Professions Code) or that he/she is exempt - - - terefrom and the basis for the alleged exemption. Any violation of Section .\. 031.5 by any applicant for a permit subjects the applicant to a civil - tpenalty 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 _ �/ - 1 • thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: /�/yI s) at'--2- employees, provided trial such improve memBoiler Hood or Type s are not intended or offered for ❑ ZOnipg Approved By 9 Date 11 sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ ((�� pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground -Building Approved By Date r ve for the purpose of sale). .1---7/ ''7! i 1f;(, I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Ll 1 LI-11 Date I 7_ �(ractors 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 0100,000 BTU • SUMM RYA FEES �� builds or Improves thereon,and who contracts for such projects with a con • - • tractors) license pursuant to the Contractor's License Law). I em aware that Exhaust System ❑ Multiple❑ System Repair/Alteration BUILDING PERMIT $ �a SMIP $ �..� - . proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ 7j1 L PERMIT Q I am exempt under Section - & P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers/ PLUMBING $ ISSUANCE $ ! '1 . oate�� � owner / ' `/ -c........--- Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ . - I hereby certify that I have rea•”is a•. ation a d state that the above DO-100,000 BTU ❑100,000ST ELECTRICAL $ GRADING $ Information Is correct. I agree to comp! /r' h all city and county ordinances and state laws relating to building cons uction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of this city to enter u-'- the above-mentioned property for inspection purpo 5. z ` GQ. MECHANICAL $ /^ Signature - /� . — p $ n CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink - Accounting;Goldenrod - Assessor 01 00015037-00015089 TOT 210.41 nwrr. nrs 014 Inn we.•r. .•-.• CONSTRUCTION AND PLANNING POOL& SPA . APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. ' 57. APPROVAL TO COVER-GUNITE 7. Footings Ir i' i • i/i//y 9/ 58. Electrical Conduit-Undrgrnd. 8. Foundation' • 59. Gas Pipe, O Undrgrnd.,Test' 9. Water Pipe-Undrgrnd, 60. Backwash Lines, P-Trap, 0 Undrgrnd. • 10. Structural Floor System 61. APPROVAL TO DECK r 'l 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final..• -- . t 12. Sewer Cap 63. Heater & Vent-Final f (." I , 13. Roof Drains 64. Plumbing System - Final r ,'wj't/�J7 i 14. Rough Plumbing 65. Electrical-Final -+ 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL I' r -f 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT t rt,:„. ' 20. Rough Factory Fireplace APPROVALS Permit# ter' r '/ 21. Ducts, in Structure 70. Underground Hydro r 22. Ducts, Ventilating 71. Product Piping O Gas 0 Oil t 23. Gas Pipe-Rough&Test 72. Underground Flush • 24. Roof Framing 73. Undergrnd.Storage Tank 0Gas 0 Oil r t 25. Roof Sheathing 74. Overhead Hydro ,-' 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical / 'T.:- , 1 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL i 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning '� • ,,35. Final Gas Pipe-Test /p�� S�f�j%`•rW �' /// _ 36. Hood or Canopy ( G(/ (�V 491-Cif jf" ,", •37.'Final Factory Fireplace !• r . 38. Final Plumbing "r - 1 :,I 39. Water Service-Final " - Y. -7 4o. Gas Service-Final A .,- .i ' .7 r 41t'SolariD'oniestic-Final '�1 '' • •42!Backflow Preventer `j i P. C-4- 7 '_i '14 Backflow Irrigation i� � j l,�' fl I . ,'( - - -� t '44. Landscape Irrigation System ,., t• r�� - , - • 45. Sound Attenuation 11' .. - v46. Handicap Regulations -1 ' .. -. • • X47. FINAL STRUCTURE & BUILDING /71 ft, n r �•' , 1 ,. , 48: Special Requirements Completed - " j t' ' 4 -t .( i 49. Electric'Release to Edison (•' 50. Gas Rdlease to Southern California Gas Co _ 51. CERTIFICATE OF OCCUPANCY .I /•'" No. 1 'Date - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. ERNBJ� 6 3 TRACT NO. LOT NO. UNI NO. CITY OF COSTA MESA CONSTRUCTION PERMIT �8 3 ���� 3 ¢¢j 4� A.P.# Zone Project Address o1S D 67<ll2rat'ti 4.�4y 4 S Main Building: Accessory Building: Applie"' 's Mailing Address `ti4.tl e / TYPE OF CONSTRUCTION H NEL ADD H ALTERATION REPAIR E Z FAi2dress ,J . '' �o ❑ CONVERSION ❑ DEMOLISH OTHER T Front 0 Owner's Name �r Phone DESCRIPTION OF WORK/USE OF LDC. IBRear N Address 7574-tie SRU e A Ler A I Arch/Eng em-eLarn-11 A-en— License No. -- - TYPE OF PERMIT ❑ GRADING ❑ FOU DATION TRU I C Right N Address ��--V Hic-c-Ca2-Er r ELdt -ta �+.� l.LS��S- CITENANT CIELECTRICAL 111PLUMBING 0 MECHANICAL $ • Left G Contractor's Nam . .v!'2./A••,t_.0.1" ❑ OTHER E e.�T'- Phone'S4'r 7327 Ping. Ref.# Parking Req./Provided E PROJECT DESCRIPTION SQ. FT. - OCCUPANCY 0 ,Jya.ZE= Planning Notes: Address(mailing) �A sG�y CONSTRUCTION TYPE VALUATION$ _ M I T City License No. )"'.S/SJ ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION i S. I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: with section 7000) of Division 3 of the Business and Professions Code,and my license is in full force and effect. ELECTRICAL FEES License ClassLicense No. �/� Date ' Signature PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW 'IORKERS'COMPENSATION DECLARATION Construction Pole Sub. • 0 50+ KW iereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink $hOWera .f Workers' Compensation Insurance,_or a certified copy thereof (SectionBackflow Prevents, Service Sink Cooking Unit Meter ❑up to 100 amps 3800, Lab. CJ ' Policy No. Company/hi Backflow Irrigation Sewer Cap Dishwasher Meter Clover 100 amps 8 Certified copy is hereby furnished. Dryers OGas ❑Electric Sub Panel Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Date Applicant • Fan EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Motors 00-1 HP'171%-8 (Thisleshsection need not be completed if the permit is for one hundred ($100) or Dishwasher Solar Piping F.A.U. Inc.Solar 09-15 HP 016-15+ I certify that in the performance of the work •r which this permit Is Issued, 1 shall not e play any person in any mann,o as to become su•'• t to the Drinking Fountains Solar Tank _ Fixtures Device Boxes Microwave Workers' o�p ensetion Laws of Calif•. r'. deFr - Date !y r-y ao Signature i si ` ri' Floor Drains Swimming Pool w/Spa Pole Light NOTIC lf,,after making this dec#V n,you should become subj -t to the Workers' Compensation provisio .'. the Labor Code, you must forthwith Floor Sinks Urinal - Outlets Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Switches Sign Gas Service Outlets Water Closet 9 I hereby affirm that there is a construction le i0 agency for the performance of the work forowhich tpp15 permit is iss`t �f5ectlon 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name 4RL a v-cEl. ea✓ p Generator ❑0-5 KW ❑5-15 KW Trash Compactor Lender's Address L.00 a r-C S.dv A/FGA Kitchen Sink Water Service P 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 therefrom and the basis for the alleged exemption. Any violation • of Section P $15 Issue Fee $ 3 7031.5 by any applicant for a permit subjects the applicant to a civil • penalty of not more than five hundred dollars($500). 4bEVELOPMENT 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 FEES Building Approved By A./Date._�.r._f. b_ 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 Application Issued By Dai employees, provided that such Improvements are not Intended or offered for Boiler Hood or Type I 0 -- sale. If, however, the building or improvement is sold within one year of corn- Canopy Type II0 SUMMARY OF FEES r. pletion, the owner will,have the burden of proving he/she did not build or im-' Duct-Under Ground �/�(,,p��t�,�, 0 e • prove for the purpose of sale). - .-.I —t1 UILDI G PERMIT $ d . SMIP $ C I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System • tractors to construct the project (Section 7044,Business and Professions Code: ,,,..• PLAN CCK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating BTU ❑100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon, antl who contracts for such oroiects with a con- tractors) license pursuant to te Contractor's License Law). I am aware that Exhaust System ❑ Multiple❑ Joa.ioo.000 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ . GRADING $ ❑ lam exe pt nder Section B.& P. for this reason Firepl/Fact,BIt. ICBG# Fire Dampers 1 PLAN CHECK 50% $ MICROFILM $ !l Date I b Owner <-2-0-1-4.-4-*--‘ ei�� Heating System& Ducting Registers MECHANICAL $ ,D o I hereb certify that I have re this application and state th the above ' DO-100,000 BTU 0100,00OBTL TOTAL FEE $ 3 0 Information is correct. I agree to comply with all city and county ordinan es PLAN CHECK 25% $ and state laws relating to building construction, and hereby author) ' re-re- sentatIves of this ci..// to enter upon .....e above-menti• ed pro•-rt for inspection puma -s/ // ff Signature ija _ ..... Date l/ ` F ' Drivers' Lir" 'or SS/ItReinspection Fee $15 Issue Fee $ 3 r 01 00018735-00018735 T��T 30.0 0865-46,rev. 5/88 white - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 11/04/88 TIME: 16:04 . CONSTRUCTION AND PLANNING r POOL &SPA APP OPALS Permit# Date InspectorAPPROVALS Permit# Date Inspector. 1. Te porary'Electrical Service or Pole 52. Pool & Equipment Location v 2. Soil,Pipe-Undrgrnd. 53. Steel Reinforcement ,'' 3. Electrical Coriduit;Utility-Undrgrnd. 54, Forms '2 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ,, 5..Steel'Reinforcement r J 56. Rough Plumbing & Pressure Test rl _ 6, Electrical UF ER Qrnd. - , 57. APPROVAL TO COVER-GUNITE + rl 7„ Footings - "f (.! 58. Electrical Conduit-Undrgrnd. . ; 4 r+i , 8.. Foundation _ �, 59..•Gas.Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Unidrgrnd. r' ^ ( {' 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System Z. 61. APPROVAL TO DECK ' 111. Property Sewer Line & House Connection _ 62. Backwash& Receptor-Final' 12. Sewer Cap r•,,. 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final " 14. Rough Plumbing-: 65. Electrical-Final • I • 15:'Rough Electrical-Conduit 66. Solar System-Final • • • 16 Rough Electric Wiring . • 67. Fencing & Access Approval - - u i Rough Wiring Sign 68. APPROVED FOR PLASTERING - 18- Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL . ' 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace - APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ❑Gas 0 Oil 23: Gas Pipe-Rough &Test - 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27- Frame and Flashing 76. Dry Standpipe _ - ' 28. Lathing 8i Siding 77. FIXED SYSTEM FINAL r 29. Insulation 78. FIRE PREY. FINAL 30:" Drywarll.Nailing HEALTH DEPT. REQUIREMENT ' 31! Plaster Brown Coat 79. FINAL INSPECTION . 32: Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: ` ,- 1 ��"" 34. Final Heating & Air Conditioning `I'°I1R �11bV 1 ,.tr i}J� 35. Final Gas Pipe-Test 11 VIWWNAAA.44i�ii"' ^• 36. Hood or Canopy 1 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final , 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 0 ' 43. Backflow Irrigation .3 44. .Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations • 47. FINAL STRUCTURE & BUILDING /y�yy' et- • ,?.• 48. Special Requirements Completed P/ cru 49. Electric Release to Edison _ ;,J 50. Gas Release to Southern California Gas Co -Y• •'� 51. CERTIFICATE OF OCCUPANCY • No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CO TR UCTION PER IT PERMIT NO. TRACT NO. LOT NO. UNIT NO. • ago , mac B 353 �z �a 5�8 l+v►— sr Project t'+dress - i1A n TYPE OF CONSTRUCTION U NEW U ADD ALTERATION U REPAIR Applicar)t's Mail'•g Address. �.yp,� /� Ow:eer's Na ._..�NitiO �•//i ` /Q•• Phon� r ❑ CONVERSION ❑ DEMOLISH ❑ OTR A.P.# '� Q r CA- H I Zone Pp�Z..� DESCRIPTION OF WORK/USE OF BLDG. G�2 Ted - Address - m� S Main Building: Accessory Building: _ E Z Arch/Eng O!,..•r1-�•e se No. (.j� TYPE OF PERMIT ❑ GRADING y� FOUNDATION STRUCTURAL T Front a� O Addres ,sZ��✓,►��ir /-Pr -_-�na "_t �� El TENANT 111 ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear a� • N se.`lam W-S'Z(..// x•15 3. : .❑ OTHER - . Contractor's Nam:. Phony +rJ'� C Right N 190 - PROJECT DESCRIPTION S4.`FT OCCUPANCY •� 'JN K g 9 CityAddess I License in . K .M CONSTRUCTION TYPE • VALUATION $ ►tYJZ—� S Left c R City License No. +�/1 ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION • Ping. Ref.# 465-teeParking Req./Provided E I hereby affirm that I am licensed under brovislons of Charter 9 (commencing Remarks: C'� �7 Planning Notes: � �' C-...... M with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. T License Class , / /_License No. - S Date Signature Mir PLUMBING I FEES WORKERS' COMPENSATION DECLARATION Bar Sink Showers I - ELECTRICAL FEES • ereby affirm that I have a certificate Of consent to self-insure or a certificate - Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink a800, Lab. c.)�+- Automatic Washer Transformer ❑ 15-50 KW Policy No. /� Company Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+KW• El Certified copy is hereby furnished. — DateC tif' pp 'ed with the city Building Division. Bathtubs Sewer Connection • Cooking Unit Meter Cup to 100 amps • Applicant - EXEMPTION ROM 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 OGas ❑Electric Sub Panel , I certify that in the performance of the wor for which this permit is issued, I snail note ploy ny rson in any man so as to b ome subject to the _- Drinking Fountains Solar Tank - Fan Motors 00-1 HP ❑1%-8 Workers Laws of Calif �/ _ Date. Signature /' r Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+ NOTI .If,of r making this declar n,yo f.uld-be me subject to the - - - Workers Compensation provisions the '.. Code, ou must forthwith Floor Sinks Urinal Fixtures • Microwave - comply with such provisions or this per shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there:is a construction lending agency for the performance Pole Light of the work f ,jhi j pe•f'� ''ss -d (Se 'o -097 Civ. C.) Interceptors Water Heater _� Outlets Range Lender's Name L. "17v , • Lender's Address • - -• - ! - /l i �Q/ /r 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 Code: 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 - Tra`sh'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 Roof Drains - the Contractor's License Law (Chapter 9,(commencing with Section 7000)of livision 3 of the Business and Professions Code) or that he/she is exempt - ierefrom and the basis for the alleged exemption. Any violation of Section /031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ; 0 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 4 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: /�S employees, provided that such improvements are not intended or offered for 0 ((//� 2 k Boiler Hood or Type sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 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 Date p ve for the purpose of sale). - el.-P-1.I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By - L/ ,..4. Date ` �' 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 • SUMMARW FEES BUILDING PERMIT ` 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 ❑ Multiple D System Repair/Alteration - $ 7 SMTP $ /-� proof oftheir Worker's Compensation insurance should be provided to me. PLAN CHECK $ -7LI ZS PERMIT ❑ I am exempt under Section ,. BAP.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers• PLUMBING $ ISSUANCE $ Date /,�/_M,G1{%f� Ownereft 1. Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $• ..I hereby certify that I have re.jfhis a•• ation and s e that the above El 0-100,000 BTU 0100,000 BTI. ELECTRICAL $ GRADING $ - information is correct. I agree to comp!el/ration all city an. county ordinances and state laws relating to building cons uction, and hereby authorize repre- PLANCHECK 50% $ MICROFILM $ f sentatives of this el/ to enter up•' the above-mentioned property for inspection pure. e // ✓ /.-.� MECHANICAL $ - TOTAL FEE $ Z/U Signature �� Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ Drivers' Lice,�r SS CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor 01 00015090-00015092 TOT 210.41 name 00/01/4R TTIec. 1a.iC CONSTRUCTION AND PLANNING POOL&SPA APPROVALS Permit# '' Date Inspector APPROVALS Permit# Date Inspector $ .$ . . 1;. Temporary Electrical_Service or Pole 52. Pool & Equipment Location _. 2. Soil Pipe-Undrgrnd. - • 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement •/,' 56. Rough Plumbing & Pressure Test . i 6. Electrical UFER Grnd. `, 57. APPROVAL TO COVER-GUNITE 7. Footings :• ` -. 1 �/f/.�/yfiaf' 58. Electrical Conduit-Undrgrnd. . 4.8. Foundation! •L' /f (/0 59. Gas Pipe, 0 Undrgrnd.,Test( i 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. ._ 10. Structural Floor System 61. APPROVAL TO DECK :-/' 11. 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final V 12. Sewer Cap 63. Heater & Vent-Final 1,1 , / -,-.Cr C.1--/ ' 13. Roof Drains 64. Plumbing System - Final .� _/; or. , ' 14. Rough Plumbing 65. Electrical-Final -' .15. Rough Electrical-Conduit 66. Solar System-Final • 16. Rough Electric Wiring i 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING a 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL firi 1 .it 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ft.. •r-• '1 20. Rough Factory Fireplace APPROVALS Permit# J. 1 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 -'1 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil - 25. Roof Sheathing 74. Overhead Hydro L. 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ' -i -L. .1 27. Frame and Flashing 76. Dry Standpipe 1 / '.1 28. Lathing & Siding 77. FIXED SYSTEM FINAL % • •.? • 29. Insulation • 78. FIRE PREV.,FINAL I- 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION ; 32. Electrical Power Meter-Final • 80. FOOD CERTIFICATE ISSUED i' • 33. Final Electric Notes: r 34. Final Heating & Air Conditioning 'r/Q/ys0 94647 dhljtc 'r. 35. Final Gas Pipe-Test ,n' 36./Hood or Canopy ,v "f.' „- K .:-. f!. 37. Final Faictory Fireplace ;) ( If rl'• i L, 2 38. Final Plumbing _ - - �,7 w 'r f 39. Water Service-Final - r 1-:, Y ./ . ' 1y r 1.40: Gas•Se,ice- Final - .'4l t 1.7 (;l ' ' .-41' Solar domestic-Final - ' • 2+, ' 42 f Backflpw Preventer - i �(7 1,�/ `� �'4. 1/4/ - ,43 Backflow Irrigation Si • G"' 1 6 lb '+i lyd4:1Landscape Irrigation System iii / ' 11- 1/21 /.17-11 '11'. I Ddb. Sound Attenuation • •'y - O(ie - L i C-. 1e et,-4k, Handicap Regulations t -•1(i 5 • -4l`FINAL STRUCTURE& BUILDING I jfi r; ✓ y i• •- it L1 , - ..1 X48'. Special Requirements Completed ' �% ',i ,j .--4.9. Electric Release to Edison ta� '�1 �; '14,";; 50. Gas Release to Southern California Gas Col r '/ , .. . 51. CERTIFICATE OF OCCUPANCY 1 A No. - Date - 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 ''C//ONSTRUCTION PER T 76 35-362 /z 5's& 3 ¢5/- ¢$'$ A.P.# j Zone Project Address,24- 4C1M'EJ�r@�'47'%IL 4i+ S Main Building: Accessory Building: ec TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION U REPAIR E - Z ApplNa Mailing Address I , ❑ CONVERSION ❑ DEMOLISH �%��1'HER I T Front - O Owner's Name/C-4/4 0/Cad _i- Bx-•T r'n Phone -7317 DESCRIPTION OF WORK/USE OF BLDG. A Rear N Address S4'N/c 4-i V� Arch/En .&12.tFSW&n- / to c., TYPE OF PERMIT ❑ GRADING U FOUNDATION U STRUCTURAL C Right N K Q Address .230-2-1/2- /cC'c� 4,-- /A ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S • Left El OTHER H Contractors Name e-44.--C::-//4u/4-4/7"--� Phone SI-S=731-7 I Ping. Ref.# Parking Req./Provided E 54 1J PROJECT DESCRIPTION SQ. FT. OCCUPANCY 0 Address(mailing) "11 , Planning Notes: M C q CON STRUCTION TYPE VALUATION$ T City License No. 9 ,�O/ ZONE GRADI NG CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION S. 1 hereby affirm that 1 am licensed under provisions of Charter 9(commencing Remarks: • with section 7000) of Division 3 of the Business and Professions Code,and my license is in full force and effect. ELECTRICAL FEES License Class License No. Date ___ Signature ASA PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATION 50+KW •reby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink Showers Construction Pole Sub. - Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer - Service Sink Cooking Unit Meter Cup to 100 amps od00, Lab. C.) /// // Policy No. Company ./14 Backflow Irrigation Sewer Cap Dishwasher Meter Cover 100 amps U Certifie co is hereby furnished. — Dryers ❑Gas ❑Elettr is Sub Panel Cert/'�fi c is filed with the city Building Division. Bathtubs Sewer Connection DateApplicant - EXEMP I N FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Fan Motors 00-1 HP 01'h-R (This section reed not be completed if the permit is for one hundred ($100)or Dishwasher F.A.U. less . Solar Piping Inc.Solar 09-15 HPC❑i6-15+ I certify that in the performance •f the worfor which this permit is issued I Fixtures shall not ploy honperson in man/ so as to beco • subject to the Drinking Fountains Microwave '- Date Y g Solar Tank Workerv' m{p P,epsalion Laws of •a i .r j- / = LL `/�JJ OO Device Boxes Date Sign ure .�-� - Floor Drains Swimming Pool wlSpa Pole Light NOTICE: If,after making thi•• •lar on, you should become lett to the Outlets Workers' Compensation psi-• of the Labor Code, you ust forthwith Floor Sinks Urinal Range comply with such provisionor this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYSwitches Gas Service Outlets Water Closet Sign I hereby affirm that there is a construction lending agency,for the performance of the work for Jc- nls Ch'ilmit is issued /Section Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name `-v'�- L540`P� ^'/ ST Lender's Address LCr4 .6J ..S,4t✓ .0t C.c.,*0 Kitchen Sink Water Service Generator ❑0-5KW ❑s-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 Tracts -- 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 ivision 3 of the Business and Professions Code) or that he/she is exempt _ t ierefrom and the basis for the alleged exemption. Any violation of Section Reinspection Fee $15 Issue Fee $ 3 031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). ,DEVELOPMENT SERVICES REQUIREMENTS: U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 (Zoning Approved By nate compensation, will do the work,and the structure is not Intended or.offered 1 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, and who does such work himself/herself or through his or her own •Applieation Issued By Oate 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 com- Canopy Type II ❑ 03 pletion, the owner will have the burden of proving he/she did not build or Im- Duct- Under Ground 1 I,L/s SUAAVgF FEES Drove for the purpose of sale). 'BUIL ING RMH $ U A I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System SMTP $ tractors to construct the project (Section 7044,Business and Professions Code: PLAN CHE K $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑o-100,000 BTU ❑100,000 BTU r _- builds or improves thereon-and who contracts for such oroiects with a con- PLUMBING $ ISSUANCE $ tractor(sl titans pursuant to me Contractor's License Law). I am aware that• —Exhaust System 0 Multiple❑ System Repair/Alteration r' PLAN CHECK 25% $ ENERGY P.C. $ proof o their orker's Compensation Insurance should be provided to me. - ---'/ ELECTRICAL $ GRADING $ 0 1 am exe t u der Section B.& P.C.for this reason Firepl/Fact.Bit.ICBG# Fire Dampers PLAN CHECK 50% $ MICROFILM $ Date 2/ f' Ow er Heating System& Ducting Registers ti 3 O,OJ I i herebyicertlfy that I hay r d this application and sta that the)above 00-100,000 BTU ❑100,000BT - MECHANICAL $ TOTAL FEE $ information Is correct. 1 aye to comply with all city and ounty ordinances PLAN CHECK 25% $ and state laws relating to •uilding Construction, and hereby author) a repre- sentatives of this city • enter upon the a e-mentioned pro er • for Inspection re pwpos•s. _ _- / -Accounting; Goldenrod - Assessor DATE: 11/04/88 TIME: 16:03 r CONSTRUCTION AND PLANNING POI, . SPA APPR{lVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1.-T�rnporary.Electrical Service or Pole {', .. 52. Pool & Equipment Location V _ . . 2. Soil Pipe,-U?drgrnd. r, 53. Steel Reinforcement 3;�Electrice! Conduit Utility-Undrgrnd.. • 54. ,Forms �'� I 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding _ ) 5/Steel Reinfdreement •! 56. Rough Plumbing & Pressure Test 6. :Electical LIFER Grnd. ' 57. APPROVAL TO COVER-GUNITE t 7. Footings' -;j. 58. Electrical Conduit-Undrgrnd. ,-i I 8. Foundations i ' ' d'i./� 59. Gas;Pipe, 0 Undrgrnd.,Test 9. Water'Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. ' {i 1 i 10. Structural Flodr System 61..APPROVAL TO DECK 11,.Property Sewer: Line & House Connection f/�l' 62. Backwash & Receptor-Final ' r t "12. Sewer,Cap 63. Heater & Vent-Final _ 13. Roof Drains- ': • 64. Plumbing System - Final � r 14. Rough Plumbing, ' 65. Electrical-Final 15.,Rough Electrical-Conduit I 66. Solar System-Final •• 16. Rough Electric Wiring s 67. Fencing & Access Approval 17: Rough Wiring Sign 68. APPROVED FOR PLASTERING 18:r Rough Electrical-T Aar Ceiling 69. POOL/SPA SYSTEMS FINAL i • 19: Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20! Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 231 Gas Pipe-Rough & Test 72. Underground Flush 241 Roof Framing 73. Undergrnd.Storage Tank O Gas 0 Oil • 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27: Frame and Flashing 76. Dry Standpipe 28. Lathing'& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31,: Plaster Brown Coat 79. FINAL INSPECTION . 32:: Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33' Final Electric Notes: ` I-p 34. Final Heating & Air Conditioning 1 r„ \%R L,tW01, ^1-' O1 35. Final Gas Pipe-Test V, v t�tNJ`�d^ / 36. Hood or Canopy �, 37. Final Factory Fireplace 7, 38. Final Plumbing i ✓ 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 1-.7 43. Backflow Irrigation ' 44. .Landscape Irrigation System ' 45. Sound Attenuation 46. Handicap Regulations /�„/+� tom" 47. FINAL STRUCTURE & BUILDING `'- 48. Special Requirements Completed 49. Electric Release to Edison ..-- .-- 50. as Release to Southern California Gas Co .. --- i 51. CERTIFICATE OF OCCUPANCY '- ' , No. Date Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. ICITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT��ffNO. LOT NO. UNIT NO. /a .l��ce(Address 2 52.0 H6g4MA-e 14 Ay +� 35-311 los 558" tart-3Q L `-� pSAM TYPE OF CONSTRUCTION NEW LI ADD ALTERATION u REPAIR H nt's Mailin[g'A,Address I ` ([ 'f / ��ys ��`�.�fler'S Name //1((-�I�w ��N7 �O Phones/S / ��/ ❑ CONVERSION CI ElOTHER ctA K�Tn A.P.# (f2 -O — O/ '—_ / ( Zone fP/Z�0I Address DESCRIPTION OF WORK/USE OF BLDG. V IiV r l- "SAMA S Main Buil ing: Accessory Building: Ji u?-KE LESTLR 4"fKSQE 6 z Arch/Eng. en N TYPE OF PERMIT ElGRADING FOUNDATION I STRUCTURAL T Front O Address .2 d2S nut ice /JK �A�UN s 9,, 3)❑ TENANT ❑ ELECTRICAL PLUMBING CI MECHANICAL - A Rear A� - N Contractor's Name �W,(l� I U/L�eQ PhoneSVS- ?3.Q7 .❑ OTHERI PROJECT DESCRIPTION SQ. FT L OCCVP Cv c„ C Right Q N Address(mailing) S HFfGi� CONSTRUCTION TYPE V VALUATION � S Left R City License No. 99 ZONE GRADING CU.YDS. ACRES dLICENSED CONTRACTOR DECLARATION Ping. Ref.# D>Sr- / B3 Par king'Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing /] 0 Remarks: gGl'Ll,,,->.5� rs Planning Notes: pg-ALS M with section 7000) of Division 3 of the Business and Professions Code,and 1 ` v )'1 my license is in full force and effect. T License Class A)//�A License No. S Date Signature PLUMBING FEES WORKERS' COMPENSATION DECLARATION Bar Sink Showers ereby affirm that I have a certificate of consent to self-Insure or a certificate ELECTRICAL FEES Workers' Compensation Insurance, or a certified copy thereof (Section Backf low Preventer Service Sink .,800, Lab. C.) N/A Automatic Washer Transformer 0 15-50 KW Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW 8 Certified copy ereby furnished. Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter pup 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 ❑Electric Sub Panel - I certify that In the performance of the rk for whi his permit is issued I shall not e ploy any person in any ner so as ecome subject to the Drinking Fountains Solar Tank Fan Motors❑0-1 HP 01%-8 Workers'/C�iPli2�si8ldn Laws a Cali r a — Date (: J 1S Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+ NOTICE: f,at[ r making this declaration, yo rho bee me subject to the - Workers' Compensation provisions of the or Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. Fixtures Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes Pole Light I hereby affirm that there is a construction lending agency fort a performance - 9 of the work fo , , • -Is,• I s e0 ( I�n 3097 Civ. C.) tender's Name y :�. /)i i.V Interceptors Water Heater —^ Outlets Range Lender's Address -n D ND "f' i I ' -0 '4 l. - •3-Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION I hereby affirm that l-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 Garbage Disposal Standing Sections • county which requires-a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator 0.5 KW ❑5.15 KW any structure, prior to Its Issuance, also requires the applicant for such permit ❑ Trails-Compactor 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 Olvision 3 of the Business and Professions Code) or that he/she is exempt herefrom 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 . analty 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: Tho 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: / /^rq((2 employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 (/ff 1 Z r�VV sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By IICCVVTT Date letion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground Building Approved By Data ve for the purpose of sale). ��iS�{ ,/__spm as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By zT • Date 1—G( 6. x rectors 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 OE FEES builds or improves thereon,and who contracts for such projects with a con- V" ) 73 tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMTP $ - proof of their Worker's Compensation insurance should be provided to me. - PLAN CHECK $ 1'p-- PERMIT 0 I am exempt und r Section B.8, P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ • Date •'c ` 1 Owner Heating System& Ducting Registers ENERGY P.C. $ I hereby certify at I have read this app ation and tate that the above 00-100,000 BTU 0100,000 BTLIM PLAN CHECK 25% $ GRADING $ Information is correct. I agree to comply h all city and county ordinances ELECTRICAL $ and state laws re,Ing to bu'*.'ng constr lion,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM S sentatives of city to . r upon the above-mentioned Pr pert for - / 1�• inspection p �l s �� pate// n MECHANICAL $ Lr{ Signature I Reinspection Fee $15 Issue Fee $ 3 ` PLAN CHECK 25% $ �f CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor . 01 00015022-00015024 TOT 294.68 urn no/111,70 Trwr. CONSTRUCTION AND PLANNING POOL&SPA -r I, Date Inspector Date .Inspector ••APPROVALS Permit# APPROVALS Permit# i 11. Temporary Electrical Service or Pole 52. Pool & Equipment Location ,, r 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 ; f• ' 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings , - t I1/7/v'a- A 58. Electrical Conduit-Undrgrnd. 8. Foundation - 59. Gas Pipe, 0 Undrgrnd., Test, 9. Water Pipe-Untl ❑ Undrgrnd.rgrnd. 60. Backwash Lines, P-Trap, 10. Structural Floor System 61. APPROVAL TO DECK r 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final.2 .' 12. Sewer Cap 63. Heater & Vent-Final • x' 13. Roof Drains 64. Plumbing System - Final j/ l P ' 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT • • rr r..-- 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro .. I. 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 OGas ❑ aDilI / 25. Roof Sheathing 74. Overhead Hydro t 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical _• i i 27. Frame and Flashing 76. Dry Standpipe r' -" I,f 28. Lathing& Siding 77. FIXED SYSTEM FINAL 1 '/ 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION - 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: . . - 34. Final Heating & Air Conditioning (if qIIYL UL.ViL 61 __S9L /L- 35. Final Gas Pipe-Test 36. Hood or Canopy i v, / , P 317/final Factory Fireplace -t 38.,Final Plumbing C. 'r *39: Water Service-Final y 1" - " t40. Gas $eivice-Final n r J' :41. Solar Doma estic-Final J ✓' ! .i 42. Backflow Preventer :• ' a _ ,V t'' r I r S' r -43. Backflow Irrigation ; J; `' . - r ,. ,- '11. �. X44: Landscape Irrigation System ••(J , . i .- • 1-,l. ,7 ' 45. Sound Attenuation - _ 1 .7-' • 46. Handicap Regulations f It f - 47. FINAL STRUCTURE & BUILDING 'j�rqA C� ��ryyt� �•�r' Dr'�iV C,n Z' fr. . Rt U . , 48 Special'Requirements Completed '�� c<. 'j i,`, ;:J' 49r Electria,Release to Edison r J ; 1....e) 50. Gas Release to Southern California Gas Co ,:k 51. CERTIFICATE OF OCCUPANCY No. Date - ��. Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. HERMIT NO. TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA CONSTRUCTION PER MI A.P.# Zone 273 70 .�C ..i-rte f u-.� LB 333 J /2 fl& Z 3B/— 39L Project Address c^• � !� S Main Building: Accessory Building: Applicblct's Mailing Address J' C TYPE OF CONSTRUCTION U NEW H ADO U ALTERATION H REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front O her's Name{•,4%,c-4,44 //cS.44 r Co Phone x'732 7 g (y $' oz DESCRIPTION OF WORK/USE OF BLDG. Rear Address o�'4't-6c A A I Arch/Eng. &fes-E J='\7;cej4s,Q.icense No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURALC Right G Address 2332r s-yaG.Ca-7C nt L4CCLu4 hi"-r t (-SS ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S • Left ❑ OTHER R Contractor's Name OPY� .----E-.2., Q,-t'c.Q-;' - Phone CC-C-7347 Ping, Ref,# Parking Req,/Provided E Address(mailing) nx./F PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: M g��d CON STRUCTION TYPE VALUATION$ T City License No. to ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION S. I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: '(l)&rer7' o� - with section 7000) of Division 3 of the Business and Professions Code,and ran, my license Is In full force and effect. ELECTRICAL FEES License CIasS License No. Date Signature 064.6 PLUMBING - I FEES Automatic Washer Transformer 0 15-50 KW --'ORKERS'COMPENSATION DECLARATIONBar Sink Showers Construction Pole Sub. D 50+KW • ereby affirm that I have a certificate of consent to self-Insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit - Meter pup to 100 amps 3800, Lab. C.) Policy No. Company /./ Backf low Irrigation Sewer Cap Dishwasher Meter Dover 100 amps Certified copy Is hereby furnished. Certified copy is flied with the city Building Division. Bathtubs Sewer Connection Dryers ❑Gas ❑Electric Sub Panel • Date Applicant Fan EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Motors 00.1 HP 01'h-8 • (This section need not be completed If the permit is for one hundred ($100)Or F.A.U. Inc.Solar ❑9-15 HP,,�16-15+ less). // // Dishwasher Solar Piping I crtify thatt theperfor mance of the work for which this permit is issued,I Fixtures - shall not emP 666666Y a ahhy person in any man•-r so as to beco subject to the Drinking Fountains Solar Tank Microwave Workers' Co pen tjo Laws of Calif•rn'. .���!?�.g ���� Date 17 /9" 'u Q Signature et�s�+ ( nV Floor Drains Swimming Pool vv/Spa Device Boxes Pole Light NOTICE:,If,after making this deClar. n, you should beco subject to the Workersl�COmpensation provisions o�the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range comply wltp such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Switches I hereby affl/m that there is a construction lending agency fo t e performance Gas Service Outlets Water Closet Sign of the wank for wh,4iks--per It is issued (SeQN 3097 Civ. C.) Garbage Disposal Standing Sections Lender's Name , 4*4-�jE AC a-ti- J Interceptors Water Heater Lender's Address FYX) S14v ')Cyr., Kitchen Sink Water ServiceGenerator DO-5 KW D5-15 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 Tracts -- 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 r the Contractor's License Law (Chapter 9(commencing with Section 7000)of 4,... 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 Section $ 3 7031.5 by any applicant for a permit subjects the applicant to a civil • esnalty of not more than five hundred dollars($500). I DEVELOPMENT SERVICES REQUIREMENTS: LJ 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 _ v '-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, and who does such work himself/herself or through his or her own -Application Issued By Date eFF 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 com- Canopy Type II 0 pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground � qq��pp SUMMARY OF FEES prove for the purpose of sale). " EUI MING PERMIT $ 38. °, SMIP $ 0 1, 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 ❑0-100,000 BTU ❑100,000 BTU r. PLUMBING $ ISSUANCE $ builds or Improves thereon, and who contracts for such oroiects with a con- license pursuant to me Contractor's License Law). I am aware that Exhaust System D Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. _y1 D I am exempt der Section B.& P.C for this reason Firepl/Fact.Blt. ICBO# Fire Dampers ELECTRICAL r• $ GRADING $ it _ PLAN CHECK 50% $ MICROFILM $ Date Owner - - - - — - -— - Heating System& Ducting Registers - I hereb certify that I have rea•f is application and stat: hat the Above ❑0-100,000 BTU D100,000BTL 1 MECHANICAL $ $ SD •O lnforma ion`is correct. I agree to mpty with all city and county ord' a es a TOTAL FEE and state laws relating to building construction, and hereby authori r/pyre- PLAN CHECK 25% $ sentatives of this,-ity to enter upo/ he above-mentioned prop-rty for Inspection p po-- . �& _ Signature /_ Date k Drivers' Lrse or SS 3a -? - Reinspection Fee $15 Issue Fee $ 3 01 00018738-00018738 TOT 30.00 - 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor DATE: 11704/88 TIME: 16:05 CONSTRUCTION AND PLANNING POL_& SPA APPf#'OVALS Permit Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location - 2. Soil Pipe-Undrgrnd. 1 53. Steel Reinforcement 3. ;Electrical Conduiii Utility-Undrgrnd. -r `, 54. Forms ", 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinfarcemelnt . • 56. Rough Plumbing & Pressure Test' 6. El4ctr,ical UFR Grnd. 57. APPROVAL TO COVE R-GUNITE � 7. Footings •• 1 . ' i) .4 58. Electrical Conduit-Undrgrnd. .., 8. Foundation ' ! 59. ,Gas Pipe, D Undrgrnd.,Test .l ''i 9. Water Pipe-Undrgfnd. ..4eI 60. Backwash Lines,P-Trap, D Undrgrnd. 1 10:Structural Floor System 1, .. 61. APPROVAL TO DECK . 11.;Prdperty Sewer Line & House Connection i 7 62. Backwash & Receptor-Final , 12. Sewer,Cap '' •/ 63. Heater & Vent-Final I ii.,/ 13. Roof brains ' 64. Plumbing System - Final 14. Rough Plumbing : 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16 7 Rough Electric Wiring 67. Fencing & Access Approval 171 Rough Wiring Sign 68. APPROVED FOR PLASTERING 18! Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19., Rough Heating & Air Coridi�ioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# :1 21. Ducts, in Structure . 70. Underground Hydro 22. Ducts, Ventilating .n 71. Product Piping 0 Gas 0 Oil 23, Gas Pipe-Rough & Test 72. Underground Flush -• 24'. Roof Framing 7 73. Undergrnd.Storage Tank DGas El Oil 25. Roof Sheathing 7 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 271. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30; Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION . 32: Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: ,,/7 t�11 ((��,,�� '34. Final Heating & Air Conditioning i•b60 -c r 35. Final Gas Pipe-Test "(! t� r �`••� Vl 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing - 39. Water Service-Final - •40. Gas Service-Final 41. Solar Domestic-Final ....,- 42. 'I42. Backflow Preventer } 43. Backflow Irrigation 7 44. .Landscape Irrigation System 45. Sound Attenuation • 46. Handicap Regulations Iry 47. FINAL STRUCTURE & BUILDING 01/10 p,/yJ-- • 4 . Special Requirements Completed 49. Electric Release to Edison ....- 4.--- 50. _50. Gas Release to Southern California Gas Co • '3 51. CERTIFICATE OF OCCUPANCY ,.• 9 _ . J No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. /e• CITY OF COSTA MESA CONSTRUCTION"�PERMIT�I - PERMIT NO. TRACT NO. LOT NO. UNIT NO. Project Address Z 52 0 KURIKAC LOAF 835311 I porn; ,mr(-si~ 4,4 Applicant's Mailing Address 54M& ��// .z TYPE OF CONSTRUCTION LJ NEW LJ ADD L ALTERATION LJ REPAIR ' Gk - iE- J kG Kt Co phone STs r 327 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER_ Ap_ro i A.P.# IOZ0 � 0 r —( , ZonePtjg WC Owner's Name ,�st�� DESCRIPTION OF WORK/USE OF BLDG. (� Address Q 5/iH �+],� 1 S Main Building: Accessory Building: Arch/Eng.j oicc-List-ca. r St1(eLicense No. TYPE OF'PERMIT • GRADING re OUNDATION Pt TRUCTURAL T Front a & _ p Address 2302.S'/li LL eaec AA- 44&14A //S 924;3 ❑fL NANT ❑ ELECTRICAL . PLUMBING ❑ MECHANICAL BA Rear ;as N Contractor's Name O(/),Jeit /40/1---LE.-4- Phone TfS 732- ❑1 OTHER - C Ri ht 4. V N Address(mailing) SANE PROJE�T,DESCRIPTION SQ. F . /l00 OCCUPAN Y /i) -1 g �-- K - G 9' ��� CON•STRUCTION TYPE VALUATION$ $ Left 7 G City License No. 't ZONF -• GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION I1v�II Ping. Ref.# —183 Parking Req./Provided E 1 hereby affirm that am licensed under provisions of Charter 9 (commencing Remark':. • q 1_.g7 A. Planning Notes: -�'�Z/o M with section 7000) of Division 3 of the Business and Professions Code,and 1 (� `� • my license is in full force and effect. j-1 T License Class �/ License No. S � Date Signature PLUMBING FEES • WORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES '�4 ereby affirm that I have a certificate of consent to self-Insure or a Certificate Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink ^.?900, Lab. C.) �7 Automatic Washer Transformer 0 15-50 KW Policy No. N/A Company - -- Back ow Irrigation Sewer Cap 0 50+KW Construction Pole Sub. 8 Certified copy is herebyw city th e Certified copy Is filed with the citBuilding Division. Bathtubs Sewer Connection Cooking Unit Meter pup to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher • Meter Clover 100 amps , - (This section need not be completed if the permit is for one hundred ($100) or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the rk for whip this permit is issued I • shall not ploy nyyerson in any ner so ayTy become subject to the Drinking Fountains Solar Tank Fan Motors❑0-1 HP ❑1'/h-6 Workers' rq.7r�pe� �yQ[r Laws of Cali � Date / '-"1�L G Signature w Floor Drains Swimming Pool w/Spa F.A.U. NOTICE:If afte!!making this declaration,you should bec me subject to the _ . Inc.Solar 09-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. FIXtUre$ Microwave CONSTRUCTION LENDING AGENCVGas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction Iendin agency for the performance Pole Light of the work fqs_EA' his�oy!Ditp jellssd ( f�3097 Civ. C.) Interceptors Water Heater • Lender's Name L.P,�1 T'rIn %r L- _jells /'s t� /� 7y11 p Outlets Range Lender's Address . bOO 6 ST SAL) bleu), 4 4 las) 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 following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal • Standing Sections county which requires a permit to construct,alter,Improve,demolish or repair P—Trap LaundryTrays •r any structure, prior to its issuance, also requires the applicant for such permit y - Generator ❑0-5 KW❑5-15 KW Trash Compactor 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 tw.givision 3 of the Business and Professions Code) or that he/she is exempt - - - - f erefrom and the basis for the alleged exemption. Any violation of Section 4031.5 by any applicant for a permit subjects the applicant to a civil - geenalty of not more than five hundred dollars($500). LJ 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 - MECHANICAL I Reinspection Fee $15 Issue Fee $ 3 for salese (Section e 4, Business and Professional Code: ThContractor's FEES thereon, and Law does not apply to owner if a propertyf who builds or improves _ _ _ thereon, , who does such work ihimself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees,If, that such improvements are not intended or offered for Boiler Hood or Type I ❑ ZoningApproved By ^� sale, If, however,the building or improvement Is sold within one year of com- Canopy a Type II ❑ i pp Date Pie Ion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground _ Building Approved By Date ve for the purpose of sale). �s p • as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By (.U..?IL1 -` a/Z Date 1—2-! —aQ� te/ rac ors to construct the project (Section 7044,Business and Professions Code: - The Contractor's License Law does not apply to an owner jofe property who Duct-Ventilating 00-100,000 BTU 0700,000 BTU SUM FEES t/{[ builds or Improves thereon,and who contracts for such projects with a con- / T ' tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration I BUI LDING PERMIT $ O $MIP $ proof off their Worker's Compensatio nsurance should be provided to me. PLAN CHECK $ �S PERMIT 0 I am exempt under Section / 41 B.