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Home My WebLink About738 17TH ST - Building Permits: ,. Job nddress: 738 W 17TH ST Suite: F Vicinity: UNIT F(BEAR ST CLAIR) Primary Occ: Parcel Number: 42408118 Type of Construction: Zoning: Status: ISSUED Applied: 08/042005 Issued: 08/O4I2005 Applicant: ST CLAIR, DENNIS Address: 2700 W COAST HWY� STE 212 Phone: 949-631-0553 ISSUED BY: NEWPORT BEACH, CA Zip: 92663 Owner. ROTHSCHILD, PETER B TR ' " �'"�`��"-= � � � �, - Address %DAVIS PARTNERS LLC , .. ,� � � , ,_ ,_ NEWPORT BEACH,�CA � - � � � Phone: . � 1420BRISTOLST,NORTH#100 rr��` Zip:..92660-2914 r � � , ..r L Convactor: WM DENNIS ST�CLAIR' � " ` � � � �� Address: ,-2700VJiCOAST�HWY�� '%', � "' � - � � ,=STE 212 � �� Phone: 948-631�-0553 `,1� � � , , ' ��'��NEWPORT,BEACH,CA - �� Zip:� 92663 `�'..•.�, . �� License: 319388 �` " - , , Arch : � . . E�9: � . - � . Address: � ��, , Address: , � , ' . Phone: . ` ' , . -. � Phone: � . . z.. _ , � , , . a „ - • •� Zip: ._ j �: t �� License: - - � ' License:- "� , , . .� . .� re�z' � . , . . ,,;" ' � � � � SCOPE OF PERMIT' �;w ,r', ' � �„ . DEMOLI710N OF AN ILLEGAL STORAGE AREA (REMOVE 3 WALLS, DEMO CONSTRUCTED IN�AN EXISTING�STORAGE AREA AND F ILLEGAL NONBEARING WALL BETWEEN AN OFFICE AND RECEPTION AREA. z' �- r �, �. PERMIT TO RESTORE SUITE TO ITS �ORIGINAL STATE. $ J� ay�� '_ i,. REF: C05-0468 �; � . ,r; ' '.; � . ... ' _ . ` . ' . � 6:�xC Fi �r '.1 ' FEE SUMMARY :..� - Pian Check � 3°$25.19' . Calc Valuation � Si,000'oo Permit ;, .$38.75 t,, ..' . yNt-, Claim Valuationf ` 5�,000.00 `SMIP Res: �� $0.00 � �: •.__ , °- �� ''� : SMIP Com: $0 50 � _ ._...,. _, _ :. - - , � � �Othe'r. ��'$0 00 � � ' �� Inspection �. �'��$0:00�� o Total: $64.44.. � , ,� ,�:' >>; , ' " ` 2 ` � �'' 'PLANNING 8 ZONING_ -.-_ ,:.: � , _' � 1 SETBACKS 9v� ` � � � V. � V"a \�t„L W �."'� �� MAINSTRUCTURE�Front�� 0.0 �� Rear 0 0'. t� -Left� 0 0 � ,�, Right �0-0' � , , _. � . . - • r,.-:. s .. � ' r �4 - ,- . '. � ACCESSORY �.Front -0- 0 � � Rear ,� 0 0 ' � �Left 0 `0 . ��Right 0- 0� ' � � r" ' . .a. , .. _ �. .� -., � -.�,-. _ - : , � �,• � � � ,T ,� PARKING Existina ��.0�� Reauired 0 � Pr000sed 0. a�� ' � ,� t'; , � �� KeM,, fr M�... :" �'«� t: � � ....., ` 1 t f _ __ , � � m3�� -�.. �.':.0 . � - ••_ � . _r... `.%� � . . � NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Califomia statutes and related regulations. (Ord. No. 92-28, § 7, 12-21-92) � EXPIRATION: This permit shall automatically expire and become void if work Is not commenced within 1 BO days, or If work is suspended or abandoned tor a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspeetiona and final apprrnal must be obtained. Failura to obtain inspections and final approval will result in ihe ezpiration of ihis permit. FOR INSPECTIONS CALL: (714) 7545628 FzR;nara;.:at WORKEHS' COMPENSATION DECLARATION: I hereby affirm under penalry of perjury one ot the tollowing tleclarations: ' � ❑ I heve antl wlll meinteln a certificete of cansent to self•Insura tor workers' compensetlon, es pmvidetl tor by sectlon 3700 of the Lebor Cade, for the pertarmence of the work for which �his permit Is Issued. ❑ I have and will meintain workers' compensa�� insurence, es requlretl by section 3700 ot the Lebo� Cotle, tor t�e perfortnance of Ihe work fa which lhis permit Is Issued. My workers' compensatlon Insurence cflrrier end poliry number ere: Cerrier: Policy Number: ((—Thls s tlon neetl not be completed U the permlt Is veluetl et one hunOreU aollers ($100) or /ess.) ��,lll certify ihat in the peAormence oi iha worN �or which this pertnit Is is ed, I shell not employ any paraon In eny menner so as to become eubject to the workera' wmpensation laws of Califomla,�p d egrea that if I s�oulA eco � the workers' wmpensetlon provisions oi Section 3700 ot tha Labor CaAe, I shell forthwith compl vnih ihese ovi ions. / 1 ! r i / pe�p�eni5lgnatura_ /l1. 1/��/1✓�—L� �lf� D`ate;)�� (' —_ �... —"^tv� d WAPNING: FAIrRE TO SECUHE WORKERS' COMPENSITON COVERAGE IS UMAWFUL AND SMALL SU6IECT AN EMPLOVER TO CRIMINAL PENALTIE$ AND CML FlNES UP TO ONE HUNDRED THOUSFND DOLIARE (5100,000), IN F�DITION TO THE �T OF G�APENSATION, OAMA�ES AS PROVIDED FOR IN SECTION 3)OB pF THE IABOR CODE, IMEREST, AND ATTORNEI^S FEES. LICENSED CONTRACTORS DECLARATION: I herehy aHirtn that I am Ilcensed unde�rF r9v�is s of C�epter 9(commencing wlih Section 7000) of Divislon 3 of Ihe Busines�end Professlons Code, end my Ilcense Is in full force end ettect Li� c. N� �% fi �l.i�� __ . .�.. G�ess'N r� CONSTPUCTION LENDING AGENCY: ❑ I hereby atFlrtn t�at Ihere is a conswdion lentling egency for Ihe pertortnence oi the work tor whic� ihis pertnit is issued. (Sec. 3097, Civil Code). Lender's Neme: Lenders Address: Signeture: OWNER-BUILDER DECLARATONS: Date: I �ereby eNirm thet untler penelty ot per�ury that I em E%EMPT FROM THE CONTRACTORS LICENSE LAW for Ihe following reason (Sec. 7Q37.5, Business end Professions Cotle: Any dry or counry which reQuires a pertnil to wnstruct, elter, improve, tlemolish, or repair eny structure, pnor to its issuance, also requires the applicent lor such permit to 111e e signetl statement ihet he or she is Ilcensetl pursuant to the praNsions oi ihe Coniraclors License Lew (Chapter 9(commencing with Seclion 7000) 01 Dlvision 3 of lhe Business and Prolessions Coda) or that he or sde Is exempt Iherefrom end tha besis tor the elleged ezemptlon. Any WWation of Saction 7031.5 by eny epplicant for e permit sub�ecis Ihe applicant to e civil penalry at not more chen tive hundred dollars (5500).): ❑ I, as owner of the properry, or my employe�s wlth weges es their sole compensatlon, WILL DO THE WORK, and the structure is not Intended or oHered for sele (Sec. 7044, Business entl Protesslons Code: Th9 Contractors License Lew does not epply lo an owner of properry who builds or improves Ihereon, antl who does such work himself or herself or through his or her own employees, providetl t�et such Improvements ere not Intended or oHeretl for sele. If, however, �he bullding or Improvement is sokl wilhin one yeer ot completion, the ov.nerbuildar will have the burden of Droving that he or she tlid not tuild or imprwa tor purpose of sele.). ' ❑ I, es owner of the property, em EICGLUSIVE�V CON7RAC71NG WITH LICENSED CONTpACTORS to consiruct the project (Sec. 7044, Busineu and Professions Code: The contwctors LJcense Lew does not epply lo an owner ot properry who builds or impmves thereon, antl who contracts tor such project with a comrector(s) licen5e Dursuant to ihe Contradors Licens6 LEws.). ❑ I am exempt under sec. Busineu and Professions Code tor Ihis reeson: Signeture: Data: Owner ID verified by driver's license. Ve4 ❑ No Drivefs License No. Expires: Vedecetion of Ownershlp by (rype ot tlacument, i,e. - proDerry tax bill or deed�: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I �ereby cerlify that no exwvatlon five (5) a� more feet In depih into which a parson is reQuiretl to Oescend, will be made In connectlon with work euthoAzed by thls permi�, and ihat no buildinp structure, scaHolding, falsework, or tlemolition or dismantling Ihereoi, will be more than Ihirty-six (38) feet high. (Chap. 32, Grp 2, Ah 2, Sec. 341, Title 8, Calilornia Administrative Cada)., . ' ❑ As owner-builder, I will not employ enyone to do work which would require e permit trom ihe Division of Indusirial Selery, es notetl ebove, unless such person hes e pertnit to do such work Irom ihe division. .J' Signature: Dete: Division of Intlusinal Sefaty Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTHOHI7A710N OF ENTAY: I certily under penalry oi perjury thet I have read ihis applicetion end state that the Infortnation given is wrrect. I egree to wmply with ell state laws end ciry ordlnances relating to building construction, end euthorize representatives oi the Ciry of Costa Mesa to enter upon the a6ove-descnbetl property for inspection Ourpases. � egree not to occupy or allow occupancy of any builGing eut�onzetl by this permit un�il flnal inspection. 400E �. INSPECTIONTYPE 1618 Fixed System Final Fire Prevention 1266 Pool Spa Final 200 Finel Re-Raof 201 FInaI BIocWRetaining Well 202 Final Factory Fire Place 203 204 Final Siqn Final Demolition pdg II�LB �QQf( MSPELRIONTYPE 208 Flnal Machaniwl 20B Flnal Plumbing 210 Flnal Electdcal 212 Finel Fire Preventian 220 Flnel Planning ApprOvel 222 Final Site 250 FinalBuilding/Occupancy PAg U�A43 FR�1 :C[TY OF COSTR MESR �,�,,�- F � p�anod. :f'�f � �..�„''� . . - FqX N0. :714 754 4856 ,1o�.n-'w � : `� ,, ' �. s ;t^, . , � Ju I. 28 2005 09 � 53fU1 Pl .� ..� � sa�..,, . � I W' � .... 1 � r� , �-' -�.� � ' � �^�� ' . . . , . I � y / ��T�x`�L� �i �_.—.-____ ..__.:�..----_. _ � �� ;,�z�.- � � _ . , � � � '�\ � . rF+%!`�'�'`� ��l . \ ,,l , � o *• . e✓ R o�� k _. , .:;� . � ��• �; I �.a� � �%_ � � ' � �,�yl-� 6 i '' - �`` , � �.M � � c�-�--- � `�� ,�wl� � � I �� , �? � y '^��. ' I ,O � I u � �• ` �.� �: . . � _� �� .� i,�..,fdo =r� ,d � }. c.� �. ' -- u,.,. e yF., r, �,'�,�o �a� .. a�' _ .� �� p � 1. ...ws:a1'� �i' , \ . . • . � i�- � �. /.i� . � . . � , � �•- _�.�.-_ � � / I_ _...�__ —� n � �+ ' : , �'� , I .� YL,. ` , .._.. _.. .tl-.61. __... ..._... ;f+;6i1";: :.'1 . f"' �� L. � �. '\ y ;, . , �.L1 �. ; / '� . � l"'' :.,� i ; '� i �z� �� . � P I I f )/ •� '... ��j�M s�t�.svuo� fisc�_�ad- I � I i ' \ I � . K . r.,'� � ,'•4 :'�f----� : �'_ � ' S+; :� � �Y"• ; .Z'/^+'.D/'^r,.ae� ��%s.ib.� _ � � �" �`�"1 � _� i � , a;�•o;�y• �a,.a,,�o��6 rif: '. ' � �' .�+'� _�._. � O rt � � � - T... 4�1+�i.1� o�+l+tn� ��►, �z , � '+ . �'_i,.�,� -�.E .'�J.sJ`��:5 {.re� u� �bn� t i • ( ; �l: � " p-.oi '� .f•.CI � � IN , .. i ;p �fj':P5/ -«...'__.��•...... _........_—� ..--...__............._ ,. � � ..4' � ;,�. ... . ..�.