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HomeMy WebLinkAbout2371 ELDEN AVE - Building Permits City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. 00s.495 Building Safety Division P.O.Box 1200 Costa Mesa.California The Building located at 9371 P1Aon Aunrprn. Unit- r has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group PR/M7 Occupancy. Use of Building reInt-In& it.ma Legal Description d'i4.979_11 (See reverse side for Metes and Bounds/ Building Permit No A 34A70 Electrical Permit No. 1 U957 Plumbing Permit No. P 4dMd0 Mechanical Permit No. M 35976 Number of apartments and/or guest rooms ISSUED T0: Building Official_ William T. Reward P.P. ticwninnmanf• 2401 Nors3 Avenue by / ).. - I , // •. Onaf•t re-inn, PA Q9h97• Date A4ri 1 24. 19p9 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 (el U.B.C. CMF 1015-46 rev.1/83 White-Owner;Can, Numerical File;Pink-Bldg.Permit File I. Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CH' - F"COSTA MESA CONSTRUCTION PERMIT P�M1T NO.3¢g Zo S'TRACT g�'-1�S LOT �? UNIT NO^ • A P # y 39 — a7�• —/3 Zone /.Za. Project Aggress 2-37! Emits-L�N1.�,.•pA�!E I�yy ff � `% Applicant's Mailin• Address Zq•OI N SE AVE� TYPE OF CONSTRUCTION KSI NEW U ADD Li ALTERATION LJ REPAIR S Main Building: Accessory Building: Z Owner's Name • . 00-__!;" __� Phone 548'Z/ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front 'I �p r/ s I��I 0 �4DI ), ,OF,c AVP W , 7z Z_ eE RIPTI eN OF •'IC&OFB DG. SG1►- J...►e :.� BA Rear asp Lx N Address ��plVslp'�sy�" 'I'�,,.� Y A 1C`—� C-h JiLL� g ]A'U2 / `I-Ct• 1` "•7 i C Right s G Arch/En I License No. TYPE OF PERMIT GRADING )�� FOUNDATION �� STRUCTURAL N Address ❑ TENANT 0 ELECTRICAL ❑ PLUMBINGl ❑ MECHANICAL S• Left nfff}GHeO -F.O u�#- Ct , R Contractor's Name (•f • Phone ❑ 'OTHER ,,y ,t+r s ?fes, Ping. Ref. #�-� 58 Parking Req./Provided 8/ F Q Address(mailing)• PROJECT DESCRIPTION SQ.FT4.1T5-5 a. OCCUPANCY &J CONSTRUCTION TYPENC441. -I.wK . VALUATI ON$$y�Y�_�� Planning-,Notes :/( '.; �41(f- tensa r d- w� T City License No. ' ZONE • - _— GRADING CU.YDS. -ACRES a.,Mc-�. -ct 7--cater r $ LICENSED CONTRACTOR DECLARATION HOLD FOR SPE('!AI R6' I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: FV,-* n/ e ss 4 SS"l_ - • __��. /W• OW'with section 7000) of Division 3 of the Business and Professions Code,and 1 O O 11JC my license is in full force and effect. �• ELECTRICAL FEES License Class License No. Automatic Washer Transformer 0 15-501 KW Date ' Signature PLUMBING FEES WORKERS'COMPENSATION DECLARATION Construction Pole Sub. • ❑ 5105-501<K; 0+KW I hereby affirm that I have a certificate of consent to self-Insure or a Certificate Bar Sink Showers -f Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter Dup to 100 amps 800, Lab. C.) - Backflow Preventer Service Sink . _ • • 1 Dishwasher 'Meter Dover 100 amps- .. Policy No, Company'�- Backflow Irrigation • Sewer'Cap _ B Certified copy Is hereby furnished. - • Dryers ❑Gas ❑Electric Sub Panel Certified copy is filed-with the city Building Division. Bathtubs Sewer.Connection , _ Date Applicant • . ^ : - Fan Motors 00-1 HP 01%-8' ' 'EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (This section need-not be completed If the permit is for one hundred ($100) ornc.Solar"❑9-15 HP ❑16-15+ less). Dishwasher Solar Piping t- F.A.U.FAU .I certify that in the performance of the work fo%which this permit is issued, I - Fixtures . -+ 'shall not employ any person in any,manner so as to b .' r-' •, Device Boxes -'• Date Signature Floor Drains Swimming Pool w/Spa ,1 Pole Light . r, NOTICE: If,after making this declarati , you should becom 5 ject to the Outlets Workers' Compensation provisions of the Labor code, you must forthwith Floor Sinks renalRange • • comply with such provisions or this permit shall be deemed revoked. - -- CONSTRUCTION LENDING AGENCY Gas Service Outlets /�,vf - Switches Si n / WaterCloset _ 9 .1 hereby affirm that there Is a permit le ssue S for the performance f Garbage Disposal the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater 9 P StandingSections Lender's Name . Lender's Address ' Kitchen Sirik ' Water Service - Generator 00.5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION ' " .I hereby affirm that I am exempt from the Contractor's License Law for the • Lavatories Auto-Wash ' •• following.reason (Section 7031.5 Business and Professional Code: Any city or. - -- . county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays i • any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains •••+ ' the Contractor's License Law(Chapter 9(commencing with Section 7000)of ' Division 3 of the Business and Professions Cotle) or that-he/she is exempt _ ,Reinspection Fee I $15 Issue Fee $ 3 erefrom and the basis for the alleged exemption. Any violation of Section , ' - 31.5 by any applicant for a permit subjects the applicant to a civil • - , natty of not more than five hundred dollars($500). I ' $ '3 DEVELOPMENT SERVICES REQUIREMENTS:RE • 0 I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee J� s compensation, will do the work,and the structure is not intended or-offered Zoning Approved By nate • 1� ^ for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES Building Approved By b Data �7/�� License Law does not apply to an owner of a property who builds or improves _ )� thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I 0 .. . Application Issued By - Dat: L%� -.f• employees, provided that such Improvements are not intended or offered foryP .sale- If, however, the building or Improvement is sold within one year of com- Canopy Type II ❑ • SUMMARY OF FEE 'pletion, the owner will have the burden Of proving he/she did not build or im- Duct-Under Ground' ' • $ ry/ v -r for the purpose of sale). BUILDING PERMIT $ 60 SMTP •Z I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System r .PLAN CHECK 2 t tractors to construct the project (Section 7044,Business and Professions Code: $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating }0-100,000 BTU ❑100,000 BTU • builds or improves thereon. and who contracts for such oroiects with a con- - PLUMBING $ 'ISSUANCE $ • tract s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration • ,PLAN CHECK 25% $ ENERGY P.C. $ pr of their Worker's Compensation Insurance should be provided to me. GRADING $ I am exempt under Section (}$"Se) B.& P.C.for this reason Firepl/Fact.BIG ICBG# Fire Dampers - ELECTRICAL $ -'' ,PLAN.CHECK 50% $ MICROFILM $ Date Owner Heating System& Ducting Registers - I ./' TI _ •MECHANICAL $ • TOTAL FEE $ ler I hereby certify that I have read this application and state that the above ' ❑0-100,000 BTU 0100,000 BTL ler 0.r Information is correct. I agree to comply with all city and county ordinances . "` 'PLAN CHECK 25% -$ 1 G7 r p se and state laws relating to building construction, and hereby authorize�rrepre- sentatives of this city to enter upon the oyeylyq$lonerl.property for inspection py7rr o-s�ess./ /K'Ute+"Sfn��•pertS,-LS_i_ Signature A Date • Drivers' License or SS Reinspection Fee $15 • Issue Fee $ 3 • . 01 00011642-00011644 TOT 670.86 'N 0865-46,-rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 08/04/88 TIME: 15:04 � — I- CONSTRUCTION AND PLANNING POOL .SPA .-71e. ;-' - OP APPROVALS Permit# Date Inspector APPROVALS Permit # /Date * Inspector i ('1.'Tempdrary..Electrical Service or Pole - 52. Pool & Equipment Location - iy, 2. Soil Pipa-Undrgrnd. CII 53. Steel Reinforcement ��,c 3 Electrical Conduit Utility-Undrgrnd. 54. Forms !' It Eleduical Conduit-Urdrgrnd. 55. Electrical Bonding r 5, Steel'Refrifbrcement - b / �, 56. Rough Plumbing & Pressure Test • 6; ElectricahUFER Grnd. V C/ 57. APPROVAL TO COVER-GUNITE .. : I•�4?� ss &8 G . Fodti rig;. g/s/p' ' �/': . - 58. Electrical Conduit-Undrgrnd. �� / ,..� 8: Foundation 8!)Or 59. Gas Pipe, 0 Undrgrnd., Test - �. ;r A, F . '� „ { i 9^Water Pipe-Undrgrnd. / /I 60. Backwash Lines, P-Trap, Undrgrnd. 1 1 10. Structural Floor System y 3yp.�i---/i 61. APPROVAL TO DECK l 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final t• 12. Sew& Cap 63. Heater & Vent-Final • ' iy 13. Roof Drains •i 64. Plumbing System - Final • ! .f. 14. Rough Plumbing 1 65. Electrical-Final • i 15. Rough Electrical-Conduit 66. Solar System-Final (1'6r Rough-Electric Wiring 67. Fencing & Access Approval L7,. Rough'Wiring Sign 68. APPROVED FOR PLASTERING 18: Rough:E{ectrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Hleating & Air Conditioning FIRE DEPT. REQUIREMENT -?0. Rough,Factory Fireplace APPROVALS Permit# 21. Ducts,in StructureF11 � 70. Underground Hydro 22.-Ducts,4entilating ' I i 71./Product Piping 0 Gas ❑Oil / 23. Gas Pipe-Rpugh�&1fest •,. ,72. Underground Flush 24. Roof taming j ,1.1 - 73. Undergrnd.Storage Tank 0 Gas 0 Oil 7 %• -25. Roof fhgathing• , ^ • //041C/k# 6,N/i. 74. Overhead Hydro 26. T-Bar Ceiling (Structural) &Monocoat / 75. Dry.Chemical 27. Fradie.and Flashing 1, i.i ,[, ,s g./..---" 76. Dry Standpipe 28. Latiiin/ &Siding / /"(4 ' /'� ei6 77. FIXED SYSTEM FINAL - 29. Insulation �' 4/724/644-1 78. FIRE PREV. FINAL 30. Drywall Nailing c fit/s/e adir HEALTH DEPT. REQUIREMENT 31. Plasteq Brbwn Cr t is /3/f/Et 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final-Electric "%' Notes: HOLD FOR SPECIAL REQUIREMENTS 34. Final Heating & Air Conditioning IV)II Jgcj O 1� Te> L�P £fit 6 N , 35. Final Gas Pipe-Test - FST so -.it S _ /b�j�'I"°� V�7'io�' Cat f 36. Hood or Canopy - X112 Ca6//7 - 37. Final FActory Fireplace.' 38. Final Plumbing ; ..r ., 39. Water Service-Fingl '. ---- 40. _40. Gas Service-Final - '1 41. Soler Domestic-Final • v - t. I Ph .,t !,-r-;--42. Backflow Preventer /' T:I ✓ �I 43. Backflow Irrigation .' -. ' ' 9 .i•'' 44. Landscape Irrigation.System .I%;;' 45. Sound Attenuation;:,." a:c 46. Handicap Regulations ' r-' 47. FINQL'STRUCTURE & BUILDING ' f//8 • 48. Special Requirements Completed ,3,/6, 87 C` 1 49. Electric,Release td Edison - ' 1 �) t50. Gas Release to Southern California Gas CO •..% 51. CERTIFICATE OF OCCUPANCY }' l,, „ ? t` No. Date P S r3Ill Y' 4 O Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT O. TRACT NO. LOT NO. UNIT CITY OF COSTA MESA CONSTRUCTION PERMIT ' A.P,iP Zone Protect Address .237/ C L--/De--, {' C• - 6�v IlS�Il S Main Building: Accessory Building: ' Applicant's Mailing Address• / 7'2o UN/lrfl` r TYPE OF CONSTRUCTION s-NEW U ADD IJ.ALTERATION LI REPAIR E Z / ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front 0 Owner's Name HAI t/� 7n r Phone S`��2/° B - N DESCRIPTION OF WORK/USE OF BLDG. Rear Address 2.Yo I /UDC e Sr C.M• rr II ������'''---111III A I Arch/Eng. License No. TYPE OF PERMIT L. I GRADING FOUNDATION ❑ STRUCTURAL • C Right G Address ❑ TENANT ❑ ELECTRICAL UMBING ❑ MECHANICAL S • Left R Contractor's Namn .i U '� " S L PO4 Phone CYL-y/fls CI 'OTHER Ping. Ref.# Parking Req./Provided E Address(mailing) '2c2- 0 r�N777/e !' _Sr c M PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: M CONSTRUCTION TYPE VALUATIONS - City License No. .3/L 79 ZONE GRADING CU.YDS. ACRES T LICENSED CONTRACTOR DECLARATION S. I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: .3 p 2n with section 7000) of Division 3 of the Business and Professions Code,and 6 C t my license is in full fozce a sffect. ELECTRICAL FEES License lass 1 ---3 k License No. - Date 7^/O-2e1 Signature 4C-11.-- ../...0— WA, PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATION Sink Showers Construction Pole Sub. • ❑ 50+KW 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 Backflow Preventer Service Sink • Cooking Unit Meter ❑up to 100 amps 3800, Lab. C.) Policy No. In/— p87ys7830 O/Company "'e'iT-- �N� ,� Backflow Irrigation Sewer Cap Dishwasher Meter ❑over 100 amps . A Certified copy is hereby furnished. q Dryers ❑Gas QElectric Sub Panel Certijl"ed copy'Is f I with the city 8 in Divy57. - j 2 Bathtubs / Sewer Connection q N Date j$ " /O- Applicant //i L� s Fan - Motors 00-1 HP ❑1'h-8 EXEMPTION FROM WORKERS'COMPENSATION Clarifiers Solar olar Collectors - (This section need not be completed if the permit is for one hundred ($100)or Inc.Dishwasher F.A.U. Inc.Solar 09-15 HP ❑16-15+ } / f.• 1 less). Solar Piping 2 Ps/ certify that In the performance of the work for which this permit is issued,i1 W • shall not employ any person in any manner so as'to become:subject to the Fixtures ' Drinking Fountains Solar Tank Microwave „it Workers' Compensation Laws of California. tin i Device Boxes ; Pole Light �,/ Date Signature Floor Drains Swimming Pool w/Spa 9 NOTICE:If,after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks • Urinal Outlets Range comply with such provisions or this permit shall be deemed revoked. J l CONSTRUCTION LENDING AGENCY , ' _ ' / Gas Service 'Outlets -J Water Closet. 8 tA Switches Sign I hereby affirm that there is a construction lending agency for the performance Garbo a Disposal of the work for ,which this Permit is issued (Section 3097 Civ. C.) Interceptors Water Heater 2 1J gStanding Sections Lender's Name 0 Lender's Address / Kitchen Sink / Water Service 44 Generator 00.5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION . u", -- I hereby affirm that I am exerel from the Contractor's License Law for the / Lavatories / Auto-Wash 1 o r" following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee ! $15 therefrom and the basis for the,alleged exemption. Any violation of Section - Issue Fee $ 3 7031.5 by any applicant for a permit subjects the applicant to a, civil penalty of not more than five hundred dollars($500). • DEVELOPMENT SERVICES REQUIREMENTS: LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee ' • $ 3 Zoning Approved By Date compensation, will do the work,and the structure is not intended or-offeretl for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves ___ thereon, and who does such work himself/herself or through his or her own Application Issued By flat - O employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however,the building or Improvement Is sold within one year of com- Canopy Type II 0 Pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground SUMMARY OF FEES prove for the purpose of sale). BUILDING PERMIT $ SMIP $ O I. as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ tv PERMIT tractors to construct the project (Section 7044,Business and Professions Code: �j Q • The Contractor's License Law does not apply to an owner of property who Duct-Ventilating • ❑0-100,000 BTU ❑100,000 BTU PLUMBING $ 7 (J .- ISSUANCE $ builds or improves thereon.and who contracts for such oroiects with a con- - tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple ❑ • System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ , proof oftheir Worker's Compensation Insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ I am exempt under Section 8.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers • MICROFILM $ PLAN CHECK 50% $ • 11... Date owner Heating System& Ducting Registersv./I hereby certify that I have read this application and state that the above 00.100,000 BTU 0100,000 BTU - MECHANICAL $ TOTAL FEE $ J� Information Is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction, and hereby authorize repre- sentatives of this city tppp enter upon the above-mentioned property for 411 Inspection pur es //ice_ ,// -•8'% Signature Reinspection Fee $15 Issue Fee $ 3 0865-46,rev.5/88 White • Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor 01 00011735-00011735 TOT - 38,00 r DATE: DR/1n/RR Mir, ic•r.e —. d o -- 1 .__ u 1 CONSTRUCTION AND PLANNING ! - . - `.POOL & SPA- „' •- ' - g I Date. Inspector - • c Date Inspector 1 e .7.• APPROVALS ! Permit ,o -APPROVALS _ Permit #- - - - ' 1: Temporary Electrical Service-or Pole - - 52.-Pool'& Equipment Location 2. Soil Pipe-Undrgrnd' - • - .I ' a/'/ - 53.,Steel Reinforcement• `` I efr 3. Electrical Conduit Utility-Undrgrind.- - - - 54. Forms - - - °'I • 4. Electrical Conduit-Undrgrnd. - 55. Electrical Bonding • - - - • ' i Sr Steel Reinforcement , - _ . 56. Rough Plumbing & Pressure Test I y 6. Electrical UFER Grnd.1 /, : • - - • • ' 57'. -APPROVAL TO COVER-GUNITE - - :,a , 7. Footings - • - I _ - " _5 ,l : - - ::b8. -Electrical_Conduit-Undrgrnd. _ - - !,-,,I t 8. Foundation ' •• 59.:Gas Pipe,-0 Undrgrnd.,Test - I I ✓,t - 9: Water Pipe-Undrgrnd. ' . s3��0/e7_4 _60.-Backwash Lines,P-Trap, 0 Undrgrnd. - .f 10! Structural Floor System - _ - - 61. :APPROVAL TO DECK . ' - - �•1 , 1 11. Property Sewer Line & House Connection r/ it �� , 62. Backwash"& Receptor-Final t •1 •r - I rut • 0 12:;;Sewer Cap • ;7 . ' 1 ^r " ,.- u ' - '63:"Heater & Vent-Final ' - ' •. - -• - -1 1� : cc 13. Roof Drains n•I i' • ' - . 64. -Plumbing'System -Final . .. ' - : 1 I • 14. Rough Plumbing; r.,. /402/99 'dire '651 Electrical-Final - - - ' : 115 15..Rough-Electrical-Conduit i - '1 { f _,..1 ; 166. Solar,System-Final • 1 • -; - 1 c r_I • 16 Rough Electric Wiring - - '-. - - 67. Fencing & Access Approval ._ - -- 7. Rough Wiring Sigri. - - - 68. APPROVED FOR PLASTERING - ! ` . n I :a8. Rough Electrical-T Bar Ceiling - I ,69: POOL/SPA SYSTEMS BANAL - . " i • '19: Rough Heating & Air.Conditioning -• ' • FIRE DEPT. REQUIREMENT 1 if '1, 20. Rough Factory Fireplace - i . I 1 APPROVALS ' Permit# i 1 ' 21.,•Ducts,-in Structure: I _ a 70. Underground Hydro - , I1 :i .; 22,,-Ducts' Ventilating; 1 1,, 11 11 1 1 • I I I i , 171; Product Piping10 Gasv m Oil , I itt CI '23 rGas Pipe-Rough & Test: 1•; •rr . r ' ]721 Under round Flush ''r. • 1 1 I t 1 .i � - t_I. • - I Ili d I I -I- 1' , g..: __, . I I n . 1 I � , i.4 24:! Roof Framinb 1•11 1 n l 51 11-;111.,z, I': I `? ; !I .ci; 'i,I I°. I 1731 Undergrnd.Storage17ank r Gas, 0 OW.- i 1:1:: 1? 1 ! 25 Roof Sheathing ' j 4o 11 : 1 ; I i ' '11, I - 1741 Overhead H dro I ''^ - t i ' I v I 1 ' 1 -- � U I 1 ,. r.I � ' 1 , 1 v I Y ._ . I 11 , 1 II i - ' ' 1 1 O ' _ t ' 26.1 T-Bar Ceiling-(Structural)1& Monocoat I ' ( "I II '' 175' Dry�Chemical I .- - ! ., , _ I ;27.1 Frame,andsFlashing - I 1 I' I ;, 1 1- , 1761 Dry Standpipe 1 1 r 1I D a l I i `' I , 11 , III ;i 1 = m 28!i Lathfrig.&-Siding' n o 11 , ( II 11 I I , 1 , 1 1 1`,I 1 1771 FIIXED SYSTEM FINAL 'i,-'i I . 1 1.,• 1 1 I 1 _29. Insulation`-` s 1q ^' ti l I Il111 1 1 1 1 I I 1781 FIRE PREY. F1lNAL I' II , 1 I Z..30' Drywall Nailing " j I l I I I I I 1 I HEALTH DEPT. REQUIREMENT I I I I . I 11 11 I I I I 1 l I I . 1 i : 1 1 1 1 I ° ' f 1 1 79 FINAL INSPECTION T _ s31 plaster;Brown Coat. I II it � I I t E 11 I r � I' I -. 32:Electrical Power Meter-Final l ii,,-ii I litI i4 I I 1801 tF000kcERTIFICATE ISSUED ' 1 1 1 :. 33.!,!Final Electric I �__..u'_IL_I 1St >I I I 1Notes / �l I j I I j I ' -, T4:(Final=Heating._&`Air,;�Contlitioning I I _l I J �_ 1 _I__- I�_ 1y 41 j _I I__ •m ` <'I v--' - :r , ¢ , 7 'I c,1•031710.17/12/1.-‘22..40, u G 1 9 I 1 1 Ili I 35.rFlnal Gas-a:1I I 1i II : I 1 T ' ^" ll _I -1 - - 36:5HoodorCanopy i` • I II lr'1 ° ' FIkI i I Zvi^ : " ir1 ' 1 � I 1 ' ' Ta -i, .. .rv .. ga : c 2I. 37.g inai Factory ireplace ' II I ` I I (^ 1 I I i 1 I HIT; 1 I I g _ -2`. :I rn = n -• m I; . I ' ; _ 38. Final Pl• umbing I 11 c1nig/ i( o I I 1 L 1 i I r' I ' 2I F •1 i 39. Water Service-Final 1 I I` I _.1 f L. I (-3 ?." 1 1 , 1 1 1 I I ',i 1 I ' I ��f 4" 1 ,.� I I �. 1 I i _ F .. 40. Gas Service-Final ' 1 I ! I 1 ' : 1 i I I !� I' '�• .v ' ' I i 1 III II I I I I f1 1 I I ' 1 i ,.- I , 'rn 1 ii 41-. Bold Domestic-Final l I II m 1 1 _, 1J_ f �.i.... .._ 1- J.�__. _42., 1 !I ^ 1 I 1 I Irn 1 I , I I 1 I I ., I I ; 1 } 42. Backflow Preventer I l n _1_1- 1 _L". _ _ _ 1 4d. Backflow Irrigation 1 I n '" 1 v i :;,I E 1C. 1c I '‘21`•11 '1" 1 1 7; - ,. I I i - z , n1 I i iic1P i-� i , � is • 1a :. l i I , � I I I ' I f R' l'.. ? : 1 -, Ir - I I rt; I '1; 1;41, I 144.`;Landscapellrrigation Systeml n 1 ° I., 11 I1 „ I s=I s i `1 s.I `3 I i ' 145.,Sounitd Attenuation I 1 I 1 - 1 1 i I I I I I I ! I f I '.I III = . -. T d `� N r1 46. Handicap Regu1lati'ons I '1 I c I ' � ' =� I I I I - ,: - _ 1 ea , , I . , I 11 1`; MCI I , I LI I I , ' I 1' , - . r•_ 47. �INALISTRUCTURE &IBUIILDIiNG' I r l = I 1 ;-.I ' ! I I 1 i I 11 ! • dII m , ,1 48. Special Requirementsl Completed - 1 1 1 m I _'i i i 1 ! II I I • '' e°, .e : ' •- v •1 ? ; ,, 1 , 1111 I , 1 t 4 ' i 1I 49. Electric Release td Edison ;;-L----- -H---1-4 1 ,__ 1 ` •1--r-'--I-1-I' i i 1' I . ! -. .