The URL can be used to link to this page

Home My WebLink About1032 18TH ST - Building PermitsCity of Costa Mesa Development Services Department Building Safety Division �' CERTIFICATE OF OCCUPANCY No. 0 0 Z S 7 �} P. O. Box 1200 Costa Mesa, California The Building located at 1032 Wast 18th Streat, fililffing A has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B2 Occupancy. Use of Building Legal Description 424-331-20 (See reverse side for Metes and Bounds) Building Permit No B 36638 Electrical Permit No. E 37573 Plumbing Permit No.P39652,P37190 Mechanical Permit No. Number of apartments and/or guest rooms Fire Prev. Permit No. F37163, F38907 ISSUED TO: Building Official William T. Howard 1735 Whittier Ave., Unit F8 by Costa Mesa, CA 92626 Date August 16, 1989 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/83 White -Owner; Can, Numerical Fite; Pink - Bldg. Permit File Applicant to fill In all spaces except those within heavy border lines sign all appropriate declarations. v � ITV OF COSTA MESA - CONSTRUCTION PERMIT . P7oject address Weft 18th St. Costa Mesa - PERMIT NO. TRACT NO. L NO br UNIT ,ry0. . J A.P. ' $ 1 Main Building: Accessory Building: .1032 :ApplicAnt's Mailing Address 413 S. GIaSSell,Orange lfwner's Name BurlinghamEnt— Tnr- Phone 645-R(1R7 Address 1835 Whittier Ave. , Unit F8. Costa Mesa TYPE OF CONSTRUCTION LA NEWLJ ADD LJ ALTERATION LJ REPAIR El CONVERSION 1:1 DEMOLISH El OTHER DESCRIPTI,qNQF WORK/USE OF BLDG. COn St rllCt nPW inti L�Str1a"1 bui IdTn9. (BUTI OT ) E T 7 Front [j Z O B A Reat — - 1 11 - I N I .Arch/Eng. Omni Span Corp. License No. Address 479 S. Marengo Ave.. Pasadena. CA TYPE OF PERMIT GRADING FOUNDATION L STRUCTURA ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑MECHANICAL ❑'OTHER PROJECT DESCRIPTION SQ. F 4 469 OCCUPANCY Or p CONSTRUCTION TYPE VALUATION $ I�A �l .is'� ZONE GRADING CU.YDS. ACRESy C Right 1 _ N K $ 1 Left L -f"3 Lt g �` iI G R Contractor's Name The Richardson Group Phone 997-3970 I Address (mailing)- 413 S. Glassel l . Orange. CA 92666—'- g Pity License No. 045873 LICENSED CONTRACTOR DECLARATION Ping. Ref. # DQ - $ ' Parking Req:/Provided 3 E Planning Notes: J!• - / \ Q M ~�I-''! FO SP 1: \S Remarks: IFC �� - �/ 8 + 3 ��A •-( rsyy_� 60 I hereby affirm that 1 am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 e Business and Professions Code, and my license is in full force and effect.G License CI- - / Lic e Date Sign ture WORK ERS'COMP ENSATI ARA ION I hereby affirm that I have a certificate Of ns¢nt to self -insure or a certificate " Workers' Compensation Insurance, ora certified copy thereof (Section ), Lab. C.) .icy No. .1 i+H4-87 oompany State Comp Certified copy is hereby furnished. Certifi ¢p s filed with the City 11 1,11 fit Dlvlslon. Date 18q iNg Applicant Kamm {� �.ticha rd son EXEMPTION FROM WORKERS' COMPENSATION DECLARATION Th ess is section need not be completed i( the permit is for one hundred ($100) or I certify that in the performance of the work for which this permit is Issued, I shall not employ any person In any. manner so as to become subject to the �. 9` u ELECTRICAL FEES PLUMBING FEES Automatic Washer Transformer 0 15-50 KW Construction. Pole Sub. El 50+KW Bar Sink Showers Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps Backflow Irrigation Sewer Cap ^� Dishwasher Meter ❑over 100 amps - - _' .- .� Bathtubs Sewer Connection .� , Dryers ❑Gas ❑Electric Sub Panel Clarifiers $01st Collectors -'�' Fan Motors 00.1 HP O1 h- 8 Dishwasher. - Solar Piping �' F.A.U. Inc. Solar 09-15 HP 016-15+ Drinking Fountains Solar Tank - Fixtures MIpfOWdve workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Floor Sinks Urinal e Outlets' Ran 9 GBS Service Outlets Water Closet - Switches r' Sign 1 hereby affirm that there is a construction lending agency for the performance of the work for wp�gh Ihls ye It Is Issgetl (Section 3097 Civ. C.) Lender's Name NIB gt erfl l.Om111111 L1/ Lender's Address 3 1 E: 6th-St"s Cnrnna f.A 9 7 71 4-1 599 Interceptors Water Heater Garbage Disposal ,' _ -Standing Sections Kitchen Sink - - Water Service Generator 00.5 KW 05.15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to its issuance, also requires the applicant for Such permit, to file a signed statement that he/she Is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cotle) or that he/she is exempt t^^refrom-and the basis for the alleged exemption. Any violation of Section 1.5 by any applicant for a permit subjects the applicant to a civil l llty of not more than five hundred doflars.($500).$ .� I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure is not intended or.offeretl for sale (Section 7044, Business and Professional Code: The Contractor's License law does not apply to an owner of a property who builds or improves- thereon, and who does such work himself/herself or through his or her own for employees,everProvided that such Improvements are not intended or yearof sale. If, however, the building or Improvement is sold within one year of m- pletion, the Owner will have the burden Of proving he/she did not build orr im- prove for the purpose of sale). 0 I, as owner of the property, Se exclusively contracting with licensed con- tractors to construct the prosect (Section 7044, Business antl Professions Code: The Contractor's License Law does not apply to r s owner ie property who or improves thereon. and who contracts for such w). I a with aeon- tractf V license pursuant to the Contractor's License Labe I ov aware that tractor( proof off their worker's Compensation Insurance should be provided to me. _ 0 1 am exempt under Section e. & P. C. for this reason Lavatories Auto -Wash _ P -Trap Laundry Trays ~ Roof Drains , - Reinspection Fee $15 Issue Fee $ 3 DEVELOPMENT SERVICES REQUIREMENTS: QDi W ate12`� Zoning Approved By" Building Approved By Date C -C Applisstion Issued By Date_ _ ReldspaCiiOn FBe $15 Issue Fee 3 MECHANICAL FEES Boiler Hood or Type 1 0 yP / Canopy Type I I 0 Duct -Under Ground / - , $UMMAR F FE $ MI BUILDING PERMIT $ iD �-9 • % f SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ +. PLAN CHECK 25% $ ENERGY P.C. $ -ELECTRICAL $ GRADING $ ; PLAN CHECK' 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $ PLAN CHECK 25% $ as r Duct -Structural Refrigeration System r Duct - Ventilating ❑4100,000 BTU 0100,000 BTU Exhaust System ❑ Multiple ❑ System Repair/Alteration Firepl/Fact. Bit. ICBO # Fire Dampers Date Owner . I hereby certify that I have read this application and state that the above information is correct. I agree to comply wit II city and county ordinances _ antl state,l elat g to builtlin const d hereby authorize repre- sentatives of t s I to en po e a e -men "ones properly Inspectippn put po / Signetdre <¢--� Driver se o SS # Heating System & Ducting Registers g y 9 g 1:10-100,000 BTU 0100,000BT - - - n ttsslnhh n n t 01 0002'59C, u0021591 "1 JT 542.i1 DaTE: 1/08/68 ITIlE: 15:40 Reinspection Fee $15 Issue Fee $ 3 ' r 0865-46, rev. 5/ White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor - 1 •CON -?RUCTION AND FUNNING Date., APPROVALS .Permit # Inspector POOL " SPA � APPROVALS Per.„it # Date ' Inspector 1. *Temporary.Electrical Service or Pole - 52. Pool & Equipment Location ! 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ' 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5: Steel: Reinforcement 56. Rough Plumbing & Pressure Test 6.; ElectricalUFER•Grnd. 57.APPROVALT000VER-GUNITE 7. Footings , : 58. Electrical Conduit-Undrgrnd. 8.; Foundation - % 59. ,GasPipe, O Undrgrnd., Test - 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. ' 10. Structural Floor System ;;• ,- 61. APPROVAL TO DECK 11._ Property Sewer Line & House Cohnection ? 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing' ' • �� 65. Electrical -Final 15. Rough Electrical -Conduit 1 66. Solar System -Final Lf6. Rough Electric Wiring 67. Fencing & Access Approval .17•. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit# •20. Rough Factory Fireplace '21. Ducts, in Structure ,. 70. Underground Hydro 22. Ducts, Ventilating "J '1' 71. Product Piping O Gas ❑Oil 23.E Gas Pipe -Rough & Test •' 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas OOil 25. Roof Sheathing Cl . ' 74. Overhead Hydro - 26. T -Bar -Ceiling (Structural) 9rMonocoat 75. Dry Chemical 27. Frame and Flashing ,�,, �� 76. Dry Standpipe 28. Lathing & Siding 37. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing t^' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coati' 79. FINAL INSPECTION 32. Electrical Power Meter -Final V .80. FOOD CERTIFICATE ISSUED Iti 33. Final Electric y� ,j Notes: Cbe- 34. Final Heating & Air Conditioning nULD FOR SPECiAL REOU1REMtr• I' 35. Final Gas Pipe -Test 89 sr�{ Li rT O K 'To G Rom 36. Hood or Canopy (-719'5 GenJT- Z n-)0 37. Final Factory Fireplace ,3 4V LJ 3. 38. Final Plumbing is c( 39. Water Service -Final Q vir 40. Gas Service -Final pu 41. Solar Domestic -Final 42. Backflow Preventer $ 43. Backflow Irrigation j`7 44. Landscape Irrigation System 45. Sound Attenuation r� 46. Handicap Regulations 47.' FINAL STRUCTURE & BUILDING 48. Special Requirements Completed v 49. Electric Release to Edison 50.1Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date r � . � City of Costa Mesa Development Services Department Building Safety Division P. O. Box 1200 Costa Mesa, California The Building located a CERTIFICATE OF OCCUPANCY No.0035?5 1032 West 18th IFl has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group 82 Occupancy. Use of Building Industrial Legal Description 424-331-10 (See reverse side for Metes and Bounds) Building Permit No B 36639 Electrical Permit No.E37574.E39638Plumbing Permit No.P39652,P:';..t Mechanical Permit No ISSUED TO: Burlincihatn Enterprises, Inc. 1835 Whittier Ave.,, Unit P8 Costa Mesa, CA 92627 Number of apartments and/or guest rooms Building Official George Edmiston byi �. , e' Date Atmust 22, 1989 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev. 1/83 White - Owner; Canary - Numerical File; Pink - Bldg. Permit File Applicant to fill In all spaces except those wit CITY OF COSTA MESA CONSTRUCTION PERMIT Proy"Address 1n12 WPSt 18th Street Costa MPea Ap liwnt'sMailing Address 411 (; G1assell Orange 92 Own ht Name Rtirlinaham Fnt ,lnfFnt�T�C. Phone� 8 7_ -� 8 Adipes 1233 Whittipr AVP.a_Unit F8. Costa Mesa. F8. Costa Mesa Ar h/Eng. Omnlspan Corp License No. A dress 479 S Marengo Ave Pasadena CA tntr�ctor's Nam Phone 997-3970 Addres5lmai ling)Qll-S. Glagcella nrAnge CA 92666 CillAicense No. ,45873 LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professlon Code, and my license is in full/Iprcq ryltl cif l License Class `D 1 / / Lice Date 1(1/17/RR Sig lure J � WORKERS' CO MPE NSATIO CLAM ATION I I hereby affirm that I have a certificate f coI nt t0 sa,I14nsore or a cart IIf"to -r Workers' Compensation Insuranc or a certified copy thereof (Section )0, tab. C ucy No. 74094-87 'Company State Comp. Certified copy is hereby furnished. �(Certifhied pi y�li tiled with the city riding wii i h Date Ll7 % f5fi Applicant. IC1 m1(I K1 CIIa rd SOn EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit is for one hundred ($100) or less). I certify that in the performance of the work for which this permit is Issued 1 shall not employ any person In any manner So as to become Subject to the Workers' Compensation Laws of California. Dale Signature NOTICE: If, after making this declaration, you should become subject t0 the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for �IvyyYh�i}�e this Ra rmit (s ) sued (Section 3097 Cie. C.) Lender's Name .; rI F �� RRllI i Vna _ - 9 Lender's AddresS' OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the a Law 1.5 by any applicant for a permit snolects the appneam to a civu afty of not more than five hundred dollars ($500). . 1, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's License taw does not apply to an owner of A property who builds or Improves thereon, and who does such work himself/herself or through his Or her own employees, Provided that such improvements are not Intended or offered for sale. If, however, the building or improvement is Sold within one year of com- pletion, the owner will have the burden Of Proving he/she did not build or Ins. s?ve for the purpose of sale). LJ I, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project(Section 7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of properly who builds or Improves thereon. and who contracts for Such prolects with a con- -tractor(s) license purSuant to the Contractor's License Law). 1 am aware that proof o their Worker's Compensation Ins Prance should be provided to me. ❑ 1 am exempt under Section B. & P. C. for this reason Date Owner 1 hereby certify that I have rea Information rrect. I agree to and staterla ws r ting to =.Icl l sentatives of this city to enter this application and state that the above .mnly vitt l city and county ordinances Z 3GG 3 9 I Nw Pt mL� TYPE OF CONSTRUCTION XJ NEW ADD ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG; __CO lines and sign all appropriate declarations. 3T NO. ' UNIT -)44 Ql^ ILV/ � A.P. 916 L T - �Y S Main Building: ALTERATION U REPAIR E I TYPE OF PERMIT LJ GRADING LJ FOUNDATION LW STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION 5�p'[_E��, X4,175 OCCUPANCY_ CON STRUCTION TYPE &P f� VALUATION$LZ ZONE GRADINGCU.YDS. ACRES_ — 1 O 1 Zone Accessory Building: T Front ->C.) I KJ1 O A Rear N C Right 4 N K Left L+° G R Ping. Ref. 9W DP -- %7- 22 Parking Rett./Provided ! E " O Planning Notes: ly M ...... t _ S. Remarks: T s- '1 `C`Q LI r 13 If 25W 7 23_L PC," 653-87L ELECTRICAL FEES • PLUMBING FEES Automatic Washer Construction Pole Sub. Transformer ❑ 15-50 KW ❑ 50+KW Bar Sink /. Showers _ Backflow Preventer. _ Service Sink Cooking Unit Meter ❑up to 100 amps Backflow Irrigation Sewer Cap - - Dishwasher Meter Clover 100 amps_ Bathtubs Sewer Connection Dryers ❑Gas ❑Electric Sub Panel Clarifiers • - Solar"Collectors Fan Motors HP❑1'r5-B, _ Dishwasher Solar Piping F.A.U. 1 Inc. Solar 119-15 HP 016-15+ Drinking Fountain Solar Tank Fixtures Microwave Floor Drains Swimming Pool w/Spa Device Boxes Pole Light Floor Sinks Urinal Outlets Range Gas Service uflatsWater Closet Switches �.. Sign Interceptors Water Heater Garbage Disposal - Standing Sections Kitchen Sink Water Service Generator 00.5 KW 05.15 KW Trash Compactor Lavatories Auto -Wash P -Trap Laundry Treys Roof Drains Reinspoction Fee $15 Issue Fee $ 3 DEVELOPMENT A SERVICES REQUIREMEA6P9r /i Date Zonid A / iJV Odr^•' /Z'�g�pp� Building Approved By Date %1_ s:.r_� Application Issued By Date 12- —T'—g "�i Reinspection Fee $15 Issue Fee $ 3 MECHANICAL FEES Boiler Duct - Under Ground Hood or Type 1 ❑ Canopy Type If ❑ BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK '5096 MECHANICALS PLAN CHECK 25% $ $ $ $ $ $ $ $ SUMM V OF E MIP $ •�I _ PERMIT ISSUANCE $ ENERGY P.C. S GRADING $ MICROFILM $ -7 TOTAL FEE $ SOL ' [ Duct - Structural Refrigeration System Duct - Ventilating ❑o-loo,000BTU ❑100,000BTU Exhaust System ❑ Multiple ❑ System Repair/Alteration Firepl/Fac[. Bit. (CBO Vk Fire Dampers Heating System & Ducting Registers 1:10-100,000-100,000 BTU 0100,000BT Reinspection Fee 1 $15 0865-46, rev. 5/,A White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor r Iswe Fee $ 3 01 00921586-09621587 TI=IT 502.79 DATE^ 12/03/83 TIME: 15:«3 I am CONSTRUCTION'AND PLANNING - rROVALS Permit # Date Inspector POOL `A APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Po61 & Equipment Location t 2. Soil Pipe-Un&grnd. - 53. Steel Reinforcement " 3. Electrical Conduit'Utility-Undrgrnd. 54. Forms - 4.'Electrical Conduit-Undrgrnd. - 55. Electrical Bonding Steel Reinf6rcement. 56. Rough Plumbing & Pressure Test 6.. ElectricalUFER'Gmd. 57. 'APPROVAL TO COVER-GUNITE i I r . 7. Footings .. 58. Electrical Conduit-Undrgrnd: ' 8. Foundation ;r 59. Gas Pipe, O Undrgrnd., Test i 9.• Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, ❑ Undrgrnd. _ 10: Structural Floor System 61. APPROVAL TO DECK ` 11 ; Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12: Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final . 14. Rough Plumbing; �;' 65. Electrical -Final 15. Rough Electrical -Conduit t 66. Solar System -Final 616. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit# 26. Rough Factory Fireplace 21. Ducts, in Structure �' ' 70 Underground Hydro 22. Ducts, Ventilating i, t r^ 71. Product Piping O Gas ❑ Oil 23. Gas Pipe -Rough & Test l: 72. Underground Flush 24. Roof Framing A .tr 73. Undergrnd. Storage Tank ❑ Gas ❑ Oil 25. Roof Sheathing l J 74. Overhead Hydro 26. T -Bar Ceiling (Structural) ik,Monocoat 75. Dry Chemical 27. Frame and Flashing $W 76. Dry Standpipe 28. Lathing &Siding ^'- 77. FIXED SYSTEM FINAL 29. Insulati6n 78. FIRE PREV. FINAL ' 30. Drywall Nailing �l _ - (p B'f HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat," �� -79. FINAL INSPECTION Y'32. Electrical PowekMdfer-Fin l 80. FOOD CERTIFICATE ISSUED 33. Final Electric "� �� Notes: I O t - Dl� 34. Final Heating & Air Conditioning HOLD FOR SPECIAL REOUTREtf: 16T 35. Final Gas Pipe -Test z3 g�j lST t (T 0 K G -b 36. Hood or Canopy 3 11 D' Z C fcP' 37. Final Factory Fireplace 8S rQ.OU� ,3 r CFQ- 38. Final Plumbing Iz j 39. Water Service -Fin at Y � �• X40. Gas Service -Final i �? 41. Solar Domestic -Final , 42. Backflow Preventer 43. Backflow Irrigation .l 44. Landscape Irrigation System 45. Sound, Attenuation 'G _ 46. Handicap Regulations t 47. FINAL STRUCTURE & BUILDING , 48. Special Requirements Completed 8 r tLe)�v VV 49. Electric Release to Edison •� 50. Gas Release to Southern California Gas Co ' 51. CERTIFICATE OF OCCUPANCY No. Date 1. Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT Project Address �('-3.� �.�• /� Applicant's Mailing Address l�G�% bL--L-4 Owner's Name one Li i Address /S 3, h'i�rr7i'c� A "c�Ail%[1'1 ArchfEng. License No. Address Contractor's Name /" (-•:t/'S Address (mailing) L;% Q2 City License No.r; ;Z6 LICENSED CONTRACTOR DECLARATION I hereby affirm that 1 am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and of ect. License gl�a7ss — �'+ _f License'tvo. �, 7 -3 1-• tf Date �TTTTI� �'� S'9 at� WORKERS' OMPENSATION DECLARATION I here 1p affirm that I have a certificate of consent to self -insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section '800. Lab. C.) +// 'olicY NO. C NLL' 4L� 4. 6m pan t 74 hereby p Certified copy is heby furnished. ' ` x1 C.H110.S filed with the City B O �^,ng Division. Date ly Applicant—/>_},,✓ %L/. CT EXEM 1 PpOM WORKERS' COMPENSATION DECLARATION (This sect) on need not be completed if the permit is for one hundred ($100) or less). I certify that in the performance Of the Work for which this permit is issuedI Shall not employ any person in any manner so as to become subject to INCh Workers' Compensation Laws of California. Data Signature NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comely with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed Pursuant to the provisions of the Contractor's License Law (Chapter 9(Commencing with Section 7000) of Division 3 of the Business and Protesli Code1 or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty Of not more than five hundred dollars ($500). 0 I, as owner of the property or my employees with wages as their sole compensation, will On the WOrk, and the Structure is not intended or Offered top sale (Section 7044, Business and Professional Code: The Contractor's License Izw does not apply to an owner of a property who builds or improves thereon, and who does sucn work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. 