& P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers PERMIT ISSUANCE $ / a ( PLUMBING $ Date 6� Du Owner��� !✓fZe Heating System&Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby fertify hat I have read this op/ication an. state that the above 00-100,000 BTU 0100,000 BT ELECTRICAL $ GRADING $ Information Is correct. I agree to complypith all city and county ordinances and state laws relating to buil . g construction, and hereby authorize repre- sentatives of city to a upon the above-mentioned p oPert r1gp Inspection our s . L33 CL/OV ./�r7 — Signature Dat MECHANICAL $ TOTAL FEE $ (-,- Drivers' License or SS Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ e e CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor 01 00015055-00015057 TOT 252.54 hATC• non.too msur. .n.rn • CONSTRUCTION AND PLANNING POOL &SPA • APPROVALS Permit# Date Inspector APPROVALS Permit# Date .Inspector 11. Temporary Electrical Servicor Pole 52. Pool & Equipment Location - 2. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement • ' 3. Electrical Conduit Utility-Undrgrnd. 54. Forms - 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. ' 57. APPROVAL TO COVER-GUNITE 7. Footings I,' rt lffr lig 58. Electrical Conduit-Undrgrnd. 8. Foundation - •. • 59. Gas Pipe, 0 Undrgrnd.,Test �-,.; • 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 01Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11 r , 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 4.- 12. Sewer Cap 63. Heater & Vent-Final -c •-t-, _ 13. Roof Drains 64. Plumbing System - Final i -'(J^ y NV! 14. Rough Plumbing 65. Electrical-Final S V 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 LL _ , -' 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT t, 20. Rough Factory Fireplace APPROVALS Permit# (*' ' 21. Ducts, in Structure 70. Underground Hydro ,r 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil f 23. Gas Pipe-Rough & Test 72. Underground Flush i 24. Roof Framing 73. Undergrnd.Storage Tank 0'Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro r ; r 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical - r I, 27. Frame and Flashing 76. Dry Standpipe .\ -1 28. Lathing & Siding 77. FIXED SYSTEM FINAL '" 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERf�I0 adapted i At sfTIFICATE ISSUED 33. Final Electric Notes: lig ,{/' 34. Final Heating& Air Conditioning �' ' 35. Final Gas Pipe-Test 36. Hood or Canopy r, • t' t, q r, 37. ,Final Factory Fireplace ) - •-i 387 Final PlumbingRl %r': rsr -39. Water Sic/vice-Final -r! • ••` ~Y • 40. Gas Service-Final }' 7 t" :t41. Solar Domestic-Final ''s-•1 VI! - 1- , n r42: Backflow Preventer -'; i , , U -c'r. -r . ' 43... Backflow•Irrigation , • Ili t' N X44; Landscapet,lrrigation System v d 7 ll ,: 45. Sound Attenuation a`• - .) - -'.". r 46. Handicap Regulations / • r'' r �t; ✓ 47:•FINACSTRUCTURE & BUILDING t9/��g � 7 ' 'I ' Ni 7.- - , CC/ 7' t �r. . 48: Special Requirements Completed ;i = :',y' ire 49. Electric Release to Edison 17 ^^ 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. O PERMIT NO. TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA CONSTRUCTION PERMITPERMIT 35- (...s--- /84......... 2520 yfJPLiHAC WA C� 35� $• !� �;{a Project Address r Applicant's Mailing Address SA'HL TYPE OF CONSTRUCTION Ll NEW ADD ALTERATION REPAIR Owner's Name y�'(nd1� it(oh> CO Phones ' ❑ CONVERSION ❑ DEMOLISH ❑ OTFjf RA ys-�,s�_zr A.P.9P+ 0 .— ©1Z t l Zone Ot. HE DESCRIPTION OF WORK/USE OF BLDG. (( �r/-���/(J fG� Address Q ,.`� HG S Main Building: Accessory Building: Arch/Eng.6l U�W LeJI& 'a" f"-53- cense No. TYPE OF.PERMIT ❑ GRADING FOUNDATION 6TRVCTU RAL T Front a to Z• Il p ^ / z1� e /l� 90 Address 23a Z .1/'/ti. (yee1� �A z—e GdAIA ,4 /lc z."-53❑ YENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B Rear �O N Contractor's NameOWJ( �/ Tf4s-733,2 • ❑ OTHER r , O Right N UQQ U���/� PhoneI . • �2 PROJECT DESCRIPTION SQ. V.. OCCUPANCY Address(mailing) SAHy az. S Left j 6 G //,L ry CONSTRUCTION TYPE VALUATIONS i►-� City License No. `T-r CdZONE GRADING CU.YDS. ACRES --- p 4 / ¶3R LICENSED CONTRACTOR DECLARATION Q y Ping. Ref.# D S� Parking Rey./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks.: •V(1� 'B /n Planning Notes: IIA-St � M with section 7000) of Division 3 of the Business and Professions Code,and -'- _l ! /-i my license is in full force and effect. -v T License Class License No. $ ' Date Signature M/N ••f PLUMBING FEES WORKERS'COMPENSATION DECLARATION Bar Sink, Showers _ 'ereby affirm that I have a certificate of consent to self-insure or a certificateELECTRICAL FEES Workers' Compen tion Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink ..400, Lab. C.) , Policy No. � � Company Backflow Irrigation Sewer Cap , Automatic Washer Transformer 0 15-50 KW Construction Pole Sub. 0 SO+KW 8 Certified copy is hereby furnished. Certified copy is filed with the city Building Division. Bathtubs' Sewer Connection Cooking Unit Meter Duro 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 ❑Electric Sub Panel ' I certify that in the performance of the w k for whi this permit is issued I shall not ploy y erson in any er so as become subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP 01'/a-8 Workers' mp Laws of Calif Date L Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar NOTICE: ,afte making this declaration, yo hould bee me subject to the 09-15 HP 016.15+ Workers' Comp nsation provisions of the La r Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. Fixtures Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Devito Boxes POIe Light I hereby affirm that there is a construction lending,agency for th performance 9 of the work for ,x a is sera 1�je iass�le ( io. 197 Civ. C.) Interceptors Water Heater Outlets Range Lender's Name as.J !a�// ff //11 • Lender's Address - e i • /*, Kitchen Sink Water Service Switches OWNER BUILDER DECLARATION Sign-W I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Autoash following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal $(ending Sections county which requires a permit to construct,alter,improve,demolish or repair P—Trap '- toy a gre, priorto Its the/, also requires the tcto applicant for such permit Laundry Trays .�' Generator❑0.5 KW❑5.15 KW Trash•Compac[or toh file a signedratstatement Lsew that pte is licensed pursuant to ice provisions of Roof Drains the Contractor's License Law(Chapterfs 9.(commencIng with Section Is x)of -i 3 of the Business and Professions xs Code) or that aof exempt erefrom and the basiscfor the allegedAey violation taSection , Jia t any applicant for a permit subjectsSthe applicant to a civil On I, a of not r more than rop hundred dollars($500). co I, n owner of the property my employees with wages d sole Reinspection Fee $15 Issue Fee compensation, will do the work,and the structure is not Intended or offered Reinspection Fee I $15 Issue Fee $ 3 for sale (Seale) 7044, Business and Professional Code: The Contractor's MECHANICAL 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 Hood or Type I ❑ DEVELOPMENT SERVICES REQUIREMENTS: /CJs �j -#2-k 1 /1j, employees, provided that such Improvements are not intended or offered for Boiler Zoning Approved By /� Date �2`� s+a sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 ll/V/ stetson, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground yyBuilding Approved By Date r ve for the purpose Of sale). (� Q p�j ggaI]{{I,as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By 1.-4.4(P Date (7��V♦-/ 14eetors 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 SUMM RV FEES itbuilds 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 $ $MIP $ i .� proof oftheir Worker's Compensation insurance should be provided to me. PLAN CHECK $ 2.1 --3 PERMIT 0 I am exempt under Section B.& P.C.for this reason _ Firepl/Fact.Blt. ICBO# _ Fire Dampers / // PLUMBING $ ISSUANCE $ Date / J g 2' Owner Heating System& Ducting Registers ENERGY P.C. $ 25% $ f✓ I hereby certif that I have read this ap ication an state that the above 00-100,000 BTU 0100,000 BT ELECTRICALPLANCHECK $ GRADING $ Information is correct. I agree to comply ith all city and county ordinances and state laws rela'I- to buildin. •.nstruction,and hereby authorize repre- sentatives of his`d' to ent /•on the above-mentioned pro ert forq inspection perp��y �� /�3 87 I MECHANICAL $ TOTAL FEE $ Z/b y' Signature /J • CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor 01 00015081-00015083 TOT 210.41 neTr• nu 1,14 rem -rm... ..-.,, CONSTRUCTION AND PLANNING POOL &SPA ,APPROVALS Permit# _ Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement /-, 56. Rough Plumbing & Pressure Test 6. Electrical OF ERGrnd. 1. - .3 57. APPROVAL TO COVER-GUNITE 7. Footings , u ,/mg i' 58. Electrical Conduit-Undrgrnd. 8. Foundation! r 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. • 10. Structural Floor System 61. APPROVAL TO DECK b. -- 11. 11. Property Sewer Line & House Connection 62. Backwash & Receptor-FinalI l� t.. 12. Sewer Cap 63. Heater & Vent-Final -. c' r i- 0 (, I • 13. Roof Drains 64. Plumbing System - Final ...,c34'1-4,, 4// :-/7 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING le; 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL (.'; r , . 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT r•,_• "r 1.414,••••-. '- 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 - r 24. Roof Framing 73. Undergrnd.Storage Tank OGas 0 OilI > , I/ 25. Roof Sheathing 74. Overhead Hydro t -+ ( ' 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemicalj 27. Frame and Flashing 76. Dry Standpipes' - In . .1 28. Lathing & Siding 77. FIXED SYSTEM FINAL l r 29. Insulation 78. FIRE PREV. FINAL ' 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: I((q'/ X51/ 0S' .gi,j 34. Final Heating & Air Conditioning Yt( b/ (i1��YYY//J"`���--���� -�' �i 35. Final Gas Pipe-Test 36.,Hood or Canopy _ ./r /_ I 37.,Final Factory Fireplace i :' - :r 38.7--Final Plumbing r ,- t•' ) t: ( 39. Water Service-Final >'$. p 1 -- '' 40. Gas Service-Final J , , ; 41. Solar Domestic-Final v • / 42. BackflowPreventer •! - A' . r 43. Backflow.Irrigation - • 44. Landscape Irrigation System 'j;' , -. , _, 1' I .45. Sound Attenuation _;,r • , ik .14 j-' 46. Handicap Regulations >, ( '-_j •r 47.:FINA LSTRUCTURE & BUILDING m /I/o �� - .r�-% 1 48)Special Requirements Completed _ - - - .Y . , - / 49. Electric Release to Edison t / ' ' 50. Gas Release to Southern California Gas Co 51. CERTIFICATEOF•OCCUPANCY . • . No. Date Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. /2- • CITY OF COSTA MESA CONSTRUCTION PERMIT it PERMIT NO. TRACT NO. LOT NO. UNIT NO. Project Address 2SW MEf-/�r11Muu4- lc)AY 53s 380 / 'ro 139 `,iOu- Applicantls Maili/ng�,Address 54 flE '1/ TYPE OF CONSTRUCTION ❑ NEW ADD ALTERATION REPAIR Owner's Name J�fl„tlI EW R6N'1 Co ff4S'7.32 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER e A.P.# L/Lo — Oil_ -II Zone PDt.- tin Phone DESCRIPTION OF WORK/USE OF BLDG. G Pei rT Address S�H� S Main Building: Accessory Building: Arch/Eng.f I)2KL LPSrtaY ASSOO T a4 Q qDA NO. / // ] //q� TYPE OF PERMIT GRADING �� FOUNDATION .6,, UCTV RAL Front Address ca 3e Sc. Ma-ca. .eec IJF• LAfa�NA t,4%�5 13 ❑ TENANT ❑ ELECTRICAL V PLUMBING 0 MECHANICAL B Rear /�d N Contractor's Nem° O&dCt £0/c AQR- Phone Ji/S-73.27 I❑ OTHER // ++// -- A SA/+G PROJECT DESCRIPTION SG. FT. (c(1�OCC UPArvCiV C Right /�Yj GGG Address(mailing) p CONSTRUCTION TYPE VALUATIONS b%���' (>`( ,1- S Left 'w City License No. 'y//y//- p 'ZONE GRADING CU.YDS. ACRES Ping. Ref.# D4 �s - 'g 3 Parking Req./Provided E LICENSED CONTRACTOR DECLARATION .- - !Bf{J.. Q I hereby affirm tht I am licensed under provisions of Charter 9 (commencing Remarks: Q(] �. A Planning Notes: HA-Sear--- M with section 7000) of Division 3 of the Business and Professions Code, and act /� 7 my license is in lull force and effect. License Class `///( License Na. - - PLUMBING FEES S Date Signature iv {3 _ WORKERS' COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES 'eras*affirm that I have a certificate of consent to self-Insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink - J800, Lab. C.) ) /] Automatic Washer Transformer 0 15-50 KW PolicyNo. /' /" CompanyBackflow Irrigation 0 50+KW 9 Sewer Cap Construction Pole Sub. Certified copy is he eby furnished. Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Due to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION . _ Clarifiers Solar Collectors Dishwasher Meter Clover 100 amps (This section need not be completed if the permit is for one hundred ($100)or - • less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that In the performance of th for whic is permit is issued t shall not er:p an {{{���555son in any ma r so as come subject to the Drinking Fountains Solar Tank Fan Motors❑0.1 HP 01%-B • Workers' Cbl l off l(dws of Califo s Date 10 oD Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc ❑ .Solar 9.1$HP 016-15+ NOTICE: If,after airing this declare on,you s ould bec a subject to the Workers' Compensation provisions of the Lab Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this perm shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance Pole Light of the work fo Ipfkttsie d�,g,j4 epi ( 0 097 Civ. CJ Lender's Name �f7% FF-rG '/14/ (ASe�Ci3/ Interceptors Water Heater Outlets Range Lender's Address OQ g 5f1-(.l ` L C ) LA 9243 Kitchen Sink Water Service Switches OWNER BUILDER DECLARATION / Sign 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 Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 KW ❑5.15 KW Trash Compactor any structure, prior to its issuance, also requires the applicant for such permit Pa or to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's Licence Law (Chapter 9 (commencing with Section 7000)of • Division 3 of the Business and Professions Code) or that he/she is exempt lerefrom and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil _ _ enalty of not more than five hundred dollars($500). U I, as owner of the property or my employees with wages as their solo 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: /-� (////y� 1) 2- (I�e employees, provided that such Improvements are not intended or offered for Boiler Hood or Typo I ❑ _l b sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 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 Date ve for the purpose of sale). (rte] 1 r (� Cy as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By "- I w(OH Date_ -"21 ractors to construct the project (Section 7044,Business and Professions Code: ntit The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑O.100,000 BTU ❑100,000 BTU builds or improves thereon, and who contracts for such projects with a con- SUMMARY OF FEES 73 tragtor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ _7 SZ -- SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ _ 4-10 u PERMIT 0 I am exempt under Section / B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers ISSUANCE $ PLUMBING $ Date * Owner hi-Li-. -' .4/.....4/..../-� _/ Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ 1 I hereby certif that 1 have read this appf/ation and tate that the above 00.100,000 BTU 0100,00067E ELECTRICAL $ GRADING $ information is correct. I agree to comply s h all city and county ordinances and state laws rel_f ng to bus . g constru tion,and hereby authorize repre- $ MICROFILM $ sentatives of thlf ity to = t-r upon the above-mentioned p opert f r PLAN CHECK 50% !O Inspection pu - / 23 MECHANICAL $ _ TOTAL FEE $ 2q(� V�� Signature �s _J�.. ...._....-/_,... /Dat $ 3 PLAN CHECK 25% $ Drivers' License or SS 3e/ -Accounting; Goldenrod - Assessor 01 00015019-00015021 TOT 294,68 DATE: 09/21/88 TIME: 13:45 CONSTRUCTION AND PLANNING POOL&SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date I nspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location v 2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings - t ..' ii(iJ 01-' - /� 58. Electrical Conduit-Undrgrnd. • 8. Foundationr �d� - - 59. Gas Pipe, 0 Undrgrnd., Test •9. Water Pipe-Undrgrnd. . 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 1. - 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final_/ ,Li • 12. Sewer Cap • 63. Heater & Vent-Final -- ? 13. Roof Drains 64. Plumbing System - Final "•''''_J.' n, C• fa. _ - 14. Rough Plumbing 65. Electrical-Final C(-•• ei cr 2 - 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough WiringSign 1 968. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL - 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT . -• -a 20. Rough Factory Fireplace APPROVALS Permit# '-r 1 21. Ducts, in Structure 70. Underground Hydro . ' i 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. UndergroundFlush - r s T 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil / ' 25. Roof Sheathing 74. Overhead Hydro V 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical - •' 27. Frame and Flashing 76. Dry Standpipe - ,-XL I s1 28. Lathing & Siding - 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION . • 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 1 34. Final Heating& Air Conditioning fop U/ 16'/A , , 35. Final Gas Pipe-Test c(�b 1J�1�Y"""\\\' 36. Hood or Canopy Jr 37.-,F inal Factory Fireplace ;n `- 38. Final Plumping .-- '� s •u 139:Water Service-Final . . .. 40. Gas Sefvice-Final 1 t' i. • 1.41. Solar Domestic-Final I - • .. , ' 1 ` '42. BackflowPreventer ;:', c ' ° t : C • 1'43. Backflow Irrigation ; '.,, 'C .. .4-• • L44. Landscape Irrigation System i' y' ` • • • ' 45. Sound Attenuation I •/' 4,.- c. c • 46. Handicap Regulations .-'•f . = _ 'r-, i' -,•_-.••••• - /' ) , 47.. FINAL STRUCTURE & BUILDING 94Bg nS ,-.a: • - _ •-4. ;t ; 48. Special'Requirements Completed ` ,'1> "a - 49. Electric Release to Edison k, 50. Gas Release to Southern California Gas Co 51- CERTIFICATE OF OCCUPANCY , ' No. Date Applicant to fill in all spaces except those within heavy border tines and sign all appropriate declarations. / • CITY OF COSTA MESA CONSTRUCTION�oPERMIT PERMIT NO. TRACTsNO. LOT NO. //U�NIT NO.. //�f Prof Address 2520 M?Wine l,1/Af B3S3S3 //p�s Sir, S 1,/ /7-404 Applicant's Mailing Address HE TYPE OF CONSTRUCTION tJ NEW LJ ADD U ALTERATION L I REPAIR /� ,/,S Gq-,1etl/Ecu HL�Hr CO, PhoneSTS-(3.2 i❑ CONVERSION ❑ DEMOLISH ❑ OTHER - ' A.P,# L-.'1 O/1 —I 1 ZoneT44,.. / Owner's Name -"y- DESCRIPTION OF WORK/USE OF BLDG. C {-J }J"��1,� 4J Address pp 5A t1 d '�.:. _ f�/ S Main Building: Accessory Building: Arch/Eng. £U&LCE Les-reg. enseNo. / /� / 2 TVPEOFPERMIT U GRADINGFOUNDATION IJCISTRUCTURAL E Front aG Z Address 23325 Millet"Xn d2 LA6&A(JA I-///s� 924,0/ L- Cl TENANT Cl ELECTRICAL PLUMBING ❑ MECHANICAL B Rear /5 N Contractor's Name 403 Alea2/A/�/LActa Phone d" S 7327 '_'JE OTHER �,� ��I C Right /05 N SANE PROJECT DESCRIPTION SQ. FT. OCCUPA Y KG Address(mailing) - ,LSS CONSTRUCTION TYPE Vri VALUATION$ J _$ Left City License No, 47 SS9 I:�ZONE GRADING CU.YDS. ACRES / / E LICENSED CONTRACTOR DECLARATION Ping. Ref.# �� �83- Parking Req,/Provided [� rrr••��a 'p -yam 0 I hereby affirm that I am licensed under provisions of Charter 9 (commencing •Remarks: S-/, • Planning Notes: .c t �(,L M with section 7000) of Division 3 of the Business and Professions Code, and • - V my license is in full force and effect. • T License Class A License No. � - S �/ADate Signature PLUMBING FEES • WORKERS'COMPENSATION DECLARATION _ Bar Sink Showers ■ ELECTRICAL thereby affirm that I have a certificate of consent to self-insure or a certificate '--• - FEES A Workers' Compensation Insurance, or a certified copy thereof (Section Service Sink ,a , 3800, Lab. C.) ,I /s r Automatic VVasher Transformer KW Policy No ad Company VT, Backflow ' �, Certified copy is hereby furnished. IlL Certified copy is filed with the city y Building Division. ' •• ' IW_ '1a0__I Date Applicant •E%EMPTi FROM WORKERS'dOMhENSATION DoneA(This section neetl not be comple[etl if[he permit is for One hundred (5100) orless). • - OGas 0Electric Sub Panel . I certify that in the performance of the rk for w ' h this permit is Issued, I shall not employ a person in any ner so become subject to the • poolwis ■ ■s • ■ Workers' ¢omgp�n�anJ,If'q��Qaws of Calif a��s Date :l / 4J/ b A Signature//r//Y K/� 2 ,Floor Drains' ' i■il Fixtures 1.11 ■. . ■ _I NOTICE:Co after (n eking this secsar55t ion, yLAbe should b ome subject to the . ■ 16.15+ Workers' Compensation provisions of the or Code, you must forthwith Floor Sinks Urinal ' comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet . Da I hereby affirm that there is a construction lending agency for the performance Pole light of the work fqr uh th/t Erspi,[� -I ssueE ci._ tion 3097 Civ. C,) Intercepters Water Heater Lender's Name! -M1 Outlets C.F-/s% As/ .J ages Lender's Address 0O P . u b, oo, e-A 9243 Kitchen Sink - Water Service Switches OWNER BUILDER DECLARATION I hereby affirm that fern exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or Standing 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 Generator 00.5 KW 05-15 KW Trash Compactor 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 livision 3 of the Business and Professions Code) or that he/she is exempt ierefrom and the basis for the alleged exemption. Any violation of Section /031.5 by any applicant for a permit subjects the applicant to a civil psnatty of not more than five hundred dollars($500). - LI I, as owner of the property or my employees with wages as their sole Reinspection Eee $15 compensation, will do the work,and the structure Is not intended or offered Reinspection Fee $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 /1 - / s•g al- "LA—cal a. sale, If, however, the building or Improvement is sold within one year of corn- Canopy Type II 0 Zoning Approved By sDate pletion, the owner will have the burden Of proving he/she did not build or im- Duct-Under Ground Building Approved By /� Date ve for the purpose of sale). ` ,x f 9 r2 J Qp I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System \ Application Issued By z3 A s U� Date l f Jll tactors to construct the project (Section 7044,Business and Professions Cotle: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU $U 1y1SZOell) FOFEES ..I� 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 ■ ■ System Repair/Alteration BUILDING PERMIT $ SMIP $ s proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section a P & P.C.for this reason 1. :• - III Fire CHECK $ 4045 PERMIT Fire Dampers PLUMBING $ ISSUANCE $ - - Date near Owner gIA genral/aZegit_ •1/Ja Heating System& Ducting Registers ENERGY P.C. $ PLAN CHECK 25% $ - I hereby certify that I have read this applic i ion and st.to that the above ❑0-100,000 BTU ❑100,000BTGRADING $ information is correct. I agree to comply wit call city and county ordinances 'ELECTRICAL $ and state laws rela 'ng to buildin• •onstruction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ Sentatives of city to once .On the above-mentioned pr pert f inspection put 5yy MECHANICAL $ (08 Signature ' -, Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ ___ __ _ _ - — __ CMF 0865-46,rev.10/84 White - Building: Canary -Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 09/21/83 TIMES 12:42 • CONSTRUCTION AND PLANNING POOL &SPA , APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1(. Temporary Electrical Service or Pole 52. Pool & Equipment Location ', 2. Soil Pipe-Undrgrnd.• 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings i - ' nig eg p/ 58. Electrical Conduit-Undrgrnd:, 8. Foundation= '• r 59. Gas Pipe, 0 Undrgrnd., Test', • 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK - '#7. 11. Property Sewer Line& House Connection 62. Backwash & Receptor-Final ` ' - 12. Sewer Cap 63. Heater & Vent-Final • 13. Roof Drains 64. Plumbing System - Final , ^ ' 1; (7N 7 , . 14. Rough Plumbing 65. Electrical-Final t- 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 +..-"*.- "J t ,. 19. Rough Heating& Air'Conditioning FIRE DEPT. REQUIREMENT „....4:,.. e- 20. Rough Factory Fireplace APPROVALS Permit# _ll i II 21. Ducts, in Structure 70. Underground Hydro - . I 22. Ducts, Ventilating 71. Product Piping 0 Gas 0011. - ,- 23. Gas Pipe-Rough & Test 72. Underground Flush - , 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oily 25. Roof Sheathing 74. Overhead Hydro I; 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical r '; 27. Frame and Flashing 76. Dry Standpipe lc i..1 f,i 28. Lathing & Siding 77. FIXED SYSTEM FINAL .„..- 2i 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat79. 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 t ((Na ' 36. Hood or Canopy y,• to r )' ) ' 37. Final Factory Fireplace ' < ' ' 38.' Final Plumbing ? - r,'39. Water Service-Final -„ - :40. Gas Service-Final .t; i' • '• 41•. Solar Domestic-Final ;t �,- , I , .":-., 1 42.-Backflow Preventer , :f t- , ;, , I - v 2. 43. Backflow Irrigation 1 j'', '- �' 'f,;:....• - 1/ J ., 44. Landscape Irrigation System ` '�. "• - ,:15. Sound Attenuation . - r . i.' 46. Handicap Regulations ( ' 47.-FINA LSTRUCTURE & BUILDING J'/j3/Gr ; a �• - ,`- • - 5 ? ;, • 48a Special Requirements Completed `//%1 //r_' i-.,iv '�.t 1 , J� 49. Electric Release to Edison - -r'.;, �. 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY I- No. •' Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT �-PERMIT 5-38 3 TRACT 2s5 LOT NO. UNIT Z A.P.# Zone Proji Address 2 6 A-/ca,>-t4c �''-� !/-' r S Main Building: Accessory Building: • Applicants Mailing Address "Y.n. TYPE OF CONSTRUCTION U NEW U ADO U ALTERATION U REPAIR E Z OEmer's Name l'•-•41/9.4-Xe-t---, /..4.vt C Phone Cr''-73� ❑ CONVERSION ill DEMOLISH El OTHER T N B Front DESCRIPTION OF WORK/USE OF BLDG. Rear Address S4'44'" A 1 / ' 306TYPE OF PERMIT H GRADING FOUNDATION ❑ STRUCTURAL C Right • - N Arch/Eng ��.CC L (r•;tt t_d / �cense No, El G Address.23c)-7-4-1C/,tC.G tEE2 4-L--MQLA-.1.4 404La 92c1 J ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $• Left R Contractor's Name U4•-'1/CC B•-cf LNFii.- Phone S��73?_' Ell OTHER Ping. Ref.# Parking Req./Provided 1 E PROJECT DESCRIPTION SQ. FT, OCCUPANCY Q Address(mailing) 5...4.4-td - Planning Notes: M ���� y C ON ST RUCTION TYPE VALUATION T City License No. / - ZONE ' mGRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION Ir"r • 1 e_t_- - I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: with section 7000) of Division 3 of the Business and Professions Code,and my license is in full force and effect. ELECTRICAL FEES License Class License No. Date Signature 2....4 PLUMBING I FEES Automatic Washer Transformer 0 15.50 KW , WORKERS'COMPENSATION DECLARATION Bar Sink Showers Construction Pole Sub. ❑ 50+KW .1 hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps - 3800, Lab. C.) Policy No. Company LA. Backflow Irrigation Sewer Cap Dishwasher , Meter ❑over 100 amps- 8 Certified copy is hereby furnished. Certified copy is filed with the city Building Division. Bathtubs Sewer Connection - Dryers ❑Gas DElectric Sub Panel Date ApplicantFan EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Motors El 0.1 HP 0114-8 (This section need not be completed if the permit is for one hundred ($100)or - F.A,U. less). i Dishwasher Solar Piping Inc.Solar 09-15 HP016-15+ I certify that/in t performance of the work for which this permit is issued, I Fixtures -i' shall not errjploy ny person in any manne o as to becomeys 'ect to the Drinking Fountains Solar Tank Microwave • Workers' C m ensation Laws of Califor a ��r ' Date //� G8 Signature lhYp �L,- Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE:/lf,after making this deciar ' n, you should becomes feet to the a Outlets Workers'LCompensation provisions the Labor Code, you must forthwith Floor Sinks UI¢ s Urinal Range comply with/such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign I hereby affirm that there is a construction Lending age y for the performance of the work for�.v/jc thitroG�(tcjrs„jssuejc ion 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name cc���� /A�'' Lender's Address E•o° sst 34ti U/t'SO Kitchen Sink • Water Service .Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION d I hereby affirm that I am exempt from tne 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 '1 - 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 I $15 Issue Fee :herefrom and the basis for the alleged exemption. Any violation of Section $ 3 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: L1 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 1 -.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 .--.. i / te /�/ �G✓ thereon, and who does such work himself/herself or through his or her own tJf Application Issued By - II* Da 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 com- Canopy Type II 0 • pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground - O n: SUMZI�,�ARY OF FEES prove for the purpose of sale). ds'- BUILD NG PERMIT $ J D SMTP ❑ 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: - r�1 $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0100,000 BTU ❑100,000 BTU ISSUANCE builds or improves thereon, and who contracts for such projects with a con- . 1 PLUMBING $ $ tractors license pursuant to tne Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration I t PLAN CHECK 25% $ ENERGY P.C. $ proof of' erat their Worker's Compensation Insurance should be provided to me. r ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.& P. .for this reason Firepl/Fact.Blt. ICBG# Fire Dampers MICROFILM $ PLAN CHECK 50% $ Date . owner /�- -- Heating System& Ducting Registers MECHANICAL $ TOTAL FEE $ U ,�� I hereby cert fy that I have rea• his application and state hat the above ❑0100,000 BTU 0100,000 BTL information it correct. I agree to omply with all city and county or glances PLAN CHECK 25% $ and state laws relating o building construction, and hereby author e r pre- sentatives of this i o enter upon the above-mentioned pr ert for Inspection purpose './. Date// IL c` Signature Drivers' Lic; - or SS 9 •+ Reinspection Fee $15 Issue Fee $ 3 a 01 00018739-00018739 T 0 T - 30.00 0865-46,rev-5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 11/04(88 TIME: 16:05 CONS:RUCTION AND PLANNING • POO. ,,t SPA IPPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. ` 53. Steel Reinforcement - . , 3..Electrical Conduit Utility-Undrgrnd. . 54. forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 5: Steel Reinforcement el 56. -Rough Plumbing & Pressure Test I 6. Electrical LIFER Grnd. � 57. APPROVAL TO COVER-GUNITE , 7. Footings .' � 58. Electrical Conduit-Undrgrnd. ' • ' •ti,'I I , 8.•Foundations ; . , 59. Gas•Pipe, El Undrgrnd.,Test . _ e 9. Water Pipe-Undrgrnd. • .4 60. 'Badkwash Lines, P-Trap, 0 Undrgrnd. • I 10:. Structural.Floor System 61:•APPROVAL TO DECK ' • • )-1. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ' l re 12. Sewer Cap 1 I. 63. Heater & Vent-Final 13. Roof Drains , ,' 64. Plumbing System: Final 2 14. Rough Plumbing - ' 65. Electrical-Final I 15.:Rough Electrical-Conduit . • 66. Solar System-Final - 161 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 '-j APPROVALS • Permit# i, 21. Ducts, in Structure1 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 rl 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 PREY. FINAL • 30, Drywall Nailing HEALTH DEPT. REQUIREMENT 31, Plaster Brown Coat 79. FINAL INSPECTION • . 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED i 337 Final Electric Notes: �p//�� /�� 34. Final Heating & Air Conditioning 1I as 35. Final Gas Pipe-Test 36. Hood or'Canopy 37. Final Factory Fireplace f" 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer ty 43. Backflow Irrigation 44. .Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 11' 47. FINAL STRUCTURE & BUILDING 127�3/41f 40 if <1 48. Special Requirements Completed 49. Electric Release to Edison (..�) ✓ 50. 'Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY 't' :, No._ Date . Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 1 CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. Project Address 252o MERR/HAC &A/ 33s3 &4 (n9ytap--' 3 Applicant's Ma Address K! TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR O�:ner's Name p // O Phon �[� 0 CONVERSION � DEMOLISH ❑ OTHR I 1h01�11{� 2V 1 (O�T ee�(.,,Z� 7 • •o • A.P.# Z-c7- O i 2 - 1 ( Tonc09440 DESCRIPTION OF WORK/USE OF BLDG. Address R S Main Building: Accessory Building:, BURKG �2ST2R *A5 E 5d z Arch/Eng. ricense N 1// p TYPE OF PERMIT • GRADING P4 FOUNDATION Ki TRUCTURAL T Front O Address ?8o 25 M/LL DC,EEM� AR Z41.41/I / u is ! - 0 TENANT 0 ELECTRICAL r PLUMBING 0 MECHANICAL B Rear • N Contractor's Name a4/AI IR./, 0/t tt& PhonN 7s•7327 0 OTHER A C Right N S•�I MYs PROJECT DESCRIPTION SQ. FT. ' 0 OCCUPANCY - K 9 �� G Address(mailing) j� 1 CON ST RUCTION TYPE VALUATION$ S zLeft `0 City License No. �3 ZONE GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION _ • Ping. Ref.# 4 LS- / Parking Req./Provided E I herebyaffirm that I am licensed underprovisions of Charter 9 (commencingnY}, 0 Remarks: 89 /A Planning Notes: -�• M with sectionis n full of a effect.3 of the Business and Professions Code, and T my license is in full force and License Class N� License No. S A Date Signature Fl _ PLUMBING I FEES WORKERS' COMPENSATION DECLARATION .ger Sink Showers _■ ELECTRICAL FEES ereby affirm that I have a certificate of consent to self-insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section � , AutomaticWasher Transformer15-50 KW ' J800, Lab. C.) : Backflow Preventer Service Sink Policy No. /�lA Comp/ Y , 0 Construction Pole Sub. 0 50+ KW BCertified copy is hereby furnished. Certifirgtl yp �sl �} with the city I I•to Div y •/ ■ • 100 amps Date IL FR Applicant • - I EXEMPTI Need WORKERS'COMP NSAT ••N DELI•RATION ' Dishwasher•• ' Dover•100 amps (This section need not be completed if the perm)'Is for one hundred($100)or Dishwasher Dryers ■ ■ less). Sub Panel I certify that in the performance of the work for which this permit is issued, I ■ . shall not employ a y person in any manger so as to berme subject to the ,• Fountains Solar Tank 00-1 s • ■ _ Workers' Co cpviys ^ "aws of Calif ,p Date O'S • Signature if�•� / eepr-s"��-� e•, ■, ■ NOTICE: I afte making this declar ' n, you uld becprne Subject to the Workers' Compensation provisions the ...Code, y u must forthwith . ■ _■ Comply with such provisions or this per a shall be deemed revoked. Fixtures Microvvave , ■, CONSTRUCTION LENDING AGENCY • ets Water Closet Device I hereby affirm that there is a co•struction lending agency for the performance Pole Light of the work f• j I. I f1i-/ •:r�ysjY �1' /ie• •don 3097 Civ. C.) Interceptors Water Heater Outlets Renge • Lender's Name • �A7 AAS/ -- �`a OWNERAddress �E J / l �iiL , I . • Switches Sign OWNER BUILDER DECLARATION I hereby affirm thatt am exempt from the Contractor's License Law for theLavatories Auto-Wash - Disposal following reason (Sedtion 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 s ■ KVV any structure, prior to its issuance, also requires the applicant for such permit Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains 'he Contractor's License Law (Chapter 9(commencing with Section 7000)of vision 3 of the Business and Professions Code) or that he/she is exempt :refrom and the basis for the alleged exemption. Any violation of Section • J31.5 by any applicant for a permit subjects the applicant to a civil +penalty of not more than five hundred dollars($500). LJ I, as owner of the property or my employees with wages as their sole Reinspeetion Fee I $15 Issue Fee compensation, will do the work, and the structure is not intended ed or offered 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 tloes such work himself/herself or through his or her own ■ !.wt' 'employees, provided that such improvements are not intended or earofoffered for = I'e I sale. If, however, the building or improvement Is sold within One year of cow- ■ :pletlon, the owner will have the burden of proving he/she did not build or im- •, Yve for the purpose of sale). • Iproved By •"as owner of the property,am exclusively contracting with licensed con- • ' 'Itt! • _ �7t♦rators to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who • ■a ,r1 .. : ■ r BTU builds or Improves thereon,antl who contracts for such projects with a con- tracter(5 license pursuant to the Contractor's License Law). I am aware that ,Exhaust System ■ ■ lteration •proof of)their Worker's Compensation insurance should be provitletl to me.❑ Iam exfemptt undd/err Section B.& P.C.for this reasonDate G J� X D � �•vHeating System& Ducting Registers PLUMBING $ I hereby ersf that I agre read this awith all t tl sdaco that the above ❑x100.000 BTU 0100.00087 .Infertat la is cora t. I agree to 9 con with all city antl county ordinances antl state laws rel Ing to buil•' g construction,antl hereby authorize repre- ••s of r Icily to e- • upon the above-mentionedp oper for PLAN CHECK inspection para :/.. i� // X15 Signature / Dater• ■ Reinspection Fee $15 . $ 3 MECHANICAL $ rillillIDrivers' License or SS � �; • CMF 0865-46,rev.10/84 White - Building: Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 01 00015084-00015986 TOT 210.41 DATE: 09/21/RR TIME. t:.,'- CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date .Inspector 1i Temporary Electrical,Service'or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. ' 53. Steel Reinforcement .< 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. (! - 57. APPROVAL TO COVER-GUNITE 7. Footings '' • i ill 1./a co 58. Electrical Conduit-Undrgrnd. 8. Foundation] *i.-,1 -, 59. Gas Pipe, 0 Undrgrnd.,Tesrj 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 14> . . 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final Rf 12. Sewer Cap 63. Heater & Vent-Final 7 `),v 0 l 13. Roof Drains 64. Plumbing System - Final 1'>%' 'J' Li--0 en �t„ V 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING I; 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL t (;, ...- to 19. Rough Heating & Air ConditioningFIRE DEPT. REQUIREMENT f •- .1 ,;- 20. Rough Factory Fireplace APPROVALS Permit# -'- r' r / 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil \. .j 23. Gas Pipe-Rough &Test 72. Underground Flush •r = 24. Roof Framing 73. Undergrnd.Storage Tank ❑Gas 0 Oil-3 r ,I . 25. Roof Sheathing 74. Overhead Hydro • L. r ' 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical - `"j n/ 27. Frame and Flashing 76. Dry Standpipe • t ..--"C- rt • t . 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION ,. 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED - 33. Final Electric Notes: 34. Final Heating & Air Conditioning ''/Of *4644-41‘ 4 4 I�Y°1 t • 35. Final Gas Pipe-Test "� t,:i "' 36. Hood or Canopy 1 - /' :. .• , N . a ' 37:'Final Factory Fireplace --,iM " 38..Final Plumbing •v t v (I " .+ - Y 39.'Water Service-Final „ i °' y. f✓•'• i. -• 40. Gas Service-Final J' I �•). �- r;/ 41Solar'domestic-Final ' i , ., i . I - '42: Backflow P.reventer .Ur, 7 , !I �, _ $ I` , 2.43. Backflbw Irrigation " ��4+ _ i .:F? ••, ry - 5 -r • Y• 144? Landscape:Irrigation System i 145-1:" • t! • ' • '' ''• "'t ,- �' d- ' !�, S?+Sound 'Attenuation - -'%1 t, 46.-Handicap Regulations - t ' ' Y , to 'd • "477 FINALSTRUCTURE & BUILDING //201 . , ; _ "1 N)'" r y L . J 48'Special Requirements Completed 7, ..---.1 "- _ t• `/ : r 49. Electric•Release to Edison , - ; 50. Gas Release to Southern California Gas Co f i 51. CERTIFICATEOF•OCCUPANCY No. .- Date y t 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 COST MESA CONSTRUCTIONPE IT rR A.P.# Zone 5 5� /-1n. ,i, Sc 1�" 3�� 6¢ an-8 3 4,23- 430 Project Adores - S Main Building: Accessory Building: • .c.CTs TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION U REPAIR E - - Z Applicants Mailing Address Front I�Att1C� r 2 ❑ CONVERSION El THER T O Owner's Namef' �o.v-T PhoneSQ X73 7 I B N _ DESCRIPTION OF WORK/USE OF BLD �J_ j G� A Rear I Address 5't'f L-// ��.,. LI I 11LXA, 1 Arch/Eng. ` 'OeG.•-•�•¢P.< TYPE OF PERMIT IJ GRADING ❑ FOUNDATION STRUCTURAL C Right N u�z' r: License No. K G Adores • f4/./C<-L-F- A u-.,,a /27/77A7/2--/. ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL i $' Left R Contractor's Name a"-' c- - n -t- Phone 7 ❑ 'OTHER Ping. Ref.# Parking Req./Provided E ��++,�,r PROJECT DESCRIPTION SQ. FT. OCCUPANCY Q Address(mailing)T"�G� CONSTRUCTION TYPE - - VALUATION$ Planning Notes: M City License No. 49' •?,c9. ZONE GRADING CU.YDS. ACRES T LICENSED CONTRACTOR DECLARATION S. I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: with section 7000) of Division 3 of the Business and Professions Code,and my license is in full force and effect. ELECTRICAL FEES License Class License No. — Date Signature L� PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW WORKERS' COMPENSATION DECLARATIONBar Sink Showers Construction Pole Sub. 0 50+ KW ereby affirm that I have a certificate of consent to self-insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section - Backflow Preventer Service Sink o800, Lab. C.) Cooking Unit Meter ❑up to 100 amps /�, Dishwasher Meter Clover 100 amps' Policy No. Company!'