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HomeMy WebLinkAbout2649 ELDEN AVE - Building Permits . • FLDBN Avtuus, }649 • _ 2649 ECDEN UNIT A - .24934 - 2-14-66 det gar L: stge1,860 310682 7807 - 2-15-57 Fibg. NC (gas) - arl0 576,469. - 32918 - 10-11-71 i-cc UC (2 meters) -74/4 (PC7-83) UNIT 18 BP-9398 $2,000. _P10689 MISC. g- �e-7/ / - 74.7/7e/ (310682) umA 8-9657 81ocj wall 510,000 �Ib9,0V - E10721 r - MLSC. 7/6/49 (810682) (Unit #A) - _ E10790 '-3'-8Y CONSTR. PWR. E10790 CONSTR. PWR. i 31.E . (310682) (Unit #A) - J/ 14/' (810682) (Unit #A) - C243 #880 .g-I3 4-25-85 S _ M12375 ' , FIREPLACE, - AO e/i/97 3106692 UNIT A NE 20n 6'_ A � M12586 MISC: /O//b�FS� 810682 84-0 A - • . j • I + • • • ,.R,.litGAL — --- [ 24934 CITY OF CESTA MESA •' COSTA MESA BUILDING-SAFETY DEPARTMENT NOV 24 1965 P.O. BOX 1200 COSTA MESA, CALIFORNIA 92626 For Applicant to Fill In Completely AFPU1 3•ill 1,:- EAR TYPE OR PRINT 1L'li. !. For ONke Use Only BUILDING /J / /7Fidex 94-, ADDRESS eC P 7 / RECEIPT NO. ,I7RB T1O� (/LC�IOSTA MESA, CALIFORNIA /7� 1/�[/ �' DJ.� lj1 p / /l aier-74- • V a n'p ' R[C[0. if/23/�QJ /7c'✓-4,`. ISSUED OWNER ��pp //4 /ice BUILDING / /� / ADDRESS e�- a79/" IOte Pi SA 17'S ADDRESS 10 44S cLPsI /•/,/ q TEL /3 FIRE E'/,�G_= / TYPE GROUP CITY A/®S'ht t$S R. NO. O(n 'IQ . _ �1 J APPROVED �( ARCHITECT `/ *:74. n 'y✓ TELT.S B7' v DATE// Gb/ ' OR ENGINEERENGINEER JNj)/��[�1- /'YjvvfN'� NQ.///�? �lj�/'� / ADDRESS / 49/*In//g ;vel L//.spi ZONING ♦�y N��L„p,� -0aCi Tra_ no.or Z USE OF NEW Y VAT/ J. '"` I /al /' I BUILDING CONTRACTOR {A.OT/ . �'P 4/-t✓6 / �'l 4 L Lb.I 7( 7 G tiff / I aAL ADDRESS a yy tiff„/V �..' -)"t_ DESCRIPTION ,f- /»-ayo - Z6 CITY .4a a Tite./i A.P.NO. Q� ,p �1 NOTE: NO RAVE OVERHANG SHALL BE LESS THAN L rIL. 1 ( Q U Titre.t of/07 30 8 SIDE A REAR p.1... EAV PLOT (y(I /� i70. I NOW ON LOT J NO.OFBLDOB. 0 ALLOWED (U.B.C.REQUIREMENT) /` J� USE OF �j YARDS APPROVED YARDS APPROVED USE NO BLDG.A_A S' - MAIN BUILDING ACCESSORY BUILDING EXI (FROM C/L STREET) � SETBACK LINE PROM FRONT FT 1 / rr, CENTER OP STREET REAR YARD SIDE TARP LEFT I RIGWTI R.SIDE FT. FT. J DESCRIPTION OP WORK L SIDE PT. ' 3 FT. NEW ALTERATION ADDITION I REAR PT. /3 b FT. .I/ // � - DISTANCE BET. BET.MAIN A REPAIR _ MOVING DEMOLISH MAIN BLDOH. ACCESS.SLOGS. BUILDING �/ y� NO.OF VAR.* DATE SIZE .2-.-- 1T ..p/ ROOMS ROOF �STORIES / C.V.P.# / ,(� APPROVED CO EXTERIOR 7rC9Q�(, COVERING COI`I'\p APPROVED // ////JSY OTE l '- 3 -/ I- - USE OFBUILDING AND WORK Tq B[ ERFORMED �(JI L II///V/�//„U(��1�1/J//1+/4 �i a. J3-e F a c.4 -PA` avatz.. it Sof o v al ce ,(o Ire— 6mD HO.FT. 1 I HEREBY ACKNOWLEDGE TWAT.1 NAVE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE AND STATE THAT TIRE ABOVE,IS CORRECT AND AGREE TO COM. PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING BUILDING CONSTRUCTION. VALUATION co OO 0 PSIGNATURE ERMITTEE OF .4 ..4&I aaer, g PERMIT FEE( i 50 F S ' Go PLAN CHECK S �G AUTHORIZE GENT I 7 rte' TOTAL FEE $ ' / • City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. 000597 Building Safety Division P.0.Box 1200 Costa Mesa.California The Building located at 2649 FT.117l nxtTT 1tn has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group R-1 Occupancy. • Use of Building CONDOMINIUM Legal Description 439-071-22 (See reverse side for Metes and Bounds) Building Permit No B-10682 Electrical Permit No. E-141321 Plumbing Permit No. 2-10689 Mechanical Permit Noll—f2375,£4-121586 Number of apartments and/orguest rooms ISSUED TO: Buil'diin"g/O�ffiROT,, /Ld/� r�—��(' G IIAIId VFs�PiYk2E COUP by l4' t2 �� !L4la_ 1539 MONROVIA #19. NEWPORT BEACH, CA. Date / e,�/✓-/[ i9 s/ 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 (e) U.B.C. CMF 1015.46 rev.1/83 White-Owner;Canary-Numerical File;Pink-Bldg.Permit File • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. `• CITY OF COSTA MESA -- - PERMIT NO. TRACT NO. LOT NO. BLDG.NO. - - CONSTRUCTION«P ,JR.MIT • f -�Q4 8'5- kVA t A X947 l 24/84 . 375.49 TL //.Q // Project Address _ �-O TYPE OF CONSTRUCTION NEW ADD. U ALTERATION REPAIR Applicant's Mailing Address , 1.€ad f 1 it al" S - ' ❑ CONVERSION ❑ DEMOLISH ❑ OTHER - 'A.P.# 43q_ 01 -Z•L_ _ I Zone . Z I/ xIVEI Y1t✓f V� P 4a DESCRIPTION OF WORK Owner's Name ( / - jbp pi 1 ) �4 C S Main Building: Accessory Buildi4: Z o' 0 Address L'A/�-,7,9� / (fir•-feQV`YQ l9 N4f'. pp�7 E . TYPE OF PERMIT GRADINGFOUNDATION V; STRUCT -AL T Front 251 Ot( N Arch/Eng.•nf'IDC/'/L ScdjO,�/,,sem Licenssee�Noo. ��t7 ! ❑ TENANT ❑ ELECTRICAtL��❑ PLUM-BING r❑�M�ECCHANIC�/AL BN r L �� . ' O' •\ Address L'TI" ! ! / r'• - LT GYS tom/ r ❑ OTHER 1C- 5. /3 ! 1 vat /2 - n A Rear Trn il. r N 3 ,PROJECT DESCRIPTION SQ,41.C�e 4rb6 'Occup K- C•, Right •�Zgs1/-�+'� - 'G. Contractor's Nam r� //� pA ILD honaf ' ][ • K —� /! /R / Addfess(mailing) �S a%O v� w` - CONST.CCTZN TYPE_ VALUATION$ S Left E • ZONE GRADING CU.YDS. ACRE$ Ping. Ref.# Park.Fees $' I I r .5 I, Q City'License No. I ,71�r ���sss / U . LICENSED CONTRACTOR DECLARATION Remarks: �G lO�_� � • 'r 78/Y�g Parkipg Raq./PrOvid¢d k I hereby affirm that I am licensetl under provisions of Charter 9 (commencing VVV with section 7000) of Division 3 of the Business and Professions Code, and ' �Q O Use of Building: iE .my license.is in full force nd'effect. t Plannin Notes: M I License CC,l�aass - v ' q.-y/29P,/ PLUMBING - I FEES g . E Date Signature -Ir - ' N WORKERS' COMPENSATION DEC ION Bar Sink Showers 1iipT p FOP SnFrnt nLMrrn nx.s....n I hereby'affirm that I have a certificate of consent to self-insure ora certificate 1 - `•- •••uu....r s J 'T of workers' compensation Insurance,(or a certified-copy thereof (Section _ Backflow Preventer Service Sink f R C'F!'1 1 RFl11D•vnarvme 'S 3800, Iib. CJ U Backflow Irrigation Sewer'Cap - ' ELECTRICAL • : FEES" Policy No. /-'��7/� Company . /2.1U� ' ��� T certified Copy is hereby furnished. : 1 Bathtubs , , Sewer Connection, ' Automatic Washer _ - ;Transformer ❑ 15"SO;KW'' _ ' s..Certified cpp is f'a with the city B•0•' .yr----'� 1 __ - - - - - i lYy�"Thr �1 Clarifiers - ' - - - I ❑ 50+KW 1 • Date /-' Y d Applicant ¢ Solar'Collectors- . - R Construction Pole Sub - EXEMPTion nee OM WORKERS'COM ON DECLARATION- - Dishwasher " 'Solar Piping - Cookin Unit 'Meter ❑u 'to 100am s (This section need not be completed if t is for,one hundred ($100)or 9 p P - • less). - "' DrinkingFountains ' I certify that in the performance of the-work for which this permit is issued, I Solar Tank ' _ Dishwasher Meter Dover 100 amps, ./ shall not employ any person in any manner so as to become subject to the • - - Workers' Compensation'Laws of California. - ' Floor Drains Swimming Pool w ,/Spa - Dryers ❑Gas i DElectric Sub Panel Date ' Signature - - _ NOTICE: If,after making this declaration,you_should become subject to the Floor Sinks ' I Urinal Fan Motors❑o-1 HP ❑1'h-B-' .i Workers' Compensation provisions-of-the Labor Code, you must forthwith - - • - - - - - • comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets . Water Closet, , F.A:U. Inc.Solar ❑9-15 HP ❑16-15+ CONSTRUCTION LENDING AGENCY. - _ - - '- I hereby affirm that there is a construction lending agency for the performance' Interce torsi r Water Heater •- - Fixtures • of the •work for which th1s..perm s itsslel-(Section 3097 Civ. C.) p - _ • 'Micrdwav¢ • Lender's Name , r�3 • Kitchen Sink - Water Service Lender's Addreis -/100 T. -�'�'-'47t - elle- - ' CT • = .. ' - - - Device Boxes 'Pole,Light OWNER BUILDER DECLARATION : .' , • Lavatories: ' ._ I • _ • Outlets Range ' 1 hereby,affirm'that I am exempt froth the Contractor's License Law for the - - - ' following reason (Section77031.5 Business and Professional Code: Any city or P-Trap + Switches i Sign' • county which requires a permlt'to construct,alter,improve,demolish or,repair • - -any structure, prior to its,issuance, also requires the applicant for such permit • Roof Drains r . - . _ Garbage Disposal - $landing$ection5 I •• (to file asignetl statement that he/she is licensed pursuant to the provisions of - _ . :the Contractor's License Law(Chapter 9(commencing with Section 7000)of _ _ 1 I - Generator ❑0-5 KW❑5-15 KW Trash Compactor :Division 3 of the Business and'Professions Code).or that ho/she is exempt - - Pa 44ttherefrom 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). . Reinspection 'Fee I '$25 Issue Fee . 0 $ 3 • '� I,.at'owner of,the property or my employees-with wages as their sole 'MECHANICAL -- Reinspection Fee _ $25 'Issue Fee $ 3 compensation, will do the work,'and the structure Is not intended or offered • ' `• FEES for sale.(Section 7044, Business and•Professional Code:' The- Contractor's . - PUBLIC.SERVICES REQUIRE E T License Law does not apply to an owner of a property,who builds or improves Hood or Type I ❑ +1.,u • ' thereon,and,who does such work himself/herself or through his or her own Zoning Approved By ��- 9. ' `� Date t Z`4 Cs ' employees, provided that such improvements are not intended or offered for Canopy Type II ❑ .YC'r talc' If, however, the building or Improvement Is sold within one year of com- e - Application Approved By Date/'a4'g elation, the owner,will-have the burden of proving he/she did not build or Im- prove for the.purpose of sale). a Refrigeration System - Application Issued By 7 Ai/ Date / -2-41-5? I, as owner of the property, am exclusively contracting with licensed con- ❑0-100,000 BTU ❑100,000 BTU . "tractors to construct the project (Section 7044,Business and Professions Code: a SU M�R YY OF FEES • The Contractor's License Law does.not apply to an owner of property.who r '/(� builds or improves thereon,.and who contracts for such projects with a con- ■ - O. System Repair/Alteration , BUILDING PERMIT $ SM IP $ L i Y/ tractor(s) license pursuant to the Contractor's License Law): • PLAN CHECK $ PERMIT ❑ I•am exempt under Section - - - B.& P.C.for this reason :e # .ISSUANCE $ ' PLUMBING I ' $ - ' DateOwner - Ducting $ PLAN CHECK ENERGY P.C. $ I hereby certify that I • have read this application and state that the above ■t [t sss ■ s[ slt : GRADING $ information is correct.-I agree-to comply with all city and county ordinances '- -- -- ._ ' - . ELECTRICAL • $ and state laws relating to building construction,and hereby authorize repre- ' MICROFILM • $ sentatives 0 city t0 on the above-mentioned property for I PLAN CHECK $• -7 • inspected --.urpor- TOTAL FEE : $ 1 / Signature —� _• Accounting;Goldenrod -Assessor - - - _ -- - - . . .. • - - - • CONSTRUCTION AND PLANNING _ POOL a SPA APPROVALS Permit ' Date Inspector APPROVALS Permit# • Date Inspector •1.'Temporary Electrical'Service or Pole • - 52. Pool & Equipment Location r. Soil Pipe-Uridrgrnd. 53. Steel Reinforcement 3.; lectricaI-C6ddhit:Utility-Undrgrnd. . - . - 54. Forms - 6 ' ,r 4iElectrical Conduit-Undrgrnd: 55. Electrical Bonding ' .• . • . 5. Steel Reiforcment . - • 56. Rough Plumbing & Pressure Test 60 Electrical•UFER Grgtl. C 57. APPROVAL TO COVER-GUNITE . 7: Footin s. _b.✓ ea 9 'r 58. Electrical Conduit-Undrgrnd. /� 8 Foundation_" ; S YA 1 ..�� ,ft st 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water•Pipe-Undrgrnc. Y - 60. Backwash Lines,P-Trap, 0 Undrgrnd. r 10. Structural Floor System 61. APPROVAL TO DECK 11.'PrOper„y Sevier Line-& House Connection 62. Backwash & Receptor-Final 12. Sewer:Cap ' S, •r. - 63. Heater & Vent-Final . • 13. Roof Drains. -1' 64. Plumbing System Final 14. Rough.Plumbing,; ' 65. Electrical-Final 15. Rough Electrical-Conduit - - , - • 66. Solar System-Final ' 16. Rough Electric Wiring - . - 67. Fencing-8( Access Approval V. Rough Wiring Sigh - _ 68. APPROVED FOR PLASTERING 1$: Rough Electrical-T Battening ' - . - 69.' POOL/SPA SYSTEMS FINAL • 1.✓. Rough Heating & Aiq,Conditioning - ' FIRE DEPT. REQUIREMENT' i 20. Rough Factory Fireplace . APPROVALS Permit# . 211. Ducts, in Structure ' I 70. Underground Hydro - '22:,'Ducts, Ventilating' •' 71. Product Piping 0 Gas 0 Oil • 3'. Gas Pipe-Rough & Test 72. Underground Flush • 24. Roof Flaming. - ' I . 73. -Undergrnd.Storage Tank,0 Gas OOil 25. Roof Sheathing.-"3 - ' eficip,c • 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat - 75. Dry Chemical 27. Frame and Flashing .6-• 5//g/'Rcr - 5 76. Dry Standpipe 28. Lathing.& Siding • 77. FIXED SYSTEM FINAL 29. Insulation ° t• 78. FIRE PREY. FINAL 30. Drywall Nailing f.:•1 I::: HEALTH DEPT. REQUIREMENT (31, Plaster Brown Coit. �/S �? 79. FINAL INSPECTION 32. Electrical Power,MC>ier-FIndl I 80. FOOD CERTIFICATE ISSUED I 33. Final Electric Notes: ,-r ,..!.F.: -C+ 4 f - zz C rte . ;c 34. Final Heating & Air Conditioning V. > . AA•1 35. Final Gas Pipe-Test - • 36. Heqd or Canopy �, . . . 37. Final Factbry��-Fireplace . 38. Final Plumbing-' Cz - - - 39. Water Service;F.inal , 40. Gas Service:Fi ial CC 41. Sdlpr Domestic-Final - . _ _ 7; 42. Backflow Preventer - ' . •. , / 43. Backflow Irrigation ' - ti •' 44. .Landscape Irrigation System - .. - en 45. Sound Attenuation I , 46. Handicap Regulations , , - 47. FINtALSTRUCTURE:& BUILDING 7J3JJpq As - 48. Special Requirements Completed 'pJ j77/� D^"�/� 1 • - 49. Electric Release to Edison f// . - . •50. Gas Release to Southern California Gas Co - • _ 51. CERTIFICATE OF OCCUPANCY 7 "+a •• No. .� / 7 Date /Z O1V /r e `1.aad-)-` . :>~ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 1....,71/CITY OF COSTA MESA PE IT NO. / TRACT NO. LOT NO. BLDG.NO. 29.59 I /24704 ' 43.00 11 CONSTRUCTION PERMITS • p—/06 B7. •. Project Address - 9-6 ill C/I ,n. //i-� TYPE OF CONSTRUCTION ' E IIEW LJ ADD U ALTERATION U REPAIR ' Applicant's Mailing Address z ✓d - <-- a a.- .❑ CONVERSION ❑ DEMOLISH .❑ OTHER A.P..A6 _ . (Zone Owner's.Name - /N"� 1/04%$V)' hone �sr'r/f/3 DESCRIPTION OF WORK _ "o, , ,.P S Main Building:' Accessory Building: U Address /f75 Mu+sequ' d/ / 7 AJ f 8 -.c& E . q .�/s�� 6b TYPE OF PERMIT U GRADING r�U FFAUNDATION U STRUCTURAL T Front N Arch/Eng.-feet.;c IL- eV:/p� lcanse No. )-/v / 0 TENANT ❑ ELECTRICAL L43'PLUMBING 0 MECHANICAL B I Address ' 7 9V F /)' /CAbtr ❑ OTHER A Rear N •Contractor's Name Pr �"I'•C�ti. Pk-.h• Phone/ L r6J\ J PROJECT DESCRIPTION SQ. FT. - OCCUPANCY. C Right G • \ Address cens(mailing) �)va N.y', _/' Ph con-, CON ST RUCTION TYPE -VALUATIONS - .g Left R -era-- ZONE GRADING CU.YDS. 'ACRES ping. Ref. Park.Fees $ O l\ City License No. "�yf 7 Z U ICENSED CONTRACTOR DECLARATION Remarks: [7 /648'Z Parking Req./Provided I I hereby affirm that I am licensed under provisions of Charter 9 (commencing 1l R (SAwith section 7000) of Division 3 of the Business and Professions Code,and Use of Building: E c)' my license is in full to a an• effect. License Cl.ss Lice J��-- 0 (Q� • PLUMBING FEES Planning Notes: M L• Date , : Signature ��- /� • Bar Sink Showers N l ' WORK RS' •MPENSATION DECLARATIONT I hereby affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer Service Sink - - -- .- • .- ' of'Workers' Compensation Insurance,-or a certified copy thereof (Section - __ 3800, Lab. C 25 // �`[ s� /� " Backflow Irrigation Sewer Cap - ELECTRICAL ' FEES .Pel No. 90 P a yob Co any 0/1'`.. /':li" - _ ` L5.9Certitied copy is hereby furnished. •f • Bathtubs Sewer Connection 6 Automatic Washer _ _ ' Transformer 0 15-50 KW DaCertifi d py i with the city it Ing yI"-op, _'Z/6'�/2 _ • _ ___ _ __ • Date Applicant bJ d� Clarifiers Solar Collectors Construction Pole Sub. ❑ 50+KW EXEMPT N F OM WORKS RS';CO ENSATI N'DECLARATIOM- l •Dishwasher - Solar Piping Cooking Unit • Meter ❑up to 100amps (This section n�ompleted if the permit is for one hundred ($100)ore• less). DrinkingFountains I certify that'in (ne performance of the work for which this permit is issues .I Solar Tank Dishwasher ,0) Meter Dover.100 amps shall not employ any person In any manner so'as to become subject to the • - Workers' Compensation Laws of California: Floor Drains Swimming Pool w/Spa I Dryers OGas EElectric • . Sub Panel • Date _ • Signature ' • NOTICE:If.after making this declaration, you should become subject to the Floor Sinks _ Urinal _ • - _ __ _ Fan ._ Motors 00-1 HP 01%-8 Workers' Compensation provisions of the Labor Code, you must forthwith • comply with such provisions or this permit' shall be deemed revoked: / Gas Service f'tutlets. 3 Water'Closet - - - F.A:U. - Inc.Solar 09.15 HP 016-15+ CONSTRUCTION LENDING AGENCY ,_ I herebyaffirmthat there is a construction lending agency for the performance interceptors' / Water Heater `' Fixtures ' I Microwave • ' of the work for 'which this permit is Issued: (Section 3097 Civ. C.) Li - Lender's Name i Kitchen Sink / Water Service ' - 4 . Device Boxes Pole Light ' •Lender's Address - Q - OWNER BUILDER DECLARATION - ' Lavatories / 44 A41 r - A -• Oil{lets i • • Range I hereby affirm that I am exempt from the Contractor's License Law for the • / following reason (Section 7031.5 Business and Professional Code. Any city or P-Trap /_ Ay .Si'es•K 0-,b,. , - Sw(tches ' Sign county which requires a permit to construct,alter,improve,demolish or repair .. y any structure, prior to its•Issuance, also requires the applicant-for such permit . Roof Drains . • r Garbage Disposal Standing Sections to file a signed statement that he/she is licensed pursuant to the provisions of - ' 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 • • .1 ` Generator ❑0.5 KW❑5.15 KW Trash Compactor therefrom and the basis for the alleged exemption. Any violation of Section `r ` 7031:5 by. any applicant for a permit subjects the applicant to a civil Reins coon Fee • - t/ • • enalty of mot more than five hundred dollars($500). pe I $25 )sue Fee . $'3 U I, as owner of the. property or my employees with wages as their sole • MECHANICAL — ; Reinspection Fee ; $25 Issue Fee $ 3 compensation will do the work,and the structure Is not intended or offered FEES • for sale (Section 7044, Business and Professional Code: The Contractor's . ,PUBLIC SERVICES REQUIREMENTS: ' License Law does not apply to an owner of a property who builds or improves . Boiler Hood or, Type I ❑ . thereon, and who does such work`himseif/herself or through his or her own - ' Z• oning'Approved By Date employees, provided that such improvements are not intended or offered for Canopy Type II ❑ yyDuct-Under Ground S' sale. If, however, the building the Improvement is sold within one year of tom- Application Approved By (� .w Date • prove , the owner will have burden of proving he/she did not build or Im- ✓ y /EJ/ /v/ 7 Date//�y/g71 rove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By D I,as owner of the property, am exclusively contracting with licensed con- ❑0.100,000 BTU ❑100,000 BTU tractors to construct the project (Section 7044,Business and professions Code: Duct-Ventilating . SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who 7 /{ ' builds or improves thereon,'end who contracts for such projects with a con• Exhaust System ❑ Multiple 0 System Repair/Alteration i /BUILDING PERMIT $ SMIP $ tractor(s) license pursuant to the Contractor's License Law). - IP LAN CHECK - $ PERMIT ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG yf' _ • '' (/,,PLUMBING $ `�Si d 'ISSUANCE $ Date Owner, • • Heating System& Ducting e Q a ENERGY P.C. $ ❑0-100,000 BTU ❑100,000 BTL - t/ PLAN CHECK $ I hereby certify that I.have read this application and state that the above - �j GRADING $ information is tact.i agree to comply with a I and county ordinances ' • - - ELECTRICAL $ and state law re ting to building constr t Hereby authorize repro- PLAN CHECK $ ' MICROFILM $ sentatives of this city :Iv upo e-mentitined property for inspection p this _�� a - T Signature , Date ''/Z /� MECHANICAL $ TOTAL FEE $ ��.60 Drivers' License or SS Pink•Accounting;Goldenrod -Assessor - - - -- - - CONSTRUCTION AND PLANNING POOL& SPA A 'APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole . 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 4A-BY .62? 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. • l 60. Backwash Lines, P-Trap, 0 Undrgrnd. • 10. Structural Floor System c 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection I_u_sY ,fE4 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains • 64. Plumbing System - Final 14. Rough Plumbing • • 1/Il/¢/f/ MC 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. hough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# • 21. Ducts,in Structure 70. Underground Hydro • 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough&Test 72. Underground Flush • 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes:-OH - tip Ncusc (z'oMHEGTco - 34. Final Heating-84 Air Conditioning ,/ !/e �i rmiT �sr 'KW; 211111; 711r7-- 35. rT35. Final Gas Pipe-Test 7/%//f l20 war/54,417'iip 'WA -r r 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 7�/Xiy LEl) 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 51. CERTIFICATE OF OCCUPANCY No. Date 1 „t - - ?.� Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA.MESA PERMIT NO. TRACT NO. LOT NO. BLDG.NO. CONSTRUCTION PER�M/IT �� ''�,, 'J -/)-3 5 7514 3`/29/84 8.017 TL Project Address 2c �//4 ” TYPE OF CONSTRUCTION XI NEW U ADD U ALTERATION U REPAIR , Applicant's Mailing Address ./`7-39,/7.4/Ol1fv/4.44jq �� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.,hs >Z3 f 09/_ �,2 Zone ,e_? Owner's Name �` 9 �✓ � CN117//C/l7.�/7 phone l/' 9/3 DESCRIPTION OF WORK S Main Building: Accessory Building:- Z Address I53Ci noAa(7t11 q 14\9 ^1 TYPE OF PERMIT U GRADING U FOUNDATION0 ?) 'C CD U STRUCTURALANILE FronteaN Arch/Eng. 1:2 -1 X, License No. ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING MECHANICAL B 1 Address a3-f F \'1\ti c20 C. \1'1 A Rear N /,� // ���� ❑ OTHER • G Contractor's Nam n/✓di�na:,44/2.tiDJZ �! 'ione�47Yr 99/? PROJECT DESCRIPTION SQ. FT. OCCUPANCY -/ C Right Address( ling/S'.9 /9fr-✓I/J//./i9 /9 /�'/�' CON ST RUCTION TYPE V VALUATION $ Left E mai City License No. 22.1565 ZONE 7-� GRADING CU.YDS. AC REG Ping. Ref.# Park.Fees $ Q � D/ �^ U LICENSED CONTRACTOR DECLARATION Remarks:�T�l 'FCr>/T 07067 Parking Req./Provided I I hereby affirm that I am licensed under provisions of Charter 9 (commencing R with section 7000) of Division 3 of the Business and Professions Code,and Use of Building: E my license is in fullirce and effect. ucensa-�C_i3zs � c .. �� PLUMBING I FEES Planning Notes: E Date 3ec7 _ r Signature - N WORKERS'COMPENSATION DEC • -ATION Bar Sink Showers T I hereby affirm that I have a certificate of consent to self-insure or a certificateBackflow Preventef - Service Sink S of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. 9.) �•,i �i G` Backf low Irrigation Sewer Cap ELECTRICAL FEES Policy No-C/�A/S cit,./-1 OJ Company./4761110‘0--/1.72 .�JNrif' Certified copy is hereby furnished. Bathtubs Sewer Connection Automatic Washer Transformer 0 15-50 KW • Certifieg coplys f with the ci y Date ->-L/�Ir Applicant - Clarifiers Solar Collectors Construction Pole Sub. 0 50+KW • EXEMPTION FROM WORKERS'C MP SATION DECLARATION Dishwasher , Piping Cooking Unit' Meter Cup to 100 amps (This section need not be completed I permit is for one hundred ($100)or - Iecs). I certify that in the performance of the work for which this permit is issued, ISolar Tank Dishwasher Meter Dover 100 amps shall not employ any person in any manner so as to become subject to theDrinking Fountains Workers' Compensation Laws of California. Floor Drains . Swimming Pool w/Spa • Dryers ❑Gas ❑Electric Sub Panel Date Signature NOTICE:If,iafter making this declaration, you should become subject to the Floor Sinks Urinal Fan Motors 00-1 HP 01'h-B • Workers' Compensation provisions of the Labor Code, you must forthwith • comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets Water Closet • F.A.U. Inc.Solar 09-15 HP 016-15+LENDING AGENCY _ I hereby affirm that there is a construction lending agency for the performance - Interceptors Water Heater - Fixtures :Microwave ' of the work for which this_per it is issued (Section 3097 Civ- C.) __ _ Lender's Name niaert-420, t- hT" S.444.74Ls,br- - Kitchen Sink Water Service Device Boxes Pole Light Lender's Address .-tri O O (-i 1*JY\S L..r De - -- - — OWNER BUILER DECLARATION Lavatories Outlets Range I hereby affirm that I am exempt from the Contractor's License Law for the p-Trap .following reason'(Section 7031.5 Business and Professional Code: Any city or P • Switches Sign county which requires a permit to construct,alter,Improve,demolish or repair - . - any structure, prior to its Issuance, also requires the applicant-for such permit Roof Drains Garbage Disposal Standing Sections to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9(commencing with Section 7000) of - ❑0-5 KW❑5-15 KW Division 3 of the Business and Professions Code) or- that he/she Is exemptGeneratortrash Compactor 'herefrom 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 Reinspection Fee $25 Issue Fee - S 3 LJenalty of not more than five hundred dollars($500). I, as owner of the property or'my employees with wages as their sole 'MECHANICAL `. - - - Reinspection Fee ' $25 Issue-Fee '$'3 compensation will do the work,and the structure is not intended or offered • FEES • for sale'(Section 7044, Business and Professional Code: The Contractor's • --- - --- -- - -- ---- • - - -- PUBLIC SERVICES REQUIREMENTS: License Law does not apply to an owner of a property who builds or Improves Boiler . Hood or Type I 0 thereon, and who does such work.himself/herself or through his or her own • ' Zoning Approved By nate' employees, provided that such Improvements are not intended or offered for • Canopy Type II 0 saleDuct-Under Ground elation, If, however, the have building dof pro i sold within one year-of com- Building Approved By Date prove the owner will have the burden of proving he/she did not build or Im •- Qrove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By i `�� Date. �����f� LJ I, as owner of.the property,am exclusively contracting.with-licensed con- ❑0.100,000 BTU ❑100,000 BTU tractors to construct the.project (Section 7044,Business and Professions Code: ' .. Duct-Ventilating SUMMARY OF FEES , The Contractor's License Law does not apply to an owner of property who - BUILDING PERMIT $ SMIP $ builds or improves thereon,and who contracts for such projects with a con- I Exhaust System 0 Multiple❑, System Repair/Alteration tractor(s)license pursuant to the Contractor's License Law). - 'r PLAN CHECK $ PERMIT 0 I am exempt under Section - B. & P.C.for this reason Firepl/Fact.Blt. ICBG# 2509 , hi' ' PLUMBING • $ ISSUANCE $ • Date Owner' : , Heating System&Ducting . ENERGY P.C. $ PLAN CHECK 25% $ I hereby certify that I have read this-application and state that the above 0o-100,000 BTU 0100,000 BTL - ELECTRICAL $ GRADING '$ information Is correct. I agree to comply with all city and county ordinances • ' and state law -ting to building construction,-and hereby authorize repro- PLAN CHECK 50% $ MICROFILM $ ' sentatives off this . • - - upon the above-mentioned property for p �s inspection purpgs- 3-jO �/ MECHANICAL $ O;0 V Signature a Date /�•� • TOTAL FEE $ Drivers' Licen • - Reinspection Fee �I $25 Issue Fee $ 3 PLAN CHECK 25% $ /r/J CMF 0865-46 rev.12/83 White-Building;Canary-Applicant;Plnk-Accounting;Goldenrod-Assessor - - - tr. .CONSTRUCTION AND PLANNING --,-POOL r> oPA - --APPROVALS Permit Date Inspector APPROVALS -Permit# - Date -inspector 11,.-Temporary Electrical Service or Pole 52. Pool & Equipment-Location ` • 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement " '3. Electrical Conduit Utility-Undrgrnd. , ' 54. Forms. • ' r 4. Electrical Conduit-Undrgrnd. 55. Electrical Bondirig - - - • ir 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TOCOVE R-GUNITE - _ - • 7. Footings' : - 58. Electrical'Conduit-Undrgrnd... - '-1 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test - _ • 9. Water Pipe-Undrgrnd. ' - - - 60. Backwash_Lines, P-Trap, 0 Undrgrnd. ' - _ 10. Structural Floor System - - 61. APPROVAL TO DECK ' - - - , 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final . 12. Sewer Cap 63. Heater:& Vent-Final . . - 13. Roof Drains 64. Plumbing System - Final -- - .. 14. Rough Plumbing 65. Electrical-Final -• - - .. 15. Rough-Electrical-Conduit 66. Solar Systeni-Final - - , - -- ' • . 16. Rough Electric Wiring . 67. Fencing& Access Approval ,- -• - - -t---- - 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING • - . - 18. Rough Electrical-T Bar Ceiling • - 69.r POOL/SPA SYSTEMS FINAL . - - 19. Rough Heating & Air Conditioning f/f/ft ( FIRE DEPT. REQUIREMENT ' ) 20. Rough Factory Fireplace APPROVALS' Permit# I . 21. Ducts, in Structure 70. Underground Hydro - - r 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 0Oil - l 25. Roof Sheathing . 74. Overhead Hydro i I - ' 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical , - • ; 27. Frame and Flashing 76. Dry Standpipe . I , 28. Lathing& Siding . ' 77., FIXED SYSTEM FINAL - I 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing . ,HEALTH DEPT. REQUIREMENT 1 31. Plaster Brown Coat ' 79. FINAL INSPECTION - ' • L 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED - ' 33. Final ElectricNotes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test • ' - , 36. Hood or Canopy . ` - • 37. Final Factory Fireplace lie r - - Vin - F ' 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 - a 45. Sound Attenuation • - - 46. Handicap Regulations '- - 47. FINAL STRUCTURE & BUILDING • I - 48. Special Requirements Completed' • I •' , , `,• - 49. Electric Release to Edison • - - , ' • 50. Gas Release to Southern California Gas Co ! 51. CERTIFICATEOFOCCUPANCY - • - - - - . No. -- - - Date ' _ I _ - - • ' Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • CITY OF-COSTA MESA - PERMIT NO. TRACT NO. LOT NO. .BLDG O. _. CONSTRUCTION.PERMIT /(.� in - /75 e4 7�7 _ , III S 8420 4/11/84 6.00 Project Address 01(OY v ` TYPE OF CONSTRUCTION )'J NEW U ADD U ALTERATION u REPAIR - Applicant's Mailing AddreeAs /� �1 ,/• / ,/ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' A.P.# • ' Zone Owner's Name/Y�d /7�" "-co/`S Phone f7V 74/1 DESCRIPTION OF WORK ' S Main Building: Accessory Building: • Z Address TYPE OF PERMIT El GRADING ElFOUNDATIrONN El STRUCTURAL T Front - N •Arch/Eng.- License No. ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING IAS MECHANICAL B A Rear - - N Address - > /, , p ❑ OTHER • s L / �/J�'Je�95/ PROJECT DESCRIPTION SQ. FT. • OCCUPANCY C Right GG . Contractor's Name9e)e'0# Ln/J SV Rhone • Address(mailing) 07.2 �'��� nC�. �"�" - CONSTRUCTION TYPE VALUATION $ S Left , E • 0.1y/94.2- . ayp� 1 ZONE GRADING CU.YDS. ACRES Ping. Ref.# Park.Fees $ 1 u City License No. / 77 . - J' LICENSED CONTRACTOR DECLARATION 1 Remarks: ✓� �' }( Parking Req./Provided IR I hereby affirm that I am licensed under provisions of Charter 9(commencing r"? f/ with section 7000) of Division 3 of the Business and Professions Code, and Use of Building: E my license is in full yr n�e^leffect. M License Class �+ Li nse 1J r Planning Notes: (I 9 PLUMBING I FEES E \ Date Y' 4- /f1 Signature �� �- Bar Sink Showers N F\ WORKERS'COMPENSATION DE RATIO T I hereby affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer Service Sink / S of Workers' Compensation Insurance, or a certified copy thereof (Sect' - - 3800, Lab. C.)#j 1 r/ 2 Backflow Irrigation Sewer Cap ELECTRICAL FEES Policy No. �/+'OrN /� Company /1/41114 �d: "�Certified copy Is hereby furnished. Bathtubs Sewer Connection Automatic Washer Transformer 0 15-50 KW Certified copy Is filed with the city Building Division. 0 50+KW Date Applicant Clarifiers Solar Collectors Construction Pole Sub. EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Dishwasher Solar Piping Cooking Unit Meter ❑up to 100 amps (This section need not be completed If the permit is for one hundred($100)or less). - DrinkingFountains - - t I certify that in the performance of the work for which this permit is'issued I -- - - Solar Tank - Dishwasher - Meter Dover 100 amps shall not employ any person In any manner so:as to become subject to the Workers' Compensation Laws of California. ' Floor Drains Swimming Pool w/Spa • Dryers ❑Gas DElectric Sub Panel Date Signature ' NOTICE: if,'after making this declaration, you should become subject to the Floor Sinks Urinal - .- Fan -Motors 00-1 HP ❑i 4-8 Workers' Compensation provisions of the Labor Code, you must forthwith ' • comply with such provisions or this permit shall be deemed revoked. ' Gas Service Outlets Water Closet - F.A.U. • Inc.Solar ❑9-15 HP 016-15+ CONSTRUCTION LENDING AGENCY - - - ' I hereby affirm that there Is a construction lending agency for the performance . Interceptors Water Heater Fixtures Microwave of the work for which this permit• is Issued. (Section 3097 Civ. C:) • . Lender's Name ' ' , ' - Kitchen Sink . 1 - Water Service - Device Boxes • Pole Light Lender's Address Lavatories OWNER BUILDER DECLARATION Outlets Range - I hereby affirm that I am exempt from the Contractor's License Law for, the p-Tra - • - . - . following reason (Section 7031.5 Business and Professional Code: Any city or P - • Switches Sign ' county which requires,a permit to construct,alter,improve,demolish or repair . • any structure, prior to'Its issuance, also requires the applicant for such permit Roof Drains • Garbage Disposal Standing Sections to file a signed statement that he/she is licensed pursuant to the provisions of _ - the Contractor's License Law (Chapter 9(commencing with Section 7000)of • Generator 00:5 KW ❑5-15 KW Trash Com actor Division 3 of the Business and Professions Code) or that he/she is exempt P 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 Reinspection Fee3 ' penalty of not more than five hundred dollars($500). Pe $25 Issue Fee $ • U I, as owner of the property or my employees with wages as their sole MECHANICAL • Reinspection Fee $25 Issue Fee $ 3 compensation will do the work,and the structure is not intended or offered ' - FEES ' for sale (Section 7044, Business and Professiodbl Code: The Contractor's - - Il"UBLIC SERVICES REQUIREMENTS: ' License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I 0 thereon, and who does such work himself/herself or through his or her own Zoning Approved By Date employees, provided that such improvements are not Intended or offered for Canopy Type II ❑ . Duct-Under Ground sale. If, however,the building or improvement is sold within one year of com- Application Approved By Date pletion, the owner will have the burden of proving he/she did not build or im- '/ prove for the purpose of sale). $ Duct-Structural Refrigeration SystemApplication Issued By ' /ie/ Date 41' ��/t LJ I,as owner of the property,am exclusively contracting with licensed con- ❑0-100,000 BTU ❑100,000 BTU tractors to construct the project(Section 7044,Business and Professions Code: Duct-Ventilating SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/AlterationBUILDING,PERMIT $ SMIP $ tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ PERMIT ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# PLUMBING $ ISSUANCE $ Date Owner 1 j Heating System& Ducting PLAN CHECK $ ENERGY P.C. $ • I hereby certify th t I have read this application and state that the_above ( kl0-100,000 BTU 0100,000 BT - • - GRADING $ ' information Is torr ct. I gra o comp) with all city and county ordinances ELECTRICAL $ and state laws e ting b g on• ction,and hereby authorize repre- PLAN CHECK $ MICROFILM $ sentatives of city to t po. • -' .bove-mentioned property for inspection pur yes. , • • r ' TOTAL FEE $ Signature - • Accounting;Goldenrod-Assessor - _ - - -- • - - /(411111 CONSTRUCTION AND PLANNINGPOOL & SPA APPROVALS Permit# Date Inspector APPROVALS Permit# , Date Inspector .1. Temporary Electrical Service or Pole , 52. Pool & Equipment Location 2. Soil P.ipe-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 7.•Footings58. Electrical Conduit-Undrgrnd. - -: 8. Foundation 59. Gas Pipe; D Undrgrnd.,Test 9. WaterPipe-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 v' 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 Systetn-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 (///95' ARE FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace s APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping D 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 Irla!9ad ra4'-) l% 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 51. CERTIFICATE OF OCCUPANCY • No. Date • Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OP COSTA MESA I PERMIT NO - TRACT NO. LOT NO. BLDG.NO. _ • 3090 1/26/B4 54.97 TL -CONSTRUCTION PERMIT// i`') . E ' /a ]�-/ - - Project Address �� ��/r VQ - TYPE OF CONSTRUCTION U NEW 0 ADD Li ALTERATION. „REPAIR Applicant's Mailing Address ! L /,(� 0 CONVERSION ❑ DEMOLISH 0 OTHER A.P.4 ' Zone; /v�4 fl Owner's Name / • .- ,k2 J.• .Y ' I -4hone't4 S 4' /1T - DESCRIPTION OF WORK _ • / S Main Building: Accessory Building: Z Address ( ErgU�14 • TYPE OF PERMIT U GRADING -U FOUNDATION 0 STRUCTURAL - T- Front -• O • N Arch/Eng. License No. 0 TENANT 0 ELECTRICAL • .❑ PLUMBING ❑•MECHANICAL B Rear • I ' Address' ' /1 ❑ 'OTHER A - N Contractor's Nam: ato.'4 •hone-YY--69g p PROJECT DESCRIPTION SQ. FT. - OCCUPANCY C Right G CONST RUCTION TYPE VALUATION$ - Left R Address(Mailing) Y � �I e_.I4S ' • 7 E ZONE --. GRADING CU.YDS. ACRES Pln Ref.