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Home My WebLink About522 19TH ST - Building Permits'1 � CITY OF COSTA MESA � BYILDING DIVISION 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • w.wv.ci.costa-mesa.ca us FOR lNSPECTIONS ClLLL: (774) 754-5626 PERMITTYPE: B COMBO Sub Type: COM_ALT doa aooRess; 522 A W T9iN'ST�CIVy APN: 42210316� 2oning: , , PERMIT NUMBER: BC09-00454 STATUS: ISSUED DATE ISSUED: 04I05/2010 ISSUED BY: �� Suite/Unit: A Vicinity: SPACE A Primary Occ: ConstType: V-B SQ. FT: 714 Valuation: .$20,000.00 SCOPE OF WORK: 714 SF INTERIOR TI FOR "MD JUICE BAR", UNIT A. WORK TO INCLUDE THE CONSTRUCTION OF A NEW PREFAB WAI�K-IN COOLER, NEW PREP AREA AND JUICE BAR/COUNTER AREA. WITH THE RELOCATION OF 2 LIGHT FIXTS, 2 NEW OUTLETS AT COUNTER, 1 NEW SWITCH, 3 FLOOR SINKS, � MOP SINK,NEW WATER HEATER.NO WORK TO BE DONE TO EXISTING HVAC. OWNER: CASELINI, ANTONIO L Phone: 949•283-5728 � APPLICANT: AKPOFURE, BLESSING MD Phone: 949-764-9464 CONTRACTOR: Phone: Cell: ARCHITECT: ENGINEER: COMBINATION PERMIT FEE SUMMARY ' Building Plan Check: Building Fees; Eleclrical Fees: Mechanical Fees: Plumbing Fees: . SMIP Residential: SMIP Commercial: Bldg Std Admin Fund TOTAL FEES: � Address: 155 7ERRA7A CT CirylState/Zip: COSTA MESA, CA Address: City/Slate/zZip: Address: Unit: Ciry/State: License No. License No. $208.81 $321.25 $29.00 $0.00 $62.70 $0.00 � $4.20 $1.00 $626.96 � License No. Unit Unit: : ZipCode PHONE: PHONE: teter to fee receipb for all lees paid for project HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18I2010 - PER CMMC Sec. 13-279 Monday thru Friday • 7:0o am thru 7:0o pm. Saturdays- 9:00 am thru 6:0o pm. Prohibited all hours - Sundays and the following Federal holidays: NOTICE: The work authorized by this permit shall comply vrith all applicable handicap access requirements under Califomia slatutes and related regulations. (Ord. No. 92-28, § 1, 12-27-92) EXPIRATION: PERMIT EXPIRES 160 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS; In order for Ne work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and flnal approval must be obtained. Failure to obtain inspectlons and final approval will result in the expiration of this permit. tooe�, n+svernopme 1818 Fixed SyS�¢m Final Fire Prevenlion 1288 Pool Spa Final 200 Final Re.Rool 201 Final Block/Relaining Wall 202 Final FaCtory Fire Placa 203 Final Sign 204 Final Denqlition p11j� N� ifMLS COOE/ IN$PECIIONTYPE 208 Final Mechaniwl 208 Final Plumbing 210 Final Electrical 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupancy �jf IN7Ii1RL Xt� H-13-ID�i/zy�c.� �+-�a-�� yic9- }�i�1 �Ii�hyo� �� {7V r/� (� '� WORKERS'COMPEN3�LARATIO� ' � I hereby aKrm under penalty ot perjury one of the following declarations: ❑ I have and will mainlain a certifiwte of consenf to self-Insure fOr workers' compensation, as pmvidetl for by section 3700 oF the Labor CoCe, !or the performance of the wnrk for which this permit is issued. ❑ I have antl will mainiain wOrkers' compensa[bn insurance, as requiretl by section 3700 0( Ihe Labor Cotle, for the peAortnance of the vrork (or which this permit is issued. My vrorkers' wmpensation Insurance carrier and policy number are: Carrier: (TnissedqnneedrptGe�,tQepen/4is�eEatanehurMretld Nars lOJ)aleu) Il / Policy Number: �C%y�- I certify that in the peAormance of the work for which this permil is iss d, I shall not employ any person in any manner so as to become subject to the vrorkers' compensation laws of Califomia, and agree that if I should become subject to the wvrkers' wmpensatlon provisions of Section 3700 of the Labor Code, hall forthvrith compty with t�ese prov'sions. �\ i..c- . V A ylrtanl s�v.y a e WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENA�TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL4RS (5100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrtn Ihat I am licensetl under provisions of Chapter 9(commencing with Section 7000) ol Division 3 of the Business and Prolessions Code. and my license is in full force and e(tect. Lic. # Class # Gontmctn i SipnaWre Oa�e CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrtn Ihat Ihere is a construction lending agency fa the pedortnance of the v.ork for wnich t�is pertnit is issuetl. (Sec. 3097, Civil Code). Lender's Name: Lentlers Address: OW NER-BUILDER DECLARATIONS: I hereby affrm that untler penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW lor the (ollowing rea5on (Sec. 7031.5, Business antl Professions Cotle: My city or county which requires a permit to consiruct, alter, improve, demolish, or repair any structure, pnor to its issuance, also requires the applicant for such pertnit to file a signed statemeN that he or she is licensed pureuant to the provisions o( the Contractors license Law (Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Professions Code) or that he or she is eaempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant tor a permit subjects the applicant to a civil penalty of nol more than five huntlretl dollars ($500).): ❑ I, as ovmer of the property, or my employees with v(ages as their sole compensation, WILL DO THE WORK, and [he sWclure is not intentled or oHered (or sale (Sec. 7044, Business and Professions Code: The Contractors license Law does not apply to an owner of property who builtls or improves lhereon, antl who dces such wvrk himselt or hersel! or through his or her own employees, provided thal such improvements are not intended or of(ered for sale. If, wever, the building or improvement is soltl wit�in one year o! comple' n, the owner-Duilder will have lhe burden o( proving thal he or s�e did n builtl or improve for purpose of sale.�. I, as owner of the property, am EXCLUSIVELY CONTRAC7ING WITH LIC NSED CON7R4C70R5 lo construct the prqecl (Sec. 7044, Business and Pro(essions Code: The cont2ctors License Law dces not apply to an ovmer of pmperty vfio builds or improves t0ereon, and who conlracis for suc� project with a cmtractor�s) license pursuant to the Contraciors License Laws.). . /` ' � !' ♦ Owner ID verified by tlriver's license. ❑ Yes ❑ No ` -� Driver's License No. Expires: Verification o( Ovmership Dy (type of document, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation frve (5) or more (eet in depth into which a person is requiretl Io tlescenQ will 6e made in connectbn vrith wnrk authorized by this permit, and that no building struclure, scattdding, talsev�ork. a tlemolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, M 2, Sec. 341, TUe 8, Califomia Administ2tive Cotle). � As ovmer-builder, I will nol employ anyone to do wvrk which would require a permit trom the Division of IndusMal Safery, as noted above, unless such person has a permit to tlo such work from lhe division. Applicanl's $ignalure Da�e Division of Intlustrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFtCATION: 7. Will lhe applicant or present or future building occupant need to file and certity a Business Plan for emergency response to release or threatened release ot a hazardous malerial? ❑ Yes ❑ No � (Seclion 25505 of the Cali(ornia Health and Safety Code requires, with some exceptions, Ihat a Business Plan be filetl with Ihe Costa Mesa Fire Department by every business which has at any one time dunng a Bported year a quantity o( hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic (eet of wmpresseC gas at 5[andarA temperalure an0 pressure�. 2. Does or will Ihe applicant or present or fuWre building occupant need to Ne a registretion form for acutely haeardous materiais? ❑ Yes � No (Section 25533 of the Calilornia Health and Safety Code. vrith some exceptions, requires registration with the Cosla Mesa Fire Departmem by each business which at any one time has on hantl a quantity o( acutely hazardous materials equal to or greater Ihan a vreight o( 500 pounds. or a volume of 55 gallons, or 200 cubic feet of compressetl gas at standartl temperaNre and pressure). 3. Does or will the applicant or present or tuture building occupant nee0 ro prepare an RMPP (Risk Management antl Prevention Program for acutely hazardous materia15�4 ❑ Yes ❑ No (Section 25534 of the Califomia Heal[h and Sa(ety Cotle provides that the Costa Mesa Fire Departmenl may require the preparation, certification and fling with the Fire Department of an RMPP by businesses which are required to register acutely hazartlous materials with the Fire Department. 4. If an RMPP is presenity required, has Section 25534 of the California Health and Safety Code been lully complied with? ❑ Yes ❑ No 5. Dces or will Ihe applicant or present or future builtling occupant require for Ihe work which is lhe subject of this appliwtion a pertnic lor such consWction or motlifwtion fmm the South Coast Air Quality Management District or from any other air pollution wntrol district or agency? ❑ Yes ❑ No (Seclion 658502 0! the Califomia Govemment Code requires Ihat Ihe requested intortnation be tumished on applications fa non-residential builtling pertnits). 6. Will any part of the faciliry to be constructed under this pertnit be within 1000 teet from the outer boundaries of a school? ❑ Yes ❑ No Q( yes", lhe faciliry mus[ meet lhe requirement of Sections 25534 antl 42303 of the Califomia Health antl Salely Code). 7. If a pertnit (rom the South Coasl Air Quality Management District or other air pollution con[rol disMcl or agency is required for lhe work which is the subject of this application, have all of the tlisclosures prescriDed by Califomia Health and Safety Code Section 42303 been made? ❑ Yes � No 8. pf yes', atlach certifiwte of wmpliance from the appropriate air polWtion control officeq. CERTIFICATE OF COMPLIANCE: I certify Ihat under penalty of perjury the information given above is correcL I agree to comply with all sWte lavrs and city ordinances regarding Hazardous Malenals antl Emissions. Signature CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify untler penalty of perjury lhat I have read this application and state that ❑ I am eaempt under sec. the intortnation given is correcl. I agree to comply with all state laws and city ordinances relating to builCinq conslroction, and authorize representatives of Business antl Professions Code for this reason: the Cily of Costa Mesa to enter upon the above�descdbetl pmperty for , inspection purposes. I agree not to occupy or allow occupancy o! any building authorizeC by this pertnit until final inspection. f _ `, �� . $i9n ' epal Owner(sl ��( Da`le /`` 3051d6(10]) 1 ��~_ �" �~" � T�_J�� V u1hMi¢G AppdiGnl gpjl8:i a_ Job Address: 522 W 19TH ST Suite: Vicinity: Parcel Nunmber: 42210316 Applicant: RAMIREZ, JOSE . Address: " �� . - - � �� , �; , � � /�, . i , � owner:� CASELINI, ANT,ONIO L Addr�ss/ 2285 NEWPORT BWD- " � ' i ' ' � ' . � % " - �. COSTA MESA, CA � / � , � Contractor., OWNER-6UILDER Atldress: '� SIGN PERMIT Zoning: / Phone: 714-532�4175 � ZiP: Phone: Zip: 92627-1714 Phone: . . � ' , Zip: � - � � . . � � . .LiCense: 000000 � Arch I Eng : ; " - � � Adtlres5: - � � Stalus: ISSUED Applied: 04/30I2003 Issued: OS/28/2003 ISSUED BY: � � \ � � � � � �, � � � , � � \ � � / � -A � � oE�°1R�� o �� , , . � , ' - Phone: � ' - , Lp' V • .. � � License: , �� SCOPE OF PERMIT . �: � ONE 17' X 2' ILLUMtNATEO WALL SIGN FOR'HAIR SALON'. Plan Check: $25.19 $0.00 Permit:. $38J5 , SMIP Com: $0.50 � Other:' � $0.00 � ' $0.00 Inspection: , ��$0.00 � � �' S0.00 � . .'�. � $0.00 — , �� , � �, _ ToSal: ; � - 564.44 NOTES: FEE SUMMARY; � � � ,- - Calc Valuation: Si,000.00 �� Claimed Valuation: Si,000.00 - - �, . . - � . .