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Home My WebLink About1550 LUCKUP LN - Building Permits City of Costa Mesa - Development Services Department CERTIFICATE OF OCCUPANCY No. O 0151 k Building Safety Division P.0.Box 1200 Costa Mesa,California The Building located at 1550 Tatknn Tann 49 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto fora Group R-1 Occupancy. // _ Use of Building Apartments 7/ /�.aft- Legal Description 420-012-10 (See reverse side for Metes and Bounds) Building Permit No B18549 Electrical Permit No. E18810 Plumbing Permit No. Pigg95. P19162 / Mechanical Permit No. M19623, M20123 Number of apartments and/or guest rooms ISSUED TO: Building Official c-2` C /7GuiAfv� Fairview Trust Catpany 1691 Kettering by Irvine, CA • Date -a This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev.1/83 White-Owner;Canary-Numerical File;Pink-Bldg.Permit File -,-kc, CITY OF COSTA MESA I:'a) BUILDING DIVISION >:j ,,,,• DEVELOPMENT SERVICES DEPARTMENT PERMIT MBER I.. t ns t PERMIT J I`_� 01-01668 .r—. . (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 BUILDING PERMIT . Job Address: 1550 LUCKUP LN Status: ISSUED Suite: Applied: 10/19/2001 Vicinity: HARBOR VILLAGE APT BLDG Issued: 10/19/2001 Parcel Number: 42005103Zoning:,. YY • • r Applicant: SANDOVAL, CHUCK ISSUED BY: Address: 1101 E CHESTNUT DR - - �,,, - - Phone: (714)285:1180 SANTA ANA,,CA ; ' ' • - - Zip: 92701 - - ✓i /' Owner STATE',OF CALIFORNIA l Address %FAIRVIEW DEV CNTR i - - - ' - ` 2501 HARBOR BLVD - Phone: DEPT OF DEV SERV - Zip: 92626 Contractor: EVANS,ROOFING COMPANY INC - Address: 1101 E CHESTNUT DR ` Phone: (714)285-1180 SANTA ANA,CA - Zip: 92701 ' :License: 610549 - - , • Arch : - Eng: • -. , ' Address: - Address: ;/ . i!, Phone: - - - - Zip: - ,License: ' `License: SCOPE OF PERMIT / REROOF"HARBOR VILLAGE APT'BLDG:Tab, REPAIR'SATO AS NEEDED, 1 LAYER-30#‘FELT, INSTALL 25-YEAR CLASS A COMP SHINGLES.74 SQUARES - FEE SUMMARY. Plan Check: $0.00 Calc Valuation: $5,500.00 Permit: $125.25 - Claim Valuation: $5,500.00 :SMIP Res: $0.55 � SMIP Com: $0.00 Other: , $0.00 Inspection: - '$0.00 �; .� Total: $125.80 , - PLANNING &ZONING SETBACKS. " MAIN STRUCTURE Front 0-0 Rear' 0-0 Left 0-0 Right 0-0 ACCESSORY Front - 0-0 - - ' Rear 0-0 Left . 0-0 Right- 0-0- - PARKING Existing: -0 . - Required: 0 Proposed:, 0 NOTES: - - - ii NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§ 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. . INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46(8'00) DECLARATIONS WORKERS'COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit Is issued. ❑ I have and will maintain workers'compensation Insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed if the permit is valued at one hundred dollars($100)or ❑ I certify that in the•:do of the wo or which Ihl• •ermit issued,I all not employ any p- son in any manner so as to become subject to the workers' compensation law of ,and agr: at if I sho d becom: subject t•the workers'corn•: -tion provisions of Section 3700 of the Labor Cod I shall forthwith comply with these•rovi / `' r /� Applicant Signature: /_A._ •_ �—is.I�. Date: 1 ok WARNING:FAILURE ETO( SECUR ODDITIO COMPENSATION COVE'. E IS ON.DAMAGES AND SHALL SUBJECTFOR AN EMPLOYER TO CRIMINAL PENALTIES AND CML RNES UP TO ONE HUNDRED THOUSAND DO LAKE(5100,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am II • •:d :r provision Chapter 9( •mmencin•with Sectio 7000)of Division 3 .f the Business and Professions Code,and my license is in full force and effect.Lic.# I lass# Contractors Signature: -�.��-��Ir�71aA Date: ! --- kg J l J CONSTRUCTION LENDING AGENCY: l ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued.(Sec.3097.Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to its Issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a pem-4: subjects the applicant to a civil penalty of not more than five hundred dollars($500).): ❑ I,as owner of the property,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure is not Intended or offered for sale(Sec. 7044,Business and Professions Code:The Contractors License Law does not apply to an owner of property who builds or Improves thereon,and who does such work himself or herself or through his or her own employees,provided that such improvements are not Intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ I,as owner of the property,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The contractors License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). - ❑ I am exempt under sec. Business and Professions Code for this reason: Signature: Date: Owner ID verified by drivers license. ❑Yes 0 No Drivers License No. Expires: Verification of Ownership by(type of document,i.e.-property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet In depth into which a person Is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above,unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No (Section 25533 of the California Health and Safely Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 If an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 Yes 0 No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application a emit for such construction or modification from the South Coast Alr Quality Management District or from any other air pollution control district or agency? 0 Yes No (Section 65850.2 of the California Government Code requires that the requested information be fumished on applications for non-residential building permits). 