� Backflow Irrigation Sewer Cap + BCertified copy Is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Date • Applicant EXEMPTION FROMWORKERS'COMPENSATION DonLA Clarifiers Solar Collectors Fan Motors 00-1 HP ❑1%-8 (This section need not be completed if the permit is for one hundred($100) or F.A.U. Inc.Solar ❑9-15 HP 016-15+ less). Dishwasher Solar Piping I certify that ' th performance of the wor for which this permit is issued, I Fixtures i.'I shall not em IOy ny person in any •a t?r so as to beco • ubject to te Drinking Fountains Solar Tank —� — Microwave Workers' C, e sateon Laws of Calif• Device Boxes Date a a' Signature •rf• _ FIOor Drains n Swimming Pool w/Spa Pole Light NOTICE.If,4 ter making this de• a Ion,you should becom- subject to the Outlets Range Workers' Compensation provisio of the Labor Code, you must forthwith Floor Sinks Urinal - comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service • Outlets Water Closet Switches Sign I hereby affirm that there Is a construction lending agency for thq performance of the work for h t i per R is issued (Sectioy 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name ' - � ��IC 10"... . Lender's Address 4(30 I Yr X--£-4.. MA/o 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 �'• '•e Contractor's License Law(Chapter 9(commencing with Section 7000) of - -,•ision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 refrom and the basis for the alleged exemption: Any violation of Section .,31,5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: fl I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 '/Z°^I^9 Approved By compensation, will do the work,and the structure is not intended or-offered - Date for sale (Section 7044, Business and Professional Code: The Contractor's • MECHANICAL FEES Building' Approved By /./ .Oats 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 ❑ 'Application Issued By Date 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 ( sv(� SUM�1/',RV OF FEES pletion, the owner will have the burden of proving he/she did not build or Im- Duct- Under Ground /([�y� p y prove for the purpose of sale). /- 'tS�l LDI G...110: T $ , $MIP $ ❑ I, as owner of the property,am exclusively contracting with licensed'con- Ouct-Structural Refrigeration SystemI PLAN ECK $ PERMIT 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 j PLUMBING $ ISSUANCE $ builds or improves thereon.and who contracts for such °refects with a con- ENERGY P.C. $ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration I PLAN CHECK 25% $ I proof of their Wor er's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ I am exe •t u •er Section B.& P., .for this reason Firepl/Fact.Bit. ICBG dk Fire Dampers MICROFILM $ Date . 6 Owner /..... �� Heating System&Ducting I Registers PLAN CHECK 50% $ 3 G• n° I hereb . certify that I have re • his application and st e that the/ab•'e ❑0100,000 BTU ❑100,000 BTL MECHANICAL $ TOTAL FEE $ informa ion Is correct. I agree to comply with all city and county or na es PLAN CHECK 25% $ and state laws relating to building construction, and hereby author) e r pre- ' sentatives of this ci • to enter upon t•• above-mentio ed pro pre- / for inspection purposes. _ 0 Signature Pink -Accounting; Goldenrod - Assessor DATE: 11/04/88 TIME: 16:04 CONSTRUCTION AND PLANNING P01 SPA APtPROVALS Permit# Date Inspector APPROVALS Permit# - Date Inspector 1.-TAmporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - - 53. Steel Reinforcement � 3. Electrical Conduit'Utility-Undrgrnd. 54. Forms - 4. Electrical'Conduit-Undrgrnd. 55. Electrical Bonding of ' 5. Steel Reinforcement • 56. Rough Plumbing & Pressure Test 6: Electrical UFER Grnd. •i ,' 57. •APPROVAL TO COVER-GUNITE 7. Footings , • = 58. Electrical Conduit-Undrgrnd. : �•'r '8.• Foundation, • 59. Gas Pipe, 0 Undrgrnd.,Test ' 9. Water Pipe-Undrgrnd. 6' 60. Backwash Lines, P-Trap, O Undrgrnd. I • 10. Structural Floor System 61. APPROVAL TO DECK '. 1-1. Property Sewer Line & House Connection 62. backwash & Receptor-Final - • ' 12. Sewer Cap ' 63. Heater & Vent-Final .'_ 13. Roof Drainsi 64. Plumbing System - Final • 14. Rough Plumbing 65. Electrical-Final • YS.,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. POO USPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 21 Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27;. Frame and Flashing 76. Dry Standpipe 28. Lathing &-Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall-Nailing HEALTH DEPT. REQUIREMENT 31! Plaster Brown Coat 79. FINAL INSPECTION 32; Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning `k1p111'n/q G)UV\(.off' 611, " 35. Final Gas Pipe-Test `t1 c.te. 36. Hood or Canopy '7 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer W 43. Backflow Irrigation 44. ,Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations / t:) 47. FINAL STRUCTURE& BUILDING .,qA'S' .G1 - f 48. Special Requirements Completed ��" �V 49. Electric Release to Edison ' N,/ 50. Gas Release to Southern California Gas Co . 0, 51. CERTIFICATE OF OCCUPANCY V. No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. d CITY OF COSTA MSA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. NIT NO. Project Address rd‘ nERR)y/C 134Y 5353 L`7 /rib 5-sr 9, ��r3o Applicant's Mailing Address SANE TYPE OF CONSTRUCTION ?NEW Li ADD U ALTERATION LI REPAIR CA .5(15- 73,27 ❑ CONVERSION ❑ DEMOLISH ❑ OTHERGA P # 4.2-O — V i I ` Zone.JO� Owner's Name F51\HEf� N✓,MT C D Phone JJ ! o DESCRIPTION OF WORK/USE OF BLDG. Agrogr Address SAME I - S Main Building: Accessory Building: Arch/Eng. '($URKE LESTeR d- A ACS No. TYPE OF PERMIT LI GRADING Gy FOUNDATION iiirSTRUCTURAL E Front '�J,' 6O Address A3o25" Nit/, Cz t hi LALJIJA PI1[-IS R226/Sj ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear /0 - N Contractor's Namp Dade,' A 0 i bee Phone5Qs' 73-27 0 OTHER 't''� r t Address(mailing) SAM PROJECT DESCRIPTION SO. FT. 1 s1'�cb OCCUPANCY /Y7-• / CRight frO - G //// �� CONSTRUCTION TYPE V- N VALUATION$ :/&c 7 c $ Left 30 City License No. 7�a 97 // 'ZONE GRADING Cu.YDS. ACRESn R LICENSED CONTRACTOR DECLARATION E Ping. Ref. 4 r s- I ��' Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: ��L.l i�y'� Planning Notes: � �� - • Q with Section 7000) of Division 3 of the Business and Professions Code,and M my license is in full force and effect. T License Class Ad^ License No. S Date Signature /� -'"" J., PLUMBING FEES "'ORKERS•COMPENSATION DECLARATION - Bar Sink Showers ELECTRICAL FEES - ereby affirm that I nave a certificate of consent to self-insure or a certificate - • Workers' Compensa on Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink S Automatic Washer Transformer 0 15-50 KIN • 3800, Lab. C.) ,II ' Policy No. (V/A Company Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+,KW 8 Certified copy is hereby furnished. - , Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up 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 ❑Electric Sub Panel I certify that in the performance of the wp1k for which this permit is issued, I v shall not employ a y Fon in any r apr(er so as t ecome subject to the Drinking Fountains Solar Tank Fan Motors ❑0-1 HP ❑1%-8 • Workers' 20/n1J s tl6n�yaws of Califottf try. - - Date (�/ JTi D Signature //Ibf Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑g-15 HP 016-15+ NOTICE: 1 after making this declaration, you oultl beco a Subject to the - - Workers' Compensation provisions of the Lab Code, you must forthwith --Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device BoxesPole Light (hereby affirm that there Is a construction lending agency for the performance g of the work foVV ry,�.nis t „1s s�uetl ...<41in_ 3097 Civ. C.) Lender's Name 1-91 - fl' 4'' ' IC- •� Interceptors Water Heater Outlets Range _ Lender's Address QD JJ �� ' 4� t LA 'IA )(;S Kitchen Sink Water Service - OWNER BUILDER DECLARATION Switches Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal ' following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections , county which requires,a.permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays ( Generator ❑0-5 KW ❑5-15 KW any structure, prior t6 its Issuance, also requires the applicant for such permit Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains ",e Contractor's License Law(Chapter 9(commencing with Section 7000) of vision 3 of the Business and Professions Code) or that he/she is exempt - erefrom and the basis for the alleged exemption. Any violation of Section .031.9 by any applicant for a permit subjects the applicant to a civil Dpenalty 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 $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 ❑ ^ . I�Q -I e�2.-'I O sale. It however, the building or Improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By IC/l1/ Date pl tion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date r ve for the purpose of sale). (( � d I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Cl)al- Application $CT7- nate I---7i -eel a tors 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 r SUMM Yell FEES /l�' builds or improves thereon, and who contracts for such projects with a con- _ tractors license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple❑ System Repair/Alteration BUILDING PERMIT $ — SMIP $ proof of their Worker's Compensation i surance should be provided to me. PLAN CHECK $ 71 PERMIT 0 I am exempt under Section & P.C.for this reason Firepl/Fact.Blt. ICBG 4 Fire Dampers PLUMBING $ ISSUANCE $ Date Owner Heating System& Ducting Registers ENERGY P.C. $ PLAN CHECK 25% $ I hereby certify that I have read this appli ion and st to that the above 00.100,000 BTU❑100,000BTL— GRADING $ information is correct. I agree to comply wit all city and county ordinances ELECTRICAL $ and state laws ela g to buildi•' construction, and hereby authorize repre- sentatives of t sty to en r upon the above-mentioned r perty r inspection our•. s AO/,,,' — MECHANICAL $ TOTAL FEE $ Zio- Signature Pink -Accounting; Goldenrod - Assessor 01 00013075-00015077 TOT 210.41 DAT!: 09/71/RR TTMCl beth CONSTRUCTION AND PLANNING POOL& SPA - APPROVALS Permit# Date Inspector APPROVALS Permit# Date • +I'nspector r 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ; 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement • 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test - 6. Electrical UFER Grnd. : . 57. APPROVAL TO COVER-GUNITE 7. Footings l ; 4 - ii fit is 7 58. Electrical Conduit-Undrgrnd. 8. Foundation/ . NO, 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd.' 60. Backwash Lines, P-Trap, 0 Undr'gind. 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 �1 G / 0 !Ji - i . ,,. ,-/ 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign • 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL - • 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT t, 5• C., r 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro , • 22. Ducts, Ventilating 71. Product Piping ❑Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush - 24. Roof Framing 73. Undergrnd.StorageTank OGas OOiI 25. Roof Sheathing 74. Overhead Hydro ri L 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical --- 27. Frame and Flashing 76. Dry Standpipe �' 7` ' I , r 28. Lathing& Siding 77. FIXED SYSTEM FINAL _ Lr 'i • --- 29. 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing ' ' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat_ 79. FINAL INSPECTION . 32. Electrical Power Meter-Final ' 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Citioning / I r/x �4 K b « 1 ond 7�-A35. Final Gas Pipe-Test (',4 pq9 Yi�&� C 1 ' 36. Hood or Canopy • Z 37. Final Factory Fireplace r . . , 38i,Final Plumbing i 39. Water Service-Final . • • i. ' 40. Gas Ser*ice-Final i L-- - - '4 ✓) 1 41. Solar Domestic-Final •jl; - •' / •42. Backflow Preventer 143. Backflovd Irrigation ,Ji - - - 44. Landscape Irrigation System :r ". r- r , y yp5. Sound Attenuation -,. , 46. Handicap Regulations _-' 47_•FINAL STRUCTURE & BUILDING 1Z�/nj�'8'sV ' - , 48:-,Special Requirements Completed - //_,/!(/, sV ti 'i t'-. 49. Electric Release to Edison '_" • 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF.00CUPANCY --• No. pate •. or Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. /oL CITY OF COSTA MESA CONSTRUCTION PERMIT ' PERMIT NO. I TRACT NO. I LOT Na I UNIT NO. Project Address 2520 MEiern/Ac, WA/ Q 333 7 L /A b $` /-4z8•d, - - Applicant's Mailing Address <_.' E. TYPE OF CONSTRUCTION Li NEW U ADD ALTERATION Li REPAIR 1�fI -V/610 t&trf/r� !/[t 73,Q7 ❑ CONVERSION ❑ DEMOLISH 0 OTHERA A_,___,_i A.P.# - oil — kk Zone/1p fig Owner'sddresName �7f FP LV /Zr L.f-Phone slL`?1�� DESCRIPTION OF WORK/USE OF BLDG. (���K(✓O(Cr Y Address i��j,r1HE ,�( S Main Building: Accessory Building:' Arch/Eng. OR-K6 11�/ ST/�EQQ,e/,/'�A^S.S ¢ryse No. /` TYPE OF PERMIT . LiGRADwG JLFOUNDATION fQNSTRUCTU RAL E T Front O Address 2� 025 AV ^EEK Ae. tmailin fy/� 9��0 El❑ OTHERT ❑ ELECTRICAL U PLUMBING ❑ MECHANICAL BA Rear a.� N Contractors Nam- av •. e' ' L . • e 54'5-73 a, / PROJECT-DESCRIPTION SQ. FT (✓e oCCUP NCY C Right qJT' N Address(mailing) ��/1EK - Q G (/ CONSTRUCTION TYPE —A' VALUATION S $ Left /1 • City License No. 3 89 ZONE GRADING CU.YDS. ACRES R ' LICENSED CONTRACTOR DECLARATION ^,,�7�/ 41l+. Ping. RCS.# i A. 9 - ����/3'/ Parking Req./ProVidad E I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks:: V� l �GZ Planning Notes: pit 51C fY ( , M with section 7000) of Division 3 of the Business and Professions Code,and «\ l 7 - my license is In full force and effect. , ' • T License ClassS aJ/A License No. PLUMBING FEES DateSignature �P - WORKERS'COMPENSATION DECLARATION Bar Sink Showers - -hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES I Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink • Automatic Washer Transformer 0 15.50 KW • I 3800, Lab. C.) p . Policy No. A Company_ Backflow Irrigation Sewer Cap ❑ 50+KW Construction Pole Sub, H Certified copy is hereby furnished.hcit - I Certified copy is filed with the city Building Division. Bathtubs' Sewer Connection Cooking Unit Meter Cup 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 tor one hundred ($100) or r less). Dishwasher Solar Piping Dryers OGas ❑Electric Sub-Panel • I certify that In the performance of the w•,t for which s permit is issued I - _ - shall not err,Pioy an pe son in any m.0 Sr so as to ome subject to the Drinking Fountains Solar Tank Fan Workers' Cgmpgn#�t'oss pylon of Calif, - /, ��/�,/� _- Motors 00-1 HP ❑iX-8 Date (o/lit X3 Signature C/lllf¢L - Floor Drains Swimming Pool w/Spa , NOTICE: if, iter eking this declara on,you fiould becom subject to the _ F.A.U. Inc.Solar 09-15 HP 016.15+ -- Workers' Compensation provisions of the Lab, Code, you must forthwith Floor Sinks Urinal comply with such provisions or this perm) Shall be deemed revoked. Fixtures Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device •Boxes �' I hereby affirm that there is a construction lending agency for the performance Pole Light of the work 'for/w Wajpis� /i$„i,SppeAl ( t 3097 Civ. C.) Interceptors Water Heater Outlets Range Lender's Name //// R-fYlQ C/[�I'III,V �,1 p p 9 Lender's Address o B Si -lh-N bI e) (...� {.�/R I ' Kitchen Sink Water Service Switches - OWNER BUILDER DECLARATION / Sign ' 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 Garbage Disposal Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap LaundryTrays any structure, prior to.its issuance, also requires the applicant for such permit Y Generator ❑0.5 KW❑5-15 KW Trash Compactor 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 herefrom and the basis for the alleged exemption. Any violation of Section /031.5 by any applicant for a permit subjects the applicant to a civil - penalty of not more than five hundred dollars($500). - 0 I, as owner of the property or my employees with wages a5 their sole Reinspection Fee $15 Issue Fee $ 3 compensation, will do the work,and the Structure is not intended or offered - - Reins action Fee for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES p $15 Issue Fee $ 3 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 9-1.(-'S% sale. If, however,the building or Improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By Date Mellon, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground • Building Approved By Date r ve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date ra tors to construct the project (Section 7044,Business and Professions Code: he Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU builds or improves thereon,and who contracts for such projects with a con- _ _ SUMMARY OF FEES / 73iractor(s) license pursuant to the Contractor's License Law). am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ C SMIP $ proof of their Worker's Compensation-insurance should be provided to me. _ ❑ I am exempt under Section % B.& P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers PLAN CHECK $ PERMIT /� 3//J(9 -' PLUMBING $ ISSUANCE $ Date / y X X Owner A/JL_.c _L Heating System&Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that 1-have rea• d •this ap• 'cation and state that the above• , 00-100,000 BTU• ❑100,000BTL ' information Is correct. I agree to comply y�nh all city and county ordinances ELECTRICAL $ GRADING $and state laws relatin o building co•str ction and hereby authorize „pre • - sentatives of chi to enter the above-mentioned pr perty for PLAN CHECK 50% $ MICROFILM $ qq'/ /_tea Inspection purpo � TOTAL FEE $ 2/"r �_ Signature v _��/t�4w Bate MECHANICAL $ • Drivers' License or Pink -Accounting; Goldenrod - Assessor 01 00015037-00015039 TOT 294.68 n A Tr-•--in lna ,n.' T....•. CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - ' 53. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. • 57. APPROVAL TO COVER-GUNITE 7. Footings r • : I(�/y/f ��// 58. Electrical Conduit-Undrgrnd. 8. Foundation` 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. - 10. Structural Floor System 61. APPROVAL TO DECK t _') 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final�y 12. Sewer Cap - • 63. Heater & Vent-Final y i - 13. Roof Drains • 64. Plumbing System - Final r, ^I r� - 14. Rough Plumbing 65. Electrical-Final 0(1 ri d)el 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 FIRE DEPT. REQUIREMENT 1 20. Rough Factory Fireplace APPROVALS Permit# 11' 1• 21. Ducts, in Structure 70. Underground Hydro I ` / 22. Ducts, Ventilating • 71. Product Piping 0 Gas 0 OiL •` 23. Gas Pipe-Rough & Test 72. Underground Flush .__ • 'N •` r 24. Roof Framing 73. Undergrnd.Storage Tank OGas 0 Oil •-- 25. Roof Sheathing 74. Overhead Hydro • 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 1✓ 27. Frame and Flashing 76. Dry Standpipe 'r < ..\ •' 28. Lathing & Siding 77. FIXED SYSTEM FINAL ! 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT • 31. Plaster Brown Coat 79. FINAL INSPECTION i 32. Electrical Power Meter-Final 80. FOOD C RTIFIICATE ISSUED/ 33. Final Electric Notes: ( �R Igi 51d"C�-�,C�ym//�/ - 34. Final Heating & Air Conditioning ! ' 35. Final Gas Pipe-Test ' - 36.•Hood or Canopy -;.• ..,t 1 • t 37. Final Factory Fireplace . 38. Final Plumbing • ; = s` ,: 39. Water Service-Final , J - . 40. Gas Service-Final - f -`r i ..- I. 41'. Solar Domestic-Final 1' ' - -• Y' i • 42. Backflow Preventer - �; 1,L: �- '43. Backflow Irrigation - > - - 1 r 1.' ; 44. -LandscaPe'Irrigation System ,.2 y % �,� 1 ' : • --- •,45. Sound 'Attenuation }- /a'.!...01 • 4e.. Handicap Regulations +=_• 1r. : I 47. FINALCSTRUCTURE & BUILDING ! •% e% y 48)Special Requirements Completed / •! �,w - - I ,-, 2,'1 49.)Electric Release to Edison -.1 • 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OFOCCUPANCY No. "Date 1 _._- 4 Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. O CITY OF COSTA MESA CONSTRUCTION PERMIT�IPERMIT NO. TRACT NO. LOT NO. UNIT NO. Project Address 2 S-2-0S-2-0 ME�RIH/4ed WAY 133S3� `asUce �` 92 -1,40 - . SANE TYPE OF CONSTRUCTION l� NEW LJ ADD LJ ALTERATION REPAIR Applicant's Mails Address ❑ CONVERSION CI DEMOLISH ❑ OTHER, ��nn �-{� Owner's Name 12V 1E[<1 /`1>,NT La PhoneS 7 CAR-Pati A.P.# I l0.- 0th -(I ZonI' R DESCRIPTION OF WORK/USE OF BLDG. Address U SA H1-657-5/Z �/ .L rA y-i+ S Main Building: Accessory Building: Arch/Eng. BUQKE '--65 Y ASO icense No. TYPE OF•PERMIT Li GRADING FOUNDATION El STRUCTURAL E Front 256 ZO Address �23o2.Sh I/�171,d1ce)Et< U L,VAJA fh/K 9; g ❑ IENANT ❑ ELECTRICAL ❑ PLUMBING El MECHANICAL BA Rear aS N Contractor's Name [IWN� / ,g11/1-ba Phone/1(4S- 7327 ❑ OTHER 1�1 - / PROJECT DESCRIPTION SQ. FT. OCCUPANCY ./1 - I - C Right a,7 N Address(mailing) ////'A',,�`oo CO •S RUCTION TYPE �, VALUATION$ 0j((�L_$ Left 3rZ/J o 2 R City License No. CTO 3 DEC ZONE GRADING CV.YDS. ACRES r a •S J LICENSED CONTRACTOR DECLARATION Ping. Ref.# J Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remark/Fa 89 1f.- 8"fr, Planning Notes: C' M with section 7000) of Division 3 of the Business and Professions Code, and - T my license is in full force end effect. S License Class ( License No. Date Signature A •.V PLUMBING FEES J • YORKERS'COMPENSATION DECLARATION Bar Sink Showers 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 Automatic Washer Transformer 0 15-50 KW I 3800, Lab. C.) /1 0 50+KW 1 Policy No. 'N Company Backflow Irrigation Sewer Cap Construction Pole Sub. r 8 Certified copy is hereby furnished. Certified copy is filed withththethe city Building Division. . Bathtubs Sewer Connection Cooking Unit Meter 0 u to 100 amps EateXE Applicant Clarifiers Solar Collectors - - Dishwasher Meter EXEMPTION eROM WORKERS'COMPENSATION DECLARATION Dover 100 amps (This section need not be Com plated if the permit is for one hundred ($100) or - 1 less). Dishwasher Solar Piping Dryers ❑Gas DElectric Sub Panel • I I certify that in the perfomance of t�rk for whi this permit is issued,I _ shall not ��y}}}ploy a person in any ner so as become subject to te Drinking Fountains 'Solar Tank Fan Motors❑0.1 HP ❑1%-8 i Dateworkers' gmpCns�ti (,Laws of Cali i - Date (([[[: if,Oaf DD//// OO Signature U�wf Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP ❑16-15+ NOTICE: after making this declaration,yo should bac me subject to the - - Workers' Compensation provisions of the Or Code, you must forthwith Floor Sinks Urinal Fixtures Microwave ' comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet I hereby affirm that there is a construction lendipppq agency for the performance Device Boxes Pole Light of work fo/ rch4 i5 ® �i �etl clop 309] Civ. C.) Interceptors Water Heater Outlets - the's Name G/7J !, Ci,+ np �/22 Range Lender's Address OO B .civ razo7Lp -72703 Kitchen Sink Water Service Switches - OWNER BUILDER DECLARATION _ Sign I hereby affirm that lam exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections 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 Generator 00-5 KW 05.15 KWTrash 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 Roof Drains UL VUL law 7000 IJUOU U 1 7 4J 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 es,yr• in in t°p T� rTN • -r•+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 ppenalty of not more than five hundred dollars($500). 3,— 01 00015078-00015078 TOT 130 00 I, as owner of the property or my employees with wages as their sole Reinspection Fee ' I $15 Issue Fee $ • compensation,.will do the work,and the structure is not intended or offered - Reinspection Fee f $15°"c' JIaet Fee Tint: 14'11 $ 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 - - ------ ---- _ - DEVELOPMENT SERVICES REQUIREMENTS: ///�����- ///��� thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I 0 /�/ '/ n 1! employees, provided that such improvements are not intended or oftl forZoning Approved By yvi Date!'`` -sale. If, however, the building or improvement is sold within one year 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 Date Ave for the purpose of sale). [' p I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By L.J IL-L SA- Date I-21'6W ra tors 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 SUMMAR F FEES 1 builds or Improves thereon,and who contracts for such projects with a con- IM� 16 tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ I UQ SMIP $ proof oftheir Worker's Compensation Insurance should be provided to me. _ Ll 0 l am exempt u tl r =coon B.& P.C.for this reason Firepl/Fact.Bit IC8O# Fire Dampers PLAN CHECK $ �� - PERMIT r V I PLUMBING $ ISSUANCE $ Date �/ J - Owner L • �--. _ l41d4r%� Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $I hereby Certify that I have read this app�sI1 atlon and s ate that the above ❑0-100,000 BTU 0100,0006T h . Information Is correct. I agree to comply rh acity and county ordinances ELECTRICAL $ GRADING $ -and state laws re ating to b ding construc ion, and hereby authorize repre- sentatives of t �+ city to :r ter upon the above-mentioned/Pr yr �ert Or T 1 inspection p s UYY MECHANICAL $ 7-.10 7 lit. Signature !t f Date Reinspection Fee $15 Issue Fee TOTAL FEE $ 7 1.� Drivers' Llc•nse or SS j '��� _ P $ 3 PLAN CHECK 25% $ CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink - Accounting;Goldenrod - Assessor CONSTRUCTION AND PLANNING • POOL&SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector - 11: Temporary Electrical Service or Pole 52. Pool & Equipment Location ; 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. i • ,/)// //// 57. APPROVAL TO COVER-GUNITE 7. Footings 1(Q/j ) P- 58. Electrical Conduit-Undrgrnd. -. 8. Foundation, %'''� __ 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. ' 10. Structural Floor System 61. APPROVAL TO DECK :_r -; 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ./r. 12. Sewer Cap 63. Heater & Vent-Final - 13. Roof Drains 64. Plumbing System - Final '"" 14. Rough Plumbing 65. Electrical-Final fon,`• G/ A7 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 te'- -^ 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ' 7 r I p.. -1 . 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 - 'i \ . 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil ‘ y 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical '" , c' 27. Frame and Flashing 76. Dry Standpipe l • 'X 1./ 28. Lathing& Siding 77. FIXED SYSTEM FINAL a/ 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ��/ ✓ 33. Final Electric Notes: tyl Iq, sidthd (J'/ 1 34. Final Heating & Air Conditioning I ( 'E7�`�t 35. Final Gas Pipe-Test 36. Hood or Canopy t- ,, ' I 37.-,Final Factory Fireplace -�r. . 1,r ' "' 38:7Final Plumbing - IV 39. Water Service-Final I . ' .`. . - - �. i. 40. Gas Sefvice-Final 6. " �. 7. - •.1- , ' Domestic-Final 41. Solar Doestic-Fil 1 v 42. Backflpw Preventer - 1. r43, Backflgvy Irrigation 'v I', ` , 7-: '�, r ;_,Z5, - 1 • 44. Landscape Irrigation System !J j • 1 •' i -: . . • It -45. Sound Attenuation . . a . ° ' `46. Handicap Regulations ''•''' .• '_� X47. FINAL STRUCTURE & BUILDING `2./Z3/ '� ' ' 7 / t ti 48.,Special.Requirements Completed :-) s , f r , 41 49'Electric Release to Edison t7 • - }J 1' -50. Gas Release to Southern California Gas Co I'- ' 51. CERTIFICATE OF•OCCUPANCY No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. /0 CITY OF COSTA MESA CONSTRUCTION(� //�� PERMIT/ PERMIT N I TRACT NO. LOT NO. )UNIT NO.00 Project Address 2520 / aifi/H/rlo ,A/ 6353'71( a55- �� 2. 'p.it(( y Applicant's Mailing Address 5/44 He• TYPE OF CONSTRUCTION LI NEW LJ ADD U ALTERATION LJ REPAIR in Owner's Name / ASR l -W NGNr Co Phone c4IS 73'7 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER CA gP0gl A.P.,# 1-111-40 — at t -- ( I I Zon#D2i1/29 1 DESCRIPTION OF WORK/USE OF BLDG. Address 6A-H6 1-.••••r WORK/USE Main Building: Accessory Building: E Arch/Eng.�K�� QST ' yLLcensse No. / TYPE OF HERMIT LI GRADING,-•I/�'�OUNDATIory TRUCTURAL TFront A(af Address 03e 2S r1/6L eAte• 'AA LAGo,JA rI5 y ❑ ANT ❑ ELECTRICAL LJ PLUMBING ❑ MECHANICAL B Rear a„S N Contractors Name�1LlJA�eeQ//7U/L,�� Phone L_r /- OJ OTHER �-- C Right if N Address(mailing) CA-1-1 54.:-7327 PROJECT DESCRIPTION SQ. F OCCUPAN7CY rFC7 K Left •� G 44� Pp CONSTRUCTION TYPE VALUATIONS ! t S ( R City License No. T / ZONE GRADING CU.YDS. ACRESA E LICENSED CONTRACTOR DELL RATION Q Ping. Ref. # RP f'{ Parking Req./Provided 0 I hereby affirm that I em licensed under provisions of Charter 9 (commencing Remarks: 31�4- B' PD Planning Notes:, 5 s IL C - M with section 7000) of Division 3 of the Business and Professions Code, and v T my license is in full forte and effect. C..-- S License Class License No. Date Signature A ) PLUMBING I FEES WORKERS'COMPENSATION DECLA TION Bar Sink Showers ELECTRICAL FEES 1ereby affirm that I have a certificate of consent to self-insure or a certificate I Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Prevenier Service Sink 3800, Lab. C.) Automatic Washer Transformer ❑ 15-50 KW Policy No- Company Backflow Irrigation Sewer Cap • Construction Pole Sub. ' 0 50+ KW - ' 8 Certified copy is hereby furnished. Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Dula 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 ❑Electric Sub Panel , I certify that in the performance of e -r•rk for wlllth this permit is issued I shall notin loy a y rson in any -•nner so o become subject to the Drinking Fountains Solar Tank Fan Motors 09-1 HP 01%-8 Workers' o 1 Laws of Cal' • A� � � � _ Date Signature /# rCJ Floor Drains Swimming Pool w/Spa F.A.U. ' NOTICE: If,after eking this declaration, y,/ should me subject to the _ Int.Solar 09-15 HP 016-15+ Workers' Compensation provisions of the ..or Code, you must forthwith Floor Sinks Urinal Fixtures ' • Comply with such Provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance Polelight of the work fo Ai •+ pi "1p'r Assuppl ( - 1•e 3097 Civ. C.) Interceptors Water Heater Outlets Range Lender's Name / /' L/��'•' Lender's Address # •f .��7j�f=�'y Kitchen Sink Water Service Switches -. $iyn OWNER BUILDER DECLARATION I hereby affirm that Lam exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Stailding Sections 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 Generator 00.5 KW 05.15 KW any structure, prior to its issuance, also requires the applicant for such permit Traih Compactor 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 - erefr m 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 anally 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 Hood or Type I 0 DEVELOPMENT SERVICES REQUIREMENTS: ^ ��Q�j Date employees, provided that Such improvements are not intended or offered for BoilerZoning Approved By e` (�a7 sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 •plotlon, the owner will have the burden of proving he/she did not build or Im- Duct- Under Ground Building Approved By Date Ove for the purpose of sale). I 1 l / ( ,DQ lice as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By W IU. JAt Date 9--21�C lV T raptors 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 $U M R16,8F FEES .I tl 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 thatBUILDING PERMIT $ SMIP $ proof proof of their Worker's Compensation insurance sh•uld be provided to me. Exhaust System ❑ Multiple 0 System Repair/Alteration ❑ I am exempt under Section _/ =.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLAN CHECK $ 3C PERMIT PLUMBING $ ISSUANCE $ r Date SO1AOwner AV.////J/LOrlJL!%/eleil Heating System & Ducting Registers ENERGY P.C. $ _ PLAN CHECK 25% $ I hereby certify at I have read oIs appli4 tion and s .te that the above ❑0-100,000 BTU❑100,000BTU GRADING $ information is correct. I agree to comply wi all city an• county ordinances ELECTRICAL $ and state laws r-,r ting to bqi ins construe •n,and hereby authorize repre- sentatives of city to ter upon Ili, above-mentioned pr party /yy 64 Inspection p. s & 25 C/� — MECHANICAL $ Signature �1L_ I / - d TOTAL FEE $ Z�Z Drivers' License or SS « �� Pink -Accounting; Goldenrod - Assessor 01 00015043-00015045 TOT 252.54 DATE: 09/21/88 TIIW: 12:55 - - CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit# • Date Inspector APPROVALS Permit# - Date Inspector 1'. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ' 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement , 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 1118`86 58. Electrical Conduit-Undrgrnd. 8. Foundation, r - 59. Gas Pipe, 0 Undrgrnd., Test ' ' 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK , - 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final...... Lr 12. Sewer Cap 63. Heater & Vent-Final ' I , 13. Roof Drains 64. Plumbing System - Final 7;72...--/ G Net- - . , / en �' 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING . 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL (L: 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ' r I' f I 20. Rough Factory Fireplace APPROVALS Permit# ' 21. Ducts, in Structure 70. Underground Hydro I - 22. Ducts, Ventilating 71. Product Piping O Gas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush - -1) 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 3 ' ' 25. Roof Sheathing 74. Overhead Hydro • Y} 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical - , 27. Frame and Flashing 76. Dry Standpipe / .x, t,1 ,r 28. Lathing& Siding 77. FIXED SYSTEM FINAL _ r�7 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ISSUED 33. Final Electric Notes: iI 1€� alt it:a 34. Final Heating & Air Conditioning (�l 35. Final Gas Pipe-Test , 36. Hood or Canopy n -' j;1 I !I s ' 37.'Final Factory Fireplace 4;- . 38. Final Plumbing t• - . i i. r 39. Water Service-Final - ii - ' "I • 40. Gas Service-Final I ,.Y 1'. . , 41. Solar Ddmestic-Final - fl - • 42. Backflow Preventer U ' ' '.-� I i .. 43. Backflow Irrigation ' I- •�� J f I- t, ., J 7 44. Landscape,Irrigation System ,''.'.1 - ! „�• .., . - -45. Sound Attenuation i I ✓ , , . , 46. Handicap Regulations ,rt:. ; -2 ' i' : i f A: `, ' 447. FINAL STRUCTURE & BUILDING ` y,3g C 2 �"' • - ' L - -' : i 48. Special Requirements Completed ' .L" r4 - 49?Electric Release to Edison ••- 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF-OCCUPANCY c No. ` Date • _ 1 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. /1 CITY OF COSTA MESA CONSTRUCTION PERMIT - PERMIT NO. TRACT NO. LOT NO. UNIT NO. zs2o /EfR,NAG wA/ 03S31 65v a, YQrt-31� Project Address U ADD U ALTERATION U REPAIR Applicant's Mallin Address SANE TYPE OF CONSTRUCTION NEw�-I nn/�/�11.I c ❑ CONVERSION ❑ DEMOLISH ❑ OTHE A.P.# ' rn tip Owner's Name Hf W,ElJ �� Co Phonesar��•/- �3�7 CAR.PO�'( �tW-- 0,Z- �II iZone ��_ , nn� DESCRIPTION OF WORK/USE OF BLDG. Address rKE �q T1•¢ss(( S Main Building: Accessory Building: Arch/Eng, URKE /-ES7M *ASSt License No. TYPE OF-PERMIT ❑ GRADING ICl FOUNDATION %%STRUCTURAL T Front Z '/ �.a �r a /�p ,1/ ( SO 0 Address 02g QC� //,� e e AB 1446018 ii�T�rl/(' ,2y� ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL BB Rear 2.5 N Contractor's Name ell et./ PU/LQ44" Phone.LZ.2_ 327 ❑ OTHER C Right N Address(mailing) S" H£ PROJECT DESCRIPTION SQ. FT. OCCUPANCY --/ K 9 a G Li S 7 CONSTRUCTION TYPE V VALUATION$ $ Left a O R City License No. /4 ZONE GRADING CU.YDS. ACRES b_5 LICENSED CONTRACTOR DECLARATION Ping. Ref.# use r Parking Req./Provided E 0 I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks' eel4 4- ?31� Planning Notes: /J/I E M with section 7000) of Division 3 of the Business and Professions Code, and - - T my license is in full force and effect. S License Class �t License No. Date Signature N A PLUMBING FEES 'ORKERS'COMPENSATION DECLA ATION Showers ELECTRICAL. FEES ereby affirm that I have a certificate of consent to self-insure or a certificate Bar Siril _l Workers' Compensation Insurance, or a certified copy thereof (Section Service Sink Automatic Washer Transformer 0 15-50 KW 3800, Lab. C.) . Policy No. N/A Company • Sewer Cap Construction Pole Sub. 0 50+KW ACertified copy is hereby furnished. Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Cup 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 Dishwasher less). Solar Piping Dryers ❑Gas ❑Electric - Sub Panel . I certify that in the performance Oft e w rk for whit this permit is issued, I shall not ert�ploy y P rson In any ner so as ecome subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP 01%.8 Date rs&ynsdafl jp0 SI a calif r iy,1p , l ,,,,,/)g` - _- NT i�( ate aa1ki Signature ', you " d bee /�}JC6a�' Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP❑16-15+ NOTICE: I mpe moon thisv ions ion, you h Cod bey a subject to the - complyS' compensation ipr provisions of the Lr r Cayou et forthwith rev . Floor Sinks Urinal Fixtures Microwave comply with such provisions or this permit shall be deemed revoked. • CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that tae is a construction lentlin agent for he performance Pole Light of the work for yan% Jay pR,¢yt�Aslwiytu s (-- t 3097 Civ. C.) Interceptors Water Heater Outlets Range Lender's Name coFG/f� �4/!LF-¢J'r g Lender's Address _II j A -4 / ' 43 Kitchen Sink Water Service — Switches Sign.BUILDER DECLA- •TI•N I hereby affirm that.) am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any City or 9 sP Standing Sections county which requires a permit to construct,alter,Improve,demolish or repair • any structure, prior to its issuance,also requires the applicant for such perit -Trap Laundry Trays Generator ❑0-5 KW❑5-15 KW Trash Compactor to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains 'he Contractor's License Law(Chapter 9(commencing with Section 7000)of llvislon 3 of the Business and Professions Code) or that he/she Is exempt .herefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). 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 Reinspection Fee I $15 Issue Fee for sale (Section 7044, Business and Professional Cotle: The Contractor's MECHANICAL FEES $ 3 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: e /�,, 1—�7 employees, provided toes such improvements are not intended or offered for Boiler Hood or T YP I ❑ / /s) Z- V sale. If, however, the building or Improvement is so id within one year of corn- Canopy Type II ❑ Zoning Approved By \/V7 Date pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground FBuilding Approved BY Date r ve for the purpose of sale). f� I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By w U� pr- Datec "� l a actors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law doeh not apply to an owner je is thta who Duct-Ventilating ❑4100,000 BTU 0100,000 BTU SU FEES ' r�3 builds or improves thereon, and who apply contracts for such projects with a con- .L tractor(s) license pursuant to the Contractor's License Law). l am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensatio insurance should be provided to me. _ PLAN CHECK $ PERMIT ❑ I am?tempt under� Section /� !B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date V/ Z3� 5 Owner 1219 17• .ILL,/ Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby Eertif that I have read this an/cation an• state that the above 00-100,000 BTU 0100,000 BTU— ELECTRICAL $ GRADING $ Information is •rrect. I a• ee to comply th all city and county ordinances and state la elating t• j uilding constr ction,and hereby authorize repre- — PLAN CHECK 50% $ MICROFILM $ sentatives is city • enter upon the above-mentioned aper qqq Y i ignat re . • 41/y above-mentioned/ �� MECHANICAL $ TOTAL FEE $ Signature inspection" _ • ! -Accounting;Goldenrod - Assessor 01 00015040-00015042 TOT 294.62 DATE: 09/21/22 IMF: 19:Si POOL& SPA CONSTRUCTION AND PLANNING Date Inspector Date "Inspector .APPROVALS 'Permit # APPROVALS Permit# 1'. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grn_d. ` 57. APPROVAL TO COVER-GUNITE 7. Footings ' - t/A8$ an 58. Electrical Conduit-Undrgrnd. 8. Foundation-, ' t 59. Gas Pipe, 0 Undrgrnd.,Test - 9. Water Pipe-Undrgrnd.: 60. Backwash Lines,P-Trap, 0 Undrgrnd. - 10. Structural Floor System 61. APPROVAL TO DECK t I .:" 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap - 63. Heater & Vent-Final I'.X., 13. Roof Drains 64. Plumbing System - Final .r ..1---7-C.7 ;•111 O mor GI 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT U ' I 20. Rough Factory Fireplace APPROVALS Permit# _ 21. Ducts, in Structure 70. Underground Hydro n 22. Ducts, Ventilating 71. Product Piping OGas DOil 1 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil• i 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ' • 27. Frame and Flashing 76. Dry Standpipe •` ,;j 28. Lathing & Siding 77. FIXED SYSTEM FINAL A,• ' 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ^ - 33. Final Electric Notes: (I(q to �j,/yyrC 34. Final Heating & Air Conditioning `6 t D I ( /�* ' 35. Final Gas Pipe-Test , 36. Hood or Canopy .u, ..-I 37-. Final Factory Fireplace it:: ' 38: Final Plumbing . + ln" ' 39. Water Service-Final t" "' y %. • 40. Gas Service-Final _ -`r - �' - • 1- J • / - 41. Solar Domestic-Final • 1 l 142- Backflow Preventer '�-i ft- a •' , • 143. Backflow'Irrigation I `.� •'., �, .y �.i . : 44.. Landscape Irrigation System ✓Z ��. • JY 1✓'" 1' .•' -t r - ' 45.'Sound Attenuation •� - i' yF, '' v u 46. Handicap Regulations �� Y t - 47. FINAL STRUCTURE & BUILDING 48:.Special Requirements Completedfr/(*--ikii - . ' � '/ 49:•Electric Release to Edison :'/ : - 'v . , , 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. ,-X Date ' Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 10 CITY OF COSTA MESA CONSTRUCTION PERMIT�"� PERMIT NO. TRACT�7s_ NO. LOT NO. UNIT NO.. '1 Project Address 2 S2 O /1 ' mac ac b.,b4i J S J rl 3 /;z5- � r-, 9-38-3 7 p- . S a ME TYPE OF CONSTRUCTION ❑ NEW ❑ ADD LJ ALTERATION LI REPAIR Applicant's Mailiry. gddresy f A y, / FRUIT 0 ' 324 `❑...,CONVERSION El DEMOLISH ❑ OTHER... A.P.# Lin- eD L 1 ` Zone d�1�1 F�� Owner's Name 1 I,r GV G l�1•-lt Phone / DESCRIPTION OF WORK/USE OF BLDG. ( y �.eC/�(� Address Simla I / ./�// ASSOC jy{ S Main Building; Accessory Building: Arch/Eng. /5 DACE ,I�LGApS,rs42 1�License/N,Io.. �/ �[ p ��TYPEOF PERMIT LJ GRADING FOUNDATION Ll STRUCTURAL T Front /g p Address t3 2� //��l s-/�✓eK /�Q. s`VNA (s/1/S /IF.,/ �-❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B Rear v0 N D/v,Jez /SV/L4b Phone �f I. OTHER ]///l���J�CTI. A I Contractor's Name .�{s'�3 Z/ p "---V�— C Right a'7 N Address(mailing) S/�'//E PROJECT DESCRIPTION SQ. FT. OCCUP y' K Left D G rJr/ / 7p ,CON STRUCTION TYPE VALUATION$ S R City License No. STT 1 'ZONE GRADING CU.YDS. ACRES �/1 (]t� _/ { q E LICENSED CONTRACTOR DECLARATION ass I p�.� Ping. Ref.# I !1 D.J �-/'' �J+ ParkingRe /Provided I hereby affirm that I am licensed under provisions of Charter 9(commencing Remaiks: tel/[_1C /� Planning Notes: itI -SE .2P LJ IRM with section 7000) of Division 3 of the Business and Professions Code, and V 7 (� my license is in full force and effect. *- - T License ClassLicense No. S �/Date Signature - PLUMBING FEES WORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section geckfiow Preventer Service Sink - 3800, Lab. c.) /I Automatic Washer Transformer ❑ 15-50 KW Policy No. A Company _ Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW 8 Certified copy is hereby furnished. . Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up 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 ❑Electric Sub Panel - I certify that in the performance of the or for which t ermit is issued, I - shall not m toy a y piton In any ma r so as to e subject to te Drinking Fountains Solar Tank Fan Motors❑0.1 HP ❑1'/-8 workers' o Idr1 Q'a ws of Califor _ _ Date U00 Signature Floor Drains Swimming Pool w/Spi —J F.A.U. Inc.Solar 09-15 HP 016-15* • NOTICE:If,after making this declaration, you sh Id become ubject to the I Workers' Compensation provisions of the Labor ode, you must forthwith Floor Sinks Urinal Fixtures Microwave I comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet • Device Boxes I hereby affirm that there is a construction lending agency'f[p�r the performance Pole Light of the work fby vy/�9j�p �wis I 5 tt 3097 Civ. C.) Interceptors Water Heater Outlets Range Lender's Name (,pi,o017 -/I '/F'><-'fL:j1/V CA s g Lender's Address f.D `�'/- "!J.f�-AlEre-66/l- 9z/s5 Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION - I hereby affirm that 1 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 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 Generator 0.5 KW❑5-15 KW Trash Compactor 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 therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). $ 3 D I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee compensation, will do the work,and the structure Is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3 fur 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: M /l�_� f28 employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I 0 VJi/ `� —t-7O sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By Data elation, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date xrr ve for the purpose of sale). 