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HomeMy WebLinkAbout636 BAKER ST - Building Permitst CITY OF COSTA MESA � B{IILDING DIVISION 77 FA�R DRIVE, COSTA MESA, CA 92626 •(714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.w.us FOR INSPECTIONS CALL: (714) 754•5626 PERMIT NUMBER: E08-00095 PERMIT TYPE ELEC STATUS: ISSUED APN: DATE ISSUED: 04/01/2008 ISSUED BY: RMD JOB ADDRESS: 636 BAKER ST.CM ' SuitelUnit: ���. Vicinity: INTERIOR OF SUITE TO.EXTERlOR �_ .;, \ , - , SCOPE OF WORK: RELOCATE�METER�INSIDE �OF BLDG. TO EXTERIOR 8 REFEED�EXISTING'SUB'PANEL/LOAD TO REMAIN THE SAME. NO OTHER WORK AUTHORIZED: �,-, � . � �• �'� ' � , L�� :�. . � �. � OWNER: Address, ,� , , . , Unit: � � , � � PHONE: :��y� .,, � � - �City/State/Zip: ' . . � . �,��` � . �- . . . . ' . r. APPLICANT: LOGAN, DENNIS � � � -. Address: �� Unit: � - ' - PHONE: 949 689-7779 ., . ' . City/State/zZip: , � � � ' � CONTRACTOR: DENNIS'LOGAN ELECTRIC - Address: 300 SANTA ISABEL Unit: UNIT A CitylState: COSTA MESA,CA ZipCode: 92627 - ',.1, ELECTRICAL PERMIT FEES Electrical Plan Check Fee: ' $42.25 Electrical Permit Fee: $84.50 Reinspection Fee $0.00 TOTAL FEES $126.75 z License No. 725011 ' PHONE: 949-650-4303 CELL: NOTCE: 7he work authorized by this permit shall comply with all applicable handicap access requirements under Ca�ifomia statutes and related regulations. (Ord. No. 92-28, § 1, 12•27-92) EXPIRATION: PERMIT EXPIRES 180 DAYS FROM DATE Of ISSUE OR DATE OF LAST INSPECTION. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained. Failure to obtain inspectlons and final approval will result in the expiration of this permit. cooe�, ixsaernoNrrv� 1818 Fizetl System Final Fire Prevention 1288 Pool Spa Final . 200 Final Re-Root 201 Final Blotk/RB�aining Wall 242 Final Factory Fire Place 203 FinalSign 204 Final Demolition p9g iHn �s COOEI wsrEcnoNTrre 208 Final Mechaniwl 208 Final Plumbing 210 Final Electriral �/A 212 Final Fire Prevention 220 Final Planning ApProval 222 FinalSite 250 Final Building/Ottupancy o� irnmmn� �I • :Ii�/W�. � I ~ WORKERS' COMPENSATION DECLARATION: � I heraby affirtn under penalry of perjury one ol the fo owing tleclaretions: ❑ I have and will maintain a certificate of consent to self-Insure for xorlcers' compensation, as provided for by secUon 3700 of lhe labor Cotle, tor the perfortnance ol ihe v.ork (or which this pertnit is issued. ❑ I have and will�maintain workers' compensation insurance, as required by section 3700 0/ the Labor Code, fw the peAormance of the v.ork fa wfiich Ihis pertnit is issued. My workers' compensation Insurence carrier antl policy number are: Cartier: (Tnis xertimm neeena Oe cmwkled I il�e ay� a val,ea at ma nwMraocbears (f faol a kss I P�o/licy Number: eSf 1 certify Ihat in lhe performance of the �wrk tor which Nis pertnil is issued, I shall not employ any person in any manner so as to bewme subject to the v.orkers' compensation laws of Califomia, antl agree that i1 I should bewma subject to lhe workers' compensation provisions of Section 3700 of tha Labor Cod shall forthwith comply vnth these provision 0 AppicanYs Signalure Da e WARNING: FAILURE TO SECURE WORKERS' CAMPENSATION COVER4GE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAI PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDRION TO THE COST OF CAMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. IMEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby aHirm lhat I am licensed untler pmvisions of Chapter 9(wmmencing with Section 7000) o( Division 3 of the Business and Professions Code, antl my license is in full lorce and eHect. Lic. # Class # C Cmvactw's Signature t CONSTRUCTION LENDING AGENCY: - ❑ I �ereby affrm that there is a consWction lentling agency for [he peAormance ol lhe v.ork fm which this permil is issued. (Sec. 3097, Civil Code�. Lender's Name: LendeYs Atldress: SigruWre OWNER-BUILDER DECLARATIONS: I hereDy aKrm thal under penal�y ol peryury lhat I am EXEMPT FROM TME CONTRAC70R5 LICENSE LAw for �he lollovnnq reason (Sec. 7031.5, Business and Professions Cotle: Any ciy or county which requires a permit lo wnsWct, alter, impmve, demolish, or repair any strucWre, prior to its issuance, also requires Ne applicanl (or such permit to file a si9ned statemenl that he or she is licensed pursuant to Ihe provisions of Ne Contractors License Law (Chapter 9(commencing with Seclion 7000) ot Division 3 of fhe Business and Professions CoOe) or tha� he or she is exempt Iherefrom antl the basis (or lhe allegetl exemption. Any violation