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Home My WebLink About518 19TH ST - Building Permitsr �1 � �I PflOJECT p00flES5: S 1 H W 19 TH S T OWNEN'SNAME: GAMES PLUS ADOflESS: $�E ANCN/ENGINEEX: RDDPESS: xEG.NO.: uNir: uxiT: PEflMITTEE: WILLIAM'S ELECTRIC (714)650-4703 �' AOOBESS: S9�I HAMILTON ST C C,M. CA.92626 � 110ENSED CONTBALTOB UECIAflATION: I �ereCy aflirm I�at I am li[en5¢A unde� prov�sion5 0� CAaO�e� 9(commencing with Sec�ion �7000� o� Oiv snes5 anG PmleSsions CaOe, anU my IicenSe is in �ull torce an0 elleCi. ciTruc.: � � sraTeuc.:559799 „�C S�C� oate: �_ Signamre: (q/ WONI(ENS' COMPENSRTION DELIAMTION: I AereUy atlirm tlut I luve a cenifiwte of consem m sel4insure ar a cenifiwte of WOBers' Comoensalion Insurance. or a cendietl copy inereof (SecUon 3Bq1. LaE. C�. roucrNo.: 1091888-99 E%P.ORTE: O9 /OS /9S comvaxr: S TATE � Cenitietl copy is �ereby Iumistre0. ❑ Cenilie0 capy is liletl wit� t�e city BuilOing Division. �ale: s'�' S �I Applicam: �7� � �" ''� � E%EMPi10N iflOM WOPKEflS' COMPENSATION OECIAMTION: (il�s 5ec1i0n nEeG not Ee mmqete0 il tlre pemot ¢ for are hunOred (5100) or less). I ceriify inat in Ine oetlormance ol ihe wOrk for wnicn this p¢rrtui is i55uea. I snall not employ any verian in any manner io as ta eecome SUOjetl lo Ihe WaBers' Compen5ati0n LaxS 01 Califomia. �ate: SignaWre: NOTICE: If. after maWng �ks Oeclaration. you s�oWO Eecome 5u0ject m t�e Workers ComDensatian D«sions ot the Labor Coae. you must lonnwi�� comply wit� suc� proviSions or tius Oermit stwll Oe EeemeA revake0. LONSTNULTION LENOING RGENCY: I �ereEy atlirm rta� there is a constmction lentling aflen�y for t�e peAormance o1 t�e work for which Ihis uermit is i55ueU (Section 3097. Gv. C�. LENOEN: ROUNE55: OWNEB BWLUFB OECIABRTION: I �ea0y allirm Vut 1 am exempt Imm t�e Comractors' Slate L'rcense law for t�e followinA �eason �Section 7031.5 Business an0 Pmfessional Coae: Any city ol county w�ic� repuires a permit to constmct, alter, impmve, tlemolisR or repair any simcWre, prior lo its issuance. alSo rzpuires ine aDd�ant la� sucn permil lo lile a sipneU sta�ement ihat he/sne is Iicense0 oursuant �o tne pmvisions ol ihe Coniractors' Sia�e License Law (CnaO�er 9(commencinp with Section 7D00) af Division 3 0l Ihe 9usiness antl Pmlessions COUeI or tnat ne/sne is e+empl ineretrom ana ihe basis lor Ine allepeE eKemD�ion. Any Wolation ol Section 7031.5 by any applicant lor a permit su�lects I�e appliWnt to a civil Denally al nol more ItWn five huntlr¢tl Oollars (5500). I, as awner ol ��e DmOeny ar my employees wiih wapes as t�eir sole compensalion, will Go the work, antl Ihe ❑ slmciure is not intenaed or olleretl for sale (Section 70aa, Business an0 Pmlessional Caae: TAe Caniracrors' State License Law Aoes nol apply to an owner o� a OmOerty wtq OuilUs or improves IAereon, an0 who EoeS 5uch work Oimsell/herself or Ihrouph nis or her own em0loyces, OrovideG t�at suc� improvemems are no� intentle0 or offered lor sale. Ii, Aowever ihe Duilding or improvement is SaIG wil�in one year of completian, Ihe owner vnll �ave t�e OurUen ol provinp �e/s�e DiA nat Uuiltl or im0�ove ror Ine puroose ot salel. I, as owner ol Ine propeny. am exclusively Comraciinp with Iicense0 coniraclors lo conslmci ��e O�alect (Sec�ion 7044, Business ❑ anG Prolessions CoOe: T�e Comraclars' State License Law Uces nal appN Io an ovmer of proDertywho Owl�s or impwves ihereon antl who coniratls lor suc� D�olects witli a conlracior�s) license pursuanl lo Ihe Coniractors' Slaie License Law�. I am aware i�ai D�ool oi t�eir Woder's ComDenuiion insurance s�oWE Ge DmNUeA ta me. � I am eKemO� untler Seciion: B. 8 P. C. loi I�is reason: Daie: �er: I ao hereEy cenily ihat I am aware al an0 untlerstantl tne r¢puiremen6 a1 Calilomia Healln anA Salery Code Section5 25505, 25533, antl 2553a and Inal I or any luture Guiltlinp occupanl willlvnll nol (cirtle one) need to camO�Y �� saitl state codes and lhe requiremenis for a Oetmit for constmclion or moGilitalion Irom I�e N� Ouality