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Home My WebLink About2375 ELDEN AVE - Building Permits a CITY OF COSTA MESA Off"fussy BUILDING DIVISION 11 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 10,"ewso PERMIT NUMBER: BC11-00031 PERMIT TYPE: B_COMBO STATUS: ISSUED Sub Type: RES ALT DATE ISSUED: . 02/23111 ISSUED BY: • JOB ADDRESS:(2375 C001;ELDENA GSM Suite/Unit: 0001 APN: 43927302 • Zoning: , , Vicinity: Primary Occ: Const Type: SQ. FT: 115 • • . Valuation: $6,500.00 SCOPE OF WORK: ADD 119 SQ FT INTERIOR LOFT TO AN EXISTING RESIDENCE. MECH TO INCLUDE: 1 DUCT WORK.5 OUTLETS, 1 SWITCH. INSTALL CARBON MONOXIDE AND SMOKE DETECTOR PER 2010 CBC,SEC 420. OWNER: THOMPSON, HILLARY Address: 2375 ELDEN AVE#C-1 Unit: Phone: City/State/Zip: COSTA MESA,CA APPLICANT: HARGROVE,MIKE Address: Unit: : Phone: 714-432-0777 City/State/zZip: CONTRACTOR: CRES CORPORATION License No. 787936 Phone: 714-432-0777 Address: 3194 AIRPORT LOOP DRUnit: ' SUITE C-2 Cell: City/State: COSTA MESA,CA - ZipCode 92626 ARCHITECT: License No. PHONE: ENGINEER: FARHAD AMNSHADI-ESI-FME License No.C36840 PHONE:949-261-1181 COMBINATION PERMIT FEE SUMMARY Building Plan Check: $90.51 Building Fees: $139.25 Electrical Fees: $30.10 Mechanical Fees: $37.20 Plumbing Fees: $0.00 SMIP Residential: $0.65 SMIP Commercial: $0.00 • Bldg Std Admin Fund $1.00 TOTAL FEES: $298.71 --Refer to fee receipts for all fees paid for project HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010- PER CMMC Sec. 13-279 Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibited all hours-Sundays and the following Federal holidays: New Years Day,Memorial Day,Independence Day,Labor Day,Thanksgiving Day and Christmas Day • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. GOOF N. INSPECTION TYPE DATE !MODALS CODE 1 INSPECTION TYPE DAM INTRIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval :203 Final Sign 222 Final Site a�- 204 Final Demolition 250 Final Building/Occupancy X `+ — I — 0. S WORKERS'COMPENSATION DECLARATION: Owner ID verified by driver's license. ❑Yes ❑ No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers' - Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance, as required by • section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition Carder or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Grp (This sMion need ria be completed rime pennd is valued al dollars(5 I00)or less.)• 2.Art 2,Sec.341,The 8,California Administrative Code). Polis umber: ❑ As owner-builder, I will not employ anyone to do work which would I ce•' at in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued shall of employ any person in any manner so as to become subject such person has a permit to do such work from the division. to t : worker- compensation I.ws of California, and agree that if I should benne subj• t o the work'rs' compensation provisions of ction 3700 of Applicant's Signature Date th Labor Co•- --.ly with these provisions. 'L3 Division of Industrial Safety Permit Number: -� 1e HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FA . •' JoRE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑ No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds.or a volume of 55 gallons,or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my licens: full force id a ct. a registration form for acutely hazardous materials? 0 Yes 0 No Lic.# I • ' Class# (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by allf�,�_ - each business which at any one time has on hand a quantity of acutely fir tip" ror's are Date hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard CON • 0, ION LEN•n G A• NCY: temperature and pressure). ❑ I he -. affirm t - ther- is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the••. for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? ❑Yes ❑No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present er future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure. prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for ran-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes ❑ No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044, Business and Professions Code:The Contractors subject of this application,have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes ❑No thereon,and who does such work himself or herself or through his or her own 8. (If"yes", attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044, Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that 0 I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinan ' rel.,ing to building construction, and authorize representatives of Business and Professions Code for this reason: the y of C'sta Mesa to enter upon the above-described property for in section pur loses. I agre no to occupy or allow occupancy of any building thorized by his permit u r til 'nal inspection. $$/�•� • egsl • Date Signature Date �� 7. 3057-46(3/07) 7� /r or Authon ,•1 .nt Dat a . • • t. al •• CITY OF COSTA MESA ! • • s�''` BUILDING DIVISION trw F y 'I; 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714).75‘;-4856 o' m • www.ci.csta- esas s rt.� .. FOR INSPECTIONS CALL: (714)754-5626'. . . PERMIT NUMBER. B08-00010 PERMIT TYPE B_ROOF2 STATUS: ISSUED APN: 43927306 • DATE ISSUED: 01/15/2008 - . . R,;. - . ISSUED BY: BJK JOB ADDRESS: 2375 ELDEN AVCM Suite/Unit Vicinity: OAK HARBOR CONDO UNITS'Cl AND-C2 Squares: 3200 '- ` ' --- - ' - Valuation `•` $5;120.00 SCOPE OF WORK: REROOF CONDO UNITS Ctt C2 AT"OAK HARBOR":T/O EXISTING COMP SHINGLES, REPAIR/REPLACE SHTG AS NEEDED, 1 LAYER 30#FELT,APPLY"GAF 30=YEAR COMP SHINGLES."32 SQUARES :=,T.i; -` 1F OWNER: OAK HARBOR.HOMEOWNERS ASSN Address: ; %STAHA RODGER', _I--i 4, Unit COSTA ` MESA.CA ; PHONE: I! r1 - / ' Cit State/ZI PO BOX 11492 ° "" Y P . APPLICANT: ZAMORA CARLOS = ( „, `-� Address: ` + i ' ,. t' .,Unittt01 0 PHONE: 818-735-7676 ./.':'.' ,_ _ City/State/Zip: " CONTRACTOR: FONTAINE WEATHERPROOFING'INC ” - " .' License No:' ' 675099 Address: 23482 PERALTAUnit -. E - - '' --SUITE F' - 1 - PHONE:: :-,'949-598-8360 City/State/Zip: LAGUNA HILLS CA ;, 92653 CELL: ARCHITECT: - License No. '- • r"PHONE:.',,, ENGINEER: m • License No. PHONE" FEE SUMMARY Reroof Plan Check: $0'00 .' �a " l Reroof Permit Fee: $12525• ,--, * ( : "' " Reinspection Fee: $0 00 ` TOTAL FEES $125.25 - - - • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord. No.92-28,§1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE S. INSPECnON TYPE DATE INTMALS • CODE II INSPECTION TYPE . Ian ;it I Tn1ALj 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final .r Y /6• 208 Final Plumbing 200 Final Re-Roof «�l/iL 8/0 WN 210 Final Electrical 201 Final Block/Retaining Wall r 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition - - 250 Final Building/Occupancy WORKERS'COMPENSATION DECLARATION: Owner ID verified by drive. ❑Yes 0 No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. • I have and will maintain workers'compensation insurance,as required by • /section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number ar /1 person is required to descend,will be made in connection with work authorized A I/ by this permit,and that no building structure,scaffolding,falsework,or demolition Carrier �C` t^'�tiC or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This section need not be conyletedifthe permit is valued al one hundred dollars($100)or less) 2,Art 2Sec.341,Title B,California Administrative Code). Policy Number: (.3 0 3 q--Li ,] 0 As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of Applicants Signature Date the Labor de,I shall forthwith comply with these provisions. _v 4, Division of Industrial Safety Permit Number: A Alicant's Signature Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑ No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect, (� a registration form for acutely hazardous materials? 0 Yes 0 No Lic.# ?S" q Class# C� / (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by I ,15.Og each business which at any one time has on hand a quantity of acutely C tractors Signature Date hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? ❑Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? 0 Yes ❑No applicant for a permit subjects the applicant to a civil penalty of not more than (If'yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044, Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? ❑Yes ❑No thereon,and who does such work himself or herself or through his or her own 8. (If'yes", attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). • completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and ❑ 'I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH • city ordinances regarding Hazardous Materials and Emissions. • LICENSED CONTRACTORS to construct the project(Sec.7044, Business and • Professions Code: The contractors License Law does not apply to an owner of Signature Date property who buildsor improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: - the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. • • • Si nature of Legal Owner(s) Date 'U1 Signature Date 1//� — /5- Q 3057-46(3/07) ) oru/l—thorized Applicant Date CITY OF COSTA MESA • BUILDING DIVISION Fy �'�e_�S�I� 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us °. we. ' FOR INSPECTIONS CALL: (714).754-5626 • PERMIT NUMBER. B08-00011 PERMIT TYPE B_ROOF2 STATUS: ISSUED • APN: 43927306 . 'DATE ISSUED: 0111512008 .. - - ISSU ED BY: BJK JOB ADDRESS: 2375 ELDEN AV.CM , Suite/Unit:':. . .. Vicinity: OAK HARBOR CONDO UNITS Al AND A2 ', - - _ : _t Squares: 3200 .','r0f".`1 — ., ;.Valuation' ' $5,120.00 SCOPE OF WORK: REROOECONDQUNITS'A1,AND A2 AT"OAK HARBOR":T/O EXISTING COMPSHINGLES REPAIR/REPLACE SHTG AS NEEDED, 1 LAYER 303 FELT;APPLY"GAF,30-YEAR COMP SHINGLES."32 SQUARES . OWNER: OAK HARBOR HOMEOWNERS ASSN Address: %STAHA, RODGER: Unit: COSTA MESA,CA PHONE: ii{ 1! • 4 _ .City/State/Zip: PO BOX 11492 APPLICANT: ZAMORA,CARLOS .Tri ; Address: - _ ..,Unit- F0: T311 • PHONE: 818-735-7876 „ City/State/Zip: CONTRACTOR: FONTAINE WEATHERPROOFING'INC License No: 875099 Address: 23482 PERALTAUnit: ' • SUITE F PHONE: ' ' 949-598-8360 City/State/Zip: LAGUNA HILLS, CA ' c 92653 - CELL: „ ARCHITECT: License No. "-. PHONE:,,/ ENGINEER: '. License No. - •.PHONE:,' ' FEE SUMMARY ' - - ,:, • Reroof Plan Check: -$0.00',. - - "1' Reroof Permit Fee: $125.25' , Reinspection Fee: , ' - ... ' . COST'. TOTAL FEES $125.25 - " :rli4:; ,A., . -.r41u s 1 • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations.(Ord.No.92-28, §1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. • INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE A INSPECIION TYP@ DATE INTITIALS CODEC INSPECPON TYPF DATE .. IN1TDALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical - 1266 Pool Spa Final7-5:1:14. 208 Final Plumbing 200 Final Re-Roof —cJ•Dyp 4.h,� 210 Final Electrical `"" ' t 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign -- • f'“ •1 `� 222 Final Site 204 Final Demolition • 250 Final Building/Occupancy WORKERS'COMPENSATION DECLARATION: Owner ID verified by drive. ❑Yes f No , I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document.i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the erformance of the work for which this permit is issued. I have and will maintain workers'compensation insurance, as required by s tion 3700 of the Labor Code, for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: n (/w person is required to descend,will be made in connection with work authorized Cartier: {/ by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high. (Chap.3.2,Grp (This section need not be completed if the pend is valued at one hundred dollars(S100)or less) 2,Art 2,Sec.341,Title 8,California Administrative Code). Policy Number: 7 (.-5 O0 255 q-44 -1_, ❑ As owner-builder, I will not employ anyone to do work which would O I certify that in the performance of the work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued,I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of Califomia, and agree that if I should become sub' ct to the workers' compensation provisions of Section 3700 of Applicant's SignatureDate the Lab otle, shall forthwith comply with these provisions. c...,.. / t I r- o� Division of Industrial Safety Permit Number: A(plicant's Signature • Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? 0 Yes 0 No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST.AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license isin full force and effect. a registration form for acutely hazardous materials? 0 Yes 0 No # T) Lic. . C° l "/ Class# c�C 1 (Section 25533 of the California Health and Safety Code, with some Com`�\ c/ / exceptions, requires registration with the Costa Mesa Fire Department by 1 (S-OG each business which at any one time has on hand a quantity of acutely C Dr's Signawre Dale hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? 0 Yes 0 No (Section 25534 of the Califomia Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes ❑No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? 0 Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes", the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes 0 No thereon,and who does such work himself or herself or through his or her own 8. (If Nes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penaltyofperjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and El I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044,Business and _ Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances'relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. Signature of Legal Owner(s) Date Signature Date 1_r y_�y 3057-46(3/07) I W. no/or Authorized Applicant Date CL PROJECT ADDRESS: 2375 ELDEN AV u"'' 1&C2 CITY OF COSTA MESA — BUILDING PERMITPERM NO; B ;.056579 OWNER'S NAME: : ADDRESS: SPARTA DEVELOPMENT CO, 411 E 15TH STPERMIT NO: B 056579 PLAN CHECK NO; 04124-91 A GOVT; N'SUPP; N NEWPORT BEACH CA 92663 CONS ION TYPE: 5—N PERMIT TYPE: STR PURPOSE; NEW (714 ) 650-8480 L ARCH/ENGINEER: REG.NO.: HAMPTON FORGES CE3007 OB DESCRIPT tk : NEW 2 STORY DUPLEX WITH ATTACHED GARAGES SQ FT: 1 , 878 ADDRESS: 18102 SKY PARK S T PERMITTEE: IRVINE CA 92714 CLAIM VAI E: 6, 460. 00 CALL—VALUE: 216, 459, 80 GROUP OCC; R-3 1,/M-1 ADDRESS; SPARTA DEVELOPEMENT CO, (714 ) 650-8480 --� • 411 E 15TH ST COMMENTS UPLEX WITH ATTACHED GARAGES HOLD FOR SPECIAL R� p RENTS NEWPORT BEACH CA 92663 ******* ******************;r**,*****srsESE****sESESF;ESEsesrsrr�ESEFE************�F�r*** IItsrat 7LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commenci Section ZONING R E Q U I R E M E N T S 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. S E T�,A C K S CITY LIC.: STATE UC.: CLASS: ' 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; 12 FT IN REAR; 22 FT IN FRNT; FT IN REAR: FTIN Compensation Insurance.or a certified copy thereof(Section 38(19.Lab.C). LEFT: 23 FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: FT' . IN POLICY NO.: EXP.DATE: ' COMPANY: PARKING REQ: 13 PROV• 13 PARCEL; 43927214 ZNE• R2 REF NO: DR-A1-19 0 CeddiedCOIN is hereby furnished. ❑ Cenisedcopyisfiled withthe dtyBuilding Division. PLANNING NOTES> 2 UNITS WITHIN 1 BLDG OF A 5 UNIT PROD WITHIN 3 BLDGS, ,-PKING > & PARK. FEES F/, WHOLE PROJECT, FT STBK IS SEPARATION, P F E Date: Applicant:, *************************************************** ******************;E*;E* **** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION( (This 44nnn,1 reed not be completed if the penial is fix one hundred(amu)or less). D E V E L O P M E,tN 'T ' SERVICES R E Q U I R E M E N: T ,SS.. I certify That in the performance of the work for which this permit d,I shall not empl ny person in any manner so as to become - /y subject to the Workers'Compensation Laws of California: ZONING APPROVED BY ��' DATE: 1 Date: 3 -/3-LI1_ Signature: w.� 47� NOTICE:If.aper maFing this declaration.you should.beco�y/subject tone Workers'Compensation/visions of the Labor BUILDING APPROVED BY VC-47'., DATE: . - • r e;�J 2— Code. Code.you must forthwith comply with such provisions or Mrs permit shall be deemed revoked. 4 v ,. - / / CONSTRUCTION LENDING AGENCY: I hereby al firm fluffier¢is a construction lending agency for the certormance of the work for APPLICATION ISSUED BY<: �� is � �/�}iGk.•--� DATE• —1�/ /.3./ :)► which this permit is issued(Section 3097.Civ.C). *********************'**,* *** "akCCi�F***** *kE i�PAdkF***************************'W**ii#tt **** LENDER: • *************'!E********IE************** *** ************************************ ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y 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: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 1 , 049 . 00 ' 21 , 65 repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed $MIP/NON—R ES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 01 the Business and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN 170, 46 , any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars(5500). ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation, win do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered fo,sale(Section 7044.Business and Protessional Code: The Contractors'Stale License Law TOTALS----> 1070 , 65 0 ,00 170,4'6 1241 , 11 1241 , 11 , 00 ' MOS not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through ' Its or her own employees.provided that such improvements are not intended or offered for sale.If,however the building or • lfo pthe purpose olsold sale) BLDGPMTCOLLECTED; ' FIRESMI P hin ane year of completion,the owner will have the burden of proving he/she did not build or imprpvo REVENU VON __PLUMBING ELECTRIC MECHAND O/OT/$HORT: . 00 GRADING PLAN—CHECK W I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 1049 . 00 -, 21 . 65 Wand Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware ***{E***************************{E.**.1F*******jE****************************.****.**** that proof of their Worker's Compensation insurance should be provided t. me. INDIVIDUAL F E 'E BREAKDOWN ❑ I am exempt under Section: B.&P.C. for mis reason: 0 TYPE QTY D E S C R I P T I "d N UNIT COST TOTAL COST Date: 3-0_ 47- Domer. - .4 II•" e. /A SFR 2930 DWE—TYPE V—WOOD FRAME (-• I do hereby cenily that I am aware of and understand the requirements of Cali• a Health. d Salety Code Sections '505,25533,and —GOOD 69 . 00 2 0 2, 17 0 0 0 2e534 dor tont I or any of mo building occupant AiriDu not Mande a me)need mmsid with sco state milap and tie arerexept for a SFR 826 RES—GARAGES TYPE V.. 1730 14 , 289, 80 permit for construction or modification from the Duality Management District.Residential construction applications exempt from END , OF FEES (hese provisions. —_ • Date: Applicant: 'V I hereby certify that I have read this application and state that 'information is con- I agree to comply with an city and county , ordinances and state laws relating to building construction a Iltorbe represents[ ' 0 Miserly to enter upon the amve.mentioned .4:' property for inspection purposes. , i Date: .3 '3-g, _ Signature: .e... a w e r; Driver's License or Social Security 1641.46 White—Building:Green—Code Enforcement:Canary—Applicant:Pink—Revenue; oldenrod—Assessor ' ' A CONSTRUCTIO▪N AND PLANNING. POOL aP•• APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector • 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location _• 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement . 3,Elgci ical`Con4f4jt:Ugility-Undrgrnd. - 54. Forms - ^ 4.1leatricaI Gond uit-UBdrgrnd. 55. Electrical Bonding .- .x,.r- I_5.$teel'Reirtfcfrcement 56. Rough Plumbing & Pressure Test 'T b-. tectr1taLUFER Grnd. 57. APPROVAL TO COVER-GUNITE 1 7::, ...tings-FO ��/�yy, 58. Electrical Conduit-Undrgrnd. - 8: Foundation I' 59. Gas Pipe, 0 Undrgrnd., Test -•y -4. 1 • 9, Water Pipe-Undrgrnd. - - ` 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System - 61. APPROVAL TO DECK 11.- Property Sewer_ine'& House Connection 62. Backwash & Receptor-Final' 12. Sewer Cap 1 - ' 63. Heater & Vent-Final - 13. Roof Drains• t. • 64..Plumbing System - Final • 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit . 66. Solar System-Final 16. Rough Electric. Wiring 67. Fencing & Access Approval , '..17. Rough wiring Sign 68. APPROVED FOR PLASTERING r18. Rough Elerctrical--T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning - - FIRE DEPT. REQUIREMENT - _ _ _ r -. •i0.% 20.T of h Factory FiFeplace i s • -Z` F ; _ _' '+ .PPROVA1 S;_,:Perthit# ' r, 21. Ducts,in-Structure, - � s C J.'-• ` 30. Underground_Hydro - .r 22. Dud-se Ventilating- _ w C S d!. ; :71. Product#? iqg GFCfa1_, O'Oil 23.':Gas,Pipe-Bough &Test • . ' ;rte '. r a. ,-* . -._72. Underground Flush^c • - o: 24. 'Roca Framing • > O _ 573.zUndergrnd.Stor9Tahk 0 Gas OOfI t 25. Rodrt Sheathing i-: ';4 'Z r. - ., 4.%OZ; S x "re Hydro y 26.--I--Bar Ceiling (Structural) & Monocoat o. 31 0 .- - 75.?DIy Chemica� - 27. Frame and Flashing' m•� _ `4.44 �'= t • "' I . .0 z g -,/y L '� '_ • 76. Dry Standp'ip� _ , _28. •Lathing& Siding:. . .(t .i •z'.: / 1 G �' 77.7FIXED SYTTEM:Q;NALn i Ly. Insulatioh ▪ - rt- 78 FIRE PREY. FINAL < r„ T30. Drywall Nailikg G� et_TI ' i . ' x HEALTH DEPT!REQUIREMENT --, .31. Plaster Btown Coal; c. •,5%--,.' ? r79. FINAL IN$PECT16N _r _ L.32.� Power __ ElectricatPoier Meter-Final ,• /%. ,-: '. r80.?FOOD CERTIFICATE ISSUED • ,33.Iindl Electric - '-- M• IEM . 'Notes: fit. St- -Ti . -]I- LATE l=oo-K,C0 �f►•� =r34.-Fin)if Heating& Ai1,Conditioning; • - a J. - ,� z ' .0 e _ _/ 35.'Final Gas-Pipe-Test` " I • ''� " � _ - .,.x :(' )-1. -. :c •• _ tic - 36. Hood or-Canopy ... - x J 37.:Finaf Fa6tory Fireplace ,• s r "' •r ° I I ' .T •j w -38.•:Final Plumbing r •- . � lI r 5 •-. ,a t -,- /39.-Waie Service-Final• I - :R i ' 1' � r' -' 1- Fl -• ,_n 1. s 1 •. r , ; _r . _1 0 x 3 4 - 0. Gas Service-Final : , { T, I; �, -0- rCp; =41. Solar Dorhesttc-k9nal • -- - I I. v . a - -' r: C. - •a - r • 42.`Backf low..Preventer 1-. I I {i a >.�. "- 43. Backflow Irrigation' 5 : S -' * -a -c: ` r'-- 1.. Y - -, •r • 5r lti f V 1 l ,;44. Landscape IrAgaiion System. = , S r ,r- - - �i • 'r, p• ti x.� 'il re o - - .f • • S - _ 145..Sound Attenuations - .2 •r •1.z •-••• • Th ,, •- �'j - -. _ .. .. r. . ,^.! 'n rlf. . _ G•' :c <u -. .1 •• :46.-HandicapJr. •Regulations - -: % r •- •.c Lr ••- - - s - - 47.,,FINALSTRUCTURE & BUILDING - ..' G ••,p ,, [ I'j --". '� �: �, INALP /1I x . ' � / ' l '' i _ _ . _,t .:Electric Rellf.e to-Edison • _ •'x I - :, M• - - . l0 r r4 .t • F �' ;50.-Gas RViol-tern tViol-tern CaliforniaGasCo u ,:' 1 '' . . • ' i51. CERTIFICATEOF"OCCUPANCY 't . a.s - No. Date 5t- -Yv • FINAL GRADING CERTIFICATION l • Project Address:• 2375 Elden, Unit C-1 G „.z Lot Number: Lot 4 of Tract 14518 DR-91-19' • Permit Number: By Civil Engineer: • • I certify to the satisfactory completion of grading in accordance with the approved plans, specifications, local and 'state codes. All drainage devices required by the grading permit, grading plan and grading ordinance have been installed. Adequate provisions have been made for drainage of surface water from each building site. The minimums are: • 2% Fall from structures within 5 feet from exterior walls. 