� ;� , � - � :, • � - � � PLANNING & ZONING NOTICE: The work authorized by this pertnit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12Q7-92) EXPIRATION: This permit shall automatically expire and become vold if work Is not commenced within 180 days, or Ii work Is suspended or abandoned tor a period of 180 days. � INSPECTIONS: In order for the work euthorized under this permit to be considered legal, such work must comply with all applica6le codes, end all requlred Inspeetiona end final epproval must be obtained. Failure to obtaln inspections and final approval will result in the ezpiration ot this permit. FOR INSPECTIONS CALL: (714) 754-5626 taeaee le�nol WORKERS'COMPENSAnONDECLARATON: s I hereby etti`m under penelry of perjury one ot the lollowing dedarations: ❑ I hava enA will meintain e ceNflcete of consent m selt-Insure for workers' compensation, es proNOed tor by section 3700 of Ne Labor Code, tor the pedormance o1 the work for whlch Ihis pemtit (s i55ueA. ❑ I have arW wlll meintein wwkgrg' cpmpensatlon insurarxe. es requiretl by sectim 3100 of tha Lebor Cotl6, ta Ihe pertomience W Ne work far whiCh thi9 pertnit is Issued. My workero' compensetlon Insurence cerrler and pdiq number ere: Cartier: Pdicy Number. (Thls sectlon neeA nat be canpletetl U fhe permlf !s velued a( one �undred dWlars (S �a0) or less.) � I certity thet in �ha peAortnance ot t�e work br which this pertnit is issued, l shell not emplay erry person In eny manner so as to become subject to the workers' compensetlon lews ot CalltgF��, ntl egree t�et il I should bacome suhject to th9 workers' compenseqon provlsions o1 Sectton 3700 of lhe Lebor COQe, 1 shall (ortAwlth comply with IheSe proJ�sT�°�i5. 7 ///� J� Applicant SignaNre: l / / � // d �! ��'i Date: 1 � _ �V — � � WARNIN(i: FAILURE TO SECURE WO (ERS' COMPENSATION COVERAG IS UNUWFUL M1D SUBJECf fW EMPIOVER TO CRIMINAL PENALTIES AND GVIL FlNES UP TOONE HUNDRED THOUSAND DOLIARE �5100,000), IN ADDRION TO THE COST OF COMFENSATION, DMMGES AS WIDED f-0R IN SECTION 3I08 OF TXE UBOR CODE, INTEFEST, AND ATTOHNEV'S FEES. LICENSED CONTRAC70HS DECLARATION: I 1 hereby ettirm that I em licensetl under provislons ot Chapter 9(commencing wiN Section 7000) ol Divislon 3 of the Business antl Pmfessions Code, enC my Ilcense Is In full �, force and etfecL Lic. 8 Class M I ConlractofsSignature: Date: CONSTHUC710N LENDIN4 pGENCY: ❑ 1 hereby attirtn that there is e constructlan lentlinp eganry br the pedormence of the work Por whiCh this permil is issuad. (Sec. 3097, Civil Cotle). Lentlers Name: Lenders AOtlress: Signature: Dete: OWNER-BUILDER OECLAqAT10NS: I hereby eNirtn thet untler penelry of perjury ihet I em E%EMP7 FROM TME CONTfiACTORS LICENSE LAw for �he lollovring reason (Sec. 7031.5, Buslness entl Pratessians Cotle: My ciry or county which requires e permil to construct, alter, improve, tlemWish, or re0elr eny 8trucNre, pdor to its lssuance, alu reQulros the eOP�lcenl lor such permit to file a signed slatement �h01 he o� s�e Is Ilcensed purwant to �he provisions ol the Cont�ectoro License Lew (Chapter 9(commendng wllh Sectlon 7000) ol DlWslon 3 oi Ne Business end Prolesslons Code) or Ihet he ar she Is exempt therefrom end t�e besls for tha alleped exemption. Any Nolatlon ot Section 7031.5 by eny epplicent lor e permlt suhjects ihe applicant to a civll penalry of not more t�an live hundred dollars ($500).): �.y 1, es owner of tha properry, or my amployees wlth weqes as their sole compensetion, WILL DO THE WORK, and t�e struclure Is not Intended or oflereC for sale (Sec. . 7044, 8usiness end Professions Code: The Contractors License Ww does not apply to an owner of property who builds or improves Ihereon, anC who does such work himself or �ersell or ihrouph �Is or her own employees, provided thet such Improvements ere noI Intended or oflered br sele. If, however, Ihe building or improvement is soltl within ane year ot �pmpletlon, Ihe owner-bullOer will have.the burdon of proving that ha or she tlitl not build or improve for purpose of sala.). ' ❑ I, es awner ol Ihe proporty, am E%CWSIVELY CONTRACTING WITH LICENSED CONTRACTORS to canstmct Ihe O�oject (Sec. 7044, 8usiness and Profosslons Code: The contrectors Ucense Lew tloos nat eppty to en owner af pmpeny who builds or Improves thereon, and who contracis lor such project wlih e wnirector(s) license pureuent to Ihe Conirectors Licanse Lexs.). ❑ I am mpt d�. �� ness end Professions Code for Ihis reason: Siqnature: � Owner ID v�Aied by drivers Iliense. <-��Yes ❑ No Drivefs License No. � VedFlcation af Ovineishlp Dy (typa at documem, I.e. - properry tac bill or tleetl): Expires: DIVISION OF INDUSTRIAL SAPE7V PERMR CERTFICATION: ❑ I hareby cenity that no excavatlon Flve (5) or more leet in tlepth into which e person Is requiretl to tlescen4 will be matle in connection with work euihMzed by this pertnit, entl that no builCing structure, scettdding, falsework, or tlemdition or dismantling ihereof, will be more than ihirty-six (36) teel high. (Chap. 32, Grp 2, Ari 2, Sec. 341, Title 9, Cal(fam(a qdminisiretive Cotle). ❑ As owner-builtler, I will not employ anyone ta Ao work which would require e Oermit irom t�e D'Msion of Indusirial Sefery, as notetl ebove, unless such person has e pertnit to tlo such work irom Ihe division. Sipnature: Data: Division oi Industrial Seley pertnit Number. CEHTIFlCATE OF COMPLIANCE AND AUTHORVAiION OF ENffiV: I certify unAar penelry of per�ury thet I heve road thia apOtiwtion end state thal the intortnetion piven is wrtect. I egree to comply with ell stete lews end Gry ordlnences releting to bulltlinp construciion, end authodze represenu:Lves ol the Clry oi CoSta Mesa to enier upon the above-tlescribeA propeny for inspectlon purposes. I agree not lo occupy or ellow oaupancy of any buildirg euthorized by t�ls permil until tinel inspection. �QQf�j, INSPECTIONTYPE 1616 Flxetl System Flnal Flre Preventlon 1266 Pod Spe Finel 200 Final Re-Roo1 PAg 1H�lL� COOE � INSVE�70N TYPE 208 Finel Mechanical 20B Final Plumbing 210 Final Electrical Date � ` �� Date = 207 Flnal BIocWRetelning Well 212 Flnal Flre Prevention 202 Final Fettory Fire Placo 220 Finel Planning Approvel 203 Finel Sign 222 Final Sile 204 Final Demolitlon 250 Final Bulltling/Occupancy QATE It�ELi (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT n Job Address: Suite No Vicinity: Parcel Nunmber: 522 W 19TH ST HAIR SALON 42210316 Applicant: RAMIREZ, JOSE Address � , - _ „i% � ,; �c%." ��- �� / -, �. j Owner.�jCASE�INI, ANTONIO L Address,/2285 NEWPORT-BLVO �� ' i ; i-. , - � �� , % � � COSTA MESA, CA i G', -" � „ Contrecror;j OWNER-BUILDER Address - - - . ISSUED BY: � Phone: 714-532-0175 � -. � Zip: � � i A Phone: Zip: 92627-1714 � i � . -, . ' , . - =Phone: - _ . . . . ., Zip: _" � � � - License: 000000 � � �"� Status: ISSUED Applied: OS/28/2003 Issued: 05/28/2003 i � . , � . � - . : � �_�� ' '��v �' �� _ . � _ � �� i- �� ,� '�� ' , ;: A��,A ��n� . - , ,SCOPE OF PERMIT � � ELEC PERMIT IN CONJUNCTION WITH ONE 17' X�2' ILLUMINATED WALL SIGN FOR "HAIR SALON". 1 SIGN CIRCUIT � � � � " � - � �� - - - � � ` � � � �� REF: SB03-00055 � FEESUMMARY ;", - � /' . Quantity �/ QuaMdy ISSUE FEE �� $23.50 , Temp Dist System / Lighling ' $0.00 0� Tempservice'test�. �< , $0.00 BuswaylJ00ft.�_, 50.00 �0' i Res: a/c package �'� �� $0.00 Slanding Section $0.00 ,=- 0� New Res�(1-2 units),. �. $0.00 0 -'�`-�Misc Electncal Equipment y0.00 ,,,,��,0 ' � NewRes(3+units)� 50.00 0 .,-. �, Transformersuptotkva/kw 30.00��;=;"0 „ �. ; Pool / Spa . . ��; ;50.00 0 .�� - v � ................up to;10, kva/kw g0.00 �, 0, _ � �' Lighting Fixts , � A �50.00 � � ,_ 0, -�� " _ ...5.........:..up to:50 kvalkw:4- , $0.00- 0' Recept Outlets,� � �30:00� � b - � � . ..:..............up to 100 kvalkiv � � ,$0.00 , 0 �- Switches � -:: �� : � , - , $0.00 � � 0 � � � ..................over 100 kva/kw - �," .$0.00 0 Non Res Appl - , , 30.00 ',' ` 0 . Low Vollage Equipment $0.00 0 Res Appl �� 30.00 _ - 0 �, Low Volt Winng System / Ckt $0.00 � 0 Service to 200a � ` - $0.00 ,� 0 - � Misc. Conduit . � . $0.00 .0 Service to 1000a � .�� 50.00 � - - 0 Misa Conductor � � � � _ $0.00 -� 0 / Service over 1000a � ' � ' � $0.00 �� % .� � ,0 ' - Circus ( gen or ride) �� •" $0.00 � , 0 Motors to 1 hp � � � $0.00 � � 0 , ' � � Circus (mech ride or Ilghts) $0.00 ; % 0 Motors to 10hp �'�$0.00 '0 , Christmas Tree Stand- � $0.00� 0 Motors to SOhp 50:00 - - 0 _ �� Fireworks Stand _ ;- � j50.00 0 Motors l0 100hp $0.00 �� 0. - � Other Electrical Fee;-; -,, $0.00 Motors over t00hp $0.00 ' �'0� " � - � -�� Communicationdmps $0.00 0 ` - -�_. . Investigation�Fee $0.00 Sub panel l0 200a 50.00 0 Plan Check Fee $0.00 �� i NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-27-92) EXPIRATION: This pertnit shall automatically expire and become void if work is not commenced wlthin 180 days, or if work is suspended or abandoned for a period of 1B0 days. � ' INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections end final epproval must be obfained. Failure to obtain inspections and final epproval will result in the expiratlon of this permit. FOR INSPECTIONS CALL: (714) 754-5626 �` � zasae (aroo) . . WORKERS'COMPENSAnON DECLARAnON: - I heraGy eflirtn under penalry of perJury one oi t�e tollowing declarations: t5 ' ❑ I heve entl will maintaln e certlficata ol consent to selt-Insure for workers' crompensatlon, es pmvided tor by section 3700 oi the Lebor Cade, for Ihe pertortnence of Ihe work tor which t�is permit is IssueO. ❑ I have end will mainlain workers' compensation insurance, es repuiretl Dy section 3700 of the Lebor Cotle, tor Ihe peRortnance of che work for which this pertnit is issuetl. My workers' wmpensation Insuranca cgrrler end policy number ere: Cerrier. Policy Number. (This secNon nee0 not be complefed 1! fhe Oe`mit is velue0 at one huntlred dollers (5100) or Iess.J j�1 � I cenify t�et In the pedortnance of Ihe work for which this pertnit Is issued, I s�all not employ any person In eny manner so es to become subjed to the workers' compensation laws ot CalUqrt�ie, anA eqree that tl I should bec)� e sub�ect lo Ihe workers' wmpensatlon provisions of Sedion 3700 01 Ihe LeDor Catle, I shell fonhwith compty with ihese pro iSio �n� �/ ��_� � 7/j � Q •� Applicent Signature: �� i Date: ' L� WARNING: FAILURE TO SEC WORKER$' COMPENSATION COVERAGE IS UNLAWFUL MlD &IALL SUBJECT AN EMPLOVER TO CRIMINAI PENALTIES AND GVIL FlNES UP TOONE HUNDRED TFqUSAND OOLLARE (E100.000�, IN ADDITION TOINE COST OF COMPENSATIIXJ, DAMAGES AS PROVIDED FOfl M SECfION 37060F THE LABOR COOE, IMEREST, PND NTTORNEV'S FEES. LICENSED CON7RACTORS DECLARATION: I hereby attirm that I am licensed untler provl¢lons ot Chapter 9(commencing wi�h Section 7000) of Division 3 ot Ihe Business entl Professlons Code, and my license Is in full ForCe antl etteCL Lic. M �CIa99 M Conirectofs Signeture: Date: CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm that there is e construction lending agency for the pertortnance af ihe work for which this permit is issuetl. (Sec. 3097, Civil Cotle). Lender's Name: Lentler's Address: Signature: Date: OWNER•BUILOER DECLARATONS: 1 hereby ettirtn thet under penalry of perjury Ihat I am EXEMP7 FROM TIE CONTHACTORS LICENSE LAW for the lollovnng reason (Sec. 7031.5, Business end Professlons Cotle: Any ciry or counry whic� requires a pertnit to construct, alter, improve, demWish, or repair any structure, prior ro ifs issuance, elso requires the epplicant for such peimit to file e signed statement that he or sha Is Iicensed pursuant to the provislons oi Ihe Contradors lJcense lew (Chaprer 9(commencing with Secllon 7000) of Division 3 of t�e Business and Professions Cotle) or Ihet he Or she is exempt ihereirom entl tha besis for Ue elleged exemption. My Wolatlon oi Section 7031.5 Cy any epplicent for e pertnit suD�ects the applicant to a civil penelry ol not more than fiva hundretl dollars ($500).): � � I, es owner o( lhe pmperry, or my employees with wages as thefr sole compensafion, WtLL DO THE WONK, end (he strucmre is not Intentletl or oHered tw safe (Sec. 7044, Business and Protessions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who dces such work himsetl or herselt or �hmugh �is or her own employees, provi0ed ihat such impmvemenis ere not Intended or oNered for sale. If, however, the builtling or improvement Is sold within one year of completion, tfie owner-builder will heve�the burden ol proving that �e or s�e did not build or improve for purD�e ot sele.). � � I, es owner of Ihe �property; em E%CLU6IVELY CONTRACTING WITH LICENSED CONTRACTORS to consimct the project (Sec. 7044, Business antl Prolessions Code: The crontrectars License Lew tlops not apply to en owner oi property who 6uiltls or Impmves thereon, entl who comrecis br such projem wlth a Contrecror(s) Iicense pursuant to the COMradors LicOnse Lews.). t �� "'� ?