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Home My WebLink About817 17TH ST - Building Permits� � �,. � - -..f,�JF.J'r:S�.:-7c�4S�•.1:. ' . . .A' Y" .�•;1`:: -Y,... :' .� :��A:-c.r la..::v�'::[. �'i .7 • cY; .:, . "�.,.'r:.:: 4:y; t::4�' tF;�V.-.{�t. . " : 'Y�'wy %: Y ia-:r-�.. ��.•l�it�..�i. n. : . �-��i(! ^� �L�?. � tJd � �~:" .r,.Y_y.,...N ' ' .. �tw��. .. +.,j}� >:r'.l' � L .x-�e*��.'�rt'�L'yi{:i: r�^- _ _ - � 'G'i`- r ;q<.-.:. . .. »_. Cc.n:�_ b:'v_'��4 . ' '' .. _ ; WEST llth STREEt' 817 _ � 0165 / OUI'LTS ' •' .� _ �(�1��%� , -�Ii�'12`,`_`� � � � :�: : � P31239 Unit20 ' — Gas service �//�,� � � s �E�3�s",�— 3/io`�-� � � � �� ; P55516 �' � — a � � 7(.��CL�' �'�-3—% _ : U')r� ' Y;: y � e j fdE$7' 17TI� ST'RE�, gl'7 � 32375.- County 39281 - County 17746 - 4-1-63 1g234 - 4-18-63 ;i9671 - 4-��=63 19406 - 5-i -63 19706 - 7-31-64 21324 - 11-12-63 �21325 - 11-12-63 �23163 - 8-21-64 � 4306 - 2-17-66 2559� - 2-21-66 26405 - io-4-66 :29270 - i2-9-68 � 29473 - 2-13-69" i 56805 - 4-20-70 33957 - 6-6-72 i 6235�+ 1-8-73 62355 1-8-73n ; �� i-�-73 ' 2-15-73 ;36837 - 2-21-74 '36896 - Lz-e-73 � 36932 -1-11�74 � 37�7 - 2-22-74 �36980 - 3-13-74 ' 37226 - 3-29-7�+ �66826 - 2-7=75 j 65428 - 2-25-75 , � 66836 - 2-25-75 ,i 65�+29 - 2-25-75 ,65�30 - 3-3-75 j 68791 - 4-14-,76 � 68792 - 4-14=76' 68793 - 4-14-j6 � 68794 -= 4-14-/6 47-179 �etQ�ltj��o � 1, p-y S ss:.. ' :/ - - .. , _� 'i(S residence $4,300� garage 864: , � - lg unit ind'1. 75,012; ir.t.. part. � 500;. Elec. NC non-el.grnd sign 100t� Ei.ec . NC ! Elec. NC ' Elec . NC � .. �.;.; Elec . NC � ` Htg. NC i '. - F1ec. NC � Elec. NC f EI"ec: NC (motors & 3�) � IIec. NC (3 ¢ mete: ) 1 F1'o�. PiC (gas) i E_ec NC(welder & 3�)"11'� Plbg. P7C (gas systen) I Pibg. riC (gas outlet) Plbg. PiC (gas outlet; Plbg. NC (gas) ;' ; . F.�.cplosion repair,6=20 16,U0� D��.4�-Ind.Units 1,8Q0¢.� Demo : Com' 1 b 1dg . 1, 000. � :. � FScplosioa repair 52,pp(� `';:� I1ec.N.c,- (motors) � '�� i1ec.N.C.(neter,Diotors 's �, -welders) ' : P1bg.N.C.(gas)#12 P1bg.N:C��gas� �11 •� ; �e.x.c:(eas)`# i8 . ; �8.x. c. (aas) #i7. . . ,:°.:'�. � P1bg.N.C.(gas}�19 Plbg. NC (gas) � Plbg. NC (gas Plbg. NC �gas� � Rlbg. NC gas "Add 5/B.Drywall-to Conc. + ' � • Wall 1,000.i ,` .. I�10191 . Mech. . _ _� - - ,,��- �9�d j - - - .:. .<-�,i -r—'---__ :-- - - -- -- _. - ---�`=J � MALLA. JOB ADDRESS ( �GENERAL CONTRACTOR AP No. 116-254-OS LO' �INSPECTIONS SOIL cn• w, ROUGH PLUMBING PROP. SWR. LINE Q HOUSE CON. SPRINKLING SVSTEM MISCELLANEOUS UNOERGROUN� U POWER U ROUGH WIRING TRENCHES � FORMS � STEEL FLOOR SYSTEM BONO BEAM [� STEEL REINFORC SHEATHING FftAME ANO FLASXING LATHING - IN n OUT n PLASTER, BROWN COAT STRUCTUNAI, FINAL HEATING, VENT., REFRIG. AND A.C., PLUMBING. FINAL AN� GAS TEST r unie BUILDING PERMIT I SUBCONTRACTOR Vnrv[K tiAkiSOF JOB ADDRESS GENERAL CONTRACTOR AP No. 116-25�+-05 � INSPECTIONS �SO1L �GAP W� ROt1�N PLUM9�NG PROP. SWF. LINE � HOUSE b SPRINKLING S�STEM MISCELLANEOUS ROUGH HEATING AN� AIR COND TEMPORARV $ERVICE OR PO�E UNDERGROUNtl ❑ POWER � ROUGH WIRING TRENCHES FORMS � .FLOOR SVSTEM BON� BEAM [� STEEL REII SHEATHING F0.AME ANO FLASHING LATHING - IN n OUT n PLASTER, BROWN COAT STRUCTURAL, FINAL HEATING, VENT., REFRIG. AND PLUMBING, FINAL AND GAS TE. ELF`IC, FINAL UAIt BUILDING PERMIT SUBCONTRACTOR VnnCR JOB ADDF ,:-GENERAI \.�,.'AP No. ] `'.INSPEC71 SOIL � GAS � w, R0�_.. PLUI PROP. $WP SPFINKIIN� MISCEILAN ROUGH NEA�� TEMPORARY UNOERGRO� ROUGH WIPI TRENCHES I FLOOR SYS� BOND BEAM SHEATHING FRAME ANP LATXING � LINE I I HOUSE CON. POWER COAT UAIt SUBCONTRACTOR OWNER Mr.ALPINFa RON JOBADDRESS �i7�� i7tr, - ti GENERAL CONTRACTOR p�.�ner-Bu AP No!+ k�102-OS LOTpor SO NSPECTIONS so�� — Ww.cR ROUGH PLUM8ING PROP. SWR. 4�NE r� HOOSE CON. � �SPRINNLING S�STEM MISCELLRNEOUS ROUGM MEnTING <NO �IR CONOIiIONING TEMPOR4RY $ERVICE OR POLE UNpERGROUND � POWEN � POWH WIRING TRENCHES IJ FORMS STEEL REINF. FLOOR SYSTEM BON� 9E�M �-1 STEEL REINFORCE �] SMEATMING Fq4ME ANO FL45MING LATHING — INL OUT n PLASTER, BRPM'N CO�T ' $TFUCTURAL, FIN4L NE�TING, VENT., REFRIG. �NO �.C., FIN�L PI' '91NG, FINFL AND GRS TEST n E RIC, FINA� BWL�ING. FIN4L . I�'[�7:1 DATE 12-18-78 BUILDING PERMIT N0. VA SUBCONTRACTOR �873 OWNER MAC_ALPINE� ROd �_.._ ._------- . DATE 5-7-63 ..�' .. ADDRESS INSPECTIONS BUILDING PERMIT N0. VALUE $ 1(�.nn DATE IGROUP J TYPE SUBCONTHACTOR GOLGART. BERT R. JOB ADDRESS 7517 W. . GENERAL CONTRACTOR AP No.116-251-14&31L INSPCCTIONS 0 TRACT FIRE ZONF. �Si6mature� DATG GROUP DATE BUILDIN VALUE $ 3SCRIPTIC TYPE SUI3CONTRACTOR ��a 500.00 OF WORK IIIt.Al'CS. 7.ONE (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIH �RIVt, GO51A MtSA, l:A 826L6 E�ECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: 817 W 17TH ST 11 42410205 App�icant: AMBURGEY, RAY Address'. 817 W 17TH ST UNIT 9 COSTA MESA, CA Owner: Address Contractor. Address: ISSUE FEE Temp service test Res. a/c package New Res (t-2 units) New Res (3+units) Pool / Spa Lighting Fixts Recept Outlets Switches Non Res Appl Res Appl Service to 200a Service to t000a Service over 1000a Motors to 1hp Motors to 10hp Motors to 50hp Motore [0 100hp Motors over 100hp Communica[ion tlrops Sub panel to 200a Pole Light Pkg Siga Circuils Temp Pwr Pole Intermed Pole ZIMBALDI & MARSHALL SUITE 100 NEWPORTBEACH,CA 120 NEWPORT CENTER DRIVE ELECTRIC RAY 817 W 17TH ST UNIT 9 COSTA MESA, CA Phone: (949) 645-0729 Zip: 92626 Phone: Zip: 92660 Phone�. (949) 645-0729 Zip: 92626 License: 480485� ISSUED BY: Status: ISSUED Applied: 01I05I2001 Issued: 01/OS/2001 SCOPE OF PERMIT SERVICE CHANGE-OUT; CIRCUI7S FOR MAJOR EQUIPMENT & LiGHTING FOR "NEWPORT MILLING" IN UNIT 17. 5 LIGHT FIXTURES, 1 SWITCH, 1 SERVICE TO 200A, 6 MOTORS TO 10 HP. $23.50 $0.00 $0.00 $0.00 $0.00 $0.00 $5.50 $0.00 $1.10 $0.00 $0.00 $30.50 $0.00 $0.00 $0.00 $73.80 $0.00 $0.00 So.40 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Quanlity 0 0 0 5 0 1 0 0 1 0 0 0 6 0 0 0 0 0 0 0 0 0 FEE SUMMARY Temp Dist System / Lighting Busway/700ft Standing Section Misc Eledrical Equipment Trensformers up to 1 kva/kw ................up to 10 kva/kw .................up to 50 kvalkw .................up to 100 kva/kw ..................over 100 kva/kw Low Voltage Equipment Low Vott Wiring System I Ckt Misa Conduit Misc. Conduc[or Circus ( gen or ride) Circus (mech ride or lights) Christmas Tree Stand Fireworks Stand Other Electrical Fee Investigation Fee Plan Check Fee Reinspection Fee Quantiry $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 so.ao 0 $0.00 0 $0.00 0 $0.00 0 $0.00 $0.00 $0.00 $0.00 TOTAL CALCULATED FEES 5134.40 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access iequirements under Califomia sta�utes and related r09ulations. (Ord. No. 92-28, § 1, 12-27•92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work Is suspended or abandoned for a period ot 180 days. INSPECTION5: In order for the work authorizetl under ihis permit to be considered legal, such work must comply with all applicable codes, and all reVuired Inapectlons and tinal approval musl be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 zeases (erool WORKERS'COMPENSAnON DECLARAnON: " I hereby aHirtn under penelry of perjury one o1 the following declarations: ❑ 1 heve end will melntain e caNficete ot consent lo self-Insure for workers' compensetion, as provide0 for by section 3700 oi ihe Lebor Code, for iha peAortnance of ihe work tor whith this pertnit is IssuBA. � I have end will maintain workers' compensation insurance, es requiretl by secUon 3700 of the Lebor Cotle, for Ne perfortnance al tlie work for which Nis permit is Issued. My workers' com0ensation Insurance certler entl policy number are: Certier: Policy Number: �(This ection need not be completed il tAe permif is valuetl et one hundred dollers ($f 00) or less.) certity Ihat in ihe OeAormanca ot the work for which this pertnit is issued, I shelhnot employ eny parson in any menner so es to become subjed to the workers' compensation laws ot mia, end epree thet If I shoultl become subject to tha workers' compensatlon provlslons of Sactlon 3700 ot the Lebor GOUe, I shall torthwit� compty with ihese oWs s. Applicant Signature: Date: � - � ' a ( WARNINO: FAILURE TO SECURE WORKERS' G17fAPENSATION COVERA E IS UNLAWFUL AND SW11L SU9IECT AN EMPLOYER TO CRIMINAL PENALTIES M1D CNIL FlNE$ UP TOONE HUNDRED Tl10USAND DOLLARE (510D,000). IN ADDITION TO THE CQST OF Q'kAPENSATION, DAMAGES AS PPOVIDED FOR IN SEGTION 31080F THE UBOR CODE, INfERE5T, AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby eXirm that I am Ilcensed under provislons of Chapter 9(wmmencing with Sectian 7000) oi Dhnsion 3 ot t�e Business and Professions Cotle, entl my Iicense Is in tull torce antl eHect. Llc, a Class q CONractofs SigneWre: Date: �- S- 0 1 CONSTRUCTION LENDING AGENCY: ❑ I �ereby ettirm ihet ihere is a conslmction lentling agency for the pertormance ot the work Por which ihis permit Is issuad. (Sec. 3097, Civil Cotle). Lender9 Neme: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATONS: I hereby attirtn Ihet under penalry of per�ury thel I em EXEMP7 FROM TME CONTRACTORS LICENSE LAW for the following reason (Sec. �031.5, Business and Professions Code: Any ciry or county which requires e permit to construct, alter, improve, demolish, or repeir eny strucWre, pnor to its issuance, elso requires the applicant tor such permi� b flle e signed slatamam thet he or she is Ilcensetl pursuam ro the provislons oi the Contrectors Llcense Lew (Cheptar 9(commenUng wllh Section 7000) of Divisian 3 oi the Business flnd Professions Code) or that he or she is e:empt therefram and the hasis for Ihe elleged exemptlon. Any violetion of Section 7031.5 by eny applicant for e pertnil subjects the applicant to a clvll penelry at not more than fiva hundred dollars ($500)J: ❑ I, es ownar ol the property, or my employees with wages as their sole compensation, WILL DO THE WORK, end Ihe struciure Is noi intentletl or offeretl for sale (Sec. 7044, Business and Professions Code: The Conirac�ors license Law tloes not apply Io an owner of property who builds or improves thereon, an0 who does such work himself or herself or Ihrough his or her own employees, proNded that such improvements ere not intended or otfered tor sele. Ii, however, Ihe building or imprwement is sold within one year of completion, the owner-6uilder will have ihe burden ot proving ihat he or she did no� 6uild or improva for purposa ot sale.). ❑ I, es owner ol the pmparty, am E%CLUSIVELV CONTRACTNG Wf7F1 LICENSED CONTRACTORS to construct the pro�ect (Sec. 7044, Businass and Professions Code: Tlie comrecmrs License Lew does nat epply to an owner of propeny who bullds or Improves Ihereon, and who comrects lor