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Home My WebLink About661 17TH ST - Building PermitsPflOJECTPDOXESS: 6Ej1 W 17TH ST OWNEfl'S NRME: STABLER MARIE A. , TR POONESS: C�O VAL�RIE CLARK 1740 OCEAN BLVD. BALHOA CA 92661 714) 6'73-8963 RNCNIENGINEEB: q00flES5: flEG.NO.: uxiT: A � UNIT: PEPMITiEE: A LICENSED ELECTRICII;N (714)696-6056 AODNESS: z i S BROADWAY COSTA MESA CA 92627 LICENSED CON7XRLTOP oECUNATION: I nereDy aflirm inat I am Iicense0 utWer o�wisions al CAaD�er 9lcommencinB witn Section 7000� ol Divisim � oi 1ne Buvnea an0 Pralessions Cotle. an0 my Gcuue is in IW force and ettect. ciTr uc.: 0 4^91 STRTE� IL.: S Q S(j �cu/ss:/� 0 : 0 3/ 9 S � SiqreW��/��C-i z�—� — WONREflS' OMPENSATION OECLABRTION: I �er¢U anirm tnat I nave a cenilicate of consent to selbinsura or a cenilicate oi Workers' Comoensa�ion Insurance, or a cenifiea cooY �hereol (Section 3800. Lao. C1. POLICV NO.: E%P. ��TE: COMPANY: � Cenifiee copy is hereby lumishee. ❑ Cenifiea copy is filed witA tne ury BuilEinA ��n. Jate: AOVlicant ESEMPiION FNOM WOflKEflS' COMPENSITION OECUNATION: (Pa ucian iree0 not Ee w��Ge�C I� the Pami a tw one AuMaO (3100) w ks�. I ceM1ily tlul in ��e peAormance ol the work �or wNU W5 oermi� is issue0. I S�all nol employ apy Derson' y manner w as la �ecome su�ject to ihe Worker3' CAmDensatian �aw5 of Calilomia. � (' //�� y ^ �iey.��_�_� SiqnaNrC�''lti--s-...�..�m (�i.�} �� N0T C II. afier making IhiS Oetlara�ion. yrou SMy.� �e%me SUEjBtI �o �he WOrk¢rs Campen5ati0 r s ns of tAe La6or Coae. you must fonhwitn como�Y'�'�� sucn o�oNsians or Inis permit snall Ue aeemed revok¢d. CONSiNUt710N LENOING RGENLY: I �ereGy affirm t�at t�ere is a construction IenOing apency for t�e DeAormance ol the work for which tnis permit is i=suetl �Section 3097. Civ. C1. IENOEP: ADOflF55: OWNEP BWLOEB DECLANATION: I �ere0y atlirm t�at I am exempt Irom t�e Coniractors' State license Law lor t�a lollowinq reason (Stt�ion 7031.5 Business anA Pmlessional CaOe: My tiry ol counry wkc� repuires a permit to construct, alter, imOrwe, Uemolish, or re0air any s�mcwre. D�iar to its issuance. alm mpuires t�e aDPlicant lar sucll Oermit Io file a sipne0 statemem t�at he/s�e is Ilcense0 pursuam io me provisions onne Comrac�ors' Staro Licenu law ICnapter 91�mmendnp vrith Section 7000) al Division 7 0l the Business anG Pmlessions Coae� ar that �e/s�e is e�emD� ��erelrom anA the 6asis lor i0e �IleqeO eKempiion. Any violation ol Section 7031.5 Uy any aDPlicant tor a De�mit suUlects Ne aOD�iwnt lo a civil Oenalty of irot mare I�an INe hunAmO Eollars (5500�. I, as owner ol iAe O�openY or my emVloyees wit� xayes as t�eir sole compensation, wlll Co t�e work, anA Ihe I❑ slmciure is not imenCed or allere0 tor sale 15etUon 70C4. BuSin¢SS ana Pm�essional Cotle: The COntraClofs' $Iale LiCen52 LaW aoes no� apPly �o an owner of a D�oOeny wtp OUACs or im0��'� �nerton. an0 who Ooes sucn wod nimsell/tcersell or InroupA Ais or hei own empl0ye¢5. O�ovitle0 Itul Suth imprOvemenis are n01 inten4e0 or o�l¢r¢d tOr sale. If, AOwevef �he buildinp Or impmvement is sWa wilhn ane year of Completian, tne mener will tuvC tlle EurOen ol 0«+�0 ��/�e aIE not UuilO or improve lor ine DurpOSe ol Sate). I, as awner af Ine D�op¢ny, am eAtlusivery wnUac�np witn IittnuC mntratiors Io conslNtt IAe D�aleci ISectlon 700d. Business ❑ aM Prafessips CaCe: TAe Contractors Stare Lice�e Law Oces m� appy lo an ovmer ot property xM EullOs m improves ihereon anu wno contrans lor sucn pmjects witn a comracmr(s) license vursuam to ine Cantracmrs' State Liunse Law�. I am aware Ilui proof oi I�¢ir WOrkei 5 fAmpensa6m inturanc¢ SMula Ee prOviEM lo me. � I am evem0� un0er Seclion: 8. 8 P. C. lor Ihis reason: Oate: �'^'^e�� I ao hereGy cenity t�at t am aware of an0 un0erstantl t�e repuirements of Califomu Healtb an0 Safety CoOe Seclions 25505, 25533, ana 255Sa ano �na� I or any lumrt UuilOing acupant wilUvnll not (drde one) nee0 to wmpy vritn ui0 state codes an0 tna repuirements for a p¢rmil lor consimction or m04ilicalion Irom t�e Air Ouabry ManaAement Usirict. fle5i0eNia1 tonsiruction applitatians are exempt Imm Inese pmvi9ons. Da�e: Applicanl: . I nere0y cenity ihat I �ave rea0 t�is aDDlication anE sta�e tlwt t�e a0ave informatqn 6 mrrecL 1 aqree ro campty wi�� atl ' y an0 county orainances anU sta�e lam relating to UuilOmq canstmction anG hereq� authonze reDreunutives ol ' dty to nter upon �� ve-mentioned pmpeny lor inspectian purposes. —[�-�� —/ �� Signamre: . Oriver's License or Sociai Security a: 164��Qfi WM1ne-0uilaing: Green—CoOe Enbrcemenq Canary—PpplicanC Pmk—Revenue; Goltlenro0—Assassar CITY OF COSTA MESA — HUZLDING PERMIT PERM NO: E 06981 FERMIT NO; E 069810 PLAN CHECK NO: N GOVT: N SUPP; N CONSTRUCTIOD] TYPE: PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTZON ; SERVICE UPGRADE ONLY !!! SQ FT: CLAIM VALUE: 1,333.33 CALC—VALUE: GAOUP OCC: B-2 / COMMENTS: NO OTHER WORK, CHECK FOR C OF O FOR NEW TENANT **x�*�r*rr***�c*r*r�w�rrr+rr*ir**r*r*rr*ar��r**+�*��c.�*�r.*rr***r+�*+t�rx�*�r***+F�r***�car**+t***+c�x�*+F 2 O N I N G R E Q U I R E M E D] T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ• PROV; PARCEL: 42930101 ZP1E: REF NO: PLANNING Nt�TES> 1 �f iE �7(� if if i! ft iE ff if aF f ff iF if �! it iE if if if aF it?f M iE if if ik iF if if iF af #�±f 1! if if if it it iF V it M 1F 1E 1F if k M M M it M iE M if if if if 1f 1f if it jF i! iF 1F �f M 1f � it if iE if 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 HY DATE: bUILDING APPROVED BY DATE: APPLICATION ISSUED BY�_ , DATE: �/ g it***�trir**�t***ririr+tr�rr*TF� jt � r o- �r t+� at r � �T.