Mandgemenl District. flCSiJenlial con9mcliun aOD��ons are exempt Imm Ihese provisi0ns. Oa�e: AppliwnC I hereCy c¢rtity U�ai I Aave rea0 I�is ap0��tqn an0 S�aie �hal ��e aGOve inlarmaGon i5 torr¢[I. I agr¢¢ l0 wmply wit� all Ciiy anA coun�y or4mance5 an0 51a1e lav5 relaling �o GuiM�ng COnSimtlion anG IIe2Ey au�lpr¢e RprMen�ativ¢5 0l Ihs tiry l0 enier upOn ��e abOve-men�ion¢d pmDerlY lar inSpeCiian Ourposes. Oate: ��/� Signawre: ��,0� 1 �'e7��'� Oriver's License ar Socui Secwi�y .: �- 164La6 Wnne—Butl�ing: Graen—CoOe Entorcemem: Canary—AOp��ant: Pink—Revenue; GdOenroE—Asseswr CITY OF,COSTA MESA — BOILDING PERMIT PERMIT NO: E 067017 PLAN CHECK NO; N CONSTRUCTION TYPE: 2N PERMIT TYPE: ELE JOB DESCRIPTION : UPGRADE ELECTRIC SERVICE CLAIM VALUE: CALC—VALUE: PERM NO; E 06701 GOVT; N SUPP: N PURPOSE: ALT SQ FT: GROUP OCC: B-2 / f�r�*****�**********�*�*�*iKr��**�r�r��*�*w+Er*�t*�R**+Pr***+�r***�***f�x�*�r�+r**x�*rt�r�r+t**i��x�t* Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGKT: FT IN PARKING REQ: PROV: PARCEL: 00000000 ZNE: REF NO: PLANNING NOTES> � f , fE M iF ff !E k if i! 1E iE 1f if it iE 3t iE 1f fF iE iE 1F 1E iE iFlE iElf iE if if %iF iE iE 1E 1E ff iE iF iE iE iE iE iE 3E iF if 1f if if iE iF if it it if if iF if iF iE if fF if if it iE iE i! 3E if iF if �E M iF iE 3E iE D E V E L O P M E N T S E R V I C E S R E Q U Z R E M E N T S ZONING APPROVED BY . BUILDING APPROVED HY : DATE: DATE: APPLICATION ISSUED BY: DATE: 2—I�1� iEiFiFifif%ifiEiFiFiFiEiEififiElFlElElf�Eff . iEiElflfiEitiEiEifif��F iF1E iE iE 1F if iF iE iE iE 1E 1E fE 4 iE iF fF iE iF iE iF if iF M iF iF iE if iF fE 1E iE 1E 1F iE if iE if if 1f iF 1F ff !f 1E 1E iE 1E if if if 1E ff ff 1E ff if 1f if if iF if fE iE iF i! iF if iE if 1E!! if 1F iF if N� 41f M if LEGALIZATION:N F E E. S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTR3C.'. MECHANIC FIRE SMIP/RES GRADING PERMIT 29,;50 SO3.� SMIP/NON—RES PLAN " ISSUE FEE 15:'00 HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 29.50 15,00 • 0.00 44,50 44.50 ,00 REVENUE DIVISION TOTALS--> COLI,ECTED: 44,50 OVER/SHORT; .00 BLDG PMT PLUMBING ELECTRIC MECFIANIC FIRE SMIP/TOT GRADING PLAN—CHECK 44.50 �. fE 1E 1F 1f if if i! iF 1E 1f if if if 1F 1E iF iE M 1f 1f iF 1E fE if iF if iF if iElF 1f M if 1t iE if ff if iE if 1k if iE i: fF iE if �E fF ff if if 1E if if iE if �E if �E if if iE if �E fE jF iF if iE if iF i! 1F iE 1� if if iE I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 1 SERVICES BELOW 600•V.& BELOW 201 AMP 18.50 18.50 ELE 1 SUB—PANEL '"; 11,00 11.00 END OF FEES � •� . . � � r. O1 00159E47-00159847 T i� T 44.50 DATE: 05/02/94 7IME: 1D:47 � - � - I CONSTRUCTIOiV ARD PLANNING POOL `A APPROVALS Permit,r Date Incpector qp�ROVALS Permit� t � 1. Temporary Electncal Se�e�cz or Pote 52. Pool & Equipment Locauon 2. $a�,� Pipe-Undrgrnd. 3. E ^c!�'cn. Gi^duit I,�i 'Ry •Undrgrr,tl. li J. Ete:r,c;,l Candw:�U� :i.y•r.d. • ��5. Stre� Hrinio�cement - ---_ ' �� E � „�. � lJF'_R G:r.d. r 7 Footmys J � 8. cF urtlation ! � 9. C;.tc' P�pc�Und�yrr.d. 70. S'�uctural Flvor Syc::m }1. FroP��:•!S'.'..e� �,na3�No..<cCoo�cct.on 12. Se�ver Cdp � I._.__ _� 13. Ro�1 f7rm�,ns ' ~t4. Fc,n�� F�umoina ' 15 R^,._g�� FleCtrili:!-CAndu.I �-----^- , 16. Ra�9h Electric47vin� ' 17. Rouqh ": r�ng 5'gn 18. Raugh t`ec:.iwl � 6ar Ce:i.ng 19. Rnu9h I-'rj:�^.3 & A'r Cor��itioning 20. Ra..y�� F�Cnrq F�re{ilac� � %i D.�,ts, � � structu�c �a. �ucn, �`�t-�ac�n:; • 2� 3. G,�s PiR^�Rough & T�st 24. ?o�i Frdm�� g --` �5. R�� '� ething -- - '-- --- - - ------ ' � 26. T-G�r C ing IStrctt�- �'�_ ?.'o^or_ 2i, �-amr and Fiatnin,� 28. L,th r,p �:, S d;�g � 79. 'nsu��hon �°0. D v:^.,�.;I �:a�l�ng ---- 31. Plaster Oio�vn Cqat �- - -------------- ' 32 'c�:d•.c]� F��..ar l:et�r�F.n.' � -__ ^_ __ ; 33. �m�' EI�Ctr c I 34. F�a'. Hc-[�ny 8� Air ::o^y.! onmq � 35. Fina� Ga5 P�Pe-Test j~ 36. Hood or Ca^.opy i 3-7. F ral Factory Firepiacz 3� $, Fin;,1�P�umbing '9. lYate� S:roi[e�Final� �Q. Gas 5��ce�Final � �41. Sala� Domast�cFiral 42, Backflo�ti� Preventer L^3. 