The URL can be used to link to this page

Home My WebLink About2538 BACK BAY LOOP - Building PermitsV PROJECT ADDRESS: 2538 BACK BAY LOOP UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 063571 OWNER'S NAME: BOB GIMIGLIANO ..t, •4 ADDRESS: 2538 BACK BAY. • PERMIT NO: B 063571 PLAN CHECK NO: 02523-93 L GOVT: N SUPP: N COSTA MESA CA CONSTRUCTION TYPE: V PERMIT TYPE: STR 'PURPOSE: ADD 631-1149 ARCH/ENGINEER: HYYTINEN ENGINEERING REG.ND.: S2732 JOB DESCRIPTION : 68 S.FT. SOLARIUM ADDITION (HABITABLE) SQ FT: 68 ADDRESS: 3400 KAUAI COURT UNIT: 118 RENO NV 89509 CLAIM VALUE: 8,500. 00 CALC—VALUE: 5,032. 00 GROUP OCC: R-3 / PERMITTEE: AMBIANCE ADDITIONS (714 )871-4165 ADDRESS: 765 S. STATE COLL. BV 1 COMMENTS: SOLARIUM WHICH HAS BEEN ENGINEERED FOR HABITABILITY FULLERTON CA 92631 *****:l:l:r*Rr:lslsr****Rr:r:r:r*Nr****:lsrrs!*:!*:!:!:!****T *****s!:!*s!+!*:l:r*srRl:l:lsl****Tlsls!*********** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z •O N I N GS SETBACKS M E N T S 7000)of Division 3 0l the Business and Professions Code.and my license is in full force nd effect. ' CITY UC:: COSTATE LIC.: 541 CLASS: B1 Date: !((�G-" 3 Signature) MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATIONDECLARATION: (hereby affirm that lhaveacertificate ofconsent toself-insure Drat licateofWorkers' FRNT: • 6 FT IN REAR: 17 FT IN FRNT: FT IN REAR: FT IN WORKERS'ionMPEN ip�L °CitedION:thereofy(Sectionhat I have a We LEFT: ' 5 FT IN RGHT: 25 FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: +`�JV •� EXP.DATE: +1 /O1/93 COMPANY: STATE FUND PARKING PARKING REQ• PROV: PARCEL: 93765064 ZNE: R2 REF NO: 7 Cemfied copy is hereby furnished. Z Certified c•.• , with the city Building ."sion. PLANNING N TES> ADD 68 5t . FT. SOLARIUM TO REAR OF RESIDENCE. HAS HOME px�, /� .% i ( > OWNERS' ASSOCIATION APPROVAL. .. e- Dale: , / 'IN�-13 u1 Applicant, _ —L / *********************************************************************4111****** -e DEVELOPMENT SERVICES RE Q U I R E M E N,;T S EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be comp''•it the permit is for one hand i($100)or less). • �1 / I certify that in the performance of the Laws r which IRs permit is issued,I shall not employ any person in any manner so as to become ZONING APPROVED B Y , l.0—F DATE: ,S(/9/Q� subject to the Workers'Compensation Laws ol Califon .• r n n p.. Date: Signature: BUILDING APPROVED BY : �.LO_ NOTICE:If.aper making this dply with you sh come subject to the Workers'Compensation provisions of the Labor /// S4... DATE: Dl Code.you must forthwith Comply with such provisions or'this permit shall be deemed revoked, CONSTRUCTION LENDING AGENCY: I hereby affirm tit there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: iciGA DATE• •S l9 J�.3 which this permit is issued(Section 3o97cCiv.C). mak^ !/" ************************ *1114!{! 1 *FF*1E**** ****�F( 1111 **************** **k*i!**** LENDER: it il" ********************************************* ******************************** ADDRESS: LEGALIZATION:N FEE ,SUMMARY STRUCTURAL SEGMENT:Y OWNER BUILDER DECLARATION: I hereby affirm that lam exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES/ GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,atter,improve,demolish,or PERMIT 81 . 00 . 501 repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed PLAN 52 . 