The URL can be used to link to this page

Home My WebLink About3189 AIRWAY AVE - Building Permits(71a) 754-5273 • Fax (7i4) 75a-a856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA. CA 92626 PLUMBING PERMIT Job Address: 3189 AIRWAY AV Suite No A Vicinity: A Status: ISSUED Applied: t2/05I2007 Issued: 72/OSI2001 Parcel Nunmber: 42719414 _= - � - � � _ ISSUED BY: � r� . ..�i�l-%-_- _ �-- = /��/�� . .- . . - ,_-� �,\ Applicant RYAN, CRAIGi!=' ' _ � � ' � � - �� -,'/�' �;� / �� , _� A� Address: 17975 SKYPARK�CIR , � �, � , � � / �� = � i / � � � � V ' Phone:. 949-261 9400 � IRVINE CA� , " � - � Zip: 92614 �, � / �:�`�� „ �� `- �,i � , / '� i - �� Oviner. ��RYAN, CRAIG �. � �:`.. ��. i.' • �� . " � Address �17975SKYPARKCIR� �� -'�� V ��A( , ' ,' Phone: 949-261-9400 ��A,�A,-' � - � � � � � IRVINE,�CA Zip:� 92614 �,��`, ' �, r � , . � = - .- _ - - _� . . - , . . � �� _ . - �� ' ' �� _ � � � Contracror: �OWNER-BUILDER .,i�-" � .. �� ,� � " � , � Address: ; , i . , ;� � . � . . � '- � _ , , . � � � � . . / , � � , "� - �.� . - _ � _ Phone: � . �-� '�: // � . - _ . . / - � .' � . �' . . Zip: . . � ., � _-� . ' � , " " License: 0 A �� , . , � � � i -Arch / Eng : � � Address: � - . � - _ � � � � ' : �/1' � y �`1 'v r'r��'" ', � "` p, y�' \ ,_.,_� .' '.. " "'"" __1�I._ �..� ;�. � � - ' Phone: �` �� , �- �.� � _ ," � .�.n, . . � Iip: �_ .� � '- � . _- i, .. - -. License:- , - �� - _ ' / SCOPE OF PERMIT � � � � 1 WASH BASIN AND 1 TOILET. REF 801•01812. - - • . � , � FEE SUMMARY_, �� . %,,, � � ` � AMT QTY - � � � - AMT �� aTY = j�� . � AMT QTY ISSUE FEE�' ' - ` $23.50;-�� - i �-'� .-. " Caundry Tub I Washer " $0.00 �. �0�,: ' �" ?� r' Suriip"Pump . - ,' �50.00 0 Backflow irrigation 50.00 '-, �-0: Landscape Irrigation � • $0.00 0 � ..-Swiinming Pool ` % . / $0.00 0 Backflow Preventer� .- §0.00 � 0�.-; -P-Trep �� $0.00 0 � : 7rap Primei -, � ; $0.00 0 Bathtub A ` ' �-%$0.00 �, 0 � � �,_-, , Pressure Regulator $0.00 0 - �'UrinaP : !% % -' �� $0.00 0 Clarifer System �� 50.00 � 0 Process Piping (per 10 ft) $0.00 - 0� =, ; Vacuum Bikr BkOow(1-4) 50.00 0 Connecl (Ice,Soda,etc) �- $0.00 ;, 0 � � Receptors ' � _ - � . $0.00 0� . , Vacuum Brkr BkOow(5+) $0.00 0 Dental Units ' � '$0.00 ��. � 0- . � Septic Tank $0.00 � 0 � - �- Wash Basin '� , 89.80 1 Dishwasher '.50.00� 0� , Sewer Cap for Demo 50.00 -0-� �' �` ' Wash BasiaSet 50.00 0 Drain, Floor $0.00 � 0 � ' " Sewer'Connect � $0.00 � � 0 � �� Waste and'Vent System $0.00 0 Draiq Rainwater $0.00 �� -0 �.- - � �Sewer Private Line . $0.00 � 0 ' � �. Water Closet (Toilet) $9.80 1 Drain, Roof $0.00 �� 0� � � , _ Shower J , , . , $0.00 � � 0 � i' �Water Heater / vent $0.00 0 Drinking Fountain $0.00 0-' � Sink, bar $0.00 �0 �"- �.% Water Piping Qnst or Rep.) 50.00 0 Expansion Tank $0.00 0 � �Sink, commercial�- � � -- $0.00 � 0 �" � Water Re-pipe $0.00 0 Gas Earthquake Valve $0.00 0 Sink, Floor - -$0.00- 0 Water Service $0.00 0 Gas (1-4 outlets) $0.00 0 Sink, kitchen $0.00 0 Water Softener $0.00 0 Gas (Over 4 outlets) $0.00 0 Sink, service/mop $0.00 0 OTHER $0.00 Gas Repipe $0.00 0 Spa (private) $0.00 0 VIOLATION 543.10 Gas Service $0.00 0 Spa (public) $0.00 0 PLAN CHECK 50.00 Interceptors (Grease, Oil) $0.00 0 REINSPECTION 30.00 0 Interceptors (Sand Auto ) $0.00 0 TOTAL CALCULATED FEES: E86.20 COMMENTS I SPECIAL CONDITIONS NOTICE: The work authorized by this permit shail compy with all applicable handicap access requirements under Caiih regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire antl become void il work Is not commenced within 180 days, or il work Is for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be consltleretl legal, such work must comply with�� requlred inapections and finel epproval must be obtained. Failure to obtain insDections and flnal approval will result In the w FOR INSPECTIONS CALL: (714) 7545626 /� zeee�e �aroo� rtines and related ied or ebandoned Ne cotles, antl all of this permit. ' WORKERS'COMPENSAnON DECLARAnON: . 1 hereby ettirm under penelry of perjury one o1 the tollowing tleclaretions: ❑ I heve end wlll malntain e certilicate oi consent to selbinsure tor workers'. wmpensetlon, es pravided tor by settlon 3700 of tha Lebor Code, for Ne pedortnflnce oi ihe work for which Ihis permit is Issuetl. ❑ I have antl will maintaln workers' canpensatlon insurence, es requiretl �y section 3700 of Ne Lebor Code, for Ihe pertortnance of the work lor which tNs pertnit is IssueC. My workers' mmpensatlon Insurence carrier entl policy number ere: Cerrier: Policy Num�er: (This sectlon need not be comp/eletl i! Me permit is velued et ane huntlretl tlollere (S100J or less.) � I certiy ihat in Iho peAormance ol the work tor which this Dertnit is Issued, I ahall not employ eny person in eny manner so as to become subject to the warkers' compensation lews ol Calilamle, enA apree Ihet if I should become sub�ect to the workers' compensetion provislons ol Section 3700 0l the Lebor Cotle, I s�ell forthwith COmply wllh IhB90 D�a�i5i0n9. Applicent Slpnature: Dete: WARNINQ: FAILUPE TO SECURE WORKERS' COMPENSATION COVERApE IS UNUWFUL M1D SMALL $UBIECT AN EMPIOYER TO CRIMINAL PENALTE$ M1D GVIL FlNES UP TOONE HUNDRED T/IOUSAND DOUARE (5100,000�, IN ADDRION TO THE COST OF COMPENSATION, �AMAGES AS FROVIDE� FOR IN SECTION 3108 OF THE 1A00R COOE, INTEqEST, AND ATTORNEI"S FEES. LICENSED CONTRACTORS DECLARATION: I hareby eMirm that I em licensetl untler proWsions ol C�apter 9(commencing wi�h Secllon 7000) ol Divlslon 3 af Ihe Buslness and Prolesslons Cotle, and my licensa Is in full lorce end eflect. Llc. p , Class k Con�rettofs Slgnature: Da�e: CONSTRUCTION LENDING AGENCY: ❑ I hereby eHirm that Ihere is e construction lending egency tor the peAortnance of the work br w�ich tNs permit is issuetl. (Sec. 3097, Civll Code). Landefs Nama: LentleYs Atldress: SignaWre: � Date: OWNER•BUILDER DECLARATIONS: I here6y ettirm Ihet under penelry ot perjury Ihet I am El(EMPT FROM 7NE CON7RACTORS LICENSE LAW tor Ihe follawing reasan (Sec. 7031.5, Business end Pratessions Code: Any Gry or county which repuires e pertnit to consiruct, fllter, Imprwe, demolish, or repeir eny structure, prior to its issuance, elso requires the epplic�ant for such pertnil to file e slgnetl statement thet he or ahe Is Iicensed pursuent to the proNsions of the Cantrectors License Law (Chaptar 9(wmmencing with Sectlon 7000) of Division 3 oi Me Business end Prolesslons Code) or thet �e or she is ezempt t�erefrom end the besis tor the ellegetl ezemption. Any violation of Sectian 7031.5 by eny applicant tor e pertnil sub)ects the applicant to e civil penelry of noI more than five �undretl ddlers ($SOOjJ: -��I, es owner ol the properry, or my employeas with wages es their sole compensation, WILL DO TME WORK, antl Ihe structure is not intentletl or ottered tor sele (Sec. 7044, Business end Professions Coda: The Conirattors License Law dces not apply to en owner of properry who builds or improves ihereon, entl w�o does such work himseli or herseN or through his or her own employees, provl0ed �hat such improvements are nol intentletl or oHered lor sale. If, however, the huiltling or improvement is sold within one year of comple�ion, the owner-builtler will have the burtlen oi proNng that ha or sha did not build or improve for purpose oF sale.). ❑ I, as owner of the proparry, am EXCWSIVELV CONTRACTING WITH LICENSED CONTRACTORS to consimct the project (Sec. 7044, Buslness and Pmfessions Code: 7he contrectors License Law does not epply to an owner of pmpeny who bullds or improves ihereon, end who contracts for such projact with a comractor(s) license pursuant ro t e Comractors Li� nse Lews.). � ❑ I am exempt under s Business and Prolessions Code lor this reeson: SignaWre: � � '�� _ �,�Data� 7i �S� O .Owner ID vedfied by tln license. �� Yes ❑ No DriveCs�Licerne No. Eapires: 'd Vedficatian at Ownership by (typa ot document, I.e. - pmpery taz hlll or Aeed): �—��—� —� /-1 DIVISION OF INDUSTRIAL SAFETY PEqMR CERTIFICATION: ❑ I here6y certity that no excavetion tive (5) or more teet in depth into which a person is requlred to descend, will be made in wnnection wlih work authodzetl by thls partnit, and ihet no bullding structure, sceflolding, talsework, or demolition or dismaniling t�ereol, will be more than thirty-six (36) teet high. (C�ap. 32, Grp 2, Art 2, Sec. 341, Tltle B, Calliomia Atlministrative Cotle). ❑ As owner-builder, I will not employ enyone to tlo work which would require e permit from the Divlslan ol Industriel Selery, es noted above, unless such person hes e pertnit to do such work Irom the diNsion. Signature: Date: Division ol Industrial Safery Permit Number: CERTIFlCATE OF COMPLIANCE AND AUTTIOH¢ATON OF EHTHY: I certity untler penaly ot perjury that I have read this ap0�ication antl state that �he intortnation gWen is carrect. I egrae to compy wilh all s;g e lews entl ciry ordinances relating to buliding construclion, end euthonze representatives ot ihe Ciry ol Costa Masa to enter upon the �ebove-descn property tor inspe f n purposes. I egree not ro occupy or allow occupancy ot eny Euilding euthonzed by Ihis pertnity^ til tinel�inspecGon. _ /?�/�:�/o/ � Si a ure OI Legal Owner(s) �—Dete� AnNOr Authorizetl Appliwnt Date COOEI, INSPECTIONTYVE 1818 Fixed System Final Fire Praventlon 1268 Paol Spa Finel 200 Final Re-Roo1 201 Flnal BIocWRelelnlnp Well 202 Final Feaory Fire Plece 203 Finel Sipn � \ 204 Final Demolitim `� QAIE IIIIIDEIfi � COUE I INSPEC710N TYPE 206 Flnal Mechanical 20B Finel PlumDinp 210 Finel Electdcal 212 Flnal Fire Prevention 220 Final Planning Apprwal 222 Final Site 250 Finel BuildingiOcu�penry PAg QIIIIIlLS . ■ Y ._ CT� (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 MECHANICAL PERMIT Job Address: 3189 AIRWAY AV Suite No A Vicinity: Status: ISSUED Applied: 12/12/2001 Issued: 12172I2007 Parcel Number. 42719414 - . _ _ -_ - _. ISSUED BY: j � -%��.�iiG��c� i',-- �'�_ App�icanr. HEINSTRA, HOWARD�'�� - ' . �—� �� ' Address: 767 N MAIN S j � ��, �L � � � . , � , � � ,-�'�'�� _ � � /�� - / \ �,,�� Phone , 714-516 9970 � � � , � �� ORANGE.CA -`� 1 . � Zip 92868 � ' r ��\ � / / � `v \ . � i , �� A . _ _ � / . �.�VV . . - . . _- . � � Ai ��,�� Owner , RYAN, CRAIG � � ' � � �% . / ��v ��, � . � , ;� Address:�� 17975 SKYPARK CIR-;: � � ��` ;; � �� // � ��., � '� - �/i'� Phone: 949-267-9400 ��\�-�� " ` �` � _ � �� / �� - � IRVINE.CA�� Zip: 92674 ��:'��✓ ' �' i.- ' / ,, ��.��.� �t _� ` � � ��Contrador �� SELECT HEATING AND AIR CONDITIONING , � �� . �� - `�,� � � ; Address: 767 N MAIN ST _ � � � �� : �� ` . � - � �� . . /,. , �. '� � ,. � ' - ., ' ' P,hone � -(714) 516 8970 -' i _ � , � �- � � � � ORANGE. CA- � i � ; �. Zip � �92866 , � _ , � i �, , � � �. � � � � -, - _ � �. : - � .. � ' � � . . � �� \r . �� ` License: 445206 ; A �, � � �i -, : ' . � V � . �- � ' � � SCOPE OF PERMIT � � � � � ,� �� REF: B01-01812. MECHANICAL FOR TENANT IMPROVEMENT TO INCLUDE: REPAIR/ALTERATION . � � TOEXISiTINGHVAC,2VENTFANS,�� n� 'r,r,-+^�-� ��v v��; �,� �� . � . , � .r r_�, . � ;,� ,� . , , .�__.' _' :.1�_' _' ___'_. ' '__ '_ �' � . � �� - FEE SUMMARY , - � ' . �uantity ; '� � � ��, - ' - �uantiry, ISSUE FEE $23.50� - , � � �� ,� �RepaiUAlt'Absortition Unit �� -$Q00 � 0- . InsCFAU<100kBTU $0.00�.--0`=" , -- - -� Repair/,AltRetrigerationUnil r-' $0.00 0 , Inst�FAU >700 k BTU $0.00 "0 � � ' ` �Ventillation System �l . -$0.00 0 RepairlAlt Cooling/Heat $13.70 1 EvapoiativeCooler $0.00 0' Insi / Rep.�Recess-Wall Htr $0.00 0 CommercialJncinerator - i �' : $0.00� � 0 �', . Refrig�Sys �100 k BTU � $0.00 0 Domestic Incinerator �.'$0:00� � 0 '� Refrig Sys,>100 k BTU `� $Q00 0 Compressors / Absorption SVstems j,;',�� i; �.-� :,. Gas Piping., � i `�-� '� $Q00 0 _„ ��?r,'.,� '� �. � >,Up to 3 hp / 700 k BTU � / �' i � $0.00 - �0 � Fac[ory Fveplace- � �- �� $0 00 0 r , 3 To 15 hp / 500 k BTU i- i:� � $0.00 � 0-� Hood w/MecH�Exhaust �- � ��$0 00 0 -- � - 15 To 30 hp L1,000 k BTU !;j� � $0 00� .�0� . VAV Box � ��\ ' � _� �\ \$0 00„ ^ _0,, ,r- � ` 30 To 50 hpZ.1;750 k:BTU /�/ ' $0 00 i 0 Vent Fan / Single Duct ��$14.50 � 2` .� Over 50 hp / Over 1,750 BTU .� _ � 80:00 j� 0 Appliance �� !�j` �$0:00; 0 - Boilers , j ; � � Fire Dampers � -- ; $0:00� ;0.� - ' � - �Up to 3 hp %i i ; �� , - i�$0.00 0 Smoke Dampers \ ��- ' . $0.00 ' 0� � � � �3 To 15 hp � � - � 50.00 0 Inst or Relocate Appl Venh � � $0.00 0 � � � _ -75 to 30 hp � " � , � - ! $0.00 0 Air Handlers < 10000cfm �- �� $OAO�� , 0 -_ 30 to 50 hp - , �� ' �' �' $0.00 0 Air Handlers > 10000cfm�-��' � ;� $0.00� ; 0. _ � � - Over 50 hp.- . ' -' = � �" � $0.00 0 Floor Fumace $0.00 ( 0 � � / - � � , -Other Mechanical �Fee '" � � � � � Floor or Suspend Heater � �-$0.00_ 0�� '. ; � � � Investigation.Fee � � : -.7 �� $0.00 �� > � � �� Plan Check Fee - � , —" $0.00 - - . Reinspection Fee:�'� � � $0.00 ''�- . ,. _ - , „ . -r� � ' - ' - _ . _ _ TOTAL CALCULATED FEES 557.70 COMMENTS / SPECIAL CONDITIONS NOTICE:� The work authorized by this permit shall comply with all applicable handicap access requiremenis under Califomia statutes and related regulations. (Ord.�No. 9248, § 7, 72-27-92) EXPIRATION: 7his permit shall automatically expire and become void if work is not commenced within 1 BO days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order tor ihe work authorized under Ihis permit to be considered legal; such work must comply with all applicable codes, and all requlretl Inspectiona and final approval must be obtained. Failure to obtain inspections and final epproval will result in the expiralion of this pertnit. FOR INSPECTIONS CALL: (714) 7545626 246W8 (8�W) WORKERS' COMPENSATION DECLARA710N: I �ereby aHirtn untler penalty of perjury ane of the following declarations: ❑ I heve end will maintein a certificate oi wnsent to self-Insure tor warkers' compensetion, es praNded for by section 3700 0l the Lebor Code, for the pertarmance ot the wOrk t hich this pertnii is Issuatl. ve and will maintain workers' compensetion Insurence, fls required by section 3700 of Ihe Lebor Code, for ihe peAortnance ot Ne work lor which t�ls pertnit Is issued, My workers' compensatlon Insurence cerrler end policy number ara: Cerrier: S% ��'� Policy NumDer. ��'� "�I U^�T GD�%�Z7 (Thls sectian nee no com letee i/ the permlt /s valued at one hundretl dollars ($f 00) o� less.) ❑, I cetlity�ihat in the peAormance,�f Ihe workjOr which this permit i5 issued, I shell not employ eny person in any manner so es to become subject ro'the workers' compensallon lews of Celi or�(a, antl e� 4that If I should become subjea to t�e workers' compansation proWsions of SecOon 370Q0 0l the abor Code, I shell ionhwlth comply wlih Ihese provisi I n /' /7 y� ) AppllcaniSignature: Date: �L/ —L� � WARNINO: FAILURE TO SECU OFKEPS' MPENSATION CAVERAOE IS UNLAWFUL AND SHAl1 SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND GVIL FlNES UP TO ONE HUNDRED TFIOUSANDDOUARE(5100. �, ADDITI THECOSTOFCOMPENSATIIXJ,DAMAGES/SPRWIDEDFORINSECTION3�O60FTHEUBORCWE.IMEREST,ANDATTORNEI"SFEES. LICENSED CONTRACTORS DECLARATON: I hereby eNirm Ihat I am licensed under pro sions ot apter 9(wmmencing with Section 7000) ot DlNsion 3 of the Business end Professions Cotle, and my license is in full force end eMect. Lic. N / Clau N ComrecrorsSignaWre: �r .LL Date: � il 1 77' i i 'r�" �'"_7 CONSTRUCTION LENDING AGENCV: ❑ I hereby aHirm that there is a conslmclion lentling agency fo� ihe pedormance of ihe work for which ihis permit is issued. (Sec. 3097, Civil Code). Lentler's Name: Lender's Address: Signeture: OWNER-BUILDER DECLARATIONS: Date: �I hereby ettirtn that untler Denalry ot perjury that I em E%EMPT FROM THE CONTRAC70RS LICENSE LAW tor Ihe fdlowing reason (Sec. 7031.5, Business end Professions Coda: Any ciry or counry which requires a permit to consWct, alter, impmve, demolish, or repair any structure, prior ro its issuance, also requires t�e eppliwnt tor such pertnit to flle a slgned stetement that he or she is Iicensed pursuant to the provisions of the Contreclors LJcense Lew (Chapter 9(commencing wit� Section 7000) 01 Divislon 3 of the Business entl Protessions Cotle) or thet he ar she is exempt tharefrom antl the besls br the allegetl ezemption. Any violatlon of Section 7031.5 by eny applicant for e pertnit sublects Ihe apP��ent to a civil penalry of not more than tive hundred dollers ($500).): ' ❑ I, es owner ot Ihe pmperry, or my employees wlih weges es Iheir sole compensation, WILL 00 THE WORK, end Ihe structure Is not intentletl or ofteretl for sale (Sec. 7044, Business and Professions Code: The Contrectors License Law does not apply to an owner ot properry who builds or improves thereon, antl who tloes such work hlmself or �ereelf or through his or her own employaes, provided ihat such Improvements are not intentletl or otteretl lor sale. If, however, ihe builtling or improvement is sold within ono year of completion, ihe owner-builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ; ❑ I, es owner of the proDerry, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the Oro�ect (Sec. 7044, Business and Professlons CoOe: The conirectors Llcense Law does not epply to an owner of propetly who builtls or Improves thereon, end who crontracts for such project wlth a contrector(s) Ilcense pursuant to ihe Coniractors Licanse Lews.). ❑ I em exempt untler sec. SignaNre: Business antl Professions Code tor this reason: Owner ID venfied by dnvers license. ❑ Yes ❑ No Drivers License No. Vedlicatlon ot Ownershi0 by (rype of documeN, I.e. - proparry tez blll or tleea): DIVISION OF INDUSTRIAL SAFETY PERMR CERTFICATON: Date: Expires: ❑ I hereby certity that no excavation five (5) or more feet in tlepth into whlch e person is required to Aescend, will be metle In connectlon with work euthorized by Ihis pertnit, and that no building sWcture, scattolding, falsework, or demoliiion or tlismentling iheraot, will be more ihen thirly-six (36) feet high (Chap. 32, Gry 2, Ar12, Sec. 341, Ttle 8, Celifornia Adminisiretive Code). :� ❑ As owner-builder, I will not em0loy anyone to do work which would require e pertnit from the Division of Intlustriel Sefery. es notetl ebove, unless such person hes e pertnit to do such wark from the division. . Signeture: Date: DiviSion ot Induslnal Safery Permit Number: CERTIFlCATE OF COMPLIANCE ANO AIJIHORVATON OF EMRY: I certily under penelry of perjury that I have read this epplication and state that the infortnetion given is correct. I egrea to comply with all ;ete laws en0 clty ortlinances relating �o bulltling cons�ruc�ion, en0 authonze representetives of Ihe Ciry of Coste Mesa to enter upon Ihe above-described properry tor ins�tion purpos§s. I egree not lo occupy or ellow occupancy oi eny building authorized by this permi� until final inspedion. COOE �. INSiECTONTVVE 1678 Fixed System Final Fire Preventlon 7268 Pool Spe Final 200 Final Re-Roof 201 FIneI BIocWRetaining Well 202 Final Fectory Fire Place � , 203 Final Sign 200 Final Demolition �� -- � Z, (�eY Dat Q�j[ j�$ 4Qpf,j INSPECTIONTYPE _ 206 Finel Mechanical 20B Finel Plumbing 210 Final Elecincal 212 Final Fire Preventlon 220 Final Planning Apprrnal 222 250 Final Site Final 8uilding/Occupenry � ,-3o-oa (774) 754-5273 • Fax (774) 754-4856 • w�wi.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 ELECTRICAL PERMIT Job Address: Suite No Vicinity: Parcel Nunmber: 3189 AIRWAY AV A �r�`�:L�n Status: ISSUED Applied: 12/O5/2001 Issued: 12/05/2001 Applicant: RYAN, CRAIG ---- --- ISSUED Bv: ii�` Address: 17975 SKYPARK CI j � j 7/'��- � ��: �_-,�� J'- �__ �'� ` _ ` ,\ � ��- ' - �Phone:� 949-261•9400� � �� i /� � -'` � ' c- IRVINE CA,, :�" � %'� � �� , Zip:, 92614 �- � / i �� \ l�' /� ��\ � / �� , � �, %,i . l \. �i ��` �. „/�� i ' _- -. � ��. Owner/RYAN; CRAIG �` % - - — � � � ' � „ \ ��\� Addresr ;�7975 SKYPARK CIR . �� ;%='� �� \� i � �� >� �. � � ' - , � Phone: 949-267-9400 �' �\.>, A // / A��A�� j; , � A/ !'.�;;�,' ��;A� <� ,.�:/ � VA'�� IRVINE CA;�� Zip: 92614 � � � ( '� ' i �i � ��,-/" ��./� ,�`, i � � - / � i '^"` � � ��, ' .v . � �; i� `' \ �.,.� � � "> ; , < ,� � � ,Contractor,, / ;!� s 'y ' , '�;, �` ;-� �v'` A'ddress ii;, � � �""�./ � - ' ., ' � ti+ '�' � � � �` � i, ' - i �-� � � �fPho e �� . �� ` � ,�, I i -.., �,, � � �� ,. - ' . ��`, / ,� � � �, � l�:. . �� P - � ✓:lV �;�/� � ` �l�i � ��^� License. '� � � �;� ' \ � � � � �� ',-_ J � , ' . A', ` , � ^� �� \��' � r;i �- __�,�,,.,, SCOPE OFPERMIT� „� -.,;�,-' , �� 60 LIGHTS, 38 OUITLETS. A`4 SWITCHES�AND 1 BATHROOM!FAN.'�REF B07-0�7812. ... _ �,..://! 11.:._Jt._I 1,..:.1.._'_i � ' �� . � � FEE SUMMARY� " �'j' , . ��,r � ',^ -� Quantity__ __ _� `� '_ _ � ' � :� ' �" Quantity , � � . ''� \ISSUE FEE � ' " � $23.50 � �� — - -� -- .-`-- Temp DisfSystem /�Lighting %' $0.00 0 - ; ,� , � ' �� Temp, service test � , $0.00 Busway /100 ft,'� $0.00 0 '� �. : .. � . �. Res. s/c package �. $0.00 Standing Section .. $0.00 0 �� ' - � New Res (1-2 units). �, $0.00 0 Misc Electrical Equipment $0.00 0,' '� .. � � New�Res (3+units) , $0.00 0 Transformers up to 1 kva/kw ' $0.00 �0� . ' � � ! Pool / Spa '�, �- � , �,, , $0 00 0 _. . � -'_ . .up to 10 kva/kw , $0 00 j0 � � �� ! ' � _ .:.. . Lighting Fizts 1 ' ��, :� $51 20 60 � �' �� ::> . . up to 50 kva/kw $0.00,�;/ 0 �- � -� . Recept Outlets .