��+Tr�r*rrir-r�TiF�**+�**r�t�rr *** ****ac ifitif*ifititri6ififititififlfiFrNifiFitMitifrititit+itiiititifititifir r41f+Fir�itiFriFacifrriti�+fMM+fat*irititititititititr�titiF�fit+f LEGALIZATION:N F E E S U M M A R Y STROCTURAL SEGMENT:N HLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 29.50 SOt SMIP/NON—RES PLAN ISSUE FEE 15,00 BUILDING—DZV—> PERMZT ISSUE PLAN—CFiECK TOTAL PAID DUE TOTALS----> 29.50 15.00 0.00 44.50 44.50 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 44,50 OVER/SHORT; ,00 BLDG PMT PLUMBING ELECTAIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 44.50 iEif{�af�fMifififlfiF*ifMafMilitririfififiFifififMifrftrrrifitiFMMitat+ticftif�rMifNr+ciFa4x�fr+fifi�+p{EiFiRifaci�iR�t�fifiiicMiFifiFltaf 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 ELE 1 SERVICES BELOW 600 V 6 HELOW 201 AMP 18.50 18.50 ELE 1 SUB—PANEL 11.00 11.Q0 END OF FEES V 01 Ga371358-001]1358 T C!T 64.`0 DATEe 21/OE/94 iIHE: ]1:37 CONSTRUCTION ANDPLANNING POOI PA ' ( APPROVALS Permit # Date 'lnspector pPpROVALS Permit # Date Inspector i, Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgmd. 53. Stee1 Reinforcement 3. Elecirical Conduit Utility-Undrgmd. 54. Forms 4. Electrica� Conduit-Undrgrnd. 55. E�ectrical Bonding 5. Steel Reinforcement 56. RougN Plumbing & Pressure Test 6. Electricai UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electricaf Conduit�Untirgrnd. 8. Foundation 59. Gas Pipe, fJ Undrgrnd., Test 9. Water Pipe�Undrgmd, ' 60. Backwash Lines, P�Trap, O Undrgmd. 10. Structural Floor SYstem � 67. APPROVAL TO DECK 11. Prope�ty Sewer Line & House Connectio� 62. Backwash & Receptor•Final 12. Sewer Cap 63. Heater & Vent-Finat - 13. Roof Drains 64. Plumb�ny System � Final 14. Rou9h Plumbing - 65. Electrical�Final � 15. Rough Eiectrical-Conduit 66. Solar SYStem�Final 16. Rough Electric Wiring 67. Fencin9 & Access Approval 17, Rough Wiring Siyn 68. APPROVED FOR PLASTERING i r ' .18. Rough Electrical•T Bar Cei�ing 69. POOVSPA SYS7EPAS FINAL � , 79. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT I 20, Rough Faciory Pi�eplace � ' � APPROVALS Permit # 1 21, pucts, in Structure 70. Underground�HYdro 22. pucts, Ven[ilating 71. Product Piping � Gas ❑ Oii 23. Gas Pipe-Rough & Test . 72. Underground Flush 24. Roof Framing � 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Sheathing 74. Overhead Flydro 26. T-Bar Ceiling (Structural� & Monocoat 75. Dry Chemical 27. Frame and P�ashing ,, 76. Dry Standpipe 28. Lathing & Siding 77. FIXEp SYSTEM FINAL 29. Insulation � 78. FIflE PREV. FINAL 30. Drywali Nailing � HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coai �-FINAL INSPECTION 32. Efecvical Power MeterFinal �I� �' . OOD CERTIFICATE ISSUED 33. Finai Electric Notes: � 34. Final Heating & Air Cond(tioning '• � . 35. F�nal Gas Pipe-Test � .� � . 36. Hood or Canopy . � . . � � 37. Final FactorY Fireplace . 38. Final Plumbing . - 39. Water Ser�ice�Final � ' 40. Gas Service�Final . � 41. 5olar pomestic-Final 42. 6ackflow Prevenier � 43. Backflow Irrigation 44. Landscape Irriqation System - � 45. 5ound Attenuation � • 46. Handicap Regulations 47. FINAL STFUCTURE & BUILDING � 48. FINAL PLANNING � 49. E�ectric Release to Edison � • � 50. Gas Release to Southem California Gas Co �• � -. . 51. CERTIFICATE OF OCCUPANCY No. Dace Pp0.1ECT AODHESS: 661 W 17TH $T OWNEfl'SNAME: STABLER MARIE A. , TR noosess: C/O VALARIE CLARK 1740 OCEAN BLVD. BALBOA CA 92661 AflCNIENGINEEN: � 1 4) 6`] 3— 8 9 6 3 nooeess: UNIi: B flEG.NO.: uxiT: PEHMITTEE: A LICENSED ELECTRICIAN ( 714 ) 696-6056 aoon[ss: z15 BROADWAY COSTA MESA CA,.92�27 LILENSEO LONTBACTOfl DECUIMTION: I �er00y atlirm Ilut I am lic¢nSeE unGer D«ons 01 naD�ei 9lcommencinp witA Section 7000� ol Oivision 3 0l t�e Business anJ Prole55ion5 CoEe. an0 my Ikense i5 in tull lorce in0 eftect. ciTr uc.: 0 9 5 9�'9E�` 5 419 4 1 c ss: C 0 7. 0 3/ 5 � j/ SipnaNre: WOPNEP$' LO PENSATION DECIAHATION: I �¢rz0y aflirm l�a� nave a cenifkate of rnnsent to setNnsure or a enific te ot WaAers' Compensation Insurance, ar a Cendied wpy t�ereol (Sectqn 3800. LaO. q. POLICY NO.: E%P. O�TE: COMPANY: r] Certilied coOY is hereEy furnis�eG. ❑ CenilieG copy b tAeG with lhe ciry Building Oiviswn. Jate: Applicant: E%EMPTIONFflOMWOPKEHS'COMPENSRTIONOECUIiAT10N: (1NssedionneeUiwtOemmpkteGi�Nepermti5laonehunCretl�5100�orless�. I cerli�y lhal in I�e OehOrmance o� lhe work 10f w�it� INS pefmil i5 issued. I Shall noi emDloy a person yi �ny manner 5o az Io beCom¢ 5u0jeU to I�e Workers CompeGnsation Laws of CalilOrnia. �/J ////// n =� �� '� / � Si9nature: `/� �I�th-� � NOTILE: II, aM1er making ihi5 OeUaratidl. yau 51WuW ¢Wme suGject to th otlters 'Compet5alion D� �o of ihe La6or Coee, rou must �onnvnin compN "^�� sucn pmvRians o� ihis permit shall ee aeemea revakea. CONSTBUCTION LENOING RGENCY: 1 A¢r¢Gy ailirm llui Ihe(e is a ConStmtiion IenUinq aOe��Y �or I�e OeAOrmante af Ihe work for wnicn mis permn is isSueU �Section 3097. Civ. C�. LENDEfl: PODNESS: OWNEfl BUILUEP OECLARATION: I nere�y allirm t�al I am e�empl Imm the Coniraclors' Staie Lirense Law for the fo�lowinA �eason �SeClion 7031,5 Business antl Pmi¢Ssional COdE: Any ciiy 0� tounly which Rquife5 a Oermii l0 wn5�mci, 31I¢r, imOmve. tl¢m01i5�, Of iepair any simcime. prior to iis issuance. alm �epuires ine aDGlicant br suc� permit to lile a sipne0 starement that ne/she is IicenseA pursuani lo t�e provisions o� I�e