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Home My WebLink About452 18TH ST - Building Permits�ii+�.:i+vuv - �....�,.��.�. .___ ..._____""__...___.__. Job nddress: 452 E 18TH ST Suite No Viciniry: - Parcel Number: 11733230 npp�icant STEVE SCHNERER' Address: 12922 HARBOR BL SUIYE 687 GARDEN GROVE, CA Owner: ATKINSON, DENNIS P Address: HALLOCK, MARIAN M C05TA MESA CA 117 FLOWER ST Contractor: EMPIRE PLUMBING Address: 12922 HARBOR BL SUI7E 687 GARDEN GROVE, CA MECHANICAL PERMIT Phone: 714-530-7320 Zip: 92840 Phone: Zip: 92627 Phone: 714-530-7320 Zip: 92840 License: 794154 Status: ISSUED Applied: 02IO6I2004 Issued: 02/O6I2004 ISSUED BY: SCOPE OF PERMIT NEW FAU < 100 K BTU INE THE ATTIC . UNIT SHALL COMPLY WITH UMC SEC 306.4 AND 307.3 - ' . . _ � � ISSUE FEE Inst FAU <100 k BTU Inst FAU >700 k BTU Repair / Alt Cooling/Heat Inst / Rep. Recess Wall H[r Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Factory Fireplace Hood wlMech Exhausl VAV Box Vent Fan I Single Duct Appliance Fire Dampers Smoke Dampers Inst or Relocate Appl Vent Air Handlers < 10000cfm Air Handlers > 10000cfm Floor Fumace Floor or Suspend Heater 523.50 $74.80 $0.00 $0.00 $0.00 50.00 50.00 56.15 $0.00 $0.00 50.00 $0.00 $0.00 $0.00 $0.00 $0.00 50.00 $0.00 $0.00 so.00 �uantiry FEE SUMMARY Repair I Alt Abso�bUon Unit Repair / Alt Refrige2tion Unit Venfillalion System EvaporaWe Cooler Commercial I ncinerator Domestic Incineretor Compressors I Absorntion Svstems Up 10.3 hp / 100 k BTU 3To15hp/500kBTU 75 To 30 hp /-1,000 k BTU 30 To 50 hp / 1,750 k BTU Over 50 hp / Over 1,750 BTU Boilers Up to 3 hp 3To15hp 15 to 30 hp 30 to 50 hp Over 50 hp Other Mechanical Fee Invesfigation Fee Plan Check Fee Reinspection.Fee � TOTAL CALCUTATED FEES NOTICE: The work authorizBd by ihis permit shall comply with all applicable handicap access requirements under Ca regulations. (Ord. No. 92-28, § 1. 12•21-92) EXPIRATION: This permlt shall automatically expire and become void if work is not commenced wlthin 180 days, or If work for a period of 180 days. Quantiry 50.00 0 so.00 0 30.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 ao.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 E44.45 n and related orebandoned INSPECTIONS: In order lor Ihe work authorized under this permit to be considered Iegei, such work must comply wltliall epplicabie codes, and all requlred Inepeetione and fina� epproval must be obtained. Fallure to obtain inspections and final approval will result in )(e ezplration of this pertnit. FOR INSPECTIONS CALL: (714) 754-5828 j 2ee8-e816Uo1 WORKERS'COMPENSAnON DECLARATON: I hereby aflirtn under penalty oi perjury ane ot the following tleclarations: ❑ I have and wlll maintein a certifxate ol conseni to self-Insure lor workers' compensatlon, es provltled for by section 3700 oi the Lebor Cotle, for the performance ot t�e work tor which Ihis permit is i55ued. I have entl will melntain workers' compensaUon inwrance, as required by section 3700 oi ihe Lebor Cotle, lor Ne peAormance ol Ihe work fw which thLs pertnit is issuetl. y wRrkero' compen�qtion Insuren wrrier antl pollty mber ere: l��a_rer�dor� 1��0.:�-�or�� PolicyNum :OIIG�-��27��0 his secHon need not De canp/efed!! fhe permit is ve/uetl ef one hundred dollars (5100) or Iess.J ❑ I certily that in the peAormance ol lha work tor whlch t�is permit is issued, I shell not employ eny person in eny manner so es to become suE�ect to Ihe workera' compen5etion lews alifomia, an0 re nat tl I shoultl became suD�ect to the workers' crompensation provislons oi SecNon 3700 ot Ihe Lebor Cade, I 5hail lorthwlth compl o is' � Z 1�/O / Ap etu : _ _ Date: � � WA NG: FAIW RE T SECURE WOiy RS' COMPENSATION COVERAGE IS UMAWFUL M!D SHALL SUBJECT AN EMPLOYER 70 CflIMINPI PEWILTIES AND CML FlNES UP TOONE MUNDRED TH SAN�DOLLAR (E100,000),INAbDRIONTOTMECOSTOFCOMPENSATIIXJ,DMIAGESFSPROVI�EDFORINSECTION3/080FTHELABORW�E,INTEREST,ANDATTORNEVSFEES. DECLARATON: ny! em uc. a ot Chepter 9(cammendnp with Sectlon 7000) ot Dlvisiqa�Sol the Code, end my license is in