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Home My WebLink About740 18TH ST - Building Permits% PflOJEtT AOOflESS: 7 9 O W 1 8 TH ST OWNEP'SNFME: MONTE SERENO APARTMENT aooncss: CO L TD 8141 E SECOND ST SUZTE 500 DOWNEY,CA 90241 FPCHIENGINEEH: NEG.NO.: ROOXESS: UNIT: UNI7: VEPMITTEE: CIRCLE CITY ROOFING, INC. ( 909 ) 736-5252 ROOflE55: ZOZ7 RIVER RD 134 NORCO CA 91760 LICENS�D CONTPACTON OELIAflATION: I hereey affirm inat I am licensea untler D�ovisions of Ctwpier 9lcommenting witn Section 7000� ol Omsion 3 0l t�e Business anE Pmlessions Cotle. anG my license is in lull lorce anA ellect. /� �: — STATE LIC.: 6% A B S�i ,�CASS:�� y /�' //i !� �at 3 �� Signaiure: ___/ `^��'"C� ONNEpS' COMPENSAiION �EC NATION: I hereby aflirm ihat I have a tlicate oi consent to selhinsure or a tenilicate of WOBers' ComDensation s apc a SetlifieA coDY �nereol (Section 9800. Lao. POIICY NO.: �� y�� 1 b E%P. DFTE: 7� O 1/ 9 9 comvnr+v: STATE FUND,+,� Cenilietl capy is hereGy Iurnishetl. L' 1 CenifieA copy is file0 wit city Buileing Division. �) Oa 3 1��' MC�icani: w'�//`�'��i"'✓"�'� %EMVTION FflOM W�PREflS' COMPENSATION DELUBATION: Rhis section ne iol be cOmDIe1e0 if t�e permil is �or one AuMreO (5100) or less�. I ceriily �pa� in I�e OeMormanc¢ ol Ihe work IOr which l�is permi� is issuetl. I shall not em0loy any person in any manner so a5 �o become SUDlect Ip Ihe Workers Compen5alion Laws ol CalilOmia. Oale: SignaWre: NOTICE: II. a�ter maiting this declara�ion. you s�oNA become su0jecl �a lhe Worker5' CAmDensation pmvi9ons o� the LaUor Cotl¢, you mus! lonhwilh comply wilb suth prWisions a tlus permit sliall be tleeme0 revoke0. CONSTqpCTION LENUING AGENCY: I hereDy allirm that ihere is a mnslmclion lending agency for ihe pedormance of the work for whic� Ihis uermit is i=suea (Section 3097, Civ. C�. LENOEfl: AODPESS: OWNEq BUILDEfl �ECIAflRTION: I hereby affirm IAat I am e�empt Irom the Contracmrs' Slate License Law br t�e fallowinp reason (Seclion 7031.5 Buvneu ana Pmiessional Coae: Any city ot county wqich repuires a ce�mit to constmct, alter, impmve, aemalisA, or �epair any strucWre. pnor to its issuance. also requires the applicanl for sucA Dermit to lile a siqnea statement Ihat ne/stle is IicenseE pursuant to �he O�ovisions ol the Cameactors' State License Law (Chapter g(�ommencing with Seciion 7000) ol Division 3 al t�e Business anG PrOfessinns Coae) ar Ihal he/s�e i5 evemp� Iherelrom anJ lh¢ baSiS �or Ihe allege0 eKemption. My violation ol Seclion 7031.5 Gy any aDAbcant lor a permil subjecis t�e ap0��nt Ia a tivil penai�y ol n01 more Itun Irve huntlreG dWlars (5500�. I, as owner of the pmpeny or my emVloyees wit� wages as IAeir sole compensation, will Eo ihe work, and the ❑ simcwre is not intenAed or oflerea b� sale �5¢c�ion 7044, Busin255 an0 Pml¢SSiOnal Cotl¢: The Contracfor5 Siate Licens¢ Law aoes no� aDPly to an owner oi a D�oPeny wno Ouiltls or impmv�s ihereon, antl who Ooes such wark himself/hersell or NrouAh his or �er own employees, pmvidc0 I�at such impmvemenls are not intenUetl or of�eretl �or sale. If, however �he huil0ing or im0�ovemen� is soltl within one year o� complelion, Ihe owner will �ave Ihe Uurtlen of proving �elshe Oi0 no� Ouiltl or improve lor Ihe purpose ol sale). I, as awner of ihe pmpehy, am exclusively comracting wilh licensea conVaclors to consVuct the pmlec� (Sec�ion 70a4, Business ❑ ana Pmlessions Coae. ihe Coniraclors' Sia�e license Law Oces not appty lo an owner ol Dmperty wAo buAOs or impmves t�ereon anC who tOnlratis �or suth projetis vn�h a tanirat�or(s�license Oursuanl Ia l�e Con�raClars' State L¢ense Law).1 am aware f�at proo� o! Iheir Wwke�'S Compensa�ion inswance shoula De O�ovitle0 �o me. � I am eeempt under S¢�Iion: B. 8 P. C. �or ��fs reason: oa�e: Owner. I Oo nereby cenily Ihat I am aware ol antl un4er51an0 �he requiremenls 01 Calilornia Heal�� and $a�eiy Cotle Sections 25505, 25533, and 25534 and that 1 or any WWre builtling occupanl willlwill not (circle one) nee0 io comply wilh said s�a�e catles and the requiremenis lor a permi� �or con5imclion or modilicalion Irom I�e Air Ouafiiy Managemen� OiSVici. Ne5i0ential conslmclion applicaiions are exempi �mm I�ese ryrovisians. oaie: I �erE pmpeqy Applicanl: I�al I have reatl Ihis application antl siale ihatthe ahove in�ormation is correcL I agree lo comply wil� allcily antl Slate laws relating Io Ouiltlmg consVuction antl hereby au�hy�iayepreSenlaiive5 0l IN5 ury �o enler upon t� a�ove�m[ � �I—_( � ( � Z_— Signalure: �_ LiceneOrSocial5¢turityM� t6at�ng Wpite—Builtling; Green—Coae Enlorcament; Canary—Ap0licam; Pink—Fevenue: Goldenrotl—Assessor CITY QF COSTA MESA — BUZLDING PERMIT PERMIT NO: B 066395 PLAN CHECK NO; N CONSTRUCTION TYPE: V-5 PERMIT TYPE: STR PERM NO: B 06639`_ GOVT; N SUPP: N PURPOSE: OTH JOB DESCRIPTION : T/O & REROOF W/HUR " SEE COMMENTS " SQ FT: 9,000 CLAIM VALUE: 9,000.00 CALC—VALUE: 9,000.00 GROUP OCC: R-1 /M-1 COMMEtJTS: REROOF WlBUR OIJ BOTFI APT. BLDG 6 DETACHED GARAGE �r*x�+r*�r+r***�r*�r*�rx�*�r*�r*****�r*+t********�r***�r**�t*�r�***�r*�t*�r�*+t*x�**x�#**+r****x�*�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 h S ------------ MAIN BUILDING ---------- --------- ACCESSORY HOILDING --------- FRNT: FT IN REAR; FT It+I £RNT: FT ZN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 00000000 ZNE: REF NO: PLANNING NcSTES> > ' if iE if iE iE if iE iE if it iE if if ik�1F it iE iElt it if if if iE if i4 7E iE ic 3f 9E if if ic iE iF if ff 343f if iF iF if iF i:34lF if 9f if 3f f! if if iP 3f iP iE 1f #' i! 1F fE k iF iF iE * if �F#� if iF # �E 3f iE if D E V E.L O P M E N T S E R V I C E S R E Q f7 I R E M E N T S ZONING APPROVEI7 BY . DATE: BUILDING APPROVED BY ; � " � DATE: APPLICATION IS,SUED BY: �/y � DATE: �� iEiEiEiEiEiEiEiEiFitifiEjfiEiFiEiFiFiFiE3EiF ° .rt: . iE jFjEjfiEaf�MiEiF3tiE ! IEif iF 3E if 3f if iF if iF if iE iE iE iE if 1F fE fF K 3f iF K iF ih 1E if jF 3E iP iF if if if iE iF iF iF iF iF iF iF if if iE if iE iE iF iF aF iF?c it it iF �f iE if iE if iF iE iE if iE �iE i4 iE dF if 9F iE jE iE iE if �El� iF if LEGALIZATION:N F E E S U M M A R Y 'STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTAI�^ MECHANIC ', FIRE SMIP/RES GRADING PERMIT 108.00 � ,Y.' gp '°,�: '� • SMIP/NQN—RES PLAN / ZSSUE FEE f,' .