8a�ct;flow Irrindtion • i q4. LundSG:p£ IrrqaUoc $yitem i_ � C5. Souad Attenuation 4E. Nandicnp Reaulations 47 FI�!AL STRUCTURE � BU:LDING I 48 FINAL PLANRING 49 Electric Relezse to Fdison 50. Gus Relc:,se to Southern Califomia Gas 51. CERTIFICAT� OF OCCUPANCY Date 53. Steel Reinforcemeni i I 54. Forms � 55. E�ectrical Bonding 56. Raugh Plumbing & Pressure Test 57. APPROVALTpCOVP_R�Gl1f:��TE Date I Inspecmr I i i� I 58. Electrical Cqcdu.t�Undrg�ntl. i ; --- -- --� -- ��----, 59. G�s P�pe, O U�cl�nrnd., Test ' � ' 60. Backwash Lines, P Trap, � Unc�grnd j � � 61. APPROVAL TO DECK � � ' 62. Dauwash & Hecepror�Fu ai 63. Heater & Vent-Final � 64. Plumtring Systnm � F�nal 65. C!CCtriCdl�final 6G. Snlar Systcm�Final ` 67. Fencing & Acc�ss Approval 68. APPROVED FOR PLASTERIRG 69. POOVSPASYSTEhiSFIPlAL FIRE DEPT. REQUIREMEN7 {aPPROVALS Permn;; 70. l;ndergra„nd Hydro 77. Produc[ Pip�n� ;�. Ga; � 0�1 72. Underground Flnsh 0 -- � 73. Undergmd. Stora�,� 7ank C G�s "- 0' i - ---- � --- - I 74. Oocnc�ad Hvdro j �--- -- ---�------ ---- 7ti. Dry Chemic�l I 7fi �ry Standu�ue � � 77. FIXEOSVSTE�:' F;p:AL �� - -- ---- --� -� 78. FIRE PREV. FINaL '� � ' NEALTH D�PT. REOUIRF��.�E'15 � 79. FiNAL INSf'i:CTIUf; -- �-- -_- j - -- --� _ _ _., 80 OOD CERTIFICAT. E ISSUEO � ' L _ _ �otd_:<s-zy-pf' .��^s �� jj_��ausy��_�_ _ - �`�,n'�-yy'')/-5a�a� -��-�/`i- /-Y�I`�'�'��n�l �,-`= --�. � _-__� -- --T -- � -- ------i ♦� •� Applicant to fill in all spaces exceot those witNn heavY bortler 11nes an0 sign all CITY�I F COSTA MESA CONSTRUCTION PERMIT � PER"^i . O. ._. TRACT NO. LOT NO. � P.6]eci ndd�ess 518 W_ 19th ST. Applicant'sMailingAddress 126 Commercial Wav, C.M. 92i Owner's Name Art11uT Jud1Ce � Phone Address �19R_(' }��kin�jam� �Cns� I�sa�CA 9262fi Arch/En9; License No. Address Contractor's Name �`Y'3I11C�YnC xMfl T�g Phone ��+8—S?� Addresslmailingl �%�] COf➢[OEYCiA� W�V� �:_M_ �ili]27 ciry Licenso No. 599i LICENSED CONTRACT00. DECLARATION I hereby affirm that I am licensetl untler provisions of Cnarter 9(commencing with section 7000��of Division 3 o tne Busineszantl Professions de,a� my license is in full tP(ce�tl etfect.� �� 77 Date —� � � V � O ! Si9�ature WORKERS' COMPENSATION D ARATION ' ' 1 hereby atfirm tnal I have a c if' ate of consent to self-insure or a<ertiticate �f Workers' Compensation ns ance, or a certifietl copY thereof (Settion 800, Lab. f+.i�S�ZZ4� State Fund Policy ivo. LZS Company � Certl�ietl copy is hereby /umi5h¢tl. � �tCei nea v is r e nn �ne �i�v ��11co'Di�b`�. Rofi Co. Date� AOP��ant � EXEMPTION FROM W RKERS• COMPENSATION DECIARAT,ION (TM1issection n0etl not be completetl if Ihe pa�mit i5 for one huntl�etl ($100) or less). • 1 certffy thal in tne performance of the work for whith this perm�t is itsuetl, I shall n0[ employ any persOn in any manne! So a5 t0 beCome Subject to tbe workers' Comoenzatlon �aws ot Calitornia. - � . . Date Si9na[ure NOTICE: If, atter making Ihts tleclaratlon, you shoultl become subject to the � Wo�kers' COmpenSalion provisions Ot the Labor Cotle, y0u mu5t torthwith comply wi[h such provi5ions o� this Oermlt Shall b¢ tle¢metl �evoketl. CONSTRUCTION LENDING AGENCV I nereby atOrm [hat there iz a mnstructlon Ientlin9 a9ency for the performance of thu work for which tM1is permit is issuetl (Section 309] Civ. CJ Lentler's Nama LanOer's Atltlress OWNER BUILDEN'OECLARATION ' ' I hereby afflrm that.l•`arri exempt trom the Contrdctor's License Law for the following reason (Section 7031.5 Business antl Professional Cotle: Any city or counfy wnich requires�a permit to construc[, alter, improve, tlemolish or repair any strutture, prior to.its issuance, also requires the applicant tor such permit to fiie a zignetl statement that he/she is IicenSea pursuant to the provisions ot the Contractor'S License Law (Cbapter 9(Commencln9 with Section 7000) Of Oivi510n 3 ot [h¢ Busine55 antl Plofe55ions Cotle) of that he/She is exempt 'h¢refrom antl the basi5 fOr the allegetl exemption. Any violation of Se[tion �31.5 by dny applicanl to� a perTit subj¢ct5 the aOG�icant to a civil nalty of not more than five huntlretl tlollars (5500). J 1, as Owne� of lhe Oroperty o� my ¢mployee5 with wages as their zOlo �.. compensation, will ao the work, antl the struclura is not Intentletl or ofteretl ' br sale (Section ]044, Businesz antl Protesslonal Cotle: The Contractor's LicenS¢ l.dw tloes not apply to an owner of a property who builtlz or Improves thereon, antl who tloes such work himselt/herself or throu9h his or ner own ¢mployee5, provltletl Lhat such Improvement5 a�e not intenaetl o� ofteretl fo/ sale. If hOwever, Ihe builtling or imO�Ov¢ment IS Soltl witnin ona year of mm- - oletion, the owner will have tna buraen of proving he/she tlitl not builA or im- prove Por tho purpOSe of sale). � ❑ 1, a5 owner Ot [he.D�operty, am exclusively Contracting with licensee con- tra<[ors to construct lhe project (Section 7044, Businez5 antl Professions Cotle: The Contractor's Llcense Law does �not aOPly to an owner of pwperty wh0 builtls or improves thereon, antl who contracts for such projects with a con- tracto�(5) ❑cense pursuant to the Cantracto�'S License Law). I am aware that proof o} tM1lir WOrket's Compensatlon Inzurance sboultl be provitletl fo me. i ❑ 1 am exempt untler Section B. & P. C. tor this reason, Date Owner �q' Signature Drivers' /\ CMF 0865- ] state antl coi ierebv a TYPE OF CONSTRUCTION LJ r�E ❑ CONVERSION ❑ DEMOLISH ER Oeclarations. NO. ALTERATION REPAIR TVPE OF PERMIT LI GRADING L1 FOUNDATION LJ STRUCTVRAL . ❑ TENANT ❑ ELECTRIGAL ❑ PLVMB(�qG❑ MECHANICAL ' ❑ OTHER ' � ' �p%% PROJECT DESCRIPTION SQ. FT. nrri iunn�cv ��/�h � CONSTRUCTION TVPE COIMIEYCI3� VALUATION $ �.7�� •uv ZONE GRADING CU. VOS. ACRES Remarks: Bar Sink - Backflow Preventer Backflow Irrigation Clarifiers -. � Dishwasher Drinking Fountains Floor Drains Floor Sinks � Gas Service Outlets Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fee $15 Boiler Duct-UnderGround Duct - Sbuctural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Bit. ICBO # Heating SVstem & Ducting ❑6100,000 BTU 0100,000 BT . se or 55 � __ I I Reinspection Fee I $15 rev. 30/84 Wnite - Builtlin9: Canary - Applicant: Pink - Accounting; Goldenrotl - Assessor ' Service Sink Sewer Cap � Sewer Connection Solar Collectors � Solar Pipin9 Solar Tank _ � Swimming Poo� w/Spa Urinal Wacer Clout Water Heater Water Service Auto-Wash � Laundiy Trays Isue Fee $ 3 A.P. # . S Main Buildi E T Front' B Rear A C Right K Left S Ping. Ref. # Planning Notes: � � . E Automatic Washer ' ConstructionPoleSub. � Cooking Unit . - ' Dishwasher Dryers �Gas ❑Electric " Fan F.A.U. Fixtures Device Boxes Outlets $W i tCh¢5 Garbage Disposal . Generetor �0-5 KW 05-15 KW 4078 3/17/87 Zone Accessory Building: Parking Req./Provided Transformer ❑ 15-50 KN ' '�50tKW 65.62 � TL 2 O N I N G R E � M T S, FEES >' Meter Llup to 100 a'mps Meter ❑over 100amps Sub Panel Motors �0�7 HP �1 % -.6 Inc. Sola� �9-15 HP 01E75+ Microwave Pole Lighc, Range Standing Sectians Trash Compactor ' Reinspection Fee S15 Issue Fee IANICAL FEES Hoodor T DEVELOPMENTSERVICESREQUIREMENTS: YP¢I ❑ Canopy Type II ❑ Zoning Approved 8y Building Approved By 4efriaeration Svstem Aooliqtion Issued Bv n - ❑0-100,OOOBTU ❑100,OOOBT System Repair/Alteration Fire Dampeis Registers laue Fee � $ 3 ' � SU�� V� ,O�F FEES .. BUILDING PERMIT $ � • l/ SMIP PLAN CHECK $ PERMIT � P�UMBING $ � ISSUANCE PLAN CHECK 25% $ ENERGV P.C. ELECTRICAL $� � GRADING PLANCHECK 50% $ , MICROFILM MECHANICAL $ � TOTALFEE PLAN CHECK 25% $-. $ 3 � CONSTRUCTION AND PLANNING POOL & SPA. APPROVALS Permit# Date � Inspector qppROVALS Permit# Date Inspector � i. Temporary Electrical Service or Pole 52. Pool & Equipment Location � 2. Soil Pipe�Undrgrnd. � 53. Steel Reinforcement ' � 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. • � 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings , 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, � Undrgrnd., Test � 9. Water Pipe-Undrgmd. 