� ��:$35 74 38 _',, ,.„ � ... ... up�to 100 kva/kw �$0.00 �j� 0 � / � !� Switches� �1�t , � �$15.40 14 .,,_ . ` ;�:.. � ..oven�100k,va/kw.. $0.00� 0- � � /� Non Res Appl�, � � $475� ,' - ^ 1`.�� " ., J - �' ' LOw Voltage Equiprri¢M� ' �'� . $0:00 0� ,, � � Res Appl ` ,�A � �j- $0.00�.�� 0 , � "�Low Volt Wiring System / Ckt ,`_ -$0.00,� � 0 /; ' Service to 200a�:�� , /� $0.00 �� 0 << , �� _ , Miscr'Conduit ; � ^' '$O.00�j �. 0 �. � i � Service to 1000a ., �� (j $0.00. � 0� ,� ' � , Misc Conductor " � � $0.00� i, 0 �� Service over 7000s�� - � � .� $0.00 �, � 0'�'- '"° , - � Circus ( gen or ride) �� ,'$0.00' � " 0�, Motors to 1 hp � ,, � � $0.00;' r. �,� = 0 � -� - �� Circus (mech_ride�oi lights)( -,1' ",$0.00` ; "0 ;/ Motors to 10hp � -_$0.00 ' �,' ,0-_' , � Christmas Tree Stand., , -$0.00. 'j� 0� Motors to SOhp � '= $0.00 � �� -" ,0 ��' � � � Fireworks Stand " • � ' ) `�$0.00'��0 Mo[ors to 100hp ��-$0.00��. " 0' � � � Olher Electncal Eee ;�$0.00 � Motors over 100hp $0:00 �� ; _ 0 �" � - � - � j, ' ' CommUnicati0ndmp5 $33.14�� 38`-- � �� Inves[igalionFee.- -",-$163.13 Sub panel to 200a $0.00 ��0'�'- �-�, - _ . Plan Check.Fee %'�� % $0.00 Pole Light Pkg $0.00 0 �' " - _ " -_ � Reinspection Fee ` $0.00 Sign Circuits $0.00 0 ' -� � �" . 7emp Pwr Pole $0.00 0 TOTAL CALCULATED FEES E326.26 Intermed Pole $0.00 0 COMMENTS / SPECIAL CONDITIONS NOTICE: The work authorized by this permit shall comply with all applicable handicap access iequi regulations. (Ord. No. 92-28, § 1, 1247-92) EXPIRATION: This permit shall automatically expire and become void if work Is not commenc �d within 1 for a period of 1 BO days. � / INSPECTIONS: In order for ihe work authorized under this permit to be considered legal, such worlc� required Inspectlona and final�approval must be obtained. Failure to obtain inspections and final appro� FOR INSPECTIONS CALL: (714) 7545626 Califomia statutes and related or if work is suspended or abandoned st comply with all applicable cotles, and all will result in the ezpiralion ot lhis pertnit. zaas-as �eroo� � WORKERS'COMPENSATIONDECLARATON: . . I hereby aftirm untlar penalty of perjury one ol the lollowing declarations:- � ❑ I have antl will maintain a cenificaie of Consent Io sell-Insure for workers' compensetlon, es providea tor Dy seclion 3700 of Ihe Lebor Cotle, for Ihe perlormence of Ihe work for whiCh IhiS permlt i5 i55ued. . ❑ I have end will maintain workers' cwnpensation insurance, es required by sectlon 3700 of ihe Lebor Cotle, for Ne peAortnance d the work for which this pertnit I5 luuetl. My workers' compensatlon Insurance carner end policy number era: Carrier.� Policy Numbec (7his section need not be romO�eled il the permit is veluetl et one huntlreC tlollers ($700) or /essJ ❑ I certify that in the pertormance of ihe work for which this permit is issued, I shall not employ any person in any menner so es to become subject to the workere' compensation laws ol Celifornla, end egrae Ihat It I s�oultl become subject to t�e workers' compen5etlon provl5ions oi Section 3700 of the Labor Code, I shall forthwith comply with Ihese provisions. Applicant Signature: Date: WARNING FAILURE TO SECURE WORKERS' CQNPENSNTION COVERAOE IS UNIAWFUL AND SHALL SUBIECT AN EMPLOVER TO CFIMINAL PENALTIES ANO GVIL FWES UP TOONE MUNORED T}IOUSAND �OIJ.ARE (5100,OW), IN AD�fTION TO TME COST OF COMPENSATION, DAN.AGES AS PROVIOED WR IN SECTION �OB OF THE UBOR COOE, INiERE$T, AND ATTORNEV'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby eKrm that I am licensed under provisions oi Chapter 9(commencing with Seclion 7000) oi Division 3 oi the Business end Pmte55lon5 Code, end my license Is ln full torce and eflecl Lia M Clau x Contrectors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby aftirm that there Is e construction lending agency for the peAortnanca of the work for which this permlt is issued. (Sec. 3097, Civil Coda). Lentlefs Neme: LendeYs Atltlress: SignaWre: � Date: OWNER-BUILDER DECLAHATIONS: I hereby eHirtn Ihet under penelry of perjury Ihat I am EXEMPT FROM THE CONTAACTORS LICENSE LAW for the tollowing reason (Sec. 7031.5, Business end Professions Cotle: My ciry or wunry which reQuires e permit to consiruct, alter, improve, demdish, or repair eny strucWre, prior to Its issuance, also reqNres tha epplicant tor such pertnit to file e signed stetemem ihat he or she Is licensetl pursuent to the pravisions of the Coniredors License Ww (Chapter 8(commencing with Sectlon 7000) ot Dlvision 3 of ihe Busineu end Profession5 Code) or Ihat he or sha is exempt therefrwn end the basis tor the ellegetl exemplion. Any videtion oi Section 7031.5 6y eny applicent for e pertnil subjecis t�e applicant to e civil penelry ol not more than five huntlreA tlollars ($500).): �_I� as owner ot the praperry, ar my emplayees with wages as their sole compensetion, WILL DO TTIE WORK. and the siructure Is not intended or oXered for sele (Sec. 70aa, Business and Protessions Code: The Coniractors License Law does not apply to an owner of properry who 6uiltls or improves Ihereon, entl who does such work himsetl or harselF or throu9h �is or her own employees, proWtled Ihat such imprwements are not intended or otfared tor sale. If, hawever, the builtling or Improvement is soltl wit�in one year ot wmpletion, tha owner-builtler will heve t�e burtlen oi proving ihel ha or she did not build or improve lor purpose ot sele.). ❑ I, as owner of the property, am EXCLUSIVELY LONTRACTING WITH LICENSED CONTRACTORS to construct tha project (Sec. 7044, Business end Profeuions Code: The wniretlor5 llranse Lew doe5 no� apply to en owner ol property who builtls or Improves thereon, antl who contracts for such pro�eCt with e conlrector(s) license pursuant to tha �',pnirectors License Laws.). ❑ I am exe r s 7�� Business entl Professions Code for ihis reason: Sign ta ure:� � bl�'� _ Owner ID v'f by drivers license. ��;Yes ❑ No 'Drivefs License No. ` Verilication af Ownership by (type ol documem, i.e. - property tax bill ar tleetl): DIVISION OF INDUSTRIAL SAFETY PERMR CERTIFICATION: ❑ I hereby certily that no excavation five (5) or mora teet in tlepth into which e pereon Is required to tlescenC, wlll ba ma0e In connection with work euthonzed by this permit, and Ihat no building sWcture, swttolding, falsework, or demolition or dismantling ihereof, will 6e more Ihen thirry-six (36) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle B, Califomia Atlministrative Cotle). ❑ As owner-builtler, I will not employ anyone to do wark which would requira e pertnit trom the Divisian of IndusMel Satery, es noted ebove, unless such person hes e permit to tlo such work irom Iha division. Signature: Date: Division ot Intlustrial Satery Pertnit Number: CERTIFlCATE Of COMPLJANCE AND AUfHORIZATON OF EMRV: I certify unOer penalry ot perjury thet I have read this epplication end state that the Infortnetion given is correct. I agree comply wlth all s' te laws end ciry ordinences rela�ing to bulltling construction, end euthodze represen�atives ot ihe City of Coste Mesa to eme� upon the ebove-described r rty for inspe on puqwses. I egree not to occupy or ellow occupancy of any building authonzed by this parmit u il finel/'�(spection. / ------- �2�G,S'/ O/ � ure Otiepel Owner(s). �oate And/OrAuthonzad Applicant CODE I, INSPECTIONTYVE , QAIE U�LS 161fi Fixed System Finel Fire Prevention 12fi6 200 201 202 203 Pool Spa Final Finel Re-Roof Flnal BIocWRetelning Wall Final Fectory Fire Plece Final Sign 204 Final Demolltion /\ _ COOE I INSPEC710N TYPE 206 Finel Mechanical 20B Finel PlumCing 210 Final ElectnCel 212 Final Fire Preventlon 220 Final Plenning Approval 222 Finel Site 250 Final Buildinq/Occupancy �g 2-��Z �� (714) 754-5273 • Faz (714) 754d856 • www.ci.costa-mesa.BUILDING PERMIT n FAIR DRIVE, COSTA MESA. CA 92626 Job Address: 3189 AIRWAY AV Suite: A Vicinity: UNITA Parcel Number: 42719414 / , Zonin9: Status: ISSUED Applied: 11/73/2001 Issued: 12/OS/2001 �� Applicant: LUSHBAUGH, WILLIAM ,_ ISSUEDeY: n/� Address: 20623 BUSINESS CENTER DR � � �- � " " _ �" -- - v - �/ii' "_, � - - _ .- _ � - •;�� ^ PHone: 949-251-1710 ` � � �.� � /%', !-- . , . _ c� IRVINE, CA�� %� / j�-- � � Zip:' 92612 ' - � . i%-/ `- j + 't ' , � , % i �� \\ \�\ Owner RYAN CRAIG � ; � ; � � ' � /I r� �./ �� Address 17975SKYPARK CIR "- -- - � - �t � - _ _ ,_ � /��, �%i / � � � � ; - Phone. 949-261 9400�-� ' V �� , �� i / � /% ' j IRVINE CA , Zip: 92614 �. � , / �A� A ` �. � � Con[ractor �OWNER BUILDER � `�� ,�� -` � / � - Address: � ' �C . / . � � ; �-�./ �� ; � ,� Phone:s� ��-` .. . � a', / . . �,, . �. A ' . .� � . ' ,�'.� � � � ' Zip � /,�� - : License : 0 ' - �> � - �� , v / �� i-. -� , •�o , � � �1� �� , '� 1 � i� Arch:-:� VVILLIHNI LUJ11[SHUI�Yi HKl:tll I tli�� AtldressT- � 2067BUSINESSCENTER�DR� � _ ' "�� , � , STE 140 =:' . , ��,� Phone:-- 9A9-584-2166 �� IRVINE, CA � `�. - _ ��Zip: 92612 , � / License: C24867 i , ` SCOPE( ` ' � , ;; �?-ti� —c-i %`. `Y ,/"_• - , � - TENANT IMPROVEMENT TO CREATE.NEW OF`FICES; ADDING APPROX 5661 SQ. FT. � - � � - � . A � Plan Check: Permit: SMIP Res: SMIP Corri: Other: dnspection:-' � ', , ��`TotaL•' , : $71.86 $442.25 $0.00 $6.18 $442.25 $0.00 �V� . �, Eng Addr'ess ;: � •_ - ' \ �,� � � ;, . �. V '�\� .�,i/` Phone� , -", � i � 1.,, � % � �� . � � �License: � �� , ��, \ KMI I." y;- ' � . - � r'�; � SIBLE MEN'S RESTROOM, NEW T-BAR CEILING. � _ �` �� ^ �FEESUMMARY_.%�- - � _— -_ _ �.� ; . . .._ . � -- '/, Calc Valuation: 32s,aeo.00 Claim Valuation: , ' S29,aso.00 ;r _. . '. - � - / i ' � � � , . , - _ "i� � � � '�� ` > PLF .. SETBACKS � , �� _ . >�, MAINSTRUCTURE Front -0-0 ' .� . Rear--.: 0-0 � � � i� ACCESSORY Front��-0=0 �� ' � Resr 0.�0 • . PARKING Ezistina: � o Reauired: � .0 "� NOTES: � --`�: - , left 0- 0 Left 0. 0 � � �� Pronosed: 0' ,. . _. � ,i. -. : ; i, � , " ', j Right` , �0= 0 � � ,��'/ � . Right - 0- 0'- % / r NOTICE: The work authorized by this peimit shall comply with all applicable handicap access requirements under Ca regulations. (Ord. No. 92•28, § 1, 12-21•92) EXPIRATION: This permit shall automatically ezpire and become void if work is not commenced within 180 days, or if work for a period ol 180 days. INSPECTIONS: In order for the work authonzed under �his permit to be considered legal, such work must comply witMi requlred Inepeetiona end final approval must be obtained. Failure to obtain inspections and final approval will result in the FOR INSPECTIONS CALL: (714) 7545626 _y , � I zaaaae �aroo� %, and related orabandoned ill applicable codes, and all expiratlan of this pertnit. WOHKERS'COMPENSAnON DECLARAnON: ' I hereby aMirm under penelry of perjury one of ihe following tleclarations: � . " � ❑'� I hava antl will maintain e cetlificate ot consent to self-Insure for workers' compensation, es provided for by section 3700 of the Lebor Code, for the pertortnance of ihe. v�prk for why;h Ihis pertnit is issuetl. ❑ I have ana will maintain workers' compensation insurance, as required by section 3700 of the Labor Cotle, for the pedormance of the work for which this pertnit is issued. My workers' compensation Insurence cerner antl policy number are: Carner: Policy Number: (This secfion need nof be completed il the permit is veluetl et one hundred dollers ($100) or less.) ❑ I certify that in the pertortnance oi ihe work for which this pertnit is issue0, I shall not employ eny person in any manner so as to become subject to ihe workers' compansetlon laws oi California, and agrae Ihat If I shoultl become subject to the worker5' compensation provisions ot SeCtlon 3700 ot the Labor Code, I shall forthwith comply with these provisions. Applicam SigneWra: Date: WARNING FAILURE TO SECURE WORKERS' CAMPENSATION CAVERAGE IS UNL4WFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENlLLTIES AND CNIL FINES UP TOONE HUNDRED THOUSAND OOLLARE ($100,000), IN ADOITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIOED FOR IN SECTION 3�06 OF THE IABOR COOE, INTEREST, AND ATTORNE'fS FEES. LICENSED CONTHACTORS DECLARATION: I hereby aNirtn that I am licensetl under provisions of Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force entl eHect. Lia N Class % Contrector's SignaNre: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby efFirtn that there is a wnsimction lending agency for the pedormance of the work for which this permit is issued. (Sec. 3097, Civil Cotla). Lender's Neme: Lender's Adtlress: Signature: � Date: OWNER•BUILDER OECLARATIONS: I hereby aHirtn thet untler penalty of perjury thet I am EXEMPT FROM THE CONTRAC70RS LICENSE LAW for ihe following reason (Sec. 7W 1.5, Business and Profeuions Code: Any ciry or counry which requires e permit to consWct, alter, improve, tlemolish, or repair any strucmre, pnor to its issuance, also requires Ihe epplicant for such permit to file a signed statement that he or she is Ilcensea pursuant b the provisions of �he Conirectors License Law (Chapter 9(commencing with Sectlon 7000) of Division 3 of the Business end Professions Code) or that he or she is exempt theretrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicent tor a permit subjecls Ihe applicent to e civil penalry of not more ihan tive hundred doliars ($500).): •0' 1, as owner of Ihe pmperty, or my employees with wages as their sole compensation, WILI DO T}1E WORK, and the s[ructure is not intentletl or o%eretl tor sale (Sec. / 7044, Business and Professions Code: The Contractors Licensa Law does not epply to an owner oi property who builds or improves thereon, and who tloes such work himselt or herself or through his or her own employees, Provided that such impmvements ere not intendea or o8ered tor sale. If, however, �he building or improvement is soltl within ona year of complation, the owner-builder will have ihe burden of proving that he or she did not build or improve for puryosa of sale.). ❑ I, as owner ot the properry, em E%CLUSIVELV CONTRACTNG WITH LICENSED CONTRACTORS to construcl Ihe project (Sac. 7044, Business end Professions Code: The wntractors License Law tloes not epply to en owner of property who builtls or Improves ihereon, end who contracts for such pro�ect with a contractor(s) license puFsuam to the �ntractors license Laws.). , I❑ I am exem�{(y�n�,�se�/� Business and Professions Code for Ihis reason: SiqnaNre: i �-W /� � �� Owner ID " bydnver's license. GD'�Y,es ❑ No Drivers;Licensevo. �` Venfication of Ownership by (rype oi dwument, i.e. - pmpeny taz bill or tleetl): `p �es: OIVISION OF INDUSTRIAL SAFETV PERMIT CERTIFICATION: ❑ I hereby certity that no excavetion tive (5) or more teet in tlepth into which e person is requiretl to tlescend, will be matle in connection with work authorized by ihis pertnit, and that no building stmcture, scaHolding, falsework, or demolition or dismantling thereof, will be more Ihan ihitly-six (36) feet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Tile 8, Calitornla Administrative Cotle). ❑ As owner-builder, I will not employ anyone to tlo work which woultl require e pertnil irom ihe Division ot Industnal Sefery, as noted ebove, unless suc� person hes e pertnit ta do such work trom the division. , SignaWre: Date: Division of Industrial Safety Permit Number. CERTiFICA7E OF COMPLIANCE AND AllT}iORIZA710N OF ENfRY: I certify under penalty of Derjury that I have read Ihis application and state that ihe intortnation given is correct. I agr e to comply wi all stete lews end ciry ortlinances releting to builtling consiruction, and au�horize rapresematives of the City oF Coste Mesa to enter upon �he above-descri , roperry t i spection purposes. I agree not to occupy or allow occupency of any building authonzed by ihis permi� ntil fi I inspection. .,�jl—� % Z�.r � � �Signatuie Of.Cegal Ownerys) Date� And/Or Authorized Applicant Date ' �QOE I, INSPECTIONTYVE Pi�IE IIiIIIlE65 1676 Fixetl System Final Fire Prevention 7266 200 201 202 203 Pool Spe Final Finel Re-Roof Final Block/Retaining Wall Final Fectory Fira Place Finel Sign 204 Final Demolition COUE I INSPECTION T'PE 20fi Final Mechanical 208 Final Plum6ing 210 Final Eledncal 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 Final Building/Occupancy PAg 1N�EL5 �I � � eoonessa ew�axo: 3 1 6 9 AI RWAY AV owwea+ruueiva+an+: AIRPORT COMMERCE CENTER �oo�ss: SAME �. Y�nn+o �ooxEss u�cxrtca nx ermWc acx. on u+o.•s woxess: ucxo: UNT; caxrn,�cTarsru� SIGN TOPPERS INC ( 714 ) 458-1000 cam�crorrs�u�t+o 22552 MUZRLANDS ,�ss: LAKE FOREST CA uew: 636512 9 2 6 0 urr: UCENSED COMHA�aAS OECLAHATION: I Mmby ellim ivdx d perjury �IW 1 n IconseE under prwi�ipe d Chaqa 9 (canmanorq �m� Sx�ion ]OW) b�aion 3 d ihe Buaimn eiM P md na Code. erd Y�*nee 'n hll law erd ailep. cm uc. No.: 5 6 6 5 uc. cuss: C 4 5 �. 6 Deis: w ��ma OWNEH BUILOER ECLAN�TION: I henby dfirm wdx pauly d perlNrY �� eTe�nN ��^ �M rotlae liroiva law Iv pe lolbwip �esron (SM� ]W I.5 &»'vwsa eM Rdmbna Code: AMW a camty whiM iequi�es e pe ' o wnslriwY. ella. impove. demdeh, a npv e�Y %��. p'KK a v'seuance, deo npu'ves Ihe epplimM la mxh pemid m fib a' ewrront Mm M a ehe a lioeneed W�m'en� to �M pwieions d ths Caniredas Liwnu lew IChaqa 9(cammendM vN� Setlion )000) M Diveion 3 W Ib Buairwu erd Pro1eA� �I a�� a Ms b naamq thael�wn eM IM Emu In tM elbpad momqion. My vidalion d Saeion )091.5 Ey erry eppkteiu Iw a psrmtl wbjaes �M epqcpm to e tlW peneM1y M �w1 maa iMn (wa huMrW Edlen �SSoOp. ❑ I.mowmrdl�p�WMYamyempb/esswihwepssniheiobmmpenWbn.WlEothev.aM1.enENsevununemliMeMad a artaad ror ede (Swion )ou. Buvrou erd VMaaeiomCode: The Cam�aeas lama lew dow na noW loen ownertl qopariy wlp W1Ea a I�pa+e Ilwaan. end Wq dose tuCh rpk h'vnaeE a hMed a Waqh he a Iw own m�pb1M�. Pw'� Ntl tuch 'unpwemetla ere nal'upsMeE a d1aM la Ws. tl. howewr. iM W�Evp a inpwdneN u wid wuM ar Yev d wmplelon, ihe awmrbuilier rntl Aeve �M hNm d pari�q M a eM d'd ro� puiM a impova la �M Wryme d eele). ❑ 1. m owner d Ihe pcPoM• � eRdaiwly con�red�q v.ith IicenxE comreclws W caretrW IM qqx! (Seaon ]061, Buvineea eM Profudme Cada: TM CorNrepae licenn law Eoae no1 epp�y to an oxm W piopeity who EuiNe a impovw tMiaon uM wlw eanvens lor e� Wqa� � a mrYmtlor�e) ficemed pusuaN to IM Caureeae lioeiue lawl. ❑ I em eRemq Wder SxYian: B. b P.C.. br Mo �eeson: Dale: �� I do herebY �Y OW I em ewa d ad udrsunE Ns nV��mb d CeliaMe 4Melh eM Sdsy Code Setliom 25.505.?Sit3. ud 2551a, eiM Utl I a enY Mun Wikiiq omqem will / wil M(�b one) nead ro canpy wi� aeid Yela mdea end tM npucanaqa fw e peimn brmnmrucibn w moEifcelionhan IM Ak3ue ITyl.��egement DiqrkY. Raekenlial omairuaon eppiutum us uempl /mmiMae DroNeione. Dele: MV�� WO EN'S COMVEH3�ilp1 DK WiATON: I hwapy Nhm imCs psully d pxpry ons d IM faOOM"vy dedv�iom: i n� �a.a �m�. �urwme a oo�,..m �o..n;� iw.on,«: �w�+�o�..+w� �� M s.ao� a�oo a m. i.ew Cada. lar IM pe�twmerc,� ol tle wak la wNch ihie permn u usuad. � I hm vd wil �men worken' mmpemetnn imurv�m. n epuir�d by Setlbn 9)Op d tlr lebar Code. lur iM pMamenn d �he work Iw whic� ihu pamn ie iwued. MY ��s' ca^Ge��i^^ imurenca �anier eM pdiry numbx ere: c.m.,: 5TATE FUND EXPIRES Pdiry Number. 0 4/ 0 1/ 9 6 (%M1UNCIiYInlM/P�MmnplMed%IMFe+�luMnpM1lYWaiCOC1n iCV CYIW.J ❑ I mn ihel m pM�+ a iM wat ior xfiih ihe pemi! b I nq ury mww c n w wyjyf iM an Nwe d Celibmie en Wne ' I M aeiim P'ab ion JI00 d tM lebor Gade. I ehel ' h m h t Deb ' MW w•mnp: .uunro�w+�*'..•�mo«u•uonco.�.rap.�.unaww.md�lw�a�ehcr.n.mp�oyerroc wo.�.rou.�e e�v�r nnu w ro m. nurane rnou„ne ea�Ma ls�o0.uo�lA b�laon ro ars eo.� o� rompnwuon wmsw. u poHe.e ror �n S�etlon Jll6 0l tlN �rCOW. Irtteni4 �attormyY !wa CONSTIIUCiION L�dNO �OENCY: I hrab� elfim� unEw panMy d pei�ey ihm �hsa u e oonalrvCion WM'vp eperKy br ihe peAormerce d tM xaM la wl�itli Ihe pmmi b emroE (Seaion 308). Civ. C). 4ENDER'9 N11ME: �p�DEX'S ADOFE55: I nnM tMl I heve reed Ne WG�u�an aM qeu thtl IM eEaa'vdaemtlian e conw. l ePe^ to eamGN r.aA a0 W W oduaY ad'vwrea aiMe! �e,,la;,w,,,e�NtlMloWYdMca�mWnnendhseM'aWqi¢e�W��etneadiM1odiYbaNeruV�IMeba�a�meNiIXistlP�Wgb �«��7T� °�`°�MALCOM HALE \ i i (S151J6.WP) �+-��q b Selaty, Oresr�Fb: Gvury-AppfuN: Pmk-Re.enus:OdEsvo6�Neam -\ CITY OF COSTA MESA — S'IGN PERMIT \ PERM NO; SB 072845 PERMIT NO: SB 072845 PLAN CHECK NO: 0?.295-95 S GOVT: N SUPP: N CONSTRUCTION TYPE: PERMIT TYPE: STR SIG PURPOSE: OTA JOB DESCRIPTION : 36SF NONLUNtINATED MONUMEI3T SIGN SQ FT: 3i�1� �lp�`r CLAIM VALUE: 3,200.00 CALC—VALUE: 3,200.00 GROUP OCC: H-2 / � COMMENTS: "AIRPORT COMMERCE CENTER" MONUMENT SIGN �, � ` «��«�*�+�*��«��+��*�**��*��«��+r�r�***�«��+�*�*+��*��*P*�*�+��c�+�**iF"��* $ �*#� S I G N I N F O R M A T I O N DISTRSCT; 2 TYPE: GROUND ILLUMINATION: NON CATEGORY: NEW DIMENSIONS: 12FT OOIN X 3FT OOIN AREA; 36.00SQFT LETTER HT: 10 STREET FRONTAGE 1: 1037.00 STREET 1: RED HILL STREET FRONTAGE 2: 245.00 STREET 2; AIRPORT LOOP PARCEL: 42719401 ZONE: HLDG LOCATION > FRONT; X REAR: BUSINESS NAME: AIRPORT COMMERCE CENTER > LEFT: RIGHT: O T H E R T O T A L S G R O U N D S I G N THIS ACTIVITY . 