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Home My WebLink About368 18TH ST - Building Permits� �/ (714) �54-5273 • Fex (714) 754-4856 • www.Ci.Costa-mese.Ca.us 77 FAIR DRIVE, COSTA MESA, GA 92626 BUILDING PERMIT ,lob Address: 368 E 18TH ST Suite: Vicinity: Parcel Number: 11729131 Applicant: WRIGHT, JOHN B& STACY Address: 368 E 78TH S7 COSTA MESA, CA Owner: WRIGHT, JOHN B Address 368 E 18TH ST ConVactor: Address: Zip: Arch : Address: COSTA MESA, CA Phone: Zoning: Phone: 949 6451759 Zip: 92627 Phone: Zip: 92627 Phone: License: Eng: Address: ISSUED Status: ISSUED Applied: 03/07/2005 Issued: 03/07/2005 Phone: Zip: License: License: SCOPE OF PERMIT REROOF: T/O EXISTING ASPHALT SHINGLES 8 REPLACE WITH SAME - 10 SQUARES. ��r/(p,p ,�nl� - -_r� Plan Check: $0.00 Permit: $54.00 SMIP Res: $0.50 SMIP Com: $0.00 Other: $0.00 Inspection: $0.00 Total: $54.50 SETBACKS MAIN STRUCTURE Front 0- 0 ACCESSORY Fronl 0-0 PARKING Existinq: o NOTES: FEE SUMMARY PLANNING & ZONING � .Rear 0-0 Left 0-0 Rear 0- 0 Lefl D- 0 Required: 0 P�oDosed: - 0 Calc Valuation: Claim Valuation: Right� ,0- Q Righl 0- 0 $1,500.00 s�,soo.00 NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access raquirements under California 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 1B0 days, or if work is suspended or abandoned for a period of 180 days. , INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inapeetiona and final approvel must be obtained. Failure to ob�ain inspeclions and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 754-5628 taes�ab (a�oo) WORKERS'COMPENSAnONDECLARATON: I hereby aHirm under penalty of perjury one ot the following declaratlons: ❑ I have end will maintain e cenificate ot consent to self-Insure lor workers' wmpensetion, es provided for by section 3700 ot ihe Labor CoCe, lar the performance of the work for which this permit is issuetl. ❑ I have and wlll malnWin workers' campensation Insurance, as requiretl by sectlon 3700 oi ihe Lehor CoGe, for the pertormance of the vrork for whkh Nis permit is Issued. My workers' compensatlon Insurance carriar end policy number are: � Certier. Policy Number. (Thls section need not be camp/eted i! Ihe permlt !s veluetl af one hundred dollare (5100) or IessJ � I certity Ihat In ihe peAormence of tha work for which ihis permit is Issued, I shall not employ eny person In any manner so as to become subject �o the workers' campensation laws of Celifomia, antl agree t�ei If I should bawme su6�ect to the workere' compensation provisions ol Section 3700 of ihe LaDor Catle, I shall forthwith camply with Ihese pravisions. Applicant Signature: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION G1�VERAOE IS UMAWFUL ANO SHALL SU6IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNIL FlNES UP TO ONE MUNDRED TIIIX15rW D OOLLARE (5100.000), IN ADOfiION TO THE W5T OF CQNPENSATION, DMMGES AS PROVIDED FOR IN SECiION 908OF THE lnBbH COOE, IMEPEST, AND ATTORNEI^S FEES. UCENSEDCONTRACTORSDECLARATION: � I hereby alfirtn that I em licensed under provisions of Cheptar 9(commencing with Section 7000) ol Division 3 of the Business and Professlons Code, entl my license is In tull force antl eNect Lic, a Class N Gonireclors SignaNre: Dare: CONSTRUCTION LENDING AGENCY: ❑ I hereby ettirm thet there is e construction lentling eqency for the peAormance of the work for which t�is permit Is issuetl. (Sec. 3097, Civil Cotle). Lendefs Name: Lendar's Address: Signature: Date: OWNER-BUILDER DECLARAiIONS: I hereby eHirtn thet untler peneity of per�ury ihat I am EXEMPT FROM THE CONTHACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Buslness entl Professions Cotle: Any ciry or county which requires e permit to construct, elfer, improve, tlemolish, or repair any structure, pna to its Issuance, elso requires �he epplicant for such pertnit to flle e signed statement thet he or she Is Iicensed pursuent to the pmvlslons ot the Conirectors Llcense Law (Chapter e(commencing with Sectlon 7000) ot Divislon 3 ot �he Business and Professions Gode) or that he or sha is a:empt therefrom end Ihe basis for tha alleged exempiion. Any violetion of Section 7037.5 by eny epplicant for e permit sub�ects the epplicant to e civil penelry of not more ihan live hundred dollers ($500).): ❑ I, es owner ol the properry, or my employaes with wages es their sole compensation, WILL DO THE WORK, entl the structure Is not intentlea or otteretl for sele (Sec. 7044, Business end Prolessions Code: The Contractors License Lsw tloes not apply to an owner ot property who builtls or improves ihereon, antl who does such work himself or hersell or through his or her own employees, provitled ihat such improvements ere not intendetl or oNeretl tor sale. If, however, the building or Impravement is �sold within one year ol completion, the owner-builder will have the burden of proving that he or she did not build or impmve for purpose ot saleJ. ' I, as owner of e ro0erry, em E%CWSIVEL CONTRACTING WITH LICENSED CONTRACTORS to consWct iha project (Sec. 7044, Business antl Professions ' Cotle: The co ire s License Law tloes n a IYto an owner ol p�operty who Dulltls or improves thereon, antl who contracts for such pro�ect with e contractor(s) licensa pursu o e Coniractors Li ens Law .). � �/ ❑ I am exemp n , Busi�e6s en0 Professions Code tor this reason: Signature:� v - Deta:'. � 'dE Owner I venfed by tlrivars licens . Yes No � Dnvefs License No.� / ; Expires: Verificatian of Ownership by (type of document, I.e. - properry �ex blll or deed): DIVISION OF INDUSTRIAL SAFETV PERMR CERTIFICATON: ❑ I hereby certify ihet no exwvetion tive (5) or more feet in depth Into which e persan is required to tlescend, wlll be mede in connectlon wlih work euthonzetl by this permit, and Ihat no builtling sWcture, scaHolding, falsework, or demolitlon or dismantling thereoi, will be more than thirty-sl: (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title 8, Celifamla Atlministrative Code). � ❑ As awner-builder, 1 will not employ anyone to do work which would require a permit Irom the Division of Indusiriel Safery, as noted ebove, unless such peraon hes a permit to do such wark trom Ihe division. Signature: Date: Division ot IndusMal Satery Permit Numbar. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 7 WIII the applicant or present ar future bullding wcu0ant nead to file end certily a Business Plen br amergency response to release or threatened release oi e hezertlous metedal7 ❑ Ves ❑ No (Section 25505 0l tha Celifornia Health and SeFery Cotle requlres, with some exceD�ions, thel e Business Plen be filed wlih the Coste Mesa Fire Depariment by every 6usiness which hes at eny one �ime tluring e reported year a Quantity ot �azartlous materials equal to or greater then a weight of 500 pountls, or a volume ot 55 gellons, or 200 cubic taet oi compresse0 gas at stenderd temperature and pressure). ....._ ...................__...............'_'_._........................._..................................__.........................__...................._..............__..................._.........................................................._....................__........................................._.................... 2 Does or will the applicani or present or future building occupant need to tile a regisiration fortn for acutety harardous metenals9 ❑ Yes ❑ No (Section 25533 oi the Cellfomia Health end Sefery Code, with some exceptions, requires registratlon with Ihe Casta Mese Fire Department by each business which at eny one time has on hend e quantiry of acutely �azertlous materiels equel to or greater then e weig�t of 500 pounds, or e volume of 55 gellons, or 200 cubic teet oi compressed ges et stentlard tempereture and pressure). ............................... _...................................................................................... _............................................................................................................................................................................................................................................................... 3 Does or will ihe applicant or present or tulure building acupant nee0 to prepare an RMPP (Risk Mana9ement and Prevention Progrem tor ecutely hazardous materials)7 ❑ Ves ❑ No (Section 25534 of ihe Califomia Health and Sefery Code provitles ihet Ihe Costa Mesa Fire Department may require the preparation, certifiwtion end filing with the Fire Department of en RMPP by businesses which ere raquired to register ecutely hazartlous materlels with the Fire Depertment. ............_ ....................�.................._.......................................""'............................"'......................_"..........._.........."_............._...'___'._............_......._.........................'_"...._..........__.._........_.._ 4 If an RMPP is presently required, has Section 25534 oi lhe Celifomie Heelih and Safery Cotle Deen fully complied with7 ❑ Yes ❑ No 5 Daes or will �he aDP��cant or presen� or future Euilding occupan� rBquirB tOr �he woAc whith IS th9 Subjec� Ot lhi5 0 pllcetion a pertnil lot such tonstrutlion Or from Ihe South Coest Air Quality Management Distdct or imm eny other air polNtion control district or egency� � Ves u No (Section 658502 0l the Galitomia Governmem Code requires that the requestetl infortna�ion 6e fumished on applications for non-resitlentlal bullding pertnits). ....................................................................................................................................................................................................................................................................................... ....................... ............................ ... .............. 6 WIII any pert of the laciliry to be constructed undar this permit be within 1000 feat irom ihe outar boundarias of e schoal7 ❑ Yes ❑ No , Qt yes', tha facility must meet the requlrement ot Sections 25534 and 42303 ot the Califomia Healih and Sefery Code�. .._ ................_.........................................................._........................................................................................................................................................................................................................................................................... 7 tl a Dertnit irom t�e South Coast Alr Ou91iry Manegement Disidct or other elr pollution wntrol tlisirict or egency is required Por ihe work whlch is �he s� aoolicatlon. have all ot the disclosuras orescrlDetl bv Calilomia Health end Safery Code Section 42303 6een made? ❑ Ves ❑ No e Qt yes , atlach certuicate ot compnance vom me appropnate eir ponuvon convoi omceq. CERTIFICATE OF COMPLIANCE: I certify t�at under penalry oi perjury the infortnetion given ebove is correct. I agree ro comply with all state laws antl ciry ortlinances regarding Hezardous Metenals and Emissions. SignaNre: Date: CERTIFlCATE C P CE AND AUTHOR TIO F EHTAV: I iry under penelty of perjury ihat I have read this application end state thet the infortnatlon given is correct. I agre to y with all state la d iry dinanc leti g t building consiructlon, and euthorize representatives of the Ciry oi Costa Mesa to enter upon Ihe ebove-desc' d ert br inspection s. ag ee not o y Ilow occupancy oi eny building authonzed Dy t�is permit until tinal inspection. �— ��Q� _ . sinna v � nna nwn �s1 Date GODE I, INSPECTOXTYPE 1616 Fixed System Final Fire Prevention 1266 Pool Spe Final 200 Final Re-Rooi 201 Finel BIocWReteining Wall 202 Final Fectory Fire Place 203 Finel Sign 204 Finel Demditlon Q�E I[4IDEL5 � Z�' � GOOE I INSPECiION TYPE 206 Final Mechanical 20B Final PlumDing 210 Finel ElectriCel 212 Finel Fire Preventlon 220 222 250 Final Planning Approval Final Site Final Building/Occupency Date P�IE U�LS a�u� 368 E 18TH ST �e�� WRIGHT JOHN B �ooaeu: 368 E LBTH ST COSTA MESA,CA �vr�. Yuimo �s: 92627 UMT: uiexrtccr on Qionmu uc ra_ urcx. on [ra.•e �oo�zv: uxr. ��;LEGENDARY HOMES ROOFING (310)694-3800 cam�crom�utao P.O.HOX 2820 �u, LA HABRA CA �� 647331 90632 �, LICRI9EU COMNRCi0N5 OECL�flAT10N: I Mreby dlim uMx pero�y d p�rpW tlw 1 em ficenvod uiqs prowiom d Cheqx B (oommenaM xiiA S�ction )000) d Oiveion a d tlr Bueiron eM Pidpdon� Cods. end mY �mne e in hA bw W M1etl. cmuc.No.: uc.cuss: C-39 uc.N.. 47331 EXP; om.: 7 (Z �'b c�mn�: � P BIIILUEP OECL/�P�TION: I hasby elfum udx paW y d prjvy thet I am usmp hom �M Cametlm liwna Lew la �M lopowip mm� (Swion M15 Bu�i�oa rd Prafoem� Cob: NryW w mauY wlurh �p�mm e i�i b awvbud. tlr. 