such projed with e contrector(s) license pursuent to the Cantrectors License Laws.). ❑ I am exempt untler seu Busioess and Profeuions CoOe tor this reason: Signature: Date: Owner ID verllied by drivefs Ilcense. ❑ Yes ❑ No Drivefs License No. Vedficatlon ol OwnersNp Dy (type oi daumenL i.e. � property tax bill or tleed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: Expires: ❑ I hereby certify thei no excavation five (5) or more feet in Cept� into which e person Is required to tlescend, wlll be made In connection with work authorized by this permit, end that no Duiltling structure, sceHoltling, falsework, or tlemolition or tlismantling t�ereol, will be more Ihan t�irry-six (38) feet hiqh. (Chap. 3.2, Grp 2, Art 2, Sec, 341, Title 8, Calitornia Atlminlsiretive Code). ❑ As owner-builder, I will not employ anyone to do work which would requira a permit irom ihe Division af Indusidel Sefety, es notatl abave, unless such pereon hes e pertnit to do such work Irom tha division. Signature: Date: Dlvlsion ot Intlustnel Safery Permii Num6er: CER7IFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTAV: 1 certity under penelty ot perjury Iha� I have read this applica�ion and state thet the information given is correct. I egree to comply with all stete lews end clry ordinances relating to Cuilding constructlon, an0 euthodze representetives of Ihe Ciry ot Cwta Mesa to enter upon the ebove-descnbed property lor inspection purposes. I egree not to occupy or allow occupancy ot eny building authorizetl by this pertnit until flnal inspection. COUE I. INSPECiION TYPE 1616 Fixed System Flnal Fire Prevention 1266 Pool Spa Final 200 Finel Re-Foot 201 Finel BIocWRelaining Well Owner(s) uace l 'OS - Ai noor,� � Date Qdj[ � INfIIULS COOEI INSPECTIONTYPE 206 Finel Mec�aniwl 20B Finel Plumbing 270 Final ElectriCel 272 Finel Flre Preveniion 202 Final fedary Fire Plece 220 Final Planning Approval 203 Final Sign 222 Final Slte 204 Finel Demolition 250 Final BuildinglOccupanry PAIE II1�Lfl Il(7G 3AFF DEPARTMENT No. �7 se, cauro�a _.° 1697 � Date �1�n�1_ �. j�� / CITY OF COSTA MESA CERTIFICATE.OF OCCUPANCY Building Permit No.J7?�./h Electrical Permit No Plumbing Permit No Use of Btilding ! �Y : J . f i ; !�' .. .ia .� i _. /_ ,> �i ( Th�e building ]ceated at y!'� 1 nt ! i�� 'i� ' Legal Descriptlo� ` (See revetse side for Metes and Bounds) has been inspected and found to comply with the.provisions of all City of Costa Mesa Ordin- ances applicable Wereto for a Group ��?- -� � � Occupancy. ISSUED T0: �.� V1 �ii; e � ,� / 1� r e:.-.... (Owner of B�iiding) CC: ❑ Original—Owner ❑ Sst copy—Gas Form 208 SB P 1M 1-60 City BuIldingpOfficial � . �`� � r $' ".f - i . lt�j C:•-�,L'�-r9-�r� �� Co. ❑ 2nd copy—Edison Co. ❑ 3rd copy—File �-` � % �J \! V/, ✓V •♦ /7Y-�V�'�'? .,�OUN�Y OF ORANG6 • BUILDING DHPT. ' 6'6 "°. B`°'dwaY Application for Building Permit Santa Ana� California Phone: KI 2-6211 AND FOR A 1. OWNER'S NANIE MAILING ADDR Name .'..._."_.._________. Address ._...___..__.__. City----��-- ------'--...... $tate Lic. No. --------"--_.. PROPOSED USE: Certif�cate of Use and Occupancy r � . .•1 / Permit No�_�r.� 7��-_--- Date-�_�_/-L� :__._—� 1 / � ---- ----- PHONE: ------ -- -------- CITYG��-�'� -- ---"- -- - ---'-`---- -- ""- _' "' Name J� - � - —vr�'i--��r.�--x�-�-'------- - --- -- (Archicect or Engineer) p �Con�ractor) `---------._-----------_._....._-'-------"----------- Address_�7--�r---- --=--��L--Y----�-------------------- !�/�A�G��L- �:� � '----------... -------- ------'�--------------------------- CitY - - --------'------------------ $Cate p. p �% �/ O 5/ ..._------... Phone .'--------._._-'..._-'--------'. Lia No.LQ7--f .-�-f-----------' -- Phon .-------- � !O 2. JOB LOCATION --�.L._�----------- --- �-r-�.-----�-�..�-------�--� (House No.) p � � (Name oE Stzce�) Ci � y�, 3. LEGAL DESCRIPTION: Lot___�. W!'f��d+/'_,..��... lock (Meres and Boundn Deecripcion—Use res� side of fo ) (Town or School Distr�ia) � //. %�- ' .__________.'___..Tracy%� / �t��' 4. CORNER LOT ( ) INTERIOR LOT (� THROUGH LOT ( ) SLOPE OF LOT ( ) 5. SIZE- OF BLDG.: o`t_.Z.JC_�.�L.._AREA:__..%_Q_�_�__...._..._SIZE OF LOT:�3_�5..')�_��._�AREA:.��./��___.__._ r �j / 6. HEIGHT OF BLDG.: _��......._...._._._ .............CEILING HEIGHT:.._.4____....._____.______.____ IVO. OF STORIES... _. 7. NO. FAMILIES ..__/_.....___ ........................Size of Smallest Bedroom: ��_�L_�-___.._. Size of Ki[chen: .�.X_.� �------------- 8. EXTERIOR WALL CONSTRUCTIONi7�rrecr_� ..�e .�`�%. LVTERIOR WALL COVERI[VG /___.�4s�rCf_--__._____ (Frame, Stut<o, Em.) (Pleerer-Drywall, Ecc.) �{ / 9. SETBACKS: Front Yard from Centet Li�e of Streec--'--. lC.—"'---'-----------------------------------------'-----'-------"'----------'----- r Nearest Side Yard.__..��______..._.Rear Yard._�_Q. ��____.Distance in Feet Between Bldgs. on Same Lot __ ��____.___.__._______..__ 1G. A COMPLETE PLOT PLAN IS REQUIRED, SHOWI[VG ALL STRUCTURES AND USE OF EACH. i / , �/ 11. For (a) Footing: Width __..__.%.��___1-�______ Depth m Ground.....__�..�-�___.Wid�h of Wall ___._---_._____._ Accessocy . J /J� Bldgs. and 6 Sizc of Studs: ._.��C �_____________S acin �� ____Q e-<_.._"CC Material of Floor 4r¢2�'S� Similar ( ) - - P 8—' -. r -- -- -' ---- Structures: -- - (c) Sizc of Floor Joists: --"'-----'----------�-----------Spacing -'�-'---------------'' ---------- ��CC (d) $ize of Rafters: __._t_.�_..'.Q._�? p g f�� ----------------------..5 acin --- --- ----/------------_' CC 12. VALUATION OF PROPOSED WODRK:� �tluding all labor, plumbing, electrical wiring, heating, fire sprinklers, paint- ing and sewage disposal-y$.'_._'�.�,..�-"'-_'�_'.��r._--"'_-"_'-- ' 1;. I HEREBY CERTIFY THAT TO THE BEST OF MY K[VOWLEDGE AIVD BELIEF THE INFORMATION IN THIS APPLICATION IS CORRECT AND THAT THE COIVSTRUCTION WORK WILL CONFORM TO ALL LA��US OF THE COUNTY OF ORANGE A[VD THE STATE OF CALIFOR[VIA APPLICABLE THERETO. . • �� / � Signed:- - --_"--"- -_!�V_.�__ir��w��--------------------- / /I --' � (Owner) Plans Filed: -----1-----�---- ---/-�--' ---��/.---'---- FEES: � O � � �� Bldg. Permit - �."---'-------- -�tl---- Plan Check - $_'-"- -�'-�� ---- �------ Total ' ' - �----"�--K.p.'--"'---"'- Receipt No. - - _._.__5..�.._=L�____ Pud ro - - ---�C�=C4-�-- Darc --`-----...--�--�--'-�-�-�-SQ------ 9M-9-00 (Au[horized Agent) FOR DEPARTMENTAL USE ONLY - .r" GROUP.....-.--_�_. ��---._'-. TYPE----------.S.G-�. ----- DIST. . ✓ MAP.-C-- --/-----/--� ------- SHEET NO.._.____��....._...__ DATE --- l.--�---- �_ � — S6 - --- --- ---- - CHECKING BY APPLICATION_.._�HEALTH ..____._. � y' . '� FIRE ZONING.- -------`-� MARSHAL ----------- --- --- PLANS AIVD SPEC'S. ---------------- ---- - STATE -- ---------------- - - CORRECTIONS r/" ENGINEER VERIFIED ...---- --- ----- CAL..--------------------- ------ PERMIT ISSUED BY: C. W. DOyOHUE� COUtNSPGCTOR ING -------- - ---�----------? --/----l----------� -- ----- --- -- ------- ------------------.np :i � t i{' /-E.-S�' 'J� f ' CEPUTY ,�\•' COUKl'Y OF ORANGF. � BUII.DING DEPT. 636 No. Hcoadway Santa Ma, Califomia Phone: KI 2b211 1. OWNER'S MAILING ADDRESS... r . .j Application for Building Permit AND FOR A �ertiFicate oF Use and �ccupancy Name.................-----......_..---_......_......---.:........ (Architea or Engineer) Addre�s _..... City. ' - -' -......._.._ _... State Lic. No...__..._..._ .............._...... .1. ' Namc ...__------.. ...... Address ----.....-- _...... City ........------- � Srate '--..._ Lic. No..-----�-- Permit No.�.�l..f�..G:.� .-. �(�--%c� �l.. vacc �.l✓...y./-�f J....�.-... PHON E :.................................. ----. ��.. /..1 ��e�Z� (Contractor) PROP05ED USE: - - �-.. ----��-1.:/'�C�f"1z¢.- --. - ....._ ............... . - --- -....... -� p' ��j� - 2. JOB LOCATION........O..I / .............-..........l.yt.. .I-..(...�',.. � - - 8 - ��- �J.�-v/-�-��i.. -a/�-�� - (House No.) i Q .Rttt�' C1.3 �of Street) _ (8 yJ (To�r SeJ<et 15�l�� (i �CO� �U �T'. � LEGAL PESCRIPTION: Lot. �:.��.`�'..__. .. y�' 'rru� e�e - - - -.......1 ... Block ._.... --...- -- ._.........- - - Tr ct.._....- - - � (Metes and Bounds Deecnption—Use reversc side of form) '7p�.e.�pdtf' 2s�.Q�, _�� (�,�� _.. � _-� 4. CORNER LOT ( ) JNTERIOR LOT ( ) THROUGH LOT ( ) SLOPE OF LOT ( ) i. SIZE OF BLDG.:.l-��-.'.`�..Y..AREA:---��...�-_-_.SIZE OF LOT:---�:��3..(,-�..AREA:---.-.��...'��-.--�- � G. HEIGHT OF BLDG. ..._.CEILING HEIGHT: ....NO. OF STORI 7. NO. FAMILIES .............. �-................Size of Smallest Bedroom:-_........__._�-__.............. Size of Kitchen..........-.--__.................. �- . 8. EXTERIOR WALL CONSTRUCTION:.....�..�..��(�..(�:.C..Q_...INTERIOR WALLCOVBRING ....................................._..... (Frame, Smao, •Etc) ' ' (PlastervDryuall, Ett.) n 9. SETBACKS: Front Yard From �Center Line of Strect-----l.----' .. ............-'------.----....-'---'---.........-----_:--.........-------__._...-------"--... Nearest 5idc Yard..�4.�.........Rear Yxrd:..�, ��..:,.�~..�Distance in Feet Between Bldgs. on Same Lot.....�.1~.�.�L.._ .................. 10. A COMPLETE PLOT PLAN ]S REQUIRED, SHOWING ALL S`RUCTURES AND USE OF EACH. 71. For (a) Footing: .Width.........L__..� .................Depth in Ground........./.�........Width of Wall---"�¢---....... Accessory r Bldgs. and �b) Size of Smds :�/�...�......Spacing..........�!S]......."CC Material of Floor... .. .... . Similaz " ' - - ..... __... Structures: (c) Size of Floor Joists:- �-.-c--_._..._......_._.Spacing......-_ ---.-_-_ . (d) Size of Rafters:---- �.�...�....-----------Spacing....L'----�...... "CC "CC 1?. VALUATION OF PR�� :�jhcluding' all ]abor, plumbing, electrical wiring, heating, fire sprinklers, painting and � sewage disposal $----------- ---- -_... ..._t.^.." �- - , 13. ] HEREBY CERTIFY TtiAT TO THE BEST OF MY KNOWLEDGE AND BELIE'F THE� INFORMATION 1N THIS APPLICATION IS CORRECT AND THAT THE CONSTRUCTION WORK WILL CONFORM TO ALL LAWS OF THE COUNTY OF ORANGE AND THE STATE OF CALIFORNIA APPLICABLE THERETO. ....Signed:. -��,� �� ..�•y?�...✓....__.._ ............. . ... �/- �`a\ (Owner) . Plans Filed :............... -� ..��..-� -..l...r .. - By:.....---`---........'--`---...- ......................... _.....---..................----....---....... ' (Authorited Agent) FOR DEPARTMENTAL USE ONLY FEES: Bldg. 'Permit • Plan Check - Tota] • Receipt No. /�/G Paid to - - GROUP........V -- ... - - - ---- TYPE... --....,�� ....... . ........ DIST. �.�r -...._G....�t..l.. SHEET NO......�.__........ Z ON I N G .. ............... L i... PLANS AND SPEC'S- ---....... . �e.l. - CORRECTIONS 1:3•1 FIRE MARSHAL.... STATE_.......... ENGINEER / PERMITISS : �r� ��'�• �pUivrr GUiL� DATE.......�... �._. ...