�^/� 2 ❑ I em exey�(S�i untler sec. �_ Busines�.and Professions Code for this reason: � �'Gi� � SigneWre: � "-� Ownar ID ve' i y tl -ers license. r/ Ves ❑ No Drivefs License No. � Expires: Verlticeilon f Ownershi b � p y(type ot Aocument, I.e. - properry tar Dill or tleetl): DIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hareby certily that no ezcavation five (5) o� more faet in depth Into whlc� e person is required to descend, will be made In connection with work euthorizeC by ihis permit, and that no builtlinp siructure, scettolding, talsework, or demolltlon or tlismantling thereot, wlll be more than thirty-six (38) teet high. (Chap. 32, Gry 2. Ah 2, Sec. 341, lltle B, Califomia Administretive Code). ❑ As owner-bullder, I will not employ enyone lo do wark whlch woulO require e pertnit fram the Division of Industrial Sefery, es noted above, unless such person hes e permit to tlo such work irom ihe division, Signature: Oate: Division at Industnal Satery Permil Number: CODE t• INSPECTIONTVPE 7616 FIxeC System Final Fire Praventlon 1266 Pool Spa Final 200 Final R8-ROof 201 Finel BlockJReteining Well 202 Final Factory Fire Place 203 Finel Sign 20d Final Demolition . PdIF 1t�969 cooe. ixsvecnoxrrae 206 Finel Mechanical 20B Final Plumbing 210 Final Elecirical 212 Finel Fire Prevention 220 Finel Planning Approval 222 Final Site 250 Finel Buildiny0aupancy PAIE ItffIDAL@ r-� p1a) 754-5273 • Fax (714) 754-4856 � 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: Suite No Vicinity: Parcel Nunmber: Applicant: Address: Owner. 522 W 19TH ST 42210316 MIKE JOHNSON NERON LIMITED Address 16835 ALGON�UIN STE 307 HUNTINGTON BEACH,CA Contractor: USA ELECTRICAL CO Address: 2406 N GLASSELL ST ISSUE FEE Temp service test Res. a/c package New Res (1-2 units) New Res (3+units) Pooi / Spa Li9hting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to 7000a Service over 1000a Motors to 1 hp Motors to 10hp Motors to 50hp Motors to 100hp Motors over 100hp Communication drops Sub panel l0 200a Pole Light Pkg Sign Circuits Temp Pwr Pole Intermed Pole ORANGE,CA ELECTRICAL PERMIT Phone: 714-6323501 Zip: Phone: Zip: 92649 Phone: 9743152 Zip: 92865 License: 632999 ISSUED BY: Status: I SS U E D Applied: OS/24/2000 Issued: OS/24/2000 SCOPE OF PERMIT REINSTALL 200AMP SERVICE TO EXISTING BUSINESS "SEPARATE POWER BETWEEN 2 BUSINESSES". $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $30.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quantity FEE SUMMARY Temp Dist System / Lighting Busway/100fl Standing Section Misc Electrical Equipment Transformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kva/kw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Volt Wiring System / Ckt Misc. Conduit Misc. Conductor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES 554.00 COMMENTS I SPECIAL CONDITIONS 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 requlred Inspectlons and final approval mus� be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 � � WORKERS'COMPENSArON DECLARAnON: I hereby aHirm under penalry oi perjury one of ihe tollowing declarations: ❑ I have antl wlll meintain e certificale of consent to self-Insure for workers' wmpensation, as provided for by section 3700 of the Lebor Cotle, for ihe peAormance of ihe work tor whlch Ihis permit is issued. � ❑ I have and wlll maintain workers' compensatlon insurance, as repuired by section 3700 oi ihe-Lebor Code, for the pe�ormance ot the work for which this pertnit is issuad. My workers' comp sation Insurence cerrler and policy number ere: �y� Carrier. �/�L� � ��'i �T+' � ^ � �+"� ��'�/ Policy Number: �S/�G % � 7 % one hundred dWlaro (5100) or less.) ❑ I certity that in �he peAortnence ol the work for whic� this pertnit Is issue0, �I shell not employ eny person in any manner so as to become subject to Ihe workers' compensation laws of Celifomia, end agree � at if I uld acome su6ject to the worJceis' compensation provislons of Section 3700 0l Ihe LaDor Cotle, I shall forihwith compty with ihesa provision � Applicant Signature: � Date: �' Z S� DO WARNING: FAILURE TO S RE WORKERS' R SATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANO GVIL FINES UP TOIXJE HUN�RED THOUSANDDOLLARE(E100,000),INADDRI TMECOSTOFCOMPENSATIIXJ,DAMAGESASPROVIDEDFORINSECfION3)O60FTHELABORCODE,IMEfiEST,ANDATiORNEY'SFEES. LICENSED CONTRACTORS DECLARATION: I hereby ettirm ihel I am torce antl efleci. Lia N_ Contractor's SignaWre: (commencing with Seciion �00) ot Division 3 of the eusine antl Professions Code, and my license is In tull / qass a �� b Hi L / �ate: ?' 25�'-Od CONSTRUCTION LENUING AGENCV: �s ❑ 1 hereby eltirm that there is a consiruction lentling agency For the peAortnance of t�e work tor which t�is permit is issued. (Sec. 3097, Civil Cotle). Lentler s Name: Lendefs Atldress: Signature: Date: OWNER-BUILDER DECLARATONS: I hereby aHirtn Ihet under penalty of pehury Ihat I em EXEMPT FROM T1E CONTRACTORS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Business antl Protessions Coda: Any ciry or counry which requires e pertnit to construct, alter, improve, demolish, or repair any structure, pnor to its issuance, also requires the appliwnt for such permit to tile a signed stetament that �e or she is licensed pursuant to the provisions ot the Contractors License Lew (Chapter 9(commencing with Section 7000) ot Didsion 3 oi the Business end Protessions Code) or ihet he or she is exempt iherefrom entl t�e basis tor Ihe alleged exemptlon. Any vlolation oi Section 7031.5 by eny applicant for a permit subJects the eppliwnt to a ciNl penalry ot not more than tive huntlretl tlollars ($500).): ❑ I, es owner of the proPerty, or my employees with wages as �helr sole compensation, WILL DO THE WORK, antl the struc�ure is not intentlad or oFfered for sale (Sac. 7044, Business and ProFessions Code: The Conlractors License Lew tloes not apply to an owner of pioperty who builds or improves thereon, and who tloes such work himself or herself or Ihrough his or her own employaes, provitled that such Improvements are not intended or oflered for sale. If, however, the bullding or improvement is soltl within one year of completion, ihe owner-builder will have the burden of proving that he or she did not build oi improve lor purpose of sale.). ❑ I, as owner of Ihe propany, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRALTORS to consiruct ihe project (Sec. 7044, Business antl Professlons Code: The contractors Licensa Law tloes noI epPly to en owner ol property who builds or improves thereon, and who confrects for such project with a comractor(s) license pursuant lo lhe Gonirectors License Lews.). ❑ I am ezempt under sea Business and Protessions Code lor this reason: Signature: Date: Owner ID verlfietl by tlrivefs licensa. ❑ Ves ❑ No DnvefS Licen58 No. Venfication of Ownership by (typa of document, i.e. - property tax bill or deetl): Espires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIGICATION: � ❑ I hereDy certlfy Ihat no excavation five (5) or more feet in tlepth Into which e person is required to descentl, will ba made in wnnection with work authorized hy Ihis permit, and that no building structure, scaffolding, falsework, or tlemolition or tlismanlling Ihereof, will be more than Nirty-six (38) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Ttle 8, Celifomia Atlminis�reiive Cotle). ❑ As owner-builder, I will not employ enyone to do work which would require a Dermit trom ihe Division of Indusinal Safery, as noted above, unless such person has e permil lo tlo such work irom the tlivision. Signature: Date: Division of InduSirial Sefety Permit Number: CERTIFlCATE OF COMPLIANCE AND AU7HORIZATON OP ENfHY: I certity under penelry ot perjury Ihat I have read ihis application and state ihat Ihe intorma�ion given is correct I agree to comply with all stata laws and ciry o�dinances relating to building consimction, and authoriza representativas ot the Ciry of Costa Mesa lo anler upon ihe above-tlescn6ed properry for inspection purposes. I egree not to occupy or ellow occupancy of any building authonzed by this permit until final inspection. tODE �. INSPELTIONTYPE 1616 Fixotl System Final Fire Prevention 7266 Pool Spa Finel 200 Finel Re-Roof 201 Finel BIocWRetaining Wall 202 Final Factory Fire Place 203 Final Sign 204 Final Demoli�ion 2aaBd6 Applicant 9ATE UiIID9L5 � INSPECTIONTYVE 206 Final Mechenical 208 Final Plumbing 210 212 220 Final Electrical Flnal Fire Prevention Final Plenning Approval 222 Final Site 250 Final Builtling/Occupancy � INTRIRLS I V .. CITY OF COSTA MESA � y _ � BUILDIN6 DMSION � � DEVELOPMENT SERVICES DEPARTMENT J' PERMIT PERMIT NUMBER �� (714) 754-5273 • Faz (714) 754-4856 gUILDING PERMIT T� FAIR DRIVE, COSTA MESA, CA 92628 ,IobAddress: 522 19TH ST \ Status: ISSUED \ suite: �N Applied: 06/24/1998 h� p-� ViCinity: Issued: O6/24/1998 w�^� Parcel Nunmber: 42210316 Zoning: Applicant: ZANETTI, VITO Address: Phone: . , - Zip:: � -,i.:^: -- - _ -�'�� - � - = � - - ��-. Owner: NERONLIMITED,r� " '�. ;r "" "� -` =�_\�:� � Address 16835 ALGONQUIN-STE�301 � � � '� �- � � � / ( ir ��'�� /` �. i.� . � ` Phone i � � % � �� i HUNTINGTON BEACH,CA� - -- Zip- - � � � 92649 � �� i � Cf� � �` � � � / _ � \ \ � VA� � `�/ �� > i � ( i Contractor� i�� / ��i i i -�� `��- � � � � Addre� : /'�� - \\\� _�/ �� \\ �'�� ./�j Phone: \�\�i�.; \`,\ / r� �_��i� Zip: �� VA� ' Arch % E�/;�` �% // License.� � % � \ \; \� \ i 14 � � 9 � /%/�/ �� \ �l � � > /j '� � . -- A.,,\� � � � ,�� Addresa l �/�% lY� i � R` �_ �� ,� / � '��///� �� f � ��hone:` • �� - �� ' �� r 1 '� f �' � Zi :,� ,_ �. � `S � �� ` � �� L \ � � � � . �� l j � '� �.-< r ;L'icense:= — _�"�Y'� /: � > . ^ �i,:� �f� ` �i. I1 ✓ i, �� r: / � j��I � ��'i�.,,�! ,,:�;� "" SCOPEOFPERMIT ��% �� ', - ��\, I a. �� - 25.5 FEET WIDE 6Y�20'INCHES HIGH STROE FRONT SIGN FOR R& M IMPORTS � , � ` , i- � / � � ` �� . i. _, _ ._ - = - - - - ' �- � , J �r,'(i � i� ��J� `%` �� o` '� , ! / { � 1 ��J � �' � 1 �, �� .� : � • ' � ! - r . - _-- � FEE SUMMARY - ' � Plan Check: � ?? � �� Calc Valuation: � So.00 � '� ,; � " � � � — �.� / , , „ Permd � 7?�. ��.%` � -c%,� � � %`, � � � � .- �Claimed Valuahon.,� �'t � � . � SMIR Res ?? ' =-1 . _ - � � j/ _ , SMIP,Com � � �$0.50 � � � � '- � �� `� `�� Other ??� �,, •� � /, � (� � �ti��' spectlon: ` `.??�� —� J" ,' �/'�! ,) ``• ;1� , V � ' ` . ,, r '� ' �+' '�Total: � $35:1�5� �, +,; � ,�.� i G/j �� /1,t� � 'o � / � � � �, �A �� ' .1 � � rr � � ��i1i //' j i 1 \`�\ ��..' _�_ `';>PLANNING.&'ZONING., ��%" • �„;j, \��\ i' ��V. , ';. . y,, - , %';"�ji` i;l',� //� \�� ry � >� �` t"�r� t � j�%'//i !/� /i��: SETBACKS,�� ,�,� MAINSTRUCTURE Front?77?� �> � Re i�77?7. � Ceft� 9?77 �"' /Right��?-1?� �� ) ; ��.�._.