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Home My WebLink About422 18TH ST - Building PermitsPfl0.1EtT RUOXE55: q'l 'l E 2 8 i H S T ��xr"a"'E:3ART ROSA nooxcss: q 2 z E 18TH ST COSTA MESA,CA AXCHIENGINEEfl: 5 4 8 � 1 6 3 ROONESS: UNIT: 92627 flEG.NO.: IINIT: PEflMITTEE: B�'I' ROSA ( 714 ) 5 4 8-016 3 aooeEss: qz2 E 18TH ST CM CA 97.627 LICENSEO LONTHACTOfl OECLAqpiION: I hereby aifirm Ihat I am Iicense0 unAer provision5 0l Chapter 9(commencing with Section 7000� ol �rvision 3 0� ��e Businnss aM Pmiessions Cotla antl my license is in full lorce and eflecl. CITY LIC.: $TPTE UC.: LNSS: Daie: Signamre: WOBREBS' LOMPENSPTION OECuflATION: I nereby allirm inat I nave a certifiWte ol mn5ent to self-insure or a certiiicate of Workers' COmpensation Insurance, or a ce,nilieE coDY Ihereof (Section 3800. La�. C�. POLICY NO.: E%P. OATE: COMPANY: � Cerlilied copy i5 her¢by �urni5hetl. ❑ Cenilietl copy is IileC with the ciry BuilAinA Oivision. oate: ApolicanL•'–' E%FM1IPTION FBOM WOflNEBS' COMPENSATION OELLRPpTION: (This sec�ion need not Ue completcd il the permil is br one hunOreG (5100) or less�. 1leNly ��al in ��e peKormance 01 I�e work lor w�ich �his permii is i55ueE, I SAall nai employ any Oe�son in any manner so a5 f0 Uecome /u�lecl lo I�e Worke�ip Compensatian laws ol Cab�omia. �yp� ////��, Date: �I/�y/(�3 SignaNre: L/� / �/�� NOTICE: II. afler making I�is Ueclara�ion, you s�ould hecome suEleci to ihe Workers' Campensa[ion provisions ai IAe Labor Cotle. you musl �ort�wiin comply wii� suc� pmvisions or t�is Oe�mit shall De Oeemed revoke0. CONSTPUCTION LENOING PGENCY: I �ereUy allirm tnal I�ere is a cons�mc�ion lending agency �or Ihe Dehormance ol ��e work br wnic� Ihis Oermit Is i=_sue0 �SeClion �097, Civ. C�. LENDEF: ADDNESS: OWNEfl BUILUEX UECLABATION: I hereby a��irm �ha�l am eKemptimm �he Conirat�Ors' State License Law for the lollowing reason (Seclion 7031.5 Business and Protessional CoOe: Nny ciiy ol counry which requires a Dermi� lo constmc�, alier, improve, Jemolis�, or repair any stmc�ure, prior to i�s issuance. also requires the apDlican� br such permii to lile a siAned statement Ihai �els�e is licensed pursuant ta I�e promsions of Ihe Coniracbri State License Law (Chapter 9(commencing wi�� Section 7000) of Oivision 3 0l ��e Business arM P�olessions Code) or thal h¢/s�e is exempl iherefrom a�d Ihe basis �or I�e allegetl exemption. Fny viola�ion ol S¢ction 7031.5 �y any applican�for a permi� SubjBciS I�e a001ican� to a civil Denalry o� not mor¢ t�an live �untlreE tlollars (5500�. I, as owner of tne prooeny or my emDloyees vnin waAes as their sole compen5ation, will ao Ine woA, antl the ❑ simcwre is not in�eMeA or ollerea for sa@ (Seqion 70E4. Business anA Profe55ional CaGe: T�e Coniraciors' Slate License Law Ooes not appty to an oWn¢t o� a D�operiy wtq OvilEs or imD�oves 1�¢rCon. an0 w�o Ooes su[h wOrk Ilimiell/hersel� or thmugh �is or her ovm employE¢5. pmvi0¢0 t�ai such impmvements are not inlenAetl or O��ere0 lor sale. II, howevet �he builtling ar imD�ovement is sold wi�hin one year o� comple�ion. Ihe owner will have the bur0en o� pmving �e/she Gid nol bui10 a� impmve � ; lor Ine puroose ol sale), I. as owner oi �he propetly, am exclusively con�rac�ing with licensed coNraclors �o cons�Nc� �he pmlec� (Seciion 7044, Business I❑ ana Pmfessions Code: ihe Comractors' State License Law tloes not aOPty to an owner o� proDerty who builAs or improves �hereon antl who con[racls br guth D�ole��s with a cantracioqs) license pursuanl �o the Contrac�ors' S�a�e Llcense Law). I dm aware that pmof oi their Worker'S Compensation insurance 5hou10 Ee pmvidetl �o me. I am eremp� unaer Sec�ionB P 70 4 4 B. 8 P. C. �ar iers reaw�: p�j) L WORR BY OWNER �J �, Date: ��y/ �3 Qxner: /'�Qi/i% �`�"' � Uo hereby cenity tnat i am aware ol ana unAerstantl the requirements ol Calilornia Healih anA Salery Code Sections 25505, 25533, antl 25534 anel ��at I ar any lulure Ouiltling occupanl will/will no� (circle one) neetl �o comDly wiN saitl state cotles and ihe requiremenis �or a Oermit im consimction or mo0i�ication Imm Ihe Air Ouali�y Management Oi51ri�L qesiUeniial constmc�ion applica�ions are e�emp� fmm Ihese provisions y�/v �9' a Oa�e: Applicant I neie�y certifyt�atl haverea0��is applicalion ane statetAatl�e aboveinlormatianis correct.lagreeta comply vrith allcity anG counry orOmances ane s�ate lavis relaling �a puilOmg conslmclion and her¢Ey aultqnze repr¢senia�iv¢s of �his ury ro enier upon ��e above-men�one0 pr etly Iorin50ecuon purposNs. � ^ Dale: � SignaWre: �(tYd �«�'��' ori�cr's ucense or Sociai Sec�rny a: i641-a6 WM1ne—Buileing; Graen—CoEe EnlorcemenC Canary—NpO�icant; Pink—Revenue; Goltlenroa—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 061745 PERMiT NO: B 061745 PLAN CHECK NO: Oi251-93 S GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: ALT JOB DESCRIPTION : REPLACE 2'-6" DOOR W/ 6'-0"SLIDER SQ FT: 300 CLAIM VALUE: 300.00 CALC—VALUE: 300.00 GROUP OCC: R-3 / COMMENTS: SMOKE DETECTORS RE�UIRED ��+�+�**�t�r*��r*+r��**�+r**+�+t**x�**� **x��+�***�*�r*+r�***�x**��x**�t�**�x�xx�***��*a�+�*xatx� � Z O N I N GS ERTEB�AUCIKRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY HUIi,DING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT; FT iN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARRING REQ• PROV: PARCEL: 11733236 ZNE: R1 REF NO: PLANNING NiSTES> REPLACING EXI5TING KITCHEN DOOR WITH SLIDING GLASS DOOR. i ��*it****�it+�+r�*x ******it***itit**?t*it*******ft* rtit�r****it*�r-�**-x****it�x�?��*u-*iF**z�******� D E V E L O P M E N T S E R V I C E S R E Q U Z R E M E N'.T S 20NING APPROVED BY `--�f;P � �'� T� DATE: '`• BUZLDING APPROVED BY : DATE; ��.• ` APPLICATION ISSUED HY: DATE: 1��19� i(�lEiEiEiF�lFiEiElEiEiflEiEiEifiEiElEif�IffEif ,cx Yt f[ it1E�E1E�IEiE�E�lE�1E�1f1Eit� .��i w� .�lklk 'k3f1F'IEif3f'IEiE'IE'1F3EiEiE'IE'JEiEiEififiF')fif^ iFY . - lEiE'IEiEiE�.ifi%ifiEil'iEiEiEif�FjEiFil'iElhiEiFiElFiEif'iF?EiE9hiEiF�E'lEiE1ElfiI�IE'lfjfiElE3EjliE LEGALIZATION:N F E E S U M M A R Y STRUCTUF2Ai SEGMENT;Y BLDG PMT PLUMBING ELEC"RIC MECHANIC FIRE SMIP%RES GRADING PERMIT 15.00 ,50 SMIP/NON—RES PLAN 9.75 ISSUE FEE HUILDING—DZV—> PERMIT ISSUE PL:AN—CHECI( TOTAL PAID DUE TOTALS----> ?5,50 0,00 9.75 25,25 25.25 .00 REVENUE DSVISZON T03AL5--> COLLECTED: 25.25 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CAECR 15.00 .50 9.75 !E iE iE �)f 1E if iE 1E -0f ik 1E �lE iE iE 1f if 1E if 1E iE iE ff ik iE iE iF iF iE if 1f iE �lE iE iE iE iE iE iE if 1! iE 1E i! if iE iElf iE ik # iF # il' 16 iE 1E 1E iE iE iE iE #!E #F if� iF 1k �lE #�1f� iE iElF iE # iE i'r if if I N D I V I A U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 300 ALTER BY VALUE RESIDENTIAL NOZONE END OF FEES 1,00 300.00 01 00137260-00137�6'L Tll. T �5,?S DATE+ 04/14/93 TINE: IS:DD �CONSTRUCTION AND PLANNING ., I � APPROVALS Permit,''� Date '(�. Temporary Electrical Service or Pole 2. Soil Pipe-Undrgcnd. 3. Electrical Conduit Utility•Undrgmd. 4. Electrical Conduit-Undrgrnd. 5. Steel Reinforcement 6. Electrical UfER Grnd. 7, Footings $, Foundation 9. Water Pipe�Undrgrnd. 10. Struaural Fioor System 1 t. Property Sewer Line & House Connection 12. Sewer Cap 13. Roof Drains 14. Rough Plumbing 75. Rough Electrical-Conduit 16. Rough Electric Wiring 17, Rough Wiring Siyn 1$. Rough Electriwi�T Bar Ceiling 79. Rou9h Heating & Air Conditioning 20. Rouqh Factory Fireplace 2}, DuMs, in S:ructure 22, Oucts, Ventilating 23. Gas Pipe•Rough & Test 24. Roof Framing - 25. Roof Sheathing 26. T�Bar Ceilin9 (Struetural) & Monocaat 27, Frame and Flashing 2$, Lathing & Siding 29. Insuiation 3p, prywall Nailing 31. Plaster Brown Coat 32. Electricaf ?ower Meter-Final 33. Final Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. F�nal Factory Flreplace 38. f�nal Plumbing 39. Water Service-Final 40. Gas Service-Final 41. 5olar pomes2ic-Final 42, 9ackflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System A5. Sound Atten�ation 46. Nandicap Rxgulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING q$, Electric Retease to Edisan 50. Gas Release to Southern California Gas Q 51. CERTIFICATE OF OCCUPANCY No. Date POC SPA . faspeetor AppROVALS Permit,$ 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms 55. Electrical Bonding 56. Rough Piumbing & Pressure Test 57. APPROVAL TO COVER�GUNITE 58. Electricai Conduit�Undrgrnd. 59. Gas Pipe, C7 Undrgrnd., Test 60. Backwash Lines, P�Trap, O Undrgrnd. 61. APPROVALTODECK 62. Backwash & ReceptorFinat � 63. Heater & Vent-Final 64. Plumbing SYstem � Final 65. Electrical-Final ' 66. Solar SYstem-Final 67. Fencing & Access ApPruval 68. APPftOVEO FOii PLASTERING 69. POOL(SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPRQVALS Permit # 70. Underground Hydro 71, ProductPipin9�Gas OOiI 72. Underground Flush 73. Undergrnd. Storage Tank O Gas ❑ Oii J4. Overhead Hydro 75. Dry Chemital 76. Dry Standpipe , 77. FIXED SYSTEM FINAL � 78. FIRE PREV. FINAL �� ' HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION � 80. FOOD CERTIFICATE ISSUED Notes; � Date � inspecto. � I �' i PH0.IECT ROOflE55: 4 2 z E 18 TH ST OWN�q'S NRME: HART ROSA � ADDPESS: 4Z2 E 18TH ST � COSTA MESA,CA ABCNIENGINEER: 5 4 8— � 1 6 3 FDOflE55: uxiT: 92627 flEG.NO.: UNIT: PEflMITTEE: BART ROSA (7141548-0163 ADDNE55: 4 Z 2 E 1 8 TFI S T C.M CA.,92627 LICENSEO CONTflRCTOX OECLABATION: I �ereUy ailirm I�al I am licensetl untler pmvrsions ol Clwp�er 9(commen[inp wilh 5¢ction 7000) ol Divsion 3 0l I�e Business and Pmfessions Co�e. antl my license is in lullfarce antl eflect. LITY LIC.: STRTE �IC.: LLASS: Daie'. Signature: WONNEBS' COMPENSATION DECNPII7ION: I nereey aifirm tnat I have a cenilicaie ol consent to seli-insure or a cenificate oI Workers' Compensalion Insurance, or a cenifietl copy ��ereol (Senion 3800. Lab. C�. POLICY NO.: E%P. ORTF: COMPANY: ` � Certifietl copY is �ereby fumishe0. ❑ CenifieG copy is IileO wit� Ue city BuildinB Division. Daie: Ap0licant EIIEMPTIONfPOMWOflNENS'LOMPENSA710NOECUBRTION: (ihi55eclionneeOnolUetampleleEili�ep¢rmili5�oronehuntlre0�E1W�Orl¢55�. I cerlity thal in Ihe pedarmance oi Ihe work lor w�ich ��is permii is i55uetl. I shall no� employ any Oersan in any manner so as to b¢come suUjec� to ��e Workers' Compensation Laws ol Calilomia. � � / � Wte: ��i�91 SignaWre:�/ �/S.