# Park.Fees $ - Q City License No. g '1�/� - g• - -• U LICENSED CONTRACTOR DECLARATION Remarks: - /d 6 K Parking Req./Provided 1 I hereby affirm that'I am licensed under p ovisions • Charter 9(commencing R with section 7000) of Division 3 of t - :usines .n• Professions Code,a d Use of Building: - • E my license is In full force nd of act. / - - - - M Llcenie Class L Icons ��/V( • • PLUMBING I FEES Planning Notes: , , E Date - 44.1T Signature ..�Ol r'/�/ • WOR ERS•COMPENSATION DE LARATION Bar Sink Showers ' N I hereby-affirm that I have a certificate-of consent • self-insure or a certificate .- • Backflow Preventer Service Sink 9,may - - . - S of Workers' Compensation Insurance, or a ter fled copy thereof (Section - - 3800, Lab. C.) - Backflow Irrigation Sewer Cap Policy No. Company . - i1.- ELECTRICAL ,FEES 8 Certified copy is hereby furnished. Btion athtubs Sewer Connec ;F) J Automatic Washer Transformer ❑ 15-50 KW . / • Certified copy is filed with the city Building Division. • Date Applicant Cla'ritiers Solar Collectors Construction Pole Sub. 50+KW EXEMPTION FROM WORKERS'COMPENSATION DECLARATIO- , Dishwasher • Solar Piping _ J6�/ S '� • (Thissection need not be completed If the p• It Is f• one hundr:. . 00)-or - P 9 Cooking Unit Meter pro 100 amps - Iecs). drinking Fountains Solar Tank N. / Dishwasher Meter - I certify that in the performance of the or k o whit t• y It is sued, I g ( Dover 100 amps -- shall shall not employ any person In any m nner • as to e subj• t to the Workersi✓o s ws of Califo-p a. �� Floor Drains Swimming Pool w/Spa , - Dryers ❑Gas ❑Electric Sub Panel- / /6 — Date G/ 'r Signature / ( _ NOTI E:If,,after ma ng this declarat.• '•ou s •ul• b-come subject to the Floor Sinks Urinal Fan Motors❑0.1 HP 01%-8 Workers' Compensation provisions.of the Labor •de, you must forthwith ! • comply with such provisions,or„this ,permit all be deemed revoked: Gas Service Outlets - Water Closet F.A.U. Int.Solar ❑9.15 HP 016-15+ -.-- CONSTRUCTION LENDING AGENCY i - I hereby affirm that there Is a construction lending agency for the performance Interceptors Water Heater, S Fixtures 'Mi3 of the work for which this, permit is issued (Section 3097 Civ. C.). , ' Lender's Name Kitchen Sink, Water Service Device Boxes Pole Light / / c N Lender's Address — • ' OWNER BUILDER DECLARATION • - Lavatories - 4(S'O utletS - Range f n affirm that Ion exempt1from the Contractor'sLicense Law for the P-Tra 5 n followingwhich e (Section permit Businessnand Professional Code: Any city or - P /2 Switches Sign f� county Cturequiresta Issuance, c ,al oruct,alter Improve;demolish or repairmit •t any ergre, prior Its thta he/, also led the t applicant for rovi permit Roof Drains / Garbage Disposal Standing Sections / to file a signed statement that he/she Is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9(commencing with Section 7000)of Generator ❑0.5 KW ❑5-15 KW Trash Compactor Division 3 of the Business and Professions Code) or that he/she is exempt ' pa :herefrom 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 Reinspection Fee I $25 Issue Fee $ 3 enalty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole MECHANICAL - Reinspection Fee $25 Issue Fee $ 3 compensation will do the work,and the structure is not Intended or offered FEES for sale (Section 7044, Business and Professional Code: The Contractor's -------- - - --- - - - - --- --- -_--- - ----w- -- - PUBLIC SERVICES REQUIREMENTS: Li License Law does not apply to an owner of a property who builds or Improves Boiler Hood or Type I 0 ' thereon, and who does such work himself/herself or through his or her own Zoning Approved By Date employees, provided that such improvements are not intended or offered for Canopy Type II ❑ sale. If, however,the building or Improvement is sold within one year of com- Duct-Under Ground - Building Approved By Date elation, the owner will have the burden of proving he/she did not build or im- - O/ prove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By _,r - Datil, T oI,as owner of the property,am exclusively contracting with licensed con- ❑0.100,000 BTU ❑100,000 BTU tractorsto construct the project (Section 7044,Business and Professions Code:_ Duct-Ventilating SUMMARY OF FEES - ' The Contractor's License Law does not apply to an owner of property who BUILDING PERMIT $ SMIP builds or Improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration $ tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK '$ PERMIT ❑ I am exempt under Section B.&P.C.for this reason Firepl/Fact.Blt. ICBO# PLUMBING $ ISSUANCE $ Date Owner Heating System& Ducting ENERGY P.C. $ I-hereby certify ha h ve dr: his-application and state that the above- - - 00.100,000 BTU 0100,000UL, _ PLAN CHECK 25% $ 7 �s Information is c• re . I a• �T • ply with all city and county ordinances . _ ELECTRICAL $ CJ /t GS- GRADING $ and state laws r-tat ng to •11f1: nstructlon, and hereby authorize repre- r MICROFILM $ sentatives of t lis - t t , on the above-mentioned pro arty f r PLAN CHECK 50% $ ,r c3 C� Inspection due's l�2; Pink-Accounting;Goldenrod•Assessor CONSTRUCTION AND PLANNING, ' •. - POOL u SPA - , - - -Date Inspector Date ' Inspector., > -APPROVALS Permit# ' - • APPROVALS Permit# - j: Temporary Electrical Service or Pole •• • - 52: Pool & Equipment Location - - ',c; ' r.. ..2: Soil Pipe-Uidrgrnd. - - - .r 53.' Steel Reinforcement - - •• I `. • , I - ? 3d Elyctrical Conduit Utility-Undrgrnd: r,! 54. Forms - -' 4: Electrical Conduit-Undrgrnd. ' I - - ' 55� Electrical Bonding - 5. Steel Reinforcement I 56. Rough Plumbing & Pressure Test - ,:�.. 6: Electrical UFER Grnd.: - ; i ': ' - 57. APPROVAL TO COVER-GUNITE . - 7. Footings , , 1 ' i ` : - • . 58: Electrical Conduit-Undrgrnd. - 8. Foundation . . _ . , 59. Gas Pipe, 0 Undrgrnd.,Test - - 9. Water.Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0Undrgrnd.. ' • 10. St uctulal.Floor System 61. APPROVAL TO DECK - - 11. 'Property Sewer Line &-House Connection •- ' - ' 62. Backwash & Receptor-Final= _ . , 12. Sewer Cap63. Heater & Vent-Final 13. Roof Drains , • 64. Plumbing System - Final - ' 14. Rough Plumbing • I ' 7 65. Electrical-Final - - - - ( - = 15: Rough Electrical-Conduit - _ - - . -- 66. Solar System-Final - 16. 'Rough-Electric Wiring, t -- 44-' - 67. Fencing & Access Approval _ . '17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING - 2 • '- , 18.'•RoughElectrical-T Bar-Ceiling - 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning :. - - • FIRE DEPT. REQUIREMENT - ' - 20. -Rough Factory Fireplace • APPROVALS Permit# - - f• I 21. Ducts, in Structure I . 70. Underground Hydro • 22. Ducts, Ventilating ' 71. Product Piping DGas. 0 Oil , 1 •. : . 23. Gas Pipe-Rough & Test i ' 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank DGas DOil - I l 25. Roof Sheathing 74. Overhead Hydro • 26. T-Bar Ceiling (Structural) & Monocoat i ' 75. Dry,Chemical , - , .27. Frame and Flashing I . 76. Dry Standpipe - • , 28. Lathing & Siding 77. FIXED SYSTEM FINAL - ' S I , I • 29, Insulation - - - " ' 78. FIRE PREV. FINAL l _ 30. DrywaII Nailing , -: .; • • , HEALTH DEPT. REQUIREMENT 31. Plaster Brovvn Coat I • I 79. FINAL INSPECTION • 32. Electrical Power Meter-Final - / •/pyi'7/ �� 80. FOOD CERTIFICATE ISSUED _ _ - 33. Final Electric "]//`(�(/ ` Notes: ' 34. Final.Heating & Air Conditioning .l' ' ) I , . , _ 35. Final Gas Pipe-Test 4 _ ' 36. Hood or Canopy' • 37. Final Factory:Fireplace. - I - - • . 38. Final Plumbing ' _ - ' 39. Water Service-Final : : - `' ' 40. Gas Service-Final4. - '' 41. Solar Domestic-Final ' - , - 1'I •: . 42. Backflow Preventer' - 43. Backflow Irrigation ' ? ' . , . v I. 44. .Landscape Irrigation System - . 45. Sound'Attenuation• - IN. - , 46. Handicap Regulations I • . ' 47. FINAL STRUCTURE & BUILDING: 48. Speciaf Requirements Completed - e '49. Electric Release to Edison • • : i - ' , - , - -1 - - - - - ' 50. Gas Release to Southern California Gas Co : • ' , ; . • 51. CERTIFICATE OF OCCUPANCY - - •- - - - - -• - - , ' No. 1.._-.' . •_' - Date -- ' . . . •. . . - - - . . . _ - _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. _ ,.. _- CITY OF COSTA MESA • • PER IT NO. ' TRACT NO. •LOT NO. BLDG.NO. - ' - - CONSTRUCTION PERMIT ' ' ' — '/0 790 3318 (/30/84 IL i Project Address i.. ..• • - a L'� / t - TYPE OF CONSTRUCTION U NEW U ADD• U ALTERATION F3e00 • U REPAIR c Applicant's Mailio Ad`dres. /' ?7 710. .- .1 A✓.r• El CONVERSION El DEMOLISH El OTHER - A.P.# I Zone Owners Name /`/ c�� U 4-t.- crc- 'Cry •.9N Nine 6.rrSV/-; - DESCRIPTION.OF WORK - S Main Building: Accessory Building: - rZ • Address X1 9 /y ,5 ne D r 7Z 7 • /1/ 1//}x[ E - O / v TYPE OF PERMIT U GRADING U FOUNDATION' ❑'ST RUCTU RAL T Front N Arch/Eng.'. < - .-yyyy License No.' / El TENANT ELECTRICAL El PLUMBING El MECHANICAL •B - I Address' n •32-/ f /7 "S/4' / 9d . C h--. 'MOTHER " A' Rear - - N Contractor's Nam• ,i - i• a-'-r Joe It r- hone' PROJECT DESCRIPTION SQ. FT. - OCCUPANCY C Right - - - - I . G g / Cl ' it fej7 . /y". A CONSTRUCTION TYPE • VALUATION$ $ Left E Address(mailing) / /Y/oN nu, ' ••1 V ZONE r GRADING CU.YDS. ACRES Ping. Ref.# Park.Fees $ ' . ' Q City License No. p< SC. 7 - U LICENSED CONTRACTOR DECLARATION . Remarks: - Parking Req./Provided - . I . I hereby affirm that I am licensed under provisions of Charter 9(commencing • ,�p R with section 7000) of Division 3 of the Business and Professions Code,and - /0 �'Q • Use of Building: • ° E my license Is In full/gie(ytnd effect. - Lieense.Class Li/c/aR�No. y/spc 41 PLUMBING FEES Planning Notes: ' M Dat 3�/ 41 Signature 7/ N - E E $ s :2((�CCj eats Bar Bar Sink Showers N ' WO ERS' OMPE NSATION p CLA ATJO• / ' T I hereby affirm that I have a car iflcateof nsent to self-Ca certificate - Backflow Preventer Service Sink ' • ' - S of Workers'- Compensation Insurance, or a certified copy thereof (Section ttt`���sss• 3800, Lab.-c..)- Backflow Irrigation Sewer Cap ELECTRICAL • ' FEES ` Policy No.,- s<//j- Comp ny �li.I/•e-../� 1 ❑ Certlfletl copy is hereby furnished. . Bathtubs Sewer Connection • II��.� Car (fie opy is sled with the city try / Automatic Washer Transformer 0 15-$0 KW \`t / EO.6 Clarifiers Solar Collectors - �Construction Pete Sub. ( *. 0 50+KW. r e °D Date Applican . 1 // EXEMPTION RO ORKERS' MSP N A DECLAR ION Dishwasher Solar Piping • booking Unit Meter ❑u to 100 amps. (This section eed not be comple d if the per is for one hun red ($100) or ' 9 P less).err DrinkingFountains ' • I certify that in the performance of the work for which this permit Is issued,I Solar Tank - Dishwasher Meter ;Dover 100 amps , shall not employ any person In any manner so as to become subject to the , - - Workers' Compensation'Laws of California. Floor Drains, Swimming Pool w/Spa _ _ - . - Dryers ❑Gas ❑Electric Sub Panel' Date Signature - ' NOTICE: If°after making this declaration,you should become subject to the Floor Sinks Urinal - ' FanMotors❑0-1 HP 01%-.:8 - - Workers' Compensation provisions of.the Labor Code,.you must forthwith - comply with such provisions or this permit shall be deemed revoked. ' Gas Service Outlets Water Closet . - F.A.U. Inc.Solar ❑9-15 HP❑15-15+ CONSTRUCTION LENDING AGENCY - Ihereby affirm that there is a construction lending agency for the performance Interceptors Water Heater • Fixtures , Microwave • of the work for wpp.j(ch this ?mit Is Issued (Section 3097 Civ. C.) - , Lender's Name (yS SS - Kitchen Sink Water Service Device Boxes Pole Light ' Lender's Address 70/•? /JJ'�Z+ .—r Ab --R — OWNER BUILDER /DECLARATION" Lavatories Outlets Range • • I hereby affirm that I am exempt from the Contractor's License Law for the ' - p-Tre following reason (Section 7031.5 Business and Professional Code: Any city or P, . . Switches Sign county which requires a permit to construct,alter,improve,demolish or repair - - -. . any structure, prior to its issuance, also requires te applicant for such permit Roof Drains , - Garbage Disposal Standing Sections to file a signed statement that he/she is licensed pursuant to the provisions of - 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 • .. - Generator.00-s KW❑5-15 KW Trash Compactor 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). Reinspection Fee I $25 Issue Fee $ 3 , o I; as owner of the property or my employees with wages as their sole MECHANICAL Reinspection Fee 1 $25 Issue Fee $ 3 compensation, will do the work,and the structure is not Intended or offered FEES for sale (Section 7044, Business and.Professional Code: The Contractor's -- - ------- - - -- -- - ------ _.a - - PUBLIC SERVICES REQUIREMENTS: License Law does not apply to an owner of a property who builds or improves Boiler Hood or : Type I 0 thereon, and who does such work himself/herself or through his or her own • Zoning Approved By Date ID sale. If, however, the building or improvement Is sold within one year of com- Duct-Under Ground ' Building Approved By Date / ti/47 prove for the owner willeof have the burden of proving he/she did not build or im- • Duct-Structural Refrigeration System • Application Issued By Date /�S �! " rove the purpose sale). O I,as owner of the property, am exclusively contracting'with licensed con- 00-100 000 BTU 0100,000 BTU tractors to construct the project.(Section 7044,Business and Professions Code: Duct-Ventilating _ _ SUMMARY OF FEES • The Contractor's License Law does not apply to an owner of property who BUILDING PERMIT builds or Improves thereon,and who contracts for such projects with a con- • Exhaust System 0 Multiple 0 System Repair/Alteration $ SMIP $ tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ PERMIT • ❑ I am exempt under Section B.& P.C.for this reason• , Firepl/Fact.Blt. ICBG# • _ PLUMBING' $ ISSUANCE $ Date owner - . Heating System&Ducting I ENERGY P.C. $ _ PLAN CHECK 25% $ > I hereby certify that I have read•this application and state that the above - 00-100,000 BTU ❑100,0006TL - - • - ELECTRICAL �.�rtO GRADING •$ ' Information is correct. I agree to comply with all city and county ordinances $ ; and state laws relating to building structlon,oznd hereby authorize repre- i MICROFILM $ ' . sentatives of s'cit to e ter �-��II''11��''n th above-mentioned property for PLAN CHECK 50% $ 2 inspection p S. Date 3 tr - MECHANICAL $ - TOTAL FEE $ /3•oO Signature ' Drivers' (cense or SS# Accounting;Goldenrod-Assessor - •- .•' r, ? C4CONSTRUCTION AND PLANNING. I ' POOL &SPA - Date, Inspector - Date " Inspector - 'APPROVALS , Permit# APPROVALS Permit# 1�..Temporary Electrical Service or Pole , 7 J f �Citet_ 52. Pool & Equipment Location - - 2. Soil Pipe-Undrgrnd. ' . (. i 53.'Steel Reinforcement - =. 3. Electrical Conduit Utility-Undrgrnd.. I - 54. Forms 4nci Electrical ob.nduit-Ugdrgrnd. 55. Electrical Bonding - _ , ' 5. Steel Reinforcement: ,' 56. Rough Plumbing & Pressure Test ' 6. Electrical LIFER Grnd.' . ; - l 57. APPROVAL TO COVER-GUNITE 7. Footings ' ' - 58. Electrical Conduit-Undrgrnd. - • 8. Foundation - 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water;Pipe-Undrgrnd. ' ' I i 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structurpl Floor System - 61. APPROVAL TO DECK • 11. Property Sewer Line & House Connection62. 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 -- - ' r 16., Rough Electric Wiring - 67. Fencing & Access Approval - '� - 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING •18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL • . - 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20: Rough Factory Fireplace APPROVALS Permit# ' 21. Ducts, in Structure 70. Underground Hydro • 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil .23. Gas Pipe-Rough &Test 72. Underground Flush '24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil - 25. Roof Sheathing 74.. Overhead Hydro • 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical • 27. Frame and Flashing i ' • ' - 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 . I • 80. FOOD CERTIFICATE ISSUED ' 33. Final Electric Notes: , 34. Final Heating & Air Conditioning , ?.• - 35. Final Gas Pipe-Test - 36. Hood or Canopy - 37. Final Factory,Fireplace 38. Final Plumbing - 39. Water Service!Final • 40. Gas Service-Final • 41. Solar Domestic-Final . 42. Backf low Preventer 43. Backflow Irrigation • . 44. Landscape Irrigation System 45. Sound Attenuation - - . - .46. Handicap Regulations 47. FINAL STRUCTURE& BUI LD I NG ' 48. Special Requirements Completed 49. Electric Release to Edison - - - - . • 50. Gas Release to Southern California Gas Cotfuer r . , 51. CERTIFICATE OF OCCUPANCY - - - No. - Date - -.- i_ ' :' .•, Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - )F COSTA MESA P MIT NO. TRACT�N LOT NO. BLDG. N0. n C NSTRUCTIONPERMIT I —9�� •3,/� 'Z - — •, 9315 Ii/ IB/r3 13;e�? ? Project Address n7 Vel P ne-Tu M1/e1-h e '•• . '- TYPE OF CONSTRUCTION KNEW Li ADD H-ALTERATION L I REPAIR - ' ' ' Applicant's Mailing Address �s�'i47C�&2Z',*- s 7�/ �S :❑ CONVERSION ❑ DEMOLISH ❑ OTHER; /' --7 - !• A.P.#' Y S -D / 1 � LZone R �' • Owner's,Nam e��"mac vL� c9 /2,-//11.1) Phone ^��r/? DE F �`t _ S Main Building: Accessory Building: - - Z • iira � y 1a��1CrF- . �� 99 At E . , . D Address ✓ p TYPE OF PERMIT ❑ GRADING ❑ FDUNDA • LN STRUCTURAL T Front _ - N Arch/Eng. Fb� J • License No. 3/720 - ❑r MECHANICAL - R. g ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING Rear - Address 7 g-3V t• /7?' ,3 c n '/(APS+ ❑• .,OTHER • A - G r /, Od &4"4t( (3 PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right Contractor's Nam -tea!yy,,� C^'' Phone K R ,j53? 41DL&a%/9" r ,. /ci ' �'s, CONSTRUCTI ON TYPE VALUATION$x AH [L V• g Left E Addresslmeiling) , / O `� ZONE GRADING CU.YDS. ACRES - Ping. Ref.# , Park.Fees $ .. JN LCCity.-License No. i • - . . . . U LICENSED CONTRACTOR DECLARATION Remarks: Parking Req./Provided , (1 section r7 that I am licensed under provisions of CProfen9 (commencing _ • , � / ' - - ^ Ai�Y'- l ER �Iv. with section 7000) of Division 3 of the Business and Professions Code,and Use •of Building: 'H i�r.• (,e �/ [� my license is in full force and effect. p' •/ "•`"V//! ,I License Class' - ' 13 - n,n .Via yp T - I . ; PLUMBING - , - FEES Planning Notes: - ' _ M Date if-76'-83' Signature -�-� y. , N \ Bar Sink Showers i WORKERS'COMPENSATION DEC TION T ( I hereby'affIrm-C that I have a certificate of consent to self-insure or a certificate Backflow Preventer Service Sink • - • S of Workers' Compensation Insurance, or a certlfiece•copy-thereof (Section--• _ - 1t , 3800, Lab. C.) ,,. Backflow Irrigation Sewer Cap J ! • ELECTRICAL . : •FEES • V Policy No. OSCfIS Company r/9/72,11�T • ii_Certified copy is hereby furnished. 1 Bathtubs Sewer Connection Aut• omatic Washer Transformer 0 15-50 KW : - Certified copy's filed with the city B 4SR'-1 0 50+KW , Date Y/ ,ert3 Applicant . Clarifiers f Solar Collectors I Construction Pole Sub. • EXEMPTION FROM W00.KE RS'COMP TION DECLARATION - Dishwasher • ' " " ' - - Solar-Piping ' - s :' - •' ' - Cooking-Unit -' " -- --- Meter Du to 100'smps (This section need not be completed if the permit is for,one hundred ($100) or - 9 , p Iecer ' -': i DrinkingFountains Solar Tank ' • ' Dishwasher . Meter Dover 100 amps ' I all,not employ in ine performance of the work fso as to this permit is Issued, I _ shall.not any person in'anymanner so as become subject to the • , - Workers',Compensation Laws of California.' I Floor Drains, , Swimming Pool vv/Spa , Dryers ❑Gas DElectric Sub Panel . ' • ' Date Signature - I _ NOTICE: If,after snaking this declaration, you should become subject to the Floor Sinks I Urinal . ' Fanj 'Motors 00-1 HP ❑1'/a-8 -Workers' Compensation provisions of the Labor Code;"you must forthwith - ' -' - _ Comply with, such :provisions-or this permit shall be'deemed revoked. Gas Service , "Outlets Water Closet' . v FA':U-i" -r nN --, ' T. • `, Inc:Solar,09-15 HP ❑16-15+ CONSTRUCTION LENDING:AGENCY. ' - - - r I hereby affirm that there is a,construction lending agency for the performance Interceptors Water Heater - yr. Fixtures , J 1'• .- 'Y 'Microwave ' of the .work for __-wip1�ch, t is permit is issued. (Section 3097 Civ. C.), ' _ - - Q"C -curt-c '- s%lUl.✓trl - _- _ ._ • -- •' r Lender's Name Kitchen Sink - Water Service " Lender's Address �7CY�' f17J/T/1cS .9t/F ' &V �'� - - • - - _ - _• Device.Boxes �• Pole Light OWNER BUILDER DECLARATION - ( i - ,Lavatories • • _ • Outlets 2. j.- t Ranges 3 _ • I hereby affirm that I am•exesnpt from the Contractor's.License Law for the ; - y: - . - - - - , om- rr r following reason (Section 7031.5,Business and Professional Code: Any city or P-Trap I , . I - • Switches; , _ . Sign - county which requires a permit to construct,alter,improve,demolish-or repair • - - ^' - 'any structure, prior to Its issuance, also requires the applicant for such permit Roof Drains _ •- ,. , _ _ ti Garbage-Disposal-2- s " -• Standing Sections I , ' to file a signed statement that he/she is licensed pursuant to the provisions of • - - -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 .. I - t I - I Generator 10-5 KW '❑-5-15KW ,- _ Trash Compactor therefrom and the basis for the alleged exemption. Any.violation of Section 1 - _ - - .• I .-- d - - 7031':5 by any applicant for a permit subjects the applicant to -a civil , - - - s , _- -1 j enalty of not more than five hundred dollars($500). -Reinspection-Fee '$25 ' Issue Fee . J $'3 ra - 'LI I, as•owner of the property'or my employees with wages as their sole MECHANICAL Reinspection,Fee , �� P $25 ••Issue Fee' . $'3 compensation, will do the work, and the structure is not intended or offered . - - . - FEES +• - for sale (Section 7044, Business and Professional Code:. The' Contractor's - • •• - -- ---• - PUBLIC SERVICES R_EOUIR MENT • License Law does not apply to an'owner of a property who builds or improves Boiler Hood or' Type I ' 0 L. 'v c ' /1--L/g-57 thereon, and:who-does such work himself/herself or through his or her own : 'Zoning Approved^ByfOr < • rl// " - Date `//g-_` employees, provided that such Improvements are not intended or offered for Canopy , Type II ❑ : • r c sale. if, however, the building or Improvement Is sold within oneyear of com- ' , Duct,;Under Ground - Application Approved - p pp By Date_ • pletion, the owner will have.the burden of proving he/she did not build or im- �rove for the purpose of sale). { Duct-Structural i R• efrigeration System Application Issued By' Y- / Date LJ I,as owner of the property, am exclusively contracting with licensed con- ❑4100,000 BTU ❑100,000 BTU -.• ' . tractors to construct the project ((Section 7044,Business and Professions Code: Duct-Ventilating .. - - , - SU MAR FEES • I • The Contractor's License.Law does-not apply to an owner of property who BUILDING-PERMIT.‘ $- 0 SMIP D,7o • builds or Improves thereon,•and who contracts for such projects with a con- . * Exhaust System ❑ Multiple ❑ System Repair/Alteration ;y $ tractor(s) license pursuant to•the Contractor's License Law). - t PLAN CHECK- - . $, • 2— PERMIT 0 I am exempt under Section B.& P.C.for this reason • Firepl/Fact.Bit. ICBG# ISSUANCE $ PLUMBING ,.' �' $- - HeatingSystem& Ducting '7 PLAN CHECK•_ ' $': ENERGY'P.C, $ ' Date OwnerY r • I hereby certify that I have read this application and state that the above , i DO-100 000 BTU ❑100,000BTU - ELECTRICAL" ' $ ' - GRADING $ -information is correct. I agree to-comply with'all city and-county ordinances - . -- " - - - - ' '-- - - -- • - _ and state laws ating to • ding construction, and hereby authorize repre- - MICROFILM , $ sentatives of t city t -en1er upon the above-mentioned property •for PLA •N CHECK. $ p inspection purp , M\ _._-cam` V= ((O �3 MECHANICALS' $a. /IL TOTAL FEE I $ /J�.C2. Signat - Driverure ` \ Date _ Drivers"License or 5 _ • - Reinspection Fee :$25, , Issue Fee $ 3 PLAN CHECK - $� - - 'CMF 0865-46 rev. 7/83 White-Build ins;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor - - - - - - ---I- - 1, - - - - - - - ,- - _ . _. .". . . . . ", - POOL &SPA CONSTRUCTION AND PLANNING' - Date Inspector- - Date Inspector • APPROVALS ('Permit# , PRIP`'3 'APPROVALS Permit# 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'.4. Electridal Conduit-Undrgrnd. _ - - . .55. Electrical Bonding, - "5. Steel Reinforcement r 1 Z 7_fl3 -jr - T • 56. Rough Plumbing & Pressure Test • ' 6. Electrical UFER Grnd. :: - • n . , 57. APPROVAL TO COVER-GUNITE - 7. Footings . . _ . 12.--.2. ,53 J . 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. Rbof Drains t -,- • , 64. Plumbing System -Final _ 14. Rough Plumbing i - -65.,Electrical-Final - ' 15. Rough Electrical-Conduit ' . 66. Solar System-Final - '.16. Rough Electric Wiring - .67. Fencing & Access Approval - ' .71"7,' Rough.Wiiing 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 FireplaceAPPROVALS Permit# 21. Ducts,-,in Structure70. Underground Hydro 22. Ducts-, Ventilating - . . . 71. Product Piping 0 Gas 0 Oil ' .'123: Gascpipe-Rough &Test ' 72. Underground Flush . '24. Roof-Framing - 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof•Stieathing - 74. Overhead Hydro 26. T-Bar,•Ceiling.(Structural) & Monocoat I 75. ;Dry Chemical, 27. Fram9e•and Flashing . ' 76. Dry Standpipe . 28. `Lathing & Siding ' , 77. FIXED SYSTEM FINAL • 29'. Insulation •. ' 78. FIRE PREV. FINAL . 30. Drywall Nailing rd.. . j • HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat.) • ' ( 79. FINAL INSPECTION I. ..4 32, Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED , 't 33. Final Electric Notes: 1i -?/A-6j VVS-f / p S%( r Foci in,c- 0 jC , 34. Final Heating & Air Conditioning, I port/Ai 11.1-S1Wl ( 19 ' 'fro., wtS7 end o 1" 4 f 35. Final Gas Pipe-Test . _ sofnth WO] a K 36. Hood or Canopy I , , ' . 12/j176-j Par'filc..! 10ot+n9S/ - V>1 A1010. -iron 37. Final Factory Fireplace I wen end QT No'rtk psi-kI, Ort All pot.+ 38. Final Plumbing ' I ' . .SOwfl1 SlCiP 0 W. "IP 1i -2t3 ,ptl,-5i 39. Water Service-Final i , 't S Ir♦ f 1 Pr'e i- -6- roti : , Q-ll"}C Wel ^wy1, r- 40.•GasService-Final T,- 'Pi rS / -6-0 0 'f - nor11'1 W'•11/I -Cron, west 41. Solar Domestic-Final • _ .. PMS`. j* tr 12_ ,S -5-13 sowt,4 ,4„.0 0 t 42. Backflow Preventer 1 -y. .t 1 1 t , .. _ /t i' GI-Y'OLJ! `- �v,"-, wP S/ ii/Ht) �fO 43. Backflow Irrigation - le /rip�iovl P p(4// C{{ 1?Or)h '514' VI- .. ,Landscape Irrigation System.-,' , I f rip n • Jo aro - 1, . 2 45. Sound Attenuation ''4 '• � 46. Handicap Regulations ' . ' 47. FJ FINAL STRUCTURE & BUILDING , S /a �Y3_ l , , • 48. Special Requirements Completed . ' 49. Electric Release to Edison - - 50. Gas Release to:Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY' i No. Date . Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. • CITY OF COSTA MESA- • - -" ' PERMIT NO. TRACT NO. LOT NO. BLDG.NO. - 84I I. I I/a2/e2 -lyr'1e^•. 71. CONSTRUCTION PERMIT b93�� /� • ZII . • , Project Address.26y9 C'M-___ At&A."J+�, -y A' }�,,'TYPE OF CONSTRUCT O NEW LJ ADD U ALTERATION U REPAIR Applicant's Mailing Address• /S31.P7a44cCW • J 4 d(7 v✓ arfest '❑ CONVERSION DEMOLISH ❑ OTHER' ' A p # Zone r Owner's-Name Goth 'IYEAr7u2t � Phone 6 4s /•3 - -DESCRIPTION OF WORK ��• - 071- �y ( �• - S Main Building: Accessory Building: -- - Zr Address - TYPE OF PERMIT U GRADING�- I FOUNDATION ❑ STRUCTURAL T Front - . . Nil Arch/Eng. /�/f=- - : ' License No. - -- 1 III TENANT •ELECTRICAL I]Q P UMB�(IN'�G ❑ MECHANI ,j- g Address /11• I4,' ' - I - - '/ • '❑ 'OTHER iALOLl�D7� O & f`r/�I1VC- 1L (J/J/7-,s" A Rear - _ N Contractor's NanwA&r '_ 8 'Q,,)f/a Phone•Cter-07/3 PROJECT DESCRIPTION SQ. FT.' OCCUPANC C Right _ G '{� ,s ��p K 1 • R Address(mailing)l'oI"! � � � lT y"' ' �r B£�* - CONST RUCTION TYPE VALUATION$ �2 �QD•-, g Left' , E . - ZONE • . GRADING CU.YDS. ACRES , Ping. Ref.#�• Park.Fees $' D City License No. - - . - • U LICENSED CONTRACTOR DECLARATION •I Remarks: _ Parking Req./Provided • 'C I ' I hereby affirm that I am licensed under provisions of Charter 9 (commencing - R with section 7000) of Division 3 of the Business and Professions Code,and j,� Use of Building: _ E .7my license is In f ul farce and effect. ,r �y q(� License CISss v nse No'PJ'"I/1 / - PLUMBING , - • I FEES Planning Notes: ' - ' M �"\ Date //-Z---93l Signature WORKERS'COMPENSATION DEC ATION Bar Sink Showers 1✓/ I hereby affirm that I have a certifica f consent to self-Insure or a certificate Backflow Preventer Service Sink of Workers' compensation Insurance, or a certified copy thereof (Section - - -- - - - IP 3800, Lab. C ..// Backflow Irrigation Sewer dap ELECTRICAL , FEES \ Policy No. �Y/S I nY�' JA N l (\I [] Certified copy Is hereby rurnistie• '' Bathtubs Sewer Connection Automatic Washer _ Transformer 0 15=50 KW t6)d Cer }}le coqy sflled with the ci 9 '�i .��.- ate Y(,- ..-ks Applicant n.. 1 •.• I Clarifiers Solar Collectors 1 Construction Pole Sub. ❑ 50+KW EXEMPTION-FROM WORKERS'-COMI'E TION-D C •RATION '- I Dishwasher 'I Solar Piping (This section need not be completed if the per itis for • e hundred„($100) or p g - Cooking Unit ` ” - ,Meter-❑up'to 100 amps less). i DrinkingFountains - I certify'that In the performance of the�vo for which this perm it'Is'Issuetl, I Solar Tank Dishwasher • Meter Dover 100 amps • shall not employ any person in any ma er so as to become subject to the - - - - Workers',Compensation Laws of California. .) ns Floor Drai , Swimming Pool w/Spa • Dryers ❑Gas ❑Electric 'Sub Panel ' Date Signature - • ' , NOTICE: If,after making this declaration,you should become subject to the I ' Floor Sinks 4 Urinal - • , Fan • I 'Motors 00-1 HP 01%-8 I Workers' Compensation provisions of'the Labor'Code, you must forthwith--' I -. ' . - • • - - - -+- - - comply with such provisions or this permit snail .be,deemed revoked, _ Gas Service Outlets• I -Water-Closet . ' F.A.U. Inc.Solar 09-15 HP 016-15+ CONSTRUCTION LENDING AGENCY ' I hereby affirm that there is a construction lending agency for the performance Interceptors! Water Heater Fixtures ' of the work for which:slu) ermit -Is issued (Section 3097 Civ. C:) - ',Microwave Lender's Name _/off/ - _ 1 Kitchen Sin k , - • .Water Service ' Lender's Address. •�7U/fl- - Device Boxes POIe.Light OWNER-BUILDER OECLARATIdN . _Lavatories ' - Outlets Range I hereby affirm:that I am exempt from the Cdntraetor's.License Law for the - P-Trap reason (Section 7031.5,Business and Professional Code: Any city or - P w- - - Switches !Sign ' county which requires a permit-to construct,alter,Improve,demolish or.repair - any structure, prior to its Issuance, also requires the applicant for such permit . Roof Drains - - r I - Garbage Disposal Standing Sections • to file a signed statement that he/she is licensed pursuant to the provisions of - the Contractor's License Law(Chapter 9(commencing with Section 7000) of - - Generator 00-5 KW ❑5-15 KW • Division 3 of the Business and Professions Code) or that he/she is exempt - I ' ' . I Trash Compactor •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 ' Reinspection fee penalty of not more than five hundred dollars($500)., Pe $25 ' Issue Fee - $ 3 _ - I,.as owner of the-property or. my employees With wages as their sole MECHANICAL • Reinspection Fee $25Issue Fee' $ 3 compensation, will do the work,and the structure is not Intended or offered '• - FEES for sale.(Section 7044, Business and Professional Code: The Contractor's ------ ---- - — - ---"-- PUBLIC SERVICES REOl11REME�TS License Law does not apply to an owner of a property who'builds or improves goiter Hood or Type I 0 ILITI��t �� /Z / thereon„and who does such work himself/herself or through his or her own • - i Zoning Approved By Date 1 employees, provided that such-improvements are not Intended or offered for Canopy Type II ❑ sale. If, however, the building or Improvement is sold within one year of com- Duct-Under Ground ' I Application Approved By Date /�/ �i]3 pletion, the owner will have'the burden of proving he/she did not build or im- L 2 VV grove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By • - Date - 0 I,as owner of the property, am exclusively contracting with licensed con- ❑0.100,000 BTU ❑100,000 BTU tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating SUMMARY OF FEES -- •The Contractor's License Law does not apply to an owner of property who - ' builds or improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple 0' System Repair/Alteration BUILDING PERMIT $ 3S•oD - SMIP $ • tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK • $ PERMIT 0 I am exempt under SectionI B.&P.C.for this reason Firepl/Fact.Bit. ICBG# - PLUMBING $ 700 .ISSUANCE $ • Date Owner • , Heating System&Ducting PLAN CHECK $ _ ENERGY P.C. $ • I hereby certif •.t I have read this application and state that the above 00.100,000 BTU 0100,000BTL _ GRADING $ Information Is orre• . I agree to comply with all city and county ordinances ' - . - ' . - ELECTRICAL $ and state laws relati a to bur copstsvesign,and hereby authorize repre- ' PLAN CHECK $ MICROFILM $ Inspection purentatives of . es. s t�-an�•.� centionetl property for • MECHANICAL $ C/2'en Signature I`�Si" rr. .3 $ TOTAL FEE $ T Drivers' License o" Goldenrod-Assessor - - - - - - • -. - s '/JJ _ , , • ' CONSTRUCTION AND PLANNING POOL&SPA - APPROVALS: Permit .,Date. , Inspector . 'APPROVALS Permit# Date Inspector 1: Temporary Electrical Servicebr Pole • - 52. Pool &Equipment Location r 2. Soil Pipe-Undrgrnd. ' - . • 53. Steel Reinforcement 3. Electridal 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 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final - • 12.- Sewer Cap 8/4/f $ r 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 • 117. Rough Wiring Sign' - 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating &'Air Conditioning - FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro • 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil . 23. Gas-Pipe-Rough &Test , . 72. Underground Flush • . .24. Roof Framing73. 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 Powe? Meier-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 Servie-Final • t • 5, 40. Gas Service-Final 41. Solar Domestic-Final . - i + . 42. Backflow Preventer - - - ; ,o 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 . . . . - . . _ i, No. Date - - ) P- • 2649 IIDIN UNIT B - . • B10683 CONDO $84,869. (PC107-83) UNIT B - P10690MISC _ 7//J�3' (B10683) UNIT B E10722 MISC. _ 7/rc/74f (810683) <&) M12376 FIREDIACE g1/4/S� B10 683 UNIT B - M1253V MISC • - - ��s.v7 310683 74/144' I6LD. O • • I ' City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. OGE 5'50 Building Safety Division P.O.Box 1200 Costa Mesa,California The Building located at 2649 E110EN UNIT 0B has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto fora Group R-1 Occupancy. Use of Building (X)NDOMTNTTPN Legal Description 439-071-22 (See reverse side for Metes and Bounds) Building Permit No B-10683 Electrical Permit No. E-10722 Plumbing Permit No- P-10690 Mechanical Permit No. M-121%;P4-1 2'1R7 Number of apartments �/�J and/or guest rooms,� ISSUED TO: Building Official L9, K . (1124F- E[AEN VENTU. GROUP by' niada- 1539 MONROVIA 019, NEWPORT B CH. CA. Date z )40142/eV 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 (e) U.B.C. CMF 1015-46 rev.1/83 White-Owner;Canary-Numerical File;Pink-Bldg.Permit File . 9 •694 , 024104 2948 z def es and si90 X11 3° 9t0 �ta • ea\afations. iZ•Y Acc¢ssorV Bu Mire.' N pn • d. — On G vY pot t_pT IV i those within sea ` 0 gePP Ct AF.`� E in au spaces exce0t TRACT Np' PLTERA1100 A�• POO �3 0NEOTHE . eyi " O // %PS ! ' 'PMtypoC�ONE ` OOORK FOUNOPMEcP\- •evR nt C, O E eft N 0.tP110 GgPs'\NO O U , D - `ref%r;•_ Fef.dh T cosTAMEs ERM\T. r= I� •Zl OESe PE""1 •c'K.CPI- 7 t.0 AT`NSCR'Z.i I / PPa•C;et WQ.IProv- a $ CiT NSTRUCt�ON p y,. ' l� 1• •• Omer "�/el— TYPO?EN PNT O T/+' V i ACRE. r1/ � • CO ddress ' -- r. ✓ / . N.°- i1 P OECT OEgCR,PpTNION PE ORP01N0 eU YDS .00 _' 50 �• / is drew •L • 'KW prolep sMpi\i • Pd ✓ cON T PAddresNa i• • rte/ . •1 r' i•�• \tensa C r .• 5 R�' '. %Itan:::::::C:.0.11:0°°-;"(‘C7t; ®� pwnef f Q • • •l� 6 .hon r ZONE / •. _ PPadre �. � 'f11 / d I ICO '�C . am �.P .PotomaticWasherpCOntta• • _ r M ed • '� �• S. ', . 1�. n Pole Sub. . Mgte _ 0 r • 0 - mends¢ .COpsvocJo ppver 10 Pddress r s Nam� id/9 co Gppe,a^e • • s P0.AT 1014isi0ns a° Cpotesso s r0000 . 011 . ., 8 CppVactp 1 i{P p1 h -•ai0n91 Z�y • 1 . t Op.t lm ° ss "° (�� w venter eti Gm License i T13 DEG of Or using a 'y . Pre • 5 er Con^eG 016.1STA City onse.seeoNT 0., 0._no 3 o ease B '.—� •Bapkf\° Li ' \rti9eu°^ . Spur C°„eetOrs t '• itn .pishwesher s oElecvl° Motor Ga . Sptnf 00.151', '• t,tOENSED thm Ju Ot . 4,..sited. �i ILS a carsdiW„� .BankfloW ®• On/ rs S \n ': I,hefeP�tiah 70t Uit tor'. i I"/ .},,sure orgoi t5¢c • . . fey ltcens0 is sato(¢ so to / _ pass f 5\9 OEe - Onsenft{Red"coOY �,.•z $Isper LKense, �' NSPT 10Ndit\cat- :pf a ca 00'n"i r' pate 0.5. co ha�1 have a insurance. �p1sh • gwimfni°5 p01 WISPa . so°, affifm gnsati co company �� Fppntains •e O 0° t 0000raik Sggttons xes PcInav .. • king • -:� : T nt W,,„,aali coo pS� „ PTeN tool of pdn ¢valets candin prof fufnots„c r.1% ., Ect.Ps era 15 • Orelns • p° Comc �. 