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936 18TH ST - Building Permits
� CITY OF COSTA MESA o F B!/ILDING DIVISION Ft � 77 FAIR DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • wv+w.ci.costa-mesa.ca.us �. �` FOR INSPECTIONS CALL: (714) 754-5626 ��"'°�� PERMIT NUMBER: B09-00151 PERMIT TYPE B_ROOF2 APN: 42434114 JOB ADDRESS: 936 W 18TH ST CM Vicinity: BUILDING A,3 UNITS Squares: 3300 s STATUS: DATE ISSUED: ISSUED BY: Suite/Unit: Valuation: ISSUED 0 811 012 0 0 9 RMD $7,500.00 SCOPE OF WORK: REROOF CONDO BUILDING "A". TEAR OFF (E) ROOF MATERIALS, INSTALL 1 LAYER OF 30# FELT ON A 4:72 OR GREATER PITCHED ROOF�AND REROOF WITH 30 YEAR COMP SHINGLES, APPROX 3300 SF. REPAIR AND REPLACE SHEATHING AS NEEDED. . . • � . � A OWNER: GENOA COVE HOMEOWNERS ASSOCIATION �� Address: ' 936 W 18TH ST �� Unit: PHONE: - � � .� . City/State/Zip: �COSTA MESA, CA - � , APPLICANT: KIM MCCCAIN , ��� �^ Address: 12812 VALLEX VIEW ST �' , , � Unit: :STE 33 PHONE: 714-897-1780��. ' " � Ciry/State/Zip: GARDEN GROVE, CA - CONTRACTOR: MCCLAIN ROOFING INC Address: 12812 VALLEY VIEW STUnit: City/State/Zip: GARDEN GROVE CA 92845 ARCHITECT: ENGINEER: FEE SUMMARY Reroof Plan Check: Reroof Permit Fee: Reinspection Fee: Bldg Std Admin Fund TOTALFEES $o.00 $153.25 $0.00 $1.00., $154.25 STE 33 License No. License No. License No. 625013 - PHONE: 714-897•1780 CELL: PHONE: PHONE: NOTICE: The work authorized by this permit shall wmply vrith all applicable handicap access requiremenls under Califomia statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be oblained. Failure to obtain inspections and final approval will result in the expiration of this permit. C9DF/. INSPEG110NTYPE DRTE IN1fML5 CODEt INSPEC710NiYPE OpTE INTRIILS i616 Fixetl System Final Fire Preventi0n 206 Final Mechanical 1286 Pool Spa Final �p- 208 Final Plumbing 200 Final Re-Roof 8-�y'-D�I � 270 Final Electriwl 201 Final Block/Relaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition - 250 Final Building/OccuOancy WORKERS' COMPENSATION DECLARATION: I hereby aKrm under penalry of perjury one of Ihe tollowing tleclarations: ❑ I h8V2 2pd vAll m2intain a CCrtift3[C O( COOSCnt to 5el(-In5Uf2 (Of wOfkCfS' compensation, as provided for.by section 3700 of the Labor Code, for me peAormance of the work for which this permit is issued. . ❑ I have and will maintain workers' compensation insurance, as required by section 3700 of the Labor Code, for the peRormance of the work for which this pertnit is issuetl. My workers' compensation Insurance carner and policy number are: �iiei?N �l1�'� �i.i.i �% (This seCon need rial Ee mmd-eNtM a(he peim� is valuttl af one nundred WIWrs (St00) w less.) P.dicy�Num6er. C� ��l(!JD � Z17�� 1 f I`lO ❑ I certify lhat in the performance of the vrork for which Ihis permit is issued, I shall not employ any person in any manner so as to become subjecl to the wnrkers' compensation laws of California, and agree that if I should become suhjecl to the workers' compensation provisions of Seclion 3700 ot the Lab�og Code, I shall forthwith comply with [hese provisions. K'�1�._._.._..._ P�lo f o 9 FppliisnYSSignaWre ( '�:, WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALI SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000�, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, IMEREST, AND AITORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm thal I am licensed under provisions of Chapter 9(commencing with Section 7000) of Division 3 ot the Business and Professions Cotle, antl my license/ is in full force and ettect. r���y, ^ ,/1 Lic-#�^ul•s�r�= )�7 / � IaC ss # W-1 V � 7�]n�� . Al! a(0 4 (GanhaROY$'SIgAaWre- �Daley�_ CONSTRUCTION LENDING AGENCY: � I hereby affirm that there is a constmction lending agency for the peRortnance of the �wrk fa which this permit is issued. (Sec. 3097, Gvil Code). Lender's Name: Lender's Adtlress: SiBnamre Dale OW NER-BUILDER DECLARATIONS: I here�y aPorm that under penalty of perjury that I am EXEMPT PROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7031.5, Business and Professions Code: Any city or counry which requires a permit lo construct, alter, impmve, tlemolish, or repair any stmcNre, prior to its issuanca, also requires lhe applicanl (or such permit to fle a signed statement [hat he or she is licensed pursuant lo the pmvisions of the Contractors License Law (Chapter 9(commencing with Sec�ion 7000) o( Division 3 of the Business antl Professions Code) or thal he or she is ezempt therefrom antl ihe basis (or the alleged exemption. Any violation of Section 7031.5 by any applicant (or a pertnit subjects the applicant ro a civil penalty of nol more than fve hundred dollars ($500).): ❑ I, as owner of Ihe property, or my employees with wages as their sole wmpensation, WILL DO THE WORK, and the slructure is not intentled or oflered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an ovmer of property who builds or improves lhereon, and who does such vrork himself or herself or through his or her ovm employees, provided ihat such improvements are not intended or oKered for sale. If, however, the building or improvement is sold within one year of completion, ihe owner-builder will have the burden of pmving thal he or she did not build or improve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business antl Professbns Code: The contractors License Law tloes not apply to an owner of propeAy who builds or improves thereon, antl v.fio contracts to� 5uch projecl with a contractw(s) license pursuant to the Contraclas License Laws.). ❑ I am exempt under sec. Business antl Professions Code for this reason: 305]-a6 pl0]) � Ovmer ID venfied by dnver's license. ❑ Yes ❑ No Driver's license No. Expires: Verification of Ownership by (rype ot document, i.e. - propeny tax bill or deed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: . ❑ I hereby certify [hat no excavation �rve (5) or more (eet in Oepth into wfiich a person is required to descend, will be made in conneclion with work authorized by this permil, and that no building strucWre, scaffdding, (alsewoB, ar demolition or tlismantling thereof, will be more than thirty-six (36) feet high. (Chap. 32, Grp 2, M 2, Sec. 341, Title B, Califomia Administrative Code�. ❑ As ovmer-builder, I will not employ anyone to do work which vrould require a permil from Ihe Division of Industrial Safely, as noted above, unless such person has a pertnit to do such work from Ihe division. AOPliwnt's Signawre �aie Division of Industnal Safery Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. Will ihe applicant or present or future building occupant need b(le and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of lhe California Health and Safety Code requires, with some exceptions, that a Business Plan be fled with the Costa Mesa Fire Department by every husiness which has at any one time during a reported year a quantity of hazardous matenals equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas al standard temperawre and pressure). 2. Does or will the applicant or present or future buil0ing occupant need to file a registration form for awtely hazartlous malerials? ❑ Yes ❑ No (Section 25533 0( the Califomia Health and Salety Cotle, vrith some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on han0 a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds. or a volume o! 55 gallons, or 200 cubic (eet of compressed gas at stan0ard temperature and pressure�. 3. Does or will the applican( or present or futwe building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the Califomia Health and Sa(ery Code provides that the Costa Mesa Fire Departmenl may require �he preparation, certifcation and fling with the Fire Department of an RMPP by businesses which are required ro register acutely hazardous matenals with Ihe Fire Department. 4. If an RMPP is presently requiretl, has Section 25534 ot the Califomia Health and Salety Code been fully compliea with7 ❑ Yes ❑ No 5. Does or will lhe applicant or presenl or luture builtling occupant require for the work which is the subject of this appliwtion a permit for such wnstruction or modification from tha South Coast Air Qualiry Management Dislrict or from any other air polWtion contml district or agency? ❑ Yes ❑ No (Section 65850.2 of ine Calitomia Govemment Code requires that the requested infortnation be fumished on applicalions ta nomresidential building pertnits). 6. Will any part of the facility [o be conslructetl under ihis permit be within 1000 feet from the outer bountlaries of a school? ❑ Yes ❑ No Qf'j�es", the facility musl meet the requirement of Sections 25534 and 42303 of the California Health and Sa(ety Code). 7. If a permit from the South Coast Air Ouality Management Distnct or other air pollution control disMc[ or agency is required for the vrork which is the subject ot this application, have all of the disclosures prescribed by Califomia Health and Safety Code Section 42303 been matle? ❑ Yes ❑ No 8. Qf'yes", attach certificate of compliance from the appropnate air polWtion coMrol oKcer). CERTIFICATE OF COMPLIANCE: I certi(y that untler penalty of perjury [he information given above is correct I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. 9gnawre Oate CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I cehi(y untler penalty of perjury that I have read mis application and state Ihat the intormation given.is correcC I agree to comply with all state laws and ciry ordinances relating to building construction, and authorize represematives ot the Ciry of Costa Mesa ro enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy o! any building authorizetl Dy this permit until final inspection. SigndNre of Legal Owner(s) Date/ t�7�i�CQfL�-..�.n-�-- r�l:la,lt��l � Fripl➢[.PbUeAxetl Ap0licanl Dale ' Aooi�eant to fill In all soacas wilnin heavy Eortler Iines anG sign all apP�opriata Eeclarations. CITY OF COSTA N�ESA . aeaM Q TRACT NO. LOT NO. BLOG. NO. � 1 CONSTRUCTION PERMIT �/�%%C� �� Y' � Addrea ' z/1/ TYPE OF CONSTRUCTION PhOne%j - w ❑ NEW ❑ ADD ❑ ALTERATION ❑'HEPAIR ❑ CONVERSION �'rJEMOLISH liCfnsC NO. '❑ OTHER - _ DESCRIPTION OF WORK � Address Con[recmr Ti �< /C�...i; Phone I hereDy aftirm thal I am IlcenzeO un7er provlsions of Charter 9(com- mentln9 with sBCtlon 7000) o} Dlvislon 3 01 the Builnest anA Pro/esslons CoOe, antl my Iltense is In /ull force antl etfect. Lltense Class LJtense No. Date Si9��ura WORKERS' COMVENSATION DECIARATION ' 1 hereDy afflrm that 1 have a certlflote of tonuat to ult-Insuro or a certififate o1 Workers' ComOenution Insurante, or a certitietl copy thereof (Section 3800, Lab. C.). Pollty No. Campany �' vtltlo0 toOY �s nereby furnlihetl. ' i 'tifletl topy Is filed wit� tha city Builtling Dlvizlon. @.__MVTION FNOM WORKERS' COMPENSATION DECLARATION (T�is )uctlon neetl �ot De completetl It Ma permit is for one hunAreC SsCert(fy thats�n the pertormance ai t�e work for whlth t�is permit is Issuetl 1 shall not emPloy any person in any manner so as to bacama sub�ecl��h� r�ke,rs Compansatiy{LLaws�pf Cali/orn_ �. �/ Date Signalure �db(/(iI�/ 3�lh.�G/ NOTICE: If aftar makinq thiz Geclaratlon, you shoultl becoma sub�ect to the Workers' Compensatlon provislons of t�a Lnbor Cotle, you must forthwit� comply with such provlsions or this permi[ zhall ba tleemeG ravOketl. CONSTRUCTION LENDING AGENCV I here0y aifirm that there Is a constructlon lantling agancy tor tha per- formanca o} tha work for whicn tnis parmit is IssueC (Settion 3097 Civ. CJ. ' Lantler's Name Lantler•s AOCrMs OWNER BVILDER DECLARATION I hareby af/lrm tnal I am azempt Irom.tna Contractor's �Icensa Lnw for l�e /ollowing roason (Sectlon 7031.5 Businass anC Pro/ossions Cotla: Any city or county which requiros a Oermit to mnitruct, alter, Im�rove, tlemolish or repalr any strutture, prlor to its Issuance, nlso ra- qu res tha appllwnt for such parmit to /lle a signetl ztalemenl that he Is Iicansetl pursuant to tha provlilons ol Ino Contractor's Limnse Law (Chapter 9(commancing with Section ]000) ol Dlvlslon 3 of tne 9usines5 and Rde55ions Cotlo) or lhal ha Is exompt therelrom antl lhe basis /or the allogeU oxemptlon. Any vlolatlon ol 5ac[lon 7031.5 by any •oplitant /or a permit sUb�ect5 tha appliwnt t0 a civil pendlty of mora than Ilva nuntlratl tlollars (E500). ❑ , ownBr o/ t08 p�ODGfty, Of my BmplOyl85 wilh wag05 at thGlr TOIG �.�mpen5dtlon, wlll tl0 ttl� wofk, dnC the slfuCtul815 nOt Intentletl or ofteretl for sale. (Soction 7044, Businezs anE Rofesslons Cotla: T�e Contrattor's tJtenzo Law tloes not appty to an owner ot a proparty who builtls or Improws thereon, antl who Goez suth work �Imzell or through �is own amployees, provlEetl that sucn Improvementi are not In[entletl or o(fere0 lor sale. If, howevar, tne DuilOing or improvemant I5 sob wlthin ona year of <omplotlon, tha owner will have l�e burGen of proving ne tlitl not Gulltl or Improve far lhe Ourpose of ule). ❑ I, ai owner ol lha Oroperty, am exclusively wnlra<lin9 wi[h IlcenSeG contractori lo conitruct tha Orojact (Sattlon 7044, Business antl Pr0lessions Cotle: Tlfe Conlyd<tOr'S Llcenso Law tloas nol dpply to an owner o/ property w�o builtls or Improves l�oraon, an0 wna con- trdGts fwm suth p�o�ott5 wlth a wntraCto�(s) IIceSnlO pursuant to the Contrattor's IJcense Lawl. ❑ I am exampl untler Sectlon 8. 8 P. C. /or t�is reamn Data Owner I hlrGby cerlify tnal Phave redtl this appliwlion anC Stata [hat [h0 dbove information is correcl. I agrtt to comply with all tity antl county orCinanmi antl slate laws wlatin9 t0 COnslruGtlan, anE hereby aulhorize representat{ves of this <Ity ta anter uPon lha above mentionetl proparty for jOsQettlog purpy@es./ `/ a� _� Signatum 4—� y�^� LtTlwLl pa�e D�Ivers' License or 55 ak ❑ G(iADING ❑ FOUNDATION ❑ STqVCTURAL ❑ TENANT ❑ ELECTRICAL OPLUMBING ❑MECHAI ❑ OTNER PROJECT DESCRIPTION SQ. FT. OCCUPANCY CONSTRUCTIONTVPE V ALUATION� ZONE GRADING CV. D5. ACRE$ PLUMBING '�PLAN CHECK BATHTUBS SHOWERS TOILETS � URINALS LAVATORIES DOUBLE LAVS KIT.SINKS DISHWASHERS SENVICESINKS SVMPS FLOOR SINKS FLOOR DRAINS OR�NKING FOUNTAINS INTERCEPTORS CLARIFIERS SWIMMINGPOOL PTRAP � WATER SERVICE ALTERATION GASSERVICE OUT�ETS � WATER HEATERS BTU OUTPUT SEWEH CONNECTIONS SOLAR TANK COLLECTORS SOLAR PIPING SVS. ISSUE FEE MECHANICAL PLAN CHECK HEATING SYSTEM 0-300,000 BTV, ANDDUCTING �p0,000+BTV. REFRIGERATION 0-100,000 BTU. SVSTEM 700,OOO+BTU. BOILERS BTV SVSTEM REPAIR,ALTERATION EXHAUSTSVSTEM - MVLTIPLE ISSUE FEE CMF 0865-46 White-BuilCing; Gnary-APGlicant; Pink-Accounting; GOldenroC-Assezsor 7279 10/22/81 A.P. i ZONE REAR VARD �TO P/L) PKG. SPACE REQ. /', STREET W—IDTH �T CONING APPROVED BV CONDITIONS: ELECTRICAL PLNG. REF. � PROVIDED PARK FEE PLAN CHECK GENERATOR 0-1KW_1-lOKW � TRANSFORMER 'APPLIANCE 10-50 KW�50 f KW MOTORS 0-1 HP_1-10 HP � (INC. SOLAR) 30-50 HP 50 � HP FIXTURES OUTLETS SWITCHES GAS TVBE SIGNS � POIE LIGHTS .PO ES METERED SVB PqNELS MAIN ,SUB SERVICE AMP ISSUE FEE APPLICATION APPROVED BV �ATE 45.00 'TL _S{ly1Ml�V OF FEES ,�D PERMIT G S 'S� SMIP 5 PLAN CHECK S�`'� �� SS AINCE S PLUMBING f _((L GRADING E PLAN CHECK 5 ELECTRICAL S ' E PLAN CHECK S MICROFILM S MECHANICAL f TOTAL FEE S PLAN CHECK E LE55 AD- � VANCEPC S FINALFEE S� � CONSTRUCTION AND PLANNING POOL &�SPA. ' w�'� Date Inspector � � � ``� ��-, Date Inspector APPROVALS .�� � � Pe�mrt # �APPROVALS Permit # • �r ` -1�.' Temporary,Electrical Service or Pole � 43. Pool & Equipment Locaiion� ` �` '� � '•�'� .- Soi ipe-Un rgrn ' " ' ' 44. �Steel Reinforcement � 3. - Electrical Conduit Utility-Undrgrn " - ' - �. 45. Forms • � " 4. Electrical Conduit-Undrgrn 46. Electrical Bondin •• . tee ein orce • 47. Rough Plumbin & Pressure Test • ` • • \ - ' 6. Elect�ical UFER Gm ' ' � '�48. APPROVALTO COVER-GUNITE' � • ��'•'� \ ' ' ' - 7. Footings - - - �- - - � -- • � • - 49. Electrical Conduit-Undr rn � " - �' ' ' - 8: - Foundation '-� - � 50.� Gas� Pi e, ❑ Undr m, Test 9. Water Pipe-Undrgrn 51. Backwash Lines�P-Tra ❑ ndr rn � 10: StYuctural Floor SYstem 52.""'APPROVAL TO DECK -- - 11. Property Sewer Line & House�Connection� � �. 53>,\Backwash & Rece tor-Final ' �' � ' � 12. Street Sewer Connection �� • �� � 54. Heater & Vent-FinaL " � � ' ' � � ' 13: - Rough Plumbing . .. .." �� I ' .- ' - 7 . ' ' 14: Ro'ugh Electrio-Conduit� - � � � _ _ _ :56. _ Electrical-Final - '' �:,::.�; 15. Rou h��Electric-Wiring---- -•- � -- - - 57. Solar System-Final '- �' � � � • � ' �' - � ' � 16. Rou h_Heating & Air Conditioning _ � encing & Access Approval ' 17. Ducts inStructure • ' � APPROVED�FORPLASTERING � -- - 16. Ducts, Ventilating • . � � � � � . , � 19. Gas Pipe-Rough & Test � ' � � 60. POOL/SPA SYSTEMS FINAL. . . - . � ,. , ; 20. Roof F.raming � � • � � � � " • ' 21. Roof Sheathin � ' ' _ • - � , 22. Frame and Flashin ' ' NOTES: ' 23. Insulation � r - 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. Finallplumbing � ' � � ° � ' 32. Water Service•Final - � � � • � � � ' � � � , 33. Gas Service-Final � � + ' � 34. Solar pomesticFinal � � � - - � � � 35' ' Landsca e S rinklin S sfem•� i � !- � 36. Sound Attenuation � � ' 37. Handicap Regulations` � � - � - � ' 38. FINALSTRUCTURE&BUILDING � � � ' ' -39. Special Requirements Compteted � � � � - 40. Electric Release to Edison - ' - '- � - - � - - - 41. Gas Release to Southern Calitornia Gas Co. ' " " � � - " " �- ' � ' 42, CERTIFICATE OF OCCUPANCY � � � _ � _ ,�, - - - � - - � . . A No' Date . . - . . �. a .400���ant to fill in all spaces within he2vY �o�Ger lines anG sign all aOV�aPriate tleelarations. _ �' C�ITY OF COSTA MESA'.�-"�.. . PERM� NO. ' � TRACT NO. LOT N07 ' DG. NO.� � -- ' -' " ' " ' - - "` "' ' ' " ' - ;..CbNS'fR�UCTION PERMIT �' —.�03�'� '•�� SL� , " �� � . .r - .�.:+- •, •: ��� I � a,o �cnda��: • '-� ,_ �• 2524_ 2/25/82 I I�00 `fl� .Y e� TVPE OF CONSTRUCTION � . . _ ___ . ,... .., . . ._ , . . ,_ , OWnEr .S - � - i' .`. "' ' � PhuitE � 'O'NEW O ADD ❑ALTERATION' ' " — . ' - '. � _ " �-" ' ^.. . i r � ".'� :. . , �i� .t , ;Address --�-�-^'^'-"- '- - " •O�-REPAIR�O�GONVERSION�ODEMOLISH � � .' +' ^ � ZONING REGULATIONS� �.� i : � -Arch/Eng: - • � - ---- - � '--- -lfcense�No: - �- - -D.OTHER " DESCRIPTIONOF'WORK � A'P'� ' �'�'- ' .� Addr¢55" '" .'-'""' _ `" ' _' ' " ' - . _ .,� . -.. .. - ' �ZONE PLNG.REF.�. . _ '-" , Contracror � -" ��.�_'�" -- �Phone �TVPEOF. PERMIT� � . ' � 'SETBAC ��oa��RTVNLINE �'„ AddlEss ' - , "-"' - - " - � ❑�GRAOING �" FOUNDATION "O"STRUCTURAL IDE YARD r � ' ' L .CICENSED CONTRACTOR-O CLARATION... - -' - ' Y ❑TENANT'O-EbECTRICAL"OPLVMBiNG-OMECHANIC EFT � �:. •, 4 hereby aitVrm th;.t 1 am It<ensdd uoder p�ovisb�s ot Ct�arte� 9,(com- •��: �� �- � " � �}�y���E{7n ' �� �mencln9 with settiom-]000)�-af -Dlrisian 3-of iha 8usinass an0 -�-OTHER - -- --- - - - - - -- - ---- - Professions Cotle, ,antl my Ilcense is in lull torce antl �e�fect. ' ' � ' REAR VARO (TO P/L) . - O-""-'- ' Ucen e no 3a33�8 PROJECTDESCRIPTION. ..� -_. __ . - __ _ _ . _ . _ _ . Llcense Class � .i . �� � PKG. SPACE REQ. �PROVIDED � � .Date �� ""?.�i A"�-519natur6 _ .SQ.!F_T. �� . . _ , _ . .." "_'� f " _-_ _ ' �i�'.= ' STREET WIDTH ,PARK FEE E� � ,WORKERS'-COMPENSASION�DEbLARA210N --- _-- - - OCCUPANCV_�CON57RVCilONTV,P.E ,I her<by aftirm [hat I �ave a certificate Of consent to self-InSure or a VAWATION �ZONE ' ZONING APPROVED BV , DATE , � .ttrtiTicate of-Workers' Compeq5ation-Insuranca, or a-certifiatl'copy - - - - � ' : SPECIAL CONDITIONS: - thereot (Section 3800, Lab. G). �_ •�GRA�ING CU.' VDS. ' ACRES �- n t, ";�' . � �. �PoIICY'No:_ _ __ _._ "�mPanY_ _' _ _ __ ' ._" " ' _ _ ' ._. . _ ' _ �'_ _� _ � _ , ' -)y-,;Certifietl mpy is nereby.furnlAheC..._-___ - - . __ _ . -REMARKSi - - -� - -- - - - . � - - � � : : � _ ._._ i �ii' . � � ertifietl copy iz�filetl with the tlty Builtling Division. ;_„ � ' ' ' . . . _ _ ... . .. _� _.� � 'i�EMPTION'FROM WORKERS' COMPENSATION DECLARATION � � �' - '— -- - ' "' " "- -'- '-' - -'� - - (This sacHon, neeC not be comp�eted_if the.permit.is for one huntlretl _ _ _ _ _ � __ _ _ _ „_ _�. _ _ j '_ _ _ _ _ , _ _ _ -_ , � _ � ($300) Of I¢55). � � • � �- 'i ,I c0rb(y that in the per(ormant2 of the work for which this permit I5' � ' Issuetl, I shall not employ�any Oorson In ariy manner so as.to-bedome P,LUMBING •��� �� � � ��iPLAN�CHECK '- ���ELECTRICAL � � PLAN CHECK �.,�,�� �} �Subj¢Ct fOlhe WOlk¢f5' CompGnSdtion LdwS ot, CdIltolnla.'' : __ '' " BATHTVBS� ' �SHOWERS � �Date SignaturB � � iNOTICE: If alter making this tlPclarailon, you s�oWtl becomasubject TO/LETS , �', - URINALS �� - •` � ' GENERATOR � 0-1 KW_ 1'-lO�KW ' ' to the Workers' Compensatlon provisions of tne Labor Cotle]ydu musf �TRANSFORMER � �� � � �F ;forthwilh mmply with zuth pro��slons or this permit shall be tleeme0 LAVATORIES DOUBCE LAVS-� '- -- �•qPPLIANCE 10-50 KW_50+ KW - �'r �' t ,revoketl. � -.. .. . � __�___ - - -KIT.SINKS ` " � DISHWASIiERS ' �- - - - MOTORS -' - ' ' � �CONSTRUCTION LENOING AGENCV . : -_ 1 0-1 MP_]-30 4iG I hereby affirm [M1ai there is a constructlon lentling agency for the perv SERVICE SINKS 17.,,�};SVMPS��-�-"�� �' ' �' . �UNC. SOLAR) -- 30-50 HP "_50'+ HG �' ' - �tormance of Ihe work for whith this parmit is IssueO (Section 309] Civ.�C.). ��-'7' - - - - �"" ` "' "-"" .1 "" `- " ,.FLOOR 61NK5 FLOOR DRAIfJS � ,FIXTVRES � OVTLETS SWITCl1E5 . QO'� : �lentler'S Name � � � ' " ' " � ` • - �'- '" � iLentler'sAtltlress � f' - ""' - � - ' DRINKINGFOVNTAINS �j � �-- - ' � -' - "�GASTUBE'SIGNS� -'- �� -"� - _ -- ' ., ` • � . �.' .` ` - ._i - OWNER BVILDER DECLARAT�ON ' - ��- - ' - � "" INTERCEPTORS "' " CLAR�FIERS � i �'POLE LIGHTS �I hereby atfirm thal I am exempt from the ConVactor's Llcensc Law for . , � � �, 1 th¢�following reason-(Section-]031-.5-Business antl-ProtMsions-Cotle:� SWIMMINGPOOL'�- '�P'TRAP -'- -- '� " �POLES METERED r5U8�• . ' l7 j Any city or County which reQuireS a permit to const�uct, alter, = -� ' � improve,�tlemolish�or repairany�structure, prior to its issuance,-also re-� -yyqTER SERVICE �� `1iLTERATION ' � � �- TPANELS�-"-N1AIN . --� -.SUB� � � � qulres ttte ap:.licant (or Such permit to file a signetl Statement that he •- �^ _ ..Q i ���.:?� � Is Ilcenzetl'Dursuanb[o the�proWzions otthe•Con[rac[or'rLicense Law� GAS SERVICE � OUTLETS �-" � �• .� J' � �� ` �SERVICE -- -" ' - - q -' � (Chapter 9(commencing witM1 Section 7000) ot �Ivlsion 3 of [he MP _ G�ii ' Buziness antl Proiessions-Cotle)�Or that he�is�exempbtherefrom an0�the � 'yyqTER HEATERS -- �BTU�OUTPUT- � " ' - - " - - �-'-' ' '"" ' ' ' � basis.tor the alleqetl ezemptlon., Any vlolatlon of Sectlon ]031.5 by ' � ' ' ��A - . . t. ' ' - � ��appHrant-for a�-permit-zublectz-ihe apP��canbto�aroivil penalty� SEWERCONNECTIONS �ol more [han tive M1untlretl Dollars (E500). 7� � - R ~ �o i � -' rti,'as -ownei of"the"property, or'my amployees witF'wzges as lheir' �SOCAR'TANK '- �"- - COLLECTORS" " - ` ' -'" - �' � "- '- , ' " " ' -- - ' i��e mmpensation, will tlo the Work, an0 [he structure is not Intentletl. - i^' ' �` � �<i � �or ofteretl for zale. (Section ]044. Business antl R'ofessioos Cotle: The SOLAR PIPIfJG SVS. - • � - ISSUE FEE � --� ' � -� ' '! Contractor•s_License Law tloe5 Pot apply_to an owner ot a property , ' � ''� � who builds o� improves [hereon, antl who Coes iuch work himself-or ISSUE FEE ,� � � t %�PPGCATION APPROVEO'6V '''" -- - pATE � ,-� Ihrough.his own employees,,pro�ItleG thal such Improvements are not inientletl or offeietl mr sale. It, howe3eq the tiuiltlin9 or improve}nent MECHANICAL PLAN CHECK ' ' is soltl wilhin one year oi completion, the owner will �ave tne burtlen . � SUMMARV OF F.EES _, • U • _ of-proving he-ditl no['builtl Or improve for the purpose ol sale)- - � '.BUIL'D�NG- -" �-- _' '- -- -- - ❑-I, -as ownenof-the.�proper�Y,-am. exclusively--contractinq� with HEATING SVSTEM 0-100,000 BTU _ _ _ PERMIT _$ � '� ^_': _SMIP'_ _ ' S ' Iicensetl tontractors to consVuc� the ro'ect Sectlon ]044, Business AND DCICTING'"- 1` ;- -, - _ ' P 1 ( 100,000,+BTU p�qNCHECK E � PERMIT �� � antl-Protessions�Cotle:-The CanVactor's-Ucense Lawtloes�notapply-to� ' - - ---. _ "'' -�'� .� an owner of property w�o �uiltls or improves [nereon, antl who con- REFRIGERATION 0-100,000 BTU � , PLVMBING �SSUANCE 'E' - � tracls•from�such �projects-with.a conVat(or(s)• licesnatl-pursuant-to ��SVSTEM�- - � - - - - _ - _ .. - S , - __ � - ��i �-, � F'-' -GRADING- 5--- ^z theConlractoYSLicenseLaw). 300,000�+gTU � PLANCHECK �S^� '�-� �,G �ti.;' vi ❑ I-amexemotuntler5ection ' - ' - ---B:S'PCCfor'this' BOILERS BTU � �E�ECTRICA� y ��' ✓- - � E�- � ; reasom - - - � '�PLAN CHECK b - - - �-MICROFILM E ' - .. J Date. p�y�er SVSTEMREPAIR,AITERATION �', , � � � . � �MECFiANICAL $ -'" '- ---TOTAL,FEES'� . ; I hereby rerti/y [hat I have reatl tn�s applita[ion antl state that tne above EXHAUST SVSTEM MULTIPLE � �- '��! � � � � Informatbn is <orrect. I aqiee to-wmply wi(h all-<tly antl county - f7CNiV'CHECK y"' -- -- -LESSAD- '_ ._ o�tlinances antl state laws relating to cons[�uction, antl hereGy authorizB i; `, J VANCE?C� E-1 I ICpr¢sen[dUves'Of'this'clty-to�entel'�upon'thC-dbove me0tionetl � ' �� �' ' �� properry for ct n 'r^pose�s. �/ � Signature���� V! Date��6� . � - - _FINALFEE y�• � Drivers' License or 55 $ �/� ' �SSUE FEE- - - - - - � - - - - � - _ _ _ CMF 0865-46 White-Builtlin9: �nary-Appliwnh Pink-Accounling; Goltlenrotl-Assessor / ._ .. .- . � .. � r . _-� .. -„� ' " CONSTRUCTION AND PLANNING POOL & SPA �' • y�' Date " Inspeetor - � -� - Date *ns xt��a • APPROVALS Permit#�T� �APPROVALS _ , . • Permit# P � 1. Temporary Electrical Service or Pole 43. Pool & Equipment Locafion�"�� � --- - Soil ipe-Undrgm . � •� � . 44. Steel Reinforcement � - - -- - - - �- - - i 3. Electrical Conduit Utility-Undrgrn 45: Forms . • - - - -- - •� � � - - - - 4. Electrical Conduit-Undrgro 46. Electrical Bonding � - --- -• � - - � - -• - - -� - - . tee em orce 47. Rough Plumbin & Pressure Test - � - ' � 6. Electrical U ER Grn ' 48. APPROVALTO COVER-GUNITE - ' - - -- 7. Footings - - 49'. Elecfrical Conduit-Undr rn � � • � � � 6. � Foundation � �' � � � 50. Gas Pipe, ❑ Undr m�, Test ' - � 9. Water Pipe-Undrgrn �� � 51. Backwash Lines P-Tra ❑' ndr rn� , - ' - '' � 10. Structural Floor System � 52. APPROVAL TO DECK ' ' ' � " ' ' '- � 11. Property Sev✓er Line & House Connection � 53. Backwash & Rece tor-Final "� ' �_ � - 12. Street Sewer Connection - ' " � � _ 54. Heater & VenbFinal � � ' 13. Rough Plumbing ' ' - ' -- -- � - - � 14. Rough ElectricConduit - - � - - - -56. Electrical•Final �' � �� �• � � ' - 15. � �Rough Electric-Wiring' ' '" - - ' " . � 57. - Solar System-Final ' � � "" - " •� 76. - Rough Heating & Air 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 - . - ' - � � � ` "��� '� - 22. _ Frameand F�ashin 'NOTES: ., ' ' ' 23. Insulation • ' � o,,� - �Q. n � :L'• -S( " ' .24. Lathing & Siding _ - - � � � 25. Drywall Nailing - � ' ' ' - • � � • - � � � ' 26. .Plaster Brown Coat ' - ' � ' � - � , 27. . Electrical.Fower Meter-Final " � � - ' - -� � ' ' 29! Final Electric " � � ' � - � ' 29. Final Heatioq�& Air Conditioning ' � � � � - � - � � ' ' 30. .Final Gas Rpe-Test � - � � - 31: Final,Plumbing ' - ` • � 32'. Water ServiGe-Final ' � � ' - - � � � ' ' 33. Gas Service-Final . � ' 34. Solar pomeStic-Final ' "'-� � � ' � 35. Landsca e rinklin S stem � ' � ' � - - 36. Sound Attenuation - � � - • � • 37. Handicap Regulations � • � � � � 38. FINALSTRUCTURE&-BUILDING ' ' 39. Special Requirements Completed ' ' • � � � -� - � 40. Elecvic Release to Edison � � � 41. Gas Release to.Southern Califomia Gas Co. �� � � ! 42. CEPT�FICATE OF OCCUPANCY . " No Date . � , , , , � - t:' I C.ITY OF COSTA MESA . fCONSTRUCTION PERMIT Address � fill in all sp� MIT Np, -38 � Phor ii; ' ' License No. witnln heavy bo�0e� IinGs an0 Slgn all appropriate tleclaration TRACT NO. 'LOT NO. BLDG. NO. � � ory 8 TYPE OF CONSTRUCTION � ' ❑ NEW ❑ ADD ❑ ALTERAT�ON � Q REPAI0. ❑ CONVERSION ❑OEMOLISH ❑ OTHER DESCRIPTION OF WORK ' �� —' -' - _k. S. J ��. � ��- Address' � O • / y" -,S � ' Contractor ' 0 Phone p pE OF PERMI7 � � � -� - AddfE55 � ��%' � � ' � "' ❑ GRADING ❑ FOUNDATION -' STRVCTURAL LICENSED CONTRACTOR DECLARATION _. ' ❑ TENANT ❑ ELECTRICAL ❑PWMBING ❑MECHAN I nereby afflrm th;.t I am Ilcensetl untler provlsions of Charter 9(com- ' y, ,.,y�� �+, ; �; � i. manGing wltM1 Settio� 7000) O/ �DlviSiOn 3 Ot th< Buslness antl ❑ OTHER � . Professbns Cotle, ana my Iicense is in ru❑ torce ana ettect. �pROJECT DESCRIPTION .. _ License pazs License No. � Date -- 519nature ' - . SQ. FT. ' � ' .. WORKERS' COMPENSATION DECLARATION OCCUPqNCV�,�(�9p CO�N���-RUCTION TYPE_ I hereby affirm that I have a certifiwte of consent to self-insure or a VALUATIONZ+�ZONE cerHflcate of• Workerg� CompenidtlOn InSUtance, Or a cartified copy - .- . . _ . . [hereaf (Se<Uon 3800, �b. C.). GRADING CV. VDS. � ACRES ^•iicy No. Company " ' :ertlfletl copy is hereby furnishetl. . REMARKS: � � G �, - . . Certlfletl copy is filptl wit� the ciry Builtling Division. '' ^ EXEMPTION FROM WpRKERS' COMPENSATION DEGLARATION V� /N K/��LC � ' d � (This.section neetl noY be completetl if Ihe permit is for one huntlretl __ _ SE300) or less). . �� ' <erHfy that In,lhe pgrformance of the work tor which this permit 15 issuetl, I shall no[ amploy any person in any manner so�as to become PLUMBING PL•AN CHECK' ' -subjecl�to the Wor�eLo Compensatioy�Laws of Calif9rnia/' /`/� _ _ __ ._ _ _ . Date [� f�7�5ignature�G`�.�w"�� � ^ ' ' NOTICE: 1f aff¢r'making [his tleclaration, you ShOUItl Demme b' Ct �TOILETS� � to [he Workers' Compensation prOvision5 ot [he labor Cotle, y u ust LAVATORIES torthwith comply�with Suth p�ovl5ior15 0� tnls permit shall b tl metl r¢vOketl.. _ _. _ _ . GONSTRVCTION LENDING AGENCY -KIT.SINKS�'" I hereby atfirm tbat Ihere Is a construction lentling agency for the perv SERVICE SINKS - Yqrn�ynce ot lbe work for which this permi[ is issuetl (Section 3097 ' �Iv.'C:) _ ' ' - '�' - .� . FLO,pR SINKS; \ a�entler.S fVeir�y� � � - � � �� � � � - DRINKING FOUN L e ' Atltlress SHOWERS URINALS DOUBLE'lAVS OISHWASHERS SUMPS , �,'�FLOOR DRAINS en er s OWNER BUILDER D@CLARATION '' IfJTERCEPTORS CLARIFIERS I hereby afflrm [hat I dm exempt from the Contractor'S Lirense Law for the foilowing reason ($¢ctlon ]031.5 Business antl Profezsions Cotle: SWIMMING POOL P TRAP ' Any city or county which requires a pe�mi[ [o consVuct, alteq Improve, tlemotizh or Yepair anystructure, prior to its issuance,also re-- �yyqTER SERVICE ALTERATION qW�es tbe ap4licant Iq� such pe�mit ta tile a Si9n¢tl statem¢nt that he I5'licen5etl' pursuant tq the provislons ot the Contractor•z License Law GAS SERV ICE OUTLETS (Chapter 9(commencing wifh Sectlon �000) of Division 3 of the Bu5lness antl Prolession5 Cotlepor that he is exempt theretrom antl the yyqTER HEATERS" BTU OUTPUT basl5 tor the alle9etl Nxemp[ion. Any violation of 5ection ]031.5 by ny applicant- tor a permib subjects the applicant to a civil penalty 'SEWER CONNECTIONS " - f not more [nan (ivg huntlred tlollars (5500). ,_] I, as owner of �the property, or my employees wi[h wages as their SOLAR TANK ' '- COLLECTORS sole compensation, will tlo the work, antl Ihe structure is not intentletl or otferetl for sale. (5¢ttion 7044, Business antl Aofessions Cotle: The SOLAR PIPING SYS. .Contracto�'S llcen5e �w tlo¢s,not apply [o an owne� of a p�operty . _ ____ who bulltls or improves tnereon, antl who tloes such work himsel( or ISSUE FEE th�ougll his own employee5, provitletl ihat suCh imp�ovements dre not Int¢ntle� or Offeretl fqr sale. If, howeveq the builtling or improvement MECHANICAL PLAN CHECK is soltl within one yCar of cortlpletion, Ihe owne� will have the burtlen of prOving h¢ tlitl not builtl or imOrove tor the purpas¢ of sdle). HEATING SVSTEM 0-100,000 BTU_ 1, as owner of -the property; am ezclusively contracting wi[h qND DUCTING I c n5etl conVactors to construct the projeCt (Section �044, BuSiness 100,000+BTU_ antl' Profes5ion5 Gotle: Th! Contrattor's Li[ense Law tloe5 not apply fo an owner ot Property who builtls or improv¢5 thereon, dntl who con- REFRIGERATION 0-300,000`BTU_ tracts trom-sucn projects with a contractor(s) Iicesnea Dursuan[ to SYSTEM - - Iha Conlractor'S l.icen5e l.aw�. 100,000 + BTU_ ❑ I am eicempt untler $¢�tion B. & P. C. for this gOILERS BTU reason - - SYSTEMREPAIR,ALTERATION Data Owner 1 herebytertifythatJ have reatl tbizappliwtion antl state that the above EXHAUST SVSTEM MULTIPLE inlormalion is correc(. 1 a9ree td compty with all city antl wunty o�tlinantes antl ilate Idws relatln9 Ip const�uc[ion, antl hereby autho�ize Signalure ' Da {' - ' Driver5' License or 55 � �SSWE FEE CMF0865-46 Whi � te-Builtlin9; Canary-Appliwnt; Pink-Accountin9: GolCenrotl-Assessor ' :��:, ' • 69,58 6/07/B2 � . - ZONING REGULATIONS A.P. � .-q ZONE � - PLNG. fiEF. � REAR VARD (Tp �PKG. SPACE REQ. ELECTRICAL - PROVIDED PARK'FEE � �na:ae�e�� GENERATOR' 0-1 KW__-1-30 KW _ 7RANSFORMER � APPLIANCE 30�50KW__50+KW_ �' ' MOTORS 0=1 HP_1-10 HP _ — - -(IN0.50lAR) -10-$OHP 50+'HP_ ' - "FIXTURES 'OVTLETS SWITCHES ' - GAS TUBE SIGNS ' ' ' ' - - POLE LIGHTS - - ' ' -' � pANEILS MAIN SERVICE ' ' '' -' SVB AMP ' . . 1.7.00 TL qPPLICATIOfV APPROVED'BV ��+'NYo��/y DATE6.7.gI (�!'v .-� SUMMARYOFFEES . , BUILDING ' ✓ PERMIT S �Q�$2 . SMIP 5 �`sb � PLAN CHECK S� PERMIT �-- ISSUANCE b - PLUMBING E � � PLANCHECK § - �GRADING $ ELECTRICAL y � ' S . • PLAN'CHECK $ � MICROFILM 5 � 'MECHANICAL 8 TOTP.L FEE E' � PLHNCHECK § � . LESSAD- VANCEPC E_ . r� . _ f_ FINALFEE_5� CONSTRUCTION AND PLANNING � POOL & SPA .. �� �` APPROVALS `' Permit#� �38�$ Date Inspector qppROVALS Permit# Date �Inspector ti 1. Temporary Electrical Service or Pole '` �. � 43. Pool & Equipment Location.' , -' � - - - 2. Soil ipe-Undrgrm 44. Steel Reinforcement "-� -- - - .3. ElectricahConduit=Utility-Undrgrn.. �45. Forms - - � � 4. �.Electrical Conduit•Undrgm • - 46. Electrical Bonding. � � . tee � ein orce � • � 47. Rough Plumbin & Pressure Test �� 6. ElectricalUFERGm, � 48. APPROVALTOCOVER-GUNITE--- 7. ootings � , � 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. Structurai Floor System. j, 52. APPROVAL TO 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 - • Fencing & Access Approval � 17. Ducts, in Structure � ' APPROVED'FOR PLASTERING • 18. Ducts, Ventilating - � _ . _ _ � , 79. Gas Pipe-Rough & Test ' 60. POOL/SPA $YSTEMS FINAL • 20. Roof-Framing - - - " � 21. Roof Sheathin - � � _ 22. Frame and Flashing NOTES: "' ' 23. Insulation - . - � //S s%AOL � �a' ' o�- � '-Cfi�� 24. Lathing & Siding ' ' - � 25. Drywall Nailing _ - � - - - 26. Plaster Brown Coat � - 27. Electrical Power Meter-Final � - ' 28. Final Electric � 29. Final Heating & Air Conditioning � 30. Final Gas Pipe-Test . � 31. Final Plumbing . � 32. Water Service-Final � ' 33.' Gas Service-Final' � 34. Solar pomestioFinal - ' 35. Landsca e S rinklin S stem � - 36. Sound Attenuation � � 37. Handicap,Regulations • ' 38. FINALSTRUCTURE&BUILDING / Sy 39. Special Requirements Completed 40. Electric Release to Edison - 41. Gas Release to Southern California Gas Co. � 42. CERTIFICATE OF OCCUPANCY � - � � �No: ' DBte -- . . . m -/ ACDlibnt to flll in all s acas within neav bortlar Ilnes anE si n all a P Y 9 GGropriate tleclaratlons. CITY pF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG. NO. CONSTRUCTION PERMIT F �aioi%I ' Arch/�ng. TYPE OF CONSTRUCTION P one ��NEW ❑ AOD ❑ ALTERATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH LiCenu NO. ❑ OTHER DESCRIPTION OF WORK -Contrector Phone TVPE OF PERMIT_ - r �Addf055 ❑ GRADING'- � ❑ FOVNDATION ❑ STRUCSURAL LICENSED CONTRACTOR DECLARATION � ❑ TENANT ❑.ELECTRICAL OPLVMBING ❑MECHAN I heraby atfirm lh;.t I am IltenseC untler provislons of Charter 9(com- monCing,.with_Settlon 7000) ot DIvlSian 3 of Ina Bu5lness antl ❑OTHER Pro/esslons Cotlo, an0 my Iicense is in (ull forca antl elta<t. . � ' 'PROJECT DESCRIPTION LICBn50 CIasS Litensa No. ' ' Date - Si9naturc- - SQ. FT. � i • WORKERS COMPENSPTION DECLARATION ' OCGUPANCV �' CONST6UCTION TVPE I h¢�eQy atfi�m lhat I have a cerNficate of consent to selNnsuie or a E��J 6!V - ^�� VALUATION ZONE certHicate ot_workerz'.Compensatlon Insurance, or a,cerU(ietl_coDv - �'�'"— tnereo/ ($¢�Hon 3800, Lab. C.�. ,�GRADING CU. VDS. ACRES Policy No. - Company - - ' ' � vrti(ietl copy is hereby furnished_ „ REMARKS: , -� �rflfietl copy is fileC wi[h tha city Builtling Division. E..EMCTION FROM WORKERS' COMPENSATION�DECLARATION� -�� ` = � -- -� (This Section neetl not b< compl¢t¢tl if [ha p<rTit is !or ona huntlrea � ._ (5100) or'less). ' - ' ' - -� ' . . . .- ' . ' ' - ' - 1 c0rbfy Ihat in the periormance ot the wark !or whiGh [his perTit is Issuetl I'ShalPnot emptoy any perion in any manner so as to become PLUMBING , -- PL-AN CHEGK - � SubjOC} to t�e Workers' Compensation Laws of Gali(ornid. • Date � Signature � - 'BATHTVBS " ' ' SHOWERS • � - � NOTICE: If after makln9 this tleclaratlon, you ihoultl Decome subject TOILETS �� URINA65 - to the Workars' Compensation provisions of Ihe LaGor Cotle, you must �- fOrthw�(h wrpply with suCh prov1z1005 0� tnil perrtfit Shall b¢ tleeTGtl LAVATORIES DOUBLE LAVS ' -- ieVoketl. _ _ _ . � KIT.SINKS - - DISHWASHERS • CON57RUCTION LENDING AGENCV � � 1 herepy atfirm tnat there is a conitruction lentling agency tor tbe per- $ERVICE SINKS .- SUMPS - formance of tne work tor wN<h this permit is Issuetl (Section 3097 Civ. C.), _ -_ -- � ' FLOOR SINKS '' I FLOOR DRAINS Lenticr'S Name Lentler�i Aatlress � � ' ' � DRINKING FpUNTAIN& � . � - 'oWNEo auu_DER OECLARATION � � � - • INTERCEPTORS i tha[ I am exampt irom the Contraccor•i Llcense I,.aw for raason (5ect1on.7031.5 Business antl Proles5ions Cotle: _SWIMMING PDOL <Ounty whiGh requir¢S a pCrMit to ConSVuct, alt¢�, tllsn or. reoair anv structure.-orior.to its issuance. also ra- �.,�r�o «o..��� II(Chaptar 9(tommencing with Set[ion 7000) of Divislon 3 of tbe gustnets antl Prolezsionz Cotle� or that ne (5 exnmpt tnarafrom.antl the ba515 (or lhe allagetl exempliOn• AnY vlolation o( Sattion 7031.5 by -`y �ppllcant. to� a_perTit subjacts t�e appliGant to a Uvll penally pot more than five huntlretl tlpllars (5500). 'I, a5 Owne�'of Ihe proplrty, Or my <mployee5 with wage5 e2 thGl� o CompensatlOn, Will tl0 Ihe wo�k, and tha structure 15 n0[ inlentlatl Or /IB�etl fOf za10. ($ECtIOn 7044, BUSIne55 dnd PI'ofe55lOns'Cotle: Tho Conl�ac[or's Llcensa Law tlocs nol apply to an owner OI a prope�ty Who bulltls oI' Imprpves t�ereOn,-antl wlto tloe5 zuGh work himsolf o� lhrough his own Omploye¢5, provitl¢tl Ina[ SUGh Improvemenls are not IntenUCtl or olfcretl tor sale. Ii, howeveq tlte bulltling or'Improvement is soltl wi(hin onc y¢ar ol compl0tlon, Ihe own¢r will �ave lhe bu�tlen of pro�ing be tlitl'not bulld or improva for tne� pur0ose oi sale). �.�, as owner of,the Oroperly, am extlusivery contracting with licensetl rontractors to construct the projact (Section 7044, Bu5lness antl.Profe55ions Cotle: The Contractor's License Law Ooos not apply to. an owher of property who builds or improves tbereon, antl who con- ltact5 f�pm_Suth project5 with a contractor(sJ, IlcesneU Pu�suant to the Contractor•s License Law). ❑ I aM exempt untler Sectlon 8.�6 P. C. for lhis- reason, Date Owner that I havo reaE [his a .[orrect:-I aoree to thdt the abOve ;v antl countv GASSERVICE ' CIARIFIERS - P TRAP .� ALTERATION OUTLETS' - - ori i ni iToi ir .. SEWERCONNECTIONS -•' ,'' SOLAR TANK - COLLECTOR$ SOLAR PIPING SYS. ' " ^ ISSUE FEE ' " �; ' ` MECHANICAL � �PLAN CHECK HEATING'SVSTEM 0-100,000 BTU_� AND DUCTING ' -100,000,+ BTU _ REFRIGERATION 0-300,000 BTU� SYST.EM 700.00O.t BTV � BOILERS - BTl SVSTEM REPAIR, AITERATI EXHAUSTSVSTEM MUI � DrivorS' LicenSe or SS'� - ����' ' �SSUE FEE CMF 0865-46 WAite-BuilCing; Unary-APPliwnt; Pink-Accounting; GoltlCnrotl-Assessor � A.P. � ZONE SETBAC�K C/L $7. L v�5p (3�IGHT (3EAR VARD (70 PKG. SPACE RE�. STREET WIOTFI ZONING APPROV I SPECIAC CONORI EIECTRICAL 4362� 4/08/B2 NING REGULATIDNS PLNTGp.gAUEF.� GROPE�RTV LGNE I PROVIOED - � _ ,: PARK FEE E. . uBY "" . I INS: ' " .. ' i I. " � PLAN'CHEC 50. FT- --- " 50_ FT. GENERATOR 0-1 KW_1-30 KW � TRANSFORMER APPLIANCE 30-SOKW=50+KW�� .MOTORS -� - 0-1-HP�_1-30 HP _ (INC. SOLAR) _.30-50 HP 50 * HP � FIXTVRES -- pUTLETS SWITCHES GAS TUBE SIGNS � - - - .POLELIGHTS-- -•- � - � PANELS � � -SERVICE MAIN - SUB ' ' F =EE fON APPROVED BV 7 17.D0 T� SUMMARV OF FEES � " � ' BUILDING ' � �' PERMIT f 1�Q y SMIP � 5�• `S� ' •P�ANCHECK S�= , PERMIT � ' PIUMBING s�� ISSUANCE E � PIANCHECK S . GRADING' 'E' '' � .i � ,ELECTRICAL 5 ' ' s �- - PLP.NCHECK g � MICROFILM S _ 'MECHANICAL.E - - 'TOSAL'FEES �PIHN CHECK E . VANCE PC $_ � ' � /7 �r' , FINAL FEE S CONSTRUCTION AND PLANNING POOI & SPA , - • APPROVALS Permit # ��'�" Date Inspector qPPROVALS Permit # � Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location �' ' � -' - ' . Soi ipe-Undrgrn 44. Steel Reinforcement " ' 3. Electrical Conduit Utility-Undrgrn 45. Forms . 4. Electrical Conduit-Undrgrn � 46. Electrical�Bonding . tee e�n orce 47. Rough Plumbin & Pressure Test - � 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undr rn � ' 8. Foundation � 50. . Gas Pipe, ❑ Undr rn, Test - 9. Water Pipe�Undrgrn y. 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. S[reet 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 fINAL � 20.. Roof Framing ' � 21. Roof Sheachin � � 22. Frame and Flashin NOTES: 23: 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. Final Plumbing - ; 32: Water Service-Final � "'33: GasService-Final�' 34. .Solar pomesticFinal � 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. Date �" PflOJECT A�OPESS: 9 j 6 W 1 8 TH ST OWNEfl'S NAME: FITZGERALD, GEORGE nooeess: FITZGERALD TERRY 926 W, iBT{i ST i COSTA MESA, CA 92627 AflCHIENGINEEH: FDUPESS: NEG.NO.: ur+ir: C3 UNIT: PEflMITTEE: NOCK PLUMBING (714)895-1246 nooxess: 11610 SEABOARD CIR STANTON CA 90680 LICENSEU CONTNRC708 UECIABATION: I hereEy allirm ihat I am IicenSeC under pmvisions ol Chap�er 9(commencinA wilh Section 7000� ol Uivision 3 0l I�e Business antl Prolessions COAe. an0 my license is in fulliorce and e�leci. �r�v uC.: 'rJ n� p3� STATE LIC.: S S 19 71 ��ss: 3 6 � `D Si nature:_ _ _ MOBKEflS'�COMPENSATION �ECLi1BATI0N: I hereby alfirm �hal I have a cetli�ica�e ol consent to sel4insure or a cetlilica�e oi Workers' Compensation IPsyrapc� q� y,cprtj�ea cooY �hereoi (Seclion 3B0o, lae. GI 3/ � 1/ 9 1 POLICY NO.: 1 1 b 7 J L! V E%P. DATE: U comraxr: STATE .{� ❑ Centlietl opy i5 �¢reby tumis0ed. L9 Cetlilied COpy i5 �ileA w l Ihe ciry Builtling �ivision. Date: �� � ' pPPhcan�: �� �/ " v E%EMPTION FflOM WOPKFflS' COMVENSATION UECLAflFTION: (This seclion neea no16e complele0 if �he permit is lor ane hundre0 ($100) or less�, I certity thal in I�e perlormance of the work lor whicll �his Dermi� is issuea, I shall no� employ any person in any manner so as �o betome subleci to Ihe Workers' Compensalion Laws ol Califomia. Date: Siqnawre: NO7ICE: II, aller making inis Oeclaration, you should become sueject to tne Workers' Comoenution prOvisions at tAe Labor Cotle. you mus� �orlhwilh comply with such pmvisions or I�is permii shall Ue tleemeA revoketl. CONSTHUCTION LENOING AGENCY: I nereby affirm ihat inere is a constmction IenAinp agency lor the peAormance ol ihe work for which Ihis permn is issue0 (Section 3097, Civ. C). LEN�Efl: nooxess: OWNEP BUILOEfl DELUXATION: I h¢r¢�y allirm Ihail am exemp��mm IAe CAntratlors' Staie License Law far Ihe followiip reason (5ection 7037.5 Business and Pmfessional Coae: Any aty ol caunty wnicn repuires a permil to constNct, atter, improve, aemolish, or repair any Slmtlure. Drior IO i�s issuan[e, alsa reqUir¢5 ih¢ appiitani lor SUCh permi� lo lile a 5igneA Stafemenl �hal �¢/Sh¢ i5 lit¢ns¢d pursuant to ihe piovisians ol ��e Contractors' State License Law (Chapter 9 �commencing wiih Section 7000) of Oivision 3 ol �he Busineu •nU Pro�essions CoOe) or that he/she is exem0� �here�mm ana I�e Uasis lor the alleBea eremp�ion. Any viola�ion ol Seciion 7031.5 Uy ny applicant for a permit su�jecis Ihe apPlicant lo a civil penalty of not more ihan live AunUreO tlollars (3500). I, as ovmer oi me owoenv or my employees vnih wayes as their sole compenution, will Eo tAe work, an0 lhe ❑ stmnure a noi imeneetl or offeretl lor sale (Sectian 7044, Busm¢ss anE Pmlessional Gatle: The Conirac�ors' State License Law Ooes not apply lo an awner of a pmpeny w0o builtls or impmves i�er¢on, and who Ooes such work himsell/�er5elt or ihrough nis or ner own employees. O�ovitle0 inai sucn impmvemenls are noi inteneea or ollereA for sale. II, however ine huilaing or impmvemenl is SaIA within one year ol campletion. ihe owner will have Ihe burGen ol O�oving he/stle Ditl not builE orimprove lor Ihe pWpose o� sale). I,as owneraline propeny.am e�clusively COnifaCling wilhli[¢nSeE conlratiarslo COnSirut��he prole6��$¢t1i0n 704d, Busine55 ❑ an0 Pm�¢5Si0n5 Catle: The Contratiors' Slaie Litrnu law Oces n01 apply to an Owner 01 pmpetly who bwltl5 or improves therean an0 who comracis for suc� prqec�s mth a contracmr�s�license pursuan� to �he Coniractors' S�a�e license Law),I am aware ihal Dmof al tlleir Worker's fAmpenSaUon inwrance s0au10 he prontleG lo me. � I am exempt unUer Sec�ion: B. 8 P. C. for this reason: . oa�e: owoer: I tlo nereby cenily inat I am aware al antl untlerslanA �ne repuirements al Calilomia Healtn an0 Saleiy Cotle Sections 25505, 25533, an0 2553d antl Ihat I or any IUWre builtling occupant wiil/will nol (tircle ane� nee0 �o comph vn�h saitl stale coJes an0 t�e repuiremenis lar a peemn �or cansimnion or rtwailication Iwm �he Air Ouahty Managemenl OisMcl. ResiOemial cons�mc�ion aODliwiions are eKempt imm �hese provisions. Da�e: pODlicanl: I he�eby cetlily tnal I Oave reatl �his applicaiion antl s�ate �bal lhe a�ove inlormalion is correcL I agree to comply wilh all ci�y antl county ortlinances and Slale laws r¢Ialing �o builtling Con5lmCiion anU �ereby aN�orile repre5enialive501 Ihis ciry �o ¢nier upOn Ihe abOv¢-menlioneU pmpeny lor �ns0ecli purOoses. /� Date:._���_� $ignamre: �(/ �ri�ers �icense a� sociai searity a: t64L46 W�i�e—Bmlding; Green—COEe Enlo¢ement; Canary—Applicanl; Pink—Fevanue: Goldenmtl—Assessor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P OS105 PERMIT NO: P 051054 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: PLU PURPOSE: OTH JOB DESCRIPTION : CHANGE OUT DISAWASHER ' SQ FT: CLAIM VALUE; CALC—VALUE: GROUP OCC: R-1 / COMMENTS: CHANGE OUT OF DISHWASHER **�r**�e**�r***��**�*******�r�rx�**x�+r*�e*****�****�**+�**x+�***+�***x*****+�*****��******� �Z O N I N GS ERTEB�AUCIKRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING -------=— FRNT; FT IN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN PARKING RE(� • PROV; PARCEL: 00000000 ZNE: REF NO: PLANNING NdTES> i *****�r********�r�,r�r*��r*�t�r*�r�t�r*�e�t**+t�t**�t*�r�t*�t�****+t�t�t�t�t�t�r**�e**�t�t**�t�r�t*�r*�t�t�r**�t*�t�t 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 . HUILDING APPROVED BY ; DATE; DATE: APPLICATION ISSUED HY: DATE• �2--ZF�� 1fiFlkiEiEihiF�FifiFiEiEif�iFIFiElfih�kiEifiE ffififitiPiFlFiFiF3f7f'iF'iF'i iFM iFifif�F�F*�F�F3FiFif�FiE�FifItM�Fif3f�klflfMftififiE�fiEiEiFMkifMiEifIFMiE1k�E1E 1ENikif�flt�tltlF�FIFiFiF�EM1EikMiFiElf�lltifMdFifiFMiFiEiE3f LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N PERMIT BLDG PMT PLUMZI00 ELECTRIC MECHANIC FIRE SMZP/RES GRADING - — .'lSi_ SMIP/NON—RES PLAN ISSUE FEE ' 3.00 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 2.00 3,00 0.00 5.00 5.00 .00 AEVENUE DIVISION TOTALS--> COLLECTED: 5.00 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 5.00 �f 1F �f iF if iF iF iF if iF iE iE iE iF if k iF 3E if if iFiE iFM If iF iF if iE iF 1f K if if iFM if iF 1f if if iF �F if iF if IE if k iF M iE iF IE M �t �f if if M iE iF 1E if 1F iF M af if iF if 3F 3F if K�F if ik �f I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T Z O N UNIT COST TOTAL COST PLU 1 DISHWASHER 2,00 ' 2,00 END OF FEES V �� �l�„��U._..����"�., "�F � ..._ �! �i�. C^, il.'��ir i:,_. it':h CONSTRUCTION AND PLAN!JING POOL & SPA APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole �,; . 52. Pool & Equipment Location 2., S�il,Pipe-Undrgrndn� � 'aJ: 53. Steel Reinforcement y�3;.Efe_'ctrical Condui�Utility Undrgm���' � �� 54. Forms � 'r�:4.:Ela'ctiical ConduifUndrgrnd. =� 55. Electrical Bonding �,,.n . . -� e� �,�. �Ste€�,'�Reinforcemeht' r; 56. Rough Plumbing & Pressure Test �'-B.'�lec�frical UFER'�irnd. � 57. APPROVAL TO COVER-GUNITE �.� "�7,. Fsqo,tjngs S.�`Z., �, 58. Electrical Conduit-Undrgmd. o -� " ,� � ;-��.c;�oundation 59. Gas Pipe, O Undrgrnd., Test �, .�- ,. �9%Watg"r Pipe-Undrg�d. 60. Backwash Lines, P�Trap, O Undrgrnd. �, :� 10. Structural Floor System . i,; . � 61. APPROVAL TO DECK . 11. Property Sewer Line & House Conrrection 62. Backwash & Receptor�Final � 12. Sewer Cap z o �. � 63. Heater & Vent-Final 73. Roof Drains �L 64. Plumbing SYstem - Final � � 14. Rough Plumbi((cj `� 65. Electrical-Final 15. Rough Electrica!-Conduit 66. Solar SYstem-Final � 16. Rough Electric Wiring 67. Fencing & Access Approval „,77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical�T 8ar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � y � � ��: �� .' _ 20S'Roi�h Factory Fireplace ' n'ta d'-� ? O � t� � :s �PPR�VF,�.S:%� =PeriSiit # �" �' ""- S. �Ii 'J. ���- 1 $�.T� ��. :� �. i :1.:1 l�J �i,+ y' '] u; r. L� �-1� :..� .F �y ^ _:•..T , ..+ 'c, ��1 r ��, 21,=Ducts, in,;Structuc,eY � .. .. •_.;� �: g G .-.t� :ti �70. Undergrouhd. Hydro � 22�Ducts,�Tent�7ating��� ! �5 �* ^ = <t�`+ �7�, product'PipingO�C{as Q;OiI !r ���r � ¢t f-I:' ip. 23�;Gas_Pipe"Ro�gh &�'�est � �'„ � x :. T '�d � .72. Under o � d Flus �. � - . t t O�F? 9 W b) 24.cRoofFraming �?:; :-`.� �•-J ?f> C:. :� .�� 73roUndergmB�.Storag�7'ankflGas,O0T1 25. Roq( Shgathing c� � �„� -„ t_.• V �;Y: . s �' v �� - ��-.. r 74,-„Overhead Hydro� 26.�T-flar Ceiling (Str,otural) &�Merrocoat � m O irx � 75'Dry Chemical ' •'� = 7 �"C •i n � f t k i 4"1 i 27.�frame aad Flashin � SU " 'A '` " `" ni. '�> :° s ;'i ,'� _9',� �� � ,� C �. ,;�. . 76: Dry $tandy,ipe F,L � -38.'Lathing:& Siding':+ :� ���` ti; � � •• • ��� 77= FIXED SYSTEf,/;FI;NAL�` � v �� ' "t :x �.�. �� .. ._ '�s �. (q I 1 v �'j . � . f •-: ^ •"' r29. InsulatiQn �.t � •• . �� .. 76�•FIRE PREV. FIMAi o,> x �i7 �.�30. Drywall?+lailing :Ns � �� � � i �• �- n.: i•HEALTH!�DEPT! REQUIREMENT w�_ . �, � v �31. Plaster Biown Co�t; S � �.,,�,. �_ � � :� .,.79' �FINALTf�!$.RECTI(ZN �` �'' 'T � �-32.;Electrica6Power�Meter,�Final� ��� > i�s � e�. rgOnf00D CERTIFICAiE ISSUED 5.33SFinaJ El�iric `"" ��., � 2 '` �" � � F '�No{es: ,;� - �J tn u. ;;� �� , .. � ,�.- �•• � - -.. �•,. Y �. p,34rFirt�j Heating�& Air.Condition,igg� r1 x I� ... .:; C`:C + S 'J ,i u..r '35."Finat Gas Pipe�Test` _ � "� ' 't � � 7 . ^ [�S + n' _ � !l 1: -�� .�H I.i��fi.a� .�:J �� ' �.C. • -• ii ' .. • lv n,36•�HondorCanoPY - i!r� o *:� ( I'�.� � a: :1�- +� n' �-., .., .:,37�Final Factor Fire ya2ez i ��y � � "� � ' �. �� �'' v P, i o � �. � f>. .� nt y=38. Finz�l Plumbing r �C i.. .. O �s' � I• i i i- �r .r I �39. Water Service�Final� � � =� a� • '' '� .� '.`r � S I 'x a; �' � �!, � ' .• ��(l0. Gas Service-Final ' Y. y�rrr S ��� �r � i �< jv pN � .� 7".R1. Solar pomesticFinaLs ."i •• • i? I I �•:e 'Q:'� ^r� m 1 t:t �t' r--!r• Q' '�7 ' 42�Backflow Preventer� � � � � .;� � �,p.. � ,j � 43. Backflow Irr,iy'ation- � u:<5 'i: �+� �f � �:�- ' v - : r i . tt � r� .K '~�[r� ... J .0 .1 -. . �S V ,�¢4. Landscape IFrigation System�;�n,-; � -. .r !�' Ga� :a �.c �v iJ < n3 c. ' �,. - . � . ^ � _ .. . . . - z"45.�Sound Attenuation r'� ' �' :. z � �- f':�. ' •, ; `-'�'`� �:�;.1 �r• �, rr �q ra.�. �, a S -O ��46r;Handicap_RegulatioPs �; � ; � � � � ; : ~ � ��h - z uc s �47:sFINAL STRWCTURE & BUCLDING I ij, ?� '= N s �� �' N� �: � � i ` - 46�'-FINAL PLAfJNING � "�'`� � ~ ! r: � �� � * i F• •� n7 ! � � . . ,7 p� .� :� �= ;.49..-Electric Release to:Edison i �+ � ' * ^ tr ' • � � :5 � . .=:li x •,i =50.SGas-Release to Sou�em California Gas Co ; �� r� '�� . o�n a `� • ,St. CERTIFICATE OF,OCCUPANCY + :... � �;r ;*t�i x � , o No Date � PflQIECT FDUPESS: 9 3(7 W 1 8 TH S T owNEesxnme: FITZGERALD DIANE aooxess: WEAR TERR�' 936 %7, 18TH ST COSTA MESA, CA 92627 230-2750 qpCH/ENGMEEB: AODNE$$: nec.xo.: �uNiT:D3 CZTY OF COSTA MESA — BUILDING PERMIT PERM NO: P 05105� �— PERMIT NO: P 051053 PLAN CHECK NO; N GOVT: N SUPP: N UNR: PEflMITTEE: NOCK PLUMBING (714)895-1246 aooness: 11610 SEABOARD CIA STANTON ' CA 90680 LICENSED CONTBACTOfl UECLl�flA710N: I �ereby aflirm ihat I am licensea under pmvisions ol ChaD�er 9(commenting wilh Section 7pp) ol Dirsion 3 of t�e Business an0 PwfeSsions Coae. and my litense is in full fo¢e and effecl. ciTvuc.: �5C0�386 STFTELIC.:SS19%S %c�u��s/�s: C�—�6 Date: ✓�� SignaNre:_��/:�/=✓—D'�� WOpNEBS' COMPENSRTION oECLAPA710N: I here0y aifirm inat I have a cenilicate ol consent to self-insure or a cenilicate ol Workers' comoensation ifs�a�ce�� §ce�. tiLe� coov inereoi ISecuon 7eoo. �an. � 3/ O 1/ J 1 POLICV NO.: y E%P. OATE: ' comraNr: STATE ,y� ❑ Cenified copY is Jhereby Wmishetl. !� Certilied coDY �s liletl wiN ihe city 8uilding Oivision. Daie: �� � `� � ApDliwnt: , , V ���v �✓ �E%EMPTIONFPOMWOBNEBS'COMPEN511TIONOECIAflRTION: (Thi55eclionnecdnOt�ecompleleUillheDermiti5foronehunAre0�4100�or1e55�. I Cerlily �ha� in Ihe pedormance 0� the work lor w�i[h ItliS permii is issUed. I 5hall noi emDlOy any person in any manner 5o as lo Uetame sublecl �o Ihe Workers' Compen5aiion Laws ol Calilomia. Da�e: Signa�ure: . NOTICE: II. alier making IAis declaration, you SAou10 Uecame Subleci lo IAe Workers' Compensation D�ovisions of lhe LaOor Cade, you musi lonf�with comply wit� 5uc� pmvisions or �Ns permit sAall be tleeme0 revOk¢E. LONSTBUCTION LENOING RGENCY: I �ereby aibrm t�at ihere is a cons�mction lenaing aAency for Ihe pedormance of �he work for w�ich I�is permil is i5sue0 (Seclion 3097. Civ. C�. lENOEP: aooxess: CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU PURPOSE: OTH JOB DESCRIPTiON ; CHANGE OUT DISHWASHER SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: CHANGE OUT OF DISHWASHER ` �t�x�x�*****��r+�**r**+t**�t�***+t*�r*****�t***�e+t*�e�r��r�e***�***�r***��r+t�**�r***�r**��t*�r�*�eir�e� Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN AGHT: FT IN PARKZNG REQ• PROV: PARCEL: 00000000 ZNE: REF NO: PLANNING NtST'ES> � . iF if iE iF if M �f �F k iF if iF iF M if iF iF iF if ik if k k iF if iF 1f iF iF iF ik iE k�E if iE 1f af 1f If �f ±E K 1E if 1E k k 3f iE iE if iE iE if 1E IE k iFiE if iF iE jE M iE k �f if ik if * iF �E If if if if if D E V E L O P M E N T S E R V I C E S, R E Q U I R E M E N T S ZONING APPROVED BY DATE; BUILDING APPROVED BY :� _ DATE: APPLICATION ISSUED BY: DATE; —����'� �fif�FitiElklfifiEiFlfifiFiEififiElEiFiEiF1F ifififiFlf�EiFiFif3f ±Fif M 1F M if iE �F i!!f iE iF M iF iE iE M 1f iE iF iF if 1E iF iF 1F iF 1F if �f 1F M �F iF If k* if M �t if if 1f ii �f iF IF iE if iF If iF ik iE if� ik iE 1E If iF 1E k iF 1E iE IE IF if k iF iF 1f if jF af iE �f iF if �F M LEGALZZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N OWNEBBUILOEPUECIABRTION: I�erebyaffirmthatlamexempifromt�eConiracmrs'State�icenseLawlorthelollowinpreasan BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE �SMIP/RES GRADING (Section 7031.5 Business an0 Pmlessional Code: Any citY o� counry which requires a permit �o cons�mcl. altet. impwve, aemolish, or PERM I T 2� 5 Y reDair any stmcmre, prior to i�s issuance. also repuires ihe aDPlicant lor such permii ta file a signetl s�a�ement that he/she is licensetl SM I P/NON—RES pursuant lo IAe provisions ol ��e Comracmrs' Stale License Law �C�ap�er 9(commencing wilh SectiOn 7W0) ol Division 3 al ��e BuSiness PL� an0 Prolessi0n5 Cade) Or Ihai �e/5he is ¢Kemp� ��er¢Imm an0 �he basi5 lOr �A¢ alleg¢A ¢XemD�ion. Any violali0n o� SectiOn 7Q31.5 Uy' any aDPlicant for a Dermit suEjecis ine applicant to a civil penalty of not more than five hunAretl Oollars (5500�. ISSUE FEE 3. 00 i, as owner ol the O�aVeny ar rtry em loyees with waoes as meir so�e compenutian, win oo ine work, ana me BUILDING—DIV—> PEAMIT ISSI7E PLAN—CHECK TOTAL PAID � ❑ s�mcmre is noi imended or ouerea mr saie ��eclion 7044, Business antl Professional Coae: The ConVaclors' State �icense �aw TOTALS----> 2. 0 � 3, � � �, 0 � S. 00 ' S, 00 . D� 0 tloes not apply to an owner ol a pmpeny who Ouiltls or impmves ihereon, antl who tloes such work himsell/�erself or thmugh �is or her own employees, proviGeJ ihat mc� improvements are not intentletl or o��eree tor sale. I�, trowever �he Uui�Oing or, REVENUE D I V I S ION TOTALS--> COLLECTED • S. 00 OV ER /SHORT • 0 � imDrovement is sold wilhin one year o� compleiion, Ihe ownecvnll �ave Ihe Uuraen ol pmving �E/5Ae Oitl not bui10 0� improve BI.DG PMT PLIJMB I1�i'i ELECTRIC MECHANIC FIRE SMIP /TOT GRAD ING PLAN—CHECK for �he pwpose o� sale�. S. Q 0 I. as owner ol I�e pmperty, am e.clusively convacting wit� IiconseC conVacmrs m cnnsimct ihe projec� (Seclion 704A, Business ❑ anEProle55ion5Coae: TheConlrac�ors'SIa�eLicenSeLawdoeSnolapD�Y�oanownero�proDe�ywhobuiltlsorimprovesth¢reon ******************************************************************************* . �antl who conirac�s �ar such pmle��s wii� a con��actor�s) license pu�suant to �he Contratrors' Slaie License Law),I am aware mat Pmai oi tneir worper's comPensation insurance snoma ne pro�iaed to me. I N D I V I D U A L F E E B R E A K D O W N � � I am e�empt unaer S¢ction: B. 8 P. C. mrwsreaso�: TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST Da�e: Ownec I Do hereDy certily t�at I am aware ol and undersianA tAe reQuirements of Calilomia Healt� anA Satery COUe Sections 2550.5, 25533, and 2553C and ihat I or any IWure builaing occupant wilVvnll nol (circle one) neetl lo compty wi�� SaiG 5tate cotle5 and lhe requiremenls for a permi� �or conslmc�ion or mo0ilication �mm Ihe Air Oualiiy Managemeni Oi5lrici. Besitlen�ul consimc�ion appliWtions are eeemD� ��om inese provisions. ' . • Date'. Applicani: I hereby certify Ihal I have reaA i�is aDDlicalion anA slate I�at ihe above inlormation is correct. I agree to comply wit� all city antl counry or0inance5 antl Slaie laws relaiing IO builtlmg cons�mCiion an0 hereby authorrze represenlalives Oi ��is tity to en�er upon Ihe abOve�menli0netl pfOPChY��1Ol����� l�SCS. ��� ��e: ` Signaiure: onvers ucense o� sociai secu�iiy a: �6ab46 Whi�e—Bwlding; Green—Cotle Enio¢emenf. Ganary—AOOlican�: Pink—Revenue: GOltlenroC—Assessar PLU 1 DISHWASHER '2,00 2,00 END OF FEES l� �(7;� r� ,.1 l,J'� —C_�s?:ii : � �' DfiTE: 07�;2/91 i?pl�: 1�::�5 S.GG � � i � ' " POOL & SPA � � CONSTRUCTION AND PLAIWi ING ' , / i APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector i. Temporary Electrical Service or Pole 1 � 52. Pool & Equipment Location � 2.�Soil,Pipe�Undrgrnd: �+ '�y 53. Steel Reintorcement :. p� �Y ,��i3:'�Electr`ical ConduihlTtility-0ndrgrnd�" 54. Forms ' �':4. ElEctiical ConduiY=Undrgrnd. = 55. Efectrical Bonding �_ r t ''' `5:�stee�h R'einforcemgnt' 56. Rough Plumbing & Pressure Test "� �:�6.�:EIeC[rical UF2R �Ctmd. •- 57. APPROVAL TO COVER�GUNITE " .�_ �: � Z, F.00tings ? � '' S8. Electrical Conduit-Undrgrnd. `" i.. r.; '� �:�8. oundation �� � 59. Gas Pipe, O Undrgrnd., Test u �9. Wafer Pipe�Undrgmd. 60. Backwash Lines, P-Trap, O Undrgmd. • � - U 10. Structural Floor System ._ 67. APPROVAL TO DECK 11. Property 5ewer LinA & House Connection 62. Backwash & Receptor�Fiaal • 12. Sewer Cap �, ;` �� 63. Heater & Vent•Final 13. Roof Drai�s •i 64. Plumbing System - Final �� . i 14. Rough Plumbipg `' 65. Electrical-Final 15. Rough Electrical�Conduit 66. Solar SYstem-Final 16. Rough E{ectric�Wiring 67. Fencing & Access Approval ,�17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING 19. Rough Electricyl-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heeting & Air Conditioning FIRE DEPT. REQUIREMENT - ' _ _ _ ' � `�' �- r �� � ^ 20.T.Rough Facto�y F.ireplace � U:'=i �^ + j _ C.. a. rqppROVA;l:S:�^Peii'nit # �' ' tr S � ��.. :��4 .� a':: �. �� ;N.�F y. o ? i •-• • 2 �� � - T. S v -: _ '7.q �.� l 5' : - tr, :1 ( , 21._DuCis, in�5tr�uetuct, � -� .. r S a� �S - :i:e = _70. �ndergcopnd HySiro � 22. Ducts, Ventilatin�q �. i „S y, �, S�; t r77, producf�Flp;ng O(�'as O�OiI .� 23`-Gai,Pipe�Ro�'ugh &'7est ' r;S �. �r �- �t - "' �72. Undergroun{i FI'ush . -, 24.TRoofFcam��g �} ..-. Y? ,� �, �i� >73�Undergrnc�?,.StorageTank`OGas ❑Oil • ,>. r 25. RO� Skeathin "�Y z. .ti :! :h [n �� i�} r x - :.� -(-. . .> 9 , � ',, • �� p p;* :;� 74,.;Overhead�Hydio-� � 26�vT�Bar Ceiling (Structurap Bi�Monocoat �* � n`7 t�i.:r 75?Dry Chemical _: �-� ^- C 27:=Fra�ne and Flashing. tOc `� '..' 76�Dr tt' 'y •. �,`; v � - ��Ka' • a r m. . YStan�iPe �_,p.,� . t '_28.`Lathingr& Siding. . n ' ���� cC •.2, � � 77� FIXED SYSTENj:@INAL` � '2 _ �•I ' y � n T29. Insulatiqn `Q � �� ;', �` � �'� 7gFFIRE PREV. FINA�L ..7 cc i' j v �� � �� � �� ' � WJ� � �:MEALTH=DEPT�. REQUIREMENT �+-30. Drywall.Nailing n:r � x -- � . �.-�� :n,. �„31. Plaster Bitlwn Coaf; .S : i.,i,., a � � 't � r79 `FIN'AL�INSP�ECTI,QN = " `" -� - c!. ;4 r. i t� r+ r � � .v .-. � � _. . _ -.32:rElectrical Power,Meter�Final; .r. ,' � tt �• qS0.qF00D CERTIFiCATE ISSUED�� � � q � ^ :r, v ^ � r^ ,r n� � ^� . y . rt � J T �.. ); . ' 33: Firi I EI ciric � __ -Nofes: S .S r4� .P3 ?Y tr, i 4 x � '� ^(*] 'k =.'1 rr in �J- .L ti. • �.yr. �� � �. , _ �v ti.. . _ . �;34:-Final He�tinq& Ai:Conditionirig; �-; � � � . �:; ;;� , a � . . J35!_Final Ga3 Pipe-Test' T'% - * - `` :� ; � �: :!,;S r << C � . - �w �ti . So .-i c • - ��36:`Hood or CanoPY �� � v`' i :*"' c �� i : � i-'r F- �< z; ;^c . . .F .r �r. � �,-.�. a � ^37f-�Pin51 Factory Fire�'lacel � 5v' <a + � � '1 '!! ?� : '� z �T ' s: u * i : �• ;� . N _ . ., r .r , .. �: � . �, _38. Final Plumbing , q � B' �� n �-a .h� �� .-39. Watar Service-Finab . ' �� �� ' f' �� • � ''� "'r +S' I �'i' i �: , r. ' 40. Gas Service-Final ',',� �,= ^ � '� y � � o: � i� Ct*v.. .��„ �; x G� c�u � i;41. Solar pomesticFinalS ('� •� - �:?� � � ;� t. ��a .� � � �n t: 7C a '_' ::) �"42SBackflow Preventer; `- �' �7 i i � � i. _ _ -• _ a �v I I I+ > x r� 43. Backflow Iri�9ation< �: S�� •� �- �'- '" �= �. -�. .� � �. : �J :l . . .I. . �,�i �� � i;,44. Landsca,Pe IriiGa[ion SYstem�:��:; � . ;�. �. .,; .:J - CJ o s"45�=Sound Attenuation �!z' = . y �: - � '�' ` - f. �' ' F-�� . ^ - a n: �n m� r T �: '46. ;HandicaP Regulatiqns � S �� •" .. . ..; ;� -' ' '' .-,"' ..�� r . p .+ _ i, �7. :i . _ �47.;.FINAL STRUCTURE & BUI.LDING �r� �� � ' �'+ �4 " �o i � '+ , � c 4815.FINAL PLANNING ° '`�"_� � .��;• . " `�' ' � rJ J � I I I1� �P ��� � b• (-� r_49L� Ele¢iric Release to Edison r I i„,� _t - 'X � i ' - ' r - 50.�Gas•Release to Soulhern Cafifornia Gas Co _� � ��; : _, .� - . �' r = ?j �• J � 51. CERTIFICATE OF:OCCUPANCY ; �_, s n ino :�^ i. c- c� No._ Date ADP���ant to fll� I� all spacas within CITV OF COSTA MESA PERMIT NO CONSTRUCTION PERMIT %i—��� Addres5 1»L LH' LVI•W� LG•1JN I'1C1l+IlIJ� Arch/Eng. License No. Address Co�tractor FUTUR.4 ENERG PRODUCTS Phone I bereby atfirm that I am Iitensea untler ptovi51on5 of Charter 9(com- manting wilh 58ctian 7000) Of DlvislOn 3 O/ the B In855 antl Professlons Cotle„pnp lmy i�Conso Is In tull orcq i Q,sifect. Litons �a l• b i Pns o 4 y Date �L Siqnatu.o WORK NS' COMPENSATION � LARATI N 1 hereby af/irm lhat I have a 8rl ficate o( consen[ lo sel(-Insure or a tertiticate ot Workers' Comp nyatlpn Insuranco, or a certifletl copy � "yNo.rw�.`�������� ComPanY ruiuKu—r.ii��iurv iiv�_ frUfied coPY i5 hGr¢by futnishetl. ' y,ertltietl copy is filatl with th@ city Bulltling Divi5lon. EXEMPTION FROM WORKER$' COMPENSATION DECLARATION (This setlion neetl not be <omp�etetl if. the permit is for one huntlretl Sg1001 or lessl. cerUty that ln the pe�to�rtwnc@ of the work tor which tnis permit is I55Uetl, I Shdll not emplOy any per5on In dny rtldnn¢f So d5 to becom¢ sub7ett to the Workers' Compensation Laws o1 Califomla. Ddt! $I9natUfe NOTICE: H atter makinq tnis d@claratton, you shoultl become subject to the Workers' COmpenSation p�ovi51on5 O/ the Labor Cotle, you must torthwith Comply with sucn O�oyi5iOn5 0� lhi5 pOrTit shall be tle¢TeE �evOketl. ' - � CONSTRVCTION LENDING A6ENCV I here�y af(Irm that t�ere is a cqnstrucUon Ientlin9 agency for the per- formance of tM1a work for wbich Ihls Oormlt Is issued (Section 3097 Civ. C.). LenCer'S Name Lentler's Atltlres5 OWNER BVILDER DECIARAT�ON I haroby aHirm that I am exempt trom tha Con[rac[or's Litense Law lor the following reazon (Section 7b31.5 Business antl Prolesslonz Code: Any tlty or county which requlres a permit to construc[, alter, Improve, tlOmoliSh or repair any s[ructure, prbr to It5 issuance, dlso re- qulre5 thC appliWnt fo� Such pe�mlt [o fl10 a slgnetl stat¢meni Ihat h0 15 Iicensetl pursuant to [he proviyiont of the Contractor's License Law (ChaDter 9(commencing with 5e�(ion 7000) o/ Division 3 of the 6usinei5 antl PrWessions Cotle) qr thal he is ezempt therefrom antl the h••is for the allegetl exempilon. qny violatlon of Section 7031.5 by applicant tor a permit subjects the appliwnt to a civil' penalty Ot more than five hvntlretl tlo11dr5 (E500�._ �. 1, as own¢r o( Ue prOperty, of my ¢TPloyees witb waqes as tlleir sole comDensation, will tlo ttte work, antl tha stru<ture is.not inlentletl ot oltlr¢O tar Shce. (Section ]044, Bu5ine55 dntl P/ofession5 COtle: The Conlydtt0�'S LiCtnSe Law tloes hpt apO�Y �o an owner of a property wh0 bulltl5 0� ImprOves the�eon� dntl who tloe5 zuth wo�k hims<If o� through his own <Tployees, pwyitled tbat such Imp�ovem¢nts are noI Intentl¢tl o� onerea for Sale. It, however, Ih¢ bulltling or Imp�ovement is soltl�within �ona year of completion, the ownenwill have the burtlen of provin9 na tlitl no[ builtl Or improvn for the purpose oi sale). ❑ 1, a5 owne�� o� th¢ p�op¢r(y� am B%ClUslvely cOntracting with IICCOSCtl COf1tldCtOR l0 COOSiIUCj [ho prO�CCt ($CC[I00 �044� BUSIf1C55 antl Prolassions CAtle: Tite Conlractor'S Licanso Llw tloes no[ apply to an ownCr o1 prOpOrty who buI145 or ImpfOv05 lhCreon, antl whD Con- tratls from Suth plo7ect5 with d Contfdt[Or(S) Ilcein¢tl pURudnt lo tM1e Contractor's License Law). ❑ I am GxemO� un0er SectiOn B. & P. C. tor this reasOn Dace Owner - I hBr¢by CerlHy thdl I have redtl thi5 dppliwtiOn antl ztate tha[ Ine abOVG InlontWtion is COnecL I agree �o C mply wl�h all [ity antl [ounty Ortlinancei antl slale Idws relat ng t0 c stru<tlon, antl h¢r¢by autho�iie reoresantatl S tnl ci y to ent r upon th0 above ent n¢0 proPer[Y . �J ecli�+�. r e �, ,Z � � Signatur ��f� � � Da/t�/ f]ri�ers' _i ense or 55 �F��% �� .— Gortlar Iinas an0 sign all app�oprlata 0aciaratlons. TRACT NO. LOT NO. �BLDG NO. Y TVPE OF CONSTRUCTION � � NEW ❑ AOD ❑ ALTERATION ❑ REPAIR ❑ CONVERSION ❑OEMOLISH ❑ OTHER DESCRIPTION OF WORK TVPE OF PERMIT ❑ GRADING ❑ FOVNDATION ❑ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑PIVMBING �MECHAI ❑ OTHER PROJECT DESCRIPTION 5�. FT. OCCUPANCY_CONSTRUCTION TVPE VALUHTION ZONE GRADING CU. VDS. ACRES REMARKS: PLUMBING BATHTUBS LAVATORIES KIT. SINKS SE0.VICE SINKS FLOOR SINKS DRINKING FOVN INTERCEPTORS $WIMMING VOOL WATERSERVICE GAS SERV ICE SEWER CONNECTIONS SOLARTANK SOLAR PIPING SVS. ISSVE FEE PLAN CHECK SHOWERS VRINALS OOUBLE LAVS DISHWASHERS SVMPS FLOOR DRAINS CLARIFIERS PTRAP ALTERATION OUTLETS BTU OUTPUT' COILECTORS MECHANICAL PLArv cHECK HEATINGSYSTEM 0-100,000BTU_ AND DUCTING 300,000 + BTU _ REFRIGERATION 0-100,000 BTU_ SVSTEM 100,000 � BTV _ BOILERS BTV SVSTEM REPAIR,ALTERATION EXNAUSTSVSTEM _ MUITIPLE ISSUE FEE CMF Q865-<6 White-Builtlingp �nary-AOP���ant; Pink-Accountin9: GOltlenrotl-ASsesso� 3 A.P. REAR YARD (TO P/L) PKG. SPACE REQ. STREET WI�TH SPECIAL CONDITIONS: ELEC7RICAL PLNG. REF. $ •PROVIDE� PARK FEE S PLANCHECK GEN�pATOR 0-SKW_1-lOKW� TRANSFORMER APPLIANCE 10-SOKW_SO+KW� MOTOR$ 0-1 HG_1-10 HP _ (INC. SOLAR) - �0-50 HP 50 � HP � FI%TURES OUTLETS SWITCHES GAS TUBE SIGNS " POLE LIGHTS � JEL$ MAIN $VB iVICE � - AMP ISSUE FEE � � 'IICATION APPROVED BV " SUMMARV OF FEES BUILDING PERMIT y PLAN CHECK E PIUMBING E PLAN CHECK § ELECTRICAL S PIAN CHECK E MECNANICAL S� PLAN CHEGK y ' SMIP $ PERMIT �� ISSUANCE S GRADING E E MICROFILM E�.. TOTALFEEE LE55 AD- VANCEPC $_ FINAL FEE 5 7• OO CONSTRUCTION AND PLANNING POOL & SPA -. _ • APPROVALS Permit # ���.JY Date Inspector AppROVALS Permit # Date Inspector � 1. Temporary Electriwl Service or Pole 43. Pool & Equipment Location Soi ipe-Un rgrn 44. Steel Reinforcement 3." Electrical Conduit Utifity-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding . tee ein orce � 47. Rough Plumbin & Pressure Test 6. Electrical UFER Grn ' 48. APPROVALTO COVER-GUNITE 7. ootings 49. Electrical Conduit-Undr rn - 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra ❑ ndr rn 10. Structural Floor System � 52. APPROVALTO DECK �' �' � � � 17. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final � 12. Street Sewer Connection � 54. Heater & Vent-Final 13. Rough Plumbing 14. Rough Electric-Conduit 56. Electrical-Final - 15. Rou h Electric-Wiring - -� �' 57. Solar System-Final ' 16. Rough� Heating & Air Conditioning � encing & Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING 16. Ducts, Ventilating 19. Gas Pipe-Rough &Test � 60. POOL/SPA SYSTEMS F�NAL 20. Roof Framing ' 21. Roof Sheathin . 22. Frame and Flashin NOTES: 23. Insulation 24. - Lathing & Siding ' 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter-Final 26. Final Electric ' 29. Final Heating & Air Conditioning 2$-8z � 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. CERTIFICATEOFOCCUPANCY � No Date • • T.>.�`,,.. _ . ORA►�(.f,E COUNTY BUILDING DEPARTMENT ' � 636 NoAh Broudway � ' .- , 1 ' SANTA ANA, CAUFORNIA � � FOR.APPLICANT TO FILL�IN� , _ nooaE�ss n� �L~ �V �' � 6"`4'^ ,v ��". GITY � r� I �} ARCHITECT OR ENGINEER ADDRESS ITRACTOR �1 AODRE55 `! ��� � LEGAL I �A� EXTERIOR COVERING � OP N ILDING /� � � � /� Ai b ��//, � � � THL. No. � APPLICATION FOR PERMIT �uv����� - �:, FOR OFFICE USE ONLY , RECEIPT NO. PERMIT NO. ��r'�7 �v.�� y � , /ED BV DATE RE=',� I�A=E ISS�ED �� JJ / •\�` BUILDING � � / �/ (i �- ��� � A�DRE55 yo d Q SCHOOL DIST. �' � � //� ���` — OR TOWN li/1-rQ.A/l ���� . � �do�. c-� vv� , �LOCK ITRACT 1 nl� �� �/� NO. OF NO. OF BLDG. , f- l FI�MILI[e ROOMS F'STREE'fM� ti V" REAF YARO �J��r SIOE YARD DESCRIPTION OF WORK ROOF COVERI J / / i I HEREBY ACKNOWLEDGE THAT I HAVE ftEAD THIS APPLICATION AND STATE THAT TNE ABOVE IS CORRECT AND AGREE TO COMPLV WITH ALL COUNTY ORDINMNCES AND STATE LAWS REGU�ATING BUIL�ING CONSTRUCTION. SIGfJATURE OF�'� '�� PERMITTEE �����- �� p . .— �r 'C O 'AUTHORIZED AGT. ' � p` PHnrnir Fee 1 ! VALUATION S��C� 9 y G Puv CwecK f V �' • i 7 Tp�AL ^� G • 'FEB • �� IOM ].20�p3 -.-T BOND FINAL NO.OF � TYPC PLAI IS CORRECTIONS APPROVALS _j' ION � INSPECTOR �. � s STREET • '. . , ' '�. G � ���j/..�'%i�� I� s��: . , � =- �`,�`� 4���� � . . �f�,��-- l�<w�r����-� . - -., ...�,.{, �.�: - _ : _�,�x�. �� _ . ; � .�.�.., - .. � .\�� _ •; � �,. , : . , _ _ .. .,, . . . „ ,, -`_ � . , .._.�, . , .. - , . , - � � _ , . . . ��` • � �, . ' .i.` . _ . _ . PLOT PLAN " Show location and distances from ' . property lineand betweenbuildings. � � ,t , . � ' � i: -, � , . - -'-• . . , - _ •�C1lt�c • ` , - t.. ' ' , ` t ` ' � - � �' . ' �. � - - - - - - — - 1 __£s` �i--d3s 9 s b o � .0 Q' � l -- . � �'� 1�15� CO�iTA MESA BUILDING-SAFETY DEPARTMENT F'.O. BOX 3f] COSTA MESA. CALIFORNIA fOR APPC/CANT TO f/Ll /N COMP[,fT�LY � Z% I� T'PE OR PRINT /�_ f{�/7h /�l �6TA ES ALIFORNIA �'y/ /i1 o n1Rv viA N LEGAL LOT OESCB4PSIOv . NO_ �O a� A.P.NO. I�O " IdcV�^ T I.0 BI s,ZE ja 3ao � ��o. oF a�o�=., Y, OF LOT Now oH toi RF ♦ !, USE OF L { �� E%ISTING BLDG. FF 6ETBAGK L�ryE FROM ceNi¢n oF sTaeEi � REAR YARD p. SIDE YARD ILEFT // IRIGHT p �_ DESCRIPTION OF WORK ov� Fiar�, �u? /oa3 �"'o• 3s-3� // —/�o — " I HEPEBY ACKNOWLHOOE THAT 1 HAVE HEAO TNI6 hPPLICM1T�ON ANO 8TATE THAT THE ABOVE IS CONRECT I�ND AGHEE TO COM� PLY WITH ALL 4SY ORDINANCE ANO TE {�y$ REGOUTINO eUILO1N0 CON9TPlICTION. �� y; SIGNATURE OF � PERMITT�E AUTHORIZED AGENT _FE�E�REC���E� '{,�v l z - � 4� - S� FINANCE DEPY. APPLIQA� 1 �S i?',Q�t_��$ERM IT BUILDING fOR Off/CE USE ONIY I RECHIPT NO. I EdMR COSTA MESA, CALIFORNIA USE OF = t� ,� . <<_-..� THE AMOYNT BHOWN UNDER VAlUAT10N �8 FOH THE PURP09E OF ESTABLIBHINO q PERMIT FEE ONLY. VALVATION /r PERMIT FEE $ % �` �F` V V `V `�` g PLAN CHECK S . / TOTAL'FEE S�I. � � � � "� , R':L.�_5� COSTA MESA BUILDING•SAFETY DEPARTMENT P.O. BOX 3i7 GOSTA MESA. CALIFORNIA �f�OyR APPUCANT TO f/[C /N�'OMP[ETECY �// 71 � Q TYPE OR PRINT wI ��'t< �1��7•r:�m_� ADDRESS I��/ /�%ON%�o ✓/f1 �`f�5 GITY Q / �9�R TEL L� ^ N p ARCHITECT (� ��I A�-/ LIG. OR "'GINEER i/��/� ��� � ry' NO. ADL..255 '^ Q � i ✓� S y ` GONTRACTOR I �� NO. ADDRESS (�� .C�j Q/� � LEGAL LOT /�� O I � � DESC IPllO NO. I(/O I LC A.P. NO, � • U � � S,ZE ��.7 x 300 OF LOT USE OF EXISTING BLDG. S 6CTBACK LINE FNOM 7 [� �, DESCRIPTION OF WORK nave - 3P I HEHEBY ACKNOWL AND SfATE TH�T TI PLY WITH wll CITY BUILOINa CONSTRUf SIGNATURE OF AGENT � NO.OF � �oT/aa3 T'b ,-/�o- THAT I HAVE HEAD THIB APPLICATION ]VE IS CORftECT AND AGREE TO GOM• J^pCE� STAy[ZAWS FEGUL�TINO / / ' FEE RECEI�ED �uJ 'z-'°'•�i FINANCE DEPT. APPLI�A7-I�SjA f��I PERMIT BUILDING fOR OFF/Cf USE ON[Y I RECE�Pf NO. I idRlfiT. APPROVED COSTA MESA, CALIFORNIA ✓ ZONING NO. OF q t18C � PL�NB - / BUIL R.1 a_'Lr S 11:11 �r.� TNE AMOUNT 6HOWN UNUER V�LU�TION �8 FOR THE PURPOSE OF ESTABLIBHING A PERMIT FEE ONLY. VALUATION L=_ PERMIT FEE S / PLAN CHECK S � ' 5 s�-�D � � � �i TOTAL FEE 5,�.�� ADVi�eant to fill in all spaees within CITY-OF COSTA MESA PERMIT NO. .C�NSTRUCTIONPERMIT E-/83� Address /S3 z L.cr G�nr.i iJi-� S�%{. ArchlEng. ?`(�y� �'a,� � � �LicenserNo. Address �/.S'�% F /.-�v � �r r� .- r Contractor R ..�/__ /:._ � r_�T..: Phor I hereGy affirm tha[ I am Iicansetl untler provislons of Charter 9(com- mendn9 with 5ection 7000) of Olvislon 3 of tne Business antl 7rofessions Cotla, antl my Ilcense Is In tull force��3 �fRct. License Glass License No �S •� Date Signaeure WORKERS• COMPENSATION DECLARATION I hlroby at(Irm that I hava d C¢rBflGate of consent to selLinSure Or d tertitiwta o( Workers' CompenShciOn Insuranca, or a certi(ietl copy thereof (Section 3800, Lab. C.). alicy No. Company ]ertlfietl copy Is h!r¢by fumishetl. - ,:ertifietl cOpy is fi104 with [h0 clty BUiltling Divi5lon. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This se<tlon neetl not be completetl If4he permi[-Is�for one-huntlretl �E3001 or less). certfry lhat ln [he Partormance ot t�e work (or which this permit is issuetl, I snall not emPloy any perz n in manner so as to become subject t the Workers Compensa on 5 o Glifo Dale ��Slgnatur � NOTIGE: If after making this aratl u shoultl become subject to the Workers' Compensatlon provi5ions of the Labor Cotle, you must f0/thwlth comply with suGh proviSiOns o� tnls pe�Tit shall be tleemetl. revoketl. - �- CONSTRUCTION LENDING NGENGV I hereby atilrm that there is a constru<Non lenein9 agency for che per- formance of the work (or w�ic1` tnis permit is IssueC (Sectio 3097 Civ. C.). M/Gp—rie e ' LenUer's Name �����"'Y� �y' .Lentler•s AtlOres� �g%�sU oranti..u�C/ � �+i OWNER BUILDER DECLARATION I hereby aftirm that I am exempt from the Contractor's License Law tor tha (ollowing reason (Section 7031.5 BuSiness antl Protez5ions Cotle: Any city or county wNth requires a permk to. construct, alter, improve, tlemolish or repair any 5[ructure, prior [o its is5uance, also re- qWres the apDliwn[ Por suth permit to file a siqnetl statement that he IS IICenSetl pursuant to th! OrOvisions 01 the Con[ractor'S License Law `Chapter 9(commencing wltn Sectlon 7000) o( Division 3 of the 9usiness antl Pro(essions Cotle) or that he is exempt [herelrom antl the basis for the allegetl exemptlon. Any vlolatlon ot Section 7031.5 by ' applit'vnt for a permit subjec[s the applicdnt to a civil penalty rt more thdn five huntlr¢tl tlalldrs ($500). ., d5 owner of t�o proper[y, or my employe¢s wi[h wages as thelf 5ole companution, will tlo the work, antl me structure is not Intentletl or offered (or wle. (Sectlon 7046, Business and Aofessions Cotle: The Contrattor's LJcenza Law tloes not apply to-an owner of a property wh0 builtls or improves thereon, antl wh0 tl0¢5 SUCh work himsel( O� tnroug� his own employees, provitletl that such Improvemenis are not Intentletl or oHeretl for sale. If, howeveq tbe bWltling or improvement is zoltl within one year of completion, Ihe owner will have the burtlen of proving he aiG not builtl or improve for the purpose of sale). ❑ I, az owner of lhe property, am exclusively contractin9 with IicenseG con[ractors lo construct the pro�ect (Section 7044, Business antl Professions Cotle: The Contrac[or's L cense Law tloes not apply to an Owner of prop¢rty wM10 builtls or imprOv¢5 thefeon, antl who Con- tracts from suth pro)ects wilh a con[ra<tor(5) Ilcesnetl pursuan[ to the Contractor's License Law). _ ❑ 1 am exempt untler Sec[lon B. & P. C. for this reason Date Owner - I hereby certify that I have reatl [his applicatlon antl state that the above information is correct. I agree to comply with all city antl county ortlinances antl state laws rela[ing to construttlon, antl hereby authorize �epresentativ¢ f this Uty to enle� upon the abOve mentionetl proOPrt for In e pu� %O �j �� _�( -� $I9natU e � �"�✓ "�� � Date ��23-8'/ borEer linas anC sign all aoo�aoriata tleetarations. TRACT NO. LOT NO. •BIDG. NO. TVPE OF CONSTRUCTION ❑ NEW ❑ ADD ❑ AITERATION ❑ REPAIR � CONVERSION ❑DEMOLISH ❑ OTHER DESCRIPTION OF WORK TVPE OF PERMIT ❑GRADING ❑ FOUNDATION ❑STRUCTVRAI O�TENANT ❑ ELECTRICAL OPLUMBING ❑MECHN ❑ OTNER PROJECT DESCRIPTION 5�. FT. - , '-- OCCUPANCV_CONSTRUCTION TYPE VALUATION 20NE GRADING CU. VDS. ACRES PLUMBING PLAN CHECK TOILETS URINALS LAVATORIES DOUBLE LAVS KIT.SINKS OISHWASHERS SERVICESINKS ' SUMPS FLOOR SINKS FLOOR DRAINS ORINKING FOVNTAINS INTERCEPTORS CLARIFIERS WATERSERVICE ALTERATION GASSERVICE OUTLETS WATER HEATERS BTU OUTPUT SEWERCONNECTIONS SOLARTANK COLLECTORS SOLAR PIPING SVS. ISSUE FEE MECHANICAL aLArv CHECK HEATING SVSTEM 0-300,000 BTV _ ANO DUCTI NG 100,000 + BTU _ REFRIGERATION 0-300,000 BTU_ SYSTEM �00,000 t BTU _ BOILERS BTU SVSTEM REPAIR,ALTERATION EXHAUSTSVSTEM MULTIPLE ISSUE FEE CMF 0865-46 W�ite-Bulltling; Gnary-Appliwnt: Pink-Accounting; GOIGenrotl-Assessor H.P. $ ZONE 8608 I�I/23/81 NING REGULATION PLNG. REF. � REAR VARD (TO P/L) PKG. SPACE REQ. STREET WIDTH zONI NG APPRO V ED B V.,, :7ECIAL CONDITIONS: PROVIDED ' PARK FEE 5� - ELECTRICAL PLAN CHECK SCJ. FT. GENERATOR 0-1 KW_1-30 KW - TRANSFORMER - APPLIANCE 10-SOKW_SO+KW MOTORS 0-1 HP_1-10 HP (INC. SOLAR) 30-50 HP 50 + HP � FIXTVRES OUTLETS SWITCHES GAS TUBE SIGNS . ' PA7QEL5 MAIN � SUB ��. SERVICE �—� P u� �/-�p EI+i ISSUE FEE APPLICATION APPROVED BV SUMMARV'OF FEES � � BUILDING � � �� PERMIT . $ SMIP $ PLAN CHECK E PERMIT PLUMeING $ �SSUANCE $ PLANCHECK E 'GRA�ING S ELECTRICAL E �Q • � § PLAN CHECK E MICROFILM E MECHANICAL E � TOTAL FEE S PLAN CHECK E � LESS AD- VANCE PC E 10.00 TI.! FINALFEE E/�• � � .. . / / CONSTRUCTION AND PLANNING POOL & SPA - •, -1T � `�� �'%���' • � •=� - �; ��3 Date Inspector ' ' Date , � Inspector APPROVALS Permit # 1 APPROVALS Permit # 1. Temporery Electrical Service or Pole �� �� �LC� 43. Pool & Equipment Location ' Soil ipe-Un rgrn 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 Gm 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. 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-Final 13. Rough Plumbing - - - 14.- Rough Electric-Conduit :56. Electrical-Final 15-Rough� Electric-Wiring � . 57.. Solar System-Final � ' - � - ' 16. Rough Heating & Air Conditioning • encing & Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating � - � � _ � �- � _� � 19. Gas Pipe-Rough & Test � � � 60. POOUSPA SYSTEMS FINAL � , � 20. Roof Framing � � � - 21. Roof Sheathin � , , . 22. Frame and Flashin NOTES: 23. Insulation � '� > 24. Lathing & Siding • ' • 25. Drywall Nailing �'� ' � ' � 26. Plaster Brown Coat ' - 27. Electrical Power MeterFinal • � � 28. Final Electric � (-L�f-fl LG - 29.- Fina� 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 36. FINALSTRUCTURE&BUILDING 39. Special Requirements Completed � � -� 40. Electric Reiease to Edison 41. Gas Release to Southern California Gas Co. " 42. CERTIFICATE-OF OCCUPANCY � � � - No- Date . - � - �. : - � -' � � t�� . - ' npancant to rui i� au saams w�tn�n neavy eorder iine: a�a :iyn an aPorooriata aeei�rations. 969I �•2/ � �/e � , - TRACT NO. LOT NO. ' BLDG. NO. - � - � .•--•• .. . .. . ., _ . 37�00 TL CITY OF COSTA MESA - - aea T No. � COiVSTRUCTION PERMIT '�Q / �J/ � � • Project Address ' . , . • . TVP�F-(1F CONSTRUCTION � � �/'/�/� 7 .' - � . . . , • . , Owner y � Phone, - -� NEW � O ADD ❑'ALTERATION � ♦ , / ,� q � � ' - ' ' ' - � \_JG�.LJ '�Address 3�" y"J G F'jA , r � ❑ REPAIR ❑ CONVERSION ❑DEMOUSH , , '- ZONING REGULATIONS ArchlEng. - � - � License No.- - ❑ oTiiER ' - _ , DESCRIPTION OF WORK A'P' � � Addre55 - " '•' - -- � • ."� ZONE PLNG. REF. � �' Contracmr �. jj. nj -,J �. Phone ;��c TVPE OF PERMIT ' � � 5E-reaCK 5T. ��O�P����vNLirvE Addre55 �j e r . " ❑ GRADING ❑'FOUNDAT,I�ON� ❑ STRUCTURAL SIDE VARD' -' LICENSED-CONTRACTOR OECLARATIO _ ❑ TENANT ❑ ELECTRICAL �1PLVMBING ❑MECHANIGA � L5EDE VA � � - I hereby a(firT that I am IlcanSetl untl¢r provl5iOn5 O( Charter 9(<om- . �d RIGHT mentin9 wilh settlon�7000) oi OlviSion� 3 ot the Busine25 anE �OOTHER . Professions Cotle; a tl license is I full � rca tl e t. REAR VARD (TO P/L) , PROJECT DESCRIPTION License la/ � � ��� ' �� ��� � � , - � . � � � � - - • PKG. SPACE REQ. - . PROV IDED ' Date ` �� / ' S19nature � . � �. �- f% �- /� !>- SQ. FT. ' _ '" . • -' ' _ ' " WORKERS' COMPENSATION OEGLARATION � � OCCUPANCV '=�' CONSTRUCTION TVPE STREET WIDTH � PARK FEE 5 I nereby afflrm that I have a certlfltate �7 consent to self-insure or a. VALUATION ' ��ZONE ' Z�NING APPROVED BV "' ' DATE ' ceftitiGta Of WorkGIS' CompenSdtlOn InSuranC9, Of a Ceftlfletl copy ' _ thereof (Section 3800, l.ab. C.). �n GRADING CU. YDS. ACRES SPECIAL CONDITIONS: � � PoIicY No. ComPanY /����"'`�� - - ' ' � " �- .. �,rt(fietl topy Is here�y furnishetl. _ ' REMARKS: . 053 ' " � � artifietl tOpy Is filetl witn tha,clty BUIItlin9 Dlvision. , • , 1E..EMPTION FROM WORKERS' COMPENSATION DECLARATION "" ' ' - - - - (This 5ettion neetl not, �e mmpletetl i( the permlt is tor one huntlretl � SS100) or less). ' ,. "� " � ' -- - ' ' ' ' ' � - certity that in the performanG¢ Of [he work fo� wnich this pe�mlt'is 6suetl, I shall not emPloy any per5on in aoy manner so.as to become PLUMBING - -.. PLAN CHECK "� ECECTRICAL - PLAN CHECK ' subject to the Workers Compensation Laws of Gllfornla. �ate Si9nature� 6ATHTUBS �SHOWERS -� - NOTICE: H atter making tnis tleclaration, you shoultl become subject, ', TOILETS ��, URINALS "� "'- ' � -GENERATOR '0-1 KW_1-30 KW to the Worker5' Compansation provislons of the Labor Cotle, you must TRANSFORMER torthwith compry�with sucn provislons or this permlt snall be tleemetl LAVATORIES DOUBLE LAVS -" ' "APPLIANCE 10-50 KW_50 + KW - -- r¢voketl. _ � _ KIT. $INKS " DISHWASHER$' " ' - MOTORS- CONSTRUCTION LENDING AGENCV ` 'Od HP_1d0 HP "" I hereby a(firm lhat Ihere IS a con5tructlon lentling agency for [he per- SERVICE SINKS ' ' SUMP$ -- " -- ! UNC..SOIAR) 30-50 HP 50 � HP - - tormance Of Ihe work fOr which thli p<rmit i5 ISsuetl (Sec[ion 309] - ���• �'%' - � � � ' � ' -- ' ' - FLOOR�SINKS -� FLOOR DRAINS- -" ' -FIXTVRES- " ` OUTLETS SWITCHES Lentler's Nama Lentler'sAtltlress ' DRINKING'FOUNTAINS J� 7 ' ' GASTVBESIGNS - � OWNER BUILDER DECLARATION - ' ' ' ' ' ' ' WTERCEPTORS CLARIFIERS '� s - POCE LIGHTS "-' ' - I h¢reby af8rm that I am exempt from the ContrdCtor'S licen5e Law for 4he followin9 reason (Sectlon-7031.5 Business antl �Professions�Cotle: SWIMMING VOOL" � P TRAP -' - ' ' � - Any city or county which reqWres a permit to construct, alter, POlES METERED.� . SVB improve; tlemolish�orrepairanystructure, prior to its Issuance, also re- �yyqTER SERV ICE " ALTERATION - -' ' PANELS MAIN SVB - ' quirez th¢ ap4�lcanl io� Such permit to file a Sign¢tl Statem¢nt lha[ he is Ilcense0 pursuant to lhe provisions of [he Contractor's-License Law GAS SERVICE �� � OVTLETS j -- SERVICE ' '" AMP' (Chapter 9(COmmenting with SeGtlon 7000) ot Dlvision 3 of the 8usiness antl PrdMsions{otle) or that he I5 exemp4therefrom antl lhe- - yyqTER HEATERS BTV OVTPUT " ' - basis for Ihe alle9etl exemption. Any violatiOn DI Section 7031.5 by �,c_�:�.applicant (or a perm{t subjects the apPlicant-to a civil penalty SEWERCONNECTIONS' _ �- a - '� - - --.�:�t more than five huntlretl tlollars (§500). "''i'.,t"as ownerbflhe properry,'or my'errmployees with waqes as t�eir SOIAR TANK"' '- '"COLL CTORS � ' ' 4iire compensation, will tlo the work, antl [he struclure is nol intentletl or bfteretl (or sale. (Settlon ]044; Business antl Professions Cotle: The SOLAR PIPING SVS [� '- ISSGE'FEE - ' " " Contractor's License l.aw tloes not apply to an owner of a property ' who Ouiltls or improve5 [hereon, antl who Coes such work himself-or ISSUE FEE - r -- ' APPLICATION APPROVED'BV � '- DATE tnrough his Own employees, provitl¢tl tha[ suth improvements are not 'intentletl or oHereC (or sale. If, however, [he builtling or improvement MECHANICAL PL'AN CHECK is soltl within one year_oi completion, Ihe owner will have the burtlen . SUMMARV OF FEES - � o( p�oving hC tlid not builtl' o� �improve for the pu�pose o(-sale)T BUILDING ' - ' � - - � I, as owner ot tbo property, am. exclusivery-contracting with HEATINGSVSTEM 0-100,0008TU PERMIT E .� SMIP' = E� Ilcensetl coniractors to con5(ruct the roect Settlon ]044, BuSiness AND'DUCTING' -- . P 1 ( ]00,000+BTU PLANCHECK E PERMIT antl Professions Cotla: Tha Contractor'S License I�w.tloes not apply to -- ISSUANCE � E an owner ol property who builtls or improves thereon, ana who con- REFRIGERATION Od00,000 BTU P�UMBING .tra<[s �from-such .pro�ects. with a con[ractor(s) Iicesnetl Oursuant to SVSTEM -- � - . E" GRADING- f the ContraGtOr's LlcenSe Law�. 100,000 + BTU PLAN CHECK E . �- �"I"am exempt untler Settlon - - B. & P.-C. for this gOILERS BTV ELECTRICAL $ �� � � s . �reasom - . " . - ' - - MICROFILM S � F SVSTEM REPA1 R, ALTERATION 7LAN CHECK' S Da[e Ownei '�TOTAL FEE E I hereby certifythat I have rpatl [�is app ication antl state that the above EXHAUST SVSTEM MVLTIPLE MECFIANICAL E - - . , 'informallo�l is"correct. I' A9ree [o mply,-'with all city'antl w ty- -PL-AN CHECK E - - ' �E55 AD- � � ortlinances and state la �elating to onstr c[ion, antl hereby aut rize. _ y VANCE PC $_ . I, �epr¢sent@ Ives' of' cty-t ter p n th above en oneG- ' •� ' '.��j �. property \ r in t ur s _ _ /q R`' _ ,� � FINAL FEE E Se:L_ Signatur¢ � �'J � _ � //�T _ ISSUE FEE-- -- - � - . Orivers• Lice ie or 55 -g �� �' ' - -- ' - - - - ' - - � CMF 0865-46 Whi -Builtlin9: Wnary-Applicant: Pink-Accounting; Goltlenrotl-Assessor ,- .:, : CONSTRUCTION AND PLANNI y�Q/ POOL & SPA � � APPROVALS Permit #� G vV r Date Inspector qppROVALS _ Permit # ' ' � Date� Inspector .' 1. Temporary Electrical.Service or Pole � � 43. . Pool & Equipment Location � - � ' - Soil ipe-Undrgm - - � 44. Steel Reinforcement ' - • ' - .3. _ Electrical Conduit UtilityUndrgm ' 45. Forms � - - � 4. Electrical Conduit-Undrgrn - � 46. Electrical Bonding •- - �- . tee ein orce _ �- 47. Rou h Plumbin & Pressure Test �-� � 6.. Electrical UFER Grn ' ' - � 48. APPROVAL TO COVER-GUNITE - 7. Footings � ' 49. Electrical Conduit-Undr rn ' �+ . 6. Foundation . " � 50. Gas Pi e, ❑ Undr m;�Test� -> � ' � � - 9. Water Pipe-Undrgrn _ � - ,L �,Z(' 9/ 51. Backwash Lines P-Tra �' � ndr Fn" �• - -"��- �' 10. Svuctural 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 i- - - 14. Rough Electrio-Conduit '- ' -- ' -56. Electrical-Final � 15. Rough Electric-Wiring - � - � - -57: Solar SYstem-Final � � ' � ' 16. Rough Heating & Air Conditioning � '- - - . � encing,& Access Approval 17. Ducts in Structure " ' 9• APPROVED FOR PLASTERING 18. Ducts, Ventilating - . _ 19. Gas�Pipe-Rough &Test � � - - - - � - � 60.�_POOUSPA SYSTEMS FINAL � ' - - 20. Roof Framing - � • ' ' � - ' 21. Roof'Sheathin � � - � - � - � • � - - � � � � • � � - � 22.. Prame and-Flashin - NOTES: � ' - � � � ' 23. insulation � � � � � ' ' � ' - � 24. Lathing & Siding � � - � - --- - - - •- 25. Drywall Nailing ' - � � � 26. PlasterBrown�Coat� " � ' �- 27. Electrical Power.MeterFinal - ' - ' � � � • � - � - - 28. Final Electric ' � � � • " 29. Final Heating & Air Conditioning � \ ' � � � � - � •• � - � 30. Final Gas Pipe-Test � . o - � " - ' - 31. Final Plumbing ' ' � ' 32. - Water Service-Final - � � - - - � � ' � - - � 33. Gas Service-Final ' � 3 ' 34. Solar pomestic•Final ' � ' � 35. Landsca e S rinklin S stem � �- ' � � � � - � ` 36. Sound Attenuation ' 37. Handicap Regu�ations �� ' • - � ' ' 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 : . � � . . , . . . . . i AFP���ant to flll in all space5 wit In ho y porEer lines ana'�ign all apP�op�iale E�eetardtioni. �.. � SiITY OY COJ�1 MESA PERMIT NO. ' � TRACT NO. LOT NO. BLDG. NO.' "�- '- '� CONSTRUCTION PERMIT %3 aO S 3 I��� � �� � Praject Address ' Z,�/� � �,- TYPE OF CONSTRUCTION Owner �. 'Phone'f' �'NEW . ❑ ADD ❑ AITERATION Addr255 L:{ L,Qry,�-f qG7 ❑ REPAIR ❑ CONVERSION ❑DEMOLISH Arch/Eng. -- -•) y..� e� License No. f ❑ OTHER AddfeSs ' DESCRIPTION OF WORK .�,Z. r✓i � ' t../�/ � � �- 9623-12/17/81 - 326.38 TL 6 - ZONING REGULATII n.a. � 4' 71�- 341. •-�6 �� i ZONE T2.�{ PLNG. REF. Contrector 'v'�y' ;_ � Phone .. -- `- / •', - - �wirv� . � � TVPE OF PERMIT,y� SETeaCK C/L Sr. S � AddIe55 ' - '�" " � . ❑ GRADING t�,FOUNDlYTION �STRUCTVRAL 51 YARD UICENSED CONTRACTOR OpCLARATION ` ❑TENANT ❑�ELECTRICAL�❑PLVMBING ❑MECNANICA S��pETq I hereby aitirm tnat I am IlcenAetl untler provlslons of Charter; 9(com- � � Y��� .• i r � i� R GH men[Ing with section']000) of'DlviSion-3-of the Busine55 antl ❑OTHER • - Professions Cotle, antl my q�¢nse iz In full tortt antl eftect, pROJECT ESCRIPTION_ ' License Class Llcense No. o Date Si9nature _ 54. FT. �Z 1 � �GO �(.(�%, _ . WORKERS'�COMPENSATION DECL'ARATION - OCCUPANCV CONST�UCTION TVPE__ I hereby afflrm that I have a Ceriificate ot consent lo self-insure or d VAWATION G ZONE "certifitate' oP Workers' Compe�sation Insurence, or a-certiitetl copy� - - tbereof (Seclion 3800, Lab. C.), GRADING CU. YDS. ACRES _ zlicy No.� � Gompany � ' y�T ' etU(led COpy Is�h¢r¢Dy (umis�¢tl.- - -- - ' REMARKS: - P�,��"�ertHletl copy is filea with the,ci[y Builtling Division. . � � REAR VARD (TOiP/L) 'L � - % -� - PKG.SPACEREQ. ',.,��PROVIDED �v� STREET WIOTH � , PARK FEE SY � 20NING APPROVED B DAT �_ � � SPECIALCONDITIONS: � . � eTdf9V.Y1 CAD Cecnu r nci........"_ __ � EXEMPTION FROM WORKERS' COMPENSATION�DECLARATION ' - - C�J ' '-' '- (This settion need not be completetl if the permit is for one.huntlretl _ - ., . . Sg1001 or less). .. , . `r . carttty_Nat in t�e pert0/TanCe'of th¢ wo�k fo� whith this pe�mit IS , Issuetl, I shall not employ any person in any manner so as to become �,PLUMBING-. " • PL'AN CHECK sub�e<t.to�thaWo,kers'CompensatlonLawso(California._ " - gqTHTUBS SHOWERS Ddte $i9ndturt NOTICE: It akerimak7n9 thiz tleclaratlon, you shoultl become subje<t TOILETS• � • URINALS ' ' to the Workers' Compensatlon provisions of the Labor CoOe, you must �� for[hwith comply;with such prbvisions or this permit shall be tleemetl WVATORIES DOUBLE LAVS- tevok¢tl.. - "' "- - � . . " ' . _ - " CONSTRUCTION LENDING qGENCV KIT. SINKS' -- DISHWASHERS I hereby atflrm-tha[ there� is a eonstruction lentlin9 agenty for tne per- SERVICE SINKS"� � SUMPS , " -- .formance of•the,work.torPwhi�h (hls\permit i5.issuetl (Section,309] � ��°� ���•. �� � � y' F�OOR,SINKS. � FLOOR.DRAINS '- CenEer's Name -' � �� � � � ' - Lentlor's(Atltlress - �� ORWKING �OVNTAINS� - OWNER BUILDER DECCARA710N' ' � �� � � � ' "'' �`� � • �NTERCEPTORS CLARIFIERS � I hereby aftirm,tha[,I'am exempt iroT.thB� Conlydctor'S �ice�f5¢ Gaw fQr, - � tha followinq rea5on (Sectlon'7031.5 Buslness"antl Prbfessions;Co7e; SWIMMING POOL , 1 �-PTRAP ' t\nv citv or countv which reouires a oermit to.etOnStrUct,-lalter, quir¢s tlte apHlicant fo� such pBrmit to file a IS-lic¢ns¢tl"pursuant'to Ihe provisions ot t�e 1Chapter. 9 (<ommencin9.,.witq 5¢�(lon 701 Business antl Prd¢ssions CotlC) pr that tte is � Oa515 fo� tne pll¢9e4- exemPtioq, qny violatl • appll�hC fa� a p¢rmit 5ub7ect5 [be aF �ot more lh5n (ive hunEretl tlollarz��E50� I, as owncr of the property, or my,emp Sol¢ COmOenSdtion. will tlo the p/olk: dnG tth onvac�or>uceiue w GASSERVICE )��o/ Divisian �3 of Ih! � '.empt therefrom antl tne yyqTER HEATERS � ot Section ]031.5 by Icant to a-Uvil;pen5lty -'SEWERCONNECTI ..� . ..:. )•.�.. . yees:with wagaz as their� SOLAR TANK i' FEE �ALTERATION '- OUTLETS BTU OUTGUT - V$ ., . _ . �. {OLLECTORS th(Dugh'his:owNemployee5',ipfovitl¢d� thal SUCh ITPfovGmen[5 dfB nOt. "'' " - i53o OBwIP1iln�onC ye5v'bt'cOmble�iOn,,.t�h0 awper'tlwll9 hdJe'the tiurtlen MECHANICAL.a, �\ ^t„ CPLAN CHECK ot roving he,tlitl pot bulitl or improve for the purpose of szle).� HEATING SVSTENj, 0-100,000 BTU I as owrier of tlie'p[operry, am,�ezclusivery`contra'cting with qNDDUCTING it nsetl contractors to consGuc[ ihe prolect (Sectlon 7044, Business �� . .1 100,000 a gTU antl Professions Cotle: Tne Contrac(or's�Lianse Caw tloeinot apply to ' �� an owner of property who builtls or improves thereon, antl who con- REFRIGERATION 0-300,000 BTU tratts-from such prajects with a mntractor(s)-Iltesnetl-pursuant-to SVSTEM'� -- the ConVactor's LI<en5e Law). 100,000 + gTU ❑ I am exempt untler Section ' - 8: 8 P. C: for this - ' BOILERS BTV - rea5on ' ' -' "' - ' SVSTEMREPAIR,ALTERATION I �ate � 2��E � x � owner 1 hereby certirythal 1 have reatl this aOPlication untl s[a[e that the above EXHAUST SVSTEM MULTIPLE iniormatlon Is mrrecL I a9re@ to comply with all city antl county ' - Or0lnance5 anG sta[G laws relati�g lo COnstruCtion, antl h¢re0y authoriz¢ representa ' of his city to enter upou [he above mentlonetl property, or, ns e ion puypp�yL, _ ' cL.//� �� �-/J�: �� Slgnature Da[e__,�,� . �SSUEFEE - -- � - Drivers' � cen � CMF 0865�46 White-Builtlinq; �ynary-Applicant: Pink-Ac<ounting; Goltlenrotl-Assessor � RS _: � 11 EL'ECTRICAL PLAN CHECK cnHivn 0-1 KW_3-lOKW - TRANSFORMER APPI,IANCE 10-50 KW_50 � KW - - MOTORS ' ' 0-1 HP=1-30 HP ' ' (INC. SOLAR) 10-SO HP $O + HP -- FIXTVRES -OVTL'ETS SWITCHES ' GASTVBESIGNS' - 1� � POLE LIGHTS ' - - ' ` - -, " POLES METERED SVB� �� � PANELS� � - MAIN_ $VB ' , �, � 155UE FEE - - ' APVLICATION APPROV ED BY ' ' --OATE - SUMMARY�OF FEES ' BUILDING - � � PERMIT E��� SMIP� . $�! PIAN GHECK § ..• . . PERMIT - ISSUANCE E PLUMBING- 'j¢ . r PLANCHECK \ GRADING E � . ELECTRICAL § , - a ' PLANCFiECK � MICROFILM S. �' � TOTAL FEE S MECHANICAL -E" - -- - PLAN CHECK �S ' � � LE55 AD- - VANCEPC' $_� ' ' , � ., . , , . : �j�� 3�_g�y� FINALFEE $�W`. ' ' _ . . - . . . . . _ � '� Applicant to fill in all s0aclf wlihln heavy bo�Cer Iines anE slgn all a0G�o0tiale tleclarilionf CITV OF COSTA MESA PERMI�NO.� /� TRACT NO. LOT NO. BLD .� . CONSTRUCTION PERMIT i r o� Projett Address 93 W, 18TH ST,• BLp - TVPE OF CONSTRUCTION Ownef JI PhOnC �— �}0 %] NEW ❑ ADD ❑ ALTERATION Addrea 1S3�L LA LONW LEN10N HEIGHTS CA ❑ REPAIR ❑ CONVERSION ❑DEMOLISH Arch/Eng. License No. ❑ OTHER DESCRIPTION OF WORK Address Co�tractor FUTURA ENERGY PRObUCTS Pno�e 773• Address (7�}1 S. STATE COLLEGE BLVD. FULLEf LICENSED CONTRACTOfi DECLARqTION I �ereby affirm lhat I am Iicanietl unEer provislons of C arter 9 Tencing with sectiOn 7000) of DlviSi � 3 the Buslne5 Protesslons Cotle, antl my Iicense is���ul� forc antl i WORK�RS COMPENSATION �7CLARq'�ION I hereby afilrm [hat 1 have a UrNficate bt mnsent to solLinsure or a carUfiw[e ot Workers' Compedsatlon In;urance, or a tartlBed copy thBreot (s� Ction 3800 I.ab. C.). �-�icyNoYW�q�5�y�5 comvanyFUTURA—M1NTnN TNS_ 'ertitletl copy is hereby (umizhetl. �ertitletl copy is filetl with the <ity Builtling Divition. E%EMPTION FROM WORKERS' COMPQNSATION DECLARATION (Thls 5ection n¢Btl not De completetl it trye pe�mit IS to� on¢ huntlrGtl (§SOO) OI �E55). I Celtlry [hat in Iha DeriOrmance ot the Work tor which IniS permil i5 Issuee, I snali not emPloy any person in any manner so as to eecome subjett to the Workars Compensatlon Laws ot California. Date Si9natura NOTICE: It after makin9 thls tleclara[ion, you shoulU became sub�act to the Workers' Campensalian pravisions of tne Labor Cotle, you must (orthwlth Comply with zu<h provision5 0� {his p¢r�nit z�all be tleem¢tl �evoketl. CONSTRUCTION LENDING AGENCV I here�y affirm that Ihere Is a conSVucUon lendin9 agency for tne per- fo�manCe of [h0 wo�k for whith Ihis permil IS ISSuetl (58Ction 3097 Civ. C.). Lentler'S Namo LenCor's Atltlress OWNER BUILDER DECLARATION I h¢reby atflrrT Ihat I am exempt frOm the Cont�acto�'s LIC¢n5a Law to� Ihe following reason (Sectlon 7031.5 Buyiness antl Pro/esslons Cotle: Any cily or County which rGqWr¢s a permil to cOnstruct, altar, improvo, tlomolish or repair any structure, prior to its issuance, alzo re• qWres [h0 appllWnt lor such p¢rmit to tilp a signetl Stdtament tM1at ho iz Ilcensetl Dursuanl lo tha provisions oi the Contractor's License Law 1CM1aptor 9(commencing wlt� Section 7000) ot �Ivlsion 3 of the BuSinesz antl Prdessions Cotle) or that he iz ezompl therefrom antl tne ba5i5 lor th¢ allegetl exemptlon. Any vlola[lon of 58ctiOn 7031.5 by apP��Wnt lo� a permit subjects Ihe appliGant t0 a clvil ponally ot more lhan live buntlretl tlollars (5500). i, as owner of the property, or my Grnployee5 with wag05 a5 Inair sole Compensatlon, will tlo lhB work, antl tha struGture i5 nol IntantlOtl or Off¢r¢tl tor sale. (SOGtlOn 7044, Busine{5 dntl Prote55iOns Cotle: Tha ConVacto�'S LlCeniG l2w UoeS not appty. t0 an owner o1 a prOperty who bui1E5 or improves thereon, antl whd tloes such work himself or mrnuab h6 own emolovees. orovitled that sucM1 imorov¢menti are nol is soia wimm ono year o� compieuon, ma owncr wm navo mn ouracn oi provin9 ne tlitl not Duila or improve tor the purposo of sala). ❑ 1, as owner ol Ihe Oroperty, am axclusivery con[ratting wlth IicenSetl COnVaclor5 to <OnSVuct lhe projec[ (Seciion ]044, Builnest antl PrO/CSSIonS COtlO: The ContfactOr'S llcenSC �2w tlo¢5 not apply lo an owner of property who builtls or ImOrovez tnereon, antl wno con- traGts tfom 5uch ptojecl5 wilh a contrdrtOr(s) IICeSnetl pUrivant t0 the Contrattor's License Law). ❑ I am exompl unUer Sectlon B. & P. C. for this reason �ate - Owner I h¢r¢by certiiy [M1al I have reatl thii � pliWtion antl state Ihat th¢ dbove IntOrmaUon I5 corr Ct. I ree [o omply with all cify antl COunty ortlinances antl sta w e ating to onstruction, antl hereby au[norilu repr¢sent t os o th i y tD e t¢r 4pOn Ihe above me tionetl property r i ctl s� �Z l'-L Signature Date �s ' ISSUEFEE WNtG-Builtlin9; Gnary-qppiicznt; Pink-Accounting; Goltlenrotl-Assessor ,,,• 20NI H.P. iF ZONE SETBACK C T. LIOE VARD EF %� $ID E v RIGHT REAR VARD (TO P/L) PKG. SPACE REQ. STREET WIDTH ZONING APPROVED B` SPECIAL CONDITIONS: ELECTRICAL PLNG.REF.# PROVIDED PARK FEE $ PLAN CHECK GENERATOR p_� KW_1-30 KW � TRANSFORMER APPLIANCE 10-SOKW_50+KW�_ MOTORS 0�3 HP_1-30 HP __ (INC. SOLAR) 10�50 HP_ 50 � HP � FIXTURES OUTLETS SWITCHES - GHSTUBESIGNS ' ' POIE LIGHTS . PANELS MAIN SUB ISSU E ON APPROVED BV ' DATE SUMMARV OF FEES BVILOING PERMIT 5 SMIP f GLAN CHECK S PERMIT ISSUANCE S PLUMBING S GRADING� E PLAN CHECK 5 ELECTRICAL S s PLANCHECK E MICROFILM $ MECHANICAL b , pn TOTAL FEE $ �� PLAN CHECK $ � LE55 AO- _ VANCEPC S_ FINAL FEE E 7• OO CONSTRUCTION AND PLANNING POOL & SPA ' � � APPROVALS Permit # M� Date Inspector qppROVALS Permit # Date Inspector � 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location . Soi ipe-Undrgrn � 44. Stee� Reinforcement 3. Electrical Conduit Utility-Undrgm 45. Forms � 4. Electricai Conduit-Undrgrn 46. Electrical Bondin . tee ein orce . 47. Rou h Plumbin & Pressure Test 6. Electrical UFEP Grn 48. APPROVALTO COVER-GUNITE ' 7. ootings 49. Electrical Conduit-Undr rn 6. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tre ❑ ndr rn�.' - 70. Structural Floor System 52. APPROVAL TO DECK ' � -' '- 11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final � 72. Street Sewer Connection 54. Heater & Vent-Final 13. Rough Plumbing � 14. Rough Electric-Conduit �� .56.: Electrical-Final 15. Rough Electric-Wiring �' 57. � Solar SVstem-Final 16. Rough Heating & Air Conditioning 3�--Ri • encing & Access Approval 17. Ducts in Structure �j L APPRO`JED 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. 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. 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. �lecvic Release to Edison • ' 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY • , 'No. Date - � , - � � � � � si_ , • ( S � AGplicant to fill in all spaces within heavy Eortler lines an0 sign all appropriate tleelarations. CITY OF COSTA MESA '- PERMIT IVO. � TRACT NO. LOT NO. ' BL . N . - ' ' ' ' ' CONSTRUCTION PERMIT /V%����,5� ` ' ' ' 2746 '3/02782- 9.00 TL Prolect Address 93 � N+ ' TVPE OF CONST.RUCTION - ' ��' " . ^ .' , . � OWnEr K ti ' 'PhOnB ' ' ❑� NEW ❑ A�� ❑ ALTERP.TION ' " � � � , ' ' � - ,AddIe55' '- - - -- - ❑REPAIR ❑CONVERSION�❑DEMOLISH -_ .. 1 � _ . . .00TFfEfi � • - ZONINGREGULATIONS . � ArchlEng:' � Lirense No. A p� V DESCRIPTION OF WORK � AddfEss � ZONE �PLNG. REF. � � � , Contractor - C �J;y£ � ,� � Phone � TYP.E OF PERMIT - , � % . - ' TpgU I�p ING � � _ - SETBAC C ST. PROPERTY LWE O , Addreis �f�- , � "" Qp,.y � ; .� GRADING ' ❑ FOUNDATION 'O STRUCTVRAC -- � ID YARD - , -._-p 'LICENSED CONTRACTOR DECL'ARA �ION - � � � � � �D�TENANT�O ELECTRICAL ❑PLVMBING-OMECHANICA 5Ip E V - � - � �I hereby affi�m thnl I am licensetl untler Provislons of Charter 9(com- � - - RIGHT - mencing with sectlon �7000) ot ,DIvlSion 3 �oi -the Business antl �� � OTHER� --� -- - --- - � � ` Pro/osslons Cotle, ,antl my ❑censa Is In full force antl eftect.- - PROJECT DESCRIPTION- � ' � REAR VARO (TO P/l) , - � LlcenseClass � �cGnieNo.s'fZ7��� , '' � . � �. . - ,PKG.SPACEREq. � PROVIDED � - '�-Z�S�f2 . . . .. " _ .' SQ: FT. - - . ' _ _ ' ' ' " . " . ' _ ' ' _ ' Date Signature � � ' STREET WIDTH -�PARK FEE E+� . WORKERS' COMPENSATION��DECLARATION .- ���OCCVPANCV "� CONSTRUCTION TVPE, iZpNING APPROVED BY � DATE ' 1 hereby aftirm that 1 have.a certifi<ate of consent to self-Insure,or a ,VAWATION •� � ZONE � � ' � � � � cerHfifata of-Workers' Compensatlon Insurance; or a-certl�letl copy �� - - �- _- �.. " - '-' �, " - SPECIALCONDITIONS: � ~� � � � � � thereof (Section 3800, Lab. C.). � - -n GRADWG CU:?�'O5. � ACRES' - �- { � .!AY No. ComOam,.. .�'� - �C���I7Ell T rlraY� ' "' ' "" _ . " _ " . _ ' ' �Y ��=ertitietl COpy Is hareby (umishe0. - - � __ �. � .. _ REMANKS: � � - - . ' -- - . -_ . ^ . _ "' _ ". " "' _ _ � .;.��;ertifi¢tl copy I51Iletl with the tlty Builtling Divisbn. � , , �EXEMPTION GROM WORKERS' COMPENSATION DECLARATION '" ' "" "'-'" ' ' - ' " - ' ' "- ' -- __. . ,(ThiS Seclion n¢etl not be complet¢a it the permit i5 7or One.hunGretl . __ _ _ , . .. __ ,,, _ . � , _, ._ . __ . (E300) or less). . � , : -' ' " '. ' �'�-� - - � - .' .• ' l tettlfylhat in,the performance ot the work for which this permit,is. __ , ISsuetl, I Shall not employ any pe�zon in dny manne� so as,tO�becOm¢ � VLUMBING�, �J `. _ -P�Arv-CHECK ` �� ' `ELECTRICAL � . �'P�nrv CHECK . Subfe<t to the.Workers' CompenSdtlOn laws.ot Californid. � � - BATHTUB$ � �SHOWERS � ' ' � •r ;�Date Signature � ' �NOTICE: If atter making this tleclaration, you shoultl becomesubject TOILETS�: •�,�� , .URINALS �-' -� - GENERATOR - 0-1 V(W_1-10 KW � ,� to the WorkerY Compensation provisions of the Labor Cotle, you must TRHNSFORMEf3 �� _. forthwith comply wi[h such provl5ions or tnis permit shall be tleemetl LAVATORIES DOUBLE LAVS-"-- APPLIANCE 10-50'KW_50 * KW Fadok<tl. . " _ - . ._ � . . .._ "' " _'_`_ '" ' '_ _ :. _ . CONSTRUCTION LENDING AGENCV � KIT.SINKS DISHWASHERS _ "MOTORS -0-1 HP_3�10'HP' I hereby affirm tna[ the�e IS a wnstruttlon lentlin9 agentyfo/the per- SERVICESINK$• � �7;,;SUMPS� `�"" " 'ON0.50LAR)� --30-50 HP=50�� HP�� -� -- •i formance of tne work for which thls permit is issuetl (Sectlon 309] - Civ.'C.�:' `-" " '-' -' "" ' ' ` `" "' - - FLOOR SINKS FLOOR DRAINS - ��� � �- �,FIXTVRES'- -- OIITlETS ' SWITCNES ' ' ' ' " - � �entler's Name " - Lentler's Atltlress DRINKING FOUNTAINS ' r" -" "' - 7G%i5 TVBESIGNS" ' " -" - ' _ - - OWNER BVILDER-DECLARATION ' -' -" ' ' " -� IfJTERCEPTORS " CLARIFIERS � POLE'GGHTS --" ' " ' ' ` - I hareby a((i�m that 1 am ezempt troT th0 Contractor'S LicenSe Law ior � � , the followin9'reason�(Sectlon-�031�.5'Business-antl Professlons Cotle:- SWIMMING POOL " 'PTRAP" "' � i' - '- -' ' "' - Any city or county which requirez a perml[-to constru<t, al[er, �POLES METERED SUB � - 1 improve, tlemolish or rePair any5trutture,prior to'it5 izsuance, also re- yyq7�R SERVICE --- ALTER{iTION" � i-' PANELS" -� " MAIN' - '.SUB - - . quire5 the ap,liCant for Such permit to file a signetl 5[atem¢nt thathe - � � is Ilcensetl pursuant to'the"proNslons of tne Contractor'S Gcense L'aw GAS SERVICE � �_ OUTLETS� � ' "SERVICE '' ' ' -' AMPf' ' (Chapter 9(cammenting witM1 Sectlon 7000) of DIVISion 3 of the Business antl"Professions Cotle) or chat'he is'exempt therefrom antl tne y,�qTER'FiEATERS ' ' 8TU OUTPUT " - - ' ' ' - " ' '� ' ' ' "" - - " h^�IS for the allegetl exemption. Any violatiOn ot SeGtlon ]031.5 by- '"" � � appll�ant tor a permit'subjects the'applicant to a civil penalty SEWER CONNECTIONS "`" �� ' ` � -- � � � �- ' ' — - - " " - -' ""� �l mOre thdn tive huntlretl t1011a�s (5500). - �, i, zs owner of [ne propeity, or my employecs�with wages 5s their 'SOl"AR TANK-'� ' "COLLECTORS " -' �- '� " '- - - �" -" " ' ' '- ' " sole tompensation,.will d4[he work, antl the.structure is not Intentletl _ _ _ br offeretl for wle. (Sectlon 7044, Buziness anU Profes5ion5 Cotle: The SOLAR PIPING SVS. ' ��- - --ISSUEFEE ' - - - - 's nse w tloe5 �o[ a 1 to a0 Own¢� ot a pro0erty _ . . onlraclor Li<¢ .La P _ . C P Y . . _ " _ ... ' ' " _ ""_ APP Y - P I TION ROVED B TE wno bwltls or improvas [hereon, antl who tloes sucM1 work himself or ISSUE FEE. _ �� N PL CH -' :DA thrOuqh his own employees, provitletl thdt.such.improv¢m¢n[S are not ' , _.._ _ . , _ _ _ _ Intentle0 or otiered ror sale. It, howeveq the builtlin9 or improvement MECHANICAL -PLAN-CHECK � ' SUMMAHV OF F,EES • ' ��� � IS'Soltl_within_one year, Of cOmpletion, th¢ Owner will have,the burtlen � ' __ . , � of provin9 he tlitl no[ builtl or improve for [he purpose ot sale). HEATING SVSTEM 0-100�000 BTU '�BUICDING � � - � �--- --^ ------ �- �-I,--as-owner-ol �the-pwperty,-am ezclusively-contra<ting� with� _ _ _ iPERM1T S �_- SMIP•: ' E � _ ' AND �UCTING "- ' " " �'� ' � " ' - c licensetl conVactors to construct lhe project (Section 1044, Business 100,000,+ BTU ' 'PLAN CHECK E PERMIT - r antl Professions Cotle: The Contractor's-Licenso-Law tloes�not appry�to- . • - � - � - - � -ISSUANCE-E - -- an owner of property who builtls or improvez thereon, antl who con- REFRIGERATION Od00,000 BTU � �PLUMBING E y, ' (� tracts from such projec[s�wilh aton[ractor(s) licesnetl-pursuanFto- SVSTEM � -- - - -----�- �� - ' - -GRADIfJG S � ' the Contracror'S License Law). . ]00,000�� BTV , �PLAN CHECK E - ' _ - ' " � - ��; � ' , . ❑ I am e'zempt unGer Sec[ion � - - - B. & P. C: for tfiis , "-- ' T - �ELECTRICAL S �� .� a , . � BOILERS BTU � . , - 1 reason' ' -� ' - ' �PL'AN'CHECK-' b � MICROFILM�S , � � SVSTEM REPAIR,ALTERATION " I � ' Dato� ' Owner � TOTAL FEE E _ I hereby certi(ythat I nave,reatl lhit application antl sta[e tnat [he aDove EXHAUST SVSTEM ' MVLTIPLE �-,MECHANICAL`$� -. � �PLAN CHECK E • LESS AD- . . . information is conecL 1 agree-to compty with all tity antl�countY VANCEPC -S_ ortlinances antl state laws relatln9 to const�ucfion, dntl hereby authorize ,, - );' , - repr¢sentatives of" thlz city to en[er "updn the- abbve mentionetl , � ' '' property tor msp tlon_,purposes. , G _2�9Z_ • � m Signa[ure �-�lOA i.�x-%- Da[e J � FINAL FEE S 9• 0 rivers' License or 55 qj` ,�/ - ISSUE FEE - - . •. -• . ''3 ' ^ ' ' - . . . - •^• CMF 0865-J6 W�Ite�Builtling; Canary-ApP�itanL Pink-AccOunting; Goltlenrod-Aszessor CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# M'%^gys Date inspector' APPROVALS � Permit# Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - �• - -- - - � 2. Soi ipe-Undrgrn � 44. Steel Reinforcement -� - - - - � 3. Electr,ical 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 m � 8. _Foundation_ _ � - 50. � Gas Pipe, � Undr rn, Test � 9.. Water Fipe-Undrgr,n ' � � 51. Backwash Lines P-Tra 0 ndr rn ' ' - - - - '- ' ' 10. Structural Floor'System .52.. � APPROVALTO DECK`� " "' ' " " "-" � - ' - 11. Property Sewer Line_& House Connection ' ' 53. Backwash & fiece torFinal '• � � • ( � 12.. .Street.Sewer_Connection • � � _ .54. Heater & Vent-Final 13. Rough Plumbing - - - - - � - - - '. . . . _ ... ` _ . . . 14. Rough ElectricConduit �- �56. Electrical-FinaF � � � 15. Rough Elec4ric-Wiring -- - - - 57. Solar System-Final -� ' ' - ' � • ' • " . 16. - Rough Heating & Air Conditioning � •�' � ,�J� �% �. • encing & Access Approval • • ' 17. Ducts, in Structure � '� APPROVED FOR PLASTERING' � -18: -Ducts, Ventilating _ � _ _ 19: Gas Pipe-Rough & Test 60. POO.L/SPA SYSTEMS F,INAL ' � - 20. - Roof F�aming -.. - ' " • 21. Roof Sheathin� � ' � � ' - . . ' ' . ' � . .�, �� � � 22.- Frame and Flashin � �NOTES: - - � � " � ' ' ' � ' � - - 23. - Insulation - - � - � - � 24. Lathin & Siding - � ' � - - - - - - ' . 25. Drywall Nailing - - - - - - . . - ' . , • �-26: Plaster Brown Coat � ' - -'� ' ' , - 27. Electrical Power MeterFina� " ' - - � - 28. Final Electric ' - , 29.� _Final Heating�& Air Conditioning $�-$-. Z � •' 30! Final Gas Pipe-Sest � •. ' 31. Final Plumbing. ' "- � ' ' ' " � 32t Water Service-Final _ ' . ' ' ' � � � �33.- Gas Service-FinaL � � ' � : 34. Solar pomestic-Final ' �� ' � � • �- � � ,� . ' - I 35. l.andsca e S rinklin S stem ' ' - ' - � � ' ' � � 36. Sound Attenuation � � � • � � ' " " ' '" � � �� • � � - � � �� • � � � �� 37. Handicap Regulations - ' •� � : ' � � ' � ' - � � , 38. FINALSTRUCTURE&BUILDING '- � ' - -- -� � � � - • 7 39. Special Requirements Completed ' - - � - ' ' � ' 40. Electric Release to Edison ' - � ' � � � ' - � 41. Gas Release to Southem California Gas Co. - ' ' 42. CERTIFICATE OF OCCUPANCY ' _ � � - � No Date - ' - ' AVP�icant to fill in a11 sDaees witnin heavy EorOer lines ana si9n all appropriate aeclaratians. � GTY OF CO�A MESA - . • � PE �IT NO. ' ' TRqCT NO. LOT NO. � BL G. N . - -' - �- - - --- - - �- � - CONSTRUCT(ON PERMIT t � •, .,,.25�8 .2/2�/82 , ,: 12.00 7L• r� - , .. � Prolect Address �, . . _ , •. �Z _ '�. • : , • Tf-v= S% � TYPE OF CONSTRUCTION ) .�:a :� . _ _ ' - e ^ �'Ownef ' - - = PhOn2 - ❑ NEW ❑ AOD ❑ ALTERATION � / - - •' - ` - ' ,AddrCs; - - - - . ❑�REPAIR OCONVERSION ❑DEMOLISH ��� �' "� � . � .. � � � � � '- - � � ZONING REGULATIONS " -- -AfCh/En9. ' - ' ' - LicenSe NO. - ❑ OTHER ' �' � A.P.'� _ .. _ . . . . _ ., ' '_ DESCRIPTION OF WOR�IC ' � � � AddrESS' . -. . . ^ - ' ' - " - " ' - ' ' " ' - ' ZONE "" J PLNGI REF.39: '-' � ' CantraCror(��r - � Phone TVPE'OFPERMITq .,� -�'" --�- "�,' -'-- �(SEreP.0 .���OBV��I�F�vNLitvE• � �-AddreSS � ', '- � �� - - .� G_RADING�,"'❑ FOUNDATION ❑ STRUCTURAL -� � 510 TYARD - � ' - --- - - � - � �LICENSED CONT.RACTOR ECLARATIO . _ _ ._. ' __ - � TENANT ❑ ELECTRICAL ❑Pl_UMBING ❑MECHANICA �5ioev - -- - � - - � I hereby aTfirm th:.t i am licensatl under provisions of Char[er 9(com- � -�� . RIGHT ' mencing -with-sectlon-7000) -ol Divislon 3��of .the- Business antl. � � OTHER ' ' - _ . _ _ _. .. . 'R'ofa5516ns Cotle antl my Ilcense is In �u❑ forca antl effact. - � � � REAR VARD (TO P/Lj � . '-" " R - _ _ /� . _ ' �PROJECT•DESCRIP710N_ , . _, _ ' _ � . LicenseCla V�"r ��-� -- License No�.3�'�� . � � ' - � ;PKG.SPACE�RE�. � -' "'� , BRO,VIDED' '" " I Date'_'��'1I,.- ,.�m .�i���i/li. . '. d —� i . $Q:uFT: ' .. .N �1 _ _ ._ _ �' ' _ _ .. _ .. . '.. 'STREEYWIOTH - ,.., PARKFEE§�" j WORK@RS' COMPENSATION DECIARATION. _ ' OCCUPANCV '' ��� CONSTRUCTION TYPE � � 1 hereby affirm [hat I have a certiti�ate of tonsent to selt-insure.or a VALUATION ' ZONE ' 'Z�NING APPROVED BV:' "'.- ,` - 'DATE- "' - ttrHficz{e-o( Workers'-Compen5ation-Insurance,-or a-certltletl'coPY ^ ` .- � ' " '" � , 4hereof (5¢ction 3800, lab. CJ. , , GRADING CU. VDS. ACRES 'SPECIAL CONDITIONSi. "' -- ' ."� "-^tyNo.'_v ' '".ComoanY ..." "._" _ _ " _. _ ' ' '_ _ ' _ . . . _ ..._ .. ' __"'' . ' . - ¢rti(�¢d �opy Is,hereby furnisnetl,_ _ _ _ . : . .REMqRKS: �:.' ' ^ r . . ' .:¢rtifletl cOpy I5�1i18tl with the dty Builtling DiW5i0 � -� . J ' . " � : EXEMGYION'FROM WORKERS'COMPENSA DECIARATION - � - ^' ' - ' (This section neetl not ba completeq it thn permit is for one nuntlretl - � �^�^� • � � .�� •• 1 l _ + SE100) or less). " ' ' _ ' ',' ' ' " -.-. '. . ' ' - ' _ _ _' _ ""' - ' ' ' . _ _ •� certify [hat in the performance of the work for which Ihis permit li IssueA, I"shall -noEemploy any person in any manner"so as lo become �'PLUMBING�, fy« . PCAN CHECK- -�- -'" ELECTRICAL' ' ' PLAN'CHECK -� subject to the Workers' ComOensatlop Laws of Californla.' ' " ' �Da[e Si9natura � �BATHTUBS-� "- SHOWERS—�" ' ' - 2,- p0,- - NOTIC�: If aRer making this tleclaration, you should become subjact� T014ET5_ � �.URINACS' -'-" ' GENERATOR-- -p.l-KW_1-10 KW -� " - to [be Workers' Compensation provisions o( the Labor Cotle, you must �TRANSFORMER i- - � '. ( �forthwith mmOty with such provlsions or this permit ihall De Oeemetl LAVATORIES DOUBCE LAVS ' qppLIANCE "��-SO�KW_50 +�KVJ - ' -- �lvOketl,__ ( _ ___ . _ _ _ _ CONSTRVCTION LENDING AGENCV � ' ' KIT.'SINKS- - '" 'DISHWASHERS' ' - MOTORS - Od NP'_1-30 HP ' - - - 1 here�y a(ilrm tnat there is a construttion lentling agency Por the per- SERVICE SINKS i� � �.N:SUMPS '"' �' '•-- � (�NC..SOLAR}.,. _ 30-50 HP=50�+ HP'� -- _ ._ .� formanCe of tbe work for which this permit Is issuee (Section 3097 ' Civ. C.), � '� - -- � ----- ---- - • - - � -� - '� - FLOOR SINKS FLOOR DR'AINS ' ' - " }FIXTl1RE5' '- `OUTCETS SWITCHES � �Lentler'S Name 1 LenCer'S Atltlress '� DRINKING FOVNTAINS- �, " " "' ' �' - ' GAS TUBE5IGNS -- - - - - f OWNER BUILDER DECLARATION- - INTERCEPTORS� '�' CLARIFIERS ' POCE-L16HT5 - I hereby atfirm tha[ I am exempt from tb¢ Con[ractor'S License Law ror � I the�follOwin9 reazon ($ection-7031.5-BuSinessantl Profe55ions Cotle: �-SWIMMING POOL' '-PTRAP '-'- ' ' - - - - - _ . f Any ci�y or county which requires a permit to tonstruct, alter, �OLES METERED� � SUB Improve; tlemolish or repair any structure; priorto its issuantt, also re-- yypTER'SERVICE "- -"AL'TERATION "- '- - ' PANELS' ' "- MAIN ' ' SVB ' qui�es the ap'�.liwnt to� Su[h pe�mit to tile a signetl Stdtement thdt he �� Is Ilcensetl pursuanbto�[he-provisions of the Contractor's license Law� GAS�SERVICE- � � '-OCITLETS ''SERVICE � --� --- - -- - - AMP � (Chapter 9(commencing wilh Section ]000) of Division 3 of the • � . O � BusinesA antl Prdessions Cotlo)�or that he is exempt therefrom antl the WqTER HEATERS ��' BTU OUTPUT L' - �} �' - -� � - - --- -- --- � - - � - - baais for the allegeE exemptlon. Any violation of 5ection �031.5 by � applicant for a permit subjec[s-tne apPlicant to a� civil Penalty SEWER CONNECTIONS - - - ' ' - - - - � - � - - - - - i� more tban fiv¢ hund�etl tloltars (E500). - �., as ownerbf tM1e'prOperty, br my emploYees wHb wa9e5 as tbcir SOLAR TANK ' COLL'ECTOR$' "t - � O �--- � - " sole tory�pensation, w111 tlo the work, antl the s[ruc[u�e is not intontleC � � br of(eretl for sale. (Section 7044, Business and Rotessions Cotle: The 'SOIAR PIPING�SVS. � � ���' - ' j ISSUE'F E � " ' - Contractor'z License Law tloes not_apply to an owner of a proper[y - who tiu�ltlz or imDroves thereou, antl who tlocz such work him5elfbr ' ISSUE FEE - ' � ' ` ' ' � ' .APPLICATION P.PPROVED BY -- � - �DATE- - . Ihrou9h his own ¢mplOyees, provitletl thal Suth improv¢ment5 are not intentletl'or offeretl"for sale: I/, howeve�,-[he builtlin9 or improvement MECHANICAL PLP.N CHECK 1 ' $UMMARV OF FEES Is Soltl Witbin one year ol completion, the owner wlll �ave tbe bprtlen . ;� �, ' of prooin9 he tlitl not builtl or improvo Por Ihe purpose of 5ale)l HEATINGSVSTEM 0-100,000BTU -- ' BUILDING -- --- -- --.- _ .. ❑ 1, -ai� owner ot the propert . _ PERMIT _ b � SMIP _ � -E , y,-am exclusively contractin9 with. qND DUCTING-- IlGensetl mnlractors lo conSVuct lhe prOject (SeGtlon ]044, BUSiness 100,000 + gTU 'PLAN CHECK E �PERMIT .1 �� " � antl Professions-Coda: She Contractor's License Law tloes.no( apply to - - ..