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Home My WebLink About346 19TH ST - Building PermitsJ CIN OF COSTA MESA °' BI/ILDING DIVISION DEVELOPMENT SERVICES DEPARTMENT PERMIT (714) 754-5273 • Fax (714) 754-4856 Job Address: 346 E 19TH ST Suite No Vicinity: Parcel Nunmber: 42629110 ApplieanL• YOUNG, STEVE Addrpss: CIO JMS RAYMOND STREET LLC Owner: Address , `. Contractor: � _" Address: Arch/Fng: ` Address; �i� , CLARK; DONNA W . 346 E.19TH ST ,� - � - , . �: : � COSTAMESA,CA" � i . REFERENCE: 898-02155 ISSUE FEE Backtiow irrigation Backflow Preventer Bathtub Clarifer System Connect Qce,Soda,etc) Dental Units Dishwasher Drain, Floor Drein, Rainwater Drain, Roof . Drinking Fountain Expansion Tank Gas Earthquakp VaNe Gas (74 outletS) Gas (Over 4 outlets) Gas Repipe Gas Service Interceptors (Grease, Oil) Interceptors (Sand Auto ) AMT $22.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 so.00 80.00 $0.00 80.00 $0.00 50.00 $0.00 $0.00 50.00 $0.00 Qn PLUMBING PERMIT Phone: 949-233-1420 Zip: Phone: Zip: 92627 Phone: Zip: License: Phone: Zip: License: SCOPE OF PERMIT FEE SUMMARY AMT Laundry Tub I Washer $0.00 Landscape Irrigation � $0.00 P-Trep � $0.00 Pressure Regutator - $0.00 Process Piping (per 70 ft) $0.00 Receptors � . $0.00 Seplic Tank $0.00 Sewer Cap for Demo $8.75 Sewer Connect $0.00 Sewer Private Line � � $0.00 Shower $0.00 Sink, bar $0.00 Sink, commercial 50.00 Sink, Floor $0.00 Sink, kitchen , 50.00 Sink, serWcelmOp . , $0.00 Spa (private) $0.00 Spa (public) $0.00 an 0 0 0 0 0 . 0 0 1 0 0 0 0 0 0 0 0 0 0 COMMENTS / SPECIAL CONDITIONS �� PERMIT NUMBER P98-00874 77 FAIR DRIVE, COSTA MESA, CA 92626 Status: ISSUED Applied: 12/01I1998 Issued: 12/01/1998 \ SumpPump Swimming Pool Trap Primer Urinal Vacuum Brkr BkFlow(1d) Vacuum Brkr Bkflnw(5+) Wash Basin Wash Basin Set Waste and Vent System Water C�oset (Toilet) Water Heater / vent Water Piping (Inst or Rep.) � Water Re-pipe Water Service Water Softener 07HER VIOLATION PLAN CHECK REINSPECTION AMT $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 50.00 $0.00 50.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTALCALCULATEDFEES: $30.75 aN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 EXPIRATION: This permit shall automatically expire and become void il work is not commenced within 180 days, or if work is suspended or abandoned br a period of 780 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 Inepattiona and tinal approvel must be obtained. Failure to obtain inspections and final approva� will resull in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545826 � WORKERS' COMPENSATION DECLARATION: I hereby eHirtn under penalry of per�ury one of lhe fdlowing declaretions: ❑ I heve entl will meintain e c9nificate of consent to selFlnsure for workers' compensation, es proviCetl lor by section 3700 of the Labor Code, for Ne pedortnance of Ihe work for which Ihis Dermit is issued. ❑ I have antl vnll malntein workers' compensatlon inwrence, as required by sectirn 3700 ot Ihe Lebor Code, for Ne peAortnance oi Na work for which llus pertnit is iswetl. My workers' compensation Insurance rartler entl poliq number ere: Carrier: Pplicy Number. (Ihls section need not be completqy I/ the permitls veNetl af one huntlred tlallars (§700J or /ess.) ❑ I cartiy Ihat in the DeAormance of t�e work for which this pertnit is issued, I shell not employ any person in any menner so as to become sub�ect to the workers' compense�ion laws of Celitomia, end egree Ihat If I should became subject to Ihe workers' compensation provislons oi Section 3700 of the Lebor Cotle, I s�all tort�with comply with t�ese pmvisions. Applicam Signature: Date: WAPNINO: FAILUFE i0 SECURE WOij�(ERS' QOMPENSATION COVEMOE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOVER TO CFIMINAL PENALTIES AND CNIL FlNES UP TO ONE HUNDRED THOUSAND DOLLAFE (5100,OW). IN A�DITIIXJ TO THE COST OF 00lAPENSATION, �AMAGES AS PROVIDED FOR IN SECfION 3)O60F iHE LABOR CODE, INfEREST, AND ATTORNEVS FEES. LICENSED CONTRACTORS OECLARATION: I here6y ettirtn thet I em Ilcensetl �nder praWsions ol Chepter 9(commencing with Section 7000) ot Dlvision 3 ot Iha Business end Professlons Cade, end my Iicense Is in tull force end ettecL LJc. a Class a Conirector's SigneWre: Data: CONSTRUCTION LENDINO AGENCY: ❑ I hereby eflirm I�et Ihere Is a conslruction lentling egenq lor the peAortnance ol the work for which ihis permit Is Issued. (Sec. 3097, Clvll Code). Lender's Neme: Lender's Address: Signeture: Data: OWNER-BUILDER DECL6AATIONS: I hereby efflrm �hat under penelry Of per�ury Net I em E%EMVT FROM THE CONTPACTORS LICENSE LAW for t�e fallowing reason (Sec. 7037.5, 8uslness end Professions Code: Any ciry or counry,which requires e permit to consirud, alter, Improva, demdish, or repair eny structura, prior lo Its issuanca, also requires the applicant la such pertnit to file e siBned statemenYtliat he qr she is IlcenseG pursuant ta the praWsions of ihe Conirectore License Lew (Chapter 9(commencing with Sectlon 7000) of Dlvision 3 of Ihe Business end Pmfe331ons Code��or Ihet he or she is exempt theretrom entl t�e basis for the ellegad exemption. My vidation of Sectlon 7031.5 by any applkant for e pertnit sub�ects the epplicant to'e�crv�l'penalry,of not more t�an Me hundred dollars ($500)J: v u r/. � ❑ I, es owner a;,lhe property:ar my employees wil� wages as Iheir sole compensatlon, WILL DO THE WORK, and the structure Is nat intendetl or oflered for sele (Sec. 7044, Business'end Prolessions'CoOe:-The Contrectors license Lew tloes not eppry ta an owner ot pmperty who bullds or improves ihereon, antl who tloes such work himsetl or eee......nnn soltl vnthl� �I. es ow�(� Coda: Thl license pu ❑ I am exen SignaWre: _ Owner ID vedfie Verificetlon o10 i �� Ihrou9� his or hei owri employees, providetl Nat such improvements are not intentletl ar oflered br sele. tl, however, Ihe building or Imprwement is e year oi completion, Na �ner-builtler will have Ne burden of proving that he or she did not build or improve for puryase of sale.). of th pmperty, am.EXCLUSIVEIY CONTRACTING WfTH UCENSED CONTFiACTORS to construct the project (Sec. 7044, Businass and Profgssions ontr Liceqse Levi'does not appy to en owner of properry who bulltls or impmves thereon, end who contracts for such projed with a coniraqoQs) a o the Contrectors license Lews.). r ec. Business and Prolessions Code br this reason: Date: tlriv s licen . Y ❑ No Drivers License No. ExD�res: iarship by (ryDe ot tl me i.e - proDerry taz 6ill or deed): DIVISION OF INDUSTRIAL SAF pMR E TIFICATION: ❑ I hereDy cenlly that no ezcavation r mare leet in de0�h Into whic� e person Is requlretl ta tlescend, will ba matle in connedlon wit� work euthoAzetl Dy this permit, entl that no bulltling Structure, SceXOltlinp, telsework, or Oemolition ar dismentling thereoi, wlll �e more then thirry-gi: (38) feet high. (Chap. 32. Grp 2, Art 2, Sec. 341, 71t1a e, CaIltOmia Atlminisiretive Cotle). ❑ As owner-bullOer, I wlll not employ anyona to Co work which woultl requlre a pertnil trom t�e Division at Industrlal Sefery, es notetl above, unless such person has e permit lo tlo such work from tha division. SlgnaNre: Dlvlsion of Industrlal Setety Pertnii NumDer: Date: MAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 W III the eppllcan� or present or tuture building occupan� need Io file antl certily a Business Plan for emergency respunse to release or ihreatened releese ot e hazerdous material7 ❑ Yes ❑ No (Section 25505 of the Celllomie Heelth end Sefery Cotle requires, with some eaceptions, that e eusiness Plen ba filed wi�h the Coste Mese Fira Depanment by every business whlch hes et eny oqe tlme tludnp a reportetl yeer e Quentlry ot hezerdous metedals equel to or greatar Ihan e weight ot 500 pounds, or e volume ot 55 gellons. 2 Daes or will the epD�icant or present or luture 6uIlding ocapent nead to lile e reBistratlon fortn for eately nezemaus materials7 �J Yes LJ No (Sactlon 25533 01 the Cellfomie Heelt� end Setery CaOe, with some exceptlons, requires reBlstretlon wlih the Coste Mese Fira Deperiment 6y each business which et eny ane Ilme hea an hend e Quantlry ol acutely hazerUous materlels equel to or graeter then e welght af 500 pountls, or a volume af 55 gellons, or 200 cuDic feet oi compressed gas et stendard tempereWre and pressure). ................... ..... . ....................................................................................................................................................................................................................................... 3 Does or wlll Iha epplicant or present or tuture bulltlinp occupent need ro prepare en RMPP (Risk Menegement entl Prevention Progrem for acutely hazardous matedels)7 ❑ Yes ❑ No (Sectlon 25534 of the Calilomla Health end Sefery Cotle provides ihet Ihe Caste Mesa Fire Depariment may require Ihe preparetion, cenlficatian end liling wlih ihe Fire Depertment of an RMPP by Dusinesses which ere requlred ta repister ecutety hezerdous materials with the Flre Depariment. .......................................................... ... . ................................................................................................................................ ...................................................................... 4 If an RMPP is Dresently reqWre4 hes Sectlon 25534 ot the Celifomia Heelth entl Safery Cotle been fully complied wiN4 ❑ Ves ❑ No ..................._....................._............... . . .................................................................................................................................__.............................................. 