�.... _ .. , � , ., Z6 �. S'. - - ..................... - . .. ............ `��. � � .... --... s m—e.si ' . __�.`i: FF'yUTY a �s�3a iA MESA BUILDING-SAFETY DEPARTMENT P. C. 60k 917 COHTA MBeA, CAl1POpN1A For Appliconf to Fill !n Completaly TYPE OR PRINT COSTA MESA, DESCRIPTION OP WORK i- rxi� or. / - /a x i�' tFr 1 NEPBBY ACNNOWL800H THAT 1 ANO BTAT6 TXAT iN6 O 16 PLY WITH ALL CITY O CEB BOILOINO CONBTpUCT 816NATUREOF , A�.h AUTHORIZED ABENT �f r �E RECEIlI�D pPR � 1983 FlNANCE DEPT, APPLICATION FC��E�R�OSTA MESA BUILDIN6 For Offica Uso Only � ZONING � oee euu N Pa� Ls7�` [I'a 9 ..i'!.t^�z. ��lc — 2..5'/ '— / 5�� 3/ FAVF OV EftHAN6 SHALL BE LESB THAN YARDSAPPAOYED MAIN BUILDIN6 YAR. �! YARDSAPPROYED ACCESSORY BUILOING DATB 3 RBAD'IF118 APPLIW'IION TN8 AMOUM BNOWN VNDER V�LUATION IB FOp TH8 CCjj ANO A6R8i TO COM- PUPPO88 OP 88TABLIBHINO A VCNMIT FH6 ONIY. 1aT8 Y!8 rt8auL4TINo yALUATION �„�. ^�� / �� PERMITFEE $ J s ��r' '� _ i , � 37067 • COSTA MESA BUILOING-SAFETY DEPARTMENT ' P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUILDING /� _ /, / �. ADDFESS �G/ t� /6�iQQ owNe �t✓C�in/eJ� n/U.C-r TiyE MAIL n.,..i, r /�_ _��f ... _ JU127-73PAi�002737� *�*23539 CHS; APPLICATION FOR BUILDING PERMIT '�EI .D.q�E RECF�V�D p�qT�1�SUl � Z � � / BUILDING ADDi7ES5 W W -- '--' ^ TEL. TRA�CT P/ .G{E d U CIT • L NO. Z Z Q CONS�RUCTION A O N LENDER am J � BRANCH J N OWNE m J ADDRESS J m APCHITECT � , TEL. 5 /� a OR ENGINEE O h � WN /-� .y y� 2 ADDRESS J.43 (.i2 � 20 E � T d w �/� APPROVED J O CONTRACTOR �� .Li+/T� ' e�' m / J � ADDRESS�. � �Q / W w T ZONE NO.OF Z� ciTv /� pU.tiVT! No.33n �yo vurs � w� STATE CITY `� �'�+NDSAPPROVED j O LIC. NO. � LIC. NO� p( MAIN BUILDING SI2E NO.OFBLDGS. (FROMC/LS EET) OF 1.OT NOW ON LOT RONT FT. USE OF ��j� EXISTING BL � /�jCL/ � � ' F SIZE OF NO. OF Z NEWBLDG. ROOMS STORIES I L SIDE F. U EXTERIOR WALL fi00F , COVERING COVERING REAR T. J USE OF BV IIDING AND ORK TO E PEFFOPMED DISTANCE BET. °� .f/T.F I /C- %Qr�L�� MAINBLDGS. a a 6,¢' N/7� �_ CURP,sY+ � � � APPROVEb N Z O VI hereby acknowledge thet I have read Mic applicetion antl state � that the above info�metion is cOrrect entl apree to comply wlth � all laws ragulating buildinB construc[ion, unC 1 shall mt amploy � any person in vlolntlon of [he warkmen's compensntlon laws oi (A t�e State of Celifomia. ZI hereby certify Mat I em properly Iiconmtl az a controcror under S�. FT. Na Steta of Celltomio Buslnass antl Pro�assions Code, Olvisicn 3, THE AMOUNT SHO� Chaptar 9, ond thur such licansas nre In lull torco ontl aHoct, or I THE �URPOSE OF E5 em exampt from tlia provisions of Ne Stem of Celitornia 8usinoss VALUATION antl Protassi a Cnue, DlvislOn Chapter 9. Sip^atura ot ��"`C'� + ' / g �� O�� . Permlttee uY� v Authoriletl ABent • � i� 3/ /� VALUE USE OF NEW /��'/a. BUILDING n ^ � � L �-riT VAFDS APPROVED ACCESSORV BVILDING BET. MAIN & STATE Ji � TAX o UNDER VALU ON IS FOR � �ISHING A PERMIT FEE ONLV: m ./ / ¢ RMIT FEE $ • �T O � Z � m 4N CNECK $ �� E TAL FEE g��( I�� u/ 36932 COSTA MESA 9UILDING-SAFETV DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely OWNER \ ADDRESS \�� \ � Z . ` d U CITY �r-.Pt `� �� ` Z2 Q CONSTRUCTION Q N LENDER a m J � BRANCH J N � J ADDRESS m ARCHITECT J � OR ENGINEER UQ W Q ADDRESS d W J O CONTRACTO mZ � J ¢ ADDR S � W w � ��T� L i Ad �� ZH w � STATE y 2 LIC. NO. � � SI2E OF LOT O� �NG CITV LIC. NO. INO.OF LB�OGS NOW ON LOT 1UL -5-73PA��OO 303� ****��.50 cwsr. FOR BUILDING PERMIT �TE CEIVED D9 TE ISSUI —%� %,� -as- BUILOING ADDRESS FIRE ZONE APPROV — � i 20NE NO.OF VSEOFNEWj'1/�� PLANS ^ BUILDING ��Gj//( YAROSAPPROVED VARDSAPPROVED MAIN BUILDING ACCESSORV B LDING (FROMGLSTREET) A ♦ f' SIZE OF NO. OF � � Z NEWBLOG. ROOMS STORIES 1.51DE FT. U EXTERIOR WALL ROOF COVERING COVERING REAR J USE OF BVIL�ING AND WORK TO BE PERFORMEO DISTANCE a • MAIN BLDGS. a Q VAR. iW O C.U.P.qW � APPROVED (� � z 0 VI haraby acknOwlatlpe thet I have raetl [his applica[ion nntl smtn � thot tha above informatioo is correct aotl aqrae ta comply with � all laws requlatlnp buildin8 construetion, entl I shall not amploy � ony person in vloladon of the workman's campensation laws oi y No State of Calitornle. zI hereby certify that I am prop¢rly licensatl as e conbactor undar SQ. FT. Ma State Californie Business antl Professions Code, D(visicn 3, THE AMOUNT SH( Chapter 9, that such licenses e in full force antl etfect, or I THE PURPOSE OF E am exempt tlie Provisions of e Sta[e ot Calilorn' Business VALUATION nntl Professi �a, I isfo �7, C ter 9. Slpnature of �,�/ Permlttoe S �� Ur.ri Authorizetl ABent BET. MAIN & ACCESS. BLP DATE APPROVED „�r� 7l �3 i \ r�Y� m �s!! o UNDEfl VALUATION IS FOR � LISHING A PERMIT FEE ONLV: m ¢ D -� � RMIT FEE $ � ] m - 36837 -- COSTA MESA BUILDING•SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely BUILDING 0 i� .. _ � . � Cy OWNE MAIL CONSTRUCTION LENDER BRANCH ADDRESS ARCHITECT CONTRACTOR ADDRESS�'j STATE LIC. NO. y� SIZE OF l0T USE OF � E%ISTING BLDG. SIZE OF NEW BLDG. EXTERIOR WALL COVEFING USEOF BVILDING AND PAID JUN 21-73cwsn�02581� ***�94.12 TION FOR BUIIDING PERMIT /? s� �r� A.P. NO. , � BUILDING 3 DFESS \ TEL. _ , � / NO TRACT � ��/� W AD A 7 OWNER TEL SE NO. FIFE 20NE � APPROVED BV I � . l�Qll�.� _ i F TEI. �� NO.' CITY LIC. NO. NO.OF BLDGS. NOW ON LOT 0 VALUE � � ZONE NO.OF VSE OF NEW PLAf�15 � BUILDING VARDSAPPROVED VARDSAPPqOVED MAIN BUILDING ACCESSORV BUILDI (FROM C/L STREET) DISTANCE BET. BET. MAIN MAIN BLOGS. ACCESS. BL VAR. #5 DATE C.U.P.q� AP7ROVED 1 hereby acknowledBa that I have raetl this apPlication anC state � that Ne above intormotion is correet antl apreo to comply wit� ell lews regulnting builtlinB consvucilon, antl I shall no2 amploy eny parson in violatlon ot the workman's compenseUon laws of the Staca of California. I hereby certify thot I am praperly Iicansetl as e cantrector untler SQ. FT. the Stata of Californ(a Businass entl Professions Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER V Chap[ar 9, antl thet such licenses era In iWl forca antl etfect, or I THE PVRP06E OF ES7ABL6HING A em axempt from U:a provisions of [he 5[ate of California Busineu VALUATION antl Protassi s Cnae, Division 3, Chaptar 9. PERMR FEE $ipnat�re of / Permittee �� 5 / � PLAN CHECK `� �� (�(� Authorizetl Apent � r T TAL FEE 4 � � 0 � IS FOR � E ONLV: m ¢ Z �' r r�.p m � `o 7 � i ' r- ,� -•_ � � k€..�,'�f� ° 1�l } .� �!-.'l�% }-._. ,-:TM...�a�":=r ' c�� ,. \y,'K` i c+v y. �g�, 4A �"yd'�' �k f�� '� � 4� s'li.�i C� � , � 7'46 •°�- i �� r �� . , ..�r; �`` " � � ; ' � � ""�.3, x . s�. ` EP x,5 t9b` • COSTA MESA BUILDING-SAFETY DEPARTMEN� ` :,�r�l.�d�i:•� '4.« �:�'� N'�. .' p. o. aoX s,� C08TA MEBA. CALIFORNIA I �1 F(NANCE OEP . � U�.- ' For A Ileant fo Fill In Com lefel � CITY OF COSTA ME5q PP P Y I �PLICATION FOR PERMIT TYPE OR PRINT f� � M � BUILDING � BUILDING �\ , �` !wU" nooaess COSTA MESA. CALIFORNIA � FOr Offiee US@ Of/I�/ L ('� l. 369 No. Newport Blvd. Flarbor Builders c,n. Corona Del Mar, Calif uc No. 204900 No:OR34400 OF LOT 1 Z V U Y J O O I�o. oP BLDOe. 0 NOW ON LOT • SHTBAGK LINE F0.otnCo feet REAR YARD CENTEH OF 8TR¢ET J SIDE YARD I LEFf � I RIGHT O DESCRIPTION OF WORK n�Fw I X II nLTFRaTiON I II ADDITION �� BUILDING TO BE I■ I XEREBY ACKNOWLED68 TNAT 1 HAV�1HAO THIB MPLIGTION �� AND 6TAT6 THAT TH6 ABOVe 19 GORPER AND AGRHB TO COM• NPLV WITH ALL CITY OP�INANC68 �ND 6TATE LAW9 RBGUTATINO 9111LD�N6 CONBTtUCT10N: J �%_. �. AUTHORIZED AGENT - -/3 - L BUILDING ADDRESS COSTA MESA. CALIFORNIA APPROVED ZONE NO.OP UBH OP WO��`�� ' �r' PLAN92� BUILDIN ��C�n /�y `. DEBCRIPTION�T � � ��. � QO" f`I��`� ( A. P. N O. I� G � 2 J I ` I / V.7' / YARDS EVES APPROVED AL WED (CENTER L�NH 9TJ e' "'] FRONT .�� FT. � R.SIDE � cT. tu G' REAR FT. IN, F !. APPROV C1�A��/,i V- BY � �A w(.� DATE 7 � ��!/ � � . I8�4..{_Q . � . �/ C �1 .3�� .- O�.Q Q/ � '�/� 7�� ';.` �. � . - � THE AMOUM BXOWN UNDER VALUATION 19 POq THH PUIiPOg¢ OF E9TABLIBHINO • PERMIT F¢H ONLY. [� VALUATION � PERMIT FEE $ . S� N � S� PB PLAN CHECK S �/� o � � R. O/.� _ ` / TOTAL �FEE •a � LL / .— � _ � t '. 36896 ,. • COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. eOX 1200 COSTA MESA, CALIFORNIA 92626 for Applicant to Fill in Completely ADDRE55 /J � / LC/ �/S'h.� � Z `� /� Z • w W a U cir Oj'J zQ CONSiRUCTION� ON �ENDER a� J � BRANCH J N m� ADDRESS J � ARCHITECT 4 OR ENGINEER U Q w � ADDRESS aW W O CONTRACTOR � J m � J � ADDflE55�� W W �Z � CIT W � S7ATE �J�p y � LIC. NO.p'�+/ 7 � 7 � SIZE OF LOT VSE OF E%ISTING BLDG. TEL. CITY �Y IIC. NO. NO. OF BLDGS. NOW ON LOT PAIP # �,*{r�. JUL —2-73cnsa00 172 18.50 FOR BUILDING PERMIT / OVE VALUE r �GROUP DATE /�� NE NO.OF USE OF NEW � 1 P�+� O BUILDING VAFDSAPPROVED YARDSAPPROVED MAIN BUILDING ACCESSORV HUILOII f'^ S12E OF NO. � v Q NEW BIDG. ROOMS STORIES SID FT. EXTERIOR WALL ROOF V COVEpING COVERING REAq FT. J E F BUILDING D ORK TO BE P R O MED DISTANCE BET. BET. MAIN & n' � MqIN BLDGS. ACCESS. BLD a Q VAR.qj'+ OATE � C.U.P.yW qPPROVED � . APPROVE� � z 0 � I hereby aCknOwladBa Ihat I have read this aDP�<<atiOn antl stato = thet tha ebove Intormallon is corr¢ct anC aBree to comply with a all laws re0u�e[Inp builtlinp construction, entl I shall not employ F, eny perwn in violation of Ma workman's compansallon laws of y t�e Stata af CalNomia. z1 hereby c¢rtify thai I am properly licansatl as a cOnRactor unGar SQ. FT. tho State ot Ca1Nar�la Buziness and Professionz Cotle, Divisicn 3, THE AMOUNT SHOWN UNDER VALU Chapter 9, antl Nac zuch licanses are in full forca antl eftecY, or I THE PUFiP(SE OF 6TAB�ISHING A PERI am exempi from tl�e provisions of tha Sta2e oi Cellfornia Businass VALUATION entl Professlons Cnde, Dlvision 3, Chapter 9. . . PERMIT FEE S Sipnatuie ot ' %��//�/ /D Permlttae � i��I� /�C�- �� 5/�� PLAN CHECK $ � Authorizatl Agent TOTAL FEE $ � � G i 0 ¢ m N J m � LL ' � . _ n�,��9 ; � , , C7STA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant [o Fill in Completely — Use Ink Only ADORESS � '(/_ �NV�� OWNER {�.�-��/��'��% ,Co,�l M`A� CITV LENDERV v BRANCH ADDRESS AACHITECT NO�. !e J �� B BUILDING ADDRE55 $ i TRACT � FI 0739 I'2118/78 � 10.50 TL - ? >� _ FORSTRUCTURALPERMIT / I DATE RECEIVED�Tc w� � PERMIT NO. �� -0 S _ C,.� . %7t h n r vo.e : S LOT BIOCK � i P �.' . CONTRACTOR �J �`L % � gY ❑ATE ADDRESS TEL. ZONE M NO.OF USE OF NEW CITY NO. �� PLANS BVILDING .F.� STATE CITV �ARDSAPPROVE� VARDSAf � LIC. NO. LIL. NO. MAIN BUILDING ACCESSOR' {y SI2E NO.OF BLDGS. (FROM C/L STREET) L OF LOT NOW ON LOT RONT FT. a USE OF � EXISiING BLDG. � � Separate permits are required for �. s�o Fr. electric, plumbing and heating work. C7 REAR FT. � USE OF BVILDING AND WORK TO BE PERFORMED F+ DI57ANCE BET. BET. MAIN & OMAIN BlDGS. ACCESi. BLDC aF✓ If � //��/ C UpP. #` APPROVED ',. ,�.I � )%' APPROVEO C�o /2 /`� \, a �" !