full CONSTRUCTION LENDINC AGENCV: ❑ I hereby eHirtn thet Ihere is e conslruIXlon lentlinp epency for the pertortnence ol the work tor which INs pertnit is issued. (Sec. 3097, Civil Cotla). Lentlefs Name: Lantlers AtlAruss: Slgnature: OWNER-BUILDER DECLARATIONS: Date: I hereby aNirm ihat unEer penalry ol perjury thet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW lor the followinp reason (Sec. 7031.5, 8uslness end Professions Cotle: Any ciry or counry w�ic� requires e pertnit ro construa, elter, improve, tlemolis�, or repair any sWcture, pnor to its iuuance, also reduires Ihe applicant lor 5uch pertnit to tile a signeG statement that �e or she Is Ilcensed pursuant ro the provisians at the Cantrecrors License Law (Chapter B(commendng with Section 7000) of Divislon 3 of the Busineu entl Professions Cotle) or that �e or s�e is exemD� Iheretrom arM Ihe basis tor the alleged anemption. Any viWation ot Seclion 7031.5 by any applicant tor e pertnit suDJects the apDlicant to a civil penelry of not more than tNe hundred dollars (5500).): ❑ I, es owner ot the properry, or my employees with wagas es thelr sole wmpensatlon, WILL DO THE WORK, and Ihe siructure Is not Intended or oMeretl for sale (Sec. 7044, Business and Protessions Code: The Contractors llcense Law does no� apply to en owner ot properry who bullds or improves therean, and who tloes suc� work himself or herself or Ihrough his or her own employees, provided that such Improvements are not Intended or ofterad tor sele. If, �owever, the builtling or Imprrnement is sold wit�in one year of wmpletion, the owner-builder will have ihe burden ol proving that he ar she did not build or imprwe tor puryose of sele.). ' ❑ I, as owner ol the propetly, em EXCLUSIVELY CONTRACTNG WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business end Professions Code: The contrectors License Lew does not eppty to en owner ol properry who builds or Improves theraon, end who comrects tor such projed with e coniredoqs) Iicense pursuant to the Conirectors License Laws.�. ❑ I em exempt under 5ac. BuSiness end Protessions Cade far this reeson: Slgna�ure: Dale: Owner ID venfied by drivafs license. ❑ Ves ❑ No DriveYs lJcense No. E:plres: Verificatlon ot Ownership by (type at tlocument, i.e. - property tex �ill or tleetl): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATON: ❑ I heraby certity ihat no excavatlon live (5) or more leet In Oepth Into which e person is required lo descend, will be mede in connection vrit� work euthorized by thls permiL antl that no building siructure, scattoltling, lalsework, or demolitlon or dismentling ihereof, will be more than thlrty-six (36) feet �igh. (C�ep. 3.2, Grp 2, An 2, Sec. 341, Tlile 8, Cellfomla AOmInlslra0ve Cotle). ❑ As owner-Dulltler, 1 will not employ enyone to do work whlch would requlre e permlt from the Divislon of Intlusiriel Sefety, as noted ebove, unless such perwn hes e pertnit ta do such wark trom the dlNslon. Signature: Date: Division ol Industnol Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUfHORQATON OF EMRY: I certiy untler penalry of perjury thet I have read this epplication and state that t�e Informatlon gHen is I wrrect I agree to comply with all stete laws ena ciry ordinences relating to bulltling consiruction, end euthodze representetives of ihe qry ol Coste Meu to enter upon the ebove-descnhed properry tor inspectlon puryoses. I egree not to occupy or allow occuDency ol eny building euthonze0 by Ihis pertnit until final inspeciion. 