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Home My WebLink About824 18TH ST - Building Permits,lob ndCress: 824 W 1 STH ST Suite: Vitinity: Primary Occ: Parcel Number: 42418226 Appliwnt: MIKE HENDERSON Adtlress: 833 W 16TH ST NEWPORT BEACH, CA Owner: KAHN, PHILIP , Address 824 W 18TH ST . , COSTA MESA, CA Contractor: OW N ER-BU I LDER Adtlress: Zip: Arch : Address: Zip: " Phone: License: Type ot Construciion: V-N Zoning: INTERIOR TENANT IMPROVEMENT.FOR "STYLE EYES". ADISPL4YAREA.�-� � _ Phone: 949-548-5355 Zip: 92663 Phone: Zip: 92627 Phone: License: 000000 Eng: Address: FEE SUMMARY Status: ISSUED Applied: 08I102006 Issued: OB/29/2006 ISSUED BY: //�� Phone: License: BEARING PARTI710N WALLS IN ORDER TO CREATE Plan Check: $208.81 Calc Valuation: szo,000.00 P�rmit: $32125 Claim Valuation: szo,000.00 � SMIP Res: $0.00 � � _ � � SMIP Com: $4.20 - - - ---- - ---- - - Other. 50.00 � Inspection: $0.00 Tatal: $534.26 PLANNING & ZONING SETBACKS MAINSTRUCTURE Front �0-0;,- �� Rear 0•0 Lefl 0-0 ' Right -0-0 ��_ ACCESSORY Front 0- 0�- '- Rear 0- 0, Lefl �' 0- 0 Right 0- 0;� PARKING � Existin : 0 Reauired: 0, Pronosed: 0� I NOTICE: Thg work authorized by this permit shaU comply with all applicable handicap access requirements under Calitomia statutes and related ��, regulatlons. (OrU. No. 92-28, § 1, 12-21•92) � EXPIRATION: This pertnit shall automatically expire and become void if wprk is not commenced within 7B0 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 considered legal, such work must comply with all epplicable codes, end ell required Inspeetiona end tinal epprovel must be obtained. Fallure to obtain inspections and final approval will result in the expiration of lhls permit. FOR INSPECTIONS CALL: (714) 7545826 � ,»o-w �aw� WORKERS' COMPENSATION OECLARATION: . ' - � I heretiy attirtn untler penal 01 { � ' . . . � � � ty per�ury one o1 ihe tollowing tlederetlons: `. , ' —� ❑. 1 have.eM wi�l mainteln e cenificete of consent to sell-lnsure tw warkers:compensetlon, as pmWtled far by section 3700 of the LeDor Gode, tar the pertormence of the work for which Ihis pertnit is IssueC. . ❑ I heve and wID maintein workers' compensetion insuranco. a5 raquiretl 6y section 3700 0l Ne Lebor Cade, tor iha peAortnence ot Ne work fw which W5 pertnil is LSwed. My workers' compensatlon Insurence carrler and pdky number ere: � Certier. � Poliq Number. (Tiiis section neetl not be complefed i! (he permif /s velued e( one hundred dW/ers (S 100) or Io55J �J.cgrtly Ihet in the peAortnence of the work for which Ihis permit Is iuued, I shell nol employ any person in any mflnner so es to 6ecome su��ect to the warkers' compensation laws ol Califomie, ena egree Ihat II I should become sub�ecl Io lhe workars' compensation provlsions of Sectlon 3700 of [he Labor Cotle, I shall lorthwith comCN` wit� h _these P�'�is�on�� CeniSlgnetura: _�i�V� ate: �'Z—al �Ofr, W�B1N ."FA UR�O SEp1RE W RS' COMPENSAT1pN pWEqpGE IS UMAWFUL MID $HALL SUBIECf PN EMii E�CRIMINAL PENA�TIES AND CNIL FlNES UP TO ONE HUNDRED ?FOUS�D DOLLAAE (5100,OD0� IN AODfTION TO THE CQST OF COMPENSATION, DAAl4CE5 AS PfiOVIDED WR W SECfION 3)OB OF THE LABOR CODE, INTEREST, AND ATTORNEI"5 FEES. � LICENSEDCONTRACTORSDECLARATION: I hereby ettirtn that I am licensetl untler proNsions of Chapter 9(commendng with Section 7000) of Division 3 ot the 8usine55 and Protessions Code, and my license is In full brce end eHeci. lJc. x Class q CoNractor'S SlgnaNre: Dete: CONSTRUCTION LENDING AGENCV: ❑ I �ereDy aKrtn Net there is e consiruction lending egenry tor the peAortnance ot Ihe work Por which this pertnit is issued. (Sec. 3097, Civil Cotla). LentleYs Neme: Lentlets Atldress: Slgneture: Oete: OWNER-BUILDER DECLARATONS: I hereby aMirtn Ihat unAer penelry ol perJury Ihat I am EXEMP7 FROM TME CONTRACTORS LICENSE LAW for the lollowing reason (Sec. 7031.5, Business entl Protesslons Cotle: Any ciry or counry which roquires e permit lo conslmct, elter, Improve, demWish, or repeir eny siructure, prbr to its Issuance, elso requires the epplicant for such permit to iile a slgneA statement t�at he or she Is Iicensed pursuant to lhe praWSions of Ihe Contractoro Llcense Lew (Ghapter 9(commencing with Sectlon 7000) af DlWslon 3 of Ihe Business antl Pmtessions Code) or �hei he or she is exem0� Iherefrom antl tha besis tor Ihe elleped exemption. Any violatlon oi Section 7031.5 by eny applicant for a pertnit �sub--j�ects the applicant ta e cMl penalry of not more ihen INe hundred dollars (3500).): XtY 4 as owner of Ne propeM1y, or my employees with weges as Iheir sole canpensaUon, WILL DO TME WORK, antl Ihe structure Is not intendetl or oHereE lor sale (Sec. 7044, Business and Profession9 Cotle: The Contractors License Law does not appy to en owner of properry who builtls or Improves theraon, and who does such work himsetl or herself or thraugh his or her own employees, prmdtletl that such imprwements ere not intentled or oHereO lor sale. tl, hov+ever, the builtling or imprwement is sold witAin one year o1 comDletion, the owner-�uiltler will �eve the burtlen of proving thet he or she did not 6uiltl or improve lor purpose ot sale.). ❑ I, as owner of ihe properry, am E%CLUSIVELV COMRACTNG WfTY1 LICENSED CONTNACTORS to cronstrua the project (Sec. 70ad, Business anA Professions Code: The coniractors Ucense Lew does not epplY to an owner ot property who builtls or Impmves thereon, end who contracts tor such projed with a coniractor(s) Jicensfe pursuant m the Contrectors License Laws.). �r eQi'.Bxempt under sec. Business entl Pmfesslons Code for Ihis reason: �mrS r!/lil • ,w,...N� �at��_ L�( -o�o Owner ID venfietl bytlriveYs llcense. ❑ Ves ❑ No ucense No. Eapires: I�^ io-ofi Verlfication of Ownership by (rype of document, I.e. • properry tex bill or de�'" OIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certity thet no excavetlon tive (5) or more feet in tlepih Into which e person Ls requlred to descend, will be made In wnnection with work eulhorized by Ihis pormit, antl ihat no builGing structure, scattoltling, talsework, or tlemolition or tlismantling thereof, will be more ihan thirty-six (36) leet high. (C�ap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Calitomia Atlministretive Cotle). ❑ As owner-bulltler, I will not employ enyone to do work whic� woultl require e permil Irom ihe Division oi Intlustrial Salety, es noted above, unless such pereon hes e permit to do such work Irom the division. Signature: Date: �ivision of Intlusinal Safety Permit Num�er: CERTiFlCAlE OF COMPtJANCE AND AUTHORVATON OF ENTRY: I cenify under penalry of perjury lha� I heve reaC this epplication antl stale Ihai Ihe infortnetlon gHen is I corretc I egree to compty with ell stete lews and ciry ordinances relatlng to buliding construcHon, end eulhodze representetives ot the Clry ot Coste Mesa to enter upon Ihe ebove-descriDed propeM br �^spection purposes. I egree not to occupy or allow occupenty ot eny building au�horizetl by this permit unlil finel inspection. 1616 Fixetl System Final Fire Prevention 1266 Pool Spa Final 200 Final RaRool 201 Final BIocWRetaining Well 202 Final Factory Fire P�ace 203 Final Sign 204 Final Domditlon y00EA INSPECTIONTYFE 206 Final Mechanical 208 Final Plum6ing 210 Final Electrical 212 Final Fire Preveniion , 220 Final Planning Approval 222 FinalSite 250 . FinelBuildinyOccupan< Date �. i .u�il.l4i � .. (7�a) �sa-5273 • Fex (77a) 75a-aess • wv+w.ci.costa-mesa.r��LDING PERMIT �! FAIF OHNh, GUSIA MtSA, GA 8Z0[ti Job Address: 824 W 18TH ST Suite: Vicinity: WHOLE BUILDING Parcel Number: . 42418226 Applicant: PULPIAM, SANTI Address: 260 E. ALTON AVE SANTA ANA, CA, � � � owner: ROTHSCHILD, PETER B TR Address °hNEWPORT COAST MGNT CO ,` 151 KALMUS DR SUITE D- � INC � � /: Contracror. ROSS 8 BARROWS INC. Address: 260 E. ALTON AVE � SANTA ANA, CA Zip: 92707 Arch : Address: . - , , ' , � .� Phone: Zip: License: Zoning: Phone: (714) 557-7440 Zip: 92707 Phone: Zip: 92626 Phone: (714)557-7440 License: 327802 ' Eng: Address: SCOPE OF PERM ." REROOF EXISTING COMMERCIAL BUILDING (184 SQ). TEAR OFF EXISTR FEE SUMMARY Plan Check: $0.00 _ Permit: $279.25 -- - -- - — SMIP Res: $0.00 � SMIP Com: $3.47 Other. $0.00 Inspection: $0.00 Total: $282.72 SETBACKS ' � MAIN STRUCTURE� Front 0- 0_�� - Rear - 0. 0 ACCESSORY � Front . 0-0 " Rear 0-0 PARKING Existinq:,- 0- ",Reauired: 0 NOTES: � Status: ISSUED Applied: 10/25/2000 Issued: 10/25/2000 ISSUED BY: Phone: License: ROOFING 8 INSTALL NEW BUILT-UP ROOF. PLANNING & ZONING LeR 0- 0 , � Left 0- 0 Proposed: _0 Calc Valuation: Claim Valuation: , , � �- �/ ' "i � , Right -0-0 � i - �� i Right � �0.0 - � � $16,500.00 $16,500.00 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 9248, § 7, 12-21-92) EXPIRATION: This permit shall automatically expire and become void it work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for ihe work authorized under this permN to be considered lagal, such work must comply with all applicable codes, and all requlred Inspeatlons end final approval musl be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5626 'aa&<s la�ool WORKERS'COMPENSATON DECLARAnON: I hereby ettirm under penalty o1 perjury one of ihe lollowing tletlarations: ' ❑ I heve entl will maintain a certiticate of consent to self-Insure lor workers' compensation, es proviAetl lor by section 3700 of the LeDor Code, tor Ihe peAormence ot Ihe �tor wNch this pertnit is issued. ��I ha arM will meintan xrorkers' companselion Ireurence. az requiretl by sectlon 3700 ot Iha Labor Cotle, for Ne pertortnence ol the work for whkh Nis pertnit is lswetl. My workers' campensatlon Insurence carrler and policy num6er are: __ ___,_ ( I nls sBCtlOn neetl not be Comp/etBtl I! (ne pel71llf Is va/uBd et one lluntlred tldlero (8100) o! IBSS.) —�' - ❑ I canity t�at in tha peAartnance oi t�e work lor which Ihis pertnit is Issueq I shall not employ eny person in eny menner so as to become subject to Iha workero' compensation lews of Cellfomia, tl egrea Ihat It I should become suE�ect to I�e workero' compensatlon provlslons ol Sectlon 3700 oi the Lebor Cotle, I shell fotlhwith compty with these Dro ns. ///�� Q ^ ,Applicem�Signature:._ � _ Uw`'/`—�"`� Date: r/ � � =�" �� r .WAPNU�G-fNCURETOSEWREWORKEFiS'COMPENSA COVEMGEISUMAWFULANDSHAILSUBJECTANEMPLOVERTOCPoMINALPENALTIESMIDCMLFlNESUPTOpNEHUNDRED TilOUurW � DOLLARE (5100,ODO�.IN ADDfiIIXJ TOTHE COST OF COMPENSATION, DMMGES AS PRWIDED WR IN SECfION 3�08OF TME LABOR CODE, IMEAEST, AND ATTORNEI"5 FEES. LICENSED CON7RACTORS DECLARATION: I hereby aHirm thaRl.am.lice d under proN3,io Porce antl eHect. �ic_Y. � �21 �%J��G CONSTRUCTION LENDING AGENCY: of Chapter 9(commenpng with Saction 7000) ot Division 3.of.ihe.Business antl ❑ I hereby attirtn Ihat ihere is e construction IonUing agenty tor Ihe peAortnance ol the work lor w�ich �his pertnit Is Issued. (Sec. 3097, Clvil Code). Lendefs Name: Lentlefs Atltlress: Signeturei Date: OWNER-BUILDER DECLARATONS: my license is in full I �ereGy ettirm that unOer penalry of perjury Ihet I em EXEMPT FROM THE CONTRACTORS LICENSE LAW br Ihe fdlowing reason (Sec. 7031.5, 8usiness entl Protessions Code: Any tlry or counry which reQWres a permit to construct, alter, impmve, tlemolish, or repair any slrucWre, pdor to its Issuance, alw requires Ihe epplicant lor such pertnit to lile e signed stetement thet he or s�e is licensed pursuant to the provlsians at the Contreaors License Lew (Chepter 9(commendng wit� SecUon 7000) at DiWslan 3 0l the Business and Pmfessions Cotle) or Ihet he or sho is eaempt therefmm and the basis lor the allegetl exemption. Any violetion ot Section 7031.5 by eny epplicant for e perm% subjects Ihe epplicent to e civil penelty of not more than five hundred dollars (SS00).): ❑ I, as owner oi Ihe properry, or my employees with waqes as their sole compensalion, WILL DO THE WORK, end the structure is not inten0etl or oNerad lor sale (Sec. 7044, Business antl Professions Cotle: The Contractors License Law tloes not apply to an owner of property who builds or improves thereon, antl who does such work himsetf or herseN or ihrough his or her own employees, provided that such improvements are not intentled or oHered for sale. Ii, however, the builtling or improvement is sold within one year of completioq the owner-builder will have iha burden of pmving that he or she tlid not builtl or improve br purpase ol sele J. ❑ I, es owner of ihe property, am EXCLUSIVELV CONTRACTING WITH LICENSED CON7RACTORS to constmct Ihe projact (Sec. 704a, Business end Professions Catle: The contractors License Lew does not epply to an owner ol propeny who builds or impmves thereon, entl w�o wntracts tor such prqect with e contrac�or(s) license pursuent to the Contractars License LewsJ. ❑ I em exempt under sec. Busineu antl Profuuions Code tor Ihis reason: Signature: Owner ID vBrtlied by tlrivafs Iicense. 