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Home My WebLink About570 18TH ST - Building Permits, ; y. ` � 29674 .COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely ADORESS 570 W. 18th Street JAN 24-69Pp��OO 746 n****�* cnsa .�� APPLICATION FOR BUILDING PERMIT � FECEI//'//lBv IAJ/YC�/J7 D/T7i/U/C% �.J OWNER City of Costa Mesa A,P,No. 116-080-01 '� i MA I L BUILDING ADDRESS P. �. �OX �Z�� ADDRESS 570 W. 18th Street cirv CoSta MeSa nTio�834-5300 TRACT �or CONSiRUCTION�j ./� W P I FNf1FR (1�� BRANCH ADDRESS ARCHITEI ADDRESS CONTRACTOR ADDRESS CITV STATE LIC. NO. 512E OF LOT E%ISfING BLDG. SIZE OF Owner-Builder Same TEL. NO. CITv LIC. NO. INO. OF BLDGS. NOW ON LOT � NO.OF ROOM$ 3 ROOF Fire OF BUIL ING AN[) WOFK TO BE PEFFOFM � Baseba I Office 8 Storage, AI er underneath grandstand f.or 22 0 FIRE ZONE APPROVED )NE NO.OF L _ 'Y Purvs VARDS APPROV ED MAIN BUILDING ROM C/L STREET) DISfANCE BET. MAIN BLOGS. VAR..ie C.U.P.qW APPROVED � USE OF NEW� BUILDING � YApDS APP DATE APGROVED �'__ 1 � I haraby aeknowletlpa that I �eve reatl this eppllcation entl state r�/ „(,��1�� thet che above info�motion is to�rect antl ap�ee ta comply with all laws reguleting builtlinp constr�ction, entl I shall no[ amploy eny person in violation of tha workman's componsailon laws ot [he Staro ot Calitornia. � I hereby cettity that I em proparly licansetl as e eonttecior untler SQ. FT. o the Stere ot California Business antl Protessions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDEF VALUATION IS FOR � Chepter 9, antl that such licenses ara in full forca entl effaci, or I TME PURP06E OF ESTABLISHING A PERMIT FEE ONLV: m em e.empt from the proviziOns oi [he Stata ot Callfornie Business ¢ VALUATION antl Protessions Cotl Division 3, Chapter 9. 2( . �� PERMIT FEE $ � Sipnature ot m Perminee _ $ 3, 500.00 p{,p,N CHECK $ 13.00 E `o Au[horize0 Apant TOTAL FEE s 39.00 LL � -_ � =- � zssoo Z aU Z ZQ ON am J � J Q U a Z � W aW J Q m Z J � W w O= Z F w � � K �O ,COSTA MESA BUIIDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 F1AR -5-69'AiD00 076 0******.00 CMSF APPLICATION FOR BUILOING PERMIT � For Applicant to Fill in Completely FECE , D��V �E REC�IVED DATE ISSUED �7 � ADDRESS S/ O W I� 7 S� � ��r� .�j'� G/�' � OWNER I�I�L O l_. DS�� '� A.P.NO. �O8C7�OI �E /l \l MAIL C�jrn ADDRE S"'S_7O 'L` ��Y� S,�"' �' ADDRE55 �Jy TEL. , e3A T�YCT 30�+ �, 3�Y . CITV NO. TRAC7 l0 BLOCK j� CONSTRVCTION 1 LENDER BRANCH OWNER C�� ef Col%�a /�C,j� ADDPESS VALUE ARCHITECT TEL. S 5 OR ENGINEER FIRE ADDRESS 20NE TVPE GROUP CONTRACTOR `�/j'E �� ByPROVED y ATE�/ V ADDRESS TEL. Z�NE Z NO.OF USE OF NEWQ/0�� CITV NO. G� P�� O BUILDING �R STATE pTV '�ARDSAPPROVED VARDSAPPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORY BVIIDING SI2E / NO.OF BlDGS. (FqOM GLSTREET) OF LOT �OQ X(v� NOW ON LOT ROM FT. FT. USE OF /� f s d EXISTING BLDG. rr F SI2E OF NO. OF NEW BLDG. ROOMS STORIES SI E f PT. EXTEFIOR WALL ROOF COVERING COVERING REAR FT. FT. VSE OF BUIIDING AND WORK TO BE PEflFOFMED DISTANCE BET. BET. MAIN & MAIN BLDGS. ACCE�. BLOGS. D � I�� / /� � / �� VAR. qR DATE %)�"/ �1 C.U.P.� /1PGROVED O�, f/ Q / APPROVED��J �_s�6 M1� 1 heraby acknowledBe t�at I have reaG thh epplicetion antl smte thet the abOve IntOrmetlon If corract antl oprBe [O comply wlth ell lews repuleNnp buittllnB conatruction, ontl I ahall not employ eny parson In violation of the workman'e companfetion law� ot tha State of California. � I hereby certify t�ai l em praperly Iiceneotl es o convector untler SQ. FT. o the Stata oi California B�einesa entl Profaaslons Cotla, Dlvialcn 3, THE AMOUNT SNOWN UNDER VALUATION IS FOR Chapter 9, entl thet fueh licansea are In tull forca entl etfaet, or I THE PURPO6E OF ESTABLISNING A PERMIT FEE ONLV: ¢ em ezempt irom t�e Orovisiona of ihe Stete of Californin Business VALUATION ' antl Protesslons Cotlg, Dlvhlon 3, Cheptar 9. // /� P pMIaT FEE $ DDiOD j Signature of �� — m Permittee � 1� S /�� PL4N CHECK S O�OO E Authorizatl Ape o ��/� LL \ C "^'� TOTAL FEE § DOiDO • � � !' 30u00 , COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely aooRess 570 W. 18th Street OWNER Cit of Costa Mesa ADDRE55 P. O. BOX ��IOO cirr Costa Mesa nTio� 834-5300 CpNSTRUCTION LENDER -- BRPNCH -- ADOFlESS -- pRGNGINEER Reagan & Shoemaker NEL.B3H-622Z ADORESS 451 South D St., Tustin CONTRACTOR Owner-Builder ADtlRESS Same TEL. CITV NO. STATE CITY ��C, NO. UC. NO. $�Zg NO.OF BLDGS. OF LOT � 0 Acres NOW ON LOT �� ffic�e Gara e EKEy'fINGBLOG. PICi11C he e' ran stand �t.R NIEWBLDG. 16'X�$' ROOMS � STORIES � EXTERIOR WALL ROOF YWOO COVERING S'tUCCO COVEFING Hotmo USE OF BUILDING AND WORK TO BE PERFORMED Baseball Office Buildi I heraby acknowletlBa t�ot I �ave reatl ffiis applicetian entl stete tha[ �ha ebove informetion is correct end ugree to comply with all Itlws regulating build7nB construtHon, and I shell not employ ony Porson in violation of th¢ workmon's compensa<IOn lawa ot Mo 5iete of Calitornla. I hereby cert(fy 2hat I am properly Iicensetl as a convacror untlar Me 5tace of Calitomia Businezs antl Professions Cotla, Dlvisicn 3, Chepter 9, antl ehet sueh licansos are In full torce antl offaet, or I am axampt irom the �ovisions o( Me Stete ot Calitomia Bosinacs dntl Profas5ions C o, ivialOn 3, Chaptar 9. SiBnsiure of Parm�iiee Autnoriz Apent AUG 20-6�'-1D00 912* *++*�27•OC CRSA APPIICATION FOR BUILDING PERMIT (('� E jb . bV p�10'CE(O� DX r��E�L3 V W�% S A.P.NO. ��6'08�-� BUILDING `ry ADDRE55 �J �� ♦ TRACT OWNEfl FIRE 20NE APPROVED E NO.OF VSE OF D PLAN$ �Y BUILDING VAFDSAPPROVED VARD MAIN BUILOING ACCES£ VAR. W QU.P� $'+ 4PFROVED THEAMOUNT THE PURR75E ( VALUATION / & DATE APPROVED m � ' o VALUATI�N IS FOR ^ A PERMff FEE ONLV: a ,'. ¢ � N = S / / ] ro m K S ) �' E `o �, n � LL i ,.. _ b �g�: � COS7A1 MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fil/ in Completely AODRESS J 7� C�%� IG�7��Cc✓' �i /�/f'✓� OWNER � I "�. • � � /��F/' `� MAIL ADDRE55 TEL. CITV NO. wrv� i nv� � ��+�� LENDEP BRANCH ARCHITECT �� TEL. OR ENGINEER � r 0��'' ��NO. AD�RE5S ADORE55�� /�� TEL. a CITY �U4( /i� Lj �• NO. J � .r CITV IIC. NO. �� 8 UG NO. 512 E I NO. OF BLDGS. OF LOT NOW ON LOT USE OF EXISTIN� BLDG. S12E OF NO. OF NEW BLDG. ROOMS STORIE; EXTERIOR �'�'P.LL ROOF COVERING COVEFING USE OF 9UILDING AND WORK TO BE PERFORMED j� ✓N � / �0't'7 O ✓ � i��r/� � �L.� L PAIDOO�HH7�n *�***=5.50 ,I(C 30-74cM�• FOR BUILDING PERMIT C�7 BUILDING ADORESS OWNER ��TY Q F G 1 „�= f7Erv.e Ex. P>tsnu FIRE ZONE ' APPROV u VAR.W+ c.u.v. �w APPROVED NO.OF USE OF NEW ��(14 PL4f5 � BUIL�ING A_��`. APPROVED VARDSAPPROVED 3UILDING ACCESSORV BUILDI I hereby acknowlatlBe that I have reetl [his applicaHon antl sta[e thet the above information is co�rect nntl apree to comply wIN otl lows fBBulatiny builtlinp conctructlon, antl I shall no[ employ eny OersO� �� olaUon of ihe workman'a componeallon lawa of Me Stata of Celitornla. I hereby certify thet I am pmparly Iicensetl as a controctor untler Sn' � ihe Stete of Californio 8usiness antl Profeaiona Cotla, Dlvlsicn 3, THE AMOUNT Chepter 9, antl t�at 9uCh IiCee15e9 e�B In full forca nntl affeci, or I THE PUFPOSE i am exempt trom the provisions of the State ot California Business VALUATION entl Professlone Cotle, Divislon 3, Che . Sipnetura of �� ' �x� Permittee 5 �p AuthorizBtl ABent BET. MA�N 8� ACGE55. BLd DATE APP(iOVED o-_� w O ER VALUATION IS FOR � VG A PERMIT FEE ONLY: Q FEE 5 �� J m 1ECK $ E � O LL 2 . w W a U Z Z� ON am J � J � ! ` _ � U Q z� aW WZ J Q m Z J � W W O ZH w� N � � � � z Q U J a a Q Q F" y Z O H i..l � � H y Z .S 8� � % COSTA MESA BUILDING-SAFETY DEPARTMENT • P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely noloaess s7� �• l�!�`r �°✓�� /�F✓'4 OWNER C/'/� O' �l �% /`/F✓��l ma��H,r ,i�ri ✓P ADDRESS T% C Gf/�r /'/F✓�'i NOL. CIT�' LENDERy V' ^— BRANCH ^ ADORESS � ARCHITECT TLMQ f ��o`�� UrL. OR ENGMEER �� 14�' ADORESS 9S3 r/CUiJfi/Ip �eD�/(/�f��'l CONTfiACTOR v/C��r�i.%G�t–'/'z�z ADDRESS �p•"`J� � /'�� CITY //4iY ��79 L� /6� L NOL�7r%�'O�iIO O' n LIC. NO. Fsf�_P ��/ / �� LICYNO. SI2E I NO.OF BLIX'aS. OF LOT NOW ON LOT USE OF E%15T�NG BLOG. SIZE OF NO. OF NEW BIDG. ROOMS STOFIES EXYERIOR WALI ROOF COVERING COVERING 11SL OF BUILDING AND WORK TO BE PERFORMED LI BUILDING ADDRES$ l aair. ,� t;�,t ;I;� 30-74c,mar0�1888 ��f6.15 ON FOR BUILDING PERMIT — O$� —b � 7� 8 OWNER �n� O G s N . t -AG FIRE � ZONE TVPE APPROV ev 24N�^ NO.OF I � "1� PLAILLS � I VAflOS APPFOV ED MAIN BUILDING IFROM GLSTREET) RONT 3 3 FT. 5 , �,..� 3 �_ DISTANCE BET MAIN BLDGS. VAR. � C.U.P.qW awAoveor. P � -2n_ E OF NEW LDING '��,�) VARDS APPROVED , BET. MAIN & � STATE � \ � 1 heteby atknowletlBe that I heva raatl this applica2ion antl state � D a/ - that the above informallon is correct antl aprae to comply wiih all laws .agulating building construcHon, a�tl I shall not amploy any person in violation of Me workmen's comDensetion laws ot tha Stata ot Calitornia. m I he�eby certify Mat I am O�oDarly licensatl as a contrector untler SQ. FT. O the State af Calitornia Business entl Protessions Code, Oivlsicn 3, THE AMOUNT SHOWN UNOER VA WATION IS FOR ChaPter 9, antl that such licanses ere In full force antl eifect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: Q am exemp< hom the provisioos of <he State of Celi�rnia 8usiness VALUATION �''}� antl Professions Cotla, D��slon 3, Cha r9� aa� `��• r PERMIT FEE $ ] Slpnature of � / m Permittae L � � $�DO � PLqN CHECK $ � � � E / a� 3e�TS ° Authorized Apent LL TOTAL FEE $ � � � �ooness a eminua: 5 7 0 W 1 8 T FI S T pVNEA8NNIEIFRlUYtt CITY OF COSTA MESA �%x 77 FAIR DR 3RD FLR COSTA MESA 'A 92626 �vv�. uuuxo aoo�ss: ARCXRECT OR FNf�1FFA: APCII.Oi1 FNQ'S AOOPESS: uHr: (714)754-5309 uc w: UNT: canm�crars xu� cartn�croxs�uiwo /�OOIIE44 UC. ND: uNr: LICENSED COMflACTON4 DECL�P�TION: I Mreby ellim uMr pmWy d px'ryry tlml I em fiwnesd uMr pv+niwn d CMqar B �ca�m«dm .vn sac+un �000l a uwon a a ihe ammav and vrawdwn cod.. ane mr �.e u m nm roR. m,d a�rsa. cm �c. wo.: uc. cuss: ue. No.: E X P; OWNEN BUILDER DECIAPAAON; I MrWy dfum imMr paWY d pwjiry Nm I mn �mmp han �M Catlrtla� lioeema law la iM Idbw+ro nssm (Sarlion ]W 1S &nnaaa md Rdmdas fade: Arry �y a mvtlY �Airh npu'vee e V�^i to oomwci. eCar.'vna�+. demdeh. a rapei enY a6uetuee; p'v m da eaverpe. ebo rpvro Ihs epp'imv �p arh pxmif ro(�le e NpnW �lNament Nm M1e araM ia licarueE Wnuent lo �M poviame d Ma ConVetlm Lioenae L4w �Chaqv 8(Oommendrp w1A Sadion 1000) d Divaim 3 M IM Buainma e�M Prafen'vn+ Codel ^r tAel M a eM b uemq thsehq� yy tM bsa la iM dbpeE ummpion. MY violetion d Ssd'an ]o3t.5 Ey enY aoW� /a e pe�mC e�bpria lhs wd'� to e dH pyuqy d nd mas then Me Mvdrsd da0m �SSOOn. � I.a�owmrWtMPW�YormY�M�weW+nNeiaabwmparWbn.w�TAothevnM.andNemu.Yuneml'v�tadeA a Mered br aeb (Sectvi ]Ou. Bivew nd PnMmnsCodO: TheCaamfmliomae LeM dau m1 eOWYto en owirra papMy wlp W Wa u inV�* tlsean. ed wfio does tud� wak FbnalL a MnN a ihu� he a Iw mm anWbfeu. pa'idatl IM adi imp�vnmsma en nd'vYa�deE rc dfaeE In ul�. tl. Mw�s.er. iM WolCuq a inR��sL "e edtl rilhm ons Y� d mmOMion. Ms �o�,�..