o( Section 7031.5 by any applicant for a pertnit subjecis the applicant to a civil penalty of not more than five hundred dollare (5500).): ❑ I, as owner of lhe property, or my employees with wages as their sole wmpensation, WILL DO THE WORK, and the structure is not intentletl or oRered for sale (Sec. 7044, Business and Professions Code: The Cont2ctors License Law does no[ apply to an owner of property who builds or improves thereon, and who Cces such vrork himself or herself or t�rough his or her ovm employees, provided lhat such improvements are not intended or offeretl for sale. I(, however, lhe builCin9 or improvement is sold within one year ot wmplaGon, the ownar-Duilder will have the Durdan ot proving ihat he or she Cid nol build or improve for purpose of sale.). ❑ I, as owner of the property. am E%CLUSIVELY CONTRACTING WITH LICENSED CON7RACTORS to construt[ ihe project (Sec. 7044, Business and Protessbns Code: The convactors License Law dces nol appy to an ovmer o( property who builds or improves Ihereon, antl who contracts fw such project with a cantracta�s) license pursuant tothe Cont2ctors License Laws.). ❑" I am exempt under sec. Business and Pro(essions Cotle for this reason: �tl5)�46(3/011 A Owner ID verified by drive, ,n J Yes ❑ No Driver s License No. �pires: Verifiwtion of Ownership by (rype of document, i.e. - property tax bill or deetl): UIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: -� ❑ I hereby ceAify ihat no excavation frve (5) w mae feet in deD�h into xfiich a person is requiretl to tlescend, v.ill be matle in connection with work authorizetl by ihis permit. and that rw building structure, scaffdding, falsework, ar tlemolilion w tlismanWng thereot, will be more than thiny-sic (36) feet high. (ChaD� 7.z. Grp 2. M 2. Sec. 34t. Tille 8. Califomia Adminislrative Code). � As owner-builtler, I will not employ anyone to tlo work which woultl require a permit trom fhe Division of Industrial Safery, as notetl above, unless such person has a permit to do such work from Ihe division. Apvlicanl's Sipnalure oale Division of Intluslrial Safety Permil Number: MAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1. will the applicant or present or future builtling occupant need to file and certify a Business Plan for emergency response lo release or Ihreatene0 release of a hazarCous material7 ❑ Yes ❑ No (Seclion 25505 of the Calilomia Health antl Salety Code requires, vnth some exceptions, lhat a Business Plan be filed vrith lha Cosla Mesa Fire Department by every business which has at any one time tluring a reported year a quantiry of hazartlous ma[erials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic teel of compressed gas al slandard temperalure and pressure�. 2. Does or win the aDPlicant or present or future building occupant need to file a regis[ration lorm (or acutery hazartlous materials9 ❑ Ves � No (Seclion 25533 of lhe Califomia Health anE Safety Code. vrith some excepUons, requires registration with the CosU Mesa Fire Department by each business which at any one time has on hand a quantiry of acutely hazardous materials equal lo or greater lhan a wei9ht of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of wmpressed gas at standard temperature and pressure). 7. Dces or will the applicant or present or future buil0ing occupant need to prepare an RMPP (Risk Management anA Prevenlion Progrem for acutely hazartlous malerials)? ❑ Yes ❑ No (Section 25534 of Ihe Califomia Heallh and Sa(ery Coda provides thal the CosW Mesa Fire Department may require the preparation, ceNfication arnl filing xith [he Fire Department ot an RMPP by businesses which are required to register acutely hazartlous materials vnth the Fire Department. 4. If an RMPP is presentty required, has Section 25534 of the Califomia Health and Safely Code been fully complied with? � Yes ❑ No 5. Dces or will Ihe appliwnt or present or future building occupant require lor Ihe work which is the suDject o( this application a pertnit for such consWction or motlification from lhe South Coast Air �uality Managemenl Dislrict or (rom any other air pollution control district or agency7 ❑ Yes ❑ No �Seclion 65850.2 0( tha Califomia Govemment Cotle requires that the reQuested information be fumished on applications fa ron-resiAential building pertnks). 6. Will any part of the facility to 6e consWcted under this pertnit be within 1000 feet from the outer bountlaries o( a school? ❑ Ves ❑ No Qf yes', the lacility must meet the requirement o( Seclions 25534 and 42303 of the Califomia Heallh antl Safery Cotle). 