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Home My WebLink About390 18TH ST - Building Permitsr (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.��LDING PERMIT �� FAIR DFIVE, GOSTA MESA, GA 92626 Job nddress: 390 E 18TH ST Suite: Viciniry: Parcel Number: 11729109 npp�icant: HARRIS, ROGER SCOTT Address: 390 E 18TH ST COSTA MESA, CA Owner: HARRIS, ROGER SCOTT Address 390 E 18TH ST - COSTA MESA, CA Con tractor. O W N E R- B U I L D E R Address: Zip: Arch : Address: Phone: Zoning: Phone: 949-645-7030 Zip: 92627 Phone: Zip: 92627 � . Phone: License: � 000000 Eng: Address: Stalus: ISSUED Applied: 10I04I2002 Issued: 10/04�2002 1� � ISSUED BV: � �� o� Phone: Zip: . ' License: License: SCOPE OF PERMIT INSTALL GAS FIRE PLACE REPORT BY WARNOCK HERSEY # 629-915173. CHIMNEY CAP SHALL BE LISTED. Plan Check: Permit: SMIP Res: SMIP Com: Other: Inspection: Total $63.21 $97.25 $0.50 $0.00 $0.00 $0.00 $160.96 SETBACKS , • MAIN STRUCTURE Front 0. 0 Rear 0- 0 ACCESSORY Front 0- 0 �� Rear 0. 0 PARKING Existinq: �0 � Re uired: 0 NOTES: FEE SUMMARY PLANNING & ZONING Lek 0- 0 Left 0. 0 Prooased: 0 Calc Valuation: Claim Valuation: Right 0- 0 Right 0. 0 $3,200.00 53,200.00 NOTICE: Tha work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-27-g2) EXPIRATION: This permit shall automatically expire and become void if work is not commencad wi�hin 180 days, or il work is suspended or abandoned Ifor a period of 180 days. INSPECTIONS: In order for the work euthodzed under this permit to be considered legal, such work must comply with all applicable codes, and all � required Inspectlona and final approval musl be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 244&48 (8/00) WORKERS' COMPENSATION DEL'CARATON: • . .�/ ! ' I hereby attirm untler penalry of perjury ona at ihe iWlowing Aeclaretlons: � .,, ❑ i heve ana will mflimein a cenificate of consent w self-Insure for workers' compensation, es provitled br Ey section 3700 of the LeDor Code, tor Ue peAormance of the work lar w�ich t�is pertnii is issued. . ❑ I have a�M wlll maintein workers' mmpenSaUon insurence, as requiretl by secUon 3700 ot Ihe Lehor Code, for the pertortnance o1 the work ta wNch Nis pemtlt is issued. My workers' wmpensation Insurance cartier entl policy number ere: Certler. Policy NumDer: (Thls sectlon need not be comp/efed i! the pemtif /5 velued et one hundred dd/en (S I00J a less.) ❑ I certify t�et in the pedartnance of I�e work for wNch UIs pertntl ls issueC, I shall not employ eny pereon In eny manner so es to become sub�ect to t�e workers' campensatlon laws ot Celifomia, end egree thet II I should Dewme sub�ect to the workers' campensatlon provisions of Sectlon 3700 oi the Lebor Cotle, I ahell tonhwiN comply with t�ese provisions. Applicanl SlgnaNre: Dete: WPANINO: FAIWRE TO SEWRE WORKEf15' COAWENSATION CUVEMGE IS UNL4WFUL NID SNALL SUBIECT Ml EMPLOVER TO CHIMINAL PENALTES M1D pVIL FlNES UP TOONE MUNDRED TTKK1SrWD DO�URE (5100,000), IN ADDfiION TO THE WST OF COfdPENSATION, OAMAGES PS PROVIDED f-0R IN SECTIpJ 31O80F iHE IABOR ODDE, UREREST, PND ATfORNE'fS FEES. LICENSED CONTRACTORS DECLARATION: I hereby effirm Ihat I am licensed untler provisions ol Chepter 9(commencing with SecUon 7000) ol DlWsion 3 0l ihe Business and Professions Code, arM my license is in futl brce end eNea. Lic. M Class a Contrectofs Signewre: Dete: CONSTRUCTION LENDING AGENCY: ❑ I �ereby aHlrtn t�el thera is e construalon lending egenry for the peAortnanCe oi the work for w�lch this permit is Issued. (Sec. 3097, Civil CoCe). Lentle/s Neme: Lentler's AOtlreu: SlOneture: Date: OWNER•BUILDER DECLAFATIONS: I hereby aHirm thet under penalry ol perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Business antl Pratessiwu Cotle: Any ciry or counry which requires e Oermil to conswct, elter, improve, EemWish, or repair any siructure, prior to its issuence, elso requires ihe applicant for such pertrtit to tile a sipnea statemem that he or she is Iicensed pursuant to Ihe pravisions of the Contrectars License Lew (C�epter 9(commendng with SecUon 7000) ot Division 3 ot Ne Busineu entl�Professlons Code) or that he or sha is e:empt therelrom end the Easis lor Iha ellepetl ezemption. Any violetion of Section 7031.5 hy any epplicent for e permil subjects Ihe epplicant to a clvll penalry ot rwt mare Ihan live �untlreG tlollars ($500) J: t� Y/ I�ii `., l-� � I, es owner of Ne properry,-or my employees wit� wages as thair sole campensetlon, WILL DO THE WORK, and the structure Is not intendetl or offered tor sele (Sec. 7044, Business and Professions Code:•Tha Contractors License Lew does not apply to an owner ol properly w�o builds or improves thereon, antl who does such work himself o[hersetl or through his or her�own employees, provitled thet such improvements ere nol Intentlea or oNered tor sale. If, however, tha builCing or Improvement is mld within one year of campletian!the ownerbuiltler will hava Iha burden ol proving ihet ha or she did not buila or Improve lor purpose ot saleJ. ❑ I, as owner of Ihe property, am EXCLUSIVELY CONTRAC7ING WITH LICENSED CONTAACTORS to construct the pro�ect (Sec. 7044, Businass antl Professions Cotle: T�e contractors License Lew does not epply to en owner ot pmperty who bulltls or Improves thereon, entl w�o coniracis tor such pro�ecl with e cantractoqs) ^ license pu�suant to iha Cantret�OrS LiCense Lews.). Business antl Pmlessions Code for IN5 reeson: Owner ID veniletl by Odver's Ilcense. "�yes, ❑ No Venlicatlon of Ownership by (rype oi tlaument, I.e. - properry tax blll or deed): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: Licensa No. ❑ I hereby certlty that no excavetlon five (5) or more teet in depth ima whlch e person Is requlred to descend, wlll be mede In wnnedlon wl�h work euthodzed by f�is permit, antl t�et no buildinq structure, scettolding, telsework, or Oemolitlon or dismanfling thereol, wlll be more then thirty-six (38) (eet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tltle B, Celibmla Administrative Code). ❑ As owner-builtler, I wlll not employ enyone lo do wark which wauld requlre e pertnit Irom I�e Dlvislon ol Industdel Sefery, es notetl above, unless suc� pereon has e pertnit to do such work trom Ihe divislon. Signeture: Date: Dlvlsion of Industrlal Salery Permit Number: CERTIFlCATE OF COMPLUWCE ANU AUiHORPATON OF ENfAY: I certily under penelty ol per�ury that I �eve read this epplication and state [hat Uie infortnalion given is correc��,,,� egree to comply wit� ell state laws end dry ortlinences relatlng to building construction, and eulhoAze representetives ot I�a Clry ot CosW Mesa to enter upon Ne e�6-0bscrlbed prope�rty lor JIns ction purposes. I e accupy or flllow occuDency ol eny building e oyrizeQ by Nis permi� unlil linal inspection. \ P �-c 9��.. "1 � � �Z SlgnaNre Ot legal Owner(s) � Datal And/Or Aut�odzed Applicant 4pDE /. INSPECiIONTYPE Q�f, � 1616 FIxeA System Final Fire Prevention 1288 200 Pool Spe Final Finel RaRoot cooe. ixsvecnoxTrae 208 Final MeCheniCel 208 Finel Plumbing 210 Pinel Elacldcal 201 Finel BIocWReteining Well 212 Final Fire Preventlon 202 Final Fectory Fire Place 220 Final Planning Apprwel 203 Finel Sipn 222 Finel Site 204 Final Domolitlan 250 Final Bullding/Occupancy PAIF Vi�E48 I (714) 754-5273 • Fex (714) 754•4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 Job Address: 390 E 18TH ST Suite No Vicinity: Parcel Number: 11729109 Applicant Address: Owner: Address: Contractor: Address: HARRIS, ROGER SCOTT 390 E 18TH ST COSTA MESq, CA HARRIS, ROGER SCOTT 390 E 78TH ST COSTA MESq, CA OWNER-BUILDER MECHANICAL PERMIT Phone: 949-645-0821 Zip: 92627 Phone: Zip: 92627 Phone: Zip: License: 000000 SCOPE OF PERMIT MECHANICAL TO INCLUDE: 1 FACTORY FIREPLACE REF.: B02-01626 ISSUE FEE Inst FAU <100 k BTU Inst FAU >100 k BTU Repair/Alt CoolinglHeat Insl / Rep. Recess Wall Hlr Refrig Sys <100 k BTU Refrig Sys >100 k BTU Gas Piping Faclory Fireplace Hood w/Mech Exhaust VAV Box Vent Fan / Single Duct Appliance Fire Dampers ' � Smoke Dampers , Inst or Relocate Appl Vent . Air Handlers < 10000c(m � Air Handlers > 10000c(m Floor Fumace � Floor or Suspend Heater -0uantity $23.50 $0.00 0 $0.00 0 $0.00 0 $0.00 0 - 30.00 0 $0.00 0 $0.00 0 $10.65 1 $0.00 0 $0.00 0 $0.00 0 $0.00 0 - 50.00- 0 $0.00 \ 0 , $0.00. \0, $0.00\0" �- - - $0.00 , 0 $0.00 : 0 $0.00 . 0 Status: ISSUED Applied: 10I23I2002 Issued: 10/23/2002 ISSUED BY: FEESUMMARY - Repair / Alt Absorbtion Unit Repair I Alt Refrigeration Unit Ventillation System� . , EvaporaWe Cooler Commercial I nci nera tor Domestic Incinerator Compressors / Absorptian Systems Upto3hpl100kBTU 3To15hp/500kBTU 15 To 30 hp / 1,000 k BTU 30 70 50 hp / 1,750 k BTU Ovei 50 hp / Over 1,750 BTU Boilers Up to 3 hp 3To15hp � 15 l0 30 hp � � � 30 l0 50 hp Over 50 hp Other Mechanical Fee � Investigation Fee Plan Check Fee , � � Reinspection Fee TOTAL CALCULATED FEES Quantity 50.00 0 50.00 0 50.00 0 $0.00 0 50.00 0 50.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 $0.00 0 50.00 0 $0.00 0 50.00 0 $0.00 $0.00 50.00 534.15 NO710E: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and retatad regulations. (Ord. No. 92-28, § 7, 12-21-g2) EXPIRATION: This permlt shall automatically expire and become void if work is not cammenced within 180 days, or if work is suspended or abandoned lor a period of 180 days. INSPECTIONS: In order for ihe work authorized under ihis permlt to be cansidared legel, SUCh work must Comply with all aDPlicable codes, and all required Inspeetlona and final epproval must be obtained. Failure to obtain inspections and tinal approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 , � � 2ae�ae �aroo� WORKERS' COMPENSAPON OECLARATON: �� I hereDy eHirtn untler penalry of perjury one of the Idlowing tleUaratlans: � ❑ I heve end will maintain a certificate ol consent to setl-Insure lor workers' campensatlon, es proviEetl lor by sec0on 3700 of tha Lebor Cotle, tor ihe peAortnence of Ne work for which this permit is issued. ❑ I heve entl w10 meintain workers' compensatlon insurence, as required by section 3700 of the lahpr Cotle, tor Ihe pertortnanca of Ihe wak for whidi Ihis pertnit is iswetl, My workers' compensation Insurence cartier and poliry number ere: Cerder: Policy Num6er: (Tlils s n need nof �e completed il (he perm/�!s velued et ane hundre0 dollars (S100J or /ess.) -- I cenity that In Ihe pedormance of Ihe work far whic� ihls permit is Issue4 I s�all not employ eny peraon in eny menner so as to become su0�ect to t�a workers' compensatlon lewsssIII444I Celifomia, end egrae that It I shoulA become sub�ect to the workers' cnmpensetlon provislons of Sectlon 3700 ai t�e Lebor Cotle, 1 s�all tort�with comply wlth these A�bvisions. �_��__�. AppliceN SlgneNre: x ' ^= � Date: tA ` 22� � �^� i_ _.___ � WARNINO: FAILURE TO SE RE WORKERS' COMPENSATION COVEMOE IS UNUWFUL M1D SHALL SUBJECT AN EMPIOVER TO CRIMINPL P�ES AND GVIL FlNES UP TOONE HUNDRED THOUSAND DOLURE (5100.000), IN ADDfiION TO THE C0.ST OF CpdPENSATIIXJ, DMNGES AS PROVIDED FOH IN SEGTION 3]OB OF THE UBOR COOE. IMEREST, AND ATTOqNEV'9 FEES. LICENSED CONTRACTORS DECLARATION: I hereby eHlrm that I em Ikensed under proNsions of Chapter 8(commendng with Section 7000) of Divlslon 3 of Ihe Buslness and Protessions Cade, enC my license Is in full force end eHect. L!a a Class q ConlrectoYs Signature: Data: CONSTRUCTION LENDING AGENCY: ❑ I hereby aHlrtn ihat Ihere Is a construction lentling epenty lor Ihe peAortnance ol ihe work lor which ihis permlt Is IssueO. (Sec. 3097, CiWI Code). Lentler's Name: Lendefs AdAress: �. SlpnaNre: Date: OWNER-BUILOER OECLARATIONS: I hereby aMlrm that undar penalty ol perjury Ihet I am EXEMPT FROM THE CONTRACTORS LICENSE LAW tor Ihe following reason (Sec. 7031.5, Buslness end Pratesslons Cotle: Any Gty or county which requires a permit b consiruct, elter, impmve, tlemolis�, or repair eny structure, pdor to its Issuance, elso requires the epplicant for such pemJt to lile e signetl atetement Ihet he or she Is Iicensetl pureuent to the provlsians ot the Contrectors lJcense Lew (Chepter 9(commenGng wlth Sectlon 7000j ot Divislon 3 oi Ihe Business antl Protessims Code) or Uet he or sha is eaempt Iheretmm antl Ihe basis br the allegetl e:emption. Any violetian oi Sectlon 7031.5 Dy any epplicant tor e pertnit subjects tha epplicant m e civil penalty oi not more than Ilve hundred tlollers (5500).): ❑ I, es owner ai Ihe pmperty�or.my em0loyees with weges as their sde wmpensatlon, WILL DO TNE WORK, and ihe structura Is not intended or oHereA br sele (Sec. 7044, Business and Professions Cotle: �The CoNractors License Law tloes not appty lo en owner of properry who builds or improves Ihereon, and who tloes such wwk himsell or herselt or through his or hei�own employees, provitled that such improvemenis are nat Intentlea or oHered for sale. tl, however, Ihe builtling or Improvement is sold wilhin one year ot completlon, the ownee builtler will have the burden oi proving that �e or she did not builtl or impmve for purpose ot sale J. ❑ I, es owner ot the properry, em E%CLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to consiruct the Orol� (Sec. 70a4, eusiness erW Professions Cotle: 70e contrectors License Law does nat epphj to an owner of proparty who bullds or Improves t�ereon, end who contracts for suU pro�ect wit� e con[reaor(s) Jicense olYsuant m t�e Contractors License Lewsd. '0 lem ex t rsec. SlgneWre: ' � owner io vennea by d��ers i�cense. Vedflcatlon of Ownership by (rypa at ^ ` Business antl Professions Code for this reeson: Date: _/G O Yes ❑ No Drivers Llcense No. �� . Eipires: _ 'f`.e. - property te�c bill or deed): DIVISION OF INDUSTRIAL SAFETY P�MR CERTFICATION: ❑ I hereby certity Ihat no exwvatlon e(5) or more feet in dept� into which e person is requlrad to descend, will be metle in connedion with work euthoAzed by this pertnit, antl Ihat no Guilding structuie, scaHoltling, falsework, or demolition or dismentlinp t�ereol, wlll be more than thirty-six (38) feet �igh. (Chep. 32, ory 2, A� 2, Sec. 341, Title B, CaOfomia Atlminisiretive Cotle). ❑ As ownervbulider, I will not employ enyone to do work which would require e pertnit trom t�e Didslon ol Industrial Setery, es notetl above, uniess such person hes e pertnit to tlo such work from Ihe division. Signature: Date: Didsion ol Industdal Safey Pertnit Number. CERTIFlCATE OF COMPLIANCE AND AUTHORVATION OF E1fIAY: I cenify under penalry ot perjury that I have read Ihis epplication and stete t�et the Inlormation given is corr t. I agree to wmply wilh all stete lews end ciry ortlinences relating to building mnsWction, end authonze representatNes ot the Ciry ot Costa Mesa to enter upon Ne ebo �doscriDetl property tor inspection purposes ency af eny building euthorized by Ihi pertnit until final inspection. � _ Ie�2e�oL � SionaWre OI Leaal Owner(sl --�� ' Da(e AnNOr Aul�odzed Applicant CO�E I, INSPECTIONTYVE 1818 Fized System Final Fire Prevention 1288 Pod Spa final 200 Flnal Re-Roo1 201 Finel Block/Fletaining Well 202 203 Flnal Factory Fire Place Finel Sign 204 Finel Damalition Q� � COOE I INSPELTION TYVE 206 Final Mechanicel 208 Flnal Plumhing 210 Finel Elecirical 212 Final Flre Preventbn 220 Final Plenning Approvel 222 Final Slte 250 Finel eullding/Occupancy J111. : �j i i ilI (714) 754-5273 • Fax (774) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR ORIVE, COSTA MESA, CA 92626 lob Address: 390 E 18TH ST Suite No Vicinity: Parcel Nunmber: 11729109 Applicant: HARRIS, ROGER SCOTT Address: 390 E 18TH ST COSTA MESA, CA Owner: HARRIS, ROGER SCOTT Address 390 E 18TH ST COSTA MESA, CA Contractor: OWNER-BUILDER Address: Arch / Eng : Address: ISSUE FEE Backfiow irrigation Backflow Preventer Bathtub Clarifier System Connect (Ice,Soda,etc) Dental UniLs Dishwasher Drain, Floor Drain, Rainwater D2in, Roof Drinking Fountain Expansion Tank PLUMBING PERMIT Phone: 94&6457030 Zip: 92627 Phone: 2ip: 92627 Phone: Zip: License: 000000 Phone: Zip: License: Status: ISSUED Applied: 10/04/2002 Issued: 10/04I2002 ISSUED BY: SCOPE OF PERMIT INSTALL GAS FIRE PLACE REPORT BY WARNOCK HERSEY # 62&915173. REF 802-01626.. 