1,as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By (*.... IL(. . 1 Date P-111 'A ctors 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 SUM ARgpF FEES 1(_(�, builds Or improves thereon,and who contracts for such projects with a con- $ �� SMTP $ ' �_ tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT _7 proof of their Worker's Compensation insuran should be provided to me. _ O ALAN CHECK $ 35PERMIT ❑ am/exempt yyyJJJnnnde�yr Section B.& PP.C.Cfor this reason Firepl/Fact.Blt. IC80# Fire Dampers PLUMBING $ ISSUANCE $ Date (002 SJ$D Owner - .A.J., j Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby ertif tect I have read mp y th all and state that the above ❑4100,000 BTU 0100,000 BTL ELECTRICAL $ GRADING $ Information is that. I agree to this y th all city and countythat ordinances _ IIIIIL and state laws r ting to bu' ing construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of city to µdJ1tpdter upon the above-mentioned one y r inspection p o - /' MECHANICAL S //, /ZZ��gff TOTAL FEE $ 757 Signature _ CMF 0865.46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 01 00015046-00015048 TOT 252.54 DATE: 09/21/88 TIME: 12:5A CONSTRUCTION AND PLANNING POOL&SPA ' (APPROVALS Permit # Date Inspector APPROVALS Permit# Date Inspector V. Temporary Electrical Service-or Pole 52. Pool & Equipment Location f 2. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement • 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement ' 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. f 57. APPROVAL TO COVER-GUNITE 7. Footings $ 58. Electrical Conduit-Undrgrnd. . 8. Foundation) v!, _ 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrg,nd. •. 10. Structural Floor System 61. APPROVAL TO DECK '1- 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final Gr '_ 12. Sewer Cap 63. Heater & Vent-Final - 13. Roof Drains 64. Plumbing System - Final -' $_..1;y: / n/ 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL (.,1 t 19- Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT iss� , ' • r: i 20. Rough Factory Fireplace APPROVALS Permit# r, .�• I- .- 21. Ducts, in Structure 70. Underground Hydro ` _ , I. 22. Ducts, Ventilating 71. Product Piping 0 Gas D Oil 23. Gas Pipe-Rough & Test 72. Underground Flush , 1 24. Roof Framing 73. Undergrnd.Storage Tank DGas 0 Oil t . 25. Roof Sheathing 74. Overhead Hydro 1' !. 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ..- _ f 27. Frame and Flashing 76. Dry Standpipe r ,-X 1 :1 28. Lathing& Siding 77. FIXED SYSTEM FINALJ 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: /��, / /- 34. Final Heating& Air Conditioning Limp p��//1(///fit /t' 35. Final Gas Pipe-Test 'D 7 �(�/l��V'T C.K p,,/-R/V 1 ' 36. Hood or Canopy ,r I' 3/...Final Factory Fireplace r ,'•!' v .38: Final Plumbing V o I.n' Z' • 39. Water Service-Final �^ C..- ,' 40. Gas Serice-Final , -'.l om 41. Solar-Destic-Final Ni'• , ' r '- ., 42. Backflow Preventer rr :- j h • 43. Backflow Irrigation - ' ,,L r- ( r. ," `• `,• -.. _..- J • 44. Landscape Irrigation System "rte, � / . .:, ; ,-45. Sound Attenuation ,i = • .-- 46. Handicap Regulations '- / • • _ 47. FINALSTRUCTURE & BUILDING ` , / `ark � ti , , •�:' ' 48: � i- Special Requirements Completed I'%' ..i 49- Electric Release to Edison Si ' 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF.00CUPANCY No. '"\Date _. - - - / - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. /2 , CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. . • Project Address Z 5227 EERZ(HRG &A/ ' 3S36 ( /i5 r 333 ✓ Applicant's Mailin Address SAM TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR Owner's Name F'4IAQ/C k-) Rh Kr' CO Phone-5 45-73.27 ❑tCONVERSION ❑ DEMOLISH ❑ OTHER A'P' (. fit 0Ir�- ' 1 - Zone rat�.� Address G SA-HE Asset DESCRIPTION OF WORK/USE OF BLDG. C L}/t PO I S Main Building: l Accessory Building: Arch/Eng. MURKt LPs e ILA$set Lice Se No. ,7 TYPE OF PERMIT ❑ GRADING FOUNDATION .STRUCTURAL E Front a. O Address •tc !i e'_ -'- DP L.M8U, •,L .-'72 ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL _ B Rear / N Contractor's Name Owi).t,� /"o//-Very Phone Sss-732/ ❑ OTHER _ C Right �g N Address(mailing) S(y•/f1E PROJECT y DESCRIPTION SQ.v.FT. OCCUPAN K Left • G CL 3 5CONeSTRUCTION TYPE VALUATION$ s �._J City License No. 7 D 7 ZONE= - GRADING CU.YDS.- ACRES LICENSED CONTRACTOR DECLARATION - Ping. Ref.# FA 155 — 1 Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks:: • �• 07 Planning Notes: p�p�E �G O with section 7000) of Division 3 of the Business and Professions Code, and - M my license is in full force and effect. - .. T License Class �/� License No. r'f • — S• Date' Signature PLUMBING -FEES - DRKERS' COMPENSATION DECLARATION • - nereby affirm that I have a certificate of consent to self-insure or a certificate Bar SDECLARATION ... • Showers ELECTRICAL _ FEES of Workers' Compensation Insurance, or a certified copy thereof (Section -B¢Lkf6 Preventer Service Sink • 3800, Lab. C.) ,I r zI Automatic Washer Transformer 0 15-50 KW Policy No. 4JJA Company Backflow Irrigation • Sewer Cap - Construction Pole Sub, 050+KW • 8 Certified copy i hereby furnished. , - - - . • Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Dup 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 Dishvvashe! less). Solar Piping . Dryers ❑Gas DElectric Sub Panel - I certify that in the performance of t a rk for which this permit is issued,I - shall note p oy a y person in any nner so o become subject to the Drinking Fountains Solar Tank Fan Motors X0-1 HP 01%-8 Workers' y{�n� rtq(q Laws of Cali "" ���''. - Date 'f/ 1�/ yJ Signature irre/� Floor Drains Swimming Pool w/Spa - F.A.U. Inc.Solar 09-15 HP 016-15+ ' NOTICE:If,after aking this declaration, y Dula b come subject to the — . Workers' Compensation provisions of the bor Code, you must forthwith Floor Sinks Urinal . • Fixtures 'Microwave comply with such provisions or this permit shall be deemed revoked. ' CONSTRUCTION LENDING AGENCY Gas Service Outlets •Water Closet Device Boxes • I hereby affirm that there is a constru tion lending agency for the performance POIe-Light - of the work for hj , j ' Pe il/.ti . •Se .nn�30 7 Civ. C.) Interceptors Water Heater ' Lender's Name - 74 __ _ Outlets Range Lender's Address er(• as 7', •[y/Jrat Kitchen Sink - 'Water Service Switches • Sign • - OWNER BUILDER DECLARATION 9Z/A 3 I hereby affirm that I am exempt from the Contractor's License Law for(ht Lavatories Auto-Wash Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator DO-5 KW QS-15 KW any structure, prior to.its issuance, also requires the applicant for such permit y Trash Compactor a } •0 file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains he 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 anv applicant for a permit subjects the applicant to a civil - penalty of not more than five hundred dollars($500). • 0 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: /� (� /I employees, provided that such improvements are not intended or offered for ®/ - 9./Z 1e4)6• sale. If, however, the building or improvement is sold within one year of com- 0 Zoning Approved By Date 1 -• 1p PI ion, the owner will have the burden of Proving he/she did not build or im- Duct • Building Approved By Date r ve for the purpose of sale). //,, II C �y - Q .s I I, as owner of the property, am exclusively contracting with licensed con- 9'IFsF'u,guh' h" Application Issued By fs-s�l J/'t Date I—LI —rectors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who - SUMMARY OF FEES builds or improves thereon, and-who contracts for such projects with a con-tractor(s) license pursuant to the Contractors License Law). I am aware that Exhaust System ❑ Multiple 0 BUILDING PERMIT $ 7_S7 CO SMIP - $ proof of their Worker's Compensation insurance should be provided to me. _ PLAN CHECK • $ 1.I;ngr PERMIT 0 I am exempt u der Section —i / B.& P.C.for this reason Firepl/Fact.Bit.ICBG# Fire Dampers PLUMBING • PERMIT ISSUANCE $ __ Owner fa . /1L. i1../ - Heating System& Ducting Registers $ ENERGY P.C. $ ' Date PLAN CHECK 25% $ I hereby rtify that I have read this a•f lication a d state that the above 0o-100,000 BTU 0100,00087E ELECTRICAL GRADING $ information is correct. I agree to comply 1 ith all city and county ordinances $ and state laws resat g to build f• const ction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of t is • -ty to e ( upon the above-mentioned, ope gor . • inspection perp..: Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor W. 00015016-00015018 TOT 294.68 nATC! ❑ONf /OO TTMC. 1n.tt CONSTRUCTION AND PLANNING POOL& SPA .APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector 1(. Temporary Electrical Service or Pole 52. Pool & Equipment Location y 2. Soil Pipe-Undrgrnd.• 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement . 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings "` I; 11$/.0.9 Pe 58. Electrical Conduit-Undrgrnd. 8. Foundation-, 59. Gas Pipe, 0 Undrgrnd.,Test :Ili r 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. I 10. Structural Floor System 61. APPROVAL TO DECK -• - 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Finale -k• 12. Sewer Cap - 63. Heater & Vent-Final ' _, i -, 13. Roof Drains 64. Plumbing System - Final y "( 'Tc7 -n 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL I 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ' 1l ., .-; 1 20 .Rough Factory Fireplace APPROVALS Permit 4 (a • i (I: 21. Ducts, in Structure 70. Underground Hydro _ t n 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 4. 23. Gas Pipe-Rough & Test 72. Underground Flush 1 24. Roof Framing0:b as 73. Undergrnd.Storage Tank Das ❑Oil 25. Roof Sheathing 74. Overhead Hydro Iv 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical I' ' r u 27. Frame and Flashing 76. Dry Standpipe - I 1 Cl+Ne / 28. Lathing & Siding 77. FIXED SYSTEM FINAL r /�T i 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION - 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE�� "" ISSUED 33. Final Electric Notes: ( I rq q. wait 7/1, 34. Final Heating& Air Conditioning 77��LL77 ll -p'!'G[O �/��// 35. Final Gas Pipe-Test • 36. Hood or Canopy .t ,1 r f. 2•2,". 1 37`.Final Factory Fireplace -'%' " ) 38:;Final Plumbing _ t r It' .^-': w 9.-Water Service-Final r' - _i 1 T r . .-40. Gas Service-Final '-' f' :- 741. Solar Domestic-Final ' ! C. ,i- ,. , - ',422 Backflow Preventer k....- - .+ 4 43. Backflow. Irrigation -.Y; -- i" • . 74 • :44. Landscape•Irrigation System 'f• . , e'v , 45r Sound Attenuation i t : - i' - lc 46. Handicap Regulations ;'t -,I i . _-;C !f/ • .i 47.: FINAL STRUCTURE & BUILDING ,1C'e 2�J' .a• Jam. , %'! I y• rt 48:Special,Requirements Completed 6j" // 722 -j i? 5- - 49. Electric Release to Edison - • 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY - No. Date , Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. /0 CITY OF COSTA E$A CONSTRUCTION PERMMIT RMIT NO. TRACT NS. LOT NO. UNIT NO. Project Address 4520 Mt4RIHAG GIAAA/ P3c311 M ✓S 49, 3/3i ' 3aa, Applicant's Mailiipy Address/� SANE Co ��r �}-s TYPE OF CONSTRUCTION LJ NEW ❑ ADD U ALTERATION LI REPAIR a� Owners Name /A/A✓ E& /1&NT C 54) '732/ ❑ CONVERSION ❑ DEMOLISH El OTHER r ��11 A.P.4 TLC) ©! 'i —JJ IZoner� Phone DESCRIPTION OF WORK/USE OF BLDG. C. �"�PO R7 Y HD Address ¶A-HE s , ��y,{{ S Main Building: Accessory Building: y URGE Lesrez vtASStc IA T C9rj o Arch/En tens¢No. ' ( TVY�Ef��EI1'OF PERMIT �_I GRADING FOUNDATION STRUCTURAL Front Address 23o2S - ILL G.e%Eir Ale LAG/.PA l S 92/,s3 #1 1 TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL BA Rear as . N Contractor's Namn 6aJ,v Ee !�V/�b - Phone s�S�-7327 OTHER �,/- / C Right - N Address(mailing) SSAHE PROJECT DESCRIPTION SQ. FT.vitOCCUPANCY /'/ K Left /1/� G f381 'CONSTRUCTION TYPE VALUATION ASR S (/s7 R City License No. �77"TTff O ;ZONE GRADING Cu.YDS. ACRES /l/ OSS/ O� LICENSED CONTRACTOR DECLARATION -� Ping. Ref.4 Y 1� / 0.y��r Parking Req,/Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: La-7A Planning Notes: N'�'SG _[1_ ` - 0M with section 7000) of Division 3 of the Business and Professions Code, and - my license Is in full force and effect. C.,.. T License Class_ License No. - S aNte Signature C' , PLUMBING FEES 1RKERS'COMPENSATION DECLARATION Bar Sink Showers ' 1 hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES of Workers' Cornpense ion Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink - . 3800, Lab. C.) ^�1 Automatic Washer _ Transformer 0 15.50 KW Policy No. N�f� Company ' Backflow Irrigation Sewer Cap Construction Pole Sub. 050+KW _ - ACertified copy is hereby furnished. Certified copy is filed with the city Building Division. -Bathtubs Sewer Connection ( Cooking Unit Meter [kip 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 w k for whl is permit is Issued I shall not employ any pp�ipn in any er so as ¢come subject to the Drinking Fountains Solar Tank Fan Motors❑0.1 HP❑1'h-8 Workers' CWnq zlfi r(/LASi of Calif I - Date f0i y7 O/�Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+ NOTICE: If,a ter king this declar Ion, you ould bete a subject to the Workers' Compensation provisions of the La r Code, you must forthwith Floor Sinks Urinal FixturesMicrowave comply with Such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm the1.there is a con§truct�ion lending agency f r the performance Pole Light of the work tore Se.Ct�n 3097 Civ. C.) Interceptors Water Heater Outlets Range Lender's Name IOFF���irr�� L!l���''�������NNLLII'77rs� ......JJ �� - - - Lender's Address ' Kitchen Sink Water Service SwitchesSign OWNER BUILDER DECLARATION 1 hereby at firm that I aril exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections 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 Generator 00.5 KW 05.15 KW any structure, prior to Its issuance, also requires the applicant for such permit Trash Compactor .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 therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). C 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 ----- --- DEVELOPMENT SERVICES REQUIREMENTS: /�z/�1 thereon, and, who does such work ovem himself/herselfsareough0provided not intended or oftl for Zoning Approved By Date V✓ sale. if, however, the building or Improvement is sold within one year corn- Canopy Type II ❑ platten, the owner will have the burden of proving he/she did not build or In- Duct- Under Ground Building Approved By Date ve for the purpose of sale). / �// CJs I,as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By I j SA- Date —2,1—CST" tors to construct the project (Section 7044,Business and Professions Code: he Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARYW 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 $ ZIlo SMIP $ it proof of their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ ace PERMIT ❑ 1 am exem t und r Section P.C.for this reason Firepl/Fact.Bit. ICBO 4 Fire Dampers Q Ca PLUMBING $ ISSUANCE $ Date 3 ^ Owner AT . Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this applic. ion and state that the above 00.100,000 BTU 0100,000 BTL ELECTRICAL $ GRADING $ _ information is correct. I agree to comply wit/all city and county ordinances and state laws r.d ting to b •ing construct •n,and hereby authorize'- repre- sentatives PLAN CHECK 50% $ MICROFILM $ sentatives of . city to e ter upon the above-mentioned p pert for �7 -7 inspection Pu�/ / Dat6O 23 9 - MECHANICAL $ TOTAL FEE $ `SL Signature Drivers' License or 51 • ( Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865.46,rev.10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor 0100015049-00015051 TIOT 757_SC CONSTRUCTION AND PLANNING POOL&SPA APPROVALS Permit# _ - Date Inspector APPROVALS Permit# Date Inspector 1: Temporary Electrical Service or Pole 52. Pool & Equipment Location , 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grna. - 57. APPROVAL TO COVER-GUNITE 7. Footings ' 1 : _ • of os * 58. Electrical Conduit-Undrgrnd. 8. Foundation' s_-' ! 6 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK •' --U '. 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final %' ', 12. Sewer Cap 63. Heater & Vent-Final : v 13. Roof Drains 64. Plumbing System - Final '' - ''1 r' 2--CL! 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL -k- ) 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT '- , REQUIREMENT , .J' t 20. Rough Factory Fireplace APPROVALS Permit# _ r 21. Ducts, in Structure 70. Underground Hydro J 1 22. Ducts, Ventilating 71. Product Piping 0 Gas C Oil 23. Gas Pipe-Rough & Test 72. Underground Flush - 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0Oil'1 f ' 25. Roof Sheathing 74. Overhead Hydro I V. 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical '1 , '3 27. Frame and Flashing 76. Dry Standpipe t ..\ � .� 28. Lathing & Siding 77. FIXED SYSTEM FINAL - e1 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION I 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED - 33. Final Electric Notes: , 34. Final Heating& Air Conditioning ' iic/it ] to�../ r„ I/, i /i . 35. Final Gas Pipe-Test '1 `�"� M.(J(i4(/i( V'C �¢/l, .,. 36. Hood or Canopy i''., .#1 37. Final Factory Fireplace - -f . ' 38:,Final Pltinbing .-` ,;� is. • ., 39. Water,,Service-Final , • J.' ; 140. Gas Service-Final s .. '•'41. Solar Domestic-Final `..‘' - •42. BackflowPreventer r �; 'q 1'l.,. , I y, '•43: Backflow Irrigation I , ',. ." ' �.. . ' 44.. Landscape Irrigation System ;t . • b 45 .- Sound Attenuation _l• �- 46. Handicap Regulations / - '• - ,v ? ,. 47. FINAL STRUCTURE& BUILDING J �di �' .' 48: Special Requirements Completed 0-" 1' 49. Electric Release to Edison , 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF\OCCUPANCY No. - 'Date `• -' Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. /7. CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. 2520 H6PJ4H4c It 835 78 1 1 36773g0 Project Address �l 7EW ( I Applicant's Mailing Address/ SANE TYPE OF CONSTRUCTION LLJJ NEW LLLJJJ ADD LJ ALTERATION LJ REPAIR `A4/R-V//,1 u` rr/ Co (/�-13, 7 ❑ CONVERSION ❑ DEMOLISH ❑ OTHEh A.P. # 1 (-r) p _6 f 1_I t Zone fog_e/0 Owner's Name Fi �-V GI✓ /1(O/l r C.. Phone_l/, !7F/ DESCRIPTION OF WORK/USE OF BLDG. r ' ` ' •S Main Building: Accessory Building: Address ,,-4/41/6�KKE Lesr€4 '4cS icense No. TYPE.OF PERMIT I. GRADING _Fa OUNDATION Pa STRUCTURAL T Front n Z Arch/Eng.!-x/ �,f q�s� 6 C— - 0 .• Address 2 302C haft e p b2 LAGr idA /fir/l5 /Ws? /�0 TENANT ❑ ELECTRICAL LI PLUMBING ❑ MECHANICAL • B Rear /O N Contractor's Name OWdef y�UK-bE eS'FS 732 CO OTHER _. A` Phon _ 4.-sr- - - C Right (�5 N _ Address(mailing) S�n PROJECT DESCRIPTION SQ. FT. OCCVPA cV Left Q 4 �/ O CONSTRUCTION TYPE VALUATION$ $ / /�1 G City License No. 45`3 b 'ZONE GRADING CU.YDS. ACRES // /Q %C R LICENSED CONTRACTOR DECL RATION r Ping. Ref.# / A. s- / U/ Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing a► p�Planning Notes: 45 c,....C M with section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. T License Class /� License No. $ Date Signature A p// PLUMBING FEES - ' WORKERS'COMPENSATION DECLA ATION Bar Sink Showers hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL • FEES if Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink 3800, Lab. C.) Automatic Washer Transformer 00.5105-4_50X - Policy No. N/A Company • c • e • Construction Pole Suh. 8 Certified copy Is hereby furnished. _ Certified copy is filed with the city Building Division. Bathtubs • Sewer Connection Cooking Unit Meter ❑up 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 ❑Electric Sub Panel , I certify that In the performance of the w for wh' this permit is issued, I shall not e plo ny p�rson in any r so a t become subject to the Drinking Fountains Solar Tank - Fan Workersi C s� IV Laws of Calif i /Ns�� ��n���```'''��- ��, Motors❑0.1 HP ❑1'h-.8 DateOffDD�i Signature a LCIr)( Floor Drains Swimming Pool w/Spa ^_ F.A.U. • NOTICE: f,afte making this declaration,you oultl beco a subject to the — Ina Solar 09-15 HP 016-15+ Workers' Compensation provisions of the La r Code, you must forthwith Floor Sinks Urinal Fixtures • comply with such provisions or this per t shall be deemed revoked. Microwave . CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that UUUsss er is a constru�Jcct�ion lending agent�for th performance Pole Light of the work forh� pgladro,i+sdedl (SfEfio� 097 Civ. C.) Interceptors Water Heater Outlets Lender's Name (((///��� /��'/�/i 1Apt, --//'lRange Lender's Address nn sr Shu bit-6D/CA 92/S Kitchen Sink Water Service Switches OWNER BUILDER DECLARATION Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash i Garbage Disposal Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or P county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator ❑0-5 KW ❑5.15 KW any structure, prior to its Issuance, also requires the applicant for such permit Trash Compactor 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 - )ivision 3 of the Business and Professions Code) or that he/she is exempt .herefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). LJ 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 $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 T e I ❑ DEVELOPMENT SERVICES REQUIREMENTS: /�/1 Q,2���Q - employees, provided that such improvements are not intended or offered foryp (17/�� sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Zoning Approved By Data pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under GroundBuilding Approved By Date ve for the purpose of sale). L!-�� `�lp��I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By �-L L 54 Date (—"2-� :91 ,rattors 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 ❑D-100,000 BTU 0100,000 BTU SUMMARY FEES • builds or improves thereon, and who contracts for such projects with a Con- I�]3 tractor(s) license pursuant to the Contractor's License Law). am aware that —Exhaust System ❑ Multiple❑ , System Repair/Alteration BUI LDING PERMIT $ ZS'Z f SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ �f7 ) PERMIT 0 lam exe nett u derrection iB.& P.C.for this reason Firepi/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date L l % OwneF.A r.—es."Z a Heating System& Ducting Registers • ENERGY P.C. $ • I hereby certify that I have read this a•/ication and state that the above 00.100,000 BTU 0100,000 BTL PLAN CHECK 25% $ information is correct. I agree to comply P ith all city and county ordinances ELECTRICAL $ GRADING $ and state laws r• ating to building construction, and hereby authorize re re- MICROFILM $ sentatives o tj city to e r upon the above-mentionedr pertly fo PLAN CHECK 50% $ inspection • •• e Signature i J //�? MECHANICAL $ /. .Ll Date /Y Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% TOTAL FEE $ $ Drivers' License or 55 —� .. _ CMF 0865-46,rev.10/84 a White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor U1 UUU1JU20-UUUIJUZ/ I 0 1 2Y4.6$ DATE: 09/21/88 TIME: 12:48 CONSTRUCTION AND PLANNING POOL &SPA , Date Inspector Date : Inspector APPROVALS Permit# APPROVALS Permit# -- 1'. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing& Pressure Test 6. Electrical UFER Grnd. . - • _57-. APPROVAL TO COVER-GUNITE 7. Footings l- ' ; fly gl 58. Electrical Conduit-Undrgrnd. 8. Foundation! 1 ��/"`111fff 59. Gas Pipe, 0 Undrgrnd.,Test: 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 @ndrgrnd. ' 10. Structural Floor System 61. APPROVAL TO DECK ' • 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Finals, n/ t' 12. Sewer Cap 63. Heater & Vent-Final -27. , • 13. Roof Drains 64. Plumbing System - Final �d'ty C; •Yi • 14. Rough Plumbing 65. Electrical-Final V .--• 9-, 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 -4- 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT . . , r, -k r 20. Rough Factory Fireplace APPROVALS Permit# - L 21. Ducts, in Structure 70. Underground Hydro t .:_ 1 '1 1 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil j \. t 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oill i 25. Roof Sheathing 74. Overhead Hydro - . •26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical I 27. Frame and Flashing 76. Dry Standpipe - 'N` i 28. Lathing& Siding 77. FIXED SYSTEM FINAL 1. 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION r. 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: - qqqq// ( �/////N/JJJJ� 34. Final Heating & Air Conditioning 1II t'B I f 5"4 tt _ atf -" 35. Final Gas Pipe-Test ` 4. 36. Hood or Canopy ' ,1f 37. Fial Factory Fireplace •;y ro r; . 38.7Final Plumbing i:•• v' yn,• Wit. (39. Water Service-Final i '� „y .-- I " .. 40. Gas Service-Final •J '• Jn. r �_ y 41. Solar Domestic-Final = V - Ce ' 42. Backflow`,Preventer i L `- 143. Backflow Irrigation l i �• a b';•v : "- tile; V/}.-r . A- -r .:44; Landscape-Irrigation System '.F,' f - ' -_ ••st t i 1-.I r c a V- .Y ^.45. Sound Attenuation %LI y y iifi:'Handicap Regulations /.) r m „ i ':' '' . t47, FINAL STRUCTURE & BUILDING 119,,e. ;:>0-9. w . v ^ .7":"7"1 -r •t" i t 48. Special Requirements Completed • - !`� x";::,✓ 4g ,Electric Release to Edison r ;:r ;,� .• u' 50. Gas Release to Southern California Gas Co .-1' _ 51. CERTIFICATE OF-OCCUPANCY , - No. ribate Applicant to fill in all spaces except those within heavy herder lines and sign all appropriate declarations. l.� CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NU. Project Address 2 52 ILlatiHAc wAy 53SY1`l 0,b s�-3�s' • Applicant's Mailingddress 7� TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR LA./yl.l(E, l /e€r SIJ_7327 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T A.P.#. L'1 .. — Ojt — ' 1 Zone pp2�l Address Name !/'f K-V Ca) (i Phone DESCRIPTION OF WORK/USE OF BLDG. . AKPOQT LtJ ) Address Q J�rt/�/CE // /,sy � js( �fl S Main Building: Accessory Building: Arch/Eng./.21UR.K� L�/`STf/G�9G l/r SSY.Inicen a NO. '/ TYPE OF PERMIT U GRADING �`FOUNDATION AST T Front LA ' O Address 2 ') 2S /1/« C4KC Le. LAGU.t1A )Ica$ 9Z3 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL BA Rear `b N Contractor's Name Oade�/BUIL E� 5$r 7327 OTHER r,7/ p Phone tt C Right /g G Address(mailing) E_ PROJECT DESCRIPTION SO. FT. �L4J1L—OCCUPANCY — Left p LOON STRUCTION TYPE VV��yy VALUATIONS S R City License No. /7 F ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION !•f Ping. Ref.# gs— J 83 Parking Req./Provided E I hereby affirm that I am licensed under provisions of charter 9 (commencingcar jZ 9 L — s..( � APlanning '//1!L i M d Remarks: `J 8 A Notes: 1,45- . 1� yh section 7000) of Division 3 of the Business and Professions Code,and _ my license is in full torte and effect. .. T License Class /4License No. Date Signature /7/ . PLUMBING FEES • 'YORKERS'COMPENSATION DECLARA ION hereby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink Showers ELECTRICAL FEES of Workers' Compensa ion Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Automatic Washer Transformer ❑'15-50 KW 3800, Lab. C.) Policy No. Company •Backflow irrigation Sewer Cap Construction Pole Sub. 0 50+.KW 8 Certified copy is h reby furnished. Certified copy is filed with the city Building Division. - Bathtubs Sewer Connection Cooking Unit Meter ❑up 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 OGas ❑Electric Sub Panel s shall no that in the performance of. .ne for whlyh this permit is issued,I shall not/�e ploy ny person In any ner so as become subject to the Drinking Fountains Solar Tank Fan Motors❑0-1 HP 01'4-8 Date Workers' R1 ns Laws of Cali /l Date C/ L Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9.15 HP ❑16-15+ NOTICE: f,after making this declaration, yo rhoultl bec me subject to the t Workers' Compensation provisions of the I r Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this per t shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet I hereby affirm that there is a construction !engin agency for the performance Device Boxes Pole Light of the work fpj p) is d ctlon 3097 Civ. C.) Interceptors Water Heater Outlets Lender's Name ,1 (xJ/',o CA 9z78pl Range Lender's Addresss MU ! Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION I hereby affirm tam exempt from the Contractor's License Law for the Lavatories Auto-Wash GarbageP Disposal Standing Sections 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 Generator 00.5 KW 05.15 KW - Compactor any structure, prior Id.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 -herefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). O 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 S 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 T e ❑ DEVELOPMENT SERVICES REQUIREMENTS: M �j employees, provided that such improvements are not intended or offered for yp (/p}/� ci7.I�`/0p sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 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 Date r ve for the purpose of sale). e�y p/� as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued Bykeit LL d F#- Date ZI ''L ra tors 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 0O-100,000 BTU 0100,000 BTU SU SU MA FEES �f1 builds or improves thereon, and who contracts for such projects with a con- 1—/J tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SWOP $ proof of their Worker's Compensation insurance should be provided to me. _ PLAN CHECK $- 4o PERMIT 0 I am/ex mot u der Section _I a B.& P.C.for this reason — Firepl/Fact.Blt. ICBG# Fire Dampers 2 %f PLUMBING $ ISSUANCE $ Date J l's+ owed 1. . 441 L Heating System& Ducting Registers ENERGY P.C. $ PLAN CHECK 25% $ I hereby certif that I have read this eel"ication and tate that the above 0o-100,000 BTU 0100,000 BT GRADING $ information is r ct. I agree o comply ith all city and county ordinances ELECTRICAL $ and state laws r a ing to b ing const ction, and hereby authorizer pre- MICROFILM $ sentatives of city to a er upon the above-mentioned/or pert PLAN CHECK 50% $ inspection p s 2?) g� MECHANICAL $ Signature Date TOTAL FEE $ /il Drivers' License or S — Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ n CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor 01 00015034-00015006 TOT 294.68 near! 00/91/2R TiMC! 10.4.1 CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date ...Inspector 1•. Temporary Electrical Service,or Pole 52. Pool & Equipment Location ' <' i 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. C. 1 57. APPROVAL TO COVER-GUNITE 7. Footings ;. lityp , 58. Electrical Conduit-Undrgrnd. •8. Foundation., / 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK m.�- • 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final v nl 12. Sewer Cap 63. Heater & Vent-Final j" 13. Roof Drains 64. Plumbing System - Final .X PQO( li'.e` - 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval ' 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL , 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT d INI 20. Rough Factory Fireplace APPROVALS Permit# ,1_. 21. Ducts, in Structure 70. Underground Hydro r(! 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil - . \ 23. Gas Pipe-Rough &Test 72. Underground Flush - .1 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil•i 7 25. Roof Sheathing 74. Overhead Hydro - . ' 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe - - H, 't. 28. Lathing & Siding 77. FIXED SYSTEM FINAL •�' ! 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION - - . 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: ,t 34. Final Heating & Air Conditioning ti lq/ q t4it9 e_ 4>u// ///T . 35. Final Gas Pipe-Test _I DD l �lX.[J.�OLCi A� - 36. Hood or Canopy •`1 '^ ' 37. Final Factory Fireplace :; . 38. Final Plumbing y 1 ' % h • 39. Water Service-Final - ' S• -. 40. Gas SeBvice-Final 7 �. 41. Solar Domestic-Final • �' •0 7 C� • 42. Backflow Preventer • ✓� r �A 43r,Backflow-Irrigation <' '- ,-, ;J. O 1' . - ., v �r 44.. Landscape'Irrigation System . ' "dr.• Sound Attenuation t• r - 46. Handicap Regulations ',-// :J ,•47.•FINALSTRUCTURE & BUILDING Itilise i)- .� ' i / 1 > -' IV 48: Special Requirements Completed ` .�� - ' y •' n- i• 49::Electric Release to Edison t, ' •' 50. Gas Ralease to Southern California Gas Co ti 51. CERTIFICATE OF OCCUPANCY No, Date • Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. I y - CITY OF COSTA MESA CONSTRUCTIONluwPERMIT PERMIT NO. TRACT/// NO. LOT NO. 'Ufr{JJ NO 4� Project Address 152 O /-{E,eQ/NAi id Al 8 3S 3832 /a h h(j a 310-85 CO Applicant's Mailing Address , TYPE OF CONSTRUCTION LI NEW LI ADD LI-ALTERATION LI REPAIR GA ev/Eta HGH�' C O 55fs 7327 U CONVERSION ❑ DEMOLISH ❑ OTHE� ,s Pori AP.# -011-_t l Zone-(''p Owner's Name /pT! CC 1. phoneT _DESCRIPTION OF WORK/USE OF BLDG. /l R. Address Q S4M , S Main Building: Accessory Building: Arch/Eng.SORK ST[G 4 ASSO censeN - TYPEEIOFPERMIT ❑ GRADING FOUNDATION TRUCTURAL E Front' (,2 O Address 23025 ///LL Qe,cetc AR C.AG/ruA�[r( •Z LJ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B Rear /Q N Contractor's Name OwAle2 l/8fx/Ltgp Phone S{.7 (.�.27 ❑ OTHER - C Right /� N s�},,,tty��GL PROJECT DESCRIPTION 54..F OCCUPANCY K G CityAddLicense(mailing) N g) t • Left �77 [�(� ,CONSTRUCTION TYPE VALUATION$ $ City No. 7`/ 'ZONE GRADING CU.YDS. ACRES ,AAt R LICENSED CONTRACTOR DECLARATION - _ QQ�' (( �t Ping. Ref.# �c— J g 3 Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: l`J l �' 14 Planning Notes: ��E {�r - Q with section 7000) of Division 3 of the Business and Professions Code, and r ` M my license is in full force and effect. T License Class NI License No. - S Date Signature PLUMBING FEES WORKERS'COMPENSATION DECLARA I`ON hereby affirm that I have a certificate of consent to self-insure or a certificate , Bar Sink Showers ELECTRICAL FEES f Workers' compensation Insurance, or a certified copy thereof (Section .. Backflow Preventer Service Sink 3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW 71 , ' Policy No. A Company _ Backflow Irrigation Sewer Cap - Construction Pole Sub. CI 50+ KW • 8 Certified copy is hereby furnished. Certified copy is filed with the city Building Division. - Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed i1 the permit is for one hundred($100)or - less). Dishwasher . Solar Piping - Dryers ❑Gas DElectric Sub Panel I certify that In the performance oft ek for w 'if this permit is issued I ' shall not a ploy ny person in any ter so become subject to the Drinking Fountains Solar Tank - Fan Motors 00-1 HP DI A-$ Workers' C Laws ofa Calurer 'a L C - Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP 016-15+ NOTICE: I ,afte making this declaration, yo' hould be oma subject to the orkers' Compensation provisions Of the ..por Code, you must forthwith Floor Sinks Urinal Fixtures Microwave comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet ' I herebyaffirm the)there is a construction lendin• agency for the performance Device Boxes- POIe'Light of thwork 197 !// • tM. fr., 7 ie i -.•e,. Section 307 Civ. C.) Interceptors Water Heater Outlets Range Lender's Name CCV'll /1 .V /� Lender's Address ..11 a - $ _ 4 . eta A Kitchen Sink Water Service Switches OWNER BUILDER DECLARATION Sign I hereby affirm that V'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 Code: Any city or s county which require$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 Roof Drains the Contractor's License Law (Chapter 9 (commencing with Section 7000)of Vvision 3 of the Business and Professions Code) or that he/she Is exempt - - ierefrom and the basis for the alleged exemption. Any violation of Section , .031.5 by any applicant for a permit subjects the applicant to a civil • - peenalty of not more than five hundred dollars($500). LII, 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 Hood or Type I ❑ DEVELOPMENT SERVICES REQUIREMENTS: (/vJUJ - ' l employees, provided that such improvements are not intended or offered for Boiler sale- If, however, the building or Improvement is sold within one year of com- 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 Date q r ve for the purpose of sale). W /�/ �A (-7 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Data r tors 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 ❑0100,000 BTU 0100,000 BTU 'SUMMARY iLLFEES ,-13 builds or improves thereon,and who contracts for such projects with a con- - q tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration BUILDING PERMIT $ [�s7 y' SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ 40 PERMIT .^s 0 1 am a empt u der Section .. / B.& P.C.for this reason Firepl/Fact.Bit. ICBO# Fite Dampers PLUMBING $ ISSUANCE ca pq^s�,R'in ,w1- f /� /_/a., HeatingSystem&Ducting Registers n"' '"j'a2nl ,Fc Date "716 ' Owner �� )�rdral, 9 g ENERGY P.C. $ 4..T PLAN CHECK 25% $ I hereby c•rtify that I have read this a' lication and state that the above 00100,000 BTU 0100,000 BTL ELECTRICAL $ GRADING $ information is correct. I agree to comply/ ith all city and county ordinances - and state laws rel. ng to buil.' g Const uction, and hereby authorize repre- MICROFILM $ sentatives of 1'4'ity to e' upon the above-mentioned pr per LS PLAN CHECK 50% $ inspection pur4i,Z I y� 23 2irJ MECHANICAL $ Signature Date TOTAL FEE $ Drivers' License or SS � CMF 0865-46,rev. 10/84 white - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor U1 UUU15U13-00015015 TOT 294.68 DATE: 09/21/88 TIME: 12:43 CONSTRUCTION AND PLANNING POOL& SPA -APPROVALS Permit# Date Inspector APPROVALS Permit#_ Date ,Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location :; 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement .. 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 6 . 57. APPROVAL TO COVER-GUNITE 7. Footings I-I ' ; /r//r{/8f �p/�/ 58. Electrical Conduit-Undrgrnd. 8. Foundation 1 /`f/ 59. Gas Pipe, 0 Undrgrnd-,Test ' 9. Water Pipe-Undrgrnd.- . 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK r, 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final, j Ni✓d • • 12. Sewer Cap 63. Heater & Vent-Final I. _• n i-i 13. Roof Drains 64. Plumbing System - Final j;%_ -% / f✓ + N. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16- Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ' 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL • 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT • ' rt r 20. Rough Factory Fireplace APPROVALS Permit# I `/ 21. Ducts, in Structure I /' 70. Underground Hydro r 22. Ducts,Ventilating 71. Product Piping 0Gas 0Oil y \r 23. Gas Pipe-Rough & Test 72. Underground Flush j 1 , 24. Roof Framing 73. Undergrnd.Storage Tank (I 'Gas 0 Oil 1 %' 25. Roof Sheathing 74. Overhead Hydro [ `= ' 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical I ) ' (' 27. Frame and Flashing 76. Dry Standpipe i1 Li 28. Lathing& Siding 77. FIXED SYSTEM FINAL 1.1 'S .- 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning l I I /3 M e a " 35. Final Gas Pipe-Test "I r . - 36. Hood or Canopy --I :/ • (I . I 37:-Final Factory Fireplace i--- -p - .- 38.,Final Plumbing . ,; . `• i•-• L' -39. Water Service-Final ... ' ':40. Gas Service-Final - J! r ' L41. Solar Domestic-Final '.;� ., .; ',42: Backflow-Preventer :1 V, °� /, U . ,.-43. Backflow,IrrigationI - J.. % - • 144; LandscapeIrrigation System ! �f= , '' t = �1 - ' ,`d' -'45. Sound Attenuation t-! 46: Handicap Regulations - ..�.' 47.. FINALSTRUCTURE & BUILDING '�� . t I i - ��" dam r -- � -_ ,: �, ; . 48..8pecial-Requirements Completed '. ',;;. �- 49. Electric-Release to Edison ' / r 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OFOCCUPANCY No. "\Date I - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COS q�jNSA ,F3UCTION n/1 � � P�E���R//MM"�IT. PERMITNO. TRACT NO. LOT NO. UNIT •Project Addre " 0 /�a" G Wog 1353Sri '� ' R �Aplicant's Maili.g Addressrvli TYPE OF CONSTRUCTION NEW ADD U ALTERATION REPAIR/z.. di/�_7�is7 ❑ CONVERSION ❑ DEMOLISH ❑ OT R A.P..d6 �P— 01'1--k k Zone MLitt) ' Owner'r. / z/ L..0 Phone�^'kJ •./o'- DESCRIPTION OF WORK/USE OF BLDG. �� ` 1' Address -�ULA r�/ r•��/ S Main Building: Accessory Building: Z Ai-ph/En- �O11 No. .e, TYPE OF PERM• IT IJ GRADING LN FOUNDATION (f9 STRUCTURAL T Front *7 0 Adores- 0_ ark / ,• -f _its 0 TENANT ❑ ELECTRICAL 0 PLUMBING 0 MECHANICAL B Rear /5' N Contractor's Nam: - - I / �� J- -ID OTHER A l 'Mon. -.�- GC Right Address(mailing)\. =nit PROJECT DESCRIPTION SQ. F• `T, al6QlJ OCCUPANCY -, K Left AO G c/r/�n�j CON STRUCTION TYPE Y� VALUATIONS t Z'' "77'x$ 7 City License No.d 6 'ZONE GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION Ping. Ref.# �R '7- --}-/- Parking Req./Provided E I hereby affirm that I am licensed under brovisions of Charter 9(commencing Remarks: Planning Notes: Pha.t" ,y:C. M with section 7000) of Division 3 of the Business and Professions code, and —�* �� my license is In full force and effect. "Jv\ T License Class License No. S Date Signature PLUMBING - I FEES • -YORKERS'COMPENSATION DECLARATION tereby affirm that I have a certificate of consent to self-Insure or a certificate " gar Sink Showers - • ELECTRICAL - FEES ' i Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink - Automatic Washer' Transformer 0 15.50 KW • 3800, Lab. C.) 0 50+KW fl Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. Certified copy is hereby furnished. - Certified copy Is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit • Meter ❑up to 100 amps " Date Applicant ....Cl - EXEMPTION FROM WORKERS'COMPENSATION DECLARATION : erifiers - 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 ❑Electric Sub Panel I certify that in the performance of the Wor or which this permit is issued I shall not employ any person in any .n J so as to be a subject to the Drinking Fountains - Solar Tank _ Fan Motors 00-1 HP OVA-8 Workere� (qn Laws of Calif. — Date(Cr �ZJ Signature �z' r3 �' "--0-••••-•""-.. Floor Drains Swimming Pool w/Spa • F.A.U. Inc.Solar 09.15 HP 016.15+ - J NOTICE:If,after making this declar4Tn,yo s uld ecome object to the Workers' Compensation provisions • the b Code, you ust forthwith Floor Sinks Urinal Fixtures Microwave comply with such provisions or this pe shall be deemed revoked. , CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes • Pole Light I hereby affirm that there is a construction lending agency for the performance 9 of the work • • .n 3097 Clv. C.) Interceptors Water Heater Outlets • Lender's Nam::C - /I Range • Lender's Address /�� �1SLarr/ niF/�irMaLlfjr% 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-WashGarbage Disposal Standing Sections- following reason (Section 7031.5 Business and Professional Code: Any city or I county which requires...a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 KW 05.15 KW Tsh- any structure, prior to its issuance,also requires the applicant for such permit raCompactor to file a signed statement that he/she Is licensed pursuant to the provisions of ROOF Drains 'he Contractor's License Law(Chapter 9(commencing with Section 7000) of - Ivision 3 of the Business and Professions Code) or that he/she is exempt - • lerefrom and the basis for the alleged exemption. Any violation of Section /031.5 by any applicant for a permit subjects the applicant to a civil . penally of not more than five hundred dollars($500). LJ I, as owner of the property or my employees with wages as their solo Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure Is not Intended or offered -- Reinspection Fee ' $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 0 • DEVELOPMENT SERVICES REQUIREMENTS: �7/�) !2 �� employees, provided that such improvements are not intended or offered forZoning Approved By S �t� sale. If, however, the building or improvement is sold within one year of corn- Canopy Type II ❑ Date elation, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date e for the purpose of sale). L� ,v ?yj��I'.as owner of the property, am exclusively contracting with licensed con- rectors -Structural Refrigeration System Application Issued By W II/L/ Date ) -1! ' 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 $UM ARY OF FEES builds or improves thereon, and who contracts for such projects with a con- GV tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SM IP $ 0 ? proof of their Worker's Compensation insurance should be provided to me. _ 419:4 E, 0 I am exempt under Section B.S. P.C.for this reason Firepl/Fact.BIL ICBG# Fire Dampers PLAN CHECK $ PERMIT PLUMBING $ _ ISSUANCE $ Date lam/_,_25.43 Owner / Al. - - '''''. "'��- , Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have re . this cation and s :te that the above DO-100,000 BTU 0100,000 BT ELECTRICAL $ GRADING $ information Is correct. I agree to comp) Ph all city and county ordinances and state laws relating o building construction,and hereby authorize repro- • PLAN CHECK 50% $ MICROFILM $ �� sentatives of this ci to enter up- the above-mentioned property for inspection purpo es a MECHANICAL $ Signature i ...... Cad`--x.Betei/ •3�e&J TOTAL FEE $ tL%R- /� CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor 01 00015105-00015107 TOT 168.27 f1ATCs nonf too nein 4z.nn CONSTRUCTION AND PLANNING POOL&SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date . :Inspector 1.. Temporary Electrical Service or Pole 52. Pool & Equipment Location , 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms • 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical OF ER Grnd. '-• , 57. APPROVAL TO COVER-GUNITE 7. Footings • -; fl/* 58. Electrical Conduit-Undrgrnd. 