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HomeMy WebLinkAbout2541 ELDEN AVE - Building Permits ` a CITY OF COSTA MESA A oo , BUILDING DIVISION '�) 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us FOR INSPECTIONS CALL: (714)754.5626 i ram aaya ,fi PERMIT NUMBER: B09-00047 PERMIT TYPE B_ROOF2 STATUS: ISSUED APN: 43917132 DATE ISSUED: 04/03/2009 ISSUED BY: BJK JOB ADDRESS: 2541 ELDEN AV CMSuite/Unit:.-_.. Vicinity: FRONT BLDG WITH UNITS A, B, C Squares: 4400 : - Valuation: . "$11,000.00 SCOPE OF WORK: REROOF,FRONT APT BLDG ONLY(UNITS A, B, C):I/O EXISTING COMP ROOF, REPAIR/REPLACE SHTG AS NEEDED, FELT PER MFGR'S SPECS,REROOF WITH"30-YEAR DIMENSIONAL COMP SHINGLES."4400 SQ FT PITCH 7:12 OWNER: BROWN,RODNEY EDGAR TR - - - Address: 177-F RIVERSIDE DR Unit: PHONE: - ` .City/State/Zip: NEWPORT BEACH,CA APPLICANT: BROWN,ROD Address: 177-F RIVERSIDE DR " " -- ' Unit: : PHONE: 949-275-3729 . . .. City/State/Zip: NEWPORT BEACH;CA CONTRACTOR: OWNER-BUILDER - I License No. -'000000 Address: Unit: - - - - PHONE: City/State/Zip: - . . CELL: . " • ARCHITECT: . License No. PHONE: ENGINEER: License No. PHONE: FEE SUMMARY Reroof Plan Check: $0.00 Reroof Permit Fee: "4195.25 . - Reinspection Fee: $0.00- - Bldg Std Admin Fund $1.00 - TOTAL FEES $196.25 • - NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord.No.92-28,§1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE S. INSPECTION TYPE DATE INTITIALS CODES INSPECTION TYPE laTh IN1n1ALS 1616 Fixed System Final Fire Prevention _ 206 Final Mechanical 1266 Pool Spa Final _ 208 Final Plumbing 200 Final Re-Roof " n O 210 Final Electrical 201 Final Block/Retaining Wall _ 212 Final Fire Prevention 202 Final Factory Fire Place _ 220 Final Planning Approval 203 Final Sign _ 222 Final Site 204 Final Demolition _ 250 Final Building/Occupancy __ dl 41111 a , WORKERS'COMPENSATION DECLARATION: Owner ID verified by drivers license. ❑Yes ❑ No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No.. Expires:–.574/ // � Exs ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This section need not be completed the semi is valued as one hundred dollars(S100)or less) 2,Art 2,Sec.341,Title 8,California Administrative Code). Policy Number: 0 As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers'compensation provisions of Section 3700 of Applicants Signature Date the Labor Code,I shall forthwith comply with these provisions. Division of Industrial Safety Permit Number: Applicant's Signature Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes El No ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. a registration form for acutely hazardous materials? 0 Yes ❑No Lic.# Class# (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely Contractor's Signature Date hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes 0 No (Section 25534 of the Califomia Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes ❑No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance.also requires the applicant for Such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors (Section 65850.2 of the Califomia Government Code requires that the requested License Law(Chapter 9(commencing with Section 7000)of Division 3 of the information be furnished on applications for non-residential building permits). Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). c—' I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other ..ompensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own 8 (If"yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and ❑ I. as owner of the property,am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not t occupy or allow occupancy of any uilding (� �{ �Whe i4 1hi eeerrymtt ptiffi n. [.{ �j --`��--r_P-4 / /�- Al/ gi74.9 "yn°'we"',Le t Owner(s) / oat✓ // ' gnature_ ` Da_t _� 3067.46(3/07) y—_ And/or Authorized Applicant Date 2541 ELDEN AV UNIT: CITY OF COSTA MESA LU1LLiltJli PERMIT Dafmtionommt BROWN, RODNEY EDGAR TR - PERM NO: P 086510 tooaESk 177-F RIVERSIDE OR NEWPORT BEACH,CA 92663 PERMIT NO: P 086510 PLAN CHECK NO2 N GOVT; N SUPP: N a.KRUG ADORES& CONSTRUCTION TYPE: PERMIT TYPE; PLO PURPOSE; Ora AICIRECT ORBOWIEB! NC NO.: 308 DESCRIPTION s REMOVE & REPLACE SEWER PIPE ' SQ FTs ARQL OR ea's ANME33: WIT: - CLAIM VALUE: CALC-VALUE: I GROUP OCC; / CONTRACTORS WE cormacT0Rs WM - COMMENTS; NO OTHER WORK AUTHORIZED BY THIS PERMIT ADDRESS LIC NM: ,4***401M*****ifit**M,***0***** *MM*it**3*0%*MMMMA$.**4**lk*Mit***4*it*k Wik*%U%***MM*ij*Mit WIT: ZONING REQUIREMENTS LICENSED CONTRACTORS DECLARATION:I hereby ITS hide pray d p try td I an lend a pmtiaa d Chapter a SETBACKS , (oon.n.ba al Swan Tara)d Maim 3 a de Burma and Prolamine Cad,rd Illy kora i in hd Sc..d Alae. • • Cm Lu.NO.: Lt.CLASS: UC.NO.: EXP; -•---- MAIN BUILDING ACCESSORY BUILDING FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN Os.: Conlrador LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN OWNER BIDER DECLARATION:I lweby.Mn war pray a prl.y Sd I an mar bat to Cvoaa•Lir .La kr to 'ollowi mason(Section 7pJ1'N""iend"ohirowCode:A1rycry'county rich reams•pea too"'""'1ir•newt PARKING REQS F'RGV; PARCEL; 43917132 2NEsREF NOi • or reper mar atalso requires aCara 9ass thmons 3d SW 3ar 01. a .;dptaspate Porta teCandorsuw .Law(Chear ( aens: Ran7omj DramalIhe PLANNING NOTES> , • . Sayer rd Ranks Calla tar a or We i mmpt tartan and the Mn to N..I.V.d n SS...My.aria d Sadie > �De b rape 70'I01.5 by anyWi ed lot•prtie p mit arra eke to.ad pawn d b more than as hatred dare(Setu # p- M .*MMMMMMMMM*MMof**MM#*MMM*#it*MMM*MMM*IMIt*MAMMM****Rea***MR************MMMM**i(MNM Le owarta parry or my maws apeealAV ode aomprosa.ion,.i do Morrd to Mbar i not Minded or offload b Ss(Se Mat and Pandora Cod.:The Caracas Law Law dor not pay to aSr.,awd propertyD DEVELOPMENT E L O P M E N T' S' E R V ]. C E S R E (,� U I R E M-.& N T• S / " who hide or karma thereon.rd We does ma work Nowa or h.r.w or through a or ar am apq r,provided that with - :°w"`ra.ur rue tt. dnot Wended a offend for ear SorSi0dkl not ef' ebating pa,(ordispp,proareent c�d"r.)one n' a°1w"a".u' ZONING APPROVED BY t—_-- —•-- DATE: d ❑ i.r mom a the dowry..ah esduerely iatric b Rrawpad d oaradon b corral tb. a(Soda 7044.Banes and — Prolamin Code:The Catalogs UcaseLaw dose natawry toeown.dPavrtywho kaki arlawn lawn and ra BUILDING APPROVED BY : DATE: • /drat»Saudi parte w•b•sdm*.)awed paswd to to Lana taw). --- —'--'—•' --- ❑ Ian ` under Swam: B.a P.C.. APPLICATION ISSUED BY; -• *'"- DATE: 1 ( ' �r �' Cat 1. r, Owe. •T ; -: �...- MkMMMMMMMMMMMM:tMMwAIMMMMMifMMiFWWWWWR ioArirglit4'f"lF7�A'R' lrlFiifWWW*M,t+IMMMftM MMMMMMMtt nil** J LEGALIZATION;N F E E 5 U M M A R Y STRUCTURAL SEGMENT:N Ido ally the I an aware d and urder.end the r.rn.mae d Cara'Haat and Solely Code SedSe 25506.25533,and and that I or Try Mut bolding np-ilWI/aaaon ads a1)mad b war with rid rr e coda and the prir ed,b ra. •peacoram� awm mannnantramtheAiwaw.Dorm.Rrdaromeadappl naab.rosandantaw BLDG PHI PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING provisions. PERMIT 22 .00 Dae: Applicant: 25% SMIP/NUN-RES WORKER'S COMPENSATION DECLARATION:I hereby dila r pah.ly d d prow ore Ow blowing d.draba: PLAN ISSUE FEE 22 00 ❑ Iare and will taloa aortirabeAcorned toWarm for wweavprbau reamadfor yEadon3700d .Lata BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE Cod aabates a0ew'd aaro NW°rnr ..ed. TOTALS----> 22.00 22 .00 0 .00 44 .00 44 .00 .00 ❑ 1 have and war nad a wart..'awrrran nes r reared by atm 3700 d On Land Coda kr the P.rkemenr d 0e work for Wide IS permit is Sued.My wan'oanpraabn iware•maw rd poly number re: Caen REVENUE DIVISION TOTALS—) COLLECTED: 44 .00 OVER/SHORT: 00 Pdky Number BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK ems mate read not be oapiad flaw pori is b are haled are MOW or SO 44 .00 ❑ 1 only IN in the prlmanoe d to work for Web ua prat i Sand.I sal not maw Try wrote n Try raver r as to acre said b the rarraoornartia ale d Cataria,ad Kra tat t l dyad bore wad to noon'n' *MMMMM**at WMMMM*MMMMlfs*MM*WM PNMT M**W***MM 1(kr M**W it*MM*M MMMM#ft MMMM*MMMMM MM 4MM MM a$MM prn ow . amann aaar S "2700 d the Labor Code da forthwith mina ra those prwiba. INDIVIDUAL F E E BREAKDOWN Ore: Apel rt: Waning:Ferob secaa mare•earorwuon cwrq.iaU•wAd,rd Mw aged a apoyr a errand prdtia and TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST do maw p b a tent S drooaad rale(S104000,1,n addition to to costa*impetration So r rwdd ar I5 Sectkmaraam.L.b.eco atrrLand.maar.Imo PLO 1 SEWER, BUILDING / TRAILER 22. 00 22 .00 CONSTRUCTION LENDING AGENCY:I herby ry den a penalty d poem that tor.is•rani/"lento rindy a to • END OF FEES • prkrma,w a the work a wall to lwrt i seta(Sedan 2027.CM.C). LENDER'S NAME LENDER'S ADDRESS: I wary the I as read tk'a/°Fico and oar that the arbor Swain I tonsef.I raw to CC Mly with a ay ad wary or&war . d Par s rating b bylaw oorta.adtb Chereby rwe rpnNdw wdtle city pram to our nen the o -mrtbed rry for SWOP%Paper. - RODNEY BROWN j{ :;: 1 s1 /t : •: P"i: ',r..:; rbad • pmt Nam. • 9(P'i4::lt !f,);.•t;d 7 .` - / _ �;- r,'�,...- L,' �) [`i- 2Ff 1 [ 71f:tLF.'t ; Eo -t Ore:.':v f • - y dOwwlAprdAppFrdCaertla City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. 002435 Building Safety Division P.O.Box 1200 Costa Mesa,California The Building located at 2541 Elden Avenue, Units A,.B,C ' has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group R1 /R1 Occupancy. Use of BuildingAnartmants Legal Description_ 434-171-32 B3g31/�4,Egl10 (See reverse side for Metes and Bounds) P36332 Building Permit N0 835272,935273 Electrical Permit No. E 36094 Plumbing Permit N oe37754,P35715 Mechanical Permit No. 2437890 Number of apartments 3 - and/or guest rooms ISSUED TO: Building Official William T. Howard Rodney E. Brown / 177 "F" Riverside Dr. Nawnort Beach, CA Date March 24, 1989 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev.1/83 White-Owner;Car -Numerical File;Pink -Bldg.Permit File 1 _ ° — = 143141X I° — 'Li �y�� Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. I Z4 �' .1p�♦ la CEY,OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. 1 _ 14S14 x 5']39, = $34 Sep.-- 40 t-Project Address B 3530�. 3 76 , 7 8 A. B t G 0.'Y r- B e l e.9L 57i? . = teoi3S Z Z54/ ELOEN AVE R 4085.21, 42- . o$S •' 177 "F" R/✓ERSIDE OR. t M TYPE OF CONSTRUCTION 1AI NEW ❑ ADD U ALTERATION REPAIR = 1 a6 X �� �' 7r e /Applicants Mailing Address El CONVERSION El DEMOLISH El OTHER tC.S4• •- 7� 1 r 1 Rb.'�' Owners Name R o SODA/ /12. BROW Al Phone 64.2-3112 A.P.AP # i/7A-j T/� a�� Zone DESCR IPAII;�N OF WORK/USF OF BLDG. Address 177 "F"RIVERS/DIE DR.r NeweareT each, _� u✓y� (_'`rye{pl^'1YlAQ r•tC qI S Main Building: Accessory Building: Art Eng. VERA/ THRELKELP License No. C 1156 TYPE OF PERMIT GeGRADING . .`-F\O'UNDATION 10 STRUCTURAL E Front 90' Address 1670 IAF"4ANTA ANA AVE Co5TA MESA fZdz7 .❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Roar 10-5' le Lit N Contractor's Name 642'A112 ❑ OTHER RODNF>' E. BPawn/ Phone //488•/ A C Right i N I• PROJECT DESCRIPTION SQ- FT. ' O CUPANCVIZ�1 �� S . G Address(mailing) 177�1F�"Al VERS/DE D.P, NGm?ORT amen . 'C K g 3�+J p� ' CON STRUCTION TYPE Vcm VALUATION$ 742,Sn9 $ Left aa•Z R 1 City License No. OO •ZONE GRADING CU.YDS. ACRES •o LICENSED CONTRACTOR DECLARATION Ping. Ref-# a,e_gg-915 Parking Req./Provided /a /ia E hereby -affirm that I am licensed under provisions of Charter 9 CommandoO (commencing (, Remarks: RC � IF I I '2 I(. PlanningNotes: / �/� hitt, er-is with section 7000) of Division 3 of the Business and Professions Cotle, antl Q--S q-+�t 'v �{L.�• �Ll-LL/ rn t u `�O i - �3� C<n!T �s• �TQ camper-is T my license is in full force and effect. - -' 11 (moult•• U•.Cl t`_u.-.Nf,_`e_(�Xl y License C i se No. r ♦ e'�• 2 l� Cl S Date Q�'B • Signature �f u� I%��1� rt PLUMBING FEES �e• HOLD PQf? SPECIAL REQUIREMENTS ,-KER 'COMPENSATION DEC • RA •N - Bar SinkShowers ELECTRICAL FEES • reby affirm that I have a certificate of consent to self-insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Automatic Washer Transformer ❑ 15-50 KW 3800, Lab. +ct L� l•�►•n� ��^e( • Policy No. 1 2. PL(- 4> Company SrAlt-f r / —s Backflow Irrigation ❑ 50+KW I Sewer Cap I Construction Pole Sub. 8 Certified copy is hereby furnished. Bathtubs Sewer Connection CookingUnit Meter Cert' p i fit�1 with the city B s ❑up t0 100 amps Date//�/jl 7 Applicant �A� Clarifiers Solar Collectors - Dishwasher Meter ❑over 100 amps N Fd OM WORKERS'COMPEASA dv• - ATION (This section need not be completed if the permit is f•r one hundred ($100) or less). . Dishwasher 'Solar Piping • Dryers ❑Gas ❑Electric Sub Panel ' - I.certify that in the performance of the work for which this permit is Issued, I shell not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Workers' Compensation Laws of California. - Motors 00-1 HP 0 t-B - Date Signature .-- Floor Drains Swimming Pool w/Spa F.A.U. NOTICE:If,after making this declaration, you should become subject to the Inc.Solar 09-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks • Urinal I<,ixtures comply with such Orovisions or this permit shall be deemed revoked. Microwave' • CONSTRUCTION LENDING AGENCY Gas Service "' •Outlets Water Closet Device-Boxes f Pole Light +� I hereby affirm that there Is a construction lending agency for the performance - •L _ of the work for which this permit is Issued (Section 3097 Civ. C.) r ' Lender's Name interceptors- �- Water Heater _ Outlets f Range Lender's Address Kitchen Sink Water Service .- - - Switches - Sign • OWNER BUILDER DECLARATION ' I hereby affirm,thatresonI am exempt from the Contractor's License Law for the Lavatories `. Auto-Wash Garbage Disposal I I Standing Sections following requiresia 1.5 Business and Professional Code: Any city or - county which a permit to construct,alter,improve,demolish or repair P-Trap - . Launtlry Trays Generator ❑D-5 KW ❑5-15 KW r Trash Com actor any structure, prior to its issuance, also requires the applicant for such permit - P Us file a signed:statement that he/she is licensed pursuant to the provisions of Roof Drains t ' •Contract the Contractor's-License Law(Chapter ode) g with Section 7000) of - - . - ision 3 of the Business and Professions Cotle) or that he/she is exempt refrom and the basis for the alleged exemption. Any violation of Section •u31.5 by any applicant for a permit subjects the applicant to a civil �]p,�,{��Ity of not more than five hundred dollars($500). 