1 GAS OUTLET. AMT $23.50 $0.00 $0.00 $0.00 $0.00 ao.00 ao.00 $0.00 $0.00 50.00 30.00 $0.00 ao.00 an 0 0 0 0 0 0 0 0 0 0 0 0' FEE SUMMARY AMT Laundry Tub / Washer $0.00 Landsppe IrrigaUon $0.00 P-Trap � $0.00 Pressure Regulator 50.00 . Process Piping (per 10 ft) $0.00 � � Receptors $0.00 . Septic Tank $0.00 Sewer Cap for Demo $0.00 Sewer Connect $0.00 - Sewer Private Line 50.00 Shower $0.00 Sink, bar $0.00 - Sink, commercial $0.00 aTY 0 0 0 0 0 0 0 0 0 0 0 0 0 SumpPump Swimming Pool -� TrapPrimer Urinal Vacuum Brkr Bkflow(1-0) Vacuum Brkr Bkflow(5+) Wash Basin Wash Basin Set Waste and Vent System Water Closet (foileQ Waler Heater / vent Water Piping (Inst or RepJ Water Re-pipe AMT $0.00 $0.00 $0.00 $0.00 ao.00 $0.00 50.00 $0.00 $0.00 ao.00 ao.00 $0.00 so.00 on 0 0 0 0 0 0 0 0 0 0 0 0 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requiremenis under Calitornia statutes and related regulations. (Ortl. No. 92-28, § 1, t2-21-92) EXPIRATION: This permit shall automatically expire antl become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 780 days. INSPECTIONS: In order tor the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requirad Inspectlona and (inal epproval must be obtained. Failure to obtain inspections and final approval will result in ihe expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 ��.r:�..lfj:9: WORKERS'COMPENSAnON DECLAHA�ON; ' � I hereby attirm untler penalry af perjury one tl� the following tledaretians: ❑ I have entl will maintain e tertitiwte ot consent to self-Insure lor workers' wmpensetion, es provided tor by section 3700 oi �ha Lebor Cotle, for Ne peAormanca of iha work tor whiCh this permit is i55ued. ❑ I �ave and vnT maintain xrorkere' compe��ion insurence, es required by sectian 3700 0l Ihe Lehor Code, for Ihe pertortnance of Ihe wwk lor whiUi Ws pertnil is Iswetl. My warkers' compensation Insumnce carrier entl policy number are: Certier. � Policy NumDer. (This section neetl nof be complerea i! the pB��!!s valuetl et one hundred dollars (5100) or Iess.) ❑ I cartity thet in the peAortnance oi the work lor which Ihis pertnit is Issued, I s�all not employ eny person In eny menner so es to become subject to ihe workere' compensation laws ot Calilomia, antl ag�ea Nat It I should become suD�ect to the workers' compensation proNsians of Secllon 3700 ot the Lebor Cotle, I sheli torthwith wmply with these provisions. ADPlicent Signeture: Date: WARNINO: FNLURE TO SEW RE WORKE0.S' �MPF115RT�ON CO`/EMGE IS UNUWFlJL M'D SHALI SU&IECT AN EMGLOYER TO CRIMINAL PENALTIES AND CML FlNES UP TO IXJE HUNORED TMOUSAND DOI.L4RE (St00.000�.IN ADqT1IXJ TO'�ME COST OF COMPENS�TION, OAA44GE5 AS PNWI�ED FOR IN SEG'TION 31080F THE IABOfi COOE, IMERE5T, M1D ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I �ereby ettirm that I am licensetl under provisians of C�apter B(commencing with Section 7000) ot DlNslon 3 ot the Business end Prolessions Code, enO my license 45 in full force end eMen. Lic. a Class a Contractofs SignaWre: Date: CONSTRUCTION LENDING AGENCV: ❑ I �ereby afllrtn Ihet Ihare is a consirucGon lending agency br the peAormence of Ihe work tor which this permlt Is issued. (Sec. 3097, Civil Cotle). �, Lentlefs Neme: LenEers Adtlress: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby aHirtn thet untler penalry ot perjury tl�et I em EXEMPT FROM T1E CONTRAC70RS LICENSE LAW br the follawing reason (SecJ031.5, Buslness and Protesslau Cade: Any ciry or counry whic� requires e pe�it to consWct, fllter, imprwe, demolish, or repair eny swcWre, pnor to its issuance, elso requires the applicant tor such pertnit to lila e signed stetemant Nat he or she is ficensed pursuant to the provisions M Ne Coniredors License Lew (Chepter B(commenang wit� Section 7000) ot DiNsion 3 ot the Business end Professions Code) or Net he o� sha is exempt therelrwn end the basis tor the alleped e:emptlon. Any Ndatlon of Section 7031.5 by eny epplicent for e pertNt su �ects the epplicant to e ciWl penalry of not Rwre than frva huntlretl dollars (5500).): 1, as owner of t�e pmperty, or my employees with wages as Iheir sde compensa0on, WILL DO TF1E WORK, antl the swcture is not Intended or otteretl for sele (Sec. 7044, Business and Protessions Code: The Contractors License Lew tloes not epply to an owner ot property who builds or improves thereon, and w�o tloes such work himselt or herself or Ihrough his or her Own employees, pmvitletl that such improvements ere not Intended or ottered tor sale. II, however, t�e builOing ar improvement is sold within one year ot completion, t�e D"i�er-bullder vrill have the burtlen ot Drovinp that ha or she tliC not build or improve for puryose of sale.). ❑ I, as owner of Ihe pmperry, em E%CLUSIVEIV CONTRACTING WfTH LICENSED CONTAACTORS to consiruct the pro�acl(Sec. 70a4, Business and Professions Code: The contrattors fJcense taw tloes not appty to en owner oi pmperty who builds or improves thereon, entl w�o comrects for such project with a Goniredor(5) icense pursuant b tha Contractors Lice�se Laws.). '�em exemQl under sec. Business antl Protessions Code lor this reeson: i�fiature'� yX G�+.—ti�'�� 1.��=e Date'. ,. O Owner ID verifietl by drivers ilcense. '�s p No Drivers Llwnaq�lo. �� pires� Verifiwllon of Ownership by (type at tlocumenl, i.e. - property ta�c bill or deetl): DIVISION OF INOUSTRIAL SAFETV PERMIT CERTIFICATON: ❑ I hereby ceNfy Ihal no excavation tNe (5) or more teet in depth into which e person is required to descentl, wlll be metle In annectian with work authoAzetl by NIs pertnit, and Nat no building structura, sceHdtling, talsework, or demdition ar Aismanlling ��ereo( will ba more then �hirry-slx (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Title B, Calitomia Administretiva Code). ❑� As ownervbuiltler, I will not emD�%' enydne to do work which would require a permit irom the DlNslon at Industdel Sefery, es noted above, unless such perean �as a permit to Oo such work Irom the division. SignaWre: Dete: DiWsion ot Industrial Safery Pertnit Number. CEHTIFlCATE OF COMVLIANCE ANU AIJfHORRA710N OF ENfAV: I certity under penalry ot perjury Ihet I have read this apDlication flnC state that Ue infortnaUan given Lq cortect. I agree t wmpty wiih ell state laws end dry ortlinences relating ta building construction, entl authorize representetives oi Ihe Ciry ol Costa Mese �o enter upon the ebove-tlescribe0 perty for inspection p oses. I agree not to accupy or ellow occupency of any builtling euthorizad by tIhis pe�`'it until tinel inspection. ��, v Iolti\6'7 Signatufg.Dt Leg I Owner(s) �' "� AnNOr Authorized Applicant Dale �OOE �. INSPECTONTYVE PAIE 1616 FiseA System Final Flre Prevention 1288 Pool Spe Final 200 Final Re-Roof 207 Finel BIocWRetaining Well 202 Final Factary Fire Place 203 Final Sign 20d Final Demolilion � �QyEj INSPECTIONTYPE 208 Final Mechanicel 208 Final Plumbing 210 Final Elecirlcal 212 Final Fire Preventlon 220 Final Planning Approval 222 Final Slte 250 , Finel Buildinq/Occupan� �g. �� PflOJECT AO�HESS: 3 9 O E 1 8 TH S T OWNEH'SNAME: HARRIS, ROGER SCOTT aooeess: 390 E 18TH ST COSTA MESA,CA 92627 AflCM/ENGINEEH: ROOflESS: PEG.NO.: UNIT: UNIT: PEHMITTEE: ROGER HARRIS (714)645-0821 aooeess: 3 9 0 E 1 8 TH S T C.M. CA 92627 LILENSEo LONTFACTOB DECLRBATION: I �ere�y aHirm tnat I am iicenseU un0er pmvisians of Chav�er 9(commencing witn Section 7000� ol �iv��sion 3 0l Ihe Business antl Pmlessions Cotle. and my license is in full lorce and etteci. CITV LIC.: STATE LIC.: LLA55: Oate: Signa�ure� WOflNEBS' COMPENSATION OELUflATION: 1 here�y aftirm ihat I have a tehi�icate o� consent fo seli-insure or a[¢tlilica�e o� Worker5' Compensalion Insurance, or a cenified coDY thereol �Seclian 3800. Lab. C�. POLICY NO.: EXP. ORTE: COMPANY: � Ce�ifiea copy I5 hereby Wmishetl. ❑ Ceni�iea coDY is filea vn�h the ciry Building Oivision. Oaie: Fpplican��. E%EMPTION fPOM WOPREPS'COMPENSRTION DECLAP�TION: (T�issec' n nee0 natbecrompletMilt�epermilisla ane hun4reG�5100�orless�. I certily ��at in ��e Derlormance o� Ihe work lor wAich this permii rs i etl. I shall noi employ any Derson in any manner so as to Uecome subject �o Ine orkers' Compensalion Laws o� Califomia. 4 �Date: z Signalure: n � ` ' NOTI : Ii. �1 er making t�is declaration. you shoWd become sublect Io I�e orker ' Compensa�ion pmvisions oi Ihe LaOor Code. you musi Iorlhwiih campiY'M�� Suth provi5ion5 or 1�i5 permil 5hall be deemetl revokeE. COKSTflUtTION LENDING AGENCY: I nereby affirm ihat Nere is a constmction lentling agency tor the pedormance ol ine work tor i w�ich �his permit is issuetl (Sectian 3W7. Civ C), LENOEN: AOOflESS: OWNEB BUILDEB OECLANRTION: I �ereby aifirm �hat I am e�empi �rom ��e Coniracmrs' Slaie License Law for t�e follamng reason (Seclion 7031.5 Business ana Pmfessional Cotle: Any city ol counry which repuir¢5 a permi� to con5imct. alier, imD�ove, demolis�, ar repalr any 5lmclure. prior to iis issuance. also repuires Ihe aD�licant lar such permil Io lile a 5igneA slatement Iha� �rJS�e is IitenSeA pursuant �o I�e pmvisions of the Comraclors' Sta�e License Law �C�apter 9(commencing with Section 7000) of Oivision 3 0� t�e Business and Pmlessions Cotle) or ihat he/she is exempi I�erefmm and ihe Gasis for IAe allege� exemp�ion. Any violation ol Section 7031.5 by any applicantlor a permii su0jeci5 �he apDlican�lo a civil penalry o� nol more Ihan �ive AuntlreE dollars (5500�. I, as owner ol IAe pmperty or my employees with wage5 as ��eir sole compen5aiion. will ao ihe work, antl t�e ❑ stmcture is not intendetl or ottered for sale (Sec�ion 70a4. Business an0 Professional CoEe: T�e Contractars' S�ate License Law tloes nol apPly ro an owner o� a pmperty who builtls or improves ihereon, anA who tloes such wofrc himsell/�erull or l�roug� his or her own emDloyees. proviCeG Nai 5uch impmvemenis are not intentle0 or oifere0 �or sale. IL �owever �Ae UvilOing or , improvemem is soltl vni�in one year o� compietion, Ihe owner will Aave t�e burtlen ot pwving �e/s�e Eid nol builA or impmve lOr ��e purpo5e o� 5ale�. I, as owner ol Ihe pmpeny. am exclusivelp conlrac�ing with license� contractars to conslmci IAe O�olecl (Seclian 7044, Business ❑ anU Pmiessions CaCe: TAe Comracmrs' Slaie Lkense Law aoes nat appN �o an oxner of property wlw bmlGs ar im0��s ��¢reon antl who contracis for suc� pmlect5 wi�h a conirac�or�s) license pursuan� to �he Conlractors' $late Li[ense Law). I am aware Il�al prool ol I�eir Worker's Compenution insurance ShaWG he pmvi4e0 to me. � I am e�empt under Section: B P�I O 9 4 B. 8 P. C. mrmisr son: OWNER—BUILDER �oate: a Ownec 1 do hereEy enity 11 a� I am aware of ana unEersiantl I�e reQuiremenis af Calibmia HeaIIA anA Safe�y Cotle Setiion5 25505, 25533, and 25534 and ��at I or any hiure building occupant wiiVwill nal (cirGe onel neeA Io [amply wi�h uiG state codes ana �he requiremen�s �or a permit for con9mc�ion or modifica�ion �mm Ihe Air Ouali�y Management Oisinci. flesi0ential constmciion applita�ion5 are exempi Imm Ihese Orovisions. �ale: ApPlkani: I here0y c¢rti�y Ihat I �ave rea01�i5 apDlitalion antl S�a�e �hai Ihe abOv pnlormalion i5 correcL I agree fo compty wit� all ci�y and counry ortlinances antl 5iate lavrs relating �o bui'Amg can5lruciion and �ere�y (onze reD�esentalivw ol lhis city to enter upon Ihe a�ove-mentiane0 pm0erly far in ection urposes. ' Uate: z Signalure: �� river's �hense or Sociai Securiiy a: 1641�a6 Whpe—Buil�ing: Green—COtle EnlorcemenC Canary—Applicant: Pink—Pevenue: Goltlenrotl—ASSes50r CITY OF COSTA MES"A — BUILDING PERMIT PERMIT NO: IM 065280 PLAN CHECK NO: N PERM NO; IM 065280 GOVT: N SUPP: Y CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC OTH PURPOSE: OTH JOB DESCRIPTION ; LEGALI2E EXPIRED PERMIT k G-22291 SQ FT: CLAIM VALUE; CALC—VALUE: GROUP OCC: R-3 / COMMENTS: REF: B-65278 +��+��****�«�*+��+�«�,�� K+�**�**«�*��+��«�*�c*�*�,�+��r**�-�-�a��x**+r�*�#��*��,��x��,��r# Z O N I N GS ERTED�AUCIKRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN REAA: FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGAT: FT IN PARKING REQ; PROV: PARCEL: 11729109 ZNE: REF NO: PLANNZNG NOTES> > �r�r***�t****�*+�***�+�****+�*�t*��*�r***��'�r*******�c�r******�cx�**�c**+�*�**�+�c*��*�c+�***�*# D E V E L O P M E N T S E R l,' I C E S R E Q U I R E M E N T S ZONING APPROVED BY BUILDING APPROVED BY DATE: DATE: ai�i�t�rF��rrt�r� r��v�n eYt �'�� < < � *�*�*,�**,�**,�.*�**�*,�.�** -�.� ,�*�,� ,�.� 21K�1 P** iElt iE 14 iE iE iE it iE 1t it iE iF iE if iE i! iE 1! it M if if it �lf iF if iE iE if if if if iF if iF il� if iE ik 1E 1E if iE iF it iE i! if iE if iE iE if if if if iE if iE if iE # iE it if !f� iE # iE �1F iE iE i4 iE iE 1f� iE if LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N HLDG PMT PLUMBZNG ELECTRI� MECHANIC FIRE SMIP/RES GRADING PERMIT ��% ;;; 30. 00 25x SMZP/NON—RES PLAN ISSUE FEE `� BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 30.00 0.00 0.00 30.00 30.00 00 REVENUE DIVISION TOTALS--> COLLECTED: 30.00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 30.00 if it i! 1e it iE 1E it if iE M it it iE it iE iF iE if if iF it it it if 7t iF it it k k if iP 1E i4 if af If i! %�f if iE iL iE iF 4 iE it Ic if if M 1F 4 if if it �f iE iF iF if iE if iE if jF iE it iF iF aE iE �f-16 if it iE I N D I V I D U A L F''$ E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST MEC 1 MECHANICAL RE—INSPECTIOtd.FEE END AF�FEES =ii)� 30.00 O1 Q015204?.-0015209i �-r_�T DAiE: 12/10/93 TIitE: 10:01 � �� 3�1. �0 CONSTRUCTION AND PLANNING APPROVALS Permit � t. Temporary Eiectr�cal Service or Pole 2. Soil Pipe-Undrgrnd. 3. Electrical Conduit Utdity�Undrgrnd. 4. Electrical ConduiT•Undrqmd. 5. Steel Reinforcement 6� Electrical UFER Grnd. 7. Footings 8. Foundation 9. Water Pipe-Undrg��d. 10. Structural Floo� Svstem 11. Proper[y Sewer L�ne & House Connection 12. Sewer Cap 13. Roof Orains 14. Rough Plumbing 15. Rough Electriw6Conduit �� i6. Rou9h ElectricWiring 17. Rough Wiring Sign 18. Rough Electrical-T Bar Ceiling 19. Rough Heating & Au Cor,ditioning 20. Rough Factory Fireplace 21. Ducts, in Structure 22. Ducts, Ventilating 23. Gas Pipe-Rough & Test 24. Roof Framing 25. Roof Sheathing 26. T�Bar Ceilin9 (Structurall & Monocoat 27. Frame and Ftashing 28. Lathing & Siding 29. Insulation 30. Drywall Nailing 37. Plaster Brown Coat 32. Efectrical Power Meter�F�nal 33. Final Electric 34. Final Heatinq & A�r Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Firep�ace 38. Final Plumbing 39. LNater Service-Final 40. Gas Service-Final 47. Solar pomestic-Final 42. Backflow Preventer 43. 8ackflow Irrigation 44. Landscape Irrigation Sysiem 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Cc Date Date PG S SPA Inspector qppROVAIS Permit# 52. Pooi & Equipment location � 53. Steei Reinforcement 54. Forms � 55. Eiectrical8ondinq 56. Rough Plum6ing & Pressure Test 57. APPROVAL TO COVEfi�GU�7�TE 58. Electnca� Condwt�U�drgrnd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P-Trap, 0 Undrgrnd. 61. APPROVAL TO DECK � 62. Backwash & Receptor�final � 63. Heater & Vent-Final 64. Plumbing SYstem - Fina� - 65. Electrical•Final 66. Solar System-Final � 67. Fencinq & Access ApProval ' 68. APPROVED FOR PLASTERING � 69. POOI/SPA SYSTEti1S FINAI FIRE DEPT. REQUIREMENT APPROVALS Permit � 70. Underground Hydro 71. Product P�pin9 L Gas ❑ Oii 72. Underground Flush 73. Undergrnd. Storage Tank � Gas ❑ 0�1 74. Overhead Hydro 75. Dry Chemical 76. Ory Standpipe 77. F�XED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION B0. FOOD CERTIFICATE ISSUED Notes: � � Date � InsRector G � PflOJECTP�OXE$5: 3[3O E 18TH JrT OWNEfl'SNAME: HARRIS ROGER SCOTT aooness: 390 E � STH ST COSTA MESA_CA 92627 AflCHIENGMEEB: nooeess: XEG.NO.: uxir: uxir: PEflMITTEE: ROGER HARRIS ( 714 ) 645-0821 AODflESS: j[3O E 18TH ST C.M. CA 92627 LILENSEU CONTNACTOB UECLANATION: I here�y aifirm Ihat I am Iicense0 un0er pmvisions o� Chapier 9(commen[ing wit� Seciion 7000) ol �rvision 3 oi Ihe Business antl Pm�essions Code, antl my license is in full lorce antl e�lect. CITY UC.: STPTE LIC.: ClASS: �ale: Signature: � WOflKENS' COMPENSATION OECLABATION: I �ere6y aflirm I�at I have a ceM1ilicale ot consent Io self-insure ar a cehilicate of Workers' Compensation Insurance, or a cehilietl copY �hereol (Seciion 3800. LaU. C). 