60. Backwash Lines, P-Trap,�� Undrgmd.� 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final • 13. Roof Drains 64. Plumbing System - Final ' 14. Rough Plumbing 65. Electrical-Final � 15. Rough Electrical-Conduit � 66. Solar SYstem-Final i 6. Rough Electric Wiring - 67. Fencing & Access Approval � 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL . 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # _ � , 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing � 73. Undergrnd.StorageTank OGas ❑Oil . � 25. Roof Sheathing 74. Overhead Hydro • 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe � 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric - Notes: � � 34. Final Heating & Air Conditioning � � 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace � 38. Final Plumbing 39. Water Service-Final • 40. Gas Service-Final 41. Solar pomestic-Final � 42. Backflow Preventer ' 43. Backflow Irrigation 44. Landscape Irrigation System � 45. Sound Attenuation � 46. Handicap Fegulations � 47. FINALSTRUCTURE&BUILDING � O�. 48. Special Requirements Completed • 49. Electric Release to Edison � - 50. Gas fielease to Southern California Gas Co . i ' 51. CERTIFICATE OF OCCUPANCY � � No. Date _ r. O�A. A�P��eant to fill in all z0aces wilhln heavy bortler Iines an0 sign all appropriate tleclarations. CITY_��^.'�.�-.'ME.s.. � � ' PF3P�IT NO. " " TRACT-NO. - - LOT NO. � BLDG. NO. ' -' . " _ . . • . . . .. - _ - ." ' �" ' CONSTRUCTION PERMIT L�" —�% 0 ' i � • ' 6439 ,�5/26�82 - ° .�; �4.44 T(,� , Project Address - u/�s ; � � fN 1� � , TVPE OF CONSTRUC,7.,,1/0ry� � - „_ _ �_ __, rT p,.'' - , � - <. � �� I �Own¢r � ' � PhOn2 - ❑ NEW O_ADD I[IALTERATION ' d . -' ' - - - '. - ; " - - ' -' N "_T n�c�, , , • � Address - -�j,)- � _ S'7 ' ❑ REPAIR ❑ CONYERSION� ODEMOLISFi C� _ , _. . _. � ; Arch/Eng. � — - - � - - 6icense No. �_'�.OTHER �� ' ZONING'REGULATIONS ' � , ,.. _ � . _ DESCRIPTION OF WORK� � 1 ` ' '� ' .�A.P. # ' � - ;-r � , Address. '. . . _.. _ ... _. .. _ _ _ ... _ _. . ._. '. , • " ' . ' _ _ _' -- . ' "- � - - � -� . ..20NE"'--"' PLNG. REF. � > ' ( ;'Contractor�.... .. . .' � �CL+Y ' Phone S /•� TVPE OF PERMIT - ' ' - - . "'"'.. " '" "" - B �� Tp o�J �RTVNLiA ' ' ' �" _' "'_ ' _ " . _ . . ' " i _ ISETBACK C L ST. PR PE E _ . Adtl�Es ;-O.GRADING ' O FOUNDATION ❑ STRUCTWRAL .SIDF -VAR� LICENSED CONTRACTOR.DECLARA ON - ' �,� LE � O TENANT Ifi'ELEGTRICAL OPLUMBING ❑MECHANICA .5�pE VA _ _ "_ __'� .. _ .. 1 hereby atfirm Ih:.t I am licensetl untler provisions of Charter 9(com, �� ,-�. - RIGHT � � � � mencing-with �sectiom-�000) of Division-3-of•-the��BuSineis antl- �.0"OTHER- -- _ � ProfeSsions Cotle, antl my Ilcense is in tull force antl effec ' ' REAR VARD (TO P/L)� � -"-"- "-`_ -'=� " ,.n _ '' PROJECT�DESCRIPT,ION-_ ` ___, ' _ • "_ . " .'_' ___ . �. Licer�se Class � � Licens No -' .. ,. , _ ' , , , � � ' � ��' � ,' ' ' PKG.'SPACE RE�. � - -"P,ROV IDE�. "" - "' ' '- "� Date��%'1' �•.�Y' - Si9nature i . _'_ �,, Y: _.i6 - SQ": FT: �. ... . , . , .. r , . __ _ .. -.. - _ __' _ __ _. ' ' ' .WORKERS'COMPENSATIONDECLARATI N..-._. .�-_.. _,OCCUPP.NCV"•_CONSTRVCTIONTVPE �'^ _._ _ y_ _ _ � _ rSTREETWIDTH' ,PARK'FEE'S,r,,, , . - '- ' ""-" "' " ""-"- "' ZONING'APPROVED:BY' ' . ' •DATE -- '- - ..-+ 'I hereby atfirm that I have a tertificate of con5ent to self-Insure or a� VALUATION ��^- � °�''' ZONE • • •�^r• -� - 'tertlflcate�of�Workers' Compensatlon �Insurance,-or-a certifietl'copy. . .____.. _ ._� _ _ _ ..� ._ ... _ _ � therebf (Sec i n '3�Q 0, Lab. C.). � �e'��rf .FU/I,.� ..GRADINGCU.-VDS. _ ACRES_ ' �! SPECIAL CONDITIONSi ' - - " �PulicY No.�iC-! �' ��' 'ComPanY _ r _ _ ' _ "' ` '�'_ "'" " ' '_ _' ' ' . _ " _ _' _ ' _ _ "" _ ❑ Certltietl copy is.hereby fumishetl. �_ . _ __.. . _� _. .:_ �'REMARKS ' . � . _ _. . � _ __ �� rtlfietl copy is filetl with the tlty Builtlinq Division. ' - � r �� , � - ' Ly�k^;:,dPTION FROM WORKERS' COMPENSATION DECLARATION - �- ^ - ' � - --" '-- -� ' � � �.