0 Ves ❑ No Drivefs License No. Vedllcation af Ownership by (rype of tlxument, I.a. - properry tax blll or deetl): Date: Expires: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify ihat no excavation tive (5) or more feet in depth Into which e person is required to descend, will be made in connection with work euthorizeE by this permil, antl Ihat no builtling sWcture, scaMoltling, talsework, or demdlUon or dismantling thereol, will be more then thirty-six (36) teet high. (Chap. 32, Gry 2, Art 2, Sec. 341, Tille B, Calilomia Atlministretive Cotle). ❑ As owner-6uilder, I will not employ anyone lo tlo work which would requlre e permit irwn the Divislon of Intlusirial Safery, es iroted above, unless such persan has a pertnil to do such work irom the tlivision. Signature: Date: DiviSion of InduStrial SafeN Permit Number. CERTFICATE OF COMPIJANCE AND AIJTHORIZA710N OF ENTRV: I cetlily under penalry ot perjury that I heve reetl �his epplication and ata�e that the inlormetion given is I correct. I egree lo comply wilh all slate lews entl city or0inances releting to building Construction, end au�horize represenlatives of the City ot Cosla Mese to enter upon the above-Oescribed properry for inspection purposes. 1 egree nat to occupy or ellow oCcupancy ot any building euthorizetl by Ihis pertnit until final inspection. COOE I, MSPECfIONTTE 1618 Fizetl System Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Rooi 201 FInaI Block/Retaining Wall 202 Flnel Fettory Fira Plece 203 Final Sign 200 Final Demolition � L JIII. L�i ii / GODE� INSPECTIONTYPE 206 Final Mechanical 208 Final Plumbing 210 Final Elottdcal 212 Finel Fire Preventlon 220 Final Planning Ap0«'al 222 Final Site 250 Final euiltling/Occupenry - Z-Y-� Pfl0.1ECT RODNESS: II 2 A W 1£iTH ST OWNEN'SNAME: SOIRIT SILK SCREEN �ooeess: � 2 q W 1 fi TH GSO-9226 ppLN1ENGIXEER: nooeess: flE0.N0.: uxrt: uxn: r�"MmEE: R. P, FLYNN ' ( 714 ) 780-7816 FOOflESS: 6 3�4 4 I Nll U 5 T2t I AL . RI��ERSIDE CA 92517 �CENSEO COI7fMCfOP OECIANITION: I �ereEy attum Upt I am Gcensetl uMu Orm%iom of Ctupter 9(comme�n0 �� thn 70pp) of DiWsian 3 oi t�e 9usin¢u an0 Prolexsions COEe, anU rtry license is in tull farce ana eflect. . • wrr u.`O f� ' Z(j ' STATE 11C 2 6 9 3 51 tuss: C��' . fB — Dare: — SiqnaNm� � � � � � WOHNFIIS'COMPENSATIONOECIAMTION: Il�ere a imthatl�a oraceNficateolWorkers' COmpenutian Insuronca, ar a certifietl mDY ��ereaf�Sectian 3800, LaE. C). roucr xo.: exr. oeh: COMPRNY: ; � Certifie0 coDY is �erehy turttisi�e0. ❑ CertifieE mpy 5 fi1W wiN Ne dry BWNnO Division. �ate: � �wDlicanC . oeunmox rxoM won¢�ns• mrne�xs�nox oEa.uuTrox: �rra secam Mea � ce mmpiecee n we pemn_'s fa'arc numrea �siool or iess�. � certiry ttut in Ne perfarmance oi ihe work tar which Ihis permit ¢ i55ueE. I 51WI not emDloy any person in any manner so as to Eecome s�bl�t ro t�e Wohe Com ris.a\tim LawsP i CaGtortua. � ' �ate: � � 2��u ' \ SiOnat � NOTICE: II, aher maldn0 ��s declantion, you SAONE Cecortre sublect to th rkeis n on DmvlSions ot the Lahor � COGe, you must lorthwit� compy with wch provkions or ttcs permit slu0 he Oeeme evo . CON37flUC710M LENOINU �GENCY: 1 �erebj aKrm Wt tlrea is a wnstruction IenUinp apency lor tliq perlarmanu of t�e vroA lar i wtiich I�is Dermit is issueU (Sec[ion 3097, qv. C�. IFNUER RDORESB: ' ' , . . . . . OWXEB 9UIlDEB OECUM710N: 1 �ereEy atfirm Wt I am exempt Inm Ne ConvactorY' State Liceise Law lor t�a taMwinp aamn (Section 7031.5 Business an0 Pmleuional Code: My ciry ol counry w�ich repuires a Dermit ta constmct, alter, improve, Aemolisn, or �lpair any structure. D�r to its issuance, alsp repuim Ne apDlicant lor sucl� permit to file a siqne0 statement tlut �e/s�e is Ilcenutl Oursuantlotne D�ovisions oll�e Comractors'State Lkenm LawlCAapter9(cammencinp witA Sectlon 7WO�o101Wsion 3 olt�e Businas5 an0 Professians Code) or Itut he/slie u eaempt Nuetrom anO the Oasis lar Ure aVapeO exemD�� Y hoWtbn ol Sectbn 7031.5 Uy any apD��cant lor a perMt wEjects t�e eD7liant to a cNil penalry at not rtwro tlun frva �unEreO dollars (5500�. ' 1, as awner of Me pmDerry or my empbyees wit� wapes as�thek sale compamatbn, xill Oo t�e walk,.mM tlre ❑ structumis notintendetl w offeretliorsale�5eclion 706C, Busumss anE Pmfe551onalCode: The Coniracton' State license Law tloes nat appty to an owner ol a D�V�rtY wM OWICs or improves therean, an0 wln Eoes such work �imsell/herself or Nmuph �is or Oer own empbyees, D�� wc� �mD��xnis are not intenEetl or oflere0 lor sale. II, �owever Ihe OUIItlinO or - improvement is sald wilNn one year ol complelbn. tM mmer wiA luve I�e EUNen ol 0�9 ��5he Ei0 not EuilO or improve lar t�e puryose ot sale�. � ' I, as owner ol ehe Dmperry am exclusively mntrecUnp with Ilcense0 rontractars to consirucl �he Dmlect (Sactlan 704C. Business ❑ anE Professions COEe: TM ConUactars SUte tkmSa law Cces rot apply ro an mmer of P�OenY wlp WJas � improves Nereon anE wtio contracis Por suc� Dml� �� a contrzqor�s) Ikense Oursuan� to t�e Contnctors' SWre License Law�. �I am aware Itw� prool oi tl�cir Worker's Campenaatian Lsuance s1aWE Ee D�� to me. . �� I am ezempt uMer SecNon: • B.� d P. C. , . lor I�is reawn; • ' bate: Owner. � I Oo �ereEy cehity I�aI I am aware oi anE ur�UersWnE Ihe repuiremenfs af Calitomia Health an0 Safery CaEe Sectians 25505, 25533. antl 2553< anC that I oc any luture hull0inp aapant vnlUwill irot (cirGe one) neea m wmpry wit� sa10 state codes and the reQuirements for a- pErmii lor wnslruciion or maOifiWiion Imm t�e Nr ahry ManaOement Ustrict. ReSiEentlal conswction applications are exempt trom IneSB Grm'i51oRS. . ' Oate: � Ap0licant: I hereby cartity (�at I Aave reatl t�is aDVliwtion anE sute ttwt Ne aUove intormation is carrect I apree ro comply witA all ciry an0 caunty or0inances anE sfate Wvrs Matmq to WtiWinp cwisiruction aM �ereEy aNtqnze reprumtafives ot tlris dry t� ter upon Ue aDwe�meniron�� pmperry �or inspectio Dury esl. / Date: '"" �% � U 1 �8�� .. 0 Driver's License or Sociai Secunry x: � ' tgsi<B VJ�i�e—BulWing: GreerCotla Eniwcemam: Canary—Applicant: Pink—Revanue: GdEenroE—lwaAaor CTTY OF COSTA MESA•— BUILDING PERMIT Pf:RMIT'NO: F 045879 PLAN CFIL'CK NO: 02294-90 S CONSTRUCTION TYPE: PERMIT TYPE: FiR PERM NO: ,F' 045U79, GOVT: N SUPP:,N PURPOSE: ALT JOD DESCAIPTION : F`IRE SPRINKLF.R ALT • SQ FT: _ CLAIM VALUE: 5,500.00 CALC—VAI,UE: GROUP OCC: H-2 �/ : COMMENTS:' , '' � ' � � ik �! iE it Ik �)E iE iF iF it 1t it �IE 3E k if k iE 16 iF if it iF if if iP i! i! it iF iE fE iElt iE iE if i! ik ft if 1! i! IF 1! iF it k ik it it if iE if 1E 1E 1E k k iE �t iF it iF fk iFlf iF if it i6 iE �k ik ik i! N� iF iF ' Z O N I N G R E Q U I R E M E N T S ' S E T � 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 LEF'T: F1' IN RGHT: -FT IN PARKING REQ• PROV; PARCEL; 42410226 ZNE: REF NO: PLANNING NZSTF.S> . ' � � • ' ' ' ' ' ' ik �lE iE 1E it ib iE 1E iP ff if 1E iE iF iE iF iF iE 1E jF iE ik 1E iF iE it �E 1i iE iE iE iF ft 1k iF IE if ik iF k iF ik itr iF iE iF iF K iE i6 iE if it it �E it iE iE ib k iF �t ik �F 1k iF ff ib iE # �E iE fF i! f( iF if ff fF , . D E V E L O P M E N T S E R V I.0 E S R�E Q U I; R'E M E N T S, �ZONING APPROVED BY _` __ ' DA7'E: _ __ DUILDZNG AFPROVED BY : DATE; : APPLTCATION ISSUED BY: � � *******xx�**��*�*�*�r*x��'�' �F��**+�D**�+�*��** !F if 1E iFlf 1f 1E 1f if iE if if iE ff iE %if iFlE fE iE 1f !F iE 1f 1E iE 1E iE iE �F 1f if !F iE iE �f iF iE 1t if iE rt If �)E ik ik iE if i6lf if ik iF iF IE i! i! iF i! i� iE 3k it if M it it it if i1 ik iF af iP iE iE iElf LF:GALI'LATION:N F E E: ;� U M M A R�Y STROCTURAL SEGMtENT:N DLDG PMT PLUMBING ELECTRTC MECHANIC FIRE' SMIP/RES GRADING PERMIT . , 01.00 . PLAN • issos ee� DUILDING–DIV–> PERMII' ISSUE PLAN–CHGCH TO'TALS----> 01.00 0.00 52.65 REVENUE DIVISION TOTALS--> COLLF.CTED: � DLDG PMT PLUMBING ELECTRIC MECHANIC 653 SMIP/NON–RES � 52.65 TOTA7. PA.ID DUF. 133.65 133.65 � .00 U1.'00 OVER/SHORT: .00 � FIRE SMIP/TOT GRADING PLAN–GIECK _ 01.00 � � t aE 1E i6-IE iE ik iE fE iF iQ dt if 1E .4� iF it iF iE iE iE 1E iE ik iF iE if jE �E if f! i! iEit ik i! iF df i! 1E iE jE it �f iF iF if rt iEif 1F if It iF i! iE iE dFif if iF k� k �k it if if it it iF 1F 1f ik iF fE it if 1f iE iF ., I M D I V I D U A:L I' E E H R E A K D O W N � � � 'fYPG QTY D G S C R I P T I O N UNIT COST 1'OT'AL COST ' r••rR t31 FIItF_ EQOIP CF.E (CROM DLDG VAL 'CABL�) END � •r r•�r:s 0 ].00 81.00 01 D�054840-00052890 T O T 81.D0 DATE:'01/?9/90 ,7IpE: 14%tl4 0 CONSTRUCTION AND PLANNING ' � POOL .PA - APPROVALS Permit # " � Date Inspector qppROVALS Permit # Date � Inspector - - 1. Temporary Electrical Service or Pole , 52. -Pool & Equipment Location ��' ,2._ Soil Pipe-Undrgrnd, �- � 53. :Steel Reiniorcement � ' =;3.'Electrical Conduit Utility-Undrgmd. �S 54. Forms � �. �� ` 4."Electrical Conduii=Undrgrnd.� �' 55. Electrical Bonding � �.5. Steel Reinforceme'nt' -- 56. Rough Plumbing & Pressure Test - �' 6.' Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Foo[ings � ' � 58. Electrical Cqnduit-Undrgrnd. � �' 8. Foundation "_� , � L� j 59. Gas Pipe, O Undrgrnd., Test � 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�TraO. O Undrgrnd. `� 10. Structural Floor System '. 61. APPROVAL TO DECK 11. Property 5ewer Line & HouseConnection ��'' 62. Backwash &.Receptor�Final s�, '. 12. Sewer Cap ' � ''-� � � 63. Heater & Vent�Final �,^� � � •' ✓ 13. Roof Drains _ j� ,� ;�' �� 64. Plumbing System � Final �!� • 14. Rough Plumbing :� � 65. Electrical-Firial 15. Rough Electriwl�Conduit � 66. Solar SYstem-Final � ' / 16. Rough Electric.Wiring � . 67. Fencin9 & 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 �`'• ' APPROVAL•S�:-^Permit# � 20.-Rough Factory Fireplace � -: - - :i ; � - - 21 -OuCts, in Struc[u7e � "' - �-70. Opderground: Hydro : i - -� , . 22..Ducts, Ve�tilating r �- , j �.� <�71. Product"Piping O�Gas ❑Oil 23. Gas Pipe-Fough & �est � ^ - 3, � ?�t � ,-7z, Underground Fludh, ' - . 24. Roof Frarriing ' � - - r _.,,, :. '..73rUndergrnd.StorogeiTank OGas ❑Oil 25.,Roof Sheathing t � ` r . '- ,s _�' ? 74: �Overhead Hydro��.„ ' L- $-90 � 31 26."T�Bar Ceiling (Structural) &�Monocoat - . `-� i .. 75rDry Chemical � � - 27..Frame and Flashing> "- �- - 76. Dry Standpipe ` - i 28. Lathing'&Siding " �7�^ - � � 77�-,PIXEDSXSTEM,FINAL � 29. Insulation ' �` - " •� J8. FIRE PREV. FINAL : Z,_g_�� ,J 30. DrywaIl�.Nailing :, i. . � HEALTH DEPT. RE�UIREMENT -31. Plaster Brown Coat' _ .' ;� i' 79. FINAL INSPECTION _ - �32._Electrical'Power Meter�Einai ' � � ; 80�FOOD CERTIFICATE ISSUED .33. Final Electric ' < + �+ Notes: . - • - : _ ''34._Final HeaTing-& Air'Condi[ioning � _ �� T i � ' '� ' - - - . t 35. Final Gas P4Pe-Test�. '� . ' � ` ' ..36.. Hood or CanoPY ° -' ' ` - , ' ' � - � ' , :. _ -37. �Final Factory Fireplace -- � < . � � �� " • � �. - �38.' Final Plurr�bing '" ' �' �i : F, _ ; � ' � 39.,WateiService�Final,�;^ - -� �� . , ^ � 40. �Gas Service•Final � � ' " '� '� ' - � _ r :41. Solar pomesticFinal � _ - ' � . � _ r . - � - . 42. Backflow Preventer'• � ' - ' -�' ' ' - i • 43. Backflow Irrigation, - -' � �- ' � � � � ' 44. Landscape IFrigation System?%' i. , ' j� � = * y . ' � . - > ..: . - �45. Sound Attenuation. �� :' . � ` �- • _ ^ • ' � �� :46. Handicap Regulations - �� _ - � - ' �• " .;47.-FINALS7RUCTURE&BUILDING _ 1 . _,. ' �^ 48.=FINAL PLANNING ' ' ' _ ' ' �49. Electric Release to Edison ; - . '50."Gas Release to Southem Califomia Gas Co - . " . � � .' •, � . 