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Dma � 7' � b �Vd'tem: y/L W�mNp: F�N� � ro��eun woikwi eanWnrtlon eevwp� 4,mWN1, mJ NWI re/�ct �n wrplonr ro a1MM pwWtln uM clw n,w� ,p ro ww hinN�tl tM1ouwN Ooll�n (stPq000A p� byWn ro M� cwt ol rolryru�tlM A�rtv�u u prvvkNd br In 8�etlon 9)06 0l IM 4Eor COtY, Intw�sl, e�M �ttormy's /�. cowsrnucnoH ��r+w'a �oencw i nawr � w. o«eM a wiw ��r m.s e a odm�w�, wmro .w�rv w m. psAormu�w d �M Mwk br v.hiN the D�Y u eard (Saaion ]001. CM. C). LENDER'8 NGYE LENOEN'8 �ODFES3: I cM3V �MI I hma imE Ne e00�� md tlds tl� tlr �bo.a bdamabn e mnw.l aWr lo oon�N w'nh e0 aYeM awvtlY ord'vwioe� uM �itla 4w� nlel�q m diknY oonmuCion ud herah' a�M1lvice nprowYeYw d �h"v tilY ro aror w� Ne eEwsmamioneE p�we�y '«inspetlionpufpa'°° JERRY MARTIN ow: '7 2 (o (S151dE.WP) WhGsBuAd'vq 8 Sdaty: G'aen-FJO: GuwriApp4eq: Pink-Rwsnue: (3dEmmA-Naeaor CITY OF COSTA MESA — HUILDING PERMZT PERMIT NO: B 078549 PLAN CHECK NO: i� PEAM NO: B 07II54'J GOVT: N SUPP: N CONSTROCTION TYPE: PERMIT TYPE: STR PURPOSE; OTH JOB DESCRIPTION ; T/OFF S REROOF W/3 TAB SHINGLES SQ FT: 1,875 CLAIM VALUE: 1,875.00 CALC—VALUE: 1,875.00 GROUP OCC: R-3 / COMMENTS: X x��rx�x�******�e**�t**�r*�rx��t�t*x�***+��+t*�+t+��t+�*��*+t**�e****�*+�******u*��+�+�x��r**�**�r**x�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 HUILDING ---------- --------- ACCESSORY BOILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: ET IN PARKING REQ: PROV; PARCEL: 11729131 ZNE: REF NO: PLANNING NOTES> ,. � iE iE iE 1E 1E 1f iF �E iE iE 1E �E iE iE 1E 1E 1E 1F iE iE 1E 1ElE fE fE fE iE 1E fE 1F ff 7t 1E 1E'X� 1E iE 7f 1f if �IE iE iE ff if 1E 1E 1E 1E �E iElElElf iE 1E 1E 1E iE iE'k iF 1f 1E iElt 1f 1f 1E if 1F iE 3E iE iE �! �E fE fE D E V E,L O P M E N T S E R V I C E S R E Q U I R E M E N`T S ^� ZONING APPROVED BY DATE: BUILDING APPROUED BY : DATE: : � l APPLICATION ISSUED HY; �� DATE• ' ikiklElf'IE1EifftlllElElE�Eff1flE1ElElEklElElF3F7F�F�F3F3F3F�FiFiFiFiF�F3FiF3F•RiFiFiFiF3F�FiFiF�F�F7�F'i�TF'�F�F1EiliE1E1E1f1Eff1E1E 1E1E LEGALIZATION:Ni� F E E S U M M A R Y STRUCTURA EGMENT:Y BLDG PMT PLUMBING ELECTAIC MECHANIC FfRE SMIP/RES GRADING PERMIT 59.50 ' ,50 � SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 60,00 O.Od 0.00 REVENUE DIVISION TOTALS--> COLLECTED: BLDG PMT PLOMBING ELECTRIC MECHANIC 59_50 TOTAL ��" PAID DUE 60,00 • 60.00 .00 60.00 OVER/SHOAT: 00 FIRE SMIP/TOT GRADING PLAN—CHECK .�.50 !F iE 1E �FlE 1F 1f !E iE 1E iE 1E 1E fE IE 1E IE 1k ik 1f 1f k 1E IF if iE 1ElF ik fE iE iF 1f 1F 1f 1k 1F 1E i! 41E 1F iE 1E 1F 1f 1F IE k 1E 1E iF 1F iE 1f 1F k If 1ElE ik 1f 1k iE ff k iE ik 1E dE iE iE iklElE 1! ik iF fF I N D I V I D U A L F E E H 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 SFR 1875 REROOF BY VALUE RESIDENTIAL NOZONE ry1.00 1,875.00 0 END OF FEES t� �. / `,;! '� _. __ - a -... CONSTRUCTION AND PLANNMG POOI PA . ' . APPROVALS �Permit # r• Date Inspector qppROVALS Permit # Oate Inspector 1. Temporary Elactriral Service or Pole 52. Pool & Equipment �ocation -� � 2. Soil Pipe•Undrgrnd. . b3. Steel Reinforcement � � 3. Elec[rical Conduit Utili[y-Und�grnd. 54. Forms � ' ' 4. Eiectrical ConduiFUndrgrnd. . 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Prossure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Electrical Conduit•Undrgmd. - 8. Foundation _ 59. Gas Pipe, � Undrgrnd., Test 9. Water Pipe•Undrgrnd. 60. Backwash Lines,'P•Trap, C7 Undrgrnd. . 10. StruM�ral Floor System '•� 61. APPROVAL TO'DECK � 17. Proqerry Sewer Line & HouseConnection 62. Backwash & Receptor•Pinal � 12.� Sewer Cap � 63. Heater & Vent-Final 73. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrlcal�Final 75. Rough Electrical-Conduit 66. Solar System-Final � 16. Rough Electric Wiring 67. Fencing & Access ApP�oval . 17. Rou9h Wiring Sign 68. APPROVED FOR PLASTERING � 18. Aough Electricat-T Bar Ceiling . 69. POOUSPA SYSTEMS FINAL 19. Rough Hea[ing & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory fireplace . APPROVALS Permit # 21. Ducts, �n Struaure _ 70. Underground Hydro 22. Dutts,Ventitating 71. ProductPiping�L]Gas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank QGas ❑Oil 25. Roof Sheathing � �-`s�6 �(y� 74. Overhead Hydro 2fi. T-Bar Ceili�9 (Str�cturall & Monocoat 75. Dry Chemical 27. Freme and Flashing 76. Dry Staridpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulat�on 78. FIRE PREV. FINAL . 30. Drywal� Nailing � HEALTH DEPT. RE�UTAEMENT 31. Plaster Brown Coat 79. F�NAL iNSPECTION 32. Electrical Power Meter•Final 80. FOOD CERTIPICAT[ ISSUED 33. Final Eleciric . Notes: : � 34. Final Heating & Air Conditioning 35. Final Gas Pipe•Test . 36. Hood o� Canopy . 37. Final Pactorv Fireplace - ' 38. Final Plumbing - ' . _ - 39. Water Service-final ' ' 40. Gas Service-Final � � 41. Solar pomestic•Final 42. BackflowPreventer , 7�/��y�/_�� ,/J.i ,�„/ ��Ql� � LO �0 0�' 43. BackfloW irrigation ��y 44. Landscape Irrigation Sysrem - . _ 45. Sound Attenuation 46. Handic2p Regulations � _ �47. FINALSTRUCTURE&BUILDING 7 /$�� /_��;i�(� � ( �-' . �.[' 48. FINALPLANNING ' -' • 49. Electria Release to Edison �. 50. Gas Release to Southern California Gas Co .� . 51. CERTIFICATE OF OCCUPANCY No. Date �' a AOG��cant to fi11 in a11 s0aces wlthin heavy bortler hnes antl sign all appropriate tleclarations. \\ Y OF COSTA MESQ � PERMIT NO. TRACT NO. - LOT NO. BLDG. NO. ' ' � - - ' � ' - - • " ' ONSTRUCTIONPERMIT —�� • � '8 • 9`137 IOi29/62' 64002 'TL Project Address � TVPE OF CONSTRUCTION -- � '� ' - � Ownef � hon2(ja.FS -/7 �EW ❑ ADD ❑ ALTERATION . � .. ,_ - ' . _� . . - . " - ' .. . Address / �^ �' '� /�/ REPAIR ❑ CONVERSION ❑DEMOLISH — . 'ArchlEng. �' - License No. - O�o7HER ZONING REGULATIONS ,� DESCftIPTION OF WORK -O J G "A'P' � I '� Z I—g ��_ �� 1 AddresS • '�� Q • � � 20NE PLNG. REF.,•M Contractor _ ,� _ Phone TYPEOFPERMIT � • � . - �e o + pgU i�oiNG .. � � SETBACK C T. � �ROPERTV LINC: �` ' � Addfesi - ' ' - ❑ GRADING . ❑ FOUNDATION O STRUCTVRAL. , LIDE VARD � ' LICENSED CONTRACTQR DECLARATION�• � � ❑ TENANT ❑ ELECTRICAL ❑PLUMBING OMECHANICA � 9EDE VA � I hereby affirm th;.0 I am Iicensetl untler provisions of Charter 9(com- � - - � RIGHT �� - ., �r" '/G-< ! inentlng with sectlbn ]600)'of Oivision 3�of the-'Buslness �antl- � D OTHER ^� � . Professions Cotle, -antl my Iicense iz In full Torce antl effect. ' � REAR VARD (TO P/L) !'d { i PROJECT DESCRIPTION �� License Class Llcense No. . '' � ,� ! PKG. SPACE REQ. PROV IDtD- Date � Si9nature � . . � . . _ . - . � �. SQ. FT. ' �' . . . . _ ' . : �.WORKERS' COMPENSAT�ON DECLARATION � -' � -� OCCUPANCV �` CONSaBAICTION.TYPE � STREET WIDTH PARK' FEE 5 . 