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HomeMy WebLinkAbout2572 ELDEN AVE - Building Permits (2) City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. ('( � ^� Building Safety Division Gll•�` .J • P.0.Box 1200 Costa Mesa,California The Building located at 9577 Plrq-,n AVenun, Unit A has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group ta'3 Occupancy. Use of Building Cnnrinminiums Legal Description 439-161-18,19,20 (See reverse side for Metes and Bounds) Building Permit No B34476,838914 Electrical Permit No. E 35231 Plumbing Permit NoP34753'937336 • Mechanical Permit No. 1737232, 1136566 Number of apartments 19 and/or guest rooms - ISSUED TO: Building Official GsOrge Edmiston T. 181:4. Linton nu'nAve., Unit H by _ 140—elf e cr- rorav r ^ a. CA 92627 Date November 15. 1989 This Certificate of Occupancy SHALL BE posted in a conspicuous place on the premises and SHALL NOT BE removed except by the �N Building Official of the City of Costa Mesa under Sec. 307 fel U.B.C. CMF 1015-46 rev.1/83 White-Owner;Canary-Numerical File;Pink-Bldg.Permit File N Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. ' CITY OF COSTA MESA CONSTRUCTION PERMITS li PFMIT NO. 1G TRACT11. LOT NO. UNDO. Project F,fldress 7S7z EazDEAJ /AVL= /9 b 3!`IC Z \-----.. rTYPE OF CONSTRUCTION , NEW ADD U ALTERATION AppHgnnt's Mailing Address /8�-y 061 MAR C'/ f-( U REPAIR p s T,/-4 L/AJTORI Phone VS ?QS/ El CONVERSION ❑ DEMOLISH El OTHERi 3y_ icy/ - /p v iy! ap I Zone Owner's Name A.P.AP # 1 / rL/ DESCRIPTION OF WORK/USE OF BLDG. Address /B/-� DEL H/92 COST/? .Nc*--T/z1 •S Main Building: Accessory Building: Arch/Eng. f(E5?E2 License No. TYPE OF PERMIT LI GRADING LI FOUNDATION Li STRUCTURAL T rT9M Front oZ I O Address 220 AJa4JPOR T Com'v7G2 k .22 M.O. 0 TENANT 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL B Rear I ) G N Contractor's Name S• l{r L fN 7'0 Ad Phon 11/5--99-73- 0 OTHER SilIX C RightO1 a / N • Address(mailing) /8/ -/f OZ---(.. /-/,///4 0 12) PROJECT DESCRIPTION SD. FT. OCCUPANCY K G CONSTRUCTION TYPE VALUATION$ ,CST35-°1et S Left 541C-.1b' R City License No. ZONE GRADING CU.-YDS. ACRESE LICENSED CONTRACTOR DECLARATION ^ �rt Ping. Ref.# pp_.g,,.ig/T/' c Parking Req./Provided lr(fj �{8 0 I hereby affirm that I am licensed under provisions of Charte 9 (commencing Remarks: ?( ,rte (lp, 1 I �r L T 1 f� - tel/ Planning Notes: 4��.` C ss-,_An r Qris.�@`.-t'- M with section 7000) of Division 3 of the Business and Profe ions Code,and l t ` s4 1 \ [.l.wo' IT- —alici" '" t my license is in full force and effect. / .Q HOLD FOR SPECIAL KbUUIK CIJ I r J T License Class _ - _ License No. Zig 1 P. C ,lp pB L S Date Signature l PLUMBING FEES - FWORKERS' COMPENSATION DECLARATION Bar Sink Showers I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 3800, Lab. C.) ' Automatic ashen Transformer 0 15-50 KW 'Policy No. Company Backflow Irrigation Sewer Cap Construction Pole-Sub. 0 50+KW BCertified copy is hereby furnished. Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter ❑Op to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Clover 100 amps (This section need not be completed if the permit Is for one hundred ($100)or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so a to become subject to the - Drinking Fountains Solar Tank Fan \ Workers' ion Laws of Califonr}�r L_ Motors❑0.1 HP 01`A-8 Date _11Ly�Signature ,,y"/ Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09.15 HP 016-15+ NOTICE:Tf,alter making this declara Ion, you should become subject to the - - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. icrowave • CONSTRUCTION LENDING AGENCY Gas Service - Outlets / ,' Water Closet Device Boxes Pole Light' I hereby affirm that there is a construction lending agency for the performance / of the work for which this permit Is Issued (Section 3097 Civ. C.) Interceptors • ! - Rane'.Water Heater Outlets g , Lender's Name I 1 Lender's Address Kitchen Sink - ' Water Service Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the . Lavatories .• , - Auto-Wash Garbage Disposal . Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap '^ - . Laurldry Trays Generator ❑D5 KW ❑5-15 KW Trash Convector any structure, prior-to-Its Issuance, also requires the applicant for such permit _ _ P to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains - - s the Contractor's License Law(Chapter 9.(commencIng with Section 7000)of -- Division 3 of the Business and Professions Code) or that he/she is exempt - - therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil malty of not more than five hundred dollars(5500). U I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee S 3 compensation, will do the work,and the structure Is not Intended or offered - Reinspection Fee I $15 Issue Fee S 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own - DEVELOPMENT SERVICES REQUIREMENT employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 /1 t ✓�/• 7-11-38 sale. If, however, the building or Improvement is sold within one year of com- - Canopy Type II 0 Zoning Approved By -"4J"� Date N pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date prove for the purpose of sale). - (Sr- .1 l XI, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By SDate -i2._—eta tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU G OSUMMARY OF FEES builds or Improves thereon, and who contracts for such projects with a con- o{ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PE I $ J SMTP $ �. proof otheir Worker's Compensation insurance should be provided to me. _ --Tr1 PLAN CHECK $ PERMIT 0 I am exempt/ ��¢�under Section B.& P.C.for this reason Firepl/Fact.BIL ICBO# Fire Dampers PLUMBING $ ISSUANCE $ Date 71 POwner — Heating System& Ducting Registers ENERGY P.C. S - PLAN CHECK 25% $ I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL ELECTRICAL $ GRADING $ Information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize repro- - MICROFILM $ sentatives of this city to enter upon the above-mentioned property for PLAN CHECK 50% $ inspection purposes. /f /fj�` .}t- — Signature Zy /, Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ a �t `CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor Y 000u935?-00009360 TUT-I -,�'Q� 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-Undrgrna, • 53. Steel Reinforcement • 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 81210- A/ • 56. Rough Plumbing & Pressure Test r 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE • 1 7. Footings -.j 1'. ,• 58. Electrical Conduit-Undrgrnd. 8. Foundation .',j' 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Uridrgrnd. 60. Backwash Lines,P-Trap, ❑ Undrgrnd. 10. Structural Floor System ifiligB 64.- • 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 , ' 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 FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - 20. Rough Factory Fireplace APPROVALS Permit# • 21. Ducts,in Structure 70. Underground Hydro • I. 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil• 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing ` , 1 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing I�/.�' /0 iiI 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat t//� 75. Dry Chemical 27. Frame and Flashing fei �j7,� 76. Dry Standpipe - 28. Lathing & Siding / "L/ter]//',•End 77. FIXED SYSTEM FINAL 29. Insulation ',Silo J11.ci 78. FIRE PREV. FINAL 30. Drywall Nailing 3)Ltl/gcl OA- HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat “67/0/81 B'- 79. FINAL INSPECTION 1 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: `/i5/. ©K Q•' LA/Q.T f 4 • . 34. Final Heating & Air Conditioning Y r i! `I 35. Final Gas Pipe-Test /O�/rl/df/ I, (/)'4' Ole 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. Backf low Irrigation i 44.,Landscape Irrigation System :45. Sound Attenuation 46. Handicap Regulations • 47. FINAL STRUCTURE & BUILDING (71.85 at/ . $ 48. Special Requirements Completed /y 3'31 TA-eld,v • 49. Electric Release to Edison .. 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date -- - 1 . • 1 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PE MIT NO. TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA CONSTRUCTION PERMIT1 313"9/V $.9 w'GLa7 A.P.# 474a9 - 101 _ /CJI , t Zone Project Address 26".1Z ELUc/U }j ULA' /'7' y S Main Building: Accessory Building: �/ TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION U REPAIR E / Z Applicant's Mailing Address /,8/'�/7 On Ft RIR Cil ) ❑ CONVERSION ❑ DEMOLISH ❑ OTH • i T Front /c 0 Owner's Name �7 L/.V TG 41 Phone 4YS-9feSs• DESCRIPTION OF WORK/USE BLDG./ - - nriwf 1 A Rear N Address /8f -W O&Z nag, .r 'R (a 1 I c! �LL Arch/Eng. _._ License No. TYPE OF PERMIT GRADING FOUND/IA-140 0 STRUCTURAL C Righ N G Address 111TENANT ElELECTRICAL ❑ PLUMBING 0 MECHANICAL S_ eft ' R Contractor's Name • �„/ ( " Phone 0 OTHER Ping. Ref.# Parking Req./Provided E ^ PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: �/ M Address(mailing) )/lir r� �(.1�1 G(T,[iJ 7i(f/'/.�� /,lj//YL/1r CONSTRUCTION TYPE VALUATION$ ZS/ f Yi(y/-I T City License No. ZONE - GRADING CU.YDS. ACRES iOn_IV) o - lA /'U ?Q/1•-' S. LICENSED CONTRACTOR DECLARATION ��/ I hereby'.Ifirm that I am licensed under provisions of .. - . •mmencing Remarks: SA' 7C & ?dr/9e — ' 3YV F r — with sect)•• 7000) of Division 3 of th• a ' .n• Professions Code, and a my license is I a e / //J `� ELECTRICAL FEES License Class c icense No. retAelL d� ` • D L/}"^ �•wCI?'M.f(•Ldt.e Date Signature _ PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW WORKERS' COMPENSATION DECLARATION Construction Pole Sub. 0 50+KW I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink $hOWer$ ' Workers' Compensation Insurance, or a certified copy thereof (SectionCooking Unit Meter ❑up to 100 amps 100, Lab. C.) Backflow Preventer Service Sink Policy No. Company Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps — Certified copy Is hereby furnished. - Dryers ❑Gas DElectric Sub Panel Certified copy is filed with the city Building Division. Bathtubs Sewer Connection , Date Applicant Fan Motors DO-1 HP 011/2-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred ($100) or Dishwasher Solar Piping P.A.U. In Solar 09-15 HP 016.15+ less). I certify that in the performance of the work for which this permit is issued I Fixtures . shall not employ any person in any manner so as to b ome subject to the Drinking Fountains Solar Tank Microwave Worker ffGf...6666tnyg saj ion Laws of Calif orni ,/ /1 ' Device Boxes Date ) r77 Signature /�F �l� Floor Drains Swimming Pool w/Spa Pole Light NOTICE If,der making this declaration,you show d become subject to the Outlets Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Xinal comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Water Closet Switches Sign Gas Service Outlets 9 I hereby affirmk that there is a permit ue agency ec for the performanceCiv. C. Of the work for which this permit IS issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address • Kitchen Sink Water Service Generator ❑0.5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays • ' any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains • the Contractor's License Law (Chapter 9(commencing with Section 7000) of • nivision 3 of the Business and Professions Code) or that he/she Is exempt Reinspection Fee $15 Issue Fee $ 3 refrom and the basis for the alleged exemption- Any violation of Section 11.5 by any applicant for a permit subjects the applicant to a civil nalty of not more than five hundred dollars($500). - DEVELOPMENT SERVICES REQUIREMENTS:`�,(f�y� C- t] I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 Zoning Approved By ` ie/ADate & /5- 'It compensation, will do the work,and the structure is not intended or offered . in; _ ' for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By �� Date - .1�� License Law does not apply to an owner of a property who builds or improves / thereon, and who does such work himself/herself or through his or her own Application Issued By '_P� f=�•pat: 147 employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement is sold within one year of coin- Canopy Type II ❑ SUMMARY OF FEES �, pletion, the owner will have the burden of proving he/she did not build or Im- Duct- Under Ground prove for the purpose of sale). BUILDING PERMIT $ V--.S'"5•Q0 SMTP $ /• 75 LJ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural efrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating DO-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon.and who contracts for such oroiects with a con- tractor(s license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multipl System Repair/Alteration PLAN CHECK '25% $. ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. $ GRADING $ ❑ I am exempt under Section / y B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLAN— ELECTRICALCAK 50% $ MICROFILM $ Date Owner O/ 4 Heating System& Ducting Registers MECHANICAL $ I hereby ertify that I have read this application and state that the above ❑0.100,000 BTU 0100,000 BTL ,• TOTAL FEE $ L.7 7 2C9 • information is correct. I agree to comply with all city and county ordinances „ PLAN CHECK 25% $ and state laws relating to building construction,and hereby authorize rite repre- sentatives of this city to enter upon the above-mentioned pr pert for Inspection purposes. a./ 9 Signature � � Date /.S S r f;:�" 1_ g Reinspection Fee $15 Issue Fee $ 3 Drivers' License or SS# / u1 1 - -/(39 TINE 14:19 �0 - h'E1 �b :-.1/(39 TIr,E: 14:19 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNING POC SPA , APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Serviccor Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms , ' .4. Electrical Conduit-Undrgrnd. I 55. Electrical Bonding 5. Steel Reinforcement • 56. Rough Plumbing& Pressure Test - 6. ElectricalUFER'Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 7���9 , 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 i 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 01/46. 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 9'1 Rough Heating& Air Condition ,1ing FIRE DEPT. REQUIREMENT ; -20- Rough,Factory Fireplace .-f. APPROVALS Permit# j 21. Ducts,•in Structure a 70. Underground Hydro 22. Ducts, Ventilating I 71. Product Piping 0 Gas 0 Oil - 23. Gas Pipe-Rough & Test S• 72. Underground Flush 24. Roof Framing ) 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Rooi,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 tMeter-Final S. °, 80. FOOD CERTIFICATE ISSUED 33. Final Electric - i Notes: fr.-7,"6-5,_ SG S- ,,// ,r/rt /S 06/4xlfi 34. Final Heating & Air Conditioning CU/ 35. Final Gas Pipe-Test d«/ ss Ave( /cm_,n,-,..-4 t 36. Hood or Canopyre r 37. Final Factory Fireplace ^ /7;r5 037 o 38. Final Plumbing 0/C fl Gov+ 1/ty 39. Water Service-Final • 40. Gas Service-Final ////,O/J9 ' �_�"`L7f .I/J� Al.�-� 41: Solar Domestic-Final . /AO , ,.f (l • 42. Backflow Preventer I1 • I 43. Backflow Irrigation '? 44. Landscape Irrigation System F'- f/ • 45. Sound Attenuation ,, 46. Handicap Regulations / ; •(% ' 47. FINAL STRUCTURE & BUILDING " 4/ ! bar • - 48. Special Requirements Completed 49. Electric Release to Edison : ; .4 50. Gas Release to Southern California Gas Co 01 ' • ' t 51. CERTIFICATE OF OCCUPANCY e- - (. , -' • No. Date f/•-1 Applicant to fill In ail spaces except those within heavy border lines and sign all appropriate declarations. PE ITN TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA CONSTRUCTION PERMIT # •� A.P.# Zone Project.Address ?.S 7 Z ELOse. /IVC /5 - 3 '753 �,7�10� r. V S Main Building: Accessory Building: 'Applicant's Mailing Address /8/_N OG[ /-2/7/2 Cis? TYPE OF CONSTRUCTION ANEW ADD U ALTERATION U REPAIR E — Z El CONVERSION ❑ DEMOLISH ❑ OTHER T Front 0 Owner's Name .-Z_, /54, L /i(/ 7704.1 Phone 4kr-YY,Sf DESCRIPTION OF WORK/USE OF BLDG. B .Rear N Address /SU—� .0a ./-2.9A . Arch/Eng. License No. TYPE OF PERMIT U GRADING�U FOUNDATION U STRUCTURAL K .Right i G Address IELJ TENANT ❑ ELECTRICAL PLUMBING 0 MECHANICAL $ Left R Contractor's Name -Z.. y L•/4/76.4.' Phone • ❑ OTHER I Ping. Ref.# Parking Req./Provided E Address(mailing) PROJECT DESCRIPTION SQ. FT. OCCUPANCY CI Planning Notes: M CONSTRUCTION TYPE VALUATION S T City License No. c5/67 ZONE GRADING CU.YDS.' ACRES S. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: �/� /3 -!!i (/ with section 7000) of Division 3 of the Business and Professions Code,and J) V my license is in full force and of fact. ELECTRICAL FEES License Class License No Date Signature _ _ — PLUMBING— FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATION Construction Pole Sub. 0 50+ KW 1 hereby affirm that I have a certificate of consent to self-insure or a certificate / Bar Sink / Showers q 00 �f Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps 800, Lab.' C.) Policy No. Company Backflow Irrigation Sewer Cap _ Dishwasher t;• Meter Dover 100 amps 8 Certified copy'is hereby furnished. u"1 Dryers ❑G¢S ❑Eleptrlp Sub Panel Certified copy is filed with the city Building Division. 2,, Bathtubs Sewer Connection + DD Date Applicant Fan Motors❑0.1 HP ❑1'f.-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred ($100)or F.A.U. Inc.Solar ❑g-15 HP ❑16.15+ less). / Dishwasher Solar Piping a-,p0 I certify that in the performance of the work for which this permit is issued, I Fixtures shall not employ,any person in any manner so as to become subject to te Drinking Fountains Solar Tank Microwave Workers' Cp a ss�a1i¢¢n Laws of Californlryq Device Boxes . Date �/ 7 "re Signature p(/,�� 1 • Floor Drains Swimming Pool w/SpaPole Light NOTICE: 1 alter making this declaration,you should become subject to the Outlets Workers' ompensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Range - comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY / Gas Service G Outlets 9 Water Closet G. oo Switches Sign I hereby affirm that there is a construction lending agency for the performance n of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater a �V Garbage Disposal Standing Sections Lender's, Name - r Lender's Address / Kitchen Sink Water Service - a' DO Generator ❑0.5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION 7s I hereby affirm that I am exempt from the Contractor's License Law for the S Lavatories , Auto-Wash /D- o9 __ following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P—Trap Laundry Trays any structure, prior to Its issuance,also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law (Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt - Reinspection Fee $15 Issue Fee $ 3 .:�,erefrom and the basis for the alleged exemption. Any violation of Section 54 31.5 by any applicant for a permit subjects the applicant to a civil . z- �::: natty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: ,co I, as owner of the property or my employees with wages as their sole Reinspection Foe I $15 Issue Fee $ 3 f Zoning Approved By Date compensation, will do the work, and the structure is not intended or.offered _ for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved ey Data / License law does not apply to an owner of a property who builds or improves Application Issued By ` thereon, and who does such work himself/herself or through his or her own Hood or Type I 0 App Date Ce employees,however, ed that such improvements are not intended or offered for Boiler .. sale- If, hever, the building or improvement Is sold within one year of com- Canopy Type II 0 • SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground ,el prove or the purpose of sale). BUILDING PERMIT $ • /I SMIP $ as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ .a n PERMIT tractors to construct the project (Section 7044,Business and Professions Code: �.t The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0.100,000 BTU 0100,000 BTU PLUMBING $ I{py ISSUANCE $ builds or improves thereon. and who contracts for such orojects with a con- tractors) System license pursuant to me Contractor's License Law). I am aware that Exhaust 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ .--2< ENERGY P.C. $ proof oftheir Worker's Compensation insurance should be provided to me. NG $ IDI am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt.ICBG# Fire Damper• s ELECTRICAL $ GRADING MICROFILM $ . �7 PLAN CHECK 50% $ Date _ 2,0 Owner c,_L_.. Heating System& Ducting Registers d •�� MECHANICAL $ TOTAL FEE $ I hereby r fy that I have read this application and state that the above ❑O-100,000 BTU 0100,000 BTL $ . �� Information is correct. I agree to comply with all city and county ordinances :n PLAN CHECK 25% and state laws relating to building construction,and hereby authorize repre- sentatives of this city to enter uon the above-mentioned proper for - inspection purposes- :„...t yp Signature ( ZI�.C� Date -¢ 8 pains action Fee $15 Issue Fee $ 3 Drivers' License or SS _ / / p 01 00011284-00011285 TOT 44,25 0865-46,rev. 5/88 white - Building; Canary - Applicant; Pink -Accounting;Goldenrod -Assessor DATE: 08/04/88 TIflE: 12:24 CONSTRUCTION AND PLANNING POOL PA APPROVALS Permit Date Inspector APPROVALS Permit# • Date Inspector 1. Temporary Electrical Service or Pole e 52. Pool & Equipment Location• i _ 2. Soil Pipe-Undrgrnd. 10�,f'v/ Cfy„7C- 53. Steel Reinforcement Electrical Conduit Utility-Undrgrnd. •.a 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding , 5.1Steel•Reinforcement - 56. Rough Plumbing & Pressure Test ' I I 6. Electrical UFER,Grnd. 57. APPROVAL TO COVER-GUNITE 7.' Footings i 58. Electrical Conduit-Undrgrnd. 8. Foundation •,r 59. Gas Pipe, 0 Undrgrnd., Test ;9:•Wate' Pipe-Undrgrnd.:,1 1 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK ,', 17. 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 /04,41"„,,ern 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final cit.- 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 119. 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 • / gffir72. Underground Flush 24. Roof Framing 5 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 . v. . .:• 80. ,F,OOD-CERTIFICATE ISSUED 33. Final Electric �' ;� Notes:,*/.f? / - �Q �f� ter 34. Final Heating& Air Conditioning !� �I z 35. Final Gas Pipe-Test 1 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing Of*?,MC 39. Water Service-Final 40. Gas Service-Final ' _)41. Solar Domestic-Final 42. Backflow Preventer y 11 , 43. Backflow Irrigation •• r! 44. Landscape Irrigation System, 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed .• 49. Electric Release to Edison I. 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. TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA CONSTRUCTION PERMIT —373 3 6) /3O�� / A A.P.9 Zone Project Address Sia &LOEN AVE * PERA 1-IU ALTERATION G �EW U ADD S Main Building: Accessory Building: applicant's Mailing Address �O -N DEL_ /t-1/1.R. cm TYPE OF CONSTRUCTION [/dU REPAIR E Z — El CONVERSION El DEMOLISH lip OTHER T Front O Owner's Name �.I-IW. L!/V 7 0 N Phone�951-(14)55 Address I8 �f'—f'1 .7)k:,�— MAR DESCRIPTION OF WORK/USE OF BLDG. I A Rear N Arch/Eng. License No. TYPE OF PERMIT Li GRADING U FOUNDATION U STRUCTURAL C Right G Address El TENANT ❑ ELECTRICAL El PLUMBING ❑ LeftMECHANICAL $ Contractor's Name x113 Phone ❑ OTHERPing. Ref.# Parking Req./Provided E PROJECT DESCRIPTION SQ. FT. OCCUPANCY I Q Address(mailing) Planning Notes: M CONSTRUCTION TYPE VALUATIONS T City License No. ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: /3/12 3/•/•(f�(�• J P34-7 53 with section 7000) of Division 3 of the Business and Professions Code,and my license is in full force and effect. ELECTRICAL FEES License Class License No. Date Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATION Cons[rudti0n POIe Sub. 0 50+KW ' hereby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink Showers - Workers' Compensation Insurance, or a certified copy thereof (Section 00 Cooking Unit Meter Duo to 100 amps JO, Lab. C.) Backflow Preventer Service Sink 2 . Policy No. Company / Backf low irrigation Sewer Cap Dishwasher Mete? Dover 100 amps 8 Certified copy is hereby Iurnished. Dryers ❑Gas ❑Electric Sub Panel Certified copy is filed with the city Building Division. Bathtubs / Sewer Connection s 00 Date Applicant Fan Motors 00-1 HP 01'A-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors sls section need not be completed if the permit Is for one hundred($100) or Dishwasher Solar Piping F.A.U. lesInc.Solar 09-15 HP 016-15+ I certify that in the performance of the work for which this permit is issued, I Fixtures shall not employ any person in any mariner so as to become subject to the Drinking Fountains Solar Tank Microwave n Workers' o s Laws of Califor Date /�1�Q 1 a'7 Signature �jj/'' f a Floor Drains Swimming Pool w/Spa Device Boxes ;Pole Light NOTICE: ii,aft /making this declarati Od, you shshould become subject/ to the e Outlets ' Ran Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal 9 comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign I hereby affirm that there is a construction lending agency for the performance Garbage Disposal of the work for which this permit Is issued (Section 3097 Civ. C.) Interceptors Water Heater 9Standing Sections Lender's Name Lender's Address Kitchen Sink j. Water Service # OG Generator 00.5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of ^'••inion 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee ! $15 Issue Fee $ 3 efrom and the basis for the alleged exemption. Any violation of Section 1.5 by any applicant for a permit subjects the applicant to a civil salty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: 6I, as owner of the property or my employees with wages as their sole Reinspection Foe I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered _ Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By License Law does not apply to an owner of a property who builds or improves Date thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I ❑ Application Issued By rlate_/ employees, provided that such Improvements are not Intended or offered for sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pietion, the owner win have the burden of proving he/she did not build or im- Duct- Under Ground prove the purpose of sale). BUILDING PERMIT $ SMIP $ as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: /� The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ 9.00 ISSUANCE $ builds or improves thereon.and who contracts for such orolects with a con- __ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof o their Worker's Compensation insurance should be provided to me. $ GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers PLAN- ELECTRICALCAK 50% $ MICROFILM $ Date 1' f•'�!1 Owner �r[.lf..'K- 621.2 Heating System& Ducting Registers MECHANICAL $ 7''LL 00 I hereby certify that I have read this application and state that the above 00.100,000 BTU 0100,000 BTL TOTAL FEE $ T Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction,and hereby authorize repre- sentatives of this city to enter upqn the above-mentioned property for inspection purpos(vdeeC�s�c�. / )) �e.- /��� ^��S Signature J r L /, Reinspection Fee $15 Issue Fee $ 3 DATE: 5437-QQ07�437 O1r31/89 TRIP 16:;$ 14,00 0865-46,rev. 5/88 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 'i 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. i 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, O Undrgrnd. 10.••Structural Floor System • 61. APPROVAL TO DECK • 11.,Property Sewer Line & House Connettion 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 -- ,10.-Rough Electric Wiring 67:Fencing & Access Approval -17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 48, 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 r) HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric - Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation ///91?SPC f 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 CONSTRUCTION PERMIT I PE �VRMIT NO. TRACT NO. LOT NO. UNIT NO. Project Address 2572 E Lden Ave "a" ! '37'Z32 LI A Applicant's Mailing Address• 1908 Pomona Ave. , Ste B TYPE OF CONSTRUCTION NEW ADD U ALTERATION U REPAIR Owner's Name L&L DEVELOP. Phone6459455 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# I Zone Address 181 De1Mat AVe.#H,' Costa Mesa DESCRIPTION OF WORK/USE OF BLDG. S Main Building: Accessory Building: Arch/Eng. License No. TYPE OF PERMIT U GRADING U FOUNDATIQN^U STRUCTURAL Front 0 T 0 (-� E IJ TENANT El ELECTRICAL El PLUMBING ,AECHANICAL B Rear • N Address ❑ OTHER A Contractor's Nam RICM Heat & Air Phone 445 1870 C Right N 1908 Pomona AveSteB,Costa Mesa PROJECT DESCRIPTION SQ. FT. OCCUPANCY K CityAddLicensess e(mailing) CONSTRUCTION TYPE VALUATIONS S Left ' City License No. 045822 R ZONE GRADING CU.YDS. ACRES Ping. Ref.# Parking Req,/Provided E LICENSED CONTRACTOR DECLARATION Q I hereby affirm that 1 am licensed under provisions of Charter 9(commencing Remarks: Planning Notes: mwith section 7000) of Division 3 of a Business a d Professions Code, and B34476 my license is In full force and effect, T License Class C2041 wt ,/'// ; ,.--0"717117731C .� • I S Date i/n..3-LO9 Signature _—_- __. 7T i // Fr PLUMBING FEES • WORKERS'COMPENSATION DE- - RATION ..- Bar Sink Showers ELECTRICAL FEES I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' Compensation Insurance, Or a certified copy thereof (Section Backflow Preventer Service Sink 3800, Lab. C.) Automatic Washer Transformer 0 15-50 KW Policy No. Company Backflow Irrigation Sewer Cap • Construction Pole Sub. 0 50+ KW i fled copy is hereby furnished. er�tJJfietl���� is filed with the aty —_- Bathtubs Sewer Connection Cooking Unit Meter Dup to 100 amps Dat Applicant— l EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors - Dishwasher Meter Dover 100 amps This section need not be completed if the permit Is for one hundred ($100)or lesDishwasher Sol iping Dryers ❑Gas ❑Electric Sub Panel • I certify that in the performance of the work for which this permit Is issued, I shall not employ any person In any manner so as to ecome su act to the Drinking Fountains alar Tank Fan Motors -1 HP 01%-8 Worker�L3q%tq g0 tion Laws of Callfew�lia/. � � ---I - Date '/ Signature L4'1G(.7U�--���///��� Floor Drains Swimming Pool w/Spa F.A.U. In lar ❑9-15 HP 016.15+ NOTICE: If,after making this declaration,you should become subject to the - // Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance Pole Light of the work for which this permit Is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets Range Lender's Name Lender's Address Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash Garbage Disposal Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays Generator 00.5 KW 05-15 KW ally 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 herofrom and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). 0 I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered - - - - Reinspection Fee $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES - License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ sale, If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 Zoning Approved By Date ['lotion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By P a prove for the purpose of sale). , /r���s� Data ❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By .J//oy:.t-. . Dat tractors to construct the project Section 7044,Business and Professions Code: — r The Contractor's License taw does not apply to an owner of property who 1 Duct-Ventilating 00-100,000 BTU 0100,000 BTU 4 so SUMMARY OF'3- builds or Improves thereon,and who Contracts for Such projects with a con- tractor(s) "7s license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple❑ System Repair/Alteration _ BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date Owner Heating System& Ducting Registers F Ob PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above %O-100,000 BTU 0100,000 BT ELECTRICAL $ GRADING $ information is correct. I agree to comply with all city and county ordinances 1 and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of this city to er upo the above-mentioned property for Inspection purpyse� Dow//Z3� MECHANICAL $ �.Q '-S, TOTAL FEE $ 2$ 'S� Signature all. �/�{//'/�/ �/�} ¢)— Drivers' License or SS �"' `" /` Reinspection Fee $15 issue Fee is. s4 PLAN CHECK 25% $ CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod -Assessor • CATE: 01/23,09 TBiE: 13:2) , A PPP" 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 lit Air Conditioning //moi/t FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# _ . .21. Ducts, in Structure 70. Underground Hydro '22. Ducts, Ventilating 71. Product Piping O Gas ID 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 1• 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 f/5/7r .: 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. PER T NO. TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA CONSTRUCTIO PERMIT f A.P.# Zone 0572 &LOCH ' w`e . I 1 3�SG� //�� Project Address , ( S Main Building: Accessory Building: Applicant's Matting Address ('� S,. IA • A_ IA s • . • i •• 41T PE OF CONSTRUCTION U NEW U ADD U ALTERATION LJ REPAIR E Front Z Owner'•s Name I 4- i OtV• h oneb45-e4,55 ❑ CONVERSION ❑ DEMOLISH 0 OTHER • T O (�1�� DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address 161—H Heti mar PUC' oSFG 7ary / 4dLoxl A I Arch/Eng. _ License No. TYPE OF PERMIT 0 GRADING U FOUNDATION U STRUCTURAL C Right G Address l rPPIcces 0 TENANT ElELECTRICAL CIPLUMBING 0 MECHANICAL S Left 0 OTHER R Contractor's Nam. ,1 • ee LT:re:no 1-n!• •hone971.1.2 /q 'Ping. Ref.$- Parking Reeq./Provided E Address l mailing) 4505 man ei nB'3 .81, Lawndok 1^ PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: _ t,rn �I(_I�j U r+t�t�(3 M City License No. Ia0 b qd•sic CONSTRUCTION TYPE VALUATION$ l O ZONE GRADING CU.YDS- ACRES RmCE y y✓ T LICENSED CONTRACTOR DECLARATION �s�nZ,�I�//ry�t— S. 1 hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: ec.34/.. /W with section 7000) of Division 3 of the Business and Professions Code,and e s /���!!! my license is in fu force and effect. �����/ ELECTRICAL FEES Licenses Class -tOI �1Lice se N $ • Z. Date ffriOrPB Signature L� ,e�U rhiM Mnnetrtel officer PLUMBING I FEES Automatic Washer ----iTransformer 0 15-50 KW WORKERS'COMPENSATION DECLARATIO Construction Pole Sub. 0 SO+KW f I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Shower3 of Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter ❑up to 100 amps 3800, Lab. C.) Backflow Preventer Service Sink kr9 Policy No. � .��� Company Cilel ,0 fi•�rl�^ ylSt Backflow Irrigation Sewer Cap Dishwasher. Meter Dover 100 amps .Certitietl copy is hereby furnished. Chief nandal OM Dryers ❑Gas ❑Electric ^ Sub Panel erci i d {1y i}.£ed with the city B/�11 mg 1 sw Bathtubs Sewer Connection Date I7 Y° "6 Applicant L-• Fan Motors 00-1 HP 01%-8 EXEMPTION FROM WORKERS'COMPENSATIO ECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred($100)or Dishwasher F.A.U. Inc.Solar 09-15 HP ❑16-15+ less). Solar Piping I certify that in the performance of the work for which this permit is issued,I Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Compensation Laws of California. Device Boxes Pole Light Date _ Signature' Floor Drains / ' Swimming Pool w/Spa 9 NOTICE: If,after making this declaration, you should become subject to the • Outlets Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00.5 KW 05.15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto•Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P—Trap Laundry Trays any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law (Chapter 9(commenting with Section 7000) of Division 3 of the Business and Professions Code) or that he/she Is exempt Reinspection Fee $15 Issue Fee $ 3 therefrom and the basis for the alleged exemption. Any violation Of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure Is not intended or offered Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By / �s �—Date License Law does not apply to an owner of a property who builds or improves 1-{-F}-- thereon, and who does such work himself/herself or through his or her own Application Issued By Dat tS employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I D sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or Im- Duct- Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMITG�AAv�l1 tractors to construct the project (Section 7044,Business and Professions Code: �'K/Ci�1G The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon-and who contracts for such oroiects with a con- tractorsf Exhaust license pursuant to the Contractor's License Law). I am aware that System ❑ Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof oftheir worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# .3H4 ' ' Fire Dampers Li a. +'1 �D MICROFILM $ PLAN CHECK 50% § pp.. Date Owner Heating System& Ducting Registers MECHANICAL $ Q• ()OV^ TOTAL FEE $ o.00 I hereby certify that I have read this application and state that the above 00-100,000 BTU ❑100,000BTL V information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction, and hereby authorize repre- sentatives of this cit to enter upon the above-mentioned property for Signature purposes. AGA / // '7_ 4' Signature .. AGA /J(_/] -Accounting: Goldenrod - Assessor DATE: 12/06/88 TIttE: 09:54 CONSTRUCTION AND PLANNING POOL _SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector s' 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3.iElectrical Conduit Utility-Undrgrnd. 54. Forms 4.1Electgical Conduit-Undrgrnd. 55. Electrical Bonding 5: Steel Reinforcement 56. Rough Plumbing& Pressure Test 6. Elect's-icor UFER 57. APPROVAL TO COVER-GUNITE • 7.'Footings • ,j 58. Electrical Conduit-Undrgrnd. B..Foundation r / 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 117 Property Sewer Line'& House Connection 62. Backwash & Receptor-Final 12. SewefCap f - . ' 63. Heater & Vent-Final 13. Roof,Drains ' I ' 64. Plumbing System - Final 14. Rough Plumbing• 65. Electrical-Final 15. Rough Electrical-Conduit L' 66. Solar System-Final 1 C. Rough Electric Wiring 67. Fencing & Access Approval '17: Rough Wiring Sign 68. APPROVED FOR PLASTERING _ 118. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT Al 20. Rough Factory Fireplace J//`/ imB ` APPROVALS Permit# 21. Ducts,in Structure � 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil ' i. 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 37: 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 q_ 3.61 (�,O 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 • 53523/ - Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. PERM�IT NO. 52.3, TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA CONSTRUCTION PERMIT _ T N /�F—.7 N A.P. + Zone . " '' fZ ere f71l • Project Address LS ! .est ` it.;�.f AU&i rf v�`75 Main Building: Accessory Building: Applicant's Mastro/y Address C t s• im eGs4 -/is L 7/- TYPE OF CONSTRUCTION VEW ❑ ADD LI ALTERATION ❑ REPAIR E Z Owner's Name `e t. Otve!opr•.ent Phone6 ' ' VJS C CONVERSION ❑ DEMOLISH ❑ OTHER T Front N 1 8/ _ 14 yf�L m�Q DESCRIPTION OF WORK/USE OF BLDG. • 1 B Rear I, Address V Arch/Eng. License No. TYPE OF PERMIT GRADING U FOUNDATION U STRUCTURAL - j C Right • G Address /� ,, ❑ TENANT ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ • Left • •• R �, 'K Gl.ac..-}y ❑ OTHER j Ping. Ref.# Parking Req./Provided E Contractor's Name— f Phone OJECT DESCRIPTION SQ. FT. Q Address(mailing)/ 1/G 7 ��e N4.015:0(0 1 wet ' OCCUPANCY Planning Notes: M // 7CONSTRUCTION TYPE VALUATION$ T ` City License No. �cb ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION - • I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: B 3a4. 4'7 • with section 7000) of Division 3 of the Business and Professions Code,and L rJ A\ my license is in full force and effect. q Q�1 ELECTRICAL FEES Nil, License Class ��..���C'�ss//-- • lc- se o. / ZO /Jf DatefS - ?2-99,6 Signature ji PLUMBING FEES Automatic Washer Transformer-0 15-50 KW WORKERS' COMPENSATION D' LARATION Bar Sink Showers Construction Pole Sub. ❑ 50+KW ' hereby affirm that I have a certi irate of consent to self-Insure or a certificate I Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit / Meter ❑up to 100 amps Ci200, Lab. C.) '/ L 1,, Backflow Preventer Service Sink - yq Policy No. /Q P3367 Compan ' +41C. IF,..4•%b IrrigationSewer Cap Dishwasher . Meter ❑over 100 amps 9YVfff 1� 7 Backflow P Certified copy is hereby fu niched. Cer sed co is fl a ith the city Bu' •in•.sivisio Bathtubs Sewer Connection • Dryers ❑Gas ❑Electric _ Sub Panel Oat q — /' — Applican -i i L • Fan Motors❑0.1 HP ❑iX-8 EXEMPTION FROM WORKERS'C. PENSATION DECLARATION Clarifiers Solar Collectors • Tleshis).section need not be completed the permit is for one hundred ($100)or Dishwasher Solar Piping F.A.U. Inc.Solar 09-75 HP 016-15+ I certify that in the performance of the work for which this permit is Issued, IFi%t Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank • Microwave Workers' Compensation Laws of California. Date • Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE:If,after making this declaration,you should become subject to the - - workers' Compensation provisions of the Labor Code, you must forthwith Outlets Range p Floor Sinks Urinal . with such provisionsIGor this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYSwitches Si n Gas Service Outlets Water Closet 9 I hereby affirmk that there Is a is permit issue agency for the 97rfCiv. C.) of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name - Lender's Address Kitchen Sink Water Service t Generator 00"5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION / ��� ) 6-7 •�-� I hereby affirm that I am exempt from the Contractor's License t.aw for the 'Lavatories Auto-Wash • /te.e. Lt4 J 7 73 following reason (Section 7031.5 Business and Professional Code: Any city or — / / county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays • / any structure, prior to its issuance, also requires the applicant for such permit 9f/ .i5 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 iS v a'vision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee '4; refrom and the basis for the alleged exemption. Any violation of Section $ r' "T31.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: . ❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee , I $15 Issue Foe $ 3 compensation, will do the work,and the structure Is not intended or offered Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By (!J0 Date License Law-does not apply to an owner of a property who builds or improves - /r/"� thereon, and who does such work himself/herself or through his or her own Application Issued By Date employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). - BUI LDING PERMIT $ SMIP $ 0 I, az owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU ❑100,000 BTU PLUMBING . $ ISSUANCE ' $ builds or improves thereon. and who contracts for such oroiects with a con- - - tractor(s) license pursuant to the Contractor's License Law). I am aware thatExhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ ��- ,7i 2 J GRADING $ o I am exempt under Section B.& P.C.for this reason - Firepl/Fact.Blt. ICBG# Fire Dampers 2�� MICROFILM $ PLAN CHECK ' 6% $ /4-.33 Date Owner Heating System& Ducting Registers MECHANICALQp / _" I hereby certify that I have read this application and state that the above 0Q-100,000 BTU 0700,000 BTU - $ TOTAL FEE $ 0�'�t/�p information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction,and hereby authorize repre- sentatives of t sty enter u•'n t•• ab• e-mentioned pjoperty for . • Inspection p r s. /14�Z- - • J Signature st Pink -Accounting; Goldenrod -Assessor CONSTRUCTION AND PLANNING POC 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.•Ltlectrical Conduit Utility-Undrgrnd. 1 54. Forms 4.1Elect'ical Conduit-Undrgrnd. ; ' - 55. Electrical Bonding 5.1Steel'Reinforcement, ' 56. Rough Plumbing & Pressure Test i; 6. Electrical UF ER'Crud. % 57. APPROVAL TO COVER-GUNITE 7.IFootings • •• 58. Electrical Conduit-Undrgrnd. 8.'Foundation .rt I 59. Gas Pipe, O Undrgrnd.,Test 9.IWater Pipe-Undr9rnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10.1Stuctural Floor System ` ' 61. APPROVAL TO DECK i 11. Property Sewer Line•& House Connection 62. Backwash & Receptor-Final • 12. Sewe Cap 63. Heater & Vent-Final 13.'Roof Drains 64. Plumbing System - Final V 14. Rough Plumbing 65. Electrical-Final • i5. Rough Electrical-Conduit /p6. Solar System-Final 16. Rough Electric Wiring ,ip,Cl,1 • . Fencing & Access Approval 1 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 1.19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts,in Structure 1-r• 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23,,Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing i• i 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 CoatA 79. FINAL INSPECTION 32. Electrical Power Meter-Final I/ A 80. FOOD CERTIFICATE ISSUED 33. Final Electric ,p 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. Backf low Irrigation , 44. Landscape Irrigation System ' 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 1- 48. Soecial Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY .1 r No. Date _ rx City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. Building Safety Division ���J63 V jJ P.O.Box 1200 Costa Mesa,California The Building located at 2572 Elden Avenue, Units B & C has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group R3 Occupancy. Use of Building Condominiums • Legal Description 439-161-18,.19,20 (See reverse side for Metes and Bounds) Building Permit No B34477 Electrical Permit No. F. 35232 Plumbing Permit No:P34754,.P37337 Mechanical Permit No. M36567, M37233 Number of apartments 19 and/or guest rooms • ISSUED TO: Building Official G2oraa Edmifston Z. H. Linton sf/�w 181 Dal Mar Ave., Unit H by iJ •., Costa Meaa,. CA 92627 Date November 15, 1989 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 le) U.B.C. CMF 1015-46 rev. 1/83 WhiteOwner;Cana—-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 CONSTRUCTION PERMIT C PERMIT NO. TR CT NO. LOT NO. UNIT30(pITNO. Projectr-Address ✓•S7? �L Of 4.L.A?64 - �c'e vh- �� �� - I I pr( Applicant's Mailing Address /B/'-H Ohl /-v Hit TYPE OF CONSTRUCTION U NEW LJ ADD U ALTERATION LJ REPAIR �'1 �y Owner's Name S• 't /. /Ai TO eG7/S-9YS A-/ Phon � ❑ CONVERSION ❑ DEMOLISH El OTHER A.P.# C-fA. -I(P I — 1 8 Id I Zone gLpe— DESCRIPTION OF WORK/USE OF BLDG. Address 'S/-/t' O&2_ /9,472 Kt Air - S Main Building: Accessory Building: Arch/Eng. gc, - CS7zrR LI No. TYPE OF PERMIT GRADING 111FOUNDATION LISTRUCTURAL T 1rHFront 02 f7 I O Address Prw0 iveui Pp.2T /'Furs-72 ep cIR• ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B A 8`-Rear y1 GI bi N ❑ OTHER ,J I Contractor's Name 0 PhoneI Address(mailing) { PROJECT DESCRIPTION SQ. FT. �iR7.741 OCCUPANCY (1c'_ 33 C Right meq[) N CONST RUCTION TYPE V N VALUATIONS 711 l `p SS Left p{5/ a hi G City License No. ZONE GRADING CU.YDS. ACRES R E LICENSED CONTRACTOR DECLARATION Ping. Ref.# Dg -27-(..18 Parking Req./Provided H'8 8 I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: (� T /� p1 1� k^/� ��n/ PlanningNotes: Q with section 7000) of Division 3 of the Business and Professions Code,and r r N-C.ec Co OY. In) Y '•"'o M J I [,pp J'��C-C.�' M my license is In full force and effect. ,L / 9„((Z ^1I 0. PIOL159OR�TA�. REO g tU I l; T License Class License No. el L f0 C i4 1 a- v&,` S Date Signature PLUMBING I FEES WORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES :.'„hereby affirm that I have a certificate of consent to self-Insure or a certificate i;f”" Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink ` 000, Lab. C.) Automatic Washer Transformer 0 15-50 KW Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+KW • 8 Certified copy Is hereby furnished. - Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Clover 100 amps (This section need not be completed if the permit is for one hundred ($100) or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Drinking Fountains - Solar Tank Fan Motors 0o-1 HP Di h-8 • Workers' Cymy sAlion Laws of Californi�s/� �_• _ Date 7//1J'err Signature p/ /� C' Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP❑16-15+ NOTICE: f,after making this declaration,youshould become subject to the , Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures • comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets -eWater,Closet Device Boxes I hereby affirm that/there is a construction lending agency for the performance - -. Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors •- - - Water,Heater Outlets Range • I Lender's Name ' Lender's Address Kitchen Sink - - - Water Service Switches Sign OWNER BUILDER DECLARATION . I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories - Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or - Garbage Disposal Standing Sections county which roquires,a permit to construct,alter,improve,demolish or repair P-Trap - LaundryTrays ' any structure, priorto Its issuance, also requires the applicant for such permit y Generator ❑0.5 KW ❑5-15 KW Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains - . the Contractor's License Law(Chapter 9(commencing with Section 7000) of .� Division 3 of the Business and Professions Code) or that he/she is exempt -- -- - 'erefrom and the basis for the alleged exemption. Any violation of Section )31.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than live hundred dollars($500). b I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work, and the structure is not Intended or offered - Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or Improves thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREM/yS• employees, provided that such improvements are not intended or offered for Boiler Hood or Type 1 0 (/ I- ier-4 R sale. If, however, the building or improvement is sold within one year of tom- Canopy Type II ❑ Zoning Approved By -�"�" Date -f 1_ 88 pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By Date gr.,owe for the purpose of sale). �1 1 as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By �� Date 1—1 -63 tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU builds or Improves thereon, and who contracts for such projects with a con- SUMMARI( F FEESZei tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ 117 4 f0 SMIP $ I S proof of their Worker's Compensation Insurance should be provided to me. _ PLAN CHECK $ PERMIT 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date Owner o ,, / f - Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ i I hereby/cert(Iy that I have read this application and state that the above 00-100,000 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 repre- PLAN CHECK 50% $ MICROFILM $ 139sentatives of this City to enter upon the above-mentioned property for inspection purposes/J,�J��/ MECHANICAL $ TOTAL FEE $ I06.4.