51. CERTIFICATE OF'OCCUPANCY ' - ` No. Date ,�cilrooxEss: 824 W 18TH ST uxir: OWNEfl'SNFME: ROTHSCHILD, PETER B aooAEss: 866 W 18TH ST -• COSTA MESA,CA 92627` ApCN/ENGINEEX: NEC.NO.: RUOXESS: UNIT: PEflMITTEE: DC ELECTRIC nooxess: P.O. BOX 4088 IRVINE 92715 LICENSED CONTHRC70B UECIABATION: I �e a am Cuntler O�a�s�ons of C�aO�er 9 7000� o� Division 3 0l I�e Business and ssions CoOe, antl my I nse is in �� orce antl efleci. cirvuc.: U32507 sT� uc.:41564 cuss: C— 0 Da�e: � Sipnature: _ — Comoensation Insurance, or a ceniliPG-eepy..tGCtep on i an � POLICY NO.: F%P. COMPANY: r] Ce�iiiea COpy is �¢reby �umis�etl. ❑ Cenifie0 coDY is liletl with ihe date: F%FMPTION FNOM WOflKENS' COMPENSA' I cerlity i�at in �he petlormance ol ihe w subjecl lo t Wo{Iters Compensation I •— Daie: � � N0T E: II. aller making this Oecla CaEe. you must forlhwiih comply � . CONSTBUCTION LENOING RGENCY: I w�ich ��is permn is issued (Section 30 LENOEfl: aooxess: v ' 29 Seciion ar a cenificate ol Warkers' De CompleteG i� Ne pGmt is fa One IiyiGreO (5100) or kSt�. noi employ any De�son in any �yrner so as ta become � sh came subject ta Worker3"C6Fp£ ' n pmvislons f�. Nei'etior h� � all be UeemeC ed. a��irm IAai Ihe�e is a consimc�ion I aAency lor Ihe pedormance al �Ae work lor C�. OWNEB BWLDEB OECLANRTION: I hereby allirm ihat I am exempt irom tAe Comractors' State License Law for Ihe followinp reason IStttian 703L5 Business antl Pmte55ional CODe: Any ciry ol county wOkh repuires a Oermit to consiNCL alter, imorwe, aemolis�, or r¢pair any 51mt�ure, prior to ils issuance. also reQuireS i�e applitan� tor SUCh De�mil Io �ile a SigneG Slatemeni Ihat Oe/She is licensetl pursuanl to t�e pmvisions of ihe Conlractors' Stale License law �Chapter 9(commencing witA Section 7000) ot Division 3 of Ihe Business antl Proles4ons Catle) or t�at he/s�e is er¢mpl theretmm an0 t�e Gasis tor Ihe allepeO eKemption. Any violation ol $¢ction 7031.5 Gy any applican� �or a permil suble��5 1he applicant �o a civil penaliy o� noi more tlun irve Aundre0 tlollars (5500�. I. as owner oi Ihe pmperty or my employees with wages as �neir sole compensation, will Oo Ihe work, an0 the ❑ s�mcture is not imen0etl or oileretl for sale (Seclion 7044, Business antl Pwfessional Coae: The Contractors' State License Law tloes not appty ta an owner ol a pmpeny w0o builtls or impmves thereon, antl who tloes such work himsell/�erself or ihroug� , nis or her own employees, o�oviae0 tnat such imDrwemen6 are nat intentle0 ar onereE for sale. Ii, �owever the Ouilainq ar improvement is solA vnt�in one year of completian. ihe owner vnll Iwve tAe hurUen of Droving AUshe Aitl not builU ar improve lor Ihe purpose ol sale). I. as owner of ��e pmpeny, am eKclusively caniracting wit0licensetl contractors to consWct the O�olect ($ection 7004, Busine55 ❑ an0 Pm�essions Cade: TAe Coniracmrs' State License Law dces not apON �o an owner of pmpeM �a 6mI0s ar impmves th¢reon antl who comracis lor sucn o�ojects wii� a contractorlsl license pursuant to ine Contractors' Siate License Law�. I am aware ihal o�ooi of their Worker's Campensation insurance snoultl Ce pmvideJ to me. � I am ezem0� untler Section'. B. 8 P. C. lor Ihis reason: �a�e: Uvner. I Oo �ereUy cenity rtlat I am aware ol antl untlerstand ihe requirements of C 2553d antl ��at I or any �Wure builGing occupant willlwill not (circle one) nee permit lor consimclion or modiliw�ion Iwm Ihe Air Ouality Managemeni Di Ihese provisions. Date: Ap0licam: _ I h¢r¢Uy t¢rlity Ihai I have r¢atl I�iS appliCaiion an orUinances antl stalelavrsrelatinglo building mcii m pmpehy lor inspection purposes. Daie: ` � � • ori�er's uce�se o� sociai Seariiy a: 1641-n6 White—BuilEinp; Green—CODe Eniorcemenf anA Salely Cotle is correct. 1 aqree to alatives of ih5 cily to 25505,25533,an0 repuiremen�s br a is are exem0� �mm Kall ciiy antl counry tne above�memione0 Pink—Revenue; Goldanrotl—Assassor CITY OF COSTA MESA — BUILDING PERMIT �. ;�, PERMIT NO: E 056882 `� PLAN CHECK NO: N , , CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE; OTH JOB DESCRIPTION ; ELECTRICAL SERVICE CHANGE OUT SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: B-2 / CUMMENTS: NO 'B' PERMIT INVOLVED ***+�x ��*a�*�*�x��* x**�**��*****�*�*��*x•*�**�**��r�*��*�*��****�*****+�+�x-��r�a��e*�e�* Z O N I N G R E Q U I R E M E N T S S E T 8 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 ZN RGHT; FT IN PARKING REQ • PROV; PARCEL: 42418226 ZNE: REF NO: PLANNING NOTES> i **�r***��*�r�x�*�x�******�r�***�+�r*.***�r**�*�x-�e�r�*****�r*��*�***�r��e�***�*+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: —$F3-s`-�HING APPROVED HY : �' DATE; APPLICATION ISSUED BY; ' DATE• �r+�*�t�r**�r�r****��rx�**�r�*x� *�r*��*��rir��1��A��•�r iElEiEiklfiEiEifiEiEikifiFlEiFiFaEiliEiEkikiFikiEiEifif�E�Ek3fiE ififlEiF iEif ihiliEiE3fikifififjtkiElflEiEiEiE�EiFiEiFifiFifikififlEiEif#E34ifiEiEif LEGAI,IZATION;N F`E E 5 U M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 37�Q0� SMIP/NON—RES PLAN r ISSUE FEE -15.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 37.50 15.00 ` 0.00 52.50 52,50 .00 REVENUE DIVISION TOTALS--> COLI,ECTED; 52.50 OVER/SHORT: ,00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 52.50 ; if ik IFif 1E iF if iF iF 1E iE �k �F 1E If iElF i! iE �F IF if iE �E If 3f IE jf 3F IE iE fF �F 1f'�k �f iE if 1f aFiF if if �F �E �F iF if 1F If 1E if �flE 1E iE iF iE if if if iE 1E �E jE 1E jE iF iF if iE # k If fh k it if 1E S N D I V I D U A L' F E E B R E A R D O W N / TYPE QTY D E S C R I F T I O N UNIT COST TOTAL COST ELE 1 SERVICES BELOW 60�".V 6 201— 1000 AMP 37.50 37,50 $ND OF FEES O2 OOIS2c.S't II'� i:SJ.. I L�� D�TE: �!;OS:�S. T?;i.� }-;- . . � CONSTRUCTION ANDPLANNING APPROVALS Permit # 7. Temporary Electrical Service, or Pole 2. Soil Pipe-Undrgrnd. � 3. Electrical Condu�t Utility-Undrgrnd. 4,,Electrical Conduit-Undrgrnd. � 5. Steel Reinforcement � �, 6. Electrical UFER Grnd; , 7. Footings ' � � 8. Foundation 9. Water Pipe-Undrgrnd. � , ' ', ' � 70. Structural Floor System �� 17. Property Sewer Line & }douse'Connection �� 12. Sewer Cap , ' j� •1' , i 13 `Roof Dreins � 14. iiough Plumbing �� 15. Rough Electrical-Conduit i6. Rough Electric Wiring 17. Rough Wiring Si9� � - 18. Rough Electrical-T Bar Ceiling 19. Rough Heating & Air Conditioning 20. Rough Factory Fireplace � 21. Oucts, i� Stcucture 22. Ducts, Ventilating 23. Ga: Pipe�Rough & Test 24. Roof Framing 25. Roof Sheathing 26. T•Bar Ceiling (Scructuraq & Monocoat 27. Frame and Flashing 2$. Lathing & Siding > 29. Insulation ' 31i. Drywall Nailing 31. Plaster Brown Coat 32. Electriwl Power MeterFinal 33. Final Electric 34. Final Heating & Air Conditioning 35. Final Gas Pipe�7est 36. Hood or Canopy 37. Final Factory Fireplace 36. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final �� 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irripetion System '_ 45. Sound Attenuation . 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINALPLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas G 51l CERTIFICATE OF OCCUPANCY Date Date � l POOL 'A Inspector ' AppROVALS Permit # � 52. Pool & Equipment� Location 53. Steel Reinforcement 54. Forms � 55. Electricai Bonding t , 56. Rough Plumbing & Pressure Test � 57. APPROVAL TO COVER•GUNITE , 58. Electrical Conduit-Undrgrnd. � 59. Gas Pipe, � Undrgrnd., Test I 60. Backwash Lines, P�Trap, C] Undrgmd. � � ' 61. APPROVALTODECK ' �' 62. Backwash & Receptor�Final � 63. Heater & Vent-Final � � 64. Plumbing System � Final 65. Electrical-Final 66. So4ar $ystem•Final 67. Fencing & Access Appro�al � 68. APPROVED FOR PLASTERING � 69. POOL/SPASYSTEMSFINAL " FIRE DEPT. REQUIREMENT � APPROVALS Permit # 70. Underground Hydro ' 77. Product Piping �Gas OOiI 72. Underground Flush 73. Undergrnd. Storage Tank � Gas ❑ Oil . 74. Overhead Hydro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. fIRE PREV. FINAL �� HEAI.TH DEP7. REQUIREMENT 79. FINAL INSPECTION � 80. FOOD CERTIFICATE ISSUED ivotes: n fEEDS P/Ki /tPP/.�7� e �, . / Date �Inspector � t 'I . � - ADPlicant to fill in all soatts within neavy Dortler lines anE sign all aporov��ate aeclarations. ' MESA � - PERMIT NO. TRACT NO. LOT NO. BLOG. NO. - - - - - '- •" � • - � TRUCTION PERMIT - 306� �'i �'�1C`A r�4 , : � 3751,;' 3/25/B2 ,+_ ' 193.04 �TL. Project Address '�!� /� � �j. � � (�U�J�� :�'�riSLi.�i�. TVPE OF CONSTRUCIT19N -� � , _. __ ` 4 , . . . . . . � Owner �� c � - � .,.In . -.. �cu�� Phone�4''J�;�;� � NEW �'-O ADO �ALTERATION = i -� ' � i . ;Addr¢a '�'Tk'Y'�;: �� .� ❑�REPAIq_O�CONVERSION�❑DEMOLISH _ . . ._- . � ✓.i - I-.vi� . I'I(7ii}"InrA�"f.N Y_i.� 120NINGREGULA710NS 'T�'r,lAv.;"r � 1 GRuUC,-.�ti+'f' �'Arth/Eng' . �'; � ': �. - ��-: .. IF)r+iii. Lic�'us�No�p -' . ❑ OTHER: t ' - ' ' j A�ddfe55-� L{i�•� V�/�/�� L .�'� �" u. l�:i �ESCRIPTIONOF'WORK lAT ulo__f:T7 ft1nN A.F.� 'Z ...Z-Z .-.. � � r,� : � �ZONE'- '�Ij_ 'PLNG.,REF.� ,- � j Contiactor" � ' Phone --. - . �., .. _ .. . . . -- ' ' ' � e . - T� p. BU I�p irvG . ' ' TVPEOF�PERMIT �SETBACKCL T �PROPERTV.LIN: ' Addiess ' - " --� - " " - -' ' •- - '_ -- - ' ❑ GRADING -❑ FOVNDlaTIOfJ ❑�STRUCTURAL - 51 VARD - - - ; - ti - - 1LICENSED•CONTRACTOR�•DECLAqAT10N-- . ="' ' �" ' TENANT ❑ ELECTRICAL-OPLUMBING�OMECHANICA t.5 �DE VA 'I hereDy aftirm lh:,t I am Iicensetl untler provisions o( Charter 9(com- � • , . , pIGHT � • 'menUng 'with"sectlon -7000)' o( i Division 3 -o( -the Busineis . antl ' ��OTHER -� _ . . _ .. . - . � �R'ofassions Cotle, �antl my Ilcense is In tull force antl etfect. � - �� REAR VARD (TO P/L}"' ' "'� ' ,.. . +-.-. '-' -'-^'--- � . .. PROJECTDF�S IPT� �Litense Class � Ucense-fJo. � � � � .! ' - � '�j� 'PKG. SPACE REQ: PROV IOED^"��'` "' Date "" -'" 519nature'''.-.' .. . _ !.-' ' S�.FT. ' k -''"' -. "^- � "' STREETWIDTH . PARKFEE'E . j?'- WORKERS'COMPENSATION�DECLARATION . __ _ �-OCCUPANCV CONSTRUCTIONTVPE ,Lp . DATE� zy �I hereby affirm [hat I have a certificata of consent to salf-insure or a� ps-p � � ' �20NING'APPROVED'BV �` ' 'certiflwte of'Workers• Compensation Insurance, or a�<ertifietl-copy .: VALVATIO��_._ .ZONE �_ �thereof (Section 3800, Lab. C.). � • GRAOING CU. YDS. ' ACRES SPECIAL CONDITIONSE ' O I� . SP��CY�C�- F�� .--. � . _. - � ;MIICY No. . . _' "ComPany. _ . . " _' ' _ " " _' ' ' '" _' . ' _ ' . ' _ . . ' _ ' J ' _' ' ' _ lertlfietl.copy�ls�herebyturnlshetl.. � _ _..�:. ..qEMARKS:. S'�L(j �! s � e (1 � - .ertifietl copy Is�filetl with the dty Builtlin9 Divlsion. / `- , r- � ��,;.• �E%EMPTION FROM-WORKERS' COMPENSATION DECCARATION' ' r' �. qL�ir..-�-` -- . I(.This-soctlon,neetl notbe.complefetl.if,the permit is for_ one huntlretl .' :�:�� f53001 or less). � ' ' '-:_ ' - " ' - _ ' - " _ ' "_ ' . 1 "' _ , if.CBrUry_that in.[he.pertormance of the work_for which t�is permit is� , - � �- , ,issuatl, I shall not employ any Oerson in any manner so a5'fp become PLUMBING - - "�, PLAN CFIECK"' " - .'ELECTRICAC ' ''-' -'PLAN CHECK � �zubj¢<t t0 [h¢-WorklrSlCompen5atlon.LawS of Cali(ornia, w' - - ' ' ' ' ' { � � ' � _ � �:Date � 519nature ' . - , : - � BATHTUBS - "" ' SHOWERS" . ._ . � ._ � _... .._..' " ' " ' NOTICE: Il after making this tleclaration, you 5houltl become subJect TOILE75-r � � �•� � URINALS ^ ""- � +'-' ' ' �GENERATOR p-1'KW-1 10'KW ' ' - - ' to [he Workers' Compenzation provisions ot the Labor COtle, you muSY � � TRANSFORMER . r ti� �-. �� ! ,tor[hwith comply with such provizions or this permit shall be tleametl LAVATORIES DOUBCE LAVS'-' -� ' .APPLIANCE' -�-1PSO�KW_50 a KW- � --- revoketl..-__" _' ' ' e_, ' ' . . . . - i �CONSTRUCTION LENDING AGENCV �. KIT. SINKS- - - " "DISHWASHERS -- � - ' MOTORS- - 0-1-HP_7-30'HP - - ' '�, � 1 hereby a�firm tha[ [he�e I5 a ConStruCtlOn IGntling agenCy for the per- SERVICE SINKS ; �' ^ SUMPS ' �:' _ �_' �.ONC. SOLAR)_ 30-50.HP . 50 + HP -� �formance o6�Yhe'work [or yvhich tnis permiD,is issuetl (Section.3097 � � - ' � ' � �C1°' � � ~' \� ' � � FLOOR SIfVKS � � � �FLOOR DRAINS" -' ' 'FtXTURES" - � OVTLETS'� SWITCFIES Lentler s Name' - � � � � - � . . f �Lentlerl5 Atltlress�'- � � � � � � j DRINKING FOVfJTi\INS•� ""' - " ' ' - ' GASTUBE-SIGNS - - - - �- - - - - - •OWNER BUIIOER DECLARqT10N';'�' " .' � ' `- � � � �fJTERCEPTORS � � CLARIFIERS�.(� - POL•E 1_IGHTS --� - - - - - ' �. �I her¢by affirm�tha[ I.am exempt from.tpe ConVactor's License,Law for --� �- - � - �the"following'reason-(Secjlon 7031:5 Business-antl�Professions Cotle: � SN/IMMINGPOOL �' "rPTRAP � --' - - - - � - � - - -- - -t Any cityLor,county.which.requires,a permi[ to construct, alter,. � ` •POLES � METE0.ED -.SUB-' � ��imprbve,tlemoiish'or'repairanystructure;prlortoitslssuan<e,alsore-�-y�rqTERSERVICE'�'��ALTERATION " -" iPANELS ' MAIN- - -SUB� -- - ,quires the.ap�liCant tor 5uth parmit to flle a zignetl statement tnat he � � " � is'li<ensetl purzuant to tM1e'provlslons o/'Ihe ContrattorY LicenSe law GASSERVICE OUT�ETS � - "� '- "SERVICE �- - ' -- ---AMP- - -- - . '(Chap[er. 9(commencin9 with Sec[ion 7000) of Division' 3�of' [he j {Business antl 7rofessions CotleJ or that he Is exempt therefrom antl•the -yyqTER HEATERS - � BTU OUTPUT ' - ' - -- - - � - ---� - - - - - -- - - � '- �ba515 for�tM1e allegetl,exemptiOn'. Any violation of SaGllon 7031.5 bg � - - ' -_ � -.' �appllwnY for^B permit subjects the ap �icanb ta a tivil'penaltyt SEWER CONNECT.IONS, � -' ' "' "'�- '" ' " -' �' -�- � - ' ^ -� _ - ' _ ' � rt mOR'�than (iv¢,huntl�etl,tloliars (E500 . � �,r '• , �a5 own¢r of tFie property, or iny <mplOyees�wit� �wd9es a5 thelr' �SOLAR:TANK "-' - =�'COLLECTORS " - ' ----- ' - '- ' �- - - - - "' � :sme.compensation, will tlo lhe work,�antl the-structure is not intentlea' - ' ' ' � - -i55UE�FEE -- � -- --- � ---- ' - "' i or Offlretl for sale. (SecUon 7044,'Bu5ine55 antl AofC55ions Cotle: The SOLAR PIPIfJG SVS. � ` - � - t 'Con[ractor's Licenze Law tloes noLapply to•an owner'of a'property' Iwho builtls or, impioves [hereon, antl who tloes such,work tiimself or � ISSUE FEE �� "� ' �- , APPLICATION APPROVED-BV --- DATE �tn�ou9h his.own.2mployees, Drovitled�that Such ImprOVGrtlents a�e n0[ ' - �- . - 'Intentletl or ofteretl for sale. If, however, the builtling or improvement- MECHANICAL ,`•PLAN CHECK � � � SUMMARV.OF FEES� � - � (5 soltl wi[hin one y¢ar O( cOmpletiom, the'�owne� will hdve�the burtl¢n .• ' �� ! of rovin9 h¢ptlitl no[•buil� or improve tor the�purpose of sale).� - - BUILOING -- I� �� -� � o HEATINGSVSSEM\0-1�00,OOOBTU � PERMIT E�Vn.iSMIP, -,b_� Tic�� as-,owner-o/ the- prop¢rty, am ekcWsively Contracting with qryD �UCTING '' - nsetl contractors.to mnstrutt [he project (Sectlon 7044, Busines5 �� 100,000'+.gTU ~pLAN CHECK E�2� �- µPERM1T: �� .