1616 1286 200 201 202 203 INSPECTONTYVE "' Fixetl System Final Fire Preventlon Pod Spe Finel Finel Re-Rool Flnel Block/Reteining Well Flnel Fectory Fire Place Finel Slpn 204 Final Demdilion PAg It�LS �O CODE 1 INSiECTION TYFE 208 Finel MechaniCel 20B Final Plumbinq 210 Finel Elecincal 212 Final Fire Preventlan 220 Finel Planning Approvel 222 Finel Site 250 Finel Bulltling/Occupency � �pPA��L It�dLa �� (71a) �5a-5273 • Fax (��4) 75a-ae58 • www.ci.wsta-mesa.ca.us 77 hAIH UMIVt, GVS I P MCSA, GA `JLOZO Job Addresg: Suite No Vicinity: Parcel Nunmber; 452 E 18TH ST 11733230 Applicant: STEVE SCHNERER Address: 12922 HARBOR BL SUITE 687 GARDEN GROVE, CA Owner: ATKINSON, DENNIS P Address HALLOCK, MARIAN M COSTA MESA CA 117 FLOWER ST Contrector: EMPIRE PLUMBING Address: 12922 HARBOR BL ISSUE FEE Temp service tesl Res. a/c package New Res (1-2 units) New Res (3+units) Pool / Spa LighOng Fixts Recept OutleLs Swilches Non Res Appl � Res Appl Service to 200a � Service to 1000a Service over 1000a MOtorS to thp Motors to 10hp Motors l0 50hp Motors to 100hp Motors over 100hp Communication drops Sub panel to 200a SUITE 687 GARDEN GROVE, CA ELECTRICAL PERMIT Phone: 714-530•7320 Zip: 92840 Phone: Zip: 92627 Phone: 714-530.7320 Zip: 92840 License: 794154 �• ISSUED BY: SCOPE OF PERMIT , NEW FAU < 100 K BTU INE THE ATTIC . UNIT SHALL COMPLY WITH UMC SEC 306.4 AND 307.3. 1 LIGHT. 1 OUTLET 1 SWITCH. 523.50 50.00 50.00 50.00 50.00 50.00 51.10 51.10 51.10 $0.00 50.00 50.00 50.00 50.00 50.00 so.00 50.00 50.00 50.00 50.00 50.00 Quantiry 0 0 0 1. .' 1 0 0 0 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist Syslem / Lighting Busway /100 ft Standing Section _ Misc ElecVical Equipment � � T2nsfortners up to 1 kvalkw ................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. Condudor Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand � � , Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Status: ISSUED Applied: 02/O6/2004 Issued: OZ/O6I2004 Quantity $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 ao.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 $D.00 D So.00 0 $0.00 0 $0.00 50.00 $0.00 NOTICE: The work aNhorized by this permit shall comply with all applicable handicap access requiremenis und Caiifomia statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This pertnit shall automatically expire and become void Ii work is not commenced withln 180 days, r it work is suspended or abandoned tor a pedod of 7 HO tlays. INSPECTIONS: In order for the vrork authorized under this permlt to be consideretl tegal, such work mus comply wlih ell appllcable codes, end all requlred Inepaetiona end flnel approvel must be abtained. Failure to obtain Inspections and final approval 'll result in tha expiration ol this permit. FOR INSPECTIONS CALL: (714) 7545626 2M&IB (8�00) � WORKERS'COMPENSAnON DECLARAnON: I hereby eflirtn under penalry oF perjury one at t�e following dedaratians: ❑ I h e anC wpl maintein e certificate of consent ro self-Insure br workers' compensetion, es proWdetl tor by section 3700 0l Ihe Lebor Cotle, for the pertortnance ai Ihe ork for which Ihis permlt i5lssuetl. e entl will maintein workers' compensetlon insurance, es required by sectlan 3700 af the Lebor Code, tor Ihe perfortnance of the work for which Ihls pertnit Is Issued. M orkers' wmpensatlon Insuran certler entl polity number ere: c �: �Ltarpr.cinr� IJw��ov�al -aoi Number: _�IICIZ-(�Z7-?_� Ns secGon nesd nof be complefetl il fhe Oermif 75 veluod e! one hundred tlWlars ($100) or less.) ❑ I certity thet in the pertortnence of the work for whlch this pertnit is issuotl, I s�ell not employ any peraon in eny menner so as to bewme sublect to Iha workers' compen5etion lewa af Calitomia, a�tl � Ihat If I ahoutd becwne subject to Ihe workers' compensatlon provisions ot Section 3700 oi Ihe Lebor Code, I shell torthwith �jD9te: ZI�j� � SECURE W KERS' COMPENSATION COVERAGE IS UNLAWFUL M!D SHALL SUBJECFGd-EMPCOYER 10 CRIMINAL PENALTIES AND CIVIL FlNES UP TOONE HUNDRED (5100,000), IN ADDRION TO THE WST OF COMPENSATION, DAMAGESlS PROVIDED FOH IN SECTION 37060F TME LABOR CODE, IMEREST, AND ATTORNEVS FEES. LICENSED CONTRACTORS DECLAFiA710N: I horeb�N4�lhe7.