— „,„,,Signature ,QI-�/ CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor in u0UU9357-00009358 TOT 1964.5'9 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 g 1n/gt �' it./ • 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grnd. / / 57. APPROVAL TO COVER-GUNITE 7. Footings r . \ I 58. Electrical Conduit-Undrgrnd. 8. Foundation j` /+ 59. Gas Pipe, 0 Undrgrnd.,Test . 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System O/fl 't G 1✓• 61. APPROVAL TO DECK i 11. Property Sewer Line& House Connection ! 62. Backwash & Receptor-Final - - - . • 12. Sewer Cap 63. Heater & Vent-Final :-.0 ' 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 it 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL `'"ify, I• 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT -- 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro L e, • 22. Ducts, Ventilating 171. Product Piping OGas 1;11.Oilf 23. Gas Pipe-Rough&Test 72. Underground Flush 4•4I -_ 24. Roof Framing 73. Undergrnd.Storage Tank_OGas OOil;, 25. Roof Sheathing Pb-1I g i V/ 74. Overhead Hydro :r ii I 26. T-Bar Ceiling (Structural) & Monocoat / 75. Dry Chemical 0) r' 27. Frame and Flashing 181 pe, 76. Dry Standpipe -u.-. 'r`' c4 28. Lathing & Siding 77. FIXED SYSTEM FINAL ti . 29. Insulation yi�' 78. FIRE PREV. FINAL C. , 30. Drywall Nailing 342+ ari,49* HEALTH DEPT. REQUIREMENT 31. Plaster Brown CoatCo OS 79. FINAL INSPECTION C r• 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: It(0. 4' 0,r;•vv c�X-vy9 i'� . - 34. Final Heating& Air Conditioning C•. 35. Final Gas Pipe-Test /0e/f-, .h21;-..>“ Ile 4 36. Hood or Canopy 37. Final Factory Fireplace J • / v 38."Final Plumbing i 39. Water Service-Final , 40. Gas Service-Final . • '41. Solar Domestic-Final • ,. , '42. Backflow Preventer .43. Backflow Irrigation < ' Z , v , 1,44(Landscape Irrigation System - . 245. Sound Attenuation I,. 46.•Handicap Regulations //�� ' ' ,,' 47. L FINA .STRUCTURE & BUILDING �" / " , i t 48. Special,Requirements Completed /t//3? $Cl 1.4.3 . ' ', !' 49. Electric Release to Edison - - - 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date _ I 4 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY.OF COSTA MESA CONSTRUCTION PERMITPER T NO. _ TRACT NO. LOT NO. UNIT NO.-r . Zonee- mr• .9 9(--c r 39 7551 /.704 2ProjectAddress 2s7Z a-22 --IV -fx7ve- ,0 9F-c 3975 S1 /��.71�042 / ,61940• Applicant's Mailing Address /S/k DZ_ M/ 4. CH, TYPE OF CONSTRUCTION [tHIEW H ADD H ALTERATION H REPAIROwner's Name •r/ y' L / -17-0,4" Phone 69S-9S/ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER Address /8/ —H pat H 9J( DESCRIPTION OF WORK/USE OF BLDG. Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING l LII�FOUNDATION ❑ STRUCTURAL Address '/ ❑ TENANT ❑ ELECTRICAL u,TPLUMBING ❑ MECHANICAL .r/ f/, L //(/ 7-64-0 Phone ❑ OTHER I Ping. Ref.# Parking Req./Provided E Contractor's Name PROJECT DESCRIPTION SQ. FT. OCCUPANCY e Address(mailing) Planning Notes: / CONSTRUCTION TYPE VALUATION$ City License No. �/B ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION S./ I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Re,.. /Sf11 ' - O'2 t, 'y 2/) • • with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. ELECTRICAL FEES License Class License No. Date Signature PLUMBING FEES s KW WORKERS'COMPENSATION DECLARATION /`J Bar Sink L% Showers too ■ s I hereby affirm that I have a certificate of consent to self-Insure or a certificate ' Workers' Compensation Insurance, or a Certified copy thereof (Section Cooking Unit Meter ■ 11 111 00, Lab. C.) Backflow Preventer Service Sink .tlicy No. Company Backflow Irrigation Sewer Cap aDover ampS BCertified copy is hereby furnished. DryersOGas CIElectric Certified copy is filed with the city Building Division. v Bathtubs Sewer Connection �a 1.Date ' Applicant eI r EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers _ Solar Collectors (This section need not be completed if the permit Is for one hundred ($100)orInc.Solar . less). - `! Dishwasher Solar Piping - 4. o0 I certify that in the performance of the work for which this permit is issued, I snail not employ/any�1person in any manner so as to beco e subject to the. Drinking Fountains _ Solar Tank Workers' i Laws of Californi /� .�A Date Signature /�L = Floor Drains '/ Swimming Pool w/Spa Device NOTICE: If,of r making this declaration,you should become subject to.the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal A a w Outlets comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING. AGENCY 2 Gas Service /2 Outlets 4 Water Closet :7:::, Switches Sign I hereby affirm that there is a construction lending agency for the performance - of the .work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater. (.� Do Garbage Disposal Standing Sections Lender's Name ' • Lender's Address 2 Kitchen Sink Water Service 4 DD Generator 00.5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the a Lavatories . Auto-Wash , • c — following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed Statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000) of Division' 3 of toe Business and Professions Code) or that he/she Is exempt - Reinspection Fee 3itDerefrom and the basis for the alleged exemption. Any violation of Section P $15 Issue Fee $ 3 '3/3"-)31.5 by any applicant for a permit subjects the applicant to a Civil y 3naity of not more than five hundred dollars($500). I 3 ' DEVELOPMENT SERVICES REQUIREMENTS: L] I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee $ f • or sale (Section Will 0 the work, and the ois not intended Contractor's offeretl - Zoning gApproved rov dy Date for nse (Section of to an and f aProfessionalprCotle: The mroveMECHANICAL FEES - , Building Approved By Date thereon, Law does not apply to owner f a proof or who builds or Improves _._. __.. ___ _ - employe and who does such work oemhimself is elf or through his or her own employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 i'o Application Issued By / Dat sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II 0 , pletion, the owner will have the burden of proving he/she did not bulla or im- Duct-Under Ground SUMMARY OF FEES ploys—for the purpose of sale). BUILDING PERMIT $ SMIP $ . 1, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System tractors to construct the project (Section 7044,Business and Professions Code: PLAN CHECK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0.100,000 BTU ❑100,000 BTU 77 PLUMBING $ U• ISSUANCE $ • builds or improves thereon. and who contracts for such oroiects with a con- C tractor(s) license pursuant to the Contractor's License Law). I am aware that ,Exhaust System 0 Multiple ❑ ' System Repair/Alteration PLAN CHECK 25% $ 112, 140e-+� ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL • $ GRADING $ 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers ': MICROFILM $ L, , PLAN CHECK 50% $ Date Owner' . : a Registers I hereby art y that I have read this application and state that the above 00-100,000 1 11111 MECHANICAL $ TOTAL FEE $ (191 Informed n is correct. I agree to comply with all city and county ordinances , PLAN CHECK 25% $ a and state laws relating to building construction, and hereby authorize repre- sentatives of this city to enter upon the above-mentioned pro arty for \ Inspection purposes. '/-nature . / - L_� Date g, ' �'•Icense or 55 9P Pink -Accounting; Goldenrod - Assessor DATE: 08/04/88 TIME: 12:25 rCONSTRUCTION AND PLANNING POOL PA ,,, - .4 APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1..Temporary Electrical Service or Pole ;el 52. Pool & Equipment Location , -1.:. 2. Soil Pipe-Undrgrnd. kliji.a7 53. Steel Reinforcement 1.,' 3.1 Electrical Conduit Utility-Undrgrnd. i,^t 54. Forms 4. Electrical Condit-Undrgrnd. 55. Electrical Bonding 5: Steel Reinforcement 56. Rough Plumbing & Pressure Test ., -1 6.,• Electrical UFER•Grnd. 57. APPROVAL TO COVER-GUNITE 7.'Footing's .1 '•' 58. Electrical Conduit-Undrgrnd. 8: Found tion .. -1 '•,'I 59. Gas Pipe, 0 Undrgrnd., Test r-, 9. Water Pipe-Undrgrnd i $v4dj. r 4,0Q4 60. Backwash Lines, P-Trap, 0 Undrgrnd. '/ ' 10., Structural Floor System 61. APPROVAL TO DECK /if 11. Property Sewer Line & House Connection I ° 62. Backwash/64 Receptor-Final 1 . Sewer Cap 63. Heater & Vent-Final 13., Roof Drains 64. Plumbing System - Final 14) Rough Plumbing 65. Electrical-Final " 15. Rough Electrical-Conduit 66. Solar System-Final •. I r ,.J• 16. Rough Electric Wiring I 67. Fencing & Access Approval 7., `117. Rough Wiring Sign 68. APPROVED FOR PLASTERING .,t 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL '19. Rough Heating & Air Conditioning -- FIRE DEPT. REQUIREMENT 1 l - 20. Rough Factory Fireplacei APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating I), • 71. Product Piping 0 Gas 0 Oil 23.•,Gas Pipe-Rough & Test ,n /�/jft r 72, ;Underground Flush ' 2'4. Roof Framing C 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 t, 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 113 :'v ...1, ;• 89.FOQD CERTIFICATE ISSUED ,/ A' 33. Final Electric C� .Notesa�l�_ 7-re idi •„„7r Die �!�/j 34. Final He"atihig&Air Conditioning "�'�7/ �l ^�[v. 35. Final Gas Pipe-Test • 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 741Ve " �Ldf 39. Water Service-Final J/,L 40. Gas Service-Final 41. Solar Domestic-Final -- 3 42. Backflow Preventer - .'. � 43. Backflow Irrigation ,'1 :+% 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 :4I 51. CERTIFICATE OF OCCUPANCY , . • •11 ..... No. • Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PE IT NO. TRACT NO. LOT NO. U IT NO. CITY'�F COSTA MESA ' CONSJT�RU�CT) ION PERMIT I �3�� �,C A.P.# � Zone • Project Address '?S7� EL DEA/ AV ,I^ ?3 7 f /8I—I-I DL t- MAR CI/,/ TYPE OF CONSTRUCTION Ld-r w LJ ADD LI ALTERATION S Main Building: Accessory Building: Applicant's Mailing Address��// // 7 � ❑ REPAIR E Front Z V r I0, L. 1/UTcc/V Phone 1 '�5_Q'�35 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ITB N Owner's Name 0 DESCRIPTION OF WORK/USE OF BLDG. 1A Rear Address /8 /' H I> L— ✓4A•R.- - 1 Arch/Eng. License No. TYPE OF PERMIT ElGRADING ElFOUNDATION ❑ STRUCTURAL I C Right N G Address ❑ TENANT IllELECTRICAL LIPLUMBING IllMECHANICAL $ • Left R Contractor's Name 0/B Phone ❑ 'GTHER Ping. Ref.# Parking Req./Provided E PROJECT DESCRIPTION SQ. FT. OCCUPANCY Q Address(mailing) Planning Notes: M CONSTRUCTION TYPE VALUATION$ T City License No. ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION , I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: p3 j-�, y'7 •� l p 3 q 7 j L4 with section 7000) of Division 3 of the Business and Professions Code,and l 11 my license is in full force and effect. ELECTRICAL FEES License Class License No. Date Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATION Construction Po le Sub. 0 50+KW I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink $howef5 ' Yorkers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps I, Lab. C.) "- Policy No. Company Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps — A Certified copy is hereby furnished.hed. n 10 OO — Dryers ❑Gas ❑Electric Sub Panel Certified copy is filed with thenis city Building Division. Bathtubs oc Sewer Connection Date Applicant - FanMotors 00-1 HP 01%.8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred ($100)or Dishwasher Solar Piping F.A.U. Inc.Solar 09.15 HP ❑16-15+ less). I certify that in the performance of the work for which this permit Is issued I Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Comp.ensatisrcLaws of Calif a. Date I'-'9 d1-Y`/ Signature L��• X14117)1 Floor Drains Swimming Pool w/Spa - Device Boxes • Pole Light NOTICE: If,after making this declarat you should become subject to the Outlets Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink -a., Water Service 14. 00 Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9 (commencing with section 7000) of pjvision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 {..;refrom and the basis for the alleged exemption. Any violation of Section • " ',;,`1.5 by any applicant for a permit subjects the applicant to a civil 7:Welty of not more than five hundred dollars($500). $ 3 DEVELOPMENT SERVICES REQUIREMENTS: Iii I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee Zoning Approved By compensation, will do the work, and the structure Is not Intended or offered Date for sale (Section 7044, Business and Professional Code: The Contractor's - MECHANICAL FEES Building Approved ByDate License Law does not apply to an owner of a property who builds or Improves thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I 0 Application Issued By Dat employees, provided that such improvements are not Intended or offered for sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II ❑ SUMMARY OF FEES pietion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground rov r the purpose of sale). BUILDING PERMIT $ SMIP $ as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tracforsto construct the project (Section 7044,Business and Professions Code: y Thbue Dorf improves icetha Law does d who not apply p contracts such owner roroiecfir property con-wh _Duct-Ventilating ❑I}100,000 BTU 0100,000 BTU PLUMBING $ ii. O ISSUANCE $ tractor(s) license pursuant to me Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $. proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ GRADING $ 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLAN CHECK 50% $ MICROFILM $ Date EaT7BYfi owner WS»r��W'-a Heating System& Ducting Registers I hereby certify that I have read thi application and state that the above 00-100,000 BTU 0100,000 BTL. MECHANICAL $ TOTAL FEE $ 17• .O 0 information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction,and hereby authorize repre- sentatives of this city to enter upon the above-mentioned property for inspection purpos(es�7 \Signature f r LC3, ? ? Reinspection Fee $15 Issue Fee $ 3 — 01 00025438-00025438 TOT 17.00 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 01/31/89 TINE: 16:18 1 .CONSTRUCTION AND PLANNING POOI 'PA • f 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 i '3.,Electrical Conduit Utility-Undrgrnd. 54. Forms I,- . 4.,Electrical Conduit-Undrgrnd. 55. Electrical Bonding 'i 5.'Steel.Reinforcement, 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grbd. 57. APPROVAL TO COVER-GUNITE ,i, 7. •Footings ... 58. Electrical Conduit-Undrgrnd. .. 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,Test ',141 9.:Water Pipe-Undrgrnd. r 60. Backwash Lines, P-Trap, El Undrgrnd. • � 1 10. Structural Floor System ? 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final dilfi 12. Sewer Cap - - = 63. Heater & Vent-Final i 13. Roof brains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final _LG. 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 h' APPROVALS Permit# 21.•Ducts, in Structure SC 70. Underground Hydro 22. Ducts, Ventilating 1, 71. Product Piping 0 Gas ❑Oil , 23. Gas Pipe-Rough & Test a• 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) &JMonocoat 75. Dry Chemical 27. Frame.and Flashing ii) 76. Dry Standpipe 28. Lathing & Siding ✓ 77. FIXED SYSTEM FINAL ' 29. Insulation I^ 78. FIRE PREV. FINAL 3o. Drywall Nailing HEALTH DEPT. REQUIREMENT 3t. Plaster Brown Coat 79. FINAL INSPECTION . 32. Electrical Power Meter-Final - 80.80. FOOQ 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 �,�',,yy��pp 39. Water Service-Final /////fill ] 7 40. Gas Service-Final 7 // v 41. Solar Domestic-Final 42. Backflow Preventer /:'1 `./ 43. Backflow Irrigation o 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 H 51. CERTIFICATE OF OCCUPANCY -, No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PER NO / TRACT NO. LOT NO. NI NO. CITY OF COS A MESA�1 CONSTRUCTION PERMIT NO_ 107 fl A.P.# Zone • Project AddressIc2574 Ern ! 1oz• - �' I .. 1I' � S Main Building: Accessory Building: Applicants Mailin Address 8505M4/1/1athzn�h.�!• L r, i/e TYPE OF CONSTRUCTION LI LI ADD Li ALTERATION REPAIR E - 2 / nev. 7046/9455 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER • T Front O Address Name /- f /C' yyl PhoneC4 q 162. 1 DESCRIPTION OF WORK/USE OF BLDG. A Rear N Address //31-)4 Of-'� mAr/ j1l1�j�G 1/1 L G"I L.b27 Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ID STRUCTURAL I C Right N Address Cr q��t nq� ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S • Left R Contractor's Name DEFORD'S FIRgFLACFR Mr Phone Q1'1" 0 1 ❑ BOTHER ' Ping. Ref.# Parking Req./Provided E ,tSfC PROJECT DESCRIPTION SQ. FT. OCCUPANCY Q Address lmailingl'IJI+J rnOnhq�lan-Pyh. f�lt�l.• �WI'1('"r gOZipti I Planning Notes: M /� • / CONSTRUCTION TYPE VALUATION $ I ! 11 �1 p City License No. ! xla$ T ZONE GRADING CU.YDS. ACRES I RFCFIVFfl NOV 3 U 1985 S. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Q '/H�/n with section 7000) of Division 3 of the Business and Professions Code, and vJ ` / P ,,. my license is in full •rc and effect. '1 rj1��-j ELECTRICAL FEES License Class_- • & Cense o. -1 41 Wst� PLUMBING Automatic Washer Transformer 0 15-50 KW Date Signature --.-L. Chid I-s hd 't FEES \ WORKERS'COMPENSATION DECLARATI• Constructio�l Pole Sub. 0 50+ KW 1 I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Shdwef5 of Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter ❑Up to 100 amps 3800, Lab. C.) cc �. Backflow Preventer Service Sink Policy No. 'Ip(Db'1O Stent-Fund 1n5• Dishwashe'r^ Meter Dover 100 amps Company c Backflow Irrigation '� Sewer Cap Certified copy is hereby furnished. - - Dryers OGas ❑Electric Sub Panel CerSj4fietl;opLihfiled with the city glild D' inion. Bathtubs Sewer Connection Date //— Applicant l.. > Chief Financial Mier, . EXEMPTION FROM WORKERS'COMPENSA ON DECLARATION Clarifiers Solar Collectors Fan • Motors 00-1 HP 0115-8 (This section need not be completed if the per it is for one hundred ($100) or F.A.U.less). Dishwasher Solar Piping Inc.Solar 09-15 HP 016-15+ I certify that in the performance of the work for which this permit is issued,I Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE: If,after making this declaration, You should become subject to the e Outlets Ran Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal 9 comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign I hereby affirm that there Is a construction lending agency for the performance ' of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee J $15 Issue Fee $ 3 therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil "penalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or-offered — Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own Application Issued By Date employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0 _ •TY sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground rove for the purpose of sale). BUILDING PERMIT $ SMIP $ LII, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System tractors to construct the project (Section 7044,Business and Professions Code: PLAN CHECK $ PERMIT y�� The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ •� builds or improves thereon. and who contracts for such oroiects with a con- tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation Insurance should be provided to me. e11_ ELECTRICAL $ ��RADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG dk 44.511Fire Dampers OIL) / ICROFI LM $ Heating System& Ducting311i Registers PLAN CHECK 50% $ /I') u '\ Date Owner MECHANICAL $ TOTAL FEE $ -1�.6O I hereby certify that I have read this application and state that the above ❑0100,000 BTU 0100,000 BTL Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction, and hereby authorize repre- sentatives of is ci i to enter u•on the above-mentioned property for inspection pure+nes. t Financial °ifl !e II-Any Signature l� ,_ . • • Reinspection Fee $15 Issue Fee . "� 01 00021252-00021252 TOT 4h00 0865-46,rev. 5/88 white - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 12/06/88 TIME: 09:54 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.'Electfical Conduit-Undrgrnd. • • 55. Electrical Bonding 5-Steel-Reinforcerrient - 56. Rough Plumbing & Pressure Test 6.. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE I , 7. Footings' - 58. Electrical Conduit-Undrgrnd. , 8. Foundation ' f , I 59. Gas Pipe, O Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System i 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 i18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT '20. Rough Factory Fireplace - // ,0'r APPROVALS Permit# i21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ID Gas O Oil i' i• 23. Gas Pipe-Rough & Test 72. Underground Flush 's 24. Roof Framing 73. Undergrnd.Storage Tank O Gas O Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-gar 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 et_2e-arc LSO 38. Final Plumbing 39. Water Service-Final ";, . n 40. Gas Service-Final 41. Solar Domestic-Final .r 42. Backflow Preventer 43. Backflow Irrigation �r :r 44. ,Landscape Irrigation,System 45. Sound Attenuation ' 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 11 51. CERTIFICATE OF OCCUPANCY 1 , No. Date • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. . c CITY OF COSTSe MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. Project Address '72. E -.A A - • •r is a /4 3 7 2.33 8 4 L- Applicant's Mailing Address 19 8 f•�• I g21111lTYPE OF CONSTRUCTION ,fl NEW ElADD U ALTERATION LI REPAIR l ' Owner's Name L a L. 1"'i- • • •n I Phone4flista" - El CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# 1. Zone DESCRIPTION OF WORK/USE OF BLDG. le—.Address i i Del Mar Ave If ('OS}0. N 0., S Main Building: Accessory Building: E Z Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING LI FOUNDATI N ❑ STRUCTURAL T Front 0 Address Imo,, ❑ TENANT ❑ ELECTRICAL El PLUMBING MECHANICAL B Rear N Contractor's Name RKm ..a.1-in In 4 /A f Phone 441.54/3/0 ❑ OTHER A I n /A5 YA pp � �y �1 PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N City License(mailing) �90u DIY10� � �'Ne 11 •g• K G -- Q"�q..� CONSTRUCTION TYPE VALUATIONS S Left City License NO. _ - •-"-_—_ '1 V ZONE _ GRADING CU.YDS. ' ACRES R LICENSED CONTRACTOR DECLARATION - Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: 8 3 99 77 . Planning Notes: M with section 7000) of Division 3 of the Business and Professions Code, and 7 my license is in WI force and effect. #l(/ T License Class `-- • • �� Lice. • No.�"• ll I _ - - S Date f - Signature/W�//I/ . nn a /D / PLUMBING WORKERS' COMPENSATION DECLARATIO FEES •• • 1yUb•�i =%� —nk Showers - I ELECTRICAL FEES iereby affirm that I have a certificate of consen"• � -in- . a -rtificate Workers' Compensation Insurance, or a certi rd copy thereof (Section Backflow Preventer Service Sink 3800, Lab. C.) Automatic Washer Transformer 0 15.50 KW Policy No. Company Backflow IrrigationSewer Cap Construction Pole Sub. • ❑ 5 KW Certified copy is hereby furnished. Bathtubs Sewer Connection Cooking Unit Meter ❑u 100 amps Gate Applica EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher - Met over 100 amps - (This section need not be completed if the permit is for one hundred ($100)or ' less). Dishwasher Solar Piping Dryers ❑Gas DElectric ub Panel I certify that in the performance of the work for which this permit is Issued, I - • shall not employ any person in any manner so as to ecome ubject to the Drinking Fountains• - Solar T • `_ Fan Motors❑0.1 HP ❑1 X-8 ' Worker qq��nnpp njption Laws of Callfoypip. r� /� „ 1 - Date if % Signature (�jt� //iii/ Floor Drains S • ming Pool w/Spa F.A.U. �� NOTICE: If,after making this declaration,you should become subject to the Inc.Solar ❑9.15 HP ❑16-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks • Urinal comply with such provisions or this permit shall be deemed revoked. ' Fixtures Microwave CONSTRUCTION LENDING AGENCY ^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:) Interceptors Water Heater Outlets Lender's Name Range Lender's Address Kitchen Sink Water Service - OWNER BUILDER DECLARATION $witches 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-TrapLaundry 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 , 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). EII, 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 I FEES License Law does not apply to an owner of a property who builds or improves 'thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ sale. It, however, the building or improvement is sold within one year of com- Canopy Type II ❑ 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 prove for the purpose of sale). - 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date tractors to construct the project (Section 7044,Business and Professions Code: Q�1 The Contractor's License Law does not apply to an owner of property who ', Duct-Ventilating ❑0-100,000 BTU 0100,000 BTU Oq SUMMARY OF FEES builds or Improves thereon, and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP _ $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# • Fire Dampers �77. PLUMBING $ PERMIT ISSUANCE $ • Date Owner Heating System&Ducting Registers tg-a PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that r have read this application and state that the above .. �.,0-100,000 BTU 0100,000 BTL GRADING $ information is correct. I agree to comply with all city and county ordinances ELECTRICAL $ and state laws relating to building construction, and hereby authorize repre- • MICROFILM $ sentatives of this city to en upon t above-mentioned property for PLAN CHECK 50% $ inspection pur1/ _0-19D Signatunic LLIfIAALIL ' • Reinspection Fee' $15 Issue Fee 4 is sag- PLAN CHECK 25% $ CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor JS UUUI'to4 -UUU14151O I aJ 1 'r. DATE: 01/23/89 TIME: 13:21 �� CONSTRUCTION AND PLANNING Date Inspector POOL&SPA APPROVALS Permit# APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8.-Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9.•Water Pipe-Undrgrnd.... 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 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. Rougli-Heating & Air Conditioning �yl/n �j FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace (�` 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 srr/ri/ lel 35. Final Gas Pipe-Test //C 36. Hood or Canopy 37. Final Factory Fireplace • 38., Final Plumbing - 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final . • 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation - 46. Handicap Regulations • 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed - J 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co • - 51. CERTIFICATE OF OCCUPANCY No. Date - •• E35 Z 3 Z Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO 232, TRACT NO. LOT NO. UNIT NO. CITY OF COSTA ESA . k- UNCTION PERMIT I (5 3 7 e _c A.P.# Zone Project Address 7 ! Z �L(/ r"`V f � �� S Main Building: Accessory Building: Applicant's Mailing Address -/ r!((' TYPE OF CONSTRUCTION IS EW U ADD U ALTERATION U REPAIR /.04-to ()eV t/ntvs•1Ct4- Phone 4'1S ?V 7 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front • 0 Owner's Name y�.•1� DESCRIPTION OF WORK/USE OF BLDG. ( B Rear N Address / g� '"14 rJ�� rats ' Arch/Eng. License No. TYPE OF PERMIT GRADING ❑ FOUNDATION U STRUCTURAL I C Right G Address •/ ❑ TENANT LECTRICAL 0 PLUMBING 0 MECHANICAL s Left • R s t 0 OTHER Contractor's Nam- o' • ,.,.P./hone fl�-�-6•J�, Ping. Ref. # Parking Req./Provided E Address lmailing) II SI l-totct•deent, Pecs-{'Ci %1 PROJECT DESCRIPTION SQ. FT. 3276 OCCUPANCY 0 WPlanningNotes: U y CONSTRUCTION TYPE VALUATION$ T City License No. 7 ��S ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 8 C1 3 , (L",1 with section 7000) of Division 3 of the Business and Professions Code,and T my license is in full force and effect. _Lei .J ^r} /� ELECTRICAL FEES et License ass D� ce a o. ``��4(./—LK Dat "'1 O Signature PLUMBING .FEES Automatic Washer Transformer 0 15.50 KW WORKERS'COMPENSATION D CLARATIONConstruction Pole Sub. 0 50+KW ' hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers ...,. ' Workers' Compensation Insurance, or a cer led copy thereof (Section Cooking Unit 7 Meter ❑up to 100 amps .800, Lab. C.) (p /. _/� /� s.� Backflow Preventer Service Sink - Policy No. /0 a 53 4 y Company 7 TH Pw%✓ Backflow Irrigation - Sewer Cap Dishwasher Meter Dover 100 amps S.(� Certified copy is hereby furnished. • Dryers ❑Gas ❑Electric Sub Panel V B Gerdcopy eed with the city Bu g vizi Bathtubs Sewer Connection Date / R Applicant o 4t— r Fan Motors❑0.1 HP 01%- 1%-B ' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit Is for one hundred(5100) or F.A.U. ' • Inc.Solar ❑9-15 HP ❑16-15+ less). Dishwasher Solar Piping I certify that in the performance of the work for which this permit is issued, I - Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank - Microwave Workers' Compensation Laws of California. Boxes Signature Floor Drains Swimming Pool w/Spa Device Pole Light • NOTICE:If,after making this declaration,you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range _- - comply with such provisions or this permit shall be deemed revoked. • CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign ' I hereby affirm that there is a construction lending agency for the performance Of the work for which this permit is Issued (Section 3097 Civ. C.) IO[erCeptOrs Water Heater Garbage Disposal Standing Sections Lender's Name ' Lender's Address Kitchen Sink Water Service Generator 130.5 KW 05.15 KW Trash Compactor OWNER BUILDER DECLARATION /p,� is• � I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash /l. !/ /�� following reason (Section 7031.5 Business and Professional Code: Any city or i county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays. L7Z f/ any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)Of • �r^ o Division 3 of the Business and Professions Code) or that he/she is exempt • Reinspection Fee $15 Issue Fee $ a "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 - peenalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: U I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee 5-3 compensation, will do the work, and the structure is not intended or offered - Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By pC7 Date License Law does'not apply to an owner of a property who builds or Improves _ thereon, and who does such work himself/herself or through his or her own• Application Issued By employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 Date sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or int- Duct-Under Ground • prove for the purpose of sale). BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Coda: The Contractor's License Law does not apply to an owner of property who Duct-ventilating 00-100,000 BTU 0100,000 BTU PLUMBING - $ ISSUANCE $ builds or Improves thereon. and who contracts for such orolects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that ' Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL .sC $ �a�•�/� GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# • Fire Dampers PLAN CHECK $ Z5 •eel MICROFILM $ p Date owner Heating System&Ducting • - Registers MECHANICAL $ /r.7p I hereby certify that I have reaC this application and state that the above 00-100,000 BTU 0100,000 BT . - - TOTAL FEE $ information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction,and hereby authorize repre- sentatives of t�h,.{z city to ant r n the above-mentioned pr erty fol • inspection pyy9z es '/ 41�/e(/ Drivers' • Signatuetic /�� {� ••+++••--�� Date 777/// C� llLSSSlll!ll Reinspection Fee $15 Issue Fee - $ 3 01 00014231-00014232 TOT 158.33 Drivers' Lice se or 5S$ - Applicant; Pink - Accounting: Goldenrod - Assessor ' DATE 09/12/88 TIME: 16:14 CONSTRUCTION AND PLANNING POO_ .SPA APPROVALS Permit Date Inspector APPROVALS Permit# Date Inspector • J. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. I 53. Steel Reinforcement % • , 3.1 Electrical Conduit Utility-Undrgrnd: •, 54. Forms 4. Elecvical Conduii-Undrgrnd. .-i 55. Electrical Bonding 5.'Steel'Reinforcement(1 nt( I 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd.I /; . 57. APPROVAL TO COVER-GUNITE . • 7.,Footi'ngs . , ' 58. Electrical Conduit-Undrgrnd. • 8.I 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 I ' ' 63. Heater & Vent-Final • ••1 13. Roof'Drains - 64. Plumbing System - Final 14. Rough Plumbing - I 65. Electrical-Final 15. Rough Electrical.Conduit 6j6. Solar System-Final 16. Rough Electric Wiring / C Fencing & Access Approval 1;7. 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 O Gas 0 Oil 23!Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing , 73. Undergrncl.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 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-Finalql 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing • 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 4R. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY , • No. Date City of Costa Mesa Development ServicesDepartment • CERTIFICATE OF OCC�UPANCY No. 00,„,,030 Building SafetyyDivision P.O.Box 1200 • Costa Mesa,California The Building located at 2572 Elden Avenue, Units D & 8' has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group G7 Occupancy. Use of Building Condominiuma Legal Description 434-161.18.19.20 (See reverse side for Metes and Bounds) Building Permit No n 1447A Electrical Permit No. F' 444L57 Plumbing Permit No. P34755.P37338 Mechanical Permit No. 8137934, 113656R Number of apartments' 10 and/or guest rooms ISSUED TO: Building Official t;Qocan F'4n,4ton I. H. Linton 1811Del Mar Ave., Unit H 1 by • • Costa Masa, CA 92627 Date tibvenber 15, 1989 -Ns. 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 i PERMIT NO. TRACT NO. LOT NO. UNIT.t.CgNSTRUCTION PERMITS p y B34416 i 3067 I L� � Project Address ZS-?2 /GL Pe N 67 ¢•0 4/5 '+.., Applicant's Mailing Address Pi/- f"/ bE'Z. fit,"? TYPE OF CONSTRUCTION LJ NEW ADD I_J ALTERATION U REPAIR Owner's Name -T, H• L /.4-,7-.0 A., PhoneGy '-YKSI El CONVERSION El DEMOLISH III OTHER A.P.# 439_ 142( - 15,/y Op Zone 2a DESCRIPTION OF WORK/USE OF BLDG. -�_/ Address /8l- /1 AC'E / A7/Y C set, , S Main Building: Accessory Building: Arch/Eng. ‘7"/"0-/t /{ s7 SN License No. TYPE OF PERMIT 0 GRADING L I FOUNDATION El STRUCTURAL T Front '�,a'(. Si do ci. ,( do7 0 Address e20 AdE• a,Pe T Cet 7C"2 'er //'/3_ ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear �s 1 N Contractor's Name Phone ❑ OTHER �y A �Ct I�� �� a 1 —' I PROJECT DESCRIPTION SQ. FT. !?.1 6 - OCCUPANCY ?i- C Right s/ N rs a / G Address(mailing) CONSTRUCTION TYPE �IQ VALUATION$ 2 [9 ICI Q- $ LeftZ5I L t.ft c . 6 f R City License No. ZONE GRADING CU.YDS. ACRES Ping. Ref. # be• $7. 46 Par ng Req./Provided 'f8/5!$ E LICENSED CONTRACTOR DEC RATION /� 1 hereby affirm that I am licensed nder provisions of Charter 9 (commencing Remarks: P C . �L, to Q Q k- 13 R- lA� M Planning Notes: (5'- eft 4- ��h.c9-O preagof. M with section 7000) of Division 3 f the Business and Professions Code, and - f C�yjJT my license is in full force and effect. �ZL 15 /.� Ps �f�_.c S License Class License No. /6 44-PLUMBING 1-un-?)s FEES nate SignatureI un1 n FOR SPECIAL REQUIREMENTS WORKERS'COMPENSATION DECLARATION Bar Sink I Showers ELECTRICAL FEES I hereby affirm that I have a certificate of consent to self-insure or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink - 3800, Lab. C.) Automatic Washer Transformer 0 15.50 KW Policy No. Company _ Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW BCertified copy is hereby furnished. _Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (Thissection need not be completed if the permit is for one hundred ($100)or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP ❑1'/.-8 Workers' Lon Laws of Calif Ornly./J/ — Date �" Signature N /� Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9-15 HP 016.15+ NOTICE- f,after making this declaration, you should become subject to the Workers: Compensation•provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such.provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water-Closet Device Boxes I hereby affirm that there is a construction lending agency for the performance tors - . POIe Light of the work for..which this permit is Issued (Section 3097 Civ. C.) interce Water Heater Lender's Name P Outlets '1 Range' Lender's Address Kitchen Sink ' ' ' - Water Service Switches . Sign OWNER BUILDER.DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories -.% . - Auto-Wash Garbage Disposal - Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or •_ - county which requires a permit to construct,alter,improve,demolish or repair P-Trap - - -. Laundry Trays Generator ❑0-5 KW❑5-15 KW Trash Compactor any structure, prior..to-Its issuance, also requires the applicant for such permit - P to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains '+ - the Contractor's License Law(Chapter 9 (commencing with Section 7000) of -. . .. ,,, , Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). $ 3 ❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee - compensation, will do the work, and the structure is not 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 �- r thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREM S: employees, provided that such Improvements are not Intended or offered for Boiler Hood or Type I 0 a1 -/t -g 8 sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ 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 rkrovle for the purpose of sale). �-'I ...,Wt as owner of the property, am exclusively contracting with licensed con- i Duct-Structural Refrigeration System Application Issued By 11'\ Date 1- 12 tractors td 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 ❑o-100,000 BTU ❑100,000 BTU SUMMARY OF�EES builds or improves thereon,and who contracts for such projects with a con- I - Cil b tractor(s) license pursuant to the Contractor's License Law). I am aware thatR BUILDING PERMIT S D SMTP $ I S .-._ proof oftheir Worker's Compensation insurance should be provided to me. Exhaust System 0 Multiple 0 System Repair/Alteration -l. ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLAN CHECK $ PERMIT J PLUMBING $ ISSUANCE $ - Date 1, /2!c,E Owner -` B Heating System&Ducting Registers ENERGY P.C. $ PLAN CHECK 25% S I hereby ertity ithat I have read this application and state that the above 00.100,000 BTU 0100,000 BTL— 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 $ !tee sentatives of this city to enter upon the above-mentioned property for inspection purposys.„/, / MECHANICAL $ �DG�}_, Signature GV /F � Pink -Accounting; Goldenrod - Assessor $15 - Issue Fee $ 3 PLAN CHECK 25% $ __ n 01 U0004355-000044 b TOT 1064.8. CONSTRUCTIONAND-PLANNING POOL &SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1.. Temporary Electrical Service or Pole 52. Pool & Equipment Location r 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd, 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement (9344 og/ t) 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd:. J1 I 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 %/3 OM G N - 61. APPROVAL TO DECK r' 11. Property Sewer Line& House Connection 11 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 ,L T: 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL - N t 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - .Lr pj ' 20. Rough Factory Fireplace' - APPROVALS Permit# i� 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 0117 23. Gas Pipe-Rough & Test 72. Underground Flush LJi , 24. Roof Framing 73. Undergrnd.Storage Tank;0 Gas 0 Oil 725. Roof Sheathing nb i/g fir-/ 74. Overhead Hydro ' M 2 26. T-Bar Ceiling (Structural) & Monocoat ((((.31/3/075. Dry Chemical .-1 -r- , 27. Frame and Flashing oy/ � oj/i 76. Dry Standpipe )i- -.1/'�' C 28. Lathing & Siding `f/(t(/g S 77. FIXED SYSTEM FINAL, '/ - r 29. Insulation 7 / 78. FIRE PREV. FINAL �(„ 30. Drywall Nailing /�l / HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat /o 79. FINAL INSPECTION Ut . , t 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: HOLD FOR SPN,U27,t. tom...••'-••- T. 34. Final Heating & Air Conditioning It eq Q(cro c--)fre-FP 00 ,. 35. Final Gas Pipe-Test 36.. Hood or Canopy M1tif i q S,Ar1-- CrI •r C' r i 37:-Final Factory Fireplace it. ;} ) 38: Final Plumbing if.; i. 39. Water Service-Final v. 40. Gas Service-Final ' ' 41. Solar Domestic-Final =a t. ', ' '42. Backflow Preventer - 4' - '' C . ,43. Backflow Irrigation - y i .♦ a ♦ L r• t,44.,Landsdape Irrigation System . - 4 : / ' ' • j45. Sound Attenuation 9 `' 1. ' - - c J C . 46. Handicap Regulations �J • > `' 4Z�'FINALSTRUCTURE & BUILDING /HAif, / //�� y ', 48: Special Requirements Completed 1143/ $1 7Ct_ t 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date 1; . A ' -- _ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA CONSTRUCTION PERMIT PERM N-3 [/7 SS /goo 9 / a��' A.P.# Zone Project Address 'Pr2? at.A z✓ / /¢1/E l,Si1—r 7 �9 f_ TYPE OF CONSTRUCTION L7 NEW Li ADD LJ ALTERATION U REPAIR S Main Building: Accessory Building: Applicant's Mailing Address /t Pe2 is-IA71 Cr A'1 E Z ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front O .Owner's Name —Z N L—! L/ m A i Phone A tS-9YSs' B N /8/^� SpA DESCRIPTION OF WORK/USE OF BLDG. A Rear Address - Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING�— I FOUNDATION U STRUCTURAL ' K Right - • G Address IllTENANT IIIELECTRICAL E , PLUMBING ❑ MECHANICAL s . Left • R Contractor's Name Tv !! G//V Taff Phone El OTHER Ping. Ref. # Parking Req./Provided E Address(mailing) PROJECT DESCRIPTION SQ. FT. OCCUPANCY Q M �j CONSTRUCTION TYPE VALUATION$ Planning Notes: City License No. 0/74 T ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARA ION n �+ I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: .Q-F BAG .44 8 3 YY /.) 4 • with section 7000) of Division 3 of the Business and Professions Code, and ELECTRICAL FEES my license is in full force and effect. License Class License No. — Date Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATION - Construction Pole Sub. 0 50+ KW �9 Bar Sink z Showers DO -i„,-',..hereby affirm that I s have a Insurance of consent to copy or a certificate t Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink - Cooking Unit Meter ❑up to 100 amps • ;,-,00, Lab. C.L. � ' .Policy No. ," Company Backflow Irrigation Sewer Cap Dishwasher Meter ❑over 700 amps Certified copy'is hereby turn fished, Dryers ❑Gas .❑Electric Sub Panel Certified copyfis filed with the city Building Division. H Bathtubs Sewer Connection g-Do - Date / Applicant /' • Fan - Motors 00-1.HP 011/2-8 • EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors ' (This section need not be completed if the permit is for one hundred($100) or' h F.A.U. Inc.Solar-09-15 HP ❑16-15+ less). 2 Dishwasher Solar Piping l.� 0 I certify that in the performance of the work for which this permit is issued, I Fixtures Microwave shall not employ any person in any manner so as,t become subject to the` * Drinking Fountains Solar Tank ' / _ Workers p p. ion Laws of Calitorn' v - Date //�)//��� Signature 7' a-. Floor Drains - Swimming Pool w/Spa Device Boxes Pole Light • NOTICE f, fter making this declaration,you should become subject to the PFloor Sinks . Urinal Outlets Range c Workers' Compensation fpr provisions of the permit shallaeou deemedet forthwith - - 9 comply with such provisions or this permit be revoked. CONSTRUCTION LENDING AGENCY .� 1� ` fry,, O Switches Sign Gas Service Outlets Water Closes bb I hereby affirm that there is a construction lending agency or the performance • of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors 3 Water Heater 00 Garbage Disposal Standing Sections Lender's Name • Lender's Address • z Kitchen Sink .. Water Service • • 00 Generator ❑o-5 KW❑5-15 KW Tiash Compactor . OWNER BUILDER DECLARATION • I hereby affirm that I am exempt from the Contractor's License Law for the 10 Lavatories Auto-Wash' a0.DD ' following reason (Section 7031.5 Business and Professional Code: Any city or , • county which requires a permit to Construct,alter,improve,demolish or repair P—Trap ' ' Laundry Trays • ' any structure, prior to its issuance, also requires the applicant for such permit • - to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains 'the Contractor's License Law(Chapter 9(commencing with Section 7000) of - • -7ivision' 3.of the Business and Professions Cotle) or that he/she is exempt - Reinspection Fee , $15 Issue Fee $ 3 -ST+erefrom and the basis for the alleged exemption. Any violation of Section • . cH31.5 by any applicant for a Permit subjects the.applicant to a civil - ,natty of not more than five hundred dollars($500). $ 3 DEVELOPMENT SERVICES REQUIREMENTS: 1��1 Reinspection Fee IIZoning Approved By Date co I, as owner of the property or my employees with wages as their sole PB P $15 - Issue Fee compensation, will do the work,ane the structure is not intended or-offered fff -. _ - . for sale (Section 7044, Business and Professional Code: The Contractor's . MECHANICALFEES r Building Approved By Date su License Law does not apply to an owner of a property who builds or improves , thereon, and who does such work himself/herself or through his or her own Hood or Type I ❑ Application Issued By Dat employees, provided that such improvements are not Intended or ofoffered for BoilerSUMMARY sale. If, however, the building or improvement is sold within one year of corn- Canopy Type II ❑ SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground :, srovs..tor the purpose of sale). BUILDING PERMIT $ SMIP $ as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System • PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-700,000 BTU ❑100,000'BTU PLUMBING $ • D ISSUANCE $ builds or improves thereon.and who contracts for such oroiects with a con-. • _ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System D Multiple❑ System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ . GRADING $ ' ❑•l am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO# Fire Dampers p/'/s '' ,y/ PLAN CHECK 50% $ MICROFILM $ Date _c,G.S Owner pd�!1l - Heating System&Ducting Registers g I hereby ce lfy that I have read this application and state that the above • ❑0100,000 BTU 0100,000 BTL MECHANICAL $ TOTAL FEE $ 5-SO information is correct. I agree to comply with all city and county ordinances ' PLAN CHECK 25% $ • and state laws relating to building Construction,and hereby authorize repreer - sentatives of this city to enter upon the above-mentioned proper y for _ j inspection purpose5.s .r ' Signature Date .3 . Drivers' License or SS Pink -Accounting; Goldenrod - Assessor - DATE: 08/04/88 TIME: 12:25 1 • CONSTRUCTION AND PLANNING POO SPA APPROVALS Permit Date Inspector APPROVALS Permit i Date Inspector 1. Temporary Electrical Service or Pole , ;�'� 52. Pool & Equipment Location .!"'• ,- 2. Soil Pipe-Undrgrnd. fA3,f `ft53. Steel Reinforcement 'i'{ 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4) Electrrical Conduit-Undrgrnd. 55. Electrical Bonding /ISteel•iRejnforcement 56. Rough Plumbing & Pressure Test i Y:. i 6.1 Elecfrical UFER'"Grnd. 57. APPROVAL TO COVER-GUNITE �' i' it. 4j. 7Footings 'i '�/ i' t 58. -Electrical Conduit-Undrgrnd. • J .' Founda4ion 4 .J1 i i-59. Gas Pipe, 0 Undrgrnd., Test ri 8' 9% Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. — TRACT NO. LOT NO. UNIT NO. CITYOFCOSTA MESA CONSTRUCTION PERMIT PERT Tao / D a- a A.P.# Zone ELb�N A-✓E 733 Project Address �� 7�• S Main Building: Accessory Building: Applicant's Mailing Address IT I- y DEL /4 Al? �/C7 •�I, TYPE OF CONSTRUCTION l.fl NEW LI ADD U ALTERATION LI REPAIR E Z Y5, LI CONVERSION ❑ DEMOLISH ❑ OTHER i T Front O Owner's Name LV• �-f Aim N Phone 9y DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address / 131 -14 DEL- ,4pA I Arch/Eng. - license No. TYPE OF PERMIT 0 GRADING ❑ FOUNDATION LI STRUCTURAL I C Right G Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL i $ Left R Contractor's Name 0 i B Phone 0 -OTHER Ping. Ref.# Parking Req./Provided E PROJECT DESCRIPTION SQ. FT. OCCUPANCY Notes: M Address(mailing) CONSTRUCTION TYPE VALUATION$ City License No. T ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION ' • 1 hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Bp, .4*. 'R 33 J�/ ' 72 J D 34'7 c3 with section 7000) of Division 3 of the Business and Professions Code, and J I ELECTRICAL FEES my license Is in full force and effect. License Class _License No. — Date Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS' COMPENSATION DECLARATIONConstruction Pole Sub. 0 50+ KW ' hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers Workers' Compensation Insurance, or a certified copy thereof (SectionCooking Unit Meter pup to 100 amps 00, Lab. C.) Backflow Preventer Service Sink Policy No. Company _ Backflow Irrigation Sewer Cap Dishwasher • Meter Dover 100 amps 8 Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel Certified copy Is filed with the city Building Division. Bathtubs aL Sewer Connection /0[0_ Date Applicant , . Fan • Motors❑0-1 HP ❑1'h-6 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred ($100)or Dishwasher Solar Piping F.A.U. Inc.Solar 09-15 HP 016.15+ less). • I certify that in the performance of the work for which this permit is Issued I Fixtures shall not employ any person in any manner so as to becom _subject to the Drinking Fountains Solar Tank Microwave Workers' om n ati O ws of Californi y� Date F2 e !t Signature /U. •l(L4 TU Device Boxes Pole Light g Floor Drains Swimming Pool w/Spa 9 NOTICE:If,after making this declaration, should become subject to the Outlets Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. Switches CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Sign 1 hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name ,[ Lender's Address Kitchen Sink 3- Water Service T clo Generator 00.5 KW 05.15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business anq Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License taw(Chapter 9(commencing with Section 7000)of • Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee erefrom and the basis for the alleged exemption. Any violation of Section r 131.