Loading...
HomeMy WebLinkAbout1931 ANAHEIM AVE - Building Permits 1931 ANAHEIM AV UNIT: • • ' TY OF COSTA MESA - BUILDING PMIT PERM NO: E 06723E SIER' S NAME: FOSTER, ROBERT ADDRESS; FOSTER PATRICIA PERMIT NO: E 067238 PLAN CHECK NO: N GOVT: N SUPP: N 1PROJECTADDRESS; 14745 61300 RD MONTROSE, CO 00000 CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH 303-249-6879 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : ELECTRICAL RE-WIRE SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALL-VALUE : GROUP OCC: R-3 / PERMITTEE: PATRICIA FOSTER ( 303 ) 249-6879 ADDRESS: 14745 6300 RD COMMENTS : X MONTROSE CO 81401 **************aF**+t*********x***N*+F+F**,E********ac+P******+ **+r**+F******+eTE******* ** '.' LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O N I N G R EQU IR EMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. S E T B A C K S CITY LIC: STATE LIC.: CLASS: Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have a certificate of consent to self-insure or a certificate of Workers' FRNT; FT IN REAR; FT IN FRNT• FT IN REAR• FT IN Compensation Insurance,er a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ: PROV: PARCEL : 00000000 ZNE: REF NO: Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> Date: Applicant: ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This s' need not be completed if the permit is for one hundred($100)or less). D EV ELOPM ENT S E- R V I C E S R E Q U I R E M E N T S I certify that in the performance of the work for which this permit t .I shall not employ any person in an ma er so as to become �'_r subject to he Workers'Compensation /Laws of California. �� ����_ /��' (�,/./gyp /,/�'� ZONING APPROVED BY DATE: Date: —A--f/ -•. / 7 Signature: Lf�/r�K=���—•C_..0 xJL(ia�--K+.1 ' NOTICE:If.atter making this declaration.you should become subject to the Workers'Compensation rovisons of the Labor BUILDING APPROVED BY DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. . . Slat - which LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: ` DATE: S which this permit is issued(Section 3097,Civ.C). ***{(.**********{c..N..1h.If.N..7f*.N.{e{F*******{F*.{j.jj.***{t{F.****.N.*****f!.******.N.*1F**M.**.** *hW494W7**.. LENDER: ********************************-MX ******************************************** ADDRESS: LEGALIZATION:N F E' E' SUMMARY STRUCTURAL SEGMENT: N OWNER BUILDER DECLARATION: I herebyaffirm that I am exempt from the Contractors'State License Law for the lofowing reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Processional Code: Any city of county which requires a permit to construct,alter,improve,demolish.or PERMIT 43 25 • repair any structure.prior to its issuance.also requires the applicant for such permit to fife a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 50 t SM I P/NON-RES and Professions Cade)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE 15 . 00 I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING-DIV-> PERMIT ISSUE PLAN-CHECK TOTAL PAID DUE structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 43 . 25 15 . 0 0 0 . 00 58 . 25 58 . 25 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees.provided that such improvements are not intended or offered for sale. If,however the building or improvement is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED : 58 . 25 OVER/SHORT; 00 tur the purpose of sate). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK • I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 58 . 25 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts far suchprojects with acontractor(s)license pursuant to theContractors'State License Law).l am aware *,**.*,.K,*.**.*.**,***.N**,*.*.**..*.*.*.*.x,.N..