8. Foundation', •- •• 59. Gas Pipe, 0 Undrgrnd.,Test , 9. Water Pipe-Undrgrnd: 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK , 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final • -/ 13. Roof Drains 64. Plumbing System - Final - .` ra„ (1•! -4 14. Rough Plumbing 65. Electrical-Final - 15. Rough Electrical-Conduit 66. Solar System-Final 16. RoOgh 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 II..? % 20. Rough Factory Fireplace APPROVALS Permit# _ i 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ❑Gas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush r • : 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 H.. 27. Frame and Flashing 76. Dry Standpipe r• 28. Lathing & Siding 77. FIXED SYSTEM FINAL '. -'' 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT...REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION • • 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: . 34. Final Heating& Air Conditioning )(' /tel _- ,f J _ fl�/� P/II • 35. Final Gas Pipe-Test I ( A' C.IJLCLYTU'C_..fr4T�� /' ' 36s Hood or Canopy t' •1-1 37._ Final Factory Fireplace • t • ,y• 38. Final Plumbing 39; Water Service-Final /- ( 1 410. Gas S(&ice-Final . , j • '41. Solar Domestic-FinalI , • . •,'42.. Backflow Preventer - 14; • •, 41 Backflow. Irrigation `/ , < i ' 44. ,Landscape Irrigation System Y i L45. Sound Attenuation ' r.- '46' Handicap Regulations i45. •1' - 5. -"LI•Z. FINAL STRUCTURE & BUILDING L/�� �Q -r' = r ' , . t . • ;48.. Special Requirements Completed '0,,--,. "49. Electrie'Release to Edison - , 50. Gas Release to Southern California Gas Co - ' - 51. CERTIFICATE OF OCCUPANCY • No. ' Date Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. p PERMIT NO. TRACT NO. LOT NO. UNIT NO e CITY OF COSTA MESA CONSTRUCTION P,/y RMIT ..�3 35-3 s 4 A.P.# I Zone Project Address 2 ZO �a.(6t 4AC Lf.•4/ S Main Building: Accessory Building: Applicant's Mailing Address le TYPE OF CONSTRUCTION U NE U ADD U ALTERATION U REPAIR E Front - Z L 7327 El CONVERSION ❑ DEMOLISH OTHER T O Owner's�ame f'4itCuaGv✓ NST Phone DESCRIPTION OF WORK/USE OF DG,{) B Rear N Address J AA•1 IS • /lam A I Areal/Eng. Aue.4ec &•E>`rtC 1643SOC.License No. TYPE OF PERMIT U GRADING U FOVNDATIO ❑ STRUCTURAL K Right G Address 25OZS vagrat CLECtLOt. AA ccs v.% eyes.4r PJc,$5 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING El MECHANICAL $ Left R ❑ OTHER Contractor's Name eLd tat Phone$#C'732-7 Ping. Ref. W Parking Req./Provided E PROJECT DESCRIPTION SQ. FT. OCCUPANCY PlanningNotes: O Address(mailing) �'�E CON STRUCTION TYPE VALUATION$ M City License No. 1138? ZONE GRADING CU.YDS. ACRES s. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: with section 7000) of Division 3 of the Business And Professions Code,and • my license is in full force and effect. ELECTRICAL FEES License Class License No. Date Signature ./A PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATION Construction Pole Sub. 0 50+ KW ereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter Clop to 100 amps Polis00, Lab. C.) Dishwasher Meter Dover 100 amps Policy No. Company_ +Q Backflow Irrigation Sewer Cap _ Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel B Certifie p i flle0 with the city Building Division. Bathtubs $ewer Connection _ Date // SO Applicant Fan EXEMPTION ROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Motors❑01 HP ❑1'h-8 (This section need not be completed if the permit is for one hundred ($100) or Dishwasher F.A.U.less). Solar Piping Inc.Solar 09-15 HP 016-15+ I certify that in the performance of the wor r which this permit is issued,I Fixtures Microwave shall not employ any person in any nn r o as to becomes ct to te Drinking Fountains Solar Tank Workers' Compensation Laws of Cantor • Device Boxes Date Signature ^^ Floor Drains Swimming Pool w/Spa Pole Light NOTICE:If,after making this declar llo you should become subjec to the Outlets Ran e Workers' Compensation provisions of a Labor Code, you must f rthwith Floor Sinks Urinal 9 comply with such provisions or is permit snail be deemed revoked. CONSTRUCTION LENDING AG ENCVGas Service Outlets Water Closet Switches Sign I hereby affirm that there is a construction lending agency for the performance . .Garbe a Disposal of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater gStanding Sections a•c'- HK Lender's Name 4 .r Aie..+ f 4 Lender's Address ‘0:3g ST. 5.45.44. rGenerator 00-5 KW 05-15 KW Trash a0/COO Kitchen Sink Water Service esCompactor BUILDER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash C 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 'he Contractor's License Law(Chapter 9(commencing with Section 7000)of • vision 3 of the Business and Professions Code) or that he/she is exempt /� Reinspection Fee $15 Issue Fee arefrom and the basis for the alleged exemption. Any violation of Section $ 3 .031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). 3 'DEVELOPMENT SERVICES REQUIREMENTS: C I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ compensation, will do the work,and the structure Is not intended or offered _ -Lining Approved By nate r for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By �/�]� License Law does not apply to an owner of a property who builds or improves 1 Data thereon, and who does such work himself/herself Or through his or her own Application Issued By nate employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I 0 I, sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 ..- �'•/` $UARV nF FEES pletion, the owner will have the burden of proving he/she did not build or ins- Duct-Under Ground 0� �arove for the purpose of sale). BUILD( G PE MIT $ O • SMIP $ C I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System tractors to construct the project (Section 7044,BusIness and Professions Code: 41 PLAN HECK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00100,000 BTU 0100,000 BTUISSUANCE builds or improves thereon.and who contracts for such protects with aeon- 4PLUMBING $ $ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration J PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ..---IN ELECTRICAL $ GRADING $ ID am exe pt under Section • B.& P.C.for this reason Firepl/Fact.Bit. ICBO dk Fire Dampers .' 'PLAN CHECK 50% $ MICROFILM $ Date art Owner oL Heating System& Ducting Registers 2 I hereb crt lfy thdt I have rlhis appllCatlon and state at the above ❑0100,000 BTU 0100,000 BT MECHANICAL $ TOTAL FEE $ lV• of Information is correct. 1 agree comply with all city and c my ordinances PLAN CHECK 25% $ and state laws -statin to building construction,and hereby authori • r pre • - sentatives of this to enter upon • above-mention•• pro••- for Inspection purpo Signature •ate i 08 . DReinspection Fee $15 Issue Fee $ 3 Drivers's' Lice or ss 9F. — _�� -Accounting; Goldenrod - Assessor DATE: 11/04/88 TIME: 16:05 n CONSTRUCTION AND PLANNING POi z SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temp rary Electrical Service or Pole i 52. Pool & Equipment Location 2. Soil Pi etUndr !. P rnd.9 „• 53. Steel Reinforcement - 3.,Ele • ctrical Conduit Utility-Undrgrnd. 54. Fprms -' • ' 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding •. 5. SteeljReinforcement , 56. Rod(h Plumbing & Pressure Test fl 6: Electrical UFER Grnd. , ,57. APPROVAL TO COVER-GUNITE t - . 7.•F,00tings $, + �. 58. Electrical Conduit-Undrgrnd. 8... Foundation , 59. GBsfPipe, 0 Undrgrnd.,Test tie t': 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 4 10.,Structural Floor System • 61. APPROVAL TO DECK - i •i,11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final /1 % +' 12. Sewer Cap '; 63. Heater & Vent-Final 13. Roof Drains i _.- - 64. Plumbing System - Final 14. Rough Plumbing^ - •• 65. Electrical-Final 15, Rough Electrical-Conduit ' 66. Solar System-Final • 16. Rough Electric Wiring 67. Fencing & Access Approval 17; Rough Wiring Sign 68. APPROVED FOR PLASTERING 187 Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL • 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 2pi! Gas Pipe-Rough& Test 72. Underground Flush v 2.4 Rorof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 2174 Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 3d.,Drywall Nailing HEALTH DEPT. REQUIREMENT 31' Plaster Brown Coat 79. FINAL INSPECTION 32 Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 3i Final Electric Notes: 34. Final Heating& Air Conditioning t({Q (-'cq 35. Final Gas Pipe-Test l 2S••f �t.LKl!'.••�J,_r..�rou`�\ 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing ' 1. _. 39. Water Service-Final . _ - _ - • 40. Gas Service-Final 41. Solar Domestic-Final ;.-I 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDINGeir 48. Special Requirements Completed 49. Electric Release to Edison _ 50. Gas Release to Southern California Gas Co •"" J r 51. CERTIFICATE OF OCCUPANCY No Date J • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. /0 CITY.OF COSTA� '�1 MESAME�--7 ((]``OBSTRUCTION PE,R.I•IV�lI•IIT PERMI NO TRACT NO.O. LOT NO. /UNIT NO.p Project Addrese25Z eD /"ar_-rT//775711 . LC.�Y 8 353 9 D /.,k5.5 G� T/'�J- `A D tf- Applicant's Ma' ' g Address, TYPE OF CONSTRUCTION o NEW ❑ ADD ❑ ALTERATION ❑ REPAIR ���r/�,. 0 CONVERSION 0 DEMOLISH 0 OTNES. • D Owner's Na '/�/e �it'co- PhonezC 7 /-- )2--� A.P.nW �� �-- �{ 'Z-�•( ( I Zona 2� J DESCRIPTION OF WORK/USE OF BLDG. P Address fly rpm S Main Building: Accessory Building: Arch/Eq•L. a �_ ei- N OF• No TYPE'OF PERMITIl''--II U GRADING Id FOUNDATION ,147 STRUCTURAL E Front 53 0 Addre'• �' /7����1 % -. �-/- �/ 'O TENANT LJ ELECTRICAL C`Jl PLUMBING LI MECHANICAL B Rear AO N Contractor's Namea0 - /� 'hon�•a"e - ❑'OTHER A • I Address(mailing) - PROJECT DESCRIPTION So. FtTr 1 OCCUPAN V 7.�-/ C •Right `s G i/,/� N �O CONSTRUCTION TYPE • � VALUATION S_ZQGzg $ Left • �Q/ R City License No. 'YM� 7 • ZONE GRADING CU.YDS. ACRES Ping. Ref.# p. 6-/63 Parking Req./Provided E LICENSED CONTRACTOR DECLARATION • _ n 0 I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: !.�QI/. $'7 a Planning Notes: (7h-7 �-cam M with section 7000) of Division 3 of the Business and Professions Code, and L� 1 my license is In full force and effect. '�- - T S License Class / // License No. -� PLUMBING FEES Elate Signature /( 1 'OR KERS' COMPENSATION DECLARATIONBar Sink ' Showers .ELECTRICAL FEES ereby affirm that I have a certificate of consent to self-Insure or a certificate _ - Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer . Service Sink . 3800, Lab. C.)///4 Automatic Washer Transformer ❑ 15-50 KW _ Policy No. �/? Company Backflow Irrigation Sewer Cap Construction Pole0 50+ KW 8 Certified copy is hereby furnished. _ $ub. . Certified copy is filed with the city Building Division. -, Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date Applicant - - • - - EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher - Meter Dover 100amps (Thissectlon need not be completed if the permit is for one hundred($100) or - less). Dishwasher • Solar Piping Dryers OGas DElectric Sub Panel ' • I certify that in the performance of the work for which this ermit is issued I _ shall not employ any person In any man so as to be e subject to the Drinking Fountains • Solar Tank Fan Motors❑Q7 HP ❑1'F:-6 • Workyr5�Cpapeyy�41spn Laws of Calif v Datil-07.•4.7/17_7 ' Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑915 HP 016-15+ NOTICE:If,after making this tletl a n,you IC becom subject t0 the - . Workers' Compensation provisions the La Code, you must forthwith Floor Sinks Urinal - Fixtures comply with such provisions or this perms shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes Pole Light •I hereby affirm that there is a con truction lending agency for the performance g ; of the work him n• I e• ( - . 097 Civ, C.) Interco tors Water Heater - Lender's Nam r aIdi-a p Outlets • Range Lender's Addr• �earl��[/ mi!� ime rL - Kitchen SinkWater Service . • OWNER BUILDER DECLARATION Switches Sigh I hereby affirm that 1 am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Si following reason (Section 7031.5 Business and Professional Code: Any city or Sections . ' county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays Generator 00 ❑ any structure, prior to Its Issuance, also requires the applicant for such permit .5 KW 5.15 KW Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains 'he Contractor's License Law(Chapter 9(commencing with Section 7000)of - vision 3 of the Business and Professions Code) or that he/she Is exempt erefrom and the basis for the alleged exemption. Any violation of Section /031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). I, es owner of the property or my employees with wages as their sale Reinspection Foe $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: Tho 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. If, however,the building or improvement is sold within ono year of com- Canopy Type II ❑ Zoning Approved By Date9-'2- V t/ pletlon, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By - Date rye for the purpose of sale). (( � q QQ 1B{1�I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By raj ILA,/ ?S/"'1 Date9 Q2-)AUG t ractors 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 ❑O-100,000 BTU ❑100,000 BTU SUMM V FEES ,I builds or Improves thereon,and who contracts for such projects with a con- t I(!,-! - tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ z CC SMIP $ proof of their Worker's Compensation insurance should be provided to me. _ PLAN CHECK $ 3J - PERMIT ❑ I am exempt under Section B . P.C.for this reason Firepl/Fact.Bit. ICBO# Fire Dampers PLUMBING $ ISSUANCE $ Date i`(J owner - J - _r --�r'�`� Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby ertify that I have rea:ribs . ation a : state that the above 00-100,000 BTU 0100,000 BTL GRADING $ Information is correct. I agree to comol h all city and county ordinances ELECTRICAL $ and state laws relating to building cons ction, and hereby authorize repre- $ MICROFILM $ sentatives of this city to enter u�. the above-mentioned property for PLAN CHECK 50% S4 inspection purpos . - e ,ter, �" Reinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev.10/84 kite - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor 01 00015053-00015360 TOT 252.54 fATr. na... ... ._ CONSTRUCTION AND PLANNING POOL&SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date _ Inspector 1Ei Temporary Electrical Service or Pole 52. Pool & Equipment Location • 2. Soil Pipe-Undrgrnd. . ,% 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. -` 57. APPROVAL TO COVE R-GUNITE 7. Footings ' = tie m D 58. Electrical Conduit-Undrgrnd. 8. Foundation; 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Uncirgrnd. . 10. Structural Floor System 61. APPROVAL TO DECK _r• 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final " • , 12. Sewer Cap 63. Heater & Vent-Final • / t ✓,Iri:71t 'I 13. Roof Drains 64. Plumbing System - Final v i V r 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 lii' . 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT J i♦ i 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 , - r • 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0Oil,. 25. Roof Sheathing 74. Overhead Hydro •is v„ 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe - I•, 28. Lathing & Siding 77. FIXED SYSTEM FINAL I 7 ,1; 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning tile/Ng I( V _q' b p ,laQ 35. Final Gas Pipe-Test •I . I •36.. Hood or Canopy �;_'r• (. 37. Final Factory Fireplace 1 ' i1"'< r ' 38 Final Plumbing , I . 39. Water Service-Final ;.LI . 4".. ,, i. , 40. Gas Service-Final 1 /f,' 411iSolar D4rnestic-Final . 42r Backflow Preventer 'r .43. Backflow .Irrigation . , ' > -, • % 44'.'iLandscape Irrigation System , 45. Sourid Attenuation ;, U 46. Handicap Regulations f/ s _ #-.1 rr "47% FINAL STRUCTURE & BUILDING ) Y �. • ' .48: Special Requirements Completed ,. .1 49. Electric Release to Edison ,i7 50. Gas Release to Southern California Gas Co i •' 51. CERTIFICATE OF OCCUPANCY No. Date ' Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. U CITY OF COST A �ESA � NSSIR UUC�gTION PE MI)T PERMIT NO. / TRACT NO. LOT NO. t[U/NIT NO. • Project`Addrest"�......`.- /_•`„' ' ' r '/_G Io. 1J JS 3t0I /$55t -Pb1J ••(l.T� M7licant's Mailir• Adciress (O'�' /We., / TYPE OF CONSTRUCTION NEW LJ ADD U ALTERATION U REPAIR r Owner's Na ' CID !int 0 Phone /. - 7 _ 7 ❑ CONVERSION ❑ DEMOLISH ❑ OT R A.P.qts 420 _ 2 1 O� 1 ' I Zone Vpit� p DESCRIPTION OF WORK/USE OF BLDG.r�r D/""- Address 2�ei S Main Building: Accessory Building: Arch/EEn• eel --St /� '-!d ' ense No. /�� ` TYPE OF PERMIT ❑ GRADING Of FOUNDATION STRUCTURAL T Front c� 0 AddrES$✓"^6 I/�/`--'`--^-- �' eiCflA �/�6 7e'a5.3 0 TENANT ❑ ELECTRICAL Ill PLUMBING CI MECHANICAL 8 Rear /5 N xi ad / j ' ❑ OTHER A — i Contractor's NamrOW Phone / � O OCCUPANCY "� C Right 9 N' PROJECT DESCRIPTION SQ. FT. Addresslmailing)���/� CONSTRUCTION TYPE • '� VALUATIONS (-S^ K Lett G City License No. -�"'Ys.2D9 J� $ QS,��l R ZONE GRADING CU.YDS. - ACRES Ping. Ref.# PF••� e5 - /33 Parking Req./Provided E LICENSED CONTRACTOR DECLARATIONR Q I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: e94 „-.��/� 1 Planning Notes: � I v5,L - M with section 7000) of Division 3 of the Business and Professions Code,and ��` /// 1 1 A T my license is in full force and effect. S Ucense Class / / �] License No. - Date Signature 7`-1/11/ PLUMBING FEES v WORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES I hereby affirm that I have a certificate of consent to self-insure or a certificate ' Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 00, Lab. C.) // • Automatic Washer Transformer 0 15-50 KW -dlicY No. �`J� Company BacCap Construction Pole Sub. Backflow Irrigation Sewer - - '❑ 50+KW Certified copy is hereby furnished. Certified copy is filed with the city Building Division. Bathtubs Sewer Connection • - Cooking Unit . . Meter Cup to 100 amps - Date Applicant - ` EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers . ' - Solar Collectors Dishwasher Meter Clover 100 amps - (This section need not be completed if the permit Is for one hundred ($100)or • - less). Dishwasher_ • Solar Piping - ' Dryers ❑Gas ❑Electric 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 anny so as to b me subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP 01.%-8 Worke�S' ¢prpye Laws of Calif. ../1/4, /�.� _ DateCOzis6=J/ Signature / Floor Drains - Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP ❑1&15+ NOTICE` I1,after making this tleclar y s Oultl baco a subject to the - Workers' Compensation provisions • the b r Code, you must forthwith Floor Sinks Urinal • Fixtures comply with such provisions or this pe t shall be deemed revoked. _ Microwave , CONSTRUCTION LENDING AGENCY -Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance Pole Light of the work fsrj setbblGb, his A•ere I_ i'issygd (Se oq 3097 Civ. C.) Interceptors • Water Heater Outlets Lender's Nam,f5•,,,) / Cd LC •-....7-T-/� - Range Lender's BUILDER Address /�0 i. / `- Kitchen Sink Water Service Switches • Sign OWNER BUILDECLARATION • I hereby affirm that'I am exempt fromthe Contractor's License Law for the Lavatories Auto-Wash a 9 P Garbo Disposal following reason (Section 7031.5 Business and Professional Code: Any city or Standing Sections county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 KW❑5-15 KW any structure, prior to-its Issuance, also requires the applicant for such permit Trash Compactor 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 refrom and the basis-for the alleged exemption. Any violation of Section `'':w 71.5. by any applicant for a permit subjects the applicant to a civil — batty of not more than five hundred dollars($5001. . (.,3 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 - Fee $15 Issue Fee $ 3 Reinspection for Sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES p Liconse Law does not apply to an owner of a property who builds or improves �A l thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: I� employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ /�� q—2-1—L sale. If, however, the building or Improvement is sold within one year of corn- Canopy Type II o Zoning Approved By �VA� Date pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date re for the purpose of sale). - , as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By C4..)RL sA.- Date°'"7J_ ti 0 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 ❑100,000 BTU SUM RL(,9F FEES j /L builds or improves thereon,and who contracts for such projects with a con- - tractor(sl license pursuant to the Contractor's License Law). I am aware that Exhaust SystemBUILDING PERMIT $ SMIP $ r proof of their Worker's Compensation insurance should be provided to me. Y 0 Multiple 0 System Repair/Alteration ❑ I am exempt under Section B. PLAN CHECK P.P.C.C.for this reason ^ Firepl/Fact.Blt. ICBG# Fire Dampers $ Z`1 — PERMIT / PLUMBING $ ISSUANCE . $ Date �/L.A-'5LSOwner / -- - _J+✓ Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have realeis ap• ion and st e that the above ❑0-100,000 BTU 0100,000 BTI. GRADING information is correct. I agree to •mply ��+• all city an. county ordinances ELECTRICAL $ $ and state laws relati•• to building const Lsf•"Ion,and hereby authorize repre- $ MICROFILM $ ' sentatives of this fry to enteron e above-mentioned property for �1 PLAN CHECK 50% (� inspection re Pm''05-...? / —y✓ -e� Date(p.6�)/UD MECHANICAL $ �/0 Signature TOTAL FEE $ _ ' Drivers' Ll.'- or Slp'� - Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 01 00015093-00015095 TOT 210.41 DATE: 119/ni/PP TTKtf 1Lett 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. Z 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings ,'i •. • (j�,./i ael 58. Electrical Conduit-Undrgrnd.' I' 8. Foundation( ', , • 59. Gas Pipe, O Undrgrnd.,Test ' . 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. . 10. Structural Floor System 61. APPROVAL TO DECK .) ` 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final t-'' ( 12. Sewer Cap 63. Heater & Vent-Final ;' % t _t "f >7 13. Roof Drains 64. Plumbing System - Final - )," t - Clf 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING (i 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL (,'l' . 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ] > • t 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 D Gas 0Oil7 25. Roof Sheathing 74. Overhead Hydro -‘..- • 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ' 27. Frame and Flashing 76. Dry Standpipe . ;r - ' 28. Lathing& Siding 77. FIXED SYSTEM FINAL ' f ' 'r 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: • 34. Final Heating & Air Conditioning 'HIP( to4q I� G,I„fL ..d 5I .(� ' 35. Final Gas Pipe-Test •y "1 �1�1J1(fs^(� .. 35:,Hood or Canopy I ., t .rs 37. Final Factory Fireplace ' 38: Final Plumbing - + . , 39. Water Service-Final - t A f 40. GasSe&ice-Final , _1 , '41. Solar Domestic-Final ' 42. Backflow Preventer '/ ., v ' 43! Backflow Irrigation 's y- ' I ! . 44. Landscape Irrigation System f 1.• y - , ;15. Sound Attenuation t •• - ' 46. Handicap Regulations I /• . •C - . 47. FINAL5TRUCTURE & BUILDING • :/i9 3I Y1 •' • ,, ;1- 48%Special Requirements Completed ' C."; !. ,. i r (49_Electric'Release to Edison --u r_ 50. Gas Release to Southern California Gas Co ,. 51. CERTIFICATE OF OCCUPANCY - • No. • Date 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 CONSTRUCTION PER IT 2 3 3 6 / / A.P. Project eddress,25.20 /4464/1./...41.4 c w.4 TYPE LI 5�8 3 q,6 - 47z qW TYPE OF CONSTRUCTION u NEW U ADD U ALTERATION zone REPAIR S Main Building: Accessory Building: Applicant's Mailing Address ...14A-eta E Front Z sA/� FFtiEl CONVERSION El DEMOLISH OTHER T 0 Owner's Name H/1MT C. Phon7z 7227 DESCRIPTION OF WORK/USE OF B G. �� B Rear N Address �'-4-E i `1 Arch/Eng.>?f/.O.L'G L-E3THR- TYPE OF PERMIT U GRADING U FOUNDATION STRUCTURAL C Right N License No. K G Address 236)r/•e/'.sends 04.• 4 ACcs.ut ti'a-'s 924r1 El TENANT ❑ ELECTRICAL ❑ PLUMBING El MECHANICAL i S • Left R Contractor's Namelifa '-0C• Phone El -OTHER Ping. Ref.# Parking Req./Provided E PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: Q Address(mailing) 54.4e38 CON STRUCTION TYPE - VALUATION$ M ¢4389 City LICENSEDSNo. ZONE GRADING CV.VOS. ACRES S. CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: • with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. / ELECTRICAL FEES License CIaSs v[ License No. — Late Signature PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW ' 'ORKERS'COMPENSATION DECLARATION Bar Sink Showers DOnStr UCLIOn Pole Sub. ❑ 50+KW • ereby affirm that I have a certificate of consent to set -Insure or a certificate Workers' Compensation Insurance, or a certified opy thereof (SectionCooking Unit Meter Cup to 100 amps 3800, Lab. C.) Backflow Preventer Service Sink • Policy No. Company it' ti Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps ACertified copy is hereby furnished. Dryers ❑Gas ❑EI¢CtriC Sub Panel Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Date Applicant Fan Motors 00-1 HP ❑1R-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred ($100)or Dishwasher Solar Piping F.A.U. less). Inc.Solar 0915 HP 016.15+ I certify that In the performance of the work which this permit is issued I Fixtures Microwave shall I any person in any mann o as to becomes ject to the Drinking Fountains Solar Tank Workers' rnplgySation Laws of Calif Device Boxes Pole Light Date •/ o Signature - (0•1••••e•-••••••---%..---' Floor Drains Swimming Pool w/Spa 9 NOTICE: If,after making this declar on,you should become sdbject to the e Outlets Ran Workers' Compensation provisions f the Labor Code, you must forthwith Floor Sinks Urinal 9 comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYGasService Outlets Water Closet Switches Sign I hereby affirm that there Is a construction lending agency for the performance of the work f hir his permit s itu di (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name q� y' � �� Lender's Address 45 r ^'� O/ g a Kitchen Sink Water Service Generator 045 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 Tref/5 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 ',e Contractor's License Law(Chapter 9(commencing with Section 7000)of ,.1 vision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 erefrom and the basis for the alleged exemption. Any violation of Section #031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). $ 3 'DEVELOPMENT SERVICES REQUIREMENTS: U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee 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 License Law does not apply to an owner of a property who builds or improves _ _ _- _ _. _ _ _ _ _. /r]/ Dace f Med thereon, and who does such work himself/herself or through his or her own Application Issued By `••C1� flats 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 com- Canopy Type II 0i� SUP/AV OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Trove for the purpose of sale). • 1 BUILDING PERMIT $ •fa e SMIP $ U I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System _ i , PLAN CHECK $ PERMIT 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 ❑4100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $builds or improves thereon.and who contracts for such oroiects with a con- ENERGY P.C. $ tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration `�` PLAN CHECK 25% $ proof off their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ GRADING $ 17 I am exempt under Section / B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLAN CHECK 50% $ MICROFILM $ HeatingSystem& DuctingRegisters /J Date /� R Owner -���r� - YMECHANICAL $ 7O. e u I hereby certify that I have re.• his application and state t .t the above ❑4100,000 BTU 0100,000 BTL TOTAL FEE $ information is correct. I agree t• comply with all city and cou ty ordinances PLAN CHECK 25% $ and state laws relating to building construction,and hereby authors - r-•re- senlalives of this city ' enter upon above-mentio• d pro••rt for inspection purpos.s. ../ irfor Date i Signature �/ '/ Reinspection Fee Drivers' Lice '•�• ss -Accounting; Goldenrod - Assessor DATE: 11/04/88 TIME: 16:02 CO1VSTRUCTION AND PLANNING PO i SPA APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector '1?Temporary'Electrical Service or Pole .;, 52. Pool & Equipment Location • 2. Soil--Pipe-Undrprnd. 53. Steel Reinforcement •~� 3.jElectrical Conduir Utility-Undrgrnd. 54. Fors C IElectfical Gtonduit'-Undiernd. 55. Electrical Bonding 5.:'Steel Reinforcement' r? 56. Fjough Plumbing & Pressure Test 6.•:Electrical UFER Ornd. A. , 57. APPROVAL TO COVER-GUNITE • , •� 7. Footings i 58. Electrical Conduit-Undrgrnd. B.4Foundation I 59. Gas Pipe, O Undrgrnd.,Test ;j , 9. Water Pi a-Unar rnd. P P 9 f. 60. Backwash Lines, P-Trap, O Undrgrnd. • 10.Structural Floor System - 61. APPROVAL TO DECK • • 11.'Property Sewer Line& House Connection 62. Backwash & Receptor-Final ' . 12. Sewer Cap it 63. Heater & Vent-Final ( ' 13. Roof'Drains / 64. Plumbing System - Final 14. Rough Plumbing ' 65. Electrical-Final 15:' Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval • 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18 Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22: Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil • 23; Gas Pipe-Rough &Test 72. Underground Flush 24. Roof-Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro .t' 26, T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing 4-Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywalil Nailing HEALTH DEPT. REQUIREMENT 31.1Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33: Final Electric Notes: J A 34. Final Heating & Air Conditioning `'In �j/t c �/,,./•'^ � -- � 35. Final Gas Pipe-Test !'7/D7 V w.Jq 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final -' 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer =J 43. Backflow Irrigation J. 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 1/0frJ •+� 48. Special Requirements Completed l I 49. Electric Release to Edison _• 50. Gas Release to Southern California Gas Co - ) • �• 51. CERTIFICATE OF OCCUPANCY ' No, Date Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. Project Address n252o ,�- /T7 MAC L hay f3 3 S 3 8 d,�i,8 cisiV,401 , v 1 Applicant's Mai ' g Address, ,n / TYPE OF CONSTRUCTION L I NEW U ADD U ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTH ,ate ,rte/ems rn�n . ca Phon A.P.# C'2-0�- O l2 - / / zone rQ� .to Owner's Nib, , e��✓- DESCRIPTION OF WORK/USE OF BLDG. ! Address air' TYCP n " . S Main Building: Accessory Building: Arch/Engl�.0 i-Lc/,GA 'fi,.Grlenu No. 'L g,� TYPE OF_P.ERMIT El GRADING FOUNDATION STRUCTURAL T Front q.� 0 Addre �1 y /10201?Vie.�1/ weft i /2 9zso/ • ❑TENANT CI ELECTRICAL PLUMBING 0 MECHANICAL BA Rear / N :f/W�' ,gui"'Cr 5-'7'32- ❑ OTHER Contractor's Namr Phon - Mme' C Right • N -��/ 1l / PROJECT DESCRIPTION SQ`. FFT`.,L/(.des _OCCUPANCY K • G Address(mailing) QZ.S �l� .Yl���u /r//.�2 CONSTRUCTION TYPE V/V7 City License NO. r- VALUATION$2-g J �- S Left R LICENSED CONTRACTOR DECLARATION ZONE GRADING GU.YDS. ACRES Ping. Ref.# /2 es-/85 Parking Req,/Provided E I hereby affirm 7 that) I am licensedion under provisions f charter 9(cCode,and Remar ,ks�'� �. + �L Planning Notes: 2t G-, M withysectione n full of a 3 of the Business and Professions Code,and _ 7` my license is in IUII force and effect. - T License Class (( // �q License NO. '- • S Date Signature Nhr ' r PLUMBING I FEES - • • - 'VORKERS'COMPENSATION DECLARATION , Bar Sink Showers ELECTRICAL FEES lereby affirm that I have a certificate of consent to self-insure or a certificate • ,f Workers' Compensation Insurance, or a certified copy thereof (Section 3800, •Backflow Preventer Service Sink lisLab. C.) 4/741. :. , , ■ s s _ I Policy No. Company • 8 Certified copy is hereby furnished. Certified copy is filed with the city Building Division. ampsDate APPlicant • lEt 'looking.■ ■ rn .Ptll �' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION • • ers Gas Electric (This section need not be completed if the permit is for one hundred ($100) or less).I certify that in the performance of the wo for which this permit is issued 1 shall not employ anyperson in any ma r so as to b me subject to the • 1111 Fan - Motors❑0-1 HP ❑1 S-8 •- Wofkyrs'/Cq�pe7y,L{pn Laws a Calif –� �� Dat Q Signature , Drains, ' ,. F.A.U. - Inc.Solar 0915 HP 016-15+ NOTICE:If,after making this decla On, yo/4 Ould beco a Subject to the c Workers' Compensation fpprovisions of the r Cade, you muet forthwith. �' comply with suchNprovisionsNDINGor this per t shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets VVater Closet II Device Boxes I hereby affirm that there is a construction lending agency for the performance of the work I.p� this ^„I;5{Ic/(r ($pgti9' Civ. C.) Interceptors Water Heater ' Outlets . Lender's Nam ff. .t V.. Lrw�'C+A, .fCJ(/`lJi 'wb[ic�J Lender's Addres Range ■,, Garbage Disposal . Sign , OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License.Law for the Lavatories Auto-Wash Standing Sections 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 ■I ■ 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 Roof Drains • The Contractor's License Law(Chapter 9(commencing with Section 7000)of Ivlsion 3 of the Business'and Professions Code) or that he/she is exempt ierefrom and the basis for the alleged exemption. Any violation of Section /031.5 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 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 ❑ I .:. PMENT SERVICES REQUIREMENTS: , ' `� 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 ❑ , pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground •: rive for the r purpose pf ope). Building Approved By te 1, as Owner cof.onsttheruct project contracting ing with licensedionode- Duct-Structural Refrigeration System Mtn it The the project (Section 7044, tBusiness ond Pro t Code: bus sContractor's License Law does not era t to an owner of isproperty who Duct-Ventilating 00.100,000 BTU 0100,000 BTU (WES builds Or Improvesicense thereon, and who contracts for such projects with a that tractor(s) license pursuant to the Contractor's License Law). I am aware thatII. ■ ■ System Repair/Alteration proof of their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ Lief, 0 I am exempt under�� Section B.6'.C.for this reason 111 :• MilFireDampers Date 62/ niaOwner 4r-� •�-�" Heating System& Ducting Registers PLUMBING $ - I hereby certify that I have rea• this ap•ger on and - ate that the above 00-100,000 BTU 0100,000 BTL Information is Correct. I agree to comply • all city and county ordinances ELECTRICAL $ GRADING $ and state laws relating to building construction,and hereby authorize repre- I', -• sentatives of this cit to enter upon the above-mentioned property for inspection purpos - Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor UI UUUIJUU4"UUU15U 6 U I 2Y4.68 DATE: 09/21/88 TIME: 12:40 CONSTRUCTION AND PLANNING POOL&SPA .APPROVALS Permit# - Date Inspector APPROVALS Permit# Date 'Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location -' 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test i 6. Electrical UF ER Grnd. ' 57. APPROVAL TO COVER-GUNITE 7. Footings - , 58. Electrical Conduit-Undrgrnd., 8. Foundation:. 59. Gas Pipe, O Undrgrnd.,Testi' F 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ', 12. Sewer Cap 63. Heater& Vent-Final '44 �' 13. Roof Drains 64. Plumbing System - Final ..- --rt ----J• 1C' 14. Rough Plumbing 65. Electrical-Final 4. 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 -FIRE DEPT. REQUIREMENT r ' i, 20. Rough Factory Fireplace APPROVALS Permit# - , 21. Ducts, in Structure 70. Underground Hydro • 22. Ducts, Ventilating 71. Product Piping U Gas 0Oi1,- ' 23. Gas Pipe-Rough & Test 72. Underground Flush - r 24. Roof Framing 73- Undergrnd.StorageTank 0Gies El Oil 25. Roof Sheathing 74. Overhead Hydro - 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical (. 27. Frame and Flashing 76. Dry Standpipe �1,i i ' -i , 28. Lathing & Siding 77. FIXED SYSTEM FINALj . 1 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing - HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION I - 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE[ ISSUED �yq/ 33. Final Electric Notes: 4tf t 9 .54lit ki . 34. Final Heating & Air Conditioning (v (j"' 35. Final Gas Pipe-Test , - 1 . . 36: Hood or Canopy „ . . l P. 37-. Final Factory Fireplace " \ •. %., 38. Final Plumbing • F • 1 •- - 39. Water Service-Final ; , `, . , - /; 40. Gas Seryicie-Final moi, r , , . '41-. Solar Domestic-Final I - ' ' .. 42. Backflow Preventer G ", . , ' •, `43. Backflow Irrigation ..... '' -.> , r 44. Landscape Irrigation System ' �' J - 1 • - 45. Sound Attenuation 46. Handicap Regulations ,4, f 1 ' - I 47,. FINAL STRUCTURE & BUILDING ]{/_q/f fi 48,-Special Requirements Completed .. ' , - -. i . • '49. Electric Release to Edison r , 50. Gas Release to Southern California Gas Co - 4- 51. CERTIFICATE OF OCCUPANCY No. • Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - 1 CITY OF'COST,�A�J��11//yES�A�C STRUC.TION PERMIT '/ 1 PERMIT NO. TRACT NO. LOT NO.' UNIT NO..p - 2., Project Address"^"""" C•/rs..n merle— sY 63S-38�-1 ;)rj S �-17 tj tT'1zt • Applicant's Mailing,Address . -a Me/ TYPE OF CONSTRUCTION NEW ILJ' ADD dALTERATION U REPAIR ' 1 .7 ''t" ' r//Vit. 7 ❑ CONVERSION ❑ DEMOLISH ❑ OT R A'P' 0 '-- Owner's Na N/� Phon• ate' 3a/ DESCRIPTION OF WORK/USE OF BLDG. tett �2� �� Zoneg- � Address S Main Building: ,` Accessory Building: Arch/En y(+€ �G.-�J7�A 1L'/r-tcK�nse No. _.TYPE OF PERMIT 0GRADING FOUNDATION ��y E Y O ��ssyy STRUCTURAL Front Address 5`617 /L-.e Ianrie t'72• 1-9.',914-40/.77/•/39 - - 0 TENANT ❑ ELECTRICAL 0 PLUMBING 0 MECHANICAL B Rear N ''������-- )) freer- i.0OTHER • A �� 1 Contractor's Name�de'I / /.uC-/� Phone - '7�O"� *-2 160 //l-" / c Right CI N Address(mailing) '1/72 • PROJECT DESCRIPTION SQ.1F/T,.� J OCCUPAN7cY K Left G �,p CONSTRUCTION TYPE y/t VALUATION$ G¢ S f� City License No. "Al3�'( R ZONE GRADING CU.YDS. ACRES Ping. Ref.# /y.5- /ea Parking Req./Provided E LICENSED CONTRACTOR DECLARATION ./ ��y-•�r��••••sss I hereby affirm that I am licensed under provisions of Charter 9 (commencing///ttt Remarks: ), — `i„s 11 Planning Notes:pha/� M ' with section 7000) of Division 3 of the Business and Professions Code,any • 1 II�� A my license is in full force and effect. j •� • • • T License Class License No. sr Date Signalere- �l�' -• PLUMBING FEES - S '•ORKERS'COMPENSATION DECLARATION ! Bar Sink Showers ELECTRICAL FEES ereby affirm that I have a certificate of consent to self-insure or a certificate• _ Workers' Compensation Insurance, or a certified copy thereof (Section ( Backflow Preventer Service Sink • 3800, Lab. C.) Automatic Washer Transformer ❑ 15.50 KW Policy No. Aim. Company Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+KW . 8 Certified copy is hereby furnished. • Ce tiff p ' d with the city ul ng DI islon. Bathtubs' Sewer Connection Cooking Unit Meter ❑up to 100 amps Dat Applicant - EXEMPTION FROM WORKERS'C ENS N DECLARATION i Clarifiers Solar Collectors - Dishwasher Meter Dover 100 amps (This section need not be completed i the pe is for one hundred ($100)or . • less). Dishwasher- Solar Piping . ' � Dryers ❑Gas ❑Electric Sub•Panel _, I certify that in the performance of the work f•r which this permit is issued, I , - shall not em toy y person in any m.•ne o as to bec5�e subject to the Drinking Fountains Solar Tank - I Fan Motors❑0-1.HP ❑114.8 Workel3' Laws of Califor C/O - Date • Signature N-✓ ....:2C----- Floor Drains Swimming Pool w/Spa F.K.U. • Inc,Solar ❑9-15 HP ❑16-15+ NOTIC If,a r Ing this-declar. yo S ould becthe Worker Compensation provisions • the Lode, ywith Floor Sinks Urinal Fixtures comply with such provisions or this perm t shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY • Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance - - POIe Light of the work f .•• his •- .y, - ' isjed ( - 49`097 Civ. C.) Interceptors • Water Heater Outlets Range Lender's Name /" Lender's Addres !/ e I ' n /1 ,e -a q Stair - Kitchen Sink Water Service Switches - Sign .. . OWNER BUILDER DECLARATION 1 hereby affirm that Lam exempt from the Contractor's License Law for the Lavatories • Auto-Wash Garbage Disposal Standing Sections 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 - Laundr Tra 5 any structure, prior to its issuance; also requires the applicant for such permit y y Generator ❑0-5 KW❑5-15 KW Trash,Compactor to file a signed statement that he/she is licensed pursuant to the provisions ofRoof .Drains - - ' 'he Contractor's License Law(Chapter 9(commencing with Section 7000) of vision 3 of the Business and Professions Code) or that he/she is exempt arefrom and the basis for the alleged exemption. Any violation of Section .031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). $ 3 L I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee _ 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 TypeI ❑ „J DEVELOPMENT SERVICES REO UIREMENTS�-yam thereon, and who does such Work himself/herself or through his or her own Boiler Hood Or LL�� employees, provided that such improvements are not Intended or offered forZoningApproved B sale. If, however, the building or improvement Is sold within one year of corn- y- Canopy Type II ❑ Date pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By • Date r e for the purpose of sale). I ` I 1 /� p -�I sQo 1, as owner of the property,am exclusively contracting with licensed con- factors an- Duct-Structural Refrigeration System Application Issued By wlw SA Date-1-r-.