65 - SMIP/NON'RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE ( T iv i .,f I. as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID � ;I DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS----> 81 . 50 0. 00 y! A.552. 65 134 . 15 13 4 . 15 . 00. does not apply to an owner of a property who builds or improves thereon,and who does such work himself/hersefl or through his or her own employees.provided that such improvements are not intended or offered for sale.If.however the building or REVENUE DIVISION TOTALS--> COLLECTED: 81 . 50 OVER/SHORT: 0 0 improvement is sold within one year of completion,the owner will have the burden ol proving he/she did not build or improve for the purpose ol sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING KLAN—CHECK I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 81 ' 0 0 !r 4 S 0} ' ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon • and who contracts for such projects with a contractor(s)license pursuant to the Contractors•State License Law).I am aware *************************************,!***********************************1111** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL• ; F E E BREAKDOWN ❑ I am exempt under Section: B.S P.C. for this reason: TYPE — QTY DESCRIPTI O Nr UNIT COST 'TOTAL COST •Date: Owner: SFR 6'8 DWE—TYPE V—WOOD FRAME • —GOOD 74 .00 5, 032.00 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ,END OF FEES 25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a - . permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from ;. r• / these provisions. /t , 1 Date: Applicant: F� ' {• ..<, I hereby certify that I have read this application and stale t -• .hove information is correct.I agree to comply with all city and county •1 ordinances and state laws relating to building constructio•.nd hereb authorize representatives of this city to enter upon the above-mentioned • r yg properly tar inspection purpoossees.. / 1 Dale:lq & I 1 Sipnalur'.. i — _ r _ _41_ __ __.:. •. Ar 01 00145317-00145318 TOT 81.50 Driver's License or Social Security ii: / . DATE: 08/20/93 TIME: 15:58 • 1 164646 White—Building:Green—Code Enforcement:Canary—Applicant;Pink—Revenue;Goldenrod—Assessor • CONSTRUCTION AND PLANNING P00 SPA_ .APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1: Temporary Electrical Service or Pole ce - =52. Pool & Equipment Location C?F 2. Soil Pipe-Undrgrnd. Od _ 53. Steel Reinforcement `�, . 8.. c'a�' 'it 6 ility-Undrgrne.rn 54. Forms ��ty--•• rurrWr$wctri!eath0n0try' kdrgrnd. _ - r 55. Electrical Bonding _ .SS'el td;t; rc - c'xii..2 1-fey 6c..4 56. Rough Plumbing& Pressure Test iv 4.0 f T 51 7c'V rt 7(•01 key -4, 'F BEI..4311(1. a 57. APPROVAL TO COVER-GUNITE 2 m`?,Cootings-D `--d t.- 2Z:47 o(„.16C 58. Electrical Conduit-Undrgrnd. C. `�i8'.Oounda rr� Om `` - Z�_t3 6 (y`rL 59. Gas Pipe, 0 Undrgrnd., Test u 0 9. Nater Ptr•Un dr.nd. . ( 60. Backwash Lines,P-Trap, 0 Undrgrnd. "10. Structurtgrj Floor System ., 61. APPROVAL TO DECK ' 11. Property SevEr lyte;& House Conrjt-ction 62. Backwash & Receptor-Final 12. Sewer Cap od a: c r 63. Heater& Vent-Final _ 13. Roof Drains,v ro • 64. Plumbing System-- Final , 14. Rough PlumSiid " i 65. Electrical-Final • I 15. Rough Eiectrica7-Conduit 66. Solar System-Final 6 t7 16. Rough €lectrid-WiringJ 67. Fencing & Access Approval , 17. Rough Witjjtg&65' 68. APPROVED FOR PLASTERING x 18. Rough Electrial-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL hi 19. Rough Heating & Air Conditioning • - FIRE DEPT. REQUIREMENT ', CT y.