5' Do85 of wlll �he epplicant or presem or luture Euilding oCCuOant requira fOf IhB wOrk whlth is the sub�eCl ot lhl5 �pliCation apermit tor such construction or motlification tmm the South Coa51 Air Ouality Managemem Disidd or irom eny other eir polWtion control tlistnq or agenCy? LJ Yes ❑ No (Seclion 658502 of Ihe Celliqrnle Govemment Code requlres that the requesied infortnation be fumished on epplications tor non-residantial bullding permits). ........................................................................................................................................................................................................... ................................................................... 6 Will any pert of t�e faciliy to be consiructed under ihis pertnit be vrithin 1000 tae� trom Ihe ou�er boundanes of e school9 ❑ Ves ❑ No (tl'yes", the tacillry must meet the requirement of Sections 25534 and 42303 oi t�e Califomia Health antl Safery Code). ........................................... . . ........................................................................................................................................................................................................................ 7 If a Dermit from the South C�¢5t Alr �ualiry Management Dlstdct or other air polWtlon control district ar egency Is reGuired tor the work which Is t�e sub�ect oi Nis nnMira�ion. neve ell of the tlisd�xvras orescnbed hv Califomia Healih end SafeN Code Sectlon 42303 been made9 ❑ Yes ❑ No 8 (If yes", attech certificate of Compliance Irom ihe epprapnete eir ponuuon controi omcep. CERTIFICATE OF COMPLIANCE: I certiN thet untler penalry ot perjury the informetion given above is correct. I agree to comply with ell stete laws end ciry ordinances regardin9 Hare 5 MeteAaly enC Emiss(ons. Signatur . Date: CERTIFlCATE OF CE /WD AUTNORQATION OF ENTRV: I certity under penalry of perjury ihat I heve reatl this epplication end stete that Ihe intortnetlon given is conect. I egree � ty) Ith all state laws end dry ordinances relating to building consWction, and euthorize representatives oi the Clry ot Costa Mese to enter upon 1he eDove-describ ropert ( r insqpcti0n pu � es. I agree not to occupy or albw oCwpanty of any bu1101ng auUwrized by this permit un��il ylin,el InspeIXion. • ��.'��ZJ Signatur OI L ner(s), Oate COOE I. 1616 1286 200 201 202 203 204 ' 246Gd6 IxSpEt110N TYVE Fized Syslem Finel Fire Pr Pool Spa Final Flnel Re-Roof Finel BIocWReteining well Finel Fectory Fire Plece Finel Sign Final Demo111ion OdiE It�l�d COUE 1 INSPELTION TYPE 206 Finel Mechanical 208 Finel PlumDing 210 Final ElecMcel 212 Finel Fire Preventlon 220 finel Planning Approval 222 Final Site 250 Final Bulldinq/Occupancy 9 OAg Q�lIS �� f CITY OF COSTA MESA ` � ° ' BUILDING DIVISION �G� � � DEVELOPMENT SERVICES DEPARTMENT J •� � PERMIT PERMITNUMBER '*�o.mm 698-02155 (714) 754-5273 • Fax (714) 754•4856 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT .lob Address: 346 E 19TH ST Suite: Vicinity: Parcel NUnmber: 42629110 Applicant: YOUNG, STEVE Address; OF JMS RAYMOND STREET LLC owner: JMS RAYMOND STREET LLC Address PO BOX 10757 COSTA MESA,CA ContraGor: � " � Address: � � � _ Arch I Eng : Address: Pian Check: Permit: SMIP Res: SMIp Com: Other: Inspection: Total: Zoning: Phone:�949-233-1420 Zip: Phone: 949c51S7416 Zip: 92627 .. Phone: Zip: License: Phone: Zip: License: Status: ISSUED Applied: 17J01/1998 Issued: 12/01I7998 ♦ ' ,� � � � • '' 1 I . • SCOPE OF PERMIT ,DEMOLISH EXISTING SFD IN PREPARATION OF CONSTRUCTION OF TWO NEW SFDS ON SITEAFfER LOT SPLIT. CAP EXISTING SEWER. ' � �CONSTRUCTION ACCESS PERMIT: PS98-15053 $0.00 $124.75 $0.00 $0.00 $0.00 $0.00 $124.75 SETBACKS MAINSTRUCTURE Front �0-0 ACCESSORY Front 0. 0 PARKING Existinq: 0 NOTES: Rear 0-0 Rear 0. 0 Required: 0 FEE SUMMARY , ` PLANNING 8 20NING Left 0- 0 left �0. 0 Pr000sed: 0 Calc Valuation: Claim Vatuation: Right - , 0-0 � Right 0. 0 s�,000.00 s�,000.00 EXPIRATION: This permit shall automatically expire antl become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period ot 1 BO days. . INSPECTIONS: In order for Ihe work authorized under ihis permit to be con5idered IBg81, SUCh wOrk mus� comply with all applicable codes, and all required Inspectiona and (inel approval musl be obtained. Failure to obtain inspections and linal approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 � WORKERS' COMPENSATION DECUIRATION: � I hereby attirtn untler penalry ol perjury one of �he fWlowing dedaraUons: ❑ I have end will meintaln e certtlicate ol consent lo setl-Insure for workers' compensation, es proWtletl for by sectlon 3700 ot the Lflbor Cotle, for Ne pertormance of the vrork tor which this permit is issue0. ❑ I have erM wi0 mainiain workers' compensatbn insurance, as requireC by secUm 3700 ot ihe Labor Cotle, tw the pertortnar�ce ot Ihe wwk fw which this pertnit is issued. My workers' compensation Inwrance cartier end policy number are: Carrier: Policy Number. (Thls seaion neee not be completed I/ the perm/t is va�ued et one nundred tlonars (S t00) or �ess.) ❑� 1 certify thet in the perlortnance of t�e woAc lor wNch this permii is luued, I shall not employ eny person in any menner so as to become subject to the workers' compensetlrn lews o1 Califomia, antl egree Ihet it I should become subject ta Ihe workers' compensatlan pmvlslons of Sactlon 3700 of lha Lebor Cade, 1 shall forlhwlN comply wlth Ihese D�ovislons. Appllcan� Signature: Dete: WARNING: FAILUFE TO SECURp Wp{p(ERS' COIAPENSATION OOVEMGE IS UMAWFUL AND SHP11 SUBJECT AN EMP�OYER TO CRIMINAL PENALTIES AND qNl FlNES UP TO ONE HUNDRED TqUSAND DOLURE (5100.000), IN ADDfTION TO TNE C06T OF COMPENSATION, OAMAGES FS PROVIUEO WR M SECiION 3]080F TNE LABOR CODE, INfEREST, AND ATTORNEYS FEES. LICENSED CONTRAC70R$ OECLARATION: I �ereby aHirm that I em Iicensed untler pmvisions of C�apter 9(cammencing with Sectlon 7000) ol DlNslan 3 af the Business end Pmfeuions Cotle, end my license is In tull torce end eNect. Uc. a Cless x Conlractofs SlgneNre: Dete: CONSTRUC710N LENDING pGENCY: ❑ I hereby aRirm Ihat there is a consWctlon Ien0ing agency tor the pedortnance oi the wark for which Ihis pormlt Is issued. (Sec.3097, Cidl Cotle). Lenders Name: Lendets Atldress: Signature: Dete: OWNER•BUILDER DECLAqpTIONS: I hereby eNirtn.Ihet under penalry oi per�ury tha� I em E%EMP7 FROM THE CONTRAC70RS LICENSE LAW lor Ihe lollowinp reasan (Sec. 7031.5, Business antl Professions Cotle: Any ciry or,counry whit� requires e pertnit to wnstruct, alter, impmve, tlemolish, or repair eny swcWre, prior to its issuence, elso requires the epplicant tor such permit to file e signetl stEtetnenilh4f ha or she Is Iicensed pursuent ro Ihe provisions ot the Contractors License Lew (C�aD�er 8(commencing with Section 7000) of Division 3 oi the Business and Protessions Code) or that �e or she is exempt therefrom and the basis tor the alleged exemption. Any vidation of Section 7031.5 by any epplicant for a pertnit sub�ects t�e applican[ t �;uvA,panalry oi not more than fiva hundred dWlars ($500).): ❑ I, as owner ot the properryror�my employees vrith wages as their sole compensaiion, WILL DO TME WORK, and the slrucWre Is not intenCetl or otteretl for sale (Sec. 7044, Business entl ProlessiGns Code: TTe Contractors License Law tloes not appy to en owner ol property w�o builds or improves thereon, end who does such work Mmseif or herself or through'fiis or.6er own employees, proviQed that such imprwements ere rrot IntenUetl o� oRered lor sale. It, however, the buildtng or imprwement is soltl within on er ot compleUon;�ihe owner-builder wiil have the burden of proving ihat ha or she ditl not bulltl or imprwe for Durpose oi sele.). $1 I, as own ot th properry�am E%CLUSIVELV CONTAAC7ING WRH LICENSED CONTFiACTOqS to construct the project (Sec. 7044, Busineu antl Pmfessions (�/ COCe: Th contrectors Licensa Lew Coes not epply to an owner ot properry who builds or improves thereon, end who contrects for such pmject wit� a cnntrecror(s) license pu ant to he Contrectors License Lews.). ❑ I am ezempt sec. Business and Protessions Code for this reason: Signature: - Da�e: 12 • 1 • �I � Owner ID verille ' ers licen ❑ es ❑ No Drivefs License No. Expires: Vediication oi Ownership by (rype t ent i.e. - pmperty teu bill or deed): DIVISION OF INDUSTRIAL 5AF PER R RTIFICATION: ❑ I hereby ceritly Ihet na excav ) ar more teet in tlepth into which e person Is required to descentl, wlll Ee metle in cannectlon with work authorized by ihis permit, and that no bulltling structure, acaHolding, talsework, or demolition or dismentling Ihereof, will be more then �hirry-six (3S) feet hiph. (Chep. 32, Grp 2, Atl 2, Sec. 341, Tltle B, Celllamla qtlministretive Cotle). ❑ As owner-builder, I wlll not employ enyone Io tlo work which woul0 requlre e pertnit from ihe DlWslon ol Indus(nel Sefery, es noietl above, unless such person has e permit to do suc� work from Ihe Eivision. Signeture: Divlslon oi Industrial Safery Pertnil Number: Date: 1 WIII Ihe aDPlicem or present or tuture builOing occupant neeA to tile end certify e Business Plan tor emerpency respunse lo releese or Ihreatenetl release ot a hazerdous meterlal9 ❑ Ve9 ❑ No (Section 25505 0l the Calilomla Health end Safery Code requires, with some exceptlons, that e Business Plan be tiletl with Ihe Caste Mese Fire Depariment by every business which has et dny one time during a reponed year a quaniiry oi hezardous meterials equal to or preeler than e welght o1500 pountls, or a vdume ot 55 gallons, or 200 cublc teet al compressed gas at stentlard temperaNre and pressure). ................................................................................................................................................................................................................................................................................. 