(✓%�— NOTItE: II, al�¢r mdkinp t�is UeClaraiian, you ShoulG Gecome SUGIetI l0 t�e Wofnefs' Compensa0on pwNsions of ine La�ar Cade. yoU mu5� �Ori�wilh tomDN'M�h Suth Dmvisions Or �his permii Slull he 4eeme0 revokeG. CONSTNUCTION LENOING AGENCY: I her¢by a�lirm Iha� t�ere is a canstmction IentlinA aqency lar lhe p¢Aarmance o� lhe work lar which Ihis permit is issue0 �Settion 3037. Civ. q. j LENDEB: AOONESS: OWNEfl BUILUEfl �ECLABRTION: I �ereGy atlirm Ihai I am exempi IrOm IAe Caniratlors' State Licenu Law far ihe lallowing reawn (Section 7031.5 Business an0 Pmfeuional CoEe: Any ciry oi tounly whic� repuire5 a Oermii lo consiruct, alier, im0��e, aemolis�. ar repalt any simcWre, prior to its issuance, also reQuires ihe appiicanl for such permit lo lile a signe0 stalement Ihal ne/sne is IicenseA pursuam to Ne pmvisions ol ihe Conlraclors' Sta�e License Law (C�apter 9(commencing wilh Section 7000) ol Division 3 of Ne Business antl Pmlessions CoOe� or tha� he/s�e is eaempl lherelmm ana Ihe basis lor the alleBeA eremplion. Any violalion o� Seciion 7037.5 6y any applicani lor a permi� subjecis Ihe applicant lo a civil penalty ol not mare Ihan live �unOretl dollars (E500�. I, as owner ol t�e O�oDeny or my employees vnih wages as t�eir sole wmpenution, will do t�e xrork, antl ihe ❑ svucmre is no� intenae0 ar offere0 for sale ISection 7044. Business ana Pmleuional Catle: The Contractors' Siate License Law aoes noi aDON lo an owner ol a pmpe�y wlq builGs or im0�ove5 l�ereon, anE wl�o Aaes such work himset�/�er5¢I� ar Ihmug� �is or her own employees. OmviOeA Ihat such impwvemems are not intentleG or ollereE for sate. II, twwever t�e builJing ar impmvemeni is saltl w��hin one year ol comple�ion. 1�¢ owner will have lhe bur0en 01 O�oving Ae/she tli0 noi build Or impmve ' �or Ihe Durpose ol sale�. I, a5 ownero� Ihe pmpehy, am excWsively Conlmtlinp wilh litensed conlrati0rs l0 Wnslrut� �he pmjeci �5¢tii0n 7004, Bu5ine55 ❑ antl Pmlessions Code: T�e Cantracmrs' State License Law tloes not aDPly io an owner of Omperty who EuilEs or imD�a�es ihereon and who conlrac�s lor such prole��s vnlh a contractoqs) license pursuant Io IAe Cantractors' State License Law�. I am aware Iha� prooi o� Iheir Worker'S Comp¢n5aiion insuran[e 5�ou10 Oe OmnaeE lo me. n I am eremD� untler Sectian: E 8. d P. C. S4 �or inis reas /pOWNER DOING OWN WOAK�Q ,� �� Date: ��` j .3 Owner: /V4L I do hereby cenily ihal I am aware ol an0 unaerstand the requiremenls of Califomia Healin anJ Satery COUe Sections 25505, 25533, ane � 2553< antl inat I or any IWure builtling occuDanl will/will not Rircle one) nee0 to comv�Y witn saiA stale cotles ane the requirements for a p¢rmii fo� conslmdion or mo0ihcation �mm I�e Air Oualiry Managemen� OiSiricl. flesiAential conslmc�ion ap0lica�ions are e�empt Irom I�ese pmvisions. Dale: Applicanl: I here�y cetlify Inal I have read �his applicalion antl stale Iha� Ihe above inlormationis correci. I agree lo comply wilh all city anA counly ordinances and slalelawsrclalingto builtling consimclion and hereby aWhorizerepresentalives ollhis ciry�o enterupon�he above�men�ionetl Of�pC�ly (0� i05pCG1 0 p fp05¢5. .l oaie: �� 6 'j Signamre: ,,��✓, � �river's License or Social Secumy u: � t6at-G6 Whne—Buileing; Green—Code Enlorcement; Canary—ApPlicanC Pink—Ravanuo; Goldenrotl—Nssossor CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 064349 PERMZT NO; B 064349 PLAN CHECK NO: 03892-93 S GOVT; N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: NEW JOB DESCRIPTION : CONST, 168SF ENCL. PATIO W/ALUM, COVER SQ FT; 168 CLAIM VALUE: 3,500.00 CALC—VALUE: 6,216.00 GROUP OCC: R-3 / COMMENTS: ALUMINUM COVER ,I.C.B.O.#�,4383 P �r�***�rx.ir*xit**�e�x**��*it*it+t�***�it+�*x��********�+t*�+rx��*****�r�+t**�**�**�*******r*� Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN HUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT; 35 FT IN REAR: 45 FT IN FRNT: FT IN AEAR; FT IN LEFT: FT IN RGHT; 5 FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV; PARCEL; 11733236 ZNE: R1 REF NO: PLANNING NdTES> ADD ALUMINUM PATIO ENCLOSURE TO TAE RIGHT SIDE OF AN�, > EXISTING SFD. REAR SETBACK IS SEPARATION, f �r***�r****�r*�r****�r�r�r**xfr*�r�r�r****+t***�r+��t�x-*�r�r*****�t+�**rx�**+t******+t�****+t+t******�t+�i�+� D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N',T S ZON NG APPROVED BY G/�/� DATE: �_yQLy[�6/� ? BUIL NG APPROVED BY ; �'/!a'L_ DATE; � P7 APPLI ATION ISSUED HY; - DATE; o � P� 1tftlFffff IfllffilififiEiEifiFlfitlfifiEi! if�ikiEiElE�EklfiF itk• if 1f ff ff k k 1k 1f if 1E 1E M if 1f ft ff fklk 1h 1k 1k f!!f 1f !t fE it 1E if iE 1Elf ff iE if k!E iE if 1t �! fflE i! 1f iF iE 1f 1E 1f 1F M 1E iE 1E iElElf !f 1E M if iE �E 1E 1f it iF 1f K 1f fE 1f if iE k ih i! if LEGALIZATZON:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES� GRADING PERMIT 90,00 ,62. SMIP/NON.-RES PLAN 58,50 •�, ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID .� DUE TOTALS----> 90.62 0,00 58.50 199,12 149,12 � ,00 REVENUE DIVISZON TOTALS--> COLLECTED; 1 9 2 OVER/SFIORT: • 00 BLDG PMT PLUMBING ELECTRIC MECfiANIC FIRE IP/TOT GRADING.PLAN—CFIECK 90,00 �-- .62 , 58.50 1f 1f 1t 1F 1! k it if if iElf !f fE i! k if M 1klf iE i! 1! if 1E if i! 1E if if it it iF 1f 41f 1E if �f fElf k it ik 1f aE it iE iE!! ff k 1flF ff i! if i! iE k 4 ik iE if if if M if k if if ik ik it iE ff k�E �F ff I N D I V I D U A L F E E H R E A K D O W N TYPE QTY D E S C R I P T I O N SFR 168 RES—PATIO COVER—ENCLOSED PATIO END OF FEES i' ONIT COST TOTAL COST 37.00 6,216.00 �� .A ai [�D14S421-00148423 T i�T 149.?2 6AT�: iQ./�b/93 T1ME% i1:�0 � I CON$TRUCTION ANO PLANNING ' P�� SPA i4PPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electricai Service or Pote 52. Pool & Equipment location 2. Soi1 Pipe-Undrgrnd. 53. Steel Reinforcement 3. E�ectricdl Conduit.Utility•Undrgrnd. 54. Forms .4. flectrica� Conduit�Undrgrnd. ' 55. Electricai Bonding � 5. Stgei f�6inforcement 56. Rouqh Plumbing & Pressure Test � ��6. Ekectrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE � 7. FopTings - 58. Electrical ConduibUndrgrnd. 8. Foundation � 59. Gas Pipe, � U�drgrnd., Test 9. Water Pipe-Undrgmd. 60. Backwash Lines, P-Trap, L7 Undrgmd. .. 10. Structural Floor System 61. APPROVAL TO DECK 71. Pcoperty Sewer Line & House Connection 62. Backwash & ReceptorFinal 12. Sewer Cap 63. Heater & Vent•Final 13. Roof Drains 64. Plumbing SYstem - Final 14. Aoogh Pinmbing 65. Electrical�Pinal 15. Rough Electrical•Conduit 66. Solar SYstem-Final 16. Rough Electric Wiring 67. Fencing & Access ApProval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electricai•T Bar Ceiling 69. PQOUSPA SYSTEMS F WAL 19. Rough Heating & Air Conditioning FiRE DEPT. REQUIREMENT � 20. fiough Factory Fireplace �• � APPROVALS 'Permit �,-` ' ?z1.:Duct$, in Structuce . �. . �70. Underground Hydro 22. Ducts, Ventilating � 71. Product Piping QGas � Oit � 23. Gas'P.ipe-Rough & Tesc . �� 72. Underground Flush�� 24. Roof Framing- .' . - : ' 73. Undergrnd.•Srorag,eTank OGas ❑Oil 25. Roofi Sheathing �' , '� .. 7q,. Overhead Hydro �� 26. 7-Bar CB�ling (StrutturaH & Monocoat �� ' � 75. Dry Chemical ' �-- ' ' � . 27. Frame a�d Flashing. . 76. Dry Standpipe . � �� 8. Lathing � Siding . � � � , x ' �� 77. FIXEO SYSTEM'F1NAl ' 29. Insulation ` � '„ �, � 78. FIRE PREV. FII�AL �� 30.. Drywali Nailing • • � HEALTNDEPT.RE�UIREMENT 31. Plaster Brown Coat .,_ i. ' ]9. FINAL INSPECTION ; 32. Electrical ?ower Meter-Final �� 80. PO00 CERTIFICATE ISSUED 33. Fina1 Electric " � � Notes: . .34. Fina)' Hsating & Air-Conditioning. , � ' ' � � _ � - � � � 35. Fina1 Ges'Pipe-Test �; � � . ' 36. Hood or CanoPY - .. ' . � ^ . ' - 37. Finai FaMory Pireplace. . " ' � � .':i 38..Finai�PlUmbing , � - � _ �---- 39. Water Ssrvice-Final � � " . < -, 40. Gas Serv�ce-Final , , . � :41. Solar pomesticFinai � • , � ' ��42. �Backflov+�Preventer � ' ' . '- ' � . - -. 43. Backflow Irrigation - ' _ -44. l.andscaPe Irrigation System � .- - • - - '45. Sound Attenuation .' . 46. NandicaR.Regulations ' � �� . , 47. FINAL STRUCTURE & BUILDING /p_g'_G17' c�1L. , ��,� �p „(� �� _ 6w!- F � �,:_� . 48. FINAL PLANNING. . ' ' ' ' � 49. Electric Release to Edison �'- � . , - 50. Gas.Relea'se to Sout�em California Gas Cn . '� . ' - � 51. CER7IPICATE OF OCCUPANCY' _ No• - Date � �� ECTROOflE55: t�ZZ E 18TH ST NNEP'S NAME: BART ROSA ' nooncss: 4z2 E 18TH ST � COSTA MESA,CA r pflLH/ENGINEEP: � 714 � 548-0163 aooness: UNIT: 92627 XEG.NO.: ux�T: ' PEflMITTEE: BART ROSA ( 714 ) 548-0163 aooAess: 422 E 18TH ST COSTA MESA CA 92627 UCENSED LONTNRCTOP DECUflATION: I lier¢by a�firm �tui I am licensetl untler pmvisions ol C�aD�er 9(commencinp wit� $ec�ion 7q10� al Division 3 of I�e Business anE Professions Cade. ana my license is in lull lorce antl effect. GTY LIC.: STRTE UC.: ClASS: Date: Signalure: wOB¢EBS' COMPENSRTION �ECUIBR710N: I hereby allirm inat I have a cenificate of consent to self-insure or a cenilicate of Workers' fqmpensalion Insurante. ot a cenilie0 coDY ��ereoi (�ction 3800. Lae. CI. PoLICV NO.: E%P. DRTE: COMPANY: ❑ Ce�ilied copY i5 hereby �umiSheA. ❑ Certiiietl copy is file0 with Ihe ciry Buil4inA �ivision. ate: AOVlicanti ^ EXEMPfIQN FHOM WOPNEBS' COMPENSITION OFCUMTION: (TNs sec�on neeU not Ue completeA ii tAe permu is fa one �uMred �5100) or less�. I cetlify I�al in ��e pedormance of �he work �Or whicA t�5 permil is issuetl. I s�all no� em0loy any person in any mann¢r So a510 6ecome 5u01e�� a �he /Warkers' Compensation Laws ol Calilomia�. �J / Date: �`� �g � SignaWre: �"1G f/7 ��/�A N�TICE:Ii. afler making Ihis aeclaralian. you shoulG hecome Olect to t�e Workers' Compensation provisions oi the La�or CotlG. you mus� �orlhwli� COmOty wii� SUth pron5i0n3 Or ihis permit Shall be UeemeO revOketl. LONS7BIlCTION LENDING pGENCY: I hereby affirm that t�ere is a consiruction IendinA aAency far Ihe peAormance ai ihe work for which tnis permit is issuee ISection 3097, Civ. CI. �ENOEfl: AODNESS: OWNEB BUILDER DECLANRTION: I hereby afhrm that I am exempt irom i�e Caniractors' Slate License Law �or �he �ollawinp reason (Sec�ion 7031.5 Business anU Pmfessional COAe: Any cily oi counry whic� repuires a permit m constmcL atter, improve, demola�, or repair any slmcNre, prior to its issuance. also requirM tAe aD0licant tor such permit to file a signe0 statemenl t�at he/she is litensetl pursuant to ��e pmvisions of Ihe Conlraciors' State License Law �ChaD�er 9lcommencinp vnt� Sectian 7000) af Oivision 3 of t�e Business anE Pmlessions COOe) or Ihai �e/s�e is ¢M¢mpi Ihereimm anJ I�e Easis lar Ihe alleAetl exemption. My viola�ion ol Sectian 7031.5 Gy any aD0licant for a permil su6l�ts Ihe appliWnt to a civil penalry oi not more t�an five �unEreE Aollars (5500�. I, as owner ol the Omperiy or my employees wi�� wages as IAeir sole compensation, will tlo ihe work, anJ �he ❑ slmcture is nol intended or oilered lor sale (Section 7004, Business anE Profeuionai CaCe: The Contractors' State License Law tloes not apD�Y �o an owner af a O�oOeny wha Guilds or impmves l�ereon, ana wM tloes such work tlimsetf/hersell or Nmugh �is or her own employees. pmvi4e0 Ihat suc� improvemenls are notintenAeU or offere0 lor Sale.lf, however I�e builEing or imprwemeni i5 5010 vn�hin one yeai al cOmpleli0n, Ihe owne� will hav¢ Ihe burEen ol pmNng �e/ShC Oltl nol bui10 ot impmve br Ihe purpase ol sale). I, as owner ol IAe O�operly, am extlusivey coniractinq with licensed coniracmrs b conslmci ihe O�alect (Settion 70C4, Busineu L� anG Pmfessions CoOe: The Convacmrs' State Lkenu Law dces nal aDP�Y �o an ovmer af pmperty v+ho Uwltls or improves t�ereon an0 w�o tonitatis lOr Suc� pml��s vnth a Camratluf�5) litense purwan� �o ��e ConlraCiors' $Iaie LiCense Law�. I am awdre Ilui prooi ol ��eir Worker's Compensaiion insurance shoula �e pmnOeE m me. � � am exemo� uneer Section: BP.704 q e. s P. c. m� qmis �easa�: HY OWNER / NO EMPLOYEE � ,J /� Da�e: 0��4�%3 Ovmec �4�X� /L4�J� �. I ao hertDy cenify that I am aware of ana unAerstan4 ine requiremenis ol Calilomia Healih ana Sdfery COtle Sections 25505, 25533, anA 25594 anA ihat I or any future building otcupant wilVwill not (circle one) neeG lo compty wilh Saitl state