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: 1: I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 Zoning Approved By Date compensation, will do the work,and the structure Is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICALI FEES Building Approved By Date 2 License Law does not apply to an owner of a property who builds or improves �, _ thereon, and who does such work himself/herself or through his or her Own Application Issued By Date /I /31 kg employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or Improvement Is sold within one year of com- - Canopy Type II 0 SU ARV OF FEES pletion, the owner will have the burden of proving he/she did not build or Im- Duct- Under Ground grroye for the purpose of sale). BUILDING PERMIT $ SMIP $ LM'I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ COERMIT 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 00400,000 BTU 0100,000 BTU PLUMBING $ IhO ISSUANCE . $ builds or improves thereon. and who contracts for such oroiects with a con- tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple❑ System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLAN CHECK 50% $ MICROFILM $ Date I-- -_3a-__ Owner - 1. Heating System& Ducting Registers MECHANICAL $ I hereby certify that I have read th application and state that the above 00-100,000 BTU ❑100,000 BTU TOTAL FEE $ 1�-n(] - Information Is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction,and hereby authorize repre- sentatives of this city to enter upon the above-mentioned property for Inspection purposel.� ' i , /�- • riverLjS./a+f i,i2 �'' - -Accounting; Goldenrod - Assessor GATE: 01/31/89 TIPIE: 16:19 CONSTRUCTION AND PLANNING POO1 ,PA , APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector • 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location l 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3,; Electrical Conduit Utility-Undrgrnd. ,',t 54. Forms .j • 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding .a 5.i Steel.Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER'ernd. 57. APPROVAL TO COVER-GUNITE • • , 7...Footings• 58. Electrical Conduit-Undrgrnd. . I , 1 8: Foundation , 59. Gas Pipe, 0 Undrgrnd.,Test 9..Water Pipe-Undrgrnd. '' 60. Backwash Lines, P-Trap, ❑ Undrgrnd. '4e 10. Structural Floor System Jt, 61. APPROVAL TO DECK y 't 11. Property Sewer Line & House Connection/dile 62. Backwash & Receptor-Final 12. Sewer Cap !,/ 1 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 191 Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20, Rough Factory Fireplace APPROVALS Permit# 21..,Ducts, in Structure tI. 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23.iGas Pipe-Rough & Test r . 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 •j• 76. Dry Standpipe • 28. Lathing & Siding t1. 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 ; I 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final /1/f/Frl 40. Gas Service-Final 41. Solar Domestic-Final :•l l 42. Backflow Preventer 43. Backflow Irrigation r' 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY ' - No. Date Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA ,CONSTRUCTION PERMIT PERMIT NO: TRACT NO. LOT NO. UNIT NO. Project Address .2572 tItier t• /��oDL1a.E. _ 44 37 7,3 4' - D`� e Applicant's Mailing Address rrL�g0O8 o�m�/i�onya k / 1- 5 . TYPE OF CONSTRUCTION % W U ADD U ALTERATION U REPAIR Owner's Name La L L1tvC ons l r (t phonelo_ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# Zone qq � I� 1 " DESCRIPTION OF WORK/USE OF BLDG. S Main Building: - Accessory Building: Address _113.1 D I r e• l..' 1 I 1 ' Arch/Eng. License No. TYPE OF PERMIT U GRADING LJ FOU ND AT ION U STRUCTURAL E Front o Address p,� a (meq 7t ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING /IyI�MECHANICAL B Rear N Contractor's Nam M1pa�//11�Phone �Jk 076 ❑ OTHER Lio fi sre,J SU i1� •$ PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N Addresslmailing) LY m� it Left G nuc'Z./ CONSTRUCTION TYPE VALUATION$ $ , • City License No. ___Dg fJ ZONE GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION /r Ping. Ref.# Parking Req./Provided E I hereby al firm that I am licensed under provisions of Charter 9 (commencing -/•�_ 3I4 9 7 0( 9 Remarks: V 11Planning Notes: M with section full of Division 3 of t e Business and Professions Code, an• my license is in full f. c•and of lett. T License lass` _.0 I i so 10 O S Date / �/11 Eft Signature ' z%�%�;�i,r"=dr �� - PLUMBING I FEES WOR ERS'COMPENSATION DE, • RATION Witat Bar Sink Showers ELECTRICAL FEES I hereby affirm that I have a certifica of consent to . -I ure or . cer I icate - vf Workers' Compensation Insurance, or a certified copy thereof (Section , Backflow Preventer Service Sink 1800, Lab. C.) Automatic Washer Transformer ❑-15-50 KW Policy No. - Company Backflow Irrigation Sewer Cap - Construction Pole Sub. ❑ 50+KW ertifled copy is hereby furnished. / Cer((i ie s filed with the city a f1 Div' ' I. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps ate APPlican EXEMPTION FROM WORKERS'COMP SATIO LA Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed If the malt is for one hundred ($100) or Dishwasher less). Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as to become s lett to the Drinking Fountains Solar Tank Fan Motors .HP ❑1%-8 Workers' Cyyrr?�pp%ggqsation Laws of Califoygla. Date _//a-9/d`1 Signature /j//�4 0241A C�LL(,� Floor Drains Swim ' ool w/Spa F.A.U. alar 09-15 HP 016-15+ NOTICE:If,after making this declaration, you should become subject to the- workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks rinal Fixtures • comply with such provisions or this permit shall be deemed revoked. - Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet + I hereby affirm that there is a construction lending agency for the performance ,p, Device Boxes Pole Light of the work for which this permit Is issued (Section 3097 Civ. C.) interceptors Water Heater iOutlets Name Range Lender's Address - Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION I hMCby affirm that I am exempt from the License Law for the Lavatories Auto-Wash ' Garbage Disposal Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter Improve,demolish or repair P-Trap LaundryTrays any structure, prior to its issuance, also requires the applicant for such permit y Generator ❑0.5 KW ❑515 KW Trash Compactor to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law (Chapter 9 (commencing with Section 7000) of , Division 3 of the Business and Professions Code) or that he/she is exempt 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). U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure Is not Intended or offered Reinspection Fee $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL , FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ ZoningApproved sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 pP By Date elation, the owner will have the burden Of proving he/she did not build or im- Duct-Under Ground Building Approved By S Date prove for the purpose of sale). / U I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By �fl i,� i ., Date /r - tractors to construct the project (Section 7044,Business and Professions Code: • r The Contractor's License Law does not apply to an owner of property who 2.Duct-Ventilating ❑4100,000 BTU ❑100,000 BTU7 SUMM' 'F�OF•� ES 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 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ proof o/ their Worker's Compensation Insurance should be provided to me. _ PLAN CHECK $ PERMIT ❑ i em exempt under Section B.8 P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date 4 Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby Certify hat I have read this application and state that the above 7 _ Ko-100,000 BTU 0100,000BTL (1" G GRADING $ information is c rect. I agree to comply with all city and county ordinances (/ ELECTRICAL $ and state laws satin• to bui 'ing ,onstructlon,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM S sentatives of is ci to -er '••n- he above- .•ntio .c1/ d roperty for inspection Pu o yI� I v y -O,l Signature - * , Reinspection Fee $15 Issue Fee 1 $"--.7.) PLAN CHECK 25% $ a CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting: Goldenrod - Assessor Ui UUULYOL I-UUUL4tlLI c LS 1. y...1112 DATE: 01/23/89 TIME: 13:2t . 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 ®�� na_ FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace ` !� APPROVALS Permit# _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro • 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: • 34. Final Heating & Air Conditioning .s/.07f5 35. Final Gas Pipe-Test r r 36. Hood or Canopy 37. Final Factory Fireplace • 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation • 44. Landscape Irrigation System .. . 45. Sound Attenuation 46. Handicap Regulations • 47. FINAL STRUCTURE & BUILDING 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. PER I NO TRACT NO. - LOT NO. UNIT NO. CITY OF Address rMEE•S�A7 CONSTRUCTION PERMIT 3/ —� �i (A A.P.# Zone Project c{•J /pC- �a /TV`s' tOL� (L� �J S Main Building: Accessory Building: Applicant's Mailin Address OA �� II Mime a •/e• fl• _� Li TYPE OF CONSTRUCTION U NEW U ADD U ALTERATION REPAIR E Z ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front O Owner's NarnpAy 1� ' !'fA Phoryg �'-/� DESCRIPTION OF WORK/USE OF BLDG. I A Rear N Address �V�._� �r Q5 11fG (,r I Arch/Eng. License No. TYPE OF PERMIT U GRADING ❑ FOUNDATION EJ STRUCTURAL CK G Right N Address q ❑ TENANT ❑ ELECTRICAL 0 PLUMBING ❑ MECHANICAL S Left R Contractor's Nam. I - .•/ It - e A. . •_ *lion 3-Z43] ❑ OTHER !Ping. Ref.# Parking Req./Provided E 4 s•y�� � PROJECT DESCRIPTION SQ. FT. OCCUPANCY PlanningNotes: 0 Address(mailing) /� �a / f l..t(1� n'$^h.�lurLLmrYwle Qat M 4JIA-�sll1� 7 CONSTRUCTION TYPE VALUATION$ T City License No. it !!55 �} ZONE GRADING CU.YDS. ACRES RECEIVED^ i -•- - S. LICENSED CONTRACTOR DECLARATION [['' i J�5'} I affirm that I am licensed under of Charter 9 commencin g3/ fy�Q ia]V V U s•� hereby provisions (commencing Remarks: (, ``"I7 ((�� it with sectionis f II of 3 of the Business and Professions Code, and SAO my license is in f II force and effect. ELECTRICAL FEES tensi CLss - •• I Ai stens: NO. Date - PLUMBING FEES Automatic Washer Transformer 0 15-50 KW :r Signature ��- .r .a •- i WORKERS' COMPENSATION DECLARATI• N Construction POIe$ub. 0 SO+KW . 1 hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers (y t Workers' Compensation Insurance, or a certified5-}q-\e-Fund copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps 300, Lab. C.) / IOIO7O /i %e rind TCnS• • Policy No. f0 Company t ((•�1C R1 L Backflow Irrigation Sewer Cap Dishwasher - Meter Dover 100 amps _f.L Certified copy is hereby furnished. �s /"� • Dryers ❑Gas ❑Electric Sub Panel — Cer I ied cop IsfpuIled with the city lldir� fy vii . ch)ef Financial micaBathtubs Sewer Connection Date //-�� ' Applicant L� /V/ Fan Motors❑0-1 HP 01%-8 EXEMPTION FROM WORKERS'COMPENSATI N DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit Is for one hundred ($100)or F.A.U. Inc.Solar ❑9-15 HP 016.15+less). Dishwasher Solar Piping I certify that in the performance of the work for which this permit is issued, I Fixtures Microwave shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank , Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE: If,after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service _ Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 '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 enalty of not more than five hundred dollars($500). $ 3 DEVELOPMENT SERVICES REQUIREMENTS: C I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee Zoning Approved By compensation, will do the work,and the structure is not intended or offeretl nate for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves _ thereon, and who does such work himself/herself or through his or her own Hood or T e I 0 Application Issued By -4,... Data4 employees, provided that such Improvements are not Intended or offered for BoileryP sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ fltraL- builds or Improves thereon.and who contracts for such oroiects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. /sf ELECTRICAL $ GRADING $ ❑ 1 am exempt under Section B.& P.C.for this reason 4 Firepl/Fact.Blt. iCBO*/43 Fire Dampers ae C( MICROFILM $ V PLAN CHECK 50% $ /I Date Owner Heating System & Ducting Registers MECHANICAL TOTAL FEE $ 'f-I 't oO • I hereby certify that I have read this application and state that the above ❑0100,000 BTU 0100,000 BTL PLAN CHECK 25% $ information is correct. I agree to comply with all city and county ordinances • and state laws relating to building construction, and hereby authorize repre- ' sentatives of this ity to enter upon the above-mentioned property hfor inspection p• •135.1 / 01 00021253-00021253 TOT 41.00 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 12/06/83 TIME: 09:55 CONSTRUCTION AND PLANNING ' �� POOL ;PA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector . 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location I - 2. Soil Pipe-Undrgrnd. _ I 53. Steel Reinforcement - • 3,:Electrical Conduit Utility-Undrgrnd. -a , ' 54. Forms ' I J 4.iElec&ical Conduit-Uhdrgrnd. . 1 55. Electrical Bonding 1 ` • Steel,Reinforcement'' I 56. Rough Plumbing & Pressure Test 6..Electrical OF ERGrnd. .. 1 57. APPROVAL TO COVER-GUNITE T,Footings 58. Electrical Conduit-Undrgrnd. 8.-Foundation I -"/ i59. Gas Pipe, 0 Undrgrnd.,Test -I 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 217. 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 - : J//fre APPROVALS Permit# • ..,21. Ducts, in Structure t' 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 72. Underground Flush *, 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL .:30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED I 33. Final Electric Notes: 34: Final Heating& Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace gZrifee L4.0 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final t 41. Solar Domestic,Final 42. Backflow Preventer )I ' 43. Backflow Irrigation .:) 44. Landscape Irrigation System 1 45. Sound Attenuation ' 46. Handicap Regulations /' 47. FINAL STRUCTURE & BUILDING J/ 48. Special Requirements Completed 49. Electric Release to Edison - • r . 50. Gas Release to Southern California Gas Co ; ,. 1.1' 51. CERTIFICATE OF OCCUPANCY 1 1 ., t No. Date • PROJECT ADDRESS: 2572 .'QLD EN AV UNIT:D & ECITY OF COSTA MESA — BUILDING PERMITPERM NO: E 044997 OWNER'S NAME: I . H. LINTON ADDRESS: 181—H DEL MAR • PERMIT NO: E. 044997 PLAN CHECK NO: N GOVT: N SUPP : N COSTA MESA, CA. CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: NEW ARCH/ENGINEER: REG.NG.: JOB DESCRIPTION : NEW SQ. FT. FEE FOR ELECTRIC SQ FT: ADDRESS: UNIT: CLAIM VALUE: CALC—VALUE: GROUP OCC: / PERMITTEE: I . H. LINTON ( 714.) 829-8524 181 DEL MAR H COMMENTS: B-34478 ( 2 METERS) COSTA MESA CA 92627 *********EE*****************************************iE********************* ***** LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON ING REQUIR EMEN TS 7000)of Division 3 of the Business and Professions Gpde,and my license is in tu0 force and effect. SETBACKS CITY UC.: STATE UC.: CUSS: ' Date: Signature: MAIN BUILDING ACCESSORY BUILDING wORKERS COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to selt.insure or a certificate of Workers' FRNT: FT IN REAR: FT IN GRNT: FT IN REAR: FT IN Compensation Insurance.or a certified copy thereof(Section 3800,Lab.C). LEFT: FTIN RGHT: FT IN LEFT: FT IN RGHT: FT IN POLICY NO.: EAP,DATE: ^oMPANY: PARKING REQ: PROV: PARCEL : 43916119 ZNE: REF NO: Certified copy is hereby furnished. ❑ Certified copy is filed with the city Building Division. PLANNING NOTES> , • > Date: Applicant: • ******************************************************************************* EXEMPTION FROM WORXERS'COMPENSATION DECWUTION: (This section need not be completed N the pemit is for one hundred IS100)or less). DEVELOPMENT SERVICES REQUIREMENTS I certify that in the performance of the work for which this permit is issued,I shall not employ any person In any manner so as to become subject to the Wo ars mpensation Laws of California. ZONING APPROVED BY DATE: • Oahe: // /. /nsSignature: (,JD /'� + NOTICE:If after king this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE: Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY: I hereby affirm that there Is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: DATE: i which this permit is issued(Section 3097,Civ.C). ***************************************1KXG��***i��E************************* * UNDER: ******************************************************************************* ADDRESS: LEGALIZATION:N F E E SUMMARY STRUCTURAL SEGMENT:N . I OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING ' (Section 7031.5 Business and Professional Code : My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 114 66 repair any structure,prior to Its Issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 50% SMIP/NON—RES and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN , any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars($500). ISSUE FEE • 15 . 00 I, as owner of the properly or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE ❑ structure Is not Intended or offered for sate(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS————> 114 . 66 15 . 00 0 . 00 129 . 66 129 . 66 . 00 does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through , his or her own employees,provided that such improvements are not Intended or offered for sale.it however the building or improvement is sold within one year of completion,the owner will have the burden of proving he/she dM not build or improve REVENUE DIVISION TOTALS TOTALS--> COLLECTED: 129 . 66 OVER/SHORT: . 00 for the purpose al sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK I,as owner of the property.am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 129 . 66 gj and Professions Code: The Contnetors'State License Law does not apply to an owner of property who builds or Improves thereon , and who contracts for such projects with acontractor(s)license pursuant to the Contractors State License Law).I am aware *.*.*******************.************.***************.********.**.*.**.**.*.**.****.****.*.*.*** that proof of their Worker's Compensation insurance should be provided to me. INDIVIDUAL• F E E BREAKDOWN ❑ I am exempt under Section: B.6 P.C. for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST Data: // //S/ �sQ' owner. rtT ELE 3276NEW RES BLDG FOR 1 OR 2 U• NITS/ SQ FT . 03 114 . 66 I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505.25533,and END OF FEES 25534 and that I or any future building occupant wiUwhll not(circle one)need to comply with said state codes and the requirements for a - permit for construction or modification from the Au Management District.Residential construction applications are exempt from these provisions. • Date: Applicant: . • I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of this city to enter upon the above-mentioned. , property for inspection purposes./ ,,® �J� , /ter. Date: /1 //S Sr? ' Signature: C� , .2 _ • 0. 00^.47,.1 ' 2<'42, A'OT { O,1TE: 11/i5i8S - 1�. _. ,2 Driver's Licen a ar Social Security Applicant;Pink—Revenue;Goldenrod—Assessor . CONSTRUCTION AND PLANNING POC 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 r 3.-Electrical Conduit Utility-Undrgrnd. 54. Forms . • 4.'Electrical Conduit-Undrgrnd. 55. Electrical Bonding .t 5:_St'el Reinforcement' 56. Rough Plumbing & Pressure Test . - 6.-Electrical UF CFI Griid. 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 1 12. Sewer Cap - 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 1 14. Rough Plumbing 65. Electrical-Final • 15. Rough Electrical-Conduit 66. Solar System-Final + 16. Rough ElectricWiring 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 ConditioningE_ - -.FIRDEPT. REQUIREMENT_ 20.-Rough Factory Fireplace . - _ :. - - • APPROVALS, - t-Permit # . - - 21.;Ducts,inStructure . .. 70. Underground Hydro ' 22. Ducts, Ventilating • - 71. Product_Piping OGas ❑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 z' - 2 1 r 75. Dry Chemical 27. Frame and Flashing - " '- * 76. Dry Standpipe . 28. Lathing & Siding , '• 1 r 77. •FIXED SYSTEM FINAL - 29. Insulation 78.=FIRE PREV. FINAL 30. Drywall Nailing • -. HEALTH DEPT. REQUIREMENT 31. Plaster Brown'Coat : . a, ' 7F FINAL INSPECTION a -. 32. Electrical Power Meter-Final 9 ifi-S/ ' r 0.-FOOD CERTIFICATE ISSUED • - <33.-Final Electricr _ 94. , a Notet: . , 34. Final Heating & Air,'Conditioning- 7 . - 35. Final Gas'Pipe-Test., ,' I 36. Hood or Canopy .-. -37.•Final Factory Fireplace ' -38. Final Plumbing . - -- _ 39. Wate? Service-Final 1 140. Gas Service-Final - ' ~- ' 41. Solar Domestic-Final -- > 42. Backflow Preventer' - ' ' - ` .. • r 43. Backflow Irrigation - I t: - t - - 44. Landscape liripation System , `'' - _ - • - - - . - , - 445.-Sound Atten-uation _ - - *: - ' ' 46. 'Handicap Regulations h, - i. 41: FINAL STRUCTURE & BUILDING - - ... 48. ,FINAL PLANNING _ -' 49. Electric Release to Edison '' ; ,-.49. 50. Gas:Release to Southern California Gas Co . 51. CERTIFICATE OF OCCUPANCY No. Date City of Costa Mesa Development Services Department Building Safety Division y;��.CERTIFICATE OF OCCUPANCY No. ©G'1 a 3 3 UJ P.D.Box 1200 Costa Mesa,California ' 1-he Building located at 2572 Eldsn AVenuo, Units F G G • has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group '-3 Occupancy. Use of Building Condaninitm3 Legal Description 439-161-18.19,20 (See reverse side for Metes and Bounds) Building Permit No A 1/14174 Electrical Permit No. F. 35234 " Plumbing Permit No.P34756,P37339 Mechanical Permit No. 1437235. P136569 Number of apartments 19 and/or guest rooms 1/4 ISSUED TO: Building Official Groroe Edmiston - T. R, t.inrcrt 2/1‘\;/ Jt 181 Dal Mar Ave., Unit H bye en rnarn rata. OA 92627 • Date h'overber 15, 1989 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 le) 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 @F C*tA MESA CONSTRUCTION PERMIT #0- PERMIT 1N,O. TRACT NO. LOT NO. UNIT NO. ��-{/� • Project Address aS72 GrGO.< td flu,C-/4 ,b 13 344 rr I1 9 !I �v�� J - • ' Applicant's Mailing Address 7��-/y /1 EG H92 TYPE OF CONSTRUCTION u NEW LI ADD ❑ ALTERATION LJ REPAIR O ' ❑ CONVERSION ❑ DEMOLISH ❑ OTHER _. A.P.# q 3CI &I • ' 0 I ^_lc Zone A a Owner's Name - I r Phone 69S-9S'SS DESCRIPTION OF WORK/USE OF BLDG. ! -sem Address iso-H DC- C/`7 S Main Building: Accessory Building: Z Arch/Eng. i a i 5 t- License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURAL E FrontIP.3.5 ' .lo a , n / 0 Address New - �' ;11 l3 III TENANT III ELECTRICAL El PLUMBING III MECHANICAL BA Rear Kis ACH�b , 9 C.I 1 I N Contractor's Nam- Phone `� OTHER -_ I I Address(mailing) ESIR PROJECT DESCRIPTION SQ. FT. 'JZ1 GCCUPANCY IZq 3 N K Right a5 / (1,I bi N ,CONSTRUCTION TYPE Ni VALUATION$ I1 I L0— S Left a" .t. - yv�.' City License No. • .�. .ZONE GRADING CU.YDS. ACRES J / E LICENSED CONTRACTOR D CLARATION n Ping. Ref.# D�.S7-�.,-� Parking Req./Provided �+� �� E • I hereby affirm that I am licen ed under provisions of Charter 9(commencing Remarks; P C /..C]/(-. (3 Q .�I M Planning Notes: `C� � �{. �L�.1(�.O c--I M with section ]000) of Division 3 of the Business and Professions Code,and , 1{L O`Z uv my license is in full force and effect. -2---.0.)(t)(3 /p /,p p `/ -S/ _ Q�I 2e S License Class License No. -. iJ G D D ` 1 lG v J Date Signature PLUMBING FEES • �tntn FOR SPECIAL REQU - WORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES I hereby affirm that I have a certificate of consent to self-insure or a certificate • f Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink .800, Lab. C.) Automatic Washer Transformer 0 15-50 KW Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+KW Certified copy is hereby furnished. Certified copy is filed with the city Building Division. ' Bathtubs Sewer Connection Cooking Unit Meter Dup to 100 amps Date Applicant - EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (Thissection need not be completed if the permit is for one hundred ($100)or less). - Dishwasher Solar Piping Dryers DGas DElectric Sub Panel I certify that in the performance of the work for which this permit is issued, I - - shall not employ any person in any manner so as to_become subject to the Drinking Fountains Solar Tank Fan Motors❑0-1 HP D11A-8 Workers' C pe cation Laws of Californj Date '1 /Z .fi Signatures Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP D16-15+ NOTICE: f,after making this declara ion, you should become subject to the — Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such, provisions or this permit shall be deemed revoked. Microwave LENDING ENDING AGENCY Gas Service Outlets Water Closet Device Boxes I hereby affirm that-there is a construction lending agency for the performance _ - - Pole Light of the work for •which this permit is issued (Section 309] Civ. C.) Interceptors i Water Heater Outlets Lender's Name Range • Lender's Address Kitchen Sink - Water Service Switches Sign OWNER BUILDER.DECLARATION • I hereby affirm that am exempt from the Contractor's License Law for the Lavatories s I following reason (Section 7031.5 Business and Professional Code: Any city or Auio:W ash Garbage Disposal Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays Generator 00-5 KW❑5-,15 KW any structure, prior to its issuance, also requires the applicant for such permit Trash Compact Or to file a signed statement that he/she is licensed pursuant to the provisions of ..---Drains '+ ' the Contractor's License Law(Chapter 9(commencing with Section 7000)of - - - . Division 3 of the'Business and Professions Code) or that he/she is exempt - herefrom and the basis for the alleged exemption. Any violation of Section - 031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). D I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee • $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's - MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves DEVELOPMENT SERVICES REQUIREMENTS,.,A thereon,mland who does such work improvements himself/herself or through tende his or her own Boiler Hood or Type I 0 ( y '.f+.,` 7. 1/ .38 - (/ •g8 • • employees,If, hthat such r improvemes are not td or ofyear ed for yP ^gym- YO sale. If, however,ewthe will building improvement of pro issold within one your of com- Canopy Type I 0 Zoningig ApprovedroBy Date plebe for the owner sehave the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By Date • r ve the purpose of sale). -742.-1514 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Data tr dors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU builds or improves thereon, and who contracts for such projects with a con- Sy MMARYeg FEES tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ OC}I SMIP $ IS ao proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT 0 I am exempt under Section '' �/ B.& P. C.for this reason • Firepl/Fact.BIt. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date ___,__/1/2/_e__ / r� Owner 6 4 Heating System&Ducting Registers ENERGY P.C. $ ❑o-i00,000 BTU 0100,000 BTL • PLAN CHECK 25% $ I hereby cert v that havegrread this application and state that the aboveELECTRICAL $ GRADING $ information is correct. agree tocomply with all cidy and utiand n state laws relatingis totbuilding construction,andhereby authorize yfor """ PLAN CHECK 50% $ MICROFILM $ � inspection of this city to enter upon the above-mentioned property for inspection pu.f$�. Signature r'y":.� ` Date 7/-/iFF MECHANICAL $ TOTAL FEE $ i � a CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 01 00009353-00009354 TOT IOU,a I • , I. .‘.4 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. 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: i 57. APPROVAL TO COVER-GUNITE , 7. Footings I .; L 1 / 58. Electrical Conduit-Undrgrnd: 8. Foundation 7 I 59. Gas Pipe, 0 Undrgrnd.,-:Test • I 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System Odigg p•. N. 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 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 i{ I 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL • h.( 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT • ' 11 20. Rough Factory Fireplace APPROVALS Permit# 21. Deets, in Structure 70. Underground Hydro 7 22. Ducts, Ve tilating 71. Product Piping 0 Gas 0Oil- 23. Gas Pipe-Ro g h & Test 72. Underground Flush 24. RoofFraming • 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing ilbAkt &'/J 74. Overhead Hydro 26. T-Bar Ceiling'(Structural) & Monocoat 75. Dry Chemical = t " 27. Frame and Flashing ret /� :11- 76. Dry Standpipe 28. Lathing & Siding', n l 64/ 77. FIXED SYSTEM FINAL • - - 29. Insulation •�j ,� �' 78. FIRE PREY. FINAL 30. Drywall Nailing , - sJ2 r ©i-- HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat `�/to k7p-0- 79. FINAL INSPECTION I. 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED . 33. Final Electric Notes: MOLD FOR SPECIAL REQUIREMENTS ' 34. Final Heating & Air Conditioning Ii( /B�' 0C PO Ov1 .0‘11 =35. Final Gas Pipe-Test / - 36. Hood or Canopy: /V(Ci J'' � 37. Final Factory Fireplace V u/Y 38. Final Plumbing 39. Water Service-Ficial • 40. Gas Service-Final . h • ' ,41. Solar Domestic-Final . • 42. Backflow Preventer ,43. Backflow Irrigation , - -44. Landscape Irrigation System _ I 45.-Sound Attenuation _., __ _ _ 46--Handicap Regulations 47. FINAL STRUCTURE & BUILDING /A). 1,56 4- v 48. SpecialRequiremenis Completed /I/alc3. 8c. �ILL'"�' - 1 49. Electric Release to Edison '! • 50. Gas Release to Southern California Gas Co I 51. CERTIFICATE OF OCCUPANCY No. l Date - Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT PEA MILT(N/O�7 �^CoTRACT NO. LOT NO. UNIT NO. A P # I Zone / •Projer3Address -Zs• el-o2rA, Lt FSl•C- r �J 7 /J �+ no 2 �SLCr ' ) /� S Main Building: Accessory Building: . Applicant's Mailing Address tali- DWI /ii¢� CM TYPE OF CONSTRUCTION LJ NEW U ADD U ALTERATION LJ REPAIR E - - Z ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front O Owner's Name -X-x N L /d/Tc9ti Phone 4 Yr-?soy g :-�-.� N /8/ —he Oa HR2 DESCRIPTION OF WORK/USE OF BLDG. A Rear Address I Arch/Eng. __ License No. TYPE OF PERMIT ❑ GRADING�❑I FOUNDATION ❑ STRUCTURAL C Right N Address ❑ TENANT ❑ ELECTRICAL U PLUMBING ❑ MECHANICAL g . Left R Contractor's Name .2.-. H, / /AT TGav Phone ❑ OTHER _. _ Ping. Ref.# Parking Req./Provided E PROJECT DESCRIPTION SQ. FT. OCCUPANCY Address(mailing) CONSTRUCTION TYPE VALUATION$ Planning Notes: • M City License No. 0 � ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARAT N I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: D�c� �/o 3 u�/ ,c� with section 7000) of Division 3 of the Business and Professions Code, and F\ ! - my license is in full force and effect, ELECTRICAL FEES License Class License No. Date Signature PLUMBING - FEES Automatic Washer Transformer ❑ 15-50 KW WORKERS'COMPENSATION DECLARATION' f Bar Sink 2 Showers �O _ Construction Pole Sub. 0 50+ KW • 1 hereby affirm that I have a certificate of consent to self-Insure or a certificate T workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps "<',0, Lab. C.) . 'Al icy No. 't Company a: Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps 8 Certified copy'is hereby furnished. v Dry¢rs ❑Gas .❑Electric Sub Panel Certified copy is filed with the city Building Division. Y Bathtubs Sewer Connection '3 DO Date Applicant '--` Fan'D17 �. Motors 00-1 HP ❑i'h-8 EXEMPTION FROM WORKERS'COMPENSATIONECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred ($100)or F.A.U. - - - Inc.Solar ❑9-15 HP ❑16-15+ less). z Dishwasher Solar Piping 4 e0 - I certify that in'the performance of the work for Which this permit is issued, I' Fixtures ' • shall-not employ'any person in any manner so as to become subject to the' Drinking Fountains Solar Tank av Microwave Workers's mp ion Laws of California// y Date - 7 Signature d' ,li` i...•./ Floor Drains Swimming Pool w/Spa Device Boxes , Pole Light NOTICE:If, ter making this declaration, you should become subject to the Outlets • Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Z Outlets Water Closet - �! a Switches Sign Gas Service / j4, 0 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Ipt¢rWptOrs 2 Weer Heet¢r Da. Garbage Disposal Standing Sections Lender's Name Z DO Lender's Address Kitchen Sink Water Service O Generator ❑0-5 KW 05-15 KW Trash Compactor • OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the /o Lavatories .Auto-Wash aft OD following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays , any structure, prior to'Its issuance, alsorequiresthe applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 '•erefrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to a civil - - nalty of not more than five hundred dollars($500). $ 3 DEVELOPMENT SERVICES REQUIREMENTS: L7 I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee - compensation, will do the work, and the structure is not intended or offered Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES' Building Approved By --�c.� - Dat License Law does not apply to an owner of a property who builds or improves • /b`/I) thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type ❑ Application Issued By Dat employees, provided that such improvements are not intended or offered for sale- If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ • SUMMARY OF FEES !Mellon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove r the purpose of sale). BUILDING PERMIT $ •SMTP $ as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System • PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU • PLUMBING $ . 0O ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- II__ tractor(s) license pursuant to the Contractor's-License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration PLAN CHECK 25% $ 1 (9.50 ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTR ICAL $ GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers GICROFILM $ ,,/? 6 • _T/�/ Liv Td eC/ HeatingSystem& DuctingRegisters PLAN CHECK 50% $ Date {�5at I- Owner g MECHANICAL $ D 5.SO I hereby((rcelrr{{i sc that II have read this application and state that the above 00-100,000 BTU 0100,000 BT TOTAL FEE $ information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction,and hereby authorize repre- sentatives of this city to enter pon t e above-mentioned !pro ert forfo inspection purposes. r Date 93 0 SrD • ivers' Q� i Reinspection Fee $15 Issue Fee $ 3 01 00011290-00011291 TOT 85.50 Drivers' License or SS# - 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor - DATE: 08/04/88 TIME: 12:26 i ' CONSTRUCTION AND PLANNING POOL PA 1• APPROVALS Permit Date Inspector APPROVALS Permit / Date Inspector • J . 1. Temporary Electrical Service or Pole 52. Pool & EqUipment Location 2° Soil Pipe-Undrgrnd. ?/ 81 .4 53. Steel Reinforcement . Si 3. Electrical Conduit Utility-Undrgrnd. 54. Forms •' 1 4 Electrical Condit-Undrgrnd. 55. Electrical Bonding I) t 5� Steel!Reinforcem?nt 56. Rough Plumbing & Pressure Test l �'1 1.-; 1. ElecUical LIFER Grnd. 57. APPROVAL TO COVER-GUNITE '7';• • 77 Footings ; /3, - ..C. 58. Electrical Conduit-Undrgrnd. j 8..1 Fo,undaiion A� .!�. 41.: 59. Gas Pipe, 0 Undrgrnd., Test 1 IG" 9..1Nater Pipe-Undrgrnd. 1/2,740141r 60. Backwash Lines, P-Trap, 0 Undrgrnd. -5 V 10; Structural Floor System A 61. APPROVAL TO DECK J } 11. Property Sewer Line & House Connection ,� 62. Backwash & Receptor-Final i 12(Se'wd Cap 63. Heater & Vent-Final j: 13a Roof Drains 64. Plumbing System - Final 14. Rough Plumbing Oar J��,/1� 65. Electrical-Final "t 15. Rough Electrical-Conduit (�/ 66. Solar System-Final ,216. Rough Electric Wiring J 67. Fencing&Access Approval X17. Rough Wiring Sign 68. APPROVED FOR PLASTERING A • .18. Rough Electrical-T Bar Ceiling - 69. POOL/SPA SYSTEMS FINAL :19. Rough Heating & Air Conditioning i FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure -. 70. Underground Hydro 22'. Ducts, Ventilating .11 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test t,: -c1 72. ,Underground Flush 24. Roof Framing _. 73. Undergrnd.Storage Tank O Gas 0 Oil 25. Roof Sheathing V, 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 f 29. Insulation 78. FIRE PREV. FINAL 1 30. Drywall Nailing . HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat • 79. FINAL INSPECTION • 32. Electrical Power Meter-Final r,_ r,` I . 80� FQOD CERTIFICATE ISSUED 33. Final Electric c) Notes: "iM/Fni-i-de-Ala // 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace • 38. Final Plumbing 9�4f% 1 IMx' 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final ' >) i 42. Backflow Preventer ; ),�,; 43. Backflow Irrigation ` 'fir I. 44. Landscape Irrigation System ' 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison (� :e , 50. Gas Release to-Southern California Gas Co - -- ('I. 51. CERTIFICATE OF OCCUPANCY 1:i No. Date ,7 Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. NO. TRACT NO. LOT NO. UNIT NO. CITYOFCOSTAMESA CONSTRUCTIONPERMIT3733 1304.7 / F ¢ G— A.P.# Izone Project Address �i7.a flLi)P1�1 p-1/FS Main Building: Accessory Building: Applicant's Mailing Address 181-1d DF[. MAR �anAijPEflIT TYPE OF CONSTRUCTION Ur NEW U ADD U ALTERATION U REPAIR E Z Otis_.gy ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' T Front 0 Owner's Name L•U• L!/�/7�/� Phone DESCRIPTION OF WORK/USE OF BLDG. ' A Rear N Address 1 RI -IN DEL M/ER C , M, Arch/Eng. License No. TYPE OF PERMIT III GRADING LI FOUNDATION LI STRUCTURAL C Right N K G Address ❑ TENANT LI ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S Left R }� ❑ OTHER Ping. Ref. # Parking Req./Provided E Contractor's Name eta Phone PROJECT DESCRIPTION SQ. FT. OCCUPANCY Qplanning Notes: M Address(mailing) CON STRUCTION TYPE VALUATION$ T City License No. ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: '� I p - 3(�./„�.'7.9 j7 3(� 7 JC� with section 7000) of Division 3 of the Business and Professions Code, and / J ELECTRICAL FEES my license is In full force and effect. License Class License No. Date Signature PLUMBING FEES Automatic Washer Transformer 0 15.50 KW WORKERS'COMPENSATION DECLARATION Construction Pole Sub. 050+KW I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar$ink $hOWers Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps 7, Lab. C.) - Dishwasher • Meter Dover 100 amps • icy No. Company Backflow Irrigation Sewer Cap _ ACertified copy is hereby furnished. , Dryers ❑Gas ❑Electric Sub Panel Certified copy is filed with the city Building Division. _ Bathtubs a Sewer Connection /n 0 Date Applicant Fan Motors 00-1 HP ❑1'h-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred ($100)or - F.A.U. Inc.Solar 0915 HP 016-15+less). Dishwasher Solar Piping I certify that in the performance of the work for which this permit is issued I Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Corsq ensa��q Laws of Cantor a - Date 1-31--X'7 Signature `,J=/ n= Device Boxes Pole Light f Canto, Floor Drains Swimming Pool w/Spa 9 NOTICE:It,after mak ng this declaratl you should become subject to-i * • Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal . comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink a Water Service it be Generator 00.5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION `f 1 hereby affirm that 1 am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to Its issuance, also requires the applicant for such permit - to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 "- efrom and the basis for the alleged exemption. Any violation of Section `.x, 1;5 by any applicant for a permit subjects the applicant to a civil ''$lty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: -u Reinspection Fee $15 Issue Fee $ 3 I, as owner of the property or my employees with wages as their soloZoning Approved By 'compensation, will do the work,and the structure Is not intended or offered _- Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By License Law does not apply to an owner of a property who builds or improves Date _ _ /� 1�7�`�`J thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type ❑ Application Issued By '14/ /� Data 1 77 employees, provided that such improvements are not intended or offered for sale. if, however, the building or Improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground prov the purpose of sale). BUILDING PERMIT $ SMIP $ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00100,000 BTU 0100,000 BTUPLUMBING $ 17_QQ ISSUANCE $ builds or Improves thereon.and who contracts for such oroiects with a con- ENERGY P.C. $ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire DampersMICROFILM $ In-3 s���� PLAN CHECK 50% $ Date .>�-/— Owner - I •• Heating System& Ducting Registers s� I hereby certify that I have read t �s application and state that the above ❑0100,000 BTU D100,000 BTL MECHANICAL $ TOTAL FEE $ ` 7• information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction, and hereby authorize repre- sentatives of this city to enter upon the above-mentioned property for Inspection purpo ��"�•"'w�-�•�s-�• +'��- ao-ac Signature C 11J //) Reinspection Fee $15 Issue Fee $ 3 c sr®:.: +� Drivers' License ss f01 00025440-00025440 TOT 17.00 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 01/31/89 TIME: 16:19 CONSTRUCTION AND PLANNING POOL °A APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporayy Electrical Service or Pole 1 52. Pool & Equipment Location ' 2.•Soil Pipe-Undrgrnd. . 53. Steel Reinforcement Electrical Conduit Utility-Undrgrnd. 54. Forms ..•4I . • 4.-Electrical Conduit-Undrgrnd. 55. Electrical Bonding •1 5. Steel.Reinforcement 56. Rough Plumbing & Pressure Test 1 6. IElgct?icalUFER-Grnd. 57. APPROVAL TO COVE R-G UNITE ;,'I 7. Footings (.,1' 58. Electrical Conduit-Undrgrnd. . 8. ,Foundation 1 59. Gas Pipe, 0 Undrgrnd.,Test r 71 ' f .I 9.. Walter Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. I 10. Structural Floor System 'C. 61. APPROVAL TO DECK 7" 11. PropertySewer Line& House Connection , /f/ff `' ft 62. Backwash & Receptor-Final . 12. Seyver 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 Z0..Rough Factory Fireplace ' APPROVALS Permit# 21. Ducts, in Structure ?i 70. Underground Hydro 22.1 Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23.IGas 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 '�r 76. Dry Standpipe 28. Lathing & Siding J. 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30: Drywall Nailing 7 HEALTH DEPT. REQUIREMENT 31-. Plaster Brown Coat 79. FINAL INSPECTION . 32, Electrical Power Meter-Final -� 80. FOQD CERTIFICATE ISSUED 33. Final Electric C' 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 7l,�geu1���/-I " 40. Gas Service-Final (/ !! 41. Solar Domestic-Final • 42. Backflow Preventer _.. • • 43. Backflow Irrigation . • . , 44. Landscape Irrigation System • • 45. Sound Attenuation • 46. Handicap Regulations . 47. FINAL STRUCTURE & BUILDING ' . 48. Special Requirements Completed • 49. Electric Release to Edison .. 50. Gas Release to Southern California Gas Co ' • 51. CERTIFICATE OF OCCUPANCY , No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT - PEI;MIT37 3 I TRACT NO. LOT NO. UNIT G O. Project Addless 2572 ELDEN AVE. . F & G /�� '��1I' TYPE OF CONSTRUCTION �®\NEW U ADD LI ALTERATION U REPAIR wApnhcs Name Mailing AddressDEVELOPMENT 1908 Pomona Ave. Suit B ❑ CONVERSION El DEMOLISH CI OTHER A.P.# Zone Owner's Name L&L Phone645 9455 181 DelMar Ave. DESCRIPTION OF WORK/USE OF BLDG. , Address #H Costa Mesa S Main Building: Accessory Building: E Z Arch/Eng. License No. TYPE OF PERMIT U GRADING U FOUNDATIOty U STRUCTURAL T Front O ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING MECHANICAL B Rear ' N Address ❑ OTHER A Contractor's Name RKM HEAT & AIR - Phone 645 1870C Right N PROJECT DESCRIPTION SQ. FT. OCCUPANCY K G Address(Mailing) Pomona Ave. , Ste B Costa Mesa Left R 045822 CONSTRUCTION TYPE VALUATION$ • S • City License No. ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION Ping. Ref. # Parking Req./Provided E 0 I hereby affirm that I am licensed of under-provisions of Charter 9 (commencing Remarks: B34479 Planning Notes: M with section 7000) of Division 3 of th- Business and ofessions Code, and my license is In fug:13{9mnd effect. T Licens Flass UUL"-”'F L ., !Jro _20405194 — S Date gflass Signature _— f/�f�/ - : - - PLUMBING FEES WORKERS' COMPENSATION DECL• +AT ION//// „✓ �/ Bar Sink Showers ELECTRICAL FEES I hereby affirm that I have a certificate of consent to el -insure or a certificate 'f Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 00, Lab. C.) Automatic Washer Transformer 0 15-50 KW JIicy No. - Company Backflow Irrigation Sewer Cap Constiudtion Pole Sub. 0 50+KW tilled copy is hereby furnished. anti led c filed with the city Ei{:Ildi Nisi ' Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps • Date / Applicants-FF CXY EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred ($100) or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to bme subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP 01'h-8 Worker1i2. ry a satin_ Laws of Califon a. A ' D1(L//-1•�/ _ Date 9( Signature �� /l1 �� Floor Drains Swimming Pool w/Spa • F.A.U. 09.15 HP 016-15+ NOTICE: if,after making this declaration,you should become subject to the Inc.Solar Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. _ _ - Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet - Device Boxes I hereby affirm that there is a construction lending agency for the performance Pole Light of the work for which this permit Is issued (Section 3097 Civ. C.) Interceptors Water Heater ' Outlets Range Lender's Name Lender's Address Kitchen Sink Water Service , Switches Sign OWNER BUILDER DECLARATION I I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash ''/ Garbage Disposal Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or 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 r the Contractor's License Law(Chapter 9(commenting with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt • therefrom and the basis for the alleged exemption. Any violation of Section ''31.5 by any applicant for a permit subjects the applicant to a civil tatty of not more than five hundred dollars($500). . I, as owner of the property or my employees with wages as their solo Reinspection Fee ` $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered Reinspection Fee ( $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a properly who builds or Improves thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements aro not Intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or Improvement is sold within ono year of com- Canopy Type II ❑ Zoning Approved By Date platten, the owner will have the burden of proving ho/she did not build or im- Duct-Under Ground Building Approved By , , Date prove for the purpose of sale). /----// I/� ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By •i ���,•�. - Dat: Art 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 2 Duct-Ventilating 06100,000 BTU 0100,000 BTU 9 ap SUMMARY OF F builds or improves thereon,and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ - proof of their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ PERMIT ❑ 1 am exempt under Section B.& P.C.for this reason —1 Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date Owner Heating System& Ducting I Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 2 16100,000 BTU 0100.000 BTL— information ow 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 $ inspection pf thisoscity to y,er��o� p�o` �t��h��e above-mentioned property for L� OV s B / , t! Dale//2�/L / 6' MECHANICAL $ ! a' TOTAL FEE $ q? v Signature / I I - $ Drivers' License Or SS ' Reinspection Fee $15 - Issue Fee $ 8� PLAN CHECK 25% LVYAU VU 7V+V L. A..V CMF 0865-46,rev. 10/84 white - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor W.I. . 01 /23/89 TInE: 1 ! A...),322 I CONSTRUCTION AND PLANNING POOL &SPA APPROVALS Permit Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7..-Footings58. 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 l/t y4.1 ///d!' FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace ! ! /J�7 L 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 .g/y' 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 ME,,A C NSTRUCTIION PERMIT PERM NOS (as_ TRACT TRACT NO. LOT NO. yjV IT�410. A-P.# Zone Project Address /r� I� 1/�'�S.lf'�..,. 's�� - J< -IL1 !tel— S Main Building: Accessory Building: •Applicant's Mailing Address �� nl MTllln �-U• TYPE OF CONSTRUCTION NEW U ADD U ALTERATION U REPAIR E - Z CI CONVERSION CI DEMOLISH El OTHER T Front O Owner's Name -Tu • ' ' 1� tnA Phone 6C1 DESCRIPTION OF WORK/USE OF BLDG. I B Rear N 1 Address 181r / l n 04TTt "1eZ 'J7629 C Right N Arch/Eng. _ _ License No. TYPE OF PERMIT ❑ GRADING ❑ FOUNDATION ❑ STRUCTURALK Address ❑ TENANT CIELECTRICAL CIPLUMBING MECHANICAL S � Left I R Contractor's Nam• * e f/ -s=ce• C•Ph ne ❑ 'OTHER ' Ping. Ref.# Parking Req./Provided E Address(mailing) AS. I I r ell i i-' 6\- {Gk nthIe Q0 PROJECT DESCRIPTION SQ. FT. OCCUPANCY ' Planning Notes: M CONSTRUCTION TYPE VALUATION $ City License No. Olcikloo ZONE GRADING CU.YDS. ACRES RECEIVED3 NOVNAV 0 1Q`}J0111�U S LICENSED CONTRACTOR DECLARATION 6-34499 7 eeee IIs-s((�� I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 1124LL I9 ' with section 7000) of Division 3 of the Business and Professions Code, and -3 ll 1 my license is in ful for e and effect. ELECTRICAL FEES c... Licens• Class I A icon?. ryo e �I.J/ f21 FIf1aDe PLUMBING FEES Automatic Washer Transformer 0 15-50 KW Date - Signature .4. WORKERS'COMPENSATION DECLARAT •NBar Sink Showers Construction Pole Sub. 0 50+ KW I hereby affirm that I have a certificate of consent to self-insure or a certificate ' Workers' Compensation Insurance, or a certified copy �thereof 1 (Section(S ' Backflow Preventer Service Sink Cooking Unit Meter Duo to 100 amps )0, Lab. CJ / l\�l iO Company �l•-t ,�-I t/I tU 1.I 17• licy, No. lf7 l7 r Backflow Irrigation Sewer Cap Dishwasher . Meter Dover 100 amps je.Certified copy Is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel Car i ie opy led with the city Idin wi Ion. Bathtubs Sewer Connection Date /-1i- Applicant / /L a'hiPf Financial Office . Fan _ Motors 00-1 HP ❑1'/z-8 EXEMPTION FROM WORKERS'COMPENSATI N DECLARATION Clarifiers Solar Collectors - less). - (This section need not be completed if the permit is for one hundred ($100) or Dishwasher Solar Piping F.A.U. Inc.Solar 09-15 HP ❑16-15+ I certify that in the performance of the work for which this permit is issued, I Fixtures Microwave shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Workers' Compensation Laws of California. DeVICBo Date Signature Floor Drains e %e • Swimming Pool w/Spa Pole Light NOTICE: If,after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYGas Service Outlets Water Closet Switches Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 005 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law (Chapter$ (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 -•erefrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to a civil laity of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: J I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 Zoning Approved By Date compensation, will do the work,and the structure is not intended oretl for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By License Law does not apply to an owner of a property who builds or improves Date ki thereon, and who does such work himself/herself or through his or her own Hood or Type I 0 Application Issued By Date 1 employees, provided that such Improvements are not intended or offered for Boiler sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct- Ventilating 00100,000 BTU 0100,000 BTUPLUMBING $ ISSUANCE $ builds or improves thereon, and who contracts for such oroiects with a con- tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple❑ System.Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ 13lam exempt under Section B.& P.C.for this reason /4 Firepl/Fact.Bit. ICBG#11-14 Fire Dampers 26 r• 31 PLAN CHECK 50% $ MICROFILM $ Date Owner Heating System& Ducting Registers MECHANICAL ---......L..... 4'. I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL !, �s TOTAL FEE $ Information Is correct. I agree to comply with all city and county ordinances PLAN CHECK 2bsb"$ T f 1I and state laws relating to building construction, and hereby authorize repre- sentatives of this aa.'ty to enter/ upon the above-mentioned property fpr Inspection Signatureose�- - I nate/H7-6/Ot/ Drivers' License or SS -. . Reinspection Fee $15 Issue Fee $53 80 D 1 00021254-00021254 TOT 41.00 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 12/06/88 TIME: 09:55 CONSTRUCTION AND PLANNING POOL 'A APPROVALS Permit# _ Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole .-. 52. Pool & Equipment Location I 2.• Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3:Electrical Conduit Utility-Undrgrnd. ' 54. Forms ! I f 4.1Elect/ical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel}Reinforcement' I I ' 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER-GUNITE I i 6. Electrical UFER Grnd. , 7.1Footings -, 58. Electrical Conduit-Undrgrnd. 8_,Foundation ' ••1 59. Gas Pipe, 0 Undrgrnd., Test , 9;•Water Pipe-Undrgrnd. •'� 60. Backwash Lines, P-Trap, 0 Undrgrnd. ,;�j • 10: Structural Floor•System 61. APPROVAL TO DECK 11. PropertySewer Line& House Connection 62. Backwash & Receptor-Final . 12.1Sewef Cap 63. Heater & Vent-Final • . • 13. Roof.Drains 1 ..iti {: , 64. Plumbing System - Final 14. Rough PlumbingI ' ' ' 9 ,' .' 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval •177.. Rough Wiring Sign 68. APPROVED FOR PLASTERING '•18. Rough Electrical-I Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 1'9. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 2q. Rough Factory Fireplace -• Oft �/1®/Or' APPROVALS Permit# 21'. Ducts, in Structure - - 70. Underground Hydro 22. .Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil ! - I 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 1•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 G.,2.•`64 38. Final Plumbing 39. Water Service-Final I 40. Gas Service-Final '-' ,t 41. Solar Domestic-Final • I 42. Backf low Preventer . ;,) 1.j.)-* 43. Backflow Irrigation �• 44. ,Landscape Irrigation-System ;J - 45. Sound Attenuation 46. Handicap Regulations ' 47. FINAL STRUCTURE.& BUILDING 48. Special Requirements Completed 49. Electric Release to Edison .i - 50. Gas Release to Southern California Gas Co !I s. 51. CERTIFICATE OF OCCUPANCY _ y 1 • No. Date .• Fj 35Z J C... Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. I PERMIT NO.E•3rj 3 TRACT NO. LOT NO. N CITY OF COSTA MESA CONSTRyUCTION PERMIT y UNITO. A.P.# Zone F - Cr Project Address S Z an et/ Av E - S Main Building: Accessory Building: ng Address TYPE OF CONSTRUCTION NEW UEll H ALTERATION REPAI R Applicant's HalliE / z s9Cv I ‘95-C151.55 0 CONVERSION ❑ DEMOLISH El OTHER T Front o Owner's Name !_K nLe cn den SJT Phone •7 DESCRIPTION OF WQR RK/USE OF BLDG. B Rear N Address 152/-be. (,�f///ul f Arch/Eng. License No. __pp.. TYPE OF PERMIT GRADING U FOUNDATION LJ STRUCTURAL C Right G Address �i tom. 8G('� . 52-4/ ❑ TENANT ELECTRICAL 0 PLUMBING 0 MECHANICAL S . Left Ping. # Parking q Ref. Re /Provided E ❑ 'OTHER I R Contractor's Namene�T S SAddress(mailing) //6City License Na. -7 C S 7j7 Nowt.t OROJECT DESCRIPTION SQ. FT. 37 '74 OCCUPANCY g Notes: �Q1� u�"' CONSTRUCTION TYPE MALUATION$ Planning T ZONE GRADING CU.YDS. ACRES S LICENSED CONTRACTOR DECLARATION y� I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: .� 3 ei y-7 9 with section 7000) of Division 3 of the Business and Professions Code, and Y - my license is in fulLforeeAnd effect. L G� ELECTRICAL FEES ` v License Class -` Lice `. Date r_ 'tri Signature ��-• �---- - PLUMBING I FEES Automatic Washer Transformer 0 15.50 KW I WORKERS'COMPENSATION D' LARATION Sink Showers Construction Pole Sub. ❑ 50+KW ' I hereby affirm that I have a certif cafe of consent to self-Insure or a certificate - `Q f Workers' Compensation Insurance, or a certifie copy thereof (Section Cooking Unit /�/ Meter Duo to 100 amps 100, Lab. C.) .� _�( Backflow Preventer Service Sink 4v olicy No. f Og ..-5-46,1 Company Salt- r",4"" Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps • Certified copy is hereby furnished. - Dryers ❑Gas ❑Electric Sub Panel Certified c isl¢Q y liwith the city Buil ng vision. } /f Bathtubs Sewer Connection Date 07-1 .--ir% Applicant �Z( Fan Motors 00-1 HP 01W-8 EXEMPTION FROM WORKERS'CO EON DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred ($100)or F.A.U. Inc Solar ❑9-15 HP❑16-15+ ' less). Dishwasher Solar Piping , I certify that in the performance Of the work for which this permit is issued, I Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE:If,after making this declaration,you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal ' Outlets Range . comply with such provisions or this permit shall be deemed revoked. __ •_ CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign 1 hereby affirm that there is a construction lending agency for the performance ' of the work for which this permit Is Issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION ..{t I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash •277 -10 following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays any structure, prior to Its Issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions 01 Roof Drains the Contractor's License Law (Chapter 9 (Commencing with Section 7000)of - - Division 3 of the Business and Professions Code) or that he/she is exempt therefrom and the basis for the alleged exemption. Any violation of Section Reinspection Fee $15 Issue Fee $ 3 i� 131.5 by any applicant for a permit subjects the applicant to a civil natty of not more than five hundred dollars($500). I - DEVELOPMENT SERVICES REQUIREMENTS: r;Li I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue3 Fee $ . compensation, will do the work,and the structure Is not intended or offered Zoning Approved By ' Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By ✓f License Law does not apply to an owner of a property who builds or improves _ _ _ //6 Date z�/,a/[ , thereon, and who does such work himself/herself or through his or her own Application Issued By ' /�(� 7 GG employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I ❑ Data sale. If, however, the building or Improvement Is sold within one year of tom- - Canopy Type II 0 SUMMARY OF FEES • pletion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ ❑ I,as'owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System -SHIP $ tractors to construct the project (Section 7044,Business and Professions Code: _ PLAN CHECK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU builds or improves thereon. and who contracts for such oroiects with a ron- PLUMBING $ ISSUANCE $ tractors) license pursuant to me Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL yT S T��' GRADING $ ❑ 1 am exempt under Section B.a P.C.for this reason Firepl/Fact.BIt. ICBO Fire Damp ars MICROFILM $ PLAN CHECK BO% $ 2 Date Q // ` Owner •• - Heating System& Ducting Registers �'Q MECHANICAL $ TOTAL FEE $ �" '3/ I hereby certify that I have read this application and state that the above 00.100,000 BTU 0100,000 BTL ' Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction,and hereby authorize repre- sentatives of th s city to enter u on he above-mentioned property for Inspection pur es. �1 'ire Signature �� Date L-{2_-XX — Drivers' LI nse or SS Reinspection Fee $15 Issue Fee $ 3 01 00014225-00014226 TOT 153.33 DATE: 09/12/88 TIME: 16:12 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod.- Assessor • CONSTRUCTION AND PLANNING POOL PA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. temporary Electrical Service or Pole 52. Pool & Equipment Location 2.'Soil Pipe-Undrgrnd. i ' 53. Steel Reinforcement • I • '3.?Electrical Conduit (hility-Undrgrnd. ' , . I 54. Forms 4.,Electrical Conduit-Undgrnd. ' 55. Electrical Bonding 5.1Steel(Reinforcemerit r • 56. Rough Plumbing & Pressure Test 6. Electrical OF ER Grnd: 57. APPROVAL TO COVER-GUNITE 7.. Footings I- ,r t 58. Electrical Conduit-Undrgrnd. 7' 8.'Foundation • • 59. Gas Pipe, 0 Undrgrnd.,Test • 9:,Water Pipe-Undrgrn1. 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 i 63. Heater & Vent-Final 13. Roof?Drains 64. Plumbing System - Final • . • 14. Rough Plumbing• 6''''5. Electrical-Final 15. Rough Electrical-Conduit ////66. Solar System-Final 16. Rough Electric Wiring '/,,40;{ Fencing & Access Approval 17. Rough Wiring Sign �� 68. APPROVED FOR PLASTERING ,r 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL .•19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT ,20r Rough Factory Fireplace APPROVALS Permit# ,21. Ducts, in Structure t 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 .r 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 / 8 OD CERTIFICATE ISSUED 33. Final Electric 97 U(.< otes: 34. Final Heating & Air Conditioning 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. Backf low Preventer 43. Backf low Irrigation 44. Landscape Irrigation System 45. Sound Attenuation • 46. Handicap Regulations • ' 47. FINAL STRUCTURE & BUILDING 48. Soerial Renuirements Completed 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY No. Date - City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. 00301,20 Building Safety Division P.O.Box 1200 Costa Mesa.California The Building located at 2572 Elden Avenue. Units A R .T has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto• for a Group R3 Occupancy. Use of Building Condcsminigrils Legal Description 439-161-18. 19.20 (See reverse side for-Metes and Bounds) Building Permit No R 42SR0 Electrical Permit No. 1: 9577E Plumbing Permit NoP37340.P34757 Mechanical Permit No. £437236, t-136570 Number of apartments 19 and/or guest rooms • ISSUED TO: Building Official Georae Edmiston I. H. Linton • 11 181 Del Mar Ave., Unit H by ✓ 7 Y� A Costa Masa, CA k 92627 • Date November 15, 1989 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 CO U.B.C. CMF 1015.46 rev. 1/83 White-Owner;Canary-Numerical File;Pink-Bldg.Permit File N. Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT PERMI•-T NO.. TRACT NO. LOT NO. UNITNNO. Prpject Address 2flE a--2.-odic-, /q(// "1'r (+/ T l3 - U �,�� f "" ' Applicant's Mailing Address , E,/^H ,O/'L /'7/ra C /7 TYPE OF CONSTRUCTION "T D NEW Li ADD LI ALTERATION 0 REPAIR 0 CONVERSION ❑ DEMOLISH 0 OTHER A.P.46 4 - lW/ .- l?, 1et/ a0 Zone Ra, Owner's Name 1.the/ L /2Jr0A-e Phone/4t'-9v/C'r DESCRIPTION OF WORK/USE OF BLDG. Address /S/-he .or=e... (yH� C • f-7 x S Main Building: Accessory Building: Arch/Eng. ITiR C/r he /'672 License No. TYPE OF PERMIT LI GRADING U FOUNDATION U STRUCTURAL T Front r�(D) G I b I 0 Address 2zo Aj Po4 r ca-Al r#-1f• zz Ai.n, 0 TENANT 0 ELECTRICAL 0 PLUMBING 0 MECHANICAL B Rear ^ � c? I N 0 OTHER A �l 1 Contractor's Name Phone �1 C Right N •Address(mailing) PROJECT DESCRIPTION SQ. FT. / OCCVPANDY Q -3 K z G CONSTRUCTION TYPE y t� VALUATIONS 2_1�I 19 A $ Left p C}� I h( City License No. ZONE •GRADING CU.YDS. ACRES R LICENSED CONTRACTOR ECLARATION lll��� /� /� Pa-Ca Ping. Ref.# p,e�g�- y. Parking Req./Provided yg/yg E I hereby affirm that I am tic nsed under provisions of Charter 9 (commencing Remarks: Qtl 1 .. _ .& /_8(f• 13 (y1 Planning Notes: /9 - anti- s/�l��j/��}y(� int G with section 7000) of Division 3 of the Business and Professions Code,and V l •TXA lLHOLD FOR SPECIHL lUs( ��(�D'J� M my license is in full farce and effect. 2(n`Q1% c .l(0 ' •g to L I 1411711 J �/ License Class _License No. e , — S Date Signature PLUMBING I FEES WORKERS'COMPENSATION DECLARATION Bar Sink Showers ELECTRICAL FEES I hereby affirm that I have a certificate of consent to self-insure or a certificate ' Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 100, Lab. C.) Automatic Washer Transformer D 15-50 KW Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+KW 8 Certified copy is hereby furnished. Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date Applicant • ' EXEMPTION FROM WORKERS'COMPENSATION DECLARATION ' Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit Is for one hundred ($100) or -, less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner so as tnnn becorie subject to the Drinking Fountains Solar Tank Fan Motors 0o-1 HP 011/2-8 Workers' C9'V��q�s ti n Laws of Calilornla y� Date •7 .1• Signature , 7 Floor Drains Swimming Pool w/Spa — F.A.U. NOTICE: I,alley making this declaration, you should become subject to the Inc.$Olay 09-15 HP Di 6-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks -;n•• Urinal Fixtures Microwave comply with SuCh provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes • Pole Light I hereby of firm that there Is a construction lending agency for the performance • of the work for which this permit is issued (Section 3097 Clv. C.) •Interceptors Water Healer Outlets Range Lender's Name - ' ' Lender's Address Kitchen Sink Water Service Switches • Sign OWNER BUILDER DECLARATION •_ I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories . Auto-Wash I 9 Garbo a Disposal ' Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or • - P county which requires a permit to construct,alter,improve,demolish or repair P-Trap - any structure, prior-to Its issuance, also requires the applicant for such permit - Laundry Trays - Generator ❑0-5 KW❑515 KW Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains l the Contractor's License Law(Chapter 9(commencing with Section 7000)of " 1 • Division 3 of the Business and Professions Code) or that he/she Is exempt y• '9erefrom 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 natty of not more than five hundred dollars($500). ❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not Intended or offered -- Reinspection Fee f $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or Improves thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I 0 -DEVELOPMENT SERVICES REOUIREMEN o employees, provided that such Improvements are not intended or offered forZoning Approved By / -'I/ � �]� Date r / . p g sale. If, however, the building or imorovement Is sold within one year of com- Canopy Type II 0 pietism, the owner will nave the burden of proving he/she did not build or im- Duct- Under Ground Building Approved By Date_ Qr ve for the purpose of sale). 12} I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By _ Date 1 —l? tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU SUMMARYDE FEES builds or Improves thereon,and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware thatBUILDING PERMIT $ _Loin -- LO SMIP $ I .� proof of their Worker's Compensation Insurance should be provided to me. _Exhaust System 0 Multiple ❑ System Repair/Alteration PLAN CHECK $ PERMIT ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. IC80 ak Fire Dampers— PLUMBING $ ISSUANCE $ Date "-SAPS•. Owner -..es ^ Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 0o-100,000 BTU 0100.000 BT ELECTRICAL $ GRADING $ information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize repre- OW PLAN CHECK 50% S MICROFILM $ sentatives of this city to enter upon the above-mentioned property for Q Inspection pule S. e z/ / MECHANICAL $ TOTAL FEE $ IQL- __y Signature - Applicant; Pink .Accounting; Goldenrod - Assessor 01 00009351-00009352 TOT S064,g9 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. ? ip ‘..4"1--/ 55. Electrical Bonding 5. Steel Reinforcement /` 56. Rough Plumbing & Pressure Test 6. Electrical UF ER Grrid. 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 g/3d/gg pN' 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 1 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL - • - , 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# • 21. Ducts, in Structure 70. Underground Hydro - 22. Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil, 23. Gas Pipe-Rough&Test 72. Underground Flush t • 24. Roof Framing 73. Undergrnd.Storage Tank 13 Gas 0 Oil' 25. Roof Sheathing b blit/C0/-1 74. Overhead Hydro ;- 26. T-Bar Ceiling (Structural) & Monocoat // 75. Dry Chemical _! _� 27. Frame and Flashing 2-3((4l Q 76. Dry Standpipe 28. L#hing & Siding Y(y/r7 //1�.1'/ , 77. FIXED SYSTEM FINAL', - 29. Insulation �� 78. FIRE PREV. FINAL 6.30. Drywall Nailing yin �(,p- HEALTH DEPT. REQUIREMENT31. Plaster Brown Coat fore 79. FINAL INSPECTION : 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED • 33. Final Electric Notes: JIOL FOR SPECIAL REQUIREMENTS 34. Final Heating& Air Conditioning (I (cj leg O tC. ' V-)Ca e P it _t 35. Final Gas Pipe-Test + A /V 36. Hood or Canopy ', /� 4 ' 37. Final Factory Fireplace ����«///1� 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final i -42. Backflow Preventer .43. Backflow Irrigation • • '44. Landscape Irrigation System • 45. Sound Attenuation - 46!Handicap Regulations 47. FINAL STRUCTURE & BUILDING 0-/ ..5' '7 `� - 00 '' E 48. Special Requirements Completed 11// b r 85 -Ll-4'-iC-'- 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 fines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT PERT 1\01. TRACT 7 T`RAC/�O-7 LOT r O. UNIT A.P.# I Zone Protect Address 95 ra pEldc a��- a S :5V f / `-T. ` IT Main Building: Accessory Building: Applicant's Mailing Address /a l H D e / mer et✓n, TYPE OF CONSTRUCTION 111��� NEW LI ADD U ALTERATION LI REPAIR E JZ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front Ovyner's Name nrr Na L l NTBN Phone65/-��/U5� DESCRIPTION OF WORK/USE OF BLDG. I A RearAddress d —H' �el MeirArch/Eng. License No. TYPE OF PERMIT U GRADING r,��-/Uy, ��FFOUNDATION ❑ STRUCTURAL K Right Address ❑ TENANT ❑ ELECTRICAL ULPLUMBING ❑ MECHANICAL S LeftContractor's Name .t• 4{a L_/�v1foN Phone ❑ OTHER i Ping. Ref.# Parking Req./Provided PROJECT DESCRIPTION SQ. FT. OCCUPANCY Address(mailing) Planning Notes:y� CONSTRUCTION TYPEVALUATION$City License No. 0/ ZONE GRADING CU.YDS. ACRESLICENSED CONTRACTOR DECLARATION � I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: RAF �/� 2 Q •7 y y �O with section 7000) of Division 3 of the Business and Professions Code,and my license is in full force and effect. ELECTRICAL FEES License Class License No. Date Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATION _ Construction Pole Sub. 0 50+ KW I hereby affirm that I have a certificate of consent to self-Insure or a certificate a Bar Sink s Showers 11 of Workers' Compensation Insurance, or a certified copy thereof (Section / Cooking Unit Meter Clop to 100 amps 3800, Lab. C.) 1.. Backflow Preventer Service Sink !,'1, Dishwasher A Meter policy No. .. Company • Backflow Irrigation Sewer Cap Dover 100 amps Certified copy',`-Is hereby furnished. P' Lit. L Dryers ❑Gas ,❑Electric Sub Panel A Certified copy is filed with the city Building Division. T Bathtubs Sewer Connection S DO Date '' Applicant - Fan _ .. Motors 00-1 HP ❑1X-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers • Solar Collectors - ' (Thissection need.not be completed if the permit is for one hundred ($100) or 7 J., F.A.U. Inc.Solar ❑9-15 HP 016-15+ less). ., 2 Dishwasher - Solar Piping T DO I certify that in,the performance of the work for which this permit is Issued I Fixtures — shall not employ any person in any mann r so•as"to become subject to the• Drinking Fountains i Solar Tank Microwave Workers'ypp�yegsytkon Laws of CalifomigEr - Device Boxes Date -7(/3'/'d'X Signature /X _ d� Floor Drains Swimming Pool w/Spa Pole Light NOTICE: I ait r making this declaration,you should become subject to the Outlets Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. ' CONSTRUCTION LENDING AGENCY ‘,/ Gas Service � Outlets (0 Water Closet Jg DO Switches Sign I hereby affirm that there is a construction lending agency for the performance Interceptors Standin Sections of the work for which this permit is issued (Section 3097 Civ. C.) Garbage Disposal Interceptors ,, Water Heater Del g Lender's Name # Lender's Address cp.. Kitchen Sink Water Service D V Generator 00-5 KW 05.15 KW Trash Compactor OWNER BUILDER DECLARATION �( -`-- I hereby affirm that I am exempt from the Contractor's License Law for the /D Lavatories Auto-Wash fDQ following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P—Trap Laundry Trays - any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions ofROOf .Drains 'I -- the Contractor's License Law(Chapter 9,(commencing with Section 7000) of ...- Division Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil - penalty of not more than five hundred dollars($500). 3 DEVELOPMENT SERVICES REQUIREMENTS: OI, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ Zoning Approved By compensation, will do the work, and the structure is not intended on offered __ nate for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES . Building Approved By Date License Law does not apply to an owner of a property who builds or Improves ,.._. //�♦\ thereon, and who does such work himself/herself or through his or her own Application Issued By (y V/ Date yi employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 . \�JJ sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 .o, SUMMARY OF FEES - pletion, the owner will have the burden of proving he/she did not build or int. Duct-Under Ground pLoye for the purpose of sale). BUILDING PERMIT $ SMIP $ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon, and who contracts for such oroiects with a eon — - tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ S ENERGY P.C. $ proof off their Worker's Compensation insurance should be provided to me. - ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers MICROFILM $ PLAN CHECK 50% $ [}�- �s Date �th� Owner --t�ti n n r Heating System& Ducting Registers MECHANICAL $ $ SS:SD I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL TOTAL FEE Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction, and hereby authorize repre- sentatives of this city to enter•%�Jupon�the above-mentioned propertyfor , Inspection purpOsesd Reinspection Fee $15 Issue Fee $ 3 0865-46,rev. 5/86 White - Building; Canary -Applicant: Pink -Accounting;Goldenrod - Assessor 01 00011292-00011293 TOT 85.50 DATE: 08/04/88 TInE: 12:27 .CONSTRUCTION AND PLANNING POOL &SPA > APPRG�VALS Permit# Date Inspector APPROVALS Permit# / Date Inspector 1. T4imporary Electrical Service or Pole (L.,. 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. ' 0/Repr 53. Steel Reinforcement �� 3(.Electrlcal Conduit Utility-Undrgrnd. • 7�/44,,•PP 54. Forms .4 . 4.:Electricall Conduit-Undrgrnd. , 55. Electrical Bonding ,.1 5•.Steel Reinforcement 56. Rough Plumbing & Pressure Test ,.; 1•ry 60 ElectricSOF ER Grnd. 57. APPROVAL TO COVER-GUNITE /'. , 7,.Footings. ! I. 58. Electrical Conduit-Undrgrnd. ( A 8.!Foundation � .1i ' . 59. Gas Pipe, ❑ Undrgrnd., Test (,� 1.,- 9jWr- si/j atePipe-Undrgrnd. f4r-,r 60. Backwash Lines, P-Trap, 0 Undrgrnd. 11 10.--Structural Floor System v 61. APPROVAL TO DECK '7?` 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final 'r. 12 Sewer Cap 63. Heater & Vent-Final T.. 13*,Roof Drains 64. Plumbing System - Final 14. Rough Plumbing ,1!/,L/ ://'r' 65. Electrical-Final 15. Rough Electrical-Conduit /7 66. Solar System-Final .. - .. .. - 16. Rough Electric Wiring 67. Fencing & Access Approval ' .-17. Rough Wiring Sign 68. APPROVED FOR PLASTERING ' 118t. 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 t, 71. Product Piping 0 Gas 0 Oil ' 23.leas Pipe-Rough & Test ' :‘ iir 1////e'�'�t 72.LUnderground Flush 24.�Roof Framingr I 73. Undergrnd.Storage Tank 0 Gas 0 Oil ' 25. Roof Sheathing 2- 74. Overhead Hydro , 26. T-Bar Ceiling (Structural) &Monocoat 75. Dry Chemical , 27.. Frame and Flashing U I 76. Dry Standpipe 28. Lathing & Siding , 77. FIXED SYSTEM FINAL 29. Insulation I 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31:/Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final Y -1.. -80.,tFOOD CERTIFICATE ISSUED 33. Final Electric t7 v.' ,•-I tNotes:o a.-0.,_ t7 l • . +_- e 2 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test r 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing '9//f/ft a 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final r r :. 42. Backf low Preventer i I 43. Backf low Irrigation , , . 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING • 48. Special Requirements Completed 49. Electric Release to Edison i. 50. Gas Release to Southern California Gas Co , 51. CERTIFICATE OF OCCUPANCY !4 1 •. No._ Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - PERMIT NO. TRACT NO. LOT NO. U IT CITY OF COSTA MESA COI NSTR UC,TION PERMIT y� 3�' �i� A.P.# I Zone `� 'Project Address �+r.7 2 `cid f} • 1 -� / 1 t S Main Building: Accessory Building: • [ p(` TYPE OF CONSTRUCTION 7]I NEW ❑ ADD U ALTERATION REPAIR E Z Applicant's Mallin Address 4,•�Y ��,. ►►ASL s I- a ��/G- •�c- C ❑ DEMOLISH El OTHER —- T Front D /_,/G-g455 ❑ CONVERSION Owner's Name nr1 Pho e J DESCRIPTION OF WORK/USE OF BLDG. I A •Rear N Address 1$1-H neI Mnr, Caslx (Y1eSG/ /21,027 Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING U FOUNDATIOty U STRUCTURAL K Right G Address 0 TENANT ❑ ELECTRICAL ❑ PLUMBING `'�MECHANICAL $• Left R G'�Z� El OTHER Ping. Ref.# Parking Req./Provided E Contractor's NamPUe�SF;ferbce5 r2ncr phonea73-20 I. Q Address(mailing) • r • - • . PROJECT DESCRIPTION SQ. FT. OCCUPANCY A I/ Ai a i inst. 1 • • _Ai P. Planning Notes: M (/�'�pr -7 CON ST RUCTION TYPE _ VALUATION T City License No. Cl D ZONE - GRADING CU.YDS. ACRES 4 �-{ LICENSED CONTRACTOR DECLARATION ®L�1"'�Ejj.{ jj/y`.il� $ S. I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Q''1/l/ 1 �/J� , „e G {( ( I (g E/tg a}i '(�94 / with section 7000) of Division 3 of the Business and Professions Code, and 'l1 J r t fl v / my license is in full f• ce and effect. /')Q ELECTRICAL FEES Ucens• Cl.ss - . / & "cense o.{�j�'J'J / / QQQ��� Date :� Signature at'- u - •' tai rlRantaa (Gar PLUMBING FEES Automatic Washer Transformer 0 15-SO KW .C_ WORKERS' COMPENSATION DECLARATI• N Construction Pole Sub. 0 50+KW `yl] I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers 'Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter Cup to 100 amps 0, Lab. C.) /QQ Ij'� �s� J Backflow Preventer Service Sink policy No. €oto n i CompanyS ( UNIT15' Backflow Irrigation Sewer Cap Dishwasher• Meter Dover 100 amps ' • Certified copy is hereby furnished. ��11 /'� Dryers Gas ❑Elettf is Sub Panel ►Z ert Pied cop filed with the city edin/ly vi q Bathtubs Sewer Connection 1 -ttll'7_e FAJ Qtllat Flnaneial OHsr' Date Applicant Fan • EXEMPTION FROM WORKERS'COMPENSATI N DECLARATION Clarifiers Solar Collectors Motors❑41 HP 01'h-8 (This section need not be completed if the permit s for one hundred ($100) or F.A.U. less). Dishwasher - Solar Piping Inc.Solar 09-15 HP 016-15+ I certify that in the performance of the work for which this permit is issued,IFlx[ufes shall not employ any person In any manner so as to become subject to the Drinking Fountains Solar Tank - Microwave Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa Device Bozes Pole Light NOTICE:If,after making this declaration,you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 005 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt • Reinspection Fee $ 3 • 'efrom and the basis for the alleged exemption. Any violation of Section P $15 Issue Fee I.5 by any applicant for a permit subjects the applicant to a civil alty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: Li I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work, and the structure is not intended or•offeretl Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves" - thereon, and who does such work himself/herself or through his or her own Application Issued By • '• • - Date2- employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 - / sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or irn- Duct- Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ 0 I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural • Refrigeration System tractors to construct the project (Section 7044,Business and Professions Code: PLAN CHECK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00100,000 BTU 0100,000 BTUPLUMBING $ ISSUANCE $ builds or improves thereon.and who contracts for such oroiects with a con- — ENERGY P.C. $ tractor(s) license pursuant to the Contractors License Law). I am aware that Exhaust System 0 Multi le 0 System Repair/Alteration PLAN CHECK 25% $ proof of their Worker's Compensation insurance should be provided to me. 444 ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.& P.C.for this reason H Firepl/Fact.Blt. 'CHO# Fire Dampers 24000 MICROFILM $ 45 PLAN CHECK 50% $ Date Owner Heating System fir Ducting Registers •a) I I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,00OBTL. _ MECHANICAL — TOTAL FEE $ '7 l.(1 Information Is correct. I agree to comply with all city and county ordinances PLAN CHECK -441r.--$ and state laws relating to building construction,and hereby authorize repre- sentatives of is t enter upon the above-mentioned property for inspection pu ses Signature Reinspection Fee $15 Issue Fee '�3 ' 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 01 00021255-00021255 TOT 41.00 DATE: 12/06/88 TIME: 09:5A 1 - CONSTRUCTION AND PLANNING t POOL -- SPA APPROVALS Permit# Date Inspector APPROVALS Pe,,,rit# Date Inspector - 1. Temporary Electrical Service or Pole _ 52. Pool & Equipment Location • 2. Soil Pipe-Unclrgrnd. 53. Steel Reinforcement . 3.rElectrical Conduit Utility-Undrgrnd, t 54. Forms ' 4. Electrical Conduit-Undrgrnd. 1 55. Electrical Bonding 5.,Steel_Reiinforcement I. 56. Rough Plumbing & Pressure Test . 6..Electrical UFER Gond. 57. APPROVAL TO COVER-GUNITE • 7.-F6otings • J, . . 1 58. Electrical Conduit-Undrgrnd. 8:',Fdundation , j ' 59. Gas Pipe, 0 Undrgrnd., Test - 9.:Water Pipe-Undrgrnd. • • - 60. Backwash Lines, P-Trap, ❑ Undrgrnd. 10. Structural Floor ' • 61. APPROVAL TO DECK 11. Property.Sewer Line & House Connection - 62. Backwash & Receptor-Final 12. Sewer Cap - 7. - 63. Heater & Vent-Final • 13. Roof Drains ' 1 64. Plumbing System - Final 14. Rough Plumbing 1 , - 65. Electrical-Final ' 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval 1.7., Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL • 1 .19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT • 20. Rough Factory Fireplace ,/// rf. 1 APPROVALS Permit# ;-2.1:. Ducts, in Structure - /"� 70. Underground Hydro 22.-Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil ' 1 23. Gas Pipe-Rough & Test 72. Underground Flush - t 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 F(5shing 76. Dry Standpipe 28. Lathing& Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 317 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 glide( big 38. Final Plumbing 39. Water Service-Final 1 • d 1 i3• 40. Gas Service-Final s. ;! 41. Solar Domestic-Final 11 42. Backflow Preventer e- _ 43. Backflow Irrigation -.� c 44. -Landscape Irrigation System i 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 Co11 51. CERTIFICATE OF OCCUPANCY • -• !" No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PE T O. TRACT NO. LOT NO. UNIT NO. 41107Y-OF COSTA MESA CONSTRUCTION PERMIT ( ` A.P.# Zone -'+� S72- EL-0 AVE 1 V �•3 �� / 13 �1v � 11 wS reject Address ,_,., S Main Building: Accessory Building: Applicant's Mailing Address / 1 81-- 1'"I /D ./-- MSR Z. I IMI- TYPE OF CONSTRUCTION R r EW ❑ ADD LI ALTERATION ❑ REPAIR E Z Ws 1' /NTQ7/J Phonebc/'c Y55 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' T Front N Owner's Name I DESCRIPTION OF WORK/USE OF BLDG. I A Rear I Address ISI —4 DEL MAP a I M. Arch/Eng. License No. TYPE OF PERMIT U GRADING U FOUNDATION U STRUCTURAL C Right G Address 0 TENANT ❑ ELECTRICAL 0 PLUMBING 0 MECHANICAL $ Left R Contractor's Name /1- Phone ❑ 'OTHER I Ping, Ref. # Parking Req./Provided EQ Address(mailing) PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: M CONSTRUCTION TYPE VALUATION$ T City License No. ZONE GRADING CU.YOS. ACRES S. LICENSED CONTRACTOR DECLARATION Q 7 I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: e I j7 .. /33 /4 4 90 P 34'9 5/I with section 7000) of Division 3 of the Business and Professions Code,and 1 / ELECTRICAL FEES my license is In full force and effect. License Class License No. Dale _ Signature PLUMBING FEES Automatic Washer Transformer 0 15.50 KW WORKERS' COMPENSATION DECLARATION Construction Pole Sub. 0 50+ KW I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter Due to 100 amps 0, Lab. C.) - )icy No. Company Backflow Irrigation Sewer Cap Dishwasher , Meter Dover 100 amps B -- Certified copy is hereby furnished. _ Dryers ❑Gas ❑Electric Sub Panel Certified copy is filed with the city Building Division. Bathtubs Sewer Connection /0 ✓0 Date Applicant Fan Motors 00-1 HP 01%-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (This section need net be completed if the permit is for one hundred($100)or Dishwasher Solar Piping F.A.U. less). Inc.Solar 09-15 HP 016-15+ I certify that in the performance of the work for which this permit is issued, I Fixtures snail not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Com ensa Laws of Califo a. Date 1- Signature J�j�j u�. Lilt m Device Boxes Floor Drains Swimming Pool w/Spa Pole Light t NOTICE: If,after ma Ing this declaratleri,you should become subject to the Outlets Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address _ Kitchen Sink Water Service 4 00 Generator 00.5 KW 05.15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee I $15 Issue Fee $ 3 "erefrom and the basis for the alleged exemption. Any violation of Section 11.5 by any applicant for a permit subjects the applicant to a civil salty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: Li I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 Zoning Approved By Date compensation, will do the work,and the structure Is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or Improves w _ thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I ❑ Application Issued By Dat employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im• Duct-Under Ground apse—for the purpose of sale). BUILDING PERMIT $ SMIP $ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTUPLUMBING $ /7r 00 ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- ENERGY P.C. $ tractor(s) license pursuant to the Contractor's License Law). 1 am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I PLAN CHECK 25% $ proof of their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ I am exempt under Section - B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers PLAN CHECK 50% $ MICROFILM $ Datef.. -i 1-"1f� Owner a Heating System& Ducting Registers MECHANICAL $ /7 GO I hereby certify that I have read this application and state that the above ❑0-100,000 BTU 0100,00087ETOTAL FEE $ information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction,and hereby authorize repre- sentatives of this city to enter upon the above-mentioned property for Inspection purPgses. -1• /� 1�0 i—O Signature LJf (/ Reinspection Fee $15 Issue Fee $ 3 Drivers' LI c gt 01 00025441-00025441 TOT 0865-46,rev.5/88 White - Building; Canary - Applicant; Pink - Accounting; Goldenrod - Assessor DATE: 01/31/89 TIi1E: 16:20 17.00 IONSTRUCTION AND PLANNING POOL 'A APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 7 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. - 53. Steel Reinforcement -' 3: :Electrical Conduit Utility-Undrgrnd. "' 54. Forms 4,Electrical Conduit-Undrgrnd. • 55. Electrical Bonding 5.'Steel Reinforcement 56. Rough Plumbing & Pressure Test • 6. Electrical UFER irnd. 57. APPROVAL TO COVER-GUNITE ,,i 7. Footings: '!' 58. Electrical Conduit-Undrgrnd. ; • • 8.'Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9.,Water Pipe-Undrgrnd. i 60. Backwash Lines, P-Trap, O Undrgrnd. 1 10. Structural Floor System 61. APPROVAL TO DECK • 1' 11. Property Sewer Line & House Connection 0/04Q��'f 62. Backwash & Receptor-Final .l 12. Sewer Cap ''//I L- 63. Heater & Vent-Final • 13. Roof Drains 64. Plumbing System - Final 14. Rougli,Plumbing 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16..Rough Electric Wiring 67. Fencing & Access Approval :1,7. 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# 1 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating .J 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 G• 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. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final a/en 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.CTOSTA MESA CONSTRUCTION PERMIT — PERMIT NO. TRACT NO. LOT NO. UNIT NO. Prefect Address 2572 Elden Ave. H&J ! 1 .37 23 ff G- J Applicant's Mailing Address 1908 Pomona Ave, STe B TYPE OF CONSTRUCTION KNEW U ADD Li ALTERATION ❑ REPAIR Owner's Name L&L DEVELOP. Phone645 9455 ❑ CONVERSION ❑ DEMOLISH D OTHER A P # Zone DESCRIPTION OF WORK/USE OF BLDG. Address 381 DelMar Ave. .#H.Costa Mesa S Main Building: Accessory Building: E Z Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING U FOUNDATIO U STRUCTURAL T Front 0 Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING MECHANICAL B Rear N Contractor's Name RKM Heat & Air Phone645 1870 ❑ OTHER A I �l PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N Address(maili1008 Pomona Ave. ,Ste B K G 045822 CONSTRUCTION TYPE VALUATIONS _ S Left R City License No. ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: Planning Notes: with section 7000) of Division 3 of the Business and Professions Code,and B34480 M my license is In full foprceg and effect. • T License Class CLO40 j,C90A04194 Date K13 Signature = - -- / PLUMBING FEES / WORKERS'COMPENSATION DE - • RATION A'/� a. I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers ELECTRICAL FEES• Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 00, Lab. C.) Automatic Washer Transformer 0 15-50 KW • Policy No. Company Backflow Irrigation Sewer Cap0 50+KW Construction Pole Sub. led copy is hereby futhe ed. cit rtified cop is filed with the city B Idin Division. 7 Bathtubs Sewer Connection Cooking Unit Meter Duo to 100 amps Date Applicant Z - EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed If the permit Is for one hundred ($100)or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is issued,I shall not employ any person In any manner so as to ecome subject to the Drinking Fountains Solar Tank Fan Workercomensation Laws of Calif pp]]n��ia //�� Motors 00-1 HP ❑1'h-8 Date tagfei Signature Floor Drains Swimming Pool w/Spa F.A.U. NOTICE: If,after making this declaration,you should become subject to the Inc.Solar ❑B-15 HP ❑16-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY . Gas Service Outlets Water Closet Device Boxes 1 hereby affirm that there is a construction lending agency for the performance Pole Light of the work for which this permit is Issued (Section 3097 Civ. C.) - Lender's Name Interceptors Water Heater 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 '' Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections county which requires a permit to construct,alter,Improve,demolish or repair P—Tre • any structure, prior to Its Issuance, also requires the applicant for such permit p Laundry Trays Generator 00.5 KW ❑5-15 KW Trash Compactor to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains ' the Contractor's License Law(Chapter 9,(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt - erefrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to a civil - salty of not more than live hundred dollars($500). Li I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 • compensation, will do the work,and the structure is not intended or offered - Reinspection Fee f $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: ' employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I 0 ZoningApproved sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 pP By Date pletlon, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By '� Date_ orove for the purpose of sale). ctii I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System - Application Issued By 'W/�,/�Z Dat tractors to construct the project (Section 7044,Business and Professions Code: - The Contractor's License Law does not apply to an Owner of property who 2 Duct-Ventilating ' 00-100,000 BTU ❑100,000 BTU p builds or improves thereon, and who contracts for such projects with a con- —=t/ Off SUMMARY OF FEE tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ PERMIT ISSUANCE $ • Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above100,000 BTU 0100,000 BTL— q GRADING $ information Is correct. I agree to comply with all city and county ordinances 2 ($90 ELECTRICAL $ and state laws relating to building construction,and hereby authorize repre- MICROFILM $ sentatives of this city to a or upon the above-mentioned p operty for ' PLAN CHECK 50% $ (/ inspection p posej. fj23/p, / MECHANICAL $ ( 2—'OO y a° Signature U.11Q',6/� / 6 tis-'/,(� Date ✓(o / $/ TOTAL FEE $ .Z Drivers' License or SS 9h Reinspection Fee $15 Issue Fee OV PLAN CHECK 25% $ CMF 0865-46,rev.10/84 White - Building; Canary -Applicant: Pink -Accounting; Goldenrod - Assessor U1 UUUL40Ly—UUO240L+ ( t$ i YG.LJ I BATE: 01/23/37 TIME' 13:2. CONSTRUCTION AND PLANNING POOL& SPA Date Inspector Date Inspector APPROVALS Permit# APPROVALS Permit # _ 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd! 53. Steel Reinforcement 3. Electrical 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 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/a ,/f,7/ /ff FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping O Gas 0 Oil 23. Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE 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 /PMift 35. Final Gas Pipe-Test /�7' 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 E35 Z3 S Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO.� • S TRACT NO. LOT NO. UNIT NO A P # Zone CITY OF COSTA MESA CONSTRUCTION PERMITI _ • Piet Address Z57Z ELoEry Ave. l� - '7 TYPE OF CONSTRUCTION NEW U ADD U ALTERATION REPAIR S Main Building: Accessory Building: Applicant's Mailin Address �YS�p�/� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER J • E Front O Owner's Name !' ^/ VCi/' ,�J�CwY Phone // ..J7 DESCRIPTION OF WORK/USE OF BLDG. A _Rear N Address Bei 'fi O&' A/2 i. Arch/Eng. License No. TYPE OF PERMIT GRADING U FOUNDATION LI STRUCTURAL C Right N Address /' ❑ TENANT ELECTRICAL ❑ PLUMBING 0 MECHANICAL S . Left iFi t-g• ZS 0 OTHER Contractor's Name"�'T�^y• f ^ Phpne S pPing. Ref.# Parking Req./Provided Address(mailing) �/63 !-� cacce1 OJECT DESCRIPTION SQ. FT. j"L'76 OCCUPANCY s4+ Planning Notes:CONSTRUCTION TYPE VALUATIONS City License No. ZONE GRADING CU.YDS. ACRES , ` LICENSED CONTRACTOR DECLARATION V` i i hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Q 3 S e_i_gb ' is° with section 7000) ofr Division 3 of the Business and Professions Code, and my license is in full forte antl effect. - 9 ELECTRICAL FEES .9. ,DateSignature (" License `ss - Si - PLUMBING I FEES Automatic Washer Transformer ❑ 15-50 KW N, WORKERS'COMPENSATION DE ' RATION I Construction Pole Sub. 0 50+ KW • .I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers — ' Workers' Compensation Insurance, or a certifi copy thereof (Section Cooking Unit Z Meters o 100 amps Backflow Preventer Service Sink NV 300, Lab. C. ff�•�QQ �Z/ [� Dover 100 amps Policy No. �0 336 / Company Backflow Irrigation Sewer Cap Dishwasher — MeterT _ Certified copy is hereby thurn the ed. Dryers ❑Gas ❑Electric Sub Panel e' 'fi' c y I filed with the city Bu I D I Bathtubs Sewer Connection Dat Applicant EXEM TIONFROORKERS'CO PENSATION DECLARATION Clarifiers Solar Collectors Fan Motors ❑0-1HP ❑1h-8 - (This section need not be completed if the permit Is for one hundred($100)or F.A.U. less). Dishwasher Solar Piping Inc.Solar 09.15 HP 016 -15+ I shall lli no that In the performance the work for as to this permit a issued I Fixtures Wort rs' employanyperson of any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Compensation Laws California. Date Signature Floor Drains Swimming Pool w/Spa Device Boxes . Pole Light NOTICE:If,after making this declaration,you should become subject to the Outlets R Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Range comply .with such provisions or this permit shall be deemed revoked. CONSTRUCTION' LENDING AGENCY • Gas Service Outlets Water Closet Switches Sign 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION /IF/"� I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash 0777 following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9 (commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 :erefrom and the basis for the alleged exemption. Any violation of Section - )31.5 by any applicant for a permit subjects the applicant to a civil eenalty of not more than five hundred dollars($500). $ 3 DEVELOPMENT SERVICES REOUIREMENTS: LJReinspection FeeZoning Approved By Date I, n owner of the property and my employees with wages as their sole Pe $15 Issue Fee Compensation, will do the work, the structure is not intended or offered -- for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner Of a property who builds or improves � q//�CJ p thereon, and who does such work himself/herself or through his or her own Application Issued By eta / S o employees, provided that such Improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or Improvement Is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pietion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). - BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System tractors to construct the project (Section 7044,Business and Professions Code: _ PLAN CHECK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- - ENERGY P.C. $ tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ - proof o// their Worker's Compensation Insurance should be provided to me, ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers 2y MICROFILM $ PLAN CHECK 39% $ • (/07 Date Owner Heating System&Ducting Registers MECHANICAL $ I hereby certify that I have read this application and state that the above ❑a100,000 BTU 0100,000 BTL TO&AfNa FS'. .-=,$ 1µe information is correct. I agree to comply wit all city and county ordinances PLAN CHECK 25% $ ,c 1 -tt'1412 J— 1 and state laws relating, - buil•i•g co•- r - on, and hereby authorize repre- sentatives RO/107m ., of this ity to e -•n Ye above-mentioned property for ' inspection p., �/ "•y Signature / Drivers' Lice se Or r.- ' - � C��Is4 Reinspection Fee $15 Issue Fee $ 3 01 00014227-00014228 TOT 1.58.33 0865-46,rev.5/88 White - Building; Canary -Applicant; Pink -Accounting: Goldenrod - Assessor DATE: 09/12/88 TIME: 16:13 • CONSTRUCTION AND PLANNING POO SPA /APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector $1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 1 53. Steel Reinforcement 3.. Electrical Conduit Utility-Undrgrnd'. ' ' 54. Forms • • _ 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5; Steel,Reinforcement ; 56. Rough Plumbing & Pressure Test a 6. Electrical UFER Grnd. I ' 57. APPROVAL TO COVER-GUNITE ' 1 7. Foot'yngs - L 58. Electrical Conduit-Undrgrnd. /' 8. Foundation „ • 59. Gas Pipe, ❑ Undrgrnd.,Test 9. Water Pipe-Unilrcrnd. I j 60. Backwash Lines,P-Trap, O Undrgrnd. I If 10. Structural Floor System e .i 61. APPROVAL TO DECK 11. Property Sewer Line& House Connection 62. Backwash & Receptor-Final 12. Sewer Cap • 1 63. Heater & Vent-Final 13. Roof Drains . , 64. Plumbing System - Final • 14. Rough Plumbing 65. Electrical-Final 15. Rough Electricat.Conduit �jA 66. Solar System-Final 16, Rough Electric Wiling 97,919((? C/° /�. �t7. 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 •'420. Rough Factory Fireplace ;t- APPROVALS Permit# '• 21. Ducts, in Structure 70. Underground Hydro 22, Ducts, Ventilating 71. Product Piping O Gas 0 Oil 23/Gas Pipe-Rough& Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing , 1 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 132! Electrical Power Meter-Finalq�`/ 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer _ 1 43. Backflow Irrigation 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE& BUILDING ' / 4R. Snecial Requirements Completed • 49. Electric Release to Edison I 50. Gas Release to Southern California Gas Co , 51. CERTIFICATE OF OCCUPANCY . 1 No, Date City of Costa Mesa Development Services Department ,x n fM1 q Building Safety Division CERTIFICATE OF OCCUPANCY No. P.0.Box 1200 Costa Mesa,California The Building located at 2572 Elden Avenue, Unit K & L has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group 113 Occupancy. Use of Building Condrminiuma Legal Description 439-161-19. 19.20 (See reverse side.for Metes and Bounds) Building Permit No B 34481 Electrical Permit No. P. 36158 Plumbing Permit No? 75H.D17ad.1 Mechanical Permit No. M37237, M36571 Number of apartments 19 and/or guest rooms ISSUED TO: Building Official Gaorae Edniskbon I. H. Linton ',, 161 Dal flar Ave., Unit H by \. Costa [bsa, CA 92627 i Date Nov 15. 1989 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. Y CMF 1015-46 rev.1/83 White-Owner;Canary-Numerical File:Pink -Bldg.Permit.File Y Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT *L_ PERMIT3 NO. TRACT NOi . LOT NOrat . UNIT NO. 44— Project Address 2,� xJ2 FLOE/L.t /YrLez-r ' A-set 4 I 36%0? �'� TYPE OF CONSTRUCTION U NEW CilADD U ALTERATION U REPAIR ' Applicant's Mailing Address /Bf-f/ ..04-`2 /4-7,47/7 TYPE CONVERSION ❑ DEMOLISH ❑ OTHER p Zone p .-t. /f. G /,!/r0 eV Phoned.Ys-9VA.P.` `'F 3`j - r I - r8 1 /t �p Pa Owner's Name DESCRIPTION OF WORK/USE OF BLDG. ! Address /B/-N O 'Z /7!32 GNt S Main Building: Accessory Building: Arch/Eng. TF7Ctt- r/esr�2 License No. TYPE OF PERMIT U GRADING U FOUNDATION U STRUCTURAL T Front `%�I r..1 b i Z Address ci20 f/SUPO.P r e-S2tr 2n , eZ /die ❑ TENANT ❑ ELECTRICAL 0 PLUMBING ❑ MECHANICAL BRear P. 5 ! N ❑ OTHER A Contractor's Name Phone s C Right 1 N PROJECT DESCRIPTION SQ. FT. 3t 1 OCCUPANCY R-^ 39 G b' Address(mailing) ` r_1 �J .� K I G •CONSTRUCTION TYPE �sl� VALUATIONS ail '1g.