�wua...ai na.�. me wd.�, a wo+�o n. «.n. ma �a daa «�wa+ ro� u» wowe d w.). �. m o..+. w �n. ww„r. ��+N oomm�c .w zoe�„e canveomn c mmnw me o�i� cseaun �ou. ao'ubss r�e Prdoaiau Cotle: TM Caurotlan liww leW dws m� epqy b en owna d pmpany wM MuN� a a IMreon end who canvada Iw ux� qqeaa wvh a mm'ed«(e) IcemeE punuw t Conireu«� Licaua lawl. � � yn usin uMa S u' : ( B. 8 P.G, br ' n m: De1e: �� V/ Owiw: i eo nMer �r mm i.m a.�e a.�d �a..wd ms �.v�.m«e, a c.a,�a. w e s.f.n coas esaw�. sssn. usaa..oe zss�...�,e ma � o, mrv naw. biddeq oowwe .i0 �.a na (am1. o�. ..a m canw :e .rol. ma w �n. na�«m a. apemNlamuWcibn moEifimtbntromlMAi�Y �� 'U.Rridrv ao� tMi n� ion uaawnphanlMro w��. / / I�^ Deb: ��s°'d� � V � WOpKEF'9COYPEN9AilONDECWI�110N:1MrWydl4mwdrp�netlydpe�W tltheldbMnpdedvetbu: � I hevs eM W meiNen a caNfr�s d aarv �o Wiwua la wMen' oanpruY . m Pa'� In W Satlion 0100 tl �M lebar COM.Ia tM pMamvca tl Ne wak Ip wNN Nu pamu h y�uW. ❑ �na.ena..;�m.:n.�wo�w.�+•aomo«,mo�nw�ez..mn�,�.aMs.a�na�man,.�.eo.coe..wmev.a,�aam. vak la vRJdi Nu M� b mued. EA'r.oM1en' m�ruetb� nvem mnr md W�Y �nbr w: c.m.: vair r�e. �(T)ri adiun nes0 �t M candMM i �M P�'mR u b orw MVHrsd S,�qe�s If1001 n W.) I ceMfy IM1eI in IM perlomienea d IM wark la v.hkh �M1u parm� � , I Mell nal smpb/ eny pe In eny menner eo m lo become eublb !o iM xwkwY mmpenWion ler.+ d Cafd��pn� �qnY 1�hwk �ir�wiE�W lo iM xoM1eii Dela: i Mdk+iv: /' / i W�m�rp: F�9un b ucun wvAr�'rolryMu�tlon conrM I�,mWM. WN n M�n «robw ro c�drdwpwrnw un dHl Mu w ro w �v�J.M NouwN Ad�n+ plPqOmA h p,yyon m tlw cdw I rortpuu�tb� C�nipu u peMMd br In CITY OF COSTA MESA — BOILDING PERMIT P£RM NO• P 07199 PERMIT NO: P 071998 PLAN CHECK NO: N GOVT: Y SLPP: N CONSTAUCTION TYPE: PERMIT TY°E: PLU PURPOSE: OTH JOH DESCRIPTION : NEW GAS LI�]E TO SERVE AT "LYON'S FARK" SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC; / COMMENTS: LOCATED NEAP, THE HANUHALL COURTS +f r r 3f ir iE iF+i -v-+f �f r it Y- �c+R r� 1� ic * r�+t+t +F iF ir it iF+c aE±F at ac {(. aM1.IF {f. �R �F * iF+t rc+f if * x ac f ac {c x ac r*.F �c ac if at-�lE * ic +f,c+c +F+c +* aF �c iF i� �c * i4 ar, Z O D] I PJ G P. E Q U Z R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR: FT IN FRNT; FT IN REAA: FT IN LEFT: FT IN RGHT; FT Zrl LEFT: FT IN RGHT: FT IN PARKING REQ; PROV: PARCEL: OOQ00000 ZNE: REF NO: PLANNING NOTES> i 'lf if i�' 3E iE if iF i!' if if 1f Y if 1f Y aF �M AF lf'M �f'1F if-'lE f i� if iF �)R'Y iR �%Y' �f'IE if If'Y' if iF')f'Y i4'Y')R'If Y�'K 1F ii M' iF i4 i4'M-iF'JF 1f Y I6 Y. iF 4 i� �1F if IE �f iF Y Y ii jf �Y iF i� 1f Y� D E CT E L O P M E N T S E R V I C F. S R E Q U I P. E M E N T S ZONING APPROC'ED BY DATE; BUILDING APPROC'ED BY : DPTE; APPLICATION ISSUED BY: DATE; 2 %� i4 1f if'lf 1f if i� if 1F �f iF Kif if iFif if if if if if ii !f iG if i f Ytf i. . it . $S +f ic it iE iE if 1f iE if ia �L 1M aF 1� i: a+h 1f . M+f LEGALIZATIOAI;Y E E � U M M A A Y STRUCTURAL SEGMENT;D1 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMZP/RES GRADING PERMIT 30.00 258 � SMIP/NON—RES aLnr� � — ISSUE FEE 20.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 0,00 0.00 0.00 0.00 .00 ,00 REC'ENUE UII,TISION TOTALS--> COLLECTED; ,00 OVER/SHORT; 00 BLDG PMT PLUMHING ELECTRIC MECHANIC ' FIRE 5MIF/TOT GRADZNG PLAN—CHECK if if if if t ifif iF if iF iFil�if it if if if it iF k�iF af iF 3t it 1t M+f 4 iE if i� 1f�i�dt �!.ifiL 1� if 1f iF?E iF�1F �F ifaf +F rt 1F�1t1FiFi1�iF M�iF il�r ih aE V M it+1�M +F n if�lF 1F +t M1F +f � M if I N D I V I D U A L F E E B R E A K D O PI N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST sctlm JIOB ol tM laew cab, wret �na �mnM'� rwu. � I.. U CONSTRUCTION LENOINO AOENCI: 1 MnW eflirm uMv perWiy d parjury �MI Ihsn u e conqrwbn MMi�ry epam.y for tM PL[� po�d,m a in. woM ro..n� ine �i u:.wd Is.aun �, c�. cl. LENDER'S NI1ME: LENOEN'8 ��DRE39: I cMM tlut 1 he+s n�C Nu �DP� W!tl� Ihe tlr �Evn'vdwmtlian b oonW. I OM tocamG�Y wu� eY mY W mNy ud'uwrM eM usle Isws �aW N b 4bdii0 mM+uyidi end MrW vaM¢a �apy�atno d N6 W b emr Wm iM abw�e�mM'vieE D�WMY la impe�+ion wNae � I� Oms: _ ��j I � Sq u�s a 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 10 GAS PIPING SYS 5+ OUTL—PER OUTLET END OF FEES 5,00 5,00 1.OQ /' 10.00 . / �1 00380763—DO�1E0763 Y'O T .QO DATE: p4/23/?,b 77ME� 15:47 / (5f51�1E.WP) Whes-�inN'np85deM.(ilesn-Fda:Cenery.�ppiraN:Fink-Rv�emw:Goldervod-A+wnor , CONSTRUCTION AND PLANNING POOL & SPA � APPROVALS Permit # Date Inspector qPPROVALS Permit # Date i�spector 1. Temporary Electrical Service or Pole " 52. Poof & Equipment Location � � 2. Soil Pipe•Undrgrnd. . 53. Steel Reinforcement 3. Electrical Conduit Utility•Undrgrnd. 54. Fofms � 4. Electrical Conduit-Undrgrod. 55. Electrical Bonding ' 5. Steel Reinfo�cement 56. Rough Plumbing & Pressure Test ' 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Elactrical Conduit-Undrgr�d. • 8. Foundation 59. Gas Pipe, O Undrgmd., Test � 9�. Water Pipe-Undrgrnd. � 60. Backwash Lines, P�Trap, C7 Undrgrnd. 10. Structural Floor SYstem ` 67. APPROVA� TO �ECK 11. Property Sewer Une & House Connection • 62. Baqkwash & Receptor�Finat ' + 12. Sewer Cap i"63. Heat�r & VenbFinal 13. Roof Drains 64. Plumbing System - Final � 74. Rough Plumbing - 65. Electrical-Final - " 75. Rough Electrical-Conduit 66. Solar System�Final . 16. Rough Electric W�ring 6�. Fe�cing & Access Approval 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING , 78. Rough Electrical-T Bar Ceiling ' 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & A�r Conditioning FIRE DEPT. REQUIREMENT 20. Rough Pactory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Pipinq OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. v rnead Vdro 26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemica 27. Frame and Flashin9 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Orywall Nailing HEALTH DEPT. REQUiREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Eiectricaf Power Meter�Final • 80. FOOD CERTIFICATE ISSUED 33. Final, Electric � � " Notes: �_�g_ � � � ' �Co!}�-6d11� �ff� �7131 c's� 34. Final Heating & Air Conditioning �r asyn o</- _j��i 35. Final Gas�Pipe-Test 36. Hood or Canopy _ 5` � � _/t , i- r. 37. Final Pactory FireP�ace � 38. Finai Plumbing 39. Water Service�Finai 40. Gas Service-Finai 41. Solar pomestic-Final 42. Backfiow Preventer � 43. Backflow Irrigati0� 44. Landscape Irrigation System ' 45. Sound A[tenuation � 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY Np. Date 7I �"�+�8'"� 570 W 18TH ST °Ni` ��""YE11°pV"' CITY OF COSTA M£SA iD�" 77 FAIR DP. 3RD FLR COSTA MESA CA 9Z626 (719)754-5304 �vri. Yuwa �ooxess: urcxmxTa+wou+�a DAVID EVANS S ASSOCZATES �"�= 3867 �a+�y�� 1000 E. GARVEY AVE. SOUTH �"* 250 WEST COVINA CA 91790-2720 �� cam�aara"•K. cwm�cTars �uiwo �E� uc w: uxr: LICENSEU COMP�CTOP9 DECL�fl�tION; I MrWy Nkm wMx paWY a W�IwY � I em Ycwwd udw po*bu d Cheqm B (mmmantiq rrilh 8xlion ]OW) W Divuian 3 W IM &a4rn eM P�dn+�� GOAs. aM mY Yoerw b In Iu01au end eMa1. cm uc. r+o.: ue. cuss: uc. No,: E X P; OWNEN BUILDER DECLAR�TION: I hmatr/ elflrm imC�r pwWy d VKF�Y �� q �� IM CoNe�Cm lbrr� lew la tM � Idb+mO �es+an (Seeion ]0�1.5 Bus'rim� uM Prufm�ion� Wd�: �ny c'Y a aoun�Y whicA nVuim � P�o io muWct. Mx. impow. bmds�. a�pei an'/ �vuewes. D� W Ia eawnos, ehu nV'� tM ePW�� tn weh P� ta fJa e dY� pet�rtw� Nn M or �M u Ii�nsW pnueN to ihe powbm W IM Caqraqon lioeroa W ICluqr B(aommuid'q wCh SWian ]000) d ONhbn ] W iM Bunrov ud Rdeabu Cotlal m iAm ha a tlr b memd tAsdmn end IM Eevi� la iM elbWd uemqb�. MY voW un ol Sedian lW t.5 Dy mry app4mnt I> e parmp wEjatls Ihs eppfrsm to � tivY pr�Y d nd mon ihen M� hurWad do0�n �SSOOD. � I.noxnrMIMVWMYumY�'�xihwNs+ntMipMmmO��.WIEOIMxvk.endNeWumrtsenaiNeMW y e O! OIIMGE IR YM (SKllql %OI/. BYYMO GlIE PIWMW1f COE�: TMCIXIUBL101� LIftlY! IAMEOY IIG GGM�ION OY/IMfCI pfO�IM� wAo WiN or inpow� �Mreon. ad Mw doa� �uM wA IinwO a Mna� m Ihrauph hY a her own miplWso. pwNW thet euch 'unpwmWa vs nd WanEeE a dlaed la ub. tl. howsver. tM �inp or'vnpovemeN u wld xitlun ans Y� d mmplmbn. Ne � owo«a�u..;o n.�. m. w.e.� a o��'ro ne «.n. ed �a waa «�,wo�+i« in. ama• w.w). Q I. ea oww a iM o�WeM. em udwh'M/ mm�rfn0 wM Go�nrb cant�Mm Io mmhuG tlr pdb (9ari' )W. &ninr� erd Prda�dan� Code: TM Comrectas liunee LeM Eom na eooN ro en owiwr d W WMY Mo bnld� a tliraon eM vAw cant�mb la arh Wd�� wnh e mM'etlM�) Icsnasa D�ueN Gonvma� llon�� +�. � I em amm j/ B. 8 P.C.. br n o�. �%�Co%� o.�., i�� IromNaw WOPKER'S�COMPEN9ATION DKUFATON: I Mnby eM�m uMrt V�Yd pxryry Ms b0v.wnp d�tlumum: ��IM1ma�ndWm�inianeanMctledmirntloWimunbrN�M ' eIXa'�/ub�5�qimJ100dIMLebar � Cods. lor iM palm�wica W Ne woh la wNch Nu prmil o u�usd. ❑ i n..�..�e.0 m.w.:�.,on��• oo�w�o� �w�.�w.... �.a��.e w a«a� a�oo d u» i.no. coa.. a m. c.ao,m�o. a m. wM la wlifd� rtv� P�n b WueA. MV rMun' eanW�bn Nmeerc� rarrbr eM D�Y �wmEr ero: c�..: / Pdicy Numbsr: RM1i/ptlian nsW Ipl M ebnplNM I IM pvnnf b M dw �uMmJ Cu'b� IOVI a Np.1 �L I oenry IIW in the pMmmence d IM wark lar which �M psm��, �u . I Mdl M am ury man'wr o n to Csmnr �uEj� lo iM woM1ari mmpnwion lew+ d CeNom . W� �� tl k tM v.oM1an' oompmwq m�ri�i • d Se R�'!00 d IM lnbor Cade. I f h om.: � C �cw�w: W�m/rp: F�M ro• un rorbri romWwtlon carwp� h u��'M1�l u� �II (M rrpleyw ro plMmlWlultlu uW e�w nn., w ro an. n�.rer.e �„ou..w eorun lsiaqaaoA m.eJiwn ro m. co.