1.005(aFT OVERALL AEIGHT: 3FT OIN THIS SITE . O.OISQFT GROUND CLEARANCE: OFT 6IN ITEMS OF INFO 1 PLANTER AREA: 72,OOSQFT ITEMS FOR ACTIVITY: 1 HLDG SET BACK: 20FT COPY VERBIAGE : AIAPORT COMMERCE CENTER PLANNING NOTES: HUSINESS COMPLEX ID. 12" ADDR ON HLDGS. ik if iE it 4 fE iE �k'lE if IE if iF ft iE jE 1E fE 1f i(� iFlE 1F i! iE 1E 1E if iE 1E iE iE 1E 1E IE if iE iE'If"N' iE 1F 1E 3E 1E 1E ii'Ik ik 1f' 1E 1E 1E 1F 1E 1E iE k iF iE 1E 1E if 1F iE 1E 1E ik it if 1E'k if iE iE 1E if 1E 1F D E V E L O P M E N T S E R V I �C pE S R E Q U I R E M E N T S ZONING APPRO��ED BY _ f�-fi-i� DATE; � l(i I�11 BUILDING APPROVED BY : IAPPLICATION ISSUED if i%iE iF iF iE iE 1k ik if 1E 1E if ii' iE i4'1h'1h iE LEGALIZATION:N BLDG PMT PERMIT 63.00 F E E S U M M A R Y PLUMHING ELECTRIC MECHANIC DATE: DATE; �Q �CO �� iFiE1E1FaFiEiEjElkitiF iFiF STRUCTURAL SEGMENT:Y SIGN SMIP/RES GRADZNG 36.00 PLAN 40.95 SMIP/NO�—RES ISSUE FEE ' BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS----> 99,67 0.00 40.95 140.62 140.62 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 140.62 OVER/SHORT; 00 BLDG PMT PLUMBING ELECTRIC MECHANIC SIGN SMIP/TOT GRADING PLAN—CHECK 63.00 36.00 .67 40.95 1E iF Ik 1k 1E 1E 1E iE iE k it iF iE iE iE 1E iF iF iE iE ik �E iF 1E if IF 1E it iE IE iE iE 1t 1t 1E k iE 1E iElE 1E iE iE 1E iE iE iF iF IE 1f iE iE 1E iE 1E iF k iE 1E 1E iE 1E iE 1E iE iE iE 1k k 1E fE i! iE 1E it iE iE fE �E I N D I V I D U A L F E E H R E A K D 0 W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST NO FEES WERE SELECTED FOR THIS PEAMIT PIR D� . . � ��,..�.n ' . ;✓�..YJ1? . � �v . _ n DAT�t C6,'iGi95' liPiE� .:, _ \ CONSTRUCTION ANO PLANNING , NOOL & SPA APPROVALS Permit # Date I�spector qppROVALS Permit # � Date inspector t. Temporary Electrical Service or Pale 52. Pool & Equipment Location � 2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement . � 3. Electrical Conduit Ut7litv•Undrgr 54. Forms • 4. Electrical Cond�ibUndrgmd. 55. Electrical Bonding � . 5. Steei Reinforcement 56. Rou9h Plumbing & Pressure Test . 6. Electricai UFER Gmd. 57. APPROVAL TO COVER-GUNITE .� 7. Footinqs ,� 9�//Qsi� 58. Electrical Conduit•Undrgrnd. .. 8. Foundation - -� " 59. Gas Pipe, O Undrgrnd., Test �� 9. Water Pipe-Undrgmd. � 60. Backwash lines; P�Trap, � Undrgrnd. 10. Structural Floor SYstem 61. APPROVAL TO dECK �� 11. Property Sewer Line & House Connection 62. Backwash & Receptor�Final � 12. Sewer Cap 63. Heater & Vent-Final ' � 13. Roof Drains „ 64. Plumbing SYstem - Final . 14. Rough Plumbirg �- � 65. Electrical-Final ' 15. fiough EleccricabConduit 66. Solar SYstem•Final � '- 76. Rough Electric Wiring 67. Fencing & Access Apvroval I 17. Ro�gh Wiring Sign . 68. APPROVED FOR'PLASTERING ' 18. Rough Electriwl-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning r _�_ .FIRE DEPT. REQUIR�MENT . 20. -Rough Factory FireD�ace,� :, _ - ;,,� • qPPROVALS �Perm"i't# 2/. Ducts, in Structure ' �" � -- , 70., Underground Hydro - , • 22. Ducts, Ventilating' � � . � ' _ _ � �1,.�p�oduct Pipinc� OGas ❑Oil � 23. Gas Pipe-Rough & Test � � - _ ' � " ' 72.� Uhderground Flush 24, Roof Framing _� ,, -� ' � ' �• � 73.� Undergrnd. Storaye Tank � Gas ❑ Oil 25. Roof Sheathing ' � ' 74. Oberhead Hydro ' � 26. T�Bar Ceiling (Structurall' &' Monocoat °' . 75.. Dry Chemical - 27..Prameand Flashing .� � - -76. Dry Standpipe _ 28. Lathing'& Siding� � ' - . . . - � ��7. FIXED SYSTEM FINAL ' - � . 29. InsWation ' 78. FiRE PREV. FINAL ' 30. Orywall Nailing � ' HEALTH DEPT.'REQUIREMENT 37. Plaster Brown Coa2 <�� . , � � 79. FINAL INSPECTION - 32. Electrital Power Meier-Final ��'' 80. FOOD CERTIFICATE ISSUED '� 33. Final.Electric � �� Notes: 9' // /9� d. �� l ! 34. Finai Heating & Air Conditioning : ; � 35.'PinalGas�Pipe-Test' � : � � � - 36. Hood or Canopy � � •� � � " � � • � . .. � 37. Final.Factory Fireplacr • 3ft. �Final Plumbing - � . - • .. . , 39. 4Vater Service�Final , . . � � . , - _ � • � - 40. Gas Service-Final -'- " ' 41.�SolarpomesticFinal - . ._� , . . + F 42. Backflow Preventer . ' ' ` - - ' � ' ,-, • r, - � ' - � 43. Backflow Irrigatioh� '- r, - , ' , -- � � . . , ,44. Landscape Irrigation System - " � � � � . � _ - � � �45..Sound Attenuation� ' - • ' ' � � , ' . � � �' d ` , � _ � �46. Handlcap Regulatioas . ' ' - � � 47. FINALSTRUCTURE&.BUILDING � � � � - - 48.,FINALPLANNING - � � � � �' • 49. Electric'Release to Edison � - • .. , 50. Gas Release to Southern Califomia Gas Co �'• ' .� 51. CERTIFICATE OF OCCUPANCY ` No. Date � _ ; - . -. 4,15 . � � ' COSTA MESA BUIIDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING ADDRESS OWNER Kr�l t /Tr��i nc � F � d a � y S F G F a C1 � � �" � .�i {i] a � � a z W S 3 TEL. CITY Nawnnrt Reach No833-3030 BRANCM ADDRESS ARCHITECT _ _ TEL. CONTRACTOR Don Koll Company, Inc. ADDRESS 190], Dove Street TEL. CITV Newport Beach No.833-3030 STATE CITV LIC.NO. z27 �yq LIC.NO. SI2E � NO. OF BLOCS. OFLOT (OOO SQ. ft.INOWONLOT ]. USE OF EXI571NGBLOG. jRCZllStTldl Separate permits are required for electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PEfiFOFMED I hareby ecknowletlpa that I hava reetl thls aDPlicatlon and smte Mat tha abova Informailon is corract and aB�ee to comply wlth ell laws reBulatl�g buildinp consttueNon, end I shel� not employ eny Oerwn In vlolation of Me workman's compensetion laws of Ma Staie of Celifornle. . I hereby certtfy t�at I am proparly Iiconsetl as e cantractor untler the State of Callfornle Businass antl Professions COGa, Dlvision 3, Chepter 9, end that such II<enses are In tull forca entl effect, or I em exampt from ihe provislone o the Stece of Celifornia Buslness end Professlons Cotle, Oivlslon , apter 9. ' - Sipnetura of � Pa�mlttee _ Authorized Agent Pal� ':°R 16-7c,,��.00 8?_6'� *�'* 141.43 Building #19 APPLICATION FOR STRUCTURAL PERMIT EC��O BV DJP:E/�E�� DATE ISSUEC w� BUILOING ADDRESS FIRE � NO.OF PLAfJS VAR�S APPROVED VAR. � C.U.P.q USE Of APPROVED BEf. MAIN & ACCESS. BLOG DATE APPROVED � L/� 6��0 SQ.FT. THE AMOUNT SHOWN UNDER VALU THE PUFiPOSE OF ESTABLISHING A PERI VAIUATION �JJ PERMIT FEE $ W PLAN CHECK E � $� /� � TA% 5 TOTALPAID E i N n m i m m N IS FOR m ONIV: � N m m. � o r LL � U � N F� C LL7 a a y y � F � ' 43339 �tt� 74-77F'�=—�:00 769^ u*�261.e5 r, �• � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA,CALIFORNIA 92626 � APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RECEI ATE RECEIVED D TE BUILDING �i/ �. '��w Y� � ADDRESS �7/ I'f' /� OWNER /�� T � g�I�T '/ Z�I — I�O —O Z PERMI NO. A.P. NO. 1 MAIL / Q BUILDING 7'i89—/7 A/j-WaY /¢VC.�N,(' ADDRESS (/ JO• � • � � ADDFESS CITV %'K�i ��. NOL � I TRACT oo7Z LOT/� BLOCK CONSTRUCTION� r W A A P LENDER gLT • BRANCH D OWNER ^tlbC✓� �4d �.<.r AD�FESS T VALUE ARCHITECT TEI. 5 -�^ �� S $ 0 �O� OR ENGINEEfl FIRE AOORESS 20NE TYPE GFO P CONTPACTOR �� Q-IC.�� BVPROVED DAT AODRESS ZON NO.OF USE OF NEW ��"7� TEL. p�q� Z gVILDING LT CITV NO. � g g.cAn�v STATE ' CITV �'�+RDSAPPROVED VARDSAPPROVED LIC. NO. LIC. NO. MAIN BUILOING ACCESSORY BVILDING SIZE NO.OF BLOGS. (FROM C/L STREET) OF l0T NOW ON LOT qOM' FT. FT. VSE OF EXISTING BLDG. FT Separate permits are required for , � �. sioe T �� N Fr. electric, plumbing and heating work. - REAR � FT. FT. USE OF BUILDING AND WORK TO BE PERFORMED DI5TANCE BET. BEf. MAIN & MAIN BLDCS. ACCESS. BLDGS. ��) /� �}— AR. #�' DATE (/�L YlO C.U.P.�'+ APPFOVED APPROVED / _ � 9_�'� I hereby acknowlBtlge thet 1 have �eatl t�is epplication sntl stata sp� �� . /h 72�� thet the ebove Inio�maHon is correct antl aprea to comply wit� ell laws reg�letln0 builtlinp conrtruction, end I shell not employ any person in violatlon of Ma workman's compensaiion laws of iho Siate ot Calitornie. I haraby certify t�at I am properly licansatl as a contractor untler SQ. FT. fhe State of Calito��e Busineu entl Profeuions Cotle, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR Chaptar 9, antl thet such Iicenus are in full forc¢ antl effeci, or 1 THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLV: am exempt from the provlstons of theStete of Celtfornia eusiness VA�UATIO PERMIT FEE E antl Profassions Cotla, Division 3, Chepter 9. �� yO • �Q ��^ I�� A/f j_ /W PLANCHECK 5 O,00 Sipnature of I7n ii /J /!/ A/r'n ��A fl Parmittee /1��v7 C L�•/�/� TAX S � S %J�..T/ Auihorizatl A ant TOTAL PAI D S � _..� �i� � COSTA MESA BUILDING-SA ETY DEPARTMENT P_O. BOX 1200 COSTA MESA. CALIFORNIA 92626 APR78-76C11G`OO1�i94 �*=�'Z�1.�� APPUCATION FOR S7'RUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink On{y RECEIVED BY DATE RECEIVED DATE ISSUE� BUILDING ADDRESS • OWNEFT A.P. NO. P I� MAIL BUILOING � ADDRESS P.DDRES , TEL. TRACT LOT LOCK CITV NO. pp��pUCTION W D AL P LENDER � BRANCH OwNER ADDRESS LUE AqCHITECT TEL. SE � OR ENGINEER N FIRE ADORESS ' ZONE TVPE GROUP APPROVEO CONTR�+CTOR r BV DATE ADDRESS TEL. �ONE NO.OF USE OF NEW CITY NO. PLANS BUILDING STATE CITY �'ARDSAPPROVED YARDSAPPROVEO LIC. NO. - LIC. NO. MAIN BUILDING ACCESSORV BUILDING 512E NO.OF BLDCaS. (FROM G/L STREET) OF LOY NOW ON LOT ONT FT. FT. VSE OF EXI571NG BLDG. ' S FT FT Separate permits are required for L. SIDE FT. � FT. electric, plumbing and heating work. REAR FT. FT. USE OF BUIIDING ANO WOPK TO BE PERFORMED OISTANCE BET. BEf. MAIN & MAIN BLOGS. ACCESS. BLDCS. � � VAR.3i'+ DATE C.U.P.yW APPROVED APPROVEO I hareby acknowletlge that 1 hava reetl this applicetion antl state � that the above Informatlon is eoneet end a0ree to comply with all laws regulating building co�struciion, entl 1 shalt not amploy any per4on In violation oi the workmen's compenseiion laws of , the Stete ot California. 6 I hereby cartify ihat I am proparly Iicansatl as a contrector untlar SQ. FT. � Me Stata ot Celifornia Business entl Profeuions Cotle, Dlvislan 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR c Chapter 9, antl that such IlcenSes are in tull forca antl eifoct, or I THE PURPOSE OF ESTABlISHING A PERMIT FEE ONLV: � em exemPt from tha provlslons of the State of Californla Businass VALUATION antl P�ofessiona Cotle, Divlslon 3, Chaptar 9. PERMIT FEE E / � n PLAN CHECK S ^ SIB�Bture of ^ � Permlttee 5 TAX S u �� t AuShorlYetl Agant TOTAL PAI D E Ciry of Costa Mesa Development Services Department Building Safety Division P. O. Box 7200 Costa Mesa, California CERTIFICATE OF OCCUPANCY No. ��.�S�Ic� The euilding located at 3189 A:CI�AY ihVIT B has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group B-2 Occupancy. 'Use of Building OFFICL Legal Description 92?-194-18 ISee reverse side for Metas and Bountls) Building Permit No RPF.13Ff,"i Electrical Permit No.RPF:I'i(,F� Plumbin9 Permit No.R9F17G.Fi , Mechanical Permit No. j�� Q�� Number of apartments and/or guest rooms ISSUED TO: ANEi RICAN BLLSI[�SS ,% i, Building Official � / / t ' by `� L. �.1.�c[!�( ' l.,— 3189 B AIIB�Y, CdS�1 MESA, CA. / l�, , � Date� b Y/(..a/1.l�GL ��S 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 (e) U.B.C. . CMF 3015-46 rev. 1/83 White -Owne�; Canary � Numerical File; Pink - Bldg. Permit File �': _ . CITY OF COSTA MESA � 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 PERMIT NUMBER: B10-00061 PERMIT TYPE B ROOF2 STATUS: ISSUED APN: 42719415 DATE ISSUED: 03109/2010 _ -ISSUED BY: KJB F £ JOB ADDRESS: 3189 B AIRWAYAV CM ; ` Suite/Umt '-: B Vicinity: :,, '�-. � =�4 _. `� ` .-�- r'.': . Squares: 5000 ` � �� • Valuation.' �� $20,000.00 ' . . -` '- `- . .�.. .: i.: � ..r . P . .. , : .. ' �; SCOPE OF WORK: REMOVE EXISTING BUR �INSTALL NEW BUR W/ TITLE 24 REQUI�RED.COOL�ROOF:'-.I.NSTALL 2" POLY ISO OW NER: 3189-E PHONE: APPLICANT: IDE, PHONE: 1-80 WAV*ASSOCIATES" Address: 3185-AAIRWAYAVE Unit: B `. • City/State/Zip: COSTA MESA, CA;; ; , IS �� Address;- � 4220 E�OR4NGETHORPE a, - Unit: �. 18N -� "Ciry/State/Zipi FULLERTON�, CA � ��; � � � CONTRACTOR: ROYAL ROOFINGCO ,.,e_��„� Cicen'se No ��678705 Address: 1220 E ORANGETHORPEUnit `. � " ,., _.. PHONE ..�.... . 1-500 501-1811 ,�:�, �^'i , , City/State/Zip: FULLERTON, CA �� 92831 -=_ � - - - - '��CELL ^ � - . , �.. . . , ., „ .. . . .�..,. ..:-.,--. , . .. ��-:: �.. ;. `r, l .'; ` :. ARCHITECT: i .� ', ' .' ->. LicenseNo., ,.. r.., ,,, � 'r �, � PHONE:�- '� ENGINEER: � LicenseNo. "� ` - � . - � �'� PHONE: � FEE SUMMARY Reroof Plan Check: $0.00 = f Reroof Permit Fee: $321;25 , ! ., Reinspection Fee: $0.00�'� ` -� � � Bldg Std Admin Fund $1.00'': " _ , TOTALFEES $32225'��-'�� - � - �- - � �OURS FOR CONSTRUCTION Monday thru Friday - 7:00 am thru 7:00 pm. S 8/2010-- PER CMMC Sec. 13-279 . Profiibitied all hours - Sundays and the following Federal 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'I80 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authonzed 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 fnal approval will result in the expiration of this permit. UE A. INSYEC110N iYPE 1616 Fixed System Final Fire Prevention 1266 PoolSpaFinal 200 Final Re-Roof 201 Final Block/Relaining Wall 202 Final Pactory Fire Place 203 Final Sign 204 Final Demolition on� iNnna�s COOEp INSPECTIONTVPE 206 Final Mechanical 208 Final Plumbing 210 Final Electriwl 212 Final Fire Prevention 220 Final Planning Approval 222 Final Site 250 FinalBuilding/Occupancy DATE INTITIRLS � � WORKERS' COMPENSATION DECLARATION: I hereby aNirm under penalty of perjury one of Ihe following declarations; ❑ I have and will main[ain a ceAifcate of consent to self-Insure (or workers' compensation, as provided for by.section 3700 of the Labor Code, for the erform nce of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by sec ion 3700 0/ the Labor Code, for [he performance of [he work for which this pertnit is issued. My workers' compensation Insurance carrier and policy number are: �CG�+- (This section neetl not be mmplefetl tl(he permtt is valued at one hundred tlollais (5100) or less ) eGs � mber: ❑ I certify [hat in th erformance of the ork for which this permit is issued, I shall not empl ny person in any ner so as to become subject to Ihe workers' comp s[ion laws of Calif ia, and agree tha[ if I should become subject to t orkers' compensa provisions of Section 3700 of [he Labor Code, I sh I orthwith compl e pmvisio✓n�s.� /� J'"1-�� pi lure �¢ . WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONT CTORS DECLARATION: I hereby affirm th I m licensed under provisions of Chapter 9(commencing with Section 700 ) o Division 3 of t Business and Professions Code, and my license is in f II f rce and eftect. �'" 6 D q,� � 3 _ ' _ u�e ' `D'aj� CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that ihere is a consiruction lending agency (or Ihe pedortnance of the work for wfiich this pertni[ is issued. (Sec. 3097, Civil Code). Lender's Name: Lender's Address: �ale OWNER-BUILDER DECLARATIONS: 1 hereby affirm that under penalty o( perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to constmct, alter, improve, demolish, or repair any shucture, prior to its issuance, also requires the applicant for such permit to fle a signed statement that he or she is licensed pursuant to the provisions of [he ConUactors License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or tha[ he or she is exempt therefrom and the basis foi the alleged exemp[ion. Any violalion of Section 7031.5 by any applicant for a permit subjects the applicant [o a civil penalty of not more than five hundretl dollars ($500).): ❑ I, as owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the struc[ure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or herself or Ihrough his or her own employees, provided that such improvements are no[ intended or offered for sale. If, however, the building or improvement is sold within one year of comple[ioq [he owner-6uilder will have the burden of proving [hat he or she did not build or improve for purpose of sale.). � ❑ I, as owner of the property, am EXCLUSIVELY CON7RACTING WI7H LICENSED CONTRACTORS to cons[ruct the project (Sec. 7044, Business and Professions Code: The contractors License Law dces nol apply lo an owner o( property who builds or improves thereon, and who contracis for such prqec! with a contractor(s) license pursuant to the Contractors License Laws.). ❑ I am exempt under sec. Business and Professions Code for this reason� SignaWre �ale 305]-46 (3I0]) ,� Owner ID verified by drivei � ncense. ❑ Yes ❑ No Driver's�License No. Expires: VeriTcation of Ownership by (type o! tlocument, i.e. - pmperty tax tiill or deed�: DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICA710N: � ❑ I hereby cert'rfy that no excavation fve (5) or more feet in dep[h into which a person is required [o descend, will be made in connection wi[h work authonzed by this permit, and that no building s[ructure, scaffolding, falsework, a demolition or disman[ling thereof, will be more than thirty-six (36) feel high. (Chap. 32, Gry 2, Art 2, Sec. 341, Ttle 8, Califomia Adminis[rative Code). ❑ As owner-builtler, I will not employ anyone to tlo work which would require a permit fmm the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from [he division. Appliranfs SignaWre Date Division of Industrial Sa(ety Permi[ Number. HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: i. Wiil the applicant or preseM or fuWre building occupant need to Tle and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some excep[ions, Ihat a Business Plan be iled with �the Costa Mesa Fire Department by every business which has at any one [ime during a reported year a quantity o( hazardous materials equal ro or grea[er ihan a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard tempereture and pressure). . 2. Does or will the applicant or present or fu[ure building occupant need [o fle a reqistretion form for acutely hazardous materials? ❑ Yes ❑ No (Sec[ion 25533 of ihe California Health and Sa/ety 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 hazartlous materials equal [o or greater than a weight of 500 pounds, or a volume o( 55 gallons, or 200 cubic feet of compressed gas a[ standard femperaWre and pressure). ' 3. Does or will Ihe applicant or present or (uture building occupan� need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safe[y Code pmvides that the Costa Mesa Fire Department may require the preparation, certi(cation and filing with Ihe Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Departmen[. 4. If an RMPP is presently required, has Section 25534 of the Calitomia Health and Safety Code been fully complied with? ❑ Yes ❑ No 5. Does or will the applitant or present or (uNre building occupant require for the work which is the subject of Ihis application a permit for such construction or modifcation from Ihe South Coast Air �uality Management District or from any o[her air polNtion control district or agency? ❑ Yes ❑ No (Section 658502 of the Califomia Govemment Code requires that the requested information be fumished on applica[ions for non-residential building pertnits). 6. Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑ Yes ❑ No Qf "yes", the facilily must mee[ [he requiremen[ of Sections 25534 and 42303 o/ the California Health and Safety Code). . 7. If a permit from the Sou[h Coast Air Quality Management District or other air polWtion control district or agency is required for.the work which is the subject of ihis applicatioq have all of the discbsures prescribed by Califomia Health antl Safety Code Section 42303 been made? ❑ Yes ❑ No 8. Qf "yes", attach certifcate ot compliance fmm the appropriate air pollution control oKcer). � CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the infortnation given above is correcL I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. 9gnalvre ' �ate CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state ihat the information given is correct I agre to compty with all state laws and city ordinances relati� building constr tion, and authorize representatives of the City o� Cos Mesa to enter n the above-Gescribed property for inspection purpo e I agree not [o py or allow occupancy o( any building authonzed bv [hi rmi[ until fnal i oection. 3—D e—�V �dtE Appiicant fo /ill in al! sDaces ezceO< <�ose wlt�in M1eavy CorCer Ilnes antl fign all aOProD��ate EeelaraE�ons. CiT� COSTA M.E,..S�ljk�.'.C,.O�+NSTRUCT,7 �ION PERMIT Project Address — -%+�'h� ��'&� l3 �IQWQ�{ Appliwnt's Mailing A dress � 15 . � �DKT OWner'sName �,p S "Phone� Atldress {^�� r J�.�_ Q�'r ��'+I�- f'�p5� Arch/Eng. 3 2E5�+� �%C�'n+ � ALicense \QO� Address � Contractor'sName`�� - �A •t t � Phonc� Address (mailing) o City License No. IICEPISED CONTRACTOR DHCLARATION 1 he�eby afflnn tha� I aT Iic¢ntetl untl¢r P�oviSiont O� Cha�l¢r 9(C[ with section 7000) of Olvision 3 of th¢ Businoss anC Protessions my littnse is in lull force antl eftect. _� �� Da[e �av SiqnaWre WORKERS'COMPENSATION DEC ATION �1 Itereby atfirm that 1 have a ceYtificale Of Consent to salftinsUre or a CCrti iWtC of Workers' Compensation Insurance, or a cer[ifiea copy tnereof (Section 3800, Lab. ). . /..