3 , as Owner of the property Or my employees with wages as their sole Reinspection Fee $15 i Issue Fee $ • compensation, will do the work,and the structure is not Theintended or offered Reinspection Fee I $15 Issue Fee $ 3 fir sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES - License Law does not apply to an owner of a property who builds or Improves DEVELOPMENT SERVICES REQUIREMENT yP thereon, and who does such work himself/herself or through his or her own Boiler Hood or T e I ❑ employees, provided that such Improvements are not intended or offered for sale. If, however,ever,the building or improvement is sold within one year of cpm- Canopy Type II 0 Zoning Approved By M Date 9�1�, Diction, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date_./ proverove for the purpose of sale). p/ 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date` /T:7 hr tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU SUMMARY OF FEES builds or Improves thereon, and who contracts for such projects with a con- _ _ — 17;o5' tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I BUILDING PERMIT $ /4'/•76 p SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT L7 I am exempt under Section B. & P.C.for this reason Firepl/Fact.Bit. ICRO# Fire Dampers PLUMBING $ ISSUANCE $ ' Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BT ELECTRICAL GRADING $ information is correct. I agree to comply with all city and county ordinances $ and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of this city nter .on the above-me Honed proper for p inspection ur /v„6,� MECHANICAL S1 SO-83 ' Signature / Date !/ilo/Y TOTAL FEE $ i Drivers' Licens r 55 / - Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ , • CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor U1 00014618-00014619 TOT 115E.33 , DATE: 09/16/88 TIRE: 15:16 t0 POOL & SPA pro I: i CONSTRUCTIONrAND•PLANNING r le t, f� Date Inspector Date Inspector.APPROVALS �Permitt# - APPROVALS Permit# ^ _ 1:=Temporary Electrical Service or Pole 52. Pool & Equipment Location_ t•,i', !' `1" 2. Soil Pipe-Undrgrnd. .! 53. Steel Reinforcement 0:..,•0.:„. '.I ..t 3. Electrical Conduit Utility-Undrgrnd. 54. Forms Hi h II 11 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding " • ,'"1-,- '- 5. Steel Reinforcement /0g/gy N ,;6, • 56. Rough Plumbing&Pressure Test ' ttiR: t 6. Electrical UFER Grnd. . !�' 57. APPROVAL TO COVE R-GUNITE • •- ^ •'' �' 7. Footings �, 58. Electrical Conduit-Undrgrnd; •' nt l- 8. Foundation , �; `59. Gas Pipe, 0Undrgrnd.,Test - 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap,0 Undrgrnd. ;! r (} 't 10. Structural Floor System 61. APPROVAL TO DECK I, It - 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final - r r 12. Sewer Cap :j4;.- ^ t' t y 63. Heater & Vent-Final '. ,, 13. Roof Drains 64. Plumbing System - Final - '0 -, , 14. Rough Plumbing 65. Electrical-Final • 15. Rough Electrical-Conduit 66. Solar System-Final ' • t. r 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# t' ,' 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 OW 23. Gas Pipe-Rough & Test 72. Underground Flush `•-- • 24. Roof Framing I 73. Undergrnd.Storage TanklO as 0 Oil 25. Roof Sheathing t I l3o1% G V 74. Overhead Hydro ...fI !� 111 t 26. T-Bar Ceiling (Structural) & Monocoat 1 Q. / 75. Dry Chemical r - ^_ 27. Frame and Flashing /2,11„I"` gU &jl 76. Dry Standpipe i` ' 28. Lathing & Siding + 77. FIXED SYSTEM FINAL:r, t. 29. Insulation ilia At 78. FIRE PREV. FINAL I. '7 30. Drywall Nailing 141- a? //r HEALTH DEPT REQUIREMENT " 31. Plaster Brown Coat (-27_7 ti .y 79. FINAL INSPECTION „J r ' V 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 1 (. 33. Final Electric Notes: HOLD FOR SPECIAL REOIgREMENTS- rt.; 34. Final Heating & Air Conditioning t x.14/c'c‘ 7/p L fait Gl•� 4.7-:"--4.7-:"-- ?I 35. Final Gas Pipe-Test /2 oho Nr st 'v` Q_ n ,,/ai - U. 36. Hood or Canopy 7-Std Q cd 37. Final Factory Fireplace I 38. Final Plumbing H ' 39. Water Service-Final - r - 40. Gas Service-Final 7 c - • .41. Solar Domestic-Final (' - - ' '.42. Backflow Preventer ' - . . 43. Backflow Irrigation t t , , . : -, .44. Landscape Irrigation System •r/ • n '.45?Sound Attenuation .•E - r46. Handicap Regulations - r•' ; - - - 47.•FINAL STRUCTURE & BUILDING C7---- v.0 . 48. Special Requirements Completed / itf t, - 49. Electric Release to Edison - ., - 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY. No. - Date P ,ii t•- \ r h Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. \_ PERMIT NO. TRACT NO. LOT NO. UNIT NO. CITY OF COSTA ESA5 CONSTRUCC�TIIONPERMIT ' 3gZ'71 A.P.# IZone • Project Address <5‘) ��t+l.✓ �t Lf- - S Main Building: Accessory Building: k ( TYPE OF CONSTRUCTION U NEW ❑ ADD ❑ ALTERATION U REPAIR E 2 Applicant's res V z A s �O Front �`� , �1 r ❑ CONVERSION gi DEMOLISH ❑ OTHER �4w•,46- T O Owner's ame - - ,p� Phon/e DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address 7~f r /UF/I re f�-C. - TVPE OF PERMIT U GRADING U FOUNDATION El C Right N Arch/Eng. �� License No. K❑ ❑ G Address ❑ TENANT ELECTRICAL PLUMBING 0MECHANICAL $ Left R ❑ -OTHER J Ping. Ref.# , Parking Req"/Provided Q Contractor's Name D Phone PROJECT DESCRIPTION SQ. FT OCCUPANCY r ' \1 OCCUPANCY MPlanning Notes: Address(mailing) VVV CON STRUCTION TYPE �! v VALUATION$_I Q�e "•� • - M T City License No. 032 ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION : I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: with section 7000) of D slon 3 of the Business and ProfessionscCode,GQand my license Is in full d effect. //^ / ! D6 ELECTRICAL FEES • Lice ns I s License No CL./ 7 D PLUMBING FEES Automatic Washer Transformer 0 15-50•KW Date ///[ Signatu WORK RS' OMPENSATIOND LARATI N Construction:Pole Sub. 0 50+ KW +.reby affirm that have a certificate of consent to self-Insure or a certificate Bar Sink Showers • Workers' Compensation Insurance, or a certif copy they (Section Cooking Unit Meter asp to 100 amps Backflow Preventer Service Sink _add, Lab. C. �7�•t .qy (Section Dishwasher Meter Dover 100 am s Policy No" ,1--/— 7� Company .( ! Backflow Irrigation Sewer Cap • P" _ EI-Ce'Cert if ietl copy is hereby furnished. - /. rtified Cer 'tied co "led with t • • a " - g DI '-on. Bathtubs Sewer Connection • Dryers •❑Gas ❑Electric Sub Panel Date f�IO ' KERS'ana —s Fan Motors❑0.1 HP ❑1'A-8 EXE TIO FROM WORKERS'COM" •TION DECLARATION Clarifiers Solar Collectors • (This section need not be completed If the permit Is for one hundred ($100)or Dishwasher • Solar Piping - F.A.U. • Inc"Solar 09-15 HP 016:15+ ' •' less). I certify that in the performance of the work for which this permit Is issued 1 Fixtures shall not employ any person In any manner so as to become subject to the Drinking Fountains Solar Tank' Microwaveri• Workers' Compensation Laws of California. ✓ - Date • Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light i NOTICE: If,after making this declaration,you should become subject to the Outlets Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks' Urinal - - comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet • Switches Sign I hereby affirm that there is a construction lending agency for the performance . of the -work for which this permit is issued (Section 3097 Civ. C.) Interceptors - Water Heater •", Garbage Disposal Standing Sections Lender's Name • Lenders Address �t Kitchen Sink Water Service Generator ❑0.5 KW❑515 KW Trash Compactor OWNER BUILDER DECLARATION • I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories • Auto-Wash ' following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P—Trap Laundry Trays , • any structure, prior to its Issuance, also requires the applicant for such permit - to file a signed statement that he/she is licensed pursuant to the provisions of. • Roof Drains • •the Contractor's License Law(Chapter 9 (commencing with Section 7000)of . ' vlslon 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 refrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to a civil • e ally of not more than five hundred dollars($500). 3 DEVELOPMENT SERVICES REQUIREMENTS: 1 as owner o/ the property'or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ pensation, will do the work,and the structure is not Intended or offered Zoning Approved By Date • for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By License Law does,not apply to an owner of a property who builds or improves - ��s Date^q��' thereon, and who does such work himself/herself or through his or her own Boiler HOOd or Type I ❑, Application Issued By • Yl'C Date``�1 employees, provided that such improvements are not Intended or offered for Canopy Type II 0 sale" If„however, the building or Improvement is sold within one year of com- SUM OF FEES pletlon, the owner will have the burden of proving he/she did not build or Im- Duct•Under Ground - . •' • /1� prove for the purpose of sale). BUI LDING PERMIT $ 7, -.. SMIP $: (/ 0 I, as.owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: - The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0.100;000 BTU 0100,000 BTU ' PLUMB] $ • ISSUANCE $ builds or Improves thereon"and-who contracts for such oroiects with a con- . • ' tractor(s) license pursuant to the Contractor's License Law). I am aware that . Exhaust System 0 Multiple❑ . System Repair/Alteration PLAN CHECK 25% $ ' ENERGY P.C. S.- ' proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ ' I.: I am exempt under section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# . Fire Dampers MICROFILM $ �7y Date 7i�rtri Ow •r J'" Heating ystem&Ducting . Registers PLAN CHECK 50% $MECHANICAL - ,v I hereb cert'y that 1 have rear t • :r at rn an. s . e that the above ❑0.100,000 BTU 0100,000 BTL . - - $ TOTAL FEE $ �.� information Is correct.) agree to comply with all city and county ordinances - - PLAN CHECK 25% $ and state laws relating.to building construction,and hereby authorize repre • - Inspesentatives. -of- thi �•o enter upon •e dDOve-m¢ntionetl r perty for •• Arr- • SignatureL Dat Reinspection Fee -$15' Issue Fee . '$ 3 01 00014401-00014402 TOT 25.50 Drivers' U ense or SS - DATE: 09/14/88 TIME: 10:21 • 0865-46,rev. 5/88 White - Building: Canary -Applicant; Pink - Accounting:Goldenrod - Assessor CONSTRUCTION AND PLANNING ' PO .SPA• APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pore: - 52. Pool & Equipment Location 2. Soil•Pipe-Undrgrnd. , ! 53. Steel Reinforcement •` 3: Electrical Conduit UtiliEy-Undfgrnd.. • - • 54. Forms : i ,4.,Electilical Conduit-Und�grnd.:j, 55. Elecirical Bonding • 5. Steel'Reinforcement t. , 56. Rough Plumbing & Pressure Test I• 6.' ElectricalUFER•Grnd., • r i - 57. APPROVAL TO COVER-GUNITE I i i, Footings - -- -.. • I 58. Electrical Conduit-Undrgrnd.• 8. Foundation ` IP •1 59. Gas Pipe, 0 Undrgrnd.,Test -9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. • 10 Structural Floor System61. APPROVAL TO DECK ' 11. Property Sewer Line & House Connection . ' i 62. Backwash & Receptor-Final • 12. Sewer Cap ' 63. Heater & Vent-Final • 1 13. Roof Drains 64. Plumbing System - Final ' 14. Rough Plumbing 65. Electrical-Final ' 15.-Rough Electrical-Conduit 66. Solar System-Final -1.6. Rough Electric Wiring 67. Fencing & Access Approval 177. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL _19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT -20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing 3 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing - _ - HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat, 79. FINAL INSPECTION - 32. Electrical Power Meter-Final 80:1E.00D CERTIFICATE ISSUED - 33. Final Electric l Notes: - • • 34. Final Heating& Air Conditioning - 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing b‘ 39. Water Service-Final - 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 1 43. Backflow Irrigation • 44. Landscape Irrigation System - 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE 8.-&f�tfTlg /0I /11C Tip0 �j�I 48. Sner..ial Requirements Completed 49. Electric Release to Edison •. - . 1 . 50. Gas Release to Southern California Gas Co - --- . I 51. CERTIFICATE OF OCCUPANCY • No. Date Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT PERMPERMIT NOL 73 TRACT NO. LOT NO. UNIT NO. A.P.#. • ` zon@ 7 5 L� Project Address. . C 40CAl - - S Main Building: Accessory Building: TYPE OF CONSTRUCTION U NEW U ADD ❑ ALTERATION ❑ REPAIR E - - Z Applicant's Mailin. •cess - I �1 / /nJ / p //LL'!! 4" ❑ CONVERSION ttv DEMOLISH ❑ OTHER �A f A7A-6 T Front - D Owners Name '44402 ,. C sweism4honec4 7• .9 /- DESCRIPTION OF WORK/USE OF BLDG. •B Rear N Address I 7 - j .. ��-� ` A 1 TYPE OF PERMIT U GRADING U FOUNDATION El C Right N Arch/Eng Address ❑ TENANT. License No. K. • G E1 ELECTRICAL ❑ PLUMBING ❑ MECHANICAL g . Left R Contractor's Name O�� Phone ❑ OTHER Ping. Ref.# - Parking Req./Provided E PROJECT DESCRIPTION SQ. FT. OCCUPANCY. PlanningNotes: 0 Address ens(mailing) 325313 ` CONSTRUCTION TYPE VALUATIONS Il s • M City License NO.d OL ZONE GRADING CU.YDS. ACRES ' LICENSED CONTRACTOR DECLARATIONS. I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: with section 7000) of Division 3 of the Business and Professions Code,and my license Is in f •rce and effect. `Y2J! s� ELECTRICAL • '.FEES License C ass • License No 7! L/ Dat- ‘ Sig • •OAP - PLUMBING I FEES Automatic Washer Transformer'0 15-50 KW WORKERS'COMPENSATION •EC - R• I. • Bar Sink Showers Cons[ruction'Pole Sub.. 050+ KW • I hereby affirm that I have a certificate of consent to self-insure or a certificate ' Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Prevenler Service Sink Cooking Unit Meter Duo to 100 amps 300, Lab. Com) - .. - - - - - (TX 7 2-75 Companyr if )��42 Backflow Irrigation Sewer CapDishwasher Meter Dover 100 amps Policy No, g •oaCertified copy is hereby furnished. Dryers —❑Gas ❑Electric Sub Panel i' 'C ! }s filed with the cit - •In• •ivision. Bathtubs Sewer Connection y. oatAP• S •r yrs Fan EXE PTI N FROM WORKERS' .