� o ro tbM1 Au�rp�a �� povM�tl ror In s.�nen anc o� m. �.eo, coe., m�.�wt .nd.rco�»r', r.... CON9TIiUCIION LENDINO ROENCY; I hneby alfirm undor peMM d perjury �M IM�a u e awMewian MMinp epwiey lor iM penortn.rc. d �n. xark �« wnirh �nu w�� u c.we (swon 30n. cH. c�. LENOEP'S N1ME: LRlDEN'S �DDNESS: I caNh �ha I Mn ned ihh eVD�cetbn enE ptle tha iM ebwa iNaMdion 4 cared. I eiree �o comDN wY� W�YY enE couMY wdinvwe� uM�IMakx�relYMloWilGnYcanelrutlbnuNhx�EyeNhai[��aV��te�hroa� t�bcilYbsMaWmlMObwa�mrubneEpiaparly (StStJE WPI Dete: ��7�/j�e� / i 8 Sdsy: airon-Fb: Cerory-�ppM'ani: Pink�imanw: (3oUavo�bseasa CITY OF COSTA MESA - EUILDING PERMIT Y�:x r�u; c vil ». PEP.MIT D10: B 071339 PLAN CHECK NO: 00752-95 L �uvi; z 5urr: rv CONSTRUCTION TYPE; PERMIT TYPE; STR PURPOSE: OTH JOB DESCRIPTION ; DEMOLISH � REPLACE 'TOT LOT' EQUIPMENT SQ FT: 90,000 CLAZM ��ALUE: 40,000.00 CALC-VALUE: 40,000.00 GROUP OCC: A-9 / COMMENTS; PHASE II / DEMO 6 REPLACE OLD 'TOT LOT' EQUZPMENT /"LIONS PARR" il�if if if�lf if af i��1F iR if if iM fP i4 iF i' iGiR if 1f if if 1f iFif iR�)f if�lf if if if-li if 1F if if if 1fjF iF df 1dR if if iFif-lf i4+F ifif Y iR iF af iF iF Y-if if iFiF if iF ii iF if �Rif'IF iF iF iR iF if iF Z U N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAZN HUILDINC ---------- --------- ACCESSORY BUZLDING --------- FP.NT: FT IN REAR; FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT: FT IP] LEFT: FT IN P.GHT: FT IN PARKING REQ: PROV; PARCEL: 42925101 ZNE; IER REF NO: PLANNING NOTES> PHASE II ADA TOT LOT UPGRADES FOP, LZONS PAP.K. i �E iF if I4 if if af 1f if iM�1F af ifiF if iM 1F i4 aF iF�f iF 1f �Eif�lf if iE if if iEif 1f if iF af if i'�f iR Y iL-1F if JF iF Y iF if ii if Y 1F lFY iF if iE�IF if if aE if ii iG iFih aF L.iE if if�if i� Y if'N-iE aF D E V E L c� P M E N T S E R C' I C E S R E Q U I R E M E N�.T�S ZUNING APPROVED BY �,Q DATE; � Z �I5 BUILDING APFROVEU BY ; APPLICATION ISSUED BY; iF if Y it if �f iF if 4 iF if if if if iF iF �f is 1F K MY �*�*�*****»�.�,«��.,.�*� LEGALIZATION:N BLDG PMT PERMIT 399.50 PLAN 227.18 ISSUE FEE PLUMBING DATE; DATE; '� ��2 �, .F ,r r rt a , �; xF7FirII�f�fafi(�itia*�c�tr�"'r.-�x-ar� MiF�fYifiFiFrraR� *{t♦ ifiEafift�y.4+fraF*jt+tiFi4afY-*iFit+F+fiFMraF'siFififififaFiR F E E .`� U M M A R Y STAUCTUAAL SEGMENT:Y ELECTBIC MECHANIC FIRE SMIP/RES GRADING - � SMIP/NON-RES � 8.90 BUILDING-DIV-> PERMZT ISSUE PI:AN-CIiECK TOTAL PAID DUE TOTALS----> 0,00 0.00 . 0.00 0.00 ,00 ,00 REVENUE DIVISION TOTALS--> COLLECI'ED: .00 OVER/SHORT; ,00 HLDG FMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-�HECK . �k if ifif'V 1f dF �f if iM1f'k It �f if ifiFif 1f +f�lf iF 1f a iF ?f ihif af M if V if iE af1F if if iR 14 iL �ftflf af�lf if 1f ifY ir 's i1�iF iri� if1'r if if iE 1F 1f +F in 1F �f Y aF iFif iR #'�if i4 if iR Y� 1f I N D I V I D U A L. • F E E B R E A K D O 1�I P7 TYPE QTY D E S C R I P T I O N • UNZT COST TUTAL COST SFC 90000 ALTER HY VALUE COMMEF2CIAL NOZONE 1.00 40,OOQ,00 END-OF FEES � 1 00177725-0017772� T�� T DATE: 03/07/98 TIhE: 09:75 .UO CONSTRUCTION AND PLANNin�G . POOL & SPA APPROVALS Permit # Date Inspector APPROVALS Permit # Date Jnspector � 1. Temporary Electrical Service or Pole ' S2. Pool $� Epuipment Location � 2. Soil Pipe•Undrgrnd. � l53. Steellieintarcement � •'i 3. Electrical Conduit Ut�lity-Undrgrnd. 54. Forms � ' �, 4. Electricaf Cond�it•Undrgrnd. 55. Electrical Bonding ' •' " c 5. Sreel Reinforcement 56. Rough Plumbi�g & Pressure Test - 6. Electricai UFER Grnd. 57. APPROVAL TO COVER�GUNITE i: 7. Footings 58. Electrical Cqnduit-Undrgrnd. - - 8. Foundation . 59, Gas Pipe, O Undrgrnd., Test �� ; 9. Water Pipe-Undrgrnd. �' 60. Ba�kwash Lines, P-Trap,�O� Undrgrnd. . � , i 70. Structural Floor Svstem - 61. ApPROVAL TO DECK� - 77. Property Sewer line & HouseConnection 62. BaCkwash & Receptor-Final : 12. Sewer Cap ' 63. He�ter & Vent•Finai .• r� 73. floof Drains 64. PI�m6ing System - Fina`I' . 14. Rough Plumbing -"� g�, ElGctrical-Finat • ;� I 15. Rough Electrical�Conduit i 66. So�ar SYstem-Final ' ,�. i6� Rough E�ectric Wirinq 67. -Fencing & Access Approval ; . 77. Rough Wiring Sign � 6g, APPROVE� FOR PLqSTEF�ING �• 1$. Rough Electrical�T Bar Ceiiing 69. POOL/SPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning FIRE DEPT. REnUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gaz ❑ Oil 23� Gas Pipe-Rough & Test 7Z. Underyround Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T�Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding � 77. FIXED SYSTEM FINAL 29. Insula[ion 7$, FiRE PflEV. FINAL 30. Drywall Nailing ' HEALTH DEPT. REQUIREMENT 31. Piaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERT�FICATE ISSUEO 33. Final Electric otes: / �� o - ��E7� 34. Final Heating & Air Conditioning ' ` k� �� 35. Final Gas Pipe�Test �(Ja t✓xt [/� t6Ni� C- � 36. Hood or Canopy �� 37. Final Factary Fireplace 38, F�nal Plumbing 39, Water Service�Final 40. Gat Service-Final 47, Solar pomestic•Final 42, Backflow Preventer � 43, Backflow Irrigation 44. Landscape Irriqation System 45. Sound Attenuation 46, Handicap Regulations 47, FINAL STRUCTURE & BUILDING ��xj jf,k 46, FINAL PLANNING � 49, Electric Release to Edison 50. Gas Release to $outhern California Gas Co 51. CERTIFICATE OF OCCUPANCY Np Date Job Address: 570 W 18TH ST Suite: Vicinity: DAVIS FIELD AT LIONS PARK Primary Occ: Parcel Number: 42425101 Applicant: STOWELL, JIM Address: Type o( Construction: Zoning: Phone: 949-283-4521 cell _ . . . r .Zip: . Owner. COSTA MESA PARK AND RECREATION�DIST Address %ATTN MARILYN ABARBEH � � � COSTA MESA,AA � � � � Phone: �, � , PO BOX 1200 � - Zip: 92628-1200 , . Contractor: J A STOWELL CONSTRUCTION INC Address: 891 W 16TH ST � � , � Phone: 949-631-8809 NEWPORT BEACH, CA ' ' Zip: 92663 , � � License: 669873 Arch : Address: Eng: Address: Status: ISSUED Applied: 02/08/2007 Issued: 10/24/2007 � � -� � ISSUED BY: c �. � �, � � � V':' . . � � , � _ � Phone: . - � Phone: � ' . , � �� . . � . � . Zip: . ' - License: �' , �� ' � . �License:, , SCOPE OF PERMIT � INSTALLATION OF FOUR 25 FT POLES FOR THE BASEBALL FOUI BALL NETTING (2 NETS) AT "DAVIS FIELD" IN LIONS PARK. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: $117.81 $181.25 $0.00 $1.99 $0.00 $0.00 = FEE�SUMMARY.. .. _ ` - ' ' � ` � ° Calc Valuation: , ' - • - '-Claim Valuation: - 4� � . � s. . - , _` s Total: $301.05 • � � �� .`, � PLANNING & ZONING SETBACKS ,. �,\i . , —^.`�; ,, ., _. MAINSTRUCTURE Front��1,0-0 � Rear 00�:�� , Left ^��0=0..- Right 0-0�� , � ACCESSORY �Front �0- 0 ' �i ��"� Rear: �� 0- 0, - ` Left 0. 0 ` �" =�; � Right � � .0= 0� . , i PARKING ' Ezistm �o �� .�Reauired ": 0 � Pr000sed:'�� 0 � � � ' : l _ . . . . � , �, l . / . / . i �.J\ � � ��, ` . " . . , . ' . ' .� . , � . V� .- _ � . - . . i . ' �� ,� . . � .'j�, _ - . i . �, _ . . ,� . _ /,' ' � $9,500.00 $9,500.00 r.� A NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a.period of 1 BO days. . INSPECTIONS: In order for iha work authorized under ihis permit to be considered legal, such work must comply with all epplicable codes, and all required Inapeetiona and tinal approval must be obtained. Failure to obtain inspections and final approval will result in the expiretion of this permit. FOR INSPECTIONS CALL: (714) 7545626 � zaaere laao) WORKERS' COMPENSATON DECLppp710�.. I he y eflirm under panal[y of perjUry one of Ihe following declarations: � I have end will melntein a certificate of cansent ta self-Insure for workers' compensetlon, es provided for by section 3700 of ihe Labor Catle, for the perfortnance of the J work for whlch ihls permlt Is Issuetl. jJQ I have entl wlll meintain workers' �ompensation Insurance, as requiretl Dy sectlon 3700 ot Ihe Lebor Code, for �he peAortnance of the work tor which ihis pertnit Is Issued. My workers' w pens�tion Ins ence cartier and policy number are: ,Z ,� ,� Cerrier. �`t�� 'T11� PolicyNumber boo6 + D67 (Thfs section neetl not be completecl Il fhe permit is va/ued ef one hundred dWlars ($100) or Iess.J ❑ I cenity Ihet in the pertortnence o� e work For which ihis permit is issued, I shell not employ any person in eny manner so as to become subject to the workers' compensetlon laws oi Cel or i, d ree that If I shoultl Decome SUD�ect lo Ihe workers' compensetion provisions of Section 3700 of ihe Labor Code, I shall forthwith camply with Ihese provi,' / ApplkantSignature: Date: �O�L�/jU� WARNING: FAILUHE TO SECU ORKERS' COMPENSATIIXJ COVERAOE IS UNLAWFlJL AND SHALL SU6IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FlNES UP TO dJE HUNDRED hqU$AN� OqlARE (E100. , IN AD�ITION TO THE COST OF COMPENSATIqJ, DAMAGES AS PROVIDED FOR IN SECTIIXJ 3]O60F THE IABOR CODE, IMEREST, ANO ATTORNEVS FEES. LICENSED CONTRACTORS DEC4pqqTION: I hereby aNirm that I em force end eXact. Lic. a_ Gonirectols Signature: 9(commencinq wit� Section 7000) ot Divlslon 3 ot the Buslnessn and Professions Code, and my Ilcense is in full Class p J oate: Gb/L �/ .Rf CONSTRUCTION LENDING AGENCV: ❑ I hereby eXirm that Ihere is e Consiruction landing agency for the perfortnance of ihe work for which ihis pertnil is issued. (Sec. 3097, Civil Cotle). Lendefs Name: Lendefs Adtlress: Signeture: Date: OWNER-BUILDER DECLARATIONS: I hereby aMrm thet under penelry of perjury Ihe� I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business antl ProFassions Code: Any city ar counry which repulres e permit lo construct, elter, improve, demolish, or repair eny structure, prior to its Issuance, also requires the applicant for such permit to file a signed sletement Ihat he or she Is Iicensed pursuent to ihe provisions of ihe Contrectors License Law (Chaptar 9(commencing wllh Section 7000) oi Division 3 oi the Business end Protessions Code) or thet he or she Is exempt therefrom end the besis tor the elleged exemption. Any violation of Section 7031.5 by any epplicant tor e pefmit sublecis �he epplicant to a civil penalry ot not more then tive