/ �,%/H'� d � a I hereby eeknowledBe thet I heve reatl this apPllcetion sntl siate a that the above information is corfect antl agree to comply wlth 0+ all lews re0ulating bulltling constructlon, antl I shall not employ 2 any person in violatlon of the workman's compensation laws of � the State of Calitornia, ^ 3 1 hereby canify that 1 am properiy �icensetl as a coniractor untler O� . FT, r tha Stata of Celifornia Buziness end Professiona Cotla, Oivislon 3, THE AMOUNT SHOWN UNDER VALU) Chaptar 9, antl thei such Iicenses ere in full force antl eftact, or I THE PVRPOSE OF ESTABLISHING A PERM1 am exempt from the provisions of the State of Calitornia 8uslnecs VALUATION � PERMIT FEE antl Professlons Code vfs 3, Chap s � PLAN CHECK $ Sipnamre o '�..�,,\ Permlrt g�V a u TAX E Authorizad Apani TOTAL PAID S ON IS FEE Q L n m i : 7 m b m 0 :-, ' . i �5�� G� � n I 1 �� CITY aF ��tA MESA P1ANN��G �EPT. bu�E� t� BIOG. DFP�• FfO�S/7 b �2/� 2.�pp'( 0 BY. � ... O¢ PU,µNIN 010.E��a �i ? Gr� l 7 +`'Sf F'� I9406 �..� iTA MESA BUILDING-SAFEfY DEPARTMENT �O. BOX 077 C08TA MCBA. GALIPORNIA For Appllcant fo Fill In Completaly � TYPE OR PRWT � COSTA MESA, CALIFORNIA _ d. n n � � 8lT�ACK LIN[ I110M BUILDINO 81ZE EXTERIOR r ' � . '.'�f�-� �. �uo,�� No6,�3v�ia a � O.� I no. o� etcas. OF WORK TO I1 HEqEBY ACI(NOWL8O08 TXAT.I HAVB PEAD TN18 APPLICATION AND BTqTB TXAT TH8 ABOVB IB CORRHCT AND AOpB[ TO COM. PLY W�TH ALL CITY OHDINAXC66 AND BTATI L/�W9 R[OULATIXO BIIILOINO CON9TRY 10/y. // BIaNATURE OP �4_. // . 1'4. . r n_/! i/1 � AUTHOR FEE RECEIVEI� � � fINANCE 'D��1�� 3APPL(�lpj'�QjP R,��BER��GA- BUILDING For Office Use Only PBC[IiNO. P��,yo aseerv �er n ii�rv¢ o¢.�ss o � :nnoc�ca D �/ �� '- � ZONING ^ I no. or use or new ..55.� vuws � au��o�Ha � _� Gt 8o y �/�y->7.,a '�' . mon �o. �/G _ zs/ – iY � 3i NO EAVE OVERHANO SHALL BE LE88 THAN YARDB MPROVED MAIN BUILDIN6 fOM C/L 8TR8GT) D18TAPoCfi B[T. MAIN BLD08. VAR. �F YARDSAPPROVED ACGESSORV BUILDIfJG 3D ( FT, ' % 63 � — �'3 �,. — . Zs" -f �ATH TXE AMOVNT BHOWN UNDBR V/.LUATION I6 POR TX8 PYRP08H OP [6TABLIBHINO A PEPMIT PEE ONLY. VALUATION � � s /Q� .— PERMIT FEEK -- mr.� rrc a ��" ., ✓ � � �pESSOFBNLqNO: SL•I W 17TH ST ' ,pryNEHBNAYEIFqAWN: MAC ALPINE ROD A0°"�'' 2639 BLACKrTHORN STREET NEWPORT BEACH 644-6876 MPL. WJlMO �DUXE54: 1RCNRECT OP FN�IFEN: '�i 41CI1 ON ENU.'S /i00RE55: corrm�croAs xu¢: cwm�crons �uuxo AODPES4 UNT: 8 11G H0. VNT: uc. xo: urm 110EN5EU COMPACTORS OECLAfl�TON: I Mrsby Mim udx penaly d pmjury �het I un licenaed uMer prwiebna d Cheplm 9 (commanciq wil� Seclion'10�0) ol Diviaion � d Ne Buvmea eM PMes�im� Cade. enE mY �b b in IWI iwce arM ellep. cm uc. r+o.: uc. cuss: uc. No.: E X P: Deto: ��da� nW NEN BUILDEfl DECIARATION: 1 hmaby elf iudv peWy M psrjury IMI I em e�emq hom �M Cae'adaa lice�ua lew la Ne '�wn0 �eavon (Satlian lW1S Bwiieaf end Ptaleafbm Cods: �^Y dY a mvqY xfii[h �F��A e De�R b camhucl. eder.'unpon. ndsh. p raqi eiry aVunure. p'w b La 6s�u�ce. Wo fpwu tlr epplimi� Ip aucA pemw to fib e aqnW dataiaa thu he n sM . r�.sa w�v �o ine wo�+:ao a m. wereaon �.e te. Wn.a.. s(�m.�w .an see� r000l a o�w� a a n. Buima entl Pralwun Codel a �IW M v aM e uamq Nselmm end IM bsae Im Ne sAepeE memqion. /iM'violetion af Satlion �m� s M un mp� t« a v� m� �ne nov� w e d.a v.vM d �a m«. �nm r.n Iwm�sd dmva �ssw]l. � I.mmmerMiMpro�Y«mV+��WW�+xvnwapmmiheidecvmp�im.WEOlhow�M.mdtla�truclu�s'snd'vVended «Mered lor ede ISeciion 10a. e�ieveM Pmleae"vn COEe: TM C«ureeae limma LewEom na eOPNto en ownera popeny wAo WiCs a ino'� �Aereon. and Wv eom uxi� wak 1'vnatl a Mnd w tivau� he a her wm amGMsa+. pa'IdaE ihet a�ch impwemWs era nd'wrded n allesE la aW. tl. howwsr. tM buitliiq a inpwanaq b wld rmhm ona Y� d wmpblion. �M1e �ow�we�,m ..;o ne.�e m. w�dw� a wo+uq n. «.ne e�e nu n�aa «imo� �« in. wmae a.eiel. I. m owiw d �M pWNY. em utlm.dY mureaiq weh 4uiued mwadm b w��d Ns PNa (Seq'vi 1011. &n'vs� vd Prolu�im� Cods: TM Cauream licenes Law doo rcn eVW m en owror d Pw�Y xho buffi u impm'r the�aon eM who mnpxts tor oxl� popds wdh e mmema(e) IiemaW pwsiwv m tM Cmtrma� L'vna Lewl. � I em axem i under Seetbn: B. 8 P.C.. tor eppson. /� '� Deb: � Owror: %/�.�/ 9�I/i I do her eenM thet em awve d eed unda�Wk Ne npuinmsnb d Cellomi� Heep� anE SaletY �� ` 5. 25533. enE YSSL, erd IMI I a eny Mun briMi�p maqem xill / wil nd (ercb ons) riaed to mmpl� w�i� eek mta mdu ud tM repWromann la epermFl«mrulructionormodi(mionhamlMAr�ty uepenwaDiqnp.Ra�idardWmWiutlionappke�broenuamqlmmlhase W ONKEF'S COMPENSATON DEttAN�T10N: I Iraby dfi uds pMWy d pwjuy wa d iM b�or�inp dxLre�iom: � IMaWWme'uJei+�cwWiuiedmustllowtlumuntarwM1en'mipe'mion.npwidedfabySeCbn3)OOdlMlabn eoa.. �a m. o.��. d m..w e« w+:�n w. v.� o �owa. ❑ � n.v. w a� meua.�.ww«.� mne�on'vm..�o. e. np�;eee W sabi a�oo a m. �ee« eoa.. w. m. o�� a m. woA lor WJN Nu Dw� u mueE. MY wwlmn' mnprveion wm�w mnMr md V� Y�vlmber ua: c.m..: Pafry Mrcnlr. m�, ..elo, nwe,v n m�Mred r w o�e e ro. one N.�m.a me.n l+�ool o. w..l � I oenh Net In Un W�anwica d Ns wark br xfiich tl+w M�*� o wwE. I NN iu �nNM aM' Dd� M any m�nrw w n to Exama w Iw to �M xakaJ mnpammion lew� d CeHarie. eM e0� thu ! I aApa m � worbn' mmpene 1�y eovi�ioro d Seuion 9'!00 d IM leEor Cods. I h � oompy weA om.: � ` �od�a: �� 16 . W�minp: �Nun ro�.eun woikw�'rompwu�tlon rov�rep� Is vnNw�Nl, �rW 4v11 rbJ�c! �n wrployw fo crlMrul pxuMu �ntl dvu mr. w ro on. n�.rend mou,.ne eaw. (t�waaoA m.ee�non ro m. m.� o� rnnro�+�ron eam.w u arovaw ror m S�eHon ]�08 of M� L�Dor Cod, Inerut, �ntl efbm�y'i /w. CONSTNUCTION LENqNO ROENCY: I Mmby �im uMs pmNy d perjury 1!w tAre u e mnnnwion biWi�p epeney br Ns parlormeMa d tM xak la whidi the pe'mi e ead (Ssaion �08]. Cb. Cl. LENDEN'S NAYE: � � LEN�EX'S AOUHES4: ' � 1 eeelih �� I heve netl Nb �pplieetcn ud uele Ihet the ebovs iName�ion o wrrW.l �p�es lo oomply wilh eY tlry vW munty oNinenme ud euts bx� ede�np m ditliq � e�d MrabY oWar¢s ��paaamiw d Nu my m erur upon the ebwe�mmaiard propsny la impetlion Wrpoaea. � RICHARD C WHITES E ; t � � �� Dne: � J� ^ s �wado.,,duwu+nppiw�Gaureeo, � (5151<B.WP) MIM1ne-Buldiq 8 Selery: Gma��Fb: Ce�ury-AppireM: Rnk-Rs.anue:OdEmrotl-As�esaor CITY OF COSTA MESA - BUILDING PERMIT PERMIT NO: E 076068 PLAN CHECK NO: N CONSTRUCTION TYPE: V-N PERMIT TYPE: ELE PERM NO: E 07606 GOVT: N SUPP: N PURPOSE: OTH JOB DESCRIPTION : INSPECT EXZSTING SERVICE TO ENERGIZE SQ FT: CLAIM VALUE: CALC-VALUE: GROUP OCC: H / COMMENTS: INSPECTION OF EXISTING 3 PE[ASE TO ENERGIZE METER ��1��-'�t�(-,��5��' �t�*�atatitit*itititatrtiF*itx**it***atat**�it��at*iEatitat�**ititatitx�x��t*ie*ir�it��**�� * {t *�.x 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 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: PARCEL: 42410205 ZNE: REF NO: PLANNING NOTES> i ' *�*��*x��*��****�r********�*�**�*��«��*�**�*********�*��*��*+�***��+�+rx�r*+�� D E V E L O P M E N T S'E R V I C E S R E Q U I R E M E N T S ZONING APPROVED HY . HUILDING APPROVED BY : APPLICATION ISSUED BY: :. 1E 1f 1f"1f' 1F iF 1E ik 1E 1E IE 1E IE 1E 161! iE if 1E k if 1E LEGALIZATION:N F E E S U M M A R Y BLDG PMT PLUMHING ELECTRIC MECHANIC PERMIT 18502 PLAN ISSUE FEE 15.00 BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTALS----> 18.50 15.00 0.00 REVENUE DIVISION TOTALS--> COLLECTED: HLDG PMT PLUMHING ELECTRIC MECE{ANIC 33.50 DATE: ��DATE: DATE: �^�F�� iEiEiEltiEiEiEiEibiE�iF iEiE STRUCTURAL SEGMENT:N FIRE SMIP/RES GRADING SMIP/NON-RES TOTAL PAID DUE 33.50 33,50 ,00 33.50 OVER/SHORT: ,00 FIRE SMIP/TOT GRADING PLAN-CHECK if 1k iF 1F iF 1f 1E 1f 1E iE IE IF if iE If 1k 1f iF 1F 1F 1k if M 4 if 1E M 7! 1E 1f 1E iE 16 ik i(� 1F if 14 i! ik 1E 1E fE 1E 1E 1f 1E 1f 1k iE 1E 7f iE 1E 1E 1f k 1E 1F iF 1E 1f 1k iE iF i!'141F'IE iE 1E 1! If� �E i! ik iE �F iE 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 ELE 1 SERVZCES BELOW 600 V 6 BELOW 201 AMP 18.50 18.50 END OF FEES 0). J�'_.f'�" ; _j:,�.'." __ ,n. ' D.�Pc: .i'. . '. 'I:�,= - - r , � CONSTRUCTION AND PIANN�NG � P� �` SPA APPROVAtS Permit# Date Inspector APPROVALS Permit# Date Inspector 1, Temporary Electriwl Service or Pole .52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steol Reinforcement 3:. Electrical Conduit UtilitV-Undrgrnd. 54. Forms - " 4: Q'ettrica� Conduit•Undrgmd. 55. Electrical Bonding -�, S,�,Steel Refnforcement 56. Rough Plumbing & Pressure Test -�'6. Electrical UPER Grnd. 57. APPROVAL TO COVER-GUNITE •7. Footings 58. Elettrical Conduit-Undrgrnd. �"8. Foundat+on 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. . 60. Backwash lines, P-Trap, � Undrgrnd. 1p;:$truaural Floor Sys[em . 61. APPROVAL TO DECK 11�'property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. 5ewer Cap 63. Heater & Vent-Final 73. Fioof Drains 64. Plumbing System � Final 14. Fough Plumbing 65. Electrical-Finai ' �� - i �' i.?a?, �-� 15. f7ough Electrical-Conduit - 66, Solar SYstem-Final i6. Fou9h Elearic Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Fough Electrical-T Bar Ceiiing 69. POOI/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning �,,,y. � P4RE�,EPT.�E�U4R�MENT r 20. �fougN F�ctorYFia�lace T�, 1 .. _ - :' � APPF'�OVpL�,'_, PeYlnit #�;.._ 2L bucts: in Struciurea' ••• ""' � 70. :t7nderg�p�otl Fi`pdro ;, 22. Ducts�, Ventilating '. - ° ,.., - �. �; F,`� . 77. ProduFp�iping'f7�as Oil 23. Gzs �ipe•Rbu9h & Test t': t � M� 72, Undergraind FttlsH ' F"' 24. qoo�framing. . � "0 , - . �:73nUndergrnd.Storage7ank�OGas ❑Oil 25. Roof Shea hin 4 � _' � I 9 `' 74r Overhead Hydrq. r 26. 7-BarCeiling (Strucriraq & Mbnocoat , '' 75. Dry Chemical - * ' � � h �x J . - ' 27. Frame and�Flashirg, _- _ �. ."+ 76. Dry Star('Sl,pipe ,�, � �' r� �, 28. 4athing&,Siding'�.`'^ r^,_: �; , ". ";. 7Z. FIXED�S,�jSTE{�tl-T.INAL.. `� 29. Insutatioir: J � •• ' • 7B: FIRE PREV. FIfJAL ^ ' 30. D1ywalf Naifin9 =�� _ '. '" F{EAlT�1�DEPT. RE6UIREMEt�1T 31. Plaster Brown,Coai �:< c - ; +� 79. FINAL INSPECT[ON � � �__„ < r 32. E�ectrical�Power Meter-Fi ai '' •' 84'� FOOD CERTI�CATE I$SUE4 - � o , �/s�'_ ��r. � - � . 33. Fina4Electric.� -. ,r. � � - � Noies -• � '7t*� �� "� . .;34. FinaGFiea�ing`& AG �onditioning:` :�', c :' T ' , ,� �.� � � 35. fina�"Gas;Pip2:Tesk;�k , .. - . � • �. � _ -� .. '_ - T� 36. Nood>or CanoPY .;.;. ",, ��,-, -' ' �� '{ '. c:� � = v - ^r- '37, Fi�alFactorY Fireplace ; � ��. - � ' ��, a '.v �38. Fina�'Plumbing k �c � :a' -' 'y "' _ _ - �y G' 39. Water Seririce-Final . � '" . ' .� ti � T , 40. Gas Service-Final �- • +: - ' � _ + ." - 'J �c b `41. Solar pomescic-Finai;, � ' ' � ' �� A i> �j:, :,: , 42. Backf�ow Preventer:� '.