6 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? 0 Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency Is required for the work which Is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If)res",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE:I certify that under penalty of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE MID AUTHORIZATION OF ENTRY:I certify under penally of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinance .lacing to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes.I agree not to..upy or allow occupancy of any building authorized by}yjs permit uptil yRal inspectiopx Signature Of L4a ner Date .; •rOr •ut onzed Applicant Date CODE F INSPECTION TYPE 1251E ILrIIALI CODE r INSPECTION TYPE 12AIF gf AU 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final / ,.- �, 208 Final Plumbing 200 Final Re-Roof -12-192- 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place • 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy Toni J zt..•7" Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. . IT?., CO A MtSA 1 PERMIT NO. ^.?f RACT NO. LOT NO. BLDG.NO. -I Ci('.1 I;/2.4', = a::-.7.- T_ CON57RUCi ION PERMIT (B 54q 1t, AL13 -T1a.ct, �/,`o,.) /o /4' '#9 • El r1 f Project ACdr¢ss u TVPE OF CONSTRUCTION El NEW LJ ADD ALTERATION. ❑ REPAIR ' "'Applicant's - - DESCRIPTION RIIPTION OF WORK fl DEMOLISH Li OT - • A.P.# 41a0- 0I o. -10 I Zone I 2 Applicant's Mallin Address _ �" Owner's Name �'�l�✓�'P�ST Phone 9/�-74 re (� ��,1r(3 S Main Building: Accessory Building: - 2 Address /l'7/R' 7•Zre'..Jlc J 7 - w- AC/141 - TYPE TVPE OF PERMIT ❑ GRADING U FOUNDATION STRUCTURAL T Front / f0 N Arch/Eng. 1j/L�'9'ry�'S4C.. License No. No. ,,,, �,)l�' ❑ TENANT O ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear 1/ I /f �ai9zA�' Le- • Ac zorm-. y�i�s• Opt ❑ -OTHER A l nasa.�s.,/- /a(c�� N %i.. /5a� lt,,�/r� . _ ,._ �� y . -k C Right aa' ('le iCaLanf root G • rr r3173m- �,L(�,j Phone PROJECT PROJECT DESCRIPTION 50. F�7) �¢0 OCCUPAN yR Address(mailing) r'-'a` /C •i'v'y �""•'f"/a • CONSTRUCTION TYPE " '-�.I' VALUATION S#4Sc}U?$. $ Left �7�/ ��ne�Sf. 1 E I. q �-�1,�.,,,t v y ! ZONE GRADING CU.VDS. ACRES Ping. e J ark.Fe¢5 $ Cl City License No. 3�J7O + 7653 `. 'tt•'-�D 37 � It* J 9 - t/- /J�f} ��1 (6,37, - U LICENSED CONTRACTOR DECLARATION Remarks:P L' 7—Po S r��G, a Parking Req./Provided // O I I hereby affirm that I am licensed under provisions of Charter 9 (commencing R (I� with section 7000) of Division 3 of the Business and Prate slogs Code, and Use of Building: of cr.. .e.rne-r•-e V) my license is In full orce and effect. - E. 1,\\ 3 f3� - PLUMBING I FEES Planning Nates:• E License Class manse N• • Date - Slgnatu•Y .r - 1 Bar Sink Showers ROM FOR SPFCIAI. REOUIREMENT$ N 'ORKERS' COMPENSATION DECLARATION T N ereby affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer ., Service Sink S . Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.) o. 1 . Backflow Irrigation • • Poi- No. D.o4 662012.4,, Company L - Certified copy is hereby furnished. ,.- Vhf l Bathtubs ■ s Cer[ti�[[ied is Ith the city Soiidi:1514 I$�n.(( 1 �,s^ ■ s Date �1' � `� ) Applicant ""'c" Ulla Vein Clarifiers . , Solar Collectors EXEMPTION FROM W6RKERS'COMPENSATION DECLARATION Dishwasher ■ . . I I . (This section need not be completed if the.permit is for one hundred($100) or less). I DrinkingFountains ' I certify that in the performance of the work for which this perm FIs Issued I N !' ."L" shall not employ any person in any manner so_as to become subject to the Workers' Compensation Laws of California. Floor Drains Date Signature NOTICE: If,after making this declaration,you should become subject to the Floor Sinks Urinal• Fan - Workers' Compensation provisions of the Labor Code, you must forthwith Motors 00-1 HP ❑1'/z-8 comply with such provisions or this•permit shall be deemed revoked. Gas Service Outlets F.A:U. ' -'1i ` Inc.Solar 09-15 HP 016-15+ CONSTRUCTION LENDING AGENCY - - - Ihereby affirm that there is a constructionpermit ' lending agencyc for the performance C Interceptors of the work for which this permit 'is Issued (Section 3097 Civ. C.) Lender's Name Kitchen Sink - Device Boxes "Jr. .' Pole Light Lender's Address Lavatories" - ' , , OWNER BUILDER DECLARATION - Outlets , •y Range 1 hereby affirm that I am exempt from the Cdntractor's License Law for the P-T!e following reason (Section 7031.$.Business and.Professional Code: Any city or p . - Switches 'fz, , Sign county which requires a permit to construct,alter,improve,demolish or repair - • any structure; prior to its issuance, also requires the applicant for such permit Rdof.Drains Garbage Disposal - . - Standing Sections • to file a signed statement that he/she Is licensed pursuant to the provisions of _ _ '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 - 'Generator•❑0-5 KW ❑5-15 KW -Trash Compactor 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 Reinspection Fee '$25. Issue Fee $ 3 ' - endlty of not more than five hundretl•tlollars($500). - • U i, as owner of the property or'my employees with wages as their sole •MECHANICAL Reinspection Fee,' $25 Issue Fee, $ 3 compensation, will do the work,and the structure Is not intended or offered FEES for sale (Section 7044, Business and; Professional Code: The Contractor's PUBLIC •SER VICES REQUIREME T License Law does not apply to an owner of a property who builds or improves Boiler . ' ' Hood or Type I ❑ 1.y,. /g oe� thereon, and'who does such work himself/herself or through his or her own Zoning Approved By I I c'r JGL !late -'�/'o' employees, provided that such improvements are not intended or offered for Duct,-Under Ground Canopy Type II ❑ • a sale. If, however, the building or improvement Is sold within one year of corn- Application.Approved By ' ' Date-4-lc-\—s, pletion, the owner will have the burden of proving he/she did not build or Im- prove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By -.. . w Date 4- Z' t$ C 1, as owner of the property, am exclusively-contracting with licensed con- ❑6100,000 BTU ❑100,000 BTU tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating ' - SUMMARY F FEES The Contractor's License Law goes not apply to an owner of property who - - BUILDING PERMIT $ 3�sr�°d SMIP 32•� builds or improves thereon,anti who contracts for such projects with a con- Exhaust System ❑ Multiple 0 System Repair/Alteration _ .• r $ tractor(s) license pursuant to the Contractor's License Law). • PLAN CHECK; $ PERMIT 0 1 am exempt under Section B. &P.C.for this reason Firepl/Fact.Bit. ICBG# _ PLUMBING $ ISSUANCE $ Date Owners Heating System& Ducting • PLAN CHECK.' •• $ ENERGY P.C. $ I hereby certify that I h' a read this application and state that the above _ ❑0-100,000 BTU,0 100,000 BTU— - ELECTRICAL , $ GRADING $ • Information Is cor I ree-to Comply with all city and county ordinances - and state laws re building construction,and hereby authorize repro- - PLAN CHECK - $ MICROFILM $ sentatives of thi enter upon the above-mentioned ;property for / ' • inspection • ;MECHANICAL ' $ TOTAL FEE $ '3L1t-'�96/1 �I Signature CJ"S*`"`- •.. Datey-14—s5 . Drivers' License or SS Reinspection Fee $25 Issue Fea $ 3 PLAN CHECK J ) $ CMF 0865-46 rev. 7/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod -Assessor ' ' . ' - • - - Q :CONSTRUCTION.AND PLANNING POC. SPA r APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location Z. 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 - Sltsh; DS 58. Electrical Conduit-Undrgrnd. • • 8. Foundation r�r,r 6 Ja(t//�fre -P.'S59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrg?nd. f 60. Backwash Lines, P-Trap, 0 Undrgrnd. 1 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final • 12.. Sewer Cap k 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 OGas 0Oi0 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing - 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 3/ate c. 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 111 75. Dry Chemical 27. Frame and Flashing / ` 76. Dry Standpipe - 28. Lathing & Siding �`�! s J 77. FIXED SYSTEM FINAL 29. Insulation S ) 78. FIRE PREV. FINAL 30. Drywall Nailing -j HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat / i �� 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes:6545/gct,e, - S•Gx4 /v07••-Pnely 34. Final:Heatingg & Air Conditioning S/v.v.a +-79k07ierj- n-1/ &/,`Jin 35. Final Gas Pipe-Test / ("Adel' • 36. Hood or Canopy.. E 414 t D5 af'Z 37. Final'Factory Fireplace . 38. Final Plumbing : • 4lig4- tj M,kmocia4.9 - AZPsa-d 39. Water Service-Final �� 40. Gas Service-Finalr 1 :,• S 7 :tt V&7e(0 41. Solar Domestic-Final : c: - 42. Backflow Preventer V. 43. Backflow Irrigation c? 44. Landscape Irrigation System .,- ' 45. Sound Attenuation 46. Handicap Regulations .-. 47. FINALSTRUCTURE & BUILDING )philrc Ds • q p � 48. Special Requirements Completed "` 1 2q-7b ear ' 49. Electric Release•to Edison • . 50. Gas Release to Southern California Gas Co r51. CERTIFICATE OF +� / i OCCUPANCY ,4 No. • /577 Date n '- Applicant to fill in all spaces except those within heavyborder lines and si n all appropriate declarations. 5/02/85 13E-PYi # 9 p 9 2167 �8c.00 Tl• S.-- CIN of COSTA MESA CONSTRUCTION PERMIT PERMIT NO. ' /' TRACT NO.. LOT NO. Esso wKup �I ��q Dy, N - • • . Project Address 't� '1 I-� �t`1I}` G - - i . Applmant•5 Malting Address • 17 N RAibV I A'f KHK(7b f((]�] �Zb� TYPE OF CONSTRUCTION -U NEW ❑ ADD Li ALTERATION ❑ REPAIR A, Fp12VlEM1 MAN�6ENtENT Phone q7 1 5� ❑ CONVERSION ❑ DEMOLISH El OTHER- A.P.# , Zone Owner's Name DESCRIPTION OF.WORK/USE OF BLDG. Address- �5'D rJ 3tt tL,F�l U-It, c.aSTh MESA - - .. $ Main Building: - .Accessory Building;; • E Z Arch/Eng, • - License No: TYPE OF PERMIT ❑ GRADING ❑.FOUNDATION El 5-f - T Front - - O Address I • , • ❑ TENANT '❑ ELECTRICAL -0 PLUMBING ❑ MECHANICAL' B Rear - I, N Contractor's Name &OLDEST NOT p hbb WC.- Phone C j ❑ 'OTHER . . ' A " _ I Address(mailing) J-µ7 "N 5'A�6V�p+ n�'�6C� �' 1�0 ' PROJECT DESCRIPTION SQ. FT.; ' - OCCUPANCY' C Right ,- N el) • CONSTRUCTION TYPE - - VALUATION $ '$ Left Q '' I R City License No. D11q OP ZONE ' - GRADING CU.YDS. ' - ACRES LICENSED CONTRACTOR DECLARATION • -- Ping. Ref.# Parking Req,/Provided E 1 hereby affirm that I am-licensed under provisions of Charter 9 (commencing Remarks: a , Planning N01¢$: - .- with.section 7000) of'Division 3 of the Business and Professions Code,and 4 lil� � - 1 my license sin full force ancLeff ect. - - 1 � • , , T ' 1l� License Class - G- +J(s License No. 317021 • S Date Signature • ,AC - PLUMBING ' -FEES I • , r•; WORKERS'COMPENSATION DE RATION, �' I I hereby,affirm that I have a certrfic. a of consent to self-insure ora certificate Bar Sink Showers ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section - . - - -- - - - - -- - - - :. ,. 