hundred dollers ($500).): ❑ I, as owner ot ihe propery, or my employaes with weges es iheir sole compensation, WILL DO THE WORK, and Ihe slructure is not intended or otteretl for sale (Sec. 7044, Business and Protessions Code: The Contractors l.icense Lew does not apply to en owner of properry who builds or improves thereon, and who tloes such work himself or herself or ihrough his oi her own employees, provided ihat such improvemenis ara not intended o� ofleretl for sale. IF, however, ihe building or Improvament is sold within one year oi comple�ion, the owner-builder will have the 6urden oi proving that he or she did not build or improve tor purpose oi sale.). ' ❑ I, as owner ot the OropeM, em EXCLUSIVELV CONTRACTNG WI7H LICENSED CONTRACTORS to construct the projed (Sec. 7044, Business anC Proteuions Cotle: The contrectors LicensB Law does not apply to en awner ot pmPerry who builds or Impmves thareon, and who crontracts tor such pmject with e contrecror(s) license pureuent to the Contra�tors License Laws.). ❑ I am exempt under sec. Business antl Protessions Code tor this reason: Signetura: Date: Owner ID verlfied by drivers lirsnse, ❑ Yes ❑ No Driver's License No. Expires: Verilicatian ot Ownership by (type at dacument, i.e. - property tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTFICATON: ❑ I hereGy certify thet no excavetlon five (5) or more feet in depth into which e person is raquired to descend, will De matle in connectlon with work euthonzed by this permi6 and Ihat no DuilCing structure, scaHolding, falsework, or demolition or dismantling thereof, will be more then thirty-six (36) leet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Title B, Califomle Adminig�relive Code). ❑ As owner-builder, 1 will not employ anyone to tlo work which would require a permit trom tha Division ot Industrial Satery, as rwied ebove, unless such person has a pertnit �o tla such work from ihe tlivisian. Signature: Date: Division of Industrial Safery Pertnit Number: ICERTIFlCATE OF COMPLIANCE IWD AIJfHORQATION OF EHTRY: 1 ceniy under penalry ot perjury Ihat I have read t�is application end state that the infortnation given is I wrrect. I agrae to compty wiih ell slete laws and ciry ordinances rela�ing to bullding construciion, end authorize reD�eseniatives of the Ciry oi Costa Mesa to enter upon the ebovadescribed property for inspeCtion purposes. I egree not to occupy or ellow occupanty of any building authonzed by Ihis permit unlil final inspection. COOE 1. INSPELTIONTYPE 1616 1266 200. 201 202 203 Fixetl System Final Fire Preventlon Pool SDe Final Final Re-Roof Finel8locWRetaining Well Final Fectory Fire Place Finel Slgn 204 Final Demolition /� /2.y/U7ate !J/ Date Q�g INTRIALS CODEI MSPELTONTYVE 206 Final Mechanical 20B Final Plumbing 210 Final Electrical 272 Final Fire Preven�on 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy D�TE IN�MLS Job Address: 570 W 18TH ST Suite: Vicinity: DAVIS FIELD AT LIONS PARK Primary Occ: Parcel Number: 42425101 BUILDING PERMIT � � Status: EXPIRED � Applied: 02/OB/2007 � Issued: 10/24/2007 Type of Constmction: Zoning: ISSUEDBY: c�Y� Applicant: STOWELL, JIM Address: Phone: 949-283-4521 CELL Zip: i Owner: COSTA MESA PARK AND RECREATION DIST �� a `�� Address °/aATTN MARILYN ABARBEH pA'L� COSTA MESA,CA Phone: PO BOX 1200 Zip: 92628-1200 Contrector: J A STOWELL CONSTRUCTION I NC Address: 891 W 16TH ST Arth : Address: Zip: NEWPORT BEACH, CA Zip: 92663 Phone: License: Phone: 949-637-8809 License: 669873 Eng: Atldress: Phone: License: SCOPE OF PERMIT INSTALLATION OF FOUR 25 FT POLES FOR THE BASEBALL FOUL BALL NETTING (2 NETS) AT "DAVIS FIELD" IN LIONS PARK. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total: $117.81 $18125 $0.00 $1.99 $0.00 $0.00 $301.05 FEE SUMMARY Calc Valuation: $s,soo.00 Claim Valuation: 3e,soo.00 NOTICE: The work authorized by this permit shall compty with all applicable hantlicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 1241-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be consideretl legal, such work must comply with ell applicable cales, and a�l requlred Inspeetione end finel epprovel must be obtained. Failure to obtain inspections and tinal epproval will result in the expiralion ol this permit. FOR INSPECTIONS CALL: (714) 754-5626 WORKERS'COMPENSATON DECLARAPON: I here�y eHirtn under penalry oi per�ury one ai the following dadaretlons: ❑ I have end wlll malntaln e certiticate ot consent to seli-Insure for workers' compensation, es provltled for by section 3700 ot the Labor Code, tor 1he pertortnence o1 the work for whlCh Ihis permit is issued. ❑ I heve entl wlll mainlaln warkers' compensatlon InSurance, as requireC Dy sectlon 3700 0l iho Lebor Code, br Ihe peAortnence of Na xrork fw whitli Ihis permlt Is Issuetl. My workera' compensatlon Insurence carrler antl polity number ere: Carrler: Policy Number: (Thls secNon need nof be completed I! the permlt Is ve/ued et one huntlretl tlollaro (Sf 00) or less.) ❑ I cehify Ihat In ihe peAortnence of Iha work for whlch this pertnit is issued, I shall not employ eny pereon In eny manner so es to become sub�ect to t�a workers' rnmpensalion lewa ol Celitomia, en ree thet II I should bewme suC�ect to ihe workers' compenselion provlelons of Section 3700 ot the LeDor Code, I shell fo�hwlth comply wlth these proNsions. Applicent Slgneture: Dete: WARNINO: FAILURE TO SEGURE WORKERS' C ENS S WFUL M10 SMALL SU&IECf Ml EMPLOYER TO CRIMINAL PENPLTIES AND CNIL FlNE3 UP TO ONE HUNDRED TFiOUSFND DOl1APE (5100,000), IN ADDRION {� E WST�1 0,�7PE1� I�l4GE5 AS PROVIDED FOii IN SEGTION 31080F THE UBIXi WDE, IMEREST, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: � �7 I hereby ettirtn that I em licensed under provisions oi Chapter 9(commencing wit� Section 7000) of DlNslon 3 of the Business antl Professions CoAe, antl my Iicense is In full force end eXect. Llc. p Cless a ContrectoYs Signature: Date: CONSTRUCTION LENDING AGENCY: ' ❑ I hereby ettirm thel there is a consWction lending agency far the pedormance of the work tor w�ich Ihls pertnil is issued. (Sec. 3097, CMI Code). '� Lendef9 Nema: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: 1 hereby ettirtn Ihet under penelry af per�ury thal I em E%EMPT FROM THE CONTRAC70RS LICENSE LAW lor the lollowing reason (Sec. 7031.5, Business entl Professions Code: Any ciry or counry which requires e pertnit to construct, elter, improve, demolish, or repair eny strucNre, pdor to its issuance, aLso reQuires Ihe epplicent for such pertnit to lila e slgned etatement ihat he or she Is Ilcensed pursuant to Ihe provLqlons ot Ne Contrecton License Lew (Chapler B(commendng wlth SecUon 7000) oi DlWslon 3 01 the Business entl Professlans Cotle) or t�at �e or she Is exempt iheretran and Ue basis for lhe ellepod eaemptlon. Any dolatlon of Sectlon 7031.5 by any applicent for e pertnit su0lects Ihe epD�icant to e ciNl penalry of not more then five hundred dollers (5500).): ❑ I, es owner ol tha properry, or my employees with weges es their sale compensetion, WILL DO THE WORK, and ihe structure Is not intended or oHeretl far sale (Sec. 7044, Business antl Prolessions Code: The Contractore Licensa Lew does not apply lo en owner of property who builds or impmves Ihereon, and who tloes such work himself or herself or through his or her own employees, pmvidetl that suc� improvements ere not Intended or oHeretl for sale. If, however, tha bulltling or improvement Is soltl wit�in one year of completion, the ownar-builder will have the 6urden ol proving Mat he or she did not bulld or impiove for purpose ot sale.). � ❑ 1, as owner W the property, am Ef(CLUSIVELV CONTRACTING WITH LICENSED CONTRACTORS to construct the prqect (SecJ044, Business end Prolessions Code: The contrectors Ucense Lew does not eppty to an owner at pmperry who builds or improves Ihereon, and who contracts tor such pmject wit� e coniraaor(s) licen5e pursuenl 10 ihe ConirOctorS Licen50 LewS.). ❑ I em exempt under sec. Signature: Owner ID veAfled by drWefs Iicense. ❑ Yes ❑ No Business entl Professions Code tor this reeson: Verilketlon of Ownership by (type of Aocument, i.e. - properry tv� bill or deed): OAvefs LJcense No. Data: Explres: DIVISION OF INDUSTIiIAL SAFETY PERMIT CERTIFICATION: ❑ I nere0y ceNty Uet no e:cavaUon fNe (5) or more feet In depth into which e person Ls reqWrad to descend, will be mede in conneciion with work euthodzed by this permit, and the� no building structure, scaHolding, falsework, or tlemolillon or dlsmflntlinp t�ereoi, wlll Ee mora than thirty-si: (36) feet high. (C�ep. 32, Grp 2, Ar12, Sec. 341, Title B, Callfomia Administretive Cada). ❑ As owner-0uilder, I will not employ enyone to do work which wauld requira e pertnit trom t�e DMslon of Industnal Setery, es noted flbove, unless suc� pereon hes e permlt to Eo sucti work trom the division. Signature: Date: Division ot Indusinal Sefety Pertnit Number: CERTFlCATE OF COMPLIANCE AND AUTHORIZA710N OF ENTAV: I cerlity under penelry of per�ury that I heve read ihis epplication and stete t�et ihe Inlormetlon glven is correct. I egree ta comply with ell stete lews and clry ordlnances releting to buildlnp conslructlon, entl euthorize representatives of the Ciry ot Coste Mese to enter upon Ihe aDove-descdbed property lor inspecfion purposes. I agree not ro acupy ar ellax occupancy of eny bullding euthonzed by this pertnit until final inspectlon. Slgnature Of Legal Owner(s) AnNOr Authonzetl Applicent [�h77�1�CFilidlFP.ii1i� 1678 Fixed SySlem Flnal Fire Prevention 1268 Pool Spe Final 200 Finfll Re-Roo1 201 Finel BIocWReteining Well 202 Final Feqory Flre Place 203 Finel Slpn 204 Final Demolitlon PAIE It�.�l65 COOEt INSPECTIONTYPE 206 208 210 212 220 222 250 Finel MeManlcal Final Plumbing Finel ElecMwl Final Fire Preventlon Final Plenninq Approval Finel Site Final Building/Occupancy PAIE It�4fl (714) 754-5273 • Fex (714) 754-4856 • www.ei.costa•mesa.ca.us 77 FAIR ORIVE, COS7A MESA, CA 92626 BUILDING PERMIT Job Address: 570 W 18TH ST Suite: Vicinity: ROOF, RESTROOMS Primary Occ: Parcel Number: 42425101 Applicant: LUIS SOLANO Address: 19027 W HAMILTON AVE .