1% Fall for asphalt surfaces and landscaped areas. 0.5% Fall for concrete surfaces to approved disposal areas. The fi'al mOm2ments as Shown on the recorded tract map -Are Set. AU final grading eieva- • bora are w;•';in ± 1;1J of the desit • elevati Supen•isina Civil Engineer )11) ,1.11 ('+^,",",w pe_ No. 31720 I (Si;rEwt) Dale 17/4/92 • okeFESS/0A, krB• 114 rire V 11 ,• IT CG • 2, rl9j• FOF CA1., �Q i. • ��•� _-13 s_r;; PROJECT ADDRESS: 2'375 ELDEN AV UNIT: C1&C2 `t CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 057113 OWNER'S NAME: SPARTA DEVELOPMENT CO. P ADDRESS: 411 E 15TH ST PERMIT NO: P 057113 PLAN CHECK NO: N GOVT: N SUPP: M ; ' NEWPORT BEACH CA 92663 CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU PURPOSE; OTH i ( 714 ) 650-8480 ARCH/ENGINEER: HAMPTON FORBES REG.ND.: CE3C407 JOB DESCRIPTION : NEW 2 STORY DUPLEX WITH ATTACHED GARAGES SQ FT: ADDRESS: 18102 SKY PARK S UNIT: IRVINE CA 92.714 CLAIM VALUE: CALC—VALUE: GROUP OCC : R-3 /M-1 PERMITTEE: H & D PLUMBING ( 714 ) 895-5840 ADDRESS: 1315 E ST, ANDREWS PL C COMMENTS: RE: B56579 PRIMARY BLDG, PERMIT. SANTA ANA CA 92705 ********x**± **N**�E�E*�E*>E*x�c'�E '�r*iEiEr.'*;k**** '**±E************************ ******* *** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: 4 0 16 3 _ _ �� II tic.:5 0 16 9 CLASS: C— • Date: xSignatures - MAIN BUILDING ACCESSORY BUILDING _ _ WORKERS'COMPENSATION DECLARATION: I hereby affirm that l have a caroti eof consen o self-insure or a cenifica fWorkers/FRNT; FT IN REAR: FT IN FRNT: FT IN REAR: FT IN Compensation IgsyraA,gtg,cpNdie{L cppy thereof(Section 3800.Lab.G). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN POLICY NO.: 11 `1btl7 X11 EXP.DATE: 12/01 /92 COMPANY: STATE FUND . PARKING REQ• PROV: PARCEL: 43927214 ZNE: REF NO: ❑ Certified copy is hereby furnished. 1-11 Cen'ed copy is filed ith • Buildinf gapSion. PLANNING NOTES> � ***************************************f ********1 ************************li****** Date: Applicant: — SDEVELOPMENT SERV CES%• REQUIREMENTS EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be . pl coil the permitis for one hundred(5100)or less). I certify that in the performance of the work for which this permit is issued,I she d employ any person in any manner so as to become subject to the Workers:Compensation Laws of California. -1 !•- ZONING APPROVED BY % ` DATE: Oahe: Signature: - NOTICE:If.after making this declaration.you should become subject to the Workers'Compensation,provisions of the Labor B U I11D I NG APPROVED BY : DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. . 'J I^rt CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the Aertormance of the work for APP I!ICAT ION ISSUED BY: \N� DATE: 7 I [,J/ which this permit is issued(Section 3097.Civ.C). '' ***********•******************************** iE**** ***i ************* ** *I* .* LENDER: 4 ******************************************************************************* . ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT;N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the fotowing 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 33 , 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($500). ISSUE FEE 3,00 1, 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 TOT —---> 33 . 00 3 , 00 0 . 00 36 . 00 36. 00 . 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 sate.11,however the building or VENUE DIVISION TOTALS--> COLLECTED• 36 . 00 OVER/SHORT• 00 improvement the purpose ofsal¢ sold within one year of completion,the owner will have the burden of proving he/she did not build or improve forBLDG 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 36 . 00 ❑ and Professions Code: The Contractors'Stale License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors State License Law).l am aware *****K.***********ae************************************************************* 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 his reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: PLU 2 BATHTUB ' 2 , 00 4 , 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and PLU 1 DISHWASHER 2. 00 2 . 00 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 PLU 1 LAUNDRY TUB OR WASHER 2 .00 2 . 00 permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. PLU 1 SINK, KITCHEN 2 . 00 2 . 00 PLU 2 WASH BASIN 2 , 00 4 . 00 Date: Applicant PLU 1 WASH BASIN (SET) 2 . 00 2 . 00 I hereby certify that I have read this application and state that the abo formation is correct.I agree to c• ply with all city and county PLIJ 3 WATER CLOSET (TOILET) 2 . 00 6 . 00 ordinances and state laws relating to building co strucfion and hereby e representatives. , ity -•iter upon the above-mentioned PLU 1 WATER HEATER AND/OR VENT 2 , 00 2 , 00 Date property fon uinspection purposes. // PLU 1 WATER SERVICE 2 . 00 2 . 00 Date: T:�. n .10 i l]l T.: _ — _• - ' 1641-46 White—building:Green—Code Enforcement:Canary—Apps .nC Pink—Revenue;Goldenrod—Asses • 'CONSTRUCTION AND PLANNING - POOL a „?A. Date Inspector Date Inspector APPROVALS Permit# _ APPROVALS Permit # t. Temporary Electrical Service 6r Pole" - -' 52. Pool & Equipment Location . . 2. Soil Pipe-Undrgrnd. -/jcieiS�;� 53. Steel Reinforcement , ' 3. Electrical Conduit Utility-Undrgrnd. „Vt ! 54. Forms 4. Electrical Conduit-Undrgrnd: . t 55. Electrical Bonding 5. Steel Reinforcement ,=\.j Hyl - , 56. Rough Plumbing& Pressure Test 6. Electrical UF ER Grnd. � 57. APPROVAL TO COVER-GUNITE 7. Footings • 58. Electrical Conduit-Undrgrnd. • , 8. Foundation • /� 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. - . rp � %�jr', yjlf 60. Backwash Lines, P-Trap, 0-Undrgrnd. . 10. Structural Floor System -• , +(+,�' - ✓fL1 61. APPROVAL TO DECK r 11. Property Sewer Line & House'connection 7fzfgt cep 62. Backwash & Receptor-Final • ' 12. Sewer Cap - 63. Heater & Vent-Final ' /+ 13. Roof Drains ,,.- l l 64. Plumbing System - Final - •. '�� J' 14. Rough Plumbing • /l- G07 65. Electrical-Final • 15. Rough Electrical-Conduit , jrr 66. Solar System-Final ,16. Rough Electric Wiring , / ,' 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING • 18. Rough Electrical-T Bar Ceilf'rig - - 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Cortditidning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical • 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL • 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED i 33- Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test U(14/'`L t4 36. Hood or Canopy 1 37. Final Factory Fireplace • - 38. Final Plumbing .0g /1s -�F/% C- 39. Water Service-Final 2/74lr..a f' 40. Gas Service-Final ✓�� 41. Solar Domestic-Final i I 42. Backflow Preventer i 43. Backflow Irrigation 44. Landscape Irrigation System • 45. Sound Attenuation - 46. Handicap Regulations • 47. FINAL STRUCTURE & BUILDING - 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co ' I 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 2375 ELDEN AV UNIT: C16C2 CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 057832 OWNER'S'NAME: SPARTA DEVELOPMENT CO, • ADDRESS: 411 E 15TH ST PERMIT NO: M 057833 PLAN CHECK NO: N GOVT: N SUPP: Y NEWPORT BEACH CA 92663 CONSTRUCTION TYPE: 5—N PERMIT TYPE: MEC PURPOSE: OTH ARCM/ENGINEER: (714 )650-8480 NEG.ND.: ADDRESS: HAMPTON FORBES CE 407 JOB DESCRIPTION : NEW 2 STORY DUPLEX WITH ATTACHED GARAGES SQ FT; 18102 SKY PARK S IRVINE CA 92714 CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 PERMITTEE: ADDRESS: SPARTA DEVELOPEMENT (714 ) 650-8480 411PE 1EAR ST *O***iNFiT(9S•FiE****NE• B****************Y B9LED*4******* **fr�f�f�Eff�f�f*******yf*�fyf�f*�ENf******fE**+E*�f* NEWPORT BEACH CA 92663 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SETBACKS 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.or a certified copy thereof(Section 3800.Lab.C). ALEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP..DATE: COMPANY: PARKING REQ: PROV: PARCEL: 43927214 ZNE: REF NO: 4Cefiedcopyts hereby furnished. ❑ Certified copy is filed with the city Building Division.• PLANNING N TES> > I: EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This need not be completed if the permit is for one hundred(5100)or less). DEVELOPMENT 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 d,I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. •'ZONING APPROVED BY •• . DATE: Dale: G --)6,---4-, Signature: 77 -1mAM//pC�Xs�'-� r NOTICE:II.after making this declaration,you should beco jIjsu.tect to yle Workers Compensatiorl°pravisions of the Labor , BUILDING APPROVED BY : '. DATE: Code.you must forthwith comply with such provisions or,' s permit shall be deemed revoked. �' IT CONSTRUCTION LENDING AGENCY: hereby affirm that there is a construction lending agency for the performance of the work for •APPLICATION ISSUED B Y: `S' X DATE• t 2 I which this permit is issued(Section 3097.Civ.C). ************************************** dF*M************1F*3F***IF****** A ** LENDER: ******************************If**!F** **iF***iE*****3!*****1k***ie****************1E* ADDRESS: LEGALIZATION:N F E E / S U M M A R Y STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that lam 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 3 6 0 0 repair any structure.prior to its issuance,also requires the applicant for such permit to life a signed statement that he/she is licensed ��Lk pursuant to the provisions of the Contractors'Slate License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 25% SMIP/NON—RES and Prolessions Code)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 penally of not more than five hundred dollars(S500). ISSUE FEE 4 , 50 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————> 36 .00 4 , 50 0. 00 40, 50 40, 50 , 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himseWherself 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• 40. 50 OVER/SHORT: 00 orinepurposeofsale). 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 40 . 50 and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware i(.*.*y(.i(.{E{e.***F(.*i(.*{EF(..)(.*.i(.i(.**yf****{(.*{E****.{(.****{f*.*.*i(..1(.***********ice*.*.**{.*. (..x.*****..K.*.******* that proof of their Worker's Compensation insurance should be provided e. INDIVIDUAL F E E BREAKDOWN o I am exempt under Section'. B.8 P.C. for this reason:/ TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST (9 Date: - ea-�' Owner: -. MEC 2 INST FORC—AIR/GRAV FURN <= 100 K BTU 9 , 00 18 , 00 I do hereby certify thatam l am aware of and understand the requirements of Calif;co Health an,Safety Code Sections 2' 05,25533,and 25534 and that I or any future building occupant ll not(circle one)need to comply with said state codes and the requirements for a NEC 2 REFRIGERATION SYSTEM <= 100 K BTU/H 9 , 00 1$ , 00 permit ILD Air O construction or modification from the Duality Management District.Residential construction applications are exempt from END OF FEES mese provisions. r--? Date: Applicant: erI hereby certify that have read this application anddstate that E,' information is correct. agree to comply with all city and county ordinances and state laws relating to building construction and hrue representatives this city to enter upon the above-mentioned La JUN 1 8 1992 property for inspection purposes. Date: rt 4 zSignature: -r C(/ ",,n,- CITY OF COSTA MESA �/( Driver's License or Social Security Aoolicanl:Pink—Revenue:Goldenrod—Assessor • CONSTRUCTION AND PLANNING _ ; POOL%k APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector ' 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location • 2. Soil Pipe-Undrgrnd. 53..Steel Reinforcement 3. Electrical,Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit=Undrgrnd. 55. Electrical Bonding • 5. Steel-Reinfb�cemelit I 56. Rough Plumbing& Pressure Test • 6. -Electrical UFEFL Grnd. 57. APPROVAL TO COVER-GUNITE 7..Footings ^' - 58. Electrical Conduit-Undrgrnd. 8. Foundation` - •' _ 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. i60. Backwash Lines, P-Trap, 0 Undrgrnd. . 10. Structural Floor System 61. APPROVAL TO DECK 11" Property Sewer Line& House Connection 62. Backwash & Receptor-Final 12. Sewer Cap63. Heater & Vent-Final • 13. Roof Drains • 64. Plumbing System - Final • , 14. Rough Plumbing _ 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final r 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING • 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning G/9 j-y,� FIRE DEPT. REQUIREMENT !� 20.--.Rough Factory Fteplace _ • -- . APPROVALS :Permit # • - 21.-Ducts, in Structure' . - ,' - 1.70. Underground_Hydro 22. Ducts, Ventilating - - 71. ProductSipirig 0 Gas 00il - 23. GasiPipe•Rough & Test _ • .72. Underground Flush--; 24. ,Root Framing 9 - -' - •• 73. Undergrnd'.Storage Tank 0 Gas 0 Oil ' 25. Roof Sheathing _, ; - 74. Overhead Hydro- 26.T-Bar Ceiling (Structural) & Monocoat •. 4 = • 75:_Dry Chemical • 27. Frame and Flashing• J ` 76. Dry Stand&re , `• ., , , v 28. Lathing Siding : 77.. FIXED SYSTEM & FINAL 29. Insulation , - '- " ' 78..FIRE PREY. FINAL ' :30. Drywall Nailing :f _ HEALTH DEPT,REQUIREMENT .31. Plaster Brown Coat 79.- FINAL INSPECTION - . 32. Electrical Power Meter-Final • 80. FOOD CERTIFICATE ISSUED 33. Final Electric 'Notes: - - ' - r . 34. Final Heating'& Air.Conditionitig.; - 41/ilita- 35. Final Gas'Pipe-Test- - • r ,36. Hood or Canopy 37.Sinai Factory Fireplace...- ' - '38. Final Plumbing - v ' - • '39. Water Service-Final * • - - ' • , ., , . . -40. Gas Service-Final ' 4.1, i ' 41. Solar Domestic-Final • - - ' 42. Backflow Preventer' . r- 43. Backflow Irrigation • - n - ` . � •' 44. Landscape Ilripatioh System �` - i 45. Sound Attenuation` s _ . r '46. Handicap Regulations - - s. 47. FINAL STRUCTURE & BUll-DING - I i. 48.'FINALPLANNING ; r - .49. Electric Release to Edison i Y • r . •50. Gas Release to Southern California Gas Co ; I i i, - 51. CERTIFICATEOF:OOCUPANCY . • No. Date PROJECT AO.II,BESS: 23-/. N-lAV "rte• �'.- • Cf6,C2 ,\ CITY OF COSTA MESA - BUILDING PERMIT PERM NO: M 057817 "are SPARTA D MENT CO. • d.- 411 E 15T ST PERMIT NO: M 057817 PLAN CHECK NO; N GOVT: N SUPP: N NEWPORT BE H _ 1. • CA 92663 "5: A - CONST'RUCTTON TYPE: 5—N PERMIT TYPE: MEC PURPOSE: NEW (714 ) 650-84'80 " • h,• ARCMIENGINEER:\HAMPTON FORBES-` iif REG.NO.: CEN407 JOB DESCRIPTION ; NEW 2 STORY DUPLEX WITH ATTACHED GARAGES SQ FT; ADDRESS: 18102 SKY PARK S PERmmee�;IRVINE CA 9 714 "E,,LAIM VALUE: CALC-VALUE: GROUP OCC; R-3 /M-1 SPARTA DEVELOPEMENT CO. \ (714 ) 650-8480 ADDRESS: 411 E 15TH ST spry r COMMENTS; FACTORY FIRE PLACES ICBO#3159 RE;B56579 NEWPORT BEACH CA 92663 *************+FBF***********;tr****+FBF*** ¢**lr***4********* ¢***+F****************+t*** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 700W of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: STATE UC.: CUSS: 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,or a certified copy thereof(Section 38OO.Lab.C). LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN POLICY NO.: EXP.DATE: PARKING REQ• PROV; PARCEL; 43927214 ZNE: REF NO: 7 CendieO copy is hereby lumisned. ❑ Certified copy is filed with the city Building Division. PLANNING N TES> ,CDMPANY: ate: Applicant: ********************************************Bf*******!E************************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This on need not be completed if the permit is for one hundred(S100)or less). DEVELOPMENT S E R V I C E,`S REQUIREMENTS I certify that in the performance of the work far w 'h this permit'. ued,I shall not e any person in any manner so as to become ' subject to the Wor eers'Compensation Laws California. ZONING APPROVED BY • "' DATE; Date: —/ 7 —Q )— Signature: '�'� [�.'/.4,-x'� NOTICE:If.after making this declaration,you should becwe subject to the Workers'Compensat n provisions of the Labor/ BUILDING APPROVED BY ; .-' DATE: Code,you must forthwith comply with such provisions o this permit shall be deemed revoked. • '`�J� CONSTRUCTION LENDING AGENCY: hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• y*# DATE: Co` Ul f(. which this permit is issued(Section 3097.Civ.C). *******************************************YYPh**************************iti¢it iF *** LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm 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 1 3 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 51 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 and Professions Code)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(6500). 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 TOTALS----> 13. 00 15, 00 0. 00 28 . 00 28 . 00 ,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 ipimprovement 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• 28 ,00 OVER/SHORT• 00 mr me purpose of salo). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHECK I„ I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 28 .00 LX and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projectsitio a contractor(s)license pursuant to the Contractors State License Law).l am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provide. o me. ❑ I am exempt under Section: B.8 P.G / INDIVIDUAL F E E BREAKDOWN for this reason: / TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: '1 7 -PD- Dwner. MEC 2 FACTORY FIREPLACE 6. 50 13 ,00 I do hereby certify that I am aware of and understand the requirements of Ca' -rnia Health.nd Safety Code Sections 255 I.,25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)ne-. o comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application an state that the nformation is correct.I agree to comply with all city and county ordinances and state laws relating to building con uction and here. rile representatives o i city to enter upon the above mentioned property for inspection purposes. - el Date: G^H7— BIZ lgnature: .0 II/i DATE' [�f. l?, _ _` )5l'„ - , Driver's License or Social Security Pink—Revenue:Goldenrod—Assessor !Pi �UNSTR UCTION 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 . 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4.,Eleotricai Conduit-Undrgrnd. - 55. Electrical Bonding •' 5, Steel Rainfoycement _ • 56. Rough Plumbing & Pressure Test d. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings' I . t - 58. Electrical Conduit-Undrgrnd. '8. Foundatio 59. Gas Pipe, 0 Undrgrnd., Test - 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK " 11. Property Sewer-Line & House Connection 62. Backwash & Receptor-Final ' 12. Sewer Cap - 63. Heater & Vent-Final 13. Roof Drains - 64. Plumbing System - Final 7. 14. Rough Plumbing - 65. Electrical-Final . 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiling Sign 68. APPROVED FOR PLASTERING ' 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ' 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT J. 20. Rough Factory Fireplace '. y G�%,i./ ,a7C_:-:.APPRO.VAis: .:Permit # " •1- 21. Ducts, in Structure • , < . 70. Underground tHytlro 22. Ducts, Ventilating , '. ?1. Product Piping QGas OOil 23.-Gas Pipe-Rough &Test ' , r , .? _ 72. Underground Flush, , 24. Roof Framing - - - �, 73:L_Undergrnd-.Storage Tank 0 Gas 0 Oil r - 25. Roof Sheathing _ _ 54. Overhead Hydro- r 26. T-Bar Ceiling (Structural) & Monocoat I. - • sa 75: Dry Chemical - 27. Frame and Flashing tn ', 76. Dry StandpipeL.-- r _ 28. Lathing & Siding :. . 77. FIXED SYSTEM•FINAL- 29. Insulation ' " �; 78.,FIRE PREY. FINAL • -30. Drywall'Nailing • HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat; , - 79. FINAL INSPECTION 32. Electrical Power Meter-Final -, -80. ,FOOD CERTIFICATE ISSUED 33. Final Electric - f Notes: - •' 34. Final Heating•& Air Conditioning , ' - N 35. 'Final Gas Pipe-Test ' "' 36. Hood or Canopy 37. Final Factory Fireplace - . • l )• -38. Final Plumbing �, '39. Water Service-Finals - 'I• . ' . ,40. Gas Service-Final : , - •41. Solar Domestic-Final . ' , :- 42. Backflow Preventer' . I - - 43. Backflow Irrigation ' •r 44. Landscape Irrigation System- ,. -- , . _ - , $ s 45. Sound Attenuation = �_ +•� 46. Handicap Regulations _ i 47. FINAL STRUCTURE & BUILDING - - 48. FINAL PLANNING, . tI0 • .,. •(. • 49. Electric Release to Edison , • ,. r . • 50. Gas Release to Southern California Gas Co 1 „ ; .' '• 51. CERTIFICATE OF OCCUPANCY -- No. _ Date t 7 QII:cT ADDRESS: 2375 ELDER AV UNIT: E=i .._ CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 057219 OWNER•s NAME: SPARTA DEVELOPMENT CO. C- I +—'•2— ADDRESS: 411 E 15TH ST PERMIT NO: E 057219 PLAN CHECK NO: N GOVT: N SUPP: N NEWPORT BEACH a CA 92663 CONSTRUCTION TYPE; 5—N PERMIT TYPE; ELE PURPOSE: NEW ARCN/ENGINEER: HAMPTONOFORBES REG.ND.: CE30407 JOB DESCRIPTION NEW 2 STORY SFD WITH ATTACHED GARAGE SQ FT; ADDRESS: 18102 SKY PARK S UNIT: IRVINE CA 92714 CLAIM VALUE; CALL—VALUE; GROUP OCC: R-3 /M-1 PERMITTEE: BOB ELECTRIC ( 714 ) 650-3337 q ADDRESS: 1539 MONROVIA 7 COMMENTS: REF c t�f 13,6705;;C 35? 5'7/ N.H . CA 92663 *****K*4**sk*z******** *******+FSE•******tE*iE*+t*Tc** *************** %*%x%* * *****v LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 70001 0l Division 3 of the Business and Professions Code,and my license is in lull force and effect. SETBACKS CITY LIC.: 034421 STATE LIC.:4 5 5 7 0 1 CLASS: C, 0 5.--/-Date: Qi- Signature: _'' MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPEATION DECLARATION; I hereby affirm that I have a certificate of consen to sell-insure or a certificate of Workers' FRNT: FT IN REAR; FT IN FRNT; FT IN REAR; FT IN Compensation Insurance.or a cemfied copy thereof(Section 3800.Lab.CL LEFT: FT IN RGHT; FT IN LEFT; FT IN RGHT: FT IN POLICY NO.: WC 81 319 8 1 EXP.DATE: COMPANY: STATE PARKING RE • PROV; PARCEL; 43927214 ZNE; REF NO: Certified copy is hereby furnished. ® Certified copy is ''••with the city ;uild,• e' 'sion. PLANNING N TES> /� > Date' �" f 9y. - Applicant' 4 **************iF*********!E******TETE*}F#**%*********iE**********Y.********%Y.***i4***** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the penrit is for one hundred($100)or less). DEVELOPMENT S•' E R VICES REQUIREMENTS I certify that in the performance of the work for whicti this permit is issued,I shall not employ any person in any manner so as to become - subject to the Workers'Compensation Laws of California. . ZONING APPROVED BY DATE; Date: • Signature: - NOTICE:If,after making this Declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. " THIHHH CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y; _...r• DATE; C.2 SO $37 which this permit is issued(Section/3097.Civ.C)es ********************** . ********** *******tr*** LENDER: 'f *******************************44******* H ************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'Slate License Law for the following reason BLDG PMT PLUMBING ELECTRI MECHANIC FIRE SNIP/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 4 .4 . repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 50 SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7003)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(S500). ISSUE FEE 15 . 