7. If a pertnil from lhe SouN Coast Air �ualily Management Dislrict or other air polNtion control district or agency is requiretl for the vrork which is the subject of this application, have all of the disclosures prescriDetl by Califomia Health antl Safety Code Section 42303 been matle? ❑ Yes � No 8. (If yes', attach certificate of wmpliance from the appropnata air pollution control officer�. CER7IFICATE OF COMPLIANCE: I certify Ihat under penalry of perjury the infortnation given above is cortect. I agree to wmply with all state laws anC city ordinances regarding Hazardous Materials and Emissions. � Signature CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRV: I certify untler penalty of perjury that I have read Ihis application and sWte thal the infortnation given is cortect. I agree to comply with all state lax5 and city orGinances relaling to builtling construction. and auNorize represenWGvas of the Ciry of Costa Mesa to enter upon the above-described propeny for inspection purposes. I aqree not to occupy or allow occupancy of any building authorized by this pertnit untll final inspection. Si WreollegalOwner(s� Oate nUlorAut�onieEApd�mn� Dale ' _-, AOD���ant to fill in all soaces witnin neavy eorEer lines ana sign all apo�opriate tleclarations. CITY OF. COSTA MESA PERMIT NO. .- . TRACT NO. - LOT NO. BLDG. NO.� �- � -�B I 7CB. %I,I Q�-a2 -- -61��02 ".TL CONSTP,UCTION PERMIT C3 � �// 7 � . 3�Z 2� �' . ^�: " -. - Pr ject Address , �G ' ,� • TVPE OF CONSTRUCTION � �' ' �' . , � � S.� .. . . . , � ' OWner � � � f Phone �p- ❑ NEW�ADD ❑ ALTERATION � � - - - - ' - : -� ,AddrewL9.Y '�irt-(•er„c� ..u.'Pw �n, B✓� ���REPAIR:OCONVERSION ❑DEMOLISH ., , _ . _ _ _ _ Arch/En License No. ❑ oTHER � � � � - - ZONING REGULATIONS, _ 9• FO � _ - � M Addr255 . DESGRIPTION OF WO A'P' � ' " _ _ I ' -" ' " - - - - - ' '"" I AI�/�1 UNl C .✓ - " ' ' - ZONE m r ' �PLNG: REF.,�T � � Contractor_U / SGII. f [ ' , .--. ._ Phone yf}JLiO - TVPE OFPERMIT . - • . . - . _ . . . 1 '- ' � ' - ��oBP���I�v LwE ;� � SETBACK 5 . �' Y ( I '-Address . j . ^ . �W�. ` �GfiADING- � ❑ FOUNDATION -.�STRUCSURAL-� SID NARD 1-- l�� - - • �`�� . , LICENSED CONTRACTOR UECLARA ION � ' n • L.E � M _ ❑ TENANT O.ELECTRICAL_OP,LUMBING._OMECHANIC 5�pg.y -.�+ ,/ I hereby af(Irm Hi:.Y I 5m Iicensed�unGer provlsions of Charter 9(com- . RIGHT �(P� O � I-1 -/ � � mencin9 wlth sectlon 7000) of Divislon 3 of tha_ Buslness antl, . Q OTHER � ' �` � � _ _ __ _.- _ _ -. \ Pro(ezs'lons COUe, anA my Iitense �s in' full' forte antl effecL PROJECT DESCR TIO � � � , REAR vARD (TO P/y -t�' -� .... ..n CitenSe CIa�Ss� `-� �'� �-- - Llcen -N �L ' �' ' ' ' ' '{" ' - " � PKG. SPACE RE�. "-' �-' -' -PROV IDED-"„'- - ' 1 � Date ��T,L� � � 519nature 1.�9G�- ' SQ. FT: ya %� � .' '_' "" _ _ ' _ ' _" . _ " _" _ "' OCCUPANCV'`_ ONSTRVCTIONTVPE � STREET'WIDTH-� - ;�PARK'F,EE'S �WORKERS' COMPENSATION D CLARATI N r -ZONING'FPPROVED BV -DATE�f .I heretiy a(firm that I have a�ceitificata of conienl to seli-inwre or a' VALVATION Z.5'v ZONE - '/ 'ItiCate o/ Workers' Compensation Insuranca, or a certHietl copY, .. - . - . � ._ .. , _ _. . _ , ' :of (Se�lon 38 V .�C�1.'^ j ^� /� G,RADING CU. VOS. ACRES 'SPECIAL CONDITIONS:-- ' ..cY.No dfbfioanY !1 77'� ' ' ' _' � � �: 'I ❑ CerUfletl copy is here�y fumishetl. ., REMARKS: • • . QCertHieif copy is filetl with tne city Builtling DiviSion. . ' �- � - - { EXEMPTION i.ROM.WORKERS'�COMPENSATION DECLARATION � � ` ! { - (This section neetl not be completetl it the permlt Is for one huntlretl ..r-.�r•> -� � i� � "i � nC.-.'� l (E100)'or Iess).- . ' ' _ - "_. . . . ' .'- _' _ _ ' ' ' ' _ ' ' _ _ ' " " " - ' � ' ' _ ' ' _ _ 1, I certify that in the'�performance of th¢ wOrk for wNch this permit�is - Issuetl; 1 shall mDemploy�any perion In any manner so as to_become PLUMBING -- ----- PLAN CHECK �- -- ECECTRICAL- ' PLAN-CHECK'�'^ -- -t subject to the Workers' Compensation Laws ot Califomia. � �; � � . � - " ' ""' ' � ' _ � . . '"_.. _' ".,. ' . . ._ .- "_' _' "" " "" "' BATHTUBS '" "' _ SHOWERS:'"' _". . . . . . � ...._ - . _. _ ' _ _ '.-. Date Si9nature � ' ' ' --. .' � y ': NOTICE: It after making this tleclaration, you snoule become subject TOILETS �URINALS- ----- -.GENERATOR�--� 0-I'KW_1-10'KW ' '� .