- Type o( ConsWction: V-N Zoning: Slatus: ISSUED Applied: O6/24/2005 issued: Os�2a/2o05 ' �/� : �� - � " Phone: 31032&6969 _ GARDENA, CA � - . ' ' � Zip: 90248 � � , � , �, ' � �, . . �� Owner. COSTA M6SA PARK & RECREATION DIST � '' � � � � � Address %ATTN MARILYN ABARBEH � � �� - � COSTA MESq, CA ' � , Phone: � � . ' . , � "PO BOX 1200- , Zip: 9282&1200� � . . - Contracror: BEST CONTRACTING SERVICES INC �. -� Address:� 19027 W-HAMILTON AVE � � � � � � - '� Phone: 310-328-6969 � � GARDENA,CA - . . .. � .� Zip: 90248 License:� 456263 Arch : Address: . � - � � Phone: Eng: •- -, Address;° �� i . , , Phone: Zip: -' License: A License: ' � '� SCOPE OF PERMIT .. � � �� ` INSTALL ROOF OVER EXISTING LAYER, NATIONAL COATINGS POLYESTER FABRIC AND ACRYLIC COATING POR'CITY OF COSTA LIONS PARK". 1700 S.F. RESTROOMS. � Plan Check: $0.00 Permit: $0.00 SMIP Res: $0.00 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $0.00; ,�� - � � � SETBACKS �. � �� MAIN STRUCTURE�Front , 0. 0� � , � � �� `_ ACCESSORY Fronh 0-0�� PARKING Existinq: o � FEESUMMARY, P � , Rear 0- 0 Calc Valuation: s�e,ses.00 Claim Valuation: ' S�s,ss3.00 . '�: :. �_: „ .'% '� , : �nNw, , .- i,� � ,. -.- � Left 0- 0 � Rear 0- 0 �' LeR . 0- 0 Required: �p � � , \_\..Prop05Cd: � � _- � _ ..__ _��= � _ , ,i Rign�: - ao" , , Right _0;0 " , i i 1 �� / NOTICE: The work authorized by this permlt shall comply with all appllcable handlcap access requiremants under Ca�ifomia statutes and retated regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permlt shall automatically expire and become void it work Is not commenced within 180 days, or If work is suspended or abandonad tor a period ot 180 days. INSPECTIONS: In order for the work authorized under this permit to be consldered legal, such work must comply with all applicable codes, and all requlred Inapeetlona and flnel epproval must be obtalned. Fallure to obtain Inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 zaaa+e�emo� WORKERS'COMPENSATON DECLAflArON: I hereby eflirtn under penalry of per�ury one M Ne tdlowing tledarations: ❑ I heve and will malntein a certiflcate of consent to self-Insure for workers' compensafi.��as p� Cetl tor by section 3700 01 Ihe Lebor Code, lor the peAortnence of Ihe work for w�idi NLs pertnit Is Issued. � 1 have and will meinteln workers' oompensatbn U�wrence, es requireO DY �� of ihe Letwr Cade, for Ihe pertortnance ot the work for wh�h this permit is Lssued. My wotkers' compensetlon Insurence ceMer an0 policy number ere: p�� ceMa�: �.�t t/!i �.4.�/ C as �a. �- <. Co ¢�� Poliry Number. `L� • Z�"�I �,�SSSI QI CI (Th/s aec on need not be completed ll the pemtitls veW el me hund ddlars (5100) or less.) ❑ I tenify Ihat in the pertartnence of Ne work for which this pemtit Is Iswetl, I shell not employ any peraon In eny manner so as to becorne suD�ecl to the workers' compensation lews of Itlomla, egree Ihat If I should becane suqect m Ne workers' compensetlon provisions o1 Sectlon 3700 of ihe Lebor Cotle, I shall forthwlN compty with Uese pro lons. /` AppllceniSignature: �� %t%i Dete: L�/2�/0-t WARNINO: FAILURE TO SECU WORKERS' G�OMPENSATION COVEMOE IS UNUWFUL M1D SMALL SU9IECT AN EMPLOVER TO CRIMINAL P TIES M!D CML FlNES UP TO ONE HUNORED TMOVSMID DOl1ARE (5100,000), IN ADOfTION TO THE COSf OF CdA7EN$ATION, DAMAGES AS PROVIDED FOR IN SECr10N 31a80F TNE UBOR CODE, INfERE5T, AND AT70RNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby efllrtn Ihat I em Ilcensed under p lons of Chepter 9(commendnp with Sectlon 7000) ot DlWsion 3 of t�e Business and Professions CaAe, entl my Ilcense Is in full force enO eHect Uc. M S�2 � Cless q C— ComrectofsSlgnamre: ��EC� ��C��/N'C� Data: /ZS<�D f CONSTRUCTION LENDING AGENCY: ❑ 1 �ereby efflim Ihat there b a construcllon �entlinp epency for Ne peAortnance of Iha work for whicli this pertnit Is issued. (Sec. 3097, Civil Cotle). Lendefs Neme: Lentlefs Adtlres9: j Slgneture: Date: OWNER•BUILDER DECLARATIONS: I hereby etfirm Ihat under penelry ot per�ury Ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW tor the tollowing reason (Sec. 7031.5, Buslness entl Prolessions Code: Any dry or counry which requires e permit lo constmcM, alter, improve, demdish, or repeir any sirucNre, pdor to Its issuance, elso requires the eppiicant br such pertnit to file e sipned stetement that he or she Is Ikensetl purwent to the provisions of ihe Contrectors License Law (Chapter 9(commendng wiN Secibn 7000) of DMSion 3 of Ne Buslness and Professions Cade) or Ihet he w she is e:emp� theretrom e`M the basis br Ne elleged exemptlon. My Vidatlon of Seclion 7037.5 by erry epplicant far e pertNt sub�ects Ihe epplicent to a dvll penelry of not more then Me huntlreC tldlars ($500)J: ❑ I, es owner of the properry, or my employees with wages es Neir sole compensetlon, W ILL DO THE WORK, end Ihe structure Is no� intentletl or oflered lor sele (Sec. 7044, Business and Professlons Cotle: TTe Contrectors License Lew does no� apply to en owner oF property who builds or improves thereon, flnd who does such work �Imseli or hersetl or t�roug� his or her own empiqrees, proNded thet such imprwemenis ere not Intended or ottered for sale. N, howaver, the building or Improvement is sold within one yeer oi completlon, ihe ov.•nervbuilOer will heve Ihe burden of proWng that he or she did not build ar Impmve for purpose of sele.j. • ❑ I, es owner of the properry, em EXCWSIVELY CONTAACTNG WR}1 LICENSED CONTRACTORS to conSWCt the proJect (Sec. 7044, Businesg entl Protes5ion5 Cotle: The contrectors Llcense Law does no� epply to en owner o1 pm0erry who builds or impmves Ihereon, enA w�o contracls lor such project with e wntrecror(s) license Dursuanf to tne Contwctors License Laws.). ❑ I em exempt under sec. Business anA Professions Cotle for Ihis reeson: Signature: Date: Owner ID verifietl by tlr(veYs Ilcense. ❑ Ves ❑ No Drivers License No. Verllication at Ownership by (rype ol tlocument, i.e. - properry laa DIII or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTFICATON: Expires: ❑ I hereby certily that no excevatlon IWe (5) or more feet in depN into whlch e person is required to descend, wlll be metle In wnnectlon with work euthoAzetl by NIs pertnit, end tha� no bullding swclure, scattdding, telsev.ork, or tlemditlon or Oismantling theraof, wlll be more than ihirty-siz (38) teet high. (Chep. 32, Grp 2, Art 2, Sec. 347, Tltle 8, Celitomie AdminlsiratNe Cadej. ❑ As owner-builder, I will not employ enyone to Co work which woultl reqWre a pertnl� Iran the DlvLslon ol Industrial Satety, es notetl eDove, unless nuch person hes e pertnit to do such work Irom Ihe dlvision. Signature: Date: Divlsion ot Intlustrial Selery Permit Number: CEHTIFlCATE OF COMPLUWCE AND AUTHOHOA710N OF EMAY: I ceNfy under penalry o1 per�ury ihat I heve read t�Ls eppllcation end slete Ihet the informeUon given Is correct. I egree to comply wit� ell alete lews antl Gry ortlinences reletinp ro bullding canstructlon, end euthodze representetives of Ihe Ciry ot Coste Mesa ro enter upon ihe ebove-tlescribed properry for Inspectlon purposes. I egree not to occupy or allow occupancy ol eny 6uilding euthorize0 by t�ls permit until final inspeclion. �5e�ai�� "g' 6/z oe�a � 2 � An Or Autho zetl Applicant —�� e COUE /. INSVECTIOXTYPE 1818 Fixed System Flnal Fire Prevention 1288 Pod Spe Flnal 200 Flnel Re-Roof 201 FIneI Block/Retalning Well 202 FZ�k] Flnal Fectory Fire Place Final Sign 204 Flnal Demdition �.� Wm"' �� ,►1.�t WDE� Q{SPECTOXTIPE 208 Fnal Mechanlcal 20B Finel PlumDlnp 210 Finel Electricel 212 Finel Flre Preventlon 220 Final Plenning Approval 222 Finel SIIe 250 FInaIBulldinplOaupency � �� PflOJECTADDNESS: S%O N 18TH ST OWNEfl'S NAME: CZTY OF COSTA MESA ROOflESS: P O B�x 1Z�� COSTA MESA,CA 92626 ANLNIENGINEER: RUUNESS: PEHMITTEE: FOOXESS: M COBH FAIR DR �U�L�. CA.9' e y al irm 1 ai I am Iiunse0 unEer pmnsions UNIT: flEG.NO.: UNIT: (714)495-2482 fC7o(er 91c m i witRSeclion 7000� o� Oivision 7 0� �he Busineu an0 Prolessions Code. antl my I¢ense is m �ullfome antl euec ciTr��c.: 054056 STAIELIC.:480 cuss: C_27 Date: � —� 1'1 � Signa e: — . _ _ _` ' _ WOPNEBS'COMPENSpiIONDECIANATION: I�ereGya tlhaveac ititaf¢O�cOhunt�oSelbin5ureoracerli�icatpolWorker5' Campensation Insurence. or a ceniliea cooY �neBol (�ction 38 . POLICY NO.: E%P. ORTE: COMPPNY: � Cenifie0 covY is nereby tumisne0. ❑ CenifieA copy is ��led wlth ihe ciry BuilUing Oivision. ,ate: MGficam: E%EMVfION FPOM WOHNEPS' COMPENSRTION OEClAi11i710N: (Tlik sectim nreG mt Oe artpitted ii Ihe perml is r on � Ma � or kss�. I certily tnat in ine pedorma�e af ine wark for wnicn mis •rrttil is 65ue4 � s�a�l not em0�%' n p¢ n in ny m n¢r a5 betome suble�� o tne Workers' Compensation Laws oi Califomia. Date: 4 -� —q� Si nawre: ` NO7ICE: II. alter makin0 this tleclaration, you �a oecome su � ct to Ine waders' Com0en5ation pmvisions ol ihe Laoor Coee. you must lonllwitn complY �+�� sutn prOvi90 � 1 shall be EeemeO revaketl. CONSTBIlCTION LENUING PGENCY: I �ereGy atfirm Itwt I�ere is a con5tmctian lentling aqenty tor the peAormance of ��e work �or wAicn Inis permi� is issuea (�ction 3097. Civ. CI. LENUEN: aooxess: CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: E 053684 PLAN CHECK NO; N CONSTRUCTION TYPE: PERMIT TYPE: ELE PERM NO; E 053684 GOVT: Y SUPP: N PURPOSE; OTH JOB DESCRIPTION : LANDSCAPE MOISTURE SENSORS SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: A-2 / COMMENTS• LANDSCAPE MOISTURE SENSORS *�***x�*******�r**+e**�r*��e�r**x�x*x�****x�**�rx�******�r**�r+r***�r�r�********�*�r******�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 BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT ZN LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT; FT IN PARKING REQ• PROV; PARCEL: 41935101 2NE: REF NO: PLANNING Nf5TE5> i , *�r�e�r*�r�r****�e�r*�r�e�e*�r��x��r�r*�e�e�r*�r�r*�r�r�r*�e�e�r�e�e***�e�r�r***x**�e��r+r�r��r�r�r�rx�r*�e�r+r�r*�r�r�*�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 ZONING APPROVED BY DATE; BUILDING APPROVED BY : APPLICATION ISSUED HY� �f iF1F �f If iF �t if if ±f ±f af iF if M iF M k iF if k M iF�tklf�flFlF�titif±FMMifiFMiFkitkkM LEGALIZATION:N — � DATE: �— DATE: o U � 9 1f�f�flEkkfFlfkiE kiF 1t�f�F�F1f{ iFitlFififiF�F�fiflflfifklFkikMififitiFlfiFlEkkMikiE1t1f1lffkiEifMkiFifiFif�f F B S U M M A R Y STRUCTURAL SEGMENT:N OWNEN BUiLOEB UECUMTION: I hereby affirm thai I am exemD� ��om me Comracmrs' State License Law lor ihe lollowing reason BLDG PMT PLUMB ING ELECTRIC MECHANIC FIRE SMI P/RES GRADZNG �Section 70.7L5 Business antl Professional CoUe: Any ciry ol counry wNc� reduires a Oermit ta constmct, alte�, imprave, Eemolis�, or PERMI T i i. � 0 reoair any slNclurt, o�ior to ils �ssuance. al5o repuires ine applitant br wth permil to lile a si0�� statement tlut hUslle is licensea Dursuam �o Ine pwvisians o� I�e Comracmrs' Sta�e License Law (Chapter 9(wmmencinp vnl� Sec�ian 7000� o� Division 3 0l ��e Business S Q Z SM I P/NON—R ES ane Pml¢55i0n5 COOe� or ��al Ile/51iei5 ¢xempi I�ere�mm an0 Itle Ua5i5 tor III! aIlEO� ¢Kempiian. My vi01ali0n ol 5¢tli0n 7031.5 by Pj�]{�j any apWicam �or a ce�mit sue�mts ine a�am ro a rivii ce�ity oi irot mom tnan iive nunereu awwrs �55001. ISSUE FEE 1 S. �0 i, as owne� ai me o�openy or my em royees witn waoes as meir swe comaensation, win eo tne work, ana ma BUILDING—DIV—> PERMIT ISSUE PLAN—CH$CK TOTAL PAID DUE ❑ svucture is nat �ntenaea or oaered �or sate 1�� 70aa. Business anO Pro�essional COEe: The Contractors' Sute �icense �aw TOTALS— ---> 0. 