—SATI• ' DECLARATION Clarifiers Solar Collectors Motors❑0.1 HP ❑im-8 {Thissectlon need not be complete• if the per mi s for one hundred(E100)or - - F.A.U. - less). • Dishwasher Solar Piping Inc.Solar 9-15 HP 016-15+ I certify that in the performance of the work for which this permit is issued I • Fixtures shall not employ any person In any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Compensation Laws of California. ‘, . Date signature Floor Drains Swimming Pool w/Spa . Device Boxes Pole Light NOTICE:If,after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Outlets • Range Floor Sinks' Urinal _ _ 9 • - - • - • comply with such provisions or this permit Shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service OutletsSwitches Si n I hereby affirm that there is a construction lending agency for the performance Water Closet • g of the work for which this permit Is issued (Section 3097 Civ. C.) Interceptors Water Heater • Garbage Disposal • Standing Sections Lender's Name //,` i .(/j Generator 00-5 KW 05-15 KW Trash Compactor • Lender's Address �VIJ/��r- Kitchen Sink - Water Service OWNER BUILDER DECLARATION ` I hereby affirm that I am a%empt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code:Any city or ' county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays ' any structure, prior to its issuance, also requires the .aplicant for such permit ' •to file a signed statement that he/she 15 licensed pursuant to the provisions Of • Roof Drains '-the Contractor's License Law (Chapter 9(commencing with Section 7000)of nivision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee erefrom and the basis for the alleged exemption. Any violation of Section $ 3 131.5 by any applicant for a permit subjects the applicant to a civil , ,enalty of not more than five hundred dollars($500). -• DEVELOPMENT SERVICES REOUIREMENTS: �J I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 :compensation, will do the work,and the structure is not intended or offered Zoning Approved By Hate for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date thereon, and does not apply to an owner of a property who builds or improves _ _ _ _ _ _ _ thereon, ane who does such work himself/herself or through his or her Own Boiler • Hood or Type I ❑ Application Issued By .es Dat employees, provided that such improvements are not intended or offered foryP sale. if,.however,theowthe building or Improvement Is sold within one year of coca- Canopy Type II O. • go prove , the owner will have the burden of proving he/she did not build or im- Duct-Under Ground SUMMAB�pF FEES D prove for the purpose of sale). - BUILDING PERMIT $ Zj SMIP $ ❑ L'as owner of the property,am exclusively contracting with licensed con- • Duct-Structural Refrigeration System PLAN CHECK tractors to construct the project(Section 7044,Business and Professions Code: - $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-.Ventilating ❑0.100,000 BTU ❑100,000 BTU ISSUANCE $ builds or improves thereon,and who contracts for such oroiects with a con- - PLUMBING $ tractors) license pursuant to me.Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration PLAN CHECK • 25% $ ENERGY P.C. $ • proof o/ their Worker's Compensation insurance should be provided to me. ELECTRICAL • $ GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fac[•Bit.ICBO 4Fire Dampers MICROFILM $ i PLAN CHECK 50% $ Date '3OO2 a Own• .e�WW>Ir� - Heating System& Ducting Registers MECHANICAL IC (�OD I hereb cer ify that I have rea• this applicaMsn and state that the above 00-100,000 BTU 0100,00OBT - - - $ TOTAL FEE § information is correct. i agree to comply with all city and county ordinances ' ' • PLAN CHECK 25% $ and state laws relatin• uilding construction,and hereby authorize repre- _ inspe tio. of enter upon t • bove-mentioned pro Sgnature iOse / / -•1 • Signature ` Reinspection Fee $15 Issue Fee $ 3 - ye01 00014403-00014404 TOT 25.50 • /e 0865-46,rev. 5a White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor _ DATE: 09/14/88 TIME: 10:21_ CONSTRUCTION AND PLANNING - POC SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date--7.t-:_r Inspector 1. Temporary Electrical Service or Pole _ 52. Pool & Equipment Location 2..Soil Pipe-Undrgrnd. . I . I %•. 53. Steel Reinforcement r . 3.IElectrical Conduit Utility-Undigrnd. 54. Forms 4:,Electrical Conduit-Undigrnd. 55. Electrical Bonding i I1. 5.,SteeLReinforcement 56. Rough Plumbing & Pressure Test I _ 4 i 6. Electrical UFR Grnd.• i , :i.. 57. APPROVAL TO COVER-GUNITE ` I 7: Footings 1 I) 58. Electrical Conduit-Undrgrnd. i t ' 8. Foun}laton �-' I 59. Gas Pipe, 0 Undrgrnd.,Test • , „ i 9. Water Pipe-Undrgrnd. •,. '' • I 60. Backwash Lines, P-Trap, 0 Undrgrnd. •• 10. Structurhl Floor System i'. • 61. APPROVAL TO DECK 11. Property Sewer Line & House Conn¢ction ' 62. Backwash & Receptor-Final i . • 12. Sewer Cap 1 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 16. Rough Electric Wiring 67. Fencing & Access Approval ,•1`. Rough Wiring Sign 68. APPROVED FOR PLASTERING :,18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL '19. Rough Heating & Air Conditioning • FIRE DEPT. REQUIREMENT ' , _ . - .20! Rough Factory Fireplace APPROVALS' ; Permit# . 21. Ducts, in Structure 70. Underground Hydro • 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test - . 72. Underground Flush 24. Roof Framing - 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat '75. Dry Chemical 27. Frame and Flashing : , 76: Dry'Standpipe . 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat I, 1 "I , 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 i ' 39. Water Service-Final - - ' ' 40. Gas Service-Final 41. Solar Domestic-Final •- 42. Backf low Preventer s • • - 43. Backflow Irrigation 7'• ) 44. Landscape Irrigation System • <: 45. Sound Attenuation 46. Handicap Regulations I 47. FINAL STRUCTURE & I,8//� //PC p f?/t 48. Special Requirements Complet - 49. Electric Release to Edison iI--' 50. Gas Release to Southern California Gas CO .-.' • 51. CERTIFICATE OF OCCUPANCY ; ' No. Date '' ' _ / Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO. • TRACT NO. LOT NO. UNIT NO. CITY of COSTA MESA CONSTRUCTION CONSTRUCTION PERMIT B 2,q Z A.P. - i i zone • Project Address 2.57 F�.� A� �Q�[7 p - - • S Main Building: Accessory Building: Applicant's Mailing Address /77 •!'r6• Rai eAn 6. im NO TYPE OF CONSTRUCTION U NEW LI ADD ❑/ALTERATION U REPAIR E Z �/ / ❑ CONVERSION ))`y DEMOLISH ❑ OTHER / •�f02/1`t T Front O Owner's Name �a t. • Ae 0 'ho a/7�?.-•31(i`� .DESCRIPTION OF WORK/USE OF BLDG. �Y [ B Rear - N Address /7 7 •F' /U6et/b6 77/1. ,04 5.2613 - Arch/Eng. /LJ/•D License No. TYPE OF PERMIT U GRADING LJ FOUNDATION ❑ STRUCTURAL C Right 6 Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL i $ . Left ❑ OTHERR Contractor's Name Phone `i ' Ping. Ref.# • Parking Req./Provided E PROJECT DESCRIPTION SQ. FT. `r OCCUPANCY M PlanningNotes: 0 CityAddLicensss(mailing) �7 G CON STRUCTION'TYPE y VALUATION Linn ••N•- - , T City License No. ®gs.3�/ _ - - ZONE GRADING CU.YDS. ACRES • - S. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing ' Remarks: ' - • with section 7000) of Division 3 of the Business and Professions Code, and my license is in full fart effect. Q , ELECTRICAL • FEES • • License ass License... / Automatic Washer Transformer N / - Dat Signet - a.sPLUMBING ' FEES 0 15-5O;KW WOR ERS COMPENSATION Dz. Ii / Construction Pole Sub. 0 50+KW • I hereby affirm that I have a certificate'of consent to self-insure or a certificate Bar Sink Showers - f Workers' Compensation insurance, or a certified copy thereof (Sect n Cooking Unit Meter Duo to 100 amps .Boo, Lab. 20,.., - / �//D Backflow Preventer ,-.. •• Service Sink X27.5 a -7-...I/ / - Dishwasher _ Meter Dover 100 amp`s Policy No. Comoan Backflow Irrigation Sewer Cap _ _ Certified copy is hereby furnished. Dryers ❑Gas ❑Electric . Sub Panel cr. 4ateCer ' ie co9]Gyissfiletl with the ci +.,prl D' islon. Bathtubs Sewer Connection APPI an EXEM ION FROM WORKERS'Cs MPEN ATIO DECLARATION Clarifiers Solar Collectors Motors❑41 HP O1'.S-8 (This section need not be completed if.the permit is for one hundred ($100)or - F.A.U. Inc.Solar 09-15 HP 016-15+ less). ; Dishwasher Solar Piping I certify that in the performance of the work for which this permit is issued I shall.not employ any person in any manner so, as to become subject to the Drinking Fountains Solar Tank Fixtures Microwave Workers' Compensation Laws of California: / Device Boxes Pole Li h '"� Date Signature Floor Drains Swimming Pool w/Spa - 9 t ;',/ NOTICE: If,after making this declaration,fte you should become subject to the Outlets Range Workers' Compensation provisions Of the Labor Code, you must forthwith Floor Sinks Urinal. - 9 ... -comply ,with such provisions or this permit shall be deemed -revoked. - • I Switches CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Sign • I herebyaf rthat there Is a construction lending agency for the performance Garbo e'Dis Oral of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater • 9 P Standing Sections Lender's Name Lender's AddressJ��,/�/K�soG • Kitchen Sink t Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION - - I hereby affirm-that I am exempt from the Contractor's License Law for the Lavatories • Auto-Wash following reason (Section 7031.5 Business and Professional Code:'Any city or , county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays ' any structure, prior to its issuance, also requires the applicant for such permit ' to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains ' • -the Contractor's License Law(Chapter 9(commencing with Section 7000) of " Oivision 3 of the Business and Professions Code) or that he/she Is exempt • Reinspection Fee ! $15 Issue Fee ' $ 3 ierefrom and the basis for the alleged exemption. Any violation of Section . 031.5 by any applicant for a permit subjects the applicant to a civil ' - nalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: I; as owner of the property or my employees with wages as their sole eiReinspection Fee I $16 Issue Fee $ 3 Zoning Approved'By • Date mpensation, will do the work,and the structure is not Intended or.of(ered - • for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES Building Approved By �s Date License Law does not apply to an owner of a property who builds or improves • mss- t� �11� ,sap thereon, and who does such work himself/herself or through his or her own Application Issued By 5 n• Date' I /y—LTI5 employees, provided that such improvements are not intended or offered for' Boiler Hood or Type I 0 sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ • SUMMAg1�9F FEES pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground D N prove for the for of sale). - - BUILDING PERMIT $ 7 1 --- SMIP $. D 1, as•owner of the property, am exclusively contracting with licensed con- Duct-StructuralPLAN CHECK Refrigeration System tractors to construct the project (Section 7044,Business and Professions Code: - $ PERMIT The Contractor's License Law does not apply to an owner of property who' Duct-Ventilating ❑0100,000 BTU 0100,000 BTU PLUMBING ISSUANCE . $ builds or improves thereon.and who contracts for such Droiects with a con- - — $ tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ../11; GRADING $ - I am exempt under Section B.6 P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Damper's . ELECTRICAL $ ' MICROFILM $ PLAN CHECK 50% $ G' ' / HeatingSystem& DuctingRegisters Oate - O a — Y , MECHANICAL $ . TOTAL FEE $ 1 I here y cerci have re piih all and state that the above ❑0100,000 BTU ❑100,000 BTL Ianormation is correct. I agree to comply with all city and county ordinances _ PLAN CHECK 25% $ and state laws relating'to building construction,and hereby authorize repre- sentatives of ' .. to enter upon f above-menv¢-mention¢ r pert for inspectl• • rpo / •-)Signature Ars Date /_ Drivers' cense or.SS - - • Reinspection Fee $15 Issue Fee $ 3 • 01 00014396-00014397 TOT 25.50 ,.- Pink -Accounting; Goldenrod -Assessor . CONSTRUCTION AND PLANNING P01 .SPA e • • Date Inspector Date Inspector APPROVALS Permit# - APPROVALS Permit# .• • 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2.• Soil Pipe-Undrgrnd. 53. Steel Reinforcement '3. Electrical Conduit Utility-Undrgrnd. • 54. Forms • 4.,Electrical'Conduit-Undrgrnd. 1.1 55. Electrical Bonding 5.'Steel•Reinforcem'ent •' 56. Rough Plumbing & Pressure Test 6! Electrical UF ER Grrid: •`• 57. APPROVAL TO COVER-GUNITE 7. Footings I 58. Electrical Conduit-Undrgrnd. 8. Foundation , ' I 59. Gas Pipe, 0 Undrgrnd., Test • 9. Water Pipe-Undrgrnd. t, .'I „ . 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 Chp ' '' I - , 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 '1`6. Rough Electric Wiring 67. Fencing&Access Approval X17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ;19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & T\st 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat• i 79. FINAL INSPECTION •r 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 • I 43. Backflow Irrigation • 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE &9UIt9INf, 48. Snecial Requirements Completed JJ&&747,,,, 7ilr 49. Electric Release to Edison i 50. Gas Release to Southern California Gas Co r... 51. CERTIFICATE OF OCCUPANCY • _ No.__ No Date .r / Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO. TRACT NO. LOT NO. UNIT NO. ;/2�_ /.�/_ 3� p a� CITY OF COSTA MEStA/ CONSTRUCTION PERMIT 8 353 03 (p 73 A.P.# '7 J Zone !t Project Address • �5"7 �I�Dr�//v T�VI� Q / ^ff r I _— S Main Building: Accessory Building: Applicant's Mailing • .dress �1 7•Y I ecr,DC Dh ,u7J"TYPE OF CONSTRUCTION IQ NEW LJ ADD LI ALTERATION U REPAIR E p� /O Z ❑ CONVERSION ❑ DEMOLISH CI OTHER OTHER T O 'Tso e) . O Owner's Name . P �� Phone DESCRIPTION OF WORK/USE O9LDG. A Rear Address /77 .ra JaeaS/QE v2 �l 14 e-A)GL B r�. SI 'In aid,- N Arch/Eng. A,/,4 License No. TYPE OF PERMIT ❑ GRADING FOUNDATION I4 TRUCTURAL CK /11 Right _ '/�s _ N Address �` ❑ TENANT ❑ ELECTRICAL PLUMBING 0 MECHANICAL s• Left 37 ' R ❑ OTHER ,PiRef.