2 Does or will Ihe eppliceqt or present or luture Duilding oaupent need ro fle e registretion fartn lor ecutey �ezerdous matedelsP ❑ Yes ❑ No (Sectlon 25533 ot the Celllomia Heelth end Sefey Catle, with some exceptions, requlres reB�s�retion with the Caste Mese Flre Department by each Dusiness whlch et any ane time has on hantl e quentiry of acutely haeardous maredals equal to or greater then e weight o1 500 pounds, or e wlume of 55 gallons, or 200 cubk feet ot compressed gas et siender0 tempereture end pressure). ............................... ... .. .................................................................................................................................................................................................................................. 3 Does or will the aDPlicani or present or tuture 6uilding occupant neetl to prepare fln RMPP (Risk Management and Preventlon Progrem tor aatey �azartlous materials)7 25534 al lhe Calitomia Healch ent of en RMPP bV businesses an oi Ne iCes that Ihe Casta Mesa Fire Depenmam may require Ihe preperetlon, cenilicatian and fling wiN the Fire register acutey hazardous materials with the Fire DeparUnent. 5 Does or wlll Ne appliceni or present or future buiWing occupant reqWre tor ihe work wNch is the su6�ect ol Ihis e plicatlon epe rtnit for such construcGon or modification trom the South Coest Air pueliry Manegement Distrin or irom any omer air pollution cantrol Aistrict ar agency? � Yes LJ No (SeCtion 65850.2 of 1he Celitomia Govemment Code requires iha� Ihe requestetl informeGon be fumishetl on epplications tor noo-resi0entlal Ountling pertnits). ........................................................................................................................................................................................................... .................................................................... 6 Will eny pen oi t�e faciliry to Oe consiructad untler ihis pertnit be within 1000 fee� from the outer bounCarles oi a xhool7 ❑ Ves ❑ No (II yes', t�e tacifry must meet the requirement ot Seclions 25534 and 42303 of Ihe Calilomia Healt� end Sefety COOe). .................................................................................................................................................................................................................................................................................. 7 tl e permit from the South Coest Alr Qualiry Management District or other eir polWtion conirol Cisttict or egency is requlretl tor 1ha work which is the subject ot this epplication, heve ell of the disclwsures prescnbed by Califomia Health and Satery Cotle Sectlon 42303 bean matle7 ❑ Ves ❑ No .................................................................................................................................................................................................................................................................................. 8 Qf yes", ettech cerlificete oi compliance irom the approDriete air polluGon wntml otficer). CERTIFICATE OF COMPLIANCE: I certity t�et under penalry ot perjury the intortnetion given ebove is correct I eqrae to comply wit� ell state laws entl ciry ordinances regertling HeierUous Meteriels entl Emissions. Signature: Date: CERTIFlCA F C IAP N10E AND AUTMORVATION OF ENTRY: I certify under penalty oi perjury that I heve reetl this epplicetion and stale that the information given is correct I egree �y with all s�ate laws end city ortlinences relating to building consWctlon, end euthorize representatives ot ihe qty of Coste Mesa Io enter upon tho ebove-descdbed � �or Inspectl n p es. I egree not to occupy or allow occupanCy of eny builaing euthodzetl by t�is permit until final inspeclion. �Z • � • °1B Cinne� rn M nvl naAsl D8S8 CQpE �. IxSVECTIONTYVE �� 1616 Fi:eA System Final Fire Preventlon 1266 Pool SDe Final 200 Flnel Ra-Roof 207 Finel BIocWRetaining Well 202 Finel Fectory Fire Plece 203 Final Sign 20< Final Demolltion 24a&ae ' �� COOE I INSVFCtION TYPE 206 Flnel Mec�anicel 208 Finel Plumbinp 210 Final ElecMcel 212 Final Fire Preventlon 220 Flnel Plennlnp Approvel 222 Flnel Slte 250 Finel Building/Occupency 0 �r aooness: 9 q 6 E 19 TH S'P OWNEH'S NAME: SHELTON HOWARD P TR aooness: �j Q�, E 1� TH ST �w COSTA MESA,CA 92627 646—II346' '� ANCHIENGINEEN: flEG.NO.: • RDOpESS: UNIT: UNIT: r PEflMITTEE: YF;TERSON ROQFiNG ( 714 ) 979-7111 aoosess: 3006 ENTERpRZ5E COSTA N�ESA CA 9267.8 ,' LICENSEU CONTBpCTOP oECUIlATION:' I ne�eby atlirm tlut I am licensea untler o�ovisions of ChaDter 9(commencing vnlh Section 70110) ol Orv�sion 3 of ��e Business anA Pmicssians COCe. antl my license is in lull forte anA efleci.' cirruc.:0454/45 STRTELIC.:EIO%E%?��5��_ �'� ��8 '� �� Signa�ure: � WONNEflS' COMPENSATION OECIAflATION: I hereby a�hrm Iha� I �ave a cenificaie ol consenl m selbinsure or a cenilicale of Workers' Compensalion Ipsy�apf 0{y c rtifietl copy I�ereof (Seqion 3800, La�. POLICY NO.: 1 U �.7 ]� eze. oaTE: �4 / 01 / 9 Z ` COMPANY: STAlE FUND � Cenified copY �s �ere�y Iumishe0. � Cenilie0 capy is lilea wit� � � . „-. �— 6 — / / appiicanc �' EXEMPfION FNOM WOXKEflS' fAMPEN$RTION OECUM N: (iNs secwn nee0 noi Oe complete7 il Ihe permit k iw are �unCreG (5100) a less�. I cenily ihat in Ine De�ormance af ihe work for whicn ihis permit is issue4 I shall not emo�oV any person in any manner so as to �ecome suUlect Io I�e Workers' Compen5aiion Laws of Cali�omia, Dale: Si9namre: � NOTILE: II, after making ihis tleclaration, you 511oWtl Oecome su�lect to t11e Warker5' CAmpenSation Dmvisions of t�e �a�or Co�e, you mus� lOrlhwi�� comply wiih SUth pmvi5ion5 or IhiS permii 5hall he aeemetl rewke0. CONSTXUCTION LENOING pGENCY: I �ereUy a�lirm I�at �here is a consimction lentling aAency �or ih¢ pedormance o� ihe work for w�ic� I�iS permi� is i55ue0 (SectiOn 3W7. Civ. C�. LENOEfl: aoosess: OWNEB BUILOEfl OECtABRTION: I hereDy aifirm Ihal I am exempi imm I�e ConVacmrs' State License Law for Ihe tollavnng reason (Section 703t.5 Business and Professional Cotle: Nny city of county whicn requires a permit to consimct, alter, imprwe, demolish, ar repair any 5lmciure. prior IO its issuance. also repuires�he applicanl for such permit to �ile a signetl s�a�emen� Ihal helshe is Iicen5e0 pursuanl to the pmvisions ol Ihe Coniractori' Sta�e License Law (Chap�er 9(commencing wi�� Sec�ion 7000� of �ivision 3 0� the Business ana Piofessions Cotle) or that he/she is eMempt therelmm anA tAe Uasis fot the alleAed exemption. Any violation af S¢ction 7031.5 Uy any aDGlicanl loi a permii subletls I�e aODlitant �o a civil penaliy ol not more II1an five hunGred dollars �E500�. I, as owner o� I�e O�oPerty or my employees wiih wages as Iheir sole compensation, will tlo �he work, antl Ihe II ❑ stmcmre is not intentletl or ollere0lor saie (Seclion�70a4. Busmess and Pmfessional Cotle: The Coniractors' State License Law tlaes not aDPly to an owner of a pmpetly who builtls or im0�oves t�ereon, anA wtro Ooes such work himsell/�erseli or Nmugh hrs or �er own employees. proviaea I�al suc� improvemenls are noi int¢naed or aileretl for sale. I�, haxever �he EuilGinp or impwv¢menl is Sold vnlhin ane year ot tom01eii0q lhe owner vnil hav¢ Ihe buraen ol pwving �e/5he AiA no� bUi10 or impmve for the purpose of salel. I, as awner of Ihe pwpeny. am ezclusively caniraciing with licensetl coniracbrs b cons�mct [he Dmject (Seclion 70AE, Business ❑ and PmIeSSionS Catle: T�e ConiratlOrs' Siate LiunSe Law tlaes no� apply Ia an owner o� pmperty who OmIQs or imprmTS iherean ana w�o Coniratls lor 5uch pmiecl5 wit� a Conira[tor�s)liCense pu�suanl IO I�e ContratlOrs' Slaie LmenSe Law�.l am aware IM1at pmot ol Iheir Worker'S Campensation insurance 5tloultl be pmvitled m me. � I am eKempl uneer Seclion: B. 8 P. C. for inis reason: Oale: Owner: I Oo nereby cenify Inat I am aware of an0 untlersland lne requirements of Calibmia HealtA anU Satery Cqae Sections 25505, 25533, ana 2557a and tlwl I or any �uWre OuilOing occupan� vnlVwill no� (circle one) need lo comO�Y �^�h SaiA slate caae5 anE ��e repuiremen�s br a permit for cons�mclion ar motliliwlion �rOm Ihe Air Oualily Managemen� �iSlrici. Fesitlenlial con5imclion applications are ezempt imm IAQSC pfOv151005. Date: ApD�icanl: I beieby cerlilythal I nave read Ihis aDPlicalion antl statel�atihe a6ove inlormation is correc�. I agree lo comply wilh aliciry and counry ortlinances ana slale laws relaling �o builtlmg conslmc�ion antl here6y aut�or' r reSen i �his - o enler uDon Ih¢ above�meniionee proDeny forin50¢c/li0n purpqOs¢5. . n,��—(o � // Signau, � oriver's License or Sacial Securiiy a: (� �6<i.<6 Wn�te—Builtling: Grcen—Cotle En�orcemem: Canary—AOP��am; Plnk—Revenue; Golaenroa—Assessor CITY OF' COSTA MESA — BUILDING PERMIT PERM NO: 3 059 4� PERMIT NO: B 054999 PLAN CAECF( NO: N GOVT: N Si7FP: N CONSTRUCTIUN TYPE: V—N PERMIi T'YPE: STR Pi.iRPOSE: ALT J03 DESCRIPTION : T/OrF REROOF W/CLASS A SHINGLES SQ FT; 4,420 CLAIM VAI.UE: 9,420.00 CALC—VALUE: 4,420.00 GROUF OCC: R-3 / C�,`,MENTS: SMOKE DETECTOR RE�UIREP IN T3E HOME iFiFiE�N�iEaElF*ifiFiEifibifiii(�1i�3FiflFiFiFiE3'riElf iE�EiEiF)h#:#?E�1iF�El4iFaf-if�lE*il�ih�iEii�iF?EjF3FiE3EiEiF3rY�3Fifatif#?Fie+i�3F3E1FifY�iP#E#:�iFiE�F Z O N i N G R c Q U I R E M E N T S S E T B A C K S ------------ MAIN DUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; iT IN REAR: FT IN rRNT: FT IN rTEAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN PARKING REQ• PROV; PARCEL; 42629110 ZNE: �EF NO; PLANNING �(51'ES> � iF �f l4 3f 1F if� �F iF ik 1i-iF �-1E )t �)f 1E iF ie if jE�E #h 3c 1F iF 3f aE iFlf it aE iE IE ii� �7'r �E 1E # iF if iF #�1't 3F i(� iF 1E 3E #� �3f� 3e #f i�±F �k �!- R 3F ��f ie-1F�e iF iE �h ie 3F iF }' if jF 3e k if iF?F #� if iF D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N. T S .� 70NING APPROVED BY DATE: BUZi.DING APPROVED HY ; DATE: APFLICATION ISSI7ED BY: ' ' DATE; 'I'r �^ IriEiflflFifiEi%iFiElfiflfirNif3C'ififir3Eil'�u'�'��itiFft . h - .x �. �. F �ifiliElFiiic'ifii'iF ' � .�3[. iFifiEiElE1f3F�1E1FiEiF3EiEiF?fiEiElEiflElEiE1f�E1Fi(-3't16iFiEiE�IE#FiFlEiflf�li�3E#!t �E!'t .