�t� � antl Protesslons Code: The CBntractor'rLlcense Law'tloes not apply to _?�/" -_ _.� ISSUANGE S ;an owner of propmty who builtls or Improves Nereon, antl who_con-' REFRIGERATION� 0-300,000 BTU PLVMBING S itracts�(rom�such-projects-with��a� contractor(s) -licesnatl pursuant to SVSTEM�� ' �"`�- '- - - - _ . '.GRAOING-� E ' _ tne Contra<tor�s,Utense Law). 1 „_ - ,t � � t . , _ . - _� �100,000�+ BTU. - '.' . � � PLAN CHECK E i � �• � � . , � • �, , �` am exempt untler Sectw`n- � �8. & P C for this ^ - "" � ' ELECTRICAL y '" -" E -' l .• w l�� `. `c-.,,"_=,. .'ti� .,.�s.. . C . BOILERS ..• P � .� : BTV ,' 1 . -1 �� f � � � .MICROFILM E' ' . . �reason _ - - � -- ;�-PCAN-CHECK-E -�- � T"; \ „��+, 'V' � SVSTEM REPAIR�ALTERATION , �•_ ' � � TOTAL FEE E�_��.� ' Data - Owner ` � �`� • '- ' - - -' _ - •MECHANICALrE - - - I hereby,tertity that I have reaG this applica[ion anC stata IM1at the above EXHAVST SVSTEM ' MVITIPLE 1 pLAN CFIEGK y�- ' ' LE55'AD- -' . intormatlon is�cor/ecfC:l� agree tot�omp ly with-all dty antl_county � � ` � ' 'VANCE PC E'❑ � oftlinancesailtl3tdt21 ig! onslfuctiOn,antl,hefebyautttOliz6 �.t'1 _� ��.�.� ♦.� ' � � , , • . '.. representa[iv of tl city toZ-�y�`t�er -upon the above mentionetl � n � - . � � . V �, • � ' ' //q��n � ` P�oPertY / i5P n � ��1 � � _ ' ' S` v � .i � � h .• � 'y'[ O • . ' �� ' FINALFEE S_j_J..� Signature 1 � - - - - - - ISSUE-FEE . • . . " "-' - - - ' Drivers' �i<ense or 55 � � - � � � CMF 0965-46 Whi[e-Buildin9; Canary-Applicant; Pink-Accountin9: GOltlenroA-Asussor � �CONSTRUCTION AND PCANN'jI�NG � POOL & SPA �� AppROVALS Permit#v��o6� Date Inspector APPROVALS Permit# � Date- �� Inspector 7. Temporary Electrical Service or Pole ' � 43. Pool & Equipment Location' - ' - `- ' - ' ' '- ' Soi ipe-Undrgrn - ` - • 44. . Steel Reinforcement - - � - - -�--- - � ' . -• • - - . � .� 3. Electrical Conduit Utility-Undrgm . _ .. _ _ ' 45. Forms -� � ��-� -'�- - -- - � -�- � --• - - ' 4. Electrical Conduit-Undrgin. .46. Electrical Bonding � --� � -- - -� -- ' - - ° tee ein orce - 47. Rough Plumbin & Pressure Test -� � - -�� .�_ 6. Electrical UFER Grn . __ " - ' - .4$, APPROVALTO COVER-GUNITE � � _ . - . . - . - -_ . .... . . , . .. : . _ . . . 7.. Footings _ . ., _ . � . _ : . 49. Electrical Conduit-Undr rn • � - •�� ' � �. - 8, Foundation .._ .. � 50. Gas Pipe, 0 Undr m, Test � • • - 9. �-Water�Pipe-Undrgm 51, BacRwash Lines P-Tra ❑ ndr rn ' ' � - ' -' '" ' 10. Structural.Floor System 52. APPROVALTO DECK" " "- - - ' " " " _11. Property Sewer Line & House Connection� � 53. _Backwash & Rece torFinal ' -12: Street Sewer Connection_ . . ' ' � � � �54. 'Heater & Vent-Final ' _.13. Rough Plumbinq � � , _ � - ' ' ' - '-' " ' 14. Rough ElectricConduit -- � ' � � � �56. � Electrical-FinaF � - � 15. Rough Electric-Wiring � ' � - 57. Solar System-Final " ' ' - - ' " ' ' 16. Rough Heating & Air Conditioning ' �- - - - - - - - encing & Access-Approval � 17. �-Ducts in Structure ' � � ' APPROV,ED FOR P.LASTERING ' ' ' 18. Ducts,-Ventilating- . . - - - - - - - . . _ . - : . " � _ . . _ ._ 19l Gas Pipe-Rough & Test '� - - - - - - � _ _.60. . POOUSPA SYSTEMS FINAL ' , . „' - 20. Roof Framing - - - - - � - - - " � " ' • ' • � 21l Roof, SheatFiin -- - - • � - - - - ., ' ' . � � ' 22.-- -Frame�and Flashin � _� j-.$ ' � NOTES: � � I 23, insulation - - - � - - ,-- - - - ` ' _ k�a-��2 , 24. Lathing�& Siding - - -- - - -- - - - : 25. � Drywall�Nailin9 TvQnp�'� � - - ,j- - - - - � 26. - Plaster Brown Coat , 27�. Electrical Power Meter-Final� - - � _ g - �-a�_ ' 28. Final�Electric- - -- - - ' � , 29, Final-Heating &�Air Conditioning - . - -. .t ' �30. Final Gas Pipe-Test - - � - _ - - -/,j-� ' 31. Final Plumbing - � � � - - - � � 32., Watei Service-Final � - ---- �_ � - � - :`33:�,- GasService-F.inaL- - - - ' S- -s I 34. Solar pomestic-Final � ' � - � 35. � Landsca e S rinklin -S stem � ' � i 36. Sound Attenuation � • � � �� ' � 37, Handicap Regu�ations ' ' � � � ' - � 38. FINALSTRUCTURE&BUILDING � �� " � _ "S�_�1_sc� �.��0.__ _ _/dO-Y: n.v0 39. Special Requirements Completed 40., ' Electric Release to Edison " 41. Gas Release to Southern California Gas � 42. CERTIFICATEOFOCCUPANCY � • ' • No. 33`3t � Date�� 7 �� APpli<ant to IIII in all ipaces wilhln neavy bortler CITY OF COSTA MESA CONSTRUCTION PERMIT Projett Address tj Z H al f3 * A 5T Addrea Address • Contractor {�,'„L Fc..cn.r� 1 -0)TR HGS�f Phone license No. Z/� vc PhoneBGo• n all appropriale Geclarations. LOT NO. BLOG.NO. TVPE OF CONSTRUCTION ❑ NEW ❑ ADD ❑ ALTERATION �OREPAIR ❑CONVERSION ❑OEMOLISH ❑ OTHER DESCRIPTION OF WORK Addreu �7o3i Rascxa� H✓ A�TCS�<1 CR qo70 � ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL LICENSED CONTRACTOR OECLARATION ❑'TENANT ❑ ELEGTRICAL �PLVMBING �MECHANIC 1 hereby affirm lh:,t I am Ilcansetl untler provislons o! Charter 9(com- men<ing with Settion 7000) o! OlvislOn 3 of tne Buslneii antl ❑ OTHER Rofezslons Coda, antl my Ilcensa Is In /u11 /orce antl eflect. PROJECT'DESCRIPTION Llcense Clasz C- � Z, Llcanse No. SZ � 1 B S � -' " - S//6�81. . t', M� ' SQ.FT: '" • '' "_ . _ . ' Date � 519nalure • �WORKERS' COMPENSATION DECLARATI N - ' ' • OCCUPANCV_CONSTRUCTION.TYPE. I hereby aifirm that 1 have a certifiwta of conwnt to self-insure or a VALUATION � ZONE ce�BfiWte of Work¢rs"Compenution InSU/ance, a�'d Ce/[I/1eC'copy thereof (Se<ilon 3800, lab. C.). GRADING CU. VOS. ACRES '�I�IVo.�Fz-�OG83bSComOxnYH.Te.v/.+..2.+5 ' ' ' ' " ' ' Certlfietl copy�is hereGy fumizhetl. - - - - - -- REMARKS:- � - - �- - . Certifietl COpy IS filGd with Ih¢ city BuilCing DlviSiOn. � EXEMPTION FROM WORKERS COMPENSATIOfi DECLARHTION ' - - (This section n¢etl-not be cOTpletetl if [ha permit IS tor one huntlr¢tl . . . ._. , ., _� _ . _. (E700) or leu). � - � 1 certify that In thB performanca of the work tot wNc� tNi permit IS . _ IssueE, I ihall no[ emPloy any perSon in any manner so as to Decome � PLUMBING �^ - PLAN CHECK subjetLto the Workers-Compensatlon Lawz of.CalHornia.. Data Si9natur0 BATHTVBS SHOWERS - NOTICE: If a(ter making thli tletlaration, you shoWG become.sub)act TO�LETS'- ��' � URINALS [o the Workers' Compen5ation provislons oi the Labor Cotle, you must �VATORIES OOUBIE LAVS - forlhwith wmply witb such pravi5ion5 Or Ihis petmlt ihall be tleemGtl �Bvoketl. '_ _ ' "" . `_ " _` ' " " ' _ ' _ CONSTRUCTION LENDING AGENCV KIT.SINKS DISHM/ASHERS I hereby affirm [hat there Is a conSVuctlon IenGing agency for Ihe perv SERV ICE SINKS., �' SUMPS -y � r- � formance ot the work tor whiCh thls permlt IS IsSuetl (Secllon 309] Civ: CJ. �- � � � . FLOOR SINKS FLOOR ORAINS � Lentler's Name Lentler'S Atltlress ORINKING FOVNTAINS ' OWNER BUIIDER DECLARATION- --� -- INTERCEPTORS CLARIFIERS � I hereby aHirm that I am oxempt trom Iha Contrattor's Licnnse Law br the'lollowin9 reason (Section ]031:5 Business antl Profesiions"Cotle: SWIMMING POOL � ��PTRAP '- - " Any. ciry or counry whicn requiros a permit to construct, altor, - iinprove, tlemolish' or repair any structure, prb� to ils'IsSuanco, also re-' y.�qTER SERV ICE ALTERATION � ( quires [he ap� licant tor such permlt l0 lile a 51gn0a itatement that he Is Iicensetl purrsuant to the'pwvisions-of the'"Contractdr'S Liconsc Law GAS SERV ICE OUTLETS ' � (Chaptar 9(tommuncing wlth Sottion 7000) oi Divlslon 3 ot the Business antl PrWessions Cotle) or thal M1e Isexompt thore(rom anC'the yyqTER HEATERS� BTV OVTPVT basis for tM1e alle9etl oxemptlon. Any vlolalion oi Sactlon 7031.5 by ' appltcant for a p8rmil zub�etts tbe appliwnl to a"tivil ponalty SEWERCONNECTIONS �Wti ,sF�/A1R� _� � mt mOre than 1 - - 1, as owner of t iole COmpansatlon,- ar oitered lor sale. with wages as their ture is not Intentletl who bulltls or improv¢5 thereon, and wlio tloCs suCh wo�k hlm5ell or [h�ou9h his own-emplOyaes, p�ovitlotl-lhat sUctt Imp�ovam¢OlS.dr¢ nOl Intentletl or oif¢retl for sale. I1, how¢ver, lbe builtling or Improvement is soltl wilhin.one year oLcomplelion, the owner wlll have Ino.burtlen. ot proving he tlitl nOl bulltl or improva tor tbe purp05¢ oi sale). ❑ I; as owner'oYthe property; am' exGlusively 'conlracting -with Iicensetl contracton to construc[ lhe projnct (Soctlon 7044, Buslnest anG'PrOte55ion5 Cotle: Tbe'ContrdttOr'S Licens¢ Caw tloet not apply to an owner of property who builtls or Improves Ihereon, antl who <on- t�aCts trom'suctYproj¢CI5 wlth d COOIIdCIOf(5)'IIClSf10tl'pUISWOI to the Contraccor's Li<ense Law�. ❑ I am exempi untler Settion � 8. 6 P. C. br this reason � - -' - Date - - �-- Owner - - - I hereby certify.that.l bave reatl this appliwtion antl sta[e that the abova into�malion is [orrecL 1 agree to cOmply with all city and county orAinances antl state.laws relating to constru<Non, antl hereby authorize repr¢5enidlive5 of t�is clty to enler upon thc above m¢nliOned p�ope�ty.for speCtion pu�po5e5. 519nature �� E ��i Date'2 /b B COLLECTORS_�� . SOLAR PIPING SVS. a/1��K�� ISSUE FEE MECHANICAL PLAN CHECK HEATING SVSTEM 0•]00,000 BTU_ ANDDUCTING 100,000�+gTU_ REFRIGERATION 0-100,000 BTU_ SVSTEM 100,000�* BTV _ BOILERS BTU SVSTEM REPAIR,ALTERATION EXHAUSTSVSTEM MULTIPLE 0 Driver5' LiCense or 55 � � � i55UE FEE - - ' - ' CMF 0865-�6 Whi[e-Builtling; Canary-Appliwnt: Fink-Accountin9: Goltlenrotl-Assessor 2107 2/16/82 A.P. � ZONE PLNTOp. gR�EIF�. pqp • SETBACKC/LST. PROPE�RTV LINE ' SIDE VARD � . , . L5EpFT R�IG�HT� REAR VARD (TO P/L) PKC.SPACEREQ. PROVIDED - STREET WIDTH PARK FEE.E ZONING APPROVED�BV DATE SPECIAL CONDITIONS: � - � � ELECTRICAL PLAN CHECK .5(]. FL 50_ FT_ • r �GENERATOR p.l KW_1-10 KW _ TRHNSFORMER �APPLIANCE 30-SOKW�_SO+KW_ MOTOR$ � 0-1 HP_3-30 HP _ (INC. SOL:AR) "� 70'S0'HP_- 50 +'HP'-_ ,Ft%TUfiES OVTLETS' SWITCHES GAS TUBE SIGNS - ,- PANEL$ MAIN SUB SERVICE - � �� 'AMF � � O � ' - � p APPLICHTION APPROVED BV " DATEZ �� Z SUMMARV OF FEES . " i ��BUILDING �- - - - , ' - " ' - '� „_ �PERMIT_ _ .__ S ' - , SMIP, E� ' PLAN CHECK E PERMIT� '• i' - - Q_ A '- ISSUANCE S " - 'PLUMBING 5—f_i=� GRADING� S ' - � ,PLAN CNECK E' � . • , ELECTRICAL 5 S� PLAN�CHECK E MICROFILM E MECHANICAL S �- - TOTAL FEE 5�� _ ' LE55 AD- • , PLANCHECK� f VANCEPC E_ `� . . FINAL FEE y • �� ' CONSTRUCTION AND PLANNING POOL & SPA � -. � ' � , Date Inspector ' � ' Date ' Inspector APPROVALS Permit # APPROVALS . Permit #� 1. Temporary Electrical Service or Pole _ 43. Pool & Equipment Location � " � - ' Soil ipe-Un rgrn ' 44. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgm -- 45. Forms '- 4. Electrical Conduit-Undrgm . 46. Electrical Bonding � � . tee ein orce 47. Rough Plumbin & Pressure Test 6. Electrical UFER Grn - - ' 48: APPROVALTO COVER-GUNITE ' 7. Footings , ' � �' � 49. E�ectrical Conduit-Undr rn - � �- 8. Foundation � � 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undr rn • 51. Backwash Lines P-Tre -❑ ndr rn � � - ' 10. Structural Floor System 52. APPROVAL 70 DECK - • •- 11. Property Sewer Line & House Connection � 53. Backwash & Rece tor-Final � - � �� 12. Street Sewer Connection � � � - � 54. Heater & Vent-Final. � � � 13. Rough Plumbing - - - - � - � - - - 14. Rough ElectricConduit - -- . 56.� Electrical-Final i 15. Rough Eiectric-Wiring' � � - � ' � - 57. Solar System-Pinal � - � � ' � � - '..�16. .Rough.Heating�& %�ir Conditioning - - _ encing & Access Approval 17. Ducts in Structure ' � � APPROVED-FOR PLASTERING � � 16. Ducts, Ventilating � , __ _ ' � _ . _ 19. Gas Pipe-Rough & Test � � ' 60. _ POOL/SPA SYSTEMS FINAL � , � ' .. . 20. Roof_Framing ' � • ' � �• • � � 21. Roof Sheathin -' ' ' ' ' -. •� . . . . i 22:. Frame'and Flashin NOTES: �•• � � 23i . Insulation � � ' � - � - ' ' � � 24. lathing & Siding _ ' , - - - ° - 25. Drywall Nailing . ' ' � ' � � ' � ' - � ' 26. Plaster_ Brown Coat � � � � ' � ' � ' � 27. Electrical Power Meter-Final� ` - - • . � � . ' 28:. Final.Electric � � � - , 29. Final Heating & Air Conditioning ' � - - � 30. Final�Gas Pipe-Test • - ' ' � - ' � � " ' 31! FinalPlumbing � � ' ' " � ' ' ' • '�' �� _32. Water ServiGe,Final . . . . � . - ' � . � - . . . . . � - . � 33.. •Gas Service-Fina� � - ' "� � ' - � ' � 34. Solar pomesticFinal � � � � �. 35. Landsca e S rinklin S stem ` � �� 36. Sound Attenuation • - '- � - 37. Handicap Regulations � • • � - � � , 38. FINALSTRUC7URE&BUILDING •� � 39. Special Requirements Completed ' � � -' -- 40. Electric Release to Edison ' - ' ' 41. Gas Releasedo Southem California�Gas Co. - �- 42. CERTIFICATE OF OCCUPANCY . , � No. Date - ; y� AOP�icant to fill in all soaces within heavy bortler lines ana zign all aDvropriate tleclarations. , ` C� �1 OF,COSTA MESA P€�jy11T DO.` - T.qqCT NO. LOT NO.- BLDQ. NO. �- - �,38�17 - 3I�9�B�L �- B�Q� T�, � CONSTRUCTION PERMIT �: �� , - - - - ,- , " ' ' - � Project'Address L TVPE OF CONSTqUCT10N ' - � � , -t _ , � . Owner ' d Ve p,µ � on g 0 NEW ❑ .4DD ❑ ALTERATION �- - , � � ' _ " � iq ' Addr¢ss C, ❑ REPAIR �O CONVERSION ❑DEMOLISH _ � "ZONING ftEGULAT,IONS - � ArCh/Eng. - -- • LiCens¢ NO. ❑ O7HE'R � ' "�_ ' ' .