� � Policy No. wL�;�� Company, 1�55(ON INS 1,� � CerHfietl copY �5 �ereqy furni5hea. . � Certi� tl C 3 a iletl with the city Builtl' i ion. �. Date-_�� APPlicant � I E%EMPTION ROM WORKERS' COMPENSAT N DECLARATION � (Thi55pction ne¢� rlot �e complete� it tho perm s for one huntlred (5300) or less). I certi/y that In the perfo�ma�ce O� Ne wo�k fOr which lhis pe�m�t Is ISSuetl, 1� shall not emplOy dny PCISOn in any TalinCr so as t0 becOmB subj¢Ct to the Workers' CompensaHon Laws of California. ' Date � Si9naturo NOTICE: If, after makin9 tnis tleclaratlon, you Shoultl Decome sub%ect to ihe Workers' Comp¢nuUOn provl5ion5 ot th¢ �abOr Cotle, y0u muit for(hwl[h comply wilh suc� p�ovisloni o� this p¢rmit Shall be tleemetl revoketl. CONSTRUCTION LENDING AGENCV 1 nereby affirm that tnere is a tonsVuction lentling agency for Ihe pertormance of tho work for wnith thls permlt is issuotl (Sec[ion 3097 Civ. C.) L,Cntler•s Name lontler's Adtlress OWNER BUILDER OECLARATIOfi� � 1 hereby dfA�m tbat 1 am Oxempt frOm fhe COnVd[!o�'S UcensN Ldw �or tbB following reason (SecHon 7031.5 Businois antl Proteisional Cotle: Any clry or /oJ1.5 oy any appucant ior a permit suo�acis tine appucam Lo a avu enalty ot not more t�an tive �untlretl tlollars (1500). ,� 1, as ownor ot tnc prooerty or my ¢mplovees with wa9es as lheir sole ..ompen5ation, will tl0 tha wOrk, antl thC structure IS not Intontletl or oftorotl tor sale (Se<tion 7044, Buzine55 antl Protessional Cotle: T�e Contractor'S LlcenSe Law CoeS not applY �o an Own@r ot a prope�ty wh0 builtl5 O� imp�ov¢5 thereOn, antl who tloes SucM1 wo�k himseH/Ita�501t ov Mrough nis or he� own CmObY ues, prOvlE¢� that mM Improvemen[5 dre nOt Inteptlotl o� oHer¢tl to� ule. N, howevar, [ha builtling cr ITprovement IS Soltl wilhln one ynar pt com- ple[ion,'the owner wlll hava t�e burden Ot P�oVing hg/Sbe tli0 nOt bWltl or 7m- �rom forthe purpose ot salo). 1, as owner ot the property, am exclusively contracting with Iicensetl con- tractors fo <onsVuct the project Section 7044, Businest an0 Protessions Cotle: The Contractor's Liconse law �oez not app1Y to dn ownar ot property who builtls or improves thereon, antl who contracts (or such pro�ects wilh a con- Vactor{51 license pursuant�to tha�Contractor's Licensa Law). I am aware lhat proof of ttl¢ir Worker'S Compensntion Insurance S�Oultl be prOvitletl to m¢. ❑ I am exemp[ untler $ection B. & P. C. �or this reason Dace ' I hereby certlty tnat fn�ormation fs correct. antl stale laws relatin5 5entatives of t�is tlt inspectlon purPoses. � Si9nature � Drivers' Licensa or 55 CMF 0865-46, rev. 4/84 _ Owner . I nave reaa I aeree ro c the � . �. 663 �7Z _ 1g _ .�. TYPE OFCONSTRUCTION .NEW P.DD ALTERATION. REPAIR ❑ CONVERSION ❑ DEMOLISM ❑ OTHER Ap y�, �l DESCRIPTION OF WORKNSE OF BLDG. �'J�� «' ^ �� S Main Buiidi E TVPE OF PERMI7,(--� �� GRAOING FOUN�ATION STRVCTURAL T FrOnt ❑ TENAN"I�i'LECTRICAL�UMBING�CHANICAL 6 R¢af ❑ OTHER %� PROJECT DESCRIPTION Sq F �� OCCUPANCV � C Right K CONSTRU TIpN TVPE_ :— VAI_11AT10N S Sn.lY1O . S left ZONE �� GRADING CU. VOS. ACRES p�ng. Ref. # Rema�ks: Q"� ,�Q , �t�� PlannirgNoies: Sink Preventer Floor Drainr Floor Sinks Gas Service Outlets Interceptors Kitchen Sink Lavatories P-Trep • Roof Drains Reinspection Fee $75 Ducr Under Ground Duct - Structural Duct- Venrilating Exhaust System ❑ Multiple � Firepl/Fact, Blt. ICBO �i`- Heating System & Ducting ❑P700,000 BTU 0100,OOOBTi Reinipec[ion Fee � $15 White - 8uiltling: CanarY - APPli�ant; Pink - Accounting; Goltlenrotl - Assessor $hawers SewerCap Sewer Connection $olar Collectors Solar Pipin9 Solar Tank Swimming Pool w/Spa Urinal Water Closet Water Heater , Water Service - Issue Fee Hood or TYpe I ❑ Canopy Type II ❑ Refrigeration System ❑o-ioo,000aru ❑ioo,000 System RepaidAlteretion Issue Fee r: S 3 $ 3 �Auromatic Washer � Construction Pole"Sub. Cooking Unit � , Dishwasher '�. � Dryers �Gas ❑Electri Fan , F,A.U. Fixtures Device Bozes - Outlets � Switches ' ' � Garbage Dispoul ' � Generaror O0.5 KW O5 2430 6/IB/;4 Accessory Building: Req./Provided ELECTRICAL � Transformer ❑ 15-50 KW ❑ 50+KW Meter �up to t00amps Meter ❑over100amps Su6 Panel Motors OP1 HP �1 h'- 8 Inc. Solar �9�15 HP �.1615+ Microwave - . Pole Light Range 5KW � qeinspection Fee�� I $15 DEVELOPMENTSERVICESREQI 2oning APPmved BY�� Building Approved By � Standing Sections Trash Compactor luue Fee FEES $ 3 Z O N I N G R E � M T S. �' , SUMMARY OF FEES . BUILDINGPERMIT $ �3•00 SMIP $ 3.So PIAN CHECK. $ PERMIT � , PIUMBING � $ Z7.00 ISSUANCE $ PIAN CHECK 25% $� ENERGV P.C. $ ELECTRfCAL ' $ __��{_, ��{'�� • �GAADING $ PL NCHECK 50% $ J1l�G� `MICROFILM 5 � MECHANICAL S .TOTAL FEE $ � PLAN CHECK 25% $ ,3R� ,'j (� � I CONSjRUCTION AND PLANNING � - POOL & . �� APPROVALS Permit# Date Inspector AppROVALS Permit# Date Inspector i. 7emporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. � ��/bx� �/� 53. Steel Reinforcement . � '� 3. Electrical Conduit Utility-Undrgrnd. 54. Forms ��A. Electrical ConduirUndrgrnd. 55. EI'ectrical Bonding � 5. Steel Reinforcement � 56. Rough Plumbing & Pressure Test "� 6. Electrical UFER Grnd. 57., APPROVAL TO COVER-GUNITE . 7. Footings- ' 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final � 13. Roof Drains � 64. Plumbing System - Final � 14. Rough Plumbing ' �, S � 65. Electrical-Final 15. Rough Electriral-Conduit � 66. Solar System-Final 16: Rough Electric Wiring /p 11 G 67. Fencing & Access Approval ' 17. Rough Wirin9 Sign . 68. APPROVED FOR PLASTERING 18: Rough�Electrical-T Bar.Ceiling -) 0 69. POOUSPA 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 OGas ❑Oil 23. Gas Pipe-Rough & Test � 7 � 72:.Underground Flush 24. Roof Framing 73. Undergrnd.StorageTank OGas ❑Oil 25. Roof Sheathing 74. Overhead Hydro : 26. ,T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL ' 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTIOfV 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric . - 13� �� tes: �p . � �t� � 34. Final Heating & Air Conditioning � -ZZ. S' . . �•- d- r S,Ei'.. � S 35. Final Gas Pipe-Test �� 7/l� 1' QFsJ�W Fo2✓F.:>teb- /�cD 36. Hood'or CanopY r 37. Fina4 Factory Fireplace 38. Final Plumbing • : . � %��j� G�D 39. Water Service-Final � -7 �3 a 4A. Gas Service-Final 41. Solar pomestic-final � , � - 42. Backflow Preventer � 49. Backflow Irrigation 4A. .Landscape Irrigation System 45. Sound Attenuation ' � - 4fi. Handicap Regulations � 47. FINAL STRUCTURE & BUILDING _ �5 , 48. Special Requirements Completed \ 49. Electric Release to Edison � . ' 50. Gas Release to Southern California Gas Co � t 51. CERTIFIC TE OF OCCUPANCY �{ . , No. � Date � ' / � I� PflOJEtTq00HE55: 31$9 AIAWAY AV I owxceswame: MKS INVESTMENT INC I nooxess: 6 SHATTUCK RD ENDOVER MA 01810 APCN/ENGINEEfl: nooness: flEG.NO.: uxit: H uxrt: PEHMITTEE: WESTEC SECURITY INC ( 714 ) 727-3440 RDDflESS: 1 S Z S S ALTON PKWY 100 IRVINE CA 92718 ULENSEU CONTqRCTOB OECLAMTION: 1 AereEy a�firm iha� I am Iic¢n5¢G unaer prmdsi0ns ol C�apter 9(commenGnp vni� Sec�ion 7p10� of Division 3 0� ��e Busine55 anA Professions CoCe. antl my license is in lull farce an0 elfect. aTruc.: 038462 sUrnTeuc.:269590 cuss: 10 EXP; 03/95 oate: —I P—�!— p l Si9naWre: �� WOBREflS' COMPENSFTION OECLAflFTION: I �ereGy a �h have a cetlilica�e oi con5enl io sel ins re or a certilicate oI WoAers' ComD�sation I u e w a cenil d c p th¢r 1( tion W, lab. C. eoucrNo.: ��r911�5��2—� onrc: 0/O1/95 cornraxv: PACZFIC EM�yPL �� Cenilie0 caDY i5 hereDy tumishetl. LT Cenilie0 coDY is IiteU wilh ine city Buil 'np Division. oa�e: �0'Z.J—r'J % AD�IitanC , �7 '�'v E%EMPTION iBOM WONREflS' COMPENSPTION OECLAflRTI .(Thi ection neea not 6e compleieA il t�e perm is i one huntlre0 �5100) or less). I tetli�y Ihai in Ihe pe�Ormance o� Ihe wOrk lOr wAi�O ihi per ' S i55ueA. I SAall noi empl0y any Derso i ny mann¢r So a5I0 6CLOme suDiecl to Ine workeR' ComDensation Laws of Calilor a. Oa�e: Sipwlure: NOTItE: If, at�ei �king fiis aeclaiation. you slroufa �ecmne su0)ect to ihe Wo�kers Compensation p�ansions af the LaDa CAde. you mu9 �oh��l� comply wi�h such O�ovisions ar lhis permi� shall Oe Ceemed �evokeE. CONSTflOCTION LENOING RGENCY: I here�y affirm thai there is a consimction lending agency for the performance ol t�e work tor wnicn ihis permi� is issued (Section 3097, Civ. CI. LENOEP: aooeess: OWNEN BUILUEX OECLAHRTION: 1 h¢reby allirm Iha� 1 am ¢xempi Irom ihe Cantrac�ors' Sta�e License law tar �he fallmrinp �easan (Seaion 7031.5 Business aM Professional CoGe: Pny ciry of counry w�icA 2puire5 a permii Io wnswct, aiter, improve, GemO�tsh, or 2Dair any Stmtture. Prior �o ils i55uance, also �eduire5 I�e aD0litan� lor SUch permil Io IiIE a 5i0neU S�atemen� �ha� hNS�e is IitenSeU pursuant �a tAe pmvisions ol the Contracmrs' State License Law (Chapter 9(cammencinA with Section 7000) ot Division 3 0l t�e Business and Prolessions Cotlel or �na� he/sne is e�empt Iheretrom antl ihe Oasis for Ihe atlege0 e�emption. Any violation ol Section 703t.5 by any apPlicant lor a permil subjects Ihe applican� to a civil penally o� nol more IAan �ive hunGred dollars (E500). I. as owner o� ihe pmperly or my ¢mployees wi�h wage5 a5 IA¢ir 5010 COmpenSaiion, will Oo t�e wOrk, anE the ❑ stmclme is nol mtenaea or ottereE lor 5ale (Seciion 70a4, Busine5s antl Protessional Cotle: The Coniractors' State License Law does not apDly b an owner of a o�openy wh0 6uiltls or improves Iherean, antl who does suth work nimsell/nerselt or thmuAh �is or Aer own employees, provi0etl Ihat suc� impmvemenis are nol intenAetl or at�ered lor Sale. If, however ihe 6uil0inA or imDrovement is soltl within one year oi completion. the owner will �ave �he burden of DrovinA he/she tli0 nol 6uiltl or improve lor Ihe ourpOse ol sale). I. as owner o� �he pmperty. am exclusively tonirac�ing with IirenseC contrac�or5 io con5lmci Ihe pmject ($ection 7044, Business ❑ antl Protessians Coae: The Contractors' State License �aw does not apDty to an owner of pmperry who Gmlds or improve5 i�ereon an0 who conbacis �or suc� prqetls wilh a can�ractor�s�license pursuant t0 �he Contractors' State License Law�.l am aware ihal D�� ol ��eir Warker'S Compensa�ion insu�ance shoNG G¢ pmviG2E to mC. � 1 am eaempl unCer $ection: B. 8 P. C. ' for i�is reas0�' �ale'. Owner. I do nerehy cetlily Ihe� I am aware ol anU untlers�an0 the requiremenls oi Calilornia Healt� an0 Safety CoOe Seclions 25505, 25533, an0 2559a ana IAaI I or any luture builtling occupant will/will na� �cncle one) need to comply vn�h said state cotles antl lhe reQuir¢menis for a permi� lor conslmciion ar modi�icaiion irom I�e Air Ouali�y Managemen� Distric�. Fesitleniial conslmc�ion aD0lica�ions are evempl Irom iheSe provisions. Oaie: AppliCanL I Iteteby cetiity ifiatlhave�¢adlt�is aDPN�ation a�W Slal¢ lhal l�e aboveinlatmatia�i5 ordinances antl 51aie laws relating �o bwlding conslmclion an0 hereEy authorire represent propetly �oiinspeCliOn purpo5e5. � Oate: �0^Z7—�� SiAnawre: �U Oriver's �icense or 5ocia� Security r: ro enrer 16aLa6 Wbi�e—BUilding: Green—Coao EnlorcemenC Canary—AOP�icant: Pmk—Revanue', Goldenrod—Assessor arW CITY OF COSTA MESA — BUILDING PERMIT PERMIT NO: F 069597 PLAN CHECK NO: 03476-94 L CONSTRUCTION TYPE: PERMIT TYPE; FIR JOB DESCRIPTION : FIRE ALARM SYSTEM CLAIM C�ALUE; 1,200,00 CALC—VALUE; PERM NO; F 06959' GOVT: N SUPP; N PURPOSE; ALT SQ FT: GROUP OCC; B-2 / COMMENTS; FIRE ALARM SYSTEM �r�r��r�t�r+r��r*+t�r**�r�r��r�r�e*�e�ek+t�r�r�r�x****�e+rx�r**�t�r�r�r+r�t�*r�tr�r�e�t�e+t�r�r*�r*�r**�r�r+F+r*�t�r�*+t�t*�t*+e* Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN LEFT; FT IN RGHT; FT IN LEFT: FT IN EiGAT; PT IN PARKING REQ • PROV; PARCEL; 00000000 ZNE: REF NO; PLANNING Ni5'I'ES> ] **�t*�rifxit�t�t**iratitft***ir*it*�*�rit*�r*�rit*if it�*�r*�t*�iritat*arrir*ir**�**iriFititit�t�t��ft�t*iFi:it*u *�e*�r** D E V E L O P M E N T S E R V Z C E S R E Q U I R E M E N T S ZONING APPAOVED B1! DATE; BIIILDING APPROVED BY ; DATE: Y: �iNl� / ��}' DATE if i! iE if iE it if if iE 1f iF if iE if� iE if 1f it i4 if if if it it if it if it jf iE 1E iE iF �1t it iF 1E if if ik 1E iF if 3F iF iP �F iF �f if iF 1P M it K �f if if it ik if i! it �)f if ff iF if iF il� if if iE if iE if if if �f LEGALIZATION:N F E E S U M M A R Y STRUCTURAL SEGMENT;N BLDG PMT PLUMHING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 29,00 PLAN 653 SMIP/NON—RES ISSUE FEE 18.85 BUILDING—DIV—> PERMIT ISSUE PLAN—CHECR TOTAL PAID DUE TOTALS----> 29,00 0.00 18,85 47,85 47,85 ,00 REVENUE DIVISION TOTALS--> COLLECTED; 29.00 OVBR/SHOAT; .00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GAADING PLAN—CHECK 29.00 fF iE it �lE iE j! 9f if if ikif if �E 1E if iE ik if iE it if if if 4 i! iE 1F it if if jE 1F �k 1E iF iE if M iF it iF 1f iE it if jf iE k ih if �! i! iF it M M if iF 1! 1! i! M if iF iF if R iF i! i! ik 1t if iF if iE it if iE I N D I V I D U A L F E E H R E A K D Q W N TYPE QTY FIR 29 D E S C R I P T I O N FIRE EgUIP FEE (FROM BLDG VAL TABLE) END OF FEES � ' ". ... t � ' / � . � � i UNIT COST TOTAL COST 1.00 29.00 OS O417035i—�0170354 T�7 T ZS.�G DA;E: i0127/94 7IflE: 12:?3 CONSTRUCTION AND PIANNING �� pA APPROVALS Permit#�` Date Inspector qppROVALS Permit� Date Inspector 1. Tempora�Y Electricai Service or Pole 52. Pool & Equipment Location 2. Soil Pipe�Undrgrnd. . , 53. Steel Rainforcement 3. Electricai Conduit Utility-Undrgrnd. '� 54. Forms 4. Electrical Condui[rUndrgrnd. ' � 55. Electrical Bonding 5. Steei Reinforcemenc 56. Rough Plumbing & Pressure Tesi 6. Electrica� UFER Grnd. 57. APPROVAL TO COVER�GUNITE 7. Footings � - - 58. Elec[riral Conduit�Undrgmd. . 8. Foundation � .' S9. Gas Pipe, O Undrgrnd.. Test 9. Waier Pipe-Undrgrnd. 60. Backwash Lines, P-Trep, �7 Undrgrnd. t0.�5tructura� Ftoor System 61. APPROVAL TO DECK 11. Property Sewer �ine & House Connection 62. Backwash & Receptor-Final 12. Sewer CaP , _ , 63. Heater & Vent�Final 13. Roof Drains . 64. Plumbing System � Final 14. Fough Plumbing -' _ �� 65. Electrical�Final 15. Rough Electriwl�Conduit � 66. Solar System-Final 76. Rough Electric Wiring � 67. Fencing & Access Approvai 17. Rough Wiring Sign 68. APPROVED FOR PLP.STERING 78. Rough Electrica�-T Bar Ceiling 69. POOUSPA SYSTEMS F�NAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Firepiace . . � . APPROVALS ' Permit # - -� �. • 27.� pucts, imStructure ,, .. _ ',70. Underyr,oui�; Hydro 22. Ducts, Ventilating �- � 71. ProducCPiping C7 Gas 6�Od 23. Gas Pipe�Rou9fi &Tes. _, - -« . 72. Underground Fluslf, 24.�RoofFraming .. . ... � � °73. UnderymU.StorageJanki_Gas ❑Oil 25. Roof Sheathing ' � � ' ;" 74, Overhead Hydro �. � 26. T-Bar Ceiling (Strucwrell & Nlonocoat • 75. Dry Chemical 27. Frameand Flashinj . , 76. Dry Stand'pipe - . 28. Lathing&Siding � . � •i. . • 77. FIXEDSYSTEM�FINAL� � "�"� � � -I 29. Insulation '� " ' � ' 78. �FIRE PREV. FINqI . '� ' 30. Drywail Nailing �-- � � HEALTH•DEPT. REQUIREMENT �� 37. Plaster Brown Coat . � � ; r79. FINAL INSPECTION ' i__� j 32. Electrical Power Aleter-Final . 6= 80., FOOD CERI"IFICA7E ISSUED ��' � 33, Finai Electric � ' ,' `Not'es: . - ' 34. Final He0tin9'& Air Conditioning- -'' �• � . 35. �Final Gas P�Pe-Test � � � � 36. Hood or Canopv . . . , � �. - ' � 37. Final Fadory Firepiace � _ ' � ~ s �, � 38. Final Plumbing - , � , i � . 39. Water Service�Finai �� . � � ' � � • 40. Gas Service-Final , , :, ' " ' 41. Solar pomesticFina! - ' , � 42. Backflow Preventer ' � , , , . 43. Backflow Irrigation " . 44. Landscape Irripation System ' ' , - � 45. Sound Attenuation � � � t ' � ' � ' ,, 46. Handicap'Regulations . � ' � '� .. , � � 47. FINAL STRUCTURE & BUILDING � ' 46. FINAL PLANNING � , . _ 49. Electric Pelease to Edison , •� 50. Gas Relezse to Southern California Gas Co � . � 51. CERTIFICATE OF OCCUPANCY No. Date ApO��cant to fill in all spaces except thosa witnin neavy borEer lines ana sign all aoDrooriate aeclarations. ��i7YOF COSTA nnESA C NSTRUCTI N PERMIT ProjectAddress � �n Applicant's Mai 'n9 Address ` Owner's N m �} one � � Address r� � Arch/Eng. � ' License No. Address Contractor's Nam Pho e Address (mailingl1 p City LicensP No �l I Z'' � ' LICENSED CONTRACTOR DECLARATION ' ' I�hereby atiirm that�l am licensetl untler provisions oi �Charter.9 (commencing with 5ection 7000) of Oivision 3 oi the Business antl Protessions Cotle, antl Date'��v�w.1 Signature — � WORKERS' COMPENSATION DECLARATION ' �i ' .1 hereby affirm that 1 have a certiticate of consenE to selt-insure or a certifi te lf Workers'. Compensation Insurance, or a certifietl copy, hereof (Sectlo iB00, Lab.6 �,�(� ��: An ttC Policy No. u� `�' �' � � a��ompany eCertifietl copy is hereby fumishetl. . � ; Cert)'fiq copy is filetl with the city Bui tl'�q i�vi5�ior � y�/�Qn',� Oate N1� Applicant �� T��1 1 1�C.M \' EXEMPTION FROM WORKERS' COMPENSATION DE LARATION , (Thizsection neetl not be completetl if the permit is tor;one huntlretl-($100) or less): I certity'that in the performance ot tne work foLwhich thii perm�t is issuetl, I shall not em0loy any person in any manner so as to become subject to the Workers' Compensation Laws ot Calitomia. Date Si9nahre � NOTICE: If, after making this tleclaration, you shoultl become subject to the Workerz' Compen5ation provisions of the Labor Cotle, you_must forthwith comply with such D�ovisions o� this pe�mit shall be tleemetl �evoke0. CONSTRUCTION.LENDING AGENCV � - I hereby affirm that theie is a construction lentling agency for the. pertormance • of tM1e work for which this permit ,is iszuetl (Section 309Z Civ. CJ LPntler•z Name - ' Lender'S AOtlr¢55 OWNER BUILDER DECLARATION I hereby attirm t�at I am ex¢mpt from the Contraclor's License,Law tor the tollowing �ea5on (Settion ]031.5 Business antl Prote55ional Cotle: Any city o� county which requires a permit to construct, alter, improve, aemolish or repair any structure, prlor to its issuance, also requires tne apPlicant for such permit t0 tile a 5igneC statement that he/she is licensetl pursuant to the provisions of the Contractor's License �aw (Cnapter 9(mmmencin9 with Section 7000) ot ,Olvlsion 3`ot the+Bu5ine55 antl P�ofessions Cotle) o� that he/sbe is exempt � j,'^. lere/rom an0 tlte Gasis to� the allegetl ezemOtion. Any violation oT SectiOn f�`03105 by any applicant for a pe�mit subjects [he appliCant to a civll ,"�ndity ot nol more than five huntlretl tlo11ar5 (5500). LI I,. as owner ot the property or my'employees with wages as their sole COTpensation, will tlo the wo�k, antl the.SVucture is not intentletl or ofteretl for sale (Section ]044, Business antl Pro(essional Cotle: The Contractor'S lic¢nse Law tloes not apply [o amowner ot a Oroperty who builtls o� improves thereon; antl wha tloes sucb wo�k himselt/M1erselt or through hi5 or her own employees, proviAetl thal such improvements are not intentletl or otteretl (or sdle. It, however, the builtlin9 0� improvement is soltl within one year of com- pletion, the owne� will. nave the burtlen of proving he/she tliA nOt bulltl o� im- �/Ov0 fot the pu�0ose oi Sale). ' U I, as owne� of the p�operty, am exclusivery cont�atting with licensetl mn- tractorsto construcf the project (Section ]044, Business antl Pro�essions Cotle: Tne Gontractor's License Law tloes not apply to an owner ot property who builtls or improves thereon, antl who coniracts tor such projects with a con- tractor(s1 license pursuant to tne Con[ractor's License Law). I am aware tnat proof of tnei� Worker's Compenzation insu�ance shoultl be p�ovitletl to me. ❑ I am exempt untler Section B. & P. C. for Ihis reason Date Owner _ I hereDy certity that I have read this information is correct. I agree to comp antl state la s relating to builtling con 5entatives nis city to te' p'r inspection p r os Signature _ __ _ _ _ _� _ � Drivers' License or 5 � peinspection Fea CMF OB65-46, rev.4/84 White - Builtling; Canary - Applicanp Pink - Acmuntlng; Goltlenrotl -Assessor YYl � 3 3 � TYPEOFCONSTRUCTION NEW ADD ALTERAT ❑ CONVERSION ❑ DEMOLISH OTHER DESCRIPTION OF WORK/USE OF BLDG. REPAIR TVPE OF PERMIT LJ GRADING LJ FOUNDATION�l�iSTRUCTURAL ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING L'TMECHANICAL � ❑ OTHER P�OJECT DESCRIPTION Sa. FT. ' ocCuaarvcv CONSTRUCTION TVPE VA�UATION $ 20NE � GRADINGCU.VDS. ACRES • Remarks: Sink Drinking Fountains Floor Drains � . Floor Sinks . Gas Service �Outlets Interceptors Kitchen Sink � Lavatories ' P-Trap Roof Drains �G i 2� � '.