3800, Lab. ..C11``) Backflow Preventer ' Service Sinks` • Automatic Washer Transformer 0 15-50 KW P licy No. W�DD5�03'/ Company b�AVvfZ IN sS Backflow •Irrigation j Sewer Ca - ' .I - • ❑ 50+KW • P (Construction Pole Sub. i Certified copy is hereby furnished. ' "' Certif' copy is filed with the city Build ng D w ion. 1 e gq/' 10 Bathtubs . Sewer Connection -, 40 - Cooking Unit - i Meter pup to 100 amps Date_ I Applicant - � � ` I r-�`J- - EXEMPTION FROM Wb RKERS'COMPE ATION DECLARATION. Clarifiers �, -_ ,_ Solar-Col lectors -_ Dishwasher : 'Meter.,❑oyer 4D0 amps.. - (This section need not be completed if the permit,is for one hundred ($100) or Dishwasher • • less): - it, Solar Piping • 3 9- 0- Dryers ❑Gas [(Electric Sub Panel I certify-that intheperformance 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 TankFan Workers' Compensation Laws of California, . . i •Motors 00-1 HP 01%-la Date - Signature ' Floor Drains- Swimming Pool w/Spa' -' • NOTICE: If,after making this declaration,'you should become-subject to the - - - - - F.A.U. Inc,Solar'❑9-15 HP ❑16-15+ I 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 • Microwave I CONSTRUCTION LENDING 'AGENCY ' •• L Gas Service ;Outlets lb' -Water Closet ' I hereby affirm that ther • e is a construction lending agency for the perforMance (r/ - - , .5a - Device Boxes Pole Light - ot the .work for which this permit is issued, (Section 3097 Civ. C.) Interceptors - 'Water Heater • '32 Outlets - ' Lender's; Name - - -Ib Range , Lender's Address - •, 'b Kitchen Sink ; - , a , Water Service . 36 ,— Switches Sign OWNER BUILDER DECLARATION ' . - - - - - I hereby affirm that I am exempt from the Contractor's License Law for the . 1b 'Lavatories Auto-Wash 3y _ Garbage Disposal i 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 • r. 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 _ - - -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 - - • - ❑ I, as owner of the. property.or my employees with-wages as their sole ' 'Reinspectlon'Fee ' -I $15' _ Issue Fee - $ 3 .- - -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 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 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 ❑ •- - , sale. If, however, the building-or improvement Is sold within one year of com- ' - - CanopyType II ❑ Zoning Approved By Date • pletion, the owner will have the burden of proving he/she did not build or im- Duct-.Under Ground ' . - - f drove for the purpose of sale). ' ' t . . Building Approved By - Date • LJ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By DateS4_— 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 _- SUMM/CRV OF FEES builds or improves thereon,;and who contracts for such projects with a con- tractors) license pursuant to the Contractor's License Lavig. I am aware that. ; Exhaust System 0 Multiple ❑ System Repair/Alteration • BUILDING PERMIT $ SMIP • ' $ proof of their Worker's Compensation irUurance should be provided to me. ❑ I am exempt under Section 'B.& P.C.for this reason Firepl/Fact.Bit. ICBO# Fire Dampers 1 PLAN CHECK $ PERMIT PLUMBING $ 727•� ,ISSUANCE I $ Date Owner Heating System& Ducting Registers • PLAN CHECK 25% $ 5- 'CO ENERGY P.C. $ - I hereby certify that] have read this application and-State that the above • . ❑0.100,000 BTU 0100,000 BTL 1 - , - GRADING $ r I information is correct;I agree to comply with all city and county ordinances i ELECTRICAL $ and state laws relating to building construction, and hereby authorize repre- MICROFILM • $ ' ' sentatives of this.city to enter up.n the above-mentioned property for i - PLAN CHECK 50% $ • inspection pu oses. �1J0 MECHANICAL ' $ TOTAL FEE • $ t-83.00 • Signature22"._ -. s _ • _ • sate Drivers' Li•ese or SS# - Reinspection Fee $15 - Issue Fee $ 3 PLAN CHECK 25% $ •• a CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor 1 CONSTRUCTION AND PLANNING POOL & SPA r, APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location . 2. Soil Pipe-Undrgrnd. s/it/Y3 BEP 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. . a •8. Foundation _ 59. Gas Pipe, 0 Undrgrnd.,Test ' 9. Water Pipe-Undrgrnd. 5113,1$- Cre0 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 'S 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap -63. Heater & Vent-Final 13. Rdof Drains 64. Plumbing System - Final ' 14. Rough Plumbing -fr fa/iy Ca 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 ❑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 (Structurally& 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: • 34. Final Heating & Air Conditioning ' ' 35. Final Gas Pipe-Test /f/,/f3 csp - ' 36. Hood or Canopy - 37. Final Factory Fireplace 38. Final Plumbing . 'Itiiir CO . • 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 • - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING . - . . . I - •- 48. Special Requirements Completed - ^ 49. Electric Release to Edison - - - - E- . x.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. - - 3792 . 5/30/pS - - 5.50 50 IL' CITY OF COSTA MESA CONSTRUCTION PERMIT PER(f�IT NO�. e TRACT NO. . LOT NO. UNIT NO. - _ . . - . . Project Address 1 e L . • L-ne B • •• . 9) r �' '� +� - • t t e _, ' TYPE OF CONSTRUCTION Ex) NEW 0 ADO U ALTERATION LI REPAIR - - Applicant's Mailing Address rnSta Mesa, (a• • . • _ 0 CONVERSION 0 DEMOLISH 0 OTHER A.P..d6 Zone Owner's Name pas nil Put Management COmpglYe714/863-1500 DESCRIPTION OF WORK/USE OF BLDG. - Address 1176 Main St. , Irvine; Ca. 92714 - Apartments - S Main Building: Accessory Building: E 2 Arch/Eng. rt Aa SSOC. Lice o. i888038 _ TYPE OF PERMIT 0 GRADING Li FOUNDATION U STRUCTURAL T Front , . 