11, however, the building or improvement is sold within one year of com- pleiion, the owner will have the burden of proving he/she did not build or im- p rove for the purpose of sale). EJ I, as owner of the property. am exclusively contracting with licensed can, tractors to construct the projectSection 7044, Business and Professions Code: The Contractor's License LaW des not apply to an owner of properly who builds or improves thereon. and who contracts for such protects with a COn- tra001(5) license pursuant to the Contractor's License Law), 1 am aware that proof of their Worker's Compensation insurance should be provided to hi ❑ 1 am exempt under Section B. & P, C. for this reason Date Owner I hereby certify that I have read this application and state that the above information is c elan ect. I agree to comply with all city and county ordinances and sidle laws nB to building cons ruction, and hereby authorize repre- sentatives of his City to enter upo the above-mentioned pro er ty. for inspection purp es. / Signature --E „'�� • Date Drivers' License or SS W PE OF CONSTRUCTION LJ NEW LJ ADD ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. — ALTERATION IJ REPAIR TYPE OF PERMIT LJ GRADING LJ FOUNDATION LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION SO. FT. OCCUPANCY_ CONSTRUCTION TYPE VALUATIONS ZONE GRADINGCU.YDS. ACRES_ r Remarks: 1 :"_. -..!/ /_ -C.\' / -^s• 7, / % /' I f.' I Be, Sink Showers Backflow Preventer ServdeSink Backflow Irrigation Sewer Cap Bathtubs Sewer Connection Clarifiers Solar Collectors Dishwasher Solar Piping Drinking Fountains Solar Tank Floor Drains Swimming Pool w/Spa Floor Sinks Urinal Gas Service Outlets Water Closet Interceptors Water Heater Kitchen Sink Water Service Lavatories Auto -Wash P—Trap Laundry Trays Roof Drains A.P. # S Main Buildi E T Front A Rear C Right K S Left Ping. Ref. # Planning Notes: EES Automatic Washer Construction Pole Sub. O Cooking Unit Dishwasher Dryers ❑Gas []Electric Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator 00 5 KW El 5-15 KW Reinspection Fee ` $15 I I Issue Fee I $ 3 MECHANICAL FEES Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Bit. ICBO dk Heating System & Ducting 00100,000 BTU 0 100.000 Reinspection Fee I $15 0865-46, rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Hood or Type ❑ Canopy Type 11 ❑ Refrigeration System 110-100,000 BTU ❑ 100,000 BT System Repair/Alteration Fire Dampers Registers Issue Fee Zone Accessory Building: Parking Req,/Provided ELECTRICAL Transformer ❑ 15.50 KW ❑ 504 KW Meter Elul) to 100 amps Meter Dover 100 amps Sub Panel Motors 00-1 HP ❑ 1'h - 8 Inc. Solar ❑9-15 His 111615+ Microwave Pole Light Range Sign Standing Sections Trash Compactor Reinspection Fee ' $15 I Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By Application Issued By FEES $ 3 r N G R E Q M T S. SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ _ PERMIT PLUMBING $ %t7_y�_ ISSUANCE $ — PLAN CHECK 25% $ ENERGY P.C. S ELECTRICAL $ GRADING S ALAN CHECK 500,0 $ MICROFILM $ MECHANICAL $ TOTALFEE � $ PLAN CHECK 75% $ CONSTRUCTION AND PLANNING APPROVALS Permit # >" Date Inspector POOL & SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole r 52. Pool & Equipment Location 2. Soil P10-Undrgrnd. 53. Steel Reinforcement 3:;Elecirical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd.. 55. Electrical Bonding " 5. Steel Reinforcerhent': 56. Rough"Plumbing & Pressure Test 6:=•Ele'ctricdl UFER Grhd:•, 57. APPROVAL TO COVER-GUNITE 7: Footings 58. Electrical Conduit-Undrgrnd. B..Found-ation .; 59. Gas Pipe, O Undrgrnd., Tesi 9., Water Pipe-Undrgtnd. ' ' 60. Backwash Line;, P -Trap, G Undrgrnd. - 10.� Structural Floor System 61. APPROVAL TO DECK 11. Property;Sewer Line & House Corin8ction l 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final i 14. Rough Plumbing 65. Electrical -Final - 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 11 Rough Wiring Sign 68. APPROVED FOR PLASTERING Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19, Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21', Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping IJ Gas ❑ Oil 23, Gas Pipe -Rough & Test 72. Underground FlUsh 24. Roof Framing 73. Undergrnd. Storage Tank ❑ Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30: Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed , 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co ' _ 51. CERTIFICATE OF OCCUPANCY No Date Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA ME/S�14.1,J' A CONSTRUCTIIO PERMIT Project Address - s, aZ , 6 s 7 Applicant's Mailing Address /2O'7 L✓n..'�G7," Owner's Na e _ �N� TNyu:a,rIn 323.1 f, Address Tip. -s `77rt�'L2 -VI< 625::&1/D/ s Arch/Eng. ti License No. Address Contractor's Nam d Q - v hone %17`%b7S'L Address (mailing) O City License No. -IIt 7 ,% LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) Of bivision 3 of the Business and Professions Code, and my license is in fullf rca an a/feet. License C ass — License 2S'3 !3G Date Signature WORK S' MPENSATION DECLARATION 1 hereby affirm that I have a certificate of consent to self -Insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section 00, Lab. C.) -,T. P lolicy No. OHS 000`$(kompany 557117E V' A/0 y Certified coplls hereby furnished. Cer i 'ed c pY i5 file with the city Bui76ng Divi Sion.. Date Applicant f-')AAl A/O r� _ E%MP'rIOF4FFiOM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit is for one hundred ($100) or less). 1 certify that in the performance of the work for which this permit is Issued I, shall not em POY�any person in any manner so as to become subject to tile, Workers' Compensation Laws of California. Datey Signature NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097 Civ. C.) Lender's Name Londe,'$ Address OWNER BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or• county which requires a permit to Construct, alter, Improve, demolish or repair therefrom and the basis for the alleged exemption. Any violation or oacuon 7031.5 by any applicant for a permit subjects the applicant to a Civil Entity of not more than five hundred dollars ($500). I, as owner of the properly or my employees with wages as their Sole compensation, will do the work, and the structure Is net intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's "cerise Law does not apply to an owner of a property who builds or Improves thereon, and who doe% Such work himself/herself Or through his or her own employees, provided that such Improvements are not Intended or offered for sale. If, however, the building or Improvement Is Sold within one year of COM- iFon, the owner will have the burden of proving he/she did not build or im- for the purpose Of sale), as owner of the property, am exclusively contracting with licensed con- tractors to construct the project(Section 7044, Business and professions Code: The Contractor's License Law does not apply to an owner of property who build$ or Improves thereon, and who contracts for Such OrolectS with a Con- tractor(s) license pursuant to me Contractor's License Law). I am aware that proof o/ their Worker's Compematlon insurance Should be provided to me. ❑ 1 am exempt under Section S. & P. C. for this reason Dale Owner I hereby certify that 1 have read this application and state that the above information is correct. I agree to co IY with all city and county ordinances and state laws ting to building struction, and hereby authorize repre- sentatives Of is ity to ant on the above-mentioned pr per y for Inspectlon pu se n SignatuDate Drivers' License or SS — ...,. O ..f.....-.-. __ ..._. ...... A.P. 0 S E T A Main Building: Z*PE OF CONSTRUCTION 4 NEW LJ ADD U ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. Front Rear $ TYPE OF PERMIT GRADING 17 FOUNDATION ❑ TENANT ❑ ELECTRICAL K PLUMBING ❑ -OTHER El STRUCTURAL ❑ MECHANICAL C $ . Right Left Ping. Ref. + PROJECT DESCRIPTION SQ. FT. OCCUPANCY CONSTRUCTION TYP= VALUATION $ ZONE GRADING CU.YDS. ACRES Planning Notes: Sink Preventer Irrigation king Fountains e Drains u Sinks Service Outlets IGiwhan Sink Lavatories Roof Drains Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto -Wash FEES Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Eleitric Fan F.A.U. Fixtures Device Boxes. Outlets Reinspection Fee 1 $151 1 Issue Fee 1 $ 3 1 1 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Bit. ICBG # Heating System & Ducting 00.100,000 BTU ❑ 100,000 Bjl Reinspection Fee 1 $15 0865-46, rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Hood or Type ❑ Canopy Type II ❑ Refrigeration System 00.100,000BTU 11100,000 System Repair/Alteration /Fire Dampers Registers Issue Fee FEES $ 3 Zone B Parking Req./Provided ELECTRICAL Transformer ❑ 15-50 KW ❑ 50+KIN Garbage Disposal Generator ❑0.5 KW ❑5-15 KW Meter ❑up to 100 amps Meter El over 100 amps Sub Panel Motors 00-1 HP 01 1/5 - B Inc.,Sdlar 09-15 HP ❑16.15+ Pole Light Range Sign Standing Sections Trash Compactor Reinspection Fee $15 Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By n I N G R E D M T S. FEES $ 3 SMIP SUMMARY OF BUILDING PERMIT $ PLAN CHECK $ PLUMBING $ PLAN CHECK 25% $ ELECTRICAL $ PLAN CHECK 50% $ MECHANICAL $ PLAN CHECK 25% $ I N G R E D M T S. FEES $ 3 SMIP $ PERMIT ISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILM $, TOTALFEE $ -- 0100024555-00024555 TOT 38.60 DATE: 01/18/89 TIME: 13:33 CONSTRUCTION AND PLANNING .APPROVALS Permit # Date Inspector POOL _PA ,APPROVALS Permit # Date Inspector. 1. Temporary Pectrical Service or Pble _ 52. Pool & Equipment Location 2. •,Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3.: Electrical Conduit Utility-Undrgrnd. 54. Forms 4. 'Electrical Conduit-UndTrnd. 55. Electrical Bonding 5.'Steel �Reinforcement L ' 56. Rough Plumbing & Pressure Test 6.,ElectrioOLIFER Grnd'- 57. APPROVAL TO COVER-GUNITE '•7. Footings ' 58. Electrical Conduit-Undrgrnd. - '8.!Foundatjon 59. Gas Pipe, O Undrgrnd., Test 9. Water. Pipe-Undrgincl. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10: StruLiurill Floor System 61. APPROVAL TO DECK 11. PropertySewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap ,`� 63. Heater &Vent-Final 13. ,Roof Drains 64. Plumbing System - Final 14. Rough Plumbing.; S4 �� 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final •VB:' Rough Electric Wiring 67. Fencing & Access Approval 07. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18: Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 9: Rough Heating & Air Conditioning r, FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating rf oq 71. Product Piping 0 Gas 0Oil 23. Gas Pipe-Rough & Test V X12, `•Underground Flush 24. Roof Framingt' �I. 73. Undergrnd, Storage Tank O Gas ❑Oil 25. Roof Sheathing } 74. Overhead Hydro 26. T-Bar Ceiling (Structural) &,Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31 Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80.' FOOD CERTIFICATE ISSUED 33. Final Electric 34. Final Heating & Air Conditioning .. 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace _ 38. Final Plumbing 39. Water Service-Final SQ/ffL� `� r ;_••y 40. Gas Service-Final 41. Solar Domestic-Final` 42. Backflow Preventer r 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING r. 48. Special Requirements Completed 49. Electric Release to Edison ! ,� 50. Gas Release to Southern California Gas Co , 51. CERTIFICATE OF OCCUPANCY No Date I Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA 'Cnr NST'R'ue+iON PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. Project Address L 42 W � � tH kh Applicant's Mailing Address 351S- i'.. M/ R A1 -O mA A K R .Owner's Name ILURU N& H AM 6NT1_R I215E5 Phone -9'77-3970 Address Arch/Eng. ^ License No. Address Contractor's Nam1T4-�_ ELF-�1'iUG/NC P h o n a NA9N 6913 P -I 607/1- ingl City License No. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. LicenseCf ass p 0 Iiceni9 N Date �-y�-Z �' / 519 C6�la�1t� WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section i'e " 00, Lab. C.) Ricy rvo. J4 233 4'L4.8SCompany FALI FI C t4^7-)caNAL Certified copy is hereby furnished. Certifi�td cop I f- etl with the city B 1 Ing Sion Date 2/� APPlicani- EXEMPtION FROM WORI OM ENSATION DECLARATION (This section need not be completed if the permit is for one hundred ($100) or less). Shallno that in the performance an the work for which this permit is t to t, I shah not employ any person in any manner so as to become subject to the Workers' Compensation Laws California. Date ' Signature NOTICE: If, after making this declaration, you should become subtest to the Workers' with such on provisions of the permit Code, you must forthwith comply with such ENDING or this permit Shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a is permit fending agency for the 97 Civ.a C.) 01 the work for which this permit is issued (Section 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter. Improve, demolish or repair any structure, prior to Its Issuance, also requires the applicant for Such permit to file a signed statement that he/she Is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/She is exempt therefrom and the basis for the alleged axe motion. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil eenalty of not more than five hundred dollars ($500). lJ I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure Is not Intended or offered License Law does not apply to an owner of a property Who pintas or improvm thereon, and who does such work himself/herself or through his or her own employees, provided that such Improvements are not intended or offered for Sale. If, however, thebuilding or improvement is solo within one year of Com- pletion, the owner will have the burden o1 proving he/she did not build or IM- P fpr the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed con- tractorsto construct the project (Section 7044, Business and Professions Code: The Contractor's Licehse Law does not apply to an owner of property who builds or improves thereon. and who contracts for Such orolecls With a con- tractors) license pursuant to me Contractor's License Law). I am aware that proof o/ their Workers Compensation Insurance should be provided to me. ❑ 1 am exempt under Section B. S P. C. for this reason Date Owner I hereby certify that I have read this application and state that the above Information is correct. I agree to comply with all City and county ordinances and state laws relating to building construction, and hereby authorize repre- sentatives of this cit to e r u n the above-mentioned property for Inspection Pur es Signature Date Drivers' Li SS TYPE OF CONSTRUCTION W NEW LJ ADD ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. — ALTERATION LJ REPAIR TYPE OF PERMIT U GRADING LJ FOUNDATION LJ STRUCTURAL ❑ TENANT D�J ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION SO. FT. OCCUPANCY CONSTRUCTION TYPE VALUATIONS ZONE GRAOINGCU.YDS. ACRES Remarks: A.P. vW S Main Building: T Front B Rear A C Right K S Left Ping. Ref. # Accessory Building: Parking Req./Provided Zone T N G R E G M T S. ' - " ELECTRICAL FEES PLUMBING FEES Automatic Washer Construction Pole Sub. Transformer ❑ 15-50 KW ❑ 50+KW Bar Sink Showers Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps Backflow Irrigation Sewer Cap Dishwasher Meter ❑over 100 amps Bathtubs Sewer Connection - Dryers ❑Gas ❑Electric Sub Panel Clarifiers Solas Collectors G7 Fan Motors 110-1 HP ❑l%-8 Dishwasher Solar Piping F.A.U. Inc. Solar 09.15 HP 016.15+ ,DrinkingFountains Solar Tank Fixtures Microwave 1-7 701 IF Wor Drains Swimming Pool w/Spa Device Boxes Pole Light Floor Sinks Uri pe, 30 Outlets Range Gas Service OutletsWater Closet /a Switches Sign Interceptors Water Heater Garbage Disposal Standing Sections Kitchen Sink Water Service Generator 1:10.6 KW 05.15 KW Trash Compactor Lavatories Auto -Wash 00 0, P -Trap Laundry Trays Roof Drains Reinspection Fee $15 Issue Fee $ 09 DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved By Data Application Issued By Date Reinspection Fee $15 Issue Fee $ 3 j MECHANICAL FEES '. Boiler H or Type 1 ❑ nopy Type I I ❑ BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMMAR $ $ $ $ $ y_/ -_/V $ [� ! $19.7 $ O E SMIP $ PERMIT ISSUANCE $ ENERGY P.C. $ GRADING $ `� MICROFILM $ TOTAL FEE $ .o Duct - Under Ground Duct -Structural Refrigeration System ❑0.100,000BTU 0100,000BTU Duct -Ventilating Exhaust System ❑ Multiple ❑ System Repair/Alteration Firepl/Fact. Bit. ICBO dk Fire Dampers Heating System & Ducting DO -100,000 BTU 0100,0006 Registers Reinspection Fee $15 0865-46, rev. 5/88 White - Building: Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Issue Fee $ 3 0100026931-00026931 -rOT 59.70 DATE: 02/23/89 TIn: 12:55 CONSTRUCTION AND PLANNING APPROVALS Permit# Date Inspector POOL _ 8PA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole ` j 52. Pool & Equipment Location 2.y Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. =. 54. Forms - 4.. Electrical Conduit-Undrgrnd. 7 55. Electrical Bonding 5 Steel _Reinforcement ,.';t ''. 56. Rough Plumbing & Pressure Test 6. Electrical LIFER Grnd'�' 57. APPROVAL TO COVER-GUNITE ^, 7: Footings r , '" t4� 58. Electrical Conduit-Undrgrnd. _ 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. r = 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK r 11. Property Sewer Line'& House Connection t 62. Backwash & Receptor -Final 12. SewerCap 63. Heater & Vent -Final 13r Roof -Drains � � q ' ,� 64. Plumbing System -Final 14. Rough Plumbing, 'L 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 46: Rough Electric Wiring 67. Fencing & Access Approval 17: Rough Wiring Sign .t 68. APPROVED FOR PLASTERING 18., Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19! Rough Heating & Air Conditioning � v FIRE DEPT. REQUIREMENT APPROVALS Permit # 20! Rough Factory Fireplace 21:. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating ', 71. Product Piping 0Gas 0Oil 23. Gas Pipe -Rough & Test 72: Underground Flush 24. Roof Framing ,. 73. Undergrnd. Storage Tank 0Gas 0Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31-. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter, -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning• i r 35. Final Gas Pipe -Test 36. Hood or Canopy- - 37. Final Factory Fireplace 38. Final Plumbing - 39. Water Service -Final 40. Gas Service -Final' 41. Solar Domestic -Final C._\ 42. Backflow Preventer �•; 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern'California Gas Co 51. CERTIFICATE OF OCCUPANCY No.Date •' ' i " ' ` -' L' O /' Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. , TRACT NO. I LOT NO. I UNIT NO. IA.P.