w0es ana Ihe repuiremenis br a permit for consimction or moJification Imm ihe Air Oualily Management �islricL ResiUentiat consiruclion aOP�ications are exempt imm Ihese O�a�isions. Da�e: ApDlicant: 1 �ere�y cenily Ihat I Aave rea0 this applica�ion and stale Ihat Ihe above inlormation is correcL I agree to compty wi�A all tity an0 wunty orainances and s�ate laws relating lo Cuilding conslmction antl �ereGy author¢e reD�esen�alives ot ihis ciry �o enler upon Ihe��en�iane0 propeiiy fOrinSpeclion DurDOses / \ Daie: tq�o2�94 SignaWre: �� Orivefs License or Social Security a: � While—Buibina'. Green—Coae Enbrcemen�: Canarv—Aoolicanl: Pink—Revenue; GOIGenrotl—Assessor � �, CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO; B 063626 PLAN CHECK NO: 01561-93 L PERM NO: B 06362 GOVT: N SUPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE; STR PURPOSE: ADD JOB DESCAIPTION : ADD A BEDROOM, BATHROOM,HALL 6 2 CLOSETS S(j FT: 683 CLAIM VALUE; CALC—VALUE: 50,542.00 GROUP OCC; R-3 /M-1 COMMENTS• SMOKE DETECTORS RE�UIRED PER THE 1991 EDITION OF THE UHC. ****�e****�e��e+�*�r�e*****�r�r�r�r�r�r�r *��e*�r�e�r�e**�e�e*******�**+r�r***�e�r+r+r�r �r �r�r�** Z O N I N GS ERTEB�AUCIKRSE M E N T S ��'��CTOR ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDI7QG'"��-�+—�— FRNT: FT IN REAR: 39 FT IN FRNT: FT IN REAR: FT IN LEFT: 5 FT IN RGHT: 32 FT IN LEFT: FT IN RGHT: FT IN PARKING REp • �PROV; PARCEL; 11733236 ZNE• RS REF NO:. PLANNING NfSTES> ADD'A•MASTER�HEDROOM SUITE TO THE REAR OF AN EXISTING"'SINGLE > FAHILY RESIDENCE. ' if ik if if it �FiF 1f 1f iFMM 1F M �f 1F �f 1f 1F1k�t 1f 1f 1f 1f 1f ik�k�F �f M 1k 1f if �l�f �f �t �Fif iF if if ikif iF iF 1f if �k IEik ikiFk iflkiFlf 1f if if 1E iFlk 1f iE �k1F iF iE if 1flF if iE if k iF D E V E.L O P M E N,T � S E R V I C E S R E Q U I R E M E N'T S �7 . ZONING APPROVED BY ;�: 'C��--E DATE; �6 �I3 BUILDING APPROVED BY'o_�YY'� r�� DATE; APPLICATION ISSUED.BY,a • /" DATE; �� t�t�r��r�t�t�t�t**r�t�t�r��r�e**�r* r�r�r+e�e�e�r*** �t�t 1kltikikMlkkkiFMiEifkikklFikififlFlf�f�fifiFklkiFMkifiF�FitifiFifk�tifkit ikifkitM�lkM�E1Eklflflflfffifif�t�FifiFifffifiFikkifikiFiflflFlliF LEGALIZATION:N F E E S U M.M A R Y STRUCTURAL SEGMENT:Y � i7 BLDG PMT PLUMBING ELECTRIC�: MECHANIG. FIRfi c;'SMIP/RES GRADING PERMIT 419.00 �; ''' '� � �' ' S.05 �� %� � •; � ,� `' SMIP/NON—RES PLAN 272.35 , � ;�, :, , . ISSUE FEE �--, BUILDING—DIV—> PERMIT .ISSUE PLAN—GHECK '� TOTAL • PAID DUE TOTALS— --> 424.05 0.00 ? 27�.35�, 696.40 -+-- 696.40 .00 REVENUE DIVISION TOTALS--> COLI;ECTED; ��i 424,05 OVER%SHORT: 00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE; SMIP/TO.T.` GRADING PLAN—CHECK 419,00 v " • 5,05 . / . iF if iF if it iF k it it ik �k ik 1f k!t if iF k iF iF M iF iF it ik iF iE iE if iF i! if ik if iE ik iF ik iF if if iF iE if !t k k k ik if �f it iF If k if k iF fF iF i! if if if �E �! 1E ik it iF iF k iE it ik iF if iE iF I N D I V I D U A I; F�' E E B R E/ A K D" O�W N TYPE QTY D E S C R I P T I �`N � �',,� ; UNIT_COST TOTAL COST SFR 683 DWE—TYPE V—WOOD FAAME �. —GOOD`' 79.00 50,542,00 END OF FEES' � �-� +�. l 'n � r� • /� " " /J�^ il :l �' �� J-� O1 00145566—�0145557 T OT 424.0` � DATE� OE/:4/93 TI11E: 14:57 !-`'COR+?TRUCTION AND PLANNING POOL � 4 , �APPROVALS Permit # Date Inspector pppROVALS Permit # Oatc Inspector 1. Temporary Electriwl Service or Pole � 52. Pool & Equipment Location 2. Soil Pipe�Undrgrnd. 53. Steel Reinforcement , 3,,�EIrCtriE31 Cond�i'ttsl�ility�Undrgrnd. 54. Forms � "4. Ejectricai Conduii �.Iqdrgrnd. � 55. Electrical Bonding ' '�5r $teel Reinforceri�en� 56. Raugh Plumbing & Pressure T€s't:t �� a� • � � � s , � 57. APPROVAL TO COVER�GUN TE c:, � �ICctrital t1FE GIC�d. �,_. :w7.:56'otings .... ao C} 58. �lectrical Conduit•Undrgrnd. � � �� ;8. Foundation F; 59. Gas Pipe, O Undrgrnd., Test � � 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P•Trap, O Undrt�md. 70. Structurel Floor System 61. APPROVAL TO DECK j i l. Pr.operty Sewer Ling & House Connection 62. Backwash & Receptor•Final �� 12. Sev4er Cap y 63. Heater & Vent-Final -„� 13. Roof Drains . 64. Plumbing System � Final 14. Rough Piumbirig V 65. Electrical-Finaf 15. Rough Electric�sConduit 66. So�ar System-Final 16. Rough Electric Wiring 67. Fencing & Access ApProval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electricdl=T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �'! b• C�•HtDH 7� � e • :•j 20.rRough Factory F¢eplace i i;t,i v,�; z. O� ci'+z ��1PPRtrVA'iS�:.�!Rerrtfit # � � r�• ��r -.n r� r, �,.. •ir rc �x c.•rm�.,•-. x rr 27.'DuctS, in �tr(i�Gtuf�.* ` � �'�H ."�S > �-+ "' '-1 � >. ¢. > �^'7d T7 �I C7 1 ,r. i..k I• :-�$ ii $ r? H#*. ' J0. Uqdergrvundj-iYd10 ,�. 22. Ducts.Uentilating.� i i=�s ��.H � S•S� � 1. Product7i_ing0'ar,�k ❑Oil 23.�Gas�Pipe-Rou�h &"I'�st ' '-' �' * "s' "�' ;` �"7 � ' � ��; �` G' .+ N i mS .x;n v' et �jt� .� 2• Undergroun Flu ,. E., m � : i=, ��. � ... � 24.tf2oof,Framing. �.. i�,�-� ••H • L+ p y� -� r. 573.�UndergmdPStoragt+Tank OGas OOiU 25. ftod�,Sh'pSathing �.; i `�i3.-'�� y !(.�/` �4.�rh,`g�'ad I�ydro j "' .� 26.�T-BaqCeiling (StrucEuraq &�P�Aorwcoat ¢ � 2+ C [r. u 75.7Dry Chemical s�� '"J 0 27. Frame an� Flashi�9x �q F �� _�$ �(� _ ,(,v .� � 76.��Dry $tand�l� �� ' m "7 � "r '� 11X HT(• 'n 4 l' ' C.� .-� ,7,8.�'(.athjng&Siding;...,�:� �yqx ;rZ �7�qCJ• �.a 77.n•FIXEDSN6�EM'F.YNAL+� >+ 1 l N =29. Insulation �; � S '� " ''Z ;%�� x � 78.j-FIRE PREV. FINA# � � � � � t ti ti t, r- ' ... :30. Drywall�t+ iling ,-�: ��.., -2.� qC�' �¢ � ra hSEALTH;pEPT+�R6Q41lRErMENT .�. �31. PlasterBF4wn;Cod�'. _ � �,�Q�q , E' � `' 79.r�FINALIl�}3P�CTIbN `� �T � � i i,. �r � h .� �, .r G •.i �-: ?, �r � r.�-. r1 K .. Y. � a fi .� q32.�ElectricaLPowgr ��e;e��Final, 7�,-� .;a ;SO.,FOOD CER IFIE:q�E ISS D J 33. �in5('Electrid Ci'� � � -'O '�` t•: R'' ,'NoFes:��. Tfoi ` " %�/l711•% •.T;91� � 26 /(/ � n > x , i � ,� x v _7_% �/ ! ./� '34.�Fina�'HeaQtin� �Y',ir,Co tioni `� "' Y '� �-`' �-., �".- ' ' . -._ � , R� .� Cl' �: . . # � _ J 5 t I.t :. � J.C7 w � i7C!a�.�y� 35.'-flin3HGas�PiPe,Testz. � cn ��J �- •' �FL, l,(%g(1 � �..�•. � //!Ly`�Q;,7 � r. :i .. �x ..�y z.-.� -. ♦.. �p9 36. Wodd or.Eano �''" r : ;� ` ` �; . ..� �� , PY R.x• , � , . ; �n; . C� , a 5_' � ri.._ R .. - ' . - - .. _,. �.. , �37. Fina�Fac�'orvFirep2te ' ��T' �� "� � 7A'��"_ 3.�^� G� � ,__;� ��,�� Ol v: T 1" 4J . a. . �TJ Gt! E��•Ci r .• •• ' C�.�.' �� I •. �• W .Ic . � {. G .L "�_ _38.�in��Plumbin9 ,-. , � �.- . s x S - . 2 � c39.'Water. Service-Firel� s � �'Ts } :. " ��r�s �� a��y /, �� B. � z �� tr �0. Gas Servic�e-�nal� ,'; ,� ,r, r�r �� { .-, � �v Q-pyC � G�/�. �-�. i-p'� :41.�Solar pomesticFibal � ^ - �t .a � 3 � �a �. - : v n ']C ' �i `42.�8ackflow'.Preven�ery'- �. �zG �"' i * a ,�� •�C � i . � � . .,, .. . '-"` q'/�' -q�'��-=� i-- 43. Backflow:lrri§ation�-.� � �. � � S . /�� D �-�Q �-�� '..� � , r �r *� x •�:�D�JU 'lliJ-V'__� 1•1 � .� �� l J~ � iI. fi f#. r .� x�J �44; LandscaPe Ir,r,�9atS6�i SYstemy.7C-, .{.�, � tT; 7 O or fi:�. N 0.� •� :cCJ x N o ' � v. • -' � -• - •_ _. -_ ' , 45. �ound AttenLation" w •C.� tT'� � r ^ '.-� -'� » h �-+ �- S � �g r n �� .. 'i r. rN � n x�-+ Q'r Q• r. �,F-..� � �-, n;r . . ..r.a' i' / '-ya .: . �?l6. ;Handicap Requlatio��;- G1 ., .��, r „ � � � •� �� .� . �47. FINBLSTRUCTURf�& Bl1 �DING 7 {=�' Lv - ti'.� 'r ' ., ., , _ � s x 48.;�INALPLANNIN ' :'� =T� :" ' t'' �' ; � G'`� .: . � t i . e : :•; p: .Z `" •.a I -49. - lectiic Release to Edisonrc� C g ' i c x X Q ' • .". " . c , .n •c� �. . ... - . ' ". :' . y S , . . � m i c.� �50. �Gas Release to Sout�ern Crii omRa Gas �a ,� : „ ,� : , ; ;� . �� x r =51. CER3IFICATEOFpCCUPANC x� �i; ; y r� ,yc ,_ f. i-. o No. , Date , r�i'u.[cTnoosEss: QZZ g 18TH ST OWNEH'S NFME: BART ROSA nooxcss: 422 E 18TH ST � COSTA MESA,CA � AflCNIENGINEEN: � 714 � 54$-0163 1 ' RDDNESS: uxiT: 92627 REG.NO.: UNIT: PEflMITTEE: HART ROSA ( 714 ) 548-0163 aoosess: qZz g 18TH ST COSTA MESA CA 92627 LICENSEO CONTflACTOfl OECLl�flATION: I hereby alfirm that I am Iicense0 un0er pmvisions o� Chapter 9(commencing wilA Sec�ion �000) of �ivision 3 of �he Business and Pmlessions COEe, anJ my license is in NII /orce anG ef/ec�. CITY LIC.: STPTE LIC.: LLA55: Oate: SignaWre: WUpKEHS' COM7ENSFTION DECLABR7IbN: I nerehy affirm ihat I have a cehifica�e of consenl to selt-insure or a certilicate ol worker5' Compensation Insurance, ar a cenifie0 copy Ihereol (Section 3800. Lab. C�. POLICY NO.: E%P. DFTE: COMPRNY: ❑ CeN�ied copy is hereby Iumi5�e0. ❑ Cetlifie0 coDY is �iletl with �he ci�y Builtling Uivision. Daie' ApplicanC �' ' EXEMPTION FBOM WOBKEPS' COMPENSPTION UECIAflRTION: (This seciion neetl noi 6e comple�etl it �he permi� is foron Ae untlretl ($100) ar leu�. I cenify Iha� in ��e OeAormance o�{he work lor which �his Dermit is issued, I shall no� employ any person in any mannecsn as to become sublect too the Workers' Compensa`i0n Laws o� Califomia. Q - Oate'. a�� 3 .' Signature: /��l�� <t � � NOTILE: II, af�er making IhiSAetlarA�ion, y0u 5houltl Uecome su61eC� �o tAe Workefs' Compensa[ion pmvi5ions'oflhe Labor Cotle. you mosf Nrthwith compry v��h such pmvisions or fhis Oe�� shall be Oeemed revoketl. � CONSTPUCTION LENOING FGENCY: I hereby a�firm �ha� Ihere is a COnS�mCtion leneing agenCy for �he pedOrmanCO o� �Ae work for which Ihis permn is i=.5ue0 (Sec�/ion�3097, Civ. C�. Y LENOEfl: J I1 AOONESS: ' CITY OF COSTA MESA — BUILDING PERMIT �PERM NO; E 06362 PERMIT NO: E 063628 PLAN CHECK NO: N GOVT: N SUPP; N CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTION : ADD A HEDROOM, HATHROOM,HALL s 2 CLOSETS SQ FT; CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 COMMENTS: RE: H63626 PRIMARY BUILDING PERMIT. **�r*�r�r�r*+e�r�e �e*****�r�r�r*�r�r**�r+e�e�r**�r****�e�r*****�rr�r**�r*�e**+rx �*�*�r+�***�r**�r�r��*+�****�r�e Z O N I N GS ERT�H�AUCIRRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN PARKING REQ• PROV; PARCEL: 11733236 ZNE: REF NO: PLANNING NZSTES> � . l . k iF 1f it it ik if if �f �F�f 1f k iflhlf if if �f if if if iFif iF %if K IF �t 1FiFil�kit �k1kiF �E if iE!!if �lif ilif 3f k 1F if ik iE if if 3f iE 1f 1f {f {f {E �k {� {E{E iF�f if iF if iElf if iE 3k iE iE 1! D E V E L O P M E N T 'S'E R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY � DATE; J '-' BUILDING APPROVED BY : DATE; APPLICATION ISSUED BY• � DATE: i� 7�y— �/3 *�r*�e�r * �e r r+e *�t * * �r �r * * �t�r * * �r * fr * �r � * �e �r *�'�€�°AviF#��3F��r �r �kfklfMiflFMiFM1fiFlfiFlt�kfkik�tiFiliFlf�f�fiflfltltlflkMlfk�kklFiFltifiFiflFif�kiflFiflf ft�fiEkik�Fi!lfifififlFifiFitikiEikifilikifiklffFiEiFiF7f LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N OWNEB BUILOEB OECNNATION: I her¢by alfi�m �hat I am exemp� irom �he Conirac�ors' S�d�e License Law for �he Pollowing reason BLDG PMT PLUMB 1NG ELECTRIC MECHANIC FZR$ SMIP /R$$ GRAD ING SMIP/NON—RES (Sec�ion 7031.5 Business antl Protessional Cotle'. Any ciry oi cowry which reqmres a Dermit Io cons�mct, al[er, impmve, tlemohsh, or pERMI T 6 2� 5� 0� repmr any 5�mc�ure, prior to i�s issuance, al5o reqUires t�e appliCan� fOr SUch permit �o �ile a signetl S�a�emen� Iha� helshe is litens¢d pursuam m �he pmvisions ot the Conlrac�ors' S�ate License Law (Chap�er 9(commencing with Seclion 7000) oi Oivision 3 0� the Business antl Pmfessions Catle) or �ha� he/she is nxemp� �here�rom and the hasis br ihe allege0 exemp�ion. Any violation o� Seclion 7031.5 hy pLp�.