__. -� (:-,AC, ./�' ACCESSORY Front �?9 77 ' l �/ %Rear 99-99 � - Left 77 ?? , ,- Right � 7Y?1 � ; � � � �1,., _ � . -, ,`�, - -, �z� PARKING �ishn �?7,' ,� Reauired: 91 ' ! � � Prouosed �, ?7 ; , -� _ �,1/ �� -' ' . ��A . . � " _ ��:' NOTES: � � � � � � � � , " � -�. .��-� � �� \�1 v `,,�e � F,��' �v EXPIRATION: This permit shall autometkalty expire end become void if work is rwt commenced within 180 days, or if work is suspended or abandoned ror a periotl of 180 days. INSPECTIONS: In order for tha work aulhorized under th(s permlt to be considered legal, such xrork must compy with all appiicable codes, arW all requlred Inspeetlons end flnel epproval must be obtained. Failure to obtain Inspections end Nnal epproval will resutt in the e�iretion ot this pertnit. FOR INSPECTIONS CALL: (714) 7545628 � _ WORKERS' COMPENSATION DECLARATION: I �ereby etHrm under penelry of pe�{ury one of the follovring declaretlons: -, , ' _ ' ❑ I heve eiW wi0 melntflin e CeNficete of consent lo selFlnsure tor workers' compenseUon, es proNCetl la by eection 3700 of Ne Lebor Cade, tor the pertormence o1 the woM tw whkh this perm�t �s �swea. ❑ 1 heve arM w0 meinfeN workers' canpensetbn insurarke. es requireO by section 3700 0l the Le6or Code. }w Ihe GeAamance of the wak tw which W5 Permit is Lswetl. My workers' compensetlon Inwrence certler antl pollcy number ere: Cartier. Pdiry Number. (Thls secllon neetl not be completed U Ne pe�mlt Is ve/ued ef one nundretl dollers (S 100) o� less.) " ❑ I cenly Nat In the peAortnance of the work lor wnich thls pertnit ls Issued, I shall rrot empby eny person in eny menner eo es ta become sue�en ro tne woAcere' compensatlon laws ot Calitomie, and egree Ihet if I ahould become suh�ect to Ihe workers' compensetion provlqlons af SecUon 3700 ot Ne Lehor Cotle, I shell fonhwith comply wIN Ihesa Provision9. Appllcan� Slgneture: Date: WARMN(3: FNLURE TO SEWRE WOfiKEPS' COMPENSATIIXJ COVERAOE IS UNLAWFUL AND SHALL SU91ECf AN EMPLOVER TO CHIAUNAL PENAL7IES AND qVIL FlNES UP TO ONE MUNDRED TlqUSAND OOUAHE (StOD,000). IN ADDITION TO THE C09T OF COMPENSATION, DAMA�ES AS PROVIDED FOR IN SECTION �]OB OF7HE UBOF CODE, INfEREST, AND ATTORNEI"S FEES. LICENSED CONTRACTOHS DECLARATION: . I hereby eHirtn that I em licensed untler provisions of Chapter 9(commendng with Sectlon 7000) 01 DMsion 3 of the Buslness end Professions Code, end my Ilcense is in iull , force end ettect. Uc. a � Class tt Contreclofs Siqneture: Date: CONSTRUCTION LENDING AGENCY: � ❑ I hereby affirtn that ihere is a construction lending epency for t�e pertortnance of the work tor which thLq pertnit is Issued. (Sec. 3097, Cfvil Code). . Lenders Name: Lendels Address: SignaNre: Date: OWNER-BUILDER DECIARAT10N5: I hereby efllrtn Ihei under penelty of per�ury ihet I em E%EMPT FROM TXE CONTRACTORS UCENSE LAW tor the tollowing reesan (Sec. 7031.5, Buslness entl Pfoie951on9 Code: My clry or counry which requires e pertnit to consUucl, alter, improve, demolish, or repair any siructure, prior to its Issuance, elso requires tha eppllcent tor such pertnit to tile e signed stetement t�at he ar ahe is Iicensetl pursuent to the proNslons ot Ihe Coniraqora License Lew (Chepter 9(commendng with Sectlon 7000) of Dlvlslon 3 ot the Business en0 Professions Code) or thet he or she is exempt therelrom end the basis tor the elleped e:emptlan. Any violallon of Secllon 7031.5 by eny eppllcaN for e pertnit sub�ectv the applicent to e Gvll penalry ot not more then five huntlretl tlollars ($500).): ❑ I, es owner of Ihe property, or my employees wlth wages as �helr sole compensetlan, WILL DO TXE WORK, end ihe structure is not intended or ottered tor eele (Sec. 7044, Business end Protesslons Cotle: The Cantrectore Llcense Lew does not apply to en owner ol properry who bulltls or Improves Ihereon, entl who tloes such wark hlmself or hersalt or throug� his or her own employees, provltletl thet such impravements ere no1 Intended or ottered tor sale. H, hov.ever, the bulltling or improvement la sdtl within one year of completlon, t�e owner-builder will heve the burUen oi proving Nat �e ar s�e tlIE not bulltl or improve for puryose ot sale.). ❑ I, es owner of Ihe property, em El(CLUSIVELY CONTRACTING WRH LICENSED COHTRACTORS to construcM Iha pro�ect (Sec. 7004, Business end Profe9slons Code: The contractors Ucense Lew Ooes not eppty to en owner of propeM who bullds or Imprwes thereon, end who contrects for suCh pro�eCt with e coNractor(s) Iicense pursuant to the Contrea nse Lews.). 0 I em exe nder sec. Buslne Professions Catle tor Nls reawn: SlgneNre: %� Data: _ Owner ID rivers Iicense. Drivefs License No. Ezpl� : Verltiwtbn Ownershlp Dy (rype ot dacument, I.e. - property tex bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CER7IFICATION: � ❑ i �ereby cerlity ihat no ezcavetlon Ilve (5) or mora leet In depth Into whlch e person is requiretl to descend, will be metle In connectlon wlth woM euthorized by Ihis pertnit, end ihet no Duiltlinp stniqure, scettolding, telsework, or demolitlon or dismentlinp thereol, wlll De more then thlrty�six (36) feet high. (Chep. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Celitomfe AEministretive Cotle). ❑ As owner-bullder, I wlll not employ enyone to do work which would requlre e pertnit trom Ihe DlvLqlon ol Industrlal Sefery, as noted ebove, unless such person hes e permit to Oo such work irom [he dlvision. . - SlgnaWre: Dare: DMslon o1 Industriel5efery Pertnit Number. CERTIFlCATE OF COMPLIANCE AND AIJfHORQATON OF HTRY: I certily un0er penelry ot per�ury Ihat I heve read t�is eppliCetion end slete Ihet thq Informailan glven is cortect Ipg e to�� with all stete la and ciry o I ces releting to building wnstructlon, and emhorize represenietNes o1 the Cit of Costa M�fse to enter upon the abov 45c ed p e Po n�iacl6 rposes. e e ot to occupy or allow occupenq of eny builAing eut arhed��% n{ieapi( unti T a'n ep / 1� �- o� . a� a a,, � -o G9QEy dsveeTroNrroe 1678 Flxed Systam Finel Flre Prevenlion 1288 Pod Spe Flnal 200 Flnel Re-Raof 201 Finel Block/Reteining Well 202 Final Fectory Flre Plece 203 Final Sign 204 Fnel DemoGtion � GeB It�lLS GppEl asvettroxrne 208 Flnel Mechenlcal 20B Final Plumbiig 210 Flnal EleqAcal 212 flnal Flra Prevention 220 Flnel Plannirig Approvel 222 Flnal Site 250 Fnal Building/Occupanry � I�� _ ApP��ant to fill in all ipaces except those within heavY bortler linas antl sign all appropriate Eectarotions. CITY OF COSTA�MESA � - � - - - - PERMIT NO. � ' - TRACT�NO. " LOT NO. BLD . . • CONSTFi'JCTION PERMIT. , �� /' Project Add�Ms '� 'S •� . TVPE OP CONSTRUCTION NEW ADD ALTERATION REPAIR Applicant'sMailinyAddreu i26-.CO/llnlEl"CIQI �'✓QY� 'r..�i.. 9262 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P..# � Arron F-o leman � (��-9�F� l AESCRIPTION OF WORK � , Owner's Name 9 Phone � - e—roo - s Main Buildin nedre::� c/o Geo: Katsampes, 518 W. 19th, C.M.. " � '' e - . ' TVPEOFPERMIT, GRADING ' FOUNDATION ' STRUCTURAL T Front- I Arch/Eng. � LiceilSC NO. ❑ TENANT ❑ El_ECTRIGAL ❑ PLUMBING ❑ MECHANICAL B R¢af Address; � � � ' � � . .. ' ❑•�oTHEa � � A � Crank Bros. Roofing Cc�,o�e548-5569 pqOJECTDESCRIPTION SQ.FT. %!97 oCCUaAwCV C Right ', Contracror's Nama � - � nddresslma�rnyl �26 Commer�qical {✓Q (.�OSfQ MESQ JPC�Z7 CONSTRUCTIONTYPEQQ/�mP��'�n/ VALUATION$ %-6�7..�n g Left. City LicPnse No. ��/Q • , ' ZONE GRADiNG CU.YDS. • ,ACRE� P�ng. Ref. # r , ,i '� LICENSED CONTRACTOR DECLARAT� , Remarks: _ . Pelking R¢q./Pr0 Phereby affirm that I.am licensetl untler provisions of Charter 9(commencing � - ,( with sectlon ]000) ot Divizion 3 of the Quslne55 antl ProteSslons Cotla, antl ; . - t � . U5e of Building: �S my Ilcense.is in fuil force antl etfecL ' \� P ' � ucense o. � : � Planning Notes: License�l�ss' C--� � p`� � PLUMBING � PEES J� Dale �/ c'��ar . �rl/�6L�'v'�"�j /;�/ � \ 'ORKE0.5' COMPENSATION DEC1d�RA710N � Baf Sink ; ShoWerS , � � i � '�ereby aftirm that I bave a certificate of cry�senl to selt-insure r a certlfiw[e ' Backflow PreventE�' ServitE Sink \ � Workers' Compensatlon inzurance, or a certllled copY tharaof (Se<tlom . � -- � 3800, �ab. C.) ' . 8ackflo' I' t' ` � �y ' r � 25274 Zenith w rr.ga ion Sewer p � Policy No. Compbny � ny� Ge�tifietl copy Is M1ereby Tumisfietl. � � � ; 88thtub5 . . S2w¢f COnnCctiO❑ � AutOrtl2tic We5h2� l7! Certl ip�cc �tIIeU with fhe city � , , . . Date �"�J��µ % Applicant ��s. �Roofing Co.�, � Claritiers • ' SolarCollecrors � ConStructionPole .�EXEMPTIONIFROM�WOHKERS�COMPErySAT10N OECLARATION- (Thisseclion neetl not be compleiatl if the Oermit is for one huntlretl (E300j or � Dishwashe� "'� - ' . �Sola� Piping ''' � - Cooking Unit '' ' 1e55). ' ' � � � � , - ; , I certl(y that In the perfo�mdnce of th¢ wo�k fo� which this De�m�t Is ISsued, I� D�inkiny FOuO[dip5 Solar Tank � ' � ' Dishwasher Shall, not Gmploy any pe�son in any manner so as to become Subje<t to th¢ � - Workers', Compensation Laws of Califomia,• , � Floor Drains' � � Swimming Po01 w/Spa � ' Dry¢rs ❑Gai. ❑ Date. Si9nature � _ NOTICE: If, after makin9 thi5 tlecla�atiOn, you shOultl beCOmG Subj¢Ct t0 lh0 . FIOOf SIOkS ' Urinal � ' Fan, Workers' Compensatlon�provisions ot.the �bo� Cotla, you must torthwith . ' ' � � + - - � ' cOmply �wlth Such provisions or -tnis p¢rmit' Shall be tleemetl revoketl. _ �' ' ' � ' , � CONST0.UCT.ION LENDING.AGENCV � - , GasServiCe , Outl2t5, . Wat2fCloset� � L F.A.U. Lhereby afflrm that there is a coostructlon lentling a9en<y for tha performance� � Interee tors ; 1 � Wate� H¢aten � � ' Fix(ures of the .work ROr whlCh�tNS' permit�-is IssueO'_(SecHOn.3097 Civ. CJ P- t - - f �entler's NamPP � _ - - ' - I Kitchen,Sink � � Water'SerJice "_ - � � DeviceBoxes i -l.enCer's Atltlrezs � • ' - � •' - . _ .,.' � _ � OWNER BUILDER DECLARATION, ' �- � ; , ' - ; - ' - I • � �-aVatones , , � � � ' ' Outlet5 � I hareby atfirm that I am exempt from thg Contractor s',Liceose Law for,tne - � .. ' following reason_(5ection 7031.5'Business antl Professional.Cotle: Any city or � P-T�ap ��< � ' . ' Switches � counry whlch reqWres d permit to cons[ruct, dlter improve, tl¢moli5h or r¢p,dir .- . ..� anv structura: prior to its issuance. also reoia.nc r6e.a�nu�a�� f�. c��n „a, u'� . 'Roof'Dr ' " � • -" ' � ^--�--- ^�--^^^� 0 iere rom antl the basis for. �e alle etl ex� n�-"" `�� a i ze �y� � /031t5 b an a licant tor a� 9 emption. Any,viola ion' of Sectlon . y' y pp permlt qubjectrthe applicant`to a 21v11 .�enalty of not more than five nuntlretl tlollars ($500). . ; � � � � � LJ I, as owner of the property oi,my�erpployees witti wages'as thelr sole compensation, will tlo [he work�, antl the s�ructure is no[ intentletl or offeretl � (or sale (Section 7044, Business and� Professional Cotle:' The Contractor's License law tloes not apply to an owner of a property'wno bu(Itl5 or Improves ' IhereOn; antl who•tloes' sucn work him5¢If/h¢rself or throuqh hi5 Or her own . em0loyee5, provitletl that such'imp�ov¢meq[5 are not intentletl o� offeretl No� � sale. If, howeveq the bulltlin9 or improvement is soltl within one year ot com- pletlon, the owner will have the buraen of proving he/she tlltl nol Cuiltl or Im- � 1Lrove for the purpose of salej. � . ; , LJ 1, as owner of lhe property, am exUusiy¢ly contracting with Iicensoa con- tractors to construct tha project (Section 70qq, gusiness antl Professions Cotle: The Contractor's License Law tloes not app�y to an owner of pmperty who builtls or Improves thereon, antl who contracts for suth projecls with a con- Ira<tor(5) Iicense pUrzuant to�Me Contra<[oCs License I�w). ❑�I.am exemDt untler $ection B. & P. C. for thiz reason Date � Owner I hereby ttrtlty that I have reatl thi5 appliCation antl state [hat tne abOve ' in(ormatlon'is correct'. 