` I I i 1 1 1 1 1 1 I - I I I I I _,I' I J I I , 1 , f 1: , rr'1, �� 1; 50. Gas Release to1Southerntcalifor-iaGasCo 1 1 1 I I 1 ' I I 1- I I 1 1oi i . ' ' I ' '•` w , I 1 , 1 ,I '•' 1 I I 1 I , l I . !. It 511. CERT F1CATE OF OCCUPANCY �� 1 I,,,I,__4-{-{{ f_;, rey,H r . 11 NoA o- a -,q 'Date • 1 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • CITY OF COSTA MESA CO STR CTION PERMIT (�'J PER NO. TRACT NO. LOT NO. UNIT fjf0. A P if I Zone Project Address 023 7, ne \ � PERM 1 3 s 9a, y�• L/ - TYPE OF CONSTRUCTION �IDIEW LI ADD Li ALTERATION S Main Building: Accessory Building: Applicant's Mailinp7lq��dyre s / U REPAIR E - Z Owner's Name Pte/ / �� Phone ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' T Front O DESCRIPTION OF WORK/USE OF BLDG. A Rear N Address Arch/Eng. - License No. TYPE OF PERMIT 0 GRADING ❑ FOUNDATION ❑ STRUCTURAL K Right G Address • • --' ❑ TENANT ❑ ELECTRICAL ❑ PLUM BINGMECHANICAL • I s Left / /' ! i ❑ OTHER R Contractor's Nam- `� Iii i- - • .neGy-/('����jjj Ping. Ref.# Parking Req./Provided E -Veg�TJy.- .r 5 5,.... PROJECT PROJECT DESCRIPTION SQ. FT. OCCUPANCY 0 Address(mailing/7a ✓ KKKJJJ PlanningNotes: • �� CONSTRUCTION TYPE VALUATION$ T City License No. • _ O ZONE _ GRADING CU.YDS. _ ACRES LICENSED CONTRACT°- DECLARATION _ 3 y�ot V - S• I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: with.section 7000) ofAlvi '.. 3 of the Bu ' en and Professions Code, and (� my license is in full fyla�an• eff �� ELECTRICAL FEES License Cl. s C/ i \ Oat- /" SI Signature « //I._ ��� PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW M WO-KERS'COMPENSATION D. LARAT 0 Construction Pole Sub. - 0 50+KW �l I hereby affirm that I have a certificate of consent to self-Insure •r a certificate Bar Sink Showers 1 / Workers' Compensation Insurance, or a certi '.• copy thereof (Section • Cooking Unit Meter Duo to 100 amps 6. _ .s Backflow Preventer Service Sink 800, Lab.KC. /�(� 1 . _ _ ".• Policy No/7/052J O�T/ Company �/L / - 01A-C Backflow Irrigation Sewer Cap !. Dishwasher Meter Dover 100 amps Certified copy Is hereby furnished. . • Cer yy{{'ed y is y-with the city Bu.'' g DI V.:/ Bathtubs Sewer Connection / Dryers ❑Gas ❑Electric Sub Panel Date'// ��-Q/ Applicant - MVV/9I/r��ice/ •- EXF,MP,TION FROM WORKERS'CO 'ENSATION DELL-RATI. • Clarifiers Solar Collectors Fan Motors❑41 HP ❑1%-8 (This section need not be completed if the permit is for one hundr.• (6100)or less). - Dishwasher Solar Piping F'A'•U Inc.Solar 09.15 HP ❑16-15+ I certify that in the performance of the work for which this permit is Issued, I r•• Fixtures Microwave shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank ' Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa / Device Boxes Pole Light NOTICE: If,after making this declaration,you should become subject to the — Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range comply with such provisions or this permit shall be deemed revoked. - CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign , I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name _ _ Lender's Address Kitchen Sink - Water Service • Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION ' I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires te applicant for such permit . to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt - Reinspection Fee ! $15 Issue Fee $ 3 lerefrom and the basis for the alleged exemption. Any violation of Section • • )31.5 by any applicant for a permit subjects the applicant to a civil - enalty of not more than five hundred dollars($500). I DEVELOPMENT SERVICES REQUIREMENTS: Reinspection Fee $ 3 Zoning Approved By Date • I, as owner of the property or my employees with wages as their sole Pa $15 Issue Fee compensation, will do the work,and the structure is not intended or-offered r - �_ . for sale (Section 7044, Business and Professional Code: The Contractor's - MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves _ �n thereon, and who does such work himself/herself or through his or her own a I Application Issued By Date /v employees, provided that such Improvements are not Intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement is sold within one year of corn- Canopy Type II ❑ SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- - - tractor(s) license pursuant to the Contractor's License Law). I am aware that IExhaust System ❑ Multiple 0 System Repair/Alteration I 4/•) PLAN CHECK 25% $ ENERGY P.C. $ -. proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ GRADING $ O I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBO# Fire Dampers ,,/� PLAN CHECK 50% $ MICROFILM $ Date Owner Heating System& Ducting Registers g_ W MECHANICAL $ oZ$•S0 8.r I hereby certify th./I h. e read this application and state that the above i ❑0.100,000 BTU 0100,000 BTL TOTAL FEE $ information is corr-• . I -•ree to comply wit- all city and county ordinances PLAN CHECK 25% $ and state laws el ing • b ons/ • on,and hereby authorize repre- sentatives of I• cit too- A/. ab•ve-mentioned property for inspection Signature Wise .� Jr Date 1' �/ Drivers' Li ense or SS$ -Accounting; Goldenrod - Assessor DATE: 10/28/88 TIME: 12:04 f\ r;\ CONSTRUCTION AND PLANNING POO, ;PA •APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. '',i ' 53. Steel Reinforcement _• '3t Elictrical Conduit Utility-Undrgrnd. lt' ' 54. Forms y� 4:'Electriical Conduit-Undrgrnd. 55. Electrical Bonding ' - , ; 5. Steej,Reinforcerrient ' r r 56. Rough Plumbing & Pressure Test £},.' , •6J EleciHcalUFER•Grnd.j .' • / 57. APPROVAL TO COVER-GUNITE ° • • 7:,Footings 4 .r ' 58. Electrical Conduit-Undrgrnd. 8.'Foundation •:~ r :r ,{`i`_ y,' i, 59. Gas Pipe, 0 Undrgrnd.,Test 9(Water Pipe-Undrgrnd. a/:„ t, ,' Vii'" 60. Backwash Lines, P-Trap, 0 Undrgrnd. 4' 10.,Structural Fldor System l' 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection /i ` j,' - 62. Backwash & Receptor-Final i • ' 12.`Sewer Cap "' r', ., C% / , ` 63. Heater & Vent-Final ., . 13. Roof Drains i r�1 ,- ) '� ;✓?i 64. Plumbing System - Final ;14) Rough Plumbir;g'I_V' ,- 65. Electrical-Final :, 15. Rough Electrical-Conduit '1 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval ,1'7. Rough Wiring Sign 68. APPROVED FOR PLASTERING i j: Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 119. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ?&. Rough Factory Fireplace APPROVALS Permit# t 21% Ducts, in Structure �; 70. Underground Hydro 22. Ducts, Ventilating �,, 71. Product Piping 0 Gas 0 Oil 23i Gas Pipe-Rough&Test i„„// 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 n 7-. ow 33. Final Electric Notes: rV -f 34. Final Heating& Air Conditioning Wer Jy� 35. Final Gas Pipe-Test !! ( /C� 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 I-6 44. .Landscape Irrigation System '/ 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co /` ; 51. CERTIFICATE OF OCCUPANCY No Date • . - r. Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT — PERMIT NO. 35114 TRACT NO. LOT NO. UNITN. Project Address 2.37i /-72.1.224i/ (JAN r ,[� Applicant's Mailing Address .�y:L•• TYPE OF CONSTRUCTION y,L NEW U LJ ADD U ALTERATION REPAIR Owners Name I'44L, + 'I tit ot Phone'a 'ra'0� ❑ CONVERSION ❑ DEM LLISH ❑ OTHER A.P.# Zone • Address r2y0/ /V# 3 nv CO.ST.ernez54 924.27 DESCRIPTION OF WORK/USE OF BLDG. S Main Building: Accessory Building: Arch/Eng. / License No. TYPE OF PERMIT U GRADING U FOUNDATION ❑ STRUCTURAL T Front Z • O Address p� LI TENANT ❑ ELECTRICAL ❑ PLUMBING MECHANICAL B Rear N Contractor's NameS1V�&t or�/J-C�L0-41Phone f�3.-476.4 , ❑ OTHER A I C Right 1 N Address(mailing)/yi7/ C//4/y6r2- rFsr//v 92-682' PROJECT DESCRIPTION SQ. FT. OCCUPANCY K Left G D�1/�� CONSTRUCTION TYPE VALUATION S R City License No. ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION Ping. Ref. # Parking'Req./Provided E D I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code, and • T my license is In fyyl t. ce and effect. •yyO2.�� • - C� S License Class L. e e rvo. PLUMBING FEES L - . / Date /� t• Signature . . , .� WORKERS' COMPENSATION DECLA-ATION Bar Sink Showers ELECTRICAL FEES hereby affirm that I have a certificate of consent to self-insure or a certificate f Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Automatic Washer Transformer ❑ 15-50 KW 3800, Lab. C.) Policy N0.23a4veragoita25 Company/ci.417•9xw/4OC " Backflow Irrigation Sewer Cap ❑ 50+KW 9 Construction Pole Sub. Certified copy is hereby furnished. certified copy ed with the city u 9 D is�JJ�n. Bathtubs Sewer Connection Cooking Unit Meter Dup to 100 amps ate /d '1/ App licant /'t� - EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher . Meter ❑over 100 amps (This section need not be completed if the permit is for one hundred ($100) or less). Dishwasher Solar Piping Dryers ❑Gas HE lectric Sub Panel - I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Drinking Fountains • Solar Tank • - Fan Motors ❑0-1 HP ❑1%-B Workers' Compensation Laws of California. - • Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP 016-15+ NOTICE:If,after making this declaration,you should become subject to the - - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave / comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY r J Gas Service Outlets Water Closet '•� Device BOx¢5 c1I hereby affirm that there is a construction lending agency for the performance +. Pole Light of the work for which this permit is issued (Section 3097 Civ. .C.) Interc¢ptOrS Water Heater Outlets Range, Lender's Name Lender's Address Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION n e. i I hereby affirm that I am exempt from the Contractor's License Lawrtor the Lavatories Auto-Wash :r. Garbage Disposal • Standing Sections following reason (Section 7031.5 Business and Professional Code: Any,city or county which requires a permit to construct,alter,improve,demolish or.repair P—Trap Laundry Trays r . ..— any structure, prior to its issuance, also requires the applicant for such-permit Generator 00-5 KW CI 5-15 KW Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains • !� the Contractor's License Law (Chapter 9(commencing with Section 7000)of __ _ __ ____ _ _ _, .... __ 'Division 3 of the Business and Professions Code) or that he/she is/exempt - herefrom and the basis for the alleged exemption. Any violation of SectionV' .J i4cI '-J s Lt UU /031.5 by any applicant for a permit subjects the applicant to a civil �1CTV 11(Q1/RRTTI1Ea no,( enalty of not more than five hundred dollars($500). U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 • compensation, will do the work,and the structure Is not intended or offered • Reinspection Fee I $15 Issue Fee $ 3 forsale (Section'7044, Business and Professional Code: The Contractor's MECHANICAL' FEES ' License Law does not apply to an owner of a property who builds or improves i thereon, and who does such work himself/herself or through his or her own • DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale, If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By nate pletion, the owner will have the burden of proving he/She did not build or im- Duct-Under Ground Building Approved By Date rove for the purpose of sale). • • O I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By ../A Datectree tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License law does not apply to an owner of property who Duct-Ventilating 0o-100,000 BTU 0100,000 BTU SUMMARY OF FEES builds or Improves thereon,and who contracts for such projects with a con- S•uctor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT • ❑ I am exempt under Section B.& P.C.for this reason I Firepl/Fact.Blt. ICBG#JSrfl Fire Dampers 41 N PLUMBING $ ISSUANCE $ G.ite owner Heating System& Ducting Registers PLAN CHECK 25% $ _ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL _ ELECTRICAL $ GRADING' $ information is correct. agree to comply with all city and county ordinances _ and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of TIhis city to entep upon the above-mentioned property for •inspection '.I# s. /J / //" - . MECHANICAL $ 7 1/4 Signature pa bses '�,L,.rOfC Date 1 TOTAL FEE $ Drivers' License or SS Reinspection Fee I $15 Issue Fee PLAN CHECK 25% $ CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor CONSTRUCTION ANf)'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 UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8:-Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 94./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. Rough Wiring Sign 68. APPROVED FOR PLASTERING 78. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL X19.-Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace ///dir /NZca APPROVALS Permit# • 21. Ducts, in Structure /, /%„ 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil i 23. Gas Pipe-Rough & Test 72. Underground Flush i 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas OOil 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 , ,J 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final • 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas•Pipe-Test 36. Hood or Canopy . 37. Final Factory Fireplace f/fin ,.y 38. Final Plumbing ' / 39. Water Service-Final ' .' '" 40. Gas Service-Final ' 41. Solar Domestic-Final • ,- �- 42. Backflow Preventer I / '43. Backflow Irrigation f, .44. Landscape Irrigation System t , . 1 ,45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING j . J a 48. Special Requirements Completed ''-, . r 49. Electric Release to Edison , ' 4 50. Gas Release to Southern California Gas Co 51. CERTIfICATEE OF OCCUPANCY . . No. - Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. P MIT NO. TRACT NO. LOT NO. U T NO. 'CITY GF COSTA MESA CON T`R i ION PERMIT Q g � A.P.# Zone Project Address _ �- 41-9 5-7 �J(� '��7� Cidc:-.44 !< • Li • Main Building: Accessory Building: Applicant's Mailing Address t Da A.3&>F Si- r TYPE OF CONSTRUCTION NEW H ADD LJ ALTERATION ❑ REPAIR E Z �� �v �� M��1 ,� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front D Owner's Name �_ Phone . Tr"1TVY' DESCRIPTION OF WORK/USE OF BLDG. I A Rear N Address W/ NV� Lie- / Ipppgq1 Arch/Eng. {}- a'LQ rek-4% 4 License No TYPE OF PERMIT GRADING ❑ FOUNDATION ❑ STRUCTURAL } C Right G Address 1.1 n !+ �f ❑ TENANT ELECTRICAL 0 PLUMBING ❑ MECHANICAL s - Left Contractor's Name GU ICbI An�-i 7 1F.'r-aac Phone 122-'�t ❑ 'OTHER ] Ping. Ref.# Parking Req,/Provided E ki i A-,if_I �r� ``ll ,SAP PROJECT DESCRIPTION SQ. FT-li' OCCUPANCV_f3 �/ O Address(mailing) I .�Jl-�- A.3�i 1� - Planning Notes: M r�S Q-v C CONSTRUCTION TYPE VALUATION$ T City License No. J f�L-1 ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION7j 6 S- I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: r O ZO with section 7000) of Division 3 of the Business and Professions Code, and my license is in full fop and r it- ELECTRICAL FEES License la airs.L� License No. •..^ Automatic Washer Transformer 0 15-50 KW Date J..� OjSignature 11 - - PLUMBING FEES ' WORKERS' COMPENSATION DECLARATION Sink Showers Construction Pole Sub. ❑ 50+ KW I hereby affirm that I have a certificate of consent to self-Insure or a certificate if Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink _� Cooking Unit Meter pup to 100 amps 3800, Lab. C.) - -' Policy No. Company Baikf low Irrigation Sewer CapDishwasher Meter Dover 100 amps BCertified copy is hereby furnished. • - •`"r ' Dryers ❑Gas lectric Sub Panel 3 Certified copy is filed with the city Building Division. Bathtubs Sewer Connection ,• Ctri Date Applicant clarifiers Solar Collectors - ('� Fan Motors❑0-1 HP ❑1:4-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION _ _ (This section need not be completed if the permit is for one hundred($100)or Dishwasher F.A.U. Inc.Solar 09-15 HP 016-15+ less). Solar Piping �ti v I certify that In the performance of the work for which this permit is issued, I - Fixtures shall not employ any person in any ma r so as to become subject to the Drinking Fountains Solar Tank '1 4 1 : Microwave Workers' orA�etn ten Laws of Callforn _ _ Date 1 // _Signature -.4. _Signature Drains S mming Pool w/Spa s's / Device Boxes Pole Light 75- NOTICE:If,after making this declaration, you should become subject to the - Outlets 75- comply Workers' Compensation provisions of the Labor Code, you must forthwith F,loor Sinks Urinal i' Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY ^ Switches Sign / S(� Gas Service Outlets Water Closet or.' 9 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097 Civ. C.) interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00.5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION / I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash I � -53 •/74, 4 _jA 5/p following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of _. ;,Division 3 of the Business and Professions Code) or that he/she is exempt - Reinspection Fee J $15 Issue Fee dr oD herefrom and the basis for the alleged exemption. Any violation of Section ' * I031 5 by any applicant for a permit subjects the applicant to a civil 'p natty of not more than five hundred dollars($500). Fee I DEVELOPMENT SERVICES REQUIREMENTS: U I, as owner of the property or my employees with wages as their sole Reinspection .$15 Issue Fee $ 3 Zoning Approved By Date compensation, will do the work,and the structure is not intended or.offered - for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves . ' /,n/Qp thereon, and who does such work himself/herself or through his or her own Application Issued By Date EE ! a+0 employees, provided that such improvements are not intended or offered for Boiler •• Hood or Type I 0 sale. If, however, the building or Improvement Is sold within one year of com- Canopy Type II ❑ SUMMARY O S pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural R rigeration System tractors to construct the project (Section 7044,Business and Professions Code: - PLAN CHECK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating0 100,000 BTU ❑100,000 BTU ISSUANCE $ builds or improves thereon-and who contracts for such oroiects with a con- - PLUMBING $ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided this to me. ELECTRICAL $ __1 GRADING $ .W.-1-lin exempt under Section /� BB..& P.C.Cfor this reason Firepl/Fact.Blt. ICBG# Fire Dampers 2f.! r (7$ MICROFILM $ I�L.�----- ..�._,Sr Heatin S stem& Ductin Registers PLAN CHECK 50% $ I Qty Q�{ Date 9 ' Owner 9 y 9MECHANICAL $ TOTAL FEE $ s7 /� I hereby certify that I have read this application and state that the above ❑0-100,000 BTU ❑100,000BT Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction,and hereby authorize repre- sentatives of city to nter Open the above-mentioned property for inspection Pur os !�/ Date 12-i—Y 86 Drivers' License or SS# „ , Reinspection Fee $15 Issue Fee $ 3 01 00012326-00012327 TOT 89.04 0865-46,rev. 5/88 White - Building; Canary - - pplicant; Pink - Accounting; Goldenrod - Assessor DATE: 08/17/88 TIME: 15.57 • • .CONSTRUCTION AND PLANNING POO,a SPA -r APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector a- 1. Temporary Electrical Service or Pdle . - 52. Pool & Equipment Location 2. Soil Pipg-Undrgrnd. ' - 53. Steel Reinforcement • /l • 3.i Electrical Conduit-Utility-Und1grnd. v, 54. Forms 4.; Electrical Conduilt,U�ndrgrnd. ' 55. Electrical Bonding 5, Stf;el Reinforcement• , 56. Rough Plumbing & Pressure Test 6' Electrical OFER.Grhdt 57. APPROVAL TO COVER-GUNITE ! :( 1I 7. Footings,' ! ';_ 1/4 � 58. Electrical Conduit-Undrgrnd. . i 8. Foundation i 1 �' .( 59. Gas Pipe, 0 Undrgrnd.,Test 1 9. Water Pipe-Undrgrndd. l 60. Backwash Lines, P-Trap, 0 Undrgrnd. t.. 10: Structural Floor System I 61. APPROVAL TO DECK r - 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final ' I �`' 12. Sewe} Cap 'I i 63. Heater & Vent-Final 13. •Roof'Drains 1 I -• 64. Plumbing System - Final 14. Rough Plumbing i 65. Electrical-Final •• _ •J 15. Rough Electrical:Conduit - 66. Solar System-Final lid. Rough Electric Wiring //� 67. Fencing & Access Approval (13. Rough Wiring Sign /�!/ 68. APPROVED FOR PLASTERING .118. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL '49'. Rough'Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 6/ 71. Product Piping 0 Gas 0 Oil •23f Gas Pipe-Rough$i Test J(, 72. Underground Flush 24. Roof Framing U 44- ," 73. Undergrnd.Storage Tank 0 Gas ❑Oi1 -• ,25. Roof Sheathing'` y�1 • - . - 74. Overhead Hydro 26. T-Bar Ceiling (Structural) 8421Monocoat 75. Dry Chemical 27.. Frame and Flashing 76. Dry Standpipe • I 28. Lathing & Siding 77'. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT • 31) Plaster Brown Cgai - 79. FINAL INSPECTION 32. Electrical Power-Meter-Final - 80. FOOD CERTIFICATE ISSUED 'G ..moi_ 33. Final Electric i ' rNotes: 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 . , . . .j}- -- ' 40. Gas Service-Final - - 41. Solar Domestic-Final. er'N '1'1 :,I/,1 42. Backflow Preventer ,-- v -, 43. Backflow Irrigation i 7i %i" t i 44. Landscape Irrigation System 44 iJ '•�� 45. Sound Attenuation . e- 46. Handicap Regulations • ita • 47. FINAL STRUCTURE & BUILDING " 48. Special Requirements Completed • ,-- :.--- 49. --49. Electric Release to Edison - , i 50. Gas Release to Southern California Gas Co j ✓ i, 51. CERTIFICATE OF OCCUPANCY sv' at '- • •' t 4 , No. - Date n (, L pp +J 7 - fl 1✓P' I, �T Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. MIT NO. TRACT NO. LOT NO. ��nl CITY OF COSTA MESAyCONSTRUCTION PERMIT f 3 53( (,/ _ uN/2-O' A P # . l Zone E Project Address 2-5 1I -b�4 -i to (LTJ,• ae�T= e� - qI S Main Building: Accessory Building: Applicant's Mailing Address )305 F.ST•41 SKLl0li- •a•3dia Os l� TYPE OF CONSTRUCTION Ig NEW U ADO U ALTERATION REPAIR E I Z ❑ CONVERSION MI • ,.• - N OTHER T Front O •Owner's Name !}T. rise% Ke+� Phone X2-10 D ' 'TION OF BLD ?401 UDaa.Sd hvc 1052 1/1�—S� Gk+L A Rear N Address �.•� A I Arch/Eng. •56"C- [J Llferlse No. TYPE OF MIT 0 GRADING U FOUNDATION�0. STRUCTURAL i C Right G Address -S74 S 4C 4 it (r'`^'�• 0 NANT ❑ ELECTRICAL ❑ PLUMBING ❑ MEC ••NICAL S• Left R Contractor's Nam •T.tl-atr•ftOY -i""�t' Phone fls'"Zcof OTHER I r.M.L . 'Ping. Ref.# Parking Req./Provided E Address e • St �/•aw7 PROJECT DESCRIPTION SQ. FT. 3nSb YL'S O (mailing)• OO� i-,�,Ts•,,,ur es,>o - `' OC• PAI'yf;,/ Planning Notes: T '-W�^�"N moo) CON STRUCTION TYPE T `•4 'e•�� VALIIa ON$ Y �� • ^_^' M City License No. •NE GRADING C V• LICENSED CONTRACTOR DECLARATION ACRE S. I hereby affirm that I am licensed un r provisions of charter 9 (commencing Remarks: ', • 0 -,-- •�� '• 7 ' • O - with section 7000) of Divisio 3 of t e Business and Professions Code,and my license is in ful�force and e t. �,f,/l ELECTRICAL FEES LicenseClass C "`' License Noon ZZta J�t/�� / Date 'fix PLUMBINGAutomatic Washer Transformer 0 15-50 KW '� Sign( ,- ��E FEES f WORKERS'COMPENSATION D Cie co ON �� nsure'10• Bar Sink Showers Construction Pole Sub. • 0 50+ KW . I hereby affirm that I have a cerli irate of consent to self-Insure or a certificate of Workers' Compensation Ins ance, or a certified copy thereof (Section Backflow Preventer Service Sink . Cooking Unit Meter Cup to 100 amps 3800, Lab. C,1 • Policy No. Company Backflow Irrigation Sewer Cap Dishwasher Meter ❑oeor 100 amps 1 Certified copy Is hereby furnished. Dryers OGas ❑Electric Sub Panel Certified copy Is filed with the city Building Division. Bathtubs Sewer Connection Date Applicant Fan EXEMPTION FROM WORKERS'COMPS SATION DECLARATION Clarifiers ,Solar Collectors Motors 00-1 HP ❑1'A-8 (This section need not be complete• if the•z-rmit is for one hundred($100)or F.A.U. 'less). Dishwasher Solar Piping Inc.Solar 09.15 HP 016-15+ I certify that in the performance of he w• -for which this permit is issued I shall not employ any person in an ma o as to become subject to the Drinking Fountains Solar Tank Fixtures Microwatc Workerg,CCompR g3�sation Laws of t Date -SD en Signa ure ri _ Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE:If,after making this d Clara ion,you should become subject to the Workers' Compensation provisi• s othe Labor Code, you must forthwith Floor Sinks Urinal Outlets comply with such provisions • t 's permit shall be deemed revoked. Range CONSTRUCTION LENDING A N V Gas Service Outlets Water Closet Switches Sign I hereby affirm that there is a constr - on lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name - Lender's Address Kitchen Sink Water Service . Generator 005 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P-TrapLaundry Trays any structure, prior to Its Issuance,also requires the applicant for such permit 'to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9,(commencing with Section 7000)of 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 Reinspection Fee $15 Issue Fee $ 3 4031.5 by any applicant for a permit subjects the applicant to a civil malty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: • LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure Is not Intended or offered _ Zoning Approved By nate for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves • thereon, and who does such work himself/herself or through his or her own Application Issued By employees, provided that such improvements are not intended or op fte.ed for Boiler Hood or Type I ❑ Data sale. it, however,the building or improvement is sold within one year of com- Canopy Type II 0yn pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground try Y QEES t U prove for the purpose of sale). BUILDING PERMIT $ I (l (JF�td SMTP $ ❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System tractors to construct the project (Section 7044,Business and Professions.Code: PLAN CHECK $ PERMIT The Contractor'sLicense lthereona andd who cot ntracts to foran owner of s ch oroiects withta con who Duct-Ventilating ❑0.100,000 BTU ❑100,000 BTU builds or improvesPLUMBING $ ISSUANCE $ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple❑ S'ystemRepair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. I0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers ELECTRICAL $ GRADING $ Date Owner Heating System& Ducting Registers PLAN CHECK 50% $ MICROFILM $ �/ Q e� t I MECHANICAL $ Tc7TAl•F��. $ 11 / •U c�a I nereb certlf that I have read this application and state that the above 00-1 00,000 BTU❑100,000 BTL - '�[ � Ind stat a a is r cuee toi comply cost with all city and authorize irepress PLAN CHECK 25% $ and stat aws a l 9 o building construction,and hereby rapier . • sentativ of t� t to enter upon ilia above-mentionedDateproperty,for 1 `4 Inspec o s s yy •9��� ' • Signet re �_ Date(9•7✓'3J-t6 Driver ' Li ease or 55 me- Reinspection Fee $15 Issue Fee $ 3 r - 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. - r1 53. Steel Reinforcement --- ' -3e Electrical Conduit Utility-Undrgrnd. 54. Forms -.. . 4- Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5l' Steet Reinforcement - - 56. Rough Plumbing & Pressure Test I. 6; Electrical UFER:Grnd. _ 97. APPROVAL TO COVER-GUNITE 7.'Fdotirigs - _ 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. Sewef Gap r• ., • , 63. Heater & Vent-Final 13. Roof.�Drains ';' 'r 64. Plumbing System - Final 14. Rough Plumbing ` 65. Electrical-Final 15. Rbugh Electrical-Conduit 66. Solar System-Final .16. Rough Electric Wiring 67. Fencing & Access Approval • 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Elettrical-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 )1 22.puets, Ventilatirig - 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough &Test • , 72. Underground Flush 24. Roof Framing . 1 1 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. RoofSheathing; ;. ' . 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 / J �, 29. Insulation 78. FIRE PREV. FINAL 0669. �J�, • 30. Drywall Nailing HEALTH DEPT. REQUIREMENT v 31. Plaster Brown Coat - 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED • 33. Final Electric ,• - Notes- 34. Final Heating & Air Conditioning 0(4/4- L rj lh. P�' J! 35. Final Gas Pipe-Test .T . �+'/Y'O 'n-C 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing • 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation _- r 44. Landscape Irrigation System , 45. Sound Attenuation 46. Handicap Regulations .... . 47. FINAL STRUCTURE & BUILDING • 48. Special Requirements Completed 49. Electric Release to Edison - • 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY . lo. Date - - . Applicant to till In all spaces except those within heavy border lines and sign all appropriate declarations. "s PERMIT NO. TRACT NO. LOT NO. UNIT NO. (J 39 a.7� / I �1 CITY COSTA CON7^ST�Rl�U.C�T�ION PERMIT 13-344.1 /y-� �r+_$�.��5 Q A.P.gW 'I zona U� Project Address ✓37+ ,(G,( �� F-.4%/ •. AVP y�l� ( W lJ S Main Building: Accessory Building: N.Applicant's,Mailing Address 2491 NOT. / yy G TYPE OF CONSTRUCTION NEW U ADD LTE RATION U REPAIR E / ,,/ Z •Owner's Name-4424n! 'L�� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front 3 e 5 C.1 d�j{ l o /`� �� �Oen-r,.�8 D CRIP IeN O tORK/USE OF BLDG. ���� -�•� �� B Rear �(� / U N Address `� ` � --- Cigar _ '4 Arch/Eng. y� � - �-^,ansa No. TYPE OF PERMIT II�•RADING �� O NDATION �� _�^ K Right frrr/0c(•rED iv s,(hj�n-- NG STRUCTUR`L 8 Address ❑ TENANT ❑ ELEC RI •L ❑ PLUMBING ❑ MECHANICAL $ Lest • R Contractor's Name �j Phone ❑ OTHER • =:-.,.. . �a.• 7:-::_� , _ . r Ping. Ref.# Da- Parkin Re /Provided S 1 S E Address(mailing) \ PROJECT DESCRIPTION . ', 1•►i Ya . • •CCVPA CV 1 •=_ g Notes: 7 �` Q V CONSTRUCTION TYPE • ' - VALUATION$ Plannin -rt� (firer-+. Gtnd. rCVeG'� G-)FfYl M City License No. moi( ZONE GRA.ING CU.YDS ACRES a �C -� CCL4' 0.-Coe-4--- . t/fr!/J"� $, LICENSED CONTRACTOR DECLARATION PC:* HOLD FOR SPECIAL RF.OHJRFMFN V hereby affirm 7 that0) I am licensedion under provisionsBusns Charter i ns code,(commencing Remarks: �Gµ. I�� p G•fit. R5�Iwith section 7000) of Division 3 of the Business and Professions Code,and lJ O re- JJ my license is in full force and effect. ELECTRICAL FEES License Class License No. PLUMBING Automatic Washer Transformer 0 15-50 KW Date Signature FEES WORKERS'COMPENSATION DECLARATION Construction Pole Sub. 0 50+KW Bar Sink Showers • 'Hereby affirm that I have a certificate of consent to dcpy self-insure or a certificate / - O, s' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps 500, Lab. C.) - Policy No. Company - • Backflow Irrigation Sewer Cap 1..• Dishwasher Meter Clover 100 amps 8 Certified copy is hereby furnished. - " Dryers ❑Gas ❑Elettrit —• Sub Panel Carta iyr.... c•y_ e s filed with the city- (ding D• Isla . / Bathtubs Sewer Connection Dab - -• _j -- Fan Motors Do-i HP ❑1%'8 EXEM• ION FROM WORKERS'C•MPENSATION DECLARA ON Clarifiers Solar Collectors - (This section need not be completed if the permit is for one hundred ($100) or F.A.U. Inc.Solar 09-15 HP ❑1(r15+ less). i' 'f.' Dishwasher Solar Piping I certify that in the performance'of the work for/which this permit is issued, I Fixtures r,,1„.� ' shall not employ any person in any manner so as to become s ject to the Drinking Fountains Solar)Tank i "!""wave Worker C•y/� cation Laws of Calif nia. Date •Y Signatures,�T�'7y/� Floor Drains Swimming Pool w/Spa Device Boxes /Pole Light • NOTI It after making this decla ation,you should becom subject to the Outlets ` Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal g Comply with such provisions or this permit shall be deemed revoked. ` $witches CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater .- Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service " Generator 00.5 KW 05-15 KW Trash Compactor r' OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash '. ' following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of • Roof Drains - - ' / the Contractor's License Law(Chapter 9(commencing with Section 7000)of • Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee I $15 Issue Fee $ 3 ierefrom and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil ' enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENT U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 Zoning Approved By A. Date 9 r compensation, will do the work,and the structure is not intended or-offered - o� �_ for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved ByIRWL •ate are 7, License Law does not apply to an owner of a property who builds or Improves r Iw%// . - " �J�• thereon, and who does such work himself/herself or through his or her own Application Issued By L. .. .�, �.a Dat. • Ara employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 i sale- if, however, the building or Improvement is sold within one year of com- Canopy Type II ❑ UMM RY OF FEES / pletion the owner will have the burden of proving he/she did not build or im- Duct-Under Ground ro ...• �� Q// r the purpose of sale). - • BUILDING PERMIT $ SMIP r. $ S: / I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refri eration System !1PLAN CHECK $ PERMIT 'tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 100,000 BTU 0100,000 BTU - • ' ,'PLUMBING $ ISSUANCE'.) $ builds or Improves thereon. and who contracts for such Projects with a con- i . tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple System Repair/Alteration PIAN CHECK 25% $ ENERGY P.C. $ ro of their Worker's Compe�nsat�ninsurance should be provided to me. ELECTRICAL $ GRADING $ L I am exempt under Section/ B.& P.C.for this reason 1 Firepl/Fact.Blt. ICBG# Fire Dampers MICROFILM $ s�'7 uu 1• 'MECHAPLAN NICAL 50% $ Date A� Owner 'SS..,=oma!S Heating System& Ducting Registers $ _ ( -•v •MECHANICAL TOTAL FEE $ ISO i hereby ter dy that I have read this application and state that the above 00-100,000 BTU.0100,000 BTU-- �y' information is correct. I agree to comply with ail city and county ordinances _, PLAN CHECK 25% $ r V and state laws relating to building construction, and hereby authorize repro- - sentatives of this city to enter upon the above-mentions, perry for e.-- Inspection purp0 5. w above -bp Signature- ate 7 OD Reinspection Fee $15 Issue Fee $ 3 Drivers' License or SS *DUPLICATE RECEIPT* 0865-46,rev- 5/88 White - Building; Canary - Applicant; Pink -Accounting;Goldenrod -Assessor 01 00011639-00011641 TOT 670.86 'CONSTRUCTION AND PLANNING POOL,: SPA / '. 4 Date. Inspector . Date Inspector I' APPROVALS Permit # • APPROVALS Permit# 1. Temporary Electrical Service or Pole '%" 52. Pool & Equipment Location ` d- 2. Soil Pipe-Undrgrnd. 1. 53. Steel Reinforcement "' i 3:+Electrical Conduit Utility-Undrgrnd. 54. Forms ri hi.Elec• trical.Conduii-Undrgrnd. •55. Electrical Bonding 5; Steel Reinforcement ig �L m4.1J- 56. Rough Plumbing & Pressure Test .- 6;r E,leEtI-ical'UFER•Grnd. e /oo Geta... 57. APPROVAL TO COVE R-GUNITE J . •' • 7.Footings?f . ,4:Atyr �^� 58. Electrical Conduit-Undrgrnd. 8; Eg6hbatiori Nl4•I�/4,704,2 59. Gas Pipe, 0 Undrgrnd.,Test iv 9. Water Pipe-Undrgrnd. 7V� ///'Clo- 60. Backwash Lines, P-Trap, 0 Undrgrnd. • I1" 10::::Sifuctuf$IFloor System rAyi //��. 61. APPROVAL TO DECK 11 'Properly.Sewer Line & House Connection 62. Backwash & Receptor-Final, I' 12. Sewer Cap 63. Heater & Vent-Final I. r t:" 13. RoofjDrains 1 i 64. Plumbing System - Final •-!' 14. Rough Plumbing I I 65. Electrical-Final 15. Rough Electrical-Conduit - 66. Solar System-Final --I 1.6. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING A 18. RoughfElectrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 1 9. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT . 20. Rough;Factor'-Fireplace • APPROVALS Permit# r ,.r 21. Ducts, in Strud re.Jy T 70. Underground Hydro 22.`Ducts,1Vgntilatr g! I 71i Product Piping 0 Gas 0 Oil / 23. Gas Pipe;Rougl kTeir 1 72. Underground Flush % T 24. Roof Frming �.rj•-r. '73. Undergrnd.Storage Tank 0 Gas 0 Oil/ 25. Root Shgathin.g r .T fU/6/S 4-t1 74. Overhead Hydro 26. T-Bar Ceiling (Sit uCtural) &-Monocoat 75. Dry Chemical E .. 27. Fra ne 1{d Flashing // 2.7Al /ti 76. Dry Standpipe 28. Latha •&'Siding /144e?� !" 77. FIXED SYSTEM FINAL 29. Insulaficjn '2 ( 10.9 1 tn-" 78. FIRE PREV. FINAL 30. Drywall Nailing `.,� /04 AfHEALTH DEPT. REQUIREMENT 31 Plastei Bro -• wn Cdali , /i/Lr/ee f7"o 79. FINAL INSPECTION 32. Electrical Powe__M2te`r-Final 80. FOOD CERTIFICATE ISSUED 33. Final•Electric -jj Notes: HOLD FOR SPECIAL REQUIREMENTS 34. Final Heating & Air Conditioning i 041 O'46g O Ie T /w, p £. r G' JN - . 35. Final Gas Pipe-Test r ,o/ ///R' '.---n - 24-T Islt)d s'aFFrs ir.. 36. Hood or Canopy - - ///�--�/ 37. Final Factory Fireplace �'C�/`� -` - '31}. Final Plumbing ,t: 39. Water Service-Final `' - ._ i i 46. Gas Service-Final ' " • r 1 • 41. Solar Domestic-Final' r . ; 'I' I - ,4?. Backflow Preventer -1 I i '�•r, , 43. Backflowflrrigation • _r / 44. Landscape Irrigation System - 45. Sound Attenuation .:' lei ,- - - 46. Handicap Regulations 7 47. FINAL STRUCTURE & BUILDING i7/4♦ "' 5, O- `-d- ad .-t-` `�!' - 1' 48. Special Requirements Completed 'E 89 i1 49. Electric Release to Eaison '' L -.i---- 450. Gas Release to outhern California Gas Co . •>:•ri• - • t i 51. CERTIFICATE OF OCCUPANCY ; .1 t +' �, r., No. Date - I.:, ri Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. P MIT O TRACT NO. LOT NO. UNIT CITY OF COSTA MESA CONSTRUCTION PERMIT/� IV34 83 A.P. I zone Project Address 37 1 �.L /7e,✓ 6 - S Main Building: Accessory Building: Applicant's Mailing Address/ / 7 ^20 & f Yrrie r fr Crl , TYPE OF CONSTRUCTION U NEW ❑ ADD U ALTERATION REPAIR E dz�y A/ .A�/ i O 1, syg.2/0 L ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front• Owner's Name Phone DESCRIPTION OF WORK/USE OF BLDG. • B Rear Address 2y0 / ,- DC'S sr Cr7 ' A TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL C Right Arch/Eng. License No. �k�Il K -Address ❑ TENANT ❑ ELECTRICAL Jc+l PLUMBING ❑ MECHANICAL . s- Left�..�f ❑ OTHER 1PIn Ref.# Parkin Contractor's Namr C V /�!/3( Phone 6yC //dr 1 9 g Req./Providedl7 D-0 ' /-!'r71 er S T c M PROJECT DESCRIPTION SQ. FT. OCCUPANCY • Planning Notes: �j Address(mailing) CONSTRUCTION TYPE VALUATION$City License No. -3/ Z 7 ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION 'I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Y/ 2 Gr ri I.__with section 7000) of Division 3 of the Business and Professions Code, and C7 my license is in full force and effect. ]/Pi ggc,,> . ELECTRICAL FEES License Class Z b License No. / _ Date p-/d'g8 Signature 13-+c <%Z...----- PLUMBING $ FEES Automatic Washer Transformer 0 15-50 KW • I WORKERS' COMPENSATION DECLARATION COq$SrUCIIOn Pole Sub. ❑ 50+KW I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink $hOWefs of Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Prevents', Service Sink Cooking Unit Meter ❑up to 100 amps - 3800, Lab. C.) Policy No. WFe7�s7� /Company P,eCA770n,•r7" /N/�;-^ Backflow Irrigation Sewer Cap ' Dishwasher Meter Dover 100 amps • Certified copY75 hereby furnished. % } v Dryers ❑Gas ❑Electric Sub Panel A CertUA,tied copy's f?�J}d with the city 131.01,_3411.2.s ,.r Bathtubs / Sewer Connection 9 w - ' Date or ^ /O I sY x Applicant _ - --- Fan Motors❑0.1 HP ❑1'h-8 EXEMPTION FROM WORKERS'COMPENSATIONrDECLARATION 'i,,, Clarifiers Solar Collectors • (This section need not be completed if the permit is for one hundred (S100)o%' F.A.U: Inc.Solar ❑g-15 HP 016-15+ less). ! �' Dishwasher Solar Piping Z V I certify that in the performance of the work for which this permit is issued, I Fixtures shall not employ'any person in any manner so as to become subject to the ' Drinking Fountains Solar Tank Microwave Workers' Compensation Laws of California. 'A f% 1 Device Boxes Date Signature "•� - " Floor Drains Swimming Pool w/Spa - Pole Light ' NOTICE:If,after making this declaration, you should become subject to the Outlets • Range,- „is Workers' Compensation provisions of the Labor Code, you must forthwith_ Floor Sinks - Urinal - /�7j1./) comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY / 8 Switches Sign 60 I hereby affirm that there is a construction lending agency for the performance Gas Service Outlets Water Closet LJ (}i/ of the work for which this permit Is issued (Section 3097 Civ. C.) Interceptors - /. Water Heater yy Garbage Disposal Standing Sections Lender's Name Lender's Address 1 Kitchen Sink • / Water Service 14 la./ Generator 00-5 KW 05-15 KW Trash Compactor • OWNER BUILDER DECLARATION 1 'I hereby affirm that I am exempt from the Contractor's License Law for the y Lavatories • / Auto-Wash 1 fry following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains -the Contractor's License Law(Chapter 9(commencing with Section 7000)of ,Division 3 of the Business and Professions Code) or that he/she Is exempt Reinspection Fee $15 -Issue Fee $ 3 '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 malty of not more than five hundred dollars($500). 