3800. is hereby 1try the ci �' N D e nun pge.1 ploor rash icy No. copy \Kant t�s for°^ mtl 1s,�sto 1^a \lets' psai W P°, adih¢0 go f/f P00 OMP` h\s Def sUble< •' . ,. Oo 1111110111.011111111 • pisp 5A5K �yil�e tied E0.5”A N the ,"hien tenome • � � • �• Garbage 5 KW ate fti N PFO of p RpmPlete nt lee assert so?s t°a P1gd Wen Gas Service • ep¢fator Opp ® 1' oat. os W tot ma"° any ^ elaµ ¢come Spyt to yoketl. ® rcePtOrs. : •�•G sato . .E hissed the PaY gfspn 1 f C21it o, oUltl °. ou f ed re .1nte A�:g T{ ate 1ess1•itY that •1oY a"on i2'ns baro(¢ tion.Y°bor a°de'De neem rmanna • n F S 1 ted pl emP epsati 519 data tng t1 R sea a pgrip ,nb c.1 glnsPe°ba S cc., EN 7 j, D shall\n s' eom0 this tle ps Ot perm tot t" 97 G • S �� . �` I'D' lot Ker masdn9 fnvisions th1?r a9en6YHon. 30 ' $ F pate leE:lt' pnati vnn OsinGs AOENe on se`rsin9d t5ec .. • ' i OC' 0 roye EBV A ES • $ NOT co such O\N stru rl�15 - WOmP1Y wiCT\ON'.as as\coiqn PaY'p ar<'"� 1S'^' f�iiYn� :Foot prams • Zm 10 A\on APPrf)y°d B. .s MAggqfff OD PE SM\P c0 NST 0.0 fm that ."hien 0 /�- rice°¢: PnY f Th • _ PPP sy c0 atfl tor. I// cwr's \cod Ush° mit tics n issued BY V $ •• PEFMIT $ 1 f file wW N contra essloPa tlom° pen ere of • • i _ �� APDlieatio $ i ISSUANCE $ °t dais Nam°ass - E„,e•A PTQ,iroines aaed t ewornDfpl\cintt„afafo�oci°i t ¢tion Fee Or TVP¢ 11 PEFM\T ---H__..__._--------r NEFGY P. $ _----- tondo Ped- D em us t, a su t to on oma e . $ E eor s HOER tam ex 31 S.B nsuuC hos th (suss Sgcp \s ox n ilemsPe voodooTVP p1N G �nea Y9Ucastid esatttrstection 0ua ne�ypesi9lomLop 1 °fP yavl,lean\ °`jeactdvi\ •- pnU-A EC $ GF 1NB K Pp $ 2pSystem BTU ® Ptf'' H takoot.M ?3•to m Wh f rage at en tarss tip g P to • do 000p0 1NG $ ' M no nK yl i t” sal tg on m0 n.i• aV eve t ¢,seers U p1 t,U B ----_172- EE $ ' 1'05113000,3 '9f�u 9dt�inti Du o ache a\Pee to-r 00.Seas.what 1�tg;-c ht�pfoves • gt.Under Uroond . :00.100• B rl Ptteration •� PE N���P $ SOT A-F • 70: lon griao the picas Pv°npparedmY ems\�1,fn is"ode: Tends°Y,lmier own Du p r0\ :FePal t_EC $ '' l i. aS any a e°07 aha^ a tgeas: d the st,e4wneo-tY'M^o 9n nl'r dtota on.10. .pppt-StrU • .System '� PLA pHEC �n a` ea s°t n�moa i da ft Y l vfprk nr`esfnonl dZ vtsoa°e�na did not hood p eon' ' SOuct st System\senttkoon90 mu'la 0 • 100011111111.111114 • PPE lq CVI CC l $ •fomaalo Ww tlonp aoesa� �n 01 Ti fon of pfovin9 h in9•Mont essalons cwho ..®Exheu It-\CBO • �. M` CHE K Ll¢eeOn a^Gf OVienhe ildye9hebuf o0 \Y gi�os a5 ane�°pro0.a�L con• fWset:so t.B &0Uptm9 B S lea ioc:•o troln WR1^a e1• axcl^s1vg4 B°ala °w^aYP1e°ts W on . System 01pp000 • 1e.d•ane°wu I1: iJ(: st1 for tps teas 1-\¢stpgTPiseyPc. ti ' ion Ow^ai is apPticataP^dtY iaaYabY ea�p�oPgdY�� FteinsPep sses p 1 am Alf eat 1 aeef m0 oPstr hceI a ecr anent epee f ;e �Gotdgnrno iPs5e55oY pate ngrptY freer. Ito d°0o - Pccotinting. het atioh lS c° sting �- . k. \snot state ',t tttlctv PppliranlPin sentatW on P W /" steedtute /of SS 4F i •B re' u11e\n9; Wn O(\`10565.46 fee' jj83 CO . - APPNSTRUCTtON . Te APPROVALS Permit LANNING m ?. Soil p. .a Y ElegErical Sari_ Data • 3 F/ectr. po Untlrgr^d. ca or pole Inspector. . 4 seal CO�tlin ' :r : V l'O• SP• 5 .,eectriconUuit.Un rgrnd. drgr^d. �' S2FCS permit ` Ift el9rnQui mea' rcernAd• ' l Equipment C• Date °n I ctrical-UF .. 191t.-- 8.71:e ., Reinforing Inspector � ER V`rnd. nt S5. undation':;_. 56 Electrical Bonding r °u 1109 Water uctu��Paldndrg,nd-,' ��flb ��•57. APPROVAL PlumbingC Pressure Test Str ' fti eft aj F ® T t easelli 58. 0 .� prOPer °f System ,. Electrical OV ER-GUNITE 12. • •Sewer.�PSewe�Line&House ''f 59. Gas P)Pe, p ndugrnd.,rgrnd. 13. Roof t '.!.•; Connection 60. Backwash • ndrgrnd., Testasso_� drains. h Cines, P- t., • -61. aP, 1g Rdu9h'Plumbin '' 62. Backwash Undrgrnd Rough 9 ' DECK '' )6. ROu9hh Flectria).�nduit 63. Hearer& & Receptor-proal • )) Electric Wiring �' 64. Plumbing Vent-Finalm_ .Final u '' 1 8. Rough ugh Wiring Sign - at 65. Elecmbin9 System :Final ugh Electral- 6 �)-Final20 Rough Heating&.•Ai6ar.Ceiling -� 676 FSOhr SYste».penal Rough Factor COnditionin 68. ng&Access fl,-'1 aleaft 21. Duces tF'rePlaceg '® APROV APPSTE':�ucts, VenStructure _® 69. POOL/SPA SFORS F/NARINo � •-•??, Gas Pipe Rntilaring' APPROVALS DFp.YST EMS FINAL '_ 254 RooNFraming8�r&.Te$t - S.... 70. UDVACS PermIREMEIV1 26. RoofSheathing ftliftir 71. Product Hydro otlu`t piping 0Ga• eaT-Bar Ceilin •27 g •(Srrdc � ® 2. s it Frame tura) Underground COiI 28. Ca and Flashing J &M°nocoat � 73. Under Flush • 29. thing 81S' id)ne t 48* 74. Overhead9rnd.Storage Tan '' • 30. p y aInsulali a^ n` - r t •® 77$' Dry Chemialdro k CGea C3 Oillee ),ng, �•- 6, Dry Standpipe Ift Plaster. . :� . , 32. Electrical �rm)t:. �� 77• FIXED alli stria/P '( �• taft . 33. °war IH�ier. .._ J8. FIRE P SYSTEM FINAL Final Electric Final ' '• REV. FINAL L 34. Fi ' ` NA 5 FIN , EAL TH Heatin 65.Hot I Gas Pipe-Test &Air Conditioning �� 809 SOD C INSPECTION DEPT. REQUIREMFN� 711111111111111 37. d or^an�py • Iftria. Note •. CERTIFICATE IS ..,,, ;,....,11- SUED 38. Final °t ng.n...r`la'ce '® �.�:.d . aftraMINIftl ze 4Q Ga39. a'eY Se'V'C%i mal allelial o s Semi 41. Solar ce-Final r Domestic-Final '® 43. eypnter _ � Backflow Irrigation -4q. .Cand 9ation 45 'cape Irrigation �� Sound Attenuation System 46. . ,Lad sc Re 47, FIALA, 9ulations ,' �® 48. Special Re RUCTURF•eBUl A� 49. Electricm Ple edlNG � No,50. Gas to Edison 4iy7�'�e ! I' CERTIFICATE SouthernCahfor ` OFOCCUP niaGas��� Dare-OCCUPANCY Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA. - - s PERMIT N TRACT NO. LOT NO. BLDG.NO. - CONSTRUCTION PERMIT n� Y —7067e 2958 ' 1/24/B4 40.50 Ti. Project Address 16 Vg ` �1 TYPE OF CONSTRUCTION L�NEW 'U ADD U ALTERATION U REPAIR • - Applicant's Mailing Ad ess. 2- l 7Z7 / �f� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER - A.P.# l Zone D /dr • DESCRIPTION OF WORK Owner's Name - U tt (/ �'v"� i Ph�^,,e Kr 197 S Main')Building: . • Accessory Building: . Z Address 4,-25 - 7v1 w IG 5� / � `irr - U E 0 ,Q, /�' C TYPE OF PERMIT ❑ GRADING ICFFOUNDATION U STRUCTURAL T Front _ N Arch/Eng. r s N '.0 v: AK Qlcense NO. 2•/�'7 El TENANT LI ELECTRICAL LTLUM GING ❑MECHANICAL B - 1 Address -7 it/ �a' 7>/C /- -A Rear • N ❑ OTHER Contractor's Name &•t• Jotj9ZZ.rs litif f, Ar Phone 694.n2 ZU PROJECT DESCRIPTION SQ. FT. OCCUPANCY CK . Right G Address(mailing) 'I y� O�!✓✓, es` CON ST RUCTION TYPE VALUATION$ S Left - - E ,- City License No. ] !/ ' 74- ZONE GRADING CU.YDS. ACRES ping. Ref.# • Park.Fees $ U LICEN • SED CONTRA TOR DECLARATION Remarks: Parking Req,/Provided , - I I hereby,affirm that I am licensed under provisions of Charter 9 (commencing _ R with section 7000) of Division 3 of the Business and Professions Code, and R 1� - /h/1'} O 3 Use of Building: E my license is In full force and effect. V — License CI.ss — I ense N' / . 1 PLUMBING I FEES Planning Notes: M Date - Signature .:*Wt' ''4+. _ _ E WOR ' RS' OMPENSATION DECLARATION • Bar Sink ShowersI N T ' hereby affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer Service Sink S of Worker.' Compensation Insurance, or'a certified copy thereof (Section,' - Ina- 3800, Lab. CJ • AA ,/ ,( Backflow Irrigation Sewer Cap ' t. ' . ELECTRICAL FEES Poli< o. S'p�//� 7� y�V Com.. y .C✓l✓L 'L .4rceryrtiiffied copy Is hereby furnished. i Bathtubs I Sewer Connection .fi'Certifiy py tl with the city : ding.1��z"'� / '� I Automatic Washer. Transformer 0 15-50 KW Date / Applicant , v ✓ • Clarifiers � Solar Collectors Construction Pole Sub. • 0 50+ KW -E%EMP ON F OKERS'COMP' ' ATION DECLARATION -• - Dishwasher • Solar Piping . •(This section need not be completed if the permit is for one hundred ($100) or• P g ,07- —e Cooking Unit f -q Meter ❑up to 100 amps less). - DrinkingFountains '' • I certify that In the performance of the work for which this permit Is•Issuetl I' Solar Tank i Dishwasher Meter Dover 100 amps' shall not employ;any person in any manner so as to become subject to the . - - Workers' Compensation Laws of California. Floor Drains • Swimming Pool w/Spa Dryers ❑Gas ❑Electric • Sub Panel • ' Date Signature NOTICE: If,after making this declaration,you should become subject to the Floor Sinks , Urinal Fan' _, _ _ _Motors 00-1 HP ❑1Ya-'B Workers' Compensation provisions of the Labor Code, you must forthwith • • —_ - - comply with such provisions or this permit shall be deemed revoked. / Gas Service J'Outlets 3 Water Closet F.A.U. Inc.Solar❑9-15 HP 016-15+ CONSTRUCTION LENDING 'AGENCY ' • to I hereby affirm that there is a construction lending agency for the performance Interceptors Water Heater _ Fixtures of the work for which, this permit is issued (Section 3097 Civ. 'C.) . P - Microwave Lander's Name - / Kitchen Sink , - / Water Service - jj/ Device Boxes Pole Light Lender's Address /- / OWNER BUILDER DECLARATION . r - • 3 Lavatories' / ii-vole. C'JC/Ler t ' t Outlets Range ' I hereby affirm that I am exempt from the Contractor's.License Law for the , p-Tra following reason (Section 7031.5 Business and Professional Code: Any city or P - -, Switches Sign - county which requires a permit to construct,alter improve,demolish orrepair ' any structure, prior to Its Issuance, also requires the applicant for such permit Roof Drains- . - - - s' Garbage Disposal ' Standing Sections to file a signed statement-that he/she Is licensed pursuant to the provisions of 'he Contractor's License Law(Chapter 9(commencing with Section 7000)of Generator 00-5 KW❑5-15 KW Trash Com ctor I evasion 3 of the Business and Professions Code)-or that he/she Is exempt _ i .nerefrom 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 Reinspection Fee .$25 Issue Fee S 3 - • eenalty of,not more than five hundred dollars($500). ' LJ 1,,as owner of the property or my'employees with wages as their sole - — Reinspection Fee . $25 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered MECHANICAL FEES for sale (Section 7044, Business and Professional Code: The Contractor's PUBLIC SERVICES REQUIREMENTS: License Law does not apply to an owner'of a property who builds or Improves Boiler ' Hood or Type I 0 ' . I thereon, andiwho does such work himself/herself or through his or her own - Zoning Approved By hate employees, provided that such Improvements are not intended or offered for Canopy Type 11 ❑ Duct-Under Ground • sale. If, te however,wthe building dopro i g within one yearof im Application Approved By Date prove for h owner will have the burden of proving he/she did not build or im- �ove for the purpose of sale). Duct-Structural Refrigeration System f• Application Issued By�/�_4 � Date �� � LJ I,as owner of the property, am exclusively contracting with licensed con- ❑0-700,0008TU ❑700,000 BTU tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating • SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/AlterationBUI LDING PERMIT $ SMIP $ ' tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ T PERMIT ❑ I am exempt under Section B.&P.C.for this reason , Firepl/Fact.Elk ICBO# PLUMBING $ ' 3,S,0 d ISSUANCE $ Date Owner - Heating System& Ducting I _ PLAN CHECK ' $ 7,5' ENERGY P.C.; $ - - I hereby certif t I have read this application a." state that the above ❑0.100,000 BTU ❑100,000 BTL— ELECTRICAL $ GRADING $ information i orre t. I agree to comply wi, a and county ordinances and and state la s relat ng'to •. •ing construe hereby authorize repre- : PLAN CHECK $ MICROFILM $ sentatives • •is •Icy t• upon ,aa propirty f• ''// /� inspection se /• /' -4 . e. ./e/ _ MECHANICAL $ TOTAL FEE $ • /f'0'S r/ • Signature _4i _t._. Applicant;Pink-Accounting;Goldenrod-Assessor - - . - - - - • ' • - - -s • • CONSTRUCTION AND PLANNING PO(. A SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location •• • 2. Soil Pipe-Undrgrnd. • .a,./46f f10 53. Steel Reinforcement '3. Electrical Conduit•Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. .55. Electrical Bonding •-5. Steel Reinforcement * 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. • 8. Foundation ' 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structura),Floor System 61. APPROVAL TO DECK 11..Property Sewer Line & House Connection I_2L,7y /E'(Q 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final ' 13. Roof Drains 'Y 64. Plumbing System - Final 14. Rough Plumbing yrs& 'VY 9j 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 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro • 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final „ 80. FOOD CERTIFICATE ISSUED 33. Final Electric • Notes: #11 - Ho 1.1asc CotKEGTao i 1-74-e‘'( - _ 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test $4'7sy (.4.0 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 7//34Y 140 - 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation • 44. .Landscape Irrigation System • 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY • No Date .- „_ ! Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. ” - CITY OF COSTA MESA _ PERMIT NO.. •. TRACT NO. • • LOT NO. • BLDG.NO. • CONSTRUCTION PERMIT - ,fyj —7,3 7� 7515 3/29/84 B.00 TL. Project Address.��57 ." id p '/ •TYPE OF CONSTRUCTION •$ NEW LJ ADD Li ALTERATION U REPAIR - •- Applicant's Mailing Address:25-59 .070.4./...60/./../,...9 ,4/ ,,%t - ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.#' 99_4Z. e99/ �+� 1ZOne �' 02. -. Owner's Naame�rl- l�i�. l77_,iCr_ OG,PPhone(h...5(5-299.42 DESCRIPTION OF-WORK S Main Building: Accessory Building:. 2 Address!-/���+ 9.4'%fW-Fn//U/A1 _q/9 /l4� ..er ��n..{� TYPE OF PERMIT U GRADING U FOUNDATION ❑ STRUCTURAL E Front • • 0 Arch/Eng./-CO 24-1)6' r4'•"r f TLicense No. ^P/S 7 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING A(MECHANICAL B - N Address 2 �9 /t . 7�� �0�0�-- �a�2 ❑ OTHER - ' A Rear • N • C Right G Contractor's Name/!/F-412/2 ;41./21--atC 8e�Y Phone 6n^`/,��/--9i3 PROJECT DESCRIPTION SQ. FT. OCCUPANCY ,e_../ K R Address(mailing)/'S'3' ,4 l44 �*" trig / V CON ST RUCTION TYPE V VALUATION$ S Left ' ' E O2�Slo ZONE,- 2 ' GRADING CU.YDS. ACRES ping. Ref.# Park.Fees $ O • City License No. LICENSED CONTRACTOR DECLARATION U Remarks: �� �� �l-��)�T /nom Parking Req./Provided ( I hereby affirm that I am licensed under provisions of Charter 9 ns(commencing R with section 7000) of Division 3 of the Business and Professions Code, and Use of Building: • E my license is In full f ce and effect. , //'� 1/ M LIcens CI s No, PLUMBING FEES Planning Notes: Date , SignatureN YORKERS'COMPENSATION DECLA ATION Bar Sink 'k Showers •hereby affirm that I have a certificate of consent to self-Insure or a certificateL - T of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Pr¢venter Service Sink S 3800, Lab. C.) Backflow Irrigation. Sewer Cap ELECTRICAL FEES Pnolicy No.//iA/S 23878 company/t 2C_VJ",,# . .49.1y .fl Certified copy is hereby furnished. • • Bathtubs Sewer Connection Automatic Washer Transformer 0 15-50 KW Certitkedjgjily i tjIed with the city B Id' Ion ❑ 50+KW Date /-c l ' Applicant - . Clarifiers Solar Collectors Construction Pole Sub. EXEMPTION FROM WORKERS'COMP NS TION DECLARATION Dishwasher Solar Piping Cooking Unit Meter ❑up to 100 amps (This section need not be completed if the mit Is for one hundred ($100)or , less). - DrinkingFountains" • I certify that in the performance of the work for which this permit is issued I Solar Tank Dishwasher ' Meter Dover 100 amps shall not employ any person in any manner so as to become subject to the . . . • Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel _ �r' Date Signature . . . NOTICE:If,iafter making this declaration,you should become subject to the Floor Sinks - Urinal ' Fan Motors❑0.1 HP 01%:8 • - Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. - Gas Service 'Outlets , ' Water Closet . F.A.U. Ina Solar ❑9-15 HP 016-15+ CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance interceptors Water Heater Fixtures • of the ,work for w Ich this ermlI,� is issued (Se 1 n 3097 civ. C.) p 1Microwave • Lender's Name /14----.472. 9.-2p /.jJATr- . ._ , C.46 Kitchen Sink •• . Water Service •• Lender's Address /JOE, �n�m S f.:7-..."77Device Boxes Pole Light OWNER BUILDER DECLARATION j . - - Lavatories. ,. - • Outlets 1 Range I hereby affirm that I am exempt from the Contractor's License Law for the - P-Tra following reason (Section.7031.5 Business and Professional Code: Any city or P - Switches Sign • county which requires a permit to construct,alter,improve,tlem olish•or repair - - •- .. _ - . • - any structure, prior to its issuance, also requires the applicant for such permit Roof Drains • - - Garbage Disposal Standing Sections _ to file a signed statement that he/she is licensed pursuant to the provisions of - he Contractor's License Law(Chapter 9(commencing with Sectlon'7000)of " • Generator ❑0.5 KW ❑5-15 KW •Trash Com actor ivision 3 of the Business and Professions Code) or that he/she is exempt ' ' . - p terefrom and the basis for the alleged exemption. Any violation of Section . 7031.5 by.'any applicant for a permit subiects'the-applicant to a civil ' Reinspection Fee $25 Issue Fee $ 3 - CenaltY of not more than five hundred dollars($500). - I, asowner of the'property or my employees with wages as their sole MECHANICAL Reinspection Fee $25 Issue'Fee $ 3 compensation will do the work,and the structure is not intended or offered FEES for sale (Secflon 7044, Business and' Professional Code: The Contractor's :PUBLIC SERVICES REQUIREMENTS: License Law does not apply to'an owner of a property who builds or Improves Boiler Hood or Type I ' 0 thereon,.and who•does such work himself/herself or through his or her own Zoning Approved By Date•' ' employees, provided that such improvements are-not intended or offered for ' Canopy Type II 0 sale, If, however,the building or improvement is sold within one year of cam- • Duct-Under Ground - - Building Approved By . Date • pletion,the owner,will have the burden of proving he/she did not build or im- - - n prove for the purpose of sale). Duct-Structural - Refrigeration System - Application Issued By ©'IJ,/�', Datn�59�Z • LJ I,as owner of the property,am exclusively contracting with licensed con- • 00-100 000 BTU ❑100,000 BT,U tractors to construct the project (Section 7044,Business and Professions Code: . . putt-Ventilating - , " SUMMARY OF FEES • The Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such projects with a con- . ' Exhaust System 0 Multiple 0 System Repair/Alteration - BUILDING PERMIT $ ' SMIP •$ " tractor(s) license pursuant to the Contractor's License Law). y ''// - PLAN CHECK $ - PERMIT 0 I am exempt under Section B.&P.C.for this reason ' .A Firepl/Fact.BIt. ICBG#_.50J ` M PLUMBING $ • ISSUANCE $ Date Owner Heating System&Ducting , • PLAN CHECK 25% $ ENERGY P.C. $ 1 hereby certify that I-have read this•application and state that the above 00-100,000 BTU 0100,000 BTL_- " GRADING ($ l Information Is correct. I agree to comply with all city and county ordinances ELECTRICAL $a• nd.state laws relating to ilding construction,and hereby authorize repre- PLAN CHECK 50%- $ I • MICROFILM $ sentatives of MI ty a pon the above-mentioned Qroper• _(pr, - Inspection purp• es. jJ. of s r n MECHANICAL Signature d • Date ; $ �� '___L-�— TOTAL FEE $ �i D v �� - � Reinspection Fee '$25 _ - Issue Fee $ 3 .PLAN CHECK 25% $ Drivers' License �� .. - CMF 0865-46 rev.12/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor - CONSTRUCTION AND PLANNING - • - -POO. .SPA - Date Inspector - - Date Inspector ' APPROVALS - Permit# APPROVALS 'Permit•# - - 1.-Temporary Electrical Service or Pole - 52. Pool & Equipment Location - -. t'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 LIFER Grnd.; 57. APPROVAL TO COVE R-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 - 3 - - 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-telling' 69.,POOL/SPA SYSTEMS FINAL _ , ' • ' 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT - I 20. Rough Factory Fireplace 4- / y Amo 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 Framing73. Undergrnd.StorageTank OGas•O0i1 ' , 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 Miter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric ' Notes: 34. Final Heating & Air Conditioning ' . 35. Final Gas Pipe-TestI ' . , . 36. Hood or Canopy - - 37. Final Factory Fireplace W/54 #t" - - - 38. Final Plumbing /"r• , • - I 39. Watef Service-Final ' - • 40. Gas Service-Final , _ ' 41. Solar Domestic-Final . - - .- - 42. Backflow Preventer1 • ' ' - li 43. Backflow Irrigation , - ' - 44. .Landscape Irrigation System _ - 45. Sound Attenuation j - - 46. Handicap'Regulations - - I ' ^ , I' 47. FINAL STRUCTURE & BUILDING, 48. Special Requirements Completed l 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 PERMIT NO. _ TRACT NO. LOT NO. BLDG. 0. ' CONSTRUCTION PERMIT — ��S 8, 8421 4/ 11/84 8.00 ' Tl Project AddressC / 13 TYPE OF CONSTRUCTION ' NEW LJ ADD Li-ALTERATION REPAIR ' - Applicant's Mailin Addres // - ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# I Zone Owner's Name ���� / 7 it PhonpaYryg/3 DESCRIPTION OF WORK S Main Building: Accessory Building: Z Address TYPE OF PERMIT LI GRADING ❑ FOUNDATION U STRUCTURAL E Front 0 ���///III N Arch/Eng. License No. ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ySy MECHANICAL • R Rear - - Address �• o,,, LI OTHER / A N Contractor's Name-77EYQ�T �� S9$TL�"Phone + 7 � PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right G ''}}ag ' G �( •CONSTRUCTION TYPE _ VALUATION$ S Left • - E Address(mailing) v 5• (Lettd/3 ZONE GRADING CU.YDS. ACRES Ping. Ref.# Park.Fees $ Q City License No. 77 U LICENSED CONTRACTOR DECLARATION Remarks: g- //"1/ 0 ' Parking Req./Provided . . I I hereby affirm that I am licensed under provisions of Charter 9(commencing (,•//V - Use of Building: R with section 7000) of Division 3 of the Business and Professions Code,and g: • E my license is in full foaDE atfsct. r/ PLUMBING I FEESE License Class ` (/ icense No. Planning Notes: Date .' � Signature WORKERS'COMPENSATION DEC RATI NN Bar Sink Showers T N i hereby•affirm that I nave a cerci(Irate of consent to self-Insure or a certificate Backflow Preventer Service Sink S of Workers' Compensation Insurance, or a certified copy thereof (Sect on -- - 3800, Lab. C.),01.1/3_3.) d Backflow Irrigation Sewer Cap ELECTRICAL FEES Policy No. / - Company /7 � - - Certified copy is hereby furnished. / Certified c Bathtubs Sewer Connection ' Automatic Washer Transformer 0 15-50 KW py" fled with the city Buil 9 DI ate 7-/i Applicant "✓jA�a Clarifiers Solar Collectors Construction Pole Sub. ❑ 50+ KW EXEMPTION FROM WORKERS'COMPE SATION DELLA RW TION Solar Piping Cooking Unit Meter Dup to 100 amps \ . Dishwasher(This section need not be completed if the permit Is for one hundred ($100) or less). DrinkingFountains I certify that in the performance of the work for which this permit is issued, I Solar Tank Dishwasher Meter Dover 100 amps shall not employ any person in any manner so as to become subject to te Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel Date Signature NOTICE:If,'after making this declaration, you should become subject to the Floor Sinks Urinal _ Fan Motors 00-1 HP 01%-8 Workers' Compensation provisions of the Labor Code, you must forthwith - - comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets Water Closet - F.A.U. inc.Solar ❑9-15 HP 016-15+ CONSTRUCTION LENDING AGENCY - I hereby affirm that there is a construction lending agency for the performance Interceptors - Water Heater Fixtures :Microwave of the work for which this permit is issued (Section 3097 Civ. CS • Lender's Name Kitchen Sink - • Water Service - I Device Boxes Pole Light Lender's Address - OWNER BUILDER DECLARATION • Lavatories Outlets Range I hereby affirm that I am exempt from the Contractor's License Law for the p-Tra following reason (Section 7031.5 Business and Professional Code: Any city or P - Switches Sign county which requires a permit to construct,alter,improve,demolish or repair .. . any structure, prior to its Issuance, also requires the applicant for such permit Roof Drains Garbage Disposal ' Standing Sections to file a signed statement that he/she is licensed pursuant to the provisions of „__ the Contractor's License Law(Chapter 9 (commencing with Section 7000) of Generator ❑0-5 KW❑5-15 KW Division 3 of the Business and Professions Code) or that he/she is exempt - Trash Compactor .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 enalty of not more than five hundred dollars($500). Reinspection Fee $25 Issue Fee $ 3 LJI, as owner of the property or my employees with wages as their sole MECHANICAL - - - Reinspection Fee $25 Issue Fee $ 3 compensation will do the work, and the structure is not intended or offered FEES - for sale (Section 7044, Business and Professional Code: The Contractor's • - PUBLIC SERVICES REQUIREMENTS: License Law does not apply to an owner of a property-who builds or improves Boiler Hood or Type I 0 thereon, and who does such work himself/herself or through his or her own Zoning Approved By Date employees, provided that such Improvements are not intended or offered for Canopy Type II 0 Duct-Under Ground sale. If, however,, the building dof pro sold in one yearofcom- Application Approved By Date pletion, the owner will have the burden of proving he/she did not build or im- oove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By � • Date �� I� LJ I, as owner of the property, am exclusively Contracting with licensed con- ❑0.100,000 BTU ❑100,000 BTU tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration • BUILDING PERMIT $ SMIP $ tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ PERMIT o lam exempt under Section B.& P.C.for this reason Firepl/Fact.BIC. ICBG# / PLUMBING $ ISSUANCE $ Date owner Heating System& Ducting ' /- PLAN CHECK $ ENERGY P.C. $ •I hereby certify that I have read this application and state that the above I L10-100,000 BTU 0100,00087E ,.- ELECTRICAL $ GRADING $ information is correct. I agree to comply w'th all city and county ordinances - and state laws relatin• to • iltli • stru .n,and hereby authorize repre- • PLAN CHECK $ MICROFILM $ sentatives of this cit to :•t• bbb •eve-mentionetl property .for - • Inspection purpose . ' �� //' (iC/ r7 v Signature : _ Date [7/ MECHANICAL , $ li0 0 TOTAL FEE $ - !Q0 Drivers' License o SS : Accounting;Goldenrod-Assessor - - - - - - - - - . CONSTRUCTION AND PLANNING ` " POO._d. 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 •-q. 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. • i' , 8.-Foundation 1 / 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 'y' 60. Backwash-Lines, P-Trap, O Undrgrnd. 10. Structural Floor System - - 61. APPROVAL TO DECK 11. Property Sewer Line& House Connection 62. Backwash & Receptor-Final 12. Sewer,Cap - 63. Heater& Vent-Final 13. Roof Drains • / 64._Plumbing System - Final " • 14. Rough Plumbing - 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final _ 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceilirig 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning #7/1y ����di/.Z4 FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts,in Structure 70. Underground Hydro 22.iDucts, 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 j,ryi Lfr4 35. Final Gas Pipe-Test �Civ/ 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backf low 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 spaces except those Within heavy border lines and sign all appropriate declarations. • - - - • CITY OF COSTA MESA • - PERMIT NO. TRACT NO. LOT NO. . B DG NO.• I • CONSTRUCTION PERM T E — �e`'�d2 • - •3099 "1 %26/84 5d.10 TL Project Address /- �• • -1 ' A TYPE OF CONSTRUCTION-. u'NEW ❑ ADD U ALTERATION J REPAIR - • • Applicant's Mailing Address ` 7 .❑ CONVERSION ❑ DEMOLISH ❑ OTHER - A.P.# - I Zone ' • Owner's Name / -' .�>/E4' as%�' // ;WA' -ne i)Yf � DESCRIPTION OF WORK 1 Q S Main Building: Accessory Building: Z Address /5"3?- - S3 w/� ���� TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL T Front •-' , , N Arch/Eng.- _ License No. I - , -❑ TENANT. ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B- Rear _ - • N • Address' ❑ OTHER Bight - G Contractor's Nam-; - r (l ! • - '4onea ; PROJECT DESCRIPTION SQ. FT. OCCUPANCY _ R �/ nn 74- L : CONSTRUCTION TYPE - VALUATION$ S Left I Address(mailing) �T Y,+P�S/ IL-1! - E prig ZONE . - • - . - GRADING CU.YDS. ACRES City License No. /� .Ping. Ref.#. j Park.Fees $ - U . LICENSED CONTRACTOR DECLARATION • Remarks: Kq /.•/t// - Parking Req./Provided ' 1 U I hereby affirm that I am licensed under pr. Ions o harter.9 (commencing Y)� _ �" "� _ R with section 7000) of Division 3 of the es .nd Profei .ns Code,and - Use Of Building: • R my license is In full forc- and fect. • - License Cla icens:�• 't`-IS i PLUMBING FEES Planning Notes: ' M n.�Date ail. 'signature ure ,Ire OW �� ' Bar Sink . _ Showers • N ,, OR E- 'COMPE SATION DEC -RATION I T ��4 hereby affirm that-)-have a certificate of consent • self-insure or a certificate Qackflow Preventer Service Sink' - I f•' S of Workers' Compensation Insurance, or a cer fled copy thereof (Section • 3800, Lab. C.) Backflow Irrigation Sewer Cap • ELECTRICAL FEES Policy No. Company - - /� — BCertified copy is hereby furnished.. Bathtubs _ Sewer Connections "t/` Automatic Washer ' • Transformer 0 15.50 KW Certified copy Is filed with the city Building Division. • 0 50+ KW Date Applicant Clarifiers Solar Collectors - _ Construction Pole Sub. _ _ EXEMPTION FROM WORKERS'COMPENS• I••N % LARATION Dish Washer Solar Pipin •g(This section need not be completed If the p:. mit I- or o e hundr• --100)or P 9 • Cooking Unit Meter p to 100 amps �' less). .. I certifythat in theperformance of the w•rk fo , hich s i.sued I , Drinking Fountains Solar Tank , ; / p.. . . �:� / .Dishwasher Meter Dover 100 amps • shall not empl y any�pers n in any ma er • .5 to - co s bje- to tie Workerosa,Si�l lvs of Callior //, ` / Floor Drains Swimming Pool w/Spa / Dryers ❑Gas ❑Electric • Sub Panel Date — (1d! Signature 7, Q ea ( / /0 ' NOTIC If,iafter mak) g this declarati...411e:you shout• become subject to the • Floor Sinks Urinal ' -' -" - - -Fan Motors❑0.1 HP ❑1%-8 Workers' Compensation provisions of the Labor •de, you must forthwith _ - ' comply with such provisions•or this permit . all be deemed. revoked. Gas Service I ;Outlets I Water Closet F.A.U. Inc.Solar• ❑9-15 HP ❑16-15+ / CONSTRUCTION.LENDING AGENCY - I hereby affirm that there is a construction len• ng agencydor the performance ' Interco tors Water Heater i Fi '•of the work for which this permit its issued (Section 3097 Civ. C.) ' p �. xtures Microwave I 3 Lender's Name- -- Kitchen-Sink , •' ' Water Service - • Device Boxes Pole Light Lender's Address Lavatories OWNER BUILDER DECLARATION - e.- Outlets • Range ' • 9 I hereby affirm that I am exempt from the Contractor's License Law for the _ following reason (Section-7031.5 Business and ProfesslonalCode: Any city or . P-Trap. - ✓ -2-Switches 'Sign 440 county which requires a permit to construct,alter,Improve;demolish or repair — — - I / any structure, prior to its issuance, also requires the applicant for such permit Roof Drains Garbage Disposal Standing Sections / to file a:signed statement that he/she Is licensed pursuant to the provisions of - 'he Contractor's License Law(Chapter 9(commencing with Section 7000) of • Generator ❑0.5 KW ❑5-,15 KW Division 3 of the Business and Professions Code) or that he/she is exempt . Trash Compactor 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 Reinspection Fee 3 '� penalty of not more than five hundred dollars($500). ' - Pe I $25 Issue Fee $ ' • OI, as owner of the property or my employees with wages as their sole MECHANICAL Reinspection Fee $25 issue-Fee $ 3 compensation will do the work,and the structure Is not Intended. or Offered. FEES for sale (Section 7044, Business and Professional Code: The Contractor's - - -- • - -- PUBLIC SERVICES REQUIREMENTS: License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I thereon, and who does such work himself/herself or through his or her own Zoning Approved By - Date employees, provided that such Improvements are not intended or offered for Canopy Type II 0 sale. If, however, the building or improvement Is sold within oney ear of com- Duct-Under Ground Building Approved By Date pletion, the owner will have the burden of proving he/she did not build or im • - rove for the purpose of sale). • . Duct-Structural Refrigeration System Application Issued By A).j'/ Dateii ,� O I,as owner of the property, am exclusively contracting'with licensed con• ❑0.100,000 BTU 0100,000 BTU tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating - - • SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who - builds or Improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP • $ tractor(s) license purs t to the Contractor's License Law). .j. PLAN CHECK $ PERMIT 1 IDI am exempt und: ctlon - - B.& P.C.for this reason Firepl/Fact.Bit. ICBG# PLUMBING $ ISSUANCE $ Date = nor -a Heating System&Ducting ' PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify hat- -have read b'5 ap•lication and state that the above 0o-100,000 BTU 0100,000 BTL - - a/ ` �1 $ Information Is co rect. 1 ogre, t• co- ply ith all city and county ordinances ELECTRICAL $ a 6• �V GRADING and state laws r: . I to bu /•;nstrdction,and hereby authorize repre- MICROFILM sentatives of th, r'. to a •on the above-mentioned ppproVarty i PLAN CHECK 50% $ f G . $ Inspection purpolr/j/� / �`- / L1 /, -3C� MECHANICAL .$ T Signature 1 Date("f•O U TOTAL FEE $ s•1-/Li Drivers' Llce•n .-Cro5# - Reinspection Fee $25 Issue Fee - $ 3 PLAN CHECK 25% $ CMF 0865-46 rev.12/83 hite- Pink-Accounting;Goldenrod -Assessor 'mow • POGot SPA ++ CONSTRUCTION AND-PLANNING, r _ Date. ' Inspector Date' Inspector . : _APPROVALS _ Permit# - • - • - - APPROVALS Permit# • 17 Temporary Electrical Service'or Pole, .1 ' ' ' 52. Pool & Equipment Location • - .t. c 1 't , .` 2! Soil Pipe-Undrgrnd.- S ' ' r 53. Steel Reinforcement - • - 3 Electrical Conduit Utility-Undrgrnd. ' ' : , 54.. Forms • - •4. Electrical Conduit-Undrgrnd. .) 55: Electrical Bonding � 5. Steel Reilnfrircem4ntI - ° 1 - - 56. Rough Plumbing & Pressure Test •,• '6: Electrical LIFERGrnd., • . - 57. APPROVAL TO COVER-GUNITE. .• . -: 7. Foptings� , •'i s. - - _ 58. Electrical Conduit-Undrgrnd. _ ' 8. Foundatjon; ' I -•- _ • ' _ •' 59. .Gas Pipe„O'Undrgrnd.,Test _ 9. Water Pie-Undr rnd. 1 P 9 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System - _ '-'• :r 61. APPROVAL TO DECK 11. Prriperty Sewer Line.& House Connection -P 62. Backwash & Receptor-Final - 12. Sewer Cap ' . /•; - • 63. Heater & Vent-Final . } ' 13. hoof Drains • I 64. Plumbing System - Final • ' 14. Rough Plumbing • - 65. Electrical-Final - ' • 15. Rough Electrical-Conduit - - 66. Solar System-Final - _ - -- - ,,•16. 'Rough Electric Wiring. ' 1 67. Fencing & Access Approval . . - -: - - 9�i��sK �c . - 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 1 70.• Underground Hydro 1 ,22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil I' 1 '23. Gas Pipe-Rough & Test i - 72. Underground Flush ' 24. Roof Framing I - - 73. Undergrnd.Storage Tank 0 Gas 0 Oil . ' I 25. Roof Sheathing - 74. Overhead Hydro , • 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical . •27. Frame and Flashing 76. Dry Standpipe I • 28. Lathing& Siding • ' ,; - 77. FIXED SYSTEM FINAL I ! 29. Insulation - ' ,- 1 78. FIRE PREV. FINAL ' , . ''30. prywall Nailing HEALTH DEPT. REQUIREMENT • 31. 'Plaster Brown Coat 79. FINAL INSPECTION i . - 32. Electrical Power Meter-Final - #16 n 80. FOOD CERTIFICATE ISSUED •- • 33. Final Electric i�/` ` Notes: 34. Final Heating & Air Conditioning• - -!i" - 1 I _ 35. Final Gas Pipe-Test - - 36. Hood or Canopy , , ' ' ' _ 37. Final Factory,Fireplacel - ` - 38. Final Plumbing • ' 1 39. Water ServiceThirial : ' , ' ' - 40. Gas Service-Final ' • ` 41. Solar Domestic-Final , • ' - - --- . ': 42. Backflow Prevenier I 43. Backflow Irrigation ' - � , _ 44. .Landscape Irrigation System . . , , 45. SoundfAttenuation ' I ' • . - • 46. Handicap Regulations - , - - .� 47. FINAL STRUCTURE & BUILDING . 48. Special,Requirements Completed • 49. Electric Release to Edison i - •. - I 50. Gas Release to Southern California Gas Co • I , 51. CERTIFICATEOFOCCUPANCY• - -- - '- - . - - .; ` 2649 ELDEN UNIT C - • X10684 / CONDO $78,469. - 7/3// (PC107-83) UNIT C P10691 MISC. - 7/3/g-.