1 aqree to compty With all city antl <ounty orEinancas antl State laws �elating t0 builtling coyjt�[tian, antl here0y authOri28 r¢pr¢- sentativas qY^Ihis city to enter�upOrytpel6bove-mentioneG orooertv for SignaWre( 'lPM.I[fl Dr7verz' Lltense or 55 � CMF� 0865-46 iev. 7/83 • White -�Builtl Canary - Applicant; Plnk - Accounting; ams� - � n . . � ' ' i ..Reinspection _Fee I ^ i$21 � Boiler , 1 . , . � Duct-Structural • Duct - Ventilating ' Exhaust System ❑ Multiple �. Firepl/Fact. Blt. ICBO # Heating System & Ducting� . ' Daioo,000eruDioo,000eTi �. , i � . . " � Issue Fae. � ' ' iANICAL ' ' Hood or� Typel ❑ , , Canopy Typell ❑ . � , Refrigeration System . ' 06100,000 BTU ❑100,000 BTI. System Repair/Alteration Reinspection Fee I $ZS I I laue Fee nrotl -qssessor -. . . . _ . S 3 . i FEE $ 3 i273 10/3!/84. � _ �, : ' ' � I Zona , ' � Accessorv Bu �e�t�;� 0 2,. EO '� TI _ . ling: , Z . � . N � ` N G R ' E \ . � U ' � �, \ R E ' � . i � E , . \. T � ELECTRICAL , ,Transformer ❑ 15 • � 50 � - Meter ❑up to 100 MetP1 ❑OV¢f�OOF .Sub Panel . � Motors�41HP�1X-8 Inc. Solar �9-15 HP 016-15+ ,? . . "Microwave ' r., ". i:�; � , Pole,Light ' ��(;..� 'S� ' � ,Range , ' .'..-..i � . � Sign , �� . - •Standing�Sections'�'}' �� I Generetor LJ45 KW 05-15 KW . Trash Compactor • — Reinspeaion Fee � $25 � �ssue Fee: � PUBLIC��SERVICESREQUIREMENTS: , � � � Zonin9 APProved BY , . . .. Application Approved By ,.__�.�..__ ��.._. e.. i , / . �SUMMARY OF FEES ' `� , �� 3 O BUILDING PERMIT $ �� •� �� SMIP , $ .' iPLANCHECK $ - PERMIT ��y�; •�;. PLUMBWG ' $ ISSUANCE � $- PLAN CHECK ' $ ENERGY P.C;�•$T ELECTRICAI $ � GRADING � $ MICROFILM� i$� ' � PLAN CHECK $ ' .,� MECHANICAL . $ , , TOTAL FEE„ $ ' �`��' S � PLAN CHECK $ ' t , � � , CONSTRUCTION AND PLANNWG , PO� . SPA � Date Inspector Date Inspector APPROVALS Permit# APPROVALS Permit# �'�1. Temporary Electrical Service or Pole 52. Pool & Equipment Location �� 2�Soil Pipe-Undrgrnd. . 53. Steel Feinforcement � � �.'� 3! Electrical Conduit Utility-Undrgrnd. 54.'Forms' . � �� 4. Electrical Conduit-Undrgrnd. � 55. Electrical Bonding ., ; - ' 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test � • ri 6. Electrical UFER Grnd:,� ;,; � 57. APPROVAL TO COVER-GUNITE .-�.� r: / ' 7. Footings - .; 58. Electrical Conduit-Undrgrnd: �� 8. Foundation � •;� , 59. Gas Pipe, O Undrgrnd., Test �"'? 9. Water Pipe-Undrgrnd. . 60. � Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. AP.PROVAL TO DECK 11. Property Sewer Line & House Connection . 62. Backwash & Receptor-Final � > 72. Sewer Cap , f . 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 Eleariral-T Bar Ceiling 69. POOUSPA SYSTEMS P�NAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure � 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping OGas �OOiI � 23. Gas Pipe-Rough & Test , 72. Underground Flush � � 24. fioof Framing 73. Undergrnd.StorageTank 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 8rown Coat � 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: 4. t/�1, .. � � 1ts 34. Final Heating & Ai� Conilitioni�g ' � � i ��` , � __� ; J _ � �� ` l .2u/ 35. Final Gas Pipe-Test ��y �J ��L C�C�K 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 Attenuation ' , � � - - 46. Handicap Regulations ' �. ' � . - , 47. FINALSTRUCTURE&BUILQING Qa 48. Special Requirements Completed . • � ��Q G� v �' 49. Electric Release to Edison � � - . • � � - . , 50. Gas Release to Southern Califoinia'Gas Co � ' � ^ ' • , ' 51. CERTIFICATE OF OCCUPANCY No. � Date � � � AVP��<ant lo fill in all spaces wit�in heavy bomer lines ane sign all aDcropriate tleclaretions. ' � CITY OF COSTA MESA " ' PEVFMIT N . ' � � TRACT NO. LOT NO. BLDG. NO. - � � - - -' ' ' "- - - ' • CONSTF�UCTION PERMIT [3 — '1- ' % 7f , • 29d 5 • 3/05/82 •: •' 64.02 �Tl� . , '� . _.. _ ._ . __. Project Address � �TYPE OF CONSTRUC,T-,IO�N. �•' � -�' � � '•, 4 • � � . . ' . OwnCt (,� Pho ❑ NEVJ ❑ ADD 'tQ!HLTERATION � - - - - � ., � 'Address (✓ - M � ❑ REP.91R ❑ CONVERSION� �DEMOLISH . . _ - .- �Arch/Eng. - LicenseNo: �- ❑�OTHER � ' A-ZONINGRE=ULATIONS(_ 'AddIC55 - - . _ . _. .. _ DESCRIPTION OF WORK _ _ A'P' � ContfaCtOf- � PhOnC - - _ _ _ _ ZONE C-9 �- PLNG. REF.��NG�. - � VP F PERMIT' . • g�J Lp , Atldf255.. . ' -'" '- ' " - - SETBACK T. OPERTV LWE � � GRADING.' 'O FOVNDATION O STRUCTURAL• - 1 vARD . LICENSEO-CONTRACTOR D�CL'ARATION .. . . " ' ` . ❑ TENANT O ELECTRICAL OPI.UMBING ❑MECHANIC 5 pEy - � 1 hereby-aflirm'thnt 1 nm �Icenspd untler p+ovlsions of Charter 9��<om• ,_„ /� .. � , � p��GH7 mencin9-with�-sectlon��7000)•0! DIvlSion-3 of lhe-Business-antl IB'OTHER' ' �qEARVFIRD(TOP/L) - � 7rofessions Cotle, �antl my Iltepse Is in full force an0 eflett. -� ' - � - ' PROJECT DESCRIPTIO . . . {' Llconse Class - � � � ' ' Licanie No; ' �tl I�" � " �� ' PKG. SPACE REQ. � . PROVIDED DatO � � 59�a1ur0 - ' - � ' ' " � 5�. FT: • _-- � N -' PARK FEE S " i � WORKERS' STREET WIDTH � COM7ENSATION bECLARATION �' OCCVPANCY��CONSTRUCTION TVPE ZpNING APPROVED BY i OATE I hereby affirm that I have a certificato of consont to self-insure or a VALUATIONy�.A21•� ZpNE Cartl(iw[e of Worker5' Compeq�tiOn InsUrance, Or d<Brlitiea-mpy ' ^ `SPECIAL CONDITIONS: �� ' �thereoi (Sectlon 3800, Lab. CJ. � � GRADING•CU. YpS. ACRES � P�IICY No. ' ." _ ' ' COmPanY '. . . ' " "_ _ _ ''�' '" _ _ �'� l! �O -�" 2�3.` • . -, - ..'f";=jertifletl coPY is herebY.furnlShaC. _,. "" ' _ _ . . ' .REMARKSi,. � • 1�... � - .� - . . .. _ _ ._,y,1u`e%^;ertifietl copy IS tilatl with the cily BUlltling Olvislon. � ,, , .. EX�EMVTION'FROM WORKERS"COMPENSATION UECLARATION (O� '�- ' LVY OM` (Thls settlon noetl not be completotl i( tne, permlt Iz lor One �untlratl • �� '" "'' SEI00� or lessl. � ' � M.� - st! a ' - ' cart ry that in th¢ Dertormanc¢ of Ihe work for which this permit 15 ISsuCd, I zhall not em loy 5ny be�fon In any �manne� 50 as to D¢<Ome PLUMBING,- ! � �•PLAN CH CK - ' �-- 'ELECTHICAL PLAN CHECK '-- -' sub)ect.to the WorkerSPCompensatlon Lawi of Callfornla. ' i' � � BATHTVBS- � SFIOWERS -- ' � ' ' - � - � - � Datc Si9natura � .. . . NOTICE: If aRor making thfs tleclaratlon, you shoultl bacome suC�ec[ TOILETS� •�� .� n�URINACS '''" �' ^''" GENERA70R-- • 0-1' KW_1--30-KW'""' -- ' to the Workcrs' Compensation provisions of [he tabor Cotle, you mu5t -�' � TRANSPORMER • � � forthwith compty with zuch pro��slons or this permit s�all be tleemetl LAVATORIES DOVBIE CAVS - �' '- APPLIANCE' 30-SO�KW_50 � KW - rovoketl.._ . . � - � CONSTRUCTION LENOING AGENCV -"KIT. SINKS' ' "' - 'DISFIWASHERS' ' ^ MOTOR$- - Od H�_7"-10 HV " ' '�� I hereby aHirm that there iz a conSlrutUon lentling agency for tbe per- •.- -, -- - UN0. SOLAR) _. 30-50 NP_ 50 +�H� _ - - b�Tdnte of IhB work �or whiCh thi5 permit is issuetl (Seclion 3097 SERVICESINKS �.r5UMP5'- Civ: C.)r -' � - - - � -- - - _ � - 'FLOOR SINKS ' - FCOOR DRAINS'�' r' ' •F�XTURES � ' OUTLETS' "SWITCHES' -' -- Lentler'S Nam¢ � Lentler'S Atltlress � � ORINKING FOUNTAINS '�,j' - ' " ' ' -GAS TUBE SIGNS -� - - --- � - OWNER'BWILDERDECLARAT�ON- - -- - �� - --- ,POL'ELIGHTS-- -'--�- �"-' ' ' ' "'� 1 hereby aftirm that I am exempt from tha Con[ractoYs Lfcense Law tor �NTERCEGTORS� - CLARIFIERS' " � � ; tbe �tollowing �reazon-(Section 9031-.5� Business�antl-Protessions Cotle: - . _ _ _ _ � - _ . _ � . _t __ _ ! SWIMMING'POOL' - ' PTRAP" Anv city or county which r@qy�res a permit to construct, alter, - �POLES METERED .SUB �i ITprove,-tlemolish or repairany Struclure; prior to it5 i55uancG,-also r!- yyqTER $ERVICE ""ALTERATION"-" "- PANELS -'- MAIN�- '' SVB" - - qulfes.the ap:litdnt fOr such perTit t0 file a siqnGtl Std[G�IIGnt Nat he. � - t Is�licensetl purzuant to�the provisions of the�Gontractor'rLicense Law- � GASSERVICE � OVTLETS -� ' 'SERVICE --- ^ - * AMP - - � (Chapter 9(commencing with �¢ctlon �000) �of Division 3 of tne Buziness antl PrWasions Cotle) Orthat he�isexempt therefrom antl the• yyqTER HEATERS "BTU OVTPVT ' - ' ' -' ' - - ' ' ' " -' - basis for lhe allegetl exemption, qny violation of SeCNOn 7031.5 by � applicant bra permit �subj¢cts the applicant to a civil �penalty SEWER CONNECTIONS ' ' �^ - ' - ' ' ^' -' ^' " ' ' '- ' '" �' ' i jl more than live huntlt¢tl t1011a�s (E500). , as 6wner of lho pw0erty; ' b 'SOLAR'THNK-- "-' COLLECTORS' ' - -" - ' - ' --- ' - " - - ' sore comoensatlnn, will tlo tha Work, antl the,siructure is not IntentleC ' � i55VE FEE'-' " - or o ei reiTioi WIe. (SecOon 7044, Businesf antl Wofeisions CbEe: The" 'SOLA0. PIPING SVS.- - �' '� Contracior's License Law tloes not appty_ to an owner of a property - � i who bulltls ot Improves Ihereon, antl who tloez 5uch work himsel( or" - ISSUE FEE - � -� ' AP�L�CATION APP VE --'DATE 1, tb�oU9b his own omployces, O�o�itletl Ihat SUGh improvemen[5 are nOl Intentletl or olieretl lor sa1e. 11, however, the builUing or improvement MECHANICAL PLAN CHECK SUMMARY OF F,EES I5 Soltl within one year of completlon, Ihe owner will have tne burtl¢n , �� ot proving fic Citl not builtl pr improv2 lor the "Ourpoze of sale). -- - - -��BUILDING - ` ^ ^� - ❑d, as owner� ot .th0 �proper(y,.am axcluiivey wntratting wlth HEATING SVSTEM 0100,000 BTV _ , , PERMIT , _ E�•�i' : SMIP.• ,� E •�.ia ANDDVCTING -' ' ' '- + ' Ilcensetl coniractors to construct the praject (Section 7004, Business 100,000�+BTU � PLANCHECK E�fp..%� PERMIT.� antl PrOfe55ions Cotle: �The GontYaclo�'s� Llcanse Law OoaS�not apply t0 . . - ISSUANCE E,� an owner of property who builys or Improves thereon, antl who con- REFRIGERATION Od00,000 BTU �PLUMBING E tratls Irom-zuch pro�eCtS �with..a c dclor(s�-IICBSnOtl-OurSudnt .to , SYSTEM - --• J� - � .. _ .. ' GRADING E [he Contracror's Llcense Law�. 100,000 t BTV � Pl-AN CHECK S -� _ ,- O � am exemot unaer xtt�on - e. a r. c. tor tn - - � - -� - � -- � -� - � - �-- �s � ILERS BTU �ELECTRICHL 5 � , ieas - • PLAN CHECK� 'E' � �� "MICROFILM�S Da Owner STEM REPA�R, ALTERATION -.� • �' TOTAI FEE E 1 M1ereby certi a l nave reatl tqls a ,MECMANICHL -S �" ', pplication antl 5[ata that ihe above EXHAUST SVSTEM MULTIPLE J' �1LE55 AD� �� inlormatio is cosecL J'a'grae to compty th ali'c7ty'antl tounty �'PLANCHECK- E--� �� -VAfYCEPC S_ '- ortlinance antl S ta laws ting to cOnstr on, antl hCtGby autnO�I10 ' -� �� r � ♦' , . +. �; roprosen tW t en r ae e lonetl '� ' _� 519 �Irure r " ' . \, � ' J> . ,�� . FINALPEE E�,p2 � Drivers' �icense or SS � - - - ISSUE FEE � � � - � - -� CMF 0865-a6 White-Builtling; ��ary-App�iwnt: Pink-Accounlin9: GOltlenroG-A55essor _ � CONSTRUCTION AND PLANNI G� �ry�(� POOL & SP.A -- � APPROVALS Permit#�S6Y�t Date �Inspector qppROVALS- Permit#' � ' Date• Inspector 1. Temporary Electrical Service or Pole - 43. Pool & Equipment Location - -- • � Soi ipe-Un rgm � ' • 44. Steel Reinforcement - • • - - • - 3. Electrical Conduit Utility-Undrpm . 45. Forms - - 4. Electrical Conduit-Undrgm - 46. Electripl Bonding - � -- �� tee ein orce ,. 47. Rou h Plumbin Pressure Test - � �� 6. _Electrical UFER Grn_ 48. APPROVAL TO COVER-GUNITE- 7. Footings_. • � ' � � 49. ElectricalConduit-Undrrn ' ' ' � 8. Foundation . � 50. i Gas Pipe, -� Undr rn, Test �� 9. Watec.Pipe-Undrgin '' 51. Backwash Lines P-Tra- ❑�ndr m -- - - .10.._Structural Floor,System 52. APP OVALTO DECK - '- _.11.:__FroDerty Sewer Line & House Connection 53. .Backwash & Rece tor-Final � ' 12. _Street Sewer Connection � - - � 54. Heater & Vent�Final � - 13. Rou9h��Plumbing. -_ ' • - � - ' - ' - - ' 14. Rough Electric-Conduit� , '"-- � � --- • - �56. Electrical-Final � ' � '� . 15. Rough Elec[ricWiring � - --•- 57. Solar System-Final � ' � - ' - � � r - i 6. -Rough-Heating & Air Conditioning - - - � . . _ encing &�.Access Approval - � � - 17. Ducts in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating. . - _ � .-. �� - - - ' . :' --Y .- --- -. .