- ' ISSUANCE- S an owner of property who builtls or improves t�ereon, antl wno con- REFRIGERATION 0-]00,000 BTU PLVMBING E y tracts f�om. sucM1 projec(s. with._a contractor(s) Iicesnetl pursuant to SVSTEM � - -� �� - . .. �� GRADING. E the Con�ractor's License Law). 100,000.+ BTU � PLAN CHECK E ci. � �� - . � Lam exemp[ un0er 5ectlon'- - ' B.'& P_ C: for'this BOIIE(35 BTV � � ECECT0.ICAL" '8 ��� " ' - - E , reasom -- - _ __ _ _ _ . _ . ... '. . _ -' MICROFIUN 5 ' SYS7EMREPAIR,qLTERATION 'PLANCHECK"'E'" - '' - Date Owner � TOTAL FEE E, ' � MECHANICAL-E" I.hereby �ertifytnat I have reatl this applica[ion antl sta[e tha[ tne above EXHAVST SVSTEM MVITIPLE � 1 �. � . •LE55 AD- 't"�� �'� � i informa��on-is'correct: I'a9ree to comply with all clty antl county PLANCHECK-E'-�' ' VANCEPC S_' ortlinan�es ane state laws relatinq to constru<tion, antl hereby authorize � r¢pr¢seqtative5" of thls tlty to ent¢r upon the above mentlonetl � ' �" ' -� � �� �.,�� property for/ ins c} l/on purposes. � FINAL FEE L�.'�L_ 519nature oS-��lG�PN — Oate � ' .. ' . . _ E Drivers' Litense or 55 �{ �SSUE FEE- � . - _ . _ . 1 _ . _ . _ _ _ _ . CMF Oq65-a6 Whit¢�Builtling; Canary-HppliUnh, Pink-Atcounting; Goltl<nrotl-A55eS50r s. , CONSTRUCTION AND PLANNING • • POOL & SPA�. ` ' � � . � . -> Date Insbecfoi � ' � � � ' • � � �Date �- Inspector APPROVALS Permit # ' 'APPROVALS� � � Permit # - 1. Temporary Electrical Service or Pole � � 43. Pool & Equipment Location - - -�- -- _ Soil ipe-Un rgm: _ ' ' •' 44. Steel Reinforcement � � - � - ---- - - �� -- - - - 3. Electrical Conduit,Utility•Undcgrn� 45. , Forms � -- - - - - 4._ .Electrical Conduit-Undrgm. _,v - . 46. Electrical Bonding �� - -- - -- tee em orce � 47. RougFi Plumbin & Pressure�Test � - - - - � � � _'- - - -� ---�-'-- - --� - - - - -- _.6. Electrical UFERGrn . _ _ _ ._ _' _ _= .,� -- ' �� ��48. � APPROVALTO COVER-GUNITE ---- .- .� -.-� - - .� - ; � - 7. Footings_ _ � ' � 49. Electrical Conduit-Undr m � ��- � •" 8. .Foundation_ � �_ - . � � ;� 50... . Gas�Pipe,. � Undr in, Test - ' ' - • � _9. _Water.P.ipe-Undrgm _ ' 51. Backwash Lines P-Tra� 0- ndr'm '- --- ' " - - �� ' .10. Structural Floor System _ _ � '_ . _ . . � 52. APPROVALTO DECK " ' "- ' - ' "-' ' " ' ' ' ' _11. Property.Sewer Line,& House Connec[ion_ � _ 53. . Backwash�& Rece tor-Final �. " � � � � � � 12. Street Sewer Connection . ' ' � ' - -54,� -�Heate� & Vent-Final ' ' - 1.3.. Rou9h,P.lumbing. �. . _ . _- _ _ -� - - - - -- . . ._ - � 14. Rough Electric-Conduit � - -� " ' - �56..- Electrical-Final - � " � � � 15. Rough Electrio-Wiring � - - � �a - -��59. Solar-System-Final- '� " ' "- ' - 16: -' Rough�Heating & Air Conditioning - - � - - 7 � - � • encing & Access-Approval �17d • Ducts-in Structure-� , ' ' , ' � � APPROVED FOR PLASTERING � � -� 78. •Ducts. Ventilating • - - -- - - -- - - - . - -__ . ... . 19. Gas Pipe-Rough &Test - - - 60• POOL/SPA' SYSTEMS FINAL ' '' :. •, • � • � 20. Roof Framing � - - � � � �' � . 21i Roof'Sheathin � " � - - - - - - -.. .- , . , . .. ,^ 22. Frame and Flashin - NOTES: ' " ' . '. "' , ' , 23: Insulation � -- - - ��- - - � 24. Lathing & Siding � - - ' - - - - - - --� - • ' 25. Drywall-Nailing - - - - - � � � � - � 26: Plaster Brown Coat - � - • - � � - � 27. - Electrical�Power Meter-Final - � � - ' � � � 28�. - Final Electric -- � - � - �.• 1 � - 29. Final Heating & Air� Conditioning. - � • � - � � � . 30. Final Gas Pipe-Test . - - -- - - � � 31..-Final Plumbing - - . 32. �Water Service-Final - - ' ` ' ' ' ' " 33. Gas Service-Final � - � - �� � � � ' ' 34. Solar pomesticFinal �' • � � � � � .� � 35. Landsca e S rinkiin S stem �-� ' 36. Sound At[enuation � � � � �� • • 37. Handicap Regulations - " ' ' 38. FINAL STRUCTURE & BUILDING - - - - - � � 39. Special Requirements Completed" � ' � - � � � ' 40. ElectricRelease to Edison � �- � � � ; 47. Gas Release to Southem California Gas Co. - • • • � � 42. CERTIFICATE OF OCCUPANCY ' _ , . � � No Date - . , , ApPlicant to fill in all f �T'�-6FCOSTA MESA PE MIT NO. CONSTRUCTION PERMIT � Address `Address CAntrattor ,I hereby af Tencin9 N willtin heavy bortler tines an0 si9n all appropriate � TRACT NO. LOT NO. I /�,. , T�V/PE OF CONSTRUCTION ; PhOn J- '�CJ NEW- ❑ ADD ❑ ALTERATION � OAI /G� Tf ❑REPAIR ❑CONVERSION ❑DEMOLISH_ . �.iCenSe No. . ❑ OTHER DESCRIPTION OF WORK � � Phon g 6 TVPE OF,PERMIT; - -� -" s� T, . • '� ❑ G�RADING ❑ FOUNDA�N- ❑ ST{3VCTURAL �� N - � � �" ❑ TENANT ❑�ELECTRICAL' PLUMBING. ❑MECHANICF vizioas o�f Ch�arter 9 (com- .. - . .n ���o.e.. �e fl n�ruco ' �' ' t +' _ . . � � 1-�II�T.Re1� 03p9 6/29/82 ZONING REGULATIONS -' : PL'NTGp. REJFL. p� PROPE�RTVNL NE� ; Professions Cotle, ' m license is in tull force antl eit ct. � ' � ' rtc..n ...n�r ��.� .i�� ' PRO.IECTDESCRIPTION�. � �Icen� lass � � Lire}�� . - . - - � 'PKG.SPACERE�. ' oace sr St2 sie ae .E? (>G�'v-'�"�� SQ. FT. . WO KERS' COMPENSATION D�CLNRATION. OCCUPANCV_CONSTRUCTION TVPE STREET WIDTH I hereby attirm that I have a<ertlficate of cpnsent to self-Insure or a VALUATION - ZONE Z�NWG APPROVED BV' ,tertHicate�ot Workers' Compensatlon Insurance,.or a certlfietl.cbpy' .. - .. _.__ --1 . _.._ - - Snereot (SecUon 3800, Lab. CJ. � U I�/ ��� � GRADING CU.NDS. ACRES Policy No. - ' ComDany �Y - -- - - '.Jertifletl copyJs hereby furniSheC. . _ ._ _ . .REMARKS: •s � _ ,ertlfletl copy Is /lletl with the <ity Builaing Oivlsion. - c..EMPTION FROM WORKERS' COMPENSqTION DECLARATION - " O '- ' - � This se<tion neetl not Oe completetl if the permit is for one huntlretl �E300) or less). � � .. ' - - ' - ' -' - - � -- <ertity that �n the per(ormance ot lh¢ wo�k fo� which thi5 permit (5 , Issuad, I shall not em loy aoy person In any manner so as to become , PLUM6ING ' " ' =PLAN CHECK -' � - -� subject to the WorkerSPCompensatlon Laws oi�yi�(omla. �'� �� - Date Signature ' �� BATHTUBS� -' ' � SHOWERS" ' ' - NOTICE: IT a(ter making this tlecl5ralion, you shoultl become subject TOILETS �.�, � VRINALS"' -� ' -� to the Workers' Compensation provislons of the Labor Cotle, you must LAVATORIES DOUBLE LAVS -� --- - forthw{th mmply wlth such proviSions Or thig perTit shall bE tl¢emetl ' revoketl. _ _ _. . - _ . - - - - KIT. SINKS '- 'DISHWASHERS - ' -" CONSTRUCTION LENOING AGENCV 1 hereby affirm Ihat there is a construction lentling agenty for [he per- SERVICE SINKS � •SVMPS� '-` '- -� �- - formance of th0 work /or which [his permit is i55uetl ($ection 309] Clv. C:�.-� - ' - -�- ' - - - - - --- -- FLOOR SINKS' -" � �' ` FLOOR DRAINS lRntler'S Name Lentler's Atltlress ' - DRINKING FOUNTAINS' � ' ' - - ' OWNER-BUIIDER �ECLARATION- - - � -- -� - ' ' �NTERCEPTORS � � CLARIFIERS -' -- - � " I hereGy affirm that I am ezempt irom tne Coq[ractor's License Law for lhe follow"�ng reason (Section-]o31.5 �Buslnels an0•Prolessions Cotle:- SWIMMING POOL"- -'PTRAP -M �- Any city or county whmh reQulres a permit to construci, alter, Improve, tlemolish�or �repair any structure; priorto its issuance, also re- yyqTER SERVICE "` ALTERATIONT� - quir05 tlte ap'�IiCant fo� Such permit to file a si9netl statement that �e � ' is-Iicensetl�pursuant to-[heoprovisionsof-the•Contractor's License Lzw GASSERVICE � OUTLETS`-"`- �' � 1Cnapter 9(commencing witb Settion 700b) ot Dlvision 3 of [he � Businesrantl Prdessions Cotle)�or lhat-ne iz�exempt tnerefrom�antl the- yyqTER'HEATERS- "'BTU OUTPUT- - - basis tor the alle9etl exemption. Any violatiOn of Settion 7031.5 by CONDITI ONS: IOe�D TL PROVIDED ' PARK FEE § DATE - . ' ' _ _ ' .- J, i. _ :LECTRICAL- -9 - - PLAN CHECK �n. FT. �SQ_ FL iENERATOR- -04KW=340KW_ 'RANSFORMER 1PPLIHNCE -' 30-50 KW_501 KW _ AOTORS • � � 0-P HP_1d0 HP�_ IN0.50LAR) ..30-SO.HG SO.+HP�= 'IXTURES ' 'OVTLETS� SWITCHES- - iA5 TUBE SIGN&- - - - - � - 'OLE'LIGHTS- . -- ' • - - 'POLES�"- -METERED � �.SU � )PANELS�-- - -- MAW-- • � -SU �SERVICE� - -� -- - Y � �' d^" appl�wnt fo� a pe�mit iub�¢cts the-app����( t0 a-cNil-�p¢nalty � SEWER CONNEGTIONS - "' -- ' ' - - ' - - - - - � il more than five nuntlretl tlollars (5500), � - - as owner ol the'property, or'my emplqyees with wa9es as their 'SOLAR'TANK - ' "COLLECTORS - � - - • • •- - - - - - - � � - � - - - Se�c �compensation, wlll tlo the work, antl [he sVucture I5 not intentletl or offeretl for sale. (SecH6n �044, Business antl'Professions Coae: The SOLAR�PIPING SVS.- �'� "' ' ' ' '�SSUE FEE ^ •- -� - ContraCtOr'S LicenSe Law tlo¢s nol appty ta an owne� of a property � who builtls or improvM thereon, antl who tlp¢5 such work himself or ' ISSUE FEE -" f' '- -' "� ' '�APPLIGATION AP7ROVED�BV - - DATE - through his own employees, providetl that suth improvemen[s are not '' ' ' � intentled� or offeretl for sale.'�If, however, the tiuiltling or improvemenf' MECHANICAL PLAN CHEGK � � �� SUMMARY OF FEES , r-� B Soltl within one yea� ot compl¢lion, tha owner will have Ihe bu�tlen - _�, o/ proving he tliC not tiuiltl or improve fpr the purpose of'sale). HEATING SVSTEM 0-100,000 BTU ,PERMIT G E � SMIP S ❑ I. as� owner Ot the property, am ¢zUVsively con[raGting with qND DUCTING � � licensetl contractors to consiruct lhe project �5¢ction 7044, Business 300,000�+ gTU , P�AN CHECK $ PERMIT .� . , antl Professions Cotle: The Contrattor's Llcense.Law tloes not apP1Y to . -._ ..ISSUANCE. S an owner of properry who builtlz or Improv6s [hereon, antl wno wn- REFRIGERATION 0-100,000 BTU � PIUMBING E� ; � tractz from sucb projects witn-a.convactor�s).licesnea pursuant to SVSTEM - °� -� - - '"�GRADING°�§ lhe Contracfor'S License Law�. � 300,000�� BTU ' ��PLAN�CHECK E - - - ❑ I am exempt untler Sectlon '- - -B. & P. C'�or this BO�LERS � BTU ° `ELECTRICAC' S ' � -'- - " ' S - � reason - - - - - - - P�ANCHECK E-' � - _ MICROFItNI S Date Owner SVSTEM REPAIR, ALTERATION . . � TOTAL FEE E . I hereb certif tnat I nave reatl tnis a licalion ana state lha[ tM1e above EXHAUST SVSTEM MU�TIPLE MECHANICAL �S- - - ��� -- Y Y PP \��� �• �V , LESSAD- � . informatlob ls mrrect. I a9ree to comply wltn all' Uty antl munty' . � PLAN CHECK= -§ � VANCE PC- b�_ - ortlinances antl state laws relating to construction, antl hereby authorize � t •,., � - , _, representatives [ s city o' nter upoq 'tM1e above 'men[io etl • � � /� � P�oPerly to�^� e�, C Signa[ure "�'�^�A� Date � Z r o FINALFEE §./(�__ Drivers' Licenze or 55 � �� � ' ISSUE FEE ..- - � BC / FE� . CMF 0865-46 White-Builtling; Canary-ApPliwnt: Pink-Accounting; Goltlenrotl-Azsessor CONSTRUCTIONANDPLANNI '�,'^�. POOL&�SPA .' --- . - s , APPROVALS Permit #� � Date Inspector qppROVALS" ��� Permit # � � Date - Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Locatio'n - . Soi ipe-Undrgm -' 44. Steel Reinforcement '� - • 3. ElectricaLConduit Utility-Undrgrn. 45. Forms � - - - - - - 4. Electrical Conduit-Undrgrn _ 46. Efectrical Bonding � -- -- - tee ein orce � 47, Rou h Plumliin & Pressure Test - - � � ' - � � - 6.� Electrical UFER Grn _ 48. APPROVALTO COVER-GUNITE �- - 7. Footings ' 49. Electrical Conduit-Undr rn �� � 8. . Foundation . - - - . 50. GasPipe, ❑ Undr rn, Test '' - � 9. Water Pipe-Undrg�n . 57. Backwash Lines P-Tre -�' 0 ndi'Fn ` ' " � � 10. Structural Floor SYstem . 52. APPROVALTO DECK � " 11. Propecty Sewec Line &.House Connection � ' 53. Backwash & Rece torFinal - � � ' - � � �� -12.- Street Sewec.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 $tructure � � � 5 . 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: . � . 23: Insulation � 24. Lathing & Siding ' ' � - - - - 25. Drywall Nailing - - � � , 26: Plaster Brown Coat ' � 27. Electrical Power MeterFinal - - ' - � • 26. Final Electric � - \� 29. Final Heating & Air Conditioning - -� � � 30. �Final Gas Pipe-Test � - - -- - 2�� �- � 31�. Final Plumbing ' � � � 32. Water Service-Final � ' � � 33.- Gas Service-Final - � - � 34. Solar pomesticFinal -' � � '� ' "- • 35. Landsca e S rinklin S stem � 36. Sound Attenuation - �� � ' � 37. Handicap Regulations y ' � ' � � ' 38. FINALSTRUCTURE&BUILDING �' ' - - � 39. Special Requirements Completed � ' � � ; 40. Electric Release to Edison • � ' 41 . Gas Release to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY - r . No` •Date . +i -," APPlicant to flll in all f A MESA '"".-� �P�E�RMIT NO. ION�PERMIT � � o1p� wilhin heavy borCer lines antl sign all approp�iate Eeelarations. - - TRACT NO. ' LOT NO. " 'BLDG. NOr-- ' ' � __ Ri-a 3 � �Project Address � C.L� y" TYPE OF CONSTRUCTION � W , / _ T�-F 'OWneI ^ �PhonC � '�VEW ❑ P.DD ^ � AI.TERATION '� I�. A Addr¢a � � - ❑REPAIR ❑CONVERSION ❑OEMOLISH �E- � ArchlEng. . - - - License�No. - - ❑ o7HER . DESCRIPTION OF WORK Address' - - � � : � ' " ' � " " .c. Contractor' '- Phone �' Pi TVPE OF VERMIT � � � � - ' Addfe55 Z % L' - � � Q /j, - L . OIL ❑ GRADING " ❑'FOUNOATION ❑ STRUCTURAL' LICENSED CONTRACTOR-DECLARATION___ • ' "� -OTENANT�ELECTRICAL OPLUMBINGYOMECHNP 1 h¢ruby aifirm that I am Iicensetl untlar provlslons of Clfdrter 9(Com- � 1 mencing'wlth section- ]000) of Divislon 3 of the- Business antl �� OTHER Profossions Cotle�, antl my Iicense is In tuu torce antl . etfoct. � pRO�ECT.IDESCRIPTION � ucense Class c'�U - �- --�j� Icense rvp� �`'�h3�� 3� . . - �� � - �� � Date /"L'.'/� -R/'S19nature�-K///il/l�h�,—. - S�.FT. , . . .._ , �WORKERS'COMPENSATIONDECLARATION - . OCCVPANCV_CONSTRVCTIONTVPE I hereby affirm that 1 have a certificata ot consen[ to self-inwre or a VALUATION'� � ZONE celtltiwte Ot'Worker5' ComPenSatlOm InSurance, or-a certitietl-copy thereo( (Section 3800, lab. CJ. , GRADING CU. VDS. ACRES "Mncv No. - -Comaanv -SY�G-tC 7z.,�.a.J ' . ' - - �.`::.yterlHietl copy is hereby furnishetl. - _' . _ . .. _ REMARKS:.- G � - �"^�ertifietl copy is filetl with the city Builtlin9 Division.! _ ���XEMPTION PROM WORKERS'�COMPENSATION DECL'ARATION - - " ' ' - (This sectlon neetl not ba tompletetl if the permlt is for one huntlre0 ,_ � J 1 - � � (E100) or less). I.cert(fy that In [ha �erfOrmanc¢ Of the work }Or which this permit is _ issuetl, I shall not employ any person in any manner so as to become PLUMBING _. � � PLAN CHECK .SubjOCttotheWorkerSLCompensatlonLaw501Californla.'. _ .__ ' ' _ _ ., -. BATHTUBS�� SNOWERS Data Signature � NOTICE: If after making this tleclaration, you snoultl become sub7ect '�TOILETS -•, -i i• URINALS' ` ' ' to the Workers' Compensation provlsions of tne Labor Cotle, you must LAVATORIES �OUBIE lAVS - ' " torlhwith comply with such provisions or this permit shall be tleemetl favOkCtl. . . . _ . - . _ . _. . � _. .. '- '.. . CONSTRUCTION LENDING AGENCV K�T: SINKS - DISHWASHERS' I �ereby affirm that Ihere is a conslrutNon lentling agency for the per- SERVICE SINKS' �� , SUMPS - "' -� ' "" formante of [h¢ work (or whiCh this permit is i55uetl (SeCtiOn 3097 Civ. CJ.'-' � - ' ' � ' : " � FLOOR SINKS � � FLOOR DRAWS� - l.ender'S Name L¢ntler's Atltlras � DRINKING FOUNTAINS"� " - ' --- ' OWNER BUILDER DECLARATION ' " '" ' -- �" -- �NTERCEPTORS� - �CLARIFIERS I heroby aHirm that I am exempt f�om.the Coniractor's License Law for .the followin9 reason (Section 7031:5 Business antl Professions�Cotle: SWIMMING POOL ' PTRAP " ' ' Any tlty ot county which requlr¢5 a pe�mit lo construcl, al[er, improve, Gemollsh or repair any structure;'prior to Its9ssuance, also re- yyATER SERV ICE � �AITERATION ` -� quires [he apFlicant for such permit to file a signetl statemen[ that he � 'I5 Iicensetl pursuant to the provisions of ihe Contractor's License law GAS SERV ICE � OUTLETS ,.. � � (Chapt¢r 9(cOmmencing with Section 7000) ot Division 3 of th¢ �"�1 � Bu5ine55-antl Pro(essions Cotle) orthat he Is exempt therefrom�antl the -yyqTER HEATERS "�BTU OUTPUT' " -'- basis for [he alle9etl exemption. Any vlolalion of Settion 7031.5 by � appllwnt tor a permit sublects the applicant to a civil-penalty SEWER CONNECTIONS ' ' .- - iot more lhan (ive nundretl tlollars (E500). . I, as owner of the property, or my employees wiih Juagez as their SO�AR TANK - - COCLECTORS '' '-' SoIC <ompen5a[iOn, will tlo.thC wo�k, antl [he St�uctu�e is not Intentletl, , or oHeretl for sale. (Section 7044, Business antl R'otessions Cotle: The SOLAR PIP�NG SVS. ' ContractorY .Llcense Law tloes not apply to an owner of a property . _.. . . . wh0 buI105 or Improves thereon, antl who tlDes such work himsell o� ISSUE FEE throuph his own emD�oYees, provitletl that such imProvements are noi _ intenaea or oH¢retl �or sale. tf, howev¢q the building or ImD/ovem¢nt is soltl wilhin one.year of completion, the owner wlll tlave the bu�den ot proving he tlitl not builtl or improve for th¢ purpose of zdl¢). ❑ I,-as owne� �oi the proDe�ty, ant ¢xclusively cont�a<ting with Iicensetl conVactors lo construct the orojecl (Sectlon �044, Business antl'Professions Cotle: Tne�Contractor's Llcense Law tloes not apply to an owner ot property who builtls or improves thereon, antl wM10 con- t�acts t�om�such p�ojects with- a Contractor(s�-IiCBsnetl pursuant [o lhe Contractor's License Law). ❑'I am exempl under Section � B. 6 P: C. for [hi5 reason ' Data Owner I ne2by cerUly that I have reatl this application dn0 state that the abOv¢ InPormatlon I5 CorrecL I- aqree to comply with all cily antl coun[y ortlinances antl slate laws relating to COnstruclion, antl hereby autM1orize �epr¢5¢ntatives of Ihis city [o ente� �upon the dbove mentionetl proper[y for�_insyec�jon�lurposes. / P. ii / � / � MECHANICAL aLAN CHEnc HEATING SVSTEM 0-100,000 BTU ANDOUCTING 100,000+BTV REFRIGERATION 0-300,000 BTU SVSTEM 100,000+BTU BOILERS BTV SVSTEM REPAIR, ALTERATION `� E%HAVST SVSTEM MULTIPLE Si9nature - � �� / Date�� � � Driv8r5' License ar 55 � ` .+��� �% I �SSUE FEE CMF 0865-46 White-Builtling; Gnary-ApPlicant; Pink-Accounting; Goltlenrotl-Assessor - - 9664 12%17/81 . 84.80 ;7l -���r.`�• , " ZONING REGULATIONS � • -A.P. � _ ' _ _ . ZONE - �PLNG. REF. � - - D •-- T(1{iIIILDING � REAR VARD (TO P/L) - ,r � � � PKG. SPACE REQ. - PROVIDE� �STREET WIDTH � PARK FEE E � � SPECIALCONDITIONS: _ '� ELECTRICAL"- �' � PLarvCHECK ' 5t1. F�T.�Io�I—c� GENERATOR 0-1KW_1-lOKW ' TRANSFORMER � APPLIANCE ' 30-50 KW_50 * KW MOTORS -- 0-1 HP_]-30 HP (WC.SOLAR)� 10-50HP=50�+HP FIXTURES OUTLETS SWITCHES GH$'TUBESIGNS' '- ' POLE'IIGHTS' - ' "* ' - PANELS'^' � - MAIN ' ',- SUB"3 "SERVICE �-- - " _ ' ..�� U AMP—' "ISSUE FEE' - -� ' - ' � APPLICATION APPROVEp BY ' - ' pA SUMMARV OF FEES BVILDING - '-' - - - - PERMIT E � SMIP S PLANCHECK $ � PERMIT . • - ISSUANCE �S� PLUMBING $ , . ' GRADING $ PLANGHECK" E��� j� - ' . � ELECTRICAL E{j.�..4.IL � �� S PLAN'CHECK- E MICROFIIIN $ TOTAL FEE E,. 'MECHANICAL'S"' ' � �% �LE55 AD-' ' ' PLHNCHECK-E- VANCEPC S-� � ' ( LYl � � O= _. � n � FINAL FEE E _. • 1 � CONSTRUCTION AND PLANNING -7 -• �. _ � • � POOL & SPA - � , - - • � . APPROVALS Permit# / Date Inspector AFPROVALS ,Permit# �- - Date Inspector •"-'�f 1. Temporary Electrical Service or Pole . -'� •� � 43. Pool & Equipment Location -� -- - � Soi ipe-Undrgrn�.' � - � 44. Steel Reinforcement - - � - - - � 3. Electrical Conduit Utility-Undrgrn 45. � Forms � � 4. Electrical Conduit-Undrgrn, , ,�y-�y S V 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 ❑ "r�6r 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& VenbFinal 73. RoughPlumbing _ � ' ' - -- � 14. Rough ElectricConduit - - - � �56. Electrical-Final � � - • • � 15. Rough Electric-Wiring� � � -aS -�6 �. 57. Solar System-Final ' - ' - ' � ' i 6. Rough Heating & Air Conditioning' -- - - - - � encing & Access Approval � - � � � 17. Ducts in��Structure � ' � - APPROVED FOR,PLASTERING • 1'8.' Ducts, Ventilating - . �'. . ,. - - . . . _ ' . .. . . _ . .. . . 19. Gas Pipe-Rough &Test � - •� � 60. POO.L/SPA�SYSTEMS FINAL ' ' � � ' � 20. Roof Framing � - ' ' � � � ' ' � ' ' ' 21. Roof Sheathin " � � ' - - � � • 22. Freme and Flashin � - NOTES: � - ' ' . .' , ' 23. insulation � - � � � � � � � ' � � 24. Lathing & Siding- � - � ' - - � - - " 25. Drywall� Nailing ' � ' � � - � 26. � Plaster Brown Coat � � �27,-�Electrical Power�Meter-Final . " ' '- � - � ' �o �28:- Final Electric � � � C_�.� ' - � � 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 Complated ' � � � � � -- � � 40. Electric Release to Edison � "� � 41. Gas Release to�Southern Caiifornia Gas"Co. 42. CERTIFICATE OF OCCUPANCY _ . ' ` No Date - � . � COST�ESA BUILDING—SAFETY DEPARTMENT � P.O. BOX 1200 Costa Mesa, California COn[f8c[or ddICSS�Z�o C� �J f.{ j c �iy N f� n,�.� Zip Code ente License No. •/ Class. ity License No. �Q 5 Tel. No.'" N0. ITEM EACN FAU, Wall, or Grev. Furn. Incl. Ducts and d � ( Vents �/ 1 tn 100.000 BTU Vent (�f not incl. Suspe�ded Heati Alrer or Replace Aooliance 3 H.P. or less Over 3 F-� 15 H.P. Bethroom Plen Fee Sub-Total Processing Fee TOTALFEES CMF 0449-46 a � LOT N0. _ r� ;� �� � BUILOING _ I � AODftE55; FEES R � ;� OWNER MAIL ,� I'•- 2537 2/25/82 7.�0 TL � ��R7U% N° � BUILDING USE D�TE ISSUE� .�c.� .?—//0�8 q 3 `' �3 -5�' �A 1 �3 \ , COSTp MESA,CALIFpRNIA,� :ITV �p ��� .,���;N � TEL. N0. � � i� � ��= � �" 1 heri6y acknowledge ihae I heve read this epplicetion end'�sieee:that the above is correct end agroc to comply witli�alP�Ciry Ordinances and State Laws regulating Heab ing�Ventilating, Refrigera[ion end AirvConditioning. I cer[ify tha[ I possess the above valid Slate of Calif- • ornia classificaeion or I am [he legal owner of the single femily residen[ial pmperty described above. Signa[urc ot / /• �iCz'�J�� // , � Pcrtni[[ee / � f • !! _ O.1/ l/\ l�� :_N�_«.r.�, REMARKS: !.R — �/�J �1 � Duc[s Undergmund Ducts in Strucmre Ducts Vcntilating Hea[ing — Rough Hoods Retrigeretion Lines Pressure Test Aio-Cond. Finel Ventilating Final Heating Final Refrigeretion Finel Final Gn5 Test Utility Co. Notitied BLDG. PERMIT NO. Applicant to flll in all soacas withln heavy DorCer Ilnes anO slgn ail approvrlata aeclantions. CITY UF� CO�STA MESA PERMIT NO. TRAC7 NO. LOT BLDG. NO. ` CONSTRUCTION PERMIT lO9Z � � Ao2. Projett Address ��� Y � TYPE OF CONSTRUCTION OWnEf � - - Phone7 � �iB-NEw ❑ qDD ❑ ALTERATION ' ' AddrCsS Z q� „� ❑ REPAIR ❑ CONVERSION ❑DEMOLISH Arch/Eng. '' P License No.3'J'3 /� ❑ O7HEa Addffis DESCRIPTION OF WORK v/ r V Contracm� - ��.-..p Phone "- TYP,E OF PERMIT Addf¢u � ❑GRADING .�OUNOATIOIV �STRUGTVRAL LICENSED' CONT0.ACTOR DECLARATION - ❑ TENANT O ELECTRICAL ❑PLUMBING �OMECHANI( I haraby alfirm tbat I Om IlcenSeE untler provl51on5 of Charter 9(tom- • ' ' • �' l. Mantln9 wlth 5ection 7000)'0/ Divislon 3 of tha BUSiness antl ��OTHER � Rofassions Cotle, antl my Ilcense is In full (orte antl alfact. -pROJECTDESCR�1�PTl �' ` f '� �- Litonsa Gass Licanse No. � Gy,.�n(� Dale Sl9nature � 5�.'FT. . WORKERS COMPEN$qT10N OECLARATION� ' OCCUPANCY CONSTBUCTION TYPE I hereby affirm that I nave a certiticate of consen[ to selLinsure or a, VALVATIONT�G�20NE catllltate of Workers` �pmpensatlon insurance, or a cerU/ieC copy � � - Iheraof (Section 3800, �b. C.). . GRADING CU. YOS. ACRES ZONE' REAR VARD (T� PKG. �SPACE RE� STREET WIDTH 9624 12/17/81 PARK FEE "`�Ity No. � ComPany ' � -� " ' " ' , CertlfieC�copy Is hereby furnisheC. - — - REMARKS: ��� - - - - , Certifietl topy Is flletl wi[n the city Builtlin9 �Ivisipn. (c ��G„JJ �('��`j' ��f',��.�� �,/2U[x�;y�r,�y2,,1 EXEMPTION FROM WpRKERS' COMPENSATION DECLARATION - O � 3O (Thls sectlon neeG mLbe completetl iLthe permit is for one huntlretl .. _ � _ �E300) or leu). � . ' • - � certify lhatin.t�e performance otthe work for which thiz permit is . Issuatl, I shall not amQ�oy any person In any manner so as to become .iPLUM8ING a .� - PLAN CHECK sub7ect to t�e Workers �pmpenzation Laws of.Callfomia. . ' . Date S�9�ature� BATHTUBS SHOWERS NOTICE: H atter',mak�ng this tleclaratlon, you shoultl bacoma subject •TOILETS ' URINALS � to the Worklrs' CompBnsation provi510n5 oi lhe labor Cotle, you muSt �VATORIES DOUB �E�kAVS.� t0/lhwith comply with SUCh provl5ion5 Or tnls permit Shall be tleCmetl �. �. � .,.v.; "` rovoketl. - . . _. . . � _ . .- CONSTRUCTION LENDING AGENCY � KIT.9NK5 DISHWASHERS� � � � „ �q �i I hCreby al(IrT t�at there IT a ConSlruCtiOn lentling d9enty ior Iha per- SERVICE $INKS�" *�' SUMP$ v formanca of tne work./or whlch thiz„parmit is�izsuetl (Sectlon 309]. • �- - -� '' ' Clv. �C.). ' ' ' � - FLQOR SINKS FLOOR DRAINS � Lentler'S Name --- - - - � � `� Lentle�'S�Atltl/esz ORINKING FOVNTAIN$ , t, ��, �'� e OWNEB-BVILDER DECLARATION -" '" � �. �ryTERCEPTORS. , . CLARIFIERS - � I beroby affirm.thal:l aM oxemp[Srom tho Cbntractbr's�Llcensu�Law for �• - • _- . - tho followln9 roason (5�ction ]031:5 Buslnoss antl Proie551ons Cotln: SWIMMINC� POOL �` �. P TftAP ' ' Any U[y or counly whlch requlres a pnrmlt rto tonstruct,'allec, Improve, tlemolish or rppalr'any structure, prior to Its Issuan<e, also re- yyqTER SERV ICE ALTERATION �- quires the ap4���^� 1or tuch permit to filo a signetl statement tbat he is Iicensetl pursuant to phe provl5tons of the'Contractor'S' Litense Law ' GAS SERV ICE OUTLETS (Chapter 9(commencin9 with Sectlon 7000) of Oivision 3 of the 9usiness antl Proiessioqs COCe)"or that he Iz exompt't�erefrom antl t�e ' yyqTER HEATERS � BTU OUTPUT - �asis for lhe allegetl exemptlon. Any viotatlon of $ection 7031.5 by � appli�ant tOr a permlt subjects ihe applicant to a civll penatty' SEWER'CONNECTIONS � � not more than Iive nuntlrea aollars (E500). � I, as owner ot tne property, or my employaes wiN wSqes ai their SOLAlI TANK � " COLLECTORS � '� sole� compensation, will tlo the work, antl the.siructure is not intendetl _ or of�eretl tor salo. (Section ]044, Buslnezs antl Professions Cotle: The SOLAR PIPING SVS. � Contrac[or'z Lic¢nse Lyw tloes noLappty to.an.owner o/ a property. __ _ _ who b�iiltl5 Or imprav$5 Ihe�eon, anG who tloes such work himself O/ ISSUE FEE Inrou9h his own emptOyces, provitle0 tttal Such.Imptovertltnts a�e not IntenUctl or ot(eretl br sale. 11, howevor, tne builtling or improvement MECHANICAL PLAN CHECK . is-sOltl wl[hin one.year o1 tompletion, lhe owner wlll �ave the DurOen ol wving he tlitl npt builtl or Improw for [he purpose ol ule�. HEATING SVSTEM 0-300,000 BTV I; as owner-ot the property, am axclusivety contracting with 'qND DUCTING � Ilc sed contractors lq �onsVuct the proje<t (Saction 7044, Builness 100,000 � BTU antl ROf¢SsionS' COtl¢: Tha COO�factOr's L�COnse Ldw tlOeS Oot dpply t0 an owner oi property who builtls or improves thereon, antl who con- REFRIGERATION 0-300,000 BTV trac[s'trom such pro�otts with a�contractor(5) Iic¢snetl pursuan[ to �SYSTEM the Contra<tor's Licenip �aw). 300,000 + gTU ', �.�. ; ❑ I am axempt untldr �ttion B. 8. P. C. foPtbis BOILERS BTU reason " - ' ' ' ' " � SVSTEM fiEPAIR,ALTERATION - � ��Date � - - Owner - - - - - 1 nereby tt(tify Ifiat 1 have reatl thi5 appliCdtion antl State Ibat tM1e aGove E%HAUST SYSTEM MUL7IPLE into�mallon is conect, I d9r�e to comply wl[It all City antl COunly ortlinances an0 stato layn �elating to.construction, antl hereby authorize �representaUvez of hls Cily to enter upon lhe above m¢ntlonetl . p�op¢�ty. f �_ nsp IOn pu�p�j $I9nature � �,� � % Date ���'J � Drivers' ' ens�5 � � � " "�SSUE FEE " - - ' ' ' CMF 0865-46 Whit@.BuilCin9: ��ary-APPlicant; Fnk-Accoun[ing; GolOenrotl-ASsessor 326.38 TI ELECTRICAL - a�AN CHECK ' SO.FT. GENERATOR p.� 1(W_�1-lOKW � TRANSFORMER' . APPLIANCE 30-50 KW�50'+ KW ' MOTORS' ' 0-1 HP_1-30 HP - -- (�NQ SOLAR)� ]0•SO�HP__�50 � HP - - - FIXTVRES OVTLETS SWITCHES ' - 'GAS TUBE SIGNS � . . - - 70LE LIGHTS� -"-- � ` ' - ' ' 4NEL5 -� - MAIN ' SUB EHVICE � ` " F ISSUE FEE ' '� " - � � � SUMMARV OF FEES BUILDING ' 3�� - ' ' -.� 3g� PERMIT S �' SMIP 5 PLANCHECK E PERMIT '� ISSUANCE S -- PLVMBING S � .i PLANCHECK;�§ GRADING S ELECTRICAL E S ' PLANCHECK E :MICROFILM S MECHANICAL b � TOTAL FEE S PCANCHECK�'S Y LESSAO- ' _ VANCEPC-S_ . h . 1 • ' ' _ . _ . . _ FINAL FEE 5� CONSTRUCTION AND PLANNIN/Cy/�� .. �� _�- . �_ � ' �OL & SPA �. , APPROVALS Permit #�Lh.�� �Y Date Inspector qppROVALS Permit #� �'�� Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location- •- - Soil ipe_Undrgrn 44. Steel Reinforcement ' � - � - - 3. Electrical Conduit Utllity=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. ootings 1• �� 7 49. Electrical Conduit-Undr rn 8. Foundation_ '.S- /;2•�9- �' 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn " - � , 51. _ Backwash Lines P-Tra ❑ ndr rn - � 70. - Structural Floor System _' � 52. APPROVALTO DECK ' � _.11.. ProRerty Sewer_Lin� &•.House Connection - .53.,��Backwash & Rece tor-Final. - 12. Street Sewer Connection 54. Heater & Vent-Finai 13. Rough Plumbing - � 14. Rough ElectricConduit - ' -- ��- 56. � Electrical-Final 15. Rough Electric-Wiring �� ' ' '= 57. SolarSystem-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 FINAL �� 20. Roof Framing /u -/G- • 21. Roof Sheathin � -lb-S� 22. FrameandFlashin e,t �2-3'L NOTES: S �,,,_ ti 23. Insulation - �'' - 2-8?i Sc� 24. lathing & Siding � - � �'. -�5-' - 25. Drywall Nailing � - -,$� 8,Z O!< %� L.i /j}-y1 /���i'-� T��i't ,E�'-1� 26. Plaster Brown Coat 7� OK ScKa-T��i 4/�"� 27. Electrical Power MeterFinal - - • � 28. Final Electric � 29. Final Heating & Air Conditioning � 30. Final Gas Pipe-Test 31. Final Plumbing 32. Water Service-Final � 33. Gas Service-Final - ' 34. Solar pomestic-Finat ' �'�35.• ' Landsca e S rinklin' S stem ' 36. Sound Attenuation � ./' 37. Handicap Regulations 38. FINAL STRUCTURE & BUI LDING 6/ 7 6u 39. Special Requirements Completed 40. Electric Release to Edison " � 41. Gas Release to Southern California Gas Co. . �42. CERTIFICATE OF OCCUPANCY . - . � r No Date • � . , � J �- � Appiicant lo fill in all spaces wlthin CITV OF COSTA-MESA � PERMIT NO CONSTRUCTION PERMIT /N— �� �S Ow�er JIM BROOKS Phone Address 1532 � LA LOMA. LEN10N HEIGHTS� Arch/Eng. ' License No. contractor �TURA ENERGY PRODUCTS Phone Iicensetl untler provlsloppp5 of Ch rter 9 000) of oivls{on 3 a/ tne �sines my Iicense i;/ in full� force ntl i r1PEN5AT10N�ZLARATION that I 4ave a rtificate of consent to self-insure or a ork¢fs' COTOe Sdtion InsulanCB, Ol a celtltl0tl COpY �-'IcyNo. N�"���U-l�.tll1S Company 'ertl(IGtl mpy IS hGrG4y furnlshetl. � .:ertlfietl copy Is filed �y�th the city Builtlfng Oivfsion. EXEMPTION FROM W4RKER5' COMPENSATION pECLARATION (This section neeA not be compl¢ted it Ihe pe�mit IS Tor one huntlretl SS1001 or less). certtry Ibat in lhe perPormance ot tlte work tOr which this permit Is issuetl, I sha�l not emplpy any person in any manner so as to betome subjGtt [o the Workerc' Cpmpensation LawS Of CalHorpia.- Date Signature NOTIGE: It af[er makinq [hls tleclaration, you shoultl become subject to tha Workers' Compensalion provisions of the Labor Cotle, you must fOrthwitb comply with suth provi5ion5 or Ihis permit shall b¢ tleemea . revokCtl. - -- - CONSTRUCTION LENp�NG AGENCV I h¢reby af(irm that thet¢ Is a const�uctiOn lentling agency for fhe per- formance of the work for which this permit is Issuetl (Sectlon 3097 Civ. CJ. Lentler's Name Lentler'S AOeress OWNER BVILDER DECLARATION I hereby affirm cha[ I am ¢xempt from tne Con[ractor4 License Law for Ihe follOwing reason (Sfctlon ]031.5-Bu5ine55 antl Prof¢55ion5 Cotle: Any City or county Wryich reQui�es a permit to mnSVuct, al[e�, improve, tlemolish or repair any structure, prior to iis issuance, alzo re- quire5 the applicant tov SucM1 permit to file a Sign¢tl Stalement Ihat hc is Ilcensetl pursuant to the provisions o( the Contractor's License L.aw (Chapter 9(commencing with Sectlon ]000) of Division 3 of the Business antl Prdessions Cotle) or that he is exempt therefrom andthe basis for tne allegetl expmption. Any vlolatlon of Section �031.5 by applicdnt for a p¢rmit sublects th¢ applicant to a civil penalty ot more than /ive 4untlretl tlollars (y500). . 1, a5 owne� oi lhC property, or my emplOyees witb wage5 as thei� Sol¢ COmpensation, wlll tlo [he work,-antl the Strut[ure is not intentletl or offeretl �or sale. (Sec(ion 7044, Business antl R'ofessions Cotle: Tho Contra<tor's License Law tloes noLapply to an owner of a property who bulltl5 0� improv¢s [he�eon, antl who tloes Such y,•prk himself o� tNough his own employees, provitletl tltal SUCh Imp�Ovements are not Int¢ntl¢tl or otferetl for 6al¢. If, however, fhe bulltling or Improvement Is soltl wlthln one year p( completion, tne owner will have the burtlen ot proving he tlitl not bulltl or improve tor lne purpose of sale). ❑ I, a5 Owne� of thp property, dT azCluSively mntracting wilh IlcenSEtl cOntraclorz lo conztruct the projec[ (5¢ction 7044, Business antl Prof¢55ion5 Code: Th¢ Con[ractor'S llcense Law tloes n0[ apply to an owner ot property Who builtls or improvez thereon, antl who ton- t�at[s t�oT sucb pro�eCtS wilh'a ContraGtor(5) Ilcesnetl pur5uant to the Contractor'S License �aw). ❑ I am exempt untler SCction B. & P. C. for this reason Date Owner — � 1 h¢r¢byCertify ihat I bay¢ reatl Ittis a'plication dntl sta[e tbat [he above Informatlon is corr ct I ag e[o c mpty with all city antl coun(y o�tllndnc¢s antl ztat I S la Ing to c nst�uctio�, antl hereby authOriZe representati res f[ is �i y to en er upon the above ent" netl propert 'r i tt Z (-V Slgnature Date � Driverz' i nse or 55 $ � CMF OB 5-46 White-Builtlin9: �nary�APPlicant; Pink-Accounting; Goltlenrod-Assessor boraer Ilnes antl sign all avo�oo��ate Ceclarations. TRACT NO. LOT NO. -BLDG. NO. .� z TVPE OF CONSTRUCTION Q NEW ❑ ADD ❑ ALTERATION ❑REPAIR ❑CONVERSION ❑DEMOLISH ❑ OTHER DESCRIPTION�OF WORK TVPE OF PERMI7 ❑ GRAOING ❑ FOUNDATION ❑ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑PLUMBING �MECHAI ❑ OTHER PROJECT DESCRIPTION � 5�. FT. OCCUPANCY—CONSTRVCTION TVPE VALUATION ZONE GRADING CU. YDS. AGRES PLUMBING BATHTUBS LAVATORIES KIT. SINKS SERVICE SINKS FLOOR SINKS DRINKING FOUNTAINS INTERCEPTORS SWIMMING POOL WATERSERVICE GAS SERV ICE WATERNEATERS SEW ER CONNECTIONS SOLARTANK SOLAR PIPING $V5. ISSUE FEE MECHANICAL PLAN CHECK � SHOWERS URINALS DOVBLELAVS DISHWASHERS SUMPS FLOOR DRAINS CLARIFIERS PTRAP - ALTERATION OVTLETS BTU OUTPUT i � COLLECTORS � PLAN CHECK HEATING SVSTEM 0-100,000 BTU_ AND DUCTING 100,000 + BTU. REFRIGERATION O-100,000BTV_ SYSTEM � 100,000 + BTU _ BOILERS BTV SVSTEM REPAIR,ALTERATION EXHAUSTSYSTEM MULTIPLE ISSUE FEE x ZONE _2636 2/26/82 PLNG. REF. � REAR YARD (TO P/L) ' VKG.SPACERE�. PROVIDED STREET WIDTH PARK FEE S ZONING APPROVED BY DATE SPECIAL CONDITIONS: ELECTRICAL vLArv cHECK �� 50_ FT. Sl]. � GENERATOR 0-1 KW_1-30 KW TRANSFORMER APPLIANCE 30-SOKW_$O+KW MOTORS p-1 HP_1-10 HP (INC.SOLAR) 30-50HP_SO+HP FIXTVRES OVTLET$ $WITCHE$ GAS TVBE SIGNS POLE LIGHTS POLES METERED SVB ' PANELS MAIN SVB SERVICE ' AMP ISSUE FEE ' _ APPLICATION APPROVED BV DATE SUMMARV OF FEES BUILDING PERMIT S PLAN CHECK E PLUMBING $ PLAN CHECK $ ELECTRICAL E PLAN CHECK $ . oO , MECHANICAL $ PLAN CHECK S SMIP S_ PERMIT ISSUANCE S_ GRADING E_ a_ MICROFILM E_ TOTAL FEE $ _ LE55 AO� VANCEPC E_ FINFL FEE $ 7.00 CONSTRUCTION AND PLANNING POOL & SPA . -� � APPROVALS Permit# M-a.81F� Date Inspector qppROVALS. .. Permit# Date Inspector , 1,. Temporary Electrical Service or Pole 43. Pool & Equipment Location . Soil ipe-Un rgrn � � ' 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 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. APPROVAL TO 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 • 75. Rough Electric-Wiring " - 57. Solar System-Final � - 16. Rough Heating & Air Conditioning - -'2ri_ � encing & Access Approval - - 17. Ducts in Structure ' z APPROVED FOR PLASTERING 16. Ducts, Ventilating. � 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing 21. Roof Sheathin � 22. Frameand Flashin NOTES: 23. Insulation ' � 24. Lathing & Siding ' 25. Drywall Nailing 26. Plaster Brown Coat ' 27. Electrical Power Meter-Final 28. Final Electric 29. Final Heating & Air Conditioning 2-$Z � 30. Final Gas Pipe-Test 31. Final Plumbing 32. Water Service-Final 33. Gas Service-Final � 34. Solar pomestio-Final - 35. Landsca e S rinklin S stem � 36. Sound Attenuation � 37. Handicap Regulations 38. FINALSTRUCTURE&BUILDING 39. Special Requirements Completed 40. Electric Release to Edison � - 41. Gas Release to Southern California Gas Co. - � 42. CERTIFICATE OF OCCUPANCY . . � � No Date . ; �., _ , .: . � , . , �- - � - ���, .. :'♦ .��,-_ AD��kant to fill in all s0aces wit�in heavy borCer linas antl CITY OF COSTA MESA- - - aF.jifylT NO. TRACT NO. CONSTRUCTION PERMIT i i�� ail aoVrooNata aeclantions. LOT fYO. BLDG. NO. �Project Address �. _ _ , TYPE OF CONSTRUCTION � � OwnM Phone ❑ NEW ❑ ADD ❑ ALTERATION Addrea - ❑ REPAIR ❑ CONVERSION ❑DEMOLISH , � ArchlEng. - License No. � ❑ OTHER DESCRIPTION OF WORK ' �Address - � . - '- ' • Q Contrac[or Phune TVPE OF PERMIT � . ' � Mj , AddfCss C] GFADING ❑ FOVNOATION ❑ STRVCTURAC'-' IICENSED CONTRACTOq OECIARATION ' .' � � TENANT ❑ EI.ECTRICAL OPLUMB�NG ❑MECHANIC ' 'I hereby a7flrm thtt 1 am Ilcenietl unGer provisions ot Charter 9(com- , -. . � mencing-wlth section � 7000) of ; Dlvlsion 3 of lha Businezs antl ��� OTHER - arolasslons Cotle, antl my Iicense Is In NII force antl et(ect. PROJECT DESCRIPTION � License Class C -'f3 ' " �/ [L/-�tense� N�o 'sk23 /n . ;� - � " , � � Date � -2 � �� � Si9�a[ure 1(11'Q-"""%f- .: _ ' ' SQ. PT. •. _ , _ _.. . WORKERS'-COMPENSATION OECLARATION �-�OCCVPANCV_CONSTRVCTION TVPE 9 hereby affirm tbat I have a certiflwte ot consenl to selHnzuro or a � certifiwte of Workers' Co i� VALUATION ��- ZONE mpenSatVon Insuranca, or a cerli(�etl copy thereof (Saction 3800, Lab. 0.�. , GRADINGCU. VOS. ACRES P.r�licY�No. ' . . _ComPan���/� //.i�L�/H�$ � . � ' '_ 5��-^ertifietl copy Is hereby (umis�etl REMARKS� � � . ``�ertltietl COOY �5 filetl wi�h the city Builtlin9 DivisiOn. J���EMVTION �FROM WORKERS' COMPENSATION OECIARATION - - ' ' ' " ' ' " " (ThiS 5¢<tiOn neetl not be CompleteC i� the p¢rTit is for on¢ hunGr¢tl _ r _,� .� . . _ �SI00� or lessl. 1 ' , ' ' certify that ln tne per(orry�ance of [h¢ work tor whith tltis permit is Issuetl, I shall not employ any penon in any manner so as [o become ,: PLUMBING - - PLAN CHECK" ' � 5ubjectSo,lha Worker5' Corqpensatbn laws of Calltornia._-. _ ,__ _ " _ _ _ _ _ _ _ Date 519qature BATHTUBS SHOWERS NOTICE: It after making thls tle<laratlon, you shoultl become subjact TOILETS� , URINAL"5' --' � "" ' to thE WofkeR' COTpenSat�On provi5lon5 Of Ihe l2bor Code,you must torthwi[h comply with such provlsions or this permit shall be tleemetl LAVATORIES ( DOUBCE LAVS" '" "� '� �BvokeO.. ._._ . . . - . _ �CONSTRUCTION LENOING AGENCV � KIT.SINKS DIS,FIWASHERS " � � 1 bereby aHirm that there Is a constructlon lantling agency for the perv SERVICE SINKS ' SUMPS"` -�' � - " 1orTdnte ol th0 wOrk !or .HhiGh Ihis parmi[ iz ISsueE (Sec[Ion 3097 Civ: C:�r'� - "' . -' --- . - -- ' ` ' ' ' 'FLOOR SINKS � FLOOR DRAINS' - � LenCer's Name Lentler's ACtlre55 DRINKING-FOUNTAINS '- "'" - '' - � ' OWNER BUILDER DECLqRAT10N' ' -"' -- INTERCEPTORS CLARIFIERS � � 1 nerOby aflirm Ihat I am ex¢Tpt trom tha COnlracto�'s Llcenu Law �or . the t011owing reason ($ectlp��-7031.S�Busine55 antl Prote5510n5 COda: -SWIMMING POOL ' - P'TRAV- "- � Any tlly Or Counly wh(th lequira5 d pGlmlt to cOnS�ruct, allar, � Improve,'tlemolish or repair any structure, priorto its issuance, also re- 'yyqTER'SERVICE � ALTERATION -- qulres the api.�lcant for tuth permit [0 lile a signetl StdtOmOnt Inal h0 is Iicensetl pursuant to the provisions ol t�a Conlrector's-License L. w� "GAS SERV ICE� �- � OUT�ETS �' '��� �� � �Chapter 9(commencing wllh Settion 7000) ol Divlsion 3 0l the � uslness antl Prdasions-COtla)-or that he Is exempt therelrom�anG the yyqTER HEATERS '—"BTO OVT.PUT �. - ( ' ' Dasis /or thc allegetl exemption. Any violation of Soctlon 7031.5 by � applitant ior a-perml� subjetts the appliwnt lo a civil.penalty- SEWER CONNECTIONS' '- ' '- ' '� - ' ol more than live huntlrotl aollars (E500). ., as dwner ot the property,b(my ompioyees with wagei as thelr SOL'AR TANK 'COLLECTORS ' ' ' !ol¢ CompenSdtlon, wlll tlo Iha work, antl the SVutlure is not Inlontl0a " _ . __.. or oiferetl for sale. (Sectloq 7044,�Busfness antl Rolessions Cotle: Tho SOLAR PIPING SVS. ' -�� Contractor's .Llcense Law tloes not appy to an owner ol a property . . _� ._ _ ._ _. who builtls or improves Ihcreon, antl w�o tloes such work himsalf or � ISSUE FEE lhrou9h hls own employeef, provitl¢d Ibat such_improvam¢nts arc not � _ Intentletl or oileretl for sa1e. II. nnwever, tne bviming or improvament MECHANICAL PLAN CHECK � � is soltl wllhln onC year ol tompletion, Ihe own¢r will have the burtlon � • ot proving hc tliE �not bUiltl or impwvo tor the purpoze o( sale)- HEATING SVSTEM 0-100,000 BTU � ❑d, -as ownar ot tho�-proDerty, am ez<Iusively conVacting -with. qryD DVCTING' `'�F "' ' '- l'� Ilcensetl contracrors [o construG[ [ne proj0<t (Sac[ion ]044, Buzlnets 100,000�} BTU � anC �Professions-Cotle: The Contractor's Ucense law tloos not appry to- � , . an owner o/ property who builtls or improves thereon, antl who <on- REFRIGERATION 0-100,000 BTU ' tratt5�-trom�-such- proj¢Cts� �vi{h a�-cont�aclor(i) Iicesnatl-p4riudnt to SYSTEM - - - - •- ' ' -- � - the Con[ractor's Llcense LawJ, ]00,000,� BTV ❑ 1 am ezam0�"unaer Sectlon ' - ""8�6 P: C.-fOr'thls" "' ' ' - -' - " � BOILERS BTU � reason-- -- �- - - - -- Date. Owhar SVSTEMREPAIR,ALTERATION � I h¢rlby Cer[ify thdt I hav¢ rCatl Ihis appliwtlon antl stalG thdt the dDov¢ E%HAVST SYSTEM MVLTIPLE iMormation is torrect: I �gree to comply with all-tity antl counly v ortlinances antl state laws reiatin9 to consVuction, antl hereby authorize rapresentatives of this ctty to enter upon tne�above' mentlonetl - � prOperty for Inzpectio Pur ose �,[ /% -' Si9nature ���D� ���� Date� .i55VEFEE - �' � L Drivers' License�ar 55 � / CMF 0865-46 White-Builtlin9: �nary-APPIiwn4 Pink-Accoun[in9: Goltlenrotl-Assessor ZONE „ 2747 3/02/8� ZONING REGULATION „PLNG. REF. yp - REAR VARD (TO I •PKG.SPACE RE�. STREET WI�TH " ZONI NG APPRO V E II.00 TL� �. _ . 1 " ,.1" ,' � r_ PROVIDED � � � �, PARK FEE E � ' �ATE ' � � " _ _ � �SPECIHLCONDITIONS: � " .. "" " _ ' " '. . .- . ..- . _ - f . . _ '_ � ' "„ ' ' '" '. . ::; _ .. . r . t �ELECTRICA�L' � "' ' " "PLAN LHEGK" - " - " " SO. FT_ _ ' _ ' . _ 1 '�GENERATOR' Od�KW_1-lOKW � ' "{ �TR{1NSFORMER . r� . .: V � AVPLI{iNCE "' 30�50'KW_50 � KW " :�- - - MOTORS ' ' '0-1 HP=1"-30 HP� ' .�(INC.SOLAR� - 10-SOHP 50*�HP�- - -- - ,FIXTVRES' ' OUTLETS SWITCHES -� ' - � ,GAS'TUBE SIGNS ' �' - - ' -- - - � ' t �POLE LIGMTS " ' � ' -" "- -- 1 POLES METERED SUB � PANEL$ �' MAIN- � $VB � ' SERVICE ' "'-' - � � ' AMP � ' '_' . _ _ . . . � - ISSVE FEE' ' '-' ' ' ' ' ' ' APPLICATION APPROV EO BV' '-'-- ' DATE ! SUMMARV OF.�FEES , � BUILDING - � - -- - � ' - - 'PERMIT S ._ SMIP��' , 5�' 'PLAN CHECK S .PERMIT�• , - - � - ISSUANCE� S �PLUMBING S � � GRADING- E � �4�LANCHECK'-y . ' •, �. � r • �ELECT0.ICAL 5 � ' ii . PLANCHECK $ �--M�CROFIUvI E ' ���,'TOTAL FEE E MECHANICAL' E� . LE55 AD- .�LANCHECK-E""' ''VANCEPC E_� "' � ' _ � _ , _ FINAL`FEE y � • O � ' - CONSTRUCTION AND PLANNING � POOL & SPA . � � � � �� 2 g y6 Date inspectdr' � ' ' -' � �- Date Inspector APPROVALS Permit # APPROVALS • Permit # � 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - � --�- ----- Soil ipe-Undrgm � - � 44. Steel Reinforcement " � - � 3. _ E�ectrical Conduit Utility-Undrgrn 45. Forms , 4. Electrical Conduit-Undrgrn. ,_ 46. Electrical Bondin - � - tee ein orce , 47. Rough Plumbin & Pressure Test � � �-�- •� - -� � 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE -- �- - • - - - -- - - 7. Footings 49. Electrical Conduit-Undr rn ' �� S. . Foundation__ _ '� � 50. Gas Pipe, ❑ Undr rn, Test � ' � . 9.. . Water Pipe-Undrgrn . � 51. Backwash Lines P-Tra -❑' n r"�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 ElectricConduit " - - �56. Electrical-Final � ' � 15. - Rou h 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 FINAL '' ' . 20. �Roof Framing - - ' � � � � � � ' � 21. Roof Sheathin ' � - � � � - � • - �- 22.. .Frameand Flashin -� ' NOTES: � � ' ' ' "'.'� . 23. Insulation �` - �' �� � ' - �� - 24. -tathiag &-Siding . - --- - - . - - - � � ' - ' - � 25. Drywall Nailing ' � � � � '� �� 26: Plaster Brown Coat - - a � - - - • 27� Electrical Power Meter-Final ' � - " � � � � . 26: Final,Electric - - � � 29. Final Heating & Air_Conditioning . �2$ 2 " ' � 30: Final Gas Pipe-Test • � - � � 31: Final Plumbing � � � 32. Water Service-Final - � ' � ' 33. Gas $ervice,Final � � � ' ' 34. Solar pomestic-Final � • � ' � � � ` � � 35. Landsca e S rinklin S stem " � ' ' 36. Sound Attenuation � • � � � � � • � ', 37. - Handicap Regulations • ' • �� 38. FINALSTRUCTURE&BUILDING - ' ' . � 39. Special Requirements ComptOted � ' ' � - � - 40. Electric Release .to Edison � ' - 41. Gas Release to Southern Califoinia Gas Co. ' � 42. CERTIFICATEOFOCCUPANCY .-. . � No. Date ' A�D��cant lo fill in all sDaces wiShin heavy GorCer lines antl sign all approcriate aeclarations. � � CITY' OF'COSZA MESA' � PER(yJ�T NO.' - TRACT NO. ' LOT NO: ,� B�,q G. NS� � -'- -1'- •'^ - - . . - - - -.. . _ - , . ,-• ' CONSiRUCT40NPERMIT L' " 8�' ''�:_,. ;1 /`1-�1, , ",--- , ! .... :�, .. c,�`,'r•' ' ... " Project Address W . , �t}.- Z•,�.:.- TVPE OF CONSTRUCTION� �� � � • � -_ .. _. -- ��' �Ownet - '� - PhOn2 � =- ❑ NEW 'O ADD- ❑ ALTERATION�•'`- � _.. __.-.. _ _2SO9 BI�L.�7IB�L �{ � I �L:08 TL� ✓�.ur,e.—> , . ; . : '. :.. Addres5 - - -J L t,�G - -- �- - �-� �� � � REPAIR.O'CONVERSIOrvi �DEMOLISH i � - - � - ' ZONING REGULATIONS" _ - •- ArCh/Eng. - � � - - -�iCenSe�No. -' ' - ' � OTHER � - ' "- -A.P: � . . - ' . DESCRIPTION OF WORK � -Addres5..�__.. .` _. _ . .� ._�__ .._-. ."' ' _ ' " "' ' •_ _. _ -_. . ' �_ ." _ _ ` __ ': " " ...�_ ��ZONE .. " ' "' �PLNG. REF. � .. . d �.: ^ � Contractor- - ' Phone /�I' 'TVPEOF'PERMIT ' - ' "" - -" "' ' "- : U - . '.�- a�eUILDING. ' , - . � ; SETBACKC 5T. OPERTYLINE Add�C55 " ' �" " � ' p '- - ": . d' - '� GRAOING :O FOUNDATION -O STRVCTURAL^- ,SIDE VARD - - . lARATIONu._ ./t �..., r�� � � • . LEF -.. . ." "_ "_ , _¢ _� j.'" . 'GCENSE�-CONTRACTOR_DEC - " ❑-TENANT--O ELECT.RICAL� OPLUMBING-OMECHANICA '���GHTA � . -? ' ' �I hereby affirm th:.t I am licensetl untler provi5ions of Charter 9(tom- � � -.., �. �, ; menNng- with--uctlon-7000) of Division -3- of the -Businass antl ' ❑'OTHER. _ __ _ _ _ . . Professions Cotle, antl my licerjse is In tull �orce antl ef�ect. � i� � �) ftEAR YARD (TO P/L) ,_;, ; - , _ „ PROJECT DESCRIPTION- _ � .. ,_._ ., . . . _ License Class ' ' r�'� �� -'�--'" - `�� 'License No �433J �' . � ' ' ' '- - ' ' Q. ' � - � " P,RovlotD . ' i . PKG: SPACE RE ?` `SQ:FT: �... •.i � � . �Date �'` ' �� '�-Si9nature�-��',�% " -' ' - „� - 1� ' '"' `�"' ` STREETWIDTH� ' - ' ' PARKFEEEr, WORKERS'GOMVENSATIONDECLARATION _ ' -%�CCUPANCY �_CONSTRVCTIONTVPE ,___ ___ _ _ _ -I hereby affirm Ihat I nave a cert�fiwte of consent to self-insure or a �iVALUATION ' °^ ZONE 1 "ZONING APPROVE�_HY�'�_ � 'DATE- � . ,. . . .r. . . ,.' • : certificate-of-Workers'�Compensation �Insurance,.or_a..certlfietl copY -.- _._ . __ _. _ .__ .�: _-.. ._ w_ __.__ - � � - ___,_,__.. �thereof (Section 3800, Lab. CJ. � GRADING CU. VDS. - �� ACRES �+SPECIACCONDITIONS: -� � � � ;� �"�cYNo:'_ "' i' "' "CompanY' "' __ "'"_ ' ' ' ' " "' '_ ' " " " ' _ _"'.� " _ " . _. ' ��A-,_ __ '.i_ . ertlfietl,copy is.hereby furnishetl.._ ._ __ _. . _ _ _ __- _ '_REMARKS:_ ._'i. _ +'C. _ ;'__.� _ � � _ _� ' ' i " _ ' ' _ •..._ .. ' .erUfietl copy is filetl with the c�ty Builtlinq �ivi5ion. � . � � „ � ' ' , �' ��� � � `- � � ' ' �"- "� � � '^.� .- � � EXEMPTION"FROM'WORKERS"COMPENSATION'DECLARATION - ' -- "' ' ' ' '- � (This sectioq neetl.not be completetl if tha permit is tor one huntlretl _` •_ . � �-. . � � _ _ J -_ _ _ - ; .� _ . _ �. ' _ _ _ t ` si � . . , - . ., � �' (5300 or leu) ., . ^'� � � ' ' � 5 Permi[ IS �,. . �.. ,. ..,. �" I certify that in Ine performance ot the work for whlch thi _ � Issued 1 sliall not employ any person in any �manner so'as to become -PCUMBING "�'-- - i,F PL"AN CHECK' -' -"- ' jECECTRICAL -" "' ""PLAN CHECK' ""' subject to the Workers' Compensation Laws_of California. - ' _ ._ _ . �Date Si9nature � BATHTUBS - �� SHOWERS� - " - "Z;'Z. � Ob. i �NOTICE: If after making thiz tleclaration, you shoultl become subject TOI�ETS�-� � .-n •� URINALS" - "' '- , '. ^ ,GENERATOR-- -0-1' KW " " '1=10,KW-' "" "' a to the Workers' Compensa[ion proyisions of tne Labor Cotle, you must . ITRANSFORMER — q� i0.�� . 7 r.c1 � torthwlth comply with such proviz�on5,o� Ihis pe�mit Shall be tleemed LAVATORIES DOVBL•E LAVS- -'�'--'�'� -•}APP�IANCE' ' 30-50�KW_50+ KW- � - - ievok¢tl. ' . � � _. . _ _ - ' CONSTRUCTIONLENDINGAGENCV � ' "KIT.SINKS"-" ' '-'-DISHWASHERS-"-1^' - - �MOTORS-- 04'HP_1-lOHP - �-- - 'I he�eby affi�m that tM1e�e i5 a Con6t�uction lentling agency fo� tne Oerv SERV ICE $INKS. t_; �,�� 'SUMPS--" --' - - UNC. SOLAR _. '��� _ � S .� fo�mdnce ot th¢ work fOr which (his pe�mit is is5uetl (Section 309] �'-30-50 HP-_SO�+.ryp _ ..; . , . . . . � . � ,Civ.-C.): ---- - ����- --"^- - --^ - � -- ^ -- - ' ' FLOOR'SINKS---'-`""'F1'OOR"DRAINS" ' ^"'" "" jFIXTURES "' -OUTCETS--'SWITCHES' -- � �Lentler'S Name + �LentlerY Atltlress "ORINKING FOCINTAINS -' " ' " - - ' GAS TVBE�SIGNS- - --- - - - � - - --- - OWNER BUIILDER DECLARATION- -- � --- -•- - � � ' ' " INTERCEPTORS' - � CLARIFIERS�� " .'-- . . -- POLECIGHTS-...."- ' '- -` ^ ' I hereby atfirm that I am exempt tromine Contracto�'S License Law tor the-tollowingreason-(SeciiomJ031.5�Busine55antl�Pwte55iDn5Cotle: -SWIMMINGPOOL--"-PTRAP� -- - -' -� ^ - • -- , Any city or county which reQyires a permit to construcq alter, i 'POLES� METERED � SUB - improve,-tlemolish-orrepairanys(ructure,priordo��itsissuan<e,alsore- yyqTERSERVICE"'-'-'ALTERATION'--" -6' -' PANELS "-"--• MAIN"'.; -'-SUB--- - -�� ` � quires the ap'.licant fo� such perTlt to fil¢ a signetl statement that he � ' � is �li<ensetl �pwsuant•to•tne�-provisions oPthe^Contractor's LicenSe��Law �'G'AS SERV ICE "" � ��OUTCETS -`-"^-� '���""� - "" ' 'SERV ICE--- -- �-�- - � - - - - N1P-- r - (Chapter 9(commencinq with So,ttion 7000) of Division 3 of the � Business antl�Professions-Cotle) or [hat-he�i5 exempCthereflom antl Ihe -yyqTER HEATERS' BTV'OUTPUT �- bavs for the allegetl exemption. q�y yiolation of Settion 7031.5 by � � - - � . 3ppliwnt for �a-permit �subjetts -the- applicant to �a-tivil penalty- -�SEWER'CONNECTIONS' ^-" -"� . - ---' -- - - -•' -- - - ��'• ^'- - - - - - ' - - - - i t more than five huntlretl tlo�lars ($500). ' ��1J '� � ., ds bwner' of tM1e'property,'o�'my"emPloYeeS'with'wages as th¢Ir' "SOLAR TANK '� ' " COLLECTORS - ' - 7 -- - � -.�- - - - - -- �- sole compensation, will tlo tne work, antl the structure is not IntenOed ' �' or offeretl for sale. (Secii6n ]044,"Businesz antl -Prb(essions Cotle: The SOLAR PIPING SVS. � - � � - - �`� - � � � - - - ISSUE EE- ��- - - ^ - - - Contractor's License Law tloes not apply [a an owner of a proper[y i who bulltls or improves thereon, entl who Gbez'such work himself"or' � -'ISSUE FEE - �' -� - ' � � "�-`-� ' '/aPPLICATION APPROVED�BV - - - -- - -DATE - - -- through his own employee5, proviryetl that such improvements a�e not �� _ __ � _ � - ' Intentletl or offereB for sale. If,'how¢�er, the builtlinq"or improvemen[ MECHANICAL � PLAN CHECK � - � - iz som within one year of mmpletion, the owner will have the burtlen . ' $UMMARV OF, FEES , -` of-proJing'he ditl-no[-builtl or improve Por'the purposebf sale)C' � -' - - - '-- '-� ,'----' --�BUILDING- �• � - -- - � •� - � - t\�'. ❑..I,.as owner_of.tne_ ropert ,am.exclusively_mntracting_with. HEATINGSYSTEM 0-100,0008TU_�_ _^ 'PERMIT E 'SMIP,.� ,-$'� � P Y. ANDOUCTING' "i" - '-- ' -• '�.•. ' ' ' Iicensetl Contractore to consVuct tne project (Section 7044, Business 100,000+gTU �PLANCHECK S PERMIT• r antl PrOfessions-Cotle: The ConlraCtor'S_License-Ldw.4oe5not.apply.to . _ - � . - ISSUANGE�' $� an owner of property who builtls or improves thereon, antl who con- REFRIGERATION 0-100,000 BTU � �PLUMBING� y . - tracts.tromsuch..projec[s with_a contractor(s7_licesnetl..pursuant.[o _SVSTEM--�� � -� -- - • � - - _ _ GRA�ING'.'E theGontractor'SLicenseLaw). 100,000;+gTU � ��� IPLANCHEC4C E• � '.7`•,�'�'-,': ❑ I am'exempYuntler'S¢ction' -�•---�� - ---- B. & P. C: for [his - � -- - �- - ' ---'- � - - - BOILERS BTV ' ��ELECTRICAL: § `��;i 'y E � mason SYSTEM REPAIR, A�TERATION ' ' `7L-AN�CHECK _ _. ;_ MICROFILM'E _ �_ i Date - Owner a ' •�.•� �TOSAI_ FEE 8 � " I hereby certify [hat I M1ave reatl this application antl state [hat the above EXHAUST SVSTEM MULTIPLE ��MECHANICA�y$� � -^ - - --�--- -� . 'PLAN�CHEEK�� � � `�'LE55 AD-- ' � � Intormation'is'conect: I a9ree'tG-Comply"wlth-all'City dntl county' �1 -5 - - VANCEPC $_ - o�tlinancEs antl state laws relating tb Const�uction, antl hereby autho�ize ,. - -- � � representativesrof'tbis city"to e�{¢r'upon'tbe above mentionetl � ; • ' ' ' - � `• property for. ✓ins ction /Curposes. f Si9nature /1����^" -"_ � ' -' Date �_�L� �+% . . . . .- i _ _' . _ ' - . FINAL FEE $ •�0 Orive'rs' Li�ense or 55�3' -' - ' ' ' ` -' �ISSUE FEE - - - - �• - - - - - -- -- � - -, __- _ - _ _ __ _ . . _ . _ _ CMF 0865-J6 WM1ite-Builtling; Qanary-Applicant; Pink-Accountinq; Goltlenrotl-Assessor CONSTRUCTION ANO PLANNING �/ ' .. •. ' ; - • POOL & SPA `�- � � _. , ; �c� , .� ���-� ; APPROVALS .i .'� -� Permit.# � a / Date in'spector - -pppROVALS � .. . � , Permit # � � Date Inspector , 1: Temporary Electrical Service or Pole �.+ � ` � 43. Pool & Equipment Location ' '- � -' - "� - - - - � � . ._ Soil. ipe-Undrgr0 .,...' ' '..n 44. Steel Reinforcement ' - �- -' -- - � - • -.- ' ' . . -- -. .� ._ _ . 45. Forms��::�� � -- . .. . _ _ -_ ._ . . ... ..� � -' - � - 3.. ElectricaLCondurt. Utility-Undrgm _. -.._ 4. ElectricaL.ConduitUndrgm . _ _ ~. � _. ; �. ._ _ _ . 46.. _ Electrical.Bonding ' -� - - -- - - � � � - - � -" tee ein orce ^ _�-- - ' � 47. Rougli'Plumbin- & Pressure-Test - - . -- - � -- � --- - -.-- - - _ ' ___6. _Elearical_UFER Grn _ _ _ ' 46. APPROVALTO COVER-GUNITE -- - - - - - - - - -- �-- . _ . . ,,.,. _ . , ,_-. �7,. _ Footings„ ___ 49. Electrical Conduit-Undr m ' '�' �•� � � � H -8.- -Foundation. _ ' � 50., ;Gas�Pipe,r❑�Undr m,Test ' ' ' " ' � '' � - £r- .. ' • __9.- -.Water Bipe-Und� rn �' a 51. Backwash Lines � P-Tra �'l7nd� m' � " - - - ' - - � .10. Str,uctural Floor.System_.,.. _ ' 52: • APPROYALTODECK --� -`- "'- "" - �_1.1.-_Property.Sewer_4ine &.Nouse.Connection: �� ° _ .��� 53. Backwash'& Rece tor-Final ` " � � ' ` � ;--12.- _Street Sewer_Connection. _ ' ' ' -- •- -- ' - - -54. Heater & Vent-Final' � - ' -�--- - -- - ._.r � . ' _13.__.Rough_P.lumbing. --- • - ., � - � `- -` =' ° -, � ... - -. ., . _. _ . _ _ ..^... . _ � _ _ , � 14. Rough Electric-Wnduit - '- ' " -' - � '�56�.-�Electrical-Final - � � � � � � • , • 15. Rough Electric-Wiring �-� - _ : � C ' " � 57'. SolarSystem-Final ` '� " ' "^ � �" � "' "'� ' ' � ' "" ' ' -T6- Rough Heating &�AirConditioning � - - - . _ . Fencing.&-Access.Approval . � � �17..Ducts,in�StructUre�.' - �--' - -- - - - - APPROVED'FOR..PLASTERING ' 16: -Ducts,-Ventilatin9 �- . . - - - - • � . - . �- � �- - .� -- - - . _ - -- - . -.- - -. - 19. GasPipe-Rough�&Test- ' � • � - �--��- - �--- � _60. POOL/SPASYSTEMSFINAL � � �' � ' ' •" � � . � -20: - �Roof Framin9 � - - - � - - . . . - =%. - - � . . ._ . .� . ' � � � � ' . . . . . � 21. Roof SheatHin- --� - ' � - - � - - - - - - � -- � . `.' . ., . .., • , 22:-�Frameand�Flashin ---- -- - - -- -r � . NOTES: " � � ' ' , � . . . - � ' , 23. -Insulation � � � � � � - - � � � � � � � - 24:� � Lathing & Siding � - - - - - - - - �. . _ .. . . . . � - - - - ' - -- - --'-.. . � . 25. Drywall Nailing -- � - � ' - � � -- - � • � � � � � - - 26. Plaster Brown� Coat - - � - � ' � � • � -27! : Electrical Power Meter-Final - - �- �� - � - � • � � 28.- -Final Electric - ' -- - -- - - - - - - - -'S •�G� � � - � � � � -- 29i Final Heating &�Air-Conditioning - - - �- - -- � -�- � • . - . � � 30: � Final Gas Pipe-Test-. - - - -� - - �r - Y - - � � � • � , 31 �: �Finai,Plumbing - � ' � ' � ' _' '- --- - - - - - -- ' --- �- - .. _ . .. 32.- -Water Service-Final --- - - � - - ' " �� � �' ' ` � ' . . . . ... . . . � 33. GasService-Final _ . . _ . ___ - _ . • � .. ,. . ' . . . .. .� � 34. Solar pomesticFinal' � � � " � � �" ' ' � 35. L.andsca e S rinklin S stem • � " ' - ' ' '� � � '�"� <` � ` ' ' � � � ' ' � ' 36. Sound Attenuation � � - ' ' � � ` - � � � - ' 37. Handicap Regulations � " � � � ' �' � � � • ' � i 36. FINALSTRUC7URE&BUILDING - ' � - - ' • - ' 39. Special Requirements Completed - � _ � � � ' � ; 40. Electric Release �.to Edison � � � ' ' � �� • ' � , 41 . Gas Release to Southern California Gas Co. � ' � � � ' 42. CERTIFICATE OF OCCUPANCY - ,- � � � - . _ . -,No .i �..��r Date � - �-- _ . - . i � AVP���ant to �III In all s0aces wilh�� heavy bortler linas anG si9n a1i aoProoriata aeelantior � bI7Y �OF COSTA'MESA �. aea IT NO. - " � TRACT NO. LOT NO. BCD NO. � C6NSTRUCTION PERMIT �"2p$L., � ' ' ' : �a rm�¢c[naaress ('' � �: _ �- , , • T�V/py OF CONSTRUCTION � Owner �l � S / Phon'2/ 'n �✓JryEW' - � ADO ❑ ALTERATION � � AdtjrCa- ��- %hf� y � K��(•' S ❑'REPAIR ❑CONVERSION ❑�EMOLISH , Amh/Eng. • - � � �- license No. '_� OTHER Adtlr255 ' - - - . . _ . _ OESCRIPTIONOFWORK Contractor �� �, Phon =3 TVPE OF PERMIT � � Adtlf¢ss • �' , � � � O GRADING ❑ FOUNDAT,I.O,,N� ❑ STRUCTURAL UCENSED CONTRACTOR DECLARATIO . ' ❑ TENANT ❑ ELECTRtCAL ILPLUMBING ❑MECHFU I hereby aiflrm Ihal I am Iicensetl untler O�a��slons ot Cnarter 9(com- . mancin9 with- sectlon ]000) of Division 3 of• the BuSiness antl -� OTHER� " �o�OsslCns Cotla, a tl y Ilcense is In full Orce a tl e t.- � PROJECT DESCRIPTION , A.P. � ZONE Lltense Q 5 � � c9n5 No. � � � � � � � , ��� `�- � PKC�. SPACE Date � � �L Si9 tu i.L� i /�1 rh %l SQl FT. `��- .. . .. .. ._ � STREET WI[ WORKERS' COMPENSATION OF, L KAYION OCCUPANCY_�CONSTRUCTION TYPE_ 1 bGreby alfirm that I hdve d cef[ifitate �/ consant to selt-Insure or a.. VAWATION ZONE certificzte of Workers`�Compensatlon(jnsurance, �or �a cerlitietl copy - thereoT (Section 3800, Lab. C.). � '1 /� T �GRADING CU. VOS. ACRES ADIICy No. ComPany ��N��'/pQU - Ccrtifletl copy Is hereby /urnishatl. . . . . . . REMARKSk ' G' — p � • •'� � - � - �rtf(fetl copy fs ftletl witn t�e ctty Butltling OtWsion. E%�MPTION FROM WONKERS' COMPENSATION DECLARATION ' ' ' (ThiS SC<tion.n¢etl nOt.bB COTPIet¢tl If Ihe p¢rTit Is fOr ona huntlretl • SE1�0) or leu�. � � � - ' - certity that n ihe performdnce of the work for which tnis permit is issuatl, I shall not emPloy any person In any manner so as,lo becoma PLUMBING �• GLAN'CHECK ' subjgct to tha Workers Compenzatlon,Laws of Calltornia: _ Dat9 5�9�atura BA7HTl/B5 SHOWE0.5 ` - - - � NOTi�E: If aflar making this tleclaratlon, you ihoultl becoma subjact TOILETS. URINAL5 '-" _ lo lhe Workers' Cqmpensatlon provisions ot lhe Labor Cotlo, you must � forthwith comply witn such provisions or this permit s�all be tleemetl LAVATORIES DOUBLE �AVS �¢vOk¢tl.. _ _ CONSTRUCTION�LENDING AGENCV KIT:SINKS " -DISHWASHERS - I hereby af(Irm tha[ thera is a consVuction lentlin9 agency for [he perv SERVICE SINKS • SUMPS -- '" lorrqance o/ lne work for which tnls permit is Issuatl (Sectlon 3097 - ���' C'%' � �� �� � � - �FLOOR SINKS � FLOOR DRAINS � ' Lentler's Name Lentler's AtlOress � DRINKING FOUNTAINS � Sy, -3 -^ DWNER'BUILDER DECIARqT10N INTERCEPTORS - CLARIFIERS � I her¢by atfirm lhat I am exempt (rom'th! ContrdGtOr'S licenR Ldw for Ihe tollowing reason �(Section 7031.5-9usiness antl-Professlont Cotle: SWIMMING POOL ''"PTRAP � P.nY City o� Coun[y whiGb �equirCS a p¢�Tit to conitruct, alter, improve, tlemoiish or repalr any structure,-prlor to Its issuance, also re- yyqTER SERVICE ��- P.�TERATION - " � ' qW�eS the ap4�ICdnt fo� such Oe�ml[ to flla a slgnetl statamont th�[ he li `ICensetl�Dursuant to the provlslons of the�ContracLor�s License Law GAS SERV ICE �OUTLEYS � � a 'as or or ion 7031,5�by WATER HEATERS 'BTV OUTPUT a�<ivil penalty SEWER'CONNECTIONS ' wagas 5s their SOLAR TANK '' COL"LECTORS Is not intontletl �--- lons Cotle: Tha SOLAR PIPING SYS. /.-�Q/O�J. )/CL who builtls or improves thereon, antl who tloez such work himselt or ISSUE FEE [hrough nI5 Own employ¢ez, provitlC� tbal such imO�ovGmentS are not intehtletl or ofteretl tor sale. If, however, the builtlinq or improvement MECHAN�CAL PLAN CHECK is m�tl witnin ono year of <ompletion, lhe ownar will have tne burtlen ot provin9 he tlitl not builtl or improve lor lhe pur0os0 0l sale): HEATING SVSTEM 0400,000 BTV _ ❑ i, as� owner�ol tho•properly, am oxciusivery contracting with qNODUCTING ' II[eqsetl rontractors to consiruct the projoct (Settlon 7044, Businets 100,D00+gTU� antl �Proltssioni Coao: The Coniractor'S Liconse Law tloas nol apPly to an Owner oi properry who builtls or improves thereon, antl who con- REFRIGERATION 0-100,000 BTU_ Vacts irom such-pro�ects with �a contractor(z) liceznatl pursuant to -SVSTEM -� -- the Contractor'S License Law�. 300,000 a gTU � ❑' I am ¢icempt Untler SeCtiOn '-- - " B: 6 P. 0.(Or this BOILERS BTV '�WSO� - ' - � DalO Ownar SYSTEM REPAIR, ALTERATION I he�ebv certilvthat I havepeatl this appli¢atbn antl state thal the above EXHAUST SVSTEM MULTIPLE antl Signdlur< ��� Drlvers' Llcen90 or CMp 0865-46 V antl - - � ' " ISSUEFEE � �� Iltling; Unary-Applicant: Pink-Accounting; Goltlenrotl-Assestor 9692,�2/17/8.1,:. 37.00 T �UING•REGULATIONS-"� � "" � , . PLNTGQ.•gRUERL p� PROPE�RTV tINE � . - 1 " ' �„PROVIDED , "- PARK FEE S . ' � LOrvING APPROVED BY SPECIAL CONDITIONS: ELECTRICAL "�PLAN CHECK " ;A77AG�7— �nrvcnri�rn OdKW_]=10KW__ TRANSFORMER 'APPLIANCE 30-50 KW=50 � KW _ MOTOR$ p=1 HP--_I-30"HP __ (INC. SOLAR). 1030 HP_ 50 + HP __ FIXTURES ' OVTLETS" $WITCHES-' GASTVBESIGNS � • -- POCELIGHTS ' "' -` '-- - — PANECS" ' MAIN _ SCIB . � SERVICE - AMP' ISSUH FEE - ' - APPL�CATION APPROV ED BY - DATE SUMMARV OF FEES . BUILDING' � - - - - - - PERMIT y SMIP' E PLAN CHECK S`J� PERM17 PWMBING E12/- ' , ISSUANCE S � PLANCMECK § ��GRADWG E' , 1 ' , ELECTRICAL 5 - " s . - PLANCNECK E - "MICROFILM E �. TOTAI FEE E '- � MECHANICAL S " PL'ANCHECKI'S � ' "CESSAO� 1• VANCEPC -5_ ' . . . . ': � ' .�' . , � _ FINALFEE E� : e5 . CONSTRUCTION AND PLANNIN� - � � ' POOL & SPA - � ' •' 'a � / Date- Inspector � Date - Inspector -� , APPROVALS Permit # � " APPROVALS . Permit # . 1. Temporary Electricai Service or Pole 43. Pool & Equipment� Location - � - - - - - - - � � - 2. Soi ipe-Undrgrn � • 44. Steel Reinforcement � ' - - - �• -- - • - � � .3. Electrical Conduit Utility-Undrgrn ' 45.. Forms � - ' 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - -- -- - ---- . tee em orce - - 47. Rou h Piumbin & Pressure Test -� - 6. Electrical UFER Grn ' 48. APPROVALTO COVER-GUNITE - - •-- -- 7. ootings � 49. Electrical Conduit-Undr rn 8. Foundation ' ,50. GasPipe, ❑Undr m,Test'� ' � ' � ' ' 9. . Water Pipe-Untlrg[n � �' - 51. Backwash Lines P-Tra ' ' ' ndr �rn � '� "' - ' - - - - ' ' � ' ' 10. Structurai Fioor System ' 52. APPROVAL TO 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 ElectrioConduit �� -• � - � - �56r Electrical-Final 15. Rou h Electric-Wiring� � -' -- � �57. Solar SYstem-Final ' � � - ' 16. - Rough Hea[ing & Air Conditioning - -- • encing & Access Approval •• � 17. Ducts, in Structure - ' APPROVED FOR PLASTERING . ' - 18. Ducts, Ventilating " . - � . . . . _ _ �- , 19. Gas Pipe-Rough &Test � � • - - - 60. _POOUSPA SYSTEMS FINAL � ' , --� 20. Roof Framing - - -- � � � ' � ' ' 21. 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 � ' 29. Final Heating�& Air Conditioning ' - - � � � - - 30. Final Gas�Pipe-Test Y �""� � � 31. Final Plumbing � _ � � � 32. Water Service-Final � � � ' 33. Gas $ervice-Final � ' 34. Solar pomestic-Final " ' ' � 35. Landsca e S rinklin S stem ' �' � 36. Sound Attenuation � ' � 37. Handicap Regulations - - � � ^ ' 38. FINALSTRUCTURE&BUILDING � 39. Special Requirements Completed '" �� � - � 40. Electric Release to Edison 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY • No. Date - - � ' - Applicant to fill in all soaees within heavy portler lines ana sign all approoriate Oeclarations. 'CITY OF COSTA MESA PERMIT NO. CL TRHCT NO. LOT NO. BLOG. NO. ' ' . - - CONSTRUCTION PERMIT 7� Z -� . • • , ' Project Address (,, � �� TVPE OF CONSTRUCTION � ", `4 � '. 0310� 6/29/82 . �'IOr�O ' OWner V � Phone _ � � NEW ❑ ADD ❑ ALTERATION - � , � � � � � " - - AddreR• -L/.�- yQ � p�/ ❑REPAIR ❑CONVERSION ❑DEMOUSH ArchlEng. -- License No. ❑-OTFiER ZONING REGULA710NS � DESCRIPTION OF WORK A'P' � ' .'Addre55 ' ' " .. . - .ZpNE - PLNG. REF. � ' .'Contractor . �G%i 4: O • Phone Z� GTYPE OF PERMIT -. ' - -- . . Tp gU i LpirvG � SETBACKC T. GROPERTV LINE � AddresS ' pJ' ' /� , ❑ GRADING . O "FOVNDAT�IO,/N' ❑ STRVCTVRAL' 1 VARO LICENSED� CONT�RACTOR DECLARATION � - �O TENqNT ❑ ELECTRICAL p�I.UMBING ❑MECHANICA ;`����HT I hlreDy atflrm Ih;.t 1 am IicenSetl unCGr provlsiOnS Of Charter 9(COT• � • . � - '" menting^with^section �]000) of DiviSion 3 ot the Business antl ❑OTHER _ Professlons Cotl ; n Iltense Ii in tull force a tl efle t. . - � REAR VARD (TO P/L) � � PROJECTDESCRIPTION• . LlcenSe C1a55 LICen lo , . �- � �� PKG. SPACE REQ. �� PROV IDED Date 1--- Si9nature _! SQ. �: � . '- , ' . �WORKERS' COMPENSATION OECLARATION OCCU�ANCV_CONSTRUCTION TVPE STREET WIDTH PARK FEE E- I hereby aHirm Ihat I havo a certlficate of conient to self-insuro or a VALUATION ZONE ZONING APPROVED BY' . DATE terHfifate of Workers'-Compensatlon Insurance, or a cerUliatl' capy ._ _ ' ,thereOf ($ectlon 3800, 12b. C.). ' ��// �� ��O GRADING CV. VDS. ACRES SPECIHL CONDITIONS: � � PolicY No. - ' "ComPanY " /V ' ' " ' - � '¢rtifietl topy Is Itueby furnishatl. _. _ _ . .' . qEMARKS: 2 � „f ¢ - . . - - - - . _ Crtifietl copy is filetl with the Uly Buiitling DiviSion. , .. � EnEMPT10N'FROM'WORKERS' COMPENSATION DECLARATION - ' - Z�• '- - - - � - � O (TNs seclion neetl not_be completetl i( the permit ii for one huntlreU _ _ . �' � � ' SE100) or lessl. - . . _ . ' -. ' ' ' _' _ ' ' cerLty [�at m the per(ormance of the work tor w�ich this permit Is isiuetl, I ihall no[ employ any person in any manner so as to become � PWMBING •" -,'i �PLAN CHECK 'ELECTRICAL -' - PLAN CHECK ' sub�ect to the Workerz' Compensatlon. Laws of Califomia. . ' ' - Date Si9nature 8.4THTUBS - SHOWERS � - - " - " - NOTICE: Ii after making this tleclaration, you snoultl become sub�ec[ � TOILETS �, URINACS' " .-" ' GENERATOR 0-1 KW=1-30 KW - to the Wo�kers' Compensatlon provi5ions of the lzbor Cotla,'you must - - TRANSFORMER fort�with <omply wit� 5uch provisions or tbis permit snall bo tlecmetl LAVATORIES DOVBLE'LAVS APPLIANCE 10-50 KW�50 ��KW - - - revoketl. -_ ' . . - - KIT.SINKS - DISHWASHERS MOTORS CONSTRUCTION LENDING AGENCV � - 0-1 HP_3•10 HP I hereby affirm t�at t�ere ii a construction lentling agency 1or tne pen SERVICE SINKS '_ ' SVMPS —' -� UNC..SOLAR) 30-50 HP_50 � HP - formance of t�e work tor which this permit is i55uatl (SecUon 3097 Clv: C.). - ' �" ' - " ' ' FLOOR SINKS � FLOOR DRAIN$ - FIXTURES " " OUTLETS 'SWITCHES '- .Lender's Name 'L.entler's Atlaras DRINKING FOUNTAINS " -' � �GHS TUBE SIGNS " "' � - �- -- OWNER BUILDER OECLARATION ' ' INTERCEPTORS � � CLARIFIERS - '�POLELIGHTS- "' - -' - ' ' - - I hereby a(firm that I am exempt from the Contracror's Ucense Law tor - the follovring rea5on (Section ]031.5 �Bv5inM5 dntl PrOf¢z5ions CotlG: $WIMMING POOL - PT0.AP " ' - ' ' - - - Any city or munty wNc� re0uires-a permit to cons[rucq alter, POLES METERED SUB imOrove,-tlemolish or repair any ztructure; priorto its�issuance,also re-- yyqTER�SERVICE - ALTERATION -- ' ' ' PANELS - MAIN ' '- 'SVB' " ' ' - � - quirGs the ap4����[ fo� such permit to flle a Signetl ilatement that he is Ilcensetl' purzuan[-to the provislons oPthe Contrac[or's Cicanse Law GAS SERVICE � OVTLETS � ' - SERV ICE ' -' -- -- -- �Cnapter 9(commencing wilh SecUon �000) of Division 3 oi the AMP usiness'antl' Prdessions Cotle)-or thabhe is exempt Iherefrom antl the WqTER HEATERS . `" 'BTU OUTPVT ' ' - ' - - � - - basis for [he alleged ezemptlon. Any vialatlon oi Sectlon 7031.5 by �- applifvnt fora-permit subjectrthe appliwnt [o �a tivil �penalty SEWER CONNECTIONS ' � �--- � - - - — - — :�t more than live huntlretl tlollars (5500). ' t c,';�'.�'as owncr of the property, or my employees with wages as their' SOLAR TANK ' ' COLCECTORS . ' ^- -- -- - - 50(C�compensatiOn, wlll do the work, antl th0 zt�ucture is no[ Inlentlltl � � or otlereC ror wi¢. (5ectlon 7044, Business an0 R'otesslons Cotle: The SOLAR PIPWG SVS. � '� -'ISSUE FEE "' ' - - � Contrattor's Litense Law tloes,noc apply to an owner of a property qPPLICATION AGPROVED BV - wno ouiltli or imo�o�s thereon, antl who Goes such wo.k nlmself or - ISSUE FEE � � � - ' � ' ' � DATE tnrough bis own employees, provitle5l that such improvements are not ' � Inlentl¢tl or OfferlU tor Sale. II, howeve�, lhe bulltling o� improvement - � - - -'- - - is som witnin one_year of <ompletion, lhe owner will have the burtlen MECHANICAL aLAN CNECK SUMMARV OF FEES .• of proving he tlitl no[ builtl or iTptove to� the pu�pose oi� sale). - �BUILDING -- - HEATING SVSTEM 0-]00,0 0 BTU � 1; as-owner-ot [ha property, am�ezclusivery contracting� with- qNDOVCTING"-- '-"- � - - � -- � �PERMIT E .. , SMIP,;, S - �� � licensetl confractors to mnstruct the project (Section ]044, Business 100,000 + BTV i �PLAN CHECK E , PERMIT � ' antl Plofe55iOn5 Cotle: The Contlactol's Llcen50 Ldw tl0¢s nOt apply to ,_ _ �� " �- � an owner of property who builCS or ImprOvez Ihereon, antl wno con- REFRIGERATION 0-100,000 BTU �SSUANCE-�5 IPLUMBING S /v- tratts from suc� projec[s �with a contractor(s) Ilcasnetl pursuant to -SVSTEM - - GRADING ' b '� IheConHactor'SlicenseLaw). 100,000+BTU PLANCHECK E'� t- ��; .f � ❑ I am eiemp[-untler Section - ' - B: S P. C. tov tnis - BOILERS BTV � ELECTRICAL �5 ' ' ' s reawn - -� - - PLANCHECK E " MKROFILM�S SYSTEM REGAIR,ALTERATION Date Owner � TOTAL FEE f� � I her¢bytGr[ilythd( I �avG reatl [his applicatlon anE stat0 [hdt [h0 dbOVC EXHAUST $VSTEM MVLTIPLE MECHANICAI S " - - inbrmatlon is correct. I a9ree to comply with all city antl county PL-AN CNECK S LE55 AD- . or�inances antl stale laws relating to con5truction antl heraby authorize � � VANCE PC E�_ repre5en[atlV¢s of is ciyt �t� ente! upOn th¢ dbov8 rtl¢ntiOnetl � • '' property tor in '}�-' es. /n Signature ��'�%� `��""'�� Date �i�/� � D�� • FINAL FEE S� � o.��e�:� ���e��e o� ss �_ ISSUE FEE - - _ O _ _ cmr oaeo-ae wnne-ewiam9: �nary-nppucant; nne-nccounun9: �maenroawsseswr CONSTRUCTION AND PLANNI . POOL & SPA - _ _ .• � APPROVALS ' Permit# - Date Inspector qppROVALS � Permit# ^ Date Inspector 1. Temporary Electrical Service or Pole 43. . Pool & Equipment Location - - � Soi ipe-Un rgrn ' 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 Gm � 48. � APPROVALTO COVER-GUNITE- -- 7. Footings - • 49. Electrical ConduibUndr m ' - � � B. Foundation . '' � � 50:, Gas Pi e❑ Undr rn; Test - • 9. Water Pipe-Undrgm 51. Backwash Lines P-Tre � � ndr rn '- ' ' � - 10. Structural Floor System � � 52. APPROVALTO DECK ` ' ' ' ' - � � 11. Properfy 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 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 FINAL - ' 20: Roof Framing � - -- � � ' ' ' � 21. Roof Sheathin ' "' ' � • � 22. Frameand Flashin � NOTES: "• ' ' • . 23. Insulation - ' � ' 24. lathing & Siding ' � 25. Drywall Nailing _ ' � 26. Plaster Brown Coat � � 27. Electrical Power�MeterFinal" � - � 28. Fina� Electric � `• ' - 29. Final,Heating & Air Conditioning - - - 30. � Final'Gas Pipe-Test E2,.o �3 �- - - � 31. Final'Plumbing 32. Water Service-Final � � - ' 33. Gas Service-Final � ' ' 34. Solar pomesticFinal ��•� � - � ' 35. Landsca e S rinklin S stem � • ' � 36. Sound Attenuation � - 37. Handicap Regulations - � - 36. FINAL STRUCTURE & BUILDING � ' � 39. Special Requirements Completed � � ' 40. Electric Release to Edison � � � 41. Gas Release to Southern California Gas Co. � 42. CERTIFICATE OF OCCUPANCY No Date COSTA MESA BUILDING—SAFETY DEPAHTMENT P.O. BOX 1200 Costa Mesa, Calihrnia Address Z O � f¢(/�(JTPIP City lJ �p /J7 Zip Code State License No. Clflss. �-City License No.� Tel. No.77�— N0. ITEM EACH FAU, Wall, or Grav. Furn. Incl. Ducts and Vents QO to 100 000 BTU � over 100,000 BTU Vent (if not incl. above) Sus ended Heater Alter or Replace � Appliance ver 7 feet o gas piping H7Zi] ,Plan Check Reinspection Fee Sub-Total Pcocessing Fee TOTALFEES CMF 0449-46 2538 2/25%82 7.�0 TL TRAGT NOI `�,� �� �j� � ' .. LOT N0. /� r���• 1� �. BUILOING USE �=TE �S=VE� n � . ./J ., o� ( «p O BUIIDING ADORE55 COSTa MESA, CALIFORN " � �d� '.Fs.. ' l " \ u/OO OWNER _ -(�G/ O�IJ D ` MAIL ,u' ����.� FODRE55 y�� � " �/� „ CITV . "� �'t. � TEL. NO ^� /1,.,Z / d � ���lY 1 hereby acknowledge tha[ I have read this application and�st'ate`�tha[ [he above is corroct and agree ro compl '. „+,y. Y u �,, � ..wrth qll City Ordinances and State Laws regulating Heat- �� �� �ing;�Ventilating, Refrigeration and Aio-Conditioning. � If! � � �.� .�^� I cer[ity that I possess the above valid State of Calif- ` ' omia classification or I am the lega] owner of the single � Ih tamily rosidential property described above. Signature of ` — Permi[tee • � REMARKS: — � � I� - APPROVALS INSPECTOR DATE Ducts in S[mcmre , Duc[s Ventilating ' Heating — Rough Hoods ; Refrigeration Lines Pressure Test AirCond. Final , Ven[ilating Final Heating Final Bp Refrigeration Final � , O Final Gas Test ��Q Utili[y Co. No[ified BLDG. PERMIT NO. COSTA MESA BUILDING—SAfETY DEPARTMEMT P.O. BOX 1200 Costa Mesa, Calitomia AddICSs �ot< Liccnse No. j %(p%�6 Cless. ityLicenuNo. OOHSJ�+ Tei.No. N0. �TEM EACM I FAU, Wall, or Grav. Furn. Inct. Ducts and 1 vents .^ �nn nnn aTii 4• �� Vent (if not incl. Suspendetl HeatE Alter or Reolece 3 H.P, or less Over H. . t Check �pection Fee Sub-Total Proccssing Fee TOTALFEES CMF046936 \� —ii_ FEES 2539 2/25/82 TNACT N� ,w �� � �� l0T N0. BUILOING USE BUIL�ING��� � /� / / �' A�DRE55 rn COSTA MESA, CALIFONNI \� 7.00 TL � OWNER RR(IOKS CONSTRiiCTION MAIL ,Q �.A AJ •DDRESSj S3Z �Q_�Ii��L cirr SANTA'rANA � re�. Ho. �,� 642-0432 n �� � �y 1 here6y ecknowltdge that I heve reed this epplica[ion endistetei[he[ [he ebove is correct end agree to comply �wuh 61l'Ciry Ordinanccs and S[ete Lews reguleting Heet- fing; Ventilating, Re(rigere[ion end Air-Condilioning. �� 1 certity thet I possess the ebove valid $ta[e of Calif- omia classification or I am tht legal owner of the single family rosidential property described above. Signeture of n � Permittee �� RF1.IARKS: . �/�fj�j� Ducts Underground Ducts in Swcture Duc[s Vtntilflting Heating — Rough Hoods ` Retrigmation Lincs Pressure Test Air-Cond. Final Ventilating Final Neating Final Refrigerntion Final Finul Gas Test Utility Co. Notified BLDG. PERMIT NO. i � ' Appiicant to /ill in all z0acei within heavy OorGer linas antl si9n all approD��ale Ceclaratlons. �� CITY OF C05TA'MESA� � " aeam�j7N0. �� "- TRqCT NO. LOT NO. " BLOG. NO. , CONSTRUCTION PERMIT r '' 3 Project Ad s � , • ' / • �%I - T - TYP F CONST.RUCTION Ow f � /� ' PhOn � ❑ ADD -❑ AbTERATION' Addre55� � �-REVAIR OCONVERSION ❑DEMOLISH ..ArchlEng. '-�- - � ' LicenSeNo. ❑OTFIERI' � �� +� DESCRIPTION OF WORK i ,•. �V � ' -Address , - - . zoNE Contractor Q. Phone � 3a VPE OF PERMIT - � Adl1f2ST , $ET C 3' J r ❑ GRA�IIYG ❑ FOVNDRTI�O,�N O STRVCTVRAL IO YARD LICENSED CONTHACTQq DECLARATION �' , ❑ TENANT ❑�ELECTRICAL IkfPLUMBING ❑M�CHANIGA 5EpF I hareEy aifirm Ihat 1 am Iicensetl untler provizlons of Cnarter 9(com- R�IGHT menCin9 wlth soction �000) of Divlslon 3 0( the Business antl ❑ OTHER ' Profe:slons Coae, a tl y Iicense is Id full /tprce PROJECTDESCRIPTION REaavaRD Litensn I 55 '� � r �y! can5e" lo.l � . .. � ��, � ' PKG. SPACE Date ���% 519natuie � 7. �� _ . ' SQ..FTt�� - • - '. - : . . .. .. . _ . .. . WORKERS' COMPENSAT�ON D CIAR/�T ON . _ OCCUPANCY�CONSTRUCTION TVPE 1 hereby atfirm that I ha�q a certili<ato/n <onsant to seli-Insuro or a VALUATION' ZONE CCItHltdte of Wofker5' COTOe�SdtiOn lp5urance, or a CBIUfIBtl� COPY - � - � - t�ereot (Soction 3800, La4. CJ. ' /�.1��1� pT �GRADING CU. YDS. ACRES a+llty No. - � Campany �T� ��� .,�fi tl coPY I5 f16 tlbwitnrthehc[Y Builtlin9 Dlvision. REMARKS: ' aO5 \. - '' i�. EXEMPTION FROM WOIiKERS' COMPENSATION DECLARATION '- - � ' ' (This sec[lon neetl_ not be comPletetl.if the permit is for one nuntlretl -_ - _ (EI001 or less). . - � Lcertl(y thaLin the performan<e of the work for which this permit I5 , Bsuetl, I shall mt emPloy any person in any manner so as to become - PLUMBING � PLAN CHECK " sub)ect to t�e Workers Compensation Laws ol Calltornia.' __ . . Date Signature BATHTUBS SMOWERS NOTICE: If alter making this tleclaratlon, you snoultl betome sub7att TOILETS� . VRINALS " - ' lo lhe WOrkers' Compenzdtion provi5lons Of the l.abOr Cotle, you TUs[ - . torlhwith comply with zuth provlsions or tllis permit shall De tleematl �VATORIES DOVBLE LAVS ' revoketl. . _ _ _ .. .. - - . - - CONSTRUCTION LENDING AGENCV KIT. SINKS DISHWASHERS I hMeby a1(irm tnat tM1ere is a construttion lentling aganty tor t�e por- SERVICE SINKS SUMPS �- formance o/ the work (ov whlch thls permit is issuetl (Section 3097 Civ. C.).' - ' -' ' ' - ' FLOOR SINKS FLOOR DRAINS � LentlOr'S Name I..ontler'S AGtlress __ DRINKING FOUNTAINS p - ng or d' •PP��Wni tor � t more than L as owner ot SOIC COTp¢ll5dti0O > bulltls or �mproves >ugh his own emplo! intletl or offeretl for oltl. wilhin ono year i provin9 ne tlitl not I_ as owner � of lh� tn reqwres a perma [o cai r any s[ruCture, prlor ta'Ifs 15si ;h permi[ to filo a signetl state provl51on5 of tne Contractor'� with Sectlon �000) of Divis >tlC) Or tltat be I5 ¢xempt t�eri Ptlon. AnY vialatlon of S¢Ctii It Subjects the'dppliWnYto a itlrea aollars (5500). perty, or my employees witn � the work, antl tbe structure i! 0 ]044� BlI51f1C55 dlld PI'OfC551( OOCS OOt dOD1Y LO dn Ow11E! an own<r o� propeny wn0 0 t�atl5 I�om suc� PrOject4 wi� the Contractor's licensn Law), O I�am exemo� untler Seq�ori reason certity Ihal 1 lon -is corre Signalure �� • � Drivers' Licer�se or CMF 0865-46 1 reatl �w �a� INTERCEPTORS CLARIFIERS c Cotle: SWIMMING POOL- ' P TRAP , alter, also ra- 'yyqTER SERV ICE - ALTERATION M1Bt h0 SC Law GASSERVICE OUTLETS � ol [he antl tne yyqTER HEATERS - " BTU OUTPUT 31.5 by penalty- SEWERCONNECTIONS - � as their SOLAR TANK - " -COILE TORS itenaetl tle: The SOLAR PIPING SVS. . rop¢rty _ . _ , . nself or ISSUE FEE witletl tha[ sucn. improvemenu are not however, th0 builtlin9 Or ITprov¢ment MECHANICAL PIAN CHECK rletiOn„lhe ownOr will hdve Ihe burtlen or improvo /or tne purpo5a o1 sale).� HEATING SVSTEM 0-300,000 BTU nty, am exclu5ively con[racting with qND DUCTING ct the projeCt (Sec[Ion ]044, BuSiness ]00,000 + BTU lracto�'s LlcOnse Law tloes not apply to Itls or improves thereon, antl who•ton- REFRIGERATION 0-100,000 BTU i a conVactor(s) Iitasnetl pur5"Wnt to SVSTEM - - - 100,000 + BTU " B'. & P. Cl (or thit BOILERS BTU SYSTEM REPAIR,ALTERATION ;M1isappll lonantlstatethatthcabove EXHAVSTSVSTEM MULTIPLE o com ly wlth all city antl county to [ uCtlOn, dntl hereby au orI28 pon t e above me tlo tl 5. Date /���� ISSUE FEE Gnary-APPlicanq Pink-Accounting; Goltlenrotl-Assessor ' 9693 I 2/ 17/$'h t' _ " "' • - . . 20NING�REGULATIOP PLNG. REF.,� ZONING APPROVfD 8\ SPECIAL CONDITIpNS: •' 37.00 TL - ' _.. f NE � " P0.0VIDED "" PARK FEE 5 OATE ELECTRICAL' PLANCHECK GENERATOR OQ KW_ 1-30 KW - - T(3ANSFORMER APPLIANCE ' 30-50'KW_50 i KW MOTORS 0�3'HP_1-IOHP (INC.SOLAR) 30•SO�HP SO+HP ' FI%TURES Ol1TILETS SWITCHES ' GAS TUBE SIGNS' ' - - POLE LIGFITS - •• - PANELS MAIN ,� SUB - SERVICE' - ' ' 'AMP I55uE rtt ' - � � ' APPLICAT�ON APPROVED BY -'• -DqTE - SUMMARV OF FEES - , BUILDING' ' - PERMIT E SMIP b PLAN CHECK S �'Q� PERMIT . PLUMBING E_fL{.�—� �SSVANCE b -- GRADING S PIAN CHECK ' E ELECTRICAL S � ' s PLANGHECK E " - � MICROFILM § MECHANICAL S TOTAL FEE E PCAN'CHECK E �LESSAD- �� VANCEPC S_ . _ FINAL FEE §y[� : eC CONSTRUCTION AND PLANNI G . POOL & SPA , �•� APPROVALS Permit # - �� Date Inspector qppROVALS • _ Permit �# -' -' Date.. • Inspector � • - 1. Temporary Electrical Service or Pole 43. Pool & Equipment'Location •� • -- -�- Soi ipe-Undrgrn � _yi 44. Steel Reinforcement • • � � -• - - 3. lectrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn • 46. Electrical Bondi�g, �- tee ein orce - 47. Rough Plumbin �& Pressure Test 6. . Electrical UFER Grn 48. APPROVAL TO CAVER-GUNITE - •� 7. ootings 49. Electrical Conduit-Undr rn � 8. Foundation 50. Gas Pipe, ❑ Undr rn,�Test• - ' � 9. .Water Pipe-Undrgm � ' " / - � 51. Backwash Lines P-Tra �� ndr rn'� �• �'- - 10. Structural Floor System _ '.' - 52. APPROVAL TO DECK"-" L 11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final . � 12. Street Sewer Connection - '� -' � � 54. Heater & VenrFinal 13. Rough Plumbing d 1- " --� ' 14. Rough ElectricConduit - - � - " �56- Electrical-Final � � � 15. Rough Electric-Wiring � - 57. Solar System-Final - ' 16. Rough Heating & Air Conditioning . • encing & Access Approval • 1�7. Ducts, in Structure APPROVED FOR PLASTERING " 18. Ducts, Ventilating . 19. Gas Pipe-Rough'&Test 60...POOL/SPA SYSTEM$ FINAL � ' � , 20. RooF Framing - - - � 21. Roof Sheathin � � � ' � � 22. Frame and Flashin NOTES: � ' ' ' • 23. Insulation � - 24. Lathing & Siding � � � 25. Drywall Nailing - ' � - 26. Plaster Brown Coat - ' - � 27. ElectriFal Power Meter-Final � � ' 28. Final Electric - � • 29. Final Heating & Air Conditioning. ' ' ' � - -- 30. Final Gas Pipe-Te:t �� ��-O � ` � - ' 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 � fti!e. 38. FINALSTRUCTURE&BUILDING ' � 39. Special Requirements Completed ' ' - � 40. Elecvic Release to Edison � - ' - 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY _ _ ' No Date Aop��eant to fiil in all spaees witnin neavy.bortler lines antl sign a1l appropriate Oeclarations. 'CITY OP COS�FA'ME�SA "' ' PE�QI=NO. ' ' TRACT NO.' ^ L'OT'NO.+' By� G. NO... � _. .-- r ` . • . .." '^-" '- - " - - • . - . .- - " - CONSfRUCT�ON PERMIT L: o? %� ''t � � NJ 3 , . � 25 ih ei25i�2 7.00 TL 1�. �� `. Project Address _ TVPE OF CONSTRUCTION � � , ���! ' ��_ , _, „_ , " _ , ,- , , � OWnC! - - ' '� : " .' PhOne " " ❑ NEW ' ❑ AD�. "- ❑ ALTERATION- _ ' -� - -� . --' '" - - � - -�+ . Addrea- - - - � - -- ---- - - ❑REPAIR.'O'CONVERSION ❑DEMOLISH ... ❑�oTHER.' �' � � � �IONING REGULATIONS i .'� - '" �-Arch/En9.. ' -. - '. _ ' _ ' License�No. . _- _- _ . . ' 1i.P. # ' - - _ _ _ .. _ ' ' DESCRIPTION OF WORK ' � r ,'Address _" ._._ �, � ._ ' "_" ' "' .. . .. . _. ' ' ' " _ ' _ "' " ' ' _ . . . _ . ' - - ,ZOfJE PLNG. REF. � � �Contractor ' Phone '.TVPEOF'PERMIT."---"' '.' ---' _ . ..- '- '--' ogU "' ' � . �. . 1 . � ' � SETBACK LST. ILDING-F• 'Add�Css -� ��j ' —' • ' - - - � GRADING �� ❑ FOUNDATION- -O STRUCTURAL - SIDE'VARD � _-_ ��R�PERTV LINE I_: V � iLICENSED CONTRAGTOR.- ECLARATION .- ._ � "_ _ '. .Q TENANT O-ELECTRICAL OPLUMBING �OMEGHANICA , 5Eoe va � � I hereby aTfirm that �1 am IlcenseA untler provislons ot Charter 9(com- -� � -���, .� •� � RIGHT r, ,• ' z ' mencing- with -section- 7000) of�}Division-3--of- the �Busineis-and �- � OTHER= � - � - _ .. ._ .._ ._.._ . _ __ ,i R'of¢551on5 Cotle, �antl my Iit¢ns¢ is In tull tovice antl �etfect. ' '' '� REAR YARD (TO P/L) � s -•-'3n'3:33R �?ROJECTDESCRIP_TION. � - Licenze Clasi ' -�� "+ - `Lice e fJo.� _ `... . � . ,1' �- -- ' '-j - " '. PKG. SPACE REQ. - - "'- ' -„ PROVIDED;..' ' -' , �Dafe " '_ � "`Si9nature" " '_ 54. FT. 'i ` _' "" _" ' _'"J- _ " '_ " _ _ WORKERS'-COMPENSATION DECLARAT.ION .__ _. � -�_ �'OCCUPANCV''i��'� CONSTRUCTION TVPE � ' STREET WIDTH�� � � PARK FEE,$' - � �I M1ereby affirm that I have a<ertiticate of con5ent to self-insure.or z -,20NING'APP.ROVED.BV` ' " '"DATE^ �� '- certifiwte-of Workers' Compensation Insuran<e,�or.a.certitietl.copy i VALUATION_ � _ ZONE _ _ . �- rthereof (Section 3800, �ab. CJ. i � GRADING�CU. VDS. �t ACRES •SPECIAL [ONDITIONS � � - y' _" "' _"' _ ' • ^ertifietl copy.is hereby_fumishe any'- "-- --- ^- - " ' - -- � � � - - -- - - - � - - - - . __ - - -... _ ' '� __ _ � ,.. . � �Mlic� N6.-" - Com , �tl.: .,._Iai'.:REMARKS:� i'!!'. '� ' " ' _ _' _' "' _' "•.. ' _ . Certifietl cOPY is filetl with fh¢ <itY Builtlin9 DivlSlon. " ' .. •- ' • " " "_ .•. _" ' ' ' - '-"'" '-' - --- " ' " , ' � " _" -'" " • ' . , .. � . . ! - . . .'. . . 7�:t ,. .. � � . EXEMPTION�FROM WORKERS' COMPENSATION DECL'ARATION ' '--' � '�' ' ' ' -- "- ----"- - - ---- - - � � SThis section neetl_not_be completetl_i( the perntif i5 tor one huntlr2tl .�. __ �__ u_ _ �__ - _ti�. � _ _ _ ,. p _ ��i �^�� , _ : '�1'�_ .�il .,�'� �-_l' „� l§SOOI 01 I255I. � } ,i - ' - . .r.� s � .'_ ' _ d certity that in the pe�fo�mance ot the work tor which th�z permit is . __ ,. I55ue0,- I shall not employ any per5on iri any manner so as [b�bemme PL'UMBING"- '.,PCAN CHECK` - 'ELECTRICAL '" -- ' PLAN.CHECK ''- ' SubjCGt to th¢ Wo�kers' Compen5ation,LawS ot_California. '� __ __ __ - _ - ' ' _ � _ �Date � Si9nature E BIiTHTUBS -SHOWERS � - " " 'Z " - - D + �NOTICE: If a(ter making this tleclaration, you shoultl become subjeci� TOILETS� � �-� •-,VRINALS' �'-"" --�GENERAT R-• 0-1'KW_ 1-10 KW - -' ' y to the Worker5' Compensation prOvisions of the Labor COtle,-you-must � � TRANSFORMER •. . -� forthwith comply witn such provisions or this permit shall be tleemetl LAVATORIES DOUBIE L'AVS '- .' '� ' ' APPLIANCE --'"30-50 KW=50 + KW - -- -- ieVoketl..,..._ . _�._:_ _ _. __)"_ '"` _ _ "�_"' . u._... _..�.... J ... : 'KIT.-SINKS"" - DISHWASHERS- - '*^'""" ' MOTORS� � � � �CONSTRUCTION LENOING AGENCV . . 1 "0'1"HP_1-30'HP'"' ' �"- '� ," ; ;I hereby affirm that there is a construction lentling agenty for the perv SERVICE SINKS '' �• SUMPS "'-- ' '`� - �(iNC.SOLAR).._.,.10-SO�HP-_-..-50-+ HP - �� formdnte of [h¢ work for which this permit iz issuetl (Section 3097 - � � ' __.... � , Civ:-C.). ' --��'-'^�'----- ' - -' �- -^---- -�-- - '- FLOOR SINKS' --�`-�FLOOR'DRAINS �'- � �-"-" "- �FI%TURES'- "OUTLETS--^SWITCHES ` � , ' y` ' � lentler's Name �T- --`----' - - - '� . . -"-` ""'- -' "- -' 'DRINKING FOVNTAINS""�•."- " - • - •-' ". "- .. jGASTUBE SIGNS' "-- • .-�- " "-" -- .,: � ;Lentler's Atltlress - ' ' - • OWNER BUILDER OECCARATION= - 'T- --- - ' - -�- _-� � " - - - ' �- `--' -pOLE LIGHTS' �� -- � -_ - -- INTERCEPTORS CLARIFIERS �' � �� �"'" '-' " - '--" Ph¢r¢by atti�m [hat I am exempt fromShe Contractor's License Law tor -_ - -. .' n ��- # Ihe�following�reason-(Section-7031.5•Business�antl �Professions COGe:- -SWIMMING'POOL - -' PTRAP -' -" - ---- ' � � - � - Any city or county which requires a permit to construct, alter. POLES� ' METERED� �SUB �� improve,-tlemolish orrepairany structurepprior to its issuance,also re-- � y�qTER SERVICE - '- --ALTERATION ' - � `- '- ,PANELS' ' - MAIN' '-� SUB � � �- quire5 the ap.litant for sucn pe�mit to file a Signetl stat¢m¢nt that he irlitensetl�pursuant toihe-provisions-of [heContrac[or's Licenre Law- 'GASSERVICE OUTLETS - -" ' �SERVICE�' ('-- - AMP - - - � j ' ", ____ '_. . (Chap[er 9(commencing wi[h Section 7000) of Division 3 oi the ` Business antl �Prafessions-Cotle)-orthat-he is�ezempt�therefrom�antl the- yyqTER'HEATERS ' -BTV'OVTPUT' "- ' 4' - - ` - "- - -- -� - - - - �� bdsis for the allegetl exemption. Any violation of Se<tion ]031.5 by � a� �ppliwntrora-permit-subjects[he-applican[-to•a-civilpenalty SEWERCONNECTIONS ' """ "� - � � �---- - -- - -- �- � . more [nan five huntlred tlollars (y500). ' L as owne� of �the propei'ty, or my employee5 with wages'as'thei�' -'$OL'AR"TANK - "-" 'COLL'ECTORS "� -'�" ' - p- • - - --� - -- - - . _.. . w_ ' ' : sol¢ �Compel�SaliOn�.wll1 tl0 [M1¢ walk, antl [h2 SVUCtUI¢ i5 llOt int¢Otl¢tl or oHeretl for sale. (Section 7044,'Business antl Rofessions Code: The SOLAR PIPING SVS. � � -` � - ' - ' � � 'ISSUE EE ' " '---' " -- - � CoM�a[torJs,_License Law Aoes not apply to an owne� ot a property _ _ ' -_ -� , who Oullds or improves thereon, antl who tloes such work himself or ISSUE�FEE � � � - iAPPLICATION'.4PPROVED BV -- --DATE - Mrough his own employees, provitletl tM1at such Improvements are no[- intentletl or otfe�ed tor sdle. If, however, Ihe builtling or iinOrovement MECHANICAL PLP.N CHECK � r � � �� is sold within one year of completion, tne owner will have me burtlen . T - . SUMMARV OF. FEES,,..,. , . o! provinq he-tlitl not tiuiltl or improve for tne purpose of sale).- - - � ' ' BVILDING- - - - �- - -�- - - ❑ I, .as� owner of .the•proparty,-am �exGusively_conVacting.with HEATING SVSTEM 0-300,000 BTU , � �PERMIT � - ' AND DUCTING $ . SMIP: ;_S � licensetl contractors to construct the Oroject (Section 7044, Business 300,000'+BTU 'PLAN CHECK $ PERMIT : t ^ antl•Vrofessions Cotle: The Contractor's Liwnse Ldw•tloes not apply to �- -- -. -ISSUANCE dn owner of property who builtls or improves thereon, antl who con- REFRIGERATION' 0-300,000 BTU 'PLVMBING $ $ t�acts� from--such projeC[s wiih-a-conVactor(s)-lic¢SnBtl pursuant to SVSTEM -- - � - -- - . - -.__.. _ .G(3ADING-' § t the Convactor's License Law). 100,000,+ BTU ,PLAN CHECK y' , � ❑' I'am exempCuntler'Section" - '- �B: & P. C. tor tM1is BOILERS � BTU � � ;ELECTRICAL $ � `� �' .� ' ' ' ."$` . , reason ---- - - - -� �--- - .PLANCHECK- - MICROFILM_g�` ��� . SVSTEM REPAIR, ALTERATION S Da[e Owner TOTAL FEE $ � I hereby cer[i(y lM1at I have reatl this appliGation antl State that the above EXHAUST SVSTEM ' MULTIPLE 1MECHANICAL:E � '' "" - , - intormation is"correct."'I agree to mmpry`with all'city-anOtounty � ��,PLANCHECK S�- _ �ESSAD-+� '" � 0 " VANCEPC. $_- . ortlinances antl 5[ate laws relatin9 to construction, antl hereby authorize �� ' � � �epresentatives Of 'thi5 Cily'to' ente� upon [be abOve'menHonetl . � � " ' � -� � property fo` m/5OCctlon pu�p es. � `'� OQ � Signature��v ��� ��Date-2'�T+GG'� � 1 . , •;� .. 'FINALFEE $ J�. Drivers' license or 55 � �% -'- ' ' " ISSVE FEE' - -" �- . ' - - ' - ' " -- � " ' " . _ ' "'". .... _ . '"A CMF 0865-46 WM1ite-Builtling; Canary-Applicanh Pink-Accountin9; Goltlenrotl-Assessor � ,,,� CONSTRUCTION,ANDPLANNING r•�- POOL&SPA � . � �� '� APPROVALS Permit #� Date , Inspector pppROVALS. � - Permit # Date Inspector t. Temporary Electrical Service or Pole � �43. Pool & EquiDment Location ' -- � - - � - �� - - - . Soi ipe-Undrgm '- � 44. Steel Reinforcement ' -' - � - - __3.. Electrical,ConduitUtility-Undrgrn, . 45:. Forms - - � - - - - -� _ 4. _ Electrical Conduit-Undrgm . __ 46. Electrical.Bonding � - � - -- - - - � � - - -- ' � tee ein orce 47. R'ougli Plumbin & Pressure Test - -� - - � 6. Electrical UFER Grn - - 48. APPROVALTO COVER'-GUNITE -•-' - - -� ' � 7. Footings 49. Electrical Conduit-Undr m -' �•� _ 8. _Foundation .. . � 50.,: Gas Pi e, ❑ Undr rn, Test ' ' � ' � • � - ' �� � _.9._ Water P.ipe-Undrgrn ' � 51. Backwash Lines P-Tra '�" nd? m ' � ' - � ' ' ' 10.__Struc[ural'FloorSystem �' • . • � 52. � APPROVALTO,DECK- � "" -"' -"-`- " � ` 1.1. .Property Sewer_Line & House Connection'_ " ' .53. .Backwash & Rece torFinal'-. �� ' ' �� •� � • � 12. Street Sewer_Connection ' � - - - - 54: Heater & Vent-Final • � 13. Rough Plumbing _ - ' ' - � � ' - - � " - � 14. Rough Electric-Conduit ' " - ---�� �-56.. ..Electriral-Final - � � � � 15. RoughElectric-Wiring� � � S �- -� - 57.-SolarSystem-Final ,i. , " � ,,; ,�' ' ' ' - ' � - 16. -�Rough Heating &� Air Gonditioning -- ' - - • - - - • - encing & Access Approval � 17, - �Ducts in�Structure '�- ' �-. - � APPROVED�FOR PLASTERING -- � � - 18' �Ducts, Ventilating - - - � -- _ � _ � . ... . _ _ . . _ 19. Gas Pipe-Rough &Tesr - - "'6U•. POOL/SPA SYSTEMS FINAL , - �` . ' 20. Roof Framing- - - - � - - ' � ' � ' � ' � 21. Roof SheatRin � "- ' � . . . - - � � - - - -' ' - • � .. .. . - � 22. Fremeand Flashin - -- ' NOTES: ' �� � ' ' '. � ' . ' ' - 23. - Insulation - � � � � - � � ' : 24. Lathing-& Siding . - - � -- ' - - . � . - -- - - ..- . . . ' 25. Drywall Nailing . ' . - ---- - .. . . � 26. Plaster Brown Coat � - - • � � 27.-:Electrical�RowerMeter-Final- - � � �� � � ' � - � � 28t --Final Electric - - -S 6. _ L° . � • 29. Final Heating & Air Cond�tioning . . ' ' - � - . � . . 30: Final,Gas Pipe-Test _ - " - � 31. -FinaliPlumbing - ' ' ' - � ' • �' 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 __ __ t _. , No Date • '- t � ' Apvlicanl to rill In a11 zpaces wllhln heavy bortlor Ilnez an0 sign all approprlata eeelarations. � CITY OF COSTA MESA PE IT NO. �' TRACT NO. LOT NO. BL�. NQ. ' CONSTRUCTION PERMIT � rro�ect v.aaress y� 3� w, ��/ � �, TVPE OF CONSTRUCTION � OWn¢f � D K Phone �1 q ❑ NEW . � ADD ❑ ALTERATION Add�ea/� GE� N- C/ N% �REPAIR ❑CONVERSION ❑DEMOLISH Arch/En9. - ' License No. ❑ OTHER' ' Addre55' ' . . .. DESCRfPTION OF WORK � Contractor _ pC (r, � O • h/ � Phone Z- 16 TVPE OF PERMIT � , . � ' ' "-- � - -' ' 11 { AddlCu •( � � 07 .O � • -- ❑ GRADING',' ❑ FOUNDATION ❑-STRVCTURAL - �LICENSED CONTRACTOR.�bECLARATION " ❑ TENANT ❑ ELECTRICAL�PLUMBING ❑MECHANICAI '1 hereby atfirm lh�t I am Iitenze0 untler proWSionz of Charler 9(<om- .. , menUn9 wilh sectlon-7000) ot'Dlvision �3 0/ the Businezs antl ❑OTHER Professions Cotl ntl my Iltense is In tuli (orte ana el(ect.. pROJECT DESCRIPTION �ucense C ass � - -G - " � uc o No 396SS79 , ' - - - - - �Date � 5t9nat�rc �5�. �. . � �WORKERS' COMVENSATION DECLARA210N. 'OCCVPANCV_CONSTRUCTION TVPE_ .1 hereby af(Irm Ihat I have d CBrtlficate of tonsent to SelLinsura or a VALVATION" ZONE cartlfifata �of �WorkGrS' Compansatlon �InSuranca, �or a C<rtllietl COpY - - - - - ,thereof (Sectlon 3800, Lab. C,). GRADING CU.,YDS. ACRES '�IICY No. ' ' ' CAmDanY /�/✓� �YO�i /Q � - _' Certitietl.copyishereby.furnl5hetl. . . _. _ I.REMARKS: . _ .�Certifietl copy Is tiletl witn the Nty Builtling DlWsion. Z'O'S�' '"- "' EXEMPTION'FROM WORK@RS"COMPENSATION DECLARATION ' ' - " ""-' �(Thls 5ection neetl not.be coTPletetl if tbe permit is for one nuntlreG_ - ,_ _- � ., . . __ SEI00I or lessl. .. - � - �� certfiy,that ln t�e pertorma��¢ of Ihe work for which this permit is issuetl, I shall not employ any person in any manner so as to betome . PLUMBING -` "'� �-PLAN CHECK' � subjetLto the Wo�kers' Comp@nsation Laws of Calffarnfa. •_ ' _ _ _ Date Si9natura ' BATHTUBS �SHOWERS� - ' NOTICE: If after making thiA tleclaration, you shoultl ba<omo subject� TOILETS.. URINAL'S "" • to the WOtkers' Compensatioq p�Ovisions o( the LabOr COOe, you muit - - torthwitn comply wiln such provisions or this permit shall be Eeemetl . LAVATORIES DOUBLE'LAVS' - ' revoketl. . ' � _ CONSTRVCTIONLENDINGAGENCV KIT.SINKS"' - ' DISHWASHERS ' I heteby affirm t�al Ihe�e IS d conSVUCtiOn Iending a9enCy tOr thC per- SERVICE SINK$ 'SUMPS' - —" '' formance of [ne work for whlth this permit is issuetl (Section 309] Civ: C.�'.- - • - ' "' - - FLOOR�SINKS � � � FLOOR DRAINS ' � ' ' ,Lantler•s Name Lentler'S Atltlress � ' DRINKING'FOUNTAINS' " ' ' ' � -' OWNERBUILDER�DECLARqTION - - ' INTERCEPTORS CLARIFIERS- � I ha�eby afti�m thdt I am exert�0[ irOm tbe ConlydGtor's Licenia 12w fo� _ tho following reason (Sectlon ]W1.5 Business�antl Profession5 Cotlo: SWIMMING POOL - P TRAP ' '' ' Any city or counly which requires a permit to coniVucl, alter, � Im�rova; tlemolisn or repair ahy structuro, prlorto its Issuance, also re-� yyqTER SERVICE -' ALTERATION '- "' - qu res the ap.licant tor sucn permit [o tile a slgnetl s[atement Ihat he is Ilcansetl purSuanYto tne�provisions of the ConVattor's License Law GAS SERV ICE OUT�ETS ' — (ChaptCr 9(COmmencing wi�h SeCtion 7000) ol Dlvision 3 of the Business antl PrWessions �CotlO) or that he I5 exompt therefrom antl the yyqTER'HEHTERS ' BTU OUTPUT' '' �- ��Jf 1or tbe allagetl exemption. Any violatlon ol Section 7031.5 by �1 more�than /iveehun�tlrptl tlollari (5500�i��� t� a "Y'I ��dI�Y �SEWER CONNECTIONS ' '- ' " - - ' -�.�i, as ownoi ol lhe proper(y, or my employees with wagos'as thelr' SOLAR TANK �' COLLECTORS' ^ Sol� COmpensatlon, wlll �O the work, dntl [he SVutture is not Inlantletl or oiferetl for salo. (Seclion 7044, Business antl Rolessions Cotic: The SOLAR PIPING SVS. � ' Contrattor's Licensc Law tloes not apply to an owner o/ a property_, _ � , wh0 bulltl5 or Improve5 ther�On, antl wh0 tloe5 Such wOrk himzlll OI ISSUE FEE �, through his own employees, provitletl thai such improvemenls aro not . Intentletl or olleretl tor sale. II, howeJeq the builtling or improvemant MECHANICAL PLAN CHECK Is Soltl_within onC year ol compl¢tion, tne own¢r will have tno burtlen ol provin9 ho tlltl not builtl or improva for Ihe pur0ose o( sale). HEATING SVSTEM Od00,000 BTU ❑ I, �as ownnr- 06 the property, am exclu5ivelY conVacting with �qND OVCTING -•' ' � Ir '- - Iiconsod contmctors to canstruct me pro�ect (Settlon 7044, Busines5 300,000'+BTV antl Pro�eisions COtlM The COntractof's Lican50 Law tloe5 nOl apply to . an owner ot property who builtli or improvez thereon, and who ton- REFRIGERATION 0-100,000 BTU � tracts4rom��such D�oje<is•wi(ry a�<ontractor(s) IlceSneU..pursuant to �SVSTEM - - -�•- � the Contractor's Ucense Law), 300,000 + BTU � ❑ 1'am exempt untlet Sectlon H. 6 P. C. lor[his BOILE(35 BTV � reason - - - - Date. Own¢r SVSTEM REPAIR, ALTERATION I�hOr2by t2�tifythdt 1 have reatl lhi5 aOP�����on antl State that Ih¢ dbove E%HAUST SVSTEM MULTIPLE � ' Informa[ion is cortecL 1 agree [o comply wilh alt city an0 county brtllnances antl state laws relal�ng [o Wnstructlon, antl nereby authorize representatives f tnis city to enter"upon the above mentlonea property tor ' lon _ oses. Signa[ure Date �� o.��e�:• ���e�ze o� ss � �SSUE FEE CMF 0865-46 White-Builtll�g; ��ary-Applicant; Pink-ACCOunting; Goltlenrotl-A55¢ssor . �, , _ ' , ` : -' • 031 1 6/29/82 ZONE REAR VARD (TO PKG. SPACE REQ. ZONING APPROVE� BV SPECIAL CONDITIONS: PLNTGp. gR�EJF�. p� ' PROPE�RTYNLI �.PROVIDED" ' ' .'PARK FEE $� 'DATE ' '.G. . ,� r . . . ELECTRICAL - ' ' PLAN'CHECK' ' '- ' _ ' ! ' S2 FT. _ _ _ _ '. �TRANSFORMER �-1-KW'=� ]-00 KW - � APPLIANCE - 10-50 KW�_50 + KW MOTORS Od HP_140-HP ' �pNC.50LAR) _ ]0-SO�HP 50•+HP - - FIXTURES - OVTLETS SWITCHES -' ' " GASTUBE�SIGNS - - - �- �- - � �POCECIGHTS ' " -- - - � - VOLES METERED SUB � PANELS ' 'MAIN ' -' ' SUB ' - SERVICE •-'- •�— ' ^ �AMP - � ' � " _ - I • ISSUE'FEE ' -' - - -• ' 'APPLICATION APPROVED BV. � - - - - � DATE SUMMARV OF FEES , BUILDING - • - - �� - - PERMIT b _ SMIP � � E -, PLAN CHEGK 5 PERMIT � -�O � - ISSUANCE $ �PLVMBING E GRADING �E ' PI.AN�CHECK S . _. ' � �ELECTRICAL E � ,a ' �MICROFILM S � � 1 PLAN CMECK S - - - - MECHANICAL- S-- TOTAL FEE S__ _ � LESSAD- PLAN CHECK� E VANCE PC $�_-" "' " , • . � . - . . . � �/b— � ' _ � FINAL FEE S ; , -,- _-- CONSTRUCTION AND PLANNI . ''• POOL & SPA: _ - = � - � ` • 3-� APPqOVALS -. . Permit# - O Date -Inspector qppROVALS - Permit�� " Date Inspector 1. Temporary Electrical Service or Pole � 43. Pool & Equipment Location -' � - � - �- � . Soil ipe-Undrgrn � ' 44. Stee� Reinforcement • � � - ' 3. Electrical Conduit Utility-Undrgrn 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. ootings 49. Electrical Conduit-Undr rn � � � _8. Foundation . � 50. Gas Pi e, ❑ Undr rn; Test. � 9. Water Pipe-Undrgrn � - 51. Backwash Lines P-Tra ❑� ndr m ' -- � 10. Structurel Floor System 52. APPROVALTO DECK � -- � ''- � 1). ProAerty Sewer Line & House Connection ' ' 53. Backwash & Rece tor-Final 12. Street Sewer Connection ... - � 54. � Heater & Vent-Final ' 13. Rough Plumbing ' ' 14. Rough Electrio-Conduit � - � - •56. Electrical-Final � 15. Rough Electrio-Wiring - � - - - - - - 57. SolarSystem-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 FINAL 20: Roof;Framing ' �- ' 21. Roof Sheathin � • • 22. Frameand Flashin NOTES: „ 23: -Insulation - - - � � � - � • 24. Lathing & Siding � � � - ---- - - -- � � � 25. Drywall Nailing - ' ' � ^ � � � 26. Plaster Brown Coat � � � 27. Electrical Power Meter-Finat � � 28. Final Electric - � �' 29. �Final�Heating & Air Conditionin . " 30. Final Gas Pipe-Test � o �---- �� - 31. Final Plumbing ' ' 32. Water Service-Final - ' ' � � ' � 33. Gas Service-Final � � � 34. Solarpomestio-Final' � � 35. landsca e S rinklin S stem • � 36. Sound Attenuation 37. Handicap Regulations � - 38. FINALSTRUCTURE&BUILDING ; 39. Special Requirements Completetl 40. Electric Release to Edison � - 41. Gas Release to Southern California Gas Co. Z ' 42. CERTIFICATE OF OCCUPANCY No Date AVv���ant to fill in all soaces witnln �eavy borOer Iines ana sign all approprfate tleelarations. CITY OF COSTA MESA PE,R�v11T NO.� /� TRACT NO. LOT NO. BLDG-NO. CONSTRUCTION PERMIT M o�o� n✓ Addrea License No. Address Contractor p� �TI IRA FNFRCY PRnf)I1f.T5 Phone I hereby atTirm tnat I am IicenSeC untler.Orovisiqn 5 of Ch rler 9 mencin9 with section 7000) o/ DINi on 3 pf the uzinee Professlons Cotle, ane my Iicense i n lu4 lorce ntl � WORKERS' CbMPEN5AT10N��CCARM'ION � � 1 hereby attirm that I have a ertificate bf consent to self-insure or a certificate ot Worker5' Comp satlon Insurance, or a certltietl copy thereoi (Sectio 3 00 b. C.). Poucy No.f��^1ra7 3t�5 Comcany FUTURA—MTNTON TNS :ertitietl copy Is hereby (urnishetl. - :ertifietl copy is filetl with the city Bulltling Divislon. eREMPTION FROM WORKERS' COMPENSATION DECLARATION (This 5¢ttion n¢atl not be completotl If tha permit IS (or one hundretl (5300) or less). 1 certify that in-tha pertormanC¢ O� Iha work for which this permlt is issuetl, I shall not emPloy dny per5on In dny mann¢r 50 a5 t0 become subjact to the Workers Compensatlon l.aws of Calltornia. Dat¢ $i9nature NOTICE: It after mdklnq this tleClaratlon, you s�oultl become subject to the Workers' Compensatlon provisions of the Labor Cotla, you must fortbwltb comply with suCh proviSiOns or [his permi[ shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV � I hereby affi�m that there is a const�uGtlon lentling agency fo� the per- fOrmanGe of th¢ work for w�ich tM1ls permit IS IsSuetl (SeCtion 309J Civ. CJ. Lenaer's Name Lentler's Atltlress OWNER BUIIDER DECLARATION I hereby affirm that 1 am ezempt from.the Contrattor'S Litense Law for the following reason (Section 7031.5 Business antl Protesslons Cotle: Any <ity or munry which requlre5 a permit to COnStruGt, alt¢q improve, tlemolish or r¢pair any slruCture, prior lo i[s issuance, also re- qui�es tM1e applican[ fo� SucM1 pe�mit to file a Signetl SWtem¢nt Iha[ hC is IlcenSetl pursuant lo lM1e provisions of th¢ COntraCtor's License Law (Chapter 9(wmmencing with Settlon 7000) ol Divlsion 3 ot the Business antl ProfM5ion5 COtle) or tha[ ne IS exempt therefrortl antl the basiz for the alle9etl exempiion. Any violation of Sectlon 7031.5 by an'- applit'ant (o� a permi[ subjeC[s the applicant to a tivll penalty c ' more than fiv¢ huntlretl Oolla�s (5500). � ds owne� ot lhe property, or my employee5 with wa9es as thelr Soie compensation, wlll tlo Ihe work, antl Ihe 5trucfurC is not intentletl or offeretl �or sale. (Sectlon 7044, Business antl Professlons Cotle: Tho Contractor's License Law tloes not apply to an owner of a.property wh0 builtls o� imo�oves thereon, antl who tl0¢5 suCh wOrk hims¢If or through his own ¢mployees, p�ovltletl lha[ zucn Imp�ovemen[s are not intentletl or oft¢r!tl �o� sale. If, how¢v¢r, the builtling or iTprovemenl Is sola within ona year ot completlon, the owner will have the burtlen ot ptoving he tlitl nOt Euild o� improve Por the purpoze of salej. ❑ I, as- owne� o/ IhC p/operty, am' ¢xcluslvely conVacting with licen5etl contrac[ors to consVuct the project (Settlon 7044, Business antl Professions Cotle: Tne ContraG[or's LIC¢nse Law tloes nOt apply to an owne� oi p�ope�ty wh0 builtls or imp�oves tne�eon, antl wh0 con- tracts irom sucn pro�ects witn a contractor(s) Iicesnetl pursuant to th¢ Conba[tor's License Law). ❑ I am ¢xempt untlGr Section B. & P. C, for IbiS reasOn Date Owner � thal I M1ave �ea� this ap Ication and State that [he abOve Cort c I agr e to c ply with all City antl county st w a n9 �o c struction, antl hereby authorize t IS ci y t t � uPon Ihe above e wnetl c[ u j � te J T�yYPE OF CONSTRUCTION y�NEW ❑ ADD ❑ ALTERATION ❑REPAIR ❑CONVERSION ❑DEMOLISH ❑ OTHE12 DESCRIPTION OF WORK TVPE OF PERMIT ❑ GRADING ❑ FOVNDATION ❑ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑PLUMBING �MECHAI ❑ OTHER PROJECT DESCRIPTION � SQ. FT. OCCUPANCV_CONSTRUCTIONTVPE VALVATION ZONE GRADING CU. VDS. ACRES REMARKS: PLUMBING • PLANCHECK` � BATHTU85 SHOWERS TOIL'ETS URINAI_5 IAVATORIES DOUBI_E LAVS KIT.SINKS . OISHWASHERS SERVICESINKS ' SUMPS � � FLOOR SINKS FLOOR DRAIN$ DRINKING FOUNTAINS INTERCEPTORS ' CLARIFIERS SWIMMING POOL P TRAP '" WATER SERVICE . ALTERATION GASSERVICE OUTLETS WATER HEATERS BTU OUTPVT' SEWER CONNECTIONS � SOLAR TANK COLLECTORS SOl_AR PIPING SYS. ISSUE FEE MECHANICAL a�ANCHECK HEATING SYSTEM 0-100,000 BTV _ AND DUCTING �' ' 100,000 + BTU _ REFRIGERATION 0-300,000 BTU_ SYSTEM 100,000 + gTU _ BOILERS BTU SVSTEM REPAIR,ALTERATION EXHAUST SVSTEM MULTIPLE � Drivers' tense r 55 � � "'�" " CMF 0 65-46 White-Bulltling; Canary-Applicant: Gink-Accounting: Goltlenrotl-Assesmr � ��' �:� , t .� ZONE — — D SETBACK G/L ST. SIDE YARD L5EpF R�IGHTA REAR VARD (TO P/L) PKG. SPACE REQ. STREET WIDTH 20NING APPROVED�BV SPECIAL CONDITIONS: ELECTRICAL REGULATIONS PROVIDED PARK FEE § PLANCHECK GENERATOR p:l KW_ 1-30 KW _ TRANSFORMER APPLIANCE 30-50 KW_50 + KW _ - -MOTORS pd�HP_1-30 HP _ (INC.SOLAR) 30-50HP SO+HP _ � FI%TURES OVTLETS SWITCHES � GAS TUBE SIGNS � POLE'LIGHTS ' � 3 PANELS MAIN SUB " SERVICE ' AMP ISSUE FEE APPLICATION APPROVED BY OATE SUMMARV OF FEES BVILOING -- PERMIT E SMIP S '�.�s PLANCHECK E 7ERMIT gUu ISSUANCE E PLUMBING E GRADING b PLAN CHECK S ELECTRICAL S s PLAN CHECK § - MICROFILM E MECHANICAL $ _ nn TOTAL FEE S� PLAN CHECK § LE55 AD- VANCEPC E_ FINALFEE E 7•OO CONSTRUCTION AND PLANNING POOL & SPA� , ' .. APPROVALS Permit# ��a���i Date Inspector qppROVALS 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. �Rou h Plumbin & Pressure Test 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE • 7. Footin9s 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test � 9. Water Pipe-Undrgm 51. Backwash Lines P-Tra ❑ ndr rn �' � 10. Structural Floor System 52. APPROVAL TO DECK ` ' 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 ElectricWiring ' - - 57. Solar SYstem-Final i 6. Rough Heating & Air Conditioning '3�8 -7s�- . encing & Access Approval 17. Ducts, in Structure � -82 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. Drywall Nailing 26. Plaster Brown Coat ' � 27: Electrical Power Meter-Final � ' � 26. Final Electric � 29. Final Heating & Air Conditioning �Z.$-$z 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. CERTIFICATEOFOCCUPANCY • . � - - � � • 1 ' � � � 'No Date -�, � .. ,.. , ,� ti,'+ . ,-�,. , , Aoo���ant to fill In all s0aces within heavy Eoraer lines an0 zi9n all approoriate aeclaratlons. , CITY OF COSTA MESA PEj�ry� IT NO. - TRACT NO:' LOT NO. BL G. N. - ' - "' ' "- - , CONSTRUCTION PERMIT /✓/-' .��� � ! ' .. 2748 3/08/.8�.- • �.: 9.00 TU. • Project Address (,.), ( - . � TVPE OF CONSTRUCTION -' ` � � � ' ' 1 OwnM' � T' ' Phone � �NEW ❑ ADD ❑.ALTERATION ` , . ' � ;-Addr2a " ' - ❑^REPAIR ❑CONVERSION O�EMOLISH `Arch/Eng. � - - - ' ' License Nor - � - ❑ OTHER ' � . ZONING REGULATIONS ' ' • OESCRIPTION OF WORK A'P' � � •� � ' Address " - " ' � - " ' - - - - . . � - ZONE , PLNG. REF. $ � � � � Contractor C��e(;'j' ' ,V� �[ ' Phune J TVPE OF PERMIT , �� �- TpgU IL DING , • � •- � SETBACK L T. PROPERTV LINE ' ; Add�e55 � � Q � - � ❑'GRADING -. O FOUNDATION' 'Q"STRUCTURAL - SIDF VARD ,� � � -' LICENSED CONTRACTOR OECLARATION --- -- E f' �I hereby a/firm that I am IicenSetl untler provlsions of Charter 9 com- ❑ TENANT ❑ ELECTHICAL �PLUMBING ❑MECHANICA 5�pE y lnencing' wIM-sectlon 7000) of Divislon-3 of-the-Businesz� antl �❑OTHER - __ RIGHT � Rotessionz Cotle, 'antl my ❑cense is In tull forte antl effett. . , :iEAR YARD (TO P/L) �., ��;.� ' ' L�' S/3 . ' ' - • PROJECT DESCRIPTION - ., - - �- , - - " pKG. SPACE RE�. PROV IDEO License Class LlcenSa No.��3�� Date 3 � Z � �Z" 519nature "W/A �`• � ' . 5�. FL . '. ._ " _' .' " ' ' � , �STREETWIDTH �PARKFEE�§ WORKERS•�COMPENSATION DECLARATION ��• - � - OCCUPANCV �_' CONSTRUCTION TVPE '�' � �.I hereby afOrm that I have a certlticate of conunt to selbinsure-or a VALUATION ' ZONE ` Z�NING APPROVED BY, , . DATE �Cevtlticate'of WOrkerS' COTpensatlOn •Insuranca,- Or-a c¢rH ietl copy - - - - -- � . t�ereof (Section 3800, I�b. CJ. � � ��.�l G0.ADING CU. �YDS. � ACRES i -SPECIAL CONDITIONS: - �qcY No. ' ' ' ComPan� �%% .�/�Jl�%/f �.wi/ . ' _ _ ' _ " ' � __. . . _. . '. '�-o:ertifietl copy is hereby (umishe0.� - � �- � REMARKS: � � � , - . - - ..��'.�ertitietl topy is tiletl witli Ihe Uly Builtling Dlvlsion. - ' •� � iJ EXEMPTION FROM WORKERS' COMPENSATION DECLARATION ' � " - - I � ' ' '- � - - ' - ' i (Thisseclion neetl not be completetl it the.permit is tor one huntlre0 _ �, , ' - ��� - (E300) orless). �. . � .. __. ,'" . _ I.. .. . _ ' i ._ _ � . . ' ' : _ � ' J cert(fy that in the performance of the work (or whith this permit is _ ,_ _ _ . _ Iisuatl, I shall not em0�oy any person in any manner so as to'become PLUMBING . �PLAN CHECK �� ��ELECTRICAL �PLAN CHECK I sub)ecLto the Workers'_Compensation Laws.o( Calitornia.._ . '_ . � _ . `� _. . _._. . ._ .. � �Data - Signature � B?THTUBS SHOWERS � � � �,., . �. f � NOTICE: It after making tnis tleclaralion, you shoultl betome'subjec[ 'TOICETS_, �� ' ' URINALS � � �� �GENERATOR 0-1 KW_1-30'KW � ��^� :.� to the Workers' ComPenSafion provlsions.of the Labor Cotle, you must �� - _ :TRANSFORMER . < 1 Torthwith comply with such provisions or thls permit shall be tleemetl �VATORIES DOUBLE LAVS `'��' �APPUANCE ' 10-50 KW-_50'+ �(W " 1 ravoketl. _- . - .- . �- _ - � - � - - �- �� -' ' KIT.51NK5 � � � DISIiW{15FiER5" � �� ,MOTORS ' ' - ` "' � 0-1 FIP_1-30 HP � CONSTRVCTION LENDING AGENCV � • .S: �I bereby affirm that there is a wnstruction Ientling agency for the per- SERVICE SINKS ��� ";SVMPS � ' ` -"r��NG:50LAR) -- 10-50'HP�_50'+�HP �- - ' •� formanC¢ of the work for-which this permit is issuetl (Section 3097 'Civ.-C:).- - ' - ' " '--' - ` ' � � FLOOR'SINKS � � FLOOR DRAINS �' �FI%TURES - OUTLETS � SWITCHES � � ,� - � � � '�entler's Name " __ __ " _ ' . _' ' " ." ' _ . ' -'_ _ " .:'. __" : Lentler•s Atltlress DRINKWG FOUNTAINS � �}- - GAS TVBE SIGNS - ` '" ' ` - -- ' �! OWNER BVILDER DECLARATION ' " -- � INTERCEPTORS CLARIFIERS � �'� � �� POCE LIGHTS�' � - �--- ' "" - - 7 I hereby attirm that I am eaempt from the Contractor's License Law for � • �•� { the following reason'(Settion' 7031.5 Business antl' Professions-Cotle: -'SWIMMING POOL -P TRAP "� ' �" ' ' ' ' ' ' " ' ' - Any city or county which requlres a permit to construct, al[er, � � 1POLE5 METERED SUB +• � - improve, tlemolishbr'repalr'any z[ructure, prtor to I[s Issuance, also re-' --y.�qTER SERVICE ALTERATION ' �� �PANELS MAW - '- �SUB � �-, -" -� � qWreS th¢ ap'rli�ant tOr suclt pe�mit to file a signetl stafement tnaYhe - Is Iltensetl pursuan[ to [be provlsions of [he"Contrac[or's Gcense Law' GAS SERVICE OUTLETS � 1 � �SERVICE- -- �' "- AMP "- `-' - '- (Chapter 9(commencing with Settlon 7000) oi Division 3 of the - B1151O¢55 dOtl PI01¢SSi005' COtlC) Or that ne'IS ex¢mpl therGfrOT antl the 'yyqTER HEATERS BTU OVTPUT ., � �`�� �� �� �' `- � bazk for the alle9etl exemptlon. Any violatlon of $ection 7031.5 by' ' - ' a� oplitanCfor a'permit sublects tne applicant to a civil'penalty 'SEWERCONNECTIONS � � ��- - - �- - "' '-' '- ' - ' . ' " o more lhan five huntlratl Collars (5500). +�• ' �L. es �owner of tFie property, or m'y employee5 with waqes a5 thei� �SOLAR TANK '�-� � � COL�ECTORS "- � - - — " - - -'- -' '--' " "' "' - " - � - � fole.tompensation, will Oo the work, antl_the.struc[ure.is noLintenAetl . _ ._ _ _ _ _ or offeretl for sale. (Sectlon ]044, Business antl Aotessions Cotle: The SOLAR PIPING SVS. � �SSUE FEE -�� �," .� Contractor'S License.Law tloes not,aOP�Y to.an.owner. of a.property_ - - - -- � -- - - qppLIGATION APPROVED BV - -' ' - who builtls or Improves thereon, antl .who tloes such work himseH or ISSUE FEE � � .- �DAT.E � throu9h his own employees, provitletl lhat sucn improvement5 are m[.. � " dntentletl� or offeretl for sale. If, howeveq the bulltling or improvement MECHANICAL � PLAN CHECK 4 ' i5 soltl within.one.year ol completion, the.owner will have the burtlen . - SUMMARV OF FEEfr ' � of proving he tlitl �no[ bulltl or improve for (he purpose ot sale). BUILDING' ' ' "' -" ' - � I',-as-owner of [he Property-am-ezelusively-contra<ting with� HEATWGSYSTEM 0-100,0006TU ' :pERMIT _E_ _� SMIP�� 'E' ' -AND DUCTING ' - Ilcensetl conVactors ro cons(ruc[ lhe pro�ect (Section 7044, BuSiness � 300,000 + BTV �� �pLAN CHECK ffi 'PERMii'. •' '�,' ' antl'Professions' Cotle:•The �Contractor's�License �l.aw tloes not apply4o� j-- -- � - - � - �- - - ISSVANCE E" " -' an owner oi property wM10 builds or Improves thereon, antl who con- REFRIGERATION 0-100,000 BTU _ ' PLVMBING § � ^�- ;�.�1 ,��� tracts from-such�projects-with•a-contractor(sp Iicesnetl pursuant to -SVSTEM -'-'• -- �� '- �-- - , - � - --- GRADING S - lhe Contractor'S Llcense Law). ' ' . . 100,000+BTU � + .�PLAN CHECK $ . , � - " ❑'I�am exempt unde7 Sectlon 8.8 P. C. for this � BOILERS � BTV- � �ELECTRICAL b S .M�CROF.IUN E. � � 'rtason^- ' - "- ' '" ' "' ' ' "' ' ' ' ' '�,PLAN CHECK $ . . . . � .� SVSTEM REPAIR,ALTERATION ' Dale - � Owner - - � - " �- _ TOTAL FEE E i I h¢r2by certi(y Iha[ I have rfatl thi5 appliCatioq antl state IM1at Ihe above - MECHANICAL 5 . '.'LE55'AD- "•� EXHAUSTSVSTEM MULTIPLE 1 lotormation ls torrect. I aqree to comply with $II city and countY �- ' PLAN CHECK' y VANCE PC 8_ ortlinances antl stale laws relating to cons[ructlon,pntl hereby authorize i. _. � • , r¢pre5entaLJeS of thi5 city to ente� upon -th¢ a0ove menHonetl '' ' property for_ insp/C. ion purP oses. _ , p � . �(�f 519nature ��[��"•3ei`- Date 2/ Z '� . . _. . FINAL FEE E� rivers' Llcense or 55 � .� ' -' " " -"ISSUE FEE .. _•-- • - '-��- Q�% �'•' ' . . .-. . _. . _ . ._ . . _ . ICMF 0865-46 White-Builtlin9; Canary-Applicant: Pink-Accounting; Goltlenrotl-Assessor — . . CONSTRUCTION�AND PLANNING - � POOL & SPA " _ , � APPROVALS Permit # ^� ��Y 7 Date � Inspector' qppROVALS � Permit # Date� - Inspecto� i. Temporary Electrical $ervice or Pole 43. Pool & Equipment Location-- - - - -' -` -�-- 2. Soi ipe-Undrgrn � 44. Steel Reinforcement � - " 3. Electrical Conduit Utility-Undrgrn ' ' � 45. Forms - � ' � - -� - 4. Electrical Conduit-Undrgm_ � 46. Electrical Bonding � - tee ein orce . 47. Rough Plumbiri & Pressure Test ' , 6.� Electrical UFERGrn ,�_ ' ' '- '48. APPROVALTOCOVER-GUNITE•---- - -- --- �-- --•- - -� -'. 7. ootings ' '- 49.� Electrical Conduit-Undr rn •�r� � • 8. _Foundation �� � � 50., Gas Pipe, ❑ Undr rn, Test �� • 9. Water Pipe-Undrgm � 51. Backwash Lines P-Tra ❑ ndr rn� �-� -' �`- �� 10. Structural Floor System _ �' 52. APPROVAL TO DECK ' - "' - - • 11. Property Sewer Line & House Connection - 53. Backwash &�Rece torFinal ' - �� - , 12. _ Street Sewer Connection 2�°' ' � = ' ' ' • 54.. Heater & Vent-Final � � �. 13. Rough Plumbing - - - - - - � - * • -- • ' - -•- '• ' - � i 14. Rough ElectricConduit �- � �56. Electrical-Final � � 15. Rough Electric-Wiring ' -� --� " - - � - - --- 57. Solar System-Final ' � � � � `-�16. Rough Heating�&�Air Conditioning�.._ 8f- - • encing & Access Approval .17: Ducts, in Structure. � ' ' + - " 9• APPROVED FOR PLASTERING � � - 18: Ducts. Ventilating_ _ _ � � . _ _ . _ � 19. Gas Pipe-Rougfi &'Test- " ' � � - fi0. _ POOL/SPA SYSTEMS FINAC ,` - - �_.20. . Roof Framing --- ' ' - ' ' ' " ' ' � � � � ' 21. RooYSheathin -' • . - - -- - - � � - ` . . - =.^ :�« ��' ' . , - - - - - - . NOTES: � � . .. . . , , . . . . , 22. Frame and �Flashin - � - ' � - ` � � 23. Insulation . . . ' � � - - , ,. . - - . . _ _ _ _.. _ . . _ . .. - - - � 24. . Lathing & Siding. � ' . ' � ' -�� ' ' ' � - � � - . 25: Drywall Nailing . . - - -� - - -- - - . " , ' . . • ,� , � 26. Plaster Brown Coat ' � ' ' ' � ' , 27: Electcical Power MeterFinal ' � � - � ' � - ' .. � � -28. Final �Electric � � � � - 29... Final Heating.& Air Conditioning _ s Z�$2 � ' - . 30.. Final'Gas Pipe-Test � � - � 31. Final Plumbing ' " •'� � ' - 32. Water Service-Final ' � �'' ' ' ' ' � ' � � � 33. GasService-Final � � � � "" �� " ��" � � 34. Solar pomesticFinal '� � � � � ' � ' ' � ' 35. Landsca e S r.inklin S stem � � - ' �" '� ' ' � � ' 36. Sound Attenuation �- - � � � ' - 37. Handicap Regulations - - - -- � ' 36. FINAL STRUCTURE & 9UILDING - � � - - 39. Special Requirements Compieted � ' � � - ' 40. E�ectric,Release to Edison � • ' • - • � � " "- - ' 41 . Gas Release to Southem California Gas Co. • • - 42. CERTIFICATE OF OCCUP%+NCY _. � � , � . No ' + - Oate � - ADo��eant to fill in all spaces wlthin heavy bortler lines antl sign all approDriate tleclaratlons. .. C�TV-OF ,COSTA� MESA '{ �� -'vea IT NO. ' - - TRACT N4 Lp'; NOt BLDG. NO. ' - . �CONSTRUCTION PERMIT � IO�Z � Projec[ Address � . TVPE OF CONSTRUCTION, � Ownef Phone +S �NEW ❑ ADD �� ALTERATION Addfe55 y ❑ REPAIR ❑ CONVERSION ❑DEMOLISH �� ❑ OTNER -Arch/Eng. License No� / ' DESCRIPTION OF WORK • � •.