}}<k�3FiE�1f�iFiFif3EiF�leiFiF#FlelEkiFff7:iF�ii��''lF+Fi�ie3C��1(�lt� LEGALIZATION:N F E E S U M R Y STRJCTir—ir'Ai, SEGMEVT;Y BLDG PMT FLUMHING ELECTRIC MECHANIC FiRE S,H:iP/RES GkADING Pe,R„IT 72.00 ,��' S0 YLe1N � _SN�P /NON—RES TSSIIE FEE � BUIiDING—DIV—> PERNIT ISSUE PLAN—CHECK TOTAL �•kAID DliE TOTALS---> 72 . 5U 0. UO 0. 00 72 , 50 —<7:2. 50 . 00 : ' . . ' .�F REVENUE DIVISION TOTALS--> CQLLECTED: 72.50 OVER,/,�iiORT• 00 PLDG PMT PLi7MBZNG ELECTRiC MECHANIC FIRE S,'?IP/TO.T':,GRADING PLAN—CHECH 72. 00 . 50 •=;-'. c= i�� . �**�� x�*� *�*�z�*��+�**a��*�t*��***�x x***��**�e* �x��***�*��s�*#��+��?tx��x!��x��**�*� �� 1 N D I V I D U A L F E E B R E A K D O�<W�,�� ` TYPE QTY D E 5 C R I P T 2 O N UNIT COS�� TOTAL COSY SFR 4920 REROOF BY VALUE RESIDENTIAL NOZUNE -T,00 � 4,420,00 _ END OF FnES • EXPIRED Incomplete inspections � �� ate .�� _� Sig �._-�--- �� 7y , �j 11�1�.._,%,!,—�'{�'��"F?� — _. . PAtr; �:�rE: . _ _ - .. • � _ �� F CCNSTKb'-„TION AND PLANNING APPROVALS Permit # 1. Temporary Electrical Service or Pole 2. Soil Pipe-Undrgrnd. ', 3. Electrical Conduit Utility-Undrgrnd. 4. Elettrical Conduit-Undrgrnd. ' 5. Steel Reinforcement 6. Electrical UFER Grnd. 7. Footings 8. Foundation ' 9. Water Pipe-Undrgrnd. 10. Structural Floor System ' 11. Property Sewer Line & House Connection 12. Sewer Cap � ! 13. Roof Drains ' � 74. Rough Plumbing 15. Rough Electriral•Conduit � 16. Rough Electric Wiring 17. Rough Wiring Sign 18. Rough Electrical�T Bar Ceiling 19. Rough Heating & Air Conditioning 20. Rough Factory Fireplace , 21. Ducts, in Structure 22. Ducts, Ventilating - 23: Gas Pipe-Rough & Test 24. Roof Framing 25. Roof Sheathing 26. T�Bar Ceiling (S[ructural) & Monocoat 27. Frame and Flashinq 28. Lathing & Siding 29. Insulation � 30. Drywall Nailing 37. Plasier Brown Coat 32. Electrical Power Meter�Final 33. Final Electric 34. Final Heating & C,ir Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy . 37. Finai Factory Fireplace - 38. Final Plumbing ' 39. Water Service�Final 40. Gas Service�Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenua[ion 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co Date Date , POOL PA Inspector qppROVALS Permit # 52. Pool & Eq�ipment Location 53. Steel Reinforcement 54. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER�G�UNITE 58. Electrical Conduit-Undrgrnd. ' S9. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P-Trap, O Undrqrnd. 61. APPROVAL TO DECK 62. Backwash & Receptor-Final 63. Heater & Vent-Final 64. Plumbing SYstem - Final 65. Electrical-Final 66. Sotar System�Final 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOUSPASYSTEMSFINAL F�RE DEPT. REQUIREMENT APPROVALS Permit # 70. Underground Hydro 71. Product Piping �Gas ❑Oil 72. Underground Flush 73. Undergrnd. Storage Tank O Gas ❑ Oil 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED Notes: Date Ilrspector � � f 'i � / PPOOECsi RDONE55: 3 4 6 E 1 9 TH ST ; OWNEfl'SNAME: $HELTON HOWARD"P TR ADDNESS: 39( E 1JTH ST COSTA MESA,CA 92627 646-8346 pACHIENGINEEP: flEG.NO.: RUUflESS: UNIT: UNIT: venmiTree: pETEASON ROOFING ( 714 ) 979-7111 aooxess: 3006 £NTERPRISE COSTA MESA CA 92628 LICENSED CONTBACTOp �ECWBATION: I hereby aitirm thal I am Iicense0 untler pmvisions o� ChaD�e� 9 kommencing with Sec�ion 7C001 oi �mision 3 ol the Business and Pmlessions Cotle. antl my license is in full force and e�feci. cirruc.:045445 �+STATELIC.:GO%B%Z ��nss:C�—� —�af¢"^ � �7' / Z SignaiurP' �`4� � I WOflNEPS' COMPENSRTION OECIANATION: I her¢Ey aHirm 1ha� I have a certilicate oi con5eni to sell�in5ure o� a cerii�icale af Workers' I Compensalian s ifieE coDY thereof {Sec�ion 3800, lab eoucr xo.: �� E%P. OpTE: 4�O I I9 B IcoMrner: STATE FUND,;,} � Certifiea coOY is hereby fumishetl. L•3 Cetlilietl copy is filetl he cit uildinA �ivision. Oate: Q '"� %"' / Z Applicanc�y— �� EXEMPTION FBOM WOBKEflS' fAMPENSl�TION OECNMTION: Qhis uction neea not Ce comDle�etl tl ihe permi� is (ar ane hunOrea �$100� or less�, I certity ihat in Ihe p¢dOrmance ot the wOrk �ar whiCh ��is permi� is issued. I Shall no� empl0y any person in any manner So as Io 6eCome sublec� to the Workers' Compensa�ion Laws ol Cali�omia. Oale: Signa�ure: NOTICE: II, aiter making IAis Oeclaration. you s�oWd �ecome su�lecl to Ihe Warkers' Compensation pmvision5 0l the LaDor Code. you must fOrthwi�h comply wii� such pmvisions or Ihis permit Shall be aeemeA �evoke0. CON$TBOCTION LENOING RGENCY: I hereby alfirm Ihai ihere is a con5iruction lentling agency �or �he peAofmance ot ihe wOrk for w�ich ��is permil is i55uetl (Sec�ion 3097. Civ. C). lENOEfl: aoosess: OWNEB BUILDEfl OECLABRTION: I herehy aHirm I�ai I am exempi irom IA¢ Contraclors' Slate License Law for ihe following r¢ason (Section 7031.5 Business an0 Professional Coae: Any cily of counry w�ic� requires a permit to constmct, alter, imD�ove, demolish, ar repair any stmc�ure. Orior to ils issuance, alm requires t�e applicant for such Dermit to tile a signetl statement ihat �e/she is licensetl pursuant lo �he pmvisions oi Ihe ComracloK S�a�e License Caw (Chapter 9(cOmmencing with Seclion 7000) o� OiviSion 3 o� ihe Business anA Prolessions Code) or that helshe is exempt Ihereimm antl the basis lor the alleged exemption. Any violation ol Section 7031.5 by any applican� br a permit sublec�s Ihe 20Plicant �o a civil penalry ol not more lhan �ive hun0�etl tlollars (5500). 1. as owner oi lhe pmDerty ar my emplayees vnih wages as tAeir sole comDensation, vnll tlo t�e waM, antl t�e � stmcture is nol inlentletl or oilered for Sale (Section 7044, Business anA Pmfessional Cotle: The Contractors' State License Law tloes noi apply to an owner ol a pmpeny who buiips or impmves th¢reon, antl wno Aoes sucn wark himself/herselt or thmugh his or her own employees, provitleE that such imDrouements are not imen0etl or oflereA br sale. Ii, Aowever ihe builtlinA or impmvement is so10 wi�hin one year of complelion, �he owner will have Ihe burtlen o� Dmving he/she tli0 not build or improve for Ihe pur0ose of sale�. I,as ownera�the pmperty,am exclusivelp coniracting withlicensed conlractorsto constNcithe proiect�5ection 7044, Business ❑ antl Professions Cotle: T�e Contractors' State License Law does not apDty ro an owner ol pmperty who UuilEs or imDroves thereon and wha coNrat�S �or SUCh pmIeCIS wii� a conUacior(s) liCenSe pUrSuani lo Ihe COntrat�Ors' State License Law�. I am aware ihal Drool ol Iheir Worker's Compensalion insurance s�ou10 be OmviaeA to me. � I am exemp� un0er Sec�ion', 8. 8 P. C. �or Ihis reason: Oam� Oaner. I Oo hereby cenily thal I am aware of antl unders�antl Ihe requiremen�s of Calilomia Heal�h antl Safeiy Cotle Sections 25505, 25533, antl 2553q anA inat I or any future builtling occupant willlwill not (circle one) need Io compty with saitl slate co0es an0 ihe reQuiremenis for a permil for coretroction ar modificafion from fh¢ Air Ouality Management OiStricL Residen[ial cuns[mction aDP��ations are exemp� tmm �he;¢ pmvisions. �a@: Npplicanit � �Cre�y certily Ihatlhave readl�is applicaiion antl slalelha�t�e aboveinfarmaiionis correcL lagree lo comply with all ci�y ana counry ordinancesantls�atelawsrelating�aUuiltlingconstmciionandherebyauthorit'�vesol 'rit enteruponlheahove-mentionetl pmperty �or inspeclion —p7urpases. ` yzt� � / / "� ` Signa� re��% � Driv¢r's �icense m Socia� Security a: �6<1-46 Wtiile—Boiltlin4: Green—Cade EnlorcamanC Canary-Aodkent Pmk—Revemre: Goltlemod—A«e<sa CITY OF COSTA MESA — BUILDING PERMIT , . PERMIT NO; B 058627 PLAN CHECK NO; 03125-92 S , , CONSTRUCTION TYPE; V=N" PERMIT TYPE; STR PURPOSE; ALT JOB DE3CRIPTION : SKYLIGHT ICBO#4138 SQ FT; 875 CLAIM VALUE; 875.00 CALC—VALUE: 875,00 GROUP OCC; R-3 / COMMENTS: REF:B54949 **+��r�x �r*�**x�*�r*********�r*�e**x �r**xx******+�x�*x�x�*x �*****+�*****+r******�r*********�*+� Z O N I N GS ERTEB�AUCIKRSE M E N T S ------------ MAIN BUILDING ----------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR; FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN PLANNINGRNO�'ES> PROV; PARCEL: 42629110 ZNE; REF NO: i *��r�***�*��r*�e*�e��**+��e*�**�**�r�r��r*�r�***�r�r�***��**�r**+�x��r****�r�r**�e*�e�r**,r*�r**��r�r D E V E L O P M E N T S E R V Z C E S R E Q U I R E M E N�T S ZONING APPROVED BY DATE; HUILDING APPROVED HY ; DATE: APPLICATION ISSUED BY; r DATE• -- %—`�1.�— ikifif{titiliEiEiFkiFiFiElk�fitkikfkiklfik lEiFkiflflkklFiFit IFiE if kif dflE 1F 1flE iF iFlt �F �f itlElFiF iF�k 1EikiflE iFif ik �! if iF �F�F k if ilitiFikiklf if iF if �t iF�flf fk �k�Fftif k it IE�flk Ik�t if ik fF�E 3f ik �1f �F 3f IFik �t ik IF iF�t k k iFdf iF LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 23,00 SMIP/NON—RES PLAN 14,95 ISSUE FE& " HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 23,50 0,00 14,95 38,q5 38,95 ,00 REVENUE DIVISION TOTAT,S--> COLLECTED• 38.45 OVER/SHORT• 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 23,00 ' ,50 14,95 if ik if if iflF k 1E kikiFlkik ik if iF �liFiFiE IkikiFiF iFfF it 1f 1F Itlk iFiE it if if if iF iFlF iF �F�k�E�E�E if M if M ik k k iFikif iE iFiF iE k iFiF iFiF if fFlE k k iE �t it �f k 3k if �E iE I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 875 ALTER BY VALUE RESIDENTIAL NOZONE 1,00 875,00 END OF FEES 01 �332197i-CU��77�� ,-� T 'Jt1TE� C�Ril?!^i T�rcz i,,•-;. GONSTRUCTION AND PLANNING POOL PA � APPROVALS Permit # � bate Inspector APPROVALS PermYt # Date Inspector i. Temporary Electrical Serv`�e or Pory:. � 52. Pool & Equipment Location .- 2, Soil Pipe-Undrgrnd. �� u�2 '✓ - 53. Steel Reinforcement " , ,,;3tiEt�ctr'.;cal Condy��iiliry�t7niirgmd�'� .� . 54. Forms � �c 4 YE12ctrital Cooduitl.h�drgrnd.,- �� 55. Electrical Bonding •.� "�5;"S�eet;�ietnforceii� �` _� 56. Rough Ptumbing & Pressure Test � .L•b.��ikctricai UFE9;Gend. o " 57. APPROVAL 70 COVER�GUNITE �;. � .. =`�9�;�?�otings =� '-� . 58. EIEc[rirai Conduit�Undrqrnd. "` N� ?