- to the Workerz' Compensation provisions ot tbe Labor Cotle, you must ' -� � TRANSFORMER Z- '� �J ' fort�wit� comply wilh suth provislons or tnis permit shall be tleemed �VATORIES l DOUBIE lAVS �--- --- - - APPLIANCE - 10-SO�KW_50+ KW _- f r¢vOkGtl. . - � i � . -- .._-_.. ____ --KIT.SINKS -� - DISHWASHERS - - - - MOTORS--- OdHP_1-30•HP'-- ' "- I CONSTRVCTION'LENDING"AGENGV' � � I hereby atfirm that there is a constructlon lentling agancy for the perv SERVICE SINKS - ,-, SUMPS�--�•-- . _ (IN0. SOLAR) .�0-SO.HP 50 + HP.�- � ���'` ��':--` � � fOrmanGG 01 th¢ work tor which thi5 permlt i5 i55u¢tl (5¢Ction 309] - - � �1°�C'%' - -�-- - --^ `- � �-�'-�=" -- �.FLOORSWKS-'-- - FLOORDRAINS --� -FIXTURES- --OUTLETS SWITCHES' ' - ' Lender's Name^ � � �' � � ' Lentler'SAtltlress"' ' ' ' -"' - � '"-' - DRINKINGFOUNTAINS - .� ---� -,�--•�� -� ---• -GASTUBESIGNS�^ � � � � OWNER BUILDER.DECLARHTION _' . >_ .' � INTERCEPTORS- ' - CLARIFIERS " - PO�E LIGHTS-- - � - �--- -- -- - - I her¢by atfi�m that I am exempt from tbe Conbactot's License Law for � 1 the tollowing,reason (Section 7031.5 Business antl Protessions Cotle: SWIMMING POOI. �P.TRAP- - - ---- �� -- -� Any dry-or county which�requires a permi[ to construct, alter, �'POLES-- METERED� �- SUfl . improye, tlemolish or.rePair.any3tructure, prior [o its issuance, alm re- yyqTER SERVICE- �•-AL•TERATION ^- - PANELS � --MAIN- � SUB - quires the ap,licanl for sucn permit to /il¢ a zignetl statement tnat he ' I Is � censetl pursuant to the.prOvislons ot_the Contractor's License .Law - _ - �_- - - - _ _ _ . SERV ICE ��- -- - �- - -- - ^ � AMP- - � -- �`�it2ter 9(tommencing with Section ]000) of Dlvision 3 oi the GASSERVICE OUTLETS �� �..ess antl Prolessiom Cotle) or, that. he is.exemPt [herefrom antl the yyq7ER HEATERS-- -BTU OUTPUT- - -- - -� - - - - - - ---- - - - �• - . `for the-allegetl exemption. Any violatlon of Section ]031.5 by �� an�y appliwnt tor a permit .subjec(5_the applicant to a <ivil .Oenalty SEWER�CONNECTIONS - -� -� - • - �-- - - - - �- -- - � - - ' - of not more than live huntlretl tlollars (5500). ❑�1,-as owner�of lho proparty,�ormy employees with�wages�asiheir � SOLAii TArvK- - COCLECTORS�- - - �- - - - - - -- -^- - � - ^ - - - -{ 501¢ Compen5ation, will tlo lhe wo�k, anC the structur¢ is not IntentlaG _ orotferetl for sale. (Sec[ion 7044,-Business antl-Aofessions Cotle: The SOLAR PIPiNG SYS. '- '�" -� �SSVE FEE- - -- �--- -- - Contractor's License l.aw tloes not appry lo an owner of a property �APPLICATION APPROVED�BV who builtls or improvas thereon,�antl who Coes 5uch�work-himselPor ISSVE FEE " � ' . -" - �.°„- DATE ��� `2 through hls own employees, proviDetl tttat Suth improvement5 a�e not � - intended oroifered forsale,•If,-however, the building or•improvement MECHANICAL �' -'PLAN CHECK �� - ��� � - SUMMARV OF FEES � is soltl wi[hin one year of wmplCtion, the owner wlll have the burtlen �i� fV o� proving-he-tlitl� not bui10-or improve�for� the-purpose of sale). - ---- BVILDING ; - -- -- HEATING $VSTEM 0-100,000 BTU �.SCJ � °S CERMIT 5�- �SMIP � � S'u .� I, as owner of [he property,_am_ezclusively contracting with _qNDDUCSING---- - --- -- - - �7�''�,,� - - - -- - IlcenSeE'conGactors to construct the projecl"(Section 7044, Businezs 100,000+BTU ' 'PCANCHECK S�'=Z BERMIL antl Protessions Cotle: The Contractor•s Litense Law �oes not apply to " _._. _. _ . ___ _ __. ISSUANCE . 5 �r an owner ot property who builtls-or irr(proves lhereon, and who con- REFRIGERATION 0-100,000 BTU� PLUMBING S �. � tracts l�om suth projects wilh a cvontractor(5) IIC¢Sn¢tl pursuant to $V.STEM �., � GRAOING��_ S Ihe Contraclor'S"Ucense Caw):"- ' 300,000 � BTU �-- � � PLAN CHECK E� ❑ I am ez¢mptunCer Section 6.�6 C. G. for Uis gOILERS - BTU � � ELECTRICAL f -" 1 " , s . . � �.. _ -. r reason ,_ ' MICROFILM_� ' ' � + Date pwn¢r � � SVSTEMREPAIR,ALTERATION � . 'PLANCHECK-�S-'- - �� . �. • .�- tTOTAL FEE E .ILT!SCS- I +MECHANICAL-E- ' � I hereby certitytM1at 1 have reatl this applicatlon antl 5tate tnat the above EXHAUST SVSTEM MULTIPLE � • 1 - . �� �� �,; LE55"AD- � iMormation� is correcL I.agree-to compry-with-aIL city anU-tounty . PLAN CHECK � E - - VANCEPC ordinances an tate laws relatlng to conSl�uttlOn, an� M1ereby aulnorize �� ' , $� ' reprezentati s o this.-city tp anter- upon_ihe above e qonetl -- - � � - . ' �' • Q p�opertY f - n, ectl Apq�ipGQ,� _ " �, p..PL _ . �� � FINALFEE 'D^' Slgnzture ��1'��'�'�� 'Date � - iswe Fee �� a DriverY l.icense�or 55 �- �""" ' ' " ' ' ' . _. . - - . . . CMF 0865-46 White-Builtling; Canary-Applicant; Pink-Accounting; Goltlenrotl-Assessor ' � _ - - , ... � �' ' � CONSTRUCTION AND PLANNING � � � POOL & SPA . � -� . : � . � , APPROVALS .Permit# �7 Date Inspector qppROVALS� � Permit# -Date : Inspector,-'.,� 1. Temporary Elecvical Service or Pole ' 43. � Pool & Equipment �ocation � � ' � '� � � - � - Soil ipe_Undrgrn_ . _ . . ._ _ , , .. _ _ � r _ _ 44. Steel Reinforcement � ' - 3..