- Project P Project Address /,050, 7+t'►( Applicaht's Mailiney ,A,ddress ill E• L/alLOW rJ C a Owner's Name l4 AMA4 Phone Address Arch/Eng.L'� n$e No. t�Tsr Address z 81f1 Contractor's Name .S� Phone L,fGz.ClyZ� Address (mailing) XV E. 11AArLy.A1 At YE 42A&Y6 City License No, 0342 UO LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Cotle, and my license is in full force and effect. License Class C— 1<4 Lice If 70 Date /'/O-e�j Signature v �Tl �oCdL WORKERS' COMPENSATION DECLARATION O 1 hereby affirm that I have a certificate of consent to self -Insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section �s 00, Lab. C.) policy No. &13000 Company �MNAiS A/AIO P Certified copy is hereby furnished. r-Id/G A44/1LE9:P Certified copyj5 :led with the city Building vision. \ Date /—/O' • • Applicant •=Tt EXEMPTION FROM WORKERS' COMPENSATION DECLAR N (This section need not be completed i1 the permit is for one hundred ($100) or less). I certify that in the performance of the work for which this permit is Issued I shall not employ any person in any manner so as to become subject to tfle Workers' Compensation Laws of California. Date Signature NOTICE: 11, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. til CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) Of Division 3 of the Business and Professions Code) or that he/she is exempt `herefrom and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil .enalty of not more than five hundred dollars ($500). ❑ I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure is not intended Or offered for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds Or Improves thereon, and who does such work himself/herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. If, however, the building or Improvement is sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or im- rove for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project tSection 7044, Business and Professlons Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon. and who contracts for such oroiects with a ron- tractor(s) license pursuant to the Contractor's License Law). I am aware that proof off their Worker's Compensation Insurance should be provided to me. ❑ 1 am exempt under Section B. & P. C. for this reason Data Owner I hereby certify that I have reap Signature ya} X01 Drivers' License or SS # 0865-46, rev. 5/88 this application and state that the above >mply with all city and county ordinances construction, and hereby authorize repre- ton the above-mentlonetl property for Data TYPE OF CONSTRUCTION A NEW IJ ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMO LISH ❑ OTH DESCRIPTION OF WORK/USE OF BLDG. - tri k TYPE OF/PERMIT LJ GRADING LJ FOUNDATION LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION SQ. FT. OCCUPANCY CONSTRUCTION TYPE VALUATION $4—*--" ZONE GRAOINGCU.YDS.. ACRES— Remarks: Remarks: 3ar Sink Showers 3ackflow Preventer Service Sink 3ackflow Irrigation Sewer Cap 3athtubs -Sewer Connection Clarifiers Solar Collectors Dishwasher Solar Piping Drinking Fountains Solar Tank Floor Drains Swimming Pool W/Spa Floor Sinks Urinal Gas Service Outlets 4Vater Closet Interceptors Water Heater Kitchen Sink Water Service Lavatories Auto -Wash P—Trap Laundry Trays Roof Drains Reinspection Fee 1 $15 Duct- Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Bit. ICBO Heating System &Ducting ❑0-100,000 BTU ❑100,000 Reinspection Fee I $15-1 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor FEES Issue Fee I $ 3 IANICAL FEE Hood or Type ❑ Canopy Type 11 ❑ lefrigeration System 50-100,000 BTU 01001,000BTU System Repair/Alteration Fire Dampers % Registers H. Issue Fee $ 3 S Main Buildi E T Front B Rear A C Right 8 Left Ping. Ref. # Planning Notes: Accessory Building: Req./Provided Zone 7 N G R E Q M T S. Garbage Disposal / Generator ❑0.5 KW ❑5-15 Standing Sections Trash Compactor I I Reinspection Fee 1 $15 1 1 Issue Fee 1 $ 3 1 1 DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By ELECTRICAL FEES Automatic Washer Construction Pale Sub. Transformer ❑ 15-50 KW ' ❑ 50+KIN Cooking Unit Meter ❑up to 100 amps Dishwasher Meter ❑over 100 amps Dryers ❑Gas []Electric Sub Panel Fan Motors ❑ 0.1 HP Ell % - 8 F.A.U. Inc. Solar 09.15 HP 016-15+ Fixtures Microwave Device Boxes Pole Light Outlets Range Garbage Disposal / Generator ❑0.5 KW ❑5-15 Standing Sections Trash Compactor I I Reinspection Fee 1 $15 1 1 Issue Fee 1 $ 3 1 1 DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By 0100024367-00024368 TOT ?00.78 DATE: 01/16/89 TIME: 13:20 SUMMARY OF FEES" BUILDING PERMIT $ 00 SMIP $ 7-3 PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $. PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTALFEE $ A00�78 PLAN CHECK 25% $ 0100024367-00024368 TOT ?00.78 DATE: 01/16/89 TIME: 13:20 CONSTRUCTION AND PLANNING t; APPROVALS Permit # Date Inspector POOL SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole •� 52. Pool & Equipment Location 2. ;Soil Pipe-Un J grnd. 53. Steel Reinforcement 3.• ElecVical Conduit Utility-Undrgrnd.. ` •' 54. Forms -� 4:)Electrical Conduit-Undrgrnd. ; , 55. Electrical Bonding 5.'Steel;Reinforcement '„ t, 56. Rough Plumbing & Pressure Test ! 6` Electrical UFER,GrAd' 57. APPROVAL TO COVER-GUNITE 7. Footings j 1 `% 58. Electrical Conduit-Undrgrnd. VFoundation' : c 59. Gas Pipe, 0 Undrgrnd., Test 't 9. Water Pipe-Uhdrgrnd. n' 60. Backwash Lines, P-Trap, 0 Undrgrnd. 1 1d:{Structural Floor System ;. 61. APPROVAL TO DECK 11: Property Sewer Line & House Connection ). 62. Backwash &Receptor-Final 12. Sewer Cap„ , ;' ;j 63. Heater &Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbingj, J 65. Electrical-Final - 15. Rough Electrical-Conduit 66. Solar System-Final 18. Rough Electric Wiring 67. Fencing & Access Approval 17! Rough Wiring Sign 68. APPROVED FOR PLASTERING 18: Rough Electrical-T Bar CeQUng 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Condiiionln9 FIRE DEPT. REQUIREMENT APPROVALS Permit # f37[63 20. Rough Factory Fireplace 21. Ducts, in Structure -� lY 70. Underground Hydro 22. Ducts, Ventilating f% 71. Product Piping 0Gas 00il 23. Gas Pipe-Rough & Test �,,• ✓ 72.. Underground Flush W 6 Bim/TW 24. Roof Framing kl- . 73. Undergrnd. Storage Tank DGas 0Oil 25. Roof Sheathing 1 74. Overhead Hydro 26. T-Bar Ceiling (Structural) &•Monocoat 75. Dry Chemical 27. Frame and Flashing ; • 76. Dry Standpipe 28. Lathing & Siding i �� 77. FIXED SYSTEM FINAL �J 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat.'" 79. FINAL INSPECTION 32. Electrical Power Meter-Final , 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final r 41. Solar Domestic-Final 42. Backflow Preventer Y ji CI 43. Backflow Irrigation , 44. Landscape Irrigation System , v 45. Sound Attenuation �y 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co �- •. 51. CERTIFICATE OF OCCUPANCY No. Date - Applicant to fill In all spaces except those within heavy border Imes and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT Project Addresre ��3z %� G(liLS%- %3if'4 57, l�+lslz/H�sw Applicant's Mailing Ad dr s N Owner's Name �7^ one Address�15u- Arch/Eng. Pir ?Pi* License No. Y5 -r270 �aZ.LLLZI Address (mailing) 4r..,•1 City License No. 3 iOFJO 4 LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in full to r< antl effect. SZ License CI ss a/ Li c a No. Date �� Signature / �r•✓� WORK RS COMPENSATION DECLARAN 1 hereby affirm that 1 have a certificate of c nsent to self -Insure or a certificate -f Workers' Compensation Insurance, or a certified copy thereof (Section 300, Lab. C.) Policy No. I )ZEiAW Company •Y% k I1:yl_j�:ertified copy is hereby furnished. _I Certife c y i filed with the city Buil 9 D' �slo{� Date Applicant' 1r�/Lr /•/1L4 EX EMPMP O�RKERV COMPENSA N DECLARATION (This section need not be completed if the permit is for one hundred ($100) or lescs). I ertify that in the performance the work for which this permit is issued I shall not employ any person in any y manner so as to become subject to tyle Workers' Compensation Laws California. Date —Signature NOTICE: C after making this ions of the you r Cod become Subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lendingagency for the performance issue of the work for which this permit is issued (Section 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, alter, Improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil dna lty of not more than five hundred dollars ($500). I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or Improves thereon, and who does Such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however, the building or Improvement is sold within one year of cpm- pation, the owner will have the burden of.proving he/she did not build or im. prove for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed con. tractors to construct the project(Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of properly who builds or improves thereon. and who contracts for such oroiects with a Con. tractor(s) license pursuant to the Contractor's License Law). I am aware that proof of their Worker's Compensation Insurance should be provided to me. ❑ 1 am exempt under Section B. & P. C. for this reason Date Owner I hereby certify that 1 have reap information is correct. I agree to and state laws relating to buildir Signature Drivers' License or SS 9f 0865-46, rev. 5/88 mom I this application and state that the above comply with all city and county ordinances 9 construction, and hereby authorize repre- upon the above-mentioned property for TYPE OF CONSTRUCTION LI NEWS LJ ADD LJ ALTERATION LJ REPAI R 1:1 CONVERSION C3 DEMOLISH [J OTHER DESCRIPTION OF W K/USE OF LD .i=—r_s{ r Ir j ti �c -�S _r TYPE OF PERMIT((( ---III ��-LJ G ADINGI LJ -IFOUNDATION STRUCTURAL 1❑yT�N ANT �E' TRICAL LJ.N LUMBING ❑ MECHANICAL l0 OTHER rte- , rQ_S 5 s 0y\ PROJECT DESCRIPTION SO F �a nrruPANry CONSTRUCTIONTYPE Lj ;=VALUATIONS'j5 rJKJ_� ZONE GRADINGCU.YDS. ACRES A.P. # I Zone S Main Building: Accessory Building: T Front B Rear A C Right K Left Ping. Ref. # Parking Req./Provided -Plannino Notes: R N G R E O M T S. Remarks: Reinspection Fee ELECTRICAL FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved By Date,-��..aq� Application Issued By Date___Q( a Issue Fe PLUMBING FEES Automatic Washer Transformer El 15-50 KW Construction Pole Sub. El 50+KIN Bar Sink Showers Backflow Preventer Service Sink SUMMARY OF FEES BUILDING PERMIT $ if - r2 *3 SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $ PLAN CHECK 25% $ Cooking Unit Meter ❑up to 100 amps Backflow Irrigation Sewer Cap Dishwasher Meter ❑over 100 amps Bathtubs Sewer Connection Dryers ❑Gas ❑Electric Sub Panel Clarifiers Solar Collectors Fan Motors❑0.1 HP 1%-8 Dish Washer Solar Piping F.A, U. Inc. Solar -15 HP 016-15+ Drinking Fountains Solar Tank Fixtures Mic ave Floor Drains Swimming Pool w/Spa Device Boxes Ifole Light Floor Sinks Urinal Outlets Range Gas Service Outlets Water Closet Switches_ Sign Interceptors Wat eater Garbage Disposal Standing Sections Kitchen Sink ;Water Service Generator E10-5 KW 1:15-15 KW Trash Compactor Lavatories Auto -Wash P -Trap I Laundry Trays Roof Drains Reinspection Fee, I $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Bit. ICBG d6 Heating System & Ducting ❑0-100,000 BTU ❑l 00,000 BT I Reinspection Fee 1 $15 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor i Reinspection Fee $15 Issue Fee $ 3 DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved By Date,-��..aq� Application Issued By Date___Q( a Issue Fe $ 3 1ANICAL FEES Hood Type ❑ C py Type 11 ❑ SUMMARY OF FEES BUILDING PERMIT $ if - r2 *3 SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $ PLAN CHECK 25% $ Refrigeration System 00-100,0006TU ❑100,000 BTU System Repair/Alteratioh . Fire Dampers Registers �'r 01 00035444-00035445 TOT 21.5r, Issue Fee $ 3 DATE: 08/15/89 TIME: 10:43 CONSTRUCTION AND PLANNING APPROVALS,:P,ermit# Date Inspector POOL � SPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2.:Soil Pipe-UndFg�nd. - 53. Steel Reinforcement 3. 'Electrical Conduit Utility-Undrgrnd. 54. Forms ' 4. Electrical Conduitt-Undrgrnd. r, � 55. Electrical Bonding 5. Steel Reinforcement `L' 56. Rough Plumbing & Pressure Test 6. Electrical UFERtGrnd: r 57. APPROVAL TO COVER-GUNITE I 7. Footings -, ' 58. Electrical Conduit-Undrgrnd. B. Foundation � 59. Gas Pipe, O Undrgrnd., Test 9'. Water Pipe-UndF4tnd. 60, Backwash Lines, P -Trap, O Undrgrnd. 10: Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final ' 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing; 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final X16. Rough Electric Wiring 67. Fencing & Access Approval !17. RoughlWiring Sign 68. APPROVED FOR PLASTERING RoughElectrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL iv. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit #F3B947 20. RoughFactory:Fireplace 21. Ducts,'in Structure 70. Underground Hydro 22. Ducts, Ventilating r 71. Product Piping O Gas ❑ Oil i 23. Gas Pipe -Rough & Test 72. Underground Flush 0, 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing)__ 74. Overhead Hydro v 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation N 78. FIRE PREV. FINAL 74 � 30. Drywall Nailing /%" HEALTH DEPT. REQUIREMENT 31-: Plaster Brown Coat :J 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric �,t}� Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 1,1 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation Systeme 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co '. 51. CERTIFICATE OF OCCUPANCY No. Date �•'� J ,i t PROSECT ADDRESS: 3.032 W 18T11 ST UNIT: A— 5 OWNER'S NAME: J 6 M ENT. ADDRESS: SAME AS ABOVE 714/646-1584- ARCH/ENGINEER: REG.HO.: ADDRESS: - 'r UNIT: PERNWITEE: DEMAND ELECTRIC - (714)645-3656 ADDRESS: 315 SANTA ISABEL ' COSTA MESA . CA 92627 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under r vis on of Chapter 9 (comm with Section TOM) of Division 3 of the Business and Professions Cade, and my ficensa s in N force/land effect. CITY LIC.: 0' 4/n 2 4) 7 STATE LIE.: 12 4 5 4 CUSS: —} 0 Date: 11 �"t - GI O Signature, kkfil WORKERS' COMPENSATION DECLARATION: I here0y affirm for I have a certificate of consent t0 selt-insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section 3800. Lab. C). POLICY NO.: EXP. DATE: COMPANY: �1 Cenitled copy is hereby tumished. ❑ Certified copy is filed who Ne city Building Division. v date: Applicant: Ill the permit is any person in Laws of California. Date: (n — —L 1 Signature: NOTICE: It, after making this decimation, you should co e sublet[ to the Workers' Compensation provisions of the Labor Code, you must forthwith comply, with such provisions or this mann t she)) be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for Ins performance of the work for which this pemtit is issued (Section 3097, Civ. Q. LENDER: ADDRESS: ... .. DINNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law lar the 1000vdng reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the deged exemption. Any violation of Section 7031.5 by arty applicant for a permit subjects the applicant to a Civil penalty of not more than live hundred dollars ($500). I, az owner of the property or my employees with wades as their sole compensation, will do the work and the d structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended ar offered for sale. It, however the building or improvement B sold within we year of completion, the owner wig have the burden of proving he/she did not brand or improve for the purpose of sale). I, as owner o1 the property, am exclusively contacting with licensed contractors to construct the project (Section 7044, Business Eland Professions Code: The Contactors' tate License Law does cot apply to an owner of property who buuds or improves thereon and who contracts for such projects m with a ntmCar(s) license mesuam to the Contractors State License Law). I am aware that prool of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: O. 8 P. C, for this reason: Date: I do hereby unity that I a 25534 and that I or any tut permit for construction or these provisions. Owner: m aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and ure building Occupant will/will not (circle one) need to comply with Said state codes and the requirements for a modification tram the Air Quality Management District. Residential construction applications are exempt from Date: Applicant: I hereby cenily that I have read this nPll(atlon and state that th above informalmn Is c 1. 1 agree to CO tDly inn all city and county ordinances and state laws relating to building construction r y authome represent of Ws city in enter upo the above-mentioned propeM for inspection purposes. e 'Date: C/'y Signature: Driver's License or Social Security x: 16414e White—Building: Green—C icle Enforcement; Canary—Appicant; Ninx—Revenue; GOManrod—nnessor CITY OF COSTA MESA —,BUILDING PERMIT PERMIT NO: E 046820 PLAN CHECK NO: N CONSTRUCTION TYPE: PERMIT TYPE: ELE JOB DESCRIPTION INSTALL NEW FLORESCENT LIGHTING CLAIM VALUE: CALC—VALUE: PERM NO: E 046820 GOVT: N S0PP: N PURPOSE: OTH SQ FT: GROUP OCC:.- COMMENTS: CC:: COMMENTS: 7. O N I N G R E Q U I R E M E N T S E T B A C K S MAIN BUILDING —— FRNT:---- PT IN REAR'- FT IN LEFT: FT IN RGHT: FT IN ACCESSORY BUILDING FRNT: FT IN REAR: FT IN LEFT- FT IN RGHT: FT IN PARKING REO: PROV: PARCEL:,42433110 ZNE: REF NO: PLANNING NOTES> D E V E L 0 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: A DATE: LEGALIZATION:N' F E E" S'U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMTP/RES GRADING PERMIT 6.75 50% SMIP/NON—RES PLAN ISSUE FEE 15.00 BUILDING—DIV--> PERMIT ISSUE .PLAN—CHECK TOTAL PAID DUE TOTALS 6.,75 15.00 0.00 21.15 21.75 .00 REVENUE DIVISION TOTALS--> COLLECTED: 21.75 OVER/SHORT: 1.00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 21.75 I N D I,V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N ELE 9FIXTURES, LIGHTING 1 ST )0 END OF FEES UNIT COST TOTAL COST EA. ,75 61.75 01 00057851-00057851 TOT .21.75 DATE: 04/04/90 TIME: IS:25 CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POOL ,PA gppROVALS Permit # Date Inspector J. 1. Temporary Electrical Service'or Pole - 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding ^ .5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings „ 58. Electrical Conduit-Undrgrnd. _ 8. Foundation - ; - - 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System _ 61. APPROVAL TO DECK 11. Property Sewer Line &House Connection - 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning , FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace - - 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas ❑Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and, Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL -• 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing - HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test - 36. Hood or Canopy 0 - 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation - 44. Landscape Irrigation System _ 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA 1 CONSTRUCTION PERMIT Project Address 103• ��• 7 Applicagt's Mailir9 Address 107 W i/J�LS ,PaM ,,pL,l vl it •}>"J 1^ �fhy C Owner's Name one Address '3S /77i°�,P /-s V/__ A S � Arch/Eng. License No. Address r Contractor's Name / Phone. e Address (mailing) Z-',� C%7 Lr /(/NS City License No. � 'S 7 6yia LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (Commencing With Section 70001 of Division 3 of the Business and Professions Code, and my license is in full force and e!Aact. �1 Lice nsoe last Lice t 0. Date 9.JJJ"""i �' S79 t -Leal WORKERS' OMPENSATION DECLq RATION ' �creb affirm that I have a certificate Of consent to self -insure or a Certificate Workers' Compensation Insurance, or a certified copy thereof (Section ,0,Lab . C //['� 1Policy No. 11V�'-.539--0 (��S Cdrnpany },I Cerlifi d copy it hereby furnished, �(I Cert' d co is filed with the cit, g��1Ln rDivision. , Date Applicant//_c71�✓C7G EXEM I FROM WORK ERS'COMPENSATION DECLARATION (This section need not be completed If the permit is for one hundred ($100) or lets). I certify that in the performance