# Parking Req./Provided E Contractor's Name O Phone ng. DR—p��OTs 'G�S eq, rov /��/�. Q PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: Address(mailing) 700_, g 7111 SH Fi/VCL-OSCEiea M City License No. 3 2 3 F? `� CON ST RUCTION TYPE VALUATION$ T ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATIONS. I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: f'� 482 mob L with section 7000) of Division 3 of the Business and Professions Code,and my license is In full for d effect. '�/�fi�ta ELECTRICAL FEES License C .ss ! Li�se Nd/ __ � � Date Sr Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW "ORKERS'COMPENSATION DE LARATIO Bar Sink Showers Construction Pole Sub. 050+KW lereby affirm that I have a certificate of consent to self-insure or a certificate A Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps 3800, Lab. S.) • Policy No/ Company fid TF. F),,✓P Backflow Irrigation Sewer Cap Dishwasher Meter Clover 100 amps ii•��i Certified copy is hereby furnished. Dryers DGas ❑Electric Sub Panel Cerjitiaft tppyj$]y)ed with the city Titling Divisi0 • Bathtubs Sewer Connection ` Date 7/,(F�Y Applicant Fan Motors❑0.1 HP 0114-8 EXEMPTION R M WORKERS'COMPENSA ON ECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred($100)or Dishwasher Solar Piping F.A.U. Inc.Solar ❑9.15 HP ❑1615+ less). I certify that in the performance of the work for which this permit is issued, I Fixtures shall not employ any person in any nrteao as o becom subject to the Drinking Fountains Solar Tank Microwave Worker�co n Laws oi• .ems Date / f7 Signa - Floor Drains Swimming Pool vv/Spa Device Boxes Pole Light NOTICE it,aft aking this declaration,you uId b come subject to the Outlets Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal ' comply with such provisions or this permit shall be deemed revoked. - CONSTRUCTION LENDING AGENCYSwitches Sign Gas Service Outlets Water Closet I hereby affirm that therewhiis a is permit ue agencyc for the performance. iv. • of the work for which this permit is issued (Section 3097 Cl v. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name { 0 ` / - Trash Compactor Lender's Address �(/ ./kif7 Kitchen Sink Water Service Generator X0-5 KW ❑5.15 KW OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories - Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap - Laundry Trays ' any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains he Contractor's License Law(Chapter 9(commencing with Section 7000)of iivision 3 of the Business and Professions Code) or that he/she Is exempt Reinspection Fee $15 Issue Fee $ 3 ' .norefrom and the basis for the alleged exemption. Any violation of Section • 7031.5 by any applicant for a permit subjects the applicant to a civil tDEVEally of not more than five hundred dollars($500). LOPMENT SERVICES REQUIREMENTS' p Q8I as owner of the property or my employees with wages as their soleM 1pensation, will do the work,and the structure is not intended or offered nate /)/Reinspection Fee I $15 Issue Foe $ 3 Zoning Approved By M /(og for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES ! Building Approved ByDate / License Law does not apply to an owner of a property who builds or Improves d)` 9 141 r`'d thereon, and who does such work himself/herself or through his or her own Hood or Type I 0 Application Issued By Icy Date employees, provided that such Improvements are not intended or offered for Boiler sale. If, however, the building or improvement Is sold within one year of tom- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground , �•�O • 5--0rove for the purpose of sale). BUILDING PERMIT $ SMIP $ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK �� •3S PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon.and who contracts for such orolect5 with a r-on- • tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ 0 I 4erthati mpt under Section a d P.C.for t),•,, eason Firepl/Fact.Blt. ICBO# Fire Dampers Ser MICROFILM $ /� ., % PLAN CHECK 50% $ Date owner _Saar Heating System& Ducting Registers MECHANICAL $ 3�, gS t I hehave read th applicatio .nd state that the above ❑0.100,000 BTU 0100,00067E .. . TOTAL FEE $ Information Is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction,and hereby authorize repro- - sentatives Of -o enter up• the above-mentioned¢proper for or Signature moi•i Date/ Reinspection Fee $15' • Issue Fee $ 3 Drivers' Lic nse or SS •_ � • 01 00014620-00014622 TOT 31.85 0865-46,rev.5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 09/16/88 -TINE: 15:18 CONSTRUCTION AND PLANNING I. Pt &SPA APPROVALS f Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole / _ ' 52. Pool & Equipment Location / : , • 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement ,r 3.'Electrical Conduit Utility-Undrgrnd. 54. Forms 4-:Electrical Conduit-Undrgrnd. .. 55. Electrical Bonding , 5.•Steel Reinforcement'" 56. Rough Plumbing & Pressure Test 6., ElectricalUFER;Grnd>. l ' '1. 57. APPROVAL TO COVER-GUNITE f , ii T. Footings 58. Electrical Conduit-Undrgrnd. • ) 8.•Foundation ! - 59. Gas Pipe, E Undrgrnd.,Test i 9. Water. Pipe-Undrgrnd. A 60. Backwash Lines,P-Trap, E Undrgrnd. 10., Structural Floor System ' i ,, 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 1 • 15. Rough Electrical-Conduit 66. Solar System-Final (1(. Rough Electric Wiring 67. Fencing & Access Approval iU7t Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-I Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT • 20. Rough Factory Fireplace • APPROVALS Permit# _ _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating � 71. Product Piping 0 Gas E Oil 23/Gas Pipe.Rough &Test t 72. Underground Flush 24'. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro - 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical t 27. Frame nd Flashing 76. Dry Standpipe 28. Lathing}&/Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing • HEALTH DEPT. REQUIREMENT • 31. Plaster Brown Coat° 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: / 3/-fl c t VD Caen-- Si 34. Final Heating & Air Conditioning rt 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 • - r: •. 44. Landscape Irrigation 1,System J'v' 45. Sound Attwnyation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING S,.I� IJ_ 48. Snecial Requirements Completed 49. Electric Release to Edison . r i.• 50. Gas Release to Southern California Gas Co - � 51. CERTIFICATE OF OCCUPANCY -' t ' No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT T NO. TRACT NO. LOT NO. UNIT NO. Project Address 2_19/ CLDE.t.- Ade- j t 3527 . Applicant's Mailing Address va TYPE OF CONSTRUCTIO U NEW U ADD U ALTERATION ❑ REPAIR /7 7 F k'/UF,Pr hF�i�. ram/Vey-A" RI�L al� N �5� I/� ❑ CONVERSION DEMOLISH 0 OTH • A.P.# I Zone • Owner's Name / Pho :�g DESCRIPTION OF WORK/USE OF BLDG. O 0�ie Address /77 w`F/ '72/UFAr/O( m,P .t' 62 92-4-6-3 S Main Building: Accessory Building: E Arch/Eng. /V License No. TYPE OF PERMIT 0 GRADING U FOUNDATION - T O 0 STRUCTURAL Front Address - 0 TENANT 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL B Rear - N 1 �-s _ ❑OTHER . I Contractor's Nam 8 j Yhone PROJECT DESCRIPTION SQ. FT. . \ OCCUPANCY �� K Right - G Address(mailing) q p lf CONSTRUCTION TYPE - \) �J VALUATIONS 1 t•Q� S Left f R R City License No. O37.9 87 ZONE GRADING CU.YDS. ACRES Ping. Ref.# ' Parking Req./Provided Q LICENSED CONTRACTOR DECLARATION ' I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: -. Planning Notes: -4:t) M with section 7000) of a 3 of the Business and Professions Code, and T my license is in fullOce and effect. n Q��� License Class icense No .•c-7 - s - S' Date ��— Signal4. PLUMBING FEES WOR/ERS'COMPENSATIOND CLARATION ' • _ . I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar• Sink Showers ELECTRICAL ! FEES of Workers' Compensation Insurance,'-or-a certified copy thereof (Section - Backflow Preventer Service Sink - -3800, Lab. C.)o Automatic Washer. Transformer 0 15-50'KW Policy No.(p 7275 • Company '1A rF Fem:57) r Backflow Irrigation • % Sewer Cap . Construction Pole Sub. 0 50+KW Certified copy is hereby furnished. ...*:/. CerJ/tl ) Is flied with the ci Nein , ivision. �% Bathtubs Sewer Connection Cooking Unit Meter Dup to 100 amps • Date?/ (r0/(v/'�i(Q Applicant EXEM TI OM WORKERS'C MPENSATI DECLARATION Clarifiers _ s Solar Collectors Dishwasher Meter ❑Over 100 amps (This section need not be completed if the permit is for one hundred ($100)or less). Dishwasher ' - Solar Piping Dryers ❑Gas DElectric Sub:Panel ;',.•I certify that in the performance of the work forwhich Pig permit is issued, I shall not employ any person in any manner so:as to become subject to the • Drinking Fountains Solar Tank Fan Motors 00-1 HP ❑1%'S 'Workers' Compensation Laws of California. - - Date Signature Floor Drains Swimmin Pool w/S a NOTICE: If,after making this declaration, you should become subject to the g p F,A.U. Inc.Solar 0g-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures -- • comply with such •provisions or this permit shall be deemed revoked. Microwave . CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance ' Pole Light of the 'work for .which this permit Is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Range Lender's Name �/j - / _ Lender's Address E_ _ - Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATIOf• r I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories - Garbage Disposal 'Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap - any structure, prior to its issuance, also reqires the applicant for such permit Generator 08.5 KW ❑5-15 KW Trash Compactor to file a signed statement that ho/she Is licensed pursuant to the provisions of - Roof Drains - the Contractor's License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil - enalty o1 not more than five hundred dollays($500). I • I; as owner of the property or my employees with wages as their sole Reinspection Fee f $15 Issue Fee $ 3 mpensation, will do the work,and the structure Is not intended or offered 1 - -- _ —— Reinspection Fee I $15 Issue Fee • $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL ' FEES - License Law'does not apply to an owner of a property who builds or improves _ thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such Improvements are not Intended or offered for Boiler Hood or Type I 0 sale. 11, however, the building or improvement Is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date elation, the owner will have the burden of broving he/she did not build or im- Duct-Under Ground Building Approved By Date rove for the purpose of sale). C ^_ 0 1,45 owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By FYI Date — 'if tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU SU $Aili2F FEES A builds or Improves thereon,and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ ` SMIP $ proof of their Worker's Compensation Insurance should be provided to me. _ PLAN CHECK $ PERMIT . 0 I am exempt under Section B.&P.C.for this reason Firepl/Fact.Blt. ICBO# PLUMBING $ aISSUANCE $ Date earr.at Own-r -'1 1.r' Heating System& DuctingPLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have rea• this applic ion and state that the above 00-1 00,000 BTU 0100,000BT GRADING $ information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ and state laws relating to building construction, and hereby authorize repre- - MICROFILM $ sentative it to enter upo the above-mentioned proper for PLA N.CHECK 50% $ rs,. Signatureap / b MECHANICAL $ V ` Dat u TOTAL FEE $ Drivers' License _ Reinspection Fee I $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev.4/84 Pink-Accounting;Goldenrod -Assessor 01 00014398-00014400 TOT 33.50 lhTC! 0011[/DO TTNC• tn•On CONSTRUCTION AND PLANNING • POOL&SPA APPROVALS Permit# Date Inspector- APPROVALS 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 UF ER Grnd. 57. APPROVAL TO COVER-GUNITE _ • 7. Footirigs 58. Electrical Conduit-Undrgrnd. 8. Foundatidn 59. Gas Pipe, 0 Undrgrnd.,Test '9. Water Pipe-Undrgrnd.' 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System - 61. APPROVAL TO DECK • 11. Property Sewer Line & House Connection - 62. Backwash & Receptor-Final 12. Sewer Cap rp/(/n 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough'Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit ' - 66. Solar System-Final • 16.%Rough Electric Wiring 67. Fencing &'Access Approval 17.-.Rough Wiring Sign 68. APPROVED FOR PLASTERING • 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace • APPROVALS Permit# 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing • 73. Undergrnd.Storage Tank 0 Gas ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. 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. FINAL STRUCTURE & BUILDING /0//rJir 48. Special Requirements Completed • 49. Electric Release to Edison • . 50. Gas Release to Southern California Gas Co - _ °'i_i. 51. CERTIFICATE OF OCCUPANCY No Date Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. PE IT TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA CONSTRUCTION PERMIT ./t A.P.IP I Zone Pro ec'••ddress .-c7.5.-91/ 6 6"✓✓ ✓" �j �7 r •� / / ' S Main Building: Accessory Building: •Applicant's Mailing Addy s // ( ~/` r ,` 'ae.er Ce O4 TVPE OF CONSTRUCTION NEW U ADD U ALTERATION U REPAI R / (/ o ❑ CONVERSION 0 DEMOLISH 0 OTHER T Front J Q Owner's Name • �• _ �� Phon t�'rg p DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address r -fa. - / • ff 11 A I TYPE OF PERMIT U GRADING_.L OU NDATION U STRUCTURAL • C Right N Arch/Eng. License No. j� • K• Lett G Address Get'1-37/2- El TENANT ❑ ELECTRICAL PLUMBING 0 MECHANICAL $ ' R �,f ❑ -OTHER Ping. Ref.# ParkingRe /Provided E Contractor's Name �iQjva- Phone Req ./Provided (mailing) ��� PROJECT DESCRIPTION SQ. FT. OCCUPANCY M CONSTRUCTION TYPE VALUATIONS PlanningNotes: �y City License No. ZONE GRADING CU.YDS. ACRES S T. l LICEN ED CONTRACTOR DEC RATION �f ,[ I hereby irm that I am licensed under provisions of Charter 9(commencing Remarks:-g _ 3.5- j// with section 400) of Division 3 of the Busines nd Professions Code,and [! my license is in rte and effect. • ELECTRICAL FEES Li ens• I. LI •se No. ate- S Sig , Y. PLUMBING FEES Automatic Washer Transformer 0 15-50KW WORK RS'COMPEN ION-• - • R• ON Bar Sink Showers Construction Pole Sub. • 0 50+KW Toby affirm th. have a cor Ifiwte • consent o self-Insure or a certificate UONorkers'C Compensation Insurance, or • certified copy thereof (Section / Backflow Preventer Service Sink COO Cooking Unit Meter ❑up to 100 amps ucy No. Company / Backflow Irrigation Sewer Cap a �V 5- p Dishwasher Mister ❑over 100 amps Certified copy is hereby furnished.Company 4 led o• filed with t - o' - Bathtubs Sewer Connection Dryers ❑Gas ❑Electric Sub Panel A - _ a'O q.