'I hereby aifi�m that 1 hdVe a certificate of Consent to self-InSure o� a 20NING APPROV ED B DATE 1 certifiCa[e'ot WOrkerS' COmpenSatiOn InSurance,'or a'certl(1¢tl'copy� VALUATION � m�� ZONE � S b'�Z - thereof (Section 3800, LaE. �J. , ..GRADING CV. VDS. ACRES �SPECIAL CONDITIONS: ' - . P^�ICY No. ' ComPanY " ' ' - ' ' " ' " �" '- - . .. - 1 ertifieC copy is hereby furnishetl. � � � � , -�REMARKS: � - � � - - _ . ,ertitietl-cOpy is filetl with the city BWltling Division. � • � '� ' . . `� �EXEMPTION FROM WORICERS' COfv1PEN5AT10N DECLARATION ' - '- + - " - - _ (Thls 5¢ction neetl Obt be �pmpleted iLthe pe�mit.i5 tor One hundretl . - ' - - . _._ . _ ' , . _ ' ' ,. _ � , �' 1E100�.or less). . - �. � �- � 'Y � ' - I certlry that in the pertormance df ihe work for which this.permit is . I55uetl,.l shall not employ any per5on in a y manner 50 as to, beCome PLUMBINC�i � PLAN GHECK � - �ELECTRICAL �� ''- PLAN CHECK�_ ' - Subject to the Worke�s' COMpensatio w of..Califotnia. _ .. .. .. Date �n� �.�—Si9nature BATHTUBS� ' SFIOWERS NOTICE: It atter rttaking this c15�d�You sM1oultl become sublect .•TOILETS.' ; b URINALS. �•. . � GENERATOR ' 0-1 KW_1-30 KW�� ._ - to the Workers' Compensation provisions of the Labor Cotle, you must ,_ TRANSFORMER torthwith comply,_with surh provisions or this permit sM1all be tleemed LAVATORIES �OUBL'E LAVS � '�APPLIANCE- 30-50 KW_SO+KW � � • revoked.-- ' . .. .., , . .� . . .. .. . CONSTFUCTION LENDING AGENCV ^ KIT. SINKS ' � DISHWASHERS �. "- MOTORS 0,1 HP'_1d0 HP ' ' " �'(INC.�SOLAR � � � I be�eby affi�m thai there is a const�uctiOn lentling agency for Ihe per-, SERV ICE $INKS ��[: SUMPS� �� . ) ' 10-50�HP 50 + HP , � formance.o( the work-for �yhich this permit is issuetl (Section 309] - Civ. C.). ' ' ' � � � � � FLOOR SINKS "� FLOOR �RAINS � � - -FIXTURES ' OUTLETS SWITCHES` . . ' ,Lentler's' Name�' LenOer's Adtlress ' DRINKWG FOUNTAlIVS � � ' � ' GAS'TUBE SIGNS - ' ' ' - ' . OWNER BUILDER DECLqRAT10N '- � � � � � INFERCEPTORS ' CLARIF7ER5 " .i �POL'E LIGHTS ' - Iher¢byaffirmthat.LamezempCfrort�.tnaContractoCi�icenSeLaw_tor, � � �� - �- tne Pollowfng'reason (Sectlon 7031'5-Busine55'antl"Professionk"Catle:'' SWIMMINGPOOL` ' PTRAP-� ��' � ' ' ' , Any Ciry or county wM1ich requires a. permit t0 construct, alter, - � �' :POLES METERED SUB �.r Improve, tlemolish or repair any strutture, prbr to its issuance; also re- '_y�qTER SERVICE, � ALTERATION � q�ires the app.licant tor such permit [o.file a signetl stateri�ent that he - fs licensetl-pursuant fo thE provisions of the Contractor'S License Law GAS SERV ICE OUTLETS- (Chapter 9(commencing �uith Secilon 7000)' of Division 3,0( the - � - • Bu5ine55 and Pro1¢s5ion5 Cotle)'o� that he is ex¢mpt theref�om antl the yyATER HEATERS' BTU OUTPUT' basis tor the allegetl ezerqption. Any violation of.5ection ]031.5 by ' . appli�nt for a"permit 5ubject5 [h¢ applicdnt to a clvll penalty 'SEWER CONNECTIONS �� rt more than five huntlretl tlollars ($500). � � , as owner ot the Oroperty, or�my employees with wages as [heir- � SOLAR TANK' -- COLLECTORS sole compensation,.will tl4 the wo�k, antl [he structur¢ i5 not intentletl _ _.. , , Or offeretl fo� sale. (Seclipn ]044, Business antl Rufessions Cotle: Tlie SOLAR PIPING SYS. Contractor.'s.License Law tloes noLapply_to an..owner of a property, . . . wh0 builtl5 0� improves [hereon, antl who tloes Such work himself or ISSUE FEE �' '" througb his own employees, provltletl that such improvements are not . intentl¢tl or offered for sa�e. If, howeveq tbe builtling o� improvement MECHANICAL PLAN CHECK� I5 Soltl within one year of completion, Ihe Owner will have the bu�tlen of proving he tlitl not n�na or improve for the pu�po5e of Sale). HEATING SVSTEM 0-300:000 BTU_ ❑ I, as owner of the p�o0erty; am exclusively cont�acting with qND DUCTING ' � IIC205Ed' COO[IdCI015 LO cGnStruct [he project (Section �044� Bp510055 1��.��0 } BTU � antl ProfeSsionrCotle: Tha Contractor's License�Law tloes no[ apply to , an owner of property who builtls or improves thereon, antl who con- REFRIGERATION 0-100,000 BTU_ tracts from such•projettg with a contrac[or(s)-licesnetl pursuant to -SVSTEM' '" ' "'- "" ', the Contractor's License law). 300,000 + BTU _ ❑ I am exempt untler SecYion - e. & P. C. for ttiis BOILERS BTU reason � � - Dal -��-�2 Ow • • � SVSTEMREPAIR,ALTERAT,ION I hereby t¢rtify that I hdve reatl this applicalion an0 ztate that M1e above_ EXHAUST $VSTEM MULTIPLE in�ormation is corr¢C4 I agree to comply with all City anE county , o�tlinances antl state IawS,relatin9 ta tOnSVuctiQn, antl hereby autno�ize representatives-of [ is Ciry to enter upon tli -above men[ionetl property.,ior ' spe on.purposes. Signature ` - Date � D'�9� Drivers' License or 55 � � ' - -' ISSUE FEE ' - - � - - CMF OBfiS-46 White-BUiltling; Canary-Applicant; Pink-Accoun[ing; Goltlenrotl-Assessor . . � PANE�S MAIN ,. S118 . - .SERVICE . AMP'� r. .. . _ . .- . _ . . . - � ' ISSUE�F@E �� ' ' � �APPLICATION APPROVEO BV � "DHTE�B� `J c_. SUMMARV OF FEES """ � � �� '-/� � . � PERMITG E�� SMIP,r:'�i�§' �.�v> PLAN CHECK E �� a� PERMIT� �� ' 'PLUMBING g - �SSUANCE § ' - � - �GRADI�NG� $_' PLANCHECK $' ' ',� , ..�'. ELECTRICAL $ . � � � �- �$ . PLANCHECK E�� MICROFILM.§_ . TOTAL FEE $ `� MECHANICHL 5 � � .PLANCHECK S ' LE55,9D- _ , VANCEPC $_____ " ' _ ' . -. . _- FINAL FEE $ _YL�J�/" I ,7 . - . . . 1 CONSTRUCTION AND PLANNING - . POOL & SPA ! . � ` - Date Inspector � • � � � � • - . -. - .Date : � Inspector. APPROVALS Permit # �_ • . y APPROVALS � • - Permit # t. Temporery Electrical Service or Pole ' 43. Pool & Equipment L'.ocation -� -- �------ - � - �- �� - - .� i ipe-Un rgm � • 4 . �teel Reinforcement - -- • - • -- --. - 3. lectrical Conduit Utility-Undrgrn � ' 45. Forms - -- � ._.. . . _ - , ._- - - .. . _. ... 4. Elec[rical Conduit-Undrgrn ' _•_46. ..Electrical.Bonding • - - - . tee em orce � . , j_q�,2 7✓t 47. Rough Plumbin & Pressure Test � - 6., Electrical UFERGrn " 48. APPROVALTO COVER-GUNITE- - 7. ootings � � ' "//-q-qa 49. Electrical Conduit•Undr m' � - 8. Foundation _ ' � ' ' � � 50. Gas Pipe ❑ Undr m, Test � � � 9. Water Fpe-Undrgm � ' 51. Backwash Lines P-Tra ❑ ndr rn -- '� 10. $tructural Floor System i_ 1 52. 'APPROVALTO DECK ' ' - � . 11,,- .Property Sewer Line & House Connec[ion - - 53. Backwash & Rece torvFinaF � � � ' � . 12. Street Sewer Connection � � ' • ' ' 54. Heater & Vent-Final ' 13. Rough Plumbing � - ' • • � - � - - � - 14. Rough Electrio-Conduit - � - - - :56. - Electripl-Final - 15. Rough Electric-Wiri�g - - " ' - - 57.. Solar System-Final i � " � , �� 16. Rough Heating & Air Conditioning - � • encing & Access Approval . �� . 17. Ducts in Structure ' ' APPROVED FOR PLASTERING 18.- Ducts, Ventilating � � � - , ..,._ .. ._ .._ __. .._ . . . . . : . _ . , f � 19. Gas Pipe-Rough & Test 60. POOUSPA SYSTEMS FINAL ` 20. . Roof. Framing � � � � 21. Roof Sheathin ' � � �� . � - 22. Frameand Flashin - .