0 (V Address ' g sna a 926.rJ3 0 TENANT 0 ELECTRICAL 0 PLUMBING ❑ MECHANICAL A Rear - N Contractor's Name DMH Builders, Inc. Phone714/979-5057 :3 OTHER C Right N I PROJECT DESCRIPTION S0. FT. 11,040 OCCUPANCY 12-1 - • _ G Addresslmailin. 2512 N. Shelley Circle, Costa Maraca K Left 1 92626 CON ST RUCTION TYPE FrAMP/Ct11rrD VALUATION 465.2$$ S R Li) City License No. 34704 ZONE GRADING CU.YDS. ACRES flLICENSED CONTRACTOR DECLARATION /'. ,` - Ping. Ref.4 Parking Req./Provided E tv I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: fl , T) y7 Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code, and V (/ , rts my license is in full force and effect. I T License Class B-1 • License No. 468385 S 'Date Signature PLUMBING • FEES - WORKERS'COMPENSATION DEC LA N 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 (Section _.. Backflow Preventer - • Service Sink - - -- --' • 3800, Lab. C. Automatic Washer Transformer 0 15 50 KW PolicyNo.Wt 85-332344-01�ompany • Fremont Backflow Irrigation Sewer'Cap ❑ 50+KW • t Construction Pole Sub. HCertified copy is hereby furnished. • . Certified copy is filed with the city Building Division. Bathtubs Sewer.Connection 2 00 Cooking Unit 1 Meter ❑up to 100 amps I Date Applicant DMH Builders. - Inc. • l • EXEMPTION FROM WORKERS'COMPENSATION'DECLARATION Clarifiers Solar Dolle<IOrs Dishwasher Meter Dover 100 amps , (This section need not be completed H the permit is for one hundred ($100) or " - less). 1 Dishwasher Solar Piping Dryers Does ❑Eleciric Sub Panel 1 I certify that In the performance of the work for which this permit Is issued, I shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank. Fan Motors 00.1 HP ❑1 X-B Workers' Compensation Laws of California. • Date Signature Floor Drains . Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+ I 'NOTICE:Ii,after making this declaration,you should become subject to the, t 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.. - CONSTRVCTION LENDING AGENCY • Gas Service • Outlets Water Closet - Device Boxes Pole Light I hereby affirm that there Is a construction lending agency for the performance. - l of the work for _which thiLss poermit .is issued (Section 3097 Civ. C.) • Interceptors ' Water Heater Outlets , Ran e • Lender's Name Bank or America 9 ' Lender's.Address 801- N. Main St. ,Santa Ana,Ca.92702 Kitchen Sink Water Service Switches OWNER BUILDER DECLARATION - • - Sign l 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-$KW 0515 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 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 • l _ 7031.5 by any applicant for 'a 'permit subjects the applicant to a civil - - - r • penalty of not more than five hundred dollars($500). _ - -~ t LI I, as owner of the property or my employees'with wages as their sole Reinspection Fee I $15 Issue Fee 5'3 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 • DEVELOPMENT SERVICES REQUIREMENTS: employees,'provlded 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 Zoning Approved By Date • pletlon, the owner will have the burden of proving he/she did not build or im- ' Duct-Under Ground Building Approved By ' prove for the purpose of sale). • tel,)IIA' Date 0 I, as owner of the property, am exclusively contracting with licensed con• Duct-Structural • Application Issued By �""�" Date ‘512-9 tractors to construct the project (Section 7044,Business and Professions Code: s The Contractor's License Law does not apply to an owner of property who Duct-Ventilating - • ■I I I IIs 0100,000 : 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 thatExhaust System Multiple BUILDING PERMIT $ SMIP $ 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.BIt. ICBO# • Dampers I PLUMBING $ 5.00 ISSUANCE $ Date Owner Heating System&Ducting Registers PLAN CH • ECK 25% $ 50 ENERGY P.C. $ I hereby certify that I have re.• this application and state that the above 00.100,000 BTU 0100,000 BTU - ELECTRICAL $ GRADING $ information Is correct I agree t• comply With all city and county ordinances ' and state laws resat LIS to • i, ing construction, and hereby authorize repre- sentatives of this 1 er upon the above-mentioned propertfor • Inspection purpos•�/I//� - - ' l5 s C ' MECHANICAL $ TOTAL FEE $• S.SO Signature a—i.a?.$44i Date ' ,-'- ,Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ Drivers' License or S' - _ —= • �!_� _ CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POI aSPA 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 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 iZ/L/ir- (S4 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 0Gas 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 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 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing /2124g . 39. Water Service-Final 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 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date ' 141130 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations: SUS �F26/65 M -1.1. p�+ r. ' CITY.OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. ❑r7}I�'i!