• i ./�. • _ Fan •Motors 00.1 HP ❑1''A-8 EXEM- I• '=AGM W• - -Si Cd if•MP • LAR dreg( Clarifiers Solar Collectors (This section pe'•- •e completed the permit• for one hundred(8100)or F.A.U. less). Dishwasher Solar Piping I, Inc.Solar 09.15 HP 016-15+ I certi hat in the per • • once of the w• or which this permit is issued I shall not �em oy nypr�perso n anrNr� si. �s to be o bie<t to the Drinking Fountains Solar Tank Fixtures r'..,. Microwave Dateae•� e / X55 a • . ---s Floor Drains Swimming Pool w/Spa Device Boxes ' Pole Light NOTICE:If,taking this declaration, you ould become subject to the ts Outle Workers' Compensation provisions of the La•or Code, you must forthwith Floor Sinks Urinal Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYSwitches Gas Service Outlets Water Closet Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00.5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law (Chapter 9(commencing with Section 7000)of Pion 3 of the Business and Professions Code) or that he/she is exempt Fee Reinspection efrom and the basis for the alleged exemption. Any violation of Section P $15 Issue Fee $ 3 1.5 by any applicant for a permit subjects the applicant to a civil a ally of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: aM I, as owner of the property Reinspection Fee I $15 — — Issue Fee $ 3 1`\-'\N\\`'_eempe s owne will do the work,and the structure is not intended or•offered Zoning Approved By Date for sale (Section Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date r_ License law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own �� Application Issued By Dat employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System tractors to construct the project (Section 7044,Business and Professions Code: PLAN CHECK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating • ❑0-100,000 BTU ❑100,000 BTU r''I PLUMBING $ / Yid ISSUANCE $ builds or improves thereon. and who contracts for such oroiect5 with a con- L tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ _ GRADING $ 0 I am exempt nder Section - - B.& P.C. •• this reason Firepl/Fact.Blt. ICBG# Fire Dampers MICROFILM $ i / PLAN CHECK 50% $ _ -7 7Js� Date .rs1`f Owner s S e'er Heating System& Ducting Registers MECHANICAL $ TOTAL FEE $ 7.D(J I here. tify that I have re.d this appli . ion .n• State that the above 00-1W,000 BTU 0100,000BTL iniormatio is correct. I agree to comply with all city and county ordinances _ PLAN CHECK 25% $ _ and state laws relating t• •uilding constr tion,and hereby authorize repre- sentatives of t �! •iter upo , above-mentioned prop-rty or Inspectl•s '. •o,,.a / Signature / ���� 03/09/89 TII1E: 11:45 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor COlS STRUCTION AND PLANNING r\ • POC SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1 ! 1.�Temporaty 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.Aeinforcement ,I 56. Rough Plumbing & Pressure Test I , - .6.1Electrical OF ER Grnd. - r 57. APPROVAL TO COVER-GUNITE � I 7. Footings " 58. Electrical Conduit-Undrgrnd. 1 '' 8.•Foun�lation • ' " I. -59. Gas Pipe, 0 Undrgrnd!,Test 9."Water Pipe-Undrgrnd. {r ' • • 60. Backwash Lines,P-Trap, 0 Undrgrnd. • 10. Structural Floor System ' '-; 61. APPROVAL TO DECK - 11. Property Sewer Line & House Connection i 62. Backwash & Receptor-Final • 12. Sewer Cap ',-di - ' 63. Heater& Vent-Final - ' 13. Roof Drains it .f 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final j 15. Rough Electrical-Conduit 66. Solar System-Final 1-67 Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING 18, Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19: Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT Rough Factory Fireplace /, APPROVALS Permit# 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 't r 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough&Test i 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas D"Oil 25. Roof Sheathing _ _74. Overhead Hydro _ 26. T-Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT • 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final r ` -_1 80. FOOD CERTIFICATE ISSUED 33. Final Electric r: .� Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 3//7!!X1 c-A? 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 3/04/ teD t _- 43. Backflow Irrigation W/7`8/ CV) -r - 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison v ,/ 50. Gas Release to Southern California Gas Co --.%'„ r 51. CERTIFICATE OF OCCUPANCY - No. Date `� Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. ��• ` PER NO. _ TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA_ Ca T1RUCTIp N PERMIT �,/M{'ttT C A.P.;W • Zone ;wet Address i18'e'• 'S-F- 'S 3J 71S S �� y - — I'7� (../k ,t.Qt cap TYPE OF CONSTRUCTION ITJ NEW U ADD ❑ ALTERATION U REPAIR S Main Building: Accessory Building: •Applicant's Mailing A dress E Z el\2 Bhl!-)`ti • 0 CONVERSION ❑ DEMOLISH 0 OTHER T Front O Owner's Name Co`7 e��S 6� �2 Phone �4�-' 3�1�- DESCRIPTION OF WORK/USE OF BLDG. ` B Rear N Address / f L'• 1 Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING SLI FOUNDATION U STRUCTURAL I K Right G Address t� ❑ TENANT ❑ ELECTRICAL IJ PLUMBING ❑ MECHANICAL $ Left R Contractor's Name 'HVfnvts Q\L4, 9 e Phone b"6-(I-cer ❑-OTHER I Ping. Ref.4 Parking Req./Provided E L7 Zo W h.� I RvG PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: M Address(mailing) 'tea �� CONSTRVCTION TYPE VALUATION City License No. '^^""�"�1 a=�•-�--sem"'" 3iZ' s+ ZONE �ly�(//��y///Gy//R//AA�/DING CU. DS. ACRES T LICENSED CONTRACTOR DECLARATION ��/'J���/��J�"--'_/fl^ I hereby affirm that) I am licensedion under provisionsBusnCharter (commencing Remarks: s{j7 .L/�� S 3D fi with section full of a 3 of the Business and Professions Code, and my license Is In full force and effect. ELECTRICAL FEES License Class 34- License No. \ Date 1 6-14-9-- Signature PLUMBING • FEES Automatic Washer Transformer 0 15-50 KW �S WORKERS' COMPENSATION DECLARATION 2.2-919Bar Sink • Showers Construction Pole Sub. 0 50+KW \� 1 hereby affirm that I have a certificate of consent to self-Insure or a certificate ❑u to 100 amps Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter pp d00, Lab. C p Co... b t^ ✓atf•' Difhwasher Meter ❑over 100 amps Policy No.0)4�X5'US-457,22,c, Company T iz'"�'0 Backflow Irrigation Sewer Cap �_ - I��y,-,ertified copy-is hereby furnished. •9{ „ /� Dryers ❑Gas '❑Electric Sub Panel CI Certifl op dad with the cit uildiior'cion. i Bathtubs / Sewer Connection l 1_ O� - Date / Applicant 'FanMotors❑0.1 HP ❑1 h-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred ($100)or, .A.U. Inc.Solar 09-15 HP ❑16-15� less). / Dishwasher Solar Piping (o-OD - I certify that in'the performance of the work for which this permit Is issued I Fixtures shall not employ any person in any manner so as'to become subject to the Drinking Fountains Solar Tank Microwave Workers' Compensation Laws of California- - Date ' - Signature �� Floor Drains Swimming Pool w/Spa - Device Boxes Pole Light NOTICE: If,after making this declaration,you shddld become subject to the Range r( Workers' Compensation provisions of the Labor:Code, you must forthwith Floor Sinks Urinal `i . . comply with such provisions-or this permit shall be deemed revoked. `J CONSTRUCTION LENDING AGENCY 3 Gas Service q Outlets 7 Water Closet an ) 00 Switches Sign 4 .;11,.. I hereby affirm that there is a construction lending agency for the performance u� Garbage Disposal StandingSections' of the work for which this permit is issued (Section 3097 Clv. C.) interceptors g Water Heater 62 CIO - Lender's Name .- ,- ' Lender's Address • - Kitchen Sink f Water Service ga) Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION • - I hereby affirm that I am exempt from the Contractor's License Law for the - Lavatories y Auto-Wash OD following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays . 1 any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9 (commencing with Section 7000) of '> _ Division 3 of the Business and Professions Code) or that he/she Is exempt Reinspection Fee J $15 Issue Fee $ 3 ierefrom and the basis for the alleged exemption. Any violation of Section -r )31.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). .• DEVELOPMENT SERVICES REQUIREMENTS: $ 3 0 I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee Zoning Approved By Date compensation, will do the work, and the structure is not Intended or-offered for sale (Section 7044, Business and Professional Code: The Contractor's - MECHANICAL FEES Building Approved ByDate License Law does not apply to an owner of a property who builds or improves _ ._ __ ____ - _ __--_. _ m -_ thereon, and who does such work himself/herself or through his or her own Boiler —• Hood or Type I 0 y� Application Issued By a Date /Q// 1 employees, provided that such improvements are not intended or offered for sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ 0 1, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: • The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING ISSUANCE $ builds or improves thereon. and who contracts for such projects with a con- - tractor(s) license pursuant to me Contractor's License Law). 1 am aware that Exhaust System 0 Multiple 0 System Repair/Alteration - PIgE1f�V&�yBq -ir •0 ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. - ELECTRICAL $ GRADING $ 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBO# Fire Dampers HeatingSystem& - RegistersPLAN CHECK 50% $ MICROFILM $ Date -' OwnerDucting y MECHANICAL $ I hereby certify that I have read this application and state that the above 00-1 00,000 BTU 0100,000 BT r TOTAL FEE $ information is correct. I agree to comply with all city and county ordinances _ PLAN CHECK 25% $ ga.& 0 and state'laws relating to building construction,and hereby authorize repre- sentatives of this c Ja enter upon the above-mentioned property for z' inspection sec /✓/. j6i v--e-p- Signature �� + Date • Drivers' License or SS Reinspection Fee $15 Issue Fee $ 3 ' 01 00017044-00017044 TOT 52,00 -- - RATE: 10/14/88 TIME: 09:05 •^ 0865-46,-rev. 5/B8 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor IN -^ it)NSTRUCTION AND PLANNING % .•.• ,,, POO WA `(APPROVALS Permit# Date_- Inspector APPROVALS Permit# _ Date ' Inspector i 1:-Temporary Electrical Service or Pole _ 52. Pool & Equipment Location i . 2. Soil Pipe-Undrgrnd. iiyilifil53. Steel Reinforcement - 3. Electrical Conduit Utility-Undrgrnd. - 54. Forms t, 1 ,4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding i 5: Steel.Reinforcement • i .,I 56. Rough Plumbing & Pressure-Test ) ,) } 6: Electrical UFERGrnd. ' 57. APPROVAL TO COVER-GUNITE 7,: Footings r f `i 58. Electrical Conduit-Undrgrnd. •• 8'. Foundation - � I+ - r 59. Gas Pipe, O Undrgrnd.,Test r, 9. Water Pipe-Undrgrntlr{ i of ec_ 60. Backwash Lines,P-Trap,0 Undrgrnd. 10. Structural Floor System �l 61. APPROVAL TO DECK 11. Property Sewer Line•& House Connection 04.7 Se, 62. Backwash & Receptor-Final I , w I 12. Sewer Cap • - ' 1. , ; 63. Heater & Vent-Final -' I i f!'u 13. Roof Drains ' ,t11}. ' 64. Plumbing System - Final 14. Rough Plumbing g y� CEO 65. Electrical-Final r 15. Rough Electrical-Conduit / 66. Solar System-Final • Solar, ' 16. Rough Electric Wiring i •67. Fencing & Access Approval (...17.(...17. Rough Wiring Sign 68. APPROVED FOR PLASTERING t118, Rough Electrical-T Bar Ceil`pg 69. POOL/SPA SYSTEMS FINAL 119. Rough Heating & Air Co`nditionin 9 ii{ 9 FIRE DEPT. REQUIREMENT I I . Rough Factory Fireplace aJ APPROVALS Permit# I 21. Ducts, in Structure friP I' 70. Underground Hydro 22. Ducts, Ventilating74,/,;, 71. Product Piping 0 Gas 0 Oil 23 Gas Pipe-Rough&Test g; �. ;72.,19nderground Flush -24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro /21 26. T-Bar Ceiling (Structural) &tonocoat 75. Dry Chemical ' 27. Frame and Flashing it} 76. Dry Standpipe 28. Lathing& Siding I/l) 77. FIXED SYSTEM FINAL 29. Insulation U ' 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT - 31. Plaster Brown Coat 79. FINAL INSPECTION - - - 32. Electrical Power Meter-Final - 8d. FOOD(CERTIFICATE ISSUED 33. Final Electric p , Notes:= ' 34. Final Heating & Air Conditioning - a 35. Final Gas Pipe-Test 2/Z61 L4f2) r 36. Hood or Canopy . ' - 5 37. Final Factory Fireplace ti 38. Final Plumbing q/17/fl LEO I 39. Water Service-Final ryry - I �> 40. Gas Service-Final { y 41. Solar Domestic-Final 42. Backflow Preventer i• � 11-; 1 43. Backflow Irrigation ......./ 1;- '-1 .-I 44. Landscape Irrigation System t 45. Sound Attenuation i 46. Handicap Regulations - ii 47. FINAL STRUCTURE & BUILDING ' 48. Snecial Requirements Completed I .49. Electric Release to Edison :�. ! ,�I'F-, 50. Gas Release to Southern California Gas Co _.- i,J L. 51. CERTIFICATE OF OCCUPANCY y; - ,fh "! No. Date - �,'.i �_7 .I I , I • I. , Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO. TRACT NO. LOT NO. UNIT NO, CITY OF COSTA M��E/g�SfA', II CONSTRUCTION PERMIT p �.�. . A.P.aW Zone Protect Address+ /��Y �L.L.GF.� s7 it cn js f t S Main Building: Accessory Building: Applicast's Maili❑❑❑������ddddress Viler) )AJ 1�IGL 7'W� TYPE OF CONSTRUCTION U NEW ❑ ADD LI ALTERATION U REPAIR E Z - V ❑ CONVERSION ❑ DEMOLISH 0 OTHER T Front 0 Owner's Name ire PhoneDESCRIPTION OF WORK/USE OF BLDG. ' A Rear N Address (7'� Iv fDG l^�- . TYPE OF PERMIT U GRADING ❑ FOUNDATION U STRUCTURAL I C Right N Arch/Eng. License No. K G Address • 0 TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL 1 s • Left , , ' �w'� (� ''JJ//'' CI R Contractor's Name F n1S�•� Pte . Phownejlram'I IYS Ping. Ref.# Parking Req./Provided E Address(mailing)_� fl (A)et%-1 r c' p` PROJECT DESCRIPTION SQ. FT. OCCUPANCY ' Planning Notes: Q p CONSTRUCTION TYPE VALUATION$ M City License No. i Z'T p ZONE GRADING CU.YDS. ACRES , T S. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: with section 7000) of Division 3 of the Business and Professions Code,and �' /— 10 ELECTRICAL FEES • my license is In full force and •ff-ct. '1 O •J v License Class W n ' Li e s4 No. U'Z�1PLUMBING FEES Automatic Washer Transformer 0 15-50 KW Dalt �• Signature - J L WORKERS'COMPENSATION DEC LA RAT ONBar Sink Showers • Construction Pole Sub. El50+ KW • - -ereby affirm that I have a certificate of consent to self-insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit - Meter Duo to 100 amps - -. W �� ,op, Lab. C.) Backflow Preventer Service Sink Policy No. � 7Q � company � Backflow Irrigation . Sewer Cap Dishwasher Meter Dover 100 amps �r ertitietl copy is hereby .furnisnetl. Dryers ❑Gas ❑Electric Sub Panel ) erSittled c y i tl with the city BuJWjnnO�Jvislon.