� : 9627 12/17/81 . :'_= ` � -- - . ' 326.38 Tl ' Address' ' a �4� ':�� �a.. `. �iv. �'a ' ' Contrac[or �_ ��;__ - � . Phone � TVPE OF PERMI � � -�..,/" ' ' Add�L55- - � ' - ' ' ❑ GRADING �FOUNDATION J}Q$TRUCTCIRAL- -LICENSED-CONTRACTOH OECLARATION �❑TENANT O-EIECTRICAL ❑PLUMeitvc ❑roiECHnrvic I hereby a(firm tnat i am iicensetl untler provislons ot Charter 9(com- - . ��� _. �, 'menting �with settion ]000)- of Divlslon 3 of the Business-antl ❑ OTHER � Protessions Code, antl my Ilcense is in tuli torte antl ef(ect.. ; PROJECT DESCRIPTION �� � � -� Ucenso Class � � Ucanse No. /� � /' - ' � Date � � Si9nature� - ' . • Sp. FT. ��/(/� `���� ' �_ � WORKERS'-COMPENSATION DECIARATION OCCVPANCV G�,c�.RUCTION TYPE I hereby affirm that I have a cerUficate ot wnsent to salf-insure oG a� VALVATION ZONE certlfiwtG ot-Wo�ker5' Compen5atiom Insu�ance, or a C¢rti(letl cOPY - - - . � thereof (Section 3800, I�b. CJ. GRADING CU. VOS. � � ACRES 'Policy No- � - Company - - - - � � Cer[ifietl copy i5 he�eby turnishBtl. . . . . . • . REMARKS: � _ - - S � _ _ . . _ �Certifietl copy is filetl with the city Builtling Divizion. _ , _XEMPTION FROM WORKERS' COMPENSATION DECIARATION ` ' - -' - - - - � _(This.section neetl not be completetl if Ihe permit is tor one huntlretl - (E700) or less). ' . -. . .. � -` '.- - ' --' .1 certiy [hai in Ihe.periormance of t�e work for which this permit is issuatl, I shall not employ any person in any manner so �as�to tiemme 'PLUMBING.�•�v -�'.' PLAN CHECK" - -" subject to.the Workers' Compensatlon,LawS of CaII(omia. _: ' � � BATHTUBS� � SHOWERS - � � Date SignaturE; NOTICE: If after�making this tlecldrdtiOn, y0u ThOultl become zubj¢ct .TOILETS �, URINALS "-" '" � ' ' to th¢ Worker2' Comp¢n5a[ion provisions of Ihe Labor Cotle, you must forthwith compry(with such provi5ion5 or thiz permit shall be tleemetl LAVATORIES DOUBLErLAV`5" "e q' �'` �¢vOketl. ._ _ - � GONSTRUCTION LENDING AGENCV - �KIT. SINKS -" ` DISHWASHERS' '' 1 hereby affirm that there I5 a construcilon lentling agency for the perv SERV ICE SINKS' SVMPS. �- � to�mance of the work for which this permit I5 Issuetl ($eGtion 309� - �=• � �`--`• Civ: C.�. ' �' ' - ' • - ' . • _ - - FLOOR SINKS'� `.FL'OOR,ORAINS , ��.,` Lentler's Name - - � - Lentler's Atldrpss. � ' � � �ORINKING`FOVNTAINS' "��' ; ��.' 4' c. . OWNERBUICDER�EGLARATION�' '� �' ' ' INTERCEPTORS - CLARIFIERS+ \�� ` I hereby affirm that I am exempt (rom the Contractor•5 License Law tor� - ."� �- tne following reazom (Section-7031.5 Business antl Professlons Cotle: SWIMMING POOC -- """PTRAP' - Any City Or county which rlqWr¢5 a p¢rmit to ConStrutt, al[eq �improve; tlemolish or repair any structure, prior to its�iisuance, also re- yyqTER SERV ICE� ��- ALTERATION" qui�es lhe ap4�i<anl fo� such permit to lile a signetl ztatement [hat ne 95 Iitensetl pursuant to the provislons of the Contractor's License Caw GAS SERVIC'E � -� OUTLETS (Chapter 9(commencing with Sectlon 7000) ot Divlsion 3 ot the � Business antl PrWessions Cotle) or that he is exempt [herefrom antl the yyqTER HEATERS ' BTU OUTPVT basis lor tne allegetl ezemption. Any vlolatlon of Section 7031.5 by am•�appliwnt tor-a permlt-subjacts tne applicant to�a civfl penalty� -SEWERCONNECTIONS . " c t more lnan five huntlretl tlollarz (E500). � �zs owner bf the property, or my employees-wi[h wages as their SOLAR TANK' "' ' COLLECTORS' 50�. COmpensation, will 40 the wOrk, antl the Stluctule is not Intentletl _ , Ih�o Data Ifered for sale. (Sectlon 7044, Business antl Rotessions Cotle: The SOLAR PIPING SVS. '.ractor's License.taw tloes not apply_to an owner of a proPerty _ . builtls o� imprOveS Ih¢r¢on, antl�who tloe5 such work himsalf or ISSUE FEE . �� � ugh hi5.own employeez, provitletl thal suctt imp�ovement5 a�e not �tletl or o(feretl tor sale. If, however, the builtling or Improvement MECHANICAL PLAN CHECK Itl wlthln onc.yea� of compl¢[ipn, the owner wlll have tbe bu�tlen �� iroving he tlitl not builtl or improve for the puipose of zale). HEATING SVSTEM Od00,000 BTU ,- as owner o1 ihe property,- am ex<IuSively contracting�with� qND DUCTING - ' "� " setl conlractors to Construct the Projett (Section 7044, Business 300,000 + BTV P�ofeSzions Cotle: The� Gonlrac[or'S Llcense Law tloe5 no[ apply to �wner of Oroperty who builtls or improves thereon, antl who con- REFRIGERATION 0-300,000 BTU s from such projeGts-with� a cont�actor(s) Iicesnetl purSuant to SYSTEM - - •- ..on[ra<tor's License Law). 300,000 + BTU 5in exempt hnCer Section' - B: 8 P. C: lor this BOILERS BTV m. ._ ' _ ' Owner SVSTEM REPAIR,ALTERATION � ¢by Certitythat I hav¢ reatl Ihis application antl state tha[ the above EXHAUST SVSTEM MUITIPLE �mation' is -correcC 1 aaree'to comolv-witF all �city antl county y ,Sp anjer upon CMFO865-46 White-Builtling; tl h¢reby autho�iie � above mentionetl" .— ate •4�6 �1 '- - � - ISSUEFEE^-�--�-------- Pink-Accounting: Goltlenrotl-Assessor a.a. � ' Z'r3� /— O ZONE PLNTI S5EpTBA C L G� P L5�EpFTVA � .�� R�IGHT �/ '� REAR VARD (TO P/L) :�� " PKG. SPACE REQ. 'Z � r� STREET WIDTH ' 6� � , �ZONINGAPPROVED@/�%.r /. JB 'LL/ SPECIAL CONDITIONS: �an�.�r�n cvFrtAt. REc P��R�Y'LINE . 'r� i^}TT�tc R� � Q �• PROVIDED Z i S• ' PARK FEE $ �z-i�cJ' ( on/F,"��� ELECTRICAL- ' ' ' PLANCNE[ 50. FT. . .•-.••" _ - S2 FT_ . � . GENERATOR "-'0-1KW_1-lOKW TRANSFORMER . APPLIANCE ' 10-50 KW_50'+ KW MOTORS- ' 0-1 HP_1=30 HP'. QNC.SOLAR�. 10-SO�HP SO+HP�� FIXTVRES"' OVTLETS ' SWITCHI GAS TUBE'SIGNS ., - ' - - ' 'POLE LIGHTS ' " ' • PANEL'S '" ' MAIN SUB _ $ERVICE " ' '- ' AMP ' ISSUE FEE qPPLICATION APPROVED BY DATE � - SUMMARVORFEES ,. BVICOING - � - 3 PERMIT S� ' $MIP � • $� PLAN CHECK E PERMIT - � PLVMBING S �SSUANCE E , . GRADING $ PLAN CFiECK . § "' � . ELELTRICAL E � - � $, PLANCHECK E ' - -`-MICROFIUvI S MECHANICAL $' ' - - . _ TOTAL FEE E PLAN-CHECK § ��' " LE55'AD-' � - VANCEPC E_ I � i � _. . _ . ,_ . FINAL FEE § 3a� m CONSTRUCTION AND PLANNINGn i •\ - - , �' _ . �OL & SPA" ' . _� ' APPROVALS •�� � Permit # AG�� Date Inspector pppROVALS Permit # - ' Date - Inspector 1. Temporary �lectrical Service or Pole 43. Pool & Equipment Location •• - 2. Soi. ipe-Un rgrn 44. Steel Reinforcement - - . 3.. Electrital Condui[ Utility-Undrgrn" " 45. Forms � - � . 4. 'Electrical Conduit-Undrgrn 46. Electrical Bonding ' ' �' � - � - tee ein orce 47. _ Rough Plumbin & Pressure Test - ? , 6;�. Electrical UF.ER Grn -- •• 48. ' APPROVAL TO COVER-GUNITE 7. Footings _ . � j a_ 2� � 49. Electrical Conduit-Undr rn 8. Foundation ' � S S �•� - i 50. Gas Pi e, ❑ Undr rn, Test 9. Water Pipe-Undrgrn � 51.• Backwash Lines P-Tra ❑ ndr rn � 10.' Structurel Floor SYstem 52. APPROVAL TO DECK li. P,ropecty Sewer,Line.& Nouie Connection - 53'.. Backwash & Rece tor-Final 72. Street Sewer �onnection 54. Heater & Vent-Final 13. Rough Plumbing 14. Rough Electric-Conduit � " ,�56. � Electrical-Final 15. Rou h Electric-Wiring - � 57. Solar System-Final 16. Rough Heating & Air Conditioning • encing & Access Approval 17. Ducts in Structure APPROVED FOR PI.ASTERING 16. Ducts, Ventilating - - � 19. Gas Pipe-Rough &Test � 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing � 1✓G- 27. Roof Sheathin � �/li' � � � 22. Frameand plashin � NOTES: � 23. Insulation � ' {Z' -S"'8' O C i%�-. Q4J`�- �20o i� 24. Lathing & Siding -S $ � Y� O.0 � 'io -ESCK�3% (L��. . p-sc 25. Drywall Nailing :3 -?�Y ' 26. Plaster Brown Coat - /i-fJ�. � ' 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 rinklin 'S stem _ 36. Sound Attenuation • 37. Handicap Fegulations " ' 38. FINALSTRUCTURE&BUILDING - • / 8� � , 39. Special Re uirements Completed 40. Elecvic Release to Edison � 41. Gas Release to Southern California Gas Co. ; 42. CERTIFICATE OF OCCUPANCY . . ' � • ' No � Date . , „ ' - 1 . • - • t' � � _ �.._ ..... COSTA MESA BUILDING—SAFETY DEPAHTMENT P.O. BOX IY00 Coata Mesa, Califirnia nddress 5290 E. HUNTER c�crANAHEIM z;Pcoa�92807 Stete License No. 3767H6 Cless. C2� City License No. Tel. No. � N0. ITEM EACH FEES FAU, Wall, or Grav. � Furn.Incl.Ductsand � 1 VentS � to ioo 00o eru 4.00 4. 0( � over 100,000 BTU J � Vent lif not incl. ebavel - Sus ended Heater � AI[er or Replace . Aooliance H.P. or less +er 3 H� entilatin �Plan Check Fieinspection Fee Sub-Total Processing Fee TOTALFEES CMF 0449-46 2540 2/25/82 7.00 TL TRACT NO��_ J /� IO �• � P LOT N0. / � QUILDING USE �A � w BUILDING �]�� /l� /� / / � R ^ A�DHE55 �-/ If1 I COSTA MESR, CALIFORN OWNER RR�nuS . - � - � ADORE55���� �F(���%� �"' \" �" — � GITY , �� � ,�• TEL. N0. � �yr 1 hereby acknowledge that I have road this applica[io end�stetelcha[ [he above is correc[ and agree to comply tiwitht a11�City Ordinances and Stete Lews rogulating Heet- v �ing; Ventila[ing, Refrigera[ion and AirConditioning. r �I cer[ity that I possess the above valid Statc o( CaliG ornia classification or I am the legal owner of the singlc tamily residential properry describcd above. SignaWre of Permittee REMARKS: —�� ��j� APPROVALS INSPECTOR OATE Ducts Underground Ducts in Structure Duc[s Ventilating Heating — Rough 3 ' Hoods Refrigeretion Lines Pressure Test Air-Cond. Final Ventilating Final Hea[ing Final ' / Refrigeration Final Final Gas Test U[ili[y Co. No[iticd BLDG. PERMIT NO. _ _ �. _ , _ ' -� - Applieant to fill In all spaces within heavy CorCer lines antl sign all aOGropriate tleclarations. � , CI .V OF-COSTA MESA � � PERMIT NO. TRACT NO. L Np t' - BLDG. NO. ' ' ' - - - - -9628 I L�I-I %IEjI'� - - 326.3B� T • COPSSTRUCTION PERMIT oiOS�O' ���Zc4 �/ �'-•B • ' ' ' -��• ' - � Project Address ' . � -� T,yYPE OF CONSTRUCTION �" '" � _�- . ` . Owner ^ ' � Phone �'%.. �J NEW � ADD ❑ ALTERATION •- ' - _ - -- � / 1. . Addrew / Gqyp. ' S� LJREPAIR_�CONVERSION ❑DEMOLISH _ _ _ 'Arch/Eng. � � � LicenseNo.�� ❑OTHER, � ZONINGREGULATIONS.,•. � DESCRIPTION OF WORK A'P' � 2-L:- ��O G' . O8 U 'AddfE55 - - v� S � � .y/ ti,; " ' ' -' ' ' ZONE PCNG. REF. �F z - '�/ • � Contractor' Q,.w Y ' ' - �Phone ' TVPE OP PERMI� - � •Z ' �mG q, Address � � � � - . ❑ GRADING FOVNDATION �I STRUCTURAL StOB VARD ` i. � � NE'�' LICENSED CONFRACTOR OECLARATION�- ❑ TENANT ❑ ELECTRICAL OPLUMBING �OMECHANIC 5Ep E v " - I hereDy attirm that 1 am IlcenreE untler proWsions of Charter 9(com- . � '. . � `� �`� HIGHT p men<in9' H'�th SecHon��000) of- Divislan 3 ot tne Busine55 antl ❑ OTHER - - �" `' � . '_. . R'otessiore Cotla, anA my Ilcense is In fu❑ (orce antl effect. , �•-,_ � �� REAR VARD (TO P/l) � . � PROJECT ESCRIPTION '- - � LlcenSB daSS Ucense No.� ��/� K�� PKG. SPACE REQ. 2,� P,ROVIDED 'Z�S � Date ' Si9natuie -- " " SQ.FT. . L.O o� � ' _, . -WORKERS'�COMPENSATION DECIARATION . . � OCCUPANCV_CONSTRUCTION TYPE, STREET WIDTH ' PARK FEE S,%' 'Zn'�� I hereby affirm that I bave a certificate of consent co self-insure or a VALUATION�ZONE ZONING�APPROVE� B DAT -_ ' C¢rtififa[e of'WOrkers' Compen5atfon Insurance, or a certifietl Copy� - thereof (Sectlon 3800, Lab. CJ. . GRAOING CU. VDS. ACRES � SPECIAL CONDITIONS: � PoIicY No. ' ComPanY - - - . . _. . , � Certlfietl copy Is bereby fuinishetl.. . .._ . REMARKS '� Certltiea copy Is fuea with me city euiiaing Divlsion. C � .�jpg� FOR SPECIAL REQUIREMEN'f� �XEMPTION F0.0M WORKERS' COMPENSATION DECLARATION -' ' � �' (This.section neetl not be.<ompletetl if Ihe pe[mit Is tor one huntlretl - _ - � _ _ . . ' � ` � SS300) or less). . -' ,- �- "' ' - certify_that In the performdnce o( the wOrk fOr whiGh this permit I5, issuetl, I shall not emPloy any person in any manner so,as�to become -PLUMBING -. '-� -PLAN CHECK ` - � ELECTRICAL' ' " 'PLAN'CHECK ' subject to che Workers Compensation Laws ot Ullfornia. _ . . ., Date Signature BATHTUBS SHOWERS � - " ' ' �" - � NOTICE: If after makinq this tleclaration, you shoultl become subject TOILETS �� �-.� Vf21NAL5 � - ' - GENERATOR 01-KW_1=10 KW ' to the WO/kers' COmpenSatlon p�ovi5lons of the l. bor Cotle, you mu5t �� � ~ TRHNSFORMER r �� forthwith comply with such provisions or lhis permit shall be tleemed LAVATORIES DOUBLE LAVS; �-,- �; �. ' p` APP�IANCE '"30-50'KW_,50�+ KW revoketl... _ " _ _ . 'v "' _ . _ _ . _ CONSTRUCTION LENDING AGENCV KIT. SINKS- -' - OISHWASHERS' �� � �-'MOTORS ' 03 FIP_1-30 HP '- -' I hereby affirm that there is a construction lentling agenty for the per SERVICE SINKS ,• 7 SUMPS - -�i� .�'� (�NQ SOIAR). 10-50 HP 50 + Hp- - _ formance of the work for whi<h this permit is Issuetl (Section 3097 - -- Civ.-CJ:'-' -- ' "' -" - ' - -' ' " - " ' � - FLOOR SINKS � � � FLOOR D,RAINS�� � . -- FIXTlJRES - OUTLETS ' SWITCHES' Lentler'S Nama - LenOer's ACdresi ^ � DRINKING'FOUNTAINS� � :���f" : � - - ' GHSTUBESIGNS'- ' ' - OWNER'BUILDER DECLARATION"' ' � � INTERCEGTORS CLARIFIERS � � ,•1, , ` � � POCE CIGHTS - -' ' - - I hereby affirm that I am exempt from the Contractor's Llcense Law for .�<` �� -. � '��� �.�:. . -the following'rcason^(Sectlon 0031-.5 Buslness antl �ProfessionrCotle:� SWIMMING POOL ' ' PTRAP'" - ' ' ' - - -- � Any tlty or county whlch requires a permit to �tonstrucf, alter, �'� PO�ES METERED SUB.- Improve;'tlemolish or repair anystructure, prbr ro Its izsuance, also re-� yyqTER SERVICE ALTERATION J -' " ' PANECS -'-'-MAIN . SUB'. ' ' quir¢s the ap{.litant to� such pe�mit to file d signttl Statem¢nt that h¢ -Is'licensetl pursuant [o the provisions of the'Contractor's�license Law -GASSERVICE OVTLETS - � � ' "SERVICE -' - - ' � •�qMP - (Chapler 9(commenUn9 with Section 7000) ot Divislon 3 of tne Business antl PrWessions Cotle) or thaYhe95 exempt therefrom antl the WqTER�HEATERS BTU OUTPUT -"' - -� � - - - � - basis for the alle9etl exemptlon. Any violaHon of Section 7031.5 by - -�• appllcanT for a' permit'subjects' tne'applicant to a civil penalty' ' SEWER-CONNECTIONS " -" - - ' '� ' ' ' - - ot more than (ive huntlretl tlollars (E500). , ai owne� of the property, or my employeei with �wagei az their SOLAR TANK ' CO�LECTORS - ' - " - " - ' - � - - - fwe compen5dtion, will tl0 th¢.wolk, antl IFIe Stluctuf¢ i5 not intentletl ' or offeretl for sale. (Section 7044, Business antl Professionz Cotle: The SOLAR PIPING SYS. - ISSVE'FEE' "- " ' ' -' '- - Contraclor.'s_l.icense Law tloeinot apply to. an owner of_a prop8rty _ � who builtls or Improves thereon, antl who tloes such work M1imselt or ISSUE FEE � � A7P��CATION APPROVED BV -' - '- -� DATE �� throu9h his own employees, provitletl that such,improvements are nol in[entletl or offeretl Por 5ale. 1!, however, the builtlinq or improvement MECHANICAL PLAN CHECK � is soltl within.one year_of completion, the.owner will have the burtlen $UMMARV,OF FEES . ( p oving he tlitl not builtl or improve fo� th! pu�pose ot sale). - BUILDING � � q ' - - Q, I,-as• owner-ot the property, am exclusively contracting with HEATING SVSTEM 0100,000 BTU PERMIT S_7!7.d. � ,SMIP � E� �� V� AND DUCTING' i nsetl conGac[ors to consVuct the project (Sec[ion 7044, Buslness 100,000+BTU PLAN CHECK y PERMIT ' an 'Professions Cotle:' The Contractor's-License Law tloes not apply to � ---- � - - ISSUANCE E � dn own¢r of property wh0 builtls or imprOveS thereon, dntl wh0 COn- REFRIGERATION 0-300,000 BTU PLUMBING 5^ , tracts-irom-such� pro�ettz-with a <ontractor(s) Iicesnetl pursuant to� SVSTEM � - - � - - � - - - . GRADING S t�e Contractor's License Law). 100,000 +�BTV y' '-� '� . n� � PLAN CHECK'� y' , � 1.7�r.. ❑limexemptuntler'Sectlon � '"B`&P.C.torthis BOILERS BTV ����ELECTRICAL E� ' � - �- '�§ - reason - ' - -' - .' �� ' ' MICROFII.M' § SVSTEMREPAIR,ALTERATION PLANCHECK $ ' , �Date Owner " , TOTAL�FEE§ EXHAUSTSVSTEM MUITIPLE �-MECHANICAL S-" . I hareby certifythat I have reatl this application antl state tbat the above � �."LE55 AD- � �� Information is correct. 1 aqree to comply with all tlty autl county -�, ' PLAN CHECK' 'E' -' VANCE PC E_ -- o�tlinances antl State lay!5 relating to_cOnstruG[ion an hereby authorizE - . ropresentati of Ix15 city to enter- upon �t{ above �nllonetl ' "� - � ' � � � �' � property t '� lon purp� �� _ ) � I . FINAL FEE E � �• SlgnaWre _ Date/� � ' ' - Driv¢rs' � - ISSUE FEE - ' ' ' ... - ' " - - -- - ' -' -' ' ' _ "_ CMF 0865-46 `Whlte-Builtling; Gnary-Applicanh Pink-Accountin9; GolEenrotl-Assessor \ IIL\ . . '--^\ _ , . _ :� ' - CONSTRUCTION AND PLANNING � . � � . � ` POOL & SPA ,� ` � i � APPROVALS Permit # OS Date Inspector qppROVALS Permit # - Date „_ Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipmeni Location - - - 2. Soil Pipe-Undrgm 44. Steel Reinforcement - � � ' ' - � � 3. 'Electr�calConduitU,tility-lJnd�grn'•-�= • 45. Forms� `- -� ` ' , 4�. Electrical Conduit-Undrgrn 46. Electrical Bonding � - • ' ' � - - . , tee ein occe...,,.. `=� ,e,�. 47. _ �Rough Plumbin & Pressure Test - � '� � - �• 6. Electrical UFER Grn . ' "_ '� 48. APPROVALTO COVER-GUNITE 7. Footings \�•�' � �. , Z- 49. Electrical Conduit-Undr m � , 8. Foundation �' s ,S � 50. Gas Pipe, ❑ Undr rn, Test � . 9.� Water Pipe-Undrgrn � ,� - 51�. Backwash Lines P-Tra ❑ ndr rn � - 10.= Structural Floot SYstem =- 52. APPROVALTO DECK � 1.L _�Prope[ty Sewer Line &J-IO�se Connection - 53. _. Backwash & Rece for-Final 12.. Street Sewer Connection ' " ' ' � 54. Heater & Vent-Final � 13. Rough Plumbing � - � - �- ' 14. Rough ElectricConduit _ - �56. Electrical-Final 15. RoughElectric-Wiring - �57: SolarSYstem-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 FINAL � _, � 20. Roof Framing ' - ' .2-/ - 7 � 21. Roof Sheathin � � �/ - ' ' ' � - ' - 22. Frame and� Flashin � - 3 S2 ,�J'L ,�,E� -� k�"/ NOTES: � ' ' . � ' 23. Insulation" .�i-+?1-3:2 (�/,c. � s�.f ' - - 24. Lathing & Siding �-/-/�-�'�Z Cf%� r . . 25. Drywall Nailing </-�.$2 �✓ ' 26. Plaster Brown Coat � dcc 27. Electrical Power Meter-Final ' � 26. Final Electric � � 29. Final Heating & Air Conditioning 30. Final Gas Pipe-Test 31. Final Plumbing • ' - 32. Water Service-Final - - � ' � 33. Gas Service-Final � � •� 34. . Solar pomestic-Final -'35.' � Landsca e S rinklin S stem �� ' � � 36. Sound Attenuation - /-- 37. Handicap Regulations - � 38. FINALSTRUCTURE&BUILDING� " S Z-. Ba 39. Special Requirements Completed - ' ' ' 40. Electric Release to Edison � � ' 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY � . No Date .. . . . �. _ tr - �. , � Applicant to fill in all sDacez within heavy barCer linas anE si9n all approPriate tleclantions. �` '- - •TRACT'NO. LOT NO. - BL�' NO, ' � CITY�OFCO A� E A P RMITNO. ( CONSTRUCTION P.ERMIT � �-O$� `� � ��� ProjectAddress �� _ _ . � TVP F�CONSTRUCTION� � - OWn r �S ' 'Phon � '� (jD� ❑ ACTERATION Addfe55' '3 ' ' Q,(� ���J - -�-(3EPAIR�O�CONVERSION ❑�DEMOLISH . ❑-OTHER'� T � Arch/Eng:' ' '�-- -- - - --LicenseNo. - � . AddfMS � � � - -� - - _ OESCRIPTION OF WORK � � „ r . Contractor ' (y� � Phon o?- VpE OF�PERMIT �-�- � ' , � 9694 12%17/81 � 37000 TI, ___ '. ... _. . :. �_.. � � .. . � .. � ' � . . . '- - ZONING REGULATIONS • � • �• } A.P. il° ' - . " 1 ZONE � � PLNG..REF. �. . - ' . � " Addre55 ' - ` . ,-� "- - ❑.GRADING ' ❑ FOUNDATIOM STRUCTVRAL 'CICENSED CONTRACTOR DECLARATION - ' ' ❑ TENANT� ❑ ELECTRICA6 VM81NG ❑MECHANICA 1 hereDy aftirm Oidl I dm IIC¢n5¢d untlGr provi5ioni of Charter 9�(com- •�'• 'ioenUng wit� sectlon 7000p oi Dlvlsion 3 ot the Business antl �OTHER-� Rofesslons Cf tle, a tl Ilcense is I full forca eff ucense�lp,cs/ '� /� ice�n o./ /� PROJECTDESCRIPTION .__ _ _ . , _ Date /SV �"�519 t JS.i:r�7c--��-• 'T//vy S�.FT.-� � .' . _..� WORKERS' COMPENSATION DF, LARA��ON - . ' �CCUPANCY�_CONSTRVCTION TVPE 1 hereby attirm inat I have a te'rUflcato� consent to solf-Insure or a VALUATION ' ZONE CBlIHIGdte Of'Wolk¢f5' COmp¢llSatiOn I ufance, Or a Ceftlfietl copY - • thereof (Sectlon 3800, Lab. C.). , GRADING CV: VDS. - t ACRES PollcyfJo. �Company � - ;t,.�-�'.4Certifietl topy I5 hereby-turnlshatl. - - - � - � � - 'REMARKS: - _ ' .^p�:, Certitletl topy Is filetl with tha Uty Builtlin9 Oivlilon. 1 . ` �XEMPTION FROM WORKERS' COMPENSATION DECLARATION �� - " �(This section. n¢etl not be complet¢tl if the permiL IS for ona huntlred . _ . . . ($300 or less . I.cert�ty that �n lhe performance.o( the work for which this permlt Is Issuetl, I shall not �emQloy any person in any manner so as to become PLUMBING �-� PLAN CHECK SubjBCtto.the Worker5 Compenzatlon LawSof Glltomid.-- . __. Date Si9nature' BATHTUBS SHOWERS � NOTICE: If after making this tleclaration, you shoultl become suDject TOI�ETS � URINALS � � to t�e WOrkers' Compen5atio� p/OvlSlons o! the Labo� Cotle, you mu5t , f0/lhwlth comply wlth such p�ovlslon5 Or thiz p¢rrtlit Shall be tleemed �VATORIE$ DOUBLE�LAV$ �ravoketl. . ' - -. .. __. . . ' _' _ ' " ' CONSTRUCTION LENDING AGENCV KIT: SINKS � DISHWASHERS � I nereby affirm [hat there is a construttion lentling agency for the per- SERVICESINKS':' SUMPS - ''� " formante ot the work for which this permit is issuetl (Section 3097 Civ: C:)�. � � - � � �� � - - - � FLOOR SINKS FLOOR DRAINS Lentler's Name Lentler•s Atlaress �DRINKING FOUNTAINS � OWNER BUILOER DECLARATION - ' INTERCEPTORS ~ CLARIFIERS I hereby afflrm tha[ 1 am exempt from.th0 COntrac[Or'S License Law tor lhe tollowing-reason (Section'7031'.5 Business-anG Protessions Cotle: SWIMMING POOL '--P?RAP "'' "' Any city or county which repulre5 a permii to construct, alter, improve, tlemollsh or repair any structure; prior to its'issuance; also re- -yyATER SERVICE ALTERATION � qulr¢5 the ap4���nt to� Such permlt Lo file a slgnetl statement that he is'llcen5etl' pursuant lo the-provisions of the Contrattor'S License'I�w" - '- - " . .. _ .. ____. . _... _ . . GASSFRVICF (]l1TLFT5 (Chapter 9 (comi BUSIO¢55 dlltl Plp�f �asis for the alleg . -., aPPli�ant tor 'OI mo�e than ., as �owner oi or wM10 bulltls of Impfov¢5 [n¢reon, ana v through-his.own employt¢S, provitletl.tl Intentletl or offeretl tor sale. If, howevei is soltl wiNin one yeacof completion, t oi provin9 ne tlitl no[ builtl or impr ❑ 1, as owner oi iha property, am IlcenS¢tl contractorT t0 construct the p dntl�Profe55ion5 Cotle: The Contractof'S an owner of property who builtls or in tracts from such' pro�etis-with a cont the Contractor'S License Law). ❑ I am exempt untlGr 5¢Ction � reason' - Date� - Owner- - - 1 h@�Gby c¢�tify thdt 1 ItdvG r¢atl this ap➢li intormation is correcL I�auree to abrt mpt of to a tivll penalty' SEWER CONNECTIONS . IChwagesaslheir� -SOLAR�TANK�� COLLECTORS - ' e s[wtture is not Intentletl / - - antl Professions Cotle: Tho SOLAR PIPING SYS. o an owner. of a property _ . . _ tloez sach work nimself or ISSUE FEE uch improvements.are not. e builtling or improvemeni MECHANICAL PLAN CHECK �wner will_hdve the burtlen. - for the purpoze of sale). HEATING SYSTEM 0-300,000 BTU :lusivaly conVacting with qND DUCTING � � ' - :t (Sec[ion �044, Business 100,000+BTU !nSe�Law tlOGs not apply to ves thereon, antl who con- REFRIGERATION 0-300,000 BTU �r(s)-Iicesnetl pursuant to SVSTEM' ' -` " � - �- �- 100,000 + BTU - B. 6�P. C. for this BOILERS BTV tM1atthe v antl < EPAIR,ALTERATION SVSTEM MULTII Drivers'�LicenS or 55 � �� � �SSUE FEE ' � - --� ' - CMF 0865-46 White-Bi,iltling; Canary-AOP���nt; Pink-Actounting; Goltlenrotl-Assessor d i � REAR VNRD (TO P/L) � , PKG.SPACEREQ. � PROVIDED, . - STREET WI�TH PARK FEE E� � � ZONING APPROVEO BV� DATE SPECIA�•CpNDITIONSv � il ELECTRICAL - ' "- ' PLAN CHECK I' 5(l. PT_ GENERATOR 0-1KN/_1-lOKW � TRANSPORMER � � APPLIANCE ' 30-50 KW_50 + KW ' -- MOTORS " ' OQ HP_Sd0 HP . '-' (INC.SOLAR) 30-SOHP 50+HP � � � FIXTURES OUTLETS SWITCHES GASTUBESIGNS " - - POLE LIGHTS " - ' ' ' - - PANELS - MAIN ' - SUB' SERVICE - -' ' ' A1 APPLICATION APPROVEO BV' - - - OHTE -^ ' ' SUMMARV,OF FEES - BVILOING ' - " -- ' � � � ' - PERMIT E SMIP � , S PLAN CHECK § � PERMIT . � PLUMBING g� � �SSUANCE, E -' GRADING S � � PLAN CHECK . §•.' ' T . � , ELECTRICAL y � ' s � .. . -PLANCHECK E � 'MICROFILM,S' ' , MECHANICAL E TOTAC FEE E ' ' LE55 AD- � ' •PLANCHECK E - ' VANCEPC $_ � "'� i � • .. - i Y ^� � i _ . FINAL FEE § � � CONSTRUCTION AND,PLANN Wfj POOL & SPA - � , - � �. �oti'� �� �����'� ������� ,)� �g Date - Inspector � Date� Inspector��- APPROVALS Permit � APPROVALS • _ Permit # . � i. Temporary Electrical Service or Pole 43. Pool & Equipment Location •- � - -- �-- �� - Soii ipe-Undrgm � � .z _�/ 44. Steel Reinforcement -� � � � - • � --- �- - • �-- - - 3. Electrical Conduit Utility.Undrgrn 45. Forms - - 4. Electrical Conduit-Undrgm 46. Etectricaf Bonding- - • - . tee ein orce � 47. Rough Plumbin & Pressure Test � ' ' 6. Electrical UFER Grn ' � ' � 48. APPROVALTO COVER-GUNITE �- � - 7. Footings "� � � 49. Electrical�Conduit-Undr rn � B, Foundation � 50. Gas Pipe, ❑ Undr m, Test - � �� � 9. Water.Pipe-Undrgm � i,2-1�l-9/ 57. 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. Fiough Plumbing " • '" . g;;y'��- - -- 14. Rough ElectrioConduit - - � �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 � 78. Ducts, Ventilating ' 19. Gas Pipe-Rough &Test � 60. ,POOL/SPA SYSTEMS FINAL � �� 20. Roof Framirig 21. Roof Sheathin , • 22. Frame and Flashin ! NOTES: ' 23. Insulation - . �� 24. Lathing & Siding - - - ....._.... „ . � �. 25. Drywall Nailing � � ' ' • � 26. Plaster Brown Coat 27. Electrical Power MeterFinal' � � 28�. Final Electric � 29. Final Heating & Air Conditioning _ 30. Final Gas Pipe-Test "� � � - - 31. Final Plumbing ('2 � � ' � 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 - Applicant to fill in all s0aces wilhin neavy CorOer lines ane sign all aDG�opriate tleclarations. CITY OF COSTA MESA P MIT NO. TRACT NO. LOT fJO. BLDG. NO. ' ' � ' ' - .�ONSYRUCTION PERMIT �0�� ' � � � ` • � ' 0312, 6/89/82 j 10.00 ' � Project Address 6 �, (,� _1' ` TVPE OF CONSTRUCTION � � ' � - � �-- -�� - - ' • . . OWne� 2� � PhOn �2 ❑ NEW ❑ ADD ❑ ALTERATION Q - � . � � . Address � , � -(£ ❑ REPAIR-O CONVERSION ❑DEMOLISH N Arch/Eng. - - � -License No. - ❑ OTHER ' ZONING REGULATIONS. � . AddfEss " � - - -- - -- DESCRIPTION OF WORK ' P"P' � � � � � ;ZONE P.LNG. REF. � , fContrector , - - � , N Phone p-Z-j26 TVPEOFPERMIT ' • � ��B�ILDING „ SETBACK OP RTY LINE " I AddfE55�% ' - " " J' " fj- � r� ' .' �" ^ , ❑ GRADING- ; ❑ FOUNDAT�lOf1 �❑ STRUCTURAL � SIDE YARD , V LICENSED CONTRACTOR DECLARATION -�-=� OTENANT ❑ ELECTRICAL'�Y��LVMBING'OMECHANICA L5EF 1 hGrCby aHirm lh:.t I dm IlcenseA under provl5ion5 ot Chdrler 9(com- � _ � R�IGHT � mentin9 with-5ection 7000) �of ;Division �3 �of-the Bu51nes5 antl � OTHER- - ��•-� -- ' -- R'ofa55ions Cotl 0 ntl my ❑cense iz in full forte antl eff L. . � REAR VARD (TO P/L) PROJECT-DESCRIPTION LltenseL lass ^ �Cens� o _ • . ', ' � �PKG.SPACEREQ. �PROVIDE�' ' � ' � Date (�LSr�f= co...����.e r � 5�. FT.. . . . . ' _' " ' ' . _ _ �• � ' STREET WIDTH ., 2-,PARK FEE $ ��l � l WORKERS•�COMPENSATION DECLARATION� -. ._ :�OCCUPANCY_CONSTRUCSION.TVPE l hereby affirm tha[ I bave a tertifiwte ot consent to self-Insura�or a ' ' � � ZONING APPROVED�BV ,.�,, , DATE - ��� � i ��VALUATION ' ZONE � ' certNlwte of Workers'-Compensatlon Inzurance; or a�cerUfietl �copy SPECIAL CONDITI ONS: thereo( (Sectlon 3800, Lab. C.). �J GRADING �CU. VDS. ACRES '- Policy No. ' -CBmpany" "U�� �'A'�Y - '- - ' '- - - 1��ptietl COpy is he�¢by tumishetl.-. � �- - � - 'S REMARKS: -ti � -'- Z'0 S � - � ' :ertifietl topy is 111etl with the city Builtling Division. , - . , • E%EMPTION F0.0M WORKERS' COMVENSATION DECIARATION � O � � � (This section neetl not be <ompletetl if,tne permit,is for one huntlred . __� _ . _ ___ . _ _ . 4 _ _ . _ _ _ . _ _ ' _'_ .. . . . .. (E100� or less�. - !�N 1 tertity that In the performance ot the work for which_this_permit is � � lisuetl, I shall not em lo any person in any manner so as to;become PLUMBING��a � ' PLAN CHECK � - � � � � �� . P Y � . ELECTRICAL� PLAN GHECK subject to the Workars' Compensation Laws ot Califomia.. _ ' � . . _ _ _ _. _ _ - _ Da[e 519nature BATHTUBS SHOWERS NOTICE: I( a((er rtiaking this tleclaration, you shoWG be<ome subject TOILETS' � ( ^,URIfJALS � � - GENERATOR - p.l KW_1-30 KW to the Workers' Compensatlon provislons of the Labor Cotle, you must ' � � _ .TRANSFORMER ����� forthwith compty with suth provi5ions or this permit zhall be tleemetl LAVATORIES DOUBLE LAVS - � •APPLIANCE 30-50 KW_50 * KW, .'� - revoketl. . . _ ' _ . . a . _ _ _ ' CONSTRVCTION LENDING NGENCV � KIT. SINKS �� - DISFIWASHERS � ' - �MOTORS -�-� � 0-11iP_]-30 HP, I he�eby a(firm tha[ Ih¢r2 is a Const�uGtlon lentlin a GnG fo� [he pe�- -'^• �-'- � — --UNC: SOI.AR ` - formante of the work Por which lhis 9 9 Y SERVICE SINKS r j-i �•'SUMPS �' - 30-50 HP=50 + HP - Oermit is issuetl (Section 3097 ���• C'�' � � � � '� FLOOR SINKS � FLOOR DRAIfVS -�FIXTURES �� OVTLETS SWITCIiES Lentler's Name Lentler'S Atltlress� DRINYCING FOUfVTAINS ` - � - � � GASTUBESIGNS--�� ' ��----- - - -- � OWNER'BUILDERDECLARATION- --^"- " '- ` � 'INTERCEPTORS -' CLARIFIERS ' iPOLELIGHTS � ��� � � . ' ' �',' .. I hereby affirm that I am exempt from th¢ Contractor'S liC¢nse Law for ' '1 .` ( the following reason (Section �031:5 Businesrantl-Professions Cotle: SWIMMING POOL' �- -PTRAP " . ' ' -' " "" "' ' " " ' " - - Any city or county which reQuires a permit to construct, alter, IPpLES METERED iSUB ��'i :'�� improve, tlemolish or repair'any structure,-priorto it5lssuance,also-re- -"yyqTER-SERVICE ALTERATION �� �� -'� PANELS � MAIfJ - . SUB , . � qulres the apFlicant fo� Such p¢rMl[ to tile a si9netl s[atemeni that he is Ilcenzetl'pursuant to the provlsions of t�e�Contractor's�License'Caw "GASSERVICE � OUTlETS � SERVIGE � - '� � � ' � � AMP -�� '� - (Chap[er 9(commencin9 witb Sectlon ]000) of �Ivislon 3 of the -�� -• Business'antl Professions Cotle) or that-he'is'exempt theretrom antl the yyqTER HEATERS - � BTU�OUTPUT� - - - � -- � - ' ' - -- � ba5is for ihe allegetl exemption. Any violation of Sectlon 7031.5 by - ��' a� �applicant for a permit subjects ihe applicant to'a"tivil penalty SEWER"CONNECTIONS �' ' �- � ' i t more than live huntlretl tlollars (E500). �� � � t� �� .. . . . . . . L as owner of lhe� property,B7 my employees witn wa9es es their SOLAR'TANK , � � COLLECTORS �' �' ' �-`" --'" "' �' ' ` �". ' i '' �� Soie compensation, will tl0 the w0/k, antl the S[ruGture IS not Intentl¢tl or o(feretl for sale. (Sectlon ]044, Business antl Rofessions Cotle: Tne SOLAR VIPING SVS. � � ISSUE FEE � -' � �-� '- '- - -"� Cont�aGtOr.'S License Law tloe5_not dpply to.an owne�_Of a p�ope�ty '� � who builtls o� Imp�oves thereon, antl wbo tloes Such wo�k tllmself or ISSUE FEE " AFPLICATION /aPPROVED'BY ' ' '"- ' DATE- '' lnrou9h nis own employeeS,.DroviOetl tM1at3uch,improvement5 are not. � ' ''' � intentletl or o�(eretl for sale. If, nowever, the builtling or improvement MECHANICAL PLAN CHECK � SUMMARV OF'FEES - izsoltl wi[hin one year ol completbn, the owner will have the burtlen . � ; ' ' •' .., of provin ne tlitl not bui10 0� im rov¢ fo� the urpose ot sale BUILDING-'- ' ''" ' - ' -- ' ' ' 9 am exclusivel conVactin w��h HEATING SVSTEM ,0-300,000 BTU ! E '� � '�SMIP'_' ' S�' � ❑ 1,-as-�owner- ol ihe property, y g 'PERMIT � _ ^ AND DUCTING Iicensetl contractors to construct the project (Section 7044, Buslness �100,000+8TU p�qNCHECK y 'PERMIT��� .y% antl ProfMsionS Cotle: The Contractor's LicenSe�Law tl0¢z not apO�Y �o � -�- - ISSUANCE' E - an owner ot property who builtls or Improves thereon, antl who ton- REFRIGERATION 0-300,000 8TV �LUMBING y �� . 4 � �� [racts (rom�such projects with a contractor(s)� Iicesnetl Oursuant to• � SVSTEM"-' - ' - - - ^ � - -- -- - - - -GRADING �� E � the Contractor'S License Law). 300,000 + BTV � PLAN CHECK S ��� -. ❑ I am exempfuntler Settion " 'B. d P. Q for-thii BOILERS BTU ' 'ELECTRICA� 5 � s• - reason ' - ' �PLANCHECK §' � - MICROFILNI 5 � � SVSTEM REPAIR,ALTERATION � "' � Oate Owner � .. .�_TOTAL'FEE$ � '`MECHANICAC' $ 1 hereby certifythat I have read this application antl state that the above EXHAVST SVSTEM _ MULTIPLE � �� � �' I� " '!LtE55 AO-`• � � � + informatlon is corteC4 �I agr¢e to comply with all clty. antl county , PLAN CHECK E - VANCE PC $_ � o�tlinances antl state laws relating to const�uction, antl herCby duthorlEe 'i � � , � �epre5entative5 of Ihis City to t¢r upon-the abOve menllonetl , - ' property for � n 'p . �� Signa[ure �� ^=!e , zA��Z � -, � ' FINAL FEE E /0---. Drivers' �License ar 55 � �� / �"� ISSUE FEE � � -- � � - - CMF 0965-4b wpl[e-Bulltlmg; Cdnaly-AppllCdnt; YInH-Hccoun[ing; tio�oenroo-iisseswr � CONSTRUCTION AND PLANNI \ POOL & SPA -� � - � -c�.- - • APPROVALS y'- Permit # - Date tnspector , qppROVALS Permit # • Date � Inspector i. Temporary Electrical Service or Pole �, � � '43. Pool & Equipment Location �� � � � - � Soi ipe-Undrgrn . . v� - 44. Steel Reinforcemeni ' � - • - ' 3. Electrical Conduit Utility-Undrgrn 45. Forms --- � � 4. Electrical Conduit-Undrgm 46. Electrical Bonding --- -- - � � . tee em orce . 47. Rou h Plumbin & Pressure Test� - 6. Electriral UFER Gm �• - ' 48. AppROVALTO COVER-GUNITE �- - ' 7. Footings � ' - ' 49. Electrical Conduit-Undr m • � � � 8. Foundation � �� � � 50.- Gas Pipe, ❑.Undr m, Test �� ' ' ' � � 9. Water Pipe-Undrgrn - -' 51. Backwash Lines P-Tra ❑ ndr 'n � � - � 10. Structural Floor System 52. APPROVALTO DECK -" '' � 17. Property Sewer Line & House Connection � 53. Backwash & Rece tor-FinaP�- � � . 12. Street Sewer Connection � � +' - �' - = 54. Heater & VenbFinal � ' � 13. Rough Plumbing � � ' - �= - � � - ' � - � � 14. Rough ElectricConduit - - - - - - --- �56. Electrical-Final - � ' 75.- Rough Eiectric-Wiring" - ' '- - - " - - -- - 57. Solar,System-Final- ' ' � � ' - 16. Rough Heating & Air Conditioning - �.encing & Access Approval �•' 17. _Ducts in Structure �� ' ' � APPROVED FOR PLASTERING ' ' � 18. Ducts, Ventilating _- � ' i _ - � _ 19. Gas Pipe-Rough & Test • _ _ ' � 60• POOL/SPA SYSTEMS FINAL � � � � 20. Roof Framing ' • ' .. _, _ ' - - � 21. Roof 5heathin - `' ' ' _+ ' . - . � - � � • 22. Frame and Flasfiin NOTES: �� �' � � 23. Insulation. ' � -' ' - '' • `'' .�' � ^ , ' 24. Lathin & Siding � � � - - - - -- � 25. Drywall Nailing ' _ � ' ' - ' - .26. Plaster Brown Coat ` ' ' ' � �- � � 27. Electrica� Power Meter-Final ' ' ' ' ' - ' � - ' ' � 28. Final Electric � ' � � � 29. Final Heating & Air Conditioning_ � - . 30: Final Gas Pipe-Test � J z- � ' - . 31: Final Plumbing ' " ' � ' 32: Water Secvice-Final -`' � ' ^ " � � � ' ' � 33. Gas-Service.Final � ' -- _t ' � '" � � ' " 34. Solar pomestioFinal � � � � � � - � - 35. landsta 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 Cafifornia Gas Co. � 42. CERTIFICATE OF OCCUPANCY . . . - �No , Date . , . . CITY OF COSTA MESA PEg� ir CONSTRUCTION PERMIT M ` Phone Address License No. Address Contrector LICENSED CONI I hereby affirm tn� mencin9 with Sef Ao(e55Ion5 Cotle, vitnin heavy DarEer lines an0 slgn all approp�iate Geclarations. � TRACT NO. LOT NO. � BLDG. NO. R_� Date � Si9n2ture � ' WORK !i5' OMPENSATION DECLAR TION ' I hereby affirm that I have a certifltate ot consent to self-Insure or a CerHtIW[e o( Wo�ker5" COA�PenSatlo❑ InSuranC¢, o� a certlllGtl copy thereot (Section 3800, LaD. C.). Pnlicy No.P�rCompany 'ertiiletl copy is hereby furnishetl. - - er[Ifiatl copy is fllatl wltM1 the city Builtling Divizion. ExEMPTION FROM WORKERS'COMPENSATION �ECIAR%ITION (This sectlOn nGetl n0[ De Gompl¢tatl if the pe�mil IS �o� one huntlretl. (§IOO) Of IC55�. I cert(fy that In the pertorn�ance o! the wo�k fot whi<h [his permit i5 Issuetl, I shall not amPloy any person in any manner so as to become subject lo the Workers ComPensation Laws of Ulifornia. Date Si9n9ture NOTICE: If atter makinq tn�s tleclaration, you snoWtl become subject to the Workers' Compensation provisions of the Labor Cotle, you must to�lhwlth comply with such P�ov�5ion5 0� this pe�mit shall be tl¢emetl r¢vOkGtl. - CONSTRVCTION LENDING AGENCV I he�eby aftirm thdt there i5 a consbuction lentling ag¢ncy for Ihe per- (OrTdnCG of th¢ work fo� whith [his permit i5 ISsuetl (Sectlon 309] Civ. C.�. LenCer'S Name Lentler'S Adtlress DECLAftATION I am exempt trom the Contractor'S License Law tor i(Sectinn 7031.5 Business antl Professions Coae: ty which_�equkes a perm{t to ConstruCt, alteq v repair any strutture, prior to Its issu5nce, also re- fof such Pefmlt t0 (ile a 51gnGtl Stdt¢m¢nt thdt he BOSIpC55 dOG PlOIG5510I15 COGC) Or thdt he is ex¢mpt [he�ef�ort� antl the bazis for the allegetl exemption. Any violation of Settion ]031.5 by a� applicant for a permit sublects the applicant to a tivil penalty � , mOr¢ Ihan five huntlretl tlollars ($500). � as owner of tbe propirty, or my employees with wage5 as their 5012 COTp2fI5dS10O� WII� d0 ine WOIk. dOd I�12 SVOCIOIC IS �IOI IIISClIG2tl o� o(le�etl for Sal¢. (5¢Clion 1044, Bu5ine55 antl Aofe55ion5 Cotle: The Contractor'S Litense Law tlaes nol apply t0 an own¢r-Ot a property who bulltls o� imp�oves lne/eon, anU who tloe5 Such work himselt or [h�0u9h his Own employees, provitletl tnat sucn imp�ovements are not Intentletl o� offe�etl fo� Sale. �f, howeve�, the builtling or improvemenl iz soltl within one year o/ cQmpletlon, tne owner will have the burtlen of provinq h¢ tlitl not bW�tl o� Imp�ove far Ih¢ purpo5e of sale). ❑ I, as owner of [he proper[y, am exclusively contrac[ing with IkCns¢tl COntraGto�s lo con5t�uct ihe projett (SectiOn J044, Business antl Prolessions Cotle: The Contractor'S License Law tloes not apply to an owne� of property who builtls or Imp�oves the�eon, antl Wno Con- t�act5 f�om SUGh p�0)eGts W�th a conbattor(s) Iit¢Sn¢tl OurSuant to tbe Contrattor's License Law). ❑ I am exem0� uneer Sectio� B. & P. C. �or this f2d50O Date Owner I hereby certitytha[ I.have reatl thi5 ppllcation antl State that th¢ above Information is correc4 I aGree to comply witn all city and county ortlinanc¢5 antl State laws r Pting t cOnstruction, dntl h¢r¢by authoriz¢ rep�esen[a[ives f s i y to nter upon the above ent' ned propBrty (/ P cU n � v Signatme Drivers' License or 5 � � � CMF 0865-46 White-Building; Canary-Applicanp Pink-Accountinq; GOICenrotl-Assessor TVPE OF CONSTRUCTION $I NEW ❑ ADD ❑ AI.TERATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ❑ OTHER DESCRIPTION OF WORK TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURHL ❑ TENANT ❑ ELECTRICAL ❑PLUMBING �MECHAI ❑ OTHER PROJECT DESCRIPTION SQ. FT. OCCUPANCY_CONSTRUCTION TVPE VALVATION 20NE - GRADING CU. VDS. ACRES PLUMBING � PLAN CHECK BATHTUBS SHOWERS TOILETS URINALS LAVATORIES DOUBLELAVS KIT.SINKS DISHWASHERS SERVICESINKS • SUMPS FLOOR SINK$ FLOOR DRAINS DRINKING FOUNTAINS - INTERCEPTORS CLARIFIERS SWIMMINGPOOL PTRAP ' WATERSERVICE ALTERATION GASSERVICE OUTLETS WHTER HEATERS BTU OUTPUT. SEWER CONNECTIOfVS � � SOLAR TANK COLLECTORS SOLAR PIPING SVS. - I55 V E FEE MECHANICAL GLAN CHECK HEATING SVSTEM 0-300,000 BTU_ AND �UCTING 300,000 + BTU _ REFRIGERATION 0-300,000 BTU_ SVSTEM- 100,000 + BTU _ BOILERS BTU SYSTEM REPAIR,ALTERATION EXHAVSTSVSTEM MULTIPLE ISSUE FEE _. ; Y ` 1 A.P. q ZONE REAR YARD (TO P/L) PKG. SPACE REQ. STREET WIDTH ZONI NG APPRO V ED�B V SPECIAL CONDITIONS: �REGUL'AYIONS - """ T�� PLNTGp. RUEFL. p� � PROPE�RTVNLINE PROVIDED PARK FEE $ � DATE ELECTRICAL PLAN CHECK GENERATOR 0-1 KW_3-30 KW _ TftANSFORMER APPLIANCE 30-50KW_SO+KW_ MOTORS 0�1 HP_1-30 HP -_ (INC.SOLAR) 30-50HP SO+HP�_ FIXTURES OUTLETS SWITCHES GAS TUBE'SIGNS ' ' POLE LIGHTS PANELS MAIN SERV ICE SUB ' AMP APPLICATION APPROVED BY - DATE SUMMARV OF FEES BUILDING � � PERMIT S SMIP E PIAN CHECK E PERMIT ISSUANCE $� PI.UMBING $ . , PLAN CHECK g � GRADING S ELECTRICAL y � b . PLAN CHECK $ MICROFILM E MECHANICAL S ' • OO TOTAL FEE b� PLAN CHECK y LE55 AD-� VANCEPC $'_ FINAL FEE 5 7• OO CONSTRUCTION AND PLANNING �7 - POOL & SPA �` �' '� APPROVALS Permit # M�dg�� Oate Inspector qppROVALS . Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2.- Soil ipe-Undrgm - 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. � Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bondin tee ein orce. 47. Rough Plumbin & Pressure Test 6. Electrical UFER Grn 46. APPROVAL TO 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 � 72. Street $ewer Connection ' ' � 54. Heater & Vent-Final ' 13, Rough Plumbing - � -� 14, Rough ElectricConduit - :56. Electrical-Final � 15, Rough Electric-Wring - • 57. SolarSystem-Final �• 16, Rough Heating & Air Conditioning - �br �- � encing & Access Approval 17. Ducts in Structure ' 9• APPROVED FOR PLASTERING � 18. Ducts, Ventilating 19. Gas Pipe-Rough & Test §0. POOL/SPA SYSTEMS FINAL 20. Roof Framing • � 21. Roof Sheathin 22. Frameand Flashin NOTES: � 23. Insulation 24. Lathing & Siding 25. Drywall Nailing • ' 26. Plaster Brown Coat 27. Electrical Power Meter-Final 28. Final Electric ' 29. Final Heating & Air Conditioning -2 -Fj i. . 30, Final Gas Pipe-Test 31, Final Plumbing 32. Water Service-Final 33. Gas Service-Final 34. Solar pomestic-Final 35. Landsca e S rinklin S stem 36. -.Sound Attenuation 37. Handicap Regulations 3$. FINALSTRUCTURE&BUILDWG � 39. Special Requirements Completed 40. .Electric Release to Edison • - ' 41. Gas Release to Southern California Gas Co. � 42, CERTIFICATE OF OCCUPANCY . � � � � � No Date � . ` �� �� ..�,.,� � . '. , i.. _ ,. i qpplicant to lill in alt spaees wilhin neavy Eortlor lines antl sign all appropriata Geclanlions. GTY OF COSTA MESA PE�jijvllT NO_ TRACT NO. LOT NO. BL . N :- ' ' CONSTRUCTION PERMIT ��� �Q � , . 2749 3/02/82 ,II.00 'TL� P�oject Address . TVPE OF CONSTRUCTION � � � � • � - . - . Own¢r ,QO6 �/�� Phone ❑ NEW ❑ AD� ❑ ALTERATION � , _ . AddlCR ' �-- ❑ REPAIR ❑ CONVERSION� ❑DEMOLISH . Arch/Eng. ' License No. ❑ O7NEa � � A P� ZONING REGULATIONS � � � Addre55 ' " . DESCRIPTIONOFWORK - � ' ' � ZONE PLNG'. REF�. $ �� � -Contracmr (}Q �,(�� � ' �L Phone S - TVPEOF,PERMIT • � .SETBAC T. �ROBP��RTY-LGiNE �� � AddflSs --�j� " "- Q GRAD�NG O��FOUNDATION ' � STRUCTURAL' ' � I VARD . - ' , -, -- - - LICENSED� C NTRACT4R� DECIARATION � ❑ TENANT ❑ ECECTRICAL OPLUMBING ❑MECHANIC , 5�p E Y ' '- - - •� - - - ' I hereby affirm lh:.t 1 am Iicensatl untler proWsions of Chartar 9(tom- • ' RIGHT " nenCing wl[n settlon 7000)'af 'OiWslon 3'of the Businezs antl� �❑OTHER�� -- ' - -- j �ro/osslans Cotle, antl r�y Ilcente is In fu❑ forte antl e(f cl. pROJECT DESCRIPTION' . ' ' REA0. VARD (TO P/L) ' „ Liceni Class enSeN ��3�� ,� �� . 'PKG.SPACEREQ. PROVIDEO � � Date ��- �� 99nature �SQ. FT. � . -. - - - ' _ . _ WORKERS' COMPENSATION DECLARATION - -- OCCUPANCV'_CONST.RUCTION TVPE , STREET WIDTM _P%�RK FEE b I hereby af/lrm that I haV¢ a certifiwte of tonzont to self-insure.or a VALUATION' ZONE ' ZONING APPROVED BV DATE - ce�tlflUte of WO�ke�S' Com0en5dtlOn InSurdnU, o� a c0rlifietl copY ' �� �� -' � SPECIAL GONDITIONS: � �� � ther¢Of (Seclion 3800, LaO. C.). / GRADING CU. YDS. ACRES . � PolicY NO. � COTPan1 � /Gl��AJi}IU�(41l� " " �� _ " - _" . . - . . _ ' ; �Certlfietl copy is hereby fumisbetl. � - � - - . - - � REMARKS:- - ' - � ' - _ � � � � Certlfletl cOPY 151i1etl With Ihe cltY Builtlln9 O{vi110n. " '-I," "" _' ,� � , � � - cXEMPTIOM FROM�WOkIfERS' COMPENSATION DECLARATION � _- "' - " - ' ' -' �This sectlon neetl not be completeU.if the permit Is for one huntlretl , , __ _ . _ . ` _ . _ _ � ___ -�'� ' ��'%';'�� 'j: E3001 or less1. , ' '- � . ' : -. . ' � - - - ' ' � I certtfy that In the.perfo�mance of the.work for which this permit Is _ - . � ssuotl, I'shall not emPloy any person in any manner so as to become � PWMBING �. . ��'PLAN CHECK i -- 'ELECTRICAL ' ��PLAN CHECK', - T'� �ubject to the Workers CompenzatiBn Laws of Calitornia..' - . � . ' ___ .. � . _ _... _ -- - � � � � Dale • Signature � BFITHTVBS SHOWERS � -- - - NOTICE: If aflar riuking this tlectaratian, �ou shoultl bemme subje<t TOICETS' '^URINALS � � -' -- 1GENERATOR 0-1 KW�_1d0�KW „ 'o the Workers' Coinpen5;tion pwvlslons o tho Labor Cotle, you must �TRANSFORMER torthwith Comply with suCh provi5ions or thii plrTit ihall be tleem¢tl LAVATORIES DOUBLE lAVS ' "'APPLIANCE � 30-50 KW'_50+'KW � - �evOkatl. - �- - _ _ . CONSTRUCTIONLENDINGAGENCV KIT.SINKS �� �DISHWASHERS ' ' � - �MOTORS -'Od-19P_1-lOHP � " � Lhereby aifirm [hat tnere is a construction lentlin9 agency (or the per- .- ' -�- -- 1 C.�SOLAR � _- � lormance of lhe work 1o� V,.hich th15 $ERVICE SINKS ;;y (� �SUMPS ��N � `10-50 HP -_- 50'+�HP � _ _ parmit is issuetl (Sectlon 309] � � � � _ � CIJ. CJ. ' �� - - � FLOOR SINKS FLOOR DRAINS - •FIXTVRES` OOTLETS - SWITCHES " LBntlef'S Ndme � Lentlar'S�Atltlress DRINKIfJGFOUNTAINS " � � � GNSTUBE'SIGNS' " - -- "'' " ' DWNER.BUILDER DECLARATION - -' - - � - - INTERCEPTORS � � CLARIFIERS �j �POCE UGHTS' " '. "" - - " "' ' i hereby allirm that I am exempt trom tM1e ConVdctor'S LlCense Law for � � � � �ho followln9 rcason' (SetUon 7031:5 Business antl Profezslons Cotle: SWIMMING POOL � P TRAP "' • � ' ' �' ' qny clty or county wryicn reqWres a permit to construct, alter, � � 'POLES METERED �SUB. . � mprova, tlemolish or repair any structure, prior'to Iti Issuance; also re-' yyqTER SERV ICE A�TERATION � �'� �- 'PANECS ----' MAIN " SUB �� ' ' - aWrBs tbe ap'.11�'ant for sUch Oermlt lo flle a Sign<tl Stalert�ent that he _� 5 II<ensetl pursuant to thC'provislons ot the Contractor'S �Icense Caw GAS SERVICE OU�LETS �� �� ,SERVICE ' ' " -AMP -' � Chapter 9(commencing �yi(h Sectlon 7000) ol Olvislon 3 of tha ! �usinoss antl PrWession5 Code) or thaYhe is axempt thoreirom antl the yyqTER HEATERS � BTU OUTPUT— - � '- "- - ' - ' _ �asls lor Ihe allegetl oxeMption. Hny violalion OI $ectlon J031.5 by , j � appliranl 1or a perrqiC sub�ecti t�e apPll�snt to a' �Ivil penalty SEWER�CONNECTIONS� � ` � � � -`� " - ' - ' ` ' r!'>t mOre lhan /ivC huntl�etl tlollars (§500). �' �.."_ ' _ _. "". _ _ -' ' _ ""_ '_ '_ ' _ '-: as owner of the prOperty, or my omployees wltn weges as thelr SOLAR TANK COI:LECTORS � i�� compensaUon,.wlll tlp,the.wo�k,.antl th¢ st�uclure IS Oot Int¢ntletl . _ _ . or ofleretl tor Sale. (SecliOn ]044, Business antl Prolesslons Cotle: Tho SOLAR PIPING SVS. ISSUE FEE � - - Contraclor's Li<enso Law.tloez not apply to.an owner of a propertY - - - --- - - �qppLICATIpN /�PPROVED BV pATE '- who build5 Or Im0�ov85 thtraon, dntl wM10 tlOes such work himseH or ISSUE FEE ' �'i � [brough .his own omplOyees,. provltleG tbat Such ImprovGT¢nts a�t.n0[ _ __ _ IntentleC or of(cretl for sa�e. II, howaver, tne bullCing or Improvement MECMANICAL PLAN CHECK � � ' SUMMARV OF,FEES ,. „� � 1 Is soltl within.ono year_ol completion, tha owner will have Ihe burtlen � ��BVILDING 1 of Oroving na tlitl not builtl or Improve lor the purpose of sale). HEATING SVSTEM 0100,000 BTV i � PERMIT y � r SMIP .E � � I, a5' Owner �oi thtr pro0erty, am-exClUsivGly COnl�atting with - - - - - -- � - - -- - -� - -- -. - 1 � AND DUCTING � PERMIT ' 1 Iicensetl contractors to cOnsVuct tne projoct (Sactlon ]044, Business 100,000�+BTU� � •PLANCHECK E antl Protesslons'Cotle: Tne Contractor'sLicenso Lawtloei�notapV�Ylo t - - - � - �- � --ISSUANCE- E, - - an owner of property wqo builtls or Improves thereon, antl who con- REFRIGERATION 0-100,000 BTU � �PLUMBING � S �� � � -� ' trac[s Irom'such� project= N.i�n a conVactor(s) littsnetl-pursuant to� �SVSTEM -^'� '-� �� ' "- � ' - - � - - - -- - 'GRADING .5 tho Contraclor's Ucense Lyw). 100,000 + BTU (PLAN CHECK 'E . _ . � ' ' ❑ I am exempl �unUer Section - �B. 3 P. �,-for this BOILERS BTU ' � ELECTRICAL - E - f' �rea5on- ' " " ^"" " " ' � 'PLANCHEGK' E -' - . N1ICROFILM.E � . Date - - -' 4 - Owner - - - . _ SVSTEM REPAIR, ALTERATION Q `TOTAL FEE t ' ',MECHANICqL'E��'� �I hereby cerU/y.tbat I have reatl this apP�����on antl state t�at the above EXHAUST SVSTEM MVLTIPLE � ' LE55 AD-� �� � ' information is correct. I a9ree to compry with all tlty antl county E. ,�^ .PLANCHECK S ''' VANCEPC 'f_ � ' - 1 ortlinances.antl state laws.relatin9 to conSVuttion, antl hereby authorize w . ' i'• , �epresenldtives ol this City to enttr upon th< abovC mentlonetl � � -' '' pro0erty_tor. i spe<tl _pucposes. _. ._ _ T // O� O�t FINAL FEE S _ � SlgnaWre j �2_ Date 3-Z�oZ ISSUE FEE -� --- - - — � p - - - -� Drivers' Liconse or 55 �_� CMF 0865-46 White-BUiltling; Canary-Applicant; Pink-qccounting; Goltlenrotl-Assessor . . .� CONSTRUCTION AND PLANNING • � POOL & SPA � , � � - �`' � a al� � Date Inipect6Y • - . Date Inspector APPROVALS � Permit # APPROVALS - Permit # 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - - 2. Soi ipe-Undrgrn• �-' 44. Steel Reinforcement - - 3 Electrical Conduit Utility-Undrgm 45. Forms - - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - tee ein orce -� 47. Rough Plumbin & Preswre 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-Undrgm 51. Backwash Lines P-Tra ❑ ndr m - 70. Structural Floor System ' 52. . APPROVALTO DECK - "' '- -' - ' 11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final � 12.. S[reet Sewer Connection, � 54. Heater & Vent-Final - � � 13. Rough Plumbing _ � � " ' -"" 14. Rough Electric-Conduit - •56. - Electrica6Final � ' • 15. �Rough Electric-Wiring - � ' - - 57. Solar SYstem-Final � ' � � � 16. �Rough Heating &�Air Conditioning 1'Z+e �8"''C i • encing & Access Approval � 17. Ducts in Structure ' APPROVED FOR PLASTERING _ _ 18. Ducts, Ventilating. . � _ _ _ 19. Gas Pipe-Rough & Test - • 60. POOUSPA SYSTEMS FINAL ��. � , , 20. � Roof Framing - �' � � " ' ' . 21. Roof Sheathin � f - � ' � ' � � � . 22: Frame and Flashin - - ' NOTES: ' � ' -23. Insulation - � - ' ' 24. - Lathing & Siding " _ - - - � . 25l Drywall Nailing _ � � � - � � 26. Plaster Brown Coat � � � � � - � - 27. Electrical Power'Meter-Final ' � � ,- 28. Final Electric - ' 29. Final.Heating & Air Conditioning S 2$-�S �-- �� ' � 30S . Final'Gas Pipe-Test - � ' • � � ' 31'. FinaliPlumbing " � - � - 32-. . Water Service-Final- � ' ' � ' ' � --33. - Gas Service-Final � � '' � ' � 34. Solar pome4tioFinal • • � � ' � � � 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 Califor'nia Gas Co'. 42. CERTIFICATE OF OCCUPANCY � . No. Date • - AVD�icanl to fill in atl s CIiY OF CO$Tq�MESA PERMIT NO. CONSTRUCT{bN PERMIT r � a.Q Address Address within heavy boraer Iines ana si9n all appropriata - TRACT NO. LOT NO.- I ( � TVPE OF CONSTRUCTION PhOne ❑ NEW ❑ AD� ❑ ALTERATION � - � ❑ REPAIR �.CONVERSION ❑.DEMOLISH LiCenSe No. ❑ OTHER._ � � DESCRIPTION OF WORK concracior � k rnona 1 TYPE OF. PERMIT � Address •Z/%l2 �j✓�PR102 (� . ❑GRADING . ❑ FOUNDATION �STRUCTU LICENSED CONTRAC20R. DE LARATION ❑ TENANT �O ELECTRICAL ❑PLUMBING ❑MEi I hereby afnrm thal I am Ilcensetl unCer proviilOnz of Cbarta� 9(com- � . manNn9 with• secqon ]000) of DlviSion 3 0(- lha Business anG ❑ OTHER Rofessions Cotle, antl my Iicense iz In full force antl etfe<t.. Ucense Class — � - - Lic nse No: 303 �36 PR��ECT�DESCRIP710N . .. � Date �Z_���� �" "�� SignaWre ��'� SQ_ FT.' � ` • WORKERS• COMP&NSATION DECLARATION - OCCVPHNCV�CONSTRUCTION TVPE _ I hereby af(irm tha� � have a tartificate of consenl to ttlbinsure or a VALUATION ' ZONE � CClftiiCdt¢ Of WOfkelS' COTpOOSdtlO� InSUIdOCB� Of d<Bf111I0tl COpY - - � - tM1ereo/ (��[lan 3800, Lab. C.j. ����� ��,A .GRADING CV. Y�S. ACRES _ ?xRlicy No'. � Company ��� - ' ' Rp*;�;,Certlfletl copy is.hereby furnishetl. . _ ' REMARKS: � O .� � "' _ p"���Certifletl copy is {�letl with tho�tlty Builtling Division. tt�'�c�EMPTION FROM WOf2KER5' COMPENSATION DECCARATION' '" ' "' ' (ThIS Section n¢¢tl not be COTPI¢tetl it the peYTit is fof one huntlretl _ �� � � � _, IEI00) or lesss. � ' � - f c¢rtity [hat n the p¢rformance of the work tor whi<h this peiTit i5 izsuetl, 1 shall not amploy any person in any manner so�as to Gecome PLUMBING .: PLAN CHECK - subject to the WorkCrs' Compensatlon Laws of �allfornla. . ' - _ Date Si9nature BATHTU85 SHOWERS � - NOTICE: If a7ter,rqaking this declaratlon, you 5houltl becoma SUDjec[ TOILETS ,�� � URINALS ' " to the Workars' CompensaUon pruvisions of the Labor Cotle, you must _ . forthwlth <omply With suth pravisions or thi5 permit zhall be tleemetl LAVATORIES DOUBLE LAVS rBVOkeO.. . .- . . ' _ . CONSTRUCTION LENDING AGENCV �K�T.'SINKS " - DISHWASHERS ' I hereby afflrm that there is a constructlon Ientlin9 a9ency lor the perv SERVICE SINKS SUMPS ' �- ' iormance ot Ihe wOrk tor whlGh this OGrmit IS Iisuetl (S¢CUOn 3097 Lentler'S Name F�OOR SINKS �� FLOOR DRAINS Lentler's Atltlres5 ^ � � � D0.INKING FOGNTAINS � � � � OWNER'BVILDER DECLARATION' ' � INTERCEPTORS CLARIFIERS I ht/nby a(�Irm thal I am exCmpt ��om tht ContrdCio�Y Llcenia 12w lo� ..the following reasoh (Sectlon 7031.5 Businezi antl Professioni Cotle: SWIMMING POOL" - PTRAP -' Any city or county whicn reqWres a permit to construct, alter, Improve, tlemollsh'Orrepair any�SVucture, Prior to its Issuanca, alm re- yyqTER SERVICE - AL'TERATION • - qulres Ine ap4����t IOr sucb pCrTit to file d 5ignatl Statem¢n[ Ihat he � Is-Ilcensetl pursuan[ to tne proWzlons of fhe Contratlor'i License Law GAS SERV ICE � OVTLETS - (Chapter 9(cOTmencing wl[h SeCtlon 7000) O( DlviSiOn 3 Of Ih¢ 9uilness antl Pro1e55ion5 Cotle) or that he is ezempt lherotrom antl the �-yyqTER HEATERS ' BTU OUTPVT - basls for the alla9etl exem0��on. AnY vlolatlon o1 Sectlon 7031.5 by - • appli�nt b� a oermit subjects the aDP��tant to a tivll pGnalty SEWER CONNECTION$ "' �' o[ more than live huntlretl tlollars (5500). ' ., as owner of the propartY. or my amployaes with�wages aflhetr SOLAR TANK "COLIECTORS ' ' ,So10 CompeOS. tlOn, will tl0 the wo�k, and [ne SVUCturC Is nol IntCnGetl _ or oiferetl./or sale. (5ectlon 7044, Business antl� Rofessions Cotle: The SOIAR PIPING SVS. COntlaCtor'S I..Ica05¢ �w tlOeS nOt apply t0 dn Own<r O7 a Oroperty _ _. _ __, who builtls or Improves thereon, antl wM10 tloes such work himsal( or ISSVE FEE througM1.his own Crhployee5, p�Avltletl that suGh Improvements aro not intentletl or oHcrea for salc. II, howeJeq the builtling or improvemant MECHANICAL PIAN CHECK Is soltl within ono,year of completlon, the ownor wlll nave tho buraen oi proving he Gitl not builtl or improve fov the purposa of sale). HEATING SVSTEM 0-100,000 BTU Q 1. as ownar ol tne proPerty, am ezclusivaly conbacttng wtth qND OUCTING - 11<ensed conlractor; to construtt the project (Section 7044, Business 100,000 + BTU antl R'ofessions �Gotla:� The Contrac[or's Ucense Law�tloas not appry lo an owner ol propetty who builtls or Improves tnoraon, antl who con- REFRIGERATION 0-100,000 8TU tracts trom Such projects wltn-a- contratto/(s) IiGesnetl pursuant to SVSTEM ' "' ' ' the ContractOr'S Li�ense Law). ' 100,000 + gTU ❑ 1 am exempt unqer Se<tion - B. 6 P. C. (or lhi5 BOI LERS BTV reason - - - .Date Owner SYSTEM REPAIR,ALTERATION , I hereby certity that I have reatl this application antl s[ate that the above EXHAUST SYSTEM MULTIPLE _ $ignature CM F 0865-46 rorrecL I agre¢ to comply with all tlty antl county tat@ laws rClatin9 to mnstruction, dntl h¢reby authOrile Of this� cily to Bnter uPOn the above montionetl �5p urposes. � ' ��� 6 � ���- pate �� or 55 � �SSUE�FEE While-Builtling; Canary-Appli�an[; Pink-Accouniing; Goltlenrotl-Assessor ;.: •�'� ' 9665 12/17/81 .. . . •� . ., . .. ... A.P. RAL ,, 57a72 T� � �.. REF. � ' ' ' REAR YARD (TO P/L) � - � �PKG.SPACEREQ.�� � �, PROVIDED .- �� � STREET WIDTH� PARK FEE S� � - ZONING APPROVED BY - DATE SPECIAL CONDITIDNS: ' ' ' t �' . . ELECTRICAL pLAN GENERATOR • 0-1 KW_1-10 KW' � TRANSFORMER APPI_IANCE 10-50 KW_50 * KW - MOTORS ' 0-1 HP_1-10 HP " (INC.SOIAR) q0-SO�HP=50•+NP � FIXTURES'- OUTLETS SWITCHES" 'GAS'TVBES�GNS ' ^ � " • POLE LIGHTS -""" - ' . - PANEL$ � 'MAIN -$UB; ' SERVICE � -' 'Z�,V AMP APPLICATION APVROVED BY � � ' DATE SUMMARV OF.FEES BUILDING -- - - - � PERMIT s •� SMIP S PLAN CHECK 5 �PERMIT � - ISSUANCE E� PLUMBING E . . PLANCHECK. 5"'' ' � �'� GRADING �E S7,7oL =. :� s•' ELECTRI[AL E � PLAN-CHECK E-' - MICROFILM E� � MECHANICAL b- �TOTAC�FEEE�' -� ' • 1E55AD- ' ' PLAN CHECK E ' VANCE PC b_� `� .i . � • �1 .; ,'� ' �` ���f .�f� _ _ FINALFEE §�QS N l� � � \ - . CONSTRUCTION AND PLANN�ING�'�/��� - •� - ' POOL & SPA�, ' , ., � � -APPROVALS ' " ' � " Permit # � �`� Date Inspector qppROVALS Permit # � Date ' �nspector� 1. Temporery Electrical Service or Pole -� � 43. Pool & EquiDment Loration - - - Soi ipe-Undrgm • '�• � 44. Steel Reinforcement �� � � 3. Electrical Conduit Utility-Undrgrn 45. Forms � - � ' 4. Electrical Conduit•Undrgm_ L.�/s- 46. Electrical Bonding - - � . tee ein orce 47. Rou h Plumbin & Pressure Test �� . 6. Electrical UFER Grn �L_ ' 48. APPROVALTO COVER-GUNITE 7. ootings 49. Electrical Conduit-Undr rn 8. Foundation " 50. Gas Pi e, ❑ 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 � � 72. Street Sewer Connection '- 54. Heater & Vent-Fina� � • 13. Rough Plumbing ' ' ' � 14. Rough Electrio-Conduit - - - -- ��56. Electrical-Pinal - � 15. - -Rough Electric-Wiring - � '(_ - 57. Solar SVstem-Final - 16. Rough Heating &-Air Conditioning � - � encing & Access Approval " 17. Ducts in Structure ' ' � � APPROVED FOR PLASTERING ' '-�18:=-Ducts, Ventilating �" � y: _. . ... . . . � � 19. Gas Rpe-Rough &Test .60. POOUSPA SYSTEMS FINAL•' � " 20.� Roof Framing � 27. Roof Sheathin - � - 22. Frame and Elashin NOTES: � . . 23. -Insulation� -' ' - � � 24. Latfiing & Sidin9 - . . . . . -. . � - - ' 25. .Drywall Nailing � � � - - ' - 26. Plaster Brown�-Coat - • � - � 27. ��• Eledtrical Power Meter-Final ' ' - ' � � 28' Final Electric -�-• C - � - � 29. Final Heating & Air Conditioning � . 30. Final Gas Pipe-Test ' - � - - 37. 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. CEFiTIFICATE OF OCCUPANCY - ' � � No. Date ' _ AVGlicant to fill in all svaces witnin neavy boraer lines ana zlgn all aoV�opriate Oaelaratians. � ; CITY-OF'COSTA MESA PEgoa� T N TRACT NO. LOT NO. Bl N. ' . ' - - - . �CONSTRUCTION PERMIT C � �7 �Z� - ' ,� - • . 25i:i, z�esiea .� � �,e.00 ; . Prolect Address �.- .�e ... � TVPE OF CONSTRUCTION � � . _ . _ , ` � � � . , � Owner ` e� ' ` Phone " ❑ NEW � �'ADD ❑ ALTERATION - �,. D - - - ' - _ ' > - 'Add�e55 . -- -t � � ❑ REPAIR_O CONVERSION ❑DEMOLISH. . ���v�� _ _ . . Arch/En9.-- -- � License No ❑ OTHE0. � q P � - Z�NING REGULATIONS� DESCRIPTION OF WORK AtldreSs - - . . . _ . _. . . ' ' " - � � ZONE . PING. REF: $ - ' CAntractor ' � - - - Phone - � - - � TpeU IL pING �_ , TVPE OF PERMIT SET AC ST. PROPERTV LINE � Addr¢55 -Z'" ( ❑ GRADING., ❑ FOVNDATION �{]�STRVCTURAL- - 51 �VARD - - - -- LICENSED GONTRAGTO DECLARATION _ ' ' ' ❑ TENANT �O�ELECTRICAL OPLUMBING_OMECMANICA 5�D y ._ . _ . . I horeby aTfirm thst 1 am Iicensetl unticr provisloni of Charler 9(tom- .I 1 RIGHT " inBnCln9' with sectlon -7000) of ' Divlslon' 3 of lhe. BuSiness antl ❑ OTHER". � REAR VARD (TO P L -� ' " ' Prolossions Cotle antl My Iiconse Is In full forto antl eftect. -' �> � � ��� . . . „;��,,j�A PflOJECTDESCRIPTION _ .. . -� - ---rpKG.SPACEREa.'- " � " PROw�ED � License Class License No . . , � Date "... ' 'S19na[ure.i,^s/i—�C1 .�`� ..SQ.FT. ' ..� ' ' ' _'_ . ' _ ' ' ' t STREET WIDTH - ' PARK FEE S- WORKERS'�COMPENSATION.DECLARATION_ OCCUPANGY�CONSTRVCTIONTVPE ZONING'APPROVEDBV '- -' -- OATE — — .I hereby aftirm that I na�e a certlficato of consent to salLinsure or a,-VALUATION' ' ZONE � certlflfate'-ot Workers' Compensatlon �Insurante, or-a�cartlfletl copy - , - - �� � - - �' 'SPECIACCONDITIONS: ' ' ' � ' � thBroo( (Sectlon 3800, La6. C.). � GRADING:CU. YDS. ACRES "cY No. _ "' . ' _ ComPanY _ " _ _ _ '" ' _ '_ ' _ __' ' _ " ' _ _ _ . ertifietl.<opy Iz.hereby turNs�eC. . _ _ _._... 'NEMARKS: _ . . . _ _ _ , � _ _ __ __ __ _ ,', � __ _ .:e�ti(ietl copy is filed With th¢ city Bulltlin9 Division. , EXEMPTION��FROM WOkKEHS'"COM7ENSATfON OECLARATION ' � ' "' - � � � � f � (Thls 5eclion neetl_OOt.bO complet¢tl_if Ihe.p¢rTit is fo�, 00< hunOtetl - -_ . _ _ _ � ) _ S . � ,, � ' - ' �� SS100) or leu). ' . . - " . _ ' " _ ' ' ' ' _ ' ' ' ' i tertify that in t�e performance_of_the work (or which this permit is Issuatl, I shall not emPloy any person In any manner so as to beCome' PLUMBING� -, ' "� PLAN CHECK ' �ELECTRICAL--' '' -- PLAN CHECK - � � sub�ect to [he Workers. Compensatlon 12ws of, Californla. ' �Da[e � Si9nature BATHTU65' - � � SHOWERS ' ' " DD NOTICE: If after making this tleclaratlon, you 5houltl Decome subject �TOILETS - •�- , URINA�S ' - ' GENERATOR -- 07'KW'_1-10'KW -� ' - -� to the Workers' CAmpensdtion provlslons of the Labor Cotle, you must � - �TRANSFORMER _ , fOrlhwilh Compry wilh such proviSiOns or this permit shall b¢ tleemetl LAVATORIE$ DOVBL'E IAVS--- - fqPP�1ANCE "' 10-50 KW_SO+KW- �� - - revokc0. _ . _ ' ,. - � I CONSTRUCTION LENDING AGENCV K�T. SINKS' - 'OISHWASHERS' - �MOTORS-- -- 0-1 HP_1-lO�HP�-- I hereby dHirm thel Ihera is a construGtlon lentlin9 d9GnGy tor th¢ per- $ERVICE SINKS �• SUMPS - '� --- - (INC. SOLAR� . 30-50 HP 50 * HP' ' _._ ..• J formantt of the wOrk for whith Inis permlt is IszUetl (SetUon 3097 �Clv. C.).' - ' ' "^ "' "' - ' ' "-' ' FLOOR'SINKS 'FCOOR DRAINS " " ' ;FI%TVRES--- � �OVTCETS - SWITCHES � - -- -- • . Lantler's Name ' , LentleYs Atltlress � � DRINKING'FOUNTAINS� i�— - . - -- � �'GASTUBESIGNS --- -• - �-� � . _-_ _ '. � OWNER BUIL'DER DECLARATION" ' -- ' " ' ^ INTERCEPTORS - " CLARIFIERS' �- � - � POLBLIGHTS - • � � - � t nareby affirm that I am exempt from tho ConVactor's License Law (or � � t�e tollowing reason (SecHon 7031.5 BuSiness antl Professions Cotle: -SWIMMINGPOOL' '"PTRAP' "- '- -- -- - 1 qny <ity or county which requlras a permit to construct, alteq ��POLES METERED '-"SUB " improve,-tlemollsn or repalrany structure, prior to Its issuance, also�re- yyqTER SERV ICE - ACTERATION - 'PANELS -� -� MAIN �- �- SVB - -- qW�eS th¢ ap;.licanl fo�'S4Ch pe�mit l0 1lle a Signetl StdtOrlient lhdt h¢ Is'licensetl pursuant to•thl�provislont of tne Contractor's License �aw � - -- •SERVICE - -- � � - - -� AMP -- - (Chapter 9(commen<ing �yith Sectlon �000) ot oivislon 3 of tne GF155ERVICE OUTLETS Buslness antl Professions Cotle)�orthat ne IsezempCtnerefrom antl�the yyqTER"HEATERS - BTU OVTPVT - • -- - - -��^ �� -- - � - — --- - -- b+•l,s for the allegetl exemption. Any violation ot Sectlon ]031.5 by '_ '�n`•,b� aPPlirant for a perrqit zubjects the-applicant [o�a civil penalty � SEWER'CONNECTIONS - - ' ' - -- - - � - -- - -"'"�;t more than fiv¢ huntlretl tlollars (§500). �L''�.`, as owner o( ttie prppeFiy, or my employees with"wages az their SOLAR'TANK " -' -COLLECTORS " • - - - - - - - � - � - 501¢.corttpensation, wlll tl0 ltte work, antl lhe structu�e is nol Intentletl � o� oiflr<tl tor SaIC. ($ectlOn 7044, Buslnlss antl ProfeSsionS Cotl¢: The SOLAR PIPING SVS. � ' - - ISSUE F E-- • -- � 'Q� CoMractor'S LiCCnsC. Law tlOes not apP1Y to an owner of a pwperty .. - - - APPLICATION�P.PPROVED BV - � who builtls or improves tnereon, antl wbo tloes sucti work himself ar ISSUE FEE � — � �-OATE - � th�ougn his Own employ¢eS,.OrovitlCtl IM1aI such improv¢etient5 are not ' � intentletl or ofleretl for sa�¢, u, however, the buildin9 or improvement MECHANICAI PLAN CHECK � � SUMMARV OF FEES � � -` �� IS SOItl within One yCar of comple�ion, lhe owner will have the Ourden � , � p„� b1 proving he tlitl not builtl or improvo tor thC pu�pose of salE). � - -- - - BUILDING - -- - .. — . . _ .-.� . { HEATING SVSTEM 0-100,000 BTU PERMIT E� � SMIP , b I � I.- as owner of lha.properiy, am excluslvaly� contracting with. qryD DUCTING - -. Iicensatl tontractors to cOnstruct Ine pro�ect (Section ]044, Business 100,000 � BTU � �P�AN CHECK E PERMIT antl Professbns Cotle: Tne Contractor's Llcenso��Law tloes not apply to -. __ __ _- ' ISSUANCE S an owner ot property who builtls or Improves [neraon, antl who ton- REFRiGERATION 0-300,000 BTU PLUMBING S � tra<ts irom such pro�eclS witn a conUactm�s) Ilceznetl pursuanLto �SVSTEM � . _. . GRADING S theConVattor'SLicensc4aw). 100,000+BTV PCANCHECK S � ❑ I am'exempt untler Se4Uon ' B. & P. C. tor thls' BOILERS BTU � ELECTRICAI 'E �' � E - reason - -- • � PL-HN CMECK- E � � MICROFILM�S � Daio OWner 5�'STEMREPAIR,ALTERATION 1 � ` f �. MECHANICAL S' TOTAL FEE E� ' I h¢reby certiylhat 1 havn reatl this appliwtion antl state that the above EXMAVST SVSTEM MULTIPLE , � inlormalion is correct. I a ree to com I with all tltY antl"count , PLAN CHECK� s� LE55'AD- � o 9 P Y Y VANCE PC §- orOMances antl zlate lawi r¢lating to con5tructlon, antl h¢rCby autnOrize _ .. , , �epr¢5tnlaUv¢s of lhis tlry� lo ¢ntlr upon the �abov0' T¢nUoned . • .'- properry fOr %i �sp tioppp poses. , � Slgndlure (��1 � �� Date . . . FINALFEE S� Drivers' License or 55 � % - " ISSUE FEE - � �' � - - - - . _ _ . . , . CMF 0965-»fi w01te-6uiltling; Canary-Appllwnt; wnk-Nccoun[ing; Gomenroa-Hve»o� � CONSTRUCTION AND PLANNINR . POOL & SPA � ' � . - � APPROVALS Permit # �-�7qD Date � Inspector ,APpROVALS � � � . Permit # ' Date - Inspector 1. Temporary Electrical Service or Pole � 43. Pool & Equipment Location y - - --• �� Soi _ ipe-Un rgm .' 44. Steel Reinforcement � -- - - - - - - 3: Electrical Conduit Utility-Undrgrn 45. Forms - -�-- - 4. Electrical Conduit-Undrgm .__ 46.. Electrical Bonding. � _... tee ein or.ce� �• 47. Rough Plumbin & Pressure Test - � _ ' - . -�- - - • � - •- _ _ _ . 6. . Electrical UFER Grn . - 48. APPROVALTO COVER-GUNITE- '-- �- - - ..7._ Footings 49. Electrical Conduit-Undr rn � - -8: - Foundation�- � _.. _ 50. Gas Pipe, O�Undr in, Test � ' • -9. Water-Ripe-fJndrgrn ' 51. Backwash Lines P-Tra ' �� ntl� rn ' --- •-- -' - _ -- �V_' � 10. StructuralFloor,SYstem ..... . ' �; - '_. _ 52. APPROVALTODECK"- ' " "-`-"' "" " - 11. ��Property Sewec Line &.House_Connectiori_� __. . 53._ _.Backwash &'Rece tor-Final ' � ' ' ' - 1�2. -Street Sewer.Connection� _ _ ' '- - ' " � - -- 54. Heater & Vent-Final • � � ' � - . _ ..- ^- -- . . ._73._-.Rough_P.lumbing - -- - ""- - � 14. Rough ElectricConduit -- - - - - - • --•56. Efectricai-Final- - � �� � 15. Rough Electric-Wiring _ Z - - 57. Solar System-Final ' ' - - - • " ' 16. ' Rougfi 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: Drywall-Nailing � - ' ' � � � � � � � ' � 26. Plaster Brown Coat - � � ' - � . 27: Electricai�Power Meter-Final . � � - - � � - 28�: -Final Electric � - � - - 2 � � 29. Final Heating & Air Conditioning - / - - � � � . 30. Final Gas Pipe-Test;-, - _. _ . . 31. -.Final Plumbing '- - - - -- � , 32�. Water Service-Final " - �- 33. Gas Service-Final �- " ' 34. Solar pomestio-Final ' ' � ' � � � ' 35. Landsca e S rinklin S stem � ' 36. Sound Attenuation � - - - � 37. Handicap Regulations � " � � - � 36. FINALSTRUCTURE&BUILDING �' - ; 39. SpeciaPRequirements Completed' � - ' • � ' � ' 40. Electric Release to Edison � � - � � - � ; 41 . Gas Release to Southem California Gas Co. � ' • 42. CERTIFICATE OF OCCUPANCY " - . - � No Date � � �/+vo��<ant fo fill in all spacas �Llrnin i vavy ooraer lines ana si n'au a ' � 9 PproprialeOaclaralions.� � CI;.Y OF COSTA �MESA PERMIT NO. '- TRACT NO.' LO NO. BIDG NO: '� . -' � � COIV6TRUCTION PERMIT Q rI � %G Z�j �� \� Project Address 6 , f �T f' � TVPE OF CONSTRUCTION � .�.� Owner � � ' ' ` Phone%� rj' �7EW ❑ ADD ❑ ALTERATION ' ' ' ' � AddreS' z� � � �� OREPAIR ❑CONVERSION ❑OEMOLISH. �'Arch/Eng. '-� -�� - License No. %j{'� O OCR PTION OF WORK A'P' � N' - Address s• �� Lv GY/�5 t ' ' _ . . � _ .. _ . _ ZONE 'Contrector' '�y. � -' Phone TVPE OF PERMIT . - - . . . - o rv �y SETBACK C 5T. Addret3 ''" '• ' � GHADING csIFOUNDATION �TRVCTURAL SIDE VARD .(_ LICENSED CONTRACTOR DECLARATION � ❑ TENANT O�ELECTRICAL OPLUM91 G�❑MEGHANICA L5EFT r-r 1 hereby atflrm that I am IltenseE untler proWsions oT Charter 9(com- � • .. R�IGHTA �� mencln9- with section �000) of -Divisiom 3 of �the Buslness antl ❑ OTHER -- - ���" . Protessions Cotle, antl my Iicense Is in full torce antl effect, REAR VARD (TO; PROJECT D SCRIPTION. ' License Class Litense No. /' ��� /��,T�� �' ' PKG. SPACE REQ. Ce 9629 12/17/81' 326.38 TL INING REGULATIONS � � ;� J—IJGi 7. pS, CXI' � PLNG. REF. �7 r'1� Date 5�9�ature - - ' - ' - SQ. FT. _ . . _ _ � WORKERS'•COMPENSATIONDECLARATION.. . L OCCVPANCV_'_' CONgTqVCTIONTVPE, STREETWI�TH O I hereby affirm [hat I have a certiticate o( consent to self-insure or a �� T�']// ZONING APPROVED BV� certifirate of Woikers' Compensation Insurance, or a certlfietl� <opy VALUATION'�, -��? ZONE thereot (Sectlon 3800, Lab. C.). , � GRAOING CV. VOS. ACRES SVECIqL CONDITIONS: ��icY No. - �ComPanY - '- "- - � ' - - erHtietl cOpy IS hereby furni5hetl. - . _ _ _ � REMARKS:. ' � O ._ s� , n Jertitiea copy Is flled witn tne city eullding oivision. �yQ"�"_FQR $PEC�iL EXEMPTION FROM WORKERS' COMPENSATION DECLARATION '"' " -" - - ' (This.section nee0 not be completetl If lhe permit is for one huntlretl - PROVIDED . PARK FEE $ SS100I or less . ., �.�� ' ' ' " - -. . . . ` ." .. . .[ertiry.that �n the performance'of tho work tor.whlch this permlt is , issuetl, I shall not emPloy any person in any manner so,as tobecome %PEUMBING � � � PLAN CHECK — - � ELECTRICAL ` "' PLAN CNECK . subject to tha Workers Compensa2ion.Laws of California..' " .. .. Date � Slgnature� BATHTUBS SHOWERS - t�. F7. . ' NOTICE: If after,making this tleclaratlon, you shoultl become subject TOIl.ETS �. ��- � - URINALS � ' GENERATOR p.l KW_1Q0 KW _ to the Workeri' Compensation Orovisions ot the Labor Cotle; you must � � TRANSFORMER torthwi[h <omply.witb 5uc� provisions or this permit s�all be tleemetl �VATORIES DOUBLE.LAVS-_ -� �, � '��� ', ' qppLIANCE 30-50 KW=50 + KW _ rewke0.- _" " " " . _._ . . ' . " " " GONSTRUCTION LENDING AGENCV - KIT. SINKS ' � � � DISHWASHERS '- ' � ' MOTORS ' - - p_I HP_1'-1'0-HP _ I hereby atfirm that there is a construction lentling agency for the per- SERVICE SINK5 {"j SUMPS � - ~'.' �' ' ' ONQ SOIAR) -10-50 HP �50�+'HP y tormanre of tne work (or which this permit is issuetl (Section 3097 - � CIv.C.). -' `--' ' ' ' " ' ' ' " -' �FLOORSINKS � � FLOOR�.DRliINS ,- � FIXTURES'- '"OUTLETS 'SWITCHES Lentler's Name Lentler's AtlEre55 � DRINKING FOUNTAINS � � �- .�'� ' ' GAS'TVBE'SIGNS "'^' - � Hny Clty OY COUf1[y Wf11Cf1 f¢qUII¢5 d tmprove,-tlemollsh'or repair any structw� qul�es the ap�liWnt to� sUch Permit to fi 15 IiCens¢tl pU/sUant to [be provl51on5 Of' (Chapter 9 (comm¢ncing with Se<tiOn Business antl Prolessions Cotle) or that n basis !or the allegetl exemption. Any vl� a' �pplicdnt'tOr a-p¢�TIP'su�jetts [h� t : morE than fiv¢ huntlred tlolla�s ( �L , zs ownei of tM1e properfy, oi�my�e sole compe05ation, will tlo th¢.wo[k, anf .'>> > :'i :. :.� POLE LIGHTS - - - '"' - - - _ . . • ,.�� oni rc ..rrror.. . ���e . �netl statement�that ha WATER SERV ICE ALTERATION -- -- " PANELS- - MAIN' ' - SUB �- ntrat[or'SLICense'Caw' -GASSERVICE OUTLETS - SERVICE - - ' -' ' - 'qMP of DiviSion 3 Of th¢ �.mpt [herefrom antl tne ' yyqTEq HEATERS - BTU OUTPUT — - -- ' " ' - -- � - of Sectlon 7031.5 by cant to a tivil penal[y' SEWER CONNECTIONS - "� �" ' " - ' "-"' - - � . � ' ' .r .. � r se� :.,iin ,.,...e. t. �nei.' crv uo Tuniv' ' ' 'rni i cr+nec- _ ' _ _.. . . _ Convacmr•s ucense Law aoes.not appry ro an.owner or a propercy ._, __ __ wh0 builtl5 or ImDrov¢5 [hGreon, antl who tloes sucb work himself o� ISSUE FEE � throu9h his own employees,.provitletl Nat such iTP�Ov¢m¢nt5 d/e n0[ . in[entlea or offeretl for sale. It, however, the builtling or Improvement MECHANICAL PLAN CHECK Is.soltl within.ona year of completion, the owner_ wi11 have the burtlen f roving hC tlitl nOl builtl or improv0 for Ihe Ourpose of Sale). HEATING $VSTEM 0-1OQ000 BTU 1, •'as owner o( [he property-,- am extlusively conirac[ing with qND DUCTING li nsetl conVactors to construd the projec[ (Section ]044, Business 100,000 + BTU antl'Protessions Code: The Contractor's License I.aw tloes�not apPty to� ' an owner of property who builtls or improves tM1ereon, antl wno con- REFRIGERATION 0-300,000 BTU t�acts-t�om�such pro�ects with a contraCtOr(5)�IiCeSn¢tl•pu�suanl to� � $VSTEM ' ' ' ' -� -" - the Con[ractor'S License Law). 100,000 + BTU� � �� 1 am eicempt untlei Section� `' B. & P. C for this BOILERS BTV 'reason'..�- . . • Date Owner SVSTEM REPAIR, ALTERATION I �ereby certifythai I have reatl this appliwtion antl state thaf Ne above EXHAUST SVSTEM MULTIP�E informa[ion is correcL I agree to comply with-all city and county . '."_"... ..""' . ._._ _"' _ _... . _�-.. .._ '_"' oroperty_ o� lon pu ilgna[ure Da[e L� l� ' Drivers• ' - ' S � " �' ' �SSVE FEE - '- "- ' - - CMF 0865-46 Whi[e-Builtling; Gnary-Applicant; Pink-Accoun[ing; Goltlenrotl-Asseszor ISSUE FEE - ' �" - - � " APPCICATION APPROVED BY � ' -�-DATE - SUMMARV OF FEES � � c ' ' BUICD�NG -' .3a.� _ -' ' � � �} 38 PERMIT E SMIP • $ PLAN CHEGK 5 ' PERMIT - ' - - ISSUANCE ��$ � PLUMBING E � � `�,f �\y� PLAN CHECK 1 $' -' _ ' �GRAOING $ � ELECTRICAL�E � , - � E � PLAN CHECK - E - � MICROFILM a , MECFiANICAL S - '. TOTAL FEE 5� ' � ' � � LE55 AD- - � 'PLANCHECK E" - VANCEPC E�_ . .. ' . _, FINALFEE E�� , CONSTRUCTION,AND�PLANNING ^ : ` - -. �. , `_ '� �OL & SPd� ` ': � � � � �,�. � ' APPROVALS Permit# Date Inspecto� ' ' � Date.. Inspector � d�� 7 APPROVALS Permit# : \? 1. Temporary Electrical Service or Pole 43. Pool & Equipment�Location � ��� ' C� . Soil ipe-Undrgm 44. Steel Reinforcement . • - � ` ' " - " " ` � 3. �.Electrical COndui�UtilityUndrgrn�•' � 45. Forms - � -� ' �`�' �� 1 � 4. Electr�icBl Conduit-Undrgrn . { • 46. Electrical Bonding � ' ' � � ' "'-` • ' � - � tee sin orce 47. Rough Plumbin & Pressure Test •` �� f 6. ^Electrical UFER Grm- � '� +• �' 48.' �APPROVALTO COVER-GUNITE 7. Footings � -� l-�: S 2�' Z, 49. Electrical Conduit-Undr rn � � 8. Foundation � - �� q� 12- �9 -s� 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 torFinal `.12. �,Street�Sewer GonpBCtion _,. _ � ' . 54. Heater & VenbFinal � 13. Rough plumbing � � " ' 14. Rough Electrio-Conduit � - ' �'•56. Electrical-Final � 15. Rough 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 � � „Z-/ - �- ' 21. Roof Sheathin -" -/ - � � ' ' � 22.. FramegndFlashin . 3-,y�-S2 NOTES: ' � ' � � 23. Insutation ' L(/� � -,52-8�- 24. Lathin & Siding GtL�' G�/ --$2- - 25. Drywall Nailing � � �� $1! � 26. Plaster Brown Coat - 6� - � 27. Electrical Power Meter-Final � - � ' � 28. Final Electric � 29. Final Heating & Air Conditioning � 30. Final Gas Pipe-Test . - - - 31. Final Plumbing ' � � 32. Water Service-Final � 33. Ges Service-Final � � .34. .Solar pomesticFinal - ' 35. • L:andsca e S rinklin 'S�stem :. � - - •.. 1 36. Sound Attenuation � � - � 37. Handicap Regulations � � ' � 38. FINA�STRUCTURE&BUILDING'� � � �, � � 39. Special Requirements Completed ' ' � �' � 40. Electric Release to Edison -' ' 41 . Gas Release to Southern Califomia Gas Co. �•42. CERTIFICATE OF OCCUPANCY . - - _No Date �� _ `� . . 1'"� ' ' ` -- -_..- _ .. ADO��cant to fill In all ipaces wlt�in heavy Dortler lines antl.sign all app/Opriate Eeclarations. CITY OF COSTA MESA PE$fvyT���/ TRACT NO. LOT NO. BLQG. NO. CONSTRUCTION PERMIT r; �� o�. Address Address -IiLUG tS-Z TVPE OF CONSTRUCTION Phon�3p-5400 � NEW ❑ AOD ❑ ALTERATION HEIGHTS CA � REPAIR ❑ CONVERSION ❑DEMOLISH License NO. ❑ OTHER � DESCRIPTION OF WORK � AddleSs ❑ GRADING ❑ FOUNDATION ❑ STRVCTURAL LICENSED CONTRACTOR DECLARATION ❑ TENANT ❑ ELECTRICAL ❑PLVMBING �MECHAI I hereby altirm that I am IlcenseG untler provislons f Char er 9(tom- � mencin9 wlth 5ettion 7000) of Divlsl n 3 of he Bi iness antl ❑ OTHER Professions Cotle, antl my Iicense is in ull orce tl effect. PROJECTDESCRIPTION � License ass c s � Da[e Signature �� � i SQ. FT. _ WORKE0.5' COMPENSATION LARqTI N - OCCUPANCY_CONSTRUCTION TVPE I h¢reby aHirm Ihat 1 have a r fiw[B Of con58nt to selbinsure or a VALUATION 20NE C¢rtiflCdte Of Wofker5' Compe SdtiOn Insufance; or d Certlfletl copy thereo( (Sectlon 3800, Lab. CJ GRADING CU. VOS. ACRES r���v No.s:C97�� OS ompany FL�T�JRA—MTNT(1N TNS _ ^rllfietl copy is hereby fumishee. � � - - �REMARKS: ' ' . .ertitiGtl <opy IS til¢tl with the tlty Builtling DiNslon. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION �� - '� " (This section neetl no( be completetl if the permit is for one huntlretl . . . SS100) or less). ' ' c¢rtlfy that in the perfotmance of the work fo� which thi5 permit is issuetl, I shall not emo�oy any person In any manner so as to become PLUMBING ' PLAN CHECK subje<[ to the Workers' Compensation Laws of Californla. ' _ Date Sl9naturG BATHTUBS SHOWERS NOTICE: If affer making this tleclaration, you shoul0 become subjec[ TOILETS � VRINALS � to the Workers' Compensation provisions of the Labor Cotle, you must LAVATORIES DOUBLE LAVS fOrthwi[h complY w��h such p�oviSlOns or thls pe�mlt shall be tleemetl revoketl. - �- CONSTRVCTION LENDING AGENCV I(IT. SINKS DISHWASHERS � 1 hereby attlrm tha[ there Is a constructlon lentling agency for tne per- SERVICE SINKS '� . SVMPS formance of the work for which thls permlt is issuetl (Seclion 309] Civ. C.). � � FLOOR SINKS FLOOR DRAINS Lentler's Name Lentler's Atltlress DRINKING FOUNTAINS � - OWNER BUILDER DECLARATION INTERCEPTORS CLARIFIERS 1 hereby affl�m that I am ¢xempt from.tna ContrdC[Or'S Li<ense Law for the followin9 rea5on (Settion 7031.5 Business antl Professlonz Cotle: SWIMMING POOL P TRAP ' Any city o� county which require5 a perTit to Const�uct, alter, Improve, tlemolish or repair any structure, prior to ils issuante, also re- yyqTER SERVICE ALTERATION � quires tne applicant tor Suth permlt to tile a Signetl Sfafem¢nt tnat he Is Ilcenzetl pursuant to the provislons oi the Contractor's License'Law GAS SERV ICE OUT�ETS � (Chapter 9(commencin9 with Section 7000) of �ivislon 3 of the � Business antl Professions Cotle) or fha[ he is eaempi therefrom antl tne yyqTER HEATERS- BTU OVTPUT• .� basis for tne allegetl exemp[ion. Any violation of Section 7031.5 by ar 'oPllwn[ for a permit subjetts the applican[ to a civil penaliy SEWERCONNECTIONS � � c more thdn L, , as owner ot sole compensation or offeretl tor sale Contrattor's Licer who builds or im [hrough his own�< Intentletl or o(fere �5 SOId W�IM1III OOC of Proving he ❑i ❑ I, a5 owner � re huntlretl tlollars (3500). �e property, or my employees with wa9e5 as their iill tlo the work, antl the.structure is not Intentletl Sec[ion 7044, Business antl Professions Coae: The Law tloes noi apply to an owne� of a Droperty wes thereon, antl who tloes such wo�k himself or �loye¢5, provitl¢tl [hat such Improv¢m¢nts dre mt 'or sale. It, howeveq the builtlin9 or improvement a� ot complation, fhC owne� will have tne burtlen no[ builtl or improve Por the purpase of sale). the OrOperty, dT Oxclusively mn(ractin9 with to construCt the project (SeCtion 7044, BusMess :: Th¢ Contracto�'s Llcen58 Law tloes not apply to dn owne� ot properry wh0 �uiltls o� imprOves [hereon, antl wh0 COn- lYaCtS tlom SUCh plofects witll a con(raGtof(5) IIc¢Sn¢tl pur5uant to [he COnIlactOf'S LicenSe Ldw). ❑ 1 am ¢xempi untlGr 5¢ction B. & P. C. fOr IhiS reason ' Da[e Owner I nereby certifythat I have reatl tnis pplita[ion and state that the above information is correcL 1 a ree to comply with all city ana county ortlinances antl sI laws rel tin9 to conscruction, antl hereby authorize represenlatl s 't to ter upon the above ent'onetl property ( � I e ❑ � Signature Date COLIECTORS SOLAR PIPING SVS. � ISSUE FEE MECHANICAL PLAN CHECK HEATING SVSTEM 0-300,000 BTV _ ANDDVCTING 100,000+BTU_ REFRIGERATION 0-300,000 BTV_ SVSTEM 100,000 + BTU _ BOILERS BTU SVSTEM REPAIR, ALTERATION EXHAUSTSVSTEM MULTIPLE DriverY cense or 55 � ISSUE FEE CMF 0 65-46 W�ite-BuilCing; Unary-Applicanh, Pink-Accountin9; Goldenrotl-Asseszor � 1 1 Z O W I�fJSi;R E G llt; AT I O N A.P. ii ' _" " ' ' _ ZONE PLNG.REF.� REAR VARD (TO P/L) PKG. SPACE REQ. STREET WIDTH ZONING APPROVED BV SPECIAL CONDITIONS: ELECTRICAL PARK FEE PLAN CHECK GENERATOR 0-1 KW_ 1-30 KW _ TRANSFORMER APPLIANCE 30-SOKW_50+{(W_ MOTOR$ 0-1 HP_1'-30 HP _ (INC.SOLAR) 10-50HP SO+Hp_ FIXTURES- OUTLETS� SWITCHES GAS TUBE SIGNS POLE LIGHTS ' PANEL$' MAIN SUB SERVICE ' ' ' AMP r nn ?�! APPLICATIONP.PPROVEDBV DATE� - SUMMARV OF FEES � BUILDING PERMIT $ SMIP � E PLAN CHECK E PERMIT i55UANCE $� PLUMBING $ • GRADING E PLAN CHECK $ ELECTRICAL $ - a PLANCHECK $ MICROFILM § MECHANICAL §� TOTALFEES� •PLAN CHECK y LE55 AD- � ; VANCEPG S_ FINAL FEE E 7• OO CONSTRUCTION AND PLANNING � POOL & SPA ` : � � .�� ' APPROVALS Permit# �'��� Date Inspector pppROVALS Permit# Date 'Inspector 1. Temporary Electrical Service or Pole � 43. Pool & Equipment Location Soil ipe-Un rgrn 44. Steel Reinforcement � 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding . tee ein orce . 47. Rou h Plumbin & Pressu�e Test 6.. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7. ootings 49. Electrical Conduit-Undr rn B. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra �� ndr r�� 10. Structurel 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 75. Rough Electric-Wiring • 57. Solar System-Final 16. Rough Heating & Air Conditioning �$--S t- � encing & Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating 19. Gas Pipe-Rough &Test 60. POOL/SPA $YSTEMS FINAL - 20. Roof Framing 21. Roof Sheathin 22. Frame and Flashin NOTES: 23. Insulation � 24. Lathing & Siding- 25. Drywall Nailing 26. Plaster Brown Coat 27: Electrical Power MeterFinal � 28. Final Electric 29. Final Heating & Air Conditioning - 28- "� " 30. Final Gas Pipe-Test 31. Final Plumbing 32. Water Service-Final � 33. Gas Service-Final 34. $olar 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 Cafifornia Gas Co. � 42. CERTIFICATEOFOCCUPANCY • � 'No Date _ - . _ :' �, �, , , 1 Appllcant to lill in al1 soaces within neavy eoraer lines and slgn all aDDropriala eeclaretlons. CITY OF COSTA MESA - vEafyl,T_N��� ' TRACT NO. LOT NO. BLCj�iN� CONSTRUCTION PERMIT M ,Ej Addrea � • Phone Licenu No. TYPE OF CONSTRUCTION ❑ NEW ❑ ADD ❑ ALTERATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ❑ OTHER DESCRIPTIONOF WORK "Address ' - - " � . . . . - . . . � 'ZONE Contractor £' /L 'Phono� TYPE OF PERMIT- �� ' - -- " ' - Addf245 %,} ❑ GRADING .,,�❑ FOUNDATION -� STRUCTURAL- � � -LICENSED CONTRACTOR-0ECL RATION '� � �❑ TENANT �� ELECTRICAL ❑PIUMBING .OMECNANICA I hereby atflrm lhtt 1 am Iicansetl untler provisions of Chartar 9,(com- ..� . � mencing with-sactlon-]000)�oi!Divlslon 3 oFtbe��Buslnass antl��� ❑OTHER- -- ' 'Aolesslons Co e, antl my �icense is in luu force antl af(e<t.• � pROJECT.DESCRIPTION ' � �. Licens Ciass �- )"" USense No j49z3io - � , �' - ' � �Date " ' y Si9nature ''�6�y^ gGr..+! SQ..�. ..• . - ' - ' �.WORKERS'COMPENSATIONDECLARATION�� _:OCCVPANCY_CONSTRVCTIONTVPE_ ;I hereDy affirm that I have a certitiwte of consant to ulNnsure or a � VALUATION ZONE �certifiwte of'Workers' Compensa�ion�lnsurance, ar a tertltiea copy � � _. ,., thereof (Se<lion 3800, La�. CJ. � � GRADING CU. VDS. ACRES o"ICY No. � � ComPSny�%11%� C�i'IDCAUxkC �OM�_-_ ' ' � ' _ ' " 'ertltlBticoDY�s�herebyfurniz�¢tl.- � �. �� ..REMARKS:' ' _. .��.. _.__,... � . :ertitietl copy Is fileA with Ihe tity Buiitling Dlvi4on. EXEMPTION FROM WORKERS' COMGENSATION-DECLARATION -'- - " ' ' " - "'" -- ' (Thii 5ection.neetl nOt.be comple{etl if thG perTit IS tor, One hunCred .� , __ '(53001 Of I¢55). -- ' � I:<ert(fy.that in the p¢rfOrmance o( the work (or w�ICh Ih15 permit is Issuetl, I shall not amPloy any person in any manner so as to.tiecome - PCUMBING =�i� •� `� PIAN CHECK ' - ' subject to the.Workms Compensation Laws ot California. _ _ _ _ _ _ _. . _. � _ _ . �Date Signature BATHTUBS "SHOWERS"' NOTICE: It atter making this tleclaration, you ShoWG become subjact. �T,OILETS+� ,.i�., .�URINALS' -"' - � to the Workars' Compensatlon OroviSions ot tna Labar Gotla, you must' LAVATORIES DOVBLE LAVS- - ' • fo�thwith cOmply wlth suth provis�ons o� th15 permit Shall be tleemed -i �� � �favOkOtl. L' __ "._ _� _'. _ . .. . . .. CONSTRUCTION LENDING AGENCY KIT.'SINKS -DISHWASHERS ' Y - �I hereby'aHirm [bat there is a con5trucUon lentling agency tor lhe per SERV ICE SINKS . � SVMPS ""'-^ "- ""�'-' • '- '(ormance o1 the work for which this Oermit Is issued (SecUon 309] Civ: CJ: " - -- -- " '"-"' ' -' ' - " " -' "FLOOR SINKS� � -' FCOOR DRAINS ' � '- �Lentler's Name ' ' .' " _. _' _"_' _ '.. . ' ' ,Lentlar's Atltlress � ORINKINGFOUNTAINS' - ' "- '--'�— ' - -' OWNER BVILDER DECIARATION-' ' - '" " IfVTERCEPTORS '� -CCARIFIERS -' ' ' 'I hereby alfirm Ihat I am exem0� ��om th0 ConVatlar'S Lit¢nu Law for . the foilowing reason (Section 7031'.5 Buslness antl Roleisions COOe: SWIMMING POOL PTRAP '-"- ' 'Any city or county which requires a permlt to tonstruct, alter, inlprove, tlemolisb or repalr any strutture, Orior to Its Issuante, also re• �-yyqTER SERV ICE '' ALTERATION ^' �qui�e5 lhC ap.11fant (or such permit t0 1lle a Signetl Stat¢TOnI that he � is'licansetl'Pursuant t6the provlslons ottne•ContractorY Llcense�Law ' GAS SERV ICE - OUTLETS� - (ChaO�er 9(commencing with Sectlon ]000) oi Dlvislon 3 of tne 9Lsinesi antl R'o(es5lons Cotla)'or'tbat ne I5 exompt t�crefrom antl lhe �yyqTER'HEATERS'- '" BTU OUTPUT �. " basj5 lor tho allo9otl oxemption. Any violation of Sattion 7031.5 by a�A oP��tant lor a permlt Sub7act5'tM1e aDP��wnY�o a clvll penalty ' SEWER CONNECTIONS' ' �-" -' �" - ��.:fl c more than five huntlretl tlollars (5500). L`nh,�°as ownci o/ tno proD�rty, or my omploye¢z wfth wa9es as their 'SOLAR'TANK '"COI_LECTORS' -- �� • solC.compensatlon, wlll tl0 tne work, antl Ih¢ sVUCturC is not inlentletl or oltereC for sale. (Sectlon �044, Businezs and Aolessions Cotlo: Tha � SOLAR PIPING SYS. �-` � -' ' - 'j -�" ' �Contrattor's.License..Law_tloes not apply to an owner of a property _. ,_ . _ wh0 bullds or Improva5 the�eon, and who tl0¢5 suGh wOrk blmSeH o� ISSUE FEE - - � - �- through. his Own.emplOyees, provitletl.that SUCh.improvementt dr¢ not � � _ intentled or otfe�etl Ior sale. It, however, the builtling or improvement MECHANICAL PLAN CHECK ( Is soltl wichin one year of completion, the owner will have the burtlen oi proving ne tlitl not builtl or improve for the purpose of sale). HEHTING SVSTEM Od00,000 BTU ❑ I; as-owner ol �Ihe-property, am exUusively contractin9 wilh. ��qND DUCTING -"-- ' ' licen5etl contractorz to construct the project (Section 7044, Buziness 100,000�+BTU 'antl'ProtessionrCotle:� The•ConVactor'S License-Law tloes�not apply to _ . an owner ol property who builtls or improvei thareon, and who ton- REFRIGERATION 0-300,000 BTU trdGls-f�om's�ch-pro�ect5 wittr d cOnbactor(5)-Iicesn¢tl Dwivant f0 $VSTEM � - - - -- - - [h¢ ConVatlor'S LI<¢niC Law). 300,000 + BTU ❑�I am exempt uriAei Sectlon- - ' B. 6 P. C. 1or this BOILERS BTV 'reason"' - '- ' - '- ' - - - - "' �Date� • - - - Owner SVSTEMREPAIR,ALTERATION �� I hereby ttrtify that I have reatl this appliwtion antl state lM1at the above EXMAUST SVSTEM MVLTIP�E mformalion is correct. I agiee to compty witli �all tity antl county- ortlinantes antl Stdto laws relating to con5t�uclion, antl hereby authoriz¢ F/{%% � repreienlativos of thii �Uty Co enter upOn Ih¢ aGov¢ mertlionetl K / property for_�i%� petU�°f _purposes. C Signature "���" ��^ %�� Date ��Z'�e y Drivers' Liwnze or 55 �� - - ISSUE FEE CMF 0865-46 White-Builtling; Canary-Applican4 Pink-Accounting: Goltlenrotl-Aszessor 2750 3/02/82 PLNG'. REF. qp II.00 TL SET AC( T PROPERTVLINE I Y RD , R�IGHT - .. . _ . . .. .. " REAR VARD (TO P/L) ' � PKG. SPACE REQ. ' PROVIDEO " ' STREET WIDTH '" " PARK FEE y, -' - � LONING HPPROVEO BY' , DATE � ' iPECIAC CONDITIONS: , _ ' , . ' ELECTRICAL^ '- " ' PLAN CHECK � � Sn. FT. _' ". <fl PT_ . . � . GENERATOR - p-1 KW_ 1-00 KW ' �' ,TRANSFORMER .� � ,� APPLIANCE - -10-50 KWy50�+ KW - - - MOTORS - -- • - 0-1 HP_1d0 HP - � - ,(INC.SOLAR�__.1O50HP SO+HP � � _ �FIXTVRES - OUTLETS SWITCHES ^ - OAS TIiBE SIGNS - - - - - - POCE CIGHTS ' ' - • - - • . -PANEC$ ' � "'MAIN SUB' � ' •SERVICE - -� � AMP . � � '" " ' _" " ._'" t._' ' ' ' ' '_ '. ' ' -� ISSVE�FEE�-- � � �� - -. � _ -APPLICATION APPROVED BV - -.. ' � ' DATE SUMMARV OF FEES - � � " � ;BUILDING� - �- - - �- - ' - " PERMIT S .�SMIPY. b ,_ " PLAN CHECK E ��PERMIT � � _ _ . _ISSUANCE- S � . � PIUMBING 3 � GRADING`� E 'PLANCHECK B- - +� � " ' � ELECTRICAI"E ` - ' � b •PCANCHECK •S MICROFILMb�' � ' ��MECHANICAL 5 • O � _ TOTAL FEE3' ' � PLAN CHECK- 5 '� �' LESS AD- ' �' VANCEPC 'E_ � . , FINALFEE $! /��� �, i CONSTRUCTION AND PLANNINryG POOL & SPA ' .. APPROVALS Permit # �q -�Xy9 Date 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-Undrgm. . 45. Forms - � . -4. Electrical.Co'nduit-Undrgrn 46. Electrical.8onding - . tee ein orce . 47. RougYi Plumbin & Pressure Tesi � ' . 6. Electrical UFER Gcn _ � � • -- 48. APPROVAL TO COVER-GUNITE - - ' .7. ootings, . 49. Electrical Conduit-Undr rn � � 6. Foundation . - 50. Gas Pi e, ❑ Undr rn; Test ' �� � 9. - Water Pipe-UniJrgrn � 51. Backwash Lines P-Tre ❑� nd rn ' - 10. Structural Ploor.SVstem Y � 52. APPROVALTO DECK -"-""`-� -- - ' i t. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final 12. Street Sewer Connection " ' - � 54. Heater & Vent-Final 13. Fough Plumbing �- - � ' - ' --' ' � - � • � 14. Rough Electric�onduit ' ' � �56. - �Electrical-Final - 15. Rou hElectric•Wiring - - '- 57. SolarSystem-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 FINAL �. „ �- 20. �Roof Framing � -- -- ' � - • 21: Roof'Sheathin � -- � _ . . ... � � ., „ 22. -Frameand Flashin - - - - _ . NOTES: ' � 23. �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. 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 ' � � � - � - f 39. Special Requirements Completed � , 40. Electric Release to Edison ' � - � ' � 41. Gas Release to Southern California Gas Co. ' 42. CERTIFICATE OF OCCUPANCY � ' - No. ' Date ' Applicant to fill In all spaces wit�in heavy bortler Iines antl sign all appropriale tleclaratians. CITY OF COSTA MESA -� -- r T NO. �+ - TRACT NO. LOT NO. BLy� . NO�. � - -� ._ .. . CONSTRUC�ION PERMIT �� oZ.~I ! �CS'1--� • ' •• -ProleCiAddiess � . - , . ''; , � • 2512�� 2/25/B2 � 7.�0 6 TVPE OF CONSTRUCTION . . . _ .- � � � - . . Owner - Z � Phone - - � ❑ NEw ❑ A�D � ALTERATION � ' ' - ' ' . '- , ' � . . . �-AddrQ� " -Z-- - ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ._ . �� � . • � `ZONING,REGULATIONS � � �Arch/En9. - � - - license No � _ �❑ OTHER' _ _ � AddrQs3� - - . . _ DESCRIPTION OF WORK _ A'P"� � �ZONE - PLNG:.REF:� . Contrecror - - Phone TYPE OF PERMIT. � " - - " � - � TpgU i pING - � 7ROPE�TV LINE � ' .SET AC T. Addr�y w ' f - ❑ GRADING' � O' FOUNDATION - O STRUCTURAL- - � I YAqD � - -- , - . LICENSED CONTRACTOR D CLARATION - ' ❑TENANT��ELECTRICAL OPLUMBING.❑MECHANIC 5�DEy I here4y at/irm M:.t I am Iicensetl untler provislons oi Cnarter 9 �com- , , � p�GHT � � � - mancing wilh saction 7000) ot • Divlzlon. 3-of._.tha Buzineis antl �-0THER. ' _. _. ._ Profes;lons Cotle, 'antl my IlCense Is In full forte antl el�ect. �REAR VARD (TO P/L) j PROJECT DESCRIPTION � � ' " ,Cicanzv Class ' ' L'icensa No. - "� ` ' PKG. SPACE REQ. ' -� ' -PROVIDED - - '� .Date-._ ' ' ' 'S19natura-�- .._." _ _SQ.FT: �. . . �.' '.,' __ ' _ _ - WORKERS' COMPENSATION DECLARATION.. � - OCCUPANCV -_CONSTRUCTION TYPE,� �� STREET WIDTH PARK FEE E • �I hereby affirm that I M1ave a certlficato of consont to sell-Insure,or a VALUATIpN - 20NE ZONING APPROVED BY - DATE -- � ,wrtifi�po ot-Workers• ComDa�szt�on. Insuranco, or a certlfietl.copy _ _ _ - . - • � � � ' SPECIA�CONDITIONS: � [hereof ($ection 3800, Lab. CJ. � GRADING CU. YDS. ACRES � - � r-qcY'No. " 1 ComPanY ' " _ _ " '. ' ' ' _ _ . . - y . .. 'er[�fietl topy i5 hereby furNshee. __ _ � REMARI(5:,��'� _ .' _ _. _ _ ___ _er(�fietl copy ii filetl with the city Builtllnq DINSion. , �- � ' - "" ' - ��" ' - - EXEMPTION�PROM WORKERS' COMPENSATION�DECL-ARATION - - ��� � �- - (Th(5 Sectfon neetl not be mmpletetl if the permit (S_for onG huntl�etl �� (E100) or less). ' . _ . _ . ' ' . '. " '� . . _ . -. _" ' ' _ - t i certi{y that in Ine performance of th¢ work for which th15 peimit i5 _ . �, � Issuetl, � shall not employ any person'In any'manner"so'az to.be<ome' PLUMBING,';y . � PLQN CNECK-- '- ' '�ELECTRICAL "- PLAN CHECK I. � -- SubjeCt to the WorkOrS' Compen5dtion I�ws of California.-" ' '- _ .� � Date � Si9nature � . ' BATHTUBS" -' "" � - SFOWER5 T �— -' - - ' - NOTItE: If aiter making this tlacl5ratlon, you 5hou10 become.subjact �'fO1LET5 .-�VRINACS -- �- GENERATOR- Od KW_ 1d0 KW f ta Ihe Workers' Cort�pensation provisloni of tha Labor Cotlo; ybu muit � � 7RANSFORMER .3030 KW=50 +�KW • - � fOrthW�(h cOmply wi[h zuch provi570n5 ar th15 permit Shall be tletmeC LAVATORIES DOUB�E LAVS-'- -� - .qPPCIANCE -' --- revokatl. � . � CON57RUCTIOfJLENDINGAGENCV '" "KIT.SINKS---- � DISHWASHERS' -' -+MOTORS ---0+1HP_140MP - - 1 �ereby afilrm thzt tnere is a tonstructlon IEntling agency for [he per SERVICE SINKS ,�SUMPS �--� - IINC.50LAR�., lObO HP 50 + HP' " � . formance o/ the work tor whic� tnli permit Is Issuetl (Sectlon 3097 CIv.�C,). -- - - - - - - - -- - FLOOR'SINKS -'" -' - FCOOR DRAINS' �FI%TURES '- OUTLETS ' SWITCHES - Lender's Name Lentler'S AtltlreSt' � � '" ORINKING'FOUNTAINS ^"' � ` - - - ' - - � �GASTUBE SIGNS - � - _ . _ OWNQR�BVILDER DECLARATION -•- .--- --- - -- - INTERCEVTORS" '--- CLARIFIERS -� � ' 'POLE'LIGHTS � - � - - - I hereby a��irm lhal I am ex¢mpl irom lM10 ConVaCtorY Licenia law for � lbe tollowin9-reason (Saction J031.5-Business-antl Profeszioni�Coen: SWIMMING POOL �-" �-P TRAP - - s-- - AnY ciry or tounty which requir¢s a Oermit to conitru<t, alter, 70LE5 -' METERED SUB - - • Improve,�tlamolisn or reparc any strucWre, prlor to�its�issuanca, also ra• yyATER SERV ICE -"' '-ALTERATION"-' �-- -.PANELS - --MAIN - -� SUB � - qWreS {hC ap'.licanl 1or SUCh perml[ to flla a signetl itatert�¢nt that he 4 Is•Hmnsetl-pursuant to lhe provisiOnz ot the� ContraCtor'S �Icense �Law GASSERVICE - OUTLETS"- � - "" ` ' ' ' SERVICE � �-- - qMP (Chapter 9(commencing with SecHon 7000) oi Division 3 0( the � 6usingi5 antl Prdessions Cotle) or thal ho is exampt thereirom antl tbe .- ypqTER MEATERS ^"BTU OUTPUT - -' ' - � - � • .- - - - - - . . ' . _ _ .j ba�} tor the aliegetl exemption. Any violation of Sectbo ]031.5 by ay:,g�;ppli�ant for �a permit subjects tho� applicant to a <Ivll penalty. � �SEWER CONNECTIONS- '-„F -'- ^ -�� - - - -- - - ' �„>,.;,�. more than five nuntlretl tlollars (E500). � L��''; �as owner oYtbe property,-ur my employees wl[b'wages as tbelr 'SOLAR TANK - ' �' COL'LECTORS --� � - - - - -- - - � sole Cbmpensation, will tlo the wo�k, antl Ihe 5tructurC is not Intentletl or oTferedfor sale. (Section"]044,-.BuSiness antl'Pro(essionz'Cotle: The 'SOLAR PIPING SVS. ' ` - -" - �- " ' � ISSUE FE - � � • � - - � - � Contrector's Licens¢ l.aw tlo¢S no[ apply t0 an owner of a property � APPLICATION APPROVED BV - � who quiltls or'impro"ves [hereon,'antl who tloes such-work bimzelf or ' ISSUE FEE"" '" ' j- " "' "� � - - - ---DATE- � - throuy h hls own emPleyees, provitletl lhdt sUch ImprOveTenls are not ' " Intentled or oiteretl 1or sale.'It,-howeveq lhe bulltlin9 or Improvement -MECHANICAL �� PLAN CMECK � ' -' Is solq witnin one year of completlon, the owner wlll have the buraen SUMMARV OF FEES. �� � of' ploWng he dld�nol 'bW10 Or'impiove for !he'purpose ol sale). - - -' - � - -- BUILDING - - -- . - - .__ � HEATING SYSTEM 0-300,000 BTU ,PERMIT S SMIP S ❑ I, as owner ol the property, am exclusively_conlracting with qND DUCTING� ' ' -- - - • - -- ' - � ncensea contractors to construtt the project (SecHon �044, Business 100,000j4 BTU P�AN CHECK E . PERMIT antl.Pholessloni Cotle: The Gontractor's Llcensa.Law tloes.not apply to ._ -. ISSUANCE. E i an owner of prOperty wno builtl5 or improves thOreon, antl who con- REFRIGERATION 0-100,000 BTU � PLUMBING � E � IractSJrom such.{Lole[[s with a coniractor(s). Ilcesnetl pursuant to SVSTEM . . � .__.. ' GRADING _�E the COnlratlor's Utenze law�. 300,000 i BTU �'PLAN�CHECK E - ❑'.'IamexemphunOarSection - -- --8.6-P.C.-�osfbis BOILERS BTV � �ELECTRICAL E •� ' , E , � reason . . .. - . " . _ " . MICROF14M�§' � SVSTEM REPAIR, ALTERATION t� PLAN CHECK E �-- �- Date Owner � - TOTAL FEE S �I herebycertifytnat I have rentl this appliwtion antl state t�al the above EXHAUST SVSTEM MULTIPLE ,MECHANICAL E� - Inlormatlon is mrrett.'I a9rre ro'compry with all tlty antl county �PLAN CHECK� 5- � LE55'AD- ��� . Ortlindncei antl statC laws relatln9 f0 conStruCtion, antl bereby authOrize VANCE PC S_ ICpICSgp(dNVCS'Oi'(f115 city to entt�' u0oh�the abovC mentloned � i� � . . ' � �• prOpeYty lor ins � on //p/u �poSes. ' FINAL FEE § '� $ignatur¢ ��,�L�rL�^dte ` ISSUE FEE � Driverz' License br 55 9F � � ` " " " . . . . - i.mr unbo�wo wp��¢-tlw�Om9; (:anary-�ippucanq nnK-rccounong; iaoiaemou-n» esno� CONSTRUCTION AND PLANNING • � POOL & SPA - � �. � : � . ' � .'+ r -' � ������ Date Inspector " � ' - - Date Inspector APPROVALS Permit # t�L1L APPROVALS . Permit # 1. Temporary Electrical Service or Pole • � 43. Pool & Equipment Location -- Soi ipe-Undrgrn• ' � 44. Steel Reinforcemeni' �-` "�� - 3. Electrical Conduit Utility-Undrgrn _ 45. Forms� � �- - � - 4. Electrical Conduit•Undrgrn. _ 46. � Electrical Bonding '- - -- - . tee em orce � � 47. Rough Plumbin & Pressure Test -' - - - - - � 6. Electrical UFER Grn � 46. APPROVAL TO COVER-GUNITE-' -' ' --- • 7. Footings 49. Electrical Conduit-Undr rn ' - ' 8. -Foundation___ _ 50. GasPipe, ❑Undr m,Test ' � ' � ..9.�- -Water Pipe-Und�grn _ � 51. Backwash Lines �P-Tra'-�0 ndr rn � - -' -" 10. .§tructural Floo� SYstem 52. APPROVALTO DECK � - 11.. Property Sewer Line & House Connection� _ 53. Backwash & Rece tor-Final � � � ' ' � ' � � 12._ Street Sewer Connection .. ' � - - 54. �Heatei & Vent-Final - . - , 73. Rough Plumbing � � " - ' - ' - ' " - 14. Rough ElectricConduit -' - ' - -- - �56. Electrical-Final� � ' ' � � 15. Rough Electric-Wiring - ,3_ - . °L' - � 57. Solar-System-Final � - � -�" '� � � � �� ', „- ' 16. - Rough Heatiog & Air Conditioning - - - - - - • - encing.& Access Approval ' . 17. Ducts in Structure - "� ' APPROVED FOR PLASTERING � ' 1 S. � - Ducts, Ventilating - • - _ - - � � ' _ . _ . . . � , 19. Gas Pipe-Rough & Test � t - � - . 60. POOUSPA SYSTEMS FINAL ' • , ' ^ 20. Roof Framing � � � - - � - � � � ' � ' � ' 21. Roof Sheathin - - � - - � - � �� � ' ' 22. Frame and Flashin � -- � NOTES: ' • - 23. Insulation � • - � - - - � - � - - - 24. Lathing & Sidin9 - - - ' - - - - � � - - � - -- � - - - - - - - - - ' . 25. Drywall Nailing - - - - - - - • � � • � 26. - Plaster Brown Coat- - - - - � - � � � � ' � 27 � �,Electrical Power MeterFinal-- - - - � � � - � � �- 28r Final Electric � � � - � � - - ' ' - ' 29. Final Heating & Air Conditioning - �� � � - � � - � � � � � •� 30: Final Gas Pipe-Test - - - • - - � � - � - � � 37. - Final Plumbing ' . ' ' 32. Water Service-Final � -� • ` � 33. Gas Service-Final - ' � � 34. Solar pomesticFinal � ' ' ' • � � � � 35. Landsca e S rinklin S stem ' � �� � ' � 36. Sound Attenuation . � ' � - � -- � � ' � • 37. Handicap Regulations - - ' � � � ' 38. FINAL STRUCTURE & BUILDING ' '� - • 39. Special Requirements Completed � � � � 40. Electric Reiease to Edison � ' � ' 41. Gas Release to Southern California Gas Co. � ' 42. CERTIFICATE OF OCCUPANCY -, , - - - No Date : - , . . � Applicant to till in all spates within neavy CorCer lines antl sign all appropriate Oeclaratiam CITY'OF COSTA MESA "- P�RM�OQS TRACT NO. LOT NO. � BLDG.�. ' CONSTRUCTION PERMIT o Proiect Address . Q/ /�/ /Q TVPE OF CONSTRUCTION Address / Arch/Eng. " ' - Phon I(ANEW ❑ ADD ❑ ALTERATION �� ` ❑ REPAIR ❑ CONVERSION ❑DEMOlISH LiCCns2 No. - • ❑ OTHER _ DESCRIPTION OF WORK - wnvaccor � ,- � i/J, rnon -n'- YPE OF PERMIT AddreSs � � � � ! f�.. � � ❑ GRADING ❑ FOUNDAT,I�ON� ❑ STRUCTVRAt LICENSED'CONTRACTOR DECLARATION � -- - - ❑ TENANT ❑ ELECTRICAL Lj,y➢LUMBING OMECHP 4hereby a(firm [tiat I am Ilcensed untler proWsions of Charter 9(com- � mencin9 with sectlon 7000) of Dlvlsion 3 of the'Business antl ��� OTHER � � � Profassions Cotle, and my license Is n(u❑ torce e c , / � PROJECTDESCRIPTION � License s � � LIf� No. �., • . • �: . � ^ Date �� �% �'S9 t � . � i ../� � / OO ; 5�. FT. . . .� � '._ �.. ' WORKERS�' COMPENSATION D�CLAR�VTION �-- -- OCCUPANCY_CONSTRVCTION TVPE � I hereby atfirm that I nave a<ertlficate.6t tonzent to satl-insure or a VALVATION ZONE �certiticate of Workers' Compensatlon Ynsurance, or a cartlfiea copy - - � thereol (Section 3800, Lab. C.). . /, /� y�Ie �� GRADING CU. YDS. � ACRES "�IicY No. ComPanY `(�/'�H.C�� ' - ' - CeytNiOd copY �s hereby furnishetl. -- - REMARKS: � �H - -- 2ertitietl coDY �s filetl with the tity Builtling Dlvision. EXEMPTION FROM WORKERS' COMPENSATION DECLAf2ATION - (This soctlon neatl not.be completetl if the permit is.tor one huntlretl . Sg1001 or less). � � cerUfy tha[ In-lhe performance o( tha work for whlch.this permi[ is issuetl, I shall not emPloy any person in any manner so�as to become �.� PLUMBING subjecFtothe�Workers Compenzation Lawsot Glitornia. BATHTV85 Date Signature� NOTIGE: If affer,making this declaration, you shoultl become�subject TOILETS� to the Workers' Compenzatlon provislons of the Labor Cotle, you must LAVATORIES torthwitn comply�witn such provi5iOn5 Or this permit Shdll bG tleemetl revoketl. -- �- -- •-�- --- - - � -� 'KIT.SINKS - CONSTRVCTION LENDING AGENCV I hereby afBrm that there is a construction lentling agency ror the per- SERVICE SINKS'1 ' formanCG ot th¢ work for which this permit is issuetl ($ection 309] Civ. C.). - FLOOR SINK$ LenOer'S Name _ . _ _ _ Lentler's AtlArezs ORINKING FOUNTAI �OWNER BVIIDER DECLARATION - - - INTERCEPTORS � h¢rebY at(irm lhat I am exempt from Ihe Conirattor'S UcCnse Law fo� .5 Bl es a quirEz the ap411Wnt fo� such permit to tile�a Signetl 5[atement that he i5 litensetl �pursuant t0 Ih¢ provisions of"the COntfdttof'S'L:ICenSe Cdw (Cnapter 9(commencing with Section 7000) oi Olvislon 3 of [he '8usiness and' Prdessions Cotle) or that he is exempt thereirom antl the �,,acl5 for lhe allegetl exemplion. Any violatiOn of Section ]031.5 by �yjkapplicant for a permit Subje[ts Ihe applicdnt t0'd Clvll penalty ;`=-nt mOr¢ than five huntlretl tlollar5 (E500). '9, as owne� of lhe property, or my employees with wa9C5 as their Sol¢ Componsatlon, will.tlo-the work, an� lhe strucfure Is not Intentletl or offeretl tor sale. (Section 7046, Business antl Professions Cotle: The ContractoYs-License Law tloes not applY to an owner of a property wh0 bulltls or improves th¢reon, antl who doe5 SUCh wOrk himself o� th�ough hi5 own amploy¢es, proviDetl that such ITp/ov¢ment5 a�e not intentletl or ofleretl for sale. If, however, the bullding or improvement IS soltl witbin one y¢a� of COmpletion, the own¢r will have_the bwtlen Ot P�oNng h¢ tlitl mt builtl o� improv¢ for the pu�po5e ot salej. ❑ I, as owner of tbe properry, am exUusively� conVacting with licensetl contractori to mnstruct the project ($ection ]044, Business antl Professions Cotle: Tne Contractor's �License Law tloes noc apply to an owner o( proper[y who builtls or Improvez thereon, antl who con- hdtts f�om sUch p�ojects with a-contrattor(s) Iicesnetl Oursuant t0 the Contraclor'S License Law). ❑ I am exempt un�er Section � � B. & P. C. for [his reazon - ' ' - Date Owner - - that I have reaa this�pplicaJion and s[a[e that tOrrett. I/agree tp comMy wNh all ciry ai OI i1T6/CI[Y�i9�CR[G" 4POO [pB dDOv¢ i SWIMMING POOL WATER SERVICE PLAN CHECK � � SHOWERS � URINALS DOUBLELAVS -� DISHWASHERS F GLARIF P.TRAP ALTER/ GASSERVICE OUTLETS � WATER HEATERS" BTU OUTPUT- " SEWER�CONNECTIONS � � , �'.� � �� SOLAR TANK ' - COLLECTORS� . ,. SOIAR PIPING SVS. 7A�CJ • Ic��%i�l/G. ISSVE FEE � MECHANICAL aLAN CHECK HEATING SYSTEM 0-300,000 BTU AND DUCTING 300,000 + gTU REFRIGERATION 0-100,000 BTU 'SYSTEM' - 100,000 + gTV BOILERS BTV SVSTEM REPAIR,ALTERATION EXHAUSTSVSTEM MULTIPLE Si9na[ure ' e ' `� � Driveri' LI 5e 5� - � � � 'ISSUE FEE - i CMF 0865-46 Wfiit�Builtlin9; Unary-Appllcant; Pink-Accounting; Goltlenrotl-Assessor •_, _� `, 9695 I 2% I 7/81 ,. ' - ' ` ^ ZONING REGULATIONS A.P. if 1 t ZONE ,PLNG.REF.� , REAR VARD (TO G/L) PKG.SPACEREQ. . PROVIDED / .. STREET WIDTH PARK FEE ZONINGAPPROVEDBV - - .OATI ELECTRICAL-� a�Arv-CHECK 37.00 TL �rwc��u�m �- na�m�. _r . SO.FT. GENERATOR � 0-1KW_1-lOKW ' � � TRANSFORMER - APPLIANCE 10-SOKW_SO+KW- " ' MOTORS " ' 0-1 HP_1-10 HP ' - (INQSOLAR)� -10•50HP SO+HP - � FIXTURES`- OUTLETS ' SWITCHES " - - GASTUBESIGNS' ' ' ' ' " - ' POLE LIGHTS� - ' � � - ' - - -- - - . POLES METERED SUB PANELS�-� �� MAIN'. .'SVB' -"" - SERVICE ' "- ' AMP ' - _" . "' '.� ' _ ' " _. " ' _ " . . . i ISSUE FEE - -' ' -' 1 � APPLICATION APPROVED BY "' - - DATE ' SUMMARV OF FEES - , "BUICDING ' -- ' - - � ' PERMIT § � SMIP � E PLAN CHECK E �PERMIT. . . - - ISSUANCE E PLUMBING $�• � • PLANCHECK��S � GRADING E ELECTRICAL S� � S � PLANCHECK'$ "" MICROFILM y MECHANICAL S ` TOTAL FEE'E � � PLAN'CHECK §" ^ ' LE55'AD-�'� • • _ � • � VANCEPC $_ + . . _ - - � � FINAL FEE §�� , - _ .� �io`: CONSTRUCTIONAND�PLANNNG POOL&SPA . - .� - .•.. APPROVALS � , } , I Permit # �_ Date InspecTor pppROVALS � Permit # Date_ ' Inspector � � 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location � �-� -- -� -- Sod ipe-Undrgrn � � -�(.(-r^ 44. SteelReinforcement -�-�-- - �- •�- � �-- � - --- 3. . Electrical Conduit Utitity-Undrgrn 45. . Forms - � 4. Electrical Conduit-Undrgm 46. Electrical Bonding �- - - . tee ein orce �-� � 47. Rougli Plumbin &�Pressure Test�� � 6. Electrical UFER Grn � ' � ' 48. APPROVAL TO COVER-GUNITE � 7. ootings � - � � � 49. Electrical Conduit-Undr rn � � - • � - � � � 6. .Foundatioa � ' ' - .50. Gas Pipe„ ❑ Undr rn, Test�� �� • � � � � � � ��n 9. Water Pipe-Undrgrn ' � 8/ 51. Backwash Lines P-Tre '� ndr rn'-'� -- - � 10. Svuctura� Floor SYstem " 52. APPROVALTO DECK"v" '"' ''-""'-- -- -- 11. _Property_Sewer Line & House Connection ' 53. . Backwash & Rece torvFinal � � � � � 12. .Street Sewer. Connection �� ' � 54. Heater & Vent-Final 73. Rough Plumbing i/LR'L -� - - " - -- - - 14. Rough Electric-Conduit - --- - - � - -�56- Electrical-Final- � � � � � � 15. Rough Electrio-Wiring � - - - - - � � 57. Solar System-Final � ' � � -� � � ' ' � � 16. Rough Heating &-Aic Conditioning- � - � � encing & Access Approval ' � ' 17. Ducts in.Structure'_ � � - ' 9• APPROVED FOR PCASTERING � � • � - 16. � 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. Drywall Nailing _ - � � � ' `' � � � � - � 26. Plaster Brown Coat � ' � ' � ' � �,.� � - 27. Electrical Power Meter-FinaC' ' � � � - � � • � � � � 28. Final Electric ' � � - � 29. Final Heating & Air Conditioning ' ' ' � � � .- 30. Final Gas Pipe-Test � � ' ' � � � ' � � . 31. Final.Plumbing. �l � � � ' - � � 32. Water.Service-Final '� � ' � - � 33. Gas Service-Final � � � " ' �� �' " ' ' 34. Solar pomesticFinal ' �' - ' ' ' 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 Southem California Gas Co. � -� � 42. CERTIFICATE OF OCCUPANCY . . - � - .. - . � � � - � . . � i • No Date , - � �� '� Applicanl to flll in all ipaces wilh(n CITY OF COSTA MESA PERMIT NO. , ' CONSTRUCTION PERMIT _ i � Oortler lines ana sign all avo�oo��ate tleclaratlon TRACT NO. LOT NO. Bl G. NO. � �-2 Project Address (e LJ • �� f�j... - S T' �' TYPE OF CONSTRUCTION Own2f ,C Phone _Z ❑ NEW ❑ ADD ❑ NLTERATION AEBrCa �r� �/Y/OICI E/(,/I ❑ REPAIR ❑ CONVERSION ❑DEMOLISH 'Arch/Eng. - � License No. �� oTNER � Addr25s � ' - ' - -� ._ DESCRIPTIONOFWORK Cantractbr �j/ . //L�f ( ,L'Q. /�(/ �Phone - 26 , TVPE OF PERMIT Addf¢u OT . . - � O GRAOING „❑ FOUNDATION ❑ STRUCTURAL- UCENSED COf�TRACTOR DECLARATION '- ❑ TENANT ❑ ELECTRICAL�QLUMBING ❑MECHAN 1 hereGy affirm lh;.t I am Iltensotl unCor provlsions of C�arter 9(com- � mencin9 wllh seclion 7000) o( Divlslon"3 oi 'tho Buslneiz antl' 0'OTHER� ��� � Rofesslons Cotl r ntl my Ilcensa Is in tull force antl effect. pROJECT DESCRIPTION ucensec�ass cense o�6Sf[Q " � Oatai} � �/uZ. Si9na[ure - SQ. FT. ' ' . - - . .. WORKERS' COMPENSATION DECLARATION- -• - � OCCUPANCV_CONSTRUCTION TVPE .I nereby ailirm Ihat I have a certifitato of con5enl lo selt-Insure or a VALUATION • ZONE cer8ticate of Workers'�Compensatlon Insurante,'or•a'certlfleA copy � thereof (Sectlon 3800, Lab. C.�. , / GRADING CU. YDS. ACRES .y No. ComPanY �N � v�'Q � '- ' -" .erlHietl cOpy Is hereby fumishetl.- - - � - � � - REMARKS: - _ Z•� S" - �c._C¢rtlfietl cOpy I5 filetl with Ihn tlty Bulltlln9 DlvisiOn. _ EXEMPTION FROM WORKERS' COMPENSATION DECLARATIOPo (Thii 5ettlon neetl nOt be tompleletl i!-the permit Ii.for one�hunOretl __ ,. _ (5100) Or 1¢55). " ' ' b tertiry thal�imthe performanco o( the work tor which this permit is. _., issuetl, 1 shall not emPtoy any person In any manner so as to become PLUMBING -'+� � PLAN CHECK , � SUbject t0 th<'Worker5 CompenSaUon�Ldws of California.. - ._ Data Si9natura BATHTUBS SHOWERS NOTICE: It aftar making thls tleclaratlon, you shoultl become'subject �T,OIL'ETS ' 1 URINALS � ' lo the Workers' Compensatlon provislons of tho Wbor Cotle, you must forthwith <omply wi[h such provislons or tM1is permlt snall ba deemetl LAVATORIES DOUBLE LAVS fevOkGE. - . .• -' - ".' - _"' • CONSTRUCTION LENDING AGENCV KIT. SINKS DISHWASHERS I nereby attirm tha[ t�ere I5 a constructlon lentling agency for Ihe per- SERVICE SINKS ��; I1� $VMP$ - � �� formance of the work tor whi<h this_permit.is i55uetl (Settion 3097 C��• ���� FLOOR SINKS � FLOOR DRAINS Lentler,i Name ' Lender's Atltlress ORINKIfJG FOUNTAINS �I� � � OWNER BUILDER DECLARATION � INTERCEPTORS � CLARIFIERS ' Any. tlty or. _county wnic� req� Improve, tlemolish or repair any sf IQsutit¢ setl pure ant lo�the provl5 (Chapter 9 (commencing wilh <_ BusMesz antl Prdessions Cotle) or 6.'1:�•,for the allegetl_eaemption. , � �,`_c>-,pplltan[ tor a permlt Tubje i;;3'�t more than IiPo,hund�etl tli [J�, as owne� of thB prOperty, c sole tompensation; will tlo tho wa or Ol�eretl for sale. (SCCUOn 7044, Conlrattor's� Licensa Law tloes�ni wno builtls or improves thereon, th�0U9h-Oi5 Ow0-BmplOyl85, prOvi In[entletl Or otferetl fOr Shc<. If, h� 6 Soltl within onf year ot comDle'� o/ proving he ditl not builtl or ❑'I. as owner ot t08'propert! ves a permrt io consvuc[, ai[eq uclure, prior to iti IssuSnce, also re- [ to file d Signed s[atement that h¢ ns ot [he Contractor'S License I..aw ctioq 7000) oi Dlvision 3 ot ine .hat ne IS exampt ther¢trom antl th¢ ny vlolation of Sectlon ]031.5 Dy ts the appliwnt to a'Clvil p¢nalty Ilars (y500). _ my amployC<5 with wages a5 lh¢ir k, and Ibo Stlucture IS�Oot IntOnEetl Buslness antl Prolessions Coae: The '. apply to ao-owner of a property ntl wbo tloes 5uch wo�k hlmselt or oa tnat such.imorovementsare.not nOrova tor Ih¢ Purpose of Sale) am exttusivelv'conlractiag-witl actor's UCnnse'Law tloei not apPry to Is or Improves lhereon, antl wno con- a cOnlfdCtOr(5)'Ilt¢snetl pulSuant l0 SWIMMiNGPOOL PTRAP WATERSERVICE ALTERATION GASSERVICE � OUTLETS � SEWER CONNECT�ONS SOLAR TANK COLLECTORS SOLAR PIPING SVS. ISSUE FEE MECHANICAI PWN CHECK NEATING SYSTEM 0-300,000 BTV _ AND �UCTING 100,000 + BTU _ REFRIGERATION 0-100,000 BTU_ the Concrattor's License taw�. SYSTEM 100,000+BTU_ ❑ I am exempt untler 5¢ction B. & P. C. for tnis BOILERS BTU reSson - - ' � ' Oate " "' Owner - - - _ SVSTEM REPAIR, ALTERATION I �¢reby Cerlify.lhdl I.have reaC lhi5 application antl Stdl¢ thdt the abave EXHAUST SVSTEM MULTIPLE IntormatiOn Is Con¢ct. I agr¢C f0 COmply wlth all tlty antl county artlinances.and stale lawz relatln9 �o construclion, an0 nereby authorize iepre5entatives of tJh}Cis1� tlty to onter upon the abovn mentlonetl pro{Mrty .to� in c p os. . $i9nature,� ��� Date��/LT Drivers' L'rn m �r SS x ISSVE'FEE CMF 0865-46 Wnite-Builtling; Canary-ApPllcanq Pink-Accounting; Golaenrotl-Assessor 0 � � r " in.nn TU 20NE PLNG. REF. � - - ' � REAR YARD (TO P/L) . ,PKG.SPACE REQ. PROVIDED STREET WIDTH , PARK FEE S CONDITIONS: . �ELECTRICAL � PLAN'CHECK "' " 'D00 E . i SQ_ FL SQ_ FT_ � - - �GEIVERaTOR "' 0-0 KW_1-30'KW � TRANSFORMER � �'APPLIANCE � 30-50 KW_50 + KW — �MOTORS�- �0-1'HP=1-1'0'HP '" (INC.SOLAR)- 10-50•HP-=50�+HP - - FIXTURES �- — �OOTCETS'� -'SWITCHES - " � GASTUBESIGNS'--`- --- ' ' POCE CIGHTS " — - ' ' ' . - ' 'POLES METERED SVB - �PANELS �' 'MAIN - -SUB - ' � SERVICE ' '" - ' -" - 'AMP "' - j ISSUE FEE - "- " ` " - _ �, ' '•APPLICATION"APPROVE�'BY' - - -DATE - ' SUMMARV OF� FEES . �. � � :BUILDING'� ""'-" "'- . . ._.. . PERMIT § �SMIP ' S� '� ,PLANCHECK 5 PERMIT ! PIUMBING E-�O� �SSUANCE S" � �PLANCHECK 'E ' - GRADING S ELECTRICAL § - — ,S ' ' ��� MICROFILM E ,PLANCHECK $ - - - � TOTAL' FEE E � MECHANICAC E - PLAN CHECK E � ' 'LE55 AD- ' ' - VANCEPC f_ � � FINAL FEE E f� � CONSTRUCTION AND PLANNIN � ' � POOL & SPA - .- � . APPROVALS Permit #,� yo Date Inspector qppROVALS ., Permit # - � Date , Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - --- - � � 2. Soil ipe-Undrgm .. �- 44. Steel Reinforcement � -- - • 3. _,Electrical Conduit Utility-Undrgrn ' 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bondin � - ' tee em orce 47. Rough Plumbin & Pressure Test � ' ' 6. Electrical UFER Grn 46. APPROV,AL TO 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 ❑ ridr m � � 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 ElectricConduit � � � -• - - • �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 • 78. � Ducts, Ventilating • ^ � 19. Gas Pipe-Rough & Test � . � 60. POOL/SPA SYSTEMS FINAL 20.- Roof Framing � � 21. Roof;Sheathin - - - ' . � - � � � 22. F�ameand Flashin NOTES: " � 23. Insulation � ' '• - 24. Lathing & Siding • •� 25: Drywall Nailing � � � � ' � 26. Plaster Brown Coat ' ' � - � ' 27. Electrical Power MeterFinal � ' � ' - � - - ' ' 28. Final Electric ' � 29. Final Heating & Air Conditioning � � 30. Pinal,Gas Pipe-Test - o �- - ' -31. Final Plumbing - ' • � � � • ; 32. Water Service-Final - � � � ' � � ' ' � � � - 33. Gas Service-Final. � - ' � � � 34. Solar pomestio-Final � " , - - � ' � ' 35. Landsca e S rinkiin S stem � ' ' � "� '' � 36. Sound Attenuation ' ' ' � � � � 37. Handicap Regulations - - ' 38. FINAL STRUCTURE & 9UILDING � 39. Special Requirements Completed ' ' ' -- ' - 40. Electric Release to Edison � 41. Gas Release to Southern �lifornia Gas Co. Z � � � 42. CERTIFICATE OF OCCUPANCY . ' No Date � . . ..t, . ,ti, . COSTA MESA BUILDING—SAFETY DEPARTMENT 2541 2/25/82 7.00 T�� P.O. BO7( 1200 • Coata Mesa, California , , , ,,, , 27//tv- � TRACT N . �'� i ca�«a�ro� SOUTHERN C RT LOT N0. naa�ess 5290 E. HiJNTER BUI�DING USE oar �ssu o C��y ANAHEIM zipcode 92887 ���� Stnte Liaense No. Class. C � BUILOING City License No. Tei. No. �ooness �; COSTA MESA, CALIFORNIA ��\" N0. ITEM EACN FEES � FAU, Well, or Grav. h Q� j=�� Furn. Incl. Ducts and ��� r V8�t5 OWNER 1 to 100 000 BTU 4.00 . 00 ON�T�ti�C��9N MAIL � over too,000 eTu �ooaess 1532 LA�LOMA CITY Y c��� '� �C. TEL. N0. n[ Vent (if nat incl. ebovel y- U`F'�—�T� ispended Hean I hereby ackno ledge [ha[ I have read this application Iter or Replace 3 H.P. or less Over 3 H.6. t� 15 H.P. �Plan Check Reinspection Fee Sub-Total Processing Pee 70TALFEES CMF 0449-46 and`statei[ha[ the above is corrcct and agree ro comply �w th�all�City Ordinanccs and State Laws regulating Heat- ing;�Ventilating, Refrigeration and Aio-Conditioning. I certity that I possess [he ebove valid Sta[e of CaliG ornia classification or I am the legal owner of [he single tamily residcntial properry described above. Signature of � ,/JC�7�/'A3/�,� • _ � i Permittee ��� LGel� REMARKS: J�'� , �� "j % nPPROVALS INSPECTOR Ducts Underground Ducts in Stmcmre Ducts Ventileting �T--- Heating — Rough I f-�--� Hoods Refrigeration Lines Prossuro Test Air-Cond. Final Ventile[ing Finfll Heating Finel 3 00 Refrigera[ion Final Final Gas Test 7 �� Utility Co. Notified BIDG. PERMIT NO. —' DATE � % � COSTA MESA BUILDING—SAFETY DEPAHTMENT P.O. BOX IZ00 Coata Mesa, Calitomia Cont(eClor TRACT N LOT N0. � — 2542 2/25/82 7.00 T'L� naa«ss 5290 E. HUNTER BUJLDING USE �•�� �»��� ��ry ANAHEIM zip Code � �� s�a« �s���s� r,o. 6 86 ciess. C 20 BUILDING 9�� C,1 �� C City Licenx No. Tel. No. nooaess U q � N0. ITEM EACM FEES COST� MESA, C�LIFORNI� iT� FAU,We11,orGrev. „ �,\y� d 1 Furn. Incl. Ducts and 4.00 4 00 owNea , BROOKS CONSTRUGTION Vents , � 10 lOO OOO BTU MAIL ti�V�,��� eooness ���� oVaf 100,000 BTU ��Ty y+�[�],T,��A) �ni.tA ,E�. No. 642-0432 !]lY Vent (i( nat incl. ebove) � i /� Suspended Heater I hereby ecknowledge thet 1 heve read this applice[ion 1\ Alter or Replace Aooliance � 3 H.P. or less Ptan Check Reinspection Fee Sub-Total Proressing Fee TOTALFEES CMF 0449-46 3 and'siate;.[hee the ebove is correct and agree m comply ` wi[!i a11�Ciry Ordinances and Stete Laws regula[ing Heab `�. ��ing; Ventilating, Refrigere[ion and Air-Condi[ioning. I certity that 1 possess the above valid $tate of CaliL ornie classification or 1 am the Icgel owner of [he single ' tamily residential property described above. Signature of / / Permittee X REMARKS: — �/� � APPROVALS DUCIS UpdC�gtOUlIC Wcts in Strucwro Duc[s Ventilating Heating — Rough Haods Refrigeration Lines Pressure Test Air-Cond. Finel Ventila[ing Finel Hea[ing Final Rcfrigeration Finel Final Gas Test Utiliry Ca Notified BLDG. PERMIT NO. INSPECTOR I OATE iADDlicant to 1111 In all sDaces wlthln heavy b0/tlar lines antl ilgn all aDV�aO��ata Eeelarations. {I:ITY OF COSTA MESA� � -� PERMIT NO. - ' TRACT NO. � LOT NO.' •BL G. N . ,- - � - - - - . _ � ''CONSTRUCTIONPERMIT E-�� �-. ' - • : •.,,,,2513 2/25/82, 12.00 TL •ProjettAddress - � G-.