0 0 0. � 0 �, 0 0 �, � � , D O , � � aoes nol appry to an owne� ol a o�openy wM Duilas otimprwes I�ereon. ana wllo JOes sucn work himselflhersell orinrouph �i5 ar �e� Own Employees. OrOvNeO ttui wN im0�wement5 are nai mimJeJ a o�ieietl bt u10. I�. Irowever �he Ouildinp or ior��nee0u�rposeol�sa¢��noneyearolwmpletion.�heownervall�ave�heburGenofO�odnq�e/sheEidnatEuilUorimpmva REVENUBLDGVPMT PLUMB NG ELECTFiICOMECCHANI� FIRE �SMIP�/TOT/SG�RADING PLAN—CHECR I. as owne� al me pwpenp, am exclusively wmractinq wiih licensea comraclors to consimct the O�olect (Section 70e4, Business ' ❑ ana Pwtessions CoOe: iha Coniractors' State Licerrse Law Ooes mt appy to an mmer ol Oroperry vAro bwl�s or impmves tAerean antlw�ocOniracl5for5uc�prole��swil�aconVaclor(5�lic¢n5epur5uan1�olheConVaCI0r5'StateLicenseLaw�.lamaware ******************************************************************************* Ihat Dmol ol Neir Worker's Compensation insurance s�ou10 be p�OnCed to ma. p i ai�� e�emo� ��ae� secuo�. e. s P. c. I N D I V I D U A li F E E B R E A R D O W N �orimsreaso�: TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST Date: �^'^ef� I eo nereoy cenily mat I am aware ol antl unaerstanE me reQuirementt oi Calilornia Healtn ana Salety Cotle Sections 25505, 25533, an0 ELE 1 M I SC APPARATUS NOT L I STED R EQ P ERM I T 11 , 0 0 i i. 0 0 255Ja antl inat I or any lumre Omleing occupant wilUwill not Icirtle onel nee0 to comDN ��h uia state coJes antl ihe reQuirements for a END OF F'fiES permil �ar cOnslmC�ion 0� moAilitation Imm �hE Air Oualily Manag¢meni Oislntl. flBS�Eeniial ConSVutlion aODlicalion5 are e�empl �mm IIIMP O�ONSi0115. Oale: NpP6Cdn1: I M1¢�e0y C¢tlily I�ai I INve tea0IN5 applitaiion antl 5Ia@ lM1di I�e aEOve intOrmali0n 4 QiainancesanUSlalelawsreh�ingtoUutlamgcon5lruciiw nanereWautnor¢erepresmu properly lorinip¢euon pueposes. Dale:'� '3 ' S ` Si awre: Drive��s �icense oi Sacui Secuniy a: i69Pa6 WM1ne—Builtling; Green—Cotle Enbrcement: Canary—Applicant: Pink—Pevenue: GWtlenrod—Assessor 41 �GQ9h?2_—C!'�i8?�� = �'L .'-� OATE: U?/0�:9? T;Y"c� ,?:�? CONSTRUCTION ANDPLANNING � _ � POOL 'A APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector �1. Temporary Electrical Servi�E or Pole � 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. c 53. Steel Reinforcement �v3!iE�trical Cond wiAlity-l�ndrgmd. 54. Forms ob. tE�CGtrical Cond4�rj;k�3drgrnd. 55. Etectrical Bonding 3^�:'� �Fel Reinforce"' 56. fiough Plumbing & Pressure Test s n 0�_-.6j�c6'fg,'ttrical UFEf�G�i�. � 57. APPROVAL TO COVER�GUNITE `� v t:i-Q3oatings C��-+tH a 58. Electrical Conduit•Undrgrnd. a FL Foundation �C� .'" 59. Gas Pipe, O Undrgrnd., Test " 0 {1U Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 1 t. Prmperty Sewer Lino$ Ho�e Connection 62. Backwash & Receptor•Final � 12. S�er Cap �✓ �^ 63. Heater & Vent-Final ' 13. Roof Drains ro � � 64. Plumbing System � Final 14. Rough PlumbirV�' �- = � 65. Electrical-Finai 15. Rough Electric3a;Conduit . � � 66.� Solar System-Final 16. Rough ElectricQNiring " - 67. Fencing & Access Approval 17. Rough Wiring Siyn • 68. APPROVED FOR PLASTERING 18. Rough ElectricaxT 8ar Ceiling 69. POOL/SPA SYSTEMS FINAL 79. Rough Heating & Air Conditioning . FIRE DEPT. REQUIREMENT 20.�$0� @.Cto'p'Fitejnlace itXc=; S`, +� p p tr'.�:htqppROV,4l�7Sub�er�it# _ �'� r " !' T > : Q ^ M . 1� * �['"�'."'� %CS :( r! :-t H�( F T s 7, I t :T� 21.�uc��, i.vStru'ctur�M i•• •- HS x s d Hw x�0. llnderg�q�Hy�ro x 22. �Duqs, el�til�ting-:e. i C�S �� S�5.� a�i. Producff��ing C:�QUs ❑�0i1 23. �as � PeRto ' &'7€st � � • tr' � t ,• �_ K � � r, � r � tns x: t� tr y Ox r;-%2. Undergr�'t�cl FI�� F 24.�Ro Framing. �* i;�g. ``�-". *� O tr' *��3.slJndergmd�Stora�'�ank�Gas ❑Oi+� �� 25. Ront�Sh"�thing d* E N x;,7 ,m, p LUx�a. �aC-0�erheadaydro�- M 7� � N:r i2 v�: a� .7 > Nk.:x 26., -BdryCeiling (Str`tt,e�ural) & paocoat * � G nt.� x 75.CDry Chemical � »: r+ q F 27. �Frame and Flashit�M 'A � �~ � �`� �` 76r'Dry Stanc�p� � D � S M.�,�, a:a al�tC :}: o' Y tDx x 8.`tiathing Sidingpx:� �a',�. tx xS ••x:� 77.='FIXEDSN6SEIVhF5NAL* � �t >29. Insulatio� n%'" U '" "." = '.��. �`� � x a 78.y IRE PflEV. FIf�A� 'y��. �y. `T v � i 0. Drywall iling �� J Y: � �[ +.-c k1EALTYiQEPT.�vREQ111R ENT 1. Plaster B wr}.�Co y i rrrr � �; �79.��INAL If�P�CTI�I � V a N [�1 �+_ x 1� F M v* N 'w - ;.32.�lectricay'ow2r (��final i y: N ,�.0.�¢OOD CE IFI�`py�'E ISSIi�D ,S 3.`,ina7'EI' ri � C� t tr' �� DI "`IJo�s: a' '7E � C � ac� �,- � '!! , ,-- .�h .[�] � �-: O ;n I H F-i i `. '-1 N i♦ �. �'�4.�ina�He�t,ing. �if�o�^rlditio�iayS n x I .�:� u; •r� •S .'1x * S' �-+p 35.[Ain3HGaKPi�:TestM �b * I ''. r�9+ c1 t*,5 MlT' � n n+ x N 1 �.r. 7 . C i7 N �. Y r ;�6.'�Yoo�or�anoPY � � .. X �. y' i� • . � �' � t M "7 s i: ;l � : �: � $ O :i M �37.�6inat�FaCorv FirePt$de' � S['�' y :�lr, .* s, Ct a� c�c*t - ;z ti. ON 8. Fin Plumbin �� "'v x a a_ i � �. ji7 9 * N i � :� � k Y: ;� r+ x: w o' i99. Watef;Service�Final:� � � --i 7. � x � � !l [� � t� � I � i :s Y� 'Y. S a: G: ;. . :}. • l: H �0. Gas Service�Final *� ��r � .� � r: * Oo oN z F 211. Solar pomesticFinal: s :l� .•• * Os ' x 6o r+ r : ,� H:� * E42. �acktlow Preventer�" �v �` a �.': �� '� .w, N :R t:' x � >:-' Y G ri 43. Backflow Irrie,�3tion� �� SS i� Y •F � �H �k O � '-' �. w x N i �: Cl �4. Landsca�e Ir�patio�`.Systemmaa '" --� H Y*` { k' � h� [�1CJ �: a[� � C� %Y t� �S (U S.:C; x. N O 295. t$ound AttertDation% � F f� � T_ F F �� Y� ^ �' �-+ b' �� ' H.. 1: f[l M }. .t. !.� S l7 Q• :� e- l. G S S tT7 .. ..Y: � 7 � i r�• ..�-� F iA6.hlandicap`'Regulatio�l3 ,� � � .:.K� u; S Co S M 47.;FIN�yL STRl,1�TUR�E & BUL DING t� � � �.� "�" �= T x F 48.,��F'INAL PLAIV�IING�` ��`' '' � I {i ' n' �' u v 'n � F f+ .s. N h� .Y [*1 t�: '�" � c� .�19. �lece,ic Release to 6dison i � ( � r g �i; T a � w 1 I a� M f e-1 ��50. yGas Release to Sout�"'em Califbrn�a,�Gas Co .°i' � ( -� 7�.s., � �• cr �r O~ . '51. CERyTIFICATEOF, CCUPAN � ..� � �= i�o x p �� No. Date AOO��ant to fill in ail FITY OF COSTA�MESA CONSTRUCTION PERMIT ONs OW�er � qddress ' - Avch/Eng. . ,�_'__ - ' e I . witltin heavy portler lines antl sign all app�oarlate tleclarations. TRACT'NO. LOT NO. BLDG. NO. l� o � 6- �' � d TVPE OF CONSTRUCTION Pho e ❑ NEW ❑ ADD ❑ ALTERATION � ❑ REPAIR ❑ CONVERSION� ❑DEMOLISH Licens¢ No. � OTHER . � . _ DESCRIPTIONOG,WORK i`"- Cpntractor � - Phone TYPE OF PERMIT �v AOdfess ` V r ❑ GRADIN ❑ FOUNDATION O STRUC7URAL v LIGENSED CONTRACTOR DECLARATION � ❑ TENANT I�ELECTRICAL ❑PLUMBING ❑MECHAI � I hBreby affirm th:.t 1 am IlCensetl UntlGr provi5ions of Chartar 9(com- � • m¢�lNng with seclion 7000) 'of DlviSion' 3 of 'the' BUslness antl ❑ OTHER Rofessions Cotle, a my Ilcense is In tuu force an_ a etfest// pROJECT DESCRIPSION Lit2�s '�as�� D LiCens No�• . �. Q Date Si9nature � � SQ. FT. WORKERS' COMPENSATION OE LARATION OCCUPANCV_CONSTRUCTION 7VPE � � hereby affirm that I have a cer itate of consent to selhinsur¢ or a VALUATION ZONE C¢ft�tiCdtB Ot WOrk05' CompensatlOn InSulance, o1 a celtifietl copy the�eot (Sectlon 3800, LaD. CJ. GRADING CV. VDS. ACRES ^-qcy No. Compa�Y :ertlfietl coPY is hereby furnishetl. � ' REMARKS: - ' � . - Jertifietl coPY I5171ed with tbe�city Builtling Divislon. . EXEMPTION FROM WORKERS' COMPENSATION DECI.ARATION - ' - ' �(Th�S zection.neeC nOt be Completetl if.tha pe�Tit I5 tor o0e.huntlrGd .. . . . , iE140) or 1e55). �' ' � -- 1 Ce�tify thaLin the p¢rtormanre of. the work tor which this p¢rmit IS issuetl, 1 shall not emPloy any person In any manner so as to become PLUMBING L PLAN CHECK 5uD}ect to th¢ WorkBrS Compensa 'on LawS of Cdlitornla. - . Date�--�� Signature BATHTVBS SHOWERS NOTICE: If after making this tle ratlon, you snoultl become subject TOILETS ' VRINALS �� to th¢ Worker5' Compensa[lOn pr izion5 ot the Labor CotlO, you must � . forthwitn comply with such provisions or this permit shall be tleemetl LAVATORIES DOUBLE LAVS - revOketl. - . _ " . _ . _ . . . . _ . . . COPoSTRUCTION LENDING AGENC`� KiT.51NK5 DISHWASHERS I hBreby atfirm that there is a constructlon lentling agency (or the per- SERV ICE SINKS SVMPS ` �� forrnance ot tne work tor whlch [his permit is Issued (Sectlon 309] Civ. C.). ' FLOOR SWKS � FLOOR DRAINS � - Lentler'S Name Lentler's AOtlress �RINKING FOUNTAINS � - [he : Law fo� n5 CoOe: :t, alter, :, aiso re- Ihat h¢ e ot more tnan nve nunarea aouars �sauu�. „ as owner of tne property, or mY employees wi[b wages as their sole COnlpen5d[ion,.will tlo tM1e work, antl the st�ucture is.not Intentletl or Otferetl for ule. (Settio� �044, Business antl Protessions Cotle: The Con�/acto�'s License Law tloe5 not aPPly to.an Owne� of a p�Operty. wh0 bu11d5 or improves tnereOn, antl who tloes sutfi work bimself or throu9h hiz Own employeez,.provitletl thdt such improvemGOtS d�e not In[ePtletl o� Ofteretl fOr sal¢. If, howeve�, IhG bailtling o� im0�ovement iz so�tl within one year of comple[ion,.the owner wlll have the.burtlen p� proving h¢ tlitl not builtl or imProve for thC purpo5e of salej. ❑ �;- as owner of lhe- property, am axclusively contrac[ing wi[h ticenseti contractors to wnstruct the prole« (��tion 704A, Business anB �ot¢55Ion5 COtle: The'ConbactM'S Lic¢nze Law tloes nOt aPpIY to an 0�`/�e� of pvoperty wh0 builtls o� improves ihereon, antl who mn- 'tfacGz'tlOm suCh projects with a-co�trattor(s) IlceSnGtl Oursuant �O Ihe Coniractor's Ucense Law). 