Of the work for which this permit IS Issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Signature NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit Shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to Construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed Pursuant to the provisions Of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of ^ivision 3 of the Business and Professions Code) or that he/she is exempt vefrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit Subjects the applicant to a civil nalty of not more than five hundred dollars ($500). b 1, as owner of the property or my employees with wages as their Safe Compensation, will do the work, and the structure is not intended or offered for Sale (Section 7044, Business and Professional Code: The Contractor's License law does not apply to an owner of a property who builds or Improves thereon, and who does such work himself/herself or through his or her own employees, Provided that such improvements are not intended or offered for sale. If, however, the building or Improvement Is Sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or Im- Fprove for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Con- tractors to construct the project ISeCtion 7044, Business and Professions Code: The Contractor's UCense law does not apply to an owner of property who byilds of Improves thereon. and who contracts for such projects with a can - tractor( s1 license pursuant to the C(ntractor'S License Law). I am aware that proof o their Worker's Compensation Insurance should be provided to me. ❑ I am exempt under Section B. & P. C. for this reason Date Owner I hereby certify that I have real Information is c e agree to and State laws elatiriP to but ldm sentatives of his ciijy to enter Inspection purp et._ Signature Drivers' License or SS this application and state that the above Imply with all city and county ordinances cons ruction, and hereby authorize repre- mnni thn annve-mentinned nrooerty. for 1 K — -Ad / :< T / / — J 1 ,_. / • 1 s Sink Backflow Preventer Service Sink If— 10 Ll Backflow Irrigation Sewer Cap A.P. S Main Building: Accessory Building: TYPE OF CONSTRUCTION LJ NEW LJ ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. E T Front A Rear C Right TYPE OF PERMIT GRADING 11 FOUNDATION LJ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER $ Left Ping. Ref. # Parking Req./Provided PROJECT DESCRIPTION SO. FT. OCCUPANCY CONSTRUCTION TYPE VALUATION $ ZONE GRADINGCU.YDS. AC RES/ Planning Notes: Kitchen Sink Water Service � Remarks: —�//- —2 Q -. �, // /7 Y-1 1 K — -Ad / :< T / / — J 1 ,_. / • 1 s Sink Backflow Preventer Service Sink If— 10 Ll Backflow Irrigation Sewer Cap Bathtubs Sewer Connection Clarifiers Solar Collectors $ Dishwasher Solar Piping Drinking Fountains Solar Tank Floor Drains Swimming Pool w/Spa Floor Sinks Urinal $ Gas Service Outlets Water Closet 25% Interceptors Water Heater $ Kitchen Sink Water Service Lavatories Auto -Wash $ P—Trap Laundry Trays 50% Roof Drains $ � $ Reinspection Fee $15 Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Bit. ICBO # Heating System & Ducting ❑0.100,000 BTU ❑ 100,000 BTi Reinspection Fee I $15 0865-46, rev. 5/88 White - Building; Canary - Applicant: Pink - Accounting; Goldenrod - Assessor Issue Fee Hood or Type ❑ Canopy Type It ❑ Refrigeration System ❑0.100,000BTU 0100,000 System Repair/Alteration Fire Dampers Registers Issue Fee ELECTRICAL Automatic Washer Transformer ❑ 15-50 KW Construction Pole Sub. ❑ 50 + KW Cooking Unit Meter ❑up to 100 amps Dishwasher Meter Dover 100 amps Dryers ❑Gas ❑Electric Sub Panel Fan Motors ❑ 0-1 HP Ell % - 8 F.A.U. Inc. Solar 09-15 HP 016-15+ Fixtures Microwave Device Boxes 'Pole Light Outlets Range Switches Garbage Disposal Generator 110.5 KW 1:15-15 KW Zone Standing Sections Trash Compactor FEES O N I N G R E Q M T S. Reinspection Fee J $15 1 1 Issue Fact 1 $ 3 1 1 $ 3 DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By FEES Building Approved By Application Issued By /,) $ 3 01 00039744-00039784 'TOT 45 CATE: 0E/07/99 TTtiE: ":10 SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK MECHANICAL 50% $ MICROFILM $ TOTALFEE $ � $ PLAN CHECK 25% $ 01 00039744-00039784 'TOT 45 CATE: 0E/07/99 TTtiE: ":10 CONSTRUCTION AND PLANNING ih' APPROVALS Permit# Date Inspector POO ;PA APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole • • 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3.' Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. •� 55. Electrical Bonding 5. Steel Reinforcement -' J 56. Rough Plumbing & Pressure Test 6. ;Electrical LIFER Grddrl 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation !j 59. Gas Pipe, ❑ Undrgrnd., Test • f 9. Water Pipe-Undrgrnd. i 60. Backwash Lines, P -Trap, O Undrgrnd. 10.r Stiuctural Floor System - ^ 61. APPROVAL TO DECK 11. Prdperty'Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap I 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final , 14. Rough Plumbi6g 65. Electrical -Final ' 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 4147 Rough Wiring Sign 68. APPROVED FOR PLASTERING 18� Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 1'9.Rough Heating &Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21( Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe -Rough & Test _ 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical, 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding - 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing - 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer i _87.AW 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed ' 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co _ 51. CERTIFICATE OF OCCUPANCY No. Date ;.• Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations CITY of COSTA' MESA CONSTRUCTION PER IT Project Address /©32 :t/^ IS_W.57- L3 -- P RMIT NO. � TRACT NO. LOT NO. UNIT A.P. # zone S Main Building: Accessory Building: JYPE OF CONSTRUCTION 'NEW LJ ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER / DESCRIPTION OF WORK/USE OF BLDG. II ' l ApplicagYs Mailing Address 07 kV, CNf irfy5 934; r� Owner's Name LJ u RAiiy (eHM✓1 .Enn®P. P one 4.� ^AUk7 Address /�' A�rf/r`r77E--2 //�`1/F �L�57A lne-5,4 E T Front Z 0 A Rear N K Right G Arch/Eng. License N.. Address TYPE OF PERMIT GRADING8LJ �pnn FOUNDATION STRUCTURAL ❑ TENANT ELECTRICAL &PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION SQ. FT. OCCUPANCY � CONSTRUCTION TYPE �� VALUATION $ ZONE GRADING CU.YDS. ACRES S Left R Contractor's Name-2ofQES•S (�L✓MAln,(. Phone '29')I -S7 it 0 W. s Address (mailing) m �'—r-�+p-r"-i City License No.(,� LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in full / ce antl ffect "� 2 S�/ 3y Ping. Ref. # Parking Req./Provided Q PlanningNotes: M T S. Remarks: ELECTRICAL FEES !� V License ass License ray. Date. /A� Sig t -� t WORKlliRS' doMPkNSATION DECLARATIONConstruction ' hereby affirm that I have a certificate of consent to self -Insure or a certificate 'Norkers' Compensation Insurance, or a certified copy thereof (Section 0, Lab- C.) ^' Policy No,0444 oC702SIC Company 7/97L— I //t/Q I}QTCertified copy IS hereby furnished. LJ Certit O co/py';I filed with the city Byll�tling Dlvlsion., /�� Date Applicant /Jt74N /VOE _ E%EMP+-ON ROM WORKERS' COMPENSATION DECLARATION (This section need not be completed 17 the permit Is for one hundred ($100) or I certify that in the performance of the Work for which this permit is Issued �1' shall not employ any person In any manner so as to become subject to tkia PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW Pole Sub. ❑50+KW Bar Sink Showers Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps Bathtubs Sewer Connection Dryers ❑Gas ❑EI¢ctric Sub Panel Clarifiers Solar Collectors Fan Motors 00-1 HP ❑1X-8 Dishwasher Solar Piping F.A.U. _ Inc.Solar 09-15 HP 016-15+ Drinking Fountains Solar Tank Fixtures icrowave Workers' Compensation Laws of California. Date f Signature Floor Drains Swimming Pool w/Spa t Device Boxes Pole Light NOTICE: if, after'making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply .with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Floor Sinks Urinal Outlets Range Gas Service Outlets 14 Water Closet Switches Sign 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit ,s Issued (Section 3097 Civ. C.)' Lender's Name Lender's' Address Interceptors Water Heater - Q Garbage Disposal, Standing Sections Kitchen Sink Water Service Generator ❑0.5 KW ❑5-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the . following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit t0 construct, alter, Improve, demolish or repair any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions Of the Contractor's License Lew (Chapter 9 (commencing with Section 7000) of nivision 3 of the Business and Professions Code) or that he/she is exempt refrom and the basis for the alleged exemption. Any violation of Section 11.5 by any applicant for a permit subjects theapplicant to a civil .laity of not more than five hundred dollars ($500). EDI, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure is not Intended or offeretl for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or Improves thereon, and who does such work himself/herself or through his or her Own employees, provided that such Improvements are not Intended or offered for vet or Improvement is sold within one year Of cam- Salt. on, the owner W I have the Improvement slat. If, however, the will of proving he/she did not ea,buildo or Im- Srove for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed con- tractors t0 construct the project' Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who build$ or improves thereon. and who contracts for such oroiects with a con- tr8ctor(s1 license pursuant to the Contractor's License Law). I am aware that proof o their Worker's Compensation Insurance should be provided to me, ❑ I am exempt under Section S. & P. C. for this reason Lavatories. Auto -Wash 0 P—Trap Laundry Trays - Roof Drains Reinspection Fee $15 Issue Fee $ 3 DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approvad'By YZIDte a��///�—,��,,_ Application Issued By Date�J�D_� Reinspection Fee $15 Issue Fee $ 3 MECHANICAL FEES Boiler Hood or Type I El Canopy Type II ❑ SU V OF FEE BUILDING PERMIT $ SMIP $ PLAN CHECK' K $ PERMIT PLUMBING ' $ 312- .00 ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ i MICROFILM $ PLAN CHECK, 50% $ DUCI -Under Ground Duct - Structural Refrigeration System ❑O-100,00013TU 0100,000BTU Duct -Ventilating Exhaust System El Multiple El tem Repair/Alteration Firepl/Fact. Bit. ICBO 46 Fire Dampers Date Owner 1 hereby certify that I have read this app. icati0n and state that the above information Is t. I agree to comply with all city and county ordinances antl stale laws retell 9 to bulldi ng Strutt, on, and hereby authorize repre- sentatives of his CI y ,o enter On the above -men t,onetl or per for In spec,... purp S. Signature"- Date Drivers' License or SS W Heating System & Ducting 9 Y 9 00-100,000 BTU El 100,000 BT Registers MECHANICAL', $ $ �3d, 00 TOTAL FEE PLAN CHECK' 25% $ 01 00024354-OD024554 TOT 32,00 Reinspection Fee $15 Issue Fee $ 3 DATE: 01/18/89 TIME: 13:33 0865-46, rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING APPROVALS Permit # Date Inspector POO' IPA APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole , ' 52. Pool & Equipment Location _ 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrnd.• 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding - 5. Steel Reinforcement W 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grind. - n. 57. APPROVAL TO COVER-GUNITE ' 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation + r 59. Gas Pipe, O Undrgrnd., Test 9. Water Pi e-Undr rnd. P 9 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Conn fiction I 62. Backwash & Receptor -Final 12, Sewer Cap, - 63. Heater & Vent -Final - 13. Roof Drains 1 ., J 64. Plumbing System - Final 14. Rough Plumbing' -i q��q �, 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign r . 68. APPROVED FOR PLASTERING Rough Electrical -T Bar Ceiling :69. POOL/SPA SYSTEMS FINAL 19: Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas D Oil 23. Gas Pipe -Rough &fest 72. Underground Flush •� 24. Roof Framing r 73. Undergrnd. Storage Tank D Gas D Oil ' 25. Hoof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31: Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final N 80 JF,OODLCERTI FICATE ISSUED 33. Final Electric :�' � Notes: ;^ 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing n 39. Water Service-FinalPIT- 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventers ` (• ! �t. 43. Backflow Irrigation ' 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison -•_ , 1 50. Gas Release to Southern,California Gas Cod. ` • 51. CERTIFICATE OF OCCUPANCY No. Date ' �"" Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. i' OE COSTA MESA CONSTRUCTION PER IT °`R""'T N TRACT NO DT NO uu.T x. Project Address—L6'ala („� i io r N - Applicans'sMailingAddress 331 5 E MIRAL014* 4Ud Owner's Name SUFL1161 gArf 9NtE_P_PkISF Phone ?g7-:3 Address L02 35 WAft-l-IEP. AV 4_-F8- C-5?A MA -SF" Arch/Eng. License No. Address Contractor's Name G+ L ELEc-T FIG 1 rti a Phone f 9 a-/v07/e Address (mailing) 33 1-5 JE MQ FA CO/y _ate/// AVA991K City License No. LICENSED CONTRACTOR CMCLARATIA I hereby affirm that I am licensed under provisions of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License class ur icense Date—�� ' Signature a (( WORKERS' COMPENSATION DE ARATION -reby affirm that I have a certificate of consent to self -Insure or a certificate forkers' Compensation Insurance, or a certified copy thereof (Section J, Lab. C.) Policy No. y,IG 2334 4. 4R Company PARI F/C INAr/oNAC Certified copy is ® bAPrPlichantCert2ay lediththetyi�n is Dale '9I V �L EXEMPTION FROM WORKERS' CO NSATION DECLARATION (This section need not be completed if the permit is for one hundred ($100) or less). 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date ' Signature NOTICE: If, after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there IS a construction lending agency for the performance of the work for which this permit Is issued (Section 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business an Professional Code: Any city or 'efrom and the basis for the alleged exemption. Any violation Or traction 1.5 by any applicant for a permit subjects the applicant to a civil F, laity of not more than five hundred dollars ($500). IJ I, as owner of the property or my employees with wages as their Sole compensation, will do the work, and the Structure is not intended or Offered for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or Improves thereon, and who tloes such work himself/herself or through his or her Own employees, provided that Such improvements are not Intended or offered for sale. If, however, thebuilding or Improvement is sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or Int. prove for the purpose Of Sale). ❑ I, as owner of the properly, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon. and who contracts for Such orolects with a con- trictor(s) ].cerise pursuant to sne Contractor's License Law). I am aware that proof of/ their Worker's Compensation Insurance should be provided to me. ❑ 1 am exempt under Section B. & P. C. for this reason Date owner I hereby certify that I have read this application and state that the above Information is correct. -I agree to comply with all city and county ordinances and slate laws relating to building construction, and hereby authorize repre- sentatives of this cit to r u on the above-mentioned pr perty for Inspection re pu�f�� 4 Signature / ate-%' Dale Drivers' License or SS # -. � "37 S 74-I I TYPE OF CONSTRUCTION NEW LJ ADD ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. — ALTERATION IJ REPAIR TYPE OF PERMIT LJ GRADING LI FOUNDATION LA STRUCTURAL ❑ TENANT P ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION SO. FT. OCCUPANCY— ,01, tll RUCTION CCUPANCY_CONSTRUCTION TYPE VALUATION $ ZONE GRADINGCU.YDS. ACRES_ Remarks: Zone S 1Main Building: Accessory Building: T Front B Rear A C Right K Left Ping. Ref. ah Parking Req./Provided Planning Notes: I N G R E Q M T S. 1 I ELECTRICAL I FEES 1 PLUMBING FEES Bar Sink Showers $15 Issue Fee Backflow Preventer Service Sink Issue Fee Backflow Irrigation Sewer Cap IANICAL Bathtubs Sewer Connection Hood or Typal ❑ Canopy Type II ❑ Clarifiers Solar Collectors _ Dishwasher Solar Piping O,lefrigera ion System OOOBTU 0100,000BTU drinking Fountains Solar Tank Floor Drains Swimming Pool w/Spa Floor Sinks Urinal Fire Dampers Gas Service Outlets .ter Closet Interceptors Water Heater Kitchen Sink Water Service Lavatories Auto -Wash P -Trap Laundry Trays Roof Drains Reinspection Fee $15 Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Bit. ICBG dk Heating System & Ducting ❑0-100,000 BTU 11100,000 Reinspection Fee 1 $15 0865-46, rev. 5/88 White - Building; Canary - Applicant; pink - Accounting; Goldenrod - Assessor Automatic Washer Construction Pole Sub, Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixtures Device Boxes Outlets Garbage Disposal Generator 00.5 KW 1:15-15 KW Transformer U 15.50 KW ``❑ 50+KW Meter up to 100 amps Meter ❑aver 100 amps Sub Panel Motors 00.1 HP 01 Yr - 8 Inc -Solar 119-15 HP 1115.15+ Microwave Pole Light Range Sign Standing Sections Trash Compactor Issue Fee 1 $ 3 01 00026930-07026930 TOT ATE: 02/23/89 TIM: 1255 287,95 Reinspection Fee $15 Issue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Date Building Approved By Date Application Issued BY--, Date Issue Fee $ 3 IANICAL FEES Hood or Typal ❑ Canopy Type II ❑ F7 SUMMARY OltFrEV BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ 2'J "7 -per' GRADING $ ELECTRICAL $ -�'-�-F� PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $ PLAN CHECK 25% $ O,lefrigera ion System OOOBTU 0100,000BTU System Repair/Alteration Fire Dampers Registers Issue Fee 1 $ 3 01 00026930-07026930 TOT ATE: 02/23/89 TIM: 1255 287,95 CONSTRUCTION AND PLANNING '- APPROVALS Permit # Date Inspector POO' SPA APPROVALS Permit # - Date' Inspector 1. Temporary Electrical Service or Pole 1 52. Pool & Equipment Location Soil Pipe-Undrgrnd. 1• •' 53. Steel Reinforcement 3..Electrical Conduit Utility-Undrgrnd. •• - 54. Forms 4. Electrical Conduit ,Undrgrnd. •� 3: 7 g 55. Electrical Bonding " Stee1ji6inforcerrent • -r• 56. Rough Plumbing & Pressure Test ' 6a Electrical UFER Grnd" i ' 57. APPROVAL TO COVER-GUNITE • • 7. Footings••,• �, .' 58. Electrical Conduit-Undrgrnd. i I 8d.Foundation "� 59. Gas Pipe, 0 Undrgrnd., Test •/ Water Pipe-Undrgrnd. _ 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Strucfural Floor System ' ..; 61. APPROVAL TO DECK 11. Property, Sewer Line -& House Corlriection 62. Backwash & Receptor-Final r 12. Sewe{Cap'r j 63. Heater & Vent-Final ' 13. Roof,Drains r' �.! L �) 64. Plumbing System - Final 14. Rough Plumbing:" ,. 65. Electrical-Final �• 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19,. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace i/ 21:• Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 0Oil 23. Gas Pipe-Rough & Test 72! Underground Flush 24. Roof Framing ,: 73. Undergrnd. Storage Tank OGas 0Oil / 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & MoRocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final ElectricNotes: 3Aq 9, 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test• 36. Hood or Canopy 37. Final Factory Fireplace �'- 38. Final Plumbing l 39. Water Service-Final - t> 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer .1 43. Backflow Irrigation -- 44. Landscape Irrigation System 45. Sound Attenuation / +r, •� 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING �- 48. Special Requirements Completed 49. Electric Release to Edison i 50. Gas Release to Southern California Gas Co _ 51. CERTIFICATE OF OCCUPANCY - No. Date + ' �' ' "' �� • { '` :,' i j,. r.. c• ..�.� /a Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONS I R CTI N�.PLERMIT c1ZCa2% P.f;$MIT NO. TRACT NO. LOT NO. UNIT NO. Project Addre4s , 0.�Z U-7 - IFS �CFi sd C -AS Appllcaryt's Maililllg Address � 1 Lwner's Name-- �� s "^ �Aua "r -Phone ne'C 6✓`� Address 1 �S w�` \�-r 1;z c P: Arch/Eng. t^ s St'o Lic�snse No. Address 479 a . CL-T-ev 5\t" C. 4dQs Ci Contractor's Nam�'CE!\r-" s' " honec`R-7 70 Address (mailing) `-A%-3-- S. UI IZI, J6 t-4 t.p I. City License No. OL4.5 8-7 LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I am licensed under provisions of Cha ter 9 (commencing With section 7000) of Division 3 of the Bud es and Pr fessions Code, and my license Is in full forcerand effect. 33 2 f n� Lice n C s Lice se to J Y� Date ( Signature IVA WORKERS' COMPENSATION DECLARATION lereby affirm that I have a certificate of consent I self -Insure or a certificate workers' Compensation Insurance. or a cer[/i flie op1y.Cy her ( cti1o�n I�( � V�sdi Policy No. Company Certified copy is hereby furnished. Cert' ied opy iy,t'11ed with Ap pl cooly Su'lL iIVeislogr �� I• Date V 1� 1�`I /i �l EX EM PTI N OM WORKERS' COMPENSATION DECLARATION (Thissection need not be completed If the permit is for one hundred ($100) or less). certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Signature NOTICE: If, after making this declaration, you should become Subject to the Workers' Compensation provisions of the Libor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lend agency for the performance of the work for w ' emit '"y11yIsd1 Y�'l1A n 3097 Civ. C.) Lender's Name 7� Lender's BUIL s J 1 UPA OWNER BUILDER DECLARATION I r I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct, rest Improve, t for such or repair any structure, prior to its issuance,he/She also licenses the applicant for such permit to file a Tactor Statement that he/she i9 licensed pursuant to the provisions fof the Contractor's License Law (Chapter cionsode)(commencing with Section is exempt of '+i vision 3 of the Business and Professions Code) or that latshe is exempt vefrom and the basis for or alleged exemption. Any violation of a ivil 31.5 f any applicant for a permit subjects the applicant to a civil natty of not more than five Hundred Oonara ($500). ❑ I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds Or improves thereon, and who does Such work himself/herself or through his or her own employees, provided that such improvements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of com- pletion, the owner will have the burden of proving he/she did not build or im- rove for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Con. tractorsto construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon. and who contracts for such proieCtS with ar.On- trattor(s) license pursuant to the Contractors License Law). I am aware that proof o their Worker's Compensation Insurance should be provided to me. ❑ 1 am exempt under Section B. & P. C. for this reason Date net I hereby certify th@@t 1 ave act this ap Plication and state that the above Information is corse{t. agree co pl with all city and County ordinances and State laws rel at 9 to buil ing n ruction, and hereby authorize repre- sentatives of inns t to an r n the above-mentioned pr est fOr Inspection purposes /) I) " Signature Date Drivers' License or SS 9f TYPE OF CONSTRUCTION LJ NEW U ADD ❑ CONVERSION ❑ DEMOLISH OTHER DESCRIPTION OF-WORKJUSE OF 81,D-G— ALTERATION LI REPAIR TYPE OF PERMIT �H LI GRADING LJ FOUNDATION LJ STRUCTURAL El TENANT AnELECTRICAL1-1PLUMBING ❑ MECHANICAL 1:1OTHER PROJECT DESCRIPTION SQ. FT. OCCUPANCY_ CONST RUCTION TYPE VALUATION $ ZONE GRADING CU.YOS. ACRES_ Remarks: A.P. # S Main Building: E T Front ARear C Right 8 Left Ping. Ref. # Planning Notes: Accessory Building: Parking Req./Provided Zone O N 1 N G R E O M T S. Roof Drains Reinspection Fee I $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/fact. Bit. ICBO # Heating System & Ducting ❑0-100,000 BTU ❑ 100,003 BT Reinspection Fee 1 $15 0865-46, rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Issue Fee Hood or Type ❑ Canopy Type 11 ❑ Refrigeration System 00-100,000BTU ❑100,000 System Repair/Alteration Fire Dampers Registers Issue Fee Reinspection Fee 1 $15 I I Issue Fee $ 3 DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By FEES Building Approved By Application Issued By x $ 3 $ ELECTRICAL FEES PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW Construction Pole Sub. ❑ 50 + KW PLAN CHECK $ Bar Sink Showers PLUMBING MICROFILM $ PLAN CHECK Cooking Unit Meter ❑up to 100 amps Backflow Preventer Service Sink ELECTRICAL Backflow Irrigation Sewer Cap PLAN CHECK Dishwasher Meter ❑over 100 amps $ MECHANICAL Dryers ❑Gas ❑Electric Sub Panel Bathtubs Sewer Connection PLAN CHECK 25% $ Fan Motors ❑0.1 HP ❑1'/4.8 Clarifiers Solar Collectors Dish Washer Solar Piping F.A.U. Inc. Solar 09-15 HP 1116-15+ Drinking Fountains Solar Tank Fixtures Microwave Floor Drains Swimming Pool w/Spa - Device Boxes Pole Light Floor Sinks I Urinal Outlets Range Gas Service Outlets Water Closet Switches Sign Interceptors Water Heater - - Garbage Disposal Standing Sections ' Kitchen Sink Water Service Generator E10-5 KW E15-15 KW Trash Compactor Lavatories Auto -Wash l 617;; Wr / O Roof Drains Reinspection Fee I $15 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple ❑ Firepl/fact. Bit. ICBO # Heating System & Ducting ❑0-100,000 BTU ❑ 100,003 BT Reinspection Fee 1 $15 0865-46, rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Issue Fee Hood or Type ❑ Canopy Type 11 ❑ Refrigeration System 00-100,000BTU ❑100,000 System Repair/Alteration Fire Dampers Registers Issue Fee Reinspection Fee 1 $15 I I Issue Fee $ 3 DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By FEES Building Approved By Application Issued By x $ 3 SMTP $ SUMMARY OF BUILDING PERMIT ISSUANCE $ PLAN CHECK $ $ PLUMBING MICROFILM $ PLAN CHECK 25% $ ELECTRICAL $ PLAN CHECK 50% $ MECHANICAL $ PLAN CHECK 25% $ SMTP $ PERMIT ISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILM $ TOTAL FEE $ 01 000396.79-00039679 TOT 1".50 DATE.*. 08/04/89 TIME: 1.6:03 •-CONSIRUCTION AND PLANNING _ APPROVALS Permit# Date Inspector POOI PA APPROVALS Per mit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2.'liPipe-Undrgrnd. "- r 53. Steel Reinforcement ' 3. Electrical Conduit Utility-Undrgrnd. - 54. Forms-� 4. Electrical Conduit-Undrgrnd. "' c 55. Electrical Bonding 5.,Steel'Reinforcement' 56. Rough Plumbing &Pressure Test r' 6:, Elecvical UFER�GmV 57. APPROVAL TO COVER-GUNITE 7. Footings ;. -"'r 58. Electrical Conduit-Undrgrnd. 8'. Foundation ` 1 59. Gas Pipe, O Undrgrnd., Test 9:_.Water Pipe-Undrgrnd- 60. Backwash Lines, P -Trap, O Undrgrnd. 10:'Stru6tupl Floor System ' 61. LAPP ROVAL TO DECK 11.. Property Sewer Line& House Connection..' - 62. Backwash &Receptor -final 12.Sewer1Cap - n _ .. 63. Heater & Vent -Final 13. Roof Diains ; 64. Plumbing System -Final t•14�Rough'Plumbing.. _ 65. Electrical -Final • 15. Rough Electrical -Conduit 66. Solar System -Final ,16; Rough Electric Wiring 67. Fencing & Access Approval 171 Rough Wiring Sign 68. APPROVED FOR PLASTERING 18: Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19! Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20. Rough Factory Fireplace t 121. Ducts, fn'Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe=Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank ❑ Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing . " 76. Dry Standpipe 28. Lathing'& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywalli'Nailing HEALTH DEPT. REQUIREMENT 31. Plaster -Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter -Final 80 FOOD CERTIFICATE ISSUED 33. Final Electric 9 es: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service -Final 40. Gas Service -Final 41. Solar Domestic -Final 42. Backflow Preventer i 1 43. Backflow Irrigation r" 44. Landscape Irrigation System 7 -: ~ 45. Sound Attenuation i- 46. Handicap Regulations +' 47. FINAL STRUCTURE & BUILDING r- C 48. Special Requirements Completed l 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co � r i 51. CERTIFICATE OF OCCUPANCY No. Date` - i n Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT Project Address JQ -3 7. W /T Te- A I Applicant's Mailirig Address Y4 A Fn PG -r. 3l • L Owner's Name OoT i 1 i Np kl. Z i ''le phone Address ftzw< c' se Arch/Eng. License No. - Address Contractor's Name—c-, ' rn �h'1 L,-,I�hone • 7 ' Address (mailing) z 6% ORO-pIs Sf. C%t /ZZ City License No. c/ LICENSED CONTRACTOR DgCLAAACiION I hereby affirm that I am licensed under provisions Of Charter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class _License IN 1 Z "L.. Date 7I � •- '•Signature WORKERS' COMPENSATION DECLARAT�O1� ' I hereby affirm that I have a certificate of coNdet to self -Insure or a certificate Workers' Compensation Insurance, or a certified copy thereof lSectlon )0, Lab. C.) moa. v�cy No. BVL 'GGl `,C5pany Q' Certified copy IS hereby furnished, J, Cert&a copy is filatl with the city Be �ng Division. �I Date I FROM WORKERS' OMPEN�' EXEMPTION FROM WORKERS' COMPe NSATII� DECLARATION lThis section need not be completed if the permit is for one hundred (5300) or Iocer I shall certify that in the performance an th! work for which become permit is issued I shall r%, employ any person in any manner so az to become su Dject to lira WorkerE' Compensation Laws California: Data —Signature NOTICE: If, after making this ions f the you r Cod become subject to the WorkerE' Compensation provisions of the Labor hall you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there whic Is a construction Issue agency for the performance of the work for which this permit Is Issued (Section 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION 1 hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which require% a permit t0 construct, alter, improve, demolish or repair any structure, prior to Its Issuance, also requires the applicant for such permit to file asigned statement that he/She Is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/She is exempt •crefrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a Permit subjects the applicant to a civil 6nalty of not more than five hundred dollars ($500). ❑ I, as owner of the property or my employees with wages as their sole compensation, will do the work, anti the structure is not Intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a property who builds or Improves thereon, and who does Such work himself/herself or through his or her own employres, provided that such improvements are not Intended or offered for sale. If, however, the building or improvement is Sold within one year of eom- pletion, the owner will have the burden of proving he/she did not build or im- prove for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project(Section 7044. Business and Professions Code: The Contractor's License Law does not apply to an owner of property who buildS or improves thereon. and who contracts for such orolects with a ran. tractor(s) b"nw pursuant to the Contractor's License Law). I am aware that Proof o their Worker's Compensation Insurance should be Provided to m4. ❑ 1 am exempt under Section B. & P. C. for this reason Date 0 Owner I hereby certify that I have read Information is correct. I agree to r anti Slate laws relating to bulldins sentatives of this Clly to enter Signature Drivers' License or or S 0865-46, rev. 5/68 Boy authorize repre. toned property for Date v_11,F-ar 2-7 I/V(�/ I [�3 I VIYII INV. TYPE OF CONSTRUCTION Ll NEW LJ ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. & " Ld TYPE OF PERMIT LJ GRADING r❑l TENANT 1:1 ELECTRICAL LJ OTHER PROJECT DESCRIPTION 3p.PT_ I FOUNDATION LJ STRUCTURAL PLUMBING ❑ MECHANICAL CONSTRUCTION TYPE VALUATIONS ZONE GRADINGCU.YDS. AC Remarks: Sink Preventer Irrigation Floor Drains Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P -Trap Roof Drains Reinspection Fee $15 Duct- Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple 0 Firepl/Fact. Bit. ICBO * Heating System & Ducting 00-100,000 BTU 0100,000 BTI Reinspection Fee I $15 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater Water Service Auto -Wash Laundry Trays Issue Fee I $ 3 FEES Hood or Type 1 ❑ Canopy Type 11 ❑ Refrigeration System 00-100,000BTU 11100,000 System Repair/Alteration Fire Dampers Registers Issue Fee I $ 3 A.P. + V2 S Main Building: E T Front A Rear C Right K Left Ping. Ref.+ Planning Notes: 2 Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Zone Building: Parking Req./Provided ELECTRICAL Transformer 0 15-50 KW 050+KIN Meter ❑up to 100 amps Meter Dover 100arrips' Dryers LJGas LJElectric Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator ❑0.5 KW 05-15 KW Sub Panel Motors 001 HP 01 14 - 8 Inc.Soiar 09.75 HP 076-15+ Microv2ve Pole Light Range Sign Standing Sections Trash Compactor FEES O N I N G R E O M T S. 01 00031IV-00031157 TOT .4F.Y. DATE: 04/21/89 TI11E: 14:08 Reinspection Fee $15 Issue Fee $ 3 DEVELOPMENT SERVICES REQUEME Zoning Approved By Building Approved BY= Application Issued By TS: ate Date Dat / u S e / BUILDING PERMIT PLAN CHECK PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUM $ $ $ $ $ $ $ $ RYA FEE -SMTP PERMIT ISSUANCE ENERGY P.C. GRADING MICROFILM TOTALFEE $ $ $ $ $ $ -LLL _ '1 01 00031IV-00031157 TOT .4F.Y. DATE: 04/21/89 TI11E: 14:08 CONSTRUCTION AND PLANNING APPROVALS Permit # -Date Inspector POOL .PA APPROVALS Permit # Date Inspector Temporary Electrical Service or Pole 52. Pool &Equipment Location 2. Soil Pipe-Undrgrnd.. 53. Steel Reinforcement 3. 'Electrical Conduit Utility-Undrgrnd. 54. Forms 4,,Electrical Conduit-Undrgrnd. 55. Electrical Bonding ' 5. Steel Reinforcement-' t' 56. Rough Plumbing & Pressure Test 6. -Electrical LIFER Gr d� 57. APPROVAL TO COVER-GUNITE 7. Footings t'S;�l�� L 58. Electrical Conduit-Undrgrnd. J!t 8. • Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. r. _ 60. Backwash Lines, P -Trap, 0 Undrgrnd. ` t' 10. Structural Floor Sysrtem 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap - 63. Heater & Vent -Final y 13. Roof Drains r 64. Plumbing System - Final ' 14. Rough PI Embing', 1 65. Electrical -Final 15: Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wring Sign 68. APPROVED FOR PLASTERING ;18. Rough Electrical -T Bar Ceiling, 69. POOL/SPA SYSTEMS FINAL t181. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit# 120: Rough Factory Fireplace ti 21. Ducts,in.Structure' -� 70. Underground Hydro 22.+ Ducts,rVentilating 71. Product Piping 0 Gas 0 Oil 23.' Gas Pipe -Rough &1Test 72. Underground Flush 24. Roof Framing ,it 73. Undergrnd. Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar�� eiling (Structural) & Monocoat 75. Dry Chemical 27. Frar ie and Flashing - 76. Dry Standpipe 28. Lathing & Siding �1 77. FIXED SYSTEM FINAL 29. Insulation 1 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat •! 79. FINAL INSPECTION 32. Eleot cal Power Meter -Final: 80. FOOD C RTIFICATE ISSUED 33. Final Electric Notes: 70 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace `38. Final Plumbing 39. Water Service -Final .40. Gas Service -Final �a 41. Solar Domestic -Final' , ,• /`m_ 42. Backflow Preventer r 43. Backflow Irrigation + J 44. Landscape Irrigation System �� t 45. Sound Attenuation r �'` 46. Handicap Regulations -/ 47. FINAL STRUCTURE & BUILDING - 48. Special Requirements Completed -49. Electric Release to Edison '17 50. Gas Release to Southern California Gas Coi- 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CIxY OF COSTA MESA CONSTRUCTION PERMIT M1Prgyct Address D _ J pp— Applicant's M�iling Address y) �� Al /V'1p/ Alan �owncfi;'N;; A l.h,Ai ,Iro:. Phone'' 21-CryUL' Address ,�C ffic"d l64 G! Nfii if/ZZY Arch/Eng. License No. Address >/ Z Contractor's Nam _ hone Address (mailing) y� !� /t' .Prgy.ur An! iL ✓�� /��dn f City License No. P 7 S' LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions Of Charter 9 (commencing with section 7000) of Division 3 of the Business and Professions Code, and my license is in full tortand effect. License Class se `-V Date Signal,,, WORKERS'COMPENSATION OEC RA ION I hereby affirm that I have a certific a of consent to self -insure or a certificate • Workers' Compensation Insurance, or a certified copy thereof (Section P000y No. V1, //2 L, S/S%h/ Company,44/ //41 _Ali Lzx Al El Certified copy is hereby furnished. [Z'Cartifi tl OP f' ed with the City Buildin vl Ion ' Date Applicant ExEMP 4FR RKERS-COMPEN ATIONDECLARA ION (This section need not be completed if the permit is for one hundred ($100) or less). I certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Signature NOTICE: If, after making this declaration, you should become subject t0 the Workers' Compensation provisions of the Labor Code, you must forthwith comply - with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to Iconstruct, alter, Improve, demolish or repair ( any structure, Prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt herefrom and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars ($500).' -� I, as owner of the property or my employees with wages as their Sole compensation, will do the work, and the structure is not intended or offered for Sale (Section 7044, Business and Professional Code: The Contractor's License Law does not apply to an owner of a Property whO buildS or Improves thereon, and who does Such work himself/herself or through his or her Own employees, provided that such Improvements are not Intended or offered for Sale. If, however, thebuilding or improvement is said within one year Of Com- pletion, the Owner will have the burden Of proving he/She did not build or Im- prove for the purpose of sale). ❑ 1, as owner of the Property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License law ddoes not apply to an owner of property who builds or Improves thereon. and who contracts for such-oroiects with a Con- lractor(s) license pursuant to the Contractor's License Law). I am aware that proof o their Worker's Compensation Insurance should be provided to me. ❑ I am exempt under Section B. & P. C. for this reason Date I hereby certify t information is Corr and state laws ale Sentatives Of t is Inspection our OSe! Signature !11 Drivers' Li< w or 0865-46, rev. 5/88 . Ownei have rex TYPE OF CONSTRUCTION LJ NEW LJ ADD LJ ALTERATION LJ REPAIR ❑ CONVERSION -❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TYPE OF PERMIT GRADING 0 FOUNDATION ❑ STRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ OTHER PROJECT DESCRIPTION SQ. FT. OCCUPANCY CON STRUCTION TYPE VALUATION $ ZONE GRADINGCU.YDS. ACRES Remarks: Bar Sink Showers Transformer ❑ 15-50 KW ❑ 50 + KW Backflow Preventer Service Sink Dishwasher Backflow Irrigation Sewer Cap - Bathtubs Sewer Connection F.A.U. Clarifiers Solar Collectors Microwave Dishwasher Solar Piping Switches Drinking Fountains Solar Tank Standing Sections Floor Drains Floor Sinks Swimming Pool W/Spa Urinal ENERGY P.C. Gas Service Outlets Water Closet Interceptors Water Heater $ Kitchen Sink Water Service $ Lavatories Auto -Wash MECHANICAL Roof Drains Reinspection Fee 1 $151 1 Issue Fee - 1 $ 3 1 1 Boiler Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Bit. ICBO # Heating System & Ducting 00.100,000 BTU 1:1100,000 Reinspection Fee $15 White - Building; Canary - APPIICant; Pink - Accounting: Goldenrod - Assessor Hood or Type ❑ Canopy Type 11 ❑ Refrigeration System ❑0-100,000BTU ❑100,000 System Repair/Alteration Fire Dampers Registers Issue Fee FEES A.P. 4h I Zone S Main Building: Accessory Building: E T Front A Rear C Right K Left Ping. Ref. # Parking Req,/Provided Planning Notes: ELECTRICAL - Automatic Washer Construction Pale Sub. Transformer ❑ 15-50 KW ❑ 50 + KW Cooking Unit Meter ❑up to 100 amps Dishwasher Meter Dover 100 amps Dryers ❑Gas ❑Electric Sub Panel . Fan Motors 00-1 HP❑154-8 F.A.U. Inc Solar 09-15 HP 016-15+ Fixtures Microwave Device Boxes Outlets Pole Light Range Switches Sign Garbage Disposal Standing Sections Generator ❑0-5 KW El 5-15 KW Trash Compactor Reinspection Fee ! $15 I s DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By Application Issued By FEES N 1 N G R E Q M T S. $3 -3*DUP ICATE RECEIPT* 0100025304-00025304 TILT 30.00 DATE: 1711/311/P9 TTMC• 11.110 SUMMARY OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ PLAN CHECK 50% $ MICROFILM $ MECHANICAL $ TOTAL FEE $ PLAN CHECK 25% $ $3 -3*DUP ICATE RECEIPT* 0100025304-00025304 TILT 30.00 DATE: 1711/311/P9 TTMC• 11.110 CONSTRUCTION AND PLANNING .. iPPROWALS Permit # Date Inspector POOL ;PA APPROVALS Permit # Date Inspector 1' Tem^orary Electrical Service or Pole5 Pool &Equipment Location 2. Soi~Pipe,-Undrgrnd. ,. 