-) Ci 'i.• , ' i U L -.. ,...1J cit... .. J d. tri-i R7F tT• i F 03 20t RoQgh r;ctapy F$eplace [cm c1 x p p tr * 4: APPRtVP Cyt DCPenatit# > rr IS < rid ct T.x Ctr 74 * <' i c'* * 7 T, Coil !-+ Z. rS. x 21 u`ls i Stt'ct a` Ff-• xS * H •7 'y* * y S'7^jc� C•S M m �? a: .• .. .+S * S C7 ..* * 70. undergraLmej Hydro a 22. Duces, Nmnt ti � r�•?, Ufa r01a OS * S - * X: X71. Producc}xmt rr�i�I IBIRs 0s0i1 S n n 4 Crx n x r: .- n F* * cm lr� '-Y '0: Oil tateipj Ro4h &'Test toU * r' r"'* ' 00 * Ox m * nt it < n* x -.72. Undergt000yl Flu; m * F T m cut v'n 00 a u :sa .n ' r. : o T .-o 24:P o t Fgaming O* FF ••F * ;> 0 0' * * S734LUndergrng*StoragPTankCGas 0 O I-, •-,w ' •1 rn s T .-r* x •• ' I fu r> x 25. Ro 'P SI pthing '� ' 7. N 't'' Crl m 0 N* * S t7 HF,0 * x* •-C CI')r•* 0 > NY < 74�j(�yeriaead {iydrq-1 x 26%T-F.}af Ceiling (Structural) 8njvtgpecoat.-•:.:t to 0 trl* * 757Dry Chemical 0 * 1-1 _ 0 SS aa" p rr x X. r•. ...T• x *e 27.`lFra_cne and Hash h7 OS* 0 * * 6.FLily F-211": * S m m LS OtCT t t h >• CC* ,K 7y g'ian4aje ( .-, p� t* .4ts7Q cr2i,d: J+I A< , • `...-r w V ... t- H2` 8. Lathing & $*cling-,,:c- - <m •••tori*- z •• •••t r 77y FIXED SYST.EMJ1NAL* 7- ; c• et C7 t • O " - i T-..-• to * ,a i, i.. •>29. Insulati t '? x% i-•' S " " =CclibC*a to .xy 78cFIRE PREY. FI4JA}. y > x m O 0 Y*S to t * s - �tsa. u, rc30. Drywall Naithg ¢a: •--•ra X fi T: kdEALTH*DEPTe REQA�IR6MENT 131. Plaster Grown r* i ' ` - * ': p799FINA L IN$PECTIPJN .1 C' 7 8 .432tyElectric PoalarrMg..gvFinal, F'F cu *: N ' , -n8OrriF00D CEsftTIFl,0 E ISfi-�DF�~ >_33411-4,11 EI cir' * a•`a * m - r, rNo s: T -7s * x n`j34.-Find Hifating�& '(•, Copditi9^ S spit s < G/ it�z lM^ 35ttFirtaiGat?PU:•Tat* to 'ifr* 0. a: n n-J• m:S * rr r cm r .• m x:h -• c:* r-i , * x 7 x,..r 51-4 * C G w 144-- -.:),..: et m . •.t , IT .11 Cc*36FlotrianoPYrx < Ir-+ Gib: n . * *: £ E net ? 'r• :i S t- • :1* 'C r1 `c * ' - •., 'r l-37.Fin1l FSdtory E re:Mate S:^ I.-tc i* in * * t CI X, CI 8 Jhip l Plbmbing p.* U Ott: * .t * S r-: n„39nWater Service-Finaab- 4.0 * I ' * if: n x7 * x O x Rt o xg r r x Is r >. •. ,_ t 0 `?40.'Gas SerUTce-pp,,nald*: * 3 " r-'-. -r, t. r- L� .D* PL �Cr'rr '1. * m * *: Cl: :.. x . . r F.i.. 1 .: 441.Solar Do newFri t- nelr n ••N *Os * 1 e;• • - .i * .-, eV* -r x r * Tr j• 7' * X .'r-, f-'42:-Backflow Preven'tz F N .:0 * 0 r i t-. vi * t) ' ta. t, d,-..-+ $ +- r^ 1. k; -n^, r. 43. Backflow Ir�atiortt: tcSS n * I * IA& O * p a F,x > rr * 1. * * V �- * n • X44. Landsc a eget Syste ;^ k _s; c N n) x0 * N 0 w. ,may :el < < -.C. . fl S S .2 tZ x * f45�Sound Httectuatioa: r;0.ti rrx x S F I- -,* *, r1 aT n- 74- I-C * x •• .t x n M rf* * -• 7 •T y • t.0 x f46FHandic�'p. R€-�ulatits 0 �N * m ••• ••• •••* * p G--. •••r-f x , •47.*FIf AL STR-LICTUkE & BADING Q -+ `t^�- ti /J/ /,J d490Eleefric Release to dison : x • , ' .-w rr z , r....