**, ***, ,**,*,******,*,*,**********,************************ that proof of their Worker's Compensation insurance should be provided to m' j N D I V I D U A L F E E B R E A K D O W N 0 1 am exempt under Section: B.8 P.C. for this reason: / ,1 ar TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: J --7--10q— C c� .Owner: e — > `r / ELE 10 FIXTURES, LIGHTING 1 ST 20 EA. . 75 7 . 50 1 do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and ELE 15 R EC E P T/OUTLET 1 ST 20 EA. . 75 11 . 2 5 25534 and that l or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a ELE 8 R EC E P T/$WITCH 1 S T 2 0 EA. . 75 6 , 0 0 permit far construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. ELE 1 SERVICES BELOW 600 V 6 BELOW 201 AMP 18 . 50 18 . 50 END OF FEES Dale: Applicant: I hereby certify that I have read this application and state that the ai• emotion is correct.1 agree to comply with all city and county propertyefr inspection purpose tobuildingconstruction and here. Property L1(/r`Date: — ( T Signature: ISL?.c_, ' 01 00160848-00160848 TOT 58.25 Driver's License or Social Security e: DATE: 05/20/94 TIME: 10:53 1641-46 White—Building;Green—Code Enforcement;Canary—Applicant:Pink—Revenue:Goldenrod—Assessor • NI----'-- - , ' CONSTRUCTION AND PLANNING PC 9 SPA { I s Date Inspector Date Inspector I APPROVALS PermitAPPROVALS Permit# ! 1. Temporary Electrical Service or Pole 52. Pool & Equ'pment Location i J 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement i 3. Electrical Conduit Utility-Undrgcnd. 54. Forms 4 Electrical CondwbUndrgrnd. 55. Electrical Bonding ' 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test . 6. Electrical UF ER Grnd 57. APPROVAL TO COVERGUN!.TE j 7. Footings 58. Electrical Conau,l Undigrnd. H 8. Foundation 59. Gas Pipe, G Ururg^id , T.st { 9. Water Pipe-Undrgrnd. 60. Backwash Liner, P-Trap. i ! Lrdrgrno 1 _ r 10. Structural Floor System 61. APPROVAL TO DECK - 11. Property Sewer Line & House Connection 62. Backwash & Receptn- Finat I 12. Sewer Cap 63. Heater & Vent•Flnai { 13. Roof Drains i 64. Plumbing System - Final . 14. Rough Plumbing I 65. Electrical-Final 15. Rough Electrical-Conduit • I- 66. Solar System-Final 16. Rough Electric Wiring 1} 67. Fencing & Accass Approval 17. Rough Wiring Sign A 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT' ' 20. Rough Factory Fireplace APPROVALS Permit n 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ;;Gas 'DOH 23. Gas Pipe-Rough & Test 72. Underground Flus!- 24. Roof Framing 73. Undergrnd.Stor gu Tz'ik ^I Gas n C; 25. Roof Sheathing 74. Overhead Hydi o ,26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe cr 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. D'yv.ali Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTIOV -I`! • - ( 32. EIecti.W' Power Me;e -F-n.i' , 80..FOOD CERT!FIC^,-E ISSUED I , ______ I33. Final E'ectnc 7 x-51, Q Notes: 34. F-nal Heating & Air Cot-d,tionii ' 35. Final Gas Pipe-Test I _ _ - _ I 36. Hood or Canopy - 37. Final Facto-V Fuep aca "-- -- -- ------ - ---- 38. Final Plumbing - - 39. Water Service-Final 40. Gas Service-Final I I 41. Solar Domestic-Final _ I 1 42, Backflow Preventer , 43. Backf low Irrigation 44. Landscape Irrigation System 45. Sound Attenuation i 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING i 49. Electric Release to Edison 1 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PROJECTADORESS: 1931 ANAHEIM AV UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 067238 OWNER'sNAME: FOSTER, ROBERT ADDRESS: FOSTER PATRICIA PERMIT NO; E 067238 PLAN CHECK NO: N GOVT: N SUPP: N 14745 5300 RD © O M MONTROSE, CO 00000 FFICY CONSTRUCTION TYPE; PERMIT TYPE: ELE PURPOSE: OTH 303-249-6879 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : ELECTRICAL RE—WIRE SQ FT: ADDRESS: UNIT: CLAIM VALUE; CALC—VALUE; 0 PIV7GROUP OCC; R-3 / k PERMITTEE: PATRICIA FOSTER ( 303 ) 249-6879 ADDRESS: 14745 6300 RD COMMENTS: X - MONTROSE CO 81401 * *********s6+ *************yky6***+EaE+c+E*****+F**** car****yk****+EyE*******ykyk************ LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS �' 70001 of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: EXP: Oa1e. signature: MAIN BUILDING ACCESSORY BUILDING • FRNT: FT IN REAR; FT IN FRNT; FT IN REAR; FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT; FT IN Compensation Insurance.or a certified copy thereof(Section 3800.Lab.C). POLICY NO.: EXP.DATE: PARKING REQ: PROV; PARCEL : 00000000 ZNE: REF NO: COMPANY: PLANNING NOTES> 3 Certified copy is hereby furnished. El Certified copy is filed with the city Building Division. I. ******************************************************************************* Date: Applicant: DEVELOPMENT SERVICES REQUIREMENTS EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become ZONING APPROVED B Y subject to the Workers'Compensation Laws of California. DATE: Date: Signature: BUILDING APPROVED BY NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor DATE: Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby allirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y; i1 DATE. whichthis permit is issued(Section 3097,Civ.Cl. *********************************.********************************************** LENDER: ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT;N OWNER BUILDER DECLARATION: thereby al firm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 4 3 , 25 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 502.- SM I P/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business pLAN and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE 15 .00. 5 .00' any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(S500). BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ]� I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 43 , 25 15 . 00 0 . 00 58 . 25 58 . 25 . 00 LL]] structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale. If,however the building or REVENUE DIVISION TOTALS--> COLLECTED: 58 , 25 OVER/SHORT; . 00 ' improvement is sold within one year of completion,the owner wit have the burden of proving he/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK for the purpose of sale). 58 , 25 I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business �'' ❑ and Professions Code: The Contractors'State License Law does not apply to anowner of property who builds or improves thereon **..)E****.*.x.*.*.*.*.**.*.********x,**,*,**,*,X,**, **,*,**N,****,********************************** and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL ,:F E E BREAKDOWN ❑ I am exempt under Section: B.8 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: ELE 10 , FIXTURES, LIGHTING , 1 ST 20 EA, . 75 7 . 50 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 15 R EC EP T/OUTLET 1 ST 20 EA. . 75 11 . 25 25534 and that ler any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a ELE 8 REC EPT/SWITCH '' 1 ST 20 EA. . 75 6 .00 permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from ELE 1 SERVICES BELOW 600 .V 6 BELOW 201 AMP 18 . 50 18 . 50 these provisions. END OF FEES Date: Applicant: • I hereby certify that I have read this application and slate that the above information is correct.I agree to comply with all city and county • ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned C O P� property for inspection purposes. Date: Signature: Driver's License or Social Security y: 164646 Wrnie—Rwldmg:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor • CONSTRUCTION AND PLANNING - PO' SPA APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe•Undrgrnd. 53. Steel Reinforcement I 3r Electrical Conduit.Utility-Undrgrnd. 54. Forms 1 4.:Electrical Conduit-Undrgrnd. 