• ;7� • �I'J • Project Address 1550 LUKUP LANE / 96 a3 12055 BLDG 9/101-108 & 201-208 Applicant's Mallin Address PO BOX 2426, SANTA laYANA 1[ TYPE OF CONSTRUCTION ® NEW Li ADD L I ALTERATION L I REPAIR I DMH BUILDERS wigyxgNg ❑ CONVERSION ❑ DEMOLISH 0 OTHER A.P-#6 I Zone • Owner's Name 10 N SHELLY C I R. COS A 2t MESA DESCRIPTION OF WORK/USE OF BLDG. Address L5 - S Main Building: Accessory Building: •Arch/Eng. License No. TYPE OF PERMIT 0 GRADING 0 FOUNDATION LI STRUCTURAL T Front ' - 0 Address (1 0 TENANT 0 ELECTRICAL 0 PLUMBING ® MECHANICAL A Rear N Contractor's Name SANTIAGO A/C Phone 95l-5560 ❑ 'OTHER C Right - N PO BOX 2426, SANTA ANA, CA PROJECT DESCRIPTION SQ. FT. OCCUPANCY K' G Address(mailing) 015264 CON ST RUCTION TYPE VALUATION$ S Left • R City License License NO. ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION //�� /J Ping. Ref.# • Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: /.(� / ys�� Planning Notes: Q with section 7000) of Division 3 of the Business and Professions Code,and V a M my license is in f WI1Rea and effect. - - T • Licensrf ass 1./ CV � / , qt.:.269496 S. Date U L Signature V-�G/��r�i�� /� .M.-air . . PLUMBING I FEES • - ' WORKERS' COMPENSATION DECLARATION Sink ' • I Showers - 1 hereby affirm that I have a certificate of consent to self-insure or a certificate 11 ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink _ Automatic Washer Transformer 0 15-50 KW 3800, Lab. �4IC 1089859 HOME INSURANCE Policy No. Company Backflow Irrigation Sewer Cap 0 50+KW Construction Pole Sub. Certified copy is hereby furnished. Cersry�f �j i filed with the city �I Bathtubs . Sewer Connection Cooking Unit 'Meter ❑up to 100 amps \ Date `�� Applicant ��" ' � �• A/C I 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 N less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel ' • I certify'that In the performance of the work for which this p rmit is issued, I shall not employ any person in any nper soas eco subjec to the Drinking Fountains • Solar Tank Fan Workers✓C�rgpgn.Laws of Calif r�hi(On, //w!'fn /7 sr Motors 00-1 HP ❑1'/a-8 Date 11((x'X011 CC// Signature L/I f�(/LCb'fis-Ci GT/// Floor Drains Swimming Pool w/Spa NOTICE:If,aft r making this declaration, you should become subject W the - F.A.U. Inc.Solar ❑9-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must fort with 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 for the performance 9 of the work for whit t�s aprmit is issued (Section 3097 Civ. C.) Interceptors Water Heater • Outlets ' Range Lender's Name 0v/LJ/ • Lender's Address • Kitchen Sink Water Service Switches OWNER BUILDER DEC-- LARATION- - - Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories • 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 - any structure, prior to its issuance, also requires the applicant for such permit - - Generator ❑0-5 KW❑$-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 _ , malty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole Reinspection Fee ' ! $15 Issue Fee $ 3 ' compensation, will do the work, and the structure is not intended or offered • - -- - Reinspection Fee $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 . I 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 By Date grove for the purpose of sale). • U I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By - - fit') Date 6/2-4/.1),r 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 • SUMMARY OF FEES builds or Improves'thereon, and who contracts for such projects with a con- tractors) license pursuart to the Contractor's License Law). I am aware thatExhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT .�'}�'J� ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBO# PLUMBING $ PERMIT ISSUANCE $ "� Date Owner - Heating System& Ducting I ENERGY P.C.• $ /0" 00-100,000 BTU❑100,000 BTLf— • PLAN CHECK 25% $ I hereby certify rect I haverread thismapplication all and state ordinances antes / 4 CORADING $ Information Is correct. I agree to comply with all city and county ordinances _ /0 J ELECTRICAL $ • and state laws elating to building construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of I city • en er ypo the apove-mentioned property for 1 /� CD �7 rppPy� Inspection r.o r /y / , Aly 6/20/85 py �� I �- "" MECHANICAL $ �a-/' TOTAL FEE $ l�h•LL/ Signature �/ ( Reinspection Fee $15 Issue Fee $ 3 �N CHECK 25% $ ivf CMF 0865-46,rev.4/84 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 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, ❑ 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 ts(- i aQ FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace 1 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 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 OAT" £) 35. Final Gas Pipe-Test t 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 44. .Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations • 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date • • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CP/NSTRUCTION PERMIT I PERMIT NO. TRACT NO. 'LOT NO. .UNIT NO. 7�S I I 7/26/65 60.0[ Ti. Project Address /550 Lq-Gpt�ff-Cu �v-La�/n G 1 'm 123. • . • Applicant's Mailin. Address • 'rib a.! ti r e l..C�I_ei. A TYPE OF CONSTRUCTION ® NEW LI ADD U ALTERATION U REPAIR • lit,g,; ❑ CONVERSION 0-DEMOLISH ❑ OTHER , A-p,.# - Zone - Owner's Name V'� f: oon�e,, '/ DESCRIPTION OF WORK/USE OF BLDG:•• - Address 1r1�9[o f "YLo in 3f1.. r ( 1 CA• 442( STh Main Building: • Accessory Building: - Z Arch/Eng.CPI her I- H1yn.,� } J'tSGOhC•Lictense'yN�yodp�-��— - TYPE OF PERMIT U GRADING U FOUNDATION L I STRUCTURAL .