- $ Left 35 C.' hi City License No. ZONE GRADING CU.YDS. ACRES C R Ping. Ref. # E�_ O'7 -9 Parking Req./Provided �g /��' E LICENSED CONTRACTOR L u Q I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: P c .=e QC (0 tag v 12 PctsZt$ „� PlanningNotes: 1 9 - un L'f. eta � with section 7000) of Division 3 of the Business and Professions Code, and II/'''��v T M my license is In full force and effect. ^ /� 'i `/ /•. ' ?( ill Q L. S License Class License No. - -- (moi (/ Z] 1'•-1 # l --eca, Date - Signature PLUMBING FEES a i n E1R_SPECIAL REVUI[;EI!4E r(TS WORKERS'COMPENSATION DECLARATION • Bar Sink Showers I hereby affirm that I have a certificate of consent to self-insure or a certificate ELECTRICAL FEES of Workers' Compensation Insurance, or a certified copy thereof (Section Backf low Preventer Service Sink 1800, Lab. C.) Automatic Washer Transformer 0 15-50 KW Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW ,. Certified copy is hereby furnished. - _ Certif^ietl pcopy s filed with the city Sidi iv' ion. Bathtubs Sewer Connection Cooking Unit Meter 0up to 100 amps Date !ON FROM Applicant O/' - EXEMPTI N F OM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for One hundred($100)or less). Dishwasher Solar Piping Dryers OGas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank r - Fan Motors 00-1 HP 01%-8 Workers' Compensation Laws of California. Date _ - Signature Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+ NOTICE: If,after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal FixturesMicrowave • comply with such provisions or this permit shall be deemed revoked. - CONSTRUCTION LENDING AGENCY Gas Service 'Outlets - Water Closet Device Boxes r Pole Light ' I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Outlets '5 -- Range Lender's Name Lender's Address - Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION - - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories - Auto-Wash Garbage Disposal following reason (Section 7031.5 Business and Professional Code: Any city or • •P _ Standing Sections county which requires a permit to construct,alter,Improve,demolish Or repair P-Trap - • ' Laundr Trays any structure, prior to its Issuance, also requires the applicant for such permit - V Generator 00-5 KW 05-15 KW Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions Of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of . 1 • q• 1 Division 3 of the Business and Professions Code) or that he/she is exempt • '-'erefrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to a civil salty of not more than five hundred dollars($500). L_) I, as owner of the property or my employees with wages as their solo Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or Improves thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENT employees, provided that such Improvements are not intended or offered for Boiler / -7-11 -88 sale. If, however, the building or improvement is sold within one year of com- Zoning Approved By Date prove , the owner will have the burden of proving he/She did not build or Im- Duct- Under Ground Building Approved By Date pr ve for the purpose of sale). 1 11�1 �p I, as owner of the property, am exclusively contracting with licensed con- rectors on- Duct-Structural Application Issued By Date —1 C "'Re dors to construct the project (Section 7044,Business and Professions Code: IMIHood TheContractor's License Law does not apply to an owner of property who Duct-Ventilating SUMMARY FFEES builds or improves thereon,and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple❑ BUILDING PERMIT $ J Dlfq' SMIP $ 1 S— proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT 0 lam exempt under Section �y ce/� B.& P.C.for this reason ' Firepl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ ISSUANCE CE $ Date 7 /3 � Owner �/ •L]LS Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby dertif that I have read this application and state that the above 00100,000 BTU 0100,000BT ELECTRICAL $ GRADING $ information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize repre- sentatives of this city to enter up n the above-mentioned property for inspection purposes. �y MECHANICAL $ OC� Signature /d (��y Date .2/8/inTOTAL FEE S Drivers' License or SSp - Reinspection Fee $15 Issue Fee PLAN CHECK 25% $ • CMF 0865-46,rev.10/84 Pink -Accounting; Goldenrod - Assessor01 00009349H)0309350 TOT 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. 0:440' 6. „Li55. Electrical Bonding 5. Steel Reinforcement ! 56. Rough Plumbing & Pressure Test 6. Electrical UFEA Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. . - 8. Foundation - : 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. j 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 06/a t.) . 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 I 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 C Gas Coil • 23. Gas Pipe-Rough&Test 72. Underground Flush - 24. Roof Framing 73. Undergrnd.StorageTank.OGas 0011 25. Roof Sheathing jj//2)/ql Citj 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical ' ' • 27. Frame and Flashing ?j/rt - 76. Dry Standpipe ' 28. Lathing & Siding A 4 &t677. FIXED SYSTEM FINAL .' 29. Insulation 340/1 eat 78. FIRE PREV. FINAL 30. Drywall Nailing 3/1099 p HEALTH DEPT_ REQUIREMENT 31. Plaster Brown Coat g-/,n keg p/y 79. FINAL INSPECTION a 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: BOW FUR SPECIAL REQUIREIINTS 34. Final Heating& Air Conditioning (,I(1 it o& .I-a 14s4 DiE , 35. Final Gas Pipe-Test A 36. Hood or Canopy - /Q//�/g, /jf��/ 37. Final Factory Fireplace ///!!! [ C i ./7Llif ` .-- 38. ', • 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 I/ /_S9 /% ff ' 48. Special Requirements Completed I"t`3, [�iL^J'"' 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. • PER T _ TRACT NO. LOT NO. UNIT NO. CITY-SF COSTA MESA CONSTRUCTION PERMIT �7 p A.P.# Zone ..Project Address i•1 7 ' SLO& '' -Alin- it 9-L- - /`S O �m3910 7 /C 8L L • . TYPE OF CONSTRUCTION IIT NEW LI ADO LI ALTERATION Li REPAIR / S Main Building: Accessory Building: Applicant's Mailing Address 18/^fl QAZ HylE Z (' 44'S ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front O Owner's Name S he L/' t' Phone -99`�FJ' DESCRIPTION OF WORK/USE OF BLDG. I B Rear - N Address /2/,'/ :OGL l6R et-/ •r-1 A 1 Arch/Eng. License No. TYPE OF PERMIT 11-3GRADING__P./FOUNDATION LI STRUCTURAL I C Right G Address ❑ TENANT ❑ ELECTRICAL VPLUMBING ❑ MECHANICAL s Left R Contractor's Name - -.y 1- 1/--1 7b/-f Phone ❑ OTHER I Ping. Ref. # Parking Req./Provided E PROJECT DESCRIPTION SQ. FT. OCCUPANCYD Address(mailing) Planning Notes: • M City License No. Q/d C ON ST RUCTION TYPE VALUATION$ _ T ZONE GRADING CU.YDS. ACRES - LICENSED CONTRACTOR DECLARATION S. I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Re7�/P -' e 31y e//2/ — with section 7000) of Division 3 of the Business and Professions Code,and my license is in full force and effect. ELECTRICAL FEES License Class - - License No. _ Date Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATIONConstruction Pole Sub. I ❑ 50+KW hereby affirm that I have a certificate of consent to self-insure or a certificate Bar$ink 2 Showers Q O 'i.!Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter Dup to 100 amps 47'00, Lab. c.) , Backflow Preventer Service Sink - - - - - - • 4 .1..' Di shwasher Meter ❑over 100 amps Oblicy No. • Company Backflow Irrigation Sewer Cap -- Rcertified cophereby furnished. Dryers ❑Gas ❑Electric Sub Panel Certified copy is filed with the city Building Division. y Bathtubs Sewer Connection g• Qp Date ! Applicant �^' • Fan Motors 00-1 HP ❑1%-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION - Clarifiers Solar Collectors - (This section need not be completed if the permit Is for one hundred($100)orF.A.U. Inc.Solar ❑8-15 HP ❑16-15+ less). Z Dishwasher . Solar Piping 4. Db I certify that in the performance of the work for which this permit is issued 1 • Fixtures shall not empon in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' m Laws of California ty,/ Device Boxes Date Signature �/yy7` '' - Floor Drains • , Swimming Pool w/Spa Pole Light NOTICE:It of r making this declaration,you should become subject to the • Outlets Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Range comply with such provisions or this permit shall be deemed revoked. Switches CONSTRUCTION LENDING AGENCY 2 Gas Service /2 Outlets 6 Water Closet Sign I hereby affirm that there is a construction lending agency for the performance Garbage Disposal of the work for which this permit is issued (Section 3097 Civ. C.) 9 P Standing Sections Lender's Name Interceptors Z Water Heater Lender's Address Z Kitchen Sink Water Service QD Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the JO Lavatories Auto-Wash �e_ W following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays - any structure, prior to its issuance, also requires the applicant for such permit • - to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of - Division 3 of the Business and Professions Code) or that he/she Is exempt Reinspection Fee $15 Issue Fee $ 3 orelrom 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 'i':�.natty of not more than five hundred dollars ($500)• $ DEVELOPMENT SERVICES REQUIREMENTS: O I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee 3 Zoning Approved ByDate compensation, will do the work,and the structure Is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved ByDate License Law does not apply to an owner of a property who builds or improves _ thereon, and who does such work himself/herself or through his or her own Application Issued By a Date ' PAPA employees, provided that such Improvements are not intended or offered for Boiler Hood or Type 1 0 • , sale. If, however, the building or Improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or Im- Duct- Under Ground stovs_fpr the purpose of sale). BUILDING PERMIT $ SMIP $ as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: , . The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ (061.1//// . Co ISSUANCE $ builds or improves thereon.and who contracts for such oroiects with a con- f • tract or(s) license pursuant to me Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 i System Repair/Alteration I • PLAN CHECK 25% $ I •SO ENERGY P.C. $ proof oftheir Worker's Compensation Insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ I am exempt under Section y B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers MICROFILM $ _ raC r�L Heating System&Ducting Registers PLAN CHECK 50% $ pp`` Date Owner MECHANICAL $ TOTAL FEE $ of SO i hereby ert fy that have read this application and state that the above ID 0-100,000 BTU ❑100,000BTL— information is correct. I agreeui toicomply construction, ost with all dy and countyurite repres _ - PLAN CHECK 25% $ and state laws relatingi •city totbuilding construct) andabo - herebyion authorize for • sentatives of this'city to enter upon the above-mentioned pro erty for , • inspection purp sey , / • Signature /YC w( aY-. Date ' Drivers' LicensorS/7 , Pink -Accounting; Goldenrod - Assessor DATE: 08/00 0001124/88 TIME TOT 85.50 TIME: 12:28 ,CONSTRUCTION AND PLANNING POO, WA r 2 ":APPROVALS Permit Date Inspector APPROVALS Permit# Date • Inspector - • 1'. Temporary Electrical Service or Pole ; • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PER N TRACT NO. LOT NO. UNIT NO. CITY CIF COSTA MESA CONSTRUCTION PERMIT 130 &.i / K i L A.P.• Zone Project Address .;5"7 a 'CLDZ// AVE 37.3 V/ 1 S Main Building: Accessory Building: Applicant's Mailing'Address 16 I'-14 tEL Mf�-R C r M. TYPE OF CONSTRUCTION LEEN-1w NEW ❑ ADD U ALTERATION LI REPAIR E Z NJI L /P.lITh CONVERSION ❑ DEMOLISH ❑ OTHER T Front D Owner's Name TO Alti/ phone(c�5-9y DESCRIPTION OF WORK/USE OF BLDG. 1 B Rear N / Address IS 1 - 1-F DEL MAR C . /1'I, AI C Right N Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING LI FOUNDATION U STRUCTURAL K g G Address 0 TENANT ❑ ELECTRICAL 0 PLUMBING ❑ MECHANICAL S Left R Contractor's Name ] Phone ❑ OTHER Ping. Ref.yp Parking Req./Provided E �r PROJECT DESCRIPTION SQ. FT. OCCUPANCY O Address(mailing) Planning Notes: M CONSTRUCTION TYPE VALUATION$ T City License No. ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION P , ! e J' / I hereby affirm that I am licensed under Provisions of Charter 9 (commencing Remarks: 5 J #- B 31/•`/ O I , P3`'4-7 ES with section 7000) of Division 3 of the Business and Professions Code,and my license Is in full force and effect. ELECTRICAL FEES License Class License No. Date Signature PLUMBING I FEES Automatic Washer Transformer 0 15.50 KW WORKERS'COMPENSATION DECLARATION Construction Pole Sub. 050+ KW i hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers - workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter Dup to 100 amps 0, Lab. C.) Policy No. company Backflow Irrigation Sewer Cap Dishwasher • Meter Dover 100 amps 8 Certified copy is hereby furnished. • /O Dryers ❑Gas ❑Electric Sub Panel Certified copy is filed with the city Building Division. Bathtubs 3, Sewer Connection 00 Date Applicant Fan Motors 00-1 HP 01%-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors " essis section need not be completed if the permit is for one hundred ($100)orlDishwasher Solar Piping F.A.U. Inc.Solar 09-15 HP 016-15+ I certify that In the performance of the work for which this permit is issued I Fixtures Microwaveshall not employ any person In any manner so as to become,subject to the Drinking Fountains Solar Tank Workers' Compensatjarltaws of CalifoJ(ia. ../ Device Boxes Date I 1-x Signature y y I/1. . 14 4�sylJ Floor Drains Swimming Pool w/Spa t Pole Light NOTICE:If,after making this declarat' you should become subject to the Outlets Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks UrinalRange comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Generator 00.5 KW 05-15 KW Trash Compactor Lender's Address Kitchen Sink Water Service OWNER BUILDER DECLARATION I hereby affirm that I am exempt31.5from the Contractor's l License Law for the Lavatories Auto-Wash followingwhichreason (Section to Businessnconstruct,and Professional Code: Any cry ar countyr ctuprior requires a itspermitissuance, c ,aloe equ res alter,Improve,demolish or repairmitP-Trap Laundry Trays any ler structure, that he/,also licensed theesuanto for suchrvi permit to file a ctostatement License pte is licensed pursuant to the provisions of Roof Drains the Contractor's oftel Business usi Law (Chapter 9 ng with Section 7 x)of ni vision 3 of the B usis and Professionsd Code) or that ais exempt • Reinspection Fee $15 Issue Fee $ 3 refrom and the basislicfor the alleged exemption. ey violation to Section - alt by any re aant for a permit subjects8the applicant to a civil .laity of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: ❑ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves p thereon, and who does such work himself/herself or through his or her Own Boiler HOOd or Typ¢I ❑ Application Issued By Det: / tl employees, provided that such Improvements are not intended or offered for sale. If, however, the building or Improvement Is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pietion, the owner will have the burden of proving he/she did not build or IM- Duct-Under Ground ro r the purpose of sale). BUILDING PERMIT $ SMIP $ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 1044,Business and Professions Code: The Contractor's License law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU PLUMBING $ /7. oo ISSUANCE $ builds or Improves thereon.and who Contracts for such protects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their worker's Compensation Insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ 1 am exempt under Section B.&P.C.for this reason Firepi/Fact.Blt.ICBG* Fire Dampers ������'C� — PLAN CHECK 50% $ MICROFILM $ Date Owner -'S U/ T!1/1/ Heating System&Ducting Registers MECHANICAL $ TOTAL FEE $ 7.oo I hereby certify thatI have read this application and state that the above 00100,000 BTU 0100,000 BTL PLAN CHECK 25% $ Information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize repre- sentatives of this city to enter upon the above-mentioned property for Inspection purposa5� �/ Signature U/ ,id Reinspection Fee $15 Issue Fee $ 3 0865-46,rev. 5/88 White . Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor DATE:01. 00025442-(111025442 01/31/89 T�TIME: 16:20 17.00 0 CONSTRUCTION AND PLANNING POOI 'PA APPROVALS Permit# Date Inspector APPROVALS Permit# • Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. . 53. Steel Reinforcement 3:iElectrical Conduit Utility-Undrgrnd. (+1 54. Forms• �, 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. 'Steel•Reinforcement 56. Rough Plumbing & Pressure Test 1 6. Electrical UFERGrnd. 57. APPROVAL TO COVER-GUNITE ) 7: Footings •Q r' 58. Electrical Conduit-Undrgrnd. 8�•Foundat;on ii 59. Gas Pipe, 0 Undrgrnd.,Test 9;Wate. Pipe-Undrgrnd. .t; 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10.,Stuctuthl Floor System 61. APPROVAL TO DECK - 11. Property'Sewer Line & House Connection/.f 62. Backwash & Receptor-Final 12. Sewei' Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rdugh.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 fie. Rough Electrical-I Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating& Air Conditioning FIRE DEPT. REQUIREMENT 20, Rough Factory Fireplace tl 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 ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) &rMonocoat 75. Dry Chemical 27. Frame and Flashing !1 76. Dry Standpipe 28. Lathing & Siding t/ 77. FIXED SYSTEM FINAL 29. Insulation ;� 78. FIRE PREV. FINAL 3p. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final .; 80. FOOD CERTIFICATE ISSUED 33. Final Electric t 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 //�`(7�eg //bal 40. Gas Service-Final °° �/ 41. Solar Domestic-Final 42. Backflow Preventer ' • 43. Backflow Irrigation et 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 . Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT PERMIT NO. TRACT NO. LOT NO. UNIT NO. • Project Address 2572 Elden St. K & L PV 37� JZ L 7 J( • Applicant's Mailing Address 1908 Pomona Ave. Ste B TYPE OF CONSTRUCTION KNEW L ADD L ALTERATION REPAIR L&L DEVELOP. 645 9455 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER qP•# - Zone Owner's Name Phone DESCRIPTION OF WORK/USE OF BLDG. Address 181. DelMar #H ,Costa ,Mesa U S Main Building: ' Accessory Building: Arch/Eng. License No. TYPE OF PERMITGRADING FOUNDATION U STRUCTURAL E LIFront . • O Address CI TENANT ❑ ELECTRICAL ❑ PLUMBING MECHANICAL B Rear N Contractor's Name RKM HEAT & ATR Rhone 645 1870 ❑ OTHER A _ I PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N 1908 Pomona Ave. Ste B. Costa MesaK " G Address(mailing) • 045822 C O N ST RUCTION TYPE VALUATION S • Left City License No. ZONE GRADING CU.YDS. ACRES • R LICENSED CONTRACTOR DECLARATION Ping. Ref.# i Parking Req,/Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: B34481 Planning Notes: 0 - , . M with section 7000) of Division 3 of the Business and Professions Code,and _ T my license is In f//uu�I force and effect. , Licens Class t'�o40 .Lice N. • S G ! ' ,•,,,i 7—..“,.;� +" Ain er neatPLUMBING FEES • ' Date 1 �4 t1 Signal ur - WORKERS' COMPENSATION D ARATI••N Bar Sink Showers • 'hereby affirm that I have a certificate of con ent to self-insure or a certificate • ELECTRICAL FEES Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink ,00, Lab. C.) • Automatic Washer Transformer 0 15-50 KW PolicyPoNo, - Company Backflow Irrigation Sewer Cap - • Construction Pole Sub. • 0 50+ KW Q.Certified copy is hereby furnished. . ert'fie c 's filed with the city U'ng Dlvii r Bathtubs Sewer Connection Cooking Unit Meter 0 u to 100 amps Date � Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher • Meter-Dover 100 amps • (This section need not be completed if the permit Is for one hundred ($100)or — , less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to bete a subject to te Drinking Fountains Solar Tank Fan Motors❑0.1 HP ❑1'h-B Worker ation Laws of Califor /y /.,•� - _ Date 3/ti Signature ((/r(y�� �a>�V Floor Drains Swimming Pool w/Spa F.A.U. - NOTICE: If,alter making this declaration, you should become subject to the _ - _ Inc.solar ❑9-15 HP 016-15+ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water ClosetDevice Boxes PoleLight I hereby affirm that there is a construction lending agency for the performance 9 of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Lender's Name - Outlets Range Lender's Address - Kitchen Sink • Water Service - Switches - OWNER BUILDER DECLARATION Sign I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-WashGarbo a Disposal following reason (Section 7031.5 Business and Professional Code: Any city or 9 P Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P—Trap LaundryTrays \ any structure, prior to its issuance, also requires the applicant for such permit y Generator 00-5 KW 05-15 KW Trash Compactor to file a Signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law (Chapter 9(commencing with Section 7000) of .� Division 3 of the Business and Professions Code-or that he/she is exempt . - - lerefrom and the basis for the alleged exemption. Any violation of Section 331.5 by any applicant for a permit subjects the applicant to a civil • enalty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure Is not Intended or offered - Reinspection Fee I $15 Issue Fee • $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale, If, however, the building or Improvement is sold within one year of com- ----- Canopy Type II ❑ Zoning Approved By Date pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground Building Approved By AI .// Date _ rove for the purpose of sale). L U 1,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System A Application Issued //��� AILT,I' tractors to construct the project (Section 7044,Business and Professions Code: gPP By .��.,�._Dat: _ The Contractor's License Law does not apply to an owner of property who 2 Duct-Ventilating ❑o-i00,000 BTU 0100,000 BTU �� SUMMARY 0 FE S / builds or improves thereon, and who contracts for such projects with a con7- tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUILDING PERMIT $ - SMTP • $ proof of their Worker's Compensation Insurance should be provided to me. PLAN CHECK $ PERMIT • 0 I am exempt under Section - - B.& P.C.for this reason Firebl/Fact.Blt. ICBG# Fire Dampers PLUMBING $ PERMIT ISSUANCE $ Date owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 100,000 BTU ❑100,00013T1�— GRADING $ - Information is correct. I agree to comply with all city and county ordinances 2 /O" ez ELECTRICAL $ and state laws relating to building construction,and hereby authorize repre- sentatives of his city to e r upon the above-mentioned propertyy{'for PLAN CHECK 50% $ Inspection pu o e //2 /• ! MECHANICAL $ It.? .- Cc) V eV Signature fA.. ��� Reinspection Fee $15 Issue Fee PLAN CHECK 25% $ CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor 44 UUUt'O.3..M000h OJU l .1 I +t.VU DATE: 01/23/89 TIt1E: 13:23 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,l• 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. Foundation t 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 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing I 65. Electrical-Final 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 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 /fief 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 ils/$ 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 OD 51. CERTIFICATE OF OCCUPANCY No. Date Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. PER' IT TRACT NO, LOT NO. NIT NO, CITY OF COSTA MESA CONSTRUCT,�ON PERMIT Al �' A.P-# Zone Project Address rX5/� (:/����-'s1�/s,s //'fit /��-.' �p���-Q ' - S Main Building: Accessory Building: • Applicant's Mailing Address ' .7"(/A+nhal R!tl !K/1•ullb/.����_s�.�/�"�IQTYPE OF CONSTRUCTION a! NEWN ADD ALTERATION REPAIR E Front Z ! - ❑ CONVERSION ❑ DEMOLISH 0 OTHER T 0 Owner's Name ' - r Phon B Rear N Address 18)-14 \ Matt oc— Ylfsd e aL 3.7 DESCRIPTION OF WORK/USE OF BLDG. 1 A Rght N Arch/Eg. License No, TYPE OF PERMIT 0 GRADING U FOUNDATION U STRUCTURAL i K G Address 0 TENANT 0 ELECTRICAL ❑ PLUMBING pi MECHANICAL S - Left IR Contractor's Nam ■ r • ' P 4 -h• r 'ho a 23' I ' ❑ OTHER Ping. Ref.# Parking Rey./Provided E 1 �1\moi. PROJECT DESCRIPTION SQ. FT. OCCUPANCY r,I1 ' 0 Address(mailing) •�._I kT s I. • f .I ' •s •s Planning Notes: _r •r u J U Wvt• M qvq ps� CONSTRUCTION TYPE VALUATION$ '"l1(S`V City License No. ✓Ia Osa3 ZONE GRADI NG CU.YDS. ACRES „��`s,r -1. 6 • LICENSED CONTRACTOR DECLARATION n ,s I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 34 R/ with section 7000) of Division 3 of the Business and Professions Code, and V !!!77' ef�my license is In full f•rce and effect. �y ELECTRICAL FEES (srLicense lass • & Lia nse Date - Sr. Signature at, . - .a I f e Inanc ca PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATIO Bar Sink Showers Construction Pole Sub. ❑ 50+KW / I hereby affirm that I have a certificate of consent to self-insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter ❑up to 100 amps • lD, Lab. C.) Q� ,, ?� �pBackflow Preventer Service Sink r �n`-e�w 5*q1"- Fund T� ' Dishwasher • Meter Dover 100 amps / olicy No. Company Backflow Irrigation Sewer Cap Certified copy is hereby furnished. Dryers OGas ❑Electric Sub Panel Certh d copy' etl with the city By�ying i isio Bathtubs Sewer Connection Date 'f I (' Tj Applicant I - .%Y(!.(�I� Financial CMG/Bathtubs • EXEMPTION FROM WORKERS'COMPENSATIO DECLARATION Clarifiers Solar Collectors Motors 00-1 HP 01'/a-8 (This section need not be completed if the permit is for one hundred ($100)or F.A.U. •less). Dishwasher Solar Piping Inc.Solar 09-15 HP 016-15+ I certify that in the performance of the work for which this permit Is Issued I Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains - Solar Tank Microwave Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE: If,after making this declaration,you should become subject to the Outlets Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign I hereby affirm that there is a construction lending agency for the performance Garbage Disposal of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater 9Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service _ Generator 00-5 KW 05.15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of • Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee 1 $15 - Issue Fee $ 3 •refrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to a civil nasty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: O I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Foe $ 3 compensation, will do the work,and the structure is not intended or offered Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES! Building Approved By Date License Law does not apply to an owner of a property who builds or improves /�77{{�� _vice thereon, and who does such work himself/herself or through his or hor own Hood or Type I 0 Application Issued By LJ1L Dete /1. S employees, provided that such improvements are not Intended or offered for Boiler77�1 ��' sale- If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletlon, the owner will have the burden of proving he/she did not build or im- GUM-Under Ground prove for the purpose of sale). BUILDING PERMIT $ $MIP $ O I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMITw tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or Improves thereon-and who contracts for such oroiects with a con- _ tractors license pursuant to me Contractor's License Law). i am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. WyyDampersELECTRICAL $ GRADING $ ❑ I am exempt under Section B.& P. for this reason a Fire I/Fact-BIL ICBG# Fire I_ 60 p 1 p Zlr r, Cl PLAN CHECK 50% $ MICROFILM $ �.yy-�� Date Owner Heating System& Ducting L Registers MECHANICAL $, $ '4I.W I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL TOTAL FEE - information Is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ (x O() and state laws relating to building construction, and hereby authorize repre- sentatives of Is c' to enter / pon the above-mentionedproperty r Inspection Pl p ses, r et Finandal %P.• , Signature `` '� -Accounting; Goldenrod -Assessor 01 00021256-00021256 TOT 41.00 DATE: 13/n,c/PR TTMF: no:SA CONSTRUCTION AND PLANNING POOI '.PA • APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3.'E1ectr ical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 1 56. Rough Plumbing & Pressure Test • 6. Electrical UF ER Grnd. - 1 57. APPROVAL TO COVER-GUNITE •- ' 7. Footings _ 58. Electrical Conduit-Undrgrnd. 8..Foundation i 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd. � • - 60. Backwash Lines, P-Trap, 0 Undrgrnd. • 10: Structural Floor System 61. APPROVAL TO DECK p 11. Property Sewer Line & House Connection • - 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final 13. Roof Digins • - -' 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 X78:. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20, Rough Factory Fireplace LAZI.fe 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 ❑Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30, Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace ct-oJ4CC LE0 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 ei 45. Sound Attenuation �f 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co I' t• 51. CERTIFICATE OF OCCUPANCY ,I No. Date rj % l 58 Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA CONSTRUCTION �wP'ER A � S8 Rd—� A.P.# Zone Project Address 2 7.7 �il cr •y , - S Main Building: Accessory Building: "r "✓G� 1A-1-CSSc• TYPE OF CONSTRUCTION 'EW LI ADD U ALTERATION U REPAIR E Front Z Applicant's Mailing Address OS �/'�,' (QC__'jY ❑ CONVERSION ❑ DEMOLISH 0 OTHER T O Owner's Name LeL-c. fV�/--�✓. PhonE'1SLL� DESCRIPTION OF WORK/USE OF BLDG. I B Rear N Address ` I rT V�� �� A I Arch/Eng. License No. TYPE OF PERMIT El GRADING 0 FOUNDATION U STRUCTURAL C Right G Address � . , p6 0 TENANT ❑ ELECTRICAL ❑ PLUMBING 0 MECHANICAL $ Left R -}-• Contractor's Name 1 t t 1iL - ie Phone lie Zf f p1 0 OTHER 'Ping. Ref.# Parking Req./Provided E I ROJECT DESCRIPTION SQ. FT. 32 `j (0) OCCUPANCY a i Address(mailing) - z_____ !a. sae • '• ...vstK1 VALUATION$ Planning Notes: M as� � 1.__� / C O N ST RUCTION TYPE City License No. ``�� ZONE GRADING CU.YDS. ACRES T LICENSED CONTRACTOR DECLARATION ( S. i. I hereby affirm that I am licensed under provisions of Charter 9 (commending Remarks: — 3 Li Lig J with section 7000) of Division 3 of the Business and Professions Code, and _s my license is in f I for . d effect. - ip ELECTRICAL FEES License Class - License o. - Dat re ` t ' e%_Signature -a... - _ is_Ell .- PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION D LARATIONBar Sink Showers Construction Pole Sub. • ❑ 50+KW I hereby affirm that I have a certlf tate of consent to self-insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter Dup to 100 amps )0, Lab. ulicy No. 4-33 6 4/ Company �j' -� �-�10 Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps A Certified copy Is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel j�LMin.coppyy.. lied with the city 6y•din ivis' � Bathtubs Sewer Connection _ EXEM TI/'� Applicant 7/ Fan Motors❑P7 HP ❑1 6-6 EXEMPTION FRO WORKERS'COQ ENSATION C ON Clarifiers Solar Collectors lssis section need not be completed if the permit is for one hundred ($100) or Dishwasher Solar Piping F.A.U. Inc.Solar 09-15 HP 016-15+ I certify that in the performance of the work for which this permit is issued I Fixtures shall not employ any person in any manner so as to become subject to the- Drinking Fountains Solar Tank Microwave Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE:If,after making this declaration, you should become subject to the Outlets Workers' Compensation provisions of the Labor Code, you must forthwith Range Floor Sinks Urinal Icomply with such provisions or this permit shall be deemed revoked. Switches CONSTRUCTION LENDING AGENCY - Gas Service Outlets Water Closet - Sign I hereby affirm that there is a construction lending agency for the performance Garbage Disposal of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater 9Standing Sections Lender's Name ,` Lender's Address Kitchen Sink Water Service Generator 00.5 KW 05.15 KW Trash Compactor •-.1) Lender's BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License L.aw for the Lavatories Auto-Wash VOW1�,J^/- -n • 1 14 6L following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays I ( any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee ) 49 -erefrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to a civil laity of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: Li I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered Zoning Approved By nate for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves _ _ _ _ _ _ __ _ _ ______ _ 1 thereon, and who does such work himself/herself or through his or her own - Application Issued By Date •I ��� employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,BusIness and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU 0100,000 BTU ISSUANCE builds or imoroves thereon. and who contracts for such oroiects with a con- PLUMBING .$ $ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 ` System Repair/Alteration I PLAN CHECK 25% $ ENERGY P.C. $ proof oftheir Worker's Compensation insurance should be provided to me. - ELECTRICAL $ _�Zq�6 GRADING $ ❑ I am exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. ICBG'4' Fire Dampers q _ �� — PLAN CHECK •'3J�6 $ L MICROFILM $ Date Owner Heating System& Ducting Registers MECHANICAL $ � S3 I hereby certify that I have read this application and state that the above ❑O-100,000 BTU 0100,000 BTL TOTAL FEE $ Information Is correct. I agree to comply with a city and county ordinances PLAN CHECK 25% $ and state laws relating to building constructlo•- and hereby authorize repre • - sentatives of thi Ity • enter • ' e .Cove-mentioned properly Inspection p •-.i' /' .2 / ,,�D Signature ,�/ __L/ i� Date 0�1 Ciiizi Reinspection Fee $15 Issue Fee $ 3 Drivers' Lk: se or SS# . -Accounting; Goldenrod - Assessor DATE: 11/10/88 TIME: 16:00 CONSTRUCTION AND PLANNING POOL PA 'APPROVALS Permit# Dater Inspector APPROVALS Permit# Date Inspector ' 1. Temporary Electrical Service or Pole _ 52. Pool & Equipment Location , 2. Soil Pipe-Undrgrnd. -1'1 t.1 f c 53. Steel Reinforcement 3:1Elgctrical Conduit,Utility-Undrgrnd! (• 54. Forms ' -/' 4.(Electrical Conduit-Undrgrnd. t 1 55. Electrical Bonding f` 5.Steel Reiinforcement,, •r 56. Rough Plumbing & Pressure Test .A :-"6. Electfical UFER Grnd:•' , -' 57. APPROVAL TO COVER-G• UNITE i, 7tjFootingi '' 58. Electrical Conduit-Undrgrnd. 8.'Foundation ' •� 59. Gas Pipe, ❑ Undrgrnd.,Test r, II 97IWater Pipe-Undrgi . �• -nd60. Backwash Lines, P-Trap, Undrgrnd. - .' r id 10.(Structural Floor System1. r. •r'r 61. APPROVAL TO DECK 11. Property Sewer Line1& House Confection ' , 0,:t 62. Backwash & Receptor-Final 12. Sewe`iCap •i. : .i. i .• . 63. Heater & Vent-Final 13. 'Roof Drains -':- ' I -- 64. Plumbing System - Final -, 14. Rougr Plumbing-. -r ! 65. Electrical-Final 15. Rough Electrical-Cd.bduit 66. Solar System-Final 1,6. Rough Electric Wiring %�ii4j74 "4267. Fencing & Access Approval 11. Rough Wiring Sign [[[[ 68. APPROVED FOR PLASTERING ,1)3:. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19'. Rough Heating& Air Conditibning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace -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 : 1, 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing . I 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 FINAL INSPECTION 7 321 Electrical Power Meter-Final p/ 80. FOOD CERTIFICATE ISSUED 33. Final Electric (' r Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final , 41. Solar Domestic-Final 42. Backflow Preventer - i l 43. Backflow Irrigation , 44. Landscape Irrigation System - 45. Sound Attenuation 46. Handicap Regulations r 47. ANAL STRUCTURE & BUILDING • 48. Snecial Requirements Completed 49. Electric Release to Edison - :. 50. Gas Release to Southern California Gas Co - 51. CERTIFICATE OF OCCUPANCY ---1 , r 'I No. Date r City of Costa Mesa Development ServicesDepartment Building SafetyyDivision CERTIFICATE OF OCCUPANCY No. OC 1 C 1.' P.0.Box 1200 Costa Mesa,California The Building located at 25,72 Rldnn Avenue, Units M A N has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group R3 Occupancy. Use of Building Condominiums Legal Description 439-161-18,19,20 (See reverse side for Metes and Bounds) Building Permit No.., B 34482 Electrical Permit No. E 36159 _Plumbing Permit NoP37342r P34759 Mechanical Permit No. M37238,M36572 Number of apartments 19 and/or guest rooms ISSUED TO: Building Official George Edmiston T. R. Linton r 181 Dal Mar Ave.,, Unit H by -el -74 y _ _ nnsl-a tlssa, CA 92627 Date Nnvamber 15, 1989 '� 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 -- CITY OF COSTA MESA CONSTRUCTION PERMIT q4M I PERMIT{NO. �Q TRACT NO. LOT NO. UNIT NO. . 1 Project Address 23-07 tl-p�� nue- N: i ► B ` 1O 10�, I ( d-•N� Applicant's Mailing Address /6/'/1/ Oa- /!/7/1 c/-/ TYPE OF CONSTRUCTION ❑ NEW U ADD ❑ ALTERATION LI REPAIR Owners Name 17 !! L /N]�11 Phone6Y•S-94JS' ID CONVERSION ❑ DEMOLISH CI OTHER A.P.# 4 39 - I lot — 1S i 19 t 'Do Zone /�� �8/ —H 47f e A-194 Q /-/ , DESCRIPTION OF WORK/USE OF BLDG. ` � Address \ f"'S S Main Building: Accessory Building: Arch/Eng. TAC/ 3T- - /rs7Z, License No. - TYPE OF PERMIT ❑ GRADING LI FOUNDATION Li STRUCTURAL\ T Front a4. 51C I bi 0 Address 2?0 4/4-0-c-rhoeT effi11/ter 4822 .0°./{ ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N Contractor's Name / Phone ❑ OTHER A �'�'a.5 �j PROJECT DESCRIPTION SQ. FT. R.7(o OCCUPANCY le.-3 C Right 33 N Address(mailing) ,Q ol0 K ( G O CONSTRUCTION TYPE V VALUATION S 2. 11 '1 (- $ Left S City License No. ZONE GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DE LARATION Ping. Ref.# DP-€7 - of t> Parking Req./Provided__2 . 'j4/g.. E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 1//t (� `/�_ r� Notes: 9 ) ,.-,,, /J l M with section 7000) of Division 3 of the Business and Professions Code, and ` 1 ` s e•"' 0� $ ` t i M� Planning - ('1�1'x't•t cern"? ��?2 V1_ my license is in full force and effect. .L / p� O� e) / — B t_ VVU S License Class License No. C Il7 n 1 /to Date Signature PLUMBING _____ ,Gn �,REQU[REMENiS WORKERS'COMPENSATION DECLARATION / Bar Sink Showers ELECTRICAL FEES I hereby affirm that I have a certificate of consent to self-Insure or a certificate - 1 Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 800, Lab. C.) Automatic Washer Transformer 0 15-50 KW Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW A Certified copy is hereby herebyfurnished. Certified copy is filed with the e city Building Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date Applicant - • EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Cover 100 amps (This section need not be completed if the permit is for one hundred ($100) or less). Dishwasher Solar Piping Dryers ❑Gas DElectric Sub Panel I certify that In the performance of the work for which this permit is Issued, I shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fan Motors❑o-1 HP ❑1'h-8 Workers'�Co(n ns on Laws of California{ �� Date of- 7 12. oaf Signature .7 - - Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar ❑9.15 HP ❑1615+ NOTICE: If, fter/making this declaration, you should become subject to the — Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks • Urinal comply with such provisions or this permit shall be deemed revoked. Fixtures Microwave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Device Boxes Pole Light I hereby affirm that there is a construction lending agency for the performance - g of the work for •which this permit is Issued (Section 3097 Civ. C.) •Interceptors Water Heater Outlets Range Lender's Name - , _ 9 Lender's Address Kitchen Sink ' s Water Service Switches ,• Sign '- OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories • Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap - Laundr Trays any structure, prior-to its issuance, also requires the applicant for such permit y Generator 00-5 KW ❑5-15 KW TrasB 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 therefrom 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 IJenalty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES AEQUI REM S/ employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I ❑ '� i _//-88 sale. If, however, the building or improvement is sold within one year of com- - Canopy Type II ❑ Zoning Approved By ""' - Date v pletion, the owner will have the burden of proving he/she did not build or Im- Duct- Under Ground Building Approved By Date r ve for the purpose of sale). '1 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By - ifl\ Date_J [1---t tractors to construct the project (Section 7044,Business and Professions Code: The Contractor'smproLicense Law does not apply to an owner je is hta who Duct-Ventilating 00.100,000 BTU ❑100,000 BTU SUMMA agvQ FEES builds or improves thereon,and who contracts for such projects with a con- -- U I� tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple ❑ System Repair/Alteration BUILDING PERMIT $ SMIP $ is ...- Proof of their Worker's Compensation insurance should be provided to me. _ _ - PLAN CHECK $ PERMIT ❑ 1 am exempt under Section B. & P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers ISSUANCE $ ry'�/ ��/ PLUMBING $ Date War_ Owner �4c / .. _2' Heating System& Ducting Registers ENERGY P.C. $ �A PLAN CHECK 25% $ I herehat I have read this application and state that the above 00-100,000 BTU 0100,000 BTL ELECTRICAL $ GRADING $ Information is correct. I agree to comply with all city and county ordinances and state laws relatingisci tot building construction, and- hereby lon authorizer repro- PLAN CHECK 50% $ MICROFILM $ inspection of this ci y to enter upon the above-mentlonetl proper y for inspection Purposes, i MECHANICAL $ TOTAL FEE $ Signature A- -Applicant; Pink -Accounting; Goldenrod -Assessor 01 00009347-00009345 1'OT 1044.89 1 CONSTRUCTION AND'PLANNI NG POOL &SPA Date Inspector Date ',Inspector APPROVALS Permit# - APPROVALS Permit# , it,- 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 _ r 5. Steel Reinforcement /0 C,I' 56. Rough Plumbing & Pressure Test 6. Electrical UFER`Grnd. / / 57. APPROVAL TO COVER-GUNITE • 7. Footings 58. Electrical Conduit-Undigrnd:, 8. Foundation 59. Gas Pipe, 0 Undrgrnd.,.Test 9. Water Pipe-UndFgrnd. • 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System gig/4n GN • 61. APPROVAL TO DECK f 11. Property Sewer Line & House Connection 62. Backwash & Receptor-Final - - 12. Sewer Cap 63. Heater & Vent-Final 7 _t• u ' 13. Roof Drains 64. Plumbing System - Final Si - , 14. Rough Plumbing 65. Electrical-Final - t " 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 • '`t . ' i' 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - -- ,- 20. Rough Factory Fireplace APPROVALS Permit# 5 L 11 21. Ducts, in Structure 70. Underground Hydro L ' 22. Ducts, Ventilating 71. Product Piping 0 Gas O-'5ii2 23. Gas Pipe-Rough & Test 72. Underground Flush �{ , 24. Roof Framing { ` ' / 73. Undergrnd.Storage Tanks0 Gas 0 Oil 25. Roof Sheathing I,)yl/gt" &- - 74. Overhead Hydro ; i / I • 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical L 1rr I 27. Frame and Flashing /71 76. Dry Standpipe '. - r 28. Lathing & Siding �yI -�/ /i 77. FIXED SYSTEM FINAL • 29. Insulation 3/4 /%j 78. FIRE PREY. FINAL 30. Drywall Nailing 729/44? Q -- HEALTH DEPT. REQUIREMENT • 31. Plaster Brown Coat S 7pfrq p/(1-- 79. FINAL INSPECTION (:' t 32. Electrical Bower Meter-Final 80. FOOD CERTIFICATE-ISSUED, LI 33. Final Electric Notes: HOLO FOR SPE_CCIIAL hLkjtnt(U.s. 1.,,, 34. Final Heating & Air Conditioning yI 1 p7 oK Eb c )f,9-p Pit 35. Final Gas Pipe-Tet 2/2 .Y3/4 /MULAT10/ f 4.71L• P�c,17 Gt_w 36. Hood or Canopy C r' / ' 37_',Final Factory Fireplace j 0hq/V S. h 7,0 `` tl 3 -Final Plumbing 39. Water Service-Final 't r J • 40. Gas Service-Final I- I -A i •'41. Solar Domestic-Final I Y i 742. Backflow Preventer a ,; • C •(43"Backflow Irrigation • A ., r/ i i "44. Landscape Irrigation System . i. �•• 45cSound Attenuation - -' A - 1).1L• V / • - 46,.9Handicap Regulations b' ` " ' • 47.,FINALSTRUCTURE & BUILDING (/�_97 e S, j, • - , 48!Special Requirements Completed / I//b //39 0-id-,- n r , 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co f 51. CERTIFICATE OF OCCUPANCY No. Date .. Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. 1 - PER NO. TRACT NO. LOT NO. UNIT NO. CITY JF COSTA MESA CONSTRUCTION PERMIT 1.30 to 7 / M 54-/V A.P.# Zone Project Address a 57P E L_DEA/r4 LSE 73 �� r 7 8 et. N/AR C. M S Main Building: Accessory Building: Applicant's MailingAddress 1 ���/� r TYPE OF CONSTRUCTION U NEW H ADD ❑ ALTERATION U REPAIR E Z J/rte 4 L- /AJ 5_9ys5 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front 0 Owner's Name TO Al/ Phone Address l g l --I-F DEz MAR a,/L/. DESCRIPTION OF WORK/USE OF BLDG. A Rear N Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING S FOUNDATION El STRUCTURAL I C Right G Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S. Left R Contractor's Nam, 0/FJ Phone ❑ OTHER _ I Ping. Ref.# Parking Req./Provided E PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: M AAddress(mailing) -- CONSTRUCTION TYPE VALUATION$ City License No. T ZONE GRADING CU.YDS. ACRES - S. LICENSED CONTRACTOR DECLARATION r C I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 8/T a� # g94.14:2. '/f 34175?✓9 ' with section 7000) of Division 3 of the Business and Professions Code, and J my license is in full force and effect. ELECTRICAL FEES License Class License No. Date Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATION Construction Pole Sub. 0 50+ KW '`ereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers Yorkers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps 0, Lab. C.) Policy No. Company Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps BCertified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel Certified copy is filed with the city Building Division. Bathtubs Sewer Connection (� Date Applicant Fan 'P- Motors 00-1 HP ❑1%-6 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors ' (This section need not be completed if the permit is for one hundred($100)or Dishwasher Solar Piping P.A.U. less). Inc.Solar 09-15 HP ❑16-15+ 1 certify that in the performance of the work for which this permit is Issued, IFI%[pre$ . shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Com ensak1o. Laws of Califon Date 1 "-1) -K Signature , &Ur AM:14M Floor Drains Swimming Pool w/Spa Device Boxes '. Pole Light NOTICE: If,after making this declaratio , you should become subject to the Outlets Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYSwitches Sign Gas Service Outlets Water Closet I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Garbage Disposal Standing Sections Lender's Name Interceptors Water Heater Lender's Address Kitchen Sink Water Service . Trash Generator 00-5 KW ❑5-15 KW Trash Compactor OWNER BUILDER DECLARATION T I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories. Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-TrapLaundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of ^vision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee I $15 Issue Fee $ 3 efrom and the basis for the alleged exemption. Any violation of Section 1.5 by any applicant for a permit subjects the applicant to a civil - 1,salty of not more than five hundred dollars($500). I 3 DEVELOPMENT SERVICES REQUIREMENTS: LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee d $15 Issue Fee $ compensation, will do the work, and the structure Is not intended or offered Zoning Approved By Date tor sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By ^ Date License Law does not apply to an owner of a property who builds or improves ' s ` 1p���/ thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type 0 Application Issued By V`1J nate //3/ A L employees, provided that such improvements are not intended or offered for sale. if, however, the building or Improvement is sold within one year of com- Canopy Type H 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground siLoyrfor the purpose of sale). BUI LDING PERMIT $ SMIP $ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project(Section 7044,Business and Professions Code: - The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ 1 7.00 ISSUANCE $ builds or Improves thereon. and who contracts for such oroiects with a con' __ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ 1 am'exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers MICROFILM $ Date 1 31- Owner J.L!l_4_4=21.- 347_04/____ Heating System&Ducting Registers PLAN CHECK 50% $ i hereby'certify that I have read this application and state that the above DO-100,000 BTU 0100,000 BTU MECHANICAL $ TOTAL FEE $ 17• 00 information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction, and.hereby authorize repre- sentatives of this city to enter upon the above-mentioned property for InspectionSignatrPurpoSeF,.f LO.? Reinspection Fee $15 Issue Fee $ 3 01 00025443-00025443 TOT 47,00 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 01/31/89 TIME: 16:21 CONSTRUCTION AND PLANNING POO1 WA 7 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'Reinforcenient 56. Rough Plumbing & Pressure Test ,•1; 6.' Electrical UFERJGrnd. 57. APPROVAL TO COVER-GUNITE 7,1Foot,gs i!i 58. Electrical Conduit-Undrgrnd. I •. . .1 8.:4,Foundat on 59. Gas Pipe, 0 Undrgrnd., Test () 1' 9.v WalterPipe-Undrgrnd. 1 60. Backwash Lines,P-Trap, 0 Undrgrnd. 'I N 10:-Stiuctufal Floor System 61. APPROVAL TO DECK -' 11. Property Sewer Line & House Connection 11,/� J//�YljL 62. Backwash & Receptor-Final r 12. Sewer Cap 77 �9,"'3 63. Heater & Vent-Final J. 13. RooVDrains 64. Plumbing System - Final i 14. Ro'ugh,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 191 Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20: Rough Factory Fireplace .r. APPROVALS Permit# rt 21- Ducts, in Structured 70. Underground Hydro 22. Ducts, Ventilating V 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test 4.,� e72. Underground Flush 24. Roof Framing f 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing ,1 74. Overhead Hydro 26. T-Bar Ceiling (Structural) &Monocoat 75. Dry Chemical • 27. Frame and Flashing di 76. Dry Standpipe 28. Lathing & Siding , i 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 ,a Notes:: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy . 37. Final Factory Fireplace • 38. Final Plumbing ��r111 39. Water Service-Final i//We pf 40. Gas Service-Final / //,`` • ,� 41. Solar Domestic-Final 2,1 42. Backflow Preventer I -. 