55. Electrical Bonding I 5.'Steel Reinforcement 56. Rough Plumbing & Pressure Test I : 6. Electrical UFER-Grnd. 57. APPROVAL TO COVER-GUNITE I ' 7. Footings 58. Electrical Conduit-Undrgrnd. I 8.'F4tindation ' 59. Gas Pipe, 0 Undrgrnd.,Test I 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, D Undrgrnd, 10. Structural Floor System 61. APPROVAL TO DECK 11./ '-ty Sewer Line & House Connection 62. Backwash & Receptor-Final I 12. v Cap 0 • 63. Heater & Vent-Final 13.0 Brains -. 64. Plumbing System - Final i 14. 1 Plumbing - 65. Electrical-Final 15.toll gh Electrical-Conduit / 66. Solar System-Final 16. Q$1,y5 Electric-Wiring ?h/�� at 67. Fencing & Access Approval 17. R/ouuggh Wiring Sign !!!""" !!! ��' 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL I 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 1 • 20. Rough Factory Fireplace • v •I ' " ' IAPPRCVALS )Permit # 21. DuCts,in Structure . .. ' 3 4 •. 70. Undergrou _ nd Hydro 22. Ducts, Ventileti8g` '_ - • : 71. Product Piping 0 Gas 0 Oil • 23;'Gas Pipe-Rough & Test , 1 • - .172. Undergrlound Flush 24. Roof Framing - 73.; Undergrnd.Storage.Tank 0 Gas 0 Oil ' 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) &Monocoat 757 Dry Chemical 4 27_ Frame and Flashing .. 76. Dry Standpipe 128. Lathing'& Siding - - : • •I, 77.' FIXED SYSTEM FINAL 29. Insulation . . _ :- • 78.: FIRE PREY. FINAL . 30. Drywall Nailing i I" ' HEALTH DEPT. REQUIREMENT ' 31. Plaster Brown Coat. - •79.�FINAL INSPECTION. _ - I 32.-Electrical Power Meter-Final. ( i '80/FOOD CERTIFICATE ISSUE' 33, -Final Electric - /5-T' �,(� Notes; g �y p_ 47_ 4 _ 34. Final Heating,& Air Conditioning . 35;Final Gas Pipe-Test - retk:111/ rg-HYdr> GGkih�l J . -36. Hood or v '37. Final Fa r vireplace : , -. I. '38. Final PI j 39. Water Se, final I 1 ' .40. Gas Sery ref .nal - ' 41. Solar Do ttic-Final • - i 42. Backflo eventer • 43. Backflow Irrigation - I 44. Landscape Irrigation System, 1 - 45. Sound Attenuation • - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING - 1., 48. FINAL PLANNING I I 49. Electric Release to Edison ' 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF-OCCUPANCY . No. Date VCT ADDRESS: 1931 ANAHEIM AV �= ""IT CITY OF COSTA MESA - BUILDING PERMIT PERM NO; P 067242 xERsNAME: FOSTER, RO24 T - , - ADDREss: FOSTER, Pe+TKICiA PERMIT NO: P 067292 PLAN CHECK NO: N GOVT : N SUPP : N 1,4745 6300 RD MONTROSE, CO 00000 CONSTRUCTION TYPE: PERMIT TYPE; PLU PURPOSE: 0TH 303-2494879 ARCNIEN EREG.NO.: JOB DESCRIPTION : REPIPE PLUMBING FIXTURES SQFT: ADDRESS: UNIT: CLAIM VALUE: CALL-VALUE: GROUP OCC : R-3 / PERMITTEE: PATRICIA FOSTER ( 303 ) 249-6879 I ADDRESS: 14745 6300 RD COMMENTS: RE: #E67238 MONTROSE CO 81401 +r* -+r+e*** starx-a ****->FirF!a6*+e**-xN-*****->FSE****+rir-Ir+e+y>->F-u+r+r*******Tr** -****+tar-tt-+ ********+tarera6 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z O NI N G R E U I R EMEN TS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. S E T B QA C K S CITY LIC.: STATE LIC.: CLASS: Dale: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT; FT IN REAR; FT IN Compensation Insurance,or a certified copy thereof(Section 3804 Lab.C). LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN POLICY NO.: EXP. DATE: • COMPANY: PARKING REQ: PROV; PARCEL: 00000000 ZNE; REF NO; 0 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> > L. Date: Applicant: **************************************441-4********3E************************iF***** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: WE ion need not be completed if the pernui'IS,for one hundred(5100)or less). DEVELOPMENT S E R V LI' C E S'.:' R E- Q U IR EH EN T S I cenify hat in the performance of the work for which this permit i i ed.I shall not employ any D n in any m ser so as to become su • the Workers'Compenstion Laws of California. , ZONING APPROVED BY 2 t' ) Date: 'l 9. -O [951 signature: L./f •_ �7 -• 7�- DATE TICE:If,alleV making this declaration.you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : i i /. - DATE: Code,you must forthwith comply with such provisions or this permit shall be deemed revoked.,_/ , CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for /..,..;j .,.h' ( c r, which this permit is issued(Section 3097.Civ.C). APPLICATION ISSUED BY: y. l ?