�" HUILDING—DIV—> PEAMIT ZSSOE P.I;AN�CHECK TO T PAID DUE TOTALS----> 108.90 0.00 ,y ', '0.00 .90 108.90 .00 REVENUE DIVISION TOTALS--> COL"�ECTED: 10$.90 VER/SAORT: 00 BLDG PMT PLUMBZNG ELECTRIC MECHANIC fIRE S P/TOT GRADING PLAN—CHECIC 108.00 "' t�•. .90 iFiEifiEiEitiEifiEifiFiEitiFiEiEiF#iEifiElE�1EiE3EiEiEKiEiEifiFif iFiE �if-iEY.-iFiE?EiFiEif�iflt�ifli�ifiEif3PiEiEifiEiEi4iEafif3EiEifiEifiEifiFif�7hiEifit�lEiF I N D I V I D U A�L .%"F E E B R E A K D O W N TYPE QTY D E S C R I P T I.O N� UNIT COST TOTAL COST SFR 9000 REROOF BY VA�y�1E RE$DI�;ENTIAL NOZONE t 1.00 9,000.00 �.i, END OF FEES �S�' �- E.XPIRED �� InCompiYt@ InspeGtions � f tx� ' � D� OD157733-OD257134 TC+T 2Q3.90 �:� ;� ��ATE: 03/14/94 7INE: 14:30 .,� � • •- � , -=� CONSTRUCTION AND PLANNING POOL �PA APPROVALS Permit # Date Inspector APpqOVALS Permit # Date Inspector 7. 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. Elec[rical 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-Undrgrnd. f 60. Backwash Lines, P-Trap, O Undrgrnd. . 10. Structural Floor System "� ' " 61. APPROVAL TO DECK � 11. Property 5ewer �ine & House Connection •. 62. Backwash & Receptor�Final /2. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains } 64. Piumbing System - Finai 14. Rough Plumbin9 65. Electricai-Final 15. Rough Electriwl-Condu�t 66. Solar System-Final .� i6, flough Elettric Wiring 67. Fencing & Access Approval 77. Rough Wir�ng Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTE�AS FINAL 79. Rough HeScing & Air Conditioning PIRE DEPT. REQUIREMENT 20. Rough Fattory Fireplace APPROVALS Permit # 21. Ducts, in 5tructure 70. Underground Hydro 22. Ducts, Ventilating 77. Product Piping � Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof� Framing 73. Undergrnd. Storage Tank � Gas ❑ Oii 25. Roof, Sheathing Y c� � 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monowat 75. Dry Chemical 27. Frame and Flashin9 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywa�l Naiting HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION � 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED A 33. Final Electric ._ Notes:��,.��Y. ` s�y'� 9/L rL� QC%^.�►6+►Y/ 34. Final Heating & Air Conditioning � CQr�i.� d+r� 7/�'y/!��i .{%/dOQ. CQ/d' � - -ry - 35. Finai Gas Pipe�Test ' �� 5�� 36. Hood or Canopy ', . 37. Final Factory Fireplace ' , 38. Final Plumbing �' :; 39. Water Seroice�Final � . � - P-1-R-E-D 40. Gas Service Finat �lICOf►1 i8 I/IS Ip(►C 47. Solar pomesticFinal ` � . ��_, , 7�7 42. Backflow Preventer . ' 43. Backflow Irrigation � �; � 44. Landscape Irripation System ` ' 45. Sound A[tenuat(on - 46. Handicap Regulations � 47, FINAL STRUCTURE & BUILDING , ' ' 48. FINALPLANNING ' • 49. Electric Fe�ease to Edison ' 50. Gas Release to Southern California Gas Co 51. CERTIFIC1aTE QF OCCUPANCY - � No. Date ADO��ant to fill in all spaees exeept [hose within heavy EorCer Iines an0 sign a�l appropriate Oeclarations. PER I NO TRACT NO. LOT NO. CITY OF COSTA M�-/ESA C'OI.NSTR CT ON PERMIT � sg, u iT �'2 A P�k zo�e . Projecr.Address / �� . �/' �.� ��'3.y ��_ `) TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR S Maln BUilding: ACCeisOry BUilding: �ApplicanYsMailingAddress E Front Z ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T O �Owner's Na�meI � Phone DESCRIPTION OF WORK/USE OF BLDG. A F7ear N Address n'� — ^ �� Arch/Eng. License No��y/ TVPE OF PERMIT GaADING FOUNDATIOrv ❑ S7aUCTURAL I K Right G Addre55 {� ❑ TENANT ❑ ELECTRICAL ❑ PLVMBING ❑ MEGHANICAL g� Lef[ R Contracmr's Name -� � Phoneo/TJ�, ��O7HER Ping. Ref. � Parking Req./Provided E PROJECT DESCRIPTION So. FT. OCCUPANCV Plannin Notes: � Address (mailin9l � � 9 M CONSTRVCTIONTVPE - VAWATION$ City License No. DF� G��i(� ZONE GRADING CU.YDS. ACHEi T S. LICENSED CONTRACTOR DECLAHATION I hereby aHirm [hdt t am IicenSetl untle� p�ovi510n50f Chdrt!/ 9(comT¢�Cing Remarks: with 5ection ]000) o( DiviSiOn 3 0! lhB Bu5ine55 antl Prof¢SsiOni Cotle, antl — my license is in tull /orce antl etre ELECTRICAL FEES License Class C Icense No � ��' oate - - Siqnat PLUMBING - FEES Automatic Washer Transformer ❑ 15-50 KW WORKERS'COMP ATIO R ION BefSink ShoWerS �n5[fuctionPOle$Ub. �50+KW I hereby affirm that 1 ha cerli [e of con5¢nt lo elt-InSure or a certNic G \ 'vorkers' Gompensation Insurance, or a Backflow Preventer Servite Sink �oking Unit Meter ❑up to 100amps � r ' �0•�� y�p� - Dishwasher . Merer ❑over 100amps �._ .cy rvo. _�_.