_�, Foundation ,.;;� �' ,� 59. Gas Pipe, � Undrgrnd., Test , � '-9. Water Pipe-Undrgrnd. �. ;," 60. Backwash Lines, P-Trap; O Undrgmd. 1:Q. Scructurel Floor System ( %. . 61. APPROVAL TO DECK >>, Rcoperty Sewer Line & Hcro'se Conqaction � 62. Backwash & Receptor�Final mi 1 12. S�wer Cap � � , -' 63. Heater & Vent•Final 13. floof Drains �'o � 64. Plumbing System � Final 14. flough Plumbi�g r' � � - 65. Electrical�Final � 15. Rough Electrica"7-Conduit � 66. Solar System-Pinal 16. Rou9h Electric�Wiring � 67. Fencing & Access Approval 17. Rough Wiring;§ign 68. APPROVED FOR PLASTERING ig. Rough ElecviEat-T Bar Ceiling 69. POO�(SPA SYSTEMS FINAL 19. Rough Heatin9 & Air Conditioning FIRE OEPT. REQUIREMENT C . i7'�-+�A'r+ T. a �S 20:�7Rough Eactoiy F:�Taplace � A h <L"' > O:: c.� � rAPPRAVFC�"SJ�...PerTnit # x >' �: �' :P .t ,> r .^.'i' a S .+ P'x � .S .:1n:� :? � " } i�• 7-'f,. �.-, {.� 3 1 :-. . 3. �' 1 < Tl 21..,Ducfs, in.Stipctu�ex �,... .� :,� 5 p i�< x�70. UndergroUnd HwCro •< 22rRuAs, VentttatiriQx � f>S X�, K S S; #--7t, produc,t�f��ng O�as QOiI 23;,Ga�'Pip'cxRnujh &'�'est i �� y m � ��.� k y72. Underg bynd Flus�i�ij,l �< :� ¢, 24:z'RoafFraming .:7Y ir � y�f x7 Q �;�%x .73�Undergrnd'.Stordg��2nk;t7Gas ❑Oil 25. Roof Sheathin "�` E '� ��'7 :*s O vx x.- p v �-- _, z - 9 n;� � �- n � -:7�r x 74,�Overhead Hydro� x 26iT�8ar Ceili�g (Str.ueturall & Monocoat x m�!�tx £ 75 �Dry C�emical ' x� � � �Y ^ H i � !�+ lI 27'�Frameand FlashZnc� � ,��. � "" 76�D' Stan �i�e �� °C s '' � u. :� .� _.... .: a . � ? � x � �Y cf'P_P .- � >: � ,.�28�Lathin'ry� Siding x i �;��,= ��-r, x<' ••* * 77= FIXED �S TE(Vf� INAL" v ^ � �29. Insulation �-, � C _� .. > � ,; � s - � � : >. ;, s�� r 78; FIRE PREV. FINIa�L �;� .� r30. PrywalMlailing �� •_ <--� y �NEALTH�DEPTtR'EQIiIREMENT � n-�- �31. Plaster Biov�� Coat` ,: i rr r ' -!,: k 79'�PINAL INS�ECT(ON • J . - , �'�32.;�Electri a Po�Ner MeterFinal: ' z��. '� �+� n80:r,F00D CERT FI ICtCTE 155UED� _33:ZFinei Eteciri'c � .r ! Q ,;�'`� � h « `'No�f`es: � : ;� � - � .;; - > %'•3Q-�Finat Fj�ati q & AiyCondition_Pg * �� _ * tc � ti _ • s a .: ,. '35 ^Firiel Gas Pip'e-TeSY� � � ' � �' � �-''"� T4' `' � '' � Y � i F~ .-� r.:K S-1 7.-. �c .�i� � •. Y . • '1 �36:�Nood or Canopy � -" i .,-� �i x ,^ . �' t � � s :'a ;: �S'r '1'.' , lK ..� � T� �37C'Fina�l Pactory Fire�JiaceX �''-" � q'-'7 � " - x .; � �r !_� � K.K - • u .K � � .. .� y� ' S ' �38 �Fir�ai Plumbing �� n � y �� I �+? x S � � � J .�39:-Waxer Service-Finah i -- �: ( � � � �' - °' R � i 7 ' 40�� Gas Service=Finai " = ' "� � ' � � T . S L: , �K t�: I I 2 Yt S 1J K N s4��i$olarpomesticFinal; ^� � �� > :- " �" ` (- « .c * rr ^tL .t � -42}'6acktlow PreventeS`. `' �; � "� i n . �F > � • .. ' 43. Backflow IrrFgation' � � � S '� ` ` z - � . � • � r. �.� . r •r �: c` --i. • � 3: ' '� .s ., �44. Lendscape I��rrigatiqn System;; ;r; K .; .� _, p ��a- �: � a� � !: - i45v.Sound AtteHuation -a�^- '' ' > ' =- " ' � `"' S"� ` n n �n ,r r�. n � - � -� 7 F ?46."NandicapRegulatidns � j �'` •• • • � :� ,^ -� • �A7.�FItV•ALSTRUCTURE&BUCLDIiJG r 7 � � '� �.��5 ` er 1 � x 48:LFINAL PLANNING j��: K n; � � •� � Cn ;, x - ,4g ; EleMric Release to �Edison i +� �`� '! � � �� x � '^ �. K ' Y :j' �`,�'-1 L `50._Gas�Rel�ase to Souihern Califor,n'a Gas Co k � � y ' _ . `�'''� � � y l i r 1 �r . � • ? "_51. CERTIFICATEOE.00CUPANCV , . ,. r ro = V _ �- No. Date ' Aoblicant to Btl in all spaeas wlNtin neavy boraer lines ana sign all avPropri;lp tleo� %�Uons. ( CiTY..O,F COSTA MESA IT O. TRACT NO. - LOT NO. BLDG. NO. CONSTRUCTIONPERb"„T, �F ,3��9 � Prolecc Address � . TVPE OF CONSTRUCTION , � � OwnCf ' - Phone � ❑ NEW ❑ AOD �AITERATtON � � �AddfeS'-- ' ' - - ' - �REPAIR.00ONVERSION ❑DEMOl.ISH. . � ArchlEng. - Licenze No. ❑ o7HER � � Ad[JresS "- � DESCRIPTION OF WORK 1�Contractor � - Phone TVPE OF PERMIT � . ' � !�Addre55' ' - � � ❑GRADING ❑ FOUNDATION -OSTRU,�C/TURAL GCENSED-C NTRAGTOR DEC4ARATION . � ❑ TENANT O�ELECTRICAL OPLUMBING-L/M�ECHANICP I hereby a/6rm th:.t I am IlcenseE Untler provisioni ol Char[er 9(com- � � mBnUng-with'sectlon']000) of Divizlon 3 oLtne Builness an0 ❑OTHER ' Protezsfons Cotle, :antl mv IIc¢nse Is In iW� force ana a/fect.� pROJECT.DESCRIPTION�_ __ ' �icense Class C��'�% License No ��' . � ' � Date "' " ' �519na[uro ,"" ' " " " "SQ. F.T. '� �'7 '"' _ ' ' . _ ' WORKERS' COMPENSATION DECLARATION ''-_ OCCUPANCY '_CONSTRUCTION TYPE I hereby affirm thai I �ava a tertilicate of consent to self-Insure or a, VALVATION � ZONE certiflt�ate'of' WOrkers' GompGnsapOn InSurance, or d�Certiflatl�COpY� - - -- - . - . - - .- [hereol (Section 3800, lab. C.). GRADING CU. VDS. ACRES 'blicY No. ' ' "' . . ComAanY ' " ' " _' '_ _ _ _ _ _ ��Cartifietl copy is hereby furNshed, _ • REMARKS: �' �'!'!7 �erti(ietl copY �s filetl with tha ti(y Builtlin9 Divislon. �EXEMIPTION FROM�WORKERS'tOMPENSATION'DEGLAFATION " - --" - - - ' ' ' (.This.i¢cllon.neetl nOt.bG complet¢tl if the permil IS lor_OnG huntlretl .- .: _ ." _ __ _ ,_. _; ,__� _ , . .__ _ _ _ (SI00) or leul. � . _• . - �^ - 1_certify..that ln_the.performante.ot the work fOr whlch this permit is . issuetl, I snall not employ any per=on In any manner so as to become P4UMBING�.,�� '�?� PLAN CHECK � SubjeGt to.tha Workeri' CompGnSatlOn.Law5,01 CalilOrnla. " gqTHTUBS � �SHOWERS -"" -' Da[e Signature NOTIGE: If after making thiz aecldratlon, you snould betome'subjact -TOILETS � . �-URINALS" '- �'- to tha Workers' Campenzation provi5ions of the Labor Cotle, you must LAVATORIES' DOUB�E LNVS tOrthwi[h comply with Such prOviSioni Or this permit Sball be tleemetl —`j � revoketl.._ _ _'." """" ' "' _ ' CONSTRVCTION LENDING AGENCV �KIT: SINKS ' ` ' "DISHWASHERS- - ; -' IherebyaffirmlhatlherClsaconi(ru<llOnlentlingagantytOrthepe�- SERVICESINKS•��:(�-.SUMPS' " ' '}' ' ' -' formanGa o� the work lor whith this permlt IS ISSuOtl ($ection 3097 Civ'C:)C "—' '� --'""" —�' ' - FLpOR51NK5 `� FLOOR'DR�AINS"" - ' ' �Lentler's Name ' �- - � ' ` �Lentlar's Atltlress DRINKING FOUNTAINS ' ��' '-' -'- -' j ' ' OWNER'BUILDER DECLARATION' - ' - ' - INTERCEPTORS CLARIFIERS � - I he�eby aftirm thdt I am axompl IrOm the CoOlydG[Or'S LlcenSa Lnw lo� �- [hc folloWin9 red5on'(Sectlon'7031.5 Buslnes5 antl Pro/tssion5 Cotle: SWIMMING'POOL"" "'P'TRAP �' "�' ' Any_ City or countY which rtqu��es a permit to contVu<t, aller, Improve(tlemolisb'or repair any structure, Prlor to its Issuanca, also ro•' yyqTER SERV ICE -' ACTERATION '- ' -' ` qulres lhe ap�,liwn[ tor su<h perM� to Iila a signetl statemenl that ho �� is'lltensetl Pursuant to'the provlsio�s of [he Coneractor's LI[anse Law' GAS SERVICE OVTLETS — (Chap[cr 9(tommonting with Sc�tlon 7000) ol DIVISion 3 ot lhe � Buslne55 antl' PrWezsions Cotlu)'or tnat ne is axompt tnarelrom antl the WqTER HEATERS'� '" 8TU OUTPUT -.+' '^ �asis for the alle9etl exemplion. qny violatlon ot Soction 7031.5 by 'r'appllwnt'tor'a permit'sublects the apP��cant to�a civll penalty "SEWERCONNECTIONS ' a.'-' ' - not more lhan liva huntlretl tlollars (5500). - � I, as ownar ot the property, or my omployees wilh wa9os as lheir' SOLAR TANK' '' ""' COLCECTORS' ' ' " sole compensalion, will.Go.tne work, antl tha strutluro is not Intentletl or otteretl tor sale. (Seclion 7044, Bu5lnesi antl Rotesslons Cotla: The SOLAR PIPING SVS. � �( -�� - ' CAnt�acloCs_U<en5e Law tlo¢5 n01, apply lo dn owner ol_a property . __ .. _ _ who builtls or improves thereon, antl who tloez suth work hlmsalt or � ISSUE FEE throu9h.h15 own employCtS, Provitlptl tllal suCh imprOvemenl5 aro nol IOt¢ntletl or OHeretl fOr sale. I1, hOWevoq lh! bulltling or Impmvament � MECHANICAL PIAN CHECK Is.soltl within on0 yCa/ ol coTpl¢lion. lh< owner will �avo tbo burtlan •• of provin9 ne tlitl not builtl or improve lor the purpose ol zalo). HEATING SVSTEM 0-100,000 BTU �-1-' aYowne� -oi the• proptrty� �am excluslv¢ly COnVactin9-wilh -qND DVCTING " ' - � " - - ' ' ' ' ' ' licensetl conVaclors to construct the proJect (Sectlon 7044, Buziness 100,000,� BTU antl'Prof¢s5ions Cotle: The-Con�rd<[or's Llcen50 Law tloe5 not apPly [o an owner o/ properly w�o bulltls or Improves tnar¢on, antl who con- REFRIGERATION 0-]00,000 BTU tractrfrom-such-projects-with a coMractor�s) dI<eznetl� pursuanl to. SVSTEM �-- - � � � - Ine Coniractor's L�cense Law). 100,000'* BTV ❑ 1 am exempt unCer Soction ' - 8:6"P:0. for this gpILERS BTU �reason' - -'-' ' - � - SVSTEM REPAIR, ALTERATION Date —Ow�er I h¢rlOy certify a 1 hava rC his ppliWllOn antl itate lhat the abov¢ EXHAUST $VSTEM MULTIPLE - inrormation is or et � re compty Wit� all tity anC county otdinanc¢santl t t t0 conSVuction,antl hlreby authOrize fepleSGntativ¢s to 8ntlr upOn [h8 atiOve mentlon¢tl Oroperry for c , Signature ' Date �Z �1' Drivers' License or 55 � -� � � - ISSUE FEE �• CMF 0865-46 W�ile-Builtling; Cgoary-HpPlicant; Pink-Attountlng; Goltlenrotl-Assessor �1 �: .6328 5/25/82 ZONING REGULATIONS 5.00 TL A.P. � ZONE PLNG.REF.� -� - rn wui�oirac . �REARYARD(TOP/L) ' � " ". "` '- ,PKG:SPACE REQ. ' '" ' PROVIDED, . ' �STREETWIDTH- " ' "PARK'FEEE- - 20NING APPROVED BY - - 'DATE- - - � - i SPECIAL CONDITIONS: � — -� ' ' ' ' ' "_ '_ _ ') -_.� I�C�1 ,� - � � i .�.� ,('; . �ELECTRICAL - �PLAN CHECK - � � 1 Sn.FT. SO_FT_ � � GENERATOR- 0-1 KW'_1•10 KW ' ' "'' - TRANSFORMER • ,- :�+ �� APPL�ANCE'- ]0-SO�KW�_SO+�KW--�--- - MOTORS - �py-HP--yl-10 HP= - � �- r � � �pNC.50LARI--,10-SO.HP SO.+HP �' _ '�� FI%TURES ' - OUTL-ETS^-SWITCHES�- - GAS TUBE SIGNS --^ - - - -- •-�� - -- ...) �POL•E L'IGHTS'^ -• - ^ ----- - �� POLES � ' METERED - SUB � " � PANELS - MAIN SUB - - - - � SERVICE � � -- � � -- -- AMP- � - �� t � . ' _ __ __ �_ _ . - __ ' ' ISSVEFEE� - --- - - - - 'APPLICATION APVROVED BV ' � � -DFTE : ( ' SUMMARV OF�FEES '- . �BUILDING-- --- � -- � - � � - ' _ PERMIT S . SMIP : .E_ PLAN CHECK S .PERMIT.. - 'PIUMBING s O�-` �SSUANCE S ' �,PLANCHECK § � '- - - GRADING 'S.