�... ; . ` i j, ' •.. , � � ;� � i i �c:-w �I I ! ; , �µ� � i�? -� � � ,� ?:' � � I �• . �'' ,'.u, � • ...G�i . -- I tl (714) 754•5273 • Fax (714) 754-4856 • www.ci.costa•mesa.BUILDING PERMIT n FAIR DRIVE, COSTA MESA, CA 92626 Job /+ddress: 738 W 17TH ST Suite: F Vicinity: Primary Occ: B/S Parcel Number: 4240811 S Applipnt: DENNIS ST. CLAIR Address: NEWPORT BEACH ' Owner: Address Contrador:! Address , :;<. ,Zip: Arch�: r.'=°" Address:,� ` , Zip:. Type of Construction: Zoning: _--`�.Phone: � 949-631-0553 �__. . SUITE 212 � �. Zip: � �92653.. , : ��,<, ,� �, ROTHSCNILD, PETER B TR .r °loDAVIS PARTNERS:LLC.-�' " , _ ' - - NEWPORT BEACH, CA � ' ' � - Phone: • � 1420 BRISTOL ST'NORTH#100 . . . - --Zip: �92660-2914 � , . . � � � ' ''_a,. -_ ��.. � 2700 WEST COAST HIGHWAY NE WPORT BEACH -. % � �°!��'� Phone: 9A9-631-0553 jSUITE 212:� �� 92653 � License: 319388 Status: ISSUED Applied: 07/2Z2005 Issued: 07/2Z2005 ISSUED BY: - . � - Eng: _ ' .. i.. . ' . '.t' . �- , l ' � ' � �. , - _ _ Address: � . ,,zy , �Ftione � . _ -�� - � _ „� - �Phone: , i � � ��`°� � License: ��` Ucense: ,` • . • . . - : � , � . — SCOPE OF PERMIT- + ' DEMOLISH STAIRCASE NEXT TO�STORAGE AREA�IN ORDER TO�RETURN AREA TO ORIGINGAL CONFIGURATION. � � '` . ru �9 - , . i�'h. ' ,. . _ � , . ... . . . . . _ ._, . . _ . . . , , r ..- -___ ...._ , REF #COSO468 � . . . �- . - �. .... .. .. . - . Plan Clieck. Permit: SMiP Res: SMIP: Com: Other: Inspection: Total,' � 3 � � �' � FEE SUMMARY: � $0 00': �a,' I �°= � �`�` �. $0.00 . � ' �$0.50 �; ��;�� _` ` $0.00 $0.00 � , � �� r: , �,;.$2400 .a"� .� ;.' :---t-�zsn-'�. � - . ¢L �t < ; �� x " �, , -, Ciaim Valuation:' j: p?: ,: � F roe,^ �„� :: �- .r-�` � �� ,� � � '` � t.-:,,' 3$ f • ^� r�PLANNING & ZONING �� SETBACKS _ `�'� 3� �x �. MAIN STRUCTURE Fronh �0. 0 .�' Rear �0- 0 � Left 0- 0,. Right �- 0- 0 � � ` " ' � �`� ',��a �..:. �:'' � 4.- �- 4 �.dr.i.,�e ACCESSORY Front 0-0'-` .. Rear Of�O. ��- �-�.tefl 0 0��,-, _.-`� Rlght �0`-�0 �v_-='�+.. r".:r � 'L: .,. PARKING Existinp: 0 Re �mred 0_� „ � Proposed ,� 0�' '� � aaoo.00 - saoo.00 � NOTICE: The work aNhorized by this permil shall comply wi[h all applirable handiCap access requirements under Califomia statWes and related regulations. (Ord. No. 92-28, § 1, 72-21-92) EXPIRATION: This parmit shall automatically expire and become void if work is not commenced within 180 days, or If work is 5uspendad or abandoned tOr a period oF 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must compty with ali applicable codes, and all raqulred Inspectiona end final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this parmit. FOR INSPECTIONS CALL: (714) 7545626 � �.+o-ao �nw� WORKERS' COMPENSATON DECLARATION: I hereby aHirtn under penalty of perjury one of tha tollowing daGaretions: ❑ I have entl will melntein e certificate of consent to seli-Insure for workers' compensation, as provitletl for Dy sedion 3700 oi Ihe Lebor Code, for the paAottnance of the for which �hls pertnit Is Issued, �' ave antl will meintain workers' compensepon insurance, aa requlred by seCtion 3700 0l fAe Lehor Cotle, 7or the pertamsriceW the work �w whkh thls pertnit is issued. y workers' compensalion Insurence carrier entl policy number ere: ✓-v-_ ol' . �. ...._ _ _ (Th/s� � lon need nof be complered U Ne pe�mit is velued ef one huntlretl tlWlars ($100) or less.) �'-'�• ' I certiy Ihat in t�e pedormance of the work for which this permil luued, I shall no� employ eny person in eny manner so es ro become sub�ec! to ihe wod[ers' compensetlon laws of Califomia d egrae that If I s� Id be e ub�ect to Ihe workers' campensetion provisions ot Sectlon 3700 ot the Lebor Code, I shall fanhwith cortJply�w�the�sj pro slons. � 'App�tSignaNre///i� � /h�YN/1 ��j Dar�e:,=��Z�OS W4RNIN0: FPILURE TO SEWRE WORKERS' COMPENSAT1qJ WV RA(3E IS UNLAWFUL M10 SHALL SUfl1EGT AN EMPLOYEN'f0 CqIAU77AL'PENALTIES MID CML FlNES UP Tp pNE MUNDRED nK)USAPfD �OLIARE (5100,OW), IN ADIX710N i0 iHE OOSiOFG�OhfPEN$0.TIqV, OAM0.CaES 0.5 PfiOV10E0 FON M SECTQN 3]G�T OF THE LABOfi CppE, INiEREST, PND ATfORNEVS FEES. LICENSED CONTRACTORS DECLARATION: Chapter 9(commencing with Sectlon 7000) ot Division 3 of the Business epfl Professbns Code, entl my Ilcense is in full CbNSTRUCTION LENDING AGENCY: ❑ I hereby affirtn that there is e consiruction lending agency tor Ihe peAortnanca ol the work for which Ihis pertnit is issuad. (Sec. 3097, Civil Code). L4nder's Name: Lender's Address: Signeture: OWNER-BUILDER DECLARATONS: Date: I �ereby eNirm that untler penelry ot perjury thet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the tollowing reason (Sec. 7037.5, Business end Professions Code: Any ciry or counry which requires e permit to wnstruct, elter, improve, demolish, or repeir eny structure, pnor lo its issuance, elsa raquires ihe applicant for such pertnit toliie e signed statement that he or s�e fs Itcensed pursuant to fhe prodsions o( Ihe Contrecmrs Llcense lew (Chepter 9(commentlng with Secifon 7600) of D(Ns(on 3 of ihe Business end Professlons Cotle) or thet he or she is eaempt thereirom end the 6asis lar Ihe allegetl enemption. Any violetion W Sectlon 7031.5 Dy eny epplicant tor a pertnit sublecis ihe applicant ta e civil penalry of not more than five hundred dollars ($500).): ❑ I, as owner at the property, ar my employees with weges es Ihelr sole compensatlon, WILL DO 7HE WORK, end Ihe siructure is nat intended or oMeretl for sale (Sec. 7044, Business and Professions Cotle: The Coniredors License Lew does not apply to en owner of properry who builtls or Improves thereon, flnd who tloes such work hlmseM or herseM or Ihmugh his or her awn employees, provitled Ihat suc� improvemenis ere not fntended or oflered for sale. 1f, however, �he bu7ding or improvement Is sold within one year of completion, the ownervbuilder will �eve the burden of proving thet he or she tlitl not build or imDrove for purpose oi sale.). ' ❑ I, es ownar oi the property, em El(CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the prolect (Sec. 7044, Business end Professions Code: The conirectors Llcense Lew does not epply to an owner ol property who bullds or impraves thereon, end who contraccs tor such project with e contractor(s) license pursuant to the CoNrectors Llcense Lews.). [j I am exempt under sec. Busineu and Professions Cade tor this reason: Signeture: - Date: Owner ID verified by drivers license. ❑ Ves ❑ No Drivefs License No. Vedticetlon of Ownership by (rype ot documenL I.e. - property terz blll or tleed): DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: Expires: ❑ I hereby certify that no exceva�ion five (5) or more feet In depth Into which a parson Is requlred to descentl, will be made In connec�ion with work euthorized by this permit, and ihat no building sirudure, scaHWdiny, faAsework, w demolition w dismaMUng thereW, will be mwe Man lhidy-six (36) teel high. (Chap. 3.2, Orp 2, Aq 2, Sec. 341, lltle B, Calitomia Adminisiretive Code). [j As owner-builtler, I will not employ enyone to tlo wark which would require e pertnit trom the Division ol Industrial Sefery, es noled above, unless such person hes e pertnit to do such work Irom Ne division. Signature: Date: Divlsion ot Industnal Safety Permit Number: ICERTIFlCATE OF COMPLIANCE AND AUiHOROJITON OF EMAV: I cenity untler penelry ot perjury that I have read t�is epplicaUon and state thet the Iniortnation given is I Cortect. 1 agree to comply wit� all state laws end city ortlinences relating to builtling conslruction, end euthorize representatives oi Ihe City of Cwte Mese la enter upon the ebove-described property for inspec�ion puryoses. I egree not to occupy or allow occupency ol eny building authorized by this permit until final inspection. 1616 1266 INSPECiIONTYiE Fixetl System Final Fira Prevention Pool Spa Finel 200 Final Re-Root 201 Flnal Block/Retaining Well 202 Final Fadory Fire Place 203 Final Sign 204 Final Demolition Q� IMlfl LS � INSPECl10NlYPE 206 Final Mec�anical 208 Final Plumbing � 210 Flnel Electdcal 212 Final Fire Preventlon 220 Final Planning Approval 222 Finel Site 250 Finel Bulltling�Occupancy Date PdTE ��7 �j mi_ . '4 o,<oo SOFBVILqNO: �J�B W 17TH ST ox'e�asN^MEiFw+a"": ROTHSCHILD, PETER H �ooxEsx 866 W 18TH ST COSTA MESA,CA 92627 662-5525 �vc�. �uur�o woness: 11iCNIfECTOP FNfdlFEN: AIICH OflFNG'S /�DDRESS: coNrnacrarswwe: ROSS 6 HARROWS �INC. CONfH1CTORSMYlINO 260 E. ALTON AV uc. ra.: UNT: UNT: (714)557-7440 �ooxrss: SANTA ANA CA uera.: 327802 92707 uxr: 110EN5ED CONTPACTOflS OECLAR�TION: 1 Mieby tllim untler penely d per'ryry Me� I em licensad uMx praivau d CAaqx 8 (canmanaiq vm� Saclion ]000) d D'rvieion 3 d iM Busirop eM PMeaaions Coda. eM mY license ie in htl loru eM Nlop. cmuc.No.:0�2/0G9�2/4 ue.cuss: C_39 uc�./No�.:�,327802 EXP: 11/96 Da�e: � � ( L'-l. ConveUw: LLC�—� � OW NEN BUILDEP UECLAflATION: I hereby elfiim uMer peneYy ol par'ryry Ihel I em uamq irom iM CaMreGae Liceme law fa ihe 'Mlow'vp reeson I�ion ]0]1.5 &nimes end Proleoaions Code: A�ry ciry a munry whidi reyuires e parmil to mnebuct, allar, imprave, �oloh, or ropa'r eny avw.Muro, priw W iro eeuenw, abo reQuiree �M epplimnl fa wc� permil to Rb e eiB� elmament Ihet he or ahe ceneeE pureuem to tha povieiam ol iM Conlredon liceme law jCheqer 9(camme�ip wilh Sed'an )(IW) W DNebn � d Ihe ,�ainsaa end PrMeaeione Code� or ihtl he a ehe ia exemq �herehwn end ihe beaie fa Ne dleped exemqion. My voW ion M SWbn )031.5 by eny epplicen� lor a parmtl eubpdn �hs eppliceM lo e wil panelry d iwt more then INe hunEreE Edlen �S5W��. � I, ea owner olihe prapeny or my empbyan wYh wepee es Ihe'r eole rompenseum, xill do iha work, eM Ne eliudure o rwt inlenEed or ollered Iw aele (Seclion ]Oas, Buu�m entl Prolesaione Cotle: The Comreclon License Lew daee mi eppyto an owns�ol pmpeM wM buAEa or unD�ovae thereon, end who doee suM woM Mmeell or herseM o� throuBh hi a her own em0loyeea, pmviEeE Ihel euch im0�menla ere mi imentled w olla�ed lor eele. tl, however, t�e buikirp or mprovement ia eok wilhin orw yeer ol mmplMion, IM ow��-n��ae� w�ii na.a me n�m.o a v��u n, o..ne a�a �rn n�nd o. �mo� t« ma wm�e d.do). � I, ss owiwr W Ihe propaM� � eRduarvely oonlreclinp xilh liceneed conVaqon to conslrud ihe prol� (�� • Buainme aM Prolessione Gode: TM Conirec�on Lkenee Lew tloee iW epply to an owner d popeity who buike�a impwp ihxwn aM wlw convecla la e� pmlMe wilh e conlrWor�e) IcenSeE pureueM lo Ihe ConUetlora liunsa lew). � I em ezamq uMer Sec�ion: B. 8 P.C., br thn reeaon: Date: ��: I Eo hereby ceniy NN I em ewere d uW uMenta�M the ipuiremeM� al Celiomu HmEh eM Selery Cade Satlbna u505, 2551�. enE 255�1, an0 Hw I m eny Mun buildirp oowpenl will / wll m� (o�cY me) need to comply wih veid tltle �odee ud tM rpuinm�ma M epermnlwconaVuctionamotlifirelbnhomtM�i w�y enepemantD'Mntl.R»iEeMialmntiutlioneppireliauuammmqlmmNma w��. Dme: ACW� WONKEN'S COMPENS�TION OECLARATION: I Mraby dfirtn uMx penally ot perjury me d IM fdbwiiq dedara�iom: � 1 heve eM wil meimen e wNlictls d mn+enl to eallineun lur xakere' wmpensetian. es provideC lor by Sopion 3)00 d �M lebor Code. la �M parlormence d �ha work tn wkc� t�ia pem�a u ivaued. 