� -. any aDPlicant �or a Dermi� sub�ecis �he dpplicant lo a civil penal�y of no� more �han (ive hunOr¢d tlollars ($500�. ISS'[]E FEE ��3 5. 00 �, as owner oi �he pmpetly or my emp�oyees wi�h waAes as their so�e compensation, will do �he work, and �he BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK ❑ simcmre is not inlentletl or oifered for sale (Section 7044, Business and Pmfessional Cotle: ihe Coniractors' Slate License Law TOTALS----> 6 2, 5 � 1 5. Q � •� �, � 0 does nat appty ro an owner ot a p�operty who builtls or imDmves ihereon, and who Ooes such work himsel�/he�seli or througl� his or her own employees, pmvitled �ha� such impmvemenls are no� in�ended o� oifere0 br sale. tl, howeve� �Ae builaing or improvemem is so�tl within one year o� comp�etion, the owner wi�� have �he burden o� pmving he/she did no� Uui10 or impmve REVENUE D I V I S ION TOTALS--> COLLECTED ; ro�mePu�Po:eoisaieJ. BLDG PMT PLUMBING ELECTRIC MECHANIC I as owner o� 1he pmDehy am e:�lusively contrac�ing wi�� IicenseU conUactors lo cons�mc� Ne Drolec� (Section 7044 Business %% . 5 Q TOTAL PAID DUE 77,5� %%,5� ,�� 77.50 OVER/SHORT: 00 FIRE SMIP/TOT GRADING PLAN—CHECK ❑ antl Protessions Code: The Con�rac�ors' S�ate License Law tloes no� apply �o an owner o� pmperty who bwl0s or impmves �her¢on and who conifatis br suCh D�01¢C�5 wi�h a tontractor�5) litense pUrsuan� �o �he COnfrattors' S�a�e LiCense LaW). I am awar¢ **.**„�**,*****.�***.�*****,�*****,*.**..K,*,****,�**.�*,�,*,*,*,***„K,***,*,*„K„M,*,*,**�,*,*,*,�,*,************ tha� pmol o� �heir worker's Compensation insurance shou�U be provided ro me. � I N D 2`% I D U A L F$$ H R E A R D 0 W N ry I am exempt un0er Sec�ion: BP.� 0 4 4 B. 8 P. C. Y� mrmisreaso�: BY OWNER / NO EMPLOY�ES �� TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST oate: %��y�1 Owner .�xN/ � � i do nereey cemry inat i am aware oi ana unaerstana tne requiremenis o� caiiiomia Heaun ana sa�ery cooe sections 25505, 25533, and ELE 1 3 F I XTURES L IGH'1' ING 1 SZ' 2 0 EA . , 7 S 9. 7 5 � 25534 and �na� � ar any �mure bui�eing oecupam wi��wi�l not (circ�e one� need m comply wi�h said s�ate coaes and �he reQuiremenis tor a ELE 14 RECEPT /OGTLET 1$Z' 2 � �. .% 5 10 , 5 � permit mr consimction ar moai�ica�ion trom �he nir Oua�iiy Managemem �istric�. Besidential cons�mc�ion app�ications are exemp� irom ELE 1 3 RECEPT /SWI TCH 1$Z' 2 0 �i . 7 5 9, 7 rj me:epro�isio�s. ELE 1 SERVICES BELOW 600 V& HELOW 201 AMP 18,50 18,50 oaie: _ nnnucant: ELE 1 SUB—PANEL 11 , 00 11 . 00 ELE 1 MOTOR/POWR APPARATUS 0,0 — 1.0 HP 3,00 3 00 I hereUy cer�i�y�ha� I havereatl�his appli�ation antl s�ale Ihal the above in�o�mation is wrrect. I agree to comply with all ciry ana coun�y or�inances antl stalelawsrelalingto building conslmction antl �ereby aulhorize represen�a�ives oflhis ci�y�o enter upon�he above-mentionea pmperly qfor inspection purposes � oa�e: �1/ �1�.3 SiqnaWre'. �� "��`� Oriver'S License ar Social Securiry q: i64t�C6 W�ite—Builtlinp: Green—Cotle Enlorcement� Canary—AoolicanL Pink—Revenue: Goltlenrod—Acsessnr END OF FEES 01 �014°�568-00145`68 TOT 77�,`a J DATE: OE/?4(93 TIME: 14:57 CUNSTRUCTION AND PLANNING �- ' PO� _& SPA � APPROVALS Permit# Date Inspector APPROVALS Permit# S Oate � Inspector. �, Temporary Electrical Service or Pole � - 52, Pool & Equipmeni Location 2, Soil Pipe-Undr9md. � , 53..Steel Reinforcement n� El�triC�i CondG`t,t�l��lity-Undrgrnd. 54. Forms � . � `.:4. Eleotrical Conduii �drgrnd. `/��3 .�� 55. Electrical Bonding � y', �f '�S��Ste`ei Reinforce�e'R - , 56, Rongh Pfumbing & Pressure T€�iy '� `• ...w•^ c� o� =6` Efgctri�i UFEH`�r2d, �. 57, APPflOVAI TO COVER�GUf�"F� z �^-7.:Finatin'§s x 58. Electrical Conduit�Undrgmd. � ✓ ,.r HS. Foundation E; 59. Gas Pipe, � Undrgrnd., Teu ,yj `�' 9. Water Pipe-Undrgrnd. ; 60. Backwash Lines, P-Trep, O UndrgTnd. 70. Structural Floor SYstem 61. APPROVAL TO DECK 7 7 7. Property Sewer t,ing-& House Connection gZ, Backwash & Receptor�Final r r 72. SevGer Cap � . � 63. Heater.& Vertt-Final � J� 13. Roof Drains 64. Plumbing System - Final 14. Rough Piumbiriyy V � . � 65. Electrica6Finai > . 15. Rough Electric �Conduit � / 66. Solar System-Final '� � i6. Rough ElectricLiring Z/�,�7'9l/ � 67. Fencing & Access ApP�oval � / 77. Rou9h Wiring Sign J 68. APPROVED FOR PLASTERING 18, Rough Electric3FT Bar Ceiling 69. POOL(SPASYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ' .. J b' C7'�-:W[-. in M r ��' •�,M.T.?*1 20.�Rough F�torq FQeplace � xni y� + O� o'+' x tAPPRO?1A'tSUaiHerraSt # + >' -'�`� "7� � e! 'i K t-I r F 1 Ni-�:. .� x il� �7 r 21. uCt��, in.$Sry;� tU ! i�F XS R �-t "! �l�% x q, r;a"� L�S �� M � r� �. S �:. i.. .. r-.+S x S t7 r-�.w � H0. �derg,o}ind�Y�o r 22. Ducts, Vpntitating�x,, i C'dc * H � S Qx.< � 1. Produc['f'"id9 [�''ruti ❑Oil 23. �f3asf 1Pe�o � &"F�est � '� � � �"� •: .«H, "' � � �7 * �� i- r-i 4 +. � ;nS '� M+T d O r• .� �-l2. Underground Fly '� x [-+ � � J �'' O cT' �:� x=73.�Jnder md?Stora' t+Aank � Gas Q Oi�' 24.iRoof�Framin�• ht� i FN ^F W.. g 4�"-�""" 1 1i S 25. Roc3ySh�thing mx s v�i* � v � vx M�4•��erhead F�ydro;�;� M r • .' } ' : t a .� . � c H R` Q :� :1 ? S � , 26.�T-BaryCeilin9 (Str,uciurall &,I�lo�ocoat �ri 4 tn-� � 75.�Ory Chemicat '7 �'J .� � , 27. "Frame and Flashin * m ' � a� x« F �r p}_- a S *1 x ['��s= �+ � rc�: :�:�c: .� a' 3� ms z 76. Dry StandPip2 �..,io s .�;> � r: ! o' I f H T I J ;c a: • . . ~ "J -� . , �.�8. Latlirng&Sidingp•,:y �a.:: x .-.�: ••�x 77,tr�FIXEDS�f6tiEM�F3'NAI�� E-t-�!'iS� i T^M %29. Insulatiofi <i � S" .• � � r`' ;_ � 76.fPIRE PREV. F�NA�k � � _ ��. 3 �� ^.3 .v ,a: s cJ x � + e u, , ••• . � �30. Prywalld$ailing „� .x 'f x �� MEALTI-I_qEPTiR-EQ411RED16NTTi �31. PlasterB�w Co3fi# ^ � r,. �;, �' � �79.�fINALiM�P�ECTIbyN' xC 7 �Ji .�',J� � --� r' I F F+ ~r. J +• � %'�2._�Iectrica�Po yr Me4erFinal � �� :.,80.,:�OOD CERTIFI2A'F_61SSUED 1-+ n � 33.�fiina(Eleciri i- V�: � � tr' ��2s y-p�' -- �".AJe ' /' 7 �r "�.� �� '� -- .�i ;n 4i ..�x � .. '7 _ � t7--�"�'7. a: � � !.' d. I-I H S�. M'J: A Y. +�+ .1 1'�.+wy l 1 x � ,T j ;�4. �ina�Heating.`'}� A?Y��Qitio�fr�> n � r g � .,� .,� nx • S � . -. �.n 35.�F.inal�Gas�PiP��TeRR>..� :'" r: y r C:o:o �n ;qS � , .�• ,_ - � .-n.t �l: c H ? "� :�.� .. H X ,V�i^lUl p ;• � �Y � .. n k � *7 • >'�i . . :-i- . -36. Fioo�, or�`CanopY F K^ i.Y.' � x C` �*: <�: CP� x '7 � T' 37.�inadFadiory Fireptate^ ��t'' V r+ Y s 5' �' �� boo> �;r, ., ,< i c..•.. r. : r x .�i � Q �.. .. _� x �� r x �. . - .�8. Fina{�Plumbin9 � nJ I . x ��: » S i� x c'i .? - %39. Watca. Service-Finalx " i m i: y� �: �ts m-•. � i ,. ., x. v x h�. ,r.t `-40. GasServic'e-Final ' '� �" ` ' ". -� '�'• a. " r k'. T7 4 i" C' S n r. '. y: t` i _ X ••..S .j �1, 5olar pomesticFina! ^ ! •• -< F K * 4-� '�-+ � ' -N r . 4 r :O .T "' 7 '42. �6ackflow�Preventer �` �"' '} '' � "` � � n � �r, .. i�t x~ C fc .' :>(-. x 7 .� ,.��r s, � � K' •• �._.. . 'l ^ ni-.W ,_ 43. 6ackflowJlrngation* �. �... � �'F" ��` � . . , , � a v :cS a:x �) � C1 `�44. Landscape Irur�ipatiop SYstem�,�� ; r, `, 5,� R x;� n� x� *} v v_� ,��+�o ' � r t-:.T,'i .r k, i.. �.: s.`. �..;.% i H .t ?L- -K � �' . ' ;q5. ;�jound Atter�ation, r . C' .a .. X rn i -�r' i� �• '_r' ;* � �. `A6.'Handica�;ReEulatio�5s 7 �'� � ,,`, � x q S rc �S x L' 47. �FIN' L STFUCTURf & BUl'D1NG ^� >. r y ^3 5 ^ x f Y :Y �.. w� J' � L x � �rn� ? � K :V :%: x _ 48. �PINAL PLANNING,. -_ ,� Ri • r ,� .q rn •y . 44g:�lect�ic Release to Edison i n " e' � r �� x - n r c �-+ •.'.' .50. Gas Release to.$out�em Calif,ornia GasCo "� , ' ' � ` . �T ' � `.':�v . .�-. * L Y - J � �J 'S1. GERTIPICATE OF,�CCUPAlVEN � �.� �; t7q y¢ i: i. a->-,I�o_� No. Date - � iFOJECT ROOflESS: q 2 Z E 18 TH ST OWNEP'S NAME: BART ROSA ADONESS: 922 E 18TH ST COSTA MESA,CA 92627 ANCH/ENGINEER: � 7 1 4� S�I S—O S 6 3 qEC.NO.: ROONESS: uNiT: UNIT: PEHMITTEE: BART ROSA ( 714 ) 548-0163 nooness: 4Y2 E 18TH ST COSTA MESA CA 92627 LICENSED CONTBACTOB OECLRflATION: I hereby a��irm Ihai I am Iicense0 untler pmvisions oi C�apler 9(commencing wiih Sec�ion 7000) of Division 3 of ihe Business and Professions Cotle, antl my license is in fullforce an0 eHec�. CITY LIC.: STFTE UC.: ClASS: Date: Signamre: WOBKEB$' COMPENSpTION DECLAFFTIUN: I hereby attirm ihal I have a certi�icate ol ConSent l0 Seli-in5ure or a certi�icate of Workels' Compensa�ion Insurance, or a cenifietl coDY lhereol (Section 3800. Lab. C). POLICY NO.: E%P. ORTE: COMPANY: ] Cetlilie0 copy is hereby furnis�etl. ❑ Cenifie0 coDY is liled wit� Ihe ciry BuilOing �ivision. oate: Apolicant: ENEMYIION FflOM WaPNENS' COMiEN5ATI0N UECLABATION: (This secAon neeA nol be completed ii Ine permit is lorone hunOretl ($100) ar less�. I ceriify �hat in Ihe pedormance of �he work for which ihis permit is issuea. I shall not employ any De�son in any manner so as to 6ecome subject fo the Workers' ComDensation Laws of Califomia. ��' �✓rJ'^�. �ate: Z Signamre: �.�� ' w"� NOTICE: If, ai�er maki g this tleclara�ion, you shauld �ecome suble�� o �he Workers' ComDensation provisians of �he Labor Code. you mus� �ohhwith comply with suc� pmvisions o� ��is permit shall be AeemeO revoketl. CONSTBUCTI�N LENUING AGENCY: I hereby al�irm that there is a cons�mcfion lending agency �or �he periormance ol Ihe woB for which ��is permil is issuetl (Seclion 3097, Civ. C�. LENOEfl: AODNESS: OWNEB BWLUEP DECIABRTION: I �ereby aflirm that I am exempt fmm Ihe CONractors' Stale License Law lor ihe following reason (Section 7031.5 Business an0 Professional Code: Any ciry o� county w�ich requires a pe�mit lo coretmc6 aller, improve. demolis�, or repair any S�mcWre. O��or to ils issuance. also repuire5 ihe apP�icant �or suc� permi� to tile a signed Stalemeni �hal he/ihe is licensetl pursuant m t�e pwvisions o� �he Contraclors' S�ale License Law �C�apler 9(commencing with Sec�ion 7000) ol �ivision 3 0� Ihe Business ana Pmfessions Code) or Ihat he/she is exempt Inerelwm antl ihe basis for t�e alleged exemption Any violation of Section 7031.5 by any aDPlicam lor a permit suGjec�s the apD�icani �o a civil penalry of no� more than live hundre0 Oollars (5500�. I, as owner ol me pmpeny or my employees with wages as ineir sole compensation, will Oo Ihe work, and Ihe ❑ s�mcture is nol inlenaetl or o�teretl �or sale (Sec�ion 7044, Business an0 Pmfessional Cotle: The CanVac�ors' Slaie License Law does not ap01y to an ownei ol a pmpetly w�o builes or Improve5 i�ereon, antl who aoes suc� work nimSelVhersell or �hmugh his or her own ¢mployee5. Dmviaed Ihai Suth impmvements afe nol inl¢ntlEd or oflereA fof Sale. Ii, however �he huiltling or impmvemen� ls sol0 wi�hin one year of compietion, I�e owner will have ihe �ureen o� proving Ae/she tli0 no� build or improve �or Ihe purpose ol sale�. I, as owne� oi ��e property, am exdusively contracting wi�h IicenseU contractors �o cons�mc� �he projed (Sec�ion 7044, Business ❑ antl Prolessions CAOe: The ConVactor5' Slate License Law Oces no� appty to an owner o� D�operty who bmltls or improves theBon an0 who wntracis lar such pwjects with a contractor(s�license pursuant m Ihe Contracmrs' Slate License Law),I am aware tha� proot oi Iheir Worker'S Compensa�ion insurance should be Omvitletl �o me. n I am exempi untler Seclion: B P 70 4 4 B. 8 P. C. yq �ar this reason: 1 BY OWNER / NO EMPLOYE �y��,l�� Date�. ��G/�J Owner - �� "`Y�— I ao nereby cenify that I am aware of antl untlerstantl ihe requiremenis of Califomia Nealth antl Salery Code Sections 255Q5. 