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 vi 51. CERTIFICATE OF OCCUPANCY / 'r, No. Date r_-• • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. -�� PER NO. TRACT NO. LOT NO. UNIT NO. CITY�F COSTA MESA CONSTRUCTION PERMIT / N A.P-# Zone Psolect Address ' a5'��1 Cl� LtE Ma Al `3417 lap b-7 l M` - Building: Building: P en Q 4 S Main Accessory I. J$ i— pi De I Mczr C a✓11 TYPE OF CONSTRUCTION' Lr'NEW Li ADD L I ALTERATION U REPAIR E Z Applicant's Mailing Address I Front - ❑ CONVERSION El DEMOLISH OTHER T O Owner's Name =. I'-I a L 1 n+n an Phone �-S'C • B - N I Q I—/-I De r DESCRIPTION OF WORK/USE OF BLDG. A Rear Address I Arch/Eng. License No. TYPE OF PERMIT LI GRADING ❑.FOUNDATION ❑ STRUCTURAL C Right N � G ❑ TENANT ❑ ELECTRICAL PLUMBING ❑ MECHANICAL $ Left R Address ❑ •OTHER ping. Ref.# Parking Req./Provided E Contractor's Name Z' 14• i i•n+Y7 Y1 Phone O PROJECT DESCRIPTION SQ. FT. OCCUPANCY• Planning Notes: NI Address emailing) CONSTRUCTION TYPE VALUATION$ T City License No. ZONE GRADING CU.YDS. ACRES $. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: REF /7/". /7 3YYtts z with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. ELECTRICAL FEES License Class License No. Date Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS' COMPENSATION DECLARATION ^ aa.���a Construction Pole Sub. 0 50+KW I hereby affirm that I have a Certificate of consent to self-insure or a certificat0 Bar$Ink O� $hOWefS $.i W Workers' Compensation Insurance, or a certified copy thereof (Section a Cooking Unit Meter Oup to 100 amps ,00, Lab. C.) Backflow Preventer Service Sink M'. '� Dishwasher4. Meter Dover 100 amps Policy No. Company Backflow Irrigation • Sewer Cap — BCertified copy,'s hereby furnished.h (^tea^T — Dryers ❑Gas :❑Electric Sub Panel Certified copy i5 filed with the city Building Division. Bathtubs Sewer Connection 777 f/U Date Applicant -. Fan Motors Do-i HP ❑1'h-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors • (This section need not be completed if the permit is for one hundred ($100)or ^ - �_DT F.A.U. Inc.Solar ❑9-15 HP ❑16-15+ less). •. r/- Dishwasher Solar PipingVV I certify that in the performance of the work for which this permit is Issued, I • Fixtures '-7 shall not employ,any person in any manner so as to become subject to the. Drinking Fountains Solar Tank Microwave Workers' Cp pen ;ktg Laws of Califorpjt Date n'en aJ,X Signature N/RrLI� ' Floor Drains Swimming Pool w/Spa Device Boxes Pole Light • NOTICE:If, fte making this declaration,you should become subject to the Outlets Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. i1 CONSTRUCTION LENDING AGENCY .04 Gas Service is Outlets (O Water Closet 1 O� Switches Sign 1 hereby affirm that there is a construction lending agency for the performance 1 of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors J^, Water Heater — o'a Garbage Disposal Standing Sections Lender's Name Lender's Address a Kitchen Sink Water Service _ op Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the /� Lavatories Auto-Wash • a(9. ot — following reason (Section.7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9 (commencing with Section 7000)of wision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee J $15 Issue Fee • $ 3 :,Prefrom and the basis for the alleged exemption. Any violation of Section - .-k31.5 by any applicant for a permit subjects the applicant to a civil ':C' natty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: ❑ I, as owner of the property or my employees with wages as their sola Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered r Zoning Approved By Date for sale (Section 1044, Business and Professional Code: The Contractor's MECHANICAL FEES ' Building Approved By Date License Law does not apply to an owner of a property who builds or improves _ • - -- thereon, and who does such work himself/herself or through his or her Own Hood or Type I 0 i• Application Issued By Dat employees, provided that such Improvements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 , SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground acivaor the purpose of sale). BUILDING PERMIT $ SMIP $ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ -- builds or improves thereon. and who contracts for such oroiects with a con- ENE RGV P.C. $ tractor(s) license pursuant to sne Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ (a. proof of their worker's Compensation insurance should be provided to me. - ELECTfl ICAL $ GRADING $ 0 I am exempt under Section B.& P.C.for this reason Firepl/Fact.BIt. ICBO# Fire Dampers MICROFILM $ TOTAL FEE Date uf3 owner S• µ. L i�-D'iY7/7 Heating System&Ducting Registers PLAN CHECK 50% $ MECHANICAL $ $ 85„50 I hereby certify that I have read-this application and state that the above 00-100,000 BTU 0100,000BTL Information is correct. I agree to comply with ail city and county ordinances - PLAN CHECK 25% $ and state laws relating to building construction,and hereby authorize repre- sentatives of this cityw to enter }}}}1111pon the above-mentioned property for , inspection purposes - f2L� " Reinspection Fee $15 Issue Fee $ 3 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod -Assessor / •01_00011296-00011297 TOT 85.50 r-CONSTRUCTION AND PLANNING POO SPA Date Inspector Date Inspector 4 ;APPROVALS Permit# APPROVALS Permit# . 1. Temporary Electrical Service or Pole t:1 52. Pool & Equipment Location • �•'.• 2. Soil Pipe-Undrgrnd. g�7/y� //�/f//�,/7!° 53. Steel Reinforcement / ^ .1 3. Electrical Conduit Utility-Undrgrnd. ,-1 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding tit `�. Steel',Reinforcerr nt 56. Rough Plumbing & Pressure Test r 6/ 'Electrical UFER Grnd: 57. APPROVAL TO COVER-GUNITE ' T Fgo;ings j - 58. Electrical Conduit-Undrgrnd. 8., Foundation 59. Gas Pipe, 0 Undrgrnd.,Test Water Pipe-Undrgrnd. 7/4/ppm ' 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 • •r 12. Sewer Cap 63. Heater & Vent-Final „ 13.:Roof Drains 64. Plumbing System - Final 14.' Rough Plumbing /1/4 7' `O' 65. Electrical-Final 15. Rough Electrical-Conduit (` 66� Solar System-Final • • 16. Rough Electric Wiring 6T Fencing & Access Approval •11-7. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL e9.. Rough Heating & Air Condii oning FIRE DEPT. REQUIREMENT 26. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating ,l 71. Product Piping 0 Gas 0 Oil 23..Gas Pipe-Rough& Test it 0,///r8'#n72:.Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank ❑Gas 0 Oil 25. Roof Sheathing t` • 74. Overhead Hydro 26. T-Bar Ceiling (Structural) 8 Monocoat 75. Dry Chemical 27. Frame and Flashing 1 • 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 31"Electrical Power Meter-Final t•-.) (o �-. 80: FQOD-CERTIFICATE ISSUED 33. Final Electric �5? J J 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 94r/et1t ' 39. Water Service-Final �/ 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer - 4, - r 43. Backflow Irrigation - • 44. Landscape Irrigation System '_l 7 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison ) .7 50: Gas Release to Southern California Gas Co 1• 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 CONSTRUCTION PERMIT PAT NO. Q TRACT NO. LOT NO. UNIT NO. , Project Address 2572' Eiden Ave. , M&N y • V 3 7 23 Vpppp mmApplicant's Mailing Address 1908 Pomona Ave. , Ste B TYPE OF CONSTRUCTION ,15--NEW LI ADD H ALTERATION LI REPAIR Owner's Name , L&L DEVELOP. Phone 645 9455 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P. # l Zone _ DESCRIPTION OF WORK/USE OF BLDG. • Address 181 DelMar Ave. , #H Costa Mesa S Main Building: Accessory Building: Arch/Eng. - License No. - TYPE OF PERMIT El ❑ STRUCTURAL T Front • I GRADING ❑ FOUNDATION E Z O Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING AMECHANICAL B RearN • Contractor's Nam- RKM Hen (Sr Air Phone645 1870 ❑ OTHER C I PROJECT DESCRIPTION SO. FT. OCCUPANCY C Right N Address(mailing) 1908 Pomona Ave. ,SteB. Costa Mesa K G CONSTRUCTION TYPE VALUATION$ S Left City License No. • 045822 ZONE GRADING CU.YDS. ACRES R LICENSED CONTRACTOR DECLARATION �+ Ping. Ref,# Parking Req,/Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: V — 30116'.. Planning Notes: . ., M with section 7000) of Division 3 of the Business and Professions Code,and 1I O - my license is in full force and effect. T License Class C2040 is-ns- ,,.. ❑20405194 _ S // 9 MEW ' —� PLUMBING - FEES Date Y3/� Signature -. .., �mnc n - WORKERS'COMPENSATION DECLARATION/7TM • III ' I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers ELECTRICAL FEES ` Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink • 100, Lab, C.) Automatic Washer Transformer 0 15-50 KW • Policy No. Company Backflow Irrigation Sewer Cap CIllonstruction Po le Sub. - 0 50+ KW 8 Certified copy is hereby furnished. Certified copy is filed with the city Building Division, Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover'100 amps • (This section need not be completed if the permit is for one hundred ($100) or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric, Sub Panel I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to come subjgct to the Drinking Fountains Solar Tank Fan • Motors ❑0-1 HP O1'/:-8 - Workers/'/Co1rl,?ytion Laws of Califo ia, /�s� Date /�f(LSO�l�d fi�5 Signature LS.C(/ Floor Drains' Swim.•ing Pool w/Spa F.A.U. ' Inc,Solar 09-15 HP 016-15+ NOTICE:If,after making this declaration, you shout become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks , urinal a Fixtures comply with such 'provisions or this permit shall be deemed revoked. -- 'Krowave CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet • I hereby affirm that there is a construction lending agency for the performance -J Device Boxes Pole Light of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater /� Outlets Range Lender's Name Lender's Address Kitchen Sink Water Service / Switches - Sign - . - OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash ' • following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal $Landing Sections county which requires a permit to construct,alter,improve,demolish or repair P—Trap ' LaundryTrays any structure, prior to its issuance, also requires the applicant for such permit - Y r, - Generator 00-5KW ❑5-15 KW Trash Compactor - to file a 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 -- -- --- - - •'-,erefrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to a civil natty of not more than five hundred dollars($500). Li I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 III Issue Fee $ 3 - - compensation, will do the work, and the structure is not Intended or offered Reinspection Fee I $15 Issue Fee - $ 3 for sale (Section.7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her ownDEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler sale. if, however, the building or improvement is sold within one year of com- Canopy Type II 0 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 Drove for the purpose of sale). . • Date pc LJ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Application Issued By Data '.L1 [t '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 DO-100,000, t 0100,000 c �V SUMMARY O FEES builds or improves thereon,and who contracts for such projects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that ■Exhaust System 0 Multiple ❑ 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 IIIFirepl/Fact.Bit. ICBG# ■ e Dampers PERMIT ISSUANCE $ • PLUMBING $ Date ' d' Owner • Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above `A-100,000 BTU 0100,000BT is VQ ELECTRICAL $ GRADING $ information is correct. I agree to Comply with all city and county ordinances and state laws relating to building construction, and hereby authorize repre- sentatives of this city to a er, upon the above-mentioned property for 1l,, y 'l Inspection p pose ��y/{ /� �/ MECHANICAL $- �e2 ` OV I ov • 'Signature ///���/�-/ . ' Reinspection Fee $15 Issue Fee $ 3. V PLAN CHECK 25% $ o CMF 0865-46,rev. 10/84 White •- Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 01 00024831-00024831 TO T $2,00 DATE: 01/23/89 TINE: 13:27 CONSTRUCTION AND PLANNING POOL & SPA APPROVALS Permit# Date Inspector •APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd.: 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8.,Foundation 59. Gas Pipe, 0 Undrgrnd., Test 9. Water Pipe-Undrgrnd'. 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 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 fL ri�, 74- 42( FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace te/ 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 Notes: 34. Final Heating & Air Conditioning e/3de1i° i 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 I ,• 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. PERp�I pT Na., TRACT NO. LOT NO. UNIT NO. - CITYOFCOSTAMESSACONSTRUC/[J�ONPERMIT 'V' 1 � '-7a 'yy�1, `^ A.P.# Zone Project Address a5:12.. i ceA }�11-1'•� ��)) 11 __ - 7 1 • l �1 / f",I 1 S Main Building: Accessory Building: Applicant's Mailing Address ^e LCJ QI1 QTl'GyL O . Leland jVYPE OF CONSTRUCTION ..NEW U ADD U ALTERATION LLLi REPAIR E Z U ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front O Owner's Na a Phone DESCRIPTION OF WORK/USE OF BLDG. , A Rear N Address ISS- mar, ' osfc, rn�G, ciaea� Arch/Eng. - -License No. TYPE OF PERMIT El GRADING El FOUNDATION El STRUCTURAL IK Right N k���••• - Left G Address ❑ TENANT IE ELECTRICAL III PLUMBING lyl MECHANICAL $ R ` r�t�,1137 ❑ OTHER , ` Ping. Ref.# Contractor's Name 1 s•.e - ( I - r\C• P one a--J�-¢321/ Parking Req./Provided E ePROJECT DESCRIPTION SQ. FT. OCCUPANCY Q Address(mailing) • 0j it! t 1 t LL e. • U. . • A . e I- a s - Planning Notes:CO N M SCity License No. OI)-$IO3 ZONE TRU RUCTION TYPE GRADING CU.YDS. ALUATIONAC RES RFCEIVEU NOV 3 0 1988 TT . LICENSED CONTRACTOR DECLARATION yyyy/JJJ , 1 a�I I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 5 3u4 g / a with section 7000) of Division 3 of the Business and Profen ons Code,a���rrr d , t —I 1 oOAAs ('� my license is In full • ce an• effect �� / ELECTRICAL FEES W Licens- Class • • 1 7 - Licit se No. CCCJJJ��� ' to _ M Date - -... , Signature �ar / PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLAR• ION Sink Showers Construction Pole Sub. D 50+KW I hereby affirm that I have a certificate of consent to self-insure or a certificate - • Workers' Compensation Insurance, or a cer tied copy thereof (Section Cooking Unit Meter Dup to 100 amps k 00, Lab. C.) ''1 Backflow Preventer Service Sink ���Ob 1U � �/� c i Dishwasher:, Meter Dover 100 amps or) olicy No. Company Backflow Irrigation Sewer Cap ``, 1) ,,ertified Copy Is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel ertirletl Opy.I iled with the city Iv' ion. Bathtubs Seces_ wer Connection Date 11-1 1c1S Applicants unAT minanmm Qff EXEMPTION FROM WORKERS'COMPENSATI N DECLARATION Clarifiers Solar Collectors Fan Motors DQ7 HP D1'/a-8 (This section need not be completed if the permit s for one hundred($100)or F.A.U. • Inc.Solar D9-15 HP 016-15+ less). Dishwasher Solar Piping I certify that in the performance of the work for which this permit is issued I Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains • Solar Tank Microwave Workers' Compensation Laws of California. - Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE:If,after making this declaration, you should become subject to the - Outlet$ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYGas Service Outlets Water Closet Switches Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) nterceptors Water Hater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00.5 KW 05.15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee ! $15 Issue Fee $ 3 '"erefrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to a civil - .lalty of not more than five hundred dollars($500). $ 3 DEVELOPMENT SERVICES REQUIREMENTS: I LJ I. as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee Zoning Approved By Date compensation, will do the work,and the structure is not intended ()coffered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own Application Issued By Dat /L employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ OI, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT ]L1 tractorsto construct the project (Section 7044,Business and Professions Code: tea The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- ENERGY P.C. $ tractor(s) license pursuant to me Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 I �I System Repair/Alteration I PLAN CHECK 25% $ proof of their Worker's Compensation insurance should be provided to me. S GRADING $ D I am exempt under Section B.&P.C.for this reason Firepl/Fact.BIt. ICBG#31ntici Fire Dampers b ELECTRICAL $ 11 PLAN CHECK 50% $ MICROFILM $ (�/� Date Owner Heating System&Ducting Registers MECHANICAL ,{ I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL [' p� TOTAL FEE $ r'1'IfW information is correct. I agree to comply with all city and county ordinances PLAN CHECK $ T/L I and state laws relating to building construction,and hereby authorize repre- sentatives o thi ity to enter upon the above-mentioned =op=rt or inspection pas ( 5 Signature • a. ...41/1.....“.. Pink -Accounting; Goldenrod - Assessor DATE: 12/06/88 TIME: 09:57 ' 1- CONSTRUCTION AND PLANNING r POOL 'A 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 f 47,Electrical Conduit-Undrgrnd. I 55. Electrical Bonding , 5; Steel Reinforcement' ,i 56. Rough Plumbing & Pressure Test 6. .ElectricalUFER-Grnd, 57. APPROVAL TO COVER-GUNITE ' 7. F - ootings - ! 58. Electrical Conduit-Undrgrnd. 8.. Foundation - 59. Gas Pipe, 0 Undrgrnd.,Test . 9. Water Pipe-Undrgrnd. -, ' 60. Backwash Lines, P-Trap, 0 Undrgrnd. ' 101 Structural Floor System , 61. APPROVAL TO DECK , l 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 , `1-7'. 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 •2Q. Rough Factory Fireplace //4 7 APPROVALS Permit# `21. Ducts, in Structure �� Gt 'I, 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 y 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace cC.2i1/4Cq (,(L9 38. Final Plumbing 39. Water Service-FinalI 40. Gas Service-Final , p 41. Solar Domestic-Final 42. Backflow Preventer : I' 1 i I , 43. BackflowIrrigation. - : 1,` ; 44. .Landscape Irrigation System ^ `1 • 45. Sound Attenuation 1 46. Handicap Regulations- , 47. FINALSTRUCTUREE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison Ii- 50. 50. Gas Release to Southern California Gas Co 1-'_ 1 51. CERTIFICATE OF OCCUPANCY "'„ No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. OCT ii •-•43S-1.A MES CONSTRUCTION PERMIT PERMIT NO. TRACT N LOT NO. UNIT NO. ^ , A P # Zone Project Address 74 7-tit. MN,- e^ . '✓C /�//--✓ v iV S Main Building: Accessory Building: Applicant's Mailing Address M MN, Wt >1 TYPE OF CONSTRUCTION EW U ADD U ALTERATION U REPAIR C DA-1 ( / /-/tYSC' ❑ CONVERSION ❑ DEMOLISH 0 OTHER I T Front O Owner's Name � — �'•'� IL� Phone DESCRIPTION OF WORK/USE OF BLDG. A .Rear N Address _r Arch/Eric License No. TYPE OF PERMIT U GRADING ❑ FOUNDATION U STRUCTURAL C RRight N Address ,yy� �j,-, (fj ❑ TENANT 0 ELECTRICAL ❑ PLUMBING 0 MECHANICAL S Left • iR Contractor's Namey r V `( Phone iReM a C Zit ❑ OTHER _ Ping. Ref.# Parking Req./Provided��y1 I PROJECT DESCRIPTION SQ. FT. OCCUPANCY PlanningNotes: Address(mailing) !i�� 'C�•C1r� l-scF Jr- �� 7 CON ST RUCTION TYPE VALUATION$City License No. �p ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION I I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 2.w �(' t{ y /!•f 1. with section 7000) of Division 3 of the Business and Professions Code,and 11 ,))) • C my license is in it force nd effect. ELECTRICAL FEES License Class `` icens- •o.�� o Dat "' ignature .. .ns i, %LLa Al. PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DEC :RATIONBar Sink l Showers Construction Pole Sub. • ❑ 50+ KW I hereby affirm that I have a certificate of consent to self-insure or a certificate -I Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit .. Meter ❑up to 100 amps '00, Lab. C.) (� (�. ,,I� /�� Juicy No. /b 1[ Zj�F•• ei Company cLd 4 3 Backflow Irrigation Sewer Cap • Dishwasher Meter Dover 100 amps 9 Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel 'fled c y Is ' with the city ing 'sio / Bathtubs Sewer Connection Da Applicant Fan Motors❑0.1 HP ❑1X-8 EXEMPTION CO PENSATION DECLARATION Clarifiers Solar Collectors is section need not be completed if the permit is for one hundred(5100) or Dishwasher Solar Piping F.A.U. less). Inc.Solar 08-15 HP 016-15+ 1 I crtify that in the performance of the work for which this permit is issued, I Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa • Device Boxes Pole Light I NOTICE:If,after making this declaration, you should become subject to the e Outlets Ran Workers' Compensation provisions of the Labor Code, you must forthwith • Floor Sinks Urinal g comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Switches Sign I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service —Generator 00.5 KW E15-15 KW — Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash IA,Qvyy g-t2• 114 . following reason (Section 7031.5 Business and Professional Code: Any city or ' county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays any structure, prior to Its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains r the Contractor's License Law (Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee .®'3' therefrom and the basis for the alleged exemption. Any violation of Section 31.5 by any applicant for a permit subjects the applicant to a civil tatty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not Intended or offered Zoning Approved By nate for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves ��n thereon, and who does such work himself/herself or through his or her own / Application Issued By Dat Ib —sem• employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ sale. I/, however, the building or improvement is sold within one year of com- Canopy Type II 0 -' SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or Im- Duct- Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System tractors to construct the project(Section 7044,Business and Professions Code: PLAN CHECK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- f ENERGY P.C. $ tractor )s license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ I G proof of -43)their Worker's Compensation Insurance should be provided to me. ELECTRICAL $ �Z1 .--GRADING $ ❑ 1 am exempt under Section B. &P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers 24613 MICROFILM $ - PLAN CHECK -S0% $ �1p -�"� Date Owner Heating System&Ducting Registers MECHANICAL $ "3 I hereby certify that I have read this application and state that the above ❑0.100,000 BTU 0100,000 BTS— TOTAL FEE $ I )g Information is correct. I ag e to comply with all c' and county ordinances PLAN CHECK 25% $ and state laws rela g t uilding co. tructi• . hereby authorize repre- sentatives of thi"lily enter u•i th ab.y--mentioned property for N. Inspection pu • / Signature r Date /V�l Reinspection Fee $15 Issue Fee $ 3 01 00019323-00019324 TOT 158.33 Drivers' Licen or SS$ .`� �! -Accounting; Goldenrod - Assessor • -' CONSTRUCTION AND PLANNING POOL 'A APPROVALS Permit# Date- Inspector APPROVALS Permit Date Inspector Fl. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipr�Undrgrnd. , • - �• 53. Steel Reinforcement 3.1Electrical Conduit Utility-Undrgrnd: 54. Forms '4.)Electrical Conduid,-Undrgrnd. r 55. Electrical Bonding rt ; 5t1Steel. Reinforcement. ' 56. Rough Plumbing & Pressure Test 1 ', r 1 ' ' 6. Electrical UFER Grrid.l 57. APPROVAL TO COVER-GUNITE it '-7.'' Footings ;I /,, ' 58. Electrical Conduit•Undrgrnd. •' 8.'Foundation . - -, 59. Gas Pipe, 0 Undrgrnd., Test / /' ;, 9'.Mater Pipe-Undrgrnd_. I - • / ' 60. Backwash Lines, P-Trap, O Undrgrnd. c% . v.?' • ' 10;;Structural Floor SV : 'l 61. APPROVAL TO DECK i System � 11.. PrOperty Sewer Line& House Cdnngction ' d. I 62. Backwash & Receptor-Final Ir 12: Se Wer Cap !'i 63. Heater & Vent-Final -S.1 13. Roof Drains - '11 64. Plumbing System - Final 14. Rough Plumbing r i 65. Electrical-Final 15. Rough ElectricaLfonduit fff / /� 66. Solar System-Final T6; Rough Electric Wiring 1434 d,f�y.,,( 67. Fencing & Access Approval 17. Rough Wiring Sign /L/��J %!•A'vr 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 El Oil 23. Gas Pipe-Rough & Test "' 72. Underground Flush r- .,24. Roof Framing rL 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 1 • 74. Overhead Hydro 21,. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing 76. Dry Standpipe A. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat 79 INAL INSPECTION 32. Electrical Power Meter-Final ��j/ :s. FOOD CERTIFICATE ISSUED 1 33. Final Electric ' Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final I 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer f 43. Backflow Irrigation 1 44. Landscape Irrigation System _ 4g. Sound Attenuation ' ' - 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING n8. Snecial Requirements Completed 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co _ t . , , 51. CERTIFICATE OF OCCUPANCY , •r I No. Date . , I - City of Costa Mesa DeveBui mdeng Safety Divint Services ao^ment CERTIFICATE OF OCCUPANCY No. 00r3k P.O.Box 1200 Costa Mesa,California The Building located at 2572 E1dnn At/Antics. {lnifq D e o has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto for a Group R3 Occupancy. Use of Building Cnrtiominiutnq f Legal Description 41Q-161-1R, 1n,Nl (See reverse side for Metes and Bounds) , Building Permit No B 34483 Electrical Permit No. E 361Q0 Plumbing Permit No. P34760,P37343 Mechanical Permit No. M 37239, M36573 Number of apartments -i19 - and/or guest rooms ISSUED TO: Building Official George Fdmisrnn _ I. H. Linton \ 181 Del Mar Ave., Unit H by :r. ' :' .-. , \ Costa MP.ga. CA 426,27 Date November 15, 1989 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 CONSTRUCTION PERNI.IT ¢p PERMIT NO( p TRACT NO. LOT NO. NIT NO. Project Address 2S 9r' �Z,9L / /71e ..r/Q—' Y v �,30W7 I P Applicant's Mailing Address 45J-hi Del At/Fr[ C f"+ TYPE OF CONSTRUCTION NEW ❑ ADD U ALTERATION U REPAIR .2 H, L /A1T04i Phone4y-r-Frr ' El CONVERSION III DEMOLISH ❑ OTHER A.P.# Li 39 — I(PF — ?4 ICj' r a) Zone p...."...Owner's Name i DESCRIPTION OF WORK/USE OF BLDG. L' Address MI/ -/% d E-L j-)., .e C. /1-1. S Main Building: Accessory Building: Arch/Eng. rT>Qaa/C .1716-3-7-,e-/Z. License No. TYPE OF PERMIT 111 GRADING LI FOUNDATION U STRUCTURAL E Front a[Q 1 6' Ui O Address 2t?C 11-1f Pe Ar ivrAinrif W22 AJ/3 ❑ TENANT ❑ ELECTRICAL 0 PLUMBING ❑ MECHANICAL B Rear ��1. ' -/-11 N Contractor's Namp Phone CI OTHER Aea/�r el hi I /� PROJECT DESCRIPTION SQ. FT. 31.21 N OCCUPANCY 1(/-J K Right a5I C I I G Address(mailing) O �/ v Left / CONSTRUCTION TYPE VALUATION$_ s 51 City License No. "ZONE GRADING CU.YDS. ACRES R LICENSED CONTRACTOR ECLARATION Ping. Ref.# Da...S-7 -4 Q" Parking Req./Provided y�/fi S' E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: r 1..c (� pP `Y/�1P annin Notes: l ,s _ 1� � p D with section 7000) of Division 3 of the Business and Professions Code, and c Cr -�-R� (0�-s ' O l Q Al g �1 - "( I- Wa 7`^ Y's- a M my Incense is in full force antl effect- _ / re 2 . ---s/ ` e a� I V S License Class License No. (en 6/ ( L) PLUMBING /sta U I FEES -ROLD FOR SPECIAL REQUIREMENTS Date Signature WORKERS' COMPENSATION DECLARATION - Bar Sink Showers hereby affirm that I have a certificate of consent to self-insure or a certificate ,tELECTRICAL FEES Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink ..800, Lab. C.) _ -automatic Washer Transformer 0 15-50 KW Policy No. Company Backflow Irrigation Sewer Cap Consir tion Pole Sub. 0 50+KW 8 Certified copy is hereby furnished. Certified copy is filed with the city Building Division. . Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION - Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit Is for one hundred ($100) or Dishwasher less). Solar Piping Dryers ❑Gas DElectric Sub Panel I certify that in the performance of the work for which this permit is issued,I " shall not employ any person in any manner so as to become subject:to the Drinking Fountains Solar Tank Fan Motors 00-1 HP 01%-8 Workers' qAM penyetion Laws of Californ' Date �/ 72/8 P Signature �+--�: Floor Drains Swimming Pool w/Spa ,F.A.U. Inc.Solar ❑9-15 HP ❑16-15+ NOTICE: f,of r making this declaration,you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave, comply with such provisions or tit is permit shall be deemed revoked. - - CONSTRUCTION LENDING AGENCY Gas Service Outlets- , - Water Closet Device Boxes Pole Light �_ I hereby affirm that there is a construction lending agency for the performance - of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater - Lender's Name p Outlets , , Range - Lender's Address Kitchen Sink - Water Service Switches , OWNER BUILDER DECLARATION 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 :i_ Standing Sections county which requires-a permit to construct,alter,improve,demolish or repair P-Trap _ Layndry Trays Generator ❑0-5 KW❑5"1SKW Trash Com actor any structure, prior to its issuance, also requires the applicant for such permit _ Compactor to file a signed statement that ne/she is licensed pursuant to the provisions of Roof Drains �- the Contractor's License Law(Chapter 9(commencing with Section 7000) of - Division 3 of the Business and Professions Code) or that he/she is exempt '\ Therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole Reinspection Fee $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 a _ thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REOUIREME S: y , ��y''' employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ / L�L-� Date-1-H - $8 sale. if, however, the building or Improvement is sold within one year of com- Canopy Type II ❑ Zoning Approved By f/ pietion, the owner will have the burden of proving he/she did not build or In- Duct- Under Ground Building Approved By Date Q.r a for the purpose of sale). 1--12 rpp UQ I, as owner of the property, am exclusively contracting with licensed con- e: Duct-Structural Refrigeration System Application Issued By Date —C Jl7 tractors to Contractor's construct the project (Section 7044, Business and Professions Code: - _The Cactor' License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU ExhaustSUMMARY QF FEES r builds or Improves thereon, and who contracts for such projects with a con- 6 t SMIP $ '.] tractor(s) license pursuant to the Contractor's License Law). I am aware that SystemBUILDING PERMIT $ 1._4(49i proof oftheir Worker's Compensation Insurance should be provided to me. _ ❑ Multiple ❑ System Repair/Alteration PLAN CHECK $ PERMIT ❑ I am exempt under Section y� B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers— PLUMBING $ ISSUANCE $ Date owner �..4 r` _ 2' Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby erti y that I have read this application and state that the above ❑0-100,000 BTU 0100,000 BT ELECTRICAL $ GRADING $ information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize repre- sentatives of this city to enter upon the above-mentioned propert for Inspection purposes. . ",/� ( MECHANICAL - $ TOTAL FEE $ /.04 y SI Signature ��/ - _ - Date y g Reinspection Fee I 515 Issue Fee $ 3 PLAN CHECK 25% $ Drivers' License or SS* - CMF 0865-46,rev.10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor 31 00009345-00009346 TOT 1064.39 . I II-CONSTRUCTION.ANC) PLANNING POOL&SPA -APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical-Service or Pole 52. Pool & Equipment Location •J 2. Soil Pipe-Undrgrnd. ' 53. Steel Reinforcement • 3. Electrical Conduit Utility-Undrgrnd. 54. Forms • I 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding . 5. Steel Reinforcement logy �T 0 , 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, O Undrgrnd. • 10. Structural Floor System F��9*-G-A1/. 61. APPROVAL TO DECK ti 7- . ( _ ' 11. Property Sewer Line & House Connection "" , 62. Backwash & Receptor-Final , A , 12. Sewer Cap • 63. Heater & Vent-Final -0 `,' ( • • t- tr 13. Roof Drains 64. Plumbing System - Final ,i - t- -) - j 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 FINALS ,. 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT_.' `,- 20. Rough Factory Fireplace APPROVALS Permit# L yr_ i '(F• t, 21. Ducts, in Structure 70. Underground Hydro f 22. Ducts, Ventilating 71. Product Piping O Gas ❑Oil 23. Gas Pipe-Rough & Test 72. Underground Flush . -C 24. Roof Flaming ' 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof'Sheathing ///2-401 &I'"/ 74. Overhead Hydro ' 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical r .- - 27. Frame and Flashing 0 f� 46' 76. Dry Standpipe 28. Lathing & Siding y7r�/c� V 77. FIXED SYSTEM FINAL 7 29. Insulation rbilin 78. FIRE PREV. FINAL . '- 30. Drywall Nailing 111 1r( HEALTH DEPT,REQUIREMENT 31. Plaster Brown Coat itprj/q Qg 79. FINAL INSPECTION 32. Electrical Power Meter-Final Ir 80. FOOD CERTIFICATE ISSUED., -r- 33. Final Electric Notes: BOLD FOR SPECIAL REQUIREMENTS I;n 34. Final Heating & Air Conditioning 9 1 I l 9 a 9 0(< 7-0{ LA--c ;L,s ,D k9- r„ 35. Final Gas Pipe-Test 7.11* .1.9 t v s I> L4i10 t t h b , PF,N I7 F cwt 36. Hood or Canopy r�;/ _ 2Nis ✓ ,'( 37..'.-Final Factory Fireplace / /// 01 ^ Ufo4 ei� % X 38!Final Plumbing ri v 39. Water Service-Final v n V 40. Gas Service-Final �' s, i 41. Solar Domestic-Final r . .. • , 742. Backflow.Preventer ✓r 'y 3. Backflow•Irrigation r A ,, 4p ( 4 (.,:' ;214./Landscape Irrigation System wr j )' e y452Sound Attenuation - _ -• d yo i ui t,•• 48.Handicap Regulations - ' V r t/ " i 4Y7,.4INAL STRUCTURE & BUILDING /f/_ 7 S ,a. - !, 48. Special_Requirements Completed `I'/ 3(en at-t` .., J. I, 49. Electric Release to Edisons' �" • 50. Gas Release to Southern California Gas Co ^ 51. CERTIFICATE OF OCCUPANCY No. _ Date -SP Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA CONSTRUCTION PERMIT 1 PERN0, A.P. Zone '� oi'Address FS/2 as a .` /-,11 /j •1 , V7& O TRACT NO. LOT NO. UNIT NO. #/306 ' / A'V4 )ecII•• II r I t f L $ Main Building: Accessory Building: ' Applicant's Mailing Address /eF/—/'/ .OZ- f7RR TYPE OF CONSTRUCTION L�NEW LJ LJ ADD ALTERATION J REPAIR E Z Owner's Name S •� .L./A--• 7T� El CONVERSION ❑ DEMOLISH ❑ OTHER - - T Front O �S/ PhoneY� Sf DESCRIPTION OF WORK/USE OF BLDG. I B Rear N Address 2 Arch/Eng. License No. TYPE OF PERMIT LJ GRADING I LIPFOUNDATION U STRUCTURAL 1, K Right G l-1 11:1Address TENANT ❑ ELECTRICAL Lh LUMBING ❑ MECHANICAL $ . Left R Contractor's Name _J At, L //l-17t A-, Phone ❑ OTHER I Ping. Ref.# Parking Req./Provided E PROJECT DESCRIPTION SQ. FT. OCCUPANCY Q Address(mailing) Planning Notes: M CONSTRUCTION TYPE VALUATION$ City License No. - G ZONE GRADING CU.YDS. ACRES T LICENSED CONTRACTOR DECLAR TIONS- I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: o q with section 7000) of Division 3 of the Business and Professions Code, and /PsF !3/° } .7y5,.93 my license is in full force and effect. .ELECTRICALFEES Ucense Class License No. Date Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATION Construction Pole Sub. 0 50+ KW I hereby affirm that I have a certificate of consent to self-Insure or a certificate 2 Bar Sink ' Showers Q Bf?' of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter Duro to 100 amps 3800, Lab. C.)�,. - Policy No. Company Backflow Irrigation Sewer Cap _ Dishwasher ;- Meter Dover 100 amps Certified copy is hereby furnished. • Dryers ❑Gas DEI¢CtriC Sub Panel Certified copy'is filed with the city Building Division. Y Bathtubs Sewer Connection 7 OD Date Applicant " Fan • Motors 00-1 HP ❑1'h-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred ($100)or F.A.U. Inc.Solar 0g-15 HP ❑16-15+ - less). Z Dishwasher Solar Piping titi I certify that in the performance of the work for which this permit is issued, I Fixtures shall not employ any person in any manner so as tobecome subject to the Drinking Fountains Solar Tank I . Microwave Workers' Comyap�safjon Laws of California. q/ �'. — Date .S'/./l1A signature n�/t' 1 /— Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE: If,a er making this declaration,you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks - Urinal Outlets Range - comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY AL 1 Switches Sign Gas Service /Z Outlets Water Closet �', !/✓ 9 I hereby work that there is a construction lending agencyc for the performance .) Garbage Disposal ' Of the work for which this permit is issued (Section 3097 Civ. C.) O 9 P Standing Sections , Lender's Name Interceptors, 2.. Water Heater Lender's Address L Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor j 7 OWNER BUILDER DECLARATION • I hereby affirm that I am exempt from the Contractor's License Law for the `O Lavatories - Auto-Wash 010 00 _ following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P—Trap Laundry Trays - - ' any structure, prior to its Issuance, also requires the applicant for such permit . to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains - the Contractor's License Law(Chapter 9(commencing with Section 7000) of- . Division 3 of the Business and Professions Code) or that he/she is exempt • - . Reinspection Fee $15 Issue Fee therefrom and the basis for the alleged exemption. Any violation of Section $ 3 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). - I DEVELOPMENT SERVICES REQUIREMENTS: LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee , 1 $15 Issue Fee $ 3 • compensation, will do the work,and the structure is not intended or offered 1 Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES f Building Approved By Date License Law does not apply to an owner of a property who builds or improves _ thereon, and who does such work himself/herself or through his or her own Application Issued By Date 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 1I ❑ SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground .. • aLoysetarr the purpose of sale). - - BUILDING PERMIT $ SMIP $ l, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System _ PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: .s I^ , The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0.100,000 BTU ❑100,000 BTU ,,,r •PLUMBING $ I Q i DO ISSUANCE $ builds or Improves thereon. and who contracts for such oroiects with a con-tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple❑ System Repair/Alteration f, PLAN CHECK 25% $ G'SO ENERGY P.C. $ proof of their Worker's Compensation Insurance should be provided to me. . ELECTRICAL $ -GRADING $ ❑ 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit.ICBO* Fire Dampers PLAN CHECK 50% $ MICROFILM $ Dateowner Heating System& Ducting Registers MECHANICAL $ n.. d I hereby ce :fy that 1 have read this application and state that the above 00.100,000 BTU 0100,000 BTL - TOTAL FEE $ D .� information Is correct. I agree to comply with all city and county ordinances - PLAN CHECK 25% $ and state laws relating to building construction,and hereby authorize repre- sentatives pofu this entA the above-mentioned property for Inspection ofrphses. Signature Date 8,9 Drivers' License or SS* -Accounting; Goldenrod - Assessor 01 E03/94/DDDITINE1299 TOT 85.SD DATE: DE/041�8 TIME: 12:29 I CONSTRUCTION AND PLANNING POOL ai SPA . „APPROVALS Permit Date Inspector APPROVALS Permit / Date Inspector 4 I. Temporary Electrical Service or Pole _ 52. Pool & Equipment Location ' 2. Soil Pipe-Undrgrnd. th/yite53. Steel Reinforcement .l 1 ticffie 3. Electrical Conduit Utility-Undrgrnd. "-1 54. Forms T 4., Electrical Conduit-Undrgrnd. _ 55. Electrical Bonding 5: Steel Reinforcement 56. Rough Plumbing & Pressure Test /•• , I 4. •, 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE /I / I . . 7� Footings 58. Electrical Conduit-Undrgrnd. 3. f ' 1 ' 8: Foundation ,- •-• ,, 59. Gas Pipe, O Undrgrnd.,Test 'A' 9. Water Pipe-Undrgrnd.1. 077/(eri " 60. Backwash Lines, P-Trap, O Undrgrnd: 10. Structural Floor System "..1 61. APPROVAL TO DECK " •"' '• "' I •' 11'. Property Sewer Line & House Connection - 62. Backwash & Receptor-Final 12. Sewer Cap - 1 _ - .. - y. ; 63. Heater & Vent-Fina{ . 13.\Roof Drains 64. Plumbing System - Final- - ' ' �a ' 14. Rough Plumbing /r/w er /iA9r 65. Electrical-Final - 15. Rough Electrical-Conduit •h I 66. Solar System-Final 16. Rough Electric Wiring •-/ 67. Fencirig & Access Approval (-,17. Rough Wiring Sign 68. APPROVED FOR PLASTERING_ _ . '••18: Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL •79. Rough Heating &•Air Conditioning FIRE DEPT. REQUIREMENT 1 ,2f.�: Rough Factory Fireplace • APPROVALS Permit# (-2-4. Ducts, in Structure 1;�- 70. Underground Hydro - ' 22. Ducts, Ventilating - 71. Product Piping 0 Gas 0 Oil . 23. Gas Pipe-Rough & Test - 4/1 /1/p /4 tom 7Q, (Underground Flush - ' 24. Roof Framing fir, '/'' 73. Undergrnd.Storage Tank 0 Gas 0 Oil ' • 25. Root Sheathing ` 174. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat . -. - 75. Dry Chemical - 127. Frame and FlasFiing • - - - 76. Dry Standpipe • - - - - 28. Lath tig & Siding''" 77. FIXED SYSTEM FINAL . - ' ' - • • 29. Insulation 11 78. FIRE PREV. FINAL „ A ,,; 30. Drywall Nailing • HEALTH DEPT. REQUIREMENT . 3),. Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final ^.:r I}: 4m 80: FOOD CERTIFICATE ISSUED 33. Final Electric n / Notes:• 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace ��`""" ; 38. Final Plumbing • 9'r7� �/P� 39. Water Service-Final /I' uv 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer I • ,I . 43. Backflow Irrigation .1 .`' rI • 44. Landscape Irrigation System 5 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 +„ I.•) 51. CERTIFICATE OF OCCUPANCY ' ' 1%' ,'.1No. Date • i2 Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PER T N TRACT NO. LOT NO. UNIO. as aF COSTA MESA CONSTRUCTION PERMIT T N • 7 3 5/,3i 3V 6 7 / P R A.P.# Zone P piect Address ... 5-7d EL £SN AVE - S� 01—H b6L AAA-0 TYPE OF CONSTRUCTION KNEW UIL ADD H ALTERATION REPAIR S Main Building: Accessory Building: 'Applicant's Mailing Address � .�. E Z Owner's Name J, Wt /Akron/ &�-/ 7on/ Phone4t C/y' ❑ CONVERSION ElDEMOLISH IIIOTHER I T Front O DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address /isr l 'f-1 bE-2- /1'1/a•k C'it-1. A 1 Arch/Eng. License No. TYPE OF PERMIT IE GRADING III FOUNDATION U STRUCTURAL C Right G Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ . Left R Contractor's Name 0/s Phone C7 OTHER I Ping. Ref.# Parking Req./Provided R PROJECT DESCRIPTION SQ. FT. OCCUPANCY Q Address(mailing) Planning Notes: M CONSTRUCTION TYPE VALUATION$ T City License No. ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION S. I hereby affirm that I am licensedision3 under provi5ion5 of Chatter 9 ns Code,(commencing Remarks: 2 )P Z, L/ [7� / �J 3 / l;'76� with section 7000) of Division 3 of the Business and Professions Code,and /s !O 'Y my license is In full force and effect. ELECTRICAL FEES License Class License No. Date Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATIONConstruction Pole Sub. • 0 50+KW ' hereby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink Showers Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink • Cooking Unit Meter 0 u to 100 amps 300, Lab. C.) • Policy No. Company • Backflow Irrigation Sewer Cap Dishwasher '. Meter Dover 100 amps 8 Certified copy is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel — Certified copy is filed with the city Building Division. Bathtubs ,. Sewer Connection /O on Date Applicant Fan Motors❑0-1 HP ❑1'F.-B EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors(This section need not be completed if the permit is for one hundred($100) or Dishwasher Solar Piping F.A.U. less). Inc.Solar 09-15 HP 016.15+ I certify that in the performance of the work for which this permit is Issued I Fixtures shall not employ any person in any mariner so as to become subject to the e Drinking Fountains Solar Tank - Microwave Workers' Com ensati R.,Laws of Califorr$e • Date .Signature y'•LC/•�/Zt; Floor Drains Swimming Pool w/Spa Device Boxes . , Pole Light NOTICE:If,after ma ng this declaratio you should become subject to the Outlets Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks - Urinal 9 comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY' Gas Service Outlets Water Closet Switches Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Clv. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name / Lender's Address Kitchen Sink /�f_, Water Service CT 00 Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or - county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt - Reinspection Fee $15 Issue Fee $ 3 erefrom and the basis for the alleged exemption. Any violation of Section )31.5 by any applicant for a permit subjects the applicant to a civil ,,enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: $ 3 0 I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee Zoning Approved By Date compensation, will do the work,and the structure is not intended or offered - for sale (Section 7044. Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By License Law does not apply to an owner of a property who builds or improves Date thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I ❑ Application Issued By Dat employees, provided that such improvements are not Intended or offered for sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II D SUMMARY OF FEES pletion, the owner will nave the burden of proving-he/she did not build or im- Duct-Under Ground prov the purpose of sale). BUI LDING PERMIT $ SMIP $ as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 0o-100,000 BTU 0100,000 BTU PLUMBING $ 17. 00 ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple❑ System Repair/Alteration I PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. - ELECTRICAL $ GRADING $ ❑ 1 am exempt 'xem ppt'uunndeerr Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers MICROFILM $ Date owner -ci.b(,). L/N'TC7/V Heating System& Ducting Registers PLAN CHECK 50% $ I hereby certifys tec I have read this application all and state that the above 00-100,000 BTU 0100,000 BTU MECHANICAL $ TOTAL FEE $ /7. 00 information is ceratin I agree comply cost with a,l dy and uties PLAN CHECK 25% $ and state laws'ht fng tot building construction, andhereby authorizepr yfor repre- sentatives of this city to enter upon the above-mentioned property for Inspection purpose / ), ?/� %_ Date 1-3/-61 Signature 4V fn "t-L�7U Drivers' License o SS*. Reinspection Fee $15 Issue Fee $ 3 010865-46,rev.5/88 White - Building; Canary -Applicant; Pink - Accounting; Goldenrod - Assessor DATE:E / 1/8TE Ta�T 17.00 01/31/89 TINE: 16:21 ._ CONSTRUCTION AND PLANNING POO, •PA 7 APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location j 2. Soil Pipe-Undrgrnd. `f' 53. Steel Reinforcement •6. Electrical Conduit Utility-Undrgrnd. '/- 54. Forms • 4:.Electrical Conduit-Undrgrnd. 55. Electrical Bonding •I 5.c Seel-Rei'nforcem9nt 56. Rough Plumbing & Pressure Test ElectricalGr UFER' nd. 57. APPROVAL TO COVER-GUNITE '1 i .ri 7 Footing eh; 58. Electrical Conduit-Undrgrnd. 8F'Foundation �' 59. Gas Pipe, 0 Undrgrnd., Test P 9'. Water Pipe-Undrgrnd. • 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10.'.Stiuctural Floor System " 61. APPROVAL TO DECK > l 11'.'-Property Sewer Line & House Connection s/17/0/ r 62. Backwash & Receptor-Final 12. Slwer Capj 63. Heater & Vent-Final - i 13. Roof Drains 64. Plumbing System - Final 14. Roigh.Plumbing 65. Electrical-Final - �J 15. Rough Electrical-Conduit 66. Solar System-Final i 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 • 2p.. Rough Factory Fireplace )1 APPROVALS Permit# r 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping ❑Gas 0 Oil 23. Gas Pipe-Rough & Test 1' a 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 V 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 3Z Electrical Power Meter-Final , 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final //Me ��/'f 0�/c'J" 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 ' L' 51. CERTIFICATE OF OCCUPANCY •- 1 No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. _ { CITY OF COSTA MESA CONSTRUCTIONc �L� PERMIT - PNE,R�1 IT NO. 7 TRACT NO. .LOT NO. UNI Nc�,, \ Project Address 2-572- E•I den / e. Pd.R_ l 37,2 37 • rd'I� \ - Applicant's Mailing Address IgOS Pornolnf t... Si- •6` TYPE OF CONSTRUCTION IstEw H ADD Li ALTERATION Li REPAIR - Owner's Name L4 L Des/• Phone byS-G4SS CI CONVERSION CI DEMOLISH ❑ OTHER • • AP # ..• Zone _ ,�s��,� ,11 m DESCRIPTION OF WORK/USE OF BLDG. Address. IS I bet 1 s 4th # - • C. S Main Building: Accessory Building: Arch/Eng. _. License No. TYPE OF PERMIT CI GRADING CI FOUNDATION ❑ STRUCTURAL E Front , • O Address �/ 1M ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING v1 ANICAL B Rear N Contractor's Name .4.44 1 f'4 Air Phone b4,"lW 10 ❑ OTHER A _ I qq S /� ,�p c,�/2 PROJECT DESCRIPTION SQ. FT. OCCUPANCY C Right N Address(mailing) -1�� ?Cal-4- m��0. �G �N rl �•m CONSTRUCTION TYPE VALUATION$ K Left G City License No. 0145542:1-.---- S LICENSED CONTRACTOR DECLARATION. ZONE ,/s GRADING CU.YDS. ACRES ' Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: /[ 3 u 3, Planning Notes: 0M 1 with section 7000) of Division 3 of the Business and Professions Code, and U r T my license is in full force and effect. qb -tq`� - - License lass _ L; e se o. $ Date r2- Signature nrw==-"""y!