00 I. as owner of the property or my employees with wages as their sole compensation, wilt do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or otfered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS----> 44 . 42 1 5. 00 0. 00 59 , 42 59 , 42 . 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 REVENUE DIVISION TOTALS——> COLLECTED• 59 . 42 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 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 59 4 2 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contractsfor 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 1269 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT . 03 44 . 42 I do hereby certify that I am aware of and understand the requirements of CaliforniaHealth and Safety Code Sections 25505.25533,and END OF FEES 25534 and that I or any future building occupant wilt/will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. Date: APDlicant I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereb authorize repres • of this city to enter upon the above-mentioned r.1 r; a 1 i21:-<U)142.3: ( --- property for inspection purposes. , x-4'7 / Lt•AI GO 45/]1142 1Tric: rt.}u Date: ��/ / Li Signature' //i/ License or Social Security pen—Code Enforcement:Canary—Applicant;Pink—Revenue;Goldenrod—Assessor CONSTRUCTION AND PLANNING 4, POGaPA Date Inspector Date \ $ APPROVALS Permit# - APPROVALS Permit#• • .1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd - 53. Steel Reinforcement `'s 3: Electrical Conduit Utility-Undrgrnd. - 54. Forms 4. Electrical Conduit-Undrgrnd. 2 c 4z 401‘4_,.."5..5. Electrical Bonding 5. Steel Reinforcement - 7//•• I `" . Rough Plumbing & Pressure Test 4 6. Electrical UFER Grnd. - 157. APPROVAL TO COVER-GUNITE 7. Footings /-, 58.-Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. - 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House-Connection 62. Backwash & Receptor-Final 12. Sewer Cap 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 7_Z_UZ ! 1� 67. Fencing & Access Approval 17. Rough Wiring Sign (( 68. APPROVED FOR PLASTERING 181. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough&Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical %!7. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL �9. 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 0,1 'I1 Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy �• 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer - • 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING - 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PROIECTADDRESS: 2375 ELDEN AV UNIT: C1&C2 CITY OF COSTA MESA — BUILDING PERMIT PERM NO: F 057828 OWNER•SNAME: SPARTA DEVELOPMENT CO. ADDRESS: 411 E 15TH ST PERMIT NO: F 057828 PLAN CHECK NO: 01951-92 S GOVT: N SUPP: N NEWPORT BEACH CA 92663 CONSTRUCTION TYPE: 5—N PERMIT TYPE: FIR PURPOSE: NEW ARCH/ENGINEER: (714 ) 650-8480 REG.NO.: ADDRESS: 18102 FORBES CED3NC407 JOB DESCRIPTION : INSTALL NEW FIRE SPRINKLER SYSTEM SQ FT; 18102 SKY PARK S IRVINE CA 92714 CLAIM VALUE: 4 , 000 . 00 CALC—VALUE: GROUP OCC: R-3 /M-1 PERMITTEE: JBT HOME FIRE SPRINKLERS (714 ) 572-0574 ADDRESS : 660 S. JEFFERSON A COMMENTS- NEW DUPLEX W/GARAGE REF./356579' PLACENTIA CA 92670 ********iFit*Dr*******************it*it***yt*** ********e¢*+tact+E****1e****+t***kF********* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: 055308 S9 .:J�S.�8'y"'1 7 7 2 CLASS: 16 Date: ( - /R - 4. v C Signature: ( • �• << Ill �- MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sell-insure o Irlicate 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 FOLIC/No.: 1143857-91 mom 09/01 /92 COMPANY: STATE PARKING RE • PROV; PARCEL: 43927214 ZNE: REF NO: -❑ Cendied copy is hereby tarnished. a Ce i ied copy is filed with the city Building Division. PLANNING N TES> /- / jr n > Date: �` 'C rJ>•/ Applicant: ` . (Lw-a•Kar li `/� ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed it t• • . one hundred(5/00)or less). DEVELOPMENT SERVICES REQUIREMENTS I certify that in the performance of the work for which this permit is issued.I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE: Date: Signature: NOTICE:II.atter making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY . DATE: Code.you must fonhwith comply with such provisions or this permit shall be deemed revoked. �,1 1 1/ (,, .Ly]� �` CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y; 1;�5"C L DATE• y� /if iI c' which this permit is issued(Section 3097,Civ.C). *******************************# *** * ***i(.******.***.*.*.N.****.**** *. *.**.*. LENDER: ***********************************:k ****************************************** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from theContractors'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 63.00 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 6 5$ 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 and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 40. 95 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5503). ISSUE FEE I, as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 63 . 00 0 . 00 40 . 95 103 . 95 103. 95 . 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- 63. 00 OVER/SHORT• 00 for the purpose of sale). 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 63.00 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware *.***.*******.******.**********.IE******.N.****.*****.N.{(.. .JE*.*.*.**.K.****.**.N..N.**.1(.****.N..If*-1e*..***** 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. lor this reason: TYPE QTY . DESCRIPTIO N UNIT COST TOTAL COST Date Owner: FIR 63 FIRE EQUIP FEE (FROM BLDG VAL TABLE) 1 . 00 63 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code 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 Quality Management District.Residential construction applications are exempt from — • , these provisions. ". "'• Date: Applicant: ,•n ,u I hereby certify that I have read this application an state that the above information is correct.I agree to comply with all i and county '-j7 '' ordinances and state laws relating to building co ruction and hereby authorize representatives of this city to enter upon the owe-mentioned property forriinspection/purposes. /gafp // �7 n - t Date, (!i_ F b - 1-2� l Signature: C- [-, \. -e :. Driver's License or Social Security Applicant Pink—Revenue:Goldenrod—Assessor • CONSTRUCTION AND PLANNING - POOL . SPA - - ;'APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector -1. Temporary Electrical Service or Pole '52. Pool & Equipment Location • 0 2. Soil Pipe-Undrgrnd. 53._Steel Reinforcement • 3. Electrical;Coriduit Utility-Undrgrnd. 54. Forms. 4. Electrical Conduit Undrgrnd. 55. Electrical Bonding I 5. Steel-Reinforceinerit . , 56. Rough Plumbing & Pressure Test ' 6. Electrical OF ER Orrid. 57. APPROVAL TO COVER-GUNITE 7. Footings; 58. Electrical Conduit-Undrgrnd. • 8. Foundation - -- 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgind. 60. Backwash Lines, P-Trap, 0 Undrgrnd. •10. Structural Floor System 61. APPROVAL TO DECK 11: Property Sewer.Line & House Connection • 62. Backwash & Receptor-Final 12. Sewer Cap -• - - 63. Heater & Vent-Final 13. Roof Drains'. I - 64. Plumbing System - Final . 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final ' 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical•T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace - •, APPROVALS.. Permit # 21. Ducts,in_Structure. ` � - r 70. Underground Hydro 22. Ducts, Ventilating, . - .71. Product Piping ❑Gas 0 Oil 23:Gas Pipe'--Rough &Test r s : , .72. Underground Flush . 24. •Roof Framing ' 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof SheathingII `,- .,, - 74. Overhead Hydro 1-650. ,0)3 ., 26. T-Bar Ceiling (Structural) &'-Monocoat •-.1 •r 75. Dry Chemical _ 27. Frame and Flashing t- " 76. Dry Standpipe , . 28. Lathing.& Siding y- ' r, .? > . - •• 77. FIXED SYSTEM-FINAL • 11-ivjLip 29. Insulation � , 78. FIRE PREY. FINAL - '31g-L} � `30. Drywall Nailing - - HEALTH-DEPT. REQUIREMENT 31. Plaster Bsown.Coat _ ,, • _79:'FINAL INSPECTION , 32. Electrical Power Meter-Final .• l` - .80. FOOD CERTIFICATE ISSUED 33.-Final Electric `Notes: 34. Final Heating& Air-Conditioning , : --` 35..-Final Gas Pipe-Test-- -a _ - 36. Hood or Canopy 37.-:Final Factory Fireplace t • 38._Final Plumbing _ -39. Water Service-Final - . 40. Gas Service-Final , . , ,41.�Solar Domestic-Final - _ - - 42.'•Backflow Preventers ,, • . 43. Backflow Irrigation- . r. - - ' • 44. Landscape Irrigation System, ^ 1, , , . _.45..Sound Attenuation t7 - .• - - ' :46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING •. ._ 48.':FINALPLANNING r ' 49;Electric Release to Edison ' ;' - 50. Gas Release to Southern California Gas Co I ,. " +, - .51. CERTIFICATEOFOCCUPANCY - - , No. Date LNT i • PRECT ADDRESS: 2375 ELDEN AV UNIT: B-1 - CITY OF COSTA MESA - BUILDING PERMIT PERM NO: B 1)06578 OWNER'S NAMEL SPARTA DEVELOPMCO. ADDRESS: 411 E 15TH ST PERMIT NO: B 056578 PLAN CHECK NO: 04127-91 A GOVT: N" SUPP: N NEWPORT BEACH • CA 92663 CONSTRUCTION TYPE: 5-N PERMIT TYPE: STR PURPOSE: NEW ARCH/ENGINEER: (714 )650-8480 REG.NO.: HAMPTON FORBES CE1g407 JOB DESCRIPTION : NEW 2 STORY SFD WITH ATTACHED GARAGE SQ FT: • ' 1 878 ADDRESS: 18102 SKY PARK S , a PERMITTEE: IRVINE CA 92714 CLAIM VALUE: 108, 282. 00 CALCLVALUE: 108, 229 . 90 GROUP OCC: R-34) /M-1 SPARTA DEVELOPEMENT CO. (714 )650-8480 ADDRESS: 411 E 15TH ST COMMENTS: NEW SFD WITH ATTACHED GARAGE NEWPORT BEACH CA 92663 *************+ ***** E* Ft*************x********** tapn lkp # faNonFipft#1'M $ A z UCENSED CONTRACTOR DECLARATION: I hereby affirm that 1 am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS • 7000)of Division 3 of the Business and Professions Cade,and my license is in full force and effect. SETBACK S CITY LIG.: STATE LIC.: CLASS: 1 Date: Signature: MAIN BUILDING ACCESSORY BUILDING ' -1 WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FRNT: 20 FT IN REAR: 10 FT IN FRNT: FT IN REAR: FT: IN Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT: 23 FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: FT{ IN `OUCY NO.: EXP,DATE: COMPANY: PARKING REQ: 13 PROV: 13 PARCEL' 43927214 ZNE: R2 REF NO: DR-91-19 ❑ Certified copy is hereby furnished. 0 Certified copy isfiled with the city Building Divsion. PLANNING NOTES> 2 UNITS IN 1 BUILDING OF A 5 UNIT/3 BLDG RES CONDO PROD, > PKING/PARK, FEES SHOWN F/ WHOLE PROD, REAR STBK IS SEP, P F E Date: Applicant,�- **********************.*,****.******************************* *************I!*(e**** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION!• (This lion need not be completed if the permit is for one hundred($100)or less). D E V E tL O lP "N 'E;-N'T SERVICES REQUIR EN E N-T\'S' I certify that in the performance of the work for which this perm s sued,I shall not e toy any person in any manner so as to become '+ / •-� ' subject to the Workers'Compensation Laws of California' ZONING APPROVED BY : W � - DATE: 1413 2 — Date: 3 ""/3-LT,'-- Signature. AjjZw. l/�J�+,.- NOTICE:If.after making this declaration,you should bee esu 2)the Workers'Compensatifl provisions of the Labor BUILDING APPROVED BY 4 , VC.4 ., 6.----� DATE: l I.X1,1 �q/ 2,,. Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. '� . - ♦ CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED,BY-( O•, ' :4 . DATE: . 1:-3 Z which this permit is issued(Section 3097,Civ.C). ,. ******************;***** ., *** * *** * **** ******xa Yak**********BF•lt ** *�j„**** LENDER: ***********************if**!E************ *****J(-MYt'*if**************************** ADDRESS: LEGALIZATION:N • F E E S U MkM A-R Y STRUCTURAL SEGMENT:Y' OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING _ (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 671 / 10, 82 repair any strut ,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed SMIP/NON-RE$ pursuant to th pro s of the Contractors'SUfe License Law(Chapter 9(Commencing with Section 7000)of Division 3 of the Business - and Professions Code) r that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 109. 04 i any applicant fora mil subjects the applicant la a civil penalty of not more than five hundred dollars($500). ISSUE FEE I. as o ner 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 ❑ structur is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 4. 681 . 82 0. 00 109 , 04 790. 86 790. 86 . 00 does no apply to an owner of a property who builds or improves thereon,and who does such work himself/herself ar through ' his or h r own employees,provided that such improvements are not intended or offered for sale. II,however the building or t improve ent 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: 681 . 82 OVER/SHORT: 00 tor the urpose ot sale). BLDG PMT PLUMBING ELECTRIC MECHANIC ,-' FIRE SMIP/TOT GRADING PLAN-CHECK n I.as o er of the properly.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 671 . 00 10.82 LR and Processions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon and whoconuacts tot such projects with acontiactor(s)IKenseputsuanito the Contactors'Slate License Law).l am aware ******************,****.**********,***,*,***********,******************************** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL PF £ !'£ BREAKDOWN ❑ I am exempt under Section: B.S P.C. for reason: TYPE QTY D E S C R I P T IO N - UNIT COST TOTAL COST Data. 3 -/3 —9 est Owner , - , I ..... ,.. _ I •t SFR 1465 DWE-TYPE V-WOOD FRAME -GOOD 69 .00 101085. 00 I do hereby certify that I am aware of and understand the requirements of C frnia Hoeft and Safety Code Sections '05,25533,and ' O 25534 and that I or any future building occupant will/will not(circle one)ne•t to comply with said state codes and the requirements for a SFR 413 RES-GARAGES TYPE V: 17. 30 7: 144 . 90 permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from END OF FEES these provisions. Date: Applicant: I hereby certify that I have read this application and state that t,•above information is correct.I agree to comply with all city and county . ordinances and state laws relating to building construction and authorize representa of this city to enter upon the above-mentioned properlyfor / ur for inspection purposes. , 3 •../ y. �• riff ,f - i Date: 3 / �- Signature: Aoolicant;Pink—Revenue:Goldenrod—Assessor 7 / I t CONSTRUCTION AND PLANNING PUOL& SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - ` 53. Steel Reinforcement 3.-Elgctricat Conduitarfility-Undrgrnd. l. 54. Forms 4.nEl@ctricii-COrtduit•Uhdrgrnd. - 55. Electrical Bonding 7. 5,73teeJ WeitYf'arcemini . 56. Rough Plumbing & Pressure Test r rl 57. APPROVAL TO COVER-GUNITE ,v'fi tElectaical UF ER•Grdd. - f'ootirtg ` `, r�ls�� 58. Electrical Conduit-Undrgrnd. `�((�ff .a. Foundations•- 59. Gas Pipe, 0 Undrgrnd., Test -9-. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System - 61. APPROVAL TO DECK • 11. Property cL ;&Sew'bin House Connection 62. Backwash & Receptor-Final 12. Sewer Cap - 63. Heater & Vent-Final 13. Roof Drains. _ . 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final - 15. Rough Electrical-Conduit 66. Solar System-Final I 16. Rough Electric Wiring 67. Fencing & Access Approval • '17. Rough tiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrics]-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT _ - - - - , - _ 7 X- - 20..Rough Factorjy Fireplace x r = .- --• 'T • ' IAPPROVA-LS;DCpermit# >. r ' 21-DuEts,in-Structure« ' . _ s . [ - _ - X70. Underground Hydro 22. DucTs, Ventilating_ - - _ i' s _. •r71. Produci PiPing Claps ❑Oil 23.;Gas I e`Rou h & fest _ �P 9 : s •< :r .t ^k -72. Underground FlusF7„ . .. - - _ i; - - ' 24.LRoof Framing r-t •' - J 73.''Lind ergrnd'Stordge-Tank O Gas 0 Oil - 25. ROW Sheathing : t '-..rjair - F -74.Overhead Hydro,-;* r 26.‘51--Bar Ceiling (Strnoturall &'Monocoat-'•: 'z-, _ 75;;Dry Chemical _' : ' - - 27:-Frameand F1'ashin9 $ ® r " 76 Fry stand}4e ' ',� '-28. Calking.& Sidings .1 = x- * 77,.- FIXED SYSTEM E1NAL >-; '29, Insulation '''. ;`.i, t' S • - •• - j it l Z - 78sFIRE PREY. FINAL -• r ` t (130, Drywall:Nailing ix •_72- 0- - HEALTHrDEPT- REQUIREMENT :31, Plaster own Cojtt. .. r ( liZ.. ,79:'FINAL I IlltPECTIgN ° ' - -32cElectricatP PowIVlatec-Finali �- >: i I I r80.rFOOD CERTIFICATE ISSUED , 33aFinal Electric -:-It i , x ' N s: b' 352 . ca ,U7 r s• � .34,-Final Heating& AirCo r. nditiorigig, •••t r =• • . - _ n - I � R Y•. 1.yr 35.Tirial Ga's Pipe-Test. ,1s :` ^ I - • is `I -•`� ' 2. ` ' :06.Hood or:Canopy < :• ' ; a Rr - / ,�� 1031 '37.:Fiscal FA'ctory Fireplaces ' ''r ✓ v ' ' '. i • h .r ' .; "38.-Final Plumbi_Dg 7:.i t • _.. i _ 5 r 39. Water Service:Final • r 2.:- :t I tt - L,r' tY .. :w-r I I : . r h = ,. -- - r40�Gas Service-Final. " „I .^,,. .r y• ,r, of x t z 0 r r41, Solar Domestic-Ficial -- - �,.- i• , I it ' t.c _ [ r7 • _, 9.• , ;6 ,r 0 42: Backflow Preventer, •i I p. n sT. _ 43. Backflow Irrigation - F:-. '':: . * - '-' _ -. n_-.r 0 Y - / a. ,`.44• Landscape Irrigation System ,g ;S ,r3 - O 7t . x 0.: G - =�.. 5-45.`Sound Atterivatiort " - ' . ' T - i-. -� 1. -Th - - = - J. _ T n• r . .. 7 VIrr!Or t. -. - C - .. .7.:46- Handicap.Regulatiops .,..e.,`t R/' r ' �, ' �2 ..-s - •47.FINALSTRt7CTURE& BUILDING` KVi' o d7 - , s ,, , ., % FAN- ` NIN �...a fj:�r T_(1 .� �---/ rI ..„ s ,4 .. ....•_ ,.. 9:-Electric lease to Edison ' . . ... • -50.SGas,Release to Southern California Gas Co -, > - - . ' � 51. CERTIFICATE OF OCCUPANCYr .. . , -Ido Date Gf-d4} FINAL GRADING CERTIFICATION ` Project Address: 2375 Elden, Unit A-1 % • Lot Number: Lot 1 of Tract 14518 Permit Number: DR-91-19 • By Civil Engineer: • • I certify to the satisfactory completion of grading in accordance with the approved plans, specifications, local and state codes. All drainage devices required by the grading permit, grading plan and grading ordinance have been installed. Adequate provisions have been made for drainage of surface water from each building site. The minimums are: • 2% Fall from strictures within 5 fect from exterior walls. 1% Fall for asphalt surfaces and landscaped areas. 0.5% Fall for concrete surfaces to approved disposal areas. The final monuments as shown on the reec0.rded tract map 'ere set. All final grading eleva. • tions are within = 1;10 of the des' f evat• r Supervising Civil Engineer /I! Re_. No. 31720 (SiFra:cs) Date 12/4/92 • QRdFfSp�, N B. U r ' rn :11C9rif • f r ..• . . • .: . ' . • 15. C. -Al.k/ ' . FINAL GRAQING CERTIFICATION Project Address: 2375 Elden, Unit B-1 _ Lot 3 of Tract 14518 Q Lot Number: DR-91-19• . ... Permit Number: By Civil Engineer: I cenify to the satisfactory completion of grading in accordance with the approved plans. specifications, local and state codes. All drainage devices required by the grading permit, grading plan and grading ordinance have been installed. Adequate provisions have been m de for drainaee of surface water from each building site. The minimums are: • 2% Fall from strictures within 5 feet from exterior walls. 1% Fall for asphalt surfaces and landscaped areas. 0.5% Fail for concrete surfaces to approved disposal areas. The final monuments as shown on the recorded tract map w CTe set. All :Thal cradino eleva• . I` tions are within = 110 of the desi_c., ed, elevat Supenisine Civil En_ineer Re_. 'No. 31720 I ' (Sigr.z:• re) Date 12/4/92 I rRpI iwit Li) z ff SS/04 . vm • ccw f��gy m - • • * * . d)9j£of CAL°11- / PVOJECT ADDRESS:sI I 23 5 ELDEN AV UNIT: B_1 CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 05711:: GOVT: N SUPP; N OWNER'S NAME: SPARTA DEVELOPMENT—CD)�• ADDRESS: 411 • E 15TH ST PERMIT NO: P 057112 PLAN CHECK NO; N NEWPORT BEACH CA 92663 CONSTRUCTION TYPE: 5—N . PERMIT TYPE: PLU PURPOSE: OTH (714 ) 650-8480 ARCH/ENGINEER: HAMPTON FORBES REG.NO.: CE3C407 JOB DESCRIPTION : NEW 2 STORY DUPLEX WITH ATTACHED GARAGES SQ FT: ADDRESS: 18102 SKY PARK S • UNIT: IRVINE CA 92714 CLAIM VALUE: CALC—VALUE: GROUP OCC; R-3 /M-1 PERMITTEE: H & D PLUMBING ( 714 ) 895-5840 ADDRESS: 1315 E ST. ANDREWS PL C COMMENTS: RE: B56578 PRIMARY BLDG, PERMIT, SANTA ANA CA 92705 *****sE**4 * FTE*)E* -x************* *•k�E*iE****4****+E*yeyt*>E*yE***yETE**************+¢+a*** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7. ONING REQUIREMENTS / 7000)of Division 3 of the Business and Professions2'60 Code.and my license is in full-force and effect. SETBACKS �—' CITY LIC.: 04013 STATE LIC.:2' 0169 Ss: C-36 y, Date: �/!/ MAIN BUILDING ACCESSORY BUILDING 3 Signal FRNT: FT IN REAR; FT IN FRNT; FT IN REAR: FT / IN WORKERS'COMPENSATION DECLARATION: I hereby affirm thalThave a certificate of sent to self-insure or nicate of Workers' I Compensation losgra[IPbge gcppifieg,copy thereof(Secbon 3800,Lab.fv). LEFT; FT IN RGHT; FT IN LEFT: FT IN RGHT: FT IN) POLICY NO.: 11 11 77 bb tl]] `� 1 EXP.DATE: 12/ 1 /92 COMPANY: STATE FUND • PARKING REQ. PROV; PARCEL; 43927214 ZNE: REF NO; ❑ Certified (!copy is hereby u�rnished. 11Certified copy is file• I a city Building Division.Or PLANNING NOTES; 'CONSTRUCTION AND PLANNING POU, & SPA - APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector 1.-Temporary Electrical Service/or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 1 53. Steel Reinforcement '-._. 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings ' 58. Electrical Conduit-Undrgrnd. r 8. Foundation r 59. Gas Pipe, 0 Undrgrnd., Test ' 9. Water Pipe-Undrgrnd. r �,' • / q�- tfif 60. Backwash Lines, P-Trap, 0 Undrgrnd. lOr Structural Floor System i61. APPROVAL TO DECK • 1-1. Property Sewer Line & House Connection 71j/42,. LEV 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 'J 13. Roof Drains r / 64. Plumbing System - Final 14. Rough Plumbing //Jy�'- T _ 05. Electrical-Final 15. Rough Electrical-Conduit . . K• 66. Solar System-Final 16. Rough Electric Wiring •,• /1 67. Fencing &Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning ' FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing • 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL . 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat y, I 79. FINAL INSPECTION ' 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33: Final Electric I Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test /It1I5Ie49G 36. Hood or Canopy - 37. Final Factory Fireplace 38. Final Plumbing dr` il` 9�. 