�em Iltensetl under provi5lo LENDING AGENCV: ` ' Chapter e(commenUnp wilh Sectlon 7000) ol DI ion e Business entl Prot �uions Cade, and my license is In full Date: ❑ I hereby aXirtn t�a� t�ere Is a constructlon lendinp egency for Ihe pedormence ot ihe work for which (his permi� is issued. (Sec. 3097, Civil Cotle). Lentlels Name: Lentlefs Address: Signeture: _ OWNER-BUILDER DECLARA710NS: Date: I hereby etlirm thet untler penalry ot perjury ihet I em El(EMP7 FROM TME CONTRACTORS LICENSE LAW lor the following reeson (Sec. 7031.5, Business antl Professlons Cotle: Any ciry or county whic� reQuires a permit to construct, elter, impmve, demolish, or repair eny stmcture, prior to Its Issuance, elso requires the epplicant tor such permlt to tlle a signed statement Ihe1 ha or she fs licensed pursuent to the provisions o1 the Coniractors License Lew (Chapter 9(cammencing with Sectlon 7000) ol Division 3 oi the Business antl Professions Cotle) or Ihat he or sha Is exempt Iheretrom end the bazis tor the alleped exemptlon. Any violatlon of Section 7031.5 by eny epplicant for a pertnit sublects Ihe applicant to e ciNl penelry of not more Ihan live hundred ddlers ($500).): ❑ I, es owner ot Ihe property, or my amployees with wages as their sole compensation. WILL UO THE WORK, end Ihe strucNra Is not intentletl or oNeretl tor sale (Sec. 7044, Business and Protessions Code: The Coniractws License Lew tices not appty to en owner ot properry who builds or Improves ihereon, flnd who tloes such work �Imselt or herself or through �is or her ov,•n employees, provitletl �hat such imprwements are not intended or oHered far sele. If, however, Ihe building or improvement is sWtl wi�hin one year ot completioq the ownervbuiltler will hava the burden of proving that he ar she did not build or improve br purpose oi sale.). ' ❑ I, as owner of the property. am E%CLUSIVELY CONTRAC7ING WITH LICENSED CONTRACTORS to constmct ihe projea (Sec. 7044, Business end Pmteuions Cotle: The cantractors License Law tloes nat epply ro an owner oi pmperty who builds or Improves thereon, and who comrects lor such pmject with a wNracior(s) license pursuant to the Contractors Licensa Lews.). ❑ I am exempt untler sec. Signeture: Owner ID verified by drivefs Iicense. ❑ Yes ❑ No Bu5ine55 Bn0 Profe55ion5 Code tor Ihi9 rbeson: Vedflcatian of Ownership by (rype of dacumem, i.e. - praperty tex bill ar tleetl): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Drivers License No. Dete: Expires: ❑ I hereby certity t�et no excavetlon flve (5) or more feet in depth into which e person Is requlred to tlescend, will be metle In connectlon with work euthodzed by this permit, antl that no Duiltling structure, scalloltlinp, falsework, or tlemolllion or dismantlinp thereof, wlll be more than thirty-six (38) leet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celltomia Atlminisiretive Cotle). ❑ As owner-6ullder, I will not employ enyone lo do work which wwld requlre e pertnit from the DlNslon ol Industnal Safety, es noteA aDove, unless such person has e permit to tlo such work Irom Ihe division. Slgneture: Date: Division at Industrial Selery Pertnit Number: CER7IFlCATE OF COMPLIANCE AN� AUTMORVJITION OF EMAV: I Certiy untler penalry ot perjury thet I have reed this apD��ion and stata t�at the Infortnatlon given Is correct. I agree to comply with eli state laws end dry ordinances relaGng lo builtli� consWction, entl authodze representatives ol the Ciry ot Coste Mesa to enter upon the ebove-descnbetl property lar InspecUon purposes. I agree not Io omupy or ellow acupancy ol eny building euthorized by Ihis pertnll until fnel inspactian. COpE �. INSPECTIONTYPE � Qe¢. I�L$ 1618 Fixed System Flnal Fire Prevention 1288 %i�i�l Pool Spa Final Final RaRoof 201 Final BIocWReleining Wall 202 Final Fectory Fire Place 203 Flnel Sign 204 Finel Demolltlon CODE� INSYECTIONT'PE 208 Finel Mechenicel 20B Final Plumbing 270 Final Elecirlwl 212 Flnel Fire Preventlon 220 Flnal Planning Approval 222 250 Final Site Final Bulltling/Occupency � �� F_TiJ �1;�•� ° ' _.� - - --- _ ._._. _�� __ .... _ _. , ._. ..... _ n._-__ �.= �_._. _ -...� . - . _ .�_ �_'. '- „'�. - -'-�-- ' --- _ ,� - .' �..._�.: -.,..-'_.'_ _ ..e.s .--- - .. .-- � . ' Y� � �.�:...:, �,i ''�mnm�orwuw�" 452 E 18TH SS�r. '-- innr CITY OF� C05TA ME5A - HUILDING PERMIT� _ DD.., , qem�wresoowKCASSUTO HARGARET';T . .. PERM NOc E 08671 � y.