-Addre55 --- - - . DESCRIPTION�OFWORi[ _ '4'P'� � - � ZONE' ' PLNG. REF: �. ' ' -' 'j Contrector U�p Phone �'� TVPEOFPERMIT-'� �'�---'- -� �e D �� TpeUI�DING � SETBACK LST. 7ROPERTV LINE�!� " �-Addfesi - - - - '- �- --, � �- - - - � ❑ GRADING � �-FOUNOATION -O STRUCTURAI_— - � +LIOE VqRD - ^ -- - - - � '. LICENSED CONTRAGTOR DECLARATION ' "' ��Q..TENANT�_ELECTRICAL.�PLUMBING ❑MECHANICA 5EF ,I here�y affirm tM1�t I am Iicensetl untler provislons ot Charter 9(com- • i IDE VA --- ... �- _ -.� manUn9 �'�th se<Uon.-�000)- of � Division_.3 of -the Business antl � OTHER ' � 1 RIGHT 'Profezsions Cotle, •and my Iicense is In full force antl ¢�(ect. • REAR'Y.qRD-(TO P/l) - -- �• � • PROJECT,DESCRIPTION ' ' �LicenseClass ' � '-CicenSeNo-'- 'I - "' ' , ' ' ' PKG.SPACEREQ. " � -PROVIDt'D' -- - - 'Date ' '- - "Si9nature ' "' SQ:FT: • � _ ' . .'' _�' . .' _'. .. f ' " " �WORKERS' COMPEN5ATION DECLARATION OCCUPP.NCY _`��• CONSTRUCTION TYPE STREET WIOTH PARK FEE $ '� '1 hereby affirm that I have a cerNficate of consent to self-insure orsa ' - -' � �ZoNING AVPROV ED.BV ' - 'DATE --� �-- - �certiflcate of Workers' Compensation_Insurance,.or.a certifietl copy �' VAL'UATION '^ ' ZONE .� . S. 1 �thereof (Section 3800, �b. CJ. � GRADING CU.,VDS. ACRES - ` " ' - ,SPECIAL CONDITIONS: � - �" �" 1 �a..�icY No. """". '_ ' ComPanY .'_ __' _ _ _ . _" '_ ' _' _' _ ". " � _ '" _ ' . " ' . ._"" " _ ' .'" "'_' _ lertifietl copy is hereby turnishetl. .�+ pEM RKS: - " ' ' '� _ertifietl copy Is filetl with the city Builtlin9 Divislon. �� '-' ' " " ' � " "" - -' ' � ' ' ' '� �EXEMPTION-FROM WORKERS"COMPENSATION DECLARATION - - r ' ' � �t__ 1 • � _ - (Thls section neetl not be completetl it IM1e _perrtiit i5 fo� one huntlretl • � � � +��, : � �y '�_" ' __ ' _' __. ' __ �• � ($300) or'less),. ' ._ '�: ' ' ' _' " _ ' _'_' __ ' . . . _ ' tl certify thdt in the pefformance of the work for which this pennit i5 . . . , . � ,issuetl; I shall not ¢mp�oy dny pe�son In any'mann¢r 50 as to become " PLUMBING �"' PLAN CHECK ' ' � ELECTRICAL' ' PLAN'CHECK -' -subject to the Workers' Compensation Laws ot Califomla. �� - � �� , . _ � , _ ' ' _'" ._BATHTOB$ ." -_SHOWERS, _ " _ _"""_ _ " .. . _" " _ _ 'Date � Signature � �j NOTICE:- If after rifaki�9 this tlecla�ation, you ShoWa beromesubject TOILETS. : . , .�, . � .URINACS � -� - - �GENERATOR- - -0=1 KW_1-30 KW � ' � .to the Workers' COTp¢nsdtion provlsions of the Labor Cotle, ydu must ' ` 'TRANSFORMER , � l , - �-- /� ; _ � .,forthwith comply with such provisions or this permit shall be tleemetl LAVATORIES DOUBLE LAVS�-- -- � '=APPL'IANCE - 30-50 KW_SO�+KW- - - �evokeU._ : _ ��__ _ . . . CONSTRUGTION�ENDINGAGENCV � � " 'KIT.SINKS ^'---' DISHWASHERS-" �'-- MOTORS• -- 0'1-HP_1d0�HP� � -- ' ;1 hereby afflrm that there is a construction lentling a9ency tor the per SERV �CE SINKS -,,� -p , SUMPS ^ ---- � �- - . ONC, SOLAR)_ . 10-50�1iP_-50 +.HP � � ,formance of the work for which this permit is issuetl (Seciion 309] � � .-, - - jCiv.CJ.------..-.__. _..� ..-,____._.._. _._ - - - � -- FCOOR-SINKS' -'-"-FLOOR'DRAINS'- /' - ' ;FIXTURES- `�OUTLETS- SWITCHES�- � - tLentlGl's Ndrtl¢ • ' ' : _ " "' " ""' '-" -'--"- - - "-"- ...' - -"" - ' 'DRINKING'FOUNTHINS "; ' - ' - � ` ' ' - GAS TUBE SIGNS'^ ' "' ---'- . - . � � .' � ientler'S�Adtlress _ OWNER�BUILDER DECLARATION -- �� -�-- '-'-" INTERCEPTORS ""'-- CLARIFIERS ' -- ' ; "' "' -- "- ,POLE�LIGHTS'- `� � � � � � - . I hereby affirm that I art� exempt from the Contractor's License Law for �� " ��- "- "�' the�following �rea5on (SecUon �]031.5�6usiness��antl,�Profe55ions Cotle: SWIMMINGPOOL' ' -P TRAP^� ^ - � r ' Any city or county which requires a Oermit to construct, alter, � POLES �METERED �SUB -' � - � improve, tlemolish or rEPair any�structure, Prior-to its issuance, also re- yyqTER'SERVICE "-' � ACTERATION ' "- "'i '^^ ^';PANELS '- - ^MAIN "{ - 'SVB- � ' - - - qwre5 the ap4licant for such permit to tile a Signetl statem¢nt Ihat he � is licensetl� pursuant [o the provisions of-the-0ontractor•s License law 'GAS SERVICE � - OUTCETS` " " - -�SERVIGE - - - --- - - = ' (Chapt¢� 9(commenci�9 `�`��th Sec[ion 7000) ot DiviSion 3 of ihe P'MP �` ' ' Business�antl�PrdesSions�Cotle�-or-that he is�ezampt therefrom antl ihe� yyqTER'HEATERS'� ' BTU OUTPUT' -� - - - - - - � � - -- -�. �� basis for'the alleqetl exemption. Any violation of Section ]031.5 by • applicant-for a pE�mit� subjects �the-appliCdnt to�a clvil-penalty SEWER CONNECTIONS -� �r - — � - � - - - - - - - - - rt mor¢ lhan five huntlretl tlollars (E500). • ' ' .. ". . •' ., as'owner of-the property, or my employees with wages as their 'SO�AR�TANK- - - �- COLLECTORS •- -- - � �- - � -- - � - .�;. sole compensation, will tlo the work, antl the structure is not Intentletl or otfered�for sale."(SeGtion 7044, 8usiness antl'Professionz Code: The "SOLAR PIPING'SVS.-- '-�� "' '-' �' ISSU FEE - '--- -.� a i Contra[tor'S.License Ld�+ tloes not apply to an owner o( a property who tiuiltls or improJei thereon, antl who tloes such'work himself or ISSUEFEE' ' '-" - ' "-" -' ' �•' - '�/�PPLICATION APPROVED BV-- -- -- - - --DATE -- • y [hrouqh M1is own emploYees, provitletl that such impravements are not ' ( intentleG or dfferetl for sale.lf, Fowever,'the builCin9 or Improvement - - ' " ' - ' - - -' ' -'--- MECHANICAL PLAN CHECK � i � �� 7 � �� Is soltl wiuiin one year of completion, the owner wil� have the burtlen . . � SUMMARV OF F.EES , , ,� �: �� 1 of-provinq he� tlftl nof�builtl'"or improv¢ fo� thC PUrpoSe-of sale).-' '- � "' ' - -- ' - - -- -- - -� � BUILDING - - - � - ----- . • .. _ _____. _ j HEATING SVSTEM 0-100,000 BTU PERMIT ❑-I,.as_owner. oLihe.property,.am_exclu5ively.contractinq.with -qNDDVCTING � - -t .- --�-• �-- -- - �- - _ $ _ . "'SM�P'�•✓�_y$: � , licensetl contractors to mnstruct the project (Section 7044, Business 100,000�+gTU � ;PLAN CHECK g PERMIT � antl.Professions Cotic. Yhe Contrac[oCs. License Law tloes.not apply to � _ - _ 'ISSUANCE�' �$ � " ' an owner of property who builtls or improves thereon, antl who con- REFRIGERATION 0-100,000 BTU �PLUMBING t�acttf�om such projeds.with_a.-contractor(s),Ilcesnetl_pu�suant to SVSTEM� �� _t $ ,,,_ . �'GRADING'_,g � ,i � th¢ ConVactor's Licensa �w). . 300,000'+�gTU � PLAN CHECK � $�'`� /� , ,,�, �: �'1-am exempYuntler Section - - - �B: & P. C. forthis -BOILERS BTV - ' EIECTRICPC' y '_Q_�� ' - -' $ ieason. ------- - — ' - -" ' ' -"- ' " ,PLANCHECK- S -' MICROFILM &'�� i, � SVSTEM REPAI R, ALTERATION � - � - '- � �- � '- � Date. � Owner � �� - • "TOTAL'FEE $' MECHANICAL E ` I hereby certify that I have reatl thiz application antl sta[e that the above EXHAUST SYSTEM MULTIPLE ` ^�1 � LE55 AD- �' G y information is correct � agree'to'comply'with a❑ city antl'tounty- 'PLANCHECK�-$ - -- - VANCEPC $_ - � ortlinances and state laws relating to construction, and hereby authorize ' ` ' _ . , � rep�e52ntativ25'of' i5-�it ente� upon�the"abOve mentlonea � . � ��"'•I`' � �� ' �, � � � � � �' propErty t spe roP ses. . �� ep Signature �• � 4��"" Date .2�2��Z- ' ' -�� __ .'� _ _ FINAL FEE $ o.roer:• ��P� �. �s >e � - ISSUE FEE _ _ _ _ . _ _ _ .. . _ __ _ _ CMF o86s-4b Wnite��lmlam9; Canary-Hppucam; rinK-p,ccoununq; moiaenroa-waeaaor � , CONSTRUCTION AND PLANNING POOL & SPA � _ � '""' � APPROVALS Permit #� 308�o Date Inspector ` ' '`+ • Date � �nspector APPROVALS Permit# 1. Temporary Electrical Service or Pole ��%j �jj" 43. Pool & Equipment Location' '� - - ' �• 2. Soil ipe-Undrgm � 44. Steel Reinforcement � ' � -� � � � 3. Electriral Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn . 46. Electrical Bonding - tee ein orce 47. Rough Plumbin & Pressure Test - � 6. Electrical UFER Grn 46. APPROVALTO COVER-GUNiTE 7. Footings 49. Electrical Conduit-Undr rn � 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test � 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra ❑ ndr rn � 10. Structural Floor System 52. APPROVALTO DECK 11. 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. POOL/SPA SYSTEMS FINqL - 20. Roof Framing - � - - � � 21. Roof Sheathin � � ZZ• Frame and Flashin NOTES: 23. Insulation - � 24. Lathing & Siding ' - � 25. Drywall Nailing . � . � 26. Plaster Brown Coat 27. Electrical Power Meter-Final 26:- 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 pomestic-Final � � 35. Landsca e S rinklin S stem 36. Sound Attenuation �� . 37. Handicap,Regulations � - � 38. FINALSTRUCTURE&BUILDING " � 39. Special Requirements Completed . 40. Electric Release to Edison - � 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date , AVP��ant to fill in aIt spaces within neavy borCe� lines ana sign all avP�ao��ate tleclarotions. qTY OF COSTA MESA PERf�T N. -' TRACT NO. � LOT NO: BLDG. NO. � - - � ' CONSTRUCTION PERMIT L�'��ei0% �� , 4308 4/07/82 � 31.40 ! Tlr { Project Address TVEE OF CONSTRUCTION � �� '��.��. <�� . - jOwner Phone � - �I •�r' �i NEW "O ADD "-O ALTERATION � • Addfess F.PAIR ,Q CONVERSION ❑OEMOLISH - � - ' ",'ZONING REGULATIONS - ; Arch/Eng. _ Licens No. ❑ O7NER ' �• � _ _ ' DESCRIPTION OF WORK P"P' # �� . � �� ! Address . ' . _. ' _ _ ... . _ _.. . . : ` . '-ConireCtOf �. - Phone � � , _' _ _ ZONE' _ - - PCNG.REF.,� �' "" . L;Et V-S`�1J �TVPEOF'PERMIT i - - - - 4 - - TpB�JILp ING � - - •, Addre55-� �� w y�), �. - - ♦ - "'� � �^� � � SETBACK 5 . 7ROPERTV LINE _ - �� G0.ADING ��-FOUNDATION-, O STRUCTURAL IDE VARD . . - -- ;LICENSED CONTqALTOR_DECLARATION_ . , - _ : - '_� -'� T.ENANT_O ELECTRICAL ❑PLUMBING.-OMECJiANIC EF �I hereby aftirm th;.[ I 0m Iicensetl'untler provisions ot Charter 9(com- �%y��E YA -' ' '- " -- mancing�with .settlon J000) .o( DlviSion.3 of_She Busine5s. antl ❑'07NER.: �• i �' � I HT . ' Profe551on5 Cotle, .and my Iicense is In full force ry�„ eH ct. � ' REAR YARD (TO P/L) � � � �� „ , Gcense' las ' .0 - �'^"'�' " -'- '— cltan 'No. � 1 , . FROJECT DESCRIPTION� ��,_ _ __ � _ _ _ ' � � � �y , 54_�; �y R_ ,PKG.SPACEREQ: PROV�DED ,.� �� Date.L . t. Si9nature - � - ` � � �-- . . .'� . " ` ' ^- �. _ . STREET WIDTH ' ' PARK�FEE 8 , � � WORKERS' COMPENSpT10N DE LARATION , _f OCCUPP.NCV � CONSTRUCTION TVPE - - I hereby atfirm that 1 nave a certificate of consent to ielf-iniure or a� VALUATION - ZONE � ZONING APPROVE� BY - .- - DATE - ' "� <ertificate ot Workers'.Compen5ation Insurance,_or a tertlTieO copy __ _ _ - _. ' � " - �thereof (Seclfon 3800, �b. CJ. GRAOING�CV..YDS. ACRES �� SPECIACGONDITIONS: � � - ' � ` � PoIICY No: -. . � ComPanY ' ' ' •'_ " " ' .._ _. . .. � _.. " " " ' ' . . _ • � . 'ertitietl mpy is herCby fumishetl. _ _�i,: REMARKS:,,�: '.��: O' - - ' ' ''� y � � ertitietl copy is tileC with [he City Builtling Division. T - � ` ' ' ' • "- � -r . .._.EMPTION-FROM W�RKERS•-COMPENSATION-DECL-ARATION �� 4 ' � ��{ '� -� � � '� � . b _ J - .. (This sectlon neetl n�ot be mmpletetl if the p¢rmit is for on¢ huntl�etl � „ y �� " .{ (51001'or•Ie55(.'- .^.• _ • ' .' ""- i __' '_ •_ �„_ _ _ __ _`1 '_- ' ' " _ _ _ _ . _ _ ' ' _' ` 1 C¢rtity [hat m th¢`petformance of the work for whfCh thi5 permiLis � ,, ' issuetl; I shall-noYemP�oy-any-perion in�any manner so as to�Decome PLUMBING •� �-� yPCAN CHECK�--�� = '.ELECTRICAL ' -" PLAN CHECK ' 'i subjett t the Workers CompensaUO\a\ LawS of CaIH ia. �. ��' ' ' y. Date Si9nature `�-��`�� :h� "BATHTUBS ^'--'� SHOWERS' ' '�' � -- ' � - �NOTIG : It�a�tter�maki�9 this tleclarej on, you shou�tl become subject -TOILETS�. , �� URINACS -- - - - �GENERATOR � '0-1-KW=1--l0.KW '- ' " - i to ihe Workers' Compensatlon proyisions of the Labor Code, you must �- - � � �TRANSFORMER � �. � '� .forthwith <ompty with such provisons or thiz permR shall be tleemetl LAVATORIES ' yDOUBLE-L-AVS- -- -� � qPPLtANCE 30-50 KW_50+ KW- -� -- ---- � revoketl. ' ��KIT.SINKS --- - DISI;IWASHERS-- - - - -- MOTORS �- • � • �_ � CONSTRUC'fIONLENDIfJGAGENCV � � � . "" - --01HP_1-lOHP�'-'-" "•'--'�'� '-� ' I.hereby affirm Ihat th¢re is a conztruction lentlin9 agency for the per- SERV ICE SlNKS �� SUMPS --�- -- ---- - --�,UNC..SOLAR�. � 70-50 HP �50+ HP �' -�� formance of tho work for wnlch this permit is issuetl (Settion 3097 '�• � T Civ..C.). - .. .- _. ..__ _._ �_ _. . -. - -FLOOR'SINKS' , � FLOOR'�RAINS"' ' ' � ' '�FIXTURES ' � OVTLETS��SWITCHES('�j' -•O' LentleYs Narn¢ � Leritlei'sAiltlre35� � � � -' "' DRWKINGFOVNTAINS-� ,� - -• -- - - GASTUBE-SIGNS- - - ��- - - - 'OWNER BUILDER DECLARASION - ' INTERCEPTORS' �"'-CLARIFIERS ""' '1" �POLE�LIC�HTS - - - - - �- � - - - -+� I herBby atfirm ihal 1 ar0 Cxempt from the Conlrac[or'S License Law for .. � ,. 'tho following.reason .(Settion 7031.5 Business antl Protessions.COGe: .SWIMMING POOL- - - -P4RAP- - - � Any Gty or county �+hich requires a permlt to tonitruct, alteq �• .POLES - �� METERED ^.SUB � •.F � improva, tlemolizh.or_reGair any structure, prior to iti i5zuance, also re- yyqTER�SERV ICE- ' A�T�ERATION --- �� - �'PANELS ' �- MAIN' SUB -� ' �- quires the ap411cant for such permit to file a si9netl 5[a[emenl that he _ ., is.licensetl.pursuant.to {he provi5ion5 oLthe.Contractots.Licenze Law GASSERVICE- " '"'OUTl.ETS" - ' � - �' �SERVICE ^ �- -- -- AMP ' (CBapter 9(commencing with Settion ]000) oi Divislon 3 of the _- - �� ') 6usine55 antl Profession5 Cotle) or tha[ he is exempt theretrom antl.the yyqT@R HEATERS -- BTU�OVTPVT- ,�� - -� - - _- - .