•2, �. Z NOTES: ��: �$_$z 23. Insulation � ;, ,�Qp.� , 24. Lathin & Siding 1[- + a 25. Drywall Nailing j� �[.@, . � - 26. Plaster Brown Coat ' � 27. Elec[rical Power Meter-Final � � _ � � � 3" po , L. ; s�mt c 28. Final Elearic � ..,�P �V lt �µ ,(�" 29. Final Heating & Air Conditioning ' � . - . - . 30. Final Gas Pipe-Test -31. Final Plumbing ' � � � � - ' 32: Water Service-Final. ' ' � � �33. : Gas Service-Final ' � � � • � 34. Solar pomesticFinal � � � - � 35. Landsca S rinklin S stem _ � � � � 36. Sound Attenuation � - � • ' � - 37. Handicap Regulations . - � • � � � � � - � 38. FINALSTRUCTURE&BUILDING � a; . 39. Special Requirements Completed � ' • ' ' ' � - ' - � 40. Electric Release to Edison " '- � - "� ��- "' ' '- '--" - - � 41. Gas Release to Southern California'Gas Co. + • - � � � � - � �� - - � 42. CERTIFICATEOFOCCUPANCY _� .._,. . � � - � _ , . � - No " -' Date � . � - - - . . AoO��ant to fill in all spaees within neavy bortler lines antl sign a11 aoV�opriata Oeclanlions. CITV OF COSTA "MESA PEqMIT NO. � � TRACT N0. l_OT NO. BLDG. NO. CONSTRUCTION PERMIT P S�� G� W ' � TVPE OF CONSTRUCTION Phone6�/S-��1 � NEW ❑ A�D ❑ ALTERATION ❑ REPAIR ❑ CONVERSION ❑DEMOIISH Litenie No. ❑ OTHER . DESCRIPTIONOFWORK Phone LICENSED CONTRACTOR DECLARATION I horeby affirm th:t I am Ilcansetl untler provisions of Chdrter 9(com• mentl�g w�(h 5ecllon 7000) of DIvl5lon 3 of the •BuSiness antl Proteszions Cotle, antl my Ilcensa Is in fWl torca ana eHect, Date � 1- S' z � 519nature ' WORKENS' COMPENSATION DE R •ION I hereby a�firm [hat 1 have a C¢rlNica 0 Ot con5¢nt to seH-insure Or d tertifi¢ate of Workers' Compensation Insurante, or a<ertNietl copY thereof (Sectlon 3800, Lab. C.). , ' ''cY No. �Z44iSC9 �mPanY ZLNITI-1 e�(�fletl COpy IS haroby furniihetl. - � Jer(�}�Btl CopY 15 filatl with the Nty Builtling Divislon. � EXEMpT10N F0.0M WORKERS' COMPENSATION DECLARATION (ThiS Yection nCGtl not bG Completetl il.t�e p¢rmit,ls lor ane huntlteq SESOO) Of Ie55). " ' Ctrti(y thdt In th¢`per(ormdnce of the work for whiGh thi5 permit IS Isiuetl, 1 shall not employ any person In any manner so as to becom2 sub7act to the Workers' Gompensatlon Laws of Ulifornia. . ' Date Si9nature NOTICE: Ii al[er making [his tleclaratlon, you sboultl become zubjact to the WOrkors' Compensatlon prOVl5ion5 Of the Labor COtle, you'mu5f Iorlhwi[h'comply with such provisions or this permit snall be tleematl revOketl. .. 1 CONS7RUCTION LENDING AGENCV I�hereby affirm tbai there Is a conslrucHon �lentlinq agency.for th¢ per- formary�e of fhe wark for which tbis.permi2 is iszuetl ($e<tion 3097 Civ. CJ. . . ' ' ' " . " . Lentler'S Name Lentler's Atltlress � OWNER BUILDER DECLAPATION. - I here0y aHirm lhat I am ozempt irom the Contracmr's �icense I�w for tho foilowin9 roason (Sectlon 7031.5'Business antl_Professions Cotic: Any City or COUO[y whlCh ICquir¢5 a p¢YTIt lo wnStruCt, alter� improve, Gemolish or repalr'any strutture, prior to It5 issuance, also re- qwrl5 the ap, IIWnt fo� SUGh permit to lile a Signetl 5laterYi¢nf [hat he Is Iicens¢tl pur5uant to'th¢ provi5ion5 oi tn¢ Contracior'S Llcense Law (Chapler 9(tommencing with 5ection 7000) of Division 3 0� tne 6u5in055 antl Pro(fi5ion5 CotlC) o� Ihat h¢ Is ¢xempt tM1eretrom antl [hC ��•k for thc allagetl exemptlon. Any viola�ion oi Settion 1031.5 by aDPliwnt tm a permi[ subJec[s lh¢ appliwnt t0 a civll ptnalty. �l more than live huntlretl tlollars (E500). L i, 85 Ownor Oi tlte proporly, or my employees wilh wdyes as lheif sol¢ COTPenSdtion, will tl0 tlle WOrk, antl thC StfuCtUr¢ Is not inlCntletl or otfereC ior salc. ($ectlon ]044, Business antl Aoiessionz Cotla: ThC Cont��ctor's LlcenSe.Law tlOos not apO�Y to.an Owne� of.a_properly wno 4uiltls or imp�ov¢s lhereon, dntl who CoeS SUCh wo�k hlm5elt oY M�ough bls own employ¢es, pravitletl lhat s�th imprOvert�en[5 d�C nof �ntentled or o/feretl for sale. If, howev¢q t�G Guiltling or improvement IS SOItl �yi(hin one year OI cOmpietion, thG oWn¢r_will,have the burtlen o� O�bvin9 hc ditl not builtl o� improve to� the purpose of sale�. ❑�,'as ownm of [he Oroperty, aT extluzively.contraG[ing wllh IlcansOC contractors to construct the project (Section 7044, Business a0tl Rof¢islons Cotle: The Contractor's�Llcense Law tloes�not apply IO dn owner o/ property who builas or imp�ova5 lhercon, antl wh0 Con- tratts from such orofects wlth a contractor(s) Iicemotl pursuant to the COntractor's License law�. ❑ 1 am exemo� under Section B. 6 P. C. tor thii reason Date owner [hat I �ave r¢atl tpis appllcdtiOn antl stata Ihat the dbOVC mrrecL I ag�ee lo comply with all tlry dntl county stale laws relaUng to,construcUon, antl hereby authoriz¢ Of th15 Nty enter u00n th¢ aCOvO mentlonatl nsp¢CtlpRfp o 5. �� -��y Z �" "" % Dato u'�i(L� 55 TVPE OF PERMIT ❑GRADING .❑ FOUNDATION ❑STRUCTVRAL ❑ TENANT .O ELECTRICAL'F�PWMBING OMECHAI ❑ OTHER- PROJECT DESCRIPTION SQ. FT. ' " "' � _ OCCVPANCV_CONSTRUCTION.TYPE VALUATION ZONE GRADING CV. VDS. � � ACRES PLUMBING . PLANCHECK TOILETS . VRINALS ' ' LAVATORIES DOUBLE LAVS � ' KIT. SINKS DISHWASHERS � SERVICESINKS • SUMVS ' FLOOR�SINKS �� FLOOR DRAINS � ORINKING FOUNTAINS - � � INTERCEPTORS � CLARIFIERS SWIMMINGPOOL� "� PTRAP . WATERSERVICE � 'ALTERATION'. . WATER HEATERS BTU OUTPUT ' ' " ' SEWER COfYNECT10N5 - � � � SOIAR TANK ' COLLECTORS ' SO�AR PIPING SVS. ' ISSUEFEE � �� MECHANICAL � aLANCHECK� � ' HEATING SVSTEM 0-300,000 BTU � ANO�DUCTING � � 100,000 + BTU REFRIGERATION 0�100,000 BTV SYSTEM - _ 100,000 + BTU BOILERS BTV SYSTEM REPAIR;ALTERATION EXHAUSTS�'STEM MVLTIPLE --ISSUEFEE •- CMF 0865-46 White-8ulltling; �anary-Hpplirant; Pink-Accouniing; Goltlenrotl-Asussor - ti �/cU _ ��318 a A.P. 9 ZONE REAR VARD (TO P/L) PKG.SPACEREq, STREET WI�TH ZONING APPROVED BV SPECIAL CONDITIONS: -ELECTRICAL PINTGp. R�EJF. �g ' CROPE�RT�YNL NE PROVIDED PARK FEE 5 �DATE PLANGHECK.� = ' SR7SG�1 SO_FT GENERATOR 'p.1KW_1-lO�KW� TRANSFORMER � .APPLIANCE 30-50 KW_�5p a KW � MOTORS , 0-1 HP_1-10 HP�_ U�`1C.SOLAR) 30-SOHP �_50'+.HP � ' ;FI%TURES� 'OIJTLEfS �SWITCHES � .GAS TUBE SIGNS . POLE UGHTS �. LS - MAIN SVB ICE AMP' ISSUE FEE ' HPPLICATION P.PPROVED BV .. Y +., . DATE -� SUMMARV OF FEES. � • � BUILDING ' -- � PERMIT - E .SMIP� E , PLANCHECK E PERMIT � PLVMeING b� ISSVANCE� S PLANCHECK b ' GRAOiNG .5 ELECTRICAL 5 � s PLAN CHECK g' MICROFILM E - MECHANICHL b .TOTALFEEE. PLAN CHECK 5 LE55 AO• � VANCEPC E____ FINALFEE S.._.!