53. Steel Reinforcement 3.`Electrical Conduit Utility-Undrgrnd. 54. Forms --• 4: Electiica, Conduit'-Un&Vrnd. •• 55. Electrical Bonding ; 5 Steel Reihforcement: 56. Rough Plumbing & Pressure Test 6.Electiical UFER Grrid. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. J 7 8. iFoundation '�.; : -) / 59. Gas Pipe, 0 Undrgrnd., Test 9.. Water' Pipe-Undrgrnd'. '� �f .- 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash &Receptor -Final 12. Sewer Cap: _,, . • ', 63. Heater & Vent -Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing i 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16! Rough Electric Wiring 1:: 67. Fencing & Access Approval 1Ai Rough Wiring Sign 68. APPROVED FOR PLASTERING 18r Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL IW Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 2d: Rough Factory Fireplace 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 0Oil 23. Gas Pipe -Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank OGas OOil 25. Roof Sheathing - 74. Overhead Hydro 26. T -Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 7 FINAL INSPECTION 32. Electrical Power Meter -Final 1 0. FOOD CERTIFICATE ISSUED 33. Final Electric Z y Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe -Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing ' 39. Water Service -Final - 40. Gas Service -Final ' 41. Solar Domestic -Final 42. Backflow Preventer 43. Backflow Irrigation 44. ,Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING i 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas.Co 51. CERTIFICATE OF OCCUPANCY No. Date ,r .) f Applicant to fill In all spaces within heavy border lines and sign all appropriate declarations. CIT'•Y'4%40STA MESA PERMIT NO. TRACT NO. 'LOT NO. BLDG. NO. - - - - - - -. CASTRUCTION PER zf—�— X915— - .: • -, • ' „4 -,"7-h7 Project Address A913 -7 -/g ,_fff TYPE OF CONSTRUCTION C NEW C ADD C ALTERATION -- C REPAIR. C CONVERSION. C DEMOLISH C OTHER .. - - _ . 2613: 2/26/62 - -- -. Ba d _ _ - ZONING REGULATIONS Owner /LL /L S'O Phone Address Q Z ,s7. Cot%Anr.S - ArchlEhg, - License No. - - DESCRIPTION OF WORK _ A P - _ -,ZONEPLNG. REF: :P '- - _ _ - - Address Contractor AA.X- F'�c .- /NL ',Phone (e % TYPE OF PERMIT - -' - --- "-- - -' ❑ GRADIrvG- FOUNDATION C STRUCTURAL - - 1 C TENANT,''ELECTRICAL OPLUM13ING CMECHANICA - - - TToo ggU111L pwG SET AC T. PIEOPERTY LINEAddress ID VARO - - - - ,- t. -- --- ,JOTT'p' Ut LICENSED CONTRACTOR DECLARATION. I hereby affirm thO 1 am licensed under provisions of Charter 9 (com- SIEpE V ARO BIGHT - t mencing with- section 7000) of ,Division- 3 of the Buslneu_and j C. OTHER- - - Professions Code, and my license is In full force and effect. _. REAR YARD (TO P/L) C_ �`�- PROJECT DESCRIPTION - License Cl ss- U en o. - - , -- FT. . ' _ a ''OCCUPANCY=CONSTRUCTION TYPE PKG. SPACE REQ: - PROVIDED, -' • STREET WIDTH PARK FEE j Date '�� Signature ".. - ASQ: WO RKERS'•COMPENSATION DELL RA ION ._ - I hereby affirm that I have a certificate of consent to self -Insure or a _ VALUATION 2O _ ZONING'APPROVED BY -"" DATE - certificate of Workers' Compensation -lnsuranca, or -a certified copy ... _ -CONDITIONS: thereof (Section 3800, Lab. C.). GRADING,CU. VOS. ACRES SPECIAL - -icy No. company- REMARKS: :erlltied copy Ishereby furnished. _ _. _- - ._ _ Certified copy is filed with the Illy Building Division. EXEMPTION' FROM WORKERS' COMPENSATION' DECLARATION - •- - - - - - - - - - - This section. need not be completed if the permit is for one hundred - I ($100) or less). - _ I certify that In the performance of the work for which this permit ii Issued, 1 shall -not employ any person in' any manner so as -to become • _ " _-� -. PLUMBING.," -PLAN CHECK - -- •' _ ,ELECTRICAL" "^ PLAN CHECK - -' - - subjecttotheWorkers_Compensatio}Laws of Cali rnia. ••,{ BATHTUBS -' - SHOWERS ET y f_161t l , y0 Date Signat ura � ��cO NOTICE: If after making this tlecla llo , you should become subject. TOILETS URINALS -- - -; - -'- - -.GENERATOR- Owl KW_ to the Workers' Compensation provisions of the Labor Code, you mustTRANSFORMER .,.:I forthwith comply with such provisions or this permit shall be deemed LAVATORIES DOUBLE LAVS '- -h - 'APPLIANCE- - -10.50 KWy50+KW- revoked. _ - - - CONSTRUCTION LENDING AGENCY 'KIT: -SINKS - '„ - "- DISHWASHER$ - ---- i MOTORS 1 -hereby affirm that there is a construction lending agency for the per. SERVICE SINKS - ;SUMPS' -' -- - - -•(INC. SOLAR)--- -10-50-1-11`_50- HP formance of the work for which this permit is Issued (Section 3097 __-_ -FLOOR SINKS -"- -FLOOR DRAINS- ---'=F1%TURES" .... -CUTLETS SWITCHES -- '- Civ. C.)> _. _. ,_ _.. _^ _- - _ --" Lender's Name Lender's Atltlress '-' ORINKING'FOUNTAINS- 'GAS TVBE"SIGN$------ --- OWNERBUILDER-OECLARATION- - -- - •-•- -- - INTERCEPTORS -CLARIFIERS` •' "- ----;POLE L-IGHTS' - - - --- - - - I hereby affirm that I am exempt from the Contractor's License law for 'SWIMMING POOL" -' -P TRAP - ?POLES METERED- '[SUB - - -' the -following reason (Section 7031.5 Business and •Professions Code: Any city or county which requires a permit to construct, alter, Improve,-tlemolish-or"repair any structure; prior to its issuance, also re- WATER SERVICE'- -`ALTERATION '- -1- -.;PANELS- ----MAIN, - - SUB -` - - - - -l quires the ap:li Cant for such permit to file a signed statement that he -GAS SERVICE -- "' ` OUTLETS -' "' - ` "-'f - - - I SERVICE ----- - -• ^- -- - AMP^ 15�- - �- is"Iicensetl-pursuan4to the provisions of the Contractor's License -law (Chapter 9 (commencing with Section 7000) of Division 3 of the WATER -HEATERS -STU'OUTPUT-• - ' f - • - `--- _-u - - - usiness antl"Professions-Code) or that he is exempt therefrom and -the reSis fm the alleged exemption. Any violation of Section 7031.5 by SEWER CONNECTIONS - -' - - - I - ,-- �- -- - ----- -- - • - - --- -- - - - :4 --applicant for a -permit subjects the applicant to -a civil penalty- `,ojmoro - than five hundred dollars (S500). SOLAR TANK -COLLECTORS- - •j - --- -- --•--- - - _ I, as owner oftheproperty, or 'my employees with wages astheir sole compensation, will do the work, and the structure Is not Intended or offered for sale. (SeclionE-7044, Business antl Professions Cotle: The SOLAR PIPING SYS. -'-- - • -- -1-' --ISSUE FEE' -" ' -' - ' Contractor's License Law does not apply to an owner of a property who o-builds or improves thereon, and who does such work himself or -'ISSUE FEE - - - -' "' -' -- 14APPLICATION APPROVED BY- DATE - through his own employees, provided that Such Improvements are not MECHANICAL PLAN CHECK 1 _ SUMMARY OF FEES. intended or offered for sale. If, however, the building or Improvement Is sold Within one year of completion, the owner will have the burden - _ ,- I, , ., ,f • ,I of-proving he did not build or Improve for the purpose -of sale). SYSTEM 0-100,000 BTU - - - - -BUILDING -HEATING PERMIT ❑.I,. -as -owner of_the property, am exclusively contracting ,with. -AN DVCTING -- - - - _ - _ E' SMIP.. ,.s - licensed contractors to construct the project (Section 7044, Business 100,000'+BTU -. ;PLAN CHECK S -PERMIT f.•„� and -Professions Code:- Tho.Contracto,'s License Law does not apply to _ ISSUANCE' E d an owner of property who builds or Improves thereon, and who con. REFRIGERATION 0-100,000 BTU ' 'PLUMBING $ tracts from.sucn -0fgjecla_with.a contra<tOr(S) llcesned . PUrSU3nt to. -SYSTEM - - - --' - -. -GRADING• • $ the Contractor's License Law). 100,000 + BTU -- _ PLAN CHECK $7. � . . - r. ' "'I C I -am exempt -under Section '• - --- B. 6 P. C. for this- -'BOILERS BTU ELECTRICAL �S�-, '-- '$ reason .._ _ _ r _ SYSTEM REPAIR, ALTERATION r - EXHAUST SYSTEM MULTIPLE r -- - I •t_ MICROFILM $ "PLANCHECK''E-- -- - _ -- I 'i •j 'TOTALIFEEE MECHANICAL-$-- - -- - AD - J:IL'ESSAD- Date. Owner 1 hereby certify that I have read this application and state that the above informatlon is correct: I'a 'agree to comply with all cit and'count g py y - PLANCHECK $ - -VANCE'PC $_ ordinan ordinances state laws relating t0 Construction, and hereby dUthOl2e e - j -4 representativas' of - this -city to enlel -upon the above men lonetl - - - I ' ' ' Property fo_r pection p r s. - I , tl Q FINAL FEE Signature Daf -S Drwers'Li -5 ah- - - - -- -- ISSUE FEE -. --- -- -- - - - - I CMF 01165.46 White -Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNING APPROVALS Permit # Eli Date Inspector POOL & SPA J • APPROVALS ' • Permit # Date Inspector 1. _ Temporary Electrical Service or Pole 43. Pool &Equipment Location - - -2. . Soil Pipe:Un rgrn:. _ _ 44. Steel Reinforcement -- - - - - - - - 3. Electrical,Condult Utility_Undrgrn _ 45. Forms. I - 4... Electrical Conduit-Undrgrn 46. . Electrical Bonding -- - -5. Steel em orce 47. Rough Plumbirig & Pressure Test - - - - - - 6. Electrical LIFER Grn _ 48. APPROVAL TO COVER-GUNITE'- - - - - 7. _Footings _ �' 49. Electrical Conduit-Undr rn - 8..�Foundation - _ _ _ 50., Gas Pipe, ❑ Undr rn, Test - - .9. Water -Pi pe-Undrgrn.� 51. Backwash Lines P-Tra '(D ndi-r6' 10. Structural Floor System 52. APPROVAL TO DECK 1.1. . Property Sewer tine.&.House Connection-. 53. Backwash & Receptor-Final 12- Street Sewer_ Connection • -54. Heater & Vent-Final 13. Rough Plumbing 55, _ Plumbina 14. Rough Electric-Conduit - - - -56. Electrical-Final- - 15. Rough Electric-Wiring - - - 57. Solar System-Final 16. Rough Heating & Air Conditioning bd.- Fencing & Access Approval 17: Ducts-in Structure- APPROVED FOR PLASTERING - 18. 19. 20. Ducts, Ventilating Gas Pipe-Rough &'Test Roof,Framing -- - ----- -- - - - •- 60. POOL/SPA SYSTEMS FINAL 21. 22. Roof Sheathing- Frame and Flashing NOTES:' 23.- Insulation - --- - - 24. Lathing & Siding 25. Drywall Nailing -- - -- - - - 26: Plaster Brown Coat 27. Electrical Power Meter-Final •- - -- -- -y-T - 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 Domestic-Final ' • !• 35. Landscape Sprinkling System 36. Sound Attenuation 37. Handicap Regulations 38. FINAL STRUCTURE & BUI.LDING- 39. Special Requirements Completed - - - 40. Electric Release to Edison - 01 41. Gas Release to Southern California Gas Co. 42. CERTIFICATE OF OCCUPANCY - No• Date`' ° N a Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT Project Address 1032 West 18th Street Costa Mesa Applicant's Mailing Address -413 S sl a 11 ^nrangP 2?666 Owner's Name- Burl ingham FI1tecWi ses. Tret_,_me.645-8087 Address -1835' Whittier Ave_ 11nit F8, Costa Mesa Arch/Eng. (imn7SPan CQrp. License No. Address 479 S. Marengo Ave. , Pasadena, CA Contractor's Name The RiChardsrin�Phone 997-ICIM Address(mailing)413 S. G1asse11, ((range., fA 99666 City License No. Applied led Ear 1(1/17/RR 45873 LICENSED CONTRACTOR DECLARATION 1 hereby affirm that I am licensed Under provisions of Charter 9 (commencing with section 7000) of Division 3 Of the Business and Professions Code, and my license is int 11 for a and effect, License Class - Licen Date 10/14/89 Signatur WORKERS' COMPENSATION DECLA ATION I hereby affirm that 1 have a certificate f consent to self -insure or a certificate ` Workers' Compensation Insurance, or a certified copy thereof (Section (� 100,' Lab. C.) .n Policy No. 374094-87 Company 'State C.mmP. Certified copy is hereby furnished. Cer �edc filed with the city B ildinI ivisi n, 0. Date 1/ 14/75+, Applicant K1mm i1" Mrhardson EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section need not be completed if the permit is for one hundred ($100) or less). I certify that.in the performance of the work for which this permit is Issued I shall not employ any person in any manner so as to become subject to t11e Workers' Compensation Laws of California. Date Signature NOTICE: If, after making this declaration, you should become subject to,the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit. shall'be deemed revoked. CONSTRUCTION, LENDING AGENCY. I hereby affirm that there is a construction lending agency for the performance of the work for, lvhi h this ermit is issued (Section 3097 -Civ. C.) Lender's Name: C Lender's AddressJZi LittnSt- - Cnrona, fA 9171.9-1.599 OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor -'S License Law for the following: reason (Section 7031.5 f3usiness and Professional Code: Any city or county which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000) of ' • Division 3 of the Business and Professions Code) or that he/she is exempt herefrom and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars ($500). �,M I, as owner of the properly Or my employees with wages as their sole compensation, will do the work, and the structure -is not intended or -offered for sale (Section 7044, Business and Professional Code: The Contractor's License l.aw does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provitletl that such -improvements are not intendetl or offeretl for sale. If, however, the building or improvement is sold within one year of Com- pletion,'the owner will have the burden of proving he/she did not build or Im- prove for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon. antl-Who contracts for such orote,ts with a Con- tractors) license pursuant to me Contractor's License Law). I am aware that. proof of their Worker's Compensation insurance should be provided to me, ❑ 1 am exempt under Section B. & P. C. for this reason Date Owner I hereby certify that 1 have reap Information is correect. I agree to .t3src and. staterelaYinq to buiJdir Drivers'tens or SS 0865-46, rev. 1 88 this a TYPE OF CONSTRUCTI1I��ION. NEW ADD ALTERATION REPAIR EltX CONVERSION DEMOLISH ❑ OTHER - DESCRIPTION OF WORK/USE OF BLDG. DEMO- IIOUSe.44�>*W4 `FYPE OF PERMIT . LI GRADING LJ FOUNDATION L`nTRUCTURAL ❑ TENANT" ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL ❑ BOTHER PROJECT DESCRIPTION SO. FT. —OCCUPANCY_ - CONSTRUCTION TYPE $4 ZONE GRADING CU.YDS. ACRES Remarks: T_) s 1 Jw A.P. # L�• p(`'%' - S Main Building: E T Front ARear C Right 8 Left Ping. Ref. # Planning Notes: 4/�_f7= -�d Zone. Accessory Building: N I. N G R Parking Req./Provided E O M T S. e —ccs ELECTRICAL • FEES PLUMBING FEES Automatic Washer Construction Pole Sub. Transformer ❑ 15-50 KW ❑ 50 + KW Bar Sink Showers Backflow Preventer _ Service Sink ... Cooking Unit Meter Cup to 100 amps ' Backflow Irrigation Sewer Cap Dishwasher Meter ❑over 100 amps - Bathtubs Sewer Connection Dryers ❑Gas ❑Electric Sub Panel •. Clarifiers Solar Collectors Fan Motors ❑0.1' HP ❑ 1 X-- 8 Dishwasher Solar Piping - F.A.U. - Inc Solar 119:15 HP 1916-15+ Drinking Fountains Solar Tank . Fixtures Microwave •-r_' ' Floor Drains Swimming Pool w/Spa Device Boxes Pole Light Floor Sinks _ _ Urinal Outlets _ _ _ Range Gas Service ' Outlets Water Closet Switches Sign " Interceptors _ - I Water Heater - Gartiage'Disposal ' - - Standing Sections Kitchen Sink _ _Water Service; - Generator 00-5 KW 05-15KW Trash Compactor Lavatories Auto -Wash P=Trap Laundry Trays Roof Drains Reinspection Fee $15 Issue Fee $ 3 DEVELOPMENT SERVICES REQUIREMENTS(i Zoning Approved By _ (�(,/(�r'�'' Date Building Approved By Date Application Issued By 66 - _ Date- Reinspection Fee $15 - Issue Fee' $ 3 - MECHANICAL FEES I Boiler - Hood or Type I ❑ Canopy Type It ❑ BUILDING PERMIT PLAN CHECK -. PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL - PLAN CHECK 25% SUWARY $ $ , $ $ $ $ $ $ OP FE � �'� SMTP $ PERMIT ISSUANCE $ ENERGY P.C. $ GRADING $ MICROFILM $. .TOTALFEE $ ' � �•.� Duct - Under Ground Duct - Structural 'Refrigeration System - ❑0.100,000BTU_❑100,OOOBTUPLUMBING Duct -Ventilating _ Exhaust System ❑ Multiple ❑ System Repair/Alteration Firepl/Fact. Bit. ICSO# Fire Dampers - - Heating System & Ducting ❑0.100,000 BTU woo0 BT Registers -- ._ - _ Reinspection Fee I $15, White - BUiltling; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Issue Fee 1 $ 3 0100021588-00021589 TOT - ?r.50 GATE: 12/08/88 TIME: 15:19 CONSTRUCTION AND PLANNING - APPROVALS Permit # -Date Inspector POO, SPA APPROVALS Permit #- Date Inspector 1. Temporary Electrical Service or Pole ' 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement • 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test • 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd.� 8. Foundation 59. Gas Pipe, O Undrgrnd., Test - 9. Water pipe_ Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough PP libing 65. Electrical-Final 15. Rough EI Tical-Conduit . t 66. Solar System-Final 16. Rough Eieu[ric Wiring 67. Fencing & Access Approval J77r Rough Wiring Sign 68. APPROVED FOR PLASTERING •18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS Permit # 20, Rough Factory Fireplace s 21. Ducts, in Structure ti 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas Ll Oil 23.. Gas Pifle;Rough & Test`72. Underground Flush 24. Roof Framing ,' �, _ 73. Undergrnd. Storage Tank []Gas 0 Oil 25. Roof Sheathing --- 74. Overhead Hydra 26. T-Bar Ceiling (Structural) &.Monocoat 75. Dry Chemical 27. Frame and Flashing t � 76. Dry Standpipe 28. Lathing &•Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE-PREV. FINAL 30.. Drywall Nailing - _ /~ HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat : ,••� - 79. FINAL INSPECTION - - 32. Electrical Power Meter-Final' 80. FOOD CERTIFICATE ISSUED 33. Final Electric '� k/ Notes: 34. Final Heating & Air Conditioning t 31 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing . 39. Water Service-Final , 40. Gas Service-Final f 41. Solar Domestic-Final r� 42. Backflow Preventer -� 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 3 - 4R. Special Requirements Completed 49. Electric Release to Edison �.i 50. Gas Release to Southern California Gas Co r 51. CERTIFICATE OF OCCUPANCY No. s Date" J �� J PROJECT ADDRESS: 1032 W' 1 8TH. ST UNIT: OWNER'S NAME: BURLINGHAM ENTERPRISES ADDRESS: INC . 