- Electrical Conduit Utility-Undrgm _ � 45.� Forms ' - � � ' - - - ' _ 4. Electr�icaLConduitUndrgm . . -- . . . 46. Electrical Bonding . - ' � - - ' - � _ _ _tee em orce � � _ • 47. Rough Plumbin & Pressure Test '" ' � -' ` ` _6. Electrical UFER Gm _ _� � 48.. APPROVALTO COVER-GUNITE � : � �� � ;� 7. Footings__ _ ' 49. Electrical Conduit-Undr m•. � ' ' - ' ' - 8. Foundation . - . - -. _. � _ : 50. � . Gas Pipe, � � Undr rn; Test � � � .9. -. Water Fipe-Undrgrn � 57'. _ Backwash Lines P-Tra ❑� ndr rn � � � ..10. .Structural Floo[,System.� - - � 52. � APPROVAL�TO DECK �� � 11. ,Properfy.Sewer Line.& House,Connection_. . --- 53.� -Backwash & Rece tor-Final � � " � � �- ' ' .12. Street Sewer Connection___:::.� ' '� " ' � - - ' 54:-- Heater & Vent-Final � � . 13.. �Rough Plumbing _ - - - � _ _ , , - � ; �� � . : 14. Rough ElectricConduit - " -' ' - --' - �56. -Electrical-Final ' ' � 15. Rough Electric-Wiring � � � ; - � " � "57. Solar System-Final • • � • ' �-16. RoughHeating�&"AirConditioning" -- ' -•�• ' - •-� encing&AccessApProval � � � . �� 17t - Ducts in-Structure�.- � �� - - �=' � ' -' � � - - �- - • APPROUED FOR PLASTERING - � ' ' � � " • -18. - Ducts�,-Ventilating � - � � - - - - - � • - -- � � � - �- � � - - � • 19. GasPipe-Rough&Test ' � � - - - �6U•- POOUSPASYSTEMSFINAL' � ' - � � . � 20. Roof Framing - - --- - � - ' - - - - � � � 21. Roof SFieathin ' � � ' �� - ' -� , . ' - �' " - � n. 22. Frame and�Flashin - � - - - - - -�- NOTES: •� �- S ' e , � -" � ' S � ' � -23. Insulation � - � - - ' - ' - " - - -� �5-' �%- .D-z 24. Lathing�& Siding � � - - - ` - - � - . -/V ' ' ,ve � 25. Drywall-Nailing - - ,,- - � �- - -- -. ' 26. Plaster Brown Coat ' - - � � � � ' ' , 27. Electrical Power Meter-Final - �� -- � �-� - - 28. FinalElectric � � --�- - - ' - � - � �� - � ' ' � , 29. Final Heating & Air Conditioning - - � � - - -- - - � ' ' � - � � � 30. Final Gas Pipe-Test �� - - - -- -- � � ' - ' 37. Final Plumbing . " . - 32. Water Service-Final - - - � - � - - - � - � � � - . 33. Gas.Service-Final - � � � ' " � • 34. Solar pomesticFinal � � � � " � � - � ' ' 35. Landsca e S rinklin S stem � -- ' � , 36. Sound Attenuation � � - � ' �. 37. Handicap Regulations � - � " ' � - ' � 38. FINALSTRUCTURE&BUILDING � .�.�t.��..� ' 39. Special Requirements Completed ' ' - i 40. Electric Release to Edison � ' � � ' 41. Gas Release.to Southern California Gas Co. ' ' " - � � � � � 42. CERTIFICATE OF OCCUPANCY -' - - - � � ' No� Date � � . . ... . _ . . _ . .. . . �_ J . . . . . . .. - . .- AppliCant t0 /ill ip 911 spaces exCaO� tbasp wi[Nn �mvy dortlGr Iines antl sign all aPproDNale GeclaratiOnS. / ) OSTA MESA� OM TRUCTION PERMIT � �RM.� NO/ TRACT NO. lOT NO. UNIT NO. � ��/ �( ' L3(� al� 17.�Oi� address �_. icanYs Ma�ling Addr s�r! 'i�.(ls(iQlAl ' ' �p -: TYPE OF CONSTRUCTION - NEW ADD LTERATION REP/a�R_ ❑ CONVERSION ❑ DEMOLISH ❑ OT $ A p # � wner's Name � Ph e � �- DESCRIPT�ONOF WORK/USE OF BLDG. Address � 3`L4D A Q'�� � �� � '' S Main Building: • Arch/Eng. - Licenu No. TYPE Of PERMIT GRADiNG FOUND/>TON STnUC7URAl. � T Front ' � �ddreSs - ❑ TENANT ❑ ELECTpiCAL -❑ PLVMBING ❑ MEC/iANICAL B ReaY � ' p,����� � ❑ -OTHER �^ A 'Convactor's Nam �' '�� Phone�.2aL'Ut. � pRQ1ECT DESCRIPTION SQ. FT. OCCUPANCV C Right � Address Imailingl� ��'MQ. � �— K h,�ynO COIVSTRVCTIO�`1TVPE VALUA710N$ �CSOO g LCft CitylicenSeNo; `�.1 1. ZONE GRADINGCU.YDS. ACRES LIGENSED CONTRACiOR DECLARATION _ Ping. Ref. iI' �1 hereby aif{rm that 1 am iicensed untler provieians of Charter 9 �commencing witn. sectlon 7000� of Dldslon 3 0l Ibe Business antl ProfeSslons COCe, antl ry^ my �i<entc I5 in �`ory�ntl e(tect. p N�/ �D� � w LiceS ^sa� a1� y a 1 L:.e..._ 1 (,, DataUJ�si_. �J— 5�9 � . ^ � . .WORKERS`COMVENSATION DECIARATION ` I nereby affirm tha[ 1 �ave a certificate of conunt [o salttinsura or a certi/icate Df Warkers' Com`plen5ation InS�iancC, Ot d certifietl copy ibo�Coi (S^ettiOn 3800, Lnb. r,F� l �� , �y(-�+�t�� l) �` PoilGy NO. K1S �2_ Company 1 l•�-i � rtifietl copy is hereby fumishetl. C_eirtiff tl[o ffletl winth�PhC Ri`�ui�fSn�yj]�vi�}pnT Oate Y4 t� EXEMGTION FROM WORKEpS' COMPENSATION DEC ftATION (This sealon naetl oot ba compleCetl il thc permlt �s ro. ane nundrea �Stoo� or IO55). I certify Ibal in ih¢ patformanCe ot t�o work for wt+ith tblz pBrmR is (sSueC, 1 Shd1i Oot ¢rtlpiOY any OersOn in apy Tdnn¢! 