^� % CONSTRUCTION AND pLANNIN POOL & SPA . _ -' � . . � APPROVALS .. . PeFmit al`- :s. Date Inspeetor APPROVALS , Permit �p � � Date� Inspecto'r 1. Temporary Electriwl $ervice or Pole 43: Pool & Equipment Location � - - � � i ipe-Un rgrn -y, yZ 4. Steel Reinforcemenf -- • - - lectrical Conduit Utility-Undrgrn 45. Forms - � � 4. Electrical Conduit-Undrgrn 46. Electrical Bondin ��- tee ein orce � 47. Rou h Plumbin & Pressure�Test 6. Electrinl UFER Grn 48. APPROVALTO COVERGUNITE • � � - - ' � -- � • - 7. Footings 49. Electrical Conduit-Undr rn • � - 8. Foundation ' ' Sp. . Gas Pi ,❑ Undr rn Test • . 9. Water Pipe-Undrgrn -9-9Y 51. Backwash Lines P- ra n i ' -- 10. Structural Floor System 52. APPROVALTO DECK -"'" ' ' ' 11. Property Sewer Line & House Connec[ion 53. Backwash & Rece toi-Final • 12. Street Sewer Connection - • 54. Heater & Vent-Final 13. Rough Plumbing -/(�- 1. .� c � " - - - � ' '--• 14. Rough ElectrirConduit - - - �56. ' Electrical•Final 15. Rou h Electric-Wirin " 57. -Solar System-Final ' i6. Rough Heating & Air Conditioning - • encing & Access Approval 17. Ducts in Structure APPROVED FOR PLASTERING 18. Ducts, Ventilating � 19. Gas Pipe-Rough &Test 60. POOL/SPA SYSTEMS FINA� 20. Roof Framing � ^ 21. Roof Sheathin 22. Frame and flashin ' NOTES: � � .. _ / _ _ 1 23. Insulation 24. Lathin & $iding 25. Drywall Nailing 26. Plaster Brown Coat 27. Electrical Power Meter-Final 28. Final Electric �� ' ' � � � � 29, Final Heating & Air Conditioning. 30. Final Gas Rpe-Test - J- j� - � ' 31. Final Plumbing - -3$ ' ' 32. Water Service-Final ' � '.•� � " � ' 33. Gas Service-Final � ' � ' � 34. Solar pomestic-Final ' 35. Landsca S rinklin S stem � 36. Sound Attenuation ' ' 37. Handicap Regulations " 38. FINAL STRUCTURE & 6UILDING - � - - ' - � 39. Special RequiremeMs Coh�pleted � � � � � 40. Electric Release to Edison � � - � 41 . Gas Release to Southern California Gas Co. - � 42. CERTIFICATE OF'OCCUPANCY C � ' ` No Date - - _ Applieant l0 fill in all tpacas within �eavy EOrtler lines anO sign all apO�oD�iale tleclirati0ns. CITY OF�COSTA MESA P RMIT NO.� TRACT NO. LOT NO. BLDG. NO. ' CONSTRUCTION PERMIT �— S`f 7 � lam m 7 % 7`+4 � TV E OF CONSTRUCTION Phone EW �O. ❑ ALTERATION � ❑ REPAIR ❑ CONVERSION ❑DEMOLISH LiCCnze NO. ❑ OTHER DESCRIPTION OF WORK Phone /iQ TYPE OF PERMIT � � P ❑GRADING ' O FOUNDATION ❑'STRUCTVRAL FTION � � ❑TENANl�IE6ECTRICAL��PLUMBING ❑MECHAI rt p Wslons o/ C�artCr 9 (com- � . / � , , , 3 af tha Buslne55 antl .�OTHER s n fuil t�e an ett pROJECT DESCRIPTION • ' Litense Class � �Licenz o. ' oaia //—R s�e�ae��e sca. �. ' - WORKEf35'COMVENSATION `LARA ION . OCCUPANCV�CONSTRUCTIONTVPE� I hareby aHirm tnat 1 ha rtHi<ate o/ conunt lo seli-0nsure or a yALUATION ZONE terq/iwte-ol Worker5' ensatlon Insuranca, or a cortliled mpY -� . tnareof (Sactlon 3800, . C.). ' � GRADING CV. VDS. ACRES � �'�.Y No. 'ComPanY rctlfietl copy is nereby furnlshetl. REMqRKS: . �-.erlifletl topy Is flletl wit� the City Builtling Dlvision: � - , � EX&MPTION FROM WORKERS' COM SATION DECLARATION � '"' ' - (Thls.uction neetl not be complete ' t permit is for one huntlretl . ,. . � ., 55160) or tess). -� . . tertify that in the pefformance t[ work for � this permit is IssuOtl, I shall not emPloy any' erso In any r so as to become � PLUMBING �� -' PLAN CHECK –' subj¢ct t e� orkeri Compe atl L�awi ot fornia. . , Datg Si9nat BATHTUBS SHOWERS NO710E: Ii after making thl caraUon, you snoultl become subject TOILETS ' '�URINALS '" to th< WOrkerS' CAmpenS P�OVISIonS O1 tha Ldbor CotlU you mu5t � � fortnwitn comply wil provislons or this permit shall be tleeme0 �VATORIES DOUBI.E lAVS ` � mvqketl. CONSTRUCTION L DING AGENCV KIT.'S�NKS " - DISHWASHERS " I bereby aHlrm that there ii a<onstructlon leneing agency for Ihe per• SERVICE SINKS '- �� SUMPS �'`° forr�dnce o/ [he wOrk ior whlCh thls parmit IS ISSU¢tl �SectlOn 3097 Civ. C.). � - . FLOOR SINKS � -� FLOOR DRAINS ^ l-4�tlef'S NdTe Lentler's Atltlresi DRINKING FOUNTAINS ' - �� " '� � OWNER'BUILDER DECLARATION'-' � INTERCEPTORS CLARIFIERS I hereby aftlrm that I am exempt from.tne Con[ractor's License Law for tbe following reason (Section 7031.5 �Business antl Profe55ions Cotle: SWIMMING�POOL - P TRAP" ` Any ci[y or county which requlres a permlt to conztruct, alter, ImDrove, tlemolisb or repair any zVucture,-Drior to Its Issuante, also're- yyqTER SERVICE � ALTERATION --" auf�es the aool(cant to� suc� oermk to lile a si9nea statament t�at be ' tnan d5 BXC 029� J I/�J� /. �' u,'�ll i; � ` i �. . � .. . ZONING REGULATION$ " . {1.P. iF • ZONE � PLNTGp, gRUEFIL.�p� ' � SETBACK PROPERTYNLINE � • � ' . �F YARD SIQ Y . . . REAR VARD (TO PKG. SPACE REQ. SPECIAL CONDITIONS: DED ' FEE E " OATE - � ELEC7RICAL �� aLAN criECK . � GENERATOR 0-1KW_1•lO�KW� TRANSFORMER - APPLIANCE 10-SOKW_SO+.KW� MOTORS . ' 0-1 HP_3•101iP _ . '(INQ SOLAR) . 1050 HP_ 50 + HP � 'FIXTURES ' OVTLETS SWITCHES •GAS TUBE SIC.NS - – � ' ' POLE LIGHTS - • rvi5ions of the Con[ractor's Litmse Law� GAS SERVICE OUTLETS � h 5ection 7000) o( Dlvision 3 0/ the ) or that ne iz exempt thnrelrom antl the ' y.�qTER HEATERS " BTU OVTPOT " � in. qny violallon of $ectlon 7031.5 by ubJects the applicant to a clvll penalty SEWER CONNECTIONS � �- - ' tl tlollars (E500). v. er mv amolov¢es with waacs as their SOIAR TANK COLLECTORS ` or OHeretl lor sale. (Sectlon 7044, Businesz and Rofesslons Cotle: The SOLAR PIPiNC SYS. Coqtrac[or'i U<unze Law tloes not appty [o an owner ot a p�o0orty _ _ wh0 builtls ar (mprovez tnereon, antl who Goes sucn work hlmselt or ISSUE FEE [hrOu9h his Own amplOyces, prOvitletl Nal Such ImprOveme0t5 are not Inl@naetl or of�cretl tor sale. I/, howeveq the bulltling or imorovemant MECHANICAL '•PLAN CHECK is spltl within.one year oi <ompletlon, Ihe owner will have the burtlen of'provin9 �e tlltl not builtl or -improve for [he purpose o( saie�. HEA7ING SVSTEM 0-300,000 BTU_ ❑ 1, as owner of the property, am exclusively conlractin9 wit� qMD OUCTING Ilcensetl contractors [o conslruct [he prqect (Section �044, Businesi 100,000�+BTU_ antl Professions COCe: The Contractor'S Llcansa Law tloes not apply to - an Owner of prOperty wh0 builtls or ImprOv¢s'ther¢on, antl who con- REFRIGERATION 0-300.000 BTU_ t�d�ts from zuch projetts with a conVapto�(s) Iitesnatl pU�suant t0 SYSTEM � �' - the �ontractOr's LJcense Law). 