� TVPEOFCONSTRUCTION , �� ' ' i'( _s , `�'.� _ ' ' . . . _ . . . .' �: , Owner ' - p " - "Phone ❑ NEW ❑ ADD ❑ ALTERATION ' - - " --'f -' �- - _ .• - . - � - - _ � '��Addres = Z� �� p - � . O REVAiR O CONVER510N:.ODEMOuSH_ __ , -- ZONING REGUhAT10NS-- - ArchlEng. - ' - � License No. - -- - ❑ oTNER . _ . , , A P � _ DESCRIPTION OF WORK � AddfMS ' ' - ' ' - ' - " ' - ' - ZONE PLNG. REF, qp - -� - Contractor -� -Phone � :SEr AC � � GNE .. � C 'P� . 6 I� TVPE OF'PERMIT ���p���I't ; Addrf55 ' S .r/p/`' ��'T� I^ - ' ❑ GRADING ❑ FOUNDATION �� STRVCTURAL r51D VARD - . ._ ..-_ 'LICENSED CONTRACTOR ECIARATION -' ' � ��E O�T[NANT ❑ ELECSRICAL �PLUMBING_�MECHANIC 5IDE V ._ .� _ I hareby aifirm th:.f I am IlcenseE untler provislons of Chartar 9(com- . � RIGHT � - '� �"' moncin9 wllh sttHon 7000) of ,Dlvision -3 0l -tbe Business. antl ❑ OTHER , . Rofessions Cotle, anC my Iltense is in full (orce antl etfect. REAR VARD (TO P/L)"" ' �ucenseCiass- f— ���� Icense O 3� - PROJECTDE$CRIP710N . _ _ . . _ , - . 'pKG.SPqCEREQ. - - '�� aaov,ioED,- -- Date '��'-�-�3:7�7c519natura _ � ' . SQ. FT: � � _ '" . " ' �.. ' - . _ .. _ ' WORKEHS'COMPENSATION DECLARATION OCCVPANCV�CONSTRUCTION TVPE. _ STREET WIDTH' PARK FEEE - 1 hereby aHirm th3� 1 have a certitiwte of cons¢nt to sall-insure.or a VAtVAT10N - ZONE ' �ZONING APPROVED BV -•- -� - DATE -�� certi/icate of Workers' Compensatlon Insuranco, or a•<ertlllatl. co�Y � . _ .. Nereo/ (Section 38pp, Lab. C.). ' GRADING CU..VDS. ACRES SPECIAL CONDITIONS: ' ' -- � PoIICY No. ... ' _ ' ComPanY'_ . ' _ ' ' ' ' '1 . " "' ' ' " ' " " " r^.ertifletl wPY Is hereby turnished._ _ .�' ' REMARKS::.� � � erti(letl copy Is�filetl wilh thn ci[y Bulltling Division. � � - ' , � - 'i . 1MPTION FROM'WORKERS' COMPENSATION DECCARATION -- - � ' -- �� �� (Thls section neetl qot be complete0 if thapermi[ is tor one hundretl .,� - 1 �S ✓ V (E1001 or less). • I - ' � ' '' -' ' ' - " - � a 'I cerBiy tnal in the p¢rformance of the work for w�ich tbl5 permit is issuetl, I zhall not employ any person in any manner so as to become PLUMBING - PCAN CHECK - . ELECTRICAL � -- �� PLAN CHECK -- - - subject to the Workers' Compensailon laws oi,�alifornla. ' ' - ' ' bate � Signalure � BATHTUBS ' ' ' SHOWERS"" '- ' " � Z Q�Q, . iNOTICE: If attor making this tleclaratlon, you shoultl becomo�subjecl: TOILETS ., � URINALS � ' 'GENERATOR �-�01 KW'_ 1-30�KW- -- - � to tha Workers' COMpensation provisioni of the Labor CoOo,-you must iTRAfYSFORMER Yorthwith comply wlth suth provlsions or thi5 pormit s�all be Geemetl LAVATORIES DOVBLE LAVS -- -- -- APPLIANCE � 10-50 KW_SO + KW . imvoketl._ . . . _ _ _ � _ . __ CONSTRVGTION �ENDING AGENCV KIT.'SINKS '- DISHWASHERS - � M0T00.S - Od HP�_1-30 HP- 'I hereby aflirm tnat [here is a construction lentling agency tor the perv SERVICE SINKS :.,�. SVMPS � �� - - (�NC.$OLAR) 30,50 HP 50; HP_ �� _ formance ot the wOrk for which this permit Is issuetl (Section 3097 'Civ. G:1:'" ""__ " _' _ "'_ . . . _' " � �Lentler'sNama FCOOR'SINKS - -'"FLOOR'DRAINS�"-j� - -- 'FI%TURES- -- OVTLETS�-�SWITCHES-- -� - ,Lender'S AtlUre55 � 'DRINKINGFOVNTAINS �� "" - ' t--- � - � GAS�TVBE SIGNS � - - � . �- . _ OWNER'BULL�ER DECL'ARATION INTERCEPTORS' - � �CGHRIFIERS -- " - '�POLE-LIGHTS� -� �- - --- .. . _ . _ �� . _. �,I he�¢by a�flrm lhal 1 am ex¢mp[ irom th0 Conlrattor's Llc¢n5a Law for - � tbe followin9'rcamq��(5ectlon 7031:5 �Business antl Proiesslons Cotle: � SWIMMING POOL - ' P TRAP - - - - -.. . Any ciry or county which raquires a Oermit to conSVuct, alter, - ,POLES METERED SUB-' '' - imp rove,-tlemolish or repalr any structure, prlor to its�lssuance, alsmre- yyqTER SERVICE ' ALTERATION�� - �, • �PANELS-� -- - MAIN ��- SVB ' - isuirez tne ap� Ilwnt tor such parml[ to illo a si9netl statement that he 'licensetl'pursuanbto•theProvisionroitheConlractor's�Llcense��Law GASSERVICE' '"'� OUSLETS' ' - '�SERVICE- - � - ' . -AMP/0 (C�ap[er 9(commoncing wlth Sectlon 7000) ol Division 3 of tM10 � Business antl PrWes9ions Cotle��or that he�isexemOb[herefrom antl the yyqTER HEATERS - BTU�OUTPUT - �- '- - - - � - - _ _ . . basis for the allegeq exemption. Any violation of Section ]031.5 by anv appllranY tor d permit �zubjects�lhe'applicant to a civll Penalry SEWER CONNECTIONS^ ' - - - �- - - -- - - - �� _. . _ . o' ! more tnan five huntlretl tlollars (E500). ' f [ a owncr of the property; or "my em0loyee5 wiih�wages as their ' SOLAR TNNK ' COLCECTORS �- - _ . so. OTpensalion, Will tlo lhe wo�k, antl th¢ s[�uctur¢ iz not Intentletl � . br offerea /or zale. (Section 7044, 8usiness andProfessions Cotlei The ' SOLAR PIPING SVS. ' " " ' -" ' - ISSVE F - � � . . - 'Contractor's Licensq �w tloes not appry to an owner ol a property . .. . . . _ 'APPLICATION APPROVED BV _ . � � _DATE ;who builtls or improves Inereon, antl who DOes such wOrk hlmiGlf o� � ISSUE FEE throu9h nii.own erriployees,.provltletl tbat such_improvements are not � intentlea or ofleretl br sale. 11, however, tne builtling or Improvemenl MECHANICAL PLAN CHECK � � - '- -�- �, 'is zoltl within one year of compicuon, [ne owner wiu have tne burtlen . , SUMMARV�OF FEES ,' . o! provin9 ho Citl noi boiltl oi improvo lor the pwpose ol sale). HEATING SVSTEM 0400,000 BTU -' '- � gUILDING-- -- .- ... - __. __. . � � '� I, as owner ol- ihe- _ � PERMIT 5 , , SMIP �- S propmty,-am exclutively mnVactin9 witn qNDDUCTING ,Iicensee contraclors to conitruct the pro)e<t ($ectlon ]044, Businesi 100,000'+ BTU PLAN CHECK f .PERMIT . antl Professions Coq¢: Tne-Contractor's L�cenw..Law tloes not apply.[o � ..__ ISSUANCE' E� an owner of property who builtls or ImO�oveS tM1ereon, antl who con- qEFRIGERATION 0-100,000 BTU - � PLUMBING b .. tratts from such-projects� wfin a� contracior(s)-Iicasnetl purzuant. to SYSTEM � . � GRADING S� 'the Con[rat[Or'S License Law). 300,000 + BTV � PLAN CHECK 5�,[�%'� - '� I am exempt untler Section ' - 'B. 6 P: C. for tNs BO�LERS -BTV - � - � ELECTRICAL S ' `^' �✓ � ? � s -- -- reamn-' ' - -' ' -"- ' - . PLAN CNECK- S - :4` '�.MICROFII.M E �Dalo Owner SVSTEM REPAIR, ALTERATION ' "' ' " ' � --�, MECHANICAL E TOTAL FEE S 9 nerebycertirytnal I have reatl this appliwtlon antl state that Ihe above EXHAUST SYSTEM MVLTIPLE • � - LE55 AD- -� 'inloimation is correcL I agree to comply wllh all tity antl county - iPLANCFIECK _y � - VANCEPG �E_ -- ortlinance5 antl ilato laws relalin9 to <OnsbuctlOn, antl h¢reby authOrizO � - . representatives o! his city to entCr upo� Ihe' abov0 mentlonetl • - '�- �� property lor Insp Hon �/� FINALFEE §LS� 'S19nature ������� Date�� - -�' � Driver5' Litense or 55 � ISSUE FEE ._ . . , . � CMF 0865-36 White-Builtling; Gnary-Appliwnh, Pink-Ac<ounting; GoltlenroA-Assessor _.Y � . ., ' CONSTRUCTION�ANDPLANNING ' • POOL&SPA� . ' . ' ; -� APPROVALS Permit #� Date ., Inspectoi qppROVALS , Permit # ��Date � Inspector 1. . Temporary Electrical Service or Pole - 43. Pool & Equipment Location . . Soil ipe:Undrgm � . . _ - . 44. Steet Feinforcement' ' � - - � - - 3. -Electri�I�Conduit Utility-Undrgrn - -_ _ _ 45. Forms � - - " 4.-- Electrical Conduit-Undrgm - � -- . - . - 46. Electrical Bonding. - _ _ .. .. tee ein orce _ _ � _ 47. Rou h Plumbin & Pressure-Test � - - ' '� 6. �Electrica� UFER Grn - __ .__._ , 48. APPROVALTO COVER-GUNITE 7. ootings. - � 49. Electrical Conduit-Undr rn �� •• - B.- Foundatioo- --- - � -- - - ' 50. Gas Pi e, � Undr rn, Test • ' ' ' � 9.� Water�pipe-lJndrgrn - - - -' 51. Backwash Lines P-Tra '�' ndr rn ' � - - - � 10: • Structural Floor SVstem � . ' . - 52. AP.PROVALTO DECK!" `-' "- ' -- - - .-11. -Property Sewer Line & House�Connection - 53. Backwash & Rece torFinal � ' � 12. Street $ewer-Connection. . "- - - - - 54. Heater & Vent-Final � � 13. Rough �Plumbing . - - � � � - - -� � " � ' � - " -' , 14. Rough ElectricConduit ^ � � " ' -'-' ' �56: "Electrical-Final � � . . � 15. Rou h Electric-Wiring j- �_ 'Z ' 57. Solar System-Final , � � 16. Rough Heating &-Air Con`ditioning- •- - - • encing & Access Approval '17. •Ducts in Structure � - --- � . � "' - . APPROYED FOR PLASTERING ' 18: -Ducts, Ventilating- ' - - -' ' � - - - - - - - . -_- -. - .- . _ . . 19. GasPipe-Rough&Test" '- - �'60. POOL/SFASYSTEMSFINAL , ' , ' 20. Roof Framing � - - � � - - �� - ' � • ' 21. Roof-Sheathin - - - - . • " ., , 22. Frame and Plashin • � - - - ' NOTES: . � ' � � � � � ' ' ' ' - 23. Insulation - - - - - -- - - ' 24. Lathing & Siding -- • - - - - - �- - - . . - - 25. Orywall�Nailing - -- � " � � � - 26. ' Plaster Brown Coat - � - 27. • Electricai Power Meter-Final � - • ' 28. 'Final Electric ' - --- C_ - 29. Final Heating & Air Conditioning - - ' � • - -- 30. Final'Gas Pipe-Test - - � • • - � - � � � � • �-31'.-Finalplumbing • - � - - - � ' 32. Water-Service-Final - � � ' ' � ' 33. Gas Service-Final- - - - - � - ' � ' ' 34. Solar pomesticFinal ' ' ' � � � � � � ' 35. Landsca S rinklin S stem � ' � -� 36. Sound Attenuation � ' � � � • ' • 37. Handicap Reguiations ' ' � - - � 38. FINqLSTRUCTURE&BUIL'DING � 39. Special Requirements Completed � ' � - 40. Electric Release to Edison ' � � � 41. Gas Release to Southern California Gas Co. � 42. CER7IFICATE OF OCCUPANCY No Date CITY OF COSTA MESA CONSTRUCTION PE ADPlieant to OII in all PEj�� IT N( M I T �'/ �' e wlthin naavy boiaer lines antl slgn all approoriate Eeelaratlons. TRACT NO. LOT NO. B�G.. N�. .�� Project Address � TVPE OF CONSTRUCTION � Own¢� � PhOne ❑ NEW ❑ ADD ❑ ALTERATION � AddrCss " � '- ❑ REPAIR .O CONVERSION ❑DEMOLISH Arch/Eng. ' ' ' �icense No. ❑ OTHER. � � Addr¢55 ' ' . - - _ . DESCR�PTION OF WORK , Contractor Phone7� 7ypE OF PERMIT � � � - ' � - � AddrCss - - ❑ GRADING_, ,.❑' FOVNDATION Q STRUCTURA4 -- LICENSED CONTRACTOR�DECLARATION � O�-TENANT O EIECTRICAL �PIUMBING ❑MECHANICAI 1 hereby affi�m [hot I am IlCenseO untlar provlilons ot Char[er 9;(tom- � , ,. � mentin9 wlth"SeCtiOn"70U0) of [Divislon 3 af the BuSinesS antl ❑ OTHER-� - - Professions Coptl e,' ,a'nG my II<ense Is In fuu force antl ef(ect. pROJECT DESCRIPTION - llcen58 Class 1�� tC(� No �� . i - ' Date 3'Z��y Si9ndture _ ����'�� � � � SQ. FT: � _ . _ _ WORKE0.5' COMPENSATION DECLARATION � OCCVPANCV '_CONSTRVCTION TYPE I horeby affirm that 1 have a certlficate of consnnt to ull-insure or a VALUATION � ZONE mrtlfiWte of'Workers' Cor�pensatlon�lnsurance, or a certllleG�copy� � . _ _ .[herao/ (Section 3800, Lab. �.). � , GRlaDING CU.�VDS. ACRES - �9: UKa+,uS �s�nO - - - - - —.' _ .. 'bllcy No. � Company � Certifle0 copy is hereby furnishetl. _. - REMARKS:. ' - _ . .. . . . . . � J CertiRetl mpy 15 filetl with the city Builtling Division. _ , E%EMPTION FROM WORKERS' COMiENSATION DECLARATION ' ' ' ' - ' - 1Thiz section neeA .nol ba completetl if tne permit is }or ona huntlreU � _ _ -. _ _ , � �_ (E3001 or less). ' " - 1 cert(fy tnat in the Derlorrqance of t�e work for which t�is permit is _ IssueO, I shall not emPloy dny person in any manner so as to become . PLUMBING. ,, i f --� PLAN CHECK' 1'-"" ' subjecl to the Workeri. Compensation Laws of. Call(omia. , • ' '' - . . _ _ _ Date S�9neture BATHTUBS -SFIOWEt35 NOTILE: It after making try�s tleclaration, you shoultl bacomo sub)ett � TOILETS�,- ��1, . � URINALS'- ' ""'!' - - lo t�e WOrkers' CompGnsatlon p�ovislOns ot lha LLbor CoOo, you must - � fOrthwith compty wilh Suth provl51on5 Or this permR Shdll Ue tleem¢tl �VATORIES DOUBCE L'AV$ ' �'( '- revoked. - .. - . ' _ ' ' " -' ' ' ' ' CONSTRUCTION LENDINGHGENCV ' KIT:SINKS - - " DISHWASHERS- "` I hereby affirm tnat lhere li a conSVuttion lending agenty tor t�e per SERVICE SINKS �-, SVMPS' ' �-'� - - formance ot tne work for.y,�hich [his purmit is issuetl (Sectlon 3097 ' '� �Civ. C.). "" - " ' " -" - " �FLOOR SINKS " ' -FLOOR DFAINS - ` - 'Lentler's Name �Lentler'S Atltlress DRINKING FOUNTAINS " � - '� ' ' - �OWNER BUIIDER DECLARHTION " -" ' ' ' -- -��NTEf3CEPTORS - � CLARIFIERS' -- - - 1 hereby affirm that Lam exempt from tha Contractor's LicenSe Law tor _ the followin9'reason'(SectlOn ]031'.5 Busine55' antl-Professions�Cotle:-� �SWIMMING POOL "' 'PTRAP-- - ' ' � Any C(ty or county w�iGh requires a p¢�mit to �con5[�uct, af[er, Improve, tlemol6h-or repalr any structure, prior to'its issuan<e, alm re-� ' yyqTER SERVICE— --- ALTERATION ' - qWreS th¢ aD.����t for suth p¢rmlt ta (il¢ a 5ignetl slatem¢nt Ihat h¢ is Iicensetl purSuanTlo'the brovisions of-the GonVa<tor's LicenSe law '"GASSERVICE - OUTLETS -- '"- (Chapter 9(tommencin9 with Sec[ion 7000) ot Division 3 0l the Busineis ana Professlons Cotle) or tbaCne I5'ezempt therefrom ane the y./qTER HEATERS '"'BTU OUTPUT - -- �asis lor the alle9eU axemption. Any violatlon of Seclion 7031.5 by � applltant for a permi[ subjetts"tna applitanb [o a clvil penalty SEWER CONNECTIONS ' ' "' not more lhan Iiva nunVretl tlollars (E500). . I, as owner of tnn proper[y, o� my amployees with wages as [heir' 'SOL'A0. TANK-"' "' ' COLLECTORS - '� iole compensatlon, wlll Co-tne.work,.anU tha sbucture Is not Intontletl __ or oHereE for sale. (SOctlon ]044, Busina55 antl Aofesslonz Cotiv: Tha SOLAR vIPING SVS. � ' - ' - �- - CoatrdGtOr's License� Law doe5 noLappty to an owner ot a property __ _ _ . __ wbo bulltls or improves Ih@rnon, antl whu Ooes such work himselt or ISSVE FEE ' ' "' - th�ough .his own umPloyeCi, provlCetl lhdt s�th ImprOvtm¢nts a�e nol Intentletl or otferetl for salc. �f, howeveq tna builtlin9 or improvement� MECHANICAL PLAN CHECK IS SOIE wi[hin an¢ y¢d� ot Cortlpl¢tion, th¢ Owner will have t�e bu�tlen 'ol proving he ditl no[ Uqiltl or improve for [he- pur0ose ot zale).- HEATING SVSTEM 0-300,000 BTU '�-17 as- owner of the -phdperty, �am exclusively �mntracting with� AND'DUCTING - � -- � � - � li<ensetl COntractors to ConsVuct the prolett (Section ]044, Busin¢ss IOO,OOO+BTU antl'ProfBsions-Cotle:'The'Contractor's License Law tloes not appry�to � y . an owner ot property who builtls or improves thereon, antl who ton- REFRIGERATION 0400,000 BTU � �rdtts f�om' zuch-0/ojects W{[h-a cont�aG�Or(5)-licesnetl -pwsuant to SVSTEM- ---- -. - 1he ConlydGtOr's.UcenSe LaW). 300,000 � BTU � ❑ I am ezempt untler Sectib'n� - � -'8: d �. C. for'tnis BOILERS BTV reawn - - ' - '- ' - " _ SVSTEM REPAIR,ALTERATION 1 �ereby COrINy Ihdt I_haw rCatl [his applicallon antl sta[e that tha abOve Inlormatlon is correct. 1 aqree �lo tomply with all city anE county- ortlinances antl.scato laws rel�tin9 to construction, antl hereby authorize lopr¢SBntative5 01 thi5 tlty (p enler upOn th¢ abov0 TCnlIo00tl prOOa��Y lo {n5p¢C`ipn•pUrpo es. Slgnatura /Ji"� OGtn.�7.C..-� ' . .pate��Z' y�� SVSTEM MULTIPLE Drivers' License or 55 qF � � - ' '- ' �SSUE FEE - -- - � � - CMF 0865-36 White-Builtling; Canary-Applicanq Pink-Accowting: Goldenrotl-Azussor . 2751: 3/02/82 II.00 TL • ;, A.P. 3. ' ' ZONE - � ' "' PING. REF. $ diSrPo�E'3'T'v' iir.iF . i 5�pF �nnv"_ . . . ' _" " ' ' " � R�IGHT - .. _ . _ _ _ , . REAR YARD (TO V/L) PKG.SPACE RE�.- ' -' - - PROVIOEO' 5T0.EET WIOTH ' 'PqRK FEE S, ' -ZONING'APPROVED.BV ' �- DATE - - SPECIAL CONDITIONSi � ' ' ' , ' . . . . __ . . ,. i " ' . "' . ' _ . . _ _ I . rECEC7RICAL - � Pcarv�cHECK - ,- - - � 5(]. FT. � C�_ FT_ � GENERATOR - 0-1 KW_ 1=30 HW ' ' •TRANSFORMER � AVPLIANCE - - 30-50 KW_50 � KW � � �- MOTOfiS� - - -0-1HP_140HP - � �,(INC.SOLAR). �O50HP_50�HP ' . �_ • �FIXTURES� -OU7LET5- -SWITCHES��- - �GAS TUBE SIGNS - �-• - - - � " ' ;POLEIIGHTS�� ""- -- • - . - ' � PANELS- MAIN SUB - �SERVICE - - - -- AMP-� � .- .. - . . ._" " - r ' ISSUE FEE - - � � � - APPLICATION APPROVED BK- ' ' DATE ��SUMMARV OF FEES -� � = :BUILDING _ _ . ' _ PERMIT § .,{SMIP�S ,E CLAN CHECK E PERMIT , � � '; PLUMBING E " �-' -�SSUANCE' E" � ' ' �GRAOING� �S' PLAN CNECK S - - " ' "' ' - j � •�,-' n , s EL'ECTRICHL'-5 ' - - �PLAN�CHECK E � MICROFILM 9 � i MECHANIGAL S ./ 00 �TOTAL FEE S r,�� . �� LESS Ad� , , i � PLAN�CHECK y VANCEPC $_ , ' .1 '. ' . , . // � FINALFEE S�/'�� „ � CONSTRUCTION AND�PLANNING � � POOL & SPA . APPROVALS Permit# ���`s� Date Inspecto� pppROVALS � Permit# •Date Inspector 1. Temporary Electrical Service or Poie 43. Pool �& Equipment Location - --• --- -� - Soi .. ipe-Undrgm - 44. Steel Reintorcement - -- � 3. Electri�l Conduit Utility-Undrgrn 45. Forms : • � . 4. Electrical Conduit-Undrgrn _ � 46.. Electrical Bonding _ , tee ein orce 47. Rough Plumbin' & Pressure Test- - � - 6. Electrical UFER G[n _ � " 48. APPROVA� TO COVER-GUNITE - - ---- - - - - -- . J. ..00tings . 49. Electrical ConduirUndr m � � " � ' " - -6. Foundation-- - - - - _ - - ' 50. Gas Pipe, � Undr rn, Test - � 9. -Water Pipe-Uodrgrn . � 51. Backwash Lines P-Tra ❑ ntli rn � �- - - - � 10.. Structural.Floor System � 52. APPROVAL TO DECK '-" "" -' � -- 11. Property Sewer.Une & House Connection: 53. -Backwash & Rece tor-Final �"� � • - 12. Street�5ewer_Connection �� ' � - 54. Heater & Vent-Final � 13. . Rough,plumbing, - - ' - - - 14. Rough ElectrioConduit ' '- ' - - - •56. � Electrical-Final �� � 15. RoughElectric-Wuing - - -- - - 57. SolarSystem-Final ' ' '� - ' - �� i 6. Rough-Heating & Air Conditioning - - - � - - 'S� �Y z- � encing & Access.Approval � � 17. Ductrin Structure - - APPROVED FOfi PLASTERING ' � � 18. Ducts, Ventilating- ' - ' ' ' . � _ . .. . 19. Gas Pipe-Rough &Test � • - ... 60. POOUSPASYSTEMS FINAL :' , � 20. Roof'Framing - � - -- � � � 21. Roof SheatFiin - . ' _ �. ' � - - . - . . . . _ � � � . 22. -Frameand Flashin � - -- .- _ NOTES: �� ' . '. � ' ' 23. Insulation - � - • �- � ' � 24. Lathing & Siding ' ' . . - - - -'- - - � - - 25. Drywall Nailing -- -, . - - . . . � ' . , . . J . . 26. Plaster grown Coat � � - ` � � � ' " 27. Electrical Power Meter-Final � • ' 28. Final Electric - ' � - ' � • 29. Final�Heating & Air Conditioning $�1$-$i 30. Final Gas Pipe-Test � - � � - � • � . 31. Final plumbing - - 32. Water Service-FinaF - � '33. Gas Service-Final= - - � � ' 34. $olar pomesticFinal ' � ' - �� ` ' ' � 35. Landsca e S rinklin S stem ' � - � � � ' � 36. Sound Attenuation - - - � � � " � � ' - 37. Handi�ap Regulations � � � - � � � � 36. FINALSTRUCTURE&BUILDING � � � 39. Special Requirements Completed � � 40. Electric Release to Edison � � 41. Gas Release to Southern California Gas Co. ' ' 42. CERTIFICATE OF OCCUPANCY �� - - No`. Date AGP�icant to fill in all spa< CITY OF COSTA MESA PE�q� iT No. CONSTRUCTION PERMIT /�'/"'a.SJ Project qddress q36 W. 18TH ST. . BLDG C� License No. AddresS Contraetor FlITl1RA FNFR6Y� PRODUCTS Phone wit�in �eavy bortler linas anE sign all aOPropriata tleelaratlons. � TRACT NO. LOT NO. BLDSi. NO� i�. i that I am Ilcanietl unCer provlzionz of Charter 9 uctlon 7000) o! DIvlSion 3 0( tne Bpslne5 ]e, and my _ Ilcense Is �/r�tull �orce .+nG � WORK�R$'COMPENSATION CLARATION • I hereby affirm Ihat I have a c Iticate ot consent to self-insurn or a certifira(e o('Workers' Compe atlon Insurance, or a certlfletl copy thereot (s� tlon 3800, D. C.). M�icy No t'WC.973IO�i Company FUTURA—MINT6N iN5 ertitletl copy Is hereby furnisnetl. .ertl{�BC copy is filetl with iho Uty BUIItlin9 Dlvlslon. EXEMP710N FROM WORKERS' COMPENSATION DECLARATION (ThiS 58�tIOn neetl not bG complBtptl I� lhB p¢rTit IS tor onC huntl�etl 55100Z qr less). Cert fy that )n the pertormance ot th¢ work tor wbiGh tb15 p¢rmit is Issuatl, I shall not empioy any person In any manner so as to become 5ubject to tha Workers' ComOensatlOn Laws ot Calitomla. Date Signature � NOTICE: If aftor making thls tleclaration, You shoultl bocome subject to the Workors' Compensation provislons of the Labor Codo, you musl forthwl(h comply wi[h SUCh provlSlani Or tnls permit sM1all be tleCTetl �BVOketl, CONSTRUCTION LENDING AGENCV 1 hereby aitirm tha( there is a construction lentling agency for the per- tormanCe ot tne work for which this Oermi[ is issuetl (5¢ttion 309] Civ. C.�, Lentle�'b Ndme �en0ar'; qtltlress OW NER BUILDER OECLARATION I hereby aflirm that I am exempt irom tno Contractor•t License I,.aw tor tha 1o11bwln9 rcason'(5ectian 7031.5 Business anA Prolesslons Coae: AnY Uly or county which requlres a permlt to construct, alter, Improve, Oemolislt ot repair any StruCW�e, prwr to i[s IssuanCC, also re- qui�CS [he dppllcant for suclt perTil to filC a sig0etl sldt¢mBnt thdt hC is licens¢tl pursuant [o t�e provisions of the Contractor's Licanse Law (Chapter 9(commencing.wi[M1 Seclion 7000) of Olvlslon 3 ot the Bu5I0G5; antl Prde55iOn5 COtle) or that he i5 ¢%Empt theretrOm antl th¢ basis tor the allegetl ezemption. Any violation of Section 7031.5 by a� •ppliwnt tor a Oermrt sub�¢Cts the appliwn[ to a Clvil penalty < : moro lhan five huntlretl tlollars (5500�. �L as ownor of the property, or my employeei with wages as lhelr TOIe �COrylpenSltiOn, will tlo Ihn wofk, antl tlla Structura is not Intnntled Or oltGretl IOr sale. ($eGtiOn 7044, Bu51na55 antl P'ofe55ions COEo: The ConVaC(or'S LlcenSe Ldw tloe5 nOt apply to an owner of a plopafty wbo builtls or improves fberoon, antl wh0 �oes sucb wOrk nims¢If or In[enoetl or ott¢r¢a tot Shce. 1�, noWev¢f, [ne oWla�ng of �mpravemenl is so�tl wi(hin one yearof complelion, the owner will hava cne burtlen ol prOVing be tlitl not builtl or improve 10r the pu�pose Of sale). ❑ I, ds Ownef of thC PfopOlty� aT e%CluSively conVd<ting wI[h Iicenseq �ontractors to consiruct the project (Section �044, Buslness antl Prq{essions Cotle: The Cont�actor's Llcense Law tloos not apply to an owner ol property who bulltls or improves thereon, antl who con- �lact5 I�OT such pYOf¢Ct5 wllh a COntfaclor(5) IlceSnBtl pulSuant to the Coqtractor's Ucense Law). ❑ I am exempt untler Section B. 8 P. C. lar this reason Oate • Owner 1 �er¢Dy �artity Ihat 1 have r<atl IhlS appliUtion a�tl sta[e tnat IpC dbov2 informdtion is mrrett. I ag ee to ompty wit� all city antl �punty orElnan�es antl sta e laws r¢la ing to onstruction, antl hereby aut�orize representaUyes 9f' fe�lq�fl� to a er upon tbe aGove �nenponetl TYPE OF CONSTRUCTION � NEW ❑ ADD ❑ ALTERATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ❑ OTHER DESCRIPTION OF WORK TVPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTVRAL ❑ TENANT ❑ ELECTRICAL OPLUMBING �MECHAI ❑ OTHER PROJECT DESCRIPTION SQ. FT. OCGUPANCV�CONSTRUCTION TVPE VALUATION ZONE GRADING CU. VOS. ACRES REMARKS: PLUMBING TOILETS' LAVATORIES KIT. SINKS SERVICE SINKS FLOOR SINKS DRINKING FOUNTHINS INTERCEPTORS WATER SERVICE Gq5 SERV ICE PLAN CHECK URINAl.S DOUBLELHVS DISHVJASHEFS $UMPS FLOOR DRAIN! CLARIFIERS P TRAP ALTERFTION OUTLETS BTU OUTPUT SEWERCONNECTIONS SOLARTANK COLLECTOR! SOLAR PIPING $VS. ISSUE FEE MECHANICAL PLAN CHECK HEATING SVS7EM 0-300,000 BTU_ ANDDUCTING �OO,OOO+BTU_ REFRIGERATION 0�100,000 B7U_ SVSTEM 100,000 * BTU_ BOILERS BTU SYSTEM REPAIR,ALTERATION EXHAU575YSTEM MULTIPIE Orivers' ense or 55�� � / � ISSUE FEE 3 QQ CMF 65-46 White-Builtling: Canary�AOPliwnt; Pink-Accounting; Goltlenrotl-Asxssor t . ' 2631 2/2f/82 7.00 TL' ZONING'REGULATIONS ' �� A.P, q� ZONE PLNTGp. gRUEF�. p$ � SET A� PROPE�RTYNLINE 1 YqRD R�IGHTQ REAR VARD (TO P/L) PKG. SPACE REQ, PROV IOED STREET WIOTH PARK FEE S ZONINGAPPROVEDBV DATE SPECIAL CONOITIONS: � ELECTRICAL ' � aLArv Ct+ECK I GENERATOR p_� KW_� 1-30 KW _ TRANSFORMER APPLIANCE 10-SOKW�SO+KW_ MOTORS 0-1 HP_1-10 HG _ (INC. SOLAR) 30-50 HP__50 +'HP _ FIXTURES OUTLETS SWITCHES GHS TUBE $IGNS ' POLE LIGHTS ' PANELS MAIN SVB SERVICE '- AMP� APPLICATION ApPROVED BV DATE SUMMARV OF FEES ., BVILDING PERMIT g SMIP $ PLAN CHECK E PERMIT ISSVANCE $� PLUMBING S PLANCHECK S GRADING b ELECTRICAL E s PIAN CHECK $ MICROFILM S MECHANICAL $ •OO TOTALFEE� PIAN CHECK S LE55 AD- VANCEPC E_ FINAL FEE E 7•OO CONSTHUCTION AND PLANNING POOL& SPR,� ' _ . • �- . , � ��,� Date inspector � . Date Inspector APPROVALS Permit # � � APPROVALS Permit # 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 48. APAROVAL TO CQVER-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 �ine & 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-Wiririg ' • 57. Solar System-Final ' 76. Rough Heating & Air Conditioning �-$ y • 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. Drywall Nailing � 26. Plaster Brown Cqat 27. Electrical Power Meter-Final � 29. Final Electric 29. Final Heating & Air Conditioning � � l- 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. FINALSTRUC7URE&BUILDING � 39. Special Requirements Completed 40. Electric Release to Edison � 41 . Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY • No Date � �� -. a'i�. .� , i JJ .1 .� - � i . � ` �1\ Y: ..r�� 1 � +, ' ' -- ` ADV���anl to /III In all s0aces witnln heavy porEer Iines antl sign all app�ap�iale tleclaration5. CiTY OF COSTA MESA' - aEamiT No. �TC,�yC,T�O. LOT N�. e�oc. �/ 9630 �I 2/ 1�7/BI 326�.�8 � 'e �ONSTRUCTION PERMIT Q � Y �� � Project Address ''� � � TVPE OF CONSTRUCTION . � � . _ . OWner / � JPhone 7'� �( ��NEW ❑ A�D ❑ ALTERATION - - - � - ' Add�els �p.iTQ S � ❑ REPAIR ❑ CONVERSION ❑DEMOLISH � . 9 0 -� � l 37'3FS ❑ OTHER ' A P � Z �ZONING REGUTATIONS Arch/En . License No. %� 7 AtldleSS Q >hv DESCRIPTION OF WORK . ZONE PLNG. 0.EF. �'L � (,�-�(�' Contrattor (�7.�p..r P�_ Phona TYPE OF VERMIT �- '�' U����. � ,�,/ SGTBAC Addre55 . ❑'GRADING �OUNDATION ✓«TRUCTURAL I VARD ,� - - � - � �LICENSED CONTRACSOR DECLARATION -[] TENANT Q ELECTRICAL OPLUMBHc OMECHANICH �i�„T ,,,._ _ o '" I hereby atflrm tltat I am Iicenseq untler provlilons ot Cnarter, 9.(com- , .� (_ i�� ,/ , mencing wit� sectlon 7000) of DlWsion 3 ot tha Buslness antl 10 OTHER - � REAR YARD (70.P/L) C C Professtons Cotle, antl my Ucense Is In (u❑ force and eirect. PROJECT DESCRIP.TION . �� '• • Lltense Class Ucense No. � - .- PKG. SPACE REQ. ''Zis PROV IOED ' - _SQ.FT: Date - Slgnature � " -' - � ' ZZq WORKERS' COMVENSATION DpCLARATION OCCVPANCV_CONST UCTION TYPE STREET WIDTH PARK FEE S - I hereby at(irm lltat I have a t¢rti(Icata of con5ent to selbinsurc or a VAWATION ZONE ZONING APPROVED B • DAT _ -certHiwte ot Workers' Compensation Insurance, or a certlllaO <opY � . lhereof (SetNon 3800, Lab. CJ. GRADING CU. VDS. ACRES SPECIAL CONDITIONS: ' � Policy No. - � -Cory�pany � ' - ' n CerUtietl.copy I5 hereby furnisq¢tl. . .. , REMARKS: � �" � . . p� � � :e�nnea coar is mea wlth the ��ty Builtling Division. ppOLli FOR SPECIAL REQUIREMENTS .EMPTION FROM WORKERS' �OMPENSATION DECLARATION ' -" ' (This mctton-neetl not be completetl if the permit is for one huntlretl _ . . . .. • � '- _ SE1001 or less). - -- - ' � . cerUty.that In Ih0 Perto�mance Of t�e wOrk to� whic� thi5 pe�mlt Is Issuetl, I Shall not employ any p@r50n in any mann¢r 50 as to become PLUMBING " PLAN CHECK ELECTRICAL' - - P�AN CHECK ' .subje[t ta the Workers' Compensation Laws of Ulifornia.'. _ ._ . , . , Date Signature BATFITU85 SHOWERS " ' - " - NOTICE: 1f aRnr making this tleClaration, you shoultl becomo subjoct '� 701LET5 � URINALS'" ' ' �' GENERATOR 0-1 KW_ 1-]0 KW to the Workers' Compensatlon prp�glons ot thu Labor Cotlo, you must ' TRANSFORMER forthwith complyiwltb su<h provlslons or this permlt 5hall be'tlecmetl LAVATORIES DOUBLE LAVS : � � APPLIANCE 30-50 KW_50+ KW rovoketl.. . • � _ . - - _ CONSTRUCTION LENDING AGENCV KIT. SINKS ' DISF(WASHERS __ ,� �� MOTORS - OQ HP_1-30 NP I ht/eby dffirm that th@ra IS a cohst�uttlOn IGntling ageOty fOr the pe�- $ERV ICE $INKS/ SVMPS "� � '��' UN0. SOIAR) 10-50 HP_�50•+ HP - � forman<e o/ the work tor which this permi[ is issu¢tl (Section 309� __ ' Qv. C.�.' " - - - '" ' - -' ' FLOOR SINItS � FLOOR DR01N5 - � - - � FIXTURES - OUTLETS " SWITCHES Lentlet's Name Lentler•z Aatlre55 � DRINKING FOUNTAINS- ' � � GASTVBESIGNS �� - - OWNER'BUILDERDECLARHTION '� ' ' -- INTERCEPTORS CLARIFIERS:. � � � ,��„t�•� � -POLE'L'IGHTS "' "- '" ' - 1 her¢by affirm [hat I am ezempt f�om the ConVactor'z Lic¢n50 Law �or tha following-reason (SecHon 7031.5 Business and� Professions Cotle: -SWIMMING POOL ' PTRAP- ' ' ' - � Any Uly or tounty whicb reQuiras a permit to conslruG[, alter, POLES METERED SUB Improve,'tlemolish or repair any structure;'prlor to its issuance, alio re- -yyATER�SERVICE ALTERATION -- ' PANELS ' MAtN' . SVB '- qulre5 th¢ apHliwn[ lor Suth perrtNt to f110 d SlgneC stalaTOn[ that he Is Ilcensetl-pursuanFto [ne provislons of tho ConVactorY License Lav+' GASSERV�CE - � OVTLETS ' ' SERVICE ' ' ' AMP ' (Chapter 9(<ommancing wit� $¢ctlon 7000) of Dlvizlon 3 of [he � 9usinesz antl Rdesslani Cotla) or [hat ne is eacmpt therefrom antl the � yyqTER HEATERS ' BTU OVTPUT' ' ' � � bails /ar the alle9ed ezemption. q�y �lolation of Se<tion 7031.5 by any applicant^far'a permit subjp�tn�the.appliwnt to a civll-panalty� -SEVJERCONNECTIONS " ' -' ' - - ' o' 'ot more than five huntlretl tlopars (5500). � as owner o( the property, br my employees with-wegei as thelr SOLAR TANK COLLECTORS� ' ' '-- -'-' - -� � 'ompen5dtion, will tlo tne wOrk, an0 thc sbuciure is not Intentletl or offere0 for wle. (Soctlon ]044, Business antl Professions Cotle: The SOLAR PIPING SVS. � � � - - ISSUE FEE- ' ' ConUactor's LJcense law. tloes �o[ apply. lo an ownar of a property .. _ -- -� - qppLICATtON APPROVED BV . DATE � who builds or improves [hereon, antl who tloes 5uch work �Imself or ISSUE FEE ' tnrouqh his own,employees, providetl [hat suc� improvements are not , intentletl or ofleretl for sale. I(, hpweveq lhe builtlin9 or improvemant MECHANICAL PLAN CHECK SUMMARV OF PEES i5 SOItl wil�in on0 y¢a� ol COmplOtion, tha ownet will have Ihe burtlen ol proving he tlid nol bulltl or -improve tor the purpose ol sale�. HEATING SVSTEM Od00,000 BTU PERMIT G y.3 aa. . SMIP S� 3 g ❑ I, es-owner o( the property; am axclusively conVacting wltlt -qND�UCTING � Ilcenietl COnlractor5 t0 conSlruGt tlte pro�Ott (SeCNon 7044, Buslness 100,000+BTV PLFNCHECK E PERMIT anC Professions Cotlo: �Tne Con[rector'S License Law tloes not applylo � - � - - ISSUANCE 5 ' an owner oi property who builtls or improvos thereon, antl who con- REFRIGERATION 0�100,000 BTU PLUMBING y traG[s ironY such proletts with �8 contrdGto�(5) �IlceSnBtl puRuanL lo -$VSTEM -� �-- _ GRADING S� � the Contractor's License Law). 300,000 + BTIN� ��'� �� ��, ��� PLAN CHECK S � . � '� I am exempPuntlei Section B: 6-P. C. for tnis BOILERS BTV � �' ELECTRICHL 5 � - "" ' E , rtason - ' ' - - ' ' PLAN CHECK 5 � - _ MICROFILM E ' SVSTEM REPAIR, ALTERATION Dale� Owner - _ TOTAL FEE E I �ereby certifythal I have reatl Ihis applicalion and state that tbe aDove EXHAUST SYSTEM MULTIPLE MECHAN�CHC E ' PLAN CHECK y LE55 AD �' intormation is correct. I agree to comply with all city antl county , - VANCE PC S_ O/tlinance5 a stala la �elatlng to con5lruclion dntl b¢reGy duthOriTe � . , � � rnp�es¢ntat' e5 of tlly lo ¢nter upOn e abOve mentionetl , ' propmly r n lon ur / d . , SI9naWr¢ �te� �V��__ - _ I _-_ . FINALFEE E 3�� Drivers' � � ' ISSUE-�FEE -- �' . . . - . . . . . . ' _ CMF 0865-46 Wnite-BWimng; �nary-ApPlicant; nnK-.�ac<ounun9: asoiaenroawssesso� _ GTY-OF COSTA MESA � ' CONSTRUCTION PERMIT Address lill in all sDaces witnin }MIT NO. - a-o 8b DorEer Iinef ana sign all aDo�opriate 0eelaratlon TRACT NO: LpT NO. BLDG.NO. �_� TVPE CONSTRUCTION Phon � �� EW' ❑ ADD ❑ ALTERFTION n ' O REPAIR O CONVERSION ❑DEMOLISH Litenu No. ❑ OT.HER DESCRIPTION OF WORK � v, . A.P. � ZONE 9696 12/17/81 '- wncracror , U , �� �. rnonep 7�� �ypE OF PEHMIT ' i � " - � ' AddfCss ^ SET AC T. d , ❑GRADtNG ❑ FOUNOAT�ION� OSTRVCTURAL 5! VARD LICENSED CONTRACTOq DECLARqTION .� � ❑ TENANT ❑ ELECTRICAL IHRLUMBING ❑MECHANIG `��IGHT 1 hereby aHirm lbat 1 am q�ensetl untler provislons of Charter 9(com- . � , , mBncin9 wiN secibn 7000) of Divi5lon 3�of the Buslness an0 �-OTHER � REAR VARD (TO P/L) -- Rofesslonz Cotle, an m�y Ilconse I�In full to rce e/ / PROJECT DESCRIPTION i Llcense GIyl�z L��/efy! o. � ��. ' �� , '' ' 7KG. SPACE RE�. 'i ��! % . I g 1 i ` � �IQ/�/_ . _ 54. FT. ' . �' . � �_ � �', Date 9naWr - . I�WORKERS' COMPENSATION� ECLAR ION. OCCUPAIVCV_CONSTRUCTION TVPE I hereby af/irm that I have a tertificata�,�f mnSeM to selNnsuro or a VALUATION ZONE �CGr[i6cate Of Wo�klr5' COmp<nsatlon dh5u�anca, or a-cerqflGO� cOPy tnereot (Sectlon 3800, Lab. CJ. /���/q�� T GRADING CU. VDS. ACRES _ Pollcy No. Company' � � � � ' � C fietl cOPY I5 h¢r¢by fu�NSh¢tl. .- REMARKS:.. •--- � ` . ertifleU copy is filea w�th Ihe <ity Builtling Division. EXEMPTION FROM WORKERS'COMPENSATION DECLARATION '-" (Thii 5¢<tion neeE_ no[ D¢ cOmpl¢t¢tl if [he plrTit iz to� one huntlretl _ _ _ ,�E100) or Iess1. Certify that ln tha perbrmance of the wark !or which tbis permit I5' IiSueG, 1 shall not emPloy any porson in any manner so as to becomn PLUMBING � PLAN CHECK - 5ubject to the Worker5 Corhpensation Laws oI Calitomia. ' Date Slgndture BATHTUBS SHOWERS NOTICE: If aftar makin9 thl5 tleclaration, you Shoultl become Subject TOI�ETS VRINALS ' ' to tne Workers' Compen5ation provisions of the Labor Cotle, you must - forthwlth comply wit� such provisions or tnis Oermit zhall ba tleemetl �VATORIES � DOUBLE LAVS ' ravoketl. � _._ KIT.SINKS - 'DISHWHSHERS CONSTRUCTION LENDING AGENCV I hereby aifirm lhat [nere I5 a constructlon lontling agency lor the perv SERVICESINKS. '.,l SUMPS' ' formance of [he work tor whic� lhit permit is Issuetl (Sectlon 3097 C��� C•�' ' ' ' FLOOR SINKS �� ' FLOOR DRAINS � Lentler's Name lentler's Atlaress � ORINKING FOVNTAINS f OWNER BUILDER OECLARATION INTERCEPTORS CLARIFIERS � I heroby atfi�m tbdt I am ekampt from tne ConVac[o�'s Liconye (aw �o� tha iollowin9�reason (Secqon 7031.5 Business antl Professions Cotle:- -SWIMMING POOL 'P TRAP ' Any tlty or munty wM�h roqWres a permit to cons[rucq alter, Improve, tlemolish or repair any itructure, prlor to its lssuance, also re• yyqTER SEFVICE ALTERATION " qulre5 lhe ap�.liwnt for suth permil to file a signetl statament t�at he is Iicenzea pursuant to tha provislons o1 the Contractor's Ucense-Law GAS SERV ICE OUTlETS � 1ChaDter 9(commencin9 wltn Settlon 7000) ot Division 3 of the �6usine55 antl PrdMsions Cotle) or that ne IS oxomPl tnere�rom anG�the �yyqTER HEATERS BTU OUTPUT basis for tne alle9ed exemp�lon. Any violation ot Settion 7031.5 by �• applitanF b� a pGrm�{ subjects [he applitant to a tivll penalty SEWER CONNECTIONS ''::.,iot more ihan five nuntlrea tlollars (5500). ,,'�;`.`�I, as ownor'of'the prnparty, or "my nmp�oyeos with wagos as thair ' SOLAR TANK ' COLLE TORS ' • s"tllc CompenSdHon,,wlll tlo (ho wo(k, dntl tne Struc[urn is not Inten0e0 _ or ofteretl for sale. (Sectlon 7044, Business antl Protesslons Cotle: The SOLAR PIPING SVS. Contrattor's Llcenze Law tloos not apply to an owner ol a property ._ _ who builtls or Improves t�ereon, antl who tloes such work hlmself or 'ISSVE FEE thfOu9h h15 Own efl�plOy¢Os, provltl¢tl tild[ Suth Improveml�ts afe nOt Intentletl or olleretl for sale. II, however, the builEing or imorovement MECHANICAL PLAN CHECK Is 5010 wlthin ona year Ot complelion, Ihe owncr will �ave tha burtlen o/ proving hu tlitl mt builtl or improve ior lhe purpo50 0l sala). HEATING SVSTEM 0-300,000 BTU ❑ I, as� ownar �o/ .tho proporty, am axclusively conVa�tin9 wi[h. qNDDVCTING Iicensetl cOnVatlors to conztruct the projOct (Soctlon ]044, Buslness 100,000+BTU antl Pro/M5ion5 Cotla: The �ont�attor's Ucoa50 law tlOei OOt apply to an owner of property wno builtls or improves thereon, anU who con- REFRIGERATION 0-300,000 BTU tracts (rom such Projects with a tontraclor(s) Iicesn¢tl pursuant to SVSTEM the ConVactor's IJcense L2w). 300,000 i BTU ❑'1 arn'exempfuntler'Sect�on ' B. 6 P. C. tor tnii BOILERS BTV reason Dale Owner SVSTEM0.EPAIR,AITERATION 1 hereby certifythat I h�ve reatl l�is app'fation an0 state that the above EXHAUST SVSTEM MULTIPLE �n�n.ma�inn Is correcl! I"an.�. m c�olv wilh all tltv antl ceun[v. �-. Signat ure or CMF 0865-46 7' � � �� �� � -ISSUEFEE- Canary-APP���nq Pink-Accounttn9: Goltlenrotl-Azzessor SPECIAL CONDIT ELECTRICAL 37000 Tl r - • IS , � ��1 PLNTGp. Rg�E/FL. p� PROPE�RTVNLINE � PROVIDED � -' - PARK FEE § : � DATE PLAN CHECK " F"RF1' GENERATOR Od KW=ddO KW _ TRANSFORMER APPLIANCE 10,50KW_SO+KW_ MOTORS 0�1 HP_1-30 HP _ (INC.SOLAR) . 30-SOHP_SO�+HP_ FIXTURES' OUTLETS SWITCHES GAS TUBE SIGNS --- � POLE LIGHTS ' ' PANELS SERVICE 'MAIN '� 508 " 'AMP APPLICATION APPROVED BV -� DATE - • SUMMARV OF FEES BUILOING PERMIT § SMIP § PLAN CHECK S PERMIT a� � ISSUANCE� 5 PLUMBING S._L[_ � PLANCHECK § ' GRADING, E EIECTRICAL 5 ' s PLANCHECK 'S MICROFILM E MECHANICAL" S TOTAL FEE E' PLAN CHECK 5 � �� ' LE55 AD- ''- VANCEPC S_ FINAL FEE S �%• CONSTRUCTION AND PLANNING POOL & SPA ' Date Inspector � - Date� Inspector' APPROVALS • n�:�:; r Permit # dg APPROVALS •� Permit # 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location • • - � --� Soi ipe-Un rgrn • J _ (_y 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 CAVER-GUNITE - - 7. ootings 49. Electrical Conduit•Undr rn 8. Foundation � 50. Gas Pi e, ❑ Undr rn; Test •• 9. WaterPipe-Undrgrn /Z' -4`l 51. BackwashLinesP-Tra ❑' ndrrn ' "` � � 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-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 FINAL � 20. Roof Framing - 21. Roof Sheathin - 22. .Frameand Flashin NOTES: ' 23. Insulation � -' 24. Lathing & Siding • - 25. Drywall Nailing -26. Plaster Brown Coat 27. Electrical Power MeterFinal � � � 28. Final Electric 29. Final Heating & Air Conditioning 30. Final Gas Pipe-Test � _� ' 31. Final Plumbing - - 32. Water Service-Final 33. Gas Service-Final � 34. Solar 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 � Aoo���ant to fill in all spaces within heavy Doraer lines an0 sign all approv��ate eeclarations. `GTY OF COSTA MESA � PERMIT NO. TRACT NO. LOT NO. BLDG. NO. - ' ' - CONSTRUCTION PERMIT oZ C- / , . ' '. � , . 'ProjectAddress C (�%• �S��h•- S7• �' TYPEOFCONSTRUCTION � O3I4 6/t�9�82 �Q.�d T�� .OWner �Q� d K Phone - 7. )Q ❑ NEW ❑ ADD � ALTERATION - - � - • � - ', . • AddrCa /s'3 Z GA Co ' L oAi �/�.J-�% � REPAIR ❑ CONVERSION ❑DEMOLISH „ -� �Arch/Eng. � - � � LicenseNo. •- ❑ OTHER � � -� - ; P ZONING REGULATIONS . _ � . DESCRIPTION'OF WORK A' � Addr255 - ` ' - � � - ' �' _ � - �� ZONE PLNG. REF. � , � ContracCor .�: �G'L/j�..,Cp• /�(�. Phone Z-J2G TYPEOPPERMIT� ,� � - - B D - �'�BPI�I��c�- -- . ' SETBACKC LST. O INE • I iAddre55 � (Z�GpT�/q2D� . � :. . .O,GRADING ,❑ FOUNDATION "OSTRUCTURAC-- ' SID�VARD � , . LICENSED CONTRACTOR-DEGLARATION� - -- - � - - OTENANT'0 ELECTRICAL�I'_VMBING ❑MECHANICA �E �� ��� - I hereDy afFlrm Ih�t� I am Iitensetl untler provl5ion5 of Charter 9�(com- :. R�IGNTA �� men<in9 with section"7000)- o/ Divlsion 3'of the Businesz antl � ��OTHER ' �-- - -- - Proteszions Cotle dnG my Iicense �s In full forca antl effect - I' • �REAR YARD (TO P/L) .'v d � � �J PROJECTDESCRIPTION - - � - - .� Llcense Cla� � �%�� L�I e�n�5e .N/o ? P 6 5 ^�R� C/ �� , . � �! � PKG. SPACE RE�. ��PROV IDED i Date ��Z P � Z' -" 5�9 at �G3=C.G4•�"^-�� 5o. FT ._ . . . - " ' ' _ . ' , ' WORKERS"COMPENSATION DECLARATION � - � � - ' �CCUPANCY'_CONSTRUCSION TV.PE ��STREET WIDTH ,PARK FEE E• - I n e r e b y a(fir m that I have a tertiticate o( consent to self-Insure or.a . V A � U A T I O N � 2 0 N E 'ZONING APPROVED BY �; �- DATE iertificate'o/' Workers' Compensatlon Insurance, or -a� certifietl copy � � � . - - - � � � �� tnereot (Section 3800, Lab. CJ. ! ,.GRADING CU:�VDS. ACRES SPECIAL CONDITIONS: � �� . -,y No. � � ComPanY � �/1�/- �a'�/Q.'1! . " ' ' ' " ' . . . ;rtifietl Copy is �ereby furniShaE.- - - � - ' REMARKS:"' '�' ` -- � - -c._ Jertlfi0tl copy is �Iletl witn the Ci(y Builtling Division. � Z O S p-�` � , _ EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - � � - ZO - - � -' (This SeCtion neetl.not be.cOmpletetl it tha p¢rTit is tor one hundretl . . . ,. _. _ � ._ _.� . . _ . .. _ ., _ . . __- . ' __ ' 7_ _ , �� _. _ SS100) or less). 1 , .. . r -. ..- - . certify that.in tha per(ormance of the work /or which this permit is . . . ISsuetl, 1 Sltall not emoloy any p¢/Son In any manne� so as'to'become :,PLUMBINGi -a• � PLAN CHECK � ELECTRICAL PLAN CHECK SUbjeci to tho Work¢rs' CATpensatlon LawS of_Cdlifornid. - _ . - - � � � �- . _ , _.. .. . Date � 519nature � BATHTUBS SHOWERS j �, NOTICE: I( af[er making this tleclaration, you shoultl become'subject' -TOIbETS�.,> ;G ,URINALS � - GENERATOR -'Q.1 KW_1-10 KW lo the Workers' Compensatlon provlsions of the I�bor Cotlo, you must - � � - _ TRANSFORMER - _ ; forthwith comply witn such provlslons or this permit shall be tleemetl LAVATORIES OOUBLE�LAVS" . �APPLIANCE 10-50 KW_50'+ KW �evOk¢tl. _ _ _ " ' __" ' ' _ " __ ' ' -_ _ _ _ ' ' " ' "_ _ - , _ I CONSTRUCTION LENOING AGENCV - KIT. SINKS DISHWASHERS { MOTORS 0-1 FiP_140 HP� _ . � I hereby aftirm that t�ere is a construction lentlin9 agency tor the perv SERVICE SINKS , � �'SUMVS � " " "- ' ONGSOLAR) �-30-50'HP=- 50 +'HP-'^ -- � lormanG¢ of the work (or whith [his permit is issuetl (Section 309] � Civ. CJ. ' " " _' "'' _' ' . . . ' ' _ _ _ ' _ " _ :�. . ' ' " '_ FLOOR SINKS FLOOR DRAINS � � ' + � ;FIXTURES OUTLETS ' SWITCHES 1 -�� � Ledtler's Name � LentleYs Atltlress DRINI(ING FOUNTAINS �� �GAS TUBE SIGNS"' ' - -- ' .4 ' . - ' OWNER BUILDER'DECLARATION� � - � � - INTERCEPTORS CLARIFIERS � POLE�LIGHTS � � � - - � I hereby affirm that I am exempt irom the Contractor'S Litense Law for u.' the following'reason (Settion ]031.5 Business antl Protesslons Cotle: "SWIMMING POOL PTRAP � � � ' � ' "' ' " -�- ' . ' Any city or munty whlch requlres a permit to construc[, alter, POLES METERED SUB , improve; tlemolBhbr'repair any ztructure, prior to its'issuance,also're- yyp7ER SERVICE ALTERnTION 1� � -PANELS -�- MAIN � SUB- � qWres th¢ ap411�nt fOr zuGh pCrmit to file a Si9netl stdtement tha[ he is"li<ensea"pursuan[ to the provislons of the'Contractor'S Licenze Law �GAS SERV ICE OUT,LETS � SERVICE -- - ` -- AMP - ' (Chapter 9(commencin9 with Sattion 7000) of �ivision 3 ot the i, Busine55 antl F'We55Ion5 Cotle) or'thaYhe I5 axempt therelrom antl tbe yyqTER HEATERS -- BTU'OUTPUT �� -� '- ' '' ' ' q��;�*_,for lhe allegetl�exemption. Any viola[ion of SecHon ]031.5 by ' � ��' � �. ,,,ppliwnt for a p¢rmit'SubjeGts [he'applicant to a clvil penalty SEWER CONNECTIONS � �'i- . � � � � - , ' -' " � 'tt mora lhan five huntlred tlollars ($500). ��- ' (� i,�as owner oi tne property, or my employees wi[h wages as their SOLARYAIVK ' COLLECTORS � � ' ' ' �"-' '"� ; sOle compensation, will Co.the.wo�k,.antl th¢ st�ucture is nol intentlttl. , Or offeretl for sale. (Section ]044, Bu5ine55 antl Profe5510n5 Cotle: The SOLAR PIPING SYS. ' � � ISSUE FEE � ' �' � ' �'� Contractor's �icense Law-tloez no[ apply to an owner of a property qppCICATION'APPROVED BV"- � wh0 builtls or improves the�eon, antl who tlOes such work him5elf Or ISSVE FEE � � �. ' DATE throU9h hi5 own.employees, provitletl that 5uch.Impwvement5 are not IntenGeG or offeretl (or sale. If, however, tbe builtlin9 or improvement MECHANICAL PLAN CNECK B zoltl.within one year ot completion, the owner,will havelne burtlen . SUMMARV OF FEES�. , , _{: of proving he tlitl not builtl or improve lor the purpose af sale�. HEATING SVSTEM Od00_000 BTU � �BVILDING - - ' - ' � ❑'I;-as owner of [he property,-am exclu5ively mntracting with AND DUCTING'� - -' � - . �PERMIT _ . § _ ��SMIPJ _ S 1 Iicensetl contractors to const�u<t the projett (Sec[ion ]044, Businesz 100,000�+BTU ! PLAN CHECK E �PERMIT \� � " '� antl PrOt¢zslon5'Cotle: The'Gont�actor's License�L•dw tlo¢5 potapply'to ' ' -- ��., � - ISSVANCE �E ' � an owner oi property who builtls or improves lhereon, antl who con- REFRIGERATION 0-100,000 BTU � �PLUMBING S� . � - ' [racts from-such^pro�ect5 with a-contractor(s) licesnetl pursuant [o SVSTEM`- � - �' � - - ' --'� -- - � fGRADING� S the ConVattor's License Law). 100,000 + BTU � �PLAN CHECK E' ' � , . � � I am exempt untler Section � - B.�& P. C. tor lfiis �ELECTRICAL � ,E � BOILE0.5 BTU� � 3 '. _' v reason - ' PLANCHECK § - - fNICROFILME�� �" SVSTEM REPAIR, ALTERATION (�. Date - Ownar . _ .'TOTAL FEE E' ' I hereby certl/ythaf 1 have reatl tbis appliwtion antl state tha[ [he above EXHAUST SYSTEM MULTIPLE MECHANICAC E-, informatlon is correct. 1 a ree to com I wi[h all cit antl county PLAN CHECK' S � LESS AD- _ �_ 9 PY Y VANCEPC S_ orGinances an0 state laws relatlng to constructlon, antl hereby au[horize . ' , , , ropre5entative5 of thi5 city f0 ¢n[er upon the abOve mentionetl �� � " ' property tor ins tl pur�__. . .' . /� 519�ature �/�J•'•'.�'�� Date� " " .i . . .. FINALFEE 8�[.� Drivers' License or 55 � .��:� � i55V E FEE • - - CMF 0865-46 White-Builtling; Unary-Applicant; Pink-Actoun[ing; Goltlenrotl-Aszessor CONSTRUCTION AND PLANNING - � POOL,& SPA � � � APPROVALS .�, Permit# tPyo�tq Date _-Inspector pppROVALS� .. �Permit# + Date lnspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - - - 2. Soi ipe-Undrgrm �'.- _ 44. Steel Reinforcement � - � 3. Electrical Conduit Utility-Undrgrn 45. Forms . " 4. Electrical Conduit-Undrgrn � 46. Electrical Bonding �- � � . tee em orce .- . . 47. Rougfi Plumbin '& Piessure Test ' ' 6. Electrical UFER Grn ' _ 48. APPROVALTO COVER-GUNITE- � '� ' 7. ootings ' ' � 49. 'ElectricalConduit-Undr m� � � � � � � � �- 8. Foundation • � � � � - 50. , Gas-Pipe,..❑ Undr rn, Test �• � � � � � � � 9� Water.Pipe-Undrgrn � 51. Backwash Cines P-Tra •-❑ ndr rn � -- � 10. Structural Floor Sy;tem � � � . 52. APPROVAL TO.DECK - - -� ' - - ' � �- • � 11. Property Sewer �ine & House Connection •' ' 53. Backwash & Rece tor-Final • � - - 12. Street Sewer Connection � " � "' � 54. Heater & Vent•Final � � � - 13. Rough Plumbing - � - - • - ' - - ' - - 14. Rough ElectricConduit -- - - � �56. Electrical-Final - � - � 15. Rough Electric-Wiring - ' -- � � -- - 57. Solar SYstem-Final . � ' - ' ' - ' �� � � 16. . Rough Heating & Air Conditioning - � • encing & Access Approval .. - , .. 17. Ducts, in StructuFe �• �' � APPROVED FOR PLASTERING ' � 18. Ducts, Ventilating � � , , 19. Gas Pipe•Rough & Test ' 60. POOL/SPA SYSTEMS F INAL , - 20. Roof Framing � � � ' ' ' i ' � � ' • ' '- � � � . 21. Roof Sheathin ' . � � . ' , - . - 22. Frame and Flashin " " �NOTES: � � � , ' - 23. Insulation - � ' ' � ' � . 24. Lathing & Siding " ' - � ' ' ; 25, Drywall Nailing � " ' ' " 26, _ Plaster 6rown Coat ' ' � � � - 27, Electrical Power Meter-Final ' ' � � ' - � • 28, Final Electric' � ' � � � 29, Final Heating & Air Conditioning ' � - ' 30. Final Gas.Pipe-Test � ' - ' � � 31. Final Plumbing_ _ ' ' ' 32. Water�Service-Final ' - " ' ' 33, Gas Service-Final � ' � ' � ' � 34. Solar pomesticFinal " � � ' ' ' ' ' �� 35. 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 Gai Co. ' 42. CERTIFICATE OF OCCUPANCY . . No Date , . � � � . � � ' _ _ � . . . � �� . COSTA MESA BUILDING—SAFETY DEPARTMENT P.O. BOX 1200 Coata Mesa, Calitornia Address 5290 E. H� c��y ANAHEIM Statc LiCense No. Ciry License No. N0. ITEM FqU, Wall, or Grav. � Furn. Incl. Ducts and � ., Vents __ ___ __ ent (if not incl. � ispended Heatei Iter or Replace ApplianCe ver T6�o� ges piPinq �ILERSOR COMPRESSOI 3 H.P. or lass Over 3 F�. .�to enti Check ��pection Fee Sub-Tota1 Pmcessing Fee TOTALFEES CMF 0449d6 2ipCoac `1L25V / c�ass. r.�n Tel. No. _ � EACH FEES r 2543 2/25/82 7.00 TL=. �I��'//� �� �� M0. � i • � ,BUILDING USE BUILOING �OORE55 COSTR MES�,CALI OWNER RROOKS CO � ION ADDRESS�S�� ��{I''OMA��/ f iy. cirv �' � " TE�. "0 42-0432 �� 1 ���. �7 r " I hereby ecknowledgt [hat I heve read this eOP��wtion and'ste[e,that the above is correct and agrtt to comply � -witFi all'�City Ordinances end State Laws regulating Heat- � \ �V• �mg; Ventilating, Refrigerution and Air-Conditioning. � 1� 1 cenity thet 1 possess the above valid $tate of CaliF omie clessificntion or [ em tht legal owner o( lhe singlt femily residentiel property described above. $igna[urc of , CA _ Pertnittee ��� REAIARKS: �/� � _ /n � Ducts Underground Ducts in Stmc[ure Ducts Vrntila[ing '.� Heating — Rough ,3 � Hoods Refrigera[ion Lincs Prossure Test Air-Cond. Finel Ventilating Final Heating Finel i Refrigeration Final Final Gas Test Utility Co. Notified BLDG. PERMIT NO. _,� o s k r -� AVo���ant to till in a11 sDaces within neavy Dortler lines antl zign a1l approoriate tleclantions. � CITY OF COSTA MESA � PeanaiT No. � TRACT NO. LOT NO. BhDG. NO. � �' ' - - • 'CONSTRUCTION PERMIT (, " Z 0315 6/29/82� �� 10.00 ' Project Address ( � � (�, . � T TVPE OP CONSTRUCTION � ' ^ " , ' OWn¢r . � � � PhOne _ Z� ❑ NE`N . � AOD ❑ ALTERATION ' ' - - . Address 'L Lf% Osq MON /�i ❑ REPAIR ❑ CONVERSION ❑DEMOUSH � � �� � Arch/Eng, i' - ' License'No. O O7i-ifla ' � ZONING REGULATIONS,� � Addf255 - � - � - � -- � "' ' • - DESCRIPTION OF WORK A'P' # ' ZONE �P�.NG. REF. $ � Contracior � . G/� �. O. /� . Pfione =' Z .TVP.EOF PERMIT � - , - - - � To - ' Address ] ( 2•.,,07 p C7� ,. - -, . .-,- ❑ GRADING .- ❑ FOUNDATION ❑ STRUCTURAL SIDE VARD PROPER�PVNUNE� 't 1 UCENSED'CONTRACTOR DECLARATION ' - - ❑ TENANT ❑ ELECTRICAL-�PLUMBING ❑MECHANICA 5EDF . - � _ I hereby aftirm that I am Iicensetl untler provisloni o! Charter 9(com-' � • , � R�IGHTA � I mencing with secHon 7000)"oftDiviSion"'3 ot tne Buslne55 antl �OTHER'� '- - - -- . . . Rofesslons Code, a tl my Iicenta Is in full force antl effect.� � - ' ' REARVARD(TOP/L) , Llcense Class PROJECTDESCRIPSION � __ ,_ . C��� Licer�efJo 6'rP � �I. ", �....- . . ' . . . .- ^ ' � PKG. SPACE RE�. . PROVIDED, - � �� i �� y ^ - SQ. FT. _ ' Date�"S S/L 519nature fG iL7t//u= �� ' . .� _ . ... .. - . . . " _ _' WORKERS'"COMPENSpTIONDECLARATION-�- - ^ ' .•{•� STREETWIDTH PiiRKFEE�S�-;.,.r;, � � OCCVPANGY_CONSTRVCTION_T_YPE . A hereb affirm that I have a certiflcate ot consent to selHnsure ur a � 'ZONING APPROVED BY , -- � DATE � ' � ce7tificate of Workers' Compensatlon Insurance, or'a certifletl copy VALUATION � ZONE, _ i �n � ." i tnoreof (Sectlon 3800, �b. C.)_ 1 ..GRADIfVG CUL V�5_ ACRES SPECIAL CONDITIONS: �� �-. '.ry No. ComPanY �/V/ �i'�-/1`-�! " " " ' " ' " _ _. _ . "_" ' . _ _ _ ¢rtlfietl copy IS hGreby fumishetl'. --- - -- � - '� REMARKS: - - S� . ._- . � w-C4rtifietl cOpy I5 (ileE with the clty Builtlin9 DivlSiOn. � Z - . .. � - � EXEMPTION FROM WORKEf25' COMPENSATION DECLARATIOIJ� -� ZO �� � — - ' ' " ' - - ' � I)This section•neetl not be completatl if the.permit I5 for one.nuntlretl .. -_ . _ _� _, �'� � ' : • " , -,�� �! � 1$3001 OI I¢55�. I I / • J � . ��_ .. . _ "'__ _ _ _ � tert(fy that- n�the performance�of the work tor which this permit is _ _ _ ( Issuatl, I shall not emp�oy any perion in any mannar so az to"become PLUMBWG( ' _ ��"PLAN CHECK � �ELECTRICAL� - PLAN CHECK.- � �,- �- Subjlct to�the WorkBrs' COmpensatlon LawS ot.Ulifornla. . �. ' Date Slgnature � BATHTUBS SHOWERS ' ' ' ' ' ' NOTICE: If after rtiakl�9 this tleclxration, you shoultl become zubject TOI�ETS' . 1, "URINA�S� � - ' GENERATOR' OQ KW_ 1-10 KW to the Workers' CompBnsatlon provlslons ot the labor Code, you must - � .TRANSFORMER - .�[".l for[hwith compty �ith such provi5ion5 or Ihis permi[ snall be tleemetl LAVATORIES DOUB�E LAVS �� - "' APPGANCE ' 10=50 KW_50+KW ' ---' - revoketl:•._. _ . . _ - . . " ' _ _ " _ - - �. f CONSTRUCTION LENOING HGENCV KIT. S�IVKS DISHWASHERS - - 'MOTORS" ' "p-1"HP_1=10'HP " . � � I ne�eby affl�m that [her¢ is a conit�uttlon lentling agency tor the per- ' -�- -- ��1NC.-SOLAR)- "t y_ _ � tormance of the work ior which Ihls_permit is fssuetl (Sectbn 309] SERVICESINKS � SVMPS 10-50 HP'_-SO�+HP � -� Civ. CJ. � FLOOR SINKS FLOOR DRAINS F�XTURES'�---OUTLETS - SWITCFIES' - Lentler'S Name Lentler's AAtlress DRINKING FOUNTAINS � �- �' '" � ' GASTVBESIGNS""`"' - ' '� ,-� - OWNER BUILDER DECLARATION - ���- WTERCEPTORS CLARIFIERS �POLE'LIGHTS I her¢by_a((irm ina[ I af� ezempt trom the Contracmr'S License L.aw for �. �� ii � tha followinq reason (Se�tion 7031.5 Business antl �P�ofessions Cotle: $WIMMING POOL � �P TRAP ` " ' i "" -' -- � - - �{ Any_.ciry or_county whic� requlres a permit to cons[ruct, aller, � POLES METERED SUB �.� ,v Improve, tlemolish or repair any strut[ure, prior ro its Issuance,alsb re- yyqTER SERVICE ALTERATIOIV �� - ,PANELS �'' MAIN -- SUB ' ' �" ' qW�¢5 th¢ ap�.liGant toY such pe�mlt to file a Signed statement thaf he c. Is Ilcensetl pursuant2o the provisions oYthe Contractor'S License L:Sw' GASSERVICE OUTLETS � SERVICE' '""' " � -- (Chapter_ 9(commentin9 with Settion 7000) of Division 3 of [he AMP BoSin¢55 antl Profe55io05 Cotle) Or Ihat he izexempt Ihe�¢trOrtl antl the yyqTER HEATERS BTU OUTPVT - �� - - � � ' , -"'-- -- for the allegetl.e%emption. Any violation oi Sec[lon ]031.5 by pplicant for a pErmit sub�ectz the applitdnt to a clvil penalty $EWERCONNECTION$ � � "' -" ' '-"' ' - - - i [ more than live nuntlretl tlollars, ($500). •' � . �. L„ as owner of the Property, or my employees with wages as their � SOLAR TANK COLLECTOR& � "- "� "' "' ^ " '-- -- ^- � sole�compensatlon, will�tlo lhe work, antl [hestructure is not Intentletl . � " �� `� �' � or ofteretl Por wle. (Se[tion ]044, Business antl Ao�essions Cotle: The SOLAR VIPING SVS. I' � ISSVE FEE -' — -�' '- ' ''- Contrattor's-License� l2w tloes not apply-to an owner ot a property. --- �qPPLICATION APPROVED BY who builtls or improves thereon, antl who tloes sucb work himself or ISSVE FEE "- ' OATE - [hrough-his•owmemplOY¢e5, provitlotl thdt such improvemenl5 a�e-noL. - � in[entletl or ofleretl tor sale. If, howeveq the builtlin9 or improvemen[ MECHANICAL PLAN CHECK -��� Is soltl�withln ono �year ot completian, the owner wlll have the burtlen . SUMMARV OF,FEES,-, � oi prOving he tlitl no� builtl o� Improve for the Purpose ot Sale). ' BUICOING'-" - ''"--- -- -- - HEAT�NG SYSTEM 0-100,000 BTU pERM1T ' ❑ I, as owner of-tpe'property, am exclusivery contracting with qNDOUCTING- ' �� ' -' ' ' - � - . a. _ . - ,. 'SMIP,_�. � E �• _ Iicensetl tontractors to cons[ruct the project (Sectlon ]044, Busine55 100,000,� BTU PLAN CHECK E PERMIT "� , �� antl Professions Cotle: T�e Contractor's License Law tloes not apPry to - - - � -- � - � ISSUANCE S�-- an owner of property who builtl5 or ImOroveS theraon, antl who con- REFRIGERATION 0-100,000 BTV �P�UMBING E ��� � � . tracti from suth profetts'with a ton[racfor(s) Ilcesnetl pursuant to SVSTEM' - ' " •- - ^ � - �---� - - GRAOING -E - � Ihe Contractor's License Law). 100,000 + gTU PLAN CHECK IE ' �, . , _' .:it ❑ 1 am ex¢mpt untler 5ection 8. & P. C. for thii - - � -� 5 - BOILERS BTU ELECTRICAL f .. -, , ��, reason� - -- - _ MICROFILM E SVSTEM REPAIR,ALTERATION �PLANCHECK E � Date - "' �- Owner- - - " - � - - � _ � � TOTAL FEE E I.hereby.certifythat I.nB�e reatl.[his application antl sta[e thatthe above EXHAUST SVSTEM MVITIPLE � ' MECHANICAL § ; � LE55'AD- � � information i5 correct. I agree [o compry with all city antl County - PLAN'CHECK E VANCE PC $_ �- � � o�tllnances.antl state.laWs relating to const�uction, an0 h¢reby aUtho�iie � . .. rOpreSentative5 of thi4 clty to anter upon th0 above mGOtion¢tl � '� � - property for_ I tlon osei. . / L Z _ FINAL FEE S /� Signature ,�� ��-� Da�e �/ y � . . ISSUE FEE " - DrWers' LicenSe or 55 � /✓� � � " � CMF0865-46 White-BWltlmg;Gnary-Applicanl;YinK-f�Ccountln9:GOltlenroO-/assessor � r: -� CONSTRUCTION AND PLANNING . POOL & SPA .^ , _._�. � °' � � � d J7 p Date Inspector ' Date Inspector APPROVALS Permit # n APPROVALS - � Permit # � 1. Temporery Electrical Service or Pole . 43. Pool & Equipment Location -- -� -- _ Soi ipe-Undrgrn - � - "- 44. Steel Reinforcement -- � - _3.� Electrical Conduit Utility-Undrgrn ' 45. Forms - ' ' 4. . Electrical Conduit=Undrgrn 46. Electrical Bonding ' . tee ein orce . ',,, 47. Rou h Plu'mbin & Pressure Test � 6. Electrical UFER Grn " 46. APPROVALTO COVER-GUNITE . • 7. Footings ' ' - - ' ' 49. Electrical Conduit-Undr rn � - _ 8. _Foundation � ' - 50. Gas Pipe, ❑ Undr rnj Test . � � � ` � __ 9., Water Pipe-Undrgrn �' 51. 8ackwash Lines P-Tra - �� ridr rn � 10. Structural Floor System ' 52. APPROVAL TO DECK -- - --- - - � .11. Property Sewer Line & House Connection- ' ' 53. Backwash &�Rece torFinal � �� ��� � 12. _Street Sewer Connection _ __ ' ' ' ' ' - 54. Heater & Vent-Final ` � � �� � 13. Rough Plumbin9 . . . - - - - - - - - - -- - - - � - -- � 74. Rough ElectricConduit �-- - - � 56. Electrical-Final 15. RoughElectric-Wiring -- ----�-' ' � - � - � - 57. SolarSYstem-Final • •• r'- � `�� � � • �• � 16.- Rough Heating & Air Conditioning - • encing & Access Approval . 1 � 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: . � • 23. Insulation -. � ' ' � ' ' 24. - lathing & Siding ' ' " � � � � 25. .Drywall Nailing ' � � � � � ' ' ' - 26. - Plaster Brown Coat ` � � ' � ' � 27. Electrical Power MeterFinal' �' ' - ' ' ' � 28. Final Electric ' � ' 29. -Final Heating & Air Conditioning . � ' - � - � ' 30. Final Ga5 Pipe-Test - ' ' ' � 31. Final'Plumbing I ' ' - � � � 32. Water Service-Final.__ ' • •� - � � � ' � � � ' 33. - Gas Service-Final � � � � � � , 34. Solar pomestio-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 - - _ .. - - - . ' ' _ . . : . ,-♦ Appltcant lo fill in all spacai wilhin heavy CorOer lines antl sign all aOG�opriate Caclarations. 1 CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT O. / BLDG. NO. �CONSTRUCTION PERMIT O ' "I Z4i - A� Project Address � i g ' � OF CONSTRUCTION OwnCt � ' PhOna'%�j � NEW ❑ ADD ❑ ALTERATION '�Address - 4� ❑REPAIR ❑CONVERSION ❑DEMOLISH - ArchfEng. �� � �p. License No.'f J' g'/ ❑ OTHER ��� N �7 � �� 7 DESCRIPTION OF WORK Contractor � �,y,�P��� Phona 7VPE OF.PERMIT(�/ � ��� ,4ddIe55 � ❑ GRADING �YFOUNOATION ]lSTF LICENSED CONTRACTOR DECLARATION �\ �` ❑ TENANT ❑ ELECTRICAL OPLUMeiNc I hCraby atflrm that 1 dm Iicen58tl Un08r prOvisloni ol Cherter 9(com- • ' � i 'mencln9 with sec[lo� ]000) of DIVISIon 3 of tne Builneis antl �� OTMER Rotessions Cotla, and my`�Icense is In fuu forca antl effect. PR��ECTDESCRIPTION . ��' Llcense Class � Licenic No. , - - ' SQ. FT. ' Date S�9�xtura � WORKERS'COMPENSATION�DECLARATION� OCCUPANCV' CONST CTIONTVPE I hereby aftirm that I have a certi/l<ate o( consent to self-Insura or a� VHLUATION ZONE 'certilirate oi'Worker9' Compensatlon Insumnce,�or a ttrtifietl copy ,� tnereof (Section 3800, �a0. C.). GRADING CU. �'O5. ACRES _ "oliCy No. COTPany - � - Certifletl�copy is heYeby furnis�etl. - - � REMARKS:- � •� C¢rtifletl cOpy Is tiletl with ihe city Builtlin9 OiviSiOn. EXEMVTION FHOM WORKERS' COMPENSATION DECLARATION - (This�section neatl no[.be completed i( the permit is.for one huntlretl . ... (y300� or lessl. � � - � � � -1 Certlfy that in.[he performance oLtha work for which this permit ii _ Issuetl, I shall nOt emp�0y any person in any manner 50 as to become PLUMBING ' '! PLAN CHECK SubjeGt t0 th! WOIkBIS.(pmpenSdUon LawS ot CalitO(nia.. ... . Date Si9na[ure� BATHTUBS SHOWERS NOTICE: If aftar making Ihis tleclaration, you snoultl become subjact TOILETS ,', �� � URINA�S � to the Workers' Compensatlon provisions ot the Labor Coae, you must �VATORIES DOVBIE LAVS forlhwl[h comply wit� Such prOvislon5 or this perTit Shall b< DeemeC � . �BVOkeC. - ._ . .. . " ' _ _ I CONST0.UCTION LENDING AGENCV KIT.SINKS DISHWASHERS � 1 hereby affirm lhat there Is a constructfon lending agenty for Che per- SERVICE SINKS' � SUMPS�v, - p� formance of thn work lor wnic� thls permit is issuetl (Sectlon 309] — - 'CIv.C.). -' � ' - � - � FLOORSINKS FLOOR�f�RAINS., ,�anGer's NamO , _ Lentler•s Atltlras DRINKING�FOl1NTAINS �;� y � _ �. � OWNER BUILDER OECLARATION "--- - - INTERCEPTORS CLARIFIERS I I haroby aftirm thac I dm exempt trom tne Coniractor's Ucenie lsw for - - lho'tollowing reason (5p�tlon ]031.5 Bu5ine55 antl Profnsslons COGe:' SWIMMING POOL Any city Or counly which reqWteS a p¢rmit lo cOnSlruGt, alter, improve, tlemdlish or repair any structure, prior to Its Issuante, also re- pyqTER SERV ICE qWreS [he ap{.li�nl far such 0¢rTil ro Iile a Signetl StdtGm¢nl Ibal h@ 'Is Iiconsetl pursuant lo the provtsion5 of the Contra�tor's License"Law GAS SERV ICE (Chapter 9(commanting with Section J000) ol pivislon 3 0l the Business an0 Prdessions Cotle) or Iliat ne is exempt t�arelrom antl tM1a basls lor the allegetl Nxemption. Any violation oi 5ettion ]031.5 by ' • aOP����t fOr a p¢�mit sUDjeclS lh! appll�ant IO a Clvil penalty ol mo�e lhan liv@ huntlretl tlollars (E500). „ ds owflCr OI t116 pfoperty, Or my emplOyGls wlth wagCi as thelr .5010 compenS]lion, wlll tl0 Ihe.work, antl the StfuctufC i5 nOl IOtCOtl¢� or ofleretl for wla. (Spttion 7044, Buzineis antl ROfessions Cotic: The ConlfdGtor's.LICOnsa I�w.tloe5 nOt apply to an Ownef Of a ptopefly wh0 builtls or improv¢s tnereon, antl wh0 AOCS Such work nlm5elt Or .throu9h hiz own amployees, provitlotl lnal such improvemenit.are not intentletl or otteretl for sale. It, howevcr, the builtling or improvemeni Is-soltl.within ona year ol tompletlon, lhe owner will have t�e burtlen i rovin9 ne tlitl nat builtl Or Imp�ove for Ih! Pu�pose of Sale). t a5 owner o1 the proPerty, am exclusively contractin9 with II nietl COnbactof5 l0 COnstfutt the pfojBCl (5¢Ctlon ]OA4, Busin¢55 ' dntl' �OfES5Ion5 CotlB: 7he ConlydCtOf4 LIClnR Ldw'tlOeS nOt apply l0 an owne� oi O�operty wha builtls o� imp�oves [hereOn. dntl who con- VaGts' f�OT sucM1 proJ¢n5 with-a contractor(s) �nmsnea pursuant lo Ihe Contractor's Ucense Law). ❑ 1 am exempt untle� 5ec[ion B. 6 P. C. /or tnis ICd50� - ' " ' - � Date Owner - thal I qave reatl this appllcation antl state tM1at the rorren. i aoree tn romolv with dll Nlv anG t r i n'ar ALTERATION OUT�ETS BTU OUTPUT CONNECTIONS SOLAR PIPING SVS. ' ISSVEFEE � MECHANICAL ' PL:AN CHECK HEATING SVSTEM 0-300,000 BTU_ ANDDUCTING 100,000+8TU_ REFRIGERATION 0-]00,000 BTU_ SVSTEM 100,000+�8'G���� BOILERS BTV SVSTEM REPAIR,ALTERATION EXHAUSTSYSTEM MULTIPLE ilgnatuf � — aie � �_��� Drivers' Licen or 55 � �SSV E'FEE-' '. ' CMF 0865-46 Whlt¢-Builtling; Canary-Appliwnt: Pink-A«ountlng: Goltlenrotl-qssessor � —� — ���� 9631 12/17/81 326.38 ,TL VING REGULATIONS H - C� o PLNGp. gRUEF�. p�(./L�G �— � � ROPE�RTV LINE //.-� ._. _� r! D 4 - REAR VARD (TO P/L) PKG. SPACE REQ. 'Z STREET WIOTH /�i, ELECTRICAL PARK FEE S PLAN CHECK ' GENERATOH �0-1 KVJ_1-1D KW TRANSFORMER .� ;t\ APPLIANCE 10-50KW_SO+KW - - � 'MOTORS' 0-1 HP_1-IO�HP �� ��-� ��(IMQ SOLAR) 10-50 NP 50't HP �,\ FI%TURES OUTLETS SWITCNES � GAS'TUBE SIGNS ' - .. . ` 1.,\ - POLE IIGHTS ' - ' ' ' VE�S � MAIN - . SUB . - iVICE - - �- - • AMP ' ISSVE FEE APPLICATION AvvROVED'BY , pATE ' SUMMARV OF FEES 'BV ILDI NG 3Q PERMIT S� SMIP ' b �• O PLAN CHECK 5 PERMIT •• � ' 7LVMBING S �SSUANCE S - PLANCHECK E GRADING $ ELECTRICAL S � S PLANCHECK § - - - MICROFILM S ' MECHANICAL E ' '. SOTAL FEE E� PLAN CHECK E - ' ' LE55 AD- � '� VANCEPC S_ . . � . � � - ., J-� . FINAL FEE § ��� �� CONSTRUCTION AND PLANNING � - -�- ` -' , ..•' _ POOL & SPA • .. •._� � ' � , APPROVALS `��� �' • • Permit # ���y Date Inspectar �APPROVALS � Permit # Date Inspector �. , � 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location -• - -�- � Soil Pipe-Undrgrn 44. Steel Reinforcement -• -- - - ` • s"� ' • - `- C\ '�. 3._ .Electri�al Conduit Utility-Undrgrn�- � 45. Forms `- ' ' �P' `. 4: Electrical-Conduit-Undrgm c. �'• 46. Elearicai Bonding '" -' ' ' �-� �- tee ein orce ��, ,� 47�. Rough Plumbin & Pre:sure Test 6. Electriraj,UFER Grn i 46. "APPROVALTO COVER-GUNITE 7. Footings '' ' � 2_� 49. Electrical Conduit-Undr rn B. Foundatwn .'� � �S a•aq. � 50. Gas Pipe, ❑ Undr rn, Test � 9.ti Wafer Pipe-UniJrgrn - - 51. Backwash Lines P•Tre ❑ ndr rn �`.10. 'Structural F�oor System . 52. APPROVALTO DECK ,11.. , Property Sewer_Lipe & Ho�Ls'e Connection � 53. .�ackwash & Rece torFinal � 12. Street Sewer Connection 54. Heater & Vent-Final 13. Rough Plumbing 14. Rough ElectricConduit � - - '- - 56. 'Elecvical-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 FINAL - 20. Roof Framing .�/¢-�Z 21. Roof Sheathin - G- �t � 22. Frame and Flashin (,(�m // �.�/2,Q_�Z NOTES: 23. Insulation ' �l/?.'.%p.' 3.^.?1'-g�'_ - 24. Lathing & Siding ' � -" r - /- $ 2 25. Drywall Nai�ing 5!-� -8�4/ ` 26.. Plaster Brown Coat - - G � • � 27. Electrical Power Meter-Final 28. Final Electric � � 29. Final Heating & Air Conditioning. � � -" � � - - 30. Final Gas Pipe-Test � 31. Final Plumbing ' 32. Water Service-Final ' 33. Gas Service-Final 34. Solar 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 . �� ; � � . . ' f' _ � � '-\ .�. : •'� �No. Date �� � . _ . , � � . . __ . , , �� . Applicant la ti�� in all spaces wil�in �eavy Gortler Ilnes antl slgn all appro0riale tleclarations. CITY OF COSTA MESA P MIT NO. ' TRACT NO. LOT NO. BLDG. NO. CONSTRUCTION PERMIT � a-o g�7 - Project Ad�s �� ��� �jY T_ r TYPE OF�CONSTRUCTION AAclrea Address - Phon p LA�jEW ❑ qDD ❑ ALTERATION ❑ REPAIR ❑.CONVERSION ❑DEMOLISH License NO. ❑ OTHER , � DESGRIPTION OF WORK ' Contrecror � u• i rhon l�v,�- g( ypE OF PERMIT � -Addfe55" �3 � ❑ GRADING ❑ FpUNDAT,I�ON �' ❑ STRVCTURAL LICENSED CONTNAGTOR DECLARATION ❑ TENANT ❑ ELECTRICAL-LUPLVMBING ❑MECH{V I M1ereby affirm that 1 am licensetl untlor provlsloni o/ Charter 9(<om- �, ! �i mencin9 wlth settion 7000) of �Oivlsl n 3 oi the Busine55 antl ❑ OTHER - Profosslons otle, antl my ❑cense is in full or<�� e! g4t pROJECT DESCRIPTION � ._ . � Llcense i Lic o. �l S�. FT. � � � Date ? Slgnatu � - ' - � � - WORKE S COMPENSATION DECLA ION :.�OCCUPANCV "_CONSTRUCTION TYPE I hereby attirm tnat I have a teitlfiw �f consent to selt-Insure or a VALVATION 20NE ce�tiilGate of Wo�k!/5' Compinsation SUtanca, Or a cerUfieC copy - -. ._ thereo( (SecHon 3800, �b. CJ. GRADING CU. VOS. ACRES "�IICY No. ComPanY �+nJII+A�� - Cart tl copY Is her@by (umishetl. - . REMARKS: aD3� " " rtitietl copy Is tiletl with the cily Builtling Division. . E%EMPTION FROM WORKERS' COMPENSATION OECLARATION ' ' ' �(This section neeE not.be completetl Ii tha,permit is for one huntlre0 � � � _ _ , . (E3001 or less). � � - I cert(fy [hat In t�e performance ai.the work for whi<h Ihis_permit is IsSueC, I Shall nol GmP�oy dOy p¢/Son In any manner sa as to bemme PWMBING� . � � PLAN CHECK� .subjoct to the Workers Compensatlon I�ws oLGalifornia. . ' _ Date Si9nature' BATHTUBS SHOWERS NOTICE: It after makl�g this tleclaratlon, you shoultl become subject TOILETS ,� , URINAlS ' "' to thB Wofkef5' Compan5a[iOn provi51on5 Of [he Ldbof CotlO, yoU must _ torthwith comply with such provisions or this permit shall be tleemetl �-P.VATORIES DOUBLE LAVS' revoketl._. ' -- _ . CONSTRUCTION LENDING AGENCV � KIT.SINKS - DISHWASHERS " I her¢by ailirm thdt t�g�e IS a ConstructiOn ItnUing agenty IOr the per- SERVICE $INK$ SUMPS formance of the work tpr whic� thls permit is isiuetl (Sectlon 309] Civ. C.1. -' —' - FLOOR SINKS FLOOR DRAINS Lender's Name Lontler's Atltlress DRINKING FOUNTAINS � OWNER BUILOER DECLARATION � '�- �INTERCEPTORS CLARIFIERS 1 nerOby atflrm that I ah� GxemOt trortl th0 ConlraClor'S Lltensa Lnw to� tne following reason ($e�tion' 7031.5 Buzlness antl Proteszions Cotle: 'SWIMMING POOL � P TRAP " qny City or caunly whlc� requiros a permit to conSVutt, alter, Im rove, tlemollsh or rCPalr anystructure, prior to ItS Issuanca, also re- yyqTER SERV ICE ALTERATION quPeS [h¢ ap4����� for Suth pe�mit to 1lle d zignetl atatemant [�at he I5 Ilconsetl purzuant to tha proWslons ot the ConVattor's Ucansa Lnw GAS SERV ICE � OUTLETS � - (Cheptcr 9(comm¢nCing with Sncllan 7000) 0/ Dlvizlon 3 01 the Bu5ine55 ana' Aolesslons Cotle) or tnat ha is ezempt tnorafrom antl the ' y�rqTER HEATERS BTV OVTPUT basls �or tne alle9etl ekempt{on. Any violatlon of Section 7031.5 by ���:�+ appliwnt�tor a-p�rmit sub�octs the applicant-to a clvll penalty SEWER CONNECTIONS ' --'" ��+,f�'"§.at more lhan live hun�retl tlollars (E500�. '� �' �' ",��f2�'*, as owner ot lha property, or my employees witn wages ai their SOLAft TANK" " � COLLECTORS' sole compensation, wlll do lhe work, anG Iha strut[ura is not Intentled or oiteretl (or wle. (Settlan 7044, Business antl Ro/esslons Cotle: The SOLAR PIPING SVS. Contracior's Licanse l.nw tloes not apD�Y �o an owner o1 a.property � , , wno bulltl5 or Imp�ovCS the�eon, antl wh0 OOes suc� wOrk himsalt O/ ISSUE FEE througtt his own employees, provltletl Ihat such.imOrOvementi aro noi intentled or otrerea lor saie. u, nowevor, tna builtling or Improvement MECHANICAL PLAN CHECH is soltl wilhin ono Year of completion, lhe owner will have tho burtlen ot proving na tlitl no� bulltl or improvo for [he purposa of sale). HEATING SYSTEM 0-]00,000 BTU ❑� I, as �owner oi lhe property, am oxclusively conVactin9 with qND DUCTING ' Ilcensetl contraclors to cons[ruci the pro�act (Section 7044, Business 300,000 + BTV -antl Protessions Cotle: 7he Contractor's License Law tloes not apply to an owner of property who builtls or Improves thereon, antl who con- REFRIGERATION 0-300,000 BTU �tracb irom-such pro�pcts with a contractor(s� licesnetl pursuant to SVSTEM - - - tne Contractor's License Law). 300,000 + gTU ❑ I am exemOt unCer $¢ctlon - - 8. S�P. C(or thi5 gOILERS BTU reason - � SVSTEM REPAIR, ALTERATION Date Owner ' I hereby certify t�at 1 bbve r�atl this a6plfca/ton ana state tbat Me above EXHAUST SYSTEM MUITlPLE INnrmaHnn s rorrect. �'amon to�' mr.( wi[h a❑ citv anU muntv Si9nature CMF or 55' j - �" �SSVE FEE WM1 Ig uiltling; Canary-APpliwnp Pink-Atwun[ing; Go�tlenrotl-Asiessor �w NI �, . A.P. �` ZONE SETBAC T. 51 VARD L5 9 R�IGHT REAR YARD (TO _ PKG. SPACE REQ. 9697_ 12/17/81 � iNING REGULATIONS PLNTGp.g0.�E/F�.p3� PqpPE�RTVNIIN L) PROVIDEC - PARK FEE ZONING APPROVED BY , DA SPECIAL CONDITIONS: ELECTRICAL - PLarv CHECK "� GENERATOR 0-1KW_1-lO�KW_ TRANSFORMER 'APPLIANCE � 10-50 KW_50 + KW _ MOTORS 0-I HP'_1=30 HP _ (INC. SOLAR) � 10-50 HP 50 * HP _ FIXTURES OUTLETS ' SWITCHES GASTUBES�GNS '--' - -� "POLELIGHTS -'- ' '�' PANELS MAIN SUB SERVICE . "' AMP ISSUE FEE - ' ' APPLICATION APPROVED BV 37.00 Tt � � a SUMMARV OF FEES BUILOING �- PERMIT $ SMIP E PIAN CHECK b PERMIT • ' PIVMBING S�� � �SSUANCE $ - GRADING -E PLANCHECK 5 . ELECTRICAL y s . PLANCHECK S-� MICROFILM E. ' MECHANICAL E - TOTAL FEE E � • � LE55 �AD- � � • ' P4ANCHECK' § ' ' VANCEPC S_ � , ._ ' _ FINALFEE E G�. CONSTRUCTION AND PLANNINC1 POOL & SPA � '� Date � Inspecfor Date_ Inspector� � APPROVALS , � • � � • t Permit # �� �� 7 APPROVALS � Permit # . 1' Temporary Electrical Service or Pole 43. Pool & Equipment Location -• � -- �- -- -- Soil ipe-Undrgrn �_ _ ��_ y 44. Steel Reinforcement - - � • • - • - 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding • tee ein orce 47. Fough Plum6in $ Pressure Test 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undr rn 8. Foundation � 50. � Gas Pi e❑ Undr rn, Test• - 9. Water Pipe-Undrgrn -�-1- 51 . Backwash Lines P-Tra '� ' ndr fi� •'- • - 10. Structural Floor System 52. APPROVALTO DECK"'" '''' "-"-" � 11. Property Sewer Line & House Conneaion 53. Backwash & Rece tor•final 12. . Street Sewer Connection 54. Heater & Vent-Final 73. Rough Plumbing &�� " ' 14. Rough Electric-Conduit �56. Electrical-Final . 15. Rough Electric-Wiring - 57. Solar System-Final � 76. Rough Heating & Air Conditioning • encing & Access Approval ' 77. Ducts in Structure ' APPROVED FOR PLASTERING 18. Ducts, Ven[ila[ing , 19. Gas Pipe-Rough & Test 60. _ POOL/SPA SYSTEMS FINAL � 20. Roof Framing - 21. Roof Sheathin - 22. Frameand Flashin NOTES: ' , 23. 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 ' � 37. 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 flelease to Edison ' 41. Gas Release to Southern California Gas Co. � 42. CERTIFICATE OF OCCUPANCY _ , - No Date Applicant to fill in all spaces within heavy bortler lines anE sign all aDG�oDriate tleclarations. CITY OF �COSTA MESA PERjN�^N � �`� ,� TRACT NO. LOT �NO. � BLC � CONSTRUCTION PERMIT N� eKyeF Addiess • Address - - - - � • TYPE OF CONSTRUCTION ' PhOne �] NEW ❑ A�D � O ALTERATION 1EIGHTS � REPAia ❑ CONVERSION' ODEMOLISH License No. � ��OTHER DESCRIPTION OF WORK Contractor FUTURA ENEk�r YKUUVI.I J r°�°e//i-177L TVPE OF PERMIT ' � AddfC55 641 S� T TE � OLLE E B ❑ GRP,DING ❑ FOUNDATION ❑ STRUCTURAL" LICENSEO CONTRACTOR'DECLARATION� - - � TENANT ❑ ELECTRICAL'OPCVMBING �MECHANICF I hereby aftirm tnat I am licensed untler provisions of Charter 9(com- �.�' . . mencing with- sectlon 7000) of Division 3 of the B siness antl - 0 OTHER '" ' ' Professions Cotle, arntlC ,my lice1 e Is In full force na effec4 . pRO�JECT'DESCRIPTION — Licens lass � � 'ce s No � . . , - � ' Date v Signature - � SQ. FT. � � , WORK RS'COMPENSATIONJp� E ARAT ON - OCCUPANCV_CONSTRUCTIONTVPE ' I hereby affirm that 1 have a qertifitate of mnsent to self-insure or a "VALUATION ' ZONE� certificate of Workers" Compe05ation Insurance, or a certifietl copy. . . th¢reof ( ti G.). , , GRADING CU. VDS. ACRES ^��icv'rvo�W�����1�� Comoany FUTURA—MINTON INS - Certifieticopyirher¢byfurnishetl. - -- - - - - � REMARKS: ' � � - ^ - �- � � �- Certifietl copy is filetl with the city Builtling Division. � EXEMPTION FROM WORKERS COMPENSATION DECLARATION ' � -�� (This section neetl not be�completetl if the permit.is for one huntlred _. . .. . (§100) or less). � - � � I certify that in the performance ot the work for which this permit is . . . _ issuetl, I shall not employ any person in any manner so as to bemme PWMBING .- �iPLAN CHECK subject to the Workers'�Compensation l.aws of.California. Date Si9nature � ' BATHTUBS SHOWERS ' � NOTICE: It after makin9 this tlecl5ration, you shoultl become subject, TOILETS' ' - URINALS to the Workers' Compensation provisions of the Labor Cotle, you must LAVATORIES DOUB�E LAVS forthwith comply with such provision5 0� this perTit shall be tleemed revoketl. . . ._ _ . . _ . _ . _ _ . . . . CONSTRUCTION LENOING AGENCY KIT. SINKS DISHWASHERS I hereby atfirm that there is a construction lentling agency for the per-. SERVICE SINKS .� SUMPS �- formance.of the work for which this permit is_issuetl (Section 309] Civ. CJ. " ' ' . FLOOR SINKS FLOOR DRAINS Lender'S Name. Lentle�'s Atltlre55 DRINKING FOUNTAINS ' I hereby aftirm that I am exempi fromShe Con[ractor'S License Law tor ---- -- Ihe following reason (Section 7031-.5 Business antl Professions'Cotle: SWIMMING POOL Any _city or county which requires a permit to consVuct, alter, improve, tlemolish or repair ariy structure, prior to its issuance,also re- yyqTER SERVICE quires the applicant for such pevmit to file a signetl Statement that he is licensetl pursuznt'to tM1e provisions of the ConVactor's Cicense L.aw - GASSERVICE (Chapter 9(commencing'with Section ]000) of Division 3 of the Business antl Professions Cotle) or that he is exempt therefrom'antl the yyqTER HEATERS basis for the allegetl exemption. Any violation of Section ]031.5 by � applicant fo� a permit subjectr the applicanY to a civil penalty SEWER CONNECTIO ot more than tive huntlretl tlollars ($500). „ ds owner of th¢ property, or my employees with wa9es as thei� SOLAR TANK sole compensation, will Go the work, antl the structure i5 not intentled or otferetl for sale. (Section ]044, Business antl Professions Cotle: The SOLAR PIPING SVS. Cont�actor's License Law tloes not apply to an owne� of a proPerty ._ wh0 builtls or improves thereon, antl who tloes Such work himsel( o� ISSVE FEE throu9h� his own employees, provitletl that such improvements a�e not IF ALTERATION - BTU OUTPUT_ COLLECTORS intended or offeretl for sale. If, however, the bwltlm9 or �mp�ovement MECHANICAL PLAN CHECK i5�soltl within one year of completion, the owner will have the burtlen of proving he tlitl not builtl or improve for the purpose of sale). HEATINGSVSTEM 0-100,0006TU_ ❑ I, as owner of the property, am ezclu5ivety Contractin9 with qNDDUCTING - licensetl contractors to construct tne proj¢ct (Section 7044, Business 100,000+gTU_ and 7rofessions"Cotle: The`Contractor's License Law tloes not apply to - an owner of property wh0 builds or improves thereon, and who con- REFRIGERATION 0-100,000 BTU_ tracts from such projects witM1 a contractor(s) licesnetl pursuant to SVSTEM -- ' Ihe Contractor's License Law). 300,000 + BTU _ ❑ I am exempt untler Section� � B. & P. C. for this BOILERS BTU reasod - " Date Owner - SVSTEM REPAIR,ALTERATION I hereby,certifytha[ I.have read this application antl state that the above EXHAUST SVSTEM MVLTIPLE information is correct. I a9ree to omply with all city antl county ortlinances tl sta laws rela ing to nstruction, antl he�eby authorize � representa es q tj�s y�t y1 to en er upon the above 7�ent'onetl oroDertY or�.iq5�ct\pji` du)pOS�f..s. w ._ n/n��[� . _ ' . or 55 � � � � ' ISSUE'FEE ' ' White-Builtlin9; Canary-Appli[ant; Pink-Accountin9; GolCenrotl-Assessor 0 3J00 2639 _2126/82 7.00 T4 A.P. � ZONE � PLNG. REF. � REAR VARD (TO P/L) � PKG. SPACE REq. PROVIDED _ - STREETWIDTH PARKFEE$�. ?ONING APPROVED BV DATE , SPECIAL CONDITIONS: .,. _ _ y .. . '. . ... � ELECTRICAL � PLAN,CHECK I I" GENERATOR � 0-1 KW_1-10 KW � TRANSFORMER� APPLIANCE 30�50 KW 50 + KW " ' �MOTORS 01 HP=1-10 HP � ,QNC. SOLAR) 30-SO HP_'SO + HP � - FIXTVRES � OUTLETS �SWITCFiES - GASTVBESIGNS '- " ' POLE LIGHTS - - � � - ' � . PANELS - MAIN,�,_ � SUB„ SERVICE' - - - ' AM1 ISSUE FEE - -- - . 'APPLICATION APPROV ED BV' DATE � SUMMARYOFF.EE$' "' BUILDING ' � ' 'PERMIT _. $ SMIP $ ' PLAN CHECK $ BERMIR ' - ISSUANCE $� �PLUMBING $ PLANCHECK $ ' ,GRADING $ ELECTRICAL $ $ PLANCHECK $ .OQ ..MICROFILM $ ' � ' �MECHANICAL-$ - �TOTALFEE$ `��' � PL"AN CFiEGK $ ' _ LE55,9D-�� �. _._ ._ VANCEPC $_ � ' ' , i . _ ' . ' t' . - ,- �, ' . „ FINAL.FEE 5 7•OO t CONSTRUCTION AND PLqNNING � � POOL & SPA .�'" " � �� �• , � �- APPROVALS Permit# r1 g�' Date `Inspector qppROVALS �� Permit# �� ' Date _- Inspector �1_'; Temporary Electrical Service or Pole -- � 43. Pool & Equipment Location - � � - 2. Soil Pipe-Undrgrn . . � ' �44. Steel Reinforcement � � � � � � ' 3. Electrical Conduit Utility-Un rgrn 45. Forms 4. Electrical Conduit-Undrgrn � 46. Electrical Bonding � . tee ein orce ,, 47. Rough Plumbin & Pressure Test - ' 6. Electrical UFER Grn 48. APPROVAL'TO COVER-GUNITE^ - 7. Footings - '" - 49. Electrical Conduit-Undr rn � � 8. Foundation_ . ' � 50. Gas Pipe, ❑ Undr rn; Test �, � � � � 9. Water, Pipe-Undrgrn_ 51 . Backwash Lines P-Tra ❑ Undr en �' ��' '�� 10. Structural Floor System _ , � . 52. � APPROVAL TO DECK � ` -� ` � � � • ' 11. Property Sewer Line & House Connection 53. Backwash & Rece ior-Final �� 12. Street Sewer Connection - �� + �� 54.. Heater & Vent-Final - � 13. Rough Plumbing - • - - - � � � ' ' 14. Rough Electrio-Conduit � - � �56. Electrical-Final - 15. Rough ElectFic-Wiring - - -� ^� � ='> 57. Solar SYstem-Final . � ' - � � � � - 16. Rough Heating & Air Conditioning . J' 3�c.$ L •- Fencing & Access Approval 17. Ducts, in Structure� � �� � 59. APPROVED FOR PLASTERING � 18. Ducts, Ventilating ' � ' � 19. Gas Pipe-Rough &Test 60. POOUSPA SYSTEMS FINAL � � � � 20. Roof Framing . ' ' � - 21. Roof Sheathin -� � . . 22. Frameand Flashing � ,�_ �NOTES: - 23. Insulation ' - � ' � 24. Lathing & Slding - " 25. Drywall Nailing ' � � - - 26. Plaster Brown Coat � ' 27. Electrical Power Meter-Final' � � ' ' � � 28. Final Electric ' 29. Final Heating & Air Conditioning -28� z � ' � � � - ' 30. Final Gas Pipe-Test ' � ' ' � 31: Final Plumbing_ � � 32. Water Service-Final � � � 33. Gas Service-Final � - � 34. Solar pomesticFinal � ' � ' � 35. Landsca e S rinklin S stem � � - � 36. Sound Attenuation � 37. 'Flandicap 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 t�. ��� �. > .,., .� . 't , ; _ . ° 1�'� t� `r k�;: -�1 i. AVD���anl to flll In all CITY OF COSTA MESA - ce3� IT NC CONSTRUCTION PERMIT /`7—� withln neavy Dortler lines ana sign all approv�iate TRACT NO. LOT NO. I Yro�ect naaress y ��� ��/gy TVPE OF CONSTRUCTION ; Owner PhO�¢ ❑ NEW .� ADD ❑ ALTERATION AdAress ' ❑REPAIR OCONVERSION ❑OEMOLISH ; Arch/Eng. � � License No. ❑�OTFiEa DESCRIPTION OF WORI( Address ' - - ' ' ' � Contractor Phone TVPE OF PERMIT - � � , Addre45 - - O GRADING ❑ FOUNDATION ' � STRUCTURAL'- 'LICENSED�GONTRACTOR DECLARATION ❑ TENANT-.O ELECTRICAL' ��PLVMBING OMECHANI 1 hereby altirm Mat I am Hcensetl unUer provlttons ot Charter 9(com- � � �� _ menting with sectlon` 7000) o( • DlviSiOn 3 oP tha Busine55 antl ❑ OTHER - •PlO�eTSI0O5 COtle� dOtl Ty IIC¢pi0 i5 10 fWl fOK� dOtl 81f8Gi. �._ - . _ _ PROJECT DESCRIPTION _. . _ . ._ ucense aass G��%3 � •' License o 2�-3/a � � . , . , . . � . Date3 Z�yy • 'S�inature' U7s:�M�,��' �' S�. FT. ' ' ' _.. . -' ' - ;WORKERS' COMPENSATION DECLARATION - � OCCUPANCV_CONST,RUCTIONYVPE I hereby affirm thaL 1 have a rerti(iwte of consen[ to selLinzuro or a, VALUATION � 20NE certifl�ate of Workers'-Compensytion Inzurance, or a certiliee copY� �� -- - - .Ihereof (Section 3800, lab. CJ. � ^ GRADING:CU.'YDS. ^° ACRES - ;IICY No. - � ComPan�-G7,E'M�&.l( (.O�+P - - - •i - - CerUtietl copy is nereby turnished. -- REMARKS:' - - � - � CertitieA cOpy is �(iletl with the ��(y Builtling Divlslon. , E%EMPTION FROM WORKERS"COMPENSATION DECLARATION - " ' �(Thls sectlon neetl. not be.completeOJf the.permit is tor_one huntlretl . _ _ . . . __ i ' __ _ . ' - _ (E300) or leu�. � I.tert(ty_that m t�e performance of the work tor whlch this permit is, I55ueE, I Thall n0[ BmPloy dny perSon in any manner So as to betOme � PLUMBING� �, � P�AN CHECK subio<t to Iha.Workars Compensdtlon Laws of California. .� . _. . __. Date Si9nature BATHTUBS SHOWERS ' 'NOTICE: If after rtiaking tMs tle��aratlon, you shoultl become subject ��TOILETS ' URINALS -' to the Workers' Compensalion Drovlslons ot Ihe LaDor Cotla, you must fOrlhwlln COmply with suth provjSiOns or Ihis permi[ Shall be tleemetl LAVATORIES DOUBCE LAV$ - revoketl. _ . . _ _ . . _ _ . "' " _ ' ' ' CONSTRUCTION LENDING A4ENC�' � KIT.SINKS OISFIWASHERS �I hereby attirm that [hero is a cqpstruction lentlin9 agency for tbe par SERVIGE SINKS -, � SUMPS � '� '�" torman<e ot the wOrk for whith thls permit is I55u0tl ($eclion 309] Clv. C.): "'-' ' " ' " - ' ' ��-' FLOOR SINKS FLOOR �RAIN$ '� �Lentler's Name" " ". " " _- '_ ' _ _ .- .._ _. . _ . Lentler's Atltlress ' DRINKING�FOUNTAINS� � � OWNER BVIL'DER DECLARATION" '" - - -' INTERCEPTORS CLARIFIERS I heroby atilrm that I am axempt from t�e Contractor's Ucenu law for ihe followin9'reason (Sectlon ]p31.5 Businesi antl Rofesslons COEe: SWIMMING POOL� �PTRAP '"' ' -' qny clty or county which repWres a permit to conitruct, alter, im rovo, tlemollsh or teD��rany Slructure, prlor to its Issuance' also re- yyATER SERV ICE ALTERATION ' quPos the ap;.lifznt 1or sucn parry�il lo file a zignetl slaloment�that ho -• IS Iltan5e0 pur5uant to tne provlg�an5 of Iho Conlraclor•s License law GAS SERVICE � OUTLETS � � (Cnaptar 9(commencing wlth 5ectlon �000) of �IVlsion 3 0l [he ' 9uzlne5s antl Prdesslans'Cotlo) or tnat he'iz exompt thcrafrom antl tne yyqTER HEATERS BTU OUTPUT � ' - h+sls lor lhe allegetl ezemPtlon. qny vlolation ol Saction 7031.5 by � appllr�nt -for a permlt �subJectS'lhe apptlwnt to a clvil �penalty' SEWER CONNECTIONS `,� .'"' - ' ol mOre [han fiv0 huntl�atl tlollars (E500�. ' ` I, a5 owner of �M1B propertY, or my employC¢s wllh wa9es a5 Iheir SOLAR'TANK " " -COLL'ECTORS ' - sole compensation,.wlll Co the work, antl [he strutture is not inientletl __ or o(leretl tor sale. (Sacllon 704d, Business antl Rolessioni Cotle: The SOLAR PIPING SYS. �� CoOlraGlor'S Lit¢nse Law tlats qOl apply Io dn Ownt� ot a pro0¢/ty , '� who builtl5 or improv¢s tnereon, and whD OOeS such wOrk hlmseli or ISSUE FEE through. his own.employeas, Orovitletl that such improvements are not intentletl or of(erea lor sale. If, however, tha builGing or improvemont MECHANICAL �LAN CHECK Is soltl wi[hin oneyear ol tompletlon, the owner will haw t�e burtlan oi proving he tlitl not builtl or improve for the Ourpose of sale). HEATING SVSTEM 0-]00,000 BTU , '�-I,- as- owner ob t�e-proper�y, am �exclusively��conVacting with- AND�DUCTING -' �— ' Iicensetl conVactors to construct lbe pro7ect (Settion 7044. Businnss 100,000 i BTU Sntl`PrOftssions-Cotle: The� Contractor'sLicen50 law tloez not appty to an owner o1 property wM10 builtl5 or Imorovez tnereon, antl who con- REFRIGERATION 0-100,000 BTU tracls�irom�such prajects-with a conVactor(s) IlceSnetl- pursuant to � SVSTEM - � �- ' '-- ' - - � -" lhe Conlractor'S License Law). 300,000 . gTU '�'I am ezemp[ under Sectlon" " '-' " -8.-& P. C. tor this' B��LERS BTU - reason-- - - - Date '�- Owner SVSTEM REPAIR, ALTERAT,ION I h¢�eby<lrtilythat I have �eatl 14i5 applitation antl ztale IM1at lhe abave EXHAUST SYSTEM MULTIPLE (n/ormatian iz coirect. 1 aqrec to comOh �+'��h all <ity antl' county ortlinances antl state laws reiating �o cons[ruction, antl nereby autnorize �,(�%%f% ' wprCsenlatives of lhis city to-enler-upon th¢ above mentiOnetl , property fo � jns0ect purposes. _ ?—'—C' /T Si9nature ^' � ?� A-- Date � � Drivers' License or 55 � � ! �/ ' �SSUE FEE - - � ' ' - - - CMF 0865-46 White-Building; �nary-Applifan(; Rnk-Acwunting: GolUenrotl-Assessor ZONE SETBAC� KC� /�T. I VARD R�IGMT REAR YARD (TO PKG.SPACE REQ. STREET WIOTH 2752 3/02/82 NING REGULATION � PLI`!G. REF. � SPECIqL CONDITIONS: . II.OD TL� S i NLWE � _ �. . ' . , DED,• FEE S oATE ' ' "� EL'ECTRICAL ' - P�Arv cHECK' ' SO.FT_ Sn_FT GENERATOR " 0-1 KW_ 1-30 KW TRANSFORMER � APPLIqNCE -" 30-50 KW_50+'I(W MOTORS ' 0-1 HP_1-10 FIP QNC. SOLAR) - 30-50 HP-y50 � HP iFIXTVRES ' 'OVTLETS SWITCHES GAS TUBE'SIGNS "- � ' 'POLE CIGHTS �� - �" " " ' ' - �PANELS MAIN " SVB - SERVICE ' '- 'AMP " . ' _ . '" _ '.'1 � -� . _.._.� _ . � ." ' ISSUE FEE -" - - APPLICATION APPROVED BV ' , OATE SUMMARV OF�FEES � � . ' BUICDING -� ' -- '- - -� - - - �- �- 'PERMIT S .y SMIP _1 PLANCHECK E �7ERMIT ' ' - ISSUANCE � S �- - � � � �PLUMBING 5 _ .GRP.DING- $���� � iPLAN CHECK S , , . �� ' s � ELECTRICAL� S' i+: -PLANCHECK' § � . MICROFILM § - MECHANICAL" S� ' TOTAL FEE E'' _' � ' LE55 AD- ' ' ' O PLAN CHECK S VANCE PC E_ - ' , , ' FINALFEE S�! `OU 1T _ . CONSTRUCTION AND PLANNING � � POOL & SPA . � M a d'� ( Date - Inspector � - • -- Date Inspector APPROVALS � Permit # APPROVALS Permit # 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location � - --•-- -----�-- Soil ipe-Undrgrn " � � 44. Steel Reinforcement -- 3. Electrical Conduit Utility-Undrgm 45. Forms - - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - - ' tee ein orce 47. Rough Plumbin & Pressure Test - - ' - • - --- - -- 6. .Eiectrical UFER Grn _ _ _ . ' 48. APPROVAL TO COVER-GUNITE --• -• - ' - -- -_. ..- --- -- a 7. Footings - 49. Electrical Conduit-Undr m� � _ B.. ..Foundation 50. � Gas Pipe, ❑ Undr rn, Test � � • � . 9. _.Water.Pipe=Undrgrn 51. Backwash Lines P-Tre ❑ �ndr rn � - - � - - - � � � 10. Strucwral Floor SVstem 52. APPROVAL TO 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. Electriral-Final �• �� 15. Rough Electric-Wiiing � - 57. Solar System-Final , ' 16. Rough Heating & Air Conditioning - .��Q i •� � encing & Access Approval 17. Ducts in Structure � � APPROVED FOF PLASTERING 18. Ducts, Ventilating � . _ , _ _ 19. Gas Pipe-Rough &Test - � ' 60. POOUSPASYSTEMS FINAL . - • -� - . +' � 20. Roof Framing ' • � 21; Roof Sheathin - - - ' . �� . . . „ •. 22:. Frame and Flashin . ' '' �NOTES: � . . � ; � . 23: -Insulation - � � � - ' �� ' 24. lathing & Siding ' ' � � � - - � � � 25. Drywall Nailing _ .i ' � - . � ' ' 26. - Plaster Brown Coat - � � � ' ' 27: Electrical Power MeterFinal � � ' 28: Final Electric � � 29. Final Heating & Air Conditioning_ - S��-8 . f- � 30.. Final Gas Pipe-Test - • - ' . 31. Final Plumbin9 � ' � � � � � 32. Water Service-Final - - ' ' 33. Gas Service-Final ' ' ' 34. Solar pomestio-Final � � � � ' ' " 35. Landsca e S rinklin S stem ' ' � 36. Sound Attenuation � ' 37. Handicap Regulations • � � - � 38. FINAL STRUCTURE & BUIIDING � - - • 39. Special Requirements Completed ' - ' � � : 40. Electric Release to Edison �' ' � - 41. Gas Release to Southem California Gas Co. - � 42. CERTIFICATEOFOCCUPANCY � . � � No Date • CITY OF COSTA M�SA- . CON�'TRU(,i'ION PERMIT in dll sDaces within heavy bortler linez anG zign all appropriate Oeelantion: �T ryp. " TRACT NO. LOT NO. BLDG. NO. ,� � � � � ��-a-3 Project Address . TYPE OF CONSTRUCTION � Owner � - - Phone I ❑ NEW ❑ ADD ❑ ALTERATION ' � � - AddrEa- - - -- - - � ❑REPAIR ❑CONVERSION ❑DEMOLISH ArCh/Eng. - � - � LiCens@ NO. - � OTHER ' DESCRIPTION OF WORK ' - - - Address' - - - - ' .. . . . - I �. Conttactor ' (,� � - Phone � ) TVPE OF PERMIT � � � ' � "AddfeSS % L ' / /LO ❑ GRADING'. ❑ FOUNDATION O STRVCTVRAL, - LICENSED-CONTRACTOR D CLARATION '"' . � TENANT�OIELECTRICAL-OPLUMBING�'OMECHANICI I hereby affirm that I am Ilcensetl untler provislons pt. Charter 9(com- • � ,, mencing with-section 7000) -of Divislon 3 ot the �Business antl -�-OTHEP �� Protesslonz Cotle, antl my Iicense is In full forte antl� eifect. pROJECT DESCRIP.TION � License Class/ , � � ' Licnnse No�n-� �� � ,. ' � - - - - - -� -- ' Date�) L `�L.f,• ' �� � 519uature • - � �� SQ.�FT: -- ' ' " "' ' ' WORKERS COMPENSATION DECLARATION � OCCUPANCV_CONSTRUCTION TYPE I nereby affirm that I have a certificate ot consent to self-insure or a VALUATION ' �'ZONE certlfifzt¢-Of Workev5' Compen5dtion� Insuranc0, Or a certltietl Copy -- -- . - -. . tneraof (Section 3800, Lab. CJ. ' T�. /I � GRADING CU.�YDS. ' ACRES �IICYNo.- CompanY �TQ-/"l-..�ilrv/I ' - 7ertitieC coOY �s here�y furnisnetl._ . .. .REMARKS:-+. ' +�Q S8� a O - Certifietl copy is tiletl with the city Builtling Division. . EXEMPTION FROM WORKERS' COMPENSATION DECLARATION " '^ - " (ThIS 5¢Ctlon.neetl �Ot D0 cOmpleted ifth¢,pErrTitjs to� one huntlr¢tl __ . _ ��� � -_ •t ( (E100) Of IB551. ' I<ertity lhat in t�e pertOrmanG¢'of the work tOr WhlCh this OarmH IS isiuetl, I shall nol employ any person in any enanner so as to becomo PLUMBING � �' 'PLAN CHECK ` " ' subject to the.Workars' Compensation Laws ot CalifOrnia. _ -_. - . . Date Signature' � B/�.TFiTUBS � SHOWERS � NOTICE: If after making this tleclaration, you shoWU become 5ubjecY i TOILETS � URINALS �" t0 lh0 Work¢r5' COmpensation prOvisions ot the Labor COtle; you must forthwith comply;wi[h such provlsions or this perrriit sM1all be tleemetl LAVATORIES DOUBLE LAVS " i` " ' I2vOketl._ . -_ . .. . CONST0.UCTION LENDING AGENCY � - -KIT.SINKS ' ' - DISHWASHERS � ; ' ' I heteby ailirm [hat there IS a cOns[�uctlon lending agenCy tor the pe�- $ERV ICE SINKS.. SUMPS �' - - '' formance of [he work for wnich [his permit is issuetl (Sec[lon 3097 M� "Clv. C.). " -"' -' -"^-'-^" ' " ` ' ' 'FLOOR SINKS � FLOOR'DRA'INS �' � - - " ' L¢ntler's Name Lentler'S Atltlress � DRINKING FOUNTAINS -' -' ' - " 'OWNER BUILDER'DECL-ARATION' " --' - ' INTERCEPTORS - LL' CLARIFIERS � � I nereby atfirm tbat I am exempt from the Contractpr's Llcense Lnw for t�e tollowing'reason (Sectlon 7031.5 Business-antl ProtesslonS�Cotle:- SWIMMINGPOOC ' PTRAP '^ ' " - - - ' Any city o� county which �equire5 a p<rmlt [O con5trutt, aliet, improve,'tlemolish-or repair any structure; priorto its issuance, also re- yyqTER SERVICE -" AITERATION' "' '-' ' qu7re5 the dpFlicant for SUCM1 pe�mit to tile a signetl statGment Ihat he 'Is Ilcensetl �Wrsuant to�the•provisions'of tne�Contra�tor's LlcenSe �Law ' GAS SERV ICE � �� OUTLETS , - (Chapter 9(commentlng with Section 7000) of Dlvtilon 3 of the Business enC Professions Cotle) or tnat heis exempt theretrom antl tne �yyqTEli HEATERS "' BTV OVTPUT' "' � basis tor tM1c allegetl exemptlon. Any violation of 5e«lon 7031.5 by r� appllrant tor a-permlt subjetts the-apPlicant-to a civil penalty SEWERCONNECTIONS � -`--" ' ' rt more [�an five huntlretl tlollars (5500). , as owner ai tbe property,`or my employees With waqes as their' "SOLAR'TANK ' ' COLLECTORS - -" '" soie compensatlon, will tlo tbe work,pntl the structure is not intentletl � or offeretl for sale. (Sectlon �044, Business antl Pr4fesiion5 Cotlei The SOLAR PIPING SVS. � ' � � - -� COnIlactol'S LiCCns¢ ldw tlOes no[ apply to an OWnBr ot a pfoperty , __ wh0 builtls o� imp�Ov¢s thereon, antl who tloes su�h work himSelf Or ISSUE FEE throu9h his own employee5, provitletl tha[ such Improvemen[s are not intentletl or of(eretl for sale. It, however, the builtling or ImOrovement MECHANICAL PLAN CHECK is soltl within ono year ot completion, the owner wp� have the burtlen of proving he tlitl m[ builtl or improve fm [hB purpose of sale). HEATING SVSTEM 0-100,000 BTU ❑ I, as owner o/ -tha� property, am �exclusively contracting•�with �-AND'DUCTING- ' - ' licensetl tontractors [o construct the project (Section 7044, Business 300,000 + gTU antl Professions Cotle:•The Contractor•s License LaW does not apply to ' an owner o( property who builtls or improves thereon, antl wno con- REFRIGERATION 0�300,�00 BTU tracts from-such projects with-a-contractor(s) ❑Cesnetl-Oursuantto SYSTEM �-- - - ' - � [he Contractor's Ucense t_aw). �300,000 + gTU ❑ I"am exempt'untler Sectlon'-- - — -`B: 3-P: �. �or this' BOILERS BTU reason - - - � - SYSTEMREPAIR,ALTERATION Dato. Owner - 1 nereby certily that I have reatl t�is applifation antl state tnat the above EXHAUST SYSTEM MULTIPLE inPorrtialion Is correcL �I agree lo comply with ap clty antl cOunty ortlinances antl state laws relatlng [o conStruGtion, aqtl hereby autnO�ize representatives'of �hls dty to eute� upon th¢ aEOve mentlo/netl property fo�sp��o�y'Purpos� e�_ _ �Z-�6'�I Signature � � 1 qate Oriv¢rs'�License or 55 # " � ' ISSUE FEE -- CMF 0865-46 White-Builtling; Canary-Appliwnl: Pink-Accounting; Goltlenrotl-Asseszor 9666 F2/17/8i .� . ' � ',. . - -ZONING REGULATIO A.P. �.. ZONE PLNG.REF.°, REAR VARD (TO P/L) PKG.�SPACE RE�. - �� STREET WIDTH� ZONING APPROVED BV' � SPECIA� ELECTRICAL' 93.80 TL' � PROVIDED -' � PARK FEE $ � -- � ' DATE N'CHECK ' � C(]. FT. � I�a�I � 5(� �FT. � 'GENERATOR -' -Od"KW "_1-lO�KW = TRANSFORMER APPI.IANCE' 30-SOKW_SO+�KW-_ 'MOTORS"' OQ HP_1-1'0 HP _ .(INC.,SO�A(3).- �10-50 HP_� SO+HP _ 'FIXTVRES - OUTLETS '"SWITCHES ' 'GHS'TUBESIGNS -' � - 'POIE'CIGHTS 'p'L' : - - - •- PANELS' 'MAW ' SUB .'�,� SERVICE" - - � 4'0� qMP - ` ' I 55 V E F E E ` - - -' " ' - - APPLICATION AP�ROVED BV � - - OHTE' SUMMARYOFFEES . BUILOING ' - � - - - PERMIT E �..SMIP' �b PLAN CHECK $ �PERMIT a . .� PLUMBING § �" ' �SSUANCE b - - - GRADING 8'` PLAIV CHECK' $�/� � � � � ��ELECTRICAL b _� _ " ' S PLAN CHECK S' MICROFILM § � ' TOTAL FEE $ � ' � " MECHHNICAL E - - . , �' "PCAN'CHECK' E � _ ' LE55 AD- - VANCEPC E_ • , .� � •.' �' - , ' �� FINALFEE S� CONSTRUCTION AND PLANNING ' .• �, � POOL & SPA , r , � � , � APPROVALS Permit # E�D77 Date Inspector qppROVALS Permit # Date �Inspector • 1. Temporary Electrical Service or Pole �• �� 43.- Pool & Equipment location � - �- Soil ipe-Un rgrn' •� �• 44. Steel Reinforcement - � . 3. Electrical Conduit Utility-Undrgrn --' 45. Forms �- - -- �4. Electrical Conduit-Undrgrn �l:j�-" '�[� 46. Electrical Bonding;. - - - � � � tee ein orce " �• 47. Rough Plumbing & Pressure Test - ' - 6.. ElectricalUFERGrn '��':� : 1- � 48. APPROVALTOCOVER-GUNITE- � - 7. Footings 49. Electrical Conduit-Undr rn � 6. Foundation � 50. Gas Pipe, _ � Undr rn, Test � � � � .9. Water_.Pipe-Undrgrn. - ' ' 51. Backwash Lines P-Tra ❑ ndr m '� - 10. Structural Floor System � , 52. APPROVAL TO DECK� - - '' ' ' ' 11. Property Sewer Line & House�Connection �' ' 53. . Backwash-& Rece torFinal � '' 12. Street Sewe[ Connection_ - �� � - 54. Heater & VenbFinal � 13. Rough Plumbing _ � - ' ' �� ' ' - - ' 14. Rough ElectricConduit � - - � -�56.� Electrical-Final � 15. Rough Electric-Wiring - ,�_ - C .'L - 57. Solar System-Final - � - � 16. Rough Heating & Air Conditioning - -- - • encing & Access Approval - 17. Ducts, in�Structure' � " APPROVED FOR PLASTERING , � � - 1'8:` Ducts, Ventilating � � � ' ' � . � . _ _ _ _ 19. Gas Pipe-Rough &Test - . 60. _ POOUSPA SYSTEMS FINAL, ' � , 20. � Roof Frzming " - - ' ' ' ' � ' �� • ` ' • 27. Roof Sheathin �' - - � - - - � � � ' . - � � � ' � � � 22. Freme�and Flashin - _ �. - NOTES: ' � - , , . ' ' . ' 23. Insulation= - � � - � ` ' • � 24. Lathi�g & Siding� - � � ' -- - - - � � � 25..� Drywall Nailing - ' � � � - .26.0;21 r Brown Coat � � � � � . . � '-27.�'-' icil'Power MeterFinal � � � � • � � ' - 28:� �Final Electric � ' � - o�:e- - _e. " � � � � 29. -Final Heating & Air Conditioning. ' - � - �� � � . - � � � -. ' ' - 30. Final Gas Pipe-Test - - . 31 inal 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 -' � - � ' 47. Gas Release to Southern"Califo�nia Gas Co. � � � �� -, . � 42. CERTIFICATE OF OCCUPANCY " . . _ . _ ' � � � �No Date . - � _ . . t�}. _.,� qpPlicant to fill in all s0aeas witnin �V-06 COSTA MESA PE MIT NO. CONSTRUCTION PERMIT c boraer lines antl sign all aoV�oo/iate Oeetarations. TRACT NO. LOT NO. � BLDG. NO. �. Z Project Address 6 •� r(,r • S f'' TVPE OF CONSTRUCTION Owner �/y✓� � p-p K� Phonc _ ❑ NEW ❑ ADD ❑ ALTERATION �ABdress��?Z LIS���fsNFi LEn � r �'REPAIR OCONVERSION.ODEMOLISH Arch/Eng. license No. - �� O7HER .Addr¢ds � "- DESCRIPTIONOFWORK _ � Contractar � ( �, p, , Phone r32 C TYPE OF PERMIT: � - Address. 7J 'L �.OTN{!J � S7. - . - . .� ' , O GRADING . ❑ FOUNDATION ❑ STRVCTURAL LICENSEO CONiRACTOR- OECLARATION • -- � - �Q TENANT ❑ ELECTRICAL,�CUM6ING ❑MECHAI I hereby a/firm M:.t I am IlcenSeE untler provlsions of Charlar 9(com-. � mencing with settion" 7000) o/ �Ivislon 3 of the' Business •antl• ❑ OTHER� --� -� - Profossians Cotle antl my Ilconse Is In tull form ntl e11e t.- PROJECT DESCRIPTION - � ' Lltense Clasi LI<ense No. 6 S�� . - , 5�. FT. � Date��Q Si9naluta � WORKERS' COMPENSATION D CLARATION - �-' OCCUPANCY �_CONSTRUCTION TYPE 1 hereby a(tirm inat I have a cortificata ot consent to sell-Inzuro or a VALVATION� ZONE cerllflwte Of Work¢r5' Com00nsatlOn InSuranca, Or a certltlCtl copy - - theroof (Sectlon 3800, Lab. C.), 1 �, GRADIfJG CV. VDS. ACRES p„"'V No. _ ' 'ComPanY U�� G'� /l.� � _ . _ _ ' � rtifleG copy is hereby turqlshed. �- � - - ' REMARKS: ' / � - Z �rtlflCtl copy is filetl with the Uty Builtlln9 Division. ' Z b� _ EXEMPTION FROM WORKEqS' COMPENSATION�DECLARATION (This sacUOn neeA -not be corr�plet¢tlJf-tha perTi[ is for one.huntlrltl I_ _. �._ ... �E100) or leu). •. � � � - cert(fy that�in tne performan�¢ oi th¢ work tar whiCh.thi5 permit ii issuetl, 1 shall not emPloy any person In any manner so ai to become PLUMBING (,- PLAIV CHECIG � subjecl to tha Workers Compeqsatfon.Laws of Glifornia. - . -- Date Si9nature BATHTUBS SHOWERS NOTICE: H after making this tleclarallon, you 5houl0 Eecome Subjbcf '-TOILETS .�' I ' i^, �URINHLS �� �� to the WOtkars' Compensatlon prOvlsioni ot the l.abor Cotll, you muSt - _ forthwlth tomply with su<h proy�slons or this permit s�all bo tlecmed LAVATORIES DOUBLE LAVS' � CONSTRUCTIONLENDINGqGENCV I<IT.SINKS � DISHWASHERS � � � I hereby alfirm [hat lhere is a construction lentling aqency ior the pan SERVICE SINKS - ''SUMPS � � � � tO�mantE 01 lh0 work for whlch th15 OBrmlt IS Issuetl (SeCllOn 3097 ' Civ. C.). FLOOR SINKS FLOOR �RAINS - LenGBr'S Name ___ _ . _ _ _ _ .. � LenUer'S Atltlte55 ' DRIfJICIfJG FOUNTAINS � OWNER BUIIDER DECIARATION � � � IryTERCEPTORS CLARIFIERS � 1 hereby aHirm that I am exempt trom the ConVatror's License Law tor the followin9 re5zon (Section 7031.5'Business antl' Professions Cotle: SWIMMING POOL� P TRAP' - - ' Any tity pr county whith requir¢5 a petmit to tonsVuc[, alter, improve, tlemolish or repair any strutture, prior'to'R5-issuance, also re- yyqTER SERV ICE ALTERATION quire5 th0 ap�IlUnt fo� such p¢rmit to /ile a signetl zlalement Ihat he is Ilcensetl purivant [o the oro�isions of the Cont�a<�or'S Li«nse l.aw' GAS SERVICE � OUT�ETS �% Business antl P'olaslons Coae) or that he is exempt cneretrom ana tne yyqTER HEATERS BTV OUTPVT bas6 tor the allegetl exemption. Any Wolation of SecHon ]031.5 by ar opll�nt for a permit sUbje<ts tha appliwnt [o a civll penalty ' SEWER CONIVECTIONS � � O Tore than live huntlrCtl tlollars (5500). " ' [. . as owncr oi the property, or my employees with wa9es as thelr SOLAR TANK ��COLLECTORS 3010 compOnsatlon,,wlll tlo �ha.wOrk, antl Iho structu�e.is nol InlentlCtl. ;, or oiferotl �o� sale. (Settion �644, Business antl Prolezsions Cotle: The SOLAR PIPING SVS. �; COnbaGior'S LlconSe law tlooy not apply �to an Owne� of a propCrty _- . � _ . wno builtls or improves there0n, antl who tloes such work himsel( or ISSUE FEE th�ough his own-employees, provltlatl Inat such improv¢ments a�e.nol . intentletl or otferetl for sale. H howeveq the bwltlin9 or improvumant MECHANICAL PLAN CHECK IS Soltl wlthin Ono year-ot compl¢tlon, Ihe.owner will,hdve tne burtl¢n ot proving he tlitl not builtl or improve lor the purpose o/ zale). HEATING SVSTEM 0-300,000 BTV ❑ I, ds own¢r'of�the ptop¢rty, am exclusively' mntracling' With qNDDUCTING - � Iicense0 contractors to constrUct the praject (Section 7044. Business 100,000 + BTU 2nA F'Ofe55Ion5' COtle: Tn¢ Corytlatt0/'s IJc¢ni¢ Law tloe5 noYapply to ' an owner ot property who b4iltl5 O/ ImOrOvez Ine�eon, dntl who con- REFRIGERATION 0-300,000 BTV traGts"'koT'SUch project5 with a mntraGtot(s)' IiceSn¢E pursuant to SYSTEM '-- ' " �he Conlractor'S Ucense Law). 100,000'+ BTU ❑ 1 am exempt untler Section � � B. �S P. C. br tbis BOfLERS HTU rea5on' SVSTEM REPA1 R, ALTERATION Date - Ownor � ' I.noreby certi/ytndl I have read tltls appllcatiOn antl.stat0 that Ih0 abOvO EXHAUST SVSTEM MULTIPLE (nformatlon Is torrecL I agree to compty witn all <ity antl county ortlinances antl state laws relaling to <onstructlon, antl hereby authorize �Bp�C38�WIIv85 0l lhl5 Ciry to enter upon the abOve muntionetl property .lor i on p ¢s. . 519wture � ����'^� Date Z v _ Driveri' LicenSe or 55 � /� � �SSUE FEE CMF OBfiS-46 White-Builtli�g; ��ary-Appliwnt: Pink-Accounting; GoltlenrOtl-Aszessor i� ' ' r � a a � aaiaa in nn 7L� ZONINGREGULATIONS � -' - � A.P. � ZONE �PLNG. REF. � ', �iC6T . ' __ - - I4�LLIb21NG.._ - . . REAR VARD (TO P/l) , - PKG.SPACEREQ. PROVIDED � STREET WIDTH PARK FEE S � � �ZONINGAPPROVEDBV., � DATE -�� SPECIAL CONDITIONS: - ` 1 �. ELECTRICAL ' - - aLAra CHECK'- - � -.- SO. FT.��•� 50_ FT � . • '� 'GENERATOR 0�1 KW_ 1-30 KW TRANSFORMER . � . ' 'APPLIANCE 30�50 KW_ 50 + KW ' ! �MOTORS-' -'" ' 0-1 FIP=1d0 HP" � '(INC.SOLAR) '10-50'HP_SO+HP � - .FI%TURES OUTL'ETS -SWITCNES � � GAS TUBE SIGNS '" ' ' ' �POLE'LIGHTS' - -" " ' ' - " - .POLES METERED SUB PANELS' � MAIN --' - SUB' ' ' SERVICE " - - AMP' � " _ 1 ISSVEFEE ' . "' - 'APPLICATION APPROVE� BV ' ' -' DATE " " � SUMMARYOFFEES• . , � "BVILOING' "' ' ' ' " -• — �' ,PERMIT E SMIP E � . _ __ _ '" ' ' ' _ - � ;PLANCHECK 5 TPERMIT r� � �PWMBING b �U�� ISSUANCE� S - - - PLANCHECK E� - � GRADING'S � _ 1 'ELECTRICAL S s �PLAN CHECK E � � � MICROFILM E MECHANICAL E TOTAL FEE'S I �PLAN CHECK' y; VANCE PC f_ �� . FINALFEE : Ga — , ., CONSTRUCTION AND PLANNING POOL'& SPA � • - _ � - � ' APPROVALS Permit# �Yn31 Date Inspector qppROVALS Permit# Date _, Inspector � 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - Soi ipe-Un rgrn � 44. Steel Reinforcement .3. Electricai Conduit Utility-Undrgrn � 45. Forms 4. . Electrical Conduit-Undrgrn 46. Electrical Bonding tee ein orce 47. Rough Plumbin & P.ressure Test �" ' � � 6. Electrical UFER Grn � � 48. APPROVACTO COVER-GUNITE 7. Footings ' � - ` 49. Electrical Conduit-Undr rn � � � 8. _ Poundation � � - 50. Gas.Pi e, ❑ Undr rn, Test � � 9. Water Pipe-Undrgm 51. Backwash Lines P• ra �❑ �n r rn � - - 10. Structural Floor System • 52. APPROVAL TO DECK - � 11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final • ' . 12. Streei Sewer Connection 54. Heater & Vent�Final� � � � � 13. Rough Plumbing - - - - -� - � 14. Rough ElectricConduit ' -- - 56. Electrical-Final -o � 15. Rough Electric-Wiiing " � - - 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 FINAL � 20. Roof Framing " � � 21, Roof Sheathin ' � � - � . � 22. Frameand Flashin - � NOTES: � � 23. Insulation � ' 24. Lathin & Siding ' 25. Drywall Nailing ' � � " ' � • � ' 26. �Plaster Brown Coat �' '" 27. Electrical Power MeterFinal' � ' ' ' � 28. Final Electric � � - 29. . F�inal Heating & Air Conditioning - 30. Final Gas Pipe-Test ' ' 31. Final Plumbing_ � 32. Water Service-Final � 33. � Gas Service-Final ' „ 34. $olar pomestic-Final � ' ' ' 35. Landsca e S rinklin S stem 36. Sound Attenuation - - ' 37. Handicap Regulations ' � � � 38. FINALSTRUCTURE&BUILDING � - • ' 39. Special Requirements Completeq � ' ' 40. Electric Release to Edison � ' � + - -� 41. Gas Release to Southern California Gas Co. � 42. CERTIFICATE OF OCCUPANCY � � No. Date ApDllcant to fill in CITY OF COSTA MESA ' PeaMir CONSTRUCTION PERMIT M�' witnin heavy Eoreer lines ana all approvrlate tleclantlons. LOT NO. BLDG. NO. C -�3 Project Address - - TYPE OP CONSTRUCTION �WnE! '� Phone' ❑ NEw ❑ ADO ❑ ALTERATION Addr¢a -' ' " ' ' ❑ REPAIR ❑ CONVERSION ❑DEMOLISH � , ArchlEng. � " License No. ❑ oTHER - . �AddfMs " ' - - - _ OESCRIPTIONOFWORK Contractar Phone ..( TYPE OF PERMIT � � � Addf %�% ❑ GRADING ❑ FOUNDATION' ❑ STHUCTVRAI LICENSED CONTRACTOR DECI.AR TION - '- ❑ TENANT ❑ ELECTRICAL ❑PLUMBING OMECHANI I nereby aHirm t�6t I am Iiceniatl untlor provislons Of Charter 9(com- � ' . . mencin9 wlt❑ secllon'7000� of"•Dlvlslon 3 of the Businesi-anC ❑OTMER Ro/esslons Coae, antl my Ilcensa is in tull forCce an eltecl. pROJECT DESCRIPTION Lice o Class " � }/Itense Nq( /� � . . , � - " � ' oat �'2-� Y `7. • o,� QLww.�O ��b " _. . S�. FT. ' ` �. "' "' WORKERS' COMPENSATION DECLARATION -- - OCCUPANCV_CONSTRI'JCTION TVPE 1 hereby afflrm lhat I have a tertilica[e of consen[ to salf-insure or a VAWATION � ZONE certiflCatO of Worklrs' CompBnSatlOn"InSurdnce, or a-certlfletl copy � - . - theraof ($ectlon 3800, Lab. C.). � / GRADWG CU. VDS. AGRES PoIlcY No. ComDanY� ���IS '� ' ' ' - r 'ertifleticopy�ls�herebyfurnl5hatl. -- - � - � REMARK56�• ' •- — -- utHletl cOpy 6 tiletl with [ne tlly BUIIGing DivlSiDn. l..GMPTION FROM WORKERS' COMPENSATION DECLARATION ' �� � 1 (Tbis 5ection neeE�.not be completetl. i( the permit IS for one huntlreE. � - - 1y300) or leul. , � - ' •- . CBrtify that.in t�e performance Ot [he work fOr wqiGh.t�is permit 15 Issuetl, 1 shatl nol employ any person in any manner so as to become PLUMBING "� . ' PLAN CHECK ' SUDjGGI to the W0/ke�s' Compe�sdtlon Lawi ol.CdlitOrnia, _ _. - _ Data Si9nature _ __ _ _ BATHTUBS SHOWERS NOTIGE: tl after making�thls tleclara[lon, �ou shoultl become subject TOIlETS � " URiNALS ' to Ihe WOrke�s' Campinzation p�ovl510ns O tM1e l.ab0� Cotle, you Tust - for[hwlth comply wlth such proWilons or this permir zhall be tleemetl �VATORIES DOVBIE lAVS - revoketl. � . -- � -" ' - " ' KIT. SIIVKS - ' DISHWASHERS � CONSTRUCTION LENDING AGENCV I hereby atlirm that there is a constructlon lentling dgency ior [he per- SERV ICE SINKS '� SUMPS � � � . iorman<e of lha work lor w�iCh thlt permlt Is issuetl (SetliDn 3097 ' Civ. C.�. �' FLOOR SINKS FLOOR DRAINS � LantleYs Namo _ ' , , Lantlar'S Atltlress DRINKING FOUNTAINS � ' OWNER BUILOER OECLARATION � `� ' INTERCEPTORS CLARIFIERS ' 1 herebY dHirm lbat I am exempt from lh0 Contrac[or's LicenSe 1. w br �� ♦nn �nilnw�no rna<nn l_ectinn']031.5 BusinesTantl Pmtnsalons Cotln: G P �PTRAP � who builtls ar improu tNau9h. hls own empl inlentica or offeretl tc is soltl withln ono-yea 01 Proving �e tlVtl n � I,'as owner oi-i IIC¢OS¢tl COOIfdC[O!5 l antl Pr01¢iS1of15 CAtic: an� io a my emplOyees � k,-antl the struct Buslness antl Ao apply -0o.an. ov fld Wh0 dOCS SU< etl tnat such im{ Heve�, tha builtlii on, tne owner w ImprovG IOr the am Oxclusivaly he projoct (Settl to�'s LlcOnse Lav or ImDroves ther ❑ I am exempt under SeLtlon_ ICdTOfI - - ter, SWIMMIN OOL fe' WATER SERVICE AITERAT he aw GASSERVICE - OVTLETS the [he y./q7ER HEATERS ' BTU OUTI �� ith wa9es a5 their SOLAR TANK �- COLLECTORS - re is not Intentletl . sssians Cotle: The SOIAR PIPING SVS. � ier of a property _ _ . . � work himself or ISSUE FEE ovements are no[ � or Improvemont MECHANICAL PLAN CHECK 1 have_the bu�tl¢n • purpose of sale). HEATING SVSTEM 0-300,000 BTV contracting with' qND DUCTING - �� � � in ]044, Businoss 100,000 i BTU tloes not apply to ' on, antl who con- REFRIGERATION 0�100,000 BTV sneE pursuanl to SVSTEM ' -' -- ]00,000:t BTU B. & P. C./or thl5 gOILERS BTV SVSTEM REPAIR,ALTERATION 1 �ereby certlfytnat I have reatl this applicatlon antl 5tate that the above EXHAUST SYSTEM MUL`TIPLE _ informatlon is mrrecL I agree to comply with all city antl coun[Y E malnances antl state lavn relaUnglo construction, an� nereby aulhorizo representatives o( this city to anter upon the above mentionetl , proparty t0S nspec�}°n, purpo5es. _ p / Si9nature C(�D✓) iru+i�.(--�� Date '�2!`L . " " ' _ ' � Drivers' Licenie or 55 ��� ISSUE FEE CMF 0865-36 Wblte-Bviltling; Canary-APPIiGanq P��k-AtGountin9: GOltlenrotl-ASSesso� • 2753 3/02/8� � 7.00 TL , : • - - _ A.P.9f . . . . . . , LONE PLNTGp. RgUEF�. p� � 3ETBACK C/L 5T. FROPE�RTVNLINE � � �ip�.v aD � , . - 0.EAR YARD (TO P/L) ' �. " �PKG.SPACE REQ. ,PROVIDE� ' ,STREET WIDTH .,PARi( FEE�E � �ZONING APPROVED BV , � , DATE � SPECIAL CONDITIONS: ' : ELECTRICAL � ' a�ArvCHECK � �I GENERATOR 0-1 KW_1-lOSKW i' - �TRANSFORMER • �i � APPLIANCE ]0-50"KW_SO+KW. ' �: MOTORS -0-1 HP_1-30 HP � _ � ...__ (INC. SOIAR) ]0-50 HP -_- 50 i'HP' ' = � FIHTURES OUTLE75 �SWITCHES . - GAS TUBE SIGNS ' ' ' ' ' ' � POLE'LIGHTS ' - - ' -. ,� � ' . - PHNELS � MAIN " "' " ' . . . .. . .. . � _ ' . . .. ��. i . . � �• �v . ' ISSUE FEE � '- �- "- ' '.APPLICATION APPROVED BY' - -� • DATE "" � j SUMMARV OF FEES - - , �BUILOING ' ' " ' - ' -'� PERMIT . 5 � SMIP �! � S' � •� � �PLAN GHECK S PERMIT ..� � � iPLUMBING E �SSUANCE 5 GRHDING S PLAN CHECK b ' , ' , � ELECTRICAL S s . PLAN CHECK 9�-/��/-� � MICROFILM §' � MECHANICHL� S y/_LL ' TOTAC FEE'E � �PCAN CHECK� E � - LE55 AD- ' ' � ' VANCEPC S_ � . D f7 ' . ... _PINALFEE S_ � CONSTRUCTION AND PLANNING POOL & SPA • � � - � + APPROVALS ' Permit# Me2�� Date Inspector qPPROVALS Permit# - Date Inspector i. Temporary Electrical Service or Pole � 43. Pool & Equipment Location� -� -• - ---� � Soil ipe-Un rgrn 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. ootings 49. Electrical Conduit-Undr rn � 8. Foundation - 50. .Gas Pipe, ❑ Undr rn, Test � • �� � 9. Water Pipe-Undrgrn � 51. Backwash Lines P-Tra ❑� nd rn� • - - -�' 10. Structural Floor Sysiem _ • 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 ElectricConduit - - - � �56. Electrical-Final- � 15. Rough Electric-Wirin -" -- - � � -� - � 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 & Teit • � � 60. POOL/SPA SYSTEMS FINAL � , ' • � � � • 20.: Roof Framing � � � � . 21. Roof Sheathin ' � , - . �� � � 22. Frame and Flashin ' NOTES: ' .. 23. Insulation ' � � ' � 24. Lathin & Siding �- - � 25. . Drywall Nailing � � - � � ' 26: Plaster Brown Coat - � � ' " �� � � 27. Electrical Power MeterFinal . � � � � 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 pomesticFinal � ' "' � 35. Landsca e S rinklin S stem ' � ; 36. Sound Attenuation >• � � ' , 37. Handicap Regulations � � •" - ' 38. FINAL STRUCTURE & BUILDING � 39. Special Requirements Completed � � - - y � � ' 40. Electric Release to Edison •- � ' � - � � - - - � 41. Gas Release to Southern Califomia Gas Co: ' �� �- 42. CERTIFICATE OF OCCUPANCY � � . � � � � � �� No Date ' - AOO���ant lo fill in all spaCes within M1eavy borEer lines anE sign all aOG�opriala tleclantion:. -CITY OF.COSTA MESA P IT NO. TRACT NO. LOT NO: ByJ� c.No. �- 25f5 PIC��JIB7L %�OO TL ��CONSTRUCTIONPERM6T � 7 - ' [�� �, . • . � .' -� Project Address •h S ,G� • TVPE OF CONSTHUCTION � � ,.�' ,.`• ,� � , �. .1� . . � , , , Owner ' - � � ` Phone ❑ NEW� ❑ ADD " � AITERATION " - . ._ . - .' . . " " . . . �AddleR "- �` �� ❑ REPAIR ❑�CONVERSION ❑OEMOLISH _ . �� _ - r ZONING'REGULATIONS ' �AfChlEng. ' ' ' -- - LiCenie NO. - � ❑ O7HER ' _ .A P. � . _ _ . ' . DESCRIPTION OF WORK AddrMs" . .. '" ' ' ' -" " 'o -" . ' ' -' - - ZONE " '- ' ' PLNG. REF. qp . " -Cantractor - a- � �'-' Phone' �jPdl3� �TYPE�OFPERMIT� " - - "' ' � .SET AC � -�RO����'RV�LGNE-' . '° �" - �AddreS{�� ' y'/OY b ❑GRADING , ❑ FOUNDATION �OSTRUCTURAL� I VARD �--�- - - - UCENSED� CONTRACTOR D CLARATION ' ' ' ❑ TENANT ❑ EIECTRICAL ❑PLUMBING ❑MECHAN�C 5�p y . _ � , , _ , I hereby at(irm t�al I am Iicansetl untler provislons of Charter 9(com• , � '., .. RIGHT � � inen<In9 wltb 'sectlon 7000) ot Divielon 3 ot the- Business. antl ❑ OTHER �REAR VARD TO P/L) - ' -"' Profosslons Cotle, antl my Iicense is In full forco antl e(/ecl. ' ( - �LltenseCiass ceni No. PROJECT.DESCRIPTION� _ - ��I� � ' "'- - " PKG:SPACEREQ:- PROVIDED -L=�'Q�ignatuie- SQ..FT." � � . Date� ' � ' - �' '" STREET WIDTH" - " ' PARK FEE E ' ' WORKERS'COMPENSA710NDE LARALION ' OCCVPANCV_CONSTRUCTIONTVPE ' d hereby affirm that I hdve a cerUflcato of consent to seH-inwre or,a • VALVHTION ZONE -ZoNING'APCROVEO BV -' ' DATE �-- tertlticaYe of' Workers'-'Compensatlon Insurante, �o� �a certltietl copY ' �- ' ' SPEpAL CONDITIONS: ' ' " ' ' �thereot (Sectlon 3800, Lab. C.). ' GRADING CU. VOS. ACRES ���cY No _ _' ComPauY " " " '_ _ _ ' _ - .. . . .. ,�.w„erlitietl.cOPY is hereby.fumishetl. - _ _ . + . . _ REMARKS: �.J.l _ • ' ' __ . _ ' ' " _ ' _` _ '_ '_ ... . . � . .' " _ .,���:ertl(ietl copy is flletl With the N[y Builtling Division. - _ EXEMPTION FROM WORKERS' COMPENSATION-OECLARATfON " � �- ' a . (This.section.neeG.not.be completeE_if the permiLis_tor one huntlreG _ _ _ _ . _ . • l • \-_� , ' - � '• ' ' , SES00) or Iess). - - " ' '- - ' ' -'^ - - .cerbfy that..in the pertormance of the work for which this permit iz - � , Issuetl, I shall not amPloy any person In any manner so as Co� become PWMBING, - j, " PLAN CHECK •'- ' ' - ' ELECTRICAL'�' — �- PLAN CHECK � � N sub)eGt to.the Work¢rs. Compensa[IOn Laws.of Cali(ornid. __ __ . ' ' ' . _ _ _ ;Dale Signature BATHTUBS ��SHOWERS - " — - Q�- - - NOTICE: It afcer making this tleUaratlon, you shoultl be�ome sub�acl , TOILETS., ;.�� �„ . URiNALS'- -- - - ^�GENERATOR-- Od KW_1-lO.KW' -- - -� -� � to [ha Workers' Compenietion proviiloni of the La�or Cotle, you�must ,TRANSFORMER � . fOrthwith wmpty wi[h such pwvi5iOn5 or [his permit Shall be tleem¢tl LAVATORIES OOUBLE'LAV$'- - -' - -'.APPLIANCE - 10-50 KW_SO���KW _� rOvokatl._ _ . J-- � � CONSTRUCTION LENDING AGENCV � � KIT.SINKS' - - �'DISHWHSHERS - ^ MOTOR$ � - � 0•1 HP- •1d0HP � - - I hereby affirm that therg is a constructlon lentling agency for the perv SERVICE SINKS y SVMPS " - -- �UNC. SOLAR) _ 30-50 HP 50 � HP ��.'� � _,� ,fOrmance o1 the wOrk lor whlCh lhis permit is Issuetl ($ecllOn 3097 (CIv. C.). - - ' ' -' '-- ' ""-"' -" . ' FLOOR SINKS� � -FLOOR DRAINS - ' �FI%TVRE& - 'OUTLETS^ �SWITCHES� - - � y .l.entler'S Name Lentler'sAtltlresi DRINKINGFOUNTAiNS - • GASTVBE-SIGNS-- � ---- - . OWNER BVILOER DEC�ARATION ' '�- ' -' � -- INTERCEPTORS CLARIFIERS - - POIE LIGHTS '- � - - -- - � - • - J I haroby aifirm thal 1 dm Baempt from Ihe Con[racto�'s UCenSe Law to� tno-following reason-(SOStlon 7031.5•Business-antl-Aofesslons�Cotlr. gyy�MMINGPOOC PTRAP"� - ' ��POLES �-- METERED " VB' -- qny city or county wAich requiros a permit to construct, altar, Improve, Eemolisn-or reDdir any strutlure, prlor to'Its issuance, also re-� yyqTER SERVICE ALTERATION ' PANELS �-- ---MAIN - --SVB - - -� qW�eS th¢ ap.licant lor sUcb Oe�mit to 1lle a v9netl 5tateTOnt Ihal he � is Iitensetl'pursuanl'to'tbe provl5lonsof the'Contractor'S LlcenSe�Law GASSERVICE ��� OU,TLETS - ' '- ' .SERVICE - - � -- � A P. IChapter 9(commenGng with Sectlon 7000) ot Dlvition 3 of [he _ 9uSIne55 antl R'o1¢55iOn5'�qtle)'o� tttat'h¢ I5 ex¢mpTtherctrom antl'Ih< - yyqTER HEATERS' 'BTU OVTPVT� ' T basls for t�e allegetl exer�ption. Any violation of Settion ]031.5 by iee'�'��IPP����t-for'a�permlt'sub)ects the applicant•to'a•civil-penalty SEyJERCONNECTIONS'-' '- " ' - ' � � ^- � - - � - �� - � '�"'�;,+it more than five hyntlretl tlollars (§500�. � ' L`j.';'�as owner o( [h'e �property, or my ertiployees with wagei as their SOLAR TANK ' - �" COL'LECTORS' - - � - - - - - - j - - -- sole.tompensation, will tlb the work, antl the s[ructure is not intentletl ISSUE FEE Or Otflr¢tl for sal¢. (Seclion 7044, BuSiness an0 Profe55ion5 COtle: The SOLAR PIPING $V5. ' � � - ' ' � � .Contractor.'s Li<ense Law tloe5.not.aOP�Y to an owner of a property .�APPLICATIpN-/�.PPROVED BV � �ATE - w�o builtl5 or Improves thereon, antl who tloes sucn work himself or ISSUE FEE f �� �- - - "- �- i tn�ough.his own.¢mplOye¢5. Provitl¢tl tltat such, ImprOVC/nents are not intentletl or ot(eretl for sale. If, however, the builalnq or improvement MECHANICAL PLAN�CHECK � � � �SUMMARV OF,FEES i5 SOltl.within.on0 Year Ot COrtlPletiOn, the owner will hava the burtlen • �^ of ptoving he tlid nOt builtl or improve fOr th¢ PurpoSG o( SaIC). - -- � BUILDING - - -- � __ �� I, as -owner ol •lba ro -HEiiTING SVSTEM 0-300,000 BTU _ � PERMIT 5 'SMIB 4; E. , p perty, am exclusively�conbactin9-with -AND'�UCTING Ilcensetl rontractori to construte the projett (Section ]044, Business 100,000+8TU �PLAN CHECK 5 7ERMIT � antl Professions Cotlo: The Conlractor's Llcanse Law tloes not ap0ly.to - . � _ _ _ ._ . ISSUANCE. �E� an owner of proDerty who builtls or improves theroon, antl who con- REFRIGERATION 0-300,000 BTU �LUMBING E ,tracts-irom-such pro�ecti with-a conlrac[or(s) IicesnoC pursuant to SVSTEM� - •- � - - - . GRAOING'� E' the ConVactor's Li<ensc 4yw). 