39. Water Service-Final t//7/' 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47, FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date • PROJECT ADDRESS: • 2375 ELDEN AV UNIT: B-1 CITY OF COSTA MESA — BUILDING PERMIT PERM NO: M 057832 OWNER'S NAME: SPARTA DEVELOPMENT CO. ADDRESS: 411 E 15TH ST PERMIT NO: M 057832 PLAN CHECK NO: N GOVT: N SUPP: Y NEWPORT BEACH CA 92663 CONSTRUCTION TYPE: 5—N PERMIT TYPE: MEC PURPOSE: OTH (714 ) 650-8480 MINIMUM: HAMPTON FORBES REO.NO.: CEN407 JOB DESCRIPTION : NEW 2 STORY DUPLEX WITH ATTACHED GARAGES SQ FT: ADDRESS: 18102 SKY PARK S IRVINE CA 92714 CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 PERMITTEE' SPARTA DEVELOPEMENT (714 ) 650-8480 v' ADDRESS: 411 E 15TH ST COMMENTS• RE: B56578 PRI G, PERMIT, NEWPORT BEACH CA 92663 ********ie*********************** F*** ******* ******+ESE**yt*Rt*******SE************* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z 0 IREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBAC CITY LIC.: STATE LIC.: CLASS: Date: Signature: MAIN BUILDING ACCESSORY BUILDING YORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' FR NT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN ompensation Insurance.or a certified copy thereof(Section 31300.Lab.C). LEFT: FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN POLICY NO.:I EAP,DATE: COMPANY: PARKING REO PROV: PARCEL: 43927214 ZNE: L REF NO• 0 Certified copy is hereby turnished. 0 Certified copy is filed with the city Building Division. PLANNING NVTES> r > ..> Applicant: • ******************************************************************************* ' 4. cxEMPTION FROM WORKERS'COMPENSATION DECLARATION: (TN echo need not be completed if the permit is for one hundred(5100)or less). , . DEVEL OPMENT S E R•,V I C E S REQUIREMENTS I certify that in the performance of the work for which this permi le issu d.1 shall not employ.• person in any manner so as to become / , subject to the Workers'Compensation Laws of California. ,, ZONING APPROVED BY .• t DATE: Date: 6,—1 <b,- q )--- Signature: .' .-. _ -..........."_ .. NOTICE:II,after making this declaration,you should becom/blect tot ' Workers'Compensation pr. 'sions of the Labor BUILDING APPROVED BY : /. DATE: Code.you must lorlhwith comply with such provisions or t 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 APPLICATION ISSUED BY: . ` `{I/L11 DATE• a which this permit is issued(Section 3097.Civ.C). *.**.*.**. . f it 3F** ******************4****. 4**TtiF*.it.*.*. LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N FEE S U M M A R YSTRUCTURAL SEGMENT;N OWNER BUILDER DECLARATION: I hereby affirm that lam 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 18 ,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 25% 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 and Professions Code)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 live hundred dollars(55170). ISSUE FEE 4 , 50 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————> 18 . 00 4 . 50 0. 00 22 . 50 22. 50 . 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• 22 . 50 OVER/SHORT: 00 for the purpose of sale(. 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 22 . 50 ../Q and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a COntractor(s)license pursuant to the Contractors State License Law).l am aware ****.**.***.**.**.**.*.*.***************{E{e*.lE*****.*.**.*{(.****.******.****.*.****.**.x.***.*.******* that prool al their Worker's Compensation insurance should be pmvto me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B,&P.C. tor this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST I Dale: G '/ K' fl 2- Owner: i .... - i.... -. AL I do hereby certify that I am aware of and understand the requirements of i ornia Beall ono Safety Code sections 2 r•.25533,and MEC 1 INST FORC—AIR/GRAV FURN <= 100 K BTU 9 .00 9 , 0 0 MEC 1 REFRIGERATION SYSTEM <= 1 0 K BTU/H 9 . 00 00 9 , 0 0 25534 and that I on any future building occupant wilUwill not(circle one)ne A to comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from END OF FEES these provisions. Dale: Applicant: :-e-9 r-':C.�y.. I hereby certify that I have read this application and state that the.•. :information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and her• orae representative • this city to enter up on the above-mentioned property for inspection purposes. JUN 1 8 1992 __.. Date: e+ -!8--q 2- Signature: -�_ -ii. 4.4 t Driver's License or Social Security Applicant:Pink-Revenue:Goldenrod-Assessor ' CONSTRUCTION AND PLANNI,..O - POOL 8 APPROVALS Permit# - nate Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole _ 52. Pool & Equipment Location - • , 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Elecfricat Conduit Utility-Undrgrnd. 54. Forms • , 4: Electrical-Conduit-Undrgrnd. 55. Electrical Bonding _5. Steel'-Reinforcement • 56. Rough Plumbing & Pressure Test r;6. ElectricalUFER..Grrid. 57. APPROVAL TO COVER-GUNITE - ••7,:Footings' •i 58. Electrical Conduit-Undrgrnd. - 8. Foundation' 59. Gas Pipe, 0 Undrgrnd., Test ' 9. Water Pipe-Und grnd. . � 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11- Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap63. Heater & Vent•Final ' 13. Roof Drains . -r, 64. Plumbing System • Final 14. Rough Plumbing • 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring - 67. Fencing & Access Approval '17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ' 18. Rough Electrical-T Bar Ceiling ,. ... -- 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning i,. FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace - ' - APPROVALS Permit # - . I . . . 21. Ducts,in Strupture - . 70. Underground Hydro 22. Ducts, Ventilating. -' - 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test - _ , - 72. Underground Flush 24. Roof.Framing - 73. Undergrnd.Storage Tank O Gas ❑Oil 25. Roof Sheathing , .q ' •'• _ ` 74,•Overhead Hydro - 26.-T-BarCeiling (Structural) & Monocoat 4 _ , 75.-Dry Chemical 27. Frame and Flashing' - i 76. Dry Standpipe • ' , - 28. Lathing $r Siding - - 77. FIXED SYSTEM FINAL ' - 29. Insulation ., 78. FIRE PREV. FINAL - J. r• ', 30. Drywall Nailing ,; • A HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION s r 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED -33. Final Electric' - Notes: • `, '34. Final Heating-& Air Conditioning - /iil.01_/�" • - r. r 35. Final Gas Pipe-Test - -. • • ' .' - 36. Hood or Canopy 37. Final Factory Fireplace _ 38. Final Plumbing - ;-s. . - • ..39. Water Service•Final I - [ - _ • 40. Gas Service-Final ; , ` . . . ,41. Solar Domestic-Final . _ 42. Backflow Preventers . 43. Backflow.Irrigation l ., R 44. Landscape Irrigation System- ; - - - • _• -45. Sound Attenuation• r - . • 46. Handicap Regulations - • ' - - 47, FINAL STRUCTURE & BUILDING , • - 481 FINAL PLANNING' , , • A ' .49. Electric Release to Edison •. 50. Gas Release to Southern California Gas Co * j I _ -:- 51. CERTIFICATE OF OCCUPANCY - No. Date PROJECT ADDRESS: 2375 ELDEN AV UNIT: B-1 CITY OF COSTA MESA - BUILDING PERMIT PERM NO; M 057816 OWNERS NAME: SPARTA DEVELOPMENT CO. . ADDRESS". 411 E 15TH ST PERMIT NO: M 057816 PLAN CHECK NO: N GOVT: N SUPP: N NEWPORT BEACH CA 92663 CONSTRUCTION TYPE: 5-N PERMIT TYPE: MEC PURPOSE; NEW (714 ) 650-8480 ARCH/ENGINEER: HAMPTON FORBES REG.NO.: CElg407 JOB DESCRIPTION : NEW 2 STORY SFD WITH ATTACHED GARAGE SQ FT; ADDRESS: 18102 SKY PARK S PERMITTEE: IRVINE CA 92714 CLAIM VALUE: CALL-VALUE: GROUP OCC; R-3 /M-1 ADDRESS: SPARTA DEVELOPEMENT CO. (714 ) 650-8480 411PE 15TH ST ****4Er**4S•E�r�E+Fr+At**********TE*****�N*********1E�E**�r*B******EE�r*****�F*TB*its'*Er r*�6*******�F** NEWPORT BEACH CA 92663 LICENSED CONTRACTORion3of DECLARATION:Ind: hereby affirm ode Tant am licensed under provisions Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: Date: Signature: MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to sen-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: I ' COMPANY: PARKING REQi PROV; PARCEL: 43927214 ZNE: REF NO: J Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> . . > Dale: Applicant: **,******************************************iF********************************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This s- on eed not be completed if the permit is for one hundred($100)or less). .i' DEVELOPMENT -S E R V I C E,S REQUIREMENTS I certify that in the performance of the work for which this permit i Issuer,I shall not employ any person in any manner so as to become 9,- subject to t9e Workers'Compensation Laws of Mamie. APPROVED BY DATE: Date: -/ 7 - q2— /Signature: __ 4 'NOTICE:If.after making this declaration.you should becobject to t99 h' Workers'Compensation 'visions of the Labor BUILDING APPROVED BY : f..,. DATE: Code.you must forthwith comply with such provisions or t 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 APPLICATION ISSUED BY• `1 (� DATE: (cob �L which this permit is issued(Section 3097.Civ,Cl. *.*.****.***************!F******************Sir M.*M,*,**,**,****,***iF *iF'3P*5*lb**, LENDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm 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 6,50 repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 25% SMIP/NON-RES and Professions Code)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($500). ISSUE ,F,1{{E�Ep}` {�E�. AA L�• 15. 00 I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the t NV-0i i—�' 1'EaMI'4 t 8 }L{,�. PLAN—t{{*}LAS,, ;M �pstJ PAID DUE ❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law T ----> o, 5 V U ' V L 1 , ]V 21 , 50 ,00 does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through 1111, 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; 21 . 50 OVER/SHORT 00 lorptheepurpose ont is ). one year of completion.the owner will have the burden of proving he/she did not build or improve 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 21 . 50 tX and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)License pursuant to the Contractors'State License Law).l am aware *.****.****.***j(.{(•*.**.**********************.*****.*{p*.***.*•***.*.*.****.*.**.**.***.******.***** that proal of their Worker's Compensation insurance should be provided ' 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: - ( 7 q n 6wner. MEC 1 FACTORY FIREPLACE 6. 50 6 . 50 I do hereby certify that I am aware of and understand the requirements of Califis Health.nd Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)nee' comply with said state codes and the requirements for a permit for construction or modification from the Air Quality Management Dis riot.Residential construction applications are exempt from these provisions. • Date: Applicant: I hereby certify that I have read this application and state that the ov information is correct,I agree to comply with all city and county ordinances and state laws relating to building construction and her yaut prize representatives this city to enter upon the above-mentioned property for inspection purposes. 01 U0117`717—')G1175 737 ?I Date: 6 -17 -g Z' Cure: 4/� � UTE C4/17/52 TIii'= 1"+;G Driver's License or Social Security 1641.46 White—Building;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 3. Electriul,Contluit Utility-Undrgrnd. 54. Forms 1 4. Elettrisat Conduit-UOdrgrnd. 55. Electrical Bonding . -5- $teeFReinigrcemenr 56. Rough Plumbing & Pressure Test 6,:ElectricaLUFER,Grnd 57. APPROVAL TO COVE R-GUNITE. ,7„:.Footiric 58. Electrical Conduit-Undrgrnd. •' 8. Foundation _ 59. Gas Pipe, 0 Undrgrnd„ Test - • 9. Water Pipe•Undrgrnd. 60. Backwash Lines, P-Trap, 0 Unclrgrnd, ' 10. Structural Floor System 61. APPROVAL TO DECK ' 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ' 12. Sewer Cap r • 63. Heater& Vent-Final I 13. Roof Drains .- _ 64. Plumbing System - Final , 14. Rough Plumbing 65. Electrical-Final ' 15. Rough Electrical-Conduit I 66. Solar System-Final - 16. Rough Electric Wiring 67. Fencing & Access Approval ' '.17. Rough Wiring Sign _ 68. APPROVED FOR PLASTERING 18. Rough ElectricaET Bar Ceiling - ' 69. POOL/SPA SYSTEMS FINAL 19, Rough Heating& Air Conditioning FIRE DEPT.REQUIREMENT 20. Rough Factory Fireplace • s:•,4 :, J APPROVALS1i Permit # > = c, a k.. 5' P, ,y S • - 21. Ducts, in Structure-,. , . ¶ e -10. Uridergramd-Hyro 22- Ducts, Ventilating l• . i. 71• Product Piping Utas OOil 23. 'Gas Pipe-Rough &'Test i' t•• - 72. Underground Flush" - ."1/4 24.-Root:Framing. .*` - - - _ •- 73 Undergrnd Storage Tank 0 Gas 0Oil 25. Roof She`•athing , ' . . • _ - , . 74.-Overhead Hydro: - 26. •T-Ban Ceiling (Structural) & Monocoat - > 75. Dry Chemical ' : r a 27. Frame and Flashing _ 76. Dry Standpipe ' " 28.rt •Lathjng & Siding - lL`%: •• '-• 77. FIXED SYSTEM-FINAL• : 29. Insulation - ; ® �� ! 78.;FIRE PREY. FINAL ;30, Drywall Nailing r • - HEALTH DEPT. REQUIREMENT .31. Plaster Brown.Coat _ . . 79, FINAL INSPECTION 32. Electrical Power Meier,Final : ` b t, 6 ,FOOD CEI3TIFICATE ISSUED - 33. Final Electric- = ' 4, 'Notes: • - • ':34. .Fin Heating& Air Conditioning. . 4' l Ir - - - 35..1inal Ga5(Pipe-Test - :i• :, - ' 36.'Hood or Canopy '' , _ a i •r' ._ i 37. -Final-Factory Fire lace , `;''• t, 0� t' 18. Final Plumbing - I t. - M • 39. Water Service-Final c sI I j ).• •� ,4o. Gas Service-Final f r , i ;41. Solar Domestic-Finall• • r r • 42. Backflow Preventer - 5 ' ._ r 43. Backflow Irrigation. ,44. Landscape Irrigation System . ` ,-Il - , - - - . lC - `45. Sound Attenuation. ' *' 46. Handicap Regulatiops ; ^ 47. FINAL STRUCTURE & BUILDING w , 48. FINAL PLANNING' . `. • r 4 - - 49. Electric Release to Edison •I 50. Gas Release to Southern California Gas Co - ' '.51. CERTIFICATE OF OCCUPANCY - - - No. Date PROJECT ADDRESS: 2375 ELDEN AV 0NIT: H-1 • , CITY OF COSTA MESA - BUILDING PERMIT PERM NO: E 057221 AZ OWNER'S NAME: SPARTA DEVELOPMENT CO. ADDRESS: 411 E 15TH STPERMIT NO; E 057221 PLAN CHECK NO: N GOVT: N SUPP: N altic `, • NEWPORT BEACH CA 92663 CONSTRUCTION TYPE: 5-N PERMIT TYPE: ELE PURPOSE: NEW (714 ) 650-8480 ARCH/ENGINEER: HAMPTON FORBES REG.NO.: CE30407 JOB DESCRIPTION : NEW 2 STORY SFD WITH ATTACHED GARAGE SQ FT: ADDRESS: 18102 SKY PARK S UNIT: IRVINE CA 92714 CLAIM VALUE: CALC-VALUE: GROUP OCC: R-3 /M-1 PERMITTEE: BOB ELECTRIC ( 714 ) 650-3337 ADDRESS: 1539 MONROVIA 7 COMMENTS; REF B56578 455616s A'SK /OMTrti N.H . CA 92663 >E*>E*Er*xsEiLkE****x-*it*******SEER**R.***** *** -******* * **********+tT6**Drx*******N•xi<* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: 034421 STATE LIC.:4 5 5 7 0 E CLASS: C s 0/ Date: ,9-rf" '92- 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,or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: WC8131981 EXP.DATE: 0OMPANY: STATE PARKING REQ• PROV: PARCEL: 43927214 ZNE; REF NO: Certified copy is hereby famished. ® Certified copy is filed with the city Building Division. PLANNING N TES> > e: S c—I— l7i Applicant: K****lr**************************•*.********************************************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: is section need not be completed it the permit is Ia one hundred(5700)or less). DEVELOPMENT SERVICES REQUIREM NTS I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE, Date: Signature: , NOTICE:II.after making this declaration.you should become subject to the Workers'Compensation provisions of.We Labor BUILDING APPROVED BY - _ DATE; Code.you must lorthwlth 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 perfof ormance the work for APPLICATION ISSUED HY• DATE: CS-0/°17...- which this permit is issued(Sectian.3097.Civ.C)' ********************** r .... - • - • ;r********************** LENDER: / //l _ ******************ff*LE** ******** *******************IE*****************K•If- ADDRESS: LEGALIZATION:N FEE S MMARY STRUCTURAL SEGMENT:N OWNER BUILDER OECLARATION: thereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING EL ECTR C 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 1 8 • 0 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 5 0 8 s4IP/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 live hundred dollars(55001. 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 intends or offered for sale(Section 7044,Business and Professional Code: The Contractors'Stale License Law TOTALS----> 18, 50 15. 00 0 . 00 33 . 50 33, 50 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himsell/herself or through his or her own employees.provided that such improvements are not intended or offered for sale.II,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 33. 50 OVER/SHORT; 0 0 • improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve for purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN-CHICK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7144,Business 33 , 50 ❑ and Professions Code: The Contractors'Slate License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with acontractor(s)license pursuant to the Contractors'State License Law).I am aware ****IE*******'!E***************************'****'"'***********************7f******)t*** that prool of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.&P.C. tor this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Dale: Owner: ELE 1 SERVICES BELOW 600 V & BELOW 201 AMP 18 . 50 18 . 50 Ida hereby certify that I am aware of and understand the requirements of California Health and Safety Code 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 Quality Management District.Residential construction applications are exempt from (hese provisions. Date: Applicant: I hereby certify that I have read this application and state 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 01 00114:37-ljf r 11<.2 property for inspection purposes. `/ ^' / cIt l lc '7' " 4 [`•7 1-.!i;�: 1 ur r,7'. r ... /" Dale: S��—1 (/ Signature:_ _ _ . r Driver's License or Social Security a: Canary—Applicant;Pink—Revenue:Goldenrod—Assessor 111, CONSTRUCTION AND PLANNING POt PA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. -• . -- 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. - 54. Forms 4. Electrical Conduit-Undrgrnd.' Sibin i 55. Electrical Bonding 5. Steel Reinforcement ; 6. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. j/,`Jq. 44 �7. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House-Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains • 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit ' ,� 66. Solar System-Final 16. Rough Electric Wiring ?-Z•-' L ,r 67. Fencing &Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation I. 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 1 / � 80. FOOD CERTIFICATE ISSUED I i 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Firdal Gas Pipe-Test 36. H od or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final • 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 2375 ELDER AV UNIT: 13-44/ Wry OF COSTA MESA - BUILDING PERMIT PERM NO; E 05722C ^ OWNER'S NAME: SPARTA DEVELOPMENT CO. ADDRESS: 411 E 15TH ST PERMIT NOPLAN CHECK NO: N GOVT: N SUPP; N 1111 IvEwPO T BEACH CA 92663 CONSTRUCTION TYPE; 5-N PERMIT TYPE; ELE PURPOSE: NEW (714 ) 650-8480 ARCH/ENGINEER: HAMPTON FORBES REG.NO.: CE30407 JOB DESCRIPTION : NEW 2 STORY SFD WITH ATTACHED GARAGE SQ FT; ADDRESS: 18102 SKY PARR S UNIT: IRVINE CA 92714 CLAIM VALUE; CALC-VALUE; GROUP OCC-; R-3 /M-1 PERMITTEE: BOB ELECTRIC (714 ) 650-3337 ADDRESS: 1539 MONROVIA 7 COMMENTS • REF 135657.0 N.B. CA 92663 ********4********** ********************************* +F#T¢##AE##*###*x•********** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in lull force and effect. SETH ACK S CITY LIC.: 034421 STATE UC.:455700 CLASS: CODate: S— 1-1 Z Signature: J_I• W` MAIN BUILDING ACCESSORY BUILDING - WORKERS'COMPENSATION DECLARATION: I hereby affirm hat 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 SL•afcelg�1c5rl e1copythereof(Section3BOO.Lab.C). LEFT; FT IN RGHT: FT IN LEFT; FT IN RGHT: FT IN POLICY NO.: FL(P.DATE: • oMPAxr: STATE PARKING REQ: PROV: PARCEL; 43927214 ZNE: REF NO: enified copy is hereby furnished. IA Certified copy is til 'lb the City Bui din 'sion. PLANNING NOTES> Date: S — I-5Z .' Applicant: ##**#*•***************************iE********#*********#******af**#**********##**** - EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: ( is section need not be completed if the permit is for one hundred(110or less). DEVELOPMENT - S"-ER V ICES REQUIREMENTS I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY .- DATE: Date: Signature:— NOTICE:II.after making this declaration,you should become subject to the Workers Compensation provisions of the Labor BUILDING APPROVED BY . __ DATE: _ Code.you must forthwith comply with such provisions or this Dermic shall be deemed revoked. ~. �� CONSTRUCTION LENDING AGENCY: I hereby afirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• _ --- ae DATE; O5O I �7 which this permit is issued(Section 3097.Civ.C),r ********************** ***************** it k** LENDER: • .'t" / *****************************************' ************************************* ADDRESS: LEGALIZATION:N . F E E SUMMARY STRUCTURAL SEGMENT;N OWNER BUILDER DECLARATION: I hereby affirm 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 88 , 8' repair any structure,prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed S o tt 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 and Professions Code)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 tor sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 88. 83 15 . 00 0 . 00 103. 83 103 . 83 , 00 does not apply to an owner of a property who bWlds 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.II,however the building or improvement is sold le). one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS--> COLLECTED • 103. 83 OVER/SHORT: . 00 or the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SHIP/TOT GRADING PLAN-CHECK I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 103 . 83 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l 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.&P.C. fermis reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: ELE 2538 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT . 03 88 . 83 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code 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 Duality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state 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 represemative this city to enter upon the above-mentioned property tot inspection purposes. Date: ��`9 Signature: r Drivel's License or Social Security Pink—Revenue:Goldenrod—Assessor �4.1 E• =l • f1 !2 T7hc lir C. CONSTRUCTION AND PLANNING POI%'PA • - 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 - ii 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. ✓//Tv 55. Electrical Bonding 5. Steel Reinforcement - 7�' Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. �/.H1gZ 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. B. Foundation • 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. t- 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer line & House Connection ' 62. Backwash & Receptor-Anal 12. Sewer Cap , 63. Heater& Vent-Final - - 13. Roof Drains 64. Plumbing System • Final 14. Rough Plumbing / ' ' 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring I"7-2 a G 67. Fencing & Access Approval 17. Rough Wiring Sign n 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. Ours,in Structure 70. Underground Hydro Y� -s, Ventilating 71. Product Piping OGas OOil gas Pipe-Rough & Test 72. Underground Flush Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil ',Roof Sheathing 74. Overhead Hydro 1-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical . Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL iii 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - 79. FINAL INSPECTION 32. Electrical Power Meter-Final Oak • n /- 80. FOOD CERTIFICATE ISSUED iMi . 33. Final Electric // _/4Z Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37i Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY - No. Date CITY OF COSTA MESA �'O. In 4444.. BUILDING DIVISION F1 �I 0 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 J'efr - PERMIT NUMBER: BC11-00035 PERMIT TYPE: B_COMBO STATUS: ISSUED Sub Type: RES_ALT DATE ISSUED: . 02/23/2011 ISSUED BY: RMD ' JOB ADDRESS: 2375 A,Ln0,02sELUEN AV.�CM Suite/Unit: A002 APN: 43927214 Zoning: , , Vicinity: Primary Odc: Const Type: V-B SQ. FT: 119 Valuation:' • $6,500.00 SCOPE OF WORK: ADD 119 SQ FT INTERIOR LOFT AREA TO AN EXISTING DWELLING.5 OUTLETS, 1 LIGHT, 1 DUCT. NO NEW PLUMBING. OWNER: CURTIS,RICHARD AND KIM Address: 2375 ELDEN AVE A-2 Unit: Phone: 949-548-8822 City/State/Zip: COSTA MESA, CA APPLICANT: HARGROVE,MIKE Address: 3183 F AIRWAY Unit: :SUITE 103 Phone: 714-432-0777 City/State/zZip: COSTA MESA, CA CONTRACTOR: CRES CORPORATION License No. 787936 Phone: 714-432-0777 Address: 3194 AIRPORT LOOP DRU nit: SUITE C-2 Cell: 'City/State: COSTA MESA,CA . - ZipCode 92626 ARCHITECT: License No. PHONE: ENGINEER: FARHAD AMNSHADI-ESI-FME License No.C36840 PHONE:949-261-1181 COMBINATION PERMIT FEE SUMMARY Building Plan Check: $90.51 Building Fees: $139.25 Electrical Fees: $30.10 ! - Mechanical Fees: $37.20 Plumbing Fees: $0.00 . SMIP Residential: $0.65 • SMIP Commercial: $0.00 • Bldg Std Admin Fund $1.00 TOTAL FEES: $298.71 I • **Refer to fee receipts for all fees paid for project HOURS FOR CONSTRUCTION ACTIVITY: EFFECTIVE 3/18/2010- PER CMMC Sec. 13-279 'Monday thru Friday-7:00 am thru 7:00 pm. Saturdays-9:00 am thru 6:00 pm. Prohibited all hours-Sundays and the following Federal holidays: New Years Day,Memorial Day,Independence Day,Labor Day,Thanksgiving Day and Christmas Day I NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under Califomia statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. 'INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. CODE S. INSPECTION TYPE DATE INnnALs CODES INSPECTION TYPE Eit INPTIALS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical '201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site t1/{-y� �I 204 Final Demolition 250 Final Building/Occupancy X 21 —/ // PA/Al / WORKERS'COMPENSATION DECLARATION: . • Owner ID verified by driver's license. 0 Yes ❑No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers' : Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers'compensation insurance,as required by, section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: permit is issued. My workers' compensation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (This senor need mol be completed tithe permit is valued at ne hundred cbllars(St00)or less) 2,Art 2Sec.341,Title B,California Administrative Code). Policy N ••••r: 0 As owner-builder, I will not employ anyone to do work which would • certify that in the performance of th work for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless s..d, shall not employ any person in any manner so as to become subject . such person has a permit to do such work from the division. to the .rkers' compensation laws of California, and agree that if I should ' become .ubject to f e wo ers'compensation provisions Section 3700 of Applicant's Signature Date the Lab. C.•e I 1: • imply with these provisi ��faj='r I Division of Industrial Safety Permit Number: 1lII�—lir nfs Signature Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WA- •f TO SECUrE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLA `-• a• - SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑No ($100,000), IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some . PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code. and 2. Does or will the applicant or present or future building occupant need to file my license is in full force and effect. ' a registration form for acutely hazardous materials? 0 Yes ❑No OMI • 3� Class# (Section 25533 of the California Health and Safety Code, with some �— exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely-+�"'� agr Date - hazardous materials equal to or greater than a weight of 500 pounds, or a 1/4 volume of 55 gallons, or 200 cubic feet of compressed gas at standard coo, • NCY: temperature antl pressure). CII hr re is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention'Program for acutely Lender's Name: hazardous materials)? 0 Yes 0 No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Date 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? 0 Yes 0 No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct. alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes 0 No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the California Government Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be fumished on applications for non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? ❑Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If"yes". the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the California Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec. 7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes ❑No thereon,and who does such work himself or herself or through his or her own . 8. (If"yes",attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for control officer). If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he or she CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. property, ❑ I, as owner of the LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code: The contractors License Law does not apply to an owner of Signature Date property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that ❑ I am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction,and authorize representatives of Business and Professions Code for this reason: the C' if Costa Mesa to enter upon the above-described property for ins.'ctio purposes. I ag e: not to occupy or allow occupancy of any building -• horiz:• by his permit n it final inspection. —r--n Signature Date —, �erfs) 241:37�� 3057-4613/071Anet ' •T.})1•. — 1d Applicant te F. 11111 CITY OF COSTA MESA BUILDING DIVISION • ``'^^ , • I� 77 FAIR DRIVE,COSTA MESA,CA 92626 • (714)754-5273 • Fax(714)7544856 • www.ci.costa-mesa. us °. Mika FOR INSPECTIONS CALL: (714)754-5626 t • PERMIT NUMBER B08-00009 PERMIT TYPE B_ROOF2 STATUS: ISSUED APN: 43927306 s DATE ISSUED: 01/15/2008 • - .: ISSUED BY: . BJK JOB ADDRESS: 2375 ELDEN AVCM SUIteIUnit Vicinity: OAK HARBOR CONDO UNIT.B1 ; Squares: 1700 ,-h/4'. ` $2,720.00 SCOPE OF WORK: REROOF.CONDO,UNIT'B1;AT"OAK HARBOR":T/O EXISTING COMP'SHINGLES,REPAIR/REPLACE SHTG AS• NEEDED, 1 LAYER 30WFELT APPLY',GAF 30=YEAR COMP SHINGLES." 17 SQUARES • OWNER: OAK HARBOR HOMEOWNERS ASSN - Address: ; %STAHA RODGER'_ " !;•i Unit COSTA MESA,CA r + - - ; PHONE: • it r . City/State/Zip-..PO BOX 11492- • 471. • 4 APPLICANT: ZAMORA,CARLOS --;;`� - Address: " - ` ` Unit: ..,.,1 • PHONE: 618-735-7676 - City/State/Zip. •` - CONTRACTOR: FONTAINEWEATHERPROOFING _INCNC:' `"-Y _ License No 875099 Address: 23482 PERALTAUnit: - __- SUITE F - - PHONE:: F r 949=598-8360 City/State/Zip: LAGUNA HILLS CA• 92653 .-- CELL • .,I ARCHITECT: License No. -- r PHONE.I'•� ENGINEER: , �, - • License No. - - • PHONE:'r • FEE SUMMARY If Reroof Plan Check: $0 00 ,1,, " Reroof Permit Fee: $83 25 Reinspection Fee: $61(5.6,,, + TOTAL FEES • • $83.25 • • • • NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE OF ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must.comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. • CODES. INSPECTION TYPE DATE INnI1AL$ CODES INSPECTION TYPE DATE•, INTWAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final ,.�I 208 Final Plumbing 200 Final Re-Roof 2/1-3-05 ( Y 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy • • WORKERS'COMPENSATION DECLARATION: Owner ID verified by drive e. ❑Yes ❑No I hereby affirm under penalty of perjury one of the following declarations: Driver's License No. Expires: ❑ I have and will maintain a certificate of consent to self-Insure for workers' Verification of Ownership by(type of document,i.e.-property tax bill or deed): compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. g`I have and will maintain workers'compensation insurance, as required by section 3700 of the Labor Code,for the performance of the work for which this DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: • • . permit is issued. My workers' compogsation Insurance carrier and policy 0 I hereby certify that no excavation five(5)or more feet in depth into which a number are: // person is required to descend,will be made in connection with work authorized (/` �'QI�/ by this permit,and that no building structure,scaffolding,falsework,or demolition Carrier: or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp (Thu sego need not be completed d the permit is valued al one hundred dollars($100)wless.) 2,Art 2,Sec.341,Title B,Califomia Administrative Code). Policy Number: 00 Z72,--\c( ❑ As owner-builder, I will not employ anyone to do work which would ❑ I certify that in the performance of the wo for which this permit is require a permit from the Division of Industrial Safety,as noted above,unless issued, I shall not employ any person in any manner so as to become subject such person has a permit to do such work from the division. to the workers' compensation laws of California, and agree that if I should become subjec the workers' compensation provisions of Section 3700 of Applicant's Signawre Date the Labor Co e,I shall forthwith c ply with these provisions. Division of Industrial Safety Permit Number: Applicant's Signature Date HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: WARNING: FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 1. Will the applicant or present or future building occupant need to file and IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL certify a Business Plan for emergency response to release or threatened PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS release of a hazardous material? ❑Yes ❑ No ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS (Section 25505 of the California Health and Safety Code requires,with some PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND exceptions, that a Business Plan be filed with the Costa Mesa Fire ATTORNEY'S FEES. Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of LICENSED CONTRACTORS DECLARATION: 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas I hereby affirm that I am licensed under provisions of Chapter 9(commencing at standard temperature and pressure). with Section 7000)of Division 3 of the Business and Professions Code, and 2. Does or will the applicant or present or future building occupant need to file my license isinfull force and effect. Z a registration form for acutely hazardous materials? CI Yes ❑ No Lic.# - Y • q \ Class# C ..7 t (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by /—ISUD each business which at any one time has on hand a quantity of acutely Co . ors ignawre Date hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard CONSTRUCTION LENDING AGENCY: temperature and pressure). ❑ I hereby affirm that there is a construction lending agency for the 3. Does or will the applicant or present or future building occupant need to performance of the work for which this permit is issued.(Sec.3097,Civil Code). prepare an RMPP (Risk Management and Prevention Program for acutely Lender's Name: hazardous materials)? CIYes ❑ No (Section 25534 of the California Health and Safety Code provides that the Lender's Address: Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. Signature Dale 4. If an RMPP is presently required, has Section 25534 of the California OWNER-BUILDER DECLARATIONS: Health and Safety Code been fully complied with? ❑Yes ❑ No I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE 5. Does or will the applicant or present or future building occupant require for CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5. the work which is the subject of this application a permit for such construction Business and Professions Code:Any city or county which requires a permit to or modification from the South Coast Air Quality Management District or from construct, alter, improve, demolish, or repair any structure, prior to its any other air pollution control district or agency? ❑Yes ❑No issuance,also requires the applicant for such permit to file a signed statement (Section 65850.2 of the Califomia Govemment Code requires that the requested that he or she is licensed pursuant to the provisions of the Contractors information be furnished on applications for non-residential building permits). License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and 6. Will any part of the facility to be constructed under this permit be within the basis for the alleged exemption. Any violation of Section 7031.5 by any 1000 feet from the outer boundaries of a school? El Yes 0 No applicant for a permit subjects the applicant to a civil penalty of not more than (If yes",the facility must meet the requirement of Sections 25534 and 42303 five hundred dollars($500).): of the Califomia Health and Safety Code). ❑ I, as owner of the property, or my employees with wages as their sole 7. If a permit from the South Coast Air Quality Management District or other compensation, WILL DO THE WORK, and the structure is not intended or air pollution control district or agency is required for the work which is the offered for sale(Sec.7044,Business and Professions Code:The Contractors subject of this application, have all of the disclosures prescribed by California License Law does not apply to an owner of property who builds or improves Health and Safety Code Section 42303 been made? 0 Yes ❑ No thereon,and who does such work himself or herself or through his or her own 8. (If"yes", attach certificate of compliance from the appropriate air pollution employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of control officer). completion, the owner-builder will have the burden of proving that he or she , CERTIFICATE OF COMPLIANCE: I certify that under penalty.of perjury.the did not build or improve for purpose of sale.). information given above is correct. I agree to comply with all state laws and ❑ I, as owner of the property, am EXCLUSIVELY CONTRACTING WITH city ordinances regarding Hazardous Materials and Emissions. LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code: The contractors License Law does not apply to an owner of Signature Dale property who builds or improves thereon,and who contracts for such project with CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I a contractor(s)license pursuant to the Contractors License Laws.). certify under penalty of perjury that I have read this application and state that 0 am exempt under sec. the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of Business and Professions Code for this reason: the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. • Si ey re of Legal Owner(s) Dale Signature Dale ) 07 3057-46(3/07) rid/ Authorized Applicant Dale PROJECT ADDRESS:14 T:OWNER'S NAME: 2375 ELDEN AV / A11.2"--;-% 2CITY OF COSTA MESA - BUILDING PERMITPERM NO: B 05657i ADDRESS: SPARTA DEVELOPMENT 411 E 15TH STPERMIT NO; B 056577 PLAN CHECK NO: 09126 91 A GOVT: N SUPP: N NEWPORT BEACH CA 92663 CONSTRUCTION TYPE: 5-N PERMITYPE: STR PURPOSE: NEW ARCH/ENGINEER: (714 ) 650-8480 ' REG.ND.: ADDRESS: • NER18102 OSKY OPARK S CE� 4O• A71 ,- JOB DESCRIPTION NEW 2 STORY DUPLEX WITH ATTACHED GARAGES SQ FT; 1 ,878 PERMITTEE: IRVINE CA 92714 CLAIM VALUE: 216,460 .00 CALF-VAL�1E: 216, 459, 80 GROUP OCC; R-3" /M-1 ADDRESS: SPARTA 15THDEVELOPEMENT ( 714 )650-8480HOLD FOR SPECIAL REQUIREMENTS / , 411 E 15TH ST COMMENTS. NEW DUPLEX WITH ATTACHED GARAGES, NEWPORT BEACH CA 92663 ********iE********************+F�r�t�t�Fst�t�t�t�tsEst*4**sr*st*st******SN*********x************ LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing wi—Si Section Z ONING REQUIREMENTS . 7000)of Division 3 Ol the Business and Professions Code.and my license is in lull force and effect. SETBACKS CITY LIC.: STATE LIC.: CLASS: 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: 10 FT IN REAR: 12 FT IN FRNT: FT IN REAR: FT, IN Compensation Insurance.or a certified copy thereof(Section 38OO.Lab.C). LEFT: 23 FT IN RGHT: 5 FT IN LEFT: L-FT IN\RGHT: FT, IN POLICY NO.: EXP.DATE: 1 COMPANY: PARKING REQ• 13 PROV: 13 PARCEL: 43927214 ZNE: R2 ' REF NO• DR-91-19 f7 Certified copyishereby furnished. 0 Certified copy¢filed with the city Building Division. . PLANNING NOTES> 1 UNIT OF A 5 UNIT PROJ WITHIN 3 BLDGS, PARKING/PARK FEES > F/ .WHOLE,'PROJ,;;, FRONT & REAR STBK ARE SEPARATIONS, P F E. Date: Applicant'-'' ********************.**,**.*********** ********************************;F*1f******** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($1001 or less). D E V E i L O P M H•N•T. 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 pe issued.I shall 3o�employ any person in any manner sO as to become - , ',-. ' i subject to the Workers'Compensation Laws of California. / � ZONING APPROVED BY ' -;'- (i ) ,g k DATE; (3 Zc' Date: 3—/3— 9 9-., Signature: - vw. plQ ' ' NOTICE:If.after making this declaration,you should b ome su lett to the Workers'Comllen n provisions of the Labor BUILDING APPROVED BY • V C- - DATE: 12q/ /12: Code.yomust forthwith comply with such provisions or this permit shall be deemed revoked. p.:�.. .--14/ -- 'l CONSTRUCTION LENDING AGENCY: I hereby affirm9hat there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY-v,:; • A- DATE. - (3 ' - . 4{ which this permit is issued(Section 3097.Civ.C). *********************!F* *** i ***** ** *********************** ** LENDER: !****** ADDRESS: • LEGALIZATION:N FEE ?SUMMARY STRUCTURAL SEGMENT:Y ' !, , OWNERBUUILOER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC .MECHANIC '' FIRE SMIPYRES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct.alter,improve,demolish,or PERMIT 1049. 00 / 21 . 65 repair anystructure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed , .•pursuant o the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Businessr, ..\ SM I P/NON-RES • and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 170. 46 ( r � . ~" any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred ollars($500). ISSUE FEE I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK _ TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 1070. 65 0. 00 !'j 11.70. 4 6 . , 1 2 4 Y. 1 1 1241 . 11 . 00 does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through / .l --42—.. his or her own employees,provided that such improvements are not intended or offered for sale.If, however the building or -_ forthepurpose of sold one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE BLDGDIVISION PMT PLUMBING ELECTRIC MECHANI00 C, FIRED SMIP/TOT/$GRADING PLAN-CHECK R, I,as owner of the properly.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 1049 . 00 Y' n " J. 21 ,65 '/Y 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 contractor(s)license pursuant to the Contractors'State LlCense Law).I am aware *****.***.*********.*.***.***•*********.******.**********************************.****** That proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL' F Et B R E K K D 0 14 N o I am exempt under Section: B.6 P.C. for reason: TYPE QTY D E S C R I P T I O"�N` , (: UNIT 'COST TOTAL-COST /� Date: 3 —,3— 9 L Owner: ./...- ✓+ .v4 / �- i ' . ,_ 1� SFR 2930 DWE-TYPE V-WOOD FRAME.;, k. -GOOD, 69. 00 202, 170. 00 I do hereby certify that I am aware of and understand the requirements of Hernia Health and Safety Code Sections 25505,25533,and SFR 826 RES-GARAGES TYPE V , i ^�` �' , a" 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 17. 30 2 8 9 , 80 permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from END7-OF FEES these provisions. A v7 / " ' Date: ADDlicant: i{ /�'2 . I hereby certify that I have read this application and state I r. e above information is correct.I agree to comply with all city and county ' y/� ,71 _ - ordinancesandstatelawsrelatingtobuddingconstruction. thy authorize representatives...of this city to enter upon the above'mentioned - / property for inspection purposes. Date: .3 '/3 —Q a._ Signature: ' . i I\ ,-- Driver's License or Social Security e: 1641-46 White—Building:Green—Code Enforcement:Canary—Applicant;Pink—Revenue:Goldenrod—Assessor ti r CONSTRUCTION AND PLANNING • POOL 6PA, APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector • 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location - 2, Soil Pipe-Undrgrnd._ 53. Steel Reinforcement 3. .Elect`rica4ConiiujtaUdility-Undrgrnd. - 54. Forms _ 4. Eliictrical Geniiuirtfi,drgrnd. 55. Electrical Bonding .%.^ -r, n. ^ ` 5.'Stee eirMMflrcement El56. Rough Plumbing & Pressure Test 6. 'EldctrieatUFER-Grffd. 57. APPROVAL TO COVER-GUNITE ii= aoti sz1= _ 1 ili 58. Electrical Conduit-Undrgrnd. 8. Foundation . - - 59. Gas Pipe, 0 Undrgrnd., Test 9: Water Pipe-UndFgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line& House Connection - 62. Backwash & Receptor•Final 12. Sewer Cap 's i 63. Heater & Vent-Final 13. Roof Drains- re - 64. Plumbing System - Final 14. Rough PlumbTrtg 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System•Final 16. Rough Electric-Wiring 67. Fencing & Access Approval X17. Rough VZt,ing Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-7 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning _ FIRE DEPT. REQUIREMENT _ _ __ - - r_;y.- x a 20.'Rough Factor-Al Fireplace • st •�.'i . • • y' c nAPPRI VAfcSc _r-Perfnit # ' .� -r 21.'-Ducts,in-Structure-- .. - :s. - .•i. - O. Undergrottrd.Hydro 22. Ducts, Vintlatin9.` � _ ' S ` _ - ,_•,' ; i71. Product ing GiGods COB 23.;Gas PipefRough&Test " ' r-S ? - 0-w ,. 72. Underground Flusl ,...t N. = -- 24. 'Roof:Framing• ,' - - t .% G - a .1717n 3.= dergrne Storagje'fajrk .1 Gas 00l " ' 'fi r 25. RoojSheathing - .L .. 7 /$y 'u. t -74�dertlead Hydro_ 26.T-Bar Ceiling (Structural) & Monocoat l '-� 7 !"r' 75:D.(y Chemic - - -7.L1-. 27..Frame andel FFfamishhiih9, :,r.;z 1-14"y,,VZ 522 ii' ,,; ,> 76: Dry Standjfpe ..Ai y, S. • tri,,.: Lathing: S& iding •t • 'tom:. - i--- , c -/ .' 