'Q� i am exempt untler Section - B. & P.�C. foi4hi5 INTERCEPTORS CLARIFIERS SWINIMINGPOOL PTRAP - WATER SERVICE ALTERATION GASSERVICE OUTLETS � WATER HEATERS BTU OUTPUT SEWERCONNECTIONS - � � SOLARTANK COLIECTORS SOLAR PIPING SVS. ' MECHANICAL aLArv cHECK HEATINGSVSTEM 0-100,000BTU_ AND DUCTING 300,000 + gTU �_ REFRIGERATION 0-100,000 BTU_ SVSTEM " �� 100,000 + gTV _ BOILERS BTU Date -' Uwner __ SYSTEM REPAIR, AITERATION I.heieby cer[ifythat I have reatl this application antl state tha[ [he above E%HAVST SVSTEM MULTIPLE infofmatlon Is corretL I agree to comply with all Nty antl county — OrtliPanCCs antl State laws Blating to cO�St�uction, antl hereby dutho�iie representatives o( this city to ent¢r upon tB¢ above mentlonetl � property mspec}J�p _purposes. _ _ _ � � �{J� SlgnalurC 3.fLS.4��0-1'-' ._ �,� � ' �SSUE FEE - - - — - CMF 0865-46 White-BWltlinq; Canary-Applicanq Pink-Accounting: Goltlenrotl-Aszessor ZONE 3 6737 6l03/82 REAR VA0.D (TO P/L) PKG. SPACE REq. STREET WIDTH ZONING APPROVED BV SPECIAL CONDITIONS: ELECTR�CAL PLNG.REF.$ 8.00 ` SU �i IE � PROVIDED PARK FEE 0 PLAN CHECK GENERATOR �0-1 KW__1-30 KW _ TRqNSFORMER � APPLIANCE 30-50 KW_50 t KW'= MOTORS Od HP_�]-10 HP-_ (INC.SOLAft) � 30-SOHP SO+HP_ FIXTlJRES pVTLETS SWITCIiES GAS TUBE SIGNS ' " ' "" POLE LIGHTS - " - ' � " PANElS � - � MAIN � � SUB � SERVICE - AMP �j��(T�� \ � i� t� ... _ o " ISSUE FEE - ' - ' ' - APPLICATION APP{iOVED BY - ' -DATE SUMMARV OF FEES� ,_ ' BUILDING' " ' -' ' ' - ' - ' PERMIT_ E SMIP S' _ __ PIAN CFSECK b • PERMIT � . - ' - ISSUANCE S - PLUMBING S - " � - GRADING E � � ,PIANCHECK .$' ' - � , � ELECTRICAL S � �� , , � � S PLANCHECK g - M�CROPIWIS' �MECHANICAL S - - -� TOTAL FEE $ � ' PLAN'CHECK"5 "LE55 AD- . _ VANCEPC S_ . _ . FINALFEE § '��O r �: CONSTRUCTION AND PLANNING (j � , �� POOL & SPA "' . , ' � � - � . APPROVALS Permit# � �� ate ��SPector qppROVALS �Permit# � - Date .,�Jlnspector _�. 1. Temporary Electrical Service or Pole - 43. Pool & Equipment Location - -•^---�•• - • •� -- � 2. Soii ipe-Undrgrn' � 44. Steel Reinforcement �• - -- •� -- �-- - � - ---- � , 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding ' �� . tee ein orce 47. Rou h Plumbin Si-Pressure Test � . . ....--' - - . ..... .. . . 6. Electrica� UFER Grn 48. APPROVALTO COVER-GUNITE - 7. Footings - � � 49. Electrical Conduit-Undr rn � - - . 8. Foundation 50. . Gas Pipe, ❑ Undr rn, Test � . 9. Water Pipe-Undrgm 51. Backwash Lines P-Tra "� -�ndr rn �� - � 10. Structural Floor System 52. APPROVAL TO DECK " -' " " � - � � . � i t. Property_Sewer Line & House Connection 53. Backwash & Rece tor-Final � � 12. Street Sewer Connection • 54. Heater & Vent-Final 13. Rough Plumbing � ` 14. Rough Electric-Conduit 56. Electrical-Final • 15. Rough Electric-Wiring ' �- 57. Solar System-Final � 16. Rough Heating & Air Conditioning - • encing & Access Approval 17. Ducts in Structure ' - APPROVED FOR PLASTERING � 18. Ducts,Ventilating _ ' � - ,,.,._„�__ , , , � 19. Gas Pipe-Rough & Test 60. POOUSPA SYSTEMS FINAL � � - .� � 20. _.Roof framing. -_ - � - • � ' 21. RoofSheathin' -- �" � � � ' � � � � .. 22. FrameandFlashin ' � - NOTES: .� 23. Insulation - � � ' 24. Lathing & Siding - � 25. Drywall Nailing ' � ' - � � 26. Plaster Brown Coat � � � - � � 27. Electrical Powei MeterFinal ' - � � ` - � 28. Final Electric � � � � 29. Final Heating & Air Conditioning _ � �� 30.. Final Gas Pipe-Test ' ' 31. Final Plumbing � - - 32. - Water Service-Final ' � � � - 33. Gas Service-Final � ' 34. Solar pomesticFinal � ' 35. tandsca e S rinklin S stem - - � - ' 36. Sound Attenuation - � � 37. Handicap Regulations � 38. FINAL STRUCTURE & BUILDING � � - -� � - � � ' 39. Special Requirements Completed " ' � � - - " ' ' 40. Electric Release, to Edison - � � - - - - - 41 . Gas Release to Southern California Gas Co. ' 42. CERTIFICATE OF OCCUPANCY � _ � No Date ' + � - � _ - - - - ' . . _ " . ._._'� - - -• 1 � Applieant to fill in all spaces CITY OF COSTA MESA � , pER�iT rv0� �� . CONSTRUCTION PERMIT . ProjeCtAddress ��%n W. 1ST�H STREFT f(1STA MFSA,'fA� /+avi4a�c'snna�nny4ddress. 42g31• SIERRA HTGHWAY Ovaner'sNarne S..ITY OF COSTA MFSA rhone ��+4—F4M � add.ess 77 FATR DRTVF Arch/Eng. nAI F KAR lAI A R ACCf License No. Addrass' Cont4actor'sNamr�OXTN FI �RT�� • Phone� Addr@sslmailingl� �_II...� �TERBA HTGHWA.X., LAN�'ASTER Cicy �icense No. �Z�R'2 � UCENSED CONTRACTOR DECLARATION . ' ' 1 nereby attirm that I am licensetl untler provislans of,Cnarter 9(�ommencing witn q¢��on 7000) of Dlvislon 3 0� the Business antl Professlons Cotle, ana �my Ilcense is in f II{ ce antl effect � lJren=o Cla s �-+ �cense '� Date Signature � 'NORKE 5' C M.ENSATION OECL I - � hereby aHirm tbat 1 have a certi0cate o co t' s r�facJ �`NOrk¢rs' Compensation Insura r r fie o y thareo/C( ection �3800, �yb. . aoucv rvo. �93 comoanv FNTFRPRTSF TNSIIR. �erti'i¢tl c�popPyY��ss fi�etlbwith Ihehdt�y Buil i' 9 iv n. Date //�7'7 Applicant � E%EMPTION FROM WORKERS' COMPE I C Vl' G�J '(This S¢ctlon neetl not be mmpl¢t¢tl it tha i o 4! � less�. I cerqfy tha[ In the Oe�fo�mancn of the o�k � WI U this De�m�t is Iss etl I shall not employ any person in any an so as to become sub�ect to t{�e Workprs' Compensatlon laws of Califo . �Date Si9na[ur¢ NOTICE: If,iatter making Ihis tletldratlon, you shoultl become Sub�eCt to lh0 Worke�s' Comp¢nSaUon ptovi5ion5 ot the Labor Code, y0u must torthwilh comply wlth such prov(sions or � tnfs oermft shall be tleemetl revoketl. CON$7RUCTION LENDING AGENCV " 1 hereby affirm that there is a constructbn lentling a9ency tor the performance of t�e work for wnich thls permit is Izsuetl (Section 309� Civ. C.) LentlCr'S Name Lentler's Atltlress OWNER BUILDER DECLARATION I her0by af/irm that I am exempt from tho Contrac[or's Llcens¢ �aw for the folloWin9 reason (Section ]031.5 Businass antl Protesslonal Cotle: Any clty or mun{y �yhich requires a permit to Construct, alter, improve, tlemollsn or repalr any sVucture, prior to Its issuance, also reQWres the applicant for suth permlt to tila a zlanea statammt tnat he/sne is licensetl ourzuant to the orovisions o� LJ I, as owner o( [hi compensation, will tlo tor sale (Section 704 Licens¢ �aw tloes not thereon, antl who-tloE employees, proviaed t sale. I/, hOwever, the I pl¢tlOn, Ihe owne� wll �rov0 for lhe purposa i �, as ownet of Ihe tractprsto construct U The Contractor•s Llce builtls or ImO�oves �n t�actbr(s) IlCense putsu ❑ � am ezempt unEe� Date or the allegetl ezemOt�o�. AnY violation o� Secuon [ fo� a pe�mit Subject5 the ap0�icani to a clvil 7ve huntlretl tlollars (5500). - rOP¢/ty or my emplOye25 wilh wa9es as Iheir sole work, antl the s[ructure is not intentletl or otferetl Bu5ine55 antl Profe55ional Cotl¢: The Contrdctor's ly to an owner ot a property who builtls or Improves � �ch wark himself/h¢rself o� throu9h nI5 or he� own sucll Implovements are nOt Intentletl of o((aretl f01 tlin9 or improvement is soltl wi[bin ona year of com- .ve the burtlen ot provin9 he/she tli0 not builtl or im- �lej. perty, am exUusively contractlng wleh Ilcensed con- � roject (Sectlon ]044, Business antl Pro�essions Cotle: Law doEs not apply to an owner of pro0erty who � m, antl who contracts for such projects wlth a con- to the COnt�aGto�'s lic¢a5e Law). :tion B. d. F. C. f0� th15 reason Owner aCove iances reDra- y far VERSION ?TION OF tnosa within heavy Oortler Ilnes antl si9n aIl avvro0��ata tleclarations. NEW ' AD� ALTERATION .REPAIR SH ❑ OTHER TVPE�OF PEflM1T DING LJ FOUNDATION I_I STRUCTURAL ❑ TENANT ELEGTRICAL ❑�PLUMBING ❑ MECHANICAL O OTHER PROJECT DESCRIPTION Sq. FT. � OCCUPANCv_ CONSTRUCTION TVPE VALUATION $ ZONE GRADINGCU.VDS. 'ACRES_ Remarks: �v/� ��7 � Prevenrer Irrigation Clarifiers Drinking Foun[ains Floor Orains Floor Sinks Gas Servfce Outlets I nterceprors Kitchen Sink Lavatories P-Trap Roof Drains Reinspection Fee $25 Duct - Under Ground Duc[- Structure! Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO � Heating System & Ducting � ❑0.100,000 BTU 0100,OOOBT' ""'-...._.. . .. . . ._' _ i. -_- _._'_'___.___ " ' � fn5p4clio � 519�eCur Date �Drivers' nse or 55 � Reinspec[ion fee CMF 0865-46 rev. 12/03 � White - Builtlin9: Canary - Ap�licanl: Plnk - Accounting; Goldenrotl - Assessor $25 Showers Service Sink Sewer Cap ' Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heacer Water Service Issue Fee Hood or Typel ❑ Canopy Typell ❑ 7efrigera[ion System �aioo,000eTu ❑ioo,000 Systerti Repair/Alteration Issue Fee S 3 FEE $ 3 r 71.P. �h S Main Building: E T Front A Rear C Right K Left - ' S Ping. Ref. # Parking ReqJProvi< Use of Building: Planning Notes: Automatic Washer Constructi0n Pole Cooking Unit Dishwasher Dryers ❑Gas ❑ Fan - F,q.U. . �oiso7�cr,.,. ' � 6953 8/23•/L4 ' ,QC Ga . - 2on8 . ' • . � Actessory Building; � 2 — , O N _ I N . , G � R E . Park.Fees $ - . � U , � . R E . E ' N � . , T ELECTRICAL . Tronsiormer ❑ 15-50 KW ❑ S0+ KW Meter ❑up to 100amps' Meter ❑over100amps Suh Panel Motors �a1 HP 01 h- 8 InaSolar �9�15 HP �16-15+ : A4ia�ewa� Device Boxes Pole Light Outlets Range , SWIIChQS Garbage Dispoul Generaror �0.5 KW �575 KW Standing Sections Trash Compacror I Reinspection Fee I$y5I Issue Fee PUBLICSERVICES REQUIREMENTS: 2oning APPravad BY . Building Approved 8 � / � SUMMARY OF FEES G P SMIP $ _ ` � PERMIT � UM BI�G ISSUANCE $ — ;�D PL�f CH CK ENERGV P.C. $— \��EC�'RICAL •�r1� GRADING $ — �pLANCHEC 50%'$ MICROFICM '$ _ ' MECHANICAL � $ � . TOTAL FEF $ _ PLAN CHECK 25% $ . FEES $ 3 1 CONSTRUCTION AND PCANNWG - " POOL .;PA • � �� - :APPROVALS Permit# Date Inspector qppROVALS Permit# _ Date' Inspector� ,. - �1. Temporary Electcical Service or Pole.