-� ' Showers . ' � - , Service Sink � -� � Sewer Cap � ' Sewer Connection � Solar Collectors - ' ' Solar Piping � � Solar Tank Swimming Pool w/Spa ! -Urinal .. . _ Watei Closet . Water Heater Water Service � � Reinspection Fee� � $15 Boiler Duct - Under GrOund Duct - Structural Duct - Ventilating Exhaust System ❑ Multiple Firepl/Fact. Blt. ICBO # ' Heating System & Ducting ❑aioo,oaa aTu Oioo,000 $15 laue fee Hoodor Typel ❑ Canopy Type I I ❑ Refrigeration System ❑aioo,000eru ❑ioo,000 System Repair/Alteration Issue Fee FEES 2944 6/26/84 A.P. # 2one S Main Building: Accessory Building: ' E T Front B Rear - A C Right K Left S Ping. Ref. # Parking Req./Provided Planning�Noces: � _ i � t � � ELECTRICAL � � ' Automatic Washer ' "- • Construction Pole Sub. Cooking Unit � Dishwasher ' - � Dryers ❑Gas ❑Electric Fan' F,A:U. Fixtures - � � . Device Bozes � Outlets Switches Garbage Disposal Generator 00.5 KW 05-15 KW $� Reinspection Fee $15 FEES DEVELOPMENT SERVICES REQUI Zonin9 APProved BY � Building Approved By Appliotion laued Bv '�-� $ 3 isformer ❑-15�50�KW ' ❑ 50+KW Meter LJup [0 100 amps Meter ❑over100amps' Sub Panel � � Motors �0-1 HP �1'/:-8 Ina Solaq�9-15 HP � 16-15+ Microwave Pole Light ' Range Sign Standing Sections Tresh Compactor � � luue Fee �1.75 TI. FEES $ 3 2 O N I N G R E Q M T S. . SUMMARV OF FEES BUILDING PEftM1T $ SMIP $ PLAN CHECK $ PERMIT P�UMBING $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ GRADING $ PLANCHECK 50% $ MICROFILM $ MECHANICAL , $ 7-�P�CO TOTALFEE $ � ��-%� PLAN CHECK 25% $ S•�I� � ` CONSTRUCTIONAND�PLANNING ' APPROVA'LS Permit # - Date 1. Temporary Electrical Service or Pole' �2. �SoihPipe-Undrgrnd.- - � `j �3:�Elecfrical ConduitLtility-Undrgrnd� � 4. Electrical�Conduit=Undrgrnd. ' 5. S`teel Reinforcement � � 6. Electcical UFER Grnd. �' %�� „ . ' ` 7..Footirigs, ` � i , 8._,Fpundation _•� �� ::� .� _ti 9: Water Pioe-tJndrarnd� _ , - . F. � 10.'Str,uctural Floor System � - 11. Property.Sewer Line'& House Connection .. . , ,. 12. Sewer Ca,p . � i ;� ; �-, � � i �� 13: Roof Drains � � � � � , 14. Rough Plumbing`,. � � 15. Rough Electrical-Conduit - i6. Rough Electric Wiring � - � 77-. Rough Wiring Sign"- - ' 18. Rough Electrical-T Bar Ceiling 19. Rough Heating & Air�Conditioning ?lh 20. Ftough Factory Fireplace 21. Ducts, in Structure . 22. Ducts, Ventilating � ' 23. Gas Pipe-Rough & Test 24. Roof Framing 25. Roof Sheathing , - 26. T-Bar Ceiling (Structurel) & Monocoat ' 27. Frame and Flashing � � . 28. Lathing & Siding . 29. Insulation 30. Drywall Nailing • 31. Pla"ster Brown Coat 32. Eleci�ical Power Meter-Final , 33. Final Electric 34�Final Heating & Air Conditioning 3�� 35. Final Gas Pipe-Test _ 36. Hood or Canopy ' ' 37. Final Factory Fireplace , � 38. Final Plumbing' � 39. Water Service-Final 40. Gas Service-Final 41. Solar pomestic-Final � 42. Backflow Preventer . 43. Backflow Irrigation , 44. ,Landscape Irrigation System 45. Sound Attenuation � , 46. Handirap Regulations . � . 47. FIN9LSTRUCTURE&�BUILDING 48. Special Requirements Completed , 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY '�o. -�Date POOL ;PA Inspector qPPROVALS Permit # � 52. Pool & Equipment Location 53: Steel Reinforcement � 54. Forms. � 55. Electrical Bonding � . , 56. Rough Plumbing & Pressure Test � 57: APPROVAL TO COVER-GUNITE � 58. Electrical Conduit-Undrgrnd. � 59. Gas Pipe, O Undrgrnd., Test -60. Backwash Lines, P-Trap, � Undrgrnd. 61. APPROVAL TO DECK 62. Backwash & Receptor-Final . 63. Heater & Vent-Final 64. Plumbing System - Final ' 65. Electrical-Final - 66. Solar SYstem-Final � 67. Fencing & Access Approval . 68. APPROVED FOR PLASTERING 69. POOL/SPASYSTEMSFINAL ,� FIRE DEPT. REQUIREMENT APPROVALS � Permit# 70. Underground Hydro � 71. Product Piping O Gas ❑ Oil 72: Underground Flush 73. Undergrnd. Storage Tank O Gas ❑ Oil 74. Overhead Hydro . 75. Dry Chemical 76. Dry Standpipe 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION 80. FOOD CERTIFICATE ISSUED � Notes: u Date Inspector ,` , ,t F � {r] G. a h � S F C � F a 0 ..7 a > � � � a O a 0. (Za� S 3 . - - �.: L5�S.6 11 COSTA MESA BUILDING•SAFETY DEPARTMENT � P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For,Applicant to Fill in Completely — Use Ink Only eui�oiNc r aooaess � 31$9 B AirwaY Avenue OWNER p,.,l �1 /r.....:.... — — ADDRESS �.901 Dove Street TEL. c�Tv Newport Beach n,o.833— BRANCH ADDFESS ARCHITECT ORENGINEER Leason P ADDFESS 44 Plaza CONTRACTORDOl] KO11 ADDRESS 1901 DOV cirv Newnort STATE uc. No. 221 764 SIZE OFLOT 4R(1!1 ci. TEI. No. 6'�9— — Oran �� II1C. TEL. No. R�3— CITV UC. NO. NO.OF BLDGS. NOW ON LOT Separate permits are required for electric, plumbing and heating work. F BUILDING AND WORK TO BE PERFORMED ?Pe t n'�FjPA��pp s?_5r� �** 123.C3 Building #18� APPLICATION FOR STRUCTURAL PERMIT EC�VE BY f�:iryiE�EJJ DATE ISSUED �� J / BUILDING �/ (/L AODRES� � w OWNER FIRE ZONE T APPROVED av Z NO.OF � PLAPLS VARDS APPROVED DISTANCE MAIN BLD VAR. �R C.U.P. � 7 USE OF NE BUILDING VARDSAPPROVED BEf. MAIN & �� - ---- - - - - � HOLD FOR SPEC AL REQUIRE EFI S 1 horeby aeknowletlpe ihat I �eva rootl thla epplicetion and rtete � that the ebove Inforrnatlon I5 eorrect antl eprae to comply wlih � oll laws reBulatin8 byiltlinB concttuction, entl 1 ahall not employ � eny person In vlolatlon of tho workmen'a compensallon lews of m thaState of Celiforn�e. 4800 .. I �araby cartify thet I am proparly Ilconutl as e contrector untlar SQ. FT. a Me Smte of Californ�o Buelneea antl Profaasione Catla, Division 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR m Cheptor 9, entl that wch Iieanus are in tull forea antl effoct, or 1 TME PURPO6E O: ESTABLISHING A PERMIT FEE ONLV: b em axempt from Me p�ovfsione of tha S[ota of Calltornie B�sinesa a VALUATION PERMIT FEE S H anE Prafasslons Cotla, Divb Chepter 9. m PLAN CHECK 5 ^� Sipnatura ot / � � ParmltteB � g��({/ TAX S f� V� U AuthO�ized AOent " �� TOTAL PAI D S � . � � 43136 � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O.BOX1200 COSTAMESA,CALIFORNIA92626 For Applicant to Fill in Completely — Use Ink Only BU�LDING �� D �� . ADDRESS � D ' pWNER '� Q �Nl _C. ZT PASC_.V BRANCM W vnie ��*' '�C —G-76c.y<,�� 252-` l.?.3.b4 APPUCATION FOR STRUCI'URAL PERMIT RECj�VE,�BV //TO�/�f/O / ��L UI /U LI) i! iir BUILDING ADDRE55 Z�-�qa LOT VALUE ADDRESS l O L V� S Z NO.OF USE OF NEW � TEL � p�q� 2 BUILDING {'.� CIYY NO. F STATE CITY VARDSAPPROVED VARDSAPPROVED � LIG. NO. 2 I IIC. NO. � MAIN BUILDING ACCESSORV BUILOING {�] 512E NO.OF BLDGS. (FflOM C/LSTREET) �. OF �OT NOW ON LOT ROM FT. FT � USE OF � ,p EX15fING BLOG. .Y I S( � c'� 5 O FT. y FSeparate permits are requ d for L. SIDE ' FT, 0 elec[ric, plumbing and heating work. aeaR FT. Fr, � VSE OF BVILDING AND WORK TO BE PERFORMED F DISTANCE BET. BET. MAIN & QQ ' MAIN BLDGS. ACC65. BLDGS. V AR. # DATE QC.U.P.� APPROVED � APPROV � Y� �1 ' � � C Yi pI hOreby eeknowletlpe Ma[ I hova raetl tnie epplleeHon antl sieta � tha[ �he ebova Intormation Is corract antl apree to eamply with � ell lawa repulating Oufltlin8 tonslruct{on, e�tl 1 sfiall not amploy Z any Peroon In violatlon of tho workmon's compansation laws of W the Smm of Cnlifornle. 3 I hereby cartity ihat I em proparly Ilcemad as a contractar untler SQ. FT. Na Steta oi Callfornla Businesa entl Protese�ona Cotla, Divieion 3, THE AMOUNT SNpWN UNOER VALUAT ChaPmr 9, entl thot vuch Ilceneec ere In full force antl effact, or I THE PUFPO6E OF ESTABLISMING A GERMIT em ezempt from t�o provicions of tha Stote of Calitornie Business VALUATION ontl P�ofocaiona Coda, D i�islOn 3, Che mr 9 � PERMIT FEE E Sipnaturo ot r/� PLAN CMECK y Permlttoa $ 3I) ��V � TAX S Authorl:atl Apant TOTAI, PAID y FOP n m i : LL � U r F � a a y y T F G W F a c 3 > i' � a � a O � a z{r� S 3 �.' /5'� COSTA MESA BUILDING-SAFETY DEPARTMENT ( P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 ForApplicant to Fill in Completely — Use [nk Onlv BUILDING ADDRESS OWNER MAIL ADDRESS CITY BRANCM ADDRESS AFCMITECT CONTRACTOR ADDRESS CITV STATE LIC. NO. 512E OF LOT USE OF t�R 28-76�N��OQ1493 ��** 184.00 APPLICATION FOR STRUCTURAL PERMIT ECEIVEDBV DATERECEIVED nn�v�cciicr f A.P. NO. BUILDING � ADDRE55� TEL. TRACT NO. A OWNER TEL. S NO. FIRE �— ZONE 7 /{ APPROVED / / � BV TEL. NO. CITV UC. NO. NO. OF BLOGS NOW ON LOT Separate permits are required for electric, plumbing and heating work. UILDING /aND WORK TO BE PERFORMED � . . ZONE NO.OF PLAN$ VAFDS APPROVED REAR FT DISTANCE BET. APPROVED LOT I!/BLOCK E OF NEW LDING VAflDS APPROVED FT & I horaby acknowletlga thet I have reatl t�is appllcaHon antl stata �^ that the ebova Infofinetion la corract entl aB�ae to comply wlth m all laws reBulatinB builtlinp conrtrueNon, end 1 ahell not employ � any perwn In vloleT�on ot the workman'a compansation lews of m t�o Steie of Calt4ornle. - ' I heroby cerilfy thas � em proparly Iiconaetl as a contractor under SQ.FT. a the Steta of Californ�a Buslnesa ontl Profesalons Cotle, Dlvialon 3, THE AMOUNT SMOWN UNDEF VALUATION IS FOF ro Chepter 9, and that such Ilcenses ore In full force and effect, or I THE PURFOSE OF ESTABLISMING A PERMIT FE ONLV: � nm exampt iram thB Provislons of tha Sroro of Cnlifornia Businesa a antl Profoselone Cotle. Dlvision 3, Chepter 9. VAIUATION PERMIT FEE S N n PLAN CHECK E .�—� ^� 0 Sipnature ot LL Parmittae S TAX E � f U A�thorizetl Apent TOTAL PAID E � Aopl ca�� •- ""'^ all svaces except those witnin heavy Goreer lines ana sign all approvriata tleclarations. CITY QF COSTA MES ry CO/+I�ISTR UCTION P RMIT . P TRACT N��I LOT NO; , UNIT N�,O`. . �tt�-,� ��-,,�/-, ,. � N Project'Address '7 L � � %� y �%i�i �Qpplicant_sMailingAddress� �6SQ C��L��.�1� �, �UC7/N• TYPEOFCONS7RUCTION _ nEW � �P.DD ALTERATION- REaAiR. ❑ CONVERSION ❑ DEMOLISH ❑ OTHER q.p,.�! � O'wner's NameLNL.�NO S'k7L�U4LTY CfLEN. ahone DESCRIPTION O,F WORK/USE OF BLDG. -� - Aildress� �/AiC/ � 4,�/121L�Al`��/� " ' - ' . ' ' '/ � S Main Bu TVPEOFPERMIT '- GRA�ING FOUNDATION STRVCTURAL " E FfOnt Arch/En9.' � � I� I ' License No. .. . T �� ' ❑ TENANT O ELECTRICAL _❑ PLUMBING ❑ MECHANICAL ' g Address� ( '- - :. � � ' ; .. A Rear �. �.�}1$t1JCe-N CGEGTl2lC B,��Qii ❑ �o'rNeR� . . Convactor's Nein t Phon - � � C Ri �t ��._. _ _". -�� . . . _ ; . i —`_ T �, Y _ T1� l'_� _' . � �' , 1 3 1 ' I.} ' Ii U _ _ � � '. I <i i 6573' Y`l89/�5' I �� ; - I 6' 1H �TL ° °H 1 i ii ip1 I m I m i � ra 1- . r� �.n Im 1 � , .. u ' i _ _ � - 2one! ,-. 1 ' I � io y G:J LNU�T ST r'� �_ �aECT OESCRIPTION Sp. FT. OCCUPANGY�' ��7� Addr`ss,lmailin I��A f � ��T � ' .CONSTRUCTIONTVPE VAWATIONS� $�' ¢ft CiLy��LiCCnse No. ' �� 2pNE GRADING CU. VDS. ' ACRES LICENSED CONTRACTOR DECLARATION Ping. R¢f. # I-hereby, affirm [hat I am licensetl untler provisions ot Cnart¢� 9(commencing • Remarks: � , i � . � � PI2n y NOt¢5: with section J000) of Division 3 of the Business antl Professlons Cotle, antl � my Ilcense is in tull to c r� effec . • � LICCOf¢ CIa55 � <lf15¢ N0.3-5� 37s� . oate%�4� 3 s�y t - -/a� WORKERS' COMPENSATION DEO ARA ON 1 hereby aitirm lhat I nave a certi(icate oi onsent to selt-insure or a certiilcate of Wo�kerz' Componsation Insurance, o� a certlfletl copY ��horoot (SeCtion 3800, Lab:-CJ �-^ = - • - - ' - ' - p�ncv rvo.7�4c �1^�._ I/1 / 77.6companv�NH��N.t}AQ ��ifuAL .�� Cerli(ietl capy Is nereby furnizh¢tl. . �� Certifietl op s f I d with the ci[y Buil i visi . �� Date � APPlicdnt� ' EXEMPTION FROM WORKERS' COMPENS ION DECLHRATION (Thissection neetl not be completetl.if the permlt Is (or one huntlratl ($100) or . less). I certity that in the periormance of Me work for whlch thiz perm�t is'issueC, I shall not emDloy any persan in any manner zo as to become subje6t to the workers' CompensaHon Laws oi CaIlPomia. • � I . Dat¢ � Signatur¢ ' 'NOTICE: If, afte� making this tlecla�a[ion, you Shoultl become subject to tha Workers' Comp¢nsation provi5ion5 ot the LabOr Cotle, you mus[ forthwith comply'with such provisions or tltis pe�mlt� 5ha1P be tleemetl revoketl. CONST0.UCTION LENDING AGENCV i . � - � 1 hereby affitm that lhlre is a mnzVuction'lentling agency fOr the pe�formance of tfie work tor whicn tnis permit is i55uetl (Section 309� Civ. CJ' LEntler'i �Ndme Lenaer's Atltlress � OWNERBUILDER DECLARATION - � - ' I hereby afiirm ttiat'I am exempt irom the Contractor's License Law for the tollowing- reason (Section ')031.5 Business antl Professional Cotle: Any city or county which requires'a oermit to construcf, alter, Improve, tlemolish or reoalr any slrucWre, priot to�its.issuance, dlso�requlres lhe applicant fOr Su6n perTil ' fto file a sianetl statement that h¢/She is Iic¢n5etl pu�suant to the provisions Of � �her¢lrom-antl th¢ basi5 for [!le dlle9ea exempUon, iany vw�auun � x uo� ,]031.5 by any appliCant tor a pe�mit Subjects the- applicant to a civil ;�endlty of�not more Ihan tive huntlretl tlollavs ($500). _ � � , ' ' i - LJ I, as owner of tne property'or my employees with wages as their sole compensation, will Do the wo�k, antl fhe 5[�ucture Is not intEntletl or otf<retl �for sale (SeCtion']044, Bu5ine55 antl PrOfessional Cotle: The COM�acto�'S Licens¢ •Law�,tloes not appry [o an owner oLa property who builtls or improves hi h Bar Sink Backflow Preventer • � Backflow Irrigation ' � Bathtubs Clarifiers . rinking Fountains i loor Drains loor Sinks as Service � Outlets �rerrnnmre. r Lavatories� - - P-TraP . Roof Drains ' � Reinspoetion Fee Shower,s Service Sink Sewer Cap Sewer Connection Solar Collecrors Solar Piping $wimming Pool w/Spa ' Urinal WdL2f CIOSCF ' ' . Water Heater � ' � Water Service . Auto-Wash ' ' Laundry Treys � � I $15. , Issue Fea . • •MECN4NICAL - thereon, antl• who tloez such wo�k 19mself/he�seH. or througn s or e� own BOil2� ' em0�oyees, OroviUetl that suCh imOrovement5 dre not intendetl Or oftered tor � sal¢. If, how¢veq Ihe builtling or im0�ovement Is soltl within one year of com- � plGtiOn,�(he Owner willl have Ihe bu�tlen Of Provin9 he/she tlitl n0[ bulltl or im- , DuCt - Und2� GrouOd prove tor the�purpose of sale). '; . . ❑ I,�as owner of.tne proper[y, am ezclusivety conbacting with li<ensetl con- Duc[-Structural , Vac[O�s to conslruc[ the project (Section ]044, Butiness and PrOfessions Cotl¢: ' The ConVactor's License Ww tloes not apply to anfowner of property who Ouct- Ventilating . builUs,orjmproves thereon; antl,who contracts for such pwjects with a con- tractor(5) Ncense pur5uant tO�Ne ConttactOr'S Licens2 Ldw). I am aware Ihat Exh2uit SyStEm ❑ Multipl¢ � proof oi thei� Worker's Compensailon insurance shoultl be provitletl to, me. _ ❑Cl�am'exemp[ uritler Section � B. & P. C. for tnis reason Fi�epl/Fact. BIL ICBO�# Dafe � � Owner, H2ating System & Ducting I hereby certify th atl this application antl s e that the above ' ❑0.100,000 BTU �100,OOOBI 'iniormatlon'is cor ct.' agree t comply wRn all tlty a ounty ortlinances ' antl stale laws r ati .lo builtli g constructlon, antl h y y authoriie re0/e- sentatives of t . to ent upon the above-m �hionetl proO��Y for � + � inspection pur � � ate /`� �J Signatur�e � Reinspection Fee � $15 Drivers' �Li nse ar 5 � -•^°a5-q6, rev'1 /84 WM1ite - Building; Canary - qpplicanp Pink - Accountin9; Goltlenrotl - Assessor _ Hoodor Typel ❑ � � Canopy : TVPe I6 ❑ � Refrigerotion System � ' ❑o-ioa,aooeru ❑ioo,000e System Repair/Alteration Fire Dampers Registers � Issue Fae - � �. c j 'Acceuory.8uild . i � - I� � I 3� �- �� _ :, � �_! � `' I - � t Parking� Feq �/Pri i I � � E � � ! � � i � � E AU[ORIdtIC V�35hCI •�- -'- --- - Construction Pole Sub. ! I Cooking Unit ' ', ' m..�,..,�..�.e. ' ' � i Dryers LJGas� LJElectric Fan � Fixwres'._. . � _"i'""" Device Boxes OuUets i.- � ;n i :.� . . � �� Z � 5._ I- � i� O! 7 �' i� '� i� N ;' � "C N � , � � � ' G �; ��, �,_,1z:� R. I ._�! `.. r. ' L �r _ 1 _' I � I = ', `, M O 1� : I�`_-' �3 S sl ! ��% I I � 50+KW j � I Meter ❑up to 100,ampi � � ; Meter ❑overi00ampsl ; � I Sub�Panel � j � I � I Motors�0-1 HP �1X-�8 j � InaSolaq�9-�75 HP �16-15+ 1 � Microwava--f-- � - .�_-�- --�—� Pole Liaht I !^ � � � � � Garbage Disposal � I i � ? Stariding�, Generator DO-5 KW �&15 KW � i Trash Co� i I r I � ] i 1 53 / ' I. � � i Reinspectian Fee � $15 �Issue Fee� FEES ' . DEVELOPMEN7SERVICESREQUIREMENTS� i Zoning Approved By � ' ' � Building Approved By � I � � 1 1 Appiiwtion laued By - � I � ' �SUMMAR ' BUILDING PEFMIT $ • � . PLAN CHECK � $ ' � � - PLUMBING� � $ � � � PLAN CHECK ,25%� $ • p��o�� - ELECTRICAL j $ �'�t! PLANCHECK 50%� $ � • � � MECHANICAL I I$ � i � $ 3 , PLAN CHECK �,25%i $ � ! � a � IMIPI I � $ 'ERMIT � ISSUANCE I $ iNERGY�P.C. I $ ;RADING $ NCROFILM �$ i "OTALFEE �$ � i � CONSTRUCTION AND PLANNING y POOL & SYA APPROVALS Permit# Date Inspector qppROVALS Permix# Date Inspector 1. Temporary Electrical Service or Pole • 52. Pool.& Equipment Location . 2: Soil. Pt'pe-Undrgrnd. - P�i�' 53. Steel Reinforcement 3:�Electrical Conduit Utility-Undrg hd. � - 54. Forms ' '� � 'A'.'ElecYrical Conduit-Undrgrnd. ;�' � 55. Electrical Bonding j,; 5. Steel-Reinforcement " " 56. Rough Plumbing & Pressure Test � r; ' . , 6. •�lectrieal UFER Grnd. � �� . 57. APPROVAL TO COVER-GUNITE `'' :i. 7. Footings ,�'� / 58. Electrical Conduit-Undrgrnd. �' '� $�� Founda'tion ,,.,:,� ; 59. Gas Pipe, � Undrgrnd., Test f'�. 9-^yleteF Pipe-Und�rgrnd. 60. Backwash Lines, P-Trap, � Undrgmd. �" 10;: �structural Floor System ;, , " 61. APPROVAL TO DECK - 1 i. Property Sewer Line & House Co�nnection ' � 62. Backwash & Receptor-Final � �• 12. Sewer Cap �, _'� ; r�: �� 63. Heater & Vent-Final - ;,� �, 13. Roof Drains � � ': � %' �' � 64. Plumbing System - Final 14. Rough Plum6ing. `� • �- 65. Electrical-Final .� �. 15. Rough Electrical-Conduit 66. Solar System-Final ' 16. Rough Electric Wiring 67. Fencing & Access�Approval j 17: Rough Wiring Sign 68. APPROVED FOR PLASTERING ( ,ig. Rough Electrical-T Bar Ceiling 69. POOL/SPASYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. DuCts, in Structure � 70. Underground Hydro 22, Ducts, Ventilating 71. Product Piping O Gas ❑ Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24, Roof Framing 73. Undergrnd. Storage Tank O 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 PREV. FINAL 30. Drywall Nailing � HEAITH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 3�. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED i 33. Final Electric Notes: {�/� v5 � � � �9" � '7"c.- 34. Final Heating & Air Conditioning � � � ' � �V - - t�[l � J 35. Final Gas Pipe-Test , � _ - f1- i3 c � ' ct % 36. Hood or Canopy �� 37, Final Factory Fireplace . ^38. Final PWmbing ' 39. Water Service-Final 40. Gas Service-Final . � qt, Solar pomestic-Final � 42. Backflow Preventer `� � 43. Backflow Irrigation 44. .landscape Irrigation System . 45. Sound Attenuation 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed � - 49. Electrie flelease to,Edison - � 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY , _ � • No. ' Date � � �� APPLICATION FOR A BUILDING PERMIT , 7ract e�ottc Lot BUILDING PERMIT NO. E18C"�"� W Vermll NO. O. Builtlln9 �� /�� Plumbing , • Atltlress � Permlt No. � Cross � Mecnanlcal a Arm $Veel �ermlt NO, d m' Owner ��` / Typ Ot ProjecL ❑ New ❑ Alter ❑ AtltlitlOn � Atltlre55 _ G �' I/J �.� ❑ R Palr ❑ Convert ❑ Demo ❑ Occupancy Pmt. p,� CItY Z�F 7�y� one �.5%"Z %�S A.P. In 0. A'rea Architect/ Zone SDI. Pmt No. Desi9ner License No. • 5etbacks P/L Fwnt C/L St. Sveet tlth Atlaress . vartls Le t i9n ear City ZID Phone ave o�. e ig Enqlneer llcense No. � Park ng SPatas aQu re ov e ovare p AOtlr¢ss m CIt 21p Pnon¢ Struct No. of NO. ai Y Height Storles Famil � � LICENSED CONTRACTOR'S DECLARATION Park Fees Yes Fec � 1 hereby affirm the� I am liconfetl �ntlar provisions ot Chaptar 9 RequlreE No C.T. Ro ipt m L (commancing with Section 7000 of Divislon 3 of the Business entl Zoning Approvetl BY: �� ._ Pro:essions Cotla, antl my licensa is in full torce antl eftecU. � licanse Clas• Licanse Numbar > Date COnhettor Misc. E Atltlress Proposetl USe � � of Structure jy City entl Zip PhOne � CONSTRUCTION LENDING AGENCV � I �eraby affirm the� ��era is a construction lentling egency for the a perto�mance Of ihe Work fOr which this permit ia issuetl ISec, 3091, ��' Typ¢ Cotl¢ ' Civ. C.1. C1a55 ConSL 1'ear C Lendar's Neme USE/OCCUPAN Y SI2E S�. FT. Lantler's Atltl�ess J OWNER�BUILDER DECLAHATION y l. I �areby affirm thet I em axampt irom t�a Convacror's Licansa Lew � for t�e (ollowin8 roe�n: � ❑ I, es ownar Of iho property, or my emplOyeos with weBas aa their 2. � fole tompansetion, will tlo t�a work, entl tho �tructure if not r intentletl or oHared }p� wle. 3 3 ❑ I, es owmr o7 the property, em exclusively conVacting wi[� pcansatl cOnVattort to cOnsV uct th� projoct. �d„ ❑ I am e�ampi under Sac. , B&PC �or t�is reawn 4' m I a Det Qwnar E WORKERS' COMVENSATION DECLARATION Total valuation � I heraby affirm that I heva e cartiticete of conaunt to selt-insure, I or a tariilicaie ol Workeri Compansation InsurancB, or a cartifie0 Enooachment Permit Re iratl ❑ as ❑ NO Cm copy thBreof. Gratlin9 Pmt. Gr tlinq y Policy No Company Requlretl ❑ Ve5 ❑ NO PT . NO. � �J CertifieC cooY �s 4araby ivmishatl. Rough GraOing � 6� Certi co y is filatl with -MYe. C/%Y t�•H. �`�° ��E �� / ApprOvetl by: Dale a oaxa �1 Aoa��cenc-Ll4Ao"��/�J-�.�...! !