� �1�� tors 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 0o-100,000 BTU 0100,000 BTU _ SUMMARY OF FEES •'f builds or improves thereon, and who contracts for such projects with a con- I I3 tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ 2 57J 1sP. SMTP $ proof of their Worker's Compensation insurance should be provided to me. PLAN $ j D L PERMIT ❑ I am exempt under� Section /. B. & P.C.for this reason —1 Firepl/Fact.Bit. ICBO# Fire Dampers PLUMBINGN CHECK $ PERMIT ISSUANCE $ Date 69/ 3/2'/r/ Owner � ---� ' .� �'�--._ Heating System&Ducting Registers - ENERGY P.C. $ ❑o-100,000 BTU ❑100,000 BTU PLAN CHECK 25% $ I hereby certify that I have readto o p anon, and co that the aboves ELECTRICAL $ GRADING $ Information is correct. I agree to comply wi and county rite repre- Ordinances and state laws relating to building construe n, and hereby authorize rPLAN CHECK 50% $ MICROFILM $ //QQ inspection of this ci, to enter •on the above-mentioned property for qr 45 inspection pure• -s i MECHANICAL $ /7 Signature /G1r_ J �- OateC�� �eX/ TOTAL FEE $ Drivers' LI 4eor ir ��� _ Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ n CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor 01 00015007-00015009 TOT 296 63 DATE: 09/91/sit TTIIF: 17:Li CONSTRUCTION AND PLANNING POOL &SPA •APPROVALS Permit # r• Date Inspector APPROVALS Permit# Date• inspector 11. Temporary Electrical Service or Pole 52. Pool & Equipment Location - 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement . 3. Electrical Conduit Utility-Undrgrnd. 54. Forms ' 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test • 6. Electrical UFER Grnd. ////111 �/f 57. APPROVAL TO COVER-GUNITE 7. Footings //At 34 ^/!�//' 58. Electrical Conduit-Undrgrnd. 8. Foundation- . / �/ 59. Gas Pipe, 0 Undrgrndt, Test ' 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Uridrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK i' i.! 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final r, i 12. Sewer Cap 63. Heater & Vent-Final 1 !7^ 9 r - 13. Roof Drains 64. Plumbing System - Final „4,ie 14. Rough Plumbing 65. Electrical-Final ` ' 15. Rough Electrical-Conduit 66. Solar System-Final ' 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign • 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT .' I 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure T 70. Underground Hydro t 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 1, 23. Gas Pipe-Rough& Test 72. Underground Flush _+ 24. Roof Framing73. Undergrnd.StorageTank OGas 0Oil 25. Roof Sheathing 74. Overhead Hydro ( ' 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical II ' 27: Frame and Flashing 76. Dry Standpipe ,-r 1 . 28. Lathing & Siding 77. FIXED SYSTEM FINAL . e ' ' 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80..FOOD CERTIFICATE ISSUED ' 33. Final Electric Notes: 34. Final Heating & Air Conditioning //9/ //aL=IL ake /. 35. Final Gas Pipe-Test 7 ,1� 36. Hood or Canopy - ': -n 1 . F 37:Final Factory Fireplace / r 33)Final Plumbing 'r rJ e' ,f b . 0 39. Water Service-Final /I i .•t i .. , 40. Gas Service-Final i: •rr ' /i.' . st ',41. Solar domestic-Final .1, _ r 1.42' Backflow Preventer • 74 ' • t •43. ow . BackflIrrigation , 1 r� V• i , . • - x • 44. ,Landscape Irrigation System I I'4 . Sound Attenuation (/ �! • ' , hi cp 1,46. Handicap Regulations / ,fit •( II :, ,i V / � qJ X47,. FINAL STRUCTURE & BUILDING r C ; ,., I. 48. Special.Requirements Completed rh , 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co ' :%/ • - 51. CERTIFICATE OF OCCUPANCY No. , Date • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. _i CITY OFA dies fQS O CgNST e_ C-Ci MST 1 PERMIT'5 3S 35'\ TRACT LOT NO. I/SIT 6 a �`�VVVV-- Project Addres rya..-/T� JJI/ IV` Applicant's MailipgAddress. cf.Yltai TYPE OF CONSTRUCTION _NEW _� ADD ALTERATION U REPAIR r r� Owner's Naur19�j�e� s/10"' Phone ' GZ7 ❑ CONVERSION ❑ DEMOLISH ❑ O�EJ,1r A.P.# 4 LQ_� Q1 el — �k zone�L'- kto DESCRIPTION OF WORK/USE OF BLDG. fJ Address1n7C-... S Main Building: Accessory Building: Arch/Eng. af7it'�a " �jr� /e(� e o. p.����TYPE OF PERMIT E3❑ GRAPING WFOUNDATION 1QJ STRUCTURAL T Front a, 6 Z0 Addre 92-3 's--� �`�i/c _pej ` ���/159 &✓3'❑ TENANT LI ELECTRICAL ❑ PLUMBING lJ MECHANICAL A Rear 11� _ N Contractor's Namee912-Ve l /i,P-r••+ PhonC�T�1 3z7 , ❑ OTHER - 7�, `ry7 Address(mailing) ��/71Ci PROJECT DESCRIPTION SQ. FT. �L�•�V OCCUPANCY „`� / I+ K RightO • G AA4309 ,,CONSTRUCTION TYPE Y Al VALUATION$ iof502^' g Left City License No. T R v ZONE GRADING CU.YDS. ACRES Ping. Ref. #7' 96-/g3 Parking Req./Provided E LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: �i L-/_ 57 A Planning Notes: f1 ��, �s_/ M with section 7000) of Division 3 of the Business and Professions Code,and f I P my license is in full force and effect. T S License Class License No. - Date Signature myPLUMBING FEES a 'OPKERS' COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES eteby affirm that I have a certificate of consent to self-insure or a certificate 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 Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+KW BCertified copy is hereby furnished. - Certified copy is filed with the city Building Division. • - Bathtubs Sewer Connection Cooking Unit Meter ❑up 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($100)or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel - . I certify that in the performance of the work for which this permit is issued, I - - shall not employ any person in any mann so as to become subjercj.,,,ttto the Drinking Fountains Solar Tank Fan Motors❑0.1 HP ❑1 h-$ Le Cp�D¢nspfipA Laws of Califor i q�� // - Date LLE/fes-Sr making Signature ....---0*---,become ` Floor Drains Swimming- Pool w/Spa Motors (((aaafififiInc.Solar ❑9-15 HP ❑16-15+ NOTICE:Compensation this ions ref you should , usubject to tte - ' Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks UrinalFixtures Microwave comply with such provisions or this permit shall be deemed revoked. • CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Boxes Device I hereby affirm that there is a construction lending agency for the performancePole Light of the work ir:htthl, pert/ i u ($ectb 3097 Civ. C.) Interceptors Water Heater Outlets Lender's Nam / F� tat d (See L� Range s Lender's Addres - id � - Pi iQ — ir � Kitchen Sink Water Service Switches • OWNER BUILDER DECLARATION Sign 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 Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator ❑0-5 KW❑5-15 KW any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains `a Contractor's License Law(Chapter 9.(commencing with Section 7000) of vision 3 of the Business and Professions Code) or that he/she Is exempt - - erefrom and the basis for the alleged exemption. Any violation of Section /031.5 by any applicant tor a permit subjects the applicant to a civil efhalty of not more than five hundred dollars ($500). U 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 Mr sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL Reinspection Fee $15 Issue Fee $ 3 fo • License Law does not apply to an owner of a property who builds or improves FEES ��/ 41-2-1—'82 /� ,/}y(( thereon, and who does such work himself/herself or through his or her own - DEVELOPMENT SERVICES REQUIREMENTS: ��• Date` 2 1_ ✓" employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 ZoningApproved C� sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 pP oved B pietion, the owner will have the burden of proving he/she did not build or IM- Duct-Under Ground Building Approved By . Date Pr a for the purpose of sale). M1 1, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Lf)1 it. d'k Dat��71� dors 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 SUM FEES - '/` builds or improves thereon,and who contracts for such projects with aeon- - tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ ICI IT M PER 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PER MIT ISSUANCE $ PLUMBING $ Date ' r-Cofrill; Owner :/"W Heating System& Ducting Registers PLAN CHECK 25% $- ENERGY P.C. $ I hereby certify that I have read his application and state that the above 0o-100,000 BTU 0100,000 BT 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- MICROFILM $ sentatives of this ci . to enter upon the "yve-mentioned property for PLAN CHECK 50% $ inspection purpo-s �. _...-..---- Signature MECHANICAL $ Q Signature .%6.✓��� Of ^ - Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 01 D0015099-00015101 TOT 210.41 DATE: 09/21./8° TIME: 14:IR CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date 'Inspector 1.1 Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. .' 53. Steel Reinforcement I3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings !, ! , /`/J4.a Or 58. Electrical Conduit-Undrgrnd. 8. Foundation/ • 59. Gas Pipe, 0 Undrgrnd.,Test r t . 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. • ` 10. Structural Floor System 61. APPROVAL TO DECK j1 r 11. Property Sewer Line & House Connection _ 62. Backwash & Receptor-Final .s.,"' es / 12. Sewer Cap 63. Heater & Vent-Final ` ` t v' it, 13. Roof Drains 64. Plumbing System _v,- Final (• - . r' �',.S Qi 14. Rough Plumbing 65. Electrical-Final -r I -- /- a7 15. Rough Electrical-Conduit • 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING I: 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 1' 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT (_4) 1/ 1 20. Rough Factory Fireplace APPROVALS Permit# „ 21. Ducts, in Structure 70. Underground Hydro ;/ 22. Ducts, Ventilating 71. Product Piping 0Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush ` ..1 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 1' ( It 25. Roof Sheathing 74. Overhead Hydro �• - 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical r- -C : J' 27. Frame and Flashing 76. Dry Standpipe - C- >, <_ t/ 28. Lathing& Siding 77. FIXED SYSTEM FINAL r-. 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION - 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: /�J(_) 34. Final Heating & Air Conditioning III q m (�'."`�), F f ' 35. Final Gas Pipe-Test D (ii 1 1fi, Hood or Canopy 1 rl I I M ,, t #7 Final Factory Fireplace i(, ;(, t 38! Final'Plumbing k:.9 .:t �/ r ,39. Water Service-Finalr'I 1 U �:'. ;40 /Gas Service-Final1 1� ! X41.'Solar Domestic-Final 1 C-17 C 42: Backflow Preventer ' . l : -, X43. Backflow_Irrigation iV• V' j - 6- a A4'�Landscape Irrigation System i '- r, f. , l fl'-' d. _ • 45. Sound Attenuation lel' V, 0' 1 1::"E - '46. Handicap Regulations4 r'? i -' 1; :1 ' 47_;FINAL STRUCTURE & BUILDING ØV Q a ti;48. SpeciaRequirements Completed I �f7 i - `" q J f. , t 49. Electric1Release to Edison /• '. -A L_ , ' - 50. Gas Release to Southern California Gas Co So 51. CERTIFICATE OF OCCUPANCY No. ' Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA �q NSTR�UUCTION��PGF RMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. Project Address �'fCfl7/! TILCA 133 C36,c) 5a7:-5 /i ' Applicant's Mailsg Alidresp �:=/Pict TYPE OF CONSTRUCTION - rvEW ADD ALTERATION LJ REPAIR • F/yo�d ) yy/�s�vzL. Co ,/5-' 73 7 ID CONVERSION ❑ DEMOLISH ❑ OT R Al'., # rtes-o Q\� — I\ Zone P� Owner's Na CC��a�VV �.J4„/�- L.• • Phone Y/' tin DESCRIPTION OF WORK/USE OF BLDG. r�Dre Address Cy�iti S Main Building: Accessory Building: Afch/E ngqgs�a-q'�/`✓ '�)+)�p'�"-^ �"✓✓rl2/'�nse NO. /� /� TYPE OF PERMIT I� GRADING �a� FOUNDATION �1 STRUCTURAL ET Front 444 Q Address 4 7/I /2.e' 4 a,44'W592/5 �❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL A Rear ,Je' N Iger Bad��"tel e✓Yg/" /�2-i ❑ OTHER ,+ [' Contractor's Nam Phon / PROJECT DESCRIPTION SQ. FT ( �1' OCCUPANCY r/L�i K .Right /1C' N Address(mailing) 8/'YI V� % � (//5,a _CON STRUCTION TYPE VALUATION$ y /- 5 1Left R City License No. r e�`-'� ZONE GRADING CU.YDS. ACRES - E Ping. Ref.# �-/s Parking Req./Provided LICENSED CONTRACTOR DECLARATION /� I hereby affirm tht I am licensed under provisions of Charter 9 (commencing Remarks: ays�I� S�S� Planning Notes: {� � �� M with section 7000) of Division 3 of the Business and Professions Code, and (� A my license is In full force and effect. License Class License No. t • Date Signature urn ,4 .) PLUMBING FEES r - "ORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES ereby affirm that I have a certificate of consent to self-insure or a certificate . Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer - Service Sink 3800, Lab. C.) n Automatic Washer Transformer 0 15-50 KW Policy No. �/ry Company Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+KW 8 Certified copy is hereby furnished. Certified copy Is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Cup to 100 amps Date Applicant ' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Clover 100 amps (This section need not be completed if the permit is for one hundred ($100) or - less). - Dishwasher Solar Piping . Dryers OGas ❑Electric 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 man r so as to b me subject the Drinking Fountains Solar Tank Fan Motors❑0.1 HP ❑1%-8 Wate C•�' ,pP�pc a�ygn Laws af Calif _ Date SCE: lf, Jer Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP ❑16-15+ NOTICE: If,after making this declare ton,he you Ould become subject to the Workers' such Compensation provisions of the Lab r Code, you must forthwith Floor Sinks Urinal • Fixtures Microwave comply with such provisions or this permit shall be deemed revoked. • CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a con truction lending agency for the performance Pole Light of the work f, • t is p: ) ' d�Sect'•. - 3 97 Civ. C.) Interceptors Water Heater Outlets Range Lender's Name an'_l —1� S�,`5st�p -. Lender's Address ram Za-- PMMISS.�) 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 Disposal Standing Sections Garbage 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 TraysGenerator ❑0.5 KW ❑5.15 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 ROOF Drains "e Contractor's License Law(Chapter 9 (commencing with Section 7000) of vision 3 of the Business and Professions Code) or that he/she is exempt . frefrom and the basis for the alleged exemption. Any violation of Section .031.5 by any applicant for a permit subjects the applicant to a civil — penalty of not more than five hundred dollars($500). $ 3 LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee 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 - - - [,�Z,(^(]d thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I 0 DEVELOPMENT SERVICES REQUIREMENTS: /�/� -\ `` 50 j f employees, provided that such improvements are not intended or offered for YV1� sale. If, however, the building or Improvement is sold within one year of Com- Canopy Type II 0 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 Date r v@ for wer ofhe pf ope). et-11“/ , f • l ra I, as owner construct thet pam exclusively sinesscontracting witholicensedioncon- Duct-Structural Refrigeration System Application Issued By Date �1 —O'F7 Thetors tactors the project (Section tos Business and of property Code: The Contractor's License Law does not apply to an owner je property wno Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMA'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 $ r� proof of their Worker's Compensation insurance should be provided to me. - PLAN CHECK $ PERMIT ❑ I am exempt under Section B. & P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers ERMIT" PLUMBING $ ISSUANCE $ Date (e,/ /88 Owner �-� ��`� Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have re this application and st a that the above 00-100,000 BTU ❑100,0008T information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ GRADING $ and state laws relating to building construction, and hereby authorize repro- PLAN CHECK 50% $ MICROFILM $ sentatives of this city to enter upon a above-mentioned property for �/ L+-I inspection purpos- / /ZjJ/�� MECHANICAL $ TOTAL FEE $ Z�� Driver ore i �/ CMF 0865-46,rev. 10/84 white - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL&SPA r ' � Date Inspector Date Inspector APPROVALS Permit # APPROVALS Permit# 1; Temporary Electrical Service'or Pole 52. Pool & Equipment Location r 2. Soil Pipe-Undrgrnd. ..‘ 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. •r 57. APPROVAL TO COVER-GUNITE 7. Footings I;/ 0/0; 04- 58. Electrical Conduit-Undrgrnd. 8. Foundation jL% 59. Gas Pipe,.0 Undrgrnd., Test t 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK it '- 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ' '_ •i ' 12. Sewer Cap 63. Heater & Vent-Final i ✓' r i-- , • 13. Roof Drains 64. Plumbing System - Final .1 J74/ G)4.: 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ft.--- s 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �, ' 'r' 20. Rough Factory Fireplace APPROVALS Permit# ✓ ' 21. Ducts, in Structure 70. Underground Hydro r',, 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush i 24. Roof Framing 73. Undergrnd.Storage Tank OGas OOiIG• 1r 25. Roof Sheathing 74. Overhead HydroL' 4.- , 26. T-Bar Ceiling (Structural) &'Monocoat 75. Dry Chemical ._ - 27. Frame and Flashing . 76. Dry Standpipe r .i 28. Lathing& Siding 77. FIXED SYSTEM FINAL 1 29. Insulation 78. FIRE PREV. FINAL f 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: i', l 34. Final Heating & Air Conditioning ilia ': U J 4 ^ OVi / i � A . 35. Final Gas Pipe-Test 4,(I,. r y, 36, Hood or Canopy ,p to l.4 /y 311. Final Factory Fireplace n I 1 'r 38. Final Plumbing ( .� 39. Water Service-Final - re - - - (, (4.1 4 ;40-. Gas Service-Final . :.(/ /AI i ;41 Solar Domestic-Final 42t Backfldw Preventer '7i iI + V '; r 1 '1' • '. r" �,. 1. tier ' I43..Backflow Irrigation �I / > J , , 1,44. Landscape Irrigation System 1'y t•. L - ;t ti. ': 4. , r :I 4 ( Sound 5. d Attenuation r'; rt, l x,46. Handicap Regulations f,.r (U Y li' 47t"FINAL.STRUCTURE & BUILDING 7/�9�9; ' !L y df; r'' if0 •1 i 48. Special Requirements Completed `(((/ /-t r.' y �i• . ,rr . ., i ' r^ 49. Electric'.Release to Edison 'vv r' v-. V' riii 1 r) 50. Gas Release to Southern California Gas Co - r° • - 51. CERTIFICATE OF OCCUPANCY No. / Date _ • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. /0 CITY OF COSTqQ��/1�MMES.1A1 (J;O/�NSTRUCTI ON P-ER, MIT, - PERMIT NO. TRACT NO. LOT NO. UNIT NO Project Addres005 2O M�-� 7/7ZQ L �•�Y S 353Coq / n5 D • 5 075 U•`.� Applicant's Ma' . g Address ///V TYPE OF CONSTRUCTION ILII NEW U ADD LI ALTERATION REPAIR /�/�Opp',.�1 , ✓ w./i - =ft. • 47 - 7, ❑ CONVERSION ❑ DEMOLISH ❑ OT R / - A.P.# � ell_ — It Zone tiOgi p Owner's Na r.aooY w/L� Phone DESCRIPTION OF WOR K/USE OF BLDG. rv!_' tr Address came•/ � _ S Main Building: Accessory Building: //ss TVPE'OF PERMIT ❑ GRADING FOUNDATION jESTRUCTURAL E Front 2.C - O Arch/Eng/ a- �j l! _ - (C�) 1CBnse No. < T Addres- - i - �O/f.jG- +:/'�• - A�� ✓f -y ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL B Rear a7 N Contractor's Namo-4�J .� 4. Phon 55' .z/ '0•OTHER A I �7/Z-•s,,,, C Right N PROJECT DESCRIPTION SQ. FT OCCUPANCY "/ g Address(mailing) p K Left n �t G CCONSTRUCTION TYPE VALUATIONS 'JbGz�- S p•g- LICENcenseNo. � (ZONE GRADING CU.YDS. ACRES E LICENSED CONTRACTOR DECLARATION Ping. Ref.# �� — �g3 Parking Req./Provided 0 I hereby affirm that I am licensed under provisions of Charter 9 commencing 1cPlanning v�L�� M ( Remarks: 81� - et7 �z • Notes: with section 7000) of Division 3 of the Business and Professions Code,and _ (VJ /-` T my license is in full forte and effect. • License Class ( 1 License No. S Date Signature L` i' PLUMBING I FEES • 'ORKERS' COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES iereby affirm that I have a certificate of consent to self-insure or a certificate _ r Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.) Backflow Preventer Service Sink • Automatic Washer Transformer 0 15-50 KW Policy No. /J nd Company Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+KW' 8 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 w k for which this permit is issued I shall not employ any person in any ma er so as to become su ' ct to the Drinking Fountains Solar Tank Fan • Motors❑0-1 HP ❑1%-8 Worker} qqq 7E Laws of Calif r Date (Dr Signature a`���^ "7------ Floor Drains Swimming Pool w/Spa • F.A.U.NOTIC If,ai r making this decla on, you-should become subjecthe _ Inc.Solar ❑9.15 HP ❑16.15+ Workers' Compensation provisions of the Labor Code, you must forthwith Fioor Sinks Urinal Fixtures Comply with such ptovizionz or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a cons ruction lending agency for the performance Pole Light - of the work fiis iis� cru' i -• ect"•r6tlB7 Civ. C.) Interceptors Water Heater Outlets Range Lender's Name �� .44 -- L� - Lender's Addres - an Je ill a' Ae. ' Kitchen Sink Water Service -._ OWNER BUILDER DECLARATION Switches Sign - 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 Code: Any city or t county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator 00-5 KW 05.15 KW any structure, prior t0 its Issuance, also requires the applicant for such permit Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains 'he Contractor's License Law(Chapter 9,(Commencing with Section 7000)of , i vision 3 of the Business and Professions Code) or that he/she is exempt ierefrom and the basis for the alleged exemption. Any violation of Section /031.5 by any applicant for a permit subjects the applicant to a civil - peenalty of not more than five hundred dollars($500). $ 3 LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee compensation, will do the work,and the structure is not intended or offered • Reinspection Fee I $15 Issue Fee S 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES , License Law does not apply to an owner of a property who builds or improves _ /t thereon, and who does such work himself/herself or through his or her ownDEVELOPMENT SERVICES REQUIREMENTS: Hood or Type I ❑ (\/'�L-/J1 employees, provided that such improvements are not intended or offered for Boiler Cee--1 . 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 Date ve for the purpose of sale). - / � � l as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Wal, SA Date 7./—IST t0 construct the project (Section 7044,Business and Professions Code: A — The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 RTU 0100,000 BTU SUMMARY_OF FEES (�eI builds or Improves thereon,and who contracts for such projects with a con- ' f / tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration BUILDING PERMIT $ [�t6 O SMIP $ 1 proof of their Worker's Compensation insurance should be provided to me. _ 1 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG# Fire Dampers PLAN CHECK $ 35 PERMIT ���RI`3 � / PLUMBING $ ISSUANCE $ Date Owney�J ✓-•'-� fi �1� Heating System&Ducting Registers ENERGY P.C. $ ��� ,( - PLAN CHECK 25% $ I hereby certify that I have r this application and state that he above 00.100,000 BTU 0100,000BTL ELECTRICAL $ GRADING $ information is correct. I agree to comply with all city and county ordinances • and state laws relating to building construction,and hereby authorize repre- sentatives of this city to enter upon he above-mentioned property for inspection •.rp• es. ""., Q - MECHANICAL $ TOTAL FEE $ zcz Signature . .. . •ate��`Z3�B$ - Drivers' ense or SS# Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Plnk -Accounting; Goldenrod - Assessor 01 00015061-00015063 TOT 252.54 DATF1 Q9/71/RP TTIC' 17.41( CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit# V. Date Inspector APPROVALS Permit Date --Inspector 1: Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - c 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd: ( ,` 57. APPROVAL TO COVER-GUNITE 7. Footings /)29 vy •58. Electrical Conduit-Undrgtnd.' 8. Foundation'• - L. 59. Gas Pipe, ❑a Undrgrnd.,Test t', 9 9. Water Pipe-Untrgrnd.- 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK (t IP - 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final „� I 12. Sewer Cap - ,.-I • 63. Heater & Vent-Final ' en 13. Roof Drains 64. Plumbing System - Final y''.-/-i) 14. Rough Plumbing 65. Electrical-Final ....l GI°. 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 0• - . ` ' 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT (i 1 20. Rough Factory Fireplace APPROVALS Permit# ;,] . l 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 D,Gas 0 Oil ri 25. Roof Sheathing 74. Overhead Hydro I j - - 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical _ !e; • 27. Frame and Flashing 76. Dry Standpipe • e' '1 ' • 28. Lathing& Siding 77. FIXED SYSTEM FINAL -• ; - •.4441, 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat. 79. FINAL INSPECTION ' 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ' 33. Final Electric - Notes: • 34. Final Heating & Air Conditioning 111 I I /a/G9 Q)I l n �_ 35. Final Gas Pipe-Test 1!f ��66, ft7l �� (.�'JYl4ll.((11��' C :IP 36., Hood or1. /Canopy '/;,, r 2' 37..Final Factory Fireplace it f ') /r. .J 382'Final,Plumbing ; l d4 .l -t- :l 39: Water Service-Final t• -, `' 4 • .440. Gas Service-Final ;41t Solar Domestic-Final d . y' 4 ); 1 42L Backflow Preventer 'l 1 j!',/7 - . I-43. Backflorw Irrigation L-r-' 2' .. "1 ;k i ,44( Landscape Irrigation System ,' .- e ;e '-1 ' % ' • ,45) Sound Attenuation ,' � , . .... . 46. Handicap Regulations !1° ,i - •.,•- ef.47. FINAL STRUCTURE & BUILDING nF04C n /�6-- y .• r e74„, y� i ,•% 48.,Special'Requirements Completed ' -�,/ ✓� c'i/'t 7, • 4d.,Electric Release to Edison Ill ! i I ,1 f.,', �1 . . 50. Gas Release to Southern California Gas Co t i. t ' 51. CERTIFICATE OF OCCUPANCY No. ' Date Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. /nom CITY OF COSTA MESAnTn C TRUSION PE�I�IT PERMIT NO. TRACTO. LOT NO. UNIT NO. L' Project Address OC..AGC t9G LC.JaY13 353(08 /r✓✓\\._JJ �nrJ1 "7Y7�(y�}� Applicant's Mailing Address alit', TYPE.OF CONSTRUCTION LJ NEW L.i ADD ALTERATION IJ REPAIR /pfd Mme. 7 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ��,/�aaM,,�� y� Owner's Nam �rY/'-•"' �9""' Phone .2. / r A.P.#' +-{1 Q� 012 - i r zonee/ne �+ DESCRIPTION OF WORK/USE OF BLDG. 1--- Y tfb Address ..=-/Y)e... yyI -- S Main Building: Accessory Building: Arch/En�0I4(-'r �2'' - OM W. lcas1ld:. • TYPE OF PERMIT ❑ GRADING Id FOUNDATION lc(I STRUCTURAL T Front a•G 0 Addres d'ZS /'}�'� �'� 'e' y ��3 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear /s N � y / f -/��2 - �J"3❑ OTHER A Contractor's Nam Pho x. -- / C Right /Wi N �.' j PROJECT DESCRIPTION SQ. FT. OCCUPANCY� O{ K a G Address(mailing) 4/43 eCON ST RUCTION TYPE VALUATION$ .2^0r $ .Left 6 R City License No. 'Y -1rONE GRADING CU.YDS. ACRESy` Q$ LICENSED CONTRACTOR DECLARATION t Ping. Ref.# pg ffi— 7G/•d Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: €7,& Planning Notes: �h��G Q with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. '—j- T License ClassJ,/cense No._ $ �/41 Date Signature • ` PLUMBING FEES "ORKERS'COMPENSATION DECLARATION Bar Sink Showers Hereby affirm that I have a certificate of consent to self-Insure or a certificate ELECTRICAL FEES . Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Automatic Washer Transformer ❑ 15-50 KW 3800, Lab. C.) ( /J 0 50+ KW Policy No. h//� Company Backflow Irrigation Sewer Cap Construction Pole Sub. 8 Certified copy is hereby furnished. - Certified copy Is filed with the city Building Division. Bathtubs Sewer Connection • Cooking Unit Meter Ours to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION - Clarifiers Solar Collectors Dishwasher Meter Cover 100 amps (This section need not be completed if the permit is for one hundred ($100) or .. - less). . Dishwasher' Solar Piping Dryers ❑Gas ❑Electric Sub Panel - I certify that in the performance of the work for which this ermit is Issued, I shall not employ any person in any manna so as to be a subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP 01%-8 Worke{s' :ffiy �_ Laws of Califor a. Date(a� 7/ Signature ' `� Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑0-15 HP 016-15+ NOTICE: If,aft/r.making this declara , you ould eco subject to the - Workers' Compensation provisions o 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 Gas Service Outlets Water Closet - 1 hereby affirm that there is a construction lending agency for the performance - Device Boxes Pole Light of the work fy w•i— this�•er e• ( — Lon 3097 Clv. C.) Interceptors Water Heater Outlets Lender's Nam- _ Wit ' L / p,� Range -Lender's Address OD • - �y �A �' SCJ Kitchen Sink Water Service - OWNER BUILDER DECLARATION • Switches Sign 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 Garbage Disposal Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P—Trap , Laundry Trays Generator ❑0-5 KW ❑5.15 KW any structure, prior to.Its issuance,also requires the applicant for such permit - Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains • "le Contractor's License Law(Chapter 9(commencing with Section 7000)of /vision 3 of the Business and Professions Code) or that he/she is exempt erefrom and the basis for the alleged exemption. Any violation of Section /031.5 by any applicant for a permit subjects the applicant to a civil — penalty of not more than five hundred dollars($500). $ 3 ❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee - 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 I 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 0 DEVELOPMENT SERVICES REQUIREMENTS: �/_2/^�Q employees, provided that such improvements are not intended or offered for yp Zoning Approved By ( C8 sale. if, however, the building or improvement is sold within one year of com- - Canopy Type II 0 Date pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date ve for the purpose of sale). (('',,�� ^^s1�._.Q� I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By awl CA- Date —U -65 Tactors 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 $UMMARV9F FEES builds or improves thereon, and who contracts for such projects with a con- ]]/ �„ \li1 tractor(s) license pursuant to the Contractor's License Law). I am aware that —Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT S. 2l G - SMIP $ ='3 proof of their Worker's Compensation insurance should be provided to me. I L 0 I am exempt under Section ` / B. P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers sy PLUMBING CHECK $.$ 3� PERMIT PLAN ISSUANCE $ Date lia3fr8 Owner / tea �✓ �` Heating System& Ducting Registers i PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this ap• :tion and ate that the above 00.100,000 BTU 0100,000 BTI: ELECTRICAL $ GRADING $ information is correct. I agree to comply all city and county ordinances and state laws relating to building construction, and hereby authorize repre- MICROFILM $ sentatives of this city enter u-•n the above-mentioned property for p PLAN CHECK 50% $ inspection purpose � ' - Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ 1 CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 01 00015064-00015066 TOT 252,54 fATC on.n. .n.s v.•..-- ..._.... I CONSTRUCTION AND PLANNING POOL &SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date :Inspector 1, Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. ' • '' 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. • 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings ' ,. iian g ,04- ' 58. Electrical Conduit-Undrgrnd. 8. Foundation. -L 59. Gas Pipe, 0 Undrgrnd., Testi.), 9. Water Pipe-Undrgrnd.. 60. Backwash Lines,P-Trap, 0 Undrgrnd. - jl 10. Structural Floor System 61. APPROVAL TO DECK La tI 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final -, , 12. Sewer Cap 63. Heater& Vent-Final -" (`J • 1 13. Roof Drains 64. Plumbing System - Final L 1 en 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 PLASTERINGt. ;� 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL v^J,-;, , 'yr 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT'"f '•� 20..Rough Factory Fireplace APPROVALS Permit# 7 ' ,� t7 (I, 21. Ducts, in Structure 70. Underground Hydro ' 'r t. 22.'Ducts, Ventilating 71. Product Piping 0 Gas 00p • 23. Gas Pipe-Rough & Test 72. Underground Flush • 24. Roof Framing 73. Undergrnd.Storage Tank 0Gas 0Oilr, tI 25. Roof Sheathing 74. Overhead Hydro ) 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 11+__ •• 27. Frame and Flashing 76. Dry Standpipe C ', ( . 28. Lathing & Siding 77. FIXED SYSTEM FINAL ,-i 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION I • 32. Electrical Power Meter-Final • 80. FOOD CERTIFICATE ISSUED • 33. Final Electric Notes: 34. Final Heating & Air Conditioning . 1 ji4 D ici, -' t 35. Final Gas Pipe-Test l W�WH yt 4 ' 36.,Hood or Canopy , r; r t r I 37. Final Factory Fireplace I; ,� ! .-1 38. Final Plumbing if �l",7 i. 39. Water Service-Final -- - /) • ,P . •40. Gas $etvice-Final r , 1 /�`' ( ., v. .:41. Solar Domestic-Final - - - '• v' I.. • 42. Backflow Preventer . :1 4 'f v ' i .i. ' 7' 1i '. , i• ' -IIY / ,L• . Ji X43. Backflow Irrigation r. /I( .l.; "� �,'- 4,4'.)Landscape'Irrigation System .4 � t� - ' 1•,45. Sound Attenuation IC. n, 1/"'- 'r� I�- i o 46. Handicap Regulations .71� 'r r( ,�% - -47 YFINAL,STRUCTURE & BUILDING V9 19 'ilk '9 . • It ,-' 1, : - ! /48. Special.,Aequirements Completed I ;:i 5. t° j* r/ f, 49. Electric Release to Edison I It " -' 7 I);'i 50. Gas Release to Southern California Gas Co • - - 51. CERTIFICATE OF OCCUPANCY No. Date • Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. 2r PER IT NO. TRACT NO. LOT NO. UNIT NO. ifir CITY OF COSTA�M�ESS a CONSTRUCTION PERMIT $ 58 n� LTJ J6 A.P.Vp �`� _O L Zone /(L,, Project Address �Y�l1Z•G Wahl _ //jQl�J /� '1CJ ' S Main Building: Accessory Building: Applicant's Mailing Address 5�.1• '� �,/ TYPE OF CONSTRUCTION IJ NEW ADD LSALTERATION IJ REPAIRE ❑ CONVERSION ❑ DEMOLISH ❑ OTHER w� � 7 T Front 0 O Owner's Name s ') ' � 'hone DESCRIPTION OF WORK/USE OF BLDG. CevE po>-k IA Rear IC N Address C' r rI C Right N Arch/Eng, I ' -Af °perar • 4-at'�a. Lir e No. TYPE OF PERMIT 0 GRADING FOUNDATION STRUCTURAL K' 70 G Address. K,NL%�rar Y6(9 i / , • N , fJ 0 TENANT ❑ ELECTRICAL. PLUMBING 0 MECHANICAL S . Left / R Contractor's Name eta 11(01 !7a �'� Pho e 5��•fi''rJ� OTHER0 Ping. Ref.# � G,'+/9e Parking Req,/Provided E PROJECT DESCRIPTION SQ.D., �'�/ : Q Address(mailing) VN Q ���` s � Planning Notes: P r G • M City'License No. 1-1:3 741 ZONE ST TYPE /RADING CU.VDSVALUATION CRESSIp'�2� _ T LICENSED CONTRACTOR DECLARATION 1 /-���--/f S. I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: C�6��y h. }K /A - with section 7000) of Division 3 of the Business and Professions Code, and v I my license is in full force and effect. • • ELECTRICAL - FEES License Class N L License No. - • Date Signature !("❑' PLUMBING ` . FEES Automatic Washer Transformer 0 15-50 KW • 'ORKERS'COMPENSATION DECLARATION • Bar Sink J Showers Construction Pole Sub. ❑ 50+KW ' iereby affirm that I have a certificate of consent to self-insure or a certificate .4 Workers' Compensation Insurance, or a certified copy thereof.(Section Backflow Prevenier Service Sink • Cooking Unit Meter ❑up to 100 amps 3800, Lab. C.) • •- Policy No. Company Backflow Irrigation Sewer Cap ' Dishwasher Meter Dover 100 amps 8 Certified copy is hereby furnished. - Dryers ❑Gas ❑Electric Sub Panel Certified copy is filed with the city Building Division. Bathtubs Sewer Connection • Date Applicant Fan • EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Motors 00-1 HP 011/2-8 (This section need not be completed if the permit is for one hundred ($100)or - F.A.U. • less). . Dishwasher Solar Piping Ino:Solar❑9-15'HP X16-15+ I certify that in the performance of the work for which this permit is Issued I shall not pyl9 y any person in any m ner so as t become subject to the Drinking Fountains Solar Tank Fixtures Microwave workers' gGAmr�3 'on Laws of Cali o D,.,a., Device BOXES' Date no; A Signature /.v%T ""'��� Floor Drains { Swimming Pool w/Spa Pole Light f NOTICE. If, fret making this tlecla on,/.rued should ecome subject to the - Outlets Workers' Compensation provisions I the bor Co e, you must forthwith Floor Sinks Urinal ' Range ' comply with such provisions or this permit shall be deemed revoked. . - - CONSTRUCTION LENDING AGENCY x GaS SErviC¢ Outlets Water Closet Switches Sign • I hereby affirm that there is a onstr ction lending agency for the performance of the work for 'cid, jlis mitljs-Ji y)ei11 (Se� �Q� 1:1v. C.) Interceptors • Water Heater Garbage Disposal Standing Sections Lender's Name dY-C+-e �y�q 1 Lender's Address > yiY D era avg. Kitchen Sink Water Service 77 Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION -/ - I hereby affirm that I am exempt from the Con actor'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 -he Contractor's License Law (Chapter 9 (commencing with Section 7000)of Yvision 3 of the Business and Professions Code) or that he/she is exempt. - - nerefrom'and the basis for the alleged exemption. Any violation of Section , . Reinspection Fee $15 Issue Fee $ 3 7031.5 by any applicant for a permit Subjects the applicant to a civil penalty of not more than five hundred dollars($500). ' • DEVELOPMENT SERVICES REQUIREMENTS: (a, LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 %j' Ct r2 -(—S compensation, will do the work,and the structure is not Intended or.offered -Zoning Approved By (� Hate for sale (Section 7044, Business and Professional Code: The Contractor's . MECHANICAL I ~ ' License Law does not apply to an owner of a property who builds or Improves - - - - _. _. . _ FEES Building Approved By. // � ^ Dateet �pp thereon, and who does such work himself/herself or through his or her own Application Issued By lAJ kW L`'^s _late 71—II__ 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 tom- Canopy Type II ❑ • SUMMAR FEES • ole ion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground BUILDING PERMIT ` p�AR ,` r ve for the purpose of sale). $ C 'SMTP $ /'-� ( as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System �, rac ors to construct the project (Section 7044, Business and Professions Code: a PLAN CHECK a ZS The Contractor's.License Law does not apply to an owner of property who ❑0-100,000 BTU 0100,000 BTU $ � ' PERMIT Duct-Ventilating PLUMBING ISSUANCE $ builds or license s thereon:tand who contractsa 'sfor such orow).I as a con- $ tractor(s) license pursuant to the Contractor's License Law). am aware that Exhaust System ❑ Multiple ❑ ' System Repair/Alteration I C PLAN CHECK 25% $ • , ENERGY P.C. $, • proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $' 0 I am ex pt under Section t. & P.C.for this reason Firepl/Fact,Blt, ICBG dk Fire Dampers -" _.•••••••- ' PLAN CHECK 50% $ MICROFILM $' Date •� I �' Owner . .,_ 4 - -'. Heating System& Ducting Registers µ/ I-hereb cert y that I have re. this frication d state that the above 00-100,000 BTU ❑i00,000BTL • - • MECHANICAL $ TOTAL FEE $ Zia Informs ion Is correct. I agree to.compl. ith all c y and county ordinances • PLAN CHECK 25% $ and state laws relatim to building Con- uction,and hereby authorize repre- sentatives of this ci, to enter ••n the above-mentioned pr ert for Inspection pumas ..1 Signature L • .......--...-dD e Drivers' Licen .17. �,ce - DATE: 09/21/88 TInE: 14:19 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting: Goldenrod - Assessor CONSTRUCTION AND PLANNING _ Pt &SPA . APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Tclnpor ,Electrical Service or Pole •;:j 52. Pool & Equipment Location _ , ary • 2. Soil Pipe-Undrgrnd. r. 1 , 53. Steel Reinforcement ' 32 Elec`}-ical'donduitUtility-Undrgrnd. 54.7Fo{ms 4. Electrical•Conduit-Undtgrnd. 55. Electrical Bonding 5. Steel Reinforcement- 56.'Rough Plumbing & Pressure Test • 't' •6., Electrical'UFER•Grnd. 57.-APPROVAL TO COVER-GUNITE 7. Footings':: : ' �j; ` ,/, 091/4,:: 58. .Elebtrical Conduit-Undrgrnd. ,,. 8. Foundation ' r / -' 59. ;Gas Pipe, 0 Undrgrnd., Test ' 9. Water Pipe%Undrgrnd. • , 60. Backwash Lines, P-Trap, 0 Undrgrnd. • 11.: 10. Structural Floor System V 61.aAPPROVAL TO DECK ' • /• . r -11.x,Property SewJr Line & House Connection / 62.•Backwash & Receptor-Final I 12. Sewer Cap ••a ' 63..�Heijter & Vent-Final 13.'Roof'Drains • ,j,.." 64. Plumbing System - Final •' 14. Rough Plumbing.' 65. Electrical-Final ;7 15. Rough Electrical-Conduit 66. Solar System-Final :1,6. Rough Electric Wiring - 67. Fencing & Access Approval • X17. Rough Wiring Sign 68. APPROVED FOR PLASTERING '18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating- 71. Product Piping 0 Gas 0 Oil .23. Gas Pipe-Rough& Test72. Underground Flush . 24. Roof Framing- 1 73. Undergrnd.Storage Tank 0 Gas 0 Oil • "25. Roof Sheathingi%�' 74. Overhead Hydro 26. T-Ber.Ceiling (Structural) & (NNonocoat 75. Dry Chemical 27.,Fram4.and Flashing • 76. Dry Standpipe 28. Lathing &Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing i j. HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coatf; '. -1 79. FINAL INSPECTION 1 32. Electrical Power Meter=Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric -�t. Notes: 34. Final Heating & Air Conditioning 11141( 4 o )_n`'_/ ) J * 35. Final Gas Pipe-Test ` A,(JR' GH-"(J� fl- 36. Hood or Canopy 37. Firia'I-9ctory(replace - '38. Final Plumbing I r# • 39. Water Service-FinAl- .I 40. Gas Service-Final , ' '41. Solar-Domestic-Final- • :42. Backflow Preventer : I. 1 1 43. Backflow Irrigation " • -44. Landscape Irrigation System /, ' 45. Sound Attenuation • 46. Handicap Regulations { JJJ 47. FINAL STRUCTURE & BUILDING 1 //7ft`-/ 48. Special Requirements Completed t 49. Electric Release to Edison '• . 50. Gas Release to Southern California Gas Co . • 51. CERTIFICATE OF OCCUPANCY • . No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. f - PER IT TRACT NO. LOT NO. UNIT NO. • 91 72i I I /06/B] 13.00 TL CITY OF COSTA �y�7 COyvNiSTRUCTIO�N•PERMIT NO. • • • Project Assdr�ess(T t 0 Meir1`nl ti-C4 Lk_ - ' App li�ant's Mailing Address ' 7 •// y[���r i G/ Y/U{ TYPE OF CONSTRUCTION LI NEW U ADD LI ALTERATION LJ REPAIR E' �5� ,/h „/ p^ �/ ❑ CONVERSION El DEMOLISH ❑ OTHER A.P.#. - . . 4 - I Zone Owner's Name 1J ril Phon`r'� DESCRIPTION OF WORK/USE OF BLDG.. • Address S Main Building: Accessory Building: Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION El STRUCTURAL • T Front ZO Address • ❑ TENANT ❑ ELECTRICAL. ❑PLUMBING ❑ MECHANICAL • B Rear N Contractor's Nam_r/ 07 5410 a ft- iatt ` mar,774r❑ OTHER "t/N 7 •�'}7�.- C Right N Address(mailing) y -'I r- •.r/.e V• ROJECT DESCRIPTION SQ. FT. OCCUPANCY K Left • G - :.-.?--•- �,Ss rj CON ST RUCTION TYPE VALUATION$ S R City License No.- - - — -- r/3/ 7 ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: O Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code, and my license is in fu ot..9 efflc ^ C _ T S License Class - 6 �C. / L c-Ise No. / , - Date " Signature 'i��- Gia. ' �.-mal _ PLUMBING FEES 4 • WORKERS'COMPENSATION DECLARATION Bar Sink Showers - ELECTRICAL FEES \ hereby affirm that I have a certificate of consent to self-insure or a certificate _ - .,f workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Automatic Washer Transformer U 15-50 KW 1 3800, Lab. �,7 ? * - ON Policy No. Gl/'� "y�1bmp ` Backflow Irrigation Sewer Cap Construction Pole Sub. ❑ 50+KW C 09 8 Certified copy is hereby furnishe J Cerci cr/�p�y isyy�{d.�/th the In i ion. • Bathtubs Sewer Connection Cooking Unit Meter Dula to 100 amps Date f!