25533, antl 255JA antl Ihat I ar any IWure �uil4inA accupan� willlwill noi (circle one) neeA to compty wit� saitl slaie codes antl the requirements for a permit foi constmclion or motlilication Imm �he Air �uaiiry Managemen� Oislnct. Besitlential cons�mction applica�ions are eeempi Imm Ihese pmvisions. �ale: ApplicanL I �ere�y ceriily Ihal I have rea0 Ihis apPlica�ion antl slaie�ha� Ihe aboveinforma�ion is correcL I agree�o comply wi�� all city antl couniy mdinances and sla�elawsrelating�o buil0ing consimction and hereby au�harize repre5enlaiives oflhis cirylo en�eruDon��e above-mentionetl pmperty lOr in5petli0n purpOset � � Dale: (�/� y � � Signaiure: �river's License or Sociai Security a: t64b46 While—Builaing', Green—Coae Enbrcemen�; Canary—Hpplicant; Pink—Revenue; Goltlenrad—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 063629 PERMIT NO: M 063629 PLAN CHECK NO: N GOVT: N SUPP; N CONSTRUCTION TYPE: 5—N PERMIT TYPE: MEC PURPOSE; OTH JOB DESCRIPTION : ADD A BEDROOM, BATHROOM,HALL & 2 CLOSETS SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 /M-1 COMMENTS: RE: B63626 PRIMARY HUILDING PERMIT, �t*�t**�t�t�t�t+t�t�t*�rx�r*�t�r�t*+t��r*�***+r�t*�t*�t�t�t�t*�t�t�t�t�t*�t*�t�t***�r�t*�rx�tr��e�r**�t�t*�t�r�r�r�e *�t�t+t��t * Z O N Z N GS ERTEH�AUCIKRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT; FT ZN REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN PARKING REQ • PROV; PARCEL: 11733236 2NE; REF NO; PLANNING N01'ES> i ,- �e�e«�r�e ��e+e�e**�r�e�e�r�t�t�r�r*�r�r�t*�r***�r,e�r�r,e�tx�r.�rx�*«*�r**�r*�e*�rx*�ex��r�t*«***�rx�r�**x�* �r�t*�r*�**�t*�t �' D E V E L O P M E N T S E Rn V I C E S R E Q U I R E M E N T S `20NING APPROVED BY --o DATE: ' HUILDING APPROVED BY ; I� DATE: 'APPLICATION ISSUED BY; \�,j DATE; � 2 3 it�t3fiF�fifiFiFiFikMitikkiFiFiF3F1t1fitlf ififikiFiE�FlFlE�k�t 1Fif 1FiFitiE�fifif�E�F�F�f�EiF�f�FiFifikikiFiEifiFifiFiF�fifiF�flfikikiFifiEifik�E�Fif1E�f�k ififlfMkiFiFifiEiflf�flfiEifikiFiFiflfiFlEiFiFiE�fiFM1F1EiFlfiF LEGALIZATION:N F E E i� U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT , Tj . 9 00 � '15i SMIP/NON—RES ISSUE FEE " �i—� 15,00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECR TOTAL PAID DUE TOTALS----> 9.00 15,00 "` 0.00 24.00 24.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED• 24.00 OVER/SHORT; 00 BLDG PMT PLUMBING ELECTRIC MECHANI� FIRE SMIP/TOT GRADING PLAN—CHECK _ -. 29.00 it iF fE af �F iflf if �flf k iFif if �f 1f �f iFlf �f iFiFif if iF 1E if 3f if if if iF �t �f �Flt iF�f iE it iF�f if �!!E if �f if k if if ff iF if iE1F ik kiE fE iElt iF if it jf �E �F iE if iF iE iFiF iF iF iF �f 1E I N D I V I D U A L NF.E E B R E A K D O W N TYPE QTY D E S C R I P T I�O N� UNIT COST TOTAL COST MEC 1 INST'FORC—AIR/GRAV''FURN <= 300 K BTU 9.00 9,00 END�OF FEES � f'. '1,r1 � , �� .�� 24.00 OS �01455?0-0014`.`+70 T LiT DATE= OE/24/93 TI'1E: 14:58 � CONSTRUCTION AND PLANNING P�� SPA -- �APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector �' i. Temporary Electrica� Ser�ice or pole 52. Pool & Equipment Location 2. Soil Pipe�Undrgrnd. 53. Sieel Reinforcement ,�Ji�Ejettrical CondiSStt,LJ%ilitv-Undrgmd. 54. Forms �: «. �c+ � �.k. Eieytrica! Cond�itd:Jydrgrnd. 55. Electrital Bonding '` vSt�i Reintorceqight?� • 56. Rough Plumbing & Pressure Test � � -6':EI'ectri491 UFER'6nit$. 57. APPROVA� TO COVER•GUN'[TE 'y7. Fdotirtt,� , 58. Electrical Conduit•Undrgrnd. " � F.! �. Fo�ndation F. 59. Gas Pipe, O Undrgrnd., Test �� 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, O Undrgmd. 70. Structurel Floor SYsiem 61. APPROVAL TO DECK '7 11. Property Sewer LinQ-$ House Connection 62. Backwash & ReceptorFiaal r 12. Sewer Cap 63. Heater & Vent•Final - L' 13. Roof Dreins 2+ 64. Plumbi�g System - Final ' 14. Rough Plumbin�� 65. Electrical�Final 15. Rough Electrica �Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 77. Rough Wiring Si�n 68. APPROVED FOR PIASTERING 18. Rough ElectricaiT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning •_!C,_ FIRE DEPT. REQUIREMENT � '� a' b'��,. r z .. t- 5' 20. ,�ough F�toiq FiCeplace i,z¢n ¢�� t O:� tr z� PcPPRO�VAC3'U«��ermlc # ro �i � i 'n r > t-. �T.' � "JF-.!. � p 'i -� Tw' �(.•C-� 5CS a* r-� �; � �a t J :J'7r. rr� x �i 21. �4.�ucj, irt$tr�tur�� .. .. -�.5 ,� s '- „� - 7�0. UudergrpyQd-}ivE�ro 22. �Duct.s`, Vet�til3[ing-�x I C1S ? r S S� .�71. Product�i 'r�g 4'Ci� ❑Oil r' ' i rs: • p• i-. # F t. i i r�rJ w �. 23. das bipe�ou'q� &'Tast � Yn� *- M v' S 0�� v�z. UndergroZnci�Flu�sqi� .� ,:" 24. ;Roo�framing•� ;�r I (+F ••F• � ;� Q �' � r' z �3.''�' nder9rnd�'Storag�a'ank � Gas ❑ OiF' �, i is 25. Roo}Sh�a'thing �� ;. � ;v � x �h ;� � `'�.° '� yq, �Overhead F�ydro ;ak' � 26..i-Bao-,Ceiling IStru,rEureU & [�qonosoat .� :n j �•^,, » 75.'Dry Chemical " * �-+ .. 27.'Pramean flashin'� Q'�~ ` �' " 76.`Dr Stand�t '�r' " � � � v� rv �M :].�.� x 7 � P. > Y Q,Ri+ :-P.� r� h �. i � � .4: N?,td � . r � • ' „� - . �,2,8. °Lathing �Siding r-.. r.� �i�4,.:. � a S_ ••i �> : 77, ��FIXED SYST�ENYRb,NAL ` � �l9. Insulatiori ;a; � S "" '' � `� ' ' 78.�IRE PREV. FIN'(a,l, ' � � r ta a �30. Orywall t�ailing „x : �: H6A.LTHpEPT.=fLEQUIRE1t�ENT �31. Plaster Btown�Coa£'' ' " ''' ],9.�PINAL INS�`,ECTION fi � � '� r I Ir{s r y �- f�2. �IectricakPow�r metErC�inal i� .., :� s 180. SFOOD CE�iTIFICXYFE ISSUED �:. 33. �inaFEle�ric� �� r, i ,�, X � � r'IUot s ,1 `1� � . , ' � 2-(C � �f,2.�7 �� '34.,F�ina��1-IeaSing'$�Fj75�o ditior�in�S C1 R��- � �. C��:-�^ - 35. Fina7-Ga Pipt.*Teft'� ._Q' �; ' .. •'� ^ �� C� -�� :� �,,; r '�. T r 36. Hoo�or�anopy �r : o¢ i � � _ � �� ■ � r S i-�o �i , 37. �PinaF�FacEory PirOPlBci^..^ i �t� r � � � ' r t . � r - .. .. � i .. .J � .� .y - , i ;�8. Fina�Plumhing * , � �s a: s S � � *.r 39. WatenSeroice�Final r � � � "� r . C�o > o . ,n > � x -. i > : + -. �+ a ''40. Gas ServiBe�Final x '� � y ` � � i: T Q: ' t(r i `16 OC_ , �dt. Solar pomestic•Final: � �' •. ,: >, r i ~ , � .: . r - ' +. c #�-. ?� <.J � .-/ '42. �8ackflow�;Preventer � „j , �x � „ � � - , . 43. Backflowarri�3tion�r T'�S " ' � �^ ' � . '� y� > -c - .J �y - �4. Landscapg Irijgatiorj System,,, ��j K ,, `, y ��;, ' � ;,; �� , � J .J �5. Sound AttenLation-- -+�c^ i° . - �� s � .1 r.�. s,4 - � n r, .r; si a �- S .$6�.'Handica'Re �latior� -' ` `' .. ..' ' . p.. � y.. O t' . S S. � �C x 47. F,�W�rLSTRl1CTUFAE&BUILDING �� _ _ :� � ✓ � � r � .; < 48. f�INA,L P�ANNINGs i :� =T . ;� � � �� •i � - :49. i lectr,ic Release to Gciison � < > ' �: - k - i e , r. � c 30. Gas.gelease td Sout�em Califocqi�a,Gas Co ; y 5`', .J .'' � ;� ' 51. CE „IFICATE OF pCCUPAN�'1" �: s�� -to x + � � No. Date I :-' . , I �^ I PflOJECi ADOXE55: 4 Z Z, E 1 RTii J�'T OWNEN'$NRME: BART AOSA nooaess: 4 z 2 E 18 TH S T ' COSTA MESA,CA APCHIENGINEEfl: � 7 1 4� 5 4 8— � 1 6 3 � aooaess: UNIT: 92627 NEG.NO.: uxir: PEflMITTEE: BAAT ROSA ( 714 > 598-0163 ADDflESS: q Z Z E 1 8 TH ST COSTA MESA CA.92�7 LICENSE� LONTNRCTON OECIAflATION: I �er¢Gy allirm tlut I am IicenSeE unEer provwom a p¢r 9lwmmencinq wit� Section 7000) ol Division 3 al �Ae Business anG Professions Co�e. anG my licen5e is in lull�orce an0 etfect. � CITY LIC.: STATE LIL.: CLASS: Dale: Signa�ure: WOflKENS' COMPENSAiION OECIARAiION: I here0y attirm ttwt I luve a certiticate of consent eo sNl-Insure ar a cenilicate o� Workers' Comoensalion Insurance. ar a cerliliea cooY �hereof (Settion 3800. Lao. q. ' POLILV NO.: E%P. ORTE: ICOMPANY: ' ❑ Cenifietl coDY �s �ereGy furna�e0. ❑� Certi(iep oppy is ide0 wit� the tiry BWUing DiviSia�. Oale: ApDlita,nC E%EMPfION FflOM WOflI(EflS' COMFENSAPON OECIAflPTION: (Tlus seciion nttG not Ue completeG il Ne permt ¢ for we hu�dred (5100) or las�. I ceriify ��at in �he peQormance o� t�e work lor which �nis Oe�mi� is issu 5�all not employ any person in any manner 5o as �o become sublect Io Ihe Worker5' Cam en5alion LawS ol Calitq�nia. ///7�� oate: �� 'Z��i3 Signature: � ' "`� -`^ NOTILE: II, after makinp t�is Declaration. you 5hou10 0¢come 5u01¢[I lo ihe Work¢rs' CamOensation D�ovision5 of lhe LaOor CpGe. y0u mus� �arlhwil� COmOb' �'^t� Suc� O��Y¢ionS or ItiS pCrmil Sl�all be tle2mea f¢vakCE. CONSTPIICTION LENOING AGENCY: I here0y allirni ihy� there a a wnstmction lentling aqency lor ihe pedormance oi the work for whic� Ihis Oermi� is i55ue0 (Seciion 3W7, Civ. C�. LENDEN: ADOflESS: OWNEP BUILOEP OECIABRTION: I �ereGy atlirm tl�� I am eeempt Imm t�e Contractors' State License Law for t�e followinp reason �Seclion 703t.5 9usiness and Prolessional Cotle: Any �i�y ol county whic� requires a permil lo cansimcl, aller, improve, demolis�, or reDair any siNCWre. o��or lo its i5suance. also RQuir¢s tne apDliWni lor suth permil Io file a sipned siatement Mat hUShe is IicenseA pursuam lo t�e pmvisions ol Ihe Canlraclors' State Lieense Law ICnap�e� 9lcammencinp vnm Section 7000� ol Division 3 of tne Business an0 Prolessions Coael ar tlut he/sne b eRemO� t�erefrom anU t�e Oasis far t�e allegeG e.emption. My doWlion of Section 7031.5 by any ap0�ican� for a oermit suDjecis ine appiicam to a civil Oenally of not more tnan live �unOreE Aollars (55001. � I, as owner of Ine DmOeny or my emPloy¢e5 with wapes as their 501e fAmcenSation, will ao tAe work, ana tAe ❑ simcture is nm inte�Med or allere0 tor sale ISection 70ad. Buvness an0 Pmtessional CaUe: TAe Coniractors' State License Law aoes nat appty lo an Owner ot a o�apeny wlp ONIOs w imOroves Inerean. an0 wlio Aces sucn wnrk him5ell/nersell or ihrouqn his o� �e� awn employce5. O�Ovitletl llul SUC� imprOv¢menls are nolin�enCetl ot nllereU �ot 5ale. II, how¢ver Ihe �uiltlinp or impmvemenl is solU wit�in ane year ol completion, t�e owner will have I�e bur0en al provinq �ds�e Oitl not 6uiIE or improve for ihe purpose ol sale). I, as owner ol ��e pm0eny, am e�clusively conlraciinp wil� licansed coniratmrs Io consVucl Ihe pmjecl �Seciion 7044, Business ❑ and PmIe55im5 CaOe: TAe CanlraCl0r5' Statg Licensa Law Ooes rwt appy Io an wmer ol Dropeny who OUAas or imD�a� ��ereon and who coniracls lor suc� Omjec�s wil� a ContractOqs�license pur5uani lo I�e Conlrac�ors Slaie LitenSe Ldw�. I am aware itut pmol ol t�eir Worker'S fAmpe�6ati0n iqsurantt 5tqulU be proviEed lo me. � � am exempt under Sec�ion: H p 7 0 q q B. 8 P. C. ia�inis�eawn: BY OWNER / NO EMPLOYEF�7 �/ /� � �� oam, /�� S Q�mer. /�YU/!" /\.a7 I Oo neie�y certlly rtial l am aware al anE unGersland ��e �epuirtmen�s o� Califomia Heali� and Sa�ety CoOe Sections 25505, 25593, anA 2553d antl Ihal I or any tulure Guiltling occupant wilVwill noi (circle one) neeG lo camply with sai0 stale codes anA Ihe re0uiremeni5 br a permii loi cans�mclion oi moaifica�ion Irom I�e Air uahty ManaAemem Uisinct. RevOenlial consimclion aOP��ations are e�emp� Imm ' �hese pmvisions. Date: MOlicant: I h¢r¢Uy C¢ililyihatl �averea0i�i5 aOVlita�i0n ana 5�ale�ha� I�e a0ovein�ormafi0nis wrreci. IaA�ee l0 COmD�Y'mlh all[iiy anA County orOrtunces a� sta�e Wws relating io OwW�nq miavuctq� aM trereW amMrixe reyesentatives of I18 dry to enter upan t�e ahave�memioned proverty lo� Insoeclion purooses. �� ale: �O ��( � Signa�yre: �river's License or Social Sewrily p: �- 1646a6 WM1ne—Bulltling�. Green—Code Enlorcemem: Canary—ApplmanC Pink—Revenue: Goldonroe—Assessor CITY OF COSTA MESA — HUILDING PERMIT PERM NO: P 064611 PERMIT NO: P 064611 PLAN CHECK NO: N GOVT: N SUPP: Y CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU PURPOSE: OTH JOB DESCRIPTION : ADDITIONAL WASH HASIN 6 HOSE HIH SQ FT: CLAIM VALUE: , CALC—VALUE: GROUP OCC: R-3 /H-1 COMMENTS: RE: B63626 PRIMARY BUILDING PERMIT S P63630 �t**x�*�**+r**r*�r***+r********�r*�r**�r*�r�r*+�****+tx***r�+�*�r�e**�****�r******+r*+r**x�*r***�r Z O N I N GS ERTEB�AUCIKRSE M E N T S ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN PARKING REQ• PROV: PARCEL; 11733236 ZNE: REF NO; PLANNING NaTES> � 9f M if 9E iE fE if ft if it iP iE it it iE it iE it �f iF iFlh iE iF �E iE iE iE iElf if if i! if aE k if iE it iF it it it iE if if if iE 1f if iE if iE 7f �f N if 1F if iE �f if jF if if it iE if iE iE iE iE iE ff fE iE iE iE if D E V E L O P M E N T S E R V I C E S�' R E Q U I R E M E N T S ZONING APPROVED BY 'l DATE: BUILDING APPROVED BY ; �i'i DATE: '� �.