- . . _ 19. Gas Pipe=Rough & Test' ' " - -. _ 60. .POOL/SPA SYSTEMS FINAL ' � ' � - , , 20. Roof Framing� - - - - - ' . - . ` . • • ' � . � ' , • . ' 21. Roof Sheatfiin -- - - � ' - ` � � ' - ' , � � • • - 22. Frameand Flashin -- . � -NOTES: � ' , . . � � , 23.- Insulation - - - . � � , �: ' G :>_ . � 24, Lathin9-& Sidin9 � - - -- - ' - - . _ .. . . ._ . _ .. �. 25. Drywall Nailing - - � -t- - , , - - - . - - - � � .. . � " ��. � '- 26. �Plaster Brown Coat � ` �- • � ' ' ' � � � ' � - - � ' 27. Electiical Power=Meter-Final �- - � � ' • � � � . 28. Final Electric - - � - - � �� - . . . . . . . . � 29: Final Heating & Air Conditioning - - � - . - � • � � � 30. Final.Gas Pipe-Test - - . _ . _ ' ' � � 31. Final.Plumbi�g . _. _ • _. . ...`..."... ,.... ... . , 32. Water Service-Finab � - ' � - � ' ' ' - -- - - . _ ... . . -33. Gas Service-Final. =- - - - - � - � ' ' � � . 34. SolarpomesticFinal'� � � � - � �• � ° � � � " � � � 35. ' Landsca e S �rinklin S stem-'-.. � - � ` ' �' � � - ' � � ' 36. Sound Attenuation � F - ti - ' ' ' '� � ' 37. Handicap Regulations - - - ' - � � • � , 38. FINALSTRUCTURE&BUILDING 3,�-$;� (.;r+= ;ia�.�% , -- ' •� 39. Special Requirements Completed � ' "' ' � ' 40.��.. Electric Release.to Edison ' "' ' - -• � - -- �� ' "- -' '� - -- ' - • ' � 41. Gas Release to,Southem California Gas Co. - ' � � � 42. CERTIFICAT/E OF OCCUPANCY �.q,..Q� � - - ��`�� - No - 3��` " Date � � - , _ . • - '" '. ,: . ' City of Costa Mesa ;, a�aa�ne satarv oeaartme�c C E R T I F I C A T E O F O C C U P A N C Y a.o. eox �200 Costa Mesa, Calitornia The Building located at ' has been inspected and found to comply with the provisions ot alf City of Costa Mesa Ordinances applicable thereto for a Group ' Occupancy. UseofBuilding -�+�- .;�.. �'-:...r- �� ' �,-;^'.�. Legal Descriptioa ' '.'�=� 7" ISee reverse side tor Metes and Bounds) Building Permit No '- 7"�9 Electrical Permit No. Piumbing Permit No. - Number of apartments andlor guest rooms iSSUED TO: BuildingOfficial; `` _ ,. , � --L_. b : `— �� , ��,li��./`� -. Y � . �l .. ��Jc � �'�,�.,t��i.rK± �;viaLc,, ,. . - Date � YJ This Certificate af Occupancy SHALL BE posted in a conspicuous place o� the premises and SHALI NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 306 le) U.B.C. Form BU 34 Rav. 13/70 1 , e�osta mesa nauaing i�epartment � 171 EAST 20th STREET . �� COS7A MESA, CALIFORNIA � fi =� FOR APPLICANT TO FILL IN ea��a�og Addrese � 2- j � �, Costa Mesa, California ss. Address nddress y i Z Legal I Lot Descriptlon No. (Attach Metes and E i Size of Lot `, �1 k Use ot Existing Bldg. �^ Setback Linefrom Center of Street 1 DESCR New I� Repair I I Building Size ie0Y1C I hereby ac} and state th � with all Ci1 building wn Sfgnature of Permittee APPLICATION r'UR YL�'1Z1Y11'1' �p5 BUILDING � FOR OFFICE USE ONLY Recefpt No. I Permit N� �/3 ' �Reicet'yed by Date Redd. I Date Issw / _�iy I // `.�/ —" + I /J ' � '_ 9uimfn Address Costa Mesa, California Nearest No. Zonen � I, No. ot I Type D; � Lic. l.. f Plans No. �� 2 ApprovW ».. G�l+�-K, bY citY �i�. CORRECTION'� G,�.� C�-n,o. _ � , - � I� � Block I Tract.32S' --� _�� n i ft �I�" ��dg> AP�i/J'- 3 0 3-� fi)� r.., 144 I 41 No. of Bldga �� ! 2'� Now on Lot I�l �� ' No.of I No.of _ . „ L.,rr �amilles ooms (� U V � �� Rear Vard O 23�� SideYard j PTION OF WORH Alteration I I Addition I Novfng I I Demolish I No. of 0 Rooms Stories 1 � � I Coverin9i�A+v��Y . (�PPR,�vf��' _ � �� S"� Foundation Location Inspecto � " Forms, Materials, Under-Pinning Frame: Ffre Stops, Bracing, Bolts e that I have read this Application iove is mrrect and agree to comply Lath. Int ances and State I.aws regulating Valuation $ .�� S o �. FORM 204 5-BP 2D1 B•55 Permit Fee $ _ Plaster, InS. Plaster, Ext c �� Masonry Rei d �� Bond Beam C � FINAL ,.. _, _ _ -�- '_ ' •, _ . -- - , = � - � ' COSTA '!C421 �SP.D�,�Esn 548� *:}**a1.(�0 c f• • � , . _ snow Iocation antl distancea from property line and between buildings . .- ,, , .. , _ , r 'a •t . � • ' . �3�:8 COSTA MESA BUILDING DEPARTMENT P.O. BOX 31] COSTA MESA. CA�IFORNIA FOR APPLICANT TO FILL IN BUILDING �� / O,1 ADDRE55 � COSTA MESA. CALIFORNIA OWNER /7/yc�y�/ S DNI.C`�G ICITY (J//�/.r O� NO. // — / � ��AR� =CT LIC. 'OR �NEER NO. LEWI Lp7 OESCRIPTION NQ. B� A.P. NO. //� J B,� '— S�ZE � O X � OF LOT USE OF �EXISTiNG BLOG. GDNI SEtB�CR LINE FFOM /� CENTEN OF STRE'=T SIOE YARD RIGHT r � DESCRIPTIOI�1 NE - ALTERATION REPAIft MOVING BUILDING � /7 ✓ /i}./J NO CITV LIC. � NO. F RECEIVED �G� � y� ��- 9 � INANCE DEPT. � APPLYICA�PSTA1 � PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. PERMIT NO .7 6 %G��/'� �—TIO^EVEI � �IO55 0 BUILDING / I `IU _ /^ /�^ NDORE55 � yC a+( l/ % �J / GOSTA MESA. CALIFORNIA FIRE ZONE . r _ P�.�= �_ y �/� APPR4UE ��S L /� ^j ` \ BY � � LL' { - OATE V� / " ,' / � I PL�Y � V Y �Y �� F a�� / ciTv o,- cosTn raesa /� NOW ON �OT ' ` �i v . � � �.d � SnnRt� SUDJECT TO L G. DEPT. REG. I/il:I•] i� LEFT �� OF WORK ADDITION DEMOLISH OF �MS � STORIE F ERING I� � /�^ /. ST�TE THAT TRE 1KOVE IS COFREC •NO sGXEE TO COMPLY WITN .�LL CITY OHOINANCES 4NO $T�TE L� REGUL�TING BVILOING NSTRUC� TI ON. ///) SIGNATURE OF / y/ il �• �.� i ��_. .. ZED AGENT � VALUATION / UCJ Q� PERMiT FEE 5 (7 � On �\ PLAN CHECK 5 yD /�/ $ / / TOTAL FEE S C' �� °'"� ✓ .: - . -- e = 55`73 COSTA MESA BUILDING DEPARTMENT P. O. 80% 31 � COSTA MESA. CALIFORNIA - FOR APPLICANT TO FILL IN BUILDING � AODRE55 3 z 2(A/, i`/--"�f COSTA MESA, CALIFORNIA OWNER .� �i(�t{;L`� (.�(Jr nnn MAIL � �� • ' /.� ADDRE55 t. CITV �. yY1. NL. „ �II AftCY' 'T - LIC. OR E ,EER NO. ADDRE55 I LEGnI ILOT �E9CPIPTION �.f0. A.P. NO. �S – 0 SIZE OF LOT LIC. _ � v NO.OF 9�0G5. HOW ON �OT USE OF y/ EXISTING BLDG. C.iLl `""`-'• SETBRCN �INE FNOM CENTEn Ov 6inEEi� y� � REAR YARO f SIDE YARD RIGHT L� LEFT �� DESCRIPTION OF WORK NE � ALTERATION � ADDITION ftEPA1R MOVING DEMOLISH BUILDING NO.OF SIZE ROOMS STORIES � � ; tlS3W tl1S0'•1 �0 All� _ i. �1d30 3�NUN1� , � b .s �� AP�}f,�j,�'in��O��RMIT j� BUILDING � FOR OFFICE USE ONLY , M RECEIPT NO. PERMIT NO., / • I �(/ RECEIVfD BY sTE PECEIVED •TE ISSUED iz z/ - dg-` _ � " BUILDING ADDRE55 - COSTA MESA. CALIFORNIA ^ �� FIRE � ZONE ZONEp� NO.OF TVpE GpOVP KV/ n / PLI.NS // � /T� ` APPROVED � BY DATE � . CORRECTIONS �� / � S I 1 . . PL�iF:KI�G DEPT. G• ��C- � -��w.. c�C .a,U� h pG�i- � C:s�Lti.-� , d�.�-��ex- f♦. c! I MERE V�CN OWIEOGE TMOT I NAVE PE4 5 APPLICAT ON �ND STeTE TNAT T •BOVE �5 COARECT AND aG E TO COMPLV WITM ALl CITY OFOINA CES �ND ST1TE L�WS REGULI.TING lUIlO1NG CONBTRUG TION. / VALUATION (� _ SIGNATUFE OF PERMiT FEE 5 Q PERMITTEE � 6� �" r f� $� �i.S O� PLAN CHECH S �— / V AUTHORIZED AGENT TOTAL FEE S /a% �� `�l L COSTA MESA PERMIT NO. �ZION PERMIT G- //.. Arch/Eng. �L.{ A 7/�/.1 Kl o � LFi�'License No. Contrec[or �� Phoi Address � ' ' heavy eortler lines an0 sign all approDriate aeelarations. TRACT NO. LOT NO. � BIDG. NO. I hereby affirm that I am IlcenseG untler provi5lons of Charter 9(com- mencing wlth sectb� 7000) - of Dlvision' 3 of phe 'Buziness antl Protasslonz Cotle, antl my Iicense is In full forCA antl eftect. License Class License No. Date Signature �- WORKERS' COMPENSATION DECLARATION� - � I har0by afflrm that I have a certi/ICdt¢ ot COns¢nt t0 self-insure or a certiflwte o/ Workers� Compensation Insurance, or a-certlfieC copy thereof (Sectlon 3800, �b. CJ. ' '.ry No. Company ertltietl copy Is herepy fumishetl. � - - . �.:ertltietl copy is tilgd with tho ci[y Builtlin9 �ivision. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section neetl not be <ompletetl t e permit iz for one huntlretl (E300 or leu). I�Cert�(y that in the p@�tormance f[he ork for.Whlch thi5 pe it is Issuetl, 1 shall not em�lov anv rsop anv o�nnor so as to ecome Date.J./— "'— �C_Si9nature � � /W /"w`� NOTICE: If atter making this tleclaration, you sM1oulG become subject to the Workers' Comppnsation provizlons ot the Labor Cotle, you must lorthwith COmply with such provisions or this perTit S�all be tleemetl revoketl. � . .. ._ . CONSTRUCTION LENDING AGENCV I her¢by attirm tnat t�ere Is a con5truction lenaing agency for Ihe per- fo�mance ot Ihe work for whlth thlt permit i5 ISSuetl (SeGtion 309] Civ. C.). . . Lentler'S Name Lenaer's Atldress OWNER BUILOER D�CLARATION ' ' 1 hereby aftirm that I am oxempt �rom the Contractor's Llcense Law for the following reason (5¢��ion 7031.5 Business antl Profes5ions Cotle: Any city or munty whiGh r¢quir¢s a p¢rmit to Construct, alter, ImprOve, tl¢molish o� repai� any st�ucture, prior to Its i55uancE, also �e- quires the ap0li�nt for such permit to file a signetl zta[ement t�at he is IiCensetl pur5uant [o thG prOvlziOnSbf the Contfac[o!'s Llcefl5¢ ldw (Chaptar 9(commenGing witn Sectlon 7000) ol Oivlslon 3 of [he Business antl Professions Cotle) or tM1at he is exempt theretrom antl tne b- - tor lhe allegetl exemption. Any vialation of Se<tion 7031.5 by ' �ppliGant tor a Permit subjects the aOPlicant to a Nvil penalty ;l more than tive huntlretl tlollars (E500). V i, as owner of th¢ property, or my employees wltb wages a5 [heir sole compensslion, wiry tlo the work,.antl the structure is not intentletl or oHeretl for sale. (Se�tlon ]044, Business antl Rofessions Cotle: The ConVaclor'S License La�y tloes not apply [o an owner ot a property wh0 builtl5 0� imp�ov@s [hereon, antl who tloes Such work himself o� throu9h hls� own emplOyeas, provltletl that such imprOVGments are nol in[entletl or o/feretl for 5ale. If, howeveq the builtling or improvement is soltl within one year o� comPlotion, lhe owner will ttavo thC burtle0 Ot prOVVn9 ha tlitl npt builtl or improve tor th¢ purpose of Sale). ❑'I, as -owner of the property; am exclusively contrac[ing with �icensetl contractors to mnstruct the project (Section 7044. Business antl Professions Cotle: The Contractor•5 License Law tloes not apply to an owner oi property V,.ho builtls or improves ihereon, antl wha con- lracts trom such projects wi[h a contractor(z) Ilcesnetl pursuant to the Con(ractor'S license Law). ❑ 1 am exemp[ untler $Q«ion 8. & P. C. Po� this reasbn ' Date pwner - - 1 hereby cerUfy th hgye reatl tnis application antl sta[e lhat Ihe above Information Is rre t, 1 agree to compty witb all city antl county brtlinances an state ws rel n9 [o constructi , antl hereby autborize �e9resentative i o nte� up th¢ ibpve men�0 property for i SI nature � a' TVPE OF CONSTRUCTION � ❑ NEW ❑ A�D ❑ ALTERATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ❑ OTHER OESCRIPTIONOFWORK _ TVPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTVRAL ❑ TENANT ❑ ELECTRICAL OPLUMBING ❑MECHAI ❑ OTHER - � - - PROJECT DESCRIPTION SQ. FT. . OCCUPANCV_CONSTRUCTION TVPE VALUATION ZONE GRADING CU. VDS. ACRES PLUMBING PLANCHEGK BATHTUBS SHOWERS � TOILETS' �� ' VRINALS � LAVATOR�ES DOUBIE LAVS KIT.SINI(5 DISHWASHERS SERVICESIfYKS SUMPS � - FLOORSINKS FLOORDRAINS� DRIIVKING FOUNTAINS � INTERCEPTORS CLARIFIERS SWIMMINGPOOL - PTRAP ' ' WATER SERVICE � ALTERATION�� GASSERVICE OVTLETS WATER HEATERS BTU OUTPUT �" SEWERCONNECTIONS SOLAR TANK � COLLECTORS SOLAR PIPING SVS. ISSUE FEE MECHANICAL PLAN CHECK HEA7ING SYSTEM 0-300,000 BTU ANDDUCTING 100,000+BTU REFRIGERATION 0-100,000 BTV SVSTEM 100,000 + BTU BOILERS 8TV SVSTEM kEPAIR,ALTERATION EXHqU5T5V5TEM MULTIPLE Driveri' License or 55 =¢ .