� • ' 't "�� " � � �. %� ,. �. i _ • 43. Batkflow Irrigation � 1''Z . . i �, � � � . • ¢g, Landscape�lrrtgation System � ' � - � � � - � ' ' � x� _ _, r `.Y, � 45. Sound Attenu�tion , -� :. , > Z _ ;� -��r' '_ � . • - 46. Nandicap Regulations �� ' ^ _: �� '�� 47. FINAL STRUCTURE & BUItDING '; : � i r- n i 48. FINAL PLANNING' � . � , • � F 49. E�ectric Release to E�ison � '' . .'- 50. Gas Release to Southern California Gas Co �' ''` -� ' � 51. CERTIPICATE OF OCCUPANCY + • � ' No. Date Applieant to fill in all spaees except those within heavy bo�Eer lines antl si9n all appro0�iate tleclarations. CITY OF COSTA MESA ' PERMIT NO. TRACT NO. LOT NO. BLD . . � CONSTRUCTION PERMIT � ' — p � � Project Address W. t St. i�ll Applicant'sMailingAddreu 10422 Trask Ave. Garden Grov� Owner's Name MC �-ALp1ne Phone b44-6876 Address� 817 W. 17[h S[. ' � Arc6/Eng. , License No. � Address' - - - ContracroPsName A�AtfIPC Plumbing-Ht�o,'^.ohone530-7440 , ABdresslmailing) �n472 Track AvP llardrn f.rnvr Ciry License No. �+�+�4 LICENSED CONTRACTOR DECI.ARATION � I.liereby.af(irm tha[ I am licensetl un0�ovision Charter9 (pommen<ing with section �000) of Division 3yYfhe Business an ro � 6ns otle, antl my Iicense is in tW1 fqrqe anaeff Et. 3D ' License Clazs �' �V Licens ` ' ^�te � �� Signac ' V RKERS'COMPENSATION DE LARAT � \ .rebypitirm that 1 have a certitiwte ot c sent to seifinsure or a certlficate � ot Workers' Compensation -Insu�ance, o� a certif'�etl -topy thereot ($ection 3eoo, �ac. c.)�83076419 ' Fremont � � Volicy No. Company \ B Certifietl mpy is hereby fumishetl. ��y � ' , � 1 Cp,/tAt-eppo�,JsfiletlwlAtPPhcantYABu8Q105�Y��umbinQ-Htz. Date 1L L4 3 EXEMPTION FROM WORKERS' COMPENSATION DECLARATION M (Tbis section neetl not be completetl if the permil is for one huntlretl ($300) or ' lesz) . ' I certity that,in the performance of the work tor'whlch thii permk is IssueQ I- shall' not employ any person in any manner so as to become subject to lhe � Workers' Compensation' Laws o( Califomla, , • - DatO $i9natu�e NOTICE: If,'atter making this tleclaratlon. You shoultl become subject to the �Workerz' Compensation provislons of the LaborCotle, you-must torthwith ' comply�wlth such O�ovisions or thi5.permit,shall De tleemetl revOk¢tl. CONSTRUCTION LENDING AGENCV � • • I hereby afflrm that ttiere is a construcfion lentling agency tor tha peiPorman<e � Ot the WOrk for which IhiS 0¢�mlt is Issuetl (SecHon :3097 Civ. �C.) Lentlar's Namn � � ' Lentler'S AGtlresz � - � OWNER BUILDER DECLARATION � " '_ I I hereby affirm that 1 am exempt irom the. Conlraclor's License Law lor the following reason'(Sactlon 7031.S�Businessantl Professional Cotle: Any tlry or � county which req Wres a permit to construct, alter, imOrove, tlemolish or repair . ,q�y structure, prior to its issuance, also requires lhe appli<ant for such permit ?,�x"i}�tile a Si9netl italement tM1at ho/she is Iicensetl pursuant to th¢ provisions of Contractor•s License Law (Chapter 9(commencing witn Section I000) ol ;t%q."*islon 3 of th¢ Bu5ine55 antl Profe55ions Cotle). or that he/she Is exempt a,y�.��„`�retrom antl lhe basls for t�e allegetl exempUOn. Anyviolation ot Sectlon ��7031.5 by any applicant for a,permit subjects tne'aOP��t to a civil TYPE OF CONSTRUCTION NEW AD� �" ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.p, q� SCRIPTI N OF W K Re lacem nt of FAU • °SELspencQed uni�' 6, s. s Mairi Building: E TVPE OF PERMIT GRADING FOUNDATION STRVCTVRAL T F�Ont ❑ TENANT .Q ELECTRICAL ❑ PLUMBING ❑O MECHANICAL A Rear ❑ �OTHER � • � C Right PROJECT DESCRIPTION� 54. FT. oCCUPaNCV K CONSTRUCTIONTYPE VALUATION$ g LefC ZONE � GRA�INGCU.V�S. ACRES � ping.Ref.# Remarks: ' ' . Parking Req./Provi� � RE D UseofBuilding: � ' • PLUMBING � � FEES P�anning Notei: Bar Sink ' Showers � . �enalty of not more than five huntlretl tlollars (5500). I, as owner of [he proDerty,or my aniployees with wages as their sole . com0ensation, will Co the work, antl the s(ructura is not intentletl or otferetl , � for sale (Section 7044, Business antl Professional Gotle:� The Contractor'S � licenze l.aw tloes no[ apply to an owner of a property who builtls or improves thereon,, antl �who tloes such work hims¢It/he�self o� tbrough his o� her own employees, provitletl thd[ zuth �ImO�ovements are not intentletl O� otter¢tl for Sale. If, howev¢r, [he bullding or Improvem¢nt iS�Soltl wi[hin One yea[ of com- Oletion, the owner will have the burtlen of proving he/she tl1U not builtl or im- �rove forthe purpose of salej. � 1, as owner of the property, am exclusiJely tontractin9 with licensetl con- 1 tractorsto constructthe project (Section 7044, Business antl Protessions Code: The Contractor'S Licenze Law does not apply to an owner ot Oroperty who builtls or improves thereon, antl who contracts (or such projects with a con- tractor(z) Iicense pursuant to the Contra<tor's License Law). � ❑ I am ezempt unaer Sectian B. & P. C. Por this reason ' Oate ' � ' Owner ' 1. i hnrebvi certiN a�ll�ha�reatl this aoolication antl state that the above � S�gnature �_ /. Drivers' L�tense or 55 CMF.0865-46�rev: �/83 Irrigation � Sewer Cap � - . Sewer Connection � Solar Collectors � �r', ' ' - ' Solar Piping " " ' " °ountairis � Solar Tank x Drains, x Sinks . Service . Swimming Pool w/Spa , Urinal � • �Water Closet • Water Heater. niicnm�a�nn - - _ Lavatories � - � � P-Trap � � ' � Roof Drains � ' $25 Boiler � Duc[-UnderGround Duct - Structural Duct- Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO,# Heating System & Ducting L�So-� oo,000 eru O i oo,oao " _ _ '� Builtling;Canary-Applicant;Pink-Accountin9:Goltlenrotl-Assessor � Water Service -� - Isue Fee Hoodar Typel ❑ Canopy Typell ❑ Refrigeretion System . ❑0.100,OOOBTU ❑100,000 System Repair/Alteration Suspended unit 65,000 BTU'-s Issue Fee $ 3 Automatic Washer Cooking Unit -. ' I 3E'3 I �/�8/.., • Zone Accessory Building: Park.Fees $ ' ELECTRICAL � �— Dryers LJGas� LJElectric � Fan' F.A.U. �I � , Pix[ures' � � Device Bozes i. ' Outlets Switches Garbage Disposal Generatoi �0-5 KW �5-15 KW PUBLIC SERVICES REO Zoning Approved By_ Appliwtion Approved By �•,r T. o. FEES 'Transformer ❑ 15-50 KW ❑ 50+ KW Meter ��up m 100amps ' � � ,Meter ❑over 100 amps � Sub Panel ' Motors�0-1 HP�1X-B � Inc.Solar �9-15 HP �16-15+ � Microwave Pole Light � . � Range � Sign � Standing Sections � TraSh CompaCtof $25 � �ssue Fee $ 3 • ' SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK �, $ PERMIT 3.00 PLUMBING $ ISSUANCE ' $ PLAN�CHECK $ ENERGV P.C. • $ ELECTRICAL $ GRADING $ PLANCHECK ' $ MICROFILM $ MECHANICAL �$ �•�0 TOTALFEE �$ %.00 PLAN CHECK $ � O N I N G R E � U ' I R E M E , N . T i . ;1 CONSTRUCTION AND PLAN I� �'. P i 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. �ElectricahUFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings � � � . 58. Electrical Conduit-Undrgrnd. 'a , 8. Foundation � � � _ 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O Undr9rnd. 10. Structural Floor System � 61. APPROVAL TO DECK � 11. Property Sewer Line.$i House Connection 62. Backwash & Receptor-Final � i 12. Sewer-Cap � 63. Heater & Vent�Final • � . 13. Roof Drains i . 64. Plumbing System - Final ` 14. Rough Plumbing 65. Electricel-Final 15. Rough Electrical-Conduit � ' .� � 66. Solar System�Final '' 16. Rough Electric Wiring , � �� ,67. Fencing & Access Approval ' 17. Rough Wiring Sign . � , 68. APPROVED F,OR 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 'T" � ' , � 71. Product Piping OGas �❑Oil � 23. Gas•P,ipe-Rough & Test `� 72. Underground Flush �.- 24� Roof Framing �� : . 73. Undergrnd.StorageTank OGas OOiI 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 SYS7EM 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 ! Z 35. Fina� 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. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed � � � 49. Electric Release to Etlison � ' � 50. Gas Release to Southern California Gas Co � � , . - 51. CERTIFICATE OF QCCUPANCY , . No. � Date � � .. Applicant to lill In all soacas except those witnin neav7 OorEer tines anC sign all appropriate tlaclarations. CITY OF COSTA M SA CONSTRUC ION PERMIT PER�f 11T NO. TRACT NO. LOT NO. UNIT N0. � • . Project Address � � 7 �• .� � ST � �� S a 7957 8/02�85 5.00 1'L /Cti� - TYPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR ApplicanYs Mailing Address � ��{ � �Pi/b "� � ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P. M+ � Zone Owner's Name Phone/�1 DESCRIPTION OF WORK/USE OF BL�G. Address ��7 LL%• (��I b'k�7/i �.�-Tl It' "'^"-7 � � E Main Building: Acceuory Building: Z Arch/Eng. License Na. TVPE OF PERMIT GRADING FOUrvDATION 57RUCTVRAL T Front p AddI25i - �q ❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Reaf N Cont�actor'S Nam �{—Phon� 71 ��gZ �'�TMER %� � � � � PROJECT DESCRIPTION Sa. FT. oCCVaANcv K Righc G Addreulmailing) /(�`Z /�� CONSTRUCTIONTVPE VAWATION$ S Left R City LiCense No 7 20NE GRADING CV. VDS. ACRES � IICENSED CONTRACTOR DECLARATION Ping. Ret. # Parking Req./Provided E 1 hereby affitm inat I am Iitansetl under provislons ot Charter 9(Commenting qemark:: Planning Notes: - M witn section ]000) of �Ivislon 3 ot tha Businezs antl Professions Cotle, antl my Ilcense is in full to a eftect. p. . T �icen iass � �i gnse � J PLUMBING FEES S ,� Date Signature R ERS COMPENSATION DECLARATI N Ba� $ink ShOw¢�5 ere y aftirm tnat I have a certiticate of consent to sel/-inmre or a tertiflwte ELECTRICAL FEES f Worker5' Compensation InSurdnce, or a certitiatl copy t�araof (Section - ❑ 15-50 KW � ' Backflow Preventer - ' Service Sink Automatic Washer � Transformer 800, Lab. pc� G (/ Policy No. (�p��7 Company��i Backflowlrrigation $ewerCap ConstructionPoleSub. � 50+KW � er[ifietl copy is �ereby furnishetl. C- �er 'fi c s filetl with the city Bu' n9 Division Bathtubs � � Sewer COnnection Cooking Unit Meter ❑up l0 700 amps Date ApPlicanl-� ��n�-��— �� ^_ EXEM 10 FROM WORKERS• COMP NSATE ION UECLARATION Cltrifief5 Solar CAllectors Dishwasher ' Meter ❑ov¢r 100 Bmps (Tnissection neetl nol be tomD�eteE if the permit is for one huntlretl (5100) or less). Dishwdsher $olar Piping. Dryers �Gas ❑Electric Sub Panel I certi�y tha[ In the pertormdnte Of [he work �O/ whicn IhIS pe�m�t is ISSuetl, I � snall not employ any person in any manner so as to betome suo7ect to the Drinking Fountains Solar Tank Fan Mocors �0.1 HP �1 X- 8 workers' Comoensation Laws of California.. . Date Si9nature Floor Drains Swimming Pool w/Spa F.A.U. � 'NOTICE:If,af[er making t�is tletlaration, you z�ould become sub7ect to lhe Inc.Solaf �9-15 HP 016-15+ Wo�ker5', Compensalion proNSions of Ihe Labo� Cotle, you muit tOrthwi[h FIOO�SInkS Urinal " - Fixtures - �� -- comply wll� Sut� 0/ovlsions o� 1h15 permlt Shdll Ee tlOGmetl ravokea. Mic owave CONSTRUCTION LENDING AGENCV' G855ervic0 Outlets WaterCloset DeviCeBOxes 1 hereby atllrm lhat there Is a construc[ion lentling agency for the performanco Pale Light Of the work tor wM1ich thi5 petmit Is Issuatl (SettlOn 3097 Clv. C.) �ntercepmrs Wat¢� H¢dtE/ QuTICIS Range `� `Z - I..antler'S Name Lentler's Aatlress Kitch¢n Sink Water Service $witches Sign -� i%!