__T�— Comp Backflow Irrigation Sewer Cap �Certitietl <opy is hereby tu�ql5h . � ' D�yefS ❑CidS ❑EI¢Ct�iC Sub Panel rt'fiea coDrJs��etl witn the c uii � v . Bathtubs Sewer Connection ' ate �—�r% N`1 APPIi .. Fan EXEMPTION FROM WORKERS' PENSATION DECLARATION Clarifiers Solar Collectors Motois �41 HP �1'h - 8 (Thi55ec[fon nee0 not be COTplete f Ihe pa�mll I5/0/ One huntl�etl (S10Q a DIShV.05h¢f $Old� PipiOg F�A��• InaSolar 09�15 HP 016-15+ Ie55). I<erlify that In lh¢ Petfo�manCe ot the w0/k to� whith this pe�m�t IS ISSu¢Q I � FiXtul25 shall not emo�oy any person in any manner so as to Decome suDject to the Drinking Fountain5 Solar Tank MiCJolYdve Workers' Compensation Laws a( Callfornia. Device Boxes Pole Li ht Date Si9nature Floor Drains Swimming Pool w/Spa 9 NOTICE: If, after making thiz tleclaration, You shoultl become subject to tha . Outlets Ran C Workers' Compensalion provis�ons of tne Labor Cotle, you musl forthwith Floo� Sinks U�inal 9 comply wiU such provisions or tbis permit shall be Oeemetl revokeG. - CONSTRUCTION IENDING AGENCV � GasSefvice Outl2ts WaterCl052t SWitches Sign I nereby aftirm lhat tber¢ is a cqnslruction lentling agency (or the performance � oi tne work for wnicn tnia permit is issuetl (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lenaer's Name Generator �PS KW OS-15 KW Trash Compactor Kitchen Sink Water Service 710N ,pt trom the Contractor's License Law for the Lavatories Auto-Wash .5 Business antl Professional Cotle: Any tity or to construct, alter, improve, tlemollsh or repair p-hap laundry Treys �ce, also requires the applicant tor suth permit ne/she is licensetl pursuant to the provislans ot Roof Drains :hapter 9(commenUng with Section 7000) of I Professions Cotla) or that he/she is exempt � Reinspaction Fee $15 15sue Fee $ 3 � allegetl exemption. AnY ��olatlon ot 5¢<tion d Pe�mit subjects the aov��<ant [o a civil �nCretltlouars(55oo): $ 3 DEVELOPMENTSEHVICESREQUIREMENTS: :y or my employees with wa9es as their sole Reinspection Fea $15 Issue Fee Zoning APProved By � (, antl the 5[ructufe Is nOt Intentletl of off¢!etl D8t0 ess anE Profezsional Cotle: The Contractor's MECHANICAL FEES Building qpproved By an owner of a property who builtls or improves Dete �ofk hlTself/her5¢If ol thlough hls O/ h8r Own BOiI¢I Hoad of TypC I ❑ APPIICBtiOf1 ISCUBd By D8t improvemen[5 are not Intentle0 or oHoretl (or �r Improvemenl is soltl wlthin one year oi com- Canopy Type I I ❑ SUMMARV QF FEES e burtlen of Proving he/she tlitl not builtl or im- Duct - Und¢� G�Ound � - BUILDING PERMIT $ �� SMIP $ , am ezclusivery tontractlng with Iicansetl con- Duct -Structural Refrigeration System PLAN CHECK (Section 7044, Business antl Professlons Cotle: $ PERMIT doas not aoPly to an owner ot property who Duct - Ventilating ❑0-100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $ �tl wno contracts ror such oroiects witn a r.on- ne Contractors Liconse Lawl. i am aware tnai Exhaust System ❑ Multiple ❑ System Repair/Alteretion P�N CHECK 25% $ ENEFGV P.C. $ ensation insurance shoultl be provlaetl to me. ELECTRICAL $ GRADING $ B. 6 v. C. for tnls reason Firepl/Fact 811. ICBO �k Fire Dampers PLAN CHECK 50% $ MICROFILM $ ef Heating System & Ducting Registers MECHANICAL $� a .!'% eatl tnis applicatlon and state that the aoove j�0-100,000 BTU (]100,OOOBT TOTAL FEE $ :o comply with ail dty and county ortlinances ' PLAN CHECK 25% $ fing <onstructlon, antl hereby au[horize repre- - er upon�the above-me?tioned pr pert for , O Dat � Re��speaio� Fee $75 �ssue Fea � S!� 01 QOQ2b9)1—QOD26971 Y C� �' :4.:lD nAtF: n9i�zi4o �r«r. .,..,.. BWlding; Canary - ApPiicanx; vink -- AccounLn9; Golaenroa • Hssessoi , .. �_`'�` . . .ar.. . . . • . .-�. . . .4,. . . . . , ^ m. 7 � � CONSTRUCTION AND PLANNING � POOL a^PA APPROVALS Permit# Date Inspector qppROVALS Per,...c# Date Inspector 1. Temporary Electrical Service or Pole ' 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. + y 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•.Elect�ica�l UFER-Grnd. 57. APPROVAL TO COVER�GUNITE � 7. Footings� � � _ � 58. Electrical Conduit-Undrgrnd. , 8. Foundation ' '� -• -' 59: Gas Pipe, � Undrgrnd., Test � � 9: Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. , ��0.; StructuralwFloor 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 .� , i, 64. Plumbing System - Final „ 14. Rough.Plumbing ' - � . � 65. Electrical-Final - 15. Rough Electrical-Conduit � 66. Solar System-Final - 16. Rough Electric Wiring 67. Fencing & Access Approval �� 1�7, Rough Wiring Sign 68. APPROVED FOR PLASTERING J8�. Rough Electrical-T 8ar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT �V �0: Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas•Pipe-Rough & Test 72. Underground Flush ;24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil . 25. Roof Sheathing ,74. Oyerhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding' ' ' ' 77. FIXED SYSTEM FIIVAL � � ' 29. Insulation 78. FIRE PREV. FINAL 30? Orywall Nailing HEALTH DEPT. REQUIREMENT /�� 31� Plaster Brown Coat 79. FINAL INSPECTION 32! Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED -� i: 33. Final Electric Notes: �� 34. Final Heating,& Air Conditioning 3 3�'Y L�ii% 35. Final Gas Pipe-Test � 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing � 39. Water Service-Final Cr, �• 40. Gas Service-Final •"'• • -- � • . ,. . . . , . _ . , � .. 41 . Solar pomestic-Final ::p �,� 42. Backflow Preventer `�,� � �� I�� _, 43. Backflow Irrigation ��1 �r � i 44. �Landscape Irrigation System � �} � � 45. Sound Attenuation � •.e 46. Handicap Regulations';� 47. FINALSTRUCTURE & BUILDING ' 48. Special Requirements Completed 49. Elearic Release to Edison ,'� - 50. Gas Release to Southern California Gas Co �d � 51. CERTIFICATE OF OCCUPANCY /_ No. Date �• ADO��ant to fill in all spaees except tnose within heavy Dortler Iines antl si9n all appropriaia tleclantions. PER IT NO. TRACT NO. LOT NO. UNIT O.