77'FIXED SYSTEM FJNAL' .+ >RC nsulation s^ .. . >j. 9 I Z iffs 78-FIRE PREV. FINAL • > z _ .-; .WIEF Drywall:Nailing `• L'';�I .2' a � j.- z HEALTFt C1EPTt REQUIREMENT 31. Plaster Errown Coat, = r 4 ftJ_- , r _79'FINAL I1 JCTIQJ a - ` ft. 32..-Electrical PovCter Meter:Final, • ❑ K _ r u I I- - ;80 rFOOD CERTIFICATE ISSUED „ I. M .t T 33:`'final Electrid, '-";, , x`14.",", `' j y Notes: 777-7."7 S_ z> s r ..34.-Fina'# Heatingt& Atr-,Conditionigg-; z'. u i ; Co' r S 7.-__ loo (g/�FLo r a- 35.!Final Gas Pipe-Te<t'^ _ ; 36. Hood or anopy n. :•y • r _ S•`7 I t s vy' . ' , , s d 31 / yt ` r �p/4 ✓'c1t.[GG/7 IVU C4114637..Final Faetory Fireplace^ '' ,2„ L'rt ' • I • g: y $ q,,/ .. 38. PinaE Plumbing : 1 _ 39.-Wac€r Service=Final" I •'- ' ' 4k C. `1 sr i s ,-• , l j t x // .a: (7; i ,40.•;Gas Service-Fin aI: ,r. ,•rr Sc i u m1 r"; I` /JM- ` : c � / /1r p --41...-Solar Dotnest`ic-Fihal '' .0 i t' ' iG- 42.'8ackflov{Preventer' - x _ `T -. 1 t• s -, 43. Backflovi Irrigations --s .. r- . - 1.: 'Pi c e v -r, : t .J . .44. Landscape Irsigatiop SystemZ•,r - r f,, _ _ oundtter _ - r._ • -' =<- 45. 'SAtuatiorr �'• I - " ' - rq ' • . 2 .. .. .. ti ,q .'4 t - tC' . -46. Handicap,Regulatiops _ s4 -_s 'Du. 47. FIN• LSTRUCTURE & BUItDING di'1 - _ .'.t .., • - Gr0 7/- 1. . 48_k, ,`i f ,. N I '"1' -/..., `.A!, - ;t r .1..., /. ;9 -� <L ::- , 49. E1 title Release.to El on , - �� 1 ,, Y • 50. Gas, elease to Southern Californiaas Co Y i � _': _ . e":„.,e":„., e R 51. CERTIFICATE OF-OCCUPANCY - _ b No. r-' Date PROJELT ADDRESS 2375 ELDEN AV u*rr: Al&A2 CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 057111 OWNER'S NAME: SPARTA DEVELOPMENT CO. ADDRESS: 411 E 15TH ST PERMIT NO: P 057111 PLAN CHECK NO: N GOVT: N SUPP; N NEWPORT BEACH ? CA 92663 CONSTRUCTION TYPE: 5—N PERMIT TYPE: PLU PURPOSE: OTH (714 ) 650-8480 !/ARCH/ENGINEER: HAMPTON FORBES REG.NO.: CE3C407 JOB DESCRIPTION ; NEW 2 STORY DUPLEX WITH ATTACHED GARAGES SQ FT: ADDRESS: 18102 SKY PARK S UNIT: A IRVINE CA 92714 CLAIM VALUE: CALC—VALUE: _ GROUP OCC: R-3 IN-1 PERMITTEE: H & D PLUMBING (714 )895-5840 ADDRESS: 1315 E ST. ANDREWS PL C COMMENTS; RE• B56577 PRIMARY BLDG. PERMIT, • SANTA ANA CA 92705 **********,**,2*�6�F;6�r�6**�F***�E****x***iF***aF*r*�6Fa****** ***�Fae*�a******�E***** **r*�E*** LJCENSED CONTRACTOR DECLARATION: I hereby aflirm that I am lice • under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my lin: • is in full force and elle SETBACKS CITY LIC.: 040163 STATE LIC.' 00169 c5: C-36 Date: y"-2 S Signature' C�— i MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: thereby affirm that I have a certificate• consent to selTmsure or a certificate of Workers' FENT; FT IN REAR; FT IN FRNT: FT IN REAR: FT IN Compensation lisyra g,qt tictifiea csopy thereof(Section 3800.Lab.g). LEFT; FT IN RGHT; FT IN LEFT; FT IN RGHT; FT IN POLICY NO.: 11 11 `yJ b `.1 1 EXP,DATE: 12 01/92 COMPANY: STATE FUND PARKING REQ: PROV: PARCEL; 43927214 ZNE: REF NO: ❑ Certified copy is hereby furnished. L1 died copy is filed wi• MA Buildi : '' '.ion. i PLANNING NOTES> • Date'. .9..'L-3 9/ r^" Applicant: I „y *****?6****iE*********************!E*****i63E******3F*********FF**********1t****3E 3E***** DE V EL OPMEN T S ER V4 C ES., REQUIREMENTS EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit Is L . e hundred MOO)o ess). - I certify that in the perldrmance of the work for which this permit is issued,I shall not employ any perso ';.ny manner so as to come - y i subject to the Workers'Compensation Laws of California. rl :. ZONING APPROVED BY :i; �- DATE; Date: Signature: BUILDING APPROVED BY : DATE: NOTICE:If,alter making this declaration,you should become subiect to the Workers'Compensation provisions of the Labor Code.you must forthwith comply with such provisions or this permit shall beideemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a•construction.lending agency for the performance of the work for APPLICATION ISSUED B Y• CC DATE; 1 CC,,ll 'L--- which this permit is issued(Section 3097.Civ.C). I;'v,r ************************************* 1F************************** ***�*3r*** LENDER: ********%****************************** *****4********************************* ADDRESS: I LEGALIZATION:N F E E S MMARY STRUCTURAL SEGMENT:N OWNER GUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC ECHANIC FI'Ii r 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 33 ,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 25% SMI 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.My violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 3 . 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----> 33. 00 3. 00 0 . 00 36 . 00 36 , 00 ' , 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. II,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 36. 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 IRE SMIP/TOT GRADING PLAN—CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 36, 0 0 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with acontractm(s)license pursuant to the Contractors'State License Law).l 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.&P.C. lor this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: PLU 2 BATHTUB 2 . 00 4 , 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533.and PLU 1 DISHWASHER 2 . 00 2 , 00 25534 and that I or any future building occupant willlwill not(circle one)need to comply with said state codes and the requirements for a PLU 1 LAUNDRY TUB OR WASHER 2 . 00 2 . 00 permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from PLU 1 SINK, KITCHEN 2 . 00 2 , 00 these provisions. PLU 2 WASH BASIN 2 . 00 4 , 00 Date: Applicant: PLU 1 WASH BASIN (SET) 2 . 00 2 , 00 I hereby certify that I have read this application an.state that the • info anon is correct.I agree to comp, with all city and county PLU 3 WATER CLOSET (TOILET) 2 . 00 6. 00 ordinances and state laws relating to building Co :ruction and her. • hor •representatives of to en' upon the above-mention.• PLU 1 WATER HEATER AND/OR VENT 2 . 00 2 , 00 property for inspection purposes. / _�' 00.11P , / PLU 1 WATER SERVICE • 2 . 00 2 . 00 Date: ignatur A. �/ PLU 1 GAS PIPING SYS OF 1 TO 4 OUTLETS 2 . 00 2 . 00 PLU 1 SEWER, CONNECTION TO BUILDING EACH 5 . 00 5. 00 Driver's License or Social Security ` 1641.46 White—Building:Green—Code Enforcement:Canary— ••licant;Pink—Revenue;Goldenrod—Assessor AI CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location ~2. Soil Pipe-Undrgrnd. Wu9Lcarp 53. Steel Reinforcement • 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd.✓ , . 55. Electrical Bonding 5. Steel Reinforcement I 56. Rough Plumbing & Pressure Test 6. Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE • 7. Footings 58. Electrical Conduit•Undrgrnd. , 8. Foundation ,, 59. Gas Pipe, 0 Undrgrnd., Test t 9. Water Pipe-Undrgrnd. • '` 5��( 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System : 61. APPROVAL TO DECK 4 11. Property Sewer Line & House Connectionijt LED 62. Backwash & Receptor-Final 12. Sewer Capr 63. Heater & Vent-Final ' • 13. Roof Drains +� 64. Plumbing System - Final . 14. Rough Plumbing Fir/ 65. Electrical-Final 15. Rough Electrical-Conduit - . r/_ •�f�/ 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL , 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace - APPROVALS Permit# 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil 23. Gas Pipe-Rough& Test 72. Underground Flush . 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe . 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat t 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test tltsQZ Lk,0 36. Hood or Canopy I _ 37. Final Factory Fireplace 38. Final Plumbing dileeeke 39. Water Service-Final 7/7/n • /��T�/,inl 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer • 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY No. Date 2375 ELDEN AV A1&A2 CITY OF COSTA MESA — BUILDING PERMIT PERM *TnJ M USIA-311 PROJECT ADDRESS: $PARTA DEVELOPMENT CO. UNIT: GOVT: W SUPP• Y OWNER'S NAME: 411 E 15TH ST PERMIT NO: M 057831 PLAN CHECK NO: N ADDRESS: NEWPORT BEACH • CA 92663 CONSTRUCTION TYPE: 5—N PERMIT TYPE: MEC PURPOSE: OTH (714 ) 650-8480 HAMPTON FORBES CE3C407 JOB DESCRIPTION : NEW 2 STORY DUPLEX WITH ATTACHED GARAGES SQ FT: ARCM/ENGINEER: 18102 SKY PARK S REG.NO.: ADDRESS: IRVINE CA 92714 UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: R-3 /M-1 PERMITTEE: SPARTA DEVELOPEMENT (714 ) 650-8480 411 E 15TH ST COMMENTS: RE: B56577 PRIMARY BLDG. PERMIT• ADDRESS: NEWPORT BEACH CA 92663 *****************************�F*+E�L�F******�P�P ****+P******yE***+t************x******* ZONING REQUIREMENTS LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section SETBACKS 70001 of Division 3 of the Business and Professions Code,and my license is in full force and effect. CITYLIC.: STATELIC.: CLASS: MAIN BUILDING ACCESSORY BUILDING Date: Signature: 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.M. POLICY NO.: EXP.DATE: PARKING REQ• PROV: PARCEL: 43927214 ZNE: REF NO: COMPANY: PLANNING NOTES> ❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. > Applicant: DEVELOPMENT S E R.'.V I C E S REQUIREMENTS tAEMPTION FROM WORKERS'COMPENSATION DECLARATION: (in tion need not be completed if the permit is for one hundred(5100)or less). I certify that in the performance of the work for which this perm sued.I shall not empl ny person in any manner so as to become ' ZONING APPROVED BY DATE: subject to the Workers'Compensation Laws of California. Date: 4, - IF-1 1 Signature: 'A „)) �. '.{3g/k ' •BUILDING APPROVED BY : DATE: NOTICE:de. If.afterstmaking this declaration,wichu should seae subjectmis the deevoked,lipn4tovitiont of the Labor • C� Cr • Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. • APPLICATION ISSUED BY: �.' DATE: � CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for •-*************************************.***** ******************** * * ** which this permit is issued(Section 3097.Civ.C). **************'*******14j(-}E******************************************************* LENDER: • LEGALIZATION:N F E ' SUMMARYY STRUCTURAL SEGMENT:N ADDRESS: BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason PERMIT 36 00 (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or . 5 Y SM IP/NON—RES repair any structure,prior to its issuance.also require;the applicant for such permit to lite a signed statement that he/she is licensed PLAN pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by ISSUE FEE 4 . 50 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars MM. BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE I. as owner of the properly or my employees with wages as their sole compensation, will do the work, and the TOTALS----> 36 .00 4 . 50 0 .00 )7444,50 40 . 50 . 00 ❑ 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 REVENUE DIVISION TOTALS--> COLLECTED 40. 50 OVER/SHORT; 00 his or her own employees,provided that such improvements are not intended or offered for safe.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 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK • Mr the purpose of sale). 40 . 50 I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044.Business .J and Professions Code: The Contractors'Slate license Law does not apply to an owner of property whobuids or improves thereon ******************************'***'*'*'******************************************** and who contracts for such projects with a contractar(s)license pursuant to the Contractors'State License Law).I am aware INDIVIDUAL F E E BREAKDOWN that proof of their Worker's Compensation insurance should be provided to me. o I am exempt under Section: B.A P.C. TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST for this reason: Date: CO — / g` q 7— Owner MEC 2 INST FORC—AIR/GRAN FURN <= 100 K BTU 9 . 00 18 . 00 I do hereby certify that I am aware of and understand the requirements of Car ria Neagh id Safety Code Sections 2254:12/51533,and MEC 2 REFRIGERATION SYSTEM <= 100 K BTU/H 9 . 00 18 . 00 25534 and that I or any future building occupant will/will not(circle one)need comply with said state codes and the requirements for a END OF FEES permit for construction or modification from the Air Duality Management District.Residential construction application are exempt from thDee'provisions. I her n Applicant. \ t� ! hereby certify that I have read this application and tion that the above information ist li - t. agree to comply with all city and county r (f (��3((��qq/ ordinances and state laws relating to building construction and here thorize representali (this city to enter upon the above-mentioned1 CI ' t '9 JUN 18 1JJL —"'/ property for inspection purposes. ry 'Rate: U` —JR.— q i" 1•46 While—Bmldino;Green—Code Enlorcement:Canary—Applicant:Pink—Revenue;Goldenrod—Assessor • CONSTRUCTION AND PLANNING POOL F - APPROVALS Permit# - mate Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. • 53. Steel Reinforcement . 3. klecftical Cbnduit-Utility-Undrgrnd. 54. Forms . 4.-Electrical Conduit'Undrgrnd. 55. Electrical Bonding ' 5. Steel Relijforcement 56. Rough Plumbing& PresSure Test ' 6. Electriyal UFER Ct+rnd. 57. APPROVAL TO COVER-GUNITE - 7. Footings . 58. Electrical Conduit•Undrgrnd. • ' : 8. Foundat on -- 59. Gas Pipe, 0 Undrgrnd.,Test -.9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. • 10. Structural Floor System 61. APPROVAL TO DECK _ 11. Property Sewer Line & House Connection • 62. Backwash & Receptor-Final 12. Sewer Cap - 63. Heater & Vent-Final - • 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing• • 65. Electrical-Final : 15. Rough Electrical-Conduit 66. Solar System-Final -16. Rough Electric Wiring 67. Fencing & Access Approval • - 17. RouglrWiring Sign - 68. APPROVED FOR PLASTERING . 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning - /4. y+ FIRE DEPT. REQUIREMENT 26. Rough_Factory'Fireplace . ! ./„`( . APPROVALS- Permit #- 21. Ducts,-in Structure . . _ 70. Underground Hydro 22. Ducts, Ventilating " • `. - 71. Product Piping'O Gas O Oil • 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing -3 ' - - . 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing -�• • _ 74. Overhead Hydro . 26. T-Bar Ceiling IS.lructura0 & Monocoat r _ n- r t 75. Dry Chemical - - 27. Frame and Flashing _ 4 76. Dry Stan�gdpipe- ,. -. " 28. Lathing & Siding - 4- 77. FIXED SYSTEM.FINAL • 29. Insulation - • 78. FIRE PREV. FINAL - _ 30. Drywall Nailing-C. ' I + HEALTH DEPT. REQUIREMENT 31. Plaster Brown Cost I_ ' 79. FINAL INSPECTION " 32. Electrical Power Meter-Final + •r 80. FOOD CERTIFICATE ISSUED I+1 33. Final Electric Notes: 34. Final Heating &Aikonditioning '• / ��/ ,�/� ' � 35. Final Gas Pipe-Test /� - - 36. Hood or Canopy . - - r 37. Final Factory Fireplace l - •11 - - " r. L 38. Final Plumbing - - - 39. Water Service-Final . + • 40. Gas Service-Final 1 41. Solar Domestic-Final 42. Backflow Preventer - - - ' 43. Backflow Irrigation i ' ^ ' • . 1 1 44. Landscape Irrigation System' ' _ - 45. Sound-Attenuation •. - - - - 46. Handicap Regulations - - ' . - _�' 47. FINAL STRUCTURE & BUILDING , • r' 48. FINAL PLANNING .` . 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 1 l t• ; - , 51. CERTIFICATE OF OCCUPANCYr . No. Date Lai. PROJECT ADDRESS: UNIT: OWNER'S NAME: . 2375 EAV Al&A2 CITY OF COSTA MESA — BUILDING PERMIT PERM NO; M 057814 ADDRESS: SPARTA DEVELOPMENT ' 411 E 15TH ST PERMIT NO: M 057814 PLAN CHECK NO; N GOVT; N SUPP; N NEWPORT BEACH CA 92663 CONSTRUCTION TYPE: 5—N PERMIT TYPE: MEC PURPOSE: NEW ( 714 ) 650-8480 ARCH/ENGINEER: HAMPTON FORBES REG.NO.: CE 407 JOB DESCRIPTION : NEW 2 STORY DUPLEX WITH ATTACHED GARAGES SQ FT: ADDRESS: 18102 SKY PARK S ' A-1 PERMITTEE: IRVINE CA 92714 CLAIM VALUE: CALC—VALUE; GROUP OCC; R-3 /M-1 ADDRESS: SPARTA DEVELOPEMENT (714 ) 650-8480 411PE 1EAR ST *OMM***BSti�***4*******(ear*R**+AEB�r****�r********BO*****�E�E�E�E�rsr�E�t�rst�r*sr*�r;E*+e�F*****�E�E*�F;r;e NEWPORT BEACH CA 92663 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS 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.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:so PARKING REQ• PROV; PARCEL; 43927214 ZNE: REF NO: Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING N(OTES> > Date: Applicant: ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECUMTION:I.section need not be completed iI the permit is for one hundred WOO)or less). ,.; DEVELOPMENT S E R V I C E S REQUIREMENTS I certify that in the performance oI the work for which this p is issued.I shall not toy any person in any manner so as to became • subject to the Workers' Workers'Compensation Laws of California ZONING APPROVED BY DATE: Date: 6'c 7 -q nature: 'AA/Li ertv-n[io NOTICE:If.after making this declaration,you should/ come subject to the Workers Compensation provisions of the Labor BUILDING APPROVED BY : • DATE: Code.you must forthwith comply with such provisio s 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 APPLICATION ISSUED BY • I(•\ -, DATE: (oil / ( / which this permit is issued(Section 3O97,Civ.C). **�************{e******{ESE.**.*.****.****.******** **.N..*************.le******.N.*** ***iF.1*** LENDER: )4***************************************************************************** ADDRESS: LEGALIZATION:N F E E SUMMARY 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 1300 00 repair any structure.prior to its issuance.also requires the applicant for such permit to lite 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 2 5 Z SMIP/NON—RES and Professions Code)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 dotWrs($500). 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 PLANCHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 13 . 00 15 . 00 0, 00 28 . 00 28 . 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 himprovementher vn s solemployees. within onevyear ofat such competionr the owner s will have e not )the burden of povinged or of fered for she/she did not bur ild oe r improve REVENUE DIVISION TOTALS--> COLLor ECTED. 28, 00 OVER/SHORT: 00 Por the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK n I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 28. 00 LX and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon -'•,( . and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware ***********************************,****************************************,****. that proof of their Worker's Compensation insurance should be prov•.. to me. r. ❑ I am exempt under Section: B.&P.C. I N D I V I D U A L' F E E BREAKDOWN for this reason: / TYPE QTY D E S C R I P T I O° N UNIT COST TOTAL COST Date: CO -c 7— a. l O( vmer: tat- __ ._ ._ 4.' I do hereby certify that I am aware of and understand the requirements 4lifornia Heal and Safety Code Sections 2105,25533,and MEC 2 FACTORY FIREPLACE END OF FEES 6. 50 13 , 00 25534 and that I or any future building occupant will/will not(circle one).7 ed to comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from m these provisions. Date: Applicant: • I hereby certify that I have read this application and state that • ...ove information is correct.I agree to comply with all city and coy Y ordinances and state laws relating to building construction and authorize representat es of this city to enter upon the above-men' ed 1. property for inspection pur'pooses.. / ' 4....0 ` Dale: 65r / -"11- Signature: 4....0Af � : , i;fllr'.l-uis,,3,,� . : r'7.- .. Driver's License or Social Security `( •:G 164146 White-Building:Green-Code Enforcement:Canary-Applicant:Pink-Revenue:Goldenrod-Assessor r- .7 :7 ii CONSTRUCTION AND PLANNING S - POC SPA Date Inspector Date Inspector 'APPROVALS Permit# _ .. APPROVALS Permit # 1:Temporary Electrical Service or Pole - • 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3; Electrical,Contdu t.Utility-Undrgrnd. 54. Forms . 4. Electrical Conduit-Undrgrnd. • 55. .Electrical Bonding •5. Steel:Re'i`nfl4rcemeHt 56. Rough Plumbing & Pressure Test `6. £lectricatUFER Grnd- 57. APPROVAL TO COVER-GUNITE 7.. •Footi rigs? t - 58. Electrical Conduit-Undrgrnd. 8. Foundation ' _ - 'l 59. Gas Pipe, 0 Undrgrnd., Test - 9. Water Pipe-Undr§rnd. - 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 t 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains - 64. Plumbing System - Final • 14. Rough Plumbing, 65. Electrical-Final 15. Rough ElectricakConduit 66. Solar System-Final • 16. Rough Electric Wiring • 67. Fencing & Access Approval • 17. Rough ring Si WiSign 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 r q 445.19. `,/�,,ey�'�APPROVALS•: - .Permit# 21.buct's,in Structur'e1, , `'S ".. _ 70. Underg'rouridtHydro 22. Ducts, Ventilating ' '. - :- • t 71, Product Piping 0 Gas 0 Oil 23.tGas Pipe-hough &'Test .- ,f `.', 72. Underground FIu31f 24,:Roof.Framing • . • " W3.-Undergrnd Storage Tank 0 Gas 0 Oil, • 25. Roof Sheathing .; ' ' - ..j , ‘' .74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat -t .. .. 75.`Dry Chemical • - , 27.;Frame and Flashing', t, .. , 76. Dry Standgipe = ' 28. Lathing & Siding > •C' H 1 77.- FIXED SYSTEM.FiNAL t 29. Insulation 1. - .' • . 78.1„FIRE PREY. FINAL , 30. Drywall Nailing t .. i- A HEALTH DEPT.'REQUIREMENT .-31. Plaster BlownCoat; ,. - 79.' FINAL INSP.ECTIO,N 32. Electrical Power Meter-Final - - • 80. ,FOOD CERTIFICATE ISSUED 33.•Final Electric. * -c _ e x 'Note"s: G'!_ 9 A� ;34.-Final Heating & A r Conditioning . - 35. Final Gas•Pipe.Tet-- ' � - •` _ u ' ' ,36. Hood or Canopy - - ". , - - - - _ 37. Finai'Fac`tory Fireplace .t 40 •`- ., 38. Final Plumbing '• - ;J t, , _ . r 39. Water Service-Final- I - '' 1 T. i. "'C.)"4 C • t I • r 40. Gas Service-Final . „ .. . {; . • :41. Solar Domestic-Final . C tr t C^,e t '5 a -. t ,n - 42. BackflowiPreventer` - .. - ri _ • . 43. Backflow'lrrigation; - -t r r a .01 -44, Landscape Irrigation System -., , - : ,. ,U , '45. Sound Attenuation; s 5 - = - ' % ,4S. Handicap Regulations , - 'r 47. FINAL STRUCTURE & BUILDING - - l - T .. 48.:SINAL PLANNING; - - - .,, , -:, ,- .s . . 9, Electric Release to Edison ' - I+ a ',. 