300,000 y BTU PLAN CHECK S � " �"1'amexemPtu`ntlerSeCUon'-'-" " BCSP.G.fortbis - - '- - • . �� .rl� . �'� "• E ��-" _ i BOILERS BTV ELECTRICAC'E" rea5on ' � ' -- - - - - � -- - PLAN CHECK §- MICROFILM S Date OW�er - SYSTEM REPAIR, AITERATION TOTA� FEE 5 I hCrGby<¢rtifylnal I hav0 r¢atl Ihis applitation antl state l�at the above EXHAVST $VSTEM MVLTIPLE � MECHANICAI E -- - - PLAN CFIECK f �-ESS'AD- info�mallon it correcL I agree to Comply with all tlly and county � - �-VANCE PC 5'_ - ortlinan<es antl slate Id �Matin9 to con5tructlon antl h¢reby authoriiB ��- . rOPleSentative5 of t Ciry to nnle! upon t}fe aGove mentionCtl ' � ' property �or jn� lo��zes/ � . Q d Slgnalure � />-�l�� �� Date�� , FINAIFEE E� Driveri' Litense or 55 9F ' - ' ISSUE FEE • � -- -- � � - - - . , . . . . . , , CMF 0865-�6 W�ite-Builtlin9: ��ary-Applicanp Pink-Accoun[ing; Goltlenrod-Assezsor � ��� CONS7RUCTION AND PLqNNING � POOL & SPA�. � � : � � � ' APPROVALS Permit#E"�!� Date 'Inspector APPROVALS . Permit# • Date � :Inspector _i. Temporary Electrical Service or Pole 43. Pool & Equipment Location - -- - - � . . Soi ipe-Undrgm ' � 44. Steel Reinforcement - - � • - - - ' - 3. - Electrical Conduit Utility-Undrgrn . 45. Forms 4. • Electrical�Conduit-Undrgrn. 46. Electrical Bonding �� ' - . tee _ ein orce • � • 47. RougFi Plumbin�- & Pressure Test -� ' _ 6.. . Electrical UFER Grn .. ' 48. APPROVAL TO COVER-GUNITE- • - � _ 7. Footin9s 49. Electrical Conduit-Undr rn � • - 8. � Foundation -- - ' 50: Gas Pipe. ❑-Undr �n, Test ' ' � � �9. Water Pipe-Undrgrn � - 51. Backwash Lines P-Tr ❑- ndF rn - ' � ' - - ' i0. �Structural Floor System , - � 52. APPROVAL TO DECK -' - - - -"' - ' ' - - - -- �1•1. Property.Sewer Line & House.Connection� . 53. Backwash & Rece tor-Final �' ��' ' �� � 12. Street Sewer Connection .. .' " � 54. Heater & Vent-Final 13. .Rough Plumhing _ _ . - ' " - � " - - - - ' 14. Rough �IectricConduit ' � '- � '• � � �56.. Electrical-Final � - � � � - � 15. Rough Electric-Wiring _ Z� - - �57. Solar System-Final ' � � ' ' -16. Rough Meating & Air Coriditioning- - '- - . • encing�& Access Approva� � ' 17. • Ducts in Struciure. - � - APPROVED FOR PLASTERING ' � 18. ' Ducts, Ventilating --� • • - ' _ . . . . . . .. .. 19. Gas PipN-Rough &Test ' � ��60. POOUSPA SYSTEMS FINAL • , - 20. Roof Framing- - - - - - - - � � � � ' 21, Roof�Sheathin ' � - � - � � � - ' � � " 22. Frame and Plashin - ' NOTES: '' . , ' 23. Insulatipn - � �- - � � 24. Lathing & Siding � - -• � - - - � - � � � 25. Drywall Nailing - - - � • • �� � � � � 26. Plaster Brown Coat - ' � ' � • � 27: � ElectricaFPower Meter-Final � � � � � 28: Final'Electric - � ` � � 29. Final Heating & Air Conditioning - - - - • � . 30. Final Ga� Rpe-Test - - • - - - � � - - 31: Flnal Plumbing � ' - ' 32. Water Service-Final � 33. Gas Service-Finat - � 34. So�ar pomesticFinal ' - � • � ' 35. Landsca e S rinklin S stem ' ' - � � 36. Sound qttenuation � � � ' � � ' 37. Handicap.Regulations - ' �� 38. FINAL STRUCTURE & BUILDING ' - ' � 39. Special Requirements Comple[ed � � , 40. Electric Release to Edison � - - - � - ' 41. Gas Release to Southern California Gas Co. - � 42. CERTIFICATE OF OCCUPANCY - � No � Date . ' " � ApPli CITY OF COSTA MESA �GONSTRUCTION PERMIT AddrQss Address "� ' Contractor ;�d `_ - Phone TVPE OF PERMIT��,/ Addf@5y ' - - ❑ GHAOING �FOUNDATION �STRVCTVRAL LICENSE� CONTRACTOR DECLARATION ❑ TENANT ❑ EL CTHICAL O?LVMBING ❑MECHANICL I here4y affirm that I am IlcanseU untlar provislons of Chartar 9(com- • �; ,` �`' menCiqg wlth SeCtion 7000) of DivlslOn 3 oi the Buslneis antl� � 0 OTHER PYOf¢551005 COtlC� d�tl fOy IICEf158 IS 10 }OII fOYfR dfltl Bf(9Ct. J� � . PROJEC7DESCRIPTION ' � , . Licensp Class � Licenie No. � Date Sl9nature _ SQ. FT. WORKERS'COMPENSATION DECLARAT.ION OCCUPAIVCV' CON57 UCTION TVPE 1 herepy affirm that I have a ceiHflwte ot consent to selhinsuro or a� VFWATION ZONE terUfleate of'Workers' Compensatlon Insurance, or a certlflotl copy - . thereol ($¢ctlon 3800, Lab. CJ. , GRADING CU. VDS. - ACRES Fbllcy No. Comparty — ' � Cer(Ifiotl copy I5 hereby furnizhetl. :0.EMARKS:� Certl/iea copy is (ilaG wltn the clty Builtlln9 Dlvision. cXEMPTION FROM WORKERS' COMPENSATION DECCARATION ` ' .(This.seclion neetl.not be completetl Ii the permit is for ona huntlretl � (E300) or lessl. - ,� I.rerti�y tnat ln t�e periormance of th¢ work (or �vhich thi5 p¢rmit is Issuetl, � shall not emPloy any person In any manner so as to become "PLUMBING .subject to.the Workers .Compensatlon Laws of Callfomla. -' Date Signature', BATHTUBS NOTICE: If aftor.mdking this tleclaratlon, you shoultl becomo 5ublec[ '�TOILETS ro the Wprkors' Compensation provislons ot the Labor COCe, you must LAVATORIES fOrthw�(h cOTply'wlth Su<h p�ovl51on5 Or lnis pe�mit shall be tlaUrtletl revoketl. � ' - - 'KIT. SINKS'- CONS7RVCTION LENDING AGENCV 1 tferepy affirm tM1at there fs a constructton lentling agency for /he Oer- SER V ICE 5 W Y formance o1 Ihe work fo� which this pGrmit is Issuetl (5¢Ctio� 309] " C � " ' "' . _ " " _ ' '_ ' all all appropriata eecloration L�T NO. I BLDG. NO. �/ TYPE OF CONSTRUCTION Phon2 �NEW ❑ ADD O ALTERATION A REPAIR ❑ CONVERSION ❑DEMOLISH LiCenSC No. ��� � OTHER DESCRIPTION OF WORK > > //C/ ' �9. 30 PLANCHECK SHOWERS URINALS DOUBLE,LAVS"' DISHWASIiERS SUMPS � , , ' C1°' '%' FLOOR SINVCS ' FLOOR.DRI Lentler's Name Lenders Atldress � D0.INKING FOUNTAINS , _ OWNER"BUILOER �ECLARATION ' - � �INTERCEPTORS I herehy aHi�m thal I am exCmpt from the Conlydt{pr'S License Law �or tne'followina reazon (5actlon-7031.5 Buslness and Prolessions Cotle: SWIMMING POOI P y whlch requlr¢5 a pe�Tit lo mnsiruc[, al�er, � repalr any structure, prlor to Its Iszuance, also re- ' yyqTER SERVICE 'A for such permit to file a signetl statement l�at he to the provislons ot the Contractor'S Licensclaw GAS�SERV ICE OUTLETS WATER HEATERS' " BTU OUTPVT SEWERCONNECTIONS ' SOl_AR TANK ' ' COLLECTOR: SOIAR PIPING SVS. �SSUE FEE � MECHANICAL PLAN CHECK HEATING SVST�M 0-300,000 BTU_ AND DUCTING' 100,000 + BTU _ REFqIGERATION 0-300,000 BTU_ SVSTEM ' �100,000��BTU�_� BOILERS BTV SVSTEM REPAIR,ALTERATION EXHAUSTSVSTEM MULTIPLE "`F apppGant for a' pe�mlt Subjet[5 tlte appfltant t0 a Civll'penalty �.}of more tnan rive nunarea aona.s (5500). 5����'�, d5 ownCr ot tlie p�opmly, o� my emplOyees wi[b wage5 ds Ihel� e cqmpansaUon, wlll tlo the work, antl [he structure I5 not intentletl or off@retl lor 5ale. (Section ]044, Buslness antl Prolesslonz Cotic: The Conlrac[or's License �aw tloes not apply to an owner ot a property wh0 bulltl5 or Improve5 theteon, dntl who tloe5 Su<h work hlm5el( or tbrOu9h his Own.empl0yee5, provitl¢tl that SUGh ITpfov¢RI¢nt5 af¢ nOt intentletl o� ofleretl fo� Shc<. If, ItoWev¢r, the bulldin9 0� imOrovement Is Soltl wlfhin Orte yea� o/ completion, the own¢r will have the burtlen of rOvinq M10 tlitl not buila or improve for tne purpose ol sale). � as owner of tne� Oroperry, am exclusivaly� contraUin9 wlth I nsea contractors to tonstruct tne project (Se<tlon 7044, Business an Professions Cotle:� The Conlractor'i License Law tloes not apply to an ow�er o� prOOCrty who builtls Or ImpfOv¢5 Ihal90n, dntl who con- tracts from sueh� projectt with �a concrattor(s) IlcesneU pu�suant to lhe Co�tractor's LJcense I�w�. ��J am exempt untler Sectlon - B. & P. C. �or this Date i have r¢atl this ecL I aaree to [hat )rVper[ � ! IpO ul 5¢5 il9natur9 � �SSUEFEE - CMF 0865-46 White-BuilGing; Canary-ADPliwnt; Pink-Ac<ounting: Goltlenrotl-Asussor �� a� ZONE /`.'3 SETBAC� KC�LST.=r 51 VA� l5_ p LqC/ R�IGHTA / y REAR VAR� (TO P� PKG. SPACE REQ. STREET WI�TH ZONING APPROVE[ SPECIAL CONDITIO Q�9 FOdt SPEC �-_- ELECTRICAL 9632 '12/17/81 ' 326.38 Tl �NING REGULATIONS - i PLNG. gR�E/FL: p$-LZC. — 6 OPE�RTV LINE � ' ..— ,J„ O _ L) Z� , PROVIDEO�" : j� - G PARK FEE S �'ZZ �� B DATE V5. ' -' Al._ REQUiREMENT� - ___ , PLAN CHECK , ") TRANSFORMER 0-1 KW_�1=10 KW,_ APPLIANCE 10-SOKW_SO+KW_ MOTOR$ 0-1 HP_1-10 HP _ (INC. SOLAR) �0-50 HP 50-� HP _ FIXTURES "OUTLETS SWITCHES GAS TUBE SIGNS —' - � � POLE LIGHTS ' - ' PHNEL$' 'MqIN '.-$UB 'SERVICE " " - - -P APPLICATION APPROV ED BY BUILDING PERMIT § PLAN CHECK E PLUMBING S i" �Y PLAN CHECK E � ELECTRICAI. E , - ' 'PLAN CHECK E� ' MECHANICHL E - PLANCHECK E �ATE �F FEES . SMIP ,, 5 5� 38 PERMIT �SSUANCE � b GRADING E . a V � . MICROFILM�S �' � , _TOTAL'FEES " � � 1E55 AD- . - "VANCE GC 'E _ FINAL FEE § ✓� I� CONSTRUCTION AND pLANNING � � � � -' �. .' � � ?OOL & SPA , � APPROVALS Permit # �a+0�e0 Date InspeitSr ^AppROVALS 't Permit #� " Date _ Inspector ' � . 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location ,.. �� - '�- • 2. ,Soil ipe-Undrgrn � 44. Steel Reinforcement. � - ' • - ` - ' - ' t ' `3. -Electciral Conduit UtilityUndrgro �x- 45. Forms- - ' � - '- � -:' r `.'4: Electrical'ConduitrUndrgrn � 4' 46.. Electrical Bondin • - ' • • - � � '-' ' �- . tee em orce r � � , ;, „ 47 �, Rou h Plumbin & Pressure Test " ' '" ' ' T 6. Electrical,U.FER Grn _ • / 48� APPROVAL TO COVER-GUNITE 7. Footings '� - 2, y. c 49. Electrical Conduit-Undr m .8. Foundation ... ..� S •.,] - � 50. Gas Pipe, d Undr m, Test 9r -Water Pipe-Undrgrn �_ 51. Backwash Lines P-Tra ❑ ndr rn ' ' '_ •10: -'Structural Floor System -~- 52. APPROVALTO DECK � '..1.1.. - Property Sewer.Line &_House Connection :�53._. Backwash & Rece tor-Final 12. Street Sewer Connection - 54. Heater & Vent-Final 13. Rough Piumbing ' � 14. Rough E�ectricConduit � --� ' - �56.' Electrical•Final - + 15. Rough Electric-Wring -57'. Solar System-Final 16. Rough Heating & Air Conditioning � • encin9 & 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 (�/F' -�2 21. Roof Sheathin - -g'� _ 22. Frameand Flashin �!f` � 3-�2-�Q',Z NOTES: 23. Insulation ' �' �' ✓ 3 -c��'gz ' 24. Lathing & Siding (,✓Y' ��/ - l- Sf2 25. Drywall Nailing yti -,1' -8 y - 26. Plaster 8rown Coat -' G Z � 27. Electrical Power Meter-Finai 28. Fina� Electric � 29. Final Heating & Air ConUitioning � 30. Final Gas Pipe-Test 31. Final Plumbing 32. Water Service-Finaf - 33. Gas Service-Final ' -34. . $olar pomestic-Final � �'35. '�Landsca e S rinklin� S siemL '�. J 36. Sound Attenuation % �. 37. Handicap Regulations 38. FINAI.STRUCTURE&BUILDING�� 8'/ 39. Special Requirements Completed ' 40. Electric Release to Edison - � - 41. Gas Release to Southem ��ifomia Gas Co. ' 42. CERTIFICATE OF OCCUPANCY " . _..No- Date �� _ -.� � ' , lc �• - . `\'. .'t -.�: , :.� � � Applicant to fill in all spaces within heavy Eortler lines anE sign all appropriate tleclaratlons, CITY OF�COSTA MESA� �^ PE �MIT NO. �- '- -' ' TRACT'NO: -' LOT NO-: - BLDG:'NO:' ' ' - - � ' ' -- - ' ' ' ' ' � - ' - • � - - - , CONSTRUCTION PERMIT � ��9�'� -'''`� � G''3 3 " 9698 12/ 17/81' ' �� 37.00 iTL ProjectAddress i . � TVP FCONSTRUCTION� � . ._. > �� _ "�. �� "' --' . ' - . �" .I Ownef` . y_. .""' � hone • ��' � NEW i ❑ ADD' ..� ACTERATION ' "'- ' � . . . .• . . : . _ "'- - - 'AddlEs- � - � �O-REPAIR-❑CONVERSION ❑�DEMOLISH � � � _ � OOTHER' �� `b �-�-' ` � � ZONING REGULATIONS }�� r,�.- ' Arch/Eng:` ' ' -License No: � � , , ' ' -- _ _ _ DESCRIPTION OF WORK P"P' � �� �' Address - i - _ - ' __ . . . _ _ _ �. . . . . ,.� - a ZONE PLNG. REF..�� .' " Conbactor � - _ .Phon ,�-,3 � S,YPE OF PERMIT � � � �� � - B � � �'� BI�IL�NG -- , - SET ACK L T. OP R LINE` Address � � " .'-"' , .' - ❑ GRADING"', ❑ 'F,OUNDAT�ION� ❑'STRUCTURAL ' SIDE VARD' -- . ' - - LICENSED'CONT�RACTOR DECLARATION " " j' LEF ' -O'TENANT ❑ ELECT,RICAL'L_ �UMBING OMECHANICA SIDE VA - -- � --� - I_hereby affivm that I am li<ensetl untler provislons of Charter 9(com-: �. �, ,I" _ RIGHT ' � mandng"wlth -settion 7000) ot Division 3 of the Business-and �� OTHER - � . . , , Professlons Cotle; anA my Iicense is l� full f rce effec . • REAR YARD (TO P/L) . � -� % 3 :PROJECT DESCRIPTION . LIC¢ns � ice o. � � � , _ _ � _ - PKG.SPACE REQ. , PROVIDED � Date � SlgnStur , % SQ: FT. � • � '�^ � � _. . _ .. _ _ WORKERS• COMPENSATION D GLAR ION �- - '� OCCUPANCY_CONSTRUCTION TVPE STREET WIDTH ' PARiC FEE $. ,�� . I hereby aftirm that I have a certiflcat mnsent to self-insure'or�a ; VALUATION' � ZONE ZONING APPROVED BY' �� , "DATE `"- -" certiflw[e o( Wofkers' Compen5ation urant¢, or d certifietl Copy � - - - ^ - --. � ' , . .. _ , . thereot (Settion 3800, Lab. C.). ' / q �y�� �GRAOING CV.�VDS. � ACRES SPECIAL CONDITIONS: - �Poliry No. - '--ComPanY L���/�Y�"'�' " ' - - - ' - - -' . . . - � Ger ifietl copy Is hereby furnlshetl. . _ . ' _ ' REMARKS: • � __ � � � _ _ __ ertlfieG copy Is filetl with the city Builtling Division. � cXEMPTION FROM WORKERS' COMPENSATION DECLARATION - ' '- ' "' ' ' ' ' - � �(This section neetl no[ be completetl if 1he permit is.tor one_hunCretl (E300I or less). , . , _.' '. '.. � _ J . _. _" _ ' ' _ _ ' . _ �... ' _ ' I certfry [hat in.the performance�of Ih¢ work fOr whiGh this.permit is _ _ Issuetl, 1 shall mt emPloy any person in any manner so as to.become PLUMBING i - PL'AN CHECK - ELECTRICAC� P�AN CHECK � "- 5ubjecttotheWorkarSCompensationLawsofCalifornia: . . - ' ' . .. Date � $Ignature BATHTUBS SHOWER$ � _ - " ' - NOTICE: It atter makin9 this tleclaration, you snoultl become subje<t :TOILETS � URINALS '- � - --. - GENERATOR' " 0-1 KW_ 1-10 KW to the Workers' Compensation provisions of tha Labor Cotle, you must � �� � TRANSFORMER � torthwith comply.with such provisions or this permit shall be aeemetl �AVATORIES � DOUBLELAVS v'� = APPLIANCE " 30-50 KW_50 + KW �� .revoked. .. i . ' . _. . . ._ . . _ . . . � . . . CONSTRVCTION LENOING AGENGV �KIT. SINKS -�' DISHWASHERS-'� - � MOTORS '"0-1"HP_1-30 HP ' . •t I hereby a(flrm that there is a construction lentling agency for the per- SERVICE SINKS '� - SUMPS � ' - ' ' (�N�. SOLAR) � 10-SO�HP=- 50 +�Hp �- -- -- - - formance of the work for which this permit is issuetl (Section 309� "Clv. CJC ""'- '" ' - " - - ' -'-- ' -' " - - - "'�- FLOOR SINKS 'FLOOR DRAIfJS � FIXTURES' "'� "OUTCETS 'SWITCHES ' " � " - Lentler's Name Lentler's Atltlress � DRINKING FOUNTAINS �' ' GASTUBE'SIGNS' -" - " ^ -- r - - OWNER'BUIILDER DECIARATION- "' ' - � � ' INTERCEPTORS '� CLARIFIERS "POLELIGHTS' "' �- """' - "' ` - - - I Ite�eby affi�m that I am exempt frOm.th2 Contracto�'s �icense Law fo� the'followingreason (Section �031:5 Businesz antl Professions Cotle: 'SWIMMINGPOOL `PTRAP - - - " ""-' ' ' - ' - ' ' - - - Any city or county which reQuires a permit to construct, alter, POLES METERED .. SUB . 'improve, demolish or repair any strutture; prior to its Issuance,'also re- y.�qTER SERVICE ALTERATION �' � -PANELS - � ' MAIN .',-SUB-- - -- quires the ap4licant for such permit [o file a signeC statement that he - is'licensetl�pursuant [o tbe-provisions ot"the'Contractor•5 Litense'Law ' -' ---' -' -- ' �- - - -- � _ _ � (Chapter 9(commencinq witb Sectlon ]000) of Division 3 of the GASSERVICE OUTLETS � ' SERVICE- � "' '-AMP 6usines5 antl Prolession5 Cotle)br that he'Is exemp['theretrom'anG the' ' yyqTER HEATERS �BTUOUTPUT- �-� � 'a"' - - `- - ' - ' '- - -- ' - - - � basis for the alle9etl exemption. Any violation of Section 7031.5 by •� � ' appliwnt for a' permit'subjects'the'appllcanYto a clvil'penalty 'SEWERCONNECTIONS ���,;-� ��-., ; � .; ��' '�S ' -- '- '-" " " - ' ' -- � ��,�ot more than five huntlretl tlollars ($500). _ _ _ ._ _ _ l _ . _. _, as owner oi the property, or my employees with wages as their SOLAR TANK COLLECTORS� 5u�fe compensa[ion, will.tlo_the work, antl the sVucture is not Intentletl �' `�t` � or offereE for sale. (Seclion ]044, Business antl Professions Cotle: The SOLAR PIPING SVS. �, � � — �SSUE FEE " ' " ' -' '-" ' - Con[ra[tor'S LicenSe.Law does not.apply to.an owner_of.a.property_ . APPLICATION APPROVEDBV � who builtls or improves thereon, antl who tloes such work himself or ISSUE FEE � �; � � � 3� � -"' ' OATE ' �tnrough his own employee5,.provitletl tnat such.lmprovemehts are not intentletl or offeretl tor sale. It, however, the builtlinq or improvement MECHANICAL PLAN CHEGK - is soltl within one year of completion, the owner will,have the.burden . SUMMARV OF PEES ��'l , of provin9 h¢ tlitl nol builtl or Improvo for the purpose of sale). ' � BUILDING' -'-"' ' -� -'-- --- -- -- ^ - '0'1, as owner of the property, am exclusivery conbacting wi[h HEATING SYSTEM 0-300,000 BTU V+ PERMIT . g - -�'SMIP S� Iicense0 contractors to construct tne project Section ]044, Business ANO��UCTING- " - � � � -� ( �100,000 + BTU PLAN CHECK S � :PERMIT � � antl'Professions'Cotle: The Contractor'S'Licens¢ Ldw�tlo¢5 not apply to �• ' ISSVANCE $' an awner of property who builtls Or imprOves Ihereon, anG wh0 Con- REFRIGERATION 0-300,000 BTU PLUMBING $ � �tracts from'such-projects with a contractor(s)-licesned Oursuant to �SVSTEM'"-�-'- " ' �^- -�� - - � - - � - �GRADING- S !` the Contrattot'S License �aw). � 100,000 + BTU PLAN CHECK. $' � ',� ,' , � �;,� r�. -0 �I am exempf unEer Section � B.�& P. C. for"[his gOILERS BTV ELECTRICA� $ -_ � �� S _ reason - '� - - ' - - - ' . ' -� MICROFILM E �� ' SVSTEM REPAIR, ALTERATION PLAN CHECK -'$-� �Date - - - Owner - � - �- - - ' ' TOTAL FEE $ "'� � �' � '/ ' MECHANICAL b I M1ereby certify[hdt I havyreatl this�applic�tion antl State tha[ th¢ abovE EXHAUST SYSTEM MVLTIPLE '•- ' "' �LESS AD- � �% -� information Is correc. a9ree [O com (y witn all city antl county - -. � - .- -- - PLANCHECK"� g,' ' '" VANCEPC -$_� �- ortlinances antl stat¢ s rela�in to Co uction, antl hereby autp orizk ' - ,.� � . represe atives o �s �ci o pon t e above meryt iOn ❑ . • " ' ' ' ` � - ' �-� ! ,propert tor.' o o _ �7� �/�/ /� , '�j � !A / . " " . .' _'FINALFEE S�' 519na[ure \ � ate �.. ISSUE FEE �-.. . - �i ' "' ' ' "" - - - ' " " `- " "- ' " ' ' " --" " Orivers' Licgnse or 5 ' - CMF 0865-46 W' -Builtling; Canary-Applicant; Pink-Accouniin9: Goltlenrotl-Assessor � CONSTRUCTION,AND PLANNIN POOL & SPA ��.� � �'��°�" �' �����'' '��"� Date tnspector • -- • Date� Inspector - APPROVALS Permit # 88 APPROVALS _ Permit # . ' 1. Temporary Electrical Service or Pole 43. Pool & EquipmenY L'ocation - - � -- - -�- . Soil ipe-Undrgrn - L � ^-y7 44. Steel Reinforcement -•--• - • -�- -�-- � � • - - � - 3. Electrical Conduit Utility-Undrgm 45. Forms - - � 4. Electrical Coniiuit-Undrgrn � 46. Electrical Bonding,� �• � . tee ein orce � 47. Rough Plumbin 8i Pressure Te'st 6. Electrical UFER Grn - " 48. APPROVALTO COVER-GUNITE - - ��- -- - 7. Footings �- 49. Electrical Conduit-Undr rn ' - 8. Foundation ' "� 50. Gas Pipe, ❑ Undr rn, Test �• � � � 9. Water Pipe-Undrgrn i -gi 51. Backwash Lines P-Tra ❑�ndr rn� -- -- - � 10. Structural Floor System 52. APPROVALTO DECK"" ' ' ` ' ' -""" - • � - - 11. Property Sewer Line & House Corinection � 53. Backwash & Rece tor-Final � � 12. Street Sewer Connection � 54. Heater & Vent-F.inal 13. Rough Plumbing _ - '" "" ""' � - ' 14. Rough Electric-Conduit � - � - � - �-- - -�56- Electrical-Final - 15. Rough Electric-Wiring 57. �Solac 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 Flashing NOTES: ' 23.- 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. Final Plumbing . ' � 32. Water Service-Final ' 33. Gas Service-Final � 34. Soiar pomestic-Final 35. Landsca e S rinklin S stem � 36. Sound Attenuation 37. Handicap Regulations ' � 36. FINALSTRUCTURE&BUILDING ' 39. Special Requiremenu Completed �� � 40. Elecvic Release to Edison '' � � � 41. Gas Release to Southern California Gas Co. � 42. CERTIFICATE OF OCCUPANCY �- , � No. Date ApPlicant -CiTY OF COSTA MESA CONSTRUCTION PERMI In all T NC owner JIM BROOKS Pho�e AddresE 1532 LA LOM4, LFMON HEIGFiT� Arch/Eng. License No. Address Cootracior FUTURA ENERGY PRODUCTS Phooe I hereby afflrm Inat I am Ilcenzetl �ntler provlsians o( Charta 9 mBncing with Settlon 7000) ot DIVISioq 3 0! the Busl es arotess�ons Coae,_any_ my i�cense +s yi_iwi prce,� „� heavy DorEar Iines an0 slgn all apProprlata a TRACT NO. LOT NO. BI DatO � � $i9natur ' WORKQ S'COMPENSATION ECL RAT N- - 1 hereby aHirm that 1 have a rtiilcate of con5ent to zall-Insure or a certlficate o/ Workers' CAmpenza[lon Insuranta, or a certifieE coOY Ihereof (5action 3800, Lab. C.). vo�icy No.P�Q�S �� �S Wmpany FI ITIIRA—MTNTON TNS 'ertifletl copy Is hereby furnlihetl. - :Brtl/�¢tl topy is filetl wlth Ihe City Builtlin9 DIvlSion. e�cEMP710N FROM WONKERS' COMPENSATION DECIARATION (This section neetl noi ba completatl if tha permit is far one Ountlretl �5100� or leul. <Brtity tha[ in the pertormance o/ [he work !or wM1icM1 tbis permit is Issuetl, 1 shall not emPloy any person in any manner to as to Decome subject �o �he Workeri Compensation I.aws of Calitomia. Date Signature NOTIC@: If after making this tletlaration, you i�oultl becoma subjecl to the Workers' Compenution provisions ot lh¢ ViCor CoCe, you must forthwit� comD�Y w�th such provl5ions or this permit ihall be tleemetl rBVOkatl, .. . CONSTRUCTION LENOING AGENCV I nereby afflrm that there is a construttion lentling agenty tor [ne per- tormanCa of tha work for whlU lhis permlt I5 Issuotl (Section 3097 Civ. C.1, Lontlor'S Name l.antler'S AtltlrMs OWNER BVILOER DECLARATION ' I hereby aflirm that 1 am exempl Irom tM1e Conlrattor's �Icense Law tor the follOwing reason (5ection 7031.5 Business-antl Professions Cotle: Any Cl�y or COunty whlCh feQWr¢S a pef�9il [O ConSlluCt, altel, Improw, tlamollsh or repair any structure, prior to its issuance, also re- qWres the applicant tor suth permlt to tile a signetl statement tha[ be Is Ilcensetl pursuant to lhe provislons of lhe Contraclor's Litense Law (Chapter 9(commencing wit� Settlon 7000) oi Division 3 of the Business antl Pro:Msions Cotlaj or that he is ezempt therelrom antl the basi5 tOr [ne dll¢9etl exemption. Any viOlation Of SeCtion 7031.5 by p�– app�icant fo� a permit subjeGts t�e applitdnt [o a tivil penalty rt more than (ive nuntlretl tlollarz (�500). , a5 owner of thC property, o� my employe¢5 with wages as th¢ir so�e COrnpen5ation, will tlo t�e wOrk, antl the StrUcture is not intentletl or o1/¢retl �or sale. (Settion 7044, Business antl Profe55iOn5 Cotle: Th¢ ConVactor's �i<ense l.aw tloes� nol apply to an own¢r ot a property wM10 bufltls or improve5 tM1<�eon, antl who tloes suGh work �imself or [hrough p�5 Own emplOyeez, provitl¢tl that such improvemen[s art not In[enGetl or oiferetl tor sale. II, however, the builtling or ImOrovement is soltl withln one Year ai tompleHon, Ihe owner wlll have the burtlen ol proving he aitl nol bulltl or improve for the purpose oi sale). ❑ I, as owner of t�e pro0erty, am exclusivety contracting with IicenSetl contractors to conztruct tne project (Section 7044, BuSiness antl Pro(¢gsions COEe; The Contractor•s License Law tloes not apply ro an owner o( prOperty who builtls or (mproves theroon, anU who con- tracK from suth pro7ecti with a contractor(s) Ilcasnotl pursuant to the Contractor's Llcensa law). ❑ I am exomp[ untler $ectlon B. 6 P. C. tor tnis reason ' Date Owner' I hereby �BrUfy that I �ave reatl Ihii ap Ilca[ion antl 5tate [hat [he above Intormdtlon ii mrreCL I agree f0 c mO�Y '�'�th all City dntl Counry ortlinance5 anG state dvn r01at g to c n5[ru<Hon, a04 ne�¢by aUtho�i¢e rapfe5e�tativ¢5 OI IlV S y to en f upon the dbOve an iOn¢tl property or i 5 II n p r . L Signature � Date ISSUE FEF Drivars` nse or 55 � ' CMF 0865-46 White-Builtling; Canary-Applicant; Pink-Accountinq; GolUenrotl-Assezsor 7YPE OF CONSTRUCTION gI NEW ❑ AOD ❑ ALTERATION ❑ REPAIR ❑ CONVERSION ❑�EMOLISH ❑ OTHER DESCRIPTION pF WORK TVPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL O TENANT ❑ ELECTRICAL OPLUMBING �MECHAI ❑ OTMER PROJECT DESCRIP710N 50. FT. OCCVPANCY_CONSTRUCTIONTVPE VALUATION ZONE GRADINGCU.YDS. ACRES P LUM81 NG TOILETS ' LAVATORIES KIT. SINKS SERVICE SINKS FLOOR SINKS DRINKING FOUNTAINS INTERCEPTORS WATER SERVICE GASSERVICE PLAN CHECK SHOWERS URINALS DOUBLE LAVS DISHWHSHERS SVMPS FLOOR DRAINS CLARIFIERS P TRAP ALTERqTION OUTLETS cTi i ni �rc� ir .. ' SEWERCONNECTIONS SOLARTANK COLLECTOR! SOIAR PIPING SVS. ISSUE FEE MECHANICAL vLan cHecK HEATING SVSTEM 0-300,000 BTU_ AND DUCTING 300,000 t BTU _ REFRIGERATION 0-300,000 BTU_ SVSTEM 100,000+BTU_ BOILERS BTU SVSTEM REPAI R, ALTERATION EXHAVSTSVSTEM MULTIPLE 3 2629 2/26/82 A.P. q ZONE REAR YARD (70 P/L� PKG, SPACE REQ. STREET WIDTH ZONING APPROVED BY SPECIAL CONDITIONS: ELECTRICAL Pl1VG. PROVIDEO PARK FEE S 7LAN CHECK GENERATOR p.l KW_ 1-10 KW _ TRHNSFORMER APPLIANCE 10-50 KW_50 � KW _ MOTORS � p-1 HP�1-30 HP _ (INC, SOLAR) 30-50 HP 50 * HP _ FIX7URE5 OUTLET$ $WITCHE$ GAS TUBE SIGNS � ' POLE IIGHTS - PANELS MAIN SERVICE �SSUE FEE RPV�ICATION �:PPROVED SUB DATE 7.00 TU SUMMARV OF FEES �, BVILDING PERMIT § SMIP S PLAN CHECK E PERMIT PLVMBING § �SSUANCE E PLAN CHECK $ GRADING S ELECTRICAL b s PLANCHECK S MICROFILM S MECHANICAL S . OO TOTAL FEE E 'r^TT— PLAN CHECK S LE55 AD- VANCEPC E_ FINAL FEE S �• OO ,. CONSTRUCTION AND PLANNING POOL & SPA� . ' i APPROVALS � Permit #� Date Inspeetor pppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location . Soil ipe-Un rgrn • 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding . tee ein orce 47. Rou h Plumbin & Pressure Test 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE" 7. Footings - 49. Electrical Conduit-Undr rn 8. Foundation 50. Gas Pi e, ❑ Undr rn Test 9. Water Pipe-Undrgrn 51. 8ackwash 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.� RoughElearic-Wring � ' ' 57: SolarSystem-Final • 16. Rough Heating & Air Conditioning �$-�'1.- • encing & Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating � 19. Gas Pipe-Rough & Test 60. POOL/SPA SYSTEMS FINAL 20. Roof Framing 21. Roof Sheathin 22. Frame and Flashin NOTES: 23. Insulation 24. Lathing & Siding � 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter-Final - 28. Final Electric 29. Final Heating & Air Conditioning �2$ � 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 �- - 47. Gas Release to Southern California Gas Co. 42. CERTIFICATEOFOCCUPANCY . � No Date . . . . ' . `. • . _`-•�, . . COSTA MESA BUILDING—SAFETY DEPARTMENT P.O. BOX 1200 Coata Meaa, Californla aaa«ss E . HUNTER c��r ANAHEIM z�Pcoao 9280; Stete License No. 376%$6 Cless. C20 City Lianu No. Tel. No. — N0. ITEM E�CN FEES FAU, Wall, or Grav. �� Furn. Incl. Ducts and 1 Vents ___.,,,..�.. �F.Q �F.�� vao, (fr not inc�. Suspended Heeti Alter or Replace Appliante ve� e�i ver a Met"el!Fire�l ICBO # �Plan Check Reinspec[ion Fee SubTotal Processing Fee TOTALFEES CMF 0449-46 2544 2/25/82 7.00 TL� ��yi�! No � N0. �• • /� BUILOING USE BUIL�ING ♦DDRESS COSTA MESA, OWNER gROOKS CONSTRUCTION M�IL 1532 LA LOMA,`�� nooaess � ,; CITY �� `� y TEL. NO. __ SANTA`ANA 642-0432 �� I here`by acknowledge that I hevt read this epplication e^diste�e�[hat Ihe ebove is wrrect end agret ro comply sw�th all City Ordinances end State Lflws regulating HeaF �ingc Ventila[ing, Retrigeration and AirConditioning. , Y I certify the[ I possess the ebovc valid State ot CaliG omia classification or I am [he legel owner of the single femily rosidential property described above. Signature of ' Permitcee � , � REAIARKS: � ,�/�7/ /J� Ducts Underground Ducts in Stmcture Ducts Ventileting Heating — Rough Hoods Refrigeration Lines Pressure Test Air-Cond. Final Ven[ila[ing Final Heating Final Refrigeration Final Final Gas Test Utility Co. Noti(ied BLDG. PERMIT NO. INSPECTOR I O�TE COSTA MESA BUILDING—SAFETY DEPAHTMENT P.O. BOX 1200 Coata Mesa, Califomia 2545 2/25/82 7.00 TL � contrecmr SOUTHERN COMFORT INC �ot No. '� AddfeSS 5290 E. HLTNTER BUILOINGUSE �ATE SSUED City ZipCode '�l "` Stn[e License No. Class. eui�oidc City Licenu No. [F Tel. �o. ]]cj _ 715 ( �oDRE55 � . ,Q v pp, ITEM EACH FEES COSTA MESA, CALIFONNI�,�� �!+ \��f FAU, Wall, or Grev. „ Y\\ \� i Furn. �nc�. o�ccs and OWNER $ROOKS CONSTRU,CT�ION 4.0 4 00 � ]. Ve�ts to 100 000 BTU M��� �, ��� `i �� i �ooness1532 LA�LOMA- over 100,000 BTU S�T � � y — I CITV n�Y y TEL.NO. ; Vent lif not incl. ebovel � ���_y Y >' nded HeatE 1 hereby acknowledge thet I have reed [his applicetion or Replace oliance 3 H.P. or less Over 3 H.� Met'al • Plan Check Reinspection Fee Sub-Total Processing Pee TOTALFEES CMF0449d6 endistete��thet the above is correct und agree to comply with,eli'City Ordinances and Slate Lews regule[ing Hea[- ing�Vrn[ilating, Re(rigewtion and Aio-Condieioning. I certify that I possess the ebove valid State of Calif- omia classi(icetion or I am the legal owner of the single farnily rtsidentiel property described above. Signature of � �� ,^�L • Permitroe c�eri� .e,ei� REMARKS: J� , �/7% � Ducts Underground Ducts in Stmcturt Ducts Ventile[ing Heating — Rough Haods Re(rigeration Lincs Prossuro Test Air-Cond. Finnl Ventilating Final Heating Final 3 00 Re[rigeration Finol Final Gas Test Utility Co. Notified BIDG. PERMIT NO. Applicant lo fill in all s[ ' CIT,N'OF COSTA MESA PERMIT NO. `• CONSTRUCTION PERMIT � � � Addrea ArCh/Eng. witM1in �aavy bortler Ilnes antl /�T 'ACT NO. � /(,� �S I �►' / ' I .� />/ TVPE OF CONSTRUCTION ��NEW ❑ ADD ❑ ALTERATION ❑ REPAIq ❑ CONVERSION ❑OEMOLISH - O OTHER OESCRIPTION OF WORK � all approo��ate aeelantlans. CQZNO. BLRG. NO. ' Contractor ��_ Phone TVPE OF PERMIT �� �' �./ � - Addfe55 � ' ❑ GRADING �FOUNOATION �]O STRVCTVRAI" tICENSED CONTRACTOR DECLAPATION � ❑ TENANT ❑ ELECTRICAL OPLUMBING ❑MECHANIG I hereby afflrm ttiat I am licensetl untler provislons of Chartar 9(tom- '� :�� t•, mencln9 witb' sectlon -7000) of Divislon 3 of the BuSiness antl� ��❑ OTHER Profassions Cotle, antl my Ilcense is In full forte antl eHecL .pROJEC2OESCRIPTION . .. ��� � Utenso Class Licen58 No. �. Date Si9nature ' �� 5�. FT. . � WORKERS' COMPENSATION DECLARATION OCCUPANCV CrpN�T�VCT,ION TVPE I hereby affirm [hat I have a teitificale of consent to self-insu�e or a VALUATION �...L�ZONE '<Crtlficate Of'Wofk¢rs' Comp¢n5atlan InSurantt, or a certitieC copY - thereo/ (SecOon 3800, Lab. C.). , ��GRADING CU. YDS. ACRES _ Policy NO. Compdny �`p�"�,C¢rtifi¢tl coOY �5 her¢by-(urNSh¢tl. . _ _. _ � " REMARKS: � .S ! ky;�;jCertifiea copY �s Bletl with the city Builtling Divizlon. k.':)(EMPTION FROM WORKERS' COMPENSATION DECLARATION ' " .(This zection neetl.nof be completetl if tha permit I5 (or one.hunGreO. (E100) or lesz). � : ' � ' • ' ' I certify that ln the pe�(o�mance Ot t�e w0[k t0� w�ICn thi5.permit Is , issuotl, I shall not employ any person In'any manner zo as to become �PLUMBING� ��• � PLAN CHECK - subia�< <a ��e Workars'.Compensatlon Laws ot California.. . _ BATHTUBS SHOWERS Da[e Si9nature NOTICE: If after makin9 �his tleclaration, you zhoultl become zubject �TOILETS' , VRINALS� � - to the Workers' Compensation provisions ot the Labor Cotle, you must LAVATORIES DOUBL'ElAVS- - forthwith compty with su<h provi5ion5 Or this permit 5hali be tl¢emetl rBVOketl. . � -- - - ' A.P. � ZONE ^ cFprEanru r��r LEF v� �'���T Zt REAR YARD (TO VKG.SPACE REQ. STREET WIDTH ZONING APPROVI SPECIAL CONDITI - �- ECECTRICAC CONSTRUCTION LENOING AGENCV KIT. SINKS DISHWASHERS, __ a I hereby alilrm that Ihtre is a con5truttlOn Ientlinq agency tor lhe per- $ERVICE $INKS�" � SUMPS - `' tormance of the work for whi<h thls permit is i55uetl (Sectlon 3097 CIV.C.).- . =�---- `\, � � �,� �FLOORSINKS��,�\}'.FLOORDRFi1N5� Lentle'r's'Namu "� ' ' ' Lantler'S Atltlress �• DRINKING FOVNTAINS- � �. OWNER 9UILOER DECLARATION ' INTERCEPTORS CCARIFIERS � I herebv afflrm inat I am exempt from the Con[ractor's License Law for Any tltY or cowty wn�cn reQwres a perm¢ w consvuc�, aimq IrtlprOvO, tlefit011Sh 01 fepdir d0y SIfUCtuf¢, pYbf t0 Il5 Issuance, d150 r0- quirOs tbo ap4�lGant fo� su<h p¢tmlt lo fila d ziqnBtl slatemenl Ihat nt is'llcen5etl pursuant to the provisions'ol tne Conlrattor•s Llcense Caw (Chapter 9(commoncing with Setlion 7000) ol Divlsion 3 ai [he BuSlnesS antl Prdc551ons Cotle) or tnat ne Is axempt tM1eretram antl the ba515 lor IhC alleg¢tl exCTPtlon. Any WOIatiOn ot $ectlon ]031.5 by any appliWn[ /ot a parmlt SUEjocts'tne'app�lCant to a CIVIi penal[y iot moro tban five hunOretl Eollars (5500�. , a5 Ownel of�lhG propetty, or my BTployce5 wllh wa9e5 a5 thelf __.a Com0en5atlo0, will tlo lhe wo�k, antl tho z[ructure Is OOt In[Cntl¢tl or olfcretl for sala (Section 7044, Business an0 Rolezilons Cotle: The CAnt�atlor's LI<¢nse Law tlo<5 no[ apply Io-dn owne� o� a p�operty wh0 bulltls o� ImprOv¢5 the�eon, antl who tloe5 Such work hirtlz¢�t Ot throu9h nii awn employees, proviGeE that such ImOwvements are.not intentletl or offeretl (or sale. If, howaveq the DWltling or Improvement is soltl within onc year ol comD�etion, l�a owner will have lhe burtlen i �ovin9 h¢ tlitl not builtl o� Imp�ov0 tOr the pU�PoSe oi SaIC). I, as'ownCr ol [he•propGrty-•am axcluSivlly COntlacting wilh n5etl COnt�actor5 lo COns[�uct Ihe projett ($ecUon 7044, BuSin¢S5 r_ dn 7r0f¢islon5 Cotlt: TM1e Cont�actor't LICBn50 Law tlots not apply [o �� an ownCr of prOpCrty who builtls or imptoves thOraon, dntl who con- \� Vacts 1rom such project5 wifh-a conlraCto�(s) IitGinrttl Oursuant to \the Contractor's Ucense l.aw). O❑ 1 am exempt untler Sectibn B. 8 P. C. for this O 'reason — -' ' - ' ��Date� - - � Owner - - - I h¢r¢by C¢rti/y that I hav¢ reatl [�is appliwtion antl stdte tha[ the above informalion IS corr¢Ct. I aqree to complY wlt� all tlty antl couniy SWIMMING POOL ' - P TRAP_ �WATERSERVICE � ALTERATION GASSERVICE � � OUT�ETS WATER HEATERS BTU OUTPUT �SEWER CONNECTIONS ' ' SOLAR TANK COLLECTORS SOIAR PIPING SVS. ISSUE FEE MECHANICAL ' PLAN CHECK HEATING SVSTEM 0-300,000 BTU_ AND DUCTING 300,000 + gTU _ REFRIGERATION 0-300�000 BTU_ SYSTEM 100,000+'BTiU•�_ BOILERS BTU SYSTEM REPAIR,ALTERATION EXHAUSTSVSTEM MULTIPLE Drive cense or 55 � � ' - - ISSVE FEE' '-�' " - CMF 0865-46 White-Builtling; Gnary-Appliwnt; Rnk-Accounting; GolAenrotl-Aisessor 9633 I 2/,I 7/81. �NING REGULATION .5'!— w: CJ /i 3 PLNG. REF. � � �-7- �$ B`� ��.Y� I '! z_t�L2��"c..�'L ' L,,'� PROVI /� ' ' PLAN CHECK ' GENERATOR 'O�1KW_1-301<W_ TRANSFORMER APPLIANCE� 10-SOKW_50+KW_ MOTORS " ' Od HP_1-30 HP _ (IN0.50LAR� -]0-SOHP SO+HP-y -FIXTURES' OVTLETS " SWITCHES GAS TUBE SIGNS - ' " ' - PO�E L'IGHTS ' ' ' PANEL$ SERVIGE METERED SUB . MAIN - $UB .AMP 326.38 T� n APPLICATIONAPPROVEDBV DATE SUMMARV OF FEES BUILDING � - �_�Q_ PERMIT S SMIP S ��Sl PLAN CMECK b PERMIT - ISSUANCE E PLVMBING § - �� ' , - GRADING� E �� PLAN CHECK E , ' ' ELECTRICAL 5 � s � . PLANCHECK�E .�MICROFILM�$ MECHANICAL E TOTAL FEE §', PLAN CHECK' S - LE55 AD= , _' VANCEPC�$_ � . 1 • . _. � , . FINAL FEE E _�� . ,y � ': ,, � . .. �l CONSTRUCTION AND PCANNIN2G • . . POOL & SPA . APPROVALS Permit# �7-e�aL Date 9riipectar APPROVALS Permit�#' ` Date.... Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location • -- - 2. Soi ipe-Undrgrn 44. Steei Reinforcement • • � - - • � ' '"� ' 3. •; Electrical Copduit Utility-Undrgrn � � 45. Forms - - � � - - �, 4: Electrical Conduit-Undrgrn 46. Electrical Bo�ding ' ' ' �`' ' ' ' - •�tee ei� rae.,,,. � . 47: ,Rough Plumbin & Pressure Test � � 6. Electrical UFER Grn \^�~ 48.''APPROVALTO COVER-GUNITE 7. ootings. . � $ �Z.,•�.y 49. ElectricalConduit-Undr m � 8. Foundation� '$ S la •a9 �•�r 50. Gas Pipe, ❑ Undr rn Test 9. :Water Pipe-Undrgrn . 51. Backwash Lines P-Tre ❑ ndr rn 10.�- StrUctural Floor SYstem 52. APPROVALTO DECK -,,1., ,Property Sewet Line &,�louse 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 FINAL � 20. Roof Framing � .2 -Cbr �2_ � 21 . Roof Sheathin _ �G � � 22. Frame and Flashin i _^ �• 'L.. NOTES: 23: Insulation �` .��%� 3�%- � 3 30 .$2 /1 u� G L� i � 24. lathing & Siding :.. t•� /d ; � -,[s:.rU . 25. .Drywall Nailing L,•'-.^.. - s., � ! �nc!•/' � ' • � � 26. Plaster Brown Coat - � -�'2 •� ..u' " 27. Electrical Power Meter-Final " ' 28. - Final Electric � � .29. Final Heating & Air Conditioning - 30. Final Gas Pipe-Test - 31. Final Plumbing 32. Water Service-Final � � 33. Gas Service-Final ' 34. Solar pomestic-Final �35. - Candsca e S rinklin 5 stem : - 36. Sound Attenuation �'� 37. Handiwp Regulations • 38. FINALSTRUCTURE&BUILDING /(� � f aa 39. Special Requirements Completed � • 40. Electric Release to Edison � � ' 41. Gas Release to Southern California Gas Co. ' • 42. CERTIFICATE OF OCCUPANCY . - r. � � . No. Date `, - ;.�`, �•��,--: - - - � AD����ant to Iill In all svace! CITY OF COSTA MESA ' a MIT NO. CONSTRUCTION PERMIT � a OS� Proiect Address / 2_ /, / p' _ T. . Address License No. Address wlihln heavy Dortlar Iinef anE sign all aDO�oprlate tleclaralions. '-' TRACT NO. LOT NO. BI]pG.,NO. si TYP�E Q� CONSTRUCTION �IVEW Q ADD ❑ ALTERATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ❑ O'1'HER � � �' DESCRIPTION OF WORK Contrecror g, q-,�,�,v� �� � wln�nvUYa - :F�YPE OF PERMIT SETBACK C ST. Addr¢53 �% � � . � , ❑ GRADING � ❑ FOUNDATION O STRUGTVRAL 51 VARO 'LICENSED CONTRACYUR DECLARATION / � 1 hereby alfirm that 1 am Iitendotl untler provisions o/ Charter 9,(<bm- � TENANT � ELECTRICAL QPLUMBING ❑MECHANIC 5�'pH� R G manNn9 wlth "SeCtion 7000) of �Ivislon -3 O( the Buziness antl ❑ OTHER ' REAR VARD (TO Professbfis Cotle, ntl y qcensa Is a tull /orce e ' ' � �-- - PROJECT�DESCRIPTION. UCenSe I ss ,Ll�n N� / - � •`.; � A�, �- PKG. SPACE RE�. Date Slgnature ` SQ. FT. 'W00.KER5^COMPENSATION•O CLARA'%ION-� - -- OCCUPANCV_CONSTRUCTIONTYPE I hereby aHirm that 1 have a rertlficata�Of consent lo selt-insure or a�,VALUATION � 20NE �certiflcate ot Workers' Compensation luSurance, or a ttrti(letl copy - thereot (Sectlon 3800, Lab. C.). .1 O/`, GRADING CU. YDS. ACRES Polity No. ComOany ��y���"� � � � Ce etl copy is hereby fum�ihetl. � REMARKS: - � � ¢rlHletl cOpy is filetl with th¢ Nty BUi1Cin9 DivisiOn. _ XEMPTION FROM WOfiKERS' COMPENSATION DECLARATION � � ' ' � - � -(Thlz section naGtl nOt be cOmpletetl if tbe pe�mil IS tOr one huntl�eU . . _. SS3001 or less). • �certt(y.[hat ln.tha pertorman�¢ of the work for which this.permit is IS5u0tl, I shall n0[ ¢mPloy any p�r5on In any manner zo as to betome PLUMBING • PLAN CHECK -subiBct f0 the Worker5 -COTpunsatlon Laws of Calitornid. . Date ` Si9nalure "" " " �' NOTICE: It after,making this tleclara0on, you shoultl become subjeot �TOILETS � to tha Workerz' Compensatlon provisions of the labor Cotle, you must � � fo�thwlth comply'with suGh ptpy�5ior15 or [hls Oe�mlt Slfdll b! Ueemetl LAVATORIE$ revOkatl. � - - �. CONSTRUCTION LENDING qGENCV KIT.SINKS 1 h<rlby af(irm tha[ there Is a W�struGtlon lentling d98ntY 10� Iha p¢n SERVICE $INK$ 1o�manca of the wo�k for whl�h thls pClfflll IS ISSUlG (SecUon 309� Civ. CJ. FLOOR SINKS l.entler's Name Lentler'S Atltlress DRINKING FOUNTAI� OWNER BUILDER DECLARA710N �� � � INTERCEPTORS I hereby affirm that I am ezemp� from Ihe Contractor's LI<ense Law for tha following reason (Setlion 7031.5 Business antl Protesslons Cotle: SWIMMING VOOL' Any tlty or county whlcn requlrCs a permil to Construcl, alt¢r, ImprOve, tlemolish o� �e0��r dny structure, prb/ toltSlSSuantO, also �e- yyqTER $ERV ICE ,quires the apFlicznt 1or sucn permit to fila a signetl sta[ement that he is Ilcenzotl pursuant�to the proy�ilons ol the Contraclor'S Licenie Law GAS SERV ICE (Chapter 9(commencing wlth Soctlon ]000) ot Dlvlsion 3 of tha Businoss antl Pro(�ssions Cotlo) pr Ihat-he Is exompt lhoralrom antl the ypqTER HEATERS ba5i5 fOr Ine alle9¢tl ¢xemptlory, qny vlolation Of SectlOn 7031.5 by 'a�,Y applle�nt lor a permit'S4DjectS thG appliwnt to'd Clvil penalty SEWERCONNECTION', �,�aot more lnan livo huntlroq tloilars �5500). �,'�=��,fa5 owner ot the properly, or my employces wltn wages as-tneir SOLAR�TANK ..a omuensatlon. will�tlo lbo.work. antl Iho StrucWm IS not intentletl who bUlltls or ImprOves [neroOn, an0 wn0 OOes sucn wolK Nmsen or lhrough b15 own employa05, p/ovitlotl thd[ sUcn. improv¢rt1eOt5 are Oot Intentletl or olteretl for sale. II, howaver, tne builtlin9 or improvament is soltl witnin one year ol compintlon, the owner will hava.the burtlen of proving h0 CiC not builtl or Improve ior th¢ purpose of Sale). ❑'�, as owner'ot the Oroperty, am exclusively tontractin9 with IlcenseC tontractors to constr4ct the project (Section 7044, Business antl Professlons Cotle: Tne Coqtraclor'S License-Law tloes not applY [o an Ownef o( prOp¢rty who bulltl5 Of ImpfoMS [h¢feon, dntl who Wn- IrdCts fIOT'sucll plo�eClS wlth a canVaCtOr(5)-IlcaSnlE pursuant [o the Conlraclor's License l.aw). ❑ I am exempt untler Sactlon � - � B. 6 P. C. lor thi5 reason - " ' - ' Date - -- Owner - -- - - 1 her¢by ce[tifylhaLl hav� rCatl Ni9�appiicd(ion dntl Stdte tndt th¢ dbove lnfnrmatlon is mtrecL/1 aarea Yn . mnW wlen a11 dtv antl rourtfv $i9nature CM F 0865-46 SHOWERS URfNAlS �� � DOUBLE lAVS DISHWASHERS SUMPS FLOOR DRAINS � 4 CIARIFIERS P,TRAP ' ALTEHATION OUTLETS BTV OUTPUT COLLECTORS � SOlR1R PIPING SVS�ay�. rH/SPO, ISSV E FEE MECHANICAL PLAN Ct�ECK HEATING SVSTEM 0-300,000 BTU_ ANDDVCTING 100,000+8TV_ REFRIGERATION 0-100,000 BTU_ SVSTEM' 100,000 t BTV _ BOILERS BTU SYSTEM REPAIR,ALTERATION EXNAUST SVSTEM. MULTIPLE ' � � ate le%��7�i % ' � � '^ISSUEFEE ' - ' - Canary-Applicant; Pink-ACCountin9: Goltlenrotl-ASsesSor 9699 12/17/81 , � 37.00 TL NING REGULATIONS � ' . PLfJTGp. gR�EJF. qp " - ' VROPE�RTV LGNE ' � PROVI�ED PARK FEE E � ZONING APPROVED BY I DATE SPECIAL CONDITIONS: ELECTRICAL PLAN CHECK " ' I ' �' GENERATOR ' 0-I KW_1-lOKW � ' TRqNSFORMER APPLIqNCE 30�50 KW 50 + KW ' MOTORS ' 0�1 HP_1-30 HP' ' (INC. SOLAR) 30-SO HP SO + HP � FIXTVRES OVTLETS SWITCHES GAS TUBE SIGNS- "' ' � - - POLE LIGHTS " - '��' ' PANEL$ MAIN" ' 'SVB SERVICE " AMC'-� - ISSUEFEE " -- " ' APPUCATION APPROVED BY ' DATE- SUMMARV OF FEES , BUILDING - PERM�T S , SMIP . � PLAN CHECK S PERMIT , PLUMBING S 3�%- — �SSUANCE b PLANCHECK S' � - GRADING E ELECTRICAL 5� � � s PLAN CHECK 5' ' MICROFIIN E � MECHANICAL-E" - - TOTAL FEE §,' I 7LAN CHECK b ' - - � �.' 'LE55 AD- � ' � i VAfYCEPC §_ _ _ FINA(. FEE § '�+ % � CONSTRUCTION AND PLANNING• POOL & SPA � �� � '' � ' :,.\\!\''{ � . .�' 08 Date Inspector � � Date Inspector",� �APPROVALS Permit # ��� APPROVALS -.. Permit # 1. ' Temporary Electrical Service or Pole - 43. Pool & Equipm`ent Loqtion �� " _ .- - � -•-'-- - Soil ipe.Undrgrn� .� -' " " ��=y/-y� 44. SteelReinforcement -�-•- �� ���-- •� ���� -- - - 3.. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding •- . tee ein orce � 47. Rou h Plumbin & Pressure Test� � 6. Electrical UFER Grn ' 48. APPROVAL TO COVER-GUNITE -� - 7. ootings 49. Electrical Conduit-Undr rn � � 8. Foundation • 50. Gas Pi e, ❑ Undr rn, Test � � 9. Water Pipe-Undrgm t2 � -9/ 51. Backwash Lines P-T2 �' ndr r'" •- 10. Structural Floor SYstem 52. APPROVAL TO DECK """ ' ' ' ' "-"""- ' - • • •---� • it. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final - 12. . Street Sewer Connection ' 54. Heater & Vent-Final 13. Rough Plumbing �1i '" ' 14. Rough Electric-Conduit � �- -•- �56. ElectricabFinal � 15. Rough Electric-Wiring - - 57. Solar System-Final � 16. Rough Heating & Air Conditioning • encing & Access Approval ��' � 17. Ducts, in Structure 9• APPROVED FOR PLASTERING 18. Ducts, Ventilating . 79. Gas Pipe-Rough &Test 60. _ POOUSPA SYSTEMS FINAL -� - 20. Roof Framing 21, Roof Sheathin � - ' 22. Frame and Flashin NOTES: ' 23. 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. 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. Sper.ial Requirements Completed � ' 40. Electric Release to Edison - � - 41 . Gas Release to Southern'California Gas Co. 42. CERTIFICATE OF OCCUPANCY . . - No Date AGGlicant to flll In CITY OF COSTA MESA - - aeamir CONSTRUCTION PERMIT /t%— Address ' ' - ArCh/Eng. ' ' ' Addrnss ' -- � - '' Phone -- - •License No. !s within heavy bortler lines ane si9n all avP�opriate Ceclaration TRACT'NO. LOT NO. BLDG. NO. �3 ' • D-I TVPE OF CONSTRUCTION � ' ❑ NEW ❑ ADD ❑ ALTERATION ' y� / - ❑ REPAIR O CONVERSION ❑OEMOLISH � Y�' n; ❑ OTHER � ' DESCRIPTION OF WORK " . _' "' ' ' _ ' . TVPE OF PERMIT � • - � � ' '" ❑ GRADING :.' ❑ FOUNOATION ❑'STRUCTURAL ' � _ 2754 3/02/82 9.00 TL: LICENSED CONTRACTOR DECLARATION -❑ TENANT � ECECTRICAL OPLUMBING ❑MECHANIC 1 nereby aitirm th:.t I am IlcenseE untler Drovizions ot Charter 9(tom- moncing-with-SetUom-7000)� oT'�Division-3 0( the-Business antl ❑OTHER --�- � - Aofestlons Cotl ,'antl � my Iicense is in full for an ��ffecL PROJECT DESCRIPTION Licen58 Clasz � y Li ie No� ' - 3'�� Z 519natuie'� - SQ.FT. _ '_ _ Date � . � - � ' � � ' WORKERS'COMPENSATIONDECLARATION - OCCVPANCY'��CONSTRVCTIONTVPE I hereby affirm that 1 have a certlficate of consent lo self-insure or a VALUATION ZONE certlflCatB Of Worker5''CompGnSatlon-InSurance,-�Or a Ce/tlfle0 copy �� - - - - -- - . - thereof (Section 3800, Lab. C.I. � 1 / ��n GRADING CV.,YDS. ACRES Fb17cYNo. -- ComCenY� //ll����.5 ��G��A/�-' ' ' - ��;y^.erti(iatl coPy is hereCy furnishetl. _ __ . .__. _ . . . . _ REMARKS: - ' . � � . . . i . , . �:.^:ertlfietl copy is tilatl witn the city Builtling DIvi4lon. , A�EMPTION FROM�WOfiKERS'COMPENSATION OECLARATION. ' ' ' -"'- " ' ' (Thls section need_not be tompletetl.if the.permil.is for one huntlretl ___�, _,-_ _, _ _. 1�, �_ _ _ SE1001 or less). . � � , - � �� +� � - �' ' cart(fy Ihat in Ih¢ performanC¢ Of the work tor WhiGh thls perml[ is . _ issuetl, I shall not employ any person in any manner so as to�become � PLUMBING � � ..PLAN CHECK � subjectto the.Workers' CompenSatlon.LawS o( Cali�Orrtla. . � ' ' ' ' - ' . _ . Date Signature � �� BATHTUBS- � � �SHOWERS � � ; � iJOTIGE: If aT[er making thii tleclaration, you shoUltl bemme subjact ,TOILETS � ���� ; n. URINAC5 = " ;' ' to the Workers' Compensatlon provisions ot [he Labor Cotle, You musi � � torthwith comply with such provis�ons or this perrr�it shall be tleemed LAVATORIES DOUBIE'LAVS :""' -"} '' revoketl.. .. 1 _" " ' _ _ _�"'_ _ .' __ ' _ " _ _ ' 'CONSTRUCTION LEN�ING AC.ENCV - _ KIT.SINKS. - - -DISHWASHERS � - _ I h¢reby a(firm that there IS d Construction lentlin9 d9lncy for the per- SERVICE SINKS •,? � -� ^SUMPS'"' -' --)' � tormance oi the work fOr which lhi5 plrmit is I55Uetl (Section 309] C��� C�%� � � � - FLOOR SINKS � � � �FLOOR DRAINS �� � - �.Lentler's Name' 'Lentler's Atltlress� V ORINKING'FOUNTAINS ` �T ' -� OWNER BUILDER DECLARATION - - " - ' INTERCEPTORS � CLIiRIFIERS'� � �� t nereby afflrm lhat I am exempt tromShe ContractOr's'License Law tor � t�e following�reason-(Section ]031-5 �Buziness antl ProfeSsions-Cotle: SWIMMING POOL`-- 'PTRAP' ' ' ^ . r -' " Any city or �county �which repWres'a permlt to mns[ruct, alter, � improve, tlemolisn'or repair any�strutture, prior to �ts'Issuante, also�re- -yyqTER-SERVICE' ALTERATION '"' -' " quire5 the ap:licant for sucn permit�to flle a signetl Stdtement ihat he is Ilcensea'Pursuant to'tbe provlslons of the'COMractor's License Law GAS SERV ICE OUTLETS� ' (Chapter 9(commencing with Section ]000) of Divislon 3 of the � Businesi antl'Prolessions-Cotle)�or that he is exempt tnereGom antl the� yyqTER HEATERS -' -BTU OVTPUT . -" - basls for the alte9etl ezemptlon. Any violation of 5¢tlion ]031.5 by a^'� applicant for a permit subjects'the'applicanFto a civll penalty� -�SEWER CONNECTIONS ' '" -�-� - - it mOre than tive huntlretl tlollars (ESOOj. - , as owner of the property, oi my employees With wagM ai�their "SOLAR TANK ' . COLLECTORS ' �- " - so�c COmPensation,.will.tlo the wOrk, antl the SVUckure IS not In[entletl or offere0 tar sale. (Se<lion 7044, Business and PrOfe551on5 Cotle: The. SOLAR PIPING SVS. � i� � �� � - Contractor's_License Law tloes not apply ro.an oWner of a property ,_ _ __,� .__ , _ who.builtls or improves theruon, and who tlocs su�h work himself or �ISSUE FEE ' '' -� tnrough..itl5.own employee5, prOVltletl thaLSuch Imp�Ovements are not intendetl or offeretl for sale. 11, howeveq the builtling or improvement MECHANICAL PIAN CHECK is soltl.within one Year of_compietion, the owner_ w{�I nave the burtlen ' of pvoving he tlitl not builtl or Improve for tli@ purpose of� szle). HEATING $VSTEM �0-100,000 BTU � ❑ I,- as owner-of tha Oroperty, am ezclusivey contracting-with -p,NODUCTING ' �"- "--�'" - li<ensed contractors to wnstru<t tne proj¢ct (Secpan �044, Business 100,000+gTV � and Rofessions Cotle:•The Contractor's-License�laW tloes-noLapply-to . an owner ot property who builtls or improves thereon, antl who com REFRIGEf2ATION 0-300,000 BTU tracts•from- zuch projects with� a contractw(s) �li�esnetl-pwsuant-to- SVSTEM - - - - �• - - - - lha Contractor's License Law).- - ' 100,000+BTU Ofartiexempluntler5ec[ion �� 'BC&"P.QfoYthis' BOILERS BTV ' reason - � � -� ' - - - - - - - . - . � ' " SYSTEM REPAIR;ALTERATION Dato Owner I_hereby certify that I have reatl this applicatioqantl atate that the above EXHAUST SVSTEM MULTIPLE iniormatlon is correct. I SgrCe to comply with a�l Nty and'county � - ortllnances antl stale laws relaUng to COnst�uction, ap0 nereby autho�iie E% �epr¢sentaUvez of this cily to enter upbn the aboJe mention¢tl • property, t r"�nzpe IOn pur Ses. _. q 2�3J / SlgnaWre ��� qate} - ' Drivers' Licensc or 55 x� � �/ � - ~ � ' � - - . '�SSUE FEE - . - � - - CMF 0865-46 White-Builtling; Gnary-Applican[: Pink-AccOuntin9: Goltlenrotl-Assessor - �" ZONING REGULATIONS • "� - � A.P: $ ZONE � � PLNTGp._REJFL. � - - " SETBAC T. PROPE�RTVNLINE' ' CIfIF-VGDlI - ��PKG.SPACE RE�.- �� ' ' -PROVIDED_" - '-' " ' STREET WIDTH� � � � PAftK FEE y ' ' �� ZONING APPROVED BV � DATE" ' "' SPECIALCONDITIONS: ' ' --� �� _' ' ' ___ ' ' ; _ ' '. F_ " '_ _ ' ._. .. ''' _' _.:��"_'' _" ' � ELECTRICAL �" ` " PLArv CHECK - -- '-' �j SQ.FT. _ ._.__ '. _ _ _. __ J ^ '. I ;GENERATOR � p-1 KW_1-30 KW �TRANSFORMER . ., . +�'v� I .APPl1Y1NCE'- ' 30-50 KW �--- �50 a KW�-- ` ' - ^ � :MOTORS "01'HP'_1-lOHP' -- •;1 "'' ;(INC. SOLAR)._..10-50 HP_50 � HP��--- -= - jFIXTURES"" "OUTL'ET$ $WITCHES`'- -- "" � �GAS TUBE'SIGNS- �-�--- � � - -- - -- y �POL'E L�GNTS" f' ` ' '- ' ' ' ` - ' ' ' i4 � POLES ' � � METERED SVB� -�� � J PANEC$ ' ' MAIN' ^ ' �'� $UB-'" ' -' ' SERVICE ' ��- - - -� AMP-- - � -� � _ _ " ' _ " .�_. ' _ y ? ' _ " " '_' ' '__' '__ ' ' '�'.� .� ..._ �- ----- •--- - 1 � "ISSVEFEE"" ' " ' ""- '" - ' " �APPL•ICATION-APPROVED�BV--- -- � � �� --DATE- - - ' SUMMARV OF FEES y �. - BUILDING---' " ' - - ' - .--- --.i �PERMIT E . SMIP " i.-b��• �PLAN CHECK S—_ � -PERMIT ` . � � • --ISSUANCE-�5 - � ��PLUMBING � E . �. t• . _ .... . 'GRADING"..E' � PLAfJ CHECK b , v �� , ' TELECTRICAL E - " ' "' " ' ' " $ , ' ,PLANCHECK E-/}.-�.�� 'MICROFICM'E'� �_ � _= / r, ' "_�� ' TOTAC FEE'S � �MECHANICAL'.S (��-/U- - �--- t - - V i ��VLAN CHECK S-- VANCE PC "$"_ ' ' "� . � • ' � il � .- � /�� I � _ FINAL FEE E - ` � `� _ CONSTRUCTION AND PLANNIN�Gy - POOL & SPA _ APPROVALS ���� Permit # `�' �� Date Inspector' qpPROVALS Permit # Date � Inspector 1. Temporary Electrical Service or Pole � 43. Pool & Equipment Location � �-- -�� - -- 2. Soil _ipe-Undrgrn• '� -� � 44. �Steel Reinforcement - - - -- - " 3. _ Electrical Conduit Utility-Undrgm. 45. Forms � �- - . 4. Electrical Conduit-Undrgrn_ 46. Elect[ical Bonding � -- -� . tee ein orce �� 47. Rough Plumbin & Pressure Test � � -- - - �� - � � - _ 6. Electrical UFER Grn ___ 48. APPROVALTO COVER�GUNITE - - -- •- �- -' ^ 7. Footings �. 49. Electrical Conduit-Undr rn' -� 8. . Foundation � 50. Gas Pipe,. ❑ Undr m, Test � � � � � � - _ 9. Water Pipe-Undrg�n ~ " � 51. Backwash Lines P-Tra ❑ ndi rn ' `' ' -�' -' ' � -' - - � � 10. Structural Floor System ' � 52. APPROVAL TO DECK " - -- -'" -'"-- ' � � - ' - Li,.. Property Sewer Line & House Connection 53. __Backwash & Rece tor-Final � 12. Street Sewer Connection _ ' '� � 54. Heater & Vent-Final�, _13. Rough Plumbin9--' - -- - - - _ _. �-- ._....___.. .. .. - - - 14. Rough ElectricConduit - ---- - - - �56. Electrical-Final--- � �� 15. Rough Electric-Wiring - - - 57. Solar System-Final , ' ' ' � - ' � i 6. - Rough Heating & Air Conditioning - - - ' � _ Z - � encing & Access Approval � 17' Ducts, in.Structure- - � ' - APPROVED FOR PLASTERING , � -18. Ducts; Ventilating � - - � � - . . . _ . _ __ . _ _ . .__ . _ 19. Gas Pipe=Rough &Test '' � ' - - ' '_6U. __POOL/SPA SYSTEMS FINAL . � • � �� 20.- -Roof Framing - - - - -=- - - ' � � ' ' �� � � � � 21. Roof Sheathin -� ' � � - - - � - � • • � � ' . ' � 22.- -Frame and Flashing - � ..., . � NOTES: ' � ' ' `- � � . 23. Insulation - - - � � � - � � ' 24. Lathing & Siding � --. . . . . . - . - -- -- - - - � - 25. Drywall Nailing - � ' - � ' � - � � ' 26. -Plaster Brown Coat '• � ' • - � - � - �- 27. Electrical Power Meter-Final - � ' " � � -�- � � ' i 26. Final Electric - � -- -- - -- - } ' � �� • � . 29. �Final Heating & Air Conditioning - 2� z ' � - � ' � � 30. Final Gas Pipe-Test- • � . ', 31. �Final'Plumbing.. ' " ' ' �� 32: Water-Service-Final � - - - - � � �� - ' ' � - � - 33. Gas Service-Finab--- - - � ' ' ' ' � 34. Solar pomesticFinal � '. ' - --- -- , . , . ..:' ^ ' . . . .. - . . , . . . , 35. Landsca e S rinklin S stem ' � � � �� �" � 36. Sound At[enuation - � ' �� - - - " • � ' � � - • � • ' 37. Handicap Regulations � -� ' � ' � � ' � ' � - � • - - - -� � 38. FINALSTRUCTURE&BUILDING •-" - � � � 39. Special Requirements Completed� � ' ' �• � � - - � � i 40. Electric Release to Edison • - ' � �- - - ' - �� - , 41. Gas Release to Southern Califorriia Gas Co. � , 42. CERTIFICATE OF OCCUPANCY ' - ' No. Date ' � Applitant to flll In all spaGas wl�hin �eavy DorOer Ilnas anO si9n all approprlata Ceclantions. CITY OF COSTA MESA PERMIT NO. ^ �- � TRACT NO. LOT NO. BLDG. NO. CONSTRUCTION PERMIT M�o��J D Project Address 936 W, 1$Ti;� $T. BL�i �-.1 TVPE OF CONSTRUCTION Ownef B �S PhOne Q- �{Q � NEW ❑ ADD ❑ ALTERATION AddfCu 1 Z LO L N HEIGHTS� ❑ aePnia ❑ CONVERSION ❑DEMOlISH Arch/Eng. � License No. ❑ OTHER . DESCRIPTION OF WORK Contractor FUTURA ENERCY PRODUCTS Phone LICENSED COrvTRHciON DECLARATION I hareby a/firm Ihat I am Iicensetl untler provislons oi Chppp r[er 9 man<Ing wlth section ]000) o! Oiv151on 3 of tno' 9u51nOs Professlons Cotle, antl my Iltqnie Is/ In fulQ forca �anG � WORKERS�COMPENSATION CLARAT(ON Y I hereby affirm that I have d ifltdt< Of consenl lo seli-InSur¢ Or a ttrtiflrate o( Workers' Comp 5 tion Insurance, or a certlfietl topy ma�aor �sy���s��$�� ca. FUTURA-MINTON INS. Pollcy No. CAmDany 'erU(ietl copy is hereby fumi5hetl. - • ertlftetl copy iz file0 witn the Nty Builtlin9 Division. .cMPTION FROM WbRKERS' COMPENSATION OECLARATION (This SeCtion neetl not q¢ complatatl if tne permit is tor one huntlretl S�]Q�) OI IE55�. tert(fy Ihat i� th¢ pertormance O7 tha work tor whicn IhiS petmit. is Issuetl, I Shall nol empl0y any pBI50n In any�Tdnnel 50 d5 t0 become SubfOtt to the WOrke�s' Qompansdti0n L.awS of Cdliforrlia. Date Signatura NOTICE: If at[er making this tleclara[lon, you shoul0 become subject to the WOrkers' Compensation provl510ns of the l.abor CotlO, you must forthwith comply wi[h such provlslons or this permit znall be tleemetl r¢vOketl. - - - � CONSTRUCTION LENpING AGENCV I horeby aHirm that tneYe is a conztructlon lentling a9en<y tor [ne per- formanca ol tne work lor wnlch tnis Oermit is issuetl (Saction 3097 Clv. C.). LBntle!'S Ndme Lender'S Atltlress �ffirm that 1 am exempt irom thi Hing reason (Sp�(lon 7031.5 Bi r o� cou0ty Which �eqWr¢5 a tlam0115h o� �epalr any st�uctur� � dooll�nt tor such oermit to 1�� Is Ilcensetl pursuant to the provislons ol the ConVactor's License law 1Chapter 9(commen<i�g witn Sottlon ]000) ol Dlvislon 3 of tho Buslness antl Professions �otle) or that he is exempt lho�efrom an0 the basls for lhe allegetl ex@mption. Any violation of 5ection ]031.5 by an�� appliwnt lor a ptrmit Subj¢Cts the applicant t0 a Clvil penalty � •t more than five quntlretl tlo�lars (E500�. as owner o1 tM1e proptrty, o� my ¢mployee5 wlth wdge5 as Ineir s�_, comp0nsatlon, will tlo tha work, antl lhe stru<turC Is not Intentletl Or ofteretl for sal¢. (Section ]044, BUsln¢55 dntl A01eS51oni Cotl¢: The Conlmelor's �icense Law tloes nol apply lo an owne� ol a property who bui105 or Improve5 ther¢On, antl who tloel Such work himself or throu9h nis own employees, provitlotl tnat such improvemants aro not Intnntlatl or ofteretl for cale_ IL M1�wever. the builtlina or Imorov¢menl iVPE OF PERMIT ❑GHADING ❑ FOUNDATION ❑STRUCTVRAL ❑ TENANT ❑ ELECTRICAL ❑PIUMBING C�MECHAI ❑ OTHER PROJECT DESCRIPTION SQ. FT. OCCUPANCV_CONSTRUCTION TVPE VALVATION ZONE GRADING CU. V�S. ACRES PIUMBING, . PLAN CHECK BATHTVBS SHOWERS TOILETS VRINALS LAVATORIES DOUBLELAVS KIT.SINKS � DISFIWASHERS SERVICESINKS SVMPS FLOOR SINKS FLOOR DRAINS DRINKING FOUNTAlIVS INTERCEPTORS CLARIFIERS SWIMMINGPOOL PTRAP WATER S[RVICE ALTERATION GASSERVICE OVTLETS VJATER HEATERS BTV OUTPUT SEWERCONNECTIONS � SOLAR TAfJK � COLLECTORS SOLAR PIPING SYS. ISSUE FEE MECHANICAL P�AN CHECK of proving he tlitl not �ulltl or Improve for the purpose oi sale). HEATING SVSTEM Od00,000 BTU_ ❑ I, as owner ol th@ proPorty, am exclusively tontracting with qryDDUCTING Iicensetl contractars to �pnstruct the project (Section 7044, Bu5lness 300,000 + gTV _ antl �rofessions Cotle: The Contratlor's llcense Law does not applY to an owner ot property v,�no builtls or Improves thereon, antl who ton- REFRIGERATION 0-100,000 BTU_ tracts !rom wth pro�eCti with a conlrattOr(z) IIceSnCtl pursUant to $YSTEM' ' the ConVactor's Licenie �w). 300,000 t BTU_ ❑ I am exempl untler S�ction B. 6 P. C. tor lhi5 BOILERS BTV reason Date Owner SVSTEMREPAIR,ALTERATION I hereby certlty thal I have reatl.thi appl(cation antl_state that the above EXHAUST SYSTEM MULTIPLE Intormatlon i5 correct. I agree t comply wlth all dty antl County ortlinances antl s[ate law; elatlng t construction, anC hereby autnorize represen[atI 5 f Ihis �(y to ntar upOn Ihe a�Ove en onetl p�operty t u ¢ � . � Signature ta Z f� Drlvers' cense or � . � �SSUE FEE - CMF 0865-46 White-guiltling; Gnary-Appliwnt; Pink-Actountin9: Goltlenrotl-Assessor 3100 A.P. 3� ZONE � SE7BACK C/L ST. I VARD R�I G HT REAR VARD (TO PKG. SPACE RE�. 2628 2/26/82 DNING REGULATIONS PLNTGo. gR�E/FL. p��� P{�OPE�RTV LGN /L) PROVIDED PARK FEE ZONING APPROVED BV SPECIAL CONDITIONS: ELECTRICAL PLAN CHECK R'TS�� GENERATOR 0-1 KW_ 1-30 KW _ TRANSFORMER APPLIANCE 10-SOKW_SO+KW_ MOTORS 0-1 HP_1-10 HP _ (I(VQ SOLAR) 30-50 HP 50 +'HP _ FIJ(TURES OUTLETS 'SWITCHES GASTUBESIGNS ' �OLE LIGHTS GANEL$ MAIN SERVICE APPLIGATION APPROVED BV SUMMARV BUILDING PERMIT E PLAN CHECK E PLUMBING S PLAN CHECK S ELECTRICAL S PLAN CHECK 5 M�CHANICAL S • OQ PLAN CHECK E SUB DATE' =FEES SMIP E PERMIT � y�� ISSVANCE E�LIL_ GRADING 5 E MICROFILM S � TOTAL FEE E LE55 AO- VANCEPC b_ FINAL FEE § 7 • OO CONSTRUCTION AND PLANNING ! POOL & SPA- ', "' APPROVALS Permit# 8�J Date Inspector qppROVALS Permit.# � Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location Soil ipe-Undrgrn' 44. Steel Reinfoicement � 3. Electrical Conduit Utility-Undrgrn 45. Forms . 4. Electrical Conduit-Undrgrn 46. Electrical Bonding • . tee ein orce 47. Rough Piumbin & Pressure Test 6. Electrical UFER Grn 48. 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 Etectric-Wiring � 57. Solar System-Final � ' 16. Rough Heating & Air Conditioning 6�+0 3- B�L • encing & Access Approva� 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. Frome and Flashin NOTES: 23. Insulation - 24. Lathing & Siding 25. Drywall Nailing ' 26. Plaster Brown Coat 27. Electrical Power Meter-Final 28. Final Electric 29. Final Heating & Air Conditioning - z 30. Final Gas Pipe-Test 31. Final Plumbing - 32. Water Service-Final 33. Gas Service-Final - 34. Solar pomestic-Finai 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. CERTIFICATEOFOCCUPANCY ' No Date ' _ . � � APPti ' CITY OF CdSTA MESA � _ CONS`�'RUC710N PERMIT t to /ill in atl soams witnin PERMIT NO. " � �v78 . � � . . Address - - -- Arch/Eng. �License No. Address' Contractor /�/�L,/(_d,�� Phone ]�Rpi3 LICENSED CONTRACTOR�OECLAKqT10N ' I hereby alfirm that 1 am Iicensetl untler pravisions ot Chartar 9(cam- manting with sectlon 7000) o( Dlvision 3 of tne Business antl PfOfOS5I005 COOl� dOtl f9Y IICBOSB IS Ip IUII TOICB dOtl BIPoCI. Licenso Class 0 c se rvo. �a33j g� Date � �- ' �6 �� � �Signature �-�' WORKEi35' COMPENSATION DECLARATION I hereby aifirm that I have a ccrtificate of consent ta SGIt-Insure or a cerUflw[e of Worker5' COTpenSatlon InSU/anca, or �a COrlltieG cOpy thereol (Secllon 3800, Lab. C,). _ �r� �� �, , Policy No. Company y „Gertlfietl cOPY Is herebyAumiznetl. - _ ;'�Certifi¢0 mpy iz flletl with [he city BViltlln9 DiviSion. ��=��'+�EMPTION FROM WORKERS' COMPENSATION DECIARATION (Thls settlon neetl not be completeC �it (he permit is for one huntlretl 1E100) or leul. . Cerlify lhat ln t�e pe�forrtlant¢ Of Ihe y,�prk for w�ich tni5 pe�mit I5 Issuatl, 1 shall nol employ any person i� any manner so as to becomo subject ta the Workers' ComDenSatlon.La�yS o( Calitornia. Date Signature NOTICE: If a1t0�.making this tle[la�a[Io�, ypu zhOultl becoma Subjact to the WO/kers' Comp¢nsation provlSiOnb Of tlte Labo� COC¢, you must forlhwilh cOmply with zuth provislon5 or this permit shall ba tleemetl revoke0. .. CONSTRUCTION LENDINC.AGENCV I hereby afflrm tbat there is a cons(ructlon lentling agency for Ihe per- formancu o� tho work tor which this permit I5 issuatl (Section 3097 Civ. C.). " _ ' . .. ' ' Lentler's Namo - Lentler's AEtlresz � - - OWNER BVILDER DECLARATION - I heraby afflrT lhat 1 am exGmpt Irom tbe COnlraCtor's License Law for th0'following"r¢asom (Section -7031.5 BusMe55 antl� Pro(essions Cotle: Any tllY Or munty whith reqWreS d DGrmil [o consVuct, al[t/, ImprOvO, tlemollih o� repai�-any itruCtU/e,'prlort0 it5 Izzuance, al5o re- qulrCs lha dp4�l�anl tor zuGh permll to f110 a SlgneU slatem¢nt lhat ha Is Ilcensetl pursuant to the provislons of the ContrattorY Licensa Lnw �Chaplor 9(tommencing with Settlon 7000) ot Division 3 of the uslne55 dntl PIdM5ion5 Cotl¢) Or that Ile ISlztmpt thefeffom nntl lh0 basis lor Ina allogod ezemption. Any violatlon ot Sectlon 7031.5 by any appllWnt 1o�-a ptrmil subjects lhe appllfant to a�Civil pGnalty iol more than live huntlretl tlollars (y500). . ds ownar b( the Oroperty, or�iny pmolovee5 with wages as lhelr tloes wf10 OOIIOS OI Impfoves [nereVn, - n pp p0¢s sUCn wolR nimsa�r er ,through his own employees, provitlatl that zuch improvements aro not Intentl¢tl O/ oll¢rGtl br sale. If, howGVCr, the builtlin9 or improvemanl is soltl within one year ol completlon, the owner wlll have the burtlen ot proving no tlitl not builtl or imprOva br the purpofe ol sale). ❑ 1, as owner of the� property, am azclusivety con[racting wlth IIc805Gtl conlydclor5 to con5tluct lh0 pfojecl (58Ctlon 7044, Bu51n¢55 antl Professions Cotle: The Contra<tor's Licenso� Law tloes not apPry to an owner ol property wh0 builtls or irr�proves tnerenn, an0 wM10 con- bacts lrom sucn� p.ojocts witl�-a conVactor(s) IlcesneC� pursuant lo th¢ GonVdCtOr'S LiCenSC Ldw). '�'I am exompt untler Settion ' - B:'& P: C. lor thii reazon - .Date Ownor - I h¢r¢by certify that I have reatl Nis appll�ation antl Sta[e [hat Ihe abovo In�ormalion Is cortect. I a9r¢e to comply with all city and counly o�tllnances dntl itate laws relatlng to COnstruction, antl hereby dutho�ize repr¢s¢ntatives bf this city [O enler upon the abOve mentlon¢tl vy DorEar lines anE slgn all apProGriate Gaetarations. - � TRACT NO. ' LOT'NO. B�D��NQ.i Lf TVPE OF CONSTRUCTION � ❑ NEW - ❑ ADD ❑ ALTERATION - ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ❑ OTHER DESCRIPTION OF WORK TVPE OF PERMIT � ' � � � ❑.GRADING ❑ FOVNDATION ❑ STRVCTURAL ❑ TENANT ❑ ELECTRICAL ❑PLVMBING �OMECFIANIC ❑ OTHER PROJECT DESCRIPTION . . . _ SQ. FT. - ... .. OCCUPANCV_COIV51'RUCTION TVPE VALUATION � 20NE GRADING�CU: VDS. ACRES REMARKS: R 'aOln � -� �C7ln PLUMBING ' PLAN CHECK BATHTUBS � SHOWERS� TOIlETS� ' URINALS LAVATORIES DOVBIE LAVS' K�T.SINKS ' ' DISHWASHERS- SERVICESINKS SUMPS - ' FLOOR SINKS FLOOR DRAINS DRINKING FOUNTAINS � � � INTERCEPTORS - -CLARIFIERS WATER SERVICE � - ALTERATION - GASSERVICE � OUTLETS� WATER HEATERS' BTU OUTPUT' ' SEWERCONNECTIONS � " "' '" SOCAR'TANK ' " COLIECTORS - SOLAR PIPING SVS. � ISSUE FEE � ' MECHANICAL PLAN CHECK HEATING SYSTEM 0-]00,000 BTV AND DUCTING - 100,000 + gTU REFRIGERATION 0-100,000 BTU SYSTEM� �OO,OOO+BTU BOILERS BTV SYSTEM REPAIR,HLTERATION EXHAUST SVSTEM MULTIPLE A �.1 • A_P. � ZONE :^i 9667 12/17/61' ' REAR VARD (TO PKG.SVACEREQ. ZONING APPROVED BV SPECIAL CONDITIONS: ELECTRICAL 110.44 TL I REGULATIONS ` PLNTGp. gRUEF�. pyp ' " PROPE�RTYNLINE ' 1 PROVIDED GARK FEE S DATE � ' PLAN'CHECK , "' R ' "1^l. /! 'GENERATOR 0-1 KW_ 1-30 KW _ TRHNSFORMER . APPLIANCE 10-50 KW_50 + KW _ MOTORS' Od HP=1d0 HP _ (INC.SOLAR)� 30•SO�HP 50+�-jp ' i FIXTURES ' 'OVTLETS SWITCHES GASTUBESIGNS ' • ' - -POLE LIGHTS ' ' ' , PANEL$ MAIN' ' SVB SERVICE " --' ' AMP ' ISSVEFEE - ' � qPPLICATION APPROVED BY DATE ' SUMMARV OF FEES BVILDING � � � � � PERMIT S . $MIP 'S PLAN CHECK f • PERMIT . ^> � PLUM8ING s ISSUANCE 5� - . GRADING $ ' PLAN CHECK'•E . � ELECTRICAL E %��_ l $ PLAN CHECK S _ MICROF111v1 S� � MECHANICAL f - l TOTAL FEE E�'�_ �J � LE55 AD- PLAN CHECK E VANCE PC 5_ ' property for inspect on urposes. /� FINAL FEE S Signa[ure � Date � 2'/r%'� . ISSUE FEE - � Dr'vers' L'cense or 55 $�.� CMF 0865-46 W�i[e-Builtlin9; Canary.qpp�icant; Pink-Accounting: Goltlenrotl-Azsessor � CONSTRUCTION AND PLANNING �' � � ' :.• POOL & SPA � � : �� - ^ ' ��' � �' ` �" � ����7 Date Inspector Date - Inspector APPROVALS Permit # I�LLL APPROVALS Permit # • 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location� -- � � . Soi ipe-Undrgrn- 44. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrn � 45. Forms 4. Electrical Conduit-Undrgrn L- -SI iQG 46. .Electrical Bondin �,- � . tee ein orce � �' "�- 47. Rough Piumbin & Pressure Test - - 6. Electrical UFER Grn _ p �U 48. APPROVALTO COVER-GUNITE � 7. Footings ' ' - 49. Electrical Conduit-Undr m � 8. Foundation - �� 50. .. Gas Pipe, ❑ Undr m, Test � �� 9. Water Pipe-Undrgrn - 51. Backwash Lines P-Tra ❑ ndr rn ` • ' 10. Structural Floor SYstem . 52. APPROVAL TO DECK ' '' ' i t.. P[operty Sewer Line &.House Connectiou '� 53. Backwash & Rece torFinal • 12. Street Sewer Connection '' 54. Heater & Vent-Final • 13. Rough Plumbing " ' - - - 14. Rough Electric-Conduit � - �56. Electrical-Final 15. Rough Electric•Wring � � �. - 57. �Solar SYstem-Final � 16. Rough Heating & Air Conditioning - � encing & Access Approval � . 1�7. Ducts, in Structure ' ' APPROVED FOR PLASTERING � 18. • �Ducts, Ventilating ' - -. � � ' . . 19. Gas Pipe-Rough &Test ' - - ' 6D. POOUSPASYSTEMS FINAL , • � - 20. Roof"Framing ._ . _ _ � 21. Roof Sheathin " - � - - - � � • 22. Frame and Flashin NOTES: 23. Insulation ' ' 24. Lathing & Siding � � � - � 25. Orywall Nailing - � - " - 26. � Piaster Brown'Coat ' ' ' ' � - ' � - 27. Electrical Power MeterFinal - ' � • 28` Finab Electric � -r7-G•$ - C.• � - 29. Final-Heating & Air Conditioning � - 30. Final Gas Pipe-Test " - � - 31. . Final Plumbing � � - � � � 32.1 `Wafer Service-Final � � ' ' " ' . ' 33. Ges Service-Final � ' - ' 34. Solar pomesticFinal � - � � � � - 35. Landsca e S rinklin S stem � • -' 36. Sound Attenuation , - � 37. Handicap Reguiations � � � 38. FINAL STRUCTURE & BUILDING' - -- ' - 39. Special Requirements�Completed ' ' - � � ' 40. Electric Release to Edison � � 41. Gas Release to Southern California Gas Co. •� 42. CERTIFICATEOFOCCUPANCY � � �'.1No Date - , Applieant to flll in all spaces wlt�ln �eavy barEer linas anG slgn all approP��ate tleclanUons. � ; CITV OF-COSTA MESA � vF,sr.air,[� O. q TRACT NO. LOT NO.�� ' BL c. r,y� . -- -- ; -" `, . 2516, .�2%25/82� .;.�; I P�QO FL' CONSTRUCTION PERMIT L` .( T /�• ' "/ ; . . . . Project Address _ TVPE OF CONSTRUCTION � , U p��_} .. - , , i ' , OWnef �5 ' ' � �- - Phone- - - ❑ NEW ❑ AOD ❑ ALTERATION �- - " , ' - ' � � r - . � � '�Addf2ss_ . .2_ _ _ _ _ O REPAIR ❑ CONVERSION ❑DEMOLISH._ , . � � � _ ' Arch/Eng. �. ��� � � -- License No. '� � O7HER_ ' ' ' ZONING REGULATIONS-� . DESCRIPTION OF WORK �� ' P"P' � � ' Addless ' " ' ' ' - . . _• . ' 20NE ' ' ' PLNG. REF. $ . " - - ' ' Contractor - i e - - - � Phone � TVPE OF PERMIT ' 1 "' .' " " ' ' -- ' a��l�����rvG - - SET ACK T. V LINE •.''% rAdd�ess� - - � � O�GRADING ❑FOUNDATION �OSTRVCTVRAL -- 51 �VARD- -- -- - - -- --- ' LICENSED CO TRACTOR O CLARATION ' � "QfTENANT ❑ ELECTRICAL OPIUMBING-.OMECHANICA �9ip . 'I h¢reby afflrm Ih:.t I dT IIGOnsOtl untlGr provlsions of Chartar 9(COm- � RIGHT � �mencing wilh sactlon ]000) .of Divizlon 3 of tha_Buslnnss. and ❑ OTHER ' Professions Cotle, �antl my ���enia is In full force antl elfect. : REAR VARD (TO P/l) � � �+_�,D__ �n�3�� . PROJECTDESCRIPTION-. � ' License Class' '� 'Lltanse No:� � � " " ' � - PKG. SPACE REQ. � ' PROVIDED� " _ � Date " '-" ' --_' S19nature . _.. . _ SQ: FT. .'_ _ ' ' ` ' '" _ _ WORKERS�COMP.ENSATION DECLARATIDN, ' . OCCUPANCY �_CONSTRUCTION TVPE l� STREET WIDTH - PARK FEE E- I hereby affirm that 1 have a certlfltale of consnnt to selNnsure or a VALUATION � ZONE ZONING APPROVED.BV " _— OATE - : cer0fiwtB�Ot Workers' Con�Pensalion_InSurance, or.a.cerlitietl mpy � ' thereof (Sectlon 3800, Lab. C.). GRADING CV. VDS. ACRES SPECIAL CONDITIONS: �' -' " ' .- Pblicy Nor Company -- - - - _ _... _ . . �'?''+'ertifieU coPY Is.bereGY fprnishe0. ' "' ..REMARKS: .' �r-" ' '+ ' rr��ertltled coPY B �flletl witP the clty Builtlin9 Divizion. - " ' ' - � (` . .' " " -"' ' ' ', " ' " ' - ' t"�MPTION FROM WORKERS'-COMPENSATION�DECLARATION - - - - - ' " �' (This section neea not be cOmplet¢tl if th¢ permit IS 10� one huntlr0d � . .� t- - . - (E300) or IeuL. . . _ _ _' _ . " ' "' ' , . . - ` . ,. . ' ' - . _ - . - . _ . -' ' _ I certity (hat m th¢ per(ormanCe ot the wo�k to� whiGh this p¢rmi[ IS „ , issuetl, I"shall nol emPloy aPY Person'in any manner so'as to become PLUMBING -, - - �+ PLAN CHECK�' - ' ELECTRICAC' ' -- -PLAN CHECK -" ' Subj¢ct l0 thG WOrk¢rs Compensdtlon LawS of CallfOmld. _ - ' l`- - " "' ' - `BATHTUBS -� '� SHOWE0.5'" �" - Date Si9na�ure �� N0T10E: If aftor rtiaking th�s tleUaration, you snoultl become subjact . TOILETS- V RINALS -- � � - �GENERATOR - 0-1' KW_ 1-lO�KW ' 'to the Workers' Compen5ati0n provisions of Ihe Labor Cotle, you must - � � iTRANSFORMER : . _ , forthwith comply �th such provisions or lbis permit shall be tleemetl �-AVATORIES DOUBLE LAVS — ' APPLIANCE � 30-50 KW=50�+ KW _ revoketl. ' KIT.SINKS' - �ISHWASHERS ' - - - ' MOTORS - �CONSTRUCTION LENDING AGENCV 0-i' HP_1-10 HP' - ioreman�e oi�ltha work for�Whicn�thls�permit is�lssuatl�(SecHonh3097 SERVICESINKS � � , .SVMPS • -- - . (INGSOLAR) - 30-50 HP_50+HP -' - Civ.�C.). - ---- --- - -- - - ��-- �- - • -� - 'FLOOR'SINKS-- ' "'FLOOR DRAINS ' - '-'- ' ' �FIXTVRES- ' ' 'OVTLETS SWITCHES" � '� �l ' ''�. '� Lentler's Name Lentler's AUtlress � � � " DRINKING FOVNTAINS ; ' '- ' - • - - - - - � �GAS TUBE SIGNS -- - - - � -- - OWNER BUILDER DECLARATION INTERCEPTORS """ - CCARIFIERS " -� - POLE LIGHTS • ' - ���--' � - -- I nereby aHirm that I am exef�P� irom the Contractor'S License Law for t�e following reason ($ecUon 7031.5 Busino5s antl Professions.Cotle:. SWIMMING POOL PTRAP - � - � i . _. Any cily or <ounty whicn requires a permit to construct, alter, - � �OLES �� �METERED � SUB Improve,�tlemolish or rapa7rA�Y strutture, prior to iti 155uance� also �e- yyqTER SERVICE' -' ALTERATION -- � ' PANELS" •— MAIN' ' SUB"-� ' qWres [ne a0i.lit�anl for suth permit lo file a Slgnetl statem¢nt thdt h0 • � . I5 Iicansed�pu�suant to the p(a��sions o6the�ConlractoPs Ucenso Law GAS'SERVICE ' "OVTLETS-'� ' � "SERVICE -- -- - � -- AMP^Q(�� (Chapter 9(commencing w��h Section 7000) of Division 3 ot Ihe - Business�antl P'ofessions-Cotla) or that ha.is-oxempt therefrom anG tho- yyqTER HEATERS ^ �BTIPOVTPUT ' - ' - - -- -� - - - basiz 1or the alle9etl exempt�on. Any violation ot Section ]033.5 by - - ar�� applirant .tor a-permic sub�ecis the applitanl to a-civil Penalty SEWER CONNECTIONS �- �- - • �� ^ - -- � - - � - - --- t more than tive huntlrotl tlotlars (E500). �� � as owner o1 the'property,-or my employees with•wages'as [heir SOLAR TANK - - COLLECTORS � - � l -� �^ - -— so.., Compensation, will tlo tPe work, antl the z(ructure i5 not intentletl I or of(eietl'for ule.-(Section �044, Busine5s antl Rofesilons Cotle: The' "SOLAR PIPING SYS. '- ' ' - - ISSUE FEE - '-' -- � � Contrdclor's Li[¢ns¢ Law tltles nol appry to an owner oi a O�op¢rty who bW�as or Imo�oves tneveon, antl who tloes 5uc0 work nimiel/ or -ISSUE FEE --- - -' � '�APPLICATION APPROVED BV -� -- � DATE - throuqh nis own employees, P�oviOetl that such 'mprovem¢nts dre not ' � - �' in(enEetl or "offeretl'for salc. �/, howeve�,-t�e'builtling or ImprOvement ' MECHANICAL PLAN CHECK --' --� is soltl within one year of completion, the owner wlll have ine burtlen � y SUMMARY OF FEES . �. �: of proving"he'Cltl-nol bu11E or'Improve tor tne purpose o� salo). ' - - - - - BUILDING - -�-- -� • --�� - - � ' - -- HEATING SVSTEM 0-100,000 BTU 'PERMIT ❑ I, as_.owner_.ol. lhe prOPerty, am extlusively conlracting wilh AND DUCTING — - - . —. '. 4 SM�P-,' §'��� IlcenSetl cOnlydctor5 lo mn5truct the pro�ett (SeCtiOn ]044, Builness . 100,000�i BTV . PLAN CNECK § PERMIT + � anC Pfotasions Cocfe: The.Coatracto�'s licenu law tloes not apply lo � . -ISSUANCE�' S� an owner ot property who Puiltlt or Improve5 tnereon, antl who con- REFRIGERATION 0-100,000 BTU �PLUMBING - tracts trom such projects.w��h a contratlor(s) IlceSnatl_pursuant to SVSTEM .. �. . s __ _. �GRA�ING � the Contractor'i LJcense Law1. 100,000 � BTV PLAN CHECI( � E - � E, n` O I am exempFvntler Section' B.-6-P. C: �o�'�his ' BOILERS BTV �� -� 'ELECTRICAL 5�, '"' ' s� .S� reason SVSTEM REPAIR, ALTERATION � PLAN CHECK 'S � __ MICROFILM'y • Daie Owpar �� � .TOTAL FEE 5 I herebycertiythat I have reatl this application anC state lnat the a�ove EXHAUST SVSTEM MUCTIPLE �MECHANICAL = - - � (nformation is-correQ'. 1 aglee to comply witb all clty antl county PLAN CHECK 5 LE55 AD- � .. _ orEinances antl state laws rela[mg to cons[ruction, antl hereby authoNzo VANCE PC 'E'_ rep�esentalivei'of tNs city to enter vpon tho aDove mentlonatl � ' ' prop¢rty tor }�pelHo puIPO5e5. 7 2G �� FINAL FEE E�a• Signature r � � �� Driver5' Li<ense or 55 � ' - - �SSUE FEE . . . . _ . . . , _ . . . __ CMF O6fi5-36 Whi[e-Builtl�ng; Canary-Applican[: Pink-Accou�ting; Goltlenrotl-Assessor � � CONSTRUCTION AND PLANNIrNG 7 ' � " � J � POOL & SPA � � . " '•� � ' APPROVALS Permit # G-a ( Date Inspector qppROVALS " Permit # Date - Inspector - 1. Temporary Electrical Service or Po�e ' - 43. , Pool & Equipment Location -' ` � - ' ' ' - Soi ipe-Un rgrn_ �" � 44. Steel Reinforcement� - ' � ' - - ' � - . 3. . Iectrical,Conduit Utility-Undrgrn . 45. Forms - 4. . Electrical Conduit-Undrgm . 46. Electrical Bondin � - - � tee e�n orce w 47. R'ou h Plumbin' & Pressure Test � - - - � -� - - 6�.. Electrical UFER Grn ' � 48, - APPROVAL TO COVEfl�GUNITE ' •� -- • - - .i 7. ootings � 49. Electrical Conduit-Undr rn ' � 8. Foundation . - 50:, �� , Gas Pipe, � Undr m, Test � '' ' :. .9....Water P.ipe-Undrgrn . � ' S1. Backwash Lines P-Tra ❑ � nd� rn � ' "� - � � " -' k _ �_--• ---- --... _ 10.. _ Structural Floor System _ - 52. APPROVAL TO DECK - - - -- � " ' % '. -.. . ---_. .. . - �. . , .- -- � 11. _ Property_$ewer.Line &..Nouse:Corinecfiori. _ 53.- Backwash & Rece tor-Final . -- ' ' ' -' ' �� ' � _ .12. _ Street Sewer Connection. J." ' � � - � - 54. Heater & Vent-Final ' ' . 13. Rough Plumbin9- - _ - - � � � - ' ` � - - - ' 14. Rough �IectricConduit �-' � - - - �-- • --56.' �-Electrical-Final - • � ' ' • - • � �� 15. Rough �lectric-Wiring - - - �` - � �57. Solar SYstem-Pinal . �- ;, , , � , " � - ' p 16. Rough Heating & Air Conditioning � ' - � - • encing & Access Approval . 17�.� Ducts in Structure '� - APPROVED FOR PLASTERING ` -' �18. Ducts, Ven[ilating - - -- - - .{ � . - . _ - -- . . _ . 19. Gas Pipp-Rougb & Test - - 60. . POOL/SPA SYSTEMS FINAL � , .. - ' ' 20. Roof Framing� - - � - - � - � ` � � : 21. Roof Sheathin � - - ' • ' � 22. Frame and Flashin - .. _ .. ' NOTES: " � � • � � � •� � � . . 23. - 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.:-Final.Plumbing ' ' - � � 32: Water Service-Final- - � � � � 33. -Gas-Service-Final - � - - � � _ � � � ' • j, 34. $olar OomesticFinal � � ' � � � 35. Landsra e S rinklin S stem � - � 36. Sound Attenuation ' � � - � ' � 37. Handicap Regulations ' • � - --- ' � � - ' � 38. FINALSTRUCTURE&�BUILDING '� � ' 39. Special Requirements Completed- • 40. Electric Release to Edison � ' 41 . Gas Release to Southern California Gas Co�. • • • � 42. CERTIFICATE OF OCCUPANCY - No Date ' `" ADP��eant to flll in all soaces withln neavy bortler lines antl sign all approo��ate aeclarations. C�TY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. , BLDG. NO. ' ' ' ' --' ' - �, CONSTRUCTION PERMIT ' — / ' - � • : Project Address � ( � . t/,�� SJ, �' ' TVPE OF CONSTRUCTION ; � ` � '' Y . � . � t , .. • � OWner jL - Phone -737 ❑NEW -OADD� ❑AL7ERATION 0����% 6/.29/62. .a �Q�[�Q T�.� Addreis ' - �E ri OREPAIR ❑CONVERSION ❑DEMOLISH � _ � "' . " Arch/Eng. � ' - License No: � - • ❑ OTHER ' " � ZONING REGULATIONS . DESCRIGTION OF WORK p''P' � ' � Addf¢55 - ZONE PLNG. REF. � � � i' Contractor , , �� l", C p, , Phone ��, TVPE OF PERMIT � � "- � TpeUILp I G� SETBACKC 5T. PROPERT�UNE i AddfCu %�6 Z rH /G T• f'- - . ❑•GRADING -�O FOUNDATyI�O(N ❑ STRVCTVRAL - - SIO VAFD ' . ,. , - ' ' LICENSED CONTRACTOR DECLARATION �- - ' O TENANT ❑ ELECTRICAL DUPWMBING ❑MECHANICA SE�HT - ' I hereby affirm lh:f I am Ilcensotl untler provlsions of Charter 9(com-. i.- J _ /� q mentln9 with sectlon -'7000)'of � Oivlslon 3 of tne-Busine55 anC ❑-pTNER ' - '^ 1 REAR VARD (TO P/l) Protezsions Cotl a tl my Itcense Is—in tull forte antl eltect.. � pROJECT-DESCRIPTION -' � �� . Lltense Class � � Lic$ is No3 Q6 S�S�Q , , . � „ - � � � -� PKG. SPACE REQ. � . PROV,IDED Date.�, t� % 5i9 t /J�`_ SQ..FTf ... ' . _ . . . � ��`�--�'--�`_ ' � STREET WIDTH PARK FEE y WORKERS' OMVENSATIONDECIARATION- �� - � - '�OCCUPANCV_CONSTRUCTIONTYPE J hereby affirm tba[ I have a certlflcate of consent to self-insure or a' VAWATION ZONE .Z�NING APPROVED BV . DATE _ , certlfifate of Workers' Compensatlon Insurante,-or�a certlfleG�copy - � - -- - _ i hereof (Section 3800, Lab. CJ. � / ��J GRAOING:CUL VDS. � ACRES SPECIAL CONDITIONS: "cY No. CAmPany ..U�Y �' �S/i 2 V ' ' _ ' _" " ' " .' ' _ ' - �rtifi¢tl�topy i5�he�eby furpish¢tlr - � - � - -- - - - -�- -REMARKS: ' - � - - . _ _ _ _ ��'��' Jeriiflee copy is filetl with the city Builtlinq Dlvision. ' -� 2�0.�� -� _ EXEMPTION F0.0M WORICERS' COMPENSATION �ECLARATION _ � Z Q �- "'- " '- ' ' (This section neetl-not be�completetl if roe.permit is for one hunCreU _ _ _ _ _ _- �: __ _ .. . _ . _ .v. __ _ , _ _ _ . _ .. ., ' _ , _ . � SE100) or Iess). . . � � �� �" � - , certify that-in-the pertormance of lhe work.tor which this.permit is _ _ _ _ _ . i issuetl, 1 snall not employ any perton in any manner so as to become . PLUMBING,� . � PLAN CHECK ��ELECTRICAL �� PLAN CHECK- '-� " ' SubjECCtO the Worke�s' Compen5ation LawS of-California. �- � , Da[e Signature ' BATHTUBS SHOWERS ' � � � - _ - � '� ' � NOTICE: It after making [his tleclaration, you 5houltl be<onie subjeCt � TOILETS I�)', 1 '� VRINALS � '1GENERATOR 0-1 KW_ 1-lO�KW � to tne Workers' Compensatlon provisions of the labor Cotle, you must � ' �TRANSFORMER � �• � forlhwith comply wi[h such provisions or this permit shall be tleemetl �.VATORIES DOUBLE lAVS � APPL"IANCE ' "30-5� KW=50 + KW "- -' revoketl— --' - - -- � - --- -- � - �-- ' KIT. SINKS `� � � DISHWASHERS �� � " MOTORS ' 0-1 HP_1-30 HP - - - CONSTRUCTION LENDING AGENCV � J her¢by atfirm that there is a constructlon lentling agency tor [he per- SEftVICE SINKS ,��,SVMPS -- (IN0. SOL-AR) --30-SO�HPy- -SO+HP� -- - ,formante_of the work for which thlz permi[ is Issuetl (Sectlon 3097 � -� - {Iv. CJ. � FLOOR SINKS FLOOR DRAINS FIXTURES' '" OVTLETS SWITCHES ' - - ,Lentler's Name ��Lentler•5 Atltlross ORINKING FOUNTFlINS � '� ' � 'GAS TUBE'SIGNS ' " ' ' ' ' � OWNERBUILDER-DECLARATION �` ����-- INTERCEPTORS � CLARIFIERS i �POLELIC�HTS-� - " ' '- ' - ' '-' '- I her¢by aftirm tnat I am exempt trom [�e Contraclor's License Law 1or - +� �• the tollowing reason (Section 7031.5'Business antl"Protessions Cotle:- SWIMMING POOL �P TRAP � ' ' ` " ' - - - Any ciry or county which requires__a permit to conslruct, alteq �POLES METERED SUB Improve, tlamolish or repair any s[ru<ture, prior to its issuance, also-re-- yyqTER SERV ICE �� AITERATION �,PANELS �- " MAIN.. .- .SUB '" ;� � qui�e5 thBppfllt'ant tor such pe�mlt,to tile a Signetl statem¢nt that h¢ � is Iitensetl puisuanf to the provisions o(�Ihe Contrattor'S License Law GAS SERVICE OVTLETS ' _ SERVICE ''''" "' '- AMP ' "' (Chapter 9(commencing with Section �000) of Oivision 3 of the � - 9usiness antl Prdezsions Code) or tfial'he is exemp[ therelrom antl the' yyqTER HEATERS BTU OUTPUT ( � "" ' "-" ''-' '. - '� ' ba515 for [he allegetl exemp[ion. Any_�violatlon of Section ]03L5 by � � eA-.�h`,�i3.,.�ppll�nt for a permit-subjects the applican['to a civil-penalty SEWER CONNECTIONS ,� � � � r � " "" - - ' " '" �-' "' " - , r�w-✓�l( more [han_tive huntlretl_tlollats ($500)_ _ - = �•' �."'�., as owner of tne property, or my employees with waqes az their SOl_AR TANK � �� � COLLECTORS� - - " -" - ' " " -' ' ' ' ' .; �'�' � _� - � 5ole�compensation,-will.tlo�the work, ana the.structure is not intentletl. ._ __ _,_ _ _ _ � or offeretl for sale. (Section 7044, Businezs antl Aotessions Cotle: The SOLAR PIPING SVS � ��SSUE FEE- � �- --. - - " ' Cont�actor's �icense Law tloes-not apply to-an owner_of a property. . _ _ __ . . � � � � � who builtls o� improves Ihereon, antl wito tloes such work himzelf or ISSUE FEE � � � iAPPtiCAT10N'APPROVEO BV- - ^--DATE- -- S throu9h his own employcas,-D�oviCetl Ihat such.improvem¢nts are.not " IntenGetl or oi(eretl for saie. It, however, the buiitling or improvement MECHANICAL PLAN CHECK SUMMARV OF FEES i� Is Soltl within ono year.of.comple�ion, the�owner will have the.burtlen � +qp. �'i� � of proving he tlitl not bulltl or Improve for the purpose of sale). "BUILDING" "--"' �_--- .- - - � HEATING SVSTEM 0-300,000 BTU ;PERMIT E SMIP•,' _t �$� ❑ I� -as owner' of' tne pro0erty, am exclusively contra[ting with qND DUCTING '" licensetl contractors to conztruct [he projact (Sectlon �044, Business 100,000 + BTU �PLAN CHECK S PERMIT- ^ ' � antl'Professions-Cotle:TheContractor'sLlcenseLawdoesnotapplyto- - - 'r� �- --- � -ISSUArvCE 5-�-�=� � ' an owner oi property who builtls or improves Ihereon, antl who con- REFRIGERATION 0-300,000 BTU PLUMBING 5 �0' � � �- tracls from suth'pro�ects' with a' cmGattor(s)- Iicesnetl pursuant ro SYSTEM' """ "' ' '� ' --�� -� - GRADING. � S . � theContraCtOr'SUcenseLaw). 100,000+gTU �P�ANCHECK '§' .� � i, � ❑ I am exempt under Section � �� � B. & P. C. for tnis ' ELECTRICAL 5 � - b BOILERS BTU � � - reason - - �PLANCHECK g' - fv11CROFILM'S' - j SYSTEM REPAI R, ALTERATION n. Da[e ' - - Owner - � � . TOTAL FEE�E' �' � EXHAUSTSYSTEM MULTIPLE �MECHANICAL S ' I he�eby certlfythal I havC.reatl [his appliCatiOn antl Stdte that the above �' LE55 AO- � information is correcL I agree to mmply with all Gty antl county . PLAN CHEGK y - VANCE PC $_ ortlinanCCs antl state IdwS relating to con5t�uclion, antl ne�eby autho�iE¢ , � . � �epresentativei of lhis city lo enter upOn the dbOve meniioned � ' prop¢rty for i E pur 5. .. / Slgnatu�e ����"" Date ��_ . . FINAL FEE 5 • G Driver5' License or 55 � �/] �SSUE FEE " " ' � - - - � .. CMF OBfi5-46 White-Builtling; Canary-APplicant; Pink-Accounting; Goltlenrotl-Assessor - - � CONSTRUCTION AND PLANNING POOL & SPA �._ _ . APPROVALS Permit# yd�� Date � Inspector ' ,qppROVALS, ,- , � Permit# T �Date Inspector 1. Temporary Eiectrical Service or Pole �� 43. Pool & Equipment Location - ' Soil ipe-Un rgrn 4. Steel Reinforcement • ' ' 3. lectrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - tee em orce 47. Rou h Plumbin & Pressure Test ' 6. Electrical UFER Grn - 48. APPROVALTO COVERGUNITE � ' 7. Footings ' 49. E�ectrical Conduit-Undr rn • � -� � . 8. Foundation � � - 50.. Gas Pipe, ❑ Undr rn; Test �� � � _9. Water Pipe-Undrgm 51. Backwash Lines -Tra �❑ ndr rn ' - 10. Structural Floor SYstem � a� 52. APPROVALTO DECK ^- - - 11. Property Sewer Line & House Connection ' 53. Backwash & Rece torFinal � � � � 12. Street Sewer Connection "- • ..54._ Heater & Vent-Final � 13. Rough Plumbing _ � - - - • - 14. Rough EfectricConduit - - �56. Electrical-Final� - - � 15. Rough Eleciiic-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 FINAL � � .� 20. Roof,Framing - • � � ' 21. Roof Shea[hin � � _ : - , .� . . .- � 22. Frame and Fiashin NOTES: ' 23. Insulation_ ' � � � - ' ' - 24. Lathing & Siding � 25�. Drywall Nailing ' � � ' ' � ' 26. Plaster Brown Coat ' � � � � - - ' ' � 27. _ Electrical Power Meter-Final ' � � ' ' 28. Final E�ectric � � ' �� � � � 29. Final Heating & Air Conditioning- . � • ' �� ' � � ' - 30t F.inal Gas Pipe-Test ,( ' � ' � ' � - 31. Final'Plumbing � ' ' ' " ' ' 32. Water Service-Final ' ' � ' 33: Gas Service-Finai � � "� - ' ' � 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 . �OSTA MESA BUILDING—SAFETY DEPAHTMENT P.O. BOX I�00 Coata Mesa, Cali}ornia Addross SZyU L'�. ttULV"1�C c;,r ANAHEIM z�Pcoae State License No. Cless. City License No. Tel. tVo. N0. ITEM EACH I FAU, Wall, or Grav.` Furn. Incl. Ducts and ], venes �+.00 Vent (if not Suspended F Alter or Rep Appliano ve(T r� e%t gas pipin� BOILERS O COMPRE 3 H.P. or I[9YH �Plan Check Reinspection Fee Sub-To[al Processing Fee TOTALFEES CMF 0449-46 �.. ' ' ^ Tl TRACT NO.� J� _1��/� 1II �, LOT N0. ���*� � l� BUILDING USE OATE ISSUED RESIDENCE � /�'{SZ eui�oiNc ���0 GLl �A" 17I � �.� AOORE55 FEES COSTA MESA, CALIFOflNIA( ��V _\ ���� ( ~ � 1 \l Y 4.00 OWNER BROOKS CONSTRUCTION ADDPE55 1532 LA^,LON1A � � �"'' S�YNTP,`�ANA TE� N� 642-0432 �1�y I here6y acknowledge [hat I have read [his application endY�stete�that the above is corroct end agroe [o comply � .�witkleil�'�Ciry Ordinances and State Laws regulating Heet- � mg; Ventilating, Re(rigeration and Air-Condi[ioning. ,� 4l� \T` : �� �� i' I certify [hat [ possess the above valid Sta[e of Calif- .>' omia classification or I am the legal owner of tht single �V� farnily residrntial property described above. Signaturc of /% Permi[[ee �% REMARKS: �.�/�In � APPROVALS INSPECTOR DATE Duc[s Undcrground Ducts in Struc[ure Ducts Ventilating Heating — Rough -J � Hoods Refrigere[ion Lines Pressuro Test Aio-Cond. Final Ventilating Final Heating Final ( Refrigua[ion Final Final Gas Test Utility Co. Notified BLDG. PERMIT NO. — D�C. Ci�''OF COSTA MESA CONSTRUCTION PE Address Address • Contractor ApP�icant to flll in all spaces witlt PERMIT NO. � M�T 1 O � .2 �� 1 `�",�Z � ' ' Phone �� _ O " P License No. " � 1 �/�✓/ Phone� n haavy bortler lines antl sign all apP�op�late Eetlarations. -TRACT NO. Lp'[,[�p. BLDG. NO. - - ��/ �� H��d� T,yV�PE OF CONSTRUCTION IANEW ❑ AOO ❑ ALTERATION ' � _ ❑ REPAIR ❑ CONVERSION ❑DEMOLISH � O OTHER '� � r� DESCRIPTION OF WORIC � - , TYPE OF PERMIT � � � � " ' � Q GRAOING ,'�OUNDATION �TRUCTURAL LICENSED CONTRAGTOR OECLARATION . � ❑�TENANT ❑-ELECTRICAL OPLUMBING ❑MECHANICP I hereby atilrm that I am qcensetl untler provisions oi Charter, 9(com- �� . , -�� mencin9 w�th zectlon 7000) of Divislon 3 ot [he-Buslne5s �antl � Q�OTHER�- - Professlons Code, ana my Iicensa is in fu❑ force antl eftect. " � .�� ,�, 7 . _ . _PROJECT DESCRIP710N � . ._ License Class License No. , � Da[e � � � Si9naWre " ' � �. SQ. FT. - . _ . WORKERS'�COMPENSAT�ONDECLARATION `.' OCCUPANCV_CONST UCTIONTVPE 1 hereby atfirm that I haya a certi(icate of consent to ulPlnsure or a VALUATION�• r���ZONE � tertlficate �of Workers' CompenSaHon Insurance, or-a �cer4flatl �copy � - - � tnereot (Sectlon 3800, Lab, C.). ' GRADING CU�. VDS., ACRES Policy No: Company - - Certifletl copy I5 her¢by Iurnishetl. - . ` REMARKS: � ' C1 � . CertHletl copy is filetl with [be ci[y Bulltling Divislon. , � cXEMPTION FROM WORKERS' COMPENSATION DECLARATION ' " - O O " �This secdon neetl ,not be completeU it the permit is Por one huntlretl • 5300) or leu). , � ' . . . - ' _ � . . certify lhat in the performance of the work tor which tbis permit is Bsuetl, I shall mt emPloy any person in any manner so as to tiecome -, PLUMBING � PLAN CHECK '' subject lo the.Workers Compensution Laws of.Califomia.. '_'- � ' _ Dat¢ $Igndture� ' BATHTUBS ' SHOWERS i . ' _' P T URINAL$ TO LE 5 : If aiter makin Iaration ou ShOultl becoTeiSub'ett NOTICE 9[hl5 tlet , Y 1 . ', to the WorkGrs' CompenSdtiOn provlSionS of the labor Cotle, you mus[ forthwith comO�Y�w��h su�h provlsions ar this permit shall qe tleemetl LAVATORIES DOUBIEL . �¢vOketl. ' _ -.- . ' - - - - �- ' KIT. SINK$ � -OISHlKASH CONSTRUCTION LENDING AGENCV I hereby aflirm that tnere 15 a construction lentling agency tor [he perv SERVICE SINKS� ;7 ^• SUMPS fOrmance ot the work fOr which th15 p¢rmit is ISSueC (SeCtiOn 3097 CIv:�C.)t" •.� •�� . \ .w�. ' ' ' ' - -- ' ' FLOOR•SINKS��.,�c \^ F�001 Lender.'S=Name � � • - Lentler's Atltlress � � � � ,` � DRINKING FOVNTAINS � OWNER BUILDER DECLqRAT10N ' " ' - "-"�' INTERCEPTORS ' � CLARI 1 hereby aftirm tM1at I am exempt fram the Contrattor's License Law ior 'the'foliowing reasony5ect�om�031�:5-Business-antl� Professions Cotler ^SWIMMING POOC- -"�"PTRA Any citY or county wh��h requlres a permit to consVucf, a12er, Improve, tlemolish or repair'any structure, prlor to Its lssuancepalso re- yyqTER SERV ICE ALTEi qulres lhe apHlicant for sucn p¢rmit to tile a signetl statement Iha[ he � is Iicensetl'pursuant to tbe provizlons'of th¢-Contractor'S License Law GAS SERVICE OUTLE (Chapter 9(commencing with Section 7000) ot Division 3 oi the BIl51ne55 antl Profes5�ans Cotle)'or Ihdt he Is ex¢mpYthB/Cf�om antl th¢ basls for the allegetl exerqpUon. Any violation ot SecHon ]031.5 by v appliWnt fo� a' pGtm�(� Subj¢cts�[he applican[ to d Uvlf penalty� iot more than five huntlretl tlollars (y500). I, as owner ot the property, br my employees Juitb wage5 as Iheir' wl¢.Compensa[ion, will tlo the work, aqtl.the sVuctur¢ I5 n0[ Intentletl„ Or otferetl for sale. (SeG[ion ]044, Business antl PrOfe551on5 Cotl¢: The Contldtl0/'S. Lice05e ldw tl025 not apply fo an Ownel of d pfoperty. wh0 buIIGS or imp�ove5 the�eon, antl who doez Such work himself or [hwugh his.own employees, providetl that such.improvements are not IntentlCtl or ofter¢tl for sal¢. If, noweveq the building or improvement � Is sultl wi[hin_one_year o! completion, the owner. will have (he burtlen �-f,/ proving h¢ Gitl not bulltl Or Improve for th¢ pu�poz¢ oi sale). W P,'as •owner^of� lhe property, am exclu5ively con[ractin9 with � ITitlnsetl contractors to consVutt the project (Section ]044, Buziness antl Professions Cotle: The Contractor's License Law�tloes nOt apply to � an ownCr of property who bulltls or Improve5 Ihereon, and who Con- t�acts�from�such-O�aletlsµ�(h-a-conba<tor(s) IlcaSnetl�DWSuant-to- the ConVactor's License l�w). ❑ I am exemp[ unEer Secqon � � 8: & PfC. for this �Dato Owner_ I h¢rCby certifythat I have matl this informalion is correcl:-I agree to ortllnances and e laws [ing [o _ �� .�._ ��9 above t� WATER HEATERS " BTU OUTPUT " ' SEWER CONNECTIONS ' - ' � � � SOLARTANK -- - COIIECTORS- ' SOLAR PIPING SVS. ISSUE FEE � MECHANICAL PLAN CHECK HEATING SVSTEM 0-100:000 9TU ANDDUCTING' � �QO,OOO+BTV REFRIGERATION 0-300,000 BTU SYSTEM '-" � 100,000�+gTU•�• BOILERS BTV SVSTEM REPAIR,ALTERATION EXHAUSTSYSTEM MVLTIPLE 519natura ' " � Qat¢' �� _' _ , "_ _ "' _ " Driverz• Lic nse or 55 � -�SSUE�FEE CMF 0865-46 White-BUiltling: Canary-Applicant: Pink-Accountin9: Goltlenrotl-Asussor . `� 9634 `12%17%'81 :,,, --.- .. A.P. � ZONE REAR YARD (TO P/I:) ���.�G(�.�jr PKG.SPACE�REQ. �2 ty PROVIDEC STREET WIDTH C9� ..- PARK FEE CONDITI t 0 326.38� T ELECTRICAL - � -PLAN CHECK - ' -' I " DGP6 ' . ' ' ' . ' - ' �GENERATOR ' - - 04 KW � 1-10 KW TRANSFORMER — ', \ APPLIANCE 10-50 KW_50 +-KW MOTORS '0-1 HP=1-10 HP ' ' -(ING�SOLAF) 30-SO�HP=- SO+HP � - - - -- FIXTURES OUTLETS 'SWITCHES " "- ' - ' GHS'TVBE $IGN$ "- " - -- --' ' ' POL'E LIGFITS' -. - "' - - " " - - ' i � POLES METERED .SVB � � -PANELS " -� MAIN�� ' SVB' ' - - ' " 'SERVICE" - - -- - AMP - - - _ . _ .� .._. ; . ' ' ISSUE'FEE - '- -'�'_ " ' ' APPIICATIONA:'PROVED'BV'- '- - DHTE•-'- '� SUMMARV OF FEES ,,� �� BUILDING � PERMIT S�aa• SMIP, . 5 4� 3r3 PLAN CHECK E PERMIT'. '� - ISSUANCE 5 - � PLUMBING S _ :GRADING E � � ���� `�i`' PLANCHECK` §• , � i - 'S t ELECTRICAL § - PLANCHECK '$"' � - _ MICROFILM.E MECHANICAL §"' - �-�TOTP,LFEEE, ��" PCANCHECK. S - ��rt LESSAD- � _ _ � VANCEPC 5�-��- i . . Q' � . ,.. . . _ , , _ . FINAL FEE E3_3�.� CONSTRUCTIONAND.PtiLANNING '.�" �'_ ._iy , ��ti'��POOL&SPA . ' ,� . � APPROVALS Permit # b�o4r Date "-In�peetor _ AppROVALS Permit,# , Date •_ Inspector � � , �. 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location -- ` Soil ipe-Undrgrn 44. Sieet Reinforcement , � � = - " '- - -� 3. 'Electri@al Conduit Utility-Undrgm -� 45. Forms �- ' - "' s ` � ! ' , � • - � :'4:' Electrical Conduit-Undrgrn c� .-\ 46. Electrical Bonding - � � " ` ' _ �� • . - • + �- c tee ein orce �r �."� 47.,: Rough Plumbin & Pressure Test •� 6. Electrical UFER Grn �` '' 48. 'APPROVALTO COVER-GUNITE 7. Footings -.• `�- � 5 Z 2. 49. Electrical Conduit-Undr m . 8. FoundaUonY� -• � e' $_ S �a-a _g 50. Gas Pipe, ❑ Und� m-, Test ' 9� �Water Pipe-Undrgrn •' - - 51. Backwash Lines P-Tra ❑ ndr rn = 10: ` Structural Floor System �� ' 52. APPROVAL TO DECK � ��._] 1.. ProRecty SewerLiRfl & Ho�s�Connection ' 53. ,.Backwash & Rece tor-Final ' 12. Street Sewer Connection ' � 54. Heater & Vent-Final 13. Rough Plumbing -� - 14. Rough Electrio-Conduit -- '56. =Electrical-Final ` 15. Rough Electric-Wiring � ' 57. Solar System-Final - � 16. Rough Heating & Air Conditioning . • Fencing & Access Approval 17. Ducts in Structure - ' - APPROVED FOR PLASTERING � � 18. -�Ducts, Ventilating ' • ' _, 19. Gas Pipe-Rough & Test � � � 60. POOL/SPA SYSTEMS FINAL ' �- � 20. Roof Framing ' .�/(0�,�2 - . 27. Roof ShBathin � - � i - .2- /4�- 8� � 22. - Frame anii Flashin _2 ..g (,�/� NOTES: 23. Insuiation - Z !% � 30 82 .:�! OK E� e� 24.- Lathing & Siding ' -Q'$.. � - � - 25. Drywall Nailing . � "� - - �. � � - 26. Plaster Brown Coat • • � Z c � � - � 27. Electrical Power Meter-Finai � 28. Final Electric � - 29. .Final Heating & Air Conditioning 30. Final Gas Pipe-Test 31. Final Plumbing ' 32. Water Service-Final � - 33. Gas Service-Final � ..34. • So�ar pomestic-Final � � ' ' � �35: � �Landsca e S rinkliri ftein'�� - �.�! 36. Sound Attenuation � ' 37. Handicap Regulations � 38. FINALSTRUCTURE&BUILDING 39. Special Requirements Completed ' ' " ' 40. Electric Release to Edison ' - ' 41. Gas Releaee to Southern California Gas Co. � - 42. CERTIFICATEOFOCCUPANCY + • � "No Date - ` ` �� .� _ r''. . . ' _-.� .. , . _ . \' .. _c`_' . . � Applicant to fi�l in all spaces wil�in haavy Doraer lines antl sign alt appropriata Ceclantions. � CITY OF COSTA MESA- � a�a MIT NO. " ' TRACT NO. LOT NO: BLpG. NO. ' CONSTRUCTION P�RMIT Y- aO`�� � lJ a Addrea Address r ,�- TVP F CONSTRUCTION �Phon NEW. ❑ ADD ❑ ALTERATION� ❑ REPAIq-.0 CONVERSION ❑DEMOLISH_ License No. ❑ OT.HER , OESCRIPTION OF WORK Contractor t_ L ^!',W 1T // �;V . rnonep rp�c_� TVPE OF PERMIT , � Add�¢ss �%�'3�pM . jI///qQD t�r,. O GRADING ❑ FOUNDAT,I�O�N '� STRl1CTVRAL LICENSED CONTFAGTOK DECLANATION � O TENANT ❑ ELECTRICAL L7VLVMBING QMECHANICAI I M1areby affirm that I am Ilcansetl untler provisions of Charter 9(com- � 'mencing witn sectlon 7000) oi Dlvislon -3 of [he Businoss anJ ❑ OTHER - - - Profossions Cotle, ntl mY Ilconsa is/Yn fu❑ /forca efle . '` � , Lltens s � � Llce f No PROJECT DESCRIPTION � ; , , _ ` „� Date � �/ 519naru ` . � 54.'FT. • - " . - , _ WORKERS•�COMPENSATION n CLAR/� ION OCCUPANCV_CONSTRUCTION TVPE I hereby aftirm t�at I have a Certifitat¢ f tonsonl ta selNnsure or a VqWAT10N ZONE Certifiwte of' WOrkers' CorqpGnzaHOn (t, urance, or a<ertNieA copy [heroof (Set[ion 3800, Lnb. C.). /�.I/q n� GRADING CU. �'D5. ACRES _ ��IICYNo. ComPanY G!/V L/� � �f.A�%;Ce I(ietl cOpy IS bereby fy�ni5he0. � � REMARKS: • - - - - ,f¢, ertlfletl wpy 15 flletl with the'city Bulltlin9 Division. �LgS(EMPTION FROM WORKERS' COMPENSATION �ECLARATION ' ' � ' " - (This sectlon_n¢Gtl nOt ba cOmplCt¢tl if Ne pe�rtlit i5 fo�_ one huntlr¢tl (E100) or less). � -- �- - � _I cBrtrty that in the pGrfO/Tance of th¢ work for whiCh Ihis, permit ii ISsueA, I shall not emPloy any person In any manner so as lo bCcome PLUMBING PLAN CHECK 5ub�eCl to.the WorkerS Comp¢n5dtion Laws o( GI(fornid. . , . Ddtt $i9na(Ure BATHTUBS a SMOWERS NOTICE: If after making tn�s tletlaratlon, you shoultl become subject TOILETS - VRINALS .� to lhe Workers' CompensatiOn provisions of [h0 laGo� COCO, you must farlhwith comply�with sucn provisions or lhis permit Shall ba tlBemetl LAVATORIES DOUBLE LAVS' " IOVOk¢tl.. . . . • . �_ _ . GONSTRUCTION LENDING AGENCV KIT.SINKS DISHWASHERS " � I hmeby aHirm that thero It a constructlon lentling agency for the por- SERV ICE SINKS' '� SUMPS -' iormante oi the work for v,�nlch (hit permit is Issuetl (Section 3097 'Clv. C.). - - ' - FLOOR SINKS FLOOR DRAINS LRntltr'S Name Lentler'S AUtltess DRINKING FOUNTAINS ��-,� � or em aDl ""� aPP +ot r ;, ai suie cort m i bWItlS or Improve5 tneraon, iugh his own ¢mPloyees, provi ntlCtl or of(erGd lo� sale. If, h� 11tl wlthln ona Year oi Comole proving he tlitl nol bW�tl or I, as owner ot the� prOPerO nsea tontraclors to tons�rutt� Prefessions CoOo: The�Cnnba a that am ion of Section �031.5 by iplitant to a'clvil penalry D). IOyees with WageS a5 IIICir e stru<ture is not intenaea �ntl R'ofessions Cotle: Tne ) an ow0er Af a plOperty 1ce5 SUCh wark hirti3elt o� Rh i�nP�ovem¢nts are nOt i builtling Or improvamanl wnur wlll hava [he burtlen br tne Ourpose ot sale). lusively contractin9 wilh an Ownet ot prOperty wh0 build5 or ImprOVCs tllereon, antl wtl0 con- tIdCK �Iom zuch OrOjB<is�W�(ry-d <onVat[or(s��lit¢snetl pur5udnt t0 thG Con[raGt01'S LiCOnso Ldw�, ❑�I Lm ex¢TPt untl¢r $CCtiop � B. 8 P. C. �0I tb15 � reason - Dato OwgBr I �oroby tertify t�at I In(ormation is corre ortllnances antl state rep�eSen tives of Oroport i 519nature Drivers' Licen ¢ or 5; CMF0865-46 N�i [nat[ho IfJTERCEPTORS CLARIFIERS SWIMMING'POOL - PTRAP " " WATERSERVIGE �- AL'TERATION - GASSERVICE �OUTLETS WATER NEATERS - BTU OUTPUT ' SEWERCONNECTIONS SOLAR TANK � ' COLLECTORS. ' ' SOLAR PIPING SVS. �A��J, �SYU�S� ISSUE FEE MECHANICAL PL'AN CHECK HEATING SYSTEM 0-300,000 BTU _ AND DUCTING 300,000 + BTU _ REFRIGERATION 0-100,0006TV_ SYSTEM 100,000 + BTV _ BOILERS BTU SYSTEM REPAIR,ALTERATION EXHAVSTSVSTEM MULT'IPLE ��� "� i - % - ISSUEFEE-- . _. ._ . n9: �nary-Applicant; Pink-q�countin9; Goltlenrotl-Ass¢ssor � ..r A.P. $ ZONE - 9700 12/17/BI _ ,. - . ZONING REGULA710NS REAR VARD (TO PKG.SPACE RE� ZONING APPROVED BV SPECIAL CONDITIONS: ELECTRICAL � PINTGp.R�E/F�.,p$,ry PROPE�RTV L'C'INE ,PROVIDED PARK FEE 5 DATE �PLAN CHECK GENERATOR' p.l KW_�1-30 KW_ TRANSFORMER AGPLIANCE 30-50 KW�50 +-KW _ MOTORS 0-1'HP_1-10'HP "_ �(ING. SOLAR) -30•SO�HP 50 t Hp�_ FIXTURES� OUTlETS SWITGHES "' GAS TUBE SIGNS ' ' - GOIE CIGHTS -' . —� ��� �-� ��� �� � �� METEREO .SVB� MAIN $UB ' " ' "' ' AMP " 37.00 �TL� 'APPLICATION APPROVED BV' ' ' - DHTE ' SUMMARY OF FEES • BUILDING - - PERMIT 5 SMIP E PLAN CHECK S ' PERMIT '- , ISSUANCE 5 PLUMBING E� � ' �- GRADING E PLAN CHECK 5' _ t ELECTRICAL S , s PLANCHECK § ..MICROFILM E 'MECHANICAL� S TOTAL FEE S � ' LESS'AD• , PL'ANCHECK -E' VANCEPC S_ � , 1 .� - . FINALFEE E]rl� CONSTRUCTION AND PLANNINGQ POOL & SPA � �� APPROVALS �����,Per'mit# /'a��a Date Inspector qppROVALS •_ � Permit# � ` Date- Inspector�a 1. Temporary Electrical Service or Pole . ,r,. 43. Pool & Equipment tocation - � � --- - •- . $oi ipe- n rgm -S 44. Steel Reinforcement - � � - - • - � • - � � - - - 3. Electrical Conduit Utility-Undrgrn � 45. Forms 4. Electcical Conduit-Undrgrn 46. Electrical Bonding � . tee ein 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 J� - Z!- ( 51 . Backwash Lines P-Tra �' ndr rn"" � �- � - ' 10. Structural Floor System 52. APPROVALTO DECK"'-"' '`"' "'-'� "- '- - 11. Property Sewer Line & House Connection- 53. Backwash & Fece tor-Final 12. Street Sewer Connection �- • 54. Heater & Vent-Final 13. Rough Plumbing :�Z - ' ` 14. Rough ElectricConduit - - ^ - -� �56 - Electrical-Final � • • - 15. Rough Electric-Wiring - 57. Solar SYstem-Final 16. Rough Heating & Air Conditioning � encing & Access Approva� - 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. Orywall_Nailing - - ' 26. Plaster Brown Coat 27. Electrical Power Meter-Final . - � 28. Final Electric � � 29. Final Heating & Air Conditioning ' � 30. Final Gas Pipe-Test � 31. Final Plumbing 32. Water Service-Final ' 33. Gas Service-Final ' 34. Solar 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 � qpplieant to fill in all spaces wit�in �eavy Eortler linas antl sign all aoVrovriata aeclantions. GTY OF COSTA MESA " aE(i[v11=N0. _ TRACT NO. 'LOT'NO. � G. NO. , ' ' - - ^ � '• . CONSTRUCTION PERMIT N ao s �'� � ' � �-� 2755 3/02/82 � ,13.00 TL� ' Projet[ Address . _ _ TYPE OF CONSTRUCTION . �`�=�'.. ' . . ' - ' � �' � . �- � + ' ' Owner - Phone�- ❑ New ❑ ADD � ALTERATION " ' t , ' - ' -' - ' " ' •Address ' ' ' " " ❑REPAIR ❑CONVERSION ❑DEMOlISH �Arch/Eng. ' ' "' 'LicenseNo. �OO7NER � � � � ZONING REGULATIONS ' . DESCRIPTION OF WORK� A'P' � ' ' � � Addr¢55 � � - - ' ' - � ZONE PLNG. REF. � � ' i , Contrector fy- y� u� � (L " Phone7_S={ TVPE OF PERMI7 � • TpgU �L p� N�� SETBACK 5 PROPERTV LINE � Addf¢u ❑ GRAD�NG , ❑-FOUNDATION ' � STRUCTURAL � t VARD ' " . - " LICENSED CONTRACTOR DECL'A ATION ❑ TENANT ❑ ELECTRICAL'; OPLUMBING ❑NIECHANIC 5IpE V '-- ' � - � I heroby alflrm lh:.t, I am IicensoA untler provislons o/ Charter 9(<om- .� pIGHT manNng with section 7000) .of Olvislon"3 0/ Ihe Businesz antl' � �'OTHER REAR VARD (TO P/L) - Profasslons co/ppp�e, '1antl my ncensa Is In tun force ana efte2t.� � PRQ�ECT DESCRIPTION ' �� '� ' Licanse Class�v� cen-se/No/?k23/O . • ' PKG. SPACE REO. PHOVIDED � ' oate3'Z-Qy-' 'S�vnature //I��c�.r�ar ' . SQ.'FT. ' . . - � - ' : � � STREET WIDTH • PARK�FEE E� WORKERS' COMPENSqT10N DECLARATION- � ' OCGUPANCV_CONSTRUGTION TVPE 1 1 hereby affirm that I have a certlfiwte of consent to seil-insure or a VALUATION �� � ZONE Z�NING APPROVED BY . DATE . cOrUfiCatB of Workcvs" COmpe05dUOn IOSurance, oY a Ce�tllletl cOpy , -- - tnereof (Soctlon 3800, I�b. C.). �e GRADING CU. VDS. ACRES SGECIAL CONDITIONS: l,Y;:'�Y No. ' � fAmPanY•ii�) /[)Cl/t��' Cn�W. '" - - ' _ . '� ' �":^l:ertitietl co�Y �s �ergby furnisnetl. - - -- � REMARKS: • � - - - - + ��,�'�h;-�!y¢rtlfi<tl copy is filltl with Ihe city Builtlin9 DivI510n. ' _ .^'J - EXEMPTION FROM WORKERS' COMPENSATION DECLARATION � � - � ' � - , - -- (This sectlon neetl �not be completdtl if the permit Is.for_one huntlretl. . . _ _ . . . _ - ' ' ' _ . ' `5300) or less). ' ' ' � ' -' - I•certlfy.that ln [he'per}orrtunte of the.work for which..this permlt Is _ . . .. _.. _ Issuatl, I shall not emplpy any person In any manner so as to betome .,PLUMBING ,� " �� PLAN CHECK ELECTRICAL �� PLAN�CHECK suD�ect to tha Workeis'��pmpensatlon Laws of Californla. - . _ _ . _ _ _ . _ _ Date � Si9nature � BATHTVBS SHOWERS � . . NOTICE: II after making thii tloclaratlon, you shoultl become subjecC TOILETS _ � URINALS - GENERATOR ' `0-1 KW_ 1-10 KW . � to tha Workers' Compensatlon provislons of the Labor Cotle, you muit _ _ _TRANSFORMER � � � forthwith comply witn such Orovislons or thls permit shall be tleemetl LAVATORIES DOUBIE LAVS • ' APGLIANCE 30=50'KW_50 t KW' rovOkatl. .. . _ --� . . _ . _ . ._ . - " CONSTRVCTION LENDING AGENCV KIT. SINKS DISHWASHERS MOTORS" "� 0-1 HP_1-30 HP - , I horeDy alffrm tnat t�p�e Ii a construcUon lentling agency for tho per- SERVICE SINKS � SUMPS � "" - UNQ SOLAR) --�0-50 HP_50 *'HP' . -- - brmance of.the work for wblch this permi[ Is IisueA (Seclion 3097 •• � ; Clv. C.). FLOOR SINKS 'FLOOR DRAINS ,FI%TVRES � OUTLETS SWITCHES ' -- j LCntlef'S Ndme Lentlor'S Atltlress DRINKING FOUNTAINS � � ' GAS'TUBE'SIGNS - " - ' -" " ' '1 OWNER BUILDER DECLARATION' '" - ' ' ' � �NTERLEPTORS CLARIFIERS POIE UGHTS - - '-' ' . � I heroby aHirm that I arh oxempt from tM1e Conlractor'S License Law for � �� the followin9 rcason ($¢��ion 7031.5"Business antl' Prolesslons'Cotle: - SWIMMING POOL P TRAP . ' ' ' "" Any clty or county, which reQWres a permlt to construct, alter, POLES METERED SUB . ' Improve, tlemolish or rapair any structure, prbr tolts Issuantt, also re= y.�qTER SERV ICE ALTERATION- � PANELS � MAIN �SUB '� `'� qulres lhe ap'.li�anl for TUGh pvmlt to file a signetl StatBment lhal h¢ • is Iicensetl puisuanl to the provisions'oi the'ConVattor'S'Licens¢ law' GAS SERVICE OUTLETS � SERVICE' - " - " 'AMP' " - (Chapter 9(commencing wit0 Sectlon ]000) of Division 3 of Ihe Businesf'anE Prdessions Cotlo) or tnal he Is'exempi"therelrom antl the - WqTER HEATERS �BTU;OUTPUT • ' - � � � -� � ' _ ' basls for t�e allegetl er,emption. Any violailon of $ection ]031.5 Dy r �ppllrant 16r-a p@rmit suDjects the applicant ro aYivil penally SEWERCONNECTIONS � � �- '- - '�"�- �- ti' -- . t more tnan (ive huntlretl tlollarrs (E500). '• � ° ! '" " "_ " . ' ' _" " ' . . . ." " '_ _I_.-. �.. "_"' " _ _ a L, as owner of the property, or my employees with wages as their SOLAR TANI( COLLECTORS -- � -- � --' So18 COmpensation,.will tlo lh¢ wo�k, antl �th¢ st�uctU�e.iS OOt Intentletl. _ � , .. °it Or otferetl lor wle. (SeClion 7044, Businezs antl hofessions Cotle: The "SOLAR GIPING SVS. � i ISSUE FEE� ' �- i - ` '. -� " Contractor's �Licenie �Law-tloes not apply.to.an owner ot a property - - - - - ' APPLICATION /aPPROVED BV - ' DA7E - wno bulltls or Improves thereon, antl who tloes such work himselt or ISSUE FEE ' � th�ough� hiS�own employea5,-provitlotl thatiuGh improvemin[s a�e not. � - ' � ' Intendea or ofiered tor sale. It, however, tne bulltlinq or improvement MECHANICAL PLAN eHECK � � � SUMMARV OF. FEES . �� - ,�,f ! Is�soltl-wilhin ono y¢ar of complGtlon, the owner will bava.lhC bu�tlen � ol proving he tlitl bo� bulltl or improve for the purpose of sale). - � � BUILDING' - ' ; HEATING SVSTEM 0-100,000 BTU 'PERMIT E ' b� SMIP � E' -- O-'I', as"owner'ot�tqe-property, am�excluzivety contracting with 'ANDDUCTING - � �� � - - - � ' '- - � - � Iicensetl conVattors to construct tne prolec[ (Section 7044, Builneiz 100,000'+BTU ' 'PLANCHECK f �PERMIT, � �G antl Prote5510ns Cone:-7he'Contractor's Llcense Law'tlaes nobapplyto� � - - -ISSUHNCE- -E �- an owner o1 Property who builtls or improves theraon, antl w�o con- REFRIGERATION 0-300,000 BTU PLVMBING E � - �, tracts'trom suc�'-.proJe��s with a contractor(s)-�IlcesneG pursuant to SVSTEM ' -- - -GRADING �S tne ConLactor's Littnse �y�y�. 100,000 + BTU � �PLAN CHECK 5 . . � I, „ ❑ 1 am exempt untler $e��ipn � � - B. 6 P. C. tor this ' BOILERS BTU � ELECTRICAL 5 ��� �, , � s i reaton " ' ' " " ' - ' - ' - � �P�AN CHECK E_ � -MICROFILM S � � SYSTEM REPAIR,ALTERATION /�/'��..�.��(_�_ ' � Dale � ' Owner - - �- - MECHANICAL 5' `—.C__ TOTAL FEE E I hereby.certi/y that I.bdve reatl this application antl state that lhe above EXHAUST SVSTEM MUCTIPLE _ LE55 AD- � , f Information is correct. � agrle to comply with all tlty anU Coun[y PLANCHECK E VANCEPC E_ � � orCinantes antl state.laws relating to construction, antl hereby authorixe EUT � � � .' , ropr¢sentaliv¢5 O( tnlA city l0 ent¢� upon [ha abov0 mCntlonetl �j/r, � D i �� property.for i specti n_purpoIses. . n� .e � oa Signaturt ��4^ f �^ Ddle � �� '� y � ' .FINAL FEE Drivers' Licenze or 55 aK� � �SSUE FEE' 't'3 '" ' - - - CMF 0865-46 White-guiltling; Gnary-Applicant; Pink-Accounting: Goltlenrotl-qsse55or CONSTHUCTION AND PLANNING . POOL & SPA ' . � � Date Inspector - , • Date �Inspector APPROVALS � Permit # � � APPROVALS , Permit # 1. Temporary Electrical Service or Pole � 43. Pool & Equipment Location �- - . $oi ipe-Undrgm - 44. Steel Reinforcement� - - � - 3. Electrical Conduit Utility-Undrgrn 45. Forms -� 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - . tee ein orce - � 47. Rou h Plumbin & Pressure Test ' ' 6. Electrical UFER Grn ' "48. APPROVAL TO COVER-GUNITE• •- - �•• -- : 7. Footings - � ' 49. Electrical Conduit-Undr rn ' i � . 8. Foundation ' � �'• • -- � � 50. Gas Pipe, ❑ Undr rn, Test • � � � - - -- - -' -- - ,., ,_9. Water_Pipe-Undrgm • ___ ' 51. Backwash Lines P-Tra 0 ndr m - - -- _ 10. Structurel 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 Plumbing - - - - - - --- � --- -- .. . ' 14. Rough Electric-Conduit -- 56. Electrical-Final - • � � - 15. Rou h Electric-Wiring � ' - � - -` ' -� - - 57. Solar System-Final • - ' �• ' - •^ 16. -�Rough Heating & Air Conditioning '� 'S.�'�T L • encing & Access Approval . 1.7. Ducts in Structure � APPROVED FOR PLASTERING � � • � -18. Ducts; Ventilating . . _ � _ I 19. Gas Pipe-Rough &Test � ' 60. POOUSPA SYSTEMS FINAL � �� . 20. Roof Framing_ -_ � ' � 21. Roof Sheathin � � - � � . . . � � . . ��. 22. Frame and Plashin .. " 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 � Z' ' ' ' ' ' : ' � 30. Final Gas Pipe-Test � ' ' � - ' ' - ' ' 31: Final Plumbing, ' ' 32. Water Service-Finai ' ' � � � ' � 33. Gas Service-Final ' � . 34. Solar pomestic-Fina1 � � - � 35. Landsca e S rinklin S stem �� � ' � 36. Sound Attenuation - • � ' e • � • - � 37. Handicap Regulations �� � � ' 38. FINAL STRUCTURE & BUILDING � � - ' , 39. Special Requirements Completed � � ' ' " ' 40. Electric Release to Edison - -- � ' - - "' '� - ' ' ' 47. Gas Release to Southem California Gas Co. � - � 42. CERTIFICATE OF OCCUPANCY '' � � No • Date ApG��cant to fill In all spacas wilhin heavy bortler lines anE sign all apprapriate tleclantions. CITY OF COSTA MESA� � PEjifyllT NQ. �� TRACT NO. LOT NO. BLD� N� CONSTRUCTION PERMbT M^ �� � Addrea License Na. Address Contractor FUTURA ENERGY PRnDUCTS Phone Address 641 S_ STATE COLLEGE BLVD. Fl I hareby af(7rm that I am Iicensetl untler provislons of Charter 9 mencing wlth 5ection ]000) of Dlvison 3 of tne ausines Protession5 Cotle, anE p�y licens� {s� � tull �forceSapp��� Date� � S�9nature ' -' WORKERS'COMPENSATION LLARA ON I hereby attirm that I have a e �f��ate of consent to self-nsure or a cartiticate o( Workers' Com nsadon Insurance, or a certlBeO copy thereof (Section 3800, lab. C . w�ucvNo.PW�9]S;��S companvFf1T11RA—MTNTON iNS_ '.artifletl wpy is hereCy turnishatl. :ertltletl copy IS filed with the dty Bulltling DiviSion. EXEMPTION FROM WORKERS' �OMPENSATION OECLARATION (Thiz i¢CUOn ne¢G nOt DG Completetl i( tha pe�mit Is fo� one huntlretl �S]�0� Of ICSSJ. cert fy that in the pertormance oi the work for whlch this Oermit is IzzueO, I shall not employ any perSon in any manner so as to become sub�ect to the Workers' Compensation Laws of California. Date Si9nature NOTICE: It after making tM1is tleclaratlon, you should become subject to the WOrk¢rs' COmp¢nsdtlon proVl5ion5 of the Labor Cotlo, you must torthwlth comply with such provislons Or thi5 permit Shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV I nereby affirm that there Is a con4trUCtion I¢ntlin9 a9ency for the pet- formante of the work for which this permit is issuetl (Settion 3097 Civ. C.). LentlBr'S NdTO Lantler's Atltlress OWNER BUILOER OECLARATION � I hereby affirm [hat I am ezempt frOm.the Contractor's License Lnw for tne following reason (Se<tlon 7031.5 Business antl Profes5ions Cotle: Any clty or county which requiras.a permlt to construc[, alter, improve, tlemolisb or repair any structure, prior [o its izzuante, a15o re- qWr¢s tne applirant for Such permi� to file a signetl statement that he I5 Ilcensetl pur5uant t0 th8 prOvi5ion5 of th¢ Con(ractor'S License Ldw (Chaptar 9(commencing wi[h Settlon 7000) of Divizion 3 of the BUSInGss antl P'ofe55ions Cotle) ot that h¢ Is exempt [her¢frOm antl th¢ basis for the alle9etl exemption. A�Y �iolation of Section 7031.5 by � ' appllcant (or a permit subjec�s the applicant to a civil penalty at .more than (ive huntlretl tlollars ($500). ., as owner of the property, o� my amployees with waqCS a5 Ih¢ir sole <ompensatlon, wlll tlo the work, antl the�SVucture is not Intentlee or offeretl for sale. (Sectlon ]044, Buslness antl Aofession5 Cotle: The Contractor's License Law tloes noC apply to an owner ol a property wh0 bulltl5 or imprOveS thereon, antl who tloe5 such wo�k himself ar th�0ugh his Own employ¢es, prOvitl¢tl that zuth improvemenls a�e not inlentletl or o(feretl lor sa1e. If, howeveq the builtling or Improvement Is soltl wlthin one year o/ completion, the owner will have tne burCen of proving he tlitl no[ builtl or imOrove for the purpose of sale). ❑ I, as owner of th¢ property, aT exclu5ively contraC[in9 with IlcenSeG contrac[ors to consVuct the project (Section ]044, Business antl Profe55ions Cotle: Th¢ Contractor's License Law tloes not apply to an Own¢r of property who builtls or improve5 thereon, antl wh0 Con- lydt(s from such projecis wi[h a<ontraGtor(s) lit¢50¢tl ptir5uanl �to ❑ I am ezempt untler 5ectlon B. & P. C. tor this reason Date � ' � Owner I hBr¢by certify thal 1 hava reatl this applicdtion and�sta[e tnat the above informatlon is correct. 1 agr ¢ to co ply witn all City antl County oitlinance antl 5[ e IdwS relai ng to �On truttiOn, antl hereby autho�ize representa " s o 's tl [o e��er upon the above ent onetl ProPertY e i n r e �l � v Signa[ur O te � ,. Drivers' ense or 5 ak / .. _ TVPE OF CONSTRUCTION �NEW ❑ ADD ❑ ALTER%iT10N ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ❑ OTHER DESCRIPTION OF WORK TVPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL �O TENANT ❑ ELECTRICAL '❑PIUMBING �MECHAI ❑ OTHER PROJECT DESCRIPTION 5�. FT. OCCUPANCV_CONSTRUCTION TVPE VALUATION ZONE GRADING CU. vDS. ACRES REMARKS: � PLUMBING._ � BATHTUBS TOILETS LAVATORIES KIT. SINKS SERVICE SINKS PLANCHECK SHOWERS URINALS �OUBI_E LAVS DISHWASHERS � SUMPS FLOOR SINKS FLOOR DRAINS DRINKING FOUNTAINS INTERCEPTORS SWIMMING POOL WATER SERVICE GAS SERV ICE WATER HEATERS SEWERCONNECTIONS SOLARTANK CLARIFIERS PTRAP ALTERATION OVTLETS BTU OUTPUT ' COLLECTORS SOLAR PIPING SVS. ISSUE FEE MECHANICAL a�Arv cHECK HEATING SVSTEM 0-300,000 BTV _ ANDDVCTING 100,000+gTU_ ftEFRIGERATION 0-100,000 BTU_ SYSTEM 100,000 + BTV _ BOILERS BTU 5�'STEM REPA1 R, ALTERATION EXHAUSTSVSTEM . MULTIPLE ISSUE FEE CMF/865-46 Wnite-Builtling; Canary-Applicant; �ink-Actounting; Goltlenrotl-Assessor 3�00 � , 2627 2/26/82 ZONING REGULATION A.P. � ZONE PLNG. REF. # REAR YARD (TO P/L) PKG.SPACEI3EQ. STREET WIDTH PROVIDED PARK FEE S SPECIAL CONDITIONS: ELEC7RICAL a�Arv CHECK 50. FT. G(J_ FT_ GENERATOR 0-1 KW_1-10 KW _ TRANSFORMER APPLIANCE 30-50KW_50+KW_ MOTOR$ p�l HP_1-10 HP _ (INC. SOLAR) 10-SO FIP SO + HP _ FIXTURES OUTLETS SWITCHES ,GAS TUBE�SIGNS POLE LIGHTS � POLES METERED SVB PANELS MAIN SUB SERVICE AMP ISSUE FEE APPUCATION APPROVED BV - DATE 7,00 Tl� SUMMARV OF FEES BUILDING PERMIT g � SMIP �'E PLAN CHECK $ PERMIT ' ' ISSUANCE $� PLVMBING $ PLAN CHECK y GRADING $ ELECTRICAL 5 E PLAN CHECK E MICROFILM E MECHANICAL § .00 TOTALFEES� PLAN CHECK $ LE55 AO- _ � _ , VANCEPC $_ FINALFEE E %•OO CONSTRUCTION AND PLANNIN�G��y�J� POOL & SPA ,' � �._� . APPROVALS Permit # J�_ Date Inspector qpPROVALS . ,` ' Permit # � Date Inspector 1., Temporary Electrical'Service or Pole 43. Pool & Equipment Location . Soil ipe-Undrgrn � - 44. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - . tee ein orce - � 47. Rough Plumbin & Pressure Test � 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE 7. Footings 49. Electrical Conduit-Undr rn 8. Foundation � 50. Gas Pipe, ❑ Undr rn, Test � 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra ❑ n r rn 10. Structurai Floor System � 52. APPROVALTO DECK '- ' � ` - ' 1 t. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final 12. Street Sewer Connection 54. Heater & Vent-Final 13. Rough Plumbing �' 14. Rough Electric-Conduit � -56. Electrical-Final 15. Rough Electric-Wiring � 57. •Solar System-Final 16. Rough Heating & Air Conditioning -$l� � encing & Access Approval 17. Ducts, in Structure APPROVED'FOR PLASTERING 18. Ducts, Ventilating 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINAL 20. floof Framing ' 21. Roof Sheathin ' 22. Frame and Flashin NOTES: 23. Insulation � � 24. Lathing & Siding � 25. Drywall Nailing 26. . Plaster Brown Coat � 27. Electrical Power Meter-Final ' 28. Final Electric 29. Final Heating & Air Conditioning ..o � -a v- - 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. FINA� STRUCTURE & BUILDING ' 39. Special Requirements Completed 40.. Electric Release to Edison � 41. Gas Release to Southern California Gas Co. ' 42. CERTIFICATE OF OCCUPANCY , • No Date .i ..