� „� DATE: t ***************************************.** ********3F.)6************************** LENDER: ***************************************************1r:*************************** ADDRESS. LEGALIZATION :N F E E ,S Pin; M-A R Y 'j4 t' c, (STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'Stale License Law for the following reason ✓ (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or BLDG PMT PLUMBING 00 ELECTRIC-._-'C At-. [-` PIRE '� SMIP/RES GRADING repair any sttuctute,prior to its issuance,also requites the applicant for such permit to Mea signed statement that he/she is licensed PERMIT ) pursuant to the provisions 01 the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 25% ^ '� ' and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation o1 Section 7031.5 by PLAN T; .I -- �� SHIP/NON-RES ./ ./ any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(1500)' ISSUE FEE 20 . 00 4 • �• '- - � t• t� I. as owner of the property or my employees with wages as their sole compensation. wit do the work, and the BUILD ING-DIV-> PERMIT ISSUE PLAN-CHECK !TOTAL ;• PAID DUE ( structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 47 . 00 2 0 , 0 0 0 ,-0 0 67 . 00- ✓ 67 . 00 0 0 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through ,-- /- f , his or her own employees.provided that such improvements are not intended or offered for sale.II,however the building or !� - t— his is sold within one year of completion.the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED" ,. 4- ,‘767.. 60 OVER/„SHORT: . 00 for the purposeof sale). BLDG PMT PLUMBING ELECTRIC MECHANIC 'FRE3S IP/Tet GRADING PLAN-CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 67 . 00 t.'• ....”- , ❑ and Professions Code: The Contractors'State License Law does not apply to an owner 01 property who builds or improves thereon ) 1, , and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware *.**.****.**,*,*.*************************** that proof of their Worker's Compensation insurance should be provided to me. '>� *********jE* *** N'#T**t'x'**'**'**'***********'N' INDIVIDUAL ',F E _E ' B-11 'E 'A K' D,,O W N ❑ am exempt under Section: B.&P.C. „ Y 4 . for this on: / a...$4_,_ TYPE QTY D E S C R I P T I O NL :? .4� lir 51f •UNIT %ST TOTAL COST Date: / I Z Owner Q vC� . — ! �( f' r } Ido hereb certifythat I am/ are of and understand the requirements of California.Health and SafetyCode Sections5533.and PLU 1 SHOWER ) ',h y l 7 . 00 25534 andthatI r any future building occupant will/will not(circle one)need to comply with said stae codes and the requirements for a PLU 1 SINK, KITCHEN r Y r. • /!,i7. 00 permit for construction or modification(rem the Air Duality Management District.Residential construction applications are exempt from PLU 1 WASH BASIN c'~ 'S -• ''' '7 . 00 7 . 00 these provisions. PLU 1 WATER CLOSET ( TOILET)' 1;7, C. t!':, 7. 00 7 . 00 PLU 1 WATER HEATER AND/OR VENT-') � , 7 . 00 7 , 00 Date: Applicant: PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS S 5 . 00 5 . 00 I hereby certify that I have read this application and state that the ab• information is correct.I agree to comply with all city and county PLU 1 WATER RE-PIPE ''/�'/' ' . '" 7. 00 7 . 00 ordinances and stale laws relating to building construction and hereb ,rite representatives of this city to enter o�pn�}DDeabove-mentioned END•;OF,(F/EE S� Property or inspection purposes. uu w s f f-/ I Date:5 —2-0 —? T_ Signature: Ile 1-/) � \/ - 01 00160847-00160847 TOT 67.00 Driver's License or Social Security a: /; Y I DATE: 05/20/94 TIME: 10:53 1641-46 White-Building:Green-Code Enforcement:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor -/...