300,000 * BTU_ ❑ 1 am exempt untler SecHon B. 6 P. C. �o� tn(S BOILERS BTU reazon Dala Ownor SVSTEMREPAIR,ALTERATION I hqreby certity I have roatl t�is aOG��o� antl State Ihat thc aDovg EXHAUST SVSTEM MULTIPLE IMOrmation i c rect. I agr e to comply with all tlty antl county ortllnances a te laws r ng to construction, antl hereby authorizo ' lepr¢senta _of this y't0 enter yppn th¢ abOva mCntion¢tl o S�� - I �SSVEFEE Whlte-BuilGing; Canary-AOD��: Rnk-Accountin9: JltlenroC-AsseSsor PANELS _ "' MAIN SUB ' AMP SUMMARV OF fEES �. � ` BUILDING • - - � � PERMIT S SMIP - . S PLAN CHECK S PERMIT , �PLUMBING § � �SSUANCE �S� , PLANCHECK S ��//. � , GRADING� S ELECTRICAL E��-7S1— � E PLAN CHECK S � , MICROFILM E MECHANICAL S TOTAL FEE S� PLANCHECK E � � LESSAD-- VANCE PC E � FINALFEE 5 �•Y�D i _ _ _ 3 . _ • ' 'i. ' ' _ . .. . � . ' " ' ' i .. . . . � CONSTRUCTION AND PLANNINGA POOL & SPA ' • • -, , ,; , .,., APPROVALS Permit# L-Sy7 Date 'Inspeetoi APPROVALS : Permit�# • : Date`.� Inspeetor� 1. Temporary Electrical Service or Pole 43. Poo'8i Equipment Location - �- - i ipe• n rgrm. ' - Steel Reinforcement - - - - -• - - _ lectrical Conduit Utility-Undrgrn . 45. Forms - � - 4.. .Electrical Conduit-Undrgrn f 46. Electrical Bondin -- - - - tee ein orce �- � • 47. Rough Plumbin & Pressure Test " " _'-' -- ` --•-- ' 6. Electrical_UFER Grn 48: APPjiOVAL TO COVER-G�1NITE ----- � 7. ootings __ ' � 49. Elect�ical Conduit-Undr m ' � ..8. Foundation 50. Gas Pi ❑ Undr rn; Test . � � .. 9., -Water.Pipe-Undig'r'n ' ' 51. ackwash Lines P-Tre ' n � `'' � - - - - • - - ' 10._ Structural Floor System 52. APPROVALTO DECK " ' `' ' - '- .11. Property Sewer Line & House Connec[ion _ �� 53. Backwash &�Rece tor•Final ' . .12. Street Sewer Connection � � ' � 54. Heater & Vent-Final ' � .13. Rough Plumbing_ - � - ' '- � . 14. Rough ElectricConduit �$2 - C- -- ��56.s Elec[rical-Final � - . 15. Rou h Elec[ric-Wiring � � -- - -- - - - 57: Solar System•Final " � ' ' ' � - � � ' 16.-�- Rough Heating & Air Conditioning - - � - - - - • encing & Access Approval 17.' Ducts in Structure - � APPROVED FOR PLASTERING "• • 18. Ducts. Ventilating . - - - - - - - . . �.. _, __ .,. _ ..� _ . 19. Gas Rpe-Rough &Test- � � ' 60. FOOUSPA SYSTEMS FINAL , � ' 20.' Roof Framirig " - � - �� - � � �� • , 21. Roof Sheathin � - ' ' � -- ' : - - . ' � - • . . 22. Frame and Flashin - ' NOTES: ' : ' ' ; � 23: - Insulation- -- - - - - � '- - - . 24:' �Lathiri &Siding ' � ' . .. -- - - � - - 25. Drywall Nailing � � ' - ' . . ' ' - 26. -Plaster Brown Coat- �'" ' ' ' ' � - - - - ' - � 27. Electrical Power Meter-Final � � � - ' - ' � ' ' - � 28.� -Final Electric- - - � - " � � ' ' � 29. Final Heating & Air Conditioning. � ' � � - � � � 30.'. Final Gas Rpe-Test _ � - ' - " � � . 31. _Final Plumbing � - - • , 32:� � Water.�Service-Fiaal . . . ' _ �. _ . . � � . • ' 33.-� Gas Service•Einal � ' � � ' " � • 34. Solar pomestio-Finaf � �• � ' �� - � � ' ' '� 35. landsca S rinklin S stem � � ' - � ' ' ' ' ' . 36. Sound Attenuation } . - �' " ' � ' � � � - - 37. Handicap Regulations ` ' i ' ' � � - � � •� -. • � ' 38. FINALSTfiUCTURE&BUILDING � ' 39. Special Requirements Completed ' ' ' ' ' - ' - - - 40. Electric Release to Edison - �� - � � - � - � - " - � I 41. Gas Release to Southern� California Gas'Co. � �� 42. CERTIFICATE OF OCCUPANCY .- _ . . . -No - Date � �. .. - - - - - � i� �i AOO�i OF COSTA MESA �FRU�TION PERMIT Addrea t to fill In all spaces Within PE MIT NO. � - �f79� barEar linei antl sign all approprlate Eeclantian TRACT NO. LOT NO. � BLDG. NO. �;n tc�.i � ��. , � TVPE OF CONSTRUCTION ��NEW ❑ ADO ❑ ALTERATION ❑ REPAIR ❑ CONVERSION. ❑DEMOLISH ArCh/Eng. ' ' _ LicenSe NO. ❑ OTHER � Address _ _ _ _ _ DESCyR�TION OF WORK Contractor (.<^_N�Q V, ` Phone .. -TYPE OF PERMIT . 1� ' - -� Addf� _ - - - - � ❑ GRA�ING ❑� FOVNDATION �STRVCTURAL ' ' LICENSED CONSRAGTOR OECLARATIUN ' " "QTENANT:O�ELECT.RICHL OPLUMBING OMECHANitF 1 herobY dff(fT thdt" 1 dm IICaOSeA Untl¢r provislons of Cnarter 9,(com- � mencl�9 �+��h 58ction 7000) oi DlNslon 3 Of the Business antl �._� OTMER ' RotesSions Cotle, antl "my Iicensa" is In full force antl effe<t. pROJECT DESCRIPTION � LJtenze Class - Llcense No. " ' - ' - ' , ,, � � Oat $i9ndture . .-. , � $Q. FT. .. ' . " ' "' ' � _ "' WORKERS' COMPENSATION DECLARATION �_ OCCVPANCV ' CONSTRVCTION TVPE — I �ereby atitrm that I �ave a certifiwte ot tansent to self-insur¢ or.a VALUATION .- /+OGB ZONE certifiwte of Wovkers' Compensstlon InSurance, or a certlfietl copy, .. thereaT (Saction 3800, L:zb. C.). � � GRADING.CU. YDS. ACRES Policy No. Company ' 'eV��ietl tOpy is �ereDy TurnlSheC. . REMARKS: , � � _ • ' . , . . . eA�fieA copy is iiletl with tlie city Builtling Division. , EnEM��ON FROM WORKERS' COMPENSATION DECLARATION � ' --• - (TNs Se�t�on neatl not Ee completetl iT tha permit Is tor ona �untlretl - �- . (5300)� or lessl. - •- - " ' " - ' ' • I CerH�Y thdt in the pertormance oi t�e work tor whic� this permlt Is issuetl. I s�alL not employ any person iq anY �nner zo as to become PLUMBING. '- ' PLAN CHECK X Date J��3' �L Signature �eia i n i un> snowews NOTILE: If after making this tlec aratlon, you s�oultl betoma ubjec(_ , TOILETS URINALS ' ' to tha M�orkers' Compensation Pravisions of t�e tabor CoAe, you must � �� _ fort�W�� comply with such pravislons or this permit zhall be Eeemetl �-A.VATORIES DOUBLE LAVS revoked. CONSTRUCTION CENDING AGENCV � � ' --' 'KIT: SINKS" ' ' DISHWASHERS I herebY aftirm that [here is a mns[ruttlon lentling agency tor thC Perv SERVICE SINKS �- SUMPS' ` -- formaP�e af t�e work for whic� Mis permit is IssueA (Setlion 309] Gv. C.L_� . . __ . .. _ _.- � .- -- ' FLOOR'SINKS ` - � ' FLOOR DRAINS Lentler's Name L.entleYY Atltlras � -� ` '- DRINKING FOVNTAINS"--" ' " � - OWNER BUILDER DECIARATION_.. ' INTERCEPTORS-' CLARIFIERS LhereGY affi�m t�at I am exempt irom.tne Coniractor's Licenio Law for -t�etol�owing_�eason(Sectlon7031.5Business.and-ProtessionsCotle:- SWIMMINGPOOL--- PTRAP'-�"---" Any city or cou�tY which requires a permit to construct, alter, im ro�R, tlemolis�pr repair anY structura, prior to its iszuance, also re- yyqTER SERV ICE -' ALTERATION - quPes �M1e appli�ant for suc� permi[ to file a signetl statement lhat he is Iicensetl pursuant to Ne provisions of tbe-Contractor's License Law GAS SERV ICE� � OVTlETS (Chapter 9 lcommenting with Section 7000) ot Divhion 3 of t�e Business antl_Rofrssions Coae) or.thaL�e is exampt tharefrom�an0 Ihe- yyqTER HEATERS ' "BTU OVTPUT'� - Dasis for the alle9etl exemption. Any violalion of Section ]031.5 by a" �;apP��t for a permi[ sUbjects the appliwnt to-a civil panalty SEWER CONNECTION$' "' �' '' "' ' .t mOrG than fiee �untlrea Uollars (5500). -as�owner o( the properry, or