ConlraclOrs' Staie License Law �Ctupter 9lwmmendn0 �+tn Section 70W) of Oivision 3 of ine Business antl Pmiessions Cotle� or i�at �e/s�e is exempi t�e�etmm anA �he Oasis lar t�e allepe0 exemption. Any violation al Section 7031.5 �y any aODlicant lor a Oermit suGlecls I�e applicant lo a ciWl penatiy o� noi mote ��an Irve AunAreO O011ars (A500). I, as owner al Ine pm0eny or my emWoyea witn xapes as their wle compenss�ion, will Oa the work, an0 ihe ❑ SImCIWe is n01 intenOeG or ol�¢red lor Sale ($¢tlian 7044, Busm¢55 an0 Protessi0nal COEE: The fAnlratiofs' State License Law Ooes nm a07N �o an ovmer al a Dropeny wln OmIGs or imD�a'es t�ereon. aM wtro Goa such wod Mmseli/hersell or t�mu0� �is or her own emD�M�s, prmiCeO tlut suN imOrovements are mt intmtleE or oflereE �oi sale. II, however ihe OuilOinp or imo�ovemenlis sale wilhin one year ol complelion, tne owner vnlltuve Ine EurOen of o�ovino ��sne aio no� ouiltl orimprove , lor ine ouro�e of sale). I. as awner of t�e pmDeny, am e�clusively caniractin0 ��h IicenseE contraciors to construcll�e pmlec� (Sectian 704a, Business ❑ ana Professions CaGe: The Caniractors' Slate License Law tloes not aDDN to an owner ol D�operry Wq GmIEs ar imprwes thereon an0 w�o comracis la� suc� D�ajecis wit� a coniractoqs) licenu pursuam ta I�e Caniractors' State License Law�. I am awara Iha� 0�001 0l IOeir Wark¢r'S fAmOensali0n in5ufante Sh0u10 Ue O�obd¢E Io me. � I am e�empt under Section: B. 8 P. C. . lo� ��is reason: Da�e: Ownec I ao nertDy cenify Ilwt I am aware ol ana unEerstan0 tne �eV�remen6 of Californu Healin and Satety CoOe Sections 25505. 25533. an� 2553< ana tnal I or any luture buil0inq ottupant wilUwill not Idrele onel neetl to tompty wilh SdiG state coEes an0 ine reauiremenis lor a permil lo� tansVuclion or m00i1kati0n Imm ihe An Ouahty Manaqement GSlritt. He5i0ential tunslNctiOn aDPliWtbns are exempi Imm inese v�oNsions. Date: Applitam: I �er¢Gy cerlity ihal I tuve read INS applicaiion an0 Siate Ilui I�e aEoue informatim i5 cOrrtti. I aprte Io wmpty vrii� all tiry antl Counry ordinances ana state laws relating to �uibmg wnsimc�ian an0 �ertUy autlwrize re0�esemativw o NS diy Io ¢nter upon I�e above-menii0netl piopeny lor inspection vurposes. �a� �//- �S �9Y Signa�ure: Oriver's License or Social SearitV �� __ �6CLi6 Wnne—BuiWing: Green—Cotle Enlo¢emem: Canary—AppiicanC Pink—Revenue; GabenraC—Asseswr CITY OF COSTA MESA — BUILDING PERMIT PERM �10: E 06981 PERMIT NO: E 069811 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTZON TYPE; PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTION : SERVICE UPGRADE ONLY !!! SQ FT; CLAZM VALUE: 1,333.33 CALC—VALUE; GROUP OCC: B-2 / COMMENTS: NO OTHER WORK. CHECK FOR C OF O FOR NEW TENANT **�r*�r****�e�e*****rw�*x�r�rrr+r�rfr�rx�****�tfr*****�r�wr�r*�r*****�r�r�r****�rr+t*x«r*r****r�r*�rr Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR: FT ZN FRNT: FT IN REAR: FT ZN LEFT; FT IN RGHT: FT ZN LEFT: FT IN RGHT; FT IN PARKING REQ: PROV: PARCEL; 42430101 ZNE: REF NO: PLANNING NOTES> > �r*+r***r�r�tr*ie****r**�r*+r**�c***x�+r+r*r******�c-*��r***«*�r**�ti**�r***rr�*r�r+�**+�+E***�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 HY; ' DATE: itiFifMiflfifiEiljfitiflEititlfififYifiEiF +f*IE*ifiF�FiFriF afi�- iFif ik�kik M if if lfif iF if ititlk ififif i4 1f1E ifMif if if ff if 1f# M iF if if jf iF if K 1f iF iFM �FiFif iF iF iFiF �f iF i! iFif if if if if jf if af �f �F M it 1f if if if if K if ifiF if K LEGALIZATION:N F E E S U M M A A Y STRUCTURAL SEGMENT:N BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 29.50 502 SMIP/NON—RES PLAN ZSSUE FEE 15,00 HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 29.50 15,00 0.00 44,50 44.50 .00 REVENUE DIVISION TOTALS--> COLLECTED: 44,50 OVER/SHORT: 00 BLDG PMT PLUMBING ELECTRIC MECHANZC FIRE SMIP/TOT GRADING PLAN—CHECY. 44,50 �1l1filMifiFififififiElEjFifihilMMitilifMifitiEMifitMMMitifitififKkififMil�lfiklFifififitiFifrif�YlFilMiEiFMifkifrififiFitlFifaFififiFitlfYifif Z 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 SERVICES BELOW 600 V 6 BELOW 201 AMP 18,50 18.50 ELE 1 SUH—PANEL 11.00 11.00 END OF FEES � US �o27f3o0-00t713bD T C�T 4S.$0 DATE: ii/OS/94 TI11E: 11:�7 CONSTRUCTION ANDPLANNING POOL ?A � APPROVAl3 Permit # Date i nspector qppROVALS Permit # Date inspector 1. TemOorary Electrical Service or Pole 52. Pool & Equipmen[ Location 2. Soil Pipe-Undrgmd. 53. Stee1 Rzniiorcement 3. Electrical COnduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit•Undrgrnd. � 55. ElectriCal Bonding 5. Steel Reinforcemenc 56. Rough Pfumbing & Pressure 7est 6. Electrical UFER Grnd. 57. APPROVAL TO COVER•GUNITE 7. Foocinqs 58. Electrical Condwt�Undrgmd. - 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. ' 60. Backwash Lines, P�Trap, � Undrgrnd. 10. Structural Floor System � 67. APPROVALTO DECK 1 i. 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•Finai 75. Rough Elecuical�Condu�t � 66. Solar SYstem-Final � 16. Rough ElecTric Wiring 67. Fencing & AccEss Approval il. Rough Wirin9 5�8� 68. APPflOVED FOR PLASTERiNG 18. Rough Elect�iwl-T Bar Ceiling 69. POOU'SPA SYSTEP,1S FINAL 19. flough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough FactorY Firepiace APPROVALS Permit � 21. Duas, in Structure ._ 70. Underground� Hvdro 22. Ducts, Vent��ating 77. Prod�ct Piping �Gas ❑O�I 23. Gas Pipe�Rough & Test � 72. Underground Flush 24. Roof Framing 73. Undergrnd.StorayeTnnk OGas ❑Oil 25. Foof SheatNing 74. Overhead Fiydro ' 26. T-Ba� Ceiling (Structuraq & Monocoat � 75. Dry Chemical � 27. Frameand Flashi�g 76.'Dry Standpipe . 