(1 (310684) UNIT C 510723NIISC - ' /ee71 (310684) (C) :1123 7 FIREPLACE - • wi/ri 810694 UNIT C _ _ M12568MISC - 7/i3�3"f 1310684 BID C • • • - { I { i __ ._J City of Costa Mesa �} �� Development Services Department CERTIFICATE OF OCCUPANCY No. CQU 59°5 Building Safety Division • P.O.Box 1200 Costa Mesa,California The Building located at 2649 ELDEN UNIT 4C has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto fora Group R-1 Occupancy. Use of Building CONDOMTNTIIM Legal Description 419-071-22 (See reverse side for Metes and Bounds) Building Permit No 4-1 TIARA Electrical Permit No. E-10721 Plumbing Permit No. P-10691 Mechanical Permit No. N-12377,M-12588 Number of apartments �{� and/or guest rooms ISSUED TO: Building Official GOC/ /41 t &a-zee ' FUTIFSi VENTURE COUP byy�,-- 1539 Mh�VIA, #19, NEWPORT BEACH, CA. Date Z 19C77 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 (e) U.B.C. CMF 1015-46 rev.1/83 White-Owner;Canary-Numerical File;Pink-Bldg.Permit File Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. �q CITY OF COSTA MESA - - • - PE MIT NO. TRACT NO. LOT NO. BLD NO. - - - -- • - CONSTRUCTION PERMIT 0 & ; 1 • N �/ / Y �9} 2946 (/24/84 375.149 7 Project Address "' AI • TYPE OF CONSTRUCTION IXNEW UADD LI ALeilTERATION UREPAIR i Applicant's MailingtAddress/ ei _ r L + ❑ CONVERSION ❑ DEMOLISH 0 OTHER q•p-'# 4. t Zone ' Owner's Name G • a-, Let /•UP,Pho•.;is A '- DESCRIPTION OF WORK CDA�.Q0 //S s _ 1 Iq, S Main Building: - Accessory Building: : 2 Address a(� /� dc '� p TYPE OF PERMIT' . U GRADING LJ FOUNDATION .2 STRUCTURAL . T Front /1/441-0,2,\I O Arch/Eng./4r/ftC&.. a art.G #' License No, Z/P7 ❑ TENANT ❑ ELECTRICAL'❑ PLUMBING ❑ MECHANICAL B a` - N MA r� 206 Rear AOOOff( • Address; ! ms's' / `•'-�+? �-•r�` / �7 ❑ 'OTHER 0 TA, t - ' C Right 2 ,0 I - G Contractor's Name/n/11.- /k "a“.-8W5 PhbnnegraciL PROJECT DESCRIPTION SQyFrY. - OCCUPANCY - K _ Address(mailing) l ! navy etV/ry 10� N. A` • - CON STR CT12�1 TYPE . ' VALUATION$ --11-••_--1°-17.1;* S Left 5. 1 b�� - - - E ZONE L GRADING CU.YDS. ACRES Ping. Ref.# Park $ $g ' s-I O City License No. p /� ,/ ,/`//{— U LICENSED CONTRACTOR DECLARATION • I 1 l Remaiks:7 G, /is7_7_ AS i16s,4b9�{ Parking Req./Provided - ,t' R I-hereby'affirm that I am licensed under provisions of Charter 9 (commencing p / [/ 1t[/ • with section 7000) of Division 3 of the Business and Professions Code, and ,_ i/0,5o Use of Building: E my license is in full force and effect, - pts . %" - M License Class l asj yC/O/ PLUMBING FEES Planning Notes: • . Date _Z Signature - E ' WORKERS'COMPENSATION D A ION Bar Sink Showers HOLD FOR SPECIAL REQUIREMENTS ... N T I hereby affirm that I have a certif of consent to self-insure ora certificate Backflow Preventer Service Sink _ _ .• S of-Workers' Compensation 'Insurance, or a certified copy thereof (Section. - - - • -- - - - ' 3800, Lab. C.) I Backflow Irrigation -- ' - Policy No. Fo5L/Se Company, ' q7R MOAJ� g I Sewer Cap - ELECTRICAL • I� ; FEES • II��Sertified dopy Is hereby furnished- i •' ' . Bathtubs Sewer Connection I" - Automatic Washer i Transformer 0 15.50 KW 1-" t3 Certified cot is filen!with the city sl�ss�� I - rt...s Date r1-Yr, 7 Applicant � i Clarifiers Solar Collectors- n Construction Pole Sub. - 0 50-1- W EXEMPTION FROM WORKERS'COMP ATION DECLARATION - Dish Washer "' - "' - ' Solar Piping(This section need not be completed if the permit is for one hundred($100)or P 9 - - Cooking Unit '- " ' -- - Meter ❑up to 100 amps - ' --- -- -- less): . - I certify that In the performance of the work for'which this permit is Issued, I Drinking Fountains Solar Tank • `< Dishwasher , Meter Dover 100 amps'; shall not employ any person in any manner so as to become subject to the • - • - Workers'-Compensation Laws of California,. - I • I • Floor Drains, Swimming Pool w/Spa ' • \; Dryers ❑Gas ❑Electric Sub Panel ' - ' Date - - ' Signature - - - — • NOTICE: If,after making this declaration, you should become subject to the Floor Sinks Urinal ' ! • Fan i Workers Compensation provisions of the Labor-Code, you must forthwith- ' - .- - .-.. . - - _- -- 'Motors HP ❑t'6-8 comply with' such provisions or -this ,permit•shall be,deemed revoked. , Gas Service . Outlets Water Closet, - F.A.U. • Ina Solar ❑9-15 HP 016-15+ i CONSTRUCTION: LENDING AGENCY - - - - - - - I hereby affirm that there is a construction lending agency for the performance Interceptors' • - i Water Heater ' - Fixtures ' of the work for which tats ,permit•l;,issued (Section 3097 Civ, 'C,) - - .- - Microwave Lender's Name' - - CX- �+/If//Mv? Kitchen Sink - Water Service • Device Boxes Pole Light Lender's • Address- 7760 S. �r CA., ' - - 9 • OWNER BUILDER DECLARATION - Lavatories ' - - Outlets -Range I hereby,affirm that I am exempt from the Contractor's License Law for the - P-Tra • following reason (Section 7031.5 Business and Professional Code: Any city or p - - , - - - - Switches i Sign county which requires a permitto construct,alter,improve-,demolish or repair - . - any structure, prior to its-issuance, also requires the applicant for such permit I - i Roof Drains. - - , - , ' Garbage Disposal $Landing Sections to file a:signed statement that he/she Is licensed pursuant to-the provisions of_ - - , .the Contractor's License Law(Chapter 9(commencing with Section•7000)of • - Division 3' of the Business and Professions Code) or that he/sheds exempt - _� Generator ❑0-5 KW❑5.15 KW Trash Compactor 'herefrom 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 ' •Reins Reinspection•Fee.• • •salty of not more than five hundred dollars($500). po 1 $25 ' Issue Feer to , $3 • - - - ' 0 I, as:owner of the property for my employees with wages as their sole ', _ Reinspection Fee $25 ,Issue Fee i • $ 3 compensation, will do the work,and the:structure is not intended or offered . - ' ! ' MECHANICAL -, FEES ' for sale,(Section 7044, Business and. Professional Code; The Contractor's -- -- -- - ----'----- - - -- - -- - - PUBLIC SERVICES REOUIREE��aE T ) License Law does not apply to an owner of a property who builds or improves Boiler ' - . ' - , Hood or Type I 0 i b KL IV•1 I thereon, and who does such work himself herself or through his or her own - Zoning Approved By l\ (late l employees, provided that such Improvements are not intended or offered-for ' , Canopy Type II ❑ ; sale. If, however, the building or Improvement is-sold within one year of con.- Duct Under Ground Application Approved By Date / h-- pletion, the owner will.have the burden of proving he/she did not build or im- nn prove for the purpose of sale), Duct-Structural ' Refrigeration System -- , Application Issued By Julp / Date / 711_g/ - LI I, as owner of the property,am exclusively contracting with licensed con- ' tractors to construct the project (Section 7044,Business and Professions Code: ) Duct-Ventilating i _ ❑0-100,000 BTU ❑100,000 BTU :SUMyEtt 1;FEES ' . The.Contractor's License Law,does.not apply to an owner of property who //[[Jf S. i/�� • builds or improves thereon,and who contracts for such projects with a con- Exhaust System ❑ Multiple 0 -System Repair/Alteration - BUILDING PERMIT $ SMIP $ .7 •7` tractor(s) license pursuant to'the Contractor's License Law): - • PLAN CHECK $ PERMIT 0 i am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBG k PLUMBING $ ISSUANCE $ Date Owner Heat • • ing System& Ducting PLAN CHECK $ ENERGY P.C. ' $ , I hereby` certify that I have read this application and state that the above : ❑0.100,000 BTU 0100,000 BTL - GRADING I $ t Information Is correct. I agree to comply with'all city and county ordinances • - - • - _ - - - • -- . .- ELECTRICAL $ i . and state laws r. ing to building construction, and hereby authorize repre- I MICROFILM ' $ •sentatives of 1�����s.s.. •�.�ss •on the above-mentioned .property ,for 1 I • ,inspectioPLAN CHECK I $ Signature— Date /' y'��y MECHANICAL $ ; 1 75,�/ DriversrLice • ' Reinspection Fee • i TOTAL FEE $ 5 $25' Issue Fee $ 3 PLAN CHECK $ CMF 0865-46 rev. 7/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-'Assessor - - - . CONSTRUCTION AND PLANNING` ' " _ • •POOL ,'A- . Date - ..Inspector. `- - - Date Inspector APPROVALS Permit# -• : APPROVALS Permit # •• ' 1.' Temporary Electrical Service or Pole - 52-. Pool'& Equipment Location - - , -2: Soil Pipe-Undrgrnd. :: 53: Steel.Reinforcement - I - 3: Electrical,Conifuit Utility-Undrgrnd. - - • 54., Forms r - . 44lectric4l..Co(iduit Undrgrnd.: .z. ' - - - - . 55. Electrical Bonding' - 5. Steer Reinforcement.. - - - ' -. '56._Rough.Plumbing & Pressure Test - • 6i:EIeetrical UFER,Grnd. .s : ` • c r4ye 57.=APPROVAL TO COVER-GUNITE - " - p i, • - -+� �� : _ 1-58. Electrical Conduit-Undrgrnd. , 8. Foundation'i'( 1 l' SQA . D5- :07,1tl8 - 59: Gas Pipe, 0:Undrgrnd.,Test 9. WaterPipe-Undrgrnd. .60.••Backwash Lines, P-Trap, 0 Undrgrnd.- 10.-Structural,Flom,System ' - . 61. APPROVALTO•DECK - 11-: Pr'operty5ewer:Line;& House Connection , - •62:- Backwash,&Receptor-Final, - - ,12 Sevyer!,Cap•0 .±.t .i, i - ''63.Heater & Vent-Final 13, Roof'Drairis " ` ' i 64.•Plumbing System -.'Final " _ - . ' 14. RoughiPlumbing;7 . - • -I ' ' -'65. Electrical-Final . ' '15. Rough Electrical.Conduit: - . i - 7 ; -, - 66. Solar System-Final -- - - - . ' '216- Rough Electric Wiring • ; , - ,; i ; 67.-'Fencing &'Access Approval - , - _ _ , 17. Rough Wiring Sign - , . - ` 68.'APPROVED-FOR'PLASTERING - 18: Rough Electrical-T Bat-Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating &-Air Conditioning ' , - i i ' • . FIRE DEPT. REQUIREMENT . I ' 20. Rough Factory Fireplace' '.I ' • APPROVALS I Permit# 21: Ducts, in Structure . . 70. Underground Hydro - , 22.Ducts, Ventilating) i , 71. Product Piping 0 Gas '0 Oil 23'Gas Pipe-Rough'&'Test • ' - • i r 72. Underground Flush ' . 474. Roof;Framing 73. •Undergrnd.Storage Tank 0 Gas 0 Oil • • 25. Roof;SheathirigY,i • , . '//s/yv .13S : 74.•Overhead Hydro • 26. T-Bei!Ceiling (Structural) & Monocoat : 75. DryChemical , 27. Fraine and Flashing i S� St 'a576. Dry Standpipe " 28. Lathing & Sid rig- - � 77. FIXED SYSTEM FINAL, _ 29. Insulation <.1)• S I 1--- , 78. FIRE PREV. FINAL • ! - Ir• ; . p f HEALTH DEPT:REQUIREMENT 30. Dryypvall Nailirtg '1; v • /,S 4 -6 i 0 t31. Plaste`rBrown Coetj� -'t 79. FINAL'INSPECTION • 32. Electricl Power.Meter-Fral- 1 ; a 80. FOOD CERTIFICATE ISSUED - • 33. Final Electric . . Note's: ,rp. 4!5 �� n, t �, � .. rir..-A? :.Gi dFT-Q„�'. `� U,�Cy1�? !I"ti.. - 34. Final Heating & Air Conditioning , 35. Final GasPipe-Test • - - 36. Hood or Canopy ' - 37. Fi al Faciocy-FlreplaceI •; - - - 38. Final Plumbirig-_. .- = 39. Water Service?Rina- ' - . . 40. Gas-Sercic` inal . . '• ;!' - 41. Solar Domestic-Final• , : ; -- - ' - - _ • - - 42. Backflow Preventer ! ' 43. Backflow Irrigation : _ - •' ' . t • , 44. .Landscepe Irrigation System , . 45. Sound Attenuation iI - - - . 46: Handicap Regulations - ' - 47. FINIAL STRUCTUREnBi,'BUILDING . 7/3)/w'Y .&5 _ i . . - 48. Special ,Requirements;Completed 6/1- 'I - . > " 49. Electric Release to Edison I i ' I H- ' - - -- - - - , -: , - 50. Gas Release to:Southern Californial,Gas Co 1 . i -'t' - - 51."CERTIFICATE OF OCCUPANCY' ', "' t i - ' _ . '' • ' 'i No. .Date •• • - . i ,� - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA — PEWIT NO. TRACT-NO. LOT NO. -- BLDG.NO. "- .- - - CONSTRUCTION PERMIT • • ' P-/e f l // 2957 (%24/84 • 40.5a it Project Address ' _ ' a/4 �� TYPE OF CONSTRUCTION LJ NEW U ADD U ALTERATION U REPAIR Applicant's Mailing Addr- s a a / a ,'`' 0 CONVERSION 0 DEMOLISH 0 OTHER A.P.qp l Zone - • Owner's Name - ' - a4 a 'hone 4,J".Yc/.J - DESCRIPTION OF WORK ,s�- /.V/ n S Main Building: Accessory Building: Z Address 7r•09„ /✓Y^ JI`' A'�- /S ,J� TYPE OF PERMIT 0 GRADING OF UNDATION USTRUCTURAL _ T Front - 0 f( ((,J // rI/�1N Arch/Eng• .�Q4 rt. fi L•i4 2A�lcen5e No. "-it? .0 TENANT 0 ELECTRICAL LYPLUM GING 0 MECHANICAL B Rear • Address .JY S l7& ✓J -❑ OTHER A - - N Contractor's Nam- C - - • ne 6.Yr--VW ' PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right - G c CON STRVCTION TYPE VALUATIONS • $ Left - ' R ' Address(mailing) "1.T'// aSau✓' 1.7..- E City License No. )-y 9'7!i ZONE GRADING CU.YDS. ACRES Ping. Ref..* Park,Fees $, U LICENSED CONTRACTOR DECLARATION Remarks: /O kr • Parking Req./Provided I I hereby affirm that I am licensed under provisions of Charter 9(commencing Use of Building: R with section 7000) of Division 3 of the Business and Professions Cbde, and ' - E my license is in full for a 8n• e rect. M License Cla �' a �Ar''/ No Yom- t1 •- • - PLUMBING - FEES Planning Notes: • Date of ' Jan Signature �/_ .4441k ,14r i • E .WORKE-S' C•MPENSATION DECLARATION ' Bar Sink • Showers T I hereby:affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer Service pink • - S of Workers' Compensation Insurance, or a certified copy thereof (Section -' - "- - - - . . 3800, Lab. C) • C ' • 4.' J !� /^ 7.' Backflow Irrigation Sewer Cap J !. !, ELECTRICAL • FEES • Policy N 1F /�G Company I'� )�, -- dietl copy i hereby furnishetl. i 2•Bathtubs , . ' ( Sewer Connection ' b Automatic Washer Transformer 0 15-50 KW ' Cert'fi co y fit d with the.city Id 9�Divi5i6n - - Date - Applicant asE1V /��� Clarifiers Solar Collectors Construction Pole Sub. . 0 50+ KW EXEM 10 ROM WORKERS'CO SATION DELLA RATION / Dishwasher : i - Solar Piping ` Cooking Unit A • • • Meter ❑up to 100 amps - - ' (This ction eed not be completed if the permit is for one hundred ($100)or •- I¢certify that in the performance of the work for which this permit is Issues I. Drinking Fountains Solar Tank Dishwasher - - Meter Dover 100 amps - i shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel Date Signature ' NOTICE: If,'after making this declaration,you should become subject to the Floor Sinks ' : Urinal _ Fan Motors❑0.1 HP ❑1%-8 Workers' Compensation provisions of the Labor'Code, you must forthwith - • - - comply with such provisions or -this permit shall be deemed revoked. / Gas Service Outlets - 3 Water Closet. F.A.U. 'Inc.Solar 09-15 HP 016.15+ CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance Interceptors ( Water Heater )'. --. Fixtures i Microwave - of the 'work :for which this permit. is Issued (Section 3097. Civ. C.) Lender's Name Kitchen Sink / Water Service •- - .4/ Device Boxes Pole Light • Lender's Address - - n ' OWNER BUILDER DECLARATION �` LayatOlies / /T t4..,/.....„- r �• Outlets Range I hereby affirm that I am exempt from the Contractor's License Law for the • P-Trap - ' following reason (Section 7031.5 Business and Professional Code: Any city or • ' • - Switches' • Sign county which requires a permit to construct,alter,'improve,demolish or repair - ' any structure, prior to Its Issuance, also requires the applicant for such permit Roof Drains. - - Garbage Disposal Standing.Sections 'to file a signed statement that he/she Is licensed pursuant to the provisions of ' the Contractors License Law(Chapter 9(commencing with Section 7000)of • - Division 3 of the Business and Professions Code) or that he/she Is exempt •' Generator 00-5 KW ❑5-15 KW Trash Compactor herefrom antl the basis for the alleged exemption. Any violation-of Section Mf031,5 by, any applicant for a permit subjects .the applicant to a civil Reinspection_Fee $ 3 4naity of not more than five hundred dollars($500), PO I • $25 Issue Fee .. U I, as owner of the property or my employees with wages as their sole -MECHANICAL - Reinspection Fee $25 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered - FEES for sale (Section 7044, Business and Professional Code: The Contractor's --- -- - — - - - - -- PUBLIC SERVICES REQUIREMENTS: License Law does not apply to an owner of a property,who builds or improves Boiler Hood or Type I 0 thereon, and who does such work himself/herself or through his or her own - Zoning Approved By Date employees, provided that such improvements are not intended or offered for Canopy Type II 0 saley Duct-Under Ground elati In, hehowever, the building u den of pro i sold within one yearof com- - Application Approved By k� Date/%/k� D elation, owner will have the burden of proving he/she did not build or Im• i ae eve for the purpose of sale). Duct-Structural Refrigeration System . Application Issued By y _,..S Date U I,as owner of the property, am exclusively contracting with licensed con- ❑0-100,000 BTU ❑100,000 BTU tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating , SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who r builds or improves thereon, and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration _ BUILDING PERMIT $ SMIP $ tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ PERMIT 0 I am exempt under Section B.&P.C.for this reason Firepl/Fart.Bit. ICBG W Q Q ISSUANCE $ • — PLUMBING $ • Date - - Owner • Heating System&Ducting PLAN CHECK ' $ ENERGY.P.C. $ , I hereby certify •. I have read this application a•:state that the above ' 00.100 000 BTU 0100 000 - - - GRADING $ Information Is • rect I agree comply wit al .frand county ordinances' - - . - ELECTRICAL $ and state law relati a to u I constr . •"*T hereby authorize repro- PLAN CHECK , $ MICROFILM $ sentatives of t s d y upon�� / -mentioned pror'rty. •r ' ,, inspection p•r•.•ses. /'Jfj�pjp ) /,� MECHANICAL $ TOTAL FEE $ ' 41 e, Signature -/y/C! L� ' Date .I i- /7 1 -. Pink•Accounting;Goldenrod-Assessor • - - - - - - -- - - - - - - - • - - - • - - - -- - CONSTRUCTION AND PLANNING - - POOL, to APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole • 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. .2-1.8y D CLL 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. , 54. Forms 4. Electrica(Conduit-Undrgrnd. 55. Electrical Bonding • 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. ''• 8. Foundation , .l 1 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. t . 10. Structural Floor'System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 1_24 8Y lel 62. Backwash & Receptor-Final 12. Sewer Cap , 1 63. Heater & Vent-Final ' 13. Roof Drains - S 64. Plumbing System - Final ' 14. Rough Plumbing Oft" Me 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 Elictrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ,20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro . 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test c72. 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: *((- No 14oLGE. commix-vet _rue'8'1 "£[J 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test wags, c_& 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 7030 (,go 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 • 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 , ' 1 PERMIT NO. • TRACT NO. LOT NO. BLDG.NO. CONSTRUCTION PERMIT — /023 77 . •Project Address 2�V 9 ���SV '.._CC____'' TYPE OF CONSTRUCTION 4 NEW U ADD U ALTERATION U REPAIR q 7516 3�29J84 3a07 Tl, Applicant's Mailing Address�� ,/S-59 A ni j '7/- „one-re 0 CONVERSION 0 DEMOLISH 0 OTHER A.P.4 539 07/-�+2 1 Zone 7_�' 4�"E� /.2��/�2�� eS,Phoner/+ -s-h`�'e DESCRIPTION OF WORK Owner's Name J/ S Main Building: Accessory Building:• Z •� /17/74,,a74./.67/17/74,,a74./.67Address ,77/n / ,0","••67E 0 TYPE OF PERMIT ❑ GRADING U FOUNDATION U STRUCTURAL T Front N Arch/Eng.,#�s -e`'�{0 e .225Licen�seNo. ....... ,497 0 TENANT 0 ELECTRICAL 0 PLUMBING liti MECHANICAL B I �.-� F- .r4��r 1J�7 0 -OTHER A Reef AddressN !` Contractor's Narn4 '/A/T1-1Rf Y'c LPhonI7 T'Q W7 PROJECT DESCRIPTION SD.FT. OCCUPANCY /C-/ C Right G Address(mailing)/,529 "970A4401/./9 Yr/9 �e CONST UCTIONTYPF VVALUATIONS S Left R E City License No. (9,„.2- Ps6re ZONE • _L GRADING CU.YDS. ACRES Ping. Ref.4 - Park.Fees $ 13 U LICENSED CONTRACTOR DECLARATION Remarks: -/,4 "c-e/ � {�/n/ c!e Parking Req./Provided I I hereby affirm that I am licensed under provisions of Charter 9(commencing /C- .ci- O R with section 7000) of Division 3 of the Business and Professions Code,and Use of Building: E my license Is in full force and effect. �- Llcense.Cla G — fin•-. - �'fd PLUMBING I FEES Planning Notes: E Date `" Signature 'S - _ WORKERS'COMPENSATION DECOCRATION Oar Sink Showers N T I herebyaffirm that I have a certificate of consent to self-Insure or a certificate .Backflow Preventer Service Sink S of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.) p//mss Backflow Irrigation Sewer Cap ELECTRICAL FEES Policy No./2/...4"0 Ti.1 � Co m pany�F� T2���20.40//(� Q Certified copy is hereby furnished. — Bathtubs i Sewer Connection Automatic Washer Transformer 0 15-50 KW �Q Certifi p Noy is led with the city•r u • . e on 0 50+KW Date �rT.- i Applicant Or Clarifiers Solar Collectors Construction Pole Sub. - EXEMPTION FROM ORKERS'COMPENSA• •N DECLARATION Dishwasher . _ Solar Piping Cooking Unit Meter ❑up to 100 amps (Thissection need not be completed if the •. It is for one hundred($100)or p less). I certify that in the performance of the work for which this permit is Issued I Drinking Fountains Solar Tank Dishwasher Meter ❑over-100 amps shall not employ any person in any manner so as to become subject to the _ Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel Date Signature NOTICE:If,lafter making this declaration,you should become subject to the Floor Sinks Urinal Fan Motors 00-1 HP 01%-8 Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Gas Service . ,Outlets Water Closet F.A.U. Inc.Solar ❑9.15 HP 016-15+ CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance Interceptors Water Heater Fixtures of the work fo wtI ICh this permit is issued (Sect) n 3097 Iv. C.) p Microwave Lender's Name b -AH.4 F_ !'-C/prT /./�• Kitchen Sink Water Service Device Boxes Pole Light Lender's Address /20 n .9O,C&7Z 3 /71 OWNER BUILDER DECLARATION - Lavatories - Outlets Range I hereby affirm that I am exempt from the Contractor's License Law for the • p-Tre - following reason (Section 7031.5 Business and Professional Code: Any city or p _ - Switches Sign 'county which requires a permit to construct,alter,Improve,demolish or repair ' any structure, prior to Its Issuance, also requires the applicant for such permit Roof Drains - • Garbage Disposal Standing Sections to file a signed statement that he/she Is licensed pursuant to the provisions of - , the Contractor's License Law (Chapter 9(commencing with Section 7000)of • _ Generator ❑65 KW ❑5.15 KW Trash Compactor Division 3 of the Business and Professions Cotle) or that he/she is exempt Pa "lerefrom 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 Reinspection Fee ,525 Issue Fee $ 3 malty of not more than five hundred dollars($500). - P ❑ I, as owner of the property or my employees with wages as their sole MECHANICAL a Reinspection Fee $25 Issue Fee $ 3 compensation will do the work,and the structure is not intended or offered FEES for sale (Section 7044, Business and Professional Code:,The Contractor's ' PUBLIC SERVICES REQUIREMENTS: ' License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I 0 thereon, and who does such work himself/herself or through his or her own . Zoning Approved By Date employees, provided that such Improvements are not intended or offered for - Canopy Type II 0 - , y Duct-Under Ground • sale. In, te however, the dof pro i g within one year of corn- Building Approved By Date prove the ownerurpwill have the burden of proving he/she Old not build or Im- / grove for the purpose of sate). Duct•Structural Refrigeration System • Application Issued By � �' Data-- LJ I,as owner of the property,am exclusively contracting with licensed con- ❑6100,000 BTU ❑100,000 BTU tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating _ SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who - builds or improves thereon,and who contracts for such projects with a con• Exhaust System 0 Multiple❑ System Repair/Alteration BUILDING PERMIT $ SMIP $ tractor(s) license pursuant to the Contractor's License Law). _ PLAN CHECK $ PERMIT ' ❑ lam exempt under Section B.& P.C.for this reasonX Firepl/Fart.Blt. ICBG*Sp� PLUMBING • $ ISSUANCE $ Date Owner ' i Heating System& Ducting PLAN CHECK 25% $ ' ENERGY P.C. •$ I hereby certify that I have read this application and state teat the above 06100,000 BTU 0100,000 BTL GRADING $ Information Is correct. I agree to comply with all city and county ordinances ELECTRICAL $ and state laws relating,to b ding construction,and hereby authorize repro- PLAN CHECK 50% ,$ ' MICROFILM '$ sentatives of this e e above-mentioned property for 'ISispeaetioen purpose le 3 27/P1 MECHANICAL $ 7, 0 TOTAL FEE $ D' ° d Date Drivers' License Pink-Accounting;Goldenrod-Assessor -,CONSTRUCTION-AND PLANNING . . - POOL& A _ - - - _ - Date Inspector - . `F Date . :Inspector • APPROVALS _ Permit# APPROVALS Permit# - 1. Temporary'Electrical Service or Pole52. Pool & Equipment Location _ . ' - -- 4 t2.. Soil Pipe-Undrgrnd. S3' Steel Reinforcement ' 3:•Electrical Conduit Utility-Undrgrnd. 1 54. Forms - - '. 4. Electrical Conduit-Undrgrnd. - 55: Electrical Bonding - - 5. Steel Reinforcement 56. Rough Plumbing.& Pressure Test - 5 6: Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE - 7. Footings 58. Electrical Conduit-Undrgrnd. . 1 8. Foundation 59. Gas Pipe, O Undrgrnd.,Test ' 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Undrgrnd. ' 1 • 10. Structural Floor System 61. APPROVAL.TO DECK • 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Healer & Vent-Final - _ 13. Roof Drains ' . 64. Plumbing System- Final •14. Rough Plumbing 65. Electrical=Final • . . . '15. Rough Electrical-Conduit- - 66. Solar Sysfern-Final - 16. Rough Electric Wiring 67. Fencing & A'cceis Approval - . - -- .17. Rough Wiring Sigh - 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 5104. Art APPROVALS Permit# . 21. Ducts, in Structure • •%� 70. Underground Hydro . 22. Ducts, Ventilating 71. Product Piping 0 Gas. ❑Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 1 • 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 i 31. Plaster Brown Coat 79. FINAL INSPECTION ' 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED ' 33. Final ElectricNotes: 34. Final Heating & Air Conditioning .' se 35. Final Gas Pipe-Test . - 36. Hood or Canopy ' 37. Final Factory Fireplace SR,ail 274° ' - 38. Final Plumbing . 39. Water Service-Final I = 40. Gas Service-Final I i 41. Solar Domestic-Final - - - 42. Backflow Preventer , I N., 43. Backflow Irrigation • . . , 44. Landscape Irrigation System , • 45. Sound Attenuation 1 ' - • 46. Handicap Regulations r - 47. FINAL STRUCTURE & BUILDING ' - 48. Special Requirements Completed ; .i ` 49. Electric Release to Edison - ..f. - 50. Gas Release to Southern California Gas Co ' ' i 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 • PERMIT NO. TRACT NO. LOT NO. BLDG.NO. CONSTRUCTION /J PERMIT //J1J � ) in - /o2sF e 8422 4/1 1 /84 8.00 TL Project Address �v T �� `"-� �_�' _- TYPE OF CONSTRUCTION /{"�`' NEW U ADD LI ALTERATION REPAIR Al Applicant's Mallin Addre50, �p / . C ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# • Zone Owner's Name 4�vn474��^ Phonet 4CrV//3 DESCRIPTION OF WORK S Main Building: • Accessory Building: Z Address TYPE OF PERMIT U GRADING U EOUNDATIglg ❑ STRUCTURAL E Front N Arch/Eng. License No. - - ❑ TENANT ❑ ELECTRICAL 0 PLUMBING MECHANICAL B Rear I Address e�pp 0 OTHER A N Contractor's Name/€IQ/1f "7-,,A/LA SWI. Phoneys 7Qi!/� •' PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right G KLeft R Address(mailing/ a,.2 63 S'•r G.e,9i+�.J 'a9«- CONST RUCTION TYPE VALUATION$ $ E City License No. 0 2 y 9' x ZONE �r1 y GRADING CU.VOS. ACRES _ _ Ping.Ref.# Pork.Fees $ 13 U 1 LICENSED CONTRACTOR DECLARATION Remarks: 13- /06, y Parking Req./Provided I I hereby affirm that I am licensed under provisions of Charter 9 (commencing yr v/ R with section 7000) of Division 3 of the Business and Professions Code, and Use of Building: E my license is in full fyr�e d effect. - --- Licens,e//Class L� �O fr.Icense o 0r71s II PLUMBING FEES Planning Notes: M ( Datc./ '�/ ` Signatures C. %J/� - N WORKERS'COMPENSATION D CLARATffffOOOON �/ 41‘.71 Bar Sink Showers t- I hereby affirm that I have a certificate of consent to se -insure or a certificate T of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink. - $ • 3800, Lab. C.),„4 Z /J �..r Backflow Irrigation Sewer Cap - ELECTRICAL FEES Policy No. y) 3.71_ Company ,if//l�o.t,� _ Certified copy is hereby furnished. • Bathtubs Sewer Connection Automatic Washer Transformer 0 15-50 KW \ Certified copy I fi/ with the city Bap 9 io /2 . . - 0 50+KW Date tifie u-& / Applicant d/ Clarifiers Solar Collectors - Construction Pole Su b. EXEM ION'FROM WORKERS'COM ENSATION DECLARATION Dishwasher Solar Piping Cookie Unit Meter ❑u to 100 amps (This section need not be completed if the permit Is for one hundred ($100)or 9 P P less). DrinkingFountainsr I certify that in the performance of the work for which this permit is issued, I Solar TankDishwasher Meter Dover 100 amps shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel Date Signature — • NOTICE: If,after making this declaration, you should become subject to the Floor Sinks Urinal _ Fan Motors 00.1 HP ❑1'h-8 Workers' Compensation provisions of the Labor Code, you must forthwith- comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets Water Closet F.A.U. Inc.Solar 09-15 HP 016-15+ CONSTRUCTION LENDING/ AGENCY ' • -- - - -- I hereby affirm that there is a construction lending agency for the performance Interceptors Water Heater Fixtures 'Microwave of the work for which this permit Is Issued (Section 3097 Clv. C.) Lender's Name Kitchen Sink Water Service Device Boxes Pole Light • Lender's Address Lavatories OWNER BUILDER DECLARATION Outlets Range I hereby affirm that I am exempt from the Contractor's License Law for the P-Trap reason (Section 7031.5 Business and Professional Code: Any city or p Switches Sign county which requires a permit to construct,alter,improve,demolish or repair any structure, prior to its issuance, also requires the applicant for such permit Roof Drains .• Garbage Disposal Standing Sections ' to file a signed statement that he/she Is licensed pursuant to the provisions of . 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 Generator 00-5 KW 05-15 KW Trash Compactor •,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 Reinspection Fee $ 3 LJenalty of not more than five hundred dollars($500). pe $25 Issue Fee I, as owner of the property or my employees with wages as their sole MECHANICAL Reinspection Fee $25 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered - FEES . • for sale (Section 7044, Business and Professional Code: The Contractor's - - - - PUBLIC SERVICES REQUIREMENTS: License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I 0 thereon, and who does such work himself/herself or through his or her own - Zoning Approved By flats employees, provided that such Improvements are not intended or offered for Duct-Under Ground Canopy Type II ❑ sale. If, however,the building or improvement is sold within one year of com- Application Approved By 'Date elation, the owner wilt have the burden of proving he/she did not build or im- ' grove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By Date U I,as owner of the property, am exclusively contracting with licensed con- 00-100,000 BTU ❑100,000 BTU tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating _ SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who • builds or Improves thereon, and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ tractor(s) license pursuant to the Contractor's License Law). - PLAN CHECK $ PERMIT ❑ 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.BIL. ICBO# PLUMBING $ ISSUANCE $ Date Owner Heating System& Ducting 4 PLAN CHECK $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above I W 0:100,000 BTU 0100,000 BTU - GRADING $ information Is correc . I agre: to c•mply with all city and county ordinances - ELECTRICAL $ and state laws rela g to •.ildl•%c•n5truc •. ..• hereby authorize repro- MICROFILM $ sentatives of t I city t. en •r,•o e-mentioned property for PLAN CHECK $ inspection pur e. es. / /-Z tJ��Ff/ - MECHANICAL $ g----1) - Q (J Signature — / /�_ Accounting;Goldenrod -Assessor - - - - - - . CONSTRUCTION AND PLANNING POOL _rA .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 UFERGrnd.-, 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundationf • 59. Gas Pipe, 0 Undrgrnd.,Test '1 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 13.4loof 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 g/7/f f ! FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22: Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro • 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating& Air Conditioning 1'b:p11 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 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. , CITY'gF COSTA MESA: . •. PERMIT NO. TRACT NO. LOT NO. B_yG.NO. . . 3100 ' I/26/84 ' 53. 10 TL ''CONSTRUCTION PERMITt_ ,� .. 'n'' 2'—Jo 7�3 • /r C Project Address 46 T� r-`��( ('roof - "# L. TYPE OF CONSTRUCTIONU,NEW U ADD U ALTERATION U REPAIR Applicant'sMailingAddress ' �J . ❑ CONVERSION ❑ DEMOLISH EI OTHER _ - -• .. q,p-q� - , I Zone • _ -01.ex ajrr IDii� Phoneme - At •• DESCRIPTION OF.WORK • Owner's Name ? S Main Building: Accessory Building: Z Address /b3` ��/90d/A1 TYPE OF PERMIT' U:GRNDING UFOUNDATION USTRUCTURAL T . Front - N Alch/Eng., License No. • ❑TENANT ❑ ELECTRICAL ❑ PLUMBING III-MECHANICAL B 1 A Rear N • Address - ' ❑,OTHER • - Contractor's Nam. ' ee-'./ 'hone______ PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right G• R II /!` L� it - ta - C ON ST RUCTION TYPE VALUATION$ S Left E Address(mailing) - - • City License No. - a I.- ZONE 4 ' GRADING CU.YDS. ACRES Ping:Ref.# Park.Fees $ - U • ' LICENSED CONTRACTOR DECLARATION Remarks: - /66 Q'/�. Parking Req./Provided - • I.hereby affirm that'I Sm licensed under pro islons of Charter 9 (commencing - - R with section 7000) of Division 3 of the c siness a•• Professions Code,and - 'Use of Building: E my license is In full fort- and e fact. / PlanningNotes: M /' 1 PLUMBING FEES E License Clas O LI„nse �� • N Date - SET Signature ✓� : �� Bar Sink Showers • T WORKERS'COMPENSATION DEC • RATION ' ' I hereby affirm that I have a certificate of consent t- self-insure or a certificate - Backflow PreVenter - Service Sink ' 'C - - - - - S of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. C.) - Backflow Irrigation Sewer Cap t ELECTRICAL • FEES Policy No. Company - . BCertified copy is hereby furnished. - tathtubs - Sewer Connection tA> // Automatic Washer Transformer ❑ 15-50 KW Certified copy is filed with the city Building Division. - n- t • Date Applicant Clarifiers Solar Collectors Construction Pole Sub. ❑ 50+ KW EXEMPTION FROM WORKERS'COMPENSAT • DECLARATION Dishwasher Soler Piping • (This section need not be completed if the per Is or • . hundred ($100) or i . Cooking Unit Meter up t0 100 amps '� less). brink Fountains Solar Tank Dishwasher - Meter Clover 100 amps -- I certify that in the performance of the wor. for ch this p •r� • I 9 l / shall not employ any person In any man •r s• to be[• e workers' omggyptiQjeJaws of Californi. �, Floor Drains Swimming Pool w/Spa I Dryers ❑Gas ❑Electric Sub Panel / . /O '— • Date 7c-V i7 h7 Signature �, NOTICE:If,iafter maks g this declaration,you shotrd •-c-nye subject to the Floor Sinks - Urinal - Fan , Motors 00-1 HP 011/2-8 Workers' Compensation provisions of the Labor Co.-, y- must forthwith • comply -with such provisions or .this permit sh. be deemed revoked. Gas Service Outlets Water ClosetF.A.U. Inc.Solar ❑9-15 HP 016-15+ CONSTRUCTION LENDING AGENCY - I hereby affirm that there is a construction lending .gency for the performance Interceptors Water Heater - /t Fixtures Microwave - 3 of the work for which this permit Is issued (Section 3097 Civ. C:)' Lender's Name Kitchen Sink Water Service ' Device Boxes - Pole Light tender's Address Lavatories �/ OWNER BUILDER DECLARATION y s Outlets Range 9 I hereby affirm that I am exempt from the Contractor's License Law for the P-Trap .s- following reason'(Section 7031.5 Business and Professional Code: Any city or '� Switches Sign - 4a county which requires a permit to construct,alter improve,demolish or repair any structure, prior to its issuance, also requires the applicant for such permit Roof Drains / Garbage Disposal Standing Sections l to file a Signed statement that he/she is licensed pursuant to the provisions of • 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 Generator 00.5 KW 05-15 KW Trash Compactor '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 Reinspection Fee $25 Issue Fee $ 3 anally of not more than five hundred dollars($500). I, as,owner of the property or my employees with wages as their sole MECHANICAL Reinspection Fee $25 Issue Fee $ 3 compensation, will do the work,and the structure Is not Intended or offered -, FEES for sale (Section 7044, Business and Professional Code: The Contractor's - -- - - _- -- - - - ------- - -- ------ _ PUBLIC SERVICES REQUIREMENTS: License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I 0 ' thereon, and who does such work himself/herself or through his or her own Zoning Approved By nate employees, provided that such Improvements are not Intended or offered for Duct-Under Ground Canopy Type 11 0 sale. If, however, the building or Improvement Is sold within one year of com• - Building Approved By Date • pletion, the owner will have the burden of proving he/she did not build or im • - rove for the purpose of sale). Duct-Structural Refrigeration System - Application Issued By lipte,frt - Date.