1835 WHI.TTIER AVE #F-8 COSTA MESA,CA 92627 ARCH/ENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: SPRAYKING SPRAY BOOTHS (213)862-8135 ADDRESS: 11018 PALMER AV - SOUTH GATE CA 90280 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under' provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Cade. and m license is in full force and effect. CITY LIC.: 044522 STATE LIC: 509896 CLASS: B Oates — Signature — .' _ _ —._ WORKERS' COMPENSATION DE RATION: I hereby affirm that 1 have a certificate of cons td If -insure or a cedificale of Workers' Compensation Insurance or a certified copy thereof (Section 3800, Lab: CJ. POLICY NO.: CB906 2414 EXP. DATE: 81/01/92 COMPANY: INDUSTRIAL INDE ❑ Certified copy is hereby furnished. ($ Certified copy is f' o 1 'th the city Buildio 1vision. 011 'e: (C7—/J '�/ Applicant: .,I canny ION FROM WORKERS' COMPENSATION DECLARATION: mit i session , I s not be templet if t perms n for one hundred as to a ome ubNfy that a the performance of the work for which this permit is issued, shall not employ erson in any manner so a5 to become sublet) to the WorkersCompensation Laws of California. , -Date: Signature. ' NOTICE: If. after making this declaration. you should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. C). LENDER: ADDRESS:, - OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the fallowing reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure., prior to its issuancealso requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I.'as. owner of the property or my employees with wages as then.soie compensation, will do the work, and the ❑ structure is not intended or offered for sale (Section 7044. Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of completion, the owner will have the burden of proving he/she did not build or improve for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s) license pursuant to the Contractors' State License Law). I am aware that proof of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. ' for this reason: Date: Owner: I do hereby cendy that I am aware of and understand the requirements of California Health and Safety Code Sections 25505. 25533, and . 25534 and that I Cr any future building occupant will/will not (circle one) need to Comply with said state codes and the requirements for a permit lar construction or modification from the Air Duality Management District. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct. I agree to com ly with all city and county ordinances and state laws relating to building construction and here thorve representative (this tltyt upon Vemilenhoned property lot inspection purposes. Date: SSignature: Driver's License or Social Security 1641-46 White—Building: Green—Cafe Enforcement: Canary—Applicant: Pink—Hevenue: Goldenrod—Assessor CITY OF COSTA MESA -*BUILDING PERMIT PERM NO; F 05947 PERMIT NO: F 054475 PLAN CHECK NO: 03457-91 L GOVT; N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE; FIR PURPOSE: OTH JOB DESCRIPTION : SPRAY BOOTH SUPRESSION SQ FT: CLAIM VALUE: 1,075.00 CALL -VALUE: GROUP OCC: H-4 / COMMENTS: RE: B54474 PRIMARY BLDG. PERMIT. +�Rt�H�*�E*RE*�H*�r��*�**�E�E�E�6*��H*�+Ear*�*x*��*��H�H**+H*it*�H*�k�6♦E�E�L+t�E�E�E�r+E*�E*�H+��H��**�H*+H�+E�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 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 REO• PROV: PARCEL: 42433110 ZNE: REF NO: PLANNING N TES> iE ie iE iE iE If IF iE ak �t aE i1-**iE je#1831- BF k Bt k JE*l1- it iE iE Jit a1- it iE JtiH Be iE 9E iE BE i1- 9E kBF ie i1- iE if kSE of �EiF it iE**31- 1Ei(•if BE*i1- BF i1 -**31- iE*3E***f1- iE aE 3E 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 : sCQ DATE: c) BUILDING APPROVED BY : DATE: APPLICATION ISSUED BY:r 3f 3E**D kAr** iE 3E 1E i1- 3E iE 3F3t 1e 3t 31- 3t 31- 3E 3f 11- 3(-3f 1f 11-*il1F1e 3t 3f ie 3E it 1E***3E 1t 1E 1t if lEk is it if 3r 3f 1f 3E*1E iE 1(•1E 3E*1E if*31- 31- 11-*iE 3Eit 3f iE OE 3E 3t 31- 3E i1- iE�3E 3E 3t LEGALIZATION:N F E E S U M M A R'Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 27,00 658 SMIP/NON-RES PLAN 17,55 ISSUE FEE BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 27.00 0.00 17.55 44.55 44.55 .00 REVENUE DIVISION TOTALS--> COLLECTED: 27,00 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 27.00 11- 1E iE 3E 1E 1E * it 1H if .� * 3E 1E BE 31- 3E 1E 1E 3f 11- if iE 31- 31- 1f if 1t 11- 1E if 3H1E 3E 31- 31- 1E 3E 3t --%1E if * 1E 1EiE 3f 1f if 1e1F iE if 3L -3k 1H 11- iE dE 3E 1E iE 1H 3E 3E 3E 1E 1E 1E 1E iE 3EiE 1EiE.µ 11- 3E 3E I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COSI TOTAL COST FIR 27 FIRE EQUIP FEE `(FROM BLDG FAL VTABLE) a 1.00 27,00 END OF? 1 s frkon3P(ete InspectionJ, CONSTRUCTION AND PLANNING POOL &' ' APPROVALS Permit #� uate Inspector APPROVALS Permitter` _ Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment"Location r. 2. Soil Pipe-Undrgrnd. • - �` 53. Steel Reinforcement 3. Elkirical Conduit Utility-Undrgrnd.=''� 1 54. Forms - . A Elecvical Conduit•Undrgrnd. - '' 55. Electrical Bonding ." -5. St"eel Reinforcement 56. Rough Plumbing & Pressure Test , 6. Electrical LIFER Grnd. - - 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. ' 8. Foundation ' .� 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P Trap, 0 Undrgrnd. 10. Structural Floor System ca 61. APPROVAL TO DECK 11. Property Sewer Line& House 62. Backwash & Receptor -Final „Connection 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains .i 64. Plumbing System • Final 1 14. Rough Plumbing 65. Electrical -Final - 15. Rough Electrical -Conduit f ;' 66. Solar System -Final i 16. Rough Electric -Wiring - 67. Fencing & Access Approval 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING 18. Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT APPROVALS •. Permit # _ 20. Rough Factory Fireplace a:.•-; - =j -. 21.'Duas, in Structufe' -i 70. Underground Hydro . .. 22. Ducts, Ventilating _ S :T 71, ProducYPlping O'Gas DOil 23 =Gas Pipe=Rough &'Test ' �' .. 72, Underground Flush y 24„Ro6f Framing �. ' . _ r s > - > 73. Undergrnd: Storage.Tank 0 Gas -CI Oil 25. Roof Sheathingt.74- • Overhead Hydro - 26. T -Bar Ceiling (Structural) &.Monocoat `� „ 75.- Dry Chemical ' 27. Frame and Flashing N 76` Dry Standpipe - 1, ' 2- l 28. Lathin & Siding; 9. �.-t�r- �' ` 77,.- FIXED SYSTEM FINAL 29. Insulation - "'" (�tj it ��. 78 FIRE PREY. FINAL Drywall -Nailing r ' - I t J ,HEALT_ WDEPT, REQUIREMENT .30. �{� a,e S�^ 31. Plaster Brown Coat- u I ,�j��. FINAL INSPECTI,YN A . r r79`3. ,>• 32. -Electrical Power Meter -Final, ' ' - ,i 80., FOOD CERTIFICATE ISSUED - 33.jFinal Electric ii t�Til• - Notes: ' 34. Final Heating•& F,i. Conditioning, 35..Final Gas Pipe-Test. 36: Hood or CanoPY:1t i • LT - . 37 -Final Factory Fireplace k` r h. 38. Final Plumbing "� •• ,• -• -�9, `: n - x •� 39.. Water Service -Final 40r' Gas Service -Final -41. Solar Domestic -Final,.. ,^ •• ',•'1 ;. 42. Backflow Preventer 43. Backflow Irrigations • ' 44. Landscape irrigatiq"n System ;.:r.` C - �•- .45., Attenuation is -'Sound r n '46. Handicap Regulations J 47._FINAL STRUCTURE & BUILDING �-' .i •• > - 48"FINALPLANNING 49.: Electric Release to Edison 50. Gas.Retease to Southern California Gas Cn '� '-� %•_ -. . _ 51. CERTIFICATE OF OCCUPANCY No. Date Cu S �_Q �% Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. �O OV S CITY OF COSTA MESA CONSTR f TION PE Project Address 10152 k- Si+- C Applicint's Mailing Address \ . - s••• Q_ ON7ier's hameRur,t"a UA. � epi Addr,Ls itb -^'f ' , I� g��' ArchA*:nd. QV^y"'-s rr License No. Address -1, ( s •"� . . w_s e^ o Contractor's Nam Phone Address (mailing) City License No. LICENSED CONTRACTOR DECLARATION I hereby affirm that 1 am licensed untler provisions of Charter 9 (commencing witr secllaw-3COGLQ/ Division 3 of the Business antl c-Eooe• and ^v license is in full ford n ct. -SC Class License NO. .te Signature WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self4nsure or a certificate of Workers' Compensation Insurance, Or a certif letl copy thereof (Section �. Lab. ) o -y No. Company ' L'rIerti fled cop ,s hereby furnished. LJ Cer titre o t filetl wdh the d ' oin DIvIS1 n. '-"� -- Date 1 O� APPlican �� ~C EXEMPTION FROM WORKERS' COMPENSATION ECLARATION (This section need not be completed If the permit is for one hundred ($100) or less). 1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to tfae. Workers' Compensation Laws of California. Date Signature NOTICE: If, after making this declaration, you should become Subject to the^ Workers' Compensation provisions of the Labor Code, you must forthwith comply with Such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there Ise construction lending agency for the performance of the work for which this permit is Issued (Section 3087 Civ. C.) Lender's Name Lender's Address OWNER BUILDER DECLARATION 1, ereby affirm that I am exempt from the Contractor's License Law for the ;<J .,wing reason (Section 7031.5 Business and Professional Code: Any city or °"-hty which requires a permit to construct, alter, Improve, demolish or repair slructure, prior to its issuance, also requires the applicant for such permit t�}vo nue a signed statement that he/she Is licensed pursuant to the provisions of the Contractor's License taw (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exempllorl..Llny violation Of Section by any applicant for a permit subjects -The applicant to a civil lly of not more than five hundred dollars ($500). T as owner of the property or my employees with wages as their sole compensationr - sale, will do the work, and the structure is not intended or offered License Lawction does not4apply to an owner of aBusiness and rofs properly who builds ional Code: The w Improves thereon, and who doe, Such work himself/herself Or through his or her own employees, provided that such Improvements are not Intended Or offered for sale. If, however, the building or improvement Is sold within one year of com. PgPlglion, the owner will have the burden of proving he/she did not build or im. for the purpose of sale). 0 I, as owner o1 the property, am exclusively contracting with licensed con- tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon. and who contracts for such orolects with a con- tractors1 I,cense pursuant to the Contractor's License Law). I am aware that proof of their Worker's Compensation Insurance Should be provided to m0. 1 am exempt under Section B. & P. C. for this reason Date -� `— Vwner .�• I hereby /certify that I have read this appl In Is correct. I agree to Comply wi and state laws relating IO building cog nstruScne and tate of rrel epdi upon the inspection Signatur Drivers' License or SS J: Bar Sink .ny J fT _ ..O Backflow Irrigation A.P. # I'/- S E T B A Main Building: TYPE OF CONSTRUCTION NEW ADD LTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHE DESCRIPTION O ORK/USE OF BLDG. ._ r�tS O (, 7737. v.,st , t...ft iii yrsir) I R Front Rear Solar Piping ' TYPEOFPERMIT I f"GiAOING LJ FGUNOATION STRUCTURAL ❑TENANT K ELECTRICAL KPLUMBING 141 MECHANICAL ❑ OTHER \ C K S Right L 1 Ping. Ref. ylE PROJECT DESCRIPTION SQ. FT. CONSTRUCTION TYPEALUATI ZONE GrRAAG/DIINCU.rYDS. OCCUPANCY �� ON $ ACRES Water Closet Planning Notes: Water Heater Kitchen Sink Remarks: Lavatories Auto -Wash Bar Sink Showers Backflow Preventer Service Sink Backflow Irrigation Sewer Cap - Bathtubs Sewer Connection Clarifiers Solar Collectors Dishwasher Solar Piping ' Drinking Fountains Solar Tank Floor Drains Swimming Pool w/Spa Floor Sinks Urinal Gas Service Outlets Water Closet Interceptors Water Heater Kitchen Sink Water Service Lavatories Auto -Wash P -Trap Laundry Treys Roof Drains 1 Fixtures Reinspection Fee 1, $TB r r 1 r rs ` " ,Issue Fee Boiler ' Duct - Under Ground T( Duct - Structu 1E'rai R4ion System Duct - Ventillling 100,000 BTU ❑100, Exhaust System 0 Multiple101 ystem Repair/Alteration Firepl/Fact. Bit. ICBO # Fire Dampers Heating System & Ducting Registers ❑6100,000 BTU 0100,000BT Meter ❑over 100 amps Reinspection Fee I $15 I I Issue Fee 0865-46, rev. 5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor Zone L (O Accessory Building: / 2 O N I N G R Parking Req./Provided E Q r3cue-tillial M T S. ELECTRICAL FEES FEES Automatic Washer Construction Pole Sub. Transformer O 15.50 KW 0 50 + KW Cooking Unit Meter ❑up to 100 amps Dishwasher Meter ❑over 100 amps Dryers ❑Gas DElectric Sub Panel Fan Motors 00-1 HP Ell %-8 3 Site F.A.U. Inc.Solar 09-15 HP 016-15+ ' -' Fixtures Microwave Device Boxes Pole Light —71 Outlets Range Switches Sign - ' Garbage Disposal Standing Sections Generator 00.5 KW 05-15 KW Trash Compactor oo r ` Reinspection Fee $15 Issue Fee $ „DEVELOPMENT SERVICES REQUIREMENTS" /� Zoning Approved By CS r v Date Building Approved By Date Application Issued By Dat � �� B Qi$ 3 - FEES �- BUILDING PERMIT PLAN CHECK - PLUMBING PLAN CHECK 25% ELECTRICAL PLAN CHECK 50% MECHANICAL PLAN CHECK 25% SUMMARY FITS $ _•37. OP SMIP $ $ PERMIT $ 7, ISSUANCE $ $ ENERGY P.C. $ $ ��.�fT% GRADING $ $ MICROFILM $ $ TOTAL FEE $ $ _5_0 i '�/•" Cit' ^f��t: c9 • I = .: •�- rt CONSTRUCTION AND PLANK 1- ')OL F 0, t date APPROVAL•$ Permit # „ _ Inspector P APPROVALSi Permit # Date Inspector 1. TempGElectrical Service or Pole % 52. Pool & Equipment Location 2. Soilt Pipe-Unkgrnd. ' f n 53. Steel Reinforcement 3.jElec3ical (:%nauit Utility-Und[rgrnrd. 54. Forms n 43Electiical CoriduitUndrgrnd. ,4 t_ 55. Electrical Bonding (� 5. 'Steeb_Reinforce ent 56. Rough Plumbing & Pressure Test 15'• Electri`al UFWdrnd. A 57. APPROVALTOCOVER-GUNITE ,� r T.- F;i t9otngs ' Pa � t 58. Electrical Conduit-Undrgrnd. 4Wo6ntlationr)�• i ; • r 59. Gas Pipe, 0 Undrgrnd., Test I 9y Wate( Pipe-Undrgrnd. f ? 60. Backwash Lines, PbTrap, 0 Undrgrnd. e. p v 10. Structural Floor System t' 61. APPROVAL TO DECK n tj 1 IPPropertyl Sewer Line & House Connection ��• 62. Backwash & Receptor -Final y' 12!,SevaeF;Cap p 63. Heater & Vent -Final i 1Rooflbrains % �' �'L . 64. Plumbing System - Final ? 14) Rough Plumbing .�Aw 65. Electrical -Final Ol 15. Rough Electrical -Conduit _fiolar System -Final _ 417 Rough Electric Wiring %d encing &Access Approval ;�. Rough Wiring Sign 68. APPROVED FOR PLASTERING d8. Rough Erectrical-T Bar CeiTi 69. POOL/SPA SYSTEMS FINAL 19t Rough Hteating & Air Conditioning FIRE DEPT ,REQUIREMENT APPROVALS Permit # ` - �20' Rough Factory Fireplace �', 1 ?21. Ducts, i Structure % 70. Underground Hydro �� V Ducts, V ntilating 71. Product Piping 0Gas 0011 r ,,22. '23; Gas Pipe;Rough & T6Ct 72_ Underground Flush !. ° `24' Roof Framing 73. Undergrnd. Storage Tank G Gas/D Oil -4-25. Roof Sheathing r 74. Overhead Hydro 26. T-Ba-rTCe^iling (Stiructutal) & Monocoat 75. Dry Chemical i 271 Frameeand F16shing :` (L7p 76. Dry Standpipe 28' Lathir�t&:Siding 77. FIXED SYSTEM FINAL j 29.' Insulation 78. FIRE PREV. FINAL l 130. Dry -11 Nailing �.Tj �((� HEALTH DEPT. REQUIREMENT 31. Plaster Brown coarn 79. FINAL INSPECTION 1 32. Electrical Power -Meter -Final 0. FOODtCERTIFICATE ISSUED ,t n r3. Final Electric )! 2p�19y tes: -;r 134. Final Heating & Air Conditioning 16111 1 35. Final Gas Pipe -Test Hood or Canopy �^6. =37. Final Factory Fireplace X38. Final Plumbing / p/QA 440 X39. Water Service -Final z r a r „'40. Gas Service -Final t. f Ni. Solar Domestic -Final 42. Backflow Preventer- - 43. Backflow Irrigation+ ' -, „ y 44. Landscape Irrigation System 45. Sound Attenuation d i r 46. Handicap Regulations 47. FINAL' STRUCTURE & BUILDING 48. Special Requirements Completed I 1- 9'- L(d. at -1 L 40. Electric Release to Edison X50. Gas Release to Southern California Gas Co ,51./CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 1032 W 18TH ST UNIT' OWNER'S NAME: BURLINGHAM ENTERPRISES ADDRESS: INC 1835 WHITTIER AVE #F-8 COSTA MESA,CA 92627 ARCHIENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: SPRAYKING SPRAY BOOTHS (213)862-8135 ADDRESS: 11018 PALMER AV SOUTH GATE CA 90280 LICENSED CONTRACTOR DECLARATION: I hereby affirm Thal I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license is in full force and effect. CITY LIC.: 044522 STATE LIC.: 509896 CLASS: B Date; _57—Signature: Signature: WORKERS' COMPENSATION DECLIINATION: 1 hereby allirm that I have a certificate of consent to IE>sure or a cer ifkale of Workers' Compensation Insurance, or a cendied copy thereat (Section 3800. Lab. C). POLICY NO.: CB 906 2414 EXP. DATE: 01/01/92 COMPANY: INDUSTRIAL INDE ❑ Certified may is hereby furnished. IX Certified COPY FROM 6 fd' h IRe city Btrildwrq 7isfon. _KE Applicant: EXEMPTION fl th WORKERS'COMPthe ATION work TION:this (ID6 ucued.I snot notcompleted oya he antis for omnner so (SIDo)ecom. certify that in the performance of the work for f which obis perrtul rs issued. shall not employ a rson in any manner so as to become terrify to the Workers' Compensation Laws of Calilornu. Date: — Signature: NOTICE: H. alter malting this declaration. you should become Subject to the Workers' Comaertmlion provisions at the Labor Cade, you must forthxym comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the gerlormance of the work for which this permit is issued (Section 3097, Civ. C). LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt Irom the Contractors' State License Law lot the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or repair any structure. prior to its issuance. also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that theistic is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit sublece the applicant to a civil penalty of not more than live hundred dollars ($500). I, as owner of the properly or my employees with wages as their sole compensation, will do the work, and the 11 structure is not intended or offered far sale (5¢(310 7044, Business and Professional Code: The Contractors' State License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/hersell or through his or her own employees. provided that such improvements are not intended or offered for sale, II, however the building or improvement is Sold within one year of completion, the owner will have the burden at proving he/she did not build or improve for the purpose of sale). I, as owner of the prape%y am exclusive contracting with licensed contractors to construct the project (Section 7044, Business ❑ antl Professions Code: T11a Contractors Slate License Law aces rot apply to an Owner of property who builds or improves thereon I and who contracts for such projects with a contractors) license pursuant to the Contractors' $State License Law).1 am aware that proof of (heir Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. A P. C. for this reason: Dale: Avner: I de hereby cemly that I am aware of and understand the requirements at California Health and Safety Code Sections 25505, 25533, and 25534 and that I or any lulbre building occupant wilitwil not (circle one) need to comply with Said state codes and the requirements for a permit for construction or modification tram the An -duality Management District. Residential construction applications are exempt from mese provisions. Date: Applicant: I hereby certify that I have read this application and state that the ordinances and state laws relating to building construction and here property for inspection Purposes. Date: /157—Z S!