'I POLICY NO.: EXP. DRTE: COMPANY: � Cenilied copy is �ere0y Iumished. ❑ Certilie0 copy is fileA with the ciry Building Oidsion. Date: ApDlicanf. E%EMPTION FBOM WOXREBS' COMPENSATION OECUBATION: (This s¢ � n n¢ed n0i be tomple�ed i� the p¢rmil i5 �orone �unAretl (51W) or less). I cetlily Iha� in ��e pedormance ot Ihe work lor whic� I�is Oermil is - ued. I shall no� empl . any person in any manner so as ro become subleci b the orkers' om0ensation Laws of Cali�omia. /baie: L Signamre: � r NO71C . If, af malung t�is tleclaration. you s�oultl become subject Io the Wo kers' ComDenution O�ovisions al t�e Lahor CoCe. you musl forihvnth compty wit� suc� provisions or tbis Oermit shall Ce deemeA revaked. CONSTBUCTION LENDING AGENCY: I here�y aHirm that Ihere is a cons�mction IenOing agency for t�e pedormance ol t�e work for which this permit is issuetl �Section 3W7. Civ. C�. LENDEN: RUOflESS: OWNEfl BUILOEB OECIAflATION: I here0y allirm ihat 1 am exempl iwm the ConVacbrs' Sta�e License Law for �Ae following reason (Section 7Q31.5 Business and Pmlessional CoOe: Any city ol couniy w�ich requi2s a permi� �o consimc�, al�er, impmve, demolish, or reDair any sVutture. prior to iis issuance. alsa repuires ihe aDDlicant �or such permil �o file a signeE statemenl t�a� �e/she is IicenseE Oursuam ta iAe pmvisions of t�e Contracmrs' S�ale License Law (ChaO�e� 9 kommencing wiih Section 7000) ol Division 3 0� IAe Business ana Pmlessions Cotle) or Inat ne/sne is eMemD� Iherefrom an0 ine bas¢ lor ine allegetl eKemption. Any violation ol Seciian 703L5 Ey � any aD0licam br a permit subletls i�e ap0��an1 to a civil penalty ol nat more Itun five �undred dallaR (5500�. I, as owner ot ihe OmoetlY or my emDloyees vnih wages as ineir sole compenution, vnll Uo tne work, antl tne ❑ Slmtiure is not intendea or oif¢r¢O br Sale (Setlion 7044. BUsin¢55 anA Pmfessi0nal Code: T�e fpnlratmrs' Sfaie Litense Law Does not aD��Y �o an owner ol a pmperty wM Euilds or improves t�ereon, an0 w�o Ooes suc� work �imseif/Aerself ar ihmug� �is or her own employees. Dmvidetl t�at suc� impmvements are noi imenOeE or oifered 1or sale. If, however ihe builAing or impmvemeni is sol0 wii�in one year of completioq t�e owner will have tAe Curaen oi pmvinA hels�e ditl not 6uiIG or impmve �or ihe purpose of sale�. I, as owner o� the pmDe�Y. am eKclusively contracting wit� Iicensed comractars to consimci ��e pmlec� (Sectian 7044. Business ❑ an0 Prolessions Code: T�e Coniractors' State LiCenSe Law tl0e5 nolapPN�� an ownefo�O�OpetlY w�a �uilAs orimD�oves�helean and w�a contracts �or such D�alects wit� a coniracror(5�license purSuanlio I�e Con[ractors' $lale LiCenSe Law�. I am aware Iha� pmol oi their Worker's ComOensation insurance shoula Ue pmvi0e0 �o m¢. � I am e�emp� un0er Section: B p 7 � 4 4 B. 8 P. G . �or teis reaso�:%%n OWN ER —B U I LD ER Date: �z/��y � 3 Owner. �� I Go �ereUy ertif hat I am aware oi anE unAerstanA ihe requiremenis oi Caldomia Health an0 Safery CoOe Sections 2550.5, 25533. and 255Ja antl �Aat 1 ar any �uWre GuilOing occu0an� wilVvnil not (tircle onq nee0lo comply with saitl 5taie codes antl �he requir¢men�s �or a permil lo� conslmction ar rtwtlificalion Irom Ihe Air Ouality Management Disirict. flesidenlial tonsiruction applicalions are ezem0� ��om I�ese pmvisions. Daie: AppliCani: _ Iher¢Dy certity Iha� I �ave reaA I�is ap0�ication antl state th: orainances an0 s�atelaws�elalinglo EuilOing con9mqion aM pmperiy lor ins etlio purposes. Daie: Z 0 Signature: = inlarmation is corr¢ci. I agree Io com0ly wil� all city antl wunry )nze reO��nlaiives of th6 pry Io en�er upon I�e above-mentione0 �rivei's Lirense or Social Securily x; I / tbabq6 Wbae—Bwldmg: Green—CoOe Eniorcement; Canary—Appl¢anl; Pink—Revenue: GOltlenroE—Assessar ! CZTY OF COSTA MESA — BUILDING PERMIT PERMIT NO: IP OG5281 PLAN CHECH NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: OTH PLU JOB DESCRIPTION CLAIM VALUE: : LEGALIZE EXPIRED PERMIT # G-22291 CALC—VALUE: PERM NO: IP 065281 GOVT: N SUPP: Y PURPOSE: OTH SQ FT; GROUP OCC: R-3 / COMMENTS: REF; B-65278 ik ik it if if �h iE �il-iE if if il-i(� �If it it if iE iE it it iE iE # 1t k ik i! it iE iE iF if iE if -%� �It iF �%� it it �11� iE k#�It it �M �k� �ki(� # if if i! if iFiF-%�-1tiF ik # iF i! if �)k # R i! i! i!�it iP it #### Z O N I N GS ERT�gQ�UCIKRSE M E N T S ------------ MAZN BUILDING ---------- --------- F�CCESSORY 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 PARRING REQ: PROV; PARCEL: 11729109 ZNE; ,REF NO; PL2INNING NOTES> > *�r*�t*+t+t*�**�r�r**x�rxx�r*x xx�r��r**�t�r*+��t�**�*+t*�***�'*�r*****+t**+r**x�*******x�********u+�* D E �� E L O P M E N T S E R V I C E''s � R E Q U I R E M E N T S ZONING APPROVED BY - DATE: BUILDING APPROVED BY ; n DATE: APPLICATION ISSUED BY: �-~— �� DATE: I(/I (JIIJ 3tiflfifKlEiFiFiFiEjEi(�itifitiE�F9F�EiEiEif�'�EiFi jfjFlEiFicifit*aFiF�i Yr�i�3i i'i.TLi Z1c* 1F �lf iM1 if 1f iE ii 9f fF jE �f if 1f 3f iE 3f i6 if if if iF iF iF if if if # iF iE �If if 3E iE 3f * i(� ik iF iE iE iE if if 1E �IE iE if if �1L if if jf if ifl6 if ii iF if iE �lE * af !F iF iF iE fF # if iF 9F �lf iF %iF 1F jf Yr LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT:N i, BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 30.00 �. 'l52 ��, SMIP/NON—RES PLAN ISSUE FEE � BUILDZNG—DIV—> PERMIT ISSUE PLAN=CHECK TOTAL PAID DUE TOTALS----> 30.00 0.00 " 0.00 30.00 30,00 .00 REVENUE DIVZSION TOTALS--> COLLECTED: 30.00 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECF#ANIC FIRE SMIP/•TOT GRADING PLAN—CHECK 30.00 - iE if if M ik M iF iE iElE if if if 1F itlE if �f if iE 3f if iFlF if iF if iF iE �f 3t M 3E iE if it iF9F iF iF it M iF if 1F iE iE it it iE 1t if K iE if 1f if if iF iE 3E fi %iF jf iE if ff iE K if if 1F iF if �f iF+F i�� I N D I V I D U A L "F E E B A E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST PLU 1 PLUMBING RE—INSPECTIONIFEE END�OF FEES r ��J J 30.00 ci ooiszas2-oois?osz ro� oa,�: i?ito�9; TIP;E� ?O:oz 30.00 30,00 CONSTqUCT10N ANDPLANNING- � APPROVALS Permit # Date 7. TemPorary Elearical Service or Pole 2, Sod Pipe-Undrgmd. 3. EleCtricai Conduit Utility•Undrgrnd. 4. Electrical Conduit•Und�grnd. 5. Steel Reinfo�cement - G. Electrica! UFER Grnd. 7, footings 8. Foundation 9. Water Pipe-Undrgrnd. 10. Structural Floor System il. Property Sewer Line & House Connection 12. Sewer Cap 13. Roof Drains 14. Rough Piumhino 15 Rough Electrical•Conduit 76. Rough ElectricbViring 77. Rough!NiringSign 18. Rough Electrical-T Bar Ceilinq 19, Rou9h Heating & Air Conditioning 7.0. Ro�..gh Facmry FireWace 21. Ducts, in Structure 22. Ducts, Vent�ianng 23. Gas P�pe�Rough & Test 24. floo� Framing 25. Roof Sh.eathing 26. T•Ba� Ce�ling (Struc:urail & Ulonocoat 27. Frame and Fiashing 28. Lathing & Sidin9 29. Ins��ation 30. Dry�vail hailing 31. Piaster Bro�vn Coat 32. Electncal Power Meter�Finai 33. Fina� Electric 34. Fina� Heating & Air Conditioning 35. Fina� Gas Pipe-Test 36. Hood or Canopy 37. Fina� Factory Fireplace 38. Fina� P�umbing 39. lNater Service�Final � 40. Gas Sen�ice-Final 41. Salar pome:tic•Finai 42. Backflow Preventer A3. Backflow Irrigation 44. Landscape Irripation System 45. Sound Attenuation 46. Handicap Reguiations 47. FINAL STRUCTURE & BUILDING 48. FINALPLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas 51. CEFTIFICATE OF OCCUPANCY Date PO� y SPA Inspector qPpROVALS Permit,� 52. Pool & Equipment Location 53. Steel Reinforcement � 54. Forms -• 55. Electrtca! Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAI TO COVER GUN17E 58. Electrical Conduit•Undrgrntl. 59, Gas Pipe, � Undrgrnd., 7ast 60. Backwash Lines, P-Trap, � Ur.drgrnd. 61. APPROVAI TO OECK � . 62. Backwash & Receptor�F�nal 63. Heater & Vent-Final 64. Plumbing System � Final ' 65. Electriql�Final 66. Solar System-Final 67. Fencing & Access Appruval 68. APPROVED FOR PLAS7ERING 69. POOUSPASYSTEM1ASFiNAL FIRE DEPT. REQUIREMENT APPROVALS Permit # � 70. Underground HYdro 71. Product Piping O Gas ❑ Oi� 72. Underground Flush 73. Undergrnd. Stora9e Tank O Gas ❑ Od 74. Overhead Hydro 75. Dry Chemical 76. pry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREh7ENT 79. FINAL INSPECTfON _ I 80. FOOD CERTIFICATE ISSUED � Notes: _.�� Date � inspector PflOJEtT FDUflESS: 3 9 O E 1 8 TH ST OWNEfl'SNFME: HARRIS, ROGEA SCOTT aooaess: 3 9 0 E 1 8 TH S T COSTA MESA,CA 92627 FNCH/ENGINEEB: nooaess: NEG.NO.: UNIT: uxiT: PEflMITTEE: ROGER HARRIS ( 719 ) 695-0821 ADDRESS: 39O E 18TH ST C,M. CA 92627 LICENSEO CONTBACTUP DECIAFATION: I hereby a��irm Ihat I am licensetl unAer pmvisions o� Chap�er 9 �commencing with Sec�ion 7000) of �ivision 3 0l I�e Business and Pmiessions Cotle. and my license is in tuil force antl etlec�. CITY LIC.: STRTE LIC.: C1A55: �ate: Signamre: WONNEflS' COMPENSA710N OECLARATION: I hereby affirm ihat I have a tenificale of consent to sell-insure or a cehilicate of Worker5' Compensation Insurance. or a certilietl copy Ihereof �Section 3800, La6. C). POLICY NO.: EXP. ORTE: COMPANY: ❑ Cetlitietl coDY is hereby fumished. ❑ Certilied copy is itletl with �he ciry Building Division. �ale: ApplicanL EXEMPTIONFBOMWOflHEHS'COMPENSATIONOECLAPRTION: Qhiss tianneedno�becomplele0i�thepermi�isforonehunOreO(51lq�arle55�. I cenily Ihat in ihe petlormance of t�e work for which Ihis permit � ssue0, I shall not employ any Derson in any manner so as to become 5u01ec��h ork 5' Compensa�ion Laws o� Calilomia. �a�e: SignaWre: NOTI E: If, Ier m ing Ihis tleclaration, you should become sublect �o Ihe Wor ers' Compensaiion pwvisions ol ��e LaDor Cotle. you musl lorthwith campry wit� mch pmwsions or Ihis permil shall be Oeemed revoke0. CONSTqUCTION LENOING BGENCY: I hereby ailirm �ha� Ihere is a cansimctian lentling agency �or Ihe pedormance oi Ihe work lo� whic� Ihis Dermit is issued (Section 3097, Civ, C), LENUEN: A�DflESS: OWNEfl BUILOEB �ECUIHRTION: I here�y allirm Ihat I am exempt Iwm �he Contranors' S�a�e License Law �or the following reason Section 7031.5 Business and Pr fe i nal : An i 1 n w i h ir rmi n r I r im r v m li h r I o sso Code ct o cou t hc re u es a e t to co st uct ate o e Oe o s o Y Y Y 9 D P re air an slmct r ri r i I u e o �o I5 issuance a so re uires ��e a licant �or u h ermi� t �il a si n tl �a� m m �at �/sh is licensed P Y .P , q �P St p o¢ ge 5 e¢ I e¢ pursuani �o Ihe Dmvisions ol �he Camrac�ors' State License Law (ChaD�er 9(commencinp wit� Section 7000) of Division 3 of the Business and Pmiessions Cotle) or Ihai he/she is exempt there�mm antl ihe basis for t�e alleged exemption. Any violation o� Sec�ion 7031.5 Cy any applican� for a permit sublects Ihe aOP�icani Io a civil penalty o� not more than �ive huntlretl dollars (5500�. I, as owner ol Ihe pmDeny or my employees wi�h wages as [heir sole campensaiion, will do �he work, and �he ❑ s�mcNre is no� inten0ed or olferetl tor sale (Section 7044, Business and Pmtessional Cotle: T�e ConVactors' Sta[e License Law tloes nol appty lo an owner o� a pmpetly who builds or improves t�ereon, antl w�o tloes such work �imsel�/hersell or �hwugh his or her own emplayees, pmvitletl ihat such impmvements are noi in�entled or oi�ereU for sale. Ii, howeve� �Ae building or impmvement is soltl wi�hin one year of completion, ihe owner will have Ihe Uurden of pmvinB he/she tli0 not build or improve for Ihe purpose of sale). I, as owner of �he pmperty, am erclusivety conirac�ing wiih licensea conVactors ta constmc� ihe pwle�t ($eclion 7044, Business ❑ and Professions CoOe: The Contrac�ors' Slaie �icense Law does no� apOry �o an owner of propetly w�o bui105 or impmves �hereon antl who cOniraCls for Such pmjec�s wi�h a canlractor�s)litense pursuant�o �he ConVatbrs' Slaie Litense Law),I am aware ��al pmol ol Iheir Worker's Compensa�ion insurance should be provi0etl �o i � i am exempi under Section: B P-� � q q B. 8 P. C. mrtnis�ason OWNER-$UILDER Date: � ��d/�� 7i ownec I Oo hereby enify atfi � I am aware ol antl untlerstand ��e requirements o� Cali�omia Health antl Safery Code Sections 25505, 25533, antl 2553a and t�at I or any future 6uil0ing occupant will/will not (circle one) need to comply wiN sai0 state coJes anJ the requiremwts lor a permil �or cons�mction or mo4dicaiion �mm Ihe Fir �uali�y Managemen� DiSlricL Fe5i0enlial constmc�ian applications are exempt �mm t�ese pmvisians. Oa�e: Applicam�, I here�y cetlify IAa� I have reatl Ihis applicatian and siate that Ihe ve intormalion is correcL 1 agree lo comDly with all ci�y ana counry oramancesandstalelawsrela�ingmbwltlmgconstmclionanAhere mhorizerepresema�iveso��hiscirytoemerupontheabove-memianetl pmPetlY �ar ln ectio purposes. �/ � � �aie: z � SigwWre: ,� �f ff3 �-1/l�..fJ orlver�s L cens or Sociai Secunty u: t6at�a6 Whiie—Bwlding; Green—Cotle EnlorcemenL Wnary—Applicanl: Pmk—Revenue; Goltlenrotl—Assessor CITY OF COSTA P1ESA - BUILDIN� PERMIT PERM NO: IP 065277 PERMIT NO: IP 065277 PLAN CI-IECK NO: N GOVT: N SUPP: Y CONSTRUCTION TYPE: V-N PERMIT TYPE: OTH PLU PURPOSE: OTH JOB DESCRIPTION : LEGALIZE EXPIRED PERMIT St G-2414 SQ FT: CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 / COMMENTS: REF: B-65274 +e*�t�t**�t�*�r*�r�*-�t**�r�r*�r*�r***-x��t*�r*�r****�t�r�t-�t-�r�r-�-x-*�-*�r�-�+r��r�*�t�t�e�rr�r+t+r��t��e�r �r*��r��r��r#ei-�t* Z O N I N G R E Q U I R E M E N T S S E T B A C K S — — — ----- MAIN HUILDING ---------- --------- ACCESSORY HUILDING --------- FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: FT IN LEFT: FT IN RGHT: FT ZN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 11729109 ZNE: REF NO: PLANNING NOTES> > • ******+�**��*****��*�r*****�**�r****+��r*+�*�t�******�r*�r�*��r****+��*�*�c*�+�*�+�**x*****x D E V E L O P M E N T S E R t� I C E S� R E Q U I R E M E N T S ZONING APPROVED BY DATE: BUILDZNG APPROVED HY : � DATE: APPLICATION ISSUED BY: �/ICI�- � DATE: I(I/I��I�3 9F iE 1f if �)E fF �)E iE iE df iE iE iE iF if �f !f if if if iE iE !F �E if �t �E �E 9E iE j! 1E iE iF iE iE iE �f 1F iF iE if if �)E iE 1E 9F jE 1F 9FlE if jE 9f 4'r if if aF if �M #F!F if 9f 9E �E if �f 9G if if iE iE if iE if iF 9P if LEGALI2ATION:N F E E 5 U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBZNG ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 30 00 ', 258 SMIP/NON-RES P L AN .- IS5UE FEE �' BUILDING-DIV-> PERP9IT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 30.00 Q.00 0.00 30.00 30,00 .00 REVENUE DIVISION TOTALS —> COLLEGTED: 30.00 OVER/SHORT: .00 BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 30.00 �i iE if 1E if �c i! iElE dE if iE fE ff 1E iE dE iF9E 9c if 9E iE dE jE iE fE if !t iE iE �E if iE if jf iE �F if if 1f ik iE if !E if #t iF ik if �1t if iE # if iE if iP #f ff �)f jE �E ip jc 1E �F ff *�! iF iE 1E if fE-lE �k iE 9f 9E I N D I V I D U A L F E E H R E A K D O W N TYPE QTY ALU 1 D E S C R I P T 2 O N PLUMBING RE-INSPECTIOt�',FEE END�.OF FEES UNIT COST 30.00 TOTAL COST 30.00 �i oozs2o2s-oois2esa �c�� ao.aa iiGiE: 12/10/93 TFnE: 10:�0 CONSTRUCTIOIV AND PLANNItVG APPROVALS Permit �`r � 1. Temporary E�ectrical Service or Pole 2. So�! Pipe-Undrgrnd. 3. Electrical Conduit Utility•Undr9rnd. 4. Electrical Conduit�Undrgmd. 