//3 //8# I, as owner of the property,am exclusively contracting with licensed con- ❑0.100,000 BTU ❑100,000 BTU tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating - SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ tractor(s) license pursuant to the Contractor's License Law). - • PLAN CHECK $ PERMIT 0 I am exempt under Section B.& P.C.for this reasonFirepl/Fact.Bit. ICBG 4 — PLUMBING $ _ ISSUANCE $ Heatin System& DuctingPLAN CHECK 25% $ ENERGY P.C. :$ ' Date Owner' 9 y • I hereby certi that ..e really Is application and state that the above ❑0.100,000BTO 0100,0000TL - - - . // n GRADING $ Information I correct ag a--t• mplyy with all city and county ordinances ELECTRICAL $ - c�Ni a and state la relati • to • II• g construction ,antl hereby authorize repro- r p MICROFILM $ sentatives of th 'c y. t/ r u•• the above-mentioned property for PLAN CHECK 50% $ • /(I Inspection 0 P r - . / /_ VA.r� MECHANICAL $ ���t� Signature / Date �'[") U Reinspection Pee $ TOTAL FEE $ f Drivers' LI nse or SS - _ _ Oe '$25 issue Fee $ 3 PLAN CHECK 25% • CMF 0865-46 rev.12/8- Pink-Accounting:Goldenrod-Assessor ti CONSTRUCTION AND:PL'ANNING• • - POOL 8. -.'A _ • - - _ k Date Inspector Date'- Inspector .' _:RPPROVALS -: Permiti#c '1 _ APPROVALS Permit.* 11 Temporary Electrical Service or,Pole , . - - 52. Pool & Equipment Location • . - - 2.• Soil Pipe-Undrgrnd. ' .- 1 - . - 53. Steel Reinforcement . 3: Electrical Conduit Utility;Undrgrnd; -c ' 54.: Forms - _ T. Electrical Conduit-Undrgrnd. - 55.. Electrical Bonding ' 5. Steel Reinforcement I 56. Rough Plumbing & Pressure Test - - 6. Electrical OF ER Grnd.i • - 57. APPROVAL TO COVER-GUNITE 7. Footings • - ' .. - - 58. Electrical Conduit-Undrgrnd. 8. Foundation ' I i. 59. Gas Pipe, 0 Undrgrnd.,Test ' - 9. Water:Pipe-Uniirgrnd. : -- 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. Selver,Cap ' . . , r . 63. Heater & Vent-Final _ L -o ;13. Roof Drains64. Plumbing'Systern - Final - . '14. Rough Plumbing I ' 65. Electrical-Final •- - ,,15. Rough Electrical-Canduit-t -- - • -- 66. Solar System-Final - -- -- - - T , - 16. 'Rough.Electric Wiring , Ilk. Bs( C, _ -67. Fencing &Access Approval • - _ , -" ;, 17.-RoughlWiring Sign . 68. APPROVED FOR PLASTERING - 18. Rough Electrical-T Bat:Ceiling' 69. POOL/SPA SYSTEMS FINAL 1 • - - 19. Rough ng h Heati & Air Conditioning FIRE DEPT. REQUIREMENT _ I 20: Rough Factory Fireplace ' APPROVALS Permit#' 21. Ducts, in St'ructure`s !' ' 70. Underground Hydro - • ' 22: Ducts, Ventilating , ., 1' .i n i, 71. Product Piping 0 Gas' 0 Oil • 23. Gas Pipe-Rough& Test i 72. Underground Flush • i ' -24. Roof Framing • . • 73. Undergrnd.Storage Tank 0 Gas 0 Oil - l 25. Roof.Sheathing 74. Overhead Hydro ' .-26. T:Bar Ceiling (Structural) & Monocoat ' ' 75. Dry ChemicalI t1 f 27. Frame and Flashing - , .76. Dry Standpipe - 28. Lathing & Siding• 1 ' ' ; 77. FIXED SYSTEM FINAL - ' 29. Insulation ' v- ' .78. FIRE PREV. FINAL • 30. Drywall Nailing i HEALTH DEPT. REQUIREMENT I ' 31. Plaster Brown Coat 79. FINAL INSPECTION i V • 32. Electrical Power Meier-Final • '/, /ey c_C ' 80. FOOD CERTIFICATE ISSUED ' 33. Final Electric • /,�// Notes: - - _ _ _ � . 34. Final.Heating & Air Conditioning' /' I • I -1 ", ' 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 - 1 44. .Landscape Irrigation System • ,, - i , 45. Sound Attenuation: • • 46. HandicaplRegulations • • _ r• •• 47. FINAL STRUCTURE & BUILDING . . • 48. Special Requiremnts eCompleted , ' 49. Electric Release to Edison - , 50.'Gas Release to Southern California Gas Co • , 51. CERTIFICATE•OF.OCCUPANCY- • - -. . - -- , No. . -- _- - Date,, - r -- - • 2649 EMDEN own D -1310685, CONDO $84,896. (PC107-83) UNIT D P10692 DSC. (310685) UNIT D £10724 MISC. 7,46/0 0310685) (o) M12378, FIREPLACE — 64/rye 310685 UNIT D newmilitagram - M12589, ' MISC 71/4s/I d )310685 BLD D • • • • City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. 00059to Building Safety Division P.O.Box 1200 Costa Mesa,California The Building located at 2649 FLDE2J UNIT $D has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group R-1 Occupancy. Use of Building CONDOMINIUM Legal Description 439-071-22 (See reverse side for Metes and Bounds) Building Permit No R-106RS Electrical Permit No. Fr-10724 Plumbing Permit No. P-10962 Mechanical Permit No. 10-1217R.M--t ctio Number of apartments and/or gueststrooms ISSUED TO: Building Official 4 g ,¢ded— it r r nR 4 VF PIQJ> GROUP ( a)-14-()--JC(a�k- 1539 MONROVIA 519. to pORT AFACFT, CA_ Date / 2 cl T This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the Building Official of the City of Costa Mesa under Sec. 307 lel U.B.C. CMF 1015-46 rev.1/63 White-Owner;Canary-Numerical File;Pink-Bldg.Permit File Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY Or COSTA MESA - PE MIT NO. _ TRACT NO. LOT NO. BLDG-NO. - - - CONSTRUCTION PE- IT �// �Q� 8L5 4(a4 1 t Project Address /� ' a (� TYPE OF CONSTRUCTION NEW ADD U ALTERATION U REPAIR 2949 I �24�94 393.94 Tl Applicant's Mailing Addre teein-4A Mp'f❑ CONVERSION 0 DEMOLISH y❑s OTHER J'� n A.P.,bS 4�q_ O—t( „-. j_2_, (Zone R Z 44¢9/� DESCRIPTION OF WORK 0,'-°a 0 4 5)9q0) Owner's Name ! �� • -= 'h=n llqytt S Main Building: Accessory Building: N Address/ - 4� - •• -. _ TYPE OF PERMIT • U GRADING LI FOUNDATION LY STRUCTURAL E Front ilj]�L jA.[ Arch/Eng.• , f a- e •rate Li ease No. 2'l 6 0 TENANT 0 ELECTRICAL 0 PLUMBING/ 0 MECHANICAL B Rear • - • �' ate C ❑ BOTHER eQL� L el' !4 2 C Right - /G Address ���'7 Contractor's Nam=e ' a.2 .-- f/ 'hon���//- PROJECT DESCRIPTION Sa T- OCCUPApLCys - K Address(mailing) 0 . � /'L or • CONSTRj,IFT}DN TYPE_ VALUATION$ S Left 5 Off( /E ZONE j� LL GRADING CU.YDS. ACRES Ping. Ref.# • Park.Fees $ g�• ( s S ` Q City License No. rpfrrU • LICENSED CONTRACTOR DECLARATION Remarks:rcc 1,07,....•€,3 '/ 84 8949 Parking Req./Provided I I hereby affirm that I am licensed under provisions of Charter 9 (commencing / - R with section 7000) of Division 3 of the Business and Professions Code,and Use of Building: �E my lir-ense,is in full force and effect. '/2��I' 0.2-5:12O ' Ucense Class• 7 - PLUMBING _ 1 FEES Planning Notes: man Fon SPECIAL RRntimniF,1Te ' - -M Date /'-Y" 5 Signature �� ,� .N Bar Sink Showers - • WORKERS'COMPENSATION DEC • N 1 I hereby affirm that I have a certificate o consent to sure or a certificate . l Backflow Preventer : . Service Sink YS of-Workers' Compensation Insurance, or-a certifiedd-co-copy-thereof (Section _ 3800, Lab. C. S >r• Backflow Irrigation Sewer Cap ELECTRICAL ii' - FEES ^ ' Policy No. Company ���MO• , _ - II�y,.•ertified copy is hereby furnished. Bathtubs I Sewer Connection n Automatic Washer ' Transformer ❑ 15-50 KW : • - G Certified copy Is til,ggyrith the city ulldi i / / • Date ' r''L U NQs' Applicant i Clarifiers • Solar Collectors- G Construction Pole Sub. 50+-KW 1 EXEMPTION FROM WORKERS'COM ION DECLARATION - - _• ' _ • __ -- ✓ (This section need not be completed If t permit is for one hundred ($100)or Dishwasher Solar Piping Cooking Unit- - Meter ❑up to 100 amps - ---- Iacs). ' DrinkingFountairis r -' I certify that in the performance of the work for which this permit Is issued, I Solar Tank f Dishwasher Meter Clover 100 amps , shall not employ any person in any manner so as to become subject to,the e' - - Workers' Compensation Laws of California: • Floor Drains- Swimming Pooh w/Spa Dryers ❑Gas DElectric Sub Panel • Date Signature ' - /J - - NOTICE: If,after making this declaration,you.should become subject to the Floor Sinks Urinal Fan :Motors 061 HP ❑1'A-8 Workers' Compensation provisions of the Labor Code, you must forthwith - - , comply with such provisions or-.this-permit shall be deemed revoked. • Gas Service Outlets Water Closet , . F.A.U. - Ina Solar ❑9-15 HP❑16-15+ CONSTRUCTION LENDING AGENCY • - v' I hereby affirm that there is a construction lending agency for the performance interceptors' - i Water Heater - Fixtures • Microwave •C of the work for which 1)ys Duly Is,Issued (Section 309.7 Civ. C.) _ Lender's Nam& C[/ /✓C� Kitchen Sink i - - Water Service ' Device Boxes • ,Pole Light ' Lender's Address - • / 00 '/1,c five C�' -_ _, OWNER BUILDER bECLARATION Lavatories , - • - •' Outlets Range I hereby affirm that I am exempt from the Contractor's License Law for the p-Tra following reason (Section 7031.5 Business and Professional Code: Any city or • p - - • ' . Switches Sign county which requires a permit to construct,alter,Improve,demolish or repair - - any structure, prior to Its Issuance, also requires the applicant for such permit - Roof Drains Garbage Disposal Standing Sections to file a signed statement that he/she is licensed pursuant to the provisions of - kthe Contractor's License Law(Chapter 9(commencing with Section 7000)of Generator DO-5 KW 05-15 KW Trash Compactor ' -Division 3 of the Business and Professions Code) or that he/she is exempt , ,- Pa 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 . Reinspemio• Fee I $25 Issue Fee $ 3I '�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 $25 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered .MECHANICAL FEES / • for sale.(Section 7044, Business and Professional Code: The Contractor's _ - --- - - - -,---- - - - --- -- -- PUBLIC SERVICES REOUIR MENT License Law does not apply to an owner of a property who-builds or Improves Boiler '+ Hood or Type I ❑ - C e thereon, and who does such work himself/herself or.through his or her own - . Zoning Approved ByV•S L Date o employees, provided that such Improvements are not intended or offered for Canopy Type II 0 , / 4� sale- If, however, the building or Improvement is sold within one year of com- • Duct;Under,Ground - Application Approved By Date pletion, the owner will have the burden of proving he/she did not build or im- , prove for the purpose of sale). i • Duct-Structural Refrigeration System b Application Issued By e / Date /-e - 4 LJ I, as owner of the property,am exclusively contracting with licensed con- X0.100,000 BTU 0100,00OBTU tractors to construct the project (Section 7044.Business and Professions Code: Duct-Ventilating , - SU OF FEES The Contractor's License. Law-does notapply to an.ownerof property who _ •Iv1�a,� / • q builds or Improves thereon,'and who contracts for such projects with a con- i Exhaust System ❑ Multiple ❑ System Repair/Alteration - - BUILDING PERMIT ' $ U SMTP $ S•/ tractor(s) license pursuant to the Contractor's License Law): ' - I - PLAN CHECK ' $ i • PERMIT ❑-lam exempt under Section B.& P.C.for this reason . Firepl/Fact.-Bit.ICBG# PLUMBING $ ISSUANCE $ - Date • Owner' - Heating System& Ducting PLAN CHECK $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above ' - ❑0.100_000 BTU ❑i00,000 BTL • GRADING $ Information Is correct;I agree to comply with all city and county ordinances • - - - - ELECTRICAL $ and state laws relating to building construction,and hereby authorize repro- • PLAN CHECK $ MICROFILM $ sentatives of I • - upon the above-mentioned property. for , , - - qq Inspection p •ose•a �' ;/'2c C/ • MECHANICAL $ , TOTAL FEE $ 3l3. P9' Signature . / Reinspection Fee $25 Issue Fee $ 3 PLAN CHECK . $ CMF 0865-46 rev. 7/93 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod.-'Assessor _ .. - • CONSTRUCTION AND PLANNING - POO L-&SPA _ APPROVALS Peimit # -Date Inspector 'APPROVALS Permit# _ Date Inspector c 1. Temporairy Electrical.Service or Pole - - 52. Pool & Equipment Location ,.'2. Soil Pipe-Undrgrnd. , . 53. Steel Reinforcement - 3: ElectricaPCoj duii.Utility-Undrgrnd. _ 54. Forms - '4.,•Electrical.Conduit;Uhdrgrnd. - - 55.- Electrical Bonding ' 5i-Stee`I,Reicifiiitth}ment,l - . 56. Rough Plumbing & Pressure Test - • 6; i Electicat'UFER Grnd. - - - •57. APPROVAL TO COVER-GUNITE 7.;Footings. ! 'i ; ',,t 9S �•.;1,g 58: Electrical Conduit-Undrgrnd. 8. Foundation 11 ` sfra. • 59. Gas Pipe, El Undrgrnd.,Test 9. Water Pipe-Uiidrgrpd. . - 60. Backwash Lines, P-Trap, 0 Undrgrnd. - • 10triictural Floor System 61. APPROVAL TO DECK ' .1. Property'Sewer Line & House Connection i 62. Backwash & Receptor-Final 12: SewerCap-t1 •1 • - - - .63...Heater & Vent-Final 13: Roof-Drains - 64. Plumbing System : Final 14: Rough.Plumbing'' - - 65. Electrical-Final - - - - 15. Rough Electrical-Conduit I - , 66. Solar System-Final 16. Rough Electric Wiring " , , • -- 67. Fencing & Access Approval - - 17. Rough Wiring Sign - 68. APPROVED FOR-PLASTERING 18. Rough Electrical-T.Bar,Ceiling ' -- - , ' . 69. POOL/SPA SYSTEMS FINAL • 19. ,Rough Heating& Aic-ConditioningFIRE DEPT. REQUIREMENT - 20. Rough Factory Fireplace • ' APPROVALS Permit# - 21. Ducts, in Structure -70. Underground Hydro • 22-Ducts, Ventilating; '' - 71. Product Piping 0 Gas .0 Oil •23. Gas Ripe-Rougt)&Test - 72. Underground Flush ,24. Roof Framing .. - _ ' - 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof'Sheathin& -1 4/5h4 L S 74. Overhead Hydro 26. T-Bar Ceiling45tructural) & Monocoat' - 75. Dry Chemical 27. Frame and Flashing S/'S/rr-1 �S • 76. Dry Standpipe 28. Lathing'&Sidi g 77. FIXED SYSTEM FINAL 29. Insulation - S S 78. FIRE PREV. FINAL 30. Dryvvall Nailing 1'• HEALTH DEPT. REQUIREMENT t311... Plaster Brown Coati '7 ,�/p� �� 79. FINAL INSPECTION 32. Electrical Power-t er-Fi*ral 80. FOOD CERTIFICATE ISSUED 33. Final Electric • Notes: (.- 34. Final Heating&"Air Conditioning - (,ti,A j7, :yfA -- 35. Final Gas Pipe-Test . , ' • 36. Hood or Canopy 37. Fijlei Factor LFiWeplace . , 38. Ficial Plumbing- -4_1' . . 39. Water SerQice:Final - I ' - 40. Gas Service-`FinalI - i � 5 41. Solar Domestic-Final • 1tic 42. Backflow Preventer 43, Backflow Irrigation - " �• i 44. ,Landscape Irrigation System , ' - 45. Sound Attenuation , 46. Handicap Regulations - - 47. FINAL STRUCTURE:&BUILDING 7/57// .bS 48. Special Requirements Completed , C/a/ i,/IO i 0 49. Electric Release to Edison • - - .-. 50. Gas Release to Southern.California Gas Co ' ' ' 51. CERTIFICATE OF OCCUPANCY, 1 ,. _ -. _ ' ' n, 1 No. , - S9G'/ •Date / 2,�py, �G' `7� C 1 )2ga.��,._ p , , ..a. • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OP COSTA MESA - ' " " - " ' - - - • p MIT NO. TRACT NO. LOT NO. , BLDG.NO. ""' '- . .. '- CONSTRUCTIONPERMIT, - /'n� - fl 7 .6'� ' '. •• 2954 ;1,/24/84 40:50 it Project Address. TYPE OF CONSTRUCTION LJ NEW 11:1ADD H ALTERATION U REPAIR - - ' , Applicant's Mailing Addr-ss. .- 3 ' i 0/ _ • E CONVERSION ❑ DEMOLISH ❑ OTHER A.P. . • I Zone _ , ' - ' • Owners)Name .J — Phone Vt'rc•u DESCRIPTION OF WORK - - • - (7 , S Main Building:• Accessory Building: - Z Address • / ,• r ` 'Or-i _ A E _ O '7 ' TYPE OF PERMIT. ❑ GRADING�❑FFOOUNDATION ❑ STRUCTURAL _ T Front N Arch/Eng.' ,s • r - - b - 'cense No: Z-eF ' ❑ TENANT ❑ ELECTRICAL W.PLUMBING ❑.MECHANICAL . B' - - _ I ' , . i _ _ A Rear e. r .' - . r N Address '7,35' mss. -77. J/'�,p' / ❑ OTHER ' - - C Right" _ G Contractor's Name I e fir 6:4Y'. / 4a4• .Phone 60;:1 - : PROJECT DESCRIPTION SQ. FT. OCCUPANCY - • - -Address(mailing) 275U 'a'✓t.•�N'r/ �7- - r CONSTRUCTION-TYPE VALUATION s Left -- - - , - - E, City•License No. 1t/'S�Z ✓ ZONE GRADING CU.YDS. "ACRES . U i Ping. Ref.# Park.Fees $ t LICENSED CONTRACTOR DECLARATION ' - - Remarks: ' Parking Req./Provided - - I I hereby affirm that I am licensed untler provisions of Charter 9 (commencing n R with section 7000) of Division 3 of the Business and Professions Code, and U - /O e(r Use of Building: . . . • E my license is In full f• ce en's -ffect. ' J a J. Q f / - , PLUMBING FEES Planning Notes: - M license Class ,— .o, Date Signature � �.�� - - " ' E WOR ' RS'C•MP NSATION DE -- ATIONj Bar Sink Showers • _ T I hereby'affirm that I have a certificate of consent to self-insure or a certificate -,Backflow Preventer- - • Service Sink �, S of Workers'- Compensation Insurance,j or'a certified copy thereof (Section - : ' -" -- - • . . 3800, Lab. C). / j . - Backflow Irrigation Sewer Cap l• - • ELECTRICAL - - FEES Policy No. yOC/C 7 FY()u. Comoa. "' 4"��3/'��2-., - ' -' ' • r�letl copy is hereby furnished. ' / `Z@athtubs I ( • Sewer Connection' Automatic Washer- ;Transformer 0 15-50 KW -s , b ¢miff c , d Ith thecltyB 0,/, '" ' '/r /' • ' Date Applicant ! ii� ' Clarifiers Solar Collectors ; Construction Pole Sub. 050+KW -EXE TION F OM WORKERS'COM'ENSATION DECLARATI•N' - ' ' - - '� • - -: "- -'�- -- (This ction need not be completed if the permitis for one hundred($100) or, I Dishwasher Solar Piping 7- Cooking Unit I 'Meter pup to 100 amps-" less): -, I certify that in the performance of the work foowhich this permit is issuedhe Drinking Fountains Solar Tank Dishwasher ' ' , Meter Dover 100 amps ' shall-not employ'any person in any manner solos to become subject to-the, - ! - _ - Workers' Compensation Laws of California-. " i'' ' Floor Drains Swimming Pool w/Spa. - Dryers DGas DElectric 'Sub Panel 1 • Date • Signature ' __ - - NOTICE:If,'after making this declaration,you should became subject to the , _, Floor Sinks ! • . Urinal _ _ __ _ . _� _ _ _ -Fan -_�, i _ ,,. _- - Motors Do-1 HP❑1'-'B Workers' Compensation provisions of'the Labor Code, you must"forthwith . _ - •-- ' comply with such-provisions. or-this .permit shall be.deemed revoked. .+' Gas Service , Joutlets. - 3 WaterCloset• . i F.AtU. • - ,Inc.Solar D9-15 HP D16-15+ CONSTRUCTION•LENDING-AGENCY- -- - - _ ; I hereby affirm that there is a construction lending agency for the performance Interce tors' 'T 'I _ Water Heater , • 4,2._ ' Fixtures of the work for- -which this permit lis issued.,(Section 3097 Civ. Ci) p - - -- ;Microwave , Lender's Name ' - " , •(, Kitchen Sink •- - Water Service ' -. •' Device Boxes ` Lender's Address' ' ' ' . r -- i • - - - . . / - -- Pole Light 'OWNER BUILDER DECLARATION - - Lavatories '� ?j(/q1/-r-s- k Outlets • Range • I hereby affirm that I am-exempt from the Contractor's License Law for.the p-Tra .. following reason (Section 7031.5 Business and Professional Code: Any city or P - - - Switches - Sign I county which requires a permit-to construct,alter,improve,demolish or.repair _ _ - - 'any structure, prior to its Issuance, also requires the applicant for such permit 'Roof Drains, . - •' - •' - Garbage Disposal Standing Sections 'to file a-signed statement that he/she is licensed pursuant to the provisions of . _ _ . ... the Contractor's'-License Law (Chapter 9 (commencing with Section 7000) of - ' - - , - - Generator ❑65 KW D5-15 KW 'Trash Compactor Division 3:of the,Business and Professions Code) or that he/she is exempt ' .% P , 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 peins uHion.Fee 5 Issue Fee $ .3 .�enalty of not more than five hundred dollars($500). Pe I ,$2 ' l; as owner of the property or my employees with wages as their sole MECHANICAL • Reinspection Fee $25 Issue Fee, - - $ 3 compensation, will do the work,and the structure is not Intended or offered -• • _ FEES - - • for sale (Section 7044, Business and Professional Code: The Contractor's t _ PUBLIC SER VICES REGUIR EMENTS: ' License Law does not apply to an owner of a property who builds or improves gtiiler - • Hood or Type I. D ' thereon, and who does such work himself/herself or through his or:her own - - - Zoning Approved By Date employees, provided.that such Improvements are not intended or offered for - Canopy Type II ❑ - sale. If, however, the building or improvement is sold within one year of com- - Duct-Under Ground pletion,'the owner will have the burden of proving he/she did not build or im- ' ) Application Approved By � - .-/ ..Date rove for thepurpose of sale). Duct-Structural Refrigeration System Application Issued BY Date Sy �� I,as owner of the property, am exclusively contracting with licensed con- - tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating - ❑0;100,000 BTU 0100 000 BTU - - 'SUMMARY OF FEES i The Contractor's License Law'does not apply to an owner -property who- ' builds or improves thereon, and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration ' - BUILDING'PERMIT $ SMIP. i $ tractor(s) license pursuant to the Contractor's License Law), PLAN CHECK $ PERMIT i 04 am exempt under Section ' B.& P.C.for this reason Firepl/Fact.•Blt. ICBO# ' PLUMBING $ 33;00 ISSUANCE $ Date ' O•wner, ' Heating System& Ducting • e� �• BENE ENERGY P.C. $ • PLAN CHECK $ /r.J D I,hereby certif r at I have reap this application and .te that the above.. 00100,000 BTU (1100,000BTU GRADING $ ' information I ow: t:I agree to comply with all cit .rd county ordinances - -- '- - ELECTRICAL $ ' and-state la is relat ng to ing constr I•n ereby authorize repre- - I MICROFILM $ yyl ___���TTT , PLAN CHECK $ _ ,/ inspect os .f is ,ity ��Ii upon�'` ntionetl pro rty f i TOTAL FEE $ ` 2'1' �� Inspection p •ose �/� �� - , CMF 0865-46 rev. 7/83-' 'white:Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor -- ' - - - - - • - - -- _. -. - __ 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. , z_i.e"f Mit 53. Steel Reinforcement .3. Electrical Conduit Utility-Undrgrnd. ' l 54. Forms• �1 ' '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 11. Property Sewer Line & House Connection 1_) 81 'rt/ 62. Backwash & Receptor-Final 12. Sewer Cap '' ; • 63. Heater & Vent-Final 13. Roof Drains64. Plumbing System - Final 14. RoughiPlumbingVArit/PC ifrlff65. 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 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 1Notes:di( .. No 4n1 ( coI-It.taI-wct f_qy ego 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test l8'f 4's0 36. Hood or Canopy 37. Final Factory Fireplace • 38. Final Plumbing 7/447y LGU 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 , 51. CERTIFICATE OF OCCUPANCY No. - - Date ! - / _ _ .. Applicant to fill IrTall spaces except those within heavy border lines and sign all appropriate declarations. CITY OF'COSTA MESA PERMIT NO. TRACT NO. LOT NO.. •• BLDG.NO. CONSTRUCTION PERMIT . /y/- /a 2.3 7� Project Address 1l Lr c 12.__ / �,,Ow � _p TYPE OF CONSTRUCTION A NEW ❑ ADD U ALTERATION U REPAIR �5I 7 3%29/84 Ba�E T� Applicant's Mailing Address -,0•22/./a9/4....../2 4/ 9 ) " /y._/�� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER _ A•P•# j�9 O7/-�� I Zone �..Cu /fa�jr,-E.aleP / DESCRIPTION OF WORK - Owner's Name L honeNi _ - S Main Building: Accessory Building: Z Address/539 /19d'.vthh/9 'I/29 /1/'9 - E D �/ S� TYPE OF PERMIT U GRADING U FOUNDATION Li STRUCTURAL T Front N Arch/Eng 'C '/�y�A CCAICePTs License No. D • ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING g MECHANICAL B - �3T c /ll/1 .CPQ--! r977 A- Rear N Address / �'9 ❑ BOTHER , Contractor's Name//a244 -;4021�I O-O cnoneo#3 Y9/3 PROJECT DESCRIPTION SQ\F'T. OCCUPANCY / C Right • G Address(mailing) 45••Y9 .&tC/.60////4- A '7 �19 CON ST RU/C/3,ION TYPE 1' VALUATION$ 'S Left - E R • �L ' ZONE /- GRADING CU.YDS. ACREG 0 City License No. n,9 SPY Ping. Ref.# Park.Fees $ U LICENSEDof CONTRACTORttI DECLARATION Remarks: - �C ���JA,//.7- .' -,0a5- Parking Req./Provided I I hereby affirm t0) I am licensedion under provisions Charterro9 (commencing R with section n fulj of a 3 of the Business and Professions Code, and Use of Building: - E my license Is In(ul orte and effect. !Sense cIss se'1 iSS 5 PLUMBING FEES Planning Notes: M Date J •�� l• Signature E WORKERS'COMPENSATION DEC RA ION Bar Sink Showers N I hereby affirm that I have a certificate f onsent to self-Insure or a certificate Backflow Preventer Service Sink - - S \ of Workers' Compensation Insurance, or a certified copy thereof (Section It 3800, Lab- C.) �.Q Backflow Irrigation - Sewer Cap ; ELECTRICAL FEES • Policy No./J./A/Se-945;e company/n&7ht/�J////VNirf7 Certified copy is hereby furnished. Bathtubs Sewer Connection Automatic Washer Transformer 0 15-50 KW Certif d c Is '1 d with the city111,8./ ....,I�e� 0 50+KW r Date ---- 7 Applicant �` Clarifiers Solar Collectors Construction Pole Sub. i" • EXEMPTION FROM WORKERS'COMP • ATION DECLARATION Dishwasher (This section need not be completed if the permit is for one hundred($100)or Solar Piping Cooking Unit Meter Dug to 100 amps\ less). DrinkingFountains . I shall llt o that In the performance In the work for as tthis permit a issued, ISolar Tank Dishwasher Meter Dover 100 amps onot employompeanyiperson of any manner so as to become subject to the Workers' Compensation Laws California. Floor Drains - Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel Na Signature NOTICE: ,iper makingthisv ions oflth, you should ,becomeusubject h ite Floor Sinks Urinal • Fan Motors❑41 HP ❑1'h-8 Workers' Compensation provisions of the Labor Code, you must forthwith - CONS with such LENDING ions or this permit shall be deemed revoked. • Gas Service Outlets' Water Closet F.A.U. Inc.Solar ❑9-15 HP❑1fri5+ - CONSTRUCTION LENDIAGENCY ' I hereby affirm that there Is a construction lending agency for the performance - Interceptors Water Heater - Fixtures :Microwave of the work fo1.,wpIt this_permit is Issued (Section 3097 Civ. C.) Lender's Name Name U-InVe-/4, r tin",'Tr SA1i�t/65 Kitchen Sink . Water Service n ,...47.90.77 S 0712 Device Boxes Pole Light Lender's Address /70 OWNER BUILDER DECLARATION Lavatories Outlets Range I hereby affirm that I am exempt from the Contractor's-License Law for the' p-Tre following reason (Section 7031.5 Business and Professional Code: Any city or p - Switches Sign 'county which requires a permit to construct,alter improve,demolish or repair - - any structure, prior to its issuance, also requires the applicant for such permit. Roof Drains Garbage Disposal Standing Sections to file a.signed statement that he/she Is licensed pursuant to the provisions of - - • 'the Contractor's License Law(Chapter 9(commencing with Section 7000)of Generator 0.5 KW ❑5=15 KW Division 3 of the'Business and Professions Code) or that he/she I5 exempt ❑ Trash Compactor therefrom and the basis for the alleged exemption. Anyviolation of.Section — - •7031.5 by. any applicant for al permit-subjects the applicant to a civil penalty of not more than five hundred dollars($500). - Reinspection-Fee $25 Issue Fee $ 3 ' U I, as owner of the property or my employees with wages as their sole MECHANICAL Reinspection Fee $25 Issue Fee ,$ 3 compensation will do the work,and the structure is not intended or offered FEES • for sale'(Section 7044, Business and Professional Code: The-Contractor's PUBLIC SERVICES REQUIREMENTS: License Law does not apply to an owner of a property who builds or improves Boiler - Hood or Type I . 0 thereon, and,who does such work himself/herself or through his or her own • Zoning Approved By nate employees, provided that such improvements are not Intended or offered for - Canopy Type II ❑ sale. If, however, the building or Improvement is sold within one year of corn- • Duct-Under Ground . pietion, the owner will have the burden of proving he/she did not build or Im- - Building •Approved By Date 7/I� / prove for the purpose of sale). - i ' Duct-Structural • Refrigeration System - Application Issued By • . /0.. d7/ Date-+' C` O I, as owner of the property, am exclusively contractingwith licensed con- ❑0.100,000 BTU ❑100,000 BTU _tractors t6 construct the project (Section 7044,Business and Professions Code: Duct-Ventilating, • .- SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who builds or Improves thereon,and who contracts for such projects with a con- Exhaust System ❑ Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ • tractor(s) license pursuant to the Contractors License Law). • • PLAN CHECK $ PERMIT ❑ I am exempt under Section B.& P.C.for this reason �[ Firepi/Fact.Bit. ICBG 43509 '/'T PLUMBING $ ISSUANCE $ Date Owner „. • Heating System&Ducting • ENERGY P.C. $ I hereby certify that I have read this application and state that the above- DO-100,000 BTU 0100,000 BTL • _ PLAN CHECK 25% ,$ ' information is correct. I agree to comply with all city and county ordinances : , ELECTRICAL $ . GRADING $ and state laws relating • •uliding construction,and hereby authorize repre- , MICROFILM $ sentatives of. • s to -• - pon the above-mentioned party for PLAN CHECK 50% $ Inspection pu y, i 1-,9y MECHANICAL .$ 7, 0 TOTAL FEE $ rJ 0 0 Signature a Date p Drivers'-Lice se! ) - Reinspection Fee I $25 Issue Fee $ 3 •PLAN CHECK 25% $ // 0- 0 CMF 0865-46 rev.12/83 White-Building; Canary-Applicant;Pink-Accounting;Goldenrod-Assessor • - il CONSTRUCTION AND PLANNING '-'� " _ - POOL&SPA •• ,- , r APPROVALS Permit# Date Inspector •APPROVALS Permit# - ' " Date ) Inspector _ I. Temporary'Electrical Service or Pole 52. Pool & Equipment Location • - -2:- Soil Pipe-Undrgrnd. f. 53. Steel Reinforcement - - _. - 3. Electrical Conduit Utility-Undrgrnd. 54. Forms - - •-4. Electrical Cond - uit-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, O 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,Systerri - 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 s4/,pq yr?c 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 Hydra - 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical r ' 27. Frame and Flashing - - 76. Dry Standpipe , • i . 28. Lathing& Siding 77. FIXED SYSTEM FINAL • • 29. Insulation - 78. FIRE PREV. FINAL I 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 8///64 fee. - - - - . 38. Final Plumbing l - 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final _ ' 42. Backflow Preventer . ' - . 43. Backflow Irrigation - ' • 44. -Landscape Irrigation System 45. Sound AttenuationI - 46. Handicap Regulations • • - 47. FINAL STRUCTURE & BUILDING . 1 48. Special Requirements Completed 49. Electric Release to Edison • - ' 50. Gas Release to Southern California Gas Co . ' - 51. CERTIFICATE OF OCCUPANCY - - - ' • l • No. Date _ - - ; " - . . - . Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG.NO. CONSTRUCTION PERMIT m —Jai- s �,9 I D 8423 4/11 /84 8.00 TL Project Address of i cZ e. /��— 0 TYPE OF CONSTRUCTION yJ NEW L ADD LI ALTERATION U REPAI R • Applicant's Maili��nt1g/���A•��d��dr�e55 y ),�s/—//�//�� p El CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# I Zone ' Owner's Name /�c.tfi -�``! [/tt/-PhOn��'r Wil) DESCRIPTION OF WORK S Main Building: Accessory Building: Z Address - TYPE OF PERMIT ❑ GRADING -❑ FOUNDATION ❑ STRUCTURAL E Front- N Arch/Eng. . • License No. - ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING '�( MECHANICAL B • A Rear, N Address - ❑ 'OTHER - sicl�/!A �w 1iyS91 7 SYS/ PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right G Contractor's Namr ��jj �j� Phoneho • K _ Address(mailing/ cV.zg3 J. 6Z04c Mr` CON ST RUCTION TYPE VALUATION$ _ $ Left - R E O `Y�J� ZONE GRADING CU.YDS. ACRES Ping. Ref. // Park.Fees $• Q City License No. "a 7 U LICENSED CONTRACTOR DECLARATION Remarks: /3 .../04 or Parking Req./Provided • I hereby affirm that I am licensed under provisions of Charter 9(commencing R with section 7000) of Division 3 of the Business and Professions Code,and . . i Use of Building: s E my license is In'full fo attC cuect. L+r/ License a Date .‘)/ r7 . PLUMBING FEES Planning Notes: M Signature e � Of/ Bar Sink Showers E WORKERS'COMPENSATION DEC I hereby affirm that I have a certificate of consent to self-Insure or a certificate Backfldw.Preventer Service Sink S of Workers' Compensation Insurance, or a"certified copy thereof"(Sec on 3900, Lab. D.)��y a; Backflow Irrigation Sewer Cap • ELECTRICAL FEES Policy No. F� Company az Qv I Idly Certified copy Is here y furnished. . Bathtubs - Sewer Connection Automatic Washer Transformer 0 15-50 KW \ j® Corti(' py' 1i with the city Bu g Di . . ❑ 50+KW \ Date / . Applicant . /, /.1 .../,._ Clarifiers Solar Collectors Construction Pole Sub. EXEM ION FROM ORKERS'COM-ENSATIONDECLARATIO (This section need not be completed if the permit is for one hundred($100)or Dishwasher Solar Piping Cooking Unit Meter ❑up to 100 amps less). Drinkin Fountains I certify that In the performant<of the work for which this permit is issued,I 9 Solar Tank Dishwasher Meter Dover 100 amps shall not employ any person in any manner so as to become subject to te Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel . Date Signature _ _ NOTICE:If,'after making this declaration, you should become subject to the Floor Sinks Urinal Fan Motors 00.1 HP 0114-8 Workers' Compensation provisions of the Labor Code, you must forthwith comply with such 'provisions or this permit shall be deemed revoked. • Gas Service Outlets Water Closet F,A.U. Inc.Solar 09-15 HP 016-15+ CONSTRUCTION LENDING AGENCY • I hereby affirm that there is a construction lending agency for the performance Interceptors Water Heater Fixtures :Microwave of the work for which this permit •Is Issued (Section 3097 Civ. C.) - - i Lender's Name - Kitchen Sink • Water Service - Device Boxes Pole Light •Lender's Address Lavatgri¢5 OWNER BUILDER DECLARATION • Outlets Range I hereby affirm that I am exempt from the Contractor's License Law for the p-Tra following reason (Section 7031.5 Business and Professional Code: Any city or p Switches Sign county which requires a permit to construct,alter,improve,demolish or repair any structure, prior to its Issuance, also requires the applicant for such permit Roof Drains Garbage Disposal Standing Sections to file a signed statement that he/she Is licensed pursuant to the provisions of the Contractor's License Law(Chapter 9(commencing with Section 7000)of Generator ❑OS KW❑5-15 KW Trash Compactor Division 3 of the Business and Professions Code) or that he/she is exempt P , 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 Reinspection Fee . LJenalty of not more than five hundred dollars($500). pe .$25 Issue Fee - $ 3 I, as owner of the property or my employees with wages as their sole MECHANICAL - Reinspection Fee ' $25 Issue Fee $'3 compensation, will do the work, and the structure Is not Intended or offered FEES for sale (Section 7044, Business and Professional Code: The Contractor's — - -- --_ PUBLIC SERVICES REQUIREMENTS: License Law does not apply to an owner of a property who builds or improves Boiler or Type I ❑ thereon, and who does such work himself/herself or through his or her own Zoning Approved By Date employees, provided that such improvements are not Intended or offered for Canopy Type 11 ❑ sale. If, however,the building improvement rovement Is sold within one year of com- Duct-Under Ground P Application Approved By Date pe the owner will have th0 burden of proving he/she did not build or im- provrove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By // I Date U I,as owner of the property, am exclusively contracting with licensed con- ❑0.100,000 BTU ❑100,000 BTU tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who • builds or improves thereon,and who contracts for such projects with a con- Exhaust System ❑ Multiple 0 System Repair/Alteration BUILDING PERMIT $ ' SMIP $ tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ PERMIT ❑ 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# PLUMBING $ ISSUANCE $ Date - Owner Heating System& Ducting ii PLAN CHECK $ ENERGY P.C. $ I hereby certify that I have read.this application and state that the above ' ) Xo-100,000 BTU 0,100,000 BTL _ GRADING $ information is corr I gree to comply with all city and county ordinances ELECTRICAL $ and state laws rel mg o b 'ding co struction,and hereby authorize repre- ' MICROFILM $ sentatives ofto u the above-mentioned property or PLAN CHECK $ J{' inspection our 5e5. V-1' it /- MECHANICAL • $ / a 0 TOTALt 6t/ Signature Date / Q FEE $ U Drivers' License or'SS ,' Goldenrod -Assessor , -. . - - CONSTRUCTION AND PLANNING ?' POOL & SPA • APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole ' ' 52. Pool & Equipment Location . 2. Soil Pipe-Undrgrnd. , I 53. Steel Reinforcement • • 3. Electrical Conduit Utility-Undrgrnd. 54. Forms • r 4.,Electrical Conduit:Undrgrnd. f 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 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 >,4/n e FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace - / APPROVALS Permit# 21. Ducts,in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing • 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29: Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating& Air Conditioning 71..Ott 4C'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 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 spaces except those within heavy border lines and sign all appropriate declarations.. 31 n I (26/84 ' 69.91. TL CITY QF`COSTA MESA 'PERMIT-NO. TRACT NO. - LOT NO. LsD�G.NO. ' • €ONSTRUCTIONPE• IT • Project Address - r i• I_+/ `i - TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION -U REPAIR - ' ' Applicant's Mailing �lAddress �(/"�-� p ,/7 - ❑ CONVERSION ❑ DEMOLISH El OTHER A.P.# II Zone -' - ' Owner's Name �c'w/ '/fQ# 4-J1/64hone 5 c4'9/5 'DESCRIPTION OF.WORK • : - - ' - '' S Main Building. Accessary Building: Z Address, • ..1534 11nz4 Abu/A; � - _ E 0 -. . TYPE OF PERMIT . U GRADING ❑ FOUNDATION ❑`STRUCTURAL T Front', . - ,, , N Arch/Eng. • - - License No. TENANT El ELECTRICAL ❑• .PLUMBING' ❑ MECHANICAL - - A Rear „ - N •Address " ' - _ - = ❑ OTHER - - -- - • F / n '. , lll� C Right Contractor's Nam -.4',"//: Pho'nze/�tyt-U--r-`s-•', PROJECT DESCRIPTION SO. FT OCCUPANCY - - AddresT(mailing) qqq�Q• Y•re,(v`'n.P� -�l f'`'7 ' CONSTRUCTION TYPE - VALUATION$ s. Left V • • ,E I •CityLicense No. • • • 'C ! - ZONE y GRADING CU.YDS; . ACRES g: - O Pin Ref.