`" �� 12 BLUF� VIfiW ,.:' ' ' 'uI�tVINE CA .. , 92612 _' . PfiP.MIT NO�..E 086716:. PLAN.G�IE:CK-NO�_ . _ N_ GOVTi N SUPP� N � `.='. ----8y4=9035 ._ _ _ s; '� - - � _ -- _. _ ; �.��. _ . .. : _ ; � � -:_ -_-_--' : .CONSSRUCTION:TYPEi-.-.S-N., .. ��- = PEAMIT:-TYPEt�ELE- " - - PURPOSEi OTH' . `��+ _ _ , uain:, �..--. �� , JOB DfiSCRIPTION t REFAIR �6LECTRICAL FEED 70 � GARAGE � SQ FT r. � - , _ . _ _. . wrxaien,�ood� -..: -� . - . - . • __ . am� _ _ _ . ,r . .,. _ . ., _ _ _ ' _ - _ �--- - ' ' . . .�. .- _ � � - CI:AIM,VALUE� , CALC-VALUE�. � f GROUP OCCi R-3 / -' `. a�ue,,;nu;,e Y,ARL.' S ELEC?RICAL SERVICE ( 714 ) 5-30-7023 -� '� ` ' - � ' S cu�mwaoeswwo _9661 HLAKE:AV • , , ;�Ot�E►*�*�iw*�r��*��****��*ww�w**w�*�+S►�*a��k��ex+r+E�wt*+�at�*+i�*Kit��+t*i�+F*�cac**kwit � , �.GARDEN -GROV6 CA .u�Mm `694289. 4;; 92844 aa . . Z O N'. I. N G' R E Q U I R_ E M. E N, T S : ' � `,tieei+meoNriueicnsoeouiurio�ii�..ur.e��.d'.v.�+i'd i�*.rwir.�a..a�.b.�:aasi.• , � _ - ' ` - - - - - S E�"T B A.,C-.K�S. . � : (�yyip�,Nbdbi100D1d01MibnOdbBuYr�dVrt�wbr �duY1�r�YY�M/ba�N�litl. . . . ' =arrue.na: ��:C10 ��:694289 XP� ;-=---------- MAIN BUTLDTNG ---------^ --------= ACCE ORY BUTLDING --------- ; o,.. 1 Z3 .?�-. --... ��a� ,� n� `�. �!. o �T� F'T IN REAHi' FT ITd FIiN?� FT IN� RF:AR� FT IN '�}, ,- '�-� , ____ __ _. _„"_ " LEFT� FT IN.RGH1'� FT, IN LEFT'�_, FT � IN AGH7i ' F7 IN' '�.'�iw�ien w�ncn ota�n�nvc i �..er � w: o�wr d -� m.e n�. eem.m. ua.+: �.. w e. "� � . . . . . . ,,�'a+o�..��e��,a&++��•� ^a+r•�^+b�+•;� ;pF1RItZNG. REQt PROV,r PARCELe 1�1733230 ZNEt . AEF NOs � +�w1Y�.uli�/Mtl�n." bbMirie.io v�ms• �arirv.ir� . . _ . .. , ,�r:. �,,..e P,.�� e, n. �i;�: a e. c�m. ue... a� .a e a�"°�om� a or� a a a., '"PIi'ANN ING PIUTES? . �� i `BuYr��dRd�brCaalatlyllrarrr Aiab�4Pdew�ipbilYMMoYlla�a8dn ' > ' . . ' � �. . : i miaM:m�+p?•o�wbFmnr ab�m.e�.�m.i..�a.am..pemp:' � ��1f1kMiFMitk7liflF%MMNMfFfFMkfFii�MitMiFM*NiElt,itffMMl►KMwi1MMM/fi�iiNitkMM�.afiEit�F�tiE�FMMilN*IiNfflF�fMwu��itK�NM4M �` � D E- V� E L O P� M' E=N ? S E'R� V I� C� E. S: •R E Q U. I R� E M, E N T' S� ' 0..4�e��idIMP�YumN� rAol��ah:�iACr�eumnYntiY�wNd, , 1' . ,� um..ea.ree«a6nn...awiw. - cu4.m.uuiwlsee..msvMn.�a.n.ap�y e i .. . j ,� ' -�huMJd�'>inqo.w�hwa4�ndMro wd� alrr�aha�hYvArm�inpb/�r:pMd�lllr�chj t j . � . ' . . - ' .. . . • � - i �"^°'e"°'"'°n."° ' .'"'°�a°""°"e."'°'°"'""°"'^'-'�"'"°"' :ZONING APPROVED BY t . DATEt . , awrrAil��IrwIM4e7�d bIMMilvYepe�wbtl`R�D�dW4 � � r . . � . . . . Ye e,w �1 j'011.�owi'rdtlrPevrM.ind�M'M' " �iNb�doaetliiibeoie�dtli�Pqb18p6nAM.6iYir�'rd � x _ _ _ _ _ " _ . - vb�.caecmcom.meue.w�..e��e.op�n.�e.�.d�.nr�nowd.arna..uw.�.�er�e � 'HOILDINGr.AP,YROVED,_BY i . DATEt: - +- , � . . aenr.m b.w� pdm dn. mm.ml.l �,...a w..+m w ca■im. �b.. tw1. - : � :.. . � . . . . • - iA��FR7FR'iF1F , Oy!:;,;�w.e.a�: `., e;�"vc;b:n+.�:�: `� APPLICATION ISSUEI? HYi -- -' DATEt � ��i (E 1 , � _ . - . a1f1F.fFiEM1FlfiFkiFkKMltk%1LMikiFiFlf - .. .. �' ,-1FkMMk%kikilk NM 7°'� ;_'` ;':.Y': "' .: ^O""'� , '.:" -` �--- -,'..-;�._ ._ ' l:EGAI:I2ATION�N' , .� : F..E�E, S.U'M M A'R Y , �:51'ItDCTURAL SEGMENTiN � Idolr�hY�Wllrll�nw��drdudnt�idtliiiqiinr'bdC�aiillidhNBr+YWA�B�aWrmB04!lStf.rd . �- � • e . - ' - � i,' - i, tl�i� nE Fr I a�V Nu� Gifq mi� rR / M nallda� ar) �rM b am�pl/ �N �Id Mb md� �d It� wP�� b � 1� :o,,,,,,,m,,,,,,,,,,o,�ee,.,,,ee,,,n,.u��'rv-.,,q.,.,.a.n,,.,i.e..��e,�r,,,...m,w,,,o.,e,�. BLllG. PK1 PLOMBING ELECYRIG •. HECHANIC � SMIP/RES . GRADIl1G ,1e � aow�� a y.... , PfiAMIT -' . � �,1�SOi _� , . � SMIP/NON-RES' � ,��. .� _ " ` ` . . _ -. -. r . � PI:AN ' i ' +, { Ko Kea� eorviiu�na� oswun�a�c i ti.M ��w�+r d wYw d'a. m.`q � � .. , ti r az_ ,. .� , , � SSSUE FEE ` " 22 00�''. : _. oO',�b�� • d��„�+,,,,,,b,,,,� � °°^o�.•"�,�a^„"�'ba'°a'^^"°°°'"'''°';: 'BUILDING-DIV ->_'. PERMIT ',.,ISSUE. •PLAN CHECR;� `-.�, AL _ ' PAID DUfi, ,� yO„i�:.::�e.�mrr.n.on.?�o.r�ti.::e....�.d+.ewe.m�sroodu.�.eacoe au.o. �a�e.` TO?ALS— '->"' - -' 16.25 �"22':00. 0;00" � 38:25 � � 38:25 . .00 � VOIkiYV�i�11��1�Y�.w11A1i1�'��IYI�IIW�I�f�00�W1�I11dfN`r ......