5. Steel Relnforcement G. E!ectrica! UFEft Gmd. ). Footings r � 8. FoundaLon 9. V�'ater P�pe-Undrgmd. I 10_ Strur.rural Floor Svstem Date � Inspector 17, Vrope�ty Sewer Line & House Connection I I t !2. Se�ver Cap 13. Roof Dra�ns j 14. Rougn nium6mg � 15 Rough Eiectrical-Cortdurt � 76. RoughElecvicWiring 17. Rough lVinng Sign 18. Rough Electrica6T Bar Ceil�ng 19. Rough Heacing & Air Conditioning 20. Ro�9h Factory Fireplace 21. Ducts, ir Structure 22. Ducts, Ventilating 23. Gas Pipa•Rough & Tesi 24. floof Framing 25. Root Sheathing 26. T-8ar Ceiling (Structura!1 & Monocoat 27. Frame and Flashing 28. Laihing & Siding 29. Insulation 30. Drywali Pading 37. Plaster Brown Coat 32. Electncal Power MetenF�nal 33. Final Eleciric 34. Fina� HeaLng & Air Conditioning 35. rinal Gas Pipe-Test 36. Hood or Canopy 37. Fina� Pactory Fireplace 38. Final Plumbing 39, tNater Service-Final . 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Backf�ow Irrigation 44. Landscape Irripation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINALPLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Date � P00� & SPA APPROYAIS Permit ,f` 52. Poo� & Equipment location 53. Steel Reinforcement ' �I 54. Forms � 55. Electrical Bonding 56. Rough Plumbing & Pressuie Test 57. APPROVA�TOCOVER�GUNiTE 58. Electrical ConduibUndrgrnd. 59. Gas Pipe, � Undrgrnd., Test � 60. Beckwash Lines, P-Trap, � Undrgrcd. 61. APPROVAITODECK 62. Backwash � Receptor-Finat ', 63. Neater & Vent-Pinal � 64. Piumbing System � F�nal 65. Electrical-Final �� 66. Solar System•Final _ � 67. Feneing & Access Appruvat 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS Permit # Date f Inspector 70. Underground Hydro 71. Produc[ Piping O Gas O Oil 72. Underground Flush 73. Undergrnd. Srorage Tank Ci Gas C 0�1 74. Overhead Hydro 75. Llry Chemical � 76. Dry Standpipe 77. FIXED SYSTEAd FINAL 78. FIRE PREV. FINAL _� HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICA7E ISSUED Notes: � � I � PflOJECTAUOflESS: 3C)O E 18TH ST OWNEN'SNAME: HARRIS ROGER SCOTT nooxEss: 390 E �BTH ST COSTA MESA,CA 92627 RPCN/ENGINEEfl: ROOflE55: NEG.NO.: UNIT: UNIT: PEPMITTEE: ROGER HARRIS (719)695-0$21 aooness: 390 E 18TH ST C.M. CA 92627 LICENSED CONTBACTON OELLABATION: I hereDy aflirm I�ai I am IicenSeA unUer Dmvisions ol C�apter 9(commencing wi�� Section 7000) ol Division 3 0l Ihe Business antl Prolessions Cotle. and my license is in tull larce antl e��eci. LITV LIC.: STqTE LIC.: CLASS: ' Da�e: SignaWre: WOPNEfl$' COMPENSATION DFCLANATION: I �ereDy allirm Ihat I have a t¢rii�i�ate of consen� to setl-insure ar a ceriificale o� Worker5' Compensation Insurance. a� a cenilied coDY ihereol �Section 3800, LaD. CI. POLICY NO.: E%P. URTE: COMPRNV: ❑ CeNIieO toDY is �ereby lumished. ❑ Ceriilietl topy is lile� wil� fhe tity Builaing Divisi0n. Date�. Ppplicanl: E%EMPTION FflOM WOBNEflS'LOMPENSpiION OECLPflATION: Qh ection need nolbe comple�eaif�he permi�is�orone �unOretl�S100�arless). I cerlily Ihat in �he petlormance ol Ihe work lor w�ich �his permi i isSueJ, I shall noi e{ ploy any pe ny manner so as �o become sublec� to �he lorker ' Compensa�ion Laws of Califomia. � Daie: Signalure: � r NOTIC . II. a r maM g I�is Eeclaralion, you 5hou10 �ecome SUDject lo t�e Workers' Compensatian pmvisi0ns oi IAe Labor Cotle. you mu5i Iorilreilh mmOW w�� such pmvisions or Ihis permil shall �e deemed revoketl. CONSiflUCTION LENOING AGENCY: I M1ere�y allirm t�at there is a cons�mction IenEing agency for ��e petlormance ol Ne work lor wnicn tnrs oe�mit is issuee �Section 9W7, Civ. C1. LEN�Efl: ADOflESS: OWNEfl BUILOEN OECIAflATION: I Aereby ailirm ��a� I am exemp� �mm IAe ConVaclors' $ta�e License Law for Ihe lollowinq reason (Seciion 7031.5 Bu5ine55 anE Professional Cotle: Any cily of coun�y whic� r¢puires a permii �o consimct, aller, impmve, tlemolish, or re0air any 5Im[Ime. prior Io its issuance, also repuires ��e applicani lor suc� permi� ta file a signeA s�at¢ment �ha� �e/SM1e i5licenSeJ pursuam to I�e O�ovisions al ihe Comractori Sta�e License Law (Clupier 9(commencing vn�h Section 7000) ol 0ivision 3 of the Busines5 anG Pmiessians CoGe) or I�a� �e/5�e is eremD� �he�etmm an0 I�e Oasis IOr I�e allegea exempiion. My vioW�ion ol Sttiion 7031.5 Oy any aD0licant br a Oermit Su�lecis I�e appliwnt to a civil Denalry o� no� more Ihan live hunOreU tlollars (5500). I, as owner al 1�e pm0eny or my employees wit� wage5 as iheir mle wmpensa�ion, wi0 Go Ihe wod, an0 Ihe ❑ SIrUCWreiS nolinientled orolleretl�or5ale�5¢tl�on 70A4. Busin¢55 and ProteSSionalCO�e: ihe fqnira[t0l5' Slaie LitenSe Law aoes not aOD�Y to an owner oi a O�openy wno Ouiles or impmves thereon, ana who tloes such work nimsell/herself or NmuAh nis or her own employees. pmvided I�ai such impmvemenls are nol inientled or oHereO for 5ale. If, how¢ver 1�e building ar im0�ovemenl is soltl wi�hin one year ol comple�ion, ��e owner will have the burden of pmving he/she Oitl nol Oui10 or impmve Im ine purpose oi sale�. I.as ownerolihe proDeriy,am exclusively coniracting withlicensetl coniractarsto consiNctlhe pmject(Seciion 704a, Business ❑ anU Prolessions CoUe: The fqnirador5' Sta�e License Law tloes not apply to an owner ot DroDe�Y who builCs or impmve5lherean d04 wh0 L011Ifdt�S �0! SOtl1 p�01eCIS wllh d LOI1�fdL�Of�S� IiC2fI5E pOfWdlll �0 �h¢ COIIIfdC�OfS' $Id�C LICCIISC LdW�. I 3R1 dWdR Ihal pmof ol Iheii Worker'S Compensa�ion insuranre S�oNJ be D�ovide o me. p i am e�emo� untler Secuan: B p 7 � 4 4 B. 8 P. C. io�inis eaw. OWNER—BUILDER Dale'. 2 Owner I do here�y cetlil hat I am aware ol an0 un0erstand ��e requiremenls of Calilomia Healt� antl Sa�ery Code Sec�ions 25505, 25533, antl 25534 and iha� I or any iNure Ouiltling occupan� willlwill noi (circle one) need to comply wiih said state cotles antl Ihe reQuiremenis �or a permil lor conslmction or mo0itica�ion Imm ��e Air �ualiry Managemen� Oistrict. qesitlential canstmdion applications are exemp� �mm Ihese provi5ion5. �aie'. Npplicanl: I �ereby cerlilythal I �ave reaa tAis applicalion antl state��atihe ove inlormalion is correct. I agree�o compty wilh allciiy an0 county oramancesan05 Ielawsrelalinglo�uil4inqconsimclionan0�ere aulhorrzer�otthisciryloente�e-menlioneA pmOeiiY �oi in etlio urpases. Dale: � / Signalure:,�, N Drivets license Sociai Security n: �60La6 Whne—Building: Green—Coda Enlorcemem: Canary—Ap0licant'. Pink—Revenue; Goldenrotl—Assassor CITY OF COSTA MESA — BUILDING PERMIT PERM NO: IM 06527b PERMIT NO; IM 065276 PLAN CHECK NO: N GOVT: N SUPP: Y CONSTRUCTION TYPE: V—N PERMIT TYPE: MEC OTH PURPOSE: OTH JOB DESCRIPTION : LEGALIZE EXPZRED PERMZT # G-2914 SQ FT: CLAIM C�ALUE: CALC—C�ALUE: GROUP OCC: R-3 / COMMENTS: REF: B-65274 *x *�+�� -x ��r� �*� � �*� � �* � �*�c«+�*�+�***�*�*+�� ***��+��r�� *�**+e**+�***+�*+��r+�**�� **##* Z O N I N GS ERTEB�I�UCIxRSE M E N T S ------------ MAZN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT IN FRNT: FT IN REAR; FT IN LEFT: FT IN RGAT; FT IN LEFT: FT IN RGHT: FT ZN PARKING REQ: PROV: PARCEL: 11729109 ZNE; REF NO: PLANNING NOTES> > �r**�r*�r****�r**�t*+t***�r****�r+t**iri�+r*��r�r+�****�*+t*******�r***�r******�t*******�t*�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 BY ' DATE: BUILDING APPROVED BY ; DATE: APPLICATION ISSUED BY: �� DATE: ' Z'I�I I, if if it iF it 1F i! iE ih if iE it iE it it k k k iE if it iE�i�r+t �1t iF iE 3f 3E iF iE if iE jf iE3FiF F'i' xi i��F? �# # if ik i!!! if if IElE iE iE if if * iE 1E fE i!!E if iE 3E fE iE 1E iE if j! iE iE iF iF it 1! iE 1G if ih �f iE 1E �f iE 7f if if iE if iE iF �E iE?E K if if if iE � 3E iF 1E iE ff iE if 1t it it fF iF:f if jf iP iE if iF iE if LEGALI2ATION;N F E E S U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMZT 30.00 258 SMIP/NON—RES PLAN . ISSUE FEE HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 30.00 0.00 0,00 30.00 30,00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 30.00 OVER/SAORT: ,00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 30.00 !E if iE if it iE 1t 1E if iE k �f ik iE if iE ik iF 1f if iE if �E iE if if !F if iE if If iE 1E if � iE if it if iF �E iE if k 1f !E ff if iE 1E iF iE * iE fE fE 9E iF iE �1f �1(� 1f dE if !4 iE iF if iE if f4 iF ff iP 1E if it 1E M� 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 A I P T Z O N UNIT COST TOTAL COST MEC 1 MECHANICAL RE—INSPENDIOF FEES 30.00 30,00 ` i �y o� eozs�os�-oatszos; TUT ao.00 �AiE: IiliO/93 TI11E: 09:59 CONSTRUCTION ANO PLANNING 'APPROVAtS Permit� � 1. Temporary Electrical Service or Pole 2. Soii Pipe-Undrgrnd. 3. Electrical Conduit Utility�Undrgrnd. 4. Electrice� Conduit�Undrgrnd. 5. Steel Reinforcement ' 6. Efectricai UFER Grnd 7. Footings 8, Foundation 9. Water Pipe�Undrgrnd. 10. Structurai Floor System 11. Property Sewer Line & House Connection 12. Sewer Cap 13. Roof Drains 14. Rough Plum6ing 15. Rough E�ectrical-Condwt 16. Rough E�eMric Wiring 17. Rough Wiring Sign 18. Rough E�ectrical-T Bar Ceiling 79. Rou9h Neating & A�r Condit�on�ng 20. Rough Factory Fireplace 21. Ducts, in Structure 22. Ducts, Ventilatirtg 23. Gas Pips�Rough & Test 24. Roof Framing Z5. RooF Sheathing 26. T�Bar Ce�ling (Structurall & Monocoat 27. Frame and Ftashing 28. Lathinq & Siding 29. Insulation 30. Drywall Nailing 31. Plaster Brown Coat 32. Electrical Power Meter�Final 33. Final Electric 34. Final Heating & Ai� Conditioning 35. Finai Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Pinaf 41. Solar DOmestic•Final 42. Backflow Preventer 43. Backflow Irrigation 44. landscaoe iniqacio� System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STFUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Cc 51. CERTIPICATE OF OCCUPANCY No. Date Date POI, _ & SPA Inspector AppROVALS Permit �`r . 52. Pooi & Equipment Locauon � 53. Steel Reinforcement 54. Forme 55. Electricat Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL7QCOVER�GUNiTE 58. Electrical Conduit�Undrgrnd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash L�nes, P-Trap, C! Undrgmd. 67. APPROVAL TO DECK � 62. Backwash & Receptor�Pii�al 63. Heater & Vent-Final . 64. Plumbing SYstem - Firral 65, Electrical�Finat 66. Solar System-Final � 67. Fencing & Access ApP�oval 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINA� FIRE DEPT. REQUIREMENT APPROVALS Permit ik 70. Underground Hydro 71. Product Pipinc� � Gas ❑ Oii 72. Underground Flush 73. Undergmd. Smrage T�nk I� Gas ❑ Oil 74. Overhead Hvdro 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED Notes; Q -I�'�!I r. r . . _ � Date �inspector I� PNQIECT AODHESS: 3() O E 18 TH S T OWNEN'SNRME: HARAIS ROGEA SCOTT aooxess: 390 E �BTH ST COSTA MESA,CA 92627 RflCH/ENGMEEN: RODNE$$: flEG.NO.: UNIT: UNIT: PEPMITiEF: AOGER HARRIS ( 714 ) 645-0821 ADONESS: 3()O 'E 18TH ST C.M. CA..92627 LILENSEO CONTMCTON DEClAMT10N: I hereGy allirm Itut I an� Iicense0 unCei O�ovtvw5 0� CIaD�er 9(cammencinp wilh Seciion 7000) o� Drvi9on 3 0l t�e Butineu an0 PmleSsions Cotle, an0 my license i5 in IWI lorce anC ell¢CI. cirr uc.: sT�Te uc.: cuss: Dale: Sipnaiure: WOflNEflS' COMPENSRTION DECLABATION: I �er¢Ey ailirm I�al I �ave a teriili[ale Of wnsenl t0 Self-in5ure Or a Ceriillta�e al Warkefs' Compensalion Insurance. or a cenilieA cooY �nereol (�clion 3800. LaU. C�. POLICV NU.: EXP. OP1E: COMPFNY: ] C¢M1died wIN �S MaEY �UmiSl�eU. ❑ Certilied coOY � ��e0 wlt� t�e CitY Building Oivision. Dale: Appliuni: E%EMPTION FflOM WOPIIEN$' fAMVEN5ATI0N DECIABATION: QNS �an nee0 not Ue compkted i� Ue permt is tw ane IwnOreU �E700) or less). I tetlity Ihdi in I�e perlorman[e oi ��e wOrk lOr whit� �his permit i ued. I 5hall n01 ¢mploy any p¢r5on in any mannef 5o as �o beCome SUDIe�� lo Ihe orker Campen5aiion laws of Caldomia. -Oaie: � Signamre: NOTIC . II, al� r makinA ��is Oeclaration, you s�oultl 6ec me su61e�� o ihe orkers' Compensatian D�o�sions of Ihe labor COUe. you must �oNiwil� com0ly wilh suc� pmvi5ion5 or t�is permi� shall �e deemeE revokeA. CONSTHULTION LENDING RGFNCY: I tlereUy allum that there is a consimction lenaing agency br t�e pedormance ol ihe work lor wnicn �nis Dermn is issue015eciion 3097. Civ. CI. LENOEX: ROOflE55: OWNEP BUILOEfl OELUBAiION: I hereby allirm ihat I am evemp� �wm tne CAniraclaR' State License law far ihe lollowinp reason (Section 7031.5 Business anG Pmlesvonal Coae: Any ciry ol counry w�ich reQuires a permit Io constmct, atter, im0�ove, Oemolish, or ieoair any slmcture. prior la iis issuance. also repuires tlle apP�icanl �or sucn permit ta file a signe0 statemenllnat ne/she is IiCensetl pursuam to Ine O�ovisions o� t�e Comracmrs' State license Law (CM1eO�e� 9l�ommencing with Setlion 7000) ol 0ivision 3 0l IAe Business and Prolessions C00¢) orl�al �e/sheis ¢+empll�erelmm antl ��e �asis lortlle atlegea etemplion. My Wolation ol Section 7031.5 �y any apDlitanl for a permil 5u0jeCt5 �he apO�iCani lo a tivil penally ol noi mor2 i�an live hunAreA �allars (5500�. I, as owner ol ihe O�operty or my employees wi�h Wages as t�eir 5ole campensalion, will Oo I�e work, ana I�e ❑ simcture is not inlen0e0 or otlereE lor sale (Section 704a, Busmess anE Pmlessional Code: T�e Coniracbrs' State License Law Ooes nol appN �o an owner o� a propetly who �uilds or impmves ��erean, anG who Goes 5uc� vAA himsetf/hersell or I�rouAh �is or �er own employees, D�oviOetl ihat such impmveme0�s are not intendetl or oflered tor Sale. II. however I�e OuilOinq or impmvement is 5014 wiNin one year ol completion. t�e owner vnll have the Ourtlen of pmving Ilelshe 4i0 not �uilA or impmve for tne ourpose af salel. I. az avme� of ine v�openY. am eKciuvvery contractinq wil� �icense0 convacmrs ro consimct t�e pmjec� (5ec�ion 7044, 0usiness I❑ anE Pmlesvms CaGe: IDe Conlractars' SW�e License Law does not aDPN �o an owner oi pmperry wno nulas or imprmes inereon I ana wM coniracts lor sucn pmiecis vntA a conVactorlsllicen5e pursudnt lo ihe CAntractors' S�a�e Litense Law1.I am aware ��at prool ol I�eir Worker'S Compen5aiion insurance ihoultl be pmn0ed t me. � � am e�emp� unaer Senion: H p-� � q 4 8. 8 P. C. 101�"`s i0" OWNER—BUILDER Date: 9 'I Ownec I 0o here0y t¢Nty i I am aware of antl wCerstana me reauiremenis af Catilamia Hwitn ana Safety Coae Sections 25505, 25593, ana 1553a ana itut I or airy fuwm driiaing occupant wilUwill nm (cirGe One) nre0 to mmpy wit� saitl sute m0u anU Ue reauirements for a permit to� constmctan ar moUificatian twm i�e Rn Oualiry ManaAement Oistnct. PesiEentul cpswction aDV��rons are exempt Imm mese Orovisions. Dale: Appliwn�: I �ereGy rertily Inal I IWve teaG t�is aoo�icalion antl stale I�al Ihe atlove inbrmdtion is mrrett. I agrte to comON �� atl cily an0 county oiauances ann sta�e Wv2 reWiing Io Omlding con9mtlion antl �ereEy au or¢e re0�esenuiives ol tlus ury to enter upon t�e above�memioneG propetly lo� in5 Idn tposes. Oale: z Signaiure: �y�s'd11.Gi- �� Oriver's ticense or ul Secwity r: t6<ba6 �"/Me—Beilamg; Gieen—Cotle Enbr<ement; Canary—AOP��ant: Pink—Revenue: olEenrotl—Asseswr CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: IE 065279 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMZT TYPE: ELE OTH SOH DESCRIPTION : LEGALIZE EXPIAED PERMIT #t G-22291 CLAIM VALUE: CALC—VALUE: PERM NO: IE 06527� GOVT: N SUPP: Y PURPOSE: OTH SQ FT: GROUP OCC: R-3 / COMMENTS: REF: B-65278 1fiEikifMlf#if#if7tif�YR7fieititifit-ikikik�l(-iti!#1l1f#�lEifk-%iEjlifjfiF*ititiE-1fiFiEiFititikl!�ifitlERki!##-k##ififil�lfifiti!##iti!####df# Z O N I N G R E Q U Z R E M E N T S S E T S A C K S ------------ MAIN HUZLDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR: FT ZN FRNT; FT IN REAA; FT IN LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARKING REQ• PROV; PARCEL; 11729109 ZNE; REF NO; PLANNING Nt5'fES> i *****.