/L/F;JL''1— 3 CER7IFICATE OF EXEMPTION FROM WORKERS'COMPENSATIONINSURANCE Z fThis aectiOn neatl �ot be completatl if permit is for 5100 Or less), � I certify that in the pertormanea ot the work fOr w�ich this parmit is 3 i52uBtl, I th811 nOl efi�plOV any pers00 i0 EOy TEOOBr SO LS t0 bBGOmO R suE�oct tD t�a Workeri Compansacion Laws oi Californio. PERMIT FEES at• Applicent NOTICE TO APPLICANT: If, afwr makinp ihie Cartifieate ot Structural S Plan Cneck s Exempiion, you ihoyld Oecoma subject to the Workeri Compensation provisions of t�o Lebor Codo, you must torthwit� comply wit� wch SDa��al roviaionso.thi� a� ElacVi E InvesL S P P mR s�ell ba tloamotl revokad, I CERTIFV THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. I AGREE TO Plum inq f COMPLV WITH ALL COUNTV ORDINANCES AND STATE LAWS RELATING TO BUILD�NG CONSTRUCTION, AND HEREBV AUTM� M hanlcal E ORIZE REPRESENTqTIVES OF THIS COUNTV TO ENTER UPON THE ABOVE MEN710N D PROPERTV FOR INSPECTION PUR� e-Graae P ES e � G_ g-� � nsoectlon s Pr!-GraGe Po�mi� iB�eturs of ApO�ican� or Apon� Date Rea No. S Issue s Print Applicani's/Appnt's Nemo Plan ISsuance All spaces Within this box must be completed to process Check By: ADcroveG: CnnF ojjo-at �eu-ztl� rev. 6/eo „ . �� 1_��-„ _ �� , . . � 4330.1, COSTA MESA BUILDING-SAFETY DEPARTMENT � P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUI4DING �i�qc A�ewaY �vt_ ADDRESS _ i"'•✓ OWNER . �� V{--r � � F—`�I MAIL_^^ C�l� �I�CId LN. CITV (,�,G-vNa 3r��tt- No`�`!9`l ODN''TflUCT10N � � � � LENDER BRANCH � ADDRESS � OR ENGINEER ��M�� I' A� FV�I No��839- ADDR ESS � I Z �° �N��F— Sf'�(V �/ \ ft� CONTRACTOR C.L. SC{��V�� ADDRESS ZS�Ib N• ��A IGQ C/!�-• CITV vK�ri�iLlA �C�L�� TEI.Z�S NO. �TC. NO. �1�� —�S� LICVNO � SIZE q� X�'� NOWONlO 5. OF LOT useoF �N�1 Y �{{EL(, EXISTING BLOG. Separate permits are required Por electric, plumbing and heating work. USE OF BUILDING AND WOFK TO BE PERFORMED t ar3oeQTo R�� ES � Pa�r�r� o►� s I hereby acknowlatl0a thet I hava reatl this applicet(on end state that tha ebove Into�metlo� ia co��ett and ep�ea to comply wlt� ell laws reguleiinB builtllnB constructlon, antl 1 ahall not amploy eny parson in vlolatlon of Me workman's compensetion lawc ot the Stata ot Celifornle. I hereby cartify that 1 am properly Ilcensed es e coniractor untlar the Stete ot Calltornla e�sinasa antl Professfons Cotle, Dlvlsion 3, Chapter 9, antl that su lice ere In full force antl effeci, or I am exemOt fr th , rovisio f Ne Stete of Celitomla Business antlProfes' ,�livi 3 Chaptar . Signature at Permittae AUMorizetl ABent va;t� ip.tllt.�-77�..,�.00 557n ��•*16G.5! APPLICAT[ON FOR STRUCTURAL PERMIT !7 NO. OF PLAt3$ �'ARDS APPFOVED MAIN BUILDING DISTANCE BEf APPROVEO % VALUE s GRO P F� I DATE USE OF NE BUIL�1 YARDS APP VEC ACCESSORV BUILDI BET. MAIN & ACCESS.BLD DATE THE AMOUNT SHOWN UNDER VALU THE PURPOSE OF ESTABLISHING A P�RI VALVATION PERMIT FEE $ n� LAN CHECK $ $ �( �( �, TAX S (� X�I T�TPl.PA10 E n n m 'm m N J m � U COSTA MESA BUILOING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626 .,pR2s-7E�M�°DO�w�z �*��16h.!'D APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink qECEI V ED BV DP.TE RECENED DATE ISSVED BUILDING ADDRE55 � P OWNER A.P. NO. MAII BUILDING � ADDRESS ADORE55 TEL. TflACT LOT OCK CITV NO. CpN$TpUCTION W ADD A P LENOER BRANCN OWNER ADDRE55 LUE ARCHITECT TEL. SE � S � OR ENGINEER FIRE ADDRE55 ZONE TVPE GROUP APPROVED CONTRACTOR BV DATE ADDFESS TEL. ZONE NO.OF USE OF NEW CITV NO. P�� BUILDING STATE CITV �AROSAPPROVED YARDSAPPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BVILDING SI2E NO.OF BLDGS. (FROM C/L STREET) � OF LOT NOW ON LOT OM FT. FT. USE OF EXISTING BIDG. 5 FT Sepaiate permits are requiced for L. SIDE FT. FT. electric, plumbing and heating work. REAR FT. FT. USE OF B ILDING AND WORK TO BE PERFORMED DISTANCE BEf. BET. MAIN & MAIN B��GS. ACCESS. BL ''. � VAR. # DATE r 1 C.U.7.q7E APPROVED APPROVED I heraby ecknowlad9a thot I have reatl thls epplicetlon antl stete ' ' '� n ihat tha abova Information Is carrect and aprea to comPly wlth m ell lows reBuletlnB builtllnB construction, and I shall not employ � eny par3on in violation of Me workman's compansetio� laws of o tha Siete of Celifornia. m I heraby certify thai 1 em propa�ly IlcenseA as e eontractor untler SQ. FT. w i�e State of Celifornia Businecs entl Professians Cotle, Dlvision 3. THE AMOUNT SHOWN UNDER VALVATION IS FOR m Chepter 9, antl that such licenses ara in full force entl effect, or 1 THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: � am axempt fram the provislons of the Stata of Celltornia Business VALUATION `� end Professions Cotle, Dlvision 3, Chapter 9. CRMIT FEE E � m Sipnature ot P�AN CHECK S �� o Permlttae $ TAX $ LL �� f U Authorizetl Agent TOTAL PAID $ ...��:' .. 4.1565 . COSTA MESA BUILDINGSAFETV DEPARTMEN� P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 For Applicant ro Fill in Completely — Use Ink Only BUI��ING ADDRESS 3189 r. A1YWd Avenue OWNER I(O11 zrvine MAIL _^^ 1(�OL Dove Street CITV BflANCH ADDRESS ARCHITECT CONTRACTOR ADDflESS CITV STATE LIC. NO. SIZE OF LOT USE OF TEL. NO. 901 Dove Street CITV 221 764 LIC.NO. NO. OF BLDCS. Al r.l1 crr fF NOWONLOT Separate perrtrits are required for electric, plumbing and heating work. UILDING AND WOFK TO BE PERFORMED I hereby acknowlatlpB tnet I have reatl this appllcetion and siate thai the ebove intormat�on is correct entl e0�ae to comply with all laws reBulaiinp builtll�9 consvuction, anC I shell not employ any pe�son in violatlon of tha workman's compansatlon lews of the State of California. I hereby certify thai I aT PrOperly Iicensetl es e contrector under tha Stete of Californla eusinass antl Profeuiona Cotla, Division 3, Chepier 9, antl t�at s�ch licanses are in fuli torce entl effect, or I am exempt trom the pra��slons of t�e Stete of Celifornla Business and Professiong Code, Div� � heptar 9. SiOnature ot � {� . Permtttee ��-� Authorizatl Agant Na,�, 1PP16-7F�,—�,00 824:• ***110.�'6 Building #17 APPLICATION FOR STRUCTURAL PERMIT REG81�08V DATERECENED narc�cciicn BUILDING �j/ v I ADORESS � Q W A A OWNER S F�RE ZONE T APPROVED BV 20 NO.OF PLANS VARDSAPPROVED MAIN BUILDING (FROM GL STAEET)1 BET VAR. 9Y+ C.U.P.q USE OF YARDSAPPROVED ,CCESSORV BUILDING BET. MAIN & n m i m 41'S� SQ. FT. a THE AMOUNTSHOWN UNDEF VALUATION IS FOR m T1E PURPO6E OF ESTABLISHING A PERMIT FEE ONLV: � VALUATION PERMIT FEE S d PLAN CHELK § /O � o $�a, 3 3o TAX � � � TOTHLPAID S � -- �• COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MBSA, CALIPORNIA 92626 For Applicant to FHI in Completely — Use Ink Only BUILDING ADDRESS �j ��Y �.`. OWNER O TENANT �Qp,�� MAILING ADDRESS � C �.rw �-L� TEL.�Jj �-Zc CITV A NO. CON5TRUCTION /� I FNIIFF �1. �'f'. BRANCH ADDRES ADDRESS CONTRACTOR [�j (,,�W �� ADDRESS TEL. CITV NO. STATE CITV �IC. NO. LIC. NO. SI2E NO.OF BIDGS. OF LOT NOW ON LOT USE OF EXISTING 6LDG. Separate permi[s are required for electric, plumbing and heating work. US�,OF BUILDING AND WORKj�O BE PERFORMED I hareby acknawletlBe thet I hava reatl this application antl rtate thet the abova informetlon Is correct and agree to comply wlth ell lews raguletinp builtlinp consttuction, end I chall noc emplov eny person In violation of tha w0�kman's compenuilon lewe ot tha State of Calitornie. I hereby certlfy that I am properlV Ilcensed as a contrector under the State of Calitornle Buciness entl Professions Code, Dlvision 3, Chapter 9, entl that such licensas B�e in full force antl effect, or 1 am ezempt trom the provisions of tha State of Celitornle Buainesa entl Professions Code, Dlvieion 3, Chapter 9. Sipnature of�r ( � � 1— Parmittee n / or � 5 /�Z-, %C) Authorizetl A80nt Date w.�� 8/15/79 y�� .� � FORSTRUCTURALPERMIT �� 1�rS�� TR.NO. O�� LOT /� BLK, NEW ADO ALTER REPAIR MOVING DEMOLIS X WNER`JQ �'.d� Ci. � USE S�'�i`� SF.c� VALUES �DDOE APPROVED DATE APPROVEDSETBACKS PLANNING ACTION DATE APPROVED � m n b m SQ. FT. `V ] THE AMOUNT SNOWN UNOER VALUATION IS FOR m THE PURPa6E OF ESTABLISMING A PERMIT FEE ONLV: � a VALUATION PERMIT FEE E ♦�O v� m PLAN CNECK S �� p LL s j(TC} Tnx s , S'D f u TOTALPAID E _�.C_/f /, � City of Coste Mesa Bu��dinp Sefaty Dapertment P.o. Box 1200 Costa Mesa, California „ CERTIFICATE OF OCCUPANCY - �,,i� 29c�� The Building tocated at 3189-D A�::zv Aver,uo. C.�stn f•_�sa, Cali.forn�in 026?.7 has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group T-i Octupancy. Use of Building rA �i"iR4-TC1iL1 � Legal Description A. �. fY 4?.7-]94-]b (See reverse side for Metes end Bounds) euilding Permit No 47G'� Electrical Permit Non6553/46550 plumbing Permit No!G-�4� �/7' `y� Number of apartments and/or guest rooms ISSUED TO: Building Official� / � �!/ . �/%2� . J ��`L' %' b �- ^ - 0'i'�."Aii VdT'ITiR YVxCIbR C. ll'f?!7I'ill.lT - mi�ector Bu+1d� •�- ..fei VE1TL'Yi R��SEARQ�I oate Jninisrv xA. 19f�(3 � This Certificate of Occupancy SHALL BE posted in a conspicuous plaee on the premisas and SHALL NOT BE removed except by tfie Building Official of the City of Corta Mesa under Sec. 306 (e) U.B.C. 34 Rev. 31/70 . ..., / �` � COSTA MESA BUILDING-SAFETY DEPARTMENT ' P.O. BOX 1200 COSTA MESA. CALIFORNIA 92626 �PF28-76�;s�O01497 ��=*160.rC APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fdl in Completely — Use [nk Only RECEIVEDBV DATERECEIVED DATEISSUED BVILOING ADORESS OWNER , A.P. NO. MAIL BVILOING ADDRESS ADDFES � TEL. TRACT LOT BLOCK CITY NO. CONSTRUCTION W LENDER BFANCH OWNE ADDRESS ALUE ARCHITECT TEL. S � OR ENGINEER N FIRE ADDRESS ZONE TVPE GROUP APPROVED CONTRACTOF �-- BV DATE ADDRESS TEL. ZONE NO.OF USE OF NEW CITY NO. P�� BUIIDING STATE CITY �'AROSAPPROVED VAROSAPPROVED LIC. NO. � LIC. NO. MAIN BUILDING ACCESSORV BUILDING SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT OM FT. FT. USE OF E%I5TING BLDG. 5 F. FT . Separate perrrtits are required for L SIDE FT. FT. elecVic, plumbing and heating work. REAR FT. FT. USE OF e IIDING AND WORK TO BE PERFORMED DISiANCE BET. BET. MAIN & MAIN BIDGS. ACC6S 8LDC5. I VAR.qW DATE C.U.P.qW APPROVED APPROVED I ha�oby acknowledBe thei 1 have taad this appiication antl state ° r Met the obove Intormetion Is correct entl aB�ee ta comply with a all lews rapuletinp bulltling conrtructlon, anC I shell not employ � uny persan In vlolaiion oi Me workmen's compensetion laws of ; Me Stnce of Cellfornla. a 1 horeby certlfy Nat I am Droparly Iicensetl ez e eoniraetor untler SQ. FT. n tha Steta of CalHornia Businesa antl Profeufons Cotle, Divislon 3, THE AMOUNT SHOWN UNDER VALUATION IS FOR ¢ Chnptar 9, Bntl t�et 6uCh Iicen683 are In tull forte and eff«t, or I THE PVflPpSE OF ES7ABlISHING A PERMIT FEE ONLV: am eaempt from Me provlsione ot the State ot CelHornia eusiness y VALUATION PERMIT FEE § end Profeuiona Cotla, Divlalon 3, Chaptar 9. m PLAN CHECK S �` SIO�oture of �� Parmlttea 5� LL TAX 3 �� Authorizetl ABent TOTAL PAID E F � �. L:7 4 a � � T 'r� L] W F Q 0 .-1 � r � a W a O C 4 z l" 3 f��}7��j,`��' :. . COSTA MESA BUILDING-SAFETY DEPARTMENT ' P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use [nk Only OWNER �/ MAIL R 1 ADDLiESS V L CITV �` CANSTqUCTION LENDER BRANCH ADDRESS ARCHITECT 1 OF ENGINEEF ( ADDFESS CONTRACTOR j��yi56 3%08779 � 61.j�p� T4 APPLICATIONFOR"STRUCTURALPERMIT C/C_ V�� A.P. NO. ` L� —I 9y— I� PERMIT NO. �%Q�`i �U� Ao RIEss 31 8 9- D AiRtday yvv_ NOL �S�'�' 7, TRACT SO7Z LOT �• BLOCK W ADD ALTER REP OWNER O � TOM�QR VETTFR TEL. ADDRE55 tJL(J� G �C{vv{'t( E�V` CITV WS . �E��f"r NOL-�J �^ STATE pTV LIC. NO. LIC. NO. 51 Z E t I NO. OF BLDGS. OFLOT i'q i1 � NOWONLOT �5E oF h� a �� EXISTING BLOG. Separate permi[s are required for electric, plumbing anct heating work. USE OF BUILDING AND WORK YO BE PERFORMED �W�� rE ( I LT-�P 1J I hereby acknowletlge that I have reatl this appllcation antl stata that the ebove Information is corfect and agree to comply with all lows regulating builainp constru�t�on, entl I shali not employ any person (n vlolation of the warkman's compenseilon laws ot the State of California. 1 hareby certity thet 1 am properly licensed as a contrectar untler the State of Cellfornie B�siness antl Professions Code, D{vision 3, Cheptar 9, and that such licenses a�a in tull force entl affect, or I am axampt from the provisions of the Stata of Ca�ifornla Buslnass and ProfeSsions C/ tla, Division 3, Chap�/q 9. Signature of y��K1.V " ' _ �"' /C`1� Permlttee �� ""� Authorizetl Agant 20NFh NO.OF USE OF NEW /�✓%�'�� r PLAN$ 2 BUILDING �y(^j/'r�0^/ YARDSAPPpOVED YAqDSAPPROVE� MAIN BUILDING ACCESSORY BUILDING (FROM C/L STREET) DISI'ANCE BET MAIN BLDGS. VAR. qW C. V.P. 5y� APPROVED i BET. MAIN & ACCE$$.BLD DATE s—F—�9 THE AMOUNT SHOWN UNOER VALUATI THE PURPO6E OF E5TABLISHING A PERMIT VALVATION PERMITFEE 5 ^/� � PLAN CFIECK E $ // //�O TAX E ��! TOTALPAI� S E � � m 'm m IS FOR � ONLV: � a n�m `, o vLL � U � . � . . . .4.:15Et� �'T �� COSTA MESA BUILDING-SAFETY DEPARTMENT �' P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING __ __ _ . F � L Q � y F A F Q Li .� a > � � x w o. � � 0. z W 3 OWNEfl Koll/Ir ADDRESS ]_90�. DO crrv Newport CONSfRUCTION Unknown LENDER BRANCH _ �ancni i ec � Leason Pomero �� OR ENGINEER v No. 3� ADDRESS 44 Plaza Sc�uare - O� CONTRACTORDOR K011 ComDanv. r� ADDRESS 1901 Dove Street TEL. CITV Newport Beach No�83: P''—"0� s?_3� t�*106.f6 �:PR t c-7t��,, Building #16 APPLICAT(ON FOR STRUCTURAL PERMIT REC�IV�D BV DATE RECEIj(�D npTF ISSIIFC LIC. NO. 221 764 LICVNO. OF LOT 400� SC�. ft. NOWONLO 5 USE OF EXISTING BL�G. jRCIL1 St1" i a � Separate permits are required for electric, plumbing and heating work. USE OF BUILDING AND WORK TO BE PERFORMEO �� 1 heraby acknowledBa that I have reed this epplication antl state that the ebova Information is correct and aptee to comply wlih ell lews reBulaNng builtling conrtructlon, entl I shali not amploy eny person in vloletlon of tha workman's compenseiion laws of the Scate ot Calitomle. � 1 hereby ceriify that I em properly Itcensatl as e coniractor under tna Stete of Californle Bustness entl Professions Code, Division 3, Chaptar 9, entl that such Ilcanaes era in full forca antl affeci, or 1 am exempt trom ihe provisio f the State ot Callfornia Businass entl Professions Cotle, Divis 3 Chaptet 9� Sipnatura of Permlttee AuthoNzetl Agant • NO.OF � PLANS VARDS APPROVED MAIN BUILDING ROM C(af/'iTRF�y) VAR. VSE OF VARDS BET. MAIN & ACCFSS.BLD DATE APPROVED � 4000 SQ. FT. THE AMOUNTSHOWN UNDER VALU THE PURP�E OF ESTABLISHING A PERI VALVATION �/� PERMITPEE $ .��j (r� PLANCHECK E $�/ �(�V TAX E TOTALPAID $ N n m i : m J m e a N n m U Q F C Lil a Q .N. y S F COSTA MESA BUILDING-SAFETV DEPARTMENT " P.Q. QOX 1200 COSTA MESA, CALIFORNIA 92626 b��;� 3/�I 6/79 �6�0� APPLICATION FOR S'TRUCTURAC PERMIT �- � For Applicant to Fi111n Completely — Use Ink Only � RECEIVEDBV DATERECEIVED DATEISSUED ADIDRE55 3/by9� 'rw� �'V OT TvM 1�" V e- �{^ Q PERMIT NO. OWNER A.P. NO. �7 p�jnA ADDRE S� Q ADDRES5.7IQ -! 1... WI�' ✓Q� • ciTv DS� Q-5 f} NOL�S� �4 TRACT l0T BI�CK CONSTRUCTION W p` P' P LENDER O PI �- BRANCH (� � O� ��p � 1^J OWNER 0� ` ♦ ADORESS � ARCHITECT ry� TEL.(� $ � ��L ALU3 OR ENGINEER � f R I' 1 O d�9 ' FIRE ADORESS ZONE TVPE GRO CONTRACTOR O�V A'� (/ � 7%-�l BVPROVED DATE ADDRESS 3' `Q�/ � tM`T- Z E NO.OF USE OF NEW CITY %jS� p� NOL7S/ �9�/ P�� BUILDING STATE CITV �'AROSAPVROVED VARDSAPPROVED LIC. NO. LIC. NO. MAIN BUIIDiNG ACCESSORV BUILDING SIZE NO.OF BLDGS (FROM C/L STFEET) OF LOT y9 NOW ON LOT � pNT FT. FT. USEOF � A7- Shel EXISTING BLDG. � FT. Separate permits are required for L SID FT. FT. electric, plumbing and hea[ing work. REAR FT. FT. USE OF BUILDING AND W�RK TO BE PERFORMED DLSfANCE BET. BET. MAIN& MAIN BLDGS. ACC65. BLOGS. , � VAR.� DATE C.V.P.,� APPqpVED AR'ROVED I hereby ecknowledpe that � have raetl thia application entl stero �^ n that ihe above information Is corract antl eprae io comply with m ell Inws regutating bulltlinp construeNon, and I s�all not employ � any Deraon In violetlon oi Me workman's compensation lawe of m the Stata of Caiifornle. m I hereby cartify ihat I am propeily Ifcensatl aa a contractor untlor SQ. FT. a [he State ot Californle Busineu antl Protevionz Cotle, Divlaion 3, THE AMOUNT SHOWN UNDEfi VALUATION IS FOR m Chapter 9, antl that such IlCensas ere in tull torce ontl atfeti, or 1 T}IE PURPOSE OF ESTABLISNING A PERMR FEE ONLV: � om oxempt irom tha pravielons of the State o( Colifarnla eusineas VALUATI 7ERMIT FEE 5 P antl Profaestone Cotlo, Dlvitlon 3, Cheptar 9. �/ / O � PLAN CMECK S "� SIB�atura of � Permittee � $ TAX S LL F -U AuthorizetlA TOTAlPq1D S `TLa PflOJEC1��ODflESB: 31$9 AIRWAY AV 'ownewaxeMe: VETTER RESEARCH RDONESS: 31 $ 9 AIRWAY , ST D� 751-2995 �P�CAIENGINEER: ''� RDORESS: M UXIT: eeo.xa.: uxrt: ` PERMI7TEE: PETERSON ROOFING ( 714 ) 720-0812 eooeess: z& 1 6 PCH CORONA DEL MAR CA 92625 LICENSEO CONTMCT08 OECIAMTION: I �eahy amrm tlwt I am IicenseU untler pmWsions al C�apter 9(commendn0 ��h Sectlon 70W) ot Division 3 0l Ihe 6usiness an0 Pralessions Cotle, an0 cense qlull torce anC ellect. cmuc.:045445 sTahuc.:q 855 se'C-3�J� � Date: _� � Sipnatum: � 6 �� 7tL' ��'� WOflKEB3' COMPENSRTION OFCIAMTION: I �ereby aflirm a I �ave a artifiwte ot consent to selFinsum ar a cetliticata oI Warkers' Campensatian �n;yrgecp„qrp �rtifiea copy therrof (Sectian 3800, LaG. C). POLICY NO.: V L 1.7 J ucv, oa1¢: 0 4/ O S/ 91 �aMPwy: STATE , Certitied capy is Aereby tumisheE. � Ceyfie0'copy f E' � the cjl/�Bpiltlin0 Divje�n. �ate: _ _ A7DIiwnC _ . IXEMPfION FIIOM VIOBNENS' COMPENSIITION OECWU110N: (iAb uction nxE not �a mmpleteA il Ne perrtit.k la om �unOreO (510� a kss). I certity tAat in t�e pertarmance of itre xrork lor wNCA this permit is issue0, I stWl not emDloy any person m any manner so az to hecoma suEjttt to �he Warkers' Campensation Lavrs of Calitomia. Oate: SiO�atua: NOTICE: Ii, atter maltinA ��is OeGaration, you s�oNE Decome subject ro ihe WOAers CompenSalbn provisions af tAe LaEor CaEe, you must torthwii� wmON ��h suc� D�ovisions arihis perrtul s�all be tleeme0 revokeA. CONS7f1UCTI0N LEXOING �OENCY: I Irereby aKrm that t�ere is a constructian IenAinp aAency for tAe pertarmanu al t�e work for wNCA this Dermit is iswe0 (Sectbn 3W7. Gv. C). LEMOFR: ROOHESS: OWNEN BUIIDfR DECIAMTION: I hereGy atfirm ihat I am exempt Irom t�e Contrzaors' State Liunse Law tor ttia idbxinp reawn (Seciion 7031.5 Buvness anE Pmhssional Code: My ciry ol counry wNCO reQuires a permit to wnsimct, alter. ImD��e, EemolisA, or repair any swcNre, D�a� 10 its issuance, also reyvirw Ue apD�� a� such pemtit to /ile a sipne0 statement ttut he/stie ¢ tiansM pursuant to IAe proviswns ot tAe Cantracrors' State License Law (ChaD�er 9(commenrinp vnt� Section 7000) of Uvision 3 al t�e Business ana Pmfessiau CoOe) ar Nat lie/sna is exem0� Nereirom aM t�e Dasis lor Ne alle0e0 eKemD��on. My violaUan of Section 7037.5 by arry appliunt for a Dermit su�jects tM appGcant ro a civil penalry ol not more tAan frve AunUreA Eollars (SSW). 'I. as ovmer oi th DropeM ar my employees with wapu as Neir sole compamatlon. will tlo Ne wark. aM Ue ❑ strucmm is not inhnOeC or ottereA lor sale (Seclion 70a4, Buuness anE Pmleuional COEe: TM Contactors Sute Llunse Law dces not appry to an ormer ol a propeM � �WIOs or improvu Nereon, arM wtro dces suc� vrork �imselt/�ersell or t�roup� ha or her own employea, D�oNdW Uut suc� imD«�n6 aa not intenCeO ar ottereE for ule. II, Aoxrever tAe EUIIEInp or , improvementis sol0 vnlMn one year of completion. IAe awner will have tAe burCen of provinp �e/sha did not EuilO orimprove tor Ne WN� of salel. I, az owner oi t�e Droptrry, am exclutively conim[Gnq vriih IlcenSeU contractors Io con5iruct t�e proled (Seciion 7014, Bu51ne55 ❑' antl Pmlessms CoEe: The Contractors' State lkenu Law Oces not appy lo an awner oi Droperry wno o�dias a �moro� meam anU who cantracGs lor sucA prol�� a cantradoqs) Ikense Dursuan� ro t�e Contrzctors' SWta license Law�. I am aware tlai proof al Neir Warker's Comce�� sAONG be D�ontleE to rtre. � I am exempt unUer Sepion: B. 6 P. C. ror th6 reawn: Date: Oaner. I do herehy cetlity Nat I am awaze of an0 uMersWnC the reauirements oi Californu MealtA an0 Safery CoUe Sections 25505, 25533, and 25534 an0 that I or any tNure Euildinp OtNpant MiIVWilI not (afde ane) neCE to cOmpty wieh Said SGte WElS arM tlIa rEqui2menL5 for a permit tor canstruction or moEifiw�bn trom I�a Nr Oualiry Manapement Distnc[. ResiEential consiruction aDP��ions am exempt irom Ihese Drav'tsions. Date: ApDlicant: I hereGy cenity ttul I �ave reaA IAis apDfwtion anG staro tAat the � inlormatiy rnrtect. I a0�� ro wmON �+�h all ciry an0 counry ordinancesan0sfa[eWwsrelaGnpWWdAinO��re a o' e(ese ativesoiih' rytomterupmNeahave�mentlorrcE pmpeM lorirtspecnon Durposes. / �7 J .Da\ /J��'9� Sipnawa: pr's �icenu or sadai Secumy x: GreerCOEe Enfomamenp Canary—Applicank Pink—Rwenue: Gobe�votl—Asaesaor CITY OF COSTA MESA - BOILDING PERMIT PERM NO: H 048565-v PERMZT NO: H 048565 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTZON TYPE: PERMIT TYPE; STR PURPOSE: OTH JOB DESCRIPTION : REROOF 4000SF OFFICE HUILDING, FLAT ROOF SQ FT: 4,200 CLAIM VALUE: 4,200.00 CALC-VALUE: 4,200.00 GROUP OCC: B-2 / COMMENTS: X �t��r*�t�t�t�t�t�r�t�r*�t*�t�tx�i�*��r*�r�r�r�r�t**r��e*�r+r+r�r***�r**�x-**+�***********�r**�t+r�t�rx�**�fc��tx�x�***** Z O N I N G R E Q U I R E M E N T S , S E T B A C K S ------------ MAIN BUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT; FT IN REAR: FT IN FRNT: FT IN REAA: FT IN' LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN PARKING REQ• PROV; PARCEL: 00000000 ZNE: REF NO: �PLANNING NiSTES> • � (.,.