„„ '� _ " ' �.`, ', .. -�� . . . Applieant to fill in all spaces within neavy DorCer Iines antl sign all aooroo��ate Eeelaratlons. -GTY OF �COSTA MESA PERMIT NO.' -�TRACT NO. � LOT NO. B G. N. '-- ' ' •. CONSTRUCTION PERMIT L�-a7 �' '2517 2/25%82� � 12.00 TL .� Prolect•Address TVPE OF CONSTRUCTION � � \r ', �� - � ' ' r . . ,' ' Owner . 'Phone ❑ NEW ❑ ADD ❑ ALTERATION - � . � -- , -' � � ' . .'. .r i . � Addf2ss. �v ,�� ❑ REPAIR ❑ CONVERSION ❑OEMOLISH . _ ArchlEng. . License No. ❑ O7HER � �� _ A p� ZONING REGULATIONS . 1 OESCRIPTION OF WORK . AddrMs - � � - - - - - - ' ' ' 'ZONE PLNG. 0.EF. �� ; Contracroo � ly�,�� - Phone � 3 TVPE OF PERMIT ' , - �' � "- " pg�/ � Lp� ryG - ; Addf¢55 _ _ ' � ' ' �• SE BACKC 5T. �ROPERTV LINE �. ._. 2 - � ❑ GRP.DING ❑� FOUNDATION �❑ STRUCTVRAL- - .51 �VARD �LICENSEO CON RAC70R D CLARATION ��" '. �p .___ - _._ ._ . '1 heraby af(irm thet I arr� Ilcensetl �untler provi5ion5 of Charter 9(com- ��'TENANT ❑ ELECT0.iCAL ❑VLUMBING ❑MECHANtC .`��IGHT 'mencing. with sectlon 7000) o( Division. 3 of. tha_ Business"anC � 0 OTHER� '� � � ' REP.R VARD TO P/L) .Protessions Cotla ana my ❑cense Is in full for<a antl eifect. • � ' ( • � � PRO�ECT_DESCRIPTION� .I __ _ _ Litenie'Clazi - - ' -� � Lltenie No: , -"- i - � - ' PKG. SPACE RE�. �, PROVIDED � �Date-�-' L�'Oi3i nature . . . SQ.�F'f: _ _ ` ' '... . _ .. . _ _ 9 STREET WIDTH ,PARK FEE y,., �WORKE0.5' COMPENSqTION OECLARATION _ _ _ . OCCUBANCV '--CONSTRUCTION TVPE . _ _ . �I hereby affirm that 1 have a certlflcate of mnsent to ulf-Insure or a VAWATION 20NE ��ZONING"APPROVEDBY DATE �terti/ifzte of Worke[s' Compensation Inzurance, or_a_<ertitietl coPY — � - .. _ . [bereol (Sectlon 3800, Lab. C.). GRADING CV. Y�S. ACRES � SVfiCIAL CONDITIONS! .. PoIICY"No: . •' .ComVanY . " - ' _ _ ' " -' ' " _' " "' ' ' _' _ . _ ' . 'ertifiEtl copy IS h¢r¢by 1uml5hetl. _ _ _ . REMARKS: � • � � . �_ . _.. _. _ _ . __ _ _ _ . . I�. .. ertlfietl copy is filetl with the ci[y Builtling Division. , '- � tnEMPTION FROM WORKERS' COMGENSATION DECLARATION � - - ' -' -' -- -� ' � �(Thls Sectlon need not b¢ completetl if tne D¢�mit iz fOr one huntlr¢0 � � ` ' i � -• ( ^ L o _ _ _ _ __ _ _ ' _ ' " , �� ' SEl'00) or'less). "_ ' . , _ . - .`. ,. ' M1_ ,. . .. _ . ' .' ' _ . _ .. . _ . � "'� . certlfy thdt in [he pe��ormance ot th¢ wo�k (o� whith this peimit iz _ Issuetl,- I'snall�not emPloy'any person In any'mannerso'as to become ; PLUMBING. �.�.PCQN CHECK ' ' ''- " '�ELECTRICAL "' '" PLAN CHECK 9ubject to the Workeri Compensatton Ldws of Galifornia.. '�• -• - ' � . , _ _ _ _ _ _ ' Date $ignaWre � BATFITVBS '- SHOWERS "- " - ii � �NOTICE: If af[er makiqg �h�s tleclaration, you ihoultl become.subjoct � TOI�ETS _ ,.-URINALS' - .GENERATOR '0-1 KW -_1'd0•KW - - i to the Wo�ker5' COTpeqSatloO prOvi51on5 of the LaDor Cotle, you must � ��� 'TRANSFORMER .. �- W .forthwlth comply wi[h guch provi5ions or tbis permit shall be tleemed LAVAT00.1E5 OOUBCE IAVS � "' - IAPPL�ANCE '-10-SO�KW_50+�KW - - '� a rGVOkeG. �CONSTRUCTION LENbING AGENCV � "" ' ' KIT: SINKS -"' ' DISHWHSHER$ ' MOTORS • '-'0-1 HP=1d0 HP " ' �I hereby atilrm that there Is a constructlon lentlln9 a9ency 1or the per- SERVICE SINKS •SUMPS '- �' �� - �I�NC. SOLAR). . 30-50 HP 50 +�HP - --- - fOrmance o( the work for wnlch th15 plrTi[ is Issuetl (Settion 3097 - ' � . i ....�. . . . _ CIv..C.)-- - -- - - ---- --- �� � - • - - - - -FLOOR SWKS - ' ' FLOOR �RAINS � , ' " :FIX7VRE5'- " OUTLETS SWITCHES' " ' " ' Lentler's Name Lentler•s�AtlCress � ' - - --- - -- - - - ' "- DRINKING FOUNTAINS' - - ' ' ' ' " ' GAS TUBE SIGNS'-' � - - - - - - ' ' OWNER BUILOER DECLARATION. � - - - ' iryTERCEPTORS "' ' �CLARIFIERS - -� - `P�LE UGHTSr - �' " -" ' - ' � 1 h¢reby aflirm lhal 1 art� exCmpt trom tho Coniractor'S Liconse Law lor lhe following reason-(Sscpion 7031.5 BuSiness antl Protu55ions Cotle: SWIMMING POOL' - 'PTRAP - ' -'• ' - - ' � � ��- -_ � ' _ Any tlly or counly whi<h reqWres a permit to consVuc[, alter, POLES' METEREO �SUB. �� Improve, Demoliih or repyir.any structure, Prior to �ts issuanca,�also re-. yyp7ER SERVICE '''ALYERATION'- - . 'PANELS ' MAIN " SUB " ' qWr¢s lhe ap'.licanl lor Such permit to 1lla a Tignetl slatemOnt that he � ' � Is.Iicensatl pursuant to tha provizlons ot the ConVactor'S Llcansa,Law. GAS SERV ICE '- " OVTLETS - � "' SERV ICE -- ' "- -- - '� AM \ (Chaptar 9(commenciqg with Sectlon 7000) ol Divlslon 3 of lho O �. 8usiness antl Professions Cotlo� or.lhat he 15 exampt thorolrom antl.tho yyqTER�NEATERS -• - BTU OVTPUT ` �' . ' . ' -' " ' ' � - - ' - - . � �asis for tne alle9etl ezemption. Any violation ot SecHon 7031.5 by - . d�" appllr.int./or a permit subjecl5 th0_appliwnl to.a.Civil.panalty $EWERCONNECTIONS �- ' -. - ' '" - " '" " ' -' ' ' s ' �t more tnan live Auntlrotl tlollars (E500). � d5 owner-ot Ihe prop¢rty, or my omployCeS wi[h wago5-arthelr SOLAR'TANK '-- COL'LECTOR$- h' -- ' - - '" , ' So�e Compen5alion, will tl0 lho wo�k, antl lhe sVucture is nol Inientletl "'� � or offeretl for sale. (Sec[lon 7044; Buztness antl Prolesilons Coao: T�a SOLAR'PIPING SVS. ' -" - • -' ISSUE F E ' -' - ' ' -' Q Contractor's Liconie Law tloos not apply to an owner of a property . -- APPLICHTION APPROVED�BY � - --DATE � "' wh0 bulltl5 or'ITp�ovex�tp¢rOon, antl wh0 daes such-wOrk nlmillt Or ISSUE FEE - � throu9h nis own employecs, provltleG that suth Improvemonls are not - _ � intentletl or afferea lor sale. It, nowever, the'bulitling'or Improvement MECHANICAL � PLAN CHECK SUMMARV OF. FEES � I5 Soltl wilhin one yoar bf comple[lon, lhe Owner wlll hav9 Ihe burtlOn � . r r� ot-proving -ne Citl noc bullU or Improve �tor�the'purposa of sale). ' - � . -.BUILDING - � - - - - - . � -• am exclusivel HEATING SVSTEM 0-100,000 BTV �.PERMIT E � SMIP S ❑,I, as owner o1_ lhe proOMty,_ Y tonVactio9 wilh qND DVCTING � ' -- � - - ' -� --- � -- --- -1 ' - - Ilcenzetl contractors to coniVuct Iho project (Settlon 7064, BusInG55 ]00,000+BTU PLANCHECK S PERMIT' antl.Pr,ofe55ions_Cotle:, The.Contractor's License Law tloes not appty to - - - � � - ISSUANCE 1 E� -- �� an owncr ot Oroperty wno builtls or Improves thereon, antl who con- REFRIGERATION 0-300,000 BTU �PLUMBING § , •• •� ,p ' lracts from such_Prole�ts wilh a contractor(5) Iicesnetl pursuanl to SVSTEM- _ . .. _ . . GRADING • E th¢ Conlrac[Or's LJcense �w), ]00,000 + gTV PLAN CHEGK E � . . ... . ❑-bam exemv� untler Se�tbn - -�B: h P. C. (or t�is BOI LERS BTU ' ELECTRICAL 5�� s reason - • - �- ' PLANCHECK § � ' MICROFILM S Date Owner SVSTEM REPAIR,ALTERATION _ 'TOTAL-FEE�E' � � I hereDy tttliiy that 1 �aye reatl this dpplication dntl s[ate thd� l�e a0ove EXHAU57 $YSTEM MULTIPLE ' ' MECHANICAC. S 1E55 AD- � �' In/ormaHon -is-mrrecL � agree to -comply-with-all tlty antl� wunty , ' PLAN CHECK E- "VANCE PC b- ortlinant¢s an0 slate laws relating to con5tructlon, antl h¢reby authorize � . - . , , represen[alives O( -Ihis ���y to enler upon �Ih! -abov0 mentiOnetl - ' ' '1 � . � • � property tor /�ns ti n urposes. ' $I9natute ��"���� Date 2�u� �+ _ . ' :1 . FINAL FEE § �0 Drivers' Cltense'or 55 qp- / ' " - - - �SSUE.FEE . . - . . _ _ ._ _ _ - __ . _ CMF 0865-46 White-Builtlin9: ��ary-Applicanh Pink-Accountin9; Goltlenrotl-Assessor CONSTRUC7�ON AND PLANNING POOL & SPA � . ' , • � -. ' �� � �' )��� Date Inspecto`r -' ' - - `� � � Date Inspector APPROVALS Permit # �'=���s-�c¢ APPROVALS' . Permit # 1. Temporary EleCtrical Service or Pole 43. Pool & Equipment Location - '' '-" Soil ipe-Undrgrn_ `_ • �� � 44. Steet Reinforcement � -' 3. Electrical Cpnduit Utility-Undrgrn 45. Forms � -- ' - 4. Electrical.ConduitrUndrgrn 46. Electriwl Bondin - � - tee ein orce 47. Ro� h Plumbin & Pressure Test -' - � - - 6. Electrical UFER Grn � 48. APPROVALTO COVER-GUNITE-" ' � 7:. ootings _ '± - 49. Electrical-Conduit•Undr rn ' �' .8. Foundation _ _ _ ' - ' 50.� Gas Pipe, � 0 Undr rn, Test � - � _.9. _ Water Pipe•Und[gm 51. Backwash Lines P-Tra � � ndr rn -- -- ' - ' " 10. _Structural Floor�System . � 52. APPROVAL�TO DECK � �, 11. .Property $ewer Line & House Connection'. _ 53. Backwash & Rece tor-Final . � ' � �. 12. Street.Sewer Connection . ' " ' - 54. Heater & Vent•Final � - 13. Rough Plumbing - � ' ' 14. Rough ElectriaConduit � � - �56. �• Electrica6Final � ' ' 15. � Rough ElectriaWiiing - � -� - -,�5-' C - 57. Solar SYstem-Final � � " . . 16. Rough Heating & Air Conditioning' -� -_ - � - - - •. - .encing & Access Approval � 17.. Ducts in Structure... ' � �' APPROVED FOR PLASTERING � 18. �Ducts,.Ventilati�g -- - - � . . - - - - - - - - - - ._ . .. _ . 19. Gas Pipe-RougN &Test - 60. POOUSPA SYSTEMS FINAL' ' , , , . �20. Roof.Praming - � � - - � - � - � - � ' " ' � �' 21 . Roof Sheathin � � - ' � ' ' � ' � 22. Frame and Flashin - - - � - � NOTES: . . . � .� . � � � " � 23. Insulation - - - -- -- ' - - � . _ . . _ _ .. . �24: lathing &�Siding - - - - - - - � � ' - 25. - Drywall Nailing - � ' � - - � � � ' ' - � � �� 26: Plaster Brown Coat -� ' ' 27.. - Electricai Bower Meter-Final - 28. � Final�Electric - � � -8 ' � - � - � 29: Final Heating & Air Conditioning _ - - .- - .-- - �. . -- " - - . - - -. 30. Final-Gas Pipe-Test- - . - - - - - - ' ' ' 31: Final:.Plumbing � ' � ' 32. � Water Service-Final - - - � � � - � � - ' � . 33. Gas Service-Final - � � � • � - � � � � 34. $olar pomestic'Finil ` - � � ' �� � ` ' 35. Landsca e S rinklin S stem � �' ' � � ' 36. Sound Attenuation � ' � � 37. Handicap Regulations � '• �" � ' � ' � ' 38. FINAL STRUCTURE & BUI LDING • - � 39. Special Requirements Completed' ' 40. Electric Release to Edison ' 41. Gas Release to Southern California Gas Co. • ' 42. CERTIFICATE OF OCCUPANCY - - - �No � ' Date . , . ADpIi CITV OF COSTA MESA CONSTRUCTION PERMI�T Projett Address 6 . � OWner // 2 Address Arch/Eng: '� ' neavy eoraer Ilnes ana sign all avvroprlate tleclantiom TRACT NO. LOT NO. BJL�DG. NO. L/ ' �/ � • TYPE OF CONSTRUCTION � Phone .Z,j ❑ NEW ❑ ADD.,- ❑ ALTERATION E 4 S � REPAIR ❑�CONVERSION ❑DEMOLISH Licenie No. ❑ OTHER � DESCRIPTION OF WORK Contractor ,�p . �/ Phone -3 Z TVPE OF PERMIT '� , Addf25S % �3 $ Z GOTfI/! /2�6 �T• • ' ❑ GRADING . ❑ FOUNDATION ❑ STRVGTVRAL LICENSED CONTRACTOR DECL'AqAT10N p ❑TENANT ❑ELECTRICAL�PLUMBING��OMECHAI 1 heraby af/irm lh;.t 1 am IltensoE unqer provislons of C artur 9(<om- ... . manting wltn sectlon �000) ol Dlyislon 3-ot- the- Businnse anE ❑ OTHER-- - Rofnsslons Co/p�¢ , ntl my Iicense Is In full for<e antl eftect. . PROJECT DESCRIPTION � Lfcanin Class `�-' � Sfcen�' No�96 S Q Q , . . � -' ' � '- Datey�^% p C/�- .. SI9naW �>E' �i = - - 5�. FT. � _ .. � WORKERS COMVENSATIOND CLqRATION� - � � OCCUPANCY_CONSTRVCTIONTYPE_ I hereby aftirm [hat I hava a certiticdte of consent to self-insure�or. a. VALUATION '� 20NE cCrtlfiCate of' Workers" Compensatlon -Insuranta,' or a cerNtiatl copy - - - -- , -- - theroof (Se<tlon 3800, Lab. C.). GRADING CV. V�S. ACRES r'"-.Y No. � ComPany �l /✓/ C/i'� /L.Q " "'. _ -_ ' ytHietl topy is heraby lurnisnetl. _ . - . _ pEMARKSi ' ..`y . _ertifietl copy is (iletl with tho cily Builtlin9 Division. E%EMPTION FROM WORKERS' EOMPENSATION�DECLARATION - ' � ' - - - ' " (This sectlon.need not be tompletetl if lhe_permit is for one.huntlretl _ - . ., ... .._ . 1 E100 or less). � ' - cert�ry that in lhe pertormance oi lqe work for_which this permi£ is _ Issuetl, I shall not emPloy any person �n any manner so as to bacome •' P.LUMBING � �� -PLAN GHECK �' sub)e<t to the Workers Compansation 1�wsof Callfornla. _ .-_ "' -- � � . _ Dato - Sl9nature BATHTUBS SHOWERS ' NOTICE: It aRer makin9 tnis tlaclaraqon, you shoultl become-subject' '"TOIlETS �� i�• ;p�URiNALS" '' '- t0 th¢ WOrk<ri' CompensaUOn provi510n5 Of [he labor Cotlo, you must _�� ,. (orthwith compty witn such proWiionS or this permit shall be tleemetl LAVATORIES DOUBIE L'AVS fBVOkaE. � b- _ ' " _' . " . . - " __ _ CONSTRUCTION LENDINGAGENCV � KIT.SINKS � DISHWASHERS" I �ereby aitirm lhat there Ii a construcUon lentlin9 a9oncy tor the per- SERVICE SINKS ' �� SUMPS�- -- '� - '" forman<e af the work for wbicA tnis permlt 7s iswotl (Sectlon 3097 Gv C.7� FLOOR SINKS � - � �FLOOR DRAINS '� � ' Lontler's Name LentlerY Atltlress � DRINKING FOUNTAINS- I" ' " '' OWNER BUIIDER'DECLARATION ` - "" ' -' - - INTERCEPTORS CLA�RIFIERS - � - � I harOby afflrT that I am Bxempt t�om thu Cont�actor'S LICCnse Law ior the following reason'(Settlon 70315�guslness antl Profet5ionrCotle:� 'SWIMMING'POOL' - PTRAP -'" ' " ' Any city or county which requlr¢5 a permit to <onslruct, al[er, imprbve, tlemollsh or'repalr any"itrutture, prlor to its'issuance, also re-• 'yyqTER SERVICE � ALTERATION' -� �- ' ..�a..e �en an� itrant tnr sucM1 oermi[ to flie a sianetl statemenl tha[ he t as a Uvll Pena Contfaclor:i Licenie_Ldw tl0¢s not app�y to a0 Own¢f Of a OropGrty who bulltl5 0� imprOves tite�eon, anU who tlOes such work himself or th�ough his own.¢mployees, prOvltletl that such imPrOveme0t5 are not Inlentletl or otleretl for sale. II, howeo¢r, the builtling or improvement IS.SOItl wllhin One year Of COmpletion, the owner will have thC burtlen Ot p�oving he tlitl nOi builtl o� ImprOve tor tha purpose ot sale). � 1': as owner of-the property, aM exclus{vely -contractin9 with Iicensea conlractors to conslruct tne pro�ect (Sectlon 7044. BuSiness anC'ProfMslons Cotle:-Tne�Conlractor'S License Law tloes not apply to an ownC/ at prOP¢rty wh0 bulltl5 Of ImprOv¢s [hefeon, antl who con- tratti"from such prO�eGts with' a CoqVdttOr(5) IiceSnBtl-pur5uant to the Contractor's Llmnse Law). ❑ I am eiiampt untler Section -- B. 6 P. C. br this f8d5011'" - Date Owner I have rcatl tnis app���tion antl state lhat lhe act. 1 agree lo comply with all cily antl� [ laws relaling to COnst�uction, antl hereby aut th�s cit�o enter upon the abova man GASSERVICE � OUTLETS � -y ' WATER'HEATERS BTU OUTPUT '- '- --i ' SEWERCONNECTIONS' '- -" "SOLAR TANK - -' COLLECTORS' ' ' . SOLAR PIPING SYS. { � � � ISSUE FEE MECHANICAL PLarv CHECK � HEATING SVSTEM 0-100,000 BTV AND DUCTING 100,0001* BTU REFRIGERATION 0-100,000 BTU SVSTEM 100,000 + BTU BOILERS BTU SVSTEM REPAIR,ALTERATION EXHAVSTSVSTEM MULTIPLE � Signature '� - � Date ��� - Drivers' License or 55 �� �SSUE FEE �- �- CMF 0865-46 W�ite-BuilEing; Canary-Hpplicznt; Pink-Actounting; Goltlenrotl-Assessor <_ : , � . - � ZONIf�GpREGU6A�T,lONS- � �n_nn TU A.P. iF ' . - .- � . �.. ZONE � 7LNG. REF. � ' TOAWLOING + . IT i VARD (TO P/L) � - SPACEREQ. PliOVfDED _.�, ,PARK FEE�S:. . SPECIAL CONDITIONS: , ' , . _ - .. - -�A . ... " '"" �. . � I ELECTRICAL' "' PLaNCHECK ' ' " - �'S0. FT. • - � . . _ _ . _ _. TRANSFORMER ��"1 KW__1d0�KW � ' � APPLIANCE' 10-$OKW'�SO+KW ' ' MOTORS' " ' 0-1 HP=1-10 HP-' � . (IN0. SOLAR�- -30-50 MP=. 50 � HP - ' � - � FIXTURES '- OUTLETS ' SWITCHES ; ,GASTUBESIGNS' ' - • • - "POLE'IIGHTS' ". ' . - _ � - '� POLES METERED �SUB�- � PANELS MAIN' -SVB ' SERVICE' ' ' ' AMP • _ . . r = "" '_ ' ' _ _"' .'_ _ 1 " - ISSVE FEE - - - -' - -- 'HPPLICATIONAPPROVEDBY-- �-DATE--�- � SUMMARV OF,FEES , t . � . .H� � �BUILDING-' ' -'- - - " 'PERMIT E SMIP. �'E i 'PLANCHECK f / PERMIT ' PLUMBING S[ _ �SSUANCE f GRAOWG S �PLANCHECK 5 , _ � , � y ELECTRICAL 5� � 's ' ' ' MICROFILM 5 �' PLAN CHECK S � �MECHANICAL E � 'TOTAL FEE $ PLHN CHECK - E - LE55 AD-' ' . i VANCEPC E_ " . FINAL FEE b " CONSTRUCTION AND PLANNIry� � ' � POOL & SPA,._. r. . APPROVALS Permit #�_ Date Inspector qppROVALS Permit #'' Date - Inspector 1. Temporary Electrical Service or Pole • � 43. Pool & Equipment Location •- - Soil ipe-Un rgrn � 4. Steel Reinforcement • ' • � � � - - ' � _ 3. .Electricat Conduit Utility-Undrgm 45. Forms - - 4. Electrical Conduit-Undrgrn 46. Electrical Bonding_ tee ein orce 47. Rou h 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 r `- - - � 10. Structurel.Floor System 52.. APPROVAL TO 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 Electrio-Conduit - - � - � �56. Electrical-Final - � 15. Rough Electric-Wiring ` � - 57. Solar System-Final � � �i6. - Rough Heating &�Air Contlitioning � - - • 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: � � - ' � � •23. Insulation - . - � � 24. Lathin & Siding � ' � ' � � ` - - ' 25. - Drywall Nailing - � ' � - � � ' 26. Plaster Brown Coat � ' � ' - , 27. Electrical Power Meter-Final - � � ' � - ' 28. Final Electrio- � � � � � � ' ' � - 29. Final Heating & Air Conditioning ' ' - 30. Final Gas Pipe-Test . . 31�: Final Plumbing � 32: Water Service-Final . ' 33. Gas Service-Final � ' � 34. $olar pomestic•Final � ' ' � ; 35. Landsca e S rinklin S stem � � ' 36. Sound Attenuation ' • � , ' ' ' � � ' - - 37. Handicap Regulations - � � � ' � � � � � 38. FINALSTRUCTURE&QUILDING ' - � 39. Special Requirements Completed � � ' � � � � 40. Electric Release to Edison � � � � ' - � - 41 . Gas Release to Southern �lifornia Gas Co. • 42. CERTIFICATE OF OCCUPANCY No.' Date ' - - . % COSTA MESA BUILDING—SAiET� DEPAHTMENT P.O. BOX 1200 Coata Mesa, California � � ,�� � 2547 2/25/B2 7.00 TL conveccor SOUTHERN COMFORT �or No. ��/i% i�! � � Add�CSs 5 0 E. H BUILDING USE City Zip Codc S[nee License No. Class. CZO �O�RE55 � � D ciryLicenuNo:008574 Tei.No. 779-7156 N0. ITEM EACH �EES COSTq MESrI, CALIFORNIA � ,,�i `�� FAU, Well, or Grav. � y Furn. Incl. Ducts end 1 ve�c: oa a OWNER BROOKS CONSTRiJCTION t0 lOO OOO BTU MAIL '`-� ADORE55 .('�� ��, ) %� over 100 000 BTU - \1. ,. � nt (if not inCl. 4pendetl HeaU �.er or Replace Applience er iDTeet of 985 piping � 0 Metal �Fire•I IC80 # Check �pection Fee Sub-To[al Processing Fee TOTALFEES CMF 0449-46 CITY �� �y TEI. N0. �Q/L%i V �� 7 J ��,r 1 hcre y ackYnowledge that 1 have read this applicetion end'�stete�that the ebove is correct and agwe to comply ^ witti a1lyCity Ordinences end State Lews regulating HeaP � � ing; Vcntileting, Retcigeretion and Air-Conditioning. Y � t certify thet I possess [he abovc valid State of Calif- ornie clessification or 1 am [he legal owner ot the single femily rcsidenlial property described above. Signawre of ' Permittee � REMARKS: . — � /r%�� �l Ducts Underground Ducts in Struc[ure Ducts Vrntila[ing Heating — Rough Hoods Refrigeretion Lines Pressure Test Aic-Cond. Finel Ventilating Finel Heating Finfll � Re[rigeca[ion Final Finel Gns Tes[ � Utilily Co. Notificd BLDG. PERMIT NO. ADP��eant to lill in all s0aee3 wll�in htavy EorEa� lints antl sign all approo��ate aeclantions. CI�IY OF COSTA MESA ' PERMIT NO. / A T N$- L ./ BLD . NO: ; CONSTRUCTION PERMIT � O (P'3 / ZO Project Address � T���V///PE OF CONSTRUCTION � Ownef ' ' Phone�f y�NEW ❑ ADD ❑ ALTERATION Addres � ��, � r /O REPAIR ❑ CONVERSION ❑DEMOLISH � ArchlEng. � � p• License No. J ❑ OTHER Address � DESCRIPTION OF WORK l�v � Contractor �„ `P . Phone ' TVPE OF PERMI� Addre55 " - ' - ❑ GRADING OVNDATION �`TRUCTURAL LICENSED CONTRACTOR DECLARATION - - � O TENANT ❑ ELEGTRICAL•�PLV BING ❑MECHAN I hereby atfirm lhat I am Ilcensatl untler provisloni of Charter 9(com- , , i' .�. y, mantln9 'wlth Settlon 7000) oi DlviSian 3 ot- the BUSinass antl �❑ OTHER Professions Cotla, antl my Iiconse is In fu❑ torce ana etfect. PpOJECT DESCRIPTION ' � •�� '�` . �Icense Clasz � Ucanse No. � Date � � - Slgnature. SO. FT.' . ' �WORKERS'COMVENSATIONDECLARATION " OCCUPANCV CONSTRVCTIONTVPE 1 M1Gfeby d/titm lh8l 1 hdv0 a ceI[iflCat¢ Of COnsent to 5¢It-in5ur¢ Or d 0 'cortifiwte of Workers'� Compensation Insuranca, or a-certitletl <opY VALUATION - ZONE theraof (Section 3800, l.ab. C.). . GRADING CU. V�S. ACRES "MIICY No. - ComPanY' - " ' Certifietl copy Is.hereby.turnlshetl. ._ _ . . REMAHKS: �' _ � D Certlfietl copy IS tiletl with the city Builtling DiviSiOn. I � EXEMPTION FROM WORKERS' COMPENSATION DECLARATION - - �Z 3 '' ' " (ShiS, s¢cUon neeC nat be completetl ii. t�e permit is for one_huntlretl - � (y100) or lesz1. : � � _ I ce�t(fy thdt lrl Ihe pt�fO�rtfante of th! wo�k fa� whic� thi5 pe�init i5 issuetl, I shall not emPloy any porson in any manner so as to become PLUMBINGi -- - � PLAN'CHECK ' .subjattto.the.Workers.Compensatlon Ldwsof Cdlifornia.•_ _ - BATHTUBS � SHOWERS - Da[e Signature NOTICE: It at[er,making this tlectaratlon, you snoultl becomasubject TOILETS URINALS- '-' " to tha Workars' Compensatlon provislons of the Labor Cotle, you must' �VATORIES DOUBCE LAVS forthwitn comply'with su<h provislons or this permi[ shall be tleemetl \. .�¢vOketl.' '" _"" _"_ _ ': . ._..' ' ' . ._ . CONSTRUCTION LENDING AGENGV � � KIT. SINKS -' DISHWHSHER$ r�� _t,. � 1 here�y aHirm that Ihere is a construction lentling agency tor [he perv SERVICE SINKS �' SVMPS ` p•- -� tormance of tha work for wnirn thli Oermit Is iszuetl (Section 3097 -� Clv. C.�. -f�-` � ',"-"' ' `_ � , . ��FLOORSINKS� � -- FLOOR DR%i1N5" � LenCer's Name ' - ^ ' � ' ' ' ' Lentler'SAtltlress � -DRINKINGFOUNTAINS'� ��.� `�4 OWNERBUICUERDECLARATION'�--' " "' - - � INTERCEPTORS CLAFIF,IERS .T�,�,- I herobv a/iirm lhat I amexemOt frOT tne Contractor's License Law /or Y or lusinea�antl Ratesslons'Cotle: SWIMMINGPOOL a pefmil lo ConSVutt, allCr, re, prior to Its issuance, also re- yyATER SERV ICE tilo a signetl slalem¢nt that h� the'Con[rattor's Licrose Law GA ERVICE i]000) o/ Dlvision 3 oi the � ie Irexemp[ therefrom antl the y.�qTER HEATER: lolatlon a� Settion ]031.5 by ie appliWnf to a clvil' penalty SEWER CONNECI P, - ALTERATION- OUTLETS BTU OUTPUT ON$"' " .^.-a��ot moro man nw nunarev aonars �S���I. ' ���`I, d5 ownet ol lha propCrty, or my employ¢e5 with wage5 as their ' SOLAR TANK COLLECTOR'_ i01¢.COmpanwlion, will tl0 tne work, antl tho_sVucturc is nOt In[Cntletl , or offered tor 5ale. (SetUon 7044, Bu5lneis antl Profes51on5 Cotle: The SOLAR PIPING SYS. Con[ractor'S Licenso Law tloes not upply. to an owner of a proper[y — who bitlltls or improves thereon, an0 who tloez zuth work himseH br ISSUE FEE � [hrough nis own emDloyees, provltletl that such improvements are not ' ntentled or of�aretl for sale. If, howover, [he builtling or improvement MECHANICAL PCAN CHECK s Itl within onqyear ot compbtlon, the owner will have thc Durtlen - proving ho tlltl not builtl Or improva for Ihe purpo5e of Shce). HEATING $VSTEM 0-300,000 BTU_ I,�as�owner of iho property, am ezclusively contracting with qNDDUCTING Iic¢ setl cOntra<lors to conitruGt lhe project (Se<tion ]044, BUSine55 IOO,OOO+BTU_ antl �Professions CoOe:-The Conlractor's Llcense Law tloes not appry to an owner ol property wno builtls or improves thereon, antl who con- REFRIGERATION 0-300,000 BTU_ Iracts from suGl�-Pro)acts�wilh��a cOnlra<tor�s} Iicesnetl pu�suant-to $VSTEM • ' -' [he Contractor's License law). 100,000 3`g75U � ❑ I am exempl under Section �' -'B: &-P. Cl for this BOILERS BTV reason�- '" SVSTEMREPAIR,ALTERATION Data Ownet I herebycertitytnat I hava reatl lhis application antl state tha[ t�e above EXHAUST SVSTEM MULTIPLE� information lt mrrect_ I aaiee to tomolv wlth all <itv anG cbuntY . SI9ndWr¢ r - -"'si - SeLG %�'a �- . Drivers' cen or 55 � . . . . _. -- ISSUE FEE - • - -L " ' ' ' '--' _' CMF 0865-46 White-Builtling; Gnary-Applicant: Pink-Accountin9: GolUenrotl-Aszessor � . 9635 12/17/81 � � 326.38 Tl .- ;.� ' _ REGU 20NE REAR VAR� (TO P/l) ��.yc4 cd�^� -� � - PKG.SPACERE�.'�_yS— PROVIDED Ly,s�' STREET WIDTH � � � PARK FEE�SJZZq',� ZONING APPROVED B J DAT �y . � R� '� �7 h � 1 SPECIAL CONDITIONS: � � I�OIeI) FOR SPECIAL REOUIRFMEN'Y�-' ECECTRICAL "' ' PLAN CHECK " I. " SO. FT_•••V ' S(] �FT�� �� — - GENERATOR 0-1KW_1-lOKW - TRANSFORMER - APPLIANCE 10-50'KW_SO+KW MOTORS 0-1 HP_1+30 HP- -(ING..SOLAR) 10-SOHP_-i0+'HP � _-- _ FIXTVRES OUTLETS SWITCHES - '- GAS TUBE SIGNS - - POLE LIGHTS - - . , , . � PANE�S ' 'MA�N SVB SERVICE - '- - ' AMP APPGCATION APPROVED BV -'- pATE' - SUMMARV OF FEES BUILDING PERMIT §� ' SMIP E PLAN CHECK § PERM17 � - ISSUANCE�b � PLVMBING E �GRAOING E 1�,' PLAN CHECK. E , ,. � , ELECTRICAL S � •S 'PLANCHECK'S " MICROFILMy • TOTAL FEE S � MECHANICHI S ' - '�- � -PCAN CMECK' S - - ' LE55'HD- 'VANCEPC b_ , _ FINAI FEE E � �G�y CONSTRUCTION AND PLANNING - � . � � ��� . ��' � 'POOL& SPA � � Date Inspector qpPROVALS . Permit.# � Date . Inspector APPROVALS Permit # � 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - -- - Soil Pige _Undrgm _ - � 44. Steel Reinforcement - • � ' - " -' -� :._, ' 3. ElectricaL•Conduit �Itility-Undrgm • � 45. Forms � - - - � ' -4: Electrical Conduit-Undrgrn � � � 46. Electrical Bonding - - • • " � ' � � . tee em orce .�� �. � • 47. .Rough Plum6in & Pressure Test ' ' ' 6. Electrir,.al UFER Grn /�• - 48. 'APPROVAL TO COVER-GUNITE 7. Footinys>. �� - ' 2. 49. Elec[rical Conduit-Undr rn . 8. Foundation . .', t-� S a• a4 -�'� 50: Gas Pi e, ❑ Undr m Test 9:� - Water Pipe-Undrgrn �' �- 51 . Backwash Lines P-Tra ❑ ndr rn �_�10. =Structural Floor Sy,stem • � � 52. APPROVAL TO DECK - J 1.. P[operty Sewer_L.IfI@ & Hpuse Connection 53. : Backwash & Rece tor-Final 12. Street Sewer Connection 54. Heater & Vent-Final 13. Rough Plumbing - - 14. Rough ElectricConduit - - -- ' �56. Electrica6Fina1 15. Rough Electric-Wiring �-' 57. Solar System-Finat ' 16. Rough Heating & Air Conditioning � _• encin9 & Access Approval 17. Ducts in St�ucture ' APPROVED FOR PLASTERING 18. Ducts, Ventilating � � 19. Gas Pipe-Rough & Test 60. POOL/SPA SYSTEMS FINAL � • -�20. Roof Framing - 2 21. RoofSheathin - -lG�B�Z � - - 22. Frame and Flashin _ z NOTES: 23. -Insulation 3-�?2..8¢ � s,. ao 8� a w•! �<i.�f � i' o Gr/E" 24. Lathing & Siding -$2 , ' 25. Drywall Nailing - .�2 � � ' ' 26. Plaster Brown Coat - 27. Electrical Power Meter-Final � • 28. �Final Electric � ° 29. Final Heating & Air Conditioning " 30. Final Gas Pipe-Test 31. Final Plumbing 32. Water Service-Final 33. Gas Service-Final .34. Solar pomestic-Final -35. + Gandsca e S rinklin 5 etem _ - l( 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 - ... Nb Date '��_ �, �'.�a-' , . �: _ `. �_ Apo���ant ta /ill in all spaces wlthin heavy Dortler lines antl sign all apv�opriate aeclarations. ,'CITY OF COSTA MESA "' -'�- PERMIT NO. " �- � - TRACT�NO. - �-COT'NO. � B G.-NO. , - - - -- - - ------ - - --- -� - �--- - -- - -i ,CONS7RUCTIONpERMIT �—o�i� .•:JJcv I, 3 i 1 ,_ , :.�•q:�,•�acr„ �-:,��.:;�';:� 10'� �' �� � ,25,18 2/25/82 • 12.0� TL� Project Address i _ TVPE OF CONSTRUCTION �i . � � �� ` l _ , OWner- O (,L -' - - ^' � Phone - � ❑ NEW '` � ADO "-O ALTERATION�' " " -" ' � __ j .. AddfeSS - Z-- � -- - � OlREPAIR_O�CONVERSION� O.DEMOLISH. _ ._ __ . _ � � � l _ ❑�oTHER '� �' � � ZONING�REGULATIONSI-'r' - � ArchlErg. -. - -' - .'_. _ ' _' . ' License No. - - . . - , ._ _ _ A.P: � - . -_ ' _' ' . _ ' DESCRIPTiOMOF WOR W 'Address_ _' ._ ' '_."'_'''_ '_ ' " " __ ' _� . . �1 _ "" _ __."__"' _ ' . '- '20NE-" ` "' ' -PLNG.REF.�-'- rContractor• - ,Q -- - Phone 6 ' TYPE�OFPERMIT-."—,,� 4 �-- ' ' ' ' -- -' � ---- TpBUI�p ING..-,•. . , SET AC T. PROAERTY LINE ' � IAddf2A -�- ' - �OGRADING � ❑-FOUNDATION- -O�STRUCTURAI- VARD - - - - ----- - -- - � _/�%/" . -� -L�i•CJ2.. �.�.. ��' . .. ' . . p - .11 „-. LICENSED CONLRACTpR_OE L'ARATION __ _ ___ �" - . ' ' ❑ SEfJANT � ELECTRICAL-OPLUMBING_�MECHANIC �. `��IG T � I nereby affirm lh�C 1 am IlcenSeC unEer provlslons ol Chdrter�9,(com- '� • � � mencln9 with socNoo-7p00)--of -Division .3-�of_ tne Buzlnaii-antl. . � 07HER � ' ' ' •REAR�VARD TO � L -�- " � � ""' ' - Protessions Cotle, antl My Ilcense Is In tull force antl effect. '� � ( �% -- �,_ '•PROJECTDESCRIPTION � Licenso Class ��l-"�� Q' -'-" �icenso No �AZ"93R - � "- �' - ' -' --' '�'PKG. SPACE RE�.� " - PROVIDED - .)""L�.. /�_� _ ` SQ..Fr.' ' � , . -�1 - Date Q�`�9nature�I.�- i - ' - - ' ' -- YSTREETWIDTH -� "� ,PqRK"FEES - - � �WORKERS'�COMPENSATION.DECIARAT.ION__ . ' OCCVPANCV^'! '_ CONSTRVCTIONTYPE _ ' . _ 9 hereby afflrm that I ha�e a certifi<aro of consent lo soH-Insure or a .VACUATION ' ZONE �T -' 't20NING HPPROVED.BV'--' OATE --- tt/HflUte o1--Workeri'-CAmpenSatiOn InSuranca, or_a_cCrtltiCtl_COPY .-._ __-_ -- . _ . -� _,� _ _ . . . . __ _ . I '�SPECIAL CONDITIONS:- thereof (Sectlon 3800, laq. C.). � GRADING CLL�VOS. ACRES ' �. MIICY'No_ " "' _ " ComGanY ' _" ' �. _ _ ' __' ' ' _' � _'_ _ _ _ ' _ � . _"_ _' .. . . . . . 'ertifled copy is hereby 1uroi5heC. - REMARKS:,y�!! i� ' ��' � ,ertlfletl coPY is filetl wi[h tbe citY Builtlln9 Divislon. � - - " ' �' -' - --' ' -_- 't" J" '--'� - . � . '"" " " �'., -� �,.. , . � ,EXEMVTfON'FROM WOkKEHS"COMPENSATION'OECL0.RATION ' - - -- '� ` '--'�-- , - - � (This section neetl not.be tompletetl if thn permit I5 for one huntlretl • � _ - � i_ - p = � ��' ?3i' ' �• (E100) or lessl. ' . . '-." . _ , ' ' ' _ ' ' ' __' • " "'_' ' ` ' _ " I cerUfy that In the periormance of the work Tor which this permit is � ISsueG, I shall noFemploy"any per4on in'any manner'so'as lo become . PLUMBING �'�-�,--' : �PLAN'CHECK'- - - -' -ELECTRICAL--- - - PLAN CtiECK - - -� - � 5ubjectto,theWorkers'_CompensationLawsofCalifornia. ""' , . __ . ____ _ " /- - ' BATFITUBS ' SHOWERS ' - " - - OdtG Signature • . � NOTICE: It after making this tleclaration, you snoultl become subject ;TOILETS �y� ��,.y r. URINALS� - - � ^- � GENERATOR� -0-1 KW'_1'•30 KW ' '- ' l to the Workers' Compensdtlon provlsions ot lhe tabor Coda, you must - TRHNSFORMER . �� . forthwitn comply wilh su�h provlslons or this permit shall be tleemetl �VATORIES DOUBIE LAVS --'APPLIANCE� �� 30-50-KW_50+.KW- i tovOked. _. .1 � �i _ . .. . - .. � - KIT. SINKS ' - ' ' DISHWASHERS� - --- � MOTORS ---- - -- -� -- - • � CONSTRUCTION LENDING AGENCV - 0-1�MP�_1-10'HP�� 1 hlrGby a�1IrT [hat there IS a ConStruCliOn Ientling agenty to� lhe p¢r- $ERVICE SINK$ . � SUMPS�' �- - - �UNC..SOLAq), __,�0-50_NP SOtHP '� __ :�� ��_ � tormance ot t�a work for whiU [his permit is Issuad (Settion 3097 �.,.. . , ... ..CIv:C:I . ... .. ......._._._ .. ... . �. �' "- ' -- ' ' ' '" - FLOOR SINKS' - ' ' "'FLOOR'DRAINS - - - ' " ` �FI%TURES-- - OVTLET& � SWITCHES-- -,- � --� • �� '� Lentlel'S Ndme . � "--" - """'-" '" -' - "' ' "" 'DRINKINGFOUNTAINS --'�( - ' �' - - -- '�GASTUBESIGNS �� -����� - Lentlei's Atltlress � � � � OWNERBUIIDER-DECLARATION�- - - - ' '"INTERCEPTORS' - CCARIFIERS' -- " ' POLEL-IGMTS�- - � - -- � - - - - � � I hereby afilrm thal I am exempt irom the Contractor'S License Law for � � ihe following reason (Seclion 7031.5-Business antl�-ProfeSsions Cotle: � SWIMMING POOL - - - ' P TRHP � • - -- - - - � -- - Any tlty or county which requires a permit to tonstrucq al[er, —'POLES� �- � METERED' - SUB - '� � Improve; tlemolish or r¢Da�r any StruCture, prior [odls Issuan<8, also ra- - yyqTER SERVICE '^' " AL'T,ERATION' � ' -- - - �PANELS' - �MAIN� -- - �SVB-- �-- - - - '• qWres the ap.11�nt tor sy�h permit to filo a signetl sta[emont that ho � B�Iicensetl�pursuan4to-thl�OrovlsionSOPlhe�Conlra<tor's��icense�taw� GASSERVICE� � � OOTCETS" -�" '- --� - ' SERVICE ----- - - - -- - --AMP 0� - a�� '1Cnaptar 9(commencing witb Sectlon 7000) of Division 3 ot t�e - Business�antl-Profes5ions-Cotle}or-that he is exempt tharefrom�antl tbe � -�yqTER•HEP.TERS -----BTU-OVTPUT � � -- - - - - - -- --- - ----- - -• - - basis for tne alle9eU exerryptlon. Any violation of Sec[ion ]031.5 Dy �• ; - , _ . . . . � ' � > a plrrryi45ubeCis�the-applican[ to-a CIvII�Oenalty � �� ���� � - OPllwnt-for-a' 1 - "SEWER'CONNECTIONS'" 'I; � . ._ .�. .___ "" ._ "�_' _ _"""_ _• ' ri more than Iive nuntlretl tlmlars (E500). - ,'as "owner-ol'tbe'prOperry, or my'emploYees witn wages'as thelr SOCAR TANK-- - -- -COLCECTORS -- - - -- -- 1 - - -� . � � - - - - - - - -- � - - iO�E comp¢n5a[ion, will tl0 the wOrk, antl Me structu�e is not Intentletl ' _ __ _ _ _ � i or o(feretl /o� wle. (Sect(p�'7044,-Busiue55'antl Rofessions Cotlei Th¢ SOLAR PIPING SVS:-'� "�� ' ' - - � ISSVE FEE --^ - -- - -- - -- CoOtra<lo�,s Li<ense Law tlol5_not apply lo an owner ot a properiy who�builtls or improves-thcreon, antl who tloes such work himselfor -' ISSUE FEE- ' ' � - - ' ' - " - - - -,APPLICATION APPROVED�BV- --- - -=-�DATE -� �NougM1 M1I5 own employees, provitletl that Such imprOvinlent5 are not � Intentletl or oifcretl for szle. II, however, the builtling or improvement MECHANICAL PLAN CHECK ` � -� � - SUMMARV OF FEES � - ' It Soltl wilhin one year of �ompletion, �he owncr will have tho bu�tlen � , ., � Of provin9 he tlitl nol bulitl Or'ImprOve for th¢ purpo58 OT sal¢). � HEATING SVSTEM 0-300,000 BTU ' � ,BUILDING-- -- -- -� - -_ �- .- - PERMIT § � ..'SMIP v - ,S „ ❑ 1,� as_ownec-of_[he. p�o0arty, am oxclusively.Cont�acling.with qND'DUCTING -- ' ' ' - • - - - ' -- - - - � - '!i�^ ' ' - � �� - � %•- ��� Ilcensetl conVactors to cOniVuct tne project (Se<tlon ]044, BuSinMs 100,000�+gTU � �iP�qryCHECK S .�PERM17..n � �•, antl-Prof¢isioni-Cotla:-T.he Contractor's.Llcense.l.awtloes.no[applyto _ . - ._ ..- _ _. _ _�, _ __ _____ .ISSUANCE_E� "' nn owner ol property who builtls or improves thercon, antl who con- REFRIGERATION Od00,000 BTU �� PLUMBING � E ., -' ,�..N � lractS.Iwm.cuch.pro�ectS.with..a [ontra<tot(s)_Iiteinetl,purivant..lo SVSTEM---- - - ' � -- - � . _ �GRADING'- S" �� the ConVactor's ticense Law�. 300,000�F gTV �PLAN CHECK E�-T� � � - --� ❑'I'amexemPt'untlnr5ectlon-�' - ' - ' "B:6 P:C.forthis ' - . ..^ ..^ - - "' - ' �^ F "'_"�' I�'E•'�I � � BOILERS BTV �ELECTRICAL�-S.H4_ ,� ' � reamn ' . _ . - "' ' '_' � _"'��' ' ' MICROFIL7v1'S' _ ' ' -�- �-- -.PLANLHECK� 5 - �I SVSTEM REPAIR, ALTERATION ����- TOTAL FEE E' � � ' Date. Owner � -yMECMANICAL-f- - - - -- I hereby cartirythat I nave reatl this application antl state that lbe abov¢ EXHAUST SVSTEM MULTIPLE � �„ ,LE55 A0- ';: ,:'� � �i• Information"I5"torrect. fa9ree'to comply'with all'tlty'antl county . , �PIANCHECK� E�� --- � VANCEPC-E_' - ortllnances antl state lawz telatinq to construction, antl hereby authorize � - ' � . r �¢p�¢SGnlative5'Of'tbls'-tlty to'ente� upon'thB"above'mentlonetl - ' ---. � ���'- �'� �� '�� " � =� 1 propercy lor�nspe [ion urposes. _ n It� � _ .� ♦ / e.. FINALFEE SL�_ Si9nature � ! � 1e ?- "_ _ -ISSUEFEE . _. ._. . _. _. . _ ' . "" _ Orivers' License or 55 �= � ' - ' -' CMF 0865-46 White-B� Pink-A<counting; GOICenroO-Assessor CONSTRUCTION AND PLANNI�NG�.��G}-7 FOOL•& SPA , � ' � - ' APPROVALS � �' Permit#-e.L.L_LL Date InsPector' qpPROVALS� ' Fermit# Date - Inspector 1.� Temporary Electrical Service or Pole � . 43. Pool & Equipment Location� �'� - - �-� _Soil ipe-Undrgm , 4 . 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._.ElectricalUFERG[n 48. APPROVALTOCOVER-GUNITE - J.. Footings � 49. Elearical Conduit-Undr m' ' • � - � � �� � � 8. � Foundation- - - -- � -. - - ' 50. Gas Pipe, ❑ Undr m, Test ' ' � - ' 9. -Water Pipe-Undrgrn - ' � 51. Backwash Lines P-Tra - � � ndr m ' ' - � ' " 10. _ Struaural'Ploor SYstem � - 52. APPROVALTO DECK � - " � � ' � - " ' .11.. Property Sewer.l.ine.& House Connection _ 53. Backwash�&�Rece torFinal - ' . 12. -Street�Sewer Connection__ . - ' � '� � - 54. Heater & Vent-Pinal � - 73..._Rough.Plumbing _ ' �- - � � - -� - 14. Rough ElectricConduit " ' � ` �- - " � -56.; • Electrical-Final - • � • 15. Rough Electric-Wiring - - 57. SolAr System-Final -' " 16. Rough Heating & Air'Conditiooing - - - • encing & Access Approval �17.• •Ducts in�Structure � � APPROVED FOR PLASTERING 18. �Ducts, Ventilatin9 -�- � - - - _ - _ _- _. . _ . 19. Gas Pipe-Rough & Test -- 60. POOUSPA SYSTEMS FINAL ' ' 20. Roof Framing - -��- -- - � 21: Roof Sheathin •- - - - 22.- Frame and Flashin � NOTES: � . .. 23. Insulation - - - 24. Lathing & Siding - � � �- - - - -� - � ' � 25. Drywall Nailing � � , � ' � � � ' 26: Plaster Brown Coat � � � � � � � 27. Electrical�Power MeterFinal - � - - � � � � � - - � � � � 28. Finat Electric � - •�4�-�1 - - ' - . '. ' , � . � , 29. Final Heating & Air Conditioning - - � - � � ' � 30. -Final �Gas Ripe-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 Southem California Gas Co. , � � ' � • 42. CERTIFICATE OF OCCUPANCY � - No ' � Date .. , ' GTY OF COSTA MESA- CONSTRUCTION PERMIT ArchlEng. Address Address Iill in all soaces witnin heavy Eortlar Iines antl sign all appropriate tleclarations. License No. ol 'TRACT NO. LOT NO: BLDG. NO. � 3 TVPE f CONSTRUCTION �3 NEW , ❑ P.DD ,O AL'TERATION ' ❑ REPAIR ❑ CONVERSION O,DEMOLISH. `__� , ❑'OTHER � DESCRIPTION OF WORK 3 �G .TVP,EOFPERMIT � �� � - O GRADING -, O FOVNDATION ' �STRUGTVRAL" ❑ TENANT ❑ ELECTRICAL LUMBING OMECHANIG com- antl ❑ OTHER f0C1 PROJECTDESCRIPTION _ � Date�/iiC//7/X/ 519natur�[f�/� -i/ / g SQ.FT. . '.3.•\` ,. ";';. ' 1 WONKERS'COMPENSATION DECLAR ION � �� . . .00CUPANCV�CONSTRUCTIONTVPE I nereCy affirm lhat 1 ha�e a certitic e f consent to SeH�insure or a VALUATION ZONE thereoi(Section 3800i'�4 m�pi nsatio - surance, or a ceCtified <oPY GRADING CV. YDS. ACRES oolicY No. - . . ComPanY /'��/��"� " ' � ' - Ce etl copy Is heraby furnishetl. � _ REMARKS: :' - . • - - . . ertlfietl copy is flletl with t�e city BuilOin9 Divislon. El(EMPTION FROM WORI(ERS' COMPENSATION DECLARATION -- � � -' " ' ' " (This sectlon neetl not b< completetl it the. pe�mit IS tOr ope huntlretl (E1001 or less). �. - : I cart(ry that ln t�e performanre af [he work for whlch this permit is izzuetl, I snaii not emPioy any person in any manner so as to become subjett to the WOrkerS Compensation lavn ot Glifomid. - Date Si9nature NOTICE: It after making this tleclaration, you shoultl become subjet[ to Ihe Worke�s' CompGnsdtio0 prOvi5ion5 of the Ldbo� Cotla, you must fOrthwith comply wilh suth p�ovi5ion5 Or Ihls permit shall be tleemetl revaketl.."' "' .. .' _ . . . _ CONSTRUCTION LENDING AGENCV I he�eby a(flrm [bat there Is a construCtlon 1¢ntling agency for thC perv lormance ot the work for whic� this permit is iszuetl (Sectlon 309] Civ: C.1. - ' LCnEer's Name LAOtlCf'S AtltlflST OWNER'BUILDER-DECLARATION - ' " ' - " I M1erCby atflrm that I am Ox¢mpt Irom th0 ContrdttOr'S Llce05o Law tor the'followin9 reason (Se<tion 7031.5 Business antl Protesilans Cotlo: Any <ity or County wh��� �equiras a Oermi[ [o consVUC[, alter, improve, tlemollsh or repair any 5[rutture, prior to I[5 Issuance, alio re- quire5 Iht ap4����< <or Sacn parmit to lile a Signed statemant Ihal he IS IIC¢nSeG pufsuant t0-lit( prON510n5 af thG' ContfdCtor'S LlcenSe ldw 'v applicanl"tor a perrfdt sub�etts the apoi�cant'to a'clvit panany not more [nan livo nuntlretl tlollars (E500). I, ds awner ol lho pr4perty, or Ty omplOyCes with wdg05 d5 tllelr s01o. compCnsatlon, wIII.tlO lhC wolk, antl th0 SVUCtur¢ Is nOt InlOntled or offeretl lor salc. (Secti6n 7044, Businass antl Rotessions Cotle: Tne ConlraGio�'S LicenSo Law tloez not apply to an owne� of d prOpO�ty wno builtls or ImO�oves t�¢reon, antl who Uoes suth work nlmself or th�ough hls own Omploye¢S, p�ovltl¢tl lhat suth ITprOvem¢�ti d�e not Inlenaetl or oileretl for saie. It, however, the builtling or imorovemant Is soltl within ona year of completlon, the owner will have the burtlen of proving he ditl nol builtl or improvo tor the purposo ol sale). ❑ I,'as owner o1 the property, am exclusively �conlracting with Ilc¢ns<tl contraC[or5 l0 G4nstruct Ihe projCGt ($ectlon 7049, BuSin¢Ss antl Professlons Cotle: T�e Contractor'S Liconse Law tloes not apply to dn owner of O�opCrry wqo D� t�acts bom suGh- p�ojlctg �yj� tha Contractor's Ucensa I.a�v). ❑ I am exempt untler Sectlon. reason --' ' - Date Owper. hat I $Igndtur¢ _ Drivers' Lic se or CMF 0865-46 V IS or Imploves �nereon, ana wno con- a contractor(sp Iicesnetl pursuant to B. & P. G. br IhiS i1 a0Pli5a(ton antl state lhat the above [o comply with all city antl county ro construction. antl hereby aulfiorile PLUMBING. � � PIAN CHECK' BATHTUBS SHOWERS TOIlETS � , ) URINAL'S - LAVATORIES DOUBLE LAVS � KIT.SINKS � � / � DISHWASFIERS � SERVICESINK$ SUMP$ FLOOR SINKS FLOOR DRAINS DRINKING FOUNTAINS ���' , R�J� INTERCEPTORS CLARIFIERS SWIMMINGPOOL� � PTftAP " "" WATERSERVICE� ALTERATION�' GASSERVICE OVTLETS WATER HEATERS � �BTU OVTPUT " SEWERCONNECTIONS �/ - SOLARTANK' COLLECTORS�' SOLAR PIPING SVS. ��, ISSVE FEE MECHANICAL PLAra Cr+ECK HEATING SVSTEM 0•100,000 BTU ANDDUCTING 100.000+BTV REFRIGERATION 0-100,000 BTU SYSTEM ' � � 100,000 + BTU BOILERS BTV SVSTEM REPAIR,ALTERATION EXHAVSTSVSTEM MULTIPLE �'�'�( '' - / ISSVEFEE� ng; Gnary-Applitant: Rnk-AccounUng: Goltlenrotl-A55e5m� ; 9701 12/17/81 '.�' _.. _ .. JING REGULATIONS ZONE REAR VARD (TO P/L) PKG.SPACEftEa. STREET VJIDTH ZONING APP0.0VED B\ SPECIAL CONDITIONS: - ELECTRICAL PLNG.R 37.00 7L •� .� � -PROVI�ED - PARK FEE § � ` OATE .. � . , PLAN CHECK -I Sn. FT. V GENERATOR 0-0 KW_1-10 KW - TRANSFORMER . APPLIP.NCE 30�50 KW_50'�'KW • � MOTORS ' p.l HP_1-10 HP' " �pNG.50LAP) • �30•SOHP SO+HG � FI%TVRES" OUTLETS ' SWITCHES � GASTVBESIGNS ' ' _ ' POIE LIGHTS ' ' " POLES �V ' PANEL$ ' 'SERVICE- L ' — ISSUE FEE� � � APPLICATION MAIN SU8 - AMP OVED BV - DATE SUMMARV OF FEES . � ,�� BVILDING '- - - - PERMIT 5 SMIP � S�� PLAN CHECK E PERMIT . PLUMBING y 37_ - �SSUANCE $- ` I - - GRADING . $''- � PLAN CHECK S � • � ELECTRICAL S s � PLANCHECK E - ' MICROFILM E' ~ MECHANICAL S � TOTAL FEE E' �' PI.HN CHECK 5 - - �.E55 AD- " % � VANCEPC -E_ � FINALFEE b� CONSTRUCTION AND,PLANNING POOL & SPA\ " � •� '�oi:�. '� �� � � �. <<'i' Date Inspector \ • � � � Date - Inspector` .:, APPROVALS Permit # �Q APPROVALS �_ Permit # 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - � - - - - - � � - - � Soil ipe-Undrgm ' ' _u�p� 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. ootings 49. Electrical�Conduit-Undr rn i 8. Foundation 50. Gas Pipe, ❑ Undr rn, Test � 9. Water Pipe-.Undrgm - P/ 51. Backwash Lines P-Tra ' 0� rtdr 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-Final 13. Rough Plumbing _ - �fi " "' 14. Rough Electric-Conduit � - - - -�56.- Electrical-Final 15. Rough Electric-Wring 57. Solar System-Final � 16. Rough Heating & Air Conditioning -- � • encing & Access Approval -•c I 17. Ducts in Structure APPROVED FOR PLASTERING � ' 18. Ducts, Ventilating ._. 19. GasPipe-Rough&Test - ' 60._ y00L/SPASYSTEMSFINAL � �� 20. Roof Frarriing � " - ' 21. Roof Sheathin 22. Frame and Flashin NOTES: - 23. 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. 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 Regutatioru • - � ' 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 ' � - AOP���ant to flll in all spacas witnin CITY OF COSTA MESA ' �ae��a� IT N }�`�-- CONSTRUCTION PERMIT I /�'L ^ eC�J� borEer Iines antl si9n all appro0riale tleclarationi. TRACT NO. LOT NO. BLDG. NO. ��� rro�en �aaaress ' TYPE OF CONSTRUCTION Owner P�Lj 5 ' Phone �-� NEVJ - 0 AOD ❑ ALTERATiON , l Addfe59 "' -' ' ' ' �'REPAIR- ❑ CONVERSION ❑DEMOLISH �r�� � Arch/Eng. - ' ' ' , ' License No. ' '-0 OTHER �� �' AddrEsg ' -" ' - ' - �- � DESCRIPTION OF WORK Contractot' '�} j r` )� �Phone . TYPE OF, PERMIT ; Aildre5g � z � � ❑GqADING �•❑ FOUNDATION ❑STRUCTVRAL �LICENSpD CONTRACTOR DECLARATI N - � ' ' ' O TENANT ❑-ELECTRICAL ❑PLUMBING� OMECHANIC. .I hereDy, affirm th�t 1 am Iicansetl untler provislons o1 Charter 9(tom- - ntendn9 'with SeCtlon 7000) of DIvlSion '3 of the Bu5lneis' antl ' � OTHER � - �Protossions Co , and my 1lcense is In full force antl 'ef/ec4 � ' � � 'Llcon1se Class - consa N j�23�� PRO�ECT�DESCRIPFION - -- -• �DatejC.���L�' ci�,.�r_�.� 'AOd -w.�I {� SQ��FT. . .. . • -... ._ .. WORI(HRS' COMPENSATION OECLARATION `� - OCCUPANCV_CONSTRUCTION TYPE �I hereby aiflrm tbat I have a certlfltata of consent to self-insure or a VALUATION ZONE. certiflcate o/ Workers' CampensaHon Insurante; Or a'certltietl copy thermf (5¢�lon 3800, �ab. CJ. ��A GRADINGCU. YOS. ACRES " •�<Y No. ComPanY� ��i✓ �/n/. ' ' . . . . erlltiEE�topy is hereby fumi5hetl. � -- - REMARKS: ' ' - - - ' - - . ' -' _e�Uf�<0 copy IsJiletl�with lhe Uty Builtlln9 Divlslon. _ �' 2756 3/02/82 ZONING FiEGULATIONS' ' A.P. i ZONE REAR YqRD (TO PI(G. SPACE REQ. ZONING APPROVEO'B� SPECIAL CONDITIONS: iEXEMP710N FROM WORKERS' COMGENSATION DECLARATION - � � � ' '(Shis seCtlon neetl-not De completetl it-the permit is for one.huntlretl. �� .. _. . � __ (51001 or less). : C ' " ,I_cert(fy thaLin [he pe�fo�mdOce of.the wonk.fo� WhlCh.this pe�Tit.is , . �issuetl, I shall not employ any person in any manner so as lo�betome PLUMBING � �''PLAN CHECK subjecLto [he-Workers' Compensation Laws of Californla.- . �- - � • BATHTUBS SHOWERS �Date Si9natura _ . �NOTICE: If af[er making thls tlaUaration, you shoultl become subjecf 'TOILETS •_� - ,URINALS to the Workers' Compensation provlsions of the LaDor Cotla, you must �VATORIES DOUBLE LAVS fo�thwlth comply with Suth provlilo�T Or Ihis pe�Tit Shall ba tleemetl -mvOkotl. . . _. _� .- . _ . . �CONSTRUCTION IENDING AGENCV KIT. SINKS D�SNWASHERS (1 bereby aHfrm that Iq¢re ts a conslructlon IentlinH a9ency for Me per- SERVICE SINKS �� -' iSUMPS �formanca o1 lhe wa�k 1p� whith thls pe�mit iz I55Uetl (Section 3097 IC��' �'%' FLOOR SINKS FLOOR DRAINS � Lentler'S Namo �Lentlet's qdtlress DRINKING FOVNTAINS � OWNER-BVILDERDECLARATION --- - � " � INTERCEPTORS CLARIFIERS 'I hareby aHIrT lhat 1 am Caempt frOT tM1e ContrdGtOr's Ucenu Law tor [ho tollqwing'reason (5ettion 7031.5-Business antl Protnssions Coae:' SWIMMING POOL PTRAP Any_Nty Or munry whith reqWras a permil to construGl, dlter, Im�rove, tlemolish or repair any structure, prior to iti izsuance, also re- WqTEii SERVICE ALTERATION � qu /e5 lh¢ ap�.licant to� SUGh permit to tile a Si9nttl ilatem¢nt that b¢ is Iicenzltl'pursuant to the provisions ofthe Contracloi'S License'Law GASSERVICE OVTLETS (Chapter 9(commen<ing with Section ]000) of Dlvlslon 3 of tne Business antl Protessions Cotla7 or that he is exempt therefrom antl the' yyqTER HEATERS BTU OUTPVT �' b��is (or the alle9etl ezemption. Any violatlon o( Sectlon ]031.5 by appliwnt tor a permit sutijects [he applicant to a Uvil penalty- SEWER COfJNECTIONS � ; ot more'tnan f�ve bunCretl tlollars'(E500). __ - i, as owner of t�e pwperty, or my employees with wages as Neir SOLAR TANK COLLECTOR'_ :.<orTpensation, will.tlo tha work, antl_the sVucture Iz not intendetl �fferCtl for sale. (Sectlon 7044, BUsiness antl Pro�eislons Cotle: The SOLAR PIPING SVS. � rt�ac(Or's-License�_Law-tloe5 nOt �dpply to an Ownen o( a-propertY � builUs ar improves thereon, antl who tloes such work himzelf or ISSUE FEE >Ug�� hiS�Own-employ¢es,. provitletl.lhat Sucn. Improv¢ments ate.mt . !ntleq pr otferetl tor 5ale.J1, however, the bulltling or improvement MECHANICAL PLAN CHECK oltl Withln..one yea+ o/ completlnn, Ibe ownCr wlLLhave 1he.b4rtle0.. . . . prov��g he tlitl n0l bulitl Or ITprove for lhC Durpose of sal¢). HEATING SVSTEM 0-300,000 BTV _ I, aS'owner�oYthe'Property, am exUusively controcting with qNDDUCTING ' n5o0 contractors to conslruct lna project (Secqon 7044, Busin¢ss 100,000 f BTU _ PIOi05sIon5 COtle: Tht'GontfdttOf'S Llcensa Ldw tlOeS nOt dpply to' - ' own¢r of property w�o builtls or improve5 theroon, antl w�o con- REFRIGERATION 0-300,000 BTU_ :ts Irom sucn pro�ects with-a contra[tor(s)� Iltesnotl 'pursuan[-to' -SVSTEM " " � - ' ' '- Contrattor's Licensa Law). . 300,000 + BTV _ u � '" U I am exampt untler $ectlon �� �� B. 6�P. C. for Ibis gOILERS . BTU IldTOO� ' ' —� " � ' ' ' ' � Ddta - Owner - �--- - . , SVSTEM REPAIR, ALTERATION 1 nerebycertifytha( I have reatl this aoPliw[ion.antl state that the above E%HAUST SVSTEM MULTIPLE InPorma��on is mrrect. I agree to comply wilh all tlty antl county T orCinante5 dntl,Slate IaNK felaUn9 ta COnSVuctlon,.dOd t1EfGby authOri2e �i:.�/ fepre5lqta[IVCS of [IliS Cily IO entel upOn tha d�Ove mGntloneG property ( r fn5pe � n, pu�poi 5. -- /! Slgnature Date �Z� 1 _ , Driver5' License or 55 � '- � - �SSUE FEE ' - ' ' CMF 0865-46 White-BuilCin9: ��ary-Applicant; Pink�Accountinq; Goltlenrotl-Azsessor , PLNG. REF. qp 13.00 •TL� �: PROVI�ED� ' �PqRK FEB'S- ��, r . DAT,E ' � � PLAN C GENERATOR 0-1 KW_ 1-30 KW TRANSFORMER FPPLIANCE 10-50 KW_50 + KW .MOTORS � � 0-1 HP_1-]0 NP i'(INC: SOLAR� 10-50 HP_ 50 t HP �FIXTURES OVTLETS SWITCH �GASTVBESIGNS � � �� � POLE LIGHTS PANEI_5 MAIN SERVICE rmr , . n, � • .<� ' ' ' _ ' . . � . � � , � � � rAPPLICATION A7PROVED BV • �ATE � ' SUMMARV OF FEES . � ' BUIIDING � � ' ' � ' ' " •PERMIT .E. .SMIP� _.�b� PLAN CHECK E 'P@RMIT' •� ' �' - ` ' - - ISSOANCE' S - ' � JPLUMBING S � �'. • - IPLANCHECK S GRADING-'S- ELELTFICAL S S �PLANCHECK E��'�7}' MICROFILM = ` - ` �MECHAfJICAL SI_f��! TOTAL FEE 5 � ' PLAN CHECK E � �-�SS AD-. �. . � . ' . . VANCEPC §_ � " _ FINAL FEE S / �' O� \ � CONSTRUCTION AND PLANNING POOL & SPA ' ` . ' � ' , ,� - M��S Date Inspector qppROVAL& � . Permit# Date Inspector APPROVALS ' Permit # -/_� 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location -- - - - - � . i ipe•Un rgrn 44: Stee� Reinforcemen[ 3. lectrical Conduit Utility-Undrgrn 45. Forms ' ! 4. Electrical Conduit•Undrgrn - 7 46. Electrical Bonding ' ' . tee ein orce 47. Rough Plumbin & Pressure Test � ' 6. Electrical UPER Grn 48. APPROVALTO COVER-GUNITE '� 7. ootings � 49. Electrical Conduit-Undr rn - �� ��- 6. Foundation � � � - - 50.. Gas Pipe, ❑ Undr m, Test � � � � � 9. Water Pipe-Undrgrn � 51. Backwash Lines P-Tra -❑ ndr rn - - � � 10. Structural Floor System 52. APPflOVAL TO DECK - --�-• �--- ---- --- -- - .r '' 11. Property Sewer Line & House Connection �' 53. Backwash & Rece torFinal- � � � �� ' 12. Street Sewer Connection � � �*�� �' �• 54. Heater & Vent-Final � � • ' 13. Rougfi Plumbing - - - - 14. Rough Electric-Conduit -- - . 56. Electrical-Final __ � 1'S.' Rough Electric-Wiring ' 57. Solar System-Final ' " ' - � • i 6. Rough Heating & Air Conditioning - - r"� ys-c %� � encing & Access Approval . 17�. Ducts in Structure �� � ' APPROVED FOR PLASTERING � -�' 18. Ducts, Ventilating _ � � � 19. GasPipe-Rough&Test � - � 1 60. POOL/SPASYSTEMSFINAL . . � • � . � 20. Roof Framing - � • • ' 21. Roof,Sheathin _ � � . . - 22. Frame and Flashin ' ' NOTES: � � 23. Insulation � ' 24. Lathing & Siding ' ' - � ' "' - 25. Drywall Nailing � ' ' " - ' 26. Plaster Brown Coat � ' � ' � 27. Electrical Power Meter-Final ' - � � � 28. Final Electric ' 29. Final.Heating & Air Conditioning. i �2&-&i � - ' � . 30. Final�Gas Pipe-Test ' � - ` � ' � • � ' � � 31. Final Plumbing ' � � � 32�. Water Service•Final � �� • ' � 33. _ Gas Service-Fina� � � ' ' " ' 34. Solar pomestic-Final+ � �� ' � � � 35. Landsca e S rinklin S stem �' � �� ' � � ' 36. Sound Attenuation � � ' � � • • � ' 37. Handicap Reguiations � � 38. FINAL STRUCTURE & BUILDING � � � - � � 39. Special Requirements Compieted � �� ' � � � � ' - ' " - � 40. Electric Release to Edison - '� '• � - � - �� " -" ' � 41. Gas Release to Southern California Gas Co. '� - - � - � � � 42. CERTIFICATE OF OCCUPANCY ' _ � - _ _ _ � No Oate � �, . - - -- - - -- Applicant to fill In all s0aees withln CITY OF COSTA MESA PEg�} IT N,qm CONSTRUCTION PERMIT /�/ o{�i�. 7 Address 1532 AddreSs I hereby a/tirm that 1 am IlcanSetl mancin9 with setilon 7000) of Profosslons Cotle,�anjJ.my Iice DorOer Ilnes antl sign all a0P/oor(ate 7RACT NO. LOT NO. �E ,� oLVb v-J TVPE OF CONSTRUCTION PhOnB rJ^O- CD�NEW ❑ ADD ❑ ALTERATION � HEIGHTS w� ❑ REPAIR ❑ CONVERSION ❑DEMOLISH LiCense NO. ❑ OTHER D@SCRIPTION OF WORK Phone I hereby affirm that � have a ertiflcate of consent to selt-msure or a certlticate of Workers' Comp nsatlon Insuranco, or a certitietl copy. thereof (Section 3800, �ab. C.). w�ncyNo. PW�Q7�31f15 �mpany FI1TlIRA—MINTON TNS_ 'ertifietl copy is hpreby furnishea. :¢rtitletl cOpy is tiletl with tM1e clty Builtling DlviSiOn. E%EMVTION FROM WpRKERS' COMPENSATION DECLARATION (This sectlon neetl nDt be completetl i( the permit Ii for one huntlrea S§300� O! Ie55). cert ty that in the p¢rtormance ot the work for which thls permit is Issuotl, I thall not err�ploy any person In any manner so as to b¢come subje<t to the Workeri' Compensation laws of Calitornia. Date Signature NOTIGE: It atter making this tleclaratlon, you snoultl betome subject to the Workers' Compansation provisions ot lhe laCor Code, you must tOrlhwith COTpIy with suth pwvi5iOn5 or Ihis pB�mil Shdll be tleemetl revaketl. CONSTRVCTION L@NDING AGENCV I hereby atfirm tbat there Is a cons(ruction lentling agency tor tne per- formance of tbe,work for whlth thiz permit is Issuotl (Section 309� Civ. C.). Lentler'S Name LenGer'S Atltlress OWNER BUILDER DECLARATION I h«¢by atfl�m [hat I dm axem0� frOm the ContrdttOr'S Ucense Law tOr the following reason (5ection ]031.5 Business dn0 Profeszlons Cotle: Any city or county whicn requlres a permit to conitrutl, alter, ITp rove, tlemol6h or r¢pdir any StruCturG, Prior to It5 6suance, also re- quire5 IbC appllwn[ IOr such p¢rTlt to file a Signttl statement [hat ne I5 Ilconsetl pursuant �o the provisions of the Contractor'S License Law �Chapter 9(commencing with Sectlon 7000) oi Dlvision 3 of tne uslne5i antl Pro(¢ssiOnt COtlC) Or that h! Is ¢zempl lharGlrOm antl th0 basis tor the allegetl exemption. Any violatlon ol Saclion 7031.5 by appliwnt tor a permit zub�ects the applicant to a civil penalty pl more than fiv¢ huntlretl tlollars (5500�. �, d5 ownar of th¢ property, or my eTPloyeci wlth wages a5 th¢Ir Sol¢ CompenSaHon, wlll tlo tb0 wOrk, antl the s[ructure IS nOt Intentletl Or Oltefetl fo! Sal¢. ($¢ctlofl 7049, BuSIn¢55 dn0 pfoi¢SSIOns Cotle: Th0 COntlactOr's l.lcenz! L,aw tl085 not appty t0 an OwnB/ 01 a prop¢r[y who builtls or imp�oye5 lhC/eon, antl who tloes suGh work hirt�sllf or throuqh h15 Own emplOyees, OrOviEed lhat Such improvam¢nts are nol Inlentled or ofteretl loe sale. Il, M1owev¢r, the builtllng Or Improv¢ment IS sOltl withln one yedr ol COmpleUon, Ihe own¢r wlll hava Ihe burtlon ol O�Oving he tlItl M1ot bulltl or imptove fOr th0 pu�po58 Of sale). ❑ 1, as owner ot the DroPerty, am axclusively contracting witn IICGnsetl COnlraG[ors to COnil�utt the p�ojeCt ($ectlon 7044, Bu5ine55 antl Professions Cotle: Tne Contractor'S Llcense Law tloes not apply (o an Owner Of property �vho builtls or improves tnereon, antl wno cOn- IraclS from Suth P�Oj0tt5 with a Cont�actor(5) IIC25natl pur5uant to Ine COM�actOr'S Lic¢4se Law). ❑ I am Gzempl untler SeCtiOn B. 6 P. C. for this reason �ato ' ' Owner I hereby C¢rti�y that I pave reatl IhiS appliWtiOn dntl itale [hal [he dbov¢ intormation i5 Corrett. I aglae l0 Comply with all Uty antl cOunty ortlinances antl s[a �aws rela ing to construction, an0 hereby aut�orize reprCSentaUv s o t� to e ter upon [he abov¢ en onetl property .� '0 1/ Signature _ � �(?ate Drivers' i enze or CMF 0 65-46 Y TVPE OF PEflM1T ❑ GRADING ❑ FOUNDATION ❑ STRUCTl1RAL ' ❑ TENANT ❑ ELECTRICAL OPLUMBING �HMECHqN ❑ OTHER PROJECT DESCRIPTION SQ. FT. OCCUPANCV_CONSTRUCTION TVPE VALUATION ZONE GRAOIIYG CU. YOS. ACRES REMARKS: PlUM81NG PLANCHECK BATHTUBS SHOWERS TOILETS VRINALS LAVATORIES DOUBLE LAVS KIT. SINKS DISHWASHERS SERVICESINKS SUMPS FLOOR SINKS FLOOR ORAINS DRINKING FOUNTAINS " INTERCEPTORS CLARIFIERS SWIMMINGPOOI � PTRAP WATERSERVICE ALTERATION GASSERVICE OVTLETS WATER HEATERS BTU OUTP.UT, •, SEWER CONNECTIONS SOLAF TANK COLLECTORS SOLAR PIPING SVS. ISSUE FEE MECHANICAL P�Arv CHECK HEATING SVSTEM 0-100,000 BTU_ AND DVCTING 100,000 i BTV _ REFRIGERATION 0-100,000BTU_ SVSTEM �OO,OOO+gTU_ BO�LERS BTU SYSTEM REPAIR,AITERATION EXHAUSTSYSTEM MULTIPIE ISSV E FEE Unary-Applicanq Pink-Accounting; Goltlenrotl-Assessor G 2626 2/26/82 A.P.S ZOrvE REAR VAftD (TO PKG.SPACE REp STREET WIDTH SPECIAL CONDITIONS: PLNC.. REF. � PROVIDED PARK FEE S ELECTRICAL PLAN CHECK GENERATOR 0-1 KW_ 1-10 KW � TRANSFORMER APPLIANCE ]0-SOKW_SO+KW� MOTORS 0-1 HP_1-10 HP _ (IN0. SOIAR) 30-50 HP 50 + HP � FIXTURES OUTLETS SWITCHES GAS TUBE SIGNS ' POLE LIGHTS ' PNNELS MAIN SVB SERVICE ` AMP - ISSUE FEE ' I APPLICATION APPROVED BV DATE 7.00 TI,' SUMMARV OF FEES , BV I lDl NG PERMIT § . SMIP § � PLAN CHECK S PERMIT PLUMBING g �SSVANCE S PLANCHECK $ GRADING S �ELECTRICAL a S PLAN CHECK g _ MICROFILM § MECHANICAL $� TOTAL FEE 5�. 7LAN CHECK 5 LE55 AD- _ VANCEPC E_ FINALFEE,S 7•OO CONSTRUCTION AND PLANNIN�G q POOL & SPA � h -� APPROVALS Permit #_J_{..�a�. Date Inspectbr pppROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location . Soi ipe-Undrgrn � 44. Steel Reinforcement � 3. Electrical Conduit Utility-Undrgrn 45. Forms � 4. Electrical Conduit-Undrgrn - 46. Electrical Bonding . tee ein orce 47. Rou h Plumbin & Pressure Test 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE 7. ootings 49. Electrical Conduit-Undr rn 8. Foundation � 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra n rn ' 10. Structural Floor System 52. APPROVAL TO DECK - � ' ' �` '-1 � - ' �- 11. Property Sewer Line & House Connection 53. Backwash & Rece tor-Final 12. Street Sewer Connection 54. Heater & Vent-Final 13. Rough Plumbing ' 14. Rough E�ectric-Conduit �56. Electrical•Final 15.- Rough Electric-Wiring- - - � 57. Solar System-Final 16. Rough Heating & Air Conditioning "3 1- • encing & Access Approva� 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 - 22. Frame and Flashin NOTES: 23. Insulation 24. Lathing & Siding " � � 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter-Final 28. Final Electric 29. Finai Heating & Air Conditioning Z 30. Final Gas Pipe-Test 31. Final Plumbing. 32. Water Service-Final � 33. Gas Service-Final 34. $olar 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��canl <o fill in ill ipaces withln �eavy borEer iines anC sign all apPropriate Eecla�ations. CIZY O OSTA MESA� aeR T NO. ' TRACT NO. LOT NO. B G. NO. ' - ' - -� -� ; CONSTR CTION PERMIT D 3 �' 3 - �- � - , Project Address f�-• % TVPE OF CONSTRUCTION . .' � . , �� - � �•7 ; ��Owner - �' ,Q��jVr� �Phone ,z; ❑ NEW ❑ AD� ❑.ALTERATION � - . • via c oiqa i nn j� Addfe55 � � . ` ❑�REPAIR_O CONVERSION ❑DEMOLISH ' ZONING•REGULATIONS � � � �T" . Arch/Eng. �- - - - License No: - ❑�OTHER � _ A P � . DESGRIPTION OF WORK 'Add�e55 ' - ' - ' "" ' . '- � " ,ZONE PLNG. REF. $ - ' ' Contractor - 4�, p,-- , Ph6ne - Z TYPEbF PERMIT � -- � - � e O TpgU i Lpirac - - SETBHCK T. PROPERTV LINE 'Address " b i �y0i{�� I2 S • .- ' . ❑GRADING ❑ FOVNDATION 'O'STRVCTVRAL LIDEVARD ' -- - - � LICENSED CONTRACTOR OECLARATION " ❑ TENANT ❑�ELECTRICAL�SQLVMBING -O } ECHANICA � `�Ep HTA _ _ _ I hereby atfirm tnot I am Iicansetl LnOer provi51on5 of Charter 9�(com- 7-�, .��- G ' mencing' with- sectlon •7000) of Divislon -3 of� the Business antl '� ❑ OTHER � - � REAR VAR� (TO P/L) " � � - - � �-' � -' ' - � Pro(esslonz Cotle, -antl my Iicense is In 1W1 force anG aH ct.. .PROJECTDESCRIPTION _ �- � � LltenseClass Litg,ns�. N�o. 6S' � � . ��PKG.SPACEREQ� " -� PROVIDED;'" ' ; '� Dat0��7'C/ O 9 519 t' � � ..� /il�i^�--�� SQLFT. � . . ' ' " _ _ " ' _ ' ' _ - ._ . _ WORKERS' OMPENSATION DECLARAT�ION - ._ .�OCCUPANCV`'�_CONSTRVCTION TVPE _ STREET WIOTH - PARK FEE;E . i�� ' t hereby affirm lhat 1 have a certifiwte of consent to self-insure or a♦� VAWlaTION' ' ZONE �ZONING HPPROVED BV '"DATE . certifit�ate of Workers• Compensation -Insurance, or -a �certlfleG copy r - � ' ' -"' SPECiqI CON�ITIONS; , �� �� - � "- - � thereof (Section 3800, lab. C.). ; GRADING CU. YDS. ACRES � . ._yrao.' _ � - -comwnv //N/G�92T% - — - - - - - ' - - ertifietl.coOY��z.hernby fumisheG. - .. � . , _ REMARKS:_ ,;ertlfietl wPY is filetl with the citY Builtlin9 Divi=ion. ' '(' � ' "' ' ' " . , - � � _� ��,,,,., ,F.. . . EXEMVTION FROM WORKERS' COMPENSATION OEGLARFTION � ' ' - ' "' " - ' � ' - (Tnis sectlan neetl not be completetl if the permit is for one huntlratl • -� �'� :. i (E100) or less). . ' . " _.: . . .'� . _ . . _ . . � _ ._ _ � _ _ . '. �,' _ ' _ I Certlry that in.the Derformance of the wOrk for Which thi5 p¢rTil ii issuetl, I shall not emQloy any person in any manner so as to� become � PWMBING,-; .PL'AN CHECK ' " '�ELECTRICAL -' '-"" PL'AN CHECK' ' _ - sub�ett fo the.Workers Compensation Laws oLCalifbrnia._�_ . � ' " _.. . _. . _ _ _ j �Dale � Si9nalure + BATHTVBS . ,SHOWERS � ' - -`� -- - " NOTICE: If after making this tleclaratlon, you shoultl become.sub7ec[ + TOILETS-� .- URINACS '' '-" " GENERHTOR " 0-1-KW_ 1-1'O�KW, - -'- ' '— "' to the Workers' Compensation provisions of lhe Labor Cotle, ybu must . _�TRANSFORMER , � forthwith comO�Y �^/i[h suGh provi5ion5 or this perrqit�shall b¢ tl¢emeG LAVATORIES DOVBLE'L"AVS " -' APGLIANCE- -" 30-50 KW-y-SO+�KW • - ievOk¢tl.__ _ . .... .. ' __ ' ' _ � __ _'_ "_ ' _'_ ' , _ I CONSTRUGTION LENDING AGENCV � KIT. SINKS" 'DISHWASHERS 'j " 'MOTORS ""' 0-1'HP_110'HP' �_ -' ', I hereby affirm that [here is a consiruction lentling agency for the per- --- �- - - �UNC..SOLAR)_ _� �{ � formance of the work for which this permit I5 iSAuetl (Se<tion 309] SERVICESINKS "'�.� ,SVMPS � 30-SO�HP_-SO+HP�j - Clv. C.).- "' "�' - - ` ' ' �'-- ""'-"' � � FLOOR SINKS � � - FLOOR DRAINS " - ' FIXTURES" `OVT�ETS - 'SWITCHES - ' - Lentler's Name _ ' ' , . _ . ... . ._ _ _• � � DRINKINGFOUNTAINS "' - ' � ' " ' GASTUBE�SIGNS - � �� Lentler's Atltlress � - 1 OWNER BUILDER DECLARATION -' -' -' ' � '-"� ' " - - �NTERCEPTORS - � CLARIFIERS � - 'POL'E'L'IGMTS - -' ' " - --' - � • - - - 1 hereby attirm that I am exemp[ from-the ContractOr'z License law tor �� � tbe'followin9'reason (Settlon 703k.YBuSiness-anq-professionrCotle: '-SWIMMING'POOL -'"-'PTRAP' ' - - -' ' " - Any city o� county which requirez a pe�mit to cOnstruct, alter, POlES METERED •SUB � Improve, tlemolish or'ropair'anystructure; prlor to Its'issuance, also re- yyATER SERVICE - ALTERATION" '- �' - '" �P/aNELS ' "'MAIN- �- SVB' ' �'-- quires the apFli�ant for such pe�mit to tile a Signeq Statem¢nt tha[ he is Ilcensetl-pursuanYfo tne provlsions oYtne Con(rdttor's-License Law GAS SERVICE OUTLETS ��� - SERVICE ' �-- -�� -- AMP - -- ' (Chapter 9(commencing with Sectlon 7000) of Oivislon 3 of the � 8u5ines5'antl-Pro/essions Cotle) or thaYhe Is exempt theretrom antl the- � yyqTER"HEATERS ' BTU'OUTPVT " " ' - - - - � - ' - - - - - -� - - F-�s fOr lhe alleg¢tl exemption. Any viOlatlon of 5¢�tion 7031.5 by itPmore�than tiv2ehUnitl�etlbtlollar5 (5500)��d�t,[o'a�civil penalty� SEWER'CONNECTIONS ' ` "' ' ' ' �- � ' '"'--' �' --- --� ^ -- � .:o L, I, zs owner of the property, or my employee5 Vui[h wages as their' ' SOCAR'TANK' '- COCCECTORS �. ' -• -' - ' -- �- �- - - � - � sole tompensa(ion, will tlo the work,.antl the struc�ure Is_nol intentle0 or ofte�etl for sale. (Settlon 7044, Busin¢55 antl R'O(eS5lons Cotle: The SOLAR PIPING SYS. �� ,� � - -"'�SSVE'FEE " -' ' '-' - ' -'- -' , �- ; Con[rador's.License Law_tloes not. appty. t0 an.oWpe�. of d property _ .. .� who builtls or improves thereon, antl who tloes su<h work himself or ISSUE FEE ` - - ' ,HPPLICATION'APPROVED BY - --- � DATE---- i through_hiiown.employee5, DrOvitletl ihaLSuth iTp�Ovements dr0 not � ` � � intentletl or offeretl for sale. If, however, [he builtling or improvement MECHANICAL PLAN CHECK � . � SUMMARV OF FEES Is.soltl wlthin.one_year of.completion, the owner �yill have the burtlen � - . 'CCJ ' ' of O�ovin9 he tlitl not builtl or improve for lh@ purpo3¢ oi sale). HEATING $VSTEM Od00,000 BTU -" '�BUILDING ' -- --- -� -- � � I, a5 �owner-ot the�property;-am ax<lusively contracting witn �qNDDVCTING . .._ _ . . _ �PERMIT � E _ _ V,SMIP,; : E' Ilcensetl contractors to construct the project (Sec(�on 7044, Business 300,000'+BTU :PLAN CHECK E PERMIT � entl ProfMsions Cotle:-The Contractor's Llcense�LaW tloes not apply to -- . ISSUANCE. �E� � an owner of property who builtls or improves [hereon, antl who ton- REFRIGERATION 0-300,000 BTU �PLUMBING y������ � _ tracts irom such pro�ecis with a•�<on[rattor(z)•IlCesnetl pursuant to SVSTEM - �1' - -- GRADING E' tM1e Contractor's �icense Law�. IOO,OOOit BTU . ��LAN CHECK E c�� ' , �� ❑ I am ezempt untler Sectlon -- B: & P. C. for this BOILERS BTV { ELECT0.ICAL E,� � -' ' s " �eason- - � - - ' . . .. _ _ , MICROFILM $_` � SYSTEMREPAIR,ALTERAT,ION �PL'AN'CHECK-y' • � �� Da[e Owner �MECHANICAL S � �- - TOTALFEEE�'�� __ , I hereby certify Ihat I have reatl this applicatlon and state [bat the above EXHAUST SVSTEM MULTIPLE �� 7• . �� LE55 AD-•: • ' �� ' � intormatlon is wrrecC I agree to comply with all tity andcountY iPLAN�CHECK 5- �� -VANCEPC $_' ' b�tlinance5 antl state laws r¢Ialing to consl�uctlOn, dM1tl hereby authorizB �, �. . , .� ' � repretentatives of-this city [o enter -upon the above mentlonetl ' ' � � property for i c ion purpo es._ . / O Slgnalur¢ ���J,��-�^�'� Date�h o2'� . _.. . FINALGEE E _ Drivers' LlrenSe or 55 qf ���� � � �� / � ISSUE FEE � • - . _ _ . _ . - . 1 CMF 0865-46 White-Bulltling; Canary-Applicant; Pink-Accountlng; Goltlenrotl-Assessor � �: bi CONSTRUCTION AND PLANNING POOL�& SPA "�;_..: � �, � APPROVALS Permit# �yo3y Date Inspector qppROVALS .. Permit# � Date Inspector 1. Temporary Electrical Service or Pole . ' ' �43. Pool & Equipment Location - - - � - - . Soil ipe-Undrgrn ' � 44. Steel Reinforcement � - - - � - . 3.. Elec[rical.Conduit Utility-Undrgm 45. Forms - ' . 4.. Electrical Conduit-Undrgm 46. Electrical Bonding - - - tee ein orce - . 47. Rough Plumbin & Pressure Test � 6. Electricai UFER Grn 48. APPROVALTO COVER-GUNITE - - --�- - 7,. Footings ._ -- ' 49. Electrical Conduit-Undr m � - - �•- ----�- - - - - � - ' . -_� . .. . ' . B. Foundation . -' , � ' � , ' . . . , - . . . ��� - - -' " _ . . _ __. _ __ . '. . 50. :� Gas Pipe, � � Undr m; Test •� � � � � _ 9.- Water Pipe;Undrgrn -• 51. Backwash Lines P-Tre ❑� 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 ElectricConduit i -' " - �56. - Electrical-Final - � ' - ' 15. Rough Electric-Wiring � ' - � • 57. Solar SYstem-Final ' � � � - � - i 6. Rough Hea[ing &-Air Conditioning '� ' - • encing & Access Approval � ' 17. Ducts in�Structure� � � APPROVED FOR.PLASTERING - � ' � 16: Ducts, Ventilating - � - - � ' ' ' . . . . __ . _ _ . _ � . . _ . � 19t Gas Pipe-Rough'&Test - ' ' - _ 60. _ POOL/SPA SYSTEMS FINAL �-�, � � ' � 20. Roof Framing - --- -- � � - - ' � ' � � 21. Roof Sheatfiin � r - - - - � � � � � ��� � ' ' - 22s Frame and Flashin - - - � �NOTES_ � � . ` - � .. . . 23. Insulation � � -- - �- - -- ' � � 24. Lathing & Siding - � - - - � - - 25: Drywall Nailing . . . � ' . ' � � • � • ' ' " ' ; 26. Plaster Brown Coat- � � ' � � � ' 27. - �Electrical Power MeterFinal - - - � ' � � ' 28. Final Electric ' �+� � � � 29: Final Heating & Air Conditioning � - - ' � � � � � ' ' . 30. Final Gas Pipe•Test - - � � 31: Finai,Plumbing _ � � ' • f 32. Water Service-Final --• � '� ' � ' � ' ' � ' ' • 33. Gas Service-Final- - - ' � " ' � 34. Solar pomesiioFinal � ' � ' I � � ' � � � ' � 35. Landsca e S rinklin S stem - � ' � ' " 1 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. i � 42. CERTIFICATE OF OCCUPANCY , - . � . No Date - � ' . . . - . COSTA MESA BUILDING—SAFETY DEPAHTMENT P.O. BOX 1200 Coata Mesa, Calitamia naa«5s 5290 E. HUNTER Cicy Zip Code Staee License No. Class. City Licenu No. 00857�+ Tel. No.% N0. ITEM EACM FAU, Wall, or Grav. Furn. Incl. Ducts and 1 ve�u �o �oo 00o eTu 4. OC over 100,000 BTU Vent (if not incl. above) Sus ended Heater AI[er or Replace P.oDliente �MPRESSOI H.P. or less ver'.i�l . .�to 9W Plen Check 3einsoection Fee Sub-Total Processing Pee TOTALFEES CMF 0449-46 LOT N0. noon — / L_ FEES 2549 2/25/82 ���7��� BUILDING USE !/l! /�� '�7'" ` COSTA MESA, CALIFORNI� 7.00 TL� 00 OWNER BROOKS CONSTRUCTION M�IL i! P, \/ �DDRES� 1432�I:�a�:-r:or�n ��.,, SANTA P;NATE,.. No. 642-0432 n �c (�,r I here6y acknowlcdge thet I have read this applica[ion end''siere��hat the above is correc[ end agroe ro wmply witfi�ellyCiry Ordinances and S[a[e Lews regulating Heat- � � �� l� �� ing; Ventilating, Rctrigeration and Air-Conditioning. �l ��C�:1v � y 1 certi(y [hat I posscss the above velid State of Calif- �' omia classi(ication or I am the Iege1 owner ot the single temily residen[ial property described above. SignaWre ot ' — Permit[ce REMARKS: . — �/i%�j7LL INSPECTOR I D�TE �UCIS 1t1 �[NC[UIC Ducts Ventilating Heating — Rough Hoods Refrigeration Lines Pressure Test Air-Cond. Final Ventilating Final Heating Final 00 Refrigcretion Final Final Gas Test Utility Co. Nodfied BLDG. PERMIT NO. r , Applicanl to fill in all spaces wit�in �eavy GorEar Iinas antl sign all CI.T�V�OF COSTA M�SA � PERMIT NO. . / TRpA% N�j L( CONSTRUCTION PERMIT g a D L`t '��-/ �O Project nadress -' �� TVPE OF CONSTRUCTION� OWnef Phone7- -�j' �NEW ❑ ADO � � ALTERATION Addrea- J'� .y� �O FEPAIR ❑ CONVERSION.�OEMOLISH � ArchlEng. ' �f�y License No. - ❑ O7HER Add�E55 y,� DESCRIPTION OF WORK C6ntrector p V_' ' Phone ' TVPE OF PERM17�,/ - � _�/ ' Addres5 ' - ❑GRADING .�(FOUNDATION' 171CCTRUCTVRqL LICENSED CONTRACTpR DECLARATION - O-TENANT ❑ ELEtTRICAL ❑PLV 8 NG ❑MECHqI I hereby affirm that I arq II<ensetl untler O�a��slons of Chart¢r 9(com- - � � :-� mencing wilh sattlon 7000) of Dlvlslon 3- of the Business antl ❑ OTHER Professions Cotla, ana my Ilcense is in full force ana effact. PROJECT DESCRIPTION � . Ucense Class License No. . Date Si9�ature � � - 50. FT: . . - WORKERS' COMPENSqT10N DECLARATION " � OCCUPANCV��VCTION TVPE I nereby affirm lhat I have a certiflca[e of tonsent to 5e1f-Insure or a VALVATION ZONE COrtifiwte ol WOrkers"CompenSatlOn Insuran<e, or a certifietl copy - � , theroof (SeCtiOn 3800, Wb. GJ. � GRADING CU. YDS. ACRES PoII<y No. � CAmPanY � Certifietl <Opy Is n¢r¢by turnl5�atl. - - � - . » REMARKS: � $S�� - � . .. , Certitietl topy is filetl with t�e.city Bulltlin9 Dlvislon. � EXEMPTION FROM WpRKERY COMPEiVSAT10N DECLARATION -" "" ' - -- ' (Shlz sec[ion neeE not hesompletetl it the..permit Ii tor one huntlretl .. . . . _. _ �5300) or Iessl. i certify that in the_performante� of l�e work �o� w�ich this permit is . . issuetl, I shall not emP16y any purson in any manner so az[o become ��PLUMBING� - � � PLAN CHECK' subjact to.the Workers Compen5ation Laws o/ Gllfornia. . -_ ' _ Date Signature BHTHTU85 ��SHOWERS NOTICE: If aftar making this tleclaration, you Snoultl betoma sub7acl. -TOILETS ,• URINALS - to lhe Workers' CompGnsatlon provlSiOns of lne Labor Cotle, you must �VATORIES DOUBLE LAVS forlhwitM1 comply with such provisions or this permit ihall be tleemetl p ♦.. .rOVOkntl. . ' . _ ' - "' _' _ "' ' CONSTRUCTION LENqING AGENCV KIT. SINKS � DISHWA�SHERS ' 1 hereby affirm [nat ther¢ is a construttlon lentling agenty for tne per- SERVICE SINKS SVMPS - �' - " ' brmance of tno work lor wNch this permit is I5tue0 (Section 3097 ' • _ I Civ. C.1. . -. _ �_ ♦ .. . .. . . :-.i ��_ . FLOOfL51NK9� _ � \:. FLOOR DRAINS � - a UfxTAIIVS � �� n v !'S� CL'ARIFIERS���,� OC' "" P TRAP".' -' " CE- ALTERATION ' qui�es the ap4��wnl tOr Such perTil to fll< a signetl 5[dtement lnat he �- -- -� Is Iicansetl pursuant to lhe D�ovislons ot tne'Contractor's' License law ''GAS SERV ICE OUTLETS �� (Chapter 9(mmmoncin9 witb Settion �000) ol Divizlon 3 of the Bu5InC55'antl PrOIeS510n5 CotlB) O/ tltat n¢ ISex¢Tpt ttterefrOT'dnE the yyATER NEATERS BTU OUTPUT ' basls tor [hc allegetl exemption. Any violation of Sottion 7031.5 by •y applirant for a permlt subjects tne applitant'to'a civll penatry SEINER�CONNECTIONS -' - not more tnun live ryuntlretl tlollars (§500). , I, as owner of ine property, or my employeos with wagez as thoir -SOLAR TANK ,- ' ' COLLECTORS sola compensatlon, will tlo.tne work, ana lhe stru<ture Is not inlentlatl _ or ofteretl for sale. (Section 7044, Busine55 antl Ao1e551ons COCo: Tne SOLAR PIVING SVS. COntfactol'S.LIcen50 LlW tlo¢5 n0[ apply f0 dn owner Ol,a propelty . . _. wno builtlz or improves thereon, antl who tloei such work himsell or ISSV E FEE throu9h nis own employees, provitletl t�a[ suth imProvaments are nol Intenaea or oHereE for �y�e. 11, howeveq the bulltlinq or improvemont MECHANICAL PLAN CHECK is soltl within on0 YGa� pt COTpI¢tla0, th! own¢r will hdve Ute bu/tlen ot prOving ha tlitl nol builtl or Improve lor tM10 purposo oi saln). ryEATING.^.VSTEM 0-300.000BTU I, as �owner of tnp �propQrty, am exclusively contractin9� wilh � qND DUCTING Iic setl contrattors to construct lhn Pro7ect (Soctlon 7044, Business 300,000 + BTU antl ofesSiOns Cotler The Conlrattor's-LicGnze Law tl0ls noEapply to an owner of property Wno builtls or improves thereon, antl who con- REFRIGERATION 0-100,000 BTU t�act5 lrom such� projeCtS with a coM�actor(5) IlCeznetl pur5uant to SYSTEM -' '� - � � � tne Contractor's Licensc �aw). 300,000���T��"-" ^ ❑ I am exempt untleTSaction - B• 6-F. C. br t�is BQ�LERS BTU reason�' -' ' ' ' SVSTEMREPAIR,ALTERATION - -Date- Owner ' 1 hereby certity.that I haye reatl this application ana state tnat the above EXHAUST SVSTEM MULTIPLE lntormation i,.s COrrCct. I agree to comply wit� all Nty dntl county ,.. ........e. � . .m m..,....�.. ............... ....�i.... �..n na.en.. �...n,..i�e � CMF09fi5-46 Whi[e-guiltling; at �" ' ISSUE�FEE- -- "-'� " ' - Pink-Accounting; GoltlenroC-Assessor ' 9636 12(I7/B!. ZONING A.P. � ZONE REAR VARD (TO P/L) PKG.SPACE REQ. '� 1 'ELECTRICAL , SPECIAL REQ " - PLAN' 326.38 ?U aE�Tv LIrvE �' G ST_ PROVIDED ;L�S PARK FEE E.% Z,GJ / OAT JIREM—�E 'i� `�'n p-1KW_1-lO,KW TRANSFORMER APPLIANCE 10-50 KW_50 + KW MOTORS ' ' - 0-1NP=110 HP (INC. SOLAR) 10-SO HP=50 + HP FIXTURES - OUTLETS SWITGH GASTUBE SIGNS'- ' "" - ' POLE LIGHTS - "' ' '"' ^ ' - - 'PANElS' ' -MAIN : SUB SERVICE ' ' AI ISSUE FEE - " ' APPLICATION APPROVED BY SUMMARV OF FEES � •.BUILDING "- ' "' 3 O _ PERMIT S�_� � SMIP �E�f1_i PLAN CHfiCK S • PERMIT � ' - ISSVANCE �5 PLVMBING b ' - ' - GRADING..S ���, � h PLAN CHECK E - . � ELECTRICAL E � � s . PLANCFIECK E - ' — � � MICROFILM 3 � 'MECHHNICAL §" " - TOTAL FEE E _ LESS AD- ' ' � PLANCHECK S ' VANCEPC b_- - - • FINAL FEE S � ���� Applicant to /III in all ipaces wllhin heavy bortler IinCs antl si9n all aOG�ap�iate tlecla�ationi. CIT'V'OF COSTA MESA"' PERMIT Ng� A TRACT NO. � LOT NO. BLR G. N. - � - - - • ' CONSTRUCTION PERMIT L—oC �9 d (�- , � ,- 2519 2/25/B� 7.00 TL� ' Project Address TYPE OF CONSTRUCTION . • '' � = � � - , ' - � i OWnM • Phon2 ❑ NEW ❑ ADD ❑ ALTERATION � ' - � ' _. . �Addrea _'O REPAIR ❑ CONVERSION ❑DEMOLiSti � ' ZONING REGULATIONS ' ' AlCh/Eng. ' - � LiCBnse No. ❑ OTHER - A'P � _ . . _ OESCRIPTION OF WORK Add�Css - - -. . . . ' ' ' ' ' ' � ZONE PLNG. REF. if' " - ' I ,�Contrecror - Phone�7 � TVPE OF PERMIT ' " � " � ' �' � ������$��G" � t !- . SET ACK P V INE � � Addr¢u p - O GRA�ING O FOVNDATION - ❑�STRVCTURAL � 51 VARD� � - - - - , , - - - - LICENSED CONTRAC70R DE LARATION - ' ❑ TENANT ❑.ELECTRICAL OPLUMBING ❑MEGHANIG 5�p E y . .. _ . . . . . . I hereby affirm th:.t I am Iicense0 untler provlsions oi Charler 9(com- �; . RIGHT mencing with sectlon. ]000). ot Divislon.-3 oL tha Dusinass antl �:OTHEF ' ' -- .. __ _. . arofessions coaa, iana my ucense is in twi force ana ef/ect. ,� pROJECT DESCRIPTION, ' REnR vARD (7o P/y Llcense Class - Icense No� �3 � �: i � ��� � PKG. SPACE REO. �' PROV,IDED' - = Date 2.�Zfl 9�.. SI natura... _ SQ. FT. ' �_ . . . . _ .. �_ _. ...""_' ' " __' ' , 9 ' jSTftEETWIOTH� '�PqRKFEES- WORKERS' COMP.ENSqT10N DECLARATION ' � OCCVPANCV '_CONSTRUCTION TVPE_ _ . _ V� .I hereby a/firm that I have d CerlHiwtB Of consenl l0 selNnSure ot a � - ZONING-APPROVED BV DATE �VAL'UATION' '- ZONE - -^ � cortlfiwtn.of Workeri'-�mpansatlon Inzurance,_or a certltietl copy _ - -'- � ,SPECIALCONDITIONS: �- � � � � ' �thereof (Section 3800, Lab. CJ. � GRADING�CU. VDS. _� ACRES PoIICY No-' COTPanY ' - " _ __ _ _ _ � _ _ ' "' ' ". _ . _ _ ' ' �'. . _. � . 'ertifietl coPY ii nerebY_turnishetl. _ .. ' . L REMARKS: . �" , _' ' � ' ' - ' _ ' ' _ ' • ' " " _ _ _ ' _ _ . . . ,ertlfietl copy is tiletl with t�e city Builtlin9 �ivision. ... , .. ,- � E%EMVTION"FROM WORKERS• COMPENSATION DECCARATION� - - • � �-' ' ' ' ' . (T�is settion neetl, not be complatetl if the permit is for one huntlree • - - • `;� . � i = o -ti � _ _. , _ _ _ __ ' ` � �� �'_� • _ �r (5100) or leu1. -- ""�' ' "'� ' " ' I<Crtify thdt in the, per�ormance Ot the wotk for whiGh this perTit is ~ - ' Issuetl,-I'znall noCemPioy'any person In any-manner so as'to become 'PLUMBING, ' ' ' 1 PCAN CHECK - : ' �',EL'ECTRICAC ' - --- 'PLAN CHECK - ' � Subject to th¢ Wo�keri CompenSdtiOn 12ws of California. � ' - ' � Dale � Sl9na[urt ' � BATHTV85 � �-$HOWERS �-� Z2 ' 'D.a. - '1 TICE: I/ after rriakiq this tleclaratlon you shoultl become.su0'ect -TOILETS ,,URINALS'- "' '--' {- ,GENEftATOR -OTKW_;1-30 KW-� � -' � NO 1 C� �. Q 9 ' . TRHNSFORMER . .� ' - ro[he Workers' Compeqsation provisioni of the l.abor Cotl¢, you must � _ _ a __ _ ., , _ . fOrthwith COmply witb Such p�ovi5ion5 ot lbi5 p<rTit ihall be tlGCmeO �VATORIE$ DOUBL'E LAVS ` �APPUHNCE 10-50 KW_50 � KW --- - �� revoketl. ' . __.. _ _ - - KIT.SINKS'-' "' "'-DISHWASHERS'-'--4 -" ' �MOTORS-- � -- - - - � �CONSTRUCTION LENbING AGENCV -'0-1'HP=1=10 HP � 1 hereby aitlrm Ihat there is a constrvction lentling agency for tho per• �._-- �•- �UN0. SOLAR). �.-1050�HP-_. 50 +�HP- �����', iO• ' -- .�� formance of the work Ior wnicb this permlt is issuatl (Section 3097 SERVICESINKS p � iy SUMPS- - _ _ �Civ. C.). - • -- -- -- -- - - - - - -- -- - - FLOOR SINKS � - ' '�FLOOR DRAINS ' "� FIXTURES '- "OUTL'ETS 'SWITCHES' ' ' � ' ' � .Lenoer's Name � ". ." ' —" -` '"-' '-' -...•' ' ""' - " ' ' - ORINKING FOUNTAINS "'� ."' ""�•` '�' - ' lGASTVBE51GN5�---�-- r - LCntlEr'S Atltlre55 ..� t . �. OWNERBUIIDERDEq6ARAT10N— � --------�• ----- � "�NTERCEPTORS' �' "'CL'ARIFIERS -' �'-� " .POLEL'IGHTS' '-- � f 1 hereby altirm that I am exempt 1rom.tM10 Contrattor's License Law for � � �� Ma-following-reasoo-(Sp�tion-7031.5� Business antl .Profeszions Cotl¢: SWIMMING POOL '� P TRAP ' -' • - ' qny city or county which requires a Oermit to consVuct, alteq � POLES� METERED SUB Improvo,-tlemolish or repair-any itrucWre,-priorto its issuance, al6o re- yyqTER SERV ICE ' - ALTERATION " "' CANELS ' MAIN � � SUB ' ' � qWres lho ap,licant tor such permit to tila a 519netl sta[ement that ha ' Is-licensetl pursuant to4he-provislonsot-lho ConUactm's-�icenso Law ��GASSERVICE' '--"'OUTlETS" � �' ' ' -SERVICE - " -- -' • � ' AMP��� - ' � tChaptar 9(cOmmencing with Section 7000) oi DINSion 3 0l the � 6u5in¢ss�aatl Prdes51on9 potla) or lhat h01s exampt the/eirom antl�the y.�qTER' HEATER$ ' "BTU OUTPUT ' ' ' ' - ' ' � -" � � - - ba515 for lhe alleg¢tl exemption. Any violatiOn Of Soctian ]031.5 by r,n;�;:;pPPll�'ant-tor-a-perml4subjotts the applicant-to•a-Uvll-penally� SEWERCONNECTIONS' - �' '�" " � ' .� ' ' _�,"j-.;;4•=5t morc than /iw huntlretl tlollars (E500�. ' ,�;"s-;"as'owner'of tne' property,-or myemployees wltn wages'as their SOLAR TANK'-'�' COLLECTORS'� � ' -' - ' '-- ' - � - � - + sofe compensation, will tlo [he work, antl the sVucture is not intentletl � or"olt¢retl for sale. (Set(ipn'7044,`Bu57ne55 antl Aofes5fon5'Cotle: Tne SOLAR PIPING SVS: -- �- �'- '- �SSUE FEE' "- ---' - '-' - p� ' COntraclor's UcenSa Law tloe5 nOl apply lo an ow�er ol a property . .. _ ._ =APpLICATION APGROVED�BV--• � pATE who builtls" or improves tneraon, antl who Aoes"suth work himself or ISSUE'FEE inrough nis own employ¢es, provitletl that such improvementi ara not IntenOeHbr otferetl tor sale. It, howeve/; tne buiiaing or Improvement- MECHANICAL PLAN CHECK I $UMMARV OF FEES , Is so�tl witnhi one yoar of comp�etlon, the owner will bave tbe buraen . ' 6� '- oi prOving he-tlla nat DWItl'or ImprOve for the'pUrpoS¢'Of'Shce).' -- - ' - ' "' '� �BUILDING � ^� - � - - � - - - HEATING SVSTEM 0-300,000 BTU '.PERMIT f. SMIP ,•E' ❑ I,. a5 ownec-OI �he.prop¢rty, am OxClusively_COn[�acling wilh qND'DUCTING ' ' -' --- ' -- ' - " '-- - -'- ' - - �� Ilcensetl wnlractors to �anstruct Ihe pro�ect (Sectlon 7044, Business ]00,000:+ BTU PIAN CHECK 5 PERMIT• ' � antl. Protessions_Cotla: The.Contractor's Licenze Law tloas not apply to. - -. , - - ISSUANCE 5 - � an owner ol property w�o builtls or improves thereon, antl who con- REFRIGERATION 0-IOO,D00 BTU � 171VM81NG S . • , l�act5 irOm .SUGh. projetls with a mnlydGto�(s) Iicesnetl purSuanL [o $VSTEM . - - � - � - . .. . _ . ._ _ �_. G0.ADING E ��' � the ConlractOr'S UcenSe �ywj, 300,000 f BTU � � .PWN CMECK §�� � } '.i.� � � I-am exempt�untler SecHon -- - ' B. 6-P.'C. forthiz� - BOIlERS BTU �EIECTRICA� S�-• - 5 reamn. - - - � - - - - -� � P�qN'CHECK' S '^- - .MICROFILM b _ Date Owner SYSTEM REPAIR, ALTERATION { -� TOTAL PEE S�� � I hereby ttrti(ythat I ha�e reatl lhis applfca[fon ana state that the above EXHAUST SVSTEM MUl71PLE '�MECHANICAL E -' . . iniormatlon is'correct t a ree to comply with all tit ' antl count PIAN•CHECK -�E _� LE55 AD- 9 Y Y "VANCEPC b_ orGinances antl state iawz relatlng ro tonstruction, anC �ereby authorize ' •. i �ep�e5entative5 oi� Ihls city to enter-upon'ihe above mentiOn¢tl - - � ' T prop¢rty tor inspe loq purpo5e5. FINALFEE E �0�� Signature � �� �7, Date Ir� /S 9 - - - - -� � - � � • - - �rlvAro"lRense or-SS �! ' ' -- � ISSUE FEE•"" ' . . . . . _ � . _. . . .. . . " '__ CMF 0865-J6 White�Builaing; Canary-Applicant: Pink-Accounting: Goltlenrotl-Asussor ' ° CONSTRUCTION AND PLANNING r • � � ! POOL & SPA �" � , .�� l - . �� , APPROVALS Permit # -� Date Inspector qppROVACS=' - Date � Inspector Permit # 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location •- �- $oil ipe-Un rgrn ; ' - 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 Gm _ 48. APPROVALTO COVER-GUNITE - - --- - - 7. Footings � 49. Electrical Conduit-Undr rn ' • � . ,8. Foundation _ _ � ' ' 50. Gas Pipe, ❑ Undr in, Test " '� ' � ' � . 9. . Water.Pipe-Undrgm_ 51. Backwash Lines P-Tra� �' nd� rn -' ' � -� ,._10. _ St[uctural Floor SYstem .. ' , 52. APPROVAC TO DECK - � - ' " " 17.. Propecty.Sewer Line.&.House Connection ' � .53. Backwash & Rece tor-Final " � � � � 12. Street Sewec Connection __ �' �' 54. Heater & Vent-Fina6 ' ' 13. Rough Plumbing � ' �- - 14. Rough ElectricConduit ' - � • - - 56. • Electrical�-Final - � � � • 15. Rough Electric-Wiring � -- --- - -57. �-Solar System-Final , �" - " ' ' 76: - 'Rough Heating & Air Gonditioning' -- - � - � -- • encing & Access Approval � . . ' . 17. Ducts in Structure� � ' � � . APPROVED FOR PLASTERING � - • ' � - 18: •Ducts, Ventilating� � - • • - � � � . ' . _ .. . . . . _ . _ . 19: Gas Pipe=Rough &Test - " ' � - - - - � 60. FOOL/SPA SYSTEMS-FINAL . �. . ='� � 20: Roof Framing - - �- -- -i � - ' ' � � • ' ' � - 21: RoofSheathin - � � --- ---���� -- - - , ^ - -' � �• - 22:- Prame�and Flashin � � �- - - - -- - - __ NOTES: - • .' � � " , . . � 23.- Insulation �. . - . . - . - . . .. .. . _ . . . _. 24. �Lathiog &�Siding - -- - - - - � - - - - . . . . . . � 25. Drywall Nailing . .- - ' . - - ' � . - - � 26: Plaster Brown Coat � - - � � . .. -27: ,. Electrical Power MeterFinal- - - - � ^ � � - - . � _ � � �. 28. = Final �Electric � - - - � - � ' � � � � � • 29. Final Heating & Air Conditioning- - - - - -- - - - � - - � � - 30. Final �Gas Pipe•Test - - - - - � � ' - - -- � . , • � 31. Final Plumbing. - -' - � 32. �Water Service-Final - -- - � ' 33. Gas-Service-Final � � ' ' ' ' � 34. Solar pomesticFinai ' •� ' � � � - - � ' 35. Landsca e S rinklin S stem � � � 36. Sound Attenuation - � �� � i 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 ' Aoo��canl to fill in all sDaces within neavy Doraer Iines ana slgn al1 appropriate aeclarations. �' CITY-OF COSTA MESA � PERMIT NO. � ' '- ' T0.ACT NO. LOT NO: BL G. NO'� ' " ''- CONSTRUCTION PERMIT i�- aoq �- � `� Pmject Address � i cT- TVP CONSTRUCTION � � Ownel D� 5 PhOn ,'� ' NEW �� ADD '❑ ALTERATION i ' ' ' AddfC4 - � � • O REPAIR O�CONVERSION ❑,DEMOLISH __ ArchlEng. � � ' - - -- - License No. - ❑�oTtiER � ` � � Address-- - � DESCRIPTION OF WORK Convactor - , ', - G1Q Phon .3 TYPE OF PERMIT - � � � � Address �% � . ❑GRADING ❑'FOUNDATION STRUCTVRAL -' -LICENSED� CONTRACTOR-DECLARATION - ❑ TENANT ❑ ELECTRICAL UMBING OMECHANICA I hereby affirm that I arri Iicensetl untler 0/ovlsions of COarter 9(com- � - 'tnenUng' wlt� sectlon'7000) of DlWslon 3 0( the Business anC ❑ OTHER - Professlons COCe, ntl m Iicense is full orca e -� � � _PROJECT DESCRIPTION LicensY C� s o Ice o. . ' .• ' ' �Date�L¢C� % Sig t �'r�I� i' ' /i SQ. F7. ' � � ' � '� �_ • . . ' ' WORKERS'COMPENSATION�DECLA�.°�TION - . OCCVPANCV_CONSTRUCTIONTVPE. I hGreby affirT that 1 have a Certiflc�te�f consent to selt-InSure Or a VALUATION ' ' ZONE tertlfiwte ot Workers' Compensatloh �Insurance, or a�Certifletl copY . -- thereof (Sec[ion 3800, L;b. C.). ' U GRADING CV.�VDS. � ACRES / J!/�A,c�� �nlicY No. � ComPuny � �/� ' ' �J.r'.��Cgf�fieticopylsherebyfurnlshatl. • - - -REMARKS: - - � " �� ' "'- P��.j�aEertifietl copy is flletl y,��th t�e city Builtling Division. . _ EXENIPTION FROM WQRKERS' COMPENSATION OECLARATION " �" � - - _(Thls section nelG not bG completetl if tna pe�mit IS f0/ one huntl�etl. . . __ (§L0� OI 1255). ' • . . 1 I.C¢rt�fy tnat In the per(brmanGe ot th¢ work for whith this permit IS . . . _ issuetl, 1 shall not employ any person In any manner so as to become PLUMBING PLAN CHECK suCject to the Workors'.Compensation l�ws of California.. . ' ._ . . Date Slgnature� BATHTUBS SHOWERS NOTICE: If after makiny this tleclaration, you shoultl bacome subject TOILETS� URINALS - to lhe Workers' Compengation provisionz ot the tabor Cotle, you must � . forlhwith <omply'wilh sUch provislons or this permit zhall be tleemetl �VATORIES �OUBLE L'AVS �avOk¢tl.__. . � .. . . _ _ . . CONSTRUCTION LENOING AGENCV KIT SINKS DISHWASHERS` I hereby affirm that tnere is a construction lentling agenty for the per- SERVICE SINKS � SUMPS � formance of the work fbr wnich this permit is issuea (Sectlon 3097 Civ. C.). ' - � " '— -" FLOOR SINKS FLOOR DRAINS � Lentler's Name Lentler's Atltlress V � DRINI[ING�FOUNTAINS- �� � . OWNERBUILDERDECLARATION - � INTERCEPTORS �CLARIFIERS I herebv affirm lhat I am exempt t�om the Contrattor'S LlcenSe Law fa� NIlIq fCd5011 ($2CL�00 %�il.$ 8�15�OE55 dfld Pl01QSSI005 COCC: r o� county which requir¢s a permit to co05lruCt, al[e�, tlemolish or rep�ir any structure, prior to It5lssUance, also re- 3 dp4�IGOf 10! iuch permit lo (ile a Si9netl statemen[ that he BuSin¢55'dntl' P�We55iOns Cotle) o�'that he IS ex¢mpt the�efwm antl'Lhe ba515 tor Ihe alle9¢tl exemO��On. Any vlolafion ot $ectiOn 7031.5 by • applicdnt 1o�'a-p¢rmit subjects tnC appllcdnYtO a clvil pe0alfy �ot more than five huntlretl tlollars (5500). I, as owner o( lhe property, or my employees with waqes as fheir sol¢.CompensatiOn, will qo Ihe work, antl the 5[ruCture I5 not intentletl or offeretl (or sale. (SCcryon 7044, Bu5ine55 antl Aofe5510n5 Cotle: The Contractor's License Law.tloes not apply to.an owner of a properfy who builtls or improves thereon, antl who tloes such wOrk himself or throu9h his own employee5,.provitleC that such improvements are not Intentletl or offeretl br sale. If, bowever, tne builtling or improvement Is.Soltl wilhin onC yCar of wmpletion, the Owner will hdve the burtlen Ot D�oving he tlitl not builtl o� improva for Ih¢ purpose of sale). ❑ 1,- as owne� of-the p�pper[y, arp excluSively mnVaGting wi[h IICenSetl COnt�actor5 to ConstruGt lbe project ($eclion ]044, Business antl'ProTessions Cotle: The Con[ractor's Licenze Law tloes�not apO�Y'to dh Owne� of prOpe�ty who builtls or Imp�ove5 [he�eon, dntl who con- Vacls f�om such projecCs-with a contrdttot(s}iiG¢Sned -pursuant lo 111G COOtldCtOf'S LIC¢OS¢ Lyw), ❑ I am exempt untler Section �B. 6 P. C. for tFiis Rd500" _ " ' ' _ ' '�' _ " ' ' Date Qwner - � I hGrGDy certi(y thdt I n�ve �eatl�is appf [ion antl State that the above Intormation is coriec 1 aa�e to c olv with xll tltv ana countv p�o CMF 0865-46 SWIMMING POOL - P�TRAP WATERSE(3VICE- ALTERATION GASSERVICE OVTLETS WATER HEATERS BTU OUTPUT SEW ER CONNECTIONS—�— SOLARTANK' COLLECTOR< SOLAR PIPING SYS. .7���, ISSUE FEE MECHANICAL PLAN CHECK HEATINGSYSTEM 0-100,0008TU_ AND DUCTING �. 100,000 t BTU_ 0.EFRIGERATION 0-100,000 BTU_ SYSTEM' " � 100,000 t BTU _ BOILERS BTU SVSTEM REPAIR,ALTERATION EXHAUSTSVSTEM MULTIPLE � ' - - issueFee- • -• - Canary-Appliwnt: Pink-Accounting: Goltlenrotl-Assessor , �, ;" �'•_ • } A.P. � ZONE 9702 12/I'7/BI REAR VARD (TO P/L) PKG.SPACE REQ. STREET WIDTH LONING HPPROVED BV :PECIAL CONOITIONS: PLNTGp. RgUEF. � . PROPE�R7YNLtNf PROVIDED�. PARK FEE : - ; DATE ELECTHICAL �' - P�AN 6HECK 37.00 TL � 'GENERATOR �0-1 VCW_1-30,KN/ � TRANSFORMER � -APPIIANCE 30-SOKW_SO+KW ' 'MOTORS ' 0-1HP_1-1'O�HP - " �pNC.50LAR)� �30-SOHP'_'SO+Hp -- FIXTUFES "" -'OVTLETS - SWITCHES -- � GAS TUBE SIGN$ " - - ` ' - ' POLE�LIGNTS'- �- ' - ' - -PANECS ' MAIN - - ;SVB" ' ' '- -'SERVICE� ' ' " -- --' -' AMP _ a _ . ---- - 3 _ . ' _ ' ..�, � I �. �- ISSUE FEE � ' . ' APPLICATIONAPCROVEDBV' � DATE ' SUMMARV OF FEES . 'BUICDING ' - ' " - - ' -- "' '" PERMIT S SMIP' � S PLAN CHECK y PERMIT , - � ISSVANCE E' - PLVMBING S . GRADING E , PLAN CHECK� E � � „ . ' . . ELECTRICP.L � $ � � E PLAN CHECK $ ' - - � M�GROFILM,E ' � ' � TOTAL FEE E � � �, MECHANICAL �E `- PLAN CHECK S - - '.LE55 AD- '� - _ , VANCEPC 5- ' � 1 , J( • . _ . . FINAL FEE $ 3� . _ CONSTRUCTION AND,PLANNI�G , POOL & SPA - � r� -�°�'- �� ���� � ���� �� p�(� �, Date Inspector - - Oate_ Inspector`� APPROVALS Permit # L' � APPROVALS �, Permit # i. Temporary Electrical Service or Pole ' 43. Pool. & Equipmen� Location - • � - - � - � - - . . Soil ipe-Undrgrn - � - �Z- _�� 44. Steel Reinforcement -- - • -• - � � � � • - - --- - . 3. Electrical Conduit Utility-Undrgm � 45. Forms � 4. Electrical ConduirUndrgrn 46. Electrical Bonding � - � . tee ein orce 47. Rough Plumtiin & Pressure Test 6. Electrical UFER Grn ' � � '48. APPROVALTO COVER-GUNITE - � 7. Footings � ' " 49. Electrical Conduit-Undr rn �. 6.. Foundation ' 50. Gas Pipe, ❑ Undr rn, Test� •- �� � 9. Water Pipe-Undrgm Z-,Z _�/ 51. Backwash Lines P-Tra '� 'ndr m"" --- � �- � 10. Structural Floor System ' 52. APPROVALTO DECK'-"' '� "- ' "-' -' ' - •-- • 1.1. Property Sewer Line & House Connection' �� 53. Backwash & Rece torFinal �-+ �� . 12. Street Sewer Connection � � ' • - �� 54. Heater & Vent-Final � • � 13. Rough Plumbing �9= - '•--- ---- ' 14. Rough Electric-Conduit - - � - �56. -Electrical-Final - � • 15. Rough Electric-Wiring - '- �- - - � � - � 57. Solar System-Final ' � 16. Rough Heating &-Air Conditioning _ � encing & Access Approval . ,� j . 19. Ducts in Structure� �- APPROVED FOR PLASTERING 78. Ducts, Ventilating , 19. Gas Pipe-Fough & Test � � ' � ' 60. . POOUSPA SYSTEMS FINAL ' . . 20. _ Roof Framing ' ' � � � . � 21. Roof Sheathin ' � � . �� - � 22. Frameand Flashin � - NOTES: ' • -23.-� Insulation � ' - ' � _ I . ' - . 24. Lathing & Siding � � ' - 25. Drywall Nailing - ' " � � 26. Plaster Brown Coat � � 27. Electrical Power MeterFinal - - ' " 28. - Final Electric� � � - � - 29. Final Heating & Air Conditioning. . . � 30. Final Gas Pipe-Test ' 31. Final Plumbing ' � 32. - Water Service-Final ' ' �� 33. Gas Service-Final � � � � � � ' � 34. Solar pomesticFinal • � � ' �� � ' 35. Landsca e 5 rinklin S stem � ' � 36. Sound Attenuation - 37. Handicap Regulations - � ' 38. FINALSTRUCTURE&BUILDING 39. Special Requirements Completed - ' - - � � 40. Electcic Release to Edison - � - --- ' ' - 41. Gas Release to Southern California Gas Co. - 42. CERTIFICATEOFOCCUPANCY . _ - � - _No Date ADp��cant lo fill in all spaces w�thin heavy bortler lines ane sign all approprlate aeclarationf CITY OF COSTA MESA PERjVj�`�^� /� TRAGT NO. LOT NO. �BLDG. N. CONSTRUCTION PERMIT /�/ o Project Address 93 �J, 18TH ST. BLDG D-i � • TVPE OF CONSTRUCTION OWner JIM BROOKS � Pnone]]0-5400 � NEW ❑ ADO ❑ ALTERATION Address 1 2 LA LOM4 LEMON HEIGHTS CA ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ArchlEng. Litense No. ❑ OTHER _ ,,. OESCRIPTION OF WORK Co�tractor Fl1Tl1RA ENERGY PRODUCTS Phone LICENSED CONTRACTOR DECLARATION I hereby aftirm that I am II[ensetl untler provislons of Char er 9(com- mencing with 5ectlon 7000) ot �Ivisio 3 OT he Bu inez5 antl Aofesslons Cotle, antl my Iicense is fn tull �rce a tl ef�ect: Date� G v Si9na�ure v � ' WORK RS' OMPENSATIP�'1 E LARATI N � I hereby at}irro that I hav6 a erirtitate Of Consent f0 self-insur¢ Or d certififzte of Workers' CoT ¢nsatlOn InSUrance, or a certlfleA copy thereof (Section 3800 Lab. C.). Poncvrvo.PW�975'�105 corr,aaov FUTt)RA—MTNTnN INS_ Certitietl copy�is hereby furnishetl. � Certlfietl copy is filetl with the city Builtlinq Division. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completetl it the permi[ is for one huntlretl (E1QOj or te551. I CBrtity [ha[ ln the perfornlance of the work for which thls Permit is issuetl, I ihall not employ a�Y Oerson in any manner so ai to betome subject to the Workers' ComPensation Ldws of Cdli(ornla. Date Si9nature NOTICE: If after making [n�s tleclaration, you shoultl become subject to the Workar5' Comp¢n5ation provlsions of the Labor COde, you must tOrthwith cOmply with sUch prOvi5iOn5 Or thi5 permit Shall be tl¢¢metl revoketl. - � - - - - CONSTRUCTION LENDING AGENCV I hBreby af(i�m tltat the�e IS a Const/uttlOn lentling agency to� the per- (ormance of lhe work for whicn this permit iz issuetl (Sectlon 3097 Civ. C.�. Lentler'S Name LentleYs Atltlress — -- - -- — OWNER BUILDER DECLARATION � '� I hereby affirm that I am exempi from the Contractor'S License Law for the following reason (Section 7031.5 Business antl Profe551ons Cotle: Any clty o� county wMch requires a permit fo conslruGt, alter, improve, tlemolish or repair any structure; prior to its 155uance, also re- quires tne applicant tor tucn Permit to (ile a signetl s[a[ement that he is Iicensetl pursuant lo the provisions o( the Contracror's License Law (Chapter 9.(Commencing W�Ih Section 7000) of Olvision 3 Ot the BUSine55 dntl Pfofessions Code) or that h¢ (s exCmpt thereflOT antl the basis Por tM1e allegetl exemption. Any vioiation of Sectlon 7033.5 by � apPllcant for a permit subjects the applicant to'a civll penalty �ot more than five huntlretl tlollars (5500). �, ds owne� of lM1e propC�ty, o� my employeez with waqes as [heir sole compensation, will tlo [h¢ wark, antl [he structure is not intentled or oftmetl for sale. (SecUon �044, Business antl Professlon5 COtle: The Coniractor'S Li<ense Law tloes not apply to an owner ot a O�operty who bulltls O/ imp�oves the/eon, antl who tloes such wo�k him5elf or throu9h his own employee5, P�ovitletl that such imOrovement5 are not intentletl or ot(eretl for zale. ��. howeveq lhe bulltling or improvemenl is soltl within one year of completion, tne owner wiil have the burtlen of proving he tlid not bu(�tl or improve Por the purpose of sale). � � 1, as owner oi [he property, am exclusivery contractin9 with ��. licensetl conVactors to cons«uct the proje<t (Section 7044, Business ��, antl PrOle55io0s CoOe: The Cont�acto�'S Llcen52 Law Ooes not apply [o . an OwnGr Ot property who builtls or improves thereon, antl who con- ' tracls /!om Suth prOj2Ct5 W�tb a Contfactof(s) li[¢5ne0 pulSuant to I the Coniractor's License Law). ❑ I am exempt untler Section B. & P. C. for ihiz rea5on Date Owner - I h¢rebv ttrtifvthdt I hav0 redtl IhiS.appliCdtion antl sta[e that the above CMF TVPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAI ❑ TENANT ❑ ELECTRICAL OPLUMBING �MECNAI ❑ OTHER - PROJECT DESCRIPTION � - SQ. FT. � OCCUPANCY_CONSTRUCTIONTYPE VALUATION ZONE GRADWG CU. V�S. ACRES REMARKS: PLUMBING BATHTUBS TOILET$ ' LAVATORIES KIT SINKS SERVICE SINKS FLOOR SINKS DRINKING FOUNTAINS INTERCEPTORS $WIMMING POOL WATER SERVICE GASSERVICE WATER HEATERS SEWERCONNECTIONS PLAN CHECK� SHOWERS URINALS DOVBLELAVS DISHWASHERS SUMPS FLOOR DRAINS CLARIFIERS PTRAP ALTERATION OUTLETS BTU OUTPUT � t COLLECTORS SOLAR PIPING SVS. ISSUE FEE MECHANICAL GLAN CHEGK HEATING SVSTEM 0-300,000 BTU_ AND DUCTING 300,000 � BTU _ REFRIGERATION 0-300,000 BTU_ '$VSTEM 300,000 + BTU _ BOILERS BTU SVSTEM REPAIR, ALTERATION EXHAUSTSVSTEM MVLTIPLE rorrecL I aqree to c mply with all city antl county tate IdwS relJt �9 to c n5t�uction, antl hGreby autho�ize �' 'S clty �o ent � upon [he abov0 m¢nt onetl e ti n r os � z or 5 � ISSVE FEE White-Build��9� �nary-Applicant; Pink-Accounting; Goltlenrotl-Assessor 3100 ti' A.P. $ ZONE REAR YARD (TO PKG. SPACE REQ. STREET WIDTH SPECIHL CON ELECTRICAL PLNG. REF. � PROVI PARK PLAN CHECK �n 0-1 KW_1-30 KW _ �TRANSFORMER APPLIANCE 10-SOKW_50+'KW_ MOTORS 0-1 HP_1-10 HP _ (ING. SOLAR) 30-50 HP 50 * HP _ FIXTURES OVTLETS SWITCHES GAS TUBE SIGNS POLE LIGHTS PANELS MAIN SUB SERVICE - - AMP ISSUE FEE APPLICATION APPROV ED DATE SUMMARV OF�FEES , BUILDING ' - PERMIT S $MIP S PLAN CHECK E PERMIT PWMBING y �SSUANCE E PLAN CHECK $ GRADING E rELEGTRICAL g E PLAN CHECK g . MICROFILM E MECHANICAL $ • • �� TOTAL FEE $� FLAN CHECK S LE55 AD- • VANCEPC E_ FINALFEE E �'OO CONSTRUCTION AND PLANNIN�G��y]� , POOLSi $PA � ' . - `,� APPROVALS Permit# ^_1__G°� Date Inspector �qppROVALS Permit.# � Date Inspector i. Temporary Electrical Service or Pole - 43. Pool & Equipment Location � 2. Soil ipe-Un rgrn 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 rn - 8. Foundation � 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgm 51. Backwash Lines P-Tra ❑ Undr r ���'�� 10. Structural Floor System 52. APPROVALTO DECK �'�` �''- -` 11. Property Sewer Line & House Connection 53. 8ackwash & Rece tor-Final 12.. Street Sewer Connection 54. Heater & Vent-Final 13. Rough Plumbing � - � 14. Rough ElectricConduit � - � •56. Electrical-Final � 15. Rough Etectric-Wiring � � - '57. Solar System-Final ' ' 16. Rough Heating & Air Conditioning . i • encing & Access Approval 17. Ducts in S[ructure 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. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter-Final � 28. Final Electric 29. Final Heating & Air Conditioning L � 30. Final Gas Pipe-Test 31. Finai Plumbing 32. Water Service-Final 33. Gas Service-Final 34. Solar pomestic-Fina1 35. Landsca e S rinklin S stem � 36. -Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BU�LDING 39. Special Requirements Completed 40. Electric Release to Edison '� � 41 . Gas Release to Southern Caiifornia Gas Co. � 42. CERTIFICATE OF OCCUPANCY No Date ' �. C, _��:. ` � .`� . 't, „ >t- -y� : I\ ADP��<ant to lill in all CITY OF COSTA MESA CONSTRUCTION PERMIT withln naavy bortler lines antl sign all apOropriate aeclaratlon TRACT NO. LOT NO. BTLDG. lN'O. �� '� //�'-i Project Addressy� S`y'z� -- � ' TVPE OF CONSTRUCTION • Ownef ��S` n Phone ❑ NEW ❑ ADD ❑ ALTERATION Addreis ' ❑ REPAIq ❑ CONVERSION ❑DEMOLISH rArth/Eng. - Litense No. ❑ OTHER � Addre55 � ' - - DESCRIPTION�OF WORK Contrector Phone7 TYPE OF PERMITa %AddfCss ❑ GRADING � O �FOUNDATION� ❑ STRUCTURAC " LICENSED CONTRACTOR DECL RATION '• ' -- - ❑ TENANT ❑ ELECTRICAL'OPLUMBING ❑MECHANICF I hereby af/irm lh:.l'I am Ilcanletl untler provl5ion5 ot Chartet 9(tom- � � � mencing with sacllon"�000) o( Dlvlsion 3 of the Business ana '❑OTHER - Rofassions Coae, ,lan�tl my Iicense is in full force¢ (a�ntl� �e�ffect: •pRO�ECTDESCRIPTION'- � • - � Litenso Class ���j II 4cenze No.�16t.GLt� SQ FT. ' '� r' L- � 'Z.�i,'- �1� . �/ l/..� /J�w�nJ' / . .c _ '" ' _ ' Date Si9�ature �--�� � �- ,.� � WORKERS'COMPENSATION DECLARATION'- - -OCCUPANCV_CONSTRUCTION TYPE 1 hereby affirm that I have a certificata of consent lo self-Insura or a VALUATIOIV ' ZONE certificate oi Workcrs' Compensallon Insurance, or a certifletl topy - '- - - thereof (Sectlon 3800, Lab. C.�. .y-� 1 ��/� GRADING CU. VDS. ACRES � ":Y No. ComPanY 1� Ll�M/� S �l5//r ' ' " "' "' .. _ . . �rtlfietl copyiz��ereby (umh�etic- -- - REMARKS: - ' � t-- - � - � -- :ertifietl cOpy I5 filetl with th¢ city Builtling DivisiOn. . EXEMPTION FROM WORKERS' COMVENSATION DECIHRATION - � � �� ' ��� �' � � � - (This Sectlon neetl not ba complet6tl it the pe�mit i5 tor one huntl�etl - __. _. _ - (5300) or leu). • ` ' - 1 CBrtifythdt-in tha�performance oLl�e work for w�ich this.permit Is _ . . _. _,_ izsue0, 1 shall not employ any persan in any manner so as to betome PLUMBING •PLAN CIiECI( subjact to the Workers' Compensation Laws of Glifomia.-' _. . .. _. Dale Signature � BATHTVBS SHOWERS ' NOTICE: If after makin9 this tleclaration, you shoultl become zuDject � TQILETS , ';,� , URINALS lo the Wolkaf5' CATpinsatio0 prOVisiOns ot tbe Ldbor COtle, you muil � _. _ fart�with comply with zuch provislons or this permit snall be Geematl �.VATORIES DOUBLE LAVS rovokGtl. - . _ . � " ' _ .. . .. . . _ _ .�. CONSTRUCTIONLENDINGAGENCV KIT.SINKS - DISHWASHERS� I hereby al(irm tnat Mcre is a conitruttion lentling agency lor thc per- SER V ICE SINKS " "' �SUMPS � - formanceA!_lhe work for whith this permit is i55uetl (Section 309] Civ. C.). FLOOR SINKS FLOOR DRAINS � L.entler's Name _ _ ' . . . . LenCer'S AOtlress DRINKING FOVNTAINS � i' � OWNER BVILDER OECLARATION � � - � INTERCEPTORS CLARIFIERS 1 �ereby aHirm thdt I dm exempl from Ihe ConlydtlOr's L(censa Law fOr - the follOwing ieason (SeCNOn 7031.5'Business antl PrOt¢551ons-CotlC:' $WIMMING POOL � PTRAP �� Any _city or county w�lch reQWres a,permi[ to construct, altor, improve, tlomolish or repalr any structure, prior to its issuance, also ra- yyqTER SERVICE ALTERATION � '� qUIreS th¢ ap�.licant tOr sucn permi[ to �Ile a Signetl Statemenl lnat hC _ ___ ic ucenaea oursuant lo thabroviilons o( tFe Contraclor'S'Littnse'law GAS SERVICE ^' �T� �T° mr me aila9 pplicinl for t rtlOre lhun as owncr of ' thdt hC I5 e%empt-LM1erGirom antl Any vlolallon of Sectlon ]031 : ecls'th¢ ap0licant'to a ti'vil pen �.ollars (5500). or my employees wlth wage5 di t ork. an0 t�e sVueture is not Intae' WATER HEATERS - H �� or offeretl lor sale. ($octlon 7044, Business antl Aote55ionz Cotle: Tne SOLAR PIPING SVS. ' COntlacto!'S l_iCCn50-Ldw tlo05 not apply-to dn Own<r Ot-a pfOp¢rty - _ ... .. ..- who bulltls o/ ImO�ovas Ihe�oon, antl who tl0¢s suGh work himsell or ISSUE FEE lNough his own employoes, prOvidetl thdLSuch improvam¢nts dr0.mt � intentletl or o�lcretl tor sale. If, however, the builtling or improvemonl MECHANICAL PLAN CHECK is sOltl-wilhin ono�year�ol compl8[ion, iha owner will hava NaburUan - of provinq ha tlitl not builtl or improve tor tne Ourpoze of sa�e). HEATING SVSTEM 0-]00,000 BTU_ 0'I, as owner ol"ine proporty, am extlusively�contracting with - qND DVCTING� � �� ❑censetl conlractors to comtruct tne pro7ect (Section 7044, Business 300,000 ? BTU _ antl Professions Cotle:'The Contrattor•5 License'Law tloes not apply to an owner ol pro0erty who builtls or impraves thereon, antl who con- REFRIGERATION 0-100,000 BTU_ tracts'Irom sucb Pro7ecti with a contractor(5)-Ilceinetl purzuant ro SVSTEM ""' "" "" "' the ConVaQor's Licensc Law). 300,000 � BTV _ ❑ I am exampt unGer Sectlon B. 6 P. G br thii gOILERS BTU re'ason - - � � - -� Date ' - - Owner - - - _ SYSTEM REPI I hereby certify.ihat 1 hava reatl lhis application anC sta[e that Ihe above EXHAUST SV: information is correct. I agree to comply with'all city antl counlY �E ortlinances anE statn IawS.relatin9 to construction, antl hereby authorize_ representalives oi this clty to entei upon the above mentionetl �'.., property. for inI�ectl .,purposes. _ � Si9na[u�e �u'�iQ. 7-���^" Dale � 2'�y. _ Drivers' License ar 55 �F / ISSUE FEE CMF 0065�46 White-Builtling; Canary-ApP����t: Pink-Accountin9: Goltlenrotl-Assezsor ALTERA vl M 2757 3/02/82 ' '9.03 TL' ZONING REGULATIONS . _. . ' A.P. 3� ZONE PLNTGo. gRUEF�, pyp SETBACKC/LST. P�EOPE�RTVNLINI SIDE VARD . . L5EpFT - R�IGHT� .. . REAR YARD (TO P/Ll � PKG.SPACERE�. PROVIDED ,STREET WIOTH - PARK,F,EE ZONINGAPPROVEDBV -, �y DATI SPECIAL CONDITIONS: PLAN C GENERATOR 0-1 KW_ 1-30 KW _ TRANSFORMER - - APPLIANCE 30-50 KW 50 + KW _ MOTORS ' 0-1 MP_1-10 HP _ (INC. SOLAR)-� 10-50 HP 50'�'HP _ FI%TURES OVTlETS �SWITCHES GASTVBESIGNS -' - " POLE LIGHTS ' "-- - -" ' " "' . 9 PANELS�- 'MAIN' "'SUB " ' SERVICE ' ' -' -' ' AMP " " ' " " "�' . .� _.. _ .. - �^.� I _ _ _ _ .._ �_. _ _ _ _ ' . � � ISSUE FEE �' - � - - - " "` AVPLICATIONAPVROVED'BV - ""'. DHTE ' SUMMARV OF FEES. � , } � �BVILDING " " - '-� � - �- � i 'PERMIT ^ , S , ' SMIP. i� S� � PLAN CHECK S PERMIT.' !1 � . ' - ' - - - -i55VANCE S - PLVMBING S . GRADING' E � PLAN CHECK 5 � � .. � •' ELECTRICAL 5 s . ' �' � �'MICROFILM.S � � PLANCHECK �S' �- '- f � MECHANICAL-E TOTALFEE.E �"�' PLAN CHECK"S" -' � 'LE55 AD=� • ' _ ' , VANCEPC-�E_ � ''�' '- .� i : _ . 9�/�D ', � � _ _ FINALFEE E.S� �, ' . _ ' _ ' " _ ' . CONSTRUCTION AND PLANNING p� • POOL & SPA• . - "�."' APPROVALS , ' � Permit # �'41" Date Inspector� pppROVALS Permit # - � � Date � ' Inspector ' t. Temporary Electrical Service or Pole 43. Pool & Equipment Location - � -�- - -- il ipe-Undrgrn - 44. Steel Reinforcement -- -- ' _ 3. Electrical Conduit Utility-Undrgrn_ � 45. Forms ' ' 4. Electrical Conduit-Undrgrn � 46. Electrical Bonding . tee em orce -. 47. Rou h Plumbin & Pressure Test ' " _._.... _ . ..... . ..__. 6. _Electrical UFER_Gm _ _ , 48.� APPROVALTO COVER-GUNITE •=•�• •�•- � -- - ����-�- -. -•� � _ 7. oo[ings - - - - 49, Electrical Conduit-Undr m . � - - _8. Foundation � � 50. Gas Pipe ❑ Undr rn, Test - _ 9. Water Pipe�-Undrgrn, 51. Backwash Lines P-Tra �• rtdr 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•Final 13. Rough Plumbing _ - -- "- " '" " 14. Rough Electric-Conduit - � � 56. Electrical•Final � � 15. Rough Electric-Wiring - � - - 57. Solar System-Finat ' � � � � 16. Rough Heating & Air Conditioning - - +- • encing & Access Approval . 17. Ducts in Structure ' ' APPROVED FOR PLASTERING � 18., Ducts, Ventilating - . - 19. GasPipe-Rough&Test 60. POOL/SPASYSTEMSFINAL� � � : 20. Roof Framing ' ' - • - - � � � � 21. Roof Sheathin � " � � � � 22. Frame and Flashin NOTES: � ". ' � 23. Insulation - ' � � � 24. Lathing & Siding � 25. Drywall Nailing " - ' ' ' � ' � 26. Plaster Brown Coat � ' ' - 27. Electcical Power Meter-Finab - ' ' � � 28. - �Final Electric-- ' � � ' - 29. Final Heating & Air Conditioning__ _.. 5�1-�'8'Z ' ' - � .�. � 30. Final Gas Pipe-Test - " � - • ' ' ' 31. Final Plumbing. � ' ' ' � ' - ' • ' ' 32.' Water Service-Final � " " ' ' � ' � � ��' - • � 33. Gas Service-Final � � � • 34. Solar pomesticFinal ' �' ��•' ' - 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 _ _ _ � ; . i � No Date � `i �c �� . Applicanl to q�l in all spaces w' hin �eavy ortler lines anE sign all apprapriate EeclanUons. ,CITY_O� COSTA MESA PER IT NO. TRACT NO. LOT NO. 6 G. NO. - , CONSTRUCTION PERMIT � � ` . � ProjecYAddress 6 L�, ._ . T � TVPE OF CONSTRUCTION • � 1 � � , .. , . � � Ownef ,Qd.p,� Phone -z ❑ NEW ❑ ADD ❑ ALTEI2ATION - - - ' Address� � ❑REPAIR ❑CONVERSION ODEMOLISH . � � ArchlEn9. - license No. ❑ OTHER � : q P � ZO�IINGJREG�JCAjT�IONS „ �(� nn ' DESCRIPTION OF WORK � Addre55 - '- . - ' . . . . q � ' ZONE � . . .' - PLNG. REF.'�' " ' . - Contraetor• ' . '/ Phone �/2' TVPE OF PEHMIT ' - ..' _ . . - - . ���UEi�ING . ,' ' ' Addre55 • SET A K P R V LINE� 07 6" ❑GRADING ❑ FOUNDATION ❑STRUCTVRAL I �VARD � � LICENSED. CONTRACTOR DECLARATION ' - - ❑ TENANT ❑ ELECTRIGAL OPIUMBING .OMECHANIC 5�p y . _ _ . . _ . . I hereby affirm Ih:.t I am Iicensetl unCer Provlslons o/ Charlar 9(tom- RIGHT � mencing wilh sectlon• 7000) of Dlviclon. 3 ot tha Business'antl ❑ OTHER ' REAR VAftD (TO P/L) - � '"- "' "" Professlons Cotla, antl my Iicense Is In tull forte antl eftect. ,pROJECTDESCRIPTION- �� LicanseC}l 55�,,, ' �' �Ll/wyt �sel No?96'S S�9 . ' - ' � ' ' PKG.SPACE'REQ. � - �- PROVIDED ' ` Date��3;LL_ ' ��f.V' './ SQ. F'f. ' . _ _' ' "' _ ' ' ' WORKERS'COMPENSATION DECLARATION OGCVPAfJCV_CONSTRVCTION TVPE � STREET WIDTH ?ARK FEES , �1 hereby alflrm that 1 have a cartiflcala of consent to self-Insura or a VALUA710N ZONE 20NING APPROVED BY , DATE - -- certifiwte-of Workers• Componsation-Insura��e,.or a curtifietl�copy - ' SPECIA�CONDITIONS: �' - " tnereof (Sactlon 3800, LaD. C.). . GRADING CU. V�S. ' ACRES � . • . . PnlicY No: " " "" ComPanY C//�// G-p/1. I7 - - - - -'- .. - . . ._ _ ._. . � 1ltifletl copy is.�ereby furnishetl._ _ , _ , , REMARKS: � , _ O'6 ! - -�- - :ertlfletl coOY Is filetl wlth the UtY Builtling Divisian. - - ' - �' - ' ' ,�" . .. ..� EXEMPTION�FROM'WORKERS' COMPENSqTION DECLARATION - - - ' -Z�- (This section neetl not be completetl if the Permit_ is 1or one huntlretl � � - _ � - •' � j SS100) or lessl. � • _ -' . '� " ' ' ' ' ' • - " �' ' _ Cortify that ln the�performance o( the work for whith this permit I5 � Bsuetl, I shall not employ any person in'any manner'so a5'to bemme PLUMBING, �� y '�PLAN CHECK ' '�' ',ELECTRICAL '-' - PLAN CHECK - ' � i SUEjectto the Workers' Compensation Laws of Calitornia._ � � ' ' " ' � - � ' Date Si9nature � BATHTUBS - - "` SHOWERS ">' "- ' ' - " ' - '-'" - _ ' - � � � i NOTIGE: If after making tnis tleClaration, �au 5houltl betome suDject -SOILETS • • ���� �V RINAL•5 - - - - - �GENERATOR 0-1' KW_ 1-30-KW' ' " ' ' - ' to the Workers' Compensatlon provisions o the Labor Cotle,you must �- TRANSFOHMER y. � i, - torthwith comply wit� suc� provisionz or thiy permit ihall De tleemetl �VATORIES DOUBLE LAVS� - ' APPCIANCE 30-50•KW -_50+ KW �-- mvOketl. • � - -_ - - KIT.'SINKS ' 'DISHWASHERS ' - 'MOTORS- - -- ' CONSTR VCTION LENDING AGENCV ��' '0-1 HP_1-10 HP �� 1 hereby affirm tnat thero is a construction lantling agenty lor the Oer- SERVICE SINKS �f �v VSUMPS' -�- - - 'UNQ SOLAR). '.30-50-HP 50 + f{p � _. �� _ � formante of tna wark tor wnich Ihis permit Is Issuntl (Sectlon 3097 Clv. C.). - --- -- - � - ' •- - - - ' FLOOR�SINKS ' " FLOOR ORAINS - ' "" ' FIXTVNES- - ' -OVTCETS �SWITCHES � - - - - - � Lantler'S Ndme . ��entler'SAtltlress � � - � � DRINKINGFOUNTAINS "� ' ' �GASTUBESIGNS - - - -- -� -- - OWNERBUILDER•DECLARATION-- 'INTERCEPTORS- � CL'ARIFIERS- - "i-"' ' 'POIELIGHTS�� �- - - - -- ! I hereby atfirm tha[ I am Oxempt irom tb¢ Coqlractor'S LI<Cnse I�w lor � the tollowin9 roason (Section-7031.5 BuSiness antl �Pro/asslon5 Cotlu: SWIMMING POOL^-" P'TRAP - ' -- - �- - . - - Any city or counly which requires a permit to construct, alter, POLES ' � METERED �SUB Improm,-demolish or repair any strvcture, prior to�its issuance,also-re- �- WA7ER SERVICE' '' ALTERATION - "- '- 'PANEL$ �MAIN -- SUB � '- qWres the dp�lltanl for Suth pOtmit to fi10 a slgnetl statem¢nt Ihat he -• • Is Ilcensetl pursuant4o the provi5lon5 of the Conlractor's�License Law GASSERVICE "- OVTLETS-� ' ' � "' " SERVICE - - �- � �--- AMP �- � -� � - - -� (Ghapter 9(commencing with Sec[ion 7000) of DiWsion 3 of the { Business�antl Prdessions�Cotle) or tha[ he Is exempt t�erefrom antl lhe yyqTER HEATERS- --BTV OUTPUT � ^ - - - -• - - -- - - - -- - - ba515 fOr the alle9ltl ¢xemptlon. Any viOlatlOn of SeCtion 7031.5 by _ r�y`�;^:2PPII�'vnt to��a-permit zubjetts the-dDPli<ant to-a Clvil penalty SEWERCONNECTIONS ' ' - - ' ' �- -- -- -- -- --- --- --- `f.R mOre lhan tiv¢ huntl�etl tlollars ($500), �- ' ' ' ' y{ "'as owner of [ne'ptoperry', or'my emPlOyees'wi(b wages as thelr SOLAR TANK COLCECTORS_ - �--- ^ -- - -- - -- - -- - - - soiE'Compensation, will tlo the work, antl the sfructure is not intentletl � or o(lered(or s31e. (Section 7044, Busine5s apd Protessions Cotle: The "SOl_AR'PIPING'SVS: -`- ' ' - --' 'ISSUBPEE� - - - --- - � - Contractor's License Law tloez not appy [o an owner ol a properry APPLICATION P.PPROVED BV- - ' who builtls or impwves -thereon, antl who tlbes such work himsetf or ISSUE FEE � � Y �- �' ` i 3 i - ��DATE- - [hrougM1 his.own employees, prOviCeO tnal zu[It Imp�ovem¢n[s ar¢ nol � . intentletl or olfere0 (or sale. I(, however, the builtling or imorovemenl MECHANICAL PLAN CHECK� �� �� - SUMMARV OF PEES � � � I5 soltl wlthin On0 year ol completlon, lhe oWnar will have th0 burtlen � .. . � ' ^ {`' o/ proving fio tlitl ml -builtl or Improve for'the" purpose'oi salej. -"- ' ' - - - � �,BUILDING- � - - � � -. _ _ . HEATING SVSTEM 0-300,000 BTU f PERMIT S SMIP,' �S _ ❑ I,.�aS- ownur oi .thn.- propnrtY, am .oxcl�sively_ contracting_wlth qND-DUCTING � � - - - - ' � - C - Ilcensetl contractors to construct the pro7ect (5¢�tion 7044, Business ]00,000,� BTU PLAN CHECK S PERMIT� ' ^ antl-Protessions-Cotle: The-Cantra<tor's Licoqu �aw.tloes not.apply lo __ . O� __ ISSUANCE . E' � an owner of property who builtls or Improvps tnereon, antl who ton- REFRIGERATION 0-300,000 BTU PLUMBING E� . tra<ts-Irom-Such.pro)ect5 with a contraC[or(s) Iic¢SnnC pur5uant lo SVSTEM - - . GRADING E." � lhe Con[ratlor's UcenSe Law�. �]00,000�+ BTV PLAN CHECK S- , - ❑'1'am exompt untler Sectlon ' B. & P: C. lor this ' ' - ELECTRICHL 5 "' E 1��� f � BOILERS BTU . � reason - - - � - PLANCHECK E ' MICROFILM S_ _ ' Dato Owner SVSTEMRE�AIR,A�TERATION ' .'TOTAUFEEE�' �� ' I hereby ttrtily t�al I have reatl lhis appliwtion antl state that the above EXHAUST SVSTEM MVLTIPLE - `MECHANICAL- E - --- - a PLAN�GHECK -'S ' LESSAD- Informa[ion' Is-correct:'I agrpe [o comply W�th all' Nty antl' county � ' VANCE PC 5- - � orCinances antl state laws relaHn9 to cons[ruction, antl hereby au[�oriza � , ,., - �epresen[aHvas of tM1ls clty-l0 ente� upoq th¢ abov¢"mentionetl - - -- - � ' � �' property tor 1��lactlon ur ses. G/,�'.,/ � l ��� ' Signature ���r """'"�"�� Date L�SL ' FINA� FEE 5 Drivers' License or 55 $ /��� ' � �SSUE FEE . - - - . , CMF OB6S-Jb Wt1rte-BWIOIng; Cdnary-Hppq�ynq RnK-HCCOunt�ng; GolOenfoa-/i5sessoe CONSTRUCTION AND PLANNIN�J POOL�& SPA' _.� - - . , . �-"" APPROVALS Permit# / Y�'�J Oate Inspector pppROVALS Permit# i Date � Inspector 1. Temporary Electrical Service or Pole �, „ 43. Pool & Equipment Location ' -- - -- � Soi . ipe-Un rgm 44. Steel Reinforcement • ` � • ' - � � - - 3. lectrical Conduit Utility-Undrgm � 45. Forms �- - - 4. Electrical Conduit-.Undrgm_ _ 46. Elearical Bondin - - '� . tee em orce � � 47. Rou h Plumbin & Pressure Test - - �-- -- 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE - 7. .Footings 49. Electrical Conduit-Undr rn �� ' 8. Foundation.. _ - 50. Gas Pi e, � Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra ❑ Ondr 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 Plumbing ' 14. Rough Electric-Conduit ' ' ' '� ' ,56. Electrical-Pinal � '� • ' 15. Rough Eleccric-Wiring - " - 57. -Solar System-Final - ' " ' - � ' 16. � Rough Heating & Air Conditioning -• • encing & Access Approval �� 17. Ducts in Structure - ' _ APPROVED FOR PLASTERING ' ' ' 18. Ducts, Ven[ilating - � ' -- ' . ' , . _ . . . 19. Gas Pipe-Rough &Test - : _ 60.. POOL/SPA SYSTEMS FINAL' , . ' � � 20. Roof Framing - - - - - - � ' � � ' 21. Roof Sheathin - ' � ' - ' 22. Frame and F�ashin . NOTES: . . 23. Insulation - - � ' - - ' 24. lathing�& Siding - - - � � -- - - - 25. Drywall Nai�ing - - - - �� ' � � � � � - � � 26.- Plaster Brown Coat - ' � � �� - � ' 27. Electrical Power Meter-Final � - - ' 28. Final Electric - - - - -� - - -- � 29. Final•Heating & Air Conditioning - � � � � � 30. Final Gas Pipe-Test - - - � � - - - 31: Final Plumbing ' � , 32. � Water Service-Final - - - � - � - 33. -- Gas Service-Final 34. Solar pomesticFinal � � � ' ' � 35. 