{ basis for tne allegetl exemplion. Any violatlon ot Settion 7031.5 by . ", ; { am•.applicanl /or a,permitsubje<[s ihe.appliwnt lo.a-civil.p¢nalty -SEWER�CONNECTIONS� �--- � - - � • ' - ...� 't MOr¢ Ihan five huntlrBtl tlollars (E500). �� - � � � - � ` .( as �ownerof �the property, or my employees with wages artheir �-SOLAR TANK � �-- COLCECTORS-- - 5�._ mmpensatlon, will tlo the work, antl the S(ructure I5 not inten0etl J t - ��' or'ofleretl'forsale� (Section-]Oa4, Businass antl�Professions Cotle: The SOLAR PIPING SVS.' '� -' ' - - • -ISSVE FEE� - - - '� - - - - Cont�actot's Llcense L.2w tloCs not apply to an owne� of a property � I wit0"bulltl5 orimprove4 tnereon, ana who tlOes'su<h'wOrk himseli O� 155VE FEE' ' ' "'- " .- � - •APPLICATION APPROVED BY - - - DATE - thrOugh his Own emploY¢e5, p�ovltled tnat such imprOvements a�e noi Intentletl'or o(feretl for sal¢_ If, hOw¢veq the bWltlin9 or improv¢ment MECHAFIICAL PLAN CHECK � � � � '' is soltl wilhin one year of compleHon, tne owner will have the burtlen . ' � SUMMARV OF FEES �� . of'proving he tlitl noC"builtl or-improve tor the'Purpose-of-sate). -' ' - - BVILDING- - - - - - .--- - - HEA7ING SVSTEM 0-100,000 BTU �PERMIT ❑ I, as owner of the property, .am exclu5ively� on[racting with � S ��SMIP � ,. $ licensetl contiactors to cons[ruct the ro'ect Section ]044, Businesz -'0'ND DUCTING- - - -� - � -. _ . _ _ _ _ . _ _ � 0 1 ( 100,000:+BTV { �PLANCHECK § PERMIT ' ' antl.Professions Cotle: Yhe.Contractor's License.Law tloes not apptyfo ---. �� - - ISSVANCE-�-B � � an owner of prOperty Who builtls or improves ihCreOn, antl who con- REFRIGERATION 0-100,000 BTU PLVMBING b . traCts /rom 5uch proj¢[t5 with a_cOntractor(s)_Iic¢snetl pursuant to SYSTEM _ ' ��£ the Contractor's License L.v+). �- 100,000v gTU '- PLAN CHEGK E - ��GRADING S� � I am ¢x¢T t•untlGr Saction B. & P: C. for [his - -- � - - - --. ��j�� , i � � P BOILERS 6TU � ELECTRICAL §y=lyS'� ' -'- ' � $ r reason . ' _ � . "" ' 7' 'MICROFII.N E • - �� ., . , '" "-' - ' "" - " ' ""'.� ..PIAN'CHECK' , SVSTEM REPAIR,ALTERATION � S - Da[e Owner � - . � -- MECHANICAL E- - ' '.TOTALFEE'S'�� I hereby certi/ythat I ha�e reatl tbis applita[ion antl ztate tha[ the above EXHAVST SVSTEM MUCTIPt_E • .LESS�A�- information is correct.-�"�9ree-to-comply �with all citY antl [ounty _ � �PLAN�CHECK $ - 'VANCEP.0 $- ortlinances antl state laws relatin9 to construttion, and hereby authorize i� �� - .., _ r¢presentatives of-lhis ^��ty [o- enle� UPOn -Ne above men[io tl - - - - � ' ' '' "' property r inspettior��Purpos¢s / Si9naCure i=-�=�-�' t � ' ' Date �e .. . .. . - . '" ".' ' " .. . FINAL FEE 5�__4��%.Q f� - ISSUE.FEE . Drivers' Li�se or 55�' - ' '- "�. . . ' --" - " ' - ' ' - ' - '- ' -- - . . -. . . CMF 0865-46 White-Builtlin9: ��ary-Applicant; Pink-Acmunting; Goltlenrotl-Assessor , � - CONSTRUCTION AND PLANNING � POOL & SPA, : �" ' ._ . _ , • Date Inspector . - - ' ' _. . , � ;Data - Inspector " APPROVALS Permit# � APPROVALS - Permir#-� _ _ �� _,s_�. 1. Temporary Electrical Service or Pole � 43. Pool & Equipment Cocation -- - '' 2. Soi ipe-Undrgrn 44. Steel Reinforcement ` 3. Electrical Conduit Utility-Undrgrn 45. Forms "- ' - • �- , 4. Electrical Cpnduit-Undrgrn 46. Electrical Bonding ' � - -� - ' - . tee e�n orce - 47. Rough Plumbin & Piessure Test -- � 6. Electrical UFER Gm 48. . APPROVAL TO COVER-GUNITE -"' 7. Footings • 49. Electrical Conduit•Undr rn 6. Foundation - -� � 50. Gas Pi e, ❑ Undr rn, Test � • � _ 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra � ridr rn- - � 10. Structural Floor System 52. APPROVALTO DECK �� 11. Property Sewer Line & House Connection 53. Backwash & Rece tor•Final 12. _ Street Sewer Connection ' •- 54. Heater & Vent-Final 13. Rough Plumbing 14. Rough EleMricConduit y /;j- ' �'56. 'Electrical•Final � � 15. Rough Electric-Wirin � 57. Solar SYstem-Pinaf - � 16." Rough Heating & Air Conditioning � -" � - � • encing & Access Approval - - 17. Ducts in Scructure � APPROVED FOR PLASTERING � 18.- Ducts, Ventilating � � � � - - �- - - • � � • • ' . • • 19. Gas Pipe-Rough & Test - 60. FOOL/SPA SYSTEMS PINAL �- . � ,� , 20. Roof Framing � -- � 21. Roof Sheathin � � � - - � 22. Frame and Flashin - NOTES: 23. �Insulation � • � ' - - � � � 24. Lathing & Siding � - - ' � - 25. Drywall Nailing � � � � � 26. Plaster Brown Coat - - - ' � 27. Electricai Power Meter-Final � - � � -28. Final Electric - - � Ti - - � 29. Final Heating & Air Conditioning� - - � - � � ' 30. Final Gas Pipe-Test - - - � ' 31. ..Final Plumbing � 32. Water Service-Final - - � 33. Gas Service-Final � 34. Solar pomestic-Final ' � � 35. Landsca 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. Oate ' � �- . ,. - - - _!� AVPlicant to fill in all spaces wlthin heavy borCer lines antl sign all approprlate tleclaretior CITY OF COSTA MESA � � pER�/� ryQ,� �� TRACT NO. LOT NO. � BLDG. NO. CONSTRUCTION PERMIT �✓� 3 Project Address ' T/'� T�VPE OF CONSTRUCTION OWn2f � PhOn2 � 7J ryEW ❑ ADD �ALTERATION Address ❑REPAIR ❑CONVER510N ❑DEMOLISH - Arch/Eng. � license No. ❑ o7HER Addf25S ' ' _ DESCRIPTIONOFWORK - �r Contractor , Phon TVPE OF PERMIT � Addless U P�I� GI � ❑ GRAOING ❑ FOUNDATION ❑ STRUCTURAL UCENSED CONTRACTOR DE LARAT�ON ❑ TENANT ❑ ELECTRICAL QPLUMBING �OGECHANICA� I heraby afflrm that I am Iicansetl untler provlsion5 of Charler 9(com- mencin9 wlth settion ]000) of DlvislOn 3 of tne Business antl ❑ OTHER ' Professlons Cotle antl m Iicense is In full force tl ft � pROJECT DESCRIPTION - Litense CI s � Ic �s DatO � $I9ndtUre SQ. FT.' WOR ERS' COMPENSATION DECCARqT10N � OCCUPANCY_CONSTRUCTION,TVPE I hereby affirm that I bave a certificate of consent to self-Insure or a' VAWATION � ZONE cartifiwte o( Workers' Compensatlon'Insurante, or a certl(letl�copy- thereof (S,encti�on 3800 Lab C.).. '� GRADING CU. YOS. ACRES POIICY Noip /S �S ComPanY �. • �. . - . ^ertiflatl topy I5 hereby fumishetl. � - REMARKS: � - ;ert1110tl COpy IS flletl with th¢ city Builtling Divislon. cwEMPTION FROM WORKERS' COMP@NSATION DECLARATION � -� (This 5eclion n0etl not be complat¢tl if tqB perTit IS tOr One nuntlratl . .- _.. —. (E3001 or less). � ' `• � I cert(ry that In tha performance of the work for which this.permlt is . issuetl, I shall not emPloy any p¢rson In g�y Runner so as to become PLUM8ING. � � PLAN CHECK subject to lhe Workers Compensation Laws of Callfomia. - Date Sl9nature BATHTUBS SHOWERS NOTICE: If aiter makin9 this tleclaration� you snoulO become subject TOILETS URINALS to thB WOrkers' COmpGnSation provlSiOns Of the tabor CotlB, you Tust � _ _- . forthwith tomply with suth provislons or this permit shall be tleemetl LAVATORIES DOUB�E lAVS revoketl. • • - - -. - - - - - CONSTRVCTIONLENDINGAGENCV KIT.SINKS DISHWASHERS Phereby atfirm tnat t�ere I5 a construcHon lentling�a9ency„�or�the�per SERVICE S1NK5 .. SUMPS � � �- � -formante of the work tor which this' permic is �Issuatl (Sectlon 309� Civ. CJ. ' ,� - fLOOR51NK5 �FLOOR DRAINS Lentlar.'s Name ' _ Lentler'i Atltlress DRINKING FOUNTAINS � t the Contractor'S License Law for INTERCEPTORS CLARIFIERS BUEiness antl ProfeSsions Cotle: SWIMMING POOL P TRAP � ; a permit to construct, alter, :ure, prlor to i[z issuance, also re- yyqTER SERVICE ALTERATION � tile a si9�etl 5tatement that he of the Cont�actorY License Law GASSERVICE OUTLETS Business antl Prdessions Gotle) or tnat he Is exempt theretrom antl tne basis for the alle9ed exemptlon. Any violation ot Section 7031.5 by a' ' appllwnt lor a pGrmit subjects th¢ appliwnt to d Clvil Penalty �t more than tive nuntlretl tlollars (5500). _ , a5 Owne� of lh! p�ope�ty, or my eryiploy¢¢5 wl[h wa9e5 a5 thei� soie COMpenSation, wlll tlo th¢ work, antl the sVucturo is not intentlotl or ofteretl for sale. (Section ]044, Busine55 antl Profe551ons Cotle: The Gont/attot'S �UCGns¢ Law tl0l5 nOt ap01y t0 an owner o1 a property wh0 bulltl5 or Improve5 th¢reon, antl wbo tloe5 Such work hlm5elf or through his own employees, provitletl tha� such �Improvements are not intentled or offeretl for sale. I(, however, the building or Improvement is soltl wi[nln ona year of tomple[ion, thB ownar will have the burtlen ot proving he ditl no[ build or impro�e for Ihe purpose of sale). ❑ I, as owner ot the property, am' Bxclusively contracting with IlcenSetl con(ractors lo <onstruct the project (Section �044, Busine55 antl ProfeSzions Cotle: The Contractor's 4lcense Law tloes not appry to an owner of property who builtls or improves thereon, antl who con- tracts from 5uch prolects with a' contra�tor(5) Iicesnetl pursuant to tne Contractor's �icense Law�. _ ❑ I am exempt untler Section. -- B. d P. C. (or this reason � � �ate ' ' Owner -- - I h0rlby Certity lhdt 1 hava reatl Ihis appli W�jon antl �. informatlon is correct. I agree to comply with a ortllnances ana scate laws relatin to co ztr�ction, ar rapresentatives o thi5 it r Upon(the p�oparty fo� i t i�� - - Si9nature � '�� C Drlvers' Litenso or 55 � � — CMF 0865-46 White•Builtling; Ganary-Applicant: ot the antl i �v aut BTU SEWERCONNECTIONS . SOLARTANK COLLECTORS SOLAR PIPING SVS. � ISSUE FEE MECHANICAL aLAN CHEC�c HEATING SVSTEM 0-100,000 BTU_ ANDDUCTING 100,000+BTU_ REFRIGERATION 0-300,000 BTU_ SYSTEM 100,000 t BTU _ BOILERS BTU SVSTEM REPAIR,ALTERATION EXHAUSTSVSTEM MULTIPLE _ ' ISSUE FEE � Goltlenrotl-Assessor � .� . . ; �, 5Q42 4/23/82 . -: �_ _ . - - -� A.P. � ZONE PLNG. REF. � 7.00 Tl,� REAR YARD (TO P/L) � " PKG.SPACEREQ. PROVIDED STREET WIDTH PARK.FEE E . 'SPECIAL CONDITIONS: ELECTRICAL PLAN CHECK GENERATOR p.l KW_1-10 KW TRANSFORMER - �- - APPLIANCE -10-SOKW=50+�KW"' . MOTORS' � � -0-1 HP_1-30 HP � � . � - pNC.50LAR) •�30-50HP_'50+HP - � FIXTURES OUTLETS SWITCHES GAS TUBE SIGNS' ` ' ' POLE LIGHTS � " PANELS � MAIN , SUB SERVICE � �- ' '- ' AMP ISSUE FEE - -' I � APPLICATION P.PPROVED BY - DATE SUMMARV OF FEES BUILDING - ' ' PERMIT $ SMIP $' PLAN CHECK $ PERMIT ISSUANCE E PLUMBING $ . GRADING .$ PLAN CHECK S - ELECTRICAL b S PLAN CMECK § M�CROFILM S MECHANICAL E� TOTAL FEE S PLAN CHECK � ' 'LE55 AD- �VANCEPC S_ . . FINAL FEE S • OD CONSTRUCTION AND PLANNII G POOL & SPA .. ' APPROVALS Permit # 1��--�� Date Inspector APPROVALS Permit # Date . Inspector 7. Temporary Electrical Service or Pole 43. Pool & Equipment Location � 2. Soi ipe-Undrqrn � 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn � 46. Electrical Bonding . tee ein orce 47. Rough Plumbin & Pressure Test ' 6. Electrical UFER Grn � 48. APPROVALTO COVER-GUNITE � 7. Footings 49. Electrical Conduit-Undr m � 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn � 51. Backwash Lines P-Tra ❑ ndr rn � 10. Structural Floor System 52. APPROVAL TO DECK 11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final 12. Street Sewer Connection � 54. Heater & Vent-Finai � 13. Rough Plumbing • - � 14. Rough Elec[ric-Conduit - :56. Electrical-Final 15. Rough Electric-Wiring �� 57. � Solar System-Final 1 �Rough Heating & Air Conditioning p,� Rv � • encing & Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating � 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing � 21. Roof Sheathin /� ' � . 22. Frameand Flashin NOTES: � y�,l.. � 1v�p�� ,�y,6 pw� � ��y�� ' 23. Insulation �' - ' - � A.�C,4 w p,ha� w '(t, a o,..� 24. Lathing & Siding (ias �.$L - 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter-Final 26. 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 pomestic-Final � 35. Landsca 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. CERTIFICATEOFOCCUPANCY � � � " No Date � AGD��cant to fill in all ipaees within �eavy borCer Iinas antl sign all approprlate Eeclantions. 5]94 �j/ � 2�e'�1 �3•9'�l '�� CITY OF COSTA MESA PERMIT O. TRACT NO. LOT NO. �BLDG.NO. � ' '� � " CONSTRUCTION PERMIT �� S 3 n _ rro�ecc v.aaress �,� Wey � L�(-rQ TVPE OF CONSTRUCTION Owner �p,�,r Phone ❑ NEw �.POD ❑ ALTERqT10N Address � ❑ REPAIR ❑ CONVERSION ❑DEMOLISH rc ❑ OTHER Addf DESCRIPTiON OF WORK n Contractor Phone 3 TVPE OF�PERMIT Address�J}Tj) W Ly - ' A 9, ❑ GRADING ❑ FOUNDATION -❑ STRVCTURAL LICENSED CONTRACTOR OECLAR TION ❑ TENANT ❑ ELECTRICAL ❑PLVMBING ❑MECHAI I hereby affirm that 1 am IltenzeC untler provisions of Chartor 9(com- menting witb seCtlan 7000) of Divl5lan 3 of the Bu5ine5s antl �OTHER - Protaszlons Coae, antl my Itense Is In tull (orce an0 e/i tt. pROJECT DESCRIPTION LlCanse CI is C Liten � � Date � Sl9naturo 5�. FT. ___ WORKERS'COMPENSATION E ARATIO • OCCUPANCV� CONSTRUCTIONTVPE I hereby affirm that I have a r fiwte o( consent to ulf-insure or a VALVATIOIJ��' ZONE certlfitate of Workers' Compe tion Insuranta, or a cartitletl capy thereo/ (Se on 0, GRADING CU. YDS. ACRES ,�„�Y No y5`�a-� -�o� �,, L18EFS7Y MUTURL Certi(letl copy is hereby tumishetl. - - . . . qEMARKS: ' ' , . . � . _ :ertifletl copy I5 iiletl with the city Builtling Division. TION FROM WORKERS' COMPENSATION DE ION ' ' (This sec not De completetl if che per '' or one huntlretl SS1001 or Iess1. ' - �e,trfy thdt ln tne perfarm e work for w�lc� t�is permit is Is5uo0, I shall not em person W�� annar so as to become � PLUMBING PI.AN CHECK - subjBct to the Compensatlon_Laws o( Cdit . _ ' BATHTUBS SHOWERS to Ih ¢�5' COrI fOrthwith t w lBVOketl. CONSTRUCTION L I hereby atllrm that iormanGe Of th0 wt Civ. 0.