-1 CITY,OF COSTA �M-/E�S�,A� CONST�UCTION P R IT 3�ga A•P•il� Project Address � �' S Main Building: �ppliCanl�S Mailing Addf2 ,� TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR E ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T FfOnt Owner's Nam�� Phone DESCRIPTION OF WORK/USE OF BLDG. A Rear Address TVPEOFPERMIT GRADING FOUNDATION STRUCTURAL I C Right Arch/Eng. License No. � K Addte55 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S� Le1t Controctor's Nam • � �rn¢^� Phone54.�r55N9- ��OTNER Ping. Ref. # � � PROJECT DESCRIPTION So. F7. oCCUaANCv Plannin Notes: Add�esslm ��' _I. O'�J �� CONSTRUCTIONTYPE VALUATION$ 9 i City Licen N C%� � 3�,�j LICENSED CONTRACTOR DECLARATION I hereby aftirm t�at I am IicenseC untler proW5ion5 of Charter 9(<ommencing witn section ]000) of Division 3 0l the�uslness antl Professions Cotle, anC my Iicense is in tull�r��antl effecL� �� y� �� WORKERS' COMPEN}iL1iR6EC R. I her firm that I have a certifit of o�ker5 e o � oo. �o.�.ln.. i „��./a. � EXEMPTION FROM WORKERS• C PENSqiION DECLARATION (This section neetl not be completetl the Dermit is for one huntlretl (530 less). I certify that in tne performance oi tne work br whlch this oerm�t is issuatl I shall not employ any person in any manner so as to become zub7ect to t�e Workers' Comoensation Laws of California. � Date Signature NOTICE: It, a(ter making this tleclaration, yo� shoultl become subject to the Workers' Compensation provisions of the Ldbor Cotle, you must forthwi[n comply wilh such p�oviSiOns o� thi5 pe�Tit Shdll D¢ tleem¢tl /evoketl. CONSTRUCTION LENDING AGENCV 1 hereby affirm that tnere is a construction lentling agency tor the pertormance of [he work tor which this permit is Issuetl (Section 3097 Civ. C.) Lenaer's Name LenOer'S Htltlress OWNER BUIL�Eft DECLARATION ' I �ereby aftirm lhat 1 am exemPt from the ConVactorY Ucense law for the following reason (Seclion 7031.5 Busine55 a�d Profezsional Cotle: Any city or munty whiCh requires a p¢rmit lo cOnst�uct, alter, imp�ove, tlemoli5h o� �epol� any stN<ture, pfiOr to ft5 issuance, al5o requ(re5 tile apP��dnt (or Such perTi( , to file a si9netl statement that he/she is Ilcen5e0 pursuan[ to tha provisions of . the Con[ractor's�Ucense law (Chapter 9(commenUn9 with Section 7000) of 'I Division 3 a( the BuStness anO Profezsions Coae) or [nat he/she is exempt 'here(rom antl the ba5is for the a11e9e0 exemption. Any viola[lon ot Section �31.5 by any aoo��cant for a permil sUbjects [he appliwnt [o a civil �nalty oi not more Ihan five nuntlretl tlollars (§500). � I, as owner of the property or my embloyees with wages as their sole compen5ation, will tl0 the wo�k, antl the st�Uc[u�e i5 not Int¢ntletl O/ ofteretl tor sale (Section 7044, Business ane Profgssional Cotle: The ConVactor's License Law tloes not aoo�Y ro an owner of a property who builtls or improves the�eon, antl who tloes such work nim5elf/he�self o/ throu9h hls or he� own employees, provitletl tba[ such improvementb are not intentletl or olleretl for sale. It, howeveq the builaing or improvement Is solC within one year ot <om- pletion, the owner will have the burtlen of provin9 he/sne tlIE not builtl or im- provo-for the purpose of sale). ❑ I, as owner ot the Oroperty, am exclusivgty contractlng with Ilcensetl con- tractors to conztruct the pro�ect f5ectio� 704q, 9usiness ana Aofessions Cotle: The Contractor'S license Law does not apply to an owner ot property who builtls o� improves the�eon. antl who cOnt�d<Is for suCh orOi¢Ctz with a ton- tractor(s1 hcense pursuant m tne ConVactors Litense Law). 1 am aware tbat orooi of their WOrker'S Compenwtlon Insu�ant0 Shoultl be provitletl to m¢. ❑ I am ezemp[ untler Sectlon B. & P. C. tor this reason . i . _ __ _. .. Date I hereb cert' y t intormation i cori antl state laws re untatives i t inspection Slgnatur Drivers' lice e or 0865-46, rev. 5/88 _ Owner have'rea� upon above GRADINGCU.VDS. ACRES_ Remarks: Sink Preventer Irrigation Drinking Fountains Floor Orains Floor Sinks Gas Servic2 Outlets Interceptors Kitchen Sink Lavatories P—Trap Roof Drains Reinspection Fea � $15 )uct - Untler Ground . )u[[ - StrUcturel ' )uct - Ventilating :xhaust System ❑ Multiple ❑ Firepl/Fact. Blt. �CBO d'' ieating System & Ducting �0-100,000 BTU O 100,000 BT peinspection Fee � $15 White - Builtling: Canary - Appliwnt; Pink - Accounli�9: Golaenrotl - Aisezsor Showers Service Sink Sewer Cap Sewer Connection Solar Callectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Au[o-Wash laue Fee Hood or Typel ❑ Canopy Type II ❑ Retrigeratlon System ❑0�100,OOOBTU ❑700,000 System Repair/Alteration Fire Dampers Registers Issue Fea � FEES P.utomatic Washer Construction Pole Si Cooking Unit �. Dishwasher ' Dryers �Gas ❑EI Fan F.A.U. i Fixtures Device Boxes Outlets $WitCh¢5 Garbage Dizposal Generator �0�5 KW Zone Accessory Building: ./Provided ELECTRICAL Transformer � 15-50 KW O so+xw Meter LJup to 100 amps Meter ❑over700amps Sub Panel Motors �0.7 HP � 1'f, - 8 Int.Solar �9-15 HP �16-15+ Microwave Pole Li9ht Range I I Standing Sections 5 KW I I Trash Compactor Reinspection Fee S15 Issue Fee $ 3 DEVELOPMENTSERVICESREQUIREMENTS: ZoninB APCroved By FEES Building Approved By �� FEES $ 3 SUMMARV OF FEES BUILDING PERMIT $ � SMIP $ � PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLANCHECK 50% $ MICROFILM $ MECHANICAL �� TOTALFEE $ A � _' " ". � . O N I N G R E � M T S. oi 00026972-OOQ26972 TCIT 24.OD DATE: 02/23/89 TIM@: Ib:Q4 . . �. i� _ ;. . y, �J .. � ^n • .. l . �. . , . '.K.. .. � �- .., �� ,` C�NSTRUCTION AND PLANNING }� �� ''4 ,- AdPROVALS Permit # Date Inspector p�ppROVALS Permit # Date Inspector ,� 1. Temporary Electrical Service or Pole �� . 52. Pool & Equipment Location , ' � 2. Soil�Pipe-Undrgrnd. ,, � '� 53. Steel Reinforcement .