`_^ Bathtubs Sewer Connection V Date 1 {- f4- Applicant (�(-'-y� VI - ( EXEMPTION FROM WORKERS'COMPENSATION DE LARATION Clarifiers Solar Collectors Fan Motors❑0.1 HP ❑1%-8 _ (This section need not be completed if the permit Is for one hundred ($100)or F,A.U. less). Dishwasher Solar Piping Inc.Solar ❑9.15 HP ❑1615+ I certify that in the performance of the work for which this permit Is Issued I Fixtures I shall not employ any person In any manner so as to become subject to the Drinking Fountains Solar Tank Microwave ` 0 WorKers' Compensation Laws of California. Date signature Floor Drains Swimming Pool w/Spa Device Boxes - Pole Light NOTICE:If,after making this declaration, you should become subject to the • WorKers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets -Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 Gas Service I Outlets Water Closet 2 co _ Switches Sign I hereby affirm that there is a construction lending agency for the performance _ - of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Water Service • Generator ❑0-5 KW ❑5.15 KW Trash Com ctor Lender's Address - Kitchen Sink Pa OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or - county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any,structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Dfaina the Contractor's License Law(Chapter 9 (commencing with Section 7000)of • psr&-vision 3 of the Business and Professions Code) or that ne/she is exempt Reinspection Fee $15 Issue Fee $ 3 p�.aefrom and the basis for the alleged exemption. Any violation of Section {L ;315 by any applicant for a permit subjects the applicant to a civil - nnalty of not more than five hundred dollars($500). I $ 3 DEVELOPMENT SERVICES REQUIREMENTS: ❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee compensation, will do the work, and the structure is not intended or.offered 1 Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By License Law does not apply to an owner of a property who builds or improvesDate (� thereon, and who does such work himself/herself or through his or her own ' Application Issued By ate ft/L7 s employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I CI sale, If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build Or im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ O I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU PLUMBING $ Jr,00 ISSUANCE $ builds or improves thereon. and who contracts for such protects with a con-tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. - ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers • MICROFILM $ -1 PLAN CHECK 50% $ Date Owner Heating System& Ducting Registers MECHANICAL $ V r Oa i hereby certify that I have read this application and state that the above DO-100,000 BTU 0100,000 BTL - TOTAL FEE $ information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction,and hereby authorize repre- sentatives of this ity to en upon the above-mentioned property for Inspection pure s. Signature Date ( I'lSs4 'S- 0 Drivers' License or SS Reinspection Fee $15 Issue Fee $ 3 01 00020094-00020094 TOT 5.00 DATE: 11/21/88 TIME: 12:27 0865-46,rev. 5/88 white - Building; Canary •Applicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNING POO SPA ' APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil PiperUndrgrnd. • - •; • 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd.' J54. Forms 4. Electrical.Conduit-Undrgrnd. '; 55. Electrical Bonding 5. Steel Reinforcement( 56. Rough Plumbing & Pressure Test • i 6. Electrical OF ER Grgd.;: 57. APPROVAL TO COVER-GUNITE 7. kootings; _ 58. Electrical Conduit-Undrgrnd. 8.rFoundation ; - I 59. Gas Pipe, O Undrgrnd., Test • 9. Water Pipe-Undrgrnd. ' ; 60. Backwash Lines, P-Trap, D Undrgrnd. • 10. Structural Floor System •• 'i 61. APPROVAL TO DECK 11. Property Sewer Line-& House Connection 62. Backwash & Receptor-Final 12. Sewer:Cap i • 63. Heater& Vent-Final 13. Roof Drains - 64. Plumbing System - Final 14. RougH Plumbing, 65. Electrical-Final • 15. Rough Electrical-Conduit - 66. Solar System-Final . 16.'Rough Electric Wiring 67. Fencing & Access Approval 17'.(Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditidninb FIRE DEPT. REQUIREMENT • 20. Rough Factory Fireplace APPROVALS Permit#- 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas .0 Oil • - 23. Gas Pipe-Rough &Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0Oil - 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical • 27. Frame and Flashing 76. Dry Standpipe • 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION '. 32. Electrical Power Meter-Final 80.E FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 11122/W Gr' 36. Hood or Canopy / 37. Final Factory Fireplace 38. Final Plumbing 1/074 - G 39. Water Service-Final l 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. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • CITY OF COSTA MESA -C AR UC ION PERMIT FIT NO. TRACT NO. LOT NO. UNIT NO. • Project Address.� TI'�/ [/ rte �• n 7g O • Applicant's Mailin ddress ' /7 7 " r i/e ��•7C UA' TYPE OF CONSTRUCTION NEW U ADD Li ALTERATION ❑ REPAIR - L� e � o Phone ,..4.--,97, ❑ CONVERSION ❑ DEMOLISH •❑ OTHER A.P.46 120ne• ` Owner's Name Q' iG l�✓ / 2. q/'jam DESCRIPTION OF WORK/USE OF BLDG. Address ,2-F ,(-LSATiVele 1 /416 /11, O - S Main Building: Accessory Building: Z Arch/Eng.- License No. TYPE OF PERMIT 0 GRADING LI FOUNDATION 0 STRUCTURAL ,. T Front - - Address • El TENANT 0 ELECTRICAL ❑ PLUMBING ? MECHANICAL B Rear •• N Convactor'S Nem /I1 'hon / ❑OTHER �! eS �'�•�✓ ' �� C Right _ •N • I Ei �G+ / ,.�(p ROJECT DESCRIPTION, SQ. FT, OCCUPANCY K .— - --- • G Address(mailing) ' '/ CONST RUCTION TYPE • VALUATIONS $ Left. R City License No. - ZONE 's GRADING CU.YDS. ACRES - LICENSED CONTRACTOR DECLARATION - �//•���) ate '�,�/// Ping. Ref.# • 1 Parking Req./Provided E I hereby.affirm that I am licensed under provisions of Charter 9(commencing Remarks:�[ �._.-�` '0 Com' Planning Notes: 0 with section 7000) of Division 3 of the Business and Professions Code, and (' •'].r,�'�-Jl -a/ M my license is in f I force and effect. • • • T Ocense C ass 2� icense No I •1• • S- DAe� -• 7 Sig• . -fie # PLUMBING I FEES i • OR ERS COMPENSATION 10,•/ CC— Bar Sink Showers ' , ELECTRICAL FEES hereby affirm that I have a ce ificate of consent to self-Insure dr a certificate , of Workers' Compensation _Insurance, or a certified copy thereof,-(Section - Backflow•Preventer - - - Service Sink 3800, Lab. C.) ' - - - - - Automatic Washer Transformer 0-15-50 KW' . , - . - Policy No. Company Backflow Irrigation - _,...:2Sewer Cap � Construction'Pole Sub. - 0 50+ KW 8 Certified copy is hereby furnished. Certified copy is filed with the city Building Division. Bathtubs t I Sewer Connection !' Cooking UnitMeter ❑up to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION • Clarifiers Solar Collectors Dishwasher;' Meter ❑over 100 amps . (This section need not be completed if the permit is for one hundred ($100) or less) - ' Dishwasher : Solar Piping ` Dryers ❑Gas ❑Electric Sub Panel 1 certify that in the performance of the work for which this permit is issued, I shall not employ •annyCperson in any manner so as to beco • subject to the Drinking Fountains Solar Tank •• / Fan - Motors❑41 HP ❑1%-8 Workers Cr p Tat I( Laws of 'asrr.r n , Date Sign. r• - �-- Floor Drains Swimming Pool w/Spa �n F.A.U. t/i I .Solar 09.15 HP 016-15+ NOTI It,a r a Ing this dee , Ou ould •ecome subject to the Workers' Compensation ipr provision of the Labor Code, you must forthwith th Floor Sinks - U - al - - - Fixtures - Microwave - - - -_ comply with such provisions or this permit shall be deemedrthwi revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet - Device Boxes • I hereby affirm that there is a construction lending agency for the performance - _ POIe Light of the work for which this per it is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Range Lender's Name ,/,!� Lender's Address ' /t!c% '6 . • Kitchen Sink ' Water Service - Switches, Sign OWNER BUILDER ECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories , .following reason (Section 7031.5 Business and•Professionat Code: Any city or Garbage Disposal Standing Sections county which requires a permit to construct,alter,improve,demolish Or repair P-Trap any structure, prior to its issuance, also requires the applicant for such permit Generator ❑0-5 KW❑5-15 KW Trash Compactor 'O file a signed statement-that he/she Is licensed pursuant to the provisions of Roof Drains - i he Contractor's License Law (Chapter 9 (commencing with Section 7000)of alvision 3 of the Business and Professions Code) or that he/she IS exempt , therefrom and the basis for the alleged exemption. Any violation of Section '- I -7031.5 Eby any applicant for a permit subjects the applicant to a civil - - aenalty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 _ Issue Fee, $ 3 , compensation, will do the work,and the structure is not intended or offered _- - Reinspection Fee f $15 Issue Fee $ 3 for sale (Section 7044. Business and Professional Code: The Contractor's , .MECHANICAL FEES License'Law does not apply to an owner of a property who builds or improves _ -_ thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler , Hood or Type I 0 i sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 • Zoning Approved By � Date pletion, the owner will have the burden of proving he/she did not build or im. Duct' Under Ground Building Approved By __�'/, Date rove for the purpose of sale), ��///. 7© t,,as'owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System t Application Issued By - f S/.f��.r.._ Oat: J �} tractors to construct the project (Section 7044,Business and Professions Code: - The Contractor's License Law does not apply to an owner of property who Duct-Ventilating fl�7., 3N/� 14100,000 BTU ❑100,000 BTU •31 --O • SUM` •RY OF FEES builds or improves thereon,arid who contracts for such projects with a con- tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation Insurance should be provided to me. �` //•• q PLAN CHECK $ PERMIT 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIL ICBG#4.5y/ L 00 PLUMBING $ ISSUANCE $ Date t Heating System& Ducting • PLAN CHECK 25% $ el 00028719-OOtENEBGY TCO$ 09 Sn I here y ce,ty that I haeamTsap77rteat on and state that the above 3 O0-100,000 BTU ❑100,000 BTU ELECTRICAL $ Wit.; US/411/89 GRADINGI3➢/rte$ information is correct. I agree torcomply with all city and county ordinances _ • 2.7 and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of this city to ante on t e b• • -mentioned pro•erty or - Q•-a Inspection purpose /_� MECHANICAL $ S Z' So Q G-'CS° Signature -'i J -- Accounting;Goldenrod -Assessor ' - 'l CONSTRUCTION AND PLANNING Pt. _ &SPA ' APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement + 37,'Electrical Conduit Utility-Undrgrnd. 54. Forms - 4_(.Electrical Conduit-Undrgrnd. - 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6!IElectrical UFER Grnd. - 57. APPROVAL TO COVER-GUNITE 7.%Footings 58. Electrical Conduit-Undrgrnd. .85Foundation 59. Gas Pipe, O Undrgrnd.,Test . 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 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 1 15. Rough Electrical-Conduit - 66. Solar System-Final • - 16. Rough Electric Wiring - 67. Fencing & Access Approval 17. 'Rough Wiring Sign, • - 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL • 19..Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace % APPROVALS Permit# 21. Ducts, in Structure I !), I 70. Underground Hydro 22. Ducts, Ventilating • ( , 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72:'Underground Flush 24. Roof Framing ., . .13. Undergrnd.Storage Tank O Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing T8: 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 Note's:.Note's:. - , 34. Final Heating& Air Conditioning 3/z9/1f �//f'. 35. Final Gas Pipe-Test ! 36. Hood or Canopy 37. Final Factory Fireplace //�e f�rj�� . 38. Final Plumbing • / - , 39. Water Service-Final 40. Gas Service-Final . 41. Solar Domestic-Final . / -- 42. -42. Backflow Preventer j 43. Backflow Irrigation - f' ' 44. ,Landscape Irrigation System • 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed . 49. Electric Release to Edison ' - ' 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY ' No Date , Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. TS 7 S Z 3 O .c CIT OF COSTA ME�$A 9CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. Propccf Address /XS CiL Dl6-4/ /91 t/6 E 3 00 at 4 f j is. a 1Applicanl's Mailin Ad/d�ress' - 22 7 W WLG.//V_S ae • s PE OF CONSTRUCTION L I NEW U ADD Li ALTERATION LI REPAIR ' / �J/NFj RR aw w Phone ❑ CONVERSION ❑ DEMOLISH ❑ OTHER - A.R.# Zone Owner's Name DESCRIPTION OF WORK/USE OF BLDG. Address S Main Building: U1 UB0es's& Buirding:T0T• • 14n, .7! TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL E Front UHIr_• 1 S/U71+LG 1111[= IDV} Z Arch/Eng. License No. T O Address ❑ TENANT El ELECTRICAL ❑ PLUMBING ❑ MECHANICAL BRear N AA Contractor's Name.8 /VCMI4 �'T R 0 ELhone63-3•T9O ❑ 'OTHER A -.��7]-��a� PROJECT DESCRIPTION SQ. FT._.J�?OQ• OCCUPANCY C Right N Address(mailin 1 922 W C-O L.L./NS oA4,,,c-FK _ G 9 +� ArO e7 9Z6L7, CONSTRUCTION TYPE VALUATION$ S Left R City License No. -7 T ZONE GRADING CU.YDS. ACRES - LICENSED CONTRACTOR DECLARATION Ping. R¢f.# • Parking Req•/Provided, E t1 hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: 3 Planning Notes: O with section 7000) of Division 3 of the Business and Professions Code, and B • M my license is In full force and effect. / 353 O'/ P e . ti •t.^Yi Li S License Class �.."��Ice�' -f �� 7 PLUMBING FEES 3D FEES �- Date ' Signature A � 1 / WORKERS'COMPENSATION DECLARATION f I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers ELECTRICAL FEES - of Workers' Compensation Insurance, or a certified copy thereof (Section - - ' �J Backf low Preventer Service Sink matte Washer Transformer 0 15.50 KW 3800, Lab. C.)esW C 68•�s y]4 - '�Ir11LA"/OS NS CO - 0 50+KW Policy No. ��f ompany Backflow Irrigation Sewer Cap Construction Pole Sub. 1fl Certified copy is hereby furnished. IO.Certti}f_letl c��S1py I �fd with the city Ildm Ivlsi Bathtubs Sewer Connection CookingUnit //,'� Meter ❑u to 100 amps Date </" A - -6'D Applicant 9 (•y� PP r N EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers . Solar Collectors . . - .