�. Lentler'S � a^�• appllcant tor )t mo�e thdn . d5 OWfICI OI aking this tleclaratlon, you ipensation provisians of tne �th Suth provislons or Ihis p ENOiR GEN [htre I5 tion len� rk iich lhi5 ' i: 7ECLARATION' ' � am�exempt from the Contr (Sectlon 7031.5 Business y whlth reqWres a-pGrml r repair any structure, prior for suth Dermlt to fila a sig to the prOVI5i005 O7 tht Co ncing with $ectlon 7000) ioni COtl!) Or thdt t1G IS ex0 iltl betom ect TOILETS ' URINALS "� � ior all be tleemetl LAVATORIES DOUB�E LAVS' " � KIT.SINKS DISHWASFIERS- agency for Ne per SERVICE SINKS ,SUMPS � " uetl (Sectlon 3097� _ FLOOR SINKS �FLOOR DRAINS DRINKING FOUNTAINS � � rt'S Litense Ldw r�. �NTERCEPTORS CLARIFIERS Profes5lons e: SWIMMINGPOOL PTRAP � construct Iter, t5 issuanc , also re- y./qTER SERVICE . ALTERATION statam tnat �e ctor' IcenSe l.aw GASSERVICE • OUTLETS DI lon 3 of the orefrom antl the yyqTER HEATERS BTU OUTPOT ction 7031.5 by to a Clvil Oenalty, SEWER CONNECTIONS " Hit� wages as tnelr SOLAR�TANK _. COLLECTORS Of 0(flfetl tOf Shce. (SCCtIOn ! , 0U �¢55 anO HotlSSlOni COCN l n8 SOLAR PIPING SVS. Conlratlor's Ucenie Lzw tloes ply to an owner oi a property who builtls or improvas thereon, who tloes suth work himselt or ISSUE FEE [hrough hIs Own employle5, p� �tle at Su<� improvemants aro not IntentlBtl o� ofta�etl tor sale. howeve tht bulltling o� Improvement MECHANICAL PLAN CHE� is soltl within one year ot mpletion, the wner will have t�o burCen . ol proving hu ditl not ulitl or improve r tha purpose of sale). HEATING SYSTEM 0-300,000 BTV _ ❑ I, as owner oi e proPerty, am exClus ly wntraCting with qNDDUCTING Ilcensetl contractor o consiruc( the projact (Se on 7044, Business 100,000+gTU. antl ProleSsions e: The Contractor'S License La oe5 not apply to an owner of p perty who builtls or Improves thereo antl who con- REFRIGERATION 0-300,000 BTU_ tracts Irom ch projetts with a contrattor(i) ticesne ursuant to SVSTEM the Contra or's Licanse Law). 300,000 * BTU. ❑ I a xemp[ untler Sectlon B. & P. C. or this Drlve \ CMF BOILERS BTU Owner SYSTEM REPAIR, ALTERATION i cerUfy that I have reatl this applicztion and state tnat Ihe aGove EXHAUST SVSTEM MULTIPLE tion is correct. I agree [o comply wilh all U[y antl county ces antl state laws relating to constru<tion, antl hereby au[ho�ize itativez of thh tlty [o enter upon the above mentlonatl y fa Inspectio p s. r Date � �SSUE FEE ense o 5 9f � 65-46 Whi[e-Builtling; Canary-Applicant: Pink-At<ounting; Goltlenrotl-Assessor ZONING REGULATIONS A._. iP ZONE REAR VARD (TO PKG. SPACE REQ. STREET WIDTIi SPECIAL CONDITIONS: PLNTGp. RgUEFL. p��N PROPE�RTY LINE PROVIDED PARK FEE E � _ ELECTRICAL � PLArv ' GENERATOR 01KW_1-0OKW TRHNSFORMER APPLIANCE ' 30-SOKW_SO+KW ' MOTORS 0-1 HP_1-10 HP - (IN0.50LAR). 30-SOHP SO+HP FIXTVRES OVTLETS' 'SWITCH - "- GAS TUBE SIGNS - ' - •-- ' ' POLE LIGHTS ' ' PANELS MAIN SVB SERVICE - AMP APPL�CATION APPROVED BV n� DATE"�� SU MARV OF FEES BVILDING PERMIT 5 •�Q .SMIP S . 5� PLAN CHECK E PERMIT ISSUANCE E PIUMBING E PLAN CHECK 5 GRADING S � � ELEGTRICAL 5 E PLAN CHECK E MICROFILM E MECHANICAL S TOTAL FEE E PLAN CHECK E LE55 AD- VANCEPC S_ FINAL FEE S I 3•q.2. CONSTRUCTiON AND PLANNING ' POOL & SPA � � Date Inspector - - Date Inspector APpqOVALS Permit# APPROVALS Permit# • 1. Temporary Electrical Service or Pole �' 43. Pool�& Equipment Location � . Soi ipe-Un rgrn 44. Steel qeinforcement - - � 3. lectricat Conduit Utitity-Undrgm � ' " 45. Forms -� - . 4. Electrical Conduit-Undrgrn �46. Electrical Bonding - � � - -- - . tee em orce 47. Rough Plumbin & Pressure�Test � 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE . - � � 7. Footings 49. Electrical Conduit-Undr rn 8. Foundation . 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwashlines P-Tre � Q� nd� rn - � `� t0. Structural Floor System �52. APPFOV LTO OECK ' ' 11. Property $ewer Line & House Connection - 53. Backwash`& Rece tor-Final 12. Street Sewer Connection " 54. Heater & Vent-Final � 13. .Rough Plumbing ' - "'- ' � ' 14. Rough Electric-Conduit �56. Eiectrical-Final - - 15. Rou h Electric-Wiring � 57. Solar SYstem-Final - � i6. Rough Heating & Air Conditioning - � encing & Access Approval _ 17. Ducts in Structure ' APPROVED FOR PLASTERING � • 18. Ducts, Ventilating - - ' - 19. Gas Pipe-Rough & Test ' 60. POOL/SPA SYSTEMS FINAL ' , 20. Roof Framing - - . ' 21, Roof Sheathin � - � Z2, Frame and Flashin NOTES: � "� 23, Insulation � - 24, lathing & Siding � 25, Drywall Nailing ��.�" � 26. Plaster Brown Coat � .-�y,�_ % 27. Electrical Power Meier-Final .�1/ + ,r.- •� ' % 26. Final Electric � ' '7�V - 29. Final Heating & Air Conditioning 30. Final Gas Pipe-Test � � , 31. Final Plumbing - 32. Water Service-Final ' ' �' 33. Gas Service-Final - 34, $oiar pomestic-Final 35.� 'Landsca e S rinklin S stem� � � � ' 3fi. Sound Attenuation - • � ' 37, Handicap Regulations � �� ' 38. FINALSTRUCTURE&BUILDING 39. Special Requirements Completed ' ' 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. " � 42, CERTIFICATEOFOCCUPANCY No Date Applicant to 1111 in all ipa<as within CITY OF COSTA MESA I aeamiT'Ng 5, CONSTRUCTION PERMIT ,!/� -d� Projett Address C� ' \ � � `Y L Addrea Licenu No. Address n (�,On[rBCtOf � .� �n� / }� • I hareDy af(Irm that I mentin9 wlth sectlo Rotesslons Cotl� a Date ' Si9natura r((li,l� /�///' WOR ERS' COMPENSATION OEELARqTION� - I hereby aftirm that I hdve a Certi(IwtO Of wnsent t0 selNniure or d Certl/l�ate O/ WOrkerT' COTpGnwtlon In=Uronca, or d ttrtlfleC capy Inereof (Section 3800, Lab. C.). . Pnllcy No. CAmDany 'ertifletl copy I5 hereby furnithetl. - . .ertlfietl copy is filetl witn the city Bullding Divislon. E%EMPTION FROM WORKERS• COMPENSATION�DECLARATION (This soction neetl nat be completetl if the permit.is /or one.hunGretl SSlo01 or lessl. cert(fy that in the performance of lhe work for which this perinit is I55ueC, I shall not emPloy any person in dny manner so as to become sub)ect to tho Workers Compensatlon Laws of Ullfornla. . Dale Si9nature NOTICE: If atter making thls tleclaraUon, you shoultl become'subject to the Workers' Compensation provisloni b! tha labor Cotle, you must fOrthwith COTpIy wlth such proviSioni Or (his parmit Shall b! tleemetl revoketl. CONSTRUCTION LEN�ING AGENCV 1 hereby a/flrm thal there Is a construttlop lentling agenty tor t�e per- tormante of the work far which Ihls permit Is luuetl (Seclion 3097 Clv. CJ• Lentle�'S Name Lentler'S ACtlress �OWNER BUILOER DECLARATION ' I he � Ihe An� 1 ImF 1\ QUI tho appllGant tor sW nsetl pursuant f0 tite tor 9 (commencln9 iss antl Prdessions C fOr the allogetl azem pplitanl tor a perm t more lhan tive hur a5 Ownol O/ Ih0 Pro or a �a rroressons wae: to construct, alter, � Its Issuante, also re- !tl itatemant that he rattor'S LICBn58 Ldw t Division 3 ot lhe pt tnaretrom antl the 1 Setllon 7031.5 by nt lo a tivll penalty I sola tompan.a[lon, win m �ne worK, ana �pe nruaura �s no� incenaeo or offeretl for Sale. (Settlon 7044, Bu51ne15 antl AoteSslons Cotla: The � Contractor'S LI<onsa Law tloez no[ apply to an owner ot a property (� who builEs or improves t�ereon, anC who tloez such work himself or throu9h hls own employaes, proviaetl that sucn improvements are not �M IntBntletl O/ olferGtl iOr Sale. If, howev¢q IhG bulltlin� Or Improvemant is Soltl wllhin One year Of complatlOn, tha Ownlr wll hdve Ihe bUrGen ot proving be tlitl not builtl or improve for the purpose of sale). ❑ 1, as owner ol the property, am axtluSivBly contra<ling wlth Ilcen58tl contractor5 t0 ConStrutt [he proJBtt (Snctlon 7044, Bu51ne55 Qantl Pro(e557ons COGe: T�e Contractor's L�censa Law tloes not apply to an owner ot property who Euilas or ImOroves thereon, antl who ton- Vacts trom zucn Projetts witn a contrattor(s) Ilcesnetl pursuant to the Contractor•s Uwnie Law). ❑ I am exempt untler Section B. & P. C. tor this � reason �Date owner - 1 heraby terUty that I havo reatl this applitation antl sta[e that the above c� Inlormation I5 torrecL I agree to comply wlth all cl[y antl county (�' ortllnances antl state laws relating to con5lruttion, antl hereby authorize Signature �� oata Drivers' Litense or 55 � � � — � 1 CMF 0865-46 Whita-Builtling; Canary-qppliwnt: Wnk-Accountin9; Dartlar Ilnei anG siBn all appropriate Ceclaratlon TRACT NO. LOT NO. BIDG. NO. TVPE OF CONSTRUCTION ❑ NEW ❑ ADD �ALTERATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ❑ OTHER DESCRIPTION OF'WORK TVPE OF PERMIT � ❑ GRADING ❑ FOUNDATION ❑ STF ❑ TENANT ❑ ELECTRICAL OPLUMBING ❑ OTHER PROJECT DESCRIPTION. • _ SQ. FT. OCCUPANCV_CONSTRUCTION TYPE,. VALVATION � � ZONE GRADING CV. VDS. ACRES _ REMARKS: � ^ PLUMBING PLAN CHECK BATHTUBS SHOWERS TOILETS �URINALS LAVATORIES DOUBLE LAVS' KIT.SINKS � - DISHWASHERS SERVICESINKS SVMPS � FLOOR SINKS FLOOR DRP.INS DRINKING FOUNTAINS INTERCEPTORS CIARIFIERS SWIMMINGPOOL PTRAP WATERSERVICE ALTERATION GASSERVICE OUTLETS WATER HEATERS BTU OUTPUT �, SEWER CONNECTIONS � " SOLARTANK COLLECTORS SOLAR PIPING SVS. ISSUE FEE MECHANICAL PLAn CHECK HEATING SVSTEM 0-300,000 BTU_ AND DUCTI NG 300,000 + 8TU _ REFRIGERATION 0•300,000 BTU_ SVSTEM ]OO,OOO+BTV_ BOILERS BTU SVSTEM REPAIR,ALTERATION � EXHAVSTSVSTEM�� MULTIPL� ISSUE FEE < :� . A.P. � ZONE SET AC R!\L SIDE VAF �� 5845 5/13/8@ ZONING REGULA710N; PLNG. REF. � sT. ��o�`�'kPJ REAR VARO (TO P/L) PKG.SPACE REQ. STREET WIDTH !ONING APPROVED BY �PECIAL CONDITIONS: ELECTRICAL 9.�0 Tl� PROVIDED PARK FEE 5 � � DATE PLAN CHECK - ' FT_ ' GENERATOR 0-1KW_1-lOKVJ� TRANSFORMER � APPLIANCE 30-50KW_50+KW� MOTORS 0-1 HP_1-10 HP _ (INC. SO�AR) 30-50 HP 50 t HP � FIXTURES OUTLETS SWITCHES GHS TUBE SIGNS POLE LIGHTS PANEL$ ' MAIN SUB SERVICE AMP� APPLICATION APPROVED BY OATE SUMMARV OF FEES BUIIDING PERMIT E SMIP $ PLAN CMECK S PERMIT PLUMBING E � �SSVANCE $ GRADING S ' PLAN CHECK E ELECTRICAL 5 - E PLANCHECK $ MICROFILM $ _ . MECHAN�CAL S � TOTAL FEE $ PLAN CHECK S LESS AD- VANCEPC y_ � FINAL FEE E CONSTRUCTION AND PLANNING POOL & SPA � �� APPROVALS �� Peimit # - Oate Inspector pppROVALS Permit � Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - Soil ipe-Undrgrn 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding . tee ein orce 47. Rough Plumbin & Pressure Test 6. Electrical UFER Grn 46. APPROVAL TO COVER-GUNITE � 7. ootings 49. Electrical Conduit-Undr rn 8.. Founda[ion 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P• r ❑ n r rn 10. Structural Floor System 52. APPROVALTO 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. Rou h Electric-Wiring 57. Solar System•Final i 6. Rough Heating & Air Conditioning • encing & Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating 19. Gas Pipe-Rough & Test 60. POOL/SPA SYSTEMS FINAL 20. - Roof Framing 21. Roof Sheathin 22. Frame and Flashin NOTES: 23. Insulation 24. Lathing & Siding 25. Drywalt Nailing 26. Plaster Brown Coat 27. Electrical Power Meter-Final 26. Final Electric 29. Final Heating & Air Conditionin i 30. Final Gas Pipe-Test 31. Final Plumbing 32. Water Service-Final 33. Gas Service-Final 34. Solar pomestic-Final 35. Landsca e S rinklin S stem 36. Sound Attenuation 37. Handicap Regulations � 36. FINALSTRUCTURE&BUILDING 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY No Date City of Costa Mesa Building Safety Depanment P.O. Box 1200 Costa Mesa, Califomia The Building located CERTIFIC�ATE 624 W., 19th 3ire�t OF OCCUPANCY has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group $-2 Occupancy. Use�of Building TEl"1c111%. IICf�JTOVEfi[k?Il't. 'Legal Description 4"14-182-20' ISee �e�erse side for rotetes a�d eo��dsl 79573 Building Permit No 3-30G8 Electrical Permit No. 49263. Plumbing Permit No. �i'ZlZ P-2695 Number of apartments —0— and/or guest rooms —0— iSSUED To: Building Official bY !!- l a • ��.,�L�`'Y�- iCiroyh DeveloFn�ent V. C�� P7��wton, &zy' lciuig Divismnn I�irector Date 1.`i �`-r�1rG�J ��f��- This Certificate of Occupancy SHALL BE posted in a conspicuous place on the p�emises and SHALL NOT BE removed except by the Building Official of the City of Costa-Mesa under Sec. 306 (e) U.B.C. Form BU 34 aev. 11'/70 �i� C GW. a � � s F O W F Q 7 r .� m � O 4 W 3 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. 80X 1200 COSTA MESA, CALIFOHNIA 92626 For Applicant to Fill in Completely — Use Ink Only Bl11LD�NG ��,[. 1 /OiO C��CL ADDRESS �� W � (.�\ �'C OWNER OR u��j. ��aGli TENANT _ /-( GTV BRANCH ADDFESS ARCNITECT i7� �1T• CtiFFNo40 sr TEL. .,✓r�os� /�.4c.c.