�' _ ,ELECTRICAL S ' - S , PLANCMECK' E' - _ MICROFILM E � ' � TOTAI. FEE E" ^ �' MECHHNICAL �E - - - - - �� 1PL-ANCHECK S � ' _' LESSAD- �� • �: - VANCEPC E_'-"'-- FINAL FEE E � ,_ . � J . � . POOL & SPA, . . ��i1�_� " CONSTRUCTION AND PLANNI G � : : t. _ ,� . . , � � _ APPROVALS Permit # �_ Date -'Inspeetor ' qppROVALS . . Permit # � '- Date Inspector� � 1. Temporary Eiectrica� Service or Pole ' ' ` • � 43. Pool & Equipment Location � - - - - - �-. . . 2. Soil ipe-Un rgrn 44. Steel Reinforcement � � � • - - - -- � 3. Electrical Conduit Utility-Undrgrh 45. Forms , - _ 4._ _Electrical Conduit-Undrgrn 46. Electrical Bonding ' � � . tee ein orce � 47. Rough Plumbin & Pressure Test � � � -_6.._Electrical.UFER.Grn - 48. APPROVALTOCOVER-GUNITE- - •� - � .7.. . Footings, 49. Electrical Conduit-Undr rn 8. Foundation - 50. Gas Pipe, ❑ Undr in, Test � • - 9. ��Water-Pipe•Undrgrn _ ' 51. Backwash Lines P-Tra ❑"' n r ' " - � 10.• .Structural FloorSystem . - 52. APPROVALTO DECK - ' ' 11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final • 12. -�Street_Sewer Connec[ion - . " ' - - ' � 54. - Heater & Vent-Final � � _ 13. Rough Plumbing ' ' ' - ' = " - -- ' �' - - - • 14. Rough ElectricConduit ---- -- -- -�56. • Electrica�-Pinal � � � 15. Rou h Electric-Wiring - � � 57. Solar SYstem•Final , ' - 16. Rough Heating & Air Conditioning - -_ � - • encing & Access Approval : i . 17. Ducts imStructure- - � '' APPROVED FOR PLASTERING �• 18. Ducts, Ventilating -- � - ' . _ _ 19. Gas Pipe-Rough & Test � - _ . �'60. P.00L/SPA SYSTEMS FINAL � �� ' � • � �� .�� 20: Roof Framin9.. - - - - ��- - - - . . . . • u , � . � - , . ^ . 21. Roof Sheathin ---� . ' - -. . - . . . . / � . ' � +.�/. � ,- •� �� ' . . 22. Frameand-Flashin - - - - - � _ NOTES:•' � �r� _ � c/t� � i � �.�sG �z/.ir r� 23.•- Insulation � -•- - � - - '- � � r � ,.T, G: - 24. lathing & Siding - - � � � - - - � - •. ,. ' '' .. .. ' . � �25. Drywal�•Nailing � � . - � ' • � ' 26: -Plaster Brown Coat - - - - " ' � • 27. Electrical Power Meter-Finai ' � - � - ' - � ' ' 28. -Final Electric - -� -� - - - ' � - - � � � � • � 29. Final Heating & Air Conditionin �- Z - � ' - � • � � ' . ' 30. Final Gas Pipe-Test i - ' - ' � ' • � - 31. - Final Plumbing ' � � ' � 32. - Water Service-Final- - - ' - ' � ' - ' � 33.� Gas Service-Final � � ` 34. SolarpomesticFinal' ' � ' ' • ' � - 35. Landsca e S rinklin S stem ' '� ' - ' � 36. Sound Attenwtion � ' - � � - 37. Handicap Regulations - � � �� -- ' � ' � • 38. FINALSTRUCTURE&BUILDING ' � � � � 39. Special Requirements Completeq ' - � � � 40. Electric Release to Edison � � - "" - � 47. Gas Release to Southern California Gas Co. - ' 42. CERTIFICATE OF OCCUPANCY - No. Date � AOO��ant to fill in all spaces exceot tnosa within neavy eortler 1(nes antl sign a11 aoo�oo�iate tleelarations. CI7Y oF COSTA MEsn CONSTRUCTION PERMIT ProjectAddress �� - �q� �} • Flpp�icant'sMailingAddress ��nOC)^SY10Y�f1.NCh Owner's Name �� p ��/��n Phone Address 3�� --"�� ' ' Arch/En9. � License No. Address Convactor's Name ' onegR$-`��3. Address ( mai ling) � � CO "C'�\t�t10� c:� City License No. �.a�q 3 UCENSED CONTRACTOR DECLARATION � I hereby afiirm tM1dt 1 am licensetl unde� provi5ions Of r�+� 9(cornmenGing with 5ection 7000) of Division he Business T Profess ns otle, antl my liCense is in (u force antl e ect. LicEns¢ CIaSz �T�� Cense No '� �� Date � - Si9nat WORKERS' COMPENSATION DEC RATI N . � I nereby affirm that I have a cerlificate of consent to selt-insure or a Certificat¢ N WO�ke�s'-Compen55tion Insurance, O/ a certifiCtl mpy the�eof ($ectlon_ 3800, �b. CJ � � PoIICY No.�cP (�074413 comPa„v.i��ocdc ilcc�al6cQc� eCartitietl capY �s hereby furnlshetl, . . . C9rti}ie c i5 tiletl with the City Builtli n. Dale�� • AOP��ant �� ✓� G EXEMPTION FROM WORKERS' COMPENSATION DECLARFTION (ThiS section neetl m[ be compl¢tatl ft the p¢rmit.is fpr one huntlrBtl (E300) Or I¢ss). 1 c¢rqfy'that in the Performance of the work tOr which thi5 permk is IsSuetl, I. snali not employ any person in any manner so,as to bemme subjact to tne Wo�k¢�5' CompensatiOn Laws of California.. . Date � 99nature NOTICE: H, after making this tleclaration, You shoultl become subject to the �Workers'�Compensation provisionz ot the Labor Cotle, you muzt forthwith comp�y with such provisions or Ihis permit shall be tleemetl revoketl. � CON$TRUCTION LENDING AGENCV " � I hereby d(fl�m thal tpe�e is a COnst�uctlOn lentling a9ency for the p¢rl0rmance i 01 lhe work tOr .Which this permi[ .is issu¢tl (Section 3097 Gv. C.) lantlpr's Name � Len�er's ACtlress � � OWNER BUILDER DECLARATION�' � ' 1 hereby attirm that I am exempt irom the Contractor;s License Law for the follo�yin9 reason (Section 7031.5 Business antl Protessional Cotle: Any dty or ' county wnich requires a oermit to construct, alter, improve, tlemolisn or repair any S[�ucture, pd0� to ifz issuant¢, also requlreZ [he apP�icant t0� SUGh Oe�mil l0 tile a Si9�etl itatement that he/she Vs IicenS¢4 OUrSuan[ to Ne prpvlsion5 of the Contractor's Lfcense Law (Chapter 9(commencing wiN Se<tlon 7000j of - Divizion 3 of tne Business antl Professions Cotle) or that ne/5ne is azempt thcrCtrom antl tho basis for the allugetl axamption. Any violation of Saction 7037,5 �by any applican[ tor a Pe�mi[ subje<ls [he appliWnt [o a civil �enelty of not more than tive hunOr¢tl tlollars (E500). I; as owner of the P/operty or my emPloyee3 with wage5 as thelr Sole comben5ation, will tlo the wo/k, antl the st�uctu/e I5 not inlentletl or offe�etl tor ¢ale (Seclion 7044, Business antl Profeszional Cotle: The Contractor'S Liceqs¢;�w tloes mt apply to an owner of a property who builGs or improves ther@on, antl who tloes su<h work ntmzelf/�erzel! or tnroug� nis or ner own empl0yee5, O�Ovitletl that such ImDrovements are not intentle0 or OHeretl fOr 581¢. If, how¢va�, thC builtlinq or imp�ovement i5 sola within ono year o1 com- pl¢tlon, the owne� will have th0 buttlen ot proving he/she tlitl not buIIG or im- �/Ove fo� the pu�pose of sale). I� as owner of [he properfy, am ezclu5ively copt�acting wlth IlcenSetl com tractprsto consVuct the projeci ISeption �044, Business antl Professions Cotle: The ConVacror's l.icense Law does no[ apPly to an owner of property who builtls or improves thereon, antl who contracts tor such Orojects wlth a con-' tractor(5j Ocense oursuant�to tne Contractor's Licenu L.aw). I am aware that proqf Ol their Wo�keCs COmpensaHon in5urance shoultl be providetl lo me. ❑� am exempt untler Section B. & P. G. for tnis reason � Date Owner - I he�eCy cerUty [hdt I"have reatl'thls ap0�iwtlon'antl state that the above intormation Is correct. I agree to comply wieh all city antl county ortllnances antl state laws relatin9 to builCi onttruction, antl hereby authorize repre- sentdtive o this city ente upon the abova-mentionetl,property for insp8ttioii p s s.` a �� Signa[ure Date ��-� Drivers' License or 55 q - � TVPE OFCONSTRUCTION LJ NEW�AD� LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH OTHER � A p # DESCRIPTION OF WORK/USE OF BLDG. S Main Buildi E TVPE OF PERMI� GRADING FOUNDATION STRUCTURAL � T Front ❑ TENANT LECTRIGAL ❑ PLUMBING ❑ MECHANICAL B Rear ' ❑ ,OTHER ' . . . ' , A - PROJECT DESCRIPTION 54. Pr.� - - oCGUPANCv C Right K Lett CONSTRVCTIONTVPE VALUATION$ $ � ZONE � GRA�ING CU. VDS. ACRES p�ng. Ref. # Remarks: ' � . Planning Notes: Preventer Irrigation Floor Drains Floor Sinks ' Gas Service Outlets Interceptors� Kitchen Sink � Lavatories P-TFap Root Drains - . Reinspection'Fee � Boiler Duc[�- Under Ground Duct - Structural Duct : Ventilating ExhaustSystem ❑ Mult Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑P700,000 BTU �100,1 Reinspection Fee CMF 0865-46, rev. 4/84 White - Builtling; Canary . Appliwnt; Pink - Accounting: Goltlenrotl - Assessor PLUMBING Showers � Service Sink - - -- - Sewer Cap Sewer Connection Solar Collecfors , Solar Pipin9 Solar 7ank Swimming Pool w/Spa � � Water Closet - Water Heater • Water Service I = - $15 0 Issue Fea. Hood or Typel ❑ Canopy Type I I ❑ Refrigeration System ❑6100,OOOBTU ❑100,000 System ReOair/Alteration — �- � Fae FEES - Automatic Washer � Constructior Pole Sub. Cooking Unit Dishwa5her ' Dryers ❑Gas ❑Electric $ 3 FEES $ 3• 9B09 10/10/84 8.00 'TL Zone Accessory Building: _ _ ,- Parking Req./Provided ELECTRICAI Fan F.AtU. Fixtures - - . Device Boxes Outlets Switches Garbage Dispoul � Generator �0.5 KW 05-15 KW Transformer �❑ 15-50 KW � � 50 + Kw Meter ❑up to 100 amps Meter �over100emps� Sub Panel Motors � 0.1 HP Q i X- B Inc. Solar, �9-15 HP 016-15+ Pole Light � Range �`� � Sign ' Standing Sections Trash Compsctor (_1�G (�� R V ; t I ReinzpeMian Fee I$15 I I luue-Fee� * DEVELOPMENT SER VICES REdUIREMENTS: Zoning Approved By ' � Building Approved 9y $ 3 +,�5 SUMMARKOF FEES � ' 8UIlDING PERMIT $ ' SMIP $ PLAN CHECK $ �PERMIT PLUMBING ' $ �SSUANCE $ PLAN CHECK 25% $� ENERGV P.C. $ �-�LECTRICAL $ �� GRADING $ PLANCHECK �50% $ ,MICROFI�M. $ fv1ECHANICAL $ �TOTALFEE $ •OO PLAN•CHECK 25% $ . • Z O N I N G R E � M T S. CONSTRUCTION AND PLANNING . . POOL.,. SPA APPROVALS Permit# � Date Inspector - qppROVALS Permit# Date Inspector 1. Temporary Electric8l 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, � Undrgrnd., Test : 9. Water Pipe-Undrgrnd. • 6p. 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 - i 6. 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 O Gas ❑ Oil 23. Gas Pipe-Rough & Test � � 72. Underground Flush � �. 24. Roof Framing, ' � � 73. Undergrnd. Storage Tank O 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 � , 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 pomesticFinal ' � 42. Backflow Preventer , ' �• 43.,Backflowirrigation ; ,-,��....,- _. � 44. ,Landscape Irrigation System II1C007 45. Sound Attenuation . . � � � 46. Handicap Regulations �8 ---- 47. FINALSTRUCTURE&BUILDWG . .q . � 48. Special Requirements Completed ' � � � ., � 49. Electric Release to Edison • � � � 50. Gas Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY No. ' ' Date � . ' AOP��t to fill in all spaces within neavy bortler lines antl sign all approo/�ate j CITY��OF�GOSTA MESA' � ae MIT NO. ' - � TRACT'NO. 