/ `� tAPPlica — 'A` EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors I 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'Panell 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 ' f Motors ❑0-1 HP❑1%-8 Workers' Compensation Laws of California. _-s . - • ' Date Signature Floor Drains '� Swimming Pool w/Spa F.A.U. - Inc.Solar ❑9-15 HP 016-15+ NOTICE:Compensation making thisv isodeclaration,you should becomesubject h ite - ' comply such provisions of the Labor Code, you et forthwith h Floor Sinks Urinal Fixtures Microwave comply with such provisions or this permit shall be deemed revoked. - • CONSTRUCTION LENDING AGENCY Gas'Service r Outlets Water Closet Device'Boxes ) I hereby affirm that there i5 a construction lending agency for the performance . r POIe Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors • Water Heater Outlets • Lender's Name - .Range 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 Garbo a-Dis osal Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or - 9 P . county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator 00-5 KW 05-15 KW Trash Compactor ' any structure, prior to Its issuance, also requires the applicant for such permit . - A • to File a signed statement that he/she is licensed pursuant to the provisions of Roof Drains �` ,` /T yfs r the Contractor's License Law (Chapter 9(commencing with Section 7000)of ]O tij 'VffJ�•C/ .7 SS livlsion 3 of the Business and Professions Code) or that he/she is exempt - .terefrom and the basis for the alleged exemption. Any violation of Section /031.5 by any applicant for a permit Subjects the applicant to a civil - — Cpenalty 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 Boiler Type I 0 DEVELOPMENT SERVICES REQUIREMENTS: • employees, provided that such improvements are not intended or offered forHood or sale. If, however,the building or improvement is sold within one year of corn- Canopy Type II 0 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 Date ' prove for the purpose of sale). 0 I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date 1 I 1640i 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 r - 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 Syst•em ❑, Multiple❑ System Repair/Alteration i BUILDING PERMIT $ SMIP $ - - proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section B. & PLUMBING $ P.C.for this reason Firepl/Fadt.Bit. ICBG# ' Fire Dampers PLAN CHECK $ PERMIT CE $ Date Owner Heating System& Ducting Registers _ PLAN CHECK 25% $ ENERGY P.C. $ I hereb. cer f '�that I have read this application and state that the above 00-100,000 BTU 0100,000 BT ELECTRICAL $ I3.00 GRADING $ . Inform- ion s//orrect. I agree to comply with all city and county ordinances - - - and s .te relating to building co•struction, and hereby authorize repre- -.PLAN CHECK . 50% $ MICROFILM $ senta iv- O i c• 0 enter.u•• the above-mentioned property for insp• .n :;. •• -s .• MECHANICAL $ Sign: ur- I.•�//• / Pink -Accounting; Goldenrod - Assessor /CONSTRUCTION ANDDPLANNING - SPOOL&SPA / ' 1 Date Inspector I Date Inspector , ,APPROVALS Permit•# 1APPROVALS) Permit# - - 1-',...Temporary Electrical-Service or Pole //947 2. Pool & Equipment Location iL !�D 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ' 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. . 55. Electrical Bonding • 5. Steel Reinforcement 56. Rough Plumbing & Pressure,Test ' • 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Fourtdation - 59. Gas Pipe, e Undrgrnd.,Test /2' , 9. Water Pipe-Undrgrnd:- • - 60. Backwash•Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection ._ 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final • 13. Roof Drains' ( ' 64. Plumbing System - Final 14. Rough Plumbing65. Electrical-Final 15. Rough Electrical-Conduit - 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing cess 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 .1 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70• . Underground Hydro • 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush • 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil • 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing . 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV.'FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT r 31. Plaster Brown Coat 9. FINAL INSPECTION _ \+ 32. Electrical Power Meter-Final dig 2 0. FOOD CERTIFICATE ISSUED , 33. Final Electric 0447 otes: • - , ,' 34. Final Heating& Air Conditioning - f iJ 35! Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace -/ i_ r Y 38. Final Plumbing . ' i . - 1 39. Water Service-Final _ (? ;' t ...: • 40. Gas Service-Final - • -' i , Ot7,. Solar Domestic-Final • '';/ . • 42. Backflow Preventer " ti ; 'a / .43: Backflow Irrigation• r ' • r .1 ,'44. 'Landscape Irrigation System • ^ • , '(l i ! 1 . i 45. ound Attenuation 1 ` '1Ii - - 46. Handicap Regulations ,, a • _ d r 1:11 , 47. FINAL STRUCTURE & BUILDING 5; - J 1 .i ' 48iSpecial Requirements Completed . ' ' 49. 'Electric Release to Edison f_ 4 50: Gas Release to Southern California Gas Co • +., . 51. CERTIFICATE OF OCCUPANCY • • No. ' . Date • ' _ Applicant to fill in all spaces except those within heavy border lines and sign all'appropriate declarations. r" III1COSI'AE$ ONSTR PERMIT NO. TRACT NO. LOT NO. UNIT NU. .UCTIONPERMIT • 9257 I I /09/87 Proj7c Address r S&O 'M e co( 1'hQ c- 1� R . B 3 I O l� _ I Bp00 TL Applicant's Mailing Address t0 ROX bs�sl--'# SANf4 ANQ TYPE OF CONSTRUCTIONO /LJ NEW U ADD U ALTERATION LJ REPAIR 'Owner's Name B. to Mowq 6eq+cwl Phone 9 79-9 r7/ • El CONVERSION ✓.+-oEmOLl$H ❑ OTHER A.P. Zone • -Tit DESCRIPTION OF WORK/USE OF BLDG. C -t' WtC&a4 t. .Q.Se 00;PI ' Addressac/O0 Arc a I in cool +QU IN C S Main Building: . Accessory Building: r�qq • Z • Arch/Eng. License No. ' TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION l8 STRUCTURAL E Front - O Address -- • ❑ TENANT ❑ ELECTRICAL LUMBING ❑ MECHANICAL B , N ,•-,/ � Rear leg Contractor's Newt._ Phone3�195 �'011-IER l_�tr1^tp j \ C�1�1 A 1 9 SIU LAN PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right G Addresslmailin [ � ? hV CONSTRUCTION TYPE VALUATION$ InoO K Left R 'i City License No. Q JO SS ZONE GRADING CU.YDS. ACRES �, LICENSED CONTRACTOR DECLARATION Ping. Ref. # Parking Req./Provided E 1 I hereby affirm that I aril licensed under provisions of Charter 9 (commencing Remarks: _ Planning Notes:' M with section 7000) of Division 3 of the Business and Professions Code,and T ' " my license is in f fore and effecttt--ss $ License Cla_ "' ` C-- as L C - - ,51 935 Date P I - 't _ SignatureIr L' I___ PLUMBING FEES WORKERS' COMPENSATION DEC • -ATION Bar Sink Showers - ELECTRICAL FEES I hereby affirm that I have a certificate of consent to s� r a certificate - f Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 0 15-50 KW 300, Lab.�// - Automatic Washer Transformer , — Policy-No.l v`�0�� Company - Backflow Irrigation Sewer Cap0 50+KW certifietl copy Is hereby furnished. - Construction Pole Sub. rFIfieed copy lis filed with the ci •iin•1ai,s .� Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date 11- 2$5 -AppliC.nt /a_ _ EXEMPTION FROM WORKERS'CO w' NSATION �• ION Clarifiers _ Solar Collectors . Dishwasher Meter Dover 100 ps (This section need not be completed if the permit is fo -d ($100)or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric 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 Workers' Compensation Laws of California. Moto 0-1 HP ❑1'h-8 ,— Date Signature Floor Drains Swimm'•• Pool w/Spa F.A.U, c.Solar'❑9-15 HP 016-15+ • NOTICE: It,after making this declaration, you should become subject to.the . — - _ ' • Workers' Compensation Provisions of the Labor Code, you must forthwith Floor Sinks Fixtures comply with such provisions or this permit shall be deemed revoked. Ur -. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets ater Closet I hereby affirm that there is a construction lending agency for the performance Device Boxes Pole Light of the work for which this permit is issued (Section 3097 CIV. CO Interceptors Water Heater Outlets Range Lender's Name Lender's Address Kitchen Sink Water Service • OWNER BUILDER DECLARATION . Switches -- Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Dispo Standing Sections 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 G 5 KW❑5-15 KW ' any structure, prior to its issuance, also requires the applicant for such permit Generator Trash Compactor 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 - erefrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to a civil nalty of not more than five hundred dollars($500). • L I 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 (Secion 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. If, however, the building or improvement Is sold within one year of com- — - Canopy Type II 0 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 prove for the purpose of 4a le). pp ved By , .1, Date 8(18 7 D I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration S m Application Issued By GJ �r�` Data !/ /f/ O / tractors là 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, BTU ❑100,000 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 ❑' Multiple 0 em Repair/Alteration BUILDING PERMIT $ I7-.Sa - SMIP $ Q'S� ' proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT ❑ I am exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ ate Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ • I hereby certify that I nave read this application and state that the above ❑o-100.000 BTU 0 ,000 BTU 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- - MICROFILM $ sentatives of t city to ent.r upon the abve- mentioned rggqpppee¢rt for PLAN CHECK 50% $ inspection (� 5�_y_87 Signat re A = • - Rei pection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev. 10/84 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. • 53. Steel Reinforcement s 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement ' . 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. ' 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. _- 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ' 12. Sewer Cap - 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough'Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# - 21. Ducts, in Structure 70. Underground Hydro - - ‘ - 22. Ducts, Ventilating 71. Product Piping 0 Gas O Oil ,' 23. Gas Pipe-Rough & Test 72. Underground Flush - 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas ❑Oil • 25. Roof Sheathing ' 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat • -• - ' - - - -75.:Dry Chemical 27. Frame and Flashing - - 76. Dry Standpipe 28. Lathing& Siding .77. FIXED SYSTEM FINAL • - 29. Insulation 78. FIRE PREV. FINAL / - 30. Drywall Nailing HEALTH DEPT. REQUIREMENT i 31. Plaster Brown Coat 79. FINAL INSPECTION - 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric a Notes: ` 34. Final Heating & Air Conditioning • 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace - •38. ':Final Plumbing ° • i 39. Water Service-Final - .40. Gas Service-Final - . - • v ;41. Solar Domestic-Final _i( \ . t '\ .. '42. Backflow Preventer - 43. Backflow Irrigation ) . ,44. Landscape Irrigation System , - `.• i ' , • � 45'.-Sound Attenuation , 46. Handicap Regulations - / 47. FINAL STRUCTURE & BUILDING / 48..Special Requirements Completed . j - . 49.;Electric Release to Edison • 50. Gas Release to Southern California Gas Co 51. CERT' UICATE OF OCCUPANCY /1 No. A Date • I - Y '!� • Applicant to fill in all spaces except those within-.':davy border lines and sign all appropriate declarations. , -C}TY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. 6 TRACT NO. LOT NO. UNIT NO. Project AddressCIS- 0 VVl¢RRIw‘4e, eft.. " 5 3 4b ' 9258 I ( /09/87 OQ nn • SSI e--,a....-1-., 1 y TYPE OF CONSTRUCTION NEW ❑ ADD' U'ALTERATION U REPAIR Applicant's Mailing Address hQ — .y ❑ CONVERSION MOLISH ❑ OTHER/� / A.P.# • I Zone Owner's Name t Q-L) tC.(.] {VVa t^gGeVst 1phone ( 79-999/ DESCRIPTION OF WORK/USE OF BLDG. A.pT• �TQuc 4U t ' Address�L(00 MCCI t. c O I --ALL) I N.t, Crit • S Main Building: Accessory Building: ' Arch/Eng. - License No. TYPE OF PERMIT El GRADING sem❑ FOUNDATION ® STRUCTURAL T Front 0 Address ❑lig-151-1-1E �1�TEENNANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL BB Rear N - Contractor's Nam Phonecg3a19S a ' ER s--¢- IL '- / nn PROJECT DESCRIPTION SQ. FT. IC0I000 OCCUPANCY K Right • G Address(mailing) 'AJG b�I� �, Nv.C� O [ ,J CONSTRUCTION TYPE VALUATION$I 0 o-0 _ s Left City License No. y a0ZONE GRADING CU.YDS. ACRES R �..� LICENSED CONTRACTOR DECLARATION Ping, Ref,# Parking Req./Provided E / I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code, and \ my license is in full for a and effF§tT . �I c p �-' S License Cllaj,ss - - X se o. 1 Date 11-"( • Signature �l� . -' PLUMBING FEES WORKERS' COMPENSATION D w' -ATION -�� Bar Sink Showers ELECTRICAL FEES I hereby affirm that I have a certificate of consent to s-- re or a certificate • , if Workers' Compensation Insurance, or a certified copy thereof (Section •Backflow Preventer Service Sink 3800, Lab. C/.1,� /! A T Automatic Washer Transformer 0 15-50 KW Policy No. Li G-27 Company�4�Cf(-r'. b Backflow Irrigation • / Sewer Cap2 0 50+ KW Construction Pole Sub. Certified copy is hereby furnished. r ' edhop��sfiled with the city Buil g vislQn. Bathtubs • Sewer Connection Cooking Unit Meter Duo to 100 amps Date d4o { Applicant a 1� - - • EXEMPTION FROM WORKERS'C SATION DECL pN Clarifiers Solar Collectors • Dishwasher Meter Dover 100 amp (This section need not be completed Algal -t ermit is for one - $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❑0- P ❑1%-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.So - ■9-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. Fixtures i• rowave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance ,r Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Lender's Name Range 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 following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal' Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator ❑o-5-1 •�5-15 KW any structure, prior to Its issuance, also requires the applicant for such permit Trash Compactor 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 • - herefrom and the basis for the alleged'exemption. Any violation of Section - /031.5 by any applicant for a permit Subjects the applicant to a civil penalty of of not more than five hundred dollars($500). ' LJ 1, 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 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL Reinspection Fee $15 Issue Fee $ 3 License Law does not apply to an owner of a property who builds or Improves FEES thereon, and who does such workhimself/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 com- 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 7l� /� Date /1/7/p prove for the purpose of sale). ......7\5.--44t, `� w-/ it/ / O 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Data 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 BT 100,000 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 ❑ Multiple ❑ System pair/Alteration _ BUILDING PERMIT $ i 7- SU SMTP $ 0 4-50 proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ P 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# PERMIT e Dampers ERMIT PLUMBING $ s- 0 n ISSUANCE $ Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00-100,000 BTU ❑100,00 ELECTRICAL GRADING $ Information is correct. I agree to comply with all city and county ordinances _ $ and state laws rioting to building construction,and hereby authorize repre- MICROFILM $ sentatives of t44 .1t • en er upon the above-mentionedproperty PLAN CHECK 50% $ inspection 1- ` ^.9-C1/ MECHANICAL $ •0D Sign. re .a! mss. - - _ Reinsp on Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor I POOL& SPA CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector APPROVALS Permit - Date Inspector 1.,Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement - 56, Rough Plumbing & Pressure Test 11II 6. Electrical UF ER Grnd. - 57. APPROVAL TO COVER-GUNITE 1 7. Footings ' 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas'Pipe, 0 Undrgrnd.,Test L 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK • 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final • 12. Sewer Cap y/J/}�' ,1[. 63. Heater & Vent-Final 13. Roof Drains / vry 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final . 16. Rough Electric Wiring 67. Fencing & Access Approval . 17. Rough Wiring Sign 68. APPROVED-FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL r 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# _ 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil - 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro • '_ 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe - •4 1,.'N 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL , 30. Drywall Nailing HEALTH DEPT. REQUIREMENT • 31. ("taster Brown Coat 79. FINAL INSPECTION '*? 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ,./- /33. Final Electric Notes: 34. Final Heating & Air Conditioning . 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace ,•I - " 38. Final Plumbing / L' V -30._Water Service-Final �r �� • `� 1 • L. i40. Gas Service-Final - \\ (,--.,,I. " J ;41. Solar Domestic-Final _ - ' ti:'I‘ - ' 42. Backflow Preventer - - ' .. . ._ . 43. Backflow Irrigation , 44: Landscape Irrigation System � -� - II v " L _ . 45;Sound Attenuation .• 1 •_ • • •' '46.- Handicap Regulations L.' • '1::' i r • 4T. FINAL STRUCTURE & BUILDING } . - - 1 48.,Special Requirements Completed - I -' 7•�' v. v j49: Electric Release to Edison ( 1 - ' 50.1 Gas Release to Southern California Gas Co _' � - 51. CERTIFICATE OF OCCUPANCY ' No. Date ( - i""' I ,t Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 1 CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. Zs2oA/CO4,,4f4cc/./1/ E 3T-/C0(P /2'sr6 Project nt s ss U ADD ALTERATION U REPAIR Applicant's Mailing Address.Z�TO HEOAl.NA^ TYPE OF CONSTRUCTION rvEw PO2-N / El CONVERSION El DEMOLISH ❑ OTHER Owner's Name /��1 , �Ea�T CO.. Phone 01C-73 27Lqx c. - A.P.# ¢zo-a 2 -,a Zone 1� ' Address 26PO ,.'1CRQ7a+• c. cr.4j/ C.44 41,7 DESCRIPTIONtA WOtE USE �BLDG. ` / g 2 G 4� ��, S Main Building: • Accessory Building: Arch/Eng.Qdet--e hCS i ASSOC. License No. .V A TYPE OF PERMIT ❑ GRADING U FO ATION TRUCTURAL T Front 2 • 0 Address2S ' AIle-g Ctea P.tL4ca.tz4 INGcd 4e265? ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL BB Rear '40/ N Contractor's Nam OfttaF2 wts�u 0£4 Phone SN OE ❑ OTHER C Right t / N Address(mailing) SA'�f L: PROJECT DESCRIPTION SQ. FT. OCCUPANCY .'!u K ✓q� G D, CONSTRUCTION TYPE • VALUATION$ �0�•.� S Left 2. City License No. 1-4�U/ ZONE GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION Ping. Ref.#PjQ 0,„-_,a 3 Parking Req./Provided • E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: /r a / C ' '�g— 374 - Planning Notes:P�,�.�- aM with section 7000) of Division 3 of the Business and Professions Code, and ' l my license is in full force and effect. / • �� L/ T /� License Class ! License No. S Date Signature ^'!/A .PLUMBING FEES . • WORKERS'COMPENSATION DECLARATION Bar Sink ELECTRICAL FEES - hereby affirm that I have a certificate of consent to self-insure or a certificate if Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer • .- 3800, Lab. C.) Automatic Washer Transformer 0 15.50 KW Policy No. _ Company/Cid Backf!Ow Irrigation _ - Construction Po le Sub. 0 50+KW , BCertified copy is hereby furnished. Certified copy Is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter [pup I r . Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers • Dover ss amps (Thissectlon need not be completed if the permit is for one hundred ($100)or less). Dishwasher Solar Piping Dryers OGas ■ I certify that in the performance of the work for which this permit Is Issued I shall not employany person in any a er so as to 111]]]ecome syyypppjest to the Drinking Fountains Workers' OQ�pen�@}Ipry Laws of Cali or �/�/./ _ Date //GI "1" Signature .004°-.----- '/, ` 7- Floor Drains NOTICE:✓ afteee((("' making this deela ion,you should become su ject to the J Workers' Compensation provisions f 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 Gas Service Outlets mnialli 1 hereby affirm that there is a construction lending agency for the performance 1_------ Pole'Light ' ' of the work fo hich t is Si'mit is issued (Sec _n 3097 Civ. C.) Interceptors - Lender's Name - V r a ! cc ,� 11-• Water Heater Outlets • Rarige Lender's Address --l9c, - - 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 ' Sianding Sections • 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 TraysGenerator 00-5 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 Roof Drains the Contractor's License LAW(Chapter 9,(commencing with Section 7000)of L Division 3 of the Dusiness and Professions Code) or that he/She Is exempt . herefrom 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 — LJenalty 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 ' $15 Issue Fee $ 3 . for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I 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 ❑ DEVELOPMENT SERVICES REQUIREMENTS: /L J//,I f�� employees, provided that such improvements are not intended or offered for et) (>!b 'Sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By •Dat DrovCs es, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By - Date rove for the purpose of sale). t lire as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date •Iheractors to construct the project (Section 7044,Business and Professions Code: rhe Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARt1(/OF FEES at builds or improves thereon,and who contracts for such projects with a con- 6 tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ �r' SMTP $ proof of their Worker's Compensation insurance should be provided to me. _ PLAN CHECK $ e�.�9f PERMIT ❑ I am exempt under//� Section / ° B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers IlL PLUMBING $ ISSUANCE $ Date /. t4" Owner at 4L -4--- Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certi y that I have res..is application and state t'at the above 00-100,000 BTU 0100,000 BT ELECTRICAL $ GRADING $ Information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ �t sentatives of this�c ity to enter upon t e above-mentioned pr ggOO erty f r inspection pur�5�'1 ,},,- ////�gg`0O���./p MECHANICAL Signature ./t ada.,r..�._ ?�'�" Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor UI 00007259-0000720t TOT 104.4$ CONSTRUCTION AND PLANNING - POOL &SPA ' Date Inspector Date Inspector ' APPROVALS Permit# - APPROVALS Permit# 1'..Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement r. 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. li t 57. APPROVAL TO COVER GUNITE 7. Footings == ! e.- G ��ZfI i PO 58. Electrical Conduit-Undrgrnd. 8. Foundation7, 59. Gas Pipe, O Undrgrnd.,Test. 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑-Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK ' •:11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final - ' 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final - ) 14. Rough Plumbing 65. Electrical-Final , 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 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 ConditioningFIRE DEPT. REQUIREMENT •- 20. Rough Factory Fireplace APPROVALS Permit# C ' 1. 21. Ducts, in Structure 70. Underground Hydro ill 22. Ducts, Ventilating 71. Product Piping O Gas ❑Oil,., /(7 23. Gas Pipe-Rough& Test 72. Underground Flush / t) . 24. Roof Framing 73. Undergrnd.Storage Tank O Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro ''i, {. ' 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical T,`, 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL V . 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 1..12 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED .--t: 33. Final Electric Notes: - (PI 34. Final Heating & Air Conditioning - >1r1 35. Final Gas Pipe-Test 36. Hood or Canopy i , 37: Final Factory Fireplace �' 38. Final Plumbing ' . 39: Water Service-Final - 1/ .0; 1 ',40..Gas Service-Final • - • • 41 Solar Domestic-Final - ` 42. Backflow Preventer , ' • i i 43. Backflow Irrigation •. - I 44. Landscape Irrigation System o .. 45.-Sound Attenuation •r 46. Handicap Regulations , i 4'7. FINAL STRUCTURE & BUILDING 4 - 48tSpecial Requirements Completed itge.9'n-- " ,i - e. .. 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. - ' -DatI • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT ^ PERMIT NO. T T NO. LOT NO. UNIT NO. Projecj Address 2 2_a M,cre-KIM/act Lf/ 34 39 7 �t62a ' •T 11 /,s ( ,t TYPE OF CONSTRUCTION KNEW ADD IJ ALTERATION ❑ REPAIR Applicant's Mailinghs A//dddress ,I�•yr' Ni 'r Act.1ue��L� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER �1 • Owner's Name /M � V17 Y.�s•,. Phone 7�*7 21 DESCRIPTION OF WORK/USE OF BLDG. 00(� �l/ .{rdh �j G/A/(�6 AP # 4`l Q 1 Rene 1` , Address 2rz•-7�-C2 //1/�������.I�M'!Z'`.�7a<-') ,may¢ / s •. • ng: -` ' ^�r.. • Accessory 9uilding: _let'A Arch/Eng. B• Ape ISS License No. �� J TVPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL •• E Front U 0l L1-' 1_ i LJ.' a Z[ C , 1� T ' : 1:-Vi ii 7 - llec_ b 1 D Address t O)-2�/�("'eL 1G �p El TENANT ❑ ELECTRICAL III PLUMBING Il] MECHANICAL B Rear �f (e • .IC - �1 pc N Contractor's Name J"z �S dl`7CA- Phone JL Il ❑ OTHER A e ` ,O `� I C Right �j, 2. -ie `�\{ eg. N Address(mailin ) � �• �vt a4 1\( PROJECT DESCRIPTION 50. FT. g'' oCCUPANC�V KT"' �,�f• tG 2� CONSTRUCTION TVPEVALUATION 5Q`.�" J $ �``I r]�lX IIttCity License No. � �9 1 ZONE GRADING CU.VDS. ACRE$ / Left ' �. '• -`.e a S qIOW 6c In Lc R LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E pe I hereby affirm that I am licensed under provisions of charter 9 (commencing Remarks: y �t PlanningNotes: O with section 7000) of Division 3 of th. -usiness and Professions Code, and / G r �� �••7• - M my license is in full fo e ••d effect. a erg T License Class Li se N• •:-.A. • G # 444—8 8S .. $ nl Date ' .• -a: Signature . .•• / a. PLUMBING . FEES vir '- WORKERS'COMPENSATION DEC W RATIO Bar Sink Showers I hereby affirm that I have a nre of consent self-Insurecopy or a certificate ELECTRICAL of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service SinkII 3800, Lab. C.) C Automatic Washer Transformer ❑ 15.50 KW n Policy No. ` '6 3ci Company /'c1 g_WrID 4 Backflow Irrigation Sewer Cap 0 50+ KW V !� _ L Construction •Pole Sub. Certified copy is hereby furnl hod. certified cgijy is fi d ith the city B elvisl �' Bathtubs Sewer Connection CookingUnit Meter ❑u to 100 amps Date C � APP I Icant /L/iLi a ----- P P EXEMPTION FROM WORKERS'C••�PSr E , ATION DE• ARATION ,Clarifiers Solar Collectors „ Dishwasher Meter Dover 100 amps -� (This section need not be completed if the permit is for .ne hundred ($100) or no less). Dishwasher EllSolar Piping Dryers ❑Gas ❑Electric - Ed_ I certify that in the performance of the work for which this permit is issued, I p/C 4:1 shall not employ any person in any manner so as to become subject to the -Drinking Fountains ■ Solar Tank ., Fan >r"1"4 �� Motors❑0-1 • st i'h-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 , _ nc.Solar C9-15 HP ❑16-15+ �S Workers' Compensation provisions of the Labor Code, you must forthwith .Floor Sinks ■ Urinal 1111 Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service DOLI¢LS Water Closet I hereby affirm that there is a construction lending agency for the performance �, 6 Device Boxes Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) ' Interceptors Water Heater Outlets Name Range Lender's Address Kitchen Sink Water Service OWNER BUILDER DECLARATION Switches Sign 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 Garbage Disposal Standing Sections 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 y y Generator ❑0.5 KW❑5-15 KW Trash Compactor 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 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 ,natty of not more than five hundred dollars($500). LJ I, as owner of the Property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 on) compensation, will do the work,and the structure is not intended or offered Fee $15 Issue Fee $ Reinspection it for sale (Section 7044.-Business and Professional Code: The Contractor's MECHANICAL FEES p License Law does not apply to an owner of a property who buildsbor improves -_- ____- -- -------- - DEVELOPMENT SERVICES REQUIREMENTS:thereon, and who tloe4 such work himself herself or through his or her own ■Boiler Hood or Type , , employees, provided that such improvements are not intended or offered for I 0 ZoningApproved Byr sale. If, however, the building or Improvement is sold within one year of com- Canopy Type 11 ❑ pP ' ` � Dat- Q pletion, the owner will have the burden of proving he/see did not build or im- Duct-Under Ground • Building Approved By .1.)+1 Date Cp LIrove for the purpose of sale). �/� I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By i `A Date_ 7.--LG-kY 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 SUMMA V 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 BUI LDING PERMIT $ 3 4 -SO SMTP $ a• Jj V b • proof of their Worker's Compensation insurance should be provided to me. - PLAN CHECK $ '.... PERMIT 0 I am exempt under Section - - B.& P.C.for this reason . Firepl/Fact Blt. ICBG 4 ■ Fire Dampers PLUMBING $131$rre ISSUANCE $ _ s`Date Owner Heating System& Ousting Registers PLAN CHECK 25% $1•5TIO ENERGY P.C. $ I hereby certify that I have read this applica ion and state that the above ©00.100,000 BTU 100,000 BT • 33 00 GRADING information Is corre t. I agree t• comply/it a I city and county ordinances 33 ELECTRICAL $ $ '�L2 ' $ and state laws re . i g to buil• ons • c '0•,and hereby authorize repre- sentatives of t s c y to I-/ /po•• t _ .bove-mentio•:• pro•erty for inspection purp•ses / / / /� . MI MECHANICAL $ •2V TOTAL FEE $ 41s•3d Signature ,e '` 4 CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor • CONSTRUCTION AND PLANNING' POOL&SPA � " . . Date Inspector •,r APPROVALS Permit •# '-- r-Date , -inspector APPROVALS Permit# 1.-temporary Elecvical'ServiEe'or Pole 52. Pool & Equipment Location - te ` r 2. Soil Pipe-Undrgrnd. -:i 53. Steel Reinforcement ` ° ` -.:11 • t' 3. Electrical Conduit Utility-Undrgrnd. 54. Forms - • 4. Electrical Conduit-Undrgrnd. 55:LElectrical Bonding , 5. Steel Reinforcement -' 5'6. Rough Plumbing & Pressure Test - 6. Electrical UFER Grnd. . ; ' 57. APPROVAL TO COVER-GUNITE''a"; r i . ,,7. ,Footings 1 58. Electrical Conduit-Undrgrnd. j 8...Foundation • �, 59. Gas Pipe,l4 Undrgrnd., Test : (2.946(-: L" 9"1Naterr'Pip Undrgrnd. . 60. Backwash Lines, P-Trap, D Undrgrnd:'- i.... .f - . 10. Structural-Floor System 61. APPROVAL TO DECK (1.J 2r- �;_��(} . 11. Property Sewer Line & House Connection 62 ZBackwash & Receptor-Final 1 -L j.,..;-144, . „ 12-..'Sewer'Cap -"' - � ' ~- 63. Heater & Vent-Final vm..V tti-�77:\ 13. Roof Drains - 64. Plumbing System - Final �,�m'l'i D'Q'T I - 14. Rough Plumbing 65. Electrical-Final ' ( . I 15. Rough Electrical-Conduit 66. Solar System-Final j • 16. Rough Electric Wiring !L 67. Fencing & Access Approval I . 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING E c� c. c .18,)Rough ,h Y Electrical-T Bar Ceiling r g69. POOL/SPA SYSTEMS FINAL Q /j�A ty l I 901 -7- 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT Iil r l' 2 ' 20. Rough Factory Fireplace APPROVALS Permit# n • 211 Ducts, in Structure 70. Underground Hydro v - , 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil ,\ ' 23. Gas Pipe-Rough &Test 72. Underground Flush "`r' - t. 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil,.. _c 25. Roof Sheathing 74. Overhead Hydro _" -• -. 26: T-Bar Ceiling (Structural) &'Monocot ' • 75. Dry Chemical17.1 - '... " / 27. Frame and Flashing •� ' • 76. Dry Standpipe ,v ...1 • • q.. -28. Lathing& Siding , 77. FIXED SYSTEM FINAL 17 !• in v :29. Insulation 78. FIRE PREV. FINAL ..b y\k' 30. Drywall Nailing HEALTH DEPTjYREQUIREMENT inr 31. Plaster Brown Coat 79. FINAL INSPECTION : t " ) 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ""0 1.1 33: Final Electric Notes: .-1; 34. Final Heating& Air Conditioning tV' 35. Final.Gas Pipe-Test . V • 36:7Hood or Canopy I 'yJ ( / 3Final Factory Fireplace tri I. T 7f1 4 k 38'i-final Plumbing 1 1t , 3 j 1% .- : ' n YY39. Water Service-Final - . ( N f tif ' ChaVGas Service-Final' : - - - t" �y� .�]� • ( -- - i -• - .-(, D $. _' n r / Yll c, I X'- m -41!. Solar Domestic-Final • . '�-, a �o C -r - .Ja,r £•Sc. t. X42; Backflow Preventer �^ " L U .:i-it . Sn 43.tBackflow Irrigation ;4 Landscape Irrigation System 7 V--1 -i. .-1..-:."17 Z \.7 h •.^ .;5 "45.//bound Attenuation --a V F ru\- ,J ? /'�j 1 `l - r/ I A n 1 .:46' Handicap Regulations .. " M ' .in-- -{- ' �� j J '�J • r- • n t - 47! FINAL STRUCTURE & BUILDING a ir, - j) . (J))r';:Jo * A. Special Requirements Completed b -j( q) • I Anal • 49. Electric Release to Edison i D - ' 50. Gas Release to Southern California Gas Co r__ • -Iter,. 51. CERTIFICATE OF OCCUPANCY 4 •���- No. V wN Date _ \ P ....1 - }S • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - CJT�YOF.COSTAaa��sMs �ES^�A CONSTRUCTION PERMIT PERMIT NO. . TRACT NO. LOT NO. UNIT NO. 00A2 5/0E/0 7"./ • Prion;Adetress aspr o /VC.rr'f n '& L W ell 1 6 3 33 S 0 1\''/1'/.�`70.i Applicant's Mailing Address • n 11 TYPE OF CONSTRUCTION . LMNEW 1J ADD LI ALTERATION LI REPAIR ❑ CONVERSION ❑ DEMOLISH 0 OTHER A.P.# { �l S �' Zone (�y.�/ Owner's Name �u.'tu'e' 4'3 g)4 IPn't Co Phone 731 r 1'`120 �C r "` -14.13 DESCRIPTIO;F WORK/USE OF BLDG. IP arm._ b er Address CEN/! _ . CJ&'4 ,e 4,✓0. k S Main Building: Accessory Building: - )� //,�,,.. L find( y E Z Arch/Eng. Y✓�CC LflNb''� I fin (_ LicQnse No. - I TYPE OF PERMIT GRADING 0 FOUNDATION STRUCTURAL T Front Q Address AgeM.S /,di Creek alZ' tine W& (( 0 TENANT 0 ELECTRICAL 0 PLUMBING ❑ MECHANICAL Bq Rear N Contractor's Name OPv^9R/ea,lag IS YYY ;'(4M e 0 OTHER - Phone _ C Right N PROJECT DESCRIPTION 7. TIO OCCUPANCY RI dl= K /J f] Address(mailing) /112A",4' - Left a(X.�Y� „lL� G se IS CONSTRUCTION TVPE�I� VALUATIONS�SQy S 7 _ City License No. - • ZONE_ GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION s-" s Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: r D�' _ Title_ryA, Planning Notes: �, rry (Asa 9 1 S t M with section 7000) of Division 3 of the Business and Professions Code,and / jt my license is in full force and effect. -" ,� s�\YL. 4pJ ` O S1 ��0 ye License Class NI License No. r n S Date Signature H - - - PLUMBING FEES JCl ' WORKERS'COMPENSATION DECLARATION .- • Bar Sink Showers ELECTRICAL FEES I hereby affirm that I have a certificate of consent to self-insure or:a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 3800, Lab. C.) � - Automatic Washer Transformer 0 15-50 KW Policy No. Company N//� 7 Backflow Irrigation Sewer Cap • Construction Pole Sub. 0 50+KW 8 Certified copy is hereby furnished. - _ Certified copy Is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date Applicant ^ 1 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION,' f . 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 OGas ❑Electric 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 Mot 00-1 HP 01%-8 Workers' Compensation Laws of California. -- ' • _ — — , _ Date Signature Floor Drainsmming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP ❑16.15+ NOTICE:Compensation making this declaration,you r d becomeuustte ///�!// yS' such pr provisionsionor of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance Pole Light of the work for ''which4th _ permit Is iss "d (Section 3097 Civ. C.) ' Interceptors Water Heater Outlets Range • Lender's Name to _(/perms Lender's Addres �6 se 'dr 'N•iB Kitchen Sink Water Service Switches OWNER BUILDER DECLARATION 1.�11 Sign I hereby affirm that lam exempt from the Contractor's License1Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or 5 • county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator 00.5 KW ❑5-15 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 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 therefrom and the basis for the alleged exemption. Any violation of Section • 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). • $ 3 LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee 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 is thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I ❑ DEVELOPMENT SERVICES REQUIREMENTS: S g employees, provided that such improvements are not intended or offered for Zoning Approved By sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 Date pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground Building Approved By �� Date "aye for the purpose of sale). ► �, / I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date 11 ctors 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 , SU MAR OF F- S L ' 97 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 Sys Repair/Alteration BUILDING PERMIT $ �,p "t2 SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ �C. • 2.r.PERMIT 0 1 am exempt under Section B & P.C.for this reason Firepl/Fact.Bit. ICBO# Fire Dampers PLUMBING $ PERMIT ISSUANCE $ Date 4/�-71 Owner -..c.1.-..c.1.01zHeating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read his apeation a d state that the above 00-100,000 BTU 0100,000 BTU— information is correct. I agree to comply h all city and county ordinances • and state laws relating to building construction,and hereby authorize repre- sentatives of thi city to enty�.,upon the above-mentioned proper y to ��••7J inspection pure s. /!/ _� MECHANICAL $ _ '3742:744Signature Signature JDate TOTAL FEE $ Drivers' Li se or , Reinspection Fee $15 Issue Fee • $ 3 PLAN CHECK 25% $ CMF 0865-46,rev.10/84 White - Building; Canar -Appplicant; Pink -Accounting; Goldenrod - Assessor - 'CONSTRUCTION AND.PLANNING POOL &SPA ' - !,� i i' Date Inspector . Date :Inspector APPROVALS PP.erniit# - . APPROVALS Permit# _ - 1/Temporary Electrical Service%Sr Pole 52. Pool & Equipment_LocationI. M 2! Soil Pipe-Undrgrnd. 53. Steel Reinforcement + 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding . 5. Steel Reinforcement 'I '•r,* 56. Rough Plumbing & Pressure.Test 6. Electrical.UF ERend. r�,-1 57. APPROVAL TO COVER-GUNVITE 7. Footings 'n '.. #J�-t•r,Pz�, /,.din O- 58. Electrical Conduit-Undrgrnd. , J� r 8. Foundation... : 1 - /59. Gas Pipe, 0 Undrgrnd., Test _ • 9. Water Pipe-Uhdrgrn f, 60. Backwash Lines, P-Trap, O,Undrgrnd. , 10. Structural Floor System 61. APPROVAL TO DECK C i 11. Property Sewer Line & House Connection 62. Backwash & Receptor Final.{ e 9 12. Sewer Cap `/ 63. Heater & Vent-Final --- 13. Roof Drains -Fit�� 64. Plumbing System nal 'i 70. t 14. Rough Plumbing 65. Electrical-Final ��. .1 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing& Access Approjal•' 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL -`._. .. 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ' t 20. Rough Factory Fireplace APPROVALS Permit# 9 't' 21. Ducts, in Structure 70. Underground Hydro J ' r 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil '- , 23. Gas Pipe-Rough& Test 72. Underground Flush 1 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil v 25. Roof Sheathing 74. Overhead Hydro �' 26. T-Bar Ceiling'(Structural) & Monocoat /75. Dry Chemical i) _ H 27. Frame and;Flashing /i 76. Dry Standpipe r4 - 28. Lathing'& Siding • 77. FIXED SYSTEM FINAL % I' {• ''''C' ry ` � 29. Insulation 78. FIRE PREV. FINAL ' i i 30. Drywall Nailing HEALTH DEPT. REQUIREMENT '"" t.,. 31. Plaster Brown Coat 79. FINAL INSPECTION iI ` 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED -t. 33. Final Electric Notes: -s/b/8e r`Th�s� /��Ae�cfO n �J -. i 34. Final Heating & Air Conditioning / PLi,-,J .D 4 - t.' ^r} 35. Final Gas Pipe-Test 4ja 7y 4/nevi 0 36. Hood or Canopy • rm . U P �. (, 4P-re-- 37. Final Factory Fireplace II I €5, 'p"�(((� c z r:1,.,tea-Es c /� , 38. Final Plumbing i it9hie1 li e1 y- 1 I LP . 39. Water Service-Final - ! 1 " 1 W�` " �Y '40. Gas Service-Final • 1 41. Solar Domestic-Final ' , ., - i 42. Backflow Preventer • ,43. Backf low Irrigation -- •1 ' 44. .Landscape Irrigation System - - ' •45. Sound Attenuation I,, • 46. Handicap Regulations . . - '.) 47. FINAL STRUCTURE & BUILDING V23 k/ 48. Special Requirements Completed J • 6��I - Y. • i 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 4,; 51. CERTIFICATE OF OCCUPANCY L, No. Date - _ _ ,. a c . - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 0329 5/I ; l V. P.6!:,b;. PERMIT.NO. TRACT NO. LOT NO. UNIT NO. 1 CIT1:o ^osTA MESA CONSTRUCTION PERMIT �, a J� P;ojectAddress 2S2O .1F.¢.Qi.NAc_ wee • 8 3.34' Applicant's Mailing Address tar) /NEQ�."1� Ay/ TYPE OF CONSTRUCTIONid W U ADO U ALTERATION U REPAIR FR7�✓✓v� .ci CO, 'A __-2 •❑ CONVERSION ❑ DEMOLISH 0 OTHER �j AP Owner's Name WSJ .t- 6• TPhone F�Y666 327 DESCRIPTION OF WORK/USE OF BLDG. 1� 1- • � (ALO tr H/3( A P '# �2Q O'G _ I _I ZO^ Address n 5-4;44 a %ulr. kJMi. - Imo(/ S Main Building: �/ Accessory Building:• /� Arch/Eng/a-44 S'Lerr�cl ASSoe- License No. TYPE OF PERMIT U GRADING .16OUNDATION U STRUCTURAL • T Front •{etfT( •r" rnetuttel 40 J�lent ,- � ZO Address 2.3025 .nei4-C..Lec'. 04 . t-40cee".1 N/44-C CA ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear `i —2.5 e \\\L� \ N Phone Sq'4�- ❑ 'OTHER A �O d -fi +s I Contractor's Name�cix..e..4/ .Sa It t.7v� g Address(mailing) �4-•-+C PROJECT DESCRIPTION SQ. FT. OCCUPANCY t'OD� C Right .+'1.e IK� CXIS'f1�'U� toe O0 G Pte.ev-1✓Y7/,LL G CONSTRUCTION TYPE VALUATION$ 14. b S Left 4 V City License No. '4 B 69 ZONE GRADING CU.YDS. ACRESR LICENSED CONTRACTOR DECLARATION QPing. Ref. Parking Req./Provided E I hereby affirm that I and licensed under provisions of Charter 9 (commencing Remarks: �U "I T ?I _if Planning Notes: 7� /JL Co' �, EiM with section 7000) of Division 3 of the Business and Professions Code, and �/ IVB my license is In full force and effect. 2 Q License Class / License No. 3 S� ' •z•, s�-�- - • �A j�4a A ' ' S Date Signature A/ R PLUMBING FEES 1�rs WORKERS'COMPENSATION DECLARATION _Bar Sink Showers _■ 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 (SectionBackflow Preventer Service Sink . 