28. Laihinq & S�ding • 77. FIXED SYSTEM FINAL 29. Insulation " � 78. FIflE PREV. FINAL 30. Drywall Nai��ng ' HEALTH OEPT. REQUIREN7ENT 31. Plaster Brown Coat '- 9. FINAL INSPECTION 32. Electrical Pawer Meter•Final ��b �, 0. FOOD CERi�IFICATE ISSUED 33. Finat Electric - � Notes: 34. Final Heating & Air Conditioning . . 35. Final Gas Pipe-Test ' ' 36. Hood or Canopy . � � 37. �inal FactorY F+�eptace 38. Final.Plumbing � � 39. Water Service�Final 40. Gas Service-Final 41. Solar pome5ticFinal 42. BackHow Preventer ' . 43. Backflow Irrigation . . 44. Landscape irrigation SYstem � - 45. Sound Attenuation 46. Handicap flegulations ' � - 47. FINALSTRUCTURE&BUILDISVG 48. FINALPLANNING . - 49. Electric RelBase to Edison 50. Gas Release to Southern California Gas Cn _ 51. CERTIFICATE OF OCCUPANCY - No. Date . � PflOJECiRDDNESS: 661 W 1.�,I,H $,1, OWNEN'SNFME: �rTAHLER, MARIE A„TR pUDPE55: R.��a VALAAI� CLAH.fC i�au r�c�ar� HLVP. qPCHIENCINEEfl: ��O�73C�9��661 ADDflE55: flEG.NO.: uxiT: C uxir: PEflMITTEE: A LICENSED ELECTRICIAN ( 714 ) 646-6056 RDOflE55: z I S BROADWAY COSTA MESA CA 92627 ❑CENSEO CONTBACTOB OECIAflATION: I hereby aflirm that I am licensetl untler pmvisions af ChaD�er 9(commencinB with Section 70f10� ol Division 3 0l Ihe Busin¢Ss antl Pmiessions Coae. antl my license is in lull �orce anA ec�. uTv uc.: 0 4 5 919 paraTe uc.: 5 419 91 c ss: C� E : 0 9 5 �e'._1�-- ��/�� Signalure:— — — ' WONREH$' COMPENSATION OECIANATION: I heteby a��irm Ih 1 nave a ceniticate ot consem to seu-insum or a certificate ol Wo�kers' ComOensation Insurance. ar a cenilieG copy t�ereoi (Section 3800. Lab. C�. POLICY NO.: EXP. OFTE: COMPFNY: � Cetlilied coDY is here0y fumis�ed. ❑ Ceni�ied copy is filed with �he ciry Building Division. ..ale: NpPlicani: EEEMPTIONFHOMWOPNEHS'COMPENSFTIONOECLABATION: Qhissectionneetlno�becompletedilJ{IeDermiti lorone�un e0�E100�orleu). I cetlily Ihal in Ihe pedormance ol Ille work for w�ic� Ihis permil i5 issue0. I shall not plo t1/ De� o any man so as �o hecome � suDlecl to tne Workers' CompensaOlion Laws oi Calilomia. ��— � —/ �� SiAnature: ' NOTICE: If. ai�er making �Ais declara�ion. you s�oWd hecame subject m lhe Warkers' Campensatian ovisions al t�e La�or Cotle. you mus� totlhwith com0ly wi�� such provisions or Ihis permi� shall be OeemeO revoke0. CONSTPUCTION LENUINC PGENCV: I hereUy aifirm ihat ihere is a coretmction lending a0ency for the pedormance ol t�e work lor which I�is De�mi1 is issueE (Seciion 3097, Civ. C�. LENOEfl: AUOflESS: oWNEH BUILOEB oECUBATION: 1 nereby atfirm ihat I am exempt trom ine Coniradors' State License Law Por tAe lonowinq reason �Section 7Q'11.5 Business an0 Pmlessional Catle: Any ciry ol caunry whic� reQuires a permit m mnsiruct. alter, impmve, demalish, or repair any simtiwe. prior lo its issuance. aISO requires t�e aoPlicant for such permit to Iile a sipnetl statement that he/sne is licensed pursuant �o I�e Orovisions ol Ihe Conlraclors' Sla�e License Law �Chapter 9(commencing with Seclion 7000) ot Division 3 0l ��e Business ane Pmlessions COGe� or that �e/s�e is eKempi i�ereimm an0 t�e basis tar t�e allege� exemption. My viola�ion of Seclion 7031.5 Ey any applicant lor a Oermit suble��s Ne appliUnt to a civil penalty of not more itlan Me hunEreO Gallars (5500�. I, as owner al ��e proDerty or my employees with wages as IAeir sole tompensation, will do �he wark, anE t�e ❑ slmcture is no� �ntentlea or ollered �or saie (Section 704a, Business anA Protessional CoOe: Tne Comractars' Stata Licensa Law aoes not apply lo an owner of a pwpeny who EuilJs or impwves thereon, and who tloes suc� work �imsetl/1lersell ar ihrough �is or her own em0�oyees. O�oviAeU ihat suc� impmvemenis are not intended ar oflereA 1ar Sale. If, however tAe builAinq or improvemenl is soltl wil�in one year ol completion. Ihe owner will �ave tAe EurAen ol pmvinp he/she Oitl not DuiIC or improve for tne pur0ose of salel. I,as ownerollhe D�ope�y,am exclusively conlracting wi��license0 conlractors�o cansimc��he D�olecl(Sec�ion 7044, Business ❑ anA Pmfessions CaAe: The Contracmrs' Slale License Law Goes not apDly to an ownerof pmpefty who �wl0s or impmves thereon antl who conlracls for sucn pmiecis with a conirac�or(sllicense pursuanl to ihe Conlractors' $tate License Law�. I am aware t�al pmol al I�ei� Work¢r'S Compensation insumnce s�oula Oe O�oviDeO ro me. � I am eKempi under Section: 8. 8 P. C. lor �his reason: Dale: Oanec I tlo nere�y cenily Inat I am aware ol an� un0erslana tne requiremenis of California Healtn antl Safery COAe Sections 25505, 25533, an0 25534 antl ihal I or any lulure Uuiltling occupanl wilVwill not (circle one) nee0lo comply witA saitl state codes anOlhe reQuirements tor a permit for conslmclion or motlification Irom Ihe Air �uality Management �isirict. flesitlential constmction apDlications are exempt Imm Ihese provisions. Dale'. Fpplicani: I �ereby cerlily ��al I have reatl Nis aDPliCaiiOn an0 State that �he abov¢ in�orma�ion is tarrecL I apree �a comply wilA all tiiy antl Counry ordinances antl staie laws relalinp to Ewltling conslmciion anA hereEy aut�odze reD�esema[ives ol �� enter upon t e above�menlione0 pmpetly lor inspeclio[n �Durpo5pe5.