30 d5 to beCOTO SuOjeCt t0 Ih¢ Workers' Compensation f. ws of California. �ate S�9�atura 'NOTICE: It, after making this declar2tion, you 5bou1C bacome subj2tt to tha WOlkers' Com�Pensation 0/���siOnS o� the L8�o1 COtlC, YOu Tust /Orthwlth mmply wltn sUch p�ovl5iOn5 or ItliS permit Shdll b¢ tleemetl �evOketl. CONSTFVCTION LENDING AGENCY I hereby allirm tba[ tnere I5 a consVuction Ientlinq a9ency �or the periormance of tl�e work (or wM1ich this oermit ii Issued (Section 3QB7 Civ. C.j lsntle�'s Name - Lentle�'s Atltlress OWNER BUILOER �ECLARAT�ON � 1 hernby a//irm thaf I dm dxempt fvom tne ConVaCtorY U<ense Law for the �oNowing r¢asoo (SeGtion 7031.5 BUSinesS antl Protesilonal Cotle: Any Gty or [ounty WhiCh tepulr05 a p¢fTVt to <OnSttuct, afief. improv0, tlemo115h Of (epdtr anv structure, prlor to i[s issuance, also requires tbe applicant foi such permit [o (ile a signetl stEtement that he/She 75 IIce05Bd pUlSU�nt to thB p/OVisions�of •he Conlrac[or's Licensa Law (Chapter 9(commencing witb Sectlon ]000) of ' 1 �vislon 3 ot the Businezs aoa' profesxlons Gotle) or tnat he/sha �x ezempt " ereirom anE tha basi5 for tha alle9ed exemption. Any vloiaHon of Sectlon .031.5 by any applicant for a permit,3ubject5 1ho appilCant fo a civil �enalty o! not more tnan five hunArcA tlollars ib500). i, as owner of the proDerty or my employees with wa9ez a5 tneir sole compensation, will Oo the work, antl the sVutture is not intentlea m oHeretl (Or Sale ($CGtion 70d4, BUSIOB55 antl ProtBSsiondl Cotla: Th0 Conlfdttol's �icenu I..aw tlo¢s net apply to an owner o1 a Droperty who bulltls a{ Improves tpereon, and wbo tlo¢5 sLL<h wOrk hlm5elt(p¢�561( Or tMwu9h �15 or �flr own employee:, D�ovitletl that Such improvemonts are nOt int¢ntlotl o� 0ltereC �o� syte. If �owev¢rr Ine b011tlipg o1 improv¢lnant h Soltl within one yeat 01 Com- D�etion, the owner wlll �ave [he burtlen ol Oroving bejshe tlid not bulltl or Im- �rove tar tne purpose of Salej. ' ' I, as owner of lha p�operty, am exUuslvely contracting with licansetl coo- tractors to Construct i�e prOle<t (Section 70A4, Businoss antl Profassfons Cotla: The Contractor's UUnSe I�iw doas mt apply to an ownar ol proGer(y who bvlltls or Impwaes tnereon, antl w�0 tantracts lor Sucn projacts wlt� a mn- tractm�zl Ilcense' pursuant to thn ConVattor•s Litense 1..aw). I am aware tnat prooi of their Worker•s Comoensation insurance sboultl b¢ provi0ed to me. ❑ I am exempt under,5ectfon 0. & P. C. for thi5 reason oato ISignature �w\ � DrNers' Licensa or 55 Ownor 1 tnis applicatlon antl stato that tha abova comply witn all city and county ortlinancas g[onstructlon, antl �ereby autborize r¢ple- uPon tna above-menUonetl Or erty ior � � Remarks: Preventer Irrige[ion Drinking Founteins floor Drains Floor $inks Gas Service Interceptors Kitchen Sink Lavatories P—Trep Roof Drains • Reinspection Fee 60iler � N - � Service Sink Sewer'Cep Sewer Connection 5olar Collectors� Solar Piping Solar Tank Swimminy Pool w1Spa EES DUIIelS . Wefer CIOseI Wa[er Heater • � - Water Service - . = Auto-WaSh � LaundryTrays � S15 Isue Fae $ 3 Under Grountl: StruCturel 'xhaust System ❑ MWtiplg C =irepijFatt. Blt. ICBO # leating System & Ducting ]o-ioo,oaa sru C7ioo.� Reinfpection Fee S15 CMF OB65�46, �ev. 10(84 W�ite - BWItlin9; Canary - Appllcant. Piak � AccounUn9: Goltlenrotl - qsseiso� Hood Or Type I ❑ Canopy Type�l ❑ Refrigeratio�n System �6100 OOBTU ❑100,000 5 em Repair(qlteration Fir¢08mpers . Registe�s ' Fee d S 3 Automatic Washer Construciion Pole Sub. Cooking Unit Dishwsiher - Oryers OGas ❑Elecv Fan F.A.U. Fixtnres Oevice Boxes Outlets , SWitCheS Garhage Disposal , Ge�erator �0-5 KW ❑ Fee , ,.7311 1�/13/B7 ' � � ACCeuory Building: Parking ReqJProvided � 'IBo50 �T� 2 O N 1 N G R . E � M T " 5 ELECTRICAL � ' ' FEES Trantformer � 15-50 KW' " ❑ SO.+.KW r , Me[er �up to 700arops � Merer �over 100 amps Sub P�nef • . _ �ors�41'HP�1h-6 Inc.SoWr �9-15 HP'�16� Microwav¢ �. i Pole Light Range 5< Sign ; Standing Sections KW TrashCompaccor 15 Iuue Fee � $ 3 DEVELOPMENT SERVICES REQUIREMENTS: 2oni�g App�oYed By Bui{ding Approved By � SUMMARV OF KEES+� �'�7� BUILDING PEFMIT $ ��,� SMIP $ � PLAN CHECK $' PERMIT � � PWMBWG $, �SSUANCE � $ PIAN CHECK 25% $� � ENERGV P.C: $ _ EIECTRICAL $� GRADING $ PLAN CHECK � 50% $ � ; MICROFI�M $ �Q �.� MECHANICAL . $ T�TA� FEE $ f _l_S2_s�2lL PLAN CHECK 25% $ � ICYI(3tQ AND PLANNING LS Permit # y Electrical Serv'ice or PoH 2. Soil Pipe-Undrgrnd. " r 3:;Elect�irzl Condun UtilitV-Undrgcnd. ti>�ElectcicalUFER'Grnd. •��i 7: ;Eootings ' � ',' 8. �Foundation ___ 9. Wa'ter Pipe•Undrgrnd. � '� 10. Structilral Floor System •� 11. Property'.Sewer Line & House Cohnectioi 12. Sewe�,Cap � �i 13. ROof Drains 14, Rough,Blumbing;) 15. Rou§li Electrical-Conduit . 