**��*r*ir**+r*****�r*��r�*�t*��t�c��cx�+t***********��c*��t�t*x�**�r*�r*****�**�****�+t�** D E V E L O P M E N T S E°R V I C E S R E Q U I R E M E N T S ZONING APPROVED BY ' DATE: ' BUILDING APPROVED BY : :s DATE: a APPLICATION ISSUED BY; /'� DATE: ' Z I�%I� j 1FiFifiFlfifkNif�iFlEiFlEkiFl:iEif9EiFifia it� iF'iF'iFi(�i �• r ifitiF�fiFiFiFiFiEiR7F�:iF'iF'iF'i'.:iF�FifaE 941f if iE M iF iE if iE if if ih iE iE if if iF iE iF if iF iE i! iE if �E iE 94 34 ib iF it iE if iE 9E 9E if if it iE iF �k if iE i� if 1f K N if �f if �)F if iF 1f iF ff iE if if 1E iE 1: if i4 if it if iE �t iE iF ik 3E iF i! iF LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRI+DING PERMIT 30.00 SOR SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAZD DUE TOTALS----> 30.00 0,00 0.00 30,00 30.00 .00 REVENUE DIVISION TOTALS--> COLLECTED: 30.00 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 30.00 jf iE fF �f If 3E if iF if iF ik iE iF it iE iF if it iE 1E iE if IElE fE if aE if 9f if if if iE iE if fF if iE iE iE if # iE ii� 1E 1E 1f jf iFlE iF iF iF if iE if iE if If if iF aE if iF iE aF IF if iF iE if iF iFY. if iF 3F 9F 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 ELECTRICAL RE—INSPECTION FEE 30.00 30.00 END OF FEES O1 Q�1520+0-OC1`2090 Y 4 T 30.OD �ATE: 12/1C/93 TIHE: 10:�1 CONSTRUCTION AND PLANNING APPROVALS Permit # �, TemParary E'ectncai Service or Pole y. Sod Pipe�Undrgrnd. 3. Electrical Condui! Ut��iCy�Undrgrnd. 4, Eiactrical CondwFUnd�grnd 5. Stecl Reinforo_=ment G, E:ectr�w! UFER G-r.d. 7. FooUngs g, Foundation 9. 6iate� Pipe-Undrgmd. 10. Strueturat Floor System --- � 11, Propc�ty Se�rer Line & House Conneciion � 12. Se�vcr Cap r13. Roof Orems 14. Rcua i �lum.bing 15 Rou�h Electrical�Conduit � 16. Raugh Electric�Viring ; 77, Rough lV�nng Sign 1$, Rough Elettrical-T Bar Ceihng 19. Ro.:gh Heating & Air Conditioning 20. Ro_.�n Fac:ory F�•eo;ace 21, Ducts, in Strucmre 22. Duct., Ventilaung 23. Gas P1pe�Rou�h & Test 24, fioof Framing 25. Roof Sheathing 26. T-8a• Cc�hng (Structural! & Monocoat 27, Frame and Flashing 28. Lathing & Siding 29. Ins ulat �on 3p, Qry�:.ait h;eil�ng 31. Pl�ster pro:•m Coat 32. Elettncal Power MeterF�nal 33. Fina� Eltctnc 34. Fina1 }{c�ting & Air Contl�tioning 35. Final Gas Pipe-Test 36. HocU or Canopy 37. Final Factory F�replace 38. Finai Plumbi�g 39. �Vater Szrvice�Final 40, Gas Sermce-Final 47. Solar pomestic-Final 42. Backf�ow Preventer 43. Backflow Irrigation 44. Lar.dscaRe Irrigation SYstem 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINALPLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 5L CERTIFICATE OF OCCUPANCY Date Date � Inspector � Po. � sra APPqOVALS Permit,� 52. Poo� & Equipment Locatnn 53. Steel Reintorcemr.nt 54. Forms 55. Electrical Bondmg �_ 56. Rough Plumbing & Pressure Test 57. APPRUVALTOCOVER�GUn!ITE 58. Electrical ConduiC�Undrgrntl. 59. Gas Pipe, � Undrgrnd_, Test 60. Backv;ash lines, P�Trap, :� Urtdrgmd. 6/. APPROVAL TO DFCK 62. Backwash & Recey*or-Flnat . G3. Heater & Vent•F�nai 64. Plumbing Systom � Finai 65. Electrical-Final � 66. Solar SYstem�Fin,J _ 67. Fencing & Accest Approval � 68. APPROVED FOR PLASTEflIUG 69. POOUSPA SYSTEiY1S �INRL FIRE DEPT. REQUIREME�T APPROVALS Permit S� 70. Underground Hydro 71. Product Pipin9 G G.�s ❑ Od 72. Underground Flush 73. Unde�gmd. Storage 7a�k :7 Gas � 0�� 74. Overhead Hvdro 75. Dry Chernical 76. Dry Standpipe 77. fIXED SYSTEA4 FINAL 78. PIRE PREV. �INAL HEALTH DEPT. REQUIREMENT 79. PINAL INSPECTIO'J 80. FOOD CERTIFICATE ISSUEO Notes: Date �Inspecto. n PflOJECT ADOXESS: 3 C3 O E 18 TH 5 T OWNEfl'SNAME: HA'RRIS, ROGER SCOTT nooeess: 390 E 18TH ST COSTA MESA,CA 92627 AHCM/ENGINEEfl: A�OflE55: NEG.NO.: uxiT: UNIT: PEHMITTEE:�ROGER HARR25 (714)695�0821 aooRess: 390 E 18TH ST C,M. CA 92627 LILENSEU CONTflFCTOB OECIAflATION: I here�y affirm tha� I am licensed untler Dmvisions o� Chapter 9(commencing wi�� Section 7000) ol Oivision 3 oi I�e Business an0 Prolessians Cotle. antl my license is in �uliforce and eflec�. CITY llt.: STRTE LIC.: CLASS: Oale: SignaNre: WOBKEflS' COMPENSATION OECIANATION: I hereby affirm that I have a ceriifica�e o� conseni �o sell-insure or a certiticate ot Workers' Compensa�ion Insurance, or a ceni�ied coDY �hereot (Seciion 3800, Lab. C). POLICV NO.: EXP. DFTE: COMPANY: ] Certtlietl capy is hereby furnished. ❑ CeM1ilietl copy is �ile0 wilh �he ciry Builtling Division. Date: ADDlicant: E%EMPTION FPOM WOflNEBS' COMPENSFTION OECUflPTION: (ihi 5ec�ion nee0 noI be mmpleted ii �he permit i5 �orone hunOred (5100) ar less�. I terlify Iha� in the pedormante Of �he wOrk lor which this Oermi issueU. I S�all not employ any person in any manner 5o as �o hecome sublecl b the Norker ' Compensalion Laws ol Calilornia. �. � �6aie: SignaWre'. � .0 NOTIC . I�. a �er ma7 mg this Oeclara�ian. yau should become sublec� �o Ihe Workers' Compensation D�ovisions of ��e La6or Code. you must foh�wnh compty with such provisions or �his permi� shall be Oeemetl revoked. CONSTflOCTION LENOING AGENCY: I �ereby a��irm Ihal lhere is a conslmc�ion lending agency for �he Deho�mance oi ihe work �or w�ich Ihis permit is issuetl (Section 3097. Civ. C). LENDEfl: aooxess: OWNEP BUILOEB OECLAPPTION: I hereGy ailirm Nat I am exempl �mm lhe ConVactors' Stale License Law �or �he Ioilowing reason (Section 7031.5 Business ane Pmiessional Code: Any ci�y of counry whic� requires a permi� to conslmtl, alter, improve, tlemolish, or repair any stmcture. prior ta i�s issuance, also requires the apDlican� lor such permi� to �ile a signed statemenl that he/she is licensea pursuan� to ihe pmvisions o1 the Conlractors' State License Law (Chapter 9(commencing with Section 7000) ol Division 3 of ihe Business anU Pm�essions Coae) ar �hai helshe is exem0� �heretmm antl �he basis lor �he alleged exemptian Any violation o� Sec�ion 7031.5 �y any applican�for a permi� suble��s Ihe apDlicant �o a civil penaliy o� no� more �han tive huntlred Oollars ($500). , as owner o� �he properly or my em0loyees wiih wapes as �Aeir sole compensation, will do �he work, and �he ❑ stmcmre is not intentled or olferetl for sale (Seclion 7044. Business and Pmfessional Code: The Canlractors' State License Law Ooes naI apPly to an owner oi a Droperty w�a buil�s or impmves Ihereon, and who tloes such work himselVhersel� or thmugh �is or her own employees, pmvi0etl ��ai such impmvements are no� in�en0ed or oHereO /or sale. I�, however ihe building or impmvement is soltl wilhin one year o� completion, ��e owner will have Ihe huraen ot pmving he/She Di0 na� builtl or impmve for ine purvose ol salel. I. as owner of the pmDe�y, am eKclusivety conlracting with licensetl coniracbrs to consimci ihe D�oject (Section 7044, Business ❑ antl Pmlessions CoOe: The COnVac�ors' Slaie Litense Law tloe5 no� aOPly Io an ownerof pmperty who buil�5 or imprOves �hereon and who contracts �or such pwlects wi�h a conlracioqs)license pursuant b the Contrac�ors' S�a�e L¢ense Law),I am aware thal pmoi oi �heir Warker'S Compensa�ian inmrance shoultl be pmvidetl Io me. Q I am eKemp� under Sec�ion'. B p 7 O q 4 8. 8 P. C. mr mis r ason: OW N ER — B U I LD ER ate: �� - Ownec I do here�y cenify Iha I am aware of an0 un0ers�ana the requiremenls ol Calilomia Heal�� antl Sa�ery Code Sec�ions 25505, 25533, and 2559a an01ha1 I ar any fNure �uilding occupanl will/will noi (circle one) neeA �o comply wiN sai0 slaie co0es and �he reQuirements �or a permil for mn9ruction or motlilicalion Imm Ihe Fir duabry Managemen� Dislric�. ResiOen�ial constmction aODlicalions are eaempi irom �hese pmvisions. Dale', APPlicant. I �ereby ceriify iha� I have reaa Ihis app6ca�ion and 5tate ��at [he a6ove inlormati0n is correCi. I agree l0 compty wi�h all Ci�y an0 toUn�y ortlinances antl siale laws rela�ing to builtling cons�mction anU he y aWhorize represen�atives ai this ciry ro enier upon ��e above-men�ioned pm0erry lor in pectio purposes. Oate', Signa�ure:� ��Q-M--�-�- Driver's Lirense or Sociai Securi�y x: tbai�46 Wln�e—Builtling: Green—Cotle Enlorcemenl Canary—ApplicanL Pink—q¢�enue; Goldenrotl—Assessor CITY OF COSTA MESA — HUILDING PERMIT PERM NO: IE 06527`_ PERMIT NO: IE 065275 PLAN CHECK NO: N GOVT: N SUPP; Y CONSTRUCTION TYPE: �'—N PERMIT TYPE: ELE OTH PURPOSE: OTH JOH DESCRIPTION : LEGALI2E EXPIRED PERMIT #t G-2414 SQ FT: CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 / COMMENTS: REF: B-65274 �-*�r��x-u�*� �#�x*-�t��***-x�*�*��aear*�-�t**�-**�x-x-**n**�x•*�c-*****+t*#�**�**x��t�t*-�*�** x�**i.�r�x--�*�t�*�r** Z O N I N GS ERTEB�AUCIKRSE M E N T S ------ ----- MAIN HUILDING ---------- — ------- ACCESSORY bDILDING ---------- 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: 11729109 ZNE: REF NO: PLANNING NOTES> > ******�*�***+�**�******�x-*********�+��*�*+r******�*******�t**r*****�r�******�*******+e D E V E L O P M E N T S E:'R V Z C E S R E Q U I R E M E N T S / r ZONING APPROC�ED BY , '� DATE: HUILDING APPROVELI HY DATE: AFPLICATION ISSUED BY: �'� DATE: 'Z'�li� /? 9E iE iE iE jE iF iE if if 3P iF * if iE iF iE if if if iE iE iE3FiF�3F-x j�F w�ir .. . iF if iE iF iF �Ih 3E fE i: if �l iF�3F 7�"3E�' iF3FiE af if iE iF iE iE iE iElE �F jE iE fE iE 1! iE it if jF df 3F fE iE fE iE iP iE if iE iF jf iE �F i`.j�f iE iE 3E if ff if if ik if iF iF iE �f jf'1� ik if aE iF if iE iE iE jE �E �E 3E iF aE 7f iE iE if iE 9E if iEif 9! iFlE iE �4 iE LEGALZZATION:N F E E S U M M A R Y STRUCTORAL SEGMENT:N HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 30,00 50� SMIP/NON—RES PLAN ISSUE FEE HUILDING—PIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 30,00 0,00 0.00 30.00 30.00 .00 REVENUE DIVISZON TOTALS--> COLLECTED: 30.00 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 30.00 �E * jE jF iE 1E iE iF iF iE if iE * iE ik iF 1! �E �E 9E iE iF iE iE iE iE iF if 1E iE jf iE iklF iE 1E iE iPlk iE iE it it jE iF jf if !f if k ik it iF iE jE 9f if !F if 3f 1: if !E iE?E iE �1E �E if jE 1E i6 if iF iE if jf 9E �E 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 ELECTRICAL RE—INSPECTION FEE END OF FEES 30.00 Qi �Di3?�JSE-��iJ�d$O �i�iT DATE: 12/1D/93 TII�E: 09:59 30.00 'JO.OQ CONSTRUCT�ON ANDPLANNING APPROYALS Permif # Date t, TempQrary Electrical Service or Pole 2. Soil Fipe-Undrgrnd. 3' Electricai Conduit Utiiiry-Undrgmd. 4. Electrical Conduit-Untl�grnd. 5. Stee( Reinforcement 6. Electricai UFER Grnd. 7. Foot�ngs 8. FoundBtion 9. Water PiPe�Undrgrnd. 10. Structural Floor System 11. ProperiY Sewer Line & House Connection 12. Sewer Cap 73. Roof D�ains 14. Rougn Plumbing 75. Rough Electrical•Cooduit 16. Rough Electric Wiring 77. Rough Wiring Sign 18. Rough E�ectrical-T Bar Ceiling 19, Rou�3h Heating & Air Conditioning 20. Ro�gh Factory Firepiace 21. Dacts, in Structure 22. Ducts, Ventilating 23. Gas Pipe�Rough & Tes. 24. Roof Framing 25. Foot Sheathing 26. T-Bar Ceiling (Siructurai) & Monocoat 27. Frame and Flashing 28. Lathing & Siding 29. Insuletion 30. Drywai� Nailing 37. Plaster Brown Coat 32. Electrical Power Meter�Final 33. Finai E�ectric 34. rinal Heating & Air Canditioning 35. Finai Gas Pipe�Test 36. Hood or Canopy 37. Final Factory Fireplace 38. F4nal Ptumbi�g 39. Water Service•Final 40. Gas Service-Final 41. Solar pomestic-Finai 42. Back`loW P�eventer 43. Backilow Irrigation 44. LandscaPe irrigation System 45. Sound Attenuation 46. Handic.�p Regulations 47. PINAL STRUCTURE & BUIIDWG 48. FINAL PIANNING 49. Eiectric Release to Edison 50. Gas Release to Southern California Gas 51. CERTIfICATE OP OCCUPANCY lo. Date POl 1 SPA Inspec2or APPROVALS Permit # Date inspector 52. Poo! & Equipment �acation • � 53. Steel Feinforcement 54. Forms 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAI TO COVEF�GUNITE � 58. Electrical ConduibUndrgrnd. 59. Gas Pipe, O Undrgrnd., Test ' � 60. Backwash Lines, P-Trap, O Undrgrnd. , 61. APPROVALTQDECK 62. Backwash & Receptor-Final �. 63. Heater & Vent-Finai •� 64. Pium6ing System - Final ; 65. E�ectrical-Final . � , 66. Solar System�Fina1 � 67. Fencing & Access ARArovai � 68. APPftOVED FOfl PLASTERING 69. POOI/SPASYSTE�ASFINAL � FIRE DEPT. REQUIREMEN7 APPROVALS Permit# 70. Underground Hydro 71. Product Piping � Gas ❑ Oii 72. Underr�round Flush 73. Undergmd. Storaoe 7ank Q Gas ❑ OiI 74. Overhead Hydro � 75. Dry Chemicai 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL _� HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION � 80. FOOD CERTIFICATE ISSUED Notes: PXOJECT ADOHE55: j 9 O E 1 8 TH S T �OWNEfl'SNAME: HARRIS ROGER SCOTT RODPE55:.+3 9 0 E � 8 TH ST `r COSTA MESA,CA 92627 AflCM/ENGINEER: nooaess: NEG.NO.: uNiT: CITY OF COSTA MESA — BUZLDING PERMIT —PERMIT NO: IH 065278 PLAN CHECK NO: N CONSTRUCTION TYPE: V—N PERMIT TYPE: OTH STR uxiT: PEHMITTEE: ROGER HARRIS ( 714 ) 695-0821 aooeess: 390 E 18TH ST C.M. CA 92627 LICENSEO LONTPRCTOfl OECIAPRTION: I �ere�y alli�m Ihat I am IicenseG unAer pmtisions al Chapter 9(commencing vnt� Section 7000� oi Division 3 of ��e Business antl Pmlessions Cotle, antl my license a in full lorce and eliect. LITY LIC.: STATE IIC.: CU55: Daie: Signawre: WOBKEflS' COMPENSPTION OECIANATION: I �ere0y afhrm �hat I have a cehifica�e o� consent lo sell-insure or a ceni�icaie a� WOAers' Compensation Insurance, or a certilietl copy inereol (Sec�ion 3800. Lab. C). POLICY NO.: E%P. OATE: COMPANY: ❑ Cerlilie0 copY �5 �ereDy �urni5Ae0. ❑ C¢tlilieE [opy is filetl wilh Ihe ciiy Builtling DiviSion. Oa�¢: ApDliwn�: E%EMPTION FflOM WOHKEflS' COMPENSRTION OECUBATION: (This s, n nee0 not Ce wmplelM il Ihe pertrvt is �w one AuMrea (3700) or less�. I ceNfy Iha� in Ihe Dedormance of the work tor w�icA Ihis permi� is ue0, I 5hall noi emplo any Derson in any manner 5o as l0 EecOme subie�� o tne V rkers' mpen5ation Laws al Catilomia. Oa�e: 2 Signalure: NOTIC I. aRe making 1 rs Geclaralion, you ShoNG Gecame subiect Io I e Workers' Campensatian pmvisians oi ��e Labor CoOe. you must lotlhwilh comply wi�h suc� provision5 or t�is permii SAall Oe UeemeG revokeC. CONSTPUCTION LENOING AGENCY: I �ereby a�firm ��at t�ere is a con5tmciion lentlinp aAency �or the pedormance of the work �or w�icn ihis permit is i=_suetl �Seciion 3097, Civ. C�. LENOEfl: noonEss: OWNEN BOILOEH �ECLAflFTION: I hereGy aBirm I�ai I am ¢xempt Imm I�e Comraclors' Slaie License Law tor Ihe following reason (Section 7031.5 Business and Pm�essional Cotle: Any ciry oi counry whic� reQuires a Oe�mit �o constmci, alter, impwve. aemolis0. or repatr any 5�mciure. prior lo its issuan[e. also re0uires lhe applicant for suth permit to lile a signetl s�atemen� �ha� he/s�e is Iicen5e0 pursuam lo the D�ovisions oi Ine Comractors' Slate License Law (C�apter 9 �commenciny vnt� Seclion 7000� ol ONision 3 0l Ihe Buvneu and Pmiessions CaDe� or Iha� he/s�e is exempt ��eretmm and lhe basis �or Ihe allegeU exemption. Fny violation ol Section 7031.5 Gy any applicant for a permil Sublecl5 i�e applicani to a ciNl penal�y ot not more ��an �ive huntlrea tlollars (5500). l as owner ol Ine pmDeny or my emD�a/ees with wages as Iheir sole wm0ensatian, will tlo tne work. anU TAe ❑ sirucwreis nolintenEed oroflere0 lorsal¢�Seciion 704a, Business and ProlessionalCode: ihe Coniractors' Stale License Law does no� appN�a an owner ol a O�openy wlw �uilAs orim0�ove5 thereon, an0 who tloes 5uch vrork himsel�/hersell or I�rough Ais or �er own employees, pmviae0 ��a� such impmvements are not intende0 ar olfereC lor sale. If. however ��e builtling or imDmvement is so10 wilhin one year of comple�ian. Ihe owner will have Ihe 6m0en ol pmving hels�e Oi0 no� Ouild or improve lor ine purpose of salel. 1T' I. as owner o� the pmDetly, am exclusively con�mciing with licensed conirac�ars to consimc� �Ae D�ole�� (Sec��e�s` ❑ and Pmfessions Cotle: The Conlractors' Sla�e License Law does no� apply to an owner o� pmpe�y w�o Duiltls or impmves Iher� antl who conlratls tor suc� O�olecls with a caniracroqs�license pursuan� lo Ihe Contracl0r5' Slale License Law�.l am a Ihai pmoi ol Ihcir Worker's Compensa�ion insurance shoultl be pmvieed lo e. � � am esempi un0er Section: H P 7 � q 4 B. 8 P. C. m�misrason, OWNER—BUILDER Daie: Owner. I ao nereoy etlily t al I am aware ol an0 untlers�antl Ihe requiremenis ol Califomia Healih an� Safery Cotle Seciion5 25505. 