� OWNER BUILDER �ECLARATION - ^ �- 1 hereby a/firm tnat I am nxnmpl Irom the Contractor's Licensa Law for tne LavBto�ies . � following reason (Section 7031.5 Buslness antl Profassional COGe: Any city or .fluto�Wash Garbage Disposal ; Stending $ectioN ; county wnfcn requlras a permit to consbuct, alter, Improve, aemolish or mpair P-Trap Laundry Trays ' Generator �0�5 KW �5�15 KW Trash Compa�tor �Q� dny sl�ucture, P�Io� to its IssuanCe, also reqWr¢5 the appllcant ior SUGh pe�mlt `/ [O 1lle a Si9nOtl slatemenl that he/she Is II<OnSGE pufsuanl to Ih8 PfOvI51on5 01 i ROOf Df8i05 - '' he Con[ractor'i Licenso Law (Chapter 9(common<In9 with Soctlon ]000) of � � /J IVlsion 3 ot lhe Busln¢Ts antl ProfC55ions Cotlo) or that he/ihe i5 Oxompl . '_ hereirom antl the bails tor the allogetl exempNon. Any vlolation ot Sectlon �- -'�� 031.5 by any" appliCan[ br- a parmlt suD�ects lhe apO�lGdnt IO a CIvII � - � eenalty of not more than flve huntlretl tlollars (5500). ' .T � o� LJ I. as owner oi tlte prOpC/ty or my amployeaT with wagas a5 thnir sola ReinSpoetion�Feo $15 laue Fee $ 3 <omoensaHon, wiu tlo the work, antl tno sVucture is not IntantloC or oHeretl Rainspection Fee $15 Issua Fee� '� i.i S 3 tor zalo (Soction 1044, Businesz anC Prolessional COCe: Thn Contractor's .�MECHANICAL FEES - License law tloes not apply lo an ownar of a property who bW IOs or Improvos thereon, ana who tloas such work nimself/herself or through hiz or har own DEVELOPMENTSERVICES REDUIREMENTS: .,, �i' emoloyoes, provieetl that suth Improvements ara not Intentlotl or oHaretl' for Boiler , Hoad or Type I ❑ Zonin A roved B Shc¢. If, howeve�, the builEing or Imp�ovemon[ I5 soltl wlthln on0 Yaa� oi COm- . Ce�Opy Typ2 I I ❑ A PP Y DatO plelion, tho ownCr wlll have tha burtlan ol proving hc/sno Citl not builtl or im- Duct - Under Ground ' Building Approved By DetB prova for the purpose ot sale). .� - - ❑ 1, as owner of the property, am exUusively contracting witM1 Ilcensotl con- Duct - Structural Refrigeration Systeiil AppliCetiOtl Issued By - Dat9 �� tractor510 construct [hC Ptoject ISecHon ]044, Business antl ProfeSSionS Cotle: � �� _ The ContractoPs License Law does not aoP�Y �a an owner o/ proparty who Duct - Ventilating ' . _ 04100,Of10 6TU ❑100,000 BTU i SUMMAHV OF FEES ' � � � builtls or improves thereon, antl who conVac[s fOr SUch prOjectS wlth a con- � �- tractor(sl llcense pursuanl'ro the Contractor's License Law�. I am aware tnat Exhaust System ❑ MWtiple ❑ System Repair/Alteration E X P I R BUILDING PERMIT $ SMIP $ proof ol lheir Worker'z Compensatlon insurance shoultl be provitletl to me. S P�AN CHECK $ PERMIT ❑ 1 am exampt untler Section B. & P. C. tor thls reason Firepl/Fact Blt. ICBO # Fire Dampers I;icompiet ��S pLUMBING $ ISSUANCE $ Date Owner� Heating System & Ducting Registers ' N CHECK 25% $ ENERGV P.C. $ I hereby certity that i have reatl tnis applttation antl state that Ihe above � '❑O100,0006TU �t00,0006T ' ' ELECTRICAL $ �•005 GRADING S Information is correct. I agree [o comply with all clty antl county ortlinancez ate _ , antl state laws relatin9-to bWltling cons(ructlon, antl hereby authorizu repre- � . ' PLA CHECK 50% $ MICROFILM $ 5entatives of t . city to enter upon the above-mentionutl pro erty for � inspectlon pur es. MEC�IANICAL $ ' �J •� Siqnature �1 Date . TOTAL FEE $ Orivers' License or 55 Reinspection Fea $15 ue Fee $ 3 PLAN CHECK 25% $ CMF 0065-46, rev. lu/tl4 wm[e - tlwiaing; Canary - rpu��canc; rinK - saccounung; tio�aenroa •�assessoi CONSTRUCTION ANDPLANNING � P - SPA APPROVALS Permit# .. Date Inspector qppROVALS Permit# Date Inspector �' . i . � 7. Tempora;�y Electrical Service or Pole r� •��l 52. Pool & Equipment Location , 2. Soi;P;pe-'Undrgmd. �� u 53. Steel Reinforcement �, .� 3:,Electr'I'c�a'I'Conduit'�Utility-Undrgrnd. � 54. Forms � - u -� . ' � 4.�F�Iectncal;ConduiYU�drgmd. , � 55. Electrical Bonding , ,� 5. Sje�l �Reiriforcemept �,r 56. Rough Plumbing & Pressure Test � 6. �ElectncadUFER Grntl. •, ; 57. APPROVAL TO COVER�GUNITE �J..Footings ;.�'� '.1 �+ 58: Electrical Conduit-Undr rnd. • ' � �1 / i 9 8: 'Fo nda4ion ��, j{ , i= a 59. Gas Pipe, 0 Undrgrnd., Test si � i 9.�iNa�L'er Pipe�Undrgrnd;, ' ,,,• ' 60. Backwash Lines, P-Trap, O Undrgrnd. "+ i .: 10.�'Stcuctural Floor System � ,'j� � 61. APPROVAL TO DECK� " 11. P�opertySewer Line & House Connection •� �� 62. Backwash & Receptor-Final ., 12. Sewer Cap � -:' -• �� '• 63. Heater�& Vent-Final 13. Roof�Diajns `y ' j �� 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 Facto�y FirePlace APPROVALS Permit #-� 21. DuCts, in Structure 70. Underground Hydro 22. Ducts, Ventilating , 71. Product Piping 0 Gas ❑ Oil 23. Gas Pipe-Rough & 7est � � 72. Underground Flush 24. Roof Framing 73. Undergr�d.StorageTank �Gas �❑Oil 25. Roof Sheathing 74. Overhead Hydro ' 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical , 27. Freme 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. Electriral 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. Fina1 Factory Firepiace 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 Incomplete Inspections 46. Handicap Regulations � 47. FINAL STRUCTUaE & BUILDING 48. Special Requirements Completed ' � 49. Electric Release to Edison ' . 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date AOP��cant [o flll in all soaces except those within neavy Dortler lines ana sign all aoorooriate aeclarations. CITY OF COSTA �MIESA CONS7�R.U/'(CTION P RMIT PERMIT NO. TRACT NO. LOT NO. UNIT NU. Project Acidress `( � 7 �1•J � / � '�' � ��n'' Applicant's Maili Address , �.70d �U, � G� %n�. � 1' Owner's Name �� b'+ Phone��, Address' � � 335/S - _ ' TYPE OF C�NSTRUCTION NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH OTHER DESCRIPTION OF WORK/USE OF BLDG. N�. ��4JS ,J AfCh/Eng. - LiCenu No. TVPE OF PERMIT,q GRAOING - FOUNDATION STRUCTURAL ' Addfe55 w C� � ❑ TENANT JL� ELECTRICAL �O PLUMBING ❑ MECHANICAL Conlractor'sName �• 'L Phone a�� THER Address (mailingl� V � G• i��. L.4, 92L2'] PROJECT DESCRIPTION SQ. FT. OCCUPANCV 43 �ONSTRUCTION TYPE VALVATION $ City LiCense No. ZONE GRADING CU VOS A LICENSED CONTRACTOR DECLARATION 1 nereby a(firm that I am licensetl untlef Provisions ot Charter 9(mmmencing wit� section 7000) ot �ivision 3 of Ihe Business antl ProteSsions Cotle, antl my license is in fuu f ce a tl effect. �� oO22 License Class cense No. Date S / y ��.. M�� , ",dRKERS' COMPENSATION DECLARATION v Q ,?=`areDy aftirm tna[ I have a certificate of consent to salbinsure or a cer[iflcate ��` WOrkers' Gompensation Insutance, o� a certlfletl copy thereol ($ec00n ��3800, Lab. C.) PoliCy No. COTPany eCertifietl copy is hereby futnishetl. Ceriifietl copy is tiletl with the city Builtling Dlvizlon. Date Applicant EXEMPTION FROM WORKERS' COMVENSATION OECLARATION (This section neetl not be com0letetl if tbe Oermit is to� one huntl�etl (5300) or less) I Certify that in the perfo�mance ot the �+'o�k tor which t�is pe�m�t Is ISSUetl, I snall not employ any pe�son in any mannerjp� a5 I ecome subject to the Workers' Lompensatio Laws of Califo� /U _.. �A Date � /2 � �Signature T�d� lilAlA3�— NOTICE: If, after making this tleclaration, you sM1oultl D c e subject to the Workers' Compensation provisions ot tne Labo� Gotle, you must fortnwith comply with Such provision5 or IhiS Permit Shall be deemetl revoketl. CONSTRUCTION LENDING AGENG�' I hereby affirm [hat there is a constructiOn lentling agency for the perlormance ot Ihe work for which this permit is issuetl (Sectlon 3097 Civ. C.) Lentler's Name Lentler's Atltlress - OWNER BUILDEN �ECLARATION 1 hereby aifirm that I am ezempt irom the Contractor's License Law tor the followin9 reason (Section ]031.5 Business antl Professlonal Cotle: Any ci[y or county which requites a pe�mit to <onsttuct, alteq Improve, tlemOlish or repai� any structure, prior to its issuance, also requires the applicant for such permit to file a signetl Stafement that he/she i5 litPnsetl pu�suanl to the provl5ion5 of `�e Contractor's License Law (Chapter 9,(�ommencing with SecUon 7000) of vision 3 of Ihe Bu5ine55 antl Prote55�on5 Cotle) o� that h¢/Sh¢ I5 exempt erefrom antl tM1e basis for the allegetl exemption. Any violation of Section /031.5 by any applicant tor a pern'�rt subjec[s tbe applicant to a Civil �enalty of nof more than five huntlretl tlollars (E500). LJ I, as owner o( the property or my employees with wages as thelr sole ComOensation, will tlo Ihe work, antl tne structu�¢ IS nOt Intentletl or offeretl for sale (Section 7044, Business antl Protessional Cotle: The Contractor's License Law Uo¢s nOt appty to an owner of a property who bullGs o� improv¢z [hereon, antl wtto OoeS such work him5elf/he�self o� tnrough hls or hBr Own employees, provitletl that such improvements are no[ Intentletl or olleretl for sale. If, nowever, the builtlin9 or Impro�ement Is soltl wit�in one year ot com- pletion, the owner will have the burtletl ot proving he/she tlitl no[ builtl o� Im- �rOve for Ihe purpose ot sale). I, as owne� of Ihe proper[y, am ezElusively cont�acting wlth licensetl con- tractor5 to mnst�uct the projec[ ($ectim� �044, Buslnesi antl Profe55lon5 Cotle: The Contractor's License Law tloes not apply to an owner ot property who builtls or improves tnereon, antl who contracts for such proje<ts with a con- tracmr(sl iicense pursuant to the Contractor's License lnw). I am aware that proof of their Worker's Compensation inzurance snoultl be provltletl [o me. ❑ I am exempt untle� Section B. & P. C. for IhiS r¢d50n Oate Owner _ I hereby cerci(y that I have reatl this applicatlon ana state that the aGove information is mrrecL I agree to complY w�th all clty antl county ortlinances antl state laws relating to builtling cons�ru tion, antl hereby authorize repre- cnnrar��ez of tnis citv_m ente.rsa�n � above-mentionetl orooertv for Signature _�� Orivers' License or . . CRES_ Remark5: A _ _ .� teL _ "a_ .. a. _.