��A'; 3.'Elecirical Condui; Utility-Undrgrnd: ' r� 54. Forms •- 4. Electrical Conduit�Undr md. � ` � � 9 . 55. Electrical Bonding 5: Steel Reinforcemenl ' 56. Rough Plumbing & Pressure Test "'�', � �- 6.'Electrical UFER.Grnd.� 57. APPROVAL TO COVER-GUNITE i ,7. Footings � � � • 58. Electrical Conduit-Undrgrnd. " � 8. Foundation ' 59. Gas Pipe, O Undrgrnd., Test �°'I 9. Water Pipe-Undr�rnil.. •, � ti _ �,:� fi0 � Backwash� Cines, P-Trap, O Undrgmd. �. �' � 10. Structural Floor System -� � 67. APPROVALTO 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 _�- -]6: Rough Electric Wiring 67. Fencing & Access Approval _i 17. Rough Wiring Sign ' 68. APPROVED FOR PLASTERING 18.. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL i ,19�. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � �20. Rough Factory Fireplace APPROVALS Permit # u 21. Ducts, in Structure 70. Underground Hydro 22. DuctS, Ventilating 71. Product Piping O Gas O Oil 23. Gas Pipe-Rough & Test 72. Underground 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. Insulation . 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT ! v ,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 '/�C� (�j� u� 35. Final Gas Pipe-Test 36, Hood or Canopy � 37. Final Factory Fireplace '�� i 38. Final Plumbing �J� �. 39. Water Service-Final r: � �� 40. Gas Service-Final .•,: • , ' � � 41. Solar pomestic-Final -� � -r. 42. Backflow Preventer �� `1 I�'% � 43. Backflow Irrigation � � ' � "�' " �: 44. � Landscape IrrigationSystem � j � �� 45. Sound Attenuation".� � �� 46. Handicap Regulations� , � 47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed 49. Electric Release to Edison � �� 50. Gas Release to Southern California Gas Co � • .` 51. CERTIFICATE OF OCCUPANCY : � ' �� No. Date C.. CITY OF COSTA � � {ipplitant's Mailing qddress � � �i'�� Owner's Nca,me ��Y�I�� ^� ' � � Pnone'13Y'/��Z Address n �� _Ld�� , Arch/Eng. License No. � Address A�Fo-� �/(n'��0� Contracior'sNamae� a� E4�+; Fi�+e..t�e Ph ne " Address (mailing) � /�'%��%t �� u� Q-7�n�, City License No. LICENSED CONTRqCTOR DECLARATION I hereby aifirm [hxt � am Iicensetl untler provision4 Ot Charter 9(Commendng wlth section 7000) Of Division 3 of lhe Busineu antl Protesslons Cotle, antl rtiy Iicense is in fup �Orc a tl ffect. Llcense Class' i e se Stb 7 92 / �ate 519naWre WORKERS' COMPErySATION DECLARATION I hereby aiflrm that I have a cerHticate of consent to seli-Insure or a certiflcate i^.;.R Worke�s' CompepyytiOn Insu�ancR. or a certifietl copy ther¢ot ($ection �'i`:�300� Lab. CJ �.li�l`� �L�-�G. %��.,. L1 Certifietl copy is ryereby tUrnishetl. � "�,CJ[� L.1 Certit' opY is f{�etl with the�tlty i m wision. //: G aJ 5Z4 Date�tl��--._ APPlicant ��r�l �aN�PI t EXEMPTION FROM WORKERS' COMPENSATI01�1 E lAR TION (ThiSuction neetl not ba completetl it [he Oermit ii for one �untlratl (5300) or Iess). I certi/y Ihat in Ihe berfOrmance o( the wo�k tor,whlch tttls pe�m�t is lisuetl, I snall not employ any person in anY manner so as to become subjecl to lhe Workers' Compensation LawS of Caliiornia. . Date ' Signature - 'NOTICE: If, aiter making this tlaclaraUon, you shoultl become subject [o the Workers' Compensaryon proWsions ol the Labor Cotle, you mu5[ forthwith comply wilh such provisloni or mis.oe�mit Shall be tlGOmetl revoketl. CONSTRUCTION LENDING-AGENCV 1 nereby alNrm that there is a construction lentling agen<y tor tne oer/ormance 01 lho work ror WhiGh this Oermil is Issuetl (Sectlon 3097 Clv. CJ LAnEer's Name , Lontler's AOtlress OWNER BUILDER bECLARATION ' 1 hereby aHirm that I dm axampt Irom the Contraclor'S Lic¢nse Law for the tollowin9 �eason (5¢ction ]031.5 Bu5lness antl Profa55ional COGo: AnY city or county which �equi�es a pMmlt [O cOnsVUGt, aller, improve, G<molish or �epair any structure, prior to Its issuancn, atso reqWres the appiicant lor zucn permit t0 filo a 5ignetl statement lhdt he/she iz Iic¢nsntl purzuant to the Provi5ion5 af the Contractor's Licgnse Luw (Ghapter 9(mmmencing with Section 7000) of D�vlSion 3 of the 6usin¢ss antl Prolessions Cotlej or thd[ he/she Is exemp[ 'herefrom anE the basis for tho allegetl exempNon. Any violalion of Section 131.5 Dy any applicant fo� a pmmlt Sub�ect5 Ihn apP��ant lo a clvil malty of not more tnan five huntlred tlollars (5500). J I, as owner o/ [ne pr000rty or my amo�oyees with wa9as az tneir sole companiation, will tlo the work, antl [he sVucture I5 nol Intentletl or ofteretl br wle (Section �044, Business antl Professional Cotlo: The Contrac[or'S License Law tloes nOl app�Y to an owner of a proparry who bu11Es or improves thereon, antl who do¢s suth wo�k hlms¢If/hetseit Or Inrough Ms or hGr own employoes, provitleq that zucn ImOrovamonts are not Intenaetl or o(feretl tor 581C. If, howev<r, lM1e bulltlln9 0� ImprOvement Is SOItl wllnin one year Ot com- pl¢tion, Ihe owner W�� have lna burtlen O� proving he/5h0 �IE not builtl or im- �rova tor lhe purpo5e ot zale). • ' LJ I, as owner ot tne property, am exGlusively conlracting with license� con- tractors to construct tho oroject ISection ]044, Business antl Prote55ions Cotle: Tho ConVattor'S Li<ense law docs not appty [o an owner of property who builtls or imD�oves �hereon, antl who contracts tor such projacts wlth a con- tractor�51 Ilcense pursuant to the Contractor's License Law). I am awar¢ tbat pro0( o( their Worker's CompansaHon insuranca shoultl bo provitletl to me. ❑ I am ezempt untler Section B. & P. C. tor chis r¢ason Dale Owner I nereby certi(y tbat'1 nave reaa tnis appfi<ation ana state tnat the aboaa Information is correct. 