25533, antl 2553d anE that I or any fu�ure builtlmg occupanl wilUwill noi (circle one) nee0 to comDN �� iE state codes an0 ��e repuiremenis lor a permil Im canslmclion or modilicalion Irom �he Air Ouabry Managemeni Oistricl. Pesidenlial conslmc�ion apDlicaiions are e�empl Irom Ihese provisions. Oate: FpPlicanL I hereGy cenity iha� I �ave reaa I�is application and sla�e �hat ihe above inlormalion i5 Correct. I agree Io comply vnlh all ciry an0 couniy or0inancesantlsla�elawsrelatingtobwldingcansimcliananahereby thorizerepresenlaiivesollhiscilytoenleruponlhea6ove-menlione0 piaperly br in ¢clio purposes. Oate: � � Signaiwe: � , Q A� �� -- Driver's Lmense o� Saciai Seaniy �: i64i�a6 Wh�te—Buileing: Green—LaEe Enlorcement; Canary—Applicam; Pink—Revenue: GOICenrcd—Assessor PERM NO: IB 065278 GOVT; N SUPP: Y PURPOSE: OTH JOB DESCRIPTION : LEGALIZE EXPIRED PERMIT # G-22291 SQ FT; CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / COMMENTS: SMOKE DETECTORS ARE REQUIRED AS PER 1991 U.H.C. *****�*��c�c*�**�**+�***�********�**+�+�*+r**�**��**�**�***+�****�c+��w*�c*�*�c�r�c�c**��**** Z O N I N GS ERTEBQAUCIKRSE M E N T S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PAAKING REQ; PAOV; PARCEL; 11729109 ZNE: RE£ NO: PLANNING NOTES> > �• ��t�r*��r*��r��r*��r**��*�r*�*�r�e**x�*�r�r*�*�***+r*�t+�**�***�**�**�*+�*****��'+��***��t�*« D E V E L O P M E N T S E R V I C E S R E Q U T A E M E N�T S '� ZONING APPROVED BY DATE: BUILDING APPAOVED BY : DATE: "' , APPLZCATION ISSUED BY; � DAT�: `,I"��I�7 *�r**�t**i�**�r****it***i�**�^�Fi7�7F'i�.. fi� "�F�,. *�t***fr*f�**;F#.t�� ti� iF�r# itat�r*x�****�c***�;��r*ie�t*****ie�t***ititx�it*it***�t+��t*if**it**��r�t*******io-***it**�**#*at*�c**�r*��e LEGALIZATION:Y F E E S U M M A R Y STRUCTURAL` SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 30.00 SMIP/NON—RES PLAN ISSUE FEE BUILDING—DIV—> PEAMIT ISSUE PLAN—CHECX TOTAL PAID DUE TOTALS----> 30.00 0.00 0.00 30.00 30.00 .00 REVENUF t�T� ON TOTALS--> COLLECTED- 30.00 OC�ER/SHORT; 00 DET �� p� � PLUMHING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK TYPE INS iL7ififlflEll�i' 1filiflE�EiE�ElEiElf�flfifffititiFifiE%'R�iEiEitlElfiF�lflf�1F1E1fiEiflEiElflf�lEiffE�EifiEifllifififiEih4iEifiE#!ElflEihifiElE � I N D I V I D U A L F E E H R E A K D O W N QTY D E S C R I P T I O N UNIT COST TOTAL COST 1 HUILDING RE—INSPECTION FEE END OF FEES e� �r U1 C�15?p89—Da!52039 T�_+T DAtE: i?;1Q/93 iInE: 10:D0 30.00 30.00 .� CONSTRUCTION AN� PLAfJNING APPROVALS Permit �`r i. Temporary Electncal Service or Pole 2 L Soil Pipe�Undrgrnd. � 3. Electrical Conduit Utdity�Undrgmd. 4. Electrica( Condult-Undrgrnd. 5. Steel Reintorcemenc 6. Electrical UFER Grnd. 7. Footingt 8. Foundation 9. Water Pipe�Undrgrnd. 70. Structural Floor Svs:em 11. Praperty Sewer Line & House Connection 12. Sewer Cap 13. Roof Drains 14. Rough Plumbing 15. Rough Electrical•Conduit 16. Rough Electric Wiring 17. Raugh Wiring Sign 18. Rough Electrical-T Bar Ceffng 19. Rough Heating & Aif Conditioning 20. Rough Factory Fireplace 21. Ducts, in Svuccure 22. Duas, Ventiiating 23. Gas Pipe�Rough & Test 24. floof Framing 25. Roof Sheathing 26. T�Bar Ceii'm9 �Struct�raq & Monocoat 27. Frame and Flashing 28. Lathing & Siding 29. Insulation 30. Drywall Naihng 31. Plastcr Brown Coat _ _ _ 32. Electrical ?ower Aleter�Fina1 33. Final Electric 34. Final Heating & Air Corditioning 35. Final Gas Pipe�Test 36. Hood or Canopy 37. Finai Factory Fireplace 38. Final Plumbing 39. Water Service�finat 40. Gas Service-Final 41. Solar pomestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Candscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUIIDING , 48. FINAL PLANNING 49. Elactric Re�ease to Edison 50. Gas Release to Southern Caiifornia Gas Q Date Date ' POOL & SPA � Inspector AppROVAIS Permit;� 52. Poof & Equipment Location � 53. Stee� Reinforcement ' 54. Forrps 55. Electrical Bo�ding 56. Rou�h Plumbing & Pressure Test 57. APPROVAL TO COVER•GUNiTE 56. Elec(ricai Conduit�Undrgmd. 59. Gas Pipe, O Undrgrnd., Test 60. 8ackwash Lines. P-Trap, C7 Undrgmd. 61. APPROVALTODECK 62. Back�,vash & ReceptorFinrl 63. HeatOr & Vent-Finai 64. Plumbing SYstem - Final 65. Electtical-Final 66. Solar System-Final � 67. Fencirg & Access A�pAroval ' 68. APPR'OVED FOF ts1.�ASTERING 69. POOL/SPA SYSTEP.'IS FJ��AL ' PIpE DEPT. REDUIR�INEN7 APPROVALS Permit � ` 70. Underpround Hydra �=�� 71. Product Pipin9 O G8f ,Q Oil 72. Underground F�u�h 73. Undergrnd. Sroraye Tank O Gas ❑ Oil 74. Overhead Hydro 75. �ry Cfiemicpl 76. Ory Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH OEPT. REQUIREMENT 79. FINAt, INSPECTION � 80. F000 CERTIFICATE ISSUED Notes: � ( l� Date �lnspector AVDlicant to fill in all spaces eicept thoie wlthin heavy EorEer Ilnas anE slgn all apO�oD��ale tleclaralions. ciTY-oF cosrA MESA CONSTRUCTION PERMIT r"projectAdd�rsss �� E�R i�. C M � ApplicanUSMaitin9Addreu �'6nV E ' r Owne�'SfName 4^�"�u�/�' Phone��S"�i21 Addiess p�n ✓� Arch/Eng. License No, Address Contractor's Name Phone Addreu (mailing) . City License No. LICENSE� CONTRACTOR DECLARATION I heteby dffirm [hal 1 am licensetl untl¢r provi5lOn5 of Charter 9(commencing with section ]000) ot Oivision 3 of thc Business antl Professlons Cotle, antl my licenze is in full force antl eftact. -License Class License No. , Date Si9ndture � "ORKERS' COMPENSATION DECLARATION ereby aifirm tnat 1 have a certifi<ate ol consent to self-insure or a certlficate Workers' Compensation Insurance, o� a cartifietl Copy [hereOt (Section �I 3800, Lab. C.) " �� Policy No. �� Company � I e Certifietl mpy is heretiy.furnisM1etl. ,. Certified copy is tileG',with the city Builtling Division. � � � �ate ' � Applican[ — . EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (Thiz section neetl not be com0�etetl it the permit is for one huntlretl ($100) or less). � 1 certity that in the performanGe of thn work for whiGh this perm�t is issued, I shall not employ any person in any manner so as to become subject lo the Worker ' om ensation Laws of Califorpi� �-t. ��e ignaTure G� �� f �NOTIC : If, fte� making this tleclar�on, Y�u shoultl bec e subject to the Workers' Compensation provisions oi the Labor Cotle, you must forthwith comply wilh such p�ovisions Or this pe�mit Shall b< tleemetl revoketl. CONSTRUCTION LENDING AGENCV � � I hereby affirm that tM1ere is a consVuctlon lentlin9 agency for the per(ormance of the work for whiCh [M1I5 permit i5 i55uetl ($ection 309] Civ. C.) Lender's Name Len0eY5 Atltlress OWNER BUILDEH �ECLARATION I hereby affirm that I am exempt from the Contractor's Litense Law for the following reason (Section ]031.5 Bu5ine55 antl Prote55ional Cotle: Any citY or county wnicM1 requlr¢s a Oe�mlt to const�uct, alte�, improve, tlemoli5b o� �epair any Si�ucture, P�ior to its IsSuance, also reqW�es Ihe ap0�icanl fOr such permit to file a si9netl Statement that M1e/she Is IlcenSetl pu�suant to tne p�ovisions of �he Contractor's License Law (Chapter 9(CommenUng with $ectlon 7000) of vision 3 ot Ihe Buiiness antl Protesiions Cotle) or [hat he/sh¢ is exempt :retrom antl the basis for tne allegetl exemption. Any violation oi Section J31.5 by any applicant for a permit 5ubjects the applicant to a civil ' �enj Ity ot not more than tive huntlretl tlollars (5500). � �✓I, as Owner of the property . � loafpvrsatiea, wi11 tlo tne work, antl the structure is not intentletl or otierea for sale (Section 7044, Business an0 Protessional Cotle: The Contractor'S License Law tloes not applY lo an owner ot a property who builtls or improves thereOn, antl who tloes Such wo�k himselt/h¢rself o� lhrOu9h hls o� h¢r own employees, provitletl that such improvemenls are not intentletl or offeretl for sale. If, nowever, the bulltling or ImprOvement is soltl wlthin one year Of com- Oletion, the owner will have the buraen oi proving he/she tlitl not builtl or im- prOve tor the pu�po5e of sale). ❑ I, as owner of the Oroper[y, am exclusively tontracting with Iicensetl con- tractors to const�uct th¢ p�oject (Section 7044, Bu5ine55 antl Professions CoOe: The Contractor's LicenSe ldw does not apply [o an owner ot property who buildz or improves thereon, antl who contracts for such'projects wlth a mn- tractor(si license pursuant�ro the Contractor'S License Law�. I am aware that proof a( tM1eir WorkerY Compensation insurance shoultl be provitletl to me. ❑ 1 am exempt untler SecFion � �� . & P. C�if reason � Date C�L lSlo —vowner I hereby ce/tity thal I have reaa his information i5 co��ect. I a9ree to compl antl state laws relating to builtling <onf _ sentatives of [pis city to enter upon above 6�2�8 TVPEOFCONSTRUCTION IJNEw IZSIADD LJ�q4T4aa715yN.LJ.aE�IR '❑ CONVERSION ❑ OEMOLISH ❑ OT�ea��o�- C,T�[AK A P# -� , DESCRIPTION OF WORK/USE OF BLDG. ' • � S • Main Building: E TVPEOFPERMIT' GRADING FOUNDATION 'STRV.CTURAL T Front ❑ TENANT � ELECTRICAL ❑ PLUMvBING ❑ MECHANICAL 6 Reaf� ❑ �OTHER - - f�sf1'PiA�T� 03� A C Right PROJECT DESCRIPTION� 4��b l'�1PAf`1CV =� K � CONSTRUCTInry Typc_V � _ vni ��n7ipN�� S L¢ft ZONE GRADING CU. VDS. ACRES Ping. Ref. �k' Remarks: _ ��_ —7 —� L /� %� �y9, Planning Notes: Backflow Preventer Backflow Irrigation Bathtubs Clarifiers ' Dishwasher ' Drinking FOuntains Floor Drains Floor Sinks - ' Gas Service Outlets Interceptors Kitchen Sink Roof Drains Reinspection Fee Boiler ' Duct-UnderGround Duct-Structural ' Duct � Ventilating Exhaust System ❑ Multiple FirepVFact. Blt. ICBO # Heating System & Ducting ❑0.100,000 BTU 0100,000 0 ABING FEES Showers ServiceSink - Sewer Cap � � SewecConnection�. $olar COIIecLOrS ' - Solar Piping ., • ' Solar Tank a' Swimming Pool w/Spa Urinal Water Closet Water Heater Wa[er Service Aum-Wash ,µ l V � (� 5 Issue Fee �p EC ANICAL � o or pe I ❑ Canopy Typell ❑ Refrigeretion System ❑o-ioo,00aeTu ❑ioo,000sr System Repair/Alteration Fire Dampers Fegisters cense or 55 � � � I I Reinspection Fee I S75 I I Issua Fee , I $ 3 rev. 10/84 White - Builtling; Canary - Applicant; Pink - Accounting; Goltlenrotl - Assessor Automatic Wasfier Construction Pole Sub. Cooking Unit Dishwasher Dryers ❑Gas ❑Electric Fan F.A.U. Fixwres 09�5 ii�eie6 s ' �, ZOne Accessory Building: Parking fleq./Provided ELECTRICAL Transformer �❑ 15�50 KW ❑ 50+KW Meter ❑up to 100 amps Meter ❑over100amps Sub Panel Momrs �0-1 HP � 1'h � 8 Inc.Solar 09-15 HP 016-75+ Microwave Pole Light ' ' Range —' . Garbage Disposal . Generator �65 KW �5-15 KW ' Reinspeetiori Fea $15 DEVELOPMENT SERVICES REQU � � Zonin9 APProved By� ,Building Approved By Appllmtion Issuad By ' y " — BUILDING PERMIT. $ - � PLAN CHECK $• ' PLUMBING • $' � PIAN CHECK , 25% $ � ELECTRICAL $ 'PLANCHECK 50% $ • MECHANICAL � $ \ PLAN CHECK 25% $: � �cs��. ;;. Z O N I — N G R E Q M T S FEES ; Standing Sections ' Trash Compactor�, , � , Issue Fee ' -t � $ 3 'Ts: . `_. , .,_._ /-.�i . R� FEES J SMIP � PERMIT ISSUANCE ENERGV P.C. GRADING MICROFILM TOTALFEE g' Z•�� ` �ONSTRUCTION AND PLANNING I ,:'APPROVALS Permit# � 1. Temporery Etecir'rcgl Service or Pole 2.s3oil Pipe=Undrgrnd. ' 3; Electrical Conduit Utility-Undrgrnd. 4. Electrical Conduit-Undrgrnd. .,, � 5. Steel Reinforcement ' 6. Electrical UFER Grnd. 7. Footings 8. Fountlation 9. Water pipe-Undrgrnd. 10. Structural Floor System 11. Property Sewer Line & House Connection 12. Sewer �yp � 13. Roof Drains ' 14. Rough Plumbing 15. Rough Electrical-Conduit 16. Rough Electric Wiring 17. Rough Wiring Sign 18. Rough Electrical-T Bar Ceiling 19. Rough Heating & Air Conditioning 20. Rough�Factory Fireplace 21. Ducts, in Structure 22. Ducts, Ventilating ' 23. Gas Pipe-Rough & Test ' 24. Roof Framing , 25. Roof Sheathing 26. T-Bar Ceiling (Structural) & Monocoat 27. Frame and Flashing � ' 28. thin � Siding 29. I n_�' Qa.t i�n � 30. Drywall Nailing G' 31. Plaster Brown Coat -r`• r 32. Electrical Power Meter-Final 33. Final Electric ! 34. Finel Heating & Air Conditioning 35. Final Gas Pipe-Test , 36. Hood or Canopy 37. Final Factory Fireplace 38. Final plumbing � 39. Water Service-Final 40. Gas Service-Final � 41. Solar pomestic-Final � 42. Backflow Preventer� � 43. Backflow Irrigation � 44. Landscape Irrigation System . 45. Sound Attenuation . 46. Handicap Regulations 47. FI1VqL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electrie Release to Edison � 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY Date Date � Inspector � � C • PO' 1 SPA � � APPROVALS Permit# 52. Pool & Equipment Location 53. Steel Reinforcement � 54. Forms � � 55. Electrical Bonding 56. Rough Plum6ing & Pressure Test � 57. APPROVAL�70 COVER-GUNITE 58. Electrical Conduit-Undrgrnd. 59. Gas Pipe, O Undrgrnd:, Test _ _ 60. Backwash Lines, P-TraP, � Undrgrnd. - 61. APPROVAL70DECK 62. Backwash & Receptor-Final 63. Heater & Vent-Final 64. Plumbing System - Final 65. Electrical-Final 66. Solar System-Fina! 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL FIRE DEPT. REQl11REMENT APPROVALS Permit # 70. Underground Hydro 71. Product Piping O Gas ❑ Oil Z2 � Und un �ush 73. Undergrnd.StorageTankOGas OOiI 74. Overhead Hydro � � � 75. Dry Chemical ' ' 76. Dry Standpipe� - 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL . HEALTIi DEPT. REQUIREMENT 79. FINAL•INSPECTION I 80. FOOD CERTIFICATE ISSUED � Notes: i /ii �a/� ---s�J -----''Q 0 URG . 00�• Date �Inspector Q 0 �. aecraooRcss: 390 E 18TH ST owxeasName: HARRIS, ROGER SCOTT aoonesy_390 E 18TH ST ^''' COSTA MESA,CA. 92627 AflCH/ENGINEEN: aooxess: NEG.NO.: uxiT: UNIT: PEflMITTEE: ROGER HARRIS ( 714 ) 695-0821 FOOflESS: 39O E 18TH ST C.M. CA 92627 UCENSEO CONTflACTOB UECLNflAT10N: I hereby allirm i�a� I am licensetl un0er Drovisions of Chapler 9(commencing wiN Sec�ion 7000� of �ivision 3 0l Ihe Business antl Professions Cotle, anU my license is in full force an0 eflect. CITY LIC.: STIITE LIC.: CLASS: Date: Signature: wOBNEBS' COMPENSaiION DECLAflATION: I here�y aflirm Inat I Aave a cenificate of consent �o sel4insure or a cenilicate ol Worker5' Compensation Insurance. or a cenilietl copy thereof �Sec�ion 3800. Lah. C). POLICY NO.: E%P. ORTE: COMPANY: � C¢tli�iea topy is hereby IUmi5�e0. ❑ CerlifieG copy is �ileG with the dry BuilEing Division. Dale: AppliunL E%EMPiIONfflOMWOPKENS'COMPENSITIONOECLAIiATION: (Thi55cliMneMno�bemmpl¢IetliithepermithiarOn¢huMr¢0�5100)aless�. 1 cerlify t�al in t�e petlormance ol Ihe work �or w�ic� t�is permit i� �sue0. I slull nol employ any person in any manner so as lo become su�jecl to ��e Worker5' Compensaiion Laws o� Calilomia. Oate: �� 1�_�� 5''Z Signamm: C�-�'si n.J�i� NOTICE: 11 alier'Inaking Ihis Oeclaraiion. you s�oWG Oeco e suEle�� o the Workers Compensa�ion pwvisions ol I�e laEor Cotle. y0u must fonhvnlh com0ly wil� suc� pmvisions or Ws permit Sliall Ue deemed revokea. CONSTNUCTION IENDING RGENCY: I �ere�y altirm IOaI t�er¢ is a tronsVuc�ion lentling agency tor Ihe pedormance o� t�e work lor w�ic� ��is Oe�mn is i5sue0 (Section 3097. Civ. C�. LENOEfl: AOONE55: OWNEB BOILOEB oECLANA710N: I here�y allirm ihat I am exemD� ��om t�e Caniracmrs' Sta�e License Law for ihe lailowing reason (Section 70.3t5 Busine5s an0 Prolessional Cotle: Any ciry o� counry which re0uire5 a permit to construct, alter, impmve. Eemolish, ar repair any simclure. prior lo its issuance. also requires t�e aOVlicant for sucA permil io file a signetl slatemenl thal he/she is IicenseA pursuanl to Ihe pmvisions al ��e CanVacmrs' Slale License Law �C�apler 9(commencing vnih Seclion 7000) ol Division 3 0l Ihe BuSinesS ana Prolessions Cotl¢) or ��al he/s�e is exempt Ihere�mm and Ihe ba5i5 �or �he allegetl exemp�ion. Nny violalion ol Section 7031.5 by any apPl�cani lor a permil su�jects Ihe applicanllo a civil penalty of noi more �Aan five hundred dollars ($500�. I, as owner ol Ihe pmoeny or my employees wilh wages as their sole compensation, will do the work, ana ihe ❑ slmcWre is no� intenGea or offered lor sale (Section 7044, Business ana Pm@ssional CoOe: The Coniracmrs' S�ate License Law Ooes not apply to an owner o� a properiy who builtls m impmves thereon, anA who aoes such woB himsel�/hersell or Ihroug� his or her own employees, provitletl Iha� SUCb imD�ovemeni5 are not intended or Oflered lar Sale, If, how¢ver lhe bUilding or impmvemenl is soltl within one year of completion, the owner will have ihe burtlen of omving he/sAe tlitl not huil0 or improve lor �he pur0ose oi Sale�. I, as owner ol Ine Dmperly, am exclusively conlraciing wiN licensetl contracrors to con9rvq the pmlect (Section 7044, Business ❑ antl Pm�essions CoGe: The Comraclors' S�ate License Law Qoes not appty m an owner ot DroOetly w�a hml0s or impmves Ihereon and who conlracls br such pmlects wi�� a contractoqs�license pursuant�a t�e ConUaclors S�ale Litense Law). I am aware Ihal O�o�l ol Iheir Worker'S Compensation insurance s�oultl be D�oviOetl lo me. � I am exemp� un0er Section: B P 7 � q q B. 8 P. C. mr mis �eason: OW N ER —B U I LD ER -Date: �Z-I�6I94 Ownec � I 00 �er¢�y cetlily Ihal I am aware ol anU unAer51an0 I�e reduirements o� CalilOmia Healih antl Sa�eiy Coee Setti0n5 255Q5, 25533!y{IA 2557G an0 Inal I or any IWure huilAing acupant wiluvnll not (circle ane) neee to comply with saiU state cotles anA Ihe repuiremenis fMd � permil loi consVuciion or moditicalion Imm I�e Air �uali�y Management OisUic�. PesiGeniial consimction aDPlitaiions are exem0� ��om I�ese provisians. Dale: qppliCanl: Ihereby cerlity I�al I navereaE��is applitalion antl slalelliatihe a0ove intormaiian is mrrttt. I agreeto comply with allci�y anA coun�y orOinaMesanOstalelawsrelatinplabuil0ingmnsimc�ionanGhere autlrorrzerepresenlaiivesoilh¢cirylaenlerupollhea�Ove�menlioneG properly lorin. ection purposes. �ate: SignaWre: /� J1..�-�f�J i • ori�ersucense SociaiSecudiyx: 164t_a6 Wpne-Builtling; Green-GoCe Enlorcemenl: Canary-Applicam; Pink-Revanue: GolEenroG-Assessor CITY OF COSTA MESA - HUZLDING PERMIT PERM NO: IB 065274 PERMIT NO: IH 065274 PLAN CHECK NO: N GOL'T: N SUPP: Y CONSTRUCTIOr] TYPE: V-N PERMIT TYPE: OTH STR PURPOSE: OTH JOB DESCRIPTION : LEGALIZE EXPIRED PEAMIT # G-2414 SQ FT: CLAIM VALUE: CALC-VALUE: GROOP OCC: R-3 / COMMENTS: REF: G-2414,SMOKE DETECTORS ARE REQUIRED AS PER 1991 U.B.C. **��*�r*��***��*�r***+�******�**��*****�**�*��***��*****+r**�***�c*+�**��**��+��** Z O N 2 N G R E Q q I R E M E N T 5 S E T B A C K S ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAA: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROC�: PARCEL: 11729109 ZNE: REF NO: PLANNING NdTES> 1 1F if iE if iE il�lf iE iF iE 1(� fE'.E if 1E iE �)f iE if if iE iE i! if if if if if iF if 1E 1F iF ## if !F itlE ft # ik if iE if 1E if it 1E �1F 9F If if iEiE iE 9f iF fE 1E jE ff if 1f iE iE if l:9f Y iE M�f fE �)f 1E iE # iF D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N�T S ZONING APPROVED BY DATE; BUILDING APPROC'ED BY : DATE: APPLICATION ISSUED BY; � DATE: ''t Z.�I IO( �� *i�ft��t*�c�r**x��rir�***+t��***+r w�iF�x�F"x.. * ***+�***�r�r*� t��3F'�i'iF"'�-* iE 1E iE 1E iE aE it iE if if # iE iF iE iE if iE 3E �E i4 iE �f aE if if if iE iE iE if if iE iF iE iE iE iE if iF iE iE if 1f ik iF if- jf i4 jE if if iE �1F jE iF if iE iF iF if # 1E if iE iE iF 1F iF'�F iE iF iE if-iF * if %iE iF LEGALIZATION:Y F E E S U M M A R Y STRUCT�SAAL SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FZAE SMZP/RES GRADING PERMIT 30,00 SMIP/NON-RES PLAN ISSUE FEE BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE TOTALS----> 30.00 0,00 0,00 30.00 30.00 .00 REVENUE DZVISION TOTALS--> COLLECTED: 30.00 OVER/SHORT: .00 HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK 30,00 iF iE iE if iF iF it if iE if iE iF iE if if fElE 1E iE if iE 1f ik if if af iE jE it iE iE iE iE iE if if if iF 9t ie iE jE ik iE iElE 1k iE iE iE iE jFl4 �Mf 3f iE if iF Yr if iE iF if Yr iE �f iE iF iF iF iE iF ff # if * �E iE if 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 A I P T I O N )KE DETECTOR DING RE-INSPECTION FEE END OF FEES R�EQUIRED UNIT COST TOTAL COST 30.00 30.00 t�i Q01520&5-04:JZOSJ Y G T 30.00 DA7E: 12/10iS3 TIME� 09:SZ CONSTRUCTION AN� PLANNiNG FOO ;PA APPROVALS Permit # Date I�spector APPROVALS Permit # Date inspector . L Temporary Electncal $ervice or Pole 52. -Pool & Equipment Location ' 2.�Soil Pipe-Undrgrnd. � 53. Steei Reinforcement 3. Electriral Conduit UUlity-Undrgrnd. 54. Forths 4. Electrica( Condwt-Undrgmd. 55. Electricai 8onding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Tesi � 6. Electrical UFER Grnd 57. APPROVAL TO COVER�GUNITE 7. Footings 58. Eloctrical Conduii•Undrgmd. B. Foundation 59. Gas Pipe, CJ Undrgrnd.. Test . 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P•Trap, O Undrgrnd. 70. Structural Floor Svstem 61. APPROVAL TO DECK , 71. Properiy Sewer Line & House Connection 62. Backwash & Recepto�-Final ' 12. Sewer Cap 63. Heater & VenbFinal • 73. Roof Drains 6A. Plumbing SVstem � Flnal �' }A. Rough Plumbing 65. Eleccrica!-Final 15. Rough Elettriwi-Contluit 66. Solar System-Final � 16. Rough Electric Wiring 67. Pencing & Access Approval • 77. Rough Wiri�g Sign 68. APPROVED fOR PLASTERING 78. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEWIS FINAL i:J 19. Rou9h Heating & Air Conditiomng FIRE DEPT. REQUIREMENT � I 20. flough Factory Fireplace APPROVALS Permit �-` 'T" � ,.M 21. DuMs, in Strocture 70. Underground Hydro �'• � � 22. Ducts, Ventilating 77. Product Piping C7 Gas ❑ Oil � • 23. Gas Pipe-Rough & Test 72. Underground Fiush �. �-?- � 2A. Roof Framing 73.. Undergrnd. Storage Tank O Gas � Oill'!�+ �','��' I 25. Roof Sheathing 74, Overhead Hvdro ` ' ' `- - 26. T�Bar Ceding (Structurall & Monocoat 75. Dry Chemical (�4 1 27. Frame ar.d Ffashing 76. Dry StandpiPe � , 2S. l2thing & Siding 77. FIXED SYSTEM FINAL 29. i�sutation 78. FIRE PflEV. FINAI. 30. Drywall I�!ailing NEALTH DEP7. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION � -I 32. Electrical Powar'.Seter�Finai 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & A�r Conditioning '.� 35. Final Gas Pipe-Test , 36. Hood or Canopy � 37. Final Faaory Fireplace � - � 3$. Final Plumbing 39. 4Vater $ervice-Final 40. Gas Service-Final 41. Solar pomestic-Final 42. 8ackffow Preventer 43. Backflow irrigation 44. landscape trripation System 45. Sound Attenuation 46. Handicap flegulations !_� 47. FINAL STRUCTURE & BUILDING 'j/��qy 48. FINAL PLANNING 4g. Electric Release co Edison 50� Gas Release to Southern California Gas Cn 51. CERTIPICATE OP OCCUPANCY - No. Date � ' .o fill iM1 alLsp�withln Iteavy bo�G¢r lines antl sign all apptopriate Geciarotions. d��"� /�A��"S . F CO J�.. ES � PERMIT N TRACT NO. - LOT NO. ", BLDG. NO. �J�L, '�Z-�6 �o I �OB I/20/82 • � 363�H% TL ' ONST HETT6�PERMIT G,.'�� ' '.. " , - Project Address 3C G ' ' TYPE OF CONSTRUCTION � - , � , , , , �OWnef " - - Phone �j-0�� ❑NEW �ADD :�.ALTERATION '- � ' � � �� Addrea - ( � � ❑ kEPAiR ❑ CONVEa51oN ❑DEMbUSH ZONING REGULATIONS . , 'ArCh/Eng. - " ' ' - Licen52 NO. ' - ❑ OTHER ' ' ' � A.P. gf DESCRIPTION OF WORK '� " � ` • Address � . � . . - . . . ' '" i �' ZONE PLIVG. RgEUF.:�,- ' � � . Con[rector - 'Phone TYPE OF PERMIT�. � � � n -� � -•-• ;' - � SErBACK T. � ��OPE�RTVNLINE , � EAddreSS , ' - � ,- ' ❑GRADING', ❑ FOUNDATION .+�Q57RVCTURAL. IDEVARD- / - �LICENSED CONTRALTOR DECLARATION - � ❑ TE�`1ANT ' � }'�'� --C t EF � � - � �1 hereby afflrm tn:.t 1 am Iicensetl unaer provlsions ot Charter 9(com- �ELECTRICAL"-�' PLUfv1BING�MECHAMCA 5IOE VA : f -- -- � .mentlng wlth'settlon �000)'of DlviSion 3 of tlte Businesi�antl�-�OTMER - - -��j R�GHT ,`: R'ofe5sion5 Cotle, �antl my Ilcense is In 'Tull force antl effecL �- �' ' � REAR VARD (TO P/L) ,� j - PROJECTDESCRIPTION- ' � Litenie Class Licensa No. � . � � ' ' ' - - - - ' � SQ.��FT.-�ry�T�r� • 'PKG.SPACERE�. ,PROV�IOED•-'� � Date Signature . �� .- -. 'STREET WI�TN.. � ,FA FEE E - .WORKERS"COMPENSATION�DECLARATION- -� -'- , OCCUPANCY - CONSTRUCTION TVPE '�� I ' I hereby a(firm that I have a certlfiwte ot consent lo self-insure or a 7�� ' , � - �ZONING APPROVED DATE_ -^rtififate o( Workers"Compen5atlon-Insurante;�or a-cerHflatl cbpy VACUATIOtV�[�ZONE_ _ .�_ .�.. �cof (Section 3800, �b. CJ. i .. GRADINGC ' O � ACRES .SPECIAL CONDITIONS: - ' .<Y No. _ _ "' ' . ComPanY ' .. . .. _. _ .. . _' __ .__. " ' . . �J•Certifietl copy is heYeby,furnishetl. - - - -- � � - �- - REMARKS: - � - - - - _. _. ' . _.. � ' ' � ' � ❑ Certifietl COpy IS filetl with the city Builtling DiviSion. ' ' '- ' ' .- - '_' "_ ' ' ' ' ' EXEMPTION FROM W�RKERS' COMPENSATION DECLARATION ' - .,. �. '- .- - ""'I, ' � ' � � �� . -. . .. . _.. _ _.. . ..... • . � � (Thii Section.naetl-noC-be cOmpl¢t¢tl If the pe�mlt.is fo� one huntlre0 . � . ' _ _ . ' � • � � .' � . � (5300) or less t � � . . . - ' - ' - -' - " - ' .- - -' ' ' I-cerlHy_that �n.th¢ pprtormance of_[he.work fOr_Whlch thls pCrmit IS _ , . � issuotl, I shall not emp�oy any person in any manner so as po become PLUMBING' _ PLAN CHECK �;ELECTRICAL � PLAN �CHECK ` subject to�the�Workers'�COmpansatio Lawsot California.'�^��.�� "_ - •Da[e ' � Slgnature�T��LE.I� BATHTUBS � SHOWERS � � � � 00 } �- -' -- � '' 1 NOTICE: If after maMng this tleUaration, you shoultl become subjecl Z1"OICETS:�/, i� ' �'URINALS �� - GENERATOR -� OQ KW_ 1-101tVd . � to the Workers' Comp6nsatlon provisioni ot lhe labor Cotle, you must ' 1TRANSFORMER �.- torthwitn comply with such provisions or thiz permit shall be tleemetl VATORIES DOUBIE LAVS ' O�APPLIANCE '10-50'KW_50 � KW '' - ' revoketl. - � - '-.----`• - --.- - - - � - - " KIT.SINKS .� � � -DISHWASHERS ;� �` 1MOTORS -' ' " ' - -` I CONSTRUCTION LEN�ING AGENCV . . O , 0-1'HP_1-30 HP ' �1 hereby afilrm tnat there ls a constructlon lentling agency tor the per- SERVICE SINKS 'i �(u SUMPS� '� t-.- -"'UNC. SOLAR) - 10-50 HP-_-50 +'HP - L4 fl � tormance`oi tM1e wo�k-�or.which �,this.0ermlt;is9ssuetl, (Sectlon 309�. - - � 1 Civ.C.):-�- - _,, �: -^�-_'� µ.� . �FLOORSINKS•?�� .FLOOR�ORP.INS~ � •FIXTURES"�OUTLETS SWITCHES ' - Lentler'S Name ° A c^ � _ � � ' DRINKING FOUNTAINS � � ' - �' ` ' ' GAS'TUBE SIGNS" Lentler(sAtlOresr`��' - - -" .. . . n � -� _- " f ; OWNERBVILDER�DECLARATION_. � ��` INTERCEPTORS�� .�..CLARIFIERS'"'- r .� 'POIECIGHTS -� -'-" � � � nereby afLrm that,l a�n exempt trom the�COntrac[orls,License Law for, - _ . �� the followin9 �eazon, (Section 7031'.5 Bu5ine55'antl, Professloni Cotle: � SWIMMING P�OOL �' ��P TRAP ' ' "°' Any.:city •or tcounty �whlch\requlres, a permit ttiLwnstwct„alter, �. �� -� � OLES METERED SUB - i improva, tlemolish or.rePa�r any s;ructure;.Orior to its Issuance, also ?e= yyqTER�SERV ICE p� ALTERATION - , PANELS' -- MAIN' � � qWreSth¢�apylidanttof_SucRPe�miUto,lib.a.sign¢tlStatem¢ntthat�h¢� � - �� f� �Q�' �^Iicensetl_pursuant'to �he provlsionz of th¢.Con[ractor'S Citense taw' q55ERVICE'� IOVTLETS � SERVIC - - ' AMP ' � hapter. 9(commendng,�wi[h.SecUon 1000) of Diyision 3 ofCthe - d� "� 'ness antl'Piolessiohs Cotle) or"thahhe isexempt therefrom antl the �yyqT�ER�IiEATERS�. -�BTU OUTPUT - �p -' - -�r - �,aPPllwnta1fo9ea PRBTI[iSUbjet[sY�'Ch¢�aPPI WntstOta�tl I�De attY' . ' ". . - _ ' of not�more'than;li�e huntlretl-tlollars (y500)._� �� .� � �Y• SEWER CONIVECTIONS� ��p�s �'.3 � -- �.1 [� I, as ownar�of the F�operty; or my employees with.wages as theii SOIAR�TANK COLLECTORS ' - Z" � ' . • - sole.<ompensation,.will"tlmthework,:antl-,the�Structure�isnoLintentled� •`�•�" `^"''-- � ' Gur'bff¢retl for sale.,(Secllon 7044,.BusineiS�antl Prot¢s5ion5 Cotle:'ThB' $OLAR PIPING SYS. '� ISSUE FEE' ' •`a �� Contra2tor's`Gcense-L'Aw tloes'not�apply�to.'an OWner.of.a_prOperty. '_ " ' � w�i0 builtls o� imOroves Ihereon, antl who tl0¢5 suth wo�k;himselt or � �"�SSUE FEE ;�2y '' 'APPL O P Y' � ''� DATE� 'L thtOugh his�own-¢mpl0Yee5, provitl¢tl'thal�such imOrOJem¢nts'd�e.not ' ' - intentletl or oHeretl for sale. If,.however; the builtling or improvemenh � MECHANICAL ��. 1 PLAN CHECK ' " is.soltl within:oneryear'.of completion,.ihe�owner•will have the buraen •. ' ��- � � SUMMARV OF FEES � i of proving he ditl no�.builtl or improve�for� he'purpose of.sale). � �^ •BUILDING' " ' -" .- �- - /� � � . HEATI NG SYSTEM ' 0-300;000 BTU D Q'I;'35--owner of-ttiC•pro0erty, am'ezciuiively�contracting'wi[h -qNDDUCTING � -� - - V �PERMIT_ S ^ Q!•_'S�_� $MP ,:,y�u��• � licensetl mntractors-to tonsiruct,the project (Sec[ion ]044, Busine55 . 100,000+BTV '' PLANCHECK b ,}�.J f RMIT � ' dntl R'of¢S5ion5 COtle: The-COMrdCtUr'S LlcenS¢ LdW tl025 nOt dpply to - ._ �_ j' _� - an owner of property who Duiltls or improvez thereon, antl who con- REFRIGERATION 0-100,000 BTU �PLUMBING EJ��Cj�.525�, � SSUANCE 5 • tracts 1rom su<h"projec[5 with a-mntractor(s) Iicesnetl pursuant-to SYSTEM - - �' - - --- G ADING --y' � ,� the Contractor's �icense Law)_ ��y: � � � � . . ~300,000 . BTU � PLAN CHECK S � .� ❑ I am exempt nntlei 5ection � - B. & P. C. for this � �, � BOILERS ' v,' BTU � ELECTRICAL E � $ 1 �eason --' ' ' '—' ' ` `-" � � � � - � '� � " - Iy1 CROFILM E � � SVSTEMREPAIR,ALTERATION � PLANCNECK S / Oate- �-- -�-Owner � - - MECHANICAL' E OO �/ TOTAL FEE E Phereby Certitythat I.h2�e_reatl Ihis appliCation antl state that the above EXMAUST SVSTEM MULTIPLE �� • - , intormation Is rorrecL I agree to comply with all city antl county � - iPLAN CHECK - 8- ' LE55 AD- � artlinaqces ana.slate laws relatin9 to construction, antl hereby au[horize � EN � B� . VANCE PC $_ �epr¢sentative5 of this City to enter upon the a0ove mentionetl - ' � � �� prOperty fo� Inspectian. pu�poses..__ . _ . _. ' �//8 Signature Date - - • FINAL FEE ��+3 Drivers' License or 55 � ISSUE FEE' - - -' � • � 3 QQ - _ - _. CMF 0865-46 White-Bulltling; Canary-Applicant; Pink-Ac<ountinq; Goltlenrotl•Assessor �V /OOG L4.�. �E%B�4C �ii/'� � _- _ � � � . '�, / �� ; CONSTRUCTION AND PLANNING _ POOL & SPA � � � � � � .. � APPROVALS Permit # Date Inspector qppROVALS �, Permit # •,��Date- . Insper,tor � �t v� � ' 1. Temporary Electrical Service or Pole --. 43. Pool & Equipment Location - ��-- -- - -- � � 2. Soil ipe-Un rgrn 2 44. Steel Reinforcemenf -- - � -� - 3. Electrical Conduit Utility-Undrgm � �� 45. Forms � � � - " � ' 4. ElectricaFConduit-Undrgm ` � � 46. . Elec[rical Bonding - - ., ��n . tee ein orce ' ' � -,§"=Z(_ 47. RougF Pium6in & Pressure Test � � 6. ElectricalUFERGm ,sa/_$� 48. APPROVALTOCOVER-GUNITE - � 7. Footings g,�.� � �' ,5-2�_ � � �49. Electrical Conduit-Undr m ' � i_.� _8... _Foundation - ' ' � - 50. . Gas Ripe, � Undr rn, Test �� _9. Water Pipe=Undrgrn � 51. Backwash Lines P-Tra -❑� ndr rn �� - - g 10. Structural Floor System p-s � S- 52. APPROVAL TO DECK" -' ' '" - - -� � 11. Property Sewer Line &'House�Connecti n -/7 yZ 53. '' BackWash & Rece tor-Final ' � � � . 12. Street $ewer Connection - "' ' `' � 54.. Heater & Vent-Final � - - . 13._ Rough Plumbing �y ' - ' " - � ` - 14. Rough ElectricConduit - - •� - - 56.- �Electrical-Final- - - � � 15. -RoughElectric-Wiririg � �- �^ la.-�1q- -- 57.� SolarSYstem-Final , '• -, ��' ° `o 16. Rough Heating & Air Conditioning= .'j� Z � encing & Access Approval �. . 17. _Ducts in Structure � - APPROVED FOR PLASTERING � •- � 18: _Ducts, Ventilating . � " ' _ _ � .. 19. Gas Pipe-Rough & Test ' ' � � `''-� 60. POOL7SPA SYSTEMS FINAL , � � • • _ ,. 20: - .Roof ,Framing � � ' � •- • � � ' 27. Roof,Sheathin " - - � -aD• 2 . S � ' � � . „ � . . � . 22. Frame and Flashin ' �_ is_ y _g NOTES: _ao_ 23. Insulation _ - ' 2!y. S�R/ $.'Z, ' ' ' 24. -lathing & Siding � � � � - ' - /}- O�f 25. .Drywall Nailing . - � � NS - � - ��. 26._. Plaster Brown Coat � " � 27. :Electrical Power Meter-Final � ' -�3; 28: 'Final Electric - �_-' � � - � i, ' 29.. Final Heating &'Air Conditioning S/ •D3 ' � ' ' . 30. � Final.Gas Rpe-Tesf ' ' /3� Y7 l.( g C � 31.' _ Final Plumbing � _ _ � _ _ - - . 32.. WaterService-Final � -�4- 1� Y �. ' 33. � Ges�Service-Final ' ' .� � Lar a✓ L - Y-- H�' s 34. Solarpomestic-Final� • ' � >"'- �A-��(.`� -i - 7 �a7l� . �v�ev va<C'� 35. Landsca e S rinklin S stem ` - �' , 36. Sound Attenuation � � • ' f - 3i - S�-f ._Q � , o. � i - ' � 37. Handicap Regulations � ' � � � � ' 38. FINALSTRUCTURE&.BUILDING �_ ' �- � � � 39. Special Requirements Completed � D Cl G- 40. Electric Release to Edison - `-- � ; 41. Gas Release to Southern California Gas Co. ' � ` 42. CERTIFICATE OF OCCUPANCY . � � � 'No-: Date - , _ � - Applicant to!fil� �I �c�e�ept t�ose wilhin �eavy bortler Iines antl sign all aOCropriate tlecla�ations. CITY OF COSTA MESA COcNS7RUCTION PERMIT PERMIT NO. _� ��'�?� TRACT NO. LOT NO. UNIT NO. Project Address �n� �a� � . H. Applicant's Mail�ing �A�d.d.,r.e�ss- Owner's Nam�e nZ! ' s4%�J��ri. Phone �� Address /'y_�� Arch/Eng. License No. Address _ `t=�' Contractor's Nam Phone Address Imailingl City License No. LICENSED CONTRACTOR.DECLARqT10N 1 nereby affi�m tltai I,am Ilcensetl untlQr provision5 ot Charte� 9(commencin9 wi[h section �000) of� Division 3 of the Business antl Protessions Cotle, and my 1lcense is in !WI force antl eftect. License Class ' Licenso No. Date `"519natur¢•' 'ORKERS' COMPENSATION DECLARATION iereby atfirm that I have a certificate of consenl to 5¢If-insure or a certiticate of Workers' Compensation 'Insurance, or a certifietl copy thereof (Section 3800, Lab. C.) � - ��- Policy No. COmpany �Cer[ifietl copy is he�eby furni5he0. Certifietl copy is filetl with'tne tity guil0in9 Division. Oa[e - Applicant E%EMPTION FROM W,ORKERS' COMpENSATION DECLARATION (Thi55ection neetl no[ � completetl if the permil is for One huntlretl ($300) or less). T I cerfify that in the pertormance of th@ w rk tor wMch this p¢rmR is issuetl, I shall not employ any'person In any.ma er so as to become subject to the Workers' m tion Laws of Cali(ur . Date Signature NOTIC . If, after making thi5 tlCClatation, you shOultl be me Subject to th¢ Wo�kers CompenSallon prOvislons o� the Ldbo� Cotle, you must forthwith comply wi[h such Orovisions or [hiz pe�mit Shall be Oeemed revoke0. CONSTRUCTION LENDING AGENCV 1 hereby afiirm tha[ there is a conztruction lentlin9 agency for lhe performance ol tho work for w�icn thls Permi( is issuetl (Section 3097 Civ. CJ 4!ntler's Name Lenaer's Atltlress OWNER BUILDER bECLARATION 1 hereby aHirm [hat I am exempt from the Cont�acto�'s LlcenSe Law for the Pollowing reason (Section 7031.5 Busihess antl Protesslonal Cotle: Any city or <Ounty which �equires a permlt to const�uct, alt¢r, improve, tlemolish or �epair any structure, prior to itz issuance, also requires the applicant for such permit to ti�e a signetl statement thal he/she is licPnsed pursuant to Ihe p�ovisiOns of .e .-...,..�..,.. � i��o�� i.,w �cnaoter o rr.,..,�.,nncina wim section 70001 of ,re�elrom antl Ihe ba5i5 f0� Ihe allegetl ex¢mption. Any violatiOn of SeCtion 7031.5 by any ap0�icant tor a perM{{ subjetts tne aoP��cant to a civil �enalty o( noe more Man live nunUred doltars (E500). I, as owner of the property or my employees with wages as their sole cortmpenzation, will tlo tne work, antl [he struciure is not In[entletl or ofteretl 1or sale (Section 7044, Business anq Protessional Cotle: The Con[rac[or's License law tloes not apply to an owner of a oroperty who builtls or improves thereon, ana who tloes such work himself/herselt or tnrough his or her own employees, p�ovitletl [hat such improvemenis are not Intentletl or offeretl for Sale. If, howevGr, the bulltlln9 0� Imprp�ement is Soltl wlthin one year ot com- pletiOn, the owne� will have Ihe bu�tlen o( pwvinq he/zhe tlltl mt builtl o� im- prove fo� the purpose of sale). ❑ I, as owner ot the OroPerty, am eXclusively contractin9 with licensetl con- Iraclorst0 cons[rucith¢ PrOject (Sectipn 7044, Bu5ine55 antl Professions Code: Tne Contractor'S License Law tloes �ot apply to an owner ot property who builtls or improves thereon, antl who contracts /or sucn Drojects with a con- t�acto�(51 license plllSOdlll IO IbC COfI(IdC[OI'S IJCBf15C Law). I am aware that �pro i of lhei� Worker'S CompensaHo� insuranca zhoultl be provi0etl to me. am exempt un0er Sec[ion�- B. b P. C. tOt)his rea5on Oate �� Owner I hereb certrty that I have r¢atl tnlx application an ate tnat the above Information is mrrect. 1 agree to compty with all tlty antl county ortlinances antl state laws reiatin9 to bulltling tonstruction, antl hereby authorize repre- s¢ntatives Of �his cily to�en[e� upon the�above-mentionetl propert� tor Signaturet��'�� a Drivers' license or 55 � TYPE OF CONSTRUCTION LJ NEW L�AD� LJ A�TERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q,p, �6 � DESCRIPTION OF WORK/USE OF BLDG. ' S Main Building: E TVPE OF PERMIT GRADING FOVNDATION STRUCTURAL T FrOnt ❑ TENANT ❑ ELECTRICAL ❑ PLVMBING MECHANICAI B Rear ❑ OTHER A PROJEC7 DESCRIP710N 5q. F7. ocCunANCv C Right K Lef[ CONSTRUCTION TVPE VALUATION $ $ ZONE GRADING CU. VOS. ACRES ping. Ref. # Remarks: Planning Notes: Bar Sink Preventer Irrigation �rinking Fountains Floor Drains Floor Sinks Gas Service OuUets Intercepmrs Kitchen Sink Lavamries Roof Drains Reinspection Fee � $15 Boiler Duct - Under Ground DuCt - $tfuMufdl Duct - Ventilating Exhaust.System ❑ Multiple Firepl/Fatt. Blt. IC80 # � Heating System & Ducting ❑0.100,000 BTU 0100,000 Reinspection Fee � $15 CMF 0865-46, rev. 10/84 Whit¢ - Bulltlipg; Canary - Appllcan[; P�nk - Acwunting; Goltlenrotl - ASsesm� ShOwers Service Sink Sewer Cap Sewer Connection Solar Collecmrs .. Solar Piping ' Solar Tank Swimming Pool w/Spa Urinal Water Clout Wa[er Heater Water Service Auto-Wash Laundrv Travs Issue Fee iANICAL Hood or Typel ❑ Canopy Type I I ❑ Refrigeralion System Oa100,0006TU ❑100,000 Z System Re�air/Alterotion Fire Dampers F Registers ��m pate �_ laue Fee FEES $ 3 FEES 5 3 Flutomatic Washer Construction Pole Sub. CDoking Unit Dishwasher Dryers ❑Gas ❑Elec Fan F,A.U. Device Boxes Oullets Switches Garbage Disposal Generator �0-5 KW Fea 9944 II/19/B7 Zone Accessory Building: Req.IProvided ELECTRICAL � Transformer ❑ 75-50 KW ❑ SO+KW Meter ❑up to 100 amps. Meter ❑over100amps Sub Panel Motors q0.1 HP O1 �- 8 Inc.Solar Dy-15 HP �16-75+ Microwave Pole Light Range ' Standing Sections 5-15 KW Trash Compactor $15 luue Fee 5e50 TL FEES $ 3 Z O N I N G R E � M T S DEVELOPMENT SERVICES REQUIREMENTS: � Zoning qpproved By Date Building Appraved By Date Appliration Issued By Dat �+ �7 Q? i SUMMARV OF FEES BUI'DINGPERMIT $ SMIP $ PLA� CHECK $ PERMIT PLUMBING $ ISSUANCE $ 15 PLAN CHECK 25% $ ENERGY P.C. $ ELECTRICAL $ GRADING $ --ntANCHECK 50% $ MICROFILM $ MECHANICAL $ � ,'�� TOTALFEE $ r' � PLAN CHECK 25% $ CONSTRUCTION AND PLANNING POOL & SPA I APPROVAIS Permit�# Date Inspector p�ppROVALS Permit# - Date Inspector 1. Temporary Electrical Service or Pole . 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcemeni 3. Elecvical Conduit Utility-Undrgrnd. 54. Forms � 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding � '� 5. Steel Reinforcemeni 56. Rough Plumbing & Pressure Test � � 6. Electrical UFER Grnd. � 57. APPROVAL TO COVER-GUNITE • 7. Footings 58. Electrical Conduit-Undrgrnd. � 8. Foundation � ` 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK � 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap . 63. Heater & Vent-Final 13. Roof Drains , 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final i 6. Rough Electric Wiring _ 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVEO FOR PLASTERING 18. Rough Electrical;T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Raugh Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Roughy:Factory Fireplace APPROVALS Permit # _ 21. Ducts; in��Structure 70. Underground Hydro 22.. Ducts =Ventilating 71. Product Piping O Gas ❑ Oil - 23. Gas Pipe-Rough & Test 72, Underground Flush 24.�Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74, Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 2S. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL � 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION -� ;�� 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning _ , � � 35. Final Gas Pipe-Test �, - 36; Hood or Canopy i �7- Final Factory Fireplace ' 38. Final Plumbing � � ! 39. Water Service-Final 40. Gas Service-Final -"'- 41. Solar pomestic-Final • � 42. BackfloG✓ Preventer "' � ; � � � J . , 43. Backflow Irrigation , ' 44. Landscape Irripation System � � ;� ; 45.'Sound Attenuation P I R E D ✓ , �-46. Handicap Regulations ' ' ' , y , 47. FINAL STRUCTURE & BUILDING a e _ $jg _ _ ' . : - . - - . 48. Special Requirements Completed � � � � 49. Electric Release to Edison � � ' 50. Gas Ftelease to Southern California Gas Co , 51. CERTIFICATEOFOCCUPANCY , , No. � Date � AOP��ant to iill in all spaces except lhose witnin neavy Ooraer Ilnes antl sign all apv�ovriate tleclarations. CITY OF COSTA�MpESA CONSTRUCTION PERMIT ' PERMIT�p�O_ TRACT NO. � LOT NO. UNIT NO. Project Address �`2� � �i.. C � l�'� �� Applicant 3 Mailing qddress . Owner's Name �L'l1j� . �%�/�Phon�i%S—DS21 Address fE�V� Arch/Eng. License No. Address Contractor's Nam Phone Address (mailing) City License No. LICENSED CONTRACTOR �ECLARATION I hereby afiirm that I am liconsetl untler provislons oi Charter 9(commentin9 witn section 7000) ot �Ivislon 3 of the BuSiness antl Protessions Cotle, antl my license is in tull force antl eftect. License Class License No. Date Si9nature 'VORKERS' COMPpNSATION DECLARATION iereby attirm tnat I have a certificate of consent to self-insure or a certificate . Workers' Compansation Insurance, or a certifietl COpy thereot (SeCtion 3H00, Lab. C.) Policy No. Company BCertifie� coOY �S he�eby furnishea. Certifietl coPY �3 filetl�wlth lM1e city Builtling Division. Date Applicant EXEMPTION FROM WORKERS' COMPENSATION DECLARATION (This section neetl qot be completetl i( the permit is for one huntlretl (g100) or I¢55). I certify that in th@ Oe�formance ot the work fo� which thi5 permk i5155uetl, I shall not emPloy any person In any m ner so as to become subjeSt to the workers' o enzdtion Laws ot Galftor ia. Oa[e � F�_Si9nature L�� NOTICE: , a ter making this tleclaration, you sM1ould be ome subject to [he Wo�ker5' Comp¢nsytion provisions ot th¢ Labo� Cotle, y0u must forthwi[h comply with sucp prOvisions or [Itis pe�Tlt Shall be tleemeC �evoke0. CONSTRVCTION LENDING AGENCV I nereby af9rm Inat th¢r¢ is a conztruction lentling a9ency to� the perto�mdnce of the wOrk tor which tni5 Permit is ISSuetl ($ection 3097 Gv. C.) Lentler's Name : LenGer's Atltl�ess ' OWNER BUILOEH DECLARATION ' I hereby affirm that I am exempt from the Cont�actot's License Law fo� the following reason ($ection 7031.5 Businoss antl Professlonal Cotle: Any city or Counry whlch req4ire5 a permil lo tonst�uct, dl[¢q improve, tlemOlish or r<Pai� any structura, priv to its issuance, also requires the applican[ for such permit [o file a signetl statemenl Ihat he/she IS IicenSetl pur5udnl to the provi51on5 of 'h¢ Contractor's License Law (Chap[er 9(commencing wllh Section 7000j ot 'vi5ion 3 0� the BuSinCsS antl Professions Cotl¢) o� lha[ ne/sh¢ is ex8mpt erefrom antl [na basis for lhe alleqetl exemption. Any violation of Se�tion .031.5 by any applicant tor a Permi[ supjects the appliwnt to a civil penalty of not more than five huntlretl tlollars (E500). ❑ I, as owner of the property or my employees with wages as their sole compensation, will tlo tne work, antl the zVucture is not IntenCetl or offeretl for wle (Sectlon 7044, Business antl Protessional Cotle: The Gontractor's l.icense Ldw tloez no[ appty to an own¢r ot a property wbo builtl5 or improves tnereon, antl who tloes such work nimself/herself or tnrou9n his or ner own employees, prOvitletl that suGh improvements are not intendetl o� ott¢retl fo� sale. If, however, the builtling or improvement is soltl wi[hin one year of com- oletion, the owner �yill have IM1e burtlen oi proving he/she tlitl mt builtl or im- prove tor tlte purpose of sale). ❑ I, as owner ot the property, am eztlusively contra<tlng with licensetl con- tractors to consbu�t the project (Sectlon ]044, Business antl Professions Cotle: The Contractor's License Law tloes not apply to an owner of property who builtls or imOrovez thereon, antl who contratts for such projects with a con- tractor(s) Ilcense pursuant to the Conlractor's License Law�. 1 am aware that �pro of theF WOrker'S Compensation in5urance shoultl be providetl t0 me. m exempt uqtler $ection� B. & P. C. for thi5 reason � , ' Date � I hereby Informati� antl state sentatives inspectiot Signature Drivers' L — Owner ��(�--^-µo — — iat I have reaa thiz application antl state that the above �cL I aqree to compty with all city antl county ortlinances :ing to builtling construction, antl hereby autnorize repre- city to en[et upM the above-me0tlonetl prpp9rty tor or55� TVPE OF CONSTRUCTION L1 NEW :�.AO� LJ ALTERATION LJ REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTION OF WORK/USE OF BLDG. TVPE OF PERMI7rn -LJ GRH�ING LJ FOUNDATION LJ STRUCTV RAL ❑ TENANT �✓tLECTRICAL ❑ PLVMBING � MECHANICAL ❑ OTHER PROJECT DESCRIPTION . 5a. F7. oCCUPANCv CONSTRVCTION TYP VALUATION 5 ZONE GRADINGCU.YDS. ACRES— Remarks: Q � � � � �raa Sink Preventer Clarifiere - Dishwasher Drinking Fountains Floor Drains Floor Sinks Gas Service Ou I n tercepmrs Kitchen Sink Lavatories Drains $hOWCfS $ervice Sink Sewer Cap Sewer Connection Solar Collect Solar P' g Pool w/Spa Urinal Water Closet Water Heater Water Service Auto�Wash Laundry Trays Reinspection Fee. ` $15 I I Issue Fee I $ 3 I MECHANICAL FEES Boiler Duct - Under Ground Duct - Structural Duct - Ventileting Exhaust System ❑ Multiple ❑ Firepl/FacL81t.ICBO# ^ Heating SVstem & ing ❑P100 U �100,OOOBT Reinspection Fee � $15 CMF 0865-46, rev. 30/g4 Wnite - Builtling: Canary - Applitant; Pink - Accounting: Goltlenrotl - Asseisor Hood or Type I ❑ Canopy Type I I ❑ iefrigeration System �0.100,000 B 100,000 BTU 5 Repair/Alteretion Fire Dampers � Registers Issue Fee -$ 3 A.P. #a 5 Main Buildi E T front 8 Rear A C Right K S Left Ping. Ref. # Planning Notes: Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher Dryers -❑Gas ❑Elec Fan F.A.U. Fixtures Device Boxes Outlets Switches Garbage Disposal Generator �0.5 KW C Fee 528� 4/02/87 Zone. Accessory Buildin9: Parking Req./Provided ELECTRICAL � Transformer ❑ 15-50 KW ❑ 50+KW Met¢r ❑up Lo 100 amp5 Meter ❑over100amUs Sub Panel Motors�0.1 HP �1'h-8 Inc.Solar �9-15 HP �16-15+ � Microwave Pole Light Range Standing Sections 5 KW Trash Compactor $15 luue Fee DEVELOPMENTSERVICESREQUIREMENTS: Zoninq APProved By Building Approved By y� _ �� SUMMARV OF BUILDING PERMIT $ PLAN CHECK $ � PLUMBING $ PLAN CHECK 25% $ ELECTFICAL $ •Ob N�PLAN CHECK 50°6 $ _ MECHANICAL $ � � PLAN CHECK 25% $ 6o0t� TL Z O N I N G R E Q M T 5 FEES $ 3 SMIP $ PERMIT ISSUANCE $ . ENERGY P.C. $ GRADING $ MICtiOFILM $ TOTALFEE $ � CONSTRUCTION AND PLANNING ' J POOL & SPA APPROVAL$ Permit # Date Inspector p�ppROVALS Permit # Date - Inspector 1. Temporary Electrical Service or Pole � 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. , 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. , 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings � 58. Electrical Conduit-Undrgrnd. ' $. Foundation 59. Gas Pipe, O Undrgrnd., Tes[ 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, � Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring (,i��'.�1 � 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. REQUIRENIENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure � 70. Underground Hydro 22. Ducts, Ventilating -71. Product Piping OGas ❑Oil , 23. Gas Pipe-Rough & Test 72. Underground Flush - 24. Roof Framing 73. Undergrnd.StorageTank O�Gas OOiI 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat �75. Dry Chemical = 27. Frame and F�ashing 76. Dry Standpipe � 28. Lathing & Siding �77. FIXED SYSTEM FINAL ' ' 29. Insulation 78. FIRE PREV. FINAL � 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION , , 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED - 33. Final Electric Notes: 34. Final Heating & Air Conditioning � 35. Final Gas Pipe�Test . 36. Hood or Canopy 37. Final Factory Fireplace - 38. Final Plumbing 39� Water Service-Final ' 40. Gas Service-Final � 41. Solar.Domestic-Final � 42. Backflow Preventer • 43. Backflow Irrigation � � 44. Landscape Irrigation System . , � 45. Sound Attenuation , � 46. Handicap Regulations • ' 47. FINALSTRUCTURE&BUILDING � 48. Special Requirements Completed i • 49. Electric Release to Edison � (1 50. Gas Release to Southern California Gas Co ! j 51. CERTIFICATE OF OCCUPANCY • �� , N0. Date - ' � (( w 1�% �� ' � .. . :7