•f - Front O Address 1")S1 on JI lP_eil `r "' ` �rs� • ❑ TENANT ❑ ELECTRICAL, ❑ PLUMBING I�MECHANICAL A Rear - N 9119 . lA l ❑ OTHER I Contractor's Nam�^e� - Phon�e./1� 1 - C Right N Address(mailing/C2-5/a9 N- cShCIICL3 Cr. C o f/G L PROJECT DESCRIPTION SQ. FT. OCCUPANCY ' J CON ST RUCTION TYPE - VALUATION$ S Left , G City License No. ZONE GRADING CU.YDS. ACRESR LICENSED CONTRACTOR DECLARATION : Ping. Ref.# Parking Red./Provided E I hereby affirm that-1 am licensed under provisions of Charter 9 (commencing Remarks: • Planning Notes: Q with section 7000)-of Division 3 of the Business and Professions Code, andLI • - M my license is in full force and effect. �I /� • T (�•� Licen Class Cab License No.274- 4'1 3 S W Date ' Signature a _ . ' ‘1y 4. - 1 PLUMBING , FEES • ' I, WORKERS'COMPENSATION DECLARATION Bar Sink ShowersELECTRICAL FEES n I hereby affirm that I have a certificate of consent to self-insure or a certificate if Workers' Compensation Insurance, or a certified copy thereof (Section, - • • - _ Backflow Preventer - Service Sink - - - - - Automatic Washer Transformer ❑ 15-50'KW l3800, Lab. C.) 0/ / /� .... Policy No. 420R'9' 9- Company�r7Yff /SUMr Backflow Irrigation , Sewer Cap - Construction Pole Sub. • ❑ SO+KW • -......, ❑i Certified copy is hereby furnished. v I/J Certified copyis filed with the city u IOing DiVisi n Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date c X� Applicant Builds g Di vis • 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 1 I certify that in the performance of the work for which this permit is Issued, I shall not employ any person In any manner so as to become subject to the Drinking Fountains Solar Tank FanMotors❑Ol HP ❑1%..B Werke Ion Laws of California. • - Date Signature ' Floor Drains Swimming Pool vv/Spa F.A.U. Inc.Solar ❑9-15 HP 016-15+ 'NOTICE: If,after making this deciaratlon,.you should become subject to the 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 I hereby affirm that there is a construction lending agency for the performance D¢vice g0%¢$ Pole Light of the work f0 a t• p-r •i s e6 (Section. 3097 Civ. C.) Interceptors Water Heater Outlets f Range Lender's Name SR • a In 1/1" •I. 9 Lender's Address s,�innlirif*rdtS i I3 t4 l'tai I?5 S., 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 ❑0-5 KW ❑5-15 KW Trash Compactor any structure, prior to its Issuance, also requires te applicant for such permit to file a signed statement that he/she Is licensed bursuant to the provisions of -Drains - i 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 . . . 1 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). - - - - LJ I, as Owner of the property Or my empi0yees•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 /(d Hood or Type I 0 pDEVELOPMENT SERVICES REQUIREMENTS: , employees, provided that such improvements are not Intended or offered for Boilere C / 1 sale. If, however, the building or improvement is sold within one year of Com- Canopy Type II 0 • Zoning Approved By Date pletlon, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground Building Approved By Date prove for the purpose of sale). ^-7 es. O I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By 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 3 Duct-Ventilating ❑0.100,000 BTU ❑100,000 BTU /�,., '� SUMMARY OF FEES builds or Improves thereon, and who contracts for such pro)ects with a con:- �• , tractor(s) Ilcense'pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System'Repair/Alteration - 1 BUILDING PERMIT $ SMIP $ 1 proof of their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ PERMIT ❑ I am exempt under Section B.a P.a:for this reason Firepl/Fact.Bit. ICBG# Fire Dampers , PLUMBING $• , 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 01100,000 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 repro- I 1 PLAN CHECK 50% $ ' MICROFILM $ ` sentatives of this city to enter upon the above-mentioned property for , inspection r•osos. a�$� MECHANICAL 7/.0�. 7�o•�� TOTAL FEE $i 4 3 � Signature ' 4 .... _ - .- Data ^� Drivers' License or SS la - ; Reinspection Fee I ' $15 Issue Fee , $ 3 PLAN CHECK 25961 t�• g2;20 _ a _ _ _ _ __ CMF 0865-46,rev.10/84 White - Building; Canary . Applicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNING PO0 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. 58. Electrical Conduit-Undrgrnd. 8. Foundation • 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water,Pipe-Undrgrnd'. 60. Backwash Lines,P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap • 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing I 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/SPASYSTEMS 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 f2-/21j)- LA9 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 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: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow,Irrigation -44. 'Landscape Irrigation System 45. Sound Attenuation • 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed . 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co '• 51. CERTIFICATE OF OCCUPANCY • No Date 1 3 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • 2470 5/06/85 itd PEJWIT NO. TRACT NO. LOT NO. UNIT NO. - - - 543.00 1 CIT Project COSTA MESA STRUCTIO�I PERMIT ,& _ J p E j ° ¶q cr Address 40 s riz- • D LI 186-84 ' Ib4 commerce St. , corona TYPE OF CONSTRUCTION XNEW U ADD U ALTERATION U REPAIR r Applicant's Mailjnq Address. , Burler Nous ing 979-7450 0 CONVERSION 0 DEMOLISH 0 OTHER A.P.