�� APPLICATION ISSUED BY: DATE: � 2 S iE 1f 1f af If if 1f iE M ifM if if iE iE �F iE �E iE if iF 1f 7f jf iF if !F �F %if f: M K iE jFlE �E if jf fF if if iF if iE �F iE iF 1E iE it fF it iF if iF iF IF iM1 �lf if if� i! iF it if iF if if if iE iE iF iE iE if if iE iF if * iF If aE if iF iF iF iF 1f iF iE:E if if iF if if iF ik iF iF iF K if if iE if if iE k if LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N T i �. BLDG PMT PLUMHING ELECTI2ZC MECHANIC FIRE SMIP/RES GRADING PERMIT 14.00 ' 252 ' -' � SMIP/NON—RES PLAN _ � : ISSUE FEE 10.00 ':• BUILDING—DIV—> PERMIT ISSUE PLAN_CHECR TOTAL PAID DUE TOTALS----> 19.00 10.00 0..00 24,00 24.00 .00 REVENUE DIVISZON TOTALS--> COLLEC,TED:,— 24.00 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHAN �C ; FIRE SMIP/TOT GRADING PLAN—CHECK z4.oa _ � iE iE if iE iE iE if if M iE i! if if iF if iE iF if iE iF 1t at M if if f! if if if if iE iF if iF iE iF if iF i@ iE if if aF iF aE iE iF M iF �)f M iE it if iF iF if iF if if if if aF iE if iF iG iF IF it iE iF if 1f iE If it if 1f� I N D Z V I D U A L F E'E H R E A K D O W N .` y! TYPE QTY D E S C R I P T I O N;� UNIT COST TOTAL COST PLU 1 WA5H BASIN ,,'�� 1 PLU 1 INSTALL/REPAZR WATER PIAPNG EQUIP END�OF+ F`.EES %.�� %,�� 7.00 7.00 n1 DO1<9501-00?49501 T O T ?4.Q0 DATE: 1�/25/?3 TI17E: 09:28 CONSTRUCTION AND PLANNING POOL ,PA APPROVALS Permit � Date Inspector qppROVALS Permit # Date Inspector 1. Temporary Elettrical Service or Pole - 52. Pool & Equipment Location . 2. 5`oii Pipe�Undrgrnd. 53. Steei Reinforcement 3. Electrical Gonduit Utili[y•Undrgrnd. 54. Forms 4. Electrical Conduit•Undrgmd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test +6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7, Footings 58. Electrical Conduit-Undrgrnd. • 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. � 60. Backwash l.ines, P�Trap, O Undrgrnd. 70. Structura� F�oor System 61. APPROVAL TO DECK 11. Property Sewer line & House Connection 62. Backwash & Recepmr-Final 12. Sewer Cap 63. Heater & Vent-Fi�al 13. Roof Oreins 64. Plumbing System � Final 14. Rough PIum6�ng 65. Electrical-Final 15. Ro�gh Electrical-Conduit 66. Solar SVstem-Finai ' 16, Rough Electric Wi�inq 67. Fencing & Access Approvat 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough E�ectrical-T Bar Ceiling 69. POOL/SPA SYSTEMS fiNAL 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, i� Structure )0. Underground Hydro 22. Ducts, Ventila[ing 71. Produc[ Piping OGas OOi� 23. Gas Pipe•Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oii 25. Roof Sheaihing 74. Overhead Hydro 26. T-Bar Ceilin9 (Structural) & Monocoat � 75. Dry Chemical 27. Frame and Flashing J6. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation . 78. FIRE PREV. F�NAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Cqat 79. FINAL INSPECTION 32. Electrical power MeterFinal 80. FOOD CERTtFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning � ,�� CL - - �c�2_ree_�z.cr� 35. Final Gas p�Pe•Test J � f�rn.,� - 36. Hood or Canopy . '�'Z_Z' I��/_'-C1_Q-L_ _ 37. Final Facttl�Y Fireplace 38. Final Plumbing �22_q -L -�� 39. LNater Service�Finaf � 40. Gas Service-Final 47. Solar pomBstic-Final 42. Backflow Preventer 43. Backflow Irrigation - 44, Landscape Irripation System 45. Sound Attenuation � - 46. Nandicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINALPLANNING " 49. Electric Re�ease to Edison 50. Gas Release to Southern Calitornia Gas Co 51. CER�IFICATE OF OCCUPANCY No. Date � PqOJECT RUOflESS: q 2 2 E 1$ TH ST OWNEfl'S NRME: B�T ROSA nooeess: 42�y E 18TH ST '� COSTA MESA,CA �f RflCM/ENGINEEN: � 714 � 548—�163 RODNESS: UNIT: 92627 flEG.NO.: uxiT: PEflMITTEE: BAE�T ROSA f 724 ) 548-0163 nooaess: qZ2 E 18TH ST COSTA MESA CA_.92627 LICENSED CONTBRCTOfl OECUMiION: I hereGy allirm Itai I am Iicen5e0 unCer pmnsions al Chapter 9(commenCinB wiih SecliOn 7000� ol Oivision 3 ot t�e Business an0 Prolessbns CaOe. anE my liceiue is in iW force and etfect. CITY UC.: STRTE LIC.: CUSS: Oate: Siguture: WONRENS' LOMPENSF710N OECIAflRT10N: I �ereby allirm Ihat I have a cenificate ot consent �o setbinsure or a cetlilicate ot Workers' Compensation Insurance, or a c¢nilieA caoY ��ereol ISection 3800, LaE. C�. . POLICY NO.: E%P. �►TE: � COMPFNY: 7 CenilieE coDY is �ere0y Iumat�eE. ❑ CeN�ied mpy is tAeE vnl� t�e 6ry BWEing OiviSion. / . /o � i Oaie: � Npplican�: � � � EXEMPTION FPOM WONIIFPS' CpMPEN$RTION OEpAf1ATI0N: (itis SMio�i neeE irot De mmplele0 it tlrt pemtl 51a onC huMreA �5700) m leu�. I cenily I�at in tne pertormantp of t�e wOrk far wNCA thit permit is itSueO. I sINO not:¢mploy any person m atry maqner w a5 ta hecome sueiect to ihe worker jCompensation Laws of Calilomia. �� ,/ ��j�(_ � Date: �� y / �3 SignaWre: �G$ ^ ' '"' � — NOTICE: Ii, attenm�king �pis OCclara�ion, you ShoulG E¢co e�ett Io Ihe Workers' Compensationgruvisions ol Ihe LaUor CoEe. y0u mu5i-06M1�wiiq tamDly wit� Sut� D�avi5ion5 or ��is plrmii 5hall UE EBemeA revokeE. -' I CONSTBUCTION LEN�ING �RENCY: I nereby aBirm ihat t�ere is a constmction kn0�g agency foi t�e peAarmance ol t�e work lor whicn this permit is'�ssue0 ISection 3W7, Civ. CI. ^(' lENOEP: RODNESS: OWNEB BWLOEfl OECUBRTION: I heRDy a��ifm �tWi I am exempl Irom l�e ConVa[IorS' State License Law lor me lotlowinp reason (Section 7031.5 Business and P�olessional CoOe: My dry ol county wliic� reQuira a Dermit to canslmci, alter, imprwe, Gemalish, ar repair any 9rupure. O�io� ta i�s �stuance. also repuires t�e apP��nt IOr suc� permil lo lile a sipneG statement that helsfle is licensed pursuam to the pwvisions ol ihe Camractors' State License Law ICnao�er 9lwmmencinp vnin Sectbn 70001 ot Division 9 0l tne eusiness ana Prolessions CAUe� or t�at ne/s�e is e�em0� t�erelmm antl the ba5is for t�e alleA� eKemption. Pny violation ol Seclion 70.91.5 hy any aD0licanllor a permil suble��s I�e apDlicant to a civil p¢naliy of nol more t�an live hunGr¢E Aollars (5500�. I, as awner ot t�e pmDeny ar rtry employees wit� wa0es as t�ei� sole compenution. vnll Go I�e work, and IAe ❑ stmcWre ¢ not imenee0 ar oller¢E for sale (Sectmn 76a4. Busineu antl Prolessional Code: T�e Cantractors' State liunse Law Does not aDDly to an o-xner ol a OmOeM w� �uilEs or improves t�ereon, arM w�o Cces sucA wod �imsell/�ersell or t�mupA Ois ot �er awn em0lqyees, proviGeG itwi sucll imprwertrenis are wt intenaetl or ottereE lor sale. II. �owever ihe buildinp ar imD�avement i5 SOIG Nit�in We ylar al mmpiclion. t�e wmer vrill Iuve I�e EurOen ol pronn0 �she Oi0 nol huilU or imOrave mr me nuro� o� sarol. I, as owner oi tne Dmpeny, am exclusiv¢N cantractinq wiiA Ikensea cantractws Io constmct tna project (Section 70aa, Business ❑ an0 Protessions COAe: Tlre Contraztors State Liceree Law tloes iroi appy to an owner of pmperty wtq EmICs or impraves thereon antl who COniratls IOr SUCh proletl5 �th a COnlratlot�5�litenSe DurSUani lo Itle COn(ratlOrS' Stale L¢ensa Law),I am aware �Ila� pioaf of iheir Worker's Compensa�ion insurance shoul0 Ge D��eO to me. � i am exempi undei Section: B P% O 4 4 B. 8 P. C. m� tn�s reamre BY ORNER / NO EMPLOYEE� y �4 oate: �/� �/� 3 Ovmer. ie.h.t/ laa nereGy cenifylhallam aware oi anA unCerstanA Ihe repuirements otC2hlomia Healih ana Salety CoOe S¢ctions 25505,25533,an0 2553< anA i�ai I or any tuWre GuilUmg occupam vriMVAI not (arUe ane� neeE to compty wi�n sai0 state co0es an0 ��e mQuirements br a permil lor constmclian o� mpCdicatian Irom I�e Air Oualiry Manapemeni Usirici. fle5i0ential conslrutlion aDDlications are exem0� �mm Ihese Dwvisions. Date: Apo�icant: I bmeby cerliiy Iha� I have read ��js apD��aiioo antl Slate Ihal I�e a�ovP infotmalion is torreCi. I a➢ree la Com01y wil� ail cily and CDunry ortlinances antl slaie Wws rela�inq �a building consiruciion anG hereGy aNlmriie repreuntaiives of �his city �o enter upon Ihe abave-mentioned pmpetly lor inspection Our005e5. 'v/ ��y( Dale: ��f/�3 SignaWre:� ��■ "'u� Oriver's License or Social Security a: 16<La6 White—BuilCma: Green—CaOe Enlorcement: Canarv—Mdicanl; Pmk—Revenue: GOIEenroE—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO: P 06363 PERMIT NO; P 063630 PLAN CHECK NO: N GOVT: N SUPP; N CONSTRUCTION TYPE; S-N PERMIT TYPE: PLU PURPOSE: OTH JOB DESCRIPTION : ADD A BEDROOM, BATHROOM,HALL 6 2 CLOSETS S(j FT: CLAIM VALUE; CALC-VALUE: GROUP OCC: R-3 /M-1 COMMENTS: RE: B63626 PRIMARY BUILDING PERMIT. �t�t*�r�r+r**�t*rr�rr�r�t******�e**�rx��t�t�t�tx��r�e�e�t�t�t�r�r****�t**x�******�rs��r�r*�r*�r�r**�r�r*�r**�e�t�r*** Z O N I N GS ERTEB�AUCIKRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FANT: FT IN REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN PARRING REQ• PROV: PARCEL: 11733236 ZNE: REF NO: PLANNING Ni51'ES> i ' �e,r*�t�tx�r�r�r�r�r**�r�e*�r,e�r�t,r*�*�t�*�e�r�x�r**«�t+t*�e�e*�e**,r�t*�t�t*�e�t�r�t�t�t*+��t�t�**«*�t*�e*�r**�e*�tx�t�t,r D E V E L O P M E N T S E R V I C E S, R E Q U I R E M E N T S 20NING APPROVED BY DATE; BUILDING APPROVED BY : ,I DATE; ,� APPLICATION ISSUED BY: 1.�.��— . �=-'la��. DATE; 2 iEiE��iEiEiFiFM1FM1EififMMiFMifiFiEMiflf ifMKiFKlf iF1E MIf1flEifif iE3fN MiFMMififiFififiFifiElEiEiF1f41fifIFMlf�flFif%1f1F1FiF �kiFikiFlfitlkitkilikik�FlfkkkikkifkitkitklfifkiFiFikiFififitfflkkkMifkltifitifiFiF kikikikifitififilitiflfikiFikkiffElfifiliF�fiFltlfiFififif LEGALIZATION:N F E E �S U M.M A'•R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 35�St t: � SMIP/NON-RES PLAN ISSUE FEE 20,00 • � ' BUILDING-DIV-> PEAMIT ISSUE PLAN-CHECR. TOTAL PAID DUE TOTALS----> 35.00 20,00 � 0.00 ' S5,00 SS.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: �55,00 OVER/SHORT; ,00 HLDG PMT PLUHHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 55,0� .. t. 1f if k k �f M M 1f if 1f iflf �F M �t M k iF iF iE iE 1f k iF k it if if if 1kk Iflf 1f �f it M Mif 1E iF k Mif.iFlF if !F k M if if �f MM iFlf %M if %iF ikiF 1f if �t if 1lif %!E iF M if iF ik 1k if I N D I V I D U A,L � F; •E �E H� R E A K D O W N TYPE QTY D E 5 C R I P T I.O' N ' � �� I UNIT COST TOTAL COST PLU 1 SHOWER ' ,� ' 7.00 7,00 PLU 1 WASH BASIN -'�• "` 7.00 7,00 PLU 1 WATER CLOSET (TOILET.). �' 7.00 7,00 PLU 1 WATER HEATER AND/OR UENT " 7,00 7,00 PLU 1 GAS RE-PIPE �:. 