11 � nero end xi� meimeF waxen� comwM1+d� ��,rerim. m�eq_ulne M s«fian aroo a me LaEa cae. ror �n. w�o�m� a in. 7C wak for which �M1is G�n n iaueG. MY wvbre' comOMalion iraurerce rarror ard GdkY numEer ero: c�,: FOUND T�I�N EXPIRES PdiryNumber. WQi71 %t 3 '� 07/OS /96 .nis .mxion rrsed Iaf bs romdefeJ / fM permt o br one hundreC Edlara /SfOJI w/us.1 � I ceNy Ihd in Ne pa�oime�we d IM wwk la xfikh thn pe�mY ie iaauaE. I Mell m� empby e�ry penon in ury menner eo u to become wM� to iM xoAero' rompemmion lawe d Gdilomia erM epree Nel tl I ehould becane wbpa lo �M xwken' Daie: �/�� (� Satlion 3)00 W the laborlCOAe, l ahell lwt�^ mmPN wtlh ih p�ov�wm� �i i� . �a� Wam/np: Fellun ro axvn wrtr�ri compxuetlon eovenps l� un/ewlul, aml aMll �ubfsef en smploysr ro erlMiul pxi�IHu �iW c/vll flns� W ro om hundrM fhouNnd eoll�n (JI00,000). In eWltlon ro fh� ewt ol rompxwtbn, damepu es proNdetl bi In S�etlon ]]O6 0/ M� L�bor COW. InNn�f, erM �ttorn�Y�� Inw � CONSTRUCTON LENDIHD ROENCY: I hareby elfirtn wEer penatly M perN�Y �hd �here ia e mnalmdion IenEinp eOa��Y br ihe peAormence of �he xnA fa which Ihi peimd i� 6eued �SeGqn 3091, Civ. C�. LEN�Efl'S NAME: LENDEW9 AOOPE99: I cerlily ihm I heve ned thie epplkelion eM ateb Ihet I�e ebove inlwmetion ie corted. I epiee to mmply xi�h ell ciry vM wunty adinuqee end ntete kvre reletn0 �o buildinp conabudion aM MreEy euthoriza repraeentetivea M this ary m enter upon IM ebove�meMioned qoperry for impMion Ourpoma. NANCEE KILBOURNE �ete: � ! � / b (5151J8 WP) Whne-BuilEnp 8 SNmy:OreeMFle; Cenary-Appicenl; Rnk-Rmenue; (3o1Een�oE-Mae�wr CITY OF COSTA MESA -.BUILDING PERMIT , PERM NO: B 07599 PERMIT NO: B 075994 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V-N PERMIT TYPE: STR PURPOSE: OTII JOB DESCRIPTION : T/OFF REROOF W/ BUR CLASS A 151 SQUARES SQ FT: 24,700 CLAIM VALUE: 24,700.00 CALC-VALUE: 24,700.00 GROUP OCC: B / COMMENTS: T/OFF EXISTING AND COVER W/ BUR CLASS A xx�*****�**�*��*��*******x�x��r*�*�r***�**�*x�r�**�*�****��r*�*+�x�*��***+�**�*** Z O N I N G A E Q.0 I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------- 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 REQ: PROV: PARGEL: 42408118 ZNE: REF NO: PLANNING NOTES> ;1.. ,.. _.. / !k iF iE 1E iE 1E 1E if 1E 1E 1E 1F 1P 1F � 1F 161E iE'k iE'IE 1E 1F iF i! 1E iF 1E i! 1E i! iE'N' ik 1E i! 1E 1E iF iF 1F 1ElF 1E 1E iE fEfE iF iE'IE 1E 1E iE 1E 1E 1k iF 141F iE 1E 1F iE 1k'If� 1E iE iF iE 1E iE fE 1E iE IE Ik 1f 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`iTi S ZONING APPROVED�BY DATE:, l � I BUILDING APPAOVED BY : ' DATE: Ii. 4' � APPLICATION ISSUED BY: � DATE; '��F�� 1EiE1EiE1E1f�iE1ElEIElElflfif1E1E1E1E3Eik�E1f lE1E1E7Eik1EiE1l1EIE 3f1f� LEGALIZATIONyN• F E E S U,M M A R Y ,. STRUCTURAli SEGMENT;Y . �� BLDG PMT PLUMBING ELECTRIC�-MECHANIC � F.IRE SMIP/RES GRADING PERMIT "252.00 '; , v; ; ',,' :� �• ��,'r SMIP/NON-RES PLAN � i . �� 5.19 ISSUE FEE %; BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK �'TOTAL� PAID DUE TOTALS----> 257.19 0.00 � 0'.00 ' 257,�19 ' 257,19 .00 REVENUE DIVISION TOTALS--> COLLECTED.: 257:19 �OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC - EIRE�:-SMIP/TOT GRADING PLAN-CHECK 252.00 � �' _ - ; -K' �j 5.19 T� " ' iE iE iflE 1E 1E 1f')F 1E 1E iE'lE 1E iE 1E iE 1E iE �F iE 1E 1F 1E iE 1E if ff iF if ik 1E iE 1E IflB,iE 1E,iE 1E 1f IE iE 1f iE 1E iE iE 1E iE iF 16 if iE 1E 1E 1f 1I� 1E iE fE 14 fE 1E iE 1E 141E 1E IF iF 1f� �F 1E 1E 1E 1E iE i(� iE I N D I V I D U A L .��F �fi E B:�R E A K D O W N TYPE QTY D E S C R I P T I O, N' `� �?", ts� '. UNIT COST TOTAL COST . /7 �� ! .. SFC 24700 REROOF BY VALUE COMMERCI'AL NOZOI�tE��> 1.00 24,700,00 END OF FEES ;1• ' /` '.t r G ;�'. i ' =" r .l � y ) /,�� (, — � ,� C ; �'_ ' - r , — , - �'t — . _ _ : _ a �, CONSTRUCTI4N AND PIANNING , � � . ('9G SPA APPROVAIS Permii # - Date Inspector qppROVALS Permit # Date Inspector 1. Temporary Electricai Sarvice or Poie 52. Pooi & Equipment Location � 2. Soil Pipe�Undrgmd. � '� �� 53. Steel Reinforcement . , �3�El�ctrical Conduit Ut�lity-Undrgrnd. . 54. Forms . � e ;r4�Ele�tricai Conduii`Undrgmd. 55.� Electrical Bonding � �r ':;�S�.;SSeel Relnforcement;, . ' S6. Rough Plumbing & Pressure Test � ' j6`;Electrical UPER�Gr.nd. - 57. APPROVAL TO COVER�GUNITE , �� 7g,-Footings _ �' � 58. Electrical Condui*iUndrgrnd. � ' '^-8. Foundation -- _� :.� �: � 59. Gas Pipe, O Ur�iLgrnd., Test � � ..%. �n C �9. Water Pipe-Undr�ra"ti. j .' � . 60. Backwash Lines,,R-Trap, � Undrgrnd. � l�b. Structurai Floor SYstem " ' � 67. APPROVALT�;6ECK '� i t. J'roperty Sewer �ine & House;Gonnection 62. Backwash &.Receptor�Final . - 12. Sewer Cap � � � ' 63. Heater & Vent-Finai . 73. Roof Qrains � 64. Plumbinc� System - Final , 14. Rough Plumbing- ;.? • � 65. Electrical�Final � 15. Rou9h Electrirai-Conduit �' � � 66. Solar System�Fi�ja�. '• . . 16. Rough Electric N7.iring �� 67. Fencing & Acce3vApprovai 17. Rough Wiring Si�n • 68.. APPROVED'F .Q.A-f'LASTER WG 78. Rough Electricai T Bar Ceiling� 69. POOUSPA SYS-PC�MS FINAL 79. Rough Heaii�� & Air Conditioning - � p�p En PT. REQUIq� MEN�,T N � tt ,� f�,� r. ^. ��7 � ti C'i �d1: " �7'�r-iu�� C. "t'" -20. RougtiFacto�yFi�place ;C,; Q- �% ��°�:�^'APP OV��J,��Permit# i > r �:. a 'k H b':r i : �. ��+E-� �r- 21. Duccs;inStruEiur�??� '• •• 4'F �� n*"t� 70.,TJndergravn`,}i k��dro * - A J -� \ Ji : ) J 'q.',Y:.' _ 22. D.ucts: Veritilatin9 u•::, _ � � O ? . :� t•�; 77. ProducC� JP��9 �as C� Oil �� 23. Gas R+pe-:R.ouqh & Test :a `- y^! _ 4' O y-+ 72, Undergr�un� F;[UsM" *' y � t c_. T � �� t � L : '� �J �. ,K • '7 h. .�rn ^ � 24. �ioofFraming" �_� • ";. ti ,� ,._„ . , Jndergrn`d.Storage7anlckOGas ❑bil 25. Roof.Sheething �.�, ,� �.3./ �/ _ , �� 7q?�Overhead Hydro'u "; ,. ... _ '" -, � �. � - � 7 ' 26_ T-Bai;Ceilin iStruefural) & Mciiwcoat " �' ��'� �- �' .4 4 s: ;, �t-� 7S::prY Chem�Cal F,_ �,; _ _ _ 27. Jame and FiSshing �-: _ ' � i x 76. �Dry StarK7pipe �^ � J d n ' 28. Laxti:n &•Sidin �';: "' � _ � 9 9�- �'=�; � e` .• ..� .:f 77Y. FIXED�Y.,ST��ty}�INAj:�. ,:_��. r�.:.. .�.; . . _ �29. Insulation� J �. S ^ - � � I � 7� FIRE PREV. F� � •_ �^ �' ' 30. Drywatl Rfailing �,;, , ��_ I i S ;Fi�FALTl�;DEP�.`�:EQUIR�MENT �� ; 31. Plaster B owr�Coa,h •= ? � � t' 79. FINAL Ih1�ECTtDN x J "� ' 32. Elecuicai.Power M'er't�rF�nal � :'� � :« '� 8� FOOD CERTIFICATE ISSI-lED_- � -33. finaf:Electricj �'r: n � `.` ^� � t* �� N6tes:�-a�! �yv �p2K, -aT,.,� �%�� '� tr � 34. FInaGHeai�(n9'& Ait ronditioning -,: �* � � �' x o-- 9,6� Cd/ � T� C �--� `�� . � ; ; ;s iZ�- Z _ �� r � �.� � .. � � � : � /.s d. .- �Y: �_ V 35. Fina� Gas.Aipe:7es�,* �. .. �: r; � w, ��' - _0_C�� w/� zE�i ��5�u/�- � = 36. Hood�or GanoPY ` J _� . ^ ` - i '` ' 't �� > > T.. n' � r-' � � a. '!/�3'� r�� I�11,��' ^d cc �,. S ' ^ r: �. N � . _ � •� � � . . � .. `y ' _ �37. F.inat Faciory Fireplace - - , - � � x i� - ... � �38. Fioal Piumbirig� `-' : rn �� s ,.}L r �zr-Z3�Y6. ' ./d�. /T/.i�� /{�- � H7��. � � �39. 4Vate�.Ser`vice.FinaP';, _ �' ;: �- :r ` � �� •. :_Q�('�x � !'r�n' G�G- $!//!�� : C edacy,. �- o_ - Q - 40. Gas ServiCe-Final F : -'�� ?' M �� }` ,. -.�,r� �i+:.,,F o_,�lY W:�/,��/-� ,don� � .. ,, -•- -� _�41. Solar pom�siit-Final'. _;, � ' �� s. _ _ ,. _ J 42. Beckflow:Preventer � c.l x. � ; ': � : r • " - - ' ��.r.� r _ * in i•iC- # l ^ 'S V 43. Backflow Irrig''ation : � � .:, - � � � ; � V� �� # • � 44. tandscape�irrxatiomSyscem ' � � rt, -�� . � A5. Sound Auenuation'. . . ' X " � 45. Handicap Regulations -� *' L _4,7. FfNAi STRUCTURE & BUILDING . , {/p 48. FINALP�ANNWG • � � d9. Elect�ie Release to Etlison ' '. _ � 50. 6as Release to Southern Caiifo��; Gas Co 51. CERTJPICATE OF OCCUPANCY ' No Date .. -z l, -� . n' ��1 r iJ �K i: � � r - ;Ll r'. S ' - s� - r �J ,�..ri _, • Oc� - � .. _ --_• r ;. � . ,�: .i� ;-. . . ... ,-� -, �': *[i fS r' - - � lJ � � i , � � � � ��' l 1 G� . i � �� *• E - • � Y - - < -.o ,r v •� �� .. :�;.. . - . .. �ooncssaeunmc: 738 W 17TH ST ONNERSNAYEIFpAWN: pAUL PACELLI �tt 738 W 17TH ST COSTA MESA,CA ,�w�. �unaio �oo�ss I1PCNIfECT Ofl BKa11ffA: YiCll OR FJlO.'S IOONES: urT: 9262b uera UHT: �craraw�: MUELLER POOL COMPANY (714)751-3342 cwm�croxs��nwa 2701 S ORANGE AV ,noias: s.a. Cr1 ucw: 402699 92707 uwr: O L1C SE C01(fNACfOfl4 OECLARATION: I henby dlim undar pndy N panvy IM I mn forueG �vMs pwiriar d CAaqr Y ( ' xdh Sanion ]000I d Oiwion � d tlr &�drwv and PNawns Code. and my 4wrse u'an M bm rd MIW. uc. o.: uc.cuss: C-53 ��- 410'26,s9,9 EX�P�:Q� � ma: c�x�wa: �LA� ` y��1�.l:cG(w! EP BUILOEP D CIAN�TION: I IweEy elfimi uida pauly d perjury tAe� 1 mn evm �M CaYrtlm lbsiqs lew ta Ns Idbv�r0 �ewn (Satlian ]ro1.5 Bwiw� eM Prvimu�n COCs: AMW a mvtlY Nidi npmw e D�u �o muhud. etlar. inVw+. 