-cc t , * . * * r es, .n 1 w ; • r « A4.c ",50..Gas,Rel§se to Sou4hern Calfonia Gas Co * x ` y51. CEf3TJFICATEOFOCCUP�IdC� * er• *. x > . r it J No. Date a PR03ECTAODRESS: 2538 BACK BAY LOOP UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: E 06357: OWNER'S NAME: BOB GIMIGLIANO ADDREss: 2538 BACK BAY LOOP PERMIT NO: E 063572 PLAN CHECK NO: N GOVT: N SUPP: N COSTA MESA CA CONSTRUCTION TYPE: V PERMIT TYPE: ELE PURPOSE: OTH 631-1149 mo/ENGINEER: HYYTINEN ENGINEERING REG.NO.: S2732 JOB DESCRIPTION : 68 S.FT. SOLARIUM ADDITION '(HABITABLE) SQ FT: ADDRESS: 3400 KAUAI COURT UNIT: 118 RENO NV 89509 CLAIM VALUE: CALL—VALUE: GROUP OCC: R-3 / PERMITTEE: AMBIANCE ADDITIONS (714 )871-4165 ADDRESS: 765 S. STATE COLL. BV 1 COMMENTS: SOLARIUM WHICH HAS BEEN ENGINEERED FOR HABITABILITY / RE: B63571 FULLERTON CA 92631 SE*SESERrsr:E*sr*****sE**ssESE:rRESESE*RERr*RE*sE******SESESE******sr*:ERERE*:ERE**RE*sE***********?IE*SE****** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ONING REQUIREMENTS 7000)of Division 3 of the Business and Professions Code.and se is in full force and e ct. SETBACKS CITY LIG.: STATE LIC.: 54173 LASS: B 1 Date:P/ 42[(.-d,.3 Signature: • MAIN BUILDING ACCESSORY BUILDING WORKERS'COMPENSATION DECLARATION: (hereby affirnfthat lhave acertlBWfe of consent to self-insure Orat¢RIfiC eot Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN WORKERS'C '}�N�M/�pp�ojN.�DfECycLr�ARAed copy Iheof reyaffir(Section 3Boo.Lab LEFT: FT • IN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: Ii JESJJ EXP.DATE: �'1/O1/93 • COMPANY: STATE FUND PARKING REQ. PROV: PARCEL: 93765064 ZNE: REF NO: 1 Certified copy is hereby furnished. LX Certified copy1th the city Building D m, PLANNING NOTES> c > - ' Date: /R A Af Q3Applicant: _ _ _ *************** *******************1 ******************************************** EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: This section need not be completed if the permit is for one h dred($100)or less). D E V E L O P M E N T $-'B,?R V I C E $ REQUIREMENTS I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws of California. --- ZONING. APPROVED BY DATE: Date: Signature: W BUILDING APPROVED BY : (/f/) /L DATE: NOTICE:If,after making this declaration.you should become subject to the Workers'Compensation provisions of the Labor LA—.4-11C). .�" �E if it iF iF Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. ' -f CONSTRUCTION LENDING AGENCY: hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY: DATE. $ 3 which this permit is issued(Section 3097.Civ.Cf. •"-- ************************* ***** * *****int *** *** ****************** **** LENDER: .., J *********************************************** ****************************** ADDRESS: LEGALIZATION:N F E ,fi%H SUMMARY STRUCTURAL SEGMENT:N OWNER BUILDER DECLARATION: I hereby affirm that lam exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE $MIP/RES GRADING (Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 6}75 repair any structure.prior to its issuance.also requires the applicant for such permit to file a signed statement that he/she is licensed ]0 Z SMIP/NON—RES pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN ' and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 1500 00 I, as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure is not intended or offered for sale(Section 7044,Business and Prof essional Code: The Contractors'State License Law TOTALS-- --> 6 .75 15.00 0.00 21 . 