# Park.Fees $ . LICENSED CONTRA TOR DECLARATION /7 • •• U • Remarks: p S — ;D o ' e'• S Parking Req./Provided , I hereby affirm that I'am licensed under • ovis of Charter 9 (commencing ¢� V ' R with section 7000) of Division 3 of t e u and Pro -.slops Code, a d , • Use of Building: - _ 1 E my license-is in full for n� ffect. - - Ucense Cla s r < �Zo- - 0♦ I PLUMBING FEES .Planning Notes: • 1 I : f E Date --- Sr)S Signature fl# /✓ • ' - WORKERS'COMPENSATION DE}ARATI• Bar Sink Showers • • N I hereby'affirm that I have a certificate of c• sent to self-Insure or a certificate • $ackflow Preventer Service Sink - - - ._ s••„: -- • '- - •' I of Workers' Compensation Insurance,. or a certified;copy thereof (Section - ' - '3800, Lab. C) ' i • ' Backflow Irrigation Sewer Cap ELECTRICAL FEES • Policy No. ' Company. • ' ECertified copy Is hereby.furnished, ' ' 1 . ,Bathtubs Sewer Connection y. Automatic Washer Transformer 0 15-50 KW r /, .Certified copy Is filed with the city Building Division. - . „ (� ' - • • Clarifiers ' Solar Collectors ' y_ Construction Pole Sub. - 0 50+ KW, -• -' Date Applicant _. __ .. - EXEMPTION'FROM WORKERS'COMPEN • ION DECLARATION Dishwasher Solar Piping ? CookingUnit Meter;❑u to 100 amps • /Q (This section need not be completed If the •-rmi is fo :ne hund 100)or :_ - 9`' P P —' less). _ - - - I I certif that'in the performance of the •or k f•r, ich his / uetl Drinking Fountains . i Solar Tank • Dishwasher Meter Dover 100 amps I shall not employ any person in any m nner .,.s to to the ; - _ Workers' _rns, r/f_aws of Callfor is "/ _Floor Drains' Swimming Pool w/Spa i / Dryers ❑Gas ❑Electric Sub Panel p 1 ' Date / '/, ✓/ Signature `/ t� - ( l`s NOTICE:if,,Ar making this.deciara•fin, you should •come su•ject to-the '. • - Floor Sinks -' Urinal Fan I- Motors❑0.1 HP ❑1'h-8 - , Workers' Compensation provisions.of the Labor Co•-, ou must forthwith - comply with such provisions or,this permit sh- I be deemed revoked. . , Gas Service: . 'Outlets Water Closet F.A.U. Ina Solar ❑9-15 HP❑16-15+ • CONSTRUCTION.LENDING AGENCY .. - , . - _ / f I hereby affirm that there Is a construction lentlin• agency her the performance. Interceptors 1 Water.Heater • 1. - / Fixtures . - Microwave • '3 • of the work for which this- permit Is issued .(Section 3097 Civ. C.), - Lender's Name _ °• , Kitchen Sink - Water Service Device Boxes •• Pole Light' / /' AS .L.ender's Address, Lavatories • OWNER BUILDER DECLARATION I I r - - /i/LOutlets -. Range : 9 — I hereby,affirm that I am'exempt from the Contractor's License Law for the P-Trap • 1 9 following reason (Section7031.5'Business and Professional Code: Any city or = - - - ' • i.7 Switches , Sign T i/O county which requires a permit'to construct,alter,improve,demolish-or repair • • •- any structure, prior to Its issuance, also requires the applicant for such permit Roof Drains Garbage Disposal Standing Sections / to file a-signed statement that he/she is licensed pursuant to the:provisions of - the Contractor's License Law(Chapter 9(c mmencing.wlth Section 7000) of - - Generator ❑0.5 KW ❑5=15 KW • ' Division 3 of the Business and Professions Code) or that he/sheis exempt - . . - Trash Compactor , 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 - . , . , heenalty of not more than five hundred dollars($500). • .. -Reinspection,Fee $25 Issue Fee $ 3 " - ' Ll I; as'owner of the property or my employees with wages as their sole - MECHANICAL - Reinspection Fee $25 Issue Fee : .5.3: compensation, will do the work,and the structure is not intended or offered -� FEES • for sale (Section .7044, Business and Professional Code: The Contractor's — - ' PUBLIC SERVICES REQUIREMENTS: ' License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I 0 - • thereon, and who'does,such work himself/herself or through his or her own Zoning Approved By Date employees, provided that such Improvements are not intended or offered for - • Canopy Type II ❑ , - • Duct-Under Ground Approved By Date sale. If, however, the building or improvement is sold within one year of com- Building • Pletion, the owner will have the burden of proving he/she did not build or im- ''--'-!-- rove for the purpose of sale), Duct-Structural Refrigeration System Application Issued By C i Dat LJ I, es owner of the property, am exclusively contracting with licensed con- ❑0100,000 BTU ❑100,000 BTU . ' tractors to construct the.project (Section 7044,Business and.Professions Code: Duct-Ventilating : SUMMARY OF FEES • • The Contractor's License Law does not apply to an owner of property who • - ' builds or improves thereon,and who contracts for such projects with a con- ' Exhaust System 0 Multiple 0 System Repair/Alteration - ' • : BUILDING PERMIT $ SMIP ' ' $ tractor(s) license pursuant to the Contractor's License Law).- - PLAN CHECK $ • PERMIT I ❑ I.am exempt under action B.& P.C.for this reason : Firepl/Fact.Bit. ICBG# ISSUANCE �$ • ' AL _ PLUMBING' $ . Date 0' er`A/. - , Heating System&Ducting • ,. ENERGY P.C. :$ PLAN CHECK 25% $ / I hereby certify th. I h-v'-read 7- i'p•Ilcatiom and state that the above - ❑0100,000 BTU-0100,000 BTL •- ELECTRICAL $ /4 7, G GRADING '$ Information is corre t, I .gr•e to r I ith all city and county ordinances , and state laws rela ng ,• 'ulIdin• P. ructl and hereby authorize repre- a MICROFILM $ i sentatives of thls ty : er '- 7 Bove-mentioned prope er rt/ty ffoorr� - PLAN CHECK 50% $ - �/• • r3 Inspection purposes' �`i'. �� /.fU-0 / _ TOTAL FEE . $ 6r p �i/7 • Signature �! Date MECHANICAL '$ /, Drivers' License or 55 Applicant;Pink-Accounting;Goldenrod-Assessor I.; CtCONSTRUCTIONLAND'PLANNING r - ; 11 _ '. POOL&SPA '' • _ - I: i- ?) ., } c !• -.•- N Date • ] Inspector' APPROVALS Permity# _ - Date Inspetor - APPROVALS' Permit# I .; t. •1•: Temporary Electrical Service or,Pole,.'! , - 52. Pool &-Equipment Location •' ; _. 2? Soil Pipe-Undrgrnd.,: ' 1r - -• - 53: Steel Reinforcement. + + - 3? Electrical Conduit Utility-yridtgrnd2 - • •-'3 ' 54., Forms _ - ir _ f , _ = t' ! •`• 1::4. Electrical Conduit-Undr�grdd; • - • :' I _ • , 55: Electrical Bonding , - c ^'c 5r Steel Reinforcement! '- • s; 2649 ELPEN UNIT E -B10686 CONDO $78,469. - 7/i/S V (PC107-83) UNIT E -P10693 ['CSC. • 7/-7/5"`'/ (310686) UNIT E ' _E10725 NIISC. 7/0/0y (B10686) (8) m12445 FIFQPIACE g/lEr 310686 UNIT E - M12570 MIS: • 74344-7/ 318686 BID E • • • i I { 1 1 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - �_ CITY OF COSTA MESA CONSTRUCTION PERMIT 4PERMIT NO. TRACT NO. LOT NO. UNIT N6. C-7,115.-8 #10239— Project Address 2649 ELM] AVE: , #E, CCSTA MESA 14/4; — °9-66.7/ � - JOB #10239_ p491 9/19/85 .I fo50 Tl. • Applicant's Mailing Address . 1441 S ANAHEIM BL. ANA 92805TYPE OF CONSTRUCTION InNEW ISD.ADD H ALTERATION H REPAIR Owner's Name •SC'H[1MAQ'IER, CURT ' Phone 642-1329 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# I Zone DESCRIPTION OF WORK/USE OF BLDG. TNSTAT,TATTUN OF ATR Address 9649 FT.OFN AVE. #E, COSTA MESA 92626 •SLU SLI k .. • 11101101 , S Main Building: Accessory Building: Arch/Eng. . License No. • TYPE OF PERMIT U GRADING ❑ FOUNDATION . STRUCTURAL T 'Front - O Address - ❑ TENANT ® ELECTRICAL ❑ PLUMBING MECHANICAL B Rear - • N Cont agror's Name-ICINNEY AIR GOND. 772-1441 CI (OTHER A Phone C Right N - PROJECT DESCRIPTION SQ. FT. 1500 • OCCUPANCY sin la _ - Address(mailing) 1441 S. ANAHEIM BLVD. ANAHEIM 92805K Left G CONSTRUCTION TYPE VALUATION$ 9 796 no s R A City License No. 00621H ZONE GRADING CU.YDS. ACRES Ping. Ref.# Parking Req./Provided E b LICENSED CONTRACTOR DECLARATIONQ • 1 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 - 1 my license is in full force and'effect I T License Clas Li n No. $ \ Date -r0.7 Signature f PLUMBING FEES WORKERS' COMPENSATION DE:�y f • Bar Sink Showers •, ,FEES I , I 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 - - j 3800, Lab. C.) ' I - Backflow Preventer Service Sink- - y Automatic Washer Transformer ❑ 15-50 KW ' Policy No .#,2.4300353' Company TNA Backflow Irrigation Sewer Cap "' 0 50+KW , ' , ti Construction Pole Sub. _ Iry�C,ertified copy is hereby furnished-. - Date fietl oq0.yy Is t�I¢A with the city�ujfgip9 My' for ^ ii, ' Bathtubs Sewer Connection Cooking Unit Meter Cup to 100 amps', i Date I 7Y OD Applicant trail' (�/` r Clarifiers • ' EXEMPTION FROM WORKERS'COW O-f7-One• I N Solar Collectors Dishwasher _ Meter Dover 100 amps - section need-not be completed if is or one un•red ($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, ' shall not'employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank .- Fan Workers"Compensation Laws of California.' — 1 Motors ❑0-1 HP MCA-83HP 1 50 . Date Signature ' Floor Drains Swimming Pool w/Spa F.A.U. NOTICE:If,after making this declaration,you should become subject to the - Inc.Solar 09-15 HP ❑16-15+ Workers',Compensation,provisions of the Labor Code, you must forthwith Fldor Sinks - Urinal -- ' Fixtures Microwav2 i comply with such provisions or this permit 'shall be deemed revoked. . CONSTRUCTION LENDING AGENCY; r • Gas Service- Outlets Water Closet I hereby affirm that there is a construction'lending agency for the performance Device Boxes Pole Light , of the work for which this permit is issued (Section 3097 Civ. C.) Water Heater Lender's Name - Interceptors - Outlets Range • Lender's Address' ' ` - , Kitchen Sink Water Service - ' OWNER.BUILDER DECLARATION ' Switches Sign 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 Trays • Generator ❑0-5 KW ❑5-15 KW any structure, prior 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 ' 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 - • - - • x ' therefrom and the basis for the alleged exemption. Any violation of Section ' ' - 7,031.5 by any-applicant for 'a permit- subjects the applicant to a civil , - _ - eenatty of not more than five hundred dollars($500). !ratty 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, antl 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 ❑ • sale. If, however,the building or improvement is sold within one year of com- Canopy Type I ❑ . Zoning Approved By Date pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By - • / Date Orove for the purpose of sale). - I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By 49 /r ( Date y/r//�� 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 4.00 SUMMARY OF FEES builds or improves thereon,and who contracts for such projects with-a con- tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple ❑ 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 Firepl/Fact.Blt. ICBG# Fire Dampers SS UA NCE $ • ' I PLUMBING' $ ' Date _ Owner ' • Heating System& Ducting Registers • PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that l have read this application and state that the above 00100,000 BTU 0100,00013T - - ELECTRICAL $ CO 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 cit to 'Enter upon t - a•..-- .-. Iopepoproperty for inspection put s("y wJ d -f�l��I [i/v., MECHANICAL $ '/1� — TOTAL FEE $ 11 .50 Signature k e `t Pink -Accounting; Goldenrod -Assessor .CONSTRUCTION AND PLANNING POOL & SPA -APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd, 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. • 54. Forms - , "" 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test ' 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE •.7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation - 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. . 10. Structural Floor System - -61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap - 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65: Electrical-Final 15:Rough Electrical-Conduit - 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval - 17. Rough Wiring Sign - 68. APPROVED FOR PLASTERING 18: Rough Electrical-T bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19: Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT • - 20: Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ❑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 16/thy £49 Notes: 34. Final Heating & Air Conditioning /6VIID% LCD . 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 1 Attenuation , . . 46. Handicap Regulations - . 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed ' • 49. Electric Release to Edison . - - -- ' - - - - . 50. Gas Release to Southern California Gas O ' 51. CERTIFICATE OF OCCUPANCY • . - r �No:. - Date - - ___ .4- City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. 00U593 Building Safety Division P.O.Box 1200 Costa Mesa,California The Building located at 2640 wt,rl w WIT d!R has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group n_7 Occupancy. Use of Building rThinnKTNITIN Legal Description 411q-071-27 (See reverse side for Metes and Bounds) Building Permit No 8-10693 Electrical Permit No. E-10725 Plumbing Permit No. P-10693 Mechanical Permit No. L •-,y4F5,Nil icon Number of apartments and/or guest roomsro ,/ ISSUED TO: Building Official i ' K• (2,-&-444- i•T.T1R.N VENTURE GROUP by(---74f. ( � �,y/.r/ . 1539 l:I 4t1 VIA 9, NEWPORT BEACH, CA. Date / 2 .. e,10! // d 7' 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:Canary-Numerical File;Pink-Bldg.Permit File Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. `� CITY OF COSTA MESA - - • - PERMIT NO. TRACT NO. LOT NO. BLDG:NO. - . - - - - - CONSTRUCTION PERMIT ; /o 6 k. O' - to(DI+9 . 1 ' . E • 2945 I'/24/B4 375.49 TL Project Address, � a / It ('. / A , TYPE OF CONSTRUCTION Did U ADD iU ALTERATION U REPAIR - v Applicant's Maili • Address. / - ". r t ✓ c].../ ' ` /✓ .- ❑ CONVERSION ❑ DEMOLIS ❑ OTHER A.P.�p 4'341 _ Olt - iZ, •. : (Zone R L e/ 9 DESCRIPTION OF WORK DEMOLISH_ (.4i4 3 409 ' Owner's/Naemeq ��tf • • • A J Pyhor> 5�7/ • $ Main Building: Accessory Building:-' Z Aifdress/ i / �" //'7✓�t�//-IL , / �I�.•/` U AI E - . •, 0 dD7" "VA / 7 TYPE OF PERMIT U GRADINGFOUNDATION la STRUCTURAL T Front �, ! N N Arch/Eng/421r JF/C �O/<j CCii Xo ir.'S License No. VA ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICALS B Rear I - - ' I' Address 2$ g; /7TN #�5 6:711-c m d4 12 ❑"OTHER I.. - A 1 •w ., A__ - - • ;N d T� I [/J PROJECT DESCRIPTION SQ,,or 4Cs OCCUPA V 9 C Right 2-,CI n ( • - G Contractor's Nam q ,(�Phon/ '� K I • Address(mailing) I � ( Dti4cc4-'4 / / j✓J • CON STRU I!TYPE VALUATION$ ar ,s s Left ,5 net E ZONE GRADING CU.YDS. ACRE Ping. Ref.# • Park.Fees $ O City License No. I o g g�•�J f" U LICENSED CONTRACTOR DECLARATION Remarks: !�G Q7-O J 7� ��� Parking Req./Provided • - I hereby affirm that I am licensed under provisions of Charter 9(commencing • R • with section 7000) of Division 3 of the Business and Professions Code,and �'' al//61(510!'O Use •of Building: - E my license is in full force . deflect. J - /M License Cla_s U/ � PLUMBING FEES Planning Notes: $OLD •FOR SPECIAL REOUIREMPIITS - E PT/ . �arS Date ' 1 Signature ��� , i .N WORKERS'COMP NSATION DEC •BION • Bar Sink Showers I hereby affirm that I have a certificate of consent to self-insure or a certificate • r T of-Workers'-Compensation Insurance, ora-certified copy thereof (Section .- Backflow Preventer Service Sink S 3800, Lab. C. •�t/ - • Backflow Irrigation , Sewer Cap • .'"i• ' c- I • ELECTRICAL 'r'. - ' FEES ^. Policy No. ryOs7/S Company' � 'F- -- , �fyl�ertifiea copy is hereby furnished. Bathtubs Sewer Connection /\ A Automatic Washer Transformer 0 15-50'KW.- '',1 • - -J Certifietic¢u Isff' with the cit r Tt•'•_ i - -• - yy"� `'mIFJ .;j•�--� ; — ❑ 50+-KW -'F- i�tif - Clarifiers , Solar Collectorslb (>1 • Construction Pole Sub, Date / Applicant �, EXEMPTION FROM ORKERS'CO 'ENS• •N.DECLARATION. - -- • Dishwasher Solar Pi in -- - - - - - - (This section need not be completed if_t It is for one hundred ($100)or t p 9 �• Cooking Unit' ' -Meter ❑up to 100 amps f-- less) I - , ' I certify.tnat-in the performance of the work for which this permit is issued, I Drinking Fountains Solar„Tank - /' ,- Dishwasher Meter Dover 100 ampr ! j, - shall not employ any person in any manner,so-as to become subject to the - Workers' Compensation Laws of California. Floor Drains • , Swimming Pool'w/Spa Dryers ❑Gas' DElectric • Sub Panel • ' ;l Date • Signature I NOTICE:If:after making this declaration,you should become subject to the Floor Sinks Urinal - Fan •Motors❑41 HP ❑1 X-8 n Workers{ Compensation provisions of the Labor Code, you must forthwith - - - _ . • comply with such provisions or this permit shall be deemed revoked. Gas Service -Outlets. .Water Closet - - F.A.U. Inc.Solar 09-15 HP 016-15+ CONSTRUCTION LENDING AGENCY. ' . - ~^ I hereby affirm that there is a construction lending agency for the performance Interceptors Water Heater Fixtures i 'Microwave • I of the work for wlpph this„p rill construction, issued .(Section 3097 Clv. "C:) •• - - - Lender's Name • VV` -�•�IV V� " Kitchen Sink • - •_ Water Service , , Device Boxes Pole Light• -/7004t2 • Lender's Address' /� 'l7NS Al'YL-s• _ Gil . OWNER BUILDER DECLARATION , - . ., ' Lavatories • - • - Outlets Range ' 1 1 I hereby affirm that I am exempt from the Contractor's License Law for the p-Tri - ' following reason (Section 7031.5'Business and ProfessionalCode: Any city or • p ' T • _, ., Switches Sign' county which requires a permit to construct,alter,improve,demolish or repair ' . • any structure, prior to its Issuance, also requires the applicant for such permit Roof prains - - -r - Garbage Disposal • Standing Sections to file a signed statement that he/she is licensed pursuant to the provisions of • _ the Contractor's License Law(Chapter 9(commencing with Section 7000)of - I - - I _ , Generator ❑0.5 KW❑5-15 KW Trash Compactor • 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 at permit subjects the applicant-to a civil -Reinspection • •_Fee . •I $25 Issue Fee S'3 1 ' Cenalty of not more than five hundred dollars($500).• I,-as oWner of the'property-or.my employees with wages as their sole , Reinspection Fee $25 Issue Fee, • • ' $'3 , compensation, will do the work,and the structure is not intended or offered - ,_ MECHANICAL I FEES for sale (Section 7044, Business and Professional Code: The'Contractor's - , „ • - , - PUBLIC SERVICES REOUI}i Efv1 T ' License Law does not apply to an owner of a property who'builds or improves Boiler '• ' Hood or- Type I 0 ' JETS/ /$/ y ////// / �[ • thereon, and'who,does such work himself/herself or through his or her own . , T. , _ Zoning Approved By /r�f�� j , Date /Z "r employees, provided that such improvements are not intended or offered for Canopy Type II 0 - PPP ' sale. If, however,the building or Improvement is sold within one year of corn- Duct-Under Ground • : , Application Approved By / bei:: Date�� �"' pietion, the owner will have.the burden of proving he/she did not build or im- . . , , rrovetfor the purpose of sale).. Duct-Structural I Refrigeration System -- ' Application Issued By / Date/-1148:1; -�� O I, as'owner of the property, am exclusively contracting.with Ilcensetl"con- ❑4100,000 BTU ❑100,000 BTU tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating ,SUMMARY OF FEES , The_Contractor.•s License Law does not apply to an owner of.property who -. _ - _ - - . -- BUILDING PERMIT • $ 3 /� SMIP $ �/�/ builds or improves thereon,and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration • - tractar(s) license pursuant to the Contractor's License Law). PLAN CHECK $ PERMIT ❑•I'am exempt under Section B• .& P.C.for this reason Firepl/Fact.Bit. ICBG# •- PLUMBING $ ISSUANCE $ Date • Owner • . Heating System& Ducting ' . PLAN CHECK $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above . 00.100,000 BTU 0100,000 BTL GRADING ' $ information is correct. I agree to comply with all city and•county ordinances " . - - ELECTRICAL $ _ • and state la. lating•to • "ding construction, and hereby authorize repre- • PLAN CHECK $ MICROFILM $ sentatives it o en-'r upon the above-mentioned property for ' ' . -2.1�' MECHANICAL $ ' TOTAL FEE $ l3.7 [ 0 inspection pur•• �— / S v 5'gnat ure �/ Date Reinspection Fee Issue Fee ' Drivers',Lic- se o S# - $25 $ 3 PLAN CHECK $ •CMF 0865 :v. 7/83 ' -White-Building;Canary-Applicant;Pink=Accounting;Goldenrod-'Assessor - -- -- - - _ - . . - - .-. 1 CONSTRUCTION AND PLANNING • - - POOL &SPA APPROVALS. Permit# Date - Inspector APPROVALS -Permit# • Date • Inspector 1. Temporary Elethrical Service or'Pole• %ef : 52: Pool & Equipment,Location • • 2. Soil Pipe-Undrgrnd. • • , 53.. Steel'Reinforcement - . 3! Electrical Conduit'Utility-Undrgrnd:"„ - • ' • •• 54. Forms' • ' ,4: Electrical-Co}iduit.-Undrgrnd. " - . - 55. Electrical Bonding - _ 5.-Steel Reinforcement/ ' - - - - '56.•Rough Plumbing & Pressure Test ' 6!, Electrical'UFE,R Sin-a. ; - ' •57. APPROVAL TO'COVER-GUNITE ' 7. Footings, ;`. ,� •' - a�"1 58.• Electrical Conduit-Undrgrnd. - 8. Fo&ndaiion ' 2 5(q/4.. ^ I) S i f8c f 59.. Gas Pipe,❑ Undrgrnd., Test 9. Water Pipe-Uniiigrnd. • _ - '60. Backwash Lilies,P-.Wap, O Undrgrnd. 10 iStrucfural, Floor, System ' ' • . 61. APPROVAL TO DECK - , 11 f+Property Sewer.-Line& House Connection r 62. Backwash & Receptor-Final • 12: SeWertcap ,? '.,'j ' 63. Heater & Vent-Final • • 13. Roof Drain; - - 64. Plumbing System - Final . 14.' Rough'Plumbing.2' • - 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 • . X18: 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 I 70. Underground Hydro • '22. Ducts, Ventilating! •+ 71. Product Piping 0 Gas 0 Oil . 23. Gas'Pipe-Rough8'Test ''i 72. Underground Flush • . '24. Roof Framing'•+ f . , 33. Undergrnd.Storage Tank ❑'Gas 0 Oil 25. Roof',Sheathing- ': 4//512<-b C 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat ' • 75. Dry Chemical . 27. Frame and Flashing • j/15-18 i .b .s• 76. Dry Standpipe ' • 28. Lathing &'Sidin' '� g � i 77. FIXED SYSTEM FINAL 29. Insulation S 78. FIRE PREV. FINAL • 30. Drywall Nailing .r , ,'. ! • ip�(�( y//p HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat! r `` o� 79. FINAL INSPECTION . , 32. Electrical Power Meter-Final i 80. FOOD CERTIFICATE ISSUED 33. Final'Electrici Notes:/.v/,20--Sns-Qfei_f 34. Final Heating & Air Conditioning &RAP . • 35. Final Gas Pipe-Test - - - 36. Hood or Canopy , i 37. Fi•lial Facttory.Fireplace . , -, - 38. Final Plumbing' ._ 39. Water Service-Final'- .:r 40. Ga;,Servvice.-Final i I . 41. Solar Domestid-Final ' ' - . • 42. Backflow Preventer • ; - v - • - 43. Backflow Irrigation • 1, -44. ,Landscape Irrigation System - . 45. Sound Attenuation • 46. Handicap Regulations ' . • _ , - - . . ` •, • ' • , • 47. FINAL,STRUCTURE,&,BUILDING /13�` y .1)y _ , , 48. Special Requirements Csmpleted , ireit/ I °ke I . , 49. Electric Release to Edison , -- -- . • 50. as Release to Southern California Gas Co I I '- 51. CERTIFICATEqOF OCCUPANCY c - I 3 _l>- - 8 - rn • No. -573' - Date i Z 5 t1cz a T - .I , ,C, .K' ' , 1 Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. ' CITY OF COSTA MESA - - ‘ PERMIT NO. TRACT NO. LOT NO. BLDG.NO. ' •? -� - - CONSTRUCTION PERMIT ' • - p /x073 - , ✓ 2955 '1/24/94 40:50 TL • • Project Address 2-• •o^ TYPE OF CONSTRUCTION NEW U ADD U ALTERATION -U REPAIR ' - ,D Applicant's Mailing Addre 5. ZArninir- El CONVERSION El DEMOLISH ID OTHER - A.P.# . Zone • Owner's Name - A = • ' Phone eyr SL7 . -DESCRIPTION OF WORK - - ^ Y S Main Building: Accessory Building: 2 Address / -2 •._ ,T %' A...„ - 'I' / -,7E • 0 Q TYPE OF PERMIT U GRADING''._U FFDUNDATION ❑ STRUCTURAL T Front i N • Arch/Eng. e • /T;• - C.O'.ctj�C License No. .2714,7 ❑ TENANT .❑ ELECTRICAL LTPLUMBING ❑ MECHANICAL • B Rear . - Address 2-•7 e/ - /7/27 444- ❑ OTHER' • r . . A _ _ - _ N Contractor's • Name P'� '•`r�- ✓ 1, ^n'�'-Ph ne'6G✓_Tp`t3 PROJECT DESCRIPTION SQ. FT. ' OCCUPANCY. C Right _ • G Address(mailing/ �3 Ye) arint- 'U7"•1 C ON STRUCT ION-TYPE VALUATION$ • s Left : - - - : R ZONE - - GRADING CU.YDS. ACRES E City License No. ' 2-4'5,2 —. - - Ping. Ref.# Park.Fees $ Q LICENSED CONTRACTOR DECLARATION - Remarks: 4 Parking Req./Provided - _ I hereby affirm that I am licensed under provisions of Charter 9 (commencing rt R with section 7000) of Division 3 of the Business and •rofessions Code,and R- /(;1 6 c'6 Use of Building: E my license is in full fo ck an of ect. / '`• I License Cla s A r o. W W.la.- i PLUMBING I FEES Planning Notes: - - E, ' Date t� e-• Signature 4���_' i :' ��S i �. l WORKE-S'C. RENSATION DE'�L-ATI. - • Bar Sink • Showers N T •I hereby affirm that I have a certificate of consent to self-insure or a certificate Backflow.Preventer Service Sink _ ' I • ' S of Workers' Compensation Insurance,"or a certified copy'thereof (Section - - - 3800, Lab. C �` 7 9Y6� ..�,/• ,/ ,c,r•� ! Backflow Irr;gation ' Sewer Cap • C. ELECTRICAL . FEES Policy No. Bio 6 Company Hilt �rtifled copy is hereby furnished. Bathtubs , Sewer Connection , - Washer ,—� certifie op . lied with the city Buy •Ivisl. Automatic Transformer 0 15-50 KW Date Applicant i ...lir /sem. • Clarifiers - I Solar Collectors Construction Pole Sub. 0 50+ di ' EXEM ION ROM WORKERS'CO •'4"..C• 10 •D CLAR Yi d'Arr1 Dishwasher t Solar Piping• - - - (Thls ction need not be completed if the permit Is for one hundre• $100)or', / Cooking Unit Meter'❑up t0 100amps less)• I I certify that in the performance of the work for which this permit is issued I.•. Drinking Fountains - Solar Tank Dishwasher .. I Meter Dover 100 amps' I shall-not employ any person In any manner sofas to become subject to the;, Workers' Compensation Laws of California.. _ Floor Drains, Swimming Pool w/Spa Dryers ❑Gas' DElectric - Sub Panel t Date Signature - • NOTICE: If,after making this declaration,you should become subject to the ' ._ Floor Sinks - Urinal •- . . -_ Fan Motors❑0-1 HP 01%-8.. Workers'. Compensation provisions of the Labor Code, you must forthwith - I - ' comply with such provisions or 'this permit'shall .be deemed revoked. .•/ Gas$ervice rabbets 3 Water Closet - - F F.A.U.rInc.Solar ❑9-15 HP ❑16-15+ •i • CONSTRUCTION LENDING AGENCY I - • '—a• I hereby affirm that there is a construction lending agency for the performance Interceptors• - -, Water Heater Fixtures . :Microwave ' of the 'work for which this permit is.issued (Section-3097 Civ. C.) - �, Lender's Name ._ .t Kitchen Sink • / Water Service : '471 Device Boxes , Pole Light • Lender's Address • ' - ' - ' LaV2LOflee OWNER BUILDER DECLARATION - �3 i. • - < / 4449 r/�n� f�p�yr Outlets Range , I hereby affirm that I am exempt from the Contractor's License Law for:the , - • following reason (Section-7031.5 Business and Professional Code: Any city or r P-Trap, - _ ' Switches I . $ig• , i county which requires a permit,to construct,alter,Improve,demolish or repair , . • - • "any structure, prior to Its Issuance, also requires the applicant for such permit . _ Roof•Drains: . •- _ • • - y i Garbage Disposal • Standing,Sections •• " .to file a signed statement that he/she is licensed pursuant to the provisions of - - the Contractor's License Law(Chapter 9.(commencing with Section 7000)of ' • - - - ' Generet0� ❑0.5 KW❑5-15 KW Trash Com actor . Division 3 of the Business and Professions Code)'or that he/she'Is exempt ' ' r - p 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 Reins coon Fee $ 3 penalty of not more than five hundred dollars•($500).•i , -I $25 Issue Fee • LJ I,%as,owner of the property or my'employees with wages as their sole .MECHANICAL _ Reinspection Fee $25 ' Issue Fee $ 3 compensation, will do the work,and the structure Is not intended or offered FEES _ . . for sale (Section 7044,- Business and Professional Code: The Contractor's PUB LIC SER VICES REQUIREMENTS: License Law does not apply to an owner of a property'who builds or improves Boiler - ' Hood or Type I ' ❑ • , thereon, and'who does such work himself/herself or.through his or her own - - ` Zoning Approved By nate ' employees, provided that such Improvements are not Intended or offered for Canopy; Type IIS ❑ - • sale. If, however, the buildingor Improvement Is sold within one year of corn- Duct-Under Ground ' p Application Approved By Date pletion, the owner,will have the burden of proving he/she did not build or im- ' Ecivefor the purpose of sale). • Duct-Structural - Refrigeration System Application Issued By _____,D.7,__(4:(_// Dat D I, as owner of the property, am exclusively contracting with licensed con- ❑Q100,000 BTU ❑100,000 BTU tractors to construct's he project (Section 7044,Business and Professions Code: I Duct-Ventilating SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who - builds or improves thereon, and who contracts for such projects with a con- Exhaust System ❑ Multiple 0, System'Repair/Alteration - BUILDING PERMIT $ SMIP $ tractor(s)_ license pursuant to the Contractor's License Law). PLAN CHECK I $ PERMIT ' j ❑ I am exempt under Section B.& P.C.for this reason • Firepl/Fact.Bit. ICBG# . ' ISSUANCE $ ' • • PLUMBING $ Date • Owner Heating System&Ducting i PLAN CHECK $ 7, s ENERGY P.C. $ I hereby certify '.t I have read this application state that the Glove. 00.100.000 BTU 0100.000 BT _ .. . . - ' • - ELECTRICAL $ GRADING $ information Is orre't. I agree comply with all and county ordinances - ' • and state la elat g to • i g cons hereby authorize repre- PLAN CHECK $ MICROFILM sentatives •.f• Is •Ity upo �y e-mentioned /prope>ty for i $ Inspection • .o� /%� �" / / _ TOTAL FEE $ Signature _ -' -' ICONSTRUCTION AND PLANNING POOL &SPA APPROVALS - Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location • �. Soil Pipe=Undrgrnd. - , � lee 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, ❑ Undrgrnd. 10. Structural Floor System • 61. 'APPROVAL TO DECK 11. Property Sewer Line & House Connection /_L6'+3" _ere 62. Backwash & Receptor-Final . 12. SewerCap' 63. Heater & Vent-Final 13. Roof Drains 1 64. Plumbing System - Final 14. Rough Plumbing -• 0- 0:1107 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 181. Rough Electrical-T Bar Ceiling • 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structtire 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: *It - Ka 40t Sri-Cot•tcvecuot5t I-24-c'4 h{+ 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 71e(BLr 1-414 36. Hood or Canopy 37. Final Factory Fireplace - • 38. Final Plumbing 7//4/311 Gen 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 51. CERTIFICATE OF OCCUPANCY ' • No - Date - - .a . . .. Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. _ _ ,. , CITY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO., BLDG.NO. - CONSTRUCTION PERMIT - /� /'S� ,m4- 7518 3/29/04 `8600 TL Pmle.t Address. 1"yy ����/✓�y t TYPE OF CONSTRUCTION p NEW LI ADD LI ALTERATION' L REPAIR ' Applicant's Mailin Address : ../5--g9 ///�-•�8��nyUy/�rx�r� f�l9 ❑ CONVERSION `❑ DEMOLISH ❑ OTHER q,p,# !/j'�Q -7/_ n�+ • - IZone ,r • • Owner's'Name c9/7bN. Uf.-=A4 t•r4egne esis-5/'`7/3 DESCRIPTION OF WORK - T /- A S Main Building: Accessory Building: Z Address )•539 /TlOAFtoo l,l- .} \"t !tel C1 ' - L E 0 -TYPE OF PERMIT L GRADING L FOUNDATION I STRUCTURAL T Front _ , N Arch/Eng.?A.C- 'PIC-Cy' COM CG-P'TS License No. /�� - I '/ n ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING MECHANICAL B Rear (� ret3-� Y>9 34 `A -,/3`/ �f /// ❑ OTHER . A N • Contractor's NameN l/��7�4e#S-d Phonee'r- 99/•3 PROJECT DESCRIPTION sq`./FT. OCCUPANCY .e.--/ C Right • G CON STRUCTION TYPE Y VALUATION$ S, Left R Address(mailing) . z ��i�2,10./9 ./9 .ve E City'License No. i"O.� 64/ - ZONE GRADING CU.YDS. ACRES Ping. Ref.# Park.Fees $ U LICENSED CONTRACTOR DECLARATION Remarks: Uli ipaCato7 jT �/�'� Parking Req./Provided I I hereby affirm that am licensed under provisions of Charter 9 (commencing /i"�' Use of Building: R with section 7000) of Division 3 of the Business and Professions Code, and •- - E my license is in ful force and effect. G� PLUMBING I FEES Planning Notes: .. M License Class —uL No N Date B Signature - HISS Bar Sink Showers WORKERS'COMPENSATION DECLAR' ION T I hereby affirm that I have a certificate • consent to self-Insure or a certificate Backflow Preventer Service Sink - • S of Workers' Compensation Insurance, or a certified copy thereof (Section 3800, Lab. Cu*25- ? ry5 9 Backflow Irrigation Sewer Cap ELECTRICAL FEES Policy No.< 7.f G-/ Company/<6 Cir e....7%,... Certified copy is hereby furnished. Bathtubs - Sewer Connection Automatic'Washer Transformer 0 15-50 KW fCartifies?",is ql with the city :till. ❑ 50+KW Date ....Certifies?", / ,0 r Applicant � Clarifiers Solar Collectors Construction Pole Sub. EXEMPTION FROM WORKERS'COMPE SA' % DECLARATION Dishwasher Solar Piping Cooking Unit Meter ❑up to 100 amps (This section need not be completed if the •: - t Is for one hundred ($100) or _ less). DrinkingFountains ' I certify that In the performance of the work for which this permit Is issued I Solar Tank Dishwasher Meter Dover 100 amps shall'not employ any person In any manner so'as to become subject to the . Workers',Compensation Laws of California. . Floor Drains • ' - Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel Date Signature NOTICE:If,iaffer making this declaration,,you should become subject to the ' Floor Sinks • - Urinal Fan - Motors 00.1 HP ❑1'f.-8 - - Workers' Compensation provisions of the.Labor Code, you must forthwith - - comply with such provisions or this permit shall be deemed revoked. - Gas Service -Outlets • Water Closet - - F.A.U. Inc.Solar 09-15 HP 016-15+ CONSTRUCTION LENDING AGENCY' ' I hereby affirm that there Is a construction lending agency-for the performance Interceptors . Water Heater • Fixtures of the work for w ch tilts ermit is issued (Se tion 3097 Cly. C.) p - Microwave ?3 .�.7�2�.t.� - Lender's Name C�/A�r/^c-- �/�•`'z-sr- - Kitchen Sink - Water Service Device Boxes Pole Light ' Lender's Address' /9on -pA�TS - -•9 ' - OWNER BUILDER DECLARATION - .. , Lavatories _ •Outlets Range I hereby affirm that I am exempt from the Contractor's License Law for the p-Tra - following reason (Section 7031.5 Business and Professional Code: Any city or p _ - Switches .Sign • county which requires a permit to construct,alter,Improve,demolish or repair - - ., _ ' , ., - ' •any structure, prior to its Issuance, also requires te applicant for such permit ' • Roof Drains '- I- • - - Garbage Disposal Standing Sections to file a signed statement that he/she Is licensed pursuant to the:provisions of - ' 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 _ . • - • Generator ❑0.5 KW ❑5-15 KW Trash Compactor 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 •Reinspection Fea' $25 _ Issue Fee ' ' $ 3 LJenalty of not more than five hundred dollars ($500). ' _ I, as-owner of the property or my employees with wages as their sole . MECHANICAL - —. Reinspection Fee $25 Issue Feel $ 3' compensation will'do the work,and the structure is not Intended or offered : - - l FEES. for sale (Section 7044, Business and Professional- Code: The Contractor's - PUBLIC SERVICES REQUIREMENTS: License Law does not apply to an'owner of a property whobuilds or improves Boiler Hood or Type I 0 - thereon, and'who does such work himself/herself or through his or her own • I %� - Zoning Approved By Date employees, provided that such Improvements are.not Intended or offered for Canopy Type II 0 ' , - I - sale. If, however,the building or improvement is sold within one year of com- Duct-Under Ground , • ' Building Approvedi'By pletion, the owner:will have'the burden of proving he/she did not build or im- r Date grove for the purpose of sale). , - ' • Duct-Structural Refrigeration System Application Issued By i Date ��8� U - I, as owner of the property,am exclusively contracting:with licensed con- tractors on- ❑0.1BQDBB BTU ❑iDQ,ODD BTU tractorstb construct the project (Section 7044,Business and Professions Code:.. Duct-Ventilating _ - _ SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who BUILDING PERMIT $ ' • SMIP• $. builds or Improves thereon,and who contracts for such projects with a con- • Exhaust System 0 Multiple❑, System Repair/Alteration tractor(s) license pursuant to the Contractor's License Law). -� PLAN CHECK $ PERMIT ❑ I am exempt under Section B.& P.C.for this reason X Firepl/Fact,BIt. ICBG#_?S� • PLUMBING $ SSUANCE $ ' Date I ' Owner - - ' Heating-System& Ducting _ PLAN CHECK 25% $ ENERGY P.C.: $ I- hereby certify that I have-read this application and state-that the above • ❑0.100,000 BTU 0100,000 BTL. - ' - ' . - - - 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 repro- • PLAN CHECK 50% $ MICROFILM ;$ sentatives of. ti ci • en - •on the above-mentioned property for inspection Dur(1p5 MECHANICAL $ 7! XX Signature Reinspe tion Fee $25 '-Issue Fee $ 3 PLAN CHECK 25% $ �/ O-O CMF 0865-46 rev,12/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING ' • - ;POOL &SPA _ - - ' Date Inspector - •,. ,Date = Inspector; 'APPROVALS Permit# APPROVALS - Permit# • - , 1. Temporary Electrical Service or Pole - 52. Pool & Equipment Location: - - 4 ' ' • '2.•' Soil Pipe-Undrgrnd. . . • 53.•Steel Reinforcement _ . '° .. 3.1 Electrical Conduit Utility-Undrgrnd. • 54. Forms - - • .4'.' Electrical Concduit-Undrgrnd. 