7.00 7,00 END OF, FEES i r �� 02 001455b9-00145569 T C�T 55,00 / DATE� CZ/24/93 TII1E: 14:SE v CJNSTi�UCTION AND PIANNING POG SPA � APPROVALS Permit # Date Inspector ApppOVALS Permit # h Date Inspecco. 1, Temporary Electrical Service or Poie 52. Pool & Equipment Locacion 2. �Soil Pipe•Undrgmd. ,d�� /�,��%-'-' _ 53. Steel Reinforcement / ', .3:'Elettriya� Cond`uu yUtility-Undrgrnd. 54. forms �. '4� Ele$Irical Cond'uiCkk7,drgrnd. - 55. Electrical Bonding ~ �5. Steel Rei�force�ehr 56. Rough Piumbing & Pressure Tes13 �' ��c: � i ,;6.` �fyctrical UFER�f'�nd. 57. APPFOVAL TO COVER•GUf�T� ; 7. f.00tin'gs .�. 56. Electricai Conduit•Undrgrnd. • .� •: 8. Foundation F. 59. Gas Pipe, � Undrgrnd., Test i � 9. Water Pipe-Undrgrnd. �d/�� !`ia� Bp, Backwash Lines, P-Trap, � Undrgrnd. l/Tc 10. 5tructural Floor SYstem 61. APPROVAL TO OECK ' 11. Pr,pPerty Sewer Linq-& House Connection/D/�9 j �j�y� g2. gackwash & Receptor•Final > /!� -s 12. Sev3er Cap 63. Heater & Vent-Final T 13. Roof Drains 64. Plumhing SYstem � Finat 14. Flough Plumbirx� V if.�.l � i 65. Electrical-Final Z �u !� 15. Fough Electri -Conduii 66. Solar System-Final 16. Nough Etectric�iring 67. Fencing & Access Approval 77. Rough Wiring S%n 68. APPROVEO FOR PLASTERING 18. Rough Electric3FT Bar Ceiling 69. POO VSPA SYSTEMS FINAL 19. Rough Heating & Air Condi;ioning FIRE DEPT. REQUIREMENT . , . J ? l^rh+: r. > r. lTl 7.'7 20..F{ough FBttorq Fityplace i� ri Q�-s x O� tr-i x APPR01✓A'L'5��.�iFermit # ` �- �'`� �'� . .r > r-+ o�:r ... n -.:«�'-, -> � t• �' ._i'�-� s�: i t-h :z� : :-� �ro .. �> s: y • �•- 21. �uC�, in.$tr4�ture;,, � .. .. ,.{� ,x � G r-,x �. "f0. Uader9r,,e}/p�Y�ro .� 22.`Ducts, Venti�aiing��r i C✓S ' y, S ¢ W� c 1. Product�P'irVg O� e'4 ❑Dil 23.'6asW pe-Fiou h &' st ` °� '"' K * � � � 7 '� � �� .gi � i mS •: m tr' �i G� v. �Z• �ndergrounc� Fly�� r E, i 24.rAoq%Fra�ing• ,��F � !.�-. ••�+ . � �.� v 1c i �3.nlJndergmd'Smrat�Pm'ank 9Gas ❑OiY '-`-� �' i� 25. Roo`Y Sh�thin '� = *v ` '' `r p �" �` ` `� � � i1-' � „ E 9 -,;, ._ � � � ;o z . ~14•�, verhead Hydro� 26.��7�Bar;Ceiling (Structurall &�toewCoat v ir C •� +� = 75.'�Dry Chemical �"� � �+ = ^1 �= =�� -1 - e+ 27. F�ame an Flashin r y ' w r�` �''y.�, Jf �-' '� '� 1�`��- ��. �x +t� ,. tr �+ m n x: 76.�rt7ry StandR�ry H•.Dr, .> : r r,.: r rf a .ti!r, . ��8. �attiing�BjSidin9G..'y �¢,x x xa: '..>- 77.o'FIXEDSNfiTEM�1N;4Lx� •� ^�" •r� -29. Insulati8h ""' " "" '� Y� ``' �' x 78. E PR�EV. FI A � � ' �� ,4' • S ! n • F�. � � �r +t > r. - .i S'' � x . v _. . .30. �rywall �ailing „ - f x � i-� •c . �HEALTH DEPTaR�6QUtREMEN7n n �31. Plasrer B�pwn�CoaI�r _ � ,� ' x ; i 79.`-'FtNAL INSP�CTI(�V ; �' �J �'32.,fi�ectriw��Power tiA¢ier;Final j E'� � ��, .� a�. ;90. �FOOD CERTIFIQqTE IS9UE0 � O'7 33. Fin3l,Ele�t�i� ��z I � <� a i h�Jo{L5: �. � �� h,�D�:. r. � D'i rr, . .. � � !cG Y 34. Finaf Hepting`�� F�R�or�ditioni� c� r' ",x,. � - t:/ i ''� � ' Z- -r- l��lYi�f�� K 35. Fin3hGas�Pip2'Test s �� "� " � * ` 'n � '� ; ' � , . � 't .. : ': q . � . # .� ��Z..?rS+��- ',-� t 1! E . ��. 36. 'Flood or�anopy .y a .., "'�` �'(I-� °_-M� � � T�p f� �l 1 ^ ? �i �[ .!( �l�LT' 'f:-((-+(/4 ��[C�C� ! �37. Final"�FaCOry FirEpIF�M'y, � ;��T� � � -T� �. x 5 � /�� (�t/L� ;_: .. .. � } I .. .. .,,, < O. ac . - .38. Fina�Plurpbin9 .. ,tii i N . �. �� -- (39. Water, Service-Final * � i 'o ' n ! C� -,T•' '�.'z � . � y z A9. Gas Service-Final � � " ~ '- - ' ♦ T C:-: 1 �l : _ >. 47. Solar DmnesticFinai ;� Cl� � .: f C, x v ¢o i-, x -.� : . c -,n T = 1: �42.�Backflouq''Preventer: F' �.'�'�. "'� ; ,tt. � �". : � :.. .� 43. Backflow�rrigation�. � � iSs r + _ � F � �'��.' ' r : r �; x . t . . . . . � f. R f - lJ v iJ� '44. Landscape Iririgatioq Systerr�,�'ji� � �..r � ,,,,• L� �... �Y : v �t�; z� v o_-�_�:� .�45..$0 �� . � � � ,: # �� r+ trv cCG . - und Atrenuatiorn- r-.c.� -' r a .T �l T'). ' P CS F• r �j -� w i �f .. .. � .. i. 46.�Handicap.Requla[io�fs � � �'`� � �� x s y i C� S � 47. FINAL STRUCTURE & BUFtDING � * + : :0 5 • . n :r AB. FINAL PLANNING, ' F � 'r ;L • e i: ;q -� ' 49. -Elect'ric Release to Edison � �< k 2a : � ` _ . < . „ �. 50. ,Gas;Release Zn, Sout�iern Calif�o��a Gas Co ¢ '� 1 � �' � R ` � � - • � � rx:- � • c�++ G 51. CER,�TIFICATE Of. CCUP ;; .' , g rj �n x ' r- c: �.� No Date � � � PPOJECT AD�XESS: 4 Z i E 1 8 TH � T OWNEfl'S NAME: ROSA, BART nooRess: 422 E 18TH ST COSTA MESA,CA 548-0163 APCNIENGINEFfl: ADONESS: UNIT: 92627 PEG.NO.: UNIT: PEflMITTEE: MUNOZ CONSTRUCTION ( 714 ) 967-7753 FDDNESS: 9SSO WARNER AVE 250 FOUNTAIN VALLEY CA 92"708 LILENSE� CONTflACTOfl DECNNATION: I �ertny allirm tt�� I am Iiunse0 unaer provi5ions o� CIUD�er 9(wmmennnq wi�� Section 7000� al OiWsion J oi i�e BUSine55 an0 Pr0Ie55bn5 Co00. 2n0 my liunu i5 i W �o¢e an0 ¢fleCi. ciTvuc.:047435 sTaTeuc.:539495 — cus:� oate: _u �' � � Signaiure: � WOfl8EB5'COMPENSRTIONOECLAflFTION: I�ereOya��irrr�l�all�av¢at¢tlilicaiealCan mtosell-insureoracenificateolworkers' Compensalion Insurance. or a tertitietl capy inereof ISeaion 3E00. lae. C�. P9LICY N0. E%P. OATE: COMPPNY: ❑ Cerliiietl [opy is �ere0y lumishetl. ❑ Cenifie0 copy is IiteO wit� tAe city 8uiltlinp Oivision. Da�e: ADPlicant: E%EMPTION fNOM WOflNEflS' COMPENSRTION OECIAfl/iTION: Rbs sttUon neeC no� Oe mmpleted il ihe permii ¢ �a o� hunOretl (5100� or less�. I cerliiy Iha� in ��e peAOrmance ot t�e work Ior whicll tN5 pefM� �s �ssue0. I Slial{upt e\ a� rson in any manner so as lo become subjeci �o t�¢ Wa ersp' CamDensation Laws of Calilornia. �� ate: �� / � �,� SignaWre: �� NOTILE: It, aller maMinq Uiis EecWratian. you shoul0 OB�omt SUG�e[I lo t�e WOAe mp¢nsation pmvi5ion5 0l IAe LaUor fAae. you musl �orl�vnl� wmply wii� suc� proviuon5 or tN5 plrmil StWA De UeemeE revokeE. CORSTflUCTION LENOING RGENCV: I here0y aflirm ttat �Pere is a cort4mciion IenOinq a9en�y �Or Ihe peAormance af IOe xrork lo� w�ic0 inis oe�mi� is 4suM (Seciion 3W7. Gv. C�. LENOEfl: nooeess: OWNEP BUILOEfl OECUBRTION: I hereCy aflirm ihal I aM eR¢mpl trom Itk fAniractori Slaie License Law for lhe lollovnnp reason (Section 7Q71,5 Business antl Pmlessional Cotle: My city o� �unty wNcn repwru a permit to w�5truct, alter, im0��e, Demalisn, or reDair any 5tmtlure. prioi la ils issuanc0. alia repuire5 I�e dOW��nI br SuU permii IO lile a 5ipne0 5�atemenl Itut �e/She i5 licen5e4 pursuam �o Ine orovisions of ine Contractors' Slate License Lew ICtiaO�e� 9(wmmencinq with Section 7000) ol Divisian 3 of I�e Business antl Prolestions CoOe� or ihat heJs�e is exempt theretmm antl I�e Gasis lor t�e alleqe0 eKemD�ion. My violation of Section 7031.5 Dy any apPlican� for a permi� SUElec15 IM1e apDlicant Io a civil penaliy ol nol more Ihan live huntlreG Eollars (E500�. I, as owner ol ine DmDeny or my employees ��n waAes as �neir sole compensalion, vn11 Oo Ine worh, ane Ihe I❑ simcmre is noi imen4eG or olfere0 for sale (Secuon 7�<, Business an0 Pmleuional CoOe: T�e Coniractars' State Licenso Law I does nol ap01y �o an owner of a DmDeny who GuiIG5 or improves Ihereon, antl wh0 Ooes suc� xrork �imse�f/hersell or Ihmuph �is or �er own employ¢es, pmviQeO �ha� such improvemems are nat intentle0 ar ofleretl tor sate. 11, however tAe OuilAinA or improvement is 5a10 wil�in one ytar ol completion, �� '�er will �ave I�e OurOen ol provinp he/she GiA nat DuilU or imD�ove lor IAe Durpose ol 5a1e1. I, as owner ol ine Dmpeny, am exclusively camractinq wn� IicenseE mmracmrs ta cons�mct ��e D�ojeci (Section 7044, Business ❑ antl Prolessions CoAe: T�e Coniracmrs' Siate License Law Cces noi appty to an ovmer ol propefIy who OmIUs or im0�oves Iheieon anA who conVacis lor sucn o�aiects witn a[Ontraclorlsllicen3e oursuanito ine Coniractors' $tate License Law�.l am awarn IM1aI prool ol I�eir Worker'S Compen5a�i0n ui5urantC 51pNa Oe U�oviGeO to me. � I ein evempl unEer Setlion: 8. E P. C. �or I�is reason: Dale: vxner. I ao �ereUy cenily I�at I am aware of anJ unAersiana Ine reQuirements ol Cdlitomia Heatl� anA Salery fAOe Seciions 25505, 25533, ana 2553< and t�a� I or any IUWre builtling accupam wilUvnA nm �C�Ce one� neeG to campry wit� uiG state cotles anE tAe iepuirtmenis lor a permit Im wnsimctian or moOJitation imm I�e Art Ouahty ManaBement Usinct. fleSiEentul consiruction applications are exem0� ��om inese pmvisions. Daie: Apu�icam: I �¢re0y cerlily ��at I �ave reatl 1�¢ aOD��ion antl state Itul i�e aUove inlormalion is correcl. I agree Io comDly wit� all city anG caunly or0inances ana 5laietawsrelatinglo Euilaing conSVuclianan0 Pere6y aulhor¢e repreunla�ives ollhis uly�o en�er uponihe aUove-menlioneU pwpetly lo� insoectian purDuses. , n� /��-�-"c/"`%� �.� i� �a1e. Signa�ur ' � �� oriver's �icense or Socia� Secuniy xr i64i�C6 W�ile—BuiWing: Green—Cotle Enbrcemem: Ca�ary—Applicant: Pink—Revenue; GOldenro0—Asseswr CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 06506E PERMIT NO: H 065068 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: 5—N PERMIT TYPE; STR PURPOSE: OTH JOH DESCRIPTION : T/ORR G REROOF W/COMP SHINGLES SQ FT: 2,900 CLAIM VALUE; 2,900,00 CALC—VALUE: 2,900.00 GROUP OCC: R-3 /M-1 COMMENTS• SMOKE DETECTORS RE�UIRED PER 91 UBC, REROOF 23005F RESID S•GARAG �*�**rr*ai-«*�r�r�*�-�r�t�x*+r****x** �rr*�r��t+r*+r+c��r+r*+�+��r�r+r�c±�+r*�r±�+�+�**r*�c*�s*+r.�x Z O N I N GS ERTEBQAUCIKRSE M E N��qOKE QE�ECTC�R' ___ - k�ED ---=- �y-- ------------ MAIN BUILDING ---------- --------- ACCESSORY �1�QVv�u FRNT: FT IN REAR; FT IN FRNT; FT ZN REAR; FT IN LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARKING REQ; PROV: PARCEL: 11733236 ZNE: REF NO: PLANNING NOTES> _ i ,,. �! it 7E iF it iE if it iE iE ik if� iE?t,itit iE ik if iE ik ih!! it it iE it iE+r iElE iE if if if it 3E it iF �E it iF it �lE iE i! iE if it �1! +t iF iE it if if if iF iF iF it iE+f iE iE iE af !�i(� iE iE it if tE if iF it it it D E V E'L O P M E N T S E A V I C E S ft E Q U I R E M E N•'T S ZONING APPROVeIf BY DATE: BUILDING APPROUED BY : DATE: ' n •. APPLICATION IS3UED BY; DATE: ��:'?.Cj�� t+rx�r�t+r�t*�t�t�t*�r�t*�ir�**�t*�riF�3FiFiF3F3FiF�iFiF�r��r+r��r x� iFiF7F*±F�tiFiF��r�t*�tif*i�****�k��i�x'i�*."�+rx� itlf iE if iE if it iE iE i! it i! if fFjE ik ik if M M if ft iE if ik iF it M if it 1t 1f 1f !t if i! if i! �! iF it iE if if M� ff 1E if 3E df iE iE M 1E aE if iE iF 1f iE ff !t iF iF iE iE 1F �F iF 1f 1E iF if iE 1� iF fF it dF LEGALIZATION;N F E E S O M M A R Y STRUCTOAAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/AES GRADING PERMIT 54.00 .50 PLAN SMIP/NON—RES ISSUE FEE HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 59.50 0.00 0.00 54,50 54,50 .00 REVENUE DIVISION TOTALS--> COLLECTED; 54.50 OVER/SHORT: 00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 54.00 .50 1E 1t if M it %iE it iE iE iE k if iE 1E iE ik 1E iE if ik af iP if f! 1E if iE iE 1E if !f if it it iE 9! iE �F iF it 3! 3f iE if iF if iF # iP ff iF if iE iE if 1E iF aF iE iF iE IE iF if if if iF if K if iE if iF iE �f fF if if I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 2900 REROOF BY VALUE RESIDENTIAL N020NE 1,00 2,900.00 END OF FEES 01 OQ1513?:—Ot12513?3 Y�] T 54,5C1 6A�E: il!29i93 TIi4E- U3:46 1 , �~; , CONSTRUCTION AND PLRNfVING APPROVAIS Permit "'r 7. Temporery Electrical Servicz or Pole 2. Soil Pipe•Undrgrnd. 