75 21 .75 .00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through his or her own employees,provided that such improvements are not intended or offered for sale. If,however the building or ' REVENUE DIVISION TOTALS--> COLLECTED• • 21 .75 OVER/SHORT• 00 improvement is sold within one year of completion,the owner will have the burden of proving he/she did not build or improve for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIO FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044.Business 21 .75 ❑ and Professions Code: The Contractors'State License Law does not apply to an owner of properly who builds or improves thereon and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).I am aware ******************************************************************************* that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL F E E BREAKDOWN • ❑ I am exempt under Section: B.8 P.C. ' for this reason: TYPE QTY ' DESCRIPTIO N UNIT COST TOTAL COST Date: Owner: ELE - 3a FIXTURES LIGHTING 1 ST 20 EA. . 75 2. 25 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and ELE 4 . RECEPT/OUTLET 1 ST 20 EA. . 75 3.00 25534 and mat I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements for a ELE ' 2 RECEPT/SWITCH 1 ST 20 EA. . 75 1 . 50 permit for construction or modification from the Air Quality Management District.Residential construction applications are exempt from END OF FEES these provisions. Date: Applicant: I hereby certify that I have read this application and state that the above information is correct. 'e to comply with all city and county ordinances and state laws relating to building construction and ' thorize representatives of•ty to enter upon the above-mentioned property forginspection purposes. Dater ! 4u6- 1_3 Signature: . i . _ r A. - 01 00145316-00145316 TOT 21.75 Driver's License or Social Security a: / . DATE: 08/20/93 TIflE: 15:58 1641-46 White—Building:Green—Code Enforcement:Canary—Aoolicant:Pink—Revenue:Goldenrod—Assessor CONSTRUCTION AND PLANNING POCALS • Permit# APPRPermit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or_Pole • -52. Pool & Equipment LocaTion c,--;t--, 2- Soil Pipe-Undrgrnd. o¢ 53. Steel Reinforcement U '. 6.,:Nr` tbk-Aitr0ility-Unargrndfvrr' - 54. Forms '-J C:H I l;g U'-st r.`•' i c,r�t6. ElEctciaall Gtfndtt;h�Indrgrnd. 55. Electrical Bonding kri-in e1 , .rc `lei rn J - Dx -. 56. Rough Plumbing & Pressure Test ,ri ;k fzli ectricaiEFF {�,irsnd. ri • 57. APPROVAL TO COVER-GUNITE T ' Ir ;s; G; - _ - o to 4:Footing() Gd; ✓ ' 58. Electrical Conduit-Undrgrnd. ✓ C1>4 .,n 11f-. •• '4q. ounda i� .L.:rn "" r 59. Gas Pipe, 0 Undrgrnd., Test LA f • i O :4'v. C.: - O 9:aNater Pte-Unydtd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. X10. Structu Floor System 61, APPROVAL TO DECK 11. Property Se vs Bine;e,& Hi use Convection . . 62. Backwash & Receptor-Final 12. Sewer Cap -- • 63. Heater & Vent-Final m a, a' - - 13. Roof Drainsfu N 64. Plumbing System - Final 14, Rough Plun1 ikyq I 65. Electrical-Final 15. Roughgiectrictl-Conduit I //, 66. Solar System-Final 16. Rough Wectri FrWiring %�G ;{(.� 67. Fencing & Access Approval f ni=l 17. Rough Wigg Sign - 68. APPROVED FOR PLASTERING 18. RoughElectriiMM-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19" Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT C1 C. - • , t t 1, J .2*,.... J tT t7'f-,off- IX * F. MITI 11 2ornRoggh jctooy fhr.xplace I ... 