# Zone Owner's Nal t. Irvine Phone DESCRIPTION OF WORK/USE OF BLDG. Address irn Ketteringg ' S Main Building: Accessory Building: E - Z Arch/Eng. License No. ' TYPE OF PERMIT IJ GRADING U FOUNDATION LI STRUCTURAL T Front 0 Address 0 TENANTX-0 ELECTRICAL 0 PLUMBING 0 MECHANICAL B Rear N Cross State Electric,lnc. 757-88/0 ❑ .OTHER A I Contractor's Nam Phone - - C Right N 1641 Commerce St. , Corona PROJECT DESCRIPTION SQ. FT. OCCUPANCY K - G Address(mailing) 34901 - , CONSTRUCTION TYPE VALUATIONS _ $ Left City License No. ZONE GRADING CU.YDS. . ACRESR LICENSED CONTRACTOR DECLARATION Ping. Ref.# Par king'Req./Provided E I hereby affirm that I am-licensed under provisions of Charter 9 (commencing Q Remarks: 1 1 S L�� Planning Notes: M . with section 7000) of Division 3 of the Business and Professions Code,and ' • my license is In full`Porgtoand effect. 412061 7 IT Licenseg'.L�s_$5 s//.'a'L< stens o._/ L S. •Date Signature 1 PLUMBING I FEES WORKERS'COMPENSATION DECLARATION Bar Sink Showers 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 (Section - - Backflb)A Preventer - Service Sink - -- ' 3aoo, Lab.]6'1NA7293 St . Paul - Automatic Washer-'-- - Transformer 0 15-50'KW Policy No. • Company - - Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+KW I 1. - Certified copy is hereby furnished. /� , CeSLV5I E.*fy is filed with the city�3Y�y�g Di v�'Sion./' _Bathtubs Sewer Connection Cooking Unit Metes ❑up to 100 am(1 ¢ SfG Date Applicant_ ._ L1 v EXEMPTION FROM WORKERS'COMPENSATION DECLARATIONClarifiers Solar Collectors Dishwasher16 @ 1 .00 -16.00 Meter Clover 100 amps /� (This section need not be completed if the permit is for one hundred($100) or - q less). • Dishwasher Solar Piping _Dryers ❑Gas Electric Sub Panelj 6 @ 5.00 ;Go- , 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 361 @ 1 .00 36.00Motors 00-1 HP ❑1'/z-8 36 Workers' Compensation. Laws of California. Date Signature ' Floor Drains Swimming Pool w/Spa • F.A.U. 8 @ 1 .00 ' 8.00 Inc.Solar. 09-15 HP 016-15+ '' — NOTICE: If,after making this declaration,you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks - Urinal - • Fixtures $$ 20 17.60 Microwave comply with such provisions or this permit shall be deemed revoked. @ l7 {D CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet . T I hereby affirm that there is a construction lending agency for the performance Device Box$$ @ 2O 17.60 POIC Light (`� p V of the ,work for which this permit is issued (Section.23097 Civ. .GJ Interceptors- Water Heater Outlets 296, @ . 20 59.20 Range p Lender's Name - 5[ /20 Lender's AddressKitchen Sink Water Service • Switches 148 @. •2O 29.60 Sign q OWNER BUILDER DECLARATION 1 6 0 I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories - }6 @ 1 .00 16.00 following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Dispo:' StandingSections /G --- county which requires a permit to construct,alter.improve,demolish or repair P=Trap - 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 7lvision 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 7031.5 by any applicant for a permit subjects the applicant to a civil - penalty of not more than five hundred dollars($500). Ll I, as owner of the property or my employees with wages as their sole Reinspection Fee I 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 L.aW 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: employees, provided that such improvements are not Intended or offered for Boiler Zoning Approved By Date 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 prove for the purpose of sale). / LJ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By j 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 00100,000 BTU 0100,000 BTUSUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con- tractor(s) license pursue nit to the Contractor's License Law). I am aware thatExhaust System ❑ Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT 0 I am exempt under Section B.& P.C.for this reason — Firepl/Fact.Bit. ICBG# PLUMBING $ SSUANCE $ Date Owner Heating System& Ducting PLAN CHECK :25% $ ENERGY P.C. $ I hereby certify that I have'read this application and state that the above 00100,000 BTU 0100.000 BTL 763.00 GRADING $ Informationiscorrect. I agree to-comply with all city and county ordinances ELECTRICAL 7 and state laws relating to building construction, and hereby authorize repre- • - PLAN CHECK 50% $ / 3-0 rQ v MICROFILM $ sentatives of, this city to enter po the above-mentioned property for Inspection purpQ9sS� 5-6-$7 MECHANICAL $ TOTAL FEE $ ��3j Signature - Date Drivers' License or SS Reinspection Fee $15 Issue Fee . $ 3 PLAN CHECK 25% $ ex.e. CMF 0965-46,rev.4/84 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor • I ., Lii CONSTRUCTION AND PLANNING POGO. . .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. -e= 55. Electrical Bonding ••5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6...Electrical UF ER Grnd. , , i46<- CC 57. APPROVAL TO COVER-GUNITE 7.;'Footings r ' '.'. 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 RitokS /C AU 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 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 /4/6„ /t, 80. FOOD CERTIFICATE ISSUED 33. Final Electric /it" Notes: ��,1�7 , ND`��,_n / 0. n /( `r-�N FALLS--! l 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation . . 44. -Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison h 50. Gas Release to Southern California Gas Co , 51. CERTIFICATE OF OCCUPANCY - !' - No, Date 0