�.. . � . , f .:•.t .. . ...'N�_� - .. .�.♦ . .. . A..� -�:. . ' �. . . . .. . . ' �. ' :" - � REV&NUE DIVISION TOTALS > COLLECT�D LL- 38 2§= OVER%SHOR?� � OA i ; ' � - _ ra„w�. . . � - -� � � � wHLDG�PMT PLUHBING ELBC.TRIC _?1SCHANI �C`,. l,-,F.IRE �SMIP/TOT'. GRADING PLANrCHECK. ,. ... ... �a i ._.... . . `' � _:� - — . - - _ . .(11%iwiQm��dMMeovd�Md/tlrW'^�f4bwrhudddfY��t100Js1�J:"" � . - ... - _ � � .. . � � �•. . ..._ ... . _ .. �. . . . i . . . }�— �38..25� �, — '��. i aner'ar 6-n: o:id� d m..on �o..Nd� w. o.m+i r �i..a i�rr �e �Mw rn or.m tn w e..�. o r n � � - -- .- . . ,-' . . - ,�.�%,��,. . - � . - ..: :r.�.:.: _ _. _._ � .t . ., x �- :,+.o.., - - . .. Ewmr �Nb �e tl� �a�wr amprrbn Inw d hb�i. wa qM ihr II I�nuN Om�r �qrf n tlr akw' � MMM�IFiiit%kiFMkMMiF�FiF1FMMMMM%M14MMiFMMMMMMMMMMMIlNNitIFMN�MNMitMMMRMMMMIFIFMIF�fif�kfFMMikMltlfNRMMMMM ti�. �v..av�.�. dwm�vmde.�c�:ir�r1be�rn°�' ae.n�re.�� __.._.... �_.-` �' I N�D, I V�I D O.A•L •F E,.E--•.B-A S_A.-K•.D_�;N N, . ., o... . f. , ,� / ` - �ooe:c - 1 �^e� +' ��7.. r,�o . . , , 1. ' N,,,;,,a,sn;.e,,;,..,,e;.•�.v..m.,,;,,.,,.r,;r..4.,e.,.e.i�Ga.,.,oa,�ro,wrr,:,re..�e� .TYPE (jTY ' D.E S: C.,R_ I P-T I'O. N. � _ UNIT COST TOTAL COST �aMO�WbanMn6WIMw�de�W�Mp4�Ab�lelsanbMwYelmryw,abq!m4��iA!M!OMp "': - . 1 - ' . ` :. .• . > a.�r,mwa.�.ee.aa,hr..n.�u.mm.r....... . . . . � EI.E 1 809-PANSL < . '+16.25 - 16.25 � �. �autnuceoM �auua �oewY:' i n..er rsm �:d. v.w a v:l.� ar e�.: �. m.mw� Laa .o.w a e. • END OF, FEP�S,:, ,. - u u ' YO��dtlr�atltbMil�tliO��YMrlIB�Na�fOW.pr.C�. . _ . . .... _ . ,_ .. .. _ • - � � . . r- ieiioex�iurt' r . - � . ti �..,� �_ . . . EXpIRE�%�.�. , - � , ,. . . _ - .. �,��.��.��.a��a�.��.�� . . .�a.1�.1�,.wwrobwavam�sm.ie�..Er.Mtuw..+.In.alWrmb.s.wmu.�Ea...rNarOPaO�bt _ ' ' _ _ _ ' . -.•.-�•-_ ..� � DAY'E��-�.. -c�:•r�- � - � - _ . b�P.�... ; srs�es�, .: � . . � - - ' : u�-2�-ivsene,ao r��o�i.r� �> �, �: ��1.'' - �= . � / � ' C ' . - _ , . . , • ruur�cel�oe►nst•r i�'F.KM Y'f.: �!l671.B .... .a �> . - - :' , . .. _ _.: . .:..._-�, , Aoolicant to fill in all soaees ereeot those witM1in heavv GorCer Iines antl sian all aDO�oD�iale tlecla�alions. CITY OF LOSTAu MESA CONSTRUCTION PERMIT PER T�O^ � TRACT NO. LOT NO. UNIT NO. Sl A.P. q@ 2one Pr.�j�i Address 7-�z L. / S�NS/ C°sTR .`/L .9 � S Main Building: Accessory Building: � Applicani'S Mailing Addf2is 8`%�� A.UFcrtU G/WrIEN G�¢�u � TVPE OF CONSTRUCTION NEW ADD ALTE0.ATION REPAIR E Z ❑ CONVERSION ❑ OEMOLISH ❑ OTHER ' T Ffont p Owner's Name �.,%��/� %nNM�� Phone��ls�'�H DESCRIPTION OF WORK/USE OF BLDG. A Fear N Address �E+`f5'2 SUMMbs"SCi /C NO.(�T/.VC.7bN an4926Y TVPE OF PERMIT GRADWG FouNDATIOrv S7RUCTVaAL I C Right N Arch/Eng. License No. ' K' G �..ni �-ic :A/ i�.fi J!.'t ❑ TENANT ❑ ELECTRICAL � PLUMBING ❑ MECHANICAL ' g �eft . R Address �....� Convactor's Name ��V ❑ O7HER ' Ping. Ref. # Parking Req./Pruvided E L.19CTt7L P C.yKE.iiS Phone�=I_:i�� Q gi�0 CTAA7l�DJP�i GA12/�'C->(1G-✓JC K-' [�AL PROJECT DESCRIPTION 5c7. FT. oCCUPANcv Planning Notes: . M Addfe551mailing) �. . CONSTRUCTION TVPE VALUATION $ T City LicenSeNo. O 4� �� ZONE GRADINGCU.VDS. ACRES $, LICENSED CONTRACTOR DECLARATION ' . I hereby affirm t�al I am licensetl untler provisions of Cha�te� 9(comm2ncing Rema�ks: � with section �000) ot Divislon 3 0( the Business antl Professlons Cotle, antl my Iicenze is in tuu rorce an ijacL 99 ELECTRICAL � FEES LlcenSe Qass � Lic�nSE N� oate G-/9- 89 c e �� PLUMBING FEES /automatic Washei Transformer ❑ 15-50 KW WORKERS' COMPENSATION DECLARATION 1 Baf Sink ' ShOwEIS COnStrUCtion Pole Sub. ❑ 50 + KW . I herc�y affirm [ha� I have a rertificate of mnsent [o self-in5ure or a certillcate Workers' Compensation Insurance, or a ceriified copy thereoi (Section Backflow Preventer ServiteSink Cooking Unit Meter ❑up to 100amps D, Lab. C.) _�my No. Company Backflow Irrigation Sewer Cap Dishwasher Merer ❑over 100 amps 8 Cer[itietl copy is hereby lurnisnetl. Dry2r5 ❑G25 ❑Electric Sub Panel Ce�tifi¢tl capy is