�, „ j (Sg'�Y+sectlon_neetl not_be.completetl it Jhe,permit is for one huntlrea '. ` _ - ' _ , ' ' _ � , � . SEiJD) or less). .. . � .. . ' ' _' -t ' _ _ ' ' ' ' _ " • ' " _ ' _ _ certify Ihat in the pertormance of the work for whith this permit is - 1- issuetl, I shall not em�iloy any person in any manner so'as to become PLUMBING - a-.-� "' t PCAN CHECK--'"' '.i - -'- ' ELECTRICAL "^'-'- PLAN CHECK �- - - sub)ett tO,the Workers Compensation Laws o( Cdlrtprnia.. •+ : : '! ' ' ' _ _ _.__ � ' .-. � Dale � � Si9nature'' � B.4THTU85 ' SHOWERS"' -' '"- " i - - - -' ,�-� NOTICE: If atter making this tleclaration„you shoultl become sub�ect eqTOILETS �,� , �3URINALS'-' � "'r ^- - �GENERATOR-- -0'1 KW-_1 30 KW " �" ' ' �- [o the Work¢r5' Comp¢nsation prOvisions of the Labor Code, you must - f �TRANSFORMER : �� _� torthwith comply with such provisions or this permit shall be tleemetl LAVATORIES DOUBLE LAVS-'� i- �� -: APPCIANCE' --40-50 KW=50+ KW- -� - - revoketl." _'. _'_ _" . ._ _ . .._.. _ ._ �_ _r_..."" MOTORS. — CONSTRVCTION LENDING AGENCV � KIT.SINKS ^ ' - DISFiWA5HER5 ' � - - , ---0-1"HP_1 30 HP-- - - - I hereby aftirm that there is a constructlon lentling agency for [he per- - - -- __. pNC..50LAR)_30-50 HP_- 50 +_Hp �� y' _! tormdn<e Ot the work tor whiC� this Oermit i5 i55uetl (S¢Ction 309] SERVICE SINKS ,i , r v•SUMPS-�' ' '{ -- Civ: C.)"�'"_ ' _ " _ . . _ _ . ._._.. _. ' "` ' _" _ � i� . ' _ •t -FGOOR'SINKS- "-FCOOR'DRAINS' ' j' - �FIXTURES- ^OUTL-ETS� -SWITCHES•- i Lentler's Name �- ' Lentler'S Atltlress � � -DRINKINGFOLINTAINS ".�'-" ' ' ' � -'- �'�GA&TUBESIGNS� ------�- � - -- .� OWNER BUILDER'DECLARATION-�- �-�- � - � -- '"'�NTERCEPTORS'"" "- CLARIFIERS"��'� ' 'POLEtIGHTS � •-- ��-------- - - - ± I hereby affirm that I am exempt frOm.the Contractor's License Law tor I - -' j i '� the-followin9•reasom�(Section-7031�.S�Business-antl ProfesSionsCotle:- -SWIMMINGPOOL"' - -'P'TRAP• ^---- ' ' - ' Any city or county which requires a permit to construct, alter, � "1 �-' ' POCES � - �-` METEREO -' :SUB � �� -- ' S improve,-tlemolish orrepairany�structure,-prior to its issuance,also re-- • yyqTER'SERVICE -' 'ALTERATION -"" ""� "" '(PANELS--�- �^MAIN� - - •-�SUB -'- - -- - - quires the ap'�licant for such permit to tile a signetl statement that h¢ -- -- -� .� is licensetl�pursuanbto•the-provisionrof-theContractor'S-License��Law� -GASSERVICE""' '"" OVTLETS � '"- --�"- " -- ;SERVICE--�--�------- --^-�----AMP-� - - - (Chapter 9(commencing with Section �000) of Division 3 of the � � 8usines5 and-Prdessions Cotle) �or that he�is ezempt theretrom�antl the yyqTER HEATERS � - BTU OUTPUT � "�-� - - �- � � '�� ' �' ' - - � ba515 (or the allegetl exemption. Any violation of SectiOn ]031.5 Oy � ^ � - - �� any appliwnt 4or-a-permit subjects�the applicant�to a civil penalty- -�SEWER'CONNECTIONS-" " �� •� �� _- of no[ more than five huntlretl tlollars (5500�. ~ � � - � �.�J-aS owner'of'tFe property, or my emPloyees wi[h wa9e5 as'their "SOLAR TANK '�' - COCLECTORS -- - - � - - • - --�-. - - -- — _ - _ p ompensation, will tlo [he wo�k, antl the structur¢ is not intentletl � � ' � eretl (or sale. (Section ]044, Business an8 Profes5ion5 Cotle: The `SOCAR PIPING SVS. " ' - ' ' - "4` - '�SSUE FEE- -- ^ - - - - - � � -r �d<fOr'S License__Law tloes not apply to an_owner Ot a property . . � .� .....� _ " _ _'".�� . .. .. .,..� wbo builtls or impToves thereon, anA whd tloes sucti vuork hlmself or ` 'ISSVE�FEE � �(` "' -- - -" ' -. � ' "— -- '�APPL-ICATION�P.PPROVED BV-� - - --' DATE - � th�ough his own employees,.provitletl that such imp�ovements a�e not ' '�' ' y Intentled� or offereG�for sale. If, howeJer, the building or improvement - MECHANICAL � PLAN CHECK �'" " _ ,__.... __ __._ ,_. ,� is soltl within one year of completion, the owner will nave the burtlen - �SUMMARV OF�FEES ,,� _ . S£ proving 'he" tlitl nof"build or improve'for`the purpose of. sale): - � ' -'- ' ' - -- - � "'- (BUILDING--- - . -_.._.