--= PLUMBING FEES . WORKERS'COMPENSATION DEC t• RATION'1W- ' 1 Bar Sink Showers ' • I hereby affirm that I have a certificate of consent to self-insure or a certificate . ELECTRICAL FEES • of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink • ' - 3800, Lab. C.) I Automatic Washer Transformer ❑ 15-50 KW Policy No. Company Backflow Irrigation Sewer Cap Construction Pole I I Sub. ❑ 50+KW ` ® Certified copy is hereby furnished. Certified copy is filed with the city Building Division. • Bathtubs Sewer Connection Cooking Unit • Meter Duo to 100 amps Date Applicant - EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors - Dishwasher Meter Dover 100 amps (This section need not be completed if the permit Is for one hundred ($100) or less). Dishwasher - Solar Pipin _. Dryers ❑Gas DElectric Sub Panel I certify that in the performance of the work for which this permit is issued, I - - shall not employ any person In any manner so as to ome subj t to the Drinking Fountains S Tank Fan Motors❑0-1 HP ❑11/x-8 Work / Qprn�psation Laws of Cali n"a,,/ a/,-c-� - - Date 0/L. Signature (3LL(a-- ��-i7 ✓Ut Floor Drains Swimming Pool w/Spa F.A.U. Inc. r ❑9.15 HP 016-15+ NOTICE:If,after making this declaration, you should become subject to the ' Workers' Compensation provisions,of the Labor Code, you must forthwith Floor Sinks Urinal • Fixtures comply with such provisions or this'permit shall be deemed revoked. icrowave CONSTRUCTION LENDING AGENCYGas Service Ou 5 ✓ Water Closet Device BoxesPole Light I hereby affirm that there is a construction lending agency for the performance _ - _ -� 9 of the work for which this permit is issued (Section 3097 Civ. C:) Interceptors Water Heater 'Iv e Ran Lender's Name Outlets9 • .Lender/s Address Kitchen.Sink Water Service Switches Sign OWNER BUILDER DECLARATION ' I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash %� following reason (Section 7031.5 Business and Professional Code: Any city or Garbage Disposal Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap LaundryTrays any structure, prior to its issuance, also requires the applicant for such permit ra y • .. Generator ❑0-5 KW ❑5-15 KW Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains . the Contractor's License Law (Chapter 9(commencing with Section 7000)of ' Division 3 of the Business and Professions Code) or that he/she is exempt . - - - - - - : - - 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 property or my employees with wages as their sole Reinspection Fee ! $15 • Issue Fee $ 3 • compensation, will do the work, and the structure is not intended or offered Fee $15 Issue Fee $ 3 Reinspection for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES p License Law does not apply to an owner of a property who builds or improves • thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler - Hood or Type I ❑ ZoningApproved sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ pp By Date pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground ,� • prove for the purpose of sale). Building Approved By ' / Date ❑ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By fits Date-- tractors ate-7� tractors to construct the project (Section 7044,Business and Professions Code: _ U The Contractor's License Law does not apply to an owner of property who ZDuct-Ventilating ❑0-100,000 BTU ❑100,000 BTU Q /a _ SUMMARY OF FEES r builds or improves thereon, and who contracts for such projects with a con- — - ( tractor(s) license pursuant to the Contractor's License Law). I am aware that BUILDING PERMIT $ SMIP $ Exhaust System ❑ Multiple ❑ System Repair/Alteration proof oftheir Worker's Compensation insurance should be provided to me. - PLAN CHECK $ PERMIT ❑ 1 am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ SS UANCE $ Date Owner Heating System& Ducting Registers ENERGY P.C. $ PLAN CHECK 25% $ I hereby certify that I have read this application and state that the above 0-100,000 BTU al 00,000 BT information is correct. I agree to comply with all city and county ordinances ( p p- ELECTRICAL $ GRADING $ and state laws relating to building construction, and hereby authorize repre- sentatives of this city to .- er upon the above-mentioned roperty for PLAN CHECK 50% inspection p posts - _ MECHANICAL $ nZ•OO 00 Signature . -I.[A_ - Reinspection Fee $15 Issue Fee $" PLAN CHECK 25% $ n o f r+. CMF 0865-46,rev.10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 0t 00024332-00024332 Toil- 42.00 l&TCt f11/777cQ TTMC• 12•^A. CONSTRUCTION AND PLANNING POOL &SPA APPROVALS Permit# Date' Inspector APPROVALS Permit Date Inspector 1: Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd..- 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 5. Steel Reinforcement: 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings " . 58. Electrical Conduit-Undrgrnd. 8.-Foundation 59. Gas Pipe, ❑ Undrgrnd.,Test 9.-Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 11. Property Sewer Line 8/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. 1 PFROVED FOR PLASTERING .18. Rough Electrical-T Bar Ceiling 69, POOL/SPA SYSTEMS FINAL • 19. Rough Heating & Air Conditioning 4/ 7 j0.� 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 3/fr ac • 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. - PE T N TRACT NO. LOT NO. I NO CITY OF COSTA KESA CONSTRUCTION PERMIT Blas'73 �� A.P.# Zone J Project Address �( aallLLKr�c yy.�.n t1,,f,l\«'fD 1 ']'� J ,, �I r S Main Building: Accessory Building: Applicant's Mailing Address 4ci I I IQn1W}'�'c.n eh3 A,Law dtcc(e- TYPE OF CONSTRUCTION JNEW IJ ADD U ALTERATION REPAIR E Z Owner's Name w� 1^ Oe VS Phonel no- 1 5 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front o Address � nor Cqr �8�'HN � ,— � /1b S 111Q$�} �� DESCRIPTION OF WORK/USE OF BLDG. A f 2 RiaN Arch/Eng. .- License No. TYPE OF PERMIT III GRADING El FOUNDATION�r ❑ STRUCTURAL K Right G Address III TENANT El ELECTRICAL III PLUMBING J`IMECHANICAL s . Left �,��q ❑ OTHER R Contractor's Nam- , t••Eft e I a • Pho eqpitaCa Ping. Ref.# Parking Req./Provided E 4r1.3 t G1'3 rna Ire 'Q� ^� 1�,, PROJECT DESCRIPTION SQ. FT. OCCUPANCY Q Address(mailing) "'f-7 DU 1�I pK.IY�11Q T'c(n 7J �1•-Siva. uN\T\('�'��e Planning Notes: M �1d-1.7�.7 OAaO CON ST RUCTION TYPE OCCUPANCY VALUATION st r � q�'�pI City License No. ZONE GRADING CU.YDS. ACRES I .^"t'.\'= '. S i i`JQ LICENSED CONTRACTOR DECLARATION rIj �'yl_IV L+LJ S. I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: 1�3uyt VL with section 7000) of Division 3 of the Business and Professions Code, nd ll LJ.A, my license is in full force and effect ELECTRICAL FEES License classe -COI Lice eLN)o II-�1-$}� Signature r'a ur r r Automatic Washer Transformer ❑ 15.50 KW Date PLUMBING WORKERS'COMPENSATION OEC LARA ION Construction Pole Sub. 0 50+KW I hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink • Showers FEES -f Workers' Compensation Insurance, or a certified copy thereof (S ction Cooking Unit Meter 0 u to 100 amps '00, Lab. C.) pI Fond Backf low Preventer Service Sink Jlicy No. 6g�D 6�0 Company St-c.,.f4e Fonr-r Backflow Irrigation Sewer Cap Dishwasher • Meter Dover 100 amps Certified copy is hereby furnished. /I Dryers ❑Gas ❑Electric Sub Panel Cerfi�'etl;p� etl with the city alSiltli g Di slo Bathtubs Sewer Connection y�;1fJ ( � 4hief Financial Offlrr Dale �r�,as Applicant Fan Motors 00-1 HP O1'h-8 EXEMPTION FROM WORKERS'COMPENSA ON DECLARATION Clarifiers Solar Collectors - (This section need not be completed if the per t is for one hundred ($100) or Dishwasher F.A.U. Inc.Solar 09-15 HP 016-15+ less). - Solar Piping I certify that in the performance of the work for which this permit Is issued, IFitures , ix tures not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank - Microwave Workers' Compensation Laws of California. Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE:If,after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range comply with such provisions or this permit shall be deemed revoked. Switches CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) nterceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains - the Contractor's License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee I $15 Issue Fee therefrom and the basis for the alleged exemption. Any violation of Section $ 3 131.5 by any applicant for a permit subjects the applicant to a civil nalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: J 1, as owner of the property or my employees with wages as their sole Reinspection Fee ! $15 Issue Fee $ 3 Zoning Approved By Date compensation, will do the work,and the structure is not intended or-offered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own Application Issued ByDat 'L employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale. if, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). BUI LDING PERMIT $ SMIP $ 0 I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT Jf�_. tractors to construct the project (Section 7044,Business and Professions Code: -- - rraWie� The Contractor's License law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon.and who contracts for such oroiects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. a „• ELECTRICAL $ GRADING $. ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBO#, • Fire Dampers . . 711 PLAN CHECK 50% $ l6160FILM $ Date Owner Heating System &Ducting Registers MECHANICAL $ -al/TOTAL FEE $ `"[,f 1 r 00 I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state la relating to building construction, and hereby authorize repre- sentatives o this ty to;ter upon the aDo tioned propert or Inspection pos Chief Financial mica/. / 5 Signature or Sj 3f I/�(/ Pink -Accounting; Goldenrod - Assessor DATE: 12/06/88 TIME: 09:57 CONSTRUCTION AND PLANNING POOL A 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 36Electr.ical Conduit Utility-Undrgrnd. 54. Forms . ' 4.•Electrical Conduit-Uhdrgrnd. - 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrics! UFER Grrid. 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, 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 r 65. Electrical-Anal 15. Rough Electrical-Conduit 66. Solar System-Final 16. Rough Electric Wiring 67. Fencing & Access Approval '17.. Rough Wiring Sign 68. APPROVED FOR PLASTERING rtd. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL id. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT '20. Rough Factory Fireplace ///GM Ir APPROVALS Permit# (21!. Ducts, in Structure 70. Underground Hydro fir;• 22.:Ducts, Ventilating 71. Product Piping 0 Gas ❑Oil �. 23.E Gas Pipe-Rough & Test 72. Underground Flush • 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical • 27. Frame and .Flashing 76. Dry Standpipe , 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREV. FINAL ,30: Drywall Nailing HEALTH DEPT. REQUIREMENT '31, Plaster Brown Coat 79. FINAL INSPECTION 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory FireplaceI_-5c? (,gO 38. Final Plumbing 1 39. Water Service-Final ' 40. Gas Service-Final 41. Solar Domestic-Final • • 42. Backflow Preventer - �. 43. Backflow Irrigation '1 44. .Landscape Irrigation'System •-7i 45. Sound Attenuation . - 46. Handicap Regulatiorisle 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. , PERMITCNO. TRACT NO. LOT NO. - UNIT NO. • CITY OF dress MESA CONSTRUCyT1IOCtN�P�ERMITF _ Sc /90 Pa- p A.P.#• Zone - Project Address Z572_ c ge__o '. Ay& _ I` S Main Building: Accessory Building: Applicant's Mailing Address LCLL 0.e l/• TYPE OF CONSTRUCTION _LI. W H ADD H ALTERATION H REPAIR E . Z ❑• CONVERSION ❑ DEMOLISH ❑ OTHER ' T Front • o Owner's Name/ �` � 144 U Phone DESCRIPTION OF WORK/USE OF BLDG. B -Rear N Address /4 `CL H Arch/Eng. . License No. TYPE OF PERMIT GRADING El FOUNDATION El STRUCTURAL C Right - - G Address - El TENANT ELECTRICAL 111 PLUMBING Ill MECHANICAL $ • Left R Contractor's Name 17 ❑ OTHER Ping. Ref.# • ParkingRe /Provided • E V � Phonesn I of iy V Req • Address(mailing)AL . .4PROJECT DESCRIPTION SQ. FT. OCCUPANCY • M y.., . / -_1 Planning Notes: CON ST RUCTION TYPE VALUATION$ ,,, City License No. Y 6 57 ZONE GRADING CU.YDS. ACRES ! T 1' LICENSED CONTRACTOR DECLARATION ,/� / - S. I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: G 3 yy 316 L. I ' • with section 7000) of Division 3 of the Business and Professions Code, andak IIJJ my license is in fej florae .nd effect. b ELECTRICAL FEES Ucens@ las} `-- • Lir se .o. - �� O PLUMBING FEES ON Date (�"I Signature - .r'i L• - Automatic Washer Transformer 0 15-50 KW WORKERS' COMPENSATION D CLARATION Construction Pole Sub. • '❑ 50+ KW'' ''ereby.af firm that I have a certificate of consent to self-Insure or a certificate Bar Sink Showers workers' Compensation Compensation Insurance, or a certified copy thereof (Section Cooking Unit Jj Meter ❑up to 1do amps ' - I ,0, Lab. C.) /y / r_ �-+ tr'� Backflow Preventer Service Sink - < - - 1 - -- - Policy No. //)j$.1)-2-24 Company 5'7��f.(fc_ 6 Ah}J . Backflow Irrigation Sewer Cap • Dishwasher Meter ❑over 100 amps A • Certified copy is hereby finished. — - - Dryers ❑Gas ❑Electric Sub Panel • Ce1.tJ'f ief po filed with the city u g viv; Bathtubs Sewer Connection _ t7 Date Applicant ,���� - • Fan EXEMPTION FRO WORKERS'CO PENSATION DECLARATION ' Clarifiers Solar Collectors ' Motors 00-1 HP O ifs,-8 (This section need not be completed if the permit is for one hundred ($100) F.A.U.ornc.Solar 09-15 HP ❑16-15+ less). Dishwasher Solar Piping AU I certify that'in the performance of the work for which this permit is issued I Fixtures shall not employ any person in any manner so as to become subject to the •• • Drinking Fountains Solar Tank Microwave Workers' Compensation Laws of California. - , Date Signature Floor Drains Swimming Pool vv/Spa Boxes Pole Light /Spa t - NOTICE: If,after making this declaration, you should become subject to the Outlets Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Range . comply with such provisions or this permit shall be deemed revoked. Switches CONSTRUCTION LENDING AGENCY Gas Service Outlets ', Water Closet - Sign I hereby affirm that there is a construction lending agency for the performance - of the work for which this permit is issued (Section 3097 Civ. C.) • . Garbage Disposal Standing Sections Lender's Name _ Interceptors Water Heater Lender's Address - Kitchen Sink Water Service ' Generator 00.5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION //� /J I hereby affirm that am exempt from the Contractor's License Law for the Lavatories Auto-Wash - • ' tee..)- /2g-a. • (i44 . following reason (Section 7031.5 Business and Professional Code: Any city or - • county which requires a permit to construct,alter,improve,demolish or repair P-Trap - Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed'statement that he/she is licensed pursuant to the provisions of Roof Drains - • ' the Contractor's License Law (Chapter 9 (commencing with Section 7000) of - /S m� •'vivision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $.3- •refrom and the basis for the alleged exemption. Any violation of Section 31.5 by any. applicant for a permit subjects the applicant to a civil - . - . nalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: .n I, as owner of the property or my employees with wages as their sole Reinspection-Fee I $15Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered I Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's . MECHANICAL FEES Building Approved By. Date License'Law does not apply to an owner of a property who builds or improves }I•� thereon, and who does such work himself/herself or through his or her own ' Application Issued By Q Date ////Side employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or Improvement is sold within one year of com- - -- - -- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will,have the burden of proving he/she did not build or im- Duct-Under Ground • . prove for the purpose of sale). BUILDING PERMIT $ SMIP • $ 0 I, as'owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System tractors to construct the project (Section 7044, Business and Professions Code:' PLAN CHECK $ PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating • ❑o-100,000 BTU ❑100,000 BTU builds or improves thereon. and who contracts for such oroiects with a con- -_ - - - PLUMBING $.. ISSUANCE $ , tractors) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple❑ System Repair/Alteration PLAN CHECK . 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL ��$ �29t66 GRADING $' 0 lam exempt under Section B. & P.C.for this reason — Firepl/Fact.Blt. ICBG# Fire Damper • s MICROFILM $h •o ' PLAN CHECK $ 2.8.G • Date • owner Heating System& Ducting Registers MECHANICAL $ I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BT _ TOTAL FEE $ /��• 33 information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ . and state laws r-lating to building c• str tion, and hereby authorize repre- sentatives of t' s C y to ; 'er .on e above-mentioned property (afor� Inspection pur•se x Dattle V t • DSirivers' e s i Pink -Accounting; Goldenrod - Assessor \ - L CONSTRUCTION AND PLANNING POC SPA APPROVALS Permit# Date Inspector APPROVALS Permit# • Date Inspector • 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location �• I .2. Soil Pipe-Undrgrnd. -,rY 53. Steel Reinforcement : ' • •S-•Electrical ConduitiUtility-Undrgrnd. 54. Forms -' 4'Electrical Conduit-Undrgrnd. ",1 55. Electrical Bonding 5. Steel Reinforcement• 56. Rough Plumbing & Pressure Test r •' 6. Electrical t UFER1Gcnd.1 ^ 57. APPROVAL TO COVER-GUNITE r ii • . 7.)F6otings I i 1 58. Electrical Conduit-Undrgrnd. 0 ': Ir 8)Foundation ' ri I 59. Gas Pipe, 0 Undrgrnd.,Test 1, -1 9:)W1ter Pipe-Undrgrnd. - , 60. Backwash Lines, P-Trap, 0 Undrgrnd. r' .,10.'Stiuctural Floor System • •� 61. APPROVAL TO DECK '11..Property Sewer Line& House Connection ' 1 62. Backwash & Receptor-Final 12: Sewer Cap ' ' ..1 63. Heater & Vent-Final ri -I • 13. Roof Drains ` .. 64. Plumbing System - Final f 14. Rough Plumbing' 41 _ 65. Electrical-Final 15. Rough Electrical=Conduit 66. Solar System-Final 16. Rough Electric Wiring j �*Pied 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 if, I 73. Undergrnd.Storage Tank 0 Gas 0 Oil ' 25. Roof Sheathing "I' 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 . FINAL INSPECTION 32. Electrical Power Meter-Final * 80. OOD CERTIFICATE ISSUED 33. Final Electric Notes: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing . 39. Water Service-Final 40. Gas Service-Final \ 41. Solar Domestic-Final 42. Backflow Preventer 1 i\ 43. Backflow Irrigation 44. Landscape Irrigation System I 45.. Sound Attenuation 46Regulations 47. FINAL STRUCTURE & BUILDING 48. Snecial Requirements Completed - . • 49. Electric Release to Edison • 50. Gas Release to Southern California Gas Co 51. CERTIFICATE OF OCCUPANCY - No. - Date - ' City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. 003:333 Building Safety Division y P.O.Box 1200 Costa Mesa,California The Building located at 2572 Elden Avenue, Units S & T has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto fora Group R3 Occupancy. '- Use of Building Condominiums Legal Description 439-161-18..19,20 (See reverse side for Metes and Bounds) Building Permit No R 34484 Electrical Permit No. E 36160 Plumbing Permit No.P34761.P37344 • Mechanical Permit No. M 37240, M 36574 Number of apartments 19 and/or guest rooms •ISSUED TO: Building Official George Edmiston '\ T_ R. Linton . �+ ' 181 Del Mar Ave., Unit H by • '" e _ rncra Mnca. CA 92627 Date November 15, 1989 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 CONSTRUCTION PERMIT T PMIT'iO. TRACT NO. LOT NO. UNI�No. , . Project Address LO .S7, CLoEN fif v/= S'.+ 1 V T 7 y' II f3�(p Applicant's Mailing Address /13/-.61 /)FL {'If!? C, ti! TYPE OF CONSTRUCTION LJ NEW Li ADD U ALTERATION U REPAIR n 1 y L /.VTON ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P..fi6'.-f 101 - I$ IC I Zone Q..a Owner's Name 7 . PhoneG yS-�1T S" DESCRIPTION OF WORK/USE OF BLDG. J•'/ 1 / / ay Address /8/ - f/ DCL fr.'a L 4 /Yr S Main Building: Accessory Building: On CK f'!ears-", 2 1- Z Arch/Eng. License No. TYPE OF PERMIT U GRADING U FOUNDATION U STRUCTURAL T Front 131 C I UI:' O Address 29n ..JEwPO4r Cnure.e ez P8 ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING 0 MECHANICAL A Rear a 3 .51 G 1 10I N Contractor's Name r. H L ire Phone .yS-99 ❑ OTHER Z� Address(mailing) /8/�fT /7E"Z H/}2 Ct" PROJECT DESCRIPTION SQ. FT. 2 OCCUPANCY q p K Right a�.7 at, bi G 9 CON ST RUCTION TYPE UN VALUATIONS Z 11 19G g Left agf GI b1R City License No. O !f ZONE GRADING CU.YDS. ACRESPing. O (+ 404g E LICENSED CONTRACTOR DECLARATION / Pin . Ref.# ['� O p ParkingR¢ /Provided 9 ^"' ' 7 8 Req./Provided I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: PL r-r ( '2,4- 13 Qt _ y� Planning Notes: ICI t Q M with section 7000) of Division 3 of the Business and Professions Code, and � QT my license is In full force and effect. Z + • I ..---= •• I--_ 10 .1_ OR SPECIAL RE S License Class License No. Date Signature PLUMBING I FEES , WORKERS'COMPENSATION DECLARATION ' hereby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers ELECTRICAL FEES Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink .00, Lab. C.) Automatic Washer Transformer ❑ 15-50 KW Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+ KW 8 Certified copy Is hereby furnished. ' Certified copy Is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Dub to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit Is for one hundred ($100)or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to becyme subject to the Drinking Fountains Solar Tank Fan Motors 00-1 HP 01%-8 Workers' gp SMIo Laws of CaliforonlJ g.„/G/ /At - Date �'l oI3/fY Signature 6,-.- Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+ NOTICE:If, it making this declaration,you should become subject to the — • Workers' C mpensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Microwave comply with such provisions or this permit shall be deemed revoked. - CONSTRUCTION LENDING AGENCY Gas Service Outlets • Water Closet Device Boxes I hereby affirm that biere is a construction lending agency for the performance _ - Pole Light- - of the work for which this permit Is issued (Section 3097 Clv. C.) Interceptors . Water Heater ' Outlets Range Lender's Name - - - - Lender's Address Kitchen Sink Water Service Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I 'am exempt from the Contractor's License Law for the Lavatories - Auto-Wash Garbage Disposal _ , Standing Sections following reason (Section 7031.5 Business and Professional Code: Any city or - county which requires a permit to construct,alter,improve,demolish or repair P-Trap - , • Laundry Trays Generator 00-5 KW 05-15 KW Trash Compactor any structure, prior.to Its issuance, also requires the applicant for such permit • _ - - to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains • - the Contractor's License Law (chapter 9 (commencing with Section 7000)of , Division 3 of the Business and Professions Code) or that he/she is exempt `lerefrom and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil denalty of not more than five hundred dollars($500). Ll I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work, and the structure Is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or Improves ..goiter Hood or Type I 0 1DEVELOPMENT SERVICES REQUIfl EME T n thereon, and who does such work himself/herself or through his or her own �' vvll�//_R7v 88 � employees, provided that such improvements are not intended or offered forZoning Approved By 1/ Date sale. If, however, the building or improvement is sold within ono year of com- Canopy Type II 0 pletion, the owner will have the burden Of proving he/she did not build or im- Duct-Under Ground Building Approved By Date Ke for the purpose of sale). / I� SLG 1, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By �1'\ Date �s se717 tra tors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct- Ventilating 0o-100,000 BTU 0100,000 BTU builds or improves thereon,and who contracts for such projects with a eon- SUMMARY FEES tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple❑ System Repair/Alteration BUILDING PERMIT $ Int-i9 SMTP $ )5 proof of their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT 0 I am exempt under`Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ Date _!_(1L/sL Owner Heating System&Ducting Registers PLAN CHECK 25% $ - ENERGY P.C. $ I hereby certif that I have read this application and state that the above 0o-100,000 BTU 0100,000BTl. ELECTRICAL $ GRADING S information is correct. I agree to comply with all city and county ordinances , and state laws relating to building construction,and hereby authorize repre- PLAN CHECK 50% $ MICROFILM $ sentatives of this city t e ler yeon the above-mentioned property for inspection purposes. / J J� / MECHANICAL $ /C/ Signature !.� I/ 1 Date �/� �� TOTAL FEE S C7b Cflei Drivers' License or SS$ Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% $ CMF 0865-46,rev. 10/84 white - Building; Canary'-Applicant; Pink -Accounting; Goldenrod - Assessor 01 00005343'00009344 1 0T 1064.6? CQNSTRUCTION AND,PLANNING POOL& SPA -APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1:Temporary Electiical'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 . etiv.1fo" 6 Iv ` 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. lI' 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 figs( GAL, 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 - r 19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT • - 20. Rough Factory Fireplace APPROVALS Permit# - - 21. Ducts, in Structure 70. Underground Hydro ' , 22. Ducts, Ventilating 71. Product Piping OGas Obi' 23. Gas Pipe-Rough & Test 72. Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas OOil• 25. Roof Sheathing /sly//gg Girl 4. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat / /�/��� 75. Dry Chemical ' 27. Frame and Flashing V1/ 7I7 �///hof 76. Dry Standpipe 28. Lathing& Siding 47/4 •//�' I/r 77. FIXED SYSTEM FINAL ? 29. Insulation 3-1 r- r 78. FIRE PREV. FINAL • 30. Drywall Nailing 3 (�, /4HEALTH DEPT`. REQUIREMENT 31. Plaster Brown Coat (`7to t? A 70-' 79. FINAL INSPECTION - t 32. Electrical Power Meter-Final "` 80. FOOD CERTIFICATE ISSUED 33. Final Electric Notes: E°LD FOR CPQ(,' 34. Final Heating & Air Conditioning /y'/c/gg. D3< wIAL REQUIREMENTS c , 35. Final Gas Pipe-Test 36. Hood or Canopy f0q 4, Qr ff L / 4- . . 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final ' 40. Gas Service-Final i 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation • - 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations - 47. FINAL STRUCTURE & BUILDING //-2-57 48. Special Requirements Completed /iir3' 8I .1A6a, 49. Electric Release to Edison i, 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. PER T O. TRACT NO. LOT NO. UNIT NO. CIT,YOF COSTA MESA, CONSTRUCTION PERMIT , V.7 i / I A.P.# Zone ?reject Address .1573 V.-'den Ave SST W/ fr3�0 (�' SST S Main Building: Accessory Building: s Applicant's Mailing Address ISI— 44 pe. 1 / LC r y,/YI. TYPE OF CONSTRUCTION LJ NEW U ADD U ALTERATION U REPAIR E Main iti. Ly L / n ,rdn ❑ CONVERSION ❑ DEMOLISH ❑ OTHER ' TFOwner's Name !� Phone�afs—Q�$�J'� DESCRIPTION OF WORK/USE OF BLDG. I B Rear Address /8) -� ,Pe/ liarArch/Eng. License No. TYPE OF PERMIT LI GRADING I Li FOUNDATION U STRUCTURAL K Right Address ❑ TENANT ❑ ELECTRICAL l!'l PLUMBING ❑ MECHANICAL S Left�• /4, 1--/ h 'toil Phone• ❑ OTHER 'Ping. Ref.# Parking Req./Provided Contractor's Namr PROJECT DESCRIPTION 50. FT. OCCUPANCY Plannin Notes:Address(mailing) 9 CONSTRUCTION TYPEVALUATION$City License NO. �f� ZONE GRADING CU.YDS. ACRES LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: DE-/C /3/p5,5/2/JG!`L/ with section 7000) of Division 3 of the Business and Professions Code, and " 7 my license is in full force and effect. ELECTRICAL FEES License Class License No. Date Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS' COMPENSATION DECLARATION �a Construction Pole Sub • ❑ 50+ KW ly.ereby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink .Z Showers Q aSub. Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter pup to 100 amps .a00, Lab. C.10. (Y , • Policy No. - Company Backflow Irrigation Sewer Cap Dishwasher Meter Cover 100 amps .,, Certified Copy is hereby furnished. Y pr— Dryers ❑Gas :❑Electric Sub Panel - Certified co�iy is filed with the city Building Division. Bathtubs • Sewer Connection 3' Q _ Date Applicant Fan Motors 00-1 HP ❑1'h-B EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors ' (This section need.not be completed if the permit is for one hundred ($100) or ^ F.A.U. ' Ina Solar❑9-15 HP 016-15+less). Solar Piping I` � Dishwasher p g 4. W 1 certify that in the performance of the work for which this permit is Issued I - Fixtures shall not employ any person in any manner so as to pecome subject to the Drinking Fountains Solar Tank 'A Microwave Workers' ( n Laws of California. •7J DateT � SignatureC Floor Drains Swimming Pool w/SPa Device Boxes o• Pole Light NOTICE:I ,aft making this declaration,you should become subject to the Outlets Workers' CompensationRange provisions of the Labor'Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas ServiceDO Switches Sign I hereby of firm that there is a construction lending agency for the performance ��f` }Outlets fj Water Closet I D/p_ g of the work for which this permit is Issued (Section 3097 Civ. C.) Interceptors Water Heater r �D Garbage Disposal Standing Sections Lender's Name Lender's Address a Kitchen Sink Water Service 4. op Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the to Lavatories Auto-Wash Q ci.) _� �� following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays ' any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law (Chapter 9(commencing with Section 7000)of - ,eDivision 3 of the Business and Professions Code) or that he/she Is exempt Reinspection Feet $15 Issue Fee $ 3 o herefrOm and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil ••••• enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: I, as owner of the property or my employees with wages as their solo Reinspection Fee I $15 Issue Fee ' $ 3 -- compensation, will do the work, and the structure is not Intended or offered Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES. • Building Approved By Date License Law does not apply to an owner of a property who builds or Improves thereon, and who does such work himself/herself or through his or her own )� Application Issued By Dat e O 7�r� emBoiler Hood or ployees, provided that such Improvements are not Intended or offered forType 1 0 sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletlon, the owner will have the burden of proving he/she did not build or im- - Duct-Under Ground gye'sor the purpose of sale). , BUILDING PERMIT $ SMIP $ 171,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 06100,000 BTU 0100,000 BTU Jr PLUMBING $ t ISSUANCE $ builds or Improves thereon. and who contracts for such projects with a con- tractor(sl license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ •S— ENERGY P.C. $ proof o their Worker's Compensation insurance should be provided to me. ` ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBO# Fire Dampers ��/ '� PLAN CHECK 50% $ MICROFILM $ Date 18� Owner _�application Z-y/a Heating System& Ducting Registers • MECHANICAL $ •s-.‘-6 I hereby ertlly that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL TOTAL FEE $ O information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction,and hereby authorize repre- sentatives of this city to enter pen the above-mentioned pr per yo forfo9 Inspection pure gS�/ Date2. 3 a a Signature //'- Reinspection Fee $15 Issue Fee $ 3 Drivers' License or SS 01 00011300-00011301 TOT 85.50 0865-46,rev. 5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 08/04/88 TIME: 1230 ' 1CONSTRUCTION AND PLANNING • - -POG_ n SPA - a ,,, APPROVALS Permit# Date Inspector APPROVALS Permit / Date Inspector i ' 1. Temporary Electrical Service or Pole rayon('I, 52. Pool & Equipment Location �r... 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement t . Electrical Conduit Utility-Undrgrnd. 54. Forms .• • 4; Electrical Conduit-Undrgrnd. . 55. Electrical Bonding r' . r . 52 Steel'Reinforcement 56. Rough Plumbing & Pressure Test 57. APPROVAL TO COVER-GUNITE 6. Electrical UFER Grnd. 1.-. • 7:Eootings / I 58. Electrical Conduit-Undrgrnd. ' 8..Fouridation • .� ' }', 59. Gas Pipe, 0 Undrgrnd., Test :` ,. 9; Water Pipe-Undrgrnd. ' €/Arfe'f 60. Backwash Lines,.P-Trap, 0 Undrgrncl. . . , „c, 10.;Structural Floor Systems �'� 61. APPROVAL TO DECK A 11.'Property Sewer Line & House Connection .ii 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final ' 13. Roof Drains '64. Plumbing System - Final • 14. Rnugh Plumbing ,r/!1/jt,-/In 65. Electrical-Final 15. Rough Electrical-Conduit r ( 66. Solar System-Final 16_ Rough Electric Wiring 67. Fencing & Access Approval . X17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18_ Rough Electrical-T.Bar Ceiling 69. POOL/SPA SYSTEMS FINAL ' i19'. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 49 21. Ducts, in Structure ,.' 70. Underground Hydro r 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil ' n. 23. Gas Pipe-Rough & Test rt, �t/��/fY �° 72. ,l�nderground Flush 29. Roof Framing Cr 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing i 74. Overhead Hydro r' 26. T-Bar Ceiling (Structural) &.Monocoat 75. Dry Chemical ' 27. Frame and Flashing 2 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 n1 93 a- 80. I;.00D CERTIFICATE ISSUED� ,j /��{/-//.�e7-�/� 33. Final Electric .� ', •� Notes:,,/ 2 P, F�/'�% L �t"d'-e L ` , 34. Final Heating& Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing d ' /" �1 39. Water Service-Final 7 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer . '} 43. Backflow Irrigation e, ts 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 r'l 51. CERTIFICATE OF OCCUPANCY ' - i C No. Date t`' . • Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY Of COSTA MESA . CONSTRUCTION PERMIT PER N TRACT NO. LOT NO. UNIT NO. A P # Zone Proje'ct Address r 5-7� FLD6' ,f'FI�F 7 3 y� 306 S T j ' 1�/� Ail f'i1/ U U U S Main Building: Accessory Building: -Applicant's Mailing Address I 13 I-- 1-h DEL MA-R C.M M. TYPE OF CONSTRUCTION L� rvEW ADD ALTERATION REPAIR �' / Ir L ` LIs ggej5' ❑ CONVERSION ❑ DEMOLISH El OTHER : T Front O Owner's Name 'r�V &I 7d/U Phpn� DESCRIPTION OF WORK/USE OF BLDG. I A Rear - N Address /$1" A DE.L klAR c2,M- N Arch/Eng. License No. TYPE OF PERMIT U GRADING ID FOUNDATION U STRUCTURAL I C Right G Address � LiTENANT ❑ ELECTRICAL ❑ PLUMBING El MECHANICAL s Left R Contractor's Name D/Il Phone ElOTHER 'Ping. Ref.# Parking Req./Provided E Address(mailing) PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: M CONSTRUCTION TYPE VALUATION $ T City License No. ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION 1 I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: B JA '�.LI 53141.4. 8'2-4 1734) .7e t with section 7000) of Division 3 of the Business and Professions Code,and JELECTRICAL FEES my license is in full force and effect. License Class License No. Date Signature PLUMBING I FEES Automatic Washer Transformer 0 15.50 KW '"'ORKERS'COMPENSATION DECLARATION Pole Sub. 0 50+ KW rreby affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter pup to 100 amps Polio, Lab. C.) Dishwasher Meter Dover 100 amps 8 Policy No. Company Backflow Irrigation Sewer Cap Certified copy is hereby furnished. Dryers ❑Gas ❑Electkic Sub Panel Certified copy Is filed with the city Building Division. Bathtubs a. Sewer Connection /0 OO Date Applicant - Fan Motors 00-1 HP ❑1'h-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors - (This section need not be completed if the permit is for one hundred ($100)or - Dishwasher Solar Piping F.A.U. less). - Inc.Solar 09-15 HP 016-15+ - I certify that in the performance of the work for which this permit is issued, IFixtures Microwave shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Workers' Com ensati99 laws of Califerrr}lst���� p ,.z�— Date 1— J-x7 Signature l3.1 LC) .�S L-')L(/�t Device Boxes , . Pole Light /d( Floor Drains Swimming Pool w/Spa g NOTICE:Compensation, per moo ng this ions rofi the you sr Code,become subject h ite Outlets Range comply withsuch provisions ofthis permittr eou deemedet forthwith Floor Sinks Urinal CONST such provisionsNor this shall be revoked. CONSTRUCTION LENDING AGENCYGas Service Outlets Water Closet Switches Sign I hereby affirm that there is a construction lending agency for the performance _ . of the work for which this permit is issued (Section 3097 Civ. C.) Garbage Disposal Standing Sections Lender's Name. Interceptors Water Heater Lender's Address _ Kitchen Sink Water Service (fi p„` Generator 00.5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or - county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000) of livision 3 of the Business and Professions Code) or that he/she Is exempt Reinspection Fee $15 Issue Fee $ 3 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 enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: LJ I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue $ 3 Fee Zoning Approved By Date compensation, will do the work,and the structure is not intended or offered a for salese (Section Business and f aProfessional Code: The Contractor'smeMECHANICAL FEES Building Approved By Date License law does not apply to es owner of a property who builds or Improves - - _- -- thereon, and who does such work himself/herself or through his or her own . Application Issued By Date employees, provided that such improvements are not Intended or offered for Boiler Hood or Type I 0 sale. If, however, the building or improvement is sold within one year of corn- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground rove for the purpose of sale). - BUILDING PERMIT $ SMIP $ I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00.100,000 BTU 0100,000 BTU PLUMBING $ /7. 00 ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ I am exempt under Section _ B.& P.C.for this reason Firepl/Fact.BIL. ICBG# Fire Dampers PLAN CHECK 50% $ MICROFILM $ Date owner LU L/N d A/ Heating System& Ducting Registers p p 7 MECHANICAL $ TOTAL FEE $ 7• I hereby certify th t I have read this application and state that the above 00-100,000 BTU 0100,000 BTL PLAN CHECK 25% $ Information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize repre- - sentatives of this city to enter upon the above-mentioned property for inspection purpo ''//.. gyp` .,,,{._ '1 /-3/-Sy Drivers' y LVr ill I Date / - 01 00025445-00025445 TOT 17.00 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor DATE: 01/31/89 TIM: 16:22 CONSTRUCTION AND PLANNING POI 4 SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector 1. Temporary Electrical Service or Pole i 52. Pool & Equipment Location i 2. Soil Pipe-Undrgrnd. � 53. Steel Reinforcement ., 3: Electrical Conduit Utility-Undrgrnd. ;4' 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding " 5.1iSteel•Reinforcement 56. Rough Plumbing & Pressure Test .i di 6a Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE Jr 7.17 Footings i 12 58. Electrical Conduit-Undrgrnd. t-'1 1:. ^. 8!;Founda[ion -i 59. Gas Pipe, 0 Undrgrnd.,Test �{ 9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10�Structural Floor System '., 61. APPROVAL TO DECK 11,Property Sewer Line & House Connection o%/ r S 62. Backwash & Receptor-Final `1 12. Sewer Cap �j/ ( r li 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 i.. "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 4. 20. Rough Factory Fireplace I APPROVALS Permit# ....- 21. 21. Ducts, in Structure Y< 70. Underground Hydro 22. _Ducts, Ventilating .17 71. Product Piping 0 Gas 0 Oil 23./Gas Pipe-Rough & Test i� 1- 72. Underground Flush 24. Roof Framing ..- 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing C' - 74. Overhead Hydro . 26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical 27. Frame and Flashing • _ 76. Dry Standpipe 28. Lathing& Siding -I) 77. FIXED SYSTEM FINAL 29. Insulation 78. FIRE PREY. FINAL • 30. Drywall Nailing 'r HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - 79. FINAL INSPECTION . 32. Electrical Power Meter-Final 80. FOOD CERTIFICATE ISSUED 33. Final Electric r 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 ,1/47i,a 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 44. Landscape Irrigation System , 45. Sound Attenuation 46. Handicap Regulations t 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 " t No, Date i Applicant to fill In all spaces except those within heavy border lines and sign all appropriate declarations. • CITY OF COSTA-sM�ESA• C TRU TION PERMIT PER IT NO.-7 TRACT NO. LOT NO. UNNIIT NO. Project Address 1.512- ��/� A-ie. C.m T / aq ,,,.j `/�T Applicant's Mailing Address IQO� YOMOT�Q kit) SF TYPE OF CONSTRUCTION Il�P4.W ❑ ADD Li ALTERATION U REPAIR 3--4(ISIS- ❑ CONVERSION 0 DEMOLISH 0 OTHER A.P.#S - Zone Owner's Nam/e1 1-M� L �✓tp�(_�J�J� si / Phone.' �-II''1IJJ DESCRIPTION OF WORK/USE OF BLDG. Address I3I Wt rra /TIC- *1. ' Vr m - ES Main Building: Accessory Building:, Z Arch/Eng. License No. TYPE OF PERMIT 0 GRADING U FOUNDATION U STRUCTURAL T Front O Address gat 1 -! ✓ (H/l 0 TENANT 0 ELECTRICAL 0 PLUMBING MECHANICAL A Rear N Contractor's Name RICrn gaff- 4 M1 Phone & r48 rV 0 OTHER , ` C Right N Address(mailing) Igo S lb rnor1/4 A-ie 44- c .P, r nn ' PROJECT DESCRIPTION SQ. FT. OCCUPANCY K G 11 e�-• l .) CONSTRUCTION TYPE VALUATION S S Left City License No. O4 St It-- ZONE GRADING CU.YDS. ACRES E LICENSED CONTRACTOR DECLARATION Iy�s 1,,I ��. /// Ping. Ref.# Parking Req./Provided I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: Vl — 3g44 Qs,( Planning Notes: ryl with section 7000) of Division 3 of the Business and Professions Code, an q aV/ 1 ' a I T my license is in full force .n• effect. ^,t^ a Iq,/ $ License Class a• a _ e. 'P..„,..... l. 7 Date ) 4 re Signature ICF_ pn'e.g.� n, PLUMBING FEES WORKERS'COMPENSATION DECLARATION'I!/i !/ Bar Sink Showers ELECTRICAL FEES iereby affirm that I have a certificate of consent o self-Insure or a certificate Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink 4800, Lab. C.) Automatic Washer Transformer 0 15-50 KW Policy No. Company Backflow Irrigation Sewer Cap Construction Pole Sub. 0 50+KW 8 Certified copy is hereby furnished. Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter Dug)to 100 amps Date Applicant EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit is for one hundred($100)or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric Sub Panel I certify that in the performance of the work for which this permit is Ittsued I shall not employ any person In any m}Oner So�� to become subjec he Drinking Fountains Solar Tank Fan Motors 00-1 HP 0114-8 Worker qO t p on Laws of Calif Or�rya � — Date 1/"&"-i3 1 / Signature ,_ ---- �- u� Floor Drains Swimming Pool w/Spa F.A.U. Inc.Solar 0915 HP 01615+ _ NOTICE:If,after making this declaration,you should become subject to the - _ ' Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures Mier Wave • comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas'Service Outlets Cr Closet - Device Boxes I hereby affirm that there Is a construction lending agency for the performance ole Light of the work for which this permit Is Issued (Section 3097 Cly. C.) • Interceptors Water Heater Outlets - Lender% Name Range Lender's Address Kitchen Sink . Water Service Switches Sign OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or • 1 Garbage Disposal Standing Sections county which requires a permit to construct,alter,improve,demolish or repair P-Trap LaundryTrays any structure, prior to Its Issuance, also requires the applicant for such permit y Generator 00.5 KW 05.15 KW Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions-Code) or that he/she is exempt herefrom and the basis for the alleged exemption. Any violation of Section 1031.5 by any applicant for a permit subjects the applicant to a civil ' eenalty of not more than five hundred dollars($500). U I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered _ 1 Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES ' License Law does not apply to an owner of a property who builds or Improves thereon, and who does such work himself/herself or through his or her own Boiler DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such Improvements are not Intended or offered for Hood or Type 1 ❑ Zoning Approved By Date sale. If, however, the building or improvement Is sold within ono year of corn- Canopy Type II ❑ platten, the owner will have the burden of proving he/she dip not build or im- Duct-Under Ground Building Approved By ! ASi i Date prove for the purpose of sale). r�lr►1i�i��7/� O I,as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By � a` y- Dat tractors to construct the project (Section 7044,Business and Professions Code: Ass -The Contractor's License Law does not apply to an owner of property who 2- Duct-Ventilating 00.100,000 BTU 0100,000 BTU 1 00 SUMMARY OF FEE ' 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 0 System Repair/Alteration BUILDING PERMIT $ SMIP $ proof o/ their Worker's Compensation insurance should be provided to me. PLAN CHECK $ PERMIT O I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire DampersIII PLUMBING $ ERMITISSUANCE $ Date Owner Heating System& Ducting Registers PLAN CHECK 25% $ ENERGY P.C. S I hereby certify that I have read this application and state that the above 2100,000 BTU 0100,000 BTI, Pb ELECTRICAL $ GRADING $ information Is correct. I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize repre- - PLAN CHECK 50% $ MICROFILM S sentatives of this city to • -r upon he above-mentioned property for - Inspection p pot:-. / / q gr O , 00 Signature / I X ♦ /!. ..I Date `�/ -^ MECHANICAL $ J U TOTAL FEE $ �a Drivers' License or SS IP -•. -_- ` Reinspection Fee $15 Issue Fee SC CC PLAN CHECK 25% $ CMF 0865-46,rev. 10/84 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod -Assessor U1 UUU4425i3-UCUL4643 I ILSI G 42.U.! DATE: 01/23/2? TI5E: 13: ;6 CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit# Date Inspector APPROVALS Permit Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings 58. Electrical Conduit-Undrgrnd. 8. 'Foundation 59. Gas Pipe, 0 Undrgrnd.,Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK 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 r 67. Fencing & Access Approval 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning 47,4, 3" FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# _ 21. Ducts, in Structure 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas DOil 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 t/3,a /113°. 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. PERM N ��� • , TRACT NO. LOT NO. W.T CITY OF COSTA ESA .COLNST UCTWN�nPERMIT NI lU / U`•T A.P.qW Zone Project Address p� Ch -yy�eh 1l1�1-V�`p��.� �J� �f 1 I�J1 ♦♦♦♦♦♦) S Main Building: Accessory Building: Applicant's Mailin Address 4565 1Q� t4 1r Z4• )]1 Layw414/2. TYPE OF CONSTRUCTION I NEW U ADD U ALTERATION REPAIR E i /g ryI Phone b 4 '5 ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front Addre ss Name ��s1z / ace, q,),io 7 JJJ DESCRIPTION OF WORK/USE OF BLDG. i B Rear `'- Address / �1 I U STRUCTURAL C Right Arch/Eng. License No. TYPE OF PERMIT LI GRADING Li FOUNDATI K Address �{�{� Q-1 El TENANT ❑ ELECTRICAL ❑ PLUMBING MECHANICAL S Left Contractor's Nam:-.TIA.f-'�It7 C • C- F\Ca Phone? 3- #7 0 OTHER I Ping. Ref../b Parking Req./Provided �w A i • s PROJECT DESCRIPTION SQ.FT. OCCUPANCY Planning Notes: Address(mailing) � �. • vel aras63 lam CONSTRUCTION TYPE VALUATION City License No. ZONE GRADING CU.YDS. ACRES -•• LICENSED CONTRACTOR DECLARATION yy// q�7''1111 nn ,�II QQy'(����(rS``` {+f-1 NOV I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: Yl• 0L1 g4 a'!� I f1F t f N O` 3 I) 19S with section 7000) of Division 3 of the Business and Professions Code,a d Ills II _-11 O0�-77 1i�1i11��er' my license is in full •rce and effect. r17.••1�� ELECTRICAL FEES License Class • I I Lice No. O(�o' Automatic Washer Transformer 0 15.50 KW Date Signature �Apn.Ls ..-r C9 :r.,,. •—ecr PLUMBING FEES V. Bar COMPENSATION DECLARAT ON Bar Sink Showers Construction Pole Sub. 0 50+ KW hereby affirm that I have a certificate of consent to self-Insure or a certificate Workers' Compensation Insurance, or a certified copy there f (Section Cooking Unit Meter pup to 100 amps ri coo, Lab. C.)/—a I - [ Backflow Preventer Service Sink Policy No. '1/Q ‘,670 Company '1'� R'in7 f Backflow Irrigation Sewer Cap Dishwasher- Meter Dover 100 amps Certified copy is hereby furnished. Dryers ❑Gas DElectric Sub Panel er/(ified copy filed with the city/diltl D isi0 Chief Financial Of cal Bathtubs Sewer Connection Date (1 --s. Applicant) •• f{//W Fan EXEMPTION FROM WORKERS'COMPENSA7I ON DECLARATION Clarifiers Solar Collectors Motors❑0-1HP ❑1X-8 (This section need not be completed if the permit is for one hundred ($100) or F.A.U. Inc.Solar 09.15 HP 016-15+ less). Dishwasher Solar Piping -, I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Fixtures Microwave Workers' Compensation Laws of California. .- Date - Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE:If,after making this declaration, you should become subject to the e Outlets Ran Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal 9 comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY Gas Service Outlets Switches Sign Water Closet 9 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 005 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt Fee Reinspection herefrom and the basis for the alleged exemption. Any violation of Section P $15 Issue Fee $ 3 /031.5 by any applicant for a permit subjects the applicant to a civil enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: LII, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure Is not intended or offered Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own Application Issued By Date employees, provided that such improvements are not intended or offered for Boiler Hood or Type I El sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletlon, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground prove for the purpose of sale). BUILDING PERMIT $ SMIP $ ❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT y�p,a tractors to construct the project (Section 7044,Business and Professions Cede: r�J7 VV The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTU ISSUANCE $ builds or improves thereon.and who contracts for such oroiects with a con- tractor(s) license pursuant to me Contractor's License Law). I am aware thatPLAN CHECK 25% $ ENERGY P.C. $ of Exhaust System 0 Multiple 0 System Repair/Alteration proof their Worker's Compensation insurance should be provided to me. ❑ I am exempt under Section B.& P.C.for this reason a Firepl/Fact.Blt. ICBG#?J J Fire Dampers ab Do ELECTRICAL $ GRADING $ ' { W PLAN CHECK 50% $ MICROFILM $ Date Owner Heating System& Ducting Registers A's CO hereby certify that I have read this application and state that the above ❑0100,000 BTU 0100,000 BTL MECHANICAL TOTAL FEE $ a'T lel information is correct. I agree to comply with all city and county ordinances PLAN CHECK awes // and state laws relating to building construction, and hereby authorize repre- sentatives ?this pi�ty to enter upon the above-mentioned ropert for �-- ` inspection ytRposfYilaf Reinspection Fee $15 Issue Fee _.t�3- 01 00021259-00021259 TUT 41.00 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor 12/06/88 TIRE: 09:58 \- CONSTRUCTION AND PLANNING POO. SPA APPROVALS Permit# Date Inspector APPROVALS Permit# Date Inspector .1. Temporary Electrical Service or Pole 52. Pool & Equipment Location J 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement . 3.;Electrical Conduit Utility-Undrgrrid. 54. Forms 4.•Electrical Conduit-Undrgrnd. '' 55. Electrical Bonding '5. Steel Reinforcement. 56. Rough Plumbing & Pressure Test I ,6. Elec;tical OF ER •Grnd. 57. APPROVAL TO COVER-GUNITE r•' ,7:•Footingj - 58. Electrical Conduit-Undrgrnd. 