��/ /J��/�/ -9afE: �� " 6 � / / Signaiure: ��/_� —� � Driver's License or Social Securiiy M: t6aLa6 Whne—OmlEmg: Green—Code Enlorcemem: Canary—Applicam; Pink—Revenue: GolEenroE—Assesaor �' �- CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 069fl1' PERMIT NO: E 069812 PLAN CHECK NO: N GOVT: N SUPP; N CONSTRUCTIUN TYPE; PERMIT TYPE; ELE PURPOSE: OTH JOB DESCRIPTION ; SERVICE UPGRADE ONLY !!! SQ FT: CLAIM VALUE: 1,333,33 CALC—VALUE; GROUP OCC; B-2 / COMMENTS; NO OTHER WORK. CHECK FOR C OF O FOR NEW TENANT �r*+t***�r,ev�**�r*�e*�r�r**r***�r*�r�rrrr�rr�r***�****�r****r***�r+r+rr«**�ir**�r�rt**r+*+�*�r**,r*it*+�* 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 ------------ MAIA1 BUILDING —=-------- --------- ACCESSORY BUILDING --------- FANT; 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: PROV; PARCEL: 92430101 ZNE: AEF NO; PLANNING NUTES> > �*+��t�rit�ititi�+t**r«�t*�rir*�t**�tat+t�t�t*****r�t�urrit***+rrr*******�r*****+t***it+t*ic*r�ra�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 HY DATE: BUILDING APPROVED BY DATE: APPLICATION ISSUED BY�� DATE: �� iEifiEifififiEiEifi:iFiFifififiEitrMricif itafifiFiF-N�i4i�iRif i�iE* jFifKitififiEiEiEiEitifiEif�fffjcMifMiEaEitiFifiFjhiFafiF�lfifiEif�Fififif kiE Mif9lifififififaEifif%ifjfiEifiEiEiEiFif+f�cjfiE�IfifiFifif9EifjRiEif LEGALIZATION;N F E E S U A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 29,50 SOx SMIP/NON—RES PLAN I'=5�� 15.00 �(�1,��l�NG_P�iV—> PF��iM�i� ��'Sa� PLAN—COE00 44�T50 44A50 D00 REVENUE DIVISION TOTALS--> COLLECTED; 44,50 OVER/SHORT: ,00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 49.50 iflfMlfififlfifik�lifififiFifiklfMlFif4ifKM1lif4iFiEitifififififlfiE7f%iFlEjtififitlEilifiFi4ifY�fiFifM*1kitlEiFafitMYMMMMifiFMifif�fiEiEiEiE 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 SERVICES HELOW 600 V 6 BELOW 201 AMP ELE 1 SUB—PANEL END OF FEES 18.50 11.00 01 Otti713:,9-00172359 T C�T cprE: 11/0&'/94 rIreE: 11:37 18.50 11.00 V 44.`Q CONSTRUCTIONANDPLANNWG POOL 'A ' qPpROVALS Permit� Date i�spector qppROVALS Permit# Date inspector L Temporary Electrical Service or Pote 52. Pool & Equipment Location Z. $pil Pipe�Undrgrnd. 53. Steel Reiniorcement 3. Electricai Conduit Utility�Undrgrnd. 54. Porms 4. Electrical ConduibUndrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. ElectricalUFER�Grnd. 57. APPROVALTOCOVER-GUNITE 7, Footings �• 58. Electrical Conduit�Undrgmd. 8. Foundation ' 59. Gas Pipe, O Undrgrnd., Tesc ' 9. Water Pipe-Undrgrnd. � 60. Backwash Lines, P-Trap, Cl Undryrnd. , 70. Structural Floor SYstem 61. APPROVAL TO DECK 71, Property Sewer li�e & 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 Eiectrical-Condu�t 66. Solar System-Final 16. Rough Electric Wiring . 67. Fencing & Access Approval 77. Rough Wiring Sign 68. APPROVEO FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOUSPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT, REQUIREMENT 20. Rough Factory Fireplace .. APPROVALS �Permit # 21. Duccs,in Structure 70. Underground Hydro � 22� �ucts, Ventilating . 71. Product Piping �Gas ❑Oi� �3. Gas Pipe-Rough & Test 72, Underground Flush � � 24. Roof Framing . - : - 73. Underyrnd. Storaye Tank C Gas ❑ Oii 25. FooS Sheathing 74. Overhead Nvdro 26. T�9ar Ceilinq (Structural) & Monocoat � 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding , � �,� ; • - 77. FIXED SYSTEM FINAL 29. Insuiation '� " � � 78. FIRE PREV. FI�!AL 30. Drywall Nailing . �� HEALTH OEPT..REQUIREMENT 31. P�aster Brown Coat 79. F WAL �NSPECT�ON 32. Electriczl Power Meter-Final � l)�j e� � 8. FOOD CERTIFICATE ISSUED 33. Final Eleciric � � - Notes: 34. Final Heating & Air Condrtioning � � . � 35. Final Gas Pipe=Test � - � 36. Hood or Canopy 37. Final Fac:orY Fireplace " 38. Final Plumbin9 �� 39. Water Service�Final � " 40. Gas Service-Final � 41. Solar pomestic-Final 42. Backfiow Preventer 43. Batkflow irrigation � 44. Landscape Irrigation Sys2em � � � �� 45. Sound Attenuation � � � 46. Handicap Regulations � . 47. FINAL STRUCTURE & BUIIDING - ". �' ' 46. FINEILPLANNWG � . � 49. Electric Release to Edison , 50. Gas Retease to Southem Califomia Gas Co �� , '; 51. CEflTIFICATE OF OCCUPANCY No. Date � I� PflOJECTpDDflE55: 66I w l.�,i,H $,I, OWNEfl'SNRME: �TABLER MARIE A„TR aooecss: C/O VAL�:RIE CLARK 1790 OCEAN BLVD, BALBOA, CA 92661 AflCNIENGINEEH: 719 � 673-8963 ROUflESS: NEG.NO.: UNIT: B UNIT: reemineE: A LICENSED ELECTRICIAN ( 714 ) 646-6056 aooxess: 215 BROADWAY COSTA MESA CA 92627 LICENSEo CONTBACTOH DECLANA7ION: I nere0y allirm inat I am licensetl under D�ovisions oi C�apter 9lcommencing witn Section 'l000) ul Divisiun 3 ai Ihe Business and Pmhssions Cotle. ane my license is in full lorce antl ellect. ciTruc.:045914 sT�Euc.:591941 cuss: .XP: 03/95 Oate: _�� Signa�ure: — . — — WONI(ENS'COMPENSf710N0EtLAM710N: I�ereEyatfirmihaUhaveacenificateafconsentiosel sureoracenificateofWorkers' fAmoenSalion Insurance. or a cenilied coDY �hereot (Sectian 3800. lao. q. POLICY NO.: E%P. URTE: COMPANY: ❑ Certilietl coOY is nereby fumisnetl. ❑ CenilieA capy is file0 with ihe ciry Building DNision. Oale: Applican��. ' EXEMPTION FNOM WOHNEPS' COMPENSATION DECLABATION: Qhis sec�ion neetl nat 6e complete0 if ihe permit is lar one hundred ($100) or less�. I cerlify Iha� in Ihe pedormance ot Ihe work for whic� Ihis permil is i� ued, I s�all nol��son in any manne� so as �o become suble�� o Ihe Workers�' Compe/n�sa�ion Laws ol Califomia. Oate: ��' �/�� Signature: NOTILE: I�, a�ter making thi5 4eClarali0n. you ShoUltl Getome SUCjeCI l0 t�e WOrkefS' Campensa' pmvisions ai t�e LaEor CaOe. you must Iori�with tompty wilA SUCh pmviSioni or �his permii SAall he 4eeme0 revoked. CONSTHUCTION LENDING RGENCY: I �ereby aifirm ihat t�ere is a construcibn lenaing agency tor