55. Electrical Bonding _ _ _ " , - 5: Steel Reinforcement 56. Rough.Plumbing & Pressure Test. - 6: Electrical UFER:Grnd. - 57.-APPROVAL TO COVER-G UNITE,- ,. -- - - 7. Footings , . ' 58. Electrical Conduit - ' ' •8. Foundation ' ( 59. Gas Pipe, 0 Undrgrnd., Test' + 9. Water,Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, 0 Und?grnd. 10.-Structural Floor System 61. APPROVAL TO DECK ',-..j - ^ e 11. Property_Sewer Line & House Connection 62. Backwash & Receptor-Final - 12. Sewer Cap . 63. Healer & Vent-Final ''. ``' 13. Roof Drains . 64. Plumbing System - Final . - - ` 14. Rough-Plumbing , 65. Electrical-Final - T I - -. . . 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:F!NAL 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT _ , _ '. 20. Rough Factory Fireplace . r/f/ C APPROVALS 'Permit# I^ ' • 21. Ducts, in Structure 70. Underground Hydro - 22. Ducts, Ventilating " ' 71. Product Piping ID Gas'- 0Oil i..;., 1 v 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing . 73. Undergrnd.Storage Tank 0 Gas-.40,0i1 1 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 • 31. Plaster Brown Coat 79., FINAL INSPECTION 32. Electrical Power Meter-Final • 80. FOOD CERTIFICATE ISSUED 33. Final,ElectricNotes:' • 34. Final Heating& Air Conditioning ! t ' 35. Final Gas Pipe-Test - 36. Hood or Canopy . _ - • ' --yam . 37. Final Factory Fireplace y//pf _),, _ t- . 38. Final Plumbing • 39. Water Service-Final i 40. Gas Service-Final ' i 41. Solar Domestic-Final _ - .- - -- - 42. Backflow Preventer - - _ - _ • 43. Backflow Irrigation - . - - 44. Landscape Irrigation System . 45. Sound. Attenuation I ' ' - _ 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING ' I, 48. Special Requirements Completedi • - " 49. Electric Release to Edison -. - - - - - , 1 t 50. Gas Release to Southern California Gas Co • I ' r , I 1 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 ‘ PERMIT NO. I TRACT NO. LOT NO. BLDG.NO. - CONSTRUCTION PERMIT )01 —/2-S-7 D 8424 4/I I /84 8.[10 TL Projett Address c• y.7 t&- 4't2 ---.--. ' -- - TYPE OF CONSTRUCTION J6GLy NEW LI ADD LI ALTERATION U REPAIR Applicant's Mailing Addres / y r ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# I Zone Owner's Name/Vete-4r tC.'t 7 a '4 fir Phone`9'/- /'>! DESCRIPTION OF WORK S Main Building: Accessory Building: Z Address t t E 0 TYPE OF PERMIT ED U FOUNDATION ggqU STRUCTURAL T Front N Arch/Eng. License No. ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING }IMECHANICAL B Rear - I Address _ GG 0 -OTHER / A N Contractor's Name �✓i/�A 6#1.- ;*"4".* 5 5'S• Phone7'>e' t7 PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right G �v—sp /' / - R Address(mailing) ^�O` D .} S• Gr�c.�r l�✓> �� CON STRUCTION TYPE VALUATION _ S Left - .. E City License No. _Da% />c ZONE GRADING CU.YDS. ACRES Ping. Ref.# Park.Fees $, Q LICENSED CONTRACTOR DECLARATION Remarks: 6 /047/3 047 06, - Parking Req./Provided I I hereby affirm that I am licensed under provisions of Charter 9 (commencing R with section 7000) of Division 3 of the Business and Professions Code,and � Use of Building: -• E my license is in full fart n ff Llcen Classicens• o. .-- /G - PLUMBING 'I FEES Planning Notes: • E Date _ • Signature Air / /2 • - - WORKERS'COMPENSATION DEC 4' ON Bar Sink Showers , N T 1 hereby'affirm that I have a certifi -te of consent to self-insure or a certificate Backflow Preventer Service Sink S of Workers' Compensation Insurance, or a certified copy thereof (SectioyJ - . ,t. 3800, Lab. C-) i rf rY �// �� y"-' Backflow Irrigation Sewer Cap • ELECTRICAL FEES "O Policy No. / .2 ? Company !J`7 Certified copy is hereby furnished. Bathtubs Sewer Connection Automatic Washer Transformer 0 15-50 KW ti C e r i +eic9By�tyetl with the city Buil g Di •n I� ���� 0 50+KW Date �� 77 Applicant �� Clarifiers Solar Collectors _ Construction Pole Sub.• ' EX PTION FROM WORKERS'COM A 10 DE LA ATION Dishwasher Solar Piping CookingUnit Meter ❑u to 100 amps (This section need not be completed if the permit is for one hundred ($100)or P P less). •I certify that in the performance of the work for which this permit is issued I Drinking Fountains Solar Tank Dishwasher • Meter Myer 100 amps shall not employ any person in any manner so as to become subject to the ,- Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa Dryers OGas ❑Electric Sub Panel Date ' Signature NOTICE:If,after making this declaration,you should become subject to the Floor Sinks Urinal • Fan Motors❑0-1 HP ❑1X-8 Workers' Compensation provisions of the Labor Code, you must forthwith ' HP.E11% comply with such provisions or this permit than be deemed revoked. Gas Service ,Outlets Water Closet 1 F.A.U. Inc.Solar 09-15 HP 016.15+ CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance ' Interceptors Water Heater Fixtures i Microwave of the work for which this permit Is issued (Section 3097 Civ. C.) - Lender's Name Kitchen Sink Water Service - Device Boxes Pole Light • Lender's Address Lavatories OWNER BUILDER DECLARATION - Outlets Range I hereby affirm that I am exempt from the Cdntractor's License Law for the p-Tre following reason (Section 7031.5 Business and Professional Code: Any city or p - Switches Sign county which requires a permit to construct,alter,improve,demolish or repair • any structure, prior to its issuance, also requires the applicant for such permit Roof Drains Garbage Disposal Standing Sections to file a signed statement that he/she is licensed pursuant to the provisions of ' the Contractor's License Law(Chapter 9(commencing with Section 7000)of Generator ❑0-5 KW ❑5-15 KW Trash Compactor Division 3 of the Business and Professions Code) or that he/she is exempt • " p ' 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 Reinspection Fee $25 Issue Fee $ 3 enalty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole MECHANICAL - - Reinspection Fee , $25 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered FEES • for sale (Section 7044, Business and Professional Code: The Contractor's PUBLIC SERVICES REQUIREMENTS: License Law does not apply to an owner of a property who builds or improves Boile! Hood or Type I 0 thereon, and who does such work himself/herself or through his or her own Zoning Approved By Date employees, provided that such Improvements are not intended or offered for Canopy Type II ❑ sale- If, however, the building or Improvement is sold within one year of com- Duct-Under Ground Application Approved By Date pletion, the owner will have the burden of proving he/she did not build or Im- rove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By - _ Dat: Am; O I,as owner of the property,am exclusively contracting with licensed con- ❑0.100,000 BTU ❑100,000 BTU tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating , SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who " — builds or improves thereon, and who contracts for such projects with a con- Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ • PERMIT ❑ i am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBO# PLUMBING $ ISSUANCE $ _....--- Date J Date qwner Heating'System Ducting PLAN CHECK $ ENERGY P.C. $ I hereby certify that have r ad this application and state that the above / 'O-100,000 BTU 0100,006BTL GRADING $ ' information is co re . I agre o ply with I city and county ordinances ELECTRICAL $ and state laws r ng to di structs and hereby authorize repre- PLAN CHECK $ MICROFILM . $ inspection of, cityo t -mentioned propertyfor MECHANICAL $ TOTAL FEE $ /� inspection pU s¢ fj i/ %C/ n Signature_ ✓ Date)/ !J 1 ' Accounting;Goldenrod'-Assessor - - - - - - ' - - - - - -- 7 . CONSTRUCTION AND PLANNING POOL &SPA APPROVALS -Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6.:Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. .Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines,P-Trap, O Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing ' 65. Electrical:Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. hough 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 477/ lwe • FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace /!y r 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 7/r 2/21`j e_44 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 , ' 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 PERMIT NO. _ ' TRACT NO. LOT NO. BL G.NO. I • • - CONSTRUCTION PE'MIT /o7"-S � 3102 1/26/84 54.97 IL • Project Address . e ' G tt TYPE OF CONSTRUCTION • L I NEW ❑ ADD IJ ALTERATION U REPAIR• 'Applicant's Mailing Address Al El CONVERSION El DEMOLISH 0 OTHER - A.P.# • I Zone- - Owner's NameI - 'e��—•?alai f / ••a JO+A'• DESCRIPTION OF WORK S Main Building: Accessory Building: Z Address < yI 1 7;77f //741/itt - E 0 TYPE OF PERMIT LJ GRADING LJ FOUNDATION U STRUCTURAL T. Front N Arch/Eng. License No. 0 TENANT 0 ELECTRICAL 0 PLUMBING El MECHANICALB Rear I Address - ❑ OTHER 1 A N /per�jC77� PROJECT DESCRIPTION SQ.FT. OCCUPANCY C Right - G Contractor's Nam: ! i��= •hone`�i'�^ K — Addre35(meiling) Pi? (" ,#/�J CONSTRUCTION TVPF VALUATION$ S Left R ,j�y.F��4 ZONE ' GRADING CU.YDS. ACRES E City License No. �/ /� / (� Ping. Ref.qui Park.Fees $ Q 4 L3 — A) fc O U LICENSED CONTRA TC OR DE LARATION Remarks: Parking Req./Provided I hereby affirm that I am licensed undo •-•vislo •f Charter 9 (commencing - R with section 7000) of Division 3 of sin- s a d Prof. .ns Code, and Use of Building: E my license is in full for and .ffect. License Class AS Llcen thifir I 1 PLUMBING I FEES Use Notes: M Date — Wil- Signature f�70� .� _ - - E Bar Sink Showers • N WORKERS'•COMPENSATION DECLARATIO 7 T I I hereby affirm that I have a certificate of consent • self-Insure or a certificate BaFkflow Pr¢venter Service Sink , - - -- - - - S of Workers' Compensation Insurance, or a ce led copy thereof (Section 3800, Lab. C.) Backflow irrigation Sewer Cap ELECTRICAL FEES Policy No. Company ' - ,.� / 8 Certified ed copy is hereby furnished. Bathtubs Sewer Connection ( Transformer15-50 KW Automatic Washer 0 Certified copy is flied with the city Building Division. l Date Applicant Clarifiers ❑ 50+KW Solar Collectors Construction Pole Sub. . . . EXEMPTION FROM WORKERS'COMPENSAT • DECLARATION Dishwasher Solar Piping . Cooking Unit Meter ®p to 100 amps S (This section need not be completed if the per or •-. •and ed �`��11••)or less). /r ()kinking Fountains Solar Tank / Dishwasher Meter Dover 100 amps �. I shalltly that the performance anyof the work i•/ h this,•I 9 y not employ an a on In manna - o bac• e Workers'/Co �rlsa ws of California. / i. Floor Drains Swimming Pool w/Spa `I, / Dryers ❑Gas ❑Electric Sub Panel / /0 • Date I - I c,�,� 7 Signature '•� ����� ! NOTICEEE If,,after making this declaration,you should •e-•jYsubject to the Floor Sinks Urinal - Fan Motors 00.1 HP 01%-8 • Workers' Compensation provisions of the Labor Code • must forthwith _ - _ comply with such provisions or this permit shall .edeemed revoked. Gas Service Outlets Water Closet F.A.U. Inc.SDlar❑8-15 HP 016-15+ / CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending a•_ncy for the performance Interceptors Water Heater A Fixtures 'Microw2ve • - 3 of the work for which this permit is issued Section 3097 Civ. C.) Lender's Name - Kitchen Sink _Water Service Device Boxes Pole Light 1 Lender's Address Lavatories ! OWNER BUILDER DECLARATION - �`O Outlets Range 9, — i hereby affirm that I am exempt from the Contractor's License Law for the • p—Tre following reason (Section 7031.5 Business and Professional Code: Any city or p f�/ , Switches Sign ' , 4/ county which requires a permit to construct,alter,improve,demolish or repair — - - '/ any structure, prior to Its Issuance, also requires te applicant for such permit Roof Drains - Garbage Disposal Standing Sections 1 to file a signed statement that he/she is licensed pursuant to the provisions of 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 Generator 00-5 KW 05-15 KW Trash Compactor 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 Reinspection Fee I $25 Issue Fee $ 3 enalty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole MECHANICAL - - Reinspection Fee $25 Issue Fee $ 3 compensation will do the work,and the structure is not intended or offered FEES for sale (Section 7044, Business and Professional Code: The Contractor's - - ---------- -- -- - - ---- - _- - - -- --- - - - PUBLIC SERVICES REQUIREMENTS: License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I 0 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 Canopy Type II ❑ Zoning Approved By Date sale. If, however, the building or improvement is sold within one year of com- Duct-Under Ground Building Approved By Date pletion,the owner will have the burden of proving he/she did not build or Im• rove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By Date O 1,as owner of the property,am exclusively contracting with licensed con- ❑P100,000 BTU ❑100,000 BTU f tractorsto construct the project (Section 7044,Business and Professions Code: Duct-Ventilating SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who builds or improves thereon,and who contracts for such projects with a con• Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ tractor($)license • rsuant to the Contractor's License Law). - PLAN CHECK $ PERMIT ❑ I am exempt nd Section & P.C.for this reason Firepl/Fact.Bit. ICBG' , PLUMBING $ ISSUANCE $ Date v- Cr ne Heating System& Ducting _ PLAN CHECK 25% $ _ ENERGY P.C. $ Information is c•rrect.�agree •ad.y3 plypw h all city and county ordinances ❑0.100,000 BTU❑t00,0008T1� ELECTRICAL 1$ 3 7, GS GRADING' $ and state laws r•latln to bull•in,n/,•nstr • ion,•and hereby authorize repro- PLAN CHECK 50% $ / 7.3?- MICROFILM $ sentatives of th c •T, • e er /* on - above-mentioned pro arty or p inspection purpo--s.G t i. ■ ,// ,� Reinspection Fee $25 • Issue Fee $ 3 PLAN CHECK 25% $ Drivers' License_or, - - CMF 0865-46 rev.12/83 White-B•Iltling;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor CONSTRUCTION AND PLANNING: • -.POOL&SPA - • - - _ -. - F Date - Inspector - - Date; Inspector, . ,APPROVALS " Permit# . . APPROVALS Permit# - _ .t 1:Temporary Electrical Service or Pole . . 52. Pool &-Equipment Location . 2.' Soil Pipe-Undrgrnd._ • 53. Steel Reinforcement ` 3' ElectricalCbnduitUtilitly-Updrgrnd. 54. Forms ' ' J 4: Electrical Conduit-Undrgrfid.• - • , , - 55. Electrical Bonding - - 5. Steel Rei'nforcemeni! r • .. -56. Rough Plumbing& Pressure Test , 6.- Electrical LIFER Grrd:i , ' 57. APPROVAL TO COVER-GUNITE _ • I •,' 7. Footings; i , 'I i :- - .58. Electrical Conduit-Undrgrnd. 8. Foundation i I ''•1 • 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water.Piibe-Undrgrnd. . , i - s- ' 60. Backwash Lines, P-Trap, 0 Undrgrnd. ' ' 10. Structural Floor System : . 61. APPROVAL TO DECK .-i:-.._'7 11. Property Sewer Line & House Connection . ' 62. Backwash & Receptor-Final - 12. Sewer)C-aap , . ' , .- 63. Heater & Vent-Final _ 13. Roof Drains ' i • . 1 - 64. Plumbing System - Final - 14. Rough Plumbing I.:. - - 65. Electrical-Final • ' 15. Rough'Electrical-Conduit' - .+ - 66. Solar System-Final 16. 'Rough Electric Wiring r _ -- -yia3(94( 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 iFIRE DEPT. REQUIREMENT - ' - • 26: RoughFactory,Fireplace • ' APPROVALS Permit# „ 21. Ducts, in Structures 70. Underground Hydro •• . '22. Ducts, Ventilating _ 71. Product Piping 0 Gas 0 Oil - .23. Gas Pipe-Rough &Test I 72. Underground Flush 24. Roof Framing' I a 73.' Undergrnd.Storage Tank-Li Gas 0 Oil i I • • 25. Roof.Sheathing , I 74. Overhead Hydro a26. T-Bar Ceiling (Structural)- & Monocoat , 75. Dry Chemical ' ,•27. Frame and Flashing " - 76. Dry Standpipe - - - 28. Lathing& Siding ' '. 77. FIXED SYSTEM FINAL ' 29. _Insulation ° - , I 78. FIRE PREV. FINAL ' 30. Drywall Nailing - HEALTH DEPT. REQUIREMENT ' ' i ' 31. Plaster Brown Coat I . , 79. FINAL INSPECTION ' • I ' . - 32. Electrical Power Meter-Final "A Cc 80. FOOD CERTIFICATE ISSUED i.' 33. Final Electric Notes: - 34. Final Heating & Air Conditioning • ........ i' ••• i -' � l - t, .- l 35. Final Gas Pipe-Test , - - ' 36. Hood or Canopy I ' - - - - i . 37. Final Factory'Fineplace1 - . • , - y .. 38. Final Plumbing - • 39. Water Service;Final 40. Gas Service-Final , 41. Solar Domestic-Final ' , - - - , 42. BackflowPre`venter ; 43. Backflow Irrigation : , •44. .Landscape Irrigation System , ,r , 45. Sound Attenuation) ,. I - V ' - 46. Handicap Regulations • : i - I " - 47. FINAL STRUCTURE & BUILDING' , '- , ' - 48. Speciate Requirements Completed. i ' r 49. Electric Release io Edison ', i { , ' , • 50. Gas Release to Southern California Gas Co - • , - - ' l - I 51. CERTIFICATE OF OCCUPANCY • - - - • - l ' - 2649 ELDEN UNIT F - -B10687 / CCNDD $84,896. - 7/3//�44 (PC107-83) UNIT F P10694 rack. - 743/s-7 (B10687) UNIT F _E10726 MISC 7/6/ff1, (810687) (F) .11237 FIR 'LPCE i1/4/9g 810637 UNIT. F - - M12591 MSC 2./i3/4✓ B10689 BLD F ®® . , ... . . ® F13036 / FIRE SYS $1050. . i -- .� CITY OF COSTA MESA - - i� . __ BUILDING DIVISION F! ; 41 DEVELOPMENT SERVICES DEPARTMENT PERMIT NUMB ER PERMIT E03-01152 (714)754-5273 • Fax(714)754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE,COSTA MESA,CA 92626 ELECTRICAL PERMIT Job Address: 2649 ELDEN AV Status: ISSUED Suite No F Applied: 12/15/2003 Vicinity: F Issued: 12/15/2003 Parcel Nunmber: 93009206 OP-0 �� Applicant: MARLIN, MICHAEL ISSUED BY: / /rvL- Address: 2649 ELDEN AVE#F : / ' .--7/ , - �/ Phone: 949-548-5270 . COSTA MESA,CA Zip: 92627-4665 N' Owner: MARLIN, MICHAEL Address "2649 ELDEN AVE#F• , _ - Phone: 949-548-5270 COSTA MESA,CA Zip: 92627-4665 N' ` Contractor OWNER-BUILDER S19141 301 Address: I 1 V - Phone: TO Zip: ' License: 000000 - • s SCOPE OF PERMIT ABOVE GROUND SPA. 1 CONDUIT„ 1.SWITCH AND 1 MOTOR. - FEE SUMMARY. . Quantity - Quantity ISSUE FEE $23.50 Temp Dist System/Lighting $0.00 0 Temp service test $0.00 Busway/100 ft $0.00 0,' . Res.a/c package $0.00 Standing Section . $0.00 0: New Res(1-2 units) $0.00 0 Misc Electrical Equipment $0.00 0 ' New Res(34-units) $0.00 0 ,. Transformers up to 1 kva/kw $0.00 ; 0 ,• ' - • Pool/Spa $0.00 0 - - - up to 10 kva/kw $0.00 ' 0 ' Lighting Fixts $0.00 0 ,,,. - _yup to 50 kva/kw $0.00' .� 0 Recept Outlets ', $0.00 0 up to 100 kva/kw $0.00 ' 0 . . Switches $1.10 i - 1 over 100 kVa/kw -- $0.00 / 0 Non Res Appl. $0.00 0 Low Voltage Equipment $0.00 , , 0 Res Appl $0.00 0 - Low Volt Wiring System/Ckt $0.00. 0 Service to 200a $0.00 0 Misc.Conduit $1820 1 ' Service to 1000a . $0.00 0 Misc.Conductor $0.00 0 Service over 1000a $0.00 0 Circus(gen or ride) Motors to 1hp - $0.00 0 Circus(mech ride or lights) $0.00 - 0' / Motors to 10hp $12.30 . 1 Christmas Tree Stand $0.00- ',O� Motors to 50hp $0.00. 0 Fireworks Stand $0.00 , 0 Motors to 100hp $0.00 0 Other Electrical Fee $0.00 Motors over 100hp $0.00 - 0 N Communication drops $0.00 0 . Investigation Fee ' / $0.00 Sub panel to 200a $0.00 0 ' Plan.Check Fee $0.00 Pole Light Pkg $0.00 0 - Reinspection Fee $0.00 Sign Circuits $0.00 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations.(Ord.No.92-28,§1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days,or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required inspections and final approval must be obtained.Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714)754-5626 2446-46 Wool • t • DECLARATIONS WORKERS'96TAPENSATION DECLARATION: I hereby affirm under peAtalty of perjury one of the following declarations: r •❑ I have and will maintain a certificate of consent to self-Insure for workers'compensation,as provided for by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. 1 CII have and will maintain workers'compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which this permit is issued. My workers'compensation Insurance carrier and policy number are: Carrier: Policy Number: (This section need not be completed i7 the permit Is valued at one hundred dollars($100)or less.) ❑ I certify that in the performance of the work for which this permit Is Issued,I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California,and agree that If I should become subject to the workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE(5100000)•IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code,and my license Is In full force and effect.Lic.IS Class 0 Contractors Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued.(Sec.3097,Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER-BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason(Sec.7031.5,Business and Professions Code:Any city or county which requires a permit to construct,alter,Improve,demolish,or repair any structure,prior to Its issuance,also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or that he or she is exempt therefrom and 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).): ❑ I,as owner of the properly,or my employees with wages as their sole compensation,WILL DO THE WORK,and the structure Is not Intended or offered for sale(Sec. 7044,Busi,ass and Professions Code:The Contractors License Law does not apply to an owner of properly who builds or improves thereon,and who does such work himself or arse or through his or her own employees,provided that such Improvements are not intended or offered for sale.If,however,the building or improvement is sold within one year of completion,the owner-builder will have the burden of proving that he or she did not build or Improve for purpose of sale.). • I,as owne of the properly,am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project(Sec.7044,Business and Professions Code:The•*ntractors License Law does not apply to an owner of properly who builds or Improves thereon,and who contracts for such project with a contractor(s) license puruant to the Contractors License Laws.). I ❑ I am exam.. under sec. Business and Professions Code for this reason: • _ ` / Z-- S- Ql'S - rith. .y drivers license. - 0 Noy{' s license No. ` Ex ires: Verification of Ownership by(type of document,i.e.-property tax bill or deedk, DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ I hereby certify that no excavation five(5)or more feet In depth into which a person is required to descend,will be made in connection with work authorized by this permit,and that no building structure,scaffolding,falsework,or demolition or dismantling thereof,will be more than thirty-six(36)feet high.(Chap.3.2,Grp 2,Art 2,Sec. 341,Title 8,California Administrative Code). ❑ As owner-builder,I will not employ anyone to do work which would require a permit from the Division of Industrial Safety,as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? 0 Yes 0 No (Section 25505 of the California Health and Safety Code requires,with some exceptions,that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds,or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 2 Does or will the applicant or present or future building occupant need to file a registration form for acutely hazardous materials? 0 Yes 0 No • (Section 25533 of the California Health and Safety Code,with some exceptions,requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). 3 Does or will the applicant or present or future building occupant need to prepare an RMPP(Risk Management and Prevention Program for acutely hazardous materials)? ❑Yes ❑No (Section 25534 of the Califomia Health and Safety Code provides that the Costa Mesa Fire Department may require the preparation,certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. 4 11 an RMPP is presently required,has Section 25534 of the California Health and Safety Code been fully complied with? 0 yes ❑No 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this application akermit for such construction or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? Yes 0 No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). 8 Will any part of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes 0 No (If yes",the facility must meet the requirement of Sections 25534 and 42303 of the California Health and SafetyCode). 7 If a permit from the South Coast Air Quality Management District or othe7 air pollution control district or agency Is required for the work which is the subject of this application,have all of the disclosures prescribed by California Health and Safety Code Section 42303 been made? 0 Yes 0 No 8 (If yes",attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE F COMPLIANCE:I certify that under penally of perjury the information given above is correct.I agree to comply with all state laws and city ordinances regarding Haze ous Materials and Emissions. Signature: I Date: CERTIFICATE OF CIMPLIANCE AND AUTHORIZATION OF ENTRY:I certify under penalty of perjury that I have read this application and state that the information given Is correct. I agree to i"jnply with all state laws and city ordinances relating to building construction,and authorize representatives of the City of Costa Mesa to enter upon the above-described pro•-•rty for inspection pu 'cis,9,I agree not to occupy or allow occupancy of any building authorized by this permit until final inspection. �) IZ'1,5'oS SI.gFlle.. Ot Legal 0 nts) Date And/OrAuthorized Applicant Date Mil MEMO= • all itiTIOALS CODE It INSPECTION TYPE PATE 1KIIIISLS 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re-Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 - Final Sign 222 Final Site • 204 Final Demolition 250 Final Building/Occupancy a City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. 000592 Building Safety Division P.O.Box 1200 Costa Mesa,California The Building located at 2649 ECAEN UNIT 4F • has been inspected and found to comply with the provisions of ill City of Costa Mesa Ordinances applicable thereto for a Group R-1 Occupancy. — Use of Building CONDOMINIUM Legal Description 439-071-22 (See reverse side for Metes and Bounds) Building Permit No R-106(.17 Electrical Permit No.E-10726 Plumbing Permit No. P-10694 Mechanical Permit No. M-12379,14-12591 Number of apartments ///11 and/or guest rooms/ �� ISSUED TO: Building Official ,l si, /1 i 4�&21f ELLEN VENTURE GROUP by 1539 MONROVIA #19, NEWPORT BEACH, CA. Q Date /2. ec �/ S77!/ 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 (e) U.B.C. CMF 1015-46 rev.1/83 White-Owner;Canary-Numerical File;Pink-Bldg.Permit File Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. _ •CITY OF COSTA-MESA . • . - Pit MIT N - TRACT NO. V LOT NO. BLDG. NO. - - - . • . - • CONSTRUCTION PERMIT • . . • `Cts l/� // �� �'g/ .[X �I 4 2950 1 /211/84 ' 393.94 TL Project Address - ire TYPE OF CONSTRUCTION KNEW J ADD H ALTERATION U REPAIR • Applicants Mailing Address !/'CrJ ' ti • a D CONVERSION ❑ DEMOLISH/'❑ OTHER. ,r A;P•# 4 31- 0-1 I . 2_7--..., Zone" R'L , GG I/ //�� ��//i,- - DESCRIPTION OF WORK - t�ati'.-O 'Al Owner's NameFL�'�l/i ,arGti�( �CUP Phon:r7.a1► - • S Main Building: : -Accessory Building: ' • Z ' 1c39 t tf34 / via 4W? "AI- q E D Address �Q ¢ (� TYPE OF PERMIT ❑ GRADING U FOUNDATION JN STRUCTURAL T Front A W-m.,Lath • ' o ' N Arch/Eng,AC'/F/ 6/a0C.�/h-OSTS License No.'2/ V7 ❑ TENANT ❑ ELECTRICAL p❑�PLUMBING- ❑_MECHANICAL �J B. Rear 1.41'6" '- • • _ - /I! Address I 0A£ /7 f'i 57�i�/ias C . • ❑'OTHER • - Fri+ 2 -,, . /4 D A f . . t,N Contractor's Namq /�-�hpl> /'yJ- 1Q�+c,J�-eQ'S Phone/,z� PROJECT DESCRIPTION' sq i- '�_• OCCUPANCY G�• K Right Q I( , ' • •. `G Address(mailing) [gig . t b& .49s -4 #8 /LJ_A+ ,CONST CJJJN TYPE -71("" • 'VALUATION$ S Left (J I (t E • • ZONE (r - GRADING CU.YDS. ACRES - Ping. Ref.# Park.Fees $ �+C / 0 City License No. Qj 84 O O.�.s J U LICENSED CONTRACTOR DECLARATION Remarks G .c '/ o�_�/� • •,8J A� Parking Req./Provided • ' • 1 hereby'affirm that I am licensed under provisions of Charter 9 (commencing • l with section 7000) of Division 3 of the Business and Professions Code,and i °,015-07,eQ • I /' Use of Building: , , I ' . JE my license is in full force and a act. _ , License Class �� '� - No. y/298y , PLUMBING FEES Planning Notes: UnTfl V R c•17flAI •'F(1RIAFn4FNTe M Date ' /- '•'• ' Signature ���/�' - - .EN WORKERS'COMPENSATION DEC fps••TION ' . • Bar Sink • • Showers _ T I hereby affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer Service Sink • t - bS • -of Workers' Compensation Insurance,.Insurance,,or a-.eertifiedecopy-thereof.(Section i 3800, Lab. Cr00'49.< rn//ZN/Ot7r Backflow Irrigation . • Sewer Cap '.)'. _ • ELECTRICAL FEES U Policy No. Company -- -- - : - , certified copy is hereby furnished. '•I I Bathtubs ' Sewer Connection; �': . Automatic Washer • ' (Transformer 0 15i50.KW, .I I • — ertif ed o -led with the cit • - . vision. , ,- • ' Date � '- Applicanty �,�-- — - Clarifiers Solar-Collectors :/ I '�• I Construction Pole Sub. : • ' D 50+KW('- ; EX EMPT'10 N.F WORKERS'COM N •TION DECLARATION __ __ Dishwasher •, +-- ') - - - - �? ' (This section need not be completed if t rmit is for one hundred ($loft)or i Solar Piping ',- -- CookingUmt�- -- • -- - -- Meter-�upto-100 amps -- -� • Iecer j i • ^I 1 I Fountains • - ' 's_ .,_17 ' cert i fy'tem in the performance of the work for whto this permit Is Issued, I Drinking SOlarTank •J, \,i Dishwasher ( • :Meter Dover 100 amps ;1 , shall not employ any person in any manner so' to become subject to(the - -. 1 Workers' Compensation Laws of California.. -- ; i ' Floor Drains' . Swimming Pool w/Spa'• q ' \ I 'Dryers'0Gas ❑Electric • I :Sub Panel ' Date • I Signature - - NOTICE:If;after making this declaration;you'should become subject to the Floor Sinks i Urinal ' i Fan i , rMOtors 00-1 HP O1'/:�8 ��, I Workers' Compensation-provisions of,the•-Labor Code, you must-forthwith . . , comply .withi such .provisions,or_this permit shall be'deemed revoked. Gas Service. Outlets ,Water.Closet ) , - ' CONSTRUCTION LENDING •AGENCY- °- - F,A.U. •Inc.SOlarD 9-15 HP ❑16-15+ I K I hereby affirm that there is a construction lending agency for the performance Interceptors - Water Heater • Fixtures • Microwave of the work for hich his• pgr it is•issued (Section-3097- Civ. C.1 _ - _ - - - ' 1 Lender's Name^ OL /Alcr? - - . Kitchen Sink - 1Water Service - i f ! Lender's Address; /JO4 ,24/71'8 Aid- ' 'cm - _ . Device Boxes I i Pole Light , Lavatories : i i r - • - - • OWNER BUILDER DECLARATION , I _ , _ - �._ •' - - . : •Outlets' .Range I ' I hereby affirm that I ani exempt from the'Contractor's License Law for the p_Tra - i • following reason.(Section 7031.5 Business and Professional'Code: Any city or p • j ` Switches • i Sign , i county which requires a permit to construct,alter,Improve,demolish or repair - - ' any structure', prior to its,Issuance, also requires the applicant for such permit ' - , .Roof Drains' - / i„ to file-a;signed statement'that he/she is licensed pursuant to the provisions of ' - r. _ ,. Garbage Disposal Standing Sections • r 'he Contractor's License Law(Chapter 9(commencing with Section 7000)of ' - ' , ' - ^ ;vision'3 of the'Bsiness and Professions Code) or that he/she is exempt - • ) - ' ._ - l Generator DD-5 KW D5-15 KW Trash Compactor erefrom•antl the basis for the allegedperexemption: Any violation of Section - , /031.5 by.any-applicant for-a, permit'subjects the applicant to a civil I ; I i • enalty of not more than five hundred dollars($500), Reinspection 'Fee :$25 Issue Fee c - $ 3 • tIJ I ,asl owner of the'property;or my employees with wages as their sole • V i . - • _ Reinspection Fee I ! $25 I-Issue Fee; ! , $'3 • 'compensation, will do the work, and the structure is not Intended or offered ` 'MECHANICAL -j FEES" - for sale (Section 7044, Business and' Professional Code: The' Contractor's - - - - •_ I - PUBLIC SERVICES REQUIR �0E TS: ,/i /� License Law does not apply to an owner of a property who builds or improves Boder, •-- 1 1 ,I Hood or' Type I •• D ,. AV IT Z ./ 1 thereon, and who,does such work•himself/herself or through his or her own • _ 1 f• Zoning Approved By 14 i nate • T • employees, provided that such improvements are not intended or offered for I . i Canopy , Type II- D , , I - sale. If, however, the building or improvement is sold within one year-of com- Duct-Under Ground I I I . .. Application Approved By ' • Date '/-f-r- pletion, the owner will have,the burden of proving he/she did not build or im- ' rove for the purpose of sale). - Duct-Structural Refrigeration System , - • , Application Issued By I 41" / Date 7 -all I,as owner of the property,am exclusively contracting with licensed con- • ❑0.100,000 BTU ❑100,000 BTU • _ tractors to construct the project(Section 7044,Business and Professions Code: Duct-Ventilating SU R,(_OF FEES '/ ...The Contractor's License Law does not apply to an owner of property who_' _ .- - _ . .. )• BUILDING PERMIT • $ a •••• SMTP 5 / Y builds or improves thereon,and who contracts for such projects with a con- ' Exhaust System D Multiple D System Repair/Alteration - ' $ • i tractor(s) license pursuant to the Contractor's License Law). : - ' PLAN CHECK $ • PERMIT O'I,am exempt under Section B.& P.C.for this reason ' Firepl/FactI .Bit. ICBG# PLUMBING • $ • ISSUANCE $ Date i •• I Owner! • • Heating System& Ducting ' '' ENERGY P• .C. . $ ' I hereby certify that I have read this application and state that the above - Do-100,000 BTU 0100,000BTL I PLAN CHECK $ GRADING $ information is correct-I agree to-comply'with all city-and.county ordinances - - - - • •_ - • _..- .. -. -._• "_" • ELECTRICAL • $ • and state laws relating,to but .'.• construction,-and hereby authorize repre- - I PLAN CHECK $ ' MICROFILM • $ • • sentatives of .r•rc� --e.•• a above-mentioned 'property for I inspection pur•-•t4r —" �,,p - Q Signature • : ' - Date '1'24"•/Y: • I MECHANICAL $ I TOTAL FEE $ •39.3'��� , Reinspection Fee $25- Drivers' Licen ' Issue Fee ' $ 3 PLAN CHECK $ - _ CMF 0865-46 rev. 7/831 White-Building;,Canary-Applicant;Pink-Accounting;Goldenrod-Assessor _ • . _ ' - _ - - .... . "- _ • __,- .. - - 'CONSTRUCTION AND PLANNING' -- - POt . SPA , . APPROVALS Permit# Date Inspector - 'APPROVALS " • Permit# ' - Date Inspector -1. Temporary1Electrical Service or Pole • •i. ' • ' 52. Pool & Equipment Location Hp'''. - -- - - • 2. Soil Pipe-Undrgrnd.. - - 53.'Steel Reinforcement ' 3.' Electrjcal'Condot,• iUtllity-Undrgrnd • 54. Forms 4:.'Electrical1CondtitUndrgrnd. 55. Electrical Bonding - 5.- Steel!Re0forcernen•• te . : - 56. 'Rough Plumbing & Pressure Test,• , - • • 6.,IEIectncal'UFER.Sirnd. - • . - ' _57. APPROVAL TO COVER-GUNITE 7.-Footirigs: :1'. ' ••,} ` • . , • 9s . 4.1` ?c 58: Electrical Conduit-Undrgrrid. . 8; Foundation r't ? sIAtty,, ;-2•l`F ddi59:_ Gas Pipe, O Undrgrnd.,Test • 9: Water.Pipe-Undrgrnrt. - 60. Backwash Lines, P-Trap;O Undrgrnd. 10'Svuctura{ Floor System . . •• 61. APPROVAL TO DECK- •'' • - 11.! Property$ewer.Line & House Connection ' 62. Backwash & Receptor-Final ' • 12, Sewe;Fap n ''v 1 - - - . ' 63. Heater & Vent-Final . 13. Roof,Drains _ -64. Plumbing System - Final • 14. Ro �•gf; Plumbing . - 65. Electrical-Final ' 15. Rough Electrical-Conduit t - . - 66. Solar System-Final' • - • - 16. Rough Electric Wiring .• 67: Febcing•& AccesSApproval :17. Rough Wiring Sign : - • -. -• - - 68. APPROVED FOR PLASTERING . 'ia..Rough Electrical-T. BariCeiling , 69.i POOL/SPA SYSTEMS:FINAL • , 19. Rough Heating &'Air Conditioning - FIRE DEPT. REQUIREMENT • 20. Rough Factory Fireplace - APPROVALS Permit# 21. Ducts, in Structure • • 70. Underground Hydro • • ,32. Ducts, Ventilating! '' • ' 71. Product Piping 0 Gas 0 Oil • ;23. Gas Pipe-Rough&,'Test • 72. Underground Flush • 124. RoofFraming' . . . .. t , , 73:-Undergrnd.Storage Tank 0 Gas 0 Oil }'25. Roof Sheathing'%., - eVT) 5 74: Overhead Hydro • 2.. ' ' 26. T-Bar•Ceiling$Stiuctural) & Monocoat, • 75. Dry Chemical 27. Frame and Flashing ; .Y CAS/31• •a! 76. Dry Standpipe 28. Lathing &Siding : ' • 'c .. 77. FIXED SYSTEM-FINAL 29. Insulation • •:-1) 78. FIRE PREV. FINAL 30. Drywall'Nailing l ;.4...: .r , , HEALTH DEPT. REQUIREMENT 131. Plaster Brown Coat •', Oil • �f�' ' ) 79. FINAL INSPECTION 32. Electrical PowerMeter-Final ' _ • ; : ' 80. FOOD CERTIFICATE ISSUED 33. Final ElectricNotes: 5411419 .g4 s o,k 0J< TO 34. Final Heating & Air Conditioning ty,4 / tj/ q�.� / $ pmt 35. Final Gas.Pipe Test - : • 36. Hood or Canopy - i, • . , 37. Filial Factory+Fireplace � ;. , - • ._ . • 38. Final Plurabing-y'' . r. . 39. Water Service-F[nal` • _ 1 40. Gas Service:FinaI - ' t-,t J ' 41. Solar Domestic-Final - - ' - . ' _ - _ • T 42. Backflow Preventer r) , 43. Backflow Irrigation • , - ' 44. ,Landscape,lrrigation System ' _ - • 45. Sound Attenuation - - . 46. Handicap Regulations ; - 47. FINAL STRUCTUREt&rBUILDING .�Lt 4, � . 9 3 , 48. Special Requirements cdmpleted ; 55S((/4�4 0 _ ' • i 49. Electric Release to Edison . _ -- - - -- - 50. Gas Release to Southern California Gas Co : • ' - • • . • 51. CERTIFICATE OF OCCUPANCY ' No. Z.. Date /2- `1-Bf - 61/41 �I/c_ Ltttttr "' : . -- Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. •CITY OF COSTA-MESA -- - PE MIT NO. TRACT NO. LOT NO. BLDG.NO. - -- - - - 2956 - I /24/eL4 • -- - A6.50 - IL CONSTRUCTION/PERMIT, —/OGsV` , Project Address ••2 6 99 YZee-Ai, )4-.c. Yc� K. TYPE OF CONSTRUCTION. IN LJ ADD U ALTERATION U REPAIR - - - - '. Applicant's Mailing Ad ss rid /I/ 2rIf Ka r.