1 a9rea to como�Y �'��h all city antl county orainances dntl Slal¢ laws relating to bulltlln9 con5trucLon, antl h¢r¢by autnoriu �epre- sen[atives of this City to ontnr u on the aDove-menUonetl prooert tor Inspectlon ur z �, q� pS� Signature Date J 4 Drivers' license or SS � flll in a�l spaces axcept those wit�(n �eavY Dortler Iines antl sign all apVropriate Geclantions. 1 ,'� l "l 1 `C " TV�FCONSTRUCTION NEW %�DD ALTEiiAT10N REPAIR �� CONVERSION ❑ DEMOLISH ❑ OTHE �+ DES RIPTIg NOFWORI USEOFBIDG. /' �si'}�1 ^ ( hR �- �[� �rc TVPE OF PERMIT GRADING FOUNDATION STRUCTURAL ❑ TENANT ❑ ELECTRICAL �PLUMBING ❑ MECHANICAL ❑ OTHER PROJEC7 DESCRIPTION 5�. FT. oCCUaAniCv CONSTRUCTION TYPE VALUATION $ ZONE GRADING CU. VDS. ' ACRES Remarks: Bar Sink Backflow Preventer � � Backflow Irri9ation - Bathtubs Clerifiers Dishwasher � Drinking Fountains Floor Orains Floor Sinks Gas Service Outlets �` Interceptors� Ki[chen Sink � �avatories P-Trap ROof Drains Reinspection Fee ` $15 Boiler Duct-Under Ground Duct - Sttuctural Duct � Ventilating Exhaust System ❑ Multiple FirepVFacL Blt. IC80 ;4`- Heating System & Ducting ❑P700,000 BTU � 100,000 Reinspection Fee � 515 CMF 0865-46, rev. 10/84 White - Builtlin9; Canary - Applicant Plnk - Accounting; Goltlenrotl - AssaSsor Showers Service Sink Sevuer Cap Sewer Connettion $olar Collectors � Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Wacer Heater Water Service Auto-Wash laue Fee Hood or Typel � Canopy Type 11 ❑ Refrigeration System ❑o-ioo,000eru ❑ioo,000 System Repair/AI[eration Fire Dampers Registers Iswe Fee EES S 3 $ 3 A.P. � S Main Buildi E T Front B Fear A C Right K Left S Ping. Ref. # Planning Notes: Automatic Washer Construction Pole S�b. Coaking Unit � Dishwasher Dryers ❑Gas ❑Electtic Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator �0�5 KW �5-15 3900 5/31/B5 Parking Req./Provided ELECTRICAL � Trensformer Meter lJu Meter ❑a Sub Panel Motors �I I nc. Solar � Microwave Pole Light Range 27oG0 TL 2one FEES ❑ 75-50 KW ' ❑ 50+ KW to t00amps r 100 amps _ . 1 HPO1h-8 '9-15 HP �16�15+ ; Standing Sec�ions Trash Compactor Z O N I N G R E � M T $ � ReinsPection Fae I$15 � I luue Feo I $ 3 I DEVELOPMENT SERVICES RE�UIREMENTS: Zoning APProved BY Dala Building Appraved By Data APPliption luued BV Date S 3 1 SUMMARV OF FEES BUI�DING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ 2� -C�D ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRAOING $ PLANCHECK 50% $ MICROFILM $ MECHANICAL $ TOTALFEE s 27_(�n PLAN CHECK 25% $ � - � STRUCTION AND PLANNING POOL ?A A PROVALS Permit # Date - Inspector qppROVALS Permit # Date InspPcrnr 1. Temporary Electrical Service or Pole 52. Pool & Equipmeni Location .2. ,Soil Pipe-Undrgmd. � 53. Steel Reinforcement -3: Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding .5.� Steel 8einforcement 56. Rough Plumbing & Pressure Test � �- . 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings . � 58. Electrical Conduit�Undrgrnd. 6. Foundation � • 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. ' 60. Backwash Lines, P-Trap, O Undrgrnd. 10. StructUral Floor System " 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 72. Sewer Cap . '. 63. Heater & Vent-Final .73. Roof Drains ' 64. Plum6ing SYstem - Final '14. Rough Plumbing 65. Electrical-Final � 15. Rough Electrical-Conduit 66. Solar System-Final 16. 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, Ventiiating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush � 24. Roof F�aming 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74, Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame anii 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 G. s Pipe-Test p� � � � 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 Regulaiions � � 47. FINALSTRUCTURE&BUILDING - 48. Special Requirements Completed , � , � 49. Electric Release to Edison � - � - `, 50. Gas Release to Southern California Gas Co , �' 51. CERTIFICATE OF,OCCUPANCY � _ . ' _ jVn. � Date � %�fi AOP�icant to fill in all spaees exee0t tnose within heavy eortler Iines antl sign a11 apvropriate tleclarationz. CI7Y oF COS7A MESA CONSTRUCTION PERMIT �Project Address � � • � T%� ST P.pp�icant's Mailing Address� �+O /j N ✓ i�iTdif+ I Owner'sNa"me '� �'� � �X'/� Phone��1'�7�Z Address �l �L.�a�n� s'! nOL(JNLr� Arch/Eng. -License No. Address Conuecmr's Nam G S�'°''yT phone Addrpu (m� �'��1 �l. �D / �nKr A� UT/�✓6/'61V/g City License No. 3� 7� � � LICENSED CONTRACTOR DECLARATION 1'hereby a/firm tbat I am Ilcensetl under provlsions o� Charter 9(commencing with sectlon ]000) ot �ivision 3� ot the Business antl Professions Cotle, antl my Iicense is in full forte antl eifect. License c�ass C ic se �vo. 3�7 �7�I �� Date %-3� Si9nature WORKERS'COMPENSATION DECLARATION I hereby ai(irm that I have a certificate ot consent to self-insure or a certi(Icate o! Workers' Compens5tion Insurance, or a certiNetl copy thereo( (Secfton 3800, Lab. C. ' 9�10•N}� PoliCy No.