0-.; 6"7 tr. 0 'ZS C> * •PPRRVALSMOPetmit# x .r 1-P-11 .i rt 'c m C T* • rr tncr * S - V* * - V .a:NI-w - > u cr I.t11ti , F.Fa :CS * Ia •1 "3* x • S7"it't * ,r 21{ ut}s, is t- t '- G, i ,- „ ,S 4 S '- * 70. Trriderq ' H}.y+ro ,r �. , .ate $.•. , {'J {-1* Jr r- •:, 22` Duos, VPnttfatirtg•* I OS *' S 7t .' '',.-ting* * 71. Produ ©6's DOHr7 23CGapipRq h Wiest ! m * M I-'* '* -'A72 Under tl FICr�' x r. f [T:S * [Tf C' K O x :R 9 ASP; * F 11 C to {U* I rTtr • * 7 Hs r ,r' r E+F _4-' O' J 24rr;Roaf Framing O 1 '* > 0 tr' x x 73WUndergrnc';•.Sto .•9rTankxOGas 0iaila . 25. RoCf SlSathing ttic ¢ y C > cu * ' 74raOverhead"iydrGi" : _ t * • '' i 26tT-gr Ceiling (Sy{tural) &¢oonocoa, t 0 ir 75Chemical * G trQ = y t C` C 277-FI SC cd Flashnr ` y cot, z 76-'Dry Stan $e 'Rif, xS til xn,al.nz * , I.-128. Lathing & Siding.4n r- '-i<z tT t £ .. .. ":•: : 77a FIXED 4'!'' TENISINAIr ..."1.1., >'29. Insular: S'Pt 0 a '..“ > FR' iiB 78FIREPREV. F4J ;L ,r > .0 NO/111_ : "'30. Drywal ailingQ - c�gymEll S LT'S G `�` EPT.:R�EQigI R---"" in '31. Plaster Now fi 799FINA L I CT iNr, * 1' ' ' Frj32iyElectriQ Power ytemFinal "'H s cn I rI8Fi" 1rnF00D C RT I6AT.E ISSUED"' , �33<Fir$I Er tit rA t1' i e j- l' ,/ ,Rs: 4'1'-'3 ,,,ate s '.f n n rri .ij34cFir±l HKti4&Aifr .pditigrw c , a • ;.u.,,_, ',-x niz x *S ....N..I0 351Fidsl G5� Pi'p'e-T€t* , '"d nrva. on CIS " I O • n rslx ns •• . H • O • GH t NNN?' N rr1* E if* iv A. • •K : t. : FFr "'x;36 Ho is oF,CanopY. .. 0 1 -.. a• t'� k * _ £ no * tT' t�370Firt87 Factory Fire-Tater I Zr" L * t; t * ; n x 000tn �-. .. .. S tC I nc+ TO s," * x * N G 5r.+,• x I ••. .• rJ * N r a i C. tt' x I--{38. Fina! Plumbing ;* .J I C x ? H 'r W C:,39. Water Service-Finale ' . I a. if .- r-*" n up. s cc rn z,: s I * a; k It •, * tri t'fm ,'?,40. Gas SeriAce-Finatni trf <c,.,, I'-'53 tri lc * Qu-' -v a - • •r `i; .. z - OF: ., - ,t- : "'S C x41. Solar Da._mestic-�inels n •• * O{ * * :cc,- :-I * .t t •r x x * tr. -Jr;; Cr x M 0 F142Backfldx Prever> ` r•' ?: r 0 x * I-I '.1i .* J' tJ .,, t,1 01-4.'+ 4., -: ti :10 43. Backflow Irrigation: ICSS * f a: * %E- * 0 C- * ' x 7..t * x J i r U . 1. >1 Landscape irJrrigauon Systenjrz,O tt x ,.r G G 'rt x. , co v �C) * cu -,rur., ,, M - - Cr - t - s45OSound Attenuation I-+t>;r :r' • £ '-+ i-' ' * '-I ' xA a ;..:46 - Rqu I inctn s a ,O * x * CC S G+J S. Cr -47cFII L STRUCTtL•f E & BUILDING x '� > « _ I'd S a * _ , m* x c. - i * 1 7.r 48tFIIvAL PL.RNNLN I tr tT' !' E k S 'i * J S 1.1-'r' * N h IC ¢ rr. a V x r x - * :l: S - -i a497.Electric ReleasetatEdison I > x c •_ � I * y 50_Gas`7Release to Southern Cal(fgrin Gas Co X y :" fr ., H G . 0rn s• ;,' CI 't;_. X51. CE$TIFICATEOFOCCUPANCY _ O`" n No. Date Applicant to fill in all spaces except those within heavy border lines andsign all appropriate declarations. CITY OF COSTA MESAr CONS •RU TION�PERMIT — PERR/�w IT NO. TRACT NO. LOT NO. . • UNIT NO.• ,/ 0675 4/09/86 • 6000 TL • Project Address 1'J �3 • W/I _ 1'�. _ :i�.• ( `�L1 0� 0 • • �7zY . . .. Applicant's Mailing Address. 'j 30 E• is' t.d '• TYPE OF CONSTRUCTION M NEW U ADD U-ALTERATION U REPAIR / _ / • //// CI CONVERSION CI DEMOLISH ❑ OTHER - - • qp, •I Zone Owner's Name f - ✓eu<1• ••/r. Ph ne PSC... .DESCRIPTION OF WORK/USE OF BLDG. p Address f 0"2_ S:. 1 -' �, / ZA 2 - - -.5E42-- S Main Building:. - Accessory Building: Arch/Eng., . - License No. • TYPE OF PERMIT ❑ GRADING U FOUNDATION ❑ STRUCTURAL ' T Front - - O Address • / ❑ TENANT ❑ ELECTRICAL ❑ PLfUMBING MECHANICAL A Rear N Contractor's Nam e -Lsr4.