_/_ —Z — Signature: Driver's License or Soda) Security +: information is correct. I agree to comply 164146 White—Butldmy; Green—Cade Enforcement: Canary—Applicant: Pink—Revenue; Goldenrod—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 054474 PERMIT NO: B 054474 PLAN CHECK NO: 03455-91 L GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION SPRAY BOOTH SQ FT: 9,500 CLAIM VALUE: 9,500.00 CALC-VALUE: 8,425.00 GROUP OCC: H-4 / COMMENTS: SPRAY BOOTH WOOD WORKING SHOP 2 0 N I N G S E T B A C K S R E Q U I R E 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 REQQ• PROV: PARCEL: 42433110 ZNE: MG REF NO: PLANNING N(3TES> INSTALL PREFABRICATED SPRAY BOOTH, ONLY. > 1f if 1F iF iF iE IF TE iE iF iE 1E 1F if iE iE iE JE iE * iE JE 9E iE aE flt iE TE iE 4E iE iE 1F BE iE 1E iE 1E 4E * * iE iE iE iE iE iE iF IE * iE 4E iE iE iE iE ieiE if JE * iE iF iE iE iE iE iE iE iE tE iE iE iE iE iE * 9E iE 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 : S cc DATE: / �S BUILDING APPROVED BY ; DATE: 110 APPLICATION ISSUED BY: DATE: APPLICATION ISSUED BY: 7F£BE iF iE iE DATE: ** 4E YF 4E iE iF iE aE iE 4E 1E4 iE iE iE JE iE IE 4E***Bf KiE iE 1E iE 4E iE iE lE iE iE iF 4F iE iE iE iE TF iE iE* 1EBE iE iEiE 4E*1EiE*1E BE iEiE 4E aEiE iE*1F 9E if aE iE Rif BF 4E iE iE 3E 9E;F* LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 108.00 PLAN 70,20 SMIP1-RES .77 ISSUE FEE BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS---->- 109,77 0,00 70.20 179.97 179,97 .00 REVENUE DIVISION TOTALS--> COLLECTED: 109,77 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 108.00 1.77 lE jE iE lEkiF 9f iF iElE ik iFRiE k1Ek 9EiE yE iEiE iE**iE TE iF iE 4E**TF**iEk*****it iE iE iE IE1E iE 4E TEit iE iE iE*9E 9k 4EBE 4EiE iE iEiEiE**4F tE tE iE iF fEiF aE iE BERE I N D I V I D }T A L F E E B R E A K D O W N TYPE.. rQTY pD�Eap��Sf�C R I P �I 1'0 N UNIT COST TOTAL COST SFC 84?15 in �.Ir'I'67t5InsIY�VALUE COSNDROFAFEESNOZONE 1.00 8,425.00oete POOL CONSTRUCTION AND PLANNING APPROVALS Permit# vate Inspector APPROVALS Permit # Date Inspector ' 1. Temporary. Electrical Servi&br Pole_ - 52. Pool & Equipment Location 2. SoilPipe-Undrgrnd. 53. Steel Reinforcement i .•,� 3. Electrical Conduit-Utility-Undrgrnd. ' V 54. Forms ' 4. Electrical Conduit-Undrgrnd::e 55. Electrical Bonding S. Steel Reinforcement; -` 56. Rough Plumbing & Pressure Test 6, Elecirical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE ' 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap - 63. Heater & Vent -Final , 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final 15. Rough ElectricaI-Conduit 66. Solar System -Final 16. Rough Electric Wiring = 67. Fencing & Access Approval ' 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18, Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT r APPROVALS'; '• -Permit # 20"Rough Factory Fireplace ' - ' + 21. Duds, irLStructuie .. ,, �� :* .. "70. Undergr6vnd,'Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas OOiI Y 23.` -Gas Pipe' -Rough & Test : , 72. Underground Fldsh 24..Ro6fFraming X73: Undergrnd:Storage Tank OGas 0Oi1• } 25. Roof Sheathing 1 ' • �'74,xpverhead �iydro , 26. T -Bar Ceiling (Structural) & Monocoat 75. -Dry Chemical 27. Frame and Flashing - 76.Diy Standpipe tI 28. Lathing & Siding' L" r 77: FIXED SYSTEM; FINAL' 1 29. Insulat on_ F - 78. "FIRE PREV. FINAL 30. Drywall Nailing r - �' y HEALTH DEPT. REQUIREMEN'T,. , 31. Plaster Brown Coat _ i 79. FINAL INSPECTION ` -• 32. Electrical Power Mater -Final '_ �- r80.rF000 CERTIFICATE ISSUED r., 33. *Final Electric. ` a ` " ' i - �' • .• • -34: Final Heating & Air Conditioning, 35�,Final Gas Pipe -Test "' J, ' 36. Hood or Canopy 37. -Final Factory Fireplace -38. Final Plumbing r' .39.'Water Service -Final" ' - - ',AO.;Gas Service -Final t- O•t -� ' ''541: Solar Domestic -Final •. - - 'r r' - -* - 42. Backflow Preventer 43. Backflow Irrigation - - - .44. Landscape Irrigation Systeme 45. Attenuation -Sound _46:. Handicap Regulations , •47. FINAL STRUCTURE & BUILDING 4W FINAL PLANNING 49.: Eleciric Release to Edison J. .' tJ t - •• _ • 50..Gas-Release to Southern California Gas Co 4?' - 51. CERTIFICATE OF OCCUPANCY 51. No. Date PROJECT ADDRESS: 1032 W 1 8TH . S T UNIT: OWNER'S NAME: BURLINGIIAM ENTERPRISES ADDRESS: INC 1835 WHITTIER AVE NF -8 COSTA MESA,CA 92627 ARCHIENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE: SPRAYKING SPRAY BOOTHS (213)862-8135 ADDRESS: 11018 PALMER AV SOUTH GATE CA 90280 LICENSED CONTRACTOR DECLARATION: I hereby affirm Ihat I am licensed under provisions of Chapter 9 (commencing with ction 7000) of Division 3 of the Business and Professions Code. and my license is in full force and effect. CITY UC.: 0 4 4 5 2 2 gSTATE UC.: 5 0 9 8 9 6� �CLASS: B Date: _��—{� Signature: _ WORKERS' COMPENSATION DE LARATION: I hereby affirm that I have a certificate of consent to bin a or a cenilicate of Workers' Compensation Insurance, or a certified copy thereof (Section 380D. Lab. Q. POLICY NO.: CB906 2414 EXP. DATE: 01/01/92 COMPANY: INDUSTRIAL INDE Certified copy is hereby furnished, EX Certified Copy is fi iIn the city Building Divisi � (O—/�c� I / / Applicant: s EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need not be Completed it die is for one hundred(5700) or less). I cemly that in the performance of the work for which this permit is issued, I shall not employ any p in any manner so as to become subject to the Workers' Compensation Laws of California. Date: Signature: NOTICE: If. atter making this decaration. you should become subject to the Workers Compensation provisions of the Labor Code. you must forthwith comply with Such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civ. Cis LENDER: ADDRESS: OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors' State License Law for the following reason (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct. alter. improve. demolish, or repair any structure. prior to its issuance. also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (Commencing with Section 7000) of Division 3 0l the Business and Professions Code) or that he/she is exempt therefrom and the basis far me alleged exemption. Any violation of Section 7031.5 by any applicant for a permit Subjects the applicant to a civil penalty of not more than live hundred dollars (5500). I, as owner of the property or my employees with wages as their sote compereation, will do the work. and the ❑ structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractors' Slate License Law does not apply to an owner of a properly who builds or improves thereon. and who does such work himself/herself or through his or her own employees. provided that such improvements are not intended or offered for sale. If, however the building or improvement is sold within one year of completion. the Owner will have the burden of proving he/she did not build or improve for the purpose of sale). • I. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business ❑ and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a coninclor(s) license pursuant to the Contractors' $late License Law). I am aware mal pmol of their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section: B. 8 P. C. for this reason: Date: Purer: I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505, 25533, and 25534 and that I or any future building occupant willfwi] not (circle one) need to comply with said state codes and the requirements for a permil for construction or modification from theAir Ouahty Management District. Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify mat I have read this application and state that the above information is correct. I agree to camp vim all ell ordinances and state laws relating to budding Construction and , uthome representatives of his city to Chile an the ab property for inspection purposes. Date: ` Signature: Drivers License or Social security P: CITY OF COSTA MESA - BUILDING PERMIT PERM NO: M 05447 PERMIT NO: M 054477 PLAN CHECK NO: N GOVT: N SUPP; N CONSTRUCTION TYPE: PERMIT TYPE: MEC PURPOSE: OTH JOB DESCRIPTION PAINT SPRAY BOOTH INSTALLATION SQ FT: CLAIM VALUE: CALC-VALUE: GROUP OCC: H-4 / COMMENTS: RE: B54474 PRIMARY BLDG. PERMIT. MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM N•M MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM* Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING--------- FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RIGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV: PARCEL: 42433110 ZNE: REF NO: PLANNING NOTES> MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMBEMMMMMMMMMMMMMMMMMMMMBF*MMMMMMMMMMM 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 BUILDING APPROVED BY ; APPLICATION ISSUED BY; MMMMMMMMMMMMMMMMMMMMMM�FSF MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMIFMMMMMMMM M' LEGALIZATION:N F E E S U PERMIT PLAN ISSUE FEE DATE: DATE: TFMMiF7FIFTFifiF{f�FiFMMM DATE: MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMM A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING 4 50 15! 15.00 SMIP/NON-RES BUILDING -DIV-> PERMIT ISSUE PLAN -CHECK TOTAL PAID DUE TOTALS ---- > 4,50 •15.00 0,00 19.50 19,50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 19,50 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN -CHECK 19.50 M MMMMMMMMMMMMMMMilMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMiFMMMMMMMMMMMMMMMMMMMMMM I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N. UNIT COST TOTAL COST MEC 1 VE TILATION FAN CONN TO SINGLE DUCT 4,50 4.50 END OF FEE EXPIRED (ncA PI a Inspections Oste Sig 1 .i� 01 DATC.- 11 :503 .!r:_ CONSTRUCTION AND PLANNING POOLWA APPROVALS Permit # Jate Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � ;�=_ 53. Steel Reinforcement r _ 3','Electrical Conduit Utility-Undrgrncf - 54. Forms . 1( ',4. Electrical Conduit-Undrgrnd ./1 `. i 55. Electrical Bonding v/ s 5: Steel Reinforcements - •- •-.� 56. Rough Plumbing & Pressure Test -� 6' Electrical LIFER Grnd. - 57. APPROVAL TO COVER-GUNITE ' 7. Footings 58. Electrical Conduit-Undrgrnd. B. Foundation L:` `- 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, 0 Undrgrnd. 10, Structural Floor System ,� 61. APPROVAL TO DECK 11. Property Sewer'Line & House Connection 62. Backwash & Receptor -Final 12. Sewer Cap - 63. Heater & Vent -Final 13. Roof Drains -- 64. Plumbing System -Final 14. Rough Plumbing ` 9 9 65. Electrical -Final 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign i - 68. APPROVED FOR PLASTERING 18. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT + APPROVALS.Per.mit# 20..Rou h Factor Fireplace - 9 Y + C 21 'Duds, in Structure'_ " r70. Upderg5ound Hydro .' 22. Ducts, Ventilating ' _� •' - y _71. Product -'Piping O'Gas EOil 23: -Gas Pipe=Rough &'Test 72. Underground Flask. - _ _ 24: -Roof Framing _ 73. Undergrnd•. Storage'Tank O Gas �0 Oil 25. Roof Sheathing > ';t `74z Overhead Hydro - 26.,T -Bar Ceiling (Structural) &.Monocoat _ _ • _ 75. Dry Chemical - ,,, •� 27. Frame and Flashing 76. Dry Standpipe ` _ 28'~Lathing & Siding.. r :. �; v 77(- FIXED SYSTEM FINAL v 1'29. Insulation ( 78,_ FIRE PREY, FINAL ,•$0. Drywall_Nailing .^ HEALTH'DEPT . REQUIREMENT _31. Plaster Browp Coat °+ 79. FINAL INSPECTION • 32. Electrical Power Meter -Final , 80.: FOOD CERi'IF(GATE ISSUED _. 33. -Final Electric r ;, Notes: 34`FiniI He'ating' &Fir Conditioning - r 35.'Fin al Gas Pipe -Telt- - - _ - -- 36: Hood or .Canopy ^'y a _ t no �. :.r• '+� Y 37::FinaI Factory Fireplace + + /.••r - r r• x � , _ -38. Final Plumbing ` 39. Water Service -Finale Y 740. Gas Service -Final , >41. Solar Domestic -Final - •• '4 � r r 42'Backflow Prevented 43. Backflow Irrigation r = 44. Landscape Irrigation System. r - 45: Sound Attenuation v •' •, -"46. Handicap Regulations G _ 47 -FINAL STRUCTURE & BUILDING ^i s 46.FINAL PLANNING ). , 49. -,Electric Release to,Edison 50.. Gas.Release to Southern California Gas Do JA I `" �'• - 51. CERTIFICATE OF OCCUPANCY _ No. Date PROJECT ADDRESS: 1032 W .1 8tH ST UNIT: OWNER'S NAME: BURLIN'GHAM ENTERPRISES ADDRESS: INC 1835 WHITTIER AVE #F-8 COSTA MESA,CA 92627 ARCHIENGINEER: REG.NO.: ADDRESS: UNIT: PERMITTEE' SPRAYKING SPRAY BOOTHS (213)862-8135 ADDRESS: 11018 PALMER AV SOUTH GATE CA 90280 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencin im Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. CITY LIC.: 044522 STATE UC.: 509896CLASS: B Date: — "� Signature: _ le -1 — _ — WORKERS' COMPENSATION ECLARATION: I hereby affirm that I have a certificate of consen to s I mewe or a cern i,ale of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C), POLICY NO.: CB 906 2414 EXP. DATE: 01/01/92 COMPANY: INDUSTRIAL.,_ INDE ❑ Certified copy is hereby burnished. LH Certified copy is file ith the city Building Di rylon. /e:/ EXEMPTION FROM WORKERS' COMPENSATION DECLARATION: (This section need nor be completed it th per it is for one hun red ($11X) or less). I certify that in the performance of the work for which this permil is issued, I shall not employ any p n in any manner so as to become subject to the Workers' Compensation Laws of California. Date: Signature: NOTICE: If. after making this declaration. you Should become subject to the Workers' Compensation provisions of the Labor Code. you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Civ. C). LENDER: ADDRESS; CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 05447 PERMIT NO: E 054476 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTION PAINT SPRAY BOOTH INSTALLATION SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: H-4 / COMMENTS: RE: B54474 PRIMARY BLDG. PERMIT. lE iE iE 3E iF 8E IE 9F eE eF �89F iE RF iE * iE iF iE fE *.)E aE BE iP IE * iE 9! * iE 9F iF iB 1e• * k ek RF * * k BE ie aF it * RF k * * RE * iF ie M iP iE iE iF * iE *ie iP it iR if if iE at eF iE 1E ik if Rf IE iE Z O N I N G S E T B A C K SR E Q U I R E 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 REO• PROV: PARCEL: 42433110 ZNE: REF NO: PLANNING N TES> > 9F RE 1E 9f 8E if itiF*iE*ie RE 9E*Ft•**Rf BP**rt#k*t6 is iF;Ei(•1E IE At*iPlE*BE*1Fkit BFlF±t 3f 9E*ieif•9t REiP 9F 9F iF iE*RF*RF RE*i8k*9E•BE RF kP***it if lF iF 9E 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: ****iE�iEREiFRI•REiFREiFiliFRtiPRtiEFtRt 9E 1FiFRFRF1FifiEif3k ieio- ifReRPBFBeifK•iF*iPiFRtRFitiFlEkiF*iERtaEitifieiEi6iraPOFRliEkiEiE***ieiEiE itlP**iFkiaFtBP*iRiFaRIP±titlEfF%i(•iE*BEiFiFBritiFRE**3EiEititic• LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors' Stale License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct, alter, improve, demolish, or PERMIT 9.75 repair any structure. prior to its issuance. also requires the applicant for Such permit to file a signed statement that he/she is licensed 501 SMIP / NON—RES pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business 1 ST 20 EA. and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by PLAN ELE any applicant for a permit subjects the applicant to a civil penally of not more than five hundred dollars ($500). ISSUE FEE 15 .00 .75 I, as owner of the property or my employees with wages as their safe compensation. will do the work, and the B`!UILDING—DIV—> NS M SUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or alleged for sale (Section 7044, Business and Professional Code. The Contractors' State License Law TOTALS— — — — > . .00 0.00 24.75 24.75 does not apply to an owner of property who builds of improves thereon, and who does such work himsell/herself or through .00 his or her own employees. provided that such improvements are not intended or offered for sale. It. however the build"' or improvementone year of completion. the owner will have the burden of proving he/she did not build or improve _ _ REVENUE DIVISION ODIC 00 4 SMIPO/SG for meatmill, BLDG PMT PLUMBING ELECTRICMECHANIC FIRE/TOT GRADING PLAN—CHECK �❑ I. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044. Business 24.75 antl Professions Code: The Contractors State License Law does not apply to an owner of property who builds pr improves thereon and who contracts for such projects with a contractors) license pursuant to the Contractors' Slate License Law). I am aware *{(. if R6RCa(.AE{E{F#*♦E itklF!(-BF iF iE1F{P{F*9P RP iF iB iF eE*{(. iE aF{L.if.1C.{(.{(.{EBtriE.N.{(.!l Rt iE*{(. iR Bf{(.*****iE iF96{p*{(.{(. {(.4(. RF *iF if iF if****fEiE T(. {(. that proal of their Worker's Compensation insurance should be provided 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 exempt under Section: B. & P. C. .to, this reason TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST Date: 1 do hereby tently that I a 25534 and that I or any for permit for construction or mese provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct. agree to cam y with all ordinances and state laws relating to building construction and here p'a thorch, representing, o scity to a ponthe property for inspection purposes. Date: _(S.! � S �� Signature: Driver's License or Social Security 4: 1641-46 White—Building; Green—Code Enforcement; Canary—Applicant; Pink—Revenue; Goldenrod—Assessor EXPIRED R Pill InSpectiorS �! Sig 1 4.1 01 0009V_itS`(UJ9l T0— Ak AL CONSTRUCTION AND PLANNING • - POOL AWA APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole- ` 9 52. Pool & Equipment Location ` 2. Soil Pipe-Undrgrnd. • u .,J 53. Steel Reinforcement l ^,3.'ElectricalConclu'! Utility-Undrgrnd.`: 54. Forms ' 4. Electrical ConduiUUndrgrnd. • '� 55. Electrical Bonding . 'r5: Stee(ReinforcementS ' �Y 56. Rough Plumbing & Pressure Test - '6! Electrical UFER Grnd. c . 57. APPROVAL TO COVER-GUNITE "17Foofings 58. Electrical Conduit-Undrgrnd. t n B. Foundation 59. Gas Pipe, O Undrgrnd., Test _ 9: Water Pi a-Und f9rnd. 60. Backwash Lines, P -Trap, O Undrgrnd. 10: Structural Floor"System 61. APPROVAL TO DECK 14: Property Sewer.,Line-& House Connection 62. Backwash & Receptor -Final 12. Sewer Cap 63. Heater & Vent -Final 13. Roof Drains :- _ � 64. Plumbing System - Final ' 14. Rough Plumbing 65. Electrical -Final 15. Rough Electrical -Conduit r' , 66. Solar System -Final r 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical, T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ;APPROVALS t• -Permit # 20.,Rou"gh Factory Fireplace I t, + :�� 21 ?Ducts, in -Structure �� r : w 70. Undergiound Hydro 0 , c 22.rDucts, Ventilating.• CJ:C y' ? 6' •71, Producf:Piping 0,Qjs ❑,Oil 23' Gas Pipe -Rough &TestI,1 zz 1 :„ _ .+ I, ,72. Underground Flu"sF ; 24:,ROof Framing •+is '= .73:JUndergrnd.Storage Tank 0Gas 0Oil 'n c:' r • 25. Roof Sheathing>, •� 74.=Overhead Hydro- ' y . j , 26. T -Bar Ceiling (Structural) &10onocoat _ ,y - "1 75. -Dry Chemical 27. 'Frame and Flashing: 76. Dry Standpipe ' 28 Lathing& Siding-> ; =. : �., r >; - •• r 77.= FIXED SYSTEM F1NAC- '29. Insulation r` '" 78. FIRE PREV. FINAL 30. Drywall:Nailing ' .+.' HEALTH DEPTsREQUIREMENT _ V'` y 31. Plaster Bir own Coat ��; 39. FINAL INSPECTION t' � -32. Electricat Power Meter. -Final. � - �; . j�"l+ _ -:BO. ,FOOD CERTIFICATE IS66ED i 33.` Final Electric°Notes: ^5 7 i. 34, Final Heating & Air Conditionings - -Final r .:,� �'. - •� 35. Gas Pipe -Test . 36. Hood oi,Canopy' I;• .F _ i :^� ., ,• - ; 37 Final Factory Fireplace • ^ ' i* + L• `• + "�^ ':` 738. Final Plumbing I A 39. Water Service -Final' •' - - - 40. Gas Service -Final >41. Solar Domestic -Final •• + i - _ , 42:' -Backflow Preventer'� ' 43. Backflow Irrigation .~44. Landscape Irrigation System ; ,�= r,, - - r; ;�-^+ •, - .. . 545_ Sound Attenuation ='46: Handicap Regulations 47:-�FINAL STRUCTURE & BUILDING r i ! � rr;:• ' 48.' FINAL PLANNING 49.. Electric Release to Edison - f :50.,Gas-Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY r• c No. Date