� �' 52. Pool & Equipment Location � , �, . . 2: $oil Pipe-Undrgmd. - 53. Steel Reinforcement� � � � 3• Electrical Conduit Utility-Undr9rnd.' 54. Forms ' 'i �• 4t 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-Undrgmd. ` 8. Foundation ' . � . 59. Gas Pipe, O Undrgrnd., Test 9� Water Pipe-Undrgrnd. �� . 60. Backwash Lines, P-Trap, O Undrgmd. � 10. Structural Floor System �� i� �. � 61. APPROVAL TO DECK � � i l. PropertY Sewer Line & House Connection 62. Backwash & ReceptorFinal � 12. Sewer Cap .�� 63. Heater & Vent-Final � � 13. Roof-Drains � !� ,�: 64. Plumbing SYstem • Final � � � � 14. Rough Plumbing � ... 65. Electrical-Final � - ' - 15. Rough Electrical-Conduit - � 66. Solar System-Final " - - - - ' 16:� Rough Electric Wiring � � - W. Fencing & Access Approval ,- - - 1Z. Rough Wiring Sign ' -' �- . 68. APPROVED FOR PLASTERING �' � - 18. '�Rough EI"ectriral•T Bar Ceiling � 69. POOUSPA SYSTEMS FINAL . - 19; Rough'Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT ' r• _ , 20�Rough Factory Fireplace � APPROVALS Permit# � � � � 21, Ducts,�iR��6tructure . � 70. Underground Hydro � -� 22. Ducts ;Ventilating , '� � 71. Product Piping 0 Gas ❑ Oil � - 23, Gas Pipe-.Rough & Test � , � 72. Underground Flush _ - i � -24, Roof Framing- � � - . 73. Undergmd. Stoiage Tank �'Gas ❑ Oil `� � � i ; 25, Roof Sheathing � 74. Overhead Hydro � - ' - - - - - �-26, T-Bar'Ceiling (Structuraq & Monocoat ' , , 75. Dry Chemical � - � 27, Frame and Flashing � � 76. Dry Standpipe 28. Latfiing,& Siding �� _ , , 77. FIXED SYSTEM FINAL � '� 29, �Insulation ' � � �78. FIRE PREV. FINAL 30. Drywall Nailing . HEALTH DEPT. REQUIREMENT � 31. Plaster Brown Coat ' ' 79. FINAL INSPECTION � , 32.'Etectrical Power Meter-Final ' � � 80. FOOD CERTIFICATE ISSUED � � 33, Final Electric � � � SU Notes: C;! C' (�' �' � ^l!� � � ' � " CI fY QF CQSTA MESA 34, Final Heating & Air Condiiioning . �. PI111 Nnl.'� �+••r'�rnni 35. Final Gas�Pipe-Test� ' I ' - � � 1��9� 36. Hood or Canopy , , � �. • 37. Final Factory Fireplace � ; � h..QtU �I l`L g`,.'e3�� b�� ' � � 38. Final Plumbing � � � . . 39. Water Service-Final � - � � �-^ � �-� 3 �� " 40. Gas Service-F�inal � � BUlLI'IP! � D:V.� 41. Solar pomestic-Einal ' _ - ' +n •. T9. J 42. Backflow,Preven�ter � � % _ .. �b ' !. i 43. Backflow'Irrigation' � ; �0�1"t`=�Illl�l�-1�131gi�16 � 44. ,Landscape Irrigation Syste'm ' � � 4B. Sound Attenuaiion ' , . � � - 46. Handicap�Regutations , � � -� 47. FINALSTRUCTURE&BUILDING � � � 4$. Special Requirements Compleied , , � � ' �� 49. Electric Release to Edison � � � � � � � � . -v. 50. Gas Release to Southem Calitornia Gas Co , , %` � � �� 51. CERTIFICATE OF OCCUPANCY _ - - � - , , No. _ ' . _Date' � . ' _ . .. . , .. , �� ■� � �---�/ �% � `i+ov��ca6i �i��paee: � .. !IIESA ��' � PERMIT NO. �'�N PERMIT ��% j �I .� \ � hnes ana sign all apD�oo��ate declar tio �T NO. LOT NO. BLDG. NO Y� . �'Q� �� p�f�'� :S'�• TVPE OF CONSTRUCTION Owner �� s.� , �-5�' phone ❑ NEW ❑ ADD ❑ ALTERATION �. �7 �� 'Addre55 ,��,. � ' Y/ ❑REPAIR ❑CONVE{iSION�CIDEMOCISH Arch/Eng. , License No. ❑ OTHER Addfe55 �jd.. , �G � DESCRIPTION OF WORK _ � F� Contractor �,c�� ' �iy3 Phone .�� 00 TVPE OF PERMIT - . .Addr¢55 � i-�y. /L 2• ❑GRADING' ❑ FOUNDATION OSTRVC LICENSED CONTRpLTOR DECLARATION ' � ❑ TENANT ❑ ELECTRICAL OPLUMBING ❑ 1 nereby affirm Ih:.t I am Iicensetl untler provisions ot Charter 9(com- - � , mencing wlth' section 7000) ot DiviSion 3 of the Business antl ❑ OTHER ' - - Professions Cotle, entl my Ilcense is in full force ana etfecl. pROJECT DESCRIPTION . Llcense Class Llcense.No. ' ' . Date Si9nature . SQ. FT. � . WORKERS' COMPENSATION DECLARATION `OCCUPANCV CONSTRVCTION TVPE � I h¢reby aftitm that I have a cerli/iCdtG ot con5lnt t0 self-insure or a' VALVHTION��ONE � Certlfifdt8 Of Work@/5' COTpensation InSuranCG, or a certifie0 mpy ttiereof (Section 3800, Lab. C.). ' ' GRADING CU. VDS. ACRES _ ".`'Fy No. ' ComPanY . . '. . • �:;'--ertifietl copy is he�eby fumishetl. - - REMARKS: ,:;�ertiB¢�'copy is }�letl vii[h Ihe city Builtlin9 OiviSion: � EXEMPTION-.FROM WORKERS' COMPENSATION DECL'ARATION ' ' ' ' (Tbis sectlon neetl qot be completetl if the permit is for one huntl�etl SE100) or less). � • - • . . . � " ' certify [hat m Ihe performance of the work for which this'permit i5 IssueA, I shall�no[ eMp�oy any parson in any manner so as to.become PLUMBING. � . �PLAN CHECK . sublec[ to the Workers' Compensation Laws ot Califomia. ,... . ' . Da(e � $I9ndturG ' � � BATHTUBS $HOWERS NOTICE: If after makin9 �his tleclaration, you shoultl become subject TOILETS � _ URINALS, 3 to tbe WOrkers' COrqpenSation prOvi5ion5 of [ha L. bor Cotle,you must � � forthwitn comply with sucn provlSiOns oi thls�pBrmit Shall be tleemeG LAVATORIES ' .,DOUBLE lAVS f; „� revoketl. . � _ . . CONSTRUCTIONLENDINGAGENCV � KIT.SINKS DISHN/ASHERS __ I nereby ailirm tha[ there is a consVuction lentling agency for [he per SERVICE SINKS ` � SUMPS formance oi the work (or wnich tnis permit is issuetl (Section 309] ''- CIv.,C.). ' , � FLOOR SINKS FLOOR DRAINS L.entler's Name Lentler•s AtlCresz' � ' � DR141KING FOVNTAINS �� OWNER BUILDER bECLARATION l .�NTERCEPTORS- �CLARIFIERS 1 hereby aHirm [hat i am exempt from the Gontractor•5 License Law for . the tollowing reasoq (5ection ]031.5 Business antl Profe55iOn5 Cotle: Sy��MMING POOI. P TRAP Any, city or coun�y'WHich �requires a' permit.to construct,.alter,' improve, tlemolisn or repair any structure, prior to its Issuance, also re- yyqTER SERV ICE . ALTERATION � quires the ap�.licant {p� such permit to fil¢ a signed Stat¢Tent lM1al he is II<ensetl pursuant to the provlsions o1'the Contractor's Licensc-Law' GASSERVICE � OUTLETS. 'Z - (Chapter 9(commencin9 witn Settion 7000),of Division 3 0� the - Business antl Professions Cotle) or [hat ne is ex2mpt [herefrom antl tne yyqTER HEATERS BTU OUTPVT ' h.�<f; for the allegetl exemption. Any'viblation of Section 7Wl.5by ' s,�'applicapt tor a pe�mlt subletts tM1e appli�ant to a civil p¢naliy SEWERCONNECT.IONS I � .,,,��"�it more tfian live huntlretl aollars (E500).' i, as owner of the property, or my employees�with wages as theic SOLAR.TANK . COLLECTORS sole compensation, Will tlo the work, antl'the structure is not intentletl or o(feretl lor sale. (5e�tion 7044, Business anU Aofessions Cotle: The SOLAR PIPING SVS. Contractor's �icens@ �,yw tloes not appry to an owner of a property � _ , . wh0 �bulld5 0� improves th¢reon, antl who tloes such work.himself or ISSUE FEE � through his own eTploy¢es, provitletl that SUCh improvements are not. intentletl or offeretl for sale. If,�howeveq the builtling or Improvement � MECHANICAL �� PIAN CHECK Is soltl wilM1in one Year of completion, the owner will have the burtlen •� of provin9 he tliA not bulltl or improve .for the purpose oi sale�. HEATING SVSTEM 0-100,000 BTU ❑ I, as owner of the property, am exclusively conVactinq with AND DUCTING - Iicensed con[ractors to construct the project (Section �044, Busl�ess 100,000 + BTV alitl Pr01<SSiOns Cotle: The Conbactoi's Uc¢nsp Law tl025 not apply to ' an owner ol,proper�y who builtls or improves tnereon, antl who con-. REFRIGERATION 0-100,000 BTU tracts irom such phojects with a contractor(s) licesnetl pursuanf to SVSTEM ' ' the Conlractor's.License•Law).y " „ . , ' ��. '.- e • '• , � . ,. . j -100,000+BTU. �� I Am exempt,untler Section B. & P. C.,for this - . � • � . - � , .. ,. . . . . BOILERS � . ' BTV � reas'on � Date �� Owner SVSTEM REPAIR, ALTERATION " I h¢�ebyGertify[hat 1 hav� reatl thi5appliW[iOn dnC state that thCabove 'EXHAVST $VSTEM"- MULTIPLE � Information is corrp�t..l agree to comply.witn all cilY antl countY o�ClndnCeS brt9�81¢ laws relalin9 f0 COnst[�ction,'an0 hereby�authoYize'' _ __ Drivers' LiGense or $S �. y T� CMF0e65-46 White-Builtling; Pi ' ISSUE FEE � ; Goltlenrotl-Assessor i�� .r .� " �` F'S� — A.P. qf ZONE � � 4_ . � , +-�_'��'` REHR YARD (TO P/L) , PKG. SPACE 0.E�. , ST.REET WIDTH �ZONING APPROVED BV SPECIAL CONOITIONS: ' . . � � .r.�- ... ELECTRICAL (� GENERATO 7 'TRANSFORMER APPLIANCE B MOTORS � �I C.SOLAR) IX . GAS TUBE SIGNS :VOLE LIGHTS POLES � - �PANELS' Z ;"'L SERVICE PLNTGp. REJF.'N' ' p PROP[IRT�VNI Nf: . .� �PROVIDED ' , PARK FEE 5 ' �ATE �'PLANCHECK I 0-1 KW_ 1�30, KW __ .0-50 KWy50 + KW'_ 0-1' HP_1-10 HP � �50HP_•50+F1P� �_ K )UTLETSL�SWITCFIES � 7 BA�-�� [ct�.D„ METERED SUB MAIN -� � SUB � ' . ' AMP ' � \PPROVEDBV ��•' DATE . SUMMARV OF FEES � [� /� S �(93,0o SMIP ' ' §' �✓/"� � b__�� 1 SUANCE, S ' P, ING�Of/ CHECK $ O� • GRADING S_ E CTRICAL' E' � $ P AN CHECK; $ ' �L.[OS MICROFILM $. � MECHANICHL § ' TOTAL FEE 5- LE55 AD� PLAN CHECK y VANCE PC S_—____ FINAL FEE S � � _ ---� CONS7RUCTION AND PLANNING ` APPROVALS Permit # � 1. Temoorarv Electrical Service or Pole 9. Water Pipe-Undrgrn 0. Structural Floor Syst� 1. Property Sewer Line � 2. Street Sewer Connect 3. Rough Pfumb'rng 4. Rough-Electric-Cond� 5. liough Elec[ric•Wirirn 6. Rough Heating & Air 7: Ducts, in Structure 8. Duc[s. Ventilatinq 23. InsulatioM1 Z4. Lathing & Sidinc 25. �Drywall Nailing 26. Plaster Brown G 27: 'Electrical Power 28. Final Electric 29. Final Heating & 30. Final Gas Pipe-T �� -�i��c r —�` --� �� .,� �� .�..� � �� y ' i i� J_ . ; .c�n v: ,, ov � � � 35. Landsca e S rinklin S stem�'- 36. Sound Attenuation • 37. Handicap Regulations � � • � > 38. FINALSTRUCTURE&BUIL'DING � 39. Special Requirements COmpleted� 40. Electric Release to Edison -� ' � qt. Gas Release to Southern California Gas Co'. 42. CERTIFlCATE OF OCCUPANCY � � " ��No.__� Date , . ■ � � !1-� . . : ..T ; :f . POG� & SPA • .. -� � Inspector APPROVALS Permit# � 43. Pool & Equipment Lawtion � 7 44.,- Steel Reinforcement � - _. .�--_ —l' 45. Forms � � ' - 46. Electrical8ondin -- -- -• ' � 47. Rou h Plumbin & Pressure Test - - ' � � 60. POOL;SPA SYSTEMS FINAL $'Zo'-Ff3 G(n�e��.¢GD �� s ['OF d < �i9 �HQ« 'L. NOTES: /_i��vz .snrit�... �._�n,_on�_.._... �I A ar e � Ri g-IS-Y3 �� aur ! �