3 DEVELOPMENT SERVICES REQUIREMENTS: - • C 1, as owner of .the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 1 compensation, will do the work,and the structure is not Intended or-offered Zoning Approved By Date for sale (Section 7044; Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to en owner of a property who builds or improves . - _- _ ��e Aye /^ thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I 0 Application Issued By �( !� Date s 1 -w 'employees, provided that such improvements are not intended or offered for • :sale. If, however,the building or improvement is sold within one year of com- - Canopy ' Type II 0 SUMMARY OF FEES • pietlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground - . prove for the purpose of sale). BUILDING PERMIT $ SMIP $ '❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural • Refrigeration System _ PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: p 'The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑o-100,000 BTU ❑100,000 BTU PLUMBING $ 3 TJ~ ISSUANCE $ builds or Improves thereon.and who contracts for such oro leets with a con- - - tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple❑ System Repair/Alteration . PLAN CHECK 25% $ ENERGY P.C. •$ proof of their worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ k❑\am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers MICROFILM $ — PLAN CHECK 50% $ ' ',Date Owner Heating System& Ducting Registers p N ❑0-100,000 BTU 0100,000 BTL MECHANICAL $ TOTAL FEE $ 3" I hereby certify that I have read this application and state that the above 00-100,000 Is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ - and state laws relating to building construction,and hereby authorize repre- sentatives of this city to enter upon the above-mentioned property for Inspection pur s.2 '/A �C_88 Signature //.d `f"� Date 01 00011734-00011734 TOT ' Drivers' License or SS# >- Reinspection Fee $15 Issue Fee $ 3 DATE: 08/10/88 TItlE7 15:47 38.00 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor --‘_ CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit # Date Inspector APPROVALS Permit# Date 1-Inspector nspector 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location - • 2. Soil Pipe-Undrgrnd. 24.0r e.r i 53. Steel Reinforcement I i3; Electrical Conduit Utility-Undrgrrd. 54. Forms . • 4. Electrical Conduit-Undrgrnd. 7. 55. Electrical Bonding 5. Steel Reinforcement56. Rough Plumbing & Pressure Test i 6. Electrical UFER Grnd. . i 57. APPROVAL TO COVER-GUNITE ' �I 7. Footings , 58. Electrical Conduit-Undrgrnd. 8. Foundation - i 59. Gas Pipe, 0 Undrgrnd.,Test 'r, ' 9. Water Pipe-Undrgrrid. w'9�Pre 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK - - 1i.1 Property Sewer Line & House Connection ' iq'gg l -O 62. Backwash & Receptor-Final 12. Sewer Cap / .f �•�( 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing, /d2/ la"7 `' 65. Electrical-Final 15. Rough Electrical-Conduit . 1 66. Solar System-Final t 16. Rough Electric Wiring 67. Fencing & Access Approval .1,7. Rough Wiring•Sign • 68. APPROVED FOR PLASTERING 'i!8. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 119. Rough Heating & Air Conditipning FIRE DEPT. REQUIREMENT n 20. Rough Factory Fireplacei 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 0il 25. Roof Sheathing • 74. Overhead Hydro - 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical . 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT :rit Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final ' • :7 80.• = FOOD-CERTIFICATE ISSUED 33. Final Electric c 3 Notes: • 34. Final Heating & Air Conditioning �j� 35. Final Gas Pipe-Test 1�q�/�Q ,.% 36. Hood or Canopy °/ 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final /AO* „% ' 40. Gas Service-Final /� 41. Solar Domestic-Final - 42. Backflow Preventer • /i 43. Backflow Irrigation - j ' 44. Landscape Irrigation System 1 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison .) r. 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY - ,` No. Date (it( ,-w..,•vaet to fill in all spaces exceptdiose within heavy border lines andsignall appropriate declarations. PER I NO TRACT NO. LOT NO. UNIT,►1O. CITY OF COSTA MESAfCONSTRUCTION PERMIT I /L A.P.# I zone Project Address ,.. 37/ e z2�/(/ ,' I ���� � le-REPAIR® 1 , S Main Building: Accessory Building: Applicant's Mailing771 d ss' • TYPE OF CONSTRUCTION /� NEW LI ADD U ALTERATION REPAIR E 2 a� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER • T Front . 0 Owner's,Name �7 r���l•dhone DESCRIPTION OF WORK/USE OF BLDG. - ' B Rear N Address ... Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION IDSTRUCTURAL I C Right N K G Address .y r7 _ ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING .MECHANICAL' $. Left Contractor's Name/Kt2 ! s/T �-Phone&yr'/F70 • 0 'OTHER Ping. Ref.i# Parking Req./ProvidedjiR ii77�� /J �r' .5 PROJECT DESCRIPTION SQ. FT. OCCUPANCY Address(mailing) �"� �11� Yom• Planning Notes:l�y �OjCONSTRUCTION TYPE VALUATION$ •City License No, ,/ ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: •7 1�/ C - with section 7000) o D on 3 of the Business and Professions Code, and 7 n // - • `` my license Is In full . ce a,: '(fest. o —/e 4 ' - ELECTRICAL FEES - `i7 License Class -ens _ Date 7- Si- Signature �. .� ��.� fria• r. PLUMBING FEES Automatic Washer I Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATIO GOnSLlUCLIOn Pole Sub. 0 50+KW -I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers \N of Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter pup to 100 amps ( 600, Lab. C.) - Dishwasher - • Meter [Dover 100 amps dont)/ rvo. Compan Backflow Irrigation. Sewer Cap gCertified copy is hereby furnished. ;"4. Dryers ❑Gas DElectric Sub Panel • Date////%i /SEE ,CeEtJlig9py id with the city B ing • Bathtubs Sewer Connection( Applicant iii - Fan Motors❑0-1 HP ❑1•h-8 EXEMPTION FROM WORKERS'CO PENSATION DE ARATION Clarifiers Solar Collectors (This section need not be completed If the permit is for one hundred ( 100)or • F.A.U. less). Inc.Solar 09-15 HP❑16-15+ Dishwasher Solar Piping I crtify that in the performance of the work for which this permit is issued I • Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank l- Microwave i - WorKers' Compensation Laws of California. '� Device Boxes Pole Li ht Date Signature - Floor Drains Swimming Pool w/Spa f 9 NOTICE:If,after making this declaration, you should become subject to the ¢Outlets Ran WorKers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinalg comply with such provisions or this permit shall be deemed revoked. - CONSTRUCTION LENDING AGENCYGas Service Outlets Water Closet Switches Sign i hereby affirm that there is a construction lending agency for the performance ' . of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name - Generator ❑0-5 KW ❑5-15 KW Trash Compactor Lender's Address Kitchen Sink - Water Service OWNER BUILDER DECLARATION i hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash • following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to Its issuance, also requires the applicant for such permit to tile a signed statement that he/she is licensed pursuant to the provisions of Roof Drains • the Contractor's License LaW (Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 therefrom and the basis for the alleged exemption. Any violation of Section • , 7031.5 by any applicant (Or a permit subjects the applicant to a civil enalty of not more than five hundred dollars(0500). 3 DEVELOPMENT SERVICES REQUIREMENTS: LI I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ compensation,will do the work,and the structure is not Intended or.offered • Zoning Approved By Date for sale (Section 7044,- Business and Professional Code: The Contractor's MECHANICAL f FEES Building Approved By Date 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 hls'or her own Application Issued By a Date is ZS St employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I ❑ sale, If, however, the building or improvement is sold within one year of corn- Canopy Type II 0 - SUMMARY OF FEES pletlon, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground prove for the purpose of sale). - - BUILDING PERMIT $ SMIP $ ❑ 1, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business ant'Professions Code: • The Contractor's License Law does not apply to an owner of property who Duct- Ventilating 00-100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $ builds or Improves thereon. and who contracts for such oroiects with a con- tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I PLAN CHECK 25% $ ENERGY P.C. Si . proof of their Worker's Compensation insurance should be provided to me. !TTELECTRICAL $ GRADING $ ❑ i am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt.ICBG# Fire Dampers MICROFILM $ HeatingSystemDucting n O PLAN CHECK 50% $ .�1 s Date Owner & Registers "/. i MECHANICAL $ 4a . D �w1 � I hereby certify t -t I have read this app cation and state that the above 1 ❑0.100,000 BTU 0100,000 BTL TOTAL FEE $ �4 Information is 'or -et. i .gree • camel th all city and county ordinances PLAN CHECK 25% $ and state laws ratingvi • co tr ction,and hereby authorize repre- sentatives of i upy ve-men Honed property f0 inspection p • eIT v/ b Signature �j In 0 Date -et, � / 00018096 TOT 28.50 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 10/28/88 TIME: 12:04 CONSTRUCTION AND PLANNING T POOL v.0PA Date Inspector Date Inspector APPROVALS Permit# j APPROVALS Permit# 1. Temporary Electrical Service or Pole' � 52. Pool & Equipment Location •2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3.1Eleet6cal Conduit•U'tilitY-Undrgr d. 54. Forms ' 4.:Electrical Conduit-Undrgrnd.: - I 55. Electrical Bonding• 5. Steel Reinforcement r ', 56. Rough Plumbing & Pressure Test 6.1 Electrical LIFER Grnd - 57. APPROVAL TO COVER-GUNITE .0 • 7/'Footings ,..{: -� 58. Electrical Conduit-Undrgrnd. 8( Foun""dation r ; 59. Gas Pipe, 0 Undrgrnd.,Test 9.,Water Pipe-Undrgrnd. '`'f` 60. Backwash Lines,P-Trap, 0 Undrgrnd. y 1•' 10.iStructural Fldor'System 61. APPROVAL TO DECK 11.. Property Sewer Line& House Connection ,'it 62. Backwash & Receptor-Final l• 12. Sewer Cap ../;� • 63. Heater & Vent-Final :'. 13. Roof Drains �` % 64. •Plumbing System- Final z ,14. Rough Plumbing i' • 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 1.18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL :19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT -2Q. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure ` ' 70. Underground Hydro 22. Ducts, Ventilating /T. 71. Product Piping O 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.Bi-own Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUEDea- _ 33. Final Electric Notes: 34. Final Heating & Air Conditioning Vic 7 Q/ 35. Final Gas Pipe-Test // 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final- 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer i 43. Backflow Irrigation N 44. ,Landscape Irrigation System '=y , 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE& BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY „ ! No. Date •`� -=� Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT N --7 TRACT NO. LOT NO. UNI U. Project Address •237I G b1QJr 2// i/M/i r 3 M 3 51 L 5- pI Applicant's Mailing Address [;ry_ TYPE OF CONSTRUCTION IN NEW ❑ ADD U ALTERATIONS EPAIR Owner's Name / G& T 11Lo1 Phonegr• 2uc ❑ CONVERSION ❑ DEM b'LISH ❑ OTHER A.P.# Zone� - DESCRIPTION OF WORK/USE OF BLDG. Address WO/ A/O.L-. : 41/1=/0.0C4Ne--59 9:z Ga7 s Main Building: Accessory Building: Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATIO E Q �y�y� ❑ STRUCTURAL Front Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING Li MECHANICAL B Rear N Contractor's Nameq/Laedg ,C//Zj- .HCC.r Phone 2.3.2-6Ere'Z ❑ OTHER - A I PROJECT DESCRIPTION SQ. FT. . . OCCUPANCY C Right N Address(mailing)/'%/7/ CAA..?Aft..7r T ,ge) nisi-/� 9 2LS0 KLeft G 0902-1,5--- CONSTRUCTION TYPE VALUATION$ 5 R City License No. ZONE GRADING CU.YDS. i ACRES LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E ta I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code, and T my license is in f I t ce and effect. `, License Class / L' e..e No�70 - S Date ' IOSignature Sr" i PLUMBING FEES WORKERS'COMPENSATION DECLA CATION Bar Sink • Showers • ELECTRICAL FEES 1 hereby affirm that I have a certificate of consent to self-insure or a certificate - 7 Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Automatic Washer Transformer 0 15-50 KW .olio, Lab. C. 0 50+ KW P • Fo�licy No. Company N Backflow Irrigation Sewer Cap Construction Pole Sub. N Certified copy is hereby furnished. Ce{t fie c]op Wiled with the city ilgjgg Di 15lf� // Bathtubs .Sewer Connection Cooking Unit Meter ❑up to 100 amps • Datef�-5/— Applicant y//(1 Q•�(� er EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100.amps (This section need not be completed if the permit is for one hundred ($100)or _ less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel . I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP ❑1%-8 Workers' Compensation Laws of California. Date - Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+ 1 NOTICE: If,after making this declaration, you should become subject to the -. - - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal I G Fixtures Microwave comply with such provisions or this permit shall be deemed revoked. , pp CONSTRUCTION LENDING AGENCY d�;- Gas Service Outlets Water Closet 1//-, Device Boxes I I hereby affirm that there is a construction lending agency for the performance Pole Light of the work for which this permit is issued (Section 3097 Civ.` C.) Interceptors Water Heater j Outlets Range �i Lender's Name _ �.1 Lender's Address Kitchen Sink Water Service f, Switches Sign - -' OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash �'/ - following reason (Section 7031.5 Business and Professional Code: Any city or . Garbage Garbage Disposal Standing Sections county which requires a permit to construct,alter,improve,demolish or-repair P—Trap LaundryTrays any a re, prior tom itstthe/, also requiresicestheapplicantt for such permit Y -"..0"� ' Generator ❑0-5 KW ❑5-15 KW Trash Compactor toh file a rsignedr statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's a LicenseiLaw (Chapter (commencing thatth Sections7x) of '—� Division 3 of the basis and Professionseption or that he/she is exempt ''031.5om and the basis for the alleged exemption. Any violation of Section '031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). $ 3 I, as owner of .the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee . compensation, will do the work,and the structure is not The intended or offered Reinspection Fee , $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES e Law does not apply to an owner of a property who builds or improves SERVICES - - thereon, and who does such work himself/herself or through his or her own DEVELOPMENT REQUIREMENTS: • - employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement is sold within one year of cum- Canopy Type II 0 Zoning Approved By !late pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date LJrove for the purpose of sale). I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Dat • tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with a con- = tractor(s) license pursuant to the Contractor's License Law). I am aware that ■Exhaust System ❑ Multiple❑ System Repair/Alteration • BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT -10 I am exempt under Section B.& P.C.for this reason n Firepl/Fact.Blt. ICBG#157' ■ Fire Dampers _ PLUMBING $ ISSUANCE $ Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $. I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BT ELECTRICAL $ • GRADING $ Information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of this city to enter upon the above-mentioned property for44 s/ s inspection pu .es. MECHANICAL $ TOTAL FEE $ Signature /i. .. _� Date #—/--,7 Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ ,- - -_- Drivers' License or SS# ; - - -A^^,e'^^ 'r"" "' -.— CMF 0865.46,rev.10/84 White - Building; Canary -Applicant; Pink - Accounting; Goldenrod - Assessor ^ic. lieu1/ss TALE: 03:40 CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector Ill 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 Grndi. 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 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final /f 15. Rough Electrical-Conduit 66. Solar System-Final 1// 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 fJ//r/ / C,dAPPROVALS 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 . --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 �J.y� 37. Final Factory Fireplace 717P ,V��9n 38. Final Plumbing -• , 39. Water Service-Final •,/ - ; 40. Gas Service-Final �' V • , ' 41. Solar Domestic-Final • 4 - • '•42. Backflow Preventer / ' • . 43. Backflow Irrigation j i' 44. Landscape Irrigation System '- r t • X45. Sound Attenuation , " 46. Handicap Regulations , 47. FINAL STRUCTURE & BUILDING . - ` 48. Special Requirements Completed 49. Electric Release to Edison •a f 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY ' I. - Date ;' i c 1, 1 L t- / Applicant to fill in all spaces except those within heavy border lines and-sign all appropriate declarations. CITY OF COSTA MESA C i$TR UCTION PERMIT - PE.RMITNOerg �--/ TRACT NO. RJ LOT NO. UNIT,' A P q@ I Zone Rroject Address 7-71'1 1 .4 NIG' Nr. ��� J LP j S Main Building: Accessory Building: - Applicant'sMailingAddress Gt&i 0 4'�LE. tRE *8 TYPE OF CONSTRUCTION LI NEW U ADD U ALTERATION U REPAIR E FrontZ ❑ CONVERSION [II DEMOLISH DEMOLISH 0 OTHER TO Owner's Name N -T 1 K-,.1 1,4)rvP..a ' Phone Sti-A+' 2-100 DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address X401 rJoe Se A...1e- ' A I 4T ✓?ti tV av#3'4 r • TYPE OF PERMIT GRADING U FOUNDATION U STRUCTURAL C Right N Arch/Eng. Q License No. K• Left G Address n" .!--1?.-2-'40(82:. 0 TENANT LECTRICAL ❑ PLUMBING 0 MECHANICAL $ ' R MeeA2Tk _C 1.ycKsC �2z (CQ ❑ •OTHER y Ping. Ref.# Parking Req./Provided E Contractor's Name AfY/ Phone Yf Address(mailing) .)_( L I O(lA44Fa Lie *$ PROJECT DESCRIPTION SQ. FT.(!S3 OCCUPANCY �3 M/ Planning Notes: O CON ST RUCTION TYPE - - VALUATION$ M 35c3z� T City SNo. ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION ..y.}� /! I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: ,,Q t T{ 3 4'' t/'I with section 7000) of Division 3 of the Business and Professions Code,and FCS ..✓ 1 my license is in full fore and effect. (I� eat- Date h-'1 ELECTRICAL FEES License Class_ —10 44 ' License No. 01 L14_.. Date 8-1`7-49Q Signature -&---Q.---.—. PLUMBING I FEES Automatic Washer - Transformer ❑ 15.50 KW WORKERS'COMPENSATION DECLARATION \ Dpn$Irllcllpn Pole Sub. 050+KW I hereby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink $hOWers if Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink . - - Cooking Unit Meter ❑up to 100 amps ;800, Lab. C.) Policy No. - - Company Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps 8 Certified copy Is hereby furnished. i ' Dryers ❑Gas lectric Sub Panel 300 Certified copy is filed with the city Building Division. Bathtubs Sewer Connection -.v Date - Applicant - Fan Motors❑0-1 HP ❑i'h-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (Thissection need not be completed if the permit is for one hundred ($100) or Dishwasher Solar Piping F.A.U. less). Inc.Solar 09-15 HP 01615+ I certify that in the performance of the work for which this permit is Issued I Fixtures shall not employ any person In any man r so as to beco a subject to the I Drinking Fountains Solar Tank r•' . . Microwave worker$,Corw2en pp Laws of Californ Device Boxes Date y�j-.4 / Z Signature ' ........"44,1... i Floor Drains ' .wimming Pool w/Spa - 1 Pole Light 7,7 NOTIC€if,after making this declaration, you should become subje to the - Outlets Range Workers' Compensation provisions of the Labor Code, you must forthwith . Floor Sinks Urinal - 5 9 comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Water Closet a Switches Sign 1 Sp Gas Service Outlets/ 9 I hereby affirmk that therewhiis a permit lending (Section for the397rfCiv. nce of the work for which this permit Is Issued ($egliOp 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 1:10-5 KW ID 5-15 KW Trash Compactor OWNER BUILDER DECLARATION ( R-53* LIA/e// 9O " I R affirmthat am exempt from the Contractor's License Law for the Lavatories Auto-Wash /I { 7 y76 following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee I $15 Issue Fee /COO C G 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 oenalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By /, Date License Law does not apply to an owner of a property who builds or improves _ _ __ - - - -- -. - - ---- / T Q thereon, and who does such work himself/herself or through his or her own AppOeaL'IOO Issued By /��� r�r� Darn D �7 P� employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF F'S pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground prove for the purpose of sale). - BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating -1100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or Improves thereon.and who contracts for such orolects with a con- ENERGY P.C. $ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ .�/ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ [O�.J(o GRADING $ iSkilm exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG `- Fire Dampers �y Date �^1�Q4 owner L%1/"� -...h..'..-. �' PLAN CHECK 50% $ ail.e; MICROFILM $Heating System&Ducting Registers MECHANICAL $ /t oy I hereby certify that I have read this application and state the the above 0o-100,000 BTU 0100,000 BT TOTAL FEE $ -/ information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws ting to building construction,and hereby authorize repre- sentatives of is c' y to en r u the above-mentioned Qproperrty for inspection purV-- !-86" Signature Date Drivers' License or 5$9F Reinspection Fee $15 Issue Fee $ 3 0865-46,rev.5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor . 01 00012324-00012325 TOT 89.04 DATE: 08/17/88 TIME: 15:57 • ' CONSTRUCTION AND PLANNING POOL a SPA -, Date ' Inspector Date Inspector ' - APPROVALS Permit# APPROVALS Permit# -1. Temporary Electrical Service or Pole 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. JI 53. Steel Reinforcement ( . } .• 3. Electrical Conduit Utility-Undrgrnd. 54. Forms I 4.Electrical Conduit-Undigrnd. I 55. Electrical Bonding 5. SteellReinforcement 'I 56. Rough Plumbing & Pressure Test .. • 6. 'Electrical UFER Grnd.. • 57. APPROVAL TO COVER-GUNITE 1 7 Footings I i - • 58. Electrical Conduit-Undrgrnd. • 8, Foundation , 59. Gas Pipe, O Undrgrnd.,Test • _ • 9' W$tei Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd. 10. St4uctural Floor System ' 61. APPROVAL TO DECK I' )• ' 11. Property Sewer Line & House Conngction - 62. Backwash & Receptor-Final 12. Sewer Cap -I ', 63. Heater& Vent-Final ] I. 13. Roof 1Dra ins • ( 64. Plumbing System - Final ' 14. Rough Plumbing, 65. Electrical-Final . 15. Rough Electrical-Conduit 66. Solar System-Final • 76. Rough Electric Wiring j/ a 67. Fencing & Access Approval 117i. Rough Wiring Sign 68. APPROVED FOR PLASTERING AS. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 1 .19. Rough Heating &Air Conldiiloning FIRE DEPT. REQUIREMENT c20. Rough Factory Fireplace : 1 APPROVALS..." Permit# 2'1. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilatingby 71. Product Piping El Gas 0 Oil 23. Gas Pipe-Rough &-'fest I�r X72. Underground Flush ' ' 24. Roof Framing •'-' vv 73. Undergrnd.Storage Tank O Gas 0 Oil/ 25. Roof Sheathing }' 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing t�-•• 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 I 32. Electrical Power"Meter-FinalL ' 80. FOOD CERTIFICATE ISSUED 33. Final Electric j ofr / ./ Notes: 34. Final Heating& Air Conditioning -• fir. 1 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace . . 38. Final Plumbing ti• 39. Water Service-Final 40. Gas Service-Final - h 41. Solar Domestic-Final 42. Backflow Preventer .., I • 43. Backflow Irrigation % / "'• ,I 44. Landscape Irrigation System ".I %;I 45. Sound Attenuation .''- 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 1?-1- 49. -49. Electric Release to Edison 50. Gas Release to Southern California Gas Co ;,' 51. CERTIFICATE OF OCCUPANCY i. " (` t `v_ No. Date r. V I' N td/ r e", ,L / ' (i •n 11 • won l NU. CITY OF COSTA-MESA CONSTRUCTION PERMIT '1 l� r w• ,.�. A.P.# Zone Project Address 2311 1aLbk 4 64E 3 5 `-'�t+CO `- {{��II U S Main Building: Accessory Building: Applicant's Mailing Address 1305 �r r•413LTitLW1T �•sTAO TYPE OF CONSTRUCTION 0 NEW ADD U ALTERATION REPAIR E Z ❑ CONVERSION ❑ DEMOLISH 0 OTHER _ T Front 0 OwnB'i Name Or IA1ver.lr PhoneSegs�OCG DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address 24.0k 10014100144,4Q' C "SofGolf 1/Aco C}.1/4.- 1 A I U I C Right N Arch/Eng. - L"_ er}se No. TYPE OF MIT LI GRADING FOUNDATION 0 STRUCTURAL K G Address ,�{��Ts1,. etCA it /C'i^'•'•t ❑ NANT 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL $• Left I R Contractor's Name Rs(faF.Yn T48.11•Pea-1^-4 Phone 5 c-ze01 OTHER -FI 114.3 e st.•I M<.L-Jsv"-- • Ping-Ref.# Parking Req./Provided E Address(mailing) 5 e - Sr /�13cnus,c- seri. e.b fa, PROJECT DESCRIPTION SQ. FT�,,3 � OCCUPAN Y 3 _� Planning Notes: Q r 9 OO ~ q) CONST RUCTION TYPE V -^•ke��"�� 4Y, / - M VALUATION 5 DD City License No, ZONE GRADING it Y05. ACRE LICENSED CONTRACTOR DECLARATION /� ..}{• a b� S. I hereby affirm that I am licensed un r provisions Of Charter 9 (commenting Remarks: /bV��A�A• ///p�� /J��� ��TI'/r� 0' — ' • tr with section 7000) of Divisio 3 of t e Business and Professions Code,and s_�� /�s—+�— �� ' �' my license is in full force and et t, v ELECTRICAL FEES CLicens Class 1'+ License No 495 ua _ Date —E� PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW ATUjI ur ti WORKERS'COMPENSATIdN D CLARATION- Ha sECOnSIrpCtlOn Pole Sub. • 050+ KW 1 hereby affirm that I have a cerci scale Of consent to self-Insure or a certificate Bar Sink Showers • workers' Compensation Ins ante, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit • Meter Cup to 100 amps IN 1 00, Lab. C.) ulicy No. Company Backflow Irrigation Sewer Cap Dishwasher Meter Clover 100 amps 8 Certified copy is hereby furnished. Dryers OGas ❑Electric •— Sub Panel Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Date Applicant Fan Motors 00-1 HP ❑1'/a-8 EXEMPTION FROM WORKERS'COMPE SATION DECLARATION Clarifiers Solar Collectors (This section need not be complete. It the • mit is for one hundred ($100) or . F,A.U. Inc.Solar ❑9-15 HP❑16.15+ less). Dishwasher Solar Piping I certify that in the performance of new. for which this permit is issued I Fixtures shah not employ any person in an ma o as to become subject to the Drinking Fountains Solar Tank Microwave WorkerS CComsRgn�SatiOn LawS of Date b_SD�3 Signa ure ftr.. . Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE:If,after making this d.dare ion, you should become subject to the Workers' Compensation provislo s o the Labor Code, you must forthwith Floor Sinks Urinal Outletsg Ran e Comply with such provisions • t s permit shall be deemed revoked. - CONSTRUCTION LENDING A N Y Gas Service Outlets Switches Sign 1 hereby affirm that there iS a constr , on lending agency for the performance Water Closet 9 of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Generator ❑0.5 KW❑5-15 KW Trash Compactor Lender's Address Kitchen Sink Water Service OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Bufiness and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 ,...-:xerefrom and the basis for the alleged exemption. Any violation of Section - :„:11.5 by any applicant for a permit subjects the applicant to a civil '"Malty of not more than live hundred dollars($500). I DEVELOPMENT SERVICES REQUIREMENTS: ••'•L] I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3 compensation, will do the work, and the structure Is not intended or offered _ ` Zoning Approved By nate for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEESBuilding Approved ByDete - _ License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her Own Application Issued By flats —7•0 , employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I ❑ sale- if, however, the building or Improvement is sold within one year of com- Canopy Type II 0 Sih}1,RY QFeEES 1 la �� pietion,the owner will have the burden of proving he/she did not build or im- Duct-Under Ground , /! (J(J Prove for the purpose of sale). BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project(Section 7044.Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0.100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon, and who Contracts for such oroiects with a con- tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust SystemPLAN CHECK 25% $ ENERGY P.C. $ of y 0 Multiple❑ System Repair/Alteration proof theirp Worker's Compensation insurance should be provided to me. - ELECTRICAL $ GRADING $ ❑ 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit.ICBG# Fire Dampers MICROFILM S PLAN CHECK 50% $ Date Owner Heating System&Ducting Registers ■ MECHANICAL $ ' 4 - ' I hereb certif that I have read this application and state that the above ❑0-100,000 BTU ❑100,000 BTL T-T}fx� $ In/or ma n is rct. 1 agree to comply with all city antl county ordinances PLAN CHECK 25% $ — — ' and stat•� aws - i 9 0 building construction, and hereby authorize repre- sentativ- •f t t to enter upon the above-mentioned property for Ins pec `` p•.s-S Signet ` WA - _ Date U�N z+CJ C� Driver -ense or SS - Reinspection Fee $15 Issue Fee $ 3 - _ _ 7 ..7 1 • 0855-41,v.5/88 White - Building; Canary - Applicant: Pink -Accounting: Goldenrod - Assessor CONSTRUCTION AND PLANNING • POOL& SPA APPROVALS Permit# • Date Inspector APPROVALS Permit# Date Inspector r 1. Temporary Electrical Service or Pale 52. Pool & Equipment Location -. 2. Soil.Pipe-t7ndrgrnd. ;; ;i 53. Steel Reinforcement ' 33 Electrical Conduit Utility-Undrgrnd. 54. Forms 4 Elec Tical Conduit-Undrgrnd. • 55. Electrical Bonding 5? Steeeinforcement t R . - .. 56. Rough Plumbing & Pressure Test l - 6; EIeddrical UFER:Grnd. 57. APPROVAL TO COVER-GUNITE 7:Fdotir(gs 1 - - _ !;- 58. Electrical Conduit-Undrgrnd. 8; Foundation ' `^.-; 59. Gas Pipe, 0 Undrgrnd., Test • • 9' Water Pipe-Undrgrnd. • I 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Siructtiial Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection i 62. Backwash & Receptor-Final 12. Sewgf Cap63. Heater & Vent-Final • 13. Roof..D-ains ;;; 'r• 64. Plumbing System - Final 14. Rough Plumbing! ' 65. Electrical-Final 15. Rbugh Electrical-Conduit 66. Solar System-Final .1,6. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Elettrical-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.putts, Ventilating 71. Product Piping'0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing , I 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof'Sheathing.-. . 74. Overhead Hydro I fr(oi 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe • 28. Lathing& Siding 77. FIXED SYSTEM FINAL 3//i0M 29. Insulation 78. FIRE PREV. FINAL -//669 g 30. Drywall Nailing HEALTH DEPT. REQUIREMEN• T 31. Plaster Brown Coal - 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 Gni_fI- A tis nn" dJ 36. Hood or Canopy l.K�! Q. �.xr"r� 37. Final Factory Fireplace 38. Final Plumbing • 39. Water Service-Final • 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation ,- r 44. Landscape Irrigation System 45. Sound Attenuation , 46. Handicap Regulations .-• 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed . 49. Electric Release to Edison . • 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY lo. Date - •- - . City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. 002516 Building Safety Division P.O.Box 1200 Costa Mesa,California The Building located at 2371 Elden Avenue, Unit A has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group 83/41 Occupancy. Use of Building Condo Legal Description 439-272-13 (See reverse side for Metes and Bounds) BS31375 . Building Permit No B34818,B34640 Electrical Permit No. R34955.E34886Plumbing Permit No. P34838 Mechanical Permit No. M35927,M35974 Number of apartments - _ and/or guest rooms , Fire Prey. Permit No. F 35346 ISSUED TO: Building Official fa:lliam m, Howard um nct.olnnm?nt. Inc. /" 2401 Norse Avenue by 7 i Maaa, ca 92626 Date May 19, 1989 I• This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev.1/83 White-Owner;Caro-'•-Numerical File;Pink-Bldg.Permit File I Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. • CIT. MIT NO. TRACT NO. LOT NO. UNIT NO. - YpA COSTP.-MESA CONSTRUCTION PERMIT I 3 S S I�rA.P. y3q _ ZZz -� Zone Z •. eroj�;Address Q51 1 M1.1J 4$\,Ore t� S Main Building: I Accessory Building: • a� r TYPE OF CONSTRUCTION l� NEW ❑ ADD U ALTERATION REPAIR Applicant's Mailing Address • �3� J'•ra32'�T1tt�� �"'L'1>70Na• E Z ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front 0 Owner's Name FIT Q: "1.c717alMisa.71— Phone otaDESCRIPTION OF WORK/USE OF BLDG. B Rear N Address24CA "00 1"--54. /sue 6:761.2, 1.44,=-sa CSL i A I Arch/Eng. 56V1 -- License No. TYPE OF MIT U GRADING 0 FOUNDATION Li STRUCTURAL 1 C Right NG Address �4C_4+tl.. NANT ❑ ELECTRICAL Ell PLUMBING 0 MECHANICAL $ Left R Contractor's Name �`Y tN �^'�+• Phone �-uo� OTHER FI kW!". H.I�en sn'�1• Ping. Ref.ql`- Parking Req./Provided E •g r e']o cc- PROJECT DESCRIPTION SQ. FT. 3 Y OCCUPANCY Y2.-3_ PlanningNotes: D Address(mailing) 13aSr �-1�`-Tk4+0r� �1�'3Ta ��,,,,,"" _IU7`- /`n� M �` ,____ — moo) CON STRUCTION TYPE �^•`x�'c •p VALUATION$ v T City License No. �sp `'• ZONE GRADING C YDS. ACRES A LICENSED CONTRACTOR DECLARATION /�/1 ,, �C— 1 S. I hereby Ionaffirm7 that I am Islolicensed of$ provisions Charterro9(commencing Remarks: pV`J^A e Q 76 • �U with section 7000) of a and �3 of�{ e Business and Professions Code,and pee. "` a my license is In full force a t. 1 ELECTRICAL FEES Licensse�Class �"•� License No.45.5 u'� I Automatic Washer Transformer 0 15-50 KW DateP'5''4%' Sign tur 3 L.2-____ PLUMBING FEES WORKERS'CO MPENSATI ND CLA RATION Ho" Bar Sink Showers Construction Pole Sub. 0 SO+KW I hereby affirm that I have a erti Icate of Consent to self-insure or a certificate H Workers' Compensation Ins ance, or a certified copy thereof (SectionCooking Unit Meter ❑up to 100 amps .800, Lab. C.) - Backflow Preventer Service Sink Policy No. Company _ Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps 8 Certified copy is hereby furnished. • Dryers ❑Gas ❑Electric Sub Panel Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Date Applicant Fan Motors 00-1 HP 01%'-8 EXEMPTION FROM WORKERS'COMPE SATION DECLARATION Clarifiers Solar Collectors (This section need not be complete• If the•-rmit is for one hundred ($100)or F.A.U. Inc.Solar 09-15 HP 016-15+ - less). Dishwasher Solar Piping I certify that in the performance of he w. for which this permit is issued I Fixtures Microwave shall not employ any person In an ma • o as to become subject to the Drinking Fountains Solar Tank Workers 44omgqggn��,,satlon Laws of ' Date g•Sa 6a Signa ure WU� Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE:If,after making this d-clava ion, You should become subject to the Outlets Range Workers' Compensation provisio 5 o the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions • t s permit shall be deemed revoked. Switches CONSTRUCTION LENDING A N Y Gas Service Outlets Water Closet Sign I hereby affirm that there Is a conStr • on lending agency for the performance Garbage Disposal of the work for which this permit Is issued (Section 3097 Civ. C.) Interceptors Water Healer Lender's Name 9Standing Sections Generator 00-5 KW ❑5-15 KW Trash Compactor Lender's Address Kitchen Sink Water Service OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trat's any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 therefrom and the basis for the alleged exemption. Any violation of Section - ' J 9031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). $ 3 DEVELOPMENT SERVICES REQUIREMENTS' •U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee Zoning Approved By rot— fla� compensation, will do the work,and the structure is not intended or offered • for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves �+��� thereon, and who does such work himself/herself or through his or her own Application Issued By Date ®` I �(.�1—(�] employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however,the building Or Improvement is sold within one year of com- Canopy Type II 0 StI(vtla{� O s RY QFFEES (J% pletion, the owner will have the burden of Proving he/she did not build or im- Duct-Under Ground - / (` prove for the purpose of sale). BUILDING PERMIT $ [f 6 SMIP $ ❑ I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon.and who contracts for such oroiects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware thatPLAN CHECK 25% $ ENERGY P.C. $ • ofExhaust System 0 Multiple 0 System Repair/Alteration. Proof their Worker's Compensation Insurance should be provided to me. .- ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt.ICB0# Fire Dampers 41 _ PLAN CHECK 50% $ MICROFILM $ 117 HeatingSystemi e d� Date Owner & Ducting Registers MECHANICAL $ Tygt , $ ' 1 hereb certif that I have read this application and state that the above ❑0100,000 BTU 0100,000 BTL PLAN CHECK 25% "�(-J�' Informs .n is r-ct. I agree to comply with all city and county ordinances $ and stat.. aws - i g o building construction,and hereby authorize repre- , - sentativ:•\`•II t t to enter upon the above-mentioned yypr�opeertys. for •s ems' (nspecSignet ' WA• s.S� Date t"7✓t+LO • • + _ t Driver aaense or Reinspection Fee $15 Issue Fee $ 3 01 00014877-00014878 TOT 117,82 0865-4-v.5/88 White - Building; Canary • Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 09/20/88 TIME: 13:22 /I �I t „CONSTRUCTION AND PLANNING POOL .,.SPA / 1: Date Inspector Date Inspector pPRO VALS Permit# APPROVALS Permit # 111, I . • 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location `-. . . n 2. Soil/Pipe_bndrgrnd. jj _ :� 53. Steel Reinforcement -•5i Electrical 'Conduit Utility-Undrgrnd. 54. Forms --� jr 21;Electrical ConauFt-Undr • grnd. 55. Electrical Bonding � 57 Steef Reinforcercierrt - ) 56. Rough Plumbing & Pressure Test I i - ` 6: E4ectrical UFERZGrnd . ) "�._ ? S7. APPROVAL TO COVER-GUNITE I,., 7'Footings ' -, - - __f ' 58. Electrical Conduit-Undrgrnd. I ri ,a 8. FFoundaiion "' � _ 59. Gas Pipe, 0 Undrgrnd., Test J r 9.' Water Pipe-Undrgrnd. I 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. P.ioperty Sewer Line & House Conn'coon t. i 62. Backwash & Receptor-Final 12. Sew..? bap ;U c.:•7•7 ,n 63. Heater & Vent-Final 13. Roof,Drains ' ;,4 64. Plumbing System - Final 14. Rough Plumbing) '' 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final .1,6. Rough Electric Wiring 67. Fencing & Access Approval ;17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ,18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL _79, Rough Heating.& Air Conditioning FIRE DEPT. REQUIREMENT 20' Rough Factory:Fireplace • APPROVALS Permit# 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilatingy I 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough.& Test ti 72. Underground Flush 24'. Roof Framing , •{ 1 , 73. Undergrnd.Storage Tank 0 Gas ❑Oil 25. Roof'Sheathingl4,• , i . 