8.•Foundation ' ' -• 59. Gas Pipe, E Undrgrnd., Test ,9.;Wa[er Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, ❑ 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. Rdofl 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 .i.2. Rough Wiring Sign 68. APPROVED FOR PLASTERING -18. Rough Electrical-I Bar Ceilirig 69. POOL/SPA SYSTEMS FINAL ,19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT '30. Rough Factory Fireplace //VII 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: 34. Final Heating & Air Conditioning 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace J$- ( C-tt 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final •� ,I 41. Solar Domestic-Final ' 1• , 42. Backflow Preventer 43. Backflow Irrigation • 1 44. Landscape Irrigation System - r 45. Sound Attenuation 46. Handicap Regulations 1; 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 j. No, Date ' Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PERMIT NO. TRACT NO. LOT NO. U IT N CITY OF COSTA MESA .CONST• �RfU�nCTION PERMIT .E 3 O �� A.P.# � zone Project Address G—�✓ • 1/ S Main Building: Accessory Building: Applicant's Mailinno Address tan.eSC W.-/0/7 - / TYPE OF CONSTRUCTION L7NEW U ADD U ALTERATION U REPAIR E Z Owner's Name C.titt.1-- D�� Phonc4V5-1 7S ❑ CONVERSION ❑ DEMOLISH ❑ OTHER i T Front _ N �7y/ — (T VJSZN4 et< DESCRIPTION OF WORK/USE OF BLDG. A Rear Address iiCC Arch/Eng. License No. TYPE OF PERMIT U GRADING ❑ FOUNDATION U STRUCTURAL i C RRight G Address {� (q{/ ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL s • Left R Tk. RIF-TT'P 1C: Phone�01S.Z( ❑ 'OTHER I Ping. Ref.# Parking Req./Provided Contractor's Name lli 3'Li / PROJECT DESCRIPTION SQ. FT. s�'/�jJ (.. N OCCUPANCY PlanningNotes: Address(mailing) a• w • •:•4/ M q 651- CONSTRUCTION TYPE VALUATIONS T City License No. ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: , j 3Y'!$Y with section 7000) of Division 3 of the Business and Professions Code,and O my license is in full forreond effect. tee/ Cr �, ELECTRICAL FEES License C ass C l!7 I •ns= o. - _e //� .i PLUMBING I FEES Automatic Washer Transformer 0 15.50 KW - Date : . Ignature �. WORKERS' COMPENSATION D'CLARATION Bar Sink Showers Construction Pole Sub. 0 50+ KW ereby affirm that I have a certi icate of consent to self-Insure or a certificate `' Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit /� Meter ❑up to 100 amps JO, Lab. fir) C3*-r_ Q- ,I {/� Policy No. (`�u 33 6 Company 7 'sC �/`^J Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps • A Certified copy is hereby fu nished. / Dryers ❑Gas ❑Electric Sub Panel Ceyt tietl copy' fp d with the city Bu Age isle Bathtubs Sewer Connection _ Date /t—1(I Applicant -' Li l _ _t- Fan EXEMPTION FROM ORKERS'CO NSATION DECLARATION Clarifiers Solar Collectors Motors❑0.1 HP 01%-8 (This section need not be completed If he permit is for one hundred($100)or • Dishwasher Solar Piping F.A.U. less). Inc.Solar 09.15 HP 016-15i I certify that in the performance of the work for which this permit Is issued I Fixtures 91:1-0- shall not employ any person In any manner so as to become subject to the Drinking Fountains Solar Tank Microwave iWorkers' Compensation Laws of California.I. _ Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE: if,after making this declaration, you should become subject to the Outlets Ran ¢ Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinalg comply with such provisions or this permit shall be deemed revoked. '\.. p CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet • Switches Sign V I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Clv. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor OWNER BUILDER DECLARATION . . , ^ 1 I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash '1 ' 1 I L{ G, following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,Improve,demolish or repair P-Trap Laundry Trays any structure, prior to its Issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions Of Roof Drains the Contractor's License Law(Chapter 9(commencing with Section 7000)of fr 'ivIsion 3 of the Business and Professions Code) or that he/she Is exempt Reinspection Fee $15 Issue Fee '.refrom and the basis for the alleged exemption. Any violation of Section • •31.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: U I, as owner of the property or my employees with wages as their solo Reinspection Fee I $15 Issue Fee $ 3 Zoning Approved By Date compensation, will do the work, and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By ` ,p- Date k —UPS Date. 1 y�LSU License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type I 0 ' Application Issued By `D employees, provided that such improvements are not intended or offered foryP sale. If, however, the building or Improvement is sold within one year of com- Canopy Type!! 0 SUMMARY OF FEES elation. the owner will have the burden of proving lie/she did not build Or Im- Duct-Under Ground - strove for the purpose of sale). - BUILDING PERMIT $ SMIP $ LJ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System _ PLAN CHECK $ PERMIT' tractors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating . ❑o-100,000 BTU 0100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon,and who contracts for such orolects with a con- ENERGY P.C. $ ' tractor(s) license pursuantrkr'sto tne Contractor'snLicense be provided aware that Exhaust System 0 Multiple 0 System Repair/Alteration PLAN CHECK 25% $ C. I a of their un Worker's Compensation Insurance should.& P.C.for this to me. ELECTRICAL $ GRADING $ 0 I am exempt under Section B.& . .for this reason Firepl/Fact.Blt. (CBO# Fire Dampers 61 MICROFILM $ PLAN CHECK $ Date - Owner Heating System& Ducting Registers MECHANICAL $ TOTAL FEE $ `J Q 13 I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000 BTL PLAN CHECK 25% information is correct. I agree to comply ith all city and county ordinances $ and state laws relating to building •nstr. tion, and hereby authorize repre- sentatives of t•Is ci, to -.er •on the above-mentioned property f Inspection pu,.aes f / /01 '" Signature Date -I/ f) O Reinspection Fee $15 Issue Fee $ 3 01 00019321—(]0019322 TOT 158.33 Drivers' Li -nse or ss 9f Pink -Accounting; Goldenrod - Assessor DATE: 11/10/88 TIME: 15:58 CONSTRUCTION AND PLANNING POI SPA APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector • 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location - 2. Soil Pipe-Undrgrnd. tt ' •`j 53. Steel Reinforcement 31 Electrical Conduit U-tiliiy-Undrgrnd. 54. Forms y4: Electrical Conduit-Und-rgrnd. ! City of Costa Mesa Development Services Department CERTIFICATE OF OCCUPANCY No. o(F3 v32 Building Safety Division P.0.Box 1200 . Costa Mesa,California The Building located at_ 2572 Elden Avenue, Units U & V has been inspected and found to comply with the provisions of all City of Costa Mesa Ordinances applicable thereto fora Group RZ Occupancy. Use of Building Conrlpmfninms Legal Description 43Q-161-18, 19,20 (See reverse side for Metes and Bounds/ Building Permit No la ARS Electrical Permit No. E 36161 Plumbing Permit No P34762,P37345 Mechanical Permit No. M 36575, M 37241 Number of apartments 19 and/or guest rooms ISSUED TO: Building Official Ckorae E&niston T. H. Linton 189 Dal Mac, Unit H by tfoata Rasa, CO 92627 Date AtnwnmPy r IS. 19E19 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 CONSTRUCTION PERMI1 a 1/ PERMIT4-4 8 TRACT NO. LOT i O. UNITNO. / oject Address 2S EL,9L---Ad U • v Applicant's Mailing Address/ /rrl/`H lJb7 f7fJ/( C • Lq -TYPE OF CONSTRUCTION• U NEW U ADO U ALTERATION U REPAIR r -Z. /'r ' LLNTO Ad ` -Phone aS'9YSS IE CONVERSION CI DEMOLISH El OTHER A,P•# 4 /39 )/ - ' - 'i , 19. ] /Y Zone 2, Owner's Name :DESCRIPTION OF WORK/USE OF BLDG. i Wrr^+ Address AP/// O/=L /9f7/C c_,,-7, .: S Main Building: Accessory Building: 'Arch,E crne,r ht&---S- at. y Z / License No. TYPE OF PERMIT CI ❑ FOUNDATION El E Frontl a O r 0 Address 220 AJtuuPe4T CLZi/TC"X 7e L'S • `❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear IN Contractor's Name ..,5 Phone CI OTHER • �{"P �` 10/ V PROJECT'DESCRIPTION SQ. FT. s,�321 L OCCUPANCY 12_-3C Right a�1 G I IJI Address(mailing) CONSTRUCTION TYPE v "' VALUATION$ Zf l I JO/^ S Left 5 City License No. - --ZONE • GRADING CU.YDS. ACRES /'' /I'�¢ R LICENSED CONTRACTOR DECLARATION - _ Ping. Ref.# 02-g7 -L'g Parking Req./Provided L48 YC.J E I hereby affirm that I am licensed under provisions of Charter 9 (commencing • • Remarks: r _ {�(,� Q PlanningNotes: q 11 y,''}��/} (,('jyt/��\ Q with section 7000) of Division 3 of the Business and Professions Cotle, ar?tl. ��I C. -L-��S (O U t` 03 f M I I n�'Q-t `„^" -" --A M my license is In full force and effect. . • ' / 1 License Class License No. ' --2- 9 t P'Q' �fi 'I�•'I — BOLD FOR SPECIAL REQUIREMENTS S Date Signature • - PLUMBING FEES i. WORKERS'COMPENSATION DECLARATION — ' Showers .. I hereby affirm that I have a certificate of consent to self-insure or a certificate gar Sink1 ELECTRICAL FEES -f Workers' Compensation Insurance, or a certified copy thereof (Section Backflow'Preventer Service Sink . B00, Lab. C.) Automatic Washer Transformer 0 15-50 KW Policy No. Company - -Backflow Irrigation Sewer Cap0 50+KW Construction Pole Sub. Certified copy is hereby furnished. Certified copy is filed with the city Building Division., , ' r' i • Bathtubs $¢wef Connection Cooking Unit Meter Cup to 100 amps Date Applicant it , y EXEMPTION FROM WORKERS'COMPENSATION DECLARATION' • • ' O Glarif i¢rs Solar Collectors Dishwasher Meter Dover 100 amps (This section need not be completed if the permit Is for one hundred ($100)or less). Dishwasher Solar Piping Dryers ❑Gas DElectric Sub Panel I certify that in the performance of the work for which this permit is issued;I shall not-employ any person in any manner so as to become subject to the 'Drinking Fountains Solar Tank Fan Motors❑O-1 HP O11A-8 Workers'8rpen ipn Laws of Califo i3.,/c/ tet+ — Date /(/ Y Signature /Y�i--� - '. . - Floor Drains - Swimming Pool w/Spa F.A.U. Inc.Solar 09-15 HP 016-15+ NOTICE: f,of r making this declaration, you should•become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Fixtures comply with such provisions or this permit shall be deemed revoked. Microwave CONSTRUCTION LENDING AGENCY Gas Service , Outlets • ' WaterCloset Device Boxes I hereby affirm that there is a construction lending agency for the performance - .5 • - Pole Light - of the work for.which this permit is issued (Section 3097 Civ. C.) .. . . •'" Interceptors - Water-Heater Outlets Range Lender's Name _ - _ . Lender's Address • ' Kitchen Sink - Water,Service S- - witches Sign OWNER BUILDER DECLARATION _ .- I hereby affirm that 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 any structure, prior-to its issuance, also requires the applicant for such permit P-Trap • .�, Laundry Trays Generator ❑0-5 KW ❑5-1.5 KW Trash Compactor to file a signed statement that he/she is licensed pursuant to the provisions of ROOF Drains - the Contractor's License Law (Chapter 9 (commencing with Section 7000)of - - - Division 3 of the,.Business and Professions Code) or that he/she is exempt therefrom 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). $ 3 C I, as owner of the property or my employees with wages as their sole Reinspection Fee $15 Issue Fee compensation, will do the work, and the structure is not intended or offered - Reinspection Fee I $15 Issue Fee $ 3 ' for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own DEVELOPMENT SERVICES REQUIREMENTS: employees, provided that such improvements are not intended or offered for Boiler Hood or Type I 0 /r 88sale. If, however, the building or improvement Is sold within one year of corn- Canopy Type II 0 Zoning Approved By - ate pletion, the owner will have the burden of proving he/she did not build or im- Duct- Under GroundBuilding Approved By Date r ve for the purpose of sale). �1�'q �,Qa I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By Date / ! C ]l tra tors to construct the project (Section 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who - Duct-Ventilating 00-100,000 BTU ❑100,000 BTU SUMMA Y44 FEES builds or improves thereon, and who contracts for such projects with a con- 6 tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration BUI LDING PERMIT $ IC7 SMIP $ /S — proof of their Worker's compensation insurance should be provided to me. _ PLAN CHECK $ PERMIT 0 I am exempt under Section B.& P. C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLUMBING $ ISSUANCE $ I Date 3�iz s Owner �CGA Heating System 8i Ducting Registers 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 0111 and state laws relating to building construction, and hereby authorize repro- .' PLAN CHECK 50% $ MICROFILM $ sentatives of this city to enter upon the above-mentioned property for inspection purposes ✓� „/ /_ MECHANICAL $ TOTAL FEE $ Iocy gner �• Dated/ AC- • $ Drivers' License or SS# _/ Reinspection Fee $15 Issue Fee $ 3 PLAN CHECK 25% CMF 0865-46,rev. 10/84 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor 01 00009.341-00!1(393+2 TOT 1064,6? 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. g�75/gi 4 ,LIT 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, ❑ Undrgrnd.,Test 9. Water Pipe-Undrgrnd. f 60. Backwash Lines, P-Trap, O Undrgrnd. 10. Structural Floor System 41-7/8S'( �j: • /V • 61. APPROVAL TO DECK 11. Property Sewer Line & House Connection '�WW 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 0 Gas ❑Ail 23. Gas Pipe-Rough & Test 72. Underground Flush • 24. Roof Framing 73. Undergrnd.Storage Tank•,O Gas 0 Oil 25. Roof Sheathing OJ/;J)g7 &I✓/ L 74. Overhead Hydro 26. T-Bar Ceiling (Structural) & Monocoat /// 75. Dry Chemical ,. & - • 27. Frame and Flashing OVA'? //{, 76. Dry Standpipe 28. Lathing & Siding (yll �9 77. FIXED SYSTEM FINAL - 29. Insulation 3110 DI u I 78. FIRE PREV. FINAL 30. Drywall Nailing HEALTH DEPT.:REQUIREMENT . 1 31. Plaster Brown Coat -5/6/0 79. FINAL INSPECTION .:' . 32. Electrical Power Meter-Final 80. FOODG78Ti1 KATE ISSU D 33. Final Electric Notes: MD EQR SPECIAL REQUIlRCM NTS 34. Final Heating & Air Conditioning 41 ; i ,oX Fels 5• ,50 6 Sr�� L ,� ro 35. Final Gas Pipe-Test /A- /s /f. O /__�v� 7 • wd - „,��.� soil 36. Hood or Canopy w. PDQ n s -))0. n. 37. Final Factory Fireplace (It9[n5 OIC 0-t tiA9 7 -d--- - 38. Final Plumbing 1 KI 1�LL� �q 7�fV(it77a+v a 1c. ?air, t '��i 39. Water Service-Final 40. Gas Service-Final 40494, , �CC771.�4 / �7[< 4 77 G ,41. Solar Domestic-Final •42. Backflow Preventer • X43. Backflow Irrigation ; 44. Landscape Irrigation System ' '45,Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING // rn '�O7/J/•� 48. Special Requirements Completed I(,:,,L4 .Bat t `u . 49. Electric Release to Edison t_ 50. Gas Release to Southern California Gas Co _! . ; f 51. CERTIFICATE OF OCCUPANCY I . No._ Date _ '/ Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PER T N . TRACT NO. LOT NO. UNIT NO, CITY OF COSTA MESA CONSTRUCTION PERMIT �/ 7 A.P.# Zone Niziha57a Eiden Au 7 a /306"7 / U q �/ olect Address. R V i Y S Main Building: I Accessory Building: I s I- H Pel MQ r C,al, TYPE OF CONSTRUCTION (e--NEW ❑ ADD U ALTERATION U REPAIR E Front Z Owner's Na Mailing Address ❑ CONVERSION III DEMOLISH ❑ OTHER T _- 0 Owner's Name =• /'�'• e-/ ion Phone - 5� DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address ir�7—Ai be/ ina Arch/Eng. License No. TYPE OF PERMIT El GRADING U FOUNDATION CI STRUCTURAL I C Right N ay G Address EDCIr TENANT ELECTRICAL PLUMBING ❑ MECHANICAL S• Left R Contractor's Name T• t4• / +'1 -fon Phone ❑ OTHER i Ping. Ref.# Parking Req./Provided E PROJECT DESCRIPTION SQ. FT- OCCUPANCY Q Address(mailing) Planning Notes: M Ole CONSTRUCTION TYPE VALUATION$ T City License No. • Q ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLAR TIe ON I hereby affirm that I am licensed under provisions of Charter 9 (commencing 'RE ��� Ala 3v(' 8S with section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. • ELECTRICAL FEES License Class License No. Date Signature PLUMBING I FEES Automatic Washer Transformer 0 15-50 KW • WORKERS'COMPENSATION DECLARATION T COnstruCtion Pole$ub. ❑ 50+ KW I hereby affirm that I have a certificate of consent to self-insure or a certificate o� Bar Sink oZ -Showera o - ,f Workers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps 800, Lab. C.) T Dishwasher Meter Dover 100 amps Policy No. Company Backf low Irrigation Sewer Cap - — 8 Certified copy-is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel Certified copy is filed with the city Building Division. �- Bathtubs Sewer Connection g (/v Date Applicant • FanMotors❑o-1 HP ❑1A--8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors - (Thissection need not be completed if the permit Is for one hundred ($100) or �(• 0° F.A.U. Inc.Solar 09-75 HP 016-15+ less). - • .7 Dishwasher Solar Piping 7 , I certify.that in the performance of the work for which this permit is issued I Fixtures - Mall not employ any person in any manner o to atom¢ ubject to the Drinking Fountains Solar Tank Microwave Workers'7, Laws of California. Date X- g ,r(X Signature - Floor Drains • Swimming Pool w/Spa Device Boxes .- Pole Light NOTICE( If, iter making this declaration,you should become subject to the Outlets Range Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY a Gas Service /7-Outlets 6 Water Closet /Q, 01) Switches Sign I hereby affirm that there is a construction lending agency for the performance as of the .work for which this permit is issued (Section 3097 Civ. C.) _ - jj Garbage Disposal Standing Sections Lender's Name Interceptors Water Heater Lender's Address �L' Kitchen Sink Water Service .0"h ^ Generator 00-5 KW 105-15 KW Trash Compactor OWNER BUILDER DECLARATION - I hereby affirm that I am exempt from the Contractor's License Law for the /O Lavatories Auto-Wash ' following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays , any structure, prior to its issuance, also requires the applicant for such permit • to file a signed statement,that he/she is licensed pursuant to the provisions of Roof Drains the Contractor's License Law(Chapter 9(commenting with Section 7000)of /...Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee $ 3 therefrom and the basis forthe 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). $ 3 DEVELOPMENT SERVICES REQUIREMENTS: (J I, as owner of the property or my employees with wages as their sole Reinspection Fee I $15 • Issue Fee •,, Zoning Approved By Date compensation, will do the work,and the structure is not intended or offered for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES •''J Building Approved By Date License Law does not apply to an owner of a property who builds or improves _ _. _ _ —__ -__ 81i I thereon, and who does such work himself/herself or through his or her own Boiler Hood or Type 0 Application Issued By Date 7 igir employees, provided that such improvements are not intended or offered for /•, sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES plelion, the owner will have the burden of proving he/she did not build or Im- Duct-Under Ground pro for the purpose of sale). - - BUILDING PERMIT $ • SMIP $ IM'I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System 1 PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: - /' The Contractor's License Law does not apply to an owner of property who Duct-Ventilating • Off-100,000 BTU 0100,000 BTU ri PLUMBING $ �T-0 6 ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- / S() ENERGY P.C. $ tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System 0 Multiple 0 System Repair/Alteration I PLAN CHECK 25% $ /ts' proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Bit. ICBG# Fire Dampers PLAN CHECK 50% $ MICROFILM $ DateOwner Heating System& Ducting Registers MECHANICAL $ &�5�0 I hereby certify that I have read this application and state that the above 00-100,000 BTU D100,000137 TOTAL FEE $ Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ • and state laws relating to building construction,and hereby authorize repre- - sentatives of this city to enter upo the above-mentioned property for ' Inspection purposes. ' e � / g/5%Dt •r Signature sA( Date /J • Drivers' License or SS - Applicant; Pink - Accounting; Goldenrod - Assessor DATE: 08/04/83 TIME: 12:30 I IINSTRUCTION POOL u SPANSTRUCTION AND PLANNING 9 Date Inspector - Date Inspector y�APPROVALS Permit# APPROVALS Permit # 1. Temporary Electrical Service or Pole 'I 52. Pool & Equipment Location : 2. Soil Pipe-Undrgrnd. 1/j7/Ft l 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. r 54. Forms 4: Electrical Conduit-Undrgrnd. 55. Electrical Bonding • 5: Steel'Reinforcement 56. Rough Plumbing & Pressure Test 1 6: Electrical UFER Grnd.1 57. APPROVAL TO COVER-GUNITE 1' 1 1 . 7. Footings ,1 r 58. Electrical Conduit-Undrgrnd. .1 , 8. Foundation .' ��'�.,Alt 59. Gas Pipe, 0 Undrgrnd.,Test •• A. • 9. Water Pipe-Undrgrnd. 01/0- vf�` % 60. Backwash Lines,P-Trap, 0 Undrgrnd. 10. Structural Floor System . 61. APPROVAL TO DECKr _ 11. Property Sewer Line-& House ConnectionIt 62. Backwash & Receptor-Final 12.,Sewer Cap. . . . ' 63. Heater & Vent-Final ., 13: Roof Drains - 64. Plumbing System - Final ..14. Rough Plumbing Ora, O 65. Electrical-Final - t •e 15. Rough Electrical-Conduit .� 66. Solar System-Final 16.-Rough Electric Wiring 67. Fencing & Access Approval '-17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 48. Rough Electrical-T Bar Ceilii g 69. POOL/SPA SYSTEMS FINAL 9, Rough Heating.& Air Conditioning FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# 21. Ducts, in Structure 70. Underground Hydro . 22. Ducts, Ventilating •1 71. Product Piping 0 Gas 0 Oil , 23.r'Gas Pipe-Rough & Test , fo'// --/.%'/1/ 7,2. .Underground Flush 24. Roof Framing 73. Undergrnd.Storage Tank 0 Gas 0 Oil '25. Roof Sheathing - - 74. Overhead Hydro ' I. 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 : � 1.- 80'.. FOOp•,cERTIFICAT E ISSUED Cr 33. Final Electric rNotesJ01l/ :2-Cri TAY' -)7( 34. Final Heating& Air Conditioning �O 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing0/41 /fEC 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final 42. Backf low Preventer • -I ../.. a 43. Backflow Irrigation J.-) 44. Landscape Irrigation System 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING - 48. Special Requirements Completed • 49. Electric Release to Edison 1 I 50. Gas Release to Southern California Gas Co •r: fel 51. CERTIFICATE OF OCCUPANCY ;, No. Date Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PER I N TRACT NO. LOT NO. UNIT NO. CITY QP COSTA MESA CONSTRUCTION PERMIT 3 7 •2 C/ / 3067 i U V A.P.# I Zone Project Address - rary 7 L.1.)E-Al 4-Vti n ..7 S Main Building: Accessory Building: Applicant's Mailing Address 1811.- 14 DEL A4A R C, �/r TYPE OF CONSTRUCTION 11‘..-NEW U ADD H ALTERATION U REPAIR E Z �' Lt). L/f IPhone/as— ❑ CONVERSION ❑ DEMOLISH ❑ OTHER T Front o Owner's Name `'TPN DESCRIPTION OF WORK/USE OF BLDG. B Rear N Address / S I - H DEL MR DEi4. c/M, . A I Arch/Eng. License No. TYPE OF PERMIT U GRADING LJ FOUNDATION U STRUCTURAL 1 C Right N G Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL $ Left R Contractor's Name / 8 Phone ❑ OTHER Ping. Ref.# Parking Req./Provided E U Address(mailing) PROJECT DESCRIPTION SQ. FT. OCCUPANCY Planning Notes: M CON ST RUCTION TYPE - VALUATION$ T City License No. ZONE GRADING CU.YDS. ACRES S. LICENSED CONTRACTOR DECLARATION I hereby affirm that I em licensed under provisions of charter 9 (commencingRemarks: /P .# 1�L� S P 3 4 7 4: .2.. .� with section 7000) of Division 3 of the Business and Professions code, and J my license is in full force and effect. ELECTRICAL FEES License Class License No. Date _ Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARATION Construction Pole Sub. 0 50+KW I "'lob),affirm that I have a certificate of consent to self-insure or a certificate Bar Sink Showers lorkers' Compensation Insurance, or a certified copy thereof (SectionBackflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps ,, Lab. C.) - ' Policy No. Company Backflow Irrigation Sewer Cap Dishwasher Meter Dover 100 amps BCertified copy Is hereby furnished. Dryers ❑Gds ❑Electric �— Sub Panel Certified copy Is filed with the city Building Division. • Bathtubs P._ Sewer Connection 0 O Date Applicant , Fan Motors 00-1 HP 011/4-8 EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors (This section need not be completed if the permit is for one hundred ($100)or Dishwasher F.A.U. Inc.Solar 09-15 HP 016-15+ less). Solar Piping I certify that in the performance of the work for which this permit is issued I FixtUf¢s shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave Workers' Com ensation Laws of Californi ln•. Date Signature , U• Floor Drains Swimming Pool vv/Spa Device Boxes Pole Light NOTICE:If,after mak' g this declaration,You should become subject to the e Outlets Ran Workers' Compensation provisions Of the Labor Code, you must forthwith Floor Sinks Urinal g comply with such provisions or this permit shall be deemed revoked. Switches CONSTRUCTION LENDING AGENCY Gas Service Outlets Water Closet Sign I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Lender's Address Kitchen Sink 2• Water Service 4. 00 - Generator 00-5 KW 05.15 KW Trash Compactor OWNER BUILDER DECLARATION -_ - I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash following reason (Section 7031.5 Business and Professional Code: Any city or county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law (Chapter 9(commencing with Section 7000) of Dhvision 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee , $15 Issue Fee $ 3 '.8"from and the basis for the alleged exemption. Any violation of Section - , , ,+.5 by any applicant for a permit subjects the applicant to a civil .+ty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: t1Reinspection Fee $ 3 Zoning Approved By I, as owner of the property or my employees with wages as their sole Pa $15 Issue FeeDate compensation, will do the work, and the structure Is not ed or offered for sale (Section 7044, Business and Professional Code:: The The Contractor's MECHANICAL FEES • Building Approved By License Law does not apply to an owner of a property who builds or improves y/ ♦�� —Date thereon, and who does such work himself/herself or through his or her own Hood or Type I ❑ Application Issued By iL l3at employees, provided that such Improvements are not intended or offered for Boiler sale. If, however, the building or improvement is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build or lin- Duct-Under Ground prov r the purpose of sale). BUILDING PERMIT $ SMIP $ as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK $ PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 00-100,000 BTU 0100,000 BTUPLUMBING $ 11. 0 0 ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System El Multiple 0 System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ GRADING $ ❑ I am exempt under Section B.& P. for/ this reason Firepl/Fact.Blt.ICBG# Fire Dampers MICROFILM $ .T,W, 1 -y/V C3/V • - PLAN CHECK 50% $ Date '_/=_- __E-1.79.._._haowner Heating System& Ducting Registers MECHANICAL $ I hereby certify that I have read this application and state that the above El G100,000 BTU 0100,000 BTL TOTAL FEE $ Information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ and state laws relating to building construction,and hereby authorize repre- sentatives of this city to enter upon the above-mentioned property for Inspection purpose 'l ./-- - Signature 'Le• Reinspection Fee $15 Issue Fee $ 3 of 00025466-00025446 TOT j7,pp 0865-46,rev.5/88 White - Building; Canary - Applicant; Pink -Accounting; Goldenrod - Assessor DATE: D1/31/89 TinE• 16.22 CONSTRUCTION AND PLANNING POOL " SPA .APPROVALS Permit Date Inspector 'APPROVALS Pe,...lt# Date Inspector 1. Temporary Electrical Service or Pole I 52. Pool & Equipment Location 1 2. .Soil Pipe-Undrgrnd. -r 53. Steel Reinforcement • 3.•.Electrical Conduit Utility-Undrgrnd. 6" 54. Forms , .. 4.-Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5:Steel Reinforcement 56. Rough Plumbing & Pressure Test • 6. Electrical OF ER Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings -O , 58. Electrical Conduit-Undrgrnd. J 1 ! 87-Foundation _ 59. Gas Pipe, 0 Undrgrnd.,Test '' r 9,Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd. 10. Structural Floor System i 61. APPROVAL TO DECK • 11. PL petty Sewer Line & House Connection /7�A2)> 62. Backwash & Receptor-Final 12. Sewer Cap 7J 'i- 63. Heater & Vent-Final 13. Roof Drains - j 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 L17. 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# 121r. Ducts, in Structure it 70. Underground Hydro 22. Ducts, Ventilating 71. Product Piping 0 Gas 0 Oil 23. Gas Pipe-Rough & Test %' t 72. Underground Flush 24. Roof Framing wJ 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 4 76. Dry Standpipe 28. Lathing & Siding a 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: -��_ / -J9 /ISArs. ark?„, J`ertia )r Di�/ 34. Final Heating& Air Conditioning ATIX 35. Final Gas Pipe-Test 36. Hood or Canopy 37. Final Factory Fireplace 38. Final Plumbing 39. Water Service-Final Wile 40. Gas Service-Final !! �L 41. Solar Domestic-Final 42. Backflow Preventer 43. Backflow Irrigation 1 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 rte• Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. PE 7 NO. - TRACT NO. LOT NO. UNIT NO CITY OF COSTA ME�SA1 C_O,N-1STRUC ION PERMIT �"l� �S r� u `� A,R.# Zone Project Address ptii t -��s'1W��eyiln L ,�VL�-�-L 'T� '_ 1 J I tttZZZ111r {1 Y S Main Building: Accessory Building: Applicant's Mailin/9 Address f�4-x*zt s/QntYf 11th rh. f2I. �A1G.1 nehle_. TYPE OF CONSTRUCTION t NEW LI ADD U ALTERATION lJ REPAIR E Z Owner's Name l-,L,.L `fear 1 I- Phone t, Ar. ❑ CONVERSION ❑ DEMdLISH CI OTHER T Front Q lR-4 Del Mar) ko rn�i %ba� DESCRIPTION OF WORK/USE OF BLDG. I. A Rear N Address LJf Arch/Eng. License No. - _ TYPE OF PERMIT 0 GRADING ❑ FOUNDATION U STRUCTURAL ' C Right G Address 0 TENANT ❑ ELECTRICAL ❑ PLUMBING ISL MECHANICAL $' Left . R (j�-� �� ❑ OTHER )Pin Ref.# Parkin Contractor's Name,�1t DEFOyR1D'6 FIR1/411141226\131 E�P'LAC-EQ9��INCQ. Phone J___x.1.2 9- g Req./Provided E Address(mailing/45:6 I r lav1%'et\T iln lit L rr-- C ( crow) PROJECT DESCRIPTION SG. FT. OCCUPANCY 9 M �f U114\N .�f I� Planning Notes: �"�f _' CONSTRUCTION TYPE VALUATION$ City License No. Gb.s3 ZONE GRADING CU.YDS. ACRES - •l nld a f1 CnJsa T LICENSED CONTRACTOR DECLARATION 1 1.N•la c,civ nu 4 'l• EVNea $ I hereby affirm that I am licensed under provisions of Charter 9(commencing Remarks: 63yy&5 4 C with section 7000) of Division 3 of the Business and Professions Code,and V my license is in full force ast.d effect. ELECTRICAL FEES Ucen e Class � ^¢ei o'•" �� �%2aJ r Date iI-0^�v Signature PLUMBING FEES Automatic Washer Transformer 0 15-50 KW WORKERS'COMPENSATION DECLARAT NConstruction Pole Sub. • 0 50+KW I hereby affirm that I have a certificate of consent to self-Insure or a certificate Bar Sink Showers ` Workers' Compensation Insurance, or a certified copy thereof (Section Cooking Unit Meter ❑up to 100 amps (�(� 10, Lab. C.) �1 �+L\ rifled Backflow Preventer Service Sink t/ ,icy No. (CS Oto 11.--' Company �Ti,,Q. Backflow Irrigation Sewer Cap Di washer . Meter Dover 100 amps • Certified copy Is hereby furnished. 7 Dr rs Odes ❑Electric Sub Panel 67" Pied copy I filed with the city ilei iv ion.//n Bathtubs Sewer Connection Date 1'—%"7 bo Applicant / lLP Ch1ef 5ns"••aryl /Ina r Fan - Motors❑0-1 HP01%-8 EXEMPTION FROM WORKERS'COMPENSAT N DECLARATION Clarifiers Solar Collectors (This section need not be completed it the permit is for one hundred($100) or Dishwasher Solar Piping F.A U. Inc.Solar 09.15 HP ❑16-15+ les .I certify that in the performance of the work for which this permit is issued, I Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains . Solar Tank Microwave Workers' Compensation Law4 of California. Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE: If,after making this declaration, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal Outlets Range comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYSwitches Si n Gas Service Outlets Water Closet 9 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Clv. C.) Interceptors Water Heater Garbage Disposal Standing Sections Lender's Name Generator ❑0.5 KW D5-15 KW Trash Compactor Lender's Address Kitchen Sink Water Service OWNER BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash followingunte (Section t.t Businessnstruand Professional Cotle: Any cry ear county which requires a permit to construct,alter,improve, t olish or repair P—Trap Laundry Treys any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he/she Is licensed pursuant to the provisions of Roof Drains the Contractor's License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt Fee Reinspection therefrom and the basis for the alleged exemption. Any violation of Section P $15 Issue Fee $ 3 - `.5 by any applicant for a permit subjects the applicant to a civil ty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENTS: as owner of the property or my employees with wages as their sole Reinspection Fee I $15 Issue Fee $ 3 compensation, will do the work,and the structure is not Intended or offered Zoning Approved By Date for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES Building Approved By Date /, License Law does not apply to an owner of a property who builds or improves >s _ _ __ •/1 ) /� ('psi thereon, and who does such work himself/herself or through his or her own Application Issued By Date L/�,diO employees, provided that such improvements are not intended or offered for Boiler Hood or Type I ❑ sale. If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ SUMMARY OF FEES pletion, the owner will have the burden of proving he/she did not build Or im- Duct-Under Ground rove for the purpose of sale). BUILDING PERMIT $ SMIP $ U I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK S PERMIT tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑o-100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon. and who contracts for such oroiects with a con- tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System ❑ Multiple D System Repair/Alteration �_ PLAN CHECK 25% $ ENERGY P.C. $ proof oftheir Worker's Compensation Insurance should be provided to me. ^t ELECTRICAL $ GRADING $ 0 1 am exempt under Section B. &P.C.for this reason If' Firepl/Fact.Bit. ICBG#4314 a Fire Dampers •1 rot PLAN CHECK 50% $ MICROFILM $ Date owner Heating System& Ducting Registers MECHANICAL L I hereby certify that I have read this application and state that the above 0o-100,000 BTU 0100,000 BTL �\ TOTAL FEE $ 41•� information is correct. I agree to comply with all city and county ordinances PLAN CHECK 25% $ u0 and state laws relating to building construction, and hereby authorize repre- sentatives OJA1 th' city to a ter upon the above-mentioned roper Inspection P'IrP. / •_ DATE: 12/06(88 TIME: 0959 0865-46,rev. 5/88 White - Building; Canary -Applicant; Pink -Accounting; Goldenrod - Assessor _ .__—� CONSTRUCTION AND PLANNING POOL R °oA APPROVALS Permit Date Inspector APPROVALS Pen....# Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd. 53. Steel Reinforcement • 3. 'Electrical Conduit Utility-Undrgrnd. 54. Forms 4.•Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6. Electrical UFER-Grnd. 57. APPROVAL TO COVER-GUNITE 7. Footings, 58. Electrical Conduit-Undrgrnd. 8. Foundation 59. Gas Pipe, O 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 62. Backwash & Receptor-Final 12. Sewer Cap 63. Heater & Vent-Final • 13. Roof Drains • 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical-Final i' • 15. Rough Electrical-Conduit 66. Solar System-Final .1.6. Rough Electric Wiring 67. Fencing & Access Approval •'17r 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 ;} /1/4`47 ./A APPROVALS Permit# 21. Ducts, in Structure f��� 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 31r 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 icorto t02 38. Final Plumbing 39. Water Service-Final 40. Gas Service-Final 41. Solar Domestic-Final � •• 42. Backflow Preventer - l 43. Backflow Irrigation 44. Landscape Irrigation System -, 45. Sound Attenuation r 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co '�;I 51. CERTIFICATE OF OCCUPANCY • No. Date `4 3 ni-t( Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. CITY OF COSTA MESA ONSTRUCTION PERMIT (�/1�3R MIT O. /- TRACT NO. LOT NO. UNIT NO. . Project Address .�•71t %d/I�ey ep Cern u.w t{ 7 `*" ( Ct , I °U env. ki� TYPE OF CONSTRUCTION NEW LI • ADD LI ALTERATION LI REPAIR I Applicant's Mailing Address n lop /1Q ' 1. 5�.6 (� L� L ere Phone4S' 4SJ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER A.P.# - Zone Owner's Nam[Si• ``-- /� /'' DESCRIPTION OF WORK/USE OF BLDG. Address Sbemar r1 v& •0-P / C. m S Main Building: Accessory Building: Arch/Eng. License No. TYPE OF PERMIT ❑ GRADING U FOUNDATION LI STRUCTURAL E Front • ZO Address 1/ -- Litt, ��/�j.. (I, I �/ -❑ TENANT -❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL B Rear N !zest) k4.ea • 4-th r d>vS"in 0 El OTHER A - I Contractor's Name Phone 6 r - PROJECT DESCRIPTION SQ. FT. OCCUPANCY • C Right N Address(mailing) 'Cio ge Pe IMO cul Arlo r1'" 6 <•rn • K G /�4-cf I' — CONSTRUCTION TYPE VALUATION$ S Left R City License No. UT 11 � ZONE �.RADING CU.YDS. ACRES - LICENSED CONTRACTOR DECLARATION / Ping. Ref.# Parking Req./Provided E I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: w 3L{ 4Planning Notes: • M with section 7000) of Division 3 of the Business and Professions Code, an my license is iq./ull or e.nd effect. ^n as �y T (C-- Ga/ J 9 $ License ass L. : I N• Date / /����--' c r-_ -a PLUMBING - I -FEES �.�r Signature ./r WORKERS'COMPENSATION DECL• -ATION f/,/ 1/ Bar Sink Showers • I hereby affirm that I have a certificate of consen a self-insure or a certificate ELECTRICAL I FEES Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink • 00, Lab. C.) Automatic Washer Transformer 0 15.50 KW Policy No. - Company Backflow Irrigation Sewer Cap Construction Pole Sub. 050+KW - 8 Certified copy is hereby furnished. ' Certified copy is filed with the city Building Division. Bathtubs Sewer Connection Cooking Unit Meter ❑up to 100 amps Date Applicant ` EXEMPTION FROM WORKERS'COMPENSATION DECLARATION Clarifiers Solar Collectors Dishwasher Meter Dover 100 amps ' (This section need not be completed if the permit is for one hundred ($100)or less). Dishwasher Solar Piping Dryers ❑Gas ❑Electric S anel I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any m nner o as to me subjec to a Drinking Fountains Solar Tank Fan • Workers;gpremploy on Laws of Calif is Motors ❑0-1 HP ❑1`h-8 Date If L.'7/d / Signature An V L42i/ r .�V24 i Floor Drains S mming Pool w/Spa — F.A.U. NOTICE: If,after making this declaration, you should become subject to the Inc.Solar ❑g-15 HP 016-15+ - Workers' Compensation provisions of the Labor Code, you must forthwith Floor Sinks UrinalFixtures comply with such provisions or this permit shall be deemed revoked. /LY Microwave CONSTRUCTION LENDING AGENCY Gas Service Oullels Water CloSel / Device Boxes I hereby affirm that there is a construction lending agency for the performance fPole Light of the work for which this permit is issued (Section 3097 Civ. CJ Interceptors Water Heater j Outlets Rao e Lender's Name9 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 a) the Contractor's License Law(Chapter 9(commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he/she is exempt • "--refrom and the basis for the alleged exemption. Any violation of Section • - 1.5 by any applicant for a permit subjects the applica nt to a civil ' - - - ilty of not more than five hundred dollars($500). I, as owner of the property or my employees with wages as their sole Reinspection Fee I' $15 Issue Fee $ 3 compensation, will do the work,and the structure is not intended or offered — - Reinspection Fee I $15 Issue Fee $ 3 for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL FEES License Law does not apply to an owner of a property who builds or improves thereon, and who does such work himself/herself or through his or her own 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 corn- Canopy Type II ❑ Zoning Approved By '� /_ Date r '(4Date plelion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground prove for the purpose of sale). Building Approved By ' • ❑ I, as owner of the property,am exclusively contracting with licensed con- Duct-Structural Refrigeration System Application Issued By 1mar�V.� Dat tractors to construct the project (Section 7044,Business and Professions Code: The Contractor's License Law does not apply to an owner of property whoDuct-Ventilating ❑0-100,000 BTU ❑100,000 BTU q 00 • SUM ARV OF EES/ builds or Improves thereon, and who Contracts for such projects with a con-• / tractor(s) license pursuant to the Contractor's License Law). I am aware that Exhaust System El Multiple❑ System Repair/Alteration BUILDING PERMIT $ SMIP $ proof of their Worker's Compensation insurance should be provided to me. _ - PLAN CHECK $ PERMIT 0 I am exempt under Section B. & P.C.for this reason Firepl/Fact..BIt. ICBG# Fire Dampers • PLUMBING $ ISSUANCE $ Date Owner Heating System&Ducting Registers PLAN CHECK 25% $ ENERGY P.C. $ I hereby certify that I have read this application and state that the above 2,...1243-1-00,000 BTU 0100,000BTL 'Information Is correct. I agree to comply with all City and county ordinances limon ELECTRICAL $ GRADING $ and state laws relating to building construction,and hereby authorize repre- sentatives of this city to e upon the e-mentioned propertyf r � - Inspection pos . / /,8 Drivers' License or SSI - MECHANICAL S 71"�`0° TOTAL (�FEE $ / 1. co. Signature Pink -Accounting; Goldenrod - Assessor 01 U0024834-00024834 Yt_'a'f± DATE: 01/23/89 ririElrammi CONSTRUCTION AND PLANNING POOL& SPA APPROVALS Permit# APPROVALS Permit# 1. Temporary Electrical,Service or Pole 52. Pool & Equipment Location 2. Soil Pipe-Undrgrnd: Date Inspector 53. Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms Date Inspector 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding 5. Steel Reinforcement •• 56. Rough Plumbing & Pressure Test 6. Electrical UFER 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,'❑ 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-f Bar Ceiling . 69. POOL/SPA SYSTEMS FINAL 19. Rough Heating & Air Conditioning rt 1j,1�� ��,/. ' , .FIRE DEPT. REQUIREMENT 20. Rough Factory Fireplace APPROVALS Permit# _ • • 21. Ducts, in Structure 70. Underground Hydro 22. Ducts,'Ventilating ,71. Product Piping 0 Gas El 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 ISSUEb • •. 33. Final Electric Notes: 34. Final Heating & Air Conditioning t/rin / 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. . PERMIT NO. TRACT NO. LOT NO. UNIT NO. CITY OF COSTA MESA CONSTRUCTION PERMIT E 3(o I G ( Cl a- V A.P.# Zone Project Address ? ci ^�,sp EL bCry /&&s I �� y/ $ Main Building: Accessory Building: . Applicant's MailingAddress C� t. Ai�Cs 4..- TYPE OF CONSTRUCTION I\R r`1EW L I ADD LI ALTERATION LI REPAIR - / s� ❑ CONVERSION ❑ DEMOLISH ❑ OTHER - __ _ _ T Front 0 Owner's Name V°'L yDe- Phone6ysr"> DESCRIPTION OF WORK/USE OF BLDG. I B Rear • N Address / R/ '"" Ef I3&'L �< A' 1 Arch/Eng. License No. TYPE OF PERMIT El GRADING ❑ FOUNDATION ❑ STRUCTURAL C Right -• G Address ❑ TENANT ❑ ELECTRICAL ❑ PLUMBING ❑ MECHANICAL S• Left • --}}^^ �1�.,, �y r/ ❑ OTHER R 'Contractor's Name_Le_f—• r2��'C-� Phone 11245r4RIT '' �j,� 'Ping. Ref.# Parking Req./Provided E �+ PROJECT DESCRIPTION SQ. FT. 4-e '3'a•1 6 OCCUPANCY ' Q Address.I mailing) t/Cp3-7 E-cd1^/e L..0 mei"), �ri-laaw:j Planning Notes: ' M Y CONSTRUCTIONTYPE VALUATION T City License No. /G ZONE GRADI NG CU.YDS. ACRES 'LICENSED CONTRACTOR DECLARATION JJJ�1�fffs ��I C� S. I hereby affirm that I am licensed under provisions of Charter 9 (commencing Remarks: I , .3v !!! R 5 with section 7000) of Division 3 of the Business and Professions Code, and I (((/// .. my license is in full force and effect. //q•7�� ELECTRICAL FEES Lice/51.4T n N -/ 1 DateCC�J�sjj —49 ignature PLUMBING • I FEES Automatic Washer Transformer 0 15-50 KW • WORKERS'COMPENSATION D 'C LA RATIONBar Sink Showers Construction Pole Sub. 0 50+ KW 1 hereby affirm that I have a Corti irate of Consent to self-insure or a Certificate -"I Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit ,, Meter [pup to 100 amps 300, Lab. f 1� 16$•�3 6 �/ 7�R Cu1� Dishwasher Meter Dover 100 amps Policy No. Company Backflow Irrigation Sewer Cap BCertified copy Is hereby furnished. Dryers ❑Gas ❑Electric Sub Panel Cernieq Copy ' f d with the city B In Ivisio . Bathtubs Sewer Connection 1}3 Date !/ t[7 � Applicant fn/ - Fan ' J� EXEMPTION FROM WORKERS'CO ENSATION DECLARAT N ; Clarifiers Solar Collectors Motors[]0.1 HP ❑1X-8 (This section need not be completed I the permit Is for one hundred ($100) F.A.U.ornc.Solar 09-15 HP ❑16-15+ less). Dishwasher • Solar Piping AU I certify.that in the performance of the work for which this permit is issued, I -- Fixtures shall not employ any person in any manner so as to become subject to the Drinking Fountains Solar Tank Microwave 1 Workers: Compensation Laws of California. . 1 Date Signature Floor Drains Swimming Pool w/Spa Device Boxes Pole Light NOTICE: If,after making this declaration, you should become subject to the Outlets Range Compensation provisions of the Labor Code, you must forthwith Floor Sinks Urinal comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCYGSwitches Si ' as Service Outlets Water Closet .. n 9 I hereby affirm that there h permit lending agency for the performance C.)of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage DisposalStanding Sections Lender's Name - Lender's Address • Kitchen Sink Water Service Generator 00-5 KW 05.15 KW Trash Compactor OWNER BUILDER DECLARATION1 ^ I hereby affirm-that I am exempt from the Contractor's License Law for the Lavatories V, Auto-Wash A.J e-vf, I I 1 I C .C. following reason (Section 7031.5 Business and Professional Code: Any city or �l county which requires a permit to construct,alter,improve,demolish or repair P—Trap Laundry Trays ' any structure, prior to Its issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains t C the Contractor's License Law (Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee $15 Issue Fee -$1 '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 laity of not more than five hundred dollars ($500). . DEVELOPMENT SERVICES REQUIREMENTS: J I 3 I; as owner of the property or my employees with wages as their sole Reinspection,Fee $15 Issue Fee , - $ Zoning Approved By Date -compensation, will do the work,and the structure Is not intended or offered - for sale (Section 7044, Business and Professional Code: The Contractor's , MECHANICAL FEES Building Approved By Date • License•Law does not apply to an owner of a property who builds or improves C/TS • I I—f D Y[� thereon, and who does such work himself/herself or through his or her own, Boiler • Hood or Type I ❑ Application Issued By a /c Date L ��J1T employees, provided that such Improvements are not Intended or offered forVP . sale. If, however, the building or improvement Is sold within one year of com- Canopy Type II 0 SUMMARY OF FEES pietion, tile owner will'have the burden of proving he/she did not build or Im- Duct-Under Ground prove for the purpose of sale). - • BUILDING PERMIT $ SMIP $ 0 I. as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System PLAN CHECK • tractors to construct the project (Section 7044,Business and Professions Code: $ ' PERMIT The Contractor's License Law does not apply to an owner of property who Duct-Ventilating ❑0-100,000 BTU ❑100,000 BTU PLUMBING $ ISSUANCE $ builds or improves thereon.and who contracts for such oroiects with a cnn- tractor(s license pursuant to me Contractor's License Law). I am aware that Exhaust System ❑ Multiple ❑ System Repair/Alteration PLAN CHECK 25% $ ENERGY P.C. $ proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL ( $ Zg Leo GRADING $ ❑ 1 am exempt wider Section B. & P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers 6a1 MICROFILM $ PLAN CHECK $ 28 Date Owner Heating System& Ducting Registers • MECHANICAL $ TOTAL FEE $ 1 CB 33 I hereby certify that I have read this application and state that the above 00-100,000 BTU 0100,000BTL(� - ' information is correct. I agree to comply with all city and county ordinances I PLAN CHECK 25% $ and state laws relatin•'to building c•nst• ctlon, and hereby authorize repre- sentatives of t c to r •o the above-mentioned roperty ' Inspection pu se ��/ls Signature .. _ Pink -Accounting; Goldenrod - Assessor DATE: 11/10/88 TIME: 15:58 I -, -. CONSTRUCTION AND PLANNING POOH PA ' APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector 1. Temporary Electrical Service or Pole 52. Pool & Equipment Location .2. Soil Pipe- Undrgrnd. I i - 53. Steel Reinforcement . : 31 Electrical Conduit•Utility-Undrgrnd'. `,I r- 54. Forms 4.1 Electrical Conduit-U rgrnd. :" „ 55. Electrical Bonding ' 5.1 Steell Reinforcement ' .� - 56. Rough Plumbing & Pressure Test ' I.6.• Electrical UFER,Grnd.) .'' 57. APPROVAL TO COVER-GUNITE " ''• „7.1 Footings _ .-i j{ 58. Electrical Conduit-Undrgrnd. ,' 7 8)Foundation I ./7 59. Gas Pipe, 0 Undrgrnd.,Test -- 9! Water Pipe-Undrgrnd. ,- il 60. Backwash Lines, P-Trap, 0 Undrgrnd. , .� 10' SVuctural Floor System � 9 -'; .^i 61. APPROVAL TO DECK 11. Rrpperty Sewer Line & House Connection - 62. Backwash & Receptor-Final ti 12. Sewer Cap , , -: i n 63. Heater & Vent-Final 13.' Roof Drains .,� r '. 64. Plumbing System - Final 14. Rough Plumbing '.- - 65. Electrical-Final ! ' 15. Rough Electrical-Conduit / // 66. Solar System-Final .16. Rough Electric Wiring /"'F (((hhh^' 67. Fencing & Access Approval 17. Rough Wiring Sign , C 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 -r 23..'Gas Pipe-Rough&,Test ; 72. Underground Flush . 24. Roof Framing I,}( 73. Undergrnd.Storage Tank 0 Gas 0 Oil 25. Roof Sheathing " 74. Overhead Hydro 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 FINAL INSPECTION 32. Electrical Power Meter-Final 74 C/-/• 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 .. .17 40. Gas Service-Final 41. Solar Domestic-Final 42. Backflow Preventer -___, .. 43. Backflow Irrigation -' ' . :I ' '' 44. Landscape Irrigation System . 45. Sound Attenuation 46. Handicap Regulations • 47.,F!NAL STRUCTURE & BUILDING 48. Special Requirements Completed 49. Electric Release to Edison 50. Gas Release to Southern California Gas Co 1 • ;1 51. CERTIFICATE OF OCCUPANCY �' ,I No. Date _1 fr i