filetl with [h¢ city Builtling Division. BdthLu65 Sewer Connection Date AppliCant F2p Claritiers � Solar Collectors Motors �0.1 HP � 7'r5 - 8 EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - (Thi55eCtiOn neetl nol be complet¢tl if [he permit i5 to� One hUntlretl (5300) or - F.A.U. iess). Dishwasher Solar Piping Inc. Solar 9-15 HP 016-15+ I cerlify that in the pertormance of the work for which this perm�t is issuetl, I FixW�eS Shall not employ any pe�son in dny manne� o a5 to bCco!I� bjecl to the Drinking Fountain5 $012� Td�k MiC�OWdVE Workers' Cymo �5yti0e� L.aws of Calit9 r ��/ Device Boxes Pole Li ht Date �+��r'NY--Signature(� � �'I -- FloorDrains SwimmingPoolw/Spa 9 NOTICE: If, aiter making [his tleclara[ion, you shouitl 20 me subje<t to the Out12t5 Range. Wo�kers' Comp¢n5alion provizions of the Labor Cotle, you must forthwith FIOOf Slnl(5 Urinal ' comply .with Such p�OviSiOns o� Inis permit shall be tleemetl /evokeC. . CONSTRUCTION LENDING AGENCV GasSefviCe Outlet5 WaterCloSC[ SwitChES Sign 1 nereby atfirm thal there ii d Construclion lentling agency for the periormance ot the work fo� whiCh Ihis permit i5 ISSuetl ($ection 309] Civ. CJ IOt¢�C¢pLOfS Wate� Heater � Garbage Disposal Std�dl�9 $CCtiOnS Lentler'S Name �enaers Aaaress Kitchen Sink � ' Water Service 'a_ � Generetor �0�5 KW 05-75 KW Trash Compactor OWNEfi BUILDER DECLARATION , ' I heteby affl�m lhat I am exempt trOm the COnt�actor'S LIC¢nse Law toi th¢ LeVdtO�iCS AlltO-WeSh � _ tollowin9 reason (SecUon 7031.5 Business an0 Profe55ional Cotla: Any Uty or • . rounty which r¢quire5 a pe�mit to const�uGt, alte�, improve, tlemolish o� �¢pai� P—Tfep d� S � � any struclur¢, prlor t0 its is5udnce, al5o requires thG applicant fOr SUCh p¢rmit " - -. to tile a signetl statement that ne/she is Ilcensetl pursuant to tne provizions of Roof Drains the Gontractor's License law (Chapter 9(commencin9 with Section 7000) o( � � .� Division 3 0l the Buslne5s antl Professmns Cotle) or that he/she is exempt / ��/�C �`�,� � O � Reinspaction Fee $15 Issue Fee - � $ 3 r�orefrom ane the basis tor [he allegetl exemption. Any violation of Sectlon G 15 hy any ap0liGant tor a pe�mit Subjects tlte applicant to a civil Ilty oi not more than five nuntlred aonan (E5oo). � $ 3 DEVEIOPMENT SERVICES REQUIREMENTS: -- � �. I, as owner o/ the proper[y or my emPloyees witn wages as their sole Reinipeetion Fee $75 I:sue Fea Zoning Appraved By �ate mm0ensation, wlll d0 [he wO�k, antl the sVUCtu�¢ is not intentletl o� of(Er¢tl for sale (Section �044, Business anG Profezsional Cotle: Tne Contractor's MECHANICAL FEES Building APProved By �Date License l.aw'tloes not apP�Y to an owner of a properry who builtls or Improvas � A thereon, antl who tloes such work himself/herzelt or through his or her own Boil¢r HOod of Typ21 ❑ %�PP��tion Issued By — /� ��Dat employees, Provitletl tnat such improvements are not intentlatl or oHered tor sa1e. Ii, however, tna bulltling or improvement is soltl wimin one year of com- Canopy Type II ❑ ; ,•. ;• SUMMARV OF FEES . pletion, the Owne� will nave the bu�tlen Of Proving he/s�e tlItl nOt builtl or IT- DuCt - Und2f i�ifOUnd _- prove tor the purposeot saie�. BUILDING PERMIT $ SMIP $ ❑ 1, as owner of the p�operty, am ezclusively contractin9 with Iicensetl con- Duct -Structural Refrigeration System I}�N CHECK $ . PERMIT [faGtOfs t0 Construtt lhe proj¢ct ($ection 7044, Bu5ine55 antl Pro(e55ion5 COtle: The Contractor's License l�w tloes noc apply to an owner oi property who Duct - Ventilating ❑0-1 ,000 BTU ❑100,000 BTU $�� ISSUANCE $� builtls or imoroves thereon. antl wno contracts for such oroie<ts with a r.on- LUMBING tracror(s1 hcenze pursuane to �ne Convactors �icense Law). 