3. Electrical Conduit Utiiity•l;ndrjmd. 4. Electricai Condwt•Undrarn�. 5. Steel Reintorcement 6. Electrical UFER Grnd 7. Footings 8. Foundation 9. Water Pipe�Undrgrnd. 10. Structura� Floor System 11. Property Sewer Line & House Connection 12. Sewer Cap 13. Roof Drains 74. Rough Plumhing 15. Rough Electriral-Condu�: � 76. Rough Electric Wiri�g 17. Rough Wiring Sign 18. Rough Electri�al-T Bar Ceil�ng 19. Rough Heating & A�r Condinonmg 20. Rough Factory Fireplace 21. Ducts, in Structure 22. Ducts, Ventilgtinq 23. G'as Pipe-Rough & Test 24. Roof Framing 25: Roof Sheathing l/ 26. T•Bar Ceihn9 (Structurall & Monocoat 27. Frame and Flashing 28. Lathing & Sitling 29. Insutation 30. Drywall NaAing 31. Plaster Brown Coat 32. Elactrical Po�ver MeterF�nal 33. Final Eieciri� 34. Final Heating $� Air Condit�oning 35. Final Gas Pipe�Test 36. Hood or Canbpy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Finai 40. Gas Service-Final 41. Solar pomestic•Finai 42. Backflow Preventer �.•1 43. Backflow �rrigatio� � 44. Landscape Irriqatior �ysq;� 45. Sound AttenuationiTl �� 46. Handicap Regulatioa:i �" � 47, fINALSTFUCTUP�, �p+ILDING � 48. FINAL PLANNIN • ' ri � � i �-- 49. ElectricReleaseto�,dson' 50. Gas Release to So�arn California Gas C,� = Date •".. . . POO oPA Date I�spxYor appROVALS Permit � Date Inspector � I 52. Pool & Equipment locat�on i 53. Steel Reinforcement , 54. Forms 55. Electrical Bonding ' 56. Rough Plumbing & Pr�saure Test 57. APPROVAL TO COVEH•GUNITE � - - -1 58. Eloctrical Conduit•Undrgrnd. � 59. Gas Pipe, L7 UnJrqmd., 7e;t j 60. Backwash Linos, P Trap, f� Ur,ir-�rtl. 61. APPROVAL TO DECK I - -i 62. Back�vash & Recepior finai ' 63. Heater & Vent•Firai � 64. Piumbing Systpm � Final � 65. Ele�Vicul•Final � 66. Solar System-F�na1 1, 67. Fencing & Access Appruval 68. APPROVED FOR PLASTERING ' 69. POOVSPASYSTEMSFINAL I FIRE DEPT. RE�UIREMENT T� APPROVALS Permit -m � 70. Underground Hydro 71. ProductP�PingOGas GOiI . -? 72. Unde�ground Flush 73. Undergrod. Storagc Tank [7 Gas ❑ 0�1 o-q3 �ie��l �4• Overhead Hydro _ __ 75. Dry Chemical ' 76. Dry Standpipe � 77. FIXED SYS7EM FINAL i 78. FIRE PREV. FINAL ' -- -� HEALTH DEPT. RE�UIRENIENT � 79. FINAL INSPECTION I }-- 1 80. FOOD CERTIFICATE ISSUED I _ __ ' �_ _ _, Notes: 4 ADV��ant l0 �ill In all iDaees witnin heavy bortler lines ana sign aii appropriate tleclarations. ' CITY OF COSTA MESA PF$ryi=T fjQO� TRACT NO. L T NO� BLDG. NO. / "� 3799 3/26/82 288.54 TL! CONSTRUCTION PERMIT �J- �� --- .. . - -- - -• Project Address �}2'j_ ' ! 9�(y TVPE OF CdONSTRUCTION ' . Owner � � �y��.y PhonC � ❑ NEW YSADD 6i.ALTERATION � - ' - ' � � ,Address '(:.Z��;� �$ ' - - _- �.REPAIR ❑�CONVERSION ❑DEMOLISH _ _ � � ' Arch/Eng. ��x f license No. �„ 1�(� � O7HER � � 20NING REGULATIONS OESCRIPTIONOFWORK Z J�'� TI A'P.� _ ' Address� �••.L'•,S'. ' �`Lj'� �awt.._ . ��(��y1�0.� " - ZONE' PLNG.REF.-�� ' �.u' .o¢.� , Contrattor OW,..�� ' '• ' Phone ' ' TVPEOFPERMIT • _. _ '.. � _ . _ TpgU ILDING t�,. � 'SETBAC 5T. PROPERTV LINE � . -; Addf255` ' ' ' ' ' - � �O GRADING �_ ❑ FOVNDATION�• �STRUC� URAL ' ID VqRD � - _. _ __ lLICENSED CONTRACTOR DECLARATION •' E l hereby aTiirm th:t I am IlcenSeC'untler proy�slons ot Charter 9(com- ❑ TENAN7�,�. ELECTRICAL �PLUMBING ❑MECHANIC . j�y�IGHT � �� - � �� •mencing wlth sectlon 7000) ot �ivlsion 9 ot-ihe Businasz antl � D.OTHER " � REAR�VARD(TOP/L) �Profossions Cotle,iantl my Iicense Is In full force antl effect, pRO�ECTDESC�IPTION _ . � � 'UtenS¢ Class � � � �� LkenSe No.- . � � � ' ' PKG.-SPACE REQ. PROVID D Date � � � ' �Stgnature � - - 5�: FT. ' �y� � __ _ 4WORKERS' GOMPENSATION-0ECLARAT14N '� �� OCCUPANCV�rC N RUCTION TVPE . _ . STREET WIDTH 'PARK FEE S- 1 hereby affirm th5t I have a tertififate of Consent l0 SeILinSure or a VALUATlON Z�-6�� ZONE a� - 'ZONING APPROVE - -- • DAS �^l ,CC/tlticate OP Worker5"Comp<nsatlon InSurdnce, or a C¢rtHletl copy . - _. ..� __ . _ . - _ / �thereof (Section 3800, Lab. C.). � GRADINGCV:.VOS. ACRES ,SPECIAL GONDITI "" ^- ,.��cY No. _ _ _ ' ' 'GomDanY "' ' '_' ' _' ' '. ' - � . _�' -.. _. . . _ . _ ... _ _' :tertifieticopyi5'herebyfurnishetl.__. ,. . REMARKS '�� I' .� ^ 1 _ i�Certifietl coPY is;fllatl with the tltY B Wltling DiviSian. _ � ._ - - ' " - ' - ' - ' —' ' ' "- ' ' ' ' " . a iEXEMPTION FROM WORKERS',COMPENSqT10N DECL'ARATION -- ' ' - - � - � �This section.neetl;not be completetl if lhe permit is for one huntlretl EI00) or lessl. ' ' . '' ' . •. __'_ ' ' ",� l' ' " ' ' �' . '_ " " _: . ' _ � f cerb(y that in the_peNormance ot the work for which t�is permit is �I55Uetl, � ihail not emPloy any person In dny'mynne� So a5 to b¢<ome PLUMBING '-( ` PLAN'CHECK '• - ', ELECTRICAL - -�— � PLAN GHECK� - - - - subjett.to[he.Worker5_Compen5atio0,Ldwsof�y��fornia.� � � '-'� " , ., � �Date �' � Si9nature � - BATFITUBS-'---' " "SHOWERS ' - - Ii0 . ' - ' - - ^ � jNOTICE: If after making this tletlaration, yau zhoultl become subject TOILETS�p. ,� � URINALS - -- - 00 �GENERATOR - 0-1'KW_1-10 KW-- � �- -- - [o the Workers' Compensation provisions of the tabor Cotle, you must ! TRANSFORMER � y. a � _ �fo�hwit� comply Orovislons or Ihis permit shall ba tleemetl �VATORIES DOUBLE LAVS -� � �O APPL-IANCE 30-SO.KW_50 � KW - _ - _ � .CONSTRUCTION LENDING AGENC"lr ' -KIT: SINKS - 'DISHWHSHER$ --' � - ♦MOTORS - - �0-1 HP-_140 HP - -` � I hareby aftlrm [hat there Is a conitruction ICntling agenty for the Oer SERVICE SINKS r, i�„ SUMPS - �- -- -- - -'.UNC.,SOLAR) 10-50 HP_50 *_HP"�j � _ � �tO�Tance of Ih0 work for whith this perMp IS Issu¢tl �Section 309] - ��C�� - �� y - � � -" �-' -- � - FLOORSINKS"--""FLOORDRAINS -- ' .FIXTURES�---OUTLETS- -SWITCHES-��. _ . Lontler.'S Name ' , Lentler's AtltlresS � � � DRINKING FOUNTAINS �j' " •-" -' - ��GASTUBE SIGNS - - -- . .. . . .._ - _ ' _ � , �OWNERBUIL'DERDECLARATION'- --- - INTERCEPTORS �� CLARIFIERS "� �'j �POLELIGHTS- - � � I hereby attirm that I am exempt from tho Contractor's �icen5o law tor - � � i �tha�followin9-reason (SacNon 7031.5�Business entl ProfessionsCotle: SWIMMINGPOOL � PTRAP---•- -- ----� � - " --_ Any tlty or county which requlres a perml[ to consVuct, alter, .POlES � METERED ' SUB 'improve, tlemoliih orrepair any structuro, pr�or to-its issuance, also re-� WATER'SERVICE- ' ALTERAT�ON O0 F.4MELS �MAIN - -�SUB - " ' qulres tne ap411wnt tor suth permR to l(ie a si9netl statemenl tha[ be � lls Iicensetl Oursuantto'tbe provislons ot'the Contractor's lJcense Law� GAS SERVICE � - OUTLETS ' ' � SERVICE - -� - - AMP _. . l(Chapter 9(tommencing with Sectlon 7000) of Division 3 oi the �Buslne55'antl Professions Code� or Ihat he Is exempt therefrom antl Ne �yyqTER HEATERS-' BTU'OUTPUT- � - � - � , � - � - -- � - - -- -- - _ ..."x.;�is lor the allo9od axemption. qny vlolaUOn of Section 7031.5 by �� ` ' . � �;,,applitant for a permit subjectz the applicant to a tivil penalty- SEWER CONNECTIONS �" -' -'-' ' - ' - � ^ - - � � - � - � :lot,more than Iive huntlretl tlollars �5500), �' _ , iu 1, ai ownei o( the property, or�my e'mplbyees with wa9et as their' SOCAR TANK' " COCIECTORS � �- ^�- - - � _ - 'solo.tompensatlon, will Co lhe work, antl the structure is not in[entletl ' or offeretl for wle. (Sectlon 7044, Buziness antl Profossions Cotle: Tbe � SOLAR PIPING SVS.� � '- � �SSUE-FEE - -- -- �-� �Contraclor's IJconsa Law Coes.noi apply,to an_owner o( a property_ , �I _ � OO�; �who bulltls or Improws tnereon, antl who tloes such work hlmself or ISSUE FEE �• APOLICATION A�PROVED BY �.DAT LG lhrOuqh.his.own.employ¢e5, provitlltl Ihdl Such ImproveTents are not , 'intentletl or ofleretl for tale. Ii, however, tne builtling or Improvement� MECHANICAL PL'AN CHECK � � � SUMMARV OF FEES '�. �I5 SOltl.wi[hln one yGJ� of COmpletion, lhe oWne� will hav¢ Ihe bu�tlen - �I �Ing he tlitl not bWltl or Improve lor tha Ourposo oi sale). -� � - BUILDING '(�j _ � as owner of� tho property, am uxclusively -contractin with. HEATING SYSTEM 0-300,000 BTU PERMIT S� � SMIP ,S� � "'�'• . 9 AND OUCTWG - - - - -- � _ i ilicensetl contractor5 lo conitruct lhe proioct (5¢ttwn 7044, Business 100,000�+BTV . PLAN CHECK S Z PERMIT �. � . �antl'Professions CotlC: TM1e Conlractor's LlCens¢.Law,tlOeinOtapplyto , . . ___ ISSUANCE 5' 'an owner ot prOperty who builtl5 Or improves tnereon, antl who ton-. -REFRIGERAT.IO�V; 0-100,000 BTU PWMBING f . tract5•(ram such pro�ects with-a contractor(s) IltesnaE pursuant to _�SVSTEM ' ' ' .. __ _ _ GRADING b the ConVactor's license l.av+). : `� . � �� ' • _ , 100,000 t BTU �� PLANYHECK S � , , - - �� 1 am exem0� unCer Sectlon B. & P.' . for t,'S , BOILERS BTV � I ELECTRICA� g' E- ,reawn- � - - ' PLANCHECK 'MICROFItivt 9 SVSTEM REPAIR,ALTERATION S = ' - �Dato• 7��-� Yl O ' E : DO TOTAL FEE b.-� � - �-MECHANiCAL - .__ 1 hereby ceriify thal I have reatl this applicatl n antl state tl t tne above EXHAUST SVSTEM MULTIPLE �� ' , • LESS'AD- ' , 1 'information is correct. I agree to comply With all city antl county P�FNCHECK 5 VANCEPC $_ --- o�Einance5 antl sta law elaling to Conztru ion, an �Creby dulhoriie �. � , � , �representatives lhi it � to�nte n th ove mentionetl' � property lor ec ' p p , , Signature �e .j �K ��i p . � FINAL FEE S Drlvers' License or 55 qi � � ISSUE FEE • . (J 00 . . _ . �8�� CMF 0865-46 White-Builtling; Canary-Appliwnt; Pink-Accounting: GolaenroE-Asussor � � CONSTRUCTION,AND PLANNING - -�- ' T� i� � ��POOL & SPA"� . - APPROVALS Permit # Date Inspector qppROVALS , Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location � � ��' ' Soil ipe-Undrgm 44. Steel Reinforcement � ' ' 3. � Electrical Conduit Utility-Undrgm. • . . • �, • , � - - i ' 45. Forms " � ' � - 4. Electrical Conduit-Undrgr� . . _ �' ' � ' 46:--� ElectricaPBondin�� - ' ' " - " ' .. tee ein orce 47. Rough Plumbin & Pressure Test � � 6. Electri�ai UFER Grn .- _ '' 48. APPROVAL TO COVER-GUNITE � 7. ootings - 49. Electrical Conduit-Undr rn 8. � Foundation • •- - � 50. Gas Pipe, ❑ Undr m, Test � -� 9. Water�pipe-Undrgm 51. Backwash �ines P-Tre ❑ ndr r � 10. Structural Floor SYstem '52. APPROVALTO DECK - 11�. -Property Sewer Line•& House..Connection ' 53. ��Backwash & Rece for-Final 12. Street $ewer Connection - � 54. Heater & Vent-Final 13. Rough plumbing � ' ' ' 14. Rough ElectricConduit - �56. Electrical-Final � 15. Rou h Electric-Wiring � 57. Solar System-Final . 16. Rough Heating & Air Conditioning � • encing-& Access ApProval � � 17. Ducts in Structure APPROVED FOR PLASTERING 18. ' Ducts, Ventilating - ^-- - � - � � � . 19. Gas Pipe-Rough & Test - 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing - � -• ' 21. Roof $heathin - � - � - � - � 22. Frameand Flashin NOTES: 23. Insulatiorc � � � - � 24. Wthing & 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 Szrvice-Final � � � ' ' 34. ' Solar pomestic-Finai ' 35'' landsca e S rinklin S stem " � ' 36. Sounci Attenuation + t -- � ' 37. Handicap Regulations ' ' � ' 0' %D � � 38. FINAL STRUCTURE & BUI�.LDING �- ' --- � !J 39. Special Requirements CompFeted � � � 40. Electric Release to Edison " � � � 41 . Gas Release to Southern California Gas Co. ' � � -42. CERTIFICATE OF OCCUPANCY No Date . .