-,- . _. ❑��I,�as- wner_of_the. y, 9 HEATING:SYSTEM 0-100,000BTU _ �PERMIT' $ D SMIP' ; 5� o ..propert . am..exclusively. con[ractin with. qND DUCTING � � � - - - - -- ^ --^- - -- -�- -�- - - � :- - - - — IicenSetl contractors to conStruCt the project (Section 7044, Business ��. , 100,000�* BTU �PLAN CHECK E T�PERMIT,--;. �� ' antl-Professions Cotle: The Contractor's.License.Law tloes not apply,to. . , _�_...__ 4" � an owner ot property who builtls or improves tner¢on, antl who.con' ,REFRIGERA� ON:,-O400,000 BTU f PLVMBING ' ISSUANCE-.5 tracts•from-such-projecis.with-a-contractor(s) licesnetl.pursuant to. . SVSTEM "�=��' � - - - � � S _ rGRADING__E' ' , the Cw[ractor'S License Law). 100,000'+ BTU � � 'PLAN CHECK § _ � . - ., , . - i ' �� ❑'I'am'ezempt untler'Section" ' - - 'B. & P:0. (orthi5 � BOILERS � BTV � EL'ECTRICAC' §' � • l ' ' �� s - t J reason -. - - � MICROFIIM g'•' •� Oate Owner ' SVSTEM REPAIR,ALTE �QHiA� e- nspe IOi1S ' PLANCHECK-5 - - �"�TOTALFEEE""' � ' ' I hereCy certit that I have reatl fhis a lication antl state that the above EXHAUST SYSTEM MULTIPLE - � MECHANICAL-_E -- - � Y PP I'o�.th._�.i',;'. L'E55'P,D- �' �"•J .~�� information is'correci. 1 agree to comply'with all Uty'antl county- a e �o � ��PLAN�CHECK�� $- ---- - -VANCEPC-'8'_' -� ""�"' j ortlinantes antl state laws relati co SVuction, antl he�eby authorize -- O ._ . _ repre5entdtiv25 rof clt ' ' upon tM1e abov¢ menHoned' ! '•'�'"�'�' �•,' � ��+ -+ ' '�' �- "� ��,�. I prop¢rty for ins c��n oses / §�� /{y�. I Signature Date J __ .� ., FINAL FEE 7J� Drivers'�Licenseor$S ��- " - �SSUEFE@J- . - -.�- � � - .. _ . _ _. _ . . _ . _ a CMF 0865-•i6 Wnite-Builtlin9; Canary-Applicanq Pink-Accounting; Goltlenrotl-Assessor� "J " . _ � ------.. ti��:.a:�---.� CONSTRUCTION AND PLANNING • POOL & SPA -� " � � _ - . , APPROVALS Permit# Date Inspector" .p�ppROVALS� , Permit# � Date- Inspector 1. Temporary Electrical Service or Pole ' �� 43.� Pool & Equipment Location' � � - - - �- --- - - . Soil ipe-Undrgrn ' 44. Steel Reinforcement- -- � - � -� --- �-- - " - ' ' - - - - •__ .. .... - �- 3. --Electrical.Conduit Utility-Undrgm 45. � Forms.. �� - ; - � • � � - - - - - � _4....Electcical Conduit-Undrgrn.,_ ___ . _r�:�.' .: -. . . -.- 46. Electrical8onding_t .------ -- -- �---- - -- - ---- - �� - ' . . tee ein orce . � � ;_ _ �; � ,;, 47. Rougfi`Plu'mbin� & Pressure-Tesf - - � � -- - � -- - -- -� • -- - � �- = � .6.._._Electrical UF_ER,G[n_ - - � � --- - 48: APPROVALTO COVER-GUNITE - -- - -- - -- � - - _ 7. Footings__ 49. Electrical Conduit-Undr m� ' ' � -8.-•Foundation.-_-.._ . ' ' ' 50:.i.GasFipe, �,Undr rn;Test "� �' - � � - �' � "- -- --- � - � - -- - , . . , . . . . •.� --- . . . __ � _ �_._ . . .. • ., � �_-9.--�Water Bipe-Undrgrn_._..,_„V, _ 51.� Backwash Lines P-Tra -"❑ nd"r-rn � - _.10. _.Structural Floor SYstem • .: 52. APPROVALTO DECK � -- -' ' "'"--" � " - - ' ' - - . ..� �.. ... . - - --- . _ . _ . . . _ ' � _.. ��_- ._- _ . - �� _-53. _.Backwash & Rece tor-Final � _1L_ Propeciy Sewer.Line.&.House.Connection�._.___ ' � • ' � - � � -12. Street Sewer_Connection.. _ " ' ' .' �' ' ' . .. ' �-- - ��- � - 54. • •Heater &�Vent=Final� ' ' � ' ' �''' � �� • • _ . _._._._�- ---'- 73. .RoughPlumbing �- . . . . . -- . „ . _. ._ .. ^--'--� -` �•----- ..__. . ' . , 14. RoughEleciricConduit�� ' '�- � -'-"---- �56. Electrical-Final � � �� '� � � 15. Rough Electric-Wiring �-- ' - 57. Solar System-Final-, - " ' ' ' ' -' � ' � 16. - Rough Heating &�Air Conditioning - - - - - -- . encing.& Access Approval • ' ' r 17.- �Ducts;�in Structure �� - r ' " - � t. � 59. APPROVED FO.R PLASTERING',...' � ' " 18. Ducts, Ventilating .- . " -� - - i � - . .' . - t ' ' - - . -. „ ' ' - - --_ � 19. Gas Pipe-Rough & Test"- -` � . � J ; - - - - -- � -� '�60. POOUSPA SYSTEMS FINAL ` � ,- : � � ' � - ' 20. Roof'F�artiin9 - - -- --- --- - - � -- - - - - - . . ' . � . - � . , .. ' 21. Roof.SFieathin . - . . . -- ----' -�. . ' - - '. .. - , , � • - � - .r •-� - . . ,. .. . .. , � . . . � . . ., . . .. . . . . � . . . . � . . ; i � 22.,..Frame and-Flashin - -- � -- -- --r - ^--- - - - . . . _ _. NOTES: - - -- ' ' ,c . •. �..