�• ❑ CONVERSION -❑ DEMOLISH CI OTHER - • A.P. - I.20n8 / v� / DESCRIPTION OF WORK - - - - - Owner's Name ae, 11w • Phh,p6�'r-�/J i - S Mair;Building Accessory Building: 2 Address �sn-3�7 p�//yA�-M."/'0✓.4 -frit'Q' - TYPE OF PERMIT ❑ GRADING^❑ EFOUNDATION ❑ STRUCTURAL - T Front' • - •' - 0 N Arch/Eng. ,- S, • ,( /N ' L.+y- - License No. 2/�7 ❑ TENANT ❑ ELECTRICAL I LUMBING ❑ MECHANICAL B Rear • - , 1 Address '� Y ( . �7 / r ❑ OTHER . - • A . . _ N JCC/ J��b lCL / JJT? PROJECT DESCRIPTION SQ. FT. OCCUPANCY' C Right G Contractor's Name�'y� //'r n.. u -Phone- �+ - .. , R, , Addre55'(maihng) 2+7 Y1� ���>,� �( '�...‹. CON ST RUCTION TYPE VALUATION$ $ Left - - E 2457 Z'- „ ZONE • GRADING CU.YDS. ACRES Ping. Ref,# • Park.Fees $ 0 City License No. _ - - U LICENSED CONTRACTOR DECLARATION ' Remarks: T7 - / 6 f�7 Parking Req./Provided 1 1 hereby affirm that I_am licensed under provisions of'Charter 9 (commencing fO / - . - - R with section 7000) of Division 3 of the Business and Professions Code, and , . I • Use of Building: i - - E my license is in full for - and -f •ct. " License Clas ' ` - a ' L-•-n No. /8 t - - PLUMBING - I FEES Planning Notes: E Date -- Signature r is �• te ZP��3 I I - , - WORK.,-S'Co MP NSATIOND --- •T,• ' e , Bar Sink Showers • T ' I hereby affirm that I have a certificate of consent to self-insure or a certificate � i I S of Workers' Compensation Insurance, or a certifietl`copy thereof (Section _Backflow Prevent• _ - _ Service Sink •- - . - - -. 3800, Lab. C�•O• �•i' .J ' Backflow Irrigation Sewer Cap ' ' ,.%' , ELECTRICAL ' t- FEES Policy No. V6 7 55 (/l Company ', /'-C4 Y - Cerpfietl copy-is hereby furnished. • Bathtubs .I Sewer Connection , "� Automatic Washer' Transformer 0 15.50 KW - te" is ed the city Bui •wislo�� � I ❑ 50+KW Date 7 Applicant "Clanbers Solar Collectors `— Construction Pole Sub. EXEMP ION OM WORKERS CO ION DEC A ( Dishwasher TI- ,--- Solar Piping' - T - '- .X - Cook fog Unit -• . . 'Meter OUP-to 100amps- - -- - • (This section need not be completed if the permit is for one hundred ($100) or less): DrinkingFountains ! _ I certify that in the performance of the work fso as ch this permit is Issued,I Solar Tank Dishwasher Meter ❑Ov¢r 100 amps shall not compensation person in any manner so•as to become subject to the , , - Workers' Compensation Laws of California. Floor Drains' I Swimming Pool w/Spa - Dryers ❑Gas 0/Electric .'$tib Panel Date ' Signature • i - - ' NOTICE:If,after making this declaration,you should become subject to the . —Floor Sinks Urinal ._,_ _ _ Fan _ •,- - - _ . Motors• ❑0-1 HP ❑1'/:-8 ' Workers' Compensation provisions of the Labor Code, you must forthwith � G - - - comply with such provisions or•-this .permit shall be deemed revoked. : ( Gas Service .J cutlets ] Water Closet -' . • - O F.A.U. Inc.Solar.09-15 HP ❑16-15+ CONSTRUCTION LENDING AGENCY' I - . 1 -•� -' - 1 hereby affirm that there is a construction lending agency for the performance ' Interceptors .. f Water Heater. •�- Fixtures . Microwave ' of the .work •for Which- this permit is, Issued'(Section 3097 Civ. CJ• • - - ` ' _ , Lender's Name ' - - ° - Kitchen Sink Water Service ` - . I _A �-t' Device Boxes Pole Light • - Lender's ,Atldress. ' ' -' - - n / q - " OWNER BUILDER DECLARATION - y ' - .3 Lavatories.- -i ,,L .M _- . `N sy j Outlets - • Range ' - , I hereby,affirm that I am exempt from the.Contractor's License'Law for the - - .. III TTTttt/// , - t following reason-(Section 7031.5 Business and.Professional Code: Any city or j P=Trap - - . Switches $igri ,county which requires a permit to construct,alter,improve,demolish or.repalr ' _ . ' - ' any structure, prior to its-issuance, also requires the applicant for such permit Roof Drains, 1 - - i. .. i ' •, Garbage Disposal Standing Sections • %to file a signed statement that he/she Is licensed pursuant to the provisions of - . 'he Contractor's License .that (Chapter 9(commencing with Section 7000)of , ' . - •. ' - i • i • - -- I ivision 3 of the Business and Professions Code) or that he/she is exempt - - - - • , -b Generator ❑0-5 KW ❑5-15 KW Trash Compactor ' terefrom 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 Reinspection Fee. I $25 - Issue Fee -. ( C $,3 LJmalty of not more than five hundred dollars($500). _ _ I,- as owner of the propertyfor my employees'with wages as their sole MECHANICAL Reinspection Fee I $25 Issue Fee ' $'3 compensation, will do the work,and the structure-is not intended or offered i - . - FEES - - for sale,(Section 7044, Business and Professional Code: The Contractor's - License Law does not apply to an owner of a property who,builds or Improves Boiler • I Hood or Type I 0 PUBLIC SERVICES REQUIREMENTS: thereon, and who-does such work himself/herself-or through his or her ownZoning Approved By • D• ate - employees, provided that such Improvements are notintended or offered.for Canopy Type II ❑ _ P , , Duct-Under Ground sale. If, however, the building or Improvement is sold within one year of com- I Application Approved By Date pletion,the owner will have the burden of proving he/she did not build or;im- rove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By Oaten— , U I,as owner of the property,am exclusively contracting with licensed con- ❑0-100,000 BTU ❑100,000 BTU tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating :SUMMARY OF FEES , The Contractor's License-Law does-not apply to an Owner-of property who BUILDING PERMIT ' builds or improves thereon, and who contracts for such projects with a con- Exhaust System 0 Multiple 0, System Repair/Alteration _ • $ SMTP ' $ tractor(s) license pursuant tot the Contractor's License Law). - • - PLAN CHECK $ • J PERMIT 0.1am exempt under Section B.&P.C.for this reason Firepl/Fact.,Blt. ICBO�# i':,- ; PLUMBING $ 3J)id ��J •ISSUANCE $ ' Date Owner - Heating System& Ducting - PLAN CHECK . $ ' - ! SV Ir ENERGY P.C. $ I hereby certify :t 1 have read t is application an• ..,% that the above _ ❑0100,000 BTU 0100,000 BTU -_ - I ' 1 - 1 - GRADING i $ ' Information is •rre .'t afire- o ply with • -county ordinances - --'i ELECTRICAL $ and-state la. relatl-g to •/- r/c.-struc I eby authorize repre- I - PLAN CHECK , $ ' MICROFILM $ ,!n c sentative1 •• is cty t• �n t / tionetl pro erty f r , ' ' ' • TOTAL FEE , $ �L''�+ 1 Inspection • poses , �/�' `/ MECHANICAL ) $ Signature ` % �. � 'CMF 0865-46 rev. 7/83 White=Bulltling;Canary-Applicant;Pink--Acco unting;'Goltlenrotl-Assessor - -- - - - - . --- . - 1) 'CONSTRUCTION AND PLANNING POL A SPA • APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector .1. Temporary Electrical Service or Pole ••• 52. Pool & Equipment Location 2.' Soil Pipe-Undrgrnd'. ;.:(.8y J' 53. Steel Reinforcement • 3.• Electrical Conduit Utility-Undrgrnd. - 54. Forms • 4. Electrical:Conduit-Undrgrnd. 55. Electrical Bonding `5. Steel Reinforcement - . 56. Rough Plumbing & Pressure Test . • 6. -Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE . 7.' Footings ' 58. Electrical Conduit-Undrgrnd. 8. Foundation ' . 59. Gas Pipe, 0 Undrgrnd., Test - 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap,0 Undrgrnd. ' 10. Structural Floor System / 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection /_26r84 ice 62. Backwash & Receptor-Final r 12. Sewer Cap 63. Heater & Vent-Final 13.' Roof Drains - 64. Plumbing System - Final . 14. Rough;Plumbing ' ' - 65. Electrical-Final . 15. Rough Electrical-Conduit • _ 66. Solar System-Final • 16. Rough Electric Wiring ' 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL •19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20.. Rough Factory Fireplace APPROVALS Permit# - '21. Ducts; in Structure 70. Underground Hydro 22. Ducts, Ventilating ' 71. Product Piping 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:,t(( - 1.10 t4ouscConn€yirot-j i-2t-S( /_'w 34. Final Heating& Air Conditioning 35. Final-Gas Pipe-Test 7/Q'9'( (.,EO 36. Hood or Canopy ' 37. Final Factory Fireplace 38. Final Plumbing 7110? L40 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 , ' 51. CERTIFICATE OF OCCUPANCY No. Date y _ Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. - 7519 3/29/64 B.OIJ it citY OF COSTA MESA PERMIT NO. TRACT NO. LOT NO. BLDG.NO. CONSTRUCTION PERMIT S - /2- 3 2.2 Project Address i —.60.--As �� �/ TYPE OF CONSTRUCTION /W NEW• U ADD U ALTERATION LI REPAIR - - ' Applicant's Mailing Address. 1- 7 & OA//J/XX/// �M 1 ' 9....3/49CONVERSION ❑ DEMOLISH ❑ OTHER A.P.A •# / D•^'l/ •J Z I Zone f'- Owner's Namea.Oe ✓ I rAiWIZ e C-�ae0 OP'Phone!/'Y5-41q/3 DESCRIPTION OF WORK T S Main Building: Accessory Building: Z • Address f C3(9 nwNPnl7/A #19 N1a - E - O {� ry TYPE OF PERMIT ❑ GRADING LI FOUNDATION ❑ STRUCTURAL T Front N Arch/Eng.�Pn - N-1" COKICI_➢7s License No. �/ o 2 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING MECHANICAL 8 I /357 cC /7d1 [' /77 ❑ 'OTHER A Rear N Address nL - — - Contractor's NameAte ..2 24.077 rtelJ4• �Phonr•�j 'e/9�9 PROJECT DESCRIPTION SQ. FT. - OCCUPANCY „ar-/- C Right G R p K Left Address(mrlilingl�S�/ ��n�f/`-�l�/ /��B CON STSR�UCTION TYPE �� VALUATION $ E ZONE /-� GRADING CU.VOL ACRES - Ref.# Park.Fees $ O City License No. ae QTIs I Ping.LICENSED CONTRACTOR DECLARATION Remarks: �^5� ,'l phi Parking Req./Provided I I hereby affirm that I am licensed under provisions of Charter 9 (commencing ,a/'D� ,a,�71T /nlo / with section 7000) of Division 3 of the Business and Professions Code,and . • Use of Building: R my license is in full force and effect. gel" Ucense Ia _ U m /�, - PLUMBING I FEES Planning Notes: M Date Signature • E WORKERS'COMPENSATION DECLA AT ON Bar Sink Showers (N T I hereby affirm that I have a certificate o e nsent to self-insure or a eccet2 Backflow Preventers • Service Sink - S of Workers' Compensation Insurance, or a certified copy thereoff (Section ' 3800, Lab. C.) ''ll �/ �b . Backflow Irrigation .•,• Sewer Cap ELECTRICAL FEES Policy No./41.4i4•7 51.4" -2x0 Company" eW, Q5t 077 Certified copy is hereby furnished. Bathtubs Sewer Connection Automatic Washer Transformer 0 15-50 KW �Certitl copy i5 d with the city Bull_ Ivisi yny ❑ 50+KW ' Date �'�/ `fir Applicant / k 7`-� Clarifiers Solar Collectors Construction Pole Sub. - EXEMPTION FROM WORKERS'COMPF.N ATION DE LARATION Dishwasher - Solar Piping CookingUnit • Meter ❑u to 100 amps (This section need not be completed if th mit Is for one hundred ($100)or - p ' less). DrinkingFountains • I certify that in the performance of the work for which this permit is issued, I Solar Tank Dishwasher • Meter Dover 100 amps shall not employ any person In any manner so as to become subject to te - Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel • Date Signature NOTICE: If,iafter making this declaration, you should become subject to the Floor SinksUrinal Fan - Motors 00.1 HP 01%-8 • Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this•permit shall be deemed revoked. Gas Service 'Outlets Water Closet F.A.U. Inc.Solar 09-15 HP 016-15+ CONSTRUCTION LENDING AGENCY - I hereby affirm that there Is a construction lending agency for the performance Interceptors Water Heater Fixtures of the work for which this perm`` is issued ((l$eection 3097 Civ. C.) p Microwave Lender's Na me 'd.#9.t/G F L 9 t' ,T--9l4IA/L•dr Kitchen'Sink Water Service - • • Lender's Address /'In0 /SZ1�A/J15 CT/77 • Device Boxes Pole Light OWNER BUILDER DECLARATION Lavatories • Outlets Range • I hereby affirm that I am exempt from the Contractor's License Law for the p-Tre following reason (Section 7031-.5 Business and Professional Code: Any city or p _ _ - Switches Sign county which requires a permit to construct,alter,improve,demolish or repair - • any structure, prior to its Issuance, also requires the applicant for such permit Roof Drains Garbage Disposal Standing Sections • to file assigned statement that he/she Is licensed pursuant to the provisions of - a Contractor's License Law(Chapter 9(commencing with Section 7000)of Generato • r ❑45 KW❑5-15 KW vision 3'of the Business and Professions Code) or that he/she is exempt - Trash Compactor erofrom 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 ' , eenalty of not more than five hundred dollars($500). Reinspection Fee $25 Issue Fee $ 3 , LJ I, as'owner of the property or my employees with wages as their sole MECHANICAL Reinspection Fee $25 Issue Fee $ 3 compensation willdo the work,and the structure is not intended or offered ' FEES for sale (Section 7044, Business and' Professional Code: The Contractor's PUBLIC SERVICES REQUIREMENTS: • License Law does not apply to'an owner of a property who builds or improves f Boiler , Hood or Type I 0 • thereon, and who does such work himself/herself or through his or her own I{ Zoning Approved By nate employees, provided that suchimprovementsare not Intended or offered for IDCanopy Type II sale. If, however, the building or Improvement is sold within one year of com- Duct-Under Ground , Building-Approved By • pietion,the owner,will have the burden of proving he/she did not build or Im- - Date rove for the purpose of sale). Duct-Structural • `Refrigeration System Application Issued By• de / " - Date_S oI,as owner of the property, am exclusively contracting'with licensed con- 'BTU ❑100,000 BTU tractors to construct the project (Section 7044,Business and Professions Code:- , Duct-Ventilating -_ SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who BUILDING PERMIT $ SMIP builds or Improves thereon,and who contracts for such projects with a con- • Exhaust System 0 Multiple 0 System Repair/Alteration $ tractor(s) license pursuant to the Contractor's License Law). - ,,II - - PLAN CHECK $ PERMIT 0 lam exempt under Section B.& P.C.for this reason ✓ Firepl/Fact.Bit. ICBG*25per i !'CPLUMBING $ ISSUANCE $ • Date Owner - /t Heating.System&Ducting I PLAN CHECK 25% $ ENERGY P.C. '$ ' • I hereby certify that -i have read this application and state that the above -- 00-100,000 BTU'❑100,000BTL - - - - - GRADING $ information Is correct. I agree to comply with all city and county ordinances ELECTRICAL - .$ • ' and state law . . ig to building construction, and hereby authorize repre- , MICROFILM $ sentatives o this ci wax:- ••n the above-mentioned property for PLAN CHECK 50% '$ Inspection tura p• sots'' .,)'7)( - - MECHANICAL • $ 7 00 06 Signature / - Reinspection Fee , $25 Issue Fee - $ 3 PLAN CHECK 25% $ //0-0-- - - , CMF 0865-46 rev.12/83 White-Building;Canary-Applicant;Pink-Accounting;Goldenrod-Assessor 1 'CONSTRUCTION•AND PLANNING - - , "POO SPA - _ - -- APPROVALS Permit# - Date Inspector • APPROVALS Permit# . Date Inspector r 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 a - 6. Electrical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit_Undrgrnd. - 8. Foundation - 59. Gas Pipe, O,lJndrgrnd.,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 i ., 64. Plumbing System - Final - 14. Rough Plumbing 65. Electrical-Final - - , 15. Rough Electrical-Conduit 66. Solar Systerh-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 ./9/ • /llJ� APPROVALS Permit# .`• 21. Ducts, in Structure 1 /Ili 70. Underground Hydro I . ' 22. Ducts, Ventilating - 71.,Product Piping 0 Gas, 0 Oil 23. Gas Pipe-Rough&Test 72.r Underground Flush ' 24. Roof Framing - 73. Undergrnd.Storage Tank 0 Gas 0 Oil -I l 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 p//jy' e - 38. Final Plumbingx 39. Water Service-Final • - - _ 40. Gas Service-Final t . - 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. SpecialRequirements Completed ' 49. Electric Release to Edison , - - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY . - - - I - - ;, No. _ Date - - - 4 - -- - - - - - • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA '- PERMIT NO. TRACT NO. LOT NO. BLDG.NO. • CONSTRUCTION PERMIT • - /tea p� `/% @425 4/ 11 /04 8.00 'TL Project Address/ s/ -r' � TYPE OF CONSTRUCT_IONJ NEW U ADD U ALTERATION Lc- /le .j REPAIR - ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A-P,.//. I Zone Applicant's Mailing •ddress DESCRIPTION OF WORK i /�/f `,� p Owner's Name ��• �� 'honelFiX✓�LZJ S Main Building: Accessory Building: • Z Address TYPE OF PERMIT ❑ GRADING U FOUNDATIONIjU STRUCTURAL E Front . N Arch/Eng. License No. C TENANT ❑ ELECTRICAL ❑ PLUMBING JO'MECHANICAL B Rear - Address r ` / / ❑ OTHER / A N Contractor's Name >/GA/�/9/ii'S�U -!9 ' Phonern�9/ PROJECT DESCRIPTION SQ. FT. - OCCUPANCY. C Right G Address(mailing) '- r' -.+` - i& - ' CON STRUCTION TYPE VALUATION$ S Left E R 0 �r/t '/ ) ZONE - GRADING CU.YDS. ACRES - - Q City License No. J `�P e� Ping. Ref.# Park.Fees $ • O LICENSED CONTRACTOR DECLARATION Remarks: - /Q 7 G b Parking Req./Provided - I I I hereby affirm that I am licensed under provisions of Charter 9 (commencing ! / p with section 7000) of Division 3 of the Business and Professions Code, and Use of Building: E my license is in fulljQceS tl;ttecL —p Lipens la/j� Y 4l/ Lic a j,. PLUMBING FEES Planning Notes: M 1`_ Date if f 5 Signature ��/ �5,. E `N, WORKERS'COMPENSATION DE R/CYfO ,c�� Bar Sink • Showers T " I hereby affirm that I have a certificate of consent to self-insure or a certificate Backflow Preventer Service Sink S • of Workers' Compensation Insurance, or a certified copy thereof (Sect n" - 'e 3800, Lab. C. d V ))- _ A...41Backflow Irrigation • Sewer Cap ELECTRICAL FEES Policy No. K U' 'f ar Company Certified copy is hereby furnished. - // Bathtubs Sewer Connection . : Automatic Washer Transformer 0 15-50 KW • • gate i i¢a9opy IS filed with the city Bui •i,• . II%/.-CT t ate /yf //t''> Applicant //�.. Clarifiers Solar Collectors Construction Pole Sub. ❑ 50+KW EXEMPTION FROM WO RKE RS',GO 'ENSATIO D' L•RATION -' Dishwailier - Solar Piping - Cooking Unit Meter ❑up to 100 amps - (Thissection need not be completed if the permit is for one hundred ($100)or _ less). I certify that in the performance of Ih¢work for which this permit is issued,I ' Drinking Fountains Solar Tank Dishwasher Meter Dover 100 amps shall not employ any person In any manner so as to become subject to the - Workers' Compensation Laws of California. Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel •Date Signature - t NOTICE:If,after making this declaration,you should become subject to the Floor Sinks Urinal Fan _ Motors 00-1 HP ❑i%-8 Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Gas Service Outlets • Water Closet F.A.U. Inc.Solar 09-15 HP 016-15+ CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance Interceptors • Water Heater - Fixtures ;Microwave ' of the work for which this permit -Is Issued (Section 3097 Civ. C.) - -_ • - Lender's Name • Kitchen Sink Water Service - Device Boxes • Pole Light Lender's Address Lavatories OWNER BUILDER DECLARATION , - Outlets Range I hereby affirm that I am exempt from the Cdntractor's License Law for the p-Tra following reason (Section 7031.5 Business and Professional Code: Any city or p ' Switches Sign ' county which requires a permit to construct,alter,improve,demolish or repair - - any structure, prior to its issuance,also requires the applicant for such permit Roof Drains Garbage Disposal Standing Sections to file a signed statement that he/she is licensed pursuant to the provisions of 'he Contractor's License Law(Chapter 9 (commencing with Section 7000)of - Generator ❑0-5 KW ❑5-15 KW Trash Compactor (vision 3 of the Business and Professions Code) or that he/she Is exempt p ' terefrom and the basis for the alleged exemption. Any-violation of Section • I 7031.5 by any applicant for a permit subjects the applicant to a civil Reinspection Fee , $ 3 Dpenalty of not more than five hundred dollars($500). pe $25 Issue Fee I, as owner of the property or my employees with wages as their sole MECHANICAL Reinspection Fee $25 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered FEES for sale (Section 7044, Business and Professional Code: The Contractor's PUBLIC SERVICES REQUIREMENTS: License Law does not apply to an owner of a property who builds or Improves Boiler Hood or Type I 0 thereon, and who does such work himself/herself or through his or her own Zoning Approved By Date employees, provided that such improvements are not intended or offered for - Canopy Type II 0 Duct-Under Ground sale. If, the the building Improvement Is sold within one year of Im- prove Application Approved By Date �� pletion,, the owner will have the burden of proving he/She did not build or Im- rove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By •Allffir Date - LI I, as owner of the property, am exclusively contracting with licensed con- ❑0100,000 BTU ❑100,000 BTU tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating SUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who BUILDING PERMIT builds or improves thereon, and who contracts for such projects with a con- Exhaust System ❑ Multiple 0 System Repair/Alteration $ SMIP $ tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ PERMIT 0 l am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# PLUMBING $ ISSUANCE $ Date - Owner / Heating System&Ducting PLAN CHECK $ ENERGY P.C. , $ I hereby certify-that I -ye read this application and state that the above , / 110:100,000 BTU 0100,000 BT ELECTRICAL $ GRADING $ information is correct agr, to c•mply wi all city and county ordinances and state laws r- a g.to I•' onstr Ion,and hereby authorize repre- 11111 MICROFILM $ • sentatives of 7 cit •r Spon a above-mentioned property for PLAN CHECK $ ^� 7)i�y inspection pu s s.Or --r - 7-2... MECHANICAL l . $ /r /9° TOTAL FEE $ el ' Signature Dat--e Dab I - Drivers' License or SS# • Goldenrod-Assessor - - - - -• ' • CONSTRUCTION AND PLANNING - POL <SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location • 2.. Soil Pipe-Undrgrnd, - 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE • 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test r 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 2.•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 /40, FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# - ,21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil • 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning -71/3..t) 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 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 PERMIT NO. TRACT NO. LOT NO. B G.NO. 3I O3 �I/26/84 54.97 • Tt CONSTRUCTION P`` MIT • E. - '62 4,-6 I Project Address ! ' A..-a.i // 'a-TYPE OF CONSTRUCTION U NEW 0 ADD Li ALTERATION U REPAIR • • Applicant's Mailin Addre . 0 CONVERSION 0 DEMOLISH 0 OTHER Owner's Name `' n ,p,� " Done - S• Main Building: . Accessory Building: : 2 DESCRIPTION OF WORK • Address — '3 n?C"'i�dl� TYPE OF PERMIT 0 GRADING U FOUNDATIONU STRUCTURAL Arch/Eng. ' License No. 0 TENANT 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL Address .4 0 OTHER Contractor's Nam: War••• './ i �r�hone 4 PROJECT DESCRIPTION SQ.FT. OCCUPANCY /a Address(mailing) � 4�� ( CONSTRUCTION TYPE VALUATIONS • ZONE GRADING CU.YDS. ACRES City License No. f Ping.Ref.# I Park.Fees $ _ - LICENSED CONTRACTOR DECLARATION Remarks: — /0 $ l Parking Req./Provided : I hereby affirm that I am licensed under pro sions of arter 9(commencing with section 7000) of Division 3 of the : sine'ss - d Profess!. s Code, and • Use of Building: my license Is In full fore: -ntl act. _ License Clas cans: i s IJ 0 PLUMBING FEES Planning Notes: - Date - —/ ,S.. Signature rea& a/ •••••• WORKERS'COMPENSATION DEC RATION Bar Sink Showers ' I hereby affirm that I have a certificate of consen o.self-Insure or a certificate Backflow Preventer - Service Sink - - - -- T } of Workers' Compensation Insurance, or a ce titled copy thereof (Section . - 3800, Lab. C.) Backflow Irrigation Sewer Cap ' ELECTRICAL *FEES Policy No. Company Sewer Certified copy Is herebyw thr he cit ■Bathtubs -■ ®' Automatic VVasher Transformer ■ s D Certified copy Is filed with the city Buil0ing Division. Date Applicant Clarifiers KW ■ ' EXEMPTION FROM WORKERS'COMPEN •TI.«N DECLARAT • Dishwasher • (TM1ls section neetl not ba com Dletetl If the .-rml s for .na hun• 100) orS ■ ■ ... ss lil 11 certify that In the performance of the •rk •r h t n)s/ sued r • ' ' , •• ®®In Dishwasher IIII ■• 100: ��� , shall not employ an p son In an ne s• o es t• e any 11. s Workers'.Co@@@ppppppflflfls ws of Calitof I� /v ■Floor Drains ■ Swimming Pool w/Spa En a ■ ■ IIIIII • •, 0 Q "Date IIfly Signature ✓ s NOTICE:Compensation mooing thisv ions th,a sho •r,: o �suto te' I In Fan • Motors❑41 HP ❑1'h-8 NOTICE Compensation prdeclare of the Labor o7. you must forthwith , comply with such provisions- or this permit shall -be deemed revoked.. • CONSTRUCTION,LENDING • AGENCY F.A.U. Inc.Solar 09-15 HP X16-15+ I hereby affirm that there Is a'construction lending agency for the performance Interceptors Water Heater I Fixtures -' Microwave 3 of the work for which this permit is Issued (Section 3097 Civ. C.) Lender's Name EllDevice Boxes Pole Light / 1 • Lender's Address OWNER BUILDER DECLARATION ■Lavatories ■ ■4 Outlets • Range 9 — I hereby affirm that 1 am exempt from the Contractor's License Law for the following reason (Section7031.5 Business and Professional Code: Any city or 1.1p_Tre p ■ ■ 7 Switches Sign - 0 • county which requires a permit to construct,alter,Improve,demolish or repair any structure, prior to Its issuance, also requires te applicant for such permit Roof Drains / Garbage Disposal Standing Sections / to file a signed statement that he/she Is licensed pursuant to the provisions of `a Contractor's License Law(Chapter 9 (commencing with Section 7000)of vision 3 of the Business and Professions Code) or that he/she Is exempt Generator 045 KW 05-15 KW Trash Compactor .erefrom 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 flue hundred dollars($500). Rei U I, as owner of the property or my employees with wages as their sole Reinspection Fee $25 Issue Fee $ 3 compensation will do the work,and the structure is not Intended or offered ' , MECHANICAL FEES for sale (Sec/ion 7044, Business and Professional Code: The Contractor's PUBLIC SERVICES REQUIREMENTS: License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I ■ thereon, and who does such work himself/herself or through his or her own Zoning Approved By nate employees, provided that such Improvements are not Intended or offered for Canopy Type II sale. If, however,the building or Improvement Is sold within one year of com- a Building Approved By fn) s/,/ Date elation, the ownerwill havethe burden of proving he/she did not build or im- • Application Issued By - V' `r' / n,1 /99 prove for the purpose of sale). •' / Dat n,1 /99 I,as owner of the property,am exclusively contracting with licensed con- 00-100,000• 0100,000 tractors to construct the project (Section 7044,Business and Professions Code: aSUMMARY OF FEES The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such projects with a con- Exhaust System ■ Multiple ■ BUILDING PERMIT $ SMIP $ tractor(s) license pursuant to the Contractor's License Law). 0 1 am exempt un•• Section B.8, P.C.for this reason :• -. PLAN CHECK $ PERMIT , , PLUMBING $ ' ISSUANCE $ Date I Owner Ducting PLAN CHECK 25% $ ENERGY P.C. $ - I hereby certif Cha• a application and state that the above • 00-100,000 0100,000: • Information Is •rre ply with all city and county ordinances ELECTRICAL $ 3 7i 6 GG sR-ADING $ and state laws eta. I , construction,and hereby authorize repre- PLAN CHECK 50% $ c3 7 �4J��r•J"v�'CROFILM $ inspection of s upon the above-mentioned Dro Darty for ■ . II Inspection pur•o C LL ,/ Signature `v % �ir/ Dates'/- MECHANICAL $ � TOTAL FEE $ s,j Ltv,7 Drivers' Lice re or SS 9 _ _ - ■ Reinspection Fee $25 . Issue Fee $ 3 III - PLAN CHECK 25% $ • - - Pink-Accounting;Goldenrod-Assessor • • CONSTRUCTION AND.PLANNING. - POO SPA - - - Date Inspector Date * Inspector ,APPROVALS Permit# APPROVALS Permit# _ 11 f1. Temporary Electrical Service or Pole I - 52. Pool & Equipment Location , c . 7.1 • 2. Soil Pipe-Undrgrnd. • ' ' -•• 53. Steel Reinforcement 3: Electrical Conduit Utility-Undrgrnd i • r • 54. Forms . ` , . , 4: Electrical Conduit-Uhdryrrid: 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• I •, 59. Gas Pipe, 0 Undrgrnd.,Test ., 9. Water;Pipe-Undrgrnd. r f_ •'60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Striuctural 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 - .. "- -- T. 16.'Rough Electric Wiring_ • yifc(/ 67. Fencing & Access Approval - -- - 17. hough Wiring Sign _l 68. APPROVED FOR PLASTERING - 18. Rough Electrical-T Bar-Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT. • - 20.y+ough 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 Flaming. 73. Undergrnd.Storage Tank 0 Gas 0 Oil ' ' 25. Roof Sheathing 74. Overhead Hydro ' _ 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ' i , 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 1 ' 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final7�L / _ 80. FOOD CERTIFICATE ISSUED - 33. Final Electric I Notes: 34. Final-Heating & Air Conditioning. • ' ' , • I 35. Final Gas Pipe-Test ' ' : - 36. Hood or Canopy - . r 37. Final Factory Fireplace 38. Final Plumbing . ' i 39. Water Service-Final . - - 40. Gas Service-Final ' . r 41. Solar Domestic-Final - ,' • 42. Backf low Preventer ' ' • • • 43. Backf low Irrigation ' I • 44. Landscape Irrigation System , _7 r 45. Sound Attenuation' . ,, ' I I • • . 46. Handicap Regulations • I _ • 47. FINAL STRUCTURE & BUILDING' - • 48. Special Requirements Completed, : ,• 49. Electrie Release to Edison 1 - ' ' , •• 50. Gas Release to Southern Gas Co • .California '• . i 51. CERTIFICATE OF OCCUPANCY i No. Date • ' - - - • -T . _ Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA PER T NO. TRACT NO. LOT NO. BLDG.NO. - - CONStRUCTIONJP/ERMIT /f /5-03J R-cG -z, , Project Address 'ifb/s/4tt 4ts't'• e.` T PE OF CONSTRUCTION NEWW ADD U ALTERATION U REPAIR t! l anon Rf.ioi. i . n^ 11 Applicant's Mailing Address ,l /'(-/ It'd ft LY/ LJ e`.-.:// ' CI ❑ DEMOLISH El OTHER A.P.0 C/39 _0 , I - 2,..a 1 Zone 1°-Z Owner's.Name p�rh_ ✓S*Az 4.-v---rPhone 6r`r-n'n DESCRIPTION OF WORK S Main Building: Accessory Building: Z Address r21 t'd'%�tnr-.0 E I TYPE OF PERMIT U GRADING U FOUNDATION ❑ STRUCTURAL T Front ' N Arch/Eng. / <//R'. t,'�4ll /'�,,e cense No. 2/fl ,❑,, TENANT ❑ EL .CTRICAL y0 PLUMB}N 9MESMANICAL B I Address 23 V Er /7 S CAR. L7OTHER /`rr�'- /27 V i( j,j/�_ A Rear N 11���.9-J` `��.,.L Phone �'J= 6 PROJECT DESCRIPTION SQ. FT.• / • - lit/CUPANCY ' C• Right • G Contractor's Name F� R r 7/ CONSTRUCTION TYPE 'VALUATIONS /dsa s Left Addresslmailingl .Q�ur. �f r 1 E City License No. 9 S) 2 ZONE • - GRADING CU.YDS. ACRES • Ping. Ref.git. Park,Fees $ _ u LICENSED CONTRACTOR DECLARATIONRemarks:• Q�/� �t�2_ Parking Req./Provided - I' I hereby affirm that I am licensed under provisions of Charter 9 (commencing - R with section 7000) of Division 3 of the Business and Professions Code,and Use of Building: - _ E my license is in fr I force and effect. - License Cl a ense No.//�' PLUMBING FEES Planning Notes: NI Date Signature_ • ' I. / -� • • E WORKERS' C MP NSATION DE /'rit •Tte v �" Bar Sink Showers _ __ - _ • T • I hereby affirm that I have a certificate of consent to sell-insure ora certificate Backflow Preventer, Service Sink - S of Workers' Compensation insurance, or -a certified copy thereof (Section ' 3800, Lab. C. [n [. v Q/' , Backflow Irrigation Sewer Cap • ELECTRICAL FEES 00 Policy No. CIO r 4 71 TEA"Company St .4 a-4., — I I i C Carolled copy is hereby furnished. Bathtubs Sewer Connection Automatic Washer Transformer 0 15-50 KW rt-f e co y s filed with the city ' 9 e • _ r Clarifiers - Solar Collectors Construction Pole Sub. ❑ 50+KW \Date 1 APPliwnt_I. /, �..%� . - - - - - �l EXE ION ROM WORKERS'CO NSATI eN DEC LAR ATIO Dishwasher Solar Piping CookingUnit Meter ❑u to 100 amps ' (This section need not be completed if the permit is for one hundred(5100)or P P less). DrinkingFountains (•\. I certify that in the performance of lite work for wnicn this permit is Issued I Solar Tank Dishwasher Meter Dover 100 amps _ shall not employ any person In any manner so as to become subject to the (� workers' Compensation Laws of California.' Floor Drains Swimming Pool w/Spa Dryers ❑Gas ❑Electric Sub Panel s \ Date Signature NOTICE:if,after making this declaration, you should become subject to the _ _ Floor Sinks - Urinal - .Fan Motors 00-1 HP ❑1)5-8 Workers' Compensation provisions of the Labor Code, you must forthwith - comply with such provisions or this•'permit shall be deemed revoked. Gas Service' -Outlets Water Closet _ F.A.U. Inc.Solar•❑9-15 HP 016-15+ N CONSTRUCTION LENDING AGENCY - - - - -- I hereby affirm that there is a construction lending agency for the performance • Interceptors, Water Heater - Fixtures Microwave of the work for which this permit is issued (Section 3097 Civ. C.) - - Lender's Name Kitchen Sink ,• Water Service - Device Boxes • Pole Light • Lender's Address Lavatories OWNER BUILDER DECLARATION Outlets Range I hereby affirm that I am exempt from the Contractor's License Law for the p-Tae following reason (Section 7031.5 Business and Professional Code: Any city or p - _ _ Switches • Sign I county which requires a permit to construct,alter,improve,demolish or repair _ . • any structure, prior to Its Issuance, also requires te applicant for such permit _ Roof Drains Garbage Disposal Standing Sections to file a signed statement that he/she is licensed pursuant to the provisions of 1e Contractor's License Law(Chapter 9(commencing with Section 7000)of Generator ❑0.5 KW ❑5.15 KW Trash Compactor ivislon 3_of the Business and Professions Code) or that he/she is exempt - pa terefrom 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 •_Reinspection Fee I $25 Issue Fee $ 3 penalty of not more than five hundred dollars($500). • I, as owner of the property or my employees with wages as their sole MECHANICAL Reinspection Fee $25. Issue Fee $ 3 compensation, will do the work,and the structure Is not Intended or offered - ' FEES for sale (Section 7044, Business and Professional Code: The Contractor's — PUBLIC SERVICES REQUIREMENTS: License Law does not apply to an owner of a property who builds or improves Boiler Hood or Type I 0 thereon, and who does such work himself/herself or through his or her own • Zoning Approved By nate employees, provided that such improvements are not intended or offered for ' Canopy Type 11 ❑ sale. If, however, the building or Improvement is sold within one year of corn- Duct- Under Ground Application Approved By Date /J /�!�St elation,the owner will have the burden of proving he/she did not build or im- prove for the purpose of sale). Duct-Structural Refrigeration System Application Issued By �y nateSR RC' • LJ I, as owner of the property,am exclusively contracting with licensed con- ❑P100,DOO BTU ❑700,000 BTU tractors to construct the project (Section 7044,Business and Professions Code: Duct-Ventilating SUMMARYqO7F[ FEES ] The Contractor's License Law does not apply to an owner of property who BUILDING PERMIT rt �i �V �'SU builds or improves thereon, and who contracts for such projects with a con- Exhaust System ❑ Multiple 0 System Repair/Alteration $ SMIP $ tractor(s) license pursuant to the Contractor's License Law). PLAN CHECK $ /r. .2-0 PERMIT ❑I am exempt under Section B.&P.C.for this reason Firepl/Fact.Bit. ICBG# PLUMBING i $ ISSUANCE $ Date - • Owner Heating System&Ducting • PLAN CHECK $ - • ENERGY P.C. $ ' ., I hereby certify that I have read this application and tate that the above .00:100,000 BTU ❑100.000 BTL GRADING $ Information Is c• • I agree to comply with all cit .. d county ordinances i -- ELECTRICAL $ and state law •latlne to b ding constr on ereby authorize repro- PLAN CHECK $ • MICROFILM , $ isnspection o is cl y t e J upon entionetl ,pro erty for MECHANICAL $ TOTAL FEE $ 416,20 inspection o / 7 �- ' Signature ' . A /�Da Data•t;C / Reinspection Fee $25 Issue Fee $ 3 PLAN CHECK ' $ Drivers',L1 a or SS# CMF 0865-46 rev. 7/83 Applicant;Pink-Accounting;Goldenrod--Assessor - -- - - - - - - • 'CONSTRUCTION AND PLANNING POL A SPA •.'APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms • 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement - - 56. Rough Plumbing & Pressure Test • 6., Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System - 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 12. Sewer Cap - 63. Heater & Vent-Final • 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing ' 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro ` /;Jj:?1 (tO /. 22. Ducts, Ventilating 71. Product Piping ❑Gas ❑Oil 23. Gas Pipe-Rough &Test 72. Underground Flush �(/ 11( 'J 24. Roof Framing 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 76. Dry Standpipe 7//f3/rift �cD 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: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy - 37. FinaI Factory Fireplace 38. Firial Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Sola? 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 .