�✓� S�UU/�rG Company '$� ��C� Certifietl copy is hereby furnisnetl. ' D��Certifie opy is iiletl wilh the city Bujltling qi�isio � te • Applicant�_1�� EXEMPTI N FROM WORKERS' COMPENSATION DECLARATION (ThiSsection need not be comple[e0 i( tne permit is tor one huntlretl (5300) or less). I certify that in the perfo�mance Ot M¢ work fo� Which tttis perry�it I5:i55u¢Q I sltall not employ any person in any manner so as to become subje<t [o tne Workers' ComOe��on Laws of Calitomia. . ' Date 59nature NOTICE: It, after making this tleclaratlon, you snoultl bemme sublect to the , Workers' Compensatlon provisions ot the Labor Cotle, you must fortbwith [omply with such provislon5 or thi5 pe�mit Shall be'�tleemetl revOketl. CONSTRUCTIOM LENDING AGENGV �T t • I her�by aitirm that there Is a construction lentling a9ency tor the pertormance of the work (or, wnlch this permit is i55uetl (Section 3097 Civ. C.) Lentler's Name Lenqer'S Atltlress OWNER BUILDER DECLARi1TION-- � � I hereby atfirm that 1 am exempt trom the Contractor's License Law tor the tollqwing reason (Section 7031.5 Business antl Professional COAe: Any ci[y or cOuqty whicM1 /equires a p¢/mit l0 con5truct, alter, imprOve, tlemolish or repair any structure, prior to its Issuance, also requires the applicant tor such permit to fjle a Si9netl statem¢nt that he/she I5 licensetl pursuant to tM1e prOvisions Of the Contractor's License Law (Chapter 9(commencing with Saction 7000) of Division 3 ot the Business antl Protessions Cotle) or that ne/she Is exempt therelrom antl lhe �asis fOr the dllegetl ezemption. Any violatiOn ot Section . 7031.5 by any applicanl tor a permit SUDjects the aOP��cdnt to a civil I��blty of not more than five huntlretl Colldrs (§500). � �� , as owner of the property'or my employees with wages as thelr sole Compen5ation, will tl0 tne work, antl the sVucture iz no[ intentletl or oHeretl tor sale (Section 7044, Business antl Protessional Cotle: The Contrac[or's Licanse Law tloes not apPly to an owner of a property who builtls or improves thereon, ana who Eoes su<h work.nimzelf/herself orthrougn his or her own emplOyees, prOvltletl [hat such iTprovements a�0 nOt intende0 0� offeretl for sale, If, however, the builtlin9 cr improvement is soltl within one year of com- pletlon, fhe owner wlll have the burtlen of proving he/she ditl not builtl or im- �roVa tor the purpose of sale). . �J � as owner oi the property, am exclusivery contractin9 with Iicensetl con- tractors to mnstruct the project (Section ]044, Business antl Professions Cotle: The ConVactor's license law tloes not aoo�Y to an owner of property who builtls or improves th¢reon, antl who contracts for zuch projetts witn a con- tracpor(511icense pursuant�to the�Cont�actOi'i Lltense Law�. I am awar¢ tnat proot o( ttteir WO�ke�'s COmpensatlon inSU/anG< shoultl be prOviCetl [o ma. ❑ I am exempl untler Section 8. & P. C. for this reason Dat@ I hereby certify that Intormation is correct. antl state laws relatlni sentatives of th cib inspection pur s Signature _ Owner have reatl this appliCatlon antl state that the above a9ree to comply with all tlty antl county ortlinances o wltlin9 conStruGtlon, antl hereby aUthoNie repre- ,t ente� up0y9�� the �abov_eL-mentionetl p�Operty tor d�^�' '�`q/�.� Date 7— 3 �— �� i I Reinspectfon Fee Driyer5' License or SS � � CMF 0865-46, rev.4/84 Whife`- Builtling; Canary -AOP��: Pink -ACCounUn9; GOltlenro0 -Assesso� $75 PLUMBING Showers � Service Sink Sewer Cap Sewe� Connection Solar Collecrors Solar Pipin9 Solar Tank Swimming Pool w, Urinal Water Closet Water Heater Water Service laue Fee Hood or Typel ❑ ' Canopy Typell ❑ Refrigeration System ❑0.100,OOOBTU ❑100,000 System Repair/Alteration � Issue Fee $ 3 A.P. # S Main Buildin9: E T Fron[ A Rear C Right K g left Ping. Ref. # Planninq Motes: Automatic Washer Constructior Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Elec Fan F.A.U. Fixtures Device Boxes � Outlets Switches Garbage Disposal Generator �0-5 KW C 0 5161 7/31/64 Zone ' � Accessory Building: Parking�Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps 13 Meter ❑over 100 amps Sub Panel Motors �Pl HP 01 :5 - 8 Inc.Solar �9-15 HP �16-15+ Microwave . . ' Pole Light Range 5KW Standing Sections Trash Compactor IOC.50 TL FEES Z O N I N G R E � M T S. Reinspection Fee I$15 Issue Fee � $ 3 FEES DEVELOPMENT SERVICES REQUIREMENTS: 2oning Approved Qy Date Building Approved By Date Appliption laued By ��b ' Dat � SUMMARV OF FEES BUILDING PERMIT $ SMIP $ P�P.N CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ' ENERGY P.C. $ ELECTRICAL $ IOD•SO GRADING $ PLANCHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $ I �O .�D $ 3 PIAN CHECK 25% $ I � POO L & SPA CONSTRUCTION AND PLANNING � APPROVALS Permit # Date Inspector pppROVALS Permit #• Date Inspector �' �1. Temporary Electrical $ervice or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Stee� Reinforcement 3:,Electrical.ConduitUtility-Undrgrnd. 54. Forms � 4' Electrical Conduit-Undrgrnd. � 55. Electrical Bonding � i 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test . 6. Electrical UFER'G�nd. 57. APPROVAL TO COVER-GUNITE 7..Footings - . 58. Electrical Conduit-Undrgrnd. 8. Foundation � 59. Gas Pipe, O Undrgrnd., Test ' 9. Water Pipe-Undrgrnd. . 60. Backwash Lines, P-Trap, O Undrgrnd. _ � 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 16. 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. Storage•Tank 0 Gas ❑ Oil 25. Roof Sheathing �74. Overhead Hydro � . 26. T-Bar Ceiling (Structurap & 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 INSPECTIOIV 32. Electrical Power Meter-Final � l � � 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 Regulations . '47. FINALSTRUCTURE&BUILDING 48. Special Requirements Completed 49. Electric Release to Edison ; � � 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date City of Costa Mesa Building Safety Deparfinent P. O. eox 317 Co�ta Mesa, Cvl�fornio _ _. CERTIFICATE OF OCCUPANCY N� 2016 C The Building lomted at 7� W i�l &1S'2G'�+ BT�.tB 1 tA i'Z has been inspected and fo�nd to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group R Occupancy. Use of Building `lt�elva Uait ReaSdeatial AFar�t �311dip8 Legal Description A• P- �16-104-13 84 1:�_ (Sae revor�e �ide for Mefes and Bound�) Building Permit No. �T6 Electrical Permif No. � Plumbing