'emdsh. a reper vry smcMe. pior b b vaurce. ebo nWim� �b appliant la wM pniN to fiM e dp�rd patansq tlW M a aM r�.e w� �o m. a�+ a me com�mo'. �K.o.e i.. �cneq« e c��ro .un s.aoo �000) a w.:� a a iti ,udne.e ena r.umian+ codel «�nm �r «ene u a.ama �nsehan ene �ne bme �v ms aleped ac«�wbn Nn.idmun a saa:n ]W 1.5 b/ em/ eppScem la e pxmt amjeW IM epplirsm to e dvJ penMy d nal mwa Ihvi fwa MVMad AOAv� �SSOOj�. � I.mowwdiMpwMYamyempb/asswYhwepnu�Mieabmmpenmlbn.wLdothexok.enANeetruclu'eenolintendeA u Me�ad tar ub ISamm ]Du. Bvnroee entl Pmfeseiona Code: The Comreean Liurua lewAom not npplyto an ownerd propeM impovemmU ma ml iniaded a oMaeU lor veb. M.Irowwx. iM Wikirp a inprouaneex o eotl M+t�m ar Yaer d mmpe�on. �iro uw�yrhuiku will Ma �M DUNan A poviiq In or ahe did ria build w impova la IM pvpoes d vela�. � I. m owiw d tM MWMY. mn otluma�Y ooniretlM vrilh licensed mMslm b abmw the p9� (Setlion'lOM. Bw4iw� ad PMm�aw Gob: TM Cavrrfan Lican+e lew Aroe nal �pWy lo en onna d papany Mn dvld� a inpwp 1lvaan eM who canraaa br wdi p9�s wilh s mrumtivl�) licawd WnwM lo �M CaNm1a� L'mua lew�. � I em axanp ivMw Section: B. d P.C..1« tho raeaan: Oele: �'^^�� I do MreD/ cenAy tlW I em eware d aed imCanWd iM rapuimnew d Ce@omie IbeN� end 3dery Cods 8ed'om �S'A3. P3.'.1'1. end 255J�. xM ilw I a eny Mwe dtikeq ompm rriA / wil M(dic4 aw) nesd ro cmWY wi� uid qeta mM� uq iM ipWrom«m br e D�n laaorowciiona mal�ion homlMA'�'3TRrenWM� Oiqria. Ra�idsqN miavfion eW�'mion a� exemq hom ihwa a�.. ome: �oa' �: WORKER'S COYPEN9ATp/OECLAR�TION: I MrWy eMm u�dr p�nMy d p�jry oM d IM b0owp ddrtlioro: � I heva end wJ me'vtlan � cM!'ub d msrtl �o Wliruw� lar wkai mmpa�mtion. a P�b la M Baaion 9]OD W tM lebw COM. la tAe D+�amrc� d tlr wch la wMli tlJw Ve^�e o wued. ❑ in.y.wwmmuen.uF..•mmo.�vnin4mu.nro.ro'+mmsEws.aimllaoau»LeEacoe..btlrw�«mmoa�n. wark In M�ili tlie V�N e imd. M' warbn' wmV�ion "vmnarca mis md D�Y �vmiEr en: cenw: POGry Mmber q1l IIpId IK! �'I Cpll(�fl� � I�MC�� O �b tlN �III/1410' �GI9 rs�0�� p bbii I - Rut bn Ns pwfmne'm d Ne woh br �Mic� Ihro pefmi u"vurd. I tlW ml anpb� my prmn n ury meinr n u io wbptl lo Ns xoM1wY m�Maumion Iew� d CNJarva eyr tlW A I�MJE Eacmis viEjq to tMw�p�. wwn�. a sw� a�ao a m. i.n« wa. i dw�if nn.an oomoNr'^h N� �. . /1 // ' w.mxro: F.ca. ro.:cw..ortr: caro.n..non cov..ro• �. w�i.wnq .,w,wi.�eha.n.mWerr ro amrw o.n.m...ne rJvn n�w w ro aw nurene NouuM eol4n lstU4000A M wnlrron ro tln co�t or mma�+�u�n � u P'ovMW fw In S�etlm J1GK ol tln IeOor Cob, Irrt.rut ��m+mry%� /�u. cor+srnucnoN ��r+rnra �aer�er: i na+M �� e�, w�r d wnw �nr m.�. e e�nNeo� w�emo ro�r a m. peAormeMs d �M Mak br whid� �h's V�i u u�ueE ISedian �W], CM. CI. IENUEP'8 N�IIE LENOEN'S �DDRE49: 1 cMM �MI I Aen neC Nu epbkeim uM tltl� �Aa tM ebov� iMamelion b canM. I epn� to oomdi wqh eY rAY W�M' oNirorcM e�M �lde Ie�w iaW np b buJdip cm�m�d'qn eM hmeb/ aNhor�s i�pabntetFim d IF"selyb Ma upon IM �bwrmavipqd poperly i« ��.c«+� ww.... „ SCOTT MUELLER (St5140.WP) WAes-&AdnpBSebty Rnk-Reyamn: OoWsim�Mwmr CITY OF COSTA MESA - B�ILUING PERMIT PERM NO: E 083775 PERMIT NO: E 083775 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTION : INSTALL PREFAB. SPA SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: ZNGROUND SPA REF:H-83744 +�**��r;�**�t-�*�x�r*��*x�r��r**�.r�x��•**��t***�r*****��e*�t-**x�**�r�*�*r*-�+t***x�***-x�*�r�t*�#****�*** 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 BUILLIING --------- 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 REQ: PROV: PARCEL: 42408118 ZNE: REF NO: PLANNING NOTES> i iE iE jf iE �f 1E if if if iE if iF if IE �1E �E jE 3E iE ff iE iE 3E ik iE 3k iE 1f 1E iE iF iF iE �E iF if ik 1F �E fE jE ff it iE if if iF 1E iF �FlE if iE iE iE 3E i'r dE iE iF if ii iF �E �E if jE 3E jE if iE �1E * iF i' # �F iF i� 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 IS x�*�t��t�r**�r*;r�t�-rt LEGALI2ATION:N F E E S U M M A R Y DATE: DATE: DATE: ��9� �.*******�� r��'�,�* STRUCTURAL SEGMENT:N bLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADTNG PERMIT 44.25 SOE• ,�� SMIP/NON—RES PLAN � ' ISSUE FEE 22.00 &UILDING—DIV—> PERMZT ISSUE PLAN—CHECK X TOTAL PAID DUE TOTALS----> 94.25 22.00 0:00 1 66.25 66.25 .00 REVENUE DIVISION TOTALS--> COLLECTED: �66.Z5 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADZNG PLAN—CHECK 66.25 f ,-� iE iE it?F'!t if iklE iE iE iF'1k iE fElE 1E �E iE if if if� iE iF iE'1F 3E-1F iE ik # if')f if')f'1F if iE iklE iF if iF j! 1E'lE 1f ff if iE iElf 1E iF if if ik if if iF'1k iF if iP jE jt #�1F # fE dk'7E jE jt if'1ElF if iF if 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 Z P T I O N. UNIT COST TO'TAL COST .� ELE 1 SWIMMING POOL — IN GROUND — NEW EA, 94.25 44.25 END OF FEES �• �" . _ _ _.______� _ I � — ` n ✓ ` I I . f , _. �. V r vvu�ir �i �S ► � �-� `-'p � � EXPIRED DATE . D '' L- 3 �JUL '� 1,6 �99� D CIFY OF•COSTA MESA CONSTRUCTION AND PLANNING - POO �BA �APPROVALS Permit # Date Inspector qppROVAIS Permit # Date Inspector '. 1, Tempor�ry Electrical Service or Pole 52. Pool & Equipment Location � 2. $oi! Pipe•Undrgrnd. 53. Steel Reinforcement • 3. Electrical Conduit Utility�Undrgrrid. � 54. Forms " ..- 4. Electrical Conduit-Undrgmd. � 55. Electrical Bonding 5. Steel Reinforcement ' 56. Rough Plumbing & Pressure Test •- 6. Electricat UFEA Grnd. � 57. APPROVAlSO COVER�GllNITE - 7. Footings 58. Electrical Conduit�Undrgrnd. 8. Foundation 59. Gas Pipe, � Undrgrnd., Test '• 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, � Undrgrnd. 10. Structural Floor System •- 61. APPROVAL TO DECK ' 1 i. Properry Sewer Line & House Connection � 62. Backwash & Receptor-FinaF 12. Sewer CaP 63. Heater & Vent•Final 13. Roof Drains • 64. Piumbinc� System - Final " 14. flough Plumbing � 65. Electrical-Final " 55. Rough Etectrical-Conduit . � 66. Solar Svstem�Final �� 76. Rough Electric Wiring � � 67. Fencing & Access Approval" � 77. Rough Wiring Sign � � G8. APPROVED FOR PLASTE-RING �' � 18. Rough Electrical-T Bar Ceiling � 89. POOUSPA SYSTEMS FINAC 79. Rough Heating & Air Conditioning � FIRE OEPT. REQUIREMENT 20. Rough Factory Firepiace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. DuMs, Ventilating 71. Product Piping � Gas ❑ Oil 23. Gas Pipe�Rough & Test �2. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling IStructural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEh9 FINAL 29. Insuiatio� 78. FIRE PREV. FINAL 30. Drywali Naiiing HEALTH DEPT. REQUIREMENT � 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter�Final 80. FOOD CERTIPICATE ISSUED 33.FinalElectric Notes: 7�(�'T�2 G��e`! "��%�,� 34. Final Heating & Air Conditioning �� '�o'��'ou��n�nF-- ltCaf'L��,�r ,/ 35. Finai Gas P�Pe•Test C�'_��f� _Qnt1V�.�I6f �IJ'O��_ Y+'l�_ 36. Hood or Canopy u�r ��__-� 37. Finai Factory Firep{ace �`L � � � a 38. Final Plumbing �`� �-��- �,X`�; �� 3-a 7- �� = _ 39. Water Setvice-Finai ( � ^, 40. Gas Service-Final ea � _ " r 41. Solar pomestic-Final � , �' - � �' - 42. Backflow Preventer "�-� n�..._...�x .�,t 43. BackfloW irrigation `�'r"�E 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. Oate � �� 0 Aop��ant to /i11 (n all soaees eacept enose wltnln neavy eoraer Iines ana sign all aoV�ooriate aeelarations. 91TYORC�ISTAME,}gA�+ CONST�UCTIONPERMIT PE�MITNO. -Z�ZZ TRACTNI� LOTNO. UNITNO. Proj�at Address - ;�'lY �• �� 5T �!�u.t� �7' Applicant's Mailing•Addreu � Owner's Name � Phone�� Adtlress Q "�^ ��• �Q� �� Arch/Eng. '�'� � License No. Address C Contractor's Nam ` hone Address (mailing) Ciry License No. LICEfJSED CONTRACTOR DECLARATION I hareby afflrm ihat I�am Iicansetl untler provisions of Charter 9(commentlng with 5ectlon 7000) ot Division 3 ot the Business antl Protessions Cotle, antl my Iicensa is M full t6rce and'eftect. LicenSa Class " License No. Dalc Slgnature � WORKERS'COMPENSATION DECLARATION I nereby aftirm lhat I.have a certificate ot wnsent to selbiniure or a certiflcate � Workerz' Compensation Insurance, or a certi(letl copy thereof (Se<[ion �'•00, l.ab. C.) � , rolicy No. ��,� Company 8 Certifietl coDY �z hereby turnisnetl. ' � • Certifietl cooY �s tiletl with the city Builtling Division. EXE RKERS' COMPENSHTION �ECLARATION (This completetl if [M1e permit I5 for one huntlretl (5100) Or Iess�. �: � 1 cert y p manca ot the work tar whlcn tnis permit is Issuetl, I shall not ¢mplo any pl�Son In any manne�,,,WWW ds to betort� S�b� to [Ite Workers' omp�` tlyn ldws ot CaltiTf�bt�� Date �L—Si9nature��f/e� NOTICE: Ii, aiter making this tleciaralion, you shoula become sub7ect to the Workers' ComOensatlon provliions of roe labor Gotle, you must torthwith comply with such proNSiOns on this permit snall be tleametl rOVOkotl. CONSTRUCTION LENDING AGENCV � ' I hereby atfirm that there is a construction lentling agenty for tho porformance of tho work for wtilch [bis permit is issuetl (Snction 3087 Civ. C.) LenCer's Nama LunCer's�AtlEress OWNER BUILDEN UECLARATION ' I horeby nfilrm that I am oxnmpt trom the Contractor's Liconsa Law for the (ollowing reason (Soction 7031.5 Buslness antl Profes5ional Cotle: Any city or county whlch reqWtus a permlt to construct, alteq improva, tlemollsh or repalr any 5tructura, pNor to it5 issuance, also requires the applicant br such permit to li�e a signotl statement that he/she is Ilcensetl pursuant to tne orovfsions of the Con(ractor•5 Licanse law (Chapter 9(commencing with SacUon 7000) oi Dlviilon 3 of thn BUSIne55 antl ProfeiSlons Cotla) Or Ihal tle/She IS e%empt ,, p�refrom antl tne ba5i5 for tha allegetl