1�6. Rough Elec[ric Wiring 17. Rough Wiring Sign 18. Rough Eledrical-T 8ar Ceiling 19, Rough Heating & Air Conditioning 20. Rough Factory Fireplace ' 21. Duc[s, in Siructure 22. Ducts, Ventilatin9 � 23. Gas Pipe-Rough & Test .• � � 24. �Roof praming � � 25. Roof Sheathing � Z6. T-Bar�Ceiling (Structural) & Monocoat 27. FraRie.�nd Flashing 28. LaE6ing & Sid'mg 29. Insyldtion� 36. Dryuva(I-Nailing ., 31. PlasrerBrown Coat �, 32. Electrlcal Power Metei-Final 33. Fin'a1 Electric . 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test �� � 36. Hood or CanovY 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar pomesticFinal � 42. Backflow Preventer 43. Backfiow Irrigation r 44. ,Landscape Irrigation System 45. Sound Aitenuation • 46. Handicap Regulations 47, FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electrie Release to Edison 50. Gas Release to Southern California Gas C 51. CERTIFICATE OF OCCUPANCY Date Da�� hl � �9 a -.- PO' �SPA Inspector AppROVALS Permit# 52. Pool & Equipment Location 53. Steel Reinforcement 54. Forms - 55. Electrical Bonding 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER-GUNITE 58. Eiectrical Conduit•Undrgrnd. 59. Gas Pipe, O Undrgrnd., Test 60, Backwash Lines, P•Trap, O Undrgrnd. 61. APPROVAL TO �ECK 62. Backwash & Receptor•Final 63. Heater & Vent-Final 64. Plumbing System - Final 65. Electrical-Fi�al fi6. Solar System-Final 67. Fencing & Access Approval 68. APPROVED FOR PLASTERING 69. POOI/SPASYSTEMSFINAI FIRE DEPT. RE�UIREMENT APPROVALS Permit # 70. Underground Hydro 71. Produci Piping O Gas � Oil 72. Underground Flush 73. Undergrnd.StorageTankOGas QOiI 74. Overhead Hydro 75. Dry Chemical 76. Dry $tandpipe - 77. FIXED SYSTEM FINAL 78. FIRE PREV. FINAL HEALTH DEPT. REQUIREMENT 79. FINAL INSPECTION B0. FOOD CERTIFICATE ISSUED Notes: !A iu IG-7 � . . 'C"�� . . � . / 0 „ r Y Date � Inspector •l ✓ 9 � CITY-0F C�TA MESA CONSTRUCTION PERMIT : AVP��cant to fill In all spaces exceD� those wit�in �ea�y noraer Iines antl sign all approoriate tlaciarations. P T NO.// �O� TRACT NO. iOT NO. BLD . . c ProjeCt AddfCss L�L��Q�«��+ TVPE OF CONSTRUCTION NEW ADD ALTERATION REPAIR ApplicenYs Mailing Address : � ❑ CONVERSION '� OEMOLISH ❑ OTHER q p � OWner'S Neme � hOn2' DESCRIPTION OF WORK � S Mein I Addreu �����lQ��Q�,L��j1F� � Arch/Eng. License No. Address Contractor'sNam - hone �r�3�yfG Adtlreu�lmeilin9) v���f� �+d�E - --rYf�/lY1.k/.(� ' City License No. � 7–�'Z �+5� LICENSED CONTRACTOR DECLARATION I nereby alfirm that"I am Iicensetl untler provislons of �Cnartor 9(commancinq with sectlon 7000) of OlvlilOn 3 01 th0 Busineu antl PrOfCSslOns COOB, dntl • my Ilcensa Is In full f ce nqyffec "�B�SB Cld LICBO50 f_.�� :e�� /-��— a��..�,.. • i . � i �..ORKERS' COMPENSATION DE RATION I hereoy afflrm tnat I have a<ertifiwta of wnsent to selt-Insure or a certifiwte � af Workers• Compensatlon Insurante, or a certifletl copy thereof (Sectlon 3800, LaD. C.) � Po1ICY No. �/O ��� ComPanY c�"rt f}jNj �tffie <op i5 hereby turnishetl. � Cert 1 o filetl wit� tha cit ul Ing Division. I Data - Appli<anl , QEXEM 10 FROMWORKERS'CO P ATION ECIARATION (Thls sectlon neetl not be completetl i the parmit is for one huntlrotl (E300) or , � less) I certlfy tnat In the performance of the work for whlch thls porm�t is Issuetl 1 shall not employ any por5on in any manner 5o a5 to becoma sub�ett to t�te Workers' Compansation Laws of Californla. � Date Slgnatura NOTICE: If,iaftar maklny this tlatlnratlon, you shoultl bacome subject to tne Workers' Componsatlon provislons of the labor Cotle, you must forthwlth comply with suc� provlsions or this permlt s„all bo'tleematl revokaA. CONSTRVCTION LENDING AGENCV I hereby aHirm that there I5 a conitruttlon lentling aflen<y for t�e partormance ol Ihe work for wnitb��is permil 15 ISSuetl (SnCtlon 309T Civ. CJ tantler's Nama. � I..entlor's Atltlreis � OWNER BUI I.DER �DECIARATION I M1areEy. afflrm that 1 am exempt Trom the Contractor'S Licanse Law for [ne � incy wNcn reqWres a permlt to cons[ 'strutture, priOr to its i55uant8, also ,`We a signetl statement [hat ne/ihe Is �Contractor'S Licenu Law (ChaOter 9 Ision 3 ot tne Business antl Profess refrom antl the Gasis for the allegeC {3.5 by dny dpplicanl for a pe�m alty of not mo�e t�an five �untlreE tli I, as owner of the property or my ipensaHon wlll tlo tha work, an0 Ih� sale (Sec�ion 7044, Business antl Bn52 Ldw tloCS nOt dp01y t0 an ownar n, the owner wl fortha purpose a3 ownGr Ot [he a ]5 Of ds o� or o g or improvamant is so�a witnin one yoar oi com- the burUOn Of proving n0/She tlitl not bulltl Or IT- ty, am axtlu5lvely Contratting with Ilcensetl Con- 9ct (SBctlon 7044, Buslnoss ana Protesslons Cotlo: iw does not applY to an owner of DroPerty who anE who contracls for such pro�acts wlth a con- tho Contractor's License Law). � LJ I.am azempt untler Sectlon B. S P. C. for this reaton Date , Owner TVPEOFPERMIT GRADING FOUNDATION STRUCTVRAL T Fron[ ❑ TENANT ELECTRICAL ❑ PLUMBING ❑�MECHANICAL � 'B qear ❑ OTHER ' A PROJECT DESCRIPTION 5t2. F7. oCCUVANC C Ri9ht K Left CONSTRUCTIONTVVE VALUATION$ $ ZONE GRADING CU. VDS. ACRES Ping. Ref. � Remarks: �� ' Parking R¢q. / .�... . i v / — PLI Bar Sink . Backflow Preventer- � Backilow Irrigation � Bethtubs Clarifiers � Dishwasher Drinking Fountains Floor Drains � Floor�Sinks � Gas Service .Outlets Interceptors � Kitchen Sink Cevataries. � . � P—Trap Roof Drains Reinspection Fee �$25 Boiler Duct- Under Ground Duct - Strutturel Duct - Ventilating Ezhaust System ❑ Multiple Firepl/Fact Blt. ICBO 5I� Heating System & Ducting ❑6100,000 BTU �100,000 Signature Date� D i� s' ucense � 55 qf Reinspeetion Fae 7 CMF 0865-46 rev. 32/83 Whlte - Builtling; Canary - Appllwnt; Pink - Accounting; Goltlenrotl • Asussor $25 Showers Service Sink Sewer Cep Sewer Connection Solar Colletmrs � Soler Piping Solar Tank � � Swimming Pool w/Spa ' Urinal Water Closel� Water Heater . . Water Service Isue Fee Hood or Typel ❑ Canopy Type 11 ❑ Refrigeration System Oaioo,000eru ❑ioo,000aT System Repair/Alteration Issue Fee � FEES $ 3 Use of Building: Planning Notes: Automatic Washer Construction Pole Sub. Cooking Unit Dishwasher � Dryers ❑Gas ❑Eleci F.A.U. Fixtures � Device Boxes OUtletS Switches Garbage Disposal Generator 00.5 6035 3/I4/9�� 2one Accessory Building: Park. Fees $ i � ELECTRICAL Transformer KW Meter ❑ 15-5 � 50 + to 100 ai !r 100 em �9,7% i , •FEES Sub Panel Motors O0.1 HP � 1 rS - 8 Inc.Solar 09-15 HP �16-15+ Microwave . Pole Light r � � Range ','�,, Standing Sections Trash Compactor � Rainspection Fee �$25 � laue Fee PUBLIC SERVICES RE�UIREMENTS: Zoning APProved By Building Approved By , � $ 3 O N 1 N G R E O U I R E M E N T SUM RY F FEES � �, s� BUILDING PERMI7 $ - �f �A SMIP � $ PLAN CHECK $ �_�r_ PERMIT PLUMBING $ ISSUANCE '�$ PLAN CHECK 25% $ ENERGV P.C. $ ELECTRICAL . $ � GRADING ' $ PLAN CHECK 50% $ MICROFILM ," $ MECHANICAL $ TOTAL FEE � $ �Z PLAN CHECK 25% $ . _ � � CONSTRUCTION�AND PLANNING � F � & SPA -� APPROVALS Permit # •�,t Date Inspector AppROVALS Permit # Date � Inspector `� 1�. Temporary Electrical Service or Pole � 52. Pool & Equipment Location . 2. Soil Pipe-Undrgrnd. �' 53. Steel Reinforcement . - 3. Elecvical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. � 55. Electiical 6onding . 5. Steel Reinfor�ement 56. Rough Plumbing & Pressure Test .- 6. Electrical UFER Grnd. � 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Founda�ion� , 59. Gas Pipe, C7 Undrgrnd., Test 9. Water 4ipe-U�drgrnd. ' 60. Backwash �ines, P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK . . i t. Property Sewer Line & House Connection 62. Backwash & Receptor-Final , 12. Sewer Cap _ 63. Heater & Vent-Final 13. Roof Drains ' � 64. Pfumbing System - Final - 14. Rough Plumbing �. -� 65. Electrical-Final 15. Rough Electrical-Conduit - � 66. Solar System-Final "� " i6.� Rough Electric Wiring 67. Fencing & Access Approval .- ' 17. �Rough Wiring Sign 68. APPROVED FOR PLASTERING � . 18. Rough Elec[ri�yl-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 Str4c[ure . 70. Underground Hydro - 22. DuctS, Ventilgting 71. Produc[ Piping O Gas O Oil 23. Gas Pipe-�Rough & Test • 72. Underground Flush 24. Roof Framing 73. Undergrnd. Storage Tank O Gas ❑ Oil 25. Roof Slieathing �' 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashirig ' � �� . �6. Dry Standpipe 28. Lathing & Sitling ��: ' 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-Finai . 40. Gas Service-Final . • � ' 41. Soler pomesticFinal . � _ - � 42. Backflow Preventer � , • • • 43. Backflow Irrigation • . � ' 44. Landscape irrigation System � � 45. Sound Attenuation � • ' 46. Handicap Reyulations - � 47. FtNALSTRUCTURE&BUILDING �L - 48. Special Requirements Completed �S � � 49. Electric Release to Edison � ' : 50. Gas Release to Southern California Gas Co - i 51. CERTIFICA7E�OF OCCUPANCY � - , - , ' ' _ � No. '� ' Date ' . ' , .