� , i : -- , .. . . � . ,. . � '�23. '--In'sulation- . � - --- - " ' � - _ . - --- - . ' � - ' . 24. Lathing & Siding - - - - � ' - - -' .. . ..- ,. .- - ' - - ' - - - .� .. �. � 25. �Drywall Nailing � - - - - -� - � � ti - - - - - - ' � . , . . . , . _ . - . . .__. .. .. , 26. Plaster Brown Coat -- - -- - -� ' _ . _. . ... . . . ' . � � . . ..�,..� . , - . � � 27. - Electrica6Power Meter-Final - - - -� ' � ' - - � � � � � 28^-FinalElectric--- - -- � -- -- � �- - ' _ .. .� � - � ; -29: - Final=Heating�&�Air Conditioning -- � -- - - - '' �• • - � • � � ' 30:---Final Gas Pipe-Test�- - � �-� � j - - - = � � � � � �- � -31:-. Final Plumbing - -'- � --� � - - - --..� . . . .. .. , .. � ` . . . - � ��.�� t _ . '' _ ' '_ _" _ ' . - � � C,^o:�� " 32'.� -Water Service-Final - - � �� - _ 3� - - � � � � � �` � " � � 33. -Gas Service-Final - - - - - -- - -- � • ' ' " ' ' ' 34. Solar pomesticFirial .. . '. ., � - - - - �+" - - , - - - . � t • . . "" . . . , 35. Landsca e S rinklin S stem-� ' ' -+ ' � i�C mp 8 . ' ' • " � ` ' ' � 36. Sound Attenuation � � � - �� - ' � ` j 37. Handicap Regulations � ' ' --- at@ ' - - ' � ' � 38. FINAL STRUCTURE & BUIhDING ' --- - � � , 39. Special Requirements Completed ' � � ' ' � ' � � - � � � � � ' 40. _ Electric Release-�to Edison ' � •�� - ` • • - � 41.� Gas Release to Southern California�Gas Co. • � �� 42. CERTIFICATE OF OCCUPANCV - � � - " , _ ` - � No�. ' Date . " - - - - � ,. 95"'/,5 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 31� COSTA MESA. CALIFORNIA FOR APPUCANT TO F/ll /N l'OMPLETECY TYPE OR PRINT ARC OR � c�.�. ; 9'�' ��- TEL. NO. LIC. NO. NO.OF BLDGB. NOW ON LOT i • .l-� )� �,� REAR YAR �� I RIGNT �• IPTION OF WORK u"�� P�L�r�i�,�� p �IUN 11 u�� INANCE DEPT. CITY OF COSTA MESA APPLICATION FOR PERMIT BUILDING fOR Off/CE USE ONLY I R[GEIPT NO. I� �IyI¢1� {1 J1 \f� lJ `^nl 6EC \ BY I DATe pECEySF�p � DyE I SUpD �1! _�—��(1 Q/ �/ � 9 ADD EI55 J � `/l./// �+= � COSTA MESA, CALIFORNIA M FIRE � , / 7 �.?. F, � � • ZONE � � iY/!L V-IOL J \ 1 A RPP OVED�j O�/R4'/j�aLc ��fF! n�.��( �.�.' BY DATE �ldG /n< ��_!_.._._ d "ml• ZONE YARDS REOUIRED (CENTER L�NE BT.) FRONT R. SIOE REAR IIALTERATION I IIADDITION . �MOVING I IIDEMOLISH I NO.OF i OA � ROOMS Z STORIES :WALL=� ROOF ' /�}/�'r .COVERING � .,.�:.,. � UILDING AND� ORK TQ BE PERFOg ED � .� c� — � �V-%Oi�.. �! � ...v .�.. ' _ � n _. BUILDING� rr Z. 1 HERE9Y AGRNOWLEopE THAT I HAVE REAO THIS APPLICATION THE AMOOHT BHOWN UNOER VALUAT�ON IB iOTTHE ANp 6TATE THAT THE ABOVE IB COFRER AHO AGREE TO COM� pURPO6E OF EBTABLISHIN6 A PENMIT FEE ONLY. PLY WITH ALL CITY OkDINANCEB ANO STATE LAWS REGIILATING BUILDING CONSTFU1CTI�ON. VALUATION �j`j� r/ [�� I SIGNATURE OF /"'.� . a, �JC/OD �— PERMIT FEE S �,—_ IPERM�/ITTEE �I-KL�v / � /!.�-� �� _ �� I� 't // $� PLAN GHECK S � /I,� IAUTH RIZEO'A fJT �+'�o' �<2Y��y.�A. «�` - TOTAL FEE S Z� .' 2�151 , • COSTA MESA BUILDING-SAFFfY DEPARTMENT P. O. BOX 917 C09TA MHBA, CALIFORNIA For Applican► �o Fill In Completely TYP O PRINT� ADDRE68 ' W � ' /"� COSTA MESA, CALIFORNIA owNeR 2 S MAIL ,/� _ " . � 7Q � _i_ ARCHITEGT � VOINEER �— � OF BU cirr a� c��rr mEsa MAY 13 1965 APPLI��F� �v11T BUILDIld6 For'Office Use Only R6ClIP� NO. � ZONIN(i ' O ue[ or Hcw OU�LDING �i oeecn�rtioH /� � � �� A. P. NO. / �'� � � � � NOTE: NOEAVEOVERHAN66HALLBELE88THAN ��p � O 9 90' TO 81DE B REAR . L. EAVEB no.oPeLCae. ALLOWED fl1.B.C.REOUIREMENT', NOW oN wT yARDSAPPROVED VARDSAPPROVED �.� MAIN BUIL�INO ACCESSORY BUILDING DESCRIPT�ON OF WORK ROOR L° - ' ' o t'.v,v�a,. Cc.+ � o 1 HEHHBY ACKNOWL8D08 TX 1 XAV9 P6AO THIB APPLIGTION •NO BTATB THAT THE ABOVQ IB GORNECT AND AOqlB TO COM• PLY WITH ALL CIiY O�p IN.jNC8� ANO 6TAT8{� W8 HBQULAi1Ha BUILOINO CONBTRUCN�NJ/ // / - / ■ AUTHORIZBD AOENT D19TANCEBET MAIN BLDG9. VAR. iC �� BET. MAIfJ Q ACCESS. BLDf DATE APPROVcED ...�.. J � TH8 AMOUNT BHOWN UNDEP VAL�IATION IB IOP TH8 PUNP068 OF EBT�BLI8H�N0 A PEqMIT F68 ONLY. VALUATION � . � PERMIT FEE $ � C7 Q O ` �.