t�e Oedormance al I�e work tor w�ic� I�is Oermil is i=sued (Section 3097. Civ. C�. LENOEfl: AODNESS: OWNEB BUILOEB OECIAflATION: t here0y allirm Ihal I am exempt fmm ��e ConVacmrs' Staie License Law lor �he tollowing reason �Section 7031.5 Business antl Pmiessional Cotle'. Any ciry of county which reQuires a permit to consimct, alter, improve, Jemoiis�, or �eoair any slmclure. prior to its issuance. also reQuires Ihe applicant lo� such permit to tile a sipnetl statement Inat he/sne is IicenseJ i Dursuant Io Ihe pmvisions o� ��e Conlraclors' State license Law �C�apter 9 �commencinp wit� Section 7000) ol Division 3 0l ihe Business ' anG Prolessions CaDe� or I�al he/she is exempt Iherelmm ana Ihe basis for I�e allepeU exemption. Fny violation al Section 7031.5 hy any apDlicant lor a Dermi� suGjecis Ihe apDlicanl lo a civil penal�y o� noi more Uan live huntlreG Jollars (5500�. I, as owner o1 the propeny or my employees with wages as tAeir sole compensalian, vnll Oo tne work, and ihe ❑ slmcWre is nol intentletl or oHereO 1or sale (Secuon 70aa. Busmess ana Pmiessional Caae: Tne Cantracmrs' State �icense Law Uoes not apD�Y �o an owner oi a pmpeny w�o Ouilds or impwves ihereon, and who tloes suc� work himsell/herself or thmugh �is or �¢r Own employees, pwvideG IAai SUCh imprOvemenl5 ar¢ nOt intended or OflereO lOr sale. I�, AOwev¢f lhe bUiltling or imOrovement is soltl within one year ol complelion. Ihe awner unll �ave ihe GurEen o� pmvinp �e/5Ae did not 6uiltl or impmve lor Ine purpose of salel. I.as ownerofthe pmpeny.am eeciusively contracting withlicensea coniractorsta canstmcitne D�Dlect(Section 7f194. Business ❑ antl Pm�essians Cotle: The ConiratlOfs' Siale LiC¢nse Law tl0e5 n01 apply l0 an awner 0� properry who Uwltls or improv¢5 �Ae2on an0 who coniracls �or suc� pwlect5 wiih a coniraclor(5) license Dursuanl Io IAe CanVaciors' Siate License Law�. 1 am aware IM1ai prool of Iheir Worker's Com0en5ation insurance s�ou10 Ue pwvitleG to me. � I am eremD� un0er Seaion: B. 8 P. C. for t�is reason: IDate: Owner. I Oo hereby ceriity Iha� I am aware ol anU untlerstantl �he requiBments ol Calilomia Health and Salety Cotle Secti0n5 25505, 25533, antl 2553a anA Uat I ar any IWure Ouiltlmg accupant willlwill nal (circle one) need lo comply wit� saitl state codes an0 the requirements for a permi� for consimction ar motlilication irom ihe Air Oualily ManaAement Disiric�. Residential consimc�ion aDPlications are exempt fmm inese pmvisions. Date: Applicanl: I �er¢�y ceriity ��a� I haue reatl I�iS aDD�icalion anG Slaie lha� t�e a�ove informa�i0n is correci. I agree �o orQinatkes ana stalelaw5relatingta builGing fAnsimction anG hereEy autllOnZe reD��entatives olth6 - to pwper�y lor inspetlion purposes. ///��/� oate: J��—��--.��,--�L Signature:/�J {...�� t Driver's License a� Social Seariry x.� I64La6 wnne—Buil0ing: Green—Cotle Enlo¢emem; Wnary—Applicam; Pink—Revenue; GolOanroa—Assessor and CITY OF COSTA MESA — BUILDING PERMIT PERM NO; E 07003E PEkMIT rlU; E 070036 PLAN CHECY. NO; N GOVT: N SUPP; Y CONSTRUCTIUN TYPE; PERMIT TYPE: ELE PURPOSE: OTH JOB DESCRIPTZOP7 , SERC'ICE UPGRADE ONLY !!! SQ FT: CLAIM VALUE: CALC—VALUE: GAOUP OCC: B-2 / COMMENTS: NO OTHER WORK. CHECK FOR C OF O FOP. NEPI TENANT, REAE69811 *+t**+F�t*it**�r;r*�tit*****�t*ar+r*�c+t�r**+tiririr***ir�it+tir*-�**ec��tiF�ic*v-r****+a*+t**r+rir��r�**�t***�r*+r+r Z O N I N G R E Q U I R E M E N T S S E T H A C K S ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR; FT IN FRNT; FT IN REAR: FT IN LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN PARKING RE • PROV: PARCEL: 42430201 ZNE: REF NO: PLANNING N TES> > jf M aE M if r iF it iF it iF if 1E if it iF if aF i! if aE if if if +t 1t 1E �)f if it-lf i4 iF iE if if iE iF i� if if iF r iF if 1E iE iF iF iciF �lf ac i! it iF iP iF-Yr if iF af if if iP jf -M-af +F it iF iE i: if if+k if if iF D E V E L O F M E N T 'S � R V I C E S R E Q U I R E M E N T S ZONING APPROVED HY � DATE; HUILDING APPRO�'ED BY ; ' DATE: f' APPLICATIOA7 ISSUED BY: " �'�-- DATE; II ti2 �k if4Ni'+FifififiFiFiEaf+t�fiFR�fifrihiFit3F"iF3FTr3F�FiFi�tiiFiFf��iFiF+TiF�'ii$FiF�rFx �t�r�-�'iF'��F�TiF'$iRrafiFifkriE�Yif 4ir if iRif i! if if afif if #f if if M ifif ilifiF 1Fifik if if M M if if if 1FM if ifif�lf if ilif�4 1M �f if 1f M 1f iFi'�ff?E ifaE i! iFit ii k 4iE x�ViRif iF it *if M if if lfitjE iE�f if af i� ifif LEGALIZATION;P7 F E E S U M M A k Y STRUCTURAL SEGMEC7T:N bLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 2,25 50� SMIP/NOPI—AES PLAN ISSUE FEE 4.50 HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTALS----> 2,25 4,SQ 0.00 REVENUE DIVISION TOTALS--> COLLECTED: HLUG PMT PLUMBING ELECTRIC MECHANIC 6.75 TOTAL PAID DUE 6.75 6.75 ,OQ 6.75 OVER/SFIORT: .00 FIRE SMIP/TOT GF.ADING PLAN—CHECY. ii iE i1 M if� 1E if if if iF if iF 1G i1 iF 1F if it if s if �lf if if �N-af if if iE ih iF if �f is-Y iE iE 1E K�)f iF �Y if 1f 14 �R aF #E iF Y if iF �1F Ac 1F iE M jF iF af �1f iF �If iF±f x iE iR iF il� iF if iE if iF iE if if #� I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST ELE 3 RECEPT/SWITCH 1 ST 20 EA. ,75 2,25 END OF FEES oi aoi72z9o—o0172290 T 4 T b.7` DA7E� ti/23/94 TINE: i5:S3 � - � � CONSTRUCTION AND PLANNING POOL SPA ' APPROVALS Permit # Date Inspector APPqOVAIS Permit # Date Inspettor 1. Temporary Electrical Service or Pole 52. Pooi & Equipment Location p, $oil Pipe�Undrgrnd. 53. Sfeel Re(nforcement 3. Electrical Conduit Utility�Undrgmd. 54. Forms 4. Electrical Conduit-Undrgmd. 