1 am awara that Exhaust System ❑ Multiple ❑ Sys[e Repair/Alteration LAN CHECK 25% $ ENERGY P.C. $ proof ol tnelr Worker's Compensatlon insurance shoWtl ba provitletl m me. ' � 'ELECTRICAL $ GRADING $ ❑ 1 am exempt untler Seulon B. & P. C. tor this reason Firepl/Fact BIL ICBO # Fire Dampers MICROFI LM $ � PLAN CHECK 50% $ 9 0 0 Date owner Heating System & Ducting Registers IfICOn1P 2 . �MECHANICAL $ I hereby certiry that I have reatl this application antl state lhat tne above ❑0.100,000 BTU �100,OOOBT TOTAL FEE $ informatlon is correcL I agree [o comply wnh au city antl county ortlinances PLA'N CHECK 25% $ antl state laws relating lo builtling tonstrucj n.antl hereby authoriza repre- (�ate �--�„9r sentatives o1 this <i y[o ent r upon ove-mentioneG property for Inspectlon pur G /p_[T fI " Signature Date � D :- t Drivers' License or 55 � . Reinspeetion Fee $15 Issue Fea $ 3 �.. -. /�? �' , ., �/ 0? 7i.035661-�U0356P1 'fi'�-3 0865-46, rev. 5/88 White - Builtlin9: Canary - Applicant; Pink - AC<ountin9: Goldenrotl - A55essor ��+TE: (76�i�i �$ T1M�� ly%i� ' � CONSTRUCTION AND PLANNING POOL' �OA :.�QPPROVALS Permit # Date Inspector qppROVALS Permn # Date Inspector �,� 1. Temporary Electrical Service or Pole �� 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3'JElectr�ical Cond'uit Utility-Undrgrnd � 54. Forms ,�'- ., 4.i Electrical Conduit-Undrgrnd. � 55. Electrical Bonding 5. Steel Reinforcement ' �. 56. Rough Plumbing & Pressure Test . . . � 6. Electrical UFER Grnd' ^ 57. APPROVAL TO COVER-GUNITE � 7.�Footings ; - '''�� . 58. Electrical Conduit-Undrgrnd. ' 8. Foundation �' �� ' S9. Gas Pipe, O Undrgrnd., Test ' � 9. Water Pipe-Undrgrrid. �� 60. Backwash Lines,P-Trap, O Undrgrnd. � 10.'Structural Flobr System , • 61. APPROVAL TO DECK 11. Property Sewer"Line & House Cdnnection 62. Backwash & Receptor-Final ' ! 12�.,Sewer Cap '-- '' ; 63. Heater & Vent-Final . , 13:, Roof'Drains , ;+� 64. Plumbing SYstem - Final ' 14. �Rough P,lumbing-, � 65. Electrical-Final . i' 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval .v- `17. Rough Wiring Sign 68. APPROVED FOR,PLASTERING ,u f18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL �19: Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # � � .� 21. Ducts, in Structure 70. Underground Hydro� 22. Ducts, Ventilating 71. Product Piping O,Gas ❑Oil. 23. Gas Pipe-Ro�gh & Test 72, Underground Flush," � 24. Roof Framing 73. UndErgrnd-StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro a.:. -� w 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. FINA� '.. 30. Drywall Nailing , HEALTH DEPT. REQUIREMENT �:- �� 31. Plaster Brown Coat 79. FINAL INSPECTION � 32. Electrical Power Meter-Final 80.ifQOD CERTIFICATE ISSUED � .. 33. Final Electric Notes:`� _�_ g' 34. Final Heating & Air Conditioning V ��P � 35. Final Gas Pipe-Test � � 36. Hood or Canopy �� - �" 37. Final Factory Fireplace L i QLV M6� ' O/ fG- 6�TT o+.� " 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 � EXPIRED �`� 46. Handicap Regulations Inc mple Inspections 47. FINALSTRUCTURE&BUILDING U ' � - 48. Special Requirements Completed 49. Electric Release to Edison . . ; � �.�1 -� 50. Gas Release to Southern California Gas Co r ' ��. 51. CERTIFICATE OF OCCUPANCY _ /' No. Date ,� _ • � ��:�� COSTA MESA BU�LDING-SAFETY DEPARTMENT P. O. BOX 917 C067A MEBA. CALIFORNIA For Appl)canf to Fill In Completely TYPE OR PRINT ADDREBS S2 �. �p � S/ COSTA MESA. CALIFORNIA ` L TEL. i NO. TEL. FIRE � � LIG. NO. / 19 � NO. /^ � �] p ncZEi nr � � i� / � L� �/ � I .�.�...oF-9IDae. FEE RECEIVED ocr a ,ss, � w� FINANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING For Office Use Only RECEIGT NO. P NIT Ni �� E,DJ !Y DATE HECEIVEO 9��T 168 �!T I �/I�.�i��l/�//�1/ COSTA MESA. CALIFORNIA `� (,*ONING NO. OF U68 OF NEW r PLANB BUILOINO � 86�BACK LINB PROM � fCHNTER LINH 9TJ ceNTBp pp grpggi REAR YARD FRONT SIDE YARD ILEFi ' IRIGHT �� 1/ R,SIDE DESCRIPTION OF WORK APPROVED EXTERIOR GOVERINQ U8E OF BI � — 3�a- 30 I XBRlBY ACRNOWL¢DGE THAT I XAVE ftEAD THi9 APPLIGTION TX6 AMOUNT BHOWN UNOER VALUATION IB FOR THe AND BTATE THAT THE ABOVH 16 CORRECT AND AGREB TO CON- pURP068 OP EeTABLI8HIN0 A PERMIT FEE ONLY. PLY WITH ALL WTY ORDINANC66 AND 9TAT8 LAW6 p86ULATIN6 BUILDINO GONBTRUCTION. VALIIATION SIGNATURE OF/ � PERMIT FEE SI� � PERMITTE N) S JL�// � PLAN CHECK $ � K (O AUTHORIZED AGENT � � a � TOTAL FEE