-s-O.�/4).y P ne L 2-7`/. ❑ 'OTHER • V 1{ ,) • C Right N ee � /yo PROJECT DESCRIPTION SQ. FT. OCCUPANCY 9 Address(mailing) b/ylv3o g• �M�.LL . t,rt' at."-c. - s LeftG Ole ?1 j CONSTRUCTION TYPE VALUATION$ s - R City'License No: YY ZONE _ GRADING CU.YDS. 'ACRES ping. Ref.# • Parking Req./Provided E LICENSED CONTRACTOR DECLARATION '• - - Q 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 an Professions Code,and , T mit license is in full force and effect. 345 zg a.. • ' License Clasg. Lice t t..2 $ Date L4 'd' • Signature i • i ........-.2.0.7 ! ' _- PLUMBING • i t FEES • WORKERS'COMPENSATION DECLARATION' 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 t/AherPPPPof (Section - • - - _ ,800, Lab. C.) ' - ' -' Backflow Preventer -- - Service Sink - - p d/ / �j Automatic Washer 'r ` Transformer ❑ 15-50 KW Policy No. { 3 7 G 14. Company " 11J Backflow Irrigation Sewer Cap Construction Pole Sub. ❑ 50+KW .Certified copy is hereby furnished. - d — r•ertified copy' filed with the city Build IVIsi iii ,�//I /,. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100'amps Date Z—1 1p,.../Ks" ' Applicant • f3: �Y s<iNIUM --_ — ' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers • Solar Collectors Dishwasher Meter Cover 100 amps (Thissection need not be completed if the permit is for one hundred ($100) or - - __ - " less). 1 Dishwasher 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 manner so as to become subject to the Drinking Fountains Solar Tank - Fan Motors❑0-1 HP 011/2-B Workers',Compensation Laws of California.. . Date Signature Floor Drains Swimming Pool w/Spa ' F.A.U. _. Inc.Solar 09-15 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 - Gas Service ODUats Water Closet' - Device Boxes Pole Light I hereby affirm that there is a construction lending agency for the performance - 9 of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors' __ - Water Heater , Outlets Lender's' Name Rane • Lender's Address ' ' - Kitchen Sink _ Water Service 'Switches Sign R • - 'OWNEBUILDER DECLARATION - - _ - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories . - ' following reason (Section 7031.5'Business and Professional Code: Any city or ' - . . Auto-Wash - Garbage Disposal ;Standing Sections ' county which requires a permit to construct,alter,Improve,demolish or repair P-Trap; •_ 'Laundry Trays ' Generator ❑0-5 KW❑5-15 KW Trash Com actor any structure, prior to its.issuance, also requires the applicant for such permit - _ - p ' to file a signed statement that he/she is licensed pursuant to the provisions of ' • ROD(Drains - ` - the Contractor's License Law(Chapter 9(commencing with Section 7000) of i • — - _ • _Division;3'of the Business and Professions Code) or that he/she is exempt . • - r„;tperefrom and the basis for the alleged exemption. Any violation'of Section - i . 031'.5 by any applicant for a permit subjects the applicant to a civil - i • �ry ;rnalty of not more than five hundred dollars($500). - - - 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 - Reinspection Fee $15 Issue Fee' .