- ifif7FiEiEitlfitiFik3FikiEifiEikikifilitiEikilMkkiEiElkikitiFifiEiF�filitikkikikiFlFikiEiEikMiE�EiEiE3EkifiEitikitifiEikiEiEiEiE3E1Ei�ifiF*iEikiEiE�EiF D E V E L O P M E N T S E R V I C E S R E Q U I R E M E-N T�,S 20NZNG APPROVED HY DATE: '� ' � HUILDING APPROVED BY : DATE: .•-� � r i� .. .._ � APPLICATION ISSUED BY: ik it ik iE 1! M i! ff !k!! iElf k if !f if it it �k iF it it ik iE iE iF i! ik * if f! �!!E!k k ik i! it it 1k 1klE if iF iE �F iF 1F iE it 1E 1E 1E k if Ik iF if it ik �f 1k fk it 1E itlk iElF iF iF it ik if iE f(� it LEGALIZATION:N � F E E S U M M A R Y iF ik if it iE iE ik GMENT:Y .,,� „ HLDG PMT PLUMBING ELECTRI•� MECHANIC FIRE SMIP/.RES GRADING PERMIT 72,00 ". G+' r',,, , SMIP/11�N-RES PLAN • ..63�j �.� ISSUE FEE � - BUILDING-DIV-> pERMIT ISSUE PLAN-.CHECK TOTAL PAIDi', � DUE TOTALS----> 72.63 0,00 � 0.00 72,63 72.6�3"y�� ,00 �REVENUE DIVISION TOTALS--> COLLECTED: 72.63 OVER/SHORT; '� 7' .00 BLDG PMT PLOMHING ELECTRIC MECHANIC FIRE SMZP/TOT GRADING PLAN-CHECK 72,00 • ,63 /�„ % � f �k iE iPlE iF iF iF ik iE iklE iF if 1F iE i! ik if if iE ik if if it jF iF it it iF fF ik k ih k M iE if iE it iE if it if iF if iF fk iF if M iF if 1F k if if 4 iF it iF iE iE if %9k if iF iF 3E �E 3F1 iE if iE iF if iE ik �f I N D I V I D U A L .F E E B Ft E A K D O W N �•(� ' TYPE QTY D E S C R I P T I O N UNIT COST ;J � �OTAL COST SFC 9200 REROOF HY VALUE COMMERCIAL NOZONE 1.00 � j.�4,200,00 END OF FEES �i i . � �' ;� �) ✓ �� i i i i. i I 'i�, . Q � 0i OOOb7581-p0067!SE2 'Tr�� DATE: OS/15/90 ilqE: �9:�,') u 72.63 � - � CONSTRUIIrfO� AND PLANNING - - PG ,� SPA � APPROVALS Permit # Date Inspector AppROVALS Permit # Date Inspector �� . i. Temporary Electrical Service or Po�e 52. Pool & Equipme t Location 2. Soil Pipe�Undrgrnd. � � 53. Steel Reinforce ent 3. Electrical Gonduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. ,Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. �Footings � 58. Electrical Conduit-Undrgmd. - 8. Foundation 59. Gas Pipe, O Undrgrnd., Test - 9. Water Pipe�Undrgmd. 60. Backwash Lines, P�Trap, � Undrgrnd. 10. Structural Floor System ' 61. APPROVAL TO DECK � 11. Property Sewer Line & House Connection . 62. Backwash & ReceptorFinal � 12. Sewer Cap . 63. Heater & Vent-Final ' 13. floof Drains .� � 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final :� � 15. Rough EleGtrical-Conduit 66. Solar System-Final � 76. Rough EI@ctric Wiring - 67. Fencing & Access AnP�oval 17. Rough Wiring Sign - . 68. APPROVED FOR PLASTERING . 18. Rough EleGtrical�T Bar Ceiling � 69. POOL/SPA SYSTEMS FINAL . � 19. Rough Heacing & Air Conditioning FIRE DEPT. REQUIREMENT , . 20. Rough Factory F,ireplace - • APPROVALS Permit # 21. Ducts, in Structure �' � = '70. Underground Hydro 22. Ducts, Ventilating " - � 77. Product Piping OGas OOiI 23. Gas Pipe-Rough & Test .- ' . .. -. 72, Underground Flush - 24: Roof Fram�ng ' �73. Undergrnd. Storage Tank � Gas ❑ Oil 25. Roof Shea[hing � - . . 74. Overhead Hydro � 26. T�Bar Ceilin9 (Structurall & Monocoat . _ 75:•Dry Chemical 27. Freme and Flashing � � =- 76. Dry Standpipe � 28. Lathing & Siding � . �' 77. FIXED SYSTEM FINAL � 29. Insulation ' � " 78,-�FIRE PREV. FINAL � 30. Drywall Nailing - - � HEALTH DEPT. REQUIREMENT 31. Plaster BrowmCoat � . - 79. FINAL INSPECTION 32. Electrical Po.wer Meter�Final � �80. -FOOD CERTIFICATE ISSUED 33. Final Elect�ic � - Notes: . ' � 34. Final Heating & Air.Conditioning . � �%GS'S2(f.� / Z 35. Final Gas PiPe-Test . - _ � ' 36. Hooii or Canopy , , 37. Final Factory Fireplace � • - . " �. 38. Final Plumbing � . - �- 39. Water Service-Final . .40. Gas Service�Final � 41. Solar pomestic�Final � ' 42. Batkflow Preventer , 43. Backflow Irrigation � � 44. Landscape Irripation System . ' 45. Sound Attenuation . " • • 46. Handicap Re9ulations „ � � �� i �l I ,� 47. FINAL STRUCTURE & BUILDING 3�3 � ' ' 48. FINAL PLANNING � � . ^ � 49. Electric Release to Edison � 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date , ...4-<<.= . . ; 4.:1.56.3 • ' COSTA MESA BUILDING•SAFETY DEPARTMENT P.O. BOX 1200 COS7A MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only BUILDING _ _ __ — _ . _ OWNER Koll/Irvine � MAIL TEL. arv Newnort Seach No833— BRANCH ADDRESS ADDRE55 44 Plaza Square - Oran CONTRACTOfD021 KO11 COIRDdR�� IRC. ADDRESS 1901 Dove Street TE�. c�rv Newport Beach No.g33- LC NO. 221 %G4 ' LICyNO. SIZE NO.OF BLDGS. OFLOT G�000 S�(. ft,. NOWONLOT USE OF EXISfINGBLDG. TTlrilictYia7 Separate permits are required for electric, plumbing and heating work. � USE OF BUIIDING AND WORK TO BE PERFOFMED • I hereby ecknowletlpe that I hava reatl this application and sta<e that She above iniormailon Is corract antl agree to comply with all laws re8ulatinB buildinp construction, anA I shall not employ any parson in vlolation of the workmen's compensation laws of ffie State of Califomle. . I hereby certify that I am properly Iicensetl as a contractor under the State of California Businass and Professions Cotle, Division 3, Chapier 9, antl thai s�ch licensas era in full forca antl effect, or I am exempt from the provlsion e State of California eusiness and Professions Code, Divislo /�/ pter 9. �J Stgneture of �'/✓�/I '/ ' Permittee ��id �'71"G'V�-- ��PR S 5-7hP`'`=00 s22'r ,:>': * 106.P6 �,:- Building #15 APPLICATION FOR STRUCfURAL PERMIT RECEIVED BV DATE RECEIVED nnrc �ceimn ZO NO.OF USE OF N ! PV1N5 BUILDI VAROSAPPROVED VARDSAPPROVED . MAIN BUILDING ACCESSOPV BUIIDII (PROM GLb76E.ET) _ DISTANCE BEf. BEf. MAIN & MAIN BLDGS. ACCESri. BLD CURP�•��iJr'_�JZ�� LWPROVEDI N n m i : �IOOO Sn. FT. cmi THE AMOUNTSHOWN UNDER VALUATION IS FOF m THE PURPOSE OF ESiABLi$HING A PERMIT FEE ONLV: � VALUATION PERMIT FEE § a N m LANCHECK E ,O ��,0 '^ , /.. 0 $/ � �,, �}.�/) TAX E � -� � � v � TOTALPA�D S � V ,..- . �� r. . COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 7T00 COSTA MESA. CALIFORNIA 92626 a�a?_8-76�W�=,001490 ��`��160.OG APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use Ink Only RECEIVED BV DATE FECEIVED DATE ISSUED BUILDING � ADDRESS • P OWNER A.P. NO. MAIL BUII�ING�/ � ADDRESS� ADDRES TEL. TRACT LOT BLOCK CITV NO. CONSTRUCTION W A A R P LENDER eqANCH OWNER ADDRESS VALUE ARCHITECT TEL. S � 5 OR ENGINEER N FIFiE ADDRE55 ZONE TYPE GROUP APPROVED CONTRACTOR BV D.4TE ADDRESS TEL. ZONE NO.OF USE OF NEW CITV NO. P�� BUILDING STATE CITY YARDSAPPROVED VAROSAPPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING SIZE NO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT RONT FT. FT. USE OF EXISiING BLDG. FT. FT Separate permits are required Tor L. SIDE FT. FT. electric, plumbing and heating work. REAR FT. FT. USE OF 8 IIDING AND WOFK TO BE PERFORMED OISTANCE BET. BET. MAIN'& MAIN BLDCaS. ACCE55. BLDGS. VAR.qW OATE / / C.U.P.qW APPROVED PPROVED I hereby acknowled0e thet I have reetl this eppllcatian entl state � thet the ebova Informetion is corract and agree to comply with � ell lews regulating builtling conrtrucHon, entl I shell not amploy eny parmn in vlolatlon of Ma workman's compenfation iaws of ; the Stata of Galifornia. I heraby cert(fy that 1 am properly I(censetl as a contractor untler S�. FT. i the State of California Business antl Protassionz Cotla, Division 3, THE AMOUNT SNOWN UNDER VALUATION IS FOR p Chapter 9, and that such Iicensas era in full forca antl effect, or I THE GURPpSE OF ESTABLISHING A PERMIT FEE ONLV: � em exampt from the provlsions of ihe Stete ot Cellfornia Business VALUATION PERMIT FEE $ end Professions Code, Divtsion 3, Cheptar 9. I� � PLAN CHECK § �� Signawra of ///JJJ : Permlttee 3 �{/ TAX $ �— ( Authoflzetl ABeni / TOTAL PAID E �� CO°in M!'SA BUILDING—SAFETY DEPAHTMENT il �'� P. 0. BOX 1200 Coata Mesa, California 2498 2/24/Bz-- ' -=,-•"�—nt� � � TR�CT NO.�L /t/_!�/ �� Yo� (�O OfltreCtOf � LOT N0. �d� ddrtss BUILOtNG USE �=�T��S�� ity Zip Code / :elG LICCnSC No. CI855. � BUILDING /� , /� / �OORE55 ity Lianx No. Tel. No. ' N0. ITEM EACN FEES COST� MES�, CALIFORNI� �� FAU, Well, or Grav. � �� Furn. Incl. Dutts and � Y Ven[5 OWNER to 100 000 BTU MAIL /� Ov¢� IOO,OOO BTU AODRE55 , �� , /y QTV � �l y TEL.MO.� 11C7/ Vent (if not incl. above) ��, Kf'� 1 hereby eck�nowledge that I heve read [his epplicetion Sus anded Hea[er u and�'stateSthet tht above is correct nnd agree to comply Alter or Replace with�allYCit Ordinances and Stute Lews re uletin Heet- Appliente .'�. `V' Y B B ver eet o ��g: Ventilating, Refrigeretion end AirvConditioning. gas Pipin9 �1 i BOILERS OR \'( �' 1 cer[ity lhat I possess the ebove valid State of Calif- COMPRESSORS '� y� omia classi(icntion or I am the legel owner of the single '� Y� �✓' family residential properry described above. 3 H.P. or lass ^D' ver H. . to �( qV„l � Signawre of 15 H.P. ��1 Y� � permitroe Bathroom Vent Fan—Sin le Duct, Kit�hen_ (� �" �' REMARKS: Plan Check aeinspection Fee Processing Fee TOTALFEES CMF 0449-46 ' •PPROVALS ! DuCts Undetgmund I Ducts in Stmcture I Duc[s Ventilating rHeating — Rough Hoods �� Refrigeration Lincs �Pressure Test Air-Cond. Finel Ventileting Final Heating Finel ( Refrigeration Final . Final Gas Test Utility Co. Notified BLDG. PERMIT NO. INSPECTOR I D�TE �� • II)N 29'77Fnluoo4761'= ��5� *f� t A6.52 ;. .� ..��?� 9 - COST,4 MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Completely — Use [nk Only RECEIVEDBV �ATERECEIVED DrTEISS ED BUILDING ' � �r /i� / / .. � ADDRESS �-�V «5q py) ' w" '� �"_�w...�_.. _ '_� ""._ U77_ ��/i�.-/A% P//��(./ F�+ W 4 a h y S E• C W E� 0 ...1 Q 7 i' .a � w a. � a a z � 3 OWNER MAIL ADDRESS CITV BRANCH ADDRESS ARCHITEI TEL. NO. CONTRACTOR ti(,(f��/�(fA/lrjj{�fT b ��'q�—'—� ADDRESS CITV �� l C NO. //1 ' �� IICVNO� 512E i NO.� OF LOT NOW ON LC USE OF EXISTING BLDG. Separa[e permits are required for electric, plumbing and heating work. VSE OF BUILDING AND WORK TO BE PERFORMED I haraby acknowlatlpe that I havo roatl this epplieetion anC stete that the abava Information is correct en� apree to eomply wit� ell laws ropwa�i�q o�uai�c 000nr��cio�, o�a i:nen not amploy nny pe�son in vloletion of tha workmen'a compensation laws of Me Smm of Californle. I �eroby cartify thot m proparly Iicansatl as a conttactor unAat the Stete of Callfor Buainass antl Profesalonz Cotla, Dlvision 3, Chaptar 9, antl th ch Ileenwa era in tull torca entl etfect, or 1 em axomvt trom provlsions t e State of Celifornia Business entl Professlone , DIvl�ion 3 ter 9. SlpnnSure of Permittae Authorized nt OWNER Cpr� PvT��2 C/' VALUE ��F /A/% pu. 5 FIRE 20NE APPROVED 7 � NE NO.OF USE OF NE � � N m�� PLANS 2 BUILDING �N/ ^ VARDSAPPROVED YARDSAPPROVED VAF. q¢- C.V.P.gW BE7. AQCIfy& ACCESS` DATE APPROVED THE AMOUNTSHOWN UN�ER VA�U THE PURPOSE OF ESiA8lI5HING A PER� VALUATION PERMIT FEE E PLAN CMECK E 5 / �/� w (/�� TAx E TOTALPAID E �r N n m i a m N FOF m JLV: N m 0 LL f U � � AOP�i�ant to lill In all spaces exceo� those within neavy boraer lines anE sign all apvroD��ate Oeclarations. +'CI7•;.OF cOSra MESn CQ NSTRUCTION PERMIT ;� Project Address 4� '�' `/� /¢/��*/•9 y/ — Scl iTi£ k. Applicant'sMailin9Address '��.?�$ s pA/,2V/Euli �/� Owner's Name � K C ,• ��U��U�y� ph�oneGY/Tsts� Address 3�F19 /4�Q�3�L� �' •�Sv_i_i�„%� � Arch/Eng. License No. Address '�",,� � Convactor'sNameC9.r[/sE1/'4' G/�ESr ��dp one 9s9-584� Addreu (mailing) �Z'ffi 'S, f�fLEV/fE4�) �J!/i'¢ .BN�� C�/t' City License No. D/ 9/ A g � LICENSED CONTRACTOR DECLARATION 1 hereby atfirm that I am Iicensed untler provisions ot Chartor 9(commencing with Section ]000) of Division 3 O/ the Bu5ine55 antl ProfeSSionS Cotle, antl my Iicense is in tul force antl efte��. � License Cia s �' 4ce Date Signature WOHKERS'COMPENSATION DECLARATION I hereDy aHirm that I have a certif�cata of consent to self-Insure or a certiticate � ` Workers' Compensation Insurance, o� a certifietl Copy lhereo/ (Sectlon A0, Lab. CJ , � PoliCy No. ,ecsa �0�9-<— Company 4 EY �r y,� w Certifietl copy is hereby fumished. Certlfi c D� �letl with the bity B i tli g (on. \Da[e Applicdnt EXEMV ION FROM WORKERS' COMPENSATION D CLARATION � (ThiS Settion neetl not ba completCtl i� [be permi[ is tor On¢ huntlretl (5100) o� less). I certity thal in Ih¢ perto�mance ot tne wo�k (o� which thi5 perm�l is ISsuetl I zhall no[ employ any person in a�Y manner so as to become subject to t�e Workers' Comoensation Laws of Califomia. Date SignatUre NOTICE: It, aiter making this tleGlaratlon, you shoultl become subject to the Workers' Compensation provi5ion5 of lhe Labor CoUe, you must torthwith comply wiih such p�ovisions tlr tttis p¢rmit Shall be tleemetl �evoka0. CONSTRUCTION LENOING AGENCV I nereby atlirm t�at tnere is a cons«uction lentlin9 agenq tor the performance of ihe work far whiCh thi5 permit is issuea (Sectlon 309� Civ. C.) Lentler's Name Lentler's Atltlress OWNER BUILOER OECLARATION I hereby affirm that I am exemp� bom [he ConVactor'S LI<en5e Law 10r Ihe followin9 reazon (Sectlon ]031.5 Bu5ine55 antl Professional Cotle: Any city or county wnlch �equire5 a p¢rmit tP �Onstruc[, alteq imDrove, tlemolish or r¢pair - any structure,- pdor to Its issuanEe, also requires the applicant (or such permit . to file a Siqnetl statement that he/sh¢ is IicPnsetl pu�suan[ to the provisions o( the Contractor'S License Law (Cnapter 9(commencing with Section �000) o� Division 3 of the BuSiness antl Prolessions Cotle) or thaF he/she is exemPt �refrom antl the basis (or the dllegetl ezemption. Any vlolatlon ot $ectlon 71.5 by any applicanl for a Permit subjects tne applicant to a civil .�alty of not more Ihan five huntlree tlollars (5500). L� 1, az owner ot the pmperry or my emplovees with wages as thelr sole compensation, will tlo [he work, antl tha structure is not intentletl or ofteretl for wle (Section 7044, Business antl Professional Cotle: The Conlractor's License Law tloes nOl dpply_jQyw�'�er of a property who bu11tl5 0� improves thareon, antl who tloes sucn wolk himself/herself or through his or her own employees, 0/ovitletl that Such ir�P/ovements are not intentled o� offer¢tl (or wl¢. I1, �owever, the builtling or improv¢ment is soltl withln on¢ year of com- plelion, the owner will have the pur�en oi O�oving he/she tlitl nol builtl or im- prove for tlte Ourpose of sale). ❑ I, as owne� 01 the Oroperty, Dm ¢xGluzively tontracting wllh IlcenSetl CO�- Vactors to consiruct the Oroje<t (Sectlon 7044, Business anG Professionz COCe: The Contractor's Licenze Law tloez not apply to an owner ot property who builtls or improves thereon, antl wno contracts tor such projects with a con- Iractor�sl license pu�suant to the ContraCtor's LicenSe Law). I am awa�e ihat proof of their Worker'S Compe�saHon Insu�ance shoultl be Provitletl to me. ❑ 1 am exempt untler 5ection 8. & P. C. Por this reason Date Owner — I hereby certify that I have reaG this a Signature �� Drivers' License or 55 � property N1�3Z�3� � ....- - ( --: -- I �..�. TVPE OFCONSTRUCTION ,NEW ADD ALTERATION REPAIR ❑ CONVERSION ❑ DEMOLISH ❑ OTHER DESCRIPTIONOFWORK/USEOFBLDG. C�N�'N't�l�=— TVPEOFPERMIT GRADING FOUNDATIOpN� STRUCTVRAL ❑ TENANT � E�ECTRICAL ❑ PLVMBING y.]� MECHANICAL . ❑ OTHER - PR0.IECT DESCRIPTION SQ. FT. OCCUPANCV CONSTRUCTION TVPE VALUATION $ ZONE GRADINGCU.YDS. ACRE� Remarki: Sink Preventer Irrigation rinking Fountains loor D�ains loor Sinks as Service Outlets Kitchen Sink Lavatories Drains Reinspection Fee � $15 Duct - Under Ground Duct - Structural Duc� - Ventilating Exhaust System ❑ Multiple ❑ Firepl/Fact. Blt. ICBO # Heating System & Ducting ❑ P7 00,000 BTU O 100,000 BTi Rein:pection Fee, I $15 --rnnF 0865_46, rev. 30/84 White - Builtling; Canary - Appllcant: Pink - Accountinq; Goltlenrotl - Aszessor FEES Showers Service Sink Sewer Cap Sewer Connection Solar Collectors Solar Pipin9 �� Solar Tank Swimming Pool w(Spa Urinal Water Closet Water Heater Water Service Auto-Wash Issue Fea � $ 3 Hood or Type I ❑ Canopy Type II ❑ Refrigeration System ❑0.100,OOOBTU ❑100,000 System Repair/Alteration Fire Dampers Registers Issue Fee A.P. qIE S Main Building: E T Front B Rear A C Right g Le(t Ping. Ref. � Planning Notes: 7941 3/31/B� 500� 1 Zone Accessory Building: Z O N I N G R Parking Feq.IProvided E M T S ELECTRICAL Automatic Washer Transformei ❑ 15�50 KW Construction Pole Suh. , ❑ 50 + KW Cooking Unit Meter ❑up to 100amps Dishwasher Meter ❑over 100amps Dryers �Gas ❑Electric Sub Panel Fan Moiors �0-1 HP � 1 X- 8 F.A.U. Inc.Solar �9-15 HP �16-15+ Fixtures Microwave Device Boxes Pole Light Outlets . Range Switches Si9n Garbage Disposal Standing Sections Generator,�0.5 KW �5-75 KW Tresh Compactor � Rainspection Fee I$15 � � luue Fee DEVELOPMENT SERVICES REQUIREMENTS: Zoning Approved By Building Approved By APolifation luued 6v � � FEES $ � SUMMARV OF FEES v BUILDING PERMIT $ SMIP $ PLAN CHECK $ PERMIT PLUMBING ' $ ISSUANCE $ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL $ 2ro • � GRADING $ PLANCHECK 50% $ MICROFILM $ MECHANICAL $ � TOTALFEE $ � PLAN CHECK 25% $ �% ' ' POOL & SPA CONSTRUCTION ANDPLANNING, � APPROVALS Permit # '� ,- Date Inspector p�ppROVALS P.ermit # Date Inspector /.q , i ti�Temporary Electrical Service or Pole �+� . 52. Pool & Equipment Location � , 2. Soil Pipe-Undrgrnd. {� l� � 53. Steel Reinforcement � 3. Electrical Conduit Utility-Undrgrnd.L. � 54. Forms '' . � 4. Electrical Conduit-Undrgrnd. �'; )� 55. Electrical Bonding � � - 5. Steel Reinforcement r/' �"= 56. Rough Plumbing & Pressure Test - i 6. Electrical UFER Grnd: ,l � �� ' 57. APPROVALTO COVER-GUNITE ' , . , 7 fFootings � - , l� �'.' . 58. Electrical Conduit-Undrgmd. . . 8 �Foyndation `�,,,�/ ' � � 59. Gas Pipe, � Undrgrnd., Test � � .� 9� Water Pipe-Undrgrnd� f � � • 60. Backwash Lines, P-Trap, 0 Undrgrnd: � c 10. Structural Floor System 61. APPROVAL TO DECK ' 71. Property Sewer, Line & House Connection 62. Backwash & ReceptorFinal 12.. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains � 64. Plumbing System - Final 14. Rough Plumbing ' . 65. Electrical-Final 15. Rough Electrical-Conduit , ' 66. Solar SYstem-Final � � 16. Rough Electric Wiring ,�. 67. Fencing & Acces's Approval ' � 17. Rough Wiring Sign � � 68. APPROVED FOR PLASTERING � �\�8! Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20.SAough Factory Fireplace APPROVALS Permit # (� •'�� 2L� DuCts, in Structure � 70. Underground Hydro . s � 22J'DucYs, Ventilating � 71. Product Piping 0 Gas ❑ O,il �' . v 23�GavPipe-Rough & Test 72. Underground Flush , �. ; 24:1.Roof Framing � 73. Undergrnd.StorageTank OGas ❑Oil - -� 25,'.Roof Sheathing 74. Overhead Hydro V � 26.�T; Ban Ceiling (Structurel) & Monocoat ' 75. Dry Chemical . �� - 27. �Frame and Flashing � 76. Dry Standpipe ,. j� 28. Lathing & Siding 77. FIXED SYSTEM FINAL `� � :� 29. Insulation �' � 78. FIfiE PREV. FINAC �� ' .- + 30. Drywall Nailing ' HEALTH DEPT. R�EQUIREMENT ' n. 31. Plaster Brown Coat 79. FINAL INSPECTION �`� - � �=j i 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED . �� r, 33. Final Electric Notes: � �� 34. Final Heating & Air Conditioning ci � p y L�� . ;'� 35. Final Gas Pipe-Test � � � `~ ,,. 36. Hood or Canopy �i. .-'�' �� r- `f,' r,�; �{; / ;A d 37.' Final Factory Fireplace " i� s '�' � �" �� ,.9 "!!� i ../-� d.l�' 38�'. Final Plumbing � � ��^ ��-� �� f� � �� ',� � � .-f 39� Water Service-Final � /�:, . �y ' .�, „ • � ' � . r -_�' �, 40!Gas Service-Final - - 4 � � � i�, iv rr � ��4t7�jSolar pomesticFinal - � � �7 r� `� « � - r �� 42�Backflow Preventer %�'� ��.% ' L ' � � % ^� %� , v, , d/, � . • ., , � � - •L_ � ry43. Backflow Irrigation �%r/_. �{ � �' i;' :1 �� i i., � �„44�.f'.Landscape Irrigation System � �� %, �,,, � � J; � `�45. Sound Attenuation '� Q �; � � �'� '�� 46;HandicapRegulations � � . _ "� � � ,4 7• J ��FINALSTRUCTURE&BUILDING � V C� }^ j ^ :, ;�^ ` 48�fSpecial Requirements Completed � � �i ` � - �a�� ' ,� � 49. Electric Release to Edison ., n7 . r'? ('• � � � �.. 50. Gas Release to Southern California Gas Co �j �� .* 57. CERTIFICATE OF OCCUPANCY ' , j� . No. Date ' ��i\ o � � . '�. � _. _, � �� a 10.1ECT pODflE8S: 3], S 9 AI RWAY AV OWNEP'SN�ME: MKS INVESTMENT INC aooness: 6 SHATTUCK RD ENDOVER MA 01810 uxiT: E IIpCHfENGINEER: flE0.N0.: enoeess: uxi1: PERMITTEE: ROSS AND BARROWS INC ( 714 ) 557-7440 nooaess: 2 6 0 E ALTON SA CA 92707 OCENSEO CONTMCTOB OECIAMTION: I herehy aKrm that I am licensed under Drovisions of Chapter 9(commencinp with Section 7000) o1,0ivision 3 of Ihe Business an0 Professions CoOe, and my license is in full force and ettect. ciTruc.: 02Q92 � STRTEIlC.:3ZiHOi __ CLASS: C-39 ., �AI� � . Oate: � Signatura: —/�«� Q� WOflKEBS' COMPENSRTION UECUNRTION: I �ereby aKrm Ihat I have a certifiwte of cansent to ulbinsure or a cetlificate oi Workers' Compensation Ipsy�aqc�q� �cerlifieA copy thereot (Sec[io�P. 0 TEab �7 / O 1/ 9 O PoUCY ND.: b V b .3 cornrnxv: STATE ,'� Certifie0 copy is �ereby fumished. � Cerlitie0 copy is fileU with ihe ciry BuilUing Division. Oate: 5— i— L d APOlicant: �"}.