� �� / � �% � �SSUE FEE CMF 0865-46 Whi[a.guiltlin9: Ganary-Applicant; Pink-Actountlnq; Goltlenrotl-Assessor 6 9 " � . _� � , 7844 �II/04/BI 20NING REGULATIONS A.P. � ZONE PINTGp.gRUEFL.p�# � - S9ETEBACKGLST. PROPE�RTV LINE L5�EFTVARD - � ' R�IGHTA � ' _ REAR YARD (TO P/L) PKG. SPACE RE�. PROVIDED ' STREET WIDTH PARIC FEE 5. ZONINGAPPROVED.BV DATE SPECIAL CONDITIONS: - � �ELECTRICAL PLnrv CHECK � ' GENERATOR 0-1 KW_1-30 KW _ TRANSFORMER APPLIANCE 30-50 KW_50 i KW _ ,MOTORS 0-1 FIP_I-30 HP _ pNC.50LAR) ]0-SOHP SO+HP_ FIXTURES ' � OUTLETS SWITCHES GAS TVBE SIGNS ' - POLE LIGHTS - ' PANELS 'MAIN ' " SUB ERVICE -..I�� P ISSUE'FEE 'LICATION DATE 8,00 T�; SUMMAHV OF FEES . BVILDING ' ' - PERMIT § $MIP, , f PLAN CHECK E PERMIT • ISSUANCE E PLUMBING E GRADING E ,PLAN CHECK $� �� g �ELECTRICAL $ �PLANCHECK y . MICROFILM$ MECHANICAL $ TOTAL FEE 5 ' ' LE55 AD- ..PLAN CHECK E VANCE PC S_ � FINAL FEE b CONSTRUCTION AND PLANNING APPROVALS \� Permit # E /�•� 3 Date 1. Temporary Electrical Service or Pole 9. Water Pipe-Undrgrn 10. Structural Floor SYstem 11. Property Sewer Line & House Conneaion 12. - Street Sewer Connection ' 13. Rough Plumbin9 14. Rough Electric-Conduit 15. Rough Electric-Wiring -� ' 16. Rough Heating & Air Conditioning - 17. Ducts, in Structure 18. Ducts. Ventilatina . "1"1. Frame and Flashing 23. Insulation - 24.�- Lathing & Siding 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter-Final 28. Final Elettric 29. Final Heating & Air Condition 30. Final Gas Pipe-Test 37. Handicap Regulations 38. FINALSTRUCTURE&BUILDIN 39. Special Requirements Completed 40. Electric Release to Edison 41 . Gas Release to Southern California 42. CERTIFICATE OF OCCUPANCY No Date ., � ' POOL & SPA Inspector qppROVALS Permit 43. Pool & Equipment Location 44. Steel Reinforcement - 45. Forms 46. Electrical Bonding 47. Rough Plumbin & Pressure'Te� 48. APPROVALTO COVER-GUN 49. Electrical Conduit-Undrqrn � �56. Electrical-Final 57. Solar System-Final • 60. POOL/SPASYSTEMSFINAL �NOTES: Date P 0 �- Appli�ant to fill in all SDaces within heavy bortler lines antl sign all appropriate tleclaratlons. , CITY QF COSTA� MESA `' PERMIT NO. '- TRACT NO. LOT NO. . �BLDG. NO. - • COI!^� RUCTION PERMIT �-•/(a�.� • � r�o�ec�'+ u�ers L�L ` `� F ' TVPE OF CONSTflUCTION OWnef � �� '„� Phon _ ❑ NEW ❑ ADD ❑ ALTERATION �'AddlCss 'rr'�l��- Q L ❑ REPAIR ❑ CONVERSION ❑DEMOLISH � AfCh/Eng. . ' ' ' LiCenSe NO. p ❑.OTHER Address' " - " - . DESCRIPTIONOFWORK _ "Contractor ,LC"k,l Phon ,S= TVPE OF PERMIT�� ' '- Addfe55 � � fQ ❑ GRADING .❑ FOUNDATION O STRUCTURAL- LICENSED CONTRACTOR DECLARATION � ❑ TENANT D�ELECTRICAL OPLUMBING ❑MECHAN � I h¢reby ditirm that I am IlcenseG untler provi5ion5 of Char[er 9(com- . - . mencing with 5ection �000) of Di��sion 3 of the Business antl� '� ��OTHER , w Aotesslons Cotle, antl my Iitense is in tull force antl efiect. PAOJECT DESCRIPTION � License Class _ �iceose No. � Date � Signature "^ ' - � � SQ. FT. ` . . . _ . . �WORKERS' COMPENSATION OECLqRAT10N- - - :OCCUPANCV_CONSTRUCTION TVPE i hereby af(Irm that I have a certiticate of consent to selt-insure.or a VALUATION ZONE certificate'of Workers' Compensation Insurance,�or a tertitietl copy --� - � -. - .. (v thereof (Section 3800, Lab. C.). � GRADING CV: VDS. ACRES N Policy No. � -� Compaqy " " -- - ' -- I ' Certlfietl copy i5 hereby fumish¢tl. _ _ REMARKS:' ' - - . - - _ � _ �y� Certltietl copy is filetl with the city guiltling Divislon. �XEMPTION FROM WORKERS' COMPENSATION DECLARATION ' "-- " ' ' ' (This s¢ction neetl.uotb¢ Completed {f Ihe permit IS (or_one huntlretl , (y300) or less). � - � - - ' " " ' "' I tertify.that In the.performance ot the ork for whlch chls permiy� s issuetl, I shall not employ any perso n ny manne so as to b 6me �_ PLUMBING.�� • �, PLAN CHECK' � subject to the.Wo rz' Compensatio .�y s o I) ni ' „ . ___ __ _ 1 Date� Signature BATHTU85 SHOWERS ^ NOTICE: If aRer making this tleclaration, you shoultl betome subject TOILETS URINALS -" "" �to th¢ WO/kers' COmpenzation provi5ion5 ot the Labor Cotle, you must � _ Torthwith comply with such provisions or this permit shall be tleemetl LAVATORIES DOUBLE LAVS ' �emk¢tl. - . 3 CONSTRUCTION IENDING AGENGy KIT.SINKS � DISHWASHERS --' �I hereby afTirm that there Is a mnstr4ction lentling agency for the perv SERVICE SINKS -, -• SUMPS - formance of the work for which thlg p¢rmit is issuetl (Section 309J 1.. Civ."C.}'. ' - ' '- " ' ' ' F�OOR SIIVKS � �� FLOOR DRAINS � �- - v� Lentl¢ros Narcl¢ _ . Lentler'S Atltlress ORINKING FOUNTAINS nwuc o��LOER DECLARATION - irm tbat 1 am ezempt trom.tne Contractor's License Law tor ng'YeaSon (Settion 7031.5 Business antl Prof¢55ion5 Cotle: or countY which require5 a oermi[ to ronsVuct. aHer. imp�ove, tlemolish or repatr dlly 5[YUCIIIYE. pl101 IO IIS ISSI1dOt2. d150 (2- quires the applicant for sucM1 perml[ tb file a signetl statement that he is licensetl pursuant to the provisions of tM1e Contractor'S License Law (Cbapter 9(commencing with Section ]000) of Division 3 of Ihe Business antl P�ofe55ion5 Cotle) Or thdt'hE is ex¢mpt ther¢trom antl the basis for the alle9etl exemption. Any violation of Sectlon 7031.5 by �"-appllcant'for a permit subjects the applicdnt'to a tivil penalty it more than five huntlretl tlollars (5500). , a5 owner of the property, o� my ¢mployees with wages as their swe compensation, will tlo the work, antl the structure is not in[endetl O! 01iEI2G fOf SdIC. ($QCSI00 JO44� Bl151f1255 dlltl Aofessions Cotle: rne Conbacfor'S Lice05e Law tloes not apply to an owne� ot a property who builtls ot improves thereon, antl y�ho tloes such work himself or [hrouqh his own employees, provitletl (ha[ such improvements are not in[entletl or offeretl for sale. It, howeyer, [he builtling or improvement is soltl within one year ot completion, the owner will nave the burtlen of p�oving h2 tlitl not builtl or improve for th¢ purpose of sale). � 1,-a5 owner of the� property, am exclusiv¢ly contracting with licensetl mnVactors to construct the project (Section ]044, Business dntl P�'Of¢sslons Cotle: The ContrdGtor•5 Lit¢n5C Ldw tl0¢s not apply to an owner of prope�ty who builtls or imp�oves ther¢on, and who Con- t�acts f�om Suth projects with a mht�acto�(s) IicesneC pursuant [o the Contractor's License Law). ❑ I am exempt untler Section� B. & P.�r this reason � /� Date - — r� , Owner I nereby certi/yt at I have reatl tM1ls app�ication antl state that [ne above information c rrect. I agree to c4mply with all City dntl county o�tlinances tl s te laws r�ating to conSGUG{ion. antl he�ebY authovize INTERCEPTORS CLARIFIERS � SWIMMINGPOOC' � PTRAP WATER SERVICE - - ALTERATION Q,r_ __' GASSERVICE OUTLETS � � WATER HEATERS BTU OUTPUT '-- ' -" SEWER CONNECTIONS ' ' - ' - SOLAR TANK ' COLLECTORS SOLAR PIPING SVS. ISSUE FF�v.�.�.....,,,.,.�.,,,e.....v. MECHANIC L �a hANGI'I�CK HEATING 5/• EM 0-1 U,�bO B�U� AND DUCTI� ��'� ji 10 ,OOOi� B7U �a�f REFRIGER�TION 0-100,0006TU_ SYSTEM 100,000+BTU_ BOILERS ,M1� � � SYSTEM R ' ;'XCCTF EXHAUSTSVSTEM Siqnature � '� ISSUE FEE CMF0865-46 White-Builtlinq;Canary-Applicant;Pink-Accountin9;Goldenrotl-Assessor TIPLE � . .. . __ 7860 II/05/81 " - 8.00 ZONING REGULATIONS. ZONE REAii VARO (TO P/L) PKG, SPACE RE4. STREET WIDTH � SPECIAL CONDITIONS: ELECTRICAL PLNTGp. RUEF. � PROPE�RTVNIINE ` � \ - � - PROVIDED _ - �'-1 PAf3K FEE�$ : C`1 OATE \ .... _ ' . � _� V/ ' PLAN CHECK , �. � 50 FT.��U ' _" 5(d. FT. � GENERATOR 0-1 KW__ 1-30 KW � TRANSFORMER APPLIANCE 30-50 KW�50 t KW _ MOTORS ' p-1 HP"_1-lOHP "_ ,(INC.SOLAR) 30-SOHP�SO+HP��_ FIXTURES ' OUTLETS - SWITCHES GAS TUBE SIGNS' ' POLE LIGHTS -' ' - PANEl�.S ' �MAIN " SUB SERVic.t� - AMP CATION APPROVED BV SUMMAR PE MIT y �L N CHECK S PL MBING S PL N CHECK E EL CTRICAL $ �• - N CHECK 5 MECHANICAL $ PLAN CHECK E- DATE OF FEES SMIP S PERMIT ISSUANCE $ � GRADING `$ S MICROFILM $ TOTAL FEE $ ' . LE55 AD- ,�VANCEPC $_ FINAL FEE $�' I ` CONSTRUCTION ANDPLANNING 'AFPROVALS I \�'f �\ 1 ' peimit # � 1. Temporary Electrical Service or Pole 2. Soil.Pipe-Undrgrn 3. .Electrical Conduit Utility-Undrgrn , 4. Electrical Conduit-Undrgrn �. 9. Water Pipe-Undrgrn ' 10. Structural Floor System 11. Property Sewer Line & House Connection 12. Street Sewer Connection � 13. Rough Plumbing 14. Rough Electric-Conduii � 15. Rough Electric-Wiring �- `� i 6. Rough Heating & Air Conditioning - �' 17. Ducts; in Structure � ' � 18. Ducts, Ventilating 19. Gas Pipe-Rough & Test . 20. Roof Framing - - � 21. Roof Sheathin , 22. Frame-and Flashing � , 23. - Insulation � - ---- . - . 24. Lathing & Siding � 25. Drywall Nailing 26. Plaster Brown Coat � 27. Electrical Power Meter-Final 28. Final'Electric 29. Final Heating & Air Conditioning - 30. Final Gas Pipe-Test 31. Final Plumbing 32. -Water Service-Final 33. Gas Service-Final 34. Solar pomestic-Final � 35. Landsca e S rinklin S stem � 36. Sound Attenuation 37. Handicap Regulations _ �� 38. FINALSTRUCTURE&BUILDING 39. Special Requicements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date / POOL & SPA ,. , _. Date "� Inspector p�ppROVALS � Permit # 43. Pool & Equipment Location - � 44• Steel Reinforcement 45. Forms �- 46. Electrical Bonding - 47. Rough Plum6in & Pressure Test � 48. APPROVALTOCOVER-GUNITE � ' 49. Electrical Conduit-Undrqrn - � - - �56. Electrical-Final 57. - Solar System�Final " . .. Fencing & Access Approval - . APPROVED FOR PLASTERIN( 60. POOL/SPA SYSTEMS FINAL NOTES: N --, �t, Date �e�nspe�or'� i: �oo � , {- Applleant to lill in all spac � ITY OF COSTA MESA PE�� COI�dSTRUCTION PERMIT Pro�ect Address �1 _ �� (� Owner V ne Address Arch/Eng. License No. Address Contractor (� Phone Address wit�in neavy borEer Iines antl. si9n all aDV�op�iate tleclaralior TRACT NO. LOT NO. • BLDG. NO. TVPE OF CONSTRUCTION . ❑ NEW ❑ ADD ❑ ALTERATION ❑�REPAIR ❑CONVERSION ❑DEMOLISH ❑ OTHER DESCRIPTION�OF WORK "' 1, , � •.� A.P. � ZONE TVPE OF PERMIT ❑ GFADING FOUNOATION ❑ STRUCTURAL ❑ TENANT ELECTRICAI. ❑PLUMBING ❑MECHAI I horaDy attirm that 1 am Iicensetl untler Orovlilons of C�arter 9(com- , men<In9 wllh sectlon 7000) o/ Divlsion 3 of the Buslness antl � OTHER ROPosslons Cotle, antl my Iicense Is.ln full /orce ane ef/ect. �pROJECTDESCRIPTION - Lltonsa Class Lltense No. � Date S�9�ature SQ' �' WORKERS'COMPENSATION D�CLARATION OCCUPANCV�CONSTRUCTION TYPE ✓�/� I hareby afflrm that I have a certifiwle o/ consent to se��-Insure or a VALUATION ZONE cartifirate of Workars' Compensa(ipn Insuranca, or a cartlfletl coDY thareo/ ($ecllon 3800, Lnb. C.). , . GRADING CU. VDS.. ACRFS P^�iGy NO. CortlOdny 'ertlfl80 topy is here0y furNihttl: REMARKS: JBrtlfioU topy Is fllotl with the City BuilGing DlviSion. E%EMPTION FROM WORKERS' COMPENSATION DECLARATION (This section neeC not be tompletaG II tha permit Is /or ane huntlred SE3001 or 1¢551. cartlfy that ln th0 perfOrTanC¢ Of lh0 work fOr whith lhli pCrmlt ii Issuetl I shall not emPloy any parson In any manner so as to become � Pl.UM81NG sub�ec} to tha Workers Compensatlon Laws o/ Glifornia. Date Si9nature BATHTVBS NOTICE: If after makin9 this tletlaratlon, you s�oultl becoma subjecl TOILETS � to t�e Warkers' Compensatlon provislons of t�e LaCor Cotlo, you must forthwith comply with zuth provi4(ons or this permit ihall be tleemetl �VATORIES revoketl. KI T. 51 NI(5 CONSTRUCTION IENDING AGE.NCV I her¢by atfirm tha[ there 15 a ConStruCtiOn Ientlln9 agenty for th0 per- SERVICE SINKS formance o/ the work for which t�is permit is issuetl (Sectlon 3097 Civ. CJ. FLOOR SINKS LenOer's Name L¢ntler'S Atltl�e55 DRINKING FOUNTAINS OWNER BUILDER DECLARATION Hl1y Cliy Ol�COU11ry WOICl1 lCq41l25 d Improve, tlemolish or repair any 5ttuctur� qWreS the app11c2nt for Suth perrt�It t0 7I ts litensetl pursuan[ to the provisions o/ (Chapter 9 (commencing with SCction Buslness antl Prdessions Cotle) or tnat h� bazis tor the alle98tl exemption. qny vit a' 'pplit'ant fo� a pe�mit sub�eCts lhe taw for s Cotle: . alter. SLdfeTenl I�dl �e :[or's LlcenS¢ Law Division. 