exemption. Any violation oi Soctlon ';,d1.5 by any applica0l tOt a permit zu�jects thB dppllcant to d Clvll �alty o/ not more than five nuntlr¢tl tlollars (E500). `�I, as owner ol tne prOPOrty o� my employees with wa9es,as their sole mpensation,� wlll tlo lho work, antl the structura is not IntenCetl or otterotl lor -sale (Section 7044, Business antl Profesiional Cotlo: Tho Contractor's Licensa Law tloai nol apply to an owner of a property who Dulltls or improves thereon, antl who tloes sucn work himself/herself or througtt his or hor own employ ¢as, provitletl that such improvementz are not Intanaotl or ofleratl tor salo. II, howevaq Iha bullfling o� fmprOv¢mGnt Is Soltl wilhin Ona yea� oi com- plation, tha owner will have lM1e bUraen of p�oving h¢/Sh0 tlitl not builtl Or Im- �rove �or Iho Purposa ol sale): I, a5 ownit ot the property, am ¢xcWsively cont�acting with IICenSetl con- tractors to consV uct tha proiect (Section 7044, Businest and Protesslons Cotle: The Contractor's LlcenSe law does not appty to an owner of'property wno builtls orimprova5 lh¢roon, antl who conVactS fOr Such projecls wilh a cOn- tractor(sl license pursuant to the Contractor's Licensa Ldw). I am awaro that v�oof o1 lhoir Workor's Compensation insurance shoulE ba provltlotl to me. ❑ I am oxeTpt untler Sectlon B. & P. C. iOr thi5 reason Oate Owner I nereby certity tnat 1 have reatl thls application antl state that the abova Informatlon I5 correct. I aqree to comply wi[h all city antl county ortlinances . antl stale laws relating to builtling construction, antl hereby authoriza repre- sentatives of lhit city enter ppn the above-mentionoa prop¢rty for Inspectlon , r Date � � MPTION FROM WO section nB¢tl not�bo if t�at in Ihe� ertm TYPE OF CONSTRUCTION LJ NEW L1'ADD J�SI ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER oe�� i��RK/US�� o . 0 TVPE ERMIT GRADING FOUNDATION STRVCTURAL TENANT ❑ ELECTRICAI ❑ PLUMBING ❑ MECHANICAL , ❑ OTHER PROJECT DESCRIPTION Sq.FT. OCCUa�NCv ' ' CONSTRUCTION TVPE VALUATION $ ,�dQ%. ZONE' GRADINGCU.YDS. ACRES qemarks� �. Bar Sink ' Backflow Preventer Batkflow Irrigation Bathtubs Clarifieis � Drinking Fountains Floor Orains ' � � Floor Sinks � Gas�Service Outlets Inrerceprors ` � ' ' Kitthen Sink � - Lavatories . ' + P-Trap � Roof Drains '' - ' Reinspection Fee � $15 Duct- Under Ground Duct-Structural � Duct - Ventilating Exhaust System� ❑ Multiple Firepl/Fact. Blt. ICBO # Heating System & Duccing ❑ ai oo,000 eru O i oo,000 ; � Siqnature I I Drivers' License or SS � Reinspection Fee CMF 0865-46, rev. 30/84 White - Builtling; Canary - Applicant; Pink - Accountin9; Goldenrotl - Assessor Showers Service Sink - Sewer Cap ' � Sewer Connection Solar Collecrors � $olar Piping Solar Tank Swimming Pool w/Spa Urinal Water Closet � Water Heater � �Weter Service' Auto�Wssh � • laue Fee Hood or Typel ❑ Canopy Typell ❑ Retrigeration Syrtem ❑0.100,OOOBTU ❑100,000 System Repair/Alteration � Fire Dampers - � 0 FEES I I I $15 ' Issue Fee ' $ 3 A.P. � � S Main Buildi E T FrOnt B Rear A C Right K Lef[ $ Ping. Ref. # � Planning Notes: Construttion Po Cooking Unit ; 6441 10/31/86 - � — /' Zone �A[cessory Building: � �f � � Parking Req./Provided 1 ,. � , . ILD FOR SPFrrhr n�7rrm�r� .�� , ELECTRICAL • - Transformer ❑ 75-50 KW �ub..- � � 50+KW Dryers LJGas �IJElectric Fan • P.A.U. • Fixtures � Device Boxes . Outlets Switches � � � Garbage Disposal Gene�ator�00.5KW �5-15 � Reinspaction Fee �. S15 � DEVELOPMENT SERVICES REQUI 2oning Approvad By � BuildinB APProved By Applitation Issued BY Meter ❑up to 100 amps , . Meter ❑over100amps � Sub Panei � • Motors �0.1 HP �1'h-8 Int.Solar �9-15 HP �1G75+ Mitrowave Pole Light Range � Sign i � Standing Scetions . Trash Compactor ' laue Fee B3oB2 'TL n '. S 3 Z O N I N G R E Q M T s SU�Q[JIAR'rVOOF FEES � ' BUILDING PERMIT $ S 0 SMIP � '$ �•-SD PLANCHECK $ 23 � 8Z .PERMIT � , PLUMBING � $ ISSUANCE $ PLAN CHECK 25% .$ ENERGV P.C. $ ELECTRICAL $ GRADING, S � � PLAN�CHECK' 50% $ MICROFILM $ - MECHANICAL , $ TOTAL FEE $ �3. �2 PLAN CHECK 25% $ � CONSTRUCTION AND PLANNING POOL & SPA `t APPROVALS Permit# Date Inspector qppROVALS 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 UFER Grnd. . 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation . 59.' Gas Pipe, �O Undrgmd., Test 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- nal 12. Sewer Cap 63. Heate - �nal ' 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 66. APPROVED FOR PLASTERING 16. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL � 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # _ 27. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping OGas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framin9 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing . 74. Overhead Hvdro 26. T-Bar Ceili�g (Structural) & Monocoat � 0�- 75. Dry Chemical 27. Frame and Flashing � � 76. Dry Standpipe 28. Lathing & Siding Z, 3 8 D 77. FIXED SYSTEM FINAI 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing `� �9 8� p� HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat �p Q� 79. FINAL INSPECTION 32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: Q(� FQ(� $p��IAL 1�.EV� 34. Final Heating & Air Conditioning � . 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer - � 43. Backflow Irrigation ,44. Landscape Irrigation System � � 45. Sound Attenuation e '� 46. Handicap Regulations � (� Q� _ 47-. FINAL STRUCTURE & BUILDING � i-- ��p 8-�%,BC ,� 48. Special Requirements Completed . � r 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co ►' 51. CERTIFICATE OF OCCUPANCYt , No Date • " Applieant to fill In all spaees exeept those wltnin heavY DorEer Iinas antl sign all apprOpriale Eecla�ationz. CITY OF COSTA MESA COIVLTRUCTION PERMIT PERMIT NO. _ _ TRACT NO. LOT NO. ; UNIT NO. Project Address 73�� %� U/��yr- G. ApplicanYs Mailipny Addre�ss( �7 �'v� %6F�✓ �Y�/-�1� Owner's Name % � �q�L� Photfd'�s'�'Z'Z � Address ...0��6 �/. �8� GoSTiI �2E5'/} , Arch/Eng. License No. Address `� Con[rector'sNam o ' Cp�iR�� f Addresslmailing) 6af7 W��j• City License No. � �- 2- ¢-Sw LICENSED CONTRACTOR DECLARATION 1 nereby aHirm [ha[ I am IlcenseU untler provisions of Char[er 9(commencin9 witn secUon ]000) of Division 3 ot Ihe Business antl Professions Cotle, antl my Iicense is in full force antl eftect. OO .LO Licenso Cla� s��/ � 'ce se�o _ Date Y4�� O Si9nature WOR RS'C MPENSATION D CLARATION I hereby aitirm that 1 have a certificate of conzent lo selLinsure or a<ertlticate �f Workers' Compensation Insurance, or a certifietl .cooY thereo( (Section 3800, Lab. C.) . Policy No. Company 8 Certifietl copy Is hereby furni5hetl. Certifiatl copy is illea with the city Builtling Divizion. Date - APPlicant XEMPTION FROM WOfiKERS' COMPENSATION DECLARATION TM1lssection neetl not be completetl if the permit is (or one huntlretl (5300) or Icss). I cerfity [M1at In the pe�fo�mance o/ th¢ work to� which 1h15 pe�m�t is ISSuetl I shall not emDloy any per50n in any mannq�r so d5jo�es0/n¢ Su 'e e Workers( CompeeLu}ion laws ot Californ4y) // ��/ Date Signature NOTIC . If, aft making tnis tleclara on,.you shoultl b come subject to the Work¢ ' Com ¢nsalion provi5iOn5 Ot the �abor Cotle, you must torthwlth ComplY witn Such provi5iOn5 or tllis pelmlt Shall be tlaemetl rOVOkOtl. . GONSTRUCTION LENDING AGENCY I h¢reby altirm that [here is a constructlon 1¢ntling aqency fOr tha pertOrmance ' of tM1e work for wnich this permtt is iszuetl (Section 3097 Civ. C.) L.entler's Name Lentler's Atltlress OWNER BUILOER �ECLARATION I horeby afflrm thdt 1 dm exempt trom [na ConlrattOr'S Lic¢nse Law for the lollowin9 reason (Section 7031.5 BuSineis antl Profezsional Catle: Any city or county wnich requires a Dermit to construct, alter, imorove, demollsh or reoair any structure, prbr to its issuante, alm requires tha apD��cant for such pormit to flla a slgnetl statement tna( he/sne is Iicensetl pursuant to tne provisions of tna Contractor's License Law (Chapter 9(commenc(ng witn Section 7000) 0� DiviiiOn 3 ot the BuSinesS antl P�atession5 COtl¢) or lhat n¢/sha i5 exemo� here/rom and the ba5is tor tha ailegetl exemption. Any violatlon ol Soctlon 031.5 by any applicant for a permit subjects the applicant to a civll ¢nelty OI not more than irva huntlred tlo11ar5 (5500). ❑ P, as owner of tha propMty or my employees witn wa9ns as their sole compensation, will tlo tne work, antl tha strutture is not inlentletl or otteratl lor sale (Section 7044, Busineis and ProttZzional Gotle:•Tha Contrattor'S Litenze Law tloes nOt apply to an Owne� ot a property who Duiltlz Or ImOroves thareon, antl who tloes such work himsel(/M1ersell Or thrOuqh hI5 or hOr own employees, provitlea tnac suth improvements are not Intentletl or oHeratl for sate. If nowever, the bullding or improvement IS SOItl wlthin onB y¢dr Ot cOm- pletlon, the owner wlll have tha burtlen Ot proving �e/She tlitl not builtl o� Irti- �rove lor tha purpose ot sale). I, a5 own¢/ of [he property, am ezclusively Contracting with IICenS¢tl cOn- tractors to construct the project (Section �044, euzin¢sz antl Protesslons Cotle: Thn Contractor's License Law doez not apply to an owner ot proparty who bulltls or Improves thereon, antl wno contracts tor such orojects witn a con- tractor(s1 license pursuanl to che Contractor's Licanse I„aw). I am awara lhat proof of tneir Worker's CompensaUon Insurance zhoultl be provitletl to me. ❑ I am ezempt untler Section , B. & P. C. tor this reason Date Owner I h¢r¢by certify tha[ I hdve rea� InformatiOn I5 correCL I agree t0 antl state laws relating to builtlir SenLdtlVlS Of thi5 tlIy f0 n2¢ Inspectlon purp , Signature Orivers' License or 55 � � a that ' L (0�5 " ,�TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR • �O CONVERSION ❑ DEMOLISH ❑ OTMER i� DESCRIPTION OF WORK/USE OF BLDG.. � �'y f �TVPEOFPERMIT GRADING FOUNDATION STRUCTURAL O j,�NANT �EIECTRICAL ❑ PLUMBING ❑ MECHANICAL � ❑ OTHER ; 7ROJECT DESCRIP710N $Q. FT. OCCUPANCV �� CONSTRVCTIONTVVE VALUATION$ � ZON�-�_ GRADING CU. VOS. � ACRES � � Bar Sink Backflow Preventer ' Backflow Irrigation Drinking Fou F.loor Drains Floor Sinks Gas Service Interceptors Kitchen Sink P—Trep Roof Drains Reinspection Fee Outleti 515 Duct - Under Ground Duct - Struccural Duct - Ventilating Exhaust System ❑ Multiple � Firepl/FacL BIL ICBO �/k Heating System & Ducting ❑4100,000 BTU 0/00,0008T Reinspection Fee � $15 7F 0865-46, rev. 30%84 White - Builtlinq; Canary - qpplicanh Pink - Accounting; Goltlenrotl - Assessor ♦ Service Sink ' Sewer Cap Sewer Connection Solar Collectors - Solar Piping Solar Tank Swimming Pool w/Spa Urinal water Closet Water Heater Water Servica Auto�Wash laue Fee Hood or Typel ❑ ' Canopy Typell ❑ Refrigeration Sys[em ❑6100,OOOBTU ❑100,000 Sys[em Repair/Alteration Fire Oampers Registers laue Fee 0 5 $ 3 � A.P. 5W S Main Building E T Front A Rear' C Right ' �K Left S Ping. Ref.,# Planning Notes: A � Automatic Washer ' Construction Pole Sub. Cooking Unit � � Dishwasher : Dryers ❑Gas ❑Electric Fan F.A.U. � Fixtures Device Boxes Outlets Switches Garbage Disposal Generetor �0-5 KW �5�� Fee 7247 II/14/86 ZOne Accessory Building: , � � I Parking Req./Provided �EIECTRICAL , Transtormer ❑ 15-50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over100amps Sub Panel Motors OO-1 HP � 1 h- 8 . Int. Solar �9-15 HP �76�15+ Microwave Pole Li9ht Range Sign Standing Sections 5 KW Trash Compactor $15 � � luue Fee DEVELOPMENT SERVICES RE�UIREMENTS: 2onin9 APVroved BY Date Buildin8 Approved By �x� Date SUMMARV OF FEES BUILDING PERMIT $ SMIP PIAN CHECK $ PERMIT , PLUMBING $ ISSUANCE PLAN CHECK 25% $ ENERGY P.C. ELECTRICAL $ GRADING , PLAN CHECK � 50% $� � ; MICROFILM MECHANICAL 5 TOTAL FEE PLAN CHECK � 25% $ � � I5v00 TL 2 O N I N G R E Q M T S FEES •� 53 CONSTRUCTION AND PLANNING . % � POOL & SPA APPROVALS Permit�h Date Inspector qppROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Stee� Reinforcement 3. Elec[rical 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, O Undrgrnd., Test 9. Water Pipe�Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 67. APPROVALTO DECK 7 t. 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 �a L`S K,. J 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical�T Bar Ceiling � ^'`'TB 69. POOL/SPA SYSTEMS FINAL � 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace j APPROVALS Permit # - 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilatin9 71. Product Piping OGas ❑Oil , 23. Gas Pipe-Rough & Test 72. Underground Flush 24. RoofFraming 73. Undergrnd.StorageTankOGas ❑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 j, 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION ,. .1.` C. 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSIJED �, 33. Final Electric _ �,�L Notes: f�� B^, � d .}.�` 34. Final Heating & Air Conditioning �,�{,� � K Qw / k � »n 35. Final Gas Pipe-Test bn�'�l � F? �� ' 36:.Hood or Canopy 37: Fiaal Factory Fireplace � ' '� ; , � • ' � � J +, 38. Final Plumbing , • , • J �' i . ,1.' 39. Water Service-Final � �� i..j �, � � ;. �40. Gas Service-Final ' � �' J� ir ,41. Solar"Domestic-Final . � ` � '' �' ' • �/ lt 42.'BackflowPreventer �. � �:, � � „i � �43. Backflow Irri9ation � � � .41 � � � : �,� 44:' Landscape Irrigation System ' ; :�'%' � �Y �' ��.+ ,� •y ,. �,45..Sound Attenuation "'•�. "!�'.c.�' . . .. ;�46. Handicap Regulations � � �%f ! 1 .'. .�j 47. FINAL STRUCTURE & BUILDING � .; %� ; ;- � , � it � i 48.,Special Requirements Completed ,'H ' " �/ ' , i; 49. Electrie Release to Edison � .�- • ,, .J 50. Gas Release to Southern California Gas Co •'�' 51. CERTIFICATE OF OCCUPANCY No. � Date . � Applicant to fill In all ipaces exCeO< <�ofe wil�in �eavy bo�Ee� lines antl sign all aonropriate tleciarations. CI7Y OF COSTA MESA CONSTR UCTION PERN�� PERMIT NO. �, ' TRACT NO. � LOT NO. UNIZ NO. Project Address � 3R . W• �� I Applicant's Mailing AddrP�s ��Zz- V+ kiu� d req Owner's Name �'�^'� Nc �� G� Phon��y G 3>6oi y Address � Arch/Eng. � License No. Address � Contractor's Name �yk � E✓Z Phone Sa�'gS�? Addresslmailingl ZZC V� L' i`n�a rP City Licenu No. Z9D � LIGENSED CONTRACTOH DECLARATION, ' I hC�eby a(firrti that I am Iltensetl untlEr provi5ion5 of Charter 9(commenGing w�th section ]000) of Divlsion 3 of Ihe Business and Professions cotla, antl my license is in f W I torce ntl effect. , V�ense Class - C - LI nse No. �3y37 f. Date.�(,�-�.�-� Si9�ature � WORKERS'COMPENSATION DECLARAT100 I hBreby aftirm lhat I have a certificate of consent �o selY-insure or a certiticate �( Wo�kers' Cumpensation Insurance, ot a certlfl¢tl copy tn¢reof �Sactlon 3eoo, �no. c.) Poli�Y No. ' Company �CertHietl copy is hereby furnishetl. Cerfifietl topy i5 filed with the ci[y Builtling �Ivislon. Oate ' APPIIcant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Th�s sncti6n neeU not be completetl ii the permi[ Is for one huntlretl (E300) or less). � I ce/Nfy that i0 the p¢rtormance o( the work fo� which this perm�t is ISSuatl I shal� not employ any person in any manner so as become subject to t�e Wofker5- CqmpeOsatlon Laws of Califorq�� Da[e I�S�-�b St9naiure p� NOTICE:.If, aRer making this tleclaratlon, you z u10 become subject to the Woikers' Compensatlon provisions of the l,abo Cotle, you must forthwltM1 cort�P�Y 'Nith Such O�ovisions or IhiS' Oe�mit Shall be tleemetl �avOketl. CONSTRUCTION LENDING AGENC�' ' ' I hereby at(irm that there is a construction lentling agency for tbe pertormance ot lhe wOrk tor whiq� [nls permit is issu¢tl (SectiOn 309� Civ. C.) Lentler's Name, "� �'� � � .,Lentler's Atltlress . pWNER BUILDEH DECLARATION ' I her¢by aifitT that I am exempt frort� Ih¢ Conl�actor'S License Law ior thG following reason (Sec[ion 7031.5 Business antl Professional Code: Any city or coUnty which rGquireS a permlt to con5tru<t, alter„im0�o�e, tlemolish o� �e0ai� any structure, prior to its Issuance, also requires tne applicant tor such permlt t0 flle a signed �Statement that he/she Is Ilcensetl pu�suant to [he provl5lon5 ot the Contrac[or'S Lic¢nSe taw (Cnapter 9,(COmm¢nCing wlth SecUon ]000) of DiNsion 3 ot the Businesz antl Profezsions Cotle) �or that he/she is exempt h¢refrom antl �the basis fOr lhe allegetl ex¢mptlOn. Any viOlation of Section 031.5 by any applicant 1or a perTit subjecl5 the appllGant to d civil e0alty of not more than five huntlretl dollars�(E500). ' .� 1, ai owner, oi Ihe property or mY employees with wages as thelr sole � rompensation, will tlo the work, antl the structure is not intentletl or oiteretl � tor sale (Section ]044, Business antl Professional Cotle: Tpe Contractor's �i�ense �l.aw tlOes nol apply to an ownB� of a p�operry who builtlsb� ImprOves the�eon, ana wno tloes such work�himselt/herself or througn nis'or ner own emPlOyees, p�OVIOCtl tha[ SUCh improvement5 are �Ot inlentled or offaratl for sale: ��, howeveq lne building o� improvemeot is soltl within'one year of cam- p�¢tion, the OWne� will haVe [ne burtlen Of proviny he/she tlitl not builtl or im- p�O�a tOr the purpOSe Of sale). ❑ I, az owner oi the proporty, am exclusivery contracfin9 witn licensea con- traCto�s to�con5[�uct the project (Section 7044, Bu5ine55 antl Profe55ion5 Cotle: ThR Contractor's License Law does n0[ ap01y [o an owner ol p�operty who � builtls or improves ihereon, ana who contracts tor such projectz with a con- �. t�a[tOr�51 liGense pursuant lo the ConVactot's LiGense Law). I am aware that prOof of tM1eir WorkerJs Compensa[ion insurance shoultl'be p�ovitletl to me. ❑ I am exemot untler Sectlon B. & P. C. �or this reason Date . - • ' Owner I M1ertby certi(Y thdt I.have red Si9Pature /Y?u6 Dri�ers' License or 55 CMF 0665�46, rev. ]0/B4 pplication antl state that the�atiove wifh all city antl cou�tY ortllnances ru<tion; antl hereby authorize repre- tbe above-mentionetl property.for oate /�^3/'t�� )�' � TYPE OF CONSTRUCTION d2� rvEW � LJ nDD ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIP710N OF WORK/USE OF BLDG. — 0 ALTERATION lJ REPAIR TVPE OF PERMIT LJ GRADING LJ FOUNDATION LJ STRUCTURAL ❑ TENANT � ELECTRICAI ❑ PLUMBING � MECHANICAL ❑ OTHER PROJEC7 DESCRIPTION 5�. FT. ZbnO oCCVP,aNCv_ CONSTRVCTIONTVPE f'�"f• U�,� ' VALUATION$ ZONE GRADINGCU.VDS. ACRES_ 3ackilow Preventer . � 3ackflow Ifrigation 3athtubs Clarifiers � 715hWd5h2f � �rinking Pountains. . 'rloor Drains Floor Sinks uas Service Out�ets Interceprors . Kitchen Sink ; 6avatOries � °� Trap' Roof,Orains � Reinspection Fee Duct - Under Ground : Duct - Structural Duct - Ventilating ' ' Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # Heating System &. Ducting Ci�4100,000 BTU 0100,000 0 Reinspection Fee I $15 White - Builtlin9: Canary - qppliwnt; Plnk - Atcounting; Goldenrotl - Assessor PLUMBING � 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 Hood or Typel ❑ Canopy Type 11 0 Refrigeration Sys[em �OO,OOOBTU ❑100,000 Syscem Repair/Alteration ' Fire Dampers Registers - . Isue Fea $ 3 A.P. # S Main Build�ng: E T Front A Rear . C Right " K Left S Ping. Ref. # Planning NoteS: Automatic Washer- Construction PoleSub. �-. Cooking Unit ' Dishwasher . Fan P.A.U. Fixtures Device Boxes Outlets Switches Garbag¢ Dispoul Generacor �65 KW Fee , 6404 I,0/31l86 Zone ' 'Accessory,Building: Parking Req./Provided ELECTRICAL � ' �. Transiormer �.75-50KW ❑ 50+�KW . Meter ❑up to 100amps - . -Meter ❑over100amps� Sub Panel- Motors O( Inc. Solar [ Microwave Pole Light Fange HPL77X-8 -15 HP 016.1 Standing $ections 5 KW Tiash Compactor $75 luue Fea DEVELOPMENT SERVICES REQUIREMENTS: 2oning Approvad By Building Approved By .