1 _4 -50. Gas-Release to Southern California Gas Co _ I I. ' y - 31. CERTIFICATEOF_OCCUPANCP - . - . No. Date PROJECT ADDRESS: 23.75 ELDEN AV UNIT: Ai&A2 -- CITY OF COSTA MESA - BUILDING PERMIT PERM NO: E 05721E OWNERS NAME: SPARTA DEVELOPMENT - AbORESS: 411 E 15TH ST PERMIT NO: E 057218 PLAN CHECK NO: N GOVT; N SUPP: N NEWPORT BEACH CA 92663 CONSTRUCTION TYPE: 5-N PERMIT TYPE: CLE • PURPOSE: NEW ( 714 ) 650-8480 ARCH/ENGINEER: HAMPTON FORBES REG.ND.: CE30407 JOB DESCRIPTION : NEW 2 STORY DUPLEX WITH ATTACHED GARAGES SQ FT: ADDRESS: 18102 SKY PARK S UNIT: A-1 IRVINE CA 92714 CLAIM VALUE; CALC-VALUE; GROUP OCC; R-3 /M-1 PERMITTEE: BOB ELECTRIC (714 ) 650-3337 ADDRESS: 1539 MONROVIA 7 COMMENTS : REF 856577 N.B . CA 92663 #******±e#***#dc*#****#JE#*###*****+F###ac-*#N-**#*##a:#***** F#*###y6####*****x# ******* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY lac.: 034421 STATE LIC.:4 55700 lass: C10 Elate: 9'`---/--/ Zi 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' 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.: WC81 31981 EXP.DATE: ' 'OMPANY: .STATE PARKING REQ• PROV; PARCEL; 43927214 ZNE; REF NO: Certified copy is hereby furnished. ® Certified copy is • with the city Buildi ivisian PLANNING NOTES> l > -_— Oate: 5—/_ ft. Applicant: / d%C #***#*#*##3f#IF*#****#*####*###iE##*_#1P**##*?P*#*!P*#iE fF**#*##*####*#*#IE is iE**###3F##*#*i( EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not completed if the permit is for one hundred(5100)or less). DEVELOPMENT S L-Ee.R V I C E S REQUIREMENTS I certify that in the performance of the work for whldh this permit is issued.I shall not employ al person in any mannerieas to become ' subject to the Workers'Com ensation Laws of California. ZONING APPROVED BY C •r DATE: Date: d=/-- / Signature: NOTICE:If,after making this declaration,you should become subject to the Word rs'Compensation provisions of the Labor BUILDING APPROVED BY : - DATE: Code,you must forthwith cannily 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 al the work for APPLICATION ISSUED B �� ., DATE• of O r9 2_ which this permit is issued(Section 3097.Civ.C)s ******************* _�•��`-- =s:gas-�;�-�Ei`ii.i.2.2 •.s.ss•a•s- • - • *i(**#***#******K:****** LENDER: .1 /1 ."n / ********************************%***#* **************************************** ADDRESS: LEGALIZATION: N F E E ' UMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING EL EC. e IC 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 • • , 83 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed .0% S4M 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 and Professions Code)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($500). ISSUE FEE 15, 00 I. as owner of the property or my employees with wages as their sole compensation, wit do the work, and the BUILDING-DI V-> 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----> 88 . 83 15. 00 0, 00 103 , 83 103 , 83 , 00 does not apply to an owner of a properly who builds or improves thereon,and who does such work himself/herself or through or Oil mpoveor ments soln d within onevyearr od fcot mp compch letion,improvements owner wellnot have intended the burden of offered ng he/she did not bur iltl or improvee REVENUE DIVISION TOTALS--> COLLECTED: 103 , 83 AVER/SHORT; 00 for propose of sole). 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 103 . 83 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such protects with a contractor(s)license pursuant to the Contractors State License Law).l am aware *******************************************************************-******3F#.****. that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.&P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date. Owner ELE 2538 NEW RES BLDG FOR 1 OR 2 UNITS/ SQ FT , 03 88 , 83 I do hereby certify that I am aware of and understand the requirements of California,Health and Safety Code Sections 25505,25533,and 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 END OF FEES permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state 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 representati this city to enter upon the above-mentioned property fol inspection purposes. �p/�e 1/4'— Date: 5---/-92- Signature: ! `?�✓ —/ _ L . r_�t Drivers License or Social Security h: 1r- _e F 1641-46 White—Building:Green—Code Enforcement;Canarv—Aoolicant: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 3. Electrical Conduit Utility-Uhdrgrnd. r- JJ 4. Forms 4. Electrical Conduit-Undrgrnd. �I#//��,i ��'�!�"�5. Electrical Bonding • 5. Steel Reinforcement Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. /y,4z ,P 4'7. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation i 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. • Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK - 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap _ 63. Heater & Vent-Final 13. Roof Drains - . 64. Plumbing System - Final 14. Rough Plumbing � ' i , 65. Electrical-Final 15. Rough Electrical-Conduit • 66. Solar System-Final 16. Rough Electric Wiring 7-2-yZ f 67. Fencing & Access Approval 17. Rough Wiring Sign ! 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing -73. Undergrnd.Storage Tank 0 Gas 0 Oil I25. Roof Sheathing 74. Overhead Hydro T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat I i 79. FINAL INSPECTION 32. Electrical Power Meter-Final I:_1 80. FOOD CERTIFICATE ISSUED Cr ,33. Final Electric �� -' % Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test . 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing . 39. Wafer Service-Final 40. Gastervice-Final 41. Solar Domestic-Final' - 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co � 51. CERTIFICATE OF OCCUPANCY No. Date • a ELDEN AVENUE, 2375 _ 357219 (B56577) (\-ao-91UNITS C-1 & C-2 /—IISIMMISMik _ _ 357218 (856577) 3'7011 - County cr.; L sat ,-. 1i 5500. \ \_oa3_91UNITS Al & A2 4009 - 9-10-5�( _�:c•:;xc :er.ce CAi CELLED -� —a 1155105 - 10-5-61 en_ bat: In res140. a _M57817 (856759) _ I alma ( 1\`'ao Ot1 UNITS Cl & C2 —BP56315pit/ / �1�� — y • _--_ { M57816 (1356578) _ ��a UNIT B-1 B56579 PC#04124-91 A _ i 1 -�0-'\'Y UNIT C1-C2 a ialaaSa M57814 (B56577) _ aalallal ali — ,\\_Q0-c\1 UNITS Al & A2 — B56578 PC#4127-91 A UNIT B-1 ala _F57328 L\--‘$'1a-PC1)l951-92 S — • UNITS Cl & C2 (856759) —_ — B56577 PC#4126-91A UNIT Al-A2— a SI MS783 (8565 _ -- — UNITS Cl & C2 — I GRA56576 PC#00860-92A UNIT A- alla1111.11111Maa G A o/c3 . M57332 (856578) — \ 1 `( UNIT B-1 �_ 1.- \ 1 — E57042 (856576-856579) — f ala _ M57831 (856577) i U T �L • la_"_t .y UNITS Al & A2 — B57097 -�/ PC#14pC#14—� —tea &��0 - - B 58978 (1356577) _ a—. _ I \"- tc eft . —12/g2_ !�2 13g2_ (NITS7 C) a--_ / UNITS Cl & C2 _ 859645 PC#4142-92 S — aaaaIlla 1\— Zo 9a — P57112 (B56 578) � %Ia 51',1 ?:-Al, -212172 UNIT B1 — • _ Fp�5717T1 (856577) /Pn /yrj...__ UNITS Al & A2 — • --a - _ 357221 (356577) _ 12.01AT LEGAL \\--e0-ca UNIT B-1 ilaalMaa 35722 (3565(3565-- l(- ')©-1. UNIT B-1 PROJECT ADDRESS: 2375 ELDEN AV SPARTA DEVELOPMENT CO UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 07tl9I8 OWNERS NAME: ADDRESS: BRIGGS, EDWIN J PERMIT NO: B 058978 PLAN CHECK NO: 03487-92 S GOVT: N SUPP: N 411 E 15TH ST NEWPORT BEACH CONSTRUCTION TYPE: V—N PERMIT TYPE: STR ' PURPOSE: ALT ARCH/ENGINEER: 650-8580 REG.NO.: JOB DESCRIPTION : 3OLF 6 'HIGH PILASTERS W/WOOD BETWEEN SQ FT: 30 ADDRESS: UNIT: CLAIM VALUE: 750 . 00 CALC—VALUE; 300, 00 GROUP OCC: R-3 / PERMITTEE: SPARTA DEVELOPMENT CO ( 714 ) 650-8480 �7 ADDRESS: 411 E 15TH ST COMMENTS: PILASTERS ARE 6 'HIGH W/WOOD BETWEEN Ref ' sbb5/ NEWPORT BEACH CA 92663 ******�r�6+�S6*******x*�k *** �k�r*�E�EFE*�E**�E�6�E*+ *�E�E****** *******yr***** *****yt*56x*****f6 LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and effect. SE TB ACK S CITY LIC.: STATE LIC.: CUSS: Date: signature: MAIN BUILDING ACCESSORY BUILDING Date: S'COMPENSATIDNOECIAflATION: I SignabyaffirmlhatlhaveaCerttlicateofconsenttoselbinsureoracertificaleofWorkers' FRNT: 20 FT IN REAR: 20 FT IN FRNT: FT IN REAR: FT IN WORCompensation Insurance,or a certified copy thereof(Section 3800,Lab.C). LEFT: 21 FT IN RGHT; 5 FT IN LEFT; FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ- PROV' PARCEL: 43927214 ZNE: R2 REF NO: I Certified copy is hereby furnished. ❑ Certfhedcopy 2filed with the city Building Division. PLANNING NOTES> CONSTRUCT 6 ' HIGH 30 ' LONG FENCE WITH PILASTERS, SET BACK > 10 ' FROM FRONT PROPERTY LINE. Date: Applicant. ******************************************************************************* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed if the permit is for one hundred($100)or less). D EVEL OP MEN _T SERVICES 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 is issued.I shall not employ any person in any manner so as to become LL (,+ subject to the Workers'Compensation Laws of California. ZONING APPROVED BY G €._ DATE: F'fr I,- '4'Signature: �.,I A t �' NOTICE:If after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY DATE: �� / „ Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: f hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: • DATE' rip'y L which this permit is issued(Section 3097.Civ.C). ********************'*** * ***** ******************************************* UNDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E S U M jA R Y STRUCTURAL SEGMENT: Y OWNER BUILDER.5B DECLARATION: hereby d : that I am exempt hic the Contractors'Stateostnse Law for the ve,odem 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 15. 00 j ,50 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she a licensed f fp 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 P LAN 9 . 75 and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE Ai .1.1 ' ' I. as owner of the property or my employees with wages as their sole compensation, wits tlp the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK v! •, TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 15 . 50 0, 00 i 44. 75 r ` 25. 25 25 , 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 1 ,N his or her improvements solemployees.lhn one year ofrovided at such competionrovements the owner will have e not intended the burden of proving he/she did noter build or e building or REVENUE DIVISION TOTALS--> COLLECTED; 25, 25 OVER/SHORT• 00 ' for me purpose of sate). BLDG PMT PLUMBING ELECTRIC MECHANIC :FIRE SMIP/TOT GRADING PLAN—CHECK ,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 15 ' 00 �/' �7 50 9 . 75 Lea and Professions Code: The Contractors'State License Law does not apply to an owner of propertywho builds or improves thereon /� and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware ***********************************************if******************************* that proof of their Worker's Compensation insurance should be provi to me. IND I V I D U A' LF,"E�E (1 B EAK DOWN o I am exempt under Section: B.&P.C. fortis reason: TYPE QTY DESCRIPTIO N /f r y UNIT COST TOTAL COST �I —10-91— Owner: �+ SFR 30 RES—PILASTER WITH WOODA,ETC BETR FT, 10 . 00 300 , 00 I do hereby certify that I am aware of and understand the requirements of fornla,He h and Safety Code Section 25505,25533,and END O F FEESv,' 25534 and that I or any future building occupant wit/will not(circle one)n d to comply with said state codes and the requirements for a - permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. /'� \ 0 et Date: Applicant: _ ___ _ __ k ! ( r 4- • I hereby certify that I have read this application and state that the information is correct.I agree to`ompy with all city and count' •n ordinances and state laws relating to building construction and here' orize representatives o his city to enter upon the above-mentioned , _ i b property In inspection purposes. ,. i# f, y. re-- Dam 9'i 0- 42— Signature: _ /Yl/JeV\ 1 �. �i C� _. • Driver's License or Social Security Aoolicam:Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING - POC . SPA 1 1 . APPROVALS Permit # Date Inspector APPROVALS Permit # t Date. Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location - 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement 5c 3. Electrical Conduit Utility-Undrgrnd. _ 54. Forms I 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding -I 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. - 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8.. Foundation 59. Gas Pipe, 0 Undrgrnd., Test • - 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK . '� 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final __ f 12. Sewer Cap 63. Heater & Vent-Final -.-f f' 13. Roof Drains 64. Plumbing System -Final /J:- . S 14. Rough Plumbing 65. Electrical-Final 5 , 15. Rough Electrical-Conduit 66.- Solar System-Final \• 16. Rough Electric Wiring 67. Fencing & Access Approval : ., l 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 OGas O,Oil 23.-Gas Pipe-Rough 8/Test - 72. Underground Flush 24. Roof Framing _ - 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74, Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat • • 75. Dry Chemical 27. Frame and Flashing - 76. Dry Standpipe ' 28. Lathing & Siding 77. FIXED SYSTEM FINAL t ' 29. Insulation " j� T+ ( -;..-..1 78. FIRE PREY. FINAL 30. Drywall Nailing c)j ' HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat ,� 79. FINAL INSPECTION , 32. Electrical Power Meter-Final - 'IN }•it 80.- FOOD CERTIFICATE ISSUED 33. Final Electricviy, Notes: A 0,4 et 5,'c h4 eo4 �`� 34. Final Heating& Air ConditioningIIIIIII i' ' /1/ 35. Final Gas Pipe-Test MIME C 9--14-‘1 _ /D: PROJECT ADDRESS: 2375 ELDEN AV UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO; B 059645 GOVT: N SUPP: N OWNER'S NAME: SPARTA DEVELOPMENT ADDRESS: 1829 WESTCLIFF DR, PERMIT NO: B 059645 PLAN CHECK NO: 04142-92 S NEWPORT BEACH 92663 CONSTRUCTION TYPE; V—N PERMIT TYPE: STA PURPOSE: NEW 714 ) 650-8480 ARCH/ENGINEER: REG.NO.: JOB DESCRIPTION : INSTALL MAIL BOX SQ FT: 300 ADDRESS: UNIT: CLAIM VALUE: 300 . 00 CALC—VALUE: 300. 00 GROUP OCC: R-3 / PERMITTEE: SPARTA DEVELOPMENT ( 714 ) 650-8480 ADDRESS: 1829 WESTCLIFF DR COMMENTS: INSTALL 1 MAIL BOX NEWPORT BEACH CA 92663 *******************-*****•-*****TF*-**X--**********X*-**xx-x-*lE*06x.*%)Ex."*Xx*******-**•**-*x'%** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: STATE UC.: CLASS: Date: Signature: FRNT: 20 FT MAIN INBREARING FT IN FRNT: 10 FTCESSINYREARLDING FT IN WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' Compensation Insurance.or acertified copy thereat(Section 3800.Lab.C). LEFT: 25 FT IN RGHT: 5 FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EXP.DATE: COMPANY: PARKING REQ. PROV• PARCEL: 43927214 ZNE: R2 REF NO: - ❑ Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> INSTALL 54 INCH, HIGH MAIL BOX IN FRONT OF PROPERTY. MUST BE > SETBACK 10 FEET FROM FRONT PROPERTY LINE. Dale:_ Applicant: ************-IE*i(.*******•********************lE****************lE************X*X IE*** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: is s, lion need not be completed if the permit is for one hundred($top)or less), DEVELOPMENT SER VICES R E Q U I R E M E N T S I certify that in the performance of the work for which this pe it is i.sued,I shall note toy any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY (n1L5 DATE: 15)114-(q"-- a 7 Date' /o " T'>— —1'2— Signature � ' ' � BUILDING APPROVED BY : — DATE: tol 'u(gL NOTICE:If.after making this declaration,you should ber. a sublet to the Workers' revokes on provisions of the Labor Code.you must lonhwilh comply with such provisions or this permit shall be deemed revoked. """x��T,,,TTT '.^ CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: y- s.•" \ DATE: . ..65/941.( which this permit is issued(Section 3097.Civ.C). ********************************************* *********9tie**********A****** **** LENDER: ***************'**********-**********************************-******************** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that lam exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SM I P/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 15. 00 . 50 , repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 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 9 . 75 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($500). ISSUE FEE 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 ---T5 . 25 PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 15, 50 0 . 00 9 , 7 5 25. 25 �2 5 , 2 5 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through ____________L 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• 25, 25 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 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 15, 00 . 50 9 , 7S © and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for such projects with a contractor(s)license pursue, ,the Contractors'Stme license Law).l am aware ******************************************************************************* That proof of their Worker's Compensation insurance should be Dtovi e' IND I V ID UAL F E E BR EAKDOWN ❑ I am exempt under Section: B.8 P.C. for this reason: • TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST cy\/ Date. /O r')—) ---491!-- OwmeOwner: ,...r aw° ALSFR 300 STRUCTURAL BY VALUE PER $1 ,00 1 , 00 300 , 00 I do hereby certify that I am aware of and understand the requirements of Cali f is Health and Safety Code Sections 25505,'5533,and END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need.///,comply with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. Dale: Applicant: I hereby certify that I have read this application and state that .ove information is correct.I agree to comply with all city and county . ordinances and state laws relating to building construction and authorize represent.' ..of this city to enter upon the above-mentioned` property lot inspection purposes. .. Dale: /0 —}�—q 7Signature: .l — ..' A 1 'T= } l IL :L;.Li s „ Driver's License or Social Security AoolicanC Pink—Revenue:Goldenrod—Accnssor CONSTRUCTION AND PLANNING _ • POOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding " • 5. Steel Reinforcement • 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. • 8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60..Backwash Lines, P-Trap, 0 Undrgrnd, 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line &.House Connection - ct 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater& Vent-Final - ' 13. Roof Drains 64. Plumbing System - Final • 14. Rough Plumbing 65. Electrical-Final • • 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat79. FINAL INSPECTION 1 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final • 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING II-104& 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date _ . - PROJECT ADDRESS: 2375 ELDEN AV UNIT` A-C CITY OF COSTA MESA - BUILDING PERMITPERM NO: GRA' 05657E OWNER'S NAME: SPARTA DEVELOPMENT CO, ADDRESS: 411 E 15TH ST PERMIT NO: GRA 056576 PLAN CHECK NO: 00860-92 A GOVT: N SUPP: N NEWPORT BEACH CA 92663 CONSTRUCTION TYPE: 5-N PERMIT TYPE: GRA PURPOSE: NEW (714 )650-8480 T ARCH/ENGINEER: HAMPTON FORBES REG.ND.: CEN407 JOB DESCRIPTION : GRADING PERMIT (TWO DUPLEXES/ONE SFD) SQ FT: R ADDRESS: 18102 SKY PARK S ` • IRVINE CA 92714 CLAIM VALUE: CALC-VALUE: GROUP OCC; R-3 . / PERMITTEE: SPARTA DEVELOPEMENT CO. (714 )650-8480 ADDRESS: 411 E 15TH ST COMMENTS: ONE SFD & TWO DUPLEXES NEWPORT BEACH CA 92663 *******************rr*+E+ESE*+E+E+E***Rt*+E***r********* tit+E*TP+1st+tTt*it+P*****Tr**yt***+t'r****+t* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code,and my license is in full force and ettect. SETBACKS CITY LIC.: STATE UC.: CLASS: 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 cenihed copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FST IN POLICY NO.: EXP.DATE: ' • COMPANY: PARKING REQ" PROV: PARCEL: 43927214 ZNE: REF NO: • 7 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> > Date: Applicant: ************************************************************************'******* EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (Thus section need not be competed if the pert*is for one hundred(5100)or less). DEVELOPMENT SERVICES REQUIREMENT' S I certify that in the performance of the work for which this per issued.I shall not toy any person in any manner so as to become 1 subject to the Workers'Compensation Laws of California. ./ / ZONING APPROVED BY DATE: 1--- Date: 3 —/3 —q _— Signature: w�www.�.'7 ./Lf�YSrt..• Q�1 n p NOTICE:II,alter making this declaration.you should be a subj c to the Workers'Compose�on provisions of the Lata BUILDING APPROVED BY : fC/l - _ _ DATE: //2///.Z Code.you must forthwith comply with such provisions r this permit shall be deemed revoked. f� //� CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• �✓• )C J • DATE: ,.37 which this permit is issued(Section 3097.Civ.C). *********************�P* *** * ** ** *** ******************* ** *** ** LENDER: **************************************** ************************If*********** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: Ihereby 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 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed 4 3, 50 pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business SM I P/NON-RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN 5 . 63 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(S500). ISSUE FEE 3 , 00 I, as owner of the property or my employees with wages as their sofa 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. 50 3 ,00 5 . 63 52 , 13 52 . 13 , 00 does not apply to an owner of a properly who bWds 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. II,however the building or improvement BLDGPMT PLUMBING ELECTRIC MECHANIC FIRESMIP/TOT one year of completion,the owner will have the burden of proving he/she tli0 not build or improve REVENUE DIVISION 2 OVER/SHORTOT GRRADNG PLAN- GRADING lorthe purpose of sale). CK W I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 46. 50 5, 63 and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon and who contracts for suchprojects with acontractor(s)license pursuant to the Contractors Sate License Law).l am aware ***************************************************.**************************** Inas proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN o I am exempt under Section: B.&P.C. Mr this reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST ..-- Date: 3 -13 —0 owner: I do hereby Lenity that I am aware of and understand the requirements of Calif ' Health d Safety Code Sections 2 ,25533.and NO FEES WERE SELECTED FOR THIS PERMIT 25534 and that I or any future building occupant wil0will not(circle one)need to comply with said state codes and the requirements for a permit for construction or modification tram the Air Quality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to comply with at city and county ordinances and state laws relating to building construction and her• authorize representatives of this city to enter upon the above-mentioned _ property for inspection purposes. v .;i 1r'_.�_ _� ': TE' 1- • 1,: /.- , _ . �—� Date:3 -0-9 -- Signature: _ �. ' .' i' Driver's License or Social Security ' 1641-46 White—Building:Green—Code Enforcement;Canary—Aoolicant:Pink—Revenue:Goldenrod—Assessor _ CONSTRUCTION AND PLANNING POO SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe•Undrgrnd._ 53. Steel Reinforcement 4.7.EfgMficafCb 4it lftility-Undrgrnd. 54. Forms 4. •Elrrical Contluit-Undrgrnd. 55. Electrical Bonding • .5_.,St4.?Rek4rcemeni• 56. Rough Plumbing & Pressure Test 01t6.tElectriLaf OF ER Grnd. 57. APPROVAL TO COVER-GUNITE ' ,-r. ( el.rte+. re,-, -r - 3•`�ootirf.e. "11't 58. Electrical Conduit•Undrgrnd. - 8. Foundation �. 