55. E�ectricai 6onding 5. Steel Reinforcement 56. Rough Plumhing & Pressure Test 6. Eiectricai UFEA Gmd. 57. APPROVALTO COVER�GUNITE 7. FoOtings 58. Electricai Conduit-Undrqrnd. B. Foundation 59. Gas Pipe, 't7 Undrgmd„ Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P�Trap, � Undrgmd. 10. Structurai Floor System 61. APPROVAL TO DECK , 11. ProPerty Sewer Line & House Connectio� 62. Backwash & Receptor�Final 12. Sewer Cap 63. Heater & Vent•Final 13. Ropf Drains 64. Plumbiny System � Final 14. Rou9h PlumSing ' 65. Electrical�Final 15. Rough Electrical-Conduit 66. Solar System-Final • 76. Rou9h Elec;ric Wiring 67. Fencing & Access APProvai 77. Rou9h Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical�7 Bar Ceiling 69. POOLISPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. DuCts, i� Strutture 70. Underground Hydro 22. DuCts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe�Rough & Test 72. Underground Flush 24. Roof Framing 73. Underymd. Storage Tank O Gas ❑ Oii 25. Roof Sheathing 74. Overhead Hydro 26. T•Bar Celing (Structural� & Monocoat 75. Drv Chemical 27. Frame and F!zshing 76. Dry Standpipe 28. Laihing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywali Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat . 79. F�NAL INSPECTION 32. Electrical 9owzr Meter-Fina1 60. FOOD CEftTIFICATE fSSUED 33. Fin�� Elec.ric _ �//� ! _ Notes: J -�.f - 34. Fin81 Heating & Air Conditioning � 35. Fina� Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace �- 38. Final PWmbing �i 39. Water Service-Final 40. Gas Service-Final 41. Sola� Domestic-Final 42. Backf�ow Preventer 43. Backflow Irrigation 44. Landscave trripation System - 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison _ 50. Gas Release to Southern California Gas Co . 51. CERTIFICATE OF OCCUPANCY No. Date � PHOJECT AUOflES$: UWNER'SNAME: 661 W 17TH 'J�'T p aoosess: CTOB�ALARIERCLARK�T 1740 OCEAN BLVD. BALBOA CA 92661 AflCN/ENGINEEN: 714 � 6`73-8963 AUOXESS: NEG.NO.: UNIT: A UNIi: PEflMITTEE: A LICENSED ELECTRICIAN { 714 ) 696-6056 aooxess: z15j� BMROApDWAY (� IICENSED CONTHACTOIi�tlECIA�ATIO�L -�e�creTy ailirm that I am Iicense0 un0er pr�ovisiass of ChaDler 9(commencing wii� Sec�ian 7000� of Oivision 3 0l I�e BuSinesS anU PmIe55lons CoOe. and my license is in full foae and efiec�. CITY LIC.: STPTE LIC.: LU15S: 045914/J 541941 C• XP• 3/95 Date: �� 7 � Signawre: WOXNEflS'COMPENSATIONDECLAPpTION: Ihere6ya�lirm��atlhaveaceRi�itateo�conseni�o5e ureo acenificateotWorkers' Compensalian Insurance. or a cerlified copY �hereof �Section 3800, LaO. C). POLICY NO.: E%P. DATE: COMPANY: �] Cerlifie0 capy Is �ereby lurnished. ❑ Certilietl copy is �ileA with lhe ciry Builtling Division. �ale: Ap0licanC E%EMPTION FBOM WOBKEflS' COMPENSpTION OECLAPFTIUN: (This seclion neeA no� be campletetl ii ly ermit is farone hundreA (5100) or less�. I cerlify �ha� in �he petlarmance of Ihe work lor which this permi� is issue0, I s�all no� eryryry��gfjj777y f(y D�son in any manner so as �o become sublec� Io Ihe Workers' Compensa�ion Laws oi Calitomia ^_ �// p� ev;� ;� Dale' �� —/ � SignaNre'f—r�—� NOTICE: Ii. aiter making Ihis tleclaration. you shoub become su6jeclZo the Workers' Compensatio pmvisions of Ihe Labor Cotle. you must Iori�wilh comply wi�h such pmvision5 or Ihis Dermit shall he OeemeO revoketl. CONSTHUCTION LENOING FGENCY: I herehy aliirm Ihat �here is a constmction lentling agency for ��e peAormance o� �he work for which I�is permit is i5sued �Section 3097. Civ. C�. LENDEN: A�UPESS: OWNEP BUILOEfl DECWNATION: I M1ereUy alfirm t�a� I am exemp� imm [he Contracio�s' State License Law �or t�e following reason (Sec�ian 7031,5 6usiness ana Professional Code: Any cily o� county which requires a permit �o consimc�, al�er. impmve, demolish, or re0air any stmcture. Drior to its issuance, also requires ihe apDlicant for such permit to file a signed statement ihat he/she is IicenseA pursuan� m ine provisions ot Ihe Conirac�ors' Sta�e License Law (Chapter 9(commencing with Section 7000) of Oivision 3 of ihe Business and Pmlessions CoOe) or �hat he/sAe is exempt ��ereimm an0 i�e basis for the allege0 exemption. Any violation of Section 7031.5 hy any apPlican�for a permit subjecis Ihe ap0licani to a civil penalry oi not more �han live �unOretl tlollars (5500). I. as owner al t�e pmpeny or my employees wilh wages as their sole campensation, will Ao tAe work, anG tAe ❑ s�mclure is not intentled or oifereA lor sale (Section 70a4. Business anG Pmiessional Code: The Contracmrs' State License Law Ooes noi aODly to an owner ol a pmpeny who builtls or impmves �nereon, and who does such work himsell/herseti or thwuAh hi5 or her Own employees, pmvitletl Nai SUCh improvemem5 are no� inl¢ntletl or nflereA �Or 5aie. II, �owev¢r the �uilOinA of imv�avement is sa10 within one year of comD�elion, the owner wiil have the burtlen of pmving Aehhe Oitl noi Duila or imDmve lor t�e Durpose of sale�. I, as awner ol �he properiy, am exclusively canvacting wit� licensee convacma m cans�mci tne pmject (Section 7044, Business ❑ and Prol¢SSionS COAe: The COnVaClOfs' Slaie LicenSe Law d0e5 nOl apPN �0 an owner o� prop¢tly who huil�s or improVes th¢reon antl who coniracts for such O�olects wi�h a contracmr(s) license pursuant m ihe Contracrors' State License Law�. I am aware t�ai D�ool ol Iheir Worker'S Compen5aiion insurance s�oulA he D�ovitle0 lo me. � I am eKempt unAer Sec�ion: B. 8 P. C. for ��is reason: Dale: Ownec I Ao �ere�y cenify Ihal I am aware ol an0 undersiantl �he reQuiremems oi Cali�ornia Heal�h and Sa�ery COUe Sec�ions 25505, 25533, ana 2553a antl ihal I or any Iuiure Duilding occuDan� willlwill nol (circle one) nee0 �o comply wiih said state cotles antl ��e reQuiremen�s tor a permi� for cons�mction or motlilication imm the Air Ouality Management Disirice FesiJential constmction applications are exempt irom ihese pmvisians. �ate: Applicam: I hereby terti�y Ihal I have read t�is applicalion antl sta�e Iha� Ihe above informa�ion is correc�. I agree�o compty with all city antl counry or4inancesantl5lalelawsrelalinglobuilUingcon5lmclionantlherebyaNhonierepresen�a�iv ofthiscirytoen�efuDon��eabove�mentione� pmperly lar inspeciion purposes. 