'LOT NO. ' BL ` - ` ' ' �" ' ' � ' - ' - � CONSTRUCTION PERMIT 3�%8 � - _, . ' S31� 4Y30/82 � 10.00 Tl' -. Proiect Address � * ir� � � TVPE OF CONSTRUCTION i � � L� �..�-_: .- .. . �. � _ • � Ownef �� S' � "- Phone `' ' - ❑ NEW �' O,AOD ❑,ALTERATION � � = - - � : ' - , 7 t AddfeA '3y�j'�- �9 - ' -' -- - - � ❑ REPAIR ❑ CONVERSION.ODEMOLISH � ... _ - � _.. 'ArchlEng.- - - � License No.- - - -- ❑ OTHER ' '' " ,A P..�� : _ ZONING REGULATIONS� . - �"Addfe55 � '� ' - " - '- -- -�- .- . DESCRIPTIONOF'WORK ' _ _ '� ZONE � PLNG. REF: � " ' Con[ractor �''- „�Gr ° _ " Phone),S/'{� iYPE OF PERMIT+ -- - � "" ' "' "'- " i ' " . � . � -- . ". . . ..T �� - p- ING SETBACK C 5T. ' P RTY LINE Addre55 TJ " m.,, - � - - � " "'` � .�ia�� - � GRADIN ❑ FOUNDATION � STRUCTV RAL' 51p E'YARD ^' -', - ' - , ' - LEFT. CICENSED CONTRACTOR DECI'ARATION -" � �O-TENANT�LECTRICAL' OPLUMBING-OMECHANICA -5 IDEYA � - - -- - •-• -- � � - - -- - I hereby afflrm th&L I am Iicensetl unaer provl5ion5 of Charter 9(tom- .�,; RIGHT. . � mencing with sectlon ]000)"of�Divisloo-�3-of-the-Business�antl � DOTHER - = -- - - - - �-- - ...._. ... __._. ___A ,� Profess{ons COUe, antl y Iicense is In tull forc ffect., PROJECT DESCRIPTION � REAR YARD (TO P/L) � ,,, • '".C"T�1- �'�G�O PKG.SPACEREQ. . �PROVIDED" - - Licenze lass _" ' ) -. ,____� -� - 1 _ . . � �� ' _ _ _' " ' _ "' _ ' ' _ .' . "" �� y�� l�o . -� Date �--Si9nature �41 /��••�1•� . . : �SQ..FT. . . -. _-�... " ,'_ ' OCCUPANCY_CONSTRUCTION TY.PE � • STREET WIDTH PARI( FEE 5� WORKER COMPENSATION DECLARAT�ION ' - "ZONING-�AP7ROVED BV- - - - -DATE ' - - 9 hereby afflrm that I have a cer[Iticate of mnsent to self-insure,or a��VACUATION • ZONE � - �� certlfiwte oPWorkers'�Compensatlon Insurance; or-a-<erHfletl�topy � � - - - � �- - - --�-�---. _._ _. _ _ . __ _ _ _ _ 1 �SPECIP.L'CONDITIONS: - thereof (Section 3800, lab. C.). � GRADINGCV. VDS. - � ACRES o=q<Y No. - _ - ComPanY_" __' . _ _ ' _ '_ ' _ ' _. ._ _ . ., ' . ." ' : ' " r ' _ -. . _ ' ' ' lertifietl coPY Is:herebY fumish¢0. " - ' ' " - � '-" --- �- REMARKS: • .. ' - `'---� � . - - " "� ' _ � --. .. _ ' ' _ ' .. _ _ _ _"_ ' :ertlfietl copy is file0 wlth the cily Builtling Divislon. � � . . • h_ ' ,. ,�,,�; _'_"' . . ._ ' �.. _ .. . .._ . EXEMPTION'-FROM VJORKERS'�COMPENSATION DECLAR/1TION �. - . - . � ' ' ' - ' ' (Thit 5ection neetl_no[.ba mmpletetl if.the permiLls.(or.one,huntlretl , . . - -�, __ . _. _. _ . . . _.._.;... ._ ._., t '_ � �� (E100) or less). . .. .- . ' . . r' ' ' - ' - -'' � " - i I.certlfy,thaf in [he�.performan<e of..tha work for,which thi5 permit is - Issuetl, 1 sh II n t employ any person In any ma ner�$ asto�become � PLUMBING�- ., � PLAN CHECK�' - -�- �jECECTRICAL`-- �PLAN CHECK -7 subjact to W kers' Compensatiee�lvz of�qfpia.�' _ _ ._ __ - . _ _ ' _ . _ . _ _ . r_ _ . _ _ Date _.J�519naWre � �_ �!1+.�� BATHTUBS � SIiOWERS 'i ' � ` _ , . ' NOTICE: If af[er makin9 this tleclaratlon, you shoWA become.zub�ect '-TOIL•ETS. �) �� : �URINALS� "-' - -- GENERATOR' "' 0-1 KV0��1�30 KW� �� j� to the Workers' Compensatlon provlsions of tne Labor Cotle, you musf __ �TRANSFORMER . �.7 forthwith comply with such provisions or this permit shall be tleemetl LAVATORIES DOUBCE-L'AVS � ' APPL'IANCE 1P50 KW�SO+KW - - — - r¢vOketl.�_. _ _. 1. _ _- "._�_'"_ .� . . ._ __' �_." - " _ ' '_ _ _ " _ . . , _ n r CONSTRUCTION LENDING AGENCV KIT.SINKS -- DISHWASHERS--��'� ' 'MOTORS- " �'"':03 HP�1=30:HP - ' '- .- I bereby afflrm tnat there Is a construttlon lentling agency for the per- -- --- -UNC.�SOLAR �_� ��'� -'�- ' Tormance of the work for whlch this Dermit is issuetl (Section 3097 SERVICESINKS '•?} (,�,;SUMPS--' . '-�'�' '�30-SOHP=- SO�+�HP- �,_, i pv'C:)_�._ �._' '.__� `__'-_ "' '....�' _ _' _ _. � '_ _ FLOOR SINKS' � FLOOR DRAINS� � �FIXTURES`�' "OUTL'ETS'- "SWITCHES " -'"'r Lentler's Name `' ' ' ` " �'��' ' ' ' ' ' ` � ___.'_' "" _ ' '"' " . ""'_ ._. _.._ ___ ._ . . . �..,�_ _ _,_. . �Lentler•s Atltlress � ORINKIIVG FOUNTAINS �� T'-" - �GAS'TUBE SIGNS+" "' ""'-"— ' ' ' - - - � OWNER'BUILDER'DECIARATION'-' "-"-'"-"--"--"- - --"--' -" '" • ""' . . . "' - -'-' ' 1 here�y af(irm thai I am exemp[ from tne Contractor•s License Law (or �NTERCEPTORS CLARIFIERS � �POL'E"LIGNTS - `^- �" t�e"foliowing reason (Sectlon ]031-:5 Busines5 antl'RofesSions�Code:- - SWIMMING POOL - - � P TRAP"'-' ---"- i' �'�' - ' , � � '-' ^, '-" - - ^ 4 Any_ city or county which reQWrei a permi[ to construcl, alter_ - �POLES � METER D� SVB�� '{ ' Improve, Eemolish"or'repatr any'struc[ure; prbr to9ts issuante; also're- -yyq7ER SERVICE� ALTERATION�-�-� " � �� - � � "�PANE�S' " ""M IN�'= � '-'SUB' ' ' - ' quire5 th¢ ap4��nt fo� SUCh p¢rTl[ to (ile a Si9n¢tl s[atement that he � � � �•' •"� �'• ^�- ' _ � is IitenseC' pursuant"to t�e'provisions o('Ihe'ContractorY'License'L:aw' GAS SERV ICE ' OUTLETS � r.� � ;SERVYCE'� -"��' � 3� AMP�(�: � ' -'' (Chapter 9(commen<in9 with SecUon 7000) of Division 3 of the • _ � 8usine55 antl Prbfessions' Cotle)br tha[ ne is exempt theretrom antl'the- ' yyqTER HEATERS - -� BTU OUTPUT ��' � ' - � � ��-'- -' - - - -'� " -' - '- ' ' - bazis for the allegetl exemptlon. Any vlolation of Section 7031.5 by - - eppliwnt tor a "permit'subletts the applicant'to a ctvil'penalty' "'SEWERCONNECTIONS - -� ��- �-- -' - -'-' �" :-� - " ' -'--' - '-- "" ' � .t more lhan nVe nuna�ea aonars (E500�. ' � ' '- ` � -� � � �.; as owner of the property,�or my employees wi[h wa9es as their SOLAR TANK� - "�COLLECTORS �" '' '� - '-'� "-- ' '— Sole.coTpensalion,.will tlo Ihe.wo�k,.antl_the st�uclum iS.nOt intentled_ -- _ . . _ �_' ' „ « _ � � �� or offeretl for ule. (Sectlon 7044, Business antl Aofessions Cotle: The SOIAR PIPING SVS. i; � i -155UE FEE'� - ' ;�', Cont�actor's.Lic¢nSe.Law_tl0¢S nOt.apply to an owne� ot,a.prOperty_ -_- __, _- ___ - - - -qppL'ICATION'APPROVEqBV-'" -' -DATE----' � who builtls or improves thereon, antl who Coes such work himseli or ISSUE FEE ' tbrougM1-his.own.employees, provitletl lhdLsuctLlmprov¢ments_a�e.not. . _ _ _. f intenaetl or otieretl lor sale. Ii, however, the builtling or improvement MECHANICAL PLAN CHECK ' � ' .�-.. . SUMMARV OF FEES.�,- - I' issoltl.withinone.year_ofCompletlon,.lh¢Owner.wilLhdvetheburtlen, � {BUICDING' —"``-' ^ "-'--- -- of proving he tlid not builtl or improve for the purpose of sale). HEATING SVSTEM 0-100,000 BTU ' � I,-"as'owner��of-the'property, am-exclusively�contracting with -- __..." 'PERMIT S, " ! ^"SMIP�N �p:,,E' _ _ __ - � J AND�DUCTING _' ' ` "_' _' 'E.� .�.._.. _. _ ' . ".,. � Iicensetl contractors to construct lhe project (Sectlon �044, Business 300,000.+8TV � PLANCHEGK $' `PERMIT' ''��..y. I antl'Prof¢551on5'Cotle:-The Con[ractor'S Licenz¢'CawtloGs�nOtapplyto- - �--- �-- - � -- -• - �-- -ISSUANCE�-E---� - an owner of pwperly who builtls or improves tM1ereon, antl who con- REFRIGERATION 0-100,000 BTU PLUMBING E -•� t ~! tracts `from such-projects wHh a�contractor(s)-licesnetl-pursuant �to SVSTEM- -"' ' - - ' - ^ " - - " - ' -'- '�� - -'- � � -- - - ---- - � --GRAOING - E the Con[ractor's License Law). 300,000 + BTU �PLAN�CHECK $'�� • � �'� � • � � � _ � t^ ❑ I am exempt�under Section � � � B. & P.�C. for tnis BOILERS BTV IELECTRICAL $,�� .-' '' a✓ , „' � / reason"�..-^'-'.. .'-' - '- --� "'- " . 5'PLAN'CFIECK'$"' : =:MICROFILME � � Date� - - - �- Owner - - - . SVSTEM REPAIR, ALTERATION 'TOTAL FEE b � - �MECHANICAL S-- , Lh¢reby.certifythdt_I,have reatl [hisppplication antl Sta[e that th¢ above EXHAVST $VSTEM MULTIPLE � '�—" �'-LE55 AD- ' � Intormation is correcL I agree ro comply with all city antl county 'P�/�NCHECK "E"' VANCEPC`y_ ��- Oltlinance5 dntlState IawS.rClatlng f0 <onstfuction, antl.h¢teby aythOrile � . . y- ' e l r.- repre5¢n[atives of lhis clty t ter upOn Ihe above m ntl�netl � r�._ ' u � ' " ro ertY.for. �tlo �q jp✓ . _ . . . . _ .. " �/� �+ P P � fl// ��/�� •.Lt �/�Y� FINAL FEE 5_�_ Signature Da[e _ _ __ Drivers' Li SS � �� ' ISSUE FEE . - . . . - - ' - - " '" ' " CMF 0865-46 White-Builtlin9; Canary-APPlicant; Pink-Accounting: Goltlenrotl-Assessor CONSTRUCTION AND PLANNI!N--G� � - POOL & SPA - '; � " � ' • � ,''•'"� ' �, � APPROVALS � Permit # G- Date Inspector qppROVALS - Permit # `. -� ti Date, �. Inspector t^ L. 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location � • 2. Soil ipe-Undrgm � 44. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrn � ' 45. Forms - � 4.. Electrical Conduit-Undrgrn 46. Electrical Bonding . tee ein orce - 47. Rough Plumhin & Pressure Test 6.. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE -� -� - 7. Footings . 49. Ele`ctrical Conduit-Undr rn� � � �• .� � 8... Foundation. � ' '' R 50.. Gas Pipe,. ❑ Undr m; Test � 9. Water Pipe:Undrgrn . � 51. Backwash Lines P-Tre ❑� ndr rn '�' '"' �'-- -- � ' 10. Structural Floor System.. 52. APPROVALTO DECK '� ' ' � '- � 11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final • 12. Street Sewer Connection • - � 54. Heater & Vent-Final � � 13. Rough Plumbing � � 14. Rough Electric-Conduit � �- � �56. Electrical-Final ' � 15. - Rough Electric-Wiring ' - � --- 57. � SolarSystem-Final � ' ' - � ' •�•' � - 16. Rough Heating & Air Conditioning - � - • encing & Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING • 18. Ducts, Ventilating . ... ' 19. Gas Pipe-Rough &Test - � � �60. POOL/SPA SYSTEMS FINAL - ' � , ' � 20. Roof Framing' . . ' 21. Roof Sheathin 22: Frameand Flashin - NOTES: � , 23: Insulation -- � � G � v 24. Lathing & Siding � - 25. Drywall Nailing ' • � " � 26. Plaster Brown Coat � ' � � � 27._ Electrical Power Meter-Final ' - GG � � � �� ' ` � " ' � 28. Fina6 Electric � � 29. Final Heating & Air Conditioning � 30. Final Gas Pipe-Test ' 31. Final Plumbing ' "32. ��Water Service-Final � ' � � 33. Gas Service-Fina� � � � � � 34. Solar pomestio-Final �- � � - � ' - . 35. landsca e S rinklin S stem ' - 36. Sound Attenuation � � ' 37. Handicap Regulations - " � . 