59. Gas Pipe, 0 Undrgrnd.,Test r T • 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK - 11. Property Sewe line & House Connection 62. Backwash & Receptor-Final Z- • -. 12. Sewer Cap a, 63. Heater & Vent-Final 13. Roof Drains - c: 64. Plumbing System • Final ` 14. Rough Plumbing ` 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric'Wiring 67. Fencing& Access Approval • ';17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrieta,T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT - - -- • - - - - s, - • 20..rRough Facto Fireplace y,r .L • C) .: --A * APPROVALS1__Perrrmit# 21.'_Ducis,in_Structu}ri,. :. ,. a. • r . ` - ' '"� q - 7• > -S < _ •s r. J0. llndergroUnd..HY_Sro 22. Ducts, Ventil,tirir : i - _ _ t * F ••:71. Product;Piping OGs OOil 23.Gas Pipe=Rough & test ' r _ = 72. Underr grouPd Flush < - - 24. Roof Framingr * �t "" �73._Undergrnd:Storage-Tank 0Gas 0Oil 25.'Ro62 Sheathing .1< _ ; - .> 4.:. . •, -74:,Over head Hydro: o 26.-T-Bir Ceiling (Strootural) &Monocoat C = i1 c 75,7 Dry Chemical - 27�rameand Flashi i `A, r .•• r a 76: DryStandgip"e "T' • .S. r : •-28.`Latbin & Sidin 3'! : _r ,z. Z ••� . 9 . «, c • � •• y. 77._FIXED SY$TEN},51NAL' _ _ '29. Insulation ' 5 •• r - C 78. FIRE PREY. FINA-L r •, - !d0. Drywall Nailing * 1 ♦ HEALTH:DEPT. REQUIREMENT 7, . , ♦ - , 1. , •t . ), , 4.-31. Plaster Brown,Coktts. r I I, : r79:•FINAL INStP_FCTIQN ;, - r 32.-ElectricaIPowerMetepFinal, _ '. f . •80.•FOODCERTIFICATEISSUED '' C _ .. ,;33.'`Finaj• Electriic a -r t r . rNoles: y _ .1 .- ... 4,.-Final Heeting& Air.Londitioniig- - - i �. - •`,.. , - t n r 35.fFinal Gas Pio -Test' • - " _i _ - -• .. --1 K t - r36. Hogd or:CanoPv . - 1 rr - _ : , - ; 5' S. n,,c +. _,- -37.-Final Factory Firep'jacar i ' `•- .. j- ; ..... .� • : =381-Final Plumbing -• .. x I . a J :'39.--Water Service-Einah i i 7 •' r ' .. ',40.7:Gas Seri ce-Final. T �. - Y. rr y • w " r , t $41.4.Solar Domestic-Fina15 L. e ' .. - - :- F : - - r .- 7 • t 42. Backflow Preventer, • ;" ' -� _ •1 43. Backf low Irr atiore is �.'S ' -. - x = :44. Landscape Ir7igatio)lmsjr Syste , a Lr •,,* -- - ,7 ,,a 1= - t45,-Sound Attenuation Cl- r - - .:46.;Handicap Regulatiops .- ; `1 -•q • ' • w • ; _•47.-FlttAL STRUCTURE & BUILDING.^ cite of :S J • •liffe. ..." c49: -teethe Releaser'`fison I 1.. . •r, n d '50. Gas_Release to Southern California Gas Co f` _ - r _ , - .51. CERTIFICATEPF„OCCUPANCY „ ,.- - -_ No. Date PROJECT ADDRESS: 2375 ELDEN AV UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 05709 , ,.._DWNEAs NAME: HERSH DOROTHY K ADDRESS: BRIGG§ EDWIN J PERMIT NO: B 057097 PLAN CHECK NO: 01499-92 S GOVY: N SUPP: N 23046 AVE DE LA CARLOTTA #315 CONSTRUCTION TYPE: PERMIT TYPE: STR PURPOSE: OTH LAGUNAHILLS CA 92653 ARcxIENcwEER: FORBES/MANSHADI MAO.: C30407 JOB DESCRIPTION : 401LF-2FT RETAINING W/6FT WOOD FENCE OVE SQ FT: 401 ORBES ADDRESS: 801 N PARKCENTER DR UNIT: 200 PERMITTEE: SINTACAANA CA NARETE 6 MASONRY 9270775 14 ) 969-1994 CLAIM VALUE; 12, 500. 00 CALC—VALUE: 12, 030 . 00 GROUP OCC: R-3 / SADDRESS: 320 LAKE ST 307 COMMENTS: WOOD FENCE OVER RETAINING WALL HAUNTINGTON BEACH CA 92548 *****itiFif3Exi'F3fat+rtFi *******IFBFltie3FiE4F#itF#**M-3f+F>'F*4E#7E3FiEif3Fe(i ***iF*i(-#itxBE*aFiF1E#if3c-3E*iEjFkEiEiFififi *** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 01 the B Mess and Prolessien5 Code.and my Ikerlse is in full j e arM effect� SETBACKS CITY LIC.: 1 . 317 •TEuc.:523097 / Cuss: 9 Signature:—f_ -01, MAIN BUILDING ACCESSORY BUILDING WORKER COMPEN.ATIONDECLARATION: IherebyArmthatthave acertificate til.• .-nttoselbinsureoracertificateofWorkers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR; FT IN Compensation isu{a nj {,c ' py thereof(Section 3800.Lab.&). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN POLICY NO.: IL�L�J�h�� EXP.DATE: +2/O7 92 COMPANY: STATE I PARKING REQ• PROV; PARCEL: 43927214 ZNE: R2 REF NO: ❑ Cemhed py is her by furnished. 1 Certified copy isfiled ' the city:• ding Division. PLANNING N TES> PROPOSED 401 LINEAR FT. OF 2FT, HI , RETAINING BLK, > WALL ALONG THE SIDES AND REARPROP,LINE. • a AppAcan! _= *****************K*****************************************K********fit*****ii***** DEVELOPMENT SERVICES R E Q U I R E M E •N T- S EXEMPT N FROM RXERS'COMPENSATION DECLARATION? (Tho . '• need not be completed I Ore permit o to one hundred(5100)or less) i I certify that in the enormanpe of the work for which thispermit is issued.I shall not erne. person in any manner so as to become /� Z Z subject to the Workers'Compensation Laws of Calilorria: ZONING APPROVED BY / DATE: `^7 L Date: Signature: BUILDING APPROVED BY . DATE: ZZ�Z NOTICE:If.after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor Code.you must forthwith comply with such provisions or this permit shall be deemed revoked. ^� ^ ^/ CONSTRUCTION LENDING AGENCY: I hereby affirpim:t there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: s4 a DATE: Ti.2r which this permit is issued(Section 3097,Civ.C). *K*3F**************-K************* ***********K-********************K*******.k***** LENDER: **********K*************************************K*******************K********** ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:Y 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: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 14 4 , 0 0 1,20 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business p L AN 93 . 60 SM I P/NON—RES 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(3500). ISSUE FEE I. as owner of the property or my embyees 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——--> 145. 20 0 . 00 93. 60 238 , 80 238 . 80 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through i 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• 238 . 80 OVER/SHORT• 00 for the is sold le)nm one year of completion,the owner will have the burden of proving rte/she did not build or improve BLDG PMT PLUMBING ELECTRIC MECHANIC, FIRE SMTP/TOT GRADING PLAN—CHECK for the purpose of sale). 144 . 00 1 . 20 93 . 60 I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business1 ❑ and Professions Code: The Contractors'State License Law does not app*to an owner of properly who builds or improves thereon I and who contracts for such projects with a contractor(s)license pursuant to the Contractors'Slate License Law).l am aware **K*****K*K*KK*KK*K***KK********K****K****K**K***********KK*******K**K**KK*1F*** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.&P.C. tor this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Date: Owner SFR 401 RES—RET WALLS <= 3 FT W URCHG/ FT, 30 . 00 12, 030 . 00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant wilUwill not(circle one)need to comply with said slate codes and the requirements for a permit ler construction or modification from the Air Quality Management District.Residential construction applications are exempt from these provisions. Dale: Applicant: I hereby certify that I have read this application and state that the above information is correct.I agree to co fy with all city and county ordinances and st.e laws relating to building construction and hereby authorize represen 'es of this cit ler upon Ih'4 above-mentioned property for i •ction pun'Ses. ' Dste: Signature: 4ATE:11[Iq,r%F;'.Zit"IL'? .r . Driver's 'cense or Social Security Applicant:Pink— avenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING - - POOL _ SPA Date Inspector Date Inspector 1 APPROVALS Permit# /t.. APPROVALS Permit # 1. Temporary.Electrical Serviceoi Pole . . 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undtgrnd. 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 r __L- 7. Footings // 1 2V 9L 58. Electrical Conduit-Undrgrnd. r 8. Foundation l:7 /> �" " +. 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. ,.- 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System a t 61. APPROVAL TO DECK 11. Property Sewer Line & HoOseConnection 62. Backwash & Receptor-Final 12. Sewer Cap i-'' 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System Final 14. Rough Plumbing i \,I 65. Electrical-Final • 15. Rough Electrical-Conduit .4 66. Solar System-Final 16. Rough Electric Wiring • 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING • t 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning - FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical • 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing : , t. -� HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat H• 79. FINAL INSPECTION 32. Electrical Power Meter-Final � 80. FOOD CERTIFICATE ISSUED +I 33. Final Electric - i 11 Notes: 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test `W� r 1* r 36. Hood or Canopy -- --.-- - 37. Final Factory Fireplace 38. Final Plumbing - 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer ' 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations • 47. FINAL STRUCTURE & BUILDING ( t, y I 48. FINAL PLANNING ,' IY 49. Electric Release to Edison '' 50. Gas Release to Southern California Gas Co n • 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 2375 ELDEN AV 'XsUNIT: A — C CITY OF COSTA MESA — BUILDING PERMIT PERM NO; E 05 /04i OWNER'S NAME: SPARTA DEVELOPMENT ADDRESS: 411 E 15TH ST PERMIT NO: E 057042 PLAN CHECK NO: N GOVT; N SUPP: N NEWPORT BEACH CA 92663 CONSTRUCTION TYPE: 5—N PERMIT TYPE: ELE PURPOSE: OTH (714 ) 650-8480 ARCH/ENGINEER: HAMPTON FORBES REG.NO.: CE30407 JOB DESCRIPTION : TWO TEMPORARY POWER POLES SQ FT: ADDRESS: 18102 SKY PARK S UNIT: A-1 IRVINE CA 92714 CLAIM VALUE; CALC—VALUE: GROUP OCC; R-3 /M-1 PERMITTEE: SPARTA DEVELOPEMENT (714 ) 650-8480 ADDRESS: 411 E 15TH ST COMMENTS: RE: 856576—B56579 PRIMARY BLDG, PERMITS, NEWPORT BEACH CA 92663 *******�E+E***�r**�t *�ETL*iFyE�L�L****�E*+E*�E�E+6****4 ******4*****+F***********TF************ LICENSED CONTRACTOR DECLARATION: I hereby atlirm that I am licensed under provisions of Chapter 9(commencing with Section ZONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. SETBACKS CITY LIC.: STATE UC.: CLASS: Dale: Signature. MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self-insure ox a certificate of Workers' FENT; FT IN REAR: FT IN FENT: FT IN REAR; FT IN LEFT; FT IN RGHT: FT IN LEFT: FT IN RGHT; FT IN Compensation Insurance.oracertified copy thereof(Section 3800.Lab.C). POLICY COMPA :O.: EXP.DATE: PARKING REQ- PROV: PARCEL; 43927214 ZNE; REF NO: COMeANe 1 Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOtES> Dale: ' Applicant: *******************************-*xBF1E******************************************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: ( . section need not be completed it the perrcil is for one hundred(S100)or less). DEVELOPMENT S E ,R V I C E S REQUIREMENTS I certify that in the pertormance of the work for which this per issued,I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. ZONING APPROVED BY DATE; Date: =Lf lin q1 youshul e - BUILDING APPROVED BY : DATE: NOTICE:If:after making this declaration. should b.rme subje to the Wo 'Compeifsation provisions of the Labor Code.you muni forthwith comply with such provisions it this permit shall be deemed revoked. �� r \-'217 • CONSTRUCTION•LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY; �� t_ ,y i� _ DATE; /7 /�^� which this permit is issued(Section 3097.Civ.C). **********************' ' ' ' Et • • ********.** *Ir to st LENDER: ********************************r****************. ***************************** ADDRESS: LEGALIZATION;N FEE SUMMARY STRUCTURAL SEGMENT;N OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law tar the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county width requires a permit to construct.alter,improve,demolish,or PERMIT 30, 00 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement mat he/she Is licensed 50% 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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 15 . 00 I. as owner of the property oremployees with wages as their sole compensation, w01 do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ my structure Is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS————> 30. 00 15, 0 0 0 . 00 4 5 ,0 0 45 . 00 , 0 0 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/hersell or through his or her own employees.provided that such improvements are not intended or offered for sale.ll,however the building or REVENUE DIVISION TOTALS--> COLLECTED• 45. 00 OVER/SHORT; . 00 improvement is sold ) one year of completion.the owner wnT 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). ,,A I.as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 45. 00 LJ and Professions Code: The Contractors'projects state License Law does notapplyowner of properly who builds or improves thereon **.*****.***.**_****_**.******.**_**.*.*.*.*.*,*.*******.****.**.****.**************************** and who contracts for such protract with a contractor(s)license pursuant l Io the of property Stale License Law).I am aware Mat proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN ❑ I am exempt under Section: B.&P.C. for this reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST Date: S'I—I 7 — 41— owner: ELE 2 TEMP SERV PWR POLE W/OUTLETS EA, 15 . 00 30 . 00 Ido hereby certify that I am aware of and understand the requirements of lifomia ealth and Safety a Sections 25505,25533,and END OF FEES 25534 and that I or any future building occupant wilUwill not(circle one)n ed to comped with said state codes and the requirements for a permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from these provisions. Date: Applicant: I hereby certify that I have read this application and stale that the a1ize formation is correct.I agree to comply with all city and county ordinances and slate laws relating to building construction and hereb representatives' is city to enter upon the above-mentioned properly for inspection purposes. N g UUe13074--001!NC74 "�-5' ----- _ Date'. —/7— 2 Signature: -��-� DATE: 64/1//c2 TI E: ! ' Driver's License or$ucul Security L 164146 White—Building:Green—Code Enforcement;Canary—Applicant;Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING , POC SPA APPROVALS Permit# _ • Date Inspector� APPROVALS Permit # Date Inspector 1-Temporary Electrical Service or Pole s /_j9 � - Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation r 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd, c 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final • 12. Sewer Cap 63, Heater & Vent-Final . 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit 4 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas O Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 7 FINAL INSPECTION 32. Electrical Power Meter-Final }th $ ^ FOOD CERTIFICATE ISSUED 33. Final Electric Id:,92/ _ � Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy . 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47, FINAL STRUCTURE & BUILDING 48. FINAL PLANNING _ 49. Electric Release to Edison - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date PROJECT ADDRESS: 2375 ELDEN AV UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: BP 05631` O EN'S NAME: BRIGGS DEVELOPEMENT • A - ADDRESS: 23046 AVENITA CARLOTTA PERMIT NO; BP 056315 PLAN CHECK NO: N GOVT: N SUPP: N LAGUNA HILLS CONSTRUCTION TYPE: V—N PERMIT TYPE: PLU STR PURPOSE: DEM ARCNIENGINEER: 380-0686 REG.ND.: ADDRESS: UNIT: JOB DESCRIPTION DEMO SFD/PREP FOR DEVELOPEMENT SQ FT: PERMITTEE: CLAIM VALUE: CALC—VALUE; 1 , 000 . 00 GROUP OCC : R-3 / ADDRESS: BRIGGS DEVELOPEMENT ( 714 ) 380-0686 23046 AVANETA CARLOTTA 315 COMMENTS : REF SITE ACCESS PNTB11312 LAGUNA HILLS CA 92653 * ******dix*****Kg********TfoxX'N**-N***•14'x*-xX*-**'X*********X.N..k.if****%.X-'X************* LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section ZONINGREQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and my license is in full force and effect. - S E T BA C IC S CITY LIC.: STATE LIC.: CLASS: , 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 cenilied copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT• FT IN POLICY NO.: EXP.DATE: 'OMPANY: PARKING REQ PROV: PARCEL: 43927214 ZNE: REF NO: I Certified copy is hereby furnished. 0 Certified copy is filed with the city Building Division. PLANNING NOTES> > I Date: Applicant ' 3eiF;E#3ei(iF3(1F1Fie1(****x•#Y##T(##X##3F********3(3ek****3F3(#ri(jkiF3r****Xli•X##-7(****#3E9e3E±`rjfiE3Fie9t-**M** EXEMPTION FROM WORKERS'COMPENSATION DEWAR is sectio ed not r . • :•T hundred(S1 i' : . DEVELOPMENT SERVICES R E Q U I R E M E N- 1 S I certify that in the performance of the work for •' this permit is issue y . •IL_J' a • subject to the Workers'lCompensatio Laws.: Catilornia. ij /� ZONING APPROVED BY DATE: — Date: 2`!.-9j2` Signatur. /i/ CJI/' - - .• NOTICE:II.after makingmthis declaration,you should become. -tot ' .;•••.. anon provisions o the Labor BUILDING APPROVED BY ; _ DATE "i =�`' Code.you must forthwith comply with such provisions ort :permit sh. be • emed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a constr do ending;pricy for the performance of the work for APPLICATION ISSUED BY• �____ -- DATE: I��ZZG '7 which this permit is issued(Section 3097,Civ.Cl. c/ s; X3(Xrt####Xi(k M•i(iE1EX3(xi(**4 F 1r x •.iFir **3(XDATx3(4 vO. 3Fx '3i• tr X•j( LENDER: 9 **** -***n*3(kxx#X3(****•3E#*****3F)He *3(*' I(diM**1i-le#Xi(iEw#`!(9E3(3E**i(sx-3 3e #-Kies ii-****)eli ;3 3 ADDRESS: LEGALIZATION:N FEE U M M A R Y STRUCTURAL SEGMENT:Y i OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECRTC 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 e repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed P ERM Z T 2 J . O 0 2 . 0 O / provisions (Chapter (commencing �•' //� SMIP/NON—RES andsProt s thed) that the he/sheshisstexe'exempt Stateerefrom Lawe 9 rommeocln withe Section Any violation of ni 3 ti the Business12 5$ and Professions Code)or therefrom and the basis for the alleged exemption. of Section 7031.5 by PLAN '^ 50 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(5500). ISSUE FEE 3 . 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 P.LAl—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sate(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS--——> 27. 50 3 . 0 0 ' . 0 . 00 30. 50 30 , 50 . 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. II,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• 30 . 50 OVER/SHORT: 00 for the purposeot sale). 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 project(S'lion 7044.Business 25 . 00 5• 00 "r , 50 ® r and Professions Code: The Contractors'State License Law does not apply to an owner of p'. who, .:s or improves thereon C7 and who contracts for such projects with a contractor(s)license pursuant to the Cont s'S. r encs Law).l am aware *************************************t***********************x.***3i X x.i(x,it-IF X,i(x.x 3E 3F k 3r that proof of their Worker's Compensation insurance should be provided to me. ❑ I N D I V I D U A Lr ; F E E B R E A K D O W N I am exempt under Section: B.8 P.C. 4� �i for this reason: - 119 �/ �� TYPE QTY D E S C R I P T I O lit) UNIT COST TOTAL COST Date: � �� -•_. Owner, d I ' e' er PLU 1 SEWER CAP / DEMOLITION EACH 2 . 00 2 . 00 1. I do hereby certify that I am aware of and understand the repo ••.•. • _ _ •sty 'se Sections 25505.25533,and 25534 and that I or any future building occupant AirMIN/ill not(circle one)need to .mpr with .id state codes and the requirements for a END OF FEES Air permit for construction or modification from the Duality Management Distmi . ': 'dent /construction applications are exempt from ' these provisions- od4 esti Date: Applicant: -a � �� ,:c` . .. _ _ ••- .,• I I hereby certify that I have read this application and state that the ago v4 irrecl. •I.comply;dib all cit and county ordinances and state laws relating to building construction and hereb ...: es•1 1 •ent• upon t. .,. -mentioned property to inspectionpurposes.J ,1A. . I� -•T 't , •-c^. car-4- • Date: Signature: _ r l: ?)L1;t i p-�V?Li l'... - .. - Driver's License or Social Security >�� F,TE: �l'=�-'k J� ? .n t: ! , 1641-46 White-Building;Green-Code Entorcement:Canary-Applicant:Pink-Revenue;Goldenrod-Assessor __ n CONSTRUCTION AND PLANNING - PG & SPA APPROVALS Permit# Date _ Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole • - 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. f 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. I " 10. Structural Floor System - 61. APPROVAL TO DECK • 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer CaO -FIR? (.€O 63. Heater & Vent-Final 13. Roof Drains ��- - 64. Plumbing System - Final 1r`,4. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit t 66. Solar System-Final • 16. Rough Electric Wiring - 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit # 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 1 2b. Roof Sheathing 74. Overhead Hydro f 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 21. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ll{ 33. Final Electric Notes:2 zs/Qt /Yor (2454(24544>f -(gp 34. Final Heating & Air Conditioning • 317J2 t'ic .c.rettf -L/CO 35. Final Gas Pipe-Test • 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System • 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 3/9A 6E0 48. FINAL PLANNING 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY No. Date . 15105 FEE RECEIVED COSTA MESA BUILDING-SAFETY DEPARTMENT AUG D 1981 P. O. BOX 917 COSTA MESA. CALIFORNIA FINANCE DEPT. For Applicant to Fill In Completely APPLICATP& 2RCPERk,IIVESA TYPE O/R�PRINT BUILDING RE ADDSS 2Jq7s FSCDO, i 4 ,/ ic COSTA/ MESA. CALIFORNIA For Office Use Only OWNER A .H I-1 $,?J -S# I RECEIPT NO. I PERMIT N/(`/r7 MAIL RECEIV BY D RE IVED 9 TE ISSUED ADDRESS n 7r EC D tW /IKE (� .y� I ,i(P( I e''2-G/ CITY Cos 71 Pg:SA NOX -/�i7 BUILDING DRESS OFCMIT NE TEL. • COSTA MESA. CALIFORNIA OF 'SNEER NO. ADDRESS FIRE ZONE TYPE " GROU�Py ///) CONTRACTOR Q W/ygtle BYAPPROVED a. "/ / ATE ]( it �+/ . ADDRESS ps/H`9.E iNING (/ ZONE '']]JJ NO.OF 'J USE OP NEW C CITY l p I l�_ZI PLANS C. BUILDING I2 STATE IC. NO. AI_g- IJ r/ LEGAL 74 3o 0 Se y 2-39 �fyz �J yDESCRIPTION OP LOT / $ Y /(] I NO. OF BLOTS.y // p -- O, Z – /3 NOW ON LOT f� A.P.NO. USE OF /P6�/U,En'GE._i S#,E EXISTING BLDG. YARDS EVES APPROVED ALLOWED SETBACK LINE FROM /' iy I (CENTER LINE ST.), CENTER OF STREET GO REAR YARD /67I FRONT 0 TT. --- IN. ' SIDE YARD I LEFT -3/�J " I RIGHT 7 R.SIDE .5 FT. ---- IN. DESCRIPTION OF WORK y L.SIDE 3 9FT. N. NE' I II ALTERATION I II ADDITION I S. REAR /6 7 ±-FT. f IN. REPAIR I II MOVING I I'IDDEMOLISH I PROVED G�i,(�( DATE �/ g/GI BUILDING ?/�' NO. OF `i STORIES / �l•{^ Ba SIZE !! EXTERIOR WALL tifpl. ROOF �(�� COVERING ,S/O//YG COVERING CO/11/7° 149/.1 .Bst USE OF BUILDING AND WORK TO BE PERFORMED AMPAIC0 — 2� Gam, . EA/f19cE 0//7//- to I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION SIGNATURE OF _?/q x.4_4 D O'O PERMIT FEE $ N PERMITTED ,I�'i/�'F' - " t. $/� PLAN CHECK $ '�� Ko Y AUTHORIZED AGENT a i o 1 TOTAL FEE $ r