my emOloyees witn wages as-[heir SOLAR TANK' -- ' COILECTORS ' SOIe �compensatiOn, will tlo lhe wo�k, an0 th¢ itructu�e is ml Inte�tleC __ __. __ O� afle��-to� sale. (Section ]094, Business'anC'Rofess5ont-Cotle: Th¢ SOLAR PIPING SYS. � Contractor's License Law tloes not appry to an owner of a property ,_ , _ __ __ who bu�105 or improves thereo�, antl who tloes suc� work'�imself or �- ISSUE FEE • throu9h ��s own emPloyees, provi0etl that such improvements are not intenA64'or offered'for sate.'If, howeveq-iM1e �ull0ing or Improvement MECHANICAL P�qN CHECK is soltl M'�t�in one yrar oT comPietion, the owner will have the burUen o1-pro��9'he-tlid not �uiltl or improve-for-the purpose'of sale). HEATINGSVSTEM 0-100,000BTU ❑ 1, as_ owner ot t�e property„ am ezclusivaly._contracting. wlth. qND DVCTING - - "�� - Iicensed mntractofs to mnstruct the projeti, (Settion 7044, BUSiness 300,000 +BTU anC RPiazionz Cotle: T�e Contra<tor'S IJcense Law tloes not apply to an ow�er ot property who builOs or improves thereon, antl who con- REFRIGERATION 0-100,000 BTU tracts from such projectz with a contractor(s) .Iicesnetl pursuant to SVSTEM �-� - -- - � �'� tmhe Ca�traclorY License Law). 100,000 + BTU � M p„1 an� exampt unGer Sectioo 0 y r •' B. & P. 0. �or this BOILERS BTV reason ,� lr[ �Le _-� �. 2 ��e �,(,(� � � / �� /� � � SVSTEM REPAIR, ALTERATION 1 �ereGY �rtify that 1 �ave reatl this aDD��t�on antl sta[e that �Fe above EXHAUST SVSTEM MULTIPLE information is correct. P agree �to comply witn all dty antl countY ortlinah�s antl state lavrs relating to construction, antl hereby authorize repre5e�tatives of. th s city to- enter/ upom the above meniionetl propertY for inspe un Ourposes. -/3 � xSl9natJre �� Oate Drivers`License or 55 � � � ISSUEFEE CMF 0865-06 W�ite-Builtling; Unary-ApPlicant; Rnk-Attountin9: Goltlenrotl-Asxssor � � � A.P. � G' ZONE SETBAC�K C/L ST. L I YARD R�IGHT - 'REAR YARD (TO P/ PKG. SPACE REQ. STREET WIOTH ZONING APPROVE� SPECIAL GONUITIOI � , - _.�. • 75�0. 9/t3/82 31.Q5 PLI`T1Gp: gRUEF. �� N" ' . •' , f � PROPE�RTV L NE �� i PROVIDED' . � . PARK FEE 5 ' ' ELECTRICAL PLAN CHECK S(J. FT. GO FL � GENERATOR -' Od KW_�1-lOaKW � TRANSFORMER AGPLIANCE 30-SOKW�50+1(W_ � �� Tl 'MOTORS - 0-1 HP�l-10 HP -(INC. SOLAR) ' 30-SO HP SO + IiP ` �_ FIXTURES OUTLETS SWITCHES I �GAS TUBE SIGNS - ,�� , POIE UGHTS � � , �y � SVB , \ i55VE FEE �APVLICATION APPROVED BV . DATE9 �'� � SUMMARV OF FEES . . � ' �BUILDING - � O S'O, PERMIT _ f OO' SMIP ._"- ''§ . PLAN CHECK S � PERMIT • � ISSUANCE E ' PLUMBING S � ' - - GRADING S - PLANCHECK 5 �- � ELECTRICAL 5 � a , _ - � MICROFILM S �PLAN CHECK s MECHANICAL E - TOTAL FEES PLAN CHECK E VANCE PC § � FINAL FEE § 3!. �s � 7 CONSTRUCTION AND PLANN APPROVALS Permit # . 1. Temporary Electrical Service or Pc ' 11. Property Sewer Line & House Cor 12. Street Sewer Connection 13. Rough Plumbing 14. Rough Electric-Conduit '15. 'Rough Electric-Wiring " 16. Rough �Heating & Air Conditionin 17. Ducts in Structure 18. Ducts; Ventilating 19.' Gas Pipe-Rough &Test - � ' , 20.' Roof Framing ' ' 21. Roof Sheathin " - 22.� FrameandFlashin ' 23.. Insulation � 24. Lathing & Siding _ � 25.' Drywall Nailing � 26..� Plaster Brown Coat � � 27. Electrical Power Meter-Final • � 26. Final Electric___ �_ ' 29.' Final Heatinq & Air Conditioning 34. Solar pomestic-Final � 35: Landsca e S rinklin S stem ' � � 36. Sound Attenuation 37. Handicap Regulations � 36. FINAL STRUCTURE & BUILDING - 39. Special Requirements Completed � 40. Elect'ric Release to Edison � 41. -'Gas Release to Southern California Gas Co. 42. CERTIFICATEOFOCCUPANCY • No • pate ' POOL&SPA � ' . �.1�"�� d Date Inspector - '� ' ' ' ' ' ' Date � .Inspecto� 'APPROVALS � � Permit # _ _ _ . .... _ ' 43. Pool & Equipment L'ocation � � �- �� 44. Steel Reinforcement ' � � - � - � . _.45. � Forms . � - '-� ' - - - � ' - 46-.�•-Electrical Bonding ' " "- ' ' � � 47. Rough Plumbin & Pressure�Test' "" " - ' `"' ' � - 48... APPROVALTOCOVER-GUNITE - . L J 49. Electrical Conduit-Undr rn . � " � � �; � .; ' - 50. � Gas Pipe. � Undram. Test ' ' - ' � . 53.- Backwash & Rece-tor=Final ' ' " ' � - 54. Heater & Vent-Final � - - �56'-- Electrical-Finat�- ' � ' � - • ��- - � 57. �SolarSYstem-Final - . - _ .encing & Access Approval . � ' - 5 . APPROVED'FORPLASTERING _ _ _ `' 60. POOUSPA SYSTEMS F'INAL. � , � ' - - -- NOTES: l. - - - - - - -- . .. � ... ..- . < .� � �� \ � „�„ PAlII �-''r 3468.� -4-��,; :o0 4b3� ��:�5�,,� COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFOflNIA 92626 For Applicant to Fill in Completely APPLICATION FOR BUILDING PERMIT FEC�VEpeV DATERECEIVED Dj� TEISSUI ��.y � %�7�-- /� .�/�7 � OWNER , /��S A.P.NO. � I�� r��V / ` BUILDING � / � �,/ O MAII ADDRESS (p 0 ST. Z ADDRESS � ,�Jp-� aU CITY� �� - �i NOL TRACf`� ��H�/, LOT�� BLOCK ~ Z W A O P Z Q CONSiRUCTION . ON LENDEF 2 m J � BRANCH J N OWNER ' a w ADDRESS ma OR ENGINEER 1� NEL. S ` C VALU$ �I I� � �� U Q FIRE � w� ADDRE55 20NE TVPE GROVP � W Z APPR E � J O CONTflACTOR V�� ' BV ATE � m Z 0 J � ADDRE55 •` W w TEL. ZONE NO.OF /� USE OF NE � I �= CITV NO. P��! BUILDING3�� Z_ ~ I W � STATE CITY YARDS APPROVED VARDS APPROVED 1 y� LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING ��" � O (FFOM Gl STREET) SIZE � NO.OF BLDGS. OF LOT � �� NOW ON LOT O RO �� FT. FT. USE OF EXISTING BLDG. FT F SIZE OF NO. OF ZQ NEWBLOG. ROOMS STOFIES L.SIDE FT. FT. V EXTERIOR WAL ROOF / p �/ COVERING eCLC7 COVERING REAR (OFT.o FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BEf. MAIN & a ' MAIN BLDGS. ACCE$$. BLDGS. a �� ) O (J V(/ CURP��E'%�,-% APPROVED� � '� ~ /' APPROVE � � fQ ((J � / S' '� z O F� � fI'.�: ----T, VI hereby acknowlatlBe thax I hav0 reatl t�is epplieetion antl state �' � � /� � that the ebova intormation is cal�ett antl agree to comply wiih � � all lews ragulating builtlin8 �onsnuction, antl I shall not employ �n T F any person in violeNon of the wOrkman's compensailon laws of • y Me Stete ot Californle. � � Z 1 hereb certit that I am SQ. FT. /' O V y properlV IicansaC asa tontractor untlar the Stata of California Businass antl ProfessiOns Cotle, DivisiGn 3, THE AMOVNT SHOWN UNDER VALUATION IS FOR ^ Chapter 9, antl t�at such licenses ara in full forca entl eftect, or I THE PURPO6E OF ESTABLISNING A PERMIT FEE ONLV: Q em exempt fr he provisions t the yate of Callfornia Business VALUATION end Protessl s Co e, OI 'sion 3 Ghap ar 9. �" r � . PERMfT FEE $ ] Signamro o / //(�f/ �/ m Permlttea $ �/ `� % /��1J P�p,N CHECK $ !%1• � E �U�� LL IAuthorizatl ABent TOTAL FEE $