74. Overhead Hydro If/j 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing ,'' 76. Dry Standpipe !!LL Q,, 28. Lathing & Siding 77. FIXED SYSTEM FINAL T� C� ) 29. Insulation i ' 78. FIRE PREV. FINAL 30. Drywall Nailing i - HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat .?s' - 79. FINAL INSPECTION 32. Electrical Power Meter-Final • ' 80. FOOD CERTIFICATE ISSUED s - 33. Final Electric tty fl Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test '5" '36. Hood or Canopy• 1: 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final •• 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer t 43. Backf low Irrigation C. r 44. Landscape Irrigation System ' 45. Sound Attenuation ,46. Handicap Regulations '-, 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed - 49. Electric Release to Edison ,'. - LN 50. Gas Release to Southern California Gas Co \51. CERTIFICATE OF OCCUPANCY , Date •,. S Apple-ant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. s PERMIT TRACT NO. LOT NO. UNIT O. CITY OF COSTA MESH CONSTRUCTION PERMIT r � A.P.4°.939 -•2, 7_2-/7 � Zone R 2 23'1 i Ctd'cs.i Rat.' 4°I 5 S-fiB-/75, / Prod^.ct Address r�, � �C I t ��1 • [nf - LJ� 11 S Main Building: Accessory Building: Applicant's MailiniQ ddress Xi,( OQ4 GR Ao kS TYPE OF CONSTRUCTION LI NEW ADD ALTERATION REPAIRE Z �'�n ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front o Owner's Name e1- 1 ksQJM�`SN' Phone ''Lg'a.lft� DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address a�1 ��5� `II.J� ' Arch/Eng. 14 1 % t)O,LQti.A.rl • License No. TYPE OF PERMIT GRADING Li FOUNDATION ❑ STRUCTURAL I C Right • N Address /s QQ�t��/s ❑ TENANT LECTRICAL ❑ PLUMBING ❑ MECHANICAL $ • Left G l'ArL'14-"j IT✓ ecralC. ❑ OTHER L iR Contractor's Namn e Phone77-2-400:14 Y Ping. Ref. # Parking Req./Provided.1 � PROJECT DESCRIPTION SQ. FT.r`� f�' OCCUPANCY ;Tn./ • Address(mailing) ae��I oQ+wtgC +'w2"b@Planning Notes: l; S A�61 C ON ST RUCTION TYPE VALUATION$City Lic¢nse NO. S ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: /rZ`3 L1 gl'' with section 7000) of Division 3 of the Business and Professions Code, and �J my license is in full f e antl effecct. '(, ELECTRICAL FEES Ucens Class 1 v dLicense No. CRIP s.��� Date -17-$P. Signature L, ...... � PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW WORKERS' COMPENSATION DECLARATION ` Construction Pole Sub. 0 50+KW ' hereby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink Showers ' Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink - Cooking Unit Meter ❑up to 100 amps 400, Lab. C.) Policy No. Company , f3ackflow Irrigation Sewer Cap .Jc Dishwasher Meter Dover 100 amps • BCertified copy is hereby furnished. Dryers ❑Gas ❑Electf ie Sub Panel Certified copy is filed with the city Building Division. Bathtubs Sewer Connection >- Date Applicant �� � Fan EXEMPTION FROM WORKERS'COMPENSATION DECLARATION " Clarifiers Solar Collectors Motors❑0-1 HP 01%-8 (This section need not be completed if the permit is for one hundred ($100)or - F.A.U. less). DishwasherInc.Solar 09-15 HP ❑16-15+ Solar Piping ,G i certify that In the performance of the work for which this permit is issued,Il Fixtures shall not employ any person In any manner so as to become subject o te ...1Drinking Fountains Solar Tank . sit/ Microwave Workers' ommisa&L$ .Laws of Calif la. Date -1 �(j[� Signature 4__.....--r•_4 Floor Drains Swimming Pool w/SpaDevice Boxes Pole Light NOTICE:It,after making this declaration,you should become stbject to the . workers' Compensation provisions of the Labor Code, you must forthwith . FIOor Sinks Urinal ♦r'• ., Outlets Range cornply with such provisions or this permit shall be deemed revoked. - sl CONSTRUCTION LENDING AGENCYGas Service Outlets Wet- Closet a Switches Sign / I hereby affirm that there is a construction lending agency for the performance 1 of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors 'ater Heater Garbage Disposal Standing Sections Lender's Name Generator ❑0.5 KW ❑5-15 KW Trash Compactor Lender's Atltlre55 Kitchen Sink Water Service p OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash 1 Aria�L/tet ' [ •, , 't ;7 following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Traits any structure, prior to its Issuance, also requires the applicant for such permit . to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9,(commencing with Section 7000)of ___• S nivision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee 5 St, OP lerefrom and the basis for the alleged exemption. Any violation of Section 331.5 by any applicant for a permit subjects the applicant to a civil malty of not more than five hundred dollars($500). $ 3 DEVELOPMENT SERVICES REQUIREMF�NJ,$- rl,�/ UI, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee (rJ,/ S/J compensation,(Section will 0 the work, and the ofucton Isnot intended C otractord _ - Zoning Approved By Date 97 for sale (Section apply Business and Professional Code: Contractor's MECHANICAL FEE$ Building Approved By Date License Law does not apply to an owner of a property who builds or Improves -. _ ,___ -- _ _ ._ - ___ _!EES oy, and who does such work ovem nts himself/herself or through his or her own - Application Issued By Date 8' i 7/SB' employees,f, provided that such r poes are not intendedwihior year redof c for Boiler Ho oy Type I ❑ sale. If, however, the building or improvement is sold within one year of nom- dopy Type II 0 SUMMARY OF EES pletlon, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground - prove lot the purpose of sale). BUILDING PERMIT $ SMIP $ 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK tractors to construct the project (Section 7044,Business and Professions Code: $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or Improves thereon. and who contracts for such orolects with a con- _ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multi e❑ System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ Rpr a of their nrerr's Compensation Insurance should.& P.C.provided to me. ELECTRICAL $ L+• GRADING $ am exempt under Section B.& . .for this reason Firepl/Fact.Blt. ICBG# Fire Dampers y``qF _Li , �,.".� C : a Registers PLAN CHECK 50% $ MICROFILM $ Date . "- Owner �.s1 MECHANICAL /02,7/ I hereby certify that I have read this application and state that [he above ■s s s 1 s 1 ■ s 1,I I s s $ TOTAL FEE $ Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction,and hereby authorize repre- sentatives of this ci • to enter upon the above-mentioned p property hfor inspection purposes. 1 Signature IAS^ Date2)-,i' Cab Drivers' License or 55# _ Reinspection Fee $15 Issue Fee $ 3 01 00012328-00012329 TOT 102.71 0865-46,rev. 5/88 White - Building; Canary -Applicant; Plnk -Accounting; Goldenrod - Assessor DATE: 08/17/88 TIRE: 1S:S8 1 CONSTRUCTION AND PLANNING POO. .SPA •• APPROVALS Permit# Date IInspector APPROVALS Permit# Date Inspector ri 1, Temporary Electrical Service or Pole '�'' - 52.•Pool & Equipment Location •} 2. Soil Pipe-Undrgrnd. I 53. Steel Reinforcement J. " 3.rEledtrical,Conduii Utility-Undrgrnd; 54. Forms ' 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 57 Steel Reinforcement _ 56. Rough Plumbing & Pressure Test -.� :6. Electrical UFER.Grnd? 57. APPROVAL TO COVER-GUNITE 7. Footin s .` ' Footings - 58. Electrical Conduit-Undrgrnd. .• 8. F• oundation • 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 1 "1 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor'System . 1 • 61. APPROVAL TO DECK -t 11. Property Sewer Line & House Cordnection i 62. Backwash & Receptor-Final 12. Sewer Cap • - it. 63.- Heater & Vent-Final I. - 13. Roof Drains 64. Plumbing System - Final t 14. Rough Plumbing 9 65. Electrical-Final - ' 15. Rough Electrical-Conduit /,'�/ 66. Solar System-Final • i1�6. R• ough Electric Wiring /03, ,(/" 67. Fencing & Access Approval /17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ,1,9. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT )20. Rough FacjocyFireplace fAl APPROVALS Permit# /21. Ducts, in Structure f7 I 70. Underground Hydro 221. D• ucts, Ventilating A k. 71. Product Piping 0 Gas 0 Oil 23' Gas Pipe-Rough &'Test 1 72. Underground Flush i" 241 R• oof Framing LI %v73. Undergrnd.Storage Tank 0 Gas.'❑Oil 25. Roof Sheathing .., 74. Overhead Hydro ' 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27.-Frame and Flashing 76. Dry Standpipe - 28.- Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT • I _311 Plaster Brown Cod: 79. FINAL INSPECTION I . 32. Electrical PowerMeter-Final �80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning ' 35. Final Gas Pipe-Test ' 36. Hood or Canopy • -3.7. Final Factory Fireplace 38. Final Plumbing . '39. Water Service-Final e'Il) .40. Gas Service-Final e • . 41. Solar Domestic-Final i/ 4/.. 4 42. Backflow Preventer /I. 43. Backflow Irrigation • J v n., t 44. Landscape Irrigation System '�� 45. Sound Attenuation � 7• ' ^-• r 46. Handicap Regulations .e. ti • 47. FINAL STRUCTURE & BUILDING • ' • 48. Special Requirements Completed \ .49. Electric Release to Edison ' i Gas Release to Southern California Gas CoL50- o I*: -. v -7i .1. CERTIFICATE OF OCCUPANCY ' "' I` +t - • Date L: t ,�- • fi (j- / 11 • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • PERMI O. TRACT NO., LOT NO. UNIT N0. CITYUF COSTA MESA CONSTRUCTION PERMIT I 3y400� A.P.3W . I Zone airojgct Addrdss Z�7� S Main Building: - Accessory Building: • I N� �.. TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION U REPAIR E • Z Applicant's Mailing Address I / Front in- rr•.,J� � l /�i _ 1,2/n/ 0 CONVERSION 0 DEMOLISH 0 OTHER T _ N Owner's Name /! / n(,,Tli�VGCt) /��f/41/!�/2-L—Psslf/,OFtl¢_��7 U �tt7 DESCRIPTION OF WORK/USE OF BLDG. A Rear • - I Address ��a�-��. - ,lcc Arch/Eng- /1/�I/f Icense No. TYPE OF PERMIT ❑ GRADING 0 FOUNDATION LI STRUCTURAL C Right N Address / ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL s Left - • R Contractor's Nam _8 Phone ❑ OTHER Ping. Ret# - - Parking Req./Provided - E PROJECT DESCRIPTION Sq. FT. OCCUPANCY 0 Address(mailing) Planning Notes: M CONSTRUCTION TYPE VALUATION$ .f City License No. ZONE GRADING CV.YDS. ACRES - '$• LICENSED CONTRACTOR DECLARATION - - I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: - with section 7000) of .Division 3 of the Business and Professions Code,and • my license is In full force and effect. ' ELECTRICAL FEES • License Class License No. Date Signature PLUMBING ' FEES /�_lutomatic Washer Transformer 0 15-50 KW • WORKERS'COMPENSATION DECLARATION Bar Sink Showers �/ Vonstruct ion Pole Sub(C2JE2 501 KW • • . %S 1 hereby affirm that I have a certificate of consent to self-Insure or a certificate workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink -• Cooking Unit Meter ❑up to 100 amps ' ' .00, Lab. C.) . Policy No., Company Backflow Irrigation Sewer Cap - • Dishwasher Meter Dover 100 amps ' El Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel , — Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Date ApplicantFan Motors❑0.1 HP ❑i%-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors(This section need not be completed if the permit is for one hundred($100)or Dishwasher • Solar Piping F.A.U. - - less). Inc.Solar 09-15 HP❑16-15+ I certify that in the performance Of the work for which this permit Is issued I Fixtures shall not employ any person in any manner so as to ecome sub'ect to the Drinking Fountains Solar Tank Microwave Workers'.Ge� sat" ws of Califor Date /'•�/•G� Signature t Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE: If,after making this declara Ion, you sho d become subject to the Outlets Range Workers'Compensation provisions of the .Labor Code, you must forthwith Floor.Sinks Urinal - - . - • comply' with such provisions or this permit shall be deemed revoked. - CONSTRUCTION LENDING_AGENCY - Gas Service Outlets Water Closet - Switches Sign ' I hereby affirm that there is a construction lending agency for the performance - of the work for which this permit iS issued (Section 3097 Civ. C.) Interceptors - Water Heater• Garbage Disposal Standing Sections Lender's Name Lender'%Address . Kitchen Sink • Water Service ' Generator 00.5 KW 05-15.KW Trash Compactor OWNER BUILDER DECLARATION ' ' I hereby of firm that I am exempt from the Contractor's License Law for the Lavatories ' Auto-Wash, • • following reason (Section 7031.5 Business and Professional Coda: Any city or - ' • county which requires a permit to construct,alter,Improve,demolish or repair P—TrapLaundry Weirs - 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 ofRoof .Drains 'the Contractor's License Law(Chapter 9(commencing with Section 7000)of L ` .tivision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee I J $w •refrom-and the basis for the alleged exemption. Any violation of Section 31.5 by, any applicant for a permit subjects the applicant to a civil - nalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: ❑ I, as OWner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 .compensation, will do the work,and the structure is not intended or offered r Zoning Approved By nate for salese (Section e Business and Professional Code: The Contractorsroves - - MECHANICAL 1 FEES Building Approved By Date---) ern Law does not apply to owner f a property who builds or improves o • - • I thereon: and who does such work himself/herself or through his or her own - ' Hood or Type I ❑ Application Issued By Dat Z le.employees, that suchorimprovementsimv are not intended or year red c for Boiler If, however,tthe buildingve dof pro i g within one your of rem- Canopy' Type II 0 - SUMMARY OF FEES be pletion, the owner will have the burden of proving he/she did not build or Im- Duch-Under Ground for the purpose of solo). - BUILDING PERMIT. $ SMIP $ Nl t, as owner of the property, am exclusively contracting with licensed con- Duct-Structural - Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: • The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100;000 BTU 0100,000.BTU PLUMBING $ ISSUANCE $ '-builds or Improves thereon-and who contracts for such oroiects with a con- - • , - tractor(s) license pursuant to [no Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ 30 GRADING $ ❑ I am exempt under Section B.& P.C.f r this reason Firepl/Fact.Bit. ICBG dk Fire Dampers MICROFILM $ PLAN CHECK 50% $ Date owner ( Heating System&Ducting Registers MECHANICAL $ 3©—' .d.hereby-certify that I have read this application and state that the above ' 00-100,000 BTU 0100,000 BT - - - - - ,TOTAL FEE $ Information Is correct. I agree to comply with all city and county ordinances _ PLAN CHECK 25% $ and'state laws relatingIto building construction;and hereby authorize repre • - sentatives of this city to enter upon the above-mentioned property for • inspection pure es. .7 �) • - Signature Oate��GZ'.a7ll ' Drivers' License or 55 9f Reinspection Fee '$15 Issue Fee $ 3 0865-46,rev.5/88 White - Pink -Accounting; Goldenrod - Assessor -01 00010181-00010181 TOT 30.00 . tOFISTRIICTION AND PLANNING POC SPA `; •APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 7....29-68 g ':4 52. Pool & Equipment Location I''� 2. Soil Pipe:Undrgrnd. i )1 53. Steel Reinforcement I j •3. Electrical Conduit Utility-Undrgrnd. Cr) 54. Forms " I. 1 irs 1 4.• 'Electrical Conduit-Undrgrnd. 'r' 55. Electrical Bonding • I 5.•Steel'8einfbrcement 56. Rough Plumbing & Pressure Test r '6. !Electrical':UFER'Grnd. 57. APPROVAL TO COVE R-GUNITE :S 72 Footi2g9'1 j- .•• 58. Electrical Conduit-Undrgrnd. : '' . ... ry 8: un FoiiaLor2 tr 59. Gas Pipe, 0 Undrgrnd., Test /1 9. Water Pipe-Undrgrnd. ',r 60. Backwash Lines, P-Trap, 0 Undrgrnd. r' 10. Structural Floor System /y 61 . APPROVAL TO DECK '1- 11. "cop,' ity Sewer Line & House Connection 62. Backwash & Receptor-Final . 12. Sewer Cap -s 63. Heater & Vent-Final '�.p 13. Roof'Drains 64. Plumbing System - Final r et,. 14. Rough Plumbing ' • 65. Electrical-Final •1 -%) 15. Rough Electrical-Conduit 66. Solar System-Final - ' 16. Rough Electric Wiring 67. Fencing & Access Approval '97. Rough Wiring Sign 68. APPROVED FOR PLASTERING r r 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT i ,2d. 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 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 - ' C'- :11 41. Solar Domestic-Final rri ' -/ 42. Backflow Preventer +r.) iI 43. Backflow Irrigation t 44. Landscape Irrigation System 45. Sound Attenuation • , 46. Handicap Regulations • 47. FINAL STRUCTURE & BUILDING y- 48. Soecial Requirements Completed ' V 49. Electric Release to Edison • Jt 50. Gas-Release to Southern California Gas Co ---tM 51. CERTIFICATE OF OCCUPANCY :I; -.� 'U 'I. - No. Date '1 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. IPER T N TRACT NO. LOT NO. UNIT Nyyy��{ CITYOF COST!! MESA' CONSTRUCTION PERMIT "� � ��� � A.P,its Zone Applicant's t Address •�371 ELpeJC/ 41,"e_ -� / S Main Building: I Accessory Building: AppliMailing A dress ,s A TYPE OF CONSTRUCTION $4 NEW ❑ ADD U ALTERATION U REPAIR Owner's Name � 1577Z4 A -• Phone EL] CONVERSION ❑ DEMOLISH ❑ OTHER - _ T Front O a DESCRIPTION OF WORK/USE OF BLDG. AB Rear • N A • ddress Arch/Eng. _License No. TYPE OF PERMIT ❑ GRADING H FOUNDATION U STRUCTURAL 1 K Right G Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING MECHANICAL S• Left Contractor's Nam-r- a Jr f O ' tPhonap 70 ❑ OTHER Ping. Ref.4 Parking Req./Provided E Address(mailing) , O,• o/J/ntel../// s.S.r .Se'ilre 3 PROJECT DESCRIPTION SQ. FT. OCCUPANCY • Planning Notes: MCi CONSTRUCTION TYPE VALUATION$ City License No. 04/513 ZZ ZONE GRADING CU.YDS. ACRES T LICENSED CONTRACTOR DECLARATION J /� S.hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: B .. Z 9 �/ y� with section 7000) of Division 3 of the Business and Professions Code, and J kyr 1J SIS my license is in full f• . d -ffect. 1 ELECTRICAL FEES License Class _ 'c• se No. � ✓- � � PLUMBING Automatic Washer Transformer 0 15-50 KW Date -.� Signature _/ �! �-i, FEES WORKERS'COMPENSATION DE LARATION Bar Sink Showers Construction Pole Sub. 0 50+KW I hereby affirm that I have a certificate of consent to self-insure or a certificate m - Workers' Compensation Insurance, or a certi ''d copy thereof (Section Cooking Unit Meter ❑up to 100 amps ' 00, Lab.SA. ff n/Jp /x - Backflow Preventer Service Sink Policy No61///S2J�/D/9 Compan .4 • I ./I apw L Backflow Irrigation Sewer Cap ✓`1 Dishwasher - Meter Dover 100 amps Qa Certified copy Is hereby furnished. - Dryers ❑Gas ❑Electric Sub Panel Cer yfietl coy Is th the city BA •`ng; •�.I, 1. / Bathtubs Sewer Connection Date ya-1'/ - Applicant - tar - Fan =- Motors❑01 HP ❑1% B EXEMPTION FROM WORKERS'CO 'ENSATION DE LARA ON Clarifiers Solar Collectors - - ` (This section need not be completed if the permit is for one hund ed ($100)or F.A.U. nc.Solar ❑9-15 HP ❑75-15+ less). Dishwasher Solar Piping . l certify that in the performance of the work for which this permit is Issued IFixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank _ Microwave Workers' Compensation Laws of California. Device Boxes Pole Light Date Signature Floor Drains Swimming Pool w/Spa 9 NOTICE: If,after making this declaration,you should become subject to the - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range comply'with such provisions or this permit shall be deemed 'revoked. - _ CONSTRUCTION LENDING AGENCYSwitches Sign Gas Service Outlets Water Closet g I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's .Name Lender's Address Kitchen Sink Water Service • Generator 00-5 KW ID 5-15 KW Trash Compactor OWNER BUILDER DECLARATION ` I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county witch requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof OrainS the Contractor's License Law(Chapter 9(commencing with Section 7000)of • Division 3 of the Business and Professions Code) or that he/she is exempt •refrom and the basis for the alleged exemption. Any violation of Section Reinspection Fee $15 Issue Fee $ 3 31.5 by any applicant for a permit supjects the applicant to a civil nalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: O I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ 3Zoning Approved By Date compensation, will do the work, and the structure is not Intended or.offere0 for sale (Section 7044, Business and Professional Code: The Contractor's '1 #1 MECHANICAL FEES Building Approved By Dated License Law does not apply to an owner of a property who builds or improves • thereon, and who does such work himself/herself or through his or her own Application Issued By ••employees, pr ovided that such improvements are not intended or offered for Boiler Hood or Type I ❑ Datesale. If, however,the building or improvement Is sold within one year of tom- Canopy Type II ❑ SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). • - BUILDING PERMIT $ SMIP $ LJ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration SystemPLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code:builds ort improves Ithereon�na whnot o cotracts to an sch oroiof ecisr witht a co^o- Duct-Ventilating ❑0.100,000 BTU ❑100,000 BTUPLUMBING $ ISSUANCE $ tractors) license pursuant to the Contractors License Law). I am aware that a.i Exhaust System Il Multiple❑ System Repair/Alteration y 150 PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ++77 ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.