-P . / / . ITRUCTION AND PLANNING POOL & SPA 'OVALS Permit# Date Inspector APPROVALS Permit ;= Date Inspector 1. -mporary Electrical Service or Pole 52. Pool & Equipment Locat:on - • 2. Soil Pipe-Undrgrncl- • 53. Steel Reinforcement r - 3. Electrical Conduit Utility•Undrgrnd, 54. Forms 4. Elerrtrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test fl. : ?ct: r.,. UT E2 Grnd 57. APPROVAL TO COVER GUNITE ��8Fcot.ngs 58. Electrical Conduit-Urdrgrnd. i8:Pfoundation - 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd, - 60. Backwash Lines, P-Trap, El Undrgrnd. 13. Structural Floor System 61. APPROVAL TO DECK - 11. Froperty Seaver Line & House Connection 62. Backv.ash & Receptor-Final I 12. Sever Cap 63. Heater & Vent-Final r - - ' 13. Roof Drains 64. Plumbing System - Final '1 14. Rough Plumbing 65. Electrical-Final ` 15 Rough Electrical-Conduit -' 66. Solar System-Final r 16. Rough Electric Wiring 67. Fencing & Access Approval 17. RoughWiring Sign 68. APPROVED FOR PLASTERING i 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19 Rcugh Heating & Air Conditioning FIRE DEPT. REQUIREMENT 70. 2o.,gh Factory Fireplace APPROVALS Permit # 1 Ducts. in Structure 70. Underground Hydro f , 22. Cuts, Ventilating 71. Product Piping C Gas :lOil __- 23. G.:s Pipe-Rough & Test 72. Uncicrground Flueh -14 Roof Framing 73. Undargrnd.Storage Tank C Gas 0 0.1 25. Roof Sheathing 74. Overhead Hydro 26. -i Bar Ceiling IStructura 1 & Monocoat � 75. Dry Chcmiral • 27. F=rame end F!ashu,g _ 76. Dry Standpipe - _�-_ J 28. Lathing & Siding 77. FIXED SYSTEM FINAL , 29_Insu:&11on 78. FIRE PR=V. FiNAL Lac. Dur.au i:aiiing I1EALTH DEPT RFOUIREL;E::T ol. 'taster Brown Coat - 79. FINAL INSPECTIC',I 32 'ci.•ctiical Power Meter Final _ 80, FOOD CERTIFICATE ISSUED I L_ t 33, Firul Electric Notes: �q �� _ __ IP 34. Emil 'Heating Ui Air Cord honing -- "�!-./ l-'` ' cow_es �y>� a y 35- i 'nal G s Pipe Test /I 96. Hood or Canopy 6 '37. Final Factory Fireplace I 38. Fmel Plumbing , tl � �L-�---��C-�g/��- - - - -+ 1_9 a - sze- _a j� - - 1 39. Crater Service-Final I 2� - • c. Gas Sur-ice-Final tarrn r 41. Solar Comastic-Fina! 7-12:14 --eizorinis 2 Backf low Preventer 43. Backflow Irrigatipn �qA �4n. Landscape Irrigation System I -y 45. Sound Attenuation . 42. Handicap Regulations _ ' ' 47. FIALSTRUCTURE & BUILDING \' I -- 48. FINAL PLANNING - 49. Electric Release to Edison - 52 Ga. A,,' ;se to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY - No.. Date PROJECT ADDRESS: 1931 ANAHEIM AV .-& UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 067731 OWNER'S NAME: FOSTER, ROBERT 44' ADDRESS: FOSTER PATRICIA PERMIT NO; M 067731 PLAN CHECK NO: N GOVT; N SUPP: N 14745 6300 RD MONTROSE, CO 00000 CONSTRUCTION TYPE: PERMIT TYPE: MEC PURPOSE: OTH 303-249-6879 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : INSTALL WALL FURNACE SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 / PERMITTEE: RICHARD SPARKS (714 ) 432-0855 ADDRESS: 936 JASMINE CI COMMENTS: ONLY FOR THE INSTALLATION OF WALL FURNACE C .M. CA 92626 ***************+e****** ter***************+r****yE**r*****+ **+E***x+e*x*1r+6***+e*****>F+r•+E LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING R EQU IR EMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACK S CITY LIC.: STATE LIC.: CLASS: EXP ; Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: FT IN REAR; FT IN FRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT : FT IN LEFT; FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ; PROV; PARCEL ; 00000000 ZNE; REF NO: ' D Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> > Date: Applicant: ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). DEVELOP MENT S E A' V ICES REQUIREMENTS I certify that in the performance of the work for which this permit is issued.I sh ll of employ any p rson in any manner so as to become sur-•• .the Workers'Comensation Laws of California. 