`� „'�l/ /�..vtn...�.� IXEMVfION FNOM WOHKEIIS' COMPEN&t10N OECIANITION: (Ihis sectian nre0 not be mmDleteA il the permit k lor one huntlaA (5100) ar less�. I cemty that in the peAormance of tAe wod for whic� this permit is issueQ I sAall na[ employ any person in any manner w as ro become suhlect ro ihe Workers' Compensation Laws at California. Oate: SIAnaWre: NOTICE: II, atler making Ihis Eeclaration, you shoulU became suble� to tAe Workers' ComDensatlon Dravisions ol t�e LaOor Code, you must fort�with compty with SucA pmvisions or ihis permit shall �e 4eemeE revoke0. CONBTIIUCTION LENOINO ROEXCY: I �ere0y affirm Ihat there is a construction lentling apency for the peRormance af tAe work tar � w�ich this permil is issued (Setlion 3097, Civ. C�. �xocw: ' eooeess: OWNEB BUILOEB OEIXAMTION: I AereUy aff�rm t�at I am axempt Imm Iha Conlractors' State Licanse Law far �ha tollowinp reason (Section 7031.5 Business an0 Protessional CoGa: My ciry oi counry whicA requires a Oermit to cons[ruct, atter, improve, tlemolis�, or repair any structure, Dnor to its issuance, also reQuires t�e apD�iwnt for such permit to file a 5igneE statement Nat Aelshe is licenud pursuant to the pmNsions of tha Con[racrors' State License Law (ChaD�e� 9lcommencinp vnih Section 7000) af Division 3 0l t�e 6usiness an0 Professions Code) or t�at he/she is exemD� ��e�e�rom and t�e basis for tAe alleqed axemption. Any nolatian ai Section 7031.5 by any ap0�iwnt lor a OermR su�lects ihe applicant to a civil penalry oi not more [han five huntlred Eollars (5500). I, as owner ai ihe praperty or my`employees witA-wapes as�iheir wle compenutlon, will Uo the xrork, anC the ❑ slmciure is not intenAetl or otlereJ for sale (Secbon 7W4, Business antl Pm/essional Cotle: The Coniractors' State Licanse Law tlaes not appty m an owner ot a property who builds or improves Nereon, an0 who Aaes such woM Aimsettmerselt or [hmuph his ar her own employees, D�oviAeO �Aat sucfi improvemenis are not IntenAeO or atlere0 for sale. Ii, �owever [he builtlinp or imD�ovemen[ is wld vnthin one year of camDleUoq the owner will have Ne hur0en ai provin0 he/she Oitl not builU or imDrava for t�e Durpose oi sate). I, az owner of the D�operry, am exclusively controctinp with licensatl wniractors to con5truci ��e Orole�t (Section 7044, Business ❑ an0 Pmiessians Code: The Con[ractars State License �aw Uces nat appty to an owner of pmperty wlio bmltls or Improves Nereon anE who caniracis for such D�at�s ii� a contractoqs) license Dursuantto Ihe Contractars' State License Law),I am aware that pmof of iheir Worker's Compens.Non insurance SAouIA he DmvideA to me. � I am exemD� un0er Sectian: � B. 8 P. C. tor this reasan: Date: Owner. I Ao AereEy certiry thai I am aware al an0 un0erstand t�e aquiremeMs al Califomia Healih an0 Satery CoEe Sections 2550.5, 25533, anU 25534 anU Ihat I or any IUNre 6uiltlinp occupant will/will not (circle one) neetl ro compty with saitl state codes an0 IAe requimmants for a permit for construction or mo0i/ication irom the Air Oualiry Managemen[ Distnct. NesiOential construction ap0lications are exemD� �ram tnese pmvisians. Oate: ppDlicanc , I hereby certity that I have reatl IDis ap0�ication and state that ihe above informatian is correct. I apree ro com0ly wilh all ciry ana counry or0inances ana stata laws relatinq to EuilAinp consiructian antl Aere6y au[horize representatives of Ihis cRy to enixupon the aEove-mentlonetl property farinspection purposes. � ^ p ��y�� Date: �% � 7^ d D SipnaNre: �/ ��—� � Dnvei''s �icense ar Socia� Secudry x: White—BuilEing; Green—COEe Enbrcemenp Cenary—Applicank Pink—Revanue; Goltlenrotl—Asseawr �,�, , �--___-� \ CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 047209 (/ ' V PERMIT NO: H 047209 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYFE: PERMIT TYPE; STR . PURPOSE: ALT JOB DESCRIPTION : T/O AND REROOF SQ FT: 7,400 CLAZM VALUE: 7,400.00 CALC—VALUE; V 7,400.00 GROUP OCC: H-2 / COMMENTS: TEAR OFF/REROOF W/ CLASS "A" 4 PLY ��*�*****��r�*�x��r�**�r�r*�*�***��r�***�*�r�r**�***+r*��r**�**+rx�x��*��r�r**+�*x�******� Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN HUILDING ---------- --------- ACCESSORY BUILDING --------- FRNT: FT ZN REAR: FT IN FRNT: FT IN REAR: �FT IN LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN PARKING REO• PROV: PARCEL: 00000000 ZNE: REF NO: PLANNING N6TES> • � " > it if if ik if if iE if it it # it ik it it it if it if ik it 1f it 1t iE if i(� iE 1E if i! ik if ik iE ik iE iE i! if iE iE ik ik if if iF iFlt i! it iE if jt if it jF iF iE iF iE iF if iE iE if if iF iE if iE iE it ih jk iF it iE it D E V E L O P M E N T S E R V I C E S R E Q U I R E M E N�.T S ZONING APPROVED BY ' DATE: BUILDING APPROVED BY : DATE:�1.. APPLICATION ISSUED BY: DATE:��.S'G7%'`70 k if 1E if if iF if if iE if if iE if ik ik iE 3E iE iE iF if iE if it iF jE iE iF �k iE iF it3��t iE ifiPif3tiEiEiEiflEiFkiEiEiEiEiFiEiEiEiEifiFiEiFitifikifiEiEdE3fiEiEiliEitlfiEiE ifiEiEiEiEil9EiEiEiEiEiEiEitjEifiEifitiEiEiE*iEiEik.iEiEiP�F�EifiEifiEikifiE LEGALIZATION:N � F E E S NI M A R Y STRUCTURAL'SEGMENT:Y I BLDG PMT PLUMBING ELECTA C MECHANIC FIRE SMIP/RES � GRADING PERMIT 99. 00 � �J-- SMIP/K ISSUE FEE lf � HUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID .TOTALS----> 100,11 0.00 0.00 100,11 100.1;1 ` - i REVENUE DIVISION TOTALS--> .' COLLECTfiD: 100.11 OVER/SHORT:! BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADIr 99.00 1.11 � iE iE iF it M iE it it if if jf ik iE iF if 9E 3f 3E �t ik aE i4 9E iF iE jE �1f if iF If iF if jf iF iE iF iF iF if iE �f 3F iR iE 3E iE iE if 3E iE ik if iE iE if if iF * iF iF iF iF �E iF jF if if I N D I V I D �' TYPE SFC QTY %4�� N—RES' 1,,� '�. 'DUE I �� . � � �.'-i."-`I , ' 0 0 P.LAN—CHECK I�I � i4 J!'iE' 3f ±E iE iE iE iE 3F iE U A L F E E B R E A K D O W N � , �� D E S C R I P T I O N REROOF BY VALUE COMMERCIAL NOZONE END OF FEES Ol/ UNIT COST �*'��T�OTAL COST 1.00 �� 'j 7, 400.00 �� I I�fj� � i r• ; ,��! � 01 ODQ60245-OOO6D24o I;C�T iQR.?T DATE: 05/p7/90 TIi1E: 7,Q:14 _ 0 � ..--� ( ' � CONSTRUCTION AND PLANNING APPROVALS Permit # Date 1. Temporary Electrical Servite�or Pole,-; i 2...Soil Pipe-Undrgrnd. � � ,,, 3. Electrical Conduit Utility-Undrgrnd. 4. Electrical Conduit-UndrgrnA. • 5. Steel Reinforcement �� .6. Electrical UFER Grnd. 7. Footings - - � i • 8. Foundation . - � 9. Water Pipe-Undrgrnd. �� 10. Structural Floor System ' . 11. Properry Sewer Line & House-Connection " 72. Sewer Cap . , - ,� 13. Roof Drains - � '' � � 14. Rough Plumbing � 15. Rough Electrical•Conduit � , ; 16. Rough Electric Wiring - 17. Rough Wiring Sign ' 18. Rough Electrical-T Bar Ceiling � 79. Rough Heating & Air Conditioning 20. Rough Facto;y Fireplace _' ' 21. Ducts,in Structure � ' ` . 22. Ducts, Ventilating� . � " � 23.�Gas Pipe-Rough & Test ' � 24. Roof Framing �- � 25. Roof Sheathing ' 26. T�Bar Ceiling (Structural) &�Monocoat 27. �Frame and Flashing � '" Inspector 0 28. Lathing & Siding ' - " � �� 29. Insulation � - � � ' ''' . 30. Drywall Nailing _, � `31. Plaster Brown Coat . � 32. Electrical Power Meter�Final ' 33. Final Electric . �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 pomestic-Final � 42. Backflow Preventer � 43. Backflow Irrigation� � -c `44. Landscape Irrigation System . • � 45.'Sound Attenuation � .. . . � .46. �Handicap Regulations ,. � . 47. FINAL STRUCTURE & BUILDING 3.1 48. FINALPLANNING � � 49.� Electric Release to Edison 50. Gas Release to Southern California Gas Co ' Date POOL & SPA APPROVALS Permit # 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms 55. �Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVALTOCOVER�GUNITE 58. Electrical Conduit�Undrgrnd. 59. Gas Pipe, O Undrgrnd., Test 60. Backwash Lines, P�Trap, O Undrgrnd. 61. APPROVAL TO DECK 62. Backwash & Receptor-Final 63.� Heater & Vent-Final 64. Plumbing System - Final 65. Electrical-Final , 66. Solar System•Final ;� 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOL/SPASI'STEMSFINAL FIRE DEPT. REQUIREMENT APPROVALS. � "Permit # '70. Underground Hydro -77. Product Piping OGas ❑Oil 72. UndergroundFlush'-' � ��73. .Undergrnii. Storage Tank O Gas ❑ Oil 74. Overhead Hydro- 75. �Dry Chemical . • • ' . 76. Dry Standpipe `, - � 77. FIXEDSYSTEMFINAL � 78. FIRE PREV. FINAL .. ' � HEALTH�DEPT. REQUIREMENT '79. FINAL INSPECTION � � �80. FOOD CERTIFICATE ISSUED � Notes: _ r _ .. � � i\ Date I Inspector I , ,. � . - i , ._. - �' - - � -. - . . �, ,.. ., . � 1 _, _ _ ---- _ , - i 0� �_� � �� Jab Address: 3189 AIRWAY AV Suite: F Vicinity: UNIT F ROOF Pnmary Occ: Parcel Number: 42719419 7ype of Construdion: Zoning: Status: ISSUED Ap0lied: 05I092007 Issued: OS/092007 npplicant: MATUSIAK, MIKE Address: 12020 R4NCH0 ROAD Phone: 714-799-7300 ISSUED BY: WESTMINSTER, CA � Zip: 92683 . Owner. RYAN, CRAIG M TR 1 �� Address 17975 SKYPqRK CIR #H " � �� 1 �� • - � Phone: � . � I �i'� IRVINE, CA • . ' � Zip: 92614-6301 � Contrador: A-1 FACTQRY DIREGT ROOFING INC Address: 12020 RANCNO ROAD' . ' � � -� - Phone: 714-799-7300 . - WESTMINSTER, CA � � ' � � Zip: 92683 � . License: 797789 , . " Arch : Address: Zip: Phone: " , License: Eng: � Address: . ' � � Phone: License: SCOPE OF PERMIT TEAR OFF (E) ROOF MATERIALS AND REROOF WITH NEW 10 YEAR HOT MOP CAP SHEET SYSTEM ON UNIT F, APPROX 39 SQUARES. ROOF SHALL COMPLY WITH T-24 COOL ROOF.REQUIREMENTS FOR COMMERCIAL BUILDINGS. REPAIR AND REPLACE SHEATHING AS NEED. FEE SUMMARY , - Plan Check: $0.00 �' Calc Valuation: ga,z39.00 Permit: $167.25 Claim Valuation: Sa,2s9.00 SMIP Res: $0.00 SMIP Com: $1.73 , Other: $0.00 , Inspection: $0.00 ' Total: $168.98 PLANNING 8 ZONING SETBACKS � � ' � MAINSTRUCTURE�Front�� 0-0 Rear, 0.0 � Left 0-0� ., Right 0.0 ACCESSORY Front - 0. 0�� Rear O- 0 Left 0. 0 Right 0. 0. /" � PARKING Exfstina;, 0 Reauired: 0 Pr000sed: 0 \ '" . '�� , �-. NOTICE: The work authorized by ihis permit shall comply with all applicable handicap access requiraments under Calilomia statutes and related regulatfons. (Ord. No. 92•28, § t, 1241-92) EXPIRATION: This permit shall automaticalty expire and become void if work is not commenced wlthin 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all requlred Inspeetions and Iinel approval must be obtained. Failure to obtain Inspections and final epproval will result in the expiration of this pertnit. FOR INSPECTIONS CALL: (714) 754-5626 244&a8 (fl�00) � WORKERS' COMPEN5ATION DECLARATON: I hereby ettirtn untler penalry of per�ury one ot the fdiowing dedareUons: ❑ I hava entl wlil melntain e ceNllcate af mnsent ta selt-Insure tor workera' compensation, es proWded tor by section 3700 at t�e Labor Code, for Ne peAormance of Ne !_work far which ihis pertnit Is issued. � ,�-�f have end will maintain worke compgnseGon insurance, as Ire0 by secllon 3700 ot the letwr Code, tor the pertortnance ot Ihe work for which this pertnit is issued �,�M workers' com e in rence{7�� er end num ere: �----�� L Cartier.� P � ��U\ �`� POIIcyNumb� er:. � I � �� ' � U�U (Thls sectlon need not be cnmpleted 11 the pertnlf Is valued et one hundred dollers (S 100) or less.) ❑ I certity that In Ihe pedortnence of the work for whlch t�ls compensellon lews ol Celitomie, enA aB�ee thet ii I s�ou4 comolv wlth these oroviei0�s. n 1 � w�'�L ��I ISA��-- (Data:-^- � G� �� LUVERApE IS UNUWFUL M!D SWLLL SUBIECT AN EMPLOVER TO CRIhllNAL PENALTIES AND GVIL FlNES UP TO ONE HUNDRED ' COMPENSATION, DAANGES AS PROVIDED FOR IN SECfION 31080F TME IABOR CODE, INiEREST, AND ATTORNEVS FEES. I shell not employ any peraon In eny menner so es to become subleci to the workere' �. m the workers' compensetlon provlslons of Section 3700 oi ��e Lebor Code, I shell tonhwlih WAfiNINO: FAILURE TO TKK1SrwD DOLIARE 17 LICENSED CONTRACTORS DECLAHATION: I hereby eMirtn �het I em Ilcensed untler D�ovlsion t hepter 9(wmmenGng wlth Section 7000) of DlNsion 3 of.Ihe,Buslness @nd Prolessions Cotle, entl my Ilcense Is in lull force end elfed: Lic. a �Class M) k� Z G) Co�ntrenofs Signature: �Detet—'�� CONSTRUCTION LENDI AGENCV: ❑ I hereby effirtn thet there is a canstruction Iending epency lar the peAormenca o� the work for which this pertnit is issued. (Sec. 3097, Civil Cotla). Lendefs Name: LenAor's Atltlress: SigneWre: Dete: OWNER-BUILDER DECLARA7IONS: I hereby eMirtn Ihet under penelry of per�ury thet I em E%EMPT FROM THE CONTRACTORS LICENSE LAW lar Iha fallowing reeson (Sec. 7031.5, 8u5iness end Professions Cotle: My ciry or counry which requires e pertnit to wnstruct, elter, Imprrne, demdish, or repair any strucWre, pdor ro its issuance, elso raqulres 1he eppliwnt fw such permit ro Ole e signed statement t�et �e or s�e is Ikensed pursuent to Ihe provisions of Ihe Contredors LJcense Lew (Chepter 9(commendng wlth Section 7000) of DMsion 3 of the Business flntl PrWessions Code) w Itiat he or s�e Is exempi Neretrom and Ihe besis tor Ue alleged exempUon. Any violation of Section 70.31.5 by any epplicam for e pertnit subjects Ihe eppllcant ro e Gvil penalry of not more than Me huntlre0 tlallers (5500)J: ❑ I, as owner ol Ihe properry, or my employees with wapes es Ihelr sde compensetlan, WILL DO THE WORK, entl ihe siructure is not intentletl or oHeretl for sale (Sec. 7044, Business and Professlons Cotle: The Coniractors LJcense Lew does not apply to en owner of properry w�o builds or imprrnes thereon, and who does such work himsetl or hersetl or through his or her own emplqreas, provided thet such imprwemenis ere not intended or oflered tor sale. If, however, Ihe bui�ng or imprrnement is sold vrithin one year o1 campleUon, Ihe awner-Duiltler wlll �ave Ue Durden o1 proving t�at he ot she did not builtl or improve for puryose of sale.). ' ❑ I, es owner o1 the property, am El(CLUSIVELV CONTHACTING WRH LICENSED CONTRACTORS to wnstruct the proJect (Sec. 7044, Business end Profes5ion5 Code: The contracmrs Licanse Lew does not appy to en owner of pmperty who bullEs or Imprwes thereon, end who wntrac4s for such project with a contrectw(s) license pursuant ta tha Camractors Ucense Lews.). ❑ I em exempt unOer sec. Business en0 Professions Cotle for this reason: Signatura: Date: Owner ID varlliad by tlrNeta license. ❑ Ves ❑ No Drivers License No. Vetlllcation ot Ownerehip by (rype of documenL i.e. - propeny tez �III or tleetl): Expires: DIVISION OF INDUSTRIAL SAFETV VERMRCERTIFICATON: ❑ I hereby ceN1y that no excevatlon tNe (5) w more leet in tlepth Into which e person is requlretl to tlescend, will be made in wnneclion wlth work aulhodzed by lhis permit, end that no DUIlding structure, sceflolding, lalsework, or tlemolltion or dismantling thereaf, will be mare Ihen Ihirry-slx (38) teet high. (Chap. 32, Grp 2, Art 2, Sec. 341, Ttle 8, Celitomia A4minislretNe Cotle). ❑ As owner�builder, I wlll nat employ enyone to do work which would require e pertnit trom the Division af Industriel Sefety, es noted ebove, unless such person hes e pertnit to do such work tmm the tllvision. SigneWre: Date: Division ot Intlustrial Sefery Permlt NumDer: CERTIFlCATE OF COMPLUWCE AND AUfNORQA710N OF EMRV: I certily under penalry of perjury that I have read this epplicatlon en0 atele thet Ihe IntortnaUon given is cortect. I egree to campty wlth ell stete lews erM dry ordinences reletinp to building constructlon, and authoriza represenlatives of Ue Clry of Costa Mese lo enler upon the ebove-described property for InsPa��o� W�ge9. I epree not to ocapy w allow oaupancy oi eny building authorized by ihis permit until linal Inspectian. CODE 1• INSVECTIONTYPE / 1818 Fixed System Flnal Fire Prevention 1288 200 201 202 203 Paol Spe Flnal Final Re-Rool Flnel Block/Retelning Well Finel Fectory Fire Place Final Sign 204 Finel Demolltlon PA1E �64 f A�� COOE 1 INSPECTION TYPE 206 Final Mechanical 208 Flnal Plumbing 210 Flnal ElecMcal 212 Flnel Flre Prevenllon 220 Final Plenning Appravel 222 250 Final Site Finel Building/Occupancy PAiF It�l� • �� • . �-�' •.-' _ � COSTA MESA BUILDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 +PR7.8-76�A�,��00�4H9 �**�166.�0 APPLICATION FOR STRUCTURAL PERMIT For Applicant to Fill in Com letely — Use Ink O y RECEIVED BY DATEFECEIVED DATE ISSUED BUILOING ADDRESS I P OWNER A.P. NO. MA�L BUILDING ADDPESS AODRESS TEL. TRACT LOT BLOCK CITV NO. CANSTRUCTION W A A P LENDER BRANCM OWNER ADDRESS VALUE ARCHITECT TEI. SE � 1 5 OR ENGINEER FIRE ADDRESS ZONE TVPE GROVP APPROVED CONTRACTOR ' BV DATE ADORE55 TEL. Z�NE NO.Of VSE OF NEW CITV NO. PLAN$ BUILDING STATE CITV �'ARDSAPPROVED VARDSAPPROVED LIC. NO. LIC. NO. MAIN BUILDING ACCESSORV BUILDING SI2E NO.OF BLDGS. (FROM C/L STREET) OF LOT NOW ON LOT NT FT. FT. USE OF EXISTING BLDG. FT Separate permits are required for L. SIDE FT. FT. electric, plumbing and hea[ing work. REAR FT. FT. USE OF BUILDING AND WORK TO BE PERFOHME� DISTANCE BET. BET. MAIN & MAIN BLDCS. ACCESS. BLDGS. � VAR.� DATE C.U.P.$� APPROVED APPROVED I �oreby ntknowletlpe that I heva raetl thlg epplication antl stnte � r that the ebove Informetlon is eorrect antl agree to comply with - a oll laws reguletinp bulitl(ng construction, and I sholl not employ eny perwn In violatlon of tha workman's compansation lews of ; the State of Celitornlo. a 1 hareby certify that I am properly Iicensetl as a contrector untler SQ. FT. c tho State of Californla Businass antl Professions Cotle, Dlvislon 3, THE AMOUNT SHOWN UNDER VALUATtON IS FOR p Chepter 9, entl that nueh Iicences ere in tull torcn nntl etfact, or I THE PUFFOSE OF 6TABLISHING A PERMR FEE ONLV: � am exempt from Me provlslone of the Stete of Colifornia Bualnacs VALUATION a PERMIT FEE E ontl Profeaslans Cotle, Divlslon 3, Chepter 9. � � � PLAN CHECK E �� ^ Sipnoture of //�� Pefmlttee $ /�/ LL � � TAX E �_ g t Autnarizatl Agent � TOTAL PAID E � . � :.� ;•+�., 4.1562 • COSTA MESA BUILDING•SAFETV DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill in Completely — Use Ink Only nooaess 3189 F Aii'wdy Avenue OWNER Koll/Irvine o��` MAIL 19Q1 Dove Street . ADDRESS arv Newport Beach No`$33-30 BRANCH ADDRESS ARCHITECT TE ADDRESS ADORESS 1901 Dove Street TEL. CITV N NO. ► STATE CITY � LIC. NO. 2z LIC. NO. a OFLOT [}1rjQ S. ft. NOWONLO�� a USE OF � EXLSTING BLOG. y FSeparate permits are required for � electcic, plumbing and hea[ing work. [.�.i USE OF BUIIDING AND WORK TO BE PERFORMEO Q � ..] a 7 r .� a � QI hareGy ecknowlatlpe thet I hova reatl thia appllcatlon antl stata p( Mat the ebove informatlon is eorract antl eprae to compiy wlth a BII lews rBgulBtlnB buildinp conrtruCtlon, and 1 ihell not employ Z eny Darson In violatlon of the workmen'a compensation lawe of � Me Stete ot Californie. 3 I haraby cattify thai I am props�ly Iicansetl ea e contreetor untlar Ma Smm of Calitornin Businao entl Proteasiona Cotla, Divislon 3, Chepter 9, antl the� aueh Iicanus era in tull foreo entl otfect, or 1 am exampt }�Om tha pravitlon� o} tha 5[am oi Celifornle Bualnau entl Protefsiona Cotle, Divislon 3 r 9. Slpnatura of !/ Permittea Y"�� Aut�orizatl Apent PA1_ suildingP:#1'4-7F��;�.-Otl 821' ***1j0^6 APPLICATION FOR STRUCTURAL PERMIT ECEIVjjDBV DATEFECE�VED nc�rc�csucn BUILDING ADDRESS FIRE ZONE APPROV FROM VAR.� � C.V.P.qW� APPROVED APP BET. MAIN & ACGE�. BLp DATE /1PPROVED 1 415� SQ.FT. TNE AMOUNTSHOWN UNDER VALU TNE PURPOSE OF E5TABLISHING A PERI VALUATION PERMIT FEE S I/j/ PLAN CHECK § g�� 3 �/O TAX S TOTALPAID E n m o' m N IS FOR m ONLV: � e N m m ♦ O � f � U i 1 J . —�� _.. !}3985 . COSTR MESA BU�LDING-SAFETY DEPARTMENT P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant ro Fill in Completely — Use Ink Only BUILDING �/� AODRESS y OWNER MAIL ADDRESS CITY /./�fil LI A/C�FNaa NO. "� BRANCH ADDRESS ARCHITECT CONTRACTOFi I ADDRESS q E CITV N . F STATE CITV `�p':' LIC. NO. LIC. NO. {il SIZE NO.OF BLDGS � OF LOT NOW ON LOT a USE OF N EXISTING BLDG. � h FSeparate permits are required for � electric, plumbing and heating work. (�.W.� USE OF BUIL�ING ANO WORK TO BE PERFORMED a 0 ..a a � } ..1 a W a u�r , �-,�""'°oa ,e� i 06.45 CpSt. � *�*" APPLICAT[ON FOR STRUCTURAL PERMIT ECEI� DATE RECEIVED D I SUEC �-%�7_ ; BUILDING � ADDRESS � � TRACT OWNER FIRE 20NE APPROVED iL 7_ N E.y-�r/ I PLANS ?/ I BUILDING I��` � �� vARDSAPPROVED YAROSAPPROVED G DISTANCE BET MAIN BLOGS. VAR. � QU.P.3W APPROVED/ � � 1 hereby eeknowleCpe that I heve read thia applieetlon antl rtete � that the above Info�metlon is correct antl aprea to comply with a ell laws repulatin0 builtlinp conrtruction, and I ahell noi amploV Z any pereon In vloletlon of Me workman'f eompensatlon laws ot � the Siete of Californle. 3 I hareby certify thet I m propatly ileensad as e conttactor untlar the Siete of Cnlliorn 8 Inasa entl Profeuiona Cotla, Dlvlsion 3, THE AMO ChnpTer 9, entl Nn uc Iieanaes era in full foree entl offaet, ar 1 THE PURP( am exempt from pr visions of th St of Califor a Butfnau BET. MAIN & ACC6S BLDGS. DATE MPROVED D(AT{�E '-/ IIIY 1L 1\L�d�i�.:/�, antl Professlona C vi�lon 3, CI pta VALVATION PERMIT FEE S PLAN CHECK E Slpnoturs of Permittea S'�% � / TAX E A�thorizeC A �c G� TOTAL PAID N C m 0 m N FOR m �LV: � Y N m 7O � 0 �S u