- Dishwasher - - '`� Meter Dover 100 amps' - • (This section need not be completed if the permit is for one hundred ($100)or less). Dishwasher - Solar Piping Dryers OG ' lectric Sub Panel I certify that In the performance of the work for which this permit is issued,I • shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank ' Fan Motors 001 HP 01%-.8 Workers' Compensation Laws of California. _ Date Signature Floor Drains Swimming Pool w/Spa; F• .A.U. Inc.Solar❑9-15 HP 016.15+ 'NOTICE:If,after making this declaration, you should become subject to'the - - - /� /- Workers' Compensation provisions of the Labor Cotle, you must forthwith Floor Sinks Urinal /� Fixtures U Microwave �1 1` • comply with such provisions Or this permit shall be deemed revoked. - -- L i CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet ' Device Boxes Pole Light I hereby affirm that there is a construction lending agency for the performance q 9 • of the work for which this permit is issued (Section 3097 Clv. C.) Interceptors . Water Heater ' /r Outlets / Q Range 9 et Lender's Name Lender's Address - Kitchen Sink - Water Service ' . - /c Switches Sign 1 lb OWNER BUILDER DECLARATION ✓ I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash • Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or - • P ;Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap any structure, prior to its issuance, also requires the applicant for such permit Laundry Trays Generator ❑0.5 KW❑5.15 KW Trash Compactor to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains 1 the Contractor's License Law(Chapter 9(commencing with Section 7000)of • reo 3 of the Business and Professions Code) or t ha/she is exempt V therefrom and the basis for the alleged exemption. Any violation of Section fitthirtO7 y/ 7031.5 by any applicant for a permit subjects the applicant to a civil fi t r7 enalty of not more than five hundred dollars($500). ' - • LI I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee• $ 3 • compensation, will do the work, and the structure Is not Intended or offered - - Reinspection Fee • x$15 Issue Fee 4 is- for sato (Section 7044. Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves j thereon, and who does such work himself/herself or through his or her own _ DEVELOPMENT SERVICES REQUIREMENTS: employees, provides that such improvements aro not Intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement is sold within one year of com- . ' Canopy Type II 0 Zoning Approved By Date ;potion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground • Building Approved By DatO rove for the purpose of sale). I^p p� I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By 3., Date CC --estractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or improves thereon, and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware thatExhaust System 0 Multiple 0 System Repair/Alteration BUILDING.PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT 0 I am exempt under Section ' B.6 P.C.for this reason Firepl/Fact.BIL. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date Owner Heating System& Ducting Registers . PIAN CHECK 25% $ �j ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00.100,000 BTU 0100,000 BTL— ELECTRICAL $ ��Bit— GRADING $ . information Is correct, I agree to comply with all ity and county ordinances and state laws relating to buil•ing construct;.n///:nd hereby authorize repre- sentatives of his city to /I-r •on th arve-mentioned property'for I $ ' Inspection pu�j•nes• /` / Date //4'49' I l MECHANICAL $ TOTAL FEE $ !IVO1 Signature - ' • << .- _ • Reinspection Fee , $15 Issue Fee $ 3 PLAN CHECK 25% $ Drivers' License or SS* i_ . IIIIIMIa CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor , ��, 1 ' ' CONSTRUCTION AND PLANNING POOL &SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 15n 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. Elect "Cal -Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing • 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16: ;Rough Electric Wiring /2-9-930€44, 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18: Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19'. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20: Rough Factory Fireplace APPROVALS Permit# 21: Ducts, in Structure 70: Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough &Test 72..Underground Flush 24. Roof Framing '� 73. Undergrnd.Storage Tank O Gas ❑Oil 25. Roof Sheathing Ct '1 - 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing • 76. .Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED /�/- y/ VVV t 33. 'Final Electric 3/ Notes: 34. Final Heating& Air Conditioning ••y 35. Final Gas Pipe-Test - •"j�• n.� 36. Hood or Canopy 37. Final Factory Fireplace --• 38. Final Plumbing - t 39. Water Service-Final ' 40. Gas Service-Final r 41. Solar Domestic-Final 42. Backflow Preventer r 43. Backflow Irrigation I 44. Landscape Irrigation System 45. Sound Attenuation • 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed - 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY •-• --- • No. Date - Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO. TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESACCONSTR CTION PERMIT PZ q i2 Project Address g.Jy` •n 9 � ���� : 7 Applicant's Mailing Ad•rss ,� -L� • TYPE OF CONSTRUCTION LI NEW U ADD U ALTERATION LSREPAIR • mar. ( ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A,P•# Zone Owner's Name .g /�• Phone �J DESCRIPTION OF WORK/USE OF BLDG. -- - ' Address "�r 7-• rr ll S Main Building: Accessory Building: Arch/Eng. License No. TYPE OF,PERMIT ❑ GRADING�uNDATION LI STRUCTURAL E Front • O Address - / ��q�� ❑ OTHER111 T El ELECTRICAL PLUMBING CI MECHANICAL A Rear N Contractor's Nam i�J„/moi A ' 4 . J/L' • PhonS5 QCV - C Right - - - N AddIQ, L9 i2 f PROJECT DESCRIPTION SQ. FT. OCCUPANCY K G City Licensess e(mailing/ 0 •� / " x1s� CONSTRUCTION TYPE VALUATION$ _ S Left City License No. ,� ZONE -' GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION Ping. Ref.4 . Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: - Planning Notes: Q with section 7000) of Division 3 of the Business and Professions Code, and - M I e RECENFD JUL z 9 1997 T my license is in fu .f•,. and effect. , a. ef Licens Class /''I"/.cense ••-� - Date `a! air Signature / 1�L -"r ,� _ - • PLUMBING FEES ] - ORKERS'COMPENSATION DECLARATION Bar Sink - - Showers - 'ereby affirm that I have a certificate of consent to self-insure or a certificate - ELECTRICAL FEES bo .,f Workers' Compensation Insurance, or a certified co y thereof (Section Backflow Preventer Service Sink - 3800, Lab ^3 p,...7 �+ ��Lite/ Automatic Washer Transformer ❑ 15-50 KW to Policy No. l CompanyN r LBackflow Irrigation Sewer Ca ` 0 50+ KW _Certified copy is hereby furnished. - p Construction Pole Sub, ' .e-Ce, tl ff��q�s led with the city tli.''./n tT7v!j�'I ///j�/J/�� Bathtubs _ - Sewer Connection �ooking Unit Meter Duo to 100 amps EXEMPTION 6ROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps - (This section need not be completed if the permit is for one hundred ($100) or , less). Dishwasher Solar Piping • Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors❑0.1 ❑1h-8 Workers' Compensation Laws of California. � - Date Signature . Floor Drains : Swimming Pool w/Spa • F.A,U. - NOTICE: If,after making this declaration,you should become subject to the Inc.SO 9-15 HP,016-15+ • ' Workers' Compensation provisions of the Labor Code, you must forthwith - Floor Sinks i Urinal comply with such provisions or this permit shall be deemed revoked. Fixt Ures ' rowave CONSTRUCTION LENDING AGENCY Gas Service • Outlets Water Closet Device Boxes I hereby affirm that there is a Construction lending agency for the performance Pole Light of the work for which this permit is Issued (Section 3097 Civ. C.) • Interceptors ' I Water Heater OG Outlets Range Lender's Name Lender's Address Kitchen Sink - Water Service Switches - Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections county which requires a permit to Construct,alter,improve,demolish or repair any structure, prior to its issuance, also requires the applicant for such permit P—Trap Laundry Trays Generator'❑ KW ❑5-15 KW Trash Compactor to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains 1e Contractor's License Law (Chapter 9(commencing with Section 7000) of 'vision 3 of-the Business and Professions Code) or that he/she is exempt - nerefrom and the basis for the alleged exemption. Any violation of Section ' 7031.5 by any applicant for a permit subjects the applicant to a civil ' penalty of not more than five hundred dollars($500). - C I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered - Reinspection Fee • I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or Improves thereon, and who does such work himself/herself or through his or her own ,--, DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such Improvements are not Intended or offered for Boiler Hood or Type I , sale; If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 Zoning Approved By Date 4 /� pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground Building Approved By •L/LI Date Y7 prove for the purpose of sale). A /ll1 -U / ❑ I, as owner of the property, am exclusively contracting with licensed con- . Duct-Structural Refrigeration System Application Issued Byit. Date tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law.does not apply to an owner of property who Duct- Ventilating 00-100,000 BTU 01 , 00 BTU builds or improves thereon,and who contracts for such projects with a con- SUMMARY OF FEES tractors license pursuant to the Contractor's License Law). I am aware that •I Exhaust System 0 Multiple 0 System Repair teration . BUI LDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. _ PLAN CHECK '$• - PERMIT ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG 4 •Fire D pens PLUMBING $ .r• 0 0 ISSUANCE $ HeatingSystem PLAN CHECK 25% $ ENERGY P.C. $ Date - Owner y em& Ducting egisters 'I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100,000 _ ELECTRICAL GRADING- $ information is correct.'I agree to comply with all city and county ordinances - $ and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ - sentdtives of th city to enter poo t e above-mentioned. property or inspection pur•• s,/ �/ i - MECHANICAL $ ��i1.,,, Signature AEIIA / R ion Fee - I -$15 Issue Fee • $ 3 PLAN CHECK ,25%, $ CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION AND PLANNING POOL&SPA APPROVALS Permit# Date Inspector APPROVALS 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 UF ER Grnd, • 57. APPROVAL TO COVER=GUNITE 7. Footings - - 58. Electrical Conduit-Undrgrnd. 8. Foundatiori 59. Gas Pipe, 0 Undrgrnd.,TtesI 9. Water Pipe:Undrgrnd. r 60. Backwash Lines,P-Trap, Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK )`;ffi 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ,12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains • 64. Plumbing System - Final 14. Rough Plumbing - 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing - . 76. Dry Standpipe • 28. Lathing& Siding 77. FIXED SYSTEM FINAL • 29. Insulation ' 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 01 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: inky 7 -Cliv‘arice 45 pet 20.11 ul"t 34. Final Heating & Air Conditioning ' fKCQ Ae0g44F 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. FINAL STRUCTURE& BUILDING 48. Special Requirements Completed • 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date -Costa Mesa Building Department , APPLICATION FOR PERAIT + ill EAST 20th" /• t COSTA MESA, CALIFORNIAS TREET 689BUILDING 1 FOR APPLIC T 1 /IN FOR OFFICE USE ONLY Address �. . ' .�i�, L GYR� t No.i47 erinit,No.\ Date Issued Received by Date Rec' Costa Mesa, California d.` Nearest - I10—4•-•15-1( Cross St. Budding 2j S—q e L p A / Address f- .] �/ Owner /.� • 7 Costa Mesa, California Mail •/, , / Address h%7 • ' • Nearest r/ r/ City ( No.oC. &0/T.S Zone.9 c/ Plans I Type'' I Groupe Architect or Lic. /� .1 Engineer No. Approved -t by 9 Date l0 1/ Address C6RRECT�ONS City LIC. gy7y124., f�v�"�Contractor No. //i4/�AddressN- � Legal I Lot Description No. Block 1- Tract j� „µ-- D '71 (Attach Metes and �Tounds)� fi9_�O_� N/' t s. Size of Lot (f7f/ X.3 oI NNowonLot O Use of I No.of / I No. of 00127 1954 9 Existing Bldg. Familles/ Rooms IJ r Setback Line from / Rear Yard Center of Street 5Cd Side Yard DESCRIPTION OF WORK CITY OF COSTA MESA New IXI Alteration I I Addition I Repair I I Moving I I Demolish I ' BuildingNo.of / / Size 3 / Rooms .� Stories Exterior W Roof (1641/7C) / Covering �rnC� Covering �Q y�� APPROVALS Use of New Building ,� // Foundation Location Inspector IDate- ny� L�i� " r7 �d�� =�G � Forms.Materials, 11111t3�"6 -)...-co �•ylf� Under-Pinning Frame: Fire Stops, PI I Bracing,Bolts I hereby acknowledge that I have read this Application Lath. hit. 4 I and state that the above is correct and agree to comply L with all City Ordinances and State Laws regulating Lath. Ext. i'' building construction. / Plaster, Int. Signature of ay���,, � ,av ` i1 Permittee //1(I�'UiLL� („ .• I Plaster,Ext , 'p Authorized Agt. i Masonry Reinforced Valuation G, Permit Fee $ '.II 6V Plan Check $ y.�� Bond Beam $ N� / Total -2 / 11 Fee $ . 3 FINAL ' ?°`to-4 f -. •0 1: n a. \\\ . r ill ) 1'.. ' ' S , , Street ,t . , l': - -a_rr •i'• is t ;. f ! PLOTiPTAN - Show-location and distances from r. ' . ... _ property line and between buildings. - V - nil . :3-, -.ni; T3 I I R PAID COSTA MESA BUILDING-SAFETY DEPARTMENT FAY 26-71 X5;001092 ��*,r,:7P I^Q P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely '/ A { RECEIVED B DATE^ RECEIVED DATE ISSUEDI ' �/ ADDR SGZ .�Y / -- C�LQeJ.��-�i ray%7' J Z' -2h C '�1 7 '/ ADDRESS )l// 7 NO/ L I 4-cc /A A.P.NO. �/ -636 - PERp11j1/ !? OWNER ff��[[ MAIL BUILDING RES `/ L /e z At, Z ADDRESS "-Cr-n-1t ADDRESS /-...) Q ftY 2 U CITY � ' P-1 TEL.LI/la . S/c 8-66r TRACT 3 C' LOT /(S/ BLOCK ZQCONSTRUCTION / -'Sip / NEW ADD(ALTER REPAIR (MOVING OFMIII ISH - I- LENDER �% L� o__,..4 'y C�/'t d 03 J D BRANCH / J e J cn OWNER {--- I Q �U-1 Q W ADDRESS �/f/'�/ m J JJJ/// a -, `el VALVE,<, 7,4 m ARCHITECT //, TEL. 1/5F /((�9 "✓l/ 5 J Q OR ENGINEER >��/ L-C�S NQ 's _ V Q FIRE r W CC ADDRESS J ZONE TYPE GROUP" a W /L/� APPROVED / [`�� Ill CONTRACTOR,4TC/f-J "`/G/2 c---"C S BY �,�/ DATE(']�/ / J • Z C / { /,��/ / J cc ADDRESS 2_c 3 L �vCe✓/o.cT 4 , ✓er / Sayh�.( :f y W W ZONEce) NO.OF USE OF NE CITY � - NEO rKj% cif, " _ PLANS BVILDING"A W )_-O STATE �/�'r/ 9 7 t/ CITY YARDS APPROVED YARDS APPROVED cn CC LIC. NO. / / LIC. NO. MAIN BUILDING ACCESSORY BUILDING D O //'' (FROM C/LpSTTRRELET) [' SIZE OF LOT Ip 0 )C 3 'S I NOW ON LO S FRONT Gl',CAF?T.L(J an.