&P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers MICROFILM $_ PLAN CHECK 50% $Date caner Heating System& Ducting Registers q, MECHANICAL $ �$ •SD eZ I hereby certify hat I av read this apps' .A.on and state that the above 0.100,000 BTU 0100,000UL TOTAL FEE $ information is c•-ect agr e t omply �Z.11 city and county ordinances PLAN CHECK 25% $ and state laws r:at g to uil nstr•f/�•n,and hereby authorize repre- sentatives of t S it .40 SA •.0 e-mentioned property /Jpr inspection pure• s. Dat/8-,' - - DSirivers' Lir-e se 01 00018095-00015095 TOT 0865-46,rev.5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 10/28/88 TIME: 12:03 ' CONSTRUCTION AND PLANNING -.'. POO ;PA APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. V ; ; 53. Steel Reinforcement 3'. Electrical ConduitUtiliiy-Undrgrhd. i•-•:-: V. 54. Forms - 4.:Electrical Conduit,rypdrgrnd. ii) , ,., �' 55. Electrical Bonding 1.. ' • I ,ia 5. §teel.Reinforcemen;i . Y.•, 56. Rough Plumbing & Pressure Test I " 6. Electrical UFER Gine! ., - 57. APPROVAL TO COVER-GUNITE 7. Footings 1• �i t� 58. Electrical Conduit-Undrgrnd. $1 Foundation % 59. Gas Pipe, 0 Undrgrnd., Test • 9.•Water Pipe-Undrgrnd. �'r- 4'2' 60. Backwash Lines,P-Trap, 0 Undrgrnd. i ' I 10: Structural Floor'Sysiem 'j .1 ' 61. APPROVAL TO DECK t,, 11.. Property Sewer Line& House Connection '" 62. Backwash & Receptor-Final - 12. Sewer Cap { r ,. . I ;/� 63. Heater & Vent-Final 13.'Roof Drains '' . ' 64. Plumbing System - Final ; ti 14 Rough Plumbing' !t; ,.• 65. Electrical-Final !1 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval - • t17. Rough Wiring Sign 1 68. APPROVED FOR PLASTERING - u18. Rough Electrical-T Bar Ceiliniq. 69. POOL/SPA SYSTEMS FINAL i19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT •• 1 , y0. Rough Factory Fireplace , APPROVALS Permit# I t21'. Ducts, in Structure ' . 70. Underground Hydro 22. Ducts, Ventilating . -', 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough&Test ,ri 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 A-' 31. Plaster Brown Coat 79. FINAL INSPECTION -32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED f y n 33. Final Electric Notes: lu.i 1 34. Final Heating & Air Conditioning 1/p' ,9 r 35. Final Gas Pipe-Test / f/ 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 ' t ;.l 43. Backflow Irrigation ;J 44. .Landscape Irrigation System 45. Sound Attenuation r:l 46. Handicap Regulations `%r • 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison - n 50. Gas Release to Southern California Gas Co ••<1 51. CERTIFICATE OF OCCUPANCY ;', :" No. ' Date -�;.� 7 , / rir Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA��JM11ESA CONSTRUCTION PERMIT PE(�R/MIT NO. TRACT NO. LOT NO. UNIT U. Project Address Z3 ?i t L.DDr�r urn 1 n • 3.G9 1 4 ` 1j[17y� • 'Applica • nt's MailinHA g'Address /' TYPE OF CONSTRUCTION NEW U ADD'U ALTERATION LJ REPAIR Owner's Name NRI- TFAYLOIL Phonay5ytr?It e U CONVERSION 0 DEMOLISH 0 OTHER A•P-.�6 Zone Address -3 y01 Nn&z&SC5 AVrAhh- easjij/7-99.4412427 DESCRIPTION OF WORK/USE OF BLDG. S Main Building: Accessory Building: r E Z Arch/Eng, License No, TYPE OF PERMIT U GRADING U FOUNDATIO U STRUCTURAL T Front 0 Address ��yy ❑ TENANT 0 ELECTRICAL 0 PLUMBING MECHANICAL B Rear N Contractor's Namestega't+ AlfkrP-'fCV' DAC' PhoneV.2–b Fa. 2- 0 OTHER A I PROJECT DESCRIPTION SQ.FT, OCCUPANCY K Right N Address(mailing/61g/C✓1�/`!�G–!1s �f $jyN,Cg n6gUK G OLi2.19T CONSTRUCTION TYPE VALUATIONS S Left A City License No. // ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION Ping.Ref.# Parking Req./Provided E O I hereby affirm that I am licensedion under provisions Charter 9(commencing Remarks: Planning Notes: M With sections7000) of a and On 3 of the Business and Professions Code,and T my license is in full force and e feel Licen : Class _=rte--� C� i nse No r, S 5 S ill Date ir'•, Ar Signature as—%X7, d •.,� PLUMBING FEES —1.- WORKERS' _.–WORKERS'COMPENSATION DEC •RATION Bar Sink Showers ELECTRICAL FEES I hereby affirm that I have a certificate of consent to self-insure or a Certificate f Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink iSii,OO, Lab. C.) Automatic Washer Transformer 0 15-50 KW (v(� Policy NO.1 Lkle e470oc3 Company /V4t/ONud DG= Backflow Irrigation $ewer Ca ❑ 50+KW �`j1 J �'bP Construction Pole Sub. Certified copy is hereby furnished. Certifiedacopy is filed with Ap the city$ i)ri ivizi f ,�+ Bathtubs Sewer Connection Cooking Unit Meter ❑up Io 100 amps v Date 70'-37 FROMler KE RS'an .TIO EXEMPTION WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred($100)or less), Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel i certify that in the performance of the work for which this permit is issued,I - • shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors❑0-1 HP❑1%-8 .J Workers' Compensation Laws of California. _ Date Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9.15 HP ❑16.15+ NOTICE:If,after making this declaration,you should become subject to the - Workers' Compensation provisions of the Labor Code, you must forthwith —^Floor Sinks Urinal 7 Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY ✓'• Gas Service 'Outlets Water Closet V Device 60xes Pole Light I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097 Clv, CJ Interceptors Water Healer ' ' _ 9 , Outlets Range Lender's Name Lender's Address- Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash �� Garbage Disposal Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or f countywhich requires a permit to construct,alter,improve,demolish or repair any stucture, prior to its Issuance, also requires the applicant for such permit P–Trap Laundry Trays Generator ❑0-5 KW❑5-15 KW Trash Compactor to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains ' the Contractor's License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she Is exempt herefrom and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil cnelty of not more than five hundred dollars($500). U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered _ for sato (Section 7044, Business and Professional Code: The Contractor's Reinspection Fee $15 Issue Fee $ 3 License Law oes not apply to an owner of a property who builds or improves MECHANICAL FEES thereon, and who does such work himself/herseif or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered far Boiler Hood or •Type I 0 sale. If, however, the building or improvement Is sold within one year of com- Canopy Type)I ❑ Zoning Approved By Date pietlon, the owner will have the burden of proving he/she did not build or im- Duct•Under Ground Building Approved By Date prove for the purpose of sale). ❑ I,as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By C_Dats4_,=–t----e8 tractors to construct the project(Section 7040,Business and Professions Code: T✓ Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0100,000 BTU ❑100,000 BTU SUMMARY OF FEES bunts or improves thereon,and who contracts for such projects with a con- SMIP $ lfaCor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ ❑ System Repair/Alteration f BUILDING PERMIT S proof of their Worker's Compensation insurance should be provided to me. y Multiple 1 Q� PLAN CHECK $ PERMIT L7 Qm exempt under Section B.b P.C.for this reason 7- Firepl/Fact,Bit. ICBG#/y'ff f Fire Dampers 1 W PLUMBING $ ISSUANCE $ • Die Owner Heating System&Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ ini(eby certify that 1 have read this application and state that the above ❑0100,000 BTU ❑100,000BTL-1 ELECTRICAL $ GRADING $ an senate laws relating to building construction,and hereby authorize repre- $ MICROFILM S PLAN CHECK 50% inspe?s of this city to enter upon the above-mentioned property for �/��–��— s'.-e S(gnat�pu sec. i_Dfi 1� MECHANICAL $ t Drivers Date.", ��-0000 TOTAL FEE $ 2 r'�• ens¢or 55 Reinspection Fee $15 Issue Fee y<.8� PLAN CHECK 25% § CMF 0865-cit. - .. ... a.,..i• 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 11/01/88 TIME: 08:39 Ic CONSTRUCTION AND PLANNING PQO .''+•` 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 UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings `" 58. Electrical Conduit-Undrgrnd. 84 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 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 PfrAp ri..APPROVALS Permit# 21. Ducts, in Structure ,/� 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank O Gas O Oil ' 25. Roof Sheathing74. Overhead Hydro a 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 i 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED r• -33, Final Electric Notes: /t 34. Final Heating& Air Conditioning - - 35. Final Gas Pipe-Test ` 36. Hood or Canopy 37. Final Factory Fireplace y47'#' "ji4 38. Final Plumbing //�� `'/ 39. Water Service-Final , 40. Gas Service-Final - - i 41. Solar Domestic-Final / 42. Backflow Preventer -5 , - 43. Backf low Irrigation - '44. Landscape Irrigation System _ / . 45. Sound Attenuation 46. Handicap Regulations - -"' 47. FINAL STRUCTURE& BUILDING • - • . 48. Special Requirements Completed • - -" •. Electric Release to Edison 50, Release to Southern California Gas Co ` Not CEA %v ctrOCCUPANCY tl, ------------1------2-. Date - - - ., _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY• OF COSTA MESA CONST_i UCTI ON PERMIT PERMIT NO. TRACT NO. ,LOT NO. UNIT NO. - x237/ f£LOF/,/ ft- 313 7v5 • 0408 11 /30/B7 - 23x00 TL Protect Address �,�''s ,1 /- f � t � Applicant's Mailin Addres O/0' 4rL£Lk ./V2 MIt C/ TYPE OF CONSTRUCTION LI NEW U ADD L I ALTERATION L I REPAIR • Owner's Name it.T /CG 61 r-nr/�✓C Phone) 7�-KW_ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.q�, I Zone A /. DESCR IP ION •F WORK/USE eF BLDG. /.42"491 I��r "re Address 2Yai /Weir AvrL �i('� i - S Main Building: Accessory Building: E Z Arch/Eng. License No. TYPE OF P- •MIT II G•ADING III FOU DATION ■ STRUCTURAL T Front 0 Address - /6414 �1� `,/ // ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N NieQiLa// M[ c4-fAPhone`3r6CT ❑ OTHER Contractor's Namr �^7�- Address(mailing) A/0 f9/'T!1 ./)-Am ,4-�L / PROJECT DESCRIPTION SQ FT, OCCUPANCYMQF C Right G g "Li VALUATION S f/ L/L/o-w--- $ Left R /e") Cr ?)' ONSTRUCTION TYPE _ City License No. l h ( ZONE - GRADING CU.YDS. _ ACRESE LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: .1�--�),, ,.., (\ ` n Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code,and `^"0 �' -•�4 i. s Q(� �T my license is in full force an• -1fect. p� 1 T License Class L LLp�'ns//�v� T • - S Date//_.76-t/ Signatur LW, //%�a PLUMBING FEES . WORKERS'COMPENSATION DECLARATION Bar SinkShowers. ELECTRICAL FEES hereby affirm that I have a certificate of consent to self-insure or a certificate . Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink • 300, Lab. C.) Automatic Washer Transformer 0 15-50 KW Policy No. Company Backflow Irrigation - I Sewer Cap �O[a Construction Pole Sub. CI50+ KW 8 Certified copy is hereby furnished. Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps _ • Date Applicant - EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100) or less). Dishwasher - . Solar Piping - Dryers ❑Gas ❑Electric Sub-Panel , I certify that In the performance of the work for which this perm) is issued, I shall not employ any person in any manner o as t• o,.•• - •to the Drinking Fountains Solar Tank Fan Motor 00-1 HP ❑1 X-8 Workers' CorTensa ion Laws of Cali • ni. - • - Date �Er`/ Signatur: Floor Drains Sviimmin Pool w/Spa NOTI If, Iter making this declaration,you - (HI. bde!. u•lect to the g p F.A.U. 1 .Solar ❑9.15 HP ❑16-15+ Workers' Compensation provisions of the Labor Code, you must forthwith FlooLSinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes . I hereby affirm that there is a construction lending agency for the performancePole Light of the work for si 1tZrs permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Range Lender's Name r�(��Y(/ Lender's Address Kitchen Sink Water Service Switches Sign ' OWNER BUILDER DECLARATION ' I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash , following reason (Section 7031.5 Business and Professional Code: Any city or - Garbage Disposal Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P—Trap LaundryTrays , any structure, prior to its issuance, also requires the applicant for such permit y Generator ❑0-5 KW❑5.15 KW Trash Compactor to tile a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of • - • fivislon 3 of the Business and Professions Code) or that he/she is exempt erefrom and the basis for the alleged exemption. Any violation of Section 131.5 by any applicant for a permit subjects the applicant to a civil ' ,.enalty of not more than five hundred dollars($500). ❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not Intended or offered --- Reinspection Fee I $15 Issue Fee $ 3 +- for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES • License Law does not apply to an owner of a property who builds or Improves _ ___ thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type 0 DEVELOPMENT SERVICES REQUIREMENTS: - employees, provided that such Improvements are not intended or offered foryp sale. If, however, the building or improvement is sold within one year of corn- Canopy Type II 0 Zoning Approved By Date pietlon, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By Date prove for the purpose of sale). 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural • Refrigeration System Application Issued By = 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 UFER 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 . 'rope -- • -• • 62. Backwash & Receptor-Final 12. Sewer Cap /.-/Y/f f% �f7f.1' . 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 0Oil 1 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 75t 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 8i ••D 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 I 40. Gas Service-Final , • 41. Solar Domestic-Final , 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System • 45. Sound Attenuation 46. Handicap Regulations • • } 47. FINAL STRUCTURE & BUILDING • • 48..Special Requirements Completed 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co • 51. CERTIFICATE OF OCCUPANCY No. Date • - Applicant to fill in all yspaces except those within.h'eaavyy border lines and sign all appropriate declarations. y { 34 V JO TRACT (NN,- LOf�jQ I UNITN y39 —�7. 1� /lam cITYOFCOSTAM A CONSTRUCTION PERMIT pal C4/ A.P.# 2 — zgna Project Address3 7/ /o e .4 A _ S Main Building: Accessory Building: Applicant's Mailing Address ( > 0 /L✓N/tT/c/' ST CM TYPE OF CONSTRUCTION NEW 1:1 ADO LI ALTERATION LI REPAIR E Z an- / �/Oy For Phone Sye+'2/06 ❑ CONVERSION LI DEMOLISH ❑ OTHER - T Front - Owner' s Name N DESCRIPTION OF WORK/USE OF BLDG. Rear Address "y0 i No,C.SG /}t/c_ CM A 1 Arch/Eng. - License No. TYPE OF PERMIT El GRADING LI FOUNDATION Ill STRUCTURAL • I C Right C v Address ❑ TENANT ❑ IC ELECTRICAL I-PLUMBING ❑ MECHANICAL ' S• Left R Contractor's Name •E//RNS eta.Cr Phone 016'7/ 8S ❑ OTHER Ping. Ref.# Parking Req./Provided E . O Address(mailing) /7%L A LA-44-17-r/LA-44-17-r/ a J r GM PROJECT DESCRIPTION SQ. FTOCCUPANCY Planning Notes: M City License No. 6�' 27 � CONSTRUCTION TYPE VALUATION$ T. ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION J I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: . 3 / 8 / g with section 7000) of Division 3 of the Business and Professions Code,and ! my license is in full force and effect. ELECTRICAL FEES License Class_ License No. �� ��6 7 - Date 8"'f18 —SQ Signature ..2�.� — PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW WORKERS'COMPENSATION DECLARATION Ddn$LrUttldn Pole Sub. • ❑ 50+ KW 'hereby affirm that I have a certificate of consent to self-insure ora certificate Bar Sink Showers . • Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink _ - - Cooking Unit _ Meter Cup to 100 amps ' 800, Lab.f _ /� • P icy No.C # 7y5 YtJo/ 7 C"'<:fT- /N/9� Dishwasher ` • Meter Cover 100 amps Company Backflow Irrigation Sewer Cap _ 1�}-y��`..'art tried copy'Is hereby furnished. 1 Dryers (]Gas ❑Electric Sub Panel • Ll Certyied copy isft Tedd with the city Bu�sfn IvJ'�ig�n. • a Bathtubs Ly I` i Sewer Connection 9 QU - Date g I I n --^ `" Applicant P.] '-"�'�- • l Fan - Motors 00-1 HP ❑1%-8 EXEMPTION FROM WORKERS'COMPENSATION-DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit Is for one hundred($100)or F.A.U. Ina.Solar❑9-15 HP 15.15+ -/1 less). ) Dishwasher Solar Piping 2 R') 1/C`••/I I certify that in the performance of the work for which this permit Is Issued I Fixtures r shall not employ any person in any manner so as.to'become,subject to the Drinking Fountains Solar Tank Microwave ,/,/� Workers' Compensation Laws of California. `. - - !IS) Date Date. /- Signature �' Floor Drains Swimming Pool w/Spa Device Boxes - / Pole Light NOTICE:if,after making this declaration, you should become subject to the OutletsRan e_ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal - -- • - g - - - I comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY• W Switches Sign Gas Service Outlets Water Closet (O _ oto / I hereby affirmk that therewhiis a permit lending agency for the performance Ce of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors / Water Heater Z Yu Garbage Disposal Standing Sections Lender's Name Lender's Address ( Kitchen Sink / Water Service • • 4 trY Generator 00-5 KW 05.15 KW Trash Compactor 9 'OWNER BUILDER DECLARATION // / , I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories, --f3--f3 .-- Auto-Wash -� following.reason (Section 7031.5 Business and Professional Code: Any city or l ,It) . county which requires a permit to construct,alter,Improve,demolish or repair P—Trap Laundry TraYs-- ' any structure, prior to its Issuance, also requires te applicant for such permit - • to file a signed statement that he/she is licensed pursuant to the provisions Of . Roof Drains i • '1ivi5iOn 3 of the Business and Professions Code) or that he/she is exempt - Reinspection Fee ! $15 Issue Fee $ 3 erefrom and the basis for the alleged exemption. Any violation of Section - 131.5 by any applicant for a permit subjects the applicant to a civil - enalty of not more than five hundred dollars ($500). DEVELOPMENT SERVICES REQUIREMENTS• r/ Issue Fee $ 3 Zoning Approved By • qi Data./-J( 'compensation,•will do the work, and the structure Is not intended or.offeretl •for sale (Section 7044, Business and Professional Code: The Contractor's - MECHANICAL FEES Building Approved By cr — Date + _-, License-Law does not apply to an owner of a property who builds or Improves • VD! �9„s� `u`C4/--/( thereon, and who does-such work himself/herself or through his or her own - Application Issued By lti Dat employees, provided comsat ch improvements are not Intended or offered for Boiler Hood or Type I 0 , sale. If, however, the builve jhe burden ment is sold within one year of corn- ' Canopy Type I I 0 • SUMMARY OF FEES • p , the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground • -prove for the purpose of sale). BUILDING PERMIT $ - SM IP: $ .❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural - Refrigeration System • PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: • -The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU PLUMBING $ '3/3&. ISSUANCE $ . builds or Improves thereon, and who contracts for such oroiects with a con- -" _ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof,of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ 111I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers GICROFILM $ •Date Owner Heating System& Ducting . Registers PLAN CHECK 50% $ MECHANICAL $ 325 g t• 00-100,000 BTU 0100,000 BTL TOTAL FEE $ 3L> • ;hereby certifysrect havercomply and state that the oboesPLAN CHECK 25% ' Ind stat is correct. I agree toi g const with all dy and county irepre- $ and state laws relatingiscity ttot building construction,and- herebyiauthorize y for inspection of this city to enter upon the above-mentioned Aproperty for Inspection our�ase �� I- A--(O ?s! ure� . • lam' Date Y 7�d - • Drivers' • License or SS* ��?- / Reinspection Fee $15 Issue Fee $ 3 0865-46,rev. 5/B8 White - Building: Canary - Applicant; Pink -Accounting; Goldenrod - Assessor Ol 00011733-00011733 TOT 38.00 ATE: 08/10/88 TIME: 15:66 II . t. 1 ri -- l - ;,CONSTRUCTION AND PLANNING l P00.. ., SPA .1:;-. I.. Date Inspector bate Inspector APPROVALS Permit# APPROVALS Permit# V. Temporary Electrical Service or Pole • 52. Pool & Equipment Location i • ; 2. Soil Pipe-Undrgrnd. fJ/�g�' JL� 53. Steel Reinforcement 3.