=__e 20.50 Tl Z O N I N G R E Q M T S FEES - � x $ 3 " ` . � �! i ,� .. � � SUMMAHV,OF FEES : ' ' - - ' '- '- BUILDING PERMIT $ SMIP � - , $ � ' � � PLANCHECK ; $. ' PERMIT�� . 1 � - � , PLUMBING ..$ � ' ISSUANCE $ � � _ ' PLAN CHECK .25%� $ �ENERGV P.C. $ � ELECTRICAL -$ ��GRADING � $ ' PLAN�CHECK 50% $ � � MICROFI_LM $ '/� -' ' ' MECHANICAL $ • S� TOTAC FEE , , $ ��`r� PLANCHECK 25% $� � � , � ,CONSTRUCTION AND PLANNING . • POOI & SPA APPROVALS Permit # Date Inspector qppROVALS Permit # Date Inspector 1.. Temporary Electrical Service or Pole 52. Pool & Equipment Location v 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, O Undrgrnd., Test � 9.�•Water Pipe-Undrgrnd. 60. �Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK � 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final � 12. Sewer Cap ' 63. Heater & Vent-Final � 13. Roof Drains 64. Plumbing System - Final �. 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring . 67. Fencing & Access Approval � 77. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T�Bar Ceiling 69. POOL/SPA SYSTEMS FINAL � 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # _ � 21. Ducts, in Struaure 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 O Gas ❑ Oil � � 25. Roof Sheathing � 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame,and Flashi�g 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: � � � Q � ' � 34. Final_Heating & Air Conditioning � � �G � � , ' 35. Final�Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace � . 38. Final Plumbing 39. Water Service-Final . � � 40. Gas Service-Final 41. Solar pomestic-Final . 42. Backflow Preventer � . 43. Backflow Irrigation 44. Landscape Irrigation System . 45. Sound Attenuation � 46. Handicap Regulations � � � - � , 47. FINALSTRUCTURE&BUILDING � ,^ 48. Special Requirements Completed 49. Electric Release to Edison . 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY � ' No: Date � - � rl Avv��ant to till in all sDaces exceot ihosa within neavy boraer lines ane sign all aopropriate aeclarations. �� C P RMIT �� ^� TRACTNO. LOTNO., /,] CITI�OF COSTA ME�j$A�y� CON),$l TRUC N P� M� / 'UNIT NO� , p.Project Atldr¢ss � '1� VL {0� � � � , . , Applicant's Mailing Addres� �� --� TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR / � / ❑ CONVERSION ❑ DEMOLISH ❑ OTHER p� p# � Owner's Na�m�¢/ lJ H�� ✓✓�--CQP� Phone � DESCRIPTION OF WORK/USE OF BLDG. Addren _IJ'� �• ��:—� S Main Buildi Arch/Eng: License No. Address - � Contractor's Nam Phone Address (mailing) City License No. LICENSEO CONTRACTOR OECLARFTION • I hereby affirfn that I am IiCen5e0 untle� provi5ion5 Of Cha�te� 9(comm¢ncing with section 7000).af Divislon 3 of the Businesz antl Protessions Cotle, antl my Iicense is IP tull for<e antl effect. ' ' LicenSe CIa55 ' License No. Da[e $i9natu�e WORKERS' COMPENSATION DEGLARATION I hereby affirrP thaNl have a certitica[e o� consent to self-insure or,a certlflcate of Workcr,s' Compenzafion Insurance, or a certifietl coOY.�hereof (Section 3800, Lab. C,) � � Policy No. - Coinpany ❑ Certifiatl copy is hereby Nrnishetl. ❑ Certifietl cJPY i5 tlletl wi[h the city Builtling Division. �ate APO�icant � EXEMPTION FROM WORKERS' COMPENSATION OECLARATION (This zection neetl not be completed if the permit is for One huntlretl ($300) or Iess). 1 certity t�at in tM1e peAormance o( Ihe wo�k fo� which thi5 peim�t Is Issuetl I shall not am ��Y a y parson in anY anner. so as to become subject to t�te Worker5 C� en o LawS of Calif ia' i '�i` _,,� / �ate ' Signa[ure �� LQ� � NOTICE: It, a�ter aking this tleclalation, y0u ShOUItl b Coma subject t0 the Workers' CoMPensation provision5 of� the �dbo� Cotle, you must fo�thwi[ti comply wilh such p�ovislons or'thi5 pe�init Shall be tleem¢tl.revoketl. CONSTRUCT�ON LENDING AGENCV ' � I hereby afflrrtt that /h¢re'is a const�uction lentling agency for the pe�fOrmdnce of [hC work 'fOt which this permlt is f55uetl (5¢Ction 3097' Civ. C.) l.entler's Narr�e . , LenOer's AGeress OWNER BUILDER �ECLARATION I hereby afflrm thal I am exempt from�the Contractor•s License� Law for the following'rea5on (Section �031.5 Businezs antl Professional Cotle:.Any city or county whlch requires a permlt to construct, alter, improve, tlemolish or repair any structure� Prior to its issuance, also requires the applicant tor such permit to file a slgnetl statemenl thdt he/Sh¢ IS licensetl pur5uant to the provi5ion5 ot t�e Contractor'S Licenu Law (Chapter 9(commencin9 �+��h Section 7000) of Division. 3 of the Business antl Protessions Coee) or t�at ne/she Is.exampt [t-'hereirom and the basis f0/ the alleged exemption. Any violation o( 5¢ction '�031.S�by any applicant for a permlt subjects the aPPli<ant to a civil �� ,�e Ity ot not more than five huntlretl tlollars (5500). ; • I as owner at .the property W�w�e�+rplefeet ei ��Q�S�� wlll tlo tM1e wo�k, antl the struGture iz nbt ��tentletl O/ ofteretl for sale (Secbo^ ]Q44.'Business antl Protezsional Cotle: The Contractor's �icense Law Goes not apply to an owner of a property wno builtls or improves thereon, antl �+'no tloes such work himselt/herseli or through nis or her own employees, pYo��tled lhat SUCh improvements a�e nOt In[entletl or offeretl fo� zale. If, however, Ihe bullding or Im�rovemenf is soltl witM1in one year of tom- pletlon, tho owner will have the burtlen of provin9 he/she tlitl not bulltl or im- .p�ova (O/ tne Pu�pose 01 sale). '� I, as.owne� oi the property, am exclusively contractin9 with Ilcenietl con- tractorsto coPstruct tne proiect (Section 7044, Business antl Professlons Cotle: The Cont�acto�'S License Law OoeS•nOt apply to an owne� of O�operty who builtls or ImOwves th¢reon, antl who contracts for suth projects wlth a con- tractor(z) lice�se pursuant to the Co�(ractor's License Law). I am aware that proot of [heir Wotker's CompensaHon insu�anc¢ Shoultl be provitletl to me: , L7 I am axemp� untler 5ection, - 8. 6'P. C. for tnis reason Date � ` (ff � �- � Owner J i en.onv r. �itv that f have reatl lhl UPon the Signature ♦.v� `-H+� � � f�� - Drivers' License or 55 � � ' ' � � "0865-46arev. 30/84 White - Builtling; Canary - qpppcant: TVPE OF PERMIT LI GRADING L�I FOVNDATION LI STRUCTVRAL ❑ 7ENANT ❑ ELECTRICAL �LUMBING ❑ MECHANICAL ❑ OTHER PR0.IECT DESCRIPTION 5�. FT. OCCUPANCV_ ' CONSTRUCTION TVPE VALUATION $ ZONE GRADINGCV.VDS. ACRES_ Remarks: �� f� �,�/ � ' . � . Sink � 2flow Preventer - � � <flow Irrigation ' itubs ifiers� � Drinking Foun Floor Droinz Floor Sinks � Gas Service � Interceptors Kitchen Sink Lavatories � P-Trap Roof Drains ' Reinspectian-Fae Outlets $15 6oiler . Duct - Under Ground � Duct - Structural Duct - Ventilating Exhaust System ❑ MWtiple � Firepl/Fact.8lt ICBO # Heating System & Ducting ' ❑0-t00,0008TU �100,OOOeTI I . property tor - - • _1 � �� Reinspaction Fee Pink - Accounting; Goltlenrotl - Asse55or $15 Showers Service Sink � � Sewer Cap . _ Sewer Connection Solar Collec[ors ' Solar Pipin9 � Solar Tank Swimming Pool w/Spa Urinal Water Closet� Water Heater Water Service Auto-Wash � Issue Fee �. :� _ I S 3 E T Front B Fear A C Right K Lett S Ping. Ref. # Planning Notes: � 9746 I/Q6/67 j3s00 �TL 2one ' ' Accestory Building: Z O t� . N . I N G R ' Parking'Req./Provided � E ♦ Q ' ' M � � T S Automatic Washer � Construction Pole Sub. Cooking Uni[ Dryers GGas ❑Electric Fan ' ' F.A.U. Fixtures Device Boxes Outlets Switche5 - - Garbage Disposal ^ Generator �0-5 KW �5-1�. � ELECTRICAI . Transformer ❑ 15-50 KW O SO+KW. • Meter ❑up ro 100 amps Merer �over100amps Sub Panel = � Motors �0�1 HP O1 %� B Inc.Solar �9-15 HP �j6-15+ Microwave � Pole Light � � Range � Standing Sectiom. KW Trash Compacror FeinspecTion Fee ' $15 Issue Fee ' IANICAL. FEES Hood or � Type I ❑ DEVELOPMENTSERVICES RE�UIREMENTS: CanOPY TYPe I I ❑ . ' Zoning APProved BY . � Building Approved ey , ' �ct � � Refrigeration System ❑0.100,OOOBTU ❑100,000 Sys[em . R epa ir/A Iteret io n Fire Dampers . Registers , .' ' Isue Fee � . I $ 3 SUMMARVOFF BUILDING PERMIT $ ' PLAN CHECK $ —y-/�-- � PLUMBING , - $ ��[L— PLAN CHECK 25% $ ' ELECTRICAL � $ � FLAN CHECK 50% $ � MECHANICAL. $ � . PLAN CHECK ZS% $ � $ 3 SMIP $: PERMIT ISSUANCE $�_ , ENERGV P.C. $ GRADING, $ MICROR�M $. TOTALFEE $ � � \ CONSTRUCTION AND PLANNING POOL & SPA � . APPROVALS Permit# Date Inspector qppROVALS 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 UFER Grnd. 57. APPROVALTO 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, � Undrgrnd. 10. Structurel Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 72. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains � 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15.�Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval ' 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure ' 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing � 73. Undergrnd.StorageTank OGas OOiI 25. Roof Sheathin9 � . 