3800, Lab. C.) ■ s I. A/ Backflow Irrigation Sewer Cap, ■,, Construction PoleSub. ■ a +KW Policy No. Company 8 Certified copy is hereby furnished.Certop 77- is fledwith the city Qyjing Division ■ • I I ampsDate rf /! FIT 7777 _KERS'Ct Pr, SATION DECLA , .' EXEMPTio FROM We RKERS'COM NSATION DECLA ndred •(This section neetl not be completed if the permit is for one huntlred $1Iii. IIiI , Dryers,■ ■ Electric Sub Panel less). I shall o that to the yPerson inof the work for as to this permit a issued,I : � shall not employy any person performance any manner so as is become s is to the a Motors ■a ■ s' ,9717grlsati Laws of Califo n Date �///��77117 Signature -4"'�^"�- m- •r'�/~J , Drains• ' ■, IIII _ NOTICE: II after making this declare n, you should become subjec to the ■ ■ Workers' Compensation provisions of the Labor Code, you must forthwithFloor Sinks Urinal Fixtures comply withrsuch provisionsrconstructionsr this permit shall f r the ptl revokedMicrowave . e ' • j ' • ■' CONSTRUCTION LEN ING AGENCY Gas Service Interceptors Water Heater Outlets I hereby affirm that there is a permtlending agency for the performance ole Light of the work for which this permit Is is ed (Section 3097 Civ. C.) Lender's Name G.e6A>- Ant•c4t2 Sq L Lender's Address .OQ 11 Sr. S.c.re 400 SAUso,foe GA Switches OWNER BUILDER DECLARATION 9a7g3 Sign I hereby affirm that I am exempt from the Contractor's License Law for the Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or P Standing Sections county which requires d 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 Generator 00-5 KW❑5-15 KW Trash Compactor to file a signed statement that he/she Is licensed pursuant to the provisions of DrainsRoof 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 penalty of not more than five hundred dollars($500). ❑ I, as owner of the property Or my employees with wages as their sole Reinspection Fee VS Issue Fee compensation, will do the work,and the structure is not intended or offered Reinspection Fee $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 RE Ef iE : _"_8S 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 ■ Zoning Approved By Date pletion, the Owner will have the burden of proving he/she did not build or im- Duct-Under Ground pro for the purpose of sale). Building Approved By (/��/ Date �7 y I, as owner of the Property, am exclusively contracting with licensed con- a ApplltatiOn Issued By /—Y Date. �(�O O actors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who e • 00100,000 ■ a a a a• 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 thatstem ■ ■ Repair/Alteration BUILDING PERMIT $ o2 .00 SMIP $ ?'2-v proof o their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ /0 5"' 3 V PERMIT ❑ I am exempt under Section B.& P.C.for this reason . Bit. ICB0# _ Fire Dampers PLUMBING $ ISSUANCE $ Date Owner —.`• Heating System&Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that have read his application and state th the above ❑4100,000 BTU 0100,000 BT ELECTRICAL $ GRADING $ information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of this city to enter upon the .•ove-mentioned pr e y fo inspection p pjes. $ TOTAL FEE $ n•g-2--- MECHANICAL Signature .../.......-- —..- .... - - •— Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit# Date Inspector APPROVALS Permit#! ,Rate Inspector 1..Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement • 3. Electrical Conduit Utility-Undrgrnd. 54. Forms - 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • - 5. Steel Reinforcement ' 56. Rough Plumbing & Pressure Test . ii ' 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings _ £7i 7)bigS1/21- 58. Electrical Conduit-Unargrnd. Y 8. Foundation • , I 59. Gas Pipe, 0 Undrgrnd.;Test _ 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd:_. r • 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 Y , : -- . 13. Roof Drains 64. Plumbing System - Final , , , 1 14. Rough Plumbing 65. Electrical-Final • • 15. Rough Electrical-Conduit ) 66. Sblar System-Final 16. Rough Electric Wiring / 67. Fe Ging & Access Approval 17. Rough Wiring Sign 68. AP •OVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POO /SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning F1 'E DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVA S Permit# - 21. Ducts, in Structure 70. Undertround Hydro 22. Ducts, Ventilating 1. Prod t Piping 0 Gas 0 Oil ' 23. Gas Pipe-Rough & Test 7 Und= ground Flush i 24. Roof Framing 73. Un.-rgrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL, r 29. Insulation 78. FIRE PREV. FINAL - ' 30. Drywall Nailing HEALTH DEPT: REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 'H•" 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED I 33. Final Electric Notes: 04;91�9.7 34. Final Heating & Air Conditioning f �� ,� �J��v1,� 35. Final Gas Pipe-Test i'kri1,rft&-lV-KG�-Ud^ l.!`--- 36. Hood or Canopy f� , 37. Final Factory Fireplace . 38. Final Plumbing 39. Water Service-Final• 40. Gas Service-Final 41. Solar Domestic-Final . 42. Backflow Preventer ' 43. Backflow Irrigation - , , 44. Landscape Irrigation System I '45. Sound Attenuation - - s. 46. Handicap Regulations , i ////, 47. FINAL STRUCTURE & BUILDING r /7,C old- h - ti , 48. Special Requirements Completed / v I I 49. Electric Release to Edison • - 50. Gas Release to Southern California Gas Co !- 51. CERTIFICATE OF OCCUPANCY R No. Date 1 i , i TYPICAL 611 CONCRETE BLOCK FENCE Cement Coping Optional ::l, • GENERAL- NOTES Channel Block W _ith 1-3/80 • 1i' Horizontal Top of all Fences N I I I I MORTAR• One Part Plastic Cement, and eG Three Parts Sand For Fences 5'or Less !RI - I - e- -- GROUT: One Port Cement Three and Vert.Ban 3/8"0 at 4' -D"O.C. ?d� o I J I. One Half Ports Stand a = COPING: One Part Cement, Three For Fences Higher Than 5' - I` o _I Parts Sand Vert.Bars 3/8"0 at 32" O.C. ¢ i - -- - --- ----- -- CONCRETE: Well Mixed I:2-1/2: 3-1/2 Fill Cells Solid With Grout Max.11 > • ill of 7-1/2 Gallons of z • Water Per Sack of Cement Where Steel Occurs - - GROUT Y- - - - - Reinforcing Steel Shall 1. f • [ OF THE FENCEEIN CELLS WHEREill CURED FROM THEe Conform to Sec.A-15-39 w 0 -. - OCCURS. A.S.T.M. III Z f-• I I CELLSANDAREASOFHORIZONTALREIN- FORCEMENT SHALL BE CLEAR,CLEAN& All Steel to be Lapped ;a■ w -"-- - FREE OF ALL MORTAR DEBRIS,ETC. 24"or to Code W NATURAL GRADE W �t _ • t TO 3/B"$BARS ♦ .♦y . ♦ I s ... CONTINUOUS TOP 1-0—WIDTH &BOTTOM - .,�i. I 1- WIDTH - TO 161 O.C. MAX. SEE CHART '♦ t- 31O01ZSTEEL MUST BE TIED IN BELOW DEPTHT H OF E ARTCOTH PLACE AT TIME OF TRENCH t ' I/3 THE HEIGTH OF FENCE INSPECTION. I - A . -I OW -BOTTOM OF FOOTING. -`0--1 10" 1 2..-JL- SCALE: I/2 L. II FOOTING REQUIREMENTS CHART • 1 WALL HEIGHT 6 ' 51 ) 4' 1 31 .. WIDTH 14" 14" 1 12 . -. , 1211• ' THICKNESS 10" 10" 811 8 " DEPTH OF EARTHTOOTH . . 24" 20" 16" . . . . . . . . . • 12" SPACING OF EARTHTOOTH. . 12' 14' 16' 16' OWNERS NAME: City of Costa Mesa, California pT OEgMADDNUMBER; : ,e'Building Department SIGNATURE: • 7 V?SED Nov.az 9 133815 . r \ N N a a a nl m `4 ti 33N30183U 3T11301831 33N3018ie 304301838 1w CO- . • APPROVED City of Costa Mesa Building Dept. • By Z9 DATE 55-19 THESE PLANS MUST BE ON JOB AT ALL TIMES MAKE q NO CHANGES-3 H/QA�NGEESS WITHOUT PRIOR APPROVAL OF DEPT. fF . 3THET ISSUANCE OR GRANTING NTIO A'ERM IT OR APPROVAL OF 1 . . PLANS AND SPECIFICATIONS SHALL NOT EE CONSTRUED TO BE A C • PERMIT FOR, OR AN APPROVAL OF, ANY VIOLATION OF ANY OF 19+1` THE PROVISIONS OF THIS CODE.NO PERMIT PRESUMING TO GIVE AUTHORITY TO VIOLATE OR CANCEL IHE PROVISIONS OF THIS ' CODE SHALL BE VALID, EXCEPT IN SO FAR AS THE WORK OR USE WHICH IT AUTHORIZES IS LA\V7UL. • THE ISSUANCE Of A PERMIT BA&ED UPON PLANS AND SPECIFICATIONS SHALL NOT PREVENT THE BUILDING OFFICIAL ; FROM THEREAFTER REQUIRING THE CORRECTION OF ERRORS IN SAID PLANS AND SPECIFiCAT'ONS OR FROM PREVENTING BUILDING OPERATIONS BEING CARRIED ON THEREUNDER WHEN IN VIOLATION OF THIS CODE OR OF ANY OTHER ORDINANCE OF y THE CITY. Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT O; VS3W t/1S03 AO nil Project Address 'X5 ao /TSAR f mar. '4'a� B 33545 1�{72 55$ f_ - - Applicant's Mailin• Address- v/ /I J TYPE OF CONSTRUCTION LJ NEW [ZOO U ALTERATION ❑ REPAIR y� �y',11 ' p,,�/� 5�7 D CONVERSION ❑ DEMOLISH D OTHER A.P.# 4 :(rl'4 Mit?Li L At/IN lame Poe_ Owner's Name • '/1! mah- ' BIN/ Ce•-hone f / DESCRIPTION OF WORK/USE OF BLDG. gi.nr W4Iti Address O )� 0]me ) p� c:ii yj S Main Building: ` M. { Accessory Building: Arch/Eng.l7U.s^'rGcP LI?J-l�C< FRS/OC: License NO. �/-,/ / p TYPE OF PERMIT LI GRADING Ell FOUNDATION STRUCTURAL T Front __ZCf/ ,� , V O `•'/lb 4 CYBFr DQ , vg0. //l/1+ 72651 ❑ TENANT ❑ ELECTRICAL• ❑ PLUMBING ❑ MECHANICAL BA Rear f,�/ 40 627 r, wait N Address a �1 �1 y Contractor's Name ('kv.,$1.4 R✓s 149( Phone 05 rali ❑ OTHER �y C Right d' 30� .� "' N PROJECT DESCRIPTION in ET 10“) I g OCCUPANCY K .±30 G Address(mailing) SaLMP - ,-,/ City License No. $'! CO N•ST RUCTION TYPE VALUATION$ '4 800 S Left son, • d R ZONE GRADING CU.YDS. ACRES ping. Ref.# Parking Req./Provided E LICENSED CONTRACTOR DECLA ATION O I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks pp o ter: a,s-� PlanningNotes: IWO _ '/`� 1�_s,f) with section 7000) of Division 3 of the Business and Professions Code,and I STLI t\- v/K'w' p�"j^-� �r - " _` M my license is in full force and effect. 1 rekati n r n�5 _ f -VVV T License Class - - Llcan2G No. !V��1 llLA1MAA ,/-U • g Date Signature 47 y/ PLUMBING FEES J WORKERS'COMPENSATION DECLARATION Bar Sjhk Showers �', 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 Automatic Washer Transformer 0 15-50 KW Polis Lab. C.) ,I 0 50+ KW Policy No. Company p Backf�w Irrigation Sewer Cap Construction Pole Sub. 8 Certified copy is hereby furnished. II ,Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Ow to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Clover 100 amps .' (This section need not be completed if the permit is for one hundred ($100) or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the wor for which this permit is Issued, 1 Workers'ort ' employ et person in any mann so as to become subject to the Drinking, Fountains , Solar Tank ,■ FanEll //pP�r�rJj/�/1fy • Motors❑0.1 HP ❑1%-8 Co sat Laws of Califor DateO , $' Signature /ou ote_ Floor Drains Swimming Pool w/Spa ■ F.A.U. - Inc•Solar❑9-15 HP ❑16-15+ NOTICE:If,aft r making this tleclaratl0 You should become object to the 111 Fixtures Workers' Compensation provisions of the Labor Code, you ust forthwith Floor Sinks Urinal Fixtures Microwave comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet , Device Boxes e I hereby affirm that there is • construction tending agency for the performance Pole Light of the work fo - thi per I his I sue• (Se lion 3097 Civ. C.) Interceptors I. Water Heater ■. - Lender's Name - = -•-•_:411 F _ Outlets Range III Lender's Lender's Address A - 4a 119Qa a . r_ Kitchen Sink Water Service ,, Switches . , OWNER BUILDER DECLARATION ✓✓ Sign I hereby affirm that-I am exempt from the Contractor's License Law for the Lavatories Aui O-WeSh Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections county which requires a permit to construct,alter improve,demolish or repair P-Trap Laundry Trays Generator 005 KW 0515 KW any structure, prior to its issuance, also requires the applicant for such permit Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions OfRoof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000) of i. 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). $ 3 I, as owner of the property or my employees with wages as their solo Reinspection Fee $15 Issue Fee 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 TypeI 0 DEVELOPMENT SERVICES REQUIRENTS: Boiler or employees, provided that such Improvements aro not Intended or offered for sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date S•1 ! •98 elation, 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). IC" n _QQ ❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date �u oC 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- �1 is tractor(s) license pursuant to the Contractor's License Law). I am aware that ,Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ 1 40� $MIP $ • SD proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ 4'rpL.w PERMIT 0 I am exempt under Section B.8 P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ PERMIT ISSUANCE $ DateOwner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby ertify that I have rea is application and state the he above ❑x100,000 BTU ❑100,0006 Ind stat is correct. i agree fo amply with all city and coup ordinances ' ■' ELECTRICAL $ GRADING $ and state laws relating to building construction,and hereby Rut oriae repro- MICROFILM $ sentatives of tb city to enter upon t,e above-mentioned pr per f PLAN CHECK 50% $ ICI inspection p rr•-.es. ., �� MECHANICAL $ 30 Signature !a a/ Date s TOTAL FEE $ ICI Drivers' Li Ise or SS �. _ Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ -. CMF 0065-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND PL4NNING _ - POOL& SPA ,- APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector i 1j Temporary Electrical Service or Pole 52. Pool & Equipment Location-' 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms - 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding '. 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test ' 6. •Electrical OF ER Grnd. [[[[ • 57. APPROVAL TO COVER;GUNITE :-0.1:7, 7. Footings , '. b/f �fr8t 58. Electrical Conduit-Undrgmd. 8. Foundation[ t . 59. Gas Pipe, 0 Undrgrnd., T;G7 est 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap _Undrgrnd., t .• 10. Structural Floor System 61. APPROVAL TO DECKS ' -�" 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final • e ';_ L. ' 12. Sewer Cap 63. Heater& Vent-Final • - i. • • 13. Roof Drains 64. Plumbing System - Final_, i1 C- `i 14. Rough Plumbing 65. Electrical-Final _• r �' I t ?. 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 i 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT f' 0 n2 20. Rough Factory Fireplace APPROVALS Permit# ' 21. Ducts, in Structure 70. Underground Hydro ' 22. Ducts, Ventilating 71. Product Piping 0 Gas 0Oil 23. Gas Pipe-Rough & Test 72. Underground Flush ''b, a 24. Roof Framing 73. Undergrnd.Storage Tank O Gas 0 Oil }v 25. Roof Sheathing 74. Overhead Hydro II L (., J th. 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 0 i p r. io 27. Frame and Flashing 76. Dry Standpipe ., 28. Lathing& Siding 77. FIXED SYSTEM FINAL r ( -• . 29. Insulation 78. FIRE PREV. FINAL H 1 30. Drywall Nailing HEALTH DEPT. RUEQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION ^• I - 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSIjED `; 33. Final Electric Notes: oy7/e8 cc �_ /_1-g j_ , • 34. Final Heating & Air Conditioning /p � 35. Final Gas Pipe-Test 36. Hood or Canopy . 37. Final Factory Fireplace . . 38. Final-Plumbing 39: Water Service-Final ' e 40. Gas Service-Final .41. Solar Domestic-Final 42. Backflow Preventer • '43. Backflow Irrigation - 44. Landscape Irrigation System - ,_ - • , '45: Sound Attenuation 46. Handicap Regulations - - ' 47. FINAL STRUCTURE & BUILDING 1/0/r? . 48. Special Requirements Completed frig- . . '49. Electric Release to Edison • .r 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY - , ' No. Date Applicant to•flll in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA_ CONSTRUCTION PERMIT - PF MIT NO. TRACT NO. LOT NO. UNIT NO. Project Address Za ��l L0 ofdaQ,IH4e tag* TS 34 I r1 LI FI ALTERATION Mailing Address 25b 61c4'e/*tlC w^ 6,44 TYPE OF CONSTRUCTION 64 NEW LI ADD LJ ALTERATION U REPAIR f.Q/2v/. y CO t ❑ CONVERSION ❑ DEMOLISH 0 OT I R (,c�`L A.P.qy. ¢9O - 2/2 - /0 Zone Rem_.4"..0 Owner's Name E&O ,...f .NT Phone SC-r73 DESCRIPTION OF WORK/USE OF BLDG. bGQ C, f• i� 2J6.ZO ,u54,.4,.NAG wA Cell, Q ' / S Main Building: Accessory Building: Address ��,.` y aw�6 E/(..L^LOSs../�£ .f.}/O {�/YI1jf E D/ ZO Arch/Eng 5-rte 1...6%-7E/1 01 ASZOL License No. ��A TYPE OF PERMIT 0 GRADING FOUNDATION U STRUCTU RAL T Front / Address . .9102 5- ,r-f/c.t e¢ece, Oe ,1-44a4.41-14-1-4- 5:26c3 ❑ TENANT 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL B Rear 8 • N • Contractor's Name OWN{Q -/s,(/4-FJOC4 Phone �"Gt ❑ OTHER C Right /0..." N PROJECT,DESCRIPTION SO.FT. OCCUPANCY CityAddess License in. S',Q/'Nw 3F39 CONSTRUCTION TYPE VALUATIONS CP Ot-O g Left 31'. G City License No. TT,�n7 ZONE GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION - - Ping. Ref.#/74- es—i83 Parking Req./Provided / E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Rerrsotks:� �j��j � PlanningNotes: p Q Q with section 7000) of Division 3 of the Business and Professions Code,and �JJL7 s/a 1/O��IV IJU]si"— fir""� (N `+� J � / M my license is in full force and effect. - v� 1 1 Q'''I X 300la 1 T License Class License No. • ^ e� .4p-- e��— v l� - J OL� w�"L S Date Signature /4L//4 PLUMBING FEES - . I WORKERS'COMPENSATION DECLARATION ' I hereby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink Showers ELECTRICAL FEES of Workers' Compensation Insurance, or a certified opy thereof (Section - BackflowPreventer Service Sink 3800, Lab. C.) / Policy No Company /L 9 Backflow Irrigation . Sewer Cap - Construction Pole Sub. ' ' ❑ + El- - 8 Certified copy is hereby furnished. - . - - Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date Applicant - - • .. • EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors . • Dishwasher Meter Dover-100amps (This section need not be Completed if the permit is for one hundred ($100)or less). - Dishwasher . Solar Piping Dryers ❑Gas ❑Electric 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 011/2-8 Workers' Compensation Laws of California. Date Signature ' Floor Drains Swimming Pool w/Spa F.A.U, Inc.Solar ❑9-15 HP 016-15+ NOTICE:If,after making this declaration,you should become subject to the 1 • Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave' comply with such provisions or this permit shall be deemed revoked. _ _ CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet ' • Device Boxes • I hereby affirm that there is a construction lending agency for the performance Pole Light of the work to/ which this permit is Isqsuyed (Section 3097 Civ. C.) Int¢rcepLOrS Water Heater Outlets Lender's Name 4C4r 4Agergic4 l AdL Range Lender's Address 4m6 $7C .Y'a/TE 900 SA,e/4,an G. 72/R3 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 following reason (Section 7031.5 BusIness and Professional Code: Any city or P Standing Sections 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 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 • 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 — eenelty of not more than five hundred dollars($500)" LI 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 I 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 >o Boiler Hood or Type I 0 DEVELOPMENT SERVICES REQUIREMENTS: '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 ❑ Zoning Approved By Date @ pletion, the owner will have the burden of proving he/she did net build Or Im- Duct-Under Ground Building Approved By 15X- 'Date [/e-�i "•Qtpi rove for the purpose of sale)" I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date �w�.a tractors to construct the Project(Section 7044,Business and Professions Code: ❑6100,000 BTU ❑100,000 BTU 7V The Contractor's License Law does not apply to an owner of property who Duct-Ventilating SUMMRY OF FEES O builds or improves thereon,and who contracts for such projects with a con- Q�7 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 $ �Z CPC- PERMIT am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBO# Fire Dampers- PLUMBING $ ISSUANCE S Owner Heating System& Ducting Registers PLAN CHECK 25% S ENERGY P.C. $ reby certify that I have read this application and state that the above 06100,000 BTU 0100,000 BTV— ELECTRICAL $ - GRADING $ rmation is correct. I agree to comply with all city and county ordinances d state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM S 1� Signature Date sentatives of this city to enter upon the above-mentioned Property for / � inspection purposes. MECHANICAL $ TOTAL FEE $ /3 Drivers' License or SS 54 ' Reinspection Fee $15 • Issue Fee $ 3 PLAN CHECK 25% $ ...—�.. v..v.lrriv . -J . .+ .a-• CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting;Goldenrod - Assessor CONSTRUCTION AND PLANNING • POOL& SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector l 1r.',Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd- 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcementt.', 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. L' 57. APPROVAL TO COVE R-GUNITE 7. Footings (e•1 .L. SAC2V__st LITA Y 58. Electrical Conduit-Undrgrnd. • 8. Foundation! • 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, laundrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK n, : , 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final , 12. Sewer Cap 63. Heater & Vent-Final .1.' 13. Roof Drains 64. Plumbing System - Final Ur -a ' , , 14. Rough Plumbing 65. Electrical-Final El- ,'l .ii . • - • 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 FIRE DEPT. REQUIREMENT , 20. Rough Factory Fireplace APPROVALS Permit# • I'' 21. Ducts, in Structure 70. Underground Hydro - • 22. Ducts, Ventilating 71. Product Piping O Gas 0Oil, 23. Gas Pipe-Rough& Test 72. Underground Flush (� . 24. Roof Framing 73. Undergrnd.Storage Tank+OGas 0 Oil . , 25. Roof Sheathing 74. Overhead Hydro •' j � ' 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical - ' 27. Frame and Flashing 76. Dry Standpipe S . 28. Lathing & Siding 77. FIXED SYSTEM FINAL % r 1 29. Insulation 78. FIRE PREV. FINAL - r.l - 30. Drywall Nailing HEALTH DEPT'REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION en- 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: (../2.9/f3$ pg G"-our (oo) : J -1 �. ' 34. Final Heating& Air Conditioning / pr- To to�p 0 . 'fs D e 8 r�',�w�N�/t,�b lICS 35. Final Gas Pipe-Test Ifs * O(� cjjo l-�QpJ4- �P 4 iz Ifs* (I c 36. Hood or Canopy • 37. Final Factory Fireplace - 38. Final Plumbing 39. Water Service-Final . 40. Gas Service-Final 141. Solar Domestic-Final T42. Backflow Preventer 143. Backflow Irrigation 44. Landscape Irrigation System ' •45. Sound Attenuation / 46. Handicap Regulations - _ 47. FINAL STRUCTURE & BUILDING ///p/6-'/ Dig-- . ; 48. Special Requirements Completed - • - I 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co I 51. CE'' `TE OF OCCUPANCY aY- No._ !.Date • - • City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. ©V 0(1 Building Safety Division J P.O. Box 1200 Costa Mesa,California The Building located at 2520 Merrimac Way has been inspected and found to comply with the provisions of all City of Costa'Mesa Ordinances applicable thereto fora Group Vr-i Occupancy. Use of Building Maintenace Legal Description 420-212-10 • (See reverse side for Metes and Bounds/ Building Permit No R 35717 Electrical Permit No. E 37474 Plumbing Permit No. P 37456 Mechanical Permit No. Number of apartments and/or guest rooms ISSUED TO: Building Official William T. Howard Fairview Management Co. j i- /em 2520 Merrimac Way by :I1 f / . Costa Mesa, CA 92626 • • Date March 28, 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 (el U.B.C. GMF 1015-46 rev. 1/83 White S Owner;Canary-Numerical File;Pink-Bldg.Permit File .' -- Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. ' aN ' I CITY OF CQSTA MESACONSTRUCTION Wei PERMIT NO. T�CT LOT NO. UNIT N9. A P gY, x'2-0—r /c. I Zoner _H0 re—Project Address -,25,90 Ill a ie sem 4.e- Wei - f3 3 S / fh E Main Building: Accessory Building: Applicant's Mailing Address Sari-9 TYPE OF CONSTRUCTION U NEW Li ADD ALTERATIONS REPAI; ,,fr% t ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front 21 0 Owner's Name Si 1$f>°tU y""• ��' Phone�yp`y$J'7 DESCRIPTION OF WORK/USE OF BLDG. I A Rear 3n 4 to b ,. _ N Address a1st i �t:e C ,C tai c�r TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL C Right 36 A54asc• N Arch/En . „` y�rus n Icense No. K Left G Address 9✓v73 Mi� co DA L wti 7776—e-0451 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S ' a 40 men+sat€_. - R Contractor's Name ante 7//dec Phon ❑ OTHER I Ping. Ref.# Parking Req./Provided E PROJECT DESCRIPTION SQ. FT. OCCUPANCY M_I Jt / t / Address(mailing) .�ioyNB fa V r Planning Notes: G I;des-1 p. b M City License No. 4 CONSTRUCTION TYPE VALUATION$ I-4.2]�p_ ZONE GRADI NG CU.YDS. ACRES S. LICENSED CONTRACTORthatIlicensed OECLA ATI-ON • �� —�� I hereby affirm 7 that I am lision 3 of Business Charter 9i (cns Code, nd Remarkf: — with sectionis n full of a 3 of the Business and Professions Code,and my license is In full force and effect. ELECTRICAL FEES License ClassLicense No. Date Signature PLUMBING I FEES Automatic Washer Transformer ❑ 15-50 KW WORKERS'COMPENSATION DECLARATIONConstruction 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 copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps • 3800, Lab. C.) - - Dishwasher Meter Dover 100 — Policy No. Company N Backflow Irrigation Sewer Cap 8 Certified c py is hereby furnished. Dryers ❑Get ❑Electr is Sub Panel Certifi 'tl tiled with the city Ing Division. Bathtubs Sewer Connection ' -- Date Applicant Fan EXEMP 10 FROM WORKERS'CO ENSMATIONODECLARATION Clarifiers - Solar Collectors Motors 00-1 HP 011/2-8 (Thissection need not be completed if the permit is for one hundred ($100) or Dishwasher Solar Piping F.A-U. less). Inc.Solar 09-15 HP 016-15+ I certify that in the performance of the wor r which-this permit is issued,I • Fixtures - shall not employ any person in any man so as to beFome su 'ect to the Drinking Fountains Sola?Tank Microwave Workers' Comde�s�tynLa Signature i a Califor /�.l• • i Device Boxes Pole Light Dateor ' fa/ fsjtinn1 Sig net uro �'"� Floor Drains Swimming Pool w/Spa 9 NOTICE:If, to ma g this declar n, you should become su et to the Outlets Range Workers' Compensation provisions the Labor Code, you m forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign I hereby affirm that there is a construction lending agency for the performance - q of the work for tpnrcCh I5�b er is I sued ((Sef�Oon,eddp7/ Sly- C.) Interceptors Water Heater „ Garbage Disposal Standing Sections Lender's Name F Y Rb J"jZ" • \ {•� _ Lender's Address 41OC' z5. t 1 Cy j ,Q�1( Kitchen Sink Water Service %p Generator 00.5 KW 05.15 KW Trash Compactor OWNER BUILDER DECLARATION dpdsa/ 1 I hereby affirm that I am exempt from the Contractor's Lice Law for the Lavatories Auto-Wash.following - reason Section 7031.5 Business and Professional C e: Any city or county hich requires a permit to construct,alter,Improve,demolish or repair P—Trap Laundry Trays -' p any structure, prior to its Issuance, also requires the applicant for such permit .,./- to ,rto 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 ,-•J Reinspection Fee $15 Issue Fee $ 3 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). $ 3 +DEVELOPMENT SERVICES REQUIREMENT [ I I, as owner of the property or my employees with-wages as their sole Reinspection Fee I $15 Issue Fee Zoning Approved By (I(//JJ//// O�/� Is 1 compensation, will do the work, and the structure is not Intended or-offered 1 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 _ _. - — _ - - -_- _ -.--- 1 y�•ss/Q thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I ❑ / Application Issued By ui(� Date 1.b�Lj'^ �s� 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' W 1 � rove for the purpose of sale). ,C BUILDING PERMIT • $ 153('�p SMIP $ �a"•(,J L_1 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ —f 4S 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 00-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon-and who contracts for such orolects 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% $ proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ I am exem t under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers i � ;/ PLAN CHECK 50% $ MICROFILM $ Date/� Owner !/ l� — Heating System& Ducting Registers MECHANICAL $ I here y�ceerti�fy that II have read is application and state th/t the above 00-100,000 BTU ❑100,000BTL. TOTAL FEE $ Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ ••4 1✓A 39 and state iaws re :ting to building construction, and hereby authorize repreIFS - sentatives of t City t0 en upon the , ove-mentioned proper f r inspection p •ses. J — Signature - —.000•F Date d !/ Drivers' L Ince or 55# - Reinspection Fee $15 Issue Fee $ 3 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting;Goldenrod - Assessor 01 00017043=00017050 TOT 2.53.39 DATE: 10/14/88 TIME: 09:334 1; CONSTRUCTION AND PLANNING POOL&SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date / Inspector Ai 1. 1. Temporary Electrical Service or Pole r 52. Pool & Equipment Location / 2. Boil Pipg Undrgrnd. ff' �a,� 53. Steel Reinforcement I 3a Electrical'Conduit Utility-Undrgrnd. .. ,.- 54. :Fprms 4'.;Elect�ical'Conduit'Undrgrnd. 55.'Eledtrical Bonding 'o 5. Steel Reinforcement'" 56. .Rough Plumbing & Pressure Test /,; 6t Electrical'UFERI; ' , 57. APPROVAL TO COVER-GUNITE ;Grmd. 7,t F.00tin s ,.��1 'r (��(// /�.�/ 58. Electrical Conduit-Undr rnd. it!' .8.: Foundation C, Ii / ff�" (V I 59. Gas,Pipe, 0 Undrgrnd.,Test �r „lip(1. a /, 9; Water Pipe-Undrgrnd. ��� 60. Backwash Lines, P-Trap, Undrgrnd. i 10: Structural Floor System quo, 61. •AP$ROVAL TO DECK ,�... j �,� quo , 'i 11...Property Sewer Line & House Connection . 62. Backwash-& Receptor-Final •12. Sev+ie� Cap• .f N, {'11' 63._rHeater& Vent-Final �'1/ 13. Roof Drains., �' 64. Plumbing System - Final : ,.i - 14. Rough Plumbirig: ! 65. Electrical-Final '1 • y) 15. Rough Electrical-Conduit 66. Solar System-Final h6. Rough Electric Wiring 67. Fencing & Access Approval .12. 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 Fireplacely APPROVALS Permit# 21. Ducts,in Structure 1. 70. Underground Hydro 22. Ducts, Ventilating 1 71. Product Piping 0 Gas ❑Oil 4'23. Gas Pipe-Rough i&n-Test t) 72. Underground Flush • •: 24. Roof Framing g t-rS d, 73. Undergrnd.Storage Tank 0 Gas ❑Oil 25. Roof Sheathing`t,3 4#2.7/6Q 74. Overhead Hydro , 26. T-Bar Ceiling (Structural) & Monocoat /-� AW- 75. Dry Chemical 27� Frame and Flashing .3e`(, Pr 76. Dry Standpipe 28. Lathing & Siding lid g(;r4 77. FIXED SYSTEM FINAL 29. Insulation r / 78. FIRE PREY. FINAL 30. Drywall Nailing _ SAV ✓ 4 HEALTH DEPT. REQUIREMENT 31. Plaster BrownCpat. .0 !' I , f 7 79. FINAL INSPECTION 32. Electrical Power-Nletgr-Final 80. FOOD CERTIFICATE ISSUED _33.,,Final Electric G Notes: 34. Final Heating& AiPConditioning _['"�Q /a•_ E £pt !/4,Gt i. / 35. Final Gas Pipe-Test u��r •�!T [�l'c O al 36. Hood or Canopy *37. Final Factory Fireplace ,38. Final•P,lumliing / . '39. Water SeNide-Final:- • '40:,Gas Servibe:Final.'' 41. Solar Domestic-Final r ' 42. Backflow Preventer, - rlf 43. Backflow Irrigation. �"i I r • ._ 44. Landscape Irrigation System f" 1 i 45. Sound Attenuation 1l 46. Handicap Regulations 47. FINAL STRUCTURE.&BUILDING 4f9/'? y(,ft 48. Special Requirements Completed O ._ 49. Electric Release to Edison ' •50. Gas Release to Southern California Gas Co .' I r Li 51. CERTIFICATE OF OCCUPANCY r y i •' No. Date • t ,} I ::, d I .2 IV r ;LI Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF €OSTAI�MESA) CONSTRUCTION�� IlPERMIT RMIT N°� TRACT NO. LOT NO. UNIT NO. - , Project Address .GV ALO �E'�v��4r..I r yc1 �� '�S • Applicant's Mailin Address pa BOX 74 7 S'14 'Ie✓ TYPE OF CONSTRUCTION . LI NEW LI ADD LI ALTERATION ❑ REPAIR ' �t 4.0vett/ " /ouae PhonS17 El CONVERSION El DEMOLISH ❑ OTHER_ •q,p,# -- . Zone Owner's Name DESCRIPTION OF WORK/USE OF BLDG. Address 2400 ystz4' if. ieamar : S Main Building: Accessory Building: TYPE OF PERMIT 0 GRADING ❑ FOUNDATION LI STRUCTURAL T Front Z Arch/Eng. License No. T o Address ID TENANT ❑ ELECTRICAL El PLUMBING ❑ MECHANICAL BB Rear N Contractor's Nam * p CI OTHER S b3 Pp on�_'_ • ' PROJECT DESCRIPTION 5G. FT. OCCUPANCY C t Right - G Address(mailing) al $lux 9�9 Sjt javORJ CONSTRUCTION TYPE VALVA TION$ S Leff R City License No. 093ies-0 ZONE GRADING CU.YDS.' ACRES LICENSED CONTRACTOR DECLARATION Ping. Ref.# Par king'Req./P,rovided E I hereby affirm that I am licensed under provisions of Charter 9 (CommencingOP Remarks: 8 Leon te.��7 B�'/7 Planning Notes: ,- - M with section 7000) of Division 3 of the Business and Professions Code,and �.�^/La T my license is in full f•rce and effect. License C ass / /License 1i - - S Date e - Signature ,'t - -a PLUMBING FEES ' - ` WORKERS'COM•ENSATION DECLARATION Bar Sink Showers • ELECTRICAL FEES I hereby affirm that I have a Certificate of consent to self-Insure or a certificate - of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 3800, Lab- C. _ Automatic Washer Transformer 0 15-50 KW Policy No.0752h/a2S 17 Companyir Backf low Irrigation Sewer Cap • 0 50+ KW • la9 Construction Pole Sub. Certified copy Is hereby furnished. �' /�/1 D Certj c is inwith the clI -Build•,e vislon4 y _ Bathtubs Sewer Connection Cooking Unit Meter pup to 100 amps ' Date / � "-p� Abplica OM �"MMM•••��� EXEMPTION FROM W RKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amp's (This section need not be completed if the permit is for one hundred(5100)or - less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric 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❑01 HP ❑1%-8 Workers' Compensation Lawt of California. `a • 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 09-15 HP 015-15+ 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. V CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes d\ I hereby affirm that there is a construction lending agency for the performance I 2 �' _ Pole Light r- r l�J of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets RaOge •I' Lender's Name - • Lender's Address Kitchen Sink Water Service - Switches • OWNER BUILDER DECLARATION /7 - 1 I hereby affirm that I am exempt from the Contractor's License Law for the / Lavatories Auto-Wash l-ke Garbe e.DiS osal - following reason (Section 7031.5 Business and Professional Code: Any city or / 9 P Standing Sections Q county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays ( Generator 00-5 KW 05-15 KW - any structure, prior to Its issuance, also requires the applicant for such permit Trash Compactor 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 - f Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section • 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). $ 3 I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee compensation, will do the work,and the structure is not intended or offered - Reinspection Fee f $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 ownDEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I D 'sale- If, however, the building or Improvement is sold within one year of com- Canopy Type II D Zoning Approved By Date pletlon, the owner win have the burden of proving he/she did not build or im- Duct- Under GroundBuilding Approved By Date • rove for the purpose of sale), I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date_I�' er 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), on- - tractor(s)ticense pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. _ PLAN CHECK $ PERMIT ❑ am exempt under Section B. & P.C.for this reason Firepl/Fact Blt. ICBG# Fire Dampers MIE PLUMBING $ 7 ISSUANCE $ Date a Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 001 00,000 BTU 0100,000 BT ELECTRICAL $ GRADING $ Information is correct. I agree to comply with all city and county ordinances and state laws relating t• building co•�1• uction, and hereby authorize repre- sentatives of this ' yfo enter u••. tile above-mentioned property for Inspection purposes Signatur- Le- _ B // -Applicant; Pink -Accounting;Goldenrod -Assessor Ut 00026223-00026223 TOT ],QEI DATE: 02/t4/89 MP: in:7c V. CONSTRUCTION AND'IPLANNING POOL&SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector C Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 2-l `s? t O 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test . 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ 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 34-yq CACD 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign e. 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling / r -. 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro • 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 042: 23. Gas Pipe-Rough & Test 72. Underground Flush ;s 24. Roof Framing 73. Undergrnd.Storage Tank O Gas 0 Oil 25. Roof Sheathing74. Overhead Hydro i( t 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical %.I .9 `/I 27. Frame and Flashing 76. Dry Standpipe rR .,, 28. Lathing & Siding 77. FIXED SYSTEM FINAL ,a•' �•, • 29. Insulation 78. FIRE PREY. FINAL ti: 30. Drywall Nailing HEALTH DEPT. RI¢UIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION •1.-- ,� . 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED _ 33. Final Electric Notes: ,• 34. Final Heating & Air Conditioning ',• 35. Final Gas Pipe-Test •f • 36. Hood or Canopy _ , 4 .'i .. --I 42 Final Factory Fireplace ><,,• . 38' Final Plumbing 3/ l �rl� , (;' L, le. r. r. J. 33?Water Service-Final . 40. Gas Service-FinalU ; i r 41. Solar Domestic-Final , t;', L's .; 42. Backflow Preventer e( • 1w = 1 •"r.'a . , ,f' :43. Backflow Irrigation • 44. Landscape Irrigation System a S - f. . ,.' 1.45. Sound Attenuation :� V' . '� ' . ' • 4T f • -' 'Jr,46. Handicap Regulations "," '! ' • ;i .,, '„ 47. FINAL STRUCTURE & BUILDING - y, ;� : .„4.4 • I.l _a 4.--; 4*. ; r) 48/"Special Requirements Completed ;q •" I ti , _r ,: • ;. . r 49. Electric Release to Edison V' , S 0 4 50. Gas Release to Southern California Gas Co V i• 51. CERTIFICATE OF OCCUPANCY - _ No. Date i . -- . _. . Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. . P MIT NO. TRACT NO. LOT NO. UNIT NO. CITY OF FOST a CONSTRUCTIONM_ PERMIT �--I1 - A.P. - Zone Project Address 45 Mees MAL - 3 �i l/ 1,// S Main Building: Accessory Building: 'Applicant's M g,A�dd1 eGss ten��w/srwn��t''�— TVPE OF CDNSTRUCTION LYJ NEW U ADD U ALTERATION U REPAIR Owner's Name AIe%itc1A-s l IL-MArtiC14EA51 Phone ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' T Front - O DESCRIPTION OF WORK/USE OF BLDG.t AtesrEMAkrF/STb G� B Rear N Address A I Arch/Eng. License No. TYPE OF PERMIT ,,L_JI GRADING ❑ FOUNDATION ❑ STRUCTURAL I K. Right • G Address <--ter L-�TiD� ❑ TENANT LIG ELECTRICAL ❑ PLUMBING ❑ MECHANICAL • S • Left r R • I�1/ elEa -'t C/ Phone ❑ OTHER - g . Contractor's Narup1 �.f e �7J"��I Pln Ref.# Parking Req./Provided E Address Imailing)1IDQZ. MT. IkfcKS, F V • PROJECT DESCRIPTION SO. FT. OCCUPANCY __ M Planning Notes: syn CONSTRUCTION TYPE VALUATION$ • _ City License No. 4 '&S to t, , - ZONE GRADING CU.YDS. ACRES - ' S. LICENSED CONTRACTOR DECLARATION • 1 hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: R,3 571 7 . with section 7000) of Division 3 of the Business and Professions Code, and `VV - my license is in f for e and effect FEES • ' License las .a U I Lice.se •o- 4 q5 . Oat:- IS. Signature I271 - _ ./ PLUMBING I FEES Automatic Washer Transformer.0 15-50 KW WORK RS' COMPENSATION ID LAR TION Pole Sub. • ❑ 50+KW I hereby affirm that have a certificate of consent to self-insure or a certificate Bar Sink • Showers of Workers' Compensation 'Insurance, or a certified copy thereof (Section Backflow Preventer - Service Sink Cooking Unit Meter ❑up to 100 amps 3800, Lab. C / - c "'O Policy No. 31,3 (, ,Company STATE 1k.1Nb Backf lowirrigatibn _ Sewer Cap • Dishwasher Meter Dover 100 amps rt ifietl copy is hereby furnished. • Dryers ❑Gas ❑Electric Sub Panel look f-�' tl filed with the ci uildin rvis' Bathtubs Sewer Connection --, I 1 1 ccD N. Date - ION Applicant Ll_���Ci - - I Fan • Motors❑0.1 HP ❑1%-8 • • 3 /�t� EXEMP ION FROM We completed i MPEN ATION DECLARATION Clarifiers Solar Collectors, - y4- (Thissection need not be completed if the permit is for one hundred($100) or F.A.U. Inc.Solar ❑9-75 HP ❑16-15+ • N less). • j Dishwasher • Solar Piping • I certify that in the mance; the work for which this permit is issued I g' Fixtures shall not employ anyy person in any.manner so as to become subject to the ' Drinking Fountains Solar Tank Microwave Workers' Compensation Laws of California: Device Boxes - Q Date Signature ; Floor Drains • Swimming Pool w/Spa �Z Pole Light 1 NOTICE:It,after making this declaration, you should become subject to the • Outlets Range '� cm Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal ' - 9 ere Comply .with such provisions or this permit Shall be deemed revoked.CONSTRUCTION LENDING AGENCY Gas Service Outlets • Water Closet $witches- 3 Sign • Z 75' I hereby affirm that there'll a construction lending agency for the performance . • of the work for which this permit Iss issued (Section 3097 'Civ. C.) Garbage Disposal Standing Sections Lender's Name Interceptors •Water Heater Lender's Address - Kitchen SinkWater Service Generator OMKW ❑5-15 KW Trash Compactor OWNER BUILDER DECLARATION `s 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 - • 1 r 9 ro 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 ' , 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: LII, 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 FEES Building Approved By Date thereon Law does not sucho an owner f a prowho builds s or improves • --s—IT-Q7 oy, and who does work oem himself/herself or through his or err own1Boiler' Hood or Tye ❑ Applition Issued By Dete•employees, ever, t tl [hat such improvements are notold Intendedhino or offered for •sale. It, however, the building or Improvement is sold within one year of tom- - Canopy Type II ❑. '- SUMMARY OF FEES ' pletion,-the Owner will have the burden of proving he/she did not build Or Im- Duct- Under Ground •ove for the purpose of sale). - BUILDING PERMIT $ $MIP $ I, as owner ofthe property, am exclusively contracting with licensed con-iDuct-Structural Refrigeration System PLAN CHECK $ PERMIT tractorsto construct the project (Section 7044,Businessand professions Code: 'The Contractor's License Law does not apply to an owner of property who Duct-Ventilating • ❑0-100• ,000 BTU ❑100,001/BTU PLUMBING $ ISSUANCE $ • builds or improves thereon. and who contracts for such oroiects 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% $ +� LS ENERGY P.C. $ proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ ✓Z GRADING $ ❑`i am'exempt under Section 8.& P.C.for this reason ' Firepl/Fact.BIt. ICBG•# • Fire Dampers PLAN CHECK 50% $ ' • MICROFILM $ Date • Owner • . Heating System& Ducting • Registers , - '7 2� I hereby certify that I have read this application and state that the above ..• -❑0.100,000 BTU 0100,000 BTU MECHANICAL $ TOTAL FEE $ Ci--- information is cora I agree to co���!y with all city and county ordinances - - PLAN CHECK 25% $ ' • antl state laws re g to building truction, and hereby authorize repre- , , - - sentatives of ity en er r' n the above-mentioned propert for •, inspection p 4 _ - • Signature rr. / - Reinspection Fee 7 '$15 Issue Fee $ 3 01 • 00026311-00026311 TOT 52.25 0865-46,rev.5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 02/15/89 TIME: 09:22 • ,CONSTRUCTION AND PLANNING .. POOL&SPA •APPROVALS Permit• Date Inspector APPROVALS Permit Date Inspector ,l. Temporary Electrical Service or Pole - 52. Pool & Equipment Location 2. Spit Pipe-Undrgrnd. . - 53. Steel Reinforcement J •, ,3; Electrical ',4� Elegthical CondyitUtility-Undfn „raw/it/6 54. Forms SS , Conduit:Undigrnd. 55. Electrical Bonding 5: Steel Reinforcement t 56. Rough Plumbing & Pressure Test 6: Electrical UFER-Grnd. /'- 2-16-67 SA4 57. APPROVAL TO COVER-GUNITE • t 7 Footings 1 �; - 58. Electrical Conduit-Undrgrnd. 8,• Foundation i. /, 59. Gas Pipe, 0 Undrgrnd., Test , 9? Water Pipe-Undrgrnd.' �' - ,t ' 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Crinnection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final • -- 13. Roof Drains `7 l • r: 64. Plumbing System - Final 14. Rough Plumping 65. Electrical-Final •• 15. Rough Electrical-Conduit - Solar System-Final fie Rough Electric Wiring 3-2-W / 7. Fencing & Access Approval .17,. Rough Wiring-Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL .19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace •," APPROVALS Permit 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe,-Rough &Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof,Sheathing 74. Overhead Hydro 26. T-Ba`r;Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28.- Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final / , 80. FOOD CERTIFICATE ISSUED 33. Final•Electric 5J,g4y Notes: 34.. Final Heating & Air Conditioning ( _ -: ; I,• 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer ' . .� 43: Backflow Irrigation .r � 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 j - .i ; •• ,, • 1 't( j.a No. Date . • _