`c M.. ,. � Bar Sink Backflow Preventer Backflow Irrigation Bathmbs Clarifiers Drinking Fountains Floor Drains Floor�5inks ' Gas Service - - Outlets Sink R Reinspection Fee � $15 Duct - Under Ground Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple FirepVFacL Blt. ICBO # Hea[ing System & Ducting ❑ ai oo,000 eTu O i oo,000 Reinspac[ian Fee � $15 CMF 0865-46, rev. 30/B4 White - Bulltling: Canary - AppliGan4 Pink - Accounting; Goltl¢nrotl - A55¢s5or Showers Service Sink Sewer Cap Sewer Cannection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urindl Water Closet Water Heater � Water Service A uto-W ash Laundry TraYs laue Fee Hood ar Typel ❑ Canopy Typell ❑ Refrigeration System ❑0.100,OOOBTU ❑100,000 System Repair/Alteration F ire Dampers Registers laue Fee A.P. ;1E S Main Buildi E T Front B Rear A C Right K Left s Ping. Ref. # Plannin9 Notes: 0536 5/I�/BL' Zone Accessory Building: Parking Req./Provided ELECTRICAL Automatic Washer Transformer � 15-SO KW Construction Pole Su6. � 50 + K W� Cooking Unit Meter up ro 100 amps Dishwasher Meter ❑over100amps Dryers ❑Gas ❑Electric Sub Panel � Fan Momrs �0.7� HP �1 h- 8 F.A.U. Inc.Solar �9-75 HP �i6-15+ Fixtures Microwave Device Boxes Pole Ligh[ Outlets Range Switches G2rbage Disposal Generator �0-5 KW OS-15 KW Standing Sections Trash Compactor 3"050 TL FEES 0 Z O N I N G R E Q M T S $ 3 ' Ju Reinspection Fee $75 Issue Fao $ � FEES DEVELOPMENT SERVICES REQUIREMENTS: Zoning APProved BY - Date Building Approved By Dat� Application Issued By Dat � SUMMARV OF FEES BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING $ ISSUANCE S PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ 33• S� GRADING $ PLANCHECK 50% $ MICROFILM $ 2 rn � MECHANICAL $ TOTAL FEE $ �+� �J'� $ 3 PLAN CHECK 25% $ CONSTRUCTION AND PLANNING �- POOL & SPA APPROVALS Permit # Oate Inspector p�ppRO�{ALS Permit # Date Inspector ' �, 1!'.Temporary Electrical� Service or Pole 52. Pool & Equipment Location r� 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement � 3. Electrical Conduit Utility-Undrgrnd. 54. Forms � 4. Electrical Conduit-Undr�rnd. 55. Electrical Bonding i. 5. Steel Reinforcement, . 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROV�AL 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. rY., 10. Structural Floor System 61. �APPROVAL TO DECK 77. Property Sewer Line & House Connection 62. Backwash & RecepCor-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 DEPS. REQUIRENIENT ' i 20. Rough Factory Fireplace APPROVALS Permit # � i 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 ❑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 ' Y-' 29. Insulation - 78. FIRE PREV. FINAL • 30. Drywall Nailing HEALTH DEPT; REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION , 'i �' 32. Electrical Power Meter-Final s�7.� 80. FOOD CERTIFICATE ISSUED � � 33. Final Electric � -L� � Notes: r � '� ' � 34. Final Heating & Air Conditioning ' •ri 35. Final Gas Pipe�Test ' - - ' 36.�Nood or Canopy �v' �'',• 37. Final Factory Fireplace ' � � � �: 38'.� Pinal Plumbing - • . 1 • , r 39. Water Service-Final ' • � - ' ' � i � . , 40. Gas Service-Final ' �. �� , �_ � 41/.:Solar pomesticFinal � � ' �i , � .�i . ��42'"�Backflow Preventer � . � •�d3.,6ackflow Irrigation ' ,� � � , � ., � i„ + 4',4.,,tandscape Irrigation System , . ' ; � �'45� Sound Attenuation .. - ' ' • ' ,i: '� 46. Handicap Regulations �' . d7. FINALSTRUCTURE&BUILDING � _ ' , � 48�Special Requirements Completed � � .1 ' �i 49. Electric Release to Edison I' 50. Gas Release to Southern California Gas Co � , 51. CERTIFICATE OF OCCUPANCY No. Date • Pfl0.1ECTpppPESS: 8�7 W 17TH ST OWNEp'SNRME: MAC ALPINE ROD nooxess: 2639 HLACK�I'HORN STREET NEWPORT BEACH RflCH�ENGINEEfl: 6 4 4— 6 8 7 6 eooness: ' NEG.NO.: uxir: uxiT: PFflMITTEE: JOE CARLOS PLUMBING ( 714 } 548-5558 aooness: 1'�G67j51, SMUPERIOR 9 LICENSED CONTflALTOIf bE7E�BhilOfl: �h�ere�e'y a��irm mat I am �icensetl unAeCr p��rovisio9n?o�CFap et r 9(commencinA �� Sectian 7000� oI Division 3 0l �he Business and Pmfessons Code. antl my license is in lull lorce an� ef�ec�, CITY LIC.: STATE LIC.: CLASS: 025793 385�� C-36 -u,�-=��d.-1-1 q�__ s�9�a��e: _ WOHREAS' COMPENSATION OECLARATION: I hereby a�irt at I nave a cenificale ol consant m sel��insure or a cenificate oi Workers' Gompensalion Insurance. or a certiliee coDY �hereof (Sec on 9800. Lao. C1. POLICYNO.: 12OO2SI-91 EXP.DFTE: O6IOLI92 ,mvnNr: STATE FUND CeqilieA copy is �ere�y fumi5�etl. j� Certifietl copY is filetl with�he city BuilAinp �ivision. �� `� ' "� 1— ApPlicani: E%EMPTIaN iPOM WOPI(EBS' COMPENSATION DECUBATION: (y �s section need iwt Oe camDleteG il tAe permt a la one huntlreU �5100� a less). I certily ��ai in the OeAOrmante Of lh¢ work lOr whic� Nis DeyRnt is i55ue0, I shall nol employ any Derson in any manner so as to Oecame su0iectio the Woikers' Compensation laws oi Calitomia. Date: Signature: NO110E: I�. alier making Ihis �ettarafion. yvu shoultl �etome Su�let� �o �hC WOM1erS' ComDensation pmvisions af Ine LaOor Cotle. yoU muSl IOrt�wilA Compry vnlh SUCh pmvi5ion5 or Iha permi� Shall Ue deemetl revoketl. LONSTqUtTION LENUING RGENCY: 1 hereby affirm Ihat Ihere is a consiruc�ion lendinp agenty lor ��e pedormance al ��e work lor �. wnich ihis permit is issuetl (Section 3097, Cie C�. LENOEP: ADOflE55: OWNEq BWLOEN OECIABqTION: I �ere�y aflirm t�at I am eKempt imm lhe Comractors' Siate License Law for the lollowing reason (SeClioq 7031.5 Busines5 ana Pro�esSional Cotle; Any tily ol Couniy which requires a pCrmii Io tOnSimct, alter, impmve, Aem0lish, Or re0air any S�mtlure. D�ior t0i15 i55uance, alsa reQuires Ihe aODlitanl �or Suth p¢rmii to file a 5igned Statement ltiat hrl5he i5 lic¢n5¢0 pursuani to the provisions ol Ihe Coniracmrs' State License Law (Chapter 9(commencing with Sec�ion 7000) ol Division 3 al t�e Business antl Pmlessions CoOe) or iha� he/she is erempi Iherelmm antl ��e Oasis la� I�e all¢geA exemption. Pny violation al Section'78315 �y any app�icani lor a permil su�le��s ihe aD�lican� to a civil Denalty ol noi more IAan live �unEreE dollars (S5110�. � I, as owner al iAe pmpeny ar my employees with wages as t�ei� mle compensatian, vnll tla the work, and �he ❑ slmc�ureis notinten4eA oroflereC lorsale (Stttion 7044. Business anC Profe55ionalCode: TAe CAntractors' State License �aw Goes nol ap01y lo an owner ot a pm0e�y who �uilds ar imprpves ��er¢on, anA who 00¢5 such work �imsel�/her5ell ar I�roupA �is or �er mvn empluyees. D�oviEed that suc� imprmemems are not intenaea or oflered for sale. If, however ihe builEinq ar . imD�ovement is soltl wilhin one year o1 complelion. ine owner vnll nave ine burUen ol pmving Ae/she tlitl not 6uilU or improve lot ine pmpose ol 5ale). I, as owner ol t�e propeny. am extlusively coniracting with li�¢nse0 conlractors to con9Ncl I�e project (Seciion 7f194, Business ❑ anG Pmlessions Code: The Coniracmrs' State License Law does not appty to an owner of D�apeM �o hudOs ar impmves therean antl who coniracis for such Dmjecls wiln a coniraclor(sllicense oursuantlo ine Coniractors' Stale License Law),I am awdre ��at pmol ol Ihe�r Worker's ComDensation insurance shoultl Ue OrovitleC lo me. � I am eKemD� un0er Section: B. 8 P. C. tor ihis teason: �aie: Owner. I ao hereby cenily I�al I am awaie ul an0 uneerstan0 me requirements ol Cabbmia Heaqh antl Sa�ely Code Sec[ions 25505, 25533, and 255Ja ana I�at I or any luture OuilCing occupant will/will not (circle ane) need to camply with saitl s�a�e mtles and (he repuiremenls for a permi� �or can5lmciion or moUilication Imm the An Ouahty Managemen� DiStrici. fleSiUenlial cons�mc�ion applicaiions are exempi �mm I�ese provisions. 1; Dale: Applicant: I here4y certily Ihal I have reaU I�is applicaiion antl slaie �hat t�e above information i5 correcL I agree lo comply vnlh a0 ci�y antl cowry orOmances an0 slate Wvrs relaling m Uuiltling mnSimc�ion anA �ereDy amhorae repr s Wtives oi ��is ci�y to en�¢r upon t�e above-mentiane0 pmpeny � insoeci�on puroos¢s. - � -��I e: ��.pZ_�.1��_)_ Signat ' WJ'�'� �� ori�er•s �icense ai sociai Secunty �: —ApplicanL Pink—Revenue; Goltlenrpa—Assessor CITY OF COSTA MESA - BUILDING PERMIT PERMZT NO: P 055516 PLAN CHECK NO: N CONSTRUCTION TYPE; V-N PERMIT TYPE; PLU JOB DESCRIPTZON : UPGRADE GAS SERVICE CLAIM VALUE: 1,550,00 CALC-VALUE; PERM NO; P 05551 GOVT; N SUPP; N PUAPOSE: OTH S(J FT: GROCTP OCC; B-2 / COMMENTS: * . !f if it ff itr iE it ik it �IF jt it 3F af �k k iF iF it ik if if if 1E �f iF ik k iF if if �f if iE k 1f fF iF aE k if 1k iF iF it if 1F M iE fF �f it if if 1t if iE 1F �FlE If �E �F if �E ik if M �E if iF �f !t 1F IE M if 3f dE 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 LEfiT: FT IN RGHT: FT IN LEFT; FT ZN RGHT; FT ZN PARKING RE(� • PROV; PARCEL: 00000000 ZNE; REF NO: PLANNING Nt51'ES> i **�t�t*�t�r�t*�r*****�t,r*�r�r�e*r*■��r�rx��t**�r*�t�t+r*�r�r��e�t�t�r�*�e�r�e�r*�e****+t�r�t�t+r*�t*�r�r�r�*�+r�t*+r�t** D fi V E L O P M E N T S E R V�:I C E 5-� R E Q U I R E M E N T S ZONING APPROVED BY `'.c �:- , DATE: BUILDING APPROVED HY ; -i �r DATE: APPLICATION ISSUED HY: ' � �" �y DATE: )a'"J7— � if �f if �F �f if iklf if iF If iF�F If if if if if if i! iF k ik 1f if IE iE �If �IF ik �k iF��'£iF if iF 1f If iF iF ik 1F iE if iF �! �FlE If if 1f iF if I! if If i! 1F 1flE ff �k M ik �f if it if IF if iF if iF iF iF if if M k ik iF 1F iF iF if if iF iF iF iF i! iF if iE if �E �t iElf iF �k iF k if if if iF if it if M 9f ik iE LEGALIZATIOtJ;N F E E S U M M A R Y STRUCTURAL SEGMENT:N PERMIT BLDG PMT PLUMZI00 ELECTRIC MECHANIC FIRE SMIP/RES GRADING 25Y SMIP/NON-RES PLAN ISSUE FEE 3.00 HUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 2.00 3.00 0.00 5,00 5.00 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 5.00 OVER/SHORT; 00 BLDG PMT PLUMBING ELECTRZC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 5.�0 if if 1f �f �F �k �f �f �F 1F ik 1F iF M jF if k 1F k if if iF if if if M 3t k if iE �F at it iF if if if iE �F M!F �F �k if M IF if if M�ltif if k�f �f �E i! iE ikif IF �E ik if i! iE iF iFit it k iF k if if 3F iE iF iE I N D I V I D U A L F E E B R E A K D O W N TYPE (jTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 GAS SERVICE 2,00 2.00 END OF FEES ne ��.C•.'4t'��ii��i:.yV �L."' . _ ��iti: 7%i i."�1! .. ��l; ?! �..« ' .. i � , CONSTRUCTION ANDPLANNING /- P� .'SPA � APPROVALS Permit # � bate Inspector qppROVAIS Permit # Date Inspector 1. Temporary Electrical Service o`r Pole �� `' 52. Pool & Equipmeni Location - 2. Soi� Pipe-Undrgrnd. _ ��- u` .. 53. Steel Reinforcement - ,-;3y�El�tri�al Conduit�litlity�UAdr9rnd;;_t� 54. Forms ,� : .�,- :•4� ElettriCal ConduiT�Untlrgmd.'� 55. Electrical Bonding " �-� .. "�a��eel F�ginforce{�tenT� "�.r 56. Rough Plumbing & Pressure Test � t�.7ifleCtricalUFE,:CirriC. x � 57. APPROVAITOCOVER�GUNITE "'' .., �7�� -Qtings �;� a 58. Electrical Conduit-Undrgrnd. � A' �.`�oundation g�' � 59. Gas Pipe, O Undrgrnd., Test ��'y 9. �Udater Pipe-Undfgrnd. . 60. Backwash Lines, P�Trap, O Undrgrnd. '• 10. �'�4'tructural Floor System j • 61. APPROVAL TO DECK 11. �Property Sewer Line'& Hocrse Conneetion 62. Backwash & Receptor-Final ' 12. Sewer Cap `� � _ r -o o; 63. Heater & Vent�Final 13. Roof Drains .