38. FINALSTRUCTURE&BUILDING 39. Special Requirements Complete� ' 40. Electric Release to Edison - � � " ' 41. Gas Release to Southern California Gas Co. 42. CERTIFICATEOFOCCUPANCY _ � No. Date � Applicant to ftll in all spaclS M'��hin heavy bortler lines an0 sign all appropriate Geelarations. � y 2 �j{9 CITY OF COSTA MESA PERMIT NO TRACT NO. LOT NO. BLDG. NO. i "- " `'��'_�`"�� '""-GY _ :_ �.CONSTRUCTIONPERMIT - �� D ' .','., :'�. ��'.:'S521�'','5/05/B2': -'•" ! �5.50 �T�� : Project Atldress 1� -- - - - -' �' ' TYPE OF ¢ONSTRUCtION ' ' ' - � :, n' �"I '. ' , Owner /� Phone L - ❑ �yEW p �ADD ❑ ALTERATION . � . � � ' ' i AddrEa � ' � � ❑ REPAIR ❑ CONVERSION ❑�EMOCISH _ '� ,ZONING-REGULATIONS.'� �r".-'i ' � ' ; Arch/Eng. � � License No. � � � oTHER �� - '" �' , , _, - . . DESCRIPTION OF WORK �' ' A�P"�' � ' � � Address_ , , .,. ' '� ZONE � . PLNG..REF'�_, q� : � • � Conlractor �� (2 � Phone�� TVPE OP PEHMIT ' Tpg�J i�p irvc AddfC55 . _ SETBA C Y. �' PROPERTV IINE ' ^ . yY�' - ❑ GRADING � L] FOUNDATION ❑ STRUCTURAL IDFETVAR❑ . -, � . ', `b LICENSED CONTRACTOR; DECLARATION' ' ❑ TENANT ❑ ELECTRICAL��OPLVMBING'�MECHANICA � 5Ep � �I hereDy.atfirm tnat I'aruJ�censetl untl provlsions ot Char er 9(com- � • �� ' RIGMT � � menCln9 with zettlon �]000) of Di i lon 3 f the Bu5��e55 antl ❑ OTHER ' ' '� ' � ' . ., Professlons Cotle,_'antl rr�Y ��ense i In II force antl i(ect. ' REF\R VAAD (TO P/L) ' '� . � ^ ' i � .. ' - � PROJECT DESC..I�PTION - - -' -' , ' . . , , . .. . " License Class e se No - � PKG[SPACE.RgQ:. , �. PRpVIDED. 'Date �'� 5�: FT. '- �.' . . �� 7. Si9�ature � i . i,_• � STREET�VJIDT.H�. .' ..�' '. r... `•v.'PARK FEE�S r, • WORKERS' COMPENSATION DECIARATION " - - ' "' OCCUPANCV_CONSTRUCTION�TVPE- - ' ' �I_hereby_at(irm that I haVe a certificate of conzent to 5elLinsure�or a' VALUATION � ZONE IZ,ONIry, GA.PPROVED 9�Y;�.�!> ('-' . DATE i.�� certififvte of Workers' Compeni5tion Insurance, or a-certlfietl copy � - �'' � - ' �thereof,(Section_3800,Lab.C.). , _ _ ��GRFIDING:CU.VDS. ACRES 'SPECFAI:;.CONDIT10N5:.',-,'�,.�;^,;._.J��:.,. . , • 'cY No. � ComPanY .. . . . � " "' . ;ertHietl"coPYlsltereDYiumishetl. " - '' -' — ' REMARKS: -" —" �„. .. . .. - - •' ' •.� ^•��r .'. . � Certifie0 topy Is filetl with the clty Bulltling Division. " ' - � ' '� ' ' � � /�-� ' " ' _�'_ ..._. . ��,. .. ♦ , �EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - � �- - ' � ' - --' -� ' I(ThiS'Settion-neetl not be�complefetl•if the permit is (or one huntlretl - � , _ . .._,._ , _ _ ._ � - � ' E700) or less), i� ' �� ' f � � f-� 4 CGrtifythat in t�e pertorTance ot the work for which-Ihis permit is ` � � _ •� , issuetl, I ihall not employ any person In any manner so as lo become ' PLUMBING' �. .'PLAN CHECK {ELECTRICAL ' .PLAIV�CHECK � - subject to'the Workers' CoMPensation Laws o( California. --- - � Dale Sigdature BATHTUBS SHOWERS - ' ' .t :_ ' � 1 NOTICE: It after making this declaratlon, you shoultl become�sub�eet :TOILETS *•. �, �� ".'URINALS �� 1GENERATOR�� -Q � KW ��11'O�KW��- - �:� f0 th0 WOrkerS' Compen5atlon provl5ion5 of the Labor COtlO, you mu5t � _ - � TRANSFORMER,: , -�- forlhwith comply with sucP Provl9ons or this permit shall be tleemetl LAVATORIES DOVBLE LAVS � ' ��qPP�IqNCE•' '�10�50 �LW ��50'�+'KW �� ' ' tevOk¢C_ ' " ,__.' _ _ . '"._ _ "_' - .. . �' . . ... .' . . ,.. "_ _ _ .CONSTRUCTION LENDING AGENCV � � KIT. SINKS DISIiWA5HER5 IMOTOR9"'" �� ',p-1 HP �_I•lO�HP � Iherebya(tirmlhatlherelsaconstructionlentlingegencyforiheper- SERVICE'SINKS'.�� ^SUMPS . �.1lNC':SOL/aR)'�.�ypc501iP-�_"�Sd+HP"'' �= tOrTdOceAf th¢.w0/k tOr �+bith.thi5,permil Is_IsSUEtl (SeClion,309] ' - � � Y l •�' � � ' � . ....... . ...... � . . , ; ,. . .� C��' �'�' ` . - .�?� 'FLOOR SINKS • FLOOR DRAINS jFIXT11RE5 �. `.OUTLETS � 'SWITCHES -� '„i� C„ ' �Lentler's.Name .. .'. .� "... ,. • . . . � . ,- ""' .._ _ _ �Lentler'SAtltlress - '� �� DRINKINGFOUNTAINS %. � � �� . . �GAS�TUBESIGNS ' � ��..� OWNER BUIIOER DECLARATION � INTERCEPTORS�� -CLARIFIERS � �POCE'LIGViTS � I hereby.attirm that I,am ezempt (rom,ttie Conlractor's Cicense_Law tor_ . . . � . . '� ' �' I, - the tollowfn9 reason (Section�7031.5 Business antl ProfeSsions.Cotle: SWIMMING POOL � PT�RAP � " a'' ' -' ' Any,'.city or county ,whiGh, requires a. permlt to conStrUct,=aiter, . �901E5 �� METER D. SU � improve, tlemolish or repair any sfructure, prior [o its issuance, also re- yyATER SERV ICE ALTERATION � ��PANELS : MAIN -. SUB ' qpl�¢5,[he.ap�licant �o� sucM1 pe�mit to,lile a,sign¢tl Stdtement that he ,��' � is Ilcensed pursuant to [he P�o�isions of the Contractor's License Law GASSEI3VICE OVT�ETS ' • $ERVI(',E ' ' - '�AMP '1Chapter_9 (commencinq with_Sectio� 7000)_of..0ivislon 3 of [he �� ' _ �� 9usiness anE ProfMSions Cotle) or that he I5 exempt Iherefrom.and the yyqTER HEATERS BTU OUTPUT ' �- - ' • `c,for the allegetl exemp��on.,Any_violation of Section 7031.S.by ' � � � . ' L: � :a ' ' � appli�n[ for a permit subjects the apP�icant ro a Uvil penalty SEWERCONNECTIONS � ' .� � � '� - ' �t. more than five huntlretl tlollars (E500). . ' �. � S� �i7) �' .n � IL� 1, as owner ot the property, or my'employees with wages as tnelr SOLAR TANK - COCLECTORS � . '' �� ' ' , � SoIE'Compensation', will.tlo the work, antl�the structwe Is�nOt intentlatl � ' ' ' . ,' '1 � - � ��! ' � ( �br offeretl for sale. (Section 7044, Business antl Professlons Cotle: The SOLAR PIPING SVS. �� i� ISSUE KEE , , _ i; '�= i IContracior's License Law does nofapply to an owner�of a�Property 'who bulltl5 or improvez thRraon, antl who tloes such work bimselt or ISSUE FEE � - •�AP?LICATION�APPROVED BV ,' ' DATE .r Ithrough his own employee5. provitletl tha45uth improvemenl5 are not � ' ' �Intentletl or offeretl fo� sale. ��, howeveq the builtlin9 Or ITprovement �: , Is soltl-within one year of completion,-the�owner.will have tne burtlen MECHANICAL PLAN CHECK :. '} '� .:"' ., ', .SUMMARV OF FEES -,� ^•�: � _ f ot provin9 M1e tli� not bV��tl or improve for the purpoze of sale). . BUIIOING � ." : � ',- p� HEATING SVSTEM 0-]00,000 BTU ✓� PERMIT � § `'0�1, as owner of the roper[ am exclusivel -conlractin witn' - �., b� � SMI� P Y� Y Busine55 AND DUCTING ' .�/ - >- ,Iicensea contractors to construc[ the project (Section 7044, 100,000+BTU °� PLANCHECK .E' 'PERMIT-' � LLit� �� antl Professlons Cotle: Tbe Contractor's'Cicense Law tloe5 not apply to "' - " ' ' -' � �. � - ISSUANCE' E �'t) an owner of property who builtls or improves thereon, antl who con- REFRIGERATION'�Od00,000 BTV . ' P�VMBING '� y�' � � i. tracts from such pro�ects �+�th a 2ontractbr(s)'llcesnetl'-puauant to' "SVSTEM - ";',' �� - - � - -- GRADWG�,E -- the.Contractor'SLicenseLaW). 100,000+BTU � � PLANCHECK y�_�j_��_ h '� . �.� I am exemPt untler SectiPn 4 _B. 6 P. C. for this '�' - a. �� .S�J .. V�.�... E . BOILERS BTV �ELECTRICAL � reason _ - � � - . ' - . MICROFILM 5 � � SVSTEM REPAIR,ALTERATION PLANCHECK E ^ Date -'Owr+ , .� �� TOTAL�FEE $ �� 1 hereby carti th t I nav is appliwtion and state.that the abave EXHAVST SYSTEM MULTIPLE _ MECHANIGAL § �" . information s c rec r to <omply with all city antl counly _ , PLAN CHECK' y .- �LE55 AD_ _ „_ i ortlinances� r ��9 to constructlon, antl hereby authorize �� : VANCE PC y_ reprezentati ' y to enter upon tne above mentionetl b�. '; ' �'� ' - p�o0erty �f c o p�7�.�q,^Tces. - . - �4` $IgndturC r .Date � � ' � . ' . � --FINAL FEE § ��+j PSD Drlvers' License or SS �p �� ' � � � � � � CMF 0865-J6 Whi[e-Builtling; Canary-Applicanh Pink-A<counting; Goltlenrotl-Asse55or � � - ' ' - � � . CONSTRUCTI.ON AND PLANN�I�N}G�'�?�J POOL & SPA � ' - . `' - �� - APPROVALS Permit # ��o Date � Inspector qppROVALS . Permit # �' Date Inspector 1. Temporary Electrical Service or Pole 43. Pool &�Equipment Location ' � Soil ipe-Un rgrn � � ' 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn - - 45. Forms ' 4. Electrical Conduit-Undrgrn 46. Electricai Bonding � . tee ein orce ' � �' � 47. Rough Plumbin & Pressure Test �� 6. Electrical UFER Grn • ' '48. APPROVALTO COVER-GUNITE • 7. Footings - - � ' 49. Electrical Conduit-Undr rn ' 6. Foundation � � � � - '- - -- � " � 50. Gas Pipe, ❑ Undr rn, Test � ��.• � �' 9. Water Pipe-Undrgm • • 51. Backwash Lines P-Tra �❑� ndr rn '� • ' 10. Structural Floor SYstem � 52. APPRbVALTO DECK --- -- - � - � 11. Property Sewer Line & House Connection ' 53. Backwash,& Rece tor-Final - � � � � 12. Street Sewer Connection � - � 54. Heater & Vent-Final ' ' � ' � 13. Rough Plumbing �- • - � - � � � 14. Rough ElectricConduit :56. - Electrical-Final _ - . ,� - � / 15. - Rougfi Electric-Wiring ' --- '-' � � - 57. Solar System-Final � - • - ' , � � 16: Rough Heating &-Air Conditioning - • encing & Access Approval ' 17. _ Ducts, in Structure � �� • APPROVED FOR PLASTERING - _ 18:. Ducts, Ventilating - ' � � ' � �� ' 19. Gas Pipe-Rough &Test � � � • 60. POOUSPA SYSTEMS FINAL . . � • �. . 20._ Roof Framing _ ' - ' � � � • � - � �' 21. Roof Sheathin -- ' � . , 22. Frame and F�ashing - NOTES: ��t (^.w� t ' ' ' � 23�. Insulation ' � � � ; � e �� O � e� Gat � 24'. Lathing & Siding " � � c. - 25. Drywall Nailing 4 - i.1 OA i,�.t ��' ��' � � 26. Plaster Brown Coat ' � �o- .•n $ ; 27. Electrical Power Meter-Final_' ' ' ° '' � ' �" ' '� � � - � ' � ' ` 26. Final Electric � � ' � � � � ' � .29. �Final,Heating &•Air Conditioniog�. - ' � � � � � � '� ' � �� ' ' ' j�) � 30.-� .Final Gas Pipe-Test. ' � � ' -' - ` ^ 31. Final Plumbing - • � � 32. Water Service-Final - • • • � 33. Gas $ervice-Final " ' ' • - 34. Solar pomesticFinal � - � � 35. Landsca e S rinklin S stem - ��' ; 36. Sound Attenuation � ' � •� " ' � 37. Handicap Regulations >:�_. � � �� ' � � - - 38. FiNAL STRUCTURE &.BUILDING � ' ' i 39. Special Requirements Completed ' ' ' - - -- � � 40. Electric Release to Edison . - - ' � 41. Gas Release to Southern California Gas Co. � � � '� 42. CERTIFICATE OF OCCUPANCY ' ' , . � :� ,, � - No. Date � - .