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 Southem California Gas Co. � � �� • - 42. CERTIFICATEOFOCCUPANCY � - ' � � " �� No Date " . � �� Mf 4 ��� 0 > � r � J �'or,wmm d' �'" CITY OF COSTA MESA � � BlIILDING DIVISION - 77 FAIR DRIVE, COSTA MESA, CA 92626 •(774) 754-5273 • Faz (714) 754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714) 754•5626 PERMIT NUMBER: 611-00187 PERMIT TYPE B_ROOF2 APN: 93061416 JOB ADDRESS: 936 E W 18TH ST CM Vicinity: BUILDING E Squares: 4700 STATUS: DATE ISSUED: lSSUED BY: Suite/Unit: E Valuation: ISSUED 06116/2011 RMD $6,000.00 SCOPE OF WORK: REROOF CONDO BUILDING "E". TEAR OFF (E) ROOF MATERIALS, INSTALL 1 LAYER OF 30# FELT ON A 4:12 OR GREATER PITCHED ROOF AND REROOF WITH 30 YEAR COMP SHINGLES, APPROX 47 SQUARES. REPAIR AND REPLACE SHEATHING AS NEEDED. COMPLIANCE FORMS ATTACHED TO JOB CARD AND CITY PERMIT. NOTE:RESIDENTIAL RE-ROOF: Final approval of permit shall not be granted until access to dwelling unit(s) is provided for verifcation of the installation of smoke and carbon monoxide alarms by the City Inspector. See Attachment w/lnspection Card OWNER: BUTLER, MARIA OLIVIA PHONE: APPLICANT: KIM MCCLAIN PHONE: 714-897•17B0 CONTRACTOR: MCCLAIN ROOFING INC Address: 12872 VALLEY VIEW STUnit: City/State/Zip: GARDEN GROVE CA 92845 ARCHITECT: ENGINEER: FEE SUMMARY Reroof Plan Check: � $0.00 Reroof Permit Fee: $153.25 Reinspection Fee: $0.00 Bldg Std Admin Fund $1.00 Address: 936 W 18TH ST # D-2 City/State/Zip: COSTA MESA, CA Address: 12812 VALLEY VIEW ST City/State/Zip: GARDEN GROVE, CA STE 33 License No. License No. License No. 625013 PHONE: 714-897-1780 CELL: PHONE: PHONE: Unit: Unit: :STE 33 TOTAL FEES $754.25 HOURS FOR CONSTRUCTION ACTIVITY; EFFECTIVE 3N8I2010 - PER CMMC Sec. 13-279 Monday thru�Friday - 7:00 am thru 7:00 pm. Saturdays - 9:00 am thru 6:00 pm. Prohibitied all hours - Sundays and the followi�g Federal holidays New Years Day, Memorial Day, Intlependence Dav. Labor Dav, Thanksqivinq Dav and Christmas Dav NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and fnal approval will result in the expiration of this permit. CO�Et INSPECiIONTPE OpTE INTITIRLS COOE� INSPECIIONTYPE �ATE INPTIAL 1816 Fixed Sysiem Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof �� ��� 210 Final Elecirical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Fina� Fac�ory Fire Place 220 Final Planning Appmval 203 Final Sign 222 Final Site 204 Final Demolition '� 250 Final Building/OcCupancy WORKERS' COMPENSATION DECLARATIOS{: '�, I hereby aKrm under penalry of perjury one of Ihe lollowing declarations: ❑ I have and will mainlain a tertificate of COnSent to 5el(-InSure (or vrorkers' compensation, as provided for by seclion 3700 0( the Labor Cotle, (or [he p,_e,/AOrmance of the work !or which tfiis permit is issued. IG I have and will maintain workers' compensation insurance, as required by sectbn 3700 of the Labor Code, for the performance of the work for wtiich this permit is issuetl. My workers' compensation Insurance carrier and policy number are: ('`� �Carrier: fV�-%� (T��s sednn need irol be cvmp�('efed d I�e peim!fu valued al one �u�WieO CaNars (5 �00) wless ) PolicyNumber: �� � J7��^L�� ❑ I certify tha[ in the peAormance of �h� work !or which lhis permit is issued, I shall no[ employ any person in any rrianner so as to become subject to �he workers' compensation laws of California, and agree that if I shoultl become subject to the workers' compensation provisions of Section 3700 of the Labor orydye�, I shall (orthwith comply with these provision . � l' /� l i/, , AOd�` ���9��ure Date WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER4GE IS UNIAWFUL AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LqBOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aKrm Ihat I am licensed under provigions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Protessions Code, and my license is in full force and eflect. uc. n CD I� ciass tt��� ���� %'�/ /0�/!Or(i Contractor's Slgnawre Date �'" C _ CONSTRUCTION LENDING AGENCY: ❑ I hereby aKrtn [hat there� is a constructbn lending agency (or the peAortnance of the v.ork fa wfiich Ihis pertnit is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Atltlress: SignaWre Date OWNER-BUILDER DECLARATIONS: I hereDy aKrm that under penalty of perjury �hat 1 am EXEMPT FROM THE CONTRACTORS LICENSE LAW for Ihe follovnng reason (Sec. 7031.5, Busine55 antl Pro(es5ion5 Cotle: Any Cily of coUnty Which require5 a permil lo constmct, alter, improve, demolish, or repair any sWCWre, pnor to its issoance, also requires Ihe applicant br such permit to file a signed s[atemenl that he or she is licensed pursuant to the provisions of lhe Coniractors License Law (Chapter 9(commencing wi�h Sgction 7000) o( Division 3 of the Business and Professions Code) or that he or she is exempl therefrom and ihe basis !or ihe allegetl exemption. Any violation o( Section 7031.5 by any applicant for a permit subjects the applicant t0 a civil penalty of not more than fve hundred tlollars ($500).): ❑ I, as owner o( the property, or my employees with vrages as their sole compensation, WILL DO THE WORK, and the strucWre is not intended or oKered for sale (Sec. 7044. Business and Pm{essions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon. and who dces such vrork himself or herself or through his or her own employees, provided that such improvementg are not intended or offered for sale. If, however, the builtling or improvemynt is sold within one year of completion, the owner-6uilder will have Ihe burden of proving that he or she did not build or impmve for purpose of sale.). ❑ I, as owner of the property, am EXCLUSIVELV CONTRACTING WITH LICENSED CONTRAC70ftS to consWct the project (Sec. 7044, Business and Professbns Code: The contractors License Law dces not appty to an ovmer ot property wfio builds or improves thereon, antl who conirects for such prqecl vrilh a contracta(s) license pursuant to Ihe Cont2ctprs License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason: Owner ID verified by driv�. _„cense. ❑ Ves ❑ No � „ Driver's License No. Expires: Verifcalion o( Ownership by (rype of document, i.e. - property taa bill or aeetl): DIVISION OF INDUSTRIAL SAFEN PERMIT CERTIFICATION: . ❑ I hereby certify lhat no excavation frve (5) or more feet in depth into wfiich a person is required to descend. will be made in connectbn with vrork autho4zed by this pertnit, antl that no building sWcture, sca((dding, falsewnrk. a tlemolition or dismaNling thereof, vrill be more ihan thirty-six (36) feet high. (Chap. 32, Grp 2, Fvt 2, Sec. 341, Ttle 8, Califomia Administrative Code�. ❑ As owner-builtler, I will not employ anyone to do vrork which vroultl require a permi� (rom Ihe Division o! Industrial Safety, as no�ed above, unless such person has a permit to tlo such work from the division. Applicanfs SignaWre Date Division of Industrial Sate[y Pertnit Num6er: HAZARDOUS MATERIALS AND EMISSIOMS CERTIFICATION: 1. Will the applicant or preseN or fuNre building occupant need to file and ceAify a Business Plan for emergency response ro release or threatened release of a hazardous material? ❑ Yes � No (Sec�ion 25505 0( the Cali(ornia Heal�h and Safery Code requires, with some exceptions, Ihat a 8usiness Plan be fled with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazartlous materials equal to or greater than a weight of 500 pounds, or a volume o� 55 gallons, or 200 cubic feel of compressed gas at stantlard temperature antl pressure). 2. Does or will �he applicant or present or future building occupanl need to file a registration (orm for acutely hazardous materials? ❑ Yes ❑ No (Section 25533 ot the Cali(omia Health antl Satery Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quanlity of acutely hazartlous malerials equal to or greater lhan a weight of 500 pounds, or a volume o� 55 gallons, or 200 cub'rc (eet of compressed gas at standard temperaWre antl pressure). 3. Does or will the applicant or present or future building occupan[ neetl to prepare an RMPP (Risk Management and Prevenlion Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of [he Cali(ornia Health and Safery Code provides that the Costa Mesa Fire Department may require the preparation, cehifcation and fling wilh the Fire Department of an RMPP by businesses which are required to register acutely hazardous matenals with the Fire Department. 4. I( an RMPP is presently required, has Section 25534 of Ihe Califomia Health antl Safety Cotle been fully complied with? ❑ Yes ❑ No 5. Does or will the applicant or presenl or fWure building otcupant require for the xrork which is ihe subject of this application a permit for such wnsWction or motlification from the South Coast Air Quali�y Management Distric[ or from any other air pollution control disMct or agency? ❑ Yes ❑ No (Seclbn 658502 of the Califomia Govemment Code requires that the requested infortnation be (umished on applications fa non-residential building pertnits). 6. Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Ves ❑ No Q('yes", �he facility must meet Ihe requirement oF Seclions 25534 and 42303 of the Cali(omia Heal[h and Sa(ely Code). 7. If a permit from the South Coast Air �ualiry ManagemeM District or other air polNtion wntrol disMct or agency is required for Ihe vrork which is lhe subject of this application, have all of the tlisclosures prescribed by Califomia Health antl Safety Code Section 42303 been made? ❑ Yes ❑ No 8. Qf yes', attach certificate of compliance fmm the appropriate air pollution contml oKcer). CERTIFICATE OF COMPLIANCE: I certify that under penally of perjury the information given above is correcl. I agree to comply with all state laws and cily ordinances regarding Hazardous Malerials and Emissions. SignaWre oa�e CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify untler penalty o( perjury Ihat I have read this application and state that the inlormation given is correcL I aqree to comply wilh all state laws and ciry ordinances relating to building construction, and authodze representatives o( the Ciry of Costa Mesa to emer upon the above-described property for inspection purposes. 1 agree not to occupy or allow occupancy of any builtling authorized by this permit until final inspection. SignaWreotLegalOwner(s� � Da�e Siqna�ure Date �mQ�Q_ �� 305]�36(LO]) An�lorAulhonzeCAOW�On( Date , __ ADo�lcant to fill In al1 soates witnin Mavy Eoraar lines antl si9n all apprJo��ata tlaclarallons. CI�Y OF COSTA MESA � PERMIT NO. TRACT NO. L NO. BLD NO. ,� CONSTRUCTION PERMIT 1� � O(., � IDIZ� �F/ Projett Atltlress G ' /i(� :T— TYPE OF CONSTRUCTION'� OWn2f Phone%� 3' -f�`NEW ❑ ADD ❑ ALTERATION� -Addre55 ' ��un.-� - ❑ REPAIR ❑ CONVERSION ODEMOLISH AfCh/Eng. � LiCEn52 No. �� ❑ OTHER � Addr255 DESCRIPTION OF WORK - LO ✓� I Contractor � - Phone � TYPEOFPERMIT � �J Addre55 " ' ❑ GHADING _ �OVNDATION I�CSTRVCTURAL ' LICENSED CONTRAGTOR DECLqRAT10N ` ❑ TENANT ❑ ELEGTRICAL QPIUMBING ❑MECHANICF ' I hcreby aHirm thal I am Iicansatl uqtler provisionz of Charter 9(com- ' • . r ��, � mencing wl[n sectlon �000) ot qivision 3 of the Businesi �antl ❑ OTNER Profassions Coae, antl my IlcnnsB is In full lorca ana efiecl. pROJECT DESCRIPTION ' �� �• . > Lltenso Class License No. Date S�9�ature• - ' SQ. FT. . _ WORKERS COMPENSATION DECLqRAT10N- OCCUPANCVT�C NS R�CTION TVPE I hereby afiirm tha( I have a certifi�ate of conzenl [o selt-Insure or a VAIUATION " O GZONE 'certHiwte oYWorker5' Componsatlon Insurance,-or a cerUfiatl coOY - --- - thereoi (Section 3800, l�b. C.�. , �'GRADING CV. VDS. ACRES Policy No. � Compa�y � Certlfiatl COpy is h¢reby furNs�eE, . . _ REMARKS: � - - _ _ ) Certlfi¢tl COpy is tiletl with [he�cily Builtlin9 DiviSion. . cXEMPTION�FROM WORKERS' CbMPEN5AT10N'DECLARATION - ' O 3O (This sectlon neetl not be completeq �f the permit is,(or one huntlred - - ' SS1001 or less). . . c r(fv that In Ihe oerfotmanca Of t�e work for w�ich 1nls o¢�mit is Date H revoketl. - � .. _ CONSTRUCTION LENDING AGE I hereby a(Ilrm lbat there is a com. fo�mant0 Ot tbe work b� which Civ. CJ. ' � ' ' - Lentl¢r's Name _ Lentler'i AtlGress OWNER BUIIDER OECLARATIO 1 heraby afflrm tha[ 1 am ezempt tn mo followlna reason (Sectlon ')03 antl a' lon, y0u shoulE )ns of the ldbo� or this perTi[ �tion lentling ag pElT�I �5 ISSIICI [ne Conlractor's Business�antl Pi a Oermit to i Illl. �l10f LO IIS q ome� PLUMBING -� ' PLAN CHECK BATHTVBS SHOWERS � Su ' t :TOILETS URINALS � usl metl LAVATORIES � DOUBLE LAV: KIT:SINKS � - � � DISHWASHER thoPer- SE0.VICESINKS � ' SUMPS ', n 3097 � FLOOR SINKS � FLOOR �RAIf DRINKING FOUNTAINS Ldw(or INTERCEPTORS CLARIFIERS iCOGa: SWIMMINGPOOL � PTRAP ' , alter, tuanCe,aliote- yyqTERSERVICE � - -ALTERATION amOnt Ihal he 's License Law GASSERVICE OUTLETS � 5ion 3 01 lhe refYom'antl iho yyqTER HEATERS "' BTb OUTPUT - ' lon 7031.5 by ativll penalty SEWER�CONNECTIONS " � - —' wwanc ac �nab SOLAR TANK - - �COLLECTORS '� ' ' " Dr olleretl for sal¢. (SeCliOn �oaa, euslness antl Pro�essions Coae: Tne SOLHR PIPING SVS. ContfdttOr'S LJc¢nse Ldw tlo¢5 nOt apply t0 dn ownaf ol a pfopefly __ who Dulltls or improves thereon, antl who tloes such work himsulf or ISSUE FEE Ihrough hi5 Own emplOy¢es, prOVltlCtl tttat SUCh improv¢mants a�o nol Intentletl or ofler¢E for sale. �I, howaveq the DUHtlin9 or improvement MECHANICAL PLAN CHECK IS.SoItl wilhin onC yeacot COTpletlon,.lhe owner will hdv0 Ine burtlCn ot roving he tlitl not bulltl or imo�ove �or Ihe purpOse of salo). HEATING SVSTEM 0-300,000 BTU _ as owner of the��property, am exclusively contracting with qND DUCTING ce tl coniractors to construct lne projec[ (Sectlon 7044. Business 100.000+BTU_ an�^Profeislons Cotle: The Con[ractOr'S Llcense Law tloGs not apply to ' an owner o( Orope�ty who bulltl5 O� Imp�oves [hereon, antl who COn� REFRIGERATION 0-100,000 BTU_ tractrirom such projects with a conVactor(s) licesnetl �pursuant ro SVSTEM '- '' � tne Contractor's License law�. 100,000 �BT,V`�='� ❑�1 am exempt untler Sectlon ' B. L P. C. for this BOILERS BTV reason- SVSTEM REPAIR, AITERATION Dale Owner - - - ' I nereby certifytnat i,have reatl t�is appliw[ion antl siate lnat the above. EXHAUST SVSTEM MULTiPLE IniorTdtlon ii wrrect I agree to tomply wiih all City dnd cOunty nrtlinanrPs antl SfYe IawS relallna to CensV uction. antl herebv authO�lze •� $i9nature "" � � �SSVE FEE - � -- ' CMF 0865-46 WNte-Builtling; Uqary-APplicanq Pink-Atcounting: Goltlenrotl-Assessor A.P. � ZONE ' 7b.]/ I L'/ � //B� , ZONING REGULATIONS � /^�i f � PLNTGp. RUEF�. p�ry � �T D� PR PEtRTV LG� i� � .� .� i n REAR VARD (TO P/L) � PKG. SPACE REq. 2� STREET WIDTH � G ZONING APPROVE� BY�, SPECIAL CONDITIONS: � 326.d8 Tl PARK FEE 5./z, � DATE 2 L ELECTRICAL ' �PLAN CHECK -' 5p_FL Sp_FT GENERHTOR 0-1 KW_ 1-30 KW � TRANSFORMER APPLIANCE 30-SOKW_SO+KW MOTORS ' '0-1 HP_1-10 HP pNC.50LAR)� -30-50-MP_SO�HP FIXTURES ' OUTLETS':� SWITCHES- GAS TUBE SIGNS' - - - - - POLE LIGHTS ' - - ' POLES METERED SVB PANElS � MAIN '. $VB � SERVICE ' " AMP �. ' ISSUE FEE - " . 'I AaPLICATION /aYYHOVtD BY OATE �-' SUMMARV OF FEES BUILDING /� I� PERMIT y_3.a{a(! SMIP E PLAN CHECK b . PERMIT ,,, - ' ISSUANCE S PLUMBING S ' - �� GRADING� S PLAN CHECK S _ „ , , ELECTRICAL S s ' PLAN"CHECK b - - MICROFIWI_S . MECHANICAL b .� TOTAL FEE 5. ' - ' -�� LESS AD- ' � PIAN CHECK S VANCE PC E_ � � /� _. . - _ _ _ FINAL FEE S�` /� - � �u. CONSTRUCTION AND PLANNING//,���� �� � ��.,� �� � a ; . ` � P,OOL & SPA ' APPROVALS Permit # �_ Date 'Iriipector ' - - ' �' ' Date ,� Inspector APPROVALS Permit# '� 1. 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-Undrgm 46. Electrical Bonding �� -` � • - 47. Rough Plumbin & Pressure Test �''� ` . tee em orce � . 6. Electrical UFER Gin• f. � ._ i� • 48: � APPROVAL TO COVER-GUNITE 7. ootin s. '� � � - ' _ L,..a 49. Electrical Conduit-Undr rn 8. Fou�da(ion •� � ' ��..�� - � 50. Gas Pipe, ❑ Undr rn, Test �� 9." Water Pipe-Undrgrn ti 51 . Backwash Lines P-Tre ❑ ndr rn � 10. ' Structurel Floor System 52. APPROVAL TO DECK � 11, , Property Sewei Line & House Connection '53.= Backwash & Rece tor-Final 12. Street Sewer Connection � 54.� Heater & Vent-Final 13. Rough Plumbing 14. Rough Electric-Conduit ��66' Electrical-Final 15. Rou h 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 $YSTEMS FINAL � 20. Roof Framing Gtr.(_%' �- _ 4' ,� ' � 21. Roof Sheathin -li-8"Z � ' � 22. Frameand Fiashin kr _f - NOTES: - _ 23. Insulation /�-$ Y 24. Lathing & Siding - - � 25. DrywallNailing - - '3.2�,YZ. �r': ::u 26. Plaster Brown Coat -�! - .� ��:. u�..t' • 27. Electrical Power Meter-Final � 28. Final Electric � 29. Final Heating & Air Conditioning 30. Final Gas Pipe-Test - 31. Final Plumbing � ' � � 32. Water Service-Final � 33. Gas Service-Final 34. Solar 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�icant to fill in all svaces wlthin heavy Dortler lines antl sign all appropriate aeclaratlons. ' ; CITY OF �COSTA MESA ' PER.�] IT NO. - � - TRACT NO. LOT NO. � BLDG. NO. " � _ ' ' - '- ' ' � �-�- � CONSTRUCTION PERMIT /�'/-- �,5� ' ' C- � • ' � 2�758 � 3/02/82 9.00 TL' IPmjectAddress � . • � • TVPEOFCONSTRUCTION ' , � _ _ ' ' . " �" . • !�^ . Ownef� �,p • Phone ❑ NEW ❑ A.DD ❑ ALTERATION - , - _ - ' ' Addr255 ' � ' - ❑ REPAIR-O CONVERSION ❑DEMOLISH . _ ,Arch/Eng. --'� - � ' ' Cicense'No. ' ' ❑ OTHEa� � ,A.P � ZONING REGULATIONS � � Addr255 � i �' ' ' - _ _. DESCRIPTION�OFWORK � �' �. . ZONE .�PLNG. REF. �. �.-Contractor - �' Phone TVPE OP PERMIT�� " ^ , �- - � � SeTeAC C�� ' Tpg�J ��p ING ' . ' . PROPERTY-LINE� �� Addre55 � '� � � GRADING ❑ FOUNDATION � STRUCTURAL' " !LIDFE VARD -' " ' . ' ' LICENSED CONTRACTOR DECLARq7�ON � • - ❑ TENANT ❑ ELECTRICAL O7L-UMBING ❑MECHANIC E T I hereDy affirm th:.t i am Iicensetl untler provi51on5 of Charter 9(tom• ^ � - -� SIDE YA - ' RIGHT 1 mencing wilh section 7000) of Dla�slon 3 ot 'Ihe - Business antl' �❑ OTHER "'" --' �-' � . REAR VARD (TO P/L) � Protassions Cotle, antl my Iltense �s In full torte � e��e«� pROJECT DESCRIPTION' - � LtcenSe Class � Cense No - =�10 SQ �T "' _ . � , PI(G. SPACE FEQ. PROVIDED. � � Date - � y Signature �- �. � � � �� �. STREET WIDTH � PARK FEE E � � ,WORKERS'COMPENSATION DECLqRATION - - -OCCUPANCV_CONSTRVCTION T_VPE. _ _ _ I-hereby affirm that I have a certiflcate of consent to seltansura or a 'VALUATION � ZONE : �Z�NING APPROVED BV �DATE' , 'certifirvte �o( Workers"Compensation Insurance, or a'[erHfletl copY ' � - - - - - thereof (Sectjon 3800, Lab. C.). ','// � GRADING CU. YDS. � � ACRES 'SPECIAL CONDITIONS: • � "cY No. ComDany� GW.fI/1'd!� �Ad1�, _ _ ' _ ' ' _ _ ' ' " . . . _ _ . " ertifi¢0 copy'is�herlby�fumiSheE: �- - � -- • - � REMARKS: � - � - - - - . � -- - � � _ .. _ .__ . _ .:ertifietl copy is filetl with the Nty �uiltlin9 DWislon. . , - •. EXEMPTION FROM WORKERS' COMPENSATION DECIARATION - - - ` �- -�� '-' " ' - " ' (ThVs 5ection ne¢tl not be completBtl if-tne oermit i5 (O/.one huntl�¢tl . . . . , - _.. _ _. . -. .,,, (E100) or less). . . - • -' .� . ' '. ' '1-Cerlity that in Ih¢ performance-oi.the wOrk.fOr which Ihis.permil I5. - issuea, 1 shall not employ any person in any manner so as to betome � PLUMBING � , � -P�AN CHECK -� - � ELECTRICAL - '- � PLAN CHECK� � subj¢cbt0 the Workers' CompOnsation L�wS of Cali(ornia. . - - � • - _ - , . Date f Si9nature ' . BATHTUBS` SHOWERS� � , - ' : NOTICE: If after making this tleclaration, you shoultl betoma sub�ect ' TOILETS ,' jURINALS -� - GENERATOR-' �01 KW_ ]d0 KVd � to tne Workers' Comp¢nsation provisio�s of tne LabOr Cotle, you must _ _, �TRANSFORMER . � t forlhwith comply wlth 5uth provisions'or this permit shall be tleematl LAVATORIES DOUBLE LAVS � lAPP�IANCE '10-50 KW�SO+�KW� - -) revoketl. i '"'... . _"_' . '_ " ' " ' _ " . .. � _ _ _ ._- 'GONSTRUCTION LENDING AGENCV KIT. SiNI(5 DISHWASHERS � 'MOTORS ' ' "Od HP_1-10 FiP- ; . ' I h¢�eby aftirT tnat Ihere I5 a con5truptiOn lentling a9enty t0� tbe per- '- ' -- -�'�(ING $OLAR)--� 30-50 HP�__�50 + HP• -- ���- � - tormance of [be work tor which this parmit is Issuetl (Sectlon 3097 SERVICE SINKS • .(� SUMPS _ C��� C�%- ' FLOOR SINKS.� FLOOR DRAlIJS . FIXTURES'- �'OUTlETS ' SWITCHES ' :I,.entleCs Name, _ , �LenGer's Atltlress ORINKING FOUNTAINS � � � 'GASTUBE'SIGNS'� - -'- - •' -- •i" '� - - . , .� .. , ....... � OWNERBUILDERDECLARATION� -'-� ""' - � -- INTERCEPTORS CLARIFIERS POLE'LIGHTS'�'-"-'-"' '"'�"- ' ' t i hereby affirm that I am exempt trom the Contracmr's License Law tor - ' - the tollowing reason (Sectibn 7031.5 Business"antl Professions'COGe: SWIMMINGPOOL- -'� ?TRAP - - ' " -- - - �Any citY or county.which redulres a permi[ to construct, alter, � POLES METERE� ��SUB, improve, tlemolisn or repair any 5tructUre, Prior to its issuance, al5o're-' yyqTER SERVICE A�TERATIOfJ � �� --' PANELS`-" --MAIN SVB " -- '' ' ' quires the ap.liwnt for such permit [o file a si9netl s[a[ement [hat ha � . _ ........ . ... ... • , .« , . . is Iicensetl Pursuant�to the provisions ot fhe ContractorY Ucense'Law GASSERVICE OUTLETS � . � � ��SERVIGE """ ' AMP'' - (Chapter 9(commendn9 wlt� Sectian 7000) o( DlNsion 3 of lhe � Business antl Prolessions Cotle) or that"he i3 exemp[ tharefrom antl the yyqTER HEATERS BTU OUTPUT.��: � r: � -- - -- '- '' - �� �.' "-� -, ' - ' �;- ba��s �or the allegetl exempfion. Any �iola[ion of Section 7031.5 by �� -� -� ' � ' ' '''_ - a �'pPlicant for a permit subjects the ap0���ant to a civll penalty � SEVJER CONNECTIONS - �1� � -� � -' -� -- `- -'"' " ' -' - ' - " - - - c : more than five huntlretl tlollar9 (y500). " ' , "" � L _, as owner of -[he property, or my employees with wage5 as their SOLAR TANK - COLLECTORS - ' -' - ` --' ` �- - ' - ' � - sol¢�Compensation,-will tlo [he-wo�k, dntl Ihe-st�uctura Is no[ Intentl¢tl. .. __ �� �`"" or offeretl lor sale. (Sectlon ]044, Business antl Profezslon5 Cotle: The SOLAR PIPING SVS. � ISSUE FEE -- �'-' ' ' "' '' '�' � GOntractor's License law tloes nol app�y to-an owner-of a O�oOerty - -- _ . --- - ---- �qppL'IGATION"APPROVED BV ' -' '- - DATE--- wno builOs or improves [hereon; antl who tlaes such work nlmselt or ISSUE FEE throu9h hi5 own emplOyees,.provitletl that Suth ImprOvamentz are not_ � �� ��' � ��� � intentle0 or oiferetl fOr sale. I(, hOwever, th¢ bullding or improvement - - - - ' ' �,� "--""'� MECHANICAL PCANCHECK. SUMMARYOF.FEES. is soltl witnin.ono year o( completion, tho.owner_will.have.tne burtlen. ' ' � :��' �- if. ! bt proving he tlitl not bulltl or Improve for the purpose of sale). � 1BUILOING` "' -""'--- ^- = -' HEATING $VSTEM 0-300,000 BTU 1 �PERMIT. E ' '� � �� •u��SMIP�T= , •E�� � � "� I ❑"1; "as'owner� of' the property, art� eaclusivoly' contracting-witM1 "qND OUCTING � � � � ' - - � " ' "' -- - '- IlcenSeE <oniractors to construct the pro)ect (Sec[ion 7044,'Business 100,000+BTU �PLANCHECK S (;PERMIT� /� �•' ,�,'; � anC Professions'Cotle:'The'Contractor's Gcense Law tloes not apply to- -- ---- --- -�-- ISSUANCE-� E�� �- - an owner of property who builtls or improves thereon, antl who ton- REFRIGERATION 0-100,000 BTU ' ._ 'PLUMBING J§ ���,.•, � P.� fracts from�such`pro7ect5'with�a'toqtractor(5)'licesnotl pursuanbto 'SVSTEM'- -' " ' i" --"' "' - -� - - �GRADING'.S' 100,000+BTU � �PLANCHEGK E'�"' [he Contrac[o�'s LicenSe l.aw�. -!4 , ,1 •" , ' r ��.,� I ❑ I am exempt untler Section �� B. 8 P, C. foi this BOILERS - BTU � �ELECTRICAL $ �� -� - ' $ . reason ' - -' " '- -- " � " -- ' i -" � .fv11CROFILM E7.. � ' SVSTEMREPAIR,AITERATIOM �PIP.NCHECK 5��e�_._p_�/��� � , . Date -"'--' '- '"- Owner -' -' " " ' - - - - fMECHANICAL $-/_._=_' +� TOTAL�FEE §. •. . . _ �I.hereby certify thatl have reatl this applicalion antl state that [be above EXHAUST SYSTEM MULTIPLE ' . � � � �t� LE55 AO- ��� �"� iMormabon is correct. I agree to comply with all cfry antl county , - '�Pl'ANCHECK' S-' - ' VANCEPC-S-- �� - ortlinances antl state IawS relaling to whStruGtion, antl h¢reby authOriie. �i✓ r .. . � ; ,' ,;�.,�' ) - .� � y . � , , v '� . represen[atives of this city to en[e� upon Ihe above mentionetl ro ert fo/� ��s�f c R Pur as% 5. q � ��y� � �� � � �Q O 519 atu e. �^^"' �7pP ( Ddle.2le�.� . _ _ . _ . .. . . FINAL FEE 5�• Drivers' LicenSe or 55 � � ��/ �SSUE FEE ' - '- 2� �- - - - � -- - � -- - - . . . v CMF 0865�46 White-Builtling; Canary.qpplicant: Pink-Accouniing: Goltlenrotl-Assessor CONSTRUCTIONANDPLANNING , POOL,&SPA - � ' . ., , APPROVALS Permit # M .�� Date Inspector .qppROVALS . ' Permit # Date � Inspector 1. Temporary Electrical Service or Pole ' 43. Pool & Equipment Location � -- � ----- � 2. Soi ipe-Un rgrn �� � � 44. Steel Reinforcement - 3. .Electrical Conduit Utility-Undrgrn 45. Forms �� � - .4. Electrical Conduit-Undrgrn 46. Eiectrical 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 n� •-� --- - � 10.. Structural Floor System ' S2.� APPROVAL TO DECK - - - ' """"' � � -- � - - ' 1.1. Propecty 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 - � 15. Rough Electrio-Wiring �- � � � - - - - 57. Solar System-Final ' ' � - • '' � - � '"` ' 16: - Rough Heating & Air Conditioning � 'L encing & Access Approval 17. Ducts, in.Structure . ' " " APPROVED POR PLASTERING '_ ' ' 78.- �Ducts,Ventilating. _ � � ' . _ . _ 19. Gas Pipe-Rough & Test � ' ' _ ' ' "60• _ POOUSPA SYSTEMS FINAL . . 20. -Roof.Framing_ ' ' � � � - � �� � 21. Roof'Sheathin -' ' ' � . .� _ � � • . _ • � �- � 22. - Frame and Flashin - ' � NOTES: � � • � � � � ' . � • 23. Insulation '� � �-- � ' ' ' � � � ' 24. Lathing &-Siding - � �" � 25. ._Drywall Nailing. - -- -- - . - - -' - - -� � - - - - - - - ' � • � ' � 26. Plaster Brown Coat � . �. _. � ' - -- � 27: Electrical Power Meteo-Final � ' � ' ' � � � - 26: Final�Electric ' � � � � � 29: Final Heating & Air Conditioning .5�1$�'2- � - � �- � � ' ' � ' � 30: Final Gas Pipe-Test � ' - � � 31: Final;Plum6ing � '� - � � 32t --Water Service-Final� - � ' "� � � - - � � . 33. Gas Service-Final -- � � � � ' � � � 34. Solar pomesticFinal r � "• �•�< < �" � ' " ' ' ' ' � " ` 35. � landsca e S rinklin S stem - ' ' � ' ' 36. Sound Attenuation - U.� � ' - - ' I - ' � 37. Handicap Regulations � � ' � � � � � � � � 38. FINALSTRUCTURE&BUILDING �� �' � -� • -� � � 39. Special Requirements Completed � � " " - ' � ' � � � 40. Electric Release to Edison ' ' � � • � � � " " " '" " " ' ' � 41. Gas Release to Southem California Gas�Co. -- 42. CERTIFICATE OF OCCUPANCY _ _ ; -No � Date - .. . . Applica�t to fill in all CITY OF COSTA MESA ' veap��T rvc CONSTRUCTION PERMIT /"'/^ � Addrew .1532 LA LOMA. LEMQN NEIGHTS'� Arch/Eng. � License No. within heavy Address -- ' contractor FUTUR,4 ENERGY PRODUCTS Phone 773-155 nddr�s 641 S. STATE COLL�GE BLVD.. FULLERTC LICENSED CONTRACTOR DECLARqT10N I hereby aftirm that I am Iicensetl untlsr provislons of C arter 9(com- mencing with sectlon ]000) of DlviSton 3 t the usiness antl Protessions Cotle� a�G my Ilcense�rs� ^ul� Porce and ettect. �. cno. Date V Signatur ' WORK RS'COMPENSATION LARA ION 1 hereby affirm that 1 have a ertlflcate ot tonsent to self-insure or a certitiwte of Workers' Compensatlon Insurance, or a certltietl copy tne�eot (se�r��3��9j,1�� ��comca�v FUTURA—MINTON -INS. Jicy NO. �� t'ertlfi¢tl copy is her¢by furni5hetl. �� �����.ertlfietl copy is filea wilh lhe city Builtling DiviSion. �EMPTION FROM WORKERS' COMPENSATION OECLARATION (This section neetl not be completetl iP the permit is far one.huntlretl �E300I or less). cert(fy that in the perfo�mdnC¢ of th¢ wo�k tor whiGh this pe�mit is issuetl, I shall not employ any person in any manner so as to become subjett to the Workers' Compensation Lyws of California. Ddte Si9nature NOTICE: It after making this tleclaratidn, you shoultl bemme subject to Ihe WOrkers' CompensatlOn provisiops of the Labor Cotle, you must for[hwlth comply with sucn p�ovizions o� this perrtlit Shall be tleemetl �evoketl. � . GONSTRUCTION LENDING AGENGY 1 h¢r¢by affirm that tM1ere IS a COnsVuction lentling d9¢ncy for the per- formance of the work for wM1ich, tbis permit is issuetl (Sectio� 309] Civ. C.). LenGer'S Name Lentler's Atltlress OW NER BUILDER DECLFRATION ' ' - I hereby affirm that I am ezempt trom.the ConVactor's License Law for the following reason (Section 7031.5 Business antl Professions Cotle: Any dty or county wnich requires a permit to construct, alter, imp�ovG, tlemolish or repai� any sVuctyre, prior [o'i[s Issuance, alm re- quir¢5 tlte applitant to� Su<h pe�mit to file a signetl statement that he I5 Iicensetl pursuant to [he provisions o{ the Contractor's �icense'Law (Chapter 9(commencinq with Section 7000) of Division 3 of the Busine55 antl Professions Code) or that he is exempt [hevef�om antl [he basis for the alleged exemption. Any yiolation of Section �031.5 by 7 �appll�'ant for a permit Subjectr the applicant to a civil penalty t more than tive huntlretl tlollars ($500). � , as owner of the prop¢rty, or my employees witM1 wages as their sole compensation, will tlo the work, ahtl the structure is not intentletl or offeretl for sale. (Section �044, Business antl Professions Cotle: The Contracior'S License Law Aoes not apply to an owner of a property who bulltl5 or imp�ove5 th¢reon, antl Who tloe5 Such wOrk M1imselt or through his own employees, provitletl that zuth iTp/ovements are not in[entletl Or ofte�ed for sale. Ii, howevQr, the builtlin9 0� Improvemen[ is soltl witnin one�year of completion, the owner will have the burtlen of proving he tlitl not builtl or �mpYove tor th¢ pu�pose of sale). ❑ I, as owner bf the property, arry exclusively COn[�acting wi[h licensetl contractors to construct the proiect (Section ]044, Business antl Professions Cotle: The Contractor'; License Caw tloes not apply to an owner of property who builtls or iMproves thereon, antl who con- tracts from such'pro�ects wi[h a conYractor(s) licesnetl pursuant to the Contractor's License Law). ❑ I am ¢xempt untler Section B. & P. C. for Ni5 ICdTOfI Oate Owner that I have reatl Ihis ap IiW[ion.antl Stat¢ Ihat [he above mrrecL I aqree to co ply witM1 all city antl coun[y tate s rela n9 to co struction, antl hereby au[horize of is c to en[ r upon the above en onetl is �t� �� l� //�� �i7�.F Z/ lines an0 sign all apPropriate tleclara _T NO. LpT NO. � ��BLDG. F� TVPE OF CONSTRUCTION CAjVEW ❑ ADD ❑ ALTERATION ❑ REPAIR ❑ CONVERSION. ODEMOLISH ❑ OTHER DESCRIPTION OF WORK TVPE OF PERMIT � ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑PLUMBING �MECHAI ❑ OTHER ' PROJECT DESCRIPTION - - � SQ. FT. OCCVPANCV_CONSTRUCTION TYPE VALUATION ZONE_ GRADING CV. VDS. ACRES PLUMBING -PLAN CHECK BATHTUBS SHOWERS TOILETS URINALS - LAVATORIE$ DOUBLELAV$ KIT.SINKS DISHWASHERS SERVICESINKS SUMPS FLOOR SINKS FLOOR DRAINS DRINKING FOUNTAINS INTERCEPTORS CLARIFIERS SWIMMINGPOOL PTRAP WATER SERVICE ALTERATION GASSERVICE OUTLETS WATER HEATERS BTU OUTPUT. SEWERCONNECTIONS � SOLARTANK COLLECTORS' SOLAR PIPING SVS. ISSUE FEE MECHANICAL PLAN CHECK HEATING SVSTEM 0-300,000 BTU_ AND DUCTI NG 300,000 + BTU _ REFRIGERATION 0-100,000 BTU_ SVSTEM 100,000 + BTU _ BOILERS BTV SYSTEM REPAIR,ALTERATION EXHAUSTSVSTEM MULTIPLE Drive�r5' Li nse or SS �✓ � % �' �SSUE FEE CMF 0865�46 White-Builtling; Canary-qpplicant; Pink-Accounting; Goltlenrotl-Assessor u A.P. � ZONE REAR VAftD(TO PKG. SPACE REQ. STREET WIDTH SPECIAL CONDITI �EIECTRICAL 2624 �/26/82 ZONING REGULATION. PLNG.REF. PARK FEE $ PLAN CHECK • GENERATOR 0-1 KW_I-10 KW _ TRANSFORMER AGPLIANCE 30-SOKW_SO+KW_ MOTOR$ ' p-1 HP__3-10 HP _ (INC. SOLAR) 10-50 HP 50 + HP _ FIXTURES' OUTI_ETS SWITCHES GAS TUBE SIGNS POLEIIGHTS� - � "�' ' PANEL$ MAIN SUB SERVICE qMP ISSUE FEE - - " 7.D0 TL DATE ' SUMMARV OF FEES BUILDING - ' � PERMIT g SMIP $ PLAN CHECK $ PERMIT PLUMBING g ISSUANCE $� GRADING $ PLAN CHECK $ . • ELECTRICAL $ s PLAN CHECK $ - " MICROFIIM S MECHANICAL $ QO TOTAL FEE E ��� LE55 AD- PLAN CHEGK $ VANCE PC $ _ ' %.�� 3J00 � - ' - FINAL FEE $ CONSTRUCTIONANDPLANNING ' POOL&SPA - "' , , APPROVALS Permit # Maxay Date In3pector 'qppROVALS � � , Permit # - Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - 2. 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 48. APPROVALTO CO,VER-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' �. � 1 10. Structura� Floor System 52. APPROVALTO DECK - " " - � � ' -1- - ' 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 Eiectric-Wiring - ' 57. � Solar System-Final � i6. Rough Heating & Air Conditioning - �,'j�j-S� • encing & Access Approval 17. Ducts, in.Structure ' APPROVED FOR PLASTERING • � 18. Ducts, Ventilating ' � � 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINA� � - .20. Roof Framing 21. Roof Sheathin 22.. Frameand Flashing NOTES: �� 23. Insulation - - 24. Lathing & Siding 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power.MeterFinal � 28. Final Electric 29. � Final Heating & Air Conditioning _ �')-Q'� ' 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 Cafifornia Gas Co. � 42. CERTIFICATE OF OCCUPANCY . No ' Date - � , , _��._ _...�.: � . . ;� � � CI�Y OF COSTA MESA � ' C(MISTRiJCTION PERMIT ; lo fill In all spaces within PERMIT NO. -' � �O �% q ' AddrCa � j� / L ' %�tJ.$TrU '/17�.-Yi ArchlEng. � • - � License No. Address' •- - - borGer lines an0 sign all a0Pro0��ate Eeclarations. TRACT NO. LOT NO. BLDG.'NO, TYPE OF CONSTRUCTION. ❑ NEW ❑ ADD ❑ ALTERATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ❑ OTHER � DESCRIPTION OF WORK , � '�; A.P. � ZONE Contractor Phone , TVPE OF P@RMIT � Addr� Z� �7I Z �b �, TU%2 G ❑ GRADING ❑ F,OUNOATION '0 STRVCTVRAL LICErySED CONTRACTOR DE LARATION " � ❑ TENANT O ELECTRICAL ❑PLUMBING ❑MECHAI I hereby aftlrm inat I am Iiceniatl unCer provl5ions ol Chartor 9(tom- � mencing with- TeCNon 7000p �o( Div151on 3 of tha Business and � OTHER Pro(esslons Cotla; antl my Iicense is In full forca entl eife (. pROJECTDESCRIPTION u<enze clazs �-^ � 0 - �` -. _Lic«ysc No , '� -3 � , ' " ' � Ddte $i9nature �. /%�%� SQ. FT. _ . _ WORKERS' COMPENSATION DECLARASION OCCUPANCV_CONSTRUCTION TVPE 1 hereby affirm that 1 have a certlticate of tonsent to seH-insure or a VALUATION 20NE cerHfi�y�g ot Workers' Compensation-lnsurance, or a certl�letl copy - . NereOf (Section 3800, lab. CJ. 'GRADING CU. �'D5. .4CRE5 PoIICY No. ' CAmGanY " ' ��,�.,Cerpifiea coDY �s hereby furniihetl. .. . REMARKS:' � aG� � ' F�',gCet(Ifi¢tl cOpY �5liletl with tne tlty Bulltling DlviSian. e�S(EMPTION FROM WORKERS'�COMPENSATION OECCARATION ' -' - " ' " ' ' (This sectlon_neetl not be tompletetl It the permit is for one huntlretl _ _ � _ � � S§100) or ICu�. � - c¢rtHy thdt In t�e perf0/mance Of the wo�k for whiCh tM1ls perTit is Issuetl, � Shall n0[ emPloy any par50n In any manner So ai t0 become PLUMBING '' . PLAN CHECK ' subjett [o.the Worker5 Compen5atlon Laws ot,�alitornia. __ Odte $Igndtu�e BFTHTUBS ' SHOWERS� � " NOTICE: If aflar�making this tleclaration, you shoultl become subject TOILETS VRINAL.S ' to [hB WorkOrs' ComDenSdtlon provisions of thC labor CotlO, you muSt - _ IOrthW�[h Comply with sUch prOVlsionT Or [bls permil z�all be tleemetl LAVAT021E5 OOUBLE LAVS'' revokQU. _: CONSTRUCTION LENDING AGENCV KIT. SINKS DISHWASHERS I hereby aHirm that thera is a constructlon lending agency for the per- SERVICE SINKS ' SUMPS -"' ' forma��e of the work for which this permit is issuetl (Section 309� Clv. C.). '� - - - ' ' -' -' -" -' - -FLOOR SINKS � FL'OOR DRAINS LenEar'S Nama LentlBr's Atltlress � � DRINKING FOUNTAINS ' -- OWN�R BUILDER DECLAHATION " INTE0.CEP70R5 CLARIFIERS I nereby alfirm tbat I am exempt from the Contractor's �icense Law for tha following reason (Soctlon �031.5 Businezs antl Professlons Cotla: SWIMMING POOL� �PTRAP "' AnY city or county which require5 a perTit to conSbUct, al[¢r, improV¢, tlemolish or repair any ztructu�e, prlor to itsissuance, atso`e- -y.�qTER-SERVICE ALTERATIpN '" Is"IlcenseC pursuant [o the provislons o� the ContsactoYs UcenSG !IDw (C�apter 9(tommencin9 with Section 7000) ot Division 3 ot the Business antl PrWessions Cotle) or [nat•he is exempt'therefrom antl the basis tor ine allegetl exemPtion, Any viola[lon oi Settion 7031.5 by r�y applicdnt Por a petmit subjects thG applicdnt t0'a Civil ptnalty �'�;ht m0/e Ihan �ive huntl�etl dollars (§500). �k3'.., as ownar ot tn¢ property,-or my ertiployees with wdgei as their soPO compensalion, will tlo t�a work, antl t�e sVucture is not Intentletl or o!(eretl for safe, (5ection 7044, Business antl R'ofesiionz Cotle: 7he Contratlor's Ucense law tloes nol apply to an owner ot a properry wh0 builtl5 or Improves lhereon, antl who tlOeS�suGh work himselt or throuqb his own employees, provitletl [M1al such ImProvements are not intentletl o� otterCtl tor sale. If, poweveq Ihe builtlin9 or improvement is Soltl wi[hin One year ol completion, the owner will have th¢ bu�tlen of pra�in9 no tlid not builtl or improve for the purpose of sale). ❑ �, as--owne� O( the prOperty, dT ¢xclUsively cOnVacting with Ilcense0 conlractors lo construct [he project (5etilon 7064, Buslness antl� Frofessions Cotle: The Con[ractor's Licenso lsw Doei not apply to an oWner ot property who builtls or ImProves tlmreon, antl who con- I�aclS-(rom such-projac�s wVth a conl�attOr(s) IIWSnetl pursuant to tbe ContractoPs LI<enw Law). ❑� am exempl untler Sectlon ' B: h P. C'. !or lhis rod50M1 Date Owner 1 h¢r0by C¢rtity lhdt I have r¢atl this appllWliop anC stat¢ tnat [he above Inforrnation is torreot. I 5gree to'mmpry with all city antl county ordinances antl state laws rela[in9 ro mnstruction, anU nereby authorize wDreSenWtiveS of this ctly to ente� upon the above mentionetl CeA55ERVICE WATER HEATERS '- BTU OUTPVT - SEwER CONNECTIONS �� ' - SOIAR TANK - `- ' GOLCECTpRS - SOLAR PIPING SVS. ISSUE FEE MECHANICAL vl_p.N CHECK HEHTING SYSTEM 0-300.000 BTU_ AND DUCTING - 300,000 + BTU _ REFRIGERATION 0-IOO,OOOBTV_ SYSTEM 300,000 + gTU �_ BOILERS BTU SYSTEM REPAIR,ALTERATION E%HAUSTSVSTEM MULTIPLE proper[y tor/ 'ins� ¢cUOn utposes. �� ��p Slgnature .�iL.C��/� ��,'/�— Dato �[L�L�� �SSUE FEE Drive�i' Liconse or 55 �f �� CMF 0865-46 White-Bulltling; Canary-Appliwnt: Vink-Accounting: Goltlenrotl-Assessor � � � -sy 9668 12/(7/81 ' 20NING REGULAT101 . PLNTGp. RUEF�.�p� _ST. PROPE�RT' PKG. SPACE REQ. � STREET WIDTH � ZONING APPROVED BV , . SPECIAL CONDITIONS: , - "110.44 �T� NE � PROVIDED • -� PARK FEE b DATE ' .. ELECTRICAL �� aLara CriECK -GENERATOR .' 04KW_]-lOKW TRANSFORMER qPPL1ANCE 10-50 KW=50 t'KW MOTORS 0-1 HP_1-30'HPI �(INC. SOLAR)- � 30-50 HP 50�t HP. FIXTURES"'- OVTL'ETS SWITCHES 'GASTUBE'SIGNS ---- '-' POLE IIGNTS ' PHNEL$ - ' MAIN' SUB SEkVECE ' ' � o p "_ _' "' " _ -:' " -��.�� . ♦ �� APPIICHTION APPROVED BY DATE SUMMARV OF FEES Bl71LDING '- ' ' -- � -'� � PERMIT E .SMIP: S PLAN CHECK S ��' PERMIT ' ' �SSUANCE E PLUMBING f ' , - � GRADING �E PLAN CHECK ' S' 'n , s� . ELECTRICHL S��- -� .�' .'.' ALAfYCHECK"S - - MICROFILME' , ' MECHANICAL' y" TOTAL FEE E` .� . ' � ' LE55 AD- ' � � 'PLAN CHECK ' b -- VANCE PC S_ � � �1 � ' � . , FINAL FEE 3 �/O' / CONSTRUCTION AND PLANNING � , '. �� , POOL & SPA�. ' • �, , •. „ � APPROVALS ' Permit #�� Date Ihspecto� qppROVALS 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 �jy:=� F� �� c: 46. Electrical Bonding�- tee ein orce � 47. Rough Plumbin & Pressure Test - � 6. Electrical UFER Grn 2�/�.�/ ��L 48. APPROVAL TO COVER-GUNITE - 7. ootings " - � 49. Electrical Conduit•Undr rn � 8. -. Foundation � 50. Gas Pipe, � Undr rn, Test � 9. Water PiperUndrgrn - 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-Final 13. Rough Plumbing, _ � ' � �' � ' 14. Rough ElectricConduit - - - - - - � ' ' �56. � Electrical-Final � • � 75. Rough Electric-Wiring - - 57: Solar System-Final '• � � � 16. Rough Heating & Air 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 - � ' - � � � � . 22.. Frame and� Flashin � NOTES: � � 23. Insulation � ' ' ' � 24. Lathing & Siding . - - ' ' �� � - 25. Drywall Nailing.. � � ' � � � � � 26. Plaster Brown Coat ' ' � '- 27�? �Elearical Power-MeterFinal ' � � � � 28�- Final Electric - ' ��.�� ' 29. Final Heating & Air Conditioning � - - 30. Finai Gas Rpe-Test - 31. Final Plumbing � - ' "32.-�WaterService-Final - ..i. � ' '- - � 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 RequirementsCompleted � - � � 40. Electric Refease to Edison � 41. Gas Release to Southern California Gas Co. � � 42. CERTIFICATE OF OCCUPANCY .. . . . -� No Date - . , ', � -" ADOlicant to flll in all s0acts wllhin haavy portler linef anC si9n all aOGropriate Oaclarations. CITY pF COSTA' MESA a�gpa=r �0�� w TRACT NO. LOT NO. � B�c. N . - - ' � - - �� - - . - . - CRNSTRI�CTION PERMIT L� os 7 �� � ' • ' � ' Roject Address A 5'j TYPE OF CONSTRUCTION �� � � • � � - � ' _ .i t� �Owne� ' 'p - ' ' hOn2 � ❑�NEW O ADD "O ALTERATION ' ' � - - 2�J2O- 21QS�B� < I 2i�0 1 L � Addr@a � � ������ /}-- � -❑REPAIR ❑CONVERSION ❑OEMOUSH. , � 20NING REGULATIONS �AfCh/Eng. ' ' LiCense NO. ❑ OTHER � AddfQii " � - - . ,_ DESCRIPTION OF WORK ;: � A'P' � _ ' ' ZONE PLNG. REF. �' - � ' Contractor .e� � Phone (�fj I'j� 7ypE OFPERMIT . � � � � � Tp gU I LprnG � Addr@ss PROPERTV LINE '� ' �J /^%O � . ' � GRADING O FOVNDATION � STRVCTURAL SET vC RD T. LICENSED CONTRACTOR DE ARATION -�-- - -_ ❑TENANT ❑�ELECTRICAL��OP6UMBING OMECHANICA - 9�D -y - ...__ J herehy affirm that I am Ilcensetl untler provislons o/ Charter 9(com-. • ., . • � pIGHT � � menciqg- with secl7on.4000) � of , Dlvislon 3 �of the -Business <and ❑ OTHER . _ _ . . . , . _. _. _ Protes;�ons Cotle, tl my Iicense ii In full force antl effe_ct�1 ' . - REAR VARD (TO P/l) , � �/O `i i.e:. O 333 X- PROJECT DESCRIPTION_ ' License Claii �-�S e No . � , - � � �� - '� PKG. SPACE REQ. - '� � - PROV IDED:' �-_,-"- "'^' � oaie--2-_-'Jb 7���;,.,�.,�.a - 7- �!/i�0 �'sci.Fr._ _ �.-- - - - �- - - - �- � - � WORKERS'COMPENSATIONDECLARATION _ _ 'OCCVPANCV `_CONSTRUCTIONTVPE 'STREETWIDTH� 'PARKF,EE,§ ,- n�' " h hereby aHirm that 1 havo a certificate of consant to self- ' '-- �- ,ZONING"APPROVEDBV -" -'DATE � ���� � insuro or a : �t� �cerUfi�yte oPWorkers'-Com0en5ation �Insurancn, -or a cartiilatl-copY� iVALVATION ZOIYE . � � - � , J _ thereo/ (5��tion 3800, Lab. C.). � .,,GAP.DING CV. YOS. �� ACRES SPECIAL CONDITIONS: � -' '`•Y Na. - . . ' ComDanY ' " " - - . . .... . . . e���(7¢d COPY IS h¢r¢by IurOiS�ttl.. . . _. � ' REMANKS: . - - _. _ _ - _ ._ . _, _ , JerY�{letl copy iz illetl wilh th¢ tity Builtlfng pivl5lon. ~ l � ,{' - "' EXEMpT10N FROM WORKERS"COMPENSATION DECLAPATION ' � - - ' - �� � � ����� J (T.h(5 Section neetl. not be comG�eted I( the permlt (5 (or One punCretl - - _ . _ f •1_ _ � �y � - i � �7 '+: „ �{y ' SEloo) or less). � . . . "- ' . ' ' . . --- - '— __._ _ _ _ _' _ cerciry t�at in_lne performance of the work for. which this permit is . . � izsuetl, I shall not employ any person in any manner so as lo become PCUMBING'- ^.PLAN CHECK "-' '��'- -' '�ELECTRICAL ' "' . PLAN CHECK '' " ' Subjett to the Worker5' ComDenSdtlon LawS of California.'"' �_ _, _ '' � _ D � Date SI9naWre � BATHTUBS � SHOWERS� � - � - - � ; NOTICE: If atter making tbis tleclaraHon, you snould become sub�oct TOIlETS��• ,� y� �y .,.URINALS"' ' ' '' - "'� 'GENERATOR ' Od KW-�_ 1=10 KW' "' - to the Wprkers' Compen5ation Provisions ot tne labor Cotle, you must 'TFANSFpRMER �_U �� � � fOrthw��h tpmply with suc� proviS�onS or thi5 pCrmlt Shall be tleemetl LAVATORIE$ DOVBLE LAV$ ''-�- ' " 'tqPPL1ANCE 10-50 KW_50 * KW �� - -- ��� revoketl.. _ - • --- � � ' KIT.SINKS' ' ` ' DISHWASHERS"- � MOTORS CON57RVCTION LENDING AGENCV ' 0-1'HP_1'-10'HP -- - formanceof�rhehworkebr�wnlc��thB�pBrmlti5�issu¢tl�(SecUonry309] SERVICESINKS �L'SVMPS - ' " `- - j��NC50LAR). 10-SO��NP_-SO�+HP.�'� _ _ _� Civ.^C;)c--' ' '- - --• -- �- • - --- - ---�� - ' 'FLOOR SINKS � -� -�FLOOR�pRAINS " j- -- ' "'FI%TVRES" ' OVT�ETS-"SVJITCHES - ' - -�- ! �LentleY's Name LantleYSAtltlress - �DRINKING'FOVNTAINS ' " ' �" ' -�GASTUBESIGNS---- - --------- � OWNER BVILDER'DECLARATION- '- - -- ' " '�NTERCEPTORS - CLARIFIERS ' ' POIE'LIGHTS '- '-- - ' � - ^ --- I hereby aitirm that 1 am axampt from the Contractor'S License Law tor - the•followin9 reason (SecNon ]031.5� BusinesranU Prafeislons Cotle: SWIMMING POOL'- - P TRAP � ^- -- - - � Any Gity or county whlch requires a Perm❑ to tonstruct, altaq �POLES METERED� �.SUB�� � -� Improy¢�, tlemolish�or�repairany structure, prlor to Its•155uance�also re- yyqTER'SERVICE' ' AITERATION " iPANELS'- MAIN � SUB ''- - qWrei thC ap� Iicanl for sucn permft to li10 a signetl stdtOTent that he � . � IS'llttqsetl putsu0fit ta ltle prOvI510ns ot the ContrdCtOf's� LIClnSt Ldv/ -•-- -- - . -- � _ ` � (Chapter 9(commencing wlth $ecUon 7000) of Divislon 3 oi [he GASSERVICE OUTLETS �SERVICE AMP�� � a., Businezz �antl� Pro/ezsions-Cotle) or that he isexempt thercbom antl the � yyqTER HEATERS ' BTU OUTPVT - - � , ba•f for the alle9etl exemp0on. Any violatlon of Section 7031.5 by - �� ?xyiyg.bP���nt for�a permit 5ubjetts the� applitant to-a� tivil penal[Y ' SEWER CONNECTIOrvS ' - '- ' " - ' - �• - t��,...I more than five huntlretl tlollars (E500). " ~ � � � �� � �^ >i.. ' �' , ds owner -oi lhe property,-o� my eittpl0yeel`witb wages'as Ibe�r SOLAR TANK ' - -' 'COL:LECTORS '- - - ' ' " - �- � �- - --- �^ - �--- -� � - � C" sol¢ COTpenSdtion, wHl tlo Ibe work, anC Ihe SVUGtu�e i5 not intentletl _ - or offpretl lor sale. (Sectiun I04A, Busivass anB Ao(eisions Cotle: The" SOLAR PIPING SYS. . � " - ISSUE FEE - -- - ��� ConvactoYs License l.aw tloez not apply to an owner of a property_ - 'APP�ICATION APPROVEO BV who huiltls or improves the�eon, antl wno tloef such work himseli or ISSUE FEE � � - � ' -' '• DATE - - �hrough hiz own employees, proylCetl that sucn Improvementi are not " ' ' intentletl or oileretl tor Sala. 11, poweveq the builtlinq or improvement � MECHANICAL PLAN CHECK '- "� Is soltl witnin onc year_ of compleUon, lhe owner wlll have the bur0en SUMMARY pF FEES .,.i ' of proving he ditl not bulld or 7mprovc lor the puipose ol salc). HEATING SVSTEM 0-100,000 BTU - BUILDING - �-� �- -� .� ❑ 4�as��ownar ol tho �propnrty, am nxclusivety wntracting. with. _ , �PERMIT E ;SMIP ^ b ❑censgtl conlractors to construct tne pro�ect (Section ]044, guslnezs QND DUCTING ' 300,000 � BTU PLAN CHECK S , PERMIT antl•Rofeszions Cotle: Tha� Contractor's LlcanSe� l.aw does not applY �o - -- ISSUANCE- S� an own¢r of proPerty who Duiltls or ImprovM thareon, antl who com pEFRIGERATlOr1 0-100,000 BTV 'PIVMBING S t�actS�lrom such-project5-wilh a��conVdG[o�(s) Iicosnetl pursuant to SVSTEM ' � - - _ GRADING S 1� ` tne C�ntrac[or'S License Law). - 300,000 t BTV � PLAN CHECK E � r �;' , . '1 O -I"aM ezempt untle� $Ccti6n - - ' - B. & P. 0. /O/ this ' - ' - - ^ - -- i �� '.5 � BOILERS BTV ' �ELECTRfCAL E ' reason - - - .�_ . � _ _ �MICROFILM S � � � Data �b� %� �••^•• /� ?� �_ SYSTEM REPAIR, ALTERATION -' ' P�%�N'CHECK E - - --- + MECHHNICAL S- __ TOTAL F�E b _ ''� I hereby certirythat I have read this application antl state that lhe above EXHAUST SVSTEM - MVLTIPLE ' �• LE55 AD- ' Informatlon is'rorrect. 1 agree to <omply with all tlty anG countY � PLAN CHECK � E ' '- VANCE 7C- §_ brtlinance5 antl slate laws rolalin9 t0 construCqon, an0 herCby authOrizo .. . , - . _ roprei¢ntafiws o/ Ihis City'to'-enter' upan"'the'aDOve mentlaneO �. • '�' - " proparry lor Inspection purpose5. /� .� ' Slgna[ure Dalo . ., . FINAL FEE S_ - - � � - � - --ISSVEFEE ` - � � � - DNv¢rs' �icense or SS � - ` � - " ' - ' - CMF 0865-46 Wnite-BUIltling: �anary-HPplicant: Pink-Accountin9: Goltlenrotl-Assessor ,� . . . CONSTRUCTION AND PLANN�ING��'��/ � POOL & SPA - •.� .. � APPqOVALS Permit #� Date Inspector qppROVALS . Permit # -� Date � Inspectoi _ � 1. Temporary Electrical Service or Pole '43. Pool & Equipment Location - - --- i ,.ipe-Un rgm. ' ' 44. Steei Reinforcement - - � - -- - -- - � - - • �3. .Electrical Conduit Utility-Undrgrn_ , 45. � Forms - - - . 4. .Electrical Conduit-Undrgrn _46. Electrical Bonding � - � - - - � tee ein orce � 47. Rough Plumliin & Pressure Test �- - .. 6. Electrical UFER Grn 48. APPROVAL TO COVER-GUNITE - - - -- 7. ootings 49. Electrical Conduit-Undr rn " •� - 8. . Foundation _ 50. , Gas Pipe, ❑ Undr rn, Test ' ' ' , _9... -Watec Pipe-Undrgrn. 51. Backwash Lines P-Tra-� ❑ ndr in � ' -' - ' ' � .10._ Structural Etoor SYstem � . 52. APPROVAL TO DECK "-- - '--' - � -' - ' ' .1.1__P.roperty SewecLine & House�Connecfion. ' ' - 53._._Backwash & Rece toi-Final � � � - -12. -. Street Sewer Connection_ . " ' ' � � - -- - 54. � Heater & Vent-FinaF - . 13. Rough.Plumbing - - � - - � 14. Rough Electric-Conduit - - �56�.. Electrical-Final ` - 15. Rough Electric-Wiring - - 3 - . ' " ' 57. Solar System-Final ' ' ' - � 16. flough Heating & Air Conditioning -- • ' - - � encing & Access Approval ' ' � 17: Ducts in Structure . ' APPROVED FOR PLASTERING � ' - 18: �Ducts� Ventilating �- - - - _ -- - - - . - _ -_ - . . ... 19. Gas Pipe-Rough &Test ' ' • �' - 60. POOUSPA SYSTEMS FINAL . , , ' 20:-- Roof Framing- ' � - - ' - � . ` `. . . . . i 21. RoofSheathin - �--' � -- � - � � - -� ��� � " • 22. Frameand Flashin - .. . NOTES:� - ' ' � ' � � .' � 23: Insulation - - - - �- ' 24. Lathing & Siding- - - � - - .. - - - - 25: Drywall Nailing - - � - � ' � 26. Plaster Browu Coat - - ' � � 27, Electrical-Power Meter•Final - - 28. Final�Electric - -� � - - �� � - ' � 29, Final Heating & Air Conditioning � � - � - • � � � � - • 30-: Final Gas Pipe•Test. • -, =� -- - � � � � - � 31. - Final Plumbing � - " � ' 32: "Water�5ervice-Final - � --- - ' . -33. Gas Service-Final - - � � � . 34. Solar pomesti6Final � ' � � � • • � ' � 35. Landsca e S rinklin S stem ' � ' ' � `' ' 36. Sound Attenuation � ' 37. Handicap Regulations - � . 36. FINAL STRUCTURE & BUIL-0ING � - � � 39. Special Requirements Completed � - - 40. Electric Release to Edison -� ' � - � : 41. Gas Release to Southern California Gas Co. - � 42. CERTIFICATEOFOCCUPANCY �� � � - � . No. ' � � Date � . ' ApPlicant to fill in all space � CITY OF COSTA MESA '�' � PEg MIT NO. � C(�NSTRUCTION PERMIT f' �O °/ wltnin neavy bortlar lines ana sign all appro� " TRACT NO. " LOT'NO. � : QCC�dfd�lOOS. BLDG.� . E, Projett Address (' � �a? � TYPE CONSTRUCTION OWnCf / y �dK.s' � Phon - "' EW ' ❑ A�D ❑ ALTERATION ' � ' " AddIe55 �� -❑ REPAIR� ❑ CONVERSION- ❑DEMO,LISH�_ � _ Arch/Eng. - " � •License No. - - ❑ OTHER � � DESCRIPTION OF WORK Address_ . . . _ . _ . _ . . '.• -^ . . - q . ' Contractor . Phone .VpE OF PERMI7 � Addreis - 1 . - ' - 'O GRADING ❑� FOUNDATION' ❑ STRUGTVRAL LICENSED GONTRAGTOR DECLARATION • � � - � TENANT�� ELECTRICAL l_UMBING ❑MECHANIi I hereby aft7rm that 1 am licensetl untler proWsions of Charter 9(com- .. - -nlencing'wlth-section 7000) of -DiviSion � 3 oi the Buzinesz antl ❑ OTHER - Professions Coae, an y Ilcense is ir� tull forte a C ef(ec pROJECT DESCRIPTION � .__ Lltense C as �LI ns � . . _ . " " ' � q. FT. Date � Si9natuYe � � � � ' � ' WORKERS'�COMPENSATIONDE LARA'f`I N- . ' � �.00CUPANCV�CONSTRUCTIONTVPE I hereby affirm that I have a tertifl<ate�f onsen[ to salf-Insure.or a , VALUATION � ZONE ce�tl8wte'�of Woikers' CompCnsatlon ns ance, or a certifietl copy - . - thereof (SeCtion 3800, Lab. C.). 4/� �n J� GRADING CV. VDS. � ACRES �MIICY No. ' " ' ComPanY "' �� /"`�H L ' " ' ' �15����terllti¢tl copy Is hereby�furqishetl. - _ . . _ . REMARKS: . . � _ ._ ' _ p_ky;�rtifietl <opy is filetl with tne dty Builtling Divislon. , , EXEMPTION FROM WORKEqS' COMPENSATION DECI.ARATION � - - ' (This section neeC not be.cortlpletetl i( Ihe.permit Is.for one huntlred _ ,_ _ . _ _ SS300) or less). - • � • Certily thal in.th¢.p¢rformdn�¢'pi. [he work fOr whfth, thi5 p¢rmit is ISsueA, I shall mt emDloy any parson in any manner so as [o become ��PWMBING- � PLAN CHECK � subjett to the Workers' Compeqsatlon Laws,of.Califomia..' .- _, __ .. Da[e Slgnature� ' BATHTUBS SHOWERS NOTICE: If atter making thts tleclaratlon, you shoulE become subjec[ TOILE75 , � URfNALS "' '" -- to the WOvkers' Compensatlon p�ovl5lons of the Labor COtla, you muSP , forthwllh comply,with such provislons or this permit shall be tleemed LAVATORIES DOUBCE LAVS" _ravoketl.-. . .. . j . . __ _... _. .. . � CONSTRUCTION LENDING qGENCV � �KIT. SINKS �DISHWASHE0.5" I hereby affirm that fhere is a constructlon lentling agency for the perv SERVICE SINKS � SUMPS ''" '-- — -- formance o( the work Por wh�ch thls permit is issuetl (Section 309] 'Civ: C.).` "' ' ` " - " ' ' " "- "' - " FLOOR SINKS ' ' FLOOR DRAINS � � Lentler's Name Lentler'S A�tlress DRINKING FOUNTAINS � 'OWNER'BVILOER OECLARATION"' ' '- " ' " '� INTERCEPTORS �CLARIFIERS 1 nereby affirm that I am exeTpt }rom.th¢ Contractor'S LicenSe Law tOr - -tbe following reason-(Section�7031.5 Businezs'antl Professions'Cotle:- SWIMMING�POOL � PTRAP ' ' " Any tlty or county whiClt YepWres a pe�mit to Const�uct, alter, Improve, tlemolish'or repair any structure, prior to Its'Issuance, also r¢- yyqTER SERVICE �ALTE0.ATION quir¢5 tne apFlicvnt for such Permit to file a signetl sta[emenl that hp 'is Iicensetl pursuanYto tne pro�islons of'the'Contrac[or'S Llcense�L.aw -GASSERVICE � OUTLETS �� (Chapter 9(commencing wi[h Sectlon 7000) of Divislon 3 of the Business antl'Profesvons Cotlo) or thaYhe'is'exempt therefrom antl the' �y,rqTER HEATERS BTU OUTPUT -' ba515 lor tne alle9etl ezemptlon. Any violation ot Sectlon 7031.5 by � "applican['for'a-permi[ sypJects the'applicant to a Uvll penalty -SEWERCONNECTIONS - � �'-' � ' ot mOrG than fiv¢ huntl�etl tlolla�s (E500). „ as owner of lhe property, or my�employees with wagei ai their - SOLAR TANK -� -COILECTORS -"' ' -' .sole compensation,_will.tlo the work, antl theSVuc[ure is not In[entletl _.. _ wno buuas or improves cnereon, ana wno aoes sucn worK nimseir or through his owaem0loyees, provitletl that such_improvements are no[ intentletl or offeretl tor sale. 1/ howeveq the builtling or improvement is soltl wi[hin one year o/ complelion,.lhe owner will hdve thC burtlen of prOving he tlitl nol builtl or Improve for th¢ pu�pose ot sale). ❑ I, as owner o(-the� prOperty, �am exclu5ively�cont�acting wilh IiCEnSEtl con[�actor5 to ConSVUct the proj¢c[ (Sectlon 7044, Bu5ine55 antl ProfessionrCotle: �TM1e Contractor's �License �Law tloes not apply to an owner ol property who builtls or improves thereon, antl who con- t�act5-Itom such projeGts with� a� COnt�actor(5)-Iice5ne0 pu�sudn[ to lhe Contractor's License Law). ❑ I am ex¢mpt untler Section -' -- B. & P. C. tOi this reason - - - - - - Date Owner tha[ I hdv� r¢atl state that the all citv ana c SOLAR PIPING SVS. � ISSUE FEE MECHANICAL PLANCHECK HEATING SVSTEM 0-300,000 BTU _ AND DUCTING 300,000 + BTU _ REFRIGERATION 0-300,000 BTU_ SVSTEM ' - - 100,000+BTV_ BOILERS BTU SYSTEM REPAIR,ALTERATION EXHAUST SVSTEM MULTIPLE SlgnaWre � e � ' I �rivers' L' S5 �, � �� � � " '�SSUE FEE CMF 0865-46 WF�,S -8uiitling; Canary-Applican(; Pink-Accountin9: Goltlenrotl-Assezsor .� `�',, :� � �: . A.P. � " ' ZONE � SETBA�C�(� C/� I VARO R�IG HT A REAR YARD (TO PKG. SPFICE REQ. 9703 I 2/ 1,7/,B I )NING REGULATIONS �, -PLNTGp. REF. p� PROPE�RTYNLIN �1 - ��� ,;.PROVIDED NG APPROVED BV IAL CONDITIONS: 37.00 TL. .. � PARK FEE 5 � � � DATE r. • ELECTRICAC- "-"" - aLAN cHECK ' _..���...,..' _ __" ..........� _ SO. FT_ SCJ. " GENERATOR 0-I KW��_I-IO,KW� � TRANSFORMER _ �APPLIANCE - 10-SOKW_SO+KW MOTORS' -' ' 0-1 HP_1-10 HP - _ - (IN0.50LAR)� 40-50-HP=50+'HP- - ' FI%TURES -- OUTLETS 'SWITCHES" - '- GAS TVBE-SIGNS - - " ' ' ' ' POLE LIGHTS - - " - ' POLES METERED SUB -.. � PANECS' - MAIN' ' ' . SUB - ' . - - 'SERVICE- ' - " "-"' "' -AMP" - " � � � I ' - i APPLICATION APPROVED BY ' DATE 'i SUMMARV OF FEES ' � , BUILDING" _ PERMIT `E _ SMIP . E i PLAN CHECK $ PERMIT " � � �j-� • ISSUANCE $ PLUMBING E�1L' _ ' PLANCHECK'��§ • _ � -GRADING .S - . �- ELECTRICFIL y - � � S� � i PLNN CHECK E- - MICROFIIM S'- , 'I ° " TOTAL FEE E -MECHANICAL S' . + � ��' '' LE55 AD- - � ' 'PLqN CHECK - $ ' -- - VANCE PC $_ •� � - •S.� . •..I ' ' ' ' �-�.��, • , FINAL FEE E, '�1 �_ � . , ,. CONSTRUCTION AND�PLANN Ga POOL & SPA � -�` �- APPROVALS Permit# "`^O� Date Inspector ' qppROVALS . Permit# � Date_ � Inspector � 1. Temporary Electrical Service or Pole - 43. Pool & Equipment Location - � • �� - � Soil ipe-Un rgm � � _yr 44. Steel Reinforcement � • �- -- - - � � - -� � - - - - ' _ 3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgm � 46. Electrical Bonding � - '' tee em orce 47. Rough Plumbin- &-Aressure�Test 6. Electriral UFER Grn '- 48. APPROVALTO COVER-GUNITE� - - - - 7. Footings, - 49. Electrical Conduit-Undr rn � . 8. Foundation ' - 50. Gas Pipe, ❑ Undr rn, Test ' � �� 9. . Water Pipe-Undrgrn -,Z.( -91 51. Backwash Lines R.-Tra -E3 � ndr rn� - -� •- • 10. Structural Floor System � - 52. APPROVAL TO DECK" ' " � ' ' ' ----' ' - -- � • - • ' 17. Property�Se'wer Line & House Connection _ � 53. Backwash�& Rece tor-Final ' ' � �� � � � -� 12. Street Sewer Connection � � ' ' � ' � 54. � Heater & Vent-Final � 13. Rough Plumbing - %'�� " � � - � ' � 14. Rough ElectrioConduit - -- - �56: Electrical-Final � � �� 15. Rough Electric-Wiring - � - 57. Solar SYstem-Final '- � • 16. Rough�Heating & Air Conditioning=- �- � � encing & Access Approval y I 17. � Ducts, in Structure - ' ' APPROVED FOR PLASTERING ' 18.� Ducts, Ventilating � � _ ` �• . - _ _ . ., 19. Gas;Pipe-Rough&Test 60._ _POOL/SPASYSTEMSFINAL � • _„ '� 20. Roof'Framing -� ' � ' ' '" � ' • � � 21. Roof"Sheathin " � - - . • � . 22. Frame and Flashin _� NOTES: � � � � , " 23. Insulation - - -- - - ' ' ' ' 24. Lathing & Siding � - 25. DrywalLNailing - � - ' 26. Plaster Brown Coat ' � � � 27. Electrical Power MeterFinal ' - �� � ' ' 28. Fine6�Electric � � � � � - 29. Final Heating & Air.Conditioning � � � - -� - ' ` - 30. - Final Gas Pipe-Test -].o.fi�� ' � ' '� " - ' � 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 & BU6LDING ' � `� ' � 39. Special Requirements Completed • ' 40. Electric Release to Edison - � � � � '- ' 41. Gas Release to.Southem California Gas Co. '- � 42. CERTIFICATE OF OCCUPANCY , , . No � - Date � ✓ .w��r.� Applicant to fill in all GiTv OF COSTA MESA P MIT NC CONSTRUCTION PERMIT �eavy borOe� lines antl sign all aoc�ooriate tleclaretion TRACT NO. 'LOT NO. . BL G: NO. 3 � E- / Projett Address � _ r- � ' TVPE OF CONSTRUCTION Owne1 � ' r Phone .Z ❑ NEW ❑ ADD ❑ ALTERATION Q "Addrea � L • - GC/YJ6 ' �' .�(/r ' ❑ REPAIR O CONVERSION ❑DEMOLISH � FArch/Eng. - � License No. � ❑ oTHER.' ' DESCRIPTION OF WORK � Address - � � ' - ' � - " ' . � - - �' • ContFacmr " �Phone y1�3 �TYPE OF PERMIT �- - ��� i � � , Add�2u/ 2 OT • P •� . . � �� GRADING � ❑ FOUN�AT ON ❑ STRVCTURAL `LICENSED CONTRACTOR OECLARATION - � ��Q TENANT ❑ ELECTRICAL�P6UMBING� OMECHANIC/ ,1 h¢reby affirm th:.l I am IiG<nsetl untler proviilon5 Of Chdrter 9(com- � � • men<In9 wllh section 7000) of DlviSion 3�of tne Bu5ine55 antl � ❑ OTHER- - -- - - .Protezslons Cotle antl Iicense is In full force antl effect. 9 . _ z � -PROJECT DESCRIPTION _ . - _ . . . _ -. . ,Ucense /�Iass Lic nse No!465�-.�'' - � . .Date�/�, �7- ' c �.3r .a' � _ �l1 - -- _ 5�. FT: �, ,; � � : •1_ _ _ �WORKERS'COMPENSATIONDECLARATION - �� �- .' ''-�CCVPANCY_CONSTRUCTIONTVPE_ �I h¢reby affirm that I have a cer[ificdte Of cOnsent to Self-insure or a ' ' certlticvte'of'Workers' Compensalion-Insurance,-ora certifietl-copy� VALUATION :--��' ZONE lereof (Sectlon 3800, Lab. C.�. J GRADING CU. XDS. ' ACRES iIICY No. ' - ' � ComPanY ������'��" ' " ' ' '" ' � 1; . . * � � . A.P. �` REAR VARD W 0321 6/29/B2 NING REGULATIONS PLNTGp. Rg�E/F�,.p�� - ' PROPE�RTV LINE •' � 90eo0 TL s ; . ... _ � � 1 SPECIAL CONDITIONS: , .�� � � - T � Certllietl topy I5 hereby fumished. � . - - - - -- REMARKS:- • - D G. - . � � ' � ��� � � , � � p ' �(.ertlBed copy is tlletl witn tna city Builtlinq Division. .. . � rt'F1.-'�- ::r,:,. � :� 1 .EXEMPTION FROM WORKERS COMPENSATION DECLARATION ' � �O- '�' '�" -"� �" - " - - " - '- ' ' � (This section..n¢Gtl nat be Comple[etl It_the pe�mit i5 tOC.One huntlretl _ _ _ . _ . . ,_ _._ _ ._ _ , _ � : �� • ,�^' � ,�; _ ' � - . �� � i, 'l i SEIO�� OI �E55). ' �Gl 1 . ' �" ', i cert�fy.Ihat.in the-pGrfOrmanCe of the wOrk for_which thi5 permit is. .., -- ' 6suetl, I shall not emPloy any person In any manner so as to become P.LUMBING� �-� r� � zPLAN CHECK '� '�ELECTHICAC � ��� � PLAN;CHECK . -' �" ' subjec[ to the Workers Compen5ation.Laws of..California.' . . '- __ , _. • BATHTUBS SHOWERS Date Slgnature NOTICE: It after making thls tleclaratlon, you shoultl betoma sub�e<t TOILETS � i��• �. URINALS-' � � - ,to [he Workers' Compen5ation provisionz ot the Labor Cotle, you must� LAVAT00.1E5 DOIJBLE lAVS "' - - lorthwitit com0ly with sUcn p�ovlSiOns o� [nls pe�mit Shall be tleemetl revoketl.._ ' ' '" _ " .. . . _ ._ .� _ ' " _ _' ._ " CONSTRUCTION LENDING AGENCV ���KIT. SINKS - DISHWASHERS , �I hereby affirm that there IS a COns[rUction lentlin9 agenCy for the per- SERVICE SINKS : ,SUMPS ' ' � �formdnC¢ Of the work fOr whlch th15 permit is izsuetl ($ection 309] iCiv.-C.). -' " - "-"' `- ' ' - ' ` ' -'"- � FLOOR SINKS � FLOOR DRAINS � 'Lentler's Name �Lentler'S Atltlress � • � DRINKING FOUNTAINS �,; � � � OWNER BUILDER'DECLARATION " " - ' �- " jfVTERCEPTORS CLARIFIERS I her¢by atfirm Ihat I dm exemp[ from the COntractor's LlcenSe Law for the'followin9'reason'(Section"7031.5 Businezs^antl Professions Cotle: SWIMMING'POOL'- �"-P TRAP '-' --"' - ' ' , Any City or county w�ich reqWr¢s a permit to con5[ru[t, alter, improve, tlemolish'or repalr any 5[ructure, prlor to its Issuance; also re-' "yyqTER SERVICE ALTERATION �- ,— � qWreS Ih¢ apfli�nt fOr suclt Oermit to file a signetl statem¢n[ that he is Iitensetl'pursuant'to tne Orovlsions oYthe Contractor's' License'Law- -GAS SERVICE OUTLETS (Chapter 9(cOmmencing wi[h Section 7000) of Division 3 of th¢ % 'usiness antl- Prolessions Cotle)'or that ne Is exempt'theretrom antl the- - y�qTER NEATERS BTU'OUTPUT '� " "-" izis br lhe alle9eU exemption. Any violalion of Section 7031.5 by .ny'appllwn[ tor a-permit'subjetis IM1e'appllcant to'a civit penalty' SEWER-CONNECTIONS' �I ' � '�j � - bf nol more than live huntlr<tl t1011ars (E500). - �� I, as owner o/ the Oroperty, or my amployees with wages as t�eir SOLAR'TANK' --�- � COCCECTORS�� - -" sOle compen5alion, wlll tlo_Ihe,work, antl the Struttur¢,is not in[entleE_ ' __ __ or otferetl tor sale. (Section 7044, Business ane Professions Cotle: The SOLAR PIPING SYS. �1 1 �Contracto�'S License Law tloeS.nOl apply to an_ownG� of a prope(ty_ , ,___..._ _�� ..... _ _ .� _ ,wno builtls or improves [hereon, antl who tlo¢s such work himzelf or ISSUE FEE � throu9h his own employ¢es„provitl¢tl thd[ such Imp�oveme0tz,dre noi " inten�etl or o(feretl for sale. If, however, th0 builtling or imptovement MECHANICAL PLAN CHECK ' � is.soltl wlthin.One yea[ Of COTPIEtion, th¢ owner_will have Ihe burtlen � 'of proving ne tlitl not builtl nr improve lor the purpose of sale). HEATING SVSTEM Od00,000 BTV 1 ID•I; �as ownerof the property�, am�exclusivery con[ractinq-with �qND DUCTING' '� ' - "- �� ' ` � " IicenSetl conlractors to conSlruCt Ihe prol¢<t (Section ]044, Buslne55 100,000+BTU �antl Prof¢ssions Cotl¢:'The• Contrac[o�'S License Law tl0¢5 not apply to� ' 'an owner of proper[y who builtls or Improves thereon, antl who con- REFRIGERATION 0-300,000 BTV � tractr trom sucn. projectt witM1� a tonVattor(5) licesnetl -pursuanD to -SYSTEM� - - - � - I -' - � - -- � - - �the Conlractor's license Law�. 100,000,+ BTU 1 ❑ I am exemp[ under Sectibn �- - B. &' P.'C'fbr this BOILERS BTU � reason' ' ' ' ' - 'Date� Owner SVSTEM REPAIR, ALTERATION I herebvi certifylhat I.have reatl this applicajlon antl_state that the above_ EXHAUST SVSTEM MUITIVLE Signature T_�� Drivers' License or 5' CntF0865-46 WM1ite-Builtlin9:��ary-Applicant; _ -ISSUE FEE Golden�otl-A55es5or � 50. FT. - � ' Sfa. FT. ' "' - ' _ � SGENERATOR' ' 0-1 KW_ 1-30 KW. -� •TRANSFORMER � • .� .APPLIANCE 10•SOKW_SO+KW-- -' � - �� 1 �MOTORS ' 0-1 HP-=1-30 HP' . ' 't �(WC. SOLAR)� -' �30-50�HP�-_-50�+•HP�- � - � 1 ' ' ' " 1 �FIXTURES� OUTLETS'"`-SWITCHES' "' " jGAS'TVBE516NS - ' -'-' - "-- � ' '�- POIELIGHTS '- ": " ' " ""' ' " ... I�. �' . - - �POLES METERED �-SUB�• �PANELS"""" 'MHIN"" �' �'SVB.": '_ "- ' '" SERVICE�----� ' - -" AMP' ' ' - ' " " '_."' ^ '" _ ...�: __ '- ' t'. �... _ .. .._ _ "' _ '_ . _ ' ' 1-'ISSUEFEE"' ' --- -'- ' ' ' " " :APPLICATION APPROVED BY - - ' DATE- - - " SUMMARV�OF,FEES , , ��h.,.. pt> +'BUII'DING -- ' ' ' - ' ' - - -^ iPERMIT S '���.' SMIP,i� . •,8y. • -�'__' ; PLAN CHECK S 'PERMIT•t � ' t . ,ii, i PLUMBING IC7 .� '�SSUANCE �S - S :n,�GRADIfVG--g,:�+, •�. PLAN�CHECK $ . .. . ',`�: ',1.,� � ; • � ,ELECTRICAL $ � - � �s •PIANCHECK g �- ----M�CROFILM'S ' _ ` " `TOTAL FEE'6 - � �MECHANICAL E "" ` ' ' :PCANCHECK y - ' - �� LE55'AD- " _ ' _ .. . VANCEPC S_,-' , _ FINAL FEE 6 ` � �' �� r� . �--t�- CONSTRUCTION ANO PLANNING (,. POOL & SPA� �. ��, . APPROVALS Permit# w.3� Date Inspector qppROVALS , • Permit# Date Inspector 1: Temporary Electrical Service or Pole 43. Pool & Equipment Location � - - -� 2. 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 - 48, APPROVALTO COVER-GUNITE 7. Footings � - 49. Electrical Conduit-Undr rn - 8. _ Foundatioa _ 50. �. Gas Pi e, ❑ Undr rn; Test - � �: • 9. Watee Pipe=Undrgrn , � __ _ _ _ ' 51. Backwash Lines P-Tra �"� ndr rn ' - - ' - ' � r '. 10. Struccural Floor System ' � 52. APPROVALTO DECK ' , 1i. Property Sewer Line & House Connection � 53. Backwash & Rece tor-Final � ' .12. . StreeT Sewer Connectio� � ' � ' � _ 54.. Heater & Veni-Final ` � � � � 13. Rough Plumbing • '- - - - - - 14. Rough ElectricConduit - - � � •56. - -Electrical-final • - - 75. Rough Eleciric-Wiring �"'� � � � � � - • - - - - 57, Solar,SYstem-Final - � ' � • � - - � 16. Rough�Heating & Air�Conditioning� � - - - encing & Access Approval - - ..17. Ducts in Structure ' � APPROVED FOR PLASTERING ' 18. Ducts,-Ventilating . . . 19. GasPipe-Rough&Test ' � ' '6D. POOLISPASYSTEMSFINAL -� � � 20. Roof Framing . '- ' ' � ' " � � 21, Roof Sheathin � � ' . .- � . " � ' . 22. Fremeand Flashin - � ` NOTE$_ " � ' ' 23. Insulation - - -- � � " 24. La[hing & Siding - - ' - ' 25. Drywall Nailing - � � - ' � � 26. Plaster Brown Coat � � ' ' ' � - � 27'. Electrical Power'Meter.�Final � ._ " '� � � ' ' 28. Fina� Electric � � � ' " 29. - Final Heating & Air Conditioning. ' � ' - - ' ' ' 30. . Final Gas Pipe-Test ' " ` - 31�. FinafPlumbing. . � ' ' " ` � ' 32. Water Service-Finaf ' ' � ' � � _, �'� - � ' ' ' ' 33. -Gas Service-Final� - � � ' � ' ' � 34. Solar pomesticFinal � - � ' ' � ' ' 35. Landsca S ri�klin S stem . - '' � ' , 36. Sound Attenuation � " � � � � � 37. Handicap,Regulations � � • - - - � ' 38. FINALSTRUCTURE&BUILDING ' � • ' � - • � 39. Special Requirements Completed ' ' � - � � " - " ' � � . 40. Electric Release to Edison � � � � � � 41 . Gas Release to Southem California Gas Co. - .� .. ' 42. CERTIFICATE OF OCCUPANCY . � No. ' Date � ' , . - AVP���ant lo fill in all SDaces exce0� tnosa within heavy bo�tle� Ilnes anC si9n all apvropriate tleclarations. CITYOF COSTA.MESA--CONST.RUCTIOjV P�Rl�ll ` � Project Address �'7 � �— ����y� ApplicanYs Maili�� Add cc •[�, r/I v Ownei's Name �����Phone Address ArchlEng. , License No. Address �- � Cqntractor's Nam } P,hone Address (mailingl $� City Licenu No. LICENSED CONTRACT00. DECLARATION 1 hereby atfirm Ihat I am Ilcensetl uhtler provislons of Charter 9(commencing with section 7000) ot O(visfon 3 o� the Businezs antl Protessfons Cotle, antl my license is in full fo d Hect. ��` License�IP�s 519 t �c ns No j A � Da[e � —�j WOR ERS'C MGENSATION DEC�qR I � hereby attirm [hat I have a certifita(e ot consent to selbinsure or a certificate '. Workers' Compan5dtion Insurance, or a certliietl copy tnereof (Sec ion � d00, Lab. C /� I Policy No. '�/ �Qr�T..� � Company � _ � �eef�etlN FYOM'WORKERSaCO� SATI �� CLFRA IT ON EXEM 1 (This section neea not be COmpletetl it tho permit IS (or On¢ huntlretl ($100) or less). I cer0fy that in the periormance ot the work tor whith'this permR is issuetl, I shall not employ. any person in any manner so as to Oecome subjec[ ro the Workers' Compensatlon Laws o� Cal�fornia. Date Si9nature NOTICE: If, afte� making Ihis tloclar�tiOn, you shoultl become subject to the Wo�ker5' Com0en32tion Provi5lon5 pf tlte Labor COtle, you must forthwi[h comply with such p�ovision5 or this p¢rmit shall be tleem¢tl �evoketl. CONSTFVCTION LENDING AGENCV /1 I hereby affirm tbat thare is a constrUction lentling agency (or the performance ot the work 'for which this permit is Issuetl (Sectlon 3097-�Civ. CJ Lentler's Name , Lentler's Atltlresz OWNER BUILOEH OECLARATION ' I M1e�eby attirm Ihat I am fxempt from the Cont�actor'S License Law for the tollowing reason (Sectlon 7031.5 Businass antl Professlonal Cotle: Any city or couniy which �equires a permit to Cons[�uct, al[¢r, Improve, tlemolish Or repai� any s(ructure, prior to Its Issuance, also requires the appllcant for sucn permit to file a slgnetl stalemen[ lhat he/she I51lcensetl pursuanl lo lh¢ ProviSions of the Contractor's License Law (Chapter 9(commencing with Section ]000) of 'Division 3 of th¢ Busin¢55 and Prbtezslon5 Cotle) or thdt he/sne i5 ¢xempt yerefrom antl the basis for the allegetl exemptlon. Any violation of Section )31.5 by any applicanl for a permit 5ubject5 [he applicant to a Civil enalty of no[ more than tive huntlretl tlollars ($500). ❑ 1, as owner of tM1e propErty or my employees with wages as thei� sol¢ compensatlon, will tlo the work, antl the ztructure is not Intentletl or oiferetl for sale (Section 7044, Business entl Profezsional Code: The Con[rac[or's License Law tloes not applY to an owner ot a property who builtls or improves thereon, antl who tloes such work himself/herself or through his or her own employees, provitletl that sucn implovements are not intentletl or o(teretl for sale. If, noweve�, the builtlin9 0� irt�prOvem¢nt I5 soltl wllhin One year of <�m- pletion, the owner will nave tne burGen ot provin9 he/she tlitl not builtl or Im- prove for tite purpose of sale). ❑ I, a5 Owner of the prOperty, am ¢xcluslvely <on[racting with IlcenSetl con- Iractorsto const�uct thC Project (Se�tlon ]044, Business antl Profe55ions Code: The Contractor'z License Law doe5 nOt apply to dn owne� of p�operty who builtls or imOroves [hereon, antl wryo contraCtS 10� such project5 wi[h a con- tractor(51 ucense Oursuant to the Contractor's Llcense Law). I am aware [ha[ proot of their Wo�ker's Compen5ation InsuranCG should be ptovitletl to me. ❑ 1 am exempl untler Section B. & P. C. for thi5 r¢a5on Date I hereby certify that information is correct antl state laws relaHn sentatives oi tni cit InsOe�tion Ourp se Signa[ure 'Drivers' License or 55 _ Owner . have r¢atl 0 ouiiOing alion antl stai¢ [itat the above 1 dll CI(y dfltl WUfIIy Oltl�OdfIC25 on, antl hereby autitorize repre- above-mentlon?tl property ,t(o�r Date_�_Q.�' \� CMF 0865-46. �ev. 10/84 White - Builtling; Canary - AP� TYPE OF CONSTRUCTION LJ NEw LJ ADD ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. — TVPE OF PERMIT LJ GRADING ❑ TENANT ❑ ELECTRICAL ❑ OTHER ALTERATION L�7 REPAIR TION LJSTRUCTVRAL : ❑ MEGHANICAt. PROJECT DESCRIPTION SQ. FT. OCCVPANCV CONSTRUCTION TVPE VALUATION $ _ ZONE GRADINGCU.vDS. ACRES_ Remarks: Sink Preventer Irrigation Clarifiers Dishwdsher ' Drinking Fountains Floor Drains Floor Sinks Gas Service Outtets Interceptors Kitchen Sink � Lavatories P—Trap � Roof Drains � Reinspection Fee � $75 Ducc-UnderGround Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple firepl/Fact. Blc ICBO # Heating System & Ducting ❑ a i oo,000 eru O i oo,000 Reinspection Fee I $15 Pink - Accounting; Goltlenrod - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater ' Water Service Auto-Wash � laue Fee Hood or Typel ❑ Canopy Type I I � Refrigeration System ❑aioo,000eru ❑ioo.000 System Repair/Alteretion Fire Dampers Registers luue Fea A.P. # . S Main Buildin9: E T Front' ARear C Right SLeft Ping. Ref. # Planning Noies: FEES Automa[ic Washer � ConstructionPoleSub. Cooking Unit• Dishwasher � ' ' Dryers ❑Gas ❑Electric Fan F.A"U. ' Fiztures Device Boxes � Outlets $ 3 $ 3 RECE1VEn. Accessory Building: ELECTRICAL awiccnes- � Garbage Dispoul Generator DO-5 KW OS-15 KW Trensformer ❑ 15-50 KW . ❑ 50+KW Meter �up [0 100amps , Meter ❑over 100amps� Sub Panel Motors OO-1 HP �1'/: - 8� Inc. Solar �9-15 HP 016�15+ Microwave Pole Light Range Sign " ' Standing Sections ' Trash Compactor � Reinspection Fee �$15 � � luue Fee DEVELOPMENT SERVICES RE�UIREMENTS: Zoning Approved By Building Appraved By _� Appliption Issued By 0 FEES $ 3 I N G R E � M T S 0 SUMA�ATIYOF FEES BUILDINGPERMIT $ SMIP 3 PLAN CHECK � $ —�J�— PERMIT PLUMBING $ J� V� ISSUANCE 3 PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ � MICROFILM $ MECHANICAL $ � TOTAL FEE $ �va _ PLAN CHECK � 25% $ - CONSTRUCTION AND�PLANNING , � , POOL & SPA � ,_ � ' APPROVALS Permif# Date Inspector qppROVALS Permit# Date' . Inspector r„? � 1. Temporary Electrical Ser"vice or Pole 52. Pool & Equipment Location � ' � �' S:Y 2. Soil Pipe-Undrgrnd. ". , 53. Steel Reinforcement ' � . . � 3. Electrical Conduit Utility-Undrgmd. , 54. Forms � ' .� 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding � !� " 5. Steel Reinforcement ' 56. Rough Plumbing & Pressure Test , _ -''. 1 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE' ' � 7. Footings , • . 5S. Electrical Conduit�Undrgrnd. - C.) i� _. . 8. FoundatioR ,� ,' ' 59. Gas Pipe, � Undrgind., Test _;^_. 9. Water PipB' ndrgrnd. �. . 60. Backwash Lines, P;Trep, � Undrgrnd. � ' 10. Structural Floor SYstem ` - 61. APPROVAL TO DECK � � � 17. Property Sewer Line & House Connection 62. Backwash & ReceptorFinal ' . 12. Sewer Cap � 63. Heater & Vent-Final . � � 13. Roof Drains - 64. Plumbing System - Final � ia. Rough Piumbin9 � 65. Electrical-Final � � ' 15. Rough Electrical-Conduit ' 66. Solar SYstem-Final � � 16. Rough Electric Wiring ' 67.'Fencing & Access Approval � - 17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING � - � 18. Rough Electrical-TBar Ceiling , '� 69. PDOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning � �,FIRE DEPT. REQUIREMENT , , 20. Rough Factory Fireplace APPROVALS Permit# � _ 21. DuCts, in Structure 70. Undergrouhd HYdro ' - 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil ' . ' 23. Gas Pipe-Rough & Test 72. Underground Flush � 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro � 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical _ ' •- 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siiiing . 77. FIXED SYSTEM FINAL � , ; 9 29. Insulation �'� 78. FIRE PREV. FINAL i . . 30. Drywall Nailing ��' ' HEALTH DEPT. REQUIREMENT '� 31. Plaster Brown Coat � 79. FINAL INSPECTION ''' � , , 32. Electrical Power Meter-Final ' S0. FOOD CERTIFICATE ISSUED -� f'�.` ' 33. Final Electlic � Notes: ' - � , ' 34. Final Heating & Air Conditioning ' ' ._y% ' « 35. Final Gas Pipe-Test - 36. Hood or Canopy / 37. Final Factory Fireplace 38. Final Plumbing 7-Z�•� L�� , � 39. Water Service-Final � J � r, ' 40. Gas Service-Final ' � � > 41. Solar pomestic-Final ? 42. Backflow Preve�ter . i 43. Backflow Irrigation . ' I 44. Landscape Irrigation System . r' � �:- 45. Sound Attenuation . � - - - % ji i: 46. HandicapRegulations . � _ .� '�� 47. FINALSTRUCTURE&BUlLDING _ � 48. Special Requirements Completed . , _ . 49. Electric Release to Edison � � . .. � 50. Gas Release to Southem California Gas Co � � - - " 51. CERTIFICATE OF OCCUPANCY - • � � No. Date � � � � . � COSTA MESA BUILDING—SAFETY DEPARTMENT ' P.O. BOX 1200 2549 2/25/82 7.00` Tt� Costa Mesa, California , � � ,�� � / TRACT NO/ � � ' '�1 Contrector 'r Loi No. Addltss 5290 E. HlJNTER BUILOING USE � ATE �SSU D c�iy ANAHEIM ZipCode 92807 RESIDENCE �� scecc �icense No. 37 7 Cless. C 0 ew�oiNc CityLianseNo.QOH$](F TeI.No.]]9—]],S( ADOflE55 9 �(,(� �� q � N0. ITEM EACN FEES COSTA MESA. CRLIFORNIAr,�� � �� �U FAU, Wail, or Grav. �V� .� O Furn. Inct. Ducls end W 1 Vents 4.00 4.00 OWNER BROOKS CONSTRUCTION ~ to 100 000 BTU �� � a ADDRE55 1532 LA�,LOMA ° 0�0� ,00,000 eTu (�) �. „ J CITY S'�'i'(�11�(� TE�. No. 642-0432 J a Vent (if not incl. ebove) S � � �� � u 1 hereby acknowledge [het I have reed this epD��cetion � Sus ended Hea2er i+ J end�stete�that [he abave is correct end egree to comply � Alter or Replace ,�wjW��allyCity Ordinances and Seate Laws regulacing Heat- w Appliance y ver eet o �'��ng;�Ventilating, Re(rigeration and AirConditioning. �. � 9as piping 10��; %'� aBOILERS OR ��\i � 1 cer[i(y [hat I possess the ebove velid State of Cali(- COMPRESSORS 't\ .✓ ornia clflssification or I em the legal owner of [he single z �p �,✓' tarnily residential property described above. W 3 H.P, or less � G � � = Over H. . to Q , A � 15 H.P. �;-,\\��' Signature of „� . Permit[ee H BethrOor� R '�� ' - �T � VentFan—Sin le-,Duct�� � � Kitthen ,(� �( Y-` REMARKS: � W Ventilating�Hoad a ` � Metal!Fi e�Places � ICBO yp O AGA � � APPFOVRLS INSPECTOR �ATE � M�k Ducts Undergmund y Ducts in Structure = Duc[s Ventilating r � � ,Plan Check Reinspection Fee Sub-Total Pmcessing Fee TOTALFEES CMF 0449-06 Heet�ng — Rough Hoods Refrigeration Lines Prossuro Test Air-Cond. Final Ventilating Final Hceting Final 3.OQ Refrigeretion Final Final Gas Test Utiliry Co. Notified BLDG. PERMIT NO. _� -� ��. ' AOPlieant lo fill"In -CIFY OF COSTA MESA aegm� ' CONSTRUCTION PERMIT �S Address License Address ,� . within heavy bortler Ilnes antl sign all TVpE OF CONSTRUCTION� � ip.��EW ❑ ADD ❑ ALTERATION ❑REPAIR ❑CONVERSION.�DEMOLISH � ❑ OTHER' DESCRIPTION OF WORK -Contractor , - Phone 7ypE OF PERMIT ' � ' � Addre55 � ' OGRADING �l'OUNDATION' eGGTRVCTVRAL' LICENSED�CONTRACTOR DECLARATION ❑ TENANT ❑ ELECTRICAL ❑PLUMBINf ❑MECHANICP I hereby ai(Irm that I am licensetl under provisions of Cnarter 9(com- � ,�, S� :, �� 'menCing wlth'Section ]OOOp o( OIvi5lon�- 3 Of the Buiine55 antl ❑ OTHER Grotessions Cotle, antl my lic¢nsa Is In full force antl affect. ' i _� License pass " Ucense No. � ' - PROJECT DESCRIPTION _ . � � � • + . Date Signature - � SQ. FT. . . . _ _ _ _ WORKERS' COMPENSATION �ECLARATION ' '-�CCUPANCV�=+� CO�N-,S�T CTION TYPE I hereby aifirm lhat I have a cerfifiwte of tonsent [o self-insura or.a• VALUATION��ONE <er[Iflcate of Workers' Compen5ation Inzurance, or a certliletl copy -- - thereot (Sectlon 3800, I�b. CJ. GRADING CV. YDS. ACRES IPoIICY No. ComPanY ' " ' ' ' � Certifietl copy I5 hereby turnlshetl. . REMARKS: , � Certifietl copy Is flletl with the city Builtling Dlvision. .CEMPTION FROM WORKEFS COMPENSATION DECLARATION ' - - - ' �This sectian n¢!tl not be cOmple[etl It the.permit.is for, one hUntlretl ,. . . . . �5100) or le5s). . � • �•- . certify thaLin the p¢r(ormdnG¢ ot th0 wOYk fOr whith this permit Is Issuetl, I shall not employ any person in any manner so as to �become i PLUMBING � .� PLAN CHECK - - ��5ubjectto.the�Workers' Compensatlon Laws of California: _ _ .. - ' _ Date Signature� BATHTUBS SHOWERS � NOTICE: It after making this tleclaratlon, you sboultl becoma subjatl TOILETS � %URINALS - �- to the Workers' Compensation provislons of the Labor Cotle, you must �VATORIES 0 DOVBIE lAVS- lorthwith cOTply with such provi5ion5 or thi5 permit Shall be tle¢metl � �, , revokeA. . _' " "' _ _ _ . - , CONSTRUGTION LENDING AGENCV - KIT. SINKS - DISHWASHERS - � I hereby attirm that there Is a con5tructlOn lentling agency for lhe per SERVICE $INK$ , SUMPS: formance of the'work for which this permit is issuetl (Section 309] m' ` `��� � Civ.-CJ'."" "` ' ' ' ' ' ' ' ' ' " �-' -' FLOOR SINI<5 � FLOOR•DRAINS « �� Lentler's Name Lentler's Atltlress � �RINKING FOUNTFiINS' ' ' � -OWNER9UILOERDECLARATION " � � � �jNTERCEPTORS� CLARIFIERS�, I heretsv at(irm Ihat I am exemot from tM1n Contrac[o�'s Llcense Law for - -- � qwres me ap4 'is'licensetl"pur (Chapter 9 (c Business antl F basis for the : 'anY aPPlitan� F f10[ rt10fC i �, as owne campenw o(feretl (or Contracior's L who builtls or .tnrough hi5.m intentletl or oi Pl0f255I005 COtlE: mnstrucf, al[er, 5 ISSUdf1C8,'dI50 !8° :[a[emEnt [hdt h¢ Any vlolatlon of Se<[ion ��31.5 by ects tne applicant-to a'chll panalty lollar5 ($500). or my Bmployees with wdge5 as th¢Ir Ofk, antl [hE stluctule is not Intentletl 7, Business antl Professions Cotle: The io[ apply to dn own¢r Of a p�operty ar �of� lhe property, am ors to construct the p .otle: The�ContraGtor'S an owner ol property who builtls o� t�acts -from suth' projeCts with� a-co the Gontractor's License Law). ❑ I am ezemp[ untler Se<tion_ reason-- - � - - - -- Date Owner_ I b¢�¢by C¢rtity thdt I hav¢ reatl this ap informatlon is correcL I aaree to n SWIMMINGPOOL-� � -PT,RA VJliTER SERVICE � ALTEI GASSERVICE OUTI_I WATER HEATERS ' 'BTU O SEWERCONNECTIONS -''� ' SOLAR TANK ' - � � '� COL'L'F SOLAR PIPING SVS. . 4025 SllCfl WOfN f11T5811 OI ISSUE FEE suth improvements are not. hG DUilOing o� Improvemenl MECHANICAL PL•AN CHECK owner will_have tho bmtlen _ for the purpose of sale). HEATING SYSTEM 0-100,000 BTU_ �clusively Contracting wi[h qND�DOCTING -' ' - ' :ct (Sectlon 7044, Business 100,000 + BTV _ :ense Law tloe5 not apply to �ves thereon, antl who ton- REFRIGERATION 0-300�000 BTU_ tor(s) Ilcesnetl pursuant to• -SVSTEM' "- "-- - ioo,000 +1g,r�u:3 � B. & P. C. tor this gOILERS BTU SYSTEM REPAIR,ALTERATION lon antl sta[e that Ihe above EXHAUST SVSTEM MULTIPLE � � �:. ,4640 l2/.I Z/81 : • -� 326.30 TI .; � - ' 20NING REGULATIONS � A.P.9f Z, - _ ' ' " � _' < � ZONE PLNTGp. RUEFL. pqp�Z�"�g(!�- SET�AC� T G� PROPE�RTVNLINE SIDE VAR� . LEF SiDE VA - - RIGHT REAR VARD (TO P/L) ; � � PFCG. SPACE RE�. 'Z� � PROV IDED �� i ' STREET WIDTH � : PARK FEE $ �'Z ZONINGAPPROVEOBV' DAT i' SPECIAL CONDITIONS: �� ELECTRICAL � - PLAN CHECK � SL]. FT. Sp. {'�T ' GENERATOR ' 0-1KW_1-lOKW TRANSFORMER - APPLIANCE 10-50'KW_50 + KW MOTORS - ' - 03 HP=1-30 HP ' ��(INC.SOLAR) 30•SOHP�_SO+�HP FIXTVRES OUTLETS SWITCHES - "' GAS TUBE SIGNS" " ' ' ' " • ' - POLE LIGHTS ' " ' ' ' � ^ - - POlES METERED SVB ' " PANELS -"MAIN ' SUB - `_ � _ _ �._ ._.. . "_ � .. . .-- ' _ � ""ISSUE FEE - -- ' � APPL'ICATION P.PPROVED BY - ' �'DATE � SUMMARV OF FEES ,. � ' BUILDING ' ��j � �� - ' - � 'f� � PERMIT E_J��= 'SMIP :SJ—/-�L� PL'AN CHECK E . 'PERMIT � � ^ - - - ISSUANCE S PLUMBING $ -� � � . �GRADING ,$' ' - PLAN CHECK'J E' ' r. ' ^ � ELECTRICAL E $ 'PLANCHECK E - - �MICROFILM�y' � 'MECHANICAL S - TOTAL FEE S �- ' ' - LE55 AO- � PL'AN'CHECK E' VANCEPC $_� - � I. ' property„f on pur ses. /� Signature, /.Y ��/ - ' FINAL F E, S • Drivers' L¢ense or 55 � ' 'ISSV E'FEE - - ' -- - �- � - �• - - - - - � � - - -- G��� �� _ A � i r� CMF 0865-46 White-Builtling; Canary-Appllcant: Pink-Accounting; Goltl¢nrotl-Assessor ��! •�O IO . , . CONSTRUCTION AND PLANNING d APPROVALS Permit# �3'��O Date 1. Temporary Electrical Service or Pole �argrn,- 8. F.oundatior� Sj 9;_ 1Nater Pipe-Undrgm � 1Q:'• Structural Floor SYstem 11'., ,Property Sewef_.Une� H 12. Street Sewer Connection 13. Rough Plumbing 14. Rough Electric-Conduit 15. Rough�Electric-Wiring 16. Rough Heating & Air Coi 17. Ducts, in Structure 18. Ducts. Ventilatinq . 23. Insulation 24. Lathing & Siding 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter-F 28. Final Electric 29. Final Heating & Air Con 30. .Final Gas Pipe-Test 31. Final Plumbing 32. Water Service-Final. 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUILDIN 39. Special Requirements Completed 40. Electric Release to Edison 41. Gas Release to Southern California , 42. CERTIFICATE OF OCCUPANCY ' ' No Date - ..i• . . �' . . .� �� . _' �. 1 J � �, � .. • . : � • ' POOC& SFA ' - ` Inspet�or � pp ROVALS' Permit#� Date __ Inspector 43. Pool & Equipment Location � --_ �--'- 44. Steel Reinforcement' ' - -- - � ` ' - •- ' `- `- 45. Forms - � � - - �• � " 46. Electrical Bonding - ' • • - - - � � ' ' 47.._. Rough Plumbin & Pressure Test "-' - 48. ' APPROVALTO COVER-GUNITE z- 2.-�( 49. Electrical Conduit-Undr rn �.�4-Rr 50. GasPioe. ❑Undrarn.Test ` & Vent- ❑q Sv�tr al-Final .60. POOL/SPA SYSTEMS FINAL NOTES: "f�- AVP�icant to fill in all zpaces within neavy bortler Iines ana zign ali approD��ate tleclarations. CITY OF COSTA MESA ' - a MIT NO. TRACT NO. LOT NO. B DG. NO. - ' ' � - � � CONSTRUCTION PERMIT Q 3 ' �— � . ` , ,ProjectAddress _ _f(,�• "T� TVPEOFCONSTRUCTION . - � • 0324 6/29/82 F�IO.Q� Ownei " - - - ' `. Phone �2 ❑ NEW _� ADD ❑ ALTERATION . - _ .'^ ' .-- ' ' ' ' - " Addlea' - ' G fj - � ❑ REPAIR ❑ CONVERSION ❑DEMOLISH � _ � Arch/Eng.- -' �- License No. � �� oTHEa ZONING REGULATJONS �- DESCRIPTION OF WORK I A'P' � ' 'AddfC55" - ' '" ' - ' ' -' _ . ' ' ' - ZONE ^ .PING. REF. � - � Contractorf� - - Phone = TVPE OF PERMIT . " l� ' ' - " '- - • " B � Tpg�J i�p wG � .1��, �� � . .. i ��Address � ' - - ' . - - �� SETBACKC T. 7ROPERTV LINE ' � 'L OT . - . . ' ❑ GRADING �� ❑ FOUNDATIO -O STRVCTURAL LOF VARO - . ,. . LICENSED �CONTRACTOR-DECL'ARATION - -- ' � � � ❑ TENANT�O ELECTRICAL L-VMBING �MECHANICA 5Ep � - . I hereby affirm th:.t I am littnsetl untler Orovislons o� Charter 9(com-, � . p� G 7 � mencing wlth sectlon ]000)- of Division 3 of -the � Business an0-' ❑ OTHER� - _ _ I H ' Profossions Cotl ntl my Ilcenze Is in full /orce antl eff ct. ' 1 • � REAR VARD(TOP/L) .. • � �License lass ' �� - icens - 1o396s s��i PROJECTDESCRIP.TION ._ . . • _ _ _ . 50.FT: ' PKG.SPACEREQ. PROVIDED Date C� � �-=—Signature � � . ^� ' ' ' ' - - � - �WORKERS COMPENSATION DECLARATION '�- ,�STREET WIDTH PARK FEE S _ _ OCCVPANCV_CONSTRVCTIONTVPE I hereby affirm that 1 have a certiflcate of consent to self-insura or a VAL:UATION � ZONE � 'ZONING APPROVED BV DATE certifiwte of'Worker5"Compansation- InsuranGe,ror a certi/ietl Copy �- • � -. �-- - .. _ �_.. _ _ _ SPECIAL CONDITIONS: ,thermf (Sectlon 3800, Lab. C.). � GRADINGbU. VDS. ACRES � ' � y No. -.. . . . ComPanY. � . " _ ' _ _ _ _ ' ' "' _ ' . . -. Ertltietl co0Y��5 h¢r¢by furNihe7. - -- ..... _ 1 REMARKS: ' _ _ .. � _ ,. . . " � ._ ' � L� CertifieG copy Is filetl with the city Builtling Divislon. � . ..}- . • �EXEM7TION FROM WORKERS' COMPENSATION�DECLARATION -- "' - - ' -- - - - - - -- - - - ��- - (This section neea not be.completetl.if the.permit is for one.huntlretl. _ ,_ _ _�,_y- _�� . _ , �_ _ __ ,. � Y� , - _ � . Y- ,�� , (E100) or lessl. ' - . ...: _ ' ^ :; , . . ,. . ' _ .- - . .. . � _' � I.certity.that in.the performance of the work (or which this permit is _ � issued, I zhall nol employ any person in any manner so as [o become ., PLUMBING ,y�y PLAN CHECK' � �" ' ELECTRICAL -' � PLAN CHECK: -'. ' ; subjOCLlo the Wo/kers' Compen5ation LawS of.Calito�nla. ` _ . ' ' - ' ' Date SI9na[ure � BATHTU85 SFIOWERS � ' � -�" � -�„', '�'-'� NOTICE: If at[er making thls tleclaration, you shoultl become subjecl ' TOIL•ETS'. •'�.�, ', URINALS -. - '- ''�GENERATOR "" 0-1�KW_1-30 KMl , - to the Workers' Compensation provlsions of the labor Cotle; you must �� � ` ' TRANSFORMER . � �� � torthwith comply with suth provisions or thls permit shall be tleemetl LAVATORIES DOUBL'E'LAVS -- '"" �APPLIANCE � -'�0=50 KW_50+ KW ' •�'- � revokatl. ..- - - - - -- �- - � 'KIT.SINKS - -- � ""DISHWASHERS" '• -• �MOTORS' -' ' - --- - � CONSTRUCTION LENDING AGENCV � �� 0-1 HP_1-30�HP"' - , I h¢r¢by af(irm lhat there i5 d cOnztructiOn I¢ntling agency for the perv SERVICE $INK$ -' ' i SUMPS' ""' "` - - (IN0. SOLAR�-- � 1P50 HP-y-50'+•HP �� -- 1^ �- � formance of Ihe work for whlcM1 [his permlt is issuetl (Sectlon 3097 '� � � . o Civ: C.).^ ' -' ' " ' - - ' - ^^ --' - " ' ' ' - FLOOR SINKS FLOOR DRAINS ' ' ,FIXTURES" " ' OUTLETS- SWITCHES -" - ' � �L.entler's Nama � .' Lentler'sAtldress � ORINKINGFOUfJTAINS' '�(' � - - -'- � GASTUBESIGNS '- ' ' - - - - OWNER BUIL'DER DECL"ARATION -' " '" ' � - -" - � WTERCEPTORS � CLARIFIERS � � � ' POLE LIGHTS- " -'- ' -' � - � I hereby attirm Ndt I am exempt from the Contractor's Llcense Law tor � ' t�e iollowing'reason'(Section 7031.5 Businessantl-Professlans-COGe: 'SWIMMINGPOOL � "��PTRAP -' " " -' ' - - " Any city or munty wnich requlres a permit to construct, alter, POLES METERED .SUB . r Improve, tlemolish or repab'any structure, Prior to its Issuance; also ra- yyqTER SERV I�CE � � ALTERATION` Y- ' "�PANEL'S""" ' MAIN " ' SUB ' -', ' -- qWres the ap{.IiCanl to� such pe�mit to file a signetl statement that he - I5 Ilcenzetl pursuant to the provislons o1'the Contractor'S Gcense Law' - --- - �-- - . - - � _ GASSERVICE" �� OVTlETS -'v. SERVICE""" 'AMP- (Chapter 9(commencin9 with Section ]000) of DivisiOn 3 of IhE � � �( Business'antl Professions Cotle)-or tnaT he is exempt theretrom anG tne� yyqTER HEATERS-� - � BTU�OUTPUT-"- " ' �" ' - '" '`' - "— - ' "' ' - ~ - = _ " ' ' - . . .._. M� "z for the allegetl exemption. Any violation of Section ]031.5 by � ' �-•^� •��--� - �' s p i pplicant to'a�civil-penaliy - -----• - - - -- --...._-�_ __ __. _ _ _ �i.'.:,r;t PPlicant'for a� ermit �sub'ectr [he a ' SEWER CONNECTIONS- - -- . at more than five nuntlretl tlollars ($500). � � i lJ"�1, as owner ot-tbe o�ooerty,-or my employees witti wages a5 their � � SOLAR'TANK"' " -� COLLECTORS ".. = � ' ' ;'"" "•" • ---- - , - -- - � - - - - --- ' " '" ' �..__ �� sole cOmpensation,_will tlo [he work,.antl the stvuctur¢ is not intentletl ' ' - � `' �' �T { or offeretl for sale. (Sectlon 7044, Business antl Professions Cotle: The � SOLAR PIVING SVS. � ��- � � ' - � ' Y-"�SSVE'FEE� " - - ' ' -"'-' _ ' - �-- ' } ContractoCs LJcense.taw.tloes.not appty_to.an owner_of a.property '-' who builtls or improves thereon, antl who tloes such work bimself or ISSUE FEE -' �� �� ' ' APPLICATION APPROVED'BY-- --� -� -DATE� - � y Mrough nis own.employ¢¢s, provitletl thaLSUGh improvement5 are not ' � Intentletl or offeretl for sale. 1f, however, the bulltling or Improvement MECHANICAL PLAN CHECK � �� is soltl within,one year ol. compbtion, [he owner will have the burtlen � $UMMARV OF;FEES :, ,� ,�� ^ , ot proving he tlitl no[ bulltl or improve for [he purpoie of ule). �BUICDING - -�'- -- - - ' -- - • - - - � -�� IiEATING SYSTEM 0-100,000 BTU , .PERMIT ❑ I, as owner•of-the prope�ly,-am exCluSiv¢ly conl�acling wI[h� - _ .. ____ �__ __ �9 ' .�'SMIP�G„ �.',S' , � � IicenSetl cOnlraclots lo cons[rutt [hE pro'eGt Sec[ion ]044, BuSin¢55 AND �UCTING - - -- ^ - - - - - - - - "- - - - I ( 300,000�+ gTU � PLAN CHECK S v PERMIT', antl Professions-Coae: The Contractor's License Law tloes not appty [o -� -� � �� � - $ � - - ISSUANCE 6 � � � an owner of property who builtls or improvez lhereon, antl who con- REFRIGERATION 0-100,000 BTV ; PLUMBING -- � �.. ��F ..� � tracls -from-such �projeci5-wilh a-contrat[or(5) Iit¢Sn¢tl �pu�suanF to- ��SVSTEM - - � -- - � � - : - - - - - . _ _ . . . GRADING'�.E Ihe Contractor'S License I,.aw�. 100,000,� BTU TPLAN�CHECK S� ��,A' �;,�`�.� �� �,,•.(,a �� ❑ I am ekem0� under Section '- B. &'P: C: for tFis" BOILERS BTU 1ELECTPICAL E ��$ ", reason ' -' - ' - . ' �'MICROFILM E ' � SVSTEM REPAIR,ALTERATION ' PL'AN'CHECK'§ ' - � � Oate Owner ' ' ' �TOTAL FEE E EXHAVSTSVSTEM MUITIPLE `MECHANICAL':j"�-' '- I hereby certity Ihat I have reatl lhi5 applicatlon antl siat¢ that th¢ above '�'• • '!' � LE55 iiD-� �} '� Informalion is mrrect. I�agree lo comply with all city antl counry PLAN CHECK E'- '^ ' VANCE PC E�_' o�tlinantes antl state laws rClatlng [o Cons[ructiOn, antl nereby authoriz¢ '1 . . representatives of (his city- to enter upon [he above mentionetl -' • � �- - � • � ' p�operty_ for i t n p se ' Sl9nature �� ���ate' L 9 � . . - - . FINAL FEE $ /O— Orivers' License or 55 � ��� �SSUE FEE - . - - - _ _ . __. . _ , _ _ _ CMF 0865-4b Wtllie-6uiltling; Unary-Appllcant; Vink-AtWuntYnq; Goiaen�oa-sassessor CONSTRUCTION AND PLANNIN � � POOL & SPA - • . . � . . APPROVALS � � Permit# Ya3 Date � Inspector qppROVALS Permit�# � Date - Inspector 1. Temporary Electrical Service or Pole � 43. Pool & Equipment Location - - �- � i ipe-Undrgm � 4 . Stee�Reinforcement � -• -� - - 3. lectrical Conduit Utility-Undrgm 45. Forms � � � � ' 4. Electrical Conduit-Undrgrn 46. Electrical Bonding - . tee ein orce . 47. Rough Plumbin & Pressure Test 6. Electrical UFER Grn 48. APPROVAL TO 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 ' 0- ndr rn '• • --- � 10. , Structural Floor System � 52. APPROVALTO DECK -" -� - - -- 17. Property Sewer Line & House Connection - 53. Backwash & Rece tor-Final � � ]2. ..Street Sewer, Connection � � ' ' ' 54. �Heater & Vent-Final ' � , 13. Rough Plumbing, _ � - � - , 14. Rough ElectricConduit - - - - �56.- -Electrical-Final - � � � � . 15. Rough Electric-Wiring �� � - - - - �- 57. Solar System-Final ' � - � ' ' � 16. Rough Heating & Air Conditioning --- •- encing & Access Approval � 17. Ducts in Structure ' ' ' APPROVED FOR PLASTERING '` 18. Ducts, Ventilating . � - _ . . . , 19. Gas Pipe-Rough &'Test ' � 60. POOUSPA SYSTEMS FINAL . � 20. Roof Framing ' � � � � ' 21. Roof,Sheathin � ' - - - � � ' 22.- Frame and Flashin - - � NOTES: ' , � 23. Insulation - - '�� - ' ' ' ' t 24. Lathing & Siding - -�- ---- - - � � - - - � - -' ' 25. DrywallNailing " ' ' � -� � 26. Plaster Brown Coat ' ' ' ' - � � - 27. Electrical Powei Meter.-Final � ' � ' - � � 28. Final�Electric � � " 29. Final�Heating & Air Conditioning . ' � - 30. .. Final Gas Pipe:Test � � . 31. Final Plumbing ' - � 32. Water Service-Final - ' � �� 33. - Gas Service-Final . � � � - ' � 34. Solar pomestidFinal �� - -�� � � � ' � 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 ' , _ , qpplicant to fi11 In all sDaees within neavy poraer lines antl sign ali aooroo��ate aeclarationz. CITY OF COSTA MESA ��` rEi}Ay=N� `�O '- TRACT NO. '' LOT NO. BLDG'. NO. CONSTRUCTION PERMIT r� o • • E'`'� Phone Arch/Eng. - '- � - - - License�No. � - - Address . " . - ' . ' ' ' ' ' .. TVPE OF CONSTRUCTION ,. . ❑ NEW �O ADD ❑ ALTERATION + ❑•REPAIR �O CONVERSION ❑DEMOLISH ❑.OTHER DESCRIPTION OF'WORK ; Contractor � � . - - ,e enone. - TVPE OF PERMIT. .. ,. � ;'.. - - • - � - -" - - Add�Css ;����� S C�/�'/VO � S�J'lC%�-�J✓.�I � � -,O GRADING.'��O'FOUNDATION "O STRVCTURAL �LIGENSED �CONTRACTOR DECLA ATION _ -� � TENANT� O ELECTRICAL-OPLUMBING-�MECHANIC 'I hereby affi�m lhat'I am Iicansetl untler provislons o( Charler 9(com-_ . � �mancln9 with section 7000) oh; Division� 3 of-the -Business ^antl -❑ OTHER �Professions Cotle,'ana' my Iicense is in tull torce anG e(fect . PROJECT DESCHIPTION _ Llcensne Class �-'y3 ' }� cense NQ ��-2-3�F� - �, _ ' - � �� � � �� � - -� � 1Date �"9'Z �•F�1 � 519nature �/li� Pyim•�1.9e_.� "_ ' SQ. FT. . ... , i ' ,. . ' ' , _ ' `WORKERS'GOMPENSATION�DECLARAT�10 __ _ _ OCCU7ANCV_CONSTRUCTION TVPE 11 hereby atfirm tnat 1 have'a certifiwte of consent to self-insure or a„ VAWATION � ZONE cerUfirate ot Workers'� CompenSaUom Insurance, or a certlBeA� copy� � -�1 - - �- -- ttnereot (5ection 3800, Lab. CJ. � ��KM�/. �� . GRADING CU: YDS_ _ ACRES �Policy'No.- � � - � - ' �Company � ' � ' " 'ertifieticopyls�herebyfurnishetl. _ . .._ _ �_ ____ . REMARKS::':" . _ _ _ _ _ . _ _. __ :ertifietl copy Isliletl with the city Bulltling Dlvision. . �enEMPTION FROM�WORKERS COMPENSATION'DEGLARATION ' - -'_' ' ' " ' - "' � ' "' --" (This section neetl not,be compleCetl if_the permit,is for,one,huntlretl _ ' _' _. _ _._ _ . '(E300) or leu(. � ' ' ^ - ' ' U Ce�tify_thdt in.the p¢rt0/mance of the wo�k fo� which this,pe�mit is _ _ _„ �Izsuetl, I shall not emPloy.any person in any manner so as to become I PCUMBING,�� O; ; PLAN CFIECK .subjecttotheWorkers Compen5ationLawsof,Califomia.=_.._ -- �-BATHTVBS � 'SFIOVJERS IDate ' ' Signature � NOTICE: It atter makin9 this tleclaration, you shoultl become�subject �TOILETS . �� �•� n�URINALS"""`- "` �� �- to th¢ Worker5' COmpensation prOvislons ot the Labor Cotle, you must �forthwith wmply with su<h provisions or this permit shall be tleemetl LAVATORIES DOVBLE'LAVS'-- . � ' mvoketl. . � 1.- _ _ _. - - - �CONSTRUCTION LENDING AGENCV ' ' ' � -KIT: SINKS '�-DISHWASHERS " � - 1 hereby aftirm Iha[ there is a construction lentling agency for the per- SERVICE SINKS C ,/,yr5UMP5 -� ---- -- fOrmance of the work for which this permit i5 i55uetl (SeGtion 3097 ' �• ^ CIVTC.).-'^'- '�"- , - ""' ' ' ' ' - ' - FLOOR SINKS� ��' FLOOR DRAINS � � � � �entler's Name Lentler's Atltlress ^ �RINKING FOUNTAINS �' ""' - ""� - OWNER'BUILDER DECL'ARATION'--'- � ""--" - " -jNTERCEPTORS � CIARIFIERS� � ' I heteby a((irT that I am exempt trom the ContraCmr's l.icense Law Por � thefollowingreason�(Section']031.5-Businesrantl-Protez5ionrCotle:��'SWIMMINGPOOC""- -PTRAP'" """' --'--' Any city o� county which requi�es a perTi[ to mnst�uct, alt¢t, improve,-tlemolisn or repair any structure; priorio'itz issuance; also re- 'yyqTER SERV ICE ��� ALTERATIONy'� � quiresthe'ap'�Ii�nt for SUCh pe�mit to file a Si9netl statement that he is Ilcensetl'pursuant to'the provisions of�the^Contractor'S: L'icense Law-'-�GASSERVICE � OUTLETS ���� -y� tor the huntl�¢tl �rtherefrom antl the� -�ryqTER HEATERS ' BTU Section ]031.5 Dy �to'a-civit'penalty 'SEWERCONNECTIONS-�""�� with wages a5 th¢ii SOLAR TANK - ''- --COL' '.ure is not intenaea �fessions Cotle: The SO�AR PIPING SVS. ContvactoCS..Li<¢nse Law.tloes_not appry,.to dn owner oi a property, __ _� ___,_ �_ , _ _ who builtls or. improves thereon, antl who tloes-such work himself or ISSUE FEE � 'Y�r � th�ou9h.his.own ¢mployees,.p�ovitl¢tl that sUch improvements a�e not in[entled or of(eretl for sale. 1(, noweveq the builtlin9 or ImprovemenY MECHANICAL PLAN CHECK Is Soltl within_one_year_of completion, the owner will have the.bu�tlen �� _ bf proving ne tlitl not Duiltl or improve for the -purpose of sale).� HEATING SVSTEM 0-300,000 BTU_ ���1,-as-owner�of-[he property� am-exclusiv¢ly mnt�acting-with� --qND�DUCTING- - licensetl contraclon to construcl [he project (Section J044, Business 100,000.,+BTU_ .antl �Profeszions Cotle: The-Contractor's� License Law tloes�not apply to � an owner of property who builtls or improves tM1ereon, antl who con- REFRIGERATION 0-300,000 BTU_ tracts-from-such-projects-with-a-tontractor(sj-licesnetl-pursuant-to�-SYSTEM -"- - •"��-��-�-' " Ihe Contractor's License Caw). ' '" 100,000 + BTV _ ❑'1 am exempl untler Sectiou -- ' -- B:'&-P: C."�or tfiis� BOILERS ' BTU reason• " '__" '" ' . _ " " " _ _ __" _ " ' - _ Date� - Owner SVSTEMREPAIR,ALTERATION �I hereby certifythat I have reatl [his apgtication antl state that the above EXHAUST SVSTEM MULTIPLE in(ormation is correcL I��agree to"comply wiih�alf city antl county� c��.y o�tlinances antl statE laws r¢latlng to con5t�uciion, antl hereby authorize GN/ �epr¢seotatives Of this city to ente� upon the abbJe mentionetl � • property, far I spec wrF, purposes. ._ , _, � � �'.., 519nature ��a✓� '1'^""L /i " Date 2-L=` _' ' _ ' _ Driver5' LicenSe or 55 � �� �SSVE FEE CMF 0865-46 White-Builtlinq; Canary-Applicant; Pink-Accounting; Goltlenrotl-Assessor 0 ; 2761 �3/02/82. .. 9.D0 •TI.� ZONING REGULATION A.P. � ' :ONE � � PLNTGp. RUEFL. p� �ETBACKC/LST. vROPE�0.TV iF�TYARD - " - ' - ' ' , . REAR YARD (TO PKG. SPACE REQ. STREET WIOTH NGAPPROVEp6V t IAL CONDITIONS: ., PRO V I � , , , n £LECTRICAL "-`--"-' � PLAN ctiECK." "� � 50. FT. " ' ` ` ' �� " - GENERATOR " - -"' " �� �TRANSFORMER 01KW_1,lOKW .- ' P.PPLIANCE 30=50'KW=50 + KW' ` - � ' ' 9 � n: 'MOTORS ' '0-1�HP'_1-101iP -" � -'. � --' ( : INC. SOI.AR �- ' � � � �� I 1 - 30-50 HP=..50 +'HP - ' ^ ' - ' "' j. '�FIXTURES - -OUTLETS" SWITCHES' " , `�, iGA5TUBESIGNS'-- "' ' � n. TPOLELIGHTS"""' '""� -' ,��' -.'�� '-j t �.....�.- ' L.-�.-��., -...... �—. __1 �.�..��.. ..� ...'l �. " � .. SERVICE' - '""" "- -"" -AMP" ' __�� —_ ____ _' ._ ' _ .' a11� � �� � � "' ' - "APPL'ICATION APPROVED BV - "�" - ' - DATE - -- � _ _. _ �> ' : SUMMARV OF FEES,: ._ ; �-,; � +; ! �. j'BUIL'DING'-"_" ' _ _''__" _" , -"". ' � ,PERMIT "__§"""'" __':�{-.'.SMIPi:'�,'�;§" ; � ' � PLAN CHECK $ � �PERMIT �� :':i.�. •' �fl�' � � "" " " '_' ' . _ "' .... _. ' ...ISSUANCE $ ' l _ __ ' , . �' 'PLUMBING � • ' • - § .�GRADING-`�5�, � �PLANCHECK'E' - _' - � ' .�? . .. . - ,ELECTRICP.L S � � - 5 - " ' � ' �'MICROFILM E, . •�• ; r �PLANCHECK` S ' �y �MECHANIC'AL � TOTAL FEE y- , f'� �_, . � t ' 'PLAN"CHECK"$' -' VANCEPC S- ' - I l'.- ' . ' �� , , �. ; { ; _ ,_ ., . FINALFEE S_ `�"�O 9- /� .- _ ._ . . . . _. . . . _ . . .. � CONSTRUCTION AND PLANNING . - - � ?OOL & SPA . � _ M� 8�a Date inspector ' -- �Date Inspector APPROVALS Permit # APPROVALS . Permit # 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location �• - �- - � 2. Soil ipe-Undrgrn 44. Steel Reinforcement - - - � - 3. _Electrical Conduit Utility-Undrgrn 45. Forms,� - - - � � � - - " -� 4. Electrical Conduit-Undrgrn � 46. Electrical Bonding ' - � - - - � ` tee ein orce r� - 47. Rough Plumbin & Pressure Test -- - � � �� v6. Electrical UFER Gm ' � U � 48. � APPROVALTO COVER-GUNITE � � - - - � 7. Footings - 49. - Electrical Conduit-Undr rn � �� 8. _ Foundation.. _ � ` _ _ � � 50. Gas�Pipe„ ❑ Undr rn, Test ' ' �� � � � _9.. Water Pipe-Undrgm._ � 51. Backwash Lines �P-Tra -�' � ndr rn� � `' � � - � � 10. Structural Floor SYstem • 52. APPROVAL TO DECK - ' "` "- - ' ' - - l 11. Proper4y�Sewer_Line & House Connection. " � . 53. Backwash & Rece toF-Final'� ' ' ' � 12•._Street Sewer Connection ' - ` " ` ' . 54. - Heater & Vent-Final � � � • ----'--- :._.__ . _.. . 13. Rough Plumbing �� � � " -� - - '- ' � , 14. Rough ElectrioConduit i -- - - ----- - �56. Electrical-Final � � � - �.. +�. ' 15. Rough Electric-Wiririg - -" � - - - - - - � - 57. Solar System-Final � � - � ' � �' � t6. Rough Heating & Air Conditioning-= ' • encing & Access_Approyal ' 17�. Ducts in.Structure ''���' ' � ' APPROVED FOR PLASTERING � � � �' . 18. Ducts, Ventilating - - - -�� '-' . . --- .` . - . - , - - '-. - 19. GasPipe-Rough&Test- - � � �. ' �'�60. POOL/SPASYSTEMS,FINAL� � � ��� � � = � �+ - -- - _ . . . . .�.. �. 20'. Roof Framing. �_ . . . . _. ,,. � , � , � ���. ,- - � _ ' . . . . . . . � 21. Roof Sheathin - � � � I x-� ' - " ' ' _ ' ° � - n. ::. .i�n-. � i,- _ 22. Prame and�Flashing -- ' - - -- -�. - ' - ' _ � NOTES: ... - . .. . . ' .. - ' ' . . • ' - 23. Insulation ' -��� ' ' " � - , - ' ' - -'- ..-.' - - ' ' - -- - - -- ' ' - -- - 24. Lathing & Siding _ . . `-. - -' --' - '_.-- �- - - �� � ^` � � - ' . - -- � -' - -- ---'- -' -' - -- -'-. _ . .. . - -' 25-. Drywall Nailing . . .. -- _�- - ", '' . ,. . . . . . , . .... .._ . . - ,. • 26. PlasterBrownCoat _ r..� _ . - ---- - - , --� - . ' . . - � � . . ' . . 27. Electrical Power MeterFinal " � ' ' a � � - � -� ' � � 28.-- FinaPElectric � � ' ' � � � �^� � � � �� ��� � � . 296 . Final Heating & Air Conditioning . 2- -$ Z� ' ' � � � � � � � . �: ' ' . 30. Final'Gas Pipe-Test : � ' � � -� ' �• • � • � � � 31. .Final Plumbing � ' ' ' - ' � ' � ��32t- Water_Service-Final. ' ''��' - � ' ' � "� - ' - -- - . .. _ . _ . - - --- � � - 33.-� Gae Service-Final _. _ - - . . . : � , �•". � •. • ` �.. . . . ` ,� . . . •° � 34. Solar pomesti6Final� � - � � ' ' � ' � � " � ' ' ' � � � �� � 35. Landsca e S rinklin S stem. � : - ` ' � � ' � � ` � 36. Sound Attenuation - � t ' � ' � � - ; 37. Handicap Regulations � � ' � � ` �� • �' ' � �-� � � ' � 38. FINALSTRUCTURE&BUILDING �• - � � � � - - • •- ' 39. Special Requirements Completed - � � � "" � �� � - " - � - � � 40. Electric Release,to Edison. � - " � � ' � �� -� �� � - � - � � 41. Gas Release to Southern California'G8s'Co:""'�" - 42. CERTIFICATE OF OCCUPANCY __ . _ _ . ' I No Date ! . . . __: _ . ' . . , .. APPII CITY OF•COSTA MESA CONSTRUCTION PERMIT Z in PhOnB .Arch/Eng. � . - - License No. Address . - - �yi(ry�� heavy EorGer Ilnes anG sign all approp�iate Caclaratlons. . TRACT NO. LOT NO. BLOG. NO: 4 , . ,� � TVPE OF CONSTRUCTION ' � '�� '� ❑ NEW ❑ ADD �❑ ALTERATION ❑ REPAIR_� CONVERSION ❑DEMOLISH ❑ OTHER �� DESCRIPTION OF WORK . �5za � ai�eie�� , . �.00 r�� � , � : `. - • . , _ . . t A.P. +� ' -" ZONE ' PLNG. REF. �[ � -- EContractor � .� - Phone TYPE OF PERMIT " ' � � Addt¢ss /� ❑ GRADING •❑ FOUNDATION ❑ STRVCTURAL- I.IGENSED CONTRACT�R UEC ARATION • � �� I hereby affirm th:.t 1 am Iitensetl untler provislons�of Chartor 9(com- � TENANT'[].ELECTRICAL` .dPLUMBING ❑MECHANICA mancinq witb. section 7000) of. -Divislon 3.ol tha Business anG ❑:'OTHER Pro(esslons Cotle. .antl my ❑canse Is In /ull forte antl ettect. �LICen3e Clasz- ' �` ' � - 'Citenia N PROJECT_DESCRIPTION . � Date' ���-°i9nature•.-S 5�. FT. . _ " _'. .. _ WORKERS'_COMPENSATION DECLARATION . OCCUPANCV __CONSTRUCTION TVPE _ �I hereby a(flrm that I nave a certificate of consent to seHansure or a ,VALUATION ZONE certificata-ot WO/ke�s' Comp6n5ation Jnsu�ance, a� a certi�ietl coOY ' - ,thereof (Section 3800, Lab. CJ� • .GRADING.CU. VOS. � ACRES -Y NO. - CoTPanY ' _ _ '" _ _ ertifi¢tltopyis_h¢r¢Oy_furO�shGC._ :.REMARKS:.�. ' -' � C¢rtiflGtl COpy is tile� with the City Builtling DiN510n. �� � EXEMPTION'FROM WORKERS' COMPENSATION DECL-ARATION - - --� � �`-�s . _:� �_!'__ �(T�is Section neetl not b¢ ComP�¢tetl it Ihe pe�mit is to� onG huntl�¢d � � IS<erPlfY that57n the�pertorman� of [he wo�k f0/ wlfi<h this permit IS " �' _ - _� •� -' _ _ issuetl' I"shall not employ'any person in any manner 50' as'to bewme PhUMBING� �. �, �- -� �PLAN CHECK� � - su0jact to the Workers' Compensation Laws nt Calitomia. ' ' ' "' Dale � Signatute �� � BATHTUBS- ' -'SHOWERS-"'- ' NOTICE: It after making this declaration, you shoultl become subjecL TOILETS,�.,, ,��n . �.URINALS --- -- -� 'to the Workers' Compensation provisions o1 the Labor Cotle, you must LAVATORIES DOUBLE LAVS� lorthwith comply with suth proN5ion5 0� tbls pe�mit Shall b0 tle¢Tetl ��-�^ - --- f¢vOkGO. CONSTRUCTIONLENDING�AGENCV -' -'�' 'KIT.SINKS -'��- DISHWASHERS--- !- - -� I �ereby af(irm that there I5 a con5trucUon lentling a9mcy for the per SERVICE SINKS ,. � SVMPS -- � - � -- -� tormanc¢ Ot the work for whi�h IhiS p¢rmit i5 i55uetl ($ectiOn 309] �✓ Civ. C.).�----- --� � - - -- -- �-'� -FLOOR'SINKS - ^FL'OOR'DRAINS � ' ' L.entle�'s Name �" "-- ' - ' - ' - - - " '^' ' - ' ' DRINKING FOUNTAINS' -�- - -� - - - � Lender's P.tlaress OWNER BUILDER-DECLARATION�- - -INTERCEPTORS -'CLARIFIERS' ' - -" ' ' 1 hereDy affirm tbat I am exemp� irom the Contractor'S Licensa Law �or the�tollowinq �eason_($ection 7031.5 BUSineA�antl_ProfaSSlons Cotic •$WIMMING POOL- --�PTRAP -� � -- - Any tlIy or [Ounty which iequires a ptrmlt to Cons[ruCt, altCr, improve, tlemolish�or-repair any�zlrutWrB,�pHor.to iti ii5uanta, also-ra- yyqTER SERVICE' '"�'ALTERATION • - - -- - qUires the ap.li�nt lor Such p8rmit to Iile a signetl statement [hat h¢ Is Ilcensetl•pursuanLto-the-proV�sions�of.tha ConVactor's Licenw l2w -GASSERVICE -' OUTLETS '�' -"� tChapler 9(<ommencin9 witl+ Settlon ]000) of Division 3 of the 8usiness,antl Prolessions CoCa) or thaLhe�is.exempt thar¢1rom antl-tha -yyqTER�HEATERS� -�BTU OVTPUT - -- - "5 for the alle9¢tl axemptioP. A�Y violation ol SeCliOn 7031.5 by appllwnt for_a. permit.subjec[z [he-applicant .to_a.civil .pnnalty SEWER CONNECTIONS - - - - - !— - ot more enan Iive huntlretl tlollars (E500). � C� I, as owner'of' tbe property: or my emptoyees with wagci as tM1Nr •SOLAR TANK - COLLECTORS � - - Sale compen5dlion, will tlo IhC work, antl tha sVucture i5 nol Inlandetl or ot/eretl'tor'wle.'(Section 704a: Bu5ine55 antl ROtesslons'CDEo:'T�8 'SOL'AR PIPING SVS. `' ' " - " Contrattor's License Law Ooes �ol apply to an owner of a p�o0¢rty who'bullCs or'ImO�oves Ib¢r¢o�. anE wbo'Ooes such-work himiell'or � ISSUE FEE' "- '"' . -'- • INoug� hi5 own employee5, prOvltl¢G Ihdl suCh improvements aro not int8naea or of/erea'rorsale.'If; nowever,'tne bulitling or ImprovemanC MECHANICAL � PLAN CHECK � � is soitl within ono year of compietion, the owncr will hava tne burqen Ot prOvin9 hC tliU not 'bulitl' or improve'for tbe"pUroOs¢ Ot'sab�r HEATING $VSTEM 0-100,000 BTU ❑_I, .as _owner_ol lh¢ .proOCrty, aT. ¢%CluSively COnlydtting wi�h _qND DUCTING� � - licensetl conVactors to cons(ru�t tha project (Section 7044, Business 100,000 * BTU � and. PioteS5ion5.Cotl¢: The CantmG[Or's lJcense Law tloe5 not appry lo _.__ . _ ; __ __ ' an owner of property who bui�tls or improves th¢reon, antl who con- REFRIGERATION 0400,000 BTU � tracts trom_5uclt projectz witp a contractor(s� Ilcesnetl pursuant to SVSTEM _ tne Conlractor's License Lawj. 100,000 + BTU � ' O�ham exemvfuntler5ection -�B. 6 e: C. for this gOtlERS 6TV � � �� � Dat¢ Owne� SYSTEM REPAIR, R I h¢r¢byc2rtifythat I have reatl lniz appliWtion dntl StatG Iha[ th¢ aDOve EXHAVST SVSTEM information is correcL P^agree"�o-comply with �all city antl �county� mUinances antl sta[e laws retatin9lo construction, antl nereby aut�orize �repres¢ntatives-of--this•tily-ro enler upon lhe' above�-menlionatl � - - - property for nsp tion urposez. 519'nature - ���%��� ' - -- - - -�SSUEFEE . CMF 0865-�36 Whi(e-Builtling: Canary-APPliwnt; Pink-Accounting: Goltlenrotl-Asiessor A . . ��{06P��A'YY� ,REARYARD(TO'P/L) � - ' `PKG.SPACERE�. ' PROVIDED: ' " - STREET WIDTH' ' ` - PARK'FEE b; , " ZONINGAPPROVEDBY ' ' - 'DATE - - SPECIALCONDITIONS: ' - ' " ' " " ' ' � ' _"' �_.'_ " '`` "_ '. ..�,. . .. . „ ELECTRICAL � � - - -aCAN CriECK � - - „-_ , , 'GENERATOR- - � 04 KW_ 1-1'0 KW" - ' ' ^ ' :TRANSFORMER � '�APPCIANCE' 30-50 KW_50 t/KVJ- 'MOTORS —��- 0-1 HP_1-30•MP -- ,(INC..SOLAR) ...10-SO.HP 50+-HP�" __. � 'FIXTURES -�OUTLETS'�^SWITCHES� - ---� GASTVBESIGNS --- --• � -- - ,POL-EL-IGHT$ � � - - - - - - - � POLES '-METERED - SUB� -- - ;PANELS - --�MAIN - SVB �- - - - SERVICE� -- - - � - -- qMPyO' - ' ' " ' _ . ' "' "' ISSUE FEE -• - - � •APPIICATION APPROVED BV � � � -� DATE - SUMMARVOF,FEES � �. � � �BVILDING -- - � -- - . -_ _ � PERMIT E ��� SMIP �E' - PLAN CHECK S PERMIT. . � - - ISSUANCE _f PLVMBING S ';.GRADING 5' PLAN CHECK� E � . - ELECTRIGAI S � �� '- - - S PLANCHECK �5 _ � 'MICROFILM S ' % ^MECHANICAL b �' TOTAL•�FEES _ �PIAN CHECK- S � �i LE55 AO- - ' VANCEPC 5_ , � . . i ' . . . , � FINALFEE S •�� ��-�` CONSTRUCTIONAND�PLANNING '_' ., POOL&SPA;''�'' - � •. �. . . . ���(��� Date . �I�nspector - ' - ,- - ' �" -- ' ' Date ' Inspector APPROVALS Permit # �e.��-E� �' APPROVALS � Permit # _ 1. Temporary Electrical Service or Pole ' -43. Pool & Equipment Location - - - '- - _ Soil. ipe-Un rgrn. ' 44. Steei Reinforcement - " ' ' " - ' ' -' - - �-3. Electrical Conduit Utility-Undrgrn 45. Forms� � -' 4. Electrical Conduit-Undrgrn_ - - . 46. Electrical Bonding � ' - � � tee em orce 47. Rough Plumbin - & Pressure'Test ' ' - - � - - - - _ 6. __Electrical UFER Grn 48. APPROVALTO COVER-GUNITE - -- '- - � - 7.. Foo[ings _ � 49. Electrical Conduii-Undr m. ' ' ' - 8.�. •Fourldation. - � - - ' 50. Gas Pipe, ❑ Undr rn, Test ' • ' .9. - Water-Pipe-Undrgrn. _ _ _ 51. Backwash Lines P-T.ra � � ndr �n � - � "- - -70.. .Structural Floor..System _ � - 52. APP_ROVALTO OECK- � ' � ' � � � -- � - '.11. _Property $ewer.Line.& House Connection. 53. Backwash & Rece tor-Final � ' � . 12. - Street Sewer Connection � - � 54. Heater & Ven[-Final ' 73. Rougfi.Plumbing � -' � - - - - 14. Rou h ElectricConduit - "-"- �56. Electrical-Final - - � � � � 15. Rou h Electric-Wiring " - - ' 57'. Solar System-Final � � - ��- � - - - 16: � Rou h Heating &-Air Conditioning � - - - � encing & Access Approval , - - 17. •� Ducts in Structure - � � . APPROVED FOR PLASTERING � ' - �18: -Ducts; Ventilating � • � � - - � -� - - _ 19. Gaspipe=Rough&Test � � - -- - � 60. POOUSPASYSTEMSfINAL ' ' , � , � 20. -Roof F�aming . .. - _ .. - -- - --- - - - - - • . 21. Roof Sheatfiin - � - -�- -- - - -- - - � ' , � , '. ' �22:- Frameand Flashin � � - _ NOTES: '_ . _..� � � � � .. � � 23: � Insulation - � - - � - - - - -- - - - - - � " - - - - - - - - - 24: lathing & Siding . . . . - - - ~- � - � � -- �- - - - -�'--'- ` 25. Orywall Nailing - � � - - � -- � - ' " � �26. Plaster Brown Coat - " - - - - • �� � 27:�-: Electrical Power MeterFinal - - - - � � � � - � - � 28: ' Final Electric - - --- �_ L°-. � - � - - - � - ' ' " - � ' 29.• Final-Heating & Air Conditioning -� • - - - I � - --- � - - - - - - � ' - � 30. Final Gas Rpe-Test � � - � - � - � � - �� - -- - � � � • 31. Final Plumbing - - - - � 32: �Water Service-Final - - - � � - � � '� 33. Gas Service-Final - - - - ' � � � 34. SolarpomesticFirial �- " � � � ' �� ' � 35. Lantlsca 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 Releaee to Southern California Gas Co. : • �� � 42. CERTIFICATE OF OCCUPANCY " � ' � No: Date - "CITY OF COSTA �AESA • CONSTRUCT16N PER Appllcant to IIII in all space�. P MIT NO. wiT - ao9ln . q _ 'Addrea �'S��.� /�.(.Q%77ii .�-F /71/J!� /� Arch/Eng. Licenu No. "Address ' - COntrac[or f�m ���� , Phu� Address %��o �-r�%%il�%Dii �-�%� %%.� LICENSED CONTRAGTOR DECL� I hereby alfirm that 1 am IlcanseU untler D�o��ilani of C TBncing'with' SectiOn 7000) af Diviilan 3 a( the Profe551oni Cotle, �tl_my Iicenia is In full�(arq within heavy boreer Iines ana sign all approDriale Gaclarations. TRACT NO. LOT NO. BIDG. fYO. c �r TVP�.OF �CONSTRUCTION IYNEVJ ❑ ADD ❑ ALTERATtON �.HEPAIR ❑ CONVERSION ❑DEMOLISH o �THER • ' ' ' DESCRIPTION OF WORK • 9706 12/17/8I 37.00 TL .�..�� C1 . ..._ � � A.P. $ 20NE- � ,PLNG ✓�� TVPEOFPERMIT nui�uirv�; �a��i�,�irvc. SETBACK ST. Y LINE ❑ GRADING ❑ FOUNDATION- ❑ STRUCTURAL ' SIDE VARD - 9(�am ❑ TENANT � ELECTRIGAL I.UMBING �OMEGHANIC SE�HTq :is antl ❑ OTHER - R . � fe . REAR VARD (TO P/L) - _ � PHOJECT�DESCRIPTION .� _ _ _ . PKG. SPACE REQ. . PROVIDED %L 'J. 54. FT. • r : ^ . ` ' ' WORKEHS' COMVENSATION DECLAR/yT10N . - � ' OCCVPANCV'_CONSTRUCTION TVPE_` STREET WIDTH PA0.K FEE S certififate ofr Workars' Compensation�d urante,�or� a5certitletlecopy VAWATION - ZONE - ZONING APPROVED BY tharaof (Section 3800, lab. G). /*�1/��A�_ , GRADING CU. YDS. ACRES SPECIl1l CONDITIONS: � 9cY No. ComPanY / Kll - - . . . e etl copy�i5 h¢reby (urOish¢tl. - � - — - .REMARKS: . - ' �ertifletl cOpy iT fll¢tl witM1 thf'Nty Builtlinq Dlvizlon. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION '' ' ' (This sectlon.neetl not ba tompletetl If. the permit Is for one hvntlretl - (5300) or less�. - . � I certify that_in the performance of Ihe work for which this permit is issuetl, I shall not emPloy any person in any manner so as to becbme PLUMBING. subj8ct t0 th8 WOlkefz CompenSdtloO.LLwSof GIIifOfflid. ._ __ Oate Si9na[ure� � BATHTUBS NOTICE: If atter making lhit tleUaratlon, you shoultl become subjec[ -'TOILETS��' to the Workers' Compensation provisions of tne Labor Cotle, you must LAVATORIES forthwlth comply with suCh proviSiOns Or tM1is permi[ shall be tleemetl revoketl. . . . . _ _ . . . _ �_ CONSTRUCTION LENDING AGENCV , KIT.SINKS" I=tiereby aHirm,that l�era is a constructlan lenaing agency for tpe per- SERVICE SINKS formance of the work'for w�ich tnis permit is�issuatl-(Section 309T Civ. C:I. - ' ' , ' . ' " " - PIOOR SINKS Lentl<r's Namo Lentler'S AtlEress � �' � ��� � , DRINKING FOU � ' ' � PLANCHECK SHOWERS � URINALS DOVBLE LAVS ' � "'�'DISHWHSHER$ � �' SVMPS' ' � .-FLOOR DRAINS - UN$ . � • �wrver<nviwcn�ca.�s�nriwrv INTERCEPTORS CLARIFIERS I horOby a��irm that I am GxeTp[ irOm [hG CAntrac[o�'s LlcenSe Law for tne'following reason'(Settlon 7031.5 Business antl Professions Cotle: SWIMMING'POOL' ' PTRAP Any clly Or County which rtqulres a permit to ConSlruGt, alt¢r, im�rovo, tlemolisb or reD�lr any structure; prlorto its Issuance,also're- 'yyqTER SERVICE �� ' ALTERATION qu r¢5 [tm ap�liWnt lor suCh permlt to fila a Si9netl SldterOent that he 'Is IltenseC' pursuant [o tbe provlilons of'the ContractorY License Law GAS SERV ICE OUTLETS (Cnaptar /9 (commencing wllh Soction 7000) of Divizion 3 ot the Business'antl Prdesslons Cotle) or that ne Is exempt tneretrom antl the yyq7ER HEATERS BTU OUTPUT � F•als for the allogetl exemption. Any Nalatlon of 5e<tlon ]031.5 Gy applican[' for a permlt suD�ects tho appllwnb to a-civil Oenalty SEWER CONNECTIONS ' �ol mare Ih9n tivu huntlretl t1011arS (§500).. ,� 1, as owncr -ol the proPerty, or my amployees wilh wages az their � SOLAR'TANK -" ' COLLECTORS sole tompensalion, will tlo tha work,.antl the st�ucture 15 not intentletl or olferotl for sale. (Suttion 7044, Business antl Prolessionz Cotle: Tno SOLAR PIPING SVS. �(.., Contfacto!'S LICC'nza Ldw tlOes nol Oppiy to d� Owntr Ot a property who builtls or improves [hereon, antl who tloez such work nimself or ISSUE FEE thrOugh nis own amployens, Orovitletl Na[ sucb ImproveTents are not - Intentletl or olteretl for salc. II, however, the bulltlin9 or improvement MECHANICAL PLAN CHECK Is soltl,wlthin one year ol comvletlon, tne owner will have the buraen o/ proving no tlitl not builtl or improvo for lhe purpose ot sale). HEATING SYSTEM Od00,000 BTV ❑ I, as -awner of tne D�operty, am extWsively contracting wl(h qND OUCTING ' - ' ❑censetl conVactors to consVuct lho project (Section ]044, Business 100,000+8TU ana �ProfezsionrCotle: Tha Contractor's License Law Aoes no[ apply to an owner oi proporty who Ouiltls or Vmproves thoreon, antl who con- REFRIGERqTION 0•100,000 BTU tratts-from-suth projects wilh a tonlractor(s) Iicesnetl purzuant to �SVSTEM - �� th¢ ContraGtor'S License L�w). .100,000 + BTU ❑ 1 am exempE�untler Sectlan � - B. & P. C. for this BOILERS BTU reason - �Dale� Owner SVSTEM REPAIR, AITERATION 1 hereby Certity Ihat 1 have reatl jhis applica[ion antl 5tate that the above EXHAUST SYSTEM MULTIPLE Informatlo0 is mrrGtt. I agr¢¢ l0 comply wiih all City antl county ortlina_nces antl state laws relaNng ro conslruction, antl hereby authorize r¢pr¢sentatives-o( lhi5 city to anter'uPon the above men[iOn¢tl property�for inspection purposes. _ , .� Signdture Da[e �• Orlvers• License or 55 � ' ' - ISSUE FEE -- - � - � - CMF OB65-46 White-Bulltlin9; Gnary-Appliwnl: Pink-Accountin9; Goltlenrotl-Assessor 6 ELECTRICAL PLAN CHECK _ . -GENERATOR� ' p.l KW_ 1-10 KW _ TRANSFORMER .- " APPLIANCE ' 10�50�KW_50 � KW _ - � MOTORS " 04 HP_110 HP _ - (INC..SOLAR) 10-50�HP SO+HP _ "' 'FIXTVRES OUTLETS SWITCNES ' GAS'TUBESIGNS-•'-� ' -� _ �,�� � POLE'L'IGHTS ' - - . PANELS- " MAIN ' ' SUB- " SERVICE - ' qMP I .. ISSVE FEE' ' - APPLICATION APPROVED BY . DATE � SUMMARV OF FEES BUILDING - � PERMIT f $MIP E PLAN CHECK E a � PERMIT � . PLVMBING g J7. _• �SSUANCE S PLANCHECK S GRAOIIVG S ELECTRICAL 5- � ' s /��'� -PLANCHECK 'E MICROFILM § - `--p MECHANICAL 5 ' TOTAL FEE S � � LE55 AD- � PLAN CHECK § VANCE GC E_ - ' � 1 " j ,'�,y I v _ FINAIFEE S1JL=� CONSTRUCTION AND PLANNIIxG POOL & SPA '- . f. Date inspector - Date_ Inspector` � APPROVALS Permit # � APPROVALS _ Permit # 1. Temporary Electrical Service or Pole 43. Pool & Equipment' Location - � �- d ipe-Un rgm • � .z�(��/ 44. SteelReinforcement - -- � - -� -3.. Electrical Conduit Utility-Undrgrn 45. Forms � 4. Electrical Conduit-Undrgrn 46. Electrical Bonding, - � . tee ein orce 47. Rou h Plumbin & Pressure Test 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE • - 7. ootings 49. Electrical ConduitUndr rn - � 6. Foundation -.50. Gas Pi e, ❑ Undr m Test �• � 9. Water Pipe-Undrgrn /;C-�/ -/ 51. Backwash Lines P-Tr' �❑ ntlr 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-Final � ' .13. Rough Plumbing_ lr� L - 14. Rough ElectricConduit - - �56. - Electrical•Final 15. Rough Electric-Wiring - 57. Solar System•Final -- ' i 6. Rough Hea[ing & Air Conditioning � - • encing & Access Approval : j •17. Ducts in Structure - APPROVED FOR PLASTERING � 18. Ducts, Ventilating _ -� , . ' _ , 19. Gas Pipe-pough & Test 60._. POOL/SPA SYSTEMS FINAL � 20. Roof Framing " 21. Roof Sheathin - - NOTES: �rra �3 ~" C ��s� � �� �6' 1iv� �� 22.