�N No. �-G ADDRESS CONTRAC70R ADDRE55 I CITV (—d(,�N STATE LIC. NO. R/. F� OF LOT I. 2 G�+� /� E uJ G[.ifr�✓cnn �, TEL. � NO. S�N'�Fs3� � CITV IIC. NO. NO. OF BLDGS. ./ NOW ON LOT f� Separate permits are required for electric, plumbing and heating work. UILDING AND WORK TO eE PEPFOR� nGOK,$T��4 G, "� �f c-r.sA — �1.SOU I hereDy acknowletlge ihai I hevo raatl this epplieation and rtate xhat tha above InformnUon Is correct aotl apree to rompty wiffi ell lawe repulatinB builtlinB �onnruction, and 1 zhall not employ any parwn In violetion of Ma workman's eompensetion laws of tho Stete of Californte. I hereDy cortify ihet I em properly Iicensed es a conttactor untlar tha Stata of Calftomfa Busfnoss antl Profassfons Cotla, OWfsfon 3, Chapiar 9, and that such licenws ora in full force entl aifact, or I am exompt from the provisions of e State CalitOrnla 6�sinea entl Profasaions Co ` ivision 3 eptar 9 Sipnatura ot -- Parmittae �, ,� _ 2 s�7 9 Authorizetl Agent Date APPLICATIONF�k�S'I'R��'CJ�FLPERMI'8�4.17 Tl� RECEIVED BV PERMIT �0 dQ � 11 �/ A,P. NO. BWLDING rj��/ /'� /� ADDRE55 V f— �,� UNIT OR —T SPACE NO. TR.NO. LOT NEW ADD ALTER REPAIR MOVINC OWNER D /p VALUE USE 5 20NE TVPE GROVP APPROVED BY DATE APPROVEDSETBACKS PLANNING ACTION THEAMOUNT THE PURPOSE C VALUATION s /� �L'�/V�� DATE APPROVEO � m � .�. i o �� N � VN UNOER VqLUATION IS FOq m� 'ABIISHING A vERMiT FEE ONLV: � PERMIT FEE E q n m PLAN CHECK S .3 � '� � LL TAX y � � U TOTALPAID S 7LI � . \ � c.COS;:A MESA BUILDINO-SAFETY DEPARTMENT P.O. BOX IZ00 �663 6/OS/BI . 39.67 TI� Costa Mesa, CaliPomfa � � ' � � ' � � ' I TRACT NO. n ._ e . P RppT NO. • REC'0 BY'YrL� y EIECTRICIAN � LOT NO � ADDRE55 DATE ISSUED CITY�' J BUILDING USE ��' ��AN ��1 .u�4 C' � T�. �o.� =�;.ti � � 8/ ca STATE LICENSE NO. '�'? � ClASi C � � + �V BWIDING �q T CI7V LICENSE NO. ADDRE55 /� v�� MO. I71M GCN �fEf COSTA MES�, GLIfORNIA _.� "'� �� Dwellinq. Sq. Ft. f CvoRss 57.' L,A� �/ '�'�' �w cma9a, sa. Fr. owNea`D 7L r��'.OP��LTN.�" C7¢� ,� � � v Q Finf 20 Outlaft. aach .�ONE55 ��/1�/� �'� J Outleh, Additional �2 �in•�./VJIf�r�,.' '�Ci\� ��'.�-�L NO. � 2O Firs� 20 Fix�urs�, each Q a I HEREBY� ACKNOWIEWE TNAT I HAVE READ TXIS AiPL�- } UTION ANO �STATE THAT TME ABOVE IS CORRECT AND AGREE J i � TOfCOMPtY WITH All CITY ORDINANCES AND STATE LAW$ REC� � FiaNres, Additional Ut'ATING EtECTRIGI wIa1NG. Wa p Ye �p �` �+�I QRTIFY THAT 1 POSSE55 TNE ABOVE VALID STATE OF O .^7..G .• GUFORNIA C1A551FIGTION OR 1 AM TNE IEGAI OWNER OF � Fan ��l� TNE SINGLE FAMILY RESIDENTIAI PROPERiY DESCRIlFD ABOVE. a �v" J WHeater �� , � ERAIITTEEM, ,' �� CJ�r' • � = Oven, Domei�ic .Q �� NO. ITlM �ACM F!E! � � f- Pole, Constructian�� Sipn 6 1 Tmm. 4.00 � � Ronqe, DomaiticJ Tremfarman KW W �/' a �`�Gu�. � � . , � � � Genarator� KW � y . H — Moron �See Schedulel - . � ' � � F/�rC.rHP J. � (o � �7 . � 'a HF Q� � O Sub�Total Feea " � Q HP APPROVALS '' �, - ' 7 t . IMIlROI — DATE / Meten. eo. � : ' r ' Q�Q . �TEMP. �POtE - . . , � � • - • Permif Fae UNDERGROUND'CONDUIT I I a.,-3 0o Roucx'_�.i.� I• -C. I/-�Y-Fc2 Sub•Tatal FMs e FIXfURES — � � VOWER I I Total Feet ! / � UTIIITY CO. NOTIFIED � �� FINpI � �- CMF 0313-46, rev. 7/75 For items not listed refer to Fee Schedule B� �� M�T'"^J— S � \� f ' �l �'�o2j tlFE� �, .�-�r� ./..�'� ,1'o G-l� S1 �;c�/�e�� co3a�_u�� d 6lt it°G 7 i�1 �` �/oNc,..� ��nr��.S P l! .� f' 1 j C_ � 7-22-4s � �.lNl7lc�2Cu(7 •��=i2M�/N�G✓"��--'1L P`�ca2 S�.Q�P � . C.� � �26 ^�� c.li%�i�y'!2 Cdylcaa'4 `i'L�'Y�lc�c%�'�.t�r2/.��.uM�N�T!/s�,�f1i \ i a�i�2s� � �t, Rc. q 'l+�g` , J Jpi+�� /QG/4-z-F( -�e+�� -fo rn Z� . . V '. �` ;-t �,;� . �� -�/�' , `� , ` , s< .�°_� , u � �' , „ _ �.. � . ti:.,� . ', , -c •i • '` ` ,. � . , , , _ � • , . ,.tr . ,- �_�' , _ . tt ^ 0 +.:9.� `�=i! �.� COSTA�MESA BUILDING—SAFETY DEPARTMRNT • P.O. BOX 1200 0045 7/i7ig� 33.50 p�� Coata Meaa, Calitornia - � � � � �� TR��T N0. y,�% a,�. Permit � Contracror A1L - T2C Lo7 HO.� t�ddfE55 P.�. BOX 5444 BUILOING USE // DATE ISSUEO Ciry Zip Code ` ��/ State License No. y60189 Class. C-20 BUDFE'S5 824 18th St. "Antique Imports" Ciry License No. 24394 Tel. No. 775-4051 ( 2 N0. �TEM EACM FEES COSTA MESA, CALIFORNI� �� FAU, Wall, or Grav. - ��y� � Furn.Incl.Ductsand � y w ven[s OWNER Doctor Crogh�,�" -� Q to 700 000 BTu MAIL � 1� �' � �ooness 17781 Beach Bivd. over 100,000 BTU ' '" , J cirr Hunting `n• BeacHE�. "o. � > Vent (if not incl. ebove) 1�,�� Y Sus ended Heater 1 hereby ackrnowledge that I heve rced this applicetion ,J and stete)that the above is corroct end agree ro comply Alter or Replace �{� y � App�iance �,'a'��h all City Ordinances and State Laws regulating Heab W a ver eet o � �ing; Ventilating, Retrigeration end Air-Conditioning. � 9es piping ,{'� `'[�j 1�'� � BOILERS OR � Y I cer[ify that 1 possess the abovc valid State of CaliG a COMPRESSORS '� ,� omia classification or I am the legal owner ot the single Z � family rcsidential properry described above. W Z 3 H.P, or less 4.�00 � 8 00 = Over .. to l\\\.J Signewre of � 1 15 H.P. 'i�' �7.,50 7 50 Permittee ��'� I- Bathroom � Vent F'arSin �e�.Duct� � � Kitchen_ � \� �� REMARKS: e d � �d(�$� -W Ventilating,Hood c� _ a {.� `j' E - . ��no � f�' � Me$a I `F,ire^Places �� iceo # G ht°�- c.,�zG�%�+�ns�u%a �`D ut' O AGA # Y qPPROVALS INSPECTOR OATE fq Misc. Ducis Underground - • y 5 Ceiling ty e 3.00 15 00 ��ts in Stmcwre = Duc[s Ven[ilating F exhaust fans Hcaiing — Rough Hoods Refrigeration Lines �Plan Check Pressure 7es[ Reinspection Fee Air-Cond. Finel � Ventila[ing Finel �,, Sub-Total 30 50 Heating Final �A 'S�1 Processing Fee 3. 00 Refrigeration Final � Final Gas Test , �� TOTAL FEES '� Utility Co. Notified ��7 CMF0449-46 BLDG. PERMIT NO. —�2� • /\ ' I/ '— - � - w�{�64{3 9/21l79 326.27 TL �. COSTAMESABUILDINGSAFETVDEPARTMENT APPLICATIOC�FOR$TRUCTURALPERMIT " P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 RECEIVED BY PERMIT " For Applicant to Fill in Completely — Use Ink Only N° 4 8 8 3 3 OWNER OR TENANT CITY �v�� CONSTRUCiION ADDRESS ARCHITECT ��r_ �.��_ ..��. TE CONTRACTOR � A.P. NO. �� o — ��.� ^o�L BUILDING , � ADDRE55 UNIT OR SPACE NO. _ TIt.NO. LOT OWNER b(i� ��a� �5E 3.�.�1. 4..,� I� ZONE� TYI . . APPROVED CITV LQ ///r N � F � L C N0.3 Q/ � �I4 NO Q� � SIZE NO.OF BLDGS. T OW. OF LOT d NOW ON LOT G/ � USE OF �� EXISTING BLOG. Vl T Separate permits are required for r-. F electric, plumbing and heating work. � USE OF BUILDING AND WORK TO BE PERFORMED a � APVROVEDSETBACKS PLqNNING MO V � NG� DEMOLISH VALUE i S�%� / � � ,C'%c.,.' ' � .� � ��"�''" � 7 R VED � r z n g\C�' 1^� ' 0 I hereby acknowlatlBe thet 1 have reatl ihis application antl s[ete ( G6 � `` I ihat the abova Intormeiion is correct and aprea to comply with � :� all laws reguletinB builtlin8 �ons[ruction, and I shall not employ n � ,Z eny persOn in viOletion Of ihe Workmen'S compB�satlOn lews of �� v ^ I � tne Stata of Celifornla. ' � m �, � I hereby certify thet I em proDerly licansetl es e contractor under SQ. FT. j � i tha Staie of Californie Business entl Profeu(ons Cotle, Division 3, TNE AMOUNT SHOWN UNDER VALUATION IS FOR m Chapier 9, antl tbat such licenses er full forca antl effect, or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: � I am exampt fro he pr isi s of ihe te of Callfornia Buslness y and Professio D n apta VALUATION PERMIT FEE § N SIB�ature of % �'(� PLAN CHECK y �� ',3 o I � Permlttee 5��', ��" � TAX S � I or / ,� / p . I \Authorizatl Agant Date TOTAL PAID S � � ` /I , - - - �f�D 1574 B/22/79 32�5Q TL - ' o ,'y CO oT eoxE,zoo aosDr�n na SAFCALIFoaPivAa 9zsze T','f t APPLICATION FOR STRUCTURAL PERMIT RECEIVEDBV PERMIT ' For Applicant to Fill in Completely — Use Ink Only N� 4 8 6 8 3 BUILDING 7,r,� / r��ji �"' �t�Gl A.P.NO. � /z — �5 ADDRESS �� «� / ' �� BVILDING T� NA T�R 0�' �� O,O,/�� AODRE558p�Z '� MAILING UNIT OR ADDRE55 � �� '�' �� SPACE NO. �ryj// .��j^ TR.NO. LOT BLK. CITV �C� LS•E�T C"/� �10�.C�J7 0.lJ NEW ADD HLTER REPqIR MOVIIVG DEMOLISH CONSTRUCTION J�AA�Asf�il / / C'�'/'� bti.// _ u F � a y y S F C � Q 7 r � a � o. 0 � a z � 5 3 BRANCH ADDRESS ARCHITECT ADDRE55 /� �j r (/` CONTRACTOR T�T�` �S/�i AODRESS �Z�/�j�/��{��%�J(/� CITV 1 liTll'' /�/��/7� NE //�� O� lC NO.?��3 LICyNO. OF LOT �cr�/ /�( �'� I NOW ON LO a USE OF EXISTING BLDG. Separate permits are required for electric, plumbing and heating work�. USE OF BVILDING AND WORK TO BE PERFORMED ��' I hareby acknowlatlga ihat I have read this epplication antl nate that the above informaiion is correct antl aB�ee to comply wiih all laws regulattng building construction, and 1 shall not employ any person in violation of Me workman's compensation laws of tha State of California. I hereby cartify ihat I am proparly licansetl as a contractor under the State of California Businass antl Professions Cotle, Division 3, Chapier 9, and at such license ra i full t rca and eifact, or I am exemp om e prov ' ns of e S�ate of alifornia B�siness antl Professio �Co Divi , Cha r 9. . Signeture of \ Pe�mittea � or � 7 � Authorizetl Agent Date � OWNER/TR //�I'S USE �j LO G � C.0 APPROVED APPROVEDSETBACKS (F�iOp1C/L REET „A�VEE S�J m � i 0 m SQ. FT. a THE AMOUNT SHOWN UNDER VALVATION IS FOR m THE PUflP06E OF ESTABLISHING A PERMIT FEE ONLV: � VALUATION PERMIT FEE E y� � � n n PLAN CHECK E ^ 0 $ �OAD, o� LL TAX E � S �S f u TOTALPAID S �Z,L'�D � _ �r COSTA MESA BUILDING-SAFETY DEPARTMENT � P.O. BOX 7200 COSTA MESA, CALI FORNIA 92626 , For Applicant to Fill in Completely — Use Ink Only ADIDRESS a [. I � �. OWNER OR I TENANT �fy MAI LI NG ADDRE55 TEL. CITV NO. F � W S Q � y `y' F G F a � .a a oW. 0 �i On z .'t'i 3 BRANCH ADDRESS ARCHITECT OF ENGINEER ADORESS CONTRACTOR G ADDRESS ��j J/� STATE LIC. NO. SI2E OF LOT USE OF TEL. TE�. pf�� NO.�� CITV LIC. NO. INO. OF LB�DGS NOW ON LOT Separate permits are required for electric, plumbing and heating work: OF BUILDING AND WORK TO BE PERFORMED /� � wYUii� i �Lf �� 2576 5/14/81 750.32 1L FORSTRUCTURALP.ERMIT A.P. NO 7 BUILDI G �/J^ A�DRE55 L VNIT OR SPACE NO. TR.NO. LOT NEW ADD ALTI OWNER USE (�//rM, T�—oc 6 6�� . E REPAIR MOVING DEMO 1 '___ 7. � / E ZONE TVPE v�N GF APP BV % DATE � �7 99s', � APPROVEOSETBACKS (FROM�/ ST[iEET/)-� FRO� � FTI�� ( � /� R. SIDE L� FT. �_ � �� L,SIDE FT. �1� REAR /"��_�FT/ PLANN G ACTION DATE � � APPROVE APPROV � �3 o us � �'/_� � V /7' ; �� ' a 9� � � �L. �' I hereby acknowletlBe ffiat I have reatl this application antl stete '� —._: -- -- -"'�`v"W+viGpl.: m n thai the ebove into�matton Is correct antl agrae to comply wlth all laws regulating building construction, antl I shall not amploy .I� „ / /' O ,7i � eny person in violailon of tha workman's compensailon laws of �•Nr�% (OO 1F i the State ot Californla. � m I hereby certity that I em properly Iicensetl as a conirector untlar T' �O `� the State of Californla Business and Professions Code, �ivtsion 3, E AMOUNT SHOWN UNDER VAIUATlO IS FOR m Chapter 9, and that such licenses ere in full forca antl effact, or I THE PURP06E OF ESTABLISHING A PERMIT FEE ONLV: � am ezempt from the provisions of tha Steie of Calitornia Business VALUATION PERMIT FEE $ a anA Professions Cotle, Division 3, Chaptar 9. 2 .�� u+ Signaiure of /�A� ` �J PLAN CHECK $ �. o Permittee l �tL $ 3�D (r/� TAX $ 27 � AuthorizetlABent Date S�'/7 `�� .. / TOTALPAID S /�ri.�i U . ' S /G9� . COSTA MESA BUILDING-SAFETV DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only ADDRESS Q � � V�� 'OWNER AA}fIiJ1�G �M�P�� CITY `,QS) (� M�S CONSTRUC7�ON �BFANCH � ADDRESS ARCHIT�CT � OR ENGINEEf F � a Q y y '�' F G W TEL. NO. TEL. CONTHqCTOR /{�jK�u� n�, YIC.61K:. ADDRESS �.�' �. �'M�r �{/F� CITY � ��p� �0�3� NOL S� STATE / �� CITV LIC. NO. 2 p 3 LIC. NO. SIZE NO.OF BLDGS. OF LOT '� NOW ON LOT USE OF EXISTINO gLOG. Separate permits are required for electric, plumbing and heating work. USE OF gUILDING AND WORK TO BE PERFORMED C I hereby acknowlatlBe that I have reatl t�is appiicaiion antl state that the above information Is corract and egree to comply with all laws repulating builtling constructlon, antl I shall not employ any person in violatlon of ihe workmen's compensailon laws of the Stete of California. I hereby cettify ihet I am p�operly Iicensetl as e conttactor untlar the SSeiO ot Califo�nta Buzinesa antl Protessiana Code, Dlvision 3, Chapter 9, entl that sueh IicenSes are in full force antl afiact, or I am exerript from the provlsions of tha Stete of Celifornie Businass antl Professlons CoEe, Divislon 3, Chepier 9. Signatuq of _�% �% / ��/v'/ _ , � � _ � Permlttee ,•C .Q YR�/w W Authorl;ad Agent 4805 6/12/BI 2B3v03 TL APPLICATION FOR STRUCTURAL PERMIT RECEIVE� BV DATE RECEIVED nnrF �ssucr A.P. NO. `j` �( �f • BUIIDING �j � � ADDRESS a TRACT � OWNER FIRE ZONE APPROVEO f�E� NO.OF /� PLAf�LS VARDS APPROV ED DISTANCE BET MAIN B�DGS. VAR. 9W VALUATION $24, 3�3 � LOT USE OF NEW BUILDING VARDS APPRO' ACCESSORV BUI BEf. MAIN & ACCF�. BLO DATE APPROVED 1 � 81 � N n m o' m N VN UNDER VALUATION IS FOR m 'ABLISHING A PERMR FEE ONLV: � PERMIT FEE E +�D� 6D PLAN CNECK § 1 `p� 82 �gh�� TA% S I�'�+ ,• TOTALPAID E %_R� AZ �