•Electrical Conduit Utility-Undrg?nd. 7 , 54. Forms , - t 4. Electrical Conduit-Undrgrnd. 'I 55. Electrical Bonding . 5. Steel Reinforcement '-r56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE ! 7. Footings , ,; r % r 58. Electrical Conduit-Undrgrnd. 8. Foundation - 59. Gas Pipe,;❑ Undrgrnd.,Test 9. Water-Pipe-Undrgrnd. - t$G918p 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10.' Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection /�,/� , �0 - 62. Backwash & Receptor-Final - 12. Sewer Cap - ' - f t( G t- • '., 63. Heater & Vent-Final 13. Roof Drains ; - -- , 64. Plumbing System - Final , 14. Rough Plumbing; - 65. Electrical-Final -- y5. Rough Electrical-Conduit 66. Solar System-Final L - . X1.6. Rough Electric Wiring 67. Fencing & Access Approval . '17: Rough Wiring'Sign' 68. APPROVED FOR PLASTERING (1{S. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL d Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - 20. Rough Factory Fireplace i" APPROVALS Permit# • 21. Ducts, in Structure r 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test ---:- 72!-Underg"round Flush , 24. Roof Framing ' 73. Undergrnd.StorageTank 0Gas .0 Oil 25LRoof •Sheathing - . . . 74! Overhead Hydro ' '1~ , , 1 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ,', - - k 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding - 77i 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 •�. / i 85. '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 . '7r/99 Lip 39. Water Service-Final 1/,1 ,b' ,i' 40. Gas Service-Final JT 41. Solar Domestic-Final 42. Backflow Preventer ;; 43. Backflow Irrigation - ( g' •.r •. 44. Landscape Irrigation System r ,• , 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison ‘4., 50. Gas Release to Southern California Gas Co ,t, - _ , 51. CERTIFICATE OF OCCUPANCY F, No. Date r'-/ .11111111111111111111111111111111111 Applicant to fill in all spaces except those within heavy border lines and sign —_--- ' CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT N TR CT NO. LOT NO. 1 UNIT NO. �,� Project Address 2371 p �L�� r Applicari'RS fall Rig Address 240/ y VE TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION LJ REPAIR ', / 1/V I wY� 2/% ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# 1-I-'Ill—a�Z — \97 Zone 22 Owner's Name — Al Phone. iD DESCRIPTION OF WORK/USE OF BLDG. - Address -- �/�7�•a•�a v.�-a -A - 7 t' _ g' ��// S Main Building: AccessoryBuilding: Z Arch/Eng.-T S I //Lc 73 License NoICO/ 8_ TYPE OF.PERMIT 0 GRADING U FOUNDATION U STRUCTURAL T Front 0 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B N Address AContrRear Address (ma Name O /t Phone ❑ CTHER `�fV\ PROJECT-DESCRIPTION S@.•P'C �1�j ' C Right G OCCUPANCY v K _ Address(mailing) CONSTRUCTION TYPE VALUATION$ 1 OVi*s S Left R City License No. ZONES GRADING CU.YDS. ACRESE LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./PIOVI ed / 0 hereby affirm that am licensed under provisions of Charter 9 (commencing Remarks:y y Lfee`, / Planning Notes: / / k ,� 313 toI,x� 4/0 l-+C'/' M with section 7000) of Division 3 of the Business and Professions Code,and 'V sis A Rc''iF`'}a./ T my license is In full force and effect. - ', O w y,� p Q —A Q 5 f I •y,C License Class License No. it •►1- 4 Act l-J[J S Date Signature - PLUMBING FEES WORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES 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 , Backflow Preventer Service Sink 3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. - 0 50+ KW • 8 Certified copy is hereby furnished. - • Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Opp to 100 amps Date Applicant - - EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifier Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit Is for one hundred($100) or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel --• I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner s as to become sject to the Drinking Fountains Solar Tank Fan Motors❑0.1 HP ❑1%-8 Workers' n5a sot California. j! Datesdeclaration, Signature A3^r,.ti / Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP ❑16-15+ - NOTIC :If,after making this declaration,you should become subject to the _ _ Workers' Compensation:provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. _ CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes ilypoicieroLwiave ght 1 hereby affirm that theis a construction lending agency for the performancet re of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Ran ¢ Lender's Name 9 '/ 1 Lender's Address Kitchen Sink Water Service Switches Sign ' OWNER BUILDER DECLARATION • I hereby affirm that I-am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry TraysGenerator ❑0.5 KW 05-15 KW Trash Compactor any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains • the Contractor's License Law(Chapter 9(commencing with Section 7000)of ^ „ . f Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5,by any applicant for a permit subjects the applicant to a civil - penalty of not more than five hundred dollars($500). O I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not Intended or offered Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner Of a property who builds Or Improves thereon, and who does such work himself/herself or through his or her own - - DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By Date pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date pLoyelor the purpose of sale). SCION It�� ,�,p I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date I - 7Lz tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU SUM RVMF FEES ` 3'V builds or improves thereon,and who contracts for such projects with a con- rJ tractor(s) license pursuant to the Contractor's License Law). I am aware thatExhaust System ❑ Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. _ _ _ PLAN CHECK $ 58 PERMIT ❑ I am exempt under Section B. & P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING S ISSUANCE $ Date • Owner _�/ate” r Heating System&Ducting Registers PLAN CHECK 25% S ENERGY P.C. $ I hereby certify that I have read this application and state that the above 00-100,000 BTU ❑100,00087 ELECTRICAL S GRADING $ --1 Information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction,and b t1y�s��/ PLAN CHECK 50% $ MICROFILM $ inspection of this cit to enter u•on the a/ e-n�p1�[K for Inspection purposes. i• •Qp MECHANICAL $ TOTAL FEE $ 1 �" Signature fain _' • Pink -Accounting; Goldenrod - Assessor 1 UUU1U446-UUU1U44U I U I 14Y',UU DATE: 07/26/88 TIME: 10:26 CONSTRUCTION AND,PLANNING POOL& SPA 'I APPROVALS Permit# Date Inspector APPROVALS Permit • Date Inspector. 1p-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 !•%; 4itg &' Pi 56. Rough Plumbing& Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings • 31/. g ,6191 58. Electrical Conduit-Undrgrnd.- - 8. Foundation, ,t-' gliiSCI G,) • 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 �J 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 Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL '; 19, Rough Heating & Air ConditioningFIRE DEPT. REQUIREMENT r'• 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing • 73. Undergrnd,Storage Tank O Gas O Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical y • 27. Frame and Flashing 76. Dry Standpipe ` 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL * - 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat • 79. FINAL INSPECTION , 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED / nct &.N 33. Final Electric Notes:4�t`g$' O/c TO oLT- • 34. Final Heating & Air Conditioning `` r; 35. Final Gas Pipe-Test f t 387 Hood or'Canopy % 37.,Final Factory Fireplace t _ • r 38..Final Plumbing t� .• ; - 7 39. Water Service-Final 40 Gas Service-Final , I41.'Solar Domestic-FinalAl r,'42_ Backflow Preventer ! Ir' •:43.•Backflow Irrigation • -- - r•/ ;, -� • •144. .Landscape Irrigation System ( ',; : i c -• ': '45/Sound Attenuation ••' I - " ' 46. Handicap Regulations / <. -,, 'i^, i - , t 471,FINAL,STRUCTURE & BUILDINGiiiff 48, Special Requirements Completed N}:1 t 49. Electric Release to Edison ( 4 1 i, 50. Gas Release to Southerq California Gas Co / t 51. CERTIFICATE OF OCCUPANCY - ' No. Date ' • _ Applicant to fill In all spaces except those within heavyborder lines and sign all --�! - ••-.d., D P 9 appropriate declarations. • • — CITY og t:osTA'F/IESA CONSTRUCTION�PERMIT/ PERMIT NO.,, TRACT NO.Isi LOT NO. UNI NO. Project Mddress 2371• AWE/if sp�/-`�1��' ga4'ei �5-rr -t1 1 (/ tA� N Applicant's Mailing Address 24o1 r m�l-',st�-� J(�J:v� ey�� TYPE.OF CONSTRUCTION u.yirvEW U ADD L I ALTERATION LI REPAIR ' Owner's Name $T tVetO�ed-/ /'*ne �g 2JCC O CONVERSION ❑ DEMOLISH El OTHER S l •^_� q•p•,* y 3q - „no.. --- i R I Zone R ,....... Address l'iOt Ai A/ 'DESCRIPTION OF OB K/ EO BLOG,���-k/ �„ P $ Main Building: Accessory Building: Lf hk 78 TVP •F PERMIT U GRADING U FOUNDATION em STRUCTURAL E Front ' / . z Arch/Eng. �• s /�sp�Il��- icense No. ..an T �� • \ O Address f�`''r�1= E. G.M 7?�Z - '❑ TENANT ❑�ELECTRICAL l� PLUMBING ❑�MECHANICAL B Rear / �- N 7 .0 OTHER Y s/7Y/ q �� �0 U. ���G . Contractor's Name Phone Right Address(mailing) _ O� - -,PROJECT.�DESCRIPTION SQ.FFT5t�a r��. OCLUP NCY_`t 6 K $; G 9 CONSTRUCTION TVPFy 1 r:j• .`4 VALUATION$/07/ `•mss Left a' City License No. - 6".. R p ezONE- Gf�ADING CU.YDS. ACRES Ping. Ref. rye-8i-s15 Parking Req./Provided g/8 E LICENSED CONTRACTOR O CLARATION ' " • ='p • _ CI I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks:tee. 4 77/ -8'S.Q [cb' v. Planning Notes: 'D 44, ;J. 00.140 p�. M with section 7000) of Division 3 of the Business and Professions Code,and ^ • tee. � �j� �� � � my license is in full force and effect. f as �J (�L•a'1(A•••(fi.. 'c- a - C0L1- C $ • License Class _ g License No. 1 � HOLD FOR SPECIAL REOU N V Date Signature « PLUMBING FEES '{�FI�'�F WORKERS'COMPENSATION DECLARATION •• Bar Sink, Showers ' ELECTRICALr- FEES . ereby affirm that I have a certificate of consent to Self-insuie ora certificates .. ♦ _ 1-_ . Workers' Compensation Insurance, or a certified copy thereof,(Section ;• ••B¢ckflOW Preventer Service Sink - Automatic Washer Transformer 0 15.50 KW —4800, Lab. CJ 1 _ Policy No. Company . 4 4 ,i. Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+KW - Certified copy is hereby furnished. if - Certified copy is filed with the city Building Division. . - C Bathtubs Sewer Connection Cooking Unit Meter 0up to 100 amps Date Applicant - S. r EXEMPTION FROM WORKERS'COMPENSATION DECLARATION s` ' f,- Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit Is for one hundred ($100)or/- r Dishwasher less). Solar Piping Dryers OGas ❑Electric Sub Panel I certify that in the performance of the work for which this Permit is issued,I shall not employ any person in any manne so as to become subject t- the • •/ Deinking Fountains Solar Tank Fan Motors 00.1 HP 01x-8 Workers' en a_on Laws of Californi. _ 1 _ Date • >—Signature �z- _ - Floor Drains Swimming Pool w/Spa - F.A.U. Inc.Solar ❑9-15 HP 016-15+ NOTICE:If,after making this declaration, you should become subject to the - • Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks dr •l' Urinal Fixtures Microwave ' comply with such .provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYs - 1 hereby affirm-that there is a construction lending agency for the performance Gas Service ' OUtI¢LS- W¢Len Closet Device Boxes Pole Light of the work -for which this permit is issued (Section 3097 Civ. C.) Int¢rte tors Z. , Wate' Heater Lender's Name' _ - p J� Outlets Ranger Lender's Address i Kitchen Sink . Water Service Switches . . Siganri OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories •• Auto-Wash Garbage Disposal ' St following reason,(Section7031.5 Business and Professional Code: Any city or 9 P ding Sections county which requires a permit to construct,alter,Improve,demolish or repair P-Trap -;j' :', . Laundry Trays Generator 0-5 KW ❑5:15 KW any structure,'prlor.to its issuance, also requires the applicant for such permit _ ❑ Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains • . - . s the Contractor's-License Law(Chapter 9.(commencing with Section 7000) of % - - iivision 3 of the Business and Professions Code) or that he/she is exempt - - - - • „ lerefrom and the basis for the alleged exemption. Any violation of Section .031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). . 3 - LJ I. as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ compensation, will do the work, and the structure Is not intended or offered - Reinspection Fee j $15 Issue Fee \ $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES License Law does not apply to an owner of a property who builds or improves - _ thereon, and who does such work himself/herself or through his or her own • DEVELOPMENT SERVICES REQUIREMENTS: o e employees, provided that such Improvements are not Intended or offered for Boiler • Hood or Type 0 Zoning Approved By M M Date o 9/ �1 sale. If, however, the building or improvement is sold within one year of com- - Canopy Type II 0 pletio the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date pro for the purpose of sale). - sy I, as owner of the property, am exclusively contracting with licensed con- vey on- Duct'Structural R igeratiOn System Application Issued By at 1)17 tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 0-100,000 BTU ❑100,000 BTU UMMARY OFF ES builds or improves thereon,and who contracts for such projects with a con- . tractor(s) license pursuant to the Contractor's License Law). I am aware thatBUILDING PERMIT $ •r5 "� SMIP $ ( v2� elope of their Worker's Compen tion Insurance should be provided to me. Exhaust System 0 Multiple System Repair/Alteration ��br Lq' L83o - i PLAN CHECK $ 0 / • �( PERMIT am exempt under Section B. & P.C.for this reason Firepl/Fact.BIG ICBG# Fire DampersI PLUMBING $ ISSUANCE $ Date + all. •+fa. Owner �r�/'na.-.� Heating System& Ducting Registers • PLAN CHECK 25% $ ENERGY P.C. $ - I hereby certify that I have read this application and sta e that the above Do-100,000 BTU 0100,00067EELECTRICAL $ GRADING $ information is correct. I agree to comply with all city and county ordinances - and state laws relating to building construction,and hereby authorize repre- • PLAN CHECK 50% $ MICROFILM $ sentatives of this city to enter upon th• ab• •-menti• a erty for p, inspection pur•.ses. / f'�- MECHANICAL $ TOTAL FEE $ ( Lf• ?1 Signature ar _ - - Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ ' CMF 0865-46,rev. 10/84 White - Building: Caary - pplicant; Pink -Accounting; Goldenrod - Assessor DATE: 08/09/88 TIME: 15:05 CONSTRUCTION AND PLANNING POOL& SPA art Date Inspector . Date Inspector APPROVALS `Permit'#• APPROVALS Permit# 1!Temporary Electrical Ser• vice or Pole 52. Pool & Equipment Location 2. boil Pipe-Undrgrnd. - ' 53. Steel Reinforcement ' 3. Electrical Conduit Utility-Undrgrnd. •54. Forms �• 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 5. Steel Reinforcement S/b/f 6:4_, 56. Rough Plumbing & Pressure Test 6. Electrical'UFER Grntl% $/31w'7$/31w' &p 57. APPROVAL TO COVER-Gl1NITE • 7. Footings 'U • / 7 2/4/QR 6-i-' 58. Electrical Conduit-Undrgrnd., 8. Foundation--i> 1',..' 7- • 59. Gas Pipe, 0 Undrgrnd., Test' ��6��,YG•N . t 9. Water Pipe-lgdigrndr i i " 1 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System~' ifigS �N • 61. APPROVAL TO DECK 11. Property Sewer Line Sc House Connection 62. Backwash & Receptor-Final - 12. Sewer Cap - 63. Heater & Vent-Final #. •r 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 t; • 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL .....r.2 ' '^, 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT Cwt,. •� > 20. Rough Factory Fireplace APPROVALS Permit# �'' ....7.,` w /1 , 21. Ducts, in Structure 70. Underground Hydro - .n 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil r r • 23. Gas Pipe-Rough & Test 72. Underground Flush ,; ' 24. Roof Framing 73. Undergrnd.Storage Tank 0Gas 0Ol1,l; r• 25. Roof Sheathing plan &.NI 74. Overhead Hydro 4.-•i .,' "I i 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical , 11 #.- 27. Frame and Flashiri jjj " ' 'r 9 /,J��u�� 76. Dry Standpipe � , � �' 28. Lathing & Siding /L-6-C E . 0 / 77. FIXED SYSTEM FINAL Li 29. Insulation 0/#2 7/79, G'/4_/ 78. FIRE PREV. FINAL Y., f !'• , 30. Drywall Nailing 44! HEALTH DEPT. REQUIREMENT { /z�6�d8 ` 0 1 �Zp/ '. 31. Plaster Brown Coat / 79. FINAL INSPECTION j?t, a 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED' den I �} Hula POJI 5iF .-ik,yz#a4+;, 1 33. Final Electric Notes: r 175 34. Final Heating & Air Conditioning /0//if/g� at ra G./lb 4y Its IP E �. N 35. Final Gas Pipe-Test tb�4 7f MC S Ll Gil-4;a of 647- SRrr,rS )-•N, 36. Hood or Canopy WZ-r69 See l c*YC aC /ate 37. Final Factory Fireplace GLoccO �`,l�q e:.. !.'.-' 38; 5inal Plumbing . / Q � •i. 1. 39.'Water Service-Final `' I G Losspevil 40"..Gas Service-Final • i 1141:.%Sola,-Domestic-Final r :, - ' ,,• .� :.42. Backflow Preventer >Y i. .• ,, '43. Backflow Irrigation 'I r ,..;!, ,. _ • ' 44. Landscape1l'rrigation System r, jt r--. �• 45. Sound Attenuationt. _ 7 i 46. Handicap Regulations • .Z%• ' '' , 47. FINAUSTRUCTURE & BUILDING 3-'1"4-z..../,..t ---...!-;.47..• i° :t 4$. Special Requirements Completed *A X89 orii ;,_a. ' 49. Electric Release to Edison v/ ' •1- 50. Gas Release to Southern'California Gas Co -. • 51. CERTIFICATE OF OCCUPANCY . No. Date ,- - I AW 4 � 9Q22 J SEP 25- -001059*74C ****211-51., I • '- A BUILDING-SAFETY DEPARTMENT P.O.BOX 1200 COSTA MESA,CALIFORNIA 92626 / • f • 'AP L PATION FOR BUILDING PERMIT ForApplicantto Fill in Completely RE` I V DATE RECEIVED DATE(jISSUED BUILDINGa3 7 / EI le) JI) kites / -25 ^X- ADDRESS n Y 1 f OWNER ase1, -t /- �ft A.P. NO. ( IR-oil ` � 39p22BUILDIr_ ADDRESS 237► Ccbeo Ave, MAIL 037 J W&-AJ ' ADDRESS z ADDRESS / d U �� ��-fL TEL.�y�- TRACT 3 0o POT 31 BLOCK I-Z CITY �-fi�L-AJ /79-2.-1-4 I NO.•LS Z A Z< CONSTRUCTION NEW AOD ALTER REPAIR MOVING DFMOI ICH O N LENDER O. m X J BRANCH t-,_ ^, ___� J t/1 /�' OWNE Q W ADDRESS �-} � CO m ARCHITECT /-//j � ,.rl, //•� /7 ) TEL-�1.3-ybb USE MA:-L7 ' ` ALU$ ��OQ /� J Q OR ENGINEER/Is, 20./. I aILT A/ NO. f.9/ 7 co wQ. cc ADDRESS ,q. e• 2¢L,Lf,_.� (�t�w.�: i ZONE • r TYPE .....----GROUP r L. f APPROVED 46 M— 2� J p CONTRACTOR J ,_,,,rg�_I(,,...t I-c BY �'t YYYY� EFF--- DATf co _ J Q ADDRESSa.3s wW TEL.e�y7' Zp�µvE r7 NO.OF USE OF NEW C-LQSEL7 Z1_ CITY a"-C- NO.3647 7 t�-Ci- PLAN$ 2 BUILDINO-R O co STATE B-1 CALIFORNIA STATE CITY r n� YARDS APPROVED YARDS APPROVED V�!`-- DWCC LIC.NO./Y/n / MAIN BUILDING ACCESSORY BUILDING O LIC.NO.MNiRA(.70R7 LIC. it),t9d11 (FROM C/L STREET) SIZE NO.OF BLDGS. �� OF LOT (' F. A/�, I NOW ON LOT FRONT A`/r FT. FT. USE OF EXISTING BLDGOI •F r (],I, 4 Af}',(_-/_.[,L_ R SIDE el-OFT,FL -_ -_ eVr_ FT. 1- SIZE OF s I Q r NO.OF ' Z NEW BLDG/ 4 18 ROOMS STORIES�/� L.SIDE 6 FTI FT. Q EXTERIOR WALL .Q I ROOF COVERING (lltil[_ . _ • REAR 2-5. FT. FT. V COVERING {�L.�A,L'yr� J USE OF BUILDING AND WORK TO BE PERFORMED DISTANCE BET. BET.MAIN& CL C- MAIN BLDGS. ACCESS. BLDGS. Q rr •r , / VAR.# DATE 0 , _ _ _�-- C.U.P.# APPROVED FI / ' 1 / APPROVED wy�ry 9-2s 7y CA to _i • .1 . / / / ' / ' TBY _DATE z V • a I hereby acknowledge that I have reed this application and state /) that the above information is correct and agree to comply with CC all.laws regulating building construction, and I shall not employ any person in violation of the workman's compensation laws of y the State of California. SAX 1117 ZI hereby certify that I am properly licensed as a contractor under O. FT. o the State of California Business and Professions Code, Division 3, HE AMOUNT SHOWN UNDER VALUATION IS FOR 5 Chapter 9, and that such licenses are In full force and effect,or I THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY: c' am exempt from the provisions of the State of California Business VALUATION // and Professions Code,Division 3, pter 9. ( m / PERMIT FEE $ rJ D Stitt D Signature of / [a Permittee $/in PLAN CHECK $ E 111{{{"' 'Ca- TOTAL M `o Authorized Agent �. C/ V LL TOTAL FEE $ ��