� 64. Plumbing System � Final . " 14. Rough Plum6irtg; �' 65. Electrical-Final � . 15. Rough ElectricaLConduit - 66. Solar System-Final 16. Rough ElectriclMiring 67. Fencing & Access ApProval 17. Rough Wiring Sign � 68. APPROVED FOR PLASTERING 18. Rough ElearicaaT Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT � cT .-�ao:- Cc x ^' 20.t8o�h Fa'xto � Ficeplace i �ta �t ; * c�r � tAPPRONACS+::CPertnit # � '"' Y '" T I'�ft' # <' '-; �' 'nJti� ;' 27. �n" r= * i FF T.. � i-' � +-7x % �, - � juciS, irtyStru�tuL��r �.. .. �; x S �� e-:c r, �-i0. Uaderg avnd HY�a .� C. 22. DuC[5, Vahti tin¢�5: � '; x � S �27� ti ��7, producr'P+{+i�g G*L59s Qbil �c .� t. . Pt 6. rnr � 23.�nasEPjpe�Ro � &'ist � K * � �'" �� z, Underginuflcl Fly"s}a '� � .� i tns ti!n � ¢ Js. a ,, � 24.�oq�Framing� -� i'-(- ��F ��;� O c' �* Y�'S73!+1JndergmE}?Stora�!liank �Gas 00'rt 25. Ro Sh"thing :a � 'J `• i�1 m O n%�:.R �� * � �i t v rx � > N� :+. �4..•`-tiverhead }�iydro�=.` :�: 26.1 -Baq Ceiling (Strucivral) & p�lonocoat M� w � m t• :i: 75.GDry Chemical �'_ :r i-+ C� C7 .-._ � . 27."Frame and Flashin �' �o .r ^ �n w r- ' �� ^� .r S �� ti -, 9», ...Rt� �., s �. ma :t 76: Dry Stanc�tpe �,rL�.i .� :R � H I i. � F ' N• F V r28.�.athjng� Siding :i r•: y.�;y tx ;i_ x ••�� .t� 77.'Y'FIXED 9Y•S2'EN�BIAI;4L'� ln .. ..i .. �- � �.. r. '29. Insulatiob 'y�� _S .•.. � :R ``� �\ �y. t. 76.�IRE PREV. Flh�. ;x .� q y � � � k . �. i ( 0. Drywall�Nailiitg a � I !l__ x, r� • •MEALTHbEPT�rR�EQUIR�fi9ENT ;.31. Plaster B�owr�Coat � ! n, r y. '��_,79 r�`i''N1AL'FN�'�CTI�N � G � t�� . a � H x �t> x � �32..:Electrical;Power Meter,Final � a�; I y�. �. ;80.nF00D C��FI,�.'kTE IS OED 33.`€ina7 El�ctric' x. �r i `� a {t� I � � ;' � ; �r�otes: � '� � * ,_ v :� �r i .-+. V' a�S 1'-1H �S, !' � �'�" (�e• •-+ c ,t,34.�ina�He�aiing� F,ir,Conditio(�rr� t7 r � �� - Ct:r S 'J i \C�'. 35.:F.inat�Gas Pip£TestX,�� .. (�' [�4�� „ :� :�� r a �' � �� y36.'Fioo� or Cano x. � L �[ �+ 1 R v. tn • .. t. tTl Pv �n�-: o .r c� b. �. � ?' !'lc Y: 37.<FinaliFactory Firep�ace�, � ;,� J �. • 1 I � ' S �' � �'� �Y x �t a :� � .. .. �. �s i -. .. o < i.� �'�S. FinaJ.Plumbing * p, � I u!d Qf �h� t� y S N :� W ;39. Watei Service�FinalY� T i -- i �X � '! • ! � * � I I irav r� r �0. Gas Service-Final T �' �" I � ^ � �� ., i. tn �C!'[�' S .F (q , n. OrJ 'JN k �1. Solar pomesticFinal � � �• � rs (t. � �C^ -' �r ,-� t r q` Y J �"ri2.=�ackflow Preventer� E"' �1 ��" � � ��'- '' C'� '� _ Y, /' Y l� .J.-� .1 G 43. Backflow Irri � tions � u:S.S .F � •" '� � � '-XF �`� � °' V' L v[�� . :A : / t C�i 'A 1f:0". .R n- i �_. C�J .1 � ?',�4. Landsca�qe Ir,oQatioQ Systert�,��;� .� ;, i:� :) p�:�: r�� N f�: '�c� N , 5.i_3`ound AttenDationi: �-+� - [*� �r i F :�- F :, :,r. �� -i �^�� c:�� r. � v r.+ ir. rny: ti. �.. .r �f' 1-�'._� � ' . ... .. �-- .. .. . �. . s16. _Wandica` Re�ulatio�s � • . .. .•» :x p � i :-+o ••r, .. 1?. J r'' � r i�. r.. 'X C:> :5 r. �"I J � �47.;,FIf�L STRUCTURE & BU�yDING �t� (� :r. -� N 5 �� i 48.��IN�L PLANNING;' i f.,�'' K p� i �„E�..;� � � j ~r e t- r,49.;ElecFtic Release to Edison i � � -. �t Z lc i r. . i!�� . "50. Gas Release to Soutjiem Cali{omia Gas Co ' � �� r's +' �'1' t' �"" n. - � l �. �e i ,� i- r� ti. ot� �i� J • �7. CEELTIFICATE OF'pCCUPP�YJC ' :;: + � , ;;� ;q� ;,; .� ,- �� No Date Appiiqnt to flll In all sDaees eicept those within heavy boiEe� IIplS antl si9n ill aDProp�iate GeclantiOnf. CITV OF COSTA-M A CO,N\STRU7C�ON PERMIT .��c'� . Praject Address � �� wr• � T — ��" su (*P L✓ Applitant's Mailing Address �{��S CkDp C.c�C Owner's Name Q O r� i� h c A� i1.c�E phone �4y-! P}t Address a�p 3��a � rack��..,e-_� t�- NP 6 Q� �� ArchlEng. Licensp No. Address Contractor's Nam T Phone �'j$-S.SS� Addreulmailing) ��o�-_S � eT.oC City License No. f� a t a-q � LICENSED CONTRACTOR DECLARATION I hereby aHirm that t am IlcensoG under provislons of Charter 9(commencin9 wlth �ction ]000) of Division 3 at the gusinezs antl Prolassiona CoOe, antl mY II<ense Is In full force antl atfect. u�eo� `cia:s ''� �- i b Licensa o.�Q� a� Dat4�� Si9natura _��te 1 ��.jla � WORKE 5' COMPENSATION DECLARATION �leby altirm tnat I havo a cortiticata ot consent to salf-insuro or a carUBcate �d/orkars' Compensation Msurance, or a<erti(ietl copy tnereof (Settion _.,00, Lab. C. `1, c.� �+ rt_ Poli y No. 1y� � �� )��romPanY �Tc (^� � �O Cerlitietl COPy i5 he/eby fUmlinetl. Certifietl copy 15 tilea wit� the city i ing Divi ' n \ OatB f�- �� qpplicant • EXQMPTION FROM WORKERS' CO NSATION DE ARA� (Thi55ncUon neetl not be coTpletatl it permit is for Ona huntlretl (E300) or � less), i ae�tlfy Ihal in the per(ormdnca Of tne WOrk for whiCh this perm�t Is I55uatl I snall not employ any perzon In any manner so as t0 become subject to t�e Worker5' CompCnsation LawS of CalifOmla. Oatp Signalure 'NO710E: 11, atter rnaking this tloclaration, you shoulq becoma sub�oct to the Workers' CompenSaHon provl5ion5 of l�e Labor Cotla, you must forthwi[h comply with such provizions or this permil shall be tleemna revoked. CONSTRUCTION LENDING AGENCY I horeby attirm [hat there is a conztructlon lentlin9 agency for lbe perlormance ot [h0 work for whicn this Oermi[ IS IsSu¢tl ($actiOn 309] Civ. C.) ' Le�tler's Name LendeYs Htltlress OWNER BUILDER DECLARATION � I hB�¢by affitm that I am e%ampt from Ne Cont�atto�'s LiG¢nse Law tor the tollOwin9 reason (Se[lion 7031.5 Buslna55 antl Protessional Catl¢: Any tlty.or co4nty wbictf requires a perml[ to con5tfuct, al[e1, ITprove, tl¢mOliSh of fePalr anY structure, prlor to its Issuance, also requires the applicant for such permit to Iiie a 5i9netl s[atement Ihat he/sne ii Ilcensetl pursuant to lhe pravisions ot rhe ContractorR License Law (Chapter 9(commencinq wllh Sacllon 7000) of '�ision 3 of the Businesi antl Protessions Coae) or that ho/she is exemp[ retrom an0 the basls for tho alle9etl exemption. Any vlolation ol Section .31.5 by any appllcant for a pnrmit subje<ts the applicant to a civll �e�alty of nol more Ihan five nuntlretl tlollars (5500). I, a5 ownCr of lhe propn�ty o� my amplOyeei wilh wag0s as thel� SOIe componiat{on, will Eo tho work, antl tne slnfCture li not intontletl or ofPoretl lor iyln (Section �044, Busine55 antl Pmfessional Cotlo: The Contractor's LICCnse Law dOeS not'apPly t0 an owner of a property wh0 builtl5 Or Improve5 the�eon, antl who tloes such work himself/herself or through.his or her own employ ¢es, prOvldetl that Sucn imp�ovemants a�e not IntanOatl or o�/eretl fo� ui9. If, howevlr, Ihe builtling Or ImprovGment IS Soltl withln on0 year of com- ple��on, the owner will have [he bu�tlen Of provin9 he/she ditl not bulltl or im- ��qyp fortne PUrpose ot sala). I, as owner of the property, am ezclusivelY �a�t�actin9 wlth Ilcen5e0 con- ' tra�torsto <onsVuct the oroject (Section ]044, Business antl Protessions Cotla: Tha Contractor•s LicenSe Law tloes not apply"to an owner of property wno � buj�tlz or improva5 [hereon, anE wn0 contrac[s fo� SUch projeCts wifn a can- tra�tor(51 Ocense Pursuan[ to tne ConVactor's Licanse Law). I am aware that prOol o( thair Worker's CompBnsatiOn InSurance shoultl ba prOvitlatl to me, ❑ 1 am exempt untler SectlOn B. & 7. C. lor thls reason 1 Date C Owner abova TVPE OF CONSTHUCTION LJ NEW U ADD LJ ALTERATION lJ PfPA1R ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A p,� DESCRIPTION OF WORK/USE OF BLDG. � S Main Building: e TVPE OF PERMIT GRAOING FOUNDATION STRVCTURAL - r� Front ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Reef ❑ OTHER A PROJECT DESCRIPTION SO. F7. OCCUPt�Ncv C Right CONSTRUCTION TVPE VALUATION 5 g Left ZONE � GRAOING CU. VOS. ACRES' Ping. Ref. �k pemarks: Plannin9 Notes: Sink Prevencer - Irrigation iking Foun[ains �r Drains x Sinks Service Outlets Kitchen Sink Lavatories P-Trap Roof Drains Rainspection Fee � 515 Duct - Under Grpund Duct - Structural Duct-Ventilating . , Ezhaust $ystem ❑ Mul[iple ❑ Firepl/Fact.8lt. ICBO # Heating SyStem & Ducting / ❑6100,000 8TU � 100,000 BT ' I Si9nature �` Dato �1 /� 1( o! � LDricers• U e 55 Reinspaetion Fea CMF 0865-46, re . 30/84 Wnite - Bulltling; Canary - Appllcant; Plnk - Actounting; Goltlenrotl - AssesSor 515 Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Clout Water Hearer Water Service Auto-Wash Laundry Trays laue Fee Hood or TYPe! ❑ Canopy Typell ❑ lefrigeration System ]aioo,000eru ❑ioo, i m Repair/qlteretion F ire Dampers Registers , laue Fee $ 3 5 3 Automatic Washer ConstructionPofeSub. ✓ Cooking Unit Dishwasher �� IeCtric Fan F.A.U. Fixtures - , Device Boxes OuUets $witcheS Garbage Dispoul Generetor �65 KW Fee 99u7 II/19/87 zone Accessory Building:, Parking Req./Provided ELECTRICAL Trans(ormer ❑ 75-50'KW � 50+KW � Meter ❑up ta 100 amps Meter ❑over100amps Sub Panel i � Moto SLJO-1 HP LJ 1 h- 8 aSolar �9�15 HP �16-75+ Microwave - Pole Liaht 5000 TL � _ �: FEES ; Standing Sections 5 KW Trash Compactor S15 laue Fee § DEVELOPMENT SEflVICES RE�UIREMENTS: Zoning Approved By Building Approved By ,�q ' SUMMARY OF BUILDING PERMIT $ PLAN CHECK $ � PLUMBING $ rL-� PtAN CHECK 25% $ ELECTRICAL $ PLAN CHECK 50% $ � MECHANICAL $ ' PLANCHECK �5% $. � � x O N 1 N G R E Q M T S SMIP ; $ PERMIT � ISSUANCE $ ENERGV P.C. $ GRADING $ MICROFILM $' TOTALFEE $ �� ,. ' CONSTRUCTION AND PLANNING P�C �' SPA � Dafe Inspector - �Date Inspector � APPROVALS Permit # - ;" � APPROVALS Permit # � 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-Uridrgrnd. 55. Electrical Bonding ' • � 5.'Steel Reinforcement - 56. Rough Plumbing & Pressure Test � " �6� � Electrical UFER Gmd. . 57. APPROVAL TO COVER-GUNITE 7. Footings � _ 58. Electrical Conduit-Undrgrnd. � 8. Foundation " • 59. Gas Pipe, � Undrgrnd., Test , 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, O Undrgrnd. � 10. Structural Floor System ' 61. APPROVAL TO DECK . 11. Property Sewer Line & House Connection " 62. Backwash.& ReceptorFinal . .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 V 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.�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 , 30. Drywall Nailing , � HEALTH DEPT. REQUIREMENT 31,. Plaster Brown Coat • 79. FINAL INSPECTION - 32, Electrical Power Meter-Fi�al , 80. FOOD CERTIFICATE ISSUED 33. Final Electric � Notes: - 34. Final Heating & Air Conditioning � � � �' 35. Final Gas Pipe-Teet � � , � � - , - � 36. Hood or Canopy � , � , .� 37. Final Factory Fireplace . � _ - 38. Final Plumbing , ' � - . �. i 39. Water Service-Final � � ' 40. Gas Service-Final ' ��y1J/a� � 41. Solar pomesticFinal ' � � � � , 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 fleleaseto Edison � _ _ ._ . 50. Gas Release to Southern California Gas.Co � . � 51. CERTIFICATEOFOCCUPANCY , , ' � No. Date , � ' � • ' �..