Permit No. ��5 Floor Load Signs have been installed as Room Capacity Signs have been instaled as required under Sec. 2308 U. B. C. . req�ired under Sec. 3301 (1) U. B. C. _ 17050. CERTIFICATE OF OCCUPANCY. (a) No apartment house, hotel, or lodging house shall be used or xc�pied until the owner or operator has been iss�ed a valid cerTificote of occupancy by the enforcement agency. (b) A new certificate af occupancy shall be obtained whenever there is a change in: 1) Occuponcy classification of a building or portion ihereof ' 2) The number of apartments or guest rooms 3) Ownership if Group H Occuponcy, number of apartmeMs and/or guest rooms as req�ired onder Sec. 17050.1 (d), Califomia Administrative Code, Tifle 8, Chapfer 9, Article 8. . Number of apartments�lE'1VB ild' � and/or guest rooms ISSUED TO: B�ilding Official TSOMAS 00% yY ! ` ' d• �,�,�,�„�„ Date This Cerlificate of Occupancy SNALL BE posted in a tonspicuou place on the premises and SHALL NOT BE removed excepP by ihe Buildieg Official of the City of Costa Mesa under Sec. 306 (e) U.B.C. Fo�m aua�--iM—u-ea,sa r , . . �aos�� '�EE RECEIVED CdSTA MESA BUILDING-SAFEf`! DEPARTMEM' /� CT 2 j I��" P. o. ao=s,� COBTA M66A. CALIROPNIA . ��NANCE DEPMT�. •' For Appllcanf ro Fill In Completely �:4PPLICA ORFF6Q"PERN(R$A 'rv E o PR� °ii UILDING � �qlbf � BUILDINO ' F`ur.. ice.,Use Only, � � o ADORESS � I�•�� ( � 8C81PT NO. PBRMIT NO. � COSTA M�SA.� CALIFORNIA� ' .. . ' ''; ' ��. L .' . , ✓� ,�% � . .. . � .. PECeI C�, �E�VE .� '� 6'ruty�!t � . . ..i . � : ... . OWNER �i Q '. . - �p ��//� / //J�J MAIL /�' '�' � _ ... � _ AOOR NadSr"�V' 6U" ./�_ /"��' . � ADDRE88 r�y� rC�. . � FIRB�o -�� • ' .. CITY �, . _ ND � •..� •- .. • .ZON._ �,�f � TYPB. " :Y � GROUP � � ORENGEN ER �.. •.i NO.� y�••� :. BY'�ROYE� �o' • a y� ATE/ �� • _ . . � � � Z NING .. AD. i8 1 r� y- + � B� ��I �iO.O O9EOIN[W IZl�1�/ � ' pUN � _I;eWLo1N0 ./ . CONTRACTOR e � . Y • � p ` ` J L6dAL /�.�pt� 4.r � ay�•- �i� ff�. �� v -- AODR6i8 ' .7 . . �(�(� � �� )" • u , Ct�I+tivH : � . .. . cirv 1 6 Y 7 QPAC Il i�A , w.'P. no-.%/ lc�' /a'Y —�-3 ��5' � , ' NSTC: :10 EAV O RHANG BHALL BE LE89 THAN STATE TEL. ��'� �� 9'O• -C ��DE 8 P. L. � � LIC. NO. � L� � E' N. � � , EAYE9S� � S12E ( � / I NO,OPetn08. ALIOWED {U.B.G.REOUIREMENi) OFLOT OO nOWON T� YAROSMP OVHD YARDSAPPROVED � USE�OF� .� : MAIN BUI DINO ACCESSORY BUILDINQ � EXISTIN� BLDO. S '3 FROM C/L 6T EET/�) /� f- ��;. _ y, BETBACK LINE FROM J RONT �'O . / KC/ ' CBNTeP oP BTFl88T REAR YAR� I . �� //� r � (�1 I i 61DEYARDI LEFT I RIOFiT 81oT^- �� \ 1 L DESCRIPTION OF WORK �� '— `�y� �–,i NEW _� ALTpRATI N_ ADDITION RIEAC -,� / F7,I FT. r F � REP..... MOV�NO � I� M^NABLD 5. �/* ACCE55!BLD 8 7�" DEM LIBH � BUILDIN6 !�/ / NO.OP YAR'# �p DATE 'Ol'��//Z - SIZE Ib�JX ROOMS 6T RIEB Q-:k�' � APPROVEO ��`� EXTERIOR WALL ROOP L �S FCtiT � -COVERING CGb COVERIN�J u_ « ' BYPROV: ,� pATE�O �6 63 --' USE OF BUILDINC ApD WORK TO BE PERFORM6D �iO�� ' R SPECI�A REQUIREMENTS �; - � a 6q. �. � 3S � I HEREBY ACKNOWLEO08 T{�AT 1 H�VB PEAD TMIB �PPLIGTION TX8 AMOUNT BHOWN UNDBR ALUATION IB pOR TN8 = AND BTATB THAT THE ABOyg 19 CORNHCT AND AOREB TO COM- P�1HP09E OP BBTABL�BXINU A PBRMIT PQ8 ONI.V. � �- BUILOI,NO CONeTPt1RIpNNANC89 AND §(S'^P�x C�� r7 S� y�ppLIIATION � (�` n �G '/ PERMITFEE $ //D �� j �- SIGNATUREO m � PERMITTE ^ . S�a/ 3a� LA H �� 0 AUTHORIZED AGENT � �� ' J ' � /�/[�' � . `+ - . TOTAGFEE $ (j"J � fl..t1;p j�} "`s •:��": .._._..>..,•, t,;y __ � .. 1 : '�.c ..� U t _1 al « 1� .a .. ' r• ,•• T � ��lEi �� '';t' ',�° . � . _.. ;c�.� � _ : _ q_ � �� a . ....._: ,--• ._ . . . .T ,�4 �Jr�r,4� -- _ . . — _._. __ �_.._ . ' v�;pv1 AT?,�;' ?Q. Y ,," . . i .. _ ,:. ., . ; . , --.. . _ . ,�, _. ,. . j i, � _ .r �,t. . . �' � • . _ . . ^' . , .. ' ��, . , ': ., , ^.r!;.s...., .,_.� : ._ Special Requirem . ' . . . . . . � : _ _- , '.. '• • : . . . d,;ea -, � . . , , _.. .. . . . _ . .__�� ., . � . ' ' . `� - .. - ' "-=- --'- :'r'�:J � __ ... _ _ .. , ' �,' �� •1: � �3tistallation ntial sidewalks':and :concrete• - ; - � ' clriveway,'app " the appl�cant� at his�expense; , �• ' - -a3ori� �S�7allac stance; of- 300' , aiid along�W.� -; •• i:: • ' �, ;. , . • 18th Street ' ce -of 159' as per standard ., . . _...., . :y- ___,..,_,�,.,�..,.._, specifi:cation � Cit . of-Costa Mesa. .. . � "��. Tree planting 'rrith surrounding ar�a.,�;..;;,_ :,�-.-.. .. .. , • 3. •F'ire; extinguis, t��.`National ,Board of ire , Underwriters i 10`and subject�'to�9tate''i"'?_=�:. _ . . -and local fir ' t�!�' � ;�._... . - ..:. ...... :... :...;; i.. . � :a:r. � �:: � , . '� .: .. - - - -- 4:,�.,�Installation•� -i'ence� along £he northerly � ,_, ; ; ; .proper,ty, line : `therTy �T34' oi' t'he easte'rly' = ' - p:'operty line. , �_�`\.'.,°, ;\ �l_ . _c, r :� .,� . : . . ,✓ � ; - - - _ . . . . ; � it�Otl i, �311�jv,. �, • 1 ..� 'vf C)'l� - . ' ` \. a�: is i t..-;�'�, ; �.•� ; � r. ) � �� ; . . . . . . , . ,_ . . `, , ti - . � l .'. ',' F � : �2 ' _� o � - _ . � . -, � 4 i �. : __. ... . _ , r. l �� :�.� '' _ -.? ' � . � �. .j�l , � -%}.�1 � . a .. , , ..._ "�- 1 _ � . � . . .rt. � -. . �'`k.0 " ' ' �� • '-.C, , } i � - - - � - - � � � - ... ,'.�.. .. �"\'��'. .. ' ., e. �Al1j 5✓. . . . I �! . . - _ .. . ..�. � � � .` . .. ,. . . , i . - _ � �". . ' � � � _ . _ � . �..e � � • 1.. ' ( . . . 'f. - . ' I _ . . _ ._.. . ._ , 1 . j °1._^i `�_ �'�.' � � ,,� _' ' ' ." . 1'" _'' L ' _ , ' . . ' .•```\h� i •�. '. �� _�. r ' . ry _ ' .. � , .:•r:9i�i�a�tu9sia .��ia.��;� R,. ? ,; ' 3.. -�, ` .. , -. �` � . . "�jr . .. _ :".,' ;�:'l,n� . ',.i �, . 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