74. Overhead Hydro � 26. T-Bar Ceiling (Structurap & Monocoat 75. Dry Chemical � 27. Frame and Flashing 76. Dry S[andpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: � 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test • 36. Hood or Canopy . � 37. Final Factory Fireplace 38. Final Plumbing � � � 39. Water Service-Final � 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer • 43. Backf�ow 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 �ooness a ea�owo: 7 3 0 W 17 TH S T avxeasru�eiFaawN: pAOL PACELLI �oonEss 7 3 Q W 17 TH S T , ��vr�. �,uura �nox�sx uwwrtECT on vim�Er.n: ` urcxonun•s�ooness: COSTA MESA,CA L� 1 J� c-�Cj}-�cT� 7'9�� '�3i42 c1�� c>,��': " 92626 � uc ra. uNr: coxm�crarewua: MUELLER POOL COMPANY (714)751-3342 cwm�crars�uiwo 2701 S ORt1NGE AV ,�o� ,.n. ca �r,o.: 4026gg 92707 urn: O 11CFN5E0 COHfN�CTON4 DECLAP�iN1N: I Mrab� Nkm utlr psWy d papry tlW I mn fcs�wd ivdw porivau al Chaqw Y (mmm ' h Seclion )000) tl Diwun 9 d tlr &m�su eM PMativu Coh. eM mV I'mm u'v� hA bm and diw. cm .no.: uc.cuss: C-53 ��0 402699. EiCP: o : i "'C camma: � �.7� � O NEN IL�EH D CIAR�TION: I Mn4y dfum �uder psury d per''vy Ihet I am minq mn Ne Cabetlm lioense law In IM ismon (Satlion R11.5 Bu�iraa W Rafuiw Cods: MY M' w ouaqY M�id� npiulm e G�i w mm0ucl. a6er.'vnporo. demd'oh. n rPr e^Y �NCWs. pv b b eaunn. abo npuu Ne eppGre�tl frc erh G�� lo fle B sp'ed qelamau tlW he a shs ;, i;�,,,.a w�� o �� a�• a e» cam�o �.. �,. tcnea. a �oo�.,�o wan saao� �aoo> a u.:� s a�ro Buavim ark Prababro Codsl u tlW M a dr e esemq ttwehan md tM bam la Ns eAeWd ue�Mion. My vitletion M Satlion )031.5 W my eppGwu la e permil vb�cn �M �ppfwq to � aN peneR/ d nq mon then Inn MmMed tlo0s� �SSOOD. � I.uownmdtMP�WnYamYMNoI'�wi�rxpom�hsisobmmG�.wOAolhsMvkandlheefiqwownd'vtlended «dleradbr eeM (Ssnian'lw1. ei�aea md Prduaion� CaM: Tla CaLLmfon Liuros lnw doa ndeVWYto en ownsd popeiry w1n WNa a inP� tlwean. rd wM Eow wN wA Ainrtl n henN a Wuid� I�e a Mr ovm enpbes�. Pa'� tIW wcA 'unpowneNs va �w'utlerdod u alfreA la ub. tl. bwenr. tM buldinp w inpmwnw u wtl wilhin one ymr d canpb�nn. Ns ow�«a,ai..w n.�,. m. wb., a awro n. «.n. ma ou e�aa «�o� eo� u. ww.. d.m.1. ❑ �. ea own« a �n. o�D«n..�n ..Aaalr mv�.n^Y .en 4.n.e omo-eaa.. ro mmnn m. wdetl (swun 1ou. a,.:w..id awe..ian. code: rne commea. uoe,.. �.�. m. m mvN �o e� o.�.r w o�w�r »no wl� « imww.. �nweo� .�a .ao canUxu Ior a�N a4K+� wYh e mbaaM.) IicsueE pnumtl �o �M Cauraea� Limw laM. � I em uanq uMm SM'v�: B. 8 P.C.. br Nu �aam: Dete: � I do MnM cenAY IM1tl I em ewera W vtl udr�unE tln npu'vam�nb d Caliarie Nmtlh eM SdatY Cods Satlbm?5505.25539. enE 255�1. eM tl�m I a enY Mun dJk4q omryeni will / wll na (mcb ons) roeE �o camON wllh uid peta aodss vd ths ipuimnsus br e prmu laconawr�m «moEifWionhomiM /vaiuity�%enepamav dmiq. He�Mw W mw�utlion appiutiam us e�amq Imm Uws a�a. Dme: �Vd�Kw� WONKEN'4 COMPENS�TION DECLAX�TION: 1 Amapy tlhm uMr pe�Wiy d psjuy ans d IM Idbxi�p bdereiom: � I heva eM v.dl mdme� ecaN'rAa d rmwtl to wtl�nnve br wMen' campsuabn. m qo.idM ta Ey 8edion J)00 d IM lebor Coda.la IM pMormerc� d IM wM lar wNch thp permtl u Mued. ❑ i n....oe w�e �m� won�.�.• �o«�ao� ��w�. m �.m+a.a nr s.a� aroo a m. i.e« coe.. u� m. w�«� e m. .oA �> xAitl� mu o«mn 6 MueJ. Mr waYan� oomvrumion �uw�.nc. nmar.M ooGry nwne.. en: c.�w: PaGry Number. ' esaianmWmrMcanP��rtlr0�l'ebarnw�bdduOenlf�minMnJ I mnly tlw in Ne pMmrorc� d ih work la r.hkh Ihb pami b mueE. I tlu0 nal amplvy eiry pxeon In ury m o u to n«�. wniw �o m..w�,• �ro«�wo� i... a '.�a .a« u,r e i wwe n.00-�. .�iw m .ona.• c�a��7 , /u� o��. a sea:a� a�ao a m. �mo� coa. wo ionnwn oN �.. wwbc�. v : �fJ ( l./ � `�_/ �opcw: W� Mp: F�9un ro ��eur wohwi carrpw�tlon cwwap Is vil�'Iu4 mGWll r!(sr ur uAolonr oMlivl p�ultlp uM � nnu w ro ar. nvmne mouwd edws fsio4000A n.ednon m �M co.� o� mrrwn�wn n cArw.e ror �n Slctlm ]1G6 0l M 1�40� Cob, InM1ru4 ��Y�� !� CONSiNUCT10N LOIDINO �6ENCY: 1 lwW� dRm+ vdr w�elY tl pejvy tIW Urs e e wbn MM'vp qpv.y ta tlr �n,��o. a in..ax ro,.n� me wm� ::a.a �s.a� svr. c:. c�. LENDFA'4 N<11E LENOEP'9 MOPE94: �� .�A'ihet�hav.neGNv.PN�mdan.�lu�the.Ew.W�Wimmw..d.�.m..�o�W�YwaheOM'md�Yadv�e�m. aM sle�a Iswt nWM b biWq mmtluCon md hrabV utivc� �ap�wtlNiw dlhu myb aMd upon Ne abwsmeLLionad popMy Iw impetlim W�D�� SCOTT MUELLER __ (5151�6.WP) WMsBinld�q Date: :�7 —� ��.: �-�.,�. , CITY OF COSTA MESA — BUZLDIf1G PERMIT PERM NO: P 08377'/ PERMIT NO: P 083777 PLAN CHECIC NO: N GOVT; �� SUPP; N CONSTRUCTION TYPE: ��—N PERMIT TYPE: PLU PURPOS'E: OTH JOB DESCRIPTION ; INSTALL PREFAB. SPA SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: INGROUND SPA REF:B-83744 +��*****��*�r;�****�r**;�**��«x�**�r��;��*�r**��«��*x*- ,�»**r�t��r*;��«�;��:�***+�***r�*;�;��*�;� Z O N I N G R E Q 0' R E M E N T S S E T B .: K S ------------ MAIN BUILDING ---------- FRNT: FT ZN REAR: FT . LEFT: FT IN RGHT: FT iN PARKING REQ: PROV: PARCEL: PLANNING NOTES> > f*��r**�r�*+�*x*****��*****�e*��*�c****�e***�*xx��r*�*�� T � S E R V I C E S R E Q U Z R E M E N T S 3f�rifi�3fii'3f�r��r+txY±t�x��rx*ie��rat�� D E V E L O,P M E. ZONING APPROVED BY BLIILDING APPROVED " APPLICATION IS ' ED�Y:_ iFifiEjlifili(�jEiEiEiFdfiF�, df1F�flFifiF.. LEGALIZATIO .N BLDG �DT iLU B PERMIT 35 PLAN ISS' FEE 22 5U'LDING—DIV—> :6�MIT � �TALS----� _ �.75 REVENUE DIVISION BLDG PMT P x****itat*ititititio- .+�it TYPE QTY PLU 1 PLU 1 --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN 42408118 ZNE: REF NO: 25x S U M M A R Y � TRIC', , MECHANIC PLAN—CI-I�ECK 0.:00 FIRE TOTAL 57.75 DATE: DATE: DA�E � � --� * iF * �E s �E * i� 3F � 'bF;�'��-r'F:\-* � STRUCTURFL SE.;METIT:N SMIP/RES GRADING SMIP/NON—RES PAID DUE 57.75 .00 TOTALS-- COLLECTED: 57.75 OVER/SHORT: 00 LUMHINP G'ECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECR 5%. 3fif .k'kiE: �!E'IEiE'IEifiE�fififilif'1f'k3Eif�tifl4i!ifik�EiEifiklkikil'ft�fitlEi!'1f#'1f1lfflEiklE�fiEdE�1!jfiE1!'hlFififlf�iE'� I � V I D U A L F''E E B R E A K D O W N � E: C R I P T I O N `. UNIT COST TOTAL COST SP\ (PRIVATE) GAS RE—PIPE 27.00 8.75 END,.pF:� FEES � �� : i JUL 1 g 1997 D CITY OF COSTA MESA' 27.00 8.75 ,� -• CONSTRUCTION AND PLANNING POOL _ SPA APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. TemPorary Electrical Service or P�le 52. Pool & Equipment Location - p, $pjl Pipe-Undrgrnd. '' S3. Steel Reinforcement '-� 3. Electrical Conduit Utility�Undrgrnd. 54. Forms ,., 4. Electrical Conduit-Undrgmd. 55. Electrical Bonding �� 5. Steel Reinforcement , 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE � 7. footings 58. Electrical Cqnduit�Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Tgst 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, � Undrgrnd. �� 10.� StrUctural Floor Svstem � '� 61. APPROVAL TO DECK � 11. Property Sewer Line & House Cofi'nection 62. Backwash & Receptor-Final • 12. Sewer Cap � 63. Heater & Vent�Fina� ' . 13. Roof Drains - � 64. Plumbing SYstem - Final - 14. Rough Plumbing 65. Electrical�Final .-� 15. Rou9h Electricai-Conduit - 66: Solar System-Final ' "�` 16. Rough Electric Wiring 67. Fencing & Access Approval' ' ,� 17. flough Wiring Sign _ 68. APPROVED FOR PLAS7ERING - 18. Rough Electriwl-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ' 19. Rough Heating &�Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Duats,in Structure 70. Underground Hydro 22. Duccs, Ventilating 71. Product Piping �Gas ❑Oil 23. Gas Pipe�Rough & Test 72. UndergrounA Flush 24. Ronf Framing 73. Undergrnd. Storage Tank O Gas ❑ Oii 25. Roof Sheathing 74, Overhead Hydro 26. T�Bar Ceiling (Structuraq $ Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Laihing & Siding 77. FiXED SYSTEM FINAL 29. Insu�ation 78. FIRE PREV. FINAL 30. Drywall Nailing ,� HEALTH DEPT. RE�UIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter�Final 80. FOOD CERTIFICATE ISSUED 33. Fine� Electric Notes: 34. Final Heating & Air Conditioning �tivT �� °�2 - � 35. Fina� Gas Pipe•Test � { ';"'c'� Ne % �� '?�z� _ 36. Hood or Canopy �' � � --• -• 37. Fina� Factory Fireplace � n� '�'� -� 38. Fina� P�umbing • � � � :n v 39. Water Service�Final . ' - o? s 4 �" _ 40. Gas Service�Final � � '� i�i 41. Solar pomestirFinal `r�� '' �4"`'� i. .� 42. Backflow Preventer � � 43. 8ackflow trrigation 44. Landscape Irriqation System 45. $ound Attenuation 46. Handicap Regulations _ 47. FINAL STRUCTURE & BUILOING � 46. FINAL PLANNING . � 49, Eleatric Release to Edison , 50. Gas Release to Southern California Gas Co 51, CERTIFICATE OF OCCUPANCY No. Date 6264 �. �• % � COSTA MESA BUILDING DEPARTMENT P. O. BO% 31� , COSTA MESA, CALIFORNIA FOR APPLICANT TO FILL IN BUILDING AOORESS COSTA MESA. CALIFORNIA OWNER TEL. CITY \ NO. �� ARCHITECT LIC. �iORENGINEER fl __� NO. �I LIQ . CONTFACTOR NO. TEL. � nooRess � . No. � ILEGnL LOT � DESCaiPTiO�+ NO. / Q BLOCK TRAC A.P. NO. 1�'�� O --' � NO.OF BLDGS. pFZLpT �� O � O O �IOW ON LOT O� USE OF J.— � � EXISTING BLDG. L�,i $ETBACK IINE FFOM � � CENTER OF STREET __ S� REAR YARD � / � SIDE VARD RIGHT LEFT � DESCRIPTION OF WORK NEW ALTERATION AOOITION REPAiR MOVING DEMOLISH BUILDING CI � NO.OF SiZE O ROOMS '� STORIES � EXTERIOR WALL� ROOF G'�"' a-o- .L 4 COVERING COVERING USE OF NEW • BUILDING cosin564a *�*1?_7.50 �,va —e-saPDdESa APPLICATION FOR PERMIT BUILDING FOR OFFICE USE ONLY RECEIPT NO. PER!MIT I�O ��C�/ �"'�^�/ I /' Q �1 � L:// BUILfJING �/��j � /�� ADDRE55 � a COSTA MESA. CALIFORNIA FIRE ZONE ZOrvE MO.OF TYpE P11N5 � / A BY ' oc � DATE� � � CORRECTIONS SUBJECi TO BIUG. OEPT. REG. / L ~ —' �/GeCi • _' � 0 3 � �— _ 3 I XEREBY aCl(NOWIEOGE TNPT I H4VE READ TNIS 4PPLICwT10N RNO Q STwTE TH4T THE ABOVE IS CONRECT RND /�GREE TO COMP�Y W�TH nLL /� _� CITY OH�IN<NCE$ PNO $TRTE LP�NS REGULiTING BUILOING CONSTRUC� TiOrv. VALIIATI S�GNATURE OF PERMiT FEE $ �� PEFMITTEE $ Q/ (�S V PLAN CHECK 5 p?. SQ AUTHOflIZED AGENT J 70TAL FEE S/o{ �J 'S � �BM� : �, C08T�8A BUILDING DEPARTMENT 711 Eaat 20th 8traet • Co6�a Meaa, Callfornia CITV OF COSIiT�N�F�I CER��I�CATE 0�� „ � `+ Bullding Permlt/yp�...................Electrlcal P cr,m,�i�,ry• p"..? Ux of Building.~ e'!L//t�i�F�w��G� ... .........................._....... �: � [�� 'Ch buildi . located at ...............5?....v............ .. ........... /fr_. . �� - .c., - /' - f e 7��-.�_ d N° l- - i 344 C (See rcverse side tor Metes and Bounds) � . has been inspected end found to comply w� t6e, provisions of ell City of Costa Mesa Or- dinances ap/plicable themto for a Group.....F...'��.....Oc�upancy. �l'v�a�.D'" ._� .................__........................... City��din �� elal _ � . _. _ _ (Owner of Building) By........... CC: ❑ Original—Owner ❑ lst copy—Gas Co. ❑ 2nd rop Form 20B G-H lId 1L68 � ❑ 3rd copy—File