� Frameand Flashin 23. Insulation � � - L 24. Wthing & Siding- - - ' ' �' '3�C L 25. Orywall Nailing • ' ' ' 26. Plaster Brown Coat � � � - � - " � 27. �Electrical power MeterFinal � � 28. Final Electric � � - 29. Final �Heating & Air Conditioning. . ' - � 30. Final Gas Pipe-Test 1"%�O� 5�7^�"�� � • 31. Final Plumbing _ ' 32. Water Ser�ice-Final � � 33. Gas Service-Final- 34. $olar pomestic-Final 35. Landsca e S rinkfin S stem � 36. Sound Attenuation � ' • 37. Handicap Regulations � - 38. FINAL STRUCTURE & BUILDING 39. Special Requirements Completed - 40. Electric Release to Edison ' � 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY - No. Date f�' ADO�Ieant to fill in all f �"CITV OF COSTA�MESA - a MIT NO. ' r CONSTRUCTION PERMIT ��- c3� Naares/.5 �fd� ,(Ljd,/1/i7Hr,', Arch/Eng. -' - � � Address ' � ' ^ Contractor' _$ '�jf�� Addreu" ��J.3 � o� �.i�j72, _ICENSED CONTRACTOR -0ECLA hereby aTfifT that I am IlCens¢tl un nencin9 wlth section 7000) -ot D hof¢SSIonS Cotle: dntl RIY IiCCnSB within heavy borCer lines antl sign all appropriate Geelaration - TRACT NO. LOT NO. BLDG. NO. �� . _ � � - - Licenu No.- TVPE �CONSTRUCTION� i EW, ❑ ADD ❑ ALTERATION � � ��REPAIR�.00ONVERSION C],DEMOLISH . � � ❑ OTHER DESCRIPTION OF WORK ,.• , : � �`• (.;t 9705 12/17/81 t "_ ` - ZONING REGULATIONS - L�O. Phone '�'c� 7VPE OF PERMIT - � � �� - '� -' ' � O GRADING . ❑ FOUNDAT�ION� ❑ STRVCTURAL iAT10N � � ��TF=NANT •O ELECTRICAL L4PLUMBING �OMECHANICF fer provisions of Char[er 9(com- � � vlslom 3 �of •the �Business and� ❑ OTHER� �- - Is in tull torce a tl.e(fec G� �c No. � - PROJECTDESCRIP_T.ION ,� _ �/� / / . 50. FT.'- .. . ' i • � . . . _ 1 A.P. � �_ - ZONE PLNG.�REF.. �f �"GCRi'FTTS . _ r.,o����r,�.i 2 YARD (TO P/L) � SPFiCE REQ. � � , PROVIDED' ETWIDTH � PARKFEE�: ,37.00 TL. WORKERS' COMPENSATION �ECIAR/4TION - - OCCUPANCY_CONSTRUCTION TVPE� I hereby affirm that I nave a certiflwt�of consent to selt-Insure or a VALVATION - ZONE -ZONING APPROVEO BV - DATE 'C¢rtlfiwte of Worker5' Compen5ation' Iniurance, or a�cerlHb� Copy .. ... .. _ _ . thereof (Saction 3800, Lab. CJ. � � I q n�. GRADING CU. VDS. "- � ACRES SPECIAL CONDITIONS: �ICYNo. - CoinPanY �.//V�LY��c.11 " ' _ "' ' " . - --.. _ �Ifietl�copyis.herebyfurnishad. _ . . . _ _ . - REMARKS: �O ' . _ . . ; . . ; ertitietl topy is tileU witn the city Builtling Division. EXEMPTION FROM WORKERS' COMPENSATIONDECLARATION - ""- " ' " ' - (This seclion n¢etl. no[ be comp�etetl if thC pG�rtlit.i5 for on¢ hunO�Btl ,_- �El��) Of 1255). � � � r � •- . ' - tertity [hat in the performance of lhe work for which this permli is _ issuetl, 1 shall not emPloy any verson in any manner sa as eo become. � PLUMBING- subject to the Workers. Compensation Laws o( Californla.. _. : _.. Date $Ignature) BATHTUB$ NOTIGE: If af[er,making this tleclaratlon, you 5houltl betoma.subje<[ - TOiLETS. ro the WOrkers' Compan5atlon Orovi5iOn5 Ot Ih¢ Labor Cotle, ybu must forthwith comply with such provlsions or this permit shall be tleemetl LAVATORIES /lvOketl. .. ._ . .. _ .. - � ._ .. . . CONSTRUCTION LENDING AGENCV KIT.SINKS I hereby atfirm tnat thera Is a conslruttion lentling agency tor the per- SERVICE SINKS tormance of the work for wbich thls permit is issuetl (Section 3097 ..Civ.-C.I. - ' ' ' " ' " - ' � ' FLOOR-SIfJKS . .. Lentler'S Name Lentler's Atltlress � DRINKING�FOUNTA OWNER BUILDER DECCARATION - ' ' ' ' ` � WTERCEPTORS � I herebv attirm [hat I am exemot from the Contractor's License l�w for Any tlty or county wmcn reqWres a permrt m consvucq aiter, ImprOv¢, tl¢molish'Or r¢pdir any structure,-plio! to ItSlsSuanC¢, alz0 re- quires Ibe ap4llCant for sUCM1 Oetmit to fil¢ a Sign¢tl statement [hat he Is'licensetl pursuanYto the provisions of the Contractor's-License'Law (Chapter 9(commencing with SectiOn 7000) o( Dlvision 3 of the BuSin¢ss antl AOfCSsiOns Cotle) of'that'he i5 exampt theretrOrtl'antl th¢' `-sis for the allegetl exemptlon. Any violation ot Section 7031.5 by" 'appll�nt '(or a permlt subjects'tne applicant to a civil penalty fot mOr¢ Ihan five huntlretl tlollars ($500j. ,� I,'as owner of the properry, or my employees with wages 5s [heir sole compensation, will tlo the work, and [he structure iz not IntenaeC or oiterotl tor saie. (Secoon �044, Business antl Professions Cotle: The ConVactof'S LlcCnse Ldw tloes notdpply to an Owner of a proporty, who bulltls o� imp�ove5 th¢r¢on, antl who tloez such work himSClf or .throu9h nis own employees, provitletl tnat such improvements are not intentletl or offeretl for sale. It, however, the builtlin9 or improvement� iz soltl within one.year ot completlon, the owner will_have the burtlen 01 O�oving h¢ tli� not builtl or ImprOve fo� the pu�pose ol sale). ❑ I; as owner ot-ihe O�oOerty, am ezclusively rontracting with licensetl conVactors lo construct the project (Sectlon �044, Business dntl R'of¢s51on5 Cotle: -Th0 Contractor's Licenie hdw tl0¢s nOt appry to an owne� of prOperty wno builtls or imprOves tnereOn, antl who Con- l�acts trom such projects �with a Conlrac[or(s) Iicesnetl pur5udnt f0 the Contractor'S License Law). ❑ I am ezemp[ unGer Sectlon -' " - -B.'& P. C. for'this reason-- -- - - - - Date Owner I hereby certify_Ihat I hay e r¢atl 6is app)ication antl state that [he above intormation iz correct./I a9r to c ply with all tlty antl counry OlUIOdfICCS hclG SIdI ws �ela ng t Struction, antl h¢reb au)))hon fCpf2520[d��VCS 1 IS Cp IC tlp0ll [�1B dbOV2 TC(If�00 d .ProP¢rj�. tor i e �pui os3�- /1.r �/ ' "" _ / �1 �/n / Slgnat CMF 0865-46 i. - PLAN CFiECK URINALS` " - - DOUBLE'LAVS'- ' DISHWASHERS SUMPS' - - " -FLOORDRAINS ` CLARIFIERS � WATERSERVICE AITERATION - GASSERVICE � � OUTLETS �� ' WATER HEATER$ BTU OUTPUT' � � SEWERCONNECTIONS � . SOLARTANK � "� COLLECTORS�- SOLAR PIPING SVS. �'%� �� ISSUE FEE � � � � MECHANICAL PLara CtiECK HEATING SYSTEM 0-300,000 BTU ANDDUCTING" 100,00�+BTU REFRIGERATION 0-300,000 BTU SVSTEM '- � 100,000+BTU BOILERS BTU SVSTEM REPAIR,ALTERATION EXHAVSTSVSTEM MVLTIPLE � ' ISSVE-FEE' " " ' ' ' Canary-Applicanh Pink-Accountlng; Goltlenrotl-Asse55or ELECTRICAL " PLANCtiECK-- SO. FT.••••, - - ' _ _ . . GENERATOR ' "0-1KW_1-lOKW - TRANSFORMER . . � . � APP�IANCE - 30-50 KW_50 +�KW' MOTORS- 0-1HP_3=30HP (INC.SOLAR) 10-50HP=50+HP� - � FIXTURES '-OUTLETS"'"SWITCHES ' GASTVBESIGNS-- ' '-' ' POCE CIGHTS " " " ' ' ' - ` YVLC� Mtltl(tU �Utl - � � PANELS " " MAIN" : ' . SUB � ' - 'SERVICE' ' -""'- - ' qMP -' - �_ _' "_ _ 1.,. -� _. . _ -a r - - - • -_ - - - ISSUE PEE - - - - ' - -" ' ' - HPPLICATIOMAPPROVED BV "' OATE ' , SUMMARKOF PEES , ' BUILDING ' � - - PERMIT g ,.SMIP . �§ PLANCHECK E 1 . PERMIT' • . PLUMBING E ✓7' ISSUANCE �E — - - GRADING E PLAN CNECK_"E'' . - ' ' � ELECTRICAL $- ' , s . � ' PLANCHECK $ � � M�CROFILM E � " TOTAL FEE 5� � � 'MECHANICAL b "- PLANCHECK-E- -- LESSAD- ._: � -VANCEPC 5_ , . ' . ' • ` "� . . _ . ��.� _ _FINAL FEE E�• CONSTRUCTION AND PLANNI � POOL & SPA � � �� . -� `'\' +5 "� -�D 5 Date � Inspector � . - � Date.. _ � Inspector` � APPROVALS Permit # 'APPROVALS �, Permit # • 1. Temporary Electrical Service or Pole 43. , Pool & Equipmenf Location' � -- -� ._ Soil ipe-Undrgrn - �/ �/ 44. Steel Reinforcement �� � � ' � 3. Electrical Conduit Utility-Undrgrn, 45. Forms - - -� � 4. Electrical Conduit-Undrgrn 46. Electrical Bonding ' . tee em 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 G y/ f� 51 . Backwash Lines P-Tra 0 ndr rn '� 70. Structural Floor System ' 52. APPROVALTO DECK"" "�' ' ' '•• ' - ' '• �- 11 . Property Sewer Line & House Connection ..53. Backwash & Rece tor-Finai - � 12. Street Sewer Connection _. ' � -''- ' � � . 54. Heater & Vent-Final � 13. Rough Plumbing_ - - � ' 14. Rough ElectricConduit - ' � - � � � �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 FINAL � . • � 20. Roof Framing � - ' � � � � � 21. Roof Sheathin �' � � � � ' ' • � � � 22. Prame and Flashin - NOTES: � . ' - 23: Insulatiori � � � ' � � � � " 24. �Lathing & Siding ' � ' - � - � 25. Drywall Nailing ' ` • � - ' � 26. Plaster Brown Coat - � � �� � 27. Electrical Power MeterFinal � � � � 28. Fina6 Electric � � 29. Final Heating & Air Conditioning - ' ' ' • � . . 30. Final Gas Pipe-Test . Y1-...e . 'Y ' _ 31. Final Plumbing . - ' - 32. Water Service-Final - � 33.� � Gas Service-Final � - - " ' 34. Solar pomestic-Final ' - � � � � � • ` - ' � � � 35. landsra 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 Ca�ifornia Gas�Co. � 42. CERTIFICATE OF OCCUPANCY � No. Date � ' noau�a�e:o � CIT.Y OF �COSTA MESA - ve . CONSTRUCTION PERMIT � Address' Address � "Contractor � ;, : � T�yVPE OF CONSTRUCTION � �h��e jJ�NEW '❑ ADD ❑ ALTERATION " r � --O REPAIR ❑ CONVERSION ❑DEMOLISH No. � � OTHER DESCRIPTION OF WORK Phone AddfMS � - � - ❑ GRA�ING �OVNDATION RVCTUR LICENSED CONTRACTOR DECLARATION � � TENP.NT O ELECTRICAL ❑PLVMBING MECI I hereby aHirm tnat I am Iimnsetl untler proV�slons of Charter 9(com- . � mencing wlth zectlon 7000) of� Olvision 3 of [he Business antl ❑ OTHER - ' Professlonz Cotle, antl my Ilcense is In full force antl effett. pROJECT DESCRIPTION ' � ' License Class � U�ensa No. , � � � ' Da[e Signature - 5�. FT.' : , _ WORKERS'COMPENSATIONDECLARATION . OCCUPANCY CONS'T/p UCTION,TVPE I hereby affirm that I have a cerHticate of Consent to 5elf-Insure or a VALUATION ��✓ 20NE certificate of Workers' Compensatlon� InSurJ�ce, or-a certifiea copy theraoi (Sectlon 3800, Lab. C.). • �. �jGRAOING CU.,-VDS. ACRES Policy No. Company - ❑ Certifietl copy Is heraby turnishatl. � REMARKS: - ❑ Certifietl copy Is filetl with tha clty Builtlln9 Division. . EXEMPTION�FROfvI WORI<ERS' COMPENSATION DECLARATION ' - - (This.section-nee0 no[ be complated if tne permlt is foLone huntlretl _. _. � .. , _, ($3001 or less). . , I' . r - •� � - - J cert(fy_fhaLin the performance�of the.wo[K.{or which this permit_i4 . IsSueC, I shall not emPloy any oerson in any mannar so as to become PLUMBING� �� � PLAN CHECK '- .subjeci.to tne Workers Compensatlon.Laws of Cali(ornia. . '- _ . . � BATHTUBS SFIOWEiiS Date Si9nature' - - -- NOTICE: If atter�making this tleclaratlon, you shoultl become subjet[ �TOILETS �� -- URINALS' " ' to fh¢ WOrke�s' Compen5dtio0 prOvi5ion5 0( the Labo� Cotle, you must � � forthwith comply,wi[h such provisions or tni6 permit shall be tleemed LAVATORIES DOUBLE�LAVS" ��, „�' ' -revoked.- _ _ -_ ._-., _... . --- � � -- 'KIT.SINKS - '-' DISHWASHERS� ' CONSTRUCTION LENDING AGENCV �` -- I hereby affirm that tbere Is a constructlon IEntling agency tor tne per- � SERVICE SINKS' �. - ' SUMPS_..-... ,'- formance of the work for which this permit �5 Issuetl (Sectlon 3097' - "'Civ. C:): ' , � ' .'-� � � FLOOR SINKS � FLOOR DRA1N5 •- ,� � �.� L.enCer's Nama � �� ' � - - -� - � � - �- - - ORINKING FOUNTAINS'� �'� • Lentler's Atltlress � �' i � � � OWNERBUICDER�D6CLARHTION �- 1' " ' " -' � INTERCEPTORS� CLrARIF1ERS.��-S� •' ...e .. �...., .. �.., a„e..,.. o....,.ne r.,nr.a�r�ra i ��a�m i aw r�.. .� an ortl or tbat'he 'e� he a dvtl'penalty waqes as ttieir is not Intentled SWIMMING POOC �� ` WATER SERVICE GASSERVICE WATER'HEATERS' - SEWER�CONNECTIONS P�TRAP. ..�\ V� ALTERATION BTU RS offereC for sale. (Section 7044, Business aPtl Ftotessions Cotle: Th¢ SOLAR PIPING SVS. nirdctoCs Lit¢nSe.Law tloes not apply to.an own¢r ot a property _ _ __ _ _. o builtls or improves thereon, antl who tloes sucn work himself or �SSUE FEE ough hi5 awRemplOyees, provideC [hd[ SUCh improv¢mCnts are n0t_ � entletl or ofleretl tor sale. If, however, t�e builtling or Improvement MECHANICAL PL/aN CHECK oltl wilhin_one year o( <ompletion, the owner will have Ihe burtlen . proving he tlitl not bulltl or improve fOr lhe purpose of sale).� HEATING SVSTEM �Od00,000 BTU_ �as- owner of-the property, am exclusively coniractin9 '�+��h -qND DUCTING etl mn[ractors to consVuct the pro7ect (`-+ectlon ]Oa4, Business 100,000+8TU_ tl'Professions Cotle: The Con[ractor's Llcehse�Lawtloes�notapply4o owner ol proper[y who builtls or ImprovBs [bereon, antl who con- ' REFRIGERATION 0400,000 BTU_ Cts trom-suCh projects� with -a contractor(s)� IlcesneG pursuant to SYSTEM - - ' -� Gon[ractor's LicenSe Law). ^ 100,000�y�TLY.} I am exemp[ untler Sectlon B. 8 P: C. for this BOI LERS BTV son ' ' ' - ' " " ' te- - - Owner SYSTEM REPAIR,ALTERATION �reby mrtifY,that,l,have reatl t�is applicatioq antl state [ha[ the above EXHAUST SYSTEM � MULTIPLE ormation is correcL I�agree to compty w�in all tlry antl county �-- inances ane state Iaws relallna tm m�sbuctlon. aW herebv authorize � Signature �� � Oate '- !/� � � Driv¢rs' cense � ISSUE FEE . CMF 0865-46 Whlte-Building; Canary-Appl��ant; Pink-Accounting; Goltlenrotl-Assessor � � . , 9639 ' � • _. . ---- _ . . . . . � , , . �. . - ZONING REGULATIO� A.P. � � G�) ' ZONE G - PLN .RE� `� 326.38 TL , _ : : 4... .� � pI�HT C L REAR VARD (TO P/L) .z s`'�rr bLa �y� �� PKG.SPACEREq. `��S PROVIDED� STREET WIDTH� �ll% .. PARK FEE S- ELECTR�CAC � - ' . PLAN CHECK -. GENERATOR "0-1 KW_�1-30 KW ' TRANSFORMER - 'APPIIANCE "'30-50KW=50+KW - ' -MOTORS ""0-1"HP'_1'-30'HP1 ' - (INC.-SOLAR) 10-50 HP_50-t�HP � � 'FIXTURES " "OUTLETS' SWITCHES - -- ' ' GAS TUBE SIGNS " "'- - - - - � POLE LIGHTS - — ' - - - , - - , •- " ' ` _ -__"'_"____.'__ '"'" . . . _ •� POLES METERED SUB - ' PANECS ' "'MAIN ' ' . SUB ". ' � - ' 'SERVICE' -"" - - - 'AMP' ' , " ' _ _ ' ' _ ., . - - ISSUE FEE "- - ' ' - APPLICAT�OMAPPROVEDBV -' - - DATE SUMMARY OF FEES -�� � ...' BUILOWG- '-�-7-I�- , , - -- � '-71.1' PERMIT S_�!L�4_ - SMIP �� .$ ��� PLAN CHECK $ PERMIT � - ISSUANCE -$ PI.VMBING S ���. , �, � ' �GRADING..E ' qD.��i `J PLANCHECK.�b'. �. _ -•;[:'� - n � ELECTR�CIi� 9� �" �- $ ; ' : MICROFILM E; � 'PLAN CHECK' "$""' "—_ { i ' I ' MECHANICAL" E - ' -- ' � TOTAL FEE E , ,"PLANCHECK '§ -� �� y �'�� LESSAD- ��• � , - VANCEPC-S_ . . . ..`�,� , .. `. . .^ 1 ' ' '. ._ , ' . FINAIFEE�y���/�H 1 ��! _ • \ CONSTRUCTION AND.PLANNING ' '� ~•• � � POOL & SPA " � �� ° " '� Date Inspector "- " � - ` �� � � Date - Inspector APPROVALS Permit # Oio ^qPPROVALS , PermiY# - � � • 1. Temporary Electrical Service or Pole � 43. Pool & Equipment Location-' � •� -�-'� 2. Soil _ipe-Undrgrn 44. Steel Reinforcement- • •- "---� ; " -- � . 3:. Electr'ical Cqpduit,Utility-Undrgrn �. - 45. Forms • - �� � � � • �': �� ` •4.- Electrical Conduit-Undrgrn 46. Electrical Bonding = ' -• - -- � -� . tee em orce - -. 47. �Rough Plumbin & Pressure Test • ' 6. Electrical UFER Grn ' 48:� 'APPROVALTO COVER-GUNITE ��7. Fodtings /2� 2� - 49. Electrical Conduit-Undr rn - 8. Foundation` :.� GX ' S •�,-' 3• ; 50. Gas P,ipe, ❑Undr rn,Test � 9.' Water Pipe-Undrgrn � 51. Backwash Lines P-Tra ❑ ndr rn ` 10.: .Structural Flopr SYstem • � 52. APPROVAL TO DECK �,7.1. _ Pr'nperty Sewer,line &.House Conuection � 53.. =6ackwash & Rece tor-Final . 12. Street Sewer Connection " � . 54. Heater & Vent-Final 73. .Rough Plumbing 14. Rough Electric-Conduit ' � �,6. Electrical-Final 15. Rough Electric-Wiring � � � - �- - � -�- •'�57-. Solar System-Final � 16. Rough Heating & Air Conditioning _ . - . - � • encing & Access Approval ' � 17. Ducts, in Structure APPROVED FOR PLASTERING � � � 18. � Ducts, Ventilating - ' � � . • 19. Gas Pipe-Rough & Test � - 60. POOUSPA SYSTEMS F INAL � . 20. Roof Framing - �-- - � � ' � � ' ' 27. Roof Slieathin , � - -`L - ' ' � � � � 22. Frameand Flashin [,�.�/��},�� 3_/ _�� NOTES: �p,�S 8.• P �� I.:21� , • .- p� 23. Insulation - -� � . $. -$�-. � �.,� 24. Lathing & Sidin . . . . A. ( -� ..� '� 2- - �( _ 1.��,`, 25. Drywall.Nailing ' F: stt ;,7�'�Z�- G c.. c� w -n ��i:,. 26. Plaster Brown Coat / � 27. Electrical Power Meter-Final � • . 28. Final Electric � � 29. Final Heating & Air Conditioning. � . . 30. Final Gas Pipe-Tes4 � � - ' � � 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 RequirementrCompleted � - � ' 40. Electric Release, to Edison - - " - - " -' 41 . Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY . . . ' ' "No.' Date � � - , � ' _ �-_ . `. - � � ' ' -' - "- "` � , . ' AOP���ant to fi�� �� all ipates within heavy bortler lines antl si9n a11 appropriale Eeclantioni. ; CITC' OP COSTA MESA� - aEa� N.O{' ��" " TRACT NO. - LOT NO. BLOG., - , '2CJ'�2 '2� Fj '� . , I2�OO T(,� . CONSTRUCTION PERMIT L:. eCQ � I- ' -� �" � E� . ' - -. . •� ��_�: , . . .. � Projett Address rf,{- TYPE OF CONSTRUCTION � - � "` ' ' `�', ., � ,. „ , ' ,�1- �,� OWne} ��j - � - • - Phone ' �'NEW ❑�ADD ❑ACTERATION ' - � - ' - � - - . . - � ._ . � �`Addf2ss - � j_ �G - _O'REBAIR ❑�CONYERSION�,ODEMOLISH . _ . _ __ _ � Arch/Eng. � � - -License No. � - ❑ OTNHR ' ' ZONING REGULATIONS DESCRIPTION OF WORK P"P' � � AdtllEis.. . ' ' " ' ' " - - ' ' ' - " '- ZONE - .. • . • PWG."REF. � .� . 1 "Contracror - Phoneq TYVEOFPERMIT, ' � -- '�--'- - � - • - Tp U p - , � i SETBAC LST. � PROPE�RTYNLIfVE ' � Address - �� - ' � - -- - -- -��GRADING '� FOUNDATION - ❑STRUCTVRAL --- ;SIDE�VARD- - �- -- _- 610ENSED CONTRAGTOR'DE LARATION �' ' � LEFT : r � ' A hereby affirm th:.t I am licensetl untler Drovlsionz of Charter 9.(com � �'TENANT--O�ELECT.RICAL-OPLUMBING ❑MECHANICA � S�DE VA _. _� ___. .. .. ._ _ _ • RIGHT mencin9' with section -7000) o( � Division-3 of - the � Business-antl �.OTHER' ' " - Professions Cotle, antl my Iicense is In fult force antl aftact., ,� � � REARYARD'(TOP/L)"'� -" '- "- "' �' " � � � - - --- ---� - - 3D: J��9 PROJECT DESCRIPTION . _ ' License Class LlGen No. � � - '"' "' ' '- PKG. SPACE RE�."' ' - - " "PROVIDED., • - �� Date'2- LC�' �i 519natu're .' _ ' .�SQ. FT: � .� . . .� '_"" " " " " _ ' _ ' . _. ...� _ . . _ WORKERS'COMPENSATION�DECLARA210N_ � OCCUPANCY ��'_' CONSTRUCTIONTVPE ' � �'STREETWIDTH - PqRK'FEE_S '1 hereby affirm [hat 1 have a tertiflcate of cn�snnt to sal4lnsure or a � ' "iZONING APPROVED BY -- DATE - wriifiwte oi-WorKers•-Compensatioo- MSuraPce; or-a ce�tltt¢tl.copy VALUATION ' ZONE �� � ..�:. �thereof (Secllon 3800, Lab. G). GRAOING.CLL. V.DS. � ACRES ' SPECIACCONDITIONS: " - - ' ' '�' - PolicY No. _ ' _ ComPanY. " ' ' _ ' "' " _ ' _ _ ' . . _ _ . _. _ ' _ _' ,ertlfieticopyis�nerebyfurnishetl.. � .__� ... REMARKS:!� " _„ _ _ - .ertlfietl copy is.tileE with tM1e city Builtlin9 �ivision. � r ' - '" - ' - - ' � � , - tXEMPTION FROM'WORKERS' COMPENSATION DECCARATIOM � � � '�"'� �- � �'� � ��� " f � ' ► _ _ (This 5ettion.n¢¢tl_ not be.coTpletetl if,the pErTit iSJor one huntlYetl - , _ �� - - .�El��) Of 1255%. . .. .. � ...� � __ � •.�'_ . . - � I certify that in the performance of the�work for whicn this Oermit is ,. � issuetl, I shall not employ any Oerson In any I*�anner so as to�beCom¢ PCUMBING --"' '-PCAN CHECK •' � ,ELECTRICAL"- "' `-• PbAN CHECK- --- - subjett.to.the Workers' Compensation Lawspf Ca�ifornia.'_,,,_ _ ' ' - _ .Date Si9nature � BATFITUBS � '- � -� � 'SHOWERS "' -^ " - ' ', Z ' b NOTIGE: If a([er makin9 tbis tle<Izratlon, yoV shoultl become'subject- -TOILETS �� ,� -URINHCS' � - - - � - �1GENERATOR � OQ KW'_110'KW - - - - � to [h¢ Wo�ke�s' Com0en5atwn p�ovlsions ot tFle 12bor COtle,-'you muzt � ;TRANSFORMER . , �. ;forthwith tomply with such provi5lons or this Permit shall be tleeme0 LAVATORIES DOVBLE�L-AVS - --�- - - APPLIANCE- - 30-50 KW�_50 *.KW � revokeC.__ __.__ _._. _),___ � - . -- -- -KIT[SINKS ' ^ � DISHWASNERS � - -�-� �'MOTORS - 0-1-HP-_1-lO�HP�- " ' 'CONSTRUGTION LENDING NGENCV - " -'� 1 �Ih¢r¢byaHirrO[hatllterelsaconrt�uGtlOnl¢Ptlingdga0cyforthepe�- SERVICESINKS•'.,'��,.�SUMP$'-�- '- - -�- - . �IINC.,SOLAR), _,30-SO.HP SO+HP ^��� formance of [he work for whicM1 tnls permlt is Issuetl (Section 309] -- ` � Qv'C:)T -' -" -- �'-`�'-�" --' ' --""' ' - "" FL'OORSINKS'-'--" FLOORDRAINS- "'-t"-' --' �FI%TURES- �- OUTLETS SWITCHES - -� Lentler's Name - � -'" � - � �--- - �" - '" DRINKING FOUNTAINS " ' -' " ' -- � - - �� � �GAS TUBE SIGNS� -- - --- - -'-'_ :.�_: _ . _. � Lentler's Atldress � - - '^'-' ' OWNER BVILDER'DECCARHTION- ' �-�-^ ' - ' ""'�' ^ "�NTERCEPTORS � -�- CLARIFIERS � � � " - '" ^POLEiIGHTS'- •• - �- - - - --- - - "- - - - ' I he�eby afti�m inat I am Exempt from the Cont�actor'S Llcense Law fo� - � .. . the followin reason� Section ]031-.S�Busine55-antl Profes5ions��Cotle:- 9 ( SWIMMINGPOOL- PTRAP' - . �. . �,... . _ _ .. . . Any city or county which reqvire5 a perTif to con5truct, alter, � POLES - ` METERED SUB' '" ''"' '-" imprOv¢,-pemolish or'repair any'SVucture,-pri0� to itrissuance,also re- y�qTER'SERVIGE' - "AL7ERATION � - -�-�' �- --- 'PANELS - - MAIN - � � �- �SUB ' � � qui�es the ap'.licaqt tor iuCh permit to tile a S�9�etl statemenf that he - �' ' _ is'llcensetl'pursuant'tothe�provislonsofthe-Ca��ractor'sLi<ense-Law- GASSERVICE�� -OUTL'ETS -'- "T" SERVICE---- ' ----- - -AMP � (Chapter 9(commentlng wi[h Sec[ion 7000) of Division 3 of the .• .�00' -- �� 6uslness antl-Professions Cotle) or [hat he is e%em0� Ihereirom antl [he yyqTER'HEATERS"� •'BTU OUTPUT � -� -- = � �- - basis for the alle9¢tl exemp[ion. Any violatioP of Section �031.5 by ' � -" ; -s,;'applicant for a Oe�mi[ subjectvthe appl��nt [o a civil-penalty SEWER CONNECTIONS' ' -ir • -�- - -- - � ----- - { � - 7 _ ____ _ � t�''p� -.:jpt more than five huntlretl tlollars (5500). � "" "'",.�� as �owncr o! tM1e property,-or my ertiployees with'wages'as their SOL"AR TANK -' - --COLLECTORS � -- - - � - - -� - -- --- -- - . - � _ � �si5v$ �wmpensation, wlll tlo the wo�k, antl the S«uctu�e is not Intentletl �` i or oHeretl for ule. (Section ]044, Busines5 antl Professions Cotle: The SOLAR PIPING SYS. ' - - - - ' ' ' - ISSVE'FEE � -�- - �- -- - � - ' � - . - - - OD � ., _ . ._ �Contraccor'S. L�cenze Law tloes not apply, to 9n owner of a property � - .wno builtls or impwves thereon, antl who doei such work'himselfbr -ISSVE FEE "' "� " " -' ' ' ' i - ' ' " iAPPLICATION APPROVED�BV _. ____ . __ ___DATE ... � - throu9h his own emploYees, provitletl tnal sucn improvements are not " ' - � 4 intentletl ot otferetl for sale. It, howeveq the builtling or ImprovemenC MECHANICAL PLAN CHECK � �� � - � """� is soltl wit�in_one year o/ completion, the owner will have the burtlen 1 SUMMARV,OF FEES� ` � "-, bf proving he tlitl nol builtl or improve for the puipose ot sale). HEATINGSVSTEM Od00,000BTU ' •BVILDWG---- -�___ .. _� ___ ,__ - __ _ ____ ___ :.�.�.: i� .� � PERM IT !.�§ �� 1; �as �owner-of the-proOe�tYr am exclusively. mntrac[ing_ with. qND-DUCTING � - �- - � - .�._ . E „-.� SMIV - � 'liGensetl tOnt�attors lo construct tM1e prolect (��tion ]044, Business 100,000 � BTV �� , p�qN CHECK E � ^ PERMIT, •� L- � antl Professions Cotle: The Contractor-'s LicenSe�Lawtloes notapply_to ..-_ �._._._ISSUANCE :y'��'-�' ��', an owner of property wh0 builtls or improve4 ihereon, antl who con- REFRIGERATION 0-300,000 BTU � ; P�UMBING §� .. t�acts f�om sueh•projects�-with-a-contracto�(s)-IlceSnetl..pur5uant [o SYSTEM ---- - - - � - -. ... __ � � � ,. '' ����� �'1n 1� ��� the Contractor's LicenSe L.aw). 100,000 + BTV � PLAN CHECK f � � " ^ -GRADING�_S __ _ _ = �0"I am exempt untler-SeLdon '� -" B: 3 P. C'tor this -- - - -- - - - - �� . _ � � �� � ���� ' � BOIl.ERS BTV ELECTRICAL ' 4' ��-, ' - E��- - ' - ^ � reason - '- - - - - - "- '- - "' ' . V . MICROFILM'E .•n: � SVSTEM REPAIR,ALTERATION � - - PLANCNECK-'S - - - � � �Dale Owner �� ' TOTAL'FEE�$' I �erebycertif thal I_haJe reaa [nis a licatlon antl state lhat tM1e above EXHAVST SVSTEM MULTIPLE MECHANICAL E- ,.. Y PF . . j .LE55 AD- � � � inbrmation is wrietL 'I, a9ree lo'comply" w��h-'all tlly antl county' . ' VLAN CHECK- $ - VANCE PC� E_- -- � ortlinances antl Slale laws rClating to conSVuclid�. antl h¢reby autho�ize 'i � r¢presenlatives oP'1h15 city to ent¢� upon� tlle above mentionBtl ;� � � � .. ' '�� � =� ' property, for i s cllon urposes. /' — Signature Dat¢ 7/"Z6g� - - . . . � FINALFEE E/ � � Drivere' License or SS � -' 65UE FEE .. . . _. . _ _ _ _ _. _ _ _ _ _. _ _ . .- _ � , CMF 0865-46 Whi[e-Builtling; Canary-AppliGanq Pink-Accountin9: GOltlenroC-Assessor . " CONSTRUCTION AND PLANNING POOL& SPA '.� - � i Date �� Insp`ector " � ��� ��� � Date �Inspector APPROVALS Permit # �I YIPPROVALS � � Permit # 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - � -- _. _ i ipe-Un rgm - � � - - 44. Steel Reinforcemenf - � - - - -3.� Electrical Conduit Utility-Undrgrn 45. � Forms.� ' - - .- . � 4. � �Electrical Conduit-Undrgm . 46. Electrical Bonding -- � � - _._ tee em orce ._ 47. Rough Plumbin & Pressure Test - - - 6. ElectcicaLUF,ER_Grn_ __ _ ' - - 48. ' APPROVALTO COVER-GUNITE - - � - - - � � � � , _7.. _.Footings_ 49. Electrical Conduit-Undr m ' � 8. �Foundation- - • ' 50. • Gas Ripe, ❑ Undr rn, Test " - - - 9 --Water Pipe•Undrgm__ . 51. Backwash Lines P-Tra 0 � ndr Fn � - - ' - -' -- ' - 10. Structural Floor.SYstem 52. . APPROVAL TO DECK'" " -" ' -' - 1�1�. Property Sewer Line.&.House Connection 53. Backwash & Rece tor-Final ' ''' • " ' 12. Street Sewer Connection. " � � � - -54. �Heater & VenbFinal � ; 13. Rough Plumbing ' � - ' -" - ' 14. Rough Electrio-Conduit ' -��56-. Electrical-Final - - � 15. Rough Electric-Wiring - 57. Solar System-Pinal �� � - " 16: Rough Heating &�Air Conditioning-"- ' -- -- - - -- - � • encing & Access Approval �_ - --17. Ducts, in Structure�--. - � - - ' •'� ' APPROVED FOR_PLASTERING " � � • 18: -Ducts, Ventilating . _ .. _ _ _ . ' . ' . . '- � - .. - - - - ,. .. _ , 19. Gas Pipe=Rough &Test �- - � " • - - - -- � ' 60. POOUSPA SYSTEMS FINAL � � " � . , � 20. Roof Framing - � - -� - - - - " � � � ' - � � 27. Roof Sheathin �� � - � --- - - - - - - � ' � • .� � . 22r Frame and Flashin - - � - - - � - - - -� ._ _ NOTES:" ' ' � .. ' � ' ' ,. � � ' 23: Insulation� - - - ' - - - - . . . . . . -- . '-- _ � - - -' '.. .. 24. Lathing�& Siding . - . - - - - . . . - - - -- - - - - - � 25. Drywall Nailing � - � - � - � - � � � � - � 26: - Plaster Brown Coat - - - � � � . 27r. Electrical Power MeterFinal�- - � � � �- ' � ' � � 28.- Final Electric - - - b�i' '-C. C-� � ' 29. Final Heating & Air Conditioning- •- - •� �- '' � � - - - - - - - � � 30. Final.Gas Pipe-Test - - � -- - --- - ' ' - : � - 31:- Final Plumbing � - � � ' � ' , 32. Water Service•Final � -- � - - - � ' �� 33. Gas Service-Final� - - ' - � ' � � 34. Solar pomesticFinal'' �'� ' ` � ` � • � � � ' 35. Landsca e S rinklin S stem ' • ' � ' � � ' ' � 36. Sound Attenuation � � ' ' - ' - � � � ' � - 37. Handicap Regulations - ' ' - - - � � � ' • ' � � � � � - 38. FINAL STRUCTURE & BUILDING - ' - 39. Special flequirements Completed" - �� � - ' 40. Electric Release to Edison ' " � , 41. Gas Release to Southern California Gas Co. � � � 42. CERTIFICATEOFOCCUPANCY No Date CITY OF COSTA MESA CONSTRUCTION PERMIT fo fill in all spaees witnin heavy bortler Ilnes an0 sign all appro EM��`�J T NO. �� i TRACT NO. LOT NO. �I-•^ O`' .. BLDG. E-3 Address �.1SjQ �,Q LOM4, LEMON HEIGHTS� CA Arch/Eng. License No. Address ContractorFUTURA ENERGY PRODUCTS Pho�e ]]j Address � LICENSED CONTRACTOR DECLARATION I h¢r<by affirT that I am IlcaniGtl untler P�ovi51on5 Ot Charter 9 mencin9 wilh 5ection 7000) o( D4vlsion 3 oi tne B Ines Profeszions Cotl� �4 my Iltense is �I^fWl'force �au�i�� Date� ����� Si9nature �^�" WORKERS'COMPENSATION CLARA7 ON � I hereby atfirm thal I have a r ticate o{ tonsent [o self-insure or a certlil�te of Workers' Comp SaUon Insurante, or a certitietl copY thereot (Se lon 0 b. C. wqcy No.��C.O�'% �il�( S companv F �T RA—MtNTON INS_ 'ertifietl copy is�hereby furnlshetl. � � • :ertifl¢tl mpy IS tiletl wi[h [he city Builtling Divislon. EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This Seclion n¢Btl nol be CompletOtl ii tha permit is tor one huntlretl S§300� or less). cert fy [hat In the performance ot the work for which this permit is issuetl, I snall not emPloy any person In any manner so as to become subject to the Workers Compensatlon LawS ot California. �ate SlgndtulG NOTICE: If after makln9 this tleclaratlon, you shoultl become subject to the Workers' Compen5ation provisions O( the Labor Cotle, you must tOrthwith compty with sUch pwvl51on5 Or this pe�mit Shall b¢ tleemetl revoketl. � � - GONSTRUCTION LENDING AGENCV I heteDy af(Irm thaf [here Is a mrlstruCtioq Ientling agen<y fOr ihe pet- formance of th¢ work tor whlch this perMit i5 i55uetl (SeGtion 3097 Civ. C.�. L¢ntlel'S NdTe Lentler's Atltlresz OWNEF BUILDER DECIARATION 1 hereby affirm that I am exempt from the Con[ractor's License Law for the 1o11owing r¢ason (Section 7031.5 Bus��e55 antl Professions Cotl¢: Any city or county which requlres a permi[ to consVucl, alter, Improve, tlemolish or repalr any ztructure, prior to it5 issuance, also re- quir¢5 tbe appliGant to� SUGh p¢�Til to tile a zigne� statament tha[ h¢ is licensetl pursuant lo the provisions of the Contracror'S License Law (Chapter 9(commencing with Settion 7000) of Division 3 of tne Business antl Prolessions Cotle) or lhat he is exampt [herefrom and the basis for the allegetl exemption. Any viola[lon of Section ]031.5 by ' appll�nt for a permi[ subjects the applicant to a civil penaliy rt more [M1an flve huntlretl tlollars (5640). „ as owner 01 lne prop¢rty, O� my eti�ployees with wages as their Sole compensation, will tlo Iho wo�k, antl the slructure is no[ intentletl or offeratl for sale. ($ection ]044, Buslness antl Profe55iOns Cotle: Tne ContractoYs �icensa Law tloe5 not apply [o an owne� of a property who bulltls or improves thereon, antl wh4 tlOEs such work himself or thrOu9h hi5 Own employee5, provitleG tbat such improvements a�e not Intentletl or otferetl tor sale. If, however, the bulltling or Improvement is soltl�wltnin ono year ot completlon, the pwner wlll have the burtlen of proving he tlitl not builtl or improvp for lhe purpose ot sale). ❑ I, as owner of the property, am excluslvely contracting witM1 licensetl conVactors to construct Ihe project (Sectlon 7044, Business antl Professions Cotle: TM1e ContraC[or's CI�¢n5e Law tloes not apply to an owner of property wh0 builtls o� ImprOv¢5 [he�eon, antl wbo Wn- tracls hom such proj¢Cts wi[h a con(ra�{o�(5) IIC¢Sn¢tl pu�suant to the Contractor's Litense Law). ❑ 1 am ezempt untler Seclion B. & P. C. for this reazon Date ' ' Owner I hlreby <erti/y that I have �ea0 this applica[ion antl state that the above Informatlon is correct. I agree to comply with all tlty antl county o�tlinanc¢5 an0 stale IdwS relatin9 to co05LrV<tion, antl hereby autho�iie reprez¢nta'v 5 Of W{5 cil to e te� upon the above enti netl properiy in d I i rpa � s. � !� Signature � • Date� � Drivers' L' nse or 5�� ._ B TYPE OF CONSTRUCTION � NEW ❑ ADD ❑ ALTERATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH ❑ OTHER DESCRIPTION OF WORK TVPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL ❑ TENANT ❑ ELECTRICAL �PLVMBING C�MECHAI ❑ OTHER PRO�ECT DESCRIPTION SQ. FT. OCCUPqNCY_CONSTRUCTION TVPE VALVATION ZONE GRADING CU. YDS. ACRES PLUMBING TOILETS LAVATORIES KIT. SINKS SERVICE SINKS FLOOR SINKS DRINKING FOUNTAINS INTERCEPTORS SWIMMING POOL WATER SERVICE PLAN CHECK SHOWERS VRINALS DOUBLE LAVS DISHWASHERS SV MPS FLOOR DRAINS CLARIFIERS P TRAP � ALTERATION GASSERVICE OUT WATER HEATERS BTU SEWERCONNECTIONS COLLECTORS SOLAR PIPING SVS. ISSUE FEE MECHANICAL PLArvCHECK HEATING SVSTEM 0-300,000 BTV _ AND DUCTING 300.000 * BTU_ REFRIGERATION 0-100,000 BTU_ SYSTEM 100,000 + BTU. BOILERS BTV SVSTEM REPAI R, AITERATION EXHAVSTSVSTEM MVITIPLE ISSUE FEE CMF 086�-46 White-Bulldin9; Unary-Applicant: Pink-Accounting; Goltlenrod-Aszessor 2622 2/26/82 ZONING REGULATIONS A.P. � ZONE REAR YARD (TO P/L) PKG.SPACE REQ. STREET WIDTH ZONING APPROVED 8V SPECIAL CONDITIONS: ELECTRICAL PLNG. REF. $ PROVIDED PARK FEE 5 PLAN CHECK GENERATOR 0-1KW_1-lOKW TRHNSFORMER APPLIANCE 30-50 KW_50 + KW MOTORS 0-1 HP_1-10 HP (INC.SOLAR) - 10-50HP SO+HP FIXTURES OUTLETS ' SWITCHES GAS TUBE SIGNS ' POLE LIGHTS ' PANELS MAIN SUB $ERV ICE AM APPLICATION APPROVED BY BUILDING PERMIT $ PLAN CHECK $ PLUMBING S PLAN CHECK $ ELECTRICAL $ PLAN CHECK E MECHANICAL'$ • OO PLAN CHECK $ DATE OF FEES SMIP $_ 7.00 PERMIT ISSUANCE $ GRADING $ S MICROFILM b� TOTAL FEE $ LE55 AO- VANCEPC $_ - FINAL CEE § 7 • OO CONSTRUCTION AND PLANNING POOL & SPA • , � . APPROVALS Permit# �/��3� Date ' Inspector qppROVALS .. � Permit# Date Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location 2. 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 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. Backwash Lines P-Tre ❑ 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 � i6. Rough Heating & Air Conditioning $2. � encing & Access Approval 17. Ducts in Structure ' APPROVED FOR PLASTERING 18. Ducts, Ventilating_ 19. Gas Pipe-Rough & Test - 60. POOL/SPA SYSTEfv1S FINAL 20. Roof Framing � 21. Roof Sheathin � 22. Frame and Flashin NOTES: 23. Insulation � 24. Lathing & Siding ' 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter-Final 28. Final Electric 29. Final Heating & Air Conditioning � 2.. Z 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 Re�ease to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY • ' No Date - � � - �� � i .,. , _ CITY OF COSTA MESA - ' CONSTRUCTION PERMIT Address within neavy boraer lines ana sign all approorlata aeelaratlor ' TRACT NO. LOT NO. BLDG. NO. � � E-3 License No. �- TVPE OF CONSTRUCTION ❑ NEW ❑ ADD ❑ ALTERATION ❑ REPAIR ❑-CONVERSION ❑DEMOLISH ❑ OTHER � DESCRIPTION OF WORI( : Contractor���'�r^ ' Phone -{" - TVPE OF PERMIT � Addre55'/1 � ❑ GRADING ❑ FOUNDATION ❑ STRUCTVRA� LICENSED ONTRACTOR DECLARATIO � - ❑�TENANT � ELECTRICAC OPLVMBiNG ❑MECHAI I her¢by a1Brm thbt I am Ilcen58tl unOGr provlSio05 of Chd/ter 9(com. , . � mnnting "with -section -7000) o/ �INsion -3 of tne Buslness antl � � OTHER - Rofeszions Cotle, 'antl my Iicense is in /ull /orca antl eHect, pROJECT DESCRIPTION � - License Class C� ' �L{cenze rvo,J1�-�/�O � . ; ,:� ' - ' ' � �Da[a 3"2' Z 519 "t /i/ i SQ. F7. y �, . _ . ; . �WORKERS'COMPENSATION DECLARATIO�' 'OCCUPANCY-CONST.RUCTION TYPE 1 hereby aftirm tbat I havo a certiticate of consent to setLinsure or a VALUATION ^ ZONE 'tertifiwte of Workers'-Compensation- Insuranco, or a certiiled.copy� - � - - ,tp.ereot (Sec[ion 3800, lab. CJ. � n GRADING CU. VDS. ACRES �,��"�-:Y No. ' � ' ComPanY � �.�/ii�5fis fO/�f: . . �. ' _ �'E"�?ertlfiaticopyis�herebyfumishetl.. .. . .. . .. REMARKS: . - � ' . - � l_i Certltietl COpy is (iletl with the clty Builtling Division. ,. EXEMPTION'FROM WORI(ERS' COMPENSATION DECCARATION .-- ' - - - (Shis sectlon neetl not be completetl if t�e.permit is.for_one �untlreC . . _ _ _ ._ (E100) or less). ", --� _ ,', ,V I cartify Ihat in the pertormance_oT lhe work.for which.this permit is _ , __ Issuetl, I shall not emPloy any person in any manner so as to become PLUMBING�, :O. `� PLAN CHEGK - subjoct to tha Workers Compensatlon Laws of California.' . _.. ' -. BATHTUBS SHOWERS ' ' 'DdtO ' Si9ndturt 'NOTICE: If atter making thii tleclaration, you shoultl become:subject TOILETSc �^,� . URINALS -- �-- '� � to the Workers' Compensation provisions of tbe Labor Cotle, you�must - lorlhwitn comply with sucn provl5ions or this permit snall be Ceemetl ��VATORIES ' DOVBLE�LAVS ' � ^ �revoketl. . ' ". ' ' " . _ ." _" _ . ... " ' _. _ CONSTRVCTION LENOING AGENCV� KIT.SINKS DISHWASHERS� 1 hareDy atfirm that thera is a conztruttion lentling agency for the per SERVICE SINKS � SUMPS �� '-� -� '� fOrmanca ot [h0 work tor whl<h [hls permit is ISSuetl (SettlOn 3097 �Clv. C.). ' -" ' " "- ` ' � -- '� FLOOR SINKS �� FLOOR Df3A1N5 ' Lentler's Name � �� - �- � � � - - - DRINKING FOUNTAINS � � Lentler'S Atltlress OWNER BUILDER DECLARATION" ' -'- - '" "' ' ' " � �NTERGEPTORS � ' CLARIFIERS' I hereby alfirm that I am axempt trom the ConVactor'S License Law (or the tollowing reason (SecUon 7031:5 Business antl ProfesslanrCotla:- ' SWIMMING POOL ��- - P TRAP" "' "' ''- Any cl[y Or county whit� reVuireS a Dttmlt to conSVutt, alt<r, imp rovo, tlemolish or'repair any structure,'prlor to'iti Issuance,-alio re- yyqTER SERV ICE ALTERATION � aJres tM1e ao'_lifdnt tor SUCh DOlmlt to file a signttl ztatem@nl that h< nt to 9usiness'antl -Prdessions CoOo)'or thaY�e'Is exempt therefrom antl�[he ' 's ior the allegetl exempUon. Any vlolation of Saction 7031.5 by 'applicant tor a'permil sub�etti the applicant'to a<Ivll'penalty ,ot more [han (iva nuntlretl aollars (5500). �J I, as owner ot the propCrty, or my employ¢ci with wages a5 Iheir sole compensatlon, wlll.tlo.[he work, antl.the structure ii not InienOeG or offeretl for sale. (Section 7044, Business antl R'oleislons Cotle: Tbe � Contraclor'S License Law tloei nol apply to_an owner_ot a Droperty who builtl5 or improves f�or00n, antl who tloos suc� work himsell or tltrough hls own eTPloyee5, prOVlCetl that SUGh ImplOvemBnts dr¢,pOt IntenOatl or oHeretl for sdle. Ii, however, tne builtling or Impravement Is soltl wilnin one year ol campletion, the owner will nave lhe burtlen of proving he tli� not builtl or improve Por the Ourpose of sale).� ❑�I,'az owner-of-lhe property, am-�GxNusively-conlra<ting-with IICEnsetl cont/acto�s to Wnst�uct lha project (SattlOn 7044, Busine55 antl ProfMsions-CoderThe-ConVactor's License 6aw�tloas noPappry to an owner ot prOp¢rty who builtls o� ImprOv¢5 the�eon, antl who cOn- traGtrfrom-such^pro�ects-wilh�a-contractor(s)-IiceSnatl pursUanl to� �M1e Co�[ra<lo�'s LiCenS¢ Law). ❑�I am exempt unAer Section '- ' B. & P. C for this� reason' - - ' - Date Owner GASSERVICE OVTLETS ' WATER�HEATERS�' -BTUOUTPVT- ' "�' SEWERCONNECTIONS �j '�� -- " - _, SOLAR 71PING SVS. 1 ISSUE FEE � P� - � MECHANICAL PLAN CHECK HEATING SYSTEM 0-300,000 BTU _ AND DVCTING" - � � - 300,000�+ BTU _ REFRIGERATION 0•100,0008TU_ SVSTEM---'- " 100,000�i BTV _ BOILERS BTV SVSTEM REPAIR.AITERATI�ON t I hereby certify thal I have reatl tnis application antl state that the above EXHAUST SYSTEM _ M VLTIP�E intormation is conect.-I agree ta comply witti all city aria'-county � v�N,T � � oraMances antl state laws relatlng to construction, antl hereby authoAze � ropresentatives-of Ihiz city lo enter upon the above mentionetl // � , properry� for nspe on purposes. K � �i Signature ��A^ �'� ?� �h' _ Date �Z�Z ISSUEFEE- �- "� - �-^ ' ' ' Drivers' License or 55 $� CMF 0865-46 Wnite-Builtling; Canary-Applicant: Pink-Accounting; Goltlenrotl-Assessor 2760 3/OZ/82 9.OD TL A.P. $ . ZONE �PLNG. REF. $ REAR VARD (TO P/L) �� PKG.SPACEREQ. PROV,IDED. STREET WIDTH . ' PARK FEE S�, • " �SPECIAL CONDITIONS: � � � ' . . . _ ' . R. • _ �, . • ,ELECTRICAL� '' � aLarv cHECK �, , � ��0 GENERATOR-- - 0-1 KW_ 1-10 KW ;TRANSFORMER --.- •• L�" � AVPLIP.fJCE 10-50 KW=50 � KW' ' MOTORS " " ' "0-1 HP_7-10 HP, ' � �(IN0.50LAR) -10-50HP=50'tHP ' ' - FI%TURES� � "OUTLETS� SWITCHES~- � GAS TUBE SIGNS ' '"" � ' - ' "" " � � '. ��OLE UGMTS. - ' '" . � ` - " " ' ' � � �POlES METERED � SU y 'PANEL$ � ��MAIN $UB � - ,SERV ICE - "' ' ' ' ' AMP - - .- ._' ' ' .- - - ..i�� � rr• � �� -ISSUE FEE � �- - � � �APPLICATION'APPROVEDBY -' � "'''DHTE -" i .I � � SUMMARV OF FEES � , '��BVICDING'- ' - - ' '� -' ' ' - �PERMIT E SMIP S .�PLAN CHECK' S PERMIS � � ' _ .PLUMBING �SSUHNCE' S ' PLAN CHECK E GRP,DING - E�� f�- �I � ' _ _ � � 1 ... � ,ELECTRICAL b S ,r ',PLANCHECK' E �'-MICROFILM S TOTAL� FEE S �� MECHANICAL S� . . �PLANYHECK E-, ' ' L'ESSAD- _ _' VANCEPC S_ , , a , . � � � :ov - FINAL FEE S �' ' "" " __ _ _ �" . . CONSTRUCTION AND PIANNING POOL & SPA � ' �' . . APPROVALS ��� � Permit # M,�xS q Date Inspector AppROVALS Permit # Date .. Inspector 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location � - � 2. Soil ipe-Undrgrn � ' ' 44. Steel Reinforcement - - - - 3. Electrical Conduit Utility-Undrgrn � 45. Forms � � - 4. Electrical Conduit•Undrgm _46. . Electrical Bonding -- . tee ein orce � -- 47, Rou h Plumbin & Pressure Test 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE �-� -- � 7. Footings � 49. Electrical Conduit-Undr rn 8. Foundation �; � � 50. , , Gas Pipe, ❑ Undr m, Test � ' � • 9. Water_Pipe-Undrgm ' � 51. Backwash Lines P-Tra �❑ odr m •'� ' 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-Final � � 13. Rough Plumbing - - � � 14. Rough Electric•Conduit � - -56. Electrical-Final � 15. Rou h Electric-Wiring' - - - -�� 57. Solar System-Final ' �' 16. Rough.Heating & Air Conditioning� - - JQ�6L� • 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 F.raming . - - � • . 21. Roof Sheathin � � - ' � ' . _ - . . . . � � �. 22.. Frame`and_Flashing� ""-- � � L NOTES: • � � � . .' " � , ' .. � 23. _ Insulation � ' � ' ' � - - " ' • ' 24. lathing.& Siding - � - - t 25.. Drywall Nailing - ' � ' - ' ' 26. Plaster Brown Coat ' i " � 27. Electrical Power Meter,Final ' � � . .. ' 26. FinaliElectric - � - - ' ---' -- - - .. _ . ... 29. Final Heating & Air Conditioning S� ' ' ' ' � � "' � . ;,, ' 30:. Final Gas Pipe-Test. � � ' ' • . . �. , ;y'; 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 Califoroia Gas Co�. � � 42. CERTIFICATE OF OCCUPANCY � � No. Date � � - - - i.. +� Applicant lo fill in all spaces wilhin heavy Gortler lines antl sign all appropriate tleelarations. CITY OF COSTA MESA ' a�r�y�,7,O3 � TRACT NO. LOT NO. B�o 3 0. � �- - CONSTRUCTION PERMIT �,� c . • , . •�: '; ProjettAddress • ( fh,.. ST � � TYPEOFCONSTRUCTION � � - � 0323�� 6/29/82 � •' �Q��O T�, OWner S' �) Phone 3 �2J ❑ NEW ❑ A�D' ❑ ALTERATION � - - •'� - . .. . . . . 'Addf25 � Lpyy� 4E /(�.f/� �REPAIR.00ONVERSION ❑,DEMOLISH _ , � Arch/Eng: " • License No. - - - � oTHER� � ' �' � ZONING REGULATIONS i- !%. � - DESCRIPTION OF WORK A'P' � � � �' � �AddrEsS � � '"' ' ' ' - - ": -' - " '"" -IONE � � ' PLNG.REF..$ ,- �Contractor' . L�4 . . Phone z- t TYPEOF PERMIT � " � � � -' � ' � - - - - ' - - - - pgU ILp ING . 'SETBACKC T. � �ROPERTV LINE � Addiess ��3 � L� OT /L • � � � � ❑ GRADING ❑ FOVNDATION - O STRUCTURAL- � SID VARD - - - - • - 'LICENSED CONTRACTOR-OECLARATION ' ' ❑ TENAfVT ❑ EIECTRIGAL�LVMBING ❑MECHANICA L5Ep . ; � . I hereby afflrm tn:.t 1 am Iicensetl untler provislons of Charter 9(com- • � , � q� GE 7 � �- -' -- �mencing wlth -sectlon 7000) of , Divislon 3 of lhe Business� antl ❑ OTNER � ' �~ Profes51on5 CO , antl y liGense Is In full force ntl et(e t. ' - . . � REAR VARD (TO P/C)'� - ' -_" .' ' . �- .PROJECT�.DESCRIPTION' . . _ . . , . . _ . � Licensa Class � Litans No. , � , , , ' PKG. SPACE REQ �-' ;PRO,VIDED,�' - ' - ' - '� �, �o5teG/ 9 51 t_' 1U_��._�,✓�.� .SQ: FT... . . „ � . . ' _ - . _ _. . � � � 9 7 _ ,i .,p �STREETWIDTH 'PARK-FEE$,�'- "�. WORKERS' OMPENSATION DECLARATION . - _ OCCUPANCV_CONSTRUCTION TVPE � �I h¢reDy atfirm that I have a certifi<dt0 Of COnsent t0 selt-in5m¢ or d •20NING APPROVED,BV - -" OATE� -�� •tertifiwte ot Workers''Compensatiom Insurance, or-a�certi/IeG copy _VALUA'T.ION ' ZONE ��+_ .-c �_ereoi (Settion 3800, Lab. C.). F � GRADING CU. VDS. ACRES ' SPECIAL CONDITIONS:- _ ' . ' - ' ;*'s.y-., _ ' ' 'ComPanY �r✓� G-a92 D_. -- - - - - ��� ntY No. � . . _ .. ' ' _. . . ' ' _' ' ... .Gertifietl COPY is her¢bY tumishetl. ' _ �' '"'" " . _ REMARKS: ' _ .0 G . __ ' _ __ " ' ... _ _ _ ' .... " _ _ _ � .8'L�ertHietl COpy Is fi104 with the ci[y BUIltling DiviilOn. , , _ EXEMPTION FROM'WORKERS GOMPENSATION DECLARATION " - ' - - � ' ' '- - - � � ' (This section_neetl nat be <ompletetlJf tne.permit Is for one �untlretl � „ _ � ��• -j ,' ? � ,�E100) or less). � � ' . . ' _.- • . "' ' . _ ' " . . _ . . . _ _ ' ' " ' _' ' '_ " ' .certify.thaLinlhe Derformance_o(_the work (or which this permit.ls issuetl, I shall not emPloy any person In any manner so 5s torbecome -P,LUMBING � p�,PLAN CHECK- - ECECTRICAC' -"" '"^P�AN'CHECK- - -- . ... 3ubjact to.the Workers Compen5ation,Laws of California._ � _' � ` " ' ' ' ' _ . -,"' � ' i � �BATHTVBS�" - - SHOWERS' '... _.• .- `. """" ' Date Signature 'NOTICE: It after making this tlecl5ratlon, you shoultl becoma sub�ect TOILETS , URINALS'� ' " -� -,GENERATOR - 0-1' KW_'1-10 KW - to the Workers' Compansation provislon5 of Ihe Labor Cotle, you must � ' ,TRANSFORMER �.• . �{•., ,torthwith comply with such provisons or tbis permit shall be tleemetl LAVA70RIE5 DOVBLE'L'AVS �' - - - qPPL1ANCE' - 10-50 KW_50 � KW �- - -- .j revoketl. _ . . ' . . , .. . _ . _. CONSTRUCTION LENDING AGENCV KIT. SINKS" " - DISHWASHERS ' ' - - - MOTORS - ---0-1 HP=1-10 HP- - - - - - - ;Iherebya(firmthattherei5amnstruc[ionlentlingagencyfortheOerv $ERVICE$INK$� -!• $UMP$"'" ' '-f -^ �UNC.SOLAR). '.1PSO.HP_50+NG' _, ,� formance of [h< wOrk tor.. which tn15 Oarmit IS ISSuetl (Section 3097 - CIv:C:�:'""-- "--'- - ""' ' "" " �FLOORSINKS -� " 'FCOOR'�RAINS '' �FIXTURES - OUTLET& SWITCHES� � - - - (Lentler's Name �Lentler'sAtltlress � ^ � DRINKINGFOUNTAINS- -"^ " � - ^GASTUBESIGNS--- �- ---- -- _ OWNER BUILDER OECLARATION" " ' �"- " "" - - " ' INTERCEPTORS� '-CLARIFIERS �� �� -- - ' iPOLE CIGHTS' ^ - - - �• - � - - � - j ��I he�eby aifirT [hat 1 am exempt f�om th¢ ConlraCtorY License Law �o� ' the following"reason (SecHor7031.5-Business antl-Professions Cotle:� SWIMMING POOL ' "P'TRAP� - •�-- -1- -�- - - �•_", _ _ _ � Any ci[y or county whicn requires a permit [o construct, alter,. �� �-POLES - METERED� SUB"" � Impiove, tlemolish'or'repair any structure, prlor to its'issuance; also�re- -yyqTER SERVICE "' ' ALTERATION '� - - �PANEL$ - •- - -MAIN- � � ��SUB--��- quire5 the ap�.liGan[ for such permit [o file a 519netl statement tnat h¢ I5'licensetlpur5uant'tot�eprovlslonsof�tneConVactor'rLicenze�Law GAS�SERVICE � - OVTLETS ' ' � �SERVICE -- ----� --- --�AMP-=: ---- �Chapter 9(commen<inq with Sec[lon ]000) ot Division 3 ot tne _ -'� usines5 antl PrMesSions Cotle) or that he is exempt[herefrom antl the - yyqTER-HEATERS-' ' BTU OUTPUT- - �^� ---- - -- -.__ . _ __ ��sis for lhe allegetl exemption. Any violation of Section �031.5 by � -- � y`aPPlicant-fora'permlt subletts the aPPliwnf-to a civil-penaltY ' SEWER CONNECTIONS ' ' " "" ' - ' -" - ' '-.-. - ' - -' ' ' " ' � of not more than live huntlretl tlollars (E500). - ' � -- ' � �� 1, ds owner of the property, or rtiy employees with wzqes'as their' SOL'AR"TANK"�- 'COLIECTORS :: -" • �- - - - - --- -- - - . _. _ _ � . . sole compen5ation, wlll tlo the work, antl the structure is not intentletl ' ' •- '�- � � :' or otteretl !or sale. (Section 7044, Business antl-Professious-Cotle:�The -SOLAR PIPING'SVS - � � �� ` '- �-- -- -� -" ' "' ' - -'ISSUE FEE - -- � - ----� � � '- � •ContractoCs_License Law_tloes.not.apply to an owner of a property ��APP�ICATION�APPROVED BV �who bulltls or Improves tM1ereon, antl who tloes such work himself or -' ISSUE FEE� ` -� - ' '( �� - - ' � ' ' � � - - - - �--��DATE. _ _ Shrough_M1is owo.¢nlployee5, proviGetl that su<h.improvements are not ' � intentletl or otferetl tor sale. If, however, the builtling or ImproJement MECHANICAL PLAN CHECK � �� � - '- � " '- ' '' �is soltl witnin one year o( completion, the owner will have the burtlen � SUMMARY,OF, FEES, �_ � I of proving he tlitl not build or improvo lor the pw0ose of sale). - - - ' BUILDING -- -_. __ "_ _ __ _ HEATING SVSTEM Od00,000 BTU _� PERMIT $ �,SMIP $' ,� I, as �owner--oi the property, �am- oxcluslvaly-c�n[raCting with qND DUCTING' • -- �-� � - - - ' ' -, �' � �ncensea contraccors to construct the projetl (Sec[ion 7044, Buslness . 300,000�+ BTU � PLAN CHECK S .PERMIT antlProfessionsCotle:The�ConVac[or•slicense�taw�tloesnotapP�Yto O_._ _ISSUANCE S �� �an owner of property.who builtls or improves thereon, antl who con- REFRIGERATION 0-100,000 BTU �P�UMBIfJG � S�. . ,tracts-from such•pro�etti with a contractor(z) ❑cesned.pursuan[ to. SVSTEM� - . ..-_ . _ _ __ !. _ - "GRADING��E � ' ,[heGonVactor'SLicenseLaw). 100,000+BTU� PLAN�CHECK E - - -,.��,� '-' '. -� � �� I em ezem0�-untler Section - - "- ' "' ' -" B:'&-P: G. for'tnis' ' -' � - - -- - -- - -- � � - � - .-_ __ _ . _E' _ � . � . i.. . . . •�' BOILERS BTV � ECECTRICAL b-, � �, ,. ry��CROFILM §"^ �1 ieason� � - � � ��- - � � -- - - ' PLAN CHECK� �S - . SYSTEM REPAIR,ALTERATION� -Date- Owner • � TOTAL FEE 5.' � � EXHAUSTSVSTEM MULTIPLE 1 MECHANICAL $ .__. ._ -_, ,_ �I h¢r¢by certityiM1a[ I have reatl this applica[ion antl state tM1at Ihe above �� �� ,i"i�LE55 AD- l; �� ..,) ,� • information is correct. I�agree fo comply with'all'city ana tounty" •�PLANCHECK�-S --VANCEPC-E_ - orainances antl state laws relatlnq to construclion, antl hereby authoNze ! � � �epresentatives bf this city to en[er upOn th¢ aoove -mentionetl' • "�. � ' ' � . �., _iY � �. � properry tor ms io pur es. FINAI FEE $ Signature ��{+-^ Date �� .�SSUE FEE . . . _ .. � � � � � � � Drivers' License or 55 � [�% [� ' ' " � ' � - -- rn.c 0865-46 While-Builtlinq; Canary-Applicant; Pink-Accountin9: Goltlenrotl-Assesso� __ �:: CONSTRUCTION AND PLANNING d • POOL & SPA � '��� � � Date �Inspector � Date Inspector APPROVALS � • � Permit# �jo APPROVALS� Permit# � � - 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. Rougfi Plumbin & Pressure Test � � - - � � ' 6. Electrical U ER.Grn � - 48. - APPROVALTO COVER-GUNIT•E - � � -- - . J. _ 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 Connecfion. -y � . 53. - Backwash &�Rece toi-Final ` � • ^ - -12. -Street Sewer.�onnection_ ' � - -- � - � � 54� Heater & Vent-Final � 13... Rough Plumbing _ -' � ` - - " ' ' " �' - � 14. Rough ElectricConduit � � ' - -- - : �56.� Electrical-Final � • ' 15. RoughElectric-Wiring -- ' 57: SolarSystem-Final.. " - ' - ' 16. - Rough Heating &-AirCoriditioning- - _ - - - � ' � encing & Access Approval • � ' 17: Ducts in Structure��-- ,--- - �� APPROVED POR PLASTERING -18. Ducts, Ventilatin9- ' � - - -- - - .. . _ � . . _ ."- - -- -- . . - . 19. Gas Pipe-Rough &Test' �- - 60. POOL/SPA SYSTEMS FINAL '� 20: Roof Framing -- - � � � - - � � • � - 21t Roof Sheathin - - � -� - � � - � - - 22. Frame and Flashin --- - NOTES: . . 23. lnsulation- - -- -- - - - - - - - ' ' ' � . 24. Lathing & Siding . . -- - - - . . . ... . . -- - - - -- - - - - - 25. Drywall Nailing � � - ' - ' � - 26. Plaster Brown Coat - - � - - - - - 27. Electrical Power MeterFinal � � - - � - - � - - - ' 28. Final Electric - - � � � - � �• � � � ^ ' � � � � • 29. Final Heating & Air Conditioning - � � - - ' " - � - - ' ' 30: Final Gas Pipe-Test � - - � --- - ' � - � • � ' � - 31. Final Plumbing - -- - � � - � � � 32. Wate'r Service-Final- � - -- - - - - ' ' � � � ' 33. GasService-Final - - - � ' � � � 34. Solar pomesticFinal� � �'' � � 35. Landsca e 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 � _. � yy��� HpGlicant to fiil in all s0aces wi in heavy bortler lines ana si9n all appropriate Eeelantions. CI Tl' OTC.OSTA MESA PER IT NO. TRACT NO. LOT NO. BLOG. NO. - �- - � � •CONSTRUCTIONPERMIT ,3 �'�� �Q32'u 6/29/82 -' IO.OtI ,t ' Project Address � :-S� � � , G% � � fLr . �• ' TVPE OF CON52HUCTION , �, . . , , . ,� OwnCI ��tj � S PhonC Zj ❑ NEW ❑ ADD, ❑ HLTERATION' - - - , - - Addfe55� 'Z G O ' ( � / ❑ REPAIR ,� CONVERSION ❑DEMOLISH . . _ _. , ❑ OTHER ' � ' ' ZONING'REGULATIONS • 'Arch/Eng. -' -- LicenseNo. -- � � _ , . , . ,_, - OESCRIPTION OF'YVORK A'P' � � Addl¢55 ' ' .' . . . . . . . .' . ..• •ZONE " PLNG. REF: �: . � Contrector�C• „ L � . eo• . � Phone Z-- ' ,7ypEOF PERMI,T " � '"�' ' - �- - To BU ILp ING 'Addre55 -L p7 �. ' ..� ' � , OGRADING ❑ FOVNDA7'�IO,/N� �OSTRVCTURAL -- SEpTBVCnRCDLST. PROPERTV�INE�� ' LICENSED CONTRACTOR DECLARATION. _ " ' �❑�TENANT Q-ELECTRIGAL 1ClPLUMBING� ❑MECHANICA L5EpFEyq - _ _.. . _. _� . ._ _ _ I hereby atflrm thtE t am Ilcan4<tl untler p�oNslons ot Cnarter 9(tom- . � •_. � l�, %� 0.fGHT mencin9 with sectlon-7000) •ot •DlviSion- 3� of the Buslness and� ❑�OTHER _ '' Profasslons Co ntl my Iicense is in fu❑ force antl effect. �� � ' REAR V,9RO (TO P/L) �� � " �� '' '. " i_ _ .�°% _ . .P.HOJECTDESCRIPTION _ � . _ _ , '� Litense Clasz �? � � - Litensa ryo:�46s �R F_' , . � �� , ' . PKG.�SPACE REQ. � PROViDED ' - ' - � , . Date� 7a�f(2 � 'S19natur�� � - � 54. FT.. r'. • •. , _ . . --^ - ' STREET WIDTH " ' ' , ' PHRK FEE S': ' " -' � �WORKERS' COMPENSATION DECLARATION. . _ _. 1 �CCUPAfVCV �=CONSTRVCTION TVPE ,ZONING APPROVED.BY `" - - DATE � �I hereby affirm that I have a Gertificato of consen[ [o sel(-Insuro.or a �VALVATION ZONE � � certiflwte-of Workers'-Compensatlon Insurance,-or a-certifletl''copy . _ _ �� � � - � � _ . Shereof (Secllon 3800, Lnb. CJ. ' UN��Ait U. _ GRADING�CU.�VDS. ACRES i SPECIALCONDITIONSi �' � �� " 1 P^qcY No._' 'ComPanY - _ " ' _' _ ' ' ' " ' ' " " ertifietl topy is hereCy furnishetl. _ . . _. - _ i y '� REMARKS: "' I '" ` ` " , � .erUfied copy Is flled with tPo ��tY Builtling Divlsion. �' � • Z-' O'6 - � �- -. - - - � � � - - - -� �-- ---- - '- � -- ' - -- ". ' - J � . r' � EXEMPTION F0.0M WORKERS' COMPENSATION DECLARATION ' ' '- - ' � --- � � (Thls.Section neetl no[ be comp�etetl if the permit is (or one huntlretl ___ •. _ • _ _ �, , �^, , " �. � . • . (E1o0) or iessl. . . , . _ . � - - . _ ' - - ..- _ ' _ ' . . .. ' _. ' _ _ _ ^ I certlty that In theiperfarmante of.the work Por whlch tnit permit is � Issuetl, 1 5hall not emPloy any person iri any manner so as to'become PLUMBING . ' � rPLAN CHECK ELECTRICAL '�'-' P�AN CHECK '�� sub�ec4to the Workers Compen5atlon Laws of �alilornia.�,' "' ' Date � Signature � BATkiTUBS- -� SHOWERS ' � � ' •' ' -' ' --�� - NOTICE: If aiter makin9 this declaration, you shoultl become subjact� ` TOILETS � VRINALS'-� -' �' � GEIVERP.TOR -�- -01"KW=1-10 KW" - - -' --' to fhe Workers' Compensatlon p�ovislons ot [he Labor COtl¢; you mu5t �TRANSFORMER . . - ' forthwith comply wi[h such prO��5lonz or Ihis permit shall be tleemetl LAVATORIES OOVBLE•LAVS � - .APPLIANCE' '- 30-SO�KW�50-+KW - - �•- �evoketl._. --.- � - KIT.SINKS ' -DISHWASHERS"" - - �MOTORS CONSTRUCTION LENDING AGENGV 0-1 HP_1-30 HP-'- '- �- - I hereby affirm tnat t�ero Is a Lonstructlon lentling agency for the perv SERVICE SINKS • ---- �- � - : UNC..SOLAR)_. ��'."' formance of the work for whlGh thls permit Is issuetl (SeCtiOn 3097 '-,Tr, �SUMPS ' � 30-50-HP_.SO+.i-jp.' ,� Civ. C.). - ^ - - ' ' - '• -� '- ' - " FLOOR SINKS � FLOOR DR'AINS' ' " � ' ' ' ' �FI%TVRES' ' OUTLETS SWITCHES ' _ ' _"'' ' Lentler'S Nama lenaer's Atleress DRINKING FOUNTAINS` ���' ""' " "' - � GASTUBESIGNS -.- - � - — _ _. _ OWNER BVILDER DECLARA7�ON - - - " -- - - ' INTERCEPTORS � CLARIFIERS -���� ' POLE LIGHTS ' ' ' --- - - -��- l heroby affirm that I am ezempt from.tha Contracror'S License Law for �� i �� �'. �� � tbe-tollowing reason� (Section 7031-.5 Business-antl Protesslons-Cotle: �SWIMMING'POOC "' PTRAP �'^�- -- - - - - � Any city or county which requires a permi[ to tonstruct, alter, � �� �POLES � METERED �-'.SUB- - - = '' improve, tlemolish �or. repair�any structure; prlor to Its issuance; also re- yyqTER SERVICE �" ' ALT,ERATION' - ' �- --•iPANElS-' -- MAIN � � - .��._. ' SVB . . �� .." .. qWres tnc ap4����< <or such pCrmi[ to tilu a siqn¢tl Stdtem¢nt thdt h¢ �� � ��- � -� � is II<ensetl pursuant to�tne provisions of�the•Contractor'rLicrose IJiw 'GASSERVICE' ' ' OVTLETS"'- - ; ' ' �SERVICE - �- � - - - - AMP� �• - --� (Chapter 9(commencing wilh Section �000) of Dlvision 3 of [he Bu51ne55'antl Profe55ionsCOtlE) or-that he IS exemp� tnereirom anC-the -yyqTER HEATERS '' BTV OVTPVT- -��•' - ---- — - ' basis for the allegetl exemption. Any violatlon of Section ]031.5 by '' ' 'appliwnt-for-a permit-suDlects-the applicant to a�civil�penalty- SEWERCONNECTIONS- ��' ' - - '- - � - -- ---- -- -�- �-- -- - - - -- �t mOre than fiva huntlretl t1011ars (E500). •' � - ! .,�az owner ol tha proper[y, or my"empldyees'with waqes as'[heir " SOL'AR TANK- '^` COLLECTORS �- ' ! -�-- sole,compensation, will tlo Ihe work, antl the siructure Is not Intentletl - � T - � I or oHeretl lor iale. (Section 70A4. Business antl Rofessions-Code: The SOLAR PIPING SVS. - �� " - " - 4 ,- ' �'ISSUE PEE - �^ - �- - - - -� - � Conlractor'S License Law tloes not apply to.an owner of a property „ _ ' _� who builtls or improves tM1ereoP, antl who tloes sucti work hlmsel( or � ISSUE�fEE ` '� ' "'-y; - `� ' ' ' '(- ' baPPL�CATION�APPROVED BV -- - - - DATE � ' � [hrough..his own emploYms, prO��tletl that sucli Imp�ovement5 are no[ ' ' � Int¢naCtl or ofleietl for Shc¢. If, nowev¢q Ih¢ builtlin9 or Imprnvement MECHANICAL PLAN CHECK ' � � � - � IssolG within one year oi comp�etion, tne owner wlll have tne burtlen SUMMARV OF�FEES ., �� � o( proving he tliG no[ builtl or improve for the'purpose of sale). - ' ' -' � �--� ,BUILOING - � . - ---� - -_. _� . _ -_ ._ __ HEATING SVSTEM 0-]00,000 BTU PERMIT ❑� I, a5� Ownor-�o(- lhe-prope«Y, am �exGluSively cOntractin9- with � qryD DUCTING ' " ' �^--- '-- ' - �, . E y�� SMIP, ,� , � S Iitensetl contractors [o construC� the proJect (Sectlon 7044, Business 100,000'1 BTU �� 'PLAN CHECK S v � PERMIT� '•� , antl ProfMsions Cotle: The ConCractor's Llcensa Law tloes not apply to Q '.ISSUANCE Ey ' an owner of property who builtlz or improves Iher¢on, antl who con- REFRIGERATION 0-100,000 BTU PLUMBING $� . .q tracts from such �projects with-a contractor�s) Ilcesned pursuant [o SYSTEM �- � : _ __ _ _ _ '_GRADING; �5- Ine ContrattOr•s Litense Law). 300,000�+ g7U � PLAN CHECK E- � � -- ❑ I am exempt under Settion ' - ' " B: &'P. C. for'ihis BOILERS BTU � . � iECECTRICAC 5' '• - - �1 " �' ` S' _ reason � - - - -- - - - - MICROFILM•E SVSTEM REPAIR, ALTERATION ;PLAN'CHECK E' ' ' - - - Da[e Owner • � TOTAL FEE S' ' �• I hereby certifythat 1 nave reatl this application antl state that tne above EXHAUST SVSTEM MU�TIPLE ' MECHANICHLyS - -- , --- I�to�mation is wrrecl. 1' agree �to compy with all city anG county �PLAN GHECK g' -- ' �LE55 AD� � 1� VHNCEPC- $_ ortlinances antl state laws relating to constructlon, antl hereby authorize ' . � repr¢SGn(dtives o Ihis dty l0 ente�'upOn [M1e above mentlOnetl � � � '.�� , � '>� property lor i n p 5. / , /a� Slgnature �� �`�� Date 0��� ' f _ FINAL FEE $ Drivors' �icense or 55 � �$ - i55VE FEE � ' . _ ,. ) � - _ _ _ i CMF 0865-46 White-Bulltling: Canary-Appliwnt; Pink-Accounting; Goltlenrotl-Assessor CONSTRUCTION AND PLANN� ' �POa� & SPA _,�-- -_-_ -�z.-- - APPROVALS Permit# Date Inspector pppROVALS. '_ ., Permit# Date� �Inspector 1. Temporary Electrical Service or Pole � � 43. Pool & Equipment Location - -' - � -----� .__ Soi ipe-Un rgm � - ' � ' 44. Steel Reinforcement - - - - � - - 3. . Electrical Conduit Utility-Undrgm .. . 45. Forms - - - - - -- -- ; 4. Electrical Conduit-Undrgrn . � 46. Electrical Bonding - � - - � ' ' . tee em orce . � � 47. Rough Plumbin & Pressure Test� �- � � 6. Electri�yl UFER Gm , 48. APPROVALTO COVER-GUNITE - 7. Footings - ' 49. E�ectrical Conduit-Undr m � � �8. Foundation - . ' � 50. Gas Pipe, ❑ Undr rn, Test • � � ' � . 9. Water_pipe-Undrgrn _ - " 51. Backwash Lines P•Tra � ndr rn ' - - - - -' � ' '. 10. Structural F�oor System 52. APPROVALTO DECK ' ' ' ' .17. Property Sewer Line & House.Connection� � • 53.. Backwash & Rece tor-Fin81 . �. � � �� � 12. Street Sewer Connection . ... . ' " ' - � 54. Heater & Vent-Final ' '� � - 13. .Rough Plumbing . � - ` �" - " - ' - 14. Rough ElectricConduit '"' '� - - - - � �56: -Electrical-Final � •� � �� � 15. Rough Electrio-Wiring - -- � 57. Solar System-Final "" ' ' ' ' ' ' 16. Rough Heating & Air Conditioning ' - ' � - � • encing�& Access Approval •� '" � ' ' ' APPROVED FORPLASTERING ' � ll. Ducts in Structure - • ' � � ' ' • 18. - �Ducts, Ventilating � - � ' -. � _ _ . . � _ 19. Gas Pipe=Rough &Test --- 60. POOUSPA SYSTEMS FINAL . � � ' 20. Roof Framing - - - - ' - ' 21, Roof gheathin � - - - - - � - � � � � � ' 22. Frame and Flashing � � 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. So(ar pomestio-Final - ' � '- • � ' � � ' � •'�' � 35. Landsca e S rinklin S stem � � - � ' " 36. Sound Attenuation - • � �� - " � • � � 37. Handicap Regulations � ' " '� � - • ' • � � • � � � - 38. FINqL STRUCTURE & BUILDING - � � - - - ' � 39. Special Requirements Completed - ' � �� ��� - � � � 40. Electric Release •to Edison � ' � � � - � ' 41. Gas Release to Southern California Gas Co. � 42. CER7IPICATE OF OCCUPANCY - No Date . 1_ • Applicant to flll in all spaces within heavy bortler lines ana sl9n al1 avPropriate tleclarations. -CIT.Y'OF COSTA-MESA ' ' veaMirNo. --- T CTNO."' L NO./ BLD o.� - - - - � - �,- g6�8�_12/�,7/8�� . ;, 326��JB T � CONSTRUCTION PERIVIIT � Q • ' � ��Z� I - • . _ _ _ _ Project Address " G7j _ y� � � �. , TYPE OF �CONSTRUCTION' � � . �i �� �_I • �� - u , . ' � -� ' � ' . ' .. , ,,. . ..., •. ' OWner ' O �' "`�'� -' � � ' PhOne � �NEW' ' Q A�D - O HLTERATION ' � � . •4 " ._ . . � - . . ''' '' .- \ ' AddfeA' ' " �- ' - � ❑•REGAIR+.� CONVERSION �.DEMOLISH - " - - -ZONING�REGULATIONS , 1{ - c�/s� ' AfCh/Eng.- - • 'iCenie No.� ❑ OTHER' � - � Addre55 ' - 'r- DESCRIPTION OF WORK . A.P. �' .. Z ' .I_'�u .. � � �' �. " ✓�t - -- ' t � ZOfJE � r �.PLNG. REF.��Z -�`%=-I --Contractor "' � �L � � -- - � Phone � - 7�ypE OF PERMIT � . - ' - '��- ' - 'e o -- Tpeui�p mG � - p��' SETBACK C L 5T. PRO RT.Y LINE Addfe55 � - - - - ' - ❑ GRADING" 'Id'1�OUNDATION - VISTRUCTURAL- ' SIDFTYARD -. y ' � -- ' - LICENSED CONTRACTOR� DECIANATION � ' - � LE . ❑�TENANT���ELECTRICAL ❑PLUMBING.QMECHANICA 5IDEYARD - I hereby aTfirm tnat I am Iicensetl untler provisions ot Chartec9 (com- ° .i ., ^�+ RIGHT � .� " 'mencing"witn'•sectlon �000)- ot Division 3 ot the �Business antl- �� � OTHER- -- • _ __ Grotessions Cotle, antl my Iicense is In fWl force antl effect.� � • __r�, ��,�; - REARYARD(TOP/L)' License qasz ' �� � ' License rvo. , ' 'PROJECT DESCRIpTION ' _ . '_ . . . _ "' '�. , ..� ' SQ. FT. •. ' •• • � �PKG.�SPACE REQ. Z� PROVIDED .. •� Oate Signature - , � , _ , „ � - � " � - � - - t - � $TREET WIDTH PARK FEE $ ZZ�j "WORKERS' COMPENSATION DECLARATION - -- . . OCCUPANCV' CONSTRVCTION TVPE 1 hereby affirm that I have a certificate o( consent to selt-insure or.a ZONING qPPROVED BV ".DAT _ certificate of Workers'-Compensatlon-Insurance,-or a-certifietl�copy VALUATION �'�ZONE , !_ � � i� thereof (Section 3800, Lab. C.). . � GRADING CU.;YDS. ` ACRES � SPECIAL CONDITIONS: �olicY No.� ' � ComPanY ." " _ _ ' _ _ __ _ _ ' " _ _ _ ' ' " ' " ' " _ ' Certifietl�cOpy�Is�he�eby.furnishatl. - - _-.. _-_. REMARKS: '_ ' .__ . . __ vn � �� "�� certitiea copyis tiled with the,citv euildinq oivislon. �yy� F�R $�1EC�L.����E(�ENTS. EXEMPTION FROM WORKERS' COMPENSATION DECCAR'ATION � ' -' - "' " ' -' " ' (Tbis. section neetl not be completetl.if the permit Is for one huntlretl, , _ , , _ ':� ' ($300) or less). , f ,.. , .. .: . ' �,� . . . _ . '. . �. ' ._' . .. _I certity.that.in the performance of the work for which.tnis peiipit�is _ _ . _ _ .. issuetl, I shall not emPloy any person In any manner so as to beoome� PCUMBING � -�PLAN CHECK - -" "�'ELECTRICAL -- " 'PLAN CHECK �' - '- subject to.the Workers Compen5ation LawS.ot Califor0id:.- ,. ... _ � ' � _ . ,._. _ _ , _ __, _ _ . _ . Date Si9nature� BATFITUBS � SHOWERS " ' ' ' ' NOTICE: If atter,making this tleclaration, you shoultl bemme sublect - TOILETS • �� URINALS' -' "'- "" ' GENERATOR - 0-1 KW_1-IO.KW -' � � to the Workers' Compensation provisions of the Labor Cotle, you must _ TRANSFORMER .� _ y � forthwith compry�with such provisions or this permit shall be tleemetl LAVATORIES DOUBL'E�LAVS "� "� (-qPPLIANCE'"' "10-50•KW=50�+�KW �- --- —� -� � _revoketl.. . _- � ' . • ,1:• • . . ' ' ' " _ _ . �'._ ' " _ �'_.�." " �" _ ' � _ GONSTRUGTION LENDING AGENCV KIT.-SINKS ' ""-- -` DISFiWq5HER5� -- '- - ' MOTORS -' " _ n. � � . 0-1 HP- 1-30 HP" . " f, " '� I hereby affirm tnat there IS a conStruCtion lentling agency for the per- SERVICE $INKS �� 'Y.• SVMPS;'� � -- ' �(INC..SOLAR) --10-SOMP=50 +�HP,- �- -- -� formance of.the work for which [his permit is issuetl (Section 3097 '� ��'�� - . -� . . ' Clv. C.l' _.. ... .". _ ^ " _..." ""' ._.._... _ "' ' "' ' ' .� . ' . ^.,_= .. � . . . " " FLOOR SINKS �� ��FLOOR DRAINS r -'FIXTURES" ' OUT�ETS"SWITCHES" Lentle!'S NaTe - , "" '� ' - Lentler'SAtltlre55 �� DRINKINGFOUNTAINS'� �- i. �'� : ��,` ' �� "GASTUBESIGNS "-'-�•"'-"' - - - - - OWNER BUILDER-DECL'ARATION"-" -' "'" ' -- - -" � ` INTERCEPTORS � CLARIFIER&,� - � POCE LIGFITS' �- -' ' "' -- ' ' - �- - I he�eby atfirm that I am exempt irom thE Contracto�'S License Law for - the"following reason (Sectlon']031':5'Businesrantl� Professlons-Cotle: �-SWIMMING�POOC "'"' P�TRAP- �' '" ' - - - - -- - - � Any tity or county whiGh requires a permit to construct, alter, + POLES 'METERED SUB impro6e',Eemolish'orrepair'anystructure',prbrtoitsissuance,-alsore- yypTERSERVICE ` ALTERATIOIV-`� -'- - PANELS-" - ' 'MAIN- —"-.-SVB : ' '� quires the ap�,licant for such permit to file a signetl statement that he - � Is Iicensetl'pursuant to'the'provislons'of t�e Contrattor'S Licens¢-Law GASSERVICE � � � OUTLETS � � -SERVICE ' �- '- "' '-"'AMP" - � � (Chapter 9(commencing with Section �000) of Division 3 of the �� Business antl Professlons Cotle)'or that he is exempt tneretrom antl the� yyqTER HEATERS � " �6TU OUTPbT '- '� '- ' "' ' - ' "-- ' - - � - - ^�-j basis for the alleged exemption. Any violation of Section 7031.5 by �� -applicanY for-'a'permlY sublects the'applicant to' a'civll penalty --SEWER CONNECTIONS ' " � -` � " ' "` ' -' " ' " ""' ' ' " ' � - - ' io[ more than (ive huntlretl tlollars (5500). - - I, zs owner of tne property, oi my emPloyees with wages Ss�t6eii SOLAR TANK' � -� - � COLLECTORS ` ' ' - ' - ' - ' • ' ' -- -- - 501¢.compensation,.will tlo.the wo�k,.and the SlruCtu�¢ is not intentletl � E' � or oifered for sale. (Section ]044, Business antl Professions Cotle: The SOLAR PIPING SVS. ', � � �� � � �SSVE FEE"'"- - ' - ' i' ` ". .� •' i .ContrattoCs.License.Law tloes not apply to an owner_of a proPerty_ ,, __ _ , � who builtls o� improves [h¢reon, antl who tloes such work himsclf or ISSUE FEE � APPLICATION APPROVE� BY -- -DATE - .through M1is own employees, provitletl.that such imprOvements are not - ' -' ' "` intentletl or offer¢tl for sale. If, however, Ihe bUiltling or improvement MECHANICAL PLAN CHECK �� T� .isSoltl within.one year. of_completion,.the owner wi11 have the burtlen SUMMARV OF FEES �• , f roving he ditl not bulltl or improve for tM1e.pu�pose of sal¢). "BUILDING ' y -^- - �-- � I�,-as owner•rof �the Property,-am�exclusivery�-contracting� with HEATING SVSTEM 0-100,000 BTU __ _ PERMIT $_ 7� ^_�t -SMIP: • -iS' '�� li nseG contracton lo mn5truct the projett (Section ]044, Buslness AND OUCTING 100,000+BTU PLAN CHECK S ' PERMIT�• '- � an Professions CotlerTne Contractor's �License Law tloes�not apply to � -�--- - - � - � �ISSUANCE- -S " - - an owner of property who builtls or improves thereon, antl who con- REFRIGERATION 0-100,000 BTU PLUMBING $ , � �•� tracts-from�such-pra�ects�with a-wntractor(s)-licesnetl-pursuant to �SYSTEM -- �--� ���� - - � �� --- - `�GRAOING. S'�� 100,000+6TU+�=>� � � .�: PLANCHECK'!$�% tne Confractor'z LicenSe Law). ����, ,�, __ �- , " ' '_'__ . .. ..... .. . .. , � ❑ I am exempt undei Section --� B: &"P: C. for this gOILERS BTU � ELECTRICAL $ � � - $ � reason-'�— "- "- ' -' - -" --- - ' � . '•MICROFILNI.S. SVSTEMREPAIR,ALTERATION -PL%�N'CHECK" E ��Date� Owner � "MECHANICAL' g ' � ' TOTAL FEE�$ � ' � I hereby tertifythat I have reatl thiz zpplication antl state that the above EXHAUST SYSTEM MULTIPLE �� - �� •[E55 AD-' �' .! � information -is correcC -I agree to comply with 511 tity antl county , 1'�LHN'CHECK $ ' VANCE PC S_ ' Ortlinances 5 aws relating to copst�uctiy n antl hereby autho�lze i ' .' n . -. �r ,� ^ � �representa ve (pf liis city en$� �� up�-N t}�e above mentionetl- , ' ` ' ' ' '3 �fG property__ o ' ectlon p .os +/ _,�/' •• .�� � " ' "%%��l:P�'' , ' __ ' _ " .. ._ FINA� FEE $ Si9n�at L DateL..L._YLLL -' " ' " � - . � Drivers' Li en � " 5 � ' - ' ' -"�' ' - ISSUEFEE . . , .. . _ . . _ ' ' '" _ ' " ' � � '" ' _ ' ' CMF 0865-46 Wni[e-Builtling; Canary-AppliCdnt; Pink-Accounting; Goltlentotl-Assessor ' � CONSTRUCTION AND P�LANNING / .,',•. � _�;� : - _ � POOL & SPA • � . �� APPROVALS Permit# � 6iDV Date �'In3pector . pppROVALSJ Permit# Date , Inspector x 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location ' L='� =' . Soil ipe-Undrgm � 44. Steel Reinforcementr � - `- - --- • ' - • 3. Electrical Conduit-Utility-Undrgm�- _ � 45. Forms • - - � -- �' ' - � � . 4.' Elect7icahConduit-Undrgrn ' 46. Electrical Bonding ' " " ''- � - - ' ' , � - -• < . tee ein orce 4T.,. Rough Plumbin & Pressure Test -' J 6. Electrical UFER Grn ,. -' � �~� 48. ' APPROVALTO COVER-GUNITE � 7. Footings .- ' �� - 2,�],y.� 49. Electrical Conduit-Undr rn � � -� 8. - �Foundation .. _". `. 5 :Y � � ' .S i - a9 -$ � 50. Gas Pipe,- ❑ Undr rn, Test 9._ Water Pipe-Undrgrn !•-- 51.� Backwash Lines P-Tra ❑ ndr m - _ 10. = Structural Floor SYstem _ 52. APPROVAL TO DECK . 11.'. Property Sewer.Lipe &'Hquse Connection • 53.-- Backwash & Rece tor-Final � 12. Street Sewer Connection 54. Heater & Vent-Final 13. Rough Plumbing � ' a:a 14. Rough�ElectricConduit - - -� �56.-; Electrical-Final � �;.`�:.. 15. Rough Electric-Wiring� � � � -- 57. "$olar-SYstem-Final � � • 16. Rough Heating & Air Conditioning - � � .. � encing & Access Approval - 17. Ducts, in Structure � �' '" ' 9• APPROVED FOR PLASTERING � - -18. Ducts, Ventilating - � _ _ . . 19. GasPipe-Rough&Test � � ' ' 60. POOL/SPASYSTEMSFINAL , � �� ' . � 20. �Roof: Framing � - � . / 9- Z ' ' � � � � 21. Roof�Sheathin - � � - ' 22. Freme and Flashin -� � %� -; _ g NOTES: � . . ' , 23. Insulation - 3-/8'-8 � 24. Lathing & Siding sa6 �-,2:i • 2. - - 25. Drywall Nailing � :,. -;,;(S =�?-- ' � 26. Plaster Brown Coat -7 - o.� - 27. Electrica� Power.Meter-Final � �' " - � ' � � 28. Final Electric 29. Final Heating & Air Conditioning ' � -� � �30. Final Gas Pipe-Test - ' � 31. Final Plumbing - 32. Water Service-Final � � • - � 33. Gas Service-Final � ' .34. $olar pomesticFinal ' � 35: �' Candsca e S rinklin - S stem � �/ 36. Sound Attenuation � � i '�` 37. Handicap Regulations ' 38. FINAL STRUCTURE & BUILDING �� ' 39. Special Requirements Completed ' 40. Electric Release to Edison ' , � - 41. Gas Release to Southern California Gas Co. - 42. CERTIFICATE OF OCCUPANCY - '�- "�- „ , ' - No Date •. ,, � � - ��.t'. i .`,r•r ` � '� ..' ADD���ant to fill In all spacef witnin �eavy bo�Ger lines antl siqn all aDG�oD/iate tleclarations. CITY OF COSTA MESA ' ' a�aN^T�� " TRACT'NO. LOT NO: BLDG. NO. CONSTRUCTION PERMIT N� �o� E-Z Project Address � TVPE OF CONSTRUCTION Own2f r Phon2 -' ❑ NEW ❑ ADD ❑ ALTERATION Addf24' " ' -- � ❑ REPAIR ��CONVERSION� ODEMOLISH Arch/En9• ' - License No. � ❑ OTHER � AddrC55 � - . . DESCRIPTION OF WORK _ � Contracmr � / G Ph�^e7�%� TVPE OF PERMIT � � - � AddfESs , ,Q ¢ ❑�GRADING' ,. ❑ FOUNDATION ❑ STRVCTURAL LICENSED CONTRAQTOR-DECLARATION � ❑TENANT,O'ELECTRICAL OPLUMBING ❑MECNAI ,I hereby afilrm th:.t 1 dm Ilcansetl unEer ProvlSions of Charter 9(comv . � �" menCing with' seCtion -]000) 'oi � DWKIon 3'of the Busine55 anE � OTf1ER �- �- ' - Vrofossions Cotle, antl my ❑cense is in (ull iorce antl eHect. - ' ' � . .-- - . PRO�EC7 DESCRIPTION . � --. . . ,utense C�ass G=�3 � �//L�cens�e'No/ 3923 f�0 . - �. . � �l�YI''�� -SQ.FT. ' . . . ��. , �Date g ^�'�" Si9nature �^ .d'� - . � � � - � � , WORKERS' COMPEN$qT10N DECIARATION ' OCCUPANCV �_CONSTRVGTION TVPE. 1 hereby affirm that I have a tertificate af <onsent to selfansura or a VA�UATION � � �'� ZONE cartifiwte of Workers' CompensaHon Insurance, or a�cvtiiletl-coPY� -� ��' thereof (SeGtion 3800_�ab. CJ. � GRADING CV. VOS. ACRES ".'+cv No. � ComoanY�� ' La�/C M.fA).f iAM� . - ' " � " " ��(tertlfieE mpy is hereby furnishetl. , - - - � - - REMARKS: t - -�- - - - -- -- �� - - - eY.w,ertl/letl cOpy I5liletl with the city Builtlin9 DiviSlOn. ,_ EXEMVTION FROM WORKERS' COMPENSATION UECIARATION - " - � � � - ' � - (ThiS�secBon neetl-noLbe completetl if [he.permi[.is for one,huntlretl __ _ . _ _ _ _ .;.} (E3001 or less). : . .. . . �� .; . ' :• ' �'I ' �� , ' 'I.cart(ry that In_the perfOrmance.otthe work tor wNth this permit is .,__ Issuotl, I shall not emp�oy any person in any manner so as to become� �. PLUMBING��� ��. j �•PLAN CHECK subject to�the Workers' Compensatlon Laws of California... _ ' __. . Date � Si9nature � BATNTU85 ' SFIOWERS NOTICE: If after maki�g thii tleUzration, you shoultl become subject � TOILETS • �f URINACS'� �- to the Workers' ComPensation provislons of the Labor COGq you must � ._ _ forlhwith compty wi[h suth provl5lOn5 0� Inis permit zhall be tleemetl �VATORIES . DOUBLE LAVS �- roVOk04. . _ � "..... _. .. _. . a' ' _'"' _� '_ � _�' _ ' ' ' �CONSTRUCTION LEryDINGAGENCY KIT.SINKS - � � DISF/WASHERS �I hereby aHirm that therc Is a cons[ruct(on IenE(ng a9ency (or the per- SERV ICE SINKS �; � T/"' SUMPS �` �� � � ,iormance ol th¢ work lor whiGh this_permit is issuetl (SetliOn 3097 CW: CJ. ' -�" ' � � �-'� FLOOR SINKS FLOOR DRAINS .Lentlor's fJame �Londer's Atltlres5 DRINKING FOVNTAINS � � ` � � � OWNERBUILDE0.DE�LARATION ' ' � �� - -" �NTERCEPTORS JCLARIFIE(35' � � I hernbY allirm that I ar� ¢xempt liom th¢ Conlraclor'S LICOnse Law for - [he-lollowing-reason'�$pttlon'7031'S"Buslnen'antl-Professlons Cotic:' SWIMMING POOL - � -P'TRAP' ' - ' Any clly Or county whit� requirCS a permit t0 COns[ruct, alter, improve, tlCmoliSh or rePair any"slruCWre,'prior t0I15155uante; aiso;re-� "yyqT@R SERVICE ALTERATION� ` �-� �- BUSiO¢SS d�tl P'dC55iOq5 COtlO)-O� thdl tt¢ IS C%BTpt t N�is lor thc alle9etl exemption. Any violation o� S� applican['for-"a parmlt"sub�ot[s tne'appliwnt't �t more than five M1untlretl tlollars (5500). i, as owner ot tne property, or my emplayees wi sole compensatlon,.wlq tlo.tho work, antl the Slruc[u or oHarod for Shc¢. (SC�tlOfl ]044, BuSiness antl ROIt Ce��ractor's Llcanse.Law tloes notappry to an_owr who bulltls oi imProv@s lhereOn. an0 who OOes Suth antl tne yyqTER HEATERS 31.5 by penalty ^SEWERCONNECTi SOLAR TANK- `� SOLAR PIPING $V5. �etl br sale. II, however, tbe oWidiny or Improvement MECHANICAL C yea[_oLCOTpIClion, thG.Ownef wlll hdv0 t11C,burtlln ]itl �Ol �ulltl or improve for t�e Ourpose of sale). HEATING SYSTEM Od -oYthe-Oroperty,--am-exclusively �ontracling-wtth qNDDUCTING--' .ors tq construct Ihe project (Section 7044, Busineis l0i COtl¢:"The Cont�attOr's-LicGnse-LLw tlOGS-nOt applY t0- an ownor o� property �yho builtls or improves thcreon, antl who con- REFRIGERATION 0-i I�dCti 1�om'sucn projp�(4 with a contracto�(S��Ilcesnetl purSuanPlo� ' SVSTEM -"-- ' the Conlractor's Ucense I..w). 30( �� I om exompf untlur Sectian - B. 3�G. C. !or this BOI LERS � reason _ ' _' �'.' . ' ' ' � " ' _ __ ` _ � SVSTEM REPAIR,ALTE Dute� - - � - Owner -- - 1 hereby certilythat I have reatl this aDOi�wtion anE 5tate that the above EXHAUST SVSTEM Informatlon i5 correGt, I agree t0 comply wllh all tlty dntl munty s� ortlinances antlSta[e laW9 relatln9 ro conztruction anU hereby auchorize / representatives or tnis clty to enter upon the aGove mentionetl � ro Crty to%��yn�spec ry.pur qSts... - 519 aWre �^/O.r /A+->! CL ' " = _'pa[e.� L � �rivers' License or 55 qp �� / '�SSUE FEE-- CMF 0865-M16 Whi[p.Bulltling; Canary-AOP���nl: Pink-Accountin9: Goltlenrotl-Assessor �� RS - ' 2759 3/D�C/8� ,PLNG. REF.; � REAR VARD (TO P/L) - � �PKG.SPACE REQ. � � � PROVIDED� �STREET WIDTH � PARK FEE 5 ZOMNG APPROVEO BY SPECIAL CONDITIONS: , 1 . i. . - ! ' " _ ' _ -'ELECTRICAL '"'PLAN'CHECK' .50. FT. ' - '". � c0_ FT_ . .. ...- ;GENERATOR '0-1i(W=1-lOKVJ_ TRANSFORMER � - 'APPLIANCE ' 70=50'KW '_50+'KW'_ MOTORS " '0-1 HP_1-30 FIP �(INC. SOLAR� -- �0-50 HP �_�' S0 � HP = FIXTURES � � OUTLETS� "' SWITCHES � ' GASTUBE'SIGNS' "'" ' � -' -- POCE LIGHTS�� - `� � ' " ' - .701E5 MET@RED SUB 'PANELS "' MAIN - .SUB' - SERVICE" -- "— AMP ' ... . ". '___'' _. o..' .. 9.00 TL " -' "— APPLICATIONAPPROVED'BV- -- - - - DATE - ni CHECK 1 SUMMARV OF,FEES , ' BpIIDING "" '- " -- " -- '�� ' '- ': ] BTU '_ � �PERMIT _' § ' " . ! "SMIP�: 't[5 l ' � BTU �' �pLAN CMECK S ' PERMIT •' �� �.r� - ISSVANCE- S � � - �BTU (PWMBING E � d t� ' -- - .- - 'C.RADING_ S � BTV � PLAN CHECK � � .5 {1. . S'. 7' . 'ELECTRICAL E � � � ,� . 'MICROFILM 5.' ' � pN ' tPLAN CHECK "S �' ' . 1 �MECHANICAL S-J--�_Y TOTAL-FEE y, � d _TIPLE LE55'AD+� ' PLANCMECK E - -- ' VANCEPC"$_ -' ' � �. " �r ' . ; ��.j'� ^'. i . FINAL FEE y �v � �'_� /.i _ _ "r - _. _.. . CONSTRUCTION AND PLANNING 0 �y � - POOL & SPA _ � � � . - APPROVALS Permit # Msl ��J o Date Inspector ppPROVALS Permit # - Date Inspector 1. Temporary Electrical Service or Pole • 43. Poo� & Equipment L'ocation - _._.-�_ Soil ipe-Undrgm � ' � 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 UPER Grn ' � ' ' 48. APPROVAL TO COVER-GUNITE - � 7. ootings • 49. Electrical Conduit-Undr rn - -- �� � 8. Foundation_ ' �50. Gas Pipe, ❑ Undr rn; Test � � � � � � 9. Water.Pipe-Undrgrn �'' 51. Backwash Lines P-Tre ❑ ndr rn � - -� 10. S[ructural_Floor System � 52. APPROVAL TO DECK '- • '-- -- - - - -- � • - � 11. Property Sewer Line & House Connection ' • 53. Backwash & Rece tor-Final - _12. Street.$ewer 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- � - � $'a. - • encing & Access_Approval - � � 17. Ducts in-.Structure ' � � � ' APPROVED'FOR PLASTERING � �� ' � 18: Ducts, Ventilating - '_ � , _ _ 19. Gas Pipe-Rough & Test � - ' 60. POOUSPA SYSTEMS FINAL � . � ' ' • � . , - 20. Roof<Framing � - ' � � ' � � � 21. Roof Sheathin - � - � � �' - - . . _ 22. Frame and Flashin NOTES: ' 23. Insulation. ' . ' ' � � 24: -Lathing & Siding ' � ' ' ' i 25. ...Drywall Nailing -- -- 1 - -, . ' ' . � , � � � " - -"' 26:- Plaster-Brown Coat ' � ' '"' ' o �.� - 27. Electcical Power.Meter-Final - � ' ' � " � - - ' • 28. Final Electric� - � - ' � � , 29. Finai Heating & Air Conditioning 5 ��"'g'- � � - � � � b' .` 30. Final Gas Pipe-Test "' � � � � � - � 31. Final Plumbing " � � ' 32. Water Service-Final - - ' � ' - � ' � ' 33. Gas Service-Final � � � - ' 34. $olar pomesticFinal � ' ' • � �• � � � ' 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 �� ' � - . � . , - - - - -- -- . �. APO�ieant to lill In all CITV OF COSTA�MESA PERMIT NC CONSTRUCTION PERMIT /�'i�e Address Address i�AntfetlOr Addreu fi es wit�In heavy bortler Ilnes anE sign all appro0rlate Eeclaral TRAGT NO. LOT NO. BIDG. f 30 E - tSLDG E�1 TVPE OF CONSTRUCTION PhOne I� NEW � O AOD ❑ ALTE0.ATION ❑ REPAIR ❑ CONVERSION ❑DEMOLISH license No. ❑ OTHER DESCRIPTION OF WORK I nereDy af(irm tnat I am IlcensaC untler provlzions o/ Ch rter 9 manUng wltn Se<tlon 7000) O/ Dlvislon 3 o the' uslnez Pro/osslons Cotle, anG my II<ensa is/ IIl full� tor�e antl i WORK�RS'�COMPENSqTI D�CLARAYION l� I hereby a/tlrm thal I 4a a ce Uflcate ot consent to 5eN-insure or a cerHfiwte ot Workeri' mpansatlon Insurance, or a tertltletl copy tne.eot Ise¢��p�oS�t� t.1. FUTURA—MINTON INS. PTolity No. Company "�BrtHietl cOpy is here4y fuml5hatl. � - �"-^er[Hfetl copY �s filetl �vith t�e city Builtling Divislon. ::�MPTION FROM WORKERS' COMPENSATION DECLABATION (TN5 zection neetl noi qe compinteG if the permit I5 tor one hundretl IE100) or leul. I certi(y that ln the perfo�mance of.the work for w�ich this permit is i5suetl, I shall no[ emPlOy any person in any manner zo as to become sUb�ect f0 the Workars CompenSaliOn Laws ot California. Dal¢ Signdtute NOTICE: Ii after making this tleUaration, you shoultl become subject to the Workers' Compeniation provisions of tho Labor Cotle, you must f0/thwith Comply wlth such p�ovlSiOns o� tni5 oarmit shall be tleem<tl levOkOtl. CONSTRUCTION LEN4ING AGENC�' 1 nereby atfirm that thmp I5 a conitructlon lentling agancy for the per- /ormanGe of the work tor whiGh this permil Is issuatl (SOCIiOn 3097 Civ. C.). . . . . Lentler's Name Lontler's Adtlress OWNER BVILDER DECLARATION I harobv aHirm that 1 am axemot irom the Contractor'S License Law tor a quires th0 applicant fo� Su<h pe�mil to fil¢ a signetl stat¢Tent t�at he is Ilcenzetl pursuant to the provlsions of the Contratlor's License Law (ChaO�er 9(commenciqg wlth Settion 7000) o( Oivision 3 of the Business antl Prolezsions Cotle) or that ne is exempt t�erefrom ana the �asls for tM1e alle9etl ex@mpUon. Any viola[ion of Settion 7031.5 by a^^ appliwn[ for a permit subjetts the applicant to a<Ivil penalty �t more than tive 4untlretl tlollars ($500). a5 Owne� of the pro0erty, or my emplOyees with wages as their s�.. COmpenSa[ion, wi11 tlo Ihe wolk, antl the StwCtura i5 nOt intentled or offereC for sale. (Section 7044, Business antl Rofessions Cotle: Tha COnl�actor'S Licenz¢ LaW tloei not apply [o an owner of a prope�ty who builtls or improves thereon, antl who tlOes sucn wOrk himself or th�ough his own employee5, p�ovitletl tha[ such ImprOvements ar¢ not Intentle0 or offeretl (or Sale. If, however, the builtling or Improvement iz soltl wlt�in one.year Oi completlon, the owner will have the burtlen ol proving he aitl not builtl or improve for the Purpose o1 sale). ❑ I, ai owner oi [n@ property, am exclusively tonVacting wilh Iicensetl contractors to construc[ tne proiect (Sectlon 7044, Businest antl Rolenions Cotle: Tho Contracior's Licenso Law tloes not apply to an owner ot property Who builtls or improves thereon, antl who con• lfdClS IIOR1 SOth plO�¢Cl5 wl(h d COfllldtf0!(5) IICCSpC❑ pU11UdOf [O [ne Contractor's License �w), ❑ I am exempt untler Spctlon 0. & �, C. tor [nis reason Date - Owner 1 �</CbyCGrtlly thdt I.baye �@dtl NIs ppllCdtiOn aDtl slatG lbat tbG dDove intormation is correct. I a ree to comply with all city antl county o�tlinant¢s antl Sla e IdwE �CI lin9 to Onst�uctiOn, antl he�eby autho�iz0 !OplBSGOLdlIVGS � (O B[C! Yp00 Ih0 dbOVB CO �OlICd prope�ty i e po l� Si9nature �e Drivar5' l� nse ar 55 �� ( � �SSUE FEE CMF 0865-46 Wnite-Builtling: Unary-Applicant: Pink-Accountinq; Golaenrotl-Assessor 7VPE OF PERMI7 ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL ❑ TENANT ❑ ELECTRICAL OPLUMBING C�MECHAI ❑ OTHER PROJECT DESCRIPTION SQ. FT. OCCUPANCV_CONSTRVCTIONTYPE VALVATION ZONE GRADING CU. VDS. ACRES w PLUMeING TOILETS LAVATORIES KIT. SINKS SERVICE SINKS FLOOR SINI(5 DRINKING FOUNTAINS INTERCEGTORS WATER SERVICE GASSERVICE WATER HEA7ER5 SEWERCONNECTIONS SOLARTANK PLAN CHECK URINALS DOUBLE LAVS DISHWASHERS SUMPS FLOOR DRAINS CLARIFIERS PTRAP AITERATION OUTLETS COLLECTORS ISSUE FEE MECHANICAL PLArv cHECK HEATING SVSTEM 0-100,000 BTU_ ANDDVCTING 100,000+BTU_ FEFRIGERATION 0-300,000 BTV_ SVSTEM 100,000+gTU_ BOILERS BTU SVSTEM REPAIR,ALTERATION E%HAVSTSVSTEM MULTIPLE A.P. � 20NE iiEAR VARD (TO PKG.SPACE RE�. ZONING APPROVED BV SPECIAL CONDITIONS: ELECTRICAL 'REGUL°ATIUNS �•uu TL PLNGp. Rg�EJFL. � �ROPE�RTYNLI N E PROVIDED PARK FEE S DATE PLAN CHECK TRANSFORMER 0-1 KW_ 1-lO KW _ APPLIANCE 10-SOKW_SO+KW_ MOTORS 0-1 HP_1-10 HP _ (INC. $OLAR) 10-50 HP 50 + HP _ FIKTURES OUTLETS SWITCHES GASTUBESIGNS - - POLE LIGHTS PANELS MAIN SVB SERVICE P ISSUE FEE AGPLICATION APPROVED BV SUMMARVOF BUILDING PERMIT b PLAN CHECK S PLUMBING § PLAN CHECK § ELECTRICAL § PLAN CHECK S�'yy{/�_(�)��� MECHANICAL b—{ -- PLAN CHECK b ' DATE SMIP 5 VERMIT ISSUANCE b 6RADING S E MICROFILM S ,� �n TOTAL FEE ST��' tE55 AD- VANCEPC S_ FINALFEE $ .7•OO CONSTRUCTION AND PLANNING POOL & SPA ' . � 1� p Date Inspector qppROVALS Permit�# Date Inspector APPROVALS . Permit # � �3 1. Temporary Electrical Service or Pole 43. Pool & Equipment Locatiori � . 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. Electricai UFER Grn 48. APPROVALTO COVER-GUNITE 7. ootings 49. Electrical Conduit-Undr rn B. Foundation 50. Gas Pipe, ❑ Undr rn, Test 9. Water Pipe-Undrgrn 51. Backwash Lines P-Tra ❑ Undr 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-Final 13. Rough Plumbing 14. Rough Electric-Conduit 56. Electrical-Final 15. Rou h Electric-Wiring '� 57. Solar System-Final 16. Rough Heating & Air Conditioning .�6 L • encing & Access Approval 17. Ducts in Structure - APPROVED FOR PLASTERING 18. Ducts, Ventilating 19. Gas Pipe-Rough & Test 60. POOL/SPA SYSTEM$ FINAL � 20. Roof Framing 21. Roof Sheathin ' 22. Frame and Flashin NOTES: 23. Insulation 24. Lathing & Siding � 25. Drywall Nailing � 26. Plaster Brown Coat • 27. Electrical Power Meter-Final 28. Final Electric - 29. Final Heating & Air Conditioning S �� �8 � 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. FINAL STRUCTURE & BUILDING - 39. Special Requirements Completed 40. ��Electric Release to Edison '' 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY , - � . �. �No � Date - ,� -� ,,,, . �,� . 1�. ', ,_n.' ,� � � ' qpplicant to fill In all spaces witnin �eavy Eortler lines anG slgn all aDVrop�iate 0eclarations. C�TY�OF COSTA MESA ' "PERMIT NO. -'" -' �TRACT NO. � LOT NO. . -BLOG. NO: -� � - �- - - -� -- - - - -_ . . _ . i CONSTRUCTION PERMIT C �'�� ' ' � E � ' � , . . . 2521; 2/�/@2 =� , ,,, 12.00� TL ' Prolect Address 3 "!� i ' ' � � ' ' � -���Z TYPE OF CONSTRUCTION ,� , IT} _ ' ; _ _. ] ;- ,; � _ , �i � ' OWner � ' • - � Phone �' `- O NEW ❑'ADD O ALTERATION � - - - - - '-' ' - ' � � � . . . . � -Atldless 5: J- - Q - . ❑.REPAIR ❑CONVERSION; ODEMOLISH, _ . _ ! ___ _ - "Arch/Eng.- - -� - - License-No. � �' � OTHER _ �� 20NING REGULATIONS ,� - DESCRIPTION OF WORK � A'P� � 'Addre55' ' - ""' '- """ "' " ' __�. . . . - ' ' ZONE - - PWG.REF.$� . � • Contractor - ' '�' - Phone� - L3 TVPE OF PERMIT" ' , ' - -' ' �' - - Tpe�JILDIry G _ . .SETBAC PROPERT.Y LINE.. ; Adtlress " / � "�:" - �^/� i. � �O GRADING O-FOUNDATION -O STRUCTVRAI ' �SIDE VARD- � � �� - LICENSED CONT�RACTOR�Dfl ARATION ' ""�� " �0:7ENANYQELECSRICAL�OPLUMBING ❑MECHANICA i 5EpFEy __. _. . �i hereby aftirm Ihat 1 am Iimnsg under provislons of Cbarter 9(com- � - �� RIGHT - - `' - - � �� mentlng' with- sectlon' 7000) bt Dlvision-�3� of the- Business• antl -� OTHER � - � ' REAR YARD (TO P/y "'- - ' ' - �- Profeisions Cotle, �an/tl 'my Iitense is In full fortt Oq�g�3� . pROJECT•,DESCRIPTION �� �� License Class !� - � � Li nse ry� �1 �.. � , � '�� - � � ` I '-" - PKG� SPACE REQ.'-' ' ' 'PROV IDED � / _SQ: FT: :in Date� ���-��i9riature' � ' - p ' . . .� - ' " ' tSTREET WIOTH' '" -'� ' "' PARK-FEE.E. ' -" - WORKERS' COMPENSATION qECLARATION�-.� - � �OCCUPANCY '��� CONSTRUCTION TYPE _r __ � I hmeby affirm lhat I have a'cartlficate of consent to self-insure,or a ,� �ZONING APPROVE6BV • - DATE -- -- 'tertiflczte'of Workers'-Compeqsallom-Insurante,�or-a certified'copy VACUATION �' ,ZONE _ ^ _ _ ` ! thereof (Sectlon 3800, Lab. CJ. . GRAOING'CU YDS. ACRES SPECIAL CONDITIONS: - - . .�cY No. � � ComPanY . _ '_ _ _ ' _ _ ' ' ' ' '_ _ ' " ' ' ' ' ' ' :ertifietl <opy is hereby fumiEhetl.___ . ___. ._ �_ _ _ _�F• ' REMARKS:� . ��•�'- ^r �- � � _ _ '._.' __ . . . �.. . __ . .."'_ .' r � Gerti(ietl COPY It filetl with thp tltY BUiltl{n9 �ivlsio0. ,�.-. .. � . ' , : i , ,� � ���,.�� �"` .�. - '� + ` 1 �EXEMPTION FROM�WORKERS"COMPENSATION DECLARATION - ' -' ' '�'-' - "--- - --- .1 STbls section_neeA not_b¢ cOmpletCtl.if_[ne.permit is f0� one huntlretl - �� � �� ` � ) _ . ��i � ' �Y�ZOQ) OY 1255I. i �� .. '. . . ... . _ � � _ _ _ _ . Cefllfy.that in lM16.Performancp dt th¢ wo�k (or whiGh this pe�mit I5 �I55ueG, I shall not employ any p¢rson In any manner 5o ai,to�become -' PLUMBING ��� ' '' PLAN CHECK '- ''ELECTRICAI -- PLAN CHECK ¢uE�ecLto.tha.Workers' Compensation Laws of,Calitornia. : '1 __,,, ' _ _ __ ' _.. , - �Dale' � Sl9naturC �BATHTVBS � SHOWERS� � - � NOTICE: If after makinq [his tleclaration, you shoultl �ecome.subje<h �TOIlETS - - URIfYAtS---" � -'� ^- ' �GENERATOR 0-1 KW �_Id0 KW - � - 'to the Workers' Compensation provislon5 of the Labor Cotle;'you must 1_ ,TRANSFORMER • - -;� ) ,. � I 'fOrthwkh coTply with suCh proy�51on5 or this permit shall be tleem¢tl LAVATORIE$ DOUBLE'LAVS- - � -- 'APPLIANCE - 10-50 KW_50+'KW.�� __ __ __. � ravoketl."_ �. '.' _ " ` ' "" '_. _.. ' _ " ' _.__ _ � � �CONSTRVGTION LENDING AGENCV 'KIT:.SINKS"' - -'--DISHWASHERS - -�^-- - tMOSORS - --OQ HP_140 HP=�� _ , � �Iherebyatfirmt�atthereisaconstructionlentlinga9encytortheper- SERVICESINKS.i��,;,�.SUtatPS--� - .�(�NC.SOLAR)____30-50HP 50+„HP_"' S i ,tormanCe of Ine wOrk tor whith [his permit is izsuetl (Sec[ion 3�97 ' - �Civ.'C:)T-- - ' -'" "--'--" ' -- -'--' ' "FCOORSINKS-� ' -- "FLOORDRAINS-" 'j "-' -'TFI%TURES -• OUTLETS- SW�TCNES -- 4Lentler's Name_" " '._ _ ' �"'_ "_ _ "-" T _ ' " �. ' " ._ � . �Lentler'sAtlCress 'DRINKINGFOUNTAINS- ^_ 7GASTUBESIGNS ._ . . . -° �OWNER'BUICDER'DECCARAT�ON "' "�"" " - -- ' - •%-- - �POLELIGHTS --- ... _ _ _ _ ___ , � .I nereby aftirm that I am ezempi ��om the Contractor'S License Law br �NTERCEPTORS � CLARIFIERS" - ine I011owin9 reason (Section ]031.5 Business and-�Professions Cotle:� SWIMMING POOL'-- P'TRAP- - - -- - - - -- --- � � _ 'Any� city or county which rgqWres a permit to <onstruct, alter, �POLES METERED - SUB''- _ ��improve; tlemolisM1 or repair'any^structure,-priorto�its issuancey�also�re- yyqTER'SERVICE""" ALTERATIOM - -'- - ��PANEl:S-�-- - MAIN- - -��SUB-�� = _ �quires th¢ ap'�licant fo� Suth permit to file a signetl Ttatement that he ^ - � �is Iltensetl pursuant to the provisionz'af tM1e�Contractor's License law GASSERVICE � OVTCETS' ' •- +SERVICE- - -- -. -- - AMP. _ (Chdpter 9(Commencin9 with 5��[{on ]000) Oi Dlvislon 3 Of Ihe � ` _ ' Buzlne55 antl- Prdessions Cotle)'br tbat-he is exempt therefrom antl�the -yyqTER'HEATERS BTU OUTPUT� ''� " - - ' � - - - -� - - - - • � . ... . ' in-qs tor cne alle9e0 ezemp[ion, qny vlolation of SetUon 7031.5 by _ , . � ' ' `�'f"� applicant �for'a permiYsu4jec[r the-applicant to a� civil penal[y -SEWER'CONNECTIONS' - � -- -' � - - •- � -�- - - ---- - � - - � - - � i `,'�f5[ more than five huntlretl tlollars 5500). � ( r_i'1, as owner of lhe property, or my einployees with waqes'as thelr` SOLAR'TANK' -"' COI.CECTORS - �- - � � - - - j�-�- --�--- -- � -- - �-- - - -_ I tl the str ure Is not IntenCea n ion wll o antl the uct �sole.cam e Sd[ _Work j P ] - I ni Cotle-The -- "-.1 "- "'- - -' ISSUE�FEE - - . O T � or offeretl for sale.�(Section 044, Business antl Profess o 'SOLAR PIPING SVS. � ' � - -- -- . .. . � .. ... � . ?. jCon[ractor's License.Law tloes.not_appty to_an owner ot a property _ __ ,_ _ _ -_ ,- . � who builtls or improves thereoq, antl who tloes such work himself or' '' �SSUE FEE� �� � APPLICATION APFROVED BV _ _, ._ OATE _".,:` _ ihrOugh hi5.own.emDloyC¢5„ptOvitledtltat such improvements are nof . _� ` _ imentletl or offeretl for sale. If, howeveq the bullaing or improvement MECHANICAL 'PLAN CHEGI( • -`- �� -��� SUMMARV OF FEES " �--'- ;i5.501tl within onC yCa� Of compl¢Non, Ihe owner will have th¢ bu�tlen � ,. ��� ' �o� proving he tli0 no[ bui10 or irtlprove for Ihe purpoie ot Sal¢). - --• LBUILDING.. . �_ _ _ �� _.._ �t�'� __ _ '�-I, -ar owner � oM1 the-propert am� exclusivel .contractin with HEATING SVSTEM 0400_000 BTU - PERMIT E ,SMIP E Y� Y 9� 'AN�DUCTING ' "' " '_' '._ . �:r.� ..'� ' A.' -y.. ' I li<ensetl contractors to mnstrutt the project (Sectlon ]044, Business 100,000�+BTU PLANCHECK E PERMIT � �L I !antl�Professions-Cotle: The Contra<tor's-litense�Law tloes not apPly to. ' _ _ _ ' _. _ ___ _ . _ _ ISSVANCE �E' ` ian owner ot property who builtls or Improves Ihereon, antl wno con- REFRIGERAT,ION 0-100,000 BTU � PLUMBING b � - "- tracts trom-such projects-with�a�contractor(s)•Ilcesnetl-pursuanLto .SVSTEM - -- • �- - -.- _. _ �'' GRADWG�-E'� r ' 1 'Ihe Coniractor's Licenre law). 100,000 +BTV PLAN CHECK-S�i(� ;. �,, � " " '- " �� I am exempt uuEer�Section -B. & P: C. for-tbis � - � � - - , - - � -- - ._ _ _ � � . BOILERS BTV , • ELECTRICAL E:/_{_ - S ,rea5on' -� � ' - -'"� A - .- . . . . .- �.- . -PLAN�CHECK� E - �� MICROFILM.S ' "'_ � . Data �^2 -0 SYSTEM REPAIR, ALTEFATION _ j „TOTAL FEE E I.hereby certityNat I have reatl tM1is application ane sia[e that the above EXHAVST SVSTEM MULTIPLE - '^MECHANICAL S - �-- - -- . . _. PLANCHECK-.y . " ''� �. �.VANCEPC-y_ � �in/armation is CorrecL 1 agree'�o �compty with'all'Nty artE county' --' �. ortllnances antl state laws relating to Construction, antl hEre�y aufhoriZe � � �- . . ' reprCsen[atives of this city Ip enter upon th¢ above mentionetl •��� � ' 7 � ' property, for_inspection purpas¢i. �� � �Sigwture Da[e _ „ FINAL FEE 5 /2. Driver5' License or 55 $ " -" - " '� - ' ' ' " "ISSUE�FEE ' '- • . --' "" --"' ' "'" ..._ . _ _. ,. _ CMF 0865-46 White-Builtling; ��ary-Appliwnh Pink-AGcounting; Goltlenrotl-Asse55or � CONSTRUCTION AND PLANNrING �� � . ` , POOL & SPA " ' �� � . � . �, ., �- - APPROVALS Permit # G+� Date , Inspector �' . qppROVALS � . ' � Permit # �� ' - Date - - Inspector � , 1. Temporary_Electrical Service or Pole 43. .Pool & Equipment Location � � � - - - -- - .,_ Soi .ipe-Undrgrn - '_ 44. Steei Reinforcemenf � - �' � -- - - - -- -- - -- - � • - �- -3, Electrical Conduit Utility-Undrgm_ _. . __ 45. Forms • - � - - � � - - ' - 4:--Electrical.Conduit,Undrgm _.. _� . _ _ _ . _46... Electrical Bonding ; - -- �� .. . tee ein orce _ . _ � 47. Rough Plum6in & Pressure Test - - - ' � � �6. � Electrical UFER.Grn _ _ 48. APPROVALTO COVER-GUNIiE • - - 7.. Footings � 49. Electrical Conduit-Undr rn ' � � �8. � Foundation---- - - - - - ' . 50. . Gas Pipe„ ❑ Undr Fny Test ' ' ' ' � • --9. ���Water Pipe-Undrgcn� - ' 51. Backwash Lines P-Tra � ndr rn ' �- "' - ' -- - - - •• ` 10.- $tructuralFloorSystem- .52: APPROVAITODECK "'- --�--"` ' ' - - � 11. Property Sewer-Line & House Connection_� y 53.- .Backwash &:Rece tor-Final . ' � � ' � � �' � '� � - 12. - �Street Sewer Connection-- - � � = - � " -- - - - � - - - 54. � Heater & Vent-Final � � - 13. Rough Plumbing . - ' - - - -- . ` `. � � - - - - - -' - - � : 14. Rough Electrio-Conduit '-"'"� '- ' ' -' �56. £lectrical-Final - '�� � 15. Rou h Electric-Wiring , _ - " - " � 57. - Solar System-Finab -' - "'"'-" ""' �"" "�' -' ' ' " ' � " ,� ' 16. Rough -Heating'& Air Conditioning � � = - _ � - - - - • encing &.Access Approyal ,� � ' _APPROV.ED FOR PLASTERING "' � 17. ��Ducts,�in Structure..• � - � 18'. -Ducts, Ventilating - • - - � - - -'--� .- ' ' . ._ _ . _ _ _ _ _ _ _ . _ 19. GasPipe-Rough&Test •- ' � - - - --- - � 60. POOL/SPASYSTEMSFINAL"� , � " • ' 20. Roof Framin9 - �� - . _ _ _..._ - ;. - - ---_ - . . . . , . �: � . . � � � ,� _ .. , 21�. Roof Sheathin -� - � - - - - -� - � - � • • • � • � � � �� � � � 22. Frame and Ftashin - - � - -- - . - NOTES: �'" � ,. � . . . � ., `.^ . . ^- 23. Insulation � � - ' ' � 24. Lathing & Siding � -' - . ' - - .. . . . . . _ - - �-'- ---- '--- - � � 25. Drywall Nailing- . - . --- - - - � -. .. . � , . . 26. -Plaster Brown Coat - - - ' � � -� � � � - � � 27: Electrical Power MeterFinal � � - � - � � ' �- - � � � - ' ' � 28. Final Electric ' ` ' � -•- - - � � � � � - � � - 29. �-Finaf Heating & Air Conditioning --- - - - � - � ' - � � - � ' " 30. Final Gas Pipe-Test - - - - - - - � ' ' � � � - � , • 31.- Final Plumbing - �- . _ � "� "' � � ' ' ' � � � 32. `Water Service-Final � - - - - - '- - ' ' " ' � � �� , 33. Gas Service-Pinal - - - -' - -- - -- - � ` �� � � �� " � " 34. Solar pomesticFinsl � �` ' ' - � � ' � ' � � :' 35. Landsca e S rinklin S stem ' - - - ' ' ' � � � , ' � � ' � i 36. Sound Attenuation � � ' � - � - - � 37. Handicap Regulations � ' ' ' - �' � ' � � - - � 36. . FINAL STRUCTURE & BUICDING - ' � - 39. Special Requirements Complefed' ' � - - - - 40. Electric Release• to Edison � • � - - � - � - - ' - ' 41. Gas Release to Southern California Gas Co. ' ' - � k � 42. CERTIFICATE OF OCCUPANCY � - � � � No ' ' ' Date � � ' ' AOClica , ""CITY OF-COSTA MESA - CONSTRUCTION PERIVII.T VWn2I ' "� Address / sDaces witnin iLi �• license No. ' bo�Cer lines an0 si9n all apD/oCriato Eeclaralion� TRACT NO. LOT NO.' ' BLDG: NO. �� TVP CONSTRUCTION�. � � NEW -O ADD ❑ ALTERATION� _O REPAIR O CONVERSION ❑DEMOLISH ❑OTHER� � � � ' '.�� !• DESCRIPTION OF WORK � , �;',� . } �"� - , , , , - ".. --� 9704 I2/1,7/BI ' Address . . .. . -' , ' � '- Contractor �/,(�G �Phone TYPE�OF PERMIT - , �. " ' � AddfCss "� �-" �ST ..• •- . ❑GRADING' ❑FOUNDATION STRUCTURAL- LICENSED CONTRACTOR DECLARATION ❑ TENANT ❑ ELECTRICAL LUMBING ❑MECFIANIC� 1 hereby afilrf� that I am Iicensed untler provlsions of Charter 9(com- �mentln9 witM1 sectlon 7000) ot Oivision 3 04 the Buslness -antl �� �.OTHER � - Rofesslons tle, antl licensa Is n full f rtv tl effe pROJECT DESCRIPTION Litense 5 ' o � -;� _--� �' � ' - , Date Signatur Sq. FT. -' � ..+ \ _ , . , WORKE 5'CaMPEN5AT10ND CLAR ON ' �.00CVPANCV_GONSTRUCTIONTYPE I hereby affirm [hat I have a certificate consent to Self-Insure or a � VALUATION � ZONE certifiwte�ot Workers' Compensatlon I rante, or a certifietl copy _. _. _ thereof ($ectiPn 3800, Lab. C.�. , JA��/n y� �,y� ��GRADING CU.-YDS. ACRES '�Ilcy No. Company � LrryKL - _ Ce ti¢tl COPY �s h¢�GOy furnishetl. _ � . . pEMARKS: . . / / erti/ietl COPY �s fileG with [he cilY Builtlin9 Div{slon. ' . �� EXEMPTION FROM WORKERS' C�MPENSATION OECIARATI�N - -' - - � (TN5 section_neetl not be tompletetl if the.perml[ is (ov one buntlretl . , - , SS300) or less). •,, � -' _ � � '" ' �`- certify that in the performance of the work for which this permit is issuetl, 1 shall nol employ any per5on In any manner so as to become • PLUMBING, " PCAN CHECK � - SubjeCt t0 the WO/k¢r5' CompenSatiOn Laws.of Cdlltomia. _ Date Signa[ure BATHTUBS SHOWERS - � NOTICE: It af�er,making this tleclaratlon, you shoultl become subject •TOILETS. VRINALS ' ' '' � to lhe Workers' Compensation provisions o( the Labor Cotle, you must �� fo�Mwith cortYP�Y�'�'��h suth p�ovislon5 0� Ihis p¢rmit Shell be tleem¢tl �VATORIES �OVBLE'L'AVS ' - revoketl. - -. _. _ . _ . _ . _ _ . CONSTRUCTION LENDING AGENCV KI7:SINKS ' DISHWASHERS ' - I hereby a(firrn [ha[ thera is a construction lentlinq agenry for the per- SERVICE SINKS �, � ��� SUMPS ' -' -- tormance of the work (or which thls permit is issuetl (SeUion 3097 -Civ: C.).' - ` "- - ' ' ' '-'- ��� - FLOOR SINKS FLOOR DRAINS - ' Lentl¢r's NdmC Lentler'S Atltlress �� ORINKING FOUNTAINS � - OWNER BUICDER DECLARATION "" -' - INTEftCEPTORS CCARIFIERS �- I hareby affirM Iha[ I am exempt �rOm the Canbactor'S License L.aw far the tollowing reason•(Section ]031.5 Business antl Professions Cotle: SWIMMING POOL "�- ' PTRAP -" - -- Any Nty or county whiGh requ�res a permi[ [o COnStruct, alter, A.P. i ZONE REAR VARD (TO P/L) PKG. SPACE REQ. STREET WIDTH �-- � SPECIAL CONDITIONS: PLNTGp.RUEF.p$ PROPE�RTVNL PROVIDF '. PARK FE � ELECTRICAL - - aLaiv � , '37.00 .:TL E S� _'U E' _-"___"""_ '......" ' ". Sa.FT_ �GENERATOR - --�Q:1'KW=1 .30"KW - TRANSFORMER • APPLIANCE ' 30-SOKW_50-+•KW - MOTORS• � 0-1'"HP_1-30 HP .�INC.SOLAR)_ � �� �30-SO�HP SO+;HP FIXTURES OUTLETS SWITCHES - - GHSTUBESIGNS- - - POLE L'IGHTS' "" •- � - � � � Improve, tlemO�ish or repair any structure, pnor to Its issuance, also re- yyqTER SERVICE � ALTERATION"- ' '" PANEL'S' ' MA�N -' ,- SUB ' quire5 the ap4���^� for Tuth permit to �Ile a si9netl Statemenl that he _ is Iitensed pursuant to the provisions of the Contractor'rGwnse Law GAS SERV ICE OUT�ETS �- �� ' SERV ICE- ---- -- -• qMP -- - (Gnapter 9(commencing with Section �000) of Division 3 ot the Business'antl-N'desvons Cotle) or that ne'is exempt therotrom antl the� yyqTER HEATERS "'BTU OUTPUT" ' �' � - ' ' � � - - --- - - � nasis lor the allege0 exemption. Any vio�ation oi Section �031.5 by ' "applicant tor d permit subjects the appliwnt to a tivll penalty , SEWERCONNECTIONS —" �'-- �' -- - � - -- .-. i0l mOr¢ than live huntlr¢tl tlollars (§500). � I, as owner ot the property, or�my employees with wages as thelr� 'SOLAR TANK " " COILECTORS -' ' ' " , - - - - - - � - - - - Sole compensation, will tl0 tM1e work,.dntl the struCture Is not Intentletl ' or offeretl for sale. (Sectlon ]044, Business antl Professions Cotle: The SOLAR PIPING SVS. � ��' � --ISSUE FEE - ' " ' "' -�-• �• - - � - Contractor's V�ense Law doez not apply to an owner of a property who bullCs or �mproves tharaon, antl who tloes such work himself or - ISSUE FEE -�� �-� - -' "APPLICATION APVROVED BV �� - DATE through nis oWn employees,_provitletl that sucn improvements are not int¢ntletl or offeretl for sale. If, howemr, the builtlin9 or improvement MECHANICAL PLP.N CHECK is soltl. within one.year o( completion, the owner will have ine burtlen SUMMARV OF FEES - � , ot O�oving he tlitl not bulltl or imprOve for the purpoSe of sale). HEATING SVSTEM 0-100,000 BTV BUILDING �- -- �- - - �-I, as owner oi [he -property,-am exdusively contracting witb• qND DUCTING ' ' -' -- _ _ PERMIT E _ �, SMIP_ � S licensetl contrAclors lo consiruct the project (Sectlon ]044, Business 300,000 + BTU PLAN CHECK antl Professions Cotle: The-Contractor's License Law tloes notapply�to. -$� SSUA�NCE $ � "' an owner of property who builtls or improves thereon, antl who con- REFRIGERATION 0-100,000 BTU GLUMBING - � � � tracts hom sJch•pro�ec[5 wi[h a� contra<tor(5) ❑C¢Snatl-Pursuant to� $VSTEM^ ._ � _ GRADING 'E � � [he Contractor'S LJtense Law). 100,000 + gTU V�AN CHECK.• E . - ' ❑ I am'exemp� untler Section " - B.-& P. C-Toi this gOIlERS BTU ELKTRICAL 5 � " ' ' - s reason ' -- - - ------------_ - - MICROFILM S SVSTEM REPAIR,ALTERATION ' �LANCHECK-- E ' ' Data --- Owner �� TOTAL FEE 5 1 hereby certifytha I havo r atl this appl cation antl state that the above EXHAUST SYSTEM MULTIPI.E MECHANICAL $' - ' : - intormaEion is co recL I�9ree to c ply with all-city antl county PLANCHECK E LESSAO- . ortllnances antl te lawi elaling to nstruction, antl hereby aut ori VANCE PC 5_ re esentative o thi it to r u o "the abbve me ion tl � � ' ' � • . p[ ��ty f p wp 9� Sign � Y'� P� Date � _ , FINALFEE S-� •L_� � ISSUE-FEE � - - - - . - _ . _ __ , Driver ' Litens 55 � / ' "- ' - • - - -- CMF 0865-4 White-Builtling; Gnary-Appliwnt; Pink-Accounting; Goltlenrotl-Assessor CONSTRUCTION AND PLANNI G POOL & SPA ,� •.�y !� Date Inspector • . � Date� Inspector � APPROVALS . -, , . � Permit # - � v � APPROVALS • _ - Permit # 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location - � � � � �� Soil ipe: Undrgm - _,pl 44. Steel Reinforcement � � - � • - -3. Electrical Conduit Utility-Undrgrn 45. Forms 4. Electrical Conduit-Undrgrn .46.. Electrical Bonding, � � tee ein orce 47. Rou h Plumbin & Pressure Test 6. Electrical UFER Grn 48. APPROVALTO COVER-GUNITE� 7. Footings 49. Electrical Conduit-Undr rn � i .6.. _Foundation � 50. Gas Pipe, ❑ Undr rn, Test - � • 9. Water Pipe-Undrgm - -S� 51. Backwash Lines P-Tra �' ndr rn '-� -• • 10. Structural Floor SYstem 52. APPROVAL TO DECK '''- -" ' • 11. Property Sewec Line & House Connection 53. Backwash & Rece tor-Final� ' -� � 12. Street.Sewer Connection �� - � 54. Heater & Vent-Final 13. Rough P.lumbing . ' - � - - ' � � 14. Rough Electric-Conduit - ' - -- � �56. - Electrical-Final � � � 15. Rough Electric-Wiring - - - 57. Solar System-Final ' ' - 76: Rough Heating & Air Conditioning � - - � - . � encing & Access Approval �,� ��' 17.-•�-Ducts, in Structure � '� ' APPROVED FOR PLASTERING' - - 18. - Ducts, Ventilating - � • - - . ' . . _ _ . . 19. Gas Pipe-Rough'& Test "� 60._ POOUSPA $YSTEMS FINAI , 20. Roof-Framing • -- �- - � -- ' ' - � 21. Roof�Sheathin ' � - � � � 22. Frame and Flashin - � NOTES: 23. 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 � "S(�' - � � 31. Final Plumbing � ' 32. Water Service-Final - � � ' � � 33. -Gas Service-Final - ' � � ' ' ` ' ' 34. Solar pomestioFinal ' •� � � 35. - Landsca e S rinklin S stem � ' � ' 36. Sound Attenuation � '� � • � 37. Handicap Regulations ` - 38. FINALSTRUCTURE&BUILOING� � � ' 39. Special Requirements Completed � ' ' � � ' � ` - � 40. Electric Release to Edison � � - 41. Gas Release to Southern California Gas Co. • 42. CERTIFICATE OF OCCUPANCY - - ' � � No. Date COSTA MESA BUILDING—SAFETY DEPAHTMENT •"` � P.O. BOl( 1200 2550 2/23%82 7.00 TL Costa Mesa, Calitornia � � � �� � - TRACT NO �'♦���� � ContteCtOf LOT N0. �� ' Add(CSS 290 E. HUNTER BUILDING USE DATE ISSUED Ci�y ANAHEIM zipcode 92807 RESIDENCE ���' �v Seete License No. 376�86 C�ass. C20 eui�mNe ���� �„ )/¢� ��`�_ Clty LiCt115¢ NO. Tel. N0. — ADDNE55 GC� ll ��� N0. ITEM E�CN FEES FAU, Wall, ar Grav. Furn. Incl. Ducts and Vents OWNER 1 to ioo 00o sru 4. 00 4 00 MAIL ADDRE55 over 100,000 BTU COSTA MESR, CALIFORNIA. %�� " CITY SAN�I�H�HiVH TEL.NO. 04L—V4JL Vent (if not incl. above) n� � Y�'' 1 hereby acknowledge [hat I have read this applicetion Sus ended Heater � n � �� ,.1 Alter or Replace endfs[0te�thet [he above is corroct and egrce [o wmply � p Appliance 1w `th e��YCiry Ordinances and State Laws regula[ing Hea[- � ver eet o �� '(ing; Ventilating, Refrigeration and AirConditioning. gas PiPing ����: �� � BOILEFS OR \� v I cercify [hae [ possess [he above valid State of Cali6 � _ COMPRESSORS '�. .%" omia classifica[ion or I am the legal owner of Ihe single ,\ '� �y�" family residcn[ial property described above. � 3 H.P. or less Over 3 H. . m Q\\�J Signature ot � 15 H.P. '� a� v Bathroom ' P����tee � - Vent FarSin Ie�Duct' n Kitchen ('� ��( �' REMARKS: /� — �%/N�// Plan Check ieinspection Fee SubTotal Processing Fee TOTALFEES CMF 0449-46 Ducts Underground Ducts in Structure Ducts Ventilating Heating — Rough Hoods Refrigera[ion Lines Prcssure Test Aio-Cond. Final Ventila[ing Final Hea[ing Finel 3 p� Refrigeretion Final Final Gas "Ccst 7 �� Utility Co. Notified BLDG. PERMIT NO. DA COSTA MESA BUILDING—SAFETY DEPANTMENT P.O. BOX IY00 Costa Mesa, Calitornia AddICsS • TpACT 1 COMEORT �ot No. UNT�R z�P caa� 9 9 Rf17 ' -- a. 2551� 2/25/82 � �,«�1 �'f / N� BUILDING USE ate License No. 3�G7H6 Class. C2� BW�DING /,) �f,� ��1 ityLicenseNa. OOHS%�F TeI.No.%�9—% 5 Aooaess �,e� ,r � � N0. ITEM EACN FEES COSTA MESR, CRLIFORNIA,� FAU, Wall, or Grav. , �\1`'�� Furn.Incl.Ductsand �» � 1 vents Lf.00 4 00 OWNER $ROOKS CONSTRU,CTION t0 lOO OOO BTU MA�� "�v nooness 1532 LATLOMA over 700,000 BTU ��Y � 7.00 TU 0 CITY TEL.NO. Vent lif not incl. abovel �A 642-0432 ��,�.r I hereb ack=nowledge [ha[ I have read [his appiication � Sus ended Heater �+ �' N and sta[e�that the above is correct and agree to comply Alter or Replace .. �w Ih�811yCiry Ordinances and S[ate Laws regulating Heat- Appliance , '� ��. � ver eet o �v p�vg; Ventilating, Retrigeration and AirConditioning. gas Pipin9 :f11 t� � `.sl. BOILE RS OR t� Y 1 cer[ify that 1 possess the above valid State of Calif- � COMPfiESSORS '� omia classiCication or I am the legal owner ot lhe single \ � �, �`� family residential property described above. 3 H.P. or Iess � � S � Over 3 H.P. to �\\�,l Signa[urc o( , 15 H.P. 'C a y � Bathroom � Permittte Vent Fen—Sin le D� c�t' n ' Kir�hnn /^� .,' C" REMARKS: f�— ��/nl% Check ��pection Fee Sub-Total Processing F'ee �� TOTALFEES CMF 0449-46 3J00 Ducts Underground Ducts in Stmcwrt Ducts Ventilating Heating — Rough � Hoods Refrigeration Lines Pressure Tes[ � Air-Cond. Finel Ven[ilating Final � Hea[ing Finel Refrigera[ion Final , Final Gas Tcst '� Utility Co. Notificd BLDG. PERMIT NO. COSTA MESA BUILDING—SAFETY DEPAHTMENT �'.��, - r. o. sox isoo Costa Meaa, Califarnla Address City License N Tel. No N0. ITEM EACN FAU, Wall, or Grav. Furn, Incl. Ducts and / V¢nt5 //OZ not incl. abovel er or nepi Aooliance 3 H.P, or less Over 3 H.P. t Check �pection Fee Sub-Total Processing Fee TOTALFEES CMF 044936 • TRACT N0: LOT N0. _ l 9� �O BUILDING 7/ AD�NE55 FEES �, ^- 2 2552 2/25/82 7.OD TL•� ������ � BUILDING USE COSTA MESR. CALIFORN �I OWNER � (,� nooaess ��3� O� '\\ }n r ` CIT � �C/%.v - / TEL. NO. /] � �.wi�*i d Y I hereby acknowledge [hat I have read this epD���a[ion � end�stetel[hat the above is corrcct and agree ro comply ti itii�ellyCity Ordinances and S[ate Laws reguleting Neat- � `�ing; Ventilating, Refrigeretion end Air-Conditioning. ��; y � \� r I certity that I possess the above valid S[ate of Calif- y' omia classification or I am the legal owner of the single � femily residential property described above. � Signature of - � ' — Permit[ee � . REMARKS: //i .� ���//J� APPROVALS INSPECTOR DATE Ducts Undcrground Ducts in Structure Ducts Ventilating Heating — Rough Hoods Refrigera[ion Lines Pressuro iest Air-Cond. Final Ven[ila[ing Final Htating Finel g'• O Retrigcration Final Final Gas 1'est �� Utility Co. Notified BLDG. PERMIT NO. —�-0 APOlicant to fill in all spaces wilnin CITV �OF COSTA MESA - reg ^IT NO. ' ; CONSTRUCTION PERMIT C —o��I %���' ArchlEng. Contrattor - . - �icense No. r bortler lines anE sign all appmpriata Ceclarations. -. TRACT NO. LOT NO.." BL�Q-. M110. � i� �- TYPE OF CONSTRUCTION � � � ❑ NEW - O ADD ❑ ALTERATION � - ' ❑ 17EPAIR ❑ CONVERSION ❑.DEMOLISH ❑ OTHER � � DESCRIPTION OF WORK �Address _ _ _ . _ Y. -. _ _- -.___... . , "� � . U rior <� Td/O-- O GRADING '� O-FOUNDATION ❑�STRVCTURAL- LICENSEO CONTRACTOR_DE LARATION ''! � �.O7ENANT�O�ELECTRICAL ❑PLUMBING-�MECHANIC � 1 hereby aiflrm th:.t 1 am I{cen58tl Untle� provisiopi of ChdrtG� 9(cOT- r. , �. � mencin9 _wit�._sectlon.7000) of ..Divizlon .3 ot .tne Buslness anE. _O OTHEH. Rofessiorts Coae, antl my Ilconse iz In !WI force antl e/�ect �: pROJECT DESCRIPTION'- Litense Class � ' I �so �v �a33 3 - — � - - - �-- � .-D � 6-.R2«�,..,,.,. . _ .� .� � ,� � . s4. �' ' � ' Date' ...�.."'•' ' " _ _ . . _ WORKQRS' COMPENSATION DECLARATION OCCUPANCY _'_�COIVSTRUCTION TVPE _ _ ,I hereby atfirm that 1 have a cort(ficale of conSCnt to self-Insure or a. VALUATION ' ZONE carUfiw(e of Workers' Compenzutlon Iniuranca, or.a cartlflCtl �coPY , . � . thereaf (5actlon 3800, Lab. C.�. GRADING GV. VDS. ACRES a^'i<y-No. - Company- - - ' - 'ertlt�¢y �ppy is hereby furnlsbetl. , REMARKS: '� _ _ .... . _ Jertitietl tOpy f5 filetl with the City Builtling DiVislon. � , ��� EXEMPYION FROM WORKERS' COMPENSATION-DECLARHTION - ' - - ' - - (This section neea not be completeG it tne permit is for one quntlretl .J � - - SS100) Or Iess). . _" ' ' ' ' '"" _ . . _ , `..- ' _' � __' � ..' . _"' _ ' . . .� . . . . ' _ ' cartily thal In the perto�mant¢ o( the wo�k to� whiGh t�15 permit Is'� Issuetl, I shau not employ'any oer=on in any-mannerso at to.become 'PWMBING—� t--,;PLANCHECK" ' ' ' ,ELECTRICAL ' subj¢<t to the WO/ker5' CompensatlOn Laws of Ullfornid. '�� ^ 1 C '' ' '' " ' '�" "' ' "" " '" ' BATHTUBS- " - SHOWERS " " -Y. ' Date Signature NOTIC@: 1f a1[er making [his aeclaration, you shoultl becomo�zubject • TOILETS URINAL•5 -' " "� to t�e Workers' Compensalion provisions of the La�or Cotla,�you must LAVATORIES � DOVBL•E LHVS • fOrthwilh cOTply with suth provl51on5 O� tb15 p¢rTit shall be tle¢TOtl - � ievoke0, ' _ _ _._ . . KIT. SINKS- - DISHWASHERS � - ' CON57RUCTION LENDING AGENCV I hereby alfirm that therrt is a cons�ructlon lentling agency lor the per• SERV ICE SINKS � � SUMPS '' -'-' -'� formanCe of [no work for which this parmit Is Issuetl (Secllon 3097 Clv. C.),_ _ .. ___.. _ . _._ _ �. � - •- - 'FLOOR'SINKS" ' FCOOR'DRAINS " " Lentlar'S Name Leutler'S Atltlress - ��� - � - - " �RINKINGFOUNTAINS - ',� - -' ' OWNEq gUILDER OECLARATION 'INTERCEPTORS" -'CLARIFIERS - � � I her¢by aHirm [hat I am exempt f�Om thC ConlraC[or'S LicenSe Law for [he.tallOwing_reaion ($eclion 7031.5_BUSinexs.antl Protes51on5 Cotle: -SWIMMING POOL-"- P•TRAP '- ' -' - AnY ��ly or munty which �equires a permit to con5truc[, alter, improvo, tlemolish.or repair anystructure,.prior to its �ssuance, also rn• yyqTER SERVICE' �- ALTERATIOM ' quires the ap:lican[ tor Such petmit t0 file a Si9n¢tl statem¢n[ that no is licensatl pursuant to the.provlsions.oL the Contractor's License:law �• GAS SERV ICE -'- OUTLETS - �� - (Chaptev 9(commencing with Section 7000) ol Divizion 3 of the �' ^ Businass.antl.Prdeisions Coae) or.tnaLhe is nxempt therefrom antl the- yyqTER HEATERS - BTU OVTPVT ' � �'� ' basis lor ihe allegetl exemO�ion. Any vlulatlon ot Section 7031.5 by a�;,s,�,�PplicanL lor a permit subject5..tha. applicdnLto d� Civll �penalry -,SEWER-CONNECTIONS � -�� '�' ^- t- - t,.+;, mOre than five huntlred tlollars (E500). �.'�""3�as owner oi the property,�or-my employees-with wagas as their SO�ARTANK� � COILECTORS - ' soY!`compensallon, wiu do the wo�k, anG Ihe sVUGlure is nol intentletl , OroH¢retl"lor 5a1C. (SeCllon 7044,-BUSine25 dntl AOfC551on5 Cotle: Tb0 ' SOL'AR PIPING'SVSI ' - �' Contractor'S License Law tloes not apply to an owner oi a property ��_ who bu�ltls or improyus tho�eon, antl' wno aoes such work nlmself or - ISSUE'FEE � ' � � ' [hroug h hIs own omployCes, provitletl that such improvGmentS are nol IntenEetl or oHeretl tor sale. 11, how¢ver, the bulltling orimprovement MECHANICAL � PLAN CHECK is soltl wl[hin one year ol completlon, the owner w{II have the burtlen ' Of -proving' be tlitl'nOT builtl or� improve fOr 'the' purpos�- of sate). HEATING SYSTEM 0-300,000 BTV ❑ I.. ay pwner of Ihe property„ am.exclusiv¢ly. contrattin9 with qND DUCTING-� �- ----�- licensed conVactors to construc[ lne pro7ec[ (Section ]044, Huiiness 100,000+BTU � antl,P.ro(azions Cotle: The_Contractor's.License law,tloes,no(.apply to. . . an own¢r ol property who Guiltls or Improves t�ereon, antl who con- REFRIGERATION 0-300,000 BTU [racts trom such' projects,wilh a conVactor(s� licasnetl ,pursuant to . SYSTEM. •� �- the Contractor's License Law). 300,000 t BTU � I am gxempt untler Sectiom-- - 8. d P. C: for this- 'BOILERS � � BTV reason - Date ' Owner SVSTEM REPAIR,AL I hereby �ertirythat 1 bave reatl thit appliwtlon antl state tnat the above EXHAUST SVSTEM information is �corretl. I agrce to comply w'rth aIP city antl county ortlinan�e5 an0 slatc laws rolaUn9 to mnstruCtion, antl hereby authONze ropreiaqtalives of lhiv dly-lo anler upom [hG above mGntlonGtl Si9n5tu� IOr Inzq¢Ct�� ���— _' ' � _ _ ' ��l Dat¢� 6 fI Driver5' License or 55 � • ' �SSUE FEE .. _ CMF 0865-J6 W�ite-Builtlinq; Canary-Appliwnt; Pink-Accounting; Goltlenro0-Assessor _ ;— ",' �514 2J25/82 . - ZONING REGULATIONS A.P. � .... . . . � Zor.rE REAR VARD (TO P/L) - PKG. SPYICE REQ. - � STREET N/IDTH ZONING APPROVED BY - - SPECIAL CONDITIONS: ATION ' MULTIPLE � " _ ". l $ � ��i 12.D0 TL �- f-,- PROVIDED � � PliRKF,EEE � .. J -PLAN CHEC4( � - t�trvcHnluR ' "0-1KW-_1-30'KW �� TRANSFORMER ' APPCIANCE" 30�50 KW_50 + KW' ' .MOTORS- -�0-1'HP=140'HP' QN0. SOLA0.) -30•50 HP_-50 + HP - � - � FIXTURES' OVTLETS' SWITCHES- ' � - -' ;GHS TVBE'SIGNS ' ' ' -- � - - �POLE'tIGHTS ' ' -' ` - - ' • POLES METERED �SUB �� �PqNHCS-' - - MAIN ' " SUB ' " - ' SERVICE" - " -' - - '- 'AMP/ � � _' "' . _ ' _ " ; ." ' _ "'_" . .. _ . . _ � �C-�-� 1 ISSUE F - - - - 'APPLICATION'APPROVEDBV •- - '- 'DATE SUMMARV OF,F.EES ,� �, � �. �BUILDING-.. .� _' _ _ .._ _ ._". . "_ . _ " � 'PERMIT _ E , ,_SMIPr,_ � E 'PLANCHECK b PERMIT `��' .PLUMBING S ' ISSUANCE S - - - . �GR%l�DING . y' � PLAN CHECK E - F � .• � � , . ELECTRICAL S� S - PLANCHECK E - _ MICROFII.M § � ' "' ' = TOTAL FEE E y" ��' MECHANICAL E � LE55 AD- � ' � PLAN CHECK § ' ' VqNCE PC S_ , , FINALFEE SLq��. CONS7RUCTION AND PLANNICNG��� � POOL & SPA, . - � '" _ APPROVALS Permit �h L� Date Inspector ` ' - - -- Date Inspector APPROVAtS Permit# _. _ 1. Temporary Electrical Service or Pole 43. Pool & Equipment Location ' ' '-" "- 2. Soi ipe-Un rgrn ' 44. Steel Reinforcement ' ' - - ' ' " ' -' ' _.3. Eiectrical Conduit Utility-Undrgrn 45. Forms ' -- _4. Electrical ConduirUndrgm 46.. Electrical Bondin . "- - - tee em orce � - 47. Rough Plumbin & Pressure Test ' - - - ' ' ' ' - - - - -�- ---� - - -' . _ , 6. ElectricalUFERGm , - �. : -�- �48. APPROVALTOCO,VER-GUNITE'��� -' � "'- � . � 7. Footings • 49. Electrical Conduit-Undr rn- ' � ' ' 8. Foundation. � ''` 50: rGasPipe, ❑Undr m;Test � ' � � 9. Water Pipe-Undrgrn ' 51. Backwash Lines P-Tra ❑ nd� rn �- ' � � 10. Structura� Floor System 52. , APFROVAL TO DECK' 11. Property Sewer Line & House Connection � � . 53. �Backwash & Rece tor-Final ' ' 12.__.Street Sewer Conneciion. . - - - � - - 54. �Heater & Vent-Final 13. Rough Plumbing ' - - - 14. RoughElectrioConduit '- �- --�56. -Electrical-Final� � � � ' � 15. - Rougti Electric-Wiring ' �- _ � C- " ""57. Solar System-Final . � � " - 16. �Rough-Heating & Air Conditioning - - - - - - - - • encing & AccesrApproval . . - � - 17.. Ducts in Structure ' _ APPROVED FOR PLASTERING � � .. 18. -Ducts, Ventilating _ . . . - - - - , � ' . ' - ' -' - - - . - - ' _ - , - . - 19. GasPipe�Rough&Test � � - 60.. POOUSPASYSTEMS_PINAL" " ' . � 20. Roof Framing _ " - � - . ' - - - - _ ' - ' � 21. Roof Sheathin - � - - + � � - -- - � - ' � - � 22. FrameandFlashin -- NOTES: � ' � _ ' . �. - � 23. Insulation � - � - � - � - � � ' 24: Lathing & Siding� � - - - � - - � - - � � � 25. Drywall Nailing . � � ' - �- � - ' � � 26. Plaster Brown Coat - ' � - - -� ' � � 27. Electrical Power Meter-Final ' - � ' ' - � � . 26� Final��Electric - - .% - -- � -- � , 29. Final HeSting & Air Conditioning - - - ' - - - � ' - ' " � � 30. Final Gas Pipe-Test �- � - - � � � 31. Final Plumbing , ' � � �32! •Water Service-Final ' - � � ' � � 33. Gas Service•Final ' � � 34. $olar pomesticFinal � � - ' � ' � • 35. Landsca e S rinkiin 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 - - - -_ - - - _' ' _ _ '