'ZONING APPROVED BY DATE; ‘ ,1-H-4 Signature: < . II „BUILDING APPROVED BY : i (/ NOTICE:If.after making his declaration,you should become subject o e ere'Compensation provisions of the Labor ,.B DATE Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for -^AP PL I CATION ISSUED BY; • (6/)' ewhich this permit is issued(Section 3097.Civ.C). _.********************** �sa*- * ****DAT*******3FICg A* *. LENDER: ************************************************************ '* ADDRESS: LEGALIZATION:N F E E S UMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT . 9 . 00 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 2 5% SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN • and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ` any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE 15 . 00 • I, as owner of the properly or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTAL S————> 9 . 00 15 . 00 - 0 . 00 24 . 00 24 . 00 . 00 does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If. however the building or REVENUE DIVISION TOTALS——> COLLECTED: 24 . 00 OVER/SHORT: 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC T, FIRE SMIP/TOT GRADING PLAN—CHECK 1. rs. I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 2 9 ' 0 0 L'J and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts far such projects with a contraetor(s)license pursuant to the Contractors'State License Law). I am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. IND I V IDUAL F E E : BR EAKDOWN ❑ I am exempt under Section: — • I. 8 P. C. • u assn/ A / TYPE QTY DESCR IP T ION UNIT COST TOTAL COST C,f wOr // owner:f� 9 ! MEC 1 INST/RELOC RECESSED WALL HEATER 9 . 00 9 . 00 I do hereby certify that I am awa•f ant nderstand the requirements of California Health and afe ode Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Ouality Management District,Residential construction applications are exempt from these provisions. • �I Applicant: '�ereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county _' ° 01 00162847-00162847 T O T 24.00 ordinances and state laws relating to building construction and hereby authorize representativ s of this city to en r upon the above-mentioned rr -- DATE: 06/24/94 TIME: 09:35 property for inspection purpa1 y R` A /I4 A Dale: 6 -2-1-1- / Signature: i�—�`t_/�/,.r`f/�_/�f �,//Su{(,//Y/ < v per's License or Social Security x: 164t-46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue:Goldenrod—Assessor • 1 CONSTRUCTION AND PLANNING POr. SPA Date Inspector DateInspector APPROVALS Permit* APPROVALS Permit ! • 1. Temporary Electrical Service or Pole 52. Pool 81 Equipment Location I -• 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement a Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 5. Steel Reinforcement 56. Rough Plumbing & Pressure Tett 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNt-ITE 7. Footings 58, Electrical Conduit-Undrgrnd.c;.- 8. Foundation 59. Gas Pipe, 0 Unclrgrnd.,Test ,• 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK . 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 1112. 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 V • 16. Rough Electric Wiring 67. Fencing & Access Approval ....- a 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # • 21. Ducts,in Structure 70, Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test i 72. Underground Flush 24. Roof Framing 73, Unciergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning I 6f771 Ftfeafitreen EPA 35. Final Gas Pipe-Test ?La -Piterc rte-i 36. Hood or Canopy -/C 37. Final Factory Fireplace ct1-2:Li 4- 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 471 FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY No. Date •