3 ot the therefrom anG the iettion 7031.5 by to a civil oenalty COnVactoPi 4cen5e Ldw doe5 no( apply t0 dn OwOer Of a prOp¢r[y who builtl5 ar Improve5 �hereon, dntl wh0 tl0G5 suth wOrk �Imsel� o� th�ough his own ¢mpI0yBC5, DrOviqeG Ihdt sucn ImprOvemen�i a�e no[ InlentleG or offeretl for sale. If, howeveq tba builtling or Improvemen[ I5 Soltl wlthin ona y¢d� OI COTpI¢t1on, the owne� wiil have Iho bu�tl¢n 01 prOving he tlltl nol bulld o� Improv0 for lh¢ purpo5e ol sal¢). ❑ I, a5 Own¢r Of �he property� am BxCluSiv¢ly contracUng with Ilcensetl contractors to construct fhe Oroje<t (Section ]044, Buslness antl Professlons Cotla: Tha ContraCtor's License Law does no[ apply to dn Owne� of prOpe�ty wh0 Ouiltls o� Imp�oves the�eon, antl who <on- lratts i�om SUGh prOletts with a�onlmctor(s) Iicesnatl pu�Suanl lo lno Contraclor'S IJtenso Law). ❑ I am exempt untler Socllan . C. lor lnis reason � n � - Date �I�y�O� reatl Drivers' License or 55 CMFO865-46 Whlf tnatthe INTERCEPTORS SWIMMING POOL WATER SERVICE GAS SERV ICE PLANCHECK URINALS DOUBLE LAVS D�SHWASHERS SVMPS FLOOR DRAINS CLARIFIERS P TRAP ALTERATION OVTLETS BTU OVTPUT SEWERCONNECTIONS SOLARTANK COLLECTORS SOLAR PIPING SVS. . ISSUE FEE MECHANICAL cLAN CHECic HEATING SVSTEM 0-300,000 BTV _ AND DVGTING 300,000 � BTU _ itEFRIGERATION 0-100,0008TV_ SVSTEM 100,000 + BTU _ BOILERS BTU SVSTEM REPAIR,ALTERATION EXHAVSTSVSTEM MULTIPLE ISSUE FEE nk-Accountin9; Goltlenrotl-Asussor 0 FEAR VAftD (TO P/L) PKG. SGACE REQ. STREET WIDTH ZONING APPROVED B� SPECIAL CONDITIONS: ELECTRICAL PLNG. REF: PROVIDED PARK FEE E PLAN CHECK GENEftATOR 0-1 1CW_ 1-lO KW _ TRANSFO(3MER APPLIANCE 10-SOKW_SO+KW_ MOTORS 0-1 HP_1-30 HP _ (INC. SOLAR) 30-50 HP 50 + HP _ FIXTURES OUTLETS SWITCHES �GAS TVBE SIGNS POLE LIGHTS PANELS MAIN SUB SERVICE AMP ISSUE FEE �LICATION APPROVED BV SUMMARV OF FEES . BUILDING PERMIT 5 SMIP S PLAN CHECK S PERMIT ISSUANCE S PLVMBING E GRADING 5 PLAN CHECK S ELECTRICAL y� s � MICROFILM E PIAN CHECK E MECHANICAL E TOTAL FEE $ �_ LE55 AD- PLANCHECK E VANCEPC E FINALFEE S� �� 4V , CONSTRUCTION AND PLANNI G � ��%% POOL & SPA •'. APPROVALS Permit #�.J..�.S�L Date Inspector qppROVALS � Permit # Date Inspector , 1. Temporary Electrical Service or Pole 43. Pool & Equipment �ocation Soil ipe-Un rgrn 44. Steel Reinforcement � 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Condui[-Undrgrn 46. Electrical Bondin " . tee ein orce 47. Rough Plumbin & Pressure Test 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE 7. Footings � 49. Electrical Conduit-Undr rn 8. Founda[ion - - 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwa3h Lines P-Tra ❑ ndr rn 70. Struaural Fioor SYstem ' � ' 52. 'APPROVAC TO DECK 11. Property�Sewer Line & House Connection � 53. Backwash & Rece tor-Final 12. Street Sewer Connection - 54. Heater.& Ven[-Final � 1�3. Rough Plumbing " . � 14. Rough Electrio-Conduit - - ' �56. Electrical=Final 15. Rough Electric-Wiring - -- �g-� � 57. Solar System-Final 16. Rough Heating & Air Conditioning • Fencing & Access Approval � 17. Ducts in Structure � 9• APPROVED FOR PLASTERING - " - 76. Ducts, Ventilating ' � - � 19. Gas Pipe-Rough & Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing . - - - 21.� Roof Sheathin . 22. Frame and Flashin NOTES: � 23. Insulation � 24. Lathing & Siding 25. Drywall Nailing � 26. Plaster Brown Coat 27. Electrical Power Meter-Final �28. Final Electric /D- _$ ' - 29. Final Heating & Air Conditioning - 30. Final�Gas Pipe•Test 31. Final Plumbing � 32. Water Service-Final �. r � ' � 33. Gas Service-Final '� � 34. Solar pomestic•Final - 35. Landsca e S rinklin S stem � � � 36. Sound Attenuation - � ' 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed - � ' � 40. Electric Release [o Edison ' � - ' � � 41. ' Gas Release to Southern California Gas Co. - �-` 42. CERTIFICATEOFOCCUPANCY � - � No . Date . � , _ � - • � ... . . ADP��ant to till in ail spaees witnin �eavy bortler Iines ana sign a11 avv�oprlata Oeclantions. CIT'� OF� COSTA MESA PE�R 1IT NO. � TRACT NO. LOT NO. BLDG. NO. CONSTRUCTION PERMIT L- q�,3�j�, `' ' � Project Address � � _ 5'�-• � TVPE OF CONSTRUCTION � Q OWnef �(10�/� t�7- �o /hr Phone 3 Q �,�/ryEyJ ❑ ADD ❑ ALTERATION \ :'Addrea��Zp-� t( -5 +�^J^yb K G� IGREPAIR ❑CONVERSION ❑DEMOl15H- ArchlEng. - " - � LicenSE NO. ❑ OTHER • AddrC55 � � � . DESCRIPTION OF WORK , ; Contractor � � - --� - � �lU$O.V ��fC'�- Phone % 0 �TypE OF PERMIT �: � ABdI2is aZ(p [�' (�j/ R' Zs O � C]fGRADING, FOUNDATION"�STRVCTVRAL `LICENSED CONTRACTOR DECLARATION - - ❑ TENANT �ECTRICAL ❑PLUMBING ❑MECHAI I hereby affirm th:.l I am litensetl untlar provisloni ot C�artar 9(com- . 'mencing' witb �sectlon' 7000) of �Divizlon 3 ot the-Businesi antl ❑ OTHER � - �712. I/15�82 . � _ . � ZONING REGULAT101 A.R # ZONE a Ro/es5lon5 Cotle, {antl my I(C¢rj5e Is in (ull /orce anG eHac . ' � � REAR YARD (TO P/L) '\ � ' _- �?--- /O = �.�p��J PROJECTDESCRIPTION , " _ ' ' -. �Z� Llcense Class Ucanse No.SL6.21L I PKG. SPACE REO. � Date ' � Slgnature � - SQ' �' � . . � � ;j " � �WORKERS' COMPENSATION O@CLARATION - � -'� ��CCUPANCY—CONSTRUCTION.T.VPE STREET WIDTH � �I hCrGby af�IrT that I have a cer��cata o/ con5ent to sal(-insura or a. VALVATION ' ZONE terti/ica[e of Workcrs" Compensdtlon Insuranca, or a� carUlieE•copy � � ,thareof (Sa<Non 3800, Wb. C.). GRADING CU. YDS. ACRES �/1 ?:.icY No. . . '�CooiPanY " ' _ " . " ' ' _ " � :" ;i,,Jartifletl <opy is hore0y.furNshgtl.�- - - .. . REMARKS> � - _ .::'Certlfi¢tl Copy I5!tiletl with Ih0 �ity Builtlinq DivizlOn. _. � �EXEMPTION FROM WORI(ERS' COMPENSATION DECLARATION - ' -� -' " - � '�Shis sectlon neatl nol ba complatetl it tha permitii.for one hunEretl . _ _ _ _ _. . , (E100� or less). .' ; . � ' GI COrt (y.NaLin_the pedOrmance ot [he work tOr whiGh thi5 permit Is _ . _ . iisuetl, I shall not om�lloy any peYson in any manner So as to become . P�UMBING , ' �' PLAN CHECK suEJecttolhoWorkars..Compensat�onLawsolCalifornia.'.; -- � BATHTUBS � SHOWERS� � �Date � Signature �NOTICE: If aiter making thli tleclaratlon, you sboultl �ecome sublect �TOILETS , ,� . •URINALS �- — to the Worker5' Comp¢nsa[ion prqyi5ion5 of the Labor Cotla, you muSt .. �fortnwi[h comply wlth such provialons or tnls permlt shall bo tleemetl LAVATORIES DOVB�E LAVS ` - revoketl. _. . ' ' ' ' _' ' _ "' _' ' _ _ ' CONSTRUCTION LENDING AG&NCV KIT.�SINKS �- DISFiWASHERS 'I hereby afflrm tnat lhere iz a coqs[rucllon lantling agency tor the per- SERVICE SINKS ;� I'• SUMPS ' � (O�mance ot the work (or whiGh tt95 Oermit i5 i55uetl (Section 309] 'CIJ: C:): " - '- ' ""- ""`-' - '- ' FLOOR SINI(5 FLOOR DRAINS� - Lentler'S Nama �Lender•s AtlCre55 DRINKIIJG FOUNTAtNS - OWNERBUILDEfi"�ECL'ARATIQN - "' " � j R EP FIER or munry wmrn reqUtrez a p¢rmrt [o Co� :molish or'repair anystrutture,-Orlor co its issi ip� licant /or SUCh perm{( f0 1iIC a 5l9netl state pursuant to [he provisiOns of t�e Contractor's (commencing wit� 5¢ction 7000) ot Divis tl Prole55ion5 Cotle) or that he IS exemDYtheri ie alle9etl exemption. qpy ��olation ot Secti� int to� a pe�mit Sub7ectS'ttte'appllcant to a e Ihan liv! huntlrltl t1011aR (5500). �n¢r oi lh¢ property, or'my OTploy<ei with � OSdtlOfl�. WIII tl0.[FI¢ w0lk� dOtl IhB SIIIICtUf¢ IS 'OI Shc¢. (SCCtIOn �044, BIl5I�C55 deltl A0f255i( s Li<ensn.Law-tloes nqt aootv m an_owner_ a �H, �a� NTE C TORS S COG¢: SWIMMING POOL alter, alsore- yyp7ER5ERVICE [nat ne 1Se_�w GASSERVICE of tpe SEWER CONNECTIO SOLARTANK- � SOLAR PIPING SVS. CLARI 5 P TRAP .•. - ALTERATION � OUTLETS ' I•' BTU�OUTPUT COLLECTORS � wno bulltl5 or ImOrovez tnereon, antl who tloes such work himself or ISSUE FEE '� tnrough_ nis own.Omployee5, Orovitletl lhaLsuGh improvET¢tlts are nOl " .Intentletl or ofiMetl lor sale. If, howeveq the builtling or Impwvement MECHANICAL PLAN CHECK IssOltl.wi[hin ona ycar Of COmpletion, tht Owner will have the Uurtlan oi proving he tlitl not cuiltl or improvo lor [he purpose oi sal¢). HEATING SYSTEM 0-300,000 BTV _ •Q-I;�as-�owner oP the property, dm GxcluSivGly contratting wll� ' qND DUCTING Iicensetl conVattors lo construct the pro�ect (Sectlon 7044, Businasi 300,000+BTU_ antl'PrOfMSions Cotle: The ConVa�tor's License Lnw�tloeinotapO�Y'�o an owner of property who builtls or improves thareon, antl wno corv REFRIGERATION 0-300,000 BTU_ tracts' from such projects �with-a- <ontrattor�s) �Iicesnea pursuant to SVSTEM '' ' -� the Contractor'S LI<Cnse Law). 300,000 * BTU_ 0 I am exempt untler Section " " -8. 8 P. C. tor this 901LER5 BTU ieason -- - - - ' � SVSTEM REPAIR, ALTERATION Dato Owner I hBreby certi(y thdl I hdva reatl this appliWtlOn antl statt Ihat the dbovC EXHAUST SVSTEM MULTIPLE InforTd[ion Is <orrCC�. 1 agrM t0 comOlv with all CIfV dnG countv� ,. Drlvers' License or 55 � �� =�-�� ' �SSUE FEE ' CMF 0865-46 W1ite-Builtling; Canary-Appllwnt: Pink-Accounting: Goltlenrotl-Assessor SPECIAL CONDITIONS: �ELECTRICAL : I3.24 7L� r LNTGp..RUEF. �� - � - ' PROPE�RTV LGNE - . � i PROVIDED , � - PARK FEE E � � DATE f tL � , p, i t �N;.,� - _ _� . . � . .__ � PLAN CMECK 50-FT- GENERATOR 0-1KW_1-lOKW TRANSFORMER + � �' � APPLIANCE 10=50'KW_SO+KW � MOTORS' " �"' 0-1 HP_I-30 HP �.� ' (INC.SOLAR)- 10-50HP-_50*'HP . � i FIXTURES'�� OUTLETSj SWITCHES' �,5 � GASTUBE SIGNS ` - - � �� POLE�LIGHTS" ' -� ' � -� - POLES METERED SUB � PANECS "MAW (O0� �.SUB (pQa SERVICE�' - ' - � AMP ' . ._� ...�- i..�_ ....� �...- - -- - .r51. . _' "'_" '''_'"' "' ' '. -.. .. _..� ' ISSUEFEE -'�� ' -.� - - " .APPUCATIONAPPROVEOBY--�-- - -' DATE � i SUMMARV OF FEES, , • (�.; ' �BUIIDING -" ' PERMIT 5 __ . , ' $MIP b �PLAN CHECK E �PEHMIT � , � - -- -ISSUANCE S- PLUMBING S � GRADING E PLAN CHECK E . ' �` � . _ � ELECTRICAL s� . • s , y� � PLANCHECK 'E ��M�CROFILM_E � ' _TOTAL�FEE E � MECHANICAL 'S ' LE55 AD- ' ` PCAN CHECK 5 VANCE PC b- � . FINALFEE 5_L✓lOL� ' �.,� � CONSTRUCTION AND PLANNI�N^G ��?�� POOL & SPA �' APPROVALS Permit #� Date ' Inspector AppROVALS - Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Lowtion� • -- � 2. Soil ipe-Undrgm 44. Steel Reinforcement - - •- • � 3. Electrical Conduit Utility-Undrgrn 45. Forms � " 4. Electrical Conduit-Undrgrn � 46. Electrica� Bonding � tee ein orce 47. Rough Plumbin & Pressure Test - ' 6. Electrical UFER Grn ' - 48.' APPROVALTO COVER-GUNITE ' � � 7. Footings - 49. Electricat Conduit-Undr rn � � � _8. Foundation • � 50. Gas Pi e, ❑ Undr rm, Test . ' � �� 9. Water Pipe-Undrgrn 51 . Backwash Lines P-Tra '�� ndr rn �-' 10. Structural Floor System � - 52. APPflOVAL TO DECK - �� ' � " � 11. Property Sewer Line & House Connection 53. Backwash & Rece tohFinal � ' � 12. Street Sewer Connection -� � � 54.. Heater &'Vent�Final � ' 13. Rough Plumbing -- - ' - -' ' � ' ' ' ' - � 14. Rough Electrio-Conduit � -- - 56. Electrical-Final � 15. -Rough-Electric-Wiring' " -- " - - � - -' " - �- - - - 57. Solar SYstem-Final .� ' �^ - " 16. Rough Heating & Air Conditioning • encing & Access.Approval ' • _ 17`. Ducts in Structure ' � APPROVEO FOR PLASTEflING • ' � 18l Ducts, Ven[ilating - , _, I 19. Gas Pipe-Rough & Test 60. POOUSPA SYSTEMS FINAL ' � - 20. - Roof;Framing. _ • , .-- . ,. � � " . . .' - - - n � 21'. Roof Sheathin ' -- � ' � � . � - � � ��- ' � • • :- 22'. Frameand Flashin - - • NOTES: � - �.. . . . '��,� , . . `�23( Insulation ' � ' ` - ' 24. Lathing & Siding ' ' - - - - � 25. Drywall.Nailing � ' ' � � ' � ' 26. Plaster Brown Coat � � � �•� � 27. Electrical Power Meter-Final' . � ' � ' - � 28. -•Final Electria � , .29. Final Heating & Air Conditioning � � ' 30. Final Gas Rpe-Test � � � ' - - - - �; 31._ .Final'Plumbing � � 32. _Water Service-Final ' � � � • ' � ` - ' � , 33. � Gas Service•Fina� � � � � � " � - ' � 34. Solar pomesticFinal � " ' ' ' • ' ' ' - ' ' � 35. Landsca e S rinklin S stem � � � ' �� ' 36. Sound Attenuacion � � ' � � � - 37. Handicap Regulations � ' � 38. FINALSTRUCTURE&BUILDING • . � " - • 39. Special Requirements Completed � - ��' � � � � ; 40. Electric Release ro Edison - - - � -- � - ' - ' - 47. Gas Release to Southern California Gas Co. � � � 42. CERTIFICATE OF OCCUPANCY � _ _ _ . . --. No._- � Date - - - - �