$ 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 whoidoes such work himself/herself or through his or her own -. DEVELOPMENT SERVICES REQUIREMENTS: • employees, provided that such Improvements are not intended or offered forjExhaust Boiler Hood or Type I ❑ . sale. If, however, the building or Improvement is sold within one year of coin- Capopy Type II ❑ Zoning Approved By Date pletion, the owner will have the burden of proving he/she did not build or'lm- Duct-Under Ground _ Building Approved By - • Date prove for the purpose of sale). C.- (,, ❑ I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By l qDate I ' tractors to construct the project (Section 7044,Business and Professions Code: - f/sg� The Contractor's License Law does not apply to an owner of property whoDuct-Ventilating ' ❑0-100,000 BTU ❑100,000 BTU SUMMARY OF FEES builds or improves thereon,and who contracts for-such projects with a con-tractors) license pursuantto theContractor's License Law). I am aare that System ❑ Multiple ❑' System Repair/Alteration BUILDING PERMIT $ SMTP . $proof off their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ PERMIT I 1: 1 am exempt under Section _ B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date I ' 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 100,000:BTU 0100,000BTL - - - OU information is correct. I agree to comply with all city and county ordinances I • ��///. ELECTRICAL ,$ - GRADING ,$ and state laws relating to building construction, and hereby authorize repre- P 'f MICROFILM $ sentatives of this city'to enter upon the above-mentioned properjy or y � PLAN CHECK 50% $ �7 (Y..-) /g p, , Inspection purpose . Ii. 3-ZI S r L-•I v MECHANICAL '$ r' TOTAL FEE •$ ® •w Signature T / Date YY Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ I•00 • Drivers' License or SS - ' • a CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod -Assessor 41ZA411. n CONSTRUCTION AND PLANNING POOH .. SPA APPROVALS Permit# Date Inspector APPROVALS ' Permit# - Date Inspector • ',1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location • .2. Soil Pipe-Undrgrnd. • - o- ' ° 53. Steel Reinforcement .3! Electrical Conduit Utility-Undrgrnd. =i 54. Forms • • 4.,Electrical Conduit;Undrgrnd. 'o 55. Electrical Bonding - . S,:Steel Reinforcement i 56. Rough Plumbing & Pressure Test : • 6: Electrical OF ER Grind. . 57. APPROVAL TO COVER-GUNITE '•• 7. Footings ' 4. .58. Electrical Conduit-Undrgrnd. • 8. ,Foundation I , - • 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. Sewe"r 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 I APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro • - _22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil • • 25. Roof Sheathing 74: Overhead Hydro ' 26. T-Bar Ceiling(Structural) & Monocoat 75. Dry-Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. 'Insulation 78. FIRE PREY. FINAL ' 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED " • 33. Final Electric Notes: • Li ' 34. Final Heating & Air.Conditioning ICigiSIS 0 CO - 35 Final Gas Pipe-Test' , 36. Hood or Canopy 37.-Final Factory Fireplace 38. Final Plumbing ' ' 39. Water Service-Final . 40. Gas Service-Final • 41. Solar Domestic-Final •_ 42. Backflow Preventer • 43. Backflow Irrigation . 44. .Landscape Irrigation System 45. Sound Attenuation - - 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING ' 48. Special Requirements Completed 49. Electric Release to Edison - - • 50. Gas Release to Southern California Gas Co f51. CERTIFICATE OF OCCUPANCY ; t No. Date - - "