—/-o'a-� FT. USE OF C U �� EXISTING BLDG/. �S R sIDE ��S FT. FT- I- SIZE OF E NEW BLDG. ( O/� /J ROOMS STORIES / L.SIDE NtS-FT. FT. C, Q EXTERIOR WALA ROOF /�'1�� ``1 / 0 V COVERING `,47.-ti LCC/ I COVERING' -P -'/�'�G C4 REAR cue&FT. N • FT. I J USE OF BUILDING AND WORK TO BE PERFORMEDDISTANCE BET. / BET.MAIN& 2 y MAIN BLDGS. S ACCESS. BLDGS. it ,S I isi ` AATE s,//6 c e A7frai /Tif FtYJCr C.U.P. W APPROVED RYRRVEp - , Q DATE (Q`"_ 7I isCO y1 V I hereby acknowledgeon I have read this applicationto and with CL-1--W1-7111-4-141411/44-1. A_`�. _• ./_ �V that the above information is correct and agree tcomply with 2`242-CA-0• (1-P40{ n �1..C3-i'IM1.O-r�V' �, CC all laws regulating building construction, and I shall not employ L- &i IA F any person in violation of the workman's compensation laws of CO the State of California. D G — I hereby certify that I am properly licensed as a contractor under // SQ. FT. ‘3.40/4.44.444, i �Qn2% d V yy^� the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATIO IS FOR 3" Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT F ONLY: em exempt from e provisions of the State of California Business VALUATION �' and Profession,e, ivision 3,Chapter 9. PERMIT FEE $ N Signature o �J"/ / ,-�/f 4 Q9 m Permittee USC r• $/3 PLAN CHECK $y0CC/• E Authorized Agent (/ u. TOTAL FEE $ -. tt .ti • 33118 Jun 14-71 f 00 503 Ti****56.00 COSTA MESA BUILDING-SAFETY DEPARTMENT -P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVED BY DATE RECEIVED DATE ISSUED BUILDING 2541-A Elden Avenue ADDRESS 5 PERMIT NO. OWNER L. Garcia A.P. NO. BUILDING MAIL ADDRESS 254141 Elden Avenue ADDRESS 5 ZTRACT 300 I LOT 78 BLOCK a W CITY NOL. z Q CONSTRUCTION 2 NEW W I ADD ALTER I REPAIR (MOVING r1FMN1 ISH O N LENDER am _ID BRANCH . J m --- OWNER L. Garcia CD J ADDRESS VALUE p,� ARCHITECT TEL. USE res w/laUndryn $ 13TW0.1• -j Q OR ENGINEER NO. 5u) FIRE w m ADDRESS ZONE TYPE V GROUP I&J o-W APPROVED J Z CONTRACTOR Atlas Builders BY DATE co :Ir ADDRESS 2432 Newport Blvd. LL w TEL. ZONE NO.OF USE OF NEW Z1 CITY Costa Mesa NO. PLANS BUILDING W O STATE CITY YARDS APPROVED YARDS APPROVED to m LIC. NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING 7O SIZE !NO.OF SLOGS. (FROMC/L STREET) OF LOT NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. R SIDE FT. FT. F- SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. VEXTERIOR WALL ROOF COVERING COVERING REAR FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& 0- MAIN SLOGS. ACCESS BLOCS. 0 residence with laundry C.U.P.YA APPROVED I— APPROVED N DATE Z 0 C-) I hereby acknowledge that I have read this application and state ✓ that the above information is correct and agree to comply with EC all laws regulating building construction, and I shall not employ I— any person in violation of the workman's compensation laws of fn the State of California. b zI hereby certify that I am properly licensed as a contractor under SQ. FT. o the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY; t< am exempt from the provisions of the State of California Business VALUATION and Professions Code,Division 3,Chapter 9. m PERMIT FEE $ 56.00 N D Signature of m Permittee $ 00 PLAN CHECK $ ---- E 0 Authorized Agentu. TOTAL FEE $ 56•� / 7 . . n21 12PAH)-UJtk4AtY MAY 26-71-- 01093 v 31..0 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely r!/ �J RECEI EDB DATE RECEIVEp DATE ISSUED 7 ADDRESS LJ 7/,0L— LD Z<l.//�`i f= 411 7 S —eZL^ 7/ f: ".I 9-/� OWNER /( . L 4,1 c, 4 A.P.N J/ / - oJo- l L PE✓�>J // / MAIL CT NG ADBUIDRIESS� .���1:3C-ACC,Q e- /(y'-t/(�1/• ADDRESS ��/ 0- 0 CITY C• if✓/ NOLLU 4 516-764,...- rp7 &- TRACT LOT. Q BLOCK z2 Q CONSTRUCTION S4±,c7, NEW -ADD ALTER REPAIR MOVING nFM01 ISH O N LENDER / Fc� Oma✓(J CC/ / 0- /� // JN - _i D BRANCH OWNER GQ (19.-C-(19.-C-�IC�f.. CO J ADDRESS /r^'�J /ad) VALUE //- //Q ARCHITECT TEL. USE ,w-, $/s/l7L"Tv J N OR ENGINEER NO. -- -� 41/ O Q FIRE .��/J-� �f �N/ WCL ADDRESS ZONE TYPE / _ GROUP O� `z Un o_W /� APPROVED J O CONTRACTOR 7`G-A-'S/ i�U/ L.D �//C>[eS. BY ti-2.) `�. DATEL��� �I • :i cc ADDRESS 2_ S/3Z .UC:4,jpo 7' IC 440 � rt: W W C r� ZO��(LJF l NO.OF USE OF NE n't ZI- CITY . PI/ NO�Yr,V+. r\ d� PLANS ,--- BUILDIN• / �/ !/ STATE > /' CITY YARDS APPROVED YARDS APPROVED in � CC LIC. NO. 1 ' / 7 el V LIC.NO. MAIN BUILDING ACCESSORY BUILDING D O - (FROM C/L STREET) SIZE , NO.OF BLDGS. /n� OF LOT G 0 X 3 a J j I NOW ON LOT Z FRONT Zt .S FT.Ree t (.5- FT. 43-4 USE OF N EXISTING BLDG. C,�S( I �'rf R.SIDE FT. /0 FT. Z NEW BLDG. /6/a CJ NO.OF es. / 9. 7 , I'•• ROOMS STORIES / L.SIDE ��F/�./SFT.'CC EXTERIOR ,� a / FT. F o COVERING A,�jw CC O COVROVERING AC/414frN(r LCt. " REAR ! .FT./9P�r, 6.�7 FT.4a2" z :I_ 1 USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& Q [-I1 MAIN BLDGS. ACCESS.BLDGS. / z Q d1 y \ VAR.# DATE W O ..J Cr✓G C 4'- /�-7t4 Cf 7 1 G4-0r C.U.P.#t- / ,C//� APPROVED I I COI— BY� V `r 'Q �Y7 DATE 6 `( \-1 111.1 o /'' 11 a UI hereby acknowledge that I have read this application and state d.----1ti_ clja-CD that the above information is correct and agree to comply withCir ..d all laws regulating building construction, and I shall not employ Q F .4-- O (�any person in violation of the workman's compensation laws of ✓✓)sr, C t (' CO the State of California. ///t�'� SI ZI hereby certify that I am properly licensed as a contractor under �/� SO. FT. `(/ the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDF/R/VALUATION IS FOR Chapter 9. and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISH A PERMIT FEE ONLY; am exempt from the provisions of the State of California Business VALUATION W and Profession ivision 3,Cater 9. to \3,C PERMIT FEE $ Signature of �) /v Permittee • ✓� $ PLAN CHECK $3/, .E 2 -�.e--�� Or ��. Authorized Agent f � LL 'TOTAL FEE $ • • _ 33119 AN 14.71cM$k00 504 es****62.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVED BY DATE RECEIVED DATE ISSUED .BUILDING ADDRESS 2541-B ''Elden Avenue PERMIT NO. OWNER L. Garcia A.P.NO. MAIL BUILDING ADDRESS ADDRESS 2541—B Elden Avenue ZTRACT 300 I LOT 78 BLOCK wui TEL. a U CITY NO. ' Z Z Q CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMO! ISH O co LENDER am A J DBRANCH . m OWNER L. Garcia a LU O3—I ADDRESS VALUE J Q ARCHITECT TEL. USE res w/det gar $ 15,400.00 OR ENGINEER NO. o I° FIRE WCC ADDRESS ZONE TYPE V GROUP I&J a w APPROVED LLIJ Z CONTRACTOR Atlas Builders - BY DATE m Z • J 2 ADDRESS 2432 Newport Blvd. W w TEL. ZONE INO.OF USE OF NEW ZF CITY Costa Mesa NO. PLANS BUILDING w- 0 STATE CITY YARDS APPROVED YARDS APPROVED (n cc LIC.NO. LIC.NO. MAIN BUILDING ACCESSORY BUILDING D 0 (FROM C/L STREET) ' SIZENO.OF BLOCS. OF LOT I NOW ON LOT FRONT FT. FT. USE OF EXISTING BLDG. R SLOE FT. FT. I-" SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. VEXTERIOR WALL ROOF COVERING COVERING REAR FT. FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& M a MAIN BLOCS. ACCESS.BLDGS. * DATE O residence with detached garage c P.# APPROVED — I-- • - APPROVED CO 11.__WY DATE Z O . UI hereby acknowledge that I hove read this application and state that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ I— any person in violation of the workman's compensation laws of CI) the State of ali Orn ia. m (9 Z I herebycertifythat I amSQ. FT. o properly licensed as a contractor under the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR i Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY; CC am exempt from the provisions of the State of California Business VALUATION and Professions Code,Division 3,Chapter 9. m PERMIT FEE $ 62•00 co D Signature of m Permittee $ 00 PLAN CHECK $ ---- E 0 Authorized Agent 62.00 u. ` TOTAL FEE $ a `• 3 ' 70 /.!AYa6-71�M��OO1094 0****29.00 COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 ' APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely _ RECEI D B DATE RECEIVED D T S UED / 2/ BUILDING 'L5[„ as•C EL'DSM AVE 6-7-- I^2) Oa • 11 ADDRESS /� r� r `- (7 PERMIT NO. OWNER L GIA Rat A / N / L�• A.P. 03 -'t// BUILDING -C- MAIL 544.s-,e ADDRESS,2 S-f/ a`W.42t- -.(pµ2^/ Z ADDRESS dUTEL. TRACT 3767 LOT-7e BLOCK Z CITY NO. )-- NEW ADD R REPAIR (MOVING DEMO/ISH Z Q N$TRUGtIDN ' 9T I ON LENDER FFD pR 'LONG �S�t'� I 7 ' J BRANCH J N OWNER OD J ADDRESS ,r ',�///�//L/1 VALUE -CO ARCHITECT TEL. USE *eta vv / "W✓✓ $/Va < OR ENGINEER NO. air U N Q FIRE w CC ADDRESS ZONE TYPE GROUP d w /� T'LAPPROVED W C\ 4).7 /�Z CONTRACTOR 4$ (3Ui I-vr/ttS BY DATE 6"' /-TT / C13 Z J cc ADDRESS 2-4 32- //ff frPOn-r 5t- c' ' 1242.4 ci.na w W TEL. ZONE NO.OF USE OF NEWCH(QJ--Ci4 ZH CITY Lr('J sn-n /"•at4 NO..545-94A 3� ��(PLANS BUILDIN�y.�1y�'Q" �j�,`,�,,(J w0 STATE 21^744 A CITY YARDS APPROVED YARDS APPROVED , to IL LIC. NO. '7 LIC.NO. MAIN BUILDING ACCESSORY BUILDING DO r (FROM C/L STREET)STJr SIZE OF LOT co jXJ 3o 5 INOW ON LNO.OF OS FRONT . FT. 1^ 9 FT.�J-r'.�(� USE OF EXISTING BLDG. ia.3 d`/G R SIDE -5 FT. 11 FT. H SIZE OF �olb Al NO.OF / ���� q Z NEW BLDG. ROOMS STORIES L.SIDE ilii• FT. / FT. EXTERIOR WALL 4` ROOF A'544- Su gLLSN y,/FT. / FT. 6-E REAR n'U COVERING J' [CoCOVERING ptGB d USE�D�F�BUILDING AN WOR KAO BE PE RF�Q RM�ED'/ ' DISTANCE BET. BET.MAIN& • J" Co a � �J r o�- Z,lW"^/�"`�^� MAIN BLDGS. ACCESS.BLDGS. / F+ Q VAR.# DATE Z O J / �/' C.U.P.# APPROVED e- / AppvtgyEV � DATE / I /l CU —BY W a Z ex,-,47 'O Co VI hereby acknowledge that I have read this application and state S Cj� 62 ee__. _ a D that the above information is correct and agree to comply with v'l ll�-B'R'�'.3 CCall laws regulating building construction, and I shall not employ 4- L4_, • .•.:.8 Qt Q 1- any person in violation of the workman's compensation laws of ..t CO the State of California. /4 V tId Z I herebycertifythat I am / 10 SO. FT. U properly licensed as a contractor under the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER ALUATION IS FOR Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: a am exempt from the visions of th State of California Business VALUATION ILI and Professions C Ivi on 3,Ch ter PERMIT FEE $ ^ Signature of de 3 Signaturepermittee $ es--o PLAN CHECK $� �rAuthorized Agent J�/��\ TOTAL FEE $ 33120 PAID )Uy 14-71c# cNOO 505 d****56 CO COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely RECEIVED BY DATE RECEIVED DATE ISSUED BUILDING 2511 — C Elden Avenue g -441- 7/ ADDRESS PERMIT NO. OWNER L. Garcia A.P.NO. BUILDINMAIL ADDRESS 211.1 u• C Elden Ave. Z ADDRESS - 5 W W TEL. TRACT 376 LOT 78 BLOCK 0-0 CITY NO. Z Q CONSTRUCTION NEW ADD ALTER REPAIR MOVING DEMGI LSH —I- LENDER dc' 1 J D BRANCH _i CO OWNER L. Garcia aJ ADDRESS VALUE J m ARCHITECT TEL. USERKKX res w/det gar $13,500.00 Q OR ENGINEER NO. A wFIRE Q ZONE TYPE V GROUP I&J t" ADDRESS O. I-171 APPROVED • ---I Z CONTRACTOR Atlas Ituilders BY DATE mZ JCCADDRESS 2432 Newport I vd. W W TEL. ZONE NO.OF USE OF NEW 0= CITY Costa Mesa Z NO. PLANS BUILDING — W O STATE CITY YARDS APPROVED YARDS APPROVED to Er LIC.NO. LIC. NO. MAIN BUILDING ACCESSORY BUILDING D O (FROM C/L STREET) SIZENO.OF BLDGS. OF LOT I NOW ON LOT FRONT FT. FT. - USE OF EXISTING BLDG. R,SIDE FT. FT. I— SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. UEXTERIOR WALL \ ROOF _ COVERING COVERING REAR FT. — FT. J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& d MAIN BLDGS. - •ACCESS. BLDGS. 13.0 ,Q VAR.# DATE 0 residence with detached garage C.U.P.# APPROVED ~ APPROVED N RY DATE Z 0 U I hereby acknowledge that I have read this application and state r that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ I— any person in violation of the workman's compensation laws of the State of California. b Z I hereby certify that I am properly licensed as a contractor under SQ. FT. 2 the State of California Business and Professions Code, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5 Chapter 9. and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0 cc am exempt from the provisions of the State of California Business VALUATION and Professions Code, Division 3,Chapter 9. PERMIT FEE $ . 56 00 N O Signature of m Permittee $ 00 PLAN CHECK $ E . O Authorized Agent 56.00 u. TOTAL FEE $ 33645 SEP ?2-7 E770U 660 d*•.*** r:o COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 APPLICATION FOR BUILDING PERMIT For Applicant to Fill in Completely //�� RECEIV ! BY D•TE RECEIVED ' DATE ISSUED BUILDING 2 54' LEt116N /V-V tl ij to _G/y -7 dr.---?1,-s_ - 7/ . ADDRESS /+ OWNER LOUIS GARCtA A.P. NO.//9-1•5✓c/ _ PFJ Te MAIL BUILDING 016-,,9 ��� Z . ADDRESS � `-' ADDRESS �L � /i[/v`e/ W W TEL. TRACTS O6 LOT 77 BLOCK G. U CITY NO. Z CONSTRUCTION NEW IAD• ALTER REPAIR MOVING DEMOI LSH 0I- LENDER '—� Ir 0. CO J D BRANCH , JOWNER . ,000/1/ CO J ADDRESS VALUE �� -0 ARCHITECT TEL. S_ A- // i/ t ..a._s $ _- N OR ENGINEER NO 1�- w U Q FIRE w cc ADDRESS ZONE TVP GROUP/ C). Ly /� APPROVED J Z CONTRACTOR TLn s/A�6 ut i.Af/tea /(,/J�� BY DATE ..J ADDRESS 24 3 2, - r•✓c'flo' . "S L- ,) W W TEL. ZO NO.Of USE OF NEW Vet CITY PLA • c, BUILDING ,rf t /b Z COSP7� tq tsn No. �S-x/443 -02 W 0 STATE z g q y CITY YARDS APPROVED YARDS APPROVED j O LIC. NO. LIC.NO. ��'S MAIN BUILDING ACCESSORY BUILDING SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT I NOW ON LOT FRONT T. FT USE OF EXISTING BLDG. • , T FT. I— SIZE OF NO.OF Z NEW BLDG. ROOMS STORIES L.SIDE FT. FT. VEXTERIOR WALL . ROOF _ COVERING COVERING REAR FT. FT. ` J USE OF BUILDING AND"WORKTO B PERFORMED- DISTANCE BET. BET.MAIN& a a y���.(/ //w---q+. a.... .-..........07, MAIN BLDGS. ACCESS. BLDGS. Q //JJ VAR.# DATE O QA Ai-- �[J C.U.P.# APPROVED •n/ 2 7 N . RAY ROVED/4144o DATE *,01/ -. / Z ill! 0 UI hereby acknowledge that I have read this application and state M that the above information is correct and agree to comply with CC all laws regulating building construction, and I shall not employ F,• any person in violation of the wprkman's compensation laws of In the State of California. to ZI hereby certify that I am properly licensed as a contractor under SD. FT. 6 the State of California Business and Professions Code, Divisicn 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR 5 Chapter 9, and that such licenses are in full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: 0 am exempt from ':9 •rovisions of the State of California Business Q and Professions ' Di 'sion 3, az a L r9. VALUATION �� n PERMIT FEE $ D Signature of // m Parmittee §/_� PLAN CHECK $ iciE Authorized Agent �/ ad u. TOTAL FEE $ SIA