1� � Daie- /�� / Sl9nei ra "s.� Oriver's License or Social Securiiy a: t66t�06 Whi�e—Builtlmg: Green—COEe EntorcemeN: Canary—Applican�; Pink—Revenue; Goltlenrotl—Assessar CITY OF COSTA MESA — BUILDIPIG PERMIT PERMIT NO: E 070035 FLAN CHECF; r10: D7 CONSTRUCTION TYPE: PERMIT TYPE: ELE JOB DESCRIPTION : SERVICE UPGRADE ONLY !!! PERM P70: E U7UU3' GOVT: N SUPP: Y SQ FT: PURPOSE: OTH CLAIM VALUE; CALC—L'ALUE: GROUP OCC; H-2 / COMMENTS; NO OTHER SJORK, CHECK FOR C OF O FOR NEW TENANT, R�#E69810 �-****�r**�t-�ti��t*+�+r�e*vic-***�rr�ti��t*+��tit*�+F*+r**r*rc�u��itr*+**�r*+��i�****ft�tf��tir**+r+r+rfr�+r*r*�w-+t* Z t? N I N G A E Q U I R E M E P7 T 5 S E T B A C K S ------------ MAIN $UILDING ---------- --------- ACCESSUP,Y HUILPING --------- FRNT; FT IN REAR; FT ZN FRNT: FT IN REAR: FT IN LEFT: FT IN RGAT; FT IN LEFT: FT ItJ RGHT: FT IN PARKING REQ: PAOV: PARCEL: 42430101 ZNE; REF NO: PLANNING NOTES> , > iE it iF if i[-if it M� iF it it # if if M iF %3r �'+r+f iE ac �f %�7[-iF M- if # 1f �F iE iF iF if iF iF it+c ia ir',� iE 1F'r� iF iF+F jc t� a'� �F a: �k iF iE iF iF iF ac iE if r-ff iF �- it #� iE aE ic * it aF jf �t �1f-�t D E V E L O P M E N T �S E. R C� I C E S R E Q U I P, E. M E N T S ZONING APPROVED BY DATE; BUILDING APPROVED BY ; DATE; AFPLICATION I3SUED BY; �� DATE: I� 22 c( *�t*�t*�t***�t**+t��*?rtr�-i�*43FiFiF�FiFiFiFiFiFiFi�3F3F�F3f�'iF{��r��.�,r3F�iF#�iF*iF�+`F�***�ac�citr-r�ac � **. r�x it rt it it 9t it iE iF iF ih at iF if ### ir?h?F it iE ft 3f dt # iE it rP it it ic iE �lE iE if at �tt it iF it at �K if aa +F if i4+f fF ic it # ic �c it iF iF iE iE x� �1c jf ac �t ih #� 3E it+4 iF jf iF �c r-H� ih it+t iP LEGALI2ATION:P7 F E E S U M M A R Y STRUCTURAL SEGMENT:N BLDG PMT PL[JMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 3,75 S02 SMIP/NON—RES PLAr� ISSUE FEE 4.50 BUILDING—DIV—> PERMIT ZSSUE PLAN—CHECK TOTAL PAZD DUE TOTALS----> 3.75 4.50 Q.00 8,25 8.25 .00 REVENUE DIVISIOP] TOTALS--> COLLECTED: 8.25 OVER/SHORT: .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECY. 8.25 iE #'-if 1E * af if if iE if jE �E iE iE if if it if jf jf aF iF jE 3E if if iE a4 if jt at iE iE jf-�f if iE it if iE r jf * i� i� if if jf if jf aF af ii if 1E �f iE *-�E �Y �f iF a� i: +f ��E it iE if if iE iE �)f a� iE if if +f 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 UTIIT COST TOTAL COST ELE 4 RECEPT;OUTLET 1 ST 20 EA. .75 ELE 1 RECEPTiSWITCH 1 ST 20 EA, ,75 END OF FEES 6i ��17??91—GL�1�2291 T C�T �NrEe i1j2o`/qa TIflE: 15:54 3.00 .75 a.i� :i .,, CONSTRUCTtON AND PLANNING POOI _ SPA APpROVALS Permit # Date Inspector APPROVALS Permit # Date inspector 1. Temporary Electrical Se�vice�or Pole 52. Pool & Equipment Location 2, $dii Pipe�Undrgmd. 53. Steel Reinforcement � 3. EI¢ctrica4 Condu�t Utility-Undrgrnci. 54. Forms 4. Electrical Conduit-Undrgrnd.� 55. Electrical Bonding . 5. Steei Reinforceme�c 56. Rough Plum6ing & Pressure Tzst 6. Electciwl UEEft Gtnd_ 57. APPRQVALTO COVER�GUNtTE � 7. Footings . 58. Elect:icalConduit�Undrgrnd. S. Foundation 59. Gas Pipe, � Undrgmd., Test 9. Water,Pipe-Undrgrnd. 6G. 8ackwash Lines, RTraP, L� Urcirgmd, _� 70. Svuctural Floor SYstem 67. APPROVAL TO DECK 1 i. ProPe�ty Sewer line & House Connection 62. Backwash & ReceptorFinai ' 12. Sewer Cap 63. Heater & VentrFirtal 73. Roof Drains . 64, Piumbing System - Final 14. Rough Plumbing � 65. Electrical�Final i 15. Rough Eiectrical-Conduit ' 66. Solar System-Pinal 16. Rough Electric NSring 67. �Fencing & Access Approval � 17. Rou9h Wiring Sign 68. APPROVED FOR PLASTEftING � 78. Rough Electricai•T Bar Ce�ling 69. POOLISPASYSTEPAS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT I 20. Rough Factory Firep!ace . APPROVALS Permit � I 27. Duccs, in Structure 70. Underyround Hydro i 22. Ducts, Ventiiatir.g 71. Product Piping Cl Gas G Otl I 23. GaS Pipe�Rough & Test 72. Undergroiind Fiush 24. Roof Framing 73. Urdergrnd. Storaye Tank O Gas u Oil ( 25. Roof Sheathing 74. Overhead Hydro i 26. T�Bar Celing {Structurali & Monocoat 75. Dry Chemicai I 27. Frame and F!ashing 76. Dry Standpipe � 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIftE PREV. FINAL 30. Drywall Naiting HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FlNAL INSPECTION I I I 32. Electrical Power �19eter�Finai 80. FOOD CERTIFICATE ISSUED 33. Final Electric �l I � Notes: � 34. Final Heating & Air Cond�tioning 35. Final Gas Pipe�Test 36. Hood or Canopy � � 37. Finai Factory Fireplace --,� � 38. Final P�umbing � 39. Water